diff --git "a/icliniq/train.json" "b/icliniq/train.json" new file mode 100644--- /dev/null +++ "b/icliniq/train.json" @@ -0,0 +1,124259 @@ +{ + "data": [ + { + "id": 12856, + "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": 1000, + "tgt": "I have stomach pain and bloating after taking Augmentin 625. Why?", + "src": "Patient: Age - 33 years Height - 164 cms Weight - 67 Kg I am suffering from sore throat so I took Augmentin 625 before 12-13 days back but found no improvement but I started suffering from Stomach pain and excessive gases. Now I am taking below medicines as per prescribed by ENT specialist that are 1.Allegra M tablet 2.Rinifol capsule 3.Esoz D 40 capsule 4.Acinil O surup for ten days.Two days remaning to finish course. Stomach pain and blown stomach due to gas is still there. Doctor: Hello. I welcome you to icliniq. Well it is not uncommon to have Gastric upsets after a course of antibiotic. And antibiotic like augmentin are notorious to cause this. This occur secondary to effect of augmentin on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food. You should take yougurt, Kefir (fermented yougurt), Kefir. and there are certain diets with probiotic activity you can start taking it. Plus take Tab Ecotec twice daily for 4 weeks, and Tab Levosulpiride 75 mg once daily half hour before meals.for 2 weeks. You can continue with acinil O syp. while rest of your current medication can be stopped. I hope this will correct your microbiota and will bring the same healthiness as before. good day Antibiotic induced dysbiosis Small intestinal bacterial overgrowth Antibiotic induced dysbiosis Let me know in one week time how you respond to above regimen, if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for 2 weeks." + }, + { + "id": 17952, + "tgt": "What medicine should I take for sore throat and stuffy nose?", + "src": "Patient: Hi doctor, I have a\u00a0sore throat and stuffy nose for the last three days. But, I do not have fever. I do get sputum in the morning, which is slightly green in color. What medicine should I take? Doctor: Hello. You seem to be suffering from an acute upper respiratory tract infection. Since the sputum is greenish colored, it is better you start on a course of antibiotics. In addition to the antibiotics you would most probably require anti-inflammatory drugs, mucolytics and antihistamines to remove the cough and for the stuffed nose. In my practice, off late due to the recent change in weather there has been an increase in such cases. However, I have found it prudent to put the patient on a symptomatic treatment for a few days and observe. If not feeling better after 3 days, then we institute an antibiotic. In your case, due to the greenish color that is suggestive of bacteria, I would recommend a course of Levofloxacin, Chymoral forte tablets for removing inflammation, Mucinac tablet (Acetylcystine) to help remove the sputum and nasal decongestant nose drops. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8452, + "tgt": "My anti-TPO antibodies is 278 during my pregnancy. What does this indicate?", + "src": "Patient: Hello doctor,I am 28 years old. I got pregnant three months back. At 1.5 months, I went for a regular check-up. Everything came normal except for my TSH level, which came out to be 5.57. I have not gone for thyroid test before. Doctor gave me 50 mg Thyronorm to be taken daily as she termed it hypothyroidism. After one month when tests are done again, TSH came out to be 1.67, but anti-TPO antibodies are present and 278. Please explain what does this mean? Do I have to take medication life long? Does it have any harmful effects on my kids, I am expecting twins. Doctor asked me to continue medication even after delivery. What does it mean? Doctor: Hello. Elevated levels of anti-TPO antibodies indicate you have autoimmune thyroiditis. Do not worry about these terminologies, what it shows is you may have the disease even after the delivery. But that does not mean that you need to take medications life long. It can become normal by itself also. Since your TSH level is controlled now with medication, there are no harmful effects on your kids but keep taking drugs and get TSH frequently tested till delivery." + }, + { + "id": 19911, + "tgt": "As semen smeared over vagina, I took an I-pill. Can I get pregnant?", + "src": "Patient: Hello doctor, Semen smeared over vagina with no penetration due to condom slip. I am a 23 year old female. My last period was 10 days ago. I have a regular 28-30 days cycle. I took I-pill within two hours. Is there a chance of pregnancy? Please help. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9784, + "tgt": "Is it safe to take Risperidone for hallucination for a long time?", + "src": "Patient: Hi doctor, My brother had five to six episodes of hallucinations, and he takes Risperidone 2 mg for one year. Is it safe to take this medicine for such a long time? Can psychosis come back after stopping the medication? What are the side effects? Doctor: Hi. Antipsychotics are usually required for long-term. But if the person is suffering from acute and transient psychotic disorders, then these drugs are used for three months to one year depending upon the situation. After completing the drug treatment, relapse of psychosis can also occur. Risperidone is generally a safe drug, but it also has side effects. It requires blood sugar, and lipid profile monitoring. As on long term, it can cause metabolic syndrome. Metabolic syndrome causes an increase in blood sugar, blood pressure, and deranged lipid metabolism. So regular monitoring is required." + }, + { + "id": 15994, + "tgt": "There is reduced mouth opening after wisdom tooth removal. Why?", + "src": "Patient: Hello doctor, I was put to sleep and had a surgery on all my wisdom teeth to have them removed. It has been three weeks since surgery and I can only put two fingers in my mouth. My bottom wisdom teeth were impacted in my gums and bone that is why it had to be surgically removed. What can I do to get my mouth to open wider? I cannot eat a burger. Doctor: Hello. As per your query, I have gone through it and I came to a provisional diagnosis of trismus (inability to open mouth). This is the diagnosis based on your query and it may not be right. You just need to visit the dentist who removed your molars and you need to go through a clinical examination for your diagnosis. If this might be the case then you need to go through different type of physiotherapy exercises according to the severity of trismus. The cause for trismus is the injury to a muscle or muscle sheath. It is treatable. You need not worry about it. Physiotherapy exercise, heat therapy, muscle relaxant Benzodiazepine." + }, + { + "id": 12642, + "tgt": "My daughter's eye was poked with an umbrella. What to do?", + "src": "Patient: Hi doctor, My 4-year-old daughter got poked in the eye with an umbrella, and now that seems to have a scratch around her lacrimal caruncle. She is not complaining about pain, and her eye is not watering anymore. Doctor: Hello. The red areas on the photo look like subconjunctival hemorrhage. These are benign lesions in which a little blood has collected in the empty space just under the conjunctiva. To get rid of this condition you need to ice the affected eye (ask your daughter to close her eye and apply ice in a plastic bag or clean cloth over the closed eye for about 10 to 20 minutes). It goes away on its own in a week or so. You need to take your daughter to an ophthalmologist in case, 1. She has a drop in her vision. 2. The redness is persistent or increasing. 3. She has pain in her eye or pain on looking from side to side (moving her eyes). Hope this helps you." + }, + { + "id": 8078, + "tgt": "What is the procedure to replace a small size condyle?", + "src": "Patient: Hello doctor,I have a small condyle on my left side, causing my right side to do most of the work. I have a larger right cheek, and my face is off-center. Is there a safe procedure to replace the condyle that is missing? Doctor: Hello. I have read your history and complaint. The reason for the reduction in the size of the condyle could be as you said. The tumor infection could have entered the left joint capsule and gradually wearing it off. At this stage, our concern should be if this reduction (acquired condylar resorption) is going on or has stopped. This can be checked through a CT scan. On a positive note, there are treatment options available to solve your problem, which is by a procedure called distraction osteogenesis. But, the outcome of the procedure or even the treatment plan depends on various other factors. This is hard for me to search for which I would refer you to an oral and maxillofacial surgeon. An examination with the surgeon can give you elaborate details in the same, and if you would be a suitable candidate for such surgeries. I hope you got an idea of what I am trying to say." + }, + { + "id": 24778, + "tgt": "My sperm analysis shows low motility grade A. Am I infertile?", + "src": "Patient: Hi doctor, I have done my sperm analysis. The gynecologist suggested low motility grade A, and I am taking Fertisure M for past one month but, was a bit irregular in medicine but now following the strict timeline. She suggested consulting a urologist for agglutination/pus cells, etc. Kindly suggest some line of treatment. I do not smoke and drink once in a month (even that is not regular). I used to drink cold drinks but have given up now. I have reduced junk food and consume fruits, vegetables, and non-vegetarian food. I sleep for seven hours and do exercise and walking regularly. Kindly suggest a remedy for agglutination based on your analysis of the report. Doctor: Hi. I want to know what problem you have. Are you suffering from infertility? If yes, since when? Did you try any other treatment before? I have seen your report (attachment removed to protect patient identity). It appears fine regarding quantity and motility. Regarding clumping, it can be either because of infection in semen or autoantibodies. Most common is the infection of semen. So, I will ask you to get semen culture and sensitivity test done. If it comes positive, then we will start antibiotics according to culture. If not positive, then we will start empirical antibiotics. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 14932, + "tgt": "If I had sex on the first day of my period, will I get pregnant?", + "src": "Patient: Hello doctor, If I had sex on the first day of my period. Will I get pregnant? Doctor: Hi. Usually, ovulation will not occur during periods. So do not worry, there are no chances of pregnancy. But, if you have any doubt, do a urine pregnancy test after 10 days to be sure. Consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6101, + "tgt": "My veins have become bright blue in unnoticeable places. Why?", + "src": "Patient: Hi doctor, I am a 25 year old female. I do not smoke, drink socially, not on birth control, and my period started today. My veins became bright blue today and appeared in places they usually are not noticeable such as the chest and posterior part of forearm. None of them are raised, just insanely blue and visible. I have had some pain in my legs and armpits leading up to my period. The leg pain nagged for about five days, so I finally went to the ER to get checked for a clot. Doppler was negative. D-dimer blood test normal, and chest x-ray was clear. Any idea what might be causing the odd sensation? The leg pain has nearly gone now that my period has started. I will get a shooting pain in my armpit and inner arm often but the veins are just crazy and show up even on the tanned parts of my body. Please advice. Doctor: Hello. The veins over the forearms or the armpits and chest which have become prominent and visibly seen (attachment removed to protect patient identity) are unlikely to be related to PMS (premenstrual syndrome) or your menses. Most likely the cause being decreased subcutaneous fat. They are seen especially in thin built women and can get prominent when the blood volume and the heart rate increases. The pain related to PMS would subside as your menses have already started. Considering the fact that you have already got your clotting investigations in terms of Doppler and D-dimer, there is no indication of any deep vein thrombosis as well. So, I feel there is nothing much to be concerned about here and the prominence is due to decreased subcutaneous fat." + }, + { + "id": 13942, + "tgt": "What is the papillary growth on my scalp?", + "src": "Patient: Hi doctor, Two years ago, I went to a dermatologist to remove a lesion on my scalp. She told me it was a mole and it will regrow again. They checked it and it was not cancerous. So yes, it will regrow again and I am worried because of the aspect. I want to be sure it is a mole, not a wart because it looks to be having papillary tissue. HPV+ aggressive type (condyloma in the genital area) eight years back. No more episodes of HPV. HIV negative and no other diseases. Doctor: Hi. Thanks for posting your question on icliniq. As per the photograph you have sent me (attachment removed to protect patient identity), it does look like a wart, I will make the following points, to support my observation. As you have said, they checked it and it was not cancerous. Was this told you by performing a skin biopsy or just orally? To come to a definite diagnosis of a wart skin biopsy is a must. Warts are known to occur even after removal. Warts spread to other areas of the body as well as you have given a history of condyloma in the genital area. Was a viral typing done for the genital lesion eight years back? 1. HPV in care of wart. 2. Congenital in case of nevus. Skin biopsy. Verruca vulgaris, sebaceous nevus. Verruca vulgaris. Removal of the lesion surgically, or by using radiofrequency or Co2 laser. Try not to remove it with your fingernails, if it is a wart, it will spread to other areas." + }, + { + "id": 6953, + "tgt": "I smoke a packet of cigarette every day. Can it cause nail clubbing?", + "src": "Patient: Hello doctor, I am a 23 year old male, who weighs 195 lbs and I am 5.10 feet tall. All of my fingers are clubbed. My nails have become wide and thick giving them an abnormal round appearance. The skin above my cuticles is slightly raised and red. My nails do not extend straight out, but they curve down. I am almost certain that my nails are clubbed, and I am extremely concerned because there is no denying there is something is wrong with me. My nails used to be straight with a normal skin around it. Now my nails are abnormally round and extremely wide. I have all the physical symptoms of clubbing. I smoke a pack\u00a0of cigarette a day for approximately eight years. I do not experience shortness of breath, except at times when doing physical activities. I am in great shape and work out six days a week. I have read articles on clubbing, and the possible causes are very alarming. Is it too late to reverse the clubbing? Is it possible that it is from smoking, and if not what can it be? I am attaching a photo of my fingers. Doctor: Hello. 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": 29720, + "tgt": "Please suggest me an antibiotic to get rid of cellulitis", + "src": "Patient: Hi doctor, I am suffering from cellulitis in the lower part of the leg from the last 15 days. I had consulted a doctor and he prescribed Clarithromycin 500 mg. The infection was greatly reduced. As soon as I stopped using antibiotic, it became red and pain started again over the part where it was previously infected. While I am using Clarithromycin tablets, my body used to get hot during the night and was unable to sleep. Please suggest me an antibiotic to completely get rid of cellulitis. As of now, I am using Aceclofenac and Razo D tablets. Doctor: Hi. Revert back with reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16281, + "tgt": "When will my penile infection recover?", + "src": "Patient: Hello doctor,I am a male, 33 years old, height is 164 cm, weight is 56 kg. I am suffering from infection (red patches and irritation) on glans and shaft of the penis since 18 to 20 days. No pain and burning sensation while urinating. When I clean the glans and shaft using soft cotton cloth, 1 or 2 drops of blood is observed. I have taken Fluconazole 150 mg (one tablet after seven days, total of two tablets), Moxikind-CV 625 twice a day for five days. Cetirizine (one tablet per day) and applied Surfaz SN cream (Betamethasone (0.025 % w/w), Clotrimazole (1 % w/w), Neomycin (0.5 % w/w)) on the glans and shaft since 10 days. But this has not helped much, redness is increasing. I stopped applying Surfaz SN cream. Presently, I am using coconut oil which is providing some relief. How much time will it take to fully recover? Are the medication appropriate? Please advice. Doctor: Hi. I saw the clinical picture (attachment removed to protect patient identity). I see a large erosion on the glans (tip of the penis). I can list a few possibilities like herpes, candidal balanoposthitis, Zoon's balanitis, erythroplasia of Queyrat. Is this for two weeks only? Did it start as blisters or water-filled bubble? Is it painful? Itchy? or absolutely no symptoms? Is this happening for the first time? Any history of unprotected sexual intercourse? If yes, how many days back? Surfaz SN is a potent steroid cream, not safe to use for genital skin for infection. Was this prescribed by a doctor?" + }, + { + "id": 13487, + "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": 27588, + "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": 17616, + "tgt": "I have missed my period after unprotected sex. Am I pregnant?", + "src": "Patient: Hi doctor, I and my fiance had unprotected sex a month back but he did not ejaculate inside me. Due to confusion, I had an Ipill after two hours of intercourse. On the eighth day after taking the pill, I got a light bleeding (enough to use a pad) which lasted for three days. My last period started 40 days back and lasted for five days. I missed my next period which was supposed to be a month later. Now after that I did the urine pregnancy test in the afternoon which came negative. I just want to know is there a chance of me getting pregnant. Am I safe now? Please answer it Doctor: Hi. Yes, if now it turns out to be negative urine pregnancy test after 20 days of intercourse than definitely, you are not pregnant. It is almost a month after intercourse and test are negative. So, you are not pregnant for sure. And yes, periods can be delayed and/or disturbed even after Ipill which is in your case. Do drink more water and wait for a period of 5 to 10 more days. Mostly, it will come. If delayed more than 10 days than do consult nearby gynecologist. You may require hormonal medicines to induce the period. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12076, + "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": 19945, + "tgt": "I am worried about the development of my lower jaw. Please help", + "src": "Patient: Hello doctor, I have a question about the normal development of\u00a0facial structure of a\u00a0male going through puberty. I am 17 years old, my height is 5'7\" and I weigh 119 pounds. My diet is normal. I am very frail in stature but, that is not what I am worried about. I am worried about the development of my lower jaw. It seems extremely small for my face and to me it seems like a problem. That is not only a very unattractive feature, but also seems unhealthy in a way. I had braces for a year and a half but, that did nothing. I am not sure if it is genetic or if it is a disease but, my jaw seems to be to small for the structure of my face. I am in deep need of help to further understand why is this happening as I grow and I was wondering if I could do anything to fix it without surgery. I feel like it is a problem and it is a flaw and I have been wondering this question for quite a while. The sources I read lack information and contain uncertainties. Please explain. Doctor: Hello. Consult a dentist online for further investigations and follow up --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13232, + "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": 7824, + "tgt": "Is extraction better than repeating root canal treatment?", + "src": "Patient: Hi doctor, I have infection on tooth number 14. I have been thinking about extraction versus retreatment. It is an 11 years old root canal treated tooth. A\u00a0crown was placed on it 2 years ago. After that, once in a while it happened to become sore.\u00a0Two months ago, another crown was placed on my lower molar that touches tooth number 14. The new crown was high and right after that 14 started to ache. My gum is fine and it is not swollen. My dentist checked with a cold test and it was extremely sensitive. My dentist suggested me to extract it and then put an implant after 3 months. He said one of the roots is untreated and have an abscess at the very end of the root, since I have TMD issues. He does not want to irritate my jaw muscles and joints twice because, if the retreatment fails, then I need an extraction. I am super nervous because of my TMD issues. It flares up after of my dentist visits and I am scared that my jaw would be locked after the work on tooth 14. I would wish to take the right action for the sake of my jaw. Looking forward to read your comments. Doctor: Hi. Thank you for sending across the x-ray (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14488, + "tgt": "How can I mange acute pain in cervicothoracic spine region?", + "src": "Patient: Hello doctor, I am suffering from severe pain in my cervicothoracic spine and upper right back and scapula and right shoulder and right arm accompanied by numbness in the right forearm since last 40 days. The pain is acute during bending, sitting and walking but I get some relief while lying down on bed on my back. I got my MRI done in which it has been revealed that there is a diffuse annular bulge with posterior right lateral disc extrusion at D1-D2 level which is causing severe compression over right lateral recess with entrapment of the exiting nerve root. I have tried McKenzie neck exercises but my right upper back and cervicothoracic pain has only increased. Please advise how can I get relief ftom acute pain. Please suggest me treatment to get relief from acute pain in cervicothoracic spine region, upper right side back, scapula area and right shoulder and arm. I tried McKenzie neck exercises but my pain has only increased. Doctor: Hello. I read your concern. I would like to know the exercises McKenzie correction you had done for reduction. You need a proper manual therapy assessment and mechanical restoration with mobilization. I would like to advise you to get your D1 properly mobilized with a physiotherapist. The mobilization of the facer joint will also help you a lot. In your case, McKenzie should work better as I do not know what have you done. And what kind of mechanical restoration was done and manipulation performed? Kindly give me details so that we can suggest your correction. Manipulative correction of deranged spinal alignment will help you to recover faster. Keep icing your upper back and lower part of the neck. Avoid prolong bending forward movement. Try massaging over upper neck and scapula gently to reduce spasm. And thereby reducing the pain. Try lying down in that position that gives you maximum comfort. Kindly revert back so that I can help you to choose better techniques and speedy recovery. Postural. Rest ice mobilization of soft tissue and manipulative correction of deranged segments. Segmental stability exercises. Avoid provocative postures." + }, + { + "id": 12740, + "tgt": "I have lower abdomen pain and alarming weight loss. Will it be due to IBS?", + "src": "Patient: Hi doctor, I am 23 years old. My problem is whenever I press my lower abdomen especially right lower part I feel some watery sound. When I wake up in the morning I feel pain in my lower abdomen. Also, my weight is decreasing at an alarming rate. Last year it was 68 kg and now it is only 52 kg. I had all the checkup like endoscopy, stool check, colonoscopy and all the blood test related to swelling in my intestines. Everything was normal. One doctor said it as IBS and the other said it is only swelling. But, over a year I am facing this problem. When I get nervous, my stomach gets upset and I have an urge to go for the washroom. Please help with my problem. Doctor: Hi. Considering your symptoms, I will also go with the diagnosis of IBS. But, my line of treatment will be based on ayurveda diagnosis. In your case, it is Vata Koshta - your digestive system afflicted by vata (increase in the gas in the intestines). Treatment for IBS will be a three-pronged approach. Follow all three religiously for best results. 1. Outside food causing infection in intestines. 2. Anxiety and nervousness. Medication: I can see that you have started some medications already. Better you go for the following medicines. 1. Bilwadi Lehyam - A semisolid preparation. Take 5 g of this 10 minutes before food twice daily. 2. Lavana-Bhaskar Churnam - A powder. Take 2 teaspoon and mix it with a glass of warm water or preferably with a glass of buttermilk and have it 10 minutes after dinner. This powder will be salty to taste. 3. Jeerakadyarishtam - A liquid preparation. 3 teaspoon of this liquid diluted with 10 teaspoon of water and take after food twice daily. You can take this after breakfast and lunch. 4. Dhanwantaram Gulika - A tablet. This medicine need not be taken regularly. You complained of nervousness causing stomach upset. In case you develop such a feeling, then pop two tablets. This will manage the problem. Before food or after food does not matter. Take these medications for 45 days and revert back. Then I will add medication for weight gain. Exercise: 30 minutes of regular exercise is mandatory. You can pick whichever you like such as walking, yoga, playing, cycling and gym. Apart from this do 10 rounds of deep breathing exercises twice daily. Diet: 1. Have curry leaves, fresh fruits especially citrus fruits and pomegranates are very good for you. 2. Have nutritious food and fibrous veggies like beans, carrots and all gourds are recommended. 3. Soak about 8 to 10 dry grapes or raisins overnight in water and have it the next day. 4. Try having at least 1 bowl each of fruits and vegetables daily. 1. Avoid overtly spicy food, deep fried food and stale food. 2. Stay calm. This condition is easily curable." + }, + { + "id": 6586, + "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": 19520, + "tgt": "A part of my anal skin has come out and not going inside. Please help", + "src": "Patient: Hi doctor, A part of my anal skin has come out and is not going inside. What should I do? I have tried putting it inside but it pops out again. I have applied coconut oil as well but nothing is happening. As such, there is no pain in that but it is not looking nice as well. Doctor: Hi. This is likely to be a prolapse, either an anal or rectal prolapse or prolapse of hemorrhoids. Definitive treatment is the surgicalcorrection if it is severe. Otherwise, you should put it inside manually after passing stools. It may come back again during straining at stools. So every time it comes out, you need to put it back. I guess you do not have any bleeding. The most important thing to prevent its progression is to avoid excessive straining at stool. You should avoid constipation, so if having constipation should have a laxative like Cremaffin plus syrup. So, visit the surgeon once to get it confirmed and for its severity." + }, + { + "id": 12600, + "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": 4423, + "tgt": "Condom broke while having protected vaginal sex. Can I get HIV?", + "src": "Patient: Hello doctor, I am a 26 year old male. I had protected vaginal sex with a sex worker 15 days back. However, the condom broke and I ejaculated inside her. I asked her whether she was HIV positive and she said no. But, I cannot trust her. I have been having chills all over my body since yesterday. I was told by the HIV helpline to do the DNA PCR test on the 21st day. What are the chances of me being HIV positive? Should I be worried about the chills? I have never had such chills before, especially in the legs and hands. I am panic. What should I do? Please suggest Doctor: Hello. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30717, + "tgt": "Is it beneficial to have lemon with water?", + "src": "Patient: Hi doctor, Can you explain whether\u00a0consuming lemon with water in the morning and in the evening is beneficiary or not? Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10593, + "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": 6662, + "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": 26876, + "tgt": "Ever since I had an H. pylori infection I have frequent stomach pains. Why?", + "src": "Patient: Hello doctor, I am a 21 year old female. Three years ago, I was hospitalized due to an H.pylori infection. Ever since, I regularly suffer from stomach pain, like once every three to five months. Today, I have a\u00a0fever due to an upset stomach, and I noticed that when I stand up, my stomach hurts more. Doctor: Hello. Please consider a detailed consultation if needed so that I can guide you further. Good luck. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29633, + "tgt": "I noticed an itchy, raised and hard lesion on my scalp. What is that?", + "src": "Patient: Hi doctor, I noticed a scalp lesion two months ago. It is a bit scaly\u00a0if scratched, hard and raised. I would like to peel it off, but it is not getting removed. But, I did not notice any hair loss. Other than a little bit of itching of the scalp, there is no\u00a0issue. Doctor: Hi. It can be scalp psoriasis or warts. Please send me a photo to diagnose the condition and suggest you treatment. Revert with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10709, + "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": 12148, + "tgt": "My father is a cardiac patient and under Sintrom. Can he take nystatin?", + "src": "Patient: Hello doctor, My father had a valve replacement last year, and he is currently taking Sintrom. He recently got prescribed Nystatin for oral candidiasis. He would like to know if he swallows it or by accident swallows a bit, can it interact with his medication or cause him a cardiac problem or a valve problem? Doctor: Hello, I passed carefully through your concern and would like to explain that Sintrom (Acenocoumarol) Nystatin do not show any adverse interaction when taken in the same patient concomitantly. Nystatin taken orally has poor intestinal absorption and could not reach the circulating blood in sufficient amount potentially interact and produce adverse effects. No cardiac issues will arise from that. I hope to have clarified your concern." + }, + { + "id": 3313, + "tgt": "My fibromyalgia pain does not respond to any medication. Why?", + "src": "Patient: Hello doctor, I was diagnosed with fibromyalgia a few years ago. Over the past three years, it has gotten much worse. I take Lyrica two times a day and Tramadol as needed for the pain. I still have a great deal of pain every day. The Lyrica makes me feel like I cannot think straight and the Tramadol just does not work anymore. I was prescribed Cymbalta which I took for approximately two years. It did nothing for me either. It was after that I started taking Lyrica. I have been taking it now for about six months. I recently saw my provider and he did some trigger point injections which do help in the areas injected. He told me he does not know what else to do for me. I just feel like there are no doctors that want to even try to help people with fibromyalgia. Especially those with which all the current medications do not work. I am terribly frustrated and very tired of being in pain every day. I never get a break from the pain anymore. What other treatments are out there now. Anything new that I may have not heard of? Any help would be greatly appreciated. I work full-time and I just do not want to be so miserable while doing it. Apart from Lyrica, and Tramadol I am also taking Estradiol, Progesterone, Levothyroxin, and Fluoxetine. Doctor: Hi. Fibromyalgia is a very frustrating condition, but with the help of the patient, a doctor can treat it. I have treated my patients with all the drugs you have mentioned by managing the doses, but I always ask my patients to do meditation that would help the most in this problem. In your case, I would recommend you to take Lyrica (Pregabalin) at the dose of 50 mg in the night time, which would not affect your thinking process. You should also take Cymbalta at doses of 60 mg per day. Your doctor would adjust these doses according to the symptoms you have been getting as well as the side effect profile. I hope this helps. TSH (thyroid-stimulating hormone)." + }, + { + "id": 24362, + "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": 24359, + "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": 29327, + "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": 8116, + "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": 16434, + "tgt": "I have hard bump in throat and my mouth looks white. What is it?", + "src": "Patient: Hello doctor, I have a bump in the throat. It is hard and not painful, and my mouth looks white, I looked on the internet and scared of mouth cancer. Please Help. Other symptoms I had was pain in throat for couple days, but that gone away quickly with gargling. I also have reflux (I am going to the specialist in two weeks). My tonsils are operated and I do not have one. Currently, I am taking Omeprazole. Doctor: Hi. The posterior pharyngeal wall has some enlarged and congested nodules (attachment removed to protect patient identity). Could be due to chronic pharyngitis. Continue the reflux medicine and when any pain is there take decongestant and Claritin (Loratadine). For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 264, + "tgt": "My mom is on Norfloxacin to avoid diarrhea. Is there an alternate?", + "src": "Patient: Hi doctor, My mom is 50 years old. She takes Norfloxacin on daily basis to avoid diarrhea. The moment she stops taking Norfloxacin, she goes through diarrhea. Please guide some alternate treatment for her. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22931, + "tgt": "What are the symptoms of ovulation and pregnancy?", + "src": "Patient: Hello doctor,I am a married woman and it has been two years of our marriage. I am 29 years old and my husband is 30 years old. We are now planning for a baby. So for the last two months, we are trying. But we are confused when to exactly start trying that is the day from the start of my periods. Earlier it was around 28 days of the cycle and now from last month, it takes around 31 days. Due to some emergencies, my husband had to travel somewhere. So we started on the eighth day of my period and did every alternative day. Now today is the 23rd day of my periods. I have not observed anything like ovulation or honestly saying I do not know how it feels and what are the symptoms of ovulation or if I have conceived or not. Please help me out with this. Doctor: Hi. Have healthy tips, precautions as well. Folic acid daily for you from today 0.4 mg daily as it helps to have normal brain development. If you both have any health issue better to have the full treatment. Stop recreational drugs if you both have been using and have recreational activities. Have healthy nutritious diet, daily walk, and normal balanced BMI. Sex activity is to be done in the fertile period of the cycle. You can have on alternate days from day eight to 16th-day alternate or from day nine to 13th daily if having a regular cycle. Near menses, you might feel some symptoms if you conceive. Be positive and wait for nature to take the step, just concentrate on tips I described above. Different symptoms of conception differ individually like breast engorgement, abdominal cramps, abdominal fullness, vaginal clear discharge, increased appetite, and sleep, etc. In case of severe abdominal pain, bleeding, dizziness report to the hospital. You can have serum beta hCG (blood pregnancy test) in case of a missed period as it exactly describes pregnancy status. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3780, + "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": 10513, + "tgt": "When exactly does the pregnancy symptoms arise after unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected intercourse with my fiance during the first week of last month. Same week, within few days she complained about vomiting sensation but had no vomiting. Immediately the next day she\u00a0had a little discharge from vagina and a little menstrual cramp. Her last menstrual period was in the last week, two months back. The local gynecologist told it is because of gas and gave an antibiotic tablet, multivitamin syrup and gas related tablet. The following day, early morning she felt headache and a body ache.\u00a0Is it something to be worried about? Is she pregnant?\u00a0When do the earliest symptoms of pregnancy come up? Doctor: Hello. These are not pregnancy symptoms, but rather they are symptoms of ovulation with mild abdominal ache, nausea, headache, bloating and thin mucus discharge from vagina. As her last menstrual period (LMP) was in the last week, two months back. So, it is day16 today. Hence in a 30 day cycle, this is the time for ovulation. As you had sex in the first week the following month, still she can be considered in her fertile period and hence an emergency contraceptive is advisable to be taken in 72 hours in your case to prevent pregnancy. However, the earliest you can detect pregnancy would be after 7 days post-intercourse with a serum beta-hCG test. If it shows the level of hCG more than 5 ng/dL then shall confirm pregnancy. Otherwise, she would be pregnancy safe. But, at present these are ovulation signs. Revert back after the test to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9849, + "tgt": "What is that white spot present between my upper and lower wisdom teeth?", + "src": "Patient: Hello doctor, From the last three months, I have a constant pain on the right side of my mouth. I believe the pain was similar to when someone has an erupting wisdom tooth, but I am not 100 % sure. When I looked in the mirror with a flashlight, I found a tiny white spot in the area between my right upper and lower wisdom teeth. I had this spot for at least 4 or 5 days, and then gradually it subsided within a week or so. After a week, when I took a look, that white spot was gone but the little surrounding area had become white. This white area got bigger with time. I visited a dental surgeon in a top hospital, who visually examined the area and asked me to get an OPG done. The OPG report suggested impacted wisdom tooth. The doctor said the white area was caused by trauma from the\u00a0friction of the two wisdom teeth on that side with the skin. I was not very convinced and visited another dental surgeon, who also said more or less the same thing, after examining and going through the OPG. As per his advice, I got both wisdom teeth extracted. The white area has remained till this date, not the initial white dot which had disappeared within 5 to 6 days as mentioned above. I could not open my mouth properly for few days after the extraction, but when I finally did, everything appeared normal. Since then, I have not had any oral or dental issues. It is to be noted that neither doctor had seen the first tiny white dot or spot since I had met them after it was gone and when the surrounding area was white. I have attached some photos here, and the photos marked 1 and 2 show the first white dot. While the remaining show the condition after this spot disappeared. I request your thoughts and opinion about the issue detailed above. Could the original white spot be an\u00a0ulcer or canker sore? If yes, what could have been the possible cause? Is a single canker sore cause of worry? Can it indicate some very serious underlying condition? I have read on the internet that mouth ulcers normally occur on the inside of cheeks, tongue, and lips. Can it occur in the area where the spot appeared? If it had been a mouth ulcer, is it possible that the ulcer affected the area in a way which caused a trauma resulting in the white area? I request a detailed response to the above at the earliest, please. Doctor: Hi. Thank you for your query. I have seen all the attached photos (attachment removed to protect patient identity). For more information consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist" + }, + { + "id": 24835, + "tgt": "I have a white patch on the inner side of my foreskin. What is it and how to treat?", + "src": "Patient: Hello doctor, I am 36 years old, noncircumcised male. I have a white patch on the inner side of my foreskin and on the tip of the penis. I noticed it when the bridle got very short and I felt pain when retracting the foreskin for washing. It does not itch or pain but it goes around the foreskin. My wife and I are good with the hygiene. The urologist made a biopsy and the pathologist said that there is hyperkeratosis and little inflammation. The urologist advised to use Cortizone cream and watch it. I used it for a couple of weeks now with very little improvement. What can it be and how to treat it with success? Doctor: Hello. I have noted your concern. Perhaps you have lichen simplex et atrophicus (LSeA). I request you to kindly upload a few images of the affected area so that I am able to confirm and guide you better. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9156, + "tgt": "I am suffering from ring-like itchy patches from abdomen spreading to other parts of the body. Kindly help", + "src": "Patient: Hello doctor, A few months back I have got a ring-like itchy patch on my lower abdomen, I applied Hydrocortisone cream for about three weeks, but there is no relief other than itchiness, then I used an over the counter medicine for a week and still no relief meanwhile I noticed several other patches around my groin area and black big itchy patch nearby my thigh join, as I searched it looks like jock Itch. I went to a doctor he told to take Terbinafine hydrochloride (Lamisil) cream, initially three to four days it seems like it was working then suddenly due to long drive patches became redder, and this cream was no longer working. Then the doctor prescribed the same Terbanfine 250 mg by mouth, and I took for two weeks no relief. Meanwhile, the infection spreader into another side of thigh corner (groin) as well. Now in third visit doctor has prescribed me Flucanozole 100 mg by mouth for eight days as he thinks my fungus has developed resistance to the earlier drug. It has been four days, and Flucanozole is not working, I am very scared and under trauma that nothing is working for me. My immunity has been very weak since my childhood, and even a coughing infection takes a month to cure. 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": 9216, + "tgt": "What does the MRI taken for severe pain and dizziness indicate?", + "src": "Patient: Hello doctor, MRI C6/C7 posterior annular fissures with broad-based bulge impinging anterior CSF space. I need guidance on this as I am in immense pain and dizzy all the time. Doctor: Hi. I have gone through your query in detail and the attached report (attachment removed to protect patient identity). C6-7 disc shows a significant abnormality, fissures, and bulge, causing indentation over the thecal sac. This is the root cause of the excruciating pain that you are getting. If the pain management measures have failed, then definitely you need surgery. Surgical decompression of the compressed nerve by endoscopic decompressive surgery is the best possible treatment at present (avoid getting an open spine surgery done). And I do feel, that you should consult a neurosurgeon and get the surgery done as early as possible for a faster and good recovery. I hope your question has been answered." + }, + { + "id": 4392, + "tgt": "What causes dull chest pain?", + "src": "Patient: Hello doctor, I am having chest pains that are dull feeling in random parts of chest at random times throughout the day and night. Been having them for 2 weeks now. I have a newborn child, 9 months, and I do not sleep alot because he does not either. That has been going on for 9 months, the lack of sleep. I am 34 years old with no health issues and no family history of heart disease or issues. My doctor did an ECG and said it was normal with an abnormality. I went to a cardiologist and he did an ECG and said it was normal but scheduled me for a echocardiogram and stress test to rule out anything. Am I just having anxiety, which is what everyone keeps telling me, or could it very well be heart related? I am scared. Thank you for your assistance. Doctor: Hello. I passed carefully through your medical history and would like to explain that your ECG seems to be within normal ranges. Nothing to worry or panic about. The lack of sleep has played a role in exacerbating your clinical symptomatology. Anyways it is rationale to follow your doctor advise and pass through the recommended tests cardiac ultrasound and stress test." + }, + { + "id": 15610, + "tgt": "How can I manage common cold and sneeze?", + "src": "Patient: Hello doctor, I am a 39-year-old man suffering from a common cold from last evening. There is very much sneezing, however, sneezing is obstructed sometimes. Also, there is water dripping from the nose. Doctor: Hi. It looks like you may have allergic rhinitis. I would recommend using Flonase nasal spray one spray in each nostril twice daily for three to four days also. Take tablet Levocetirizine 10 mg one tablet once daily for 3 to 4 days. These are generic names of the drug." + }, + { + "id": 27346, + "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": 20754, + "tgt": "Why am I having behavioral problems while preparing for exams?", + "src": "Patient: Hello doctor, I am 22 years old female, currently preparing for some competitive exam. I am having a feeling of like nothing is good and this sometimes leads me to not study for the whole day and moreover, I am lacking the feeling of complete happiness, joy, or to feel sadness completely, and also I now have stopped going to meet my old friends much. Also, these behavioral problems were observed when I was giving my premedical entrance exam five years back. Then also I used to stop studying for days and even after having the guilt of not studying could not study for long. So, I just want to know that am I having any problem or is everything fine. And am I bothering too much? Please help. Doctor: Hi. You are overworked or overstressed. Take some vacation. I can understand about exam preparation but sometimes we need some break in our life. Due to continuous exposure, we get bored and then it is difficult to concentrate on work or study. Make a schedule. Do not just keep reading. Take daily enough sleep, at least 7 to 8 hours, eat healthy good home cooked food, avoid junk foods, do daily exercise for 30 to 45 minutes, do daily meditation, eat fruits and vegetables, spend time with friends and family, spend time for your creative hobbies like writing, painting, learn some new like musical instruments or language, etc. Laugh as much as you can. Life is to live, not just spend it. Study is important but only study is not important." + }, + { + "id": 11480, + "tgt": "My eyes are yellow and red stained after using Visine for allergy. Why is it so?", + "src": "Patient: Hello doctor, I had a pink eye. An allergy specialist advised me medications, and my eyes improved a lot. But I used Visine for a year every day, and that made my eyes addicted to that, and every time they became more red now. My allergy is controlled, but my eyes are not white, again they are like a little yellow and red stained. Also, they advised me Vigadexa drops because I had bacterial infection. But my eyes are still weird color even when I do not have itchiness. Doctor: Hello. I understand your concerns and have gone through your photo attachments (attachment removed to protect patient identity). The brown patches are suggestive of benign melanosis, and the red lines are blood vessels. The blood vessels can reduce in size and number when Visine (Tetrahydrozoline HCI) drops are used, but due to the mechanism of action, the drops will lose their potency over prolonged periods of use. Other than that your eyes look fine. The benign melanosis, as the name suggests is a harmless patch of pigmentation and the blood vessels although a bit prominent are not suggestive of any disease. There are no signs of serious infections. I hope this helps you. In case you have any further questions, please let me know." + }, + { + "id": 12761, + "tgt": "What is the treatment for throat pain with cough in a child?", + "src": "Patient: Hello doctor, My daughter is 6 years old and weighs about 24 to 25 kg. She is having throat pain and cough and running a fever of 100.5 degree since yesterday. She got throat infection from me. I consulted with my doctor and she gave p250 7.5 ml and Betadine gargle for her and told us to consult a Pediatrician. But my daughter is not getting better. Please help. Doctor: Hi. Please continue the same treatment as going on. An antibiotic like Augmentin may need to be added based on the clinical examination of the child (to see if it is required). Also, Ibugesic may be started to reduce the pain and inflammation (if any) based on the clinical examination. As of now to relieve the pain you can use Ibugesic 8 ml (SOS only). As far as the cough is concerned, you may cut down on the Betadine gargles and instead take one teaspoon of honey with lukewarm water twice a day for a soothing effect. Show the pediatrician tomorrow for further course of treatment." + }, + { + "id": 28991, + "tgt": "I have a lump on penis and feel uncomfortable during sex. Please help", + "src": "Patient: Hi doctor, I have a small lump inside the foreskin near the penis head. It has been there for more than a year. It is painless. It does not hurt during sexual intercourse but feels uncomfortable during oral sex. Please help. Doctor: Hi. I have seen the photos sent by you (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12055, + "tgt": "Could masturbation be the reason for loss of sensation in the penis?", + "src": "Patient: Hello doctor, Due to masturbation, my penis has no sense in it. It is not erecting also even if sexual thought comes in my mind. Kindly help. Doctor: Hello. Masturbation is usual. It does not cause physical or sexual problems. Also, do not give any importance to the advertisement that mentions masturbation cause health problems or destroys life, and it does not require any treatment. Masturbation is a maintenance procedure. It keeps the penis well and regular turnover of fresh semen or sperm. If you want to reduce it, you should involve yourself in studies, games, and hobbies. Also, try not to remain alone most of the time and avoid porn. Erection problem can be due to stress or anxiety or due to a physical cause. For the physical reason, you need to do blood tests Hb (hemoglobin), TC (total cell count), DC (differential cell count), fasting sugar, prolactin, TSH (thyroid stimulating hormone), testosterone. Please upload the reports. Depending on the results treatment can be decided." + }, + { + "id": 7557, + "tgt": "What could be the reason for bad breath in a RC treated tooth?", + "src": "Patient: Hello doctor, Two years ago, I had a problem with one of my wisdom teeth. It caused pulpitis in the front teeth, so I got a root canal treatment on it, but I did not get the wisdom tooth out. The dentist cleaned the cavity on it as well but covered it with amalgam. Recently I started to feel bad breath when I clean with my tiny bristles toothbrush in this area. I think it mostly coming from the interdental space. Please let me know should I get it drilled again? Doctor: Hello. You have not attached X-ray with this query. Still, it might be an infection near the wisdom tooth. You may need extraction of the wisdom tooth. Send X-ray if possible and use warm salt water gargle twice a day for a week or two to remove the smell." + }, + { + "id": 16841, + "tgt": "What can be the cure for the break outs around my groin and vagina?", + "src": "Patient: Hello doctor, I am breaking out around my groin and vagina. I\u00a0have never had an unsafe sex. So, I do not think it can be an STD. I am on a birth control pill. I have attached images for your reference. Kindly suggest treatment? Doctor: Hello. I understand your concern and I have viewed the images\u00a0(attachment removed to protect patient identity). Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26087, + "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": 12724, + "tgt": "Please suggest something to grow my hair", + "src": "Patient: Hello doctor, Hair loss. I want to increase my hair. In some areas, hair is not coming. Please suggest something. Doctor: Hi. How are you? I hope your health condition is good. I have read your problem and have seen attached picture carefully (attachment removed to protect patient identity) and you mentioned that you have tried 2 % Minoxidil. Now you want to know how to improve or grow more hair in some area (shown in picture). There are some options: PRP therapy, oral Finasteride, increase the strength. Your hair fall pattern seems to be like Androgenic pattern or male baldness. The strength of tropical Minoxidil should be increased. Besides this, you can take oral Finasteride. But there is some side effect such as deterioration of sexual function but this problem is reversible, that means when you stop the drug, the problem will be reversed. You can use tropical PRP therapy which is safe and no adverse event occurs. But the result may not be up to your satisfaction. The other and final option is a hair transplant. This option is expensive but the result is quite good. I hope the above-mentioned information may help you to solve your problem." + }, + { + "id": 16943, + "tgt": "Why do I overload my brain with so many thoughts?", + "src": "Patient: Hi doctor, I was diagnosed with essential tremors, and I am always distracted. I suffer from tics and obsessive, repetitive movement like blinking, clenching my fist, breathing tics, obsessed with personalities and how consciousness works. I always focused on my bodily sensations, like how my legs feel pressed against something. I have trouble finishing a thought. I always try to understand difficult things, such as how consciousness works, the concept of a soul, solipsism, how people learn a language as babies, time, infinity, what makes people different, the purpose of life, what makes people tic, personality disorders, etc. I am very into, the MBTI, Enneagram, global 5 type, Sigmond Freud's id, ego, and superego, Maslow's hierarchy of needs, horoscope and other personality assessments. I basically try to dissect people through observing them like you would disassemble a car and understanding how each piece works and then putting it all together and seeing how it all works together. I am always placing people into categories.\u00a0I sometimes would watch a movie and carefully observe a person's tone, body language, gestures, laugh, eye movements, facial expressions and try to get deeper into who they might be and why they are like that.\u00a0People give me a feeling, and I sometimes categorize them like the four elements, water, wind, earth and fire. Angry people like fire, passive people like water, happy outgoing people like water, and reserved stubborn people like fire.\u00a0I am always placing myself into people's shoes and seeing a scenario as if I was them and they were me.\u00a0If left alone, I could fry my brain with an overload of thoughts. Doctor: Hi. You can review with me for further follow-up. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16501, + "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": 6353, + "tgt": "My periods are heavy ever since I got chickenpox. Why?", + "src": "Patient: Hello doctor, My periods have been heavier ever since I got chickenpox three years back. The first two days it is just spotting, the third day it starts with cramps sometimes really severe, with sharp and excruciating pain on both sides of the lower abdomen, radiating to the inner sides of legs, warm legs, back pain, dizziness, exhausted feeling, sleepiness, black moods. Then on the fourth and fifth days, I experience heavy bleeding along with cramps. There are clots. The bleeding is very red and not viscous, when clots are discharged. If I sit down for a while, it is like the clots get accumulated and when I get up, so much is discharged all of a sudden, and I am forced to stay at home. This affects my professional and personal life quite a lot. After this period, the bleeding tapers off fast. But I do feel exhausted, and it takes me days to get back to normal. My blood tests and pelvic ultrasound have come back normal. The only thing is that my hemoglobin is at 11.3. Thyroid test and LFT are normal. No fibroid and ovaries are normal. My doctor is not able to figure out what is wrong. I just turned 37. My child is 8 years old. My pregnancy was normal and uneventful. I gave birth to a full-term baby through NVD. What could be wrong? Should I undergo any further tests? Since my tests are normal, can I have another child? Will another pregnancy solve my issues with menstruation? My periods were regular with a cycle of 28 days, even now it is regular with these problems. Doctor: Hello. Chickenpox usually does not have anything to do with heavy periods. You seem to be suffering from severe PMS (premenstrual syndrome) with dysmenorrhea and menorrhagia. You have not mentioned about the prolactin level. I presume it is to be of normal value. If you have not done it, please do so. I also presume you are non-diabetic with no high blood pressure. Does the ultrasound mention about the size of the uterus? Is it of normal size? If no pathology could be found out, then you belong to a group of patient who is believed to be having dysfunctional uterine bleeding mostly seen at the perimenopausal age group roughly say beyond 35 years. They usually get relieved by a progesterone course for six months, or in refractory cases, a simple operative procedure called Dilation and Curettage does the trick. I believe your doctor must have already suggested that, or maybe you are on it right now. Regarding bearing children, I do not see why you should not conceive, and there might be normalization of your symptoms after a second pregnancy. I hope this helps." + }, + { + "id": 20164, + "tgt": "How to treat the painless swelling in vagina?", + "src": "Patient: Hi doctor, I have one-sided swelling near labia majora since one\u00a0month. I am an unmarried 26 year old female. There is no pain or discharge. I tried warm compress and Candifem ointment for seven days, but there is no much improvement. I have attached photos for your reference. Doctor: Hi. From the attachments (attachment removed to protect patient identity) and your history, this seems to be a Bartholin's cyst. It is swelling of the Bartholin gland situated in the labia majora. It is a benign condition. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10957, + "tgt": "What are the consequences of not treating a tumor?", + "src": "Patient: Hello doctor, I am writing a fiction novel about scientific abnormalities. I think there is no better professional than a doctor to ask this. What would happen if a tumor is left untouched in a human? What happens after the tumor takes over their life? Would it eventually conquer all of the victim's body? What would be the end result? Would it count as a separate organism once it overtakes the body? This question is not meant to disturb your work, it is only for the development of ideas. If you find this question unethical or offensive please ignore it. Doctor: Hello. Tumor basically consists of cells with unregulated capacity to multiply and spread. So, if tumor is not removed, then its size keep on increasing. Also, it spreads to different organs through blood and other tissues, and occupies other organ as well. So, normal tissues or organ throughout the body is invaded by tumor cells which cannot carry out the normal function of the organ, so organ failure ensues. So, one organ failure leads to other and eventually heart stops and person dies. So, human body is invaded by cells which causes dysfunction in the body and eventually body stop working (means death) before going ahead. But, we cannot consider it as separate or new organism because new cells are not functional and cannot form organs to make a new organism. For imaginary purpose, you can think in a way you mentioned of transforming or replacing one individual with other or person who has acquired some new characteristics due to tumor cells, etc., but does not occur in reality." + }, + { + "id": 26830, + "tgt": "My 5. 2 months old daughter has fever and cold. Please help", + "src": "Patient: Hi doctor, My baby girl is 5 months and 2 weeks old. From yesterday, she has a fever, especially at night. She has running nose and cold feet. She is very dull and weak. I gave her Piccan syrup and Vitamin C drops. Please help. Thank you Doctor: Hi. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 13169, + "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": 27850, + "tgt": "My grandson has developed earache and discharge. What should I do?", + "src": "Patient: Hello doctor, I am traveling with my 16 year old grandson. He had an ear ache when he woke up this morning and we saw a doctor here. He prescribed Amoxicillin 500 mg thrice a day. Later, his ear felt better, but it started draining. Now, there is a small amount of bright red blood in the ear canal. Should I take him to the doctor again? I am worried that if I do that, they will want to irrigate the ear, clean it and start some treatment. That would make things difficult, as we leave for home tomorrow morning. Doctor: Hello. I hope this helps. If you have any further query please ask me. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5468, + "tgt": "How can ketone level be managed during pregnancy?", + "src": "Patient: Hi doctor, I am 32 weeks pregnant. I have gestational diabetes since 24 weeks. I did not have much apetite during whole pregnancy due to my stomach problems and I did not put on weight too much. Now it is better. I was told to check my ketones since 25 week. And I did. There was always +/- in the morning and then I ate breakfast. I had an appointment this week and doctor told me it should be no ketones. What is the risk for my baby? I am very worried now. Is it harmful for my baby and what is the risk? Can my child be retarded because of this or has some cognitive dysfunction? Or neurological or any other problems? Please answer in details. Doctor: Hi. Let me start by assuring you that your baby is absolutely fine and will not have any problems in future life. Let me tell you how. Usually, mother always has a poor appetite and poor food intake during the first half of pregnancy. This is due to the hormones of pregnancy. Your weight may even decrease during this period. But God has bestowed baby with the quality that it will absorb all the required nutrients from the mother's body. So mother loses all the nutrients, if she takes food during this time, then she will feel better, baby is always fine. During the second half of pregnancy, especially after 28 weeks baby starts growing very fast and needs lots of nutrition. Your weight should have started during this time. To give you a rough idea- baby weight near 32 weeks is around 1.75 kg and in just next 8 weeks, that is at 40 weeks it will weigh more than 3.25 or 3.5 kgs. So you are very well within the normal range. Ketone bodies are usually negative and indicates your hydration. If you do not take enough amount of water, this will increase. To affect baby brain, the level should be very very high and stay so for many days. When you say that your weight has increased, then there is nothing to worry. To allay your concerns- just have a scan. Take 2 scans at 4 weeks interval. If they show adequate sequential growth, it means baby has got adequate blood supply, nutrients and you have nothing to worry. I would like you to concentrate what you have in hand. You have 8 weeks to go. Just keep eating whatever you like, lots of sweets (if diabetes in pregnancy has been ruled out), high protein diet, plenty of fluids. This will keep you hydrated and also supply sufficient nutrients to baby. Rest assured baby will be fine and with normal brain growth. All you need to further think of is to have nutritious food now on." + }, + { + "id": 17667, + "tgt": "What could cause hand tremor?", + "src": "Patient: Hello doctor, I am a 23 year old female. Yesterday morning, when I was in the classroom, I picked up my phone from my left hand and my hand started shaking really badly. Then, I kept my hand on the lap and it stopped. When I picked up my phone again, it happened. I moved my hand a little in case any nerve was pinched and eventually within some minutes it got fine. I am really freaked out if it is something like a brain tumor. Sometime, I get a little tremor when I hold something or turn pages in the left hand only. Also, my shoulder and hand are paining a little. I am a medical intern, so I did the heel to shin test and finger to nose test. They were normal. I also made my friend check my power and that was also normal. Please help me. Doctor: Hi. Due to wrong positioning. 1. Anxiety. 2. Thyroid dysfunction. 3. Epilepsy. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21295, + "tgt": "I have pain in right chest that goes through the armpit down to elbow. Why?", + "src": "Patient: Hello doctor, I am a 24 year old young professional. For the last three months, I have been having this sudden pain in the right chest that would go through my armpit down to my elbow. It would be so painful that I cannot move until the pain subsides. I have a sedentary lifestyle. So, it could not be strain from exercise right? Doctor: Hello. You have musculoskeletal pain which causes severe sharp pain especially when you move or breathe. This could be caused by exposure to direct air conditioner or fan. Please let me know if you have any skin redness or vesicles. I suggest applying Deep heat cream thrice daily for two weeks plus using painkillers like Ibuprofen. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14386, + "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": 10437, + "tgt": "What can be done for treating chest acne?", + "src": "Patient: Hello doctor,I am an 18-year-old male, and for over two years, I have been dealing with a lot of chest acne. I have been told it is folliculitis. I have gone to three different derms who have just prescribed me Benzoyl peroxide washes, sodium washes, Doxycycline, and a bunch of different creams but nothing helped.It has impacted the quality of my life, and I am not sure what else to do anymore. I have been doing a lot of research on fungal acne, and I feel like this is the problem I have. Even though I mentioned this to my dermatologist, she said she thinks it is more bacterial and said to see if it would improve by prescribing me new creams, and that I would maybe have a culture test done later on to see if it is fungal acne. Do you have any tips or recommendations on what I can do to solve my problem? Or does this look like fungal acne? Doctor: Hello. I understand your concern. It looks to me like Pityrosporum folliculitis. Some people call that fungal acne too. Does it itch? Please take the following medications for three weeks. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg after dinner once a day. 2. Ketoconazole, 2 % Cream, apply twice a day. 1. Capsule Itraconazole 100 mg once a day after dinner 2. Ketoconazole 2% Cream apply twice a day For 3 weeks" + }, + { + "id": 20906, + "tgt": "My mouth is full of saliva when I wake up and smells bad. What causes it?", + "src": "Patient: Hello doctor,When I wake up in the morning, my mouth is full of saliva. I cannot swallow it so I have to spit it. After brushing, this problem goes off, but before brushing, saliva comes again and again. I am suffering from these problems for two years. It smells bad. What causes it? How to stop it? Doctor: Hello. Early in the morning, secretions can occur but if after brushing it does not persist, then no need to worry. Your local tooth should be examined to check any periodontitis like problem if present. Drink more water. At bedtime, night make habit of brushing before sleeping. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5032, + "tgt": "Is it advisable to get treated with adult stem cells to improve high myopia?", + "src": "Patient: Hello doctor, Since my childhood I was complaining short sightedness that the doctors call high myopia. 19 years back, I was having lasik operation for both eyes then my vision improved, 6 years later, eyes vision begun decreasing. After that I was having light sensitivity. I am feeling headache by the time I am watching the television and computer screen and after. Also I feel the headache at the sunny day time. Sometimes I feel dry and wet eyes. Six years later I was diagnosed with retinal macular degeneration. For further medication say that is a treatment with adult stem cells but I do not know a lot of this operation. So I want to know if this procedure is certified and proved. And other advice you can give me. This is my medical repport: Patient came with complaints of diminished vision since childhood. On examination: Right eye: Dvr: 6/9 with corrections, Anterior segment: Lasik flap, Fundus: chorioretinal degeneration. Left eye : Dvl: 6/9 with corrections, Anterior segment: Lasik flap, Fundus: chorioretinal degeneration. Intraocular pressure : 14mmHg, Intraocular pressure : 16.5mmHg, Diagnosis: Lasik with Myopic chorioretinal degeneration. Doctor: Hello. It seems from the history that you have undergone LASIK surgery for correction of myopia. The symptoms of light sensitivity, headache on watching computer or TV indicate dry eyes which is common following LASIK surgery. No need to worry the treatment is also simple and you can use artificial tears eye drops. Since vision is good no need to worry. Chorioretinal degeneration of retina is common in high myopics and since vision is good it is not causing any problem. If you have symptoms like distorted vision, then you require evaluation by other tests like fundus fluorescence in angiography and depending on the result treatment can be planned, if required. Adult stem cells surgery is done for corneal problems and for retinal problems it is not yet used. But no need to worry, your present symptoms indicate dry eyes and treatment by artificial tears is sufficient." + }, + { + "id": 5854, + "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": 30404, + "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": 29348, + "tgt": "I am suffering from dizziness and neck pain. Could it be due to brain problem?", + "src": "Patient: Hi doctor, I recently went to the ER for dizziness. My blood work came back normal. I am a 28 year old female. The doctor told me that it was a sinus headache, but nothing seems to change. I still wake up dizzy with neck pain. There could something be wrong with my brain. I am much worried Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15114, + "tgt": "Suffering severe chest pain and palpitation after food and walk", + "src": "Patient: Dear doctor, I have HOCM by birth and suffering severe chest pain and palpitation after food and walk. One year back, I underwent angioplasty and stenting. Doctor: Hi. Hypertrophic Obstructive Cardiomyopathy (HOCM) needs further treatment even after stenting. Can you tell me exactly what drugs you are on? So that I can help you further. Revert back to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27237, + "tgt": "Why is my son put on Paroxetine in spite of having bad withdrawals previously?", + "src": "Patient: Hello doctor, My 28 year old son is being treated for bipolar disorder and depression. He has been on and off antidepressants since he was 16 years old due to high anxiety issues. He just started with 50 mg Serquiler one to two tablets at night, 600 mg Gabapentin thrice a day, 20 mg Paxil once a day and Oxcarbazine\u00a0600 mg thrice a day. Is this too much? He was previously on 60 mg Paxil and had very hard withdrawal symptoms. Why is he still put on 20 mg? Doctor: Hello. Seroquel (Quetiapine) and Oxcarbazine (Oxcarbazepine) are indicated in bipolar disorder as both have mood stabilizing properties. Paxil (Paroxetine) and Gabapentine (Gabapentin) are used in anxiety or depression. As you mentioned that Paxil was used in the highest dose earlier with a difficult withdrawal, now your doctor may be using it for acute bipolar depression and wants to taper him off it as soon as the depressive symptoms clear. He will not have much of withdrawal symptoms as the dose is on the lower side. It is not uncommon to use two or more mood-stabilizing drugs in bipolar disorder when the person is not responding adequately to one drug. Also, in acute bipolar depression, antidepressants are used in combination with others drugs to treat it. For more information consult a psychiatrist online -->https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 4849, + "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": 12252, + "tgt": "How can I get rid of my short-sightedness?", + "src": "Patient: Hello doctor, I am 35 years old male. I cannot see things that are far away from me. As far back as I can remember, l became aware I had an eye problem at a very young age. I was forced to sit in front of the class to see better. After that, I have been taken to the clinic and hospital but it yielded nothing. The doctors did some test, gave me some letters to read and some drugs too but it never became better. In all of these, no one told me what my condition was or gave me a name for my problem. I just knew that I was short-sighted and no glasses works on me. Until now, letters and faces of people are blurry when far from me. Please help me. Doctor: Hello. There are a number of different conditions that can cause a drop in vision. Some of these can be corrected by glasses, these are called refractive errors. While others cannot be improved with glasses and will need eye surgery or special medication. A simple test to see if your eyesight can improve with glasses is to use the pin-hole test. For this, take any piece of paper. Poke a hole in it with the tip of a ballpoint pen and try to see far away objects with it. If in case you see better through the hole, then your condition can improve with glasses. If not, then you need to see an Ophthalmologist to find out what is the cause of the problem and if it can be corrected. In case you need more information, please send me a scanned copy of all your doctors reports and I will do my best to help you." + }, + { + "id": 25949, + "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": 5767, + "tgt": "I injured my knee while playing and cannot walk without crutches or bend it backward. Why?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I am a soccer player, and I have some wear and tear on my knees and ankles because of it, although I never had a significant injury. About a week and a half ago I injured my knee while playing soccer. My foot was not planted when I injured my knee, so I do not think it is ACL, but it has been a week and a half and my knee is not getting better. Two days after it had happened I could not walk without crutches because it hurts my knee too much, but since then I am able to walk without too much pain, only for shorter distances. I am a college student so after getting home from school my knee is very sore from the walking. I have a very limited range of motion right now as well. I can straighten my knee with some difficulty, but I cannot bend it backward. When bending it backwards, I can get it to about 90 degrees, but at that point, I have to stop because it feels like my knee is going to explode from the pressure. In the few instances where I have caught my foot on something causing my leg to bend back past 90 degrees, there is a pretty intense pain that shoots through my knee. Also, I have some minor visible swelling, but it feels like it is swollen from inside. I am wondering if I should consult a doctor immediately, or if I should wait a few weeks to see if it gets better on its own. Any advice would be greatly appreciated. Doctor: Hello. I will recommend that you do see your doctor as the markers of a significant injury are there, immediate pain and swelling, inability to bear weight, persisting swelling, etc. Even if we over-diagnose and nothing came out of the investigation like an MRI (magnetic resonance imaging) then two things will still happen that will help you. You will be sure that the joint is fine including the ACL (anterior cruciate ligament), MCL (medial collateral ligament), etc., as MCL injury can occur in your described mechanism and you will have the confidence to return to soccer without a hitch. You will then undergo supervised physiotherapy that will help you rehabilitate better. If there is a ligament injury then that is the last thing that may lead you to give up soccer if missed. In the meantime ice the knee, give rest to it, elevate it when resting and put a compression bandage to get rid of the swelling. I suggest taking Diclofenac 75 mg twice a day after meals for a week. I hope this helps." + }, + { + "id": 5402, + "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": 8179, + "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": 7966, + "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": 4909, + "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": 30995, + "tgt": "What could be the reason for early light periods?", + "src": "Patient: Hi doctor, I had sex continuously\u00a0from 7th to 16th of this month with my husband. I am expecting my period on the 26th. I keep tracking my period, so I know when will be my next period. But today, on 21st I had my period. But, it is very light. Usually, I get my period with some symptoms like headache, neck pain, light cramps and heavy feel in my abdomen. Now, I did not get any of that. I did a home pregnancy test today, but it was negative. Then, what could be the reason of this? Do you think that I am pregnant? If so, then why am I bleeding? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19505, + "tgt": "Is activated charcoal effective for teeth whitening?", + "src": "Patient: Hello doctor, Is activated charcoal really effective for whitening teeth? I see that it is very popular in other parts of the world, while it is still gaining momentum in my\u00a0country. Doctor: Hello. I do get many queries related to activated charcoal. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21179, + "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": 11228, + "tgt": "Why am I having a painless flap for three weeks in cheek near saliva hole?", + "src": "Patient: Hi doctor, I have a kind of flap in my mouth since three weeks in the inner left cheek near the saliva hole. At the beginning, it was bright red with light pain when I put my tongue on it, and now, the flap is the same color than the rest of my mouth and painless. What should I do? Doctor: Hi. In the absence of pain, it seems to be a case of fibroma, a non-benign lesion and you need not worry about that. This can be due to trauma, bite or sharp tooth or broken tooth in the area. However, I need to rule out the possibility of stone in duct and tooth. Can you answer these questions: Do you feel any pain on chewing or during eating in any part of the mouth or gland? Is there any pain when you bite? Do you have any carious tooth in the region? Do you have any history of biting in that region? Any other problem for which you are taking medicines?" + }, + { + "id": 28029, + "tgt": "In spite of giving medicines, my baby still has fever. What should I do?", + "src": "Patient: Hello doctor, About five days ago, my 1 and half year old baby got a high fever, about 104 F. We rushed to the doctor. On examination, he said that the baby had a\u00a0severe throat infection. He prescribed antibiotics and Paracetamol. Now it has been five days, and the fever is under control\u00a0only when I give her the medicine. Once it crosses the eight-hour mark, the fever is back again. I am really worried about my baby's health. She is very cranky and crying all the time. She rejects food and water. Please suggest some treatment. Doctor: Hello. I understand that you are very concerned about your baby. Hope your baby gets well soon. Take care. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21643, + "tgt": "Why do I have headaches everyday after work?", + "src": "Patient: Hello doctor, I feel headaches for the last five days after reaching home from the office at about 7 PM. What do I do? Doctor: Hello. You have to rule out hypertension by measuring blood pressure. It is advisable to check your blood sugar levels and hemoglobin level as well. Sometimes, a headache can be from a tension headache because of constant work in the office. I suggest taking Paracetamol SOS for that. But, I suggest you consult a physician for examination first. Kindly mention any other specific history if available to comment further. Also, mention whether your headache is unilateral or bilateral and if it is throbbing in nature. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24501, + "tgt": "I got black spots on hip after a trip to a water park. How can it be treated?", + "src": "Patient: Hello doctor,I am a 33 year old male. After returning from a recent trip to a water park, I have noticed few black spots on my hips. These black spots are itchy, and also slightly painful. There are four to five such spots on my right hip, and one to two on the left side. I applied \"Ring Guard\" for three days, but the problem has not resolved much. There is also heavy dryness in the area. I am sending you all the relevant pics. Please, can you check the pictures, and let me know what has happened, and how can I treat it? Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). It seems like a fungal infection. I suggest you take an oral antifungal such as capsule Syntran 100 mg (Itraconazole) once daily for four weeks. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. In addition to this, you may apply a topical antifungal like Luliconazole 1 % cream (Lulifin cream), twice daily. You may also take a tablet Cetirizine 10 mg once daily in the evening for symptomatic relief from itching. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19924, + "tgt": "I noticed a blood clot after passing stools. What is wrong with me?", + "src": "Patient: Hi doctor, Today, I found a blood clot after passing stools. I had constipation a\u00a0few days back and blood was seen at that time too, but I never noticed a blood clot before. I was suffering from dengue, but now my platelets are alright. I am attaching my recent reports. I am very worried. What is\u00a0happening to me? Doctor: Hello. Dengue NS1 antigen positive confirms dengue viral fever. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18845, + "tgt": "How to lower my uric acid level?", + "src": "Patient: Hi doctor, I am suffering from gout - podagra for the past 16 years. I cannot maintain a constant diet because every local doctor prescribes different. Have many wens around the body. My uric acid level is higher than normal (till 800). I am taking medicines named Colchicine and Diclofenac. From the last three months I cannot lower my uric acid level and even after every meal I am getting inflammation of the joints. Please help. Doctor: Hi. Revert back with the investigation reports to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 28259, + "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": 21325, + "tgt": "What is the small yellow bump above my tonsil?", + "src": "Patient: Hi doctor, I have a small round yellow bump or circle on the back of the arch, right above my tonsil. It is there for a month. It does not show any changes. I do not have any symptoms or soreness. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It appears like a small cyst. There can be a fluid collection inside the minor salivary gland. You need not worry about it as it goes down on its own. However, if you have any symptoms, you may need to address it. Since you do not have any signs, we need not worry about it. Occasionally, it could be a tonsillolith which is stone formation inside the naturally occurring crypts of the tonsil. You need not worry unless it is symptomatic. Follow up after six months regarding this yellow spot. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 510, + "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": 14420, + "tgt": "I have ROCD, anxiety, and depression. Can I continue with Paxil for anxiety?", + "src": "Patient: Hello doctor, I have been taking Paxil 40 mg for three weeks now as prescribed by my GP. I have been taking it for ROCD anxiety and depression. Today and yesterday my anxiety has begun to surface more. The first two and a half weeks I was great. I do not know if I should switch medication. Keep going with it or what? Is it possible for my anxiety to get worse around week three? Doctor: Hi. I understand you are experiencing a great deal of anxiety in the past two days in spite of being on medications. Has some stressful event taken place at your workplace or at home in these past two to three days? Generally, anxiety gets better with time with medications. If Paxil has helped you, it would not make any sense to switch the medicines abruptly. Instead, you can consider augmenting it. Along with Paxil, you can take tablet Etizolam 0.5 mg SOS as and when you feel very anxious. So Paxil can take care of the long-term anxiety and Etizola will help you in the short term. Along with medications, also look up Jacobson's progressive muscular relaxation exercises. It takes 20 to 30 seconds to do this exercise. If you do these exercises 3 to 4 times a day, it will help you gain significant control over your anxiety." + }, + { + "id": 14010, + "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": 11969, + "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": 9324, + "tgt": "Taking Dibizid M for diabetes but sugar level has not reduced. Please help", + "src": "Patient: Hello doctor, My mother has diabetes for the past 10 years. She has been on Dibizid M (twice a day- morning and night) and the sugar levels had been under control until the past few months. A few months ago her sugar levels went up and here before food reading was 220, while after food it was 180 and HbA1c was 9.5. So, the doctor had prescribed a change in medication. Now she is taking Dibizid M in morning and afternoon while taking Glycomet SR 1000 in the night. Today her sugar levels were before food: 180, after food: 201. Also, would like to inform that she is on strict diet. Kindly advice. Doctor: Hi. The medicine is fine. Divide her diet in six portions and decrease fat content as low as possible." + }, + { + "id": 17259, + "tgt": "My mom gets hyper for no reason. What could be the cause?", + "src": "Patient: Hello doctor,My mother gets hyper for no reason. She keeps repeating things over and over again. She gets too upset easily. She has a high blood pressure, thyroid problems, as well as migraine. But, she takes medicines only for her thyroid issues. Can you tell me what she should do? Doctor: Hello. Symptoms you described could be part of a depressive disorder. It is difficult to confirm with out knowing more details. Kindly read the questions I have asked and reply. for more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5313, + "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": 18757, + "tgt": "What foods can help cure gestational thrombocytopenia?", + "src": "Patient: Hello doctor, I am suffering from gestational thrombocytopenia. I have been trying to eat foods to help raise my count. However, there is so much conflicting information about what foods actually raise or decrease counts that I am really confused. I am wondering if food can help. If yes, I would like to know what foods to eat and what to avoid. I have been eating a lot of strawberries, oranges, kiwis, kale, spinach, broccoli, cauliflower, carrots, and yogurt. I am currently on iron pills and prenatal vitamins. I have had\u00a0CBC and liver function tests earlier. Please help. Doctor: Hello. Hope this helps you. For more information consult a\u00a0hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10958, + "tgt": "Why am I having itchy growth on my shaft?", + "src": "Patient: Hi doctor, This is really nerve racking but I noticed these growth on my shaft (fold area) that are very small and round. They tend to itch quite often especially when touched. I have attached a picture. I am afraid it could be genital warts. I last had sexual encounter with a female escort earlier this month. We kissed, rimmed her anus and I used condom for vaginal sex. Doctor: Hi. The last picture shows a genital wart-like lesion (attachment removed to protect patient identity). They are treatable too, they would require a physical ablative therapy like cryotherapy or radiofrequency removal, which can be done in a skin clinic. Warts are not usually itchy. If you have itchy, scaly lesions, better to complete an antifungal treatment and then go for wart removal." + }, + { + "id": 30657, + "tgt": "How to avoid ectopic pregnancy?", + "src": "Patient: Hi doctor, My wife had first ectopic pregnancy before two years and her left tube was ruptured. She had laparoscopic surgery at that time and the bleeding was stopped by laser and the tube was left in ruptured condition. After one year we tried, but did not conceive. After two years of the incident, she was diagnosed with uterine tuberculosis and the ATT was started before five months. Doctor informed me to try to conceive while ATT is going on. We have tried and she conceived, but after one month she was diagnosed as cornual ectopic and had laparoscopic surgery. This time, neither the uterus wall nor the tube has ruptured.\u00a0I want to know that in future will she pregnant successfully or not. Please help. Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 19735, + "tgt": "Kindly advise methods to manage urinary urge and incontinence", + "src": "Patient: Hello doctor, I have been suffering from urge and incontinence of urine for the past four years. My USG is showing first grade BPH with about 50 ml to 75 ml of PV retention of urine. PSA is within normal range. The routine urine examination also reveals nothing abnormal and on culture sample, found sterile. I have been taking Tamsulosin 0.4 mg and Dutasteride 0.05 mg tablets OD as per doctor\u2019s prescription. There is relief in the passage of urine but the urge and incontinence still persist. At times I feel irritation in the pelvic region. Please help me with your valuable guidance in this context. Doctor: Hi. I have gone through your query. It is usual to have some degree of urgency in BPH (benign prostatic hyperplasia), but if it continues to persist even after your urinary stream improves, then one should make sure that there is no UTI or chronic prostate infection causing the symptoms. If both are negative, a urodynamic study will show whether you actually have an irritable bladder. If yes, then bladder relaxants can be added provided that your residual urine on ultrasound is not more than 50 to 60 ml." + }, + { + "id": 21437, + "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": 9246, + "tgt": "I have been suffering from constant headache for over five years. Why?", + "src": "Patient: Hello doctor, I have been suffering from a constant headache for over five years. An MRI done roughly 2 to 3 years ago showed pineal cysts but the report stated they were of no significance. Since then further investigations have been done to find the cause of my headaches. A neurologist I was seeing ordered an MRV and it showed significant stenosis in the left transverse sinus. I had a lumbar puncture done and my initial opening pressure was 21 but went down to 19 after a little while. This procedure was done last year, back then I had the majority of my headache in the frontal lobe with symptoms such as vertigo, tinnitus and visual disturbances. Roughly six months ago, I started developing pain in the back of my head on the left side. This pain is absolutely excruciating and goes from the base of my skull up into my head. My quality of life is severely deteriorating due to being in so much pain constantly. I wake up in pain and I go to sleep in pain. I have been prescribed numerous medications from different neurologists over the years and nothing is working. I am currently taking 1000 mg of Sodium Valproate daily. It is taking a slight edge off the pain in the front of my head but it is doing absolutely nothing to help with the back of my head on the left side. I am getting desperate in trying to get relief. Any help if possible would be very much appreciated. Doctor: Hello. I am fine. Through your case summary, you are suffering from persistent daily headache which is disabling your daily activities. You were completely evaluated for your headache initially where MRV showed left transverse sinus stenosis 2 to 3 years ago. CFS pressure was 21 and then 19 one year ago. And you are already on multiple medications for headache (attachment removed to protect patient identity). Now my suggestion is that please go for new MRI brain with MRV imaging to look for recanalization of left transverse sinus and to look for pineal cyst size. There is possibility of one new entity for headache is medication overuse headache if you are taking self-medication like NSAIDs or Acetaminophen. I wants to see your ESR, CRP reports. Option of treatment in your case: 1. Onabotulinim A toxin injection for symptomatic relief. 2. Trial of occipital nerve block as more on left side back of head. 3. Last but best and newly approved drug by FDA is Erenumab (Aimovig) 70 mg once monthly injection." + }, + { + "id": 11843, + "tgt": "I am suffering from chest pain for three months. Kindly advice", + "src": "Patient: Hello doctor, I have chest pain for three months. I took ECG, Echo, TMT, my reports are normal. But still, I have the same problem. I take Solopose Beta 0.5 mg. My blood pressure suddenly rises to 120/90. Doctor: Hello. I understand your concern and would like to explain that as all your cardiac tests have resulted in normal, a cardiac issue is almost excluded. A 24 hours ECG monitoring test (Holter) would be necessary to eliminate any abnormal arrhythmic event. Probably the most important aspect to explain your symptoms seems to be anxiety. It may exacerbate tachycardia and also unpleasant chest discomfort. But, before getting to that conclusion, I would recommend a cardiac magnetic resonance imaging test. Also, be careful with your current medication as it contains a beta blocker (Propranolol), which if not taken continuously may lead to a rebound effect (increased heart rate). I hope to have been helpful to you." + }, + { + "id": 13394, + "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": 18907, + "tgt": "Does Hodgkin's lymphoma cause elevated CD3 and CD57 NK cells?", + "src": "Patient: Hello doctor, I recently tested positive for Lyme disease. I have a history of stage IIA lymphoma, 15 years ago, and I am in full remission ever since. My reports, that I have attached, show elevated CD3 and CD57 NK cells. The lab recommended that an oncologist looks at this for\u00a0a possible Hodgkin's connection.\u00a0Could this be a recurrence of cancer?\u00a0Or is this a sign of cancer\u00a0that was in my body before? What do you recommend? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2680, + "tgt": "I am type 2 diabetic and my sugar shoots after wheat and carb intake. Why?", + "src": "Patient: Hello doctor, I am a 44-year-old male. My height is 167 cm and weighs about 71 kg. I am a diabetic (Type 2) since 12 years. Family history: My father is a diabetic and expired due to cardiac arrest. I am currently on Humalog Lispro 100 insulin via medtronic pump. I take both vegetarian and non-vegetarian diet. My blood work shows: FBS: 116, HbA1c: 7.6, Uric acid: 6 Lipid profile: Total cholesterol: 227.9 mg/dl, Trigycerides: 444.70 mg/dl, HDL cholesterol (direct): 44.5 mg/dl, LDL cholesterol (direct): 94.46 mg/dl, VLDL cholesterol: 88.94 mg/dl, CHOL / HDL ratio: 5:12, LDL / HDL ratio: 2.12. Stress test report: attached. Doctor has prescribed Tritace (Ramipril 2.5 mg) tablet once every night for three months. My problems are: unable to eat wheat or carbs as sugar shoots up to 250/300 and takes time to come down. Pain in the fingers of both hands, unable to close fist easily (after sleeping). Sometimes pain in the arms. I need to get diagnosis of pain and long term solution (medications) for sugar. Doctor: Hello, Welcome to icliniq.com. I will provide you the outline of management in your case, however, actual changes in treatment regimen should be done after discussing with treating doctor. Firstly, your heart looks alright with no evidence of blockages, however, blood pressure is an issue which needs to be taken care of. You are started on Ramipril, but you should check it frequently at home as 2.5 mg alone less likely to completely normalize your BP. So if home BP remains elevated more than 140/90 mmHg after 2.5 mg Ramipril then it has to make twice daily. Next regarding sugar, it is not very well controlled especially post meals. Now I do not know whether you were tried initially on any medications or not, if not then medications should be tried. Now, Metformin is a basic and most important medication for it. So, you should discuss with your doctor regarding initiating it. Also, you will need add on drugs as Metformin alone will not be sufficient, which includes Teneliglipitin and Glimepiride which comes in combination of Metformin. If medications are not feasible at the moment, then dose of bolus insulin which is delivered with each meals should be increased by two units, in order to take care of post meals surge. So that you are able to have proper diet. Also, regarding pains, it is likely a neuropathy due to deranged sugars. For that, sugars should be tightly controlled and you will need supplements like Neurobion forte once daily. If this does respond to multivitamin supplements then you will need nerve stabilizers like Pregabalin, etc. Also, your triglycerides level is too much elevated, for that you need to have a healthy lifestyle like avoiding fatty oily foods. Have regular exercises like brisk walking for at least 30 minutes a day. This will also bring your sugar level down. Also, you will need medications here to control triglycerides like tablet Fenofibrate 145 mg bedtime daily for eight weeks. There are some issues and there is good scope for improvement. Also, you should undergo TMT(treadmill test) at regular intervals of three to four years. Also, considering your family history of heart disease, it is better you also undergo CT (computed tomography) coronary angiography once as it has got very high sensitivity and can tell us if even minute blockages and preventive medications can be started. I hope this helps." + }, + { + "id": 22273, + "tgt": "My partner took I-pill within two hours of unprotected sex. Is she safe?", + "src": "Patient: Hello doctor,My partner took the I-pill within two hours of unprotected sex. Is there any more risk? And also her periods are due at this point of time. So, will she have her periods this month? 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": 17869, + "tgt": "Due to cervical spondylosis, will I have problem during pregnancy?", + "src": "Patient: Hi doctor, I am a 31 year old female. For the past one year, I am suffering from heaviness of head and neck stiffness. Even though I am living my normal life, sometimes the heaviness of head becomes extreme. I feel it is spinning even at the slightest movement of neck and it is accompanied by bowel movements. I feel that I may faint and the feeling subsides only after passing the stool. It is only normal stool in most cases. Initially, this incident used to happen on daily basis especially during the office hours. Now, it is happening at the rate of one to two times per week. I did MRI of brain, and cervical spine and also had an echocardiogram. Everything came out to be normal except detection of mild scoliosis of neck. In the morning when I wake up I do not feel so bad, but as the day progresses my stiffness of neck and heavy headedness increases. Orthopedician told me that I am facing cervical vertigo while the neurologist said it as posture problems and GP diagnosed it as phobic disorder.\u00a0Am I suffering from any gastrointestinal disorder? Sometimes, I have lower abdomen pain and it usually goes away in a day or two, but there is no loss of appetite. Can cervical arthritis cause gas problems?\u00a0Is it possible for intestinal gas to hit the brain? In such cases when bowel is not passed at right time can patient die? Do I have cervical spondylosis? Cracking sound is heard when I move my head too much and head spins too. Sometimes, it seems balance is losing from ground. Cervical spine MRI shows with convexity to the right a small central posterior disc bulge at C5-C6 indenting the thecal sac. There is no cord compression or central canal stenosis. While at home I do not feel so bad but in confined space of office my head starts to spin, back of head feels tight and I feel my motion is restricted. Please help. Doctor: Hi. According to the history and information given by you, my answers are as follows: It does not look like you have a gastrointestinal disorder. But, better is to get an ultrasonography of your abdomen and rule it out. In cervical spine you have only a small disc. So, it is just the start of arthritis and it does not cause gas problems. Intestinal gas does not hit the brain. If the bowel is not passed for so many days then there is a chance of infection and patient can die. But, two to three days does not matter. You have only early cervical spondylosis and it seems that you have vertigo. So, you need to be treated for vertigo. Also, you will need core, shoulder and neck strengthening exercises to support your head. So that you will not get vertigo due to cervical spine problems. You should just visit doctor and take tablets for vertigo and then start physiotherapy initially for a period of three weeks. Revert back after three weeks to a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 26948, + "tgt": "I am not able to understand my allergy report. Please help", + "src": "Patient: Hi doctor, I am an 18\u00a0year old female, and I have been getting severe itching at nights mostly. I have got my allergy report, but I am unable to understand it.\u00a0If I eat chicken or anything that sort, \u00a0my skin starts getting\u00a0bumps and itchy at night. And if I scratch a little, these bumps break and spread throughout my body. When they heal, they leave a scar. I am attaching a picture of the rashes and the allergy report. Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). It seems you have developed acute urticaria. The cause of acute urticaria are many, but the most common are food, drugs, infection, or worm infestation. Your allergy panel test shows an allergy to certain foods, so try to avoid them. I suggest taking tablet Levocetirizine, once daily for three months after consulting your GP or a nearby dermatologist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27163, + "tgt": "My brother suffered a traumatic testicular dislocation. Will it affect his fertility?", + "src": "Patient: Hi doctor, My older brother suffered a traumatic testicular dislocation. What is the best way he can sleep comfortably? What is the estimated recovery time? Will it affect his fertility? He had a scrotal hematocele from another testicular trauma, so I am worried about him.\u00a0He also had a\u00a0incarcerated hernia, which he surgically fixed. Doctor: Hello. Thanks. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30627, + "tgt": "How to treat Bartholin's cyst?", + "src": "Patient: Hi doctor, I burst my Bartholin's cyst while having sitz bath. But, the small lump without pus is still there. Is there anything I should do now? I am on antibiotics and immediately after bursting I have applied T-bact ointment on the lump. Will the lump get filled with pus again? Please help. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27661, + "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": 29256, + "tgt": "My doctor advised Humira for RA. Is that right?", + "src": "Patient: Hi doctor, One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the RA physician yesterday, and they want me to start taking Humira. Additionally, I was given a Cortisone injection yesterday. My symptoms are as follows: I am having circulation difficulties. All ten toes feel partly numb. I am losing muscle mass\u00a0and becoming weak. I also feel an icy cold sensation in my ankles and front of my legs. This morning, I had that same sensation in my chest. Over the past six months, I have developed lumps of various sizes on all my muscles, which appear to run along meridians. When I push on them, it feels as if I am pushing on a bruise.\u00a0I include my blood panel that was taken a week. I feel like something is going on in my lymphatic system.\u00a0I need a second opinion. Doctor: Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 3238, + "tgt": "What are these red itchy bumps on my face and arms?", + "src": "Patient: Hi doctor, I have been having red itchy bumps on my face and arms for the past three weeks. I was given Fluocinonide, Hydrocortisone and Hydroxyzine by my doctor and dermatologist. The medications have not been helping at all. Please help. Doctor: Hi. I have seen your picture (attachment removed to protect patient identity) and written descriptions. It looks like papular urticaria or urticarial vasculitis or polymorphic light eruptions (PMLE). You can try 0.1 % Mometasone cream twice daily over arms and Fluticasone 0.05 % cream once daily over face along with tablet Monteder-L (combination of Montelukast and Levocetirizine) once daily for five days. If your bumps did not disappear in five days then go for skin biopsy to rule out urticarial vasculitis and PMLE. You really need regular follow up to dermatologist if your lesions does not subside. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8491, + "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": 3030, + "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": 25679, + "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": 7499, + "tgt": "How to get rid of stomach gurgling?", + "src": "Patient: Hello doctor, I am very depressed due to stomach gurgling noises at work, during the meeting, office training, etc. l have been facing this from my college. I am not able to concentrate on anything for the past four years. As soon I as I enter the office I feel very uncomfortable. During meeting while sitting in a small quiet room, I feel very stressed and wanted to break everything and run out. Please help me overcome this. Doctor: Hello. When you are saying stomach growling noises, you are probably referring to borborygmi. This is a normal process which happens to everybody when gas travels through the intestines. In some people, it can appear more prominent, especially if one is hungry or after meals. Are these noises, embarrassing you when it can be audible to others? Or are you referring to something else? Borborygmi can be controlled by making some dietary changes. Avoid gassy foods. Avoid carbonated drinks. Drink some water intermittently, especially before you feel like having these sounds. But remember that these are normal and everyone has them from time to time. Are you feeling self-conscious and less confident about this? Are you worried about anything else? You can also try yoga and meditation to help you relax and manage stress. I hope this helps. You can contact again if any further advice is needed." + }, + { + "id": 24977, + "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": 23966, + "tgt": "Kindly explain MR enterography for carcinoma cervix and its management", + "src": "Patient: Hello doctor, My wife was operated for carcinoma cervix seven years back. No CCRT was given. Four years later, it was relapsed. 22 RT and 5 CT were given. Presently she is under regular follow up. For last two years, she has severe abdomen discomfort, crampy pain, and abdomen fullness. Due to all these, she is taking hardly her meal. Recently shown to GI specialist who had advised for MR enterography. The impression of MR enterography is multiple clustered loops of distal ileum in the pelvis, extending upstream from terminal ileum are thickly walled, showing increased mural enhancement, some of them showing luminal narrowing and pericentric fat stranding. Upstream of these clustered loops, there is prominence to mild dilation of the small bowel. This needs correlation with clinical history as a primary inflammatory pathology versus secondary enteritis following radiotherapy or chemotherapy. Although shown this report to the same doctor, he has not explained the cause of the problem or any serious issue. He advised for two months medicine tablet Librax thrice in a day, capsule A to Z once in a day and Cremaffin. She has been taking these medications for last three weeks but no respite. I request for your advice. Especially root cause of problem or severity or seriousness and treatment. Doctor: Hello. The symptoms and MRI findings are features of radiation-induced fibrosis in the intestine. It is one of the side effects of radiation and is treated by symptomatic treatment as no specific treatment is available and is generally considered benign condition. However sometimes may need surgical correction. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5499, + "tgt": "I missed my 11th day pill of Diane 35. When should I take it?", + "src": "Patient: Hello doctor, I am taking Diane 35 (21 pack) tablets, I missed yesterday's pill (11th day). Today I have realized, now I have taken my regular pill. Please let me know shall I take yesterday's pill today? Doctor: Hello. The following are the standard protocol with Diane 35. If you miss a dose of Diane 35 and are more than 12 hours late in taking a tablet, follow these guidelines to help you decide what to do. Week 1: Take the last tablet as soon as you remember and take the next one at your normal time, which may mean taking two tablets in one day. Contraceptive protection may be reduced and you are at risk of becoming pregnant unless you take other contraceptive precautions for the next seven days. Week 2: Take the last tablet as soon as you remember and take the next one at your normal time, which may mean taking two tablets in one day. You are not at risk of becoming pregnant and do not need to take extra contraceptive precautions. Week 3: Take the last tablet as soon as you remember and take the next one at your normal time, which may mean taking two tablets in one day. Take the remaining tablets then begin the next pack immediately without a break. You may not have a withdrawal bleed but you are still protected against pregnancy. Now do please check, which week of your cycle you are in and take accordingly. Do revert back for further queries." + }, + { + "id": 12429, + "tgt": "Will nerve damage cause feet pain?", + "src": "Patient: Hello doctor, I have pain in my right feet and on the right side of my feet. It started on its own. I did not have any sprain or injury. If I press my feet from right side little bit also it pains like too much and I can scream. Can it be nerve pain ? I am diagnosed with diabtetes and my HbA1c is 7.4. Also can it be due to nerve damage? I keep getting these kind of pain almost every month now. I used to think uric acid and took Febustat. It looks like a sprain but I had no injury or accident. Doctor: Hello. Pain in the foot in diabetic patients may be due to plantar fasciitis or peripheral neuropathy or charcots joints or peripheral vascular disease or gouty arthritis or cellulitis, etc. Please get an X-ray of foot and ankle, get it done color doppler and nerve conduction study. Elevate the limb during resting position. Use Tramadol with Paracetamol twice a day for five days. If symptoms are not improved please consult your physician. he will examine and treat you accordingly. Take care." + }, + { + "id": 31014, + "tgt": "Is it safe to give improperly refrigerated vaccine to my baby?", + "src": "Patient: Hi doctor, I do want to vaccinate my baby with Avaxim 80 second dose. But, the vaccine is stored in the refrigerator at doctor chamber. Due to power outage for 18 hours, what shall I do? Please\u00a0advise me. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 8623, + "tgt": "Please explain the signs and symptoms of colic", + "src": "Patient: Hello doctor, Kindly tell me the following: 1. What is colic? 2. What are the signs and symptoms? 3. What are the causes? 4. What are the remedies? With experience, kindly tell how parents can deal with colicky babies. Doctor: Hi. Colic is abdominal discomfort or pain mostly seen in the evening in bottle-fed babies. A consolable cry which improves with particular positioning of the infant. Most of the time, the cause is not known. Mostly associated with formula feed, improper burping practices. No exact treatment remedies are available. Positioning, proper burping, various colic drops are available in the market which might be helpful." + }, + { + "id": 16046, + "tgt": "How to cure cough with fever and night sweating?", + "src": "Patient: Hi doctor, I have a cough and common cold for the past one week. After three days, I also had a fever, and I had sweating at night time. Please help me. Doctor: Hi. According to your complaints and history, I would recommend you start taking Antipyretics and Antitussive soon. If you do not have any recovery from a cough within a week, then you can do a sputum test and chest X-ray for further management. You can consult a general practitioner for a physical examination and start to have medications soon. Please monitor your weight too and notify it to your GP (general practitioner) if there is any change. Try to cover your mouth while coughing and stay in a well-ventilated area. Avoid going inside crowded places until you recover." + }, + { + "id": 28363, + "tgt": "I feel sick and nauseous after taking eight Yaz pills. Are these side effects of taking too many pills?", + "src": "Patient: Hello doctor, I decided to use birth control pills two months back. I took the whole pack and then decided I will rather stop, because of all the bad effects that they have on our body. I got my period after I stopped taking the pills, but this month I did not get my period. I had sexual intercourse twenty days back, and the\u00a0condom broke. I live in a country where emergency pills are not allowed, so I took four Yaz birth control\u00a0pills in the morning and another four after 12 hours. I do not even know if that works, I read and heard it does. After 3 to 5 days, I managed to get the emergency pill and took it.\u00a0Now after a week, I feel sick and nauseous. I took the pregnancy test, but it was negative. I feel it is probably too early to tell. Is it possible to get pregnant, even though I had no period the previous month?\u00a0Or are these just side effects of taking too many pills? Doctor: Hello. I see you have messed up your hormonal balance. Your first step was absolutely right. The principle of emergency contraception is that it is a very high dose of progesterone hormone. This is the same hormone produced in the second half of periods after ovulation. This makes the inner lining of the uterus (endometrium) very thick suddenly, by a single dose. This thickness is unfavorable for the possible pregnancy. So, the embryo that is formed just slips out without a proper place to sit. As it is a single dose, it cannot hold on, and it gives way or falls off, so you will have periods within 7 to 10 days of having pills. This is the same hormone in combination with estrogen in Yaz. If you recollect, in the second half of periods, you have similar symptoms of nausea, vomiting, heavy headedness, bloated feeling, mood swings, depression, and breasts discomfort. As the hormone has been taken in a high dose, that too on two occasions, the symptoms are exaggerated. You have to wait for 7 to 10 days after the intake of emergency pills for the bleeding to occur. You can try taking symptomatic treatment for gastritis, like Pantoprazole and Domperidone combination, twice a day, half an hour before food. Consult your specialist doctor, discuss with him or her and start taking medicine after their consent. If you have crossed your expected period date by even a day, you can check your urine for pregnancy. Further confirmatory is blood serum beta-hCG (human chorionic gonadotropin). For further queries consult an obstetrician and gynaecologist online,--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22961, + "tgt": "Is it normal to wet adult diaper unknowingly while standing?", + "src": "Patient: Hello doctor,I have been wearing adult diapers to keep my bed dry cause there have been at times when I come close to wetting the bed. But a couple of nights ago I would wake up dry but when I would sit up or stand before I make it to the bathroom I would without knowing wet the diaper. My question is that is it normal and should I start to wear them during the day? I am 35 years old male and take no medicines. I was also told I have stress. Doctor: Hi. Since how long are you having night time incontinence? Is there daytime incontinence? Do you have frequency and urgency? Was a sonography done to look for prostate size and residual urine? Did you have urine infection in the past? Please get back to me with previous reports if any. Take care. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12146, + "tgt": "What does ECG taken for chest pain indicate?", + "src": "Patient: Hello doctor, I went to the doctors with four bouts of chest pain. Lasted under a minute each time. The pain went into the left arm. The doctor ordered ECG. No breathlessness, unless exercising. Can you please review and provide feedback on a recent ECG? Doctor: Hi. Significant findings in ECG are: 1. Early repolarization in V5 and V6. This is a normal finding at your age. 2. Deep S wave in lead V3. This can suggest left ventricular hypertrophy (by Cornell voltage criteria). However, there are no other changes in ECG to suggest LVH and deep S wave can sometimes be seen normally in young people. You can get echocardiography to remove any doubt regarding LVH (left ventricular hypertrophy). Echocardiography." + }, + { + "id": 6126, + "tgt": "What is the advisable time to take probiotics?", + "src": "Patient: Hello doctor, When should I take probiotics? Doctor: Hello. I just read your query. You can take probiotics in the following conditions: The most common indication is when you have been suffering from diarrhea because it may cause a disturbance in the normal intestinal environment and also loss of normal gut flora. When you take antibiotics because antibiotics along with disease-causing bacteria also harm normal bacteria up to some extent. If you are suffering from a condition like gingivitis because it can also disturb your oral flora." + }, + { + "id": 10904, + "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": 26762, + "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": 5644, + "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": 4093, + "tgt": "Noticed a pink bump in penis. Could it be a wart?", + "src": "Patient: Hi doctor, I am a 26 year old male. Four months ago, I noticed strange pink bump of size around 3 x 2 mm on the base of my penis. It does not hurt. Could it be wart? Doctor: Hi. It is unlikely to get wart at the root of penis. If you can attach a photo of the lesion, then it would be helpful to make a diagnosis. Revert back with the photos to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1603, + "tgt": "I get recurrent headache with low intensity. What could this be?", + "src": "Patient: Hello doctor, I recently have recurring headaches. Some a little intense and some not. I usually just take Paracetamol and the pain goes away. Last night, the pain started at top of my head but mostly on the left side. The pain eases when I try to massage my head but what is different was the pain intensifies when I lie down. I take 2.5 mg Nebivolol in the morning for my hypertension. I also have panic disorder. Yesterday, I did experience a panic attack in the morning then my headache started in the afternoon then again at night. I took Clonidine 75 mcg which got rid of the headache and helped me sleep. Doctor: Hi. With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month? Additionally please answer the following questions. Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances?" + }, + { + "id": 28702, + "tgt": "I took Unwanted 72 within 24 hours of getting sexually intimate. Can I still be pregnant?", + "src": "Patient: Hello doctor, I got my periods on 18th\u00a0of last month, and I got sexually intimate for the first time on 27th of last month. Although there was no full penetration, I took Unwanted 72 the next day. On 11th of this month, I had little bleeding with a lot of clots that lasted for three days. I normally have a 27 days menstrual cycle which is very regular and have a good flow. I was feeling dizzy and nausea sometimes, so on 18th and 25th of this month,\u00a0I took a\u00a0home pregnancy test which was negative. Can there be any chance of pregnancy? Or can those be the side effects of Unwanted 72? When should I take a home pregnancy test again? Please help as I am very tensed. Doctor: Hi. Let me put you at ease by saying that you will not be pregnant. Let me tell you how. For a young lady with 27 days cycle, ovulation will be on day 13th, and the egg will stay alive for 24 hours. So you are at a risk of pregnancy on 29th to 31st. But your sexual exposure was much before that, so no way your egg was exposed to sperms. The chances are further reduced as there was no ejaculation into the vagina. But if pre-seminal fluid comes in contact with genitals or thigh there is a slight chance of pregnancy. As you took an emergency contraceptive pill within 72 hours, the chances of you getting pregnant are very slim. Unwanted 72 will suddenly increase the thickness of the inner lining of the uterus, which will come out in the form of clots or rather fleshy masses, with mild lower abdomen pain. Even though you felt the bleeding was less, clots means bleeding was more than normal. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24199, + "tgt": "Is it possible to fill the adjacent tooth without extracting the wisdom tooth?", + "src": "Patient: Hello doctor,My wife's dentist says that my wife has to get a tooth pulled in order for him to do dental work on my wife's adjacent tooth. My wife lost a piece of a filling and the dentist says he needs to take out the remaining filling, and then re-fill it. But in order to do that, he needs to pull the adjacent tooth. Could you please tell me if my wife really needs to have this tooth pulled? I will send you a picture. Doctor: Hello. How are you doing? First of all, there is nothing to worry. I have seen the pictures (attachment removed to protect patient identity). The tooth that the dentist is mentioning for removal is the upper wisdom tooth. It has not erupted completely. The age for its eruption ranges between 18-25 years. Mostly, in such cases or after this age, we recommend for its removal because, in the future, this might cause an infection, cheek bite, or other problems. I can guide you more about this if you can provide me with an X-ray (OPG or IOPA. OPG will be better). Now, regarding the filling, I think it must be towards that wisdom tooth side and that is why the doctor is asking for its removal so that he can properly contour and fill the tooth. Otherwise, it will be difficult (I cannot visualize much of the broken filling in the image). I will need an image from occlusal (chewing surface) aspect. Again, I need an X-ray of that tooth for a proper diagnosis. You do not have to worry. The tooth removal will be done under local anesthesia only. She will be fine. You can revert back with image and X-ray for further information. Feel free to ask further queries. Take care. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6897, + "tgt": "Is Levolin recommended for cold, cough and sneezing in a 2. 6 year old?", + "src": "Patient: Hello doctor, My 2.6 years old son is suffering from cold, cough, and sneezing from three days, and yesterday night, he developed a fever. I am giving him Levolin syrup 5 ml, and for fever, I had given Babygesic 1.5 ml. Is Levolin for both cold and cough, as well as sneezing? Doctor: Hello. The cough cold and fever could be due to viral infection, does your child have wheezing also? If no wheeze in the past I suggest you use any other antitussive medication for cough, Levolin (Levosalbutamol) is a bronchodilator used in cough associated with wheeze, so if no wheeze and dry cough give Ambroxol or Dextramorphan, for cold give an anti-allergic like Phenylephrine and Chlorpheniramine maleate, as far as fever is concerned give Paracetamol suspension every four to five hours for at least three days irrespective of fever. Avoid cold beverages, use nasal drops to prevent nose block." + }, + { + "id": 24328, + "tgt": "My kid's urine is hazy and chocolaty in color. Is it because of what he ate?", + "src": "Patient: Hello doctor,My son is 5 years old and his urine is hazy and chocolaty in color. It seems heavy as well. Does it have anything to do with his eating habits or what he ate in the morning? He ate eggless chocolate cake in the morning. Doctor: Hello. Do not go by the color of the urine. Always focus on the symptoms. Is there any burning sensation while passing urine? Or, increase in the frequency of urine or any lumbar area pain? If yes, then you must go for urine culture. There might be a relationship of food with the color of urine if it happens once or twice, but if the color of the urine is persistently hazy, then go for labs. In the meantime, ask him to take plenty of liquids, especially increase water intake. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 468, + "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": 16106, + "tgt": "IS it possible to have infertility problems because of miscarriage?", + "src": "Patient: Hello doctor, Can a miscarriage cause infertility problems? I had a miscarriage two years back. I was given Iron supplements to take for a month. I was given Gulf Ferrous Sulphate compound tablets and Gulf Folic Acid 5 mg. I stopped taking them because they were making me sick. I felt like I was gonna pass out when I took them. I felt bloated and constipated. So I went to the pharmacy to buy my Iron supplements. I bought Ferofol 24 mg. Used it for about four months, and then I started feeling sick, feeling weak, nausea, leg pains, chest pains, feeling out of breath and had constant headaches. Woke up one day with severe chest pain, went to the hospital. I was diagnosed with iron deficiency anemia. I was put on a six months treatment. The doctor said I must not fall pregnant until I finish my treatment. I was also given contraceptives but I never used them. The doctor said the Iron supplements I was using had a small dose for someone who has anemia. Hence, my Iron levels dropped whilst taking them. I have been trying for a baby for the past few months. We have been using cycle tracker to track my most fertile days. But we do not seem to be winning. I have been having irregular periods. Two weeks before my periods, I was feeling pregnancy symptoms. I was feeling tired, had constant headaches, felt nausea, and lightheadedness. I thought either my iron levels were low or I was pregnant. Went to see a GP, took a pregnancy test that came out negative, but my pressure was high. Later, I had light red spotting for two days, then on the second, I started what appeared to be a normal period. Four days into my period,I passed out a big clot that appeared like a product. Before I passed out a big clot, I had severe cramps similar to the ones I had when I had a miscarriage. It felt like something was tearing inside, pressing against my uterus, also had back pain. After I passed out a clot, we saw a gynecologist. He said it is normal for blood to clot especially if it was late for a couple of days. I had an ultrasound, the gynecologist said everything was fine except my left vein was a bit swollen. He asked if I was peeing more than usual. I said yes and that I had difficulties sleeping on my sides and that my urine had bubbles and it was bright yellow. He said it could be a kidney infection. They gave me antibiotics and a drip. I have not got my period yet for this month. I do not know when it is gonna come. Am I not ovulating? Can a miscarriage cause infertility problems or is it the Iron supplements I am taking? I want to have a baby. What could be causing my period delays? Doctor: Hi. How are you doing? Miscarriage is not a usual reason for infertility, but anemia is definitely a cause. From your history I presume that the bleeding of periods is quite heavy, that could be the reason for anemia. If blood smear shows an iron deficiency anemia and you are feeling weakness with gastritis, you need to know the severity of anemia, by doing a Hb % and PCV (packed cell volume). If Hb is less than 8 g/dl, then it is better to have an iron sucrose infusion, based on the calculation. If anemia is severe, your gut wall will be edematous and iron absorption from tablets will be poor. In anemia, you will have anovulatory cycles (when you are anemic body will conserve energy and hormonal balance is lost, it will save blood by delaying periods). So, that is the reason for irregular periods, when the delay of periods occur, the inner lining of the uterus thickens and as it drops out, the pain due to dilatation of cervix will occur. Pain will be relieved as soon as the clot or the mass falls out. As long as you have anovulatory cycles, to maintain a good Hb, you will need Iron tablets, Vitamin B complex, Proteins, these three components are ingredients of hemoglobin. So to have a good fertility outcome, have anemia workup done and get it fully corrected with parenteral treatment. Kindly see if the following checklist of investigations is done: Husband- Semen analysis at least two, done four weeks apart preferably in an infertility center (examination done by andrologist), blood sugars. Wife- Blood sugars, thyroid profile. Ultrasound scans to evaluate uterus, ovaries, and adnexa. Confirm tubal patency, most important- Tube is the connection between uterus and ovaries (the bridge where sperm meets the egg and forms a baby). This is in the size of hair follicle and cannot be seen on scans. Being such a small opening, the tube can get blocked easily. So, check with HSG (X-ray with dye), or SSG (scan with dye) or laparoscopy. If all this is done and found normal, nothing can stop a pregnancy with God's will. All the best." + }, + { + "id": 26878, + "tgt": "What can be done for age-related hearing loss?", + "src": "Patient: Hello doctor,My 68 year old mother has a hearing problem. I understand it is due to her age but is there any device which can enhance the hearing in her case? Doctor: Hello. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23705, + "tgt": "How does Metformin help in conception?", + "src": "Patient: Hi doctor, Recently, my wife had a fasting sugar level test. The insulin (fasting serum plasma chemiluminescence) was shown as 9.3 mcu/mL. We had recently consulted a gynecologist who said that the result is very near to borderline case and prescribed Metformin 500 mg tablets. As per the diagnostic laboratory, the reference range is between 2.6 to 24.9. Why did the gynecologist prescribe the medicine when as per the laboratory the result is within the reference range? The gynecologist is a very well reputed and renowned doctor in my city. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20206, + "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": 3932, + "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": 27838, + "tgt": "My daughter has pernicious anemia from the age of 11. Please help", + "src": "Patient: Hello doctor, I hope you will be able to help me with my daughter's health. The summary of her health is as follows: She was born prematurely at 25 weeks. She had to undergo PDA surgery soon after. She had Hashimoto's hypothyroidism when she was 8 years of age. She had urticaria and angioedema for many years. She took a\u00a0double dose of antihistamines for at least five years. She had her tonsils and adenoids removed at age 10. She had pernicious anemia since the age of 11. Three years ago, she was bedridden for a\u00a0month, as she was diagnosed with post viral fatigue. So, as you see, she has never felt well. She has put on a large amount of weight, in spite of being on a strict diet. She has chronic\u00a0constipation, severe fatigue, breathlessness, cold hands and feet, dry and thin hair. My daughter has phases where her eyes are swollen and feels pressure behind the eye balls. Sometimes, her fatigue is so bad she struggles to go about her daily routine. During these episodes, she feels very weak like her body is shutting down. Last year, she had a similar episode, but that time it was due to stomach acid issues. It lasted for around six months. Her stool test confirmed very high levels of the indicator for Crohn's. The surgeon carried out endoscopy and pill camera. But, nothing showed up, much to his surprise. I am attaching a copy of her latest blood reports, the abnormal values of which are: HbA1c (IFCC) 33 mmol/mol, Insulin (fasting) 100.6 pmol/L and CRP 7.00.\u00a0She is currently on Thyroxine,\u00a0B12 and birth control pills. Doctor: Hello. I just read your query and the medical history of your daughter. I have seen the detailed reports (attachment removed to protect patient identity) as well. Let me answer each one of your questions. Hope I have answered all your questions and you found my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18094, + "tgt": "I am suffering from low back pain. Is it a big problem or should I not worry?", + "src": "Patient: Hello doctor, I am suffering from pain in the backbone. The affected area is a very small portion at the end of the backbone. Pain occurs when I press that portion with fingertip, but the pain is so light that I can endure it without any problem. I am a 32 year old male, unmarried, and I am suffering from low back pain for the last two weeks. Is it a big problem or should I not worry? Doctor: Hello,Welcome to icliniq.com. There are many causes for low back pain. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other. So, accurate diagnosis is the key to proper management of the condition. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with the following recommendations for an initial period of 2-3 weeks. We will observe you for the next 2-3 weeks regarding how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Consult an orthopaedician and traumatologist online for further follow up --> \u00a0https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 25047, + "tgt": "I am not sick four years after exposure, but my CD4 count is high. Why?", + "src": "Patient: Hello doctor,I have a hypothetical question. Suppose I was one of the rare people who is incapable of producing antibodies to HIV-2. What would you expect my CD4 count to be after four years? And how sick would I be? Doctor: Hello. I have noted your concern. Antibodies against HIV are not a very effective defense against this virus and though they may initially contribute in keeping the virus under check they eventually fail to do so. So your CD4 count would be lower than if you had antibodies against HIV and obviously it would imply that there would be a greater risk of opportunistic infections. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6218, + "tgt": "My diabetic father is diagnosed with gallstones. Is it safe to get laparoscopic surgery?", + "src": "Patient: Hello doctor, My father is 60 years old and suffering from diabetes for the past one year. Recently we came to know that he has gallstone and also that he has Tuberculosis in the lungs. His sugar level is 193 mg/dL. He is on regular medicines and not on insulin. He has lost his weight, a lot. Currently, his weight is 46 kg, whereas initially, he is about 65 kg. Also, he has lost much of his appetite. He is weak, as well. So in this situation, is it safe to undergo gallstone laparoscopic surgery? Also, how fast would be the recovery? Can you suggest a diet plan for him? Doctor: Hello. As you mentioned, he is having multiple problems. If it is an emergency removal of gall stone, then he needs respiratory clearance because he is having pulmonary TB (Tuberculosis). You have not mentioned the size and number of the gallstones and is he is having symptoms? Normal hemoglobin level is also important in this case. KIndly provide available investigations and RBS (random blood sugar levels) levels, and what medications he is taking, because his sugar level is not controlled. He is having weight loss also, it may be because of diabetes and TB and may have Celiac disease, as we need to rule out celiac disease in this situation. So please get done serum tTGA (serum tissue transglutaminase antibodies) level and IgA (immunoglobulin A) level and hemoglobin level. Although laparoscopic surgery has less complication as compared to conventional, he may have complications due to anesthesia. So detailed checkup and investigations are mandatory before surgery." + }, + { + "id": 13440, + "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": 15136, + "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": 22745, + "tgt": "Does constipation cause burning sensation in anus?", + "src": "Patient: Hi doctor, I have a burning sensation in anus after bowel movements for past one week. There is no blood discharge and poop was soft. I avoid eating spicy foods. The burning sensation lasts for hours. Doctor: Hello. The most common cause of burning sensation in anus following stools will be the consumption of spicy food. Another cause can be constipation, which can cause fissures around the anus. If this is the condition, apply Diltiazem gel 2 % three to four times a day for seven to 10 days and use a stool softener like Cremaffin syrup (milk of Magnesia and liquid Paraffin) two tablespoons once a day for 15 to 20 days. If there is no history, you can apply Lignocaine jelly to your anus for few days. If the problem persists, consult a doctor who could examine your anal region. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4775, + "tgt": "Seminal leak associated with testis pain with just excitement. Why?", + "src": "Patient: Hi doctor, I am experiencing\u00a0seminal leak and pain in left testis on excitement without sex. Situation worsens when excited after exercising. This seminal discharge is causing anxiety and pain. I am having this problem since last 10 years. Please help. Doctor: Hi. I have read and understood your problem. Revert back after the investigations to an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 4500, + "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": 2765, + "tgt": "I have shortness of breath for about a week with no relief on herbal syrup. Is this Covid-19?", + "src": "Patient: Hello doctor, I am a 23-year-old female. I am 70 kg, 5'3\" feet. I am currently experiencing shortness of breath, it started a week ago and never went away even though I am taking lagundi or herbal cough medicine 500 mg three times a day after meal. I also feel like I have a lot of phlegm that I cannot release. It just feels heavy on my right chest that passes through my back. I am having paranoia on having COVID-19, but I am afraid to get checked because I might actually get it from the hospital. Please help. Doctor: Hello. I understand your concern. I do not think it is Covid-19 as you do not have a fever. But you need an antibiotic I believe, it may just be pneumonia. Are you taking any antipyretic drug because you need to know if you have a fever. For Covid-19 you should have a fever, cough, and difficulty in breathing." + }, + { + "id": 7869, + "tgt": "How can headache due to blood clot in brain be cured?", + "src": "Patient: Hello doctor, My mom is a diabetic patient suffering from typhoid diagnosed an hour ago. She also had a blood clot in her brain. She is having headache badly. What to do now? Doctor: Hello. According to your query, your mother is suffering from a bad headache due to blood clots. Any headache with intracranial problems needs detailed assessment as there might be a headache of serious causes like raised intracranial pressures or venous thrombosis which needs immediate neurosurgery opinion. So do not worry. Just consult a neurosurgeon. Do not simply take medicines for relief from pain." + }, + { + "id": 15375, + "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": 24709, + "tgt": "Why is there excess fluid around the right testicle?", + "src": "Patient: Hello doctor, A week ago, I was going to the bathroom and noticed a swelling of my right testicle. After feeling around, I then noticed that the testicle is normal size. There is just some excess fluid around my right testicle. This immediately freaked me out as anything wrong makes me think of cancer. Luckily, I had a physical scheduled already for Wednesday of next week, so I had my GP look at it. He noticed the fluid and did some inspection along with his assistant and felt was around and did not feel any lumps, bumps, or swelling of the testicles themselves. Regardless, he went ahead and referred me to a urologist. The fluid has remained pretty consistent since I noticed. I have some time before I visit the urologist, but my GP did not seem to be concerned. Do you have any idea on what this could be? Is there any way this could be from testicular cancer? Currently, I am on anti-anxiety medicine Lexapro 10 mg. I had my complete blood count done a month ago and everything was normal. Doctor: Hello. Relax and do not worry. If you or GP do not feel any lump from testis, then it is not likely to be testis cancer. So, I feel it would be a simple hydrocele. So, do not worry at all. Yes, show to the urologist as he will advise you an ultrasound of scrotum to diagnose 100 percent. Till then relax and enjoy. Until and unless lump felt from testis, it should not be testicular cancer. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27934, + "tgt": "Had I-pill post sex and bleeding now. When to expect her next periods?", + "src": "Patient: Hi doctor, My girlfriend got her periods 20 days back. We had unprotected sex\u00a0before 14 days and she took an I-pill after an hour. Now, she is suffering from bleeding since seven days which is not too heavy.\u00a0But, she has\u00a0lower abdomen pain and backache. Is there a chance for pregnancy? When to expect her periods for the next month? Please guide. Doctor: Hi. As she had the pill within the time as well as there was bleeding following that, chance of pregnancy is nil. Now, it is difficult to say about her next cycle. As this I-pill contains high hormone, it can mess up her inner hormonal balance. Due to this reason, she may have late period next time. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25554, + "tgt": "What do Mycobacterium Avium Complex and carcinoid tumor mean?", + "src": "Patient: Hello doctor, My grandmother was diagnosed with MAC (Mycobacterium Avium Complex) plus carcinoid tumor. Can you please tell me what this means? Doctor: Hello. MAC (Mycobacterium Avium Complex) is bacteria related to tuberculosis and is a disease of the lung where bacteria affects the lungs. In simple words, it is a bacterial infection of the lungs. A carcinoid tumor is nothing but a cancer that mostly starts either the lungs or the digestive system. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22204, + "tgt": "According to the reports, do I need an immediate liver CT scan?", + "src": "Patient: Hi doctor, I am a 46 year old male. I had gastric bypass surgery 7 years ago. Earlier, I was 540 lbs and now, my weight is 300 lbs. About 5 years ago, I started drinking hard alcohol (Vodka) weekly. As of three weeks ago, I started getting a tight, bloated, tingly sensation from my chest down to my pelvic area. There is no real pain. It just feels as if there is a wide band wrapped around me and numbness. It almost feels as I may be collecting fluid in my abdomen and thighs. I also have burning and tingling sensation that runs down my inner legs from my thighs to my ankles. Some days, it is better than others. I feel fatigue and it is a bit hard for me to get out of a chair due to being weak at times. I do have energy though to perform daily activities once I am up. I stopped drinking two weeks ago. I eat daily. There is no nausea, vomiting, bleeding, spider veins or yellowing of skin and eyes, I have normal bowel movements and there is no blood in stool. The stool color is normal. I do not feel hallucinations or loss of memory. My urine is dark yellow or brown and cloudy at times. I am a bit pale, but I have always been that way.\u00a0I sleep regularly and have not lost any weight on the scale. But, I feel my muscle may have been replaced with fat. I went to a GI specialist and he just thinks it is malnutrition issues due to my gastric bypass. My GI specialist ordered blood work and it indicates that I have some liver issues based on my research. Is there a way to determine the stage my liver health based on the laboratory reports below and the symptoms? Is it an emergency that I go to the hospital right away? Do I need to get a CT scan of liver immediately? The flags on my laboratory reports are, RBC 3.64 (low - ref 4.14 - 5.80), MCV 108 (high - ref 79 - 97), MCH 38.2 (high - ref 26.6 - 33.0), RDW 16.3 (high - ref 12.3 - 15.4), serum creatinine 0.56 (low - ref 0.76 - 1.27), serum chloride 94 (low - ref 97 - 106) serum calcium 8.4 (low - ref 8.7 - 10.2), total bilirubin 9.5 (high - ref 0 - 1.2), serum alkaline phosphatase 241 (high - ref 39 - 117), AST 196 (high - ref 0 - 40), ALT 61 (high - ref 0 - 44) and vitamin D, 25-Hydroxy 4.4 \u00a0(low - ref 30.0 - 100.00). I also attached the full laboratory report. I started Vitamin B12 injections last week, Vitamin D3 drops, B1 and B complex supplements to hopefully help raise my low D3. Thank you. Doctor: Hello. I can understand your concern towards your abnormal laboratory values. Alcohol. CT scan abdomen and coagulation profile. Cirrhosis of liver. Alcohol induced hepatitis. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20339, + "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": 16421, + "tgt": "I took one Yaz pill after unprotected sex. Will it be effective?", + "src": "Patient: Hi doctor, I had unprotected sex before two days. The next day, I took one Yaz pill. Do I need to take more pills? Will it be effective? Doctor: Hi. I have gone through your history, and I can understand your concern. There is a chance of pregnancy in your case as you have taken only one dose of Yasmin pill (Drospirenone with Ethinylestradiol). Delayed menses can occur due to hormonal imbalance caused by sex. Do a home urine test if you miss your period by seven days." + }, + { + "id": 8368, + "tgt": "I am having constipation and it is painful to pass stools. Is Enema advisable?", + "src": "Patient: Hello doctor, I am constipated and I do want to pass stools but passing them is extremely painful. I took two laxative pills but they cannot work due to the fact that my stool is too hard to be passed. Tomorrow I was planning on buying an at home enema, since it is too late to go to a drug store, and two hours ago I developed fever and headache. Should I be concerned or wait to see if the enema or the suppository laxatives will work on me? Doctor: Hello. You should take an enema if one is not working then apply another adult enema. Applying olive oil on the anal area can help together with sitting on warm baths to help ease bowel movement. Should increase water intake. Take olive oil (1 full tablespoon) early in the morning. Take Psyllium or Prune fiber early in the morning. If altogether not working, then should see your physician." + }, + { + "id": 7234, + "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": 7523, + "tgt": "What can I do for the swelling inside my cheek?", + "src": "Patient: Hi doctor, For the last two months, I am having small swelling inside the cheek. Also, there is some stiffness in the right throat, but not now. With general surgeon prescription I have used Metrogyl, Diataal, Tinidazole and vitamin tablets. But, still swelling is there and also I am getting some red dots on and off. Today I went to the hospital and consulted a dentist. He said it as frictional keratosis and chronic generalized gingivitis. So, they offered scaling and later extraction of that tooth. For the second opinion, I have consulted an ENT doctor. As the swelling is constantly present in the last one month, he advised to go for a biopsy. What can I do now? Please explain and I have attached some files for your reference. Doctor: Hi. Cheek bite and sharp cusp of the tooth. Frictional keratosis. 1. If sharp cusp is present, then the treatment is rounding off the cusp. 2. Removal of the troubling tooth, in your case it is a wisdom tooth. For further doubts consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23149, + "tgt": "Why dentists do not use Bupivacaine for nerve block?", + "src": "Patient: Hi doctor, Is there a reason why dentists typically do not use Bupivacaine for nerve block for dental procedures? So far, only one dentist used it for me. While it had a slow onset, I was pain free for almost 8 hours. I did not need to take as many narcotic analgesics afterwards. I have really severe anxiety when it comes to dentistry due to dental trauma and painful procedures. Bupivacaine helped ease my anxiety about post procedure pain. I have asked every dentist I have seen to use Bupivacaine. But, they have always chosen Carbocaine. I also have a vasovagal response to epinephrine and Bupivicaine formulations have a lower ratio of epinephrine as compared to Mepivacaine and Lidocaine. I have always informed them of my response to epinephrine, but they still always chosen Carbocaine (Mepivacaine). Is there a pharmacological justification for not using it? Or is it just provider preference? Is there a way I can advocate for myself as a patient? I work in a pharmacy, so I am familiar with a lot of these medications. Thank you for your thoughts on this. Doctor: Hi. I have gone through your query and understand it. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21782, + "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": 19802, + "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": 22293, + "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": 5643, + "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": 2247, + "tgt": "I have major sleeping problem with mood swing and behavior change. Please help", + "src": "Patient: Hi doctor, I have major sleeping problems where I do not get sleep at night sometimes until late or sometimes at all. I also have a lot of mood swings where I am really happy at times and the next second my mood switches. I feel very confused about my behavior and in general, I do not like interacting or making conversations with people. So I get really conscious and think about scenarios about how to say what. I keep worrying a lot about different things and have difficulty focusing on things and especially because of irregular sleep I am having problems. I get scared of sleeping at times and have nightmares at times when I do. Doctor: Hi. I am so sorry to hear about your situation, I can imagine how hard it must be for you. With the little information that I have, I think your sleep issues are just an external expression of underlying anxiety. It is the fear that is keeping you awake so to help you with your sleep issues. First, we need to take a few measures to help you in increasing your relaxation levels which would calm you down. For that, you can try why deep breathing exercises like box breathing, progressive muscle relaxation, meditation before sleep. You have to maintain your sleep hygiene which essentially means regulating your bedtime and your process of going to sleep which in common language is called night rituals. Once you have established this then you need to work on your anxiety. As you have also mentioned that you were sent for anger management 10 years ago, I would suggest starting psychotherapy as soon as possible which will help you understand the negative thoughts which are causing all these mood symptoms. Taking care of anxiety and anger is one thing, then the next step is finding the root cause of it and getting rid of it will help you solve the issue permanently. So I would suggest you to start psychotherapy. You can find a local counselor or we can start therapy online via video consultations. I hope this helps." + }, + { + "id": 6876, + "tgt": "My father underwent surgery for blood clot in brain. Is there any chance of recurrence?", + "src": "Patient: Hello doctor, My father underwent surgery for a blood clot in his brain before 10 months. Doctor said that the surgery was done twice as the clot was not removed properly for the first time. My father is totally fine now, but I want to know if there is any possibility for the clot to occur again. He is on his medication for high blood pressure. Please give an opinion. Doctor: Hello. I reviewed the scan reports of your father. The clot that he had is called chronic subdural hematoma which usually occurs in aged person due to brain shrinkage. Due to shrinkage in the brain a space is created between brain and skull. If the bridging vessels in the space got injured,hematoma can occur in due course of time. In your father's case eventhough the hematoma has been removed, there is still some space between brain and skull which is likely (20 to 30 %) to cause hematoma. You can prevent them by avoiding even smallest injury to the head and avoid dehydration. Keep him hydrated always. Hope this would help." + }, + { + "id": 10052, + "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": 14963, + "tgt": "I had some medicines for quick relief of fever. Can this cause dry mouth?", + "src": "Patient: Hi doctor, I am a female, 24 years old. I had a slight fever past month, so I went to a pharmacist, he gave me two doses of Nimesulide Paracetamol tablets and some quick relief tablet (having Chlorpheniramine, Phynelpherine, Hydrochloric and Guaiphenesin salt). My fever went away, but I had a dry mouth, which I did not pay attention to. Meanwhile, I had a lot of peanut butter and dry fruits. And a week later I had 2 to 3 ulcers in my mouth, when I checked, I found brown-darkbrown marks inside my cheeks. I went to see a general physician, he said it is a side effect of the medicine and it will go away in some time. But now one month has passed. The marks are comparatively light. And mouth gets dry occasionally only. But I feel (because of dry mouth or spicy food maybe) the lining of cheeks gets damaged which again creates a problem. I want to know, how much time will it take to heal properly. And should I avoid some particular food items? The doctor I went to only gave me probiotics for five days. Doctor: Hi. As such it is not serious but I will tell you there can be some factors responsible for it like drugs Chlorpheniramine which you have taken. Anxiety can cause dryness in the mouth and ulcers are commonly observed in stressed patients particularly females of age group 20 to 30. Morever patient can be diabetic. Now assess yourself if you feel any of these. But so for drugs are concerned it must go after two weeks. Youdo not need to worry. But if you are worried, stressed, then relax. Otherwise, you will feel like that always." + }, + { + "id": 7939, + "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": 15265, + "tgt": "Please tell me some good medicine for having healthy weight and body", + "src": "Patient: Hi doctor, I am 17 years old. I understand things late, and my medicines are going on. Please tell me some good medicine or syrup for having healthy weight and body. Doctor: Hi. A healthy body has a healthy mind. To have a better brain function, you should have a healthy body. You are quite young with no other medical conditions. Instead of resorting to medicines, I recommend you improve your diet. It should be wholesome, with a well-balanced diet. It should include a good mix of carbs, proteins, and fats. You can take help from an expert nutritionist. In addition to a good diet, you should have a proper blood circulation in the body. For that, you should follow a good workout routine. Have a 30 to 40 minutes exercise daily. You have to check your Vitamin B12, and TSH (thyroid stimulating hormone) levels to make sure that there are no deficiencies. You can take a good multivitamin supplement." + }, + { + "id": 21111, + "tgt": "Please prescribe better medicines than Alprazolam and Sertraline for anxiety and sleep problem", + "src": "Patient: Hello doctor, My Age is 30 years old and suffering from anxiety and sleep problem with persistent thoughts. I am using Alprazolam 0.5 mg and Sertraline tablets. Please prescribe something better. Doctor: Hi. You are suffering from anxiety and you are taking good medication for it. If you are not improving with 50 mg of Sertraline then you can increase dose of medication. You can take 100 mg of Sertraline. Never take Sertraline on empty stomach otherwise it will cause gastritis. You can try some nonpharmacological management like take daily 7 to 8 hours sleep, do daily exercise for 30 to 45 minutes, do meditation for 15 to 20 minutes, take healthy home cooked foods, avoid junk foods, take cold shower, spend quality time with friends and family, spend time for your hobbies like reading good books, write journal, painting, play outdoor sports, etc. Drink warm milk before sleep. It will help you to induce sleep, live your life not just spend. Be bold and confident." + }, + { + "id": 467, + "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": 15769, + "tgt": "My skin is itchy, bumpy and red all over my body. Why?", + "src": "Patient: Hi doctor, I have allergies on my skin (Hives). My skin is bumpy, red and itchy. It is present all over the body. I got these allergies suddenly. I do not remember the cause. I applied a topical analgesic containing Benzyl alcohol with Pramoxine hydrochloride and taken Claritin for allergies. Please suggest. Doctor: Hi. Please explain about the exact site of involvement of allergies." + }, + { + "id": 3867, + "tgt": "Is it possible to lose one's intelligence from a head injury?", + "src": "Patient: Hi doctor, I had a bike accident. Is it possible to lose one's intelligence or IQ from a head injury? Doctor: Hi. I am sorry to hear this. Revert back with the detailed history to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23478, + "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": 7859, + "tgt": "Is it normal to get rashes in the body after hip replacement surgery?", + "src": "Patient: Hello doctor, I had a total hip replacement a few days back. Yesterday, I started developing a rash on my torso, back, buttocks, and legs. The palms of my hands and soles of my feet are red and painful. I had an epidural and sedation for my hip surgery. I had two rounds of IV antibiotics after surgery. I do not know what kind. For pain, I have been given Oxycodone, Tylenol, and Toradol (SP?) for inflammation. I have also been given Colace, Pepcid, Ranitidine, Aspirin, and Celebrex. The doctors here at the hospital are stumped as to what is going on with this rash. It is not terribly itchy, mainly when I get a bit overheated. I have had this happen to me before, 15 years ago, after undergoing a D and C. It did resolve in about four weeks, but the skin on my palms and soles blistered and peeled before it all went away. If you have any idea what this could be and what I could do to lessen the effects, I would greatly appreciate it. Doctor: Hello. I have read your query. I have seen the attached photograph also (attachment removed to protect patient identity). I understand your concern. As per details, it seems that you are having a condition called drug rash. Drug rash may manifest as redness of the skin, blisters, red raised rash, peeling of the skin, urticaria, etc. Mostly the rash is itchy but the presentation may vary. As per history, you got the rash post-surgery or any intervention both the times although the presentation was different. So, in my opinion, you have developed a rash in response to some medication. It may be due to antibiotics or pain killers you must have received both times. The best treatment for this is the prevention of further rash or aggravation by avoiding the offending drug. Antihistaminics and topical emollients give symptomatic relief and decrease the allergic reaction. You should discuss this with your doctor. I am sure that he would agree with this. Take care." + }, + { + "id": 9690, + "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": 8813, + "tgt": "Where should I insert my penis during intercourse?", + "src": "Patient: Hello doctor,I recently got married and have a few doubts about intercourse. I am not clear about the vaginal spot. Where should\u00a0I\u00a0insert my penis exactly? I\u00a0had a chat with my partner and she said that it is the spot where the gynecologist tested her uterus when we had a general check-up. Please suggest. Also,\u00a0in the missionary position, I\u00a0am able to insert easily but not in doggy or other positions. Does the position matter?\u00a0During full erection, my penis is slightly bent downwards. In that case, which position exactly works out?\u00a0When I\u00a0try to deeply penetrate it is hitting or blocking at a spot and she seems to be quite uneasy. Also,\u00a0do I\u00a0need to release my sperms on that spot where it hits?\u00a0Sometimes, post ejaculation and two hours after being in bed\u00a0when she urinates some sperms come out of her vagina she says. Is that expected or do we need to deeplypenetrate? She is an O- blood group and I am B+. Being a third-degree relative to her, does negative blood group matter or block conception?\u00a0We have been trying for the past six months and post marriage she got her periods early twice and only once she got her periods delayed. On all other occasions, she had periods regularly.\u00a0Also, we have big differences in height as well.\u00a0I am 5 feet 10 inches and she is 4 feet and 9 inches and weight is 79 kg for me and 50 kg for her. 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": 28609, + "tgt": "I require 13 hours of sleep every day. Should I take Modafinil?", + "src": "Patient: Hi doctor, I am a 25 year old male, all my life I have required about 13 hours sleep every night, regardless of the bedtime. If I get the 13 hours\u00a0sleep, I am not tired the next day, but if I only get 10 hours sleep, I will be very tired that day and also get a sleep debt. I went to bed at 8 PM last night and woke up at 1 PM today, as I only slept for 11 hours the night before. I tried forcing myself to sleep for eight hours, but I was a wreck, and I slept for nearly 24 hours straight to compensate. I had blood tests and sleep tests, which were all normal. I only have kyphoscoliosis. I am certain I do not have depression or other psychological problems but have tried several antidepressants for some time. But it had no impact on the amount of sleep I require. It is quite annoying, not being able to live the same lifestyle as nearly everyone I know. I simply just sleep more than everyone. Would I benefit from something like Modafinil? Any other ideas? Doctor: Hi. Thanks for your query. I have gone through your complaint and I think Modafinil is a good option in your case. Modafinil is used to decrease excessive sleepiness and enhances memory and cognitive functions. Modafinil can have some side effects, which are headaches, dizziness, flushing, sweating, gastric irritation, dry mouth, etc. Most of the side effects are mild and are self-limiting. For more information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 13892, + "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": 14229, + "tgt": "I have been advised endoscopy for Barrett's esophagus. I am scared of the sedation because I have varicose veins", + "src": "Patient: Hello doctor, I have been recently diagnosed with varicose veins in my left leg. I also have multiple heart problems which are right bundle branch block, bicuspid aortic valve, high blood pressure, and patent foramen ovale. I also have Barrett's esophagus and this week, I am going in for an endoscopy at a local hospital. I have had endoscopies before but, I recently saw in the news that someone passed away from a recent endoscopy. I am scared because the varicose veins are from my upper leg to my foot and are pretty gross looking. My vascular doctors' group have made me wear a compressed stocking, but I notice some new veins bulging or surfacing. I do not know if I should or should not wear the compressed stocking when I go for the endoscopy. I am concerned because even though these are superficial veins, they help pump the blood back to the heart, and I do not know what will happen when the sedative is injected intravenously. I guess I am just nervous because there is a new symptom to me. I have attached a photo of the side of my left leg where the vein is bulging in the front of my leg in front of my shin and across my ankle. It is very painful at times, however when I lay down the veins disappear. Please advise. Doctor: Hi. I have read through your query in detail. Please find my observations below. I can see that your leg has developed varicose veins (attachment removed to protect patient identity). This happens due to back flow of blood into the superficial venous system of the legs. Wearing a compression stocking will maintain the forward flow, but this is not a permanent solution. In patients with varicose veins, a venous doppler study of the affected lower limb is recommended, and this will tell the competency of the saphenofemoral junction (at the groin) and the saphenopopliteal junction (at the knee) which are the main valves that regulate the blood flow from the superficial to the deep venous system. Any collateral veins with incompetent perforators will also be known. Latest techniques involve laser ablation of the veins involved, and this prevents any complications of varicose veins. I guess your vascular doctor might have told you about varicose veins in detail. The endoscopy procedure can be done without any increased risk due to varicose veins. The sedative injection will not cause any problems due to varicose veins. So, you need not worry about that. Please be assured that the person who passed away during endoscopy might have had a different reason or underlying illness due to which the patient was unable to tolerate the procedure. Please stay calm and go for the procedure without hesitation." + }, + { + "id": 24016, + "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": 22775, + "tgt": "I have twitching in my legs. Do you think it is ALS?", + "src": "Patient: Hello doctor, I have a question about twitching in my legs. Doctor: Hello. Muscle twitching can be related to differential medical disorders: For this reason, I would recommend consulting with a neurologist for a physical exam and performing some tests: Further tests may be needed. You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13193, + "tgt": "I have discomfort in urethra after intercourse. Is it STD?", + "src": "Patient: Hi doctor, I am having a weird feeling and discomfort around the opening of my penis for several months now. I have got both UTI and STD urine test done but everything came up negative. The discomfort lessened considerably a week or two, after which it is still around. I went again for another UTI and STD urine sample and a blood test which was clear. But they said I did have a good bit of white blood cells in my urine. The discomfort is tolerable but still mind screwing. I have had genital herpes for about a decade and kidney stones before as well. I am pretty rough when intimate and the first sign of this issue was a couple of days after intercourse. My main concern is that I am starting to get intimate with another person with genital herpes as well. There is no discharge, swelling or blood at all and my erections did not hurt. I did not even remember it unless I think about it or when I am occupied. It seems like its presence is less or gone when I am standing or walking for periods of time. I would like to confirm what it is? Doctor: Hi. Yours is one of the most common problems which I see in my outdoor department every day. It has different terminology amongst different clinicians such as urethritis, prostatitis, chronic pelvic pain syndrome, etc. Probable reasons are some irritation of nerves around the prostate area. The reason for it is generally unknown but in majority tends to get worse with stress. It is physically harmless except that it is bothersome. Most of the tests will be normal. It can be controlled with medicines. However, it tends to come and go; aggravated especially during the period of stress and tends to disappear when you stop bothering or thinking about it. Treatment steps are as follows: Most of my patients respond to the above treatment. If the problem comes back again after a few weeks or months, then I generally repeat Amitriptyline for a few more days." + }, + { + "id": 17895, + "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": 7440, + "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": 717, + "tgt": "Could right eye be more sensitive than the left?", + "src": "Patient: Hi doctor, I am 44 years old. My right eye seems a little more watery than my left eye. It is not running down my cheek, but does feel a bit more watery. I just feel this for a couple of weeks. I have not had any swelling or pain in my eye. Also, there is no discharge from my eye. My vision is normal. Could right eye a bit more sensitive than the left? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9394, + "tgt": "Had a temporary crown and getting pain when I bite. Could the crown cause this?", + "src": "Patient: Hi doctor, I had a temporary crown on a tooth on the upper right side almost a week ago due to extreme sensitivity and pain when biting down. My dentist said that I had a microfracture and so he placed the crown. I am still experiencing pain when I bite down but less sensitivity than before. However, now I am also going through a general pain in my lower jaw on that side too. It is not coming from any one tooth, but it does seem to be radiating from the back. Could the crown cause this? I am currently on Hydrocodone, Verapamil and Spironolactone. I wake up in the morning with pain on that side, but only since having the temporary crown put on. I did have some nerve damage to that side of my face from a partial parotidectomy two years ago. However, it has never affected my teeth. Doctor: Hi. I have read through your complaint and the relevant details. 1. A carbon strip will be placed on the crowned side to check your bite, and accordingly, the crown height will be adjusted with still maintaining the shape of the crown. 2. Temporary crown has to be changed to the permanent crown as per the treatment plan was given to you. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25847, + "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": 19804, + "tgt": "Is it normal to bleed on the second occasion of sex?", + "src": "Patient: Hi doctor, I am 18 years old. I am on the contraceptive pill\u00a0and have started my second month by last week. Two weeks ago, I had sex for the first time and bled during and after sex. But, thought nothing of it as it was normal. Then, I had my period on my pill free days. When I had sex yesterday, I bled again for the second time. Is this normal? Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17408, + "tgt": "How can jock itch be treated?", + "src": "Patient: Hello doctor, I am a 29-year-old non-diabetic male. I am suffering from a jock itch and ringworm infection. I have been applying Quadriderm cream but I have not noticed any significant improvement. Rather, the itching has intensified. The inner thigh and anal area have turned brown. On ringworms, I have applied Candiderma Plus. But, there is no improvement. I have attached pictures of the infected area. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). I suggest you take an oral antifungal like Zimig 250 mg (Terbinafine) or Canditral (Itraconazole) 200 mg capsule once a day for four weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Topically, you may apply either Lulifincream (Luliconazole) 1% cream or Onabet (Sertaconazole) 2% cream twice daily for four weeks. In addition to this, you may take tablet Cetirizine 10 mg once daily for symptomatic relief from itching. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5410, + "tgt": "I am having a sudden onset of little itchy bumps in the body. What to do?", + "src": "Patient: Hello doctor, So for the past couple of weeks, I have been very itchy and will break out in little bumps. I went to the doctor to find out if it was an allergic reaction or something else but they were not very helpful. They prescribed me Desonide for the breakouts. I have been using it but it has not helped with the itching. I also talked to a pharmacist and she asked if I had ever had experience with eczema and I did when I was a baby, but I thought I had grown out of it. She recommended me taking Claritin for the itching and using a moisturizing lotion and to continue using the Desonide. I have been doing this for a couple of days and I am still itching like crazy. I do not know what else to do. Doctor: Hello. I have read your query. Profuse itching over your body leading to a little red bumps could be an urticaria or an allergic reaction. Since it is from two weeks it can be acute urticaria. Urticaria uaually comes down in 24 - 48 hours to appear in other areas. These can also be called as hives. Complete blood count along with differential count IgE (immunoglobulin E). Acute urticaria. Anti-pruritic creams like Sarna or Ritch cream. Can use steroid like Mometosone if the itching is persistent over the area. If there are too much of red bumps and itching is not controlled you can use a low dose oral steroid Prednisone 5 mg for a week along with oral antihistaminics Hydroxyzine 10 mg in the night and Fexofenadine 120 mg in the morning time." + }, + { + "id": 12920, + "tgt": "What is the treatment available for recurrent pilomatricomas?", + "src": "Patient: Hello doctor, I have had three pilomatricomas removed surgically since I was 12. I still have five left in my body. My father also had them too. Is this something that eventually stops occuring? Doctor: Hi. Pilomatricoma is a small benign tumor arising from the base of the hair follicle. Usually, they are not hereditary but very rarely 1 out of 100,000 cases, it can be genetic. Once cured after surgery they do not occur at the same place but in your case, one cannot guarantee you that it will not occur again. All you have to take care of is that it does not become infected and do not squeeze or pinch it." + }, + { + "id": 10565, + "tgt": "Are cough and chest congestion the symptoms of pneumonia?", + "src": "Patient: Hello doctor,I am having cough and chest congestion for the last three days. Also getting a mild fever again and again. I also have a chest X-ray done today only. Please suggest is it pneumonia and if yes how severe is it? Doctor: Hello. Your chest x-ray appears normal. There is no pneumonia. What you have is an upper respiratory tract infection (URTI), mostly caused by viruses. This is a self-limited disease and usually clears up within seven days on its own. Sometimes, cough can persist a while longer and is called post-viral cough. Antibiotics are useless against viruses. They should only be used against bacterial infections. Viruses cause the vast majority of URTIs. These infections spread through the air (when you cough or sneeze) or through contact. They are not transmitted through food. Treatment for viral URTI is symptomatic. Fever medicines like Paracetamol, Ibuprofen, or Naproxen can be used. Nasal decongestants for the congested nose. If cough persists beyond a week, then a corticosteroid inhaler can help." + }, + { + "id": 10207, + "tgt": "Why am I having a yellow thick foul smelling vaginal discharge?", + "src": "Patient: Hi doctor, I have a yellow thick foul smelling discharge. It has been a while but it seems to be a problem. My partner also mentioned that I have extra smell compared to his previous partners. Why is this? Doctor: Hello. You are suffering from bacterial vaginosis which is a bacterial infection. This can be confirmed with a high vaginal swab culture and shall require a course of antibiotics for a week with avoidance of intercourse during treatment. Try using alkaline vaginal washes to clean yourself and avoid chemical soaps. Meet your gynecologist for a local examination and prescription." + }, + { + "id": 13569, + "tgt": "Can playing baseball cause lower back pain?", + "src": "Patient: Hi doctor, I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now? Doctor: Hello. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me." + }, + { + "id": 22589, + "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": 12023, + "tgt": "I am getting red spots after shaving. Why?", + "src": "Patient: Hi doctor, A fly bit on my neck around 2-3 days back. It has lead to red spot on that area and further the spots increased with time. I am not sure whether some of the spots have come as I shaved my beard at that time as well. But, such spots have never appeared due to shaving in the past. I have attached pictures of the same. Kindly guide me. Doctor: Hi. I have gone through your complaints and seen the attached photographs (attachment removed to protect patient identity). According to me, the small spots are due to pseudofolliculitis which is because of inflammation caused by shaved hair. I would recommend you to apply steroid antibiotic combination like Mometasone and Fusidic acid combination on the affected area twice daily for 7-10 days. Also apply the same cream on the insect bite area. If these spots are itchy take tablet Levocetirizine 5 mg one tablet daily at bedtime. Inflammation due to shaved hair. Pseudofolliculitis. Avoid shaving for few days." + }, + { + "id": 28060, + "tgt": "I have PCOS from eight years, and now I am trying to conceive. Please guide me", + "src": "Patient: Hello doctor, I have had PCOS on and off for more than eight years now. I have a 7 year old\u00a0child, and I have been trying to conceive for the past six months with no results. I took Diane-35 for seven months and stopped it half a year ago as we started planning for my second baby. After stopping it, I have had my periods regularly. My last period was over a month ago. I have severe pain in my pelvic region for the past three days. I went for an abdomen and transvaginal scan today, and everything seems to be normal. The uterus size is 5.6 x 4.0 x 5.7 cm, the endometrial thickness is 9 mm, ovaries are 3.2 x 2.2 cm and 3.0 x 2.0 cm. The report says multiple peripheral small follicles with central hyperechoic stroma noted in both ovaries. What does it mean and why am I unable to conceive? I have attached my reports for your consideration. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16386, + "tgt": "What can be done for eye contact anxiety?", + "src": "Patient: Hey doctor, I have been shy for as long as I remember. Not sure when I started suffering from social anxiety, I guess it built up slowly. Probably started in the middle of my teenage years. I am 32 now. I have been able to get through pretty good during the years. However, something really nasty started when I was about 27 to 28. Back then it was only sometimes, pretty rare at the start but now it is happening all the time, regardless of who I am interacting with, random people, family, and friends. What I am talking about is something I would describe as terror. So, it is not the everyday fear or anxiety I used to be able to deal with. It is fear as extreme as it gets. I am pretty sure I would not even react in this way if I met a bear in the wood. It happens upon eye contact. There is not really any time in between the eye contact and the arising of this terror, so it is not like I can do anything. My mind reacts with terror as soon as my eyes meet another person's eyes. It comes like a quick surge and then it settles so I can actually still communicate but those surges can still come back later in the conversation. However, these moments of terror are so nasty that I have started to avoid meeting anyone (I know, it does not make things better. But what to do? This is insane stuff going on (sometimes I get these attacks when I watch people in movies even). This thing has a bit of a domino effect as well because I see no hope anymore, am depressed and would rather not be alive at all, to be honest. If one is not able to enjoy another human's company, what is the point? I am interested to know what is going on with my mind. I wanna know what this is. More details about the presenting complaint: Already stated, current medications: None, past medications of the same issue: none, lab tests performed: none. Doctor: Hello. I understand that it can be extremely distressing for someone to feel the way you have been feeling. You seem to have a social anxiety disorder that has worsened lately. Sometimes it is common for social anxiety to run its own course, where it waxes and wanes and worsens during some life periods (hence the terror that you have described). It can also lead to depression because of the suffering involved. The good thing is now we know a lot about this disorder in terms of treatment. There are medications as well as therapy options like cognitive behavioral therapy which have been shown to be very effective in people with this disorder. I would encourage you to seek help from a qualified psychiatrist as soon as possible so that you feel better." + }, + { + "id": 17192, + "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": 12745, + "tgt": "How important is Folic acid during pregnancy?", + "src": "Patient: Hello doctor, I am currently pregnant seven weeks now. I had a missed miscarriage eight months back. I used to drink cheap Folic acid and Pregomega. I drank Pregomega up until the end of the last month. I stopped drinking the cheap Folic acid and started Inofolic on the first of last month. When I contacted my gynecologist, he said I must stop taking all medication until my eight weeks appointment. Is this fine? I stopped the Pregomega, but I am still taking Inofolic as I know how important Folic acid is for the baby's growth. Doctor: Hello. A pre-pregnancy Folic acid requirement is there. Actually Folic acid is best to start three months in advance before conception. As soon as the lady misses her first period, an initial base of central nervous system had already been kept as neuropores close before 28 days of the menstrual cycle even before confirming pregnancy in most of the ladies. So Folic acid is best to take three months periconceptually. In early eight weeks, Folic acid supplements are better to have. From the start, if pregnancy hemoglobin should be normal as in advanced pregnancy due to physiological changes there could be more reduction to hemoglobin so more Iron oral and dietary supplements are required. Calcium with Vitamin D is needed also in few ladies. Have a balanced diet with lots of fruits, vegetables and plenty of water. Have complete treatment of any health issue you have. Have recreational activities and quit recreational drugs. Hemoglobin needs to be maintained in the future period of pregnancy." + }, + { + "id": 22413, + "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": 9632, + "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": 12836, + "tgt": "Is it normal to have high RBC and hemoglobin counts with low glycated hemoglobin?", + "src": "Patient: Hello doctor, I am 53 years old, 183 lbs, 5'4\". For years, I ran a high white blood count and the oncologist said nothing can be done about that. We need to now watch red blood count and RBC distribution and watch my spleen. Now approximately nine years later, for the last four years, I am seeing red blood count high, hemoglobin high, hematocrit high, monocytes high, red cell distribution worth high, mean corpuscular hemoglobin content low, glycated hemoglobin high. I am very concerned. Doctor: Hello. I have reviewed your query and below is my opinion. Your attached reports are suggestive of high RBC, hemoglobin, and HCT as per provided reference range in a laboratory report. So it is suggestive of polycythemia. It can be primary or secondary. Primary polycythemia seems very less likely here as total WBC count and platelet count is within range. Primary polycythemia is a myeloproliferative neoplasm. Although the possibility is very less you can rule it out by JAK2 mutation test and exon 12 study by a molecular test. For secondary polycythemia, rule out cardiac and respiratory causes by EKG and chest X-ray investigation. Your glycated hemoglobin is slightly high (attachment removed to protect patient identity) which is suggestive of a prediabetic stage. So take less sweets and fatty meals. Regular exercises are also beneficial. Repeat sugar testing with fasting and postprandial blood glucose estimation. Your vitamin D level is low for which Cholecalciferol sachet 60000 IU once a week for eight weeks can be prescribed. The slight high monocyte could be due to cytomegalovirus infection. For that virus only symptomatic management can be done. There is no specific medical treatment for that. Your CBC result is not alarming but needs to be monitored. If you are a smoker, then it can also lead to such a finding. Your ANA is positive which can be falsely positive in infection. So repeat it after few days and clinical correlation is needed for that. I suggest you consult near by hematologist for detailed examination and discuss all these." + }, + { + "id": 29351, + "tgt": "Why am I getting constant nervousness along with dry nose and breathing diffculty?", + "src": "Patient: Hi doctor, I am suffering from constant nervousness. It is neither due to stress nor from panic or anxiety. I do get it once in every four years. Along with the nervousness, I get a dry nose, frequent burning of stomach and gas after having food. I think it makes my breathing uneasy. I cannot keep still, and I have noticed that I become slightly forgetful and struggle to be fluent when speaking. I have tried nasal sprays and breathing techniques with herbal teas. But, nothing seems to work.\u00a0 I struggle with my feet as I have osteoarthritis. I would appreciate any of your help. Doctor: Hi 1. X-ray chest. 2. Pulmonary function test. 3. ECG (echocardiogram). 4. 2D echocardiography. 5. Holter monitoring. 6. T3, T4 and TSH (thyroid-stimulating hormone). Anxiety with panic attack. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26002, + "tgt": "Can I get herpes from the use of unsterilized instruments?", + "src": "Patient: Hello doctor, I required deep cleaning my teeth. So I came to my hometown and started seeing my family dentist to whom my entire family is going for a couple of years. One week ago, I started the treatment which was deep cleaning on one side of the teeth. I always dreaded about cross-contamination and I explained this to my doctor who showed me their autoclaving procedure and also the instruments used by him was removed from a sealed pouch by him in front of me and so were the gloves and I was happy about the safety protocol. Yesterday, I went for my second sitting and during the part where the anesthesia was given to my gums, the instruments used was as usual removed from a sealed pouch by him but for the actual cleaning part which was done in an adjacent clinic, the nurse who helped him gave the dental motor probe and the tweezer in an open tray. I immediately asked both the nurse and the doctor about this and both assured and swore that those instruments were the ones that were removed from the sealed pouch and the nurse had brought it to this room with the help of a tissue paper and I need not be scared about the cross-contamination as they do not ever use the instruments on others. He even took me to the autoclave room and showed me how the procedures are done and explained to me how the attendees and nurses are instructed to adhere to the rules. Since I have cross-contamination phobia, I am unable to believe him though I want to. The time difference between the last patient and me was about 10 to 15 minutes. It was an airconditioned room. I have no idea about the last patient's medical history. He was a middle-aged person and a laser treatment was done for him but again I have no clue what sort of treatment he had. I would like to know how long does the herpes virus survive. I am so scared that I just cannot sleep, breathe or do anything. Please help me as I am petrified. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 33, + "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": 22685, + "tgt": "I am suffering from brown pigments all over the face. Kindly look into it", + "src": "Patient: Hello doctor, I am a 27 year old female, married with a baby. From last month, I am suffering from unwanted mole/brown reddish pigment all over the face. It is not itching but spreading very rapidly and completely destroyed my beauty. I am really worried about this. I used Dr. Reckeweg 23 drops from last seven days but no such changes. The thyroid is normal. Mensuration is normal and also have no other problems. Kindly look after this. Photos attached. Doctor: Hi. I looked at the photos (attachment removed to protect patient identity) and it seems like small, mole or wart-like lesions. Kindly stop Dr. Reckeweg drops. I suggest you take Thuja 200C three drops in one teaspoon of water or four pills under your tongue once a day for seven days. Also, apply Berberis Aquafolium mother tincture over your face once a day for seven days. Add 10 drops of liquid in half cup of water, stir it well and apply over the face at night. Let it remain over your face for 30 minutes and then wash it with lukewarm water. Keep the remaining liquid in the fridge and use it next day. Kindly let me know if you have any questions with respect to the medicines and report back after seven days. Revert after a week to a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 840, + "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": 8313, + "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": 24213, + "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": 21066, + "tgt": "I want to know about my risk of heart disease. How can I change my lifestyle?", + "src": "Patient: Hi doctor, I am 47 years old. I am 91 kilograms of weight, and my height is 5 feet. I have high BP and presently taking tablet Atenol 50 during the night and Losar 50 in the morning daily. I also had a gastric issue before six months. But now it is fine. I smoke two cigarettes in the morning and at night. I do not drink. But I usually drink two to three times a year, and I drink one or two bottles of beer. I have artificial teeth placed in the upper with five teeth and 12 teeth in the lower. My sugar levels, both fasting, and postprandial are fine. My cholesterol levels are within the range. I do not have the habit of jogging. The only exercise I do is walking. I tend to consume more traditional sweets (100 g per week). I eat rice mostly with dal, and fish with chicken curry. I am worried about my health issues. I want to know about the risk of heart disease. What should I need to do to change my lifestyle? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your reports are fine except the fatty liver which is due to being overweight and borderline cholesterol which is also linked to same. The most important risk factors in you are obesity and smoking. So try to reduce the weight and stop smoking. Smoking is much more injurious than alcohol. A single cigarette a day is more dangerous than a 100 ml beer a day. Also, hypertension should be under control. You should have a healthy lifestyle like avoiding fatty, oily and a high-calorie diet. Also, try to restrict taking sweets which increases weight. Have a low salt diet and monitor blood pressure regularly thrice a day for a week or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then you should be on medicines for it. Do regular exercises like brisk walking, and jogging according to your capacity at least for 30 minutes a day and five days a week. Take lots of green leafy vegetables, fruits, and fish once or twice a week, and avoid taking meat. There should not be an abdominal fat deposition or obesity and try to lose weight. It is better if you get some screening test done like echo (echocardiogram) and TMT (treadmill test), although not urgent." + }, + { + "id": 28729, + "tgt": "I over-exerted myself in the gym. How to quicken the recovery?", + "src": "Patient: Hello doctor, I am a 17 year old male. Yesterday, I was at the gym, and I believe I over-exerted myself. I went swimming and played basketball. After 2 hours, I felt very faint. I was lightheaded and sweating profusely,\u00a0had trouble with breathing and could not walk. I sat down for 30 minutes and was able to go home after that. However, the day after, although I am now able to move around again and breathe easier, I am still quite lightheaded. I was wondering if this was normal. Is there anything I can do to quicken the recovery process? I have decided to stay away from the gym and take rest for the next few days. But, I am worried about being lightheaded despite it being 24 hours since I over-exerted myself. Any of your advice would be helpful. Thank you. Doctor: Hello. I have gone through your query, and I can understand your concerns. Physical exhaustion. Dehydration. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11263, + "tgt": "How can I avoid pregnancy after having unprotected sex on the sixth day of my period?", + "src": "Patient: Hello doctor, I had unprotected sex on the sixth day of my period in which bleeding has already stopped. What should I do to avoid pregnancy? Doctor: Hello. Please send me some more details. If you have regular cycles with 28 days or more, then day six of periods is not the fertile period of your cycle. But having short irregular periods results in the risk of having the issue of conception. So check on your cycles. If regular and if 28 days or more in duration then no need of I-pill or emergency contraceptive. Otherwise, in case of the irregular or short period better to have emergency contraceptives pill. Have complete treatment of any health issue you have. Have a balanced diet, weight, and BMI. Practice daily walk and yoga. You can have regular contraceptives to avoid conception. Hormonal. Depends on cycles regularity. As per need." + }, + { + "id": 11576, + "tgt": "Are the white and sore blisters in genitals due to herpes?", + "src": "Patient: Hello doctor, I am 21 years old, girl and I think I have genital herpes. I am full of white blisters that are very sore and burn. My lymph nodes in my groin are swollen and tender too. I generally have been feeling very poorly for the last few days. I am extremely uncomfortable. I am taking contraceptive pill. Doctor: Hello. It is better to confirm that it is herpes by having one local examination by infectious control specialist and to have high vaginal swab or biopsy from lesion to check in laboratory. If it confirms, you can have tablet Acyclovir 800 mg five times a day for 10 days but only after confirmation. Have complete treatment of any health issues you have. Have recreational activities and quit recreational drugs. Have balanced diet, weight and BMI. Have a strict hygeine." + }, + { + "id": 13460, + "tgt": "Kindly describe the ways to manage hyperactivity in an autism child", + "src": "Patient: Hello doctor, My son is 7 years old. Diagnosed with mild autism when he was 3. Currently, showing hyperactivity, unable to sit still without supervision. Seems restless all the time. He has delayed speech development. He is not on any medication but under behavioral therapy. Doctor: Hi. Autism, unfortunately, is sometimes associated with an array of other behavioral co-morbidities like intellectual disability and ADHD (attention deficit hyperactivity disorder). The symptoms you described are almost suggestive of ADHD. Along with behavior therapy, medicines like Methylphenidate, Amphetamines, and Atomoxetine are very helpful in controlling hyperactivity and attentional problems. These medicines are FDA approved for such problems." + }, + { + "id": 11629, + "tgt": "I am loosing memory following a sharp and painful headache. Why?", + "src": "Patient: Hello doctor, I get headaches very often. It is very sharp and painful. I feel tired if I workout a little bit. During workout I get headaches. I started losing my memory like I forget things too soon. Why is this happening? What might it be? Doctor: Hello. While workout you are getting a headache. What kind of workout you are doing? Is the headache one side or mention the area whether front, back or sides? And you said after headache you are getting tiredness and memory loss. Some times in migraine headache you will have like this but usually one side. So I will suggest a few investigations. 1.CBC (complete blood count) and Hb (hemoglobin). 2.ENT (ear, nose, and throat checkup) and ophthalmologic check-up. 3.MRI brain. 4.Blood sugar levels. For the time being, take this medication with the consent of your treating doctor. 1.Tablet PAN-D (Domperidone and Pantoprazole) 1 bd (twice a day) before food. 2.Tablet Stemetil (Prochlorperazine) 5 mg thrice a day. 3.Tablet Paracetamol 650 thrice a day for five days." + }, + { + "id": 9815, + "tgt": "I am a pneumonia patient and suffering from back inspite of having medications. Kindly advice", + "src": "Patient: Hello doctor, I was diagnosed with pneumonia a few days ago, and I am on antibiotics and a muscle relaxant to help with my pains. My back is feeling the worst compared to everything else, and even when I am taking the muscle relaxants, it does not seem to help my left mid back fully. Could this be something else? Doctor: Hello. There are multiple causes of chest pain at that site. It can arise from lungs, muscle, or bone. The cardiac reason is unlikely. I need to know details of your symptoms like since when you have this pain, other symptoms, any prior illness, you can also upload your blood reports, X-ray and discharge summary or prescription if available for better analysis. Since you are diagnosed with pneumonia, we would consider the pain to be arising from the lungs. The pain associated with pneumonia is called pleuritic Chest pain, and this kind of pain is sharp and increases on deep breathing. Muscle relaxant will not help in this kind of pain. For this kind of a pain, you will need tab Ibuprofen 400 or Diclofenac 50 mg whenever needed up to two times a day. So you can get this prescribed. It will resolve once your pneumonia is settled. If it is continuing for a long duration, then we must rule out other causes, and we should get CECT (contrast-enhanced computed tomography) of chest done. Sometimes some patients may get post pneumonia pains, which takes a long time to resolve. I hope this helps you and get back if you have any doubts." + }, + { + "id": 14581, + "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": 11305, + "tgt": "I want a fair skin. Can I use skinlite cream to get a fair and glowing skin?", + "src": "Patient: Hello doctor, I have a very dark skin. One of my friends used skinlite cream and she has turned very fair. Can I also use that cream to get a fair and glowing skin? \u00a0I really want a fair skin. I am just tired of my skin.\u00a0Please help me doctor. Doctor: Hi. Natural complexion is the best. Melanin, the pigment responsible for the skin color has protective effects. Use cleanser like cetaphil to wash your face. You can use sunscreen lotions like shade lotion regularly 2-3 times a day. Skinlite is a combination cream with steroid too. It may do more harm than good. Once you stop using, it may worsen the situation or rashes may erupt. You can use peeling agents like glyaha lotion to begin with and later with glyaha-hq lotion in the night after consulting you doctor. Consult a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2168, + "tgt": "Why am I getting pus from the stitches of cesarean operation?", + "src": "Patient: Hi doctor, I had a\u00a0cesarean operation before nine months. But, my stitches have not been cured\u00a0yet. Earlier, pus used to come out\u00a0of the hard structure and began to gather on my belly. Now, after two months, again a little bit of stitch has been opened. Please help me. Doctor: Hi I had gone through all the details you have posted (attachment removed to protect patient identity).\u00a0 For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12426, + "tgt": "Is it true that adult palate narrow with age?", + "src": "Patient: Hi doctor, Can the adult palate narrow or change shape due to age or stress or hormonal factors? Doctor: Hi. Yes, definitely. Age changes occur in all our body, including our bone shape and density changes. The bone depth and density decrease with age in our jaws, causing gaps in our teeth, exposing more of our root part of teeth sometimes and it includes narrowing of the palate too. This is troublesome for patients wearing dentures as denture size alters by deepening of the palate. Stay happy and blessed. Take care." + }, + { + "id": 6648, + "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": 11125, + "tgt": "Is it safe to give urai marundhu for a 3. 5 month old baby?", + "src": "Patient: Hello doctor, My baby is 3.5 months old. In my house, they are saying to give urai marundhu is it safe to give? As my daughter is licking her fingers, my mom wants to keep castor oil or neem oil, is it safe to keep it on her finger? Doctor: Hello. Urai mathirai or marunthu is safe but advisable only after six months. In case of emergency, you can give within six months. Kids will not lick their fingers as they tend to suck only. Either the kid needs milk, or it may feel insecure in the prolonged absence of mother say more than half an hour. It is a normal phenomenon, so do not worry about that. Do not keep neem oil at this stage." + }, + { + "id": 8251, + "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": 6415, + "tgt": "Can Heparin be taken during pregnancy for low protein S count?", + "src": "Patient: Hello doctor, I am 7 months pregnant and my first pregnancy was a missed abortion. During this pregnancy, I underwent tests like thrombophilia profile and protein S antigen test in which my protein S levels were found low: 58% according to protein S antigen and 32.90% as per protein S functional test. The doctor has told me to take Heparin (Enoxaprin) injection daily of 40 mg throughout my pregnancy and six weeks after delivery. Kindly suggest. Doctor: Hi. Based on your query, my opinion is as follows: 1. Protein S antigen levels are borderline, however the functional activity level is a bit low. 2. This increases the risk of clotting, which is always increased in pregnancy. 3. To reduce anticoagulants like Heparin is necessary. Ecosprin will reduce activity of platelet and hence both will be helpful. Do continue as prescribed. Watch out for any purpura or bleeding spots in skin. You can get a prothrombin and activated partial thromboplastin time done to check the efficacy of heparin, if necessary." + }, + { + "id": 8038, + "tgt": "Can ayurveda treatment dissolve kidney stones of size 1. 2 cm which is in the right UV junction?", + "src": "Patient: Hi doctor, I am a 58 year old male. My ultrasound scan shows 1.2 cm kidney stone in the right UV junction. I have no serious pain or discomfort. I am going through my daily routine without difficulty. The main problem is frequent urination. I faced the problem of continuous urge to urinate and mild pain on the right side for around five months ago. That time only basic blood and urine tests were conducted. As I had the pain again before a few days, I had an ultrasound. An ayurveda doctor says that I should take Stonex and Cystone tablets for two to three weeks and the kidney stone will disintegrate and pass through urine. I was advised that the creatinine level of 1.6 mg/dL is not high and I need not worry. I was also advised that only in case of extreme emergency and severe pain, I should go through lithotripsy and not ureteroscopy. In contrast, the allopathy hospital says 1.2 cm stone will not come out through conservative management like Cystone and Stonex. The kidney stone is obstructing the right kidney, which has led to rise in my creatinine. I was advised to go through ureteroscopic removal of the kidney stone. Which is right? Can ayurveda treatment with Cystone and Stonex disintegrate a 1.2 cm stone in a short time? Can I wait and watch for a few weeks? Either lithotripsy or ureteroscopy, which is better for the removal of stone in the UV junction? Doctor: Hello. The size of your kidney stone is 1.2 cm and it is in ureterovesical junction, so it is not causing you any major problem till now. From the kidneys, ureters continue to urinary bladder to expel the urine. The diameter of the ureter is 3 to 4 mm. So, you can guess that the stone is bigger than your ureters. Cystone and other ayurveda medications can help only the smaller stones to expel out of the kidney. But, this type of stone cannot get out of your ureters through medication. Because, if it get out of the kidney to the ureter, then it will stuck there and will cause you immense pain. It can possibly come out if and it got crushed through medicine, but it all depends upon that from which thing the stone is made up of. Some stones are made up of calcium carbonate and some are made up of uric acid, etc. At this stage, we cannot say that of which thing the stone is made up of. The second thing is that your creatinine is a bit higher and the normal range is up to 1.2 mg/dl. It is not that high that it will cause you any trouble immediately, but it might be due to kidney stone that is hindering your renal function test. You are not facing any pain because the stone is in the kidney. Unfortunately, if it comes down to ureter, then you will face trouble. So, take some precautions. Do not lift heavy objects and do not do hard physical activity till the problem is solved. If you want to wait for some time and continue your medicine, then repeat your serum creatinine every week to keep an eye on it. So, that it will be in your knowledge that the stone is not disturbing your kidney function. But, do not wait for too long. Wait for two to three weeks only. Then, repeat your ultrasound again. You can also go for an x-ray KUB (kidney, ureter and bladder). If the size increases or does not change, then according to your kidney function tests you can take the decision. After waiting for this much of time you will come to know the exact situation about your stone. Then, kindly consult a urology surgeon. He will explain you all the phenomena according to your reports and condition. Unknown etiology or dietary habits or hereditary. Ultrasound abdomen, x-ray KUB and serum creatinine. Revert back after three weeks to an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18263, + "tgt": "I am worried about my prostate enlargement. Please help", + "src": "Patient: Hi doctor, The sudden increase in the\u00a0size of my prostate from 75 g to 100 g in a year worries me. Three biopsy test results taken before six years were negative. The PSA level stabilized, and free PSA ratio was satisfactory. Please see the enclosed results. My problem is frequent urination. Doctor: Hi. BPH (benign prostatic hyperplasia). USG PVR. Tamsulosin 0.4 mg plus Tolterodine 2 mg (capsule Roliflo) once daily at night. Revert after 10 days to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12140, + "tgt": "What causes loose motion after stomach pain?", + "src": "Patient: Hi doctor, My husband aged 35 years had a moderate to severe stomach pain last morning which lasted for about seven hours and he had a mild headache as well. I gave him Topcid and Eno to drink in the morning suspecting it might be gas and he also had a Saridon for headache. The pain is now gone but he had a loose motion before sleeping and then one in the morning. Is it something threatening or was it just simple gas pain? Doctor: Hi. Most probably it is indigestion and probably some poisoning of food. Give him plenty of fluids. Avoid spicy oily foods, alcohol and smoke. Give him Eno symptomatically and let him take Pantoprazole 40 mg one tablet twice daily half an hour before meals for a week. Do let me know the progress. Warning symptoms are worsening pain, acute excruciating pain, fever, vomiting, blood in stool, etc." + }, + { + "id": 2595, + "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": 21361, + "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": 8165, + "tgt": "My Anti-HBc is reactive with negative HBsAg, and HBV. Kindly clarify", + "src": "Patient: Hello doctor, I gave a blood test came back, saying I was anti-HBc reactive and negative on HBsAg, and HBV. I am curious to know what this mean? I have never had any of the symptoms for HBV and was wondering if it could be a false reading. Kindly clarify. Doctor: Hello. Went through your post, and to be honest, it is tough to even for doctors to interpret hepatitis B serology results, and I will try to make it simple and hope you will be able to understand. 1. Positive HBsAg means one is infected with Hepatitis B, which may be chronic, acute, or a carrier state. 2. A negative HBsAg and positive hepatitis core antibody IgM type may occur early in acute hepatitis for only some period, which is called window period, and yes, any serology test can come false positive or false negative. Any way Hepatitis B is usually a self-limiting disease and about 99 % of adult people settle in six months period. I suggest you repeat Hepatitis B serology whole, which includes HBsAg, HBc antibody, and HBs antibody and let me know." + }, + { + "id": 27897, + "tgt": "Are my mother's symptoms indicative of a stroke or something serious?", + "src": "Patient: Hi doctor, My 58 years old mother is under treatment for hypothyroidism, hypertension, osteoarthritis of knee joints, and mild anemia. Her hemoglobin is 10.5 to 11.0 g/dL. She is currently on the following medicines, Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3, Uprise XT, and Folvite. Six months back, one day after breakfast, she had reported an incident of reeling of head and darkness in eyes, which got normalized after she laid down on the bed. She also had a\u00a0fever (100 to 101 F) with cold and cough that time, which took 3 to 4 days to settle down with antibiotics. One day after lunch, she again reported reeling of head and darkness in eyes, after which she got bent towards left side with her left-hand palm shaking for 15 to 20 second. And she was almost about to fall, which was stopped by us. She seemed to be in a subconscious state for 3 to 4 minutes, and she stared at something during that time. When we attempted to talk to her, initially she could make out only some sounds, followed by normal words, but in a strange voice, which got normal the next moment. However, coming back to sense, she was worried about the ongoing health issues of her son, and she had no memory of the incident at all. She was back to normal activities in next 10 minutes, and she did not report any arm or leg pain during that time. She also had a little cold the previous day, for which she took Cetirizine tablets. We consulted a doctor after 5 to 6 such incidents, who mentioned this as a case of sodium and potassium imbalance due to viral infection. He also examined her physically, and he said that her\u00a0BP is 122/82 mmHg. As there was no history of convulsion, as well, without ordering for any further investigations. However, I would like to summarize a few symptoms as follows, which keep me worried. She reported feeling very tired and sleepy until at least two weeks of the incident. She had quite a few occurrences of constipation followed by gastritis 5 to 6 times of motion along with weight loss in the last 3 to 4 months. After the day of 5 to 6 times of motion, she reported feeling heaviness in legs, difficulty in walking along with a severe headache right from the morning. When we reported this to our doctor, he asked to test her sodium (138.4 mEq/L) and potassium (3.72 mEq/L) levels, which came back normal. Since the last couple of months, she felt a significant increase in her left knee joint pain, which I am not sure if totally because\u00a0of existing osteoarthritis or not. Since the last couple of months, she felt difficulty in lifting heavy objects, especially, with the left hand and to some extent with right hand too.\u00a0I have attached her recent routine test reports along with the doctor's prescription. Could you please review the incident along with the reports? Is it a stroke or TIA or something serious? Doctor: Hi. Thank you for your question. You have described your mother's symptoms very well. I will be happy to answer any other questions you have. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5907, + "tgt": "The cap of my tooth busted before two months. Is it good to wailt for two weeks as per dentist advice?", + "src": "Patient: Hello doctor, I have busted my tooth about two months ago. I tried to consult a dentist. The first dentist told me a huge cost for pulling it and the titanium screw. Went to the second dentist for a second opinion. He said I have to wait for another two to four more weeks to even get started. Does this sound normal? Actually, I had a cap on the same tooth 18 months ago, and that busted directly above. I can feel with my tongue that it protrudes lower. Doctor: Hello. You have mentioned that the present tooth problem has been there for two months. You have already had a crown in the same tooth before eight months. Have you undergone a root canal treatment for the same? It would be better if you could attach the following: 1. An intraoral photograph of the affected tooth. 2. An x-ray (intraoral periapical radiograph) of the affected tooth. The exact diagnosis and the treatment plan can be decided after going through the above. Since you have been having the busted tooth for two months, I assume that there was either no pain or very minimal pain. Because if there was any abscess or infection related to that tooth, you might have had severe pain, pus discharge or swelling. So, the chances of acute infection are very minimal. There is no emergency and may be this is the reason why your dentist had asked to wait for two to four weeks. If there was any infection at present, your dentist might have put you under medications and would have asked you to come for extraction in three to four days. May be there is gross decay of tooth or there is no scope for saving the tooth, and that is why the dentist had advised extraction (pull out the tooth). I can comment on the treatment plan only after seeing the picture and x-ray. If you are going to get the tooth extracted, then it can be replaced by either implant (screw and cap) or fixed partial denture or removable partial denture depending upon your choice. I hope this helps." + }, + { + "id": 5443, + "tgt": "My wife experienced 8 days of period which was never before. Is it something to be worried?", + "src": "Patient: Hello doctor, My wife is 28 years old. We have a daughter through cesarian and now she is 3 years old. We are using a condom as a safety measure to avoid pregnancy. She uses to have periods more or less normal lasting for five days. This time it came after 40 days with a spot of bleeding and no bleeding for three days after which normal bleeding has lasted for around eight days making it a total eleven days. This has never happened before and is worrying. Should we take this as some of the instance and continue monitoring or should we do some doctor followup? She had a uterus scan some five months back which was normal and a cervical smear test to evaluate cancer risk which was normal as well. Doctor: Hello. This episode of delayed and heavy bleeding might have been due to one of the two reasons. Delayed or absent ovulation. It is normal to have occasional cycle anovulatory and in such a case period will be delayed and heavy. If this is the case, there should be no need to worry as such an episode will not recur frequently. She might have been pregnant and it was early abortion and so heavy bleeding. Condom, used for contraception has a high failure rate and it is better to use some better contraception like oral pills or CuT (copper T). If bleeding has stopped completely, again, there should be no reason to worry. You can confirm whether she was pregnant by doing a simple urine pregnancy test. If it comes positive, you need to consult a gynecologist once for further management. Repeat the ultrasound if such episodes recur." + }, + { + "id": 165, + "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": 20698, + "tgt": "Is there any medicine to cure IBD in a 7-year-old kid?", + "src": "Patient: Hello doctor, My son is 7 years old. He has diarrhea with a lot of blood in it. He goes to the washroom almost 20 times in day and night. The doctors say he has IBD. They are giving him steroid medicine to stop his blood in stool and inflammation in the intestine. What would you suggest to take, or is there any medicine to cure IBD? Doctor: Hi. I can understand your concern. IBD (inflammatory bowel disease) is an inflammatory disorder of the colon. It can be managed naturally through Ayurvedic medicines. 1. Bilvavaleha half spoon morning and evening before food. 2. Kutajaghana Vati one tablet after food. 3. Dadimastaka churna 2 gm after food. 1. Avoid spicy and fried junk food. 2. Avoid tea, coffee, milk and milk product, cold drinks, ice cream, etc." + }, + { + "id": 13636, + "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": 8162, + "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": 10137, + "tgt": "What should be done when a 5-year-old has a fever of 102\u00b0 with TLC 16700?", + "src": "Patient: Hello doctor,My son is having a fever of 102\u00b0. He is 5 years and 4 months old. Since last two days, his temperature is not reducing. We have given Ibuprofen plus paracetamol syrup. Tablet Zedocef (100) DT 1 tablet twice a daily for five days after food. Syprup Ondem 5 ml thrice daily 1/2 hour before food, syrup Ibuprofen, paracetamol 7.5 ml 6 hours once after food. We tested his blood, but there was no malaria or typhoid. But his TLC is 16700. He is not taking any food, but sometimes he drinks ORS. So suggest us what to do? Doctor: Hello. You are already giving multiple antibiotics and antipyretics. The TLC (total leucocyte count) count in the report is on the higher side, which suggests some bacterial infection. Continue with the advised treatment. Some times fever may take three to four days to respond. Continue to give Ibugesic plus for each episode of fever for now. Cold sponging also helps to bring down the temperature. Get a repeat CBC (complete blood count) and Urine microscopy done. If fever is persisting and not responding to oral medication. The child may require admission for starting IV antibiotics. A complete clinical examination by the pediatrician to find out foci of infection is recommended." + }, + { + "id": 16201, + "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": 908, + "tgt": "Why is my left eyelid swollen, itchy, and painful?", + "src": "Patient: left eyelid very swollen and itchy with pain. It is also very itchy and painful and also having a white discharge from eye. I have been having the issue for a week and it is not getting any better Doctor: Hello, According to picture you have send its likely to be infective in origin. So you have to take antibiotics for the treatment. All these you have to take for 1 weeks. Then you will be fine. Infection As per now nothing ? Sty Infected lid swelling As mention above Do not rub your eye Do not touch your eye After 1 week" + }, + { + "id": 23660, + "tgt": "How to tackle depression until I meet my psychiatrist?", + "src": "Patient: Hi doctor,I have chronic depression as a result of trauma and abuse. I was taking Wellbutrin. I changed my job and moved to a new place. So, I ran out of the medication. Now, I am experiencing lethargy, fatigue and loss of interest. I am a bit concerned. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29003, + "tgt": "Why am I having acute pain in groin while playing football?", + "src": "Patient: Hi doctor, I have been experiencing acute pain in my groin and lower abdomen while playing football. This pain started around four months back, as a result, I had to stop playing. Thus the pain was not there since last two weeks and it started today after I played football again. The pain does not get better on taking Paracetamol tablets. Doctor: Hi. Sorry to hear about your sports-induced groin pain. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9258, + "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": 25588, + "tgt": "Why has my infant not passed motions for two days?", + "src": "Patient: Hello doctor,My 49-day-old son has not passed motions for the past two days. The last time I used Glycerin for three consecutive days as he did not pass motions for three days. He is only breastfeeding. Please help. Doctor: Hello. It is very normal for a newborn or infant to not poop every day. Some of them pass motions only once in five days also and some even extend beyond that. We should intervene or treat babies who have discomfort or straining to stool else no treatment is required. Babies will pass stools themselves. Another thing you can do is you can boil raisins in water and give that water. It helps in bowel movements and helps pass stools. Glycerine suppository is rarely required and not to be used on a regular basis. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10581, + "tgt": "Is it normal to have raised WBC count in teenager?", + "src": "Patient: Hello doctor, My 16 years old son had a routine CBC performed as part of his physical for summer camp. His white blood count came back low 3.4 thousand/uL (reference 4.5 to 13.0), absolute neutrophils 1445 cells/uL (reference 1800 to 8000), neutrophils 42.5 %. He has always been very healthy and has not had any recent illnesses or infections. The other numbers were within normal range. The doctor wants to retest the blood in three months. Why wait so long? Knowing that some of the causes of a low white count are serious makes me want to retest sooner. What do you advise? Doctor: Hello. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not in favour of repeating CBC after three months." + }, + { + "id": 11089, + "tgt": "What does it mean if I tested positive for hepatitis C?", + "src": "Patient: Hello doctor,I am hepatitis C positive with IgM + IgG of 14.2. This test was conducted five years ago. What is the significance of this? I have full medical test including LFT from two months back including sonography where things were normal. Do I need to worry about this? Does it require a treatment or the count is within limits? Doctor: Hello. You need to get the hepatitis C quantitative assay (RNA level) done and need to get treatment depending upon that. There is no need to worry. Your other labs are fine (attachment removed to protect patient identity). But please be under the strict follow-up of a nearby gastro/ hepatologist. Regards. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8778, + "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": 28193, + "tgt": "I am suffering from piles and infection around the anus. Please help", + "src": "Patient: Hi doctor,I am suffering from piles from nearly about a year. Suddenly yesterday, I felt pain around my anus, and I had 101 F fever. I saw that there is an infection around my\u00a0anus. Doctor: Hi, Welcome back to icliniq.com. For an advice specific to your problem, please upload the past medical records and a detailed evolution of your symptoms. And a picture of the problem site. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 15956, + "tgt": "What treatment can help me prolong my first session of sex?", + "src": "Patient: Hello doctor, I am a 31-year-old male with a height of 180 cm and I weigh 83 kg. I am a father of three children. My problem is premature ejaculation. When I am having sexual intercourse, always the first round is very fast. It is just one to one and a half minutes and sometimes less than that. The second round of intercourse is slightly better than the first time may be two to five minutes. But, sometimes I feel there is an erectile dysfunction due to depression and I am not able to continue for the second round. I have tried Viagra for only three times just to experiment and the result for the first round of sex was the same as usual. But, the second round of intercourse was a bit longer say around 30 minutes. I had this problem since teenage. I thought it would go away but it has worsened. I have tried Lidocaine spray in the past to decrease the sensitivity but there was no big difference. Please advice. Doctor: Hello. Viagra (Sildenafil) is not the medicine to be used for premature ejaculation. You need to get a physical examination with a urologist to rule out any genital infection causing an early discharge. If not, practice following exercises on daily basis for three to six months for a permanent cure. You can visit the Internet and know how to do them. Until then, I suggest you take tablet Dapoxetine 30 mg 90 minutes before sex. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For better results, combine this with Lignocaine (Lidocaine) spray only to the frenulum of the penis. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8094, + "tgt": "What could be the reason for persistent fever even after having Paracetamol?", + "src": "Patient: Hello doctor,I have a fever for the past five days 101 to 102. I am taking Paracetamol, but still, fever is there. Yesterday platelet was 119000, and today it is 106000.Eosinophils is 0.6.Absolute neutrophils are 930.Absolute Lymphocyte count is 580.Absolute monocyte count is 50. What should I do? Doctor: Hello. I want to suggest you take antibiotics. You need antibiotic along with other supportive measures. I would like to suggest is, 1) Tablet Mahacef 200 (Cefixime) 1-0-1. 2) Tablet Dolo 650 (Paracetamol) 1-1-1-1. 3) Tablet Pantocid 40 (Pantoprazole) 1-0-0. And also take only hot water along with a bland diet, reduce spicy, oily and masala foods. Drink a minimum of five liters of water a day. Regarding platelet and other counts, we can wait and watch. Normally even if platelets also drops, nothing to worry, it drops initially and will start to increase automatically. So adequate hydration and antibiotics are enough. Check platelets and get back to me." + }, + { + "id": 13795, + "tgt": "I found blood in my stool. Is it a sign of bowel cancer?", + "src": "Patient: Hi doctor, I am a 30 year old woman.\u00a0I found blood in my stool this morning, for the first time in life. I am sure that is not period. Is it a sign of bowel cancer? Doctor: Hello. I assure you not to worry a lot as things can be settled with proper care and follow up. There are some reasons for fresh blood in stools, with stools, before or after stools other than menstrual blood.First of all, it may be hemorrhoids. You may have felt some dilated small lesions on the anal opening before or after passing stools ( if this was bleeding hemorrhoid). It is due to a disease named portal hypertension and you need to follow it up and it will settle down with treatment. Your general surgeon is the person to decide the stage of hemorrhoids and treatment goes accordingly. He may do proctoscopy, colonoscopy or digital rectal examination. The other cause is anal fissure bleed. When stools get hard due to constipation and when patient forcibly defecates, it causes a breach in the mucosal lining of the rectum and anus and it bleeds in the form of fresh blood. Lactulose syrup, whole grain foods, dietary fiber supplements, plenty of fluids and a good physical activity will help improve this condition. But it may also need treatment with antibiotics to avoid severe infection. General surgeon consultation for a physical examination is my suggestion. Last but not least is the cancerous growth. It is serious but less likely in your case. But if you have a family history of colon cancer, have a change in bowel habits, lost weight, loss in appetite, constipation or diarrhea, You may be having cancer. A general surgeon will diagnose with colonoscopy and barium tests through radiologic studies. Final suggestion - avoid constipation, keep a good physical activity, avoid fast foods, processed meats, low fiber diet, and soft drinks. Go to a general surgeon in person for proper evaluation and treatment." + }, + { + "id": 1406, + "tgt": "Are cerebral hemorrhages cancerous?", + "src": "Patient: Hi doctor, I have been having neuro issues such as seizures, headaches, etc., for the past 2.5 years. I was tested for paraneoplastic syndrome and came up as reactive on immunofluorescence, but negative ultimately on western blot. Still, a PET scan was done and it was clear. I have had several brain MRIs over the past 2.5 years. All have noted cerebral microhemorrhages. These are unexplained. I understand that they have not changed in size or character over the years, but one or two more have appeared. I understand in the differential diagnosis for these bleeds is hemorrhagic metastatic melanoma. No doctor has been suggested it. What is the possibility that these are actually melanomas? My doctor said unlikely because it has been 2.5 years and the actual hemorrhages remain unchanged.How can a radiologist be sure that these are not cancerous? The first scan done before two and a half years was with contrast and the remaining were without contrast. I am just concerned about these unexplained hemorrhages in light of my neuro symptoms. I wonder if I have brain metastasis without cancer anywhere else in my body. Please explain. Doctor: Hi. Revert back with the scan report to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 10205, + "tgt": "Can falling from a moving escalator cause inner ear disorder?", + "src": "Patient: Hello doctor, Three weeks ago while descending on a moving escalator I fell down but I was holding the bannister and it only caused me to sit on the steps from where I got up and walked away upon reaching down. Next day, while sitting on a high chair with a very small base and seat, I slipped off but managed not to fall by holding on to a nearby support. For the previous three years, I have preferred to hold on to the railing while climbing or going down a flight of stairs. I consulted a neurologist who suggested an inner ear disorder and seeing an ENT speciialist. She told me to perform a brain MRI and consider a nerve conduction study. Can you shortlist the possible inner ear disorders? Then, please tell me the tests in sequence which I should do to identify the specific inner ear disorder. Doctor: Hi. I understand your concern, you are probably suffering from imbalance. It is a type of vertigo. Such problems arises when vestibule of inner ear is not working properly. Balancing of moving body is managed by vestibule of inner ear. Sometimes inner ear gets diseased by viral infection, bacterial infection, metabolic dysfunction like hydrops. Diagnostic tools are good clinical examination by ENT doctor. Investigations like electronystagmography (ENG). My suggestion is to please consult your ENT doctor, certainly he or she will do same as above I said and will reach to correct diagnosis to manage your problem." + }, + { + "id": 10878, + "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": 18587, + "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": 23089, + "tgt": "Why is 38 days old baby always crying and having poor sleep ?", + "src": "Patient: Hello doctor,I have a girl baby and she is just 38 days old. She is suffering from colic pain. She is having poor sleep in day and night. Not even she slept continuously for one hour. This is the first baby. I and my husband are only taking care of her. She is not ready to sleep in cradle or bed. She wants to hold her in hand always. We gave Colimex, Colicaid, Colip, nothing worked for her. She always cries, we are struggling to find out the reason. Please guide me what could be the reason. Doctor: Hi. Do not worry. This is your first baby that is why this query. During the first six months, children sleep during the day and stay awake at night. Also, children seek attention during these months. There is no medication for this. You have to hold the child. Common reasons for crying: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14448, + "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": 12887, + "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": 14001, + "tgt": "Why did I get bleeding after having beta hCG level of 15. 6?", + "src": "Patient: Hi doctor, My last period was a month back. I got beta hCG done due to symptoms two days back and the result was 15.6. Today, I got bleeding. Do you think I was pregnant or not in the first place? Doctor: Hi. Beta hCG, if less then 3 miu/ml, then it is negative. If it is more then 10 miu/ml, then more likely to be pregnant but if beta hCG shows increase in 48 hours around 66 %, then it is gradually progressive pregnancy and if it is increasing but less than 60 %, then it could be ectopic pregnancy and if it shows a reduction in 48 hours, then it is miscarriage. If you have already got bleeding after hCG report, then it is better to have a repeat beta hCG and transvaginal scan to exclude any need of evacuation. In case of severe bleeding, you might need an urgent report to tertiary care gynecology emergency. Follow with beta hCG report and scan. Beta hCG. Conception. Beta hCG scan, report to tertiary care gynecology center. A balanced diet, weight, BMI." + }, + { + "id": 7883, + "tgt": "What are the ways to reduce weight in a thyroid patient?", + "src": "Patient: Hello doctor, I am 68 years old, 1.87 m tall and 140 kg weight. I need to lose weight but it is very very difficult. My thyroid analysis is attached. Is this the reason? What should I do to lose weight at my age? Do I need Thyroxin? TSH 4.88 \u03bcIU/ml, free T4- Gen .3 0.96ng/dl. Doctor: Hello. Yes, you are overweight. Your BMI is nearly 40. Blood sugar high/HbA1C 7.9 increased, ask your diabetologist to adjust the dose (attachment removed to protect patient identity). Control BP. But from your laboratory reports- T4 0.96 is low/TSH is 4.88 just increased. Hypothyroid state, plus overweight obese. So, if you add a tablet for thyroid, it will help to correct TSH and T4 level as well as lower your weight. You can add tablet Thyroxin 50 mg OD for three months. Diet- Avoid spicy fatty food, take lots of green vegetables. Daily 45 minutes walking. Review with TFT results after three months with your body weight." + }, + { + "id": 17715, + "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": 494, + "tgt": "I have back pain, tiredness, feeling sleepy, and foot inflammation. What could have caused all these?", + "src": "Patient: Hello doctor, I have back pain, tiredness, more sleepy feeling, and inflammation on the foot. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from back pain, tiredness, more sleepy feeling, and inflammation on foot. I have gone through your investigations (attachment removed to protect patient identity) result and found that your Vitamin D3 level is below normal, GGT (gamma-glutamyl transferase) level slightly high, HDL (high dentisy lipoprotein) level below normal, TG (thyroglobulin) and VLDL (very density lipoprotein) level significantly high, TSH (thyroid-stimulating hormone) level normal at the upper limit. Total leucocyte count with lymphocytes count slightly high, eosinophil count are significantly high. So your back pain, tiredness, more sleepy feeling with inflammation of foot may result from vitamin D3 deficiency. Clinical features of vitamin D3 deficiency are repeated infections, tiredness, back pain, depression, bone pain, muscle pain, fatigue, delayed wound healing, feeling sleepy, etc. Again high TG levels may cause abdominal pain, loss of appetite, nausea or vomiting, tiredness, fatigue, etc. Your high eosinophil count indicates that you may suffer from allergies. As your TSH level is normal at a higher limit, so you should repeat the thyroid function test within three months. For your vitamin D3 deficiency, you should need more exposure to sunlight for vitamin D3 synthesis as well as take vitamin D3 enriched foods and supplements. For your high TG level, you should continue Fenofibrate along with Omega-3 fatty acid for low HDL level and repeat your lipid profile test after three months. For your low back pain, you can take Naproxen with Esmoprazole combination with Baclofen and calcium supplements." + }, + { + "id": 8720, + "tgt": "What can be the cause of watery semen?", + "src": "Patient: Hello doctor, I have done a semen analysis today. Though I had not ejaculated for the past five days, still the semen was very watery. It was probably because I was not comfortable with the clinic and it was a forced ejaculation. Please check the reports and suggest the interpretation of the same. I am taking Terbinafine tablet for a skin infection in the thigh for the past 10 days and also using a skin cream. Doctor: Hello. How are you doing? The semen sample will not be affected by the condition in which you have collected it or the stressed mental state. As per this report, the semen is not getting liquefied as it is deficient in some enzymes. So, the motility of the sperms is low as well. Watch out for symptoms like: All those medications you are on, will not affect the semen. I would suggest you have a semen culture and sensitivity. You can have it any day. Abstinence is not needed. Based on the result, you can have a course of antibiotics for four weeks, a combination. You can send the result and I can suggest the antibiotics based on that. Do not worry. It is nothing to worry. You will be cured in a few days. Rest of the findings are normal. 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": 12852, + "tgt": "Can blushing while getting too much attention be due to mental illness?", + "src": "Patient: Hello doctor, I am 18 years old and I have been having big problems with making friends since I was 7. I go to school and I do not talk at all (only if someone or teacher asks me something). I just cannot find any topics to talk to people and the worst is that I do not know what should I say back when I somehow succeed in starting the conversation. Besides all my life I feel like I am the one that jumps around people and tries to talk to them and they just do not care so I quickly give up and end up alone. And my house is so stressful too, it is so loud because my parents scream so much and I spend most of the time locked in my room because when I hear them screaming it feels so stressful (all this stress is like sitting on my back and I cannot make it stop). Is it even possible for me to make friends? It has been half a year since school started and everyone is occupied by their friends. How can I stop blushing when I am given too much attention? Is it possible that I have some kind of mental illness or maybe autism? Doctor: Hello. First of all, this is not a serious mental issue. Just remain relaxed. You have social anxiety most likely and this anxiety is resulting in symptoms like blushing when you are getting attention, difficulty in making friends, etc. This is social anxiety and a lot of individuals of your age develop. So do not think that you have any abnormality. Just continue to make your efforts to make friends and you will gain confidence with time. No need to get worried." + }, + { + "id": 6790, + "tgt": "Does rubbing of penis over vagina cause pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner without any penetration. I rubbed my penis over her vagina. I might have a little semen present in it. She usually has a periods cycle of 33 to 35 days. But her periods got delayed this month. Is she pregnant? Why is there a delay in her periods? Is there any typical food available to bring her periods on time? Doctor: Hi. Just touching or rubbing will not cause pregnancy. So relax and do not worry. The delay occurs due to hormonal changes. It happens due to stress and strain." + }, + { + "id": 9530, + "tgt": "How long should I stay on the treatment for psychosis?", + "src": "Patient: Hello doctor,I am a 35 years old male. I had an episode of psychosis for the first time four months ago and is treated with Risperidone and Escitalopram. For how long should I stay on the treatment? Doctor: Hello. For psychosis, Risperidone is considered the right drug. However, Escitalopram is given for depression. So if at present you do not have any depressive symptoms you can discontinue Escitalopram. However, Risperidone should be continued at least for a year in the first episode of psychosis. Suppose if you get one more episode of psychosis, then I will recommend continuing Risperidone for a lifetime. Please update me about the psychotic events you had and the dose of Risperidone." + }, + { + "id": 24477, + "tgt": "What are remedies for painful burp after eating, drinking, and during smoking?", + "src": "Patient: Hello doctor, After eating and drinking anything suddenly I burp and it is continuously happening. Sometimes, it feels painful when I burp especially while sleep it was very painful. Even while smoking I burp continuously, and I cannot stop. Only for the last two months, I am facing this issue. So, I think it is a starting stage. What are the possible remedies for this issue? Doctor: Hi. This can be due to GERD or gastroesophageal reflux disorder. I suggest you stop smoking as it reduces the lower esophageal sphincter tone and further aggravates the condition. You can take a proton pump inhibitor like Pantoprazole or Rabeprazole or Omeprazole along with prokinetic agents like Domperidone or Levosulpiride or Itopride. I suggest you to avoid taking hot and spicy food and please avoid drinking water immediately after major meals. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6305, + "tgt": "Can blepharitis lead to headache?", + "src": "Patient: Hi doctor, My 9 year old son has had a frontal headache for over a month. We discovered that he has muscle knots and blepharitis. Can blepharitis lead to headache? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 28125, + "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": 13509, + "tgt": "What causes headache, dry mouth and tightness in neck?", + "src": "Patient: Hello doctor, I am 20 years old boy. From the last 10 months I am suffering from physical symptoms like a tight band wrapped around my head every time, tightness and little pain in the neck, heavy head, head pressure a mild headache, ringing in the ears, dry mouth, dizziness, nausea, upset stomach, blurred vision, tense muscles, stress about having big diseases like a brain tumor, cancer, etc. I have also got MRI brain, CT scan. Doctor: Hi.. You seem to be suffering from chronic tension headache. I would recommend you to discuss with your doctor to start you on tablet Amitryptiline 10 mg once in the night and within three weeks, you would feel better. I would also recommend you to go for a morning walk, meditation and yoga." + }, + { + "id": 18203, + "tgt": "I am mentally stressed. How do I come out of it?", + "src": "Patient: Hi doctor, I am 22 years old doing my master's degree. I have good academic records and got placed in a good company for internship but I am mentally stressed. Please help. Doctor: Hello. As per your description, I understand that you mean to say you are facing severe stress despite being well placed academically and career wise. There could be more than one way of being stressed. If your stress is actually excessive and uncontrollable which affects your work, sleep, appetite and other aspects of life, then, you are probably suffering from generalized anxiety disorder. If you feel sad or have lost interest in work, feel guilty, unable to concentrate or take decisions and also feel pessimistic about your future, then it could be a sign of depression. If your stress is in the form of one or few recurrent and distressing thought, it could be a sign of obsessive-compulsive disorder. As you can see, there are different ways of being stressed, each being a sign of a different mental illness. Treatment changes depending on the underlying condition. So, you will have to describe your complaint in sufficient detail along with informations such as duration of illness, family history of mental illness, any comorbid medical condition and current ability to function. So that I can help you better. Work stressors. Major depressive disorder or obsessive compulsive disorder. Generalized anxiety disorder. Detailed evaluation to confirm diagnosis and then decide regarding the treatment. Follow up with details to a psychiatrist online.--->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5516, + "tgt": "Due to personal problems, I have relationship issues with my mother. Please help", + "src": "Patient: Hello doctor, I love my family. However, there is a huge ideological difference between my mother and me. Our religious views are poles apart and I feel someone is smothering me with those ideologies because I tend to take full control of situations under me. (eg: vegetarian vs non-vegetarian, etc).I cannot seem to express myself clearly. I feel like I should be leaving home and live my life the way I want to. But I always end at the same level and I tend to forget. I feel this has been an ongoing issue in my life. I am going through a divorce and I started having trust issues with people. Please help me and guide me. Doctor: Hello. Your dilemma is quite common. It is perfectly normal to have ideological differences with family members, but we can continue to be close to our family. You made a very important comment that \"I cannot seem to express myself clearly.\" It is important to sit down with your mother and have an open talk about these issues which is grinding you down. Sometimes parents do not always realize their children are grown up adults and have a mind on their own. Being clear and explicit with your mother about topics to avoid will help to ease your tension. Is your mother trying to be supportive in her way? Going through a divorce can be a stressful experience for anyone. It can have an overall exhausting effect on your life but will gradually get better with time. I can understand your predicament. I think sometimes we have to accept that you cannot change an adult's personality but work around minimizing conflict. In this situation, it will help to just accept your mother as she is and learn to tolerate some amount of disagreement. Gradually develop better-coping strategies. Yoga and meditation can help. Look after yourself during this period. Eat healthily, sleep well, exercise regularly, talk to trusted family members and friends. Do not isolate yourself as it can worsen the situation. If you find it difficult to cope, you can consider professional counseling." + }, + { + "id": 22553, + "tgt": "How to reduce weight soon by following diet?", + "src": "Patient: Hi doctor, I started to follow a diet to lose weight and tried eating foods with low calories. I exercise a lot. I am scared to eat foods with high calories. I am not taking heavy meals. I am taking only my breakfast, lunch, and dinner. Also, I feel like foods in our house cause fattening in me. Please suggest. Doctor: Hello. These simple procedures will help you to reduce weight by one or two kilos per month. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12990, + "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": 30377, + "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": 14782, + "tgt": "Can a patient lead a normal life after heart valve replacement surgery?", + "src": "Patient: Hi doctor, My father, who is 57 years old, was suggested to go for AVR (valve replacement). His weight is 74 kg. What are the procedures followed for valve replacement? Is there any consequence after the surgery? Can he lead a normal life after surgery? Which valve do we need to choose irrespective of cost? How many days does he need bed rest? My father has high BP, and always it ranges around 170/80. Doctor: Hi. Thanks for writing in to us. I have read through your query in detail. Please find my observations below. The valve replacement surgery is usually done using open heart surgery technique, and the surgeon connects the blood vessels to a heart-lung machine and then stops the heart. After this step, an incision is made into the aorta and using careful precision the aortic valve will get replaced. This operation is 98 percent successful. For people less than 65 years, the valve implanted is a mechanical valve, and this is because a mechanical valve will work for many years. In patients older than 65 years, a biological valve is used. He can lead a near normal healthy life. He has to follow up with his doctor regularly and be on medications for a long time. He will be in the hospital for a week and should not be on bed rest. Only thing is he must avoid physical exertion after surgery and take strict precautions for three months after surgery. The blood pressure will get controlled with medicines and doctors make it a point that operation is not risky due to that. Regular medication has to be taken and should get echocardiography as instructed by the surgeon and cardiologist." + }, + { + "id": 27568, + "tgt": "My son has a high temperature and headache when he bends. Please help", + "src": "Patient: Hello doctor,My 7 year old has a temperature of no greater than 102 for three\u00a0days, reduced by Tylenol.\u00a0His symptoms are headaches, and lightheadedness when he bends over. He is drinking, but not eating much. There is no stomach ache or stiff neck. Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 1656, + "tgt": "I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause?", + "src": "Patient: over the past 20 hours ive had constant lightheadedness/vertigo, and during the day today ive gradually started feeling nauseous (no vomiting), abdominal pain/cramping, headache, neck stiffness. in the past week ive had some abdominal pain on/off and acid reflux, as well as headaches and general soreness in my neck and shoulders. i am only 20mg of dexamfetamine (10mg in the morning and 10mg at midday) for adhd. i have fibromyalgia and chronic fatigue syndrome, and ibs but these symptoms don\u2019t feel similar to what i usually experience. no other medications. ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult. i havent noticed any fever, but i did have chills come and go with some sweating - but didnt feel feverish. Doctor: hi, thanks for your query the temporal profile suggests mild ongoing inflammation, that is causing the problem. it could be subclinical inflammation and or infection like a stomach bug. also a possibility of drug intolerance. to amphe along with a drug interaction may be suspected. in addition ofc on phenomenon of FM OR CFS along with GAD superimposed may result in this condition. in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations. flare of inflammation subclinical infection CFS FLARE FM FLARE DRUG INTERACTION CBC ESR CRP VITAMIN D TSH CREATININE as above medication effect SSRI OR DULOXETINE anti inflammatory foods PLEASE CONSULT BY CONTACTING ME THROUGH I CLINIQ FOR EAPID ASSESSMENT AND EVUATION TO PREVENT FLARE OR CO MIRBID MEDICAL CONDITION EMERGENCE" + }, + { + "id": 16862, + "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": 26583, + "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": 4006, + "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": 16348, + "tgt": "What is the reason for fluctuating BP a year after heart attack?", + "src": "Patient: Hello doctor, Last year my father had a heart attack and well it has been treated well. But after a year he feels his head to be spinning, weak, and has fluctuating blood pressure. Why is it so? Doctor: Hello. I would like to explain that the head spinning could be a sign of blood pressure fluctuations. Other possible causes to consider would be an inner ear disorder or low blood flow to the brain (vertebro-basilar insufficiency). For this reason, I would recommend consulting with his attending physician and performing some further tests. A cardiac ultrasound to examine his heart function, a Doppler ultrasound of the carotid and vertebral arteries to examine the blood flow to the brain, thyroid hormone levels, complete blood count for anemia, blood electrolytes, fasting glucose, kidney, and liver function tests. A head-up tilt test is necessary to investigate for orthostatic hypotension." + }, + { + "id": 1663, + "tgt": "What causes breathing issues after septoplasty?", + "src": "Patient: Hello doctor, Over a year ago I had operation to correct a deviated septum. Things started to get much better after healing. Now I am starting breathing issues when I lay down. Depending on which side my head is turned when I lay down that side of my nose that would be touching my pillow slowly starts to close while the other nostril remains open. This happens on either side depending on which side I am laying on. I was taking AMOX- CLAV 875 and Fluticasone, but neither of those helped. During the day while I am up I have no issues, it is just at night when I lay down. I do not think it is allergies at all. Doctor: Hi. Well to begin with, why was septoplasty performed in the first place? Did the similar symptoms exist before you underwent the surgery? If you did, then there is only one possibility left for the problems that you r having right now, that is undercorrection or incomplete surgery. Considering that there is absolutely no allergic issues whatsoever and there are no other associated nasal issues that we could be seeing here. Antibiotics and nasal steroid sprays are not going to bring much benefit either and should be taken for a long term. On the other hand, what you could possibly do is to lay down with your head upwards facing the ceiling rather than taking a posture which can aggravate the obstruction. You should be meeting the operating surgeon to see what could be the reason for the current problem, because he/she is the best person to answer that question." + }, + { + "id": 381, + "tgt": "Inserting an earbud resulted in a tear and ringing sound in my ear. What should I do?", + "src": "Patient: In my left ear a thin hole in the membrane because of the putting ear bud in the ear it has been teared now, i am getting a ringing sound in my ear. what shall i do stop the sound in my ear Doctor: Hi! There is a high probability that you would have accidentally injured the ear drum while cleaning. This is a very common thing to happen and you don't have worry too much. The defect in the ear drum interferes with optimum sound transmission to the middle and inner ear and thereby you will have symptoms such as continuous ringing sensations, muffled sounds, echoing of your own voice or any loud sound, intolerance to high frequency sounds, decreased hearing etc. Usually over 4 to 6 weeks this traumatic perforation heals and you will be completely fine. However, you shouldn't let it get infected as it can interfere with the healing process and if proper hygiene is not maintained the perforation might never close. My advice for you would be to There is no medication required here as such unless your having an infection associated with copius amount of discharge. I hope I have answered your query in detail. If there is anything you want to enquire, please do let us know, and I will revert back to you ASAP. Take care and have a wonderful day! Warm Regards!" + }, + { + "id": 5256, + "tgt": "Some strands of my hair has uneven thickness. Why?", + "src": "Patient: Hello doctor, I have a strange problem with my hair. 60% of my hair is straight, but the remaining are medium to curly hair. The strange thing is that if I pluck a strand of this new curly hair, the thickness thereof is uneven along the strand, i.e. it starts with a thick hair, after a few millimeters it becomes less thick, then after a few millimeters it becomes thick again and so on until it reaches the end of the hair and rotates on its axis giving the touch aspect curly strand irregularity is noticed. On the other hand, if I pluck a strand of normal thickness it is the same from the root to the tip. What should I do to have hair again all the same thickness along the strand? According to what I searched on the internet, I think I have acquired partial curly hair. I would like to know the causes and what to do about it? I will appreciate in advance for your response. Doctor: Hello. I understand your concern. Some people do suffer from this problem. There is no permanent care. However, there are certain options that you can try. Recently liquid keratin treatments are available which has longer-lasting effect and keeps your hair straight for at least 20 hair washes. Any professional hair stylist can guide you about this. There are some good chemical hair straightening creams available, and this gives your hair a fine texture for a long period of time. Again your hair dresser can guide you about how to use it and which one is the best for you (there are some good brands available like Hair straightener or Hair Straight everyday). Try to pick up one with keratin. Even chemical relaxers are useful, however, their effect is very short-lived and I will ask you to avoid it. Do remember that you need to constantly go for such treatment regularly, like monthly once, sadly there is no permanent cure. I hope this helps." + }, + { + "id": 21954, + "tgt": "My past ugly experiences are pulling me back. Is there a remedy?", + "src": "Patient: Hi doctor, I used to be an obedient girl since my childhood as I am the youngest in my family with two elder brothers, which I am till now and I think I should not be so obedient to elders as from childhood I have faced every kind of abuse. I have been into three relationships out of which two relationships ended because of my family and one I ended it myself because he abused me and I could not take. My family tries to support me, scolds me in my failure, and happy when I progress but no one asks me what I have been through so many years. I am currently single, 22. After facing this cruel world for so many years, I have lost faith in people. I have been through many bad things. I had a social life, kind of have it now. But I never feel that connection with someone unless he is my boyfriend. But after having three bad relationships, I do not want to hurt myself more. When I am with my friends, I am the one who is most cheerful. But I want my alone time after some time to get back my energy. I am a private person, I am ambivert in my terms. Also, I never make or want to make new friends. If they approach, I do not have any problems. I guess I have some psychological problem. Also, I have anxiety issues and I have periodical depression. Also, I am always confused about everything, be it my career or anything. I guess I should not be confused because I have always been appreciated for my work everywhere. Recently, I was promoted in my probation period, but still, I feel I do not have confidence. I think that my past ugly experiences pull me back. I wanted to know what is the remedy. Doctor: Hello. You seem to have mild depression and mood swings. You need relationship counseling and career counseling to get out of your confusions. Past failures are only a lesson. Learn the lesson and move on. Past failures do not predict your future. Be it your past career opportunities or past relationships. Look for friends, socialize, find a good conjugal relationship. It is everybody's little dream to be someone and to have someone to enjoy it with. That is our little world. So keep exploring and look positively into the future. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2108, + "tgt": "If I take Gestin 5 mg on day 15th of my menstrual cycle, will I get pregnant?", + "src": "Patient: I'm 28 years old ,i got married before 2.5 years but no child, i'm trying for conceive but still i'm suffering from pcos & irregular periods. Nowadays this 3 month my periods comes regular without any medicine intake, but problem is bleeding flow normal it's comes only 2 days. After 7th day start bleeding in one day after 9th day I can make sex connect it's light bleeding occur. My question is can I take gestin 5 mg on day 15 can make me pregnant? Can I have pregnant with gestin tablet? I have no pregnancy & abortion history. My husband hav 20 million sperm count, 60% motility, please answer my question mam. I'm waiting. Doctor: Hello, Hope you are safe. I understand from ur mail that you are trying for pregnancy and you had some basic evaluation for the same. Taking gestin will in no harm ur chances for pregnancy.But gestin is a synthetic progesterone.We prefer natural progesterones like duphaston wen u r trying for pregnancy as they r much safer.So it would be wiser to substitute gestin with a natural progesterone. U have not mentioned your thyroid band sugar profiles in the history.If not done in the last three months,it would be advisable to do those. A reduction in your weight by about 2-3 kg will also increase your chances for pregnancy. It would be advisable to have intercourse regularly betweenthe 10th and 23rd day to increase chances of pregnancy.If you r not already taking folic acid ,pls start taking once daily. Duphaston can be taken from 22nd April onwards daiy once. Wish you good luck . If you still do not conceive after 3 months of trying in the above manner,it would be advisable to further evuate which we can discuss the options later. Thank you" + }, + { + "id": 26512, + "tgt": "I had an MRI for my memory problem. Do you see any abnormalities in it?", + "src": "Patient: Hello\u00a0doctor, I made an MRI of my head two years ago for a memory problem and headache and constant nausea at that time. Please\u00a0have a look at it. My query is if there is any abnormality like atrophy, lesion or vascular problem. Kindly note that I already know about the sinus polyp. Doctor: Hello. I have seen the files (attachment removed to protect patient identity). Regards. For further queries consult a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 23358, + "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": 20959, + "tgt": "I have a painful whitish sore on my nipple. What is this?", + "src": "Patient: Hi doctor,I am a 16 year old girl. Today I found a whitish sore on my nipple that hurts when anything touches it. I have no idea what it is. It is on the top of my areola and is white. It feels like there is some tissue underneath and very painful. I thought it was a pimple, but it is not. Previously, I used to get large pimples in between my breasts which hurt extremely bad. This time it is directly on my nipple. I do not know if they are related. Please help. Doctor: Hi, Welcome back to icliniq.com. Thanks for your question. The areola and the areolar border is filled with modified sebaceous glands, called glands of Montgomery. They produce sebum, like those that form part of all your hair follicles. Thus they are prone to keratotic plug formation and then the build-up of debris and subsequent inflammation or infection just like other pimples on the rest of the body, especially the face, upper chest, and back. Treat it like another pimple by applying an anti-inflammatory or anti-microbial spot-treatment like Benzac AC (Benzoyl peroxide) and warm compresses with a warm cloth to help relieve duct obstruction and pain. Rarely it can lead to inflammation and infection of lactiferous ducts, causing mastitis. It would present as a swollen, warm and painful entire breast and requires oral antibiotics. But this is not what you currently have and the risk if it developing is low. The upper chest (in between breasts) is a common area for acne and cystic acne (large inflamed pimples) and what you describe fits well. It is best treated and followed up long term by your specialist dermatologist. Do not try to treat yourself as it will just lead to frustration." + }, + { + "id": 16674, + "tgt": "Can nicotine in vape worsen OCD?", + "src": "Patient: Hi doctor, I am bipolar with OCD. I also suffer from psychotic symptoms and also and I currently smoke a nicotine vape which I feel is keeping my moods stable and psychosis at bay. The only problem is that I feel my OCD is much worse. Could this be due to the nicotine in the vape? I would like to give up but worried I will become unstable. Is it possible the vape is making my OCD symptoms worse? I am currently on 75 mg of Chlorpromazine and a low dose of Diazepam for panic attacks. Doctor: Hello. Nicotine smoke could increase the stress and might make OCD (obsessive-compulsive disorder) symptoms worse. You have to stop this. You are on Chlorpromazine for mood and psychotic symptoms but there is no specific drug to control anxiety and obsessive thoughts. Drugs like Fluoxetine should be added to your prescription in order to improve the OCD symptoms and anxiety. A low dose can be used safely in bipolar disorder too. Please talk to your psychiatrist about this." + }, + { + "id": 26270, + "tgt": "Kindly suggest medicines for piles and blood in stools", + "src": "Patient: Hello doctor, I am having blood in stools and I have piles. I also have pain in passing the stools. Can you suggest some medicine? Doctor: Hello. Regards. For more information consult a\u00a0general medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17249, + "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": 20173, + "tgt": "Is tablet Pansec increasing my father's creatinine levels?", + "src": "Patient: Hello doctor, My father is being treated for peptic\u00a0ulcer,\u00a0from the past 15 days. So, he is taking a medicine called as\u00a0Pansec\u00a040 mg, in the morning and evening. He has also developed slight kidney problems, and his creatinine has raised to 1.6. To rule out renal cancer, the doctor will perform a renal biopsy next week, but his creatinine level has to be less than 1.4. Is this medicine increasing his creatinine level? Can we stop Pansec\u00a0till his biopsy is done? Kindly let me know, it will be of great help. Doctor: Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 17450, + "tgt": "How to treat my mother's sigmoid colon ulcer?", + "src": "Patient: Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduced in the past two years, but, it started again now. She is having white sticky stools and pain in the left lower abdomen. She is also facing trouble with passing urine. She consulted a local doctor and used the medicines of urinary tract infection. Since then, the condition got worse. She is taking Pre pro, Traxol 200 mg, Menopace, EstroG, Spasmodart and Rantac D. 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": 14435, + "tgt": "What medicines can help prevent vomiting?", + "src": "Patient: Hello doctor, My 24-year-old wife is having a fever of 103.4 F. She is puking every time when she is about to eat something. Her joints are aching. She is feeling dizziness and she has vomited also. It has been about 30 hours. She has taken Paracetamol but nothing happened. She is not getting better. Please help. Doctor: Hello. I went through your post. The predominant complaints are fever and vomiting. However, you have not mentioned whether she has any cause for fever like a sore throat, cough, dysuria, abdominal pain or urine problems. Anyway, the first thing is to stop vomiting so that she can take some medicines and food. I suggest you give her tablet Ondem (Ondansetron) 8 mg mouth dissolving three times a day for a few days. Once vomiting is controlled, you can start antibiotics preferably Zifi O (Ofloxacin and Cefixime) 200 mg twice daily and Dolo 650 (Paracetamol) if there is fever or a headache. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Ask her to take enough fluids. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14118, + "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": 29440, + "tgt": "Do I need to be concerned about the short-term silica exposure?", + "src": "Patient: Hello doctor, I have a question about crystalline silica dust exposure. I am a firefighter, and I decided to make some repairs to my helmet with high heat furnace cement. Over the past week, I have been sanding the repairs. I was unaware of the inhalation danger of silica dust. I have been wearing a R95 mask and have sanded for a total of four times for about 20 to 25 minutes each time. I used a powered Dremel tool for the sanding. Do I need to be concerned about the silica exposure? Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 24124, + "tgt": "I have a lump in my sternum. What can it be?", + "src": "Patient: Hello doctor,I have a lump on my sternum. It is not big and not painful, also not hard. I just did chest X-ray and I believe it does not show anything. What can it be? Also, my blood work is normal except high uric acid level. Doctor: Hello. Your X-ray is fine (attachment removed to protect patient identity) and no lump is visible on the X-ray. The first possibility and common cause is a lipoma. If possible, you may upload a picture of the lump. Also, let me know, whether it is just below the skin or attached to the sternum, in upper or lower part of the sternum, duration of lump. So, from the description you gave, it is likely a lipoma which is a painless swelling, below the skin, slightly mobile and not attached to the bone. It is benign and usually needs no treatment. However, one may undergo minor surgery to remove it for cosmetic concerns. It is not related to uric acid. For uric acid, have a healthy lifestyle, exercise and try to achieve weight loss. Also, limit non-vegetarian food if you are having in plenty. It needs treatment like Febuxostat if more than 10. 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": 3913, + "tgt": "I had an injury on penis with blood clot and prominent veins on the side. Will it settle over time?", + "src": "Patient: Hi doctor, I had an injury to my penis about two and a half weeks ago which caused a blood clot at the base of the penis. The clot has healed within three to four days, however, on one side of my penis there are prominently visible veins. When flaccid that looks irregular and also there seems to be a vein that is harder than the others when I am erect that runs all the way up the side of my penis when erect. I wondered if I could post a before and after photo, and ask you if I need to seek treatment or if everything looks normal. I wanted to know if there is a chance I have sustained a permanent injury to my pens or if these veins might settle over time. I am not experiencing any pain except for the veins. Doctor: Hello, Welcome to icliniq.com. I have gone through your queries. You had an injury over the base of the penis and had a hematoma over there and there are prominent veins at the side of injury. Let me first assure you it was most probably a superficial injury. As you are not having any erectile dysfunction and any deformity after erection the injury has not involved the deep layer of the penis which is also called tunica albuginea. So you need not worry. The veins even if prominent will cause no harm. It will create a few collaterals and drainage will be as fine as before. But if you are still anxious you can undergo a USG (ultrasound) and doppler study of penis. It will tell you regarding the integrity of tunica albuginea, as well as the competence of blood vessels supplying the penis. It is only to assure you. You can also visit the office of your local urologist as you need clinical examination too. But do not worry. I hope everything will be fine soon." + }, + { + "id": 30311, + "tgt": "Please help me with my itchy scalp", + "src": "Patient: Hi doctor, I have itchy scalp and have started losing hair. Can I get help on this? Doctor: Hi. You have probably seborrheic capitis (an eczema). I suggest Ketoconazole shampoo on alternate day. Keep in contact with scalp for 7 to 10 minutes in each application and continue it for three to six months. Consult your specialist doctor, discuss with him or her and take the treatment with consent. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11829, + "tgt": "My son is 4-year-old has gas trouble and constipation. Please advice", + "src": "Patient: Hello doctor, My son is 4 years and 10 months old. His weight is 16.3 kg, and height is 3'6\". He had blood in stool six months ago and was treated with antibiotics. Now he has gas in belly, constipation. He was tested for occult blood in stool was found negative. Deworming was done the previous week. Now he does not want to take food as earlier. Doctor: Hello. 1. Please increase water consumption for the child and reduce the amount of bread and bread products that may or may not be consumed. 2. As of now, you can start the child on some laxative like syrup Duphalac (Lactulose) which will help the child to pass stool. Please give syrup Duphalac 7 ml twice a day with plenty of water for 10 days and observe. 3. SOS if the child still needs help in passing stools, you may give a Dulcolax pediatric suppository (Bisacodyl)." + }, + { + "id": 7848, + "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": 4886, + "tgt": "I am getting reccurent boils in my leg even after taking antibiotics. Please help", + "src": "Patient: Hello doctor, I had a boil on my lower leg last month. It was paining and in five days it was filled with pus. Doctor advised it poping and after that, I took Amoxiclav 625 twice daily for three days and keep on dressing. After 15 days another one appeared on the upper side of the knee on the same leg. I used black tape (Atropa) and it popped in five days. On the fifth day, another appeared on the same leg and I took Amoxiclav 625 for five days twice daily. It popped yesterday and today is the fifth day of medicine. Now today, I am feeling another coming near it. What should I do? Please suggest. Should I use Mupirocin on it three to four times a day? Should I continue Amoxiclav more? Please guide me if anything else should I do including any home remedy I can not bear more pain and I do not want to take medicine any longer. Doctor: Hi. From your history, I would say you are suffering from folliculitis i.e bacterial infection. Since you have recurrent episodes I would suggest you to get pus culture sensitivity done. So that specific antibiotics can be decided. Secondly, complete your seven days course of Amoxclav 625 (Amoxycillin and Clavulanic acid). Do not burst boils. There is no need for dressing. Yes, you can use Mupirocin ointment two to three times a day or Fusidic acid cream (Fucidin cream) can be used. If possible please send an image and revert back." + }, + { + "id": 24705, + "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": 29571, + "tgt": "Why do we drink a protein shake after a workout and stretch before a run?", + "src": "Patient: Hi doctor, So often, we do things that we know to be healthy but are not aware of the reason. I am looking at the specific items such as drinking protein shakes after a workout, doing 10 to 12 repetitions in strength training, stretching before a run, avoiding food before a workout and eating the rainbow.\u00a0What is the reason behind these things? Why do we do them?\u00a0If you can think of any other healthy things we do without knowing the reason, please share that as\u00a0well. Doctor: Hi. For further doubts consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 26965, + "tgt": "Is the fetus's growth corresponding to its age?", + "src": "Patient: Hello doctor, I have attached the reports of my wife's\u00a030th-week scan. I was told that the baby's growth is a bit high. Please suggest your inputs if there is anything that should be done from our side. She has gestational diabetes. Her HbA1c during anomaly scan was 5.5 %. Is there any cause for concern? Doctor: Hello. Nice to hear from you. How are you three doing? Hope I have clarified your query. Do write back if there are any more queries. All the best. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 28311, + "tgt": "Are swollen face and bitter taste in the mouth, side effects of taking Budesonide?", + "src": "Patient: Hi doctor, My mother was diagnosed with autoimmune hepatitis last year, and her treatment is going very well. Currently, she is taking Budesonide 6 mg and\u00a0Azoran 75 mg. She also takes Insulin,\u00a0Actrapid Flexpen, and Basalog One to control her blood sugar fluctuations, as she has diabetes also.\u00a0I have attached all her test reports, and the test reports show significant improvements.\u00a0My query is regarding the side effects of the steroids.\u00a0Apart from a slightly swollen face, my mom also complains about a very bitter taste in her mouth like she has chewed neem leaves.\u00a0That bitter taste comes and goes.\u00a0My mom said that this bitter taste is the same that she experienced even before she was diagnosed but now that her SGPT is normal, why does she get this bitter taste?\u00a0Is it because of the side effects of the steroids?\u00a0Is there any way to reduce the side effects? Can you recommend any medicine? Doctor: Hi. I have seen all the test reports (attachment removed to protect patient identity). I hope it helps you.\u00a0If you have any further query, please ask me. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23813, + "tgt": "How will the doctor identify my lazy eye vision percentage?", + "src": "Patient: Hi doctor, Other than the Snellen chart method, how doctors will check the vision of a person? I am a lazy eye person with low vision. How will the doctor identify my vision percentage? Doctor: Hello. There are many methods to check vision, according to the age of the patient. It is different for preverbal or verbal children and for adults. For lazy eye, usually crowded charts are preferred with more letters in one row like ETDRS chart. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15459, + "tgt": "I have severe acne in my face. Please suggest a better solution to get a clear face", + "src": "Patient: Hi doctor, I have severe acne in my face. I am using Erytop cream daily at night time for the past three years. Please suggest me a better solution. Doctor: Hi. Treatment of acne varies according to the severity of the problem. Topical medicines alone are helpful for mild acne. For moderate to severe grade acne, both oral medication and topical treatment are effective. Topical treatment of acne comprises topical antibacterials like Clindamycin, topical Benzoyl peroxide and topical Retinoids. Oral therapy includes oral antibiotics like Doxycycline, Minocycline, Azithromycin, and Oral Retinoids such as Isotretinoin. Acne scars improve a lot with chemical peeling. Other methods used to improve acne scarring are dermabrasion, micro needling, and fractional CO2 laser. I would be able to guide you better if you upload a picture of the acne affected area. So that, I would be able to judge the severity of your acne and acne scars, and I can guide you appropriately." + }, + { + "id": 21425, + "tgt": "What could have caused itchiness and burning sensation in clitoris?", + "src": "Patient: Hello doctor,I am 44 years old taking Noriday mini pill for last seven years. It was prescribed to help with heavy menstrual flow. It makes my cycles slightly irregular at 42 to 43 days. I have not been sexually active for over five years. A few weeks ago I felt a sharp stinging pain in my clitoris area while bending forward. I did not give it a second thought until the same type of pain woke me up a few days later. My clitoris is itchy and has a slight burning sensation. The pain has not returned with the same intensity but has been somewhat present as an uncomfortable feeling of rubbing even when nothing is touching the region. I use water only to wash this area and I shower twice daily. Today I gently pulled back the clitoral hood and noticed that the clitoris is the same color as my body skin and not pink like the rest of my vulva. What could have caused this? Doctor: Hi. Itching on clitoris can be due to fungal infections. Do you have any white vaginal discharge which is itching and foul smelling? Do you have burning sensation or pain while passing urine? Clitoral pain could be due to trauma. If you have rubbed it hard while washing it will be painful because it is a very sensitive organ. Do FBS (fasting blood sugar), PPBS (postprandial blood sugar) blood test on empty stomach tomorrow morning. Nerve-related pain can be seen in diabetes. Do you have diabetes or hypertension, since they can cause such problems? Since you are saying that it appears and feels normal, unlikely to be a tumor. Let me know the report tomorrow and I will prescribe medication after seeing them. 1.Take tablet Cetrizine orally at night for a week. 2.Apply ointment Clotrimazole on clitoris and vagina twice daily. Avoid intercourse when you are on treatment. For more information consult an obstetrician and gynaecologist online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17454, + "tgt": "Why do I have loose skin around eyes?", + "src": "Patient: Hi doctor, I am facing problem of loose skin around eyes. Ophthalmologists have described it to be eye allergy. They have suggested anti-inflammatory drops Systane Ultra, but it did not help. Is this a case of plastic surgery? Also, why has this happened so quickly over a period of five months? I have low confidence and not interested in anything. Please help. Doctor: Hello. I have seen your pictures (attachments removed to protect patient identity) and can appreciate the puffiness below both eyes. Get these important tests done. Revert back after the tests to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 9057, + "tgt": "Is it possible to correct my farly placed lower jaw through braces?", + "src": "Patient: Hello doctor,I am 18 years old with 82 kg weight, 175 cm height. I have a lower jaw that is too far back, is it possible for this to be corrected via braces over time? I have a feeling it might be a little bit too far back. However, I was wondering if it is an extreme case or more minor. Doctor: Hello. In your case, it looks like class III malocclusion with receded chin (attachment removed to protect patient identity). Problems in your case, 1. Class III malocclusion as known from your description, clinically molar relation to be seen. 2. Receded chin. 3. Mouth breathing as described. Possible treatment, 1. Class III malocclusion to be corrected for ideal overjet and ideal overbite along with midline matching and class I molar relation. 2. Receded chin to be corrected using a genioplasty surgical procedure. 3. Mouth breathing causes to be examined." + }, + { + "id": 27712, + "tgt": "Is brain tumor causing my headaches?", + "src": "Patient: Hi doctor, I have suffered from sinus congestion in the past, but this time my headaches are different and the time is much longer. Normally, I get pain in my forehead and eyes.\u00a0This time the pain is in my forehead, eyes, ears, and it feels like my neck is throbbing. It is like I am being held upside down, this lasts almost the entire day. I have had this pain for two months now. I had an MRI, four years ago, that came out clear. I am wondering if it could be a brain tumor causing this pressure this time? I have never had pressure like this before for this long. Please help. Doctor: Hi. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30630, + "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": 6348, + "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": 24893, + "tgt": "I am coughing for last one month. Do I have tuberculosis?", + "src": "Patient: Hi doctor, I am 33 years old. I am coughing from last 1 month. In between, it was alright but again started. I do not have any fever, nor chest pain. Even the sputum which comes out is also normal in color. I do not have any problem with sleeping or normal breathing. But, in case when I breathe out from the mouth, I get some feeling inside throat to the chest, and I begin to cough. Currently, I am having cold, and my nasal chambers are all blocked. I have not taken any medicine till now. Not sure whether I have TB. Doctor: Hello. Maybe you are suffering from an allergic variety of cough. It may be due to allergens or environmental pollution. Avoid cool drinks, sweets, and ice creams. Use salt water gargling, water vapor inhalation thrice a day. Use tablet Montus (Levocetirizine and Montelukast) at night after dinner for 2 weeks, tablet Cefdox (Cefpodoxime proxetil) 500 mg twice a day for five days and tablet Deriphyllin twice a day for five days. Consult your specialist doctor, discuss with him or her and take medications with their consent. If you are suffering from weight loss or evening rise of temperature or night sweats, then there is a possibility of pulmonary tuberculosis. You need few tests like CBP, chest X-ray, early morning sputum for gram staining, acid-fast staining and culture sensitivity and absolute eosinophil count. If symptoms are not improved, please consult your pulmonologist. He will examine and treat you accordingly or post the reports to me. For more information consult a general medicine physician --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7097, + "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": 20505, + "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": 27221, + "tgt": "Why am I constantly sick and tired?", + "src": "Patient: Hi doctor, I keep having these waves of feeling sick and tired with no energy for about six weeks now. Doctor: Hello. If there are more questions, I will be happy to help you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29126, + "tgt": "Had unprotected sex today. Should my partner take contraceptive?", + "src": "Patient: Hello doctor, I had unprotected intercourse this morning. But, I am not sure whether I had ejaculated inside. Should my partner take a contraceptive? She is having PCOD. Kindly advice. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18447, + "tgt": "What is the treatment for ruptured eardrum?", + "src": "Patient: Hi doctor, One of my family friend's son was slapped accidently by his friend, and his eardrum was punctured. Some doctors say that it can be healed by medicines and some say that it can be cured by surgery. Kindly advise the real picture as parents are worried a lot. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 9773, + "tgt": "Why am I getting some recurrent swelling in neck that goes away in some days?", + "src": "Patient: Hello doctor,For four weeks I had glands in my neck it swells and then recedes, and then returns to swelling again. Chest and backaches or cramps accompany this. Is this hypothyroidism? Doctor: Hello. I read your query and from what you described it appears that you have some upper respiratory tract infection, which could be giving the lymph node swelling in your neck, which is associated with your muscle cramps. These are not thyroid gland swellings according to me because the thyroid swelling does not increase or decrease in size so rapidly. I would advise you to do complete blood count, a urine dipstick test to rule out whether you have any infection and a simple TSH (thyroid stimulating hormone) test that is a thyroid function screening test to diagnose any thyroid disorder. Try to take tablet Paracetamol 500 mg thrice a day for your cramps in the meantime. I hope to see your lab results soon and wish you good health." + }, + { + "id": 28542, + "tgt": "How do I overcome tiredness?", + "src": "Patient: Hello doctor, I am a 31 year old male, married for 2 years now. My height is 178 cm and weight is 72 kg. I am not suffering with any medical conditions. I am working in a MNC. I do not have any work related stress as such. My problem is that I feel tired most of the time. I am also prone to getting cold frequently, though I do not have any sinus issues. I do not follow any strict diet and I do not skip my meals as well. I do not drink alcohol or smoke. I am not taking any nutritional supplement.\u00a0I have not had any checkup recently. Though 1 year back, I did a complete body checkup. The results were normal, except for my cholesterol level, which was on a borderline high, 202.\u00a0I do not get a consistent sleep. My sexual desire is also very low. I had an addiction to masturbation till recently. But, I have reduced it now. I drive my two wheeler for around 40 km a day. When I am back home after work, I do feel very tired and lazy.\u00a0What could be the reason for this tiredness? How do I overcome this? Do you suggest any vitamin supplements? Should I perform any test? If yes, could you please list out the names of the tests? Thanks in advance. Doctor: Hi. I have gone through your query and it is good that you mentioned it in detail. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19471, + "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": 14246, + "tgt": "I failed to notice a woman and a baby next to me when I was smoking. Will that baby die of SIDS?", + "src": "Patient: Hello doctor, I smoke, and I usually avoid smoking around other people. However, I work at a hospital, and I went outside the hospital, and I lit up a cigarette. I did not notice that there was a woman with a baby, and I stood near them smoking for quite a few seconds. Now I am worried that the baby might die of SIDS, and it will be my fault. Is this possible? Doctor: Hi. Please find my observations below. Second-hand smoke or passive smoking can cause SIDS (Sudden Infant Death Syndrome) only in infants who are exposed to such smoke regularly and in a closed environment like their house. Your cigarette smoking was an isolated event and unlikely to influence the health of the baby in any significant manner. Cigarette smoking in the open dilutes the harmful gases in the atmosphere and if you smoked only for a few seconds then the baby's health will not be compromised even if the baby has inhaled a small amount of the smoke. Please be assured that your action will not harm the baby in any way. In conclusion, you can forget the incident as a small error and stop feeling guilty about the entire episode. Hope this answers your question." + }, + { + "id": 25435, + "tgt": "I feel anxious if I cannot take a deep breath. How to cope with this?", + "src": "Patient: Hello doctor,I feel the urge to take a deep breath every now and then and feel anxious if I am not able to. Sometimes, I also experience that there is something crawling in my chest. I recently have my ECG done and results are within normal limits including X-ray. Doctor: Hello. According to the details provided by you, I do not think there is something to worry about. The only thing you can do is change your breathing pattern to 5-4-7, that is, inhale while counting up to five then wait till you count four and then exhale until you finish counting up to seven. It would be of help if I can view your ECG and then the answer will accordingly change if you have other problems like feeling fatigue or dizziness or getting breathless on walking a short distance or climbing an uphill. Hope this helps you out. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 811, + "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": 12999, + "tgt": "What measures can be taken to manage vomiting during travel in a child?", + "src": "Patient: Hello doctor, My daughter's age is 05 years 05 months 24 days. Her height is 41 inch and the weight is 19 kg. She vomits when she travels by car. Tomorrow we will start our travel by car and my assumption is she will start vomit. Earlier we gave her Ondem syrup. But it did not work. So, we request you to kindly prescribe something (like Avomine tablet) to get rid off. Please note that everything is normal. She is a little fragile. She did not vomit in the train and plane journey. Doctor: Hi. Your daughter has motion sickness. It usually occurs in bus or car. You can give tablet Avomime \u00bd tablet 30 minutes before the start of the journey. Also, make her sit near the window. Also, good ventilation with fresh air lessens the vomiting sensation. Do not give too much food before the journey. Peppermint also helps. Take care." + }, + { + "id": 3316, + "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": 27036, + "tgt": "I am on birth control pills, and I bleed very little on pill-free days. Should I stop or continue the pills?", + "src": "Patient: Hi doctor, I am a 28 year old female, and I am on birth control pills (Femilon) for the past three months. In the first\u00a0month, bleeding started on the third pill-free day, and that time I bled on the\u00a0first and second day. The bleeding was less, and I used only one pad that was not filled. From the third day, I started normal bleeding until the sixth day. In the second month, I finished my pack on the 19th, and I got my period on the sixth pill-free day. At that time, I bled a little amount for three or four days. And in the third month, I finished my pack on the 16th, and I got my period on the seventh pill-free day but, I bled minimal amount, not\u00a0even one pad was soaked completely for three days and finished on the\u00a0fourth day. Is it normal during birth control pills or is it a side effect of the pill? Should I stop or continue\u00a0the pills? I am confused.\u00a0Please help. Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14406, + "tgt": "I had shortness of breath and chest pain after breathing in steam. Am I at risk?", + "src": "Patient: Hello doctor, I am a 26 year old male weighing in 185 and 5'9\". I do not take any medications. I am worried if I am at risk of any complications after having breathed in some steam/air at about 350 F. I was covering a pot roast I had just taken out of the oven when I accidentally took a breath of its steam when I was directly overhead. After it happened, moments later I had shortness of breath and had pain on the left side of my chest. This happened six hours ago. Since then, I have slept and my breathing is normal. There is only a dull lingering pain on the left side of my chest now. I have no cough, my breathing remains steady when I lie down. I do not get dizzy either. Doctor: Hi. Based on the history, at times, though not very common, steam/air inhalation can cause inflammation of the airway leading to respiratory symptoms and even pulmonary edema. So, keep an eye on the following symptoms : If you develop hoarseness of voice, wheezing, stridor, breathlessness, or chest pain, immediately contact a doctor. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30238, + "tgt": "Can you help in improving my husband's unknown allergy and sexual incompetence?", + "src": "Patient: Hello doctor, My husband is suffering from unknown allergy for the last 2 years. He has consulted many doctors and has done many tests, but no positive result yet. He takes Allegra or Montec every day; else he gets rashes all over the body. He is also having filaria for over 5 years and takes medicine for that. He has lost his sexual ability completely in the last few years. I want to know if these are all interlinked or to be treated separately. Can you suggest any further tests that can help him in controlling the allergy and improving his sexual competence? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16918, + "tgt": "Why do I have a drop of blood discharging from my penis?", + "src": "Patient: Hello doctor,I have a drop of blood discharging from my penis almost daily, but not while urinating. I did the urine test, and nothing abnormal was found in the reports except that the urine was acidic. It is happening for the past two weeks. Kindly help me. Doctor: Hello. Blood in urine should be evaluated properly by blood reports and imaging. You require complete blood count, creatinine, serum electrolytes and ultrasound of abdomen and pelvis. It could be stone or infection but you need to get the above reports done. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 397, + "tgt": "Why am I having toothache after biting ice?", + "src": "Patient: Hello doctor,I crunched a hard piece of ice a week ago and those few teeth (left corner teeth) were a bit sore since but starting sunday the pain became increasingly intense (I put a solid clove in my teeth for about 30 minutes and it helped the pain but as soon as I took the clove out the pain returned). This has caused disturbance in my sleep for the past few days. Monday majority of the tooth pain went away (a few teeth still slightly hurt but not bad at all) but now my entire left side of the face is swollen and it became worse overnight (under the eye, nose, and top lip) something in my gum hurts but there is no pimple or bubble there. I have a slight fever (but it is not bad) and my left ear hurts sometimes. Sounds like an infection but I do not know why. I want to blame this on the ice but it is odd that the prominent pain started so long after the incident.How long will this continue and what is the best at home treatment? Should I see a dentist (I have been trying to avoid it because of COVID-19). Is this a serious issue or did crunching the hard ice just trigger an infection somehow? Doctor: Hello. Actually ice leads to transient sensitivity but actually has zero role upon your infection. It might be a gum propblem (periodontitis). Let me know if you notice visible stain and tartar on your tooth or it might be caries that leads to infection and sensitivity from the ice triggered the pain but infection was already there. Upload an image of the area for better perception. Applying clove is a good idea but chornic clove oil acts as irritant and lead to burning sensation (ulceration), it might add to the pain too if used for a long time. Please do not worry. Kindly answer my questions. Meanwhile, as we all are in a lockdown state, I can suggest you medication to ease your pain and manage the infection. So do not worry. Betadine mouthwash gargle in lukewarm water 2-3 times a day, capsule Sporidex 500 mg one capsule BD for 5 days, tablet Metrogyl 400 mg 1 tablet BD for 5 days, tablet Zerodol SP 1 tablet BD for 5 days, capsule Pan D 1 capsule BD before meal for 5 days. These medication are the safest and will work like miracle. But upload the image for confirming the diagnosis to prevent any future pain or discomfort. Caries or tartar depending upon the image. Periodontitis. Irreversible pulpitis (caries). Avoid sweet or sticky or cold food items. Stop the application of clove. Maintain oral hygiene." + }, + { + "id": 21898, + "tgt": "Is a furuncle an emergency condition?", + "src": "Patient: Hello doctor,I have had a boil under my left armpit since yesterday morning or so. It is reddish and painful, and occasionally I may have felt an itch. I have had these before. I just assumed that they were due to excessive sweating, and would just periodically wash with soap water and these would then just go away the same day. This time it has been there for more than 24 hours. I have been washing with soap water periodically and also been cleaning with Dettol. It still has not gone away. I cannot see any other symptoms. I do have some running and stuffy nose since yesterday, but not sure if it is related to this or weather change. I am attaching some pictures. Hopefully, it can be seen clearly. Doctor: Hello. I went through your post and images (attachment removed to protect patient identity). It looks like a furuncle (infected hair follicle). You will have to take antibiotics preferably Amoxicillin Clavulanate (Augmentin 625) and that will solve the issue. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16910, + "tgt": "I have a problem with bowel movements. Kindly help me", + "src": "Patient: Hello doctor, I am having a problem with bowel movements with soft, pasty stools. Lots of small stools after the first bowel movement in the morning. All bowel movements take hours to develop once I feel I am in need of a bowel movement. Often times I have to manipulate bowel movement with a shallow enema. Most bowel movements are difficult and are a single push that leaves me feeling as it is incomplete. The build up to a movement either assisted or not is extremely uncomfortable. No sharp pains but gassy, bloated and a feeling of inflammation in lower bowel where sigmoid colon meets rectum. I have no problem with fiber in my diet and I eat fermented foods and take probiotics. Doctor: Hello. So, this basically occurs due to constipation and incomplete evacuation. There are certain points you need to remember. Firstly, you need to have a healthy lifestyle which includes a healthy diet and regular exercises. In diet, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables like spinach, raw cucumber, whole wheat, etc., and plenty of water, which will help your free passage of stools. Next thing, make use of morning gastrocolic reflex. Normally when one eats breakfast, one tends to get a bowel movement. So have a good breakfast and plenty of water which will give good gastrocolic reflex. Visit washroom after this reflex comes. Most importantly, effective and physiological treatment is fiber supplementation. You should have Psyllium husk 5 to 6 g with each meal and drink plenty of water after it so as to give good volume to your stools. Gradually, we can increase the dose as needed up to 10 g with each meal. If this is not effective we can try other laxatives like syrup Lactulose 15 to begin with and increased up to 30 ml at bedtime which is also quite effective. Linzess you have already been trying, Lubiprostone we can try later. But we try to avoid this as much as possible as it can lead to laxative abuse. 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": 12996, + "tgt": "How can the pain due to erupting wisdom tooth be managed?", + "src": "Patient: Hello doctor, My wisdom tooth is growing. It is very painful. What is the solution? Doctor: Hi. This eruption pain occurs in every 2 or 3 months. To suppress it you must do this antibiotic course: Tablet Augmentin 625 mg, two times a day, tablet Metronidazole 400 mg, two times a day, tablet Brufen (painkiller) 400 mg, two times a day but if the pain is severe take three times a day. Do this course for three days. And do saltwater mouthrinses 3 to 5 times a day for a week. Put a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses. Give me followup after two days. Take care." + }, + { + "id": 15266, + "tgt": "My front tooth got chipped before two days. What should be the next step?", + "src": "Patient: Hi doctor, My front tooth got chipped away before two days. I am so nervous about it. How to recover my tooth? Doctor: Hi. I can understand your concern. It depends upon the vitality of the tooth. If your tooth is vital and if there is no associated pain, then it can be restored with a simple composite filling. In case, if there is a loss of vitality, you can treat it by a root canal treatment. Please mention whether you have pain or sensitivity towards hot, cold, or sweet substances. If you want to save the tooth immediately, it is best to do restoration in the tooth. Please answer the question, so that I can provide you a better possible treatment plan and prognosis." + }, + { + "id": 9152, + "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": 4811, + "tgt": "Is it mandatory to take Kenacort injection throughout my life for uveitis?", + "src": "Patient: Hello doctor, I am suffering from a disease called uveitis and I visit a doctor every six to seven months for injecting Kenacort 40 mg on each eye when needed or when the inflammation starts again. I want to know that when this procedure is gonna end? Or will I have to go for injections for my entire life? I want to know that if I travel to some countries the vision loss occurs sometimes or the effect of injection comes to an end. Can this injection be injected anywhere around the world? Please guide what would be the procedure for that? I am currently taking Deltacortril and Cellcept. Doctor: Hello. I understand that you are suffering from uveitis and are on antiglaucoma drops and previously were on immune suppressive tablets. I feel that you may be suffering from an underlying disease that is hampering your immune system, we call these as autoimmune disorders. The ideal solution to these problems, in general, would be to find out the cause for this immune disorder and treat it. This can be done using blood tests for substances called antibodies (Ab), following which specific treatment can be instituted. Injection Kenocort (Triamcinolone) is an emergency measure employed in case of severe cases not responding to treatment. These injections cannot be given on a regular basis as they cause complications like cataract and worsening of glaucoma. Kenocort injection is available in most places around the world, but the guidelines for doctors in different countries may vary and some may not choose to perform this procedure in view of the side effects. If you would like to know more, kindly attach your blood tests and doctor reports." + }, + { + "id": 13696, + "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": 23809, + "tgt": "What are the chances of spot in retina to grow in future?", + "src": "Patient: Hello doctor,I am a 28-year-old female. Recently I went through dilated retinal examination. In my left eye, there is a spot on retina since birth. I do not have any problem with the vision at present. I am myopic since 12 years old. I have attached my current myopic number. My doctor told me at present there is nothing to worry. But in future, he warned me that if I start getting flashes of light or too many black spots in vision then I have to consult him immediately. He will deal my spot through laser. Now, what are the chances that this spot may grow in future? Will it be treatable? Also, I have a dry eyes problem for two to three months. For last two years, I am undergoing treatment for TB. I take Duonase nasal spray two times. Doctor: Hi. The spot that you have mentioned is called a lattice which is basically an area of weakening in the retina. If you have no history of any retinal disease in other eye or in any family members then doctors usually observe your symptoms. They occur when this lattice converts into a break or about to convert into a break then we can seal it off with a laser. Till then you have to be in follow up and visit your ophthalmologist every six months or so. Refrain from doing chronic heavy lifting like going to the gym. You can do your daily household or office work without any worry. Normally there are about 20 percent chances that break will develop but in my practice, I have seen it be even less than that. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3897, + "tgt": "Is it necessary to undergo testicle removal surgery in a diabetic patient?", + "src": "Patient: Hello doctor, My father is 63 years old and is diabetic. He is suffering from swelling of testicle. Before this, he suffered from urine infection from E.coli bacteria and the treatment lasted for one month. Initially, he underwent his treatment in my hometown and later went to the nearby city for treatment. Doctor suggested to take antibiotics for 10 days and wait for 15 days and asked to come for re-checkup. Doctor told us if there is no improvement, then he suggested my father to remove his swelled left testicle. Please find previous reports and the recent one as well. Could you please explain the report and disease and also let us know is it something serious? Should we change our doctor? Is testicle swelling cannot be cured with medicine? Kindly suggest us whether my father should undergo operation? If so, kindly let us know is there any side effect and risk associated with the operation as my father is a diabetic and he is concerned about it? Can a laparoscopic specialist treat urology disease? Doctor: Hello. I have seen the reports. (attachment removed to protect patient identity). He is suffering from epididymo-orchitis of the testis. As already antibiotics course is over, the report still shows epididymo-orchitis. This shows that it became a chronic case. What are his present symptoms? Does he have a fever, pain in the testis or urinary problems? If the symptoms are severe symptoms then it is better to remove the testis. If there are no symptoms then we can wait, but the swelling will take four to six months to resolve. Testis removal is a minor surgery and he can undergo the surgery, no need to worry about. And no need to change the doctor as his treatment is fine. MS general surgeon and laparoscopy surgeon can perform surgery, no problem." + }, + { + "id": 3369, + "tgt": "Please suggest a suitable medicine to regulate BP", + "src": "Patient: Hi doctor, I am 58 years old. I do not have any health problem except high BP. In spite of medicines my BP does not come down. First I tried Eslo 5 mg and Amlodac 5 mg and now I am on Cilaheart 10 mg. But, my BP remains at 140/100 mmHg. I do not smoke or drink. I eat less and avoid red meat and high protein. Please suggest a suitable medication. Thank you. Doctor: Hello. We are here to help you. Primary hypertension. Get the following test done: Serum creatinine, fasting lipid profile, urine for microalbumin and ECG. Adding up a diuretic and lifestyle modification. Revert back after two weeks to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13179, + "tgt": "When can blood clot or PE develop?", + "src": "Patient: Hello doctor, How common is it to develop a blood clot or PE with no underlying clotting disorder, surgery, not on birth control, etc.? Like can a PE happen out of nowhere? Or is there always a culprit? Doctor: Hello. Usually, there is always an underlying risk factor for the development of deep vein thrombosis. Advanced age, genetic conditions, smoking, obesity, trauma, surgery, etc., are some of the risk factors. The genetic disease includes protein C deficiency, protein S deficiency, prothrombin gene mutation, etc. So it can be ruled out by full coagulation profile testing. Low molecular weight Heparin and oral anticoagulant drug like Apixaban are the modes of treatment for that. Usually, there is always some risk factor present for PE." + }, + { + "id": 7304, + "tgt": "Why are there pain and food lodgement in gum covering wisdom tooth?", + "src": "Patient: Hello doctor, Got a piece of gum basically flapping over my bottom, back left wisdom and this is causing some pain and also causing some food particles to get stuck. Is this dangerous? Doctor: Hello. You might need a small surgical procedure to remove this flap of tissue from over the wisdom tooth to allow proper cleaning of the area if the wisdom tooth itself has space to grow. If it does not have space enough, then the wisdom tooth may have to be removed. Please send clear pictures of the area to help me diagnose further and guide to the best treatment option for you. Use warm salt water gargle twice a day for a week or two along with an antibiotic gel." + }, + { + "id": 18787, + "tgt": "My report shows retroplacental haemorrhage. I have a prior history of miscarriage. Please help", + "src": "Patient: Hello doctor, I am 24 weeks and 2 days pregnant. Black colour bleeding started at 16th week. Since then black bleeding occurs occasionally. On the USG report done on 27th November it showed a mild retroplacental haemorrhage. The growth and movement of the fetus is normal. Today some bright red blood has come out. But the baby is moving. Often I have abdominal pain (mild to severe). I have a prior history of miscarriage. I am much worried and tensed. My doctor prescribed Tidilan retard 40, calcium and iron tablet. I am on bed rest too. Please help. Doctor: Hello. Considering your history and bleeding on and off from the 16th week, and now at 24th week of gestation, you are presented with an old and mild retroplacental hemorrhage over the anteriorly placed placenta grade 1 maturity. (as per attached reports). One needs to understand that retroplacental clot means that there is a part of placenta which got detached from uterus and got filled with blood at the 16th week. Luckily the bleeding did not continue and got stopped and hence the size did not increase, thereby causing complete separation and fetal loss called abruptio placentae (placental abruption). Now what happens is, as the fetus grows, the uterine wall is stretched and the placental attachment tends to get stretched as well and definitely there would be some bleeding occurring, as it has been in your case. Initially the bleed was concealed, then now it has started to reveal. The main fear is abruptio placentae which is an emergency where due to bleeding, the whole placenta separates from uterus and there is heavy bleeding. It is accompanied with severe pain and uterus is board like hard in consistency. It is dangerous for the fetus and causes death in minutes. Hence you have been given Tidilan retard 40 which is a uterine relaxant and would prevent any form of undue contraction or stretch to affect the already hemorrhaged site. However, the present aim would be to carry the pregnancy till 34 weeks till the lungs of the baby matures and you have to be on complete bed rest and if possible in the hospital only. The reason is, what you have been experiencing has been the warning bleed. It may so happen that suddenly you may have an accidental antepartum severe hemorrhage where immediate attention or probably cesarean may be required to save the child, hence hospital stay where you would be better observed is preferable till delivery. In our practice, this is a high risk pregnancy and abruptio placentae is one of the dreaded diagnosis which often leaves very less time for the doctor and the fetus, hence complete rest, uterine relaxation and hospital stay is warranted. I do not intend to scare you, but it is indeed necessary to be vigilant and careful for a safe future. For further queries, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16475, + "tgt": "I have recurrent fungal infection on my penis. What should I do?", + "src": "Patient: Hello doctor, I had a full body to body contact with someone at a massage parlor three months ago. There was no intercourse or oral sex. I ejaculated. I got diagnosed with scabies and a fungal infection on the penis. I took medications for the same and the symptoms went away. However, the burning during urination did not stop. I took other tests and got diagnosed with BV. I took antibiotics for the same. The fungal infection again came back last month at the tip of the penis even though I had no sexual contact. I took an antifungal again and applied Onabet. The infection cleared up. Today, the fungal infection again came back even though there was no sexual contact. Do I need to take any tests? I have attached the pictures. I have taken all the nine PCR tests after nine weeks of contact and ELISA and VDRL after six weeks of contact. All came negative. I have been having pain in the nerves of my lower back since the contact. It goes away and comes back in a week or so. It is recurring and makes difficult to change postures while sleeping and sitting for long intervals. Sometimes, the pain is very severe. It makes me very difficult to stand or sit. I checked C-reactive protein and it was normal. Both semen culture and semen analysis were normal. But, there is a problem with a backache and itching and infection in the groin. Please help. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). If the area is not kept clean and dry, this can happen again and again. It is not always associated with sexual exposure. Your all reports are normal. I suggest you continue with the application of the cream. Are you a diabetic? If not tested, please get fasting blood sugar tests. This has nothing to do with the massage which you took in the past since there was no sexual contact of any kind. Back pain is not associated with the present condition. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 22544, + "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": 12526, + "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": 2972, + "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": 395, + "tgt": "Is it possible to get anaphylaxis if stung by bee frequently?", + "src": "Patient: Hello doctor, Few months ago I got stung by a bee in arm. It is not the first time I was stung by a bee, but this time 30 minutes after it happened, I got swelling under my eyes, on my cheeks and it was getting bigger as time passed. I went to ER and they gave me Corticosteroids IV. Now, I was wondering if this means I am allergic to bee stings and if in future I get stung by a bee again does it mean anaphylacic attack can develop? Doctor: Hello. Yes, that is correct. It seems you are allergic to bee sting. For an allergic reaction to develop, initial exposure must occur in order for your body to create an immune response to it. This might have happened a few months ago when you were stung before. Since there was already an exposure and established immune response, subsequent exposure may result in allergic reaction. Severe allergic reaction resulting in anaphylaxis may occur but most of the time allergic reaction is mild and not life threatening. Symptoms such as excessive skin reactions, including hives and itching and flushed or pale skin, low blood pressure, constriction of your airways and a swollen tongue or throat, difficulty breathing, weak and rapid pulse, nausea, vomiting or diarrhea and dizziness or fainting warrants immediate consult. I hope I was able to answer your concern. Is there anything else I can help you with?" + }, + { + "id": 9613, + "tgt": "Can high altitude cause any affect on DVT?", + "src": "Patient: Hello doctor, Last month I was diagnosed with DVT in my left calf, one perineal vein has occlusive thrombus 10 cm below the knee extending 19 cm below knee, also mild occlusive thrombus of posterior tibial vein 10 cm below knee and extending to 12 cm below knee. I was immediately taken off my birth control, Levlen ED which I have been on for 17 years, this is what the doctors believe is the cause, I was placed on Eliquis (Apaxaban) medication, for one week (7 days). I was taking a double dose (10 mg in the morning and 10 mg at night) and then 5 mg in the morning and 5 mg at night (to continue for three months), a blood test was conducted with normal results in blood, liver and kidney, but showing an increase in white blood cells. The doctor said should be due to having the clots. The questions I have (which I have also spoken to 2 doctors) is around travel, three weeks after diagnosis, I have travel plans, both doctors said I should be fine to travel on a plane as I am already taking the blood thinner medication, wearing compression socks (15 to 20 mmhg) as long as I ensure I am standing and walking around the plane, I would like some advice. How does high altitude affect DVT? And is it fine to do this hike or is high altitude and exercise a risk? Is my risk of PE very low? Both doctors have told me I can go on this trip, but I am wondering if I should change my plans around these remote areas. I am not sure of what percentage of my type of DVT turns into a PE. Will my 2 cm or 9 cm clot be dissolved if I started medication a month before? Is there any other precautions I should be taking? Doctor: Hi. I have read your query thoroughly and checked your attached ultrasound as well (attachment removed to protect patient identity). Below is the answers of your questions as per my opinions. 1. You can travel by aeroplane for visiting any place. You have to take care in wearing compression socks and you have to take medication regularly. 2. It has always been controversial opinion whether high altitude carries risk for thrombosis or not. Let me tell you that in books high altitude are not written as main causative factors for thrombosis. But as per my knowledge high altitude can lead to physiological changes in blood and red blood cells count and hemoglobin can be increased, so indirectly it carries little risk of thrombosis formation. 3. So if I would be your treating doctor than I would not suggest you not to travel to high altitude because we cannot take even less than 1% risk also. So as per my opinion until three months of completion of therapy do not go to such a remote high altitude area where you cannot get medical access. 4. You are right. Clot will mostly dissolves in one month as you have been given best medication for that. But minor clot can remain and it might take more than one month to dissolve completely. Your high leukocyte count could be due to clot. So finally although risk of pulmonary embolism is very low, I would not suggest you to go at high altitude where medical facility is not available. It depends on you to take the final decision." + }, + { + "id": 18510, + "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": 7938, + "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": 6857, + "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": 15988, + "tgt": "What has to be done to reduce fasting blood sugar levels?", + "src": "Patient: Hello doctor, I am 49 years old, moderately active, all biochemical parameters mid-range normal. Fasting sugar levels steady at 147 to 149, PP 159 to 250, drops to 80 to 105 at about 6 PM, after lunch at 1.30 to 2 PM. I am having (Glycomet Trio1 and Glycomet GP1) twice a day. Am unable to understand how to get these levels down to fasting. Doctor: Hi. I understand your concerns. Great fluctuations in blood sugar level are common in diabetics. Your treatment is suitable but it may require some small modifications. My advice in order to have better control is that you have to eat a small meal between the main meals. Stay strictly with the diabetic diet. You can miss one dose if you are not going to eat the meal or you are going to eat a very small amount of food. If you tolerate Metformin well, I suggest that you increase the dose to 1000 twice daily after food and decrease the dose of Glimipride as Metformin decrease the sugar level back to normal but not causing hypoglycemia like Glimipride (after consulting your physician). Measuring HbA1c will give us a good idea about how the blood sugar was controlled over the last three months. I need to know about your meals timings and your medications timings . Do you take both medications twice, so that you are taking four tablets in total or you take one in the morning and the other in the evening? So you take only two tablets? Please provide me with your feedback. For further advice, please do not hesitate to send follow up query." + }, + { + "id": 12187, + "tgt": "Kindly interpret the x-ray and find out the reason for my tooth pain", + "src": "Patient: Hello doctor, I have pain in my tooth. After the x-ray, the dentist said it is ok. But I still cannot chew food and drinks are painful. Kindly suggest me a second opinion. Doctor: Hello. As I can see in x-ray, (attachment removed to protect patient identity) nothing serious. But one thing I noticed a space between fifth, and sixth tooth and the space between the sixth and seventh tooth are wider than usual. I think there may be food lodgment occurred and you feel pain. I suggest you, please go for a professional dental cleaning and follow oral hygiene instructions. Use floss and interdental brush in that area." + }, + { + "id": 14915, + "tgt": "I want to figure out whether I have ADHD. I am not able to concentrate in school", + "src": "Patient: Hello doctor, I am trying to figure out if I have ADHD. I cannot concentrate at school. While reading, my mind wanders off, and I forget everything. If I stay still, I shake a bit. Please help me. Doctor: Hi. The information you have provided indicates towards ADHD (Attention Deficit/Hyperactivity Disorder). But at the same time, there are other conditions that have similar kind of presentation as you have reported. Other than this, there are a few other criteria that should be present before saying whether it is due to ADHD or not. According to the classification systems by APA and WHO, around 10 criteria are required, and few psychological tests are administered before making a formal diagnosis. If you want to be sure about your diagnosis, it will be better to meet a psychiatrist in person or to have an online/telephone counseling with a psychiatrist at icliniq. They can help you understand your problem so that you can take appropriate decision." + }, + { + "id": 9598, + "tgt": "I am getting acne once I stop the acne treatment. Why?", + "src": "Patient: Hello doctor, I am having acne since I was 14 years old. In the beginning, I did not want to see a dermatologist because I thought it is hormonal, but the acne was not stopping from popping up on my face and making my face look full of spots and acne. So I visited a dermatologist when I was 16, the doctor gave me two ointments and a tablet. The treatment continued for six to seven months, and my acne was gone and did not pop up for the next year. After this, I started having acne again just like before, so I revisited the doctor and asked him why is it so? He answered that it could happen because of some changes in diet and prescribed me the same tablet and the ointment for two more months. For the two months, I took all the medicine, and there was no acne for one month after the two-month medication. Now acne is coming back on my face. Why is this happening? Doctor: Hello. There are many causes of recurrent acne, the food, and dietary type is a factor as too much oil, and less fiber diet can cause acne breakouts. So if you are constipated and are already acne prone, this could have exacerbated the acne. If these are not the cause, then it is essential to check if your menstrual periods are regular as irregularity in the monthly cycle as in polycystic ovarian syndrome is accompanied by stubborn acne. If you are overweight or have facial hair, you must get checked out by an endocrinologist or a gynecologist for the polycystic ovarian syndrome. I hope this helps." + }, + { + "id": 16096, + "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": 3804, + "tgt": "What causes premature ejaculation and how can it be cured?", + "src": "Patient: Hello doctor, I am married from last 8 years and I am suffering from sever premature ejaculation (sometime ED also) from beginning (mostly ejaculate in less then 1 minute), I used prosolution pills, Boostero, Climaxagen Pills. Nothing works for me only promescent sprays works for delay but it will cause erectile problem. Below are my details, also I am attaching my complete lab test including ultrasound, LFT, testerone, CBC, Cholestrol.Gender: Male Age: 34 Height: 5 Feet 9 Inches Weight: 78 kg Please recommend some medicine to solve the problem permanently. Doctor: Hello. I can understand your concern. I have gone through the reports you have uploaded and almost all reports are normal except low testosterone (relative to your age), low vitamin D levels and slightly altered lipid parameters (attachment removed to protect patient identity). You are 35 and your height is around 175 cmand your weight is also in normal range. In a lot of individuals obesity is one of main reasons for low testosterone. But your BMI is normal and also your main issue is PME and not ED. PME is not related to testosterone levels and in most of individuals hyper excitation, poor experience and anxiety are main reasons for early discharge. I would advise you to start taking Vitamin D supplements (60k IU per week for at least 3 months) and this will bring the levels to normal range. For PME, drugs like Dapoxetine can be utilized. You can use the drug on SOS basis about one hour before sex and this will surely help to delay the ejaculation time. The drug is safe to use and has no serious side effects. Dose of 30 mg is normally used. You can talk with a doctor for prescription of this drug. This will help to treat your problem and in the mean time you will regain the confidence and your problem will go by own. Thanks and take care." + }, + { + "id": 3139, + "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": 27738, + "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": 3347, + "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": 21298, + "tgt": "How can I get free from the habit of smoking?", + "src": "Patient: Hello doctor,Give me a suggestion to free from smoking. I am very upset about smoking. Doctor: Hello. It is very difficult to quit smoking in a heavy smoker. Gradually you should decease the quantity of daily smoking. Suppose, if you are taking 10 to 15 cigarettes per day, then decrease it to 3 to 4 per day and then gradually 1 to 2 per day and finally stop it. You might have its withdrawal symptoms, Nicotex (Nicotine) like tablet will be beneficial to quit smoking. You can drink more water and perform an exercise like swimming during smoking withdrawal. Be confident and sure enough to leave smoking habit. I suggest you consult a good smoking de-addiction programme. They will help you through a counseling session as well. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13982, + "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": 30834, + "tgt": "Is there any potential side effect with frequent use of I-pill?", + "src": "Patient: Hi doctor, Today is the last day of my periods. Last night, I consumed alcohol and had unprotected sex. I took an I-pill at around 11 AM today. However, I had been vomiting due to nausea at around 2 PM in the afternoon. Should I have to take another pill now? Or would the first one have been effective? How much time does it take for the I-pill to function?\u00a0I had an I-pill earlier in this month (second week) due to an unforeseen circumstance, that is, the condom was torn. I understand taking I-pill often is harmful, especially in such short period of time. Is there any potential side effect? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15751, + "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": 24041, + "tgt": "What is the cause of white itchiness on inner thighs and testis and how to cure it?", + "src": "Patient: Hello doctor,I am suffering from white itchiness on inner thighs and testis. What is the cause and how to cure it? Do you have any medical advise for it? It occurs when I wear underwear for a long time. Doctor: Hello. Please maintain good hygiene. Keep the area dry and avoid friction and sweating as much as you can. I suggest applying Hydrozole cream two times daily. Also, capsule Fluconazole 150 mg on Fridays. Take for two Fridays. It is a weekly capsule. Wear loose clothes. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7300, + "tgt": "Is it normal to miss periods once we stop birth control pills?", + "src": "Patient: Hello doctor,I am a 17-year-old female. I was put on birth control before three months. I took it for two months then stopped, and I have not had a period after finishing it. Is this common, or should I be worried? And I am not sexually active. Doctor: Hello. I believe the reason you were started on birth control pill was because you already had irregular menses, and the physician must have advised you to continue it for at least six months. Also when you started your periods seemed to be regular for two months, but when you stopped it you reverted to your earlier state of oligomenorrhoea. This situation points mostly towards polycystic ovarian syndrome. I would suggest you undergo an ultrasound to check the size of ovaries and the endometrial thickness (ET). If ET is more than 8 mm, then you can opt for a withdrawal bleed with progestins and then restart on birth control pills in consultation with your primary physician." + }, + { + "id": 10135, + "tgt": "What is the treatment for a 11-year-old patient with combined type 1 and 2 diabetes?", + "src": "Patient: Hello doctor, The patient is 11 years old, and right from birth, he is suffering from type 1 and 2 diabetics. Initially, he was on injection and now on tablets every day. As per the doctor, his pancreas is not working from his birth. Can you please let me know if there is any treatment available for this? Also, can the bone marrow blood infusion technique help in treating this issue permanently? Doctor: Hello. Yes, there is a procedure called pancreatic transplant. It must be taking place in your place as well. You can click on the individual hospital website and check if they have a pancreatic transplant facility, but it could be very expensive. But let me tell you one thing that even after any transplant, the patient has to take immunosuppressive medications all his life and compared to that the diabetes pills are still a better option." + }, + { + "id": 19638, + "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": 10384, + "tgt": "What can cause waxy buildup on the roots of hair?", + "src": "Patient: Hello doctor, I am an 18 year old female. For the past two years, I have had this waxy buildup only on the roots of my hair. It feels sticky, oily and stiff. None of the shampoo I have tried has fixed it. The problem goes away a couple of days after I dye my roots. I am wondering if there may be a problem with my scalp. Please help. Doctor: Hi. I have seen your query and concern. Oily skin and excess sebum secretion. 1. Seborrheic capitis. 2. Tinea capitis. Seborrheic capitis. I would suggest you Sebowash (Fluocinolone) shampoo twice weekly. It has to be applied on scalp and left for 15 minutes before you wash. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You should not apply hair oil. You can use conditioner and shampooing regularly rest of the day. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20168, + "tgt": "Is it safe to remove a sebaceous cyst surgically?", + "src": "Patient: Hi doctor, My wife is 52 years old and she has a painless sebaceous cyst at the back of her head. She has been advised surgical excision. Is it safe? Are there any complications? Will her hair grow back? Doctor: Hello. Sebaceous cyst on the scalp is very common.There are no complications in relation to the surgical excision. Regarding the hair growth, yes it does grow back because hair follicles are not damaged. Only the operative site will be shaved. Some plastic surgeons with loads of practice operate with very minimal hair shaving. So, do not worry. Her hair will grow back. Only when the stitches are taken off, there are chances of very minimal pain. Even this can be overcome by using a topical anesthetic gel/spray during suture removal. To know in detail about the surgical procedure, consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 14904, + "tgt": "I had a horrible panic attack two weeks ago. My arms and legs went numb. What can I do to stop this?", + "src": "Patient: Hello doctor, I had a horrible panic attack two weeks ago. My arms and legs went numb. Even now, I am having trouble with them and my balance. What can I do to stop this? Doctor: Hi. The treatment includes some medicines and psychotherapy. Once you begin to accept panic attacks, you can start to change the way you respond to them. For example, instead of reacting to physical symptoms, with nerve-racking thoughts, such as \u201cI am losing control,\u201d you can respond to them with increased calm and clarity. Relaxation techniques, such as deep breathing, mindfulness meditation or yoga can be practiced to help you get in touch with your relaxation response. Repeating positive affirmations, such as \u201cDespite my anxiety, I accept myself,\u201d can also help in getting past fear. By working on changing how you react, you can remain in control during panic attacks. The next time you have a panic attack, try to remember the three A\u2019s of overcoming your fears: Acknowledge, Accept, and Alternative response. These three steps can assist you in changing the way you react to symptoms and get through panic attacks with less fear. Listed here is a simple step-by-step exercise that can help you overcome your fear of panic attacks: Acknowledge - The next time you notice increased anxiety or panic symptoms, simply pause and take a breath. Take this moment to recognize that you are experiencing heightened panic and anxiety. This simple act of acknowledging your symptoms at the start of a panic attack can give you a sense of power over your fears. Accept - Rather than trying to run away from or resist your symptoms, come to terms with the fact that you are having a panic attack. Acceptance does not mean that you are giving in to panic, but can provide you with the clarity needed to get through panic attacks. Alternative Response - Instead of becoming wrapped up in your fear, remind yourself that these are simply symptoms of a panic attack and that you have nothing to be afraid of. During a panic attack, your flight-or-fight reaction may be trigger feelings of stress and fear. Reframing these feelings can allow you to cope with them more effectively. So, for example, if during an attack you start to react with fear or a need to flee, remind yourself that your symptoms will soon subside. Instead of thinking \u201cI am afraid of my panic attack,\u201d try to reframe this to \u201cI am feeling overly excited.\u201d When frightening thoughts, such as \u201cI am going to lose my mind\u201d arise, try to shift this perception, by repeating to yourself, \u201cI am okay,\u201d or \u201cThese feelings will pass.\u201d You can book for an online therapy or telephone counseling for further counseling and treatment from us." + }, + { + "id": 30046, + "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": 9173, + "tgt": "I got white bumps on the back of my tongue, two weeks after oral sex. Is it HPV?", + "src": "Patient: Hi doctor, I am a 28 year old female, and I have white bumps on the back of my tongue. I also have painful white sores on the sides of the tongue. I have been getting painful sores on the tip of my tongue quite frequently for the past two months. But this time, the pain was severe. I did get some relief after taking a few antibiotics. What could be the possible causes? I have attached pictures of the sores. I am extremely worried about it being cancerous or due to HPV infection. Doctor: Hello. I went through your complaint and also the photos (attachment removed to protect patient identity) that you provided of the lesion. As far as your history of painful sores on tongue tip is concerned, there can be various reasons. Most common are vitamin B12 deficiency, stress, irritant food or medications, and trauma. These sores disappear after a certain period if the cause is removed, so believe it or not, antibiotics may aggravate them if the cause was any stress or nutrition deficiency. Coming to your pictures, I got a superficial view of the lesion due to low resolution, and I could make out it does not seem to be HPV (human papillomavirus). But if you experience any tingling, difficulty swallowing, jaw or neck pain, hoarseness of voice, etc., then immediately consult an ENT specialist for oral examination. It can be swelling of your taste buds, which can be caused by similar things as mentioned above. And yes, at the back of your tongue the white circular bumps arranged symmetrically are called as lingual tonsils, which swell when you suffer from a sore throat. Please answer the following questions: If any of the above questions are a \"yes\" or the symptoms does not subside in a week, please get an oropharyngeal examination done by an ENT specialist. Consult me further for any other queries regarding the treatment or anything. Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12368, + "tgt": "What is the mole like spots in my eye with light colored with yellowish red patch?", + "src": "Patient: Hello doctor, I have noticed mole like spots in my eye and light colored yellow red patch. I do not have any problem in vision or itchiness. I noticed it two months back but I do not know when did it develop. I have attached the photograph of the eye. Is it a tumor? Doctor: Hi. I have gone through the picture you sent (attachment removed to protect patient identity). It is totally normal. What you are mentioning as a mole is like spots. Those are normal melanin pigments deposited in the conjunctiva. They are not a tumor. You should be concerned only if you notice a sudden change in growth or color. Otherwise, it is totally normal to have different variations in eye color." + }, + { + "id": 6159, + "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": 24084, + "tgt": "Does my injured tooth need root canal treatment?", + "src": "Patient: Hello doctor,One month ago a bat accidentally hit me on my front tooth and it became blue but it is not paining. Some dentists are saying that I have to get root canal treatment but I insist any other treatment. Please tell me what is the solution to aid my tooth as soon as possible. Currently, I have taken homeopathic medicine. Doctor: Hi. Considering your age, the front tooth should be a permanent tooth. You have mentioned it has turned blue and no pain which indicates that the blood supply to the tooth is stopped hence it is like a dead tooth. Since it is the front one, it is foremost important to retain the tooth for aesthetics. So to do that, a root canal treatment is the best option to stick with where the vital part of the tooth is cleaned and filled with a medication to prevent infection in the future and then a filling or crown is placed to cover up the discoloration. If you are seeking for other options, then leaving the tooth just like that is what I suggest. But in this case, you should be alright with the discoloration of the tooth. If you wish to have your normal pearly smile back, I advise you choose a root canal treatment. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5787, + "tgt": "Do you recommend probiotics for acid reflux?", + "src": "Patient: Hi doctor, I have acid reflux since 10 years. My H.pylori test is negative. I already overused Pantoprazole and it caused side effects like vitamin B12 deficiency, muscle weakness, etc. So, I would like to discontinue it.\u00a0I heard that probiotics may heal my problem.\u00a0Can I use probiotics? If so, then let me know the dosage too. Thanks in advance. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8248, + "tgt": "Why is Z-pak not helping my sinus infection?", + "src": "Patient: Hi doctor, I am a 41 year old female. I have been sick for almost a month now. I went to my doctor and he gave me Z-pak antibiotic for sinus infection. Normally, Z-pak makes me feel 100% better in a day or two after taking them. Instead of feeling better, I felt worse. I have completed all the Z-pak and still no improvement. All eight days of taking the antibiotic, I was coughing up thick green mucus, thick green mucus when blowing my nose and feeling extremely bad with no energy. I went to the ER and a chest x-ray and blood work were ordered. I was given a bag of IV fluids as well. The doctor said I have an upper respiratory infection (viral) and malaise. I was told to take rest, drink lots of fluids and get a decongestant and that is exactly what I did. Now, almost a month gone by and I still do not feel better at all. Does an upper respiratory infection supposed to last this long? Doctor: Hi. The symptoms you are experiencing can be due to any of the following. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18692, + "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": 26048, + "tgt": "An i-pill was taken after an unprotected sex. Can she still get pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex with my girlfriend who is 30 years old and I ejaculated inside her. The next day she took Unwanted 72 but until now she has not got her periods and not even bleeding. Her period cycle starts after 20 days. She is having cough, cold, body ache, and vomiting. Is she pregnant? We are very much worried. Doctor: Hello. I have gone through your history and understand your concerns. As you had the i-pill, the chances of pregnancy are not there in your case. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10859, + "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": 23034, + "tgt": "Can I shift from Clinidipine to Ayurvedic medicine for blood pressure?", + "src": "Patient: Hi doctor, I am 37 years old and have a slight BP. Ranges Like diastolic 85 to 95/ systolic 125 to 135. I am on one 10 mg tablet per day (Cilnidipine salt) medication. I wanted to shift to Ayurvedic medicine like Divya Mukta Vati. Can you please advise? Is there any possibility to shift? What can be the possible doses? Whom do I consult an allopathic or an Ayurvedic doctor? Doctor: Hi. There are several medicines available in Ayurveda to manage blood pressure. But there is necessary to know its root cause. High blood pressure could be due to stress, anxiety, sleeplessness, abnormal lipid profile, liver problems, smoking, drinking, genetical or other unknown cause. If we go through the root cause then it can be manage very easily. You can take Ayurvedic medicines along with allopathic medicines with half an hour gap between both for one month and after one month gradually reduce the dose of allopathic medicines and ultimately stop it. But in this period you should regularly monitor your blood pressure level. Now you can take the following medicines and do pranayama regularly like anuloma vilom, Nadi sadhana, and bhramari. Meditation is also helpful in such conditions. 1.Monitor blood pressure level regularly. 2.Lipid profile. 3.LFT (liver function test). 4.USG (ultrasound) abdomen. 1.Sarpagandha Vati one tablet twice a day. 2.Mukta Vati one tablet twice a day. 3.Jatamansi tablet one tablet twice a day. 4.Brahmi Vati one tablet twice a day. 5.Saraswatharishtam 15 ml twice a day with an equal amount of water after meals. 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking if you have these habits. For more information consult an ayurveda specialist online.--->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10819, + "tgt": "My eye swelling has not reduced even after using eye drops. Why is it so?", + "src": "Patient: Hello doctor,Before three days, I had a feeling in my eye that there was something in it, probably my eyelash. I tried to get it out with water, but the sensation did not go. After two days, I met a pharmacist who prescribed me an anti-allergy eye drop (containing Antazoline). I have been using it every three hours. However, the first time I used it, and then I woke up with a swollen red eye. Today is the sixth day of use, the redness has reduced, but the swelling is still there. The vision in the affected eye is now blurry along the side with a burning sensation on exposure to sunlight. Doctor: Hello. Antazoline is not a drug to be used every three hours, and we as ophthalmologists do not use it much. I would advise you to consult an ophthalmologist because the blurriness that you are now experiencing is more worrying than the swelling of the eyelids and redness of the eye. Please take some high-quality photos of your eye and send them. I will try and help you in the best way possible. Also, provide me with your body temperature." + }, + { + "id": 18555, + "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": 21205, + "tgt": "Will I be able to get pregnant after ovarian cyst removal?", + "src": "Patient: Hi doctor,I am 26 years of age married for two years with no kids. I have a cystic structure on my left ovary 7.5 cm x 5.5 cm. Before I had a tubular cystic structure on my right ovary 6.5 cm x 5.5 cm which is gone by itself. I just wanted to know what kind of operation is done for this cystic structure and after removal will I be able to get pregnant and the doctors told me that my baby bag is twisted (facing the other side) and the chance of getting pregnant is 15 % lower than the normal ladies. Is it correct? And how it can be corrected? Doctor: Hello. As the CA 125 (coelomic epithelial antigen) levels are normal, the cyst is likely to be a simple ovarian cyst. A cyst of size more than 4 cm if symptomatic can be removed with laparoscopy. But if asymptomatic then a trial of low dose oc (oral contraceptive) pills can be given for two cycles to allow natural resolution of the cyst. Secondly, retroverted uterus as in your case has reduced chances of conception, but with the change of position during intercourse that can be overcome. For infertility management, it is important to learn your hormonal status and regularity of your menstrual cycle. Please follow up with details. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26028, + "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": 6004, + "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": 10192, + "tgt": "Why do I feel swollen feet and numbness when they are not so?", + "src": "Patient: Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting down or lying down on the couch. It goes away when I stretch my toes out or walk. I play basketball twice a week. I am taking vitamins B12, C, E, potassium, garlic and fish oil on a daily basis. I have looked these symptoms up, but nothing matches completely with what is on the internet. I also have noticed a hard lump or knot in the middle or bottom towards my toes, where the numbness and swollen feeling starts. I think this might be something else. Please help. Doctor: Hi. Revert back after a month to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 31057, + "tgt": "Are we on the right track in treating my girl?", + "src": "Patient: Hi doctor, My daughter, who is 4 years old, has got cold, cough and viral fever 3 weeks before. After a week of suffering, she was prescribed with Mucolite and Azithral antibiotic five day course of 5 mL one daily. When she was recovering, she started complaining of painful urination and abdomen pain. After a few days, we did a urine test and the result suggested infection with pus cell (4-6/hpf) and epithelial cell (0-2/hpf). For the past one week, her body temperature is usually about 98.5 to 99.3 degrees Fahrenheit and sometime it might get rise to 99.6 to 100 degrees Fahrenheit. The urine culture is in progress and will get the report in three to four days. The doctor has prescribed Disodium hydrogen citrate liquid, Cefixime oral suspension and Rinifol-Z (Lactic acid bacillus with vitamin and zinc) for the time being.\u00a0My daughter was diagnosed for epilepsy this year and she is on Keppra.\u00a0Online review shows that Disodium hydrogen citrate may cause seizure and muscle twitching as the side effect. I am really worried either to avoid it or give her the medicine. Are we on the right track in treating my girl? Is there anything wrong?\u00a0She seems to get the cold again. It is just being two weeks now and she got cold again. Does she suffer from any other condition we need to diagnose further?\u00a0She is almost sick for the last three weeks and we as parents are concerned about her epilepsy.\u00a0Please assist. Thanks in advance. Doctor: Hello. I do not think you should be worried about anything. According to the urine report, there is no infection. Pus cells above 6 is considered as infection and yours is just 4-6 which is quite normal. Recurrent episodes of cold and fever in this season are common due to the seasonal effect. Regarding epilepsy, continue the medication at least for six months and then consult a neurologist. Since you have already started medication for UTI (urinary tract infection), continue it and complete the course. Do not worry about the side effects of Cital (Disodium hydrogen citrate). As it gets diluted in water, it does not cause any harm. If there is no burning sensation while passing urine, then you can stop it as well. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13383, + "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": 315, + "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": 10698, + "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": 11314, + "tgt": "I had unprotected sex. Will I get pregnant with the pre-cum?", + "src": "Patient: Hello doctor, My partner ejaculated hours before we had unprotected sex. According to my ovulation calendar, we had sex on the day of my ovulation. If it helps, I have a 30-day cycle, and my last menstruation started six days before. I want to ask whether I can get pregnant with the pre-cum because he withdrew on time before ejaculating in me. I am afraid of what the result would be. And, I took an emergency pill that contains Ethinylestradiol and Levonorgestrel, three days after intercourse. I know it would not affect much because it happened the day after ovulation. But I am hoping for a different approach. Doctor: Hello. Yes, pregnancy can occur with just precum as well but as you had taken I-pill within 72 hours then hopefully it would be effective and would prevent pregnancy. It does not matter if it was your ovulation day or not that you had unprotected act, but i-pill works in every circumstances. And second option which you could avail to totally eliminate the chance of pregnancy (as if you have not had taken pill within 72 hours) is to opt for coil (intrauterine device) in this cycle. It can be inserted up to 10 days after unprotected episode and can be kept as a long term contraceptive method or be removed after period gets started. It all depends on your choice. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 9445, + "tgt": "I have high eye pressure and glaucoma. Please advice on my reports", + "src": "Patient: Hello doctor, Please see below a report of my interactions with eye doctors in the last 21 months. This piece also includes further information under preambles, and questions, under the problem. Before two years, my optometrist advised that I see an ophthalmologist after examining the back of my eyes. He said my eye pressure was high, and I think 14 or 15. I also told him I had been seeing tiny flashes on waking up since about one month or two. The ophthalmologist, after examining me said my eye pressure was okay, I think it was 12, and he was comfortable with the back of my eyes. He asked me to do a CVF (copy attached). He said the CVF report is ok, the few black spots are nothing to worry about, they may also be false. He put me on Ivyxolotl (Betaxolol hydrochloride) and asked me to come back in six months. Last year I told the ophthalmologist that the flashes had stopped. My eyes were examined, I was asked to call in in 6 months again, and to continue using Ivyxolotl. He said I am a glaucoma suspect. The CVF was repeated. (The copy is attached). Before three months in the same hospital, a different doctor said I have glaucoma as the back of my eyes is cupped. Asked me to repeat CVF, and should continue using Ivyxollol. My eye pressure was 10.Before two months, I did the CVF test but now started to consider getting another hospitals opinion, since it appears this hospital is giving me contradictory opinions. 1st doc says I am not a glaucoma patient but gives me glaucoma meds, 2nd doc says I am a glaucoma patient. (Same hospital). Before two months I sought the opinion of another ophthalmologist in another hospital; After back- of- eyes examination and OCT, he told me, you do not have glaucoma and stop using Ivyxolotl in the meantime. Last month I woke up with a feeling that there is a shaded area in my vision. Second hospital doctor checked for retinal detachment, was convinced that was not happening, asked me to come back in three months. It is reiterated that I do not have glaucoma. Still the opinion that there is a shaded part of my vision, I saw the first doctor, who also reiterated that I am a glaucoma suspect, not a patient. He advised me to continue using Ivyxollol. Eye pressure was 12. Could not communicate to him that I would have stopped using Ivyxolotl, about two months earlier, before the session ended. A grandfather and his brother lost their visions in their old age, and two uncles have also been having problems with their visions. They are in their late 70s. A tennis ball hit me very hard on one eye about 20 years ago. I saw an ophthalmologist then and never had any problem with it since. The problem now is, 1.\tNot knowing what to do with Ivyxollol since I now have two differing advice from two ophthalmologists. 2.\tWanting to be sure that what I feel I see from the corners of my eyes when I roll my eyes one way, and the other is normal. Is there a site, or a write-up that can take one through a total spectrum of what is normal for a perfect eye to see? 3.\tWanting to know if there are other tests I should be doing now since the general advice about eye health and vision is that most problems can be prevented if detected earlier. 4.\tWanting to know for sure the lifestyle steps or changes I might need to take now to enhance my eye-health at this point. What are your recommendations? Doctor: Hello. Unfortunately, I was not able to see any attachments, but I understand your frustration about your diagnosis and recommendations. To start with, all the eye pressure measurements were within normal values but that might be insignificant in case they suspect normal tension glaucoma. The main problem is that suspecting glaucoma in a patient is the best way to treat it if detected before it does irreversible damage to the optic nerve. However and to suspect it, the patient must undergo a set of diagnostic tests, visual field tests, gonioscopy, and the primary test is optical coherence tomography along with measurements of the eye pressure twice a day within three days. The only way I could assist you with proper advice would be to see those tests. As for Betaxolol, I would have monitored you and your eye pressure before prescribing it. The only way to know whether it was effective is to do an OCT while using them now, stop them for three months and do another OCT for comparison." + }, + { + "id": 8151, + "tgt": "Can sex cause any bad side effects while taking steriods?", + "src": "Patient: Hi doctor, What is the effect of sex for an athlete? Does sex cause any bad side effects while taking steroids? Because it is said that having sex is not good while taking a steroid cycle as if it will decrease the gains from the steroid. What is the effect of sex on the body generally? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5812, + "tgt": "I have a sore throat, post-nasal drip, and burning pain in my abdomen. Is it an allergy?", + "src": "Patient: Hello doctor,I have had a sore throat on and off, for the past few weeks. It is not severe, but more of an annoyance with some referred ear pain. This week, I had a family member, who is a nurse, look at my throat to see if it was red or irritated. She noted I had quite a bit of post-nasal drip, but she could see no other issues. I had my tonsils removed as a kid, so they definitely are not the issue. I was thinking this might be caused by allergies, the trees and plants around are starting to bloom. I started taking some Claritin on top of painkillers, earlier this week. I also have been gargling with salt water. Those things seemed to help for a day or two, and the issue seemed to go away.Fast forward to last night, I woke up in the middle of the night with a burning pain in my stomach. This morning the burning pain keeps coming and going, and I can feel a lot of mucus dripping down the back of my throat.\u00a0Is a burning stomach usually something that can be linked to post-nasal drip? I have never had an issue with acid reflux, so I do not think it is that. Also, the burning sensation is limited only to my lower abdomen.I typically do not have issues with severe allergies, so I am wondering if this could be caused by a virus?\u00a0To be honest, I do not have a lot of confidence in my local doctor's office, and they tend to order a bunch of tests then overcharge for them. So I am wondering if I can get away with not seeing a doctor.\u00a0I have ordered an air purifier for my room, and I am taking the allergy medicines religiously. Is there something else I can take or use to alleviate these symptoms? Or should I suck it up and see a doctor?\u00a0I will also add that with these symptoms, I have had little to no nasal congestion or coughing.\u00a0Thanks. Doctor: Hello. You seem to be having some mild inflammation of the sinuses and nasal cavities. The same instead of causing headache or nose block is causing post-nasal drip which occasionally flares up as a sore throat. Let me suggest some medicines that I would do in my practice. In case you do not find any improvement, you can show your local doctor. I would suggest you take a mucolytic medicine that will help lighten the mucus and remove it from sinuses. We have N-Acetylcysteine and Ambroxol in tablet forms. N-Acetyl cysteine comes in a dispersible form also. Ambroxol 30 mg or N-Acetyl cysteine 600 mg, twice daily. You may or may not take an antiallergic medicine. To avoid acid reflux, I would suggest you take Pantoprazole 40 mg twice daily. Acid reflux which can occur in the pharynx causes a sore throat as well. Do revert to me if you need any further support. Hope you feel better soon. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11888, + "tgt": "Is it normal to have frequent urination and vomiting while taking Insulin?", + "src": "Patient: Hello doctor, Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an increase in sugar level, itching all over the body will be there. But this time, it is not there. Sugar level was normal when checked last week also. Kindly advice. More details about the presenting complaint: Continuous vomiting, excessive thirst due to dryness but unable to drink and eat anything from morning onwards due to continuous vomiting. Morning there was an urge to urinate frequently but now it is not there. No itching. Current medications: Insulin treatment. Lab tests performed: Sugar level was normal last week when checked. Doctor: Hello. I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus." + }, + { + "id": 965, + "tgt": "Is it difficult to conceive with hormonal imbalance?", + "src": "Patient: Hi doctor, I was diagnosed with PCOS and my insulin and prolactin levels are 30.9 and 60 respectively. My doctor put me on Glucophage and Prolactin for these before two months. I got my periods on the same month. But, until now no signs of periods. I have mild thigh pain, heaviness in my stomach, light stomach pain and bloating. My doctor told me that if I do not get my periods in the next five days, then she will go for a pregnancy test. I am really scared of thinking about my pregnancy with these hormonal imbalances. Is my imbalance too high that it will take time to conceive or to make my periods normal? Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15406, + "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": 5498, + "tgt": "I have neck, shoulder and arm pain with cervical lordosis. Please help", + "src": "Patient: Hello doctor, I have neck, shoulder, and arm pain. It swells in my triceps and my biceps hurts like it is torned. I can make simple moves. x-ray confirmed cervical lordosis. Please help. Doctor: Hello. I have gone through your complaints and understand your concern. I generally see many cases like this at my clinic. I give them rest, analgesics, anti-inflammatory tablets, and ice packs till the symptoms reduce to some extent. Then I get an x-ray and if necessary an MRI (magnetic resonance imaging) done to find out the exact reason. In your case, there are three possibilities: 1. Soft tissue inflammation, there may be no bony involvement only the soft tissues around the region might be inflamed that may be causing the pain. 2. Neuropathy, there may be a partial or complete inflammation of the nerves in that region that may be the root cause of such kind of pain. 3. Disc prolapse, there may be a compressed nerve in the spine somewhere that might be causing radiating pain in those regions. The possibility of a disc prolapse should be kept in mind. I suggest you get an x-ray as well as an MRI done to find out the exact cause. Physiotherapy, analgesics, anti-inflammatory drugs should help until then. Do get back to me after your reports are ready. But I assure one thing, even if it is either of the above three possibilities, all have a good prognosis and you should eventually get back to normal in a few days.Nothing to worry about. I hope this helps." + }, + { + "id": 6514, + "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": 29518, + "tgt": "I have a small pimple like mark near my eye. What is that?", + "src": "Patient: Hi doctor, I have a\u00a0small pimple\u00a0like mark near one of my eyes. I was wondering about the cause and treatment for it. Please help. Doctor: Hi. Revert with photo to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26623, + "tgt": "I have a rash on my face that has come back more aggressive than before. Please help", + "src": "Patient: Hello\u00a0doctor, I am 20 years old and suffering from a rash on my face. The first breakout was around five weeks ago. I noticed a red spot above my left eyebrow after hearing a\u00a0stressful news and eventually it spread to my chin and above my lip. I was at the beach and after around three days, the rash hardened and left. The skin was kind of dry. The rash has a blister look to it up close and is red. It looks like a ton of little pimples and some of the spots even have what look like whiteheads. It is not painful\u00a0but does itch somewhat. One week later, the rash came back and I decided to see a dermatologist. The dermatologist said I had seborrheic dermatitis, but did not take a sample to have a lab test or anything. She basically just looked at my face and told me what I had. She prescribed me Ketoconazole for two weeks day and night. It kind of came and went. The Ketoconazole cream I guess worked because I did not break for around two weeks. Well, I just stopped the Ketoconazole five days ago and today, I woke up to the same blister-looking rash again. This literally happened overnight. It has just gotten worse throughout the day. Now I have it above my left eyebrow up onto my forehead, the bridge of my nose and around my right eye, chin, above the lip, and some on the right cheek. I need help. Was the dermatologist right when she said it is SD? Or could this be something else? I know they say the skin is scaly with SD but I am not sure my skin has a scaly look. It is more like pimply. To be honest, my skin most resembles a heat rash in the pictures. The pictures do not do it justice. Doctor: Hello. It could be seborrheic dermatitis or photodermatitis. Allergies may be playing a role. All these are visual diagnosis and the lab tests or biopsies have limited or no role. Seborrheic dermatitis is more commonly present with dandruff and similar rashes on the neck and sometimes upper chest. Photodermatitis would be present over the sun-exposed areas. In all of these conditions, a mild steroid cream would be useful if applied for a few days. You can apply Hydrocortisone cream mixed with Ketoconazole for 10 days, twice daily and then switch to plain Ketoconazole for the next 10 days. An antihistamine, like tablet Loratadine, can be taken 10 mg twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. A sunscreen is very important to decrease redness. Apply your sunscreen at least twice daily for example at 8 AM and 12 PM. If dandruff is present, a Ketoconazole-based shampoo may be used twice a week. You can follow up after two to three weeks. Good luck. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 9191, + "tgt": "I have braces to close the gap between front teeth. How long will it take to close the gap?", + "src": "Patient: Hello doctor,I wear braces, my front two teeth were crossed initially, but now they have a gap. I had the gap for six months and a couple of weeks ago they put the tightest wire and elastic on to try close it, but it has not even started to close yet. Do you know when it will? What happens if it never does, will I have to keep them on longer than they initially said? I have them since last year. Doctor: Hello. I understand your concern. Though the migration of teeth starts almost immediately after putting on the braces, the effects start becoming evident after about the sixth week. Though the pace varies from person to person, the gap (diastema) does close with time. However, if you need the gaps to be closed before its regular period, you may discuss placing ceramic or zirconia crowns with your dentist. I hope it helps you." + }, + { + "id": 1847, + "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": 7984, + "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": 951, + "tgt": "What could cause yellowish vaginal discharge?", + "src": "Patient: Hi doctor, I just noticed that I had some yellowish discharge from my vagina. I do not have any itching or burning while urinating and there is no odor from\u00a0the discharge. I was checked for STDs about three or four weeks ago and everything came back negative. I had protected sex with a condom last week, but had unprotected oral sex. How likely is it that this is STD? I am also on Viorele, an oral contraceptive and I know sometimes that this can cause discharge. What could this be? Doctor: Hello. Yes, oral sex could transmit STD (sexually transmitted disease) and they are herpes simplex, gonorrhea or even syphilis. Infections less frequently passed on include chlamydia, HIV and hepatitis A. But, I must tell you that the risks of getting an STD from unprotected oral sex are typically much lower than the risks posed by having unprotected vaginal or anal sex. This is because saliva often contains the antibacterial and antiviral agents. I think of a rescreen if it persists for more than a week or changes its behavior as you never know how you could contract STD. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27000, + "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": 16722, + "tgt": "What ayurvedic medicines are used to treat hyperthyroidism?", + "src": "Patient: Hello doctor, I am a 33-year-old unmarried female. I have a colloid nodule, hyperthyroidism, and uterine fibroids. My thyroid test report shows T3 to be 2.79 ng/mL and T4 is 13.14 ug/dL. I have attached reports for your reference. Doctor: Hello. I saw your reports (attachment removed to protect patient identity). According to Ayurveda, it is totally excess growth in the body which is kapha and vriddhi. You start following the medicines. It will take definitely very long time. I am giving you one month course.Consult your specialist doctor, discuss with him or her and with their consent take the medicines. In addition, I need your detailed history of your menstrual cycle, digestion, motion, food habits, lifestyle etc. so that I can suggest diet and exercise. Regards. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24658, + "tgt": "What is the small painless lump in the breast?", + "src": "Patient: Hello doctor, There is a small lump in the breast. I have no pain or any other type of side effects also. But, as per the doctor's advise, I have gone for FNAC test. Please explain what is the problem. Doctor: Hi. I have seen your attached FNAC report (attachment removed to protect patient identity). It is suggestive of a fibroadenoma which is a very common and mostly harmless condition. It occurs as a result of some hormonal changes during the course of development of the breast. So, there is nothing to worry about if it is small in size (4 cm to 5 cm). You would need a biopsy if it is greater than 5 cm. Please get an ultrasound breast done and follow up with the report. Then I can advice you regarding, what to do next. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 9520, + "tgt": "Can decrease in hemoglobin and sudden weight loss happen due to low LDL?", + "src": "Patient: Hello doctor,I have been on Lipitor 40 mg and Trilipix 135 mg for nine months, and now my LDL is 42 dropped from 140 together with weight loss. Four months ago my hemoglobin decreased to 9.5 but had some recovery recently to 10.5. My weight at present seems to be stable at around 58 kg (height 1.62 m). I still feel energetic but sometimes worried and anxious. Are these the result of very low LDL? or Is there any relationship? Doctor: Hello. I can understand your concern. Your LDL is reduced because of medication. Your anxiety is not due to medication. Similarly, this medication also does not affect hemoglobin. So these things are not associated with this lipid-lowering drug. I hope I have solved your query. I will be happy to help you further." + }, + { + "id": 25715, + "tgt": "How to treat hot water burns in a kid?", + "src": "Patient: Hello doctor, My 4-year-old baby spilled extremely hot water on his right feet. The skin became red immediately. I put Aloe vera gel and silver nitrate ointment. It is better now. But, he is suffering from burning and pain. Kindly let me know what are the other medications and other precautions that I should use. Doctor: Hello. You need to start applying Linical (Calamine) lotion every hourly until the burning settles down. You also need to apply T-Bact (Mupirocin Topical) or Mupi (Mupirocin) or Nadibact Cream (Nadifloxacin Topical) thrice daily after applying the Linical lotion. You can apply any one of the antibiotic creams. Also, start Opexa Gel (Ascorbyl Tetraisopalmitate Topical and Dimethicone Topical) from the third day. Apply it to the affected areas and leave it overnight to prevent scarring. He may require oral antibiotics. It is better to consult a dermatologist. I suggest you try Taxim O syrup (Cefixime) 5 mL twice daily for five days. I suggest P 250 (Paracetamol) syrup for the relief of painuntil it settles down. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Meanwhile, you need to plan for a dermatologist consultation for physical examination and assessing the degree of burns. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19703, + "tgt": "Can Silodosin improve urine flow in kidney infection?", + "src": "Patient: Hello doctor, I am a 52-year-old male, married and with a son. My basic complaint is recurrent UTI, poor urine flow and chronic testicular pain. I was down with kidney infection since past five months and had to be treated with Magnex Forte for five days. A CT scan showed mild perinephric stranding. I was put on low dose Niftran for three months. A follow-up CT scan with contrast revealed normal kidneys and function. Since my urine flow has always been poor, I did an ascending urethrogram a month back. The report indicated no obvious abnormality. There was bleeding and excruciating pain for two days post procedure. Four days later, I again developed severe UTI for which I had to take injections of Amikacin 750 mg for five days. I have once again been put on Niftran 100 mg twice daily. The urologist has suggested a bladder neck incision as he feels that my bladder neck is not opening fully and that there is a slight narrowing of the prostatic urethra. My prostate is slightly enlarged at 26 gm. The urologist is planning to widen neck and if required, scoop out prostate tissue that is blocking the passage. I have been on treatment for chronic testicular pain for last 8 to 9 years. I also have grade 2 varicocele, mild burning pain on tip of the penis. Earlier, I used to get burning pain in penis after ejaculation. One doctor suspects that I have chronic non-bacterial prostatitis. I am currently seeking advice that will help prevent upper UTI, increase urine flow and relax the bladder muscles. My average urine flow is only about 5 or 6 ml/sec. My medicines include Saw palmetto and Quercetin, Mildfil 5 mg, Silodosin 8 mg, Tapentadol 75 mg twice daily, Valium 5 mg and Duzela 20 mg. The last three are prescribed by a pain specialist. My urologist is planning to do a BNI including parts of the prostate (laser), varicocelectomy and a cystoscopy. There is a certain improvement in urine flow after I started taking Silodosin. It seems to be more effective than Tamsulosin and Alfuzosin (10 mg). The only drawback is complete retrograde ejaculation. Can I shift to Silodosin 4mg? Is it fine to do varicocelectomy and BNI at the same time? More importantly, will BNI offer excellent outcome as the X-ray does not indicate an obvious abnormality? Doctor: Hello. As per my understanding, you are suffering from two things. I want to see your urine flow report (printed graph). Do you have an ultrasound done? (I specifically want pre and post void urine residue if available). Now I think, regarding recurrent UTI, you may have two problems. Either problem in bladder itself or problem in bladder outflow (neck). These two can be differentiated by uroflowmetry and ultrasound. If required, a urodynamic test is the best. If the problem is bladder itself (weak bladder power), then you may improve with BNI (bladder neck incision) but not 100 percent. If the problem is not in the bladder, then you can go ahead with BNI and your UTI should improve. So, if you do not want urodynamic test then you can go ahead with BNI and in rare case, if you have bladder problem (weak bladder), then you may not improve as expected. Regarding varicocelectomy, both surgeries can be done together but again testicular pain has thousands of cause impossible to diagnose everything. If it is due to varicocele, then the pain will go. But, as per my experience, resolution of pain after varicocelectomy is only in 60 to 65 percent of patients. Retrograde ejaculation can occur with 4 mg also. So, you can try with 4 mg provided your urinary symptoms do not get worse. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 511, + "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": 28251, + "tgt": "My child is refusing food. What can be the reason?", + "src": "Patient: Hi doctor, My child is 1.5 years old and he weighs 11.9 kg. He is playful and looks energized but refusing food. Is it normal? Kindly suggest any treatment if needed. Thank you. Doctor: Hi. Vitamin or iron deficiency. Syrup Kidicare plus 5 mL once a day for two months. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3496, + "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": 22412, + "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": 18455, + "tgt": "Is it possible that anxiety causes episodes of bradycardia?", + "src": "Patient: Hello Doctor, Is it possible that anxiety causes episodes of bradycardia? Doctor: Hi The answer is definitely NO which means anxiety in pure form does not cause bradycardia since anxiety is associated with increased adrenergic activity. But bradycardia can be found in a person with anxiety disorder because of other factors: If you are taking beta-blocker class of drug for treatment of anxiety, that could be responsible for decreased heart rate despite the presence of anxiety. If you have type I heart block you may have bradycardia despite the presence of other features of anxiety. Any drug that antagonizes autonomic nervous system may be a cause for bradycardia. Bradycardia is influenced by the factors such as age, gender, duration and symptoms associated with anxiety and family history of any cardiac ailment. Revert back with an Electrocardiogram (ECG) and serum electrolytes levels for further follow up with a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20330, + "tgt": "Why is there a hole connecting tooth socket to nasal cavity?", + "src": "Patient: Hello doctor, I had a molar removed two years ago in the upper right area. Since then the hole has never healed. It goes right up into the nasal cavity. Air passes right through my mouth into the nose. Several sinus infections are there. Doctor: Hi. I got your chief complaint and I have arrived at a conclusion that it is a case of oro-antral fistula which had been caused by traumatic extraction of molar tooth particularly upper molars. Due to either over instrumentation by a dentist. The symptoms of this problem are difficulty in eating food and air passing through the nose. This condition leads to sinusitis which frequently gets infected. The treatment strategy includes askingyour nearby oral and maxillofacial surgeon to close the defect. It can need a minor surgical procedure. The dentist should have noticed this early and corrected but it seems an error on his part. Though I diagnosed your problem with your history, it would be better if you can tell me precisely which tooth is this or you can send an attachment photograph of the area. Moreover, if you have any radiograph do send me." + }, + { + "id": 22932, + "tgt": "I cannot stand because of sharp pain from hip. Please help me", + "src": "Patient: Hello doctor, I am a 35 year old male. I had a wound on my right ankle which lasted for some months and my right leg was hanged to enable blood flow to the leg. After two months, the leg was brought down and bandaged while I went for a normal dressing of the wound. I started using the bandage on the right leg to move around without a walking aid. When the bandage was finally removed, I started noticing that my right leg was taller than the left. I started going for massages to enable my legs to come back to the same heights. Then, I started having sharp pain from all around my left hip to my left knee. Right now, I cannot stand with my left leg alone because of the sharp pain I am having at my left hip. I am now using a walking aid. I also noticed that there is no strength to raise my lap up while sitting. I went to the hospital and was given this drug (Methocarbamol USP 500 mg) and some painkillers but the pain will not go away. Help me. I am in pain. Doctor: Hello. The pain could be due to two reasons - one that is coming from the back and the other could be from the hip due to post-immobilization stiffness and possible wasting as you were in two months of immobilization. I would like you to get your pain diagnosed properly before jumping into treatment. And also, like to check your calcium levels in bed. In my opinion, X-ray of your hip joint will let us know more of your hip issue. Later, we can go for other specific investigations and clinical analysis that will help zero in the probable cause and source of the issue. As of now, keep icing your hip joint and painful area once every 15 minutes for every one hour possibly. You can go for anti-inflammatory medication if it was given to you previously. Kindly revert back with details of X-ray and other medical issues if you have like diabetes and hypertension, etc. Hope this is helpful for now. For further queries consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25796, + "tgt": "What could these fleshy-looking masses near the area of circumcision be?", + "src": "Patient: Hello doctor, I have been diagnosed with a genital wart a few months ago. This wart looked like a dark brown flat mole with a lesion next to it. It was located in the middle and underside of my penis. The dermatologist removed the wart. Recently, I noticed a few fleshy-looking masses near the area of circumcision. I am not sure if these masses were always there or if they were genital warts or if they are just a side effect of the Aldara cream I used for my diagnosed wart. Please note that the Aldara cream caused a rash on my scrotum and other areas of my penis. However, the rash is completely gone with the possible exception of the spot near my circumcision. In addition to the fleshy masses, it looks like there are areas where the skin has silver streaks as if the skin has pulped too tightly. I would like to submit a picture to understand what these fleshy masses are. Are they genital warts? Are they skin tags? Are they an effect of the Aldara cream? Doctor: Hello. I have gone through the images (attachment removed to protect patient identity). Kindly send a good quality image. Secondly, can you please tell me genital warts were removed by which procedure? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3944, + "tgt": "Is it normal to have tinnitus after sinusitis infection?", + "src": "Patient: Hi doctor, I was seen at Emergency Care and diagnosed with a sinus infection. My eardrums were red and there was fluid behind them. I was prescribed to have Zithromycin 250 mg (Z-pak), which I have been taking. Now, four days later, my left ear is completely plugged, and the right ear is somewhat plugged. My hearing is affected. I also suffer from tinnitus. This infection has made the tinnitus louder and much more intrusive. Should I hang on for a while longer, or do I need to be seen by my ENT doctor immediately? Doctor: Hi. Since you had sinusitis,it is very likely that the infection has spread to your ear which is causing the blocking sensation. I would also like to know whether you are suffering from tinnitus for long? Have you had age-related hearing loss earlier as well? Do you have ear pain? Either it can be just the infection in resolving stage which will take around two to three weeks after the infection subsides or it is possible that you are getting sensorineural hearing loss. To confirm this, audiometry is required along with impedance audiometry." + }, + { + "id": 5100, + "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": 7478, + "tgt": "Kindly advice the treatment for my shoulder injury that occurred during horse riding accidents", + "src": "Patient: Hello doctor, I am a 21-year-old female 5'2\" in height and 70kg weight. I have injured my left shoulder three times in horse riding accidents over the years but never got it checked. I then recently carried a heavy bag with the arm hanging down for roughly 10 minutes, four times over a few hours. The next day I had severe general pain in the back of the shoulder or scapular but had full and no more pain in moving shoulder. General pain increased after use of the arm though. Pain gets worse at night. I also have a tingling sensation down the back of the tricep, from the armpit to elbow and one spot roughly above the radial nerve when using the arm. X-rays have been taken. I have an appointment with my doctor tomorrow, but I have copies of the x-rays. They appear to show an AC separation with posterior displacement of clavicle. Can you tell me if I may be correct from the scans? And, is it possible that I had previously injured the AC joint, but the bag carrying tore the ligaments? Doctor: Hello. I will answer your last question first, the answer is no. You can strain your ligaments but cannot tear them by carrying heavy loads unless you have strained a poorly healed torn ligament. Unlikely if you had no deformity to start within the shoulder and no immediate pain after carrying loads. The issue of posterior displacement of the A/C joint can only be confirmed on an MRI or a CT scan as the plane of the movement is challenging to assess on the X-ray films. Tingling sensation at the back of the arm points towards a neck problem while night time symptoms look to shoulder pathology. You should have the answers following the review by an orthopedic surgeon. You could upload your films for better treatment." + }, + { + "id": 4953, + "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": 5361, + "tgt": "I have fever and cough problem. Is bronchoscopy needed for further diagnosis?", + "src": "Patient: Hello doctor, One week before, I had some fever and cough problem for which the doctor suggested a chest x-ray, sputum culture, and sensitivity test and give some antibiotic courses for five days. Currently, I am fine, with no fever or chest pain. Only some coughing is there. On examining lung x-ray, the doctor suggested for CT chest plain and contrast. Below are the finding of the CT scan of the chest. Same I am uploading for details. Now thedoctor is suggesting for bronchoscopy for further diagnosis. I am not sure whether to go for it as it is an expensive process. A lot of diagnoses is already done (x-ray, tests, CT scan, etc). But I do not much faith in hospital or doctor, as I feel, he is making money from all tests and I am feeling fine, with no problem, as the problem for which I had gone to the doctor is cured. I want your advice, whether bronchoscopy is required or not? Or refer me some alternative treatment or medicine or precaution. Doctor: Hello, Welcome to icliniq.com. I have seen all reports attached to your query and justify your concern about an invasive procedure like bronchoscopy. (attachment removed to protect patient identity). The history you mentioned is quite clear but many important points are missing too. Without which it is very difficult to advise which appropriate test should be chosen next. Physical findings and clinical examination for nodes in the cervical (neck) or axillary area is very important as they can be biopsied for exact tissue diagnosis. Simultaneously tuberculin test can be done to rule out tuberculosis. As per the CT (computed tomography) scan, you have some nodes surrounding the lungs in the hilar area. Most commonly they are due to tubercular infection. But other causes have also to be ruled out like sarcoidosis or any other infections or malignancy. As per your history, after antibiotics, you are feeling better now and do not have any other active symptoms. So it should be your clinical history and physical findings that will guide us for the next investigation to be done. To rule out tuberculosis or sarcoidosis, we need some histological proof. So as I said earlier, if any palpable nodes are present, it should be excised for tissue diagnosis and bronchoscopy can be avoided. If no external nodes are palpable or excision biopsy is nonconclusive then the only way to get the tissue diagnosis is taking biopsy through bronchoscopy through hilar nodes. Thus once the tissue diagnosis is done, then only definitive treatment can be advised. X-ray or CT scan only shows the nodes but for tissue diagnosis, a biopsy is must. So the next investigation should be planned in the context of present symptoms and physical findings. And it is the sole decision of the treating doctor to do any invasive test if required. What I can say at the moment is any investigation is justified until definitive tissue diagnosis is obtained. So the priority is for excision lymph node biopsy and then for transbronchial or trans esophageal biopsy of hilar lymph nodes. I think the whole idea of doing bronchoscopy is clear to you now. So just follow your doctor's instructions till the tissue diagnosis is done. If you still have any doubts feel free to write to me. Tuberculin test. TB (tuberculosis) or sarcoidosis or any other infection or malignancy. As per the definite tissue diagnosis." + }, + { + "id": 20235, + "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": 4089, + "tgt": "Can I do anything to increase my penis size?", + "src": "Patient: Hi doctor, My penis is small in both length and girth. It not even measures 4 inches. I just need to know is there anything I can do to make it normal. Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20848, + "tgt": "I have Li-Fraumeni Syndrome. Should I be concerned about this nipple pain?", + "src": "Patient: Hello doctor, I have Li Fraumeni Syndrome which greatly increases my chances of cancer. I have regular various annual screenings. I had a breast MRI three months back and the report (which I do not have) stated that the contrast seemed to 'pool' in one place. The doctor said he was not overly concerned but to repeat MRI in six months rather than in usual 12 months. Three days ago, I woke in the night with intense nipple pain in the left breast. It has not really subsided since. I have found a small scab on my areola under the nipple and my left nipple appears much larger and a bit darker than my right. I do not know if I am just noticing the difference now or if it has always been like that. My question is can a small scab form on the areola and not the nipple, but the nipple is swollen with Paget's disease? Maybe I just scratched it without knowing but would my nipple be swollen from a scratch as well even though scratch is not touching nipple? Thanks for your time. Doctor: Hello. Paget's disease mostly involves nipple and later spread to areola, but it can also involve areola only. It is possible that areola is involved and the nipple is swollen. Many cases of Paget's disease do have lump below the nipple or some cancerous lesion. Is this lesion progressing, stable or regressing, is there any itching, burning also with pain, does it appear like eczema or just reddish scab? Regarding your scratch possibility, I do not really think that some unnoticed scratch has caused has lesion, scab and nipple swelling which is persistent from three days. So, considering you have a predisposing condition and unexplained lesion, I think it should be evaluated on priority. You also palpate your both breast especially below the nipple for any lump. So I think you should get this examined, and also biopsied. Hope this helps you and get back if you have any other doubts or information to share. All the best. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22304, + "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": 14433, + "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": 17184, + "tgt": "What could be causing resonance of ear and nose?", + "src": "Patient: Hi doctor, I have been having resonance in the ear and nose since three months now. It all started with a bad sinus attack. I got my IgE test done and the result shows level 1000. Also, I had an MRI. It showed some polyps in the maxillary sinus. I had also got an NCV test, which showed slight palsy in the right ear and that is the same ear with the resonance. I hear myself loudly. While talking through the nose, it seems to be reaching the ear. What could be causing this? I have attached all the reports. Doctor: Hi. I understand your concern. Due to prolong and severe sinusitis, your eustachian tube got edematous. This in turn had developed negative pressure in the middle ear. This stage is named as eustachian catarrh. In your case, this had progressed to secretary otitis media and you are getting echoes of spoken words and blocked ear. For you, the treatment is as follows: Probably, you will feel better with the above treatment. If not, then please consult your ENT specialist and ask for grommet insertion on your ear drum. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27133, + "tgt": "I have a headache, nose and ear block. Are my sinuses infected?", + "src": "Patient: Hi doctor, I have had a cold for just over a week. I have woken up this morning with a headache that throbs with each movement. I blew my nose to find blood in it, and my ear feels all blocked. Could this mean my sinuses are infected? And is it worth seeing a doctor? Or will they not give me anything anyway? Doctor: Hi. Take care.\u00a0Hope your concern is solved. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8323, + "tgt": "Why do I get watery mouth with white and yellow phlegm in the mornings?", + "src": "Patient: Hello doctor,I get watery mouth and lots of white phlegm and sometimes yellowish in the mornings usually. My gums get pain in the morning and a bad taste in the mouth. Doctor: Hello. I went through your issues and images (attachment removed to protect patient identity). Further details about symptoms will be needed. 1. Do you get recurrent headaches and heaviness of head? 2. Any running nose sneezing or nasal block? 3. Any pain in the teeth or tooth problems? 4. Do you have cough? Is the phlem coughed out or it comes by itself? 5. Do you have any fever?" + }, + { + "id": 28611, + "tgt": "Apart from extraction, what else can be done for a broken tooth with severe pain?", + "src": "Patient: Hi doctor, I am having severe pain in one of my lower molar for a week, which is broken and is falling off in pieces. I do not want to get it removed due to fear of pain. What else can be done? Doctor: Hello. I am sorry for your complaint. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29711, + "tgt": "What could be the reason for fatigue and joint pain when all my tests are normal?", + "src": "Patient: Hi doctor, About 4.6 months ago, I became ill. It started with fatigue and joint pain and then progressed to the whole body pain. Every day I feel like I have the flu. I had consistent night sweats, day sweats and chills, loss of appetite at times, nausea on and off and terrible fatigue. I have a battery of tests done. It includes 12 CBCs with differentials, metabolic panels, full thyroid panel, Lymes, mono, adrenal gland testing, female hormones, blood cultures, vitamin testing, rheumatological testing, carcinoid test, allergy panel with celiacs and immunoglobulins and SPEP. Imaging studies I have had were MRI of the brain and spinal cord, cat scans of my chest and abdomen, ultrasound of my abdomen, pelvis and kidneys, HIDA\u00a0scan, endoscopy and mammogram. The only things off were two CBCs\u00a0had lower WBC readings at 3.8 and 3.9; my ANA is 1:1280, my ds-DNA was borderline positive and my vitamin D was low. Otherwise, all examinations were normal. I am so terrified with the thought that I have cancer. Would cancer have been picked up in all that? Am I missing something? Doctor: Hi. Revert with the answer to the above question to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 16842, + "tgt": "I am struggling with acne. Please suggest a treatment", + "src": "Patient: Hello doctor,I have been struggling with acne for a while now and have been postponing going to my\u00a0general physician. I have been very hesitant on what to use and do not ever apply anything apart from a light cleanser on my face. I am not even sure what the term would be for it except the loose term rosacea. I am looking for advice on what prescription or non-prescription medication would be safe and effective for my acne with concerns of my nose getting worse. I also have very pale skin. Doctor: Hello. Your concern is acne rosacea and\u00a0sensitive, acne-prone skin. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 20566, + "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": 20486, + "tgt": "Is it necessary to get a root canal in an infected tooth?", + "src": "Patient: Hello doctor, A back molar was sore when I chewed on it and my dentist found an infection under it, so he did a root canal but afterward, it was still sore. He sent me to a root canal specialist who found that the tooth is cracked and needs to be removed. Given that the infection was under the tooth in the bone, was it appropriate to do a root canal before checking whether it would solve the problem? Doctor: Hi. Your chief complaint in itself suggests tooth was infected so there were two treatment modalities: RCT (root canal treatment) or extraction. As the doctor has done RCT and problem has not solved, it can be due to accessory root canals difficult to negotiate or perforation due to faulty RCT procedure. The endodontist after examination arrived at the conclusion of a cracked tooth. So, he advised extraction. As for your question is concerned the doctor has tried best at first instance to save the tooth and it is a routine which dentists do. But based on the complexity he was not able to solve it. Under such cases we dentists extract tooth particularly in case of third molars which has much complicated anatomy." + }, + { + "id": 9165, + "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": 15336, + "tgt": "Why is there tightness and pain below my ribs on the right side?", + "src": "Patient: Hello doctor, There is a tight feeling below my ribs on my right side. Sometimes, a little painful but other than that I am feeling very well. Doctor: Hi. I have gone through your query and can understand your health concern. The tightness could be due to gaseous problem or disease of the organs present in that area like liver, gallbladder or ascending colon. Sometimes, liver pathology can cause such symptoms. In my opinion, you should consult a physician and get your check up done. You may need an ultrasound of the abdomen and liver function test. Avoid oily, spicy food. Drink a lot of water. Avoid tea and coffee. Include more fibers in your diet like salads, green leafy vegetables, whole grains." + }, + { + "id": 4121, + "tgt": "I get pain and sensitivity after getting temporary crowns. Why?", + "src": "Patient: Hello doctor, I got three temporary crowns in the front top teeth in the last week. The two middle teeth and one on to the right. The one on the left is perfectly fine and only took about 15 minutes to make and put in my mouth. The other two had difficulties when being made. Along with this, a couple of cords, or what looks like cords are hanging loose on the right middle and the one next to it. It feels sensitive and hurts. This is something that I am worried about and I have read multiple websites stating that my dentist was supposed to take these cords out before cementing the temporary crowns. What do I do? Doctor: Hi, Welcome to icliniq.com. I have read through your complaint and the relevant details. Ideally, the permanent crowns usually fixed does not come with any cords. I assume that those are the temporary ones which you have in the mouth at the moment (with a clue that you said it took only 15 minutes to make one of it). Moreover, if that is the case then those cords should the splints which are placed to stabilize the crowns in place for a good reason. You have also not mentioned for what reason have you got the crowns for your teeth. It would be of much help if you can send a picture of the same so that I can arrive at a better treatment plan. Coming to the sensitivity, you shall use Sensodyne rapid relief toothpaste to replace your regular toothpaste at the night and it helps you greatly. I hope this helps." + }, + { + "id": 30019, + "tgt": "Noticed a few changes in my mouth. Are they suggestive of cancer?", + "src": "Patient: Hi doctor, I just wanted to know if the attached pictures are suggestive of mouth cancer. Doctor: Hello. I saw both the pictures (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 836, + "tgt": "Why do I get pain in the kidney region?", + "src": "Patient: Hi doctor, I wake up with pain in the kidney region every morning after approximately three to four hours of lying in the supine position or on my left side. The pain localizes beneath the left and right kidneys, more on the left and down toward the pelvis on the left side. It hurts the most when inhaling. My body wakes me up in a 10/10 pain every morning as a survival necessity. If I elevate my mattress by 15 degrees with my head higher than my feet, I do not wake up with the pain or it is suppressed approximately 90%. When I get up and walk around for several minutes, the pain goes away. I never experience the pain when I am not lying down. There also seems to be hyperintensities in both the cecum region and renal pelvises. I found the intensities in the cecum region to be upwards of 3071 compared to my bone intensity measurements averaging around 1200. I have testicular pain following urination, sometimes cloudy or semen like urine following the pain. I am unable to completely trace both the ureters without their disappearance and they both seem to be compressed in various regions. I can however find them again around the bladder. I understand that dilation is absent on the CT scan, however the pain only arises after hours of laying down so it would seem to make sense that dilation is not visible on the scan. Also, there seems to be an intense, vascular network posterior or underneath the kidneys that I have been unable to identify. The duodenum appears to be compressed by the SMA and the right testicular vein appears to be compressed by the duodenum. I need your help to review these issues. I feel like I am dying. I am 25 years old. This has been occurring for more than two years. I have extremely itchy skin all the time, probably due to urinary leakage or fistula or vascular issue. My identical twin brother does not have any of these issues. I do not think that I can go much longer. I have attached the reports for your reference. Please help. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). For further doubts consult a radiologist online -->https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 19081, + "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": 11264, + "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": 13579, + "tgt": "Why am I having frequent miscarriages?", + "src": "Patient: Hello doctor, I have had four miscarriages in a row. One had a subchronic hematoma. Is there a reason for this or a way to stop? I have given live births but now I cannot keep a child. What can I do? Doctor: Hi. Recurrent miscarriages need to be investigated actually. You had live births but now had four consecutive miscarriages. It is better to have a thrombophilia screen and products of conception needed to be send out for histopathology to check any chromosomal, congenital, structural anomaly. If you have been treated for any health issues like diabetes, thyroid, or high blood pressure, better have a complete, revised and regular treatment. All levels of blood pressure, thyroid, sugar levels should be within normal range as high sugar levels, high blood pressure, abnormal thyroid function test can trigger miscarriage. Have Folic acid continuously 5 mg as the abnormal product of conception, with structural, congenital or chromosomal anomalies can be aborted easily by nature itself. A hormonal imbalance like polycystic ovaries need hormonal support like Duphaston and Metformin during pregnancy for maintenance. Have a healthy diet, less salt, sugar, oil, and spice. Try to have normal BMI and weight as both high and low BMI can affect conception. Husbands health issues also need to be sorted out. Have recreational activities and quit recreational drugs as a couple as these reduces fertility in both gender and can cause fetal anomalies. You need blood thinning medications as well as soon as fetal viability comes like Aspirin, Heparin, etc. It is better to have an early booking with maternal medicine and high risk pregnancy consultant obstetrician. Send me your recent blood reports, detailed medical, gynecological, obstetrics and drug history and have thrombophilia screen, rubella screen. So that you could be guided more nicely. Medical issues to be sorted out, if any. Thrombophilia screen, rubella screening. Recurrent miscarriages. Folic acid daily 5 mg, sex in the fertile period of the cycle, early booking with high risk and maternal medicine consultant obstetrician. Blood-thinning medications as soon as fetal viability confirms. Progesterone support as soon as pregnancy test comes positive or cycle miss. Complete check and regular treatment and care of any health issue she has, healthy lifestyle, have normal BMI and weight, daily walk and exercise. Quit recreational drugs as a couple. Husband's medical issues also needed to be sorted out." + }, + { + "id": 4236, + "tgt": "My baby has undescended testicles. Will it descend on its own?", + "src": "Patient: Hi doctor, My baby boy was born after full term pregnancy by surgery. His birth weight is 3.75 kg. \u00a0But, his both testicles are undescended. What are the chances that his testicles will descend on its own? For how long should I wait before further treatment? Doctor: Hi. Revert back with the report to a paediatric surgeon online --> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 25489, + "tgt": "Can gastroesophageal reflux be due to iron deficiency anemia?", + "src": "Patient: Hello doctor, My father is diagnosed with a gastrointestinal problem. The doctor has told him that he has an ulcer and also his hemoglobin is low. He has undergone a capsule video endoscopy and a bone marrow test and all these tests have been normal. He also has reflux of food when he is sleeping. If he walks more, he gets a breathing problem. He is having high BP for which he is using Ramcor-H 2.5 and Stamlo-2.5 tablets. For iron deficiency anemia, the following tests have been performed: Endoscopy, colonoscopy, abdominal CT scan, capsule video endoscopy, and bone marrow. I have attached the reports for your reference. Doctor: Hello. I have gone through your father's test reports (attachment removed to protect patient identity) and he has microcytic hypochromic anemia. The most common cause of which is iron deficiency. This could be due to bleeding from duodenal ulcers over a long period of time. I would advise that he take iron and folic acid tablets after food twice daily in addition to existing medications. As for reflux, ask him not to lie down within two hours of eating. When he lies down, he should sleep on his side, preferably the left side and avoid lying down on his back. He should continue his medications as advised. Shortness of breath is experienced by many causes involving the lungs and heart, but in your father's case, it is due to his heart since he has a history of hypertension (high blood pressure). It could also be exaggerated by his iron deficiency anemia. He should incorporate daily walking into his lifestyle to improve this. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18683, + "tgt": "Do my lab values indicate iron deficiency anemia?", + "src": "Patient: Hello doctor, I am a 58-year-old man and I had a CBC with differential 10 days ago. I donate blood about every two months. I have been taking daily Metamucil for about three months and testosterone shots. My level is 930. All other tests are quite normal except HDL cholesterol which is low. I stopped drinking alcohol three months ago and anion gap was 6. I am on 12.5 mg of Atenolol, Amlodipine 10 mg, Irbesartan 300 mg once per day for hypertension. My BP is 123/76. I had flu-like symptoms at first with no congestion two weeks ago. I have bad joint and muscle aches. That went away. Now, I have fatigue, slight shortness of breath with numb hands and feet at night in bed. I have experienced symptoms of fatigue, slight shortness of breath at rest, hands falling asleep when I wake up at night. Even though the RBC is normal, do you think that the lab test below indicates iron deficiency anemia? The results of the CBC are as follows: WBC\t3.47 K/uL 4.00 - 12.00 K/uL\tL RBC\t5.70 mil/uL 4.50 - 6.00 mil/uL Hgb\t12.8 g/dL 14.0 - 18.0 g/dL\tL Hct\t42.1 % 40 - 54 % MCV\t73.9 fL 80 - 98 fL\tL MCH\t22.5 pg 27 - 33 pg\tL MCHC\t30.4 g/dL 32 - 37 g/dL\tL RDW\t15.1 % 11.5 - 15.0 %\tH Plt\t183 K/uL 150 - 450 K/uL Differential type\tAutomated Abs neuts\t1.86 K/uL 1.80 - 7.80 K/uL Abs immature grans\t0.00 K/uL\t0.00 - 0.05 K/uL Abs lymphs\t1.12 K/uL 0.80 - 3.30 K/uL Abs monos\t0.37 K/uL 0.10 - 1.00 K/uL Abs eos\t0.09 K/uL 0.00 - 0.40 K/uL Abs basos\t0.03 K/uL 0.00 - 0.20 K/uL Neuts\t53.5 % Immature grans\t0.0 %\t0.0 - 0.6 % Lymphs\t32.3 % Monos\t10.7 % Eos\t2.6 % Basos\t0.9 % Doctor: Hello. From these test results, you appear to have microcytosis and hypochromia of the red blood cells. This is most commonly seen in iron deficiency anemia. I would suggest you take iron and folic acid tablets thrice daily after meals for at least a month. As for the numbness of hands and feet, this could be a sign of vitamin B12 deficiency. Are you a vegetarian? If so then this could be a reason for the numbness. The other symptoms that you have described are consistent with iron deficiency. I would also advise you to not donate blood until your blood iron levels and ferritin stores are normalized. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 9854, + "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": 19694, + "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": 15453, + "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": 26725, + "tgt": "Nowadays, I am not getting excited after masturbation. Will it be a side effect of Metoprolol?", + "src": "Patient: Hi doctor, I am 24 years old. I am taking Metoprolol succinate\u00a0for three months for\u00a0viral infection. My cardiologist said that the viral infection is almost gone, but I should keep taking the Metoprolol succinate for three more months that is overall six six months. Initially, I had 50 mg, and now he changed the dose to 25 mg. My question is regarding masturbation. Before taking Metoprolol, I feel chills all over my body on ejaculation. But, I am getting the feeling only in my head now. Is this normal? Or is this a side effect of the Metoprolol? Doctor: Hi. Metoprolol The side effect of medication. Continue treatment as prescribed. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26957, + "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": 12961, + "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": 11983, + "tgt": "Is it advisable to eat expired food?", + "src": "Patient: Hello doctor, Please tell me what are the things that can happen when you eat expired food. Doctor: Hello. If we eat food that is expired, the efficiency of the preservative is lost. So some organisms if present can multiply and can send some endotoxins. Also, the taste and odor can be altered. The food has a shelf life. If this is crossed some people can have diarrhea or acidity in the stomach. This can be due to the chemical nature of the food." + }, + { + "id": 29827, + "tgt": "From my MRI, can you point out what is causing the back pain?", + "src": "Patient: Hi doctor, Other than Bell's palsy, I\u00a0have a problem of back or neck pain now. In fact, this has been going on for a few months now. More recently, the right of the back (lower back and hip) has been causing a lot of pain. I got an MRI of spine done four weeks ago. I am attaching the report here for your reference.\u00a0The pain has increased significantly over the last 10 days or so. I visited a physiotherapist two days ago. She did some nerve stimulation in that area and asked me to do some exercises. I am not sure about the nerve stimulation and how safe it is. Also, if the exercises to strengthen the core are good. My GP ordered some x-rays yesterday. I will get the results later today. I am not sure what is causing this pain and what I should do next. Doctor: Hi. For further information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 6933, + "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": 11765, + "tgt": "What are the chances of pregnancy after having sex three days before periods?", + "src": "Patient: Hello doctor, If a girl has sex 2 or 3 days before her periods without any precautions, should she be given preventives or would there be any fear of her being pregnant? Doctor: Hello. If the woman is regularly menstruating, meaning she has regular monthly interval of 28 to 32 days, she will not get pregnant three days prior to having sex. Her ovulation would have happened midcycle and that would be her fertile cycle, it will be within days 10 to 20 days of the cycle. So assuming that she menstruated at day 28 interval, then her three days prior would be day 25, and if it is 32 day interval, it would be day 29. She will not get pregnant at that time." + }, + { + "id": 21277, + "tgt": "Underarm odor making me conscious when I sweat. Please help me", + "src": "Patient: Hello doctor, I have this underarm odor since four months. I do not know why I have this. I always take a bath every day. When I sweat, my underarm stinks. I used Rexona as my antiperspirant but when I found out that I have an underarm odor, I changed to Nivea. I also tried some home remedies like baking soda, lemon, and calamine. I noticed that Nivea is not effective for me. So, I decided to change back to Rexona again. What should I do? This problem makes me worried and conscious everytime I sweat. Please help me. Thank you. Doctor: Hi. Bad odor is due to the presence of microorganisms in the axilla. I would suggest using an antiperspirant containing Aluminium hexahydrate chloride like Aldry lotion in the underarms at night followed by a bath in the morning. Also, use an antibacterial cream containing Fusidic acid cream on the underarm skin during the daytime along frequent application of an antifungal powder. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4151, + "tgt": "Is it normal to have irregular periods after taking Ipill?", + "src": "Patient: Hello doctor, Me and my fiance had sex and seems out of fear took Ipill because it was unprotected for sometime so many doubts in mind but no leakage or injection of sperm, etc. Three time UPT done but all negative. After taking Ipill period comes as per regular cycle for 4 days but next period only one two hours bleeding and then stopped. This month period is skipped till date say it late by 25 day including today. Do I need to visit doctor or wait? Doctor: Hello. If you had taken Ipill within 72 hours of unprotected sex, it works well as emergency contraception (about 90 %). Since you had a regular periods after taking Ipill, pregnancy is unlikely. Ipill is hormonal pill containing synthetic Levonorgestrel which can can sometimes disrupt normal menstrual cycle. It is possible that your regular menstrual cycle has been affected by taking Ipill but the side effects are transient and usually menstrual fluctuations disappears by the following cycle. Since you are reporting persistent delay in having your periods, it is advisable to consult an OG doctor to have a check up and help to re-establish normal periods again. It will be reassuring to you as well. Do not worry there will be no long term side effects due to Ipill but it should not be taken often." + }, + { + "id": 12638, + "tgt": "Could severe headaches be due to brain damage?", + "src": "Patient: Hi doctor, I am experiencing severe headaches. I have not slept in two days. I am having erratic thoughts, more so than usual which scares me a bit, to be honest. I feel like I am on the verge of a breakdown. I have had two psychotic breakdowns in the last two years. The headaches are getting worse. Initially, the pain is like a pulse and starts in any one side of my head, front, back, and either side. I am on medication prescribed by my doctors. I want to know if this might be happening because of damage to my brain or something. I have not done any scans yet, but it sure feels like there is something wrong inside my head. This feels more like a confession than a question, I know and I apologize. I need to know if my current situation is something that I should genuinely be worried about or not. Whether the things that I have described here could be signs of a breakdown and what I can do to prevent it? Thank you to anyone who reads this, and I would appreciate your advice. Doctor: Hi. The nature of pain you described fits into the diagnosis of vascular headache. It merely occurs due to dilation of blood vessels in the scalp and inflammation of perivascular tissues. Although it causes significant discomfort, it is a very benign illness and has nothing to do with psychosis. It gets aggravated by stress, change in weather, change in atmospheric pressure, intense sunlight, noise, etc. The treatment is simple in most of the cases. Naproxen 500 mg and Sumatriptan can terminate acute episodes. For prevention of such headaches, a combination of Propranolol and Flunarizine would be helpful. Some people respond better to Topiramate." + }, + { + "id": 24149, + "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": 10176, + "tgt": "What are the chances of developing a heart attack in a GAD patient?", + "src": "Patient: Hello,I am a 28-year-old female. I always worried about her heart. I have GAD specifically focus on health anxiety and often experience heart attack symptoms so much so that I have gone to my doctor and the ER many times (always to be cleared). I continue to worry whenever the symptoms come back. I have been cleared so many times, but still, fear that something could go wrong or something might have been missed. Is there a chance that I could develop a risk of a heart attack without making any major changes? Doctor: Hello. A heart attack usually occurs in those with risk factors for ischemic heart disease such as high BP, high sugar, high cholesterol, family history of a heart attack in young age, etc. Your tests are normal thats good. To estimate the lifetime risk of development of atherosclerotic diseases such as stroke and heart attack, have a fasting lipid profile done and send to me." + }, + { + "id": 20036, + "tgt": "I have signs of premature aging. Please suggest a homeopathy cure", + "src": "Patient: Hello doctor,I am 21. I am suffering from dark circles and fine lines and wrinkles around eyes even with dark facial hairs and loose facial skin. In short, I am finding signs of premature aging, hair greying, and excessive hair loss. Please please help me out. Doctor: Hello. I understand you have been suffering from the signs of premature aging. The most common cause for this is lack of sleep and very stressful life. Firstly, I would advise you to take proper rest and sleep every day for seven to eight hours and try to manage or reduce the stress in your life. Secondly, eat lots of fruits and nuts like almonds, cashews, and other dry fruits. And try the homeopathic remedies like 5 Phos three tablets twice a day for 15 days. These tablets are chewable so no need to take it with water. Just keep them over your tongue and it will melt on its own. This medicine will help reduce your stress and also would help to get rid of signs of premature aging. I hope you start feeling better. Kindly update me in 15 days. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 29780, + "tgt": "Is a surgery truly required for a gum infection?", + "src": "Patient: Hello doctor, For two months, I have been having a bad mouth odor. From last month, I am noticing\u00a0bleeding from my gums.\u00a0I had visited a dentist a few days back for these problems. In the initial checkup, he told me about the gum infection. The doctor also took an x-ray. He suggested me to undergo either a surgical or non-surgical laser treatment. Kindly, find the attachment of my x-ray. Please give your expert opinion regarding my condition. Is the surgery truly required or are there any other alternatives? Currently, I am taking ayurvedic medicine. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5616, + "tgt": "Is it safe to take Levocetirizine daily?", + "src": "Patient: Hi doctor, I am suffering from allergy. I used to have runny nose, cough, difficulty in breathing when allergy increases and also occasional watery itchy eyes. I am not able to eat curd, citrus fruits and I cannot live in cold weather. Usually the allergy will start with sneezing, runny nose and then cough and difficulty in breathing and at last chest congestion.\u00a0I feel better at noon and in hot weather. I also have eosinophilia.\u00a0I am taking anti-allergic tablet Levocetirizine daily. Kindly help me. Doctor: Hello. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 4633, + "tgt": "Is listeria infection fatal for a baby?", + "src": "Patient: Hello doctor, My wife is 18 weeks pregnant. Last night we went out for dinner and she ordered a shrimp cocktail. The shrimp seems a bit off and so she only ate 3 or 4 then we returned them. She also felt a little unwell the next morning, but she had no fever. Her temperature was 34.5 degree Celsius. We have heard horror stories about listeria and pregnancy in addition to other things with eating fish and shrimp. Could this be a problem?\u00a0Should we go and see our doctor?\u00a0Are there any tests she can do to see if she caught anything?\u00a0If so, what are the risks to the baby?\u00a0Anything else you think we should know about or do? Please advice us. Thank you in advance. Doctor: Hi. I went through your query. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11097, + "tgt": "Does chocolate like blood spots with loose motions after fingering mean pregnancy?", + "src": "Patient: Hello doctor, My fiance fingered me and I am not sure whether he had masturbated before fingering. But after that I found chocolate like blood spots. I had my periods done before six days. Also, I suffered loose motions day after. And I could see the same colored spots. I am scared if I am pregnant. Doctor: Hello. The presence of clots per vaginum post-fingering can be seen in cases of cervicitis but if chocolate coloured blood spots are seen , it could be collected blood or if you are suspecting pregnancy, then you need to get a urine pregnancy test done to rule out pregnancy. If pregnancy test is positive, then this could be threatened miscarriage." + }, + { + "id": 2308, + "tgt": "I have painful lump in my armpit. Please help", + "src": "Patient: Hello doctor, I have a painful armpit lump. Please suggest. Doctor: Hi, Welcome to icliniq.com. It is an infection. Take tablet Cefixime 200 mg twice daily for five days, Mupirocin ointment daily for five days. Take antiseptic soap for bathing. Tablet Aceclofenac and Serratiopeptidase once daily if there is pain. Review after five days. Infection will subside, if lump remains it need to be removed surgically. Send a photo after five days. Bacterial infection. Fasting blood sugar." + }, + { + "id": 23456, + "tgt": "Is my 1 year old's blisters due to molluscum or chickenpox?", + "src": "Patient: Hello doctor, My daughter is 1 year and three months. She was diagnosed by her pediatrician to have molluscum virus. Initially, there were 23 blisters (watery substance) started from 15th. The doctor advised applying Caladryl lotion on blisters and nothing else. No cream/powder, nothing. She was advised to take bath with drops of Dettol/Savlon in it. Right now, most blisters dried up and some more growing (current count is 8). The issue is, she needs to take her vaccine (varicella vaccine) on the 7th. It seems like the doctor is keen to give it as well. There are some other vaccines as well to be given normally at 15 months. I just need to double check, is it safe to go for the vaccine now? The doctor said molluscum will come and go on its own, but I am anxious to get my daughter out of it sooner. She has no itching and fever and is full of energy (touch wood). Please suggest three things: Any alternative treatment for faster healing of this blister and to stop growth in any other places of the body? Is vaccine mentioned above safe to be taken on 7th? Is there any need to do any blood test to rule out any underlying disease? I am really tensed. Please assist and suggest the best consultation for my daughter. Doctor: Hello. If it is molluscum, nothing to be worried about but if it is chicken pox, you need to start Acyclovir therapy for faster relief. Are the blisters causing some marks after they fade? Please discuss with your pediatrician about the probability of chicken pox. You can delay the scheduled vaccine for another week till she is free from this viral infection because the immune system is altered and the vaccine may flare up the infection. I suggest you hold the vaccine for a week or two. If it is surely molluscum, the treatment what you are getting is appropriate as it goes on its own. No other tests or treatment required. Only thing is that you need to maintain good personal hygiene. No need to be tensed just relax, she will be alright. For more information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 25602, + "tgt": "What could be the reason for my increased creatinine level?", + "src": "Patient: Hello doctor, I have a UTI with E. coli infection detected. My blood urea is 27 mg and the serum creatinine is 1.3 mg. My primary health doctor advised me to consult with a nephrologist to find out the reason behind the rise of creatinine level. He told me that the creatinine level is near borderline. I have back pain, waist pain, and discomfort in urethra, and a little foamy urine, Frankly speaking, we do not have any doctors in our area. There are no many doctors who are specialized in kidney disease. How should I have to maintain my health and what precaution needs to b taken care of? Please give me a suggestion. Am I in a danger zone? Doctor: Hello. Probable cause could be interstitial kidney injury or interstitial nephritis. Differential diagnosis includes drug-induced kidney injury and infection-induced toxic insult. E.coli (Escherichia coli) can cause both toxic and interstitial injury to kidneys but it is usually reversible. As your ultrasound is fine, there does not seem to be anything to worry. You need to repeat: After 14 days, they should be fine by then. Also, avoid sexual contact for next three weeks. Currently, no medicine is needed if you do not have any symptoms. No sexual activity. Increase fluid intake. There will be no medicines for two weeks. Follow up in 15 days. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 18359, + "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": 28905, + "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": 25324, + "tgt": "What is the treatment for LV diastolic dysfunction?", + "src": "Patient: Hello doctor,What is LV diastolic dysfunction grade 1? Doctor suggested stress echo cardiography. And conclusion includes this line. I can show you reports. What is the treatment for this. Any medicines? Doctor: Hello. There are various causes of LV diastolic dysfunction like advanced age, hypertension, diabetes, and obesity. It has stages 1 to 4. In your case, it is grade 1, that is, mild diastolic dysfunction. Treatment for it is to treat underlying causes like hypertension, diabetes and to treat symptoms related to it like dyspnea. The doctor has suggested stress echocardiography probably to rule out blockages in heart arteries. Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29728, + "tgt": "What is the real cause behind white heads and pimples?", + "src": "Patient: Hello doctor, I have an oily skin. For the past eight to nine years, I am having white heads and pimples. I used to get pimples on my back also. I have not taken any medication till now, but I am fed up with this. I used to think that it happens when you enter adolescence, but now I do not think that is the only cause. Now, I am 24. I have marks on my face because of this. Now, I am also getting pimples under my hairs. How should I get it cured completely? What is the real cause behind it? Please help me. Doctor: Hi. I will suggest some medications. Please consult a specialist doctor and use the medications with consent. 1) Shadowz sunscreen for application to the whole face, daily in the morning. 2) Peroduo gel (combination of Adapalene and Benzoyl peroxide) for application to the whole face, only in a peanut volume, at 6 PM in the evening and to be washed at 10 PM. This has to be applied for five days per week. 1. Do not prick your acne. 2. Avoid junk foods and oily stuff. 3. Avoid sweets and high-calorie foods. Revert back with an image of the current skin condition to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2928, + "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": 13586, + "tgt": "What is causing diarrhea after eating a spicy dish?", + "src": "Patient: Hello doctor, I ate a chicken kebab a week back. Next day morning, I woke with small stomach pain followed by diarrhea. By evening, I was shivering and cold. Next morning I woke up feeling fine but still had diarrhea. Six days later, I am still having diarrhea after eating meals. There has been no vomiting or nausea and I can hold fluids fine. Also, dry foods like crackers and biscuits cause no problem. Any idea what is causing this? Doctor: Hello. It seems to be a post-infectious irritable bowel syndrome. Due to infection, normal bacterial flora of the body which is present in the intestine is lost. That is why you are getting such symptoms. These symptoms should go away after a few weeks. If not, then you need to do some investigations to look for the cause. Post-infectious irritable bowel syndrome. Tablet Bifilac twice a day for five days." + }, + { + "id": 18448, + "tgt": "I have red spots on my glans a month after meeting a sex worker. Could it be herpes?", + "src": "Patient: Hello doctor, I am a 26 year old male. I met a sex worker more than a month ago and came down with a fever and headache a week later. The headaches were really bad and lasted for around 10 days, and the doctor said this was some kind of viral fever. I did not see any blisters or sores on my genitals during this time. A week after it subsided, I got a few red spots on my glans. I went to the doctor and they said it was just a thrush and I was given an anti-fungal cream. The spots reduced the next day and it responded well to the treatment. They also tested me for STDs (everything except herpes) and it was all negative. It has been a month since my last sexual encounter. But, I am worried this whole thing was due to herpes. Should I go back and get a herpes blood test? Doctor: Hello. Thanks and take care. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 23856, + "tgt": "A 7-year-old child lost two front teeth 18 months ago. When will they erupt?", + "src": "Patient: Hello doctor,My 7-year-old daughter lost her two front teeth well over 18 months ago. They have no signs of coming in still. Is there a problem? Should I get a check up done? Doctor: Hi. Normally it should have started erupting as seven to eight years is the average age and 7 to 12 months is the average eruption time after tooth falls. In case your girl is malnourished or low in weight or there is any other systemic condition associated, the situation might differ. I think you need to visit a dentist and get an X-ray IOPAR done to know the proper situation. So visit a dentist as soon as possible and get the proper information of the cause. Mostly the tooth erupts by itself, after taking above average time. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6187, + "tgt": "How useful is Tinnex in treating tinnitus?", + "src": "Patient: Hi doctor, I have mild tinnitus effect. Continuous multi-frequency unreal sound coming in both ears and sometimes one particular tone become loud (tolerable) and lasts for 5-10 seconds and again goes to same state.\u00a0I mean I have continuous mild ringing and sometime some tone becomes loud and again reset to same state.\u00a0Audiogram does not show significant hearing loss. All frequency response falls near to normal, but with ringing effect sometime it gets difficult to recognize checkup tone during test. I can recognize the beep tone to almost all range in test. ENT specialist told to take Ginkgo biloba and told I have to live with it lifetime.\u00a0Tinnex IV, Tinnex capsule and Tinnex ear spray launched by Lincoln pharma claims to ease or treat tinnitus, the ringing sound. I would like to know\u00a0how useful are these for treating this? I\u00a0have tinnitus and only heard by myself. I\u00a0did brain MRI and angio head, both came out to be normal. I\u00a0was on antidepressants for almost four years, but now not taking any medications.\u00a0Kindly advice whether I can try Tinnex products. Is there any side effects? Please suggest. Doctor: Hi. Yes, tinnitus is a difficult condition to treat. Generally originates from hair cells in inner ear. If all investigations are normal, then various medicines can be tried. Tinnex (Caroverine) or Tinnicar 20 mg twice a day for 15 days followed by 40 mg twice a day can be used for three months. Injections are also effective if oral medications not giving good results. Keep doing breathing exercises and control your sugar if at all you are diabetic. Listen to music for 15 minutes especially at night time such as instrumental music that have a masking effect. Whatever you do, 10-20% of times tinnitus does not improve. However, it is not life-threatening and Caroverine (Tinnex) can be tried. Thanks. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27711, + "tgt": "I had a partial circumcision 43 days back, why has the swelling not gone down yet?", + "src": "Patient: Hi doctor, I am a 43 year old male, and I had a partial circumcision 43 days ago. The swelling has not yet come done. The doctor told me to wait, but it is not getting better. Any idea what is the problem? I do not have any other medical problem. Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19745, + "tgt": "Taking 5mg lorazapam for anxiety disorder gives poor response. Is it safe to take one more tablet?", + "src": "Patient: Dear Doctor, I have panic/anxiety disorder and was prescribed with 5mg lorazepam. I took one tablet at 8 PM but still\u00a0l would wake up anxious in the morning. Is it safe to take one more tablet? Doctor: Hi, Thanks for posting your query at icliniq.com. At this moment you can take another 0.5mg but do not repeat it after that. Tomorrow you can discuss your poor response to the 0.5mg lorazepam either with your physician or you can discuss with me online, if online therapy for a psychiatry consultation is fine with you. In my view, 0.5mg is a correct dose initially to manage anxiety disorder. Hope another 0.5 mg will help you at this moment." + }, + { + "id": 29496, + "tgt": "Do you notice any abnormalities in my right shoulder MRI?", + "src": "Patient: Hi doctor, I have right shoulder and posterior scapula pain. The pain began a few years ago when a huge dog suddenly tried to run while I was holding his leash, resulting in my arm being pulled. A year after that, I fell on rocks and landed with a right outstretched hand. Now, my right shoulder is lower than the\u00a0left and winged scapula. My x-rays are normal. I have attached my MRI. Do you notice any abnormalities in my right shoulder MRI? Doctor: Hello. I have gone through your query and also seen the MRI images sent by you (attachment removed to protect patient identity). Revert with the details to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10793, + "tgt": "I have a harsh pain in the left side of lower abdomen. What is the cause?", + "src": "Patient: Hello doctor, I am a female aged 50. I have awful pain in the lower abdomen for four days. I have a pain in the right arm and the left side of lower abdomen. My abdomen is bloated and sore. My bowels are moving. I gave up Seroquel a few weeks ago. I have IBS and diverticulitis. Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2616, + "tgt": "My partner has schizophrenia with imaginary conversations and thinking. Please help", + "src": "Patient: Hello doctor, My partner is schizophrenic. She is not medicated because she does not have health insurance. For the past five days, she has been talking to herself thinking she is having a conversation with others. For the last two days, she has been having episodes thinking that the imaginary people are putting snakes inside of her. I have taken her to emergency room 11 times but she leaves shortly after arriving because she is being told by the voices that she is not at a real hospital. I am worried that she might hurt herself not purposely but by accident since she truly believes the voices are putting snakes inside of her. I do not know what to do please let me know what to do? Doctor: Hello. Yes, those are symptoms of schizophrenia. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased and medicines will help reduce the level and get it back to normal and restore the balance. Medicines like anti-psychotics are usually prescribed by psychiatrists. Please take her to a psychiatrist and get started on medicines. Most such patients, do not comply with medicines, so in that case, there are other options that you can discuss with your psychiatrist. Some medicines can be given in food or water or any beverage which are tasteless, colorless and odorless. Once her acute symptoms are reduced she should comply with medicines. Also, there are Depot injections that can be given once a month or two months." + }, + { + "id": 937, + "tgt": "I have sudden aches and sensitivity due to cavity on the front teeth. Please help", + "src": "Patient: Cavity on the front teeth. Sensitivity. Sudden aches in the front teeth. There are dents on my front teeth. These dents have lasted for more than a year. And visible cavity between two teeth. Sensitivity and gum redness happens but rarely. Doctor: Hello,Welcome to ICLINIQ This is your Dentist - I went through your query and the image attached , its been very tough for you as those tooths seems to be in a preety bad shape. Please donot worry . What has happened is you have a cavity between your left upper central incissor and lateral incissor . Thats causing the discomfort . The caries is due to the postion of the left uppet cental incissor , Note its not straight And redness of gingiva ,foul breath is due to Gingivitis . You will be needing these are the medications . Let me know if any further query or discomfort . Feel free donot hazitate , I am here to help. Thanks alot. Intra oral xray of upper left central and lateral Rct depending upon the xray. Avoid Sticky or sweet food or cold food. 7 days" + }, + { + "id": 4204, + "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": 5470, + "tgt": "I found two genital warts inside the vagina. Is it due to HPV?", + "src": "Patient: Hi doctor, I am a 19-year-old female. I lost my virginity about 10 months ago with my boyfriend. Now after 10 months has passed I found out that I have two warts inside my vagina. It is white color although, the one on the top started to have a slight pink color. But the second one on the bottom which is much smaller still has completely white color and around the vagina blades, I have a little while dots. Also, there are very tiny warts line along the blades. So, when I went to see the GP near my house he had a look and said that there is nothing to worry it is still small. But in my opinion, I think it is quite big. So the doctor gave me a prescription for Condyline paint which he told me to use for three days only per week and I have to keep using it for three weeks and if it does not get better he told me to see him again. Now I have a few questions. Is this mean I have an HPV virus inside my body? How can I make the virus go away permanently? Will Gardasil injection make it go away? If it does not go away permanently, how can I make sure that I have no HPV viruses and so these warts will not come back again? Is this mean that I have this HPV from my boyfriend? How to use Condyline paint correctly? I wash my vagina blades and use the cotton pads to dry it, then I use start to use the Condyline paint. I only dip the swab once into the reagent and then I open my vagina blades so that I am able to paint the two warts inside my vagina as much as I can. Then I paint it all over the very tiny warts in the vagina blades area. Am I doing it correctly? Now I have been using the Condyline for two days, but the very tiny warts that are around the vagina blades started to grow more. Is this mean anything? Can condoms prevent these HPV viruses? If I break up with my boyfriend, will this help my symptoms and health to become better? I am very scared of whether this can leads to cancer? I do not want this to ever happen to me again, how can I prevent this to happen again? If my warts are gone can I have sex with my boyfriend? Will these symptoms comeback again? If I decided to buy the Gardasil injection and injected it now, then the next after two months, then next after six months, but during this time can I have sex with my boy friend? Will the vaccine still work? Doctor: Hello. I have gone through your history and pictures provided. (attachment removed to protect patient identity). I appreciate that you have consulted the doctor and begun the treatment. As rightly prescribed, Condyline (Podophyllotoxin) paint is very effective in genital warts. The right way of application is by using a cotton swab or brush applicator on the clean and dry visible warts. Wait till the paint dries before putting on garments. Avoid application to surrounding normal skin. Repeat application two to three times a week until there is a substantial shrink in size or disappearance of warts. Genital warts that you have acquired are because of humanpapilloma virus (HPV) infection which you might have got through sexual route. Most of the times even if one has an HPV infection, it will be subclinical. The infected person not necessarily will have warts but may still continue to shed infective virus in secretions. Once infected with HPV, its elimination is not completely possible nor its elimination is measurable. However, you can prevent symptoms of HPV infection by boosting immunity against it. Gardasil is one of the vaccines against HPV types. This is most effective in preventing cervical cancer when taken before the start of sexual activity and before 26 years of age. However, you can still take the vaccine as the strains that cause warts and that may cause cancer are not the same. Thus Gardasil can still provide immunity to a certain extent against cancer causing HPV. The best way to monitor cervical cancer is to get regular cervical smears. HPV can be present in normal looking skin too. So, the disappearance of warts does not mean free from infection. It is important to use barrier methods like condoms during intercourse to prevent re-infection and further spread. Since the warts are intravaginal, some lesions may not be visible to you. It is better you take doctor's help to apply on all visible warts. If your partner also has HPV infection, the chances that warts will reoccur or spread are more. I recommend a dermatological examination for your partner also. And it is advisable to maintain abstinence during the treatment and vaccine period to help achieve good immunity. After the successful treatment of genital warts and vaccination, sexual activity can be resumed. However, the use of barrier methods during intercourse is advantageous in preventing re-infection. Having one sexually transmitted infection predisposes one to acquire another. UTI (urinary tract infection) could be one of the symptoms. I recommend both partners to have a thorough check with the STD (sexually transmitted disease) expert for early intervention if required." + }, + { + "id": 9383, + "tgt": "Kindly explain about ACD-A", + "src": "Patient: Hello doctor, Not a symptom, but a curious educational question about ACD-A. There are companies that decide to show in big bold letters that their ACD-A is not for direct intravenous infusion, while others do not list this in their descriptions. Other companies state that their product is for research purposes only. These are a kind of strange to me as the FDA considers ACD-A to be a safe chemical for even doctors to use. Another strange thing is how some companies state that their product should be stored between 2 to 8 \u00b0C while another company states between 15 \u00b0C (59 \u00b0F) and 30 \u00b0C (86 \u00b0F). Are these variations considered meaningless? Or is there something behind these variations that could cause a danger to people who need to buy the right ACD-A (anticoagulant citrate dextrose solution)? Doctor: Hi. For further clarifications consult a general practitioner\u00a0online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18532, + "tgt": "Within a week I had nightfall for about 5 times. Will this affect my health?", + "src": "Patient: Hello doctor, I am 20 years old.\u00a0I have never had sex. But within a week, I had\u00a0nightfall for about 5 times. Will this affect my health? Doctor: Hello. Since you are 20, you will obviously have higher testosterone levels. If you do not masturbate, your body needs a way to get the semen out and hence occurs nightfall. Nightfall is nothing but the involuntary ejaculation of the semen from the penis during sleep. It is healthy and there is nothing to worry. I will advise you masturbate may be twice a week, as it will also enhance healthier semen formation. Consult a sexologist online for further query --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1729, + "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": 21120, + "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": 9721, + "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": 15893, + "tgt": "My penis cap skin is tight and has cracks. Please help", + "src": "Patient: Hi doctor, I have got cracks on penis cap skin, and it is tight. I am not able to retract it. Light irritation is there and is uncomfortable. Doctor: Hi. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed balanitis xerotica obliterans. Do you have diabetes? It is more common in diabetics. Clean the penile area with normal tap water, try to pull foreskin gradually while taking bath. Use Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist." + }, + { + "id": 29042, + "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": 15797, + "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": 15599, + "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": 18575, + "tgt": "Suffering from OCD(Obsessive Compulsive Disorder). Taking medicines, but I do not feel completely good. Please help", + "src": "Patient: Hello doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since last 10 years. Getting treated by a doctor with medicines. But I do not feel completely good. Many times I go into very sad mood. Please give me suggestions. Doctor: Hi, Thanks for writing to us. Your answer is as follows: OCD is manageable with the help of regular psychiatric and therapeutic work. Only medicines can never treat OCD, neither managed completely. Cognitive Behavior Therapy (CBT) is paired with medical treatment to deal with obsessions and compulsions simultaneously. Medications are only used to decrease the extreme symptoms of anxiety (because of obsessions); and once they are controlled, CBT has to be immediately started for the person. CBT is mainly used to teach the skills to the person and guide him/her to control his/her obsessions and manage compulsions (behaviors) linked with thoughts. So, you are advised to consult a CBT-therapist near you and take regular sessions to learn certain techniques including ERP(Exposure and Response Prevention), Relaxation Therapy, DIET and sleep management. Alternatively you can book for an online therapy at icliniq, and we will help you with this as well. Hope it helps." + }, + { + "id": 22721, + "tgt": "Can a small anal fissure be healed by medicine?", + "src": "Patient: Hello doctor,My father is suffering from a small anal fissure. Can it be healed by medicine? Doctor: Hello. The first thing to promote healing is stool should be soft. For that, he should eat high fiber diet like fruits apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty and oily food. He should have plenty of fluids and regular exercises. Also, syrup like Lactulose 15 to 30 ml bedtime to maintain your stool soft. Second, he should have Nitroglycerin gel two times a day. Also, sitz bath will be helpful, during a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contains Potassium permanganate. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19289, + "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": 21189, + "tgt": "Why are there two non-itchy and non-painful moles on leg with night sweats?", + "src": "Patient: Hello doctor,I have two moles on my left leg. I am kind of not feeling well. I feel hot and have night sweats. Doctor: Hi. 1. Are they sudden in onset? 2. Any recent change in the color or increase in size? 3. Are they itchy and painful?" + }, + { + "id": 16252, + "tgt": "Kindly tell the treatment for acid reflux due to Vitamin B12 intake", + "src": "Patient: Hello doctor, My question is as follows. I have low B12 tested at blood laboratory. I have been taking B12 for over three years off and on as directed by my doctor (sublingual). Now every time I take B12 with food or without the acid reflux is so very bad. I have to some times take medication to calm the acid reflux. Is there anything I can do? Doctor: Hi. I understand all your concerns. Acid reflux is one of the adverse effects of taking Vitamin B12 supplements. I suggest that you test the vitamin B12 level as you have already taken supplements for three years. In case of mild deficiency, I suggest that you take foods rich in Vitamin B12 like clams and liver and stop the supplements. For acid problems, I suggest antacids like Maalox (Calcium carbonate) after meals." + }, + { + "id": 9802, + "tgt": "I am straining to have bowel movements. Is this due to hiatal hernia?", + "src": "Patient: Hello doctor, I had to strain to have a bowel movement a few days ago. I instantly felt a lump in my throat after pushing. Can it potentially be a hiatal hernia? Doctor: Hello, Welcome to ilciniq.com. I want to clarify that you suffer from two different conditions. First one is related to your lower gut (straining to have bowel movements) which is constipation, a second symptom which is the lump in the throat can be a symptom of hiatus hernia (one of the reasons). Check the following symptoms which usually happen with hiatus hernia, 1. Acidity increases, especially after having particular foods like fried, spicy, mint, chocolate, caffeine drinks, chili. 2. Burping. 3. Upper central abdominal pain. 4. Pain in the center of the chest, more while sleeping. 5. Prolonged unexplained coughing. Constipation, globus, hiatus hernia, GERD (gastroesophageal reflux disease)." + }, + { + "id": 27526, + "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": 11788, + "tgt": "What are the chances of getting brain damage due to stress?", + "src": "Patient: Hi doctor, I have been suffering from fatigue for more than two years now. I am a 34-year-old otherwise healthy male, all blood, hormone, vitamin tests have come back perfect. However, it started after a long and intense panic disorder, which lasted for months and almost drove me to suicide. What saved me was a medicine called Clonazepam. It helped immediately. I used it for a month and then tapered off without any side effects. So I was wondering that could prolonged intense stress like that induce some damage to the brain or nervous system which can result in chronic fatigue? If so, what are the things I could try to solve this problem? Doctor: Hello. I can understand and empathize you. During a panic attack or any stress, our adrenaline level is so high. This is the hormone for fight and flight and to relieve from this condition, Clonazepam acts as a relaxing agent. This is normal for any person and this medicine cannot affect the brain. Due to chronic stress, our serotonin level goes down so that some medicine maintain that level. No anatomical changes occur during stress in the brain. There is no damage in the nervous system. During depression and stress, fatigue is common. So do not bother about that. Start medicine. You will get relief soon." + }, + { + "id": 25881, + "tgt": "What is the reason for pain in chest and hands in this elderly woman?", + "src": "Patient: Hello doctor, My grandmother had pain in her chest and hands. She is basically a heart patient. When she consulted a doctor, he gave her Retelex injection for immediate recovery and kept her under observation for one day. I would like to know what this treatment is and what the recovery status is. Ten years ago, she had a severe a heart stroke. Currently, she has done an ECG and a 2D echo. Please help. Doctor: Hello, Welcome back to icliniq.com. She has got a heart attack, an AWMI (anterior wall myocardial Infarction). This occurs due to a blood clot in the heart vessel and injection is given to dissolve those clots. Usually, the patients recover in three to four days if no complications occur. However, she should also undergo angiography and if needed angioplasty, which is the best possible treatment. All the medicines prescribed should be taken regularly and you need to have a healthy lifestyle. The doctor will prescribe all the necessary medicines and you need to have a healthy lifestyle like avoiding fatty, oily and a high-calorie diet. You need to have low salt diet and monitor blood pressure regularly. If the blood pressure is persistently more than 140/90 mmHg then you should be on medicines for it. Regular exercises like brisk walking, walking after recovery according to her capacity for at least 30 minutes a day and five days a week will help. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27241, + "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": 10497, + "tgt": "Why are SGOT, SGPT, and cholesterol levels high in a diabetic?", + "src": "Patient: Hello doctor, My SGPT and SGOT are increased. Diabetes is also not under control. Cholesterol levels have also increased. Doctor: Hi. Regarding your SGOT and SGPT, it is elevated because of liver tissue strain due to diabetes and hyperlipidemia. But other liver enzymes are under control. Avoid spicy and fatty food and if you are alcoholic or smoker, stop. Regarding diabetes, you are on right medications but HbA1C is 7.1. ABG is 157, care for diet and mild exercise, we can bring it down. Renal uric acid and urea and creatine are not increased, so renal condition is fine. Continue the treatment, diet and exercise. Monitor BP. Do ECG, US abdomen and review. Diabetes and lipoma. BP, ECG, echo, ultrasound abdomen. Cirrhosis of liver. Liver disease, DM, hyperlipidema. He can continue the same treatment with diet and exercise. 1. Roseday A75, once, 2. Istamet 50/1000 twice, 3. Glimepride 2 twice 4. Febutrix40once and, 5. Remylin D once. Liv 52 two tablets twice daily. Avoid fatty and spicy food, no alcohol and smoking." + }, + { + "id": 3654, + "tgt": "I am diabetic with tight foreskin, tears, and discharge in penile glans. Please help", + "src": "Patient: Hello doctor, I am 34 years old and diabetic. My penis foreskin is not pulled back. It is swelled and tears on the tip of foreskin are not healing and are very painful. Penile glans has white discharge. Doctor: Hello. The diagnosis seems to be something called candidal balanitis or fungal infection of a part of the penis. Are you married? And if so does your spouse experience any discomfort or white discharge? This information will be helpful to plan the treatment for both of you simultaneously so that we can eliminate the chances of ping pong infection and recurrence." + }, + { + "id": 2175, + "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": 12066, + "tgt": "Are topical and oral medicines a must for acne treatment?", + "src": "Patient: Hi doctor, I have been suffering from acne since one month, mainly it is cystic acne. I have always had this issue on and off, but this time it is painful and new acne keeps coming. The scar too takes long time to go. I have been using the over-the-counter Benzoyl peroxide face wash, Benzoyl peroxide 10%, and Tretinoin 0.025%, for the past 3 weeks. Doctor suggested me to take Aldactone oral medicine. Can the acne get treated with topical medicine or oral medicine or both? Also, please let me know the medicines. Doctor: Hi. I have gone through your history and seen the attached photographs (attachments removed to protect patient identity). According to me, you need both oral as well as topical medication to treat acne. Continue with the face wash but Benzoyl peroxide 10 percent is too strong for the face. Instead use Benzoyl peroxide 2.5 percent gel on the pimples in the morning and Adapalene gel on the pimples at night. Along with this take a course of Azithromycin 500 mg daily on 3 consecutive days in a week for at least 4-6 weeks. This is the mildest oral drug used in acne treatment and hope it works in your case. I do not know whether these drugs will be available over-the-counter in your country. Besides this keep your face dry, avoid applying cream or moisturizer, avoid oiling of the scalp and reduce the intake of sugary foods. You can continue this treatment for six weeks and then revert back to me. Wish you speedy recovery. 1. Seborrhea. 2. Hormonal imbalance. Acne vulgaris." + }, + { + "id": 6722, + "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": 253, + "tgt": "Could testicular cyst be the reason for increased estradiol?", + "src": "Patient: Hello doctor, I am a 21 year old male. I visited a local doctor and he diagnosed a cyst on my left testicle (1.5 cm). He suggested that it is not necessary to undergo any surgery now. Also, I have increased levels of estradiol, bilirubin and SGOT. But, my general medicine doctor suggested that there is nothing to worry about. Is cyst the reason for increased levels of estradiol? Doctor: Hi. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1912, + "tgt": "I have a lump in vaginal area with itching, soreness and discharge. Please help", + "src": "Patient: Hello doctor, I am a 33-year-old female. I am concerned about a lump on my genital area and I am very worried it is a wart. I have had this problem on and off for about eight months now. I also have vaginal itching, soreness, and discharge. I visited a sexual health clinic and they said it was not herpes, but I am still suffering with the symptoms and the lump seems to have grown. Please help. Doctor: Hi. Please provide me dome details. Do the blisters appear first then this type lump? Is it painful? Does every time you get only one such lump or multiple also? Do you have any fever? Have you noticed small blistering anytime? It will help me figure out your problem. For time being it is difficult to conclude it as a wart, but if you give the above information then it will be easy to conclude. Serum IgM and IgG for HSV (herpes simplex virus) 1 and 2, if possible serology for HPV (human papillomavirus). Follow up with details." + }, + { + "id": 869, + "tgt": "My height is 168 cm. Will Oxandrolone help in increasing my height?", + "src": "Patient: Hello doctor, I am a 16-year-old guy. My height is 168 cm. My weight is 65kg. My father's height is 178 cm and my mother's height is 164 cm. I wanted to ask to can I consume Oxandrolone? Is it safe for me? Also, how can I increase my height in this stage? Doctor: Hi. Your height is almost the average of your parents. At 15-17 years in males growth plates close and then there is no increase in height possible after that. You are almost in that age. Do you have any other symptoms of impaired secondary sexual characteristics? You can have bone age checked if you want to confirm it. Oxandarolone is an anabolic steroid. It increases weight an not height. You should not use Oxandrolone if you have prostate cancer, advanced kidney disease, high levels of calcium in your blood, breast cancer, or if you are pregnant. Some people using Oxandrolone have developed life-threatening side effects on the liver, spleen, and blood vessels. These conditions can occur without warning or symptoms and can lead to liver failure, internal bleeding, cancer, stroke, heart attack, or death. I do not think it will have more benefits than risks it poses." + }, + { + "id": 22252, + "tgt": "I experience serious acid reflux. Please help me out", + "src": "Patient: Hello doctor, I have some problem in my upper GI tract. I have been experiencing serious acid reflux since last eight months accompanied by extreme bloatedness and flatulence. I have consulted a few doctors and all of them have prescribed PPI medications and none of them have worked. Please help me out. Doctor: Hello. If your symptoms are so severe, you can get an upper GI (gastrointestinal) endoscopy done after consulting a gastroenterologist/physician. After examining you, he/she may advise you other investigations like ultrasound abdomen, thyroid profile, and H. pylori testing. Meanwhile, you need to follow a few things: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7115, + "tgt": "How to maintain healthy teeth?", + "src": "Patient: Hello doctor, What is the best way of keeping my teeth healthy? Doctor: Hello. Prevention is always better than cure. Follow simple habits from a young age like brushing your teeth twice daily. Using mouthwashes and floss provides an added advantage. Try to avoid sticky foods as far as possible. Rinse your mouth thoroughly after every meal. Periodic visits to a dentist (at least once a year) is a must. It is not the teeth but the surrounding structures like gums, bones that need to be looked after well also. Avoid hard brushes. Take at least two minutes to brush. Chew with both sides. Following these habits can keep your teeth healthy for a lifetime." + }, + { + "id": 10959, + "tgt": "Please suggest alternative therapy for Viagra as it causes headache", + "src": "Patient: Hello doctor, I have hard erections for a long time, and I have to take Viagra to have sex. After having Viagra, the problem is that I have a mild headache. I have been searching for some herbal supplements for long and do not know whether they are safe or not. Could you please suggest a more sustained therapy. I am not having any other medical issues other than once I have had a kidney stone. Doctor: Hello. According to your complaints, you may have erectile dysfunction (ED). Reason for erectile dysfunction includes, 1. Decrease sensation of the penis that can be due to infection, diabetes, spinal injury, and recent masturbation. 2. Stress due to work or family related and night duties. 3. Depression, varicocele, homosexuality, and religious constraints. 4. Fear of failure - having one episode of ED once may make you feel you will end up with ED. 5. Low self-esteem (chronic masturbation). 6. Long term illness like cardiac disease, thyroid disease, kidney disease, and any other disease with long term medication. 7. Negative attitude towards your partner. .8. Hormonal issues like a thyroid issue, low testosterone. 9. Long term drug usage. 10. Diabetes and hypertension. You have to check doppler penis, USG pelvis and scrotum, blood pressure, RBS (random blood sugar), Free T3, T4, and TSH (thyroid stimulating hormone). Share more details regarding the above reasons, after which we can work on diagnosis and treatment. Yes, Viagra (Sildenafil) can cause headache, but regular use will not have that effect. It can be used for temporary purposes. Identifying the cause and treating it will help you. Regarding herbal medicines, it depends on the company that makes it." + }, + { + "id": 2956, + "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": 8986, + "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": 9145, + "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": 14843, + "tgt": "No periods since two months. What should I do?", + "src": "Patient: Dear doctor, I had intercourse with my husband last month, after my regular periods. My last period date was 9th August and it is two months now. Till now, I did not get my periods. Suggest me what should I do. Doctor: Hi. The first step is to check for pregnancy. If the pregnancy test is negative then, we can give you tablets to induce periods. Also, we need to check your thyroid and prolactin hormone levels andscan abdomen to find out the reason for delayed periods. In case the pregnancy test is positive, please meet a gynecologist and follow them. Please do not hesitate to ask further queries to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10381, + "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": 16901, + "tgt": "How to get reassured that I do not have stomach cancer?", + "src": "Patient: Hi doctor,I will be honest and say this is primarily for reassurance from a fear of esophageal and stomach cancer as I suffer very badly from chronic hypochondriasis, for which I am getting treatment for in the form of CBT and on Venlafaxine 225 mg.\u00a0I am a 43 year old male. I was a social smoker till my 30 years of age and nothing since. I watch my alcohol intake and had 6 months of abstinence in the 1st half of last year. I am 5'11\", 12 stone and active.Over 8 years, I have occasionally got food stuck, normally chicken or steak when I have been shoveling it down. Three years ago I got a piece of steak stuck and had to go to A and E. This was eventually removed with the aid of a gastroscope and was embarrassingly very large. As part of this, they noticed some inflammation and took a number of biopsies as the doctor suspected I had eosinophilic esophagitis. However, they all turned up completely clear. I was prescribed 20 mg Omeprazole. Last year, following a fear I had seen blood in the stool, I got very anxious and ended up having a colonoscopy. This was also completely clear. This year during Christmas, I over indulged a little and on Christmas day got a piece of turkey temporarily stuck, although some water got it down. For some reason though I then began convincing myself I had esophageal cancer or even stomach cancer. This has lead to a number of follow on symptoms like a bit of pain behind my breastbone, belching, getting obsessed with swallowing my own spit and becoming more anxious. I went to see my GP. I explained her all my above symptoms though no vomiting, weight loss, cough, etc.\u00a0She did a very thorough physical examination, felt for obstructions, tapped my chest cavity and listened to my stomach gurgling. After all of these she said there was absolutely no risk of me having esophageal cancer and told me to up the Omeprazole for a month and relax, then see her again then. However, I am still scared I now have stomach cancer as I do not think any biopsies were done in that area.\u00a0Please can you provide me with reassurance that I do not have stomach or esophageal cancer? Doctor: Hello. Your symptoms require evaluation as this could be simply gastroesophageal reflux disease (GERD), which can cause reflux and stucking of food. Since your endoscopy and biopsy reports (attachment removed to protect patient identity) are concerned, they are all not suggestive of esophageal carcinoma. In my opinion, you should go ahead for barium swallow study. It is a simple test and would evaluate any evidence of strictures or constriction, if any over the esophagus. However, a biopsy revealing esophagitis with no evidence of malignancy clears you from the presence of any cancer at present. In acid reflux disease a combination of Omeprazole and Domperidone helps greatly. You should take soft, bland diet as spicy food aggravates acidity. In case of acute pain, you can take antiflatulent syrup like Digene or Gelusil. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 23100, + "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": 5994, + "tgt": "Is fatigue a sign of labor?", + "src": "Patient: Hello doctor, Is fatigue a sign of labor? What are the early signs of labor? How to find the difference between normal fatigue and fatigue that is abnormal or unusual? Please give some tips on combating pregnancy fatigue? What to do if someone is experiencing high levels of fatigue at the end of pregnancy? Can it be a sign of something else? Doctor: Hello. As pregnancy advances, the plasma volume increases and subsequently the iron supplements reduces. This reduction in hemoglobin cause weakness, and in advanced pregnancy stage due to big stomach, there will be backpain and weakness. But it is necessary to differentiate labor pain and backpain. Backpain in association with urinary tract infection, vaginal or pelvic infection, cervical incompetence, and previous history of preterm birth can trigger labor pain. Getting treatment for the health issues will avoid triggering effects. Fatigue is not necessarily a sign if labour. Pain in the abdomen from back to down in an episodic manner along with leakage or water discharge, unable to stand or walk due to pain, all these can be signs of labour. Pale face, cyanosed blue nails, headache, vertigo without any sickness is not normal. Balanced diet, iron and calcium supplements, and daily walk can avoid fatigue. Warm water baths, olive oil massage, and recreational activities can avoid symptoms." + }, + { + "id": 30872, + "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": 1158, + "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": 22623, + "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": 6485, + "tgt": "Why am I having chest pain after inhaling Grout?", + "src": "Patient: Hello doctor, Two days ago, I inhaled Grout for quite sometime, the following morning I woke up feeling very painful on the chest on the back, when I moved my body parts I could feel a sharp pain on the chest and also the back and I felt the same when breathing in. Pease help me. Doctor: Hello. Grout is mixture of cement and sand used as concrete in filling the cracks on the walls. It is possible that you may be allergic to cement following which you started feeling pain in your chest and other body parts. Another possibility is development of pneumothorax. That means because of lifting of heavy weight, some air leaked around the lungs. After air is collected in large amounts, you start feeling pain in chest and other body parts. To confirm this, you should do a chest X-ray. It will definitely give us the cause of your chest pain. For time being, painkiller medicines will help to alleviate pain but after X-ray, definite treatment can be given." + }, + { + "id": 12371, + "tgt": "What is the small blister covering anus that makes it painful while passing stool?", + "src": "Patient: Hi doctor,I am 20 years old, and since a couple of days, I am having difficulty passing stools as there is a subtle pain and when I checked there is a pea-sized, skin colored blister covering the anus. It is not that painful but there is a subtle pain. I do have constipation problems and I do take over-the-counter medications for constipation. Please tell me how to get rid of it or treat it as I am worried about what it can be. Doctor: Hi. I have seen the image (attachment removed to protect patient identity). This looks just like hemorrhoid typically that occurs with constipation and goes away on its own. The solution is to avoid constipation by drinking more than enough water and taking fiber-rich foods like raw leafy vegetables and green fruits. Also, avoid meats and non-vegetarian items currently as they aggravate this issue. You may continue the laxative that you are taking as well till your constipation is better but not more than two weeks. Take care and get well soon." + }, + { + "id": 15178, + "tgt": "What can be done for left side chest pain and high cholesterol?", + "src": "Patient: Hello doctor, I am 45 years old. Last week I started to get pain from my left chest to left hand. Then I consulted the physician and he suggested some medicines and suggested to go for blood diagnosis. Today I got my results for cholesterol. The reports are somewhat poor. The lab technician said that there is a lot of bad cholesterol in my body so he suggested going for a regular interval of checkup. What could I do for this? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Except for the lipid profile, other parameters are fine. You should be started on tablet Rosuvastatin (Rosulip) 10 mg bedtime for eight weeks and repeat lipid profile after this time period. You should also have a healthy lifestyle like avoiding fatty, oily, and a high-calorie diet. Have low salt diet and monitor blood pressure regularly and BP should not be persistently more than 140/90 mmHg. 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. There should not be abdominal fat deposition or obesity. You also need to get ECG, echo and TMT test done if needed after first two reports to know and ascertain the cause of chest pain. If it is determined to be cardiac on above tests then needs a further test." + }, + { + "id": 18262, + "tgt": "I have postmenopausal vaginal discharge. Should I opt for a hysterectomy?", + "src": "Patient: Hi doctor, I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a\u00a0fair amount of red spots. What could be the cause? I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis,\u00a015 years back. I have attached my ultrasound of the\u00a0lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports. Doctor: Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9573, + "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": 4234, + "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": 27076, + "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": 16990, + "tgt": "Is nasal bone length an indicator of Down's syndrome?", + "src": "Patient: Hi doctor, My quadruple test is normal. After 23 weeks of gestation,\u00a0I took an anomaly scan, which shows 3.6 mm nasal bone. Is the nasal bone underdeveloped? What are the chances of Down's syndrome? We do not want to get an amniocentesis test done as it increases the chance of miscarriage. Previously,\u00a0I had a miscarriage as the fetus did not have a heartbeat. Is there any other way to diagnose Down's syndrome? Doctor: Hi. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 13489, + "tgt": "How can I manage loose-motions and bad appetite due to curd intake?", + "src": "Patient: Hello doctor, For the past few months, I have been having acidity issues and I have been taking Sompraz 40 mg for the last 1.5 months. Last week I had some sweet curd which did not suit me well and the next day I started having semi-solid loose motions 4 to 5 times a day but had no fever. The next day I started having Oflox OZ but after two days taking the medicine my condition worsened and I had watery stools every one hour. Hence, I stopped the medication and since then I have been better. So, I stopped taking Oflox OZ after two days as the medicine did not suit me. I have been taking regular pro-biotics. However, yesterday, I got my blood tests done and the ESR and HsCRP were elevated. The report has been attached for your reference. My question is my appetite is not great and is it possible that I have to take a softer antibiotic to address the remaining infection if any present in the body. Currently, I have no fever and motions are fine. Doctor: Hi. It is possible that you had some infection after ingestion of curd. And subsequently, you got better. As you are not much symptomatic I would not advise any further empirical antibiotics. You can try tablet Rifaximine 400 mg twice a day after meals for 10 days along with Sompraz that you are taking. Elevated ESR and CRP can have many causes and difficult to ascertain to one cause with limited investigations. After 10 days see your symptoms and repeat tests, in case they are still elevated, I would suggest you visit a doctor locally to get yourself examined and get tested thoroughly." + }, + { + "id": 29932, + "tgt": "My wife got a surgery for foot fracture. Does she need any further surgery?", + "src": "Patient: Hi doctor, I have doubts on behalf of my wife. Three days back, she met with an\u00a0accident and\u00a0got her foot injured. Her heel got severe damage and after diagnosis doctor said the following. Left heel pad avulsion injury,\u00a0communicated fracture calcaneum left foot and\u00a0medial malleolus fracture of left leg.\u00a0They did a surgery for her and took CT scan and x-ray. We have the wound pictures also. My question is that, is there any complication in that injury? Will there be any need of further surgery? If required, I will upload the pictures of CT scan and wound photos. Doctor: Hello. Trauma. 1. Routine blood tests. 2. X-ray ankle - anteroposterior and lateral views. 3. X-ray foot - anteroposterior and oblique views. 4. CT scan ankle and heel region. Wound management as advised by the primary treating surgeon. Revert back with the photos and reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24091, + "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": 6585, + "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": 18765, + "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": 27498, + "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": 8820, + "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": 17505, + "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": 3597, + "tgt": "What are the fading purple-like patches that appear on arms and legs?", + "src": "Patient: Hi doctor, My mother is 62 years old. She has\u00a0purple-like patches on her arms and legs as shown in the attached picture. She said that she has it for over three to four years and these patches fade in a few days once they appear. My mother also has diabetes and hypertension. She is using some antibiotics for diabetes and hypertension. She also has substernal goiter and her biopsy was negative.\u00a0I am attaching her blood and hormone results, which are in the normal range. Liver function tests were also normal. What are these fading purple-like patches? Doctor: Hi. I have gone through the pictures and reports (attachment removed to protect patient identity). 1. Blood thinner agent. 2. Minor trauma. Bleeding time and clotting time. 1. Ecchymosis. 2. Senile purpura. Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19112, + "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": 5729, + "tgt": "I am suffering from anal fissure and using Lignocaine gel. How to heal it?", + "src": "Patient: Hello doctor, I am having an anal fissure for the last three weeks. I took Paracetamol 500 mg, Cremagel ointment, and Lignocaine gel. How to heal the anal fissure? Doctor: Hello. An anal fissure can be a very troublesome problem. In my practice I suggest the following measures. Do sitz bath daily three times. Cremagel (Diltiazem 2%) should be applied in the orifice half an hour before passing the stool. Take two teaspoons of lactulose solution followed by two glasses of water during bed time. Increased uptake of green leafy vegetables, fibrous vegetables, and fruits. Quit smoking, and drinks if you do. Do cardio exercises regularly. If followed properly the fissure can heal. This region has peculiar anatomy. The fissure does not heal that easily, because the anal sphincter is tight which prevents the return of venous blood. When you do sitz bath with warm water and apply Diltiazem ointment the sphincter relaxes helping the blood to flow and go back. Thus the vascularity helps to remove inflammatory products and heal the wound. Increasing the fiber content of food helps in the formation of soft stools which do not cause the tear in mucosa while passing stools. The injury initially occurs due to constipated hard stools. Lactulose increases water entry into the large intestines and helps to form soft stools. I hope this helps." + }, + { + "id": 14623, + "tgt": "Can washing private parts with sperm spilled hand cause pregnancy?", + "src": "Patient: Hello doctor, I am a 21-year-old female. My partner and I were intimate and he came on my hands. We were sitting side by side and there was no genital contact. There was also no fingering or intercourse. I then proceeded to wash my hands with running water and some bodywash gel. I then washed down there using a jet spray and one hand only on the outsides and did not do fingering while washing either. Is there a risk of pregnancy? I also took an Ipill within three hours after that. Please do help. Doctor: Hello. There is no risk of pregnancy as intercourse was not resorted to. Also before touching your genitals, you washed with soap which would have killed the sperms right away. There was no requirement of taking an Ipill, but now that you have taken it, it is just double protection and you should wait for your withdrawal bleed in the next few days. Once the bleed starts it would mean endometrial shed and indicate that you are pregnancy safe. There are possibilities that you may face some side effects due to high dose Progesterones like a headache, nausea, bloating before the bleed, but that is normal and can be countered by increasing your water intake till the bleeding starts." + }, + { + "id": 755, + "tgt": "It has been 90 days since my last period with negative pregnancy test. Should I take Duphaston?", + "src": "Patient: Hi doctor, I am 23 years old. My BMI rate is 29 and I am trying to conceive for the past one and a half years. I have irregular periods and my doctor prescribed me Duphaston tablets for getting periods last year. Should I take this medicine again? It has been 90 days since my last period. I tested for pregnancy it was negative. My query is, what should I do for getting my periods or getting hormone balance? These days I cannot go to my doctor due to lockdown. Please help. Doctor: Hi. You may be suffering from PCOD (polycystic ovary disease). If you want to conceive then the entire approach to treatment changes because we then focus on making you ovulate. Let me know your LMP (last menstrual period) and health history and also, any investigations done previously. I understand things are difficult with COVID but you can get the treatment at home only. Do not worry." + }, + { + "id": 16854, + "tgt": "What can be the reason for prolonged fever?", + "src": "Patient: Hi doctor, My brother is suffering from fever for more than 45 days. All the tests and scans are done. Bone marrow and hepatitis report came as negative. AB culture and TB culture report are yet to come. There was a bacteria Weil-Felix - rickettsia came as positive. His WBC count is 22000. He had medication for two weeks (Doxy tablet), but there was no improvement in fever. On assumption doctor has given AKT-4, which is making him tired day by day. He had stopped all the tablets now and the fever was below 100 degree in the last five days, but again now he is having fever. 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": 4375, + "tgt": "I am positive for HPV with painful bumps on the top of my tongue. Is it a cancer?", + "src": "Patient: Hello doctor, About a month ago, I had the worst outbreak of canker sores in my life. I had 10 or 12 at once, horribly painful, and I could barely eat or drink. Over about two weeks they healed, but I still have a few painless bumps on the top of my tongue and in the back of my mouth. I will attach a photo of the bumps in the back of my mouth. There are two on either side. The bumps on my tongue are too far back to get a proper photo. I tested positive for HPV so I am mildly concerned about cancer. Brushing my teeth also causes a lot of pain to my gums. Occasionally they bleed a little. I never had an issue with that before the canker sore outbreak. Doctor: Hi. I have read your complaint and the relevant details and also saw the picture you have attached. (attachment removed to protect patient identity). Since you have mentioned that the ulcers healed two weeks ago and still have few fresh ulcers now, it could be recurrent aphthous mouth ulcers. Aphthous ulcers are usually painful but will not lead to cancerous lesions. But there are small bursts in your palate, which makes me think of viral ulcers as well. You also have a history of HPV (human papilloma virus). Hence, I advise you to take a blood test to rule out viral origin ulcers. Only then the treatment could be framed. You have also mentioned that they are painless now. So there is no need for topical ointments to get rid of the pain. You should also know a fact that topical steroids should not be used for viral lesions. So I request you to complete the blood check and then go ahead with the treatment from a nearby dentist accordingly. Regarding bleeding gums, you have to undertake a complete professional cleaning by a dentist to flush out the dental plaque and chunky substances called calculus. After that, maintain good oral hygiene including flossing, tongue cleaning, and toothbrushing twice a day. Blood test. Avoid hot and spicy food. Take nutritious food rich in vitamins such as green veggies because ulcers could be associated with vitamin B deficiencies. Follow up after three weeks." + }, + { + "id": 28673, + "tgt": "Shall I take supplements to reduce fat and build muscle?", + "src": "Patient: Hi doctor,I am a professional stunt rider.\u00a0I like to build muscle and reduce belly fat.\u00a0Currently I am taking whey protein, BCAA, creatine, and Hydroxycut fat burner. Are these type of supplements safe? Will they give any side effects? My height is 173 cm, and weight is 75.8 kg. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 15923, + "tgt": "Is it possible to get pregnant from having sex immediately after periods?", + "src": "Patient: Hi doctor, My periods were from 13 to 17th of this month. I had sex on 20th night with a condom but there was a time when it went inside me without a condom once for a second. I am wondering if that will result into pregnancy and if I should have a contraceptive pill. Also I was wondering if it was the safe period. Could you tell me if sex without condom immediately after end of periods is likely to result into pregnancy? I had taken a contraceptive pill last month so my period cycle had changed as per last month but it was a normal 28 to 30 days cycle. Doctor: Hi. The days of your menstrual cycle start counting at day one of menstruation. So, you were on day 8 that night. Fertile days are considered from 11 to 16th in a regular menstrual cycle (this means you always have your period every 28 to 32 days). You have a very low probability of being pregnant, but not a zero probability. My suggestion at this point is to wait for day 5 to 7 from the day you had your encounter to take a urine pregnancy test since right know it is not useful taking any medication such as the day after pill and doing a pregnancy test before day seven can be falsely negative." + }, + { + "id": 18190, + "tgt": "Why do I get bloated stomach by the end of the day?", + "src": "Patient: Hello doctor, I have a stomach problem. It started with severe acidity and acid reflux. I get a bloated stomach by the end of the day. I have a runny stool in the morning and have flatulence. I have not seen any presence of blood in the stool. My doctor recently suggested the HP kit for pylori. It is four days and while the acidity has reduced, there is no change in the bloated stomach. Currently, I am taking blood pressure tablets and Clopidogrel. Doctor: Hello. For the acid reflux problem, you can take Pantoprazole 40 mg once daily for a week. You can restrict excess spicy foods in diet. Cooked oatmeal help in soothing the stomach. Curd can be included more in the diet. Gas forming foods should be restricted like cabbage, cauliflower, onion, turnip, etc. Eat slowly and avoid excess carbonated drink intake. If you still have diarrhea, then stool routine micro examination has to be done. Before starting the H.Pylori kit, confirm H.Pylori infection by urea breath test. You can be prescribed Zexid syrup (Magaldrate and Simethicone) for stomach bloating and follow the above advise. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9361, + "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": 16713, + "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": 935, + "tgt": "Please help me get rid of constant lower back and neck pain", + "src": "Patient: Consistent lower back and neck pains. yes, I've been diagnosed with having a cervical disc herniation since 20 years and a lumbar disc herniation since 12 years. An L2 Nerve block procedure was performed in 11 years back. The last MRI I did was 3 years back. Doctor: Hello Yes the MRI does talk about the disc bulges both in the neck and the back but it is now clear as to the degree of nerve root compromise as canal encroachment as this will determine the degree of symptoms and likelyhood of conservative management succeeding. I really need to see the MRI films to comment The obvious thing is that the MRI was done 3 years back, so the relevance is doubtful if you are having new symptoms and with passage of time the MRI picture may change. I will recommend that you two a course of Duloxetene 30 mg twice daily and added pregabalin 75 mg twice daily to see the response and do take them for atleast 6 weeks, mind you pregabalin makes you sleepy but that will fade with time" + }, + { + "id": 15251, + "tgt": "My HIV test is positive. What is the reason for contracting the virus?", + "src": "Patient: Hello doctor, I recently tested positive for HIV and had a viral load test which was 160k and CD4 count of 145. My issue now is with how I could have contracted the virus. I have had three sexual partners and there was always protection. Two tested negatives after I informed them about my results and the last and most recent is insisting he is not ready and it was protected all the way. Although we did have anal at times and I cannot be 100 % sure that the condom was there. I have also had a parasitic infection which affects my scalp for a couple of years. Is it possible for something to mimic HIV in tests? I have been to the dentist thrice in all my life for an extraction and checkups. I also had an appendicectomy 13 years back. I have had occasional IV therapy and a few injections. I have never shown any symptoms. I am also anemic. Doctor: Hi. For condoms to be effective, it has to be a latex condom used consistently and correctively and a newer condom for each sexual act. There should not be any break or it should not have slipped off during the act. If all the steps had been followed, then only it is said that 98 to 99 % effective in the prevention of STI and HIV. Unfortunately, condoms are not used properly resulting in failure rates. The tests which you underwent for HIV are highly sensitive and specific. There is no chance of mimicking any other infection. You need to initiate antiretroviral therapy as soon as possible. It is a really effective therapy." + }, + { + "id": 18779, + "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": 5817, + "tgt": "I suffer from OCD and have decreased interest and suicidal thoughts even after medication. Why?", + "src": "Patient: Hello doctor, I have been suffering from OCD and took medication for around five months prescribed by a psychiatrist. Now I am somewhat managing the OCD, but at the same time, I have depression also. Now I lost interest in all things and feel like doing a job, earn money and living in a middle-class life who have to work all the life battling that anxious thought, never-ending though and always being cautious to not make act abnormal in a public place. I am totally tired and gave up hope of living life. Now, most of the time I have suicidal thoughts and find unworthy of life and social meetings. I am detached from my family and I hate them as they do not take my illness seriously. Consumed drugs: Flunil 20 mg to 80 mg and Zapiz 0.25. Please help. Doctor: Hello. Depression is comorbid most of the time with OCD (occlusive compulsive disorder) because it is a very frustrating condition when you do not have control over your thoughts. If you control your thoughts and control yourself to engage in it, then it is a very good indication. Now start to engage in other activities, physical exercise and a job as you wanted. Do not get hopeless, and remember one thing that God helps those, who help themselves. You can start with Clomipramine 25 mg and build up as guided. Psychotherapy will be more beneficial and will work as an adjuvant. When needed." + }, + { + "id": 24085, + "tgt": "Will the stress at home impact my healing after a miscarriage?", + "src": "Patient: Hello doctor, I recently had a miscarriage at 11 weeks when the fetus was nine weeks and four days. I had a D and C procedure done for that. I am facing some issues (fights) at home due to my husband's behavior. He is not supporting me in this hour as a husband. Instead, he is fighting with me which makes me cry and shout for the last two days. I am very much worried if this will impact my healing of the uterus and my body for future pregnancy. Please tell me if this will impact my uterus healing and what steps I should take to prevent it. Doctor: Hello. Post-pregnancy (either baby birth or unluckily miscarriage) in both the conditions, there are strong hormonal changes that occur. That is for regaining normal menstrual cycle for trying to conceive again. The process takes time but due to hormonal changes, the woman feels not only physical changes but also mood instabilities as well. I do not know exactly what is going on with you, but my advice for you is to have healthy measures for your mental and physical health. For mental and emotional health, have some nice activity like playing with kids or teaching kids, read some nice book of your interest. Try to have high self-esteem, nice thoughts, nice body, and nice healing. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11290, + "tgt": "Eye hurts while watching TV. What can be done?", + "src": "Patient: Hello doctor, My 4 years old daughter has an inward turn in her right eye after concentrating for a while. We had an eye test recently. Can you tell me if her results mean she needs glasses as she keeps saying her eyes hurt watching television and readings of her results are: Right eye sph +1.50 cyl -0.50, left eye sph +1.50 cyl -0.50. They told me she is long sighted and we have a strong family history of squints and glasses. I do not know if I should get a second opinion. Doctor: Hello. That is a very normal refractive condition of a 4-year-old child and I would not advise correction. However, you might want to consider reducing the time watching TV along with the brightness of the screen after sunset. Reduced blinking might lead to drying up of the eye and that will lead to headaches and pain also. Monitor every six months considering the family history." + }, + { + "id": 990, + "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": 9425, + "tgt": "Will a mediastinal neuroblastoma reoccur after surgery?", + "src": "Patient: Hello doctor,My son was diagnosed with mediastinal neuroblastoma before nine months. He had undergone surgery and tumor was removed completely he had undergone chemotherapy for six cycles before three months. And the myc test was negative and favorable histology and pathology report. I want to know what the chances of recurrence and how to take care of that are? Is there a chance that it recurs in some other place also? Doctor: Hello. Can you answer a few questions? 1. What was the baseline stage? Whether bone marrow, lymph nodes, or bones were involved? Baseline imaging? 2. What was the histopathology report after surgery? 3. What was a response after chemotherapy? 4. Any cytogenetic studies? Neuroblastoma especially if the not high risk is highly curable. As per information available, he will be under the intermediate-risk group. Average five-year survival chance is 90 % in these cases. Usually, we keep patients on the follow-up to see for recurrence. There are no specific treatments to prevent recurrence in a low or intermediate-risk group as recurrences are rare. Transplant and new antibodies like anti GD2 are used in high-risk groups to prevent a recurrence. If you can provide me with the above details, I will be in a better position to answer your question." + }, + { + "id": 16795, + "tgt": "Is surgery the only option to cure pilonidal sinus?", + "src": "Patient: Hello doctor,I am a 26-year-old male. I have a sitting job (mostly eight to 10 hours a day with no exercise). I was diagnosed with pilonidal sinus a few months ago and was suggested a surgery. As it comes with a long recovery time, I never opted for it. One of the doctors suggested that I just live with it as it causes no harm if there is not much discomfort and pain. It is situated at the back (tailbone) photos attached. It normally pains (drain with pus/ blood) once a month and causes discomfort. So, I just apply betadine ointment till it is cured. It again comes back after few weeks or a month's time. So, I need your help and got few questions: What can be the possible cause of it?Is surgery the only option to cure this or can I try something that can help me to escape from surgery? Someone suggested me to use salicylic acid pads to wipe the area twice a day. Will this work? Can you please suggest me anything else that can help me to get rid of it?One doctor suggested that he will be keeping the wound open after surgery and other doctor suggested to use stitches once the surgery is done. Which method is more beneficial in case of a surgery? Also is there any chance of recurrence even after surgery?I want to get a scan done of the area just to know if it is not critical as it has been more than one or two years I am having this problem. What scan is the best for this? MRI or CT scan? I will share the scan results with you in the next query.Please share your consultation on the same. What do you suggest, please? Any medications, etc.? Can it worsen and damage other parts if delayed? Just worried as it has been long. Thanks and regards. Doctor: Hello. I have gone through the clinical images (attachment removed to protect patient identity). The reason why this occurs is elusive, although many hypothetical explanations are given. Surgery is the best and only curative option. The wound can be closed without any problems after surgery. Keeping the wound open is an outdated technique of operation. Generally, no scan is advised. You can get an MRI if you want to get it done but it will not be of great help. Do not worry. It is not a life-threatening condition. It will not spread to other parts of the body. It is an easily treatable condition. You should go and get it operated. I would advise you to reduce weight, and check blood sugars, and BP. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 6431, + "tgt": "My eyes are itchy and red even after using eye drops. Why?", + "src": "Patient: Hello doctor, Recently I got an itchy eye while on my iPad it itched a lot, and I got some allergic eye drops in my eyes. I used it for a few days and noticed my eyes were very red, sore, itchy, gritty, and sticky. My vision got blurred in my left eye, and this is where the itch started first. Consulted a doctor, and he prescribed Chlorsig eye drops. I have been using this for a day and a half, but I noticed that my eye is still slightly blurry, dry and sticky and sensitive to light. I feel like putting drops in my eye and after 10 minutes it is dry again. I am worried. Doctor: Hello. You are probably suffering from conjunctivitis, which is not related to your iPad usage. It will take a week or so for the episode to settle down, and some blurring and stickiness may persist till then. Do not worry. Use copious lubricating eye drops like Refresh Tears as well as the antibiotics prescribed to you. Repeat an eye checkup once in three days to review the status of your cornea. Rarely it may spread to the other eye, hence maintain good hygiene by frequent hand washing and use of sanitizer. I hope this helps. Viral. 1. Lubricants. 2. Antibiotics. 3. Cold compresses." + }, + { + "id": 7225, + "tgt": "What could be the reason for sudden occurrence of bumps on the skin?", + "src": "Patient: Hello doctor, All of a sudden, my skin changed from the last two days, and got bumps and feeling a bit dry. I am worried. Can you please tell me why I got these bumps? Doctor: Hello. The bumps you refer to look like a kind of acne to me. Any change in the creams or soaps you apply to your face last few days? Any change in lifestyle, like excess travel, sun exposure, dietary changes, etc.? For treating it, apply Clindac cream (Clindamycin) daily twice over the area in a thin film. Use Salic 1 % face wash daily twice. Do not apply anything else (powder, cream, oil, soap, etc.) over the area. Avoid oily foods, chocolates for a fortnight. Please get back to me after that." + }, + { + "id": 12088, + "tgt": "What causes delay in periods after taking I-pill?", + "src": "Patient: Hello doctor, I had my last periods two months back. Last month, I and my fiance got intimate, though we did not have intercourse, he fingered me after touching himself, so to be safe I took I-pill next day. A week later, I had bleeding for three days. Since then I did not have my periods till date. I have taken six home pregnancy tests which were all negative. What can be the cause of delayed periods, can I still be pregnant? If not can I take Meprate tablets to start my periods? Doctor: Hello, Welcome to iclinq.com. I have read your message. If it was just fingering then no chance of pregnancy at all. As you said that you had bleeding, the next period is expected to be around the same date of next month. Actually, with I-pill, periods get disturbed for 1 to 2 cycles. I would suggest you wait for 4 to 5 days, your periods will come. If you are still worried then do blood test serum BhCG. If its value is less than 5 then definitely you are not pregnant and you can simply wait for menses. You can take Meprate as well for periods to come if BhCG comes out negative." + }, + { + "id": 30270, + "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": 28741, + "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": 6734, + "tgt": "I am not able to have sex more than once due to penis erection problem. Please help", + "src": "Patient: Hello doctor, I am 33 years old and married. I am not able to have sex more than once as my penis doesn not erect. I have this problem for the past 1 to 2 years.I used Confido tablets also for the same but no effect. Please help. Doctor: Hello. Do you have any history of diabetes or hypertension? Confido helps in improving libido but if this is not working then drugs like Tentex Forte can help. Two tablets two times a day for about two months will help to make your erection strong and you will be alright. You can visit a good chemist for this drug. If that does not help then drugs like Tadalafil or Sildenafil can be used. The drugs are prescription drugs and you need to get prescription to get these drugs." + }, + { + "id": 24974, + "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": 12417, + "tgt": "Is it possible to cure gall bladder calculi with medicines?", + "src": "Patient: Hello doctor,My mother's ultrasound has been done. As the report says gall bladder is normally distended with normal wall thickness. Multiple tiny calculi are seen. CBD is of normal caliber. No intraluminal calculi noted. Impression: > Cholelithiasis > Hepatomegaly with moderate fatty changes in the liver. Can this problem be recovered with medicine? Or an operation has to be done? Please suggest me. Doctor: Hello. Cholelithiasis or gallstones are very common. It is something you should not lose sleep over. However, I would like to know why did your mother undergo an ultrasound? Did she have pain or post-meal dyspepsia? Whilst this condition cannot be treated with medicines, there is no reason to get it surgically removed immediately unless she is suffering from regular pain, is a known case of diabetes, or the stones have migrated to the CBD. That being said, it is always best to get it removed after discussing the risk Vs benefit of the surgery with your doctor. Kindly update about any other medical conditions your mother is suffering from and I will be happy to guide you further. Liver function test. Nonspicy, nongreasy meals." + }, + { + "id": 29971, + "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": 15542, + "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": 29663, + "tgt": "What are the possible circumstances in case of subarachnoid hemorrhage?", + "src": "Patient: Hi doctor, My grandfather, who is 84 years, has been suffering from subarachnoid hemorrhage since 10 days. Also, he has been\u00a0unconscious for the past 10 days. What are the possible circumstances and solutions in this case? Doctor: Hi. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 2056, + "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": 26584, + "tgt": "Everytime I have sex with my fiance, I get a yeast infection. Am I allergic to him?", + "src": "Patient: Hello doctor, Why is it that every time I have sex with my fiance, I get a yeast infection? Please help. I am scared of having sex now because of the irritation, itching, and discharge I have later.\u00a0What can I do to solve this problem?\u00a0Are there any creams or tablets that I can take? And is this a\u00a0temporary thing or will it happen every time we have sex? Doctor: Hello. If you have developed a yeast infection after having intercourse, then it is likely that it has been transferred to you by your partner. He needs to be treated with antifungal medication after getting a urethral culture done to confirm the infection. At present, you may opt for Clingen vaginal pessary (a combination of Clindamycin, Clotrimazole, and Tinidazole) once at night per vaginally for six days and capsule Itraconazole 200 mg once a day for three days. This will help treat the infection completely. Avoid sex for a week till you are treated. Also, ensure that your partner is treated before you have sex again. Regards. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20947, + "tgt": "Is abdominal pain a week after periods a sign of PID?", + "src": "Patient: Hello doctor, I am 35 years old married woman with two children. Although earlier I was having regular periods with 28 days cycle, but for the last six months, I am having irregular periods with less than 28 days gap in between. The gaps in the last four periods are within 20 days. And this is noticed that during the last period only, the bleeding was heavy and had a foul and unpleasant smell too. But after the periods are over for one week or so, at times I feel pain in the centre of the abdomen also. Is it a sign of PID and if so how to treat and cure it? Please advice. Doctor: Hello. You should be investigated for urine infection, and for PID (pelvic inflammatory disease). Meanwhile, you can start tablet Zenflox Oz (Ofloxacin and Ornidazole) twice a day for five days for foul smell and infection which can help you in PID and UTI both. Drink more water, and for heavy and regular periods you can start tablet Regestrone (Progestin) 5 mg once a day for 30 days, but this is a hormonal tablet. So, if started you should take regularly at a fixed time. Do not miss the tablet. Rest of the treatment I will start after an ultrasound report and urine microscopic examination. Urine complete and microscopic examination and ultrasound of the lower abdomen to rule out PID or any fibroid uterus." + }, + { + "id": 17733, + "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": 3128, + "tgt": "How to control premature ejaculation?", + "src": "Patient: Hi doctor, I am a 34 year old male. I am married. I have good general health and good sexual appetite. But, I am suffering from premature ejaculation from the day of my marriage. When I insert, the semen ejaculates within a few seconds. I took a test and consulted a sexologist. He suggested Nano-Leo, Uphold and Ultra D3 at night and Ultra D3 and Spem cure in the morning. When I took these tablets at night I woke up at night 1 o'clock with heavy sweating, nervousness, shivering and indigestion. So, I just stopped all tablets. What can I do now? We not yet had a proper intercourse yet. Please guide us. Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14263, + "tgt": "Can sanded grout exposure cause some serious effects?", + "src": "Patient: Hello doctor, The query is about sanded grout exposure. I am quite concerned about my girlfriend\u2019s exposure to silica dust. We were doing a home renovation. I left for about 1.5 hours while she was removing tile in a kitchen. When I had come back I saw she was removing grout with a grinder and no dust mask. The room was filled with dust in the air. The room is about 10x9 with 12\u201d tiles. This makes for a total cut distance of 1100\u201d with the grinder. Assuming a 1/8\u201d cut with a depth of 3/8\u201d and this works out to 51.56 cubic inches of dust released into the air. Assuming an average of 25 % silica content in the grout and weight of 38 g per cu inch for the dust, that is about 490 grams of silica dust releases into the air. The room was open to adjacent rooms so I estimated about 90 cubic meter space, wich would work out to 5.4 g/m^3. She was doing this for about an hour and a half so I estimate about 1 m^3 was inhaled. From what I have read this is really high-level exposure. Is my math wrong? Did I miss something? I am making her go to the doctor and we will monitor her health closely. I am really concerned this could lead to serious problems in the near future. Doctor: Hi. Looking at the history, it is quite a high-level exposure and it can cause some kind of pneumonitis feature called hypersensitivity pneumonitis or toxic dust syndrome. If she develops symptoms of a cough, breathlessness, better to get a CT thorax to see her lungs and if possible lung function tests also. Kindly get back if you need more information." + }, + { + "id": 21677, + "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": 19007, + "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": 26533, + "tgt": "I have heartburn, bloating and fullness. Will this get better with treatment?", + "src": "Patient: Hello doctor, I have been diagnosed with gastritis yesterday and have been suffering from heartburn, bloating and fullness for three months now. What I do not understand is, if gastritis is inflammation of the stomach lining, why is my LES relaxing and causing heartburn to a point where my throat swells up every day? Is the stomach not able to send proper signals to close the LES? Or is the high pressure in the\u00a0stomach causing LES to relax? Either way, will LES return to normal functioning after the gastritis treatment? Doctor: Hello. Good luck. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 17561, + "tgt": "Please suggest Ayurveda cure for gallstone and prostate enlargement", + "src": "Patient: Hi doctor, I got gallstone and prostate enlargement and the PSA is 8. Abnormalities are noted in the lung parenchyma or pleura, but no pulmonary nodules seen. Also abnormalities are seen in neck and mediastinum. When I have cold, cough does not stop itself. I drink some water and I think while working.\u00a0I joined the art of living ayurveda course and the doctor give me Haritaki, Yashtimadhu, Deva vati, Hingvastak, Triphala, and Maha triphala ghrita when I had colonitis 8-10 years back and it was cured. Presently, I am having Harnalidge for prostate enlargement. So, could you also give me an advise on ayurveda medicine for the gallstone and prostate enlargement problems this time. Thank you in advance. Doctor: Hi. \u00a0If you take these medicines regularly both your problems will be taken care of definitely. Revert back after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20811, + "tgt": "How can I deal with depression?", + "src": "Patient: Hello doctor, How to deal with depression? I feel constantly that my life is ruined. I have dealt with two years of failure in my professional studies and some family issues. And life seems to go nowhere. I experience palpitations and ache in my chest many times a week now. What would you suggest in such a case? Doctor: Hello. In the current scenario, the ongoing stress is the cause of depression that ruined the life. It is impossible to remain stress-free but we can try to handle this. Stress creates more problems for a single person than when we are in a group. Do not feel lonely because it creates more stress and become a part of the vicious cycle. So to remove stress, it is necessary to remain in a group and start talking about problems. Have you heard the proverb sorrow goes down by sharing and happiness increase by sharing? So my advice to you is to start talking about your problems with your friends, colleague or loved ones. Start physical activities, try to make yourself busy anytime. Do one pleasurable activity daily that you want, sleep properly and feel the pleasure. You should try medicine initially and relaxation techniques for chest discomfort, palpitations, and other symptoms." + }, + { + "id": 1579, + "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": 11924, + "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": 27362, + "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": 9706, + "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": 2868, + "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": 10691, + "tgt": "My TSH level is 0. 022. Why do I feel so depressed?", + "src": "Patient: Hello doctor,I have 100/60 blood pressure, and I feel less active. My TSH level is 0.022, and I am feeling alone and depressed, but I am getting sleep. Please help. Doctor: Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure drops when you stand up. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me." + }, + { + "id": 24450, + "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": 15564, + "tgt": "I have itchy and watery eyes. How to get it cured?", + "src": "Patient: Hi doctor, I have itchy and watery eyes. I cannot look at an object for a long time as tears come out from my eyes. I always blink and stay calm. Please help. Doctor: Hi. You are suffering from a condition called a dry eye. I advise you follow these precautions. Reduce the screen time which in turn increases the blink frequency. It gives you some relief. If still, it persists, you can use artificial tear supplements which are preservative free. If there is no improvement, you can use tear supplements in gel form so that the drug retains in an eye for some time. Reduce the temperature of the eye by applying a wet cloth on your eyes before sleeping as it reduces irritation and dry eye. It is important to grade the severity of the dry eye before prescribing any medications as the treatment varies with severity. Please give some information about your condition and a picture of your eye. Please explain whether you have continuous symptoms or you have it during a particular time. Please say whether you experience any seasonal variations of the symptoms. Please tell whether you use glasses and if you use, suggest the power of the glasses. Please say whether you have any swellings on the inner side of the nose adjacent to the eye. Please tell whether you have any difficulty in seeing the light, any discharge from your eyes and whether you develop any swelling in the lids." + }, + { + "id": 19593, + "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": 21728, + "tgt": "How can I get lean soon?", + "src": "Patient: Hi doctor, I am trying to get lean for the past one month. But, still, I have stubborn fat around my lower abdomen. I am doing full body lifts every day and high-intensity cardio exercise one to three times a week. I cannot lean out around my stomach 100 % while everywhere is fine. I know stubborn fat holds around the abdomen, but I want to lean out as best as I can. Doctor: Hi. I understand your concern. To lose body fat, we need to track our calorie budget and burnouts. First, work on your food groups, make sure you divide your meal into a right combination of carbohydrates, proteins, and fats. As well to see good results it is always essential to have pre and post workout meals. If you want to work on your body fat, then get your body composition done and find out what is the fat percentage at present. If we see the details given by you (attachment removed to protect patient identity), it shows you are on ideal body weight so now you need to gain muscle and lose body fat by personalized workout and diet plan. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 21324, + "tgt": "Can Swarnaprash be given to a 1-year-old baby?", + "src": "Patient: Hello doctor,I have heard and read about swarnaprash and I want to give my 1-year-old son the same. So, kindly give me details. Doctor: Hi. Swarnaprash is special sansakar to newly born baby according to ayurveda. It is a special preparation of gold and other ayurvedic medicines. It is administered to improve child intellect, digestion, metabolism, physical strength, immunity, complexion, fertility, etc. It is available in form of drop and tablets. It can be given from 0 to 16 years old. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 2537, + "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": 22575, + "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": 18857, + "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": 29069, + "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": 19751, + "tgt": "How can I get rid of pronounced laugh lines?", + "src": "Patient: Hello doctor,I have pronounced laugh lines since I was 15, and now I am trying to get rid of them. I tried coconut oil but it is not working. I also have lines around my eyes and I do not know what to do. Please help me. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30788, + "tgt": "Please give your opinion regarding my acne prescription", + "src": "Patient: Hi doctor, For the last four months, I started getting acne in the form of pustules, papules and small nodules. My dermatologist prescribed Isotretinoin 20 mg on alternate days, but rather than improvement my acne is getting worse. She also prescribed antibiotic Sepmax-DS (800 mg) that is a combination of Sulfamethoxazole and Trimethoprim for 10 days. Today is the second day of medicine and I am feeling extreme drowsy, itching, fatigue and tiredness. Please provide a second opinion whether to go with these both prescribed medicines or not. Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17288, + "tgt": "What are the physical changes that come with aging?", + "src": "Patient: Hi doctor, My mother is around 60 years but she looks older than her age. The skin of her face and body is shrinking very fast. And, she feels sleepy whenever she sits up for a long period of ten minutes or more. Please help. Doctor: Hi. At her age, cellular aging can speed up depending on her overall health. If she has any underlying chronic disease or if she has a deficiency of essential minerals and micronutrients, all these can speed up the aging process. However at her age, fatigue or excessive tiredness judging from the fact that she falls asleep frequently, must be evaluated thoroughly. Please provide more details as to whether she has any disease or chronic conditions. Also, let me know if she can sleep at night or if there is any recent history of weight loss, etc. If yes then thorough investigation is needed to rule out any underlying pathology. Please give me more details and get the following investigations done primarily. Revert with more information to a family physician online.--->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16517, + "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": 13116, + "tgt": "Will Hydroquinone and Mometasone cause redness and itching after stopping it?", + "src": "Patient: Hello doctor, I am using skin lite cream for the past two years. This cream contains Hydroquinone and Mometasone. Now I am stopping the usage of this cream. Now in my face, I am seeing redness and itching like skin allergy. Please suggest the best creams or medicine to cure this problem. Doctor: Hi. You have developed contact dermatitis due to this medicine. As it also contains a steroid, skin becomes steroid dependent, so when this is stopped the face becomes red and inflamed. First thing for treatment is to use a good Sunblock OG SPF 60. The second thing is Metronidazole gel 0.75 percent and third is an oral antihistamine. Avoid all irritants and skin lightening agents further. Treatment will be long term. It will take time. Contact dermatitis. Apply Sunblock Spf 60 frequently every two hourly. Apply Metronidazole gel 0.75 % at night. Mix it with cold cream. Take oral antihistamine. Avoid irritants, maintain hygiene of area, avoid cheap creams available in the market." + }, + { + "id": 23620, + "tgt": "Lymecycline slightly worsened my skin. Is my reaction normal?", + "src": "Patient: Hi doctor,I have been prescribed Lymecycline for my skin. I am only in week one and my skin seems to have slightly worsened, with a really big hard lump on one side of my face. Do they work by drawing the impurities to the surface initially, and is my reaction normal? Doctor: Hi. Worsening of acne is not because of Lymecycline as the medicine takes time to start its action. It is simply the closed comedones which are converting into active pimples. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19058, + "tgt": "My husband has a chest pain that comes and goes. Could it be a heart condition?", + "src": "Patient: Hi\u00a0doctor, Since the last\u00a0two months, my husband has chest pain. It is probably a muscle strain caused by an exercise machine he uses. The pain is not constant. It comes and goes and sometimes, it is felt on his back on the left side. Please suggest some medicines for permanent pain relief. Doctor: Hello. Hope this helps you. Get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4284, + "tgt": "Can infected ingrown hair cause swollen inguinal lymph nodes?", + "src": "Patient: Hello doctor, I have a history of skin picking, mainly ingrown hair. I have curly hair, and shaving often leads to ingrown hairs for me, especially in the pubic region. About a week ago, I was popping my ingrown hairs as usual and sometimes I go a little overboard and scratch and pick too hard. In the same time frame, I have had two sexual partners. Both I have slept with before, but one I had not had relations for a while until last week. The same guy also had sex with my best friend the same night (which I was unaware of). I also resumed having sex with my constant partner two days later. A few days had passed and the sores from my skin picking have not gone away, but instead, have ulcerated in some areas. There are probably eight or so ulcers. They scab up sometimes but the scabs do not stay attached. I am concerned now because my best friend has also noticed ulcerated areas in her genital realm and is concerned she has genital herpes. I fear that I might also, but at the same time, I am not sure whether or not it would be an STD or just from where I picked at my own skin. At first, she was concerned she had gonorrhea or chlamydia. I do not have as much concern about those. There are hairs centered on all my ulcers. The only other concerning factor is that my inguinal lymph nodes are swollen and sore. I know I need to go get tested and plan on doing so tomorrow. I just wanted an opinion on what else might be going on. Doctor: Hello. I have noted your concerns. Your details match closely a condition called folliculitis which is an infection of the hair follicles, with or without a hair in the center being visible, and can lead to ulceration and swollen glands in the draining region which is an inguinal area in your case. When you visit your doctor, he or she is likely to assess your signs and physical examination, and order some tests to look for the presence of bacteria in the lesions, and some other venereal diseases. Some of the conditions can only be confirmed by blood tests. It would be advisable to get your friend and contacts too examined and investigated at the same time especially if you are going to have them as partners in the future too whether directly or indirectly. At this stage, the main concern focuses on herpes (blood tests required), chancroid (tests required), and folliculitis. For now, it would be good to clean up the area with mild antiseptic, apply some antibiotic cream, and use a pain killer for relief from pain. I hope this helps." + }, + { + "id": 17432, + "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": 75, + "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": 20295, + "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": 6494, + "tgt": "My BMI is 25. 4. Do I need to workout to reduce my belly fat?", + "src": "Patient: Hello doctor, My weight is 65 kg, and my height is 1.6 m. Although my BMI 25.4 is in the margin of normalcy, I have got belly fats. So, I am working out from the past two weeks, and changes are quite unnoticeable. I was wondering, do I really need to lose my weight to lose belly fat or it can happen with the same BMI? Because my calorie intake depends on whether I have to maintain or lose weight. Even, I have decided to take up some supplements. But it has to be a mass gainer or a whey protein, I am quite unsure of it. So, I want to know whether I need to lose my weight or belly fat can be lost with the same weight and indeed keeping the same calorie intake, rather than reducing it from 2000 calories to 1480 calories? Please help. Doctor: Hello. According to WHO (World Health Organisation) a revised BMI (body mass index) for normal is 19-22. You need to work out and lose weight to reduce belly fat, as fat accumulated is of adipose tissue work out is necessary. You can take supplements of whey protein along with the same supplements. You can concentrate on both weight reduction, belly fat reduction, and improve muscle mass. In the market, there are supplements with soya or isolate soya. According to your age, you need to continue with 1800 kcal per day. Do not reduce the intake less than this. You can divide your meals into a 6-7 meal pattern. Increase the intake of fluid and fiber content and meditate to manage stress." + }, + { + "id": 25332, + "tgt": "I have vision problems after laser IOL implant. What to do?", + "src": "Patient: Hello doctor,After laser IOL implant I now have severe aniseikonia. Was it wrong diopter lense? Can it be undone? Very poor and triple vision. What to do? Doctor: Hello. I shall try to answer all your queries in detail. Aniseikonia occurs when the difference in refractive error is more than 4 or 5 diopters between two eyes. If you say you had laser-assisted cataract surgery which means a femto surgery, the size of incision would be perfect. So, basically, the reason for your aniseikonia would be: Now, I have told you the option if the wrong lens were implanted, that is, if power error is less than 2 to 3 D one can go for contacts or spectacles but if power error is more than 4 to 5 D one has to go for IOL (intraocular lens) exchange. To diagnose rest, you have to go for an investigation known as Pentacam and OCT (optical coherence tomography).Follow up with results. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9399, + "tgt": "I recently got a knee swelling. Should I rest or move around like I normally would?", + "src": "Patient: Hello doctor, I am a 28 year old female. My height is 1.65 meter and my weight is 56 kg. I was suffering from a knee problem, and I took rest for a\u00a0couple of days. I took Alphintern and used my resistance band to improve my knee-range and everything was fine, except\u00a0for a grinding noise during exercise. But, it did not bother\u00a0me while walking. I sought medical help and I did an MRI and the results were 'increased girth and altered signals of the anterior inferior cruciate ligament, suggestive of a sprain with minimum knee effusion'. The doctor has advised me to walk normally, not to fully bend my knee, and not to stand Later, I used the stairs and walked a little. This gave rise to an enormous amount of pain. I was unable to walk correctly or even bend my knee a little. A knee edema occurred. I took Diclofenac epolamine 65 mg capsule, Glucosamine sulfate capsule, and a pain relief gel.\u00a0My doctor prescribed me these medications for a month, and he\u00a0did not\u00a0recommend\u00a0any physiotherapy program. He just informed me that it is alright to walk, as I normally do.My question is, is the edema something that will normally occur whenever I use my leg or is it a complication? What are your recommendations and precautions? Should I rest or move around normally? If I have to keep at rest, for how long should I do it?\u00a0I am a very active person and my concern is that things are getting worse. So, shall I begin a physiotherapy program or must I wait for a month until I take my medications? Doctor: Hello. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15986, + "tgt": "What is the best treatment for gum bleeding and bad breath?", + "src": "Patient: Hello doctor, I have crooked teeth, four up and four down. I want to know what should be done to them to fix. I had recently started facing the problem of gum bleeding and bad smell from mouth. Some yellow decay are there inside my lower four teeth. Doctor: Hi. I can understand the problem. It is called lower jaw insufficiency and it is an orthodontic problem with crowding in lower front teeth. The yellow layer is called dental calculus and it is a calcified dirt. I would suggest you undergo orthodontic treatment. The dentist may extract one or two teeth as a part of treatment after a thorough examination. He shall align the teeth properly in a year duration. Also, undergo scaling and polishing of your teeth at the earliest." + }, + { + "id": 10427, + "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": 11123, + "tgt": "Kindly tell the treatment for scratch near clitoris in baby", + "src": "Patient: Hello doctor, My 21 months old daughter has scratched herself near her clitoris and I was wondering what is the best action to take or remedy is. Please advice. Doctor: Hello. The best thing to do would be to clean the scratch with lukewarm water, dry it and then apply ointment Soframycin locally over the scratch. This application to be repeated thrice a day and it should heal in next 48 hours. Also, it is important that she does not scratch again over it and hence a befitting diaper or small lower can be worn." + }, + { + "id": 14460, + "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": 5991, + "tgt": "I have PCOS and trying to conceive. Is it safe to take Kalarchikai along with Letroz?", + "src": "Patient: Hello doctor, I am 30 years old. I never had an irregular period from the age of 14, but in the past eight months I am trying to conceive and nothing happened. I have PCOS in the left ovary alone. My period is irregular and my gynecologist suggests to do a follicular study from day 12 provided with Letrozole 2.5 mg two tablets daily. My egg was grown good till day 14 and on day 17, I again got my period (on the same cycle). She informed to wait till the next cycle to have the follicular study again and informed to take Letroz 2.5mg. She increased the dose, three tablets per day. Now, my sister suggests to take kalarchikai with pepper and honey for 48 days. Is it safe to take kalarchikai while having Letroz medicine? Doctor: Hello. Taking Letrozole 2.5 mg for ovulation induction is a good choice and reportedly has been more efficient than Clomiphene. So please proceed with your treatment as prescribed by your gynecologist. Kalarchikai, commonly known as grey nicker has been suggested to be helpful in follicular growth stimulation in women with PCOS (polycystic ovary syndrome). The mechanism is still not fully understood, and it can cause irregular periods as well (possibly due to hormonal interactions). So I strongly recommend not taking any herbal element while on Letrozole to avoid unwanted results." + }, + { + "id": 29124, + "tgt": "indulged in sexual intercouse with contraceptive and i-pill. After 5 days she was bleeding and having little cramps for 3 days", + "src": "Patient: Hi doctor, My fiance and I are indulged in sexual intercourse with contraceptive and immediately took an\u00a0i-pill\u00a0(morning after pill).\u00a0After 5 days she was bleeding and having little cramps for 3 days.\u00a0Now she her periods delayed by 17 days and urine test are saying negative. Shall we go for a blood test? If yes then what is the name of the test? Can there be some other complication? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9953, + "tgt": "What should I do for choroid plexus cyst?", + "src": "Patient: Hello doctor, Yesterday I had my ultrasound, and there is a small cystic lesion of size approx 5.4 mm x 3.4 mm seen in the left lateral ventricle said to be choroid plexus cyst and I am anxious. What should I do? Please advise whether I should terminate or wait till next sonography. Doctor: Hello. For your information, a choroid plexus cyst is not considered a structure or functional brain abnormality. Most of these cysts are isolated and occur in otherwise low-risk pregnancies. The only association of some significance between a solitary choroid plexus cyst and the possible fetal problem is with trisomy 18. For this, when these cysts are found in sonography, we go for the next examinations, the detailed fetal anatomic survey should be performed by an experienced provider. Should run a thorough examination of the fetal heart, which includes four chamber view and outflow tracts view. Plus of the hands, clenching or another abnormal positioning. If no other abnormalities present, the choroid plexus cyst is considered isolated. So, to me should not rush, but wait for a complete fetal examination of sonography tests. Discuss this further with your doctor." + }, + { + "id": 29014, + "tgt": "I have a continous left lower back pain after an injury. Please help", + "src": "Patient: Hello doctor, I have had a lower back injury for three years, and that has not been improved with rehabilitation or anything. There is a constant pain in the\u00a0left side of my lower back, which becomes worse on twisting motions, exercise and bending to the point where I can barely walk. My physiotherapist believes it is an injury to my left iliolumbar ligament between my spine and my left hip bone. I have attached my files, and I was wondering if you could take a look at my MRI and let me know what you think it is? Doctor: Hello. For further queries consult an orthopaedician\u00a0and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24972, + "tgt": "I have a burning chest pain which improves when I stand. Is it costochondritis?", + "src": "Patient: Hello doctor, I am a 40 year old female. I have a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, GAD, and low BP (105/60). I saw a cardio two years ago and cleared. I developed a burning, sharp chest pain (more intense than normal GERD pain), in the upper-left sternum just below the manubrium which sent me to the ER. X-ray, bloods, and ECG are normal. I was given an Omeprazole and an antiinflamatory. But, I am still having constant pain, which varies in intensity and improves when I stand. I did lift a heavy rock a few days prior and can feel a slight crunching when I move, but I am really anxious about ischemic heart disease or something more dubious, even though I have no accompanying symptoms besides this pain. Does this sound like costochondritis, or should I be more concerned? Doctor: Hello. I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. They could be suggestive of costochondritis or gastro-esophageal reflux. Is the pain triggered by deep breathing or pressure in this chest area? This would be another argument in favor of costochondritis. In such case, it is necessary to perform inflammation tests (PCR, ESR, complete blood count). If the pain is triggered by heavy meals or bending over, it would be indicative of a gastro-esophageal reflux. In such case, it would be necessary to perform a fibrogastroscopy. I would also exclude any possible heart issues, considering your clinical symptomatology for which I would recommend performing an exercise cardiac stress test just to reassure you that your symptoms are not related to your heart. So, just relax and do not worry about it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6986, + "tgt": "I am having pain in the root canal treated tooth inspite of having medicines. Please help", + "src": "Patient: Hello doctor, I had got a root canal done on my teeth. I had seven sittings to complete it. I am still having a dull pain. Sometimes I take mild pain killers. I took antibiotics for three days for this, but still, full pain is there. What can I do? Doctor: Hello. 1. First of all, I would like to know which tooth are you talking about? I would also like to see the X-ray if you have it with you. 2. I am sorry as it took long for your root canal procedure, did your dentist tell about any specific complication with your tooth?. 3. There is still complaining of pain means there is infection remaining or obturation or the capsize did not go well with your tooth. 4. As you are still facing pain, I suggest you go for three-day medication and then follow-up with me after three days. 5. Do warm water, and salt rinses five to six times daily, water should be warm and not hot. 6. Maintain good oral hygiene. 7. Brush in a circular pattern and give soft finger massage to teeth while cleansing. 8. Amoxicillin clavulanate 625 mg twice daily, Paracetamol 500 mg twice daily. Follow this medication for three days and then update me. I hope it helps. Avoid sticky food and food lodgement. Follow up after three days." + }, + { + "id": 6052, + "tgt": "My 14 year old son argues a lot even for petty things. How to deal him?", + "src": "Patient: Hello doctor, My son is 14 years old. He is a bright and loving person, but he argues a lot even for petty things like brushing his teeth, if he is asked not to read an 1100 page book in one stretch, or prepare for a test. He will argue to limits. He would lie, distort facts, cheat, would do anything to win an argument. He will think about how to get to his target. He cannot withstand anything against his will. How to deal with him? Doctor: Hello. You are describing your son's oppositional behavior in specific contexts when he is asked to do things against his will. Has your son always been like this arguing a lot or did he develop this behavior recently in the teenage years? Does he argue at school with his teachers and friends? If this behavior started early and pervasive across all situations it may be more entrenched and will take more effort to shift. Sometimes at this age, children tend to struggle with adhering to parental rules and the desire to do things as per their wishes. It is important to help them find the right balance without causing much hostility. Some general strategies can help in these situations. 1) Spend more quality time with your son. Playing together and having fun helps. 2) Talk regularly about his feelings, aspirations and how he is managing things. Teach him gradually that he need not win all the time. Try to reinforce positive values. 3) Discuss about unacceptable behavior like lying and cheating. Try to avoid a blaming stance but make it clear that manipulating behaviour is not welcome. 4) Have realistic expectations that children will not be perfect all the time. All children breach rules and boundaries. Try to ignore petty arguments but be firm and consistent with significant issues. As the saying goes choose your battles wisely. 5) All elders in the family (you, your wife and grandparents) have to be uniform and consistent with rules with your son. If problems persist and affecting your son some emotionally, counseling can be considered." + }, + { + "id": 8577, + "tgt": "Can failed medical abortion cause malformation in baby?", + "src": "Patient: Hi doctor, I have a question concerning a failed medical abortion. I have read the odds and they do not look good. I am 11 weeks pregnant and my medical abortion failed. I started having second thoughts about keeping the baby since this happened but I am also concerned for malformations and any other issues that may come up due to the medication. I have a surgical abortion scheduled and I am starting to get nervous. I just wanted some thoughts on what my odds are if I decided to keep this baby. I know the first trimester is very delicate and I feel like I have already messed this up. I did not realize I was pregnant either so there has been a bit of alcohol consumption plus I take about 1 mg of Alprazolam a day. If you can help me sway my decision either way. I am okay with the abortion. I just feel like I had a second chance or I am being punished. Doctor: Hello. If you have been given tablet Mifepristone 200 mg during the medical abortion process then there is no point continuing the pregnancy as it can cause congenital anomalies in the foetus, however, if only Misoprostol was used then you can contemplate continuation. There are different check levels with scans which can determine anomalies during continuing pregnancy- at 11 to 13 weeks NT scan, quadruple scan, anomaly scan at 18 to 20 weeks." + }, + { + "id": 25272, + "tgt": "Are my lips raw and swollen due to allergy from tooth fillings?", + "src": "Patient: Hello doctor,I am having lots of problems in my mouth and the VA clinic is struggling to help me. I am a 36 year old male and have no significant health issues besides this. I am really struggling because my lips are constantly raw, peeling, and swollen. They also burn and hurt almost always. I have one amalgam filling in my mouth from 15 or longer years ago. I also have a bit of resin or composite fillings in my mouth. I am trying to make connections and remember. I had a bad skin reaction to an artificial football field turf a few years ago and it was where the plastic field pellets were stuck to my skin. I also had path testing done at the VA and they found I was allergic to Sesquiterpene lactones, cobalt, and nickel, as well as other metals likely. Is it possible the materials in my mouth are keeping me in a constant state of misery? Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). If I just look at your lips, it looks like severe cheilitis. Considering the history, I would like to rule out oral lichen planus. Amalgam is known to cause lichen planus. Check in your mouth for a whitish lacy pattern. I suggest you meet your dermatologist for detailed oral examination. Warm compresses will be helpful till you meet your doctor. Avoid licking your lips, saliva further aggravates the condition. Use Bioline jelly, apply to lips four times a day. These are all symptomatic treatment, not specific. If the diagnosis of lichen planus is confirmed after detailed examination from your doctor, then you will be prescribed topical Tacrolimus, topical Corticosteroids and oral Corticosteroids if needed. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30028, + "tgt": "Please suggest some medicine to increase my memory", + "src": "Patient: Hi doctor, I am a 27 year old serving army officer. Three years back, I met with an accident and got a traumatic brain injury. The initial investigation report and treatment undertaken is attached. Also, the NCCT scan taken 11 months ago is attached. Now, the problems involved are having cognitive issues in doing physical exertion and have mental stress. Now, I am not able to concentrate and grab the concepts while studying. I am having issues like I memorize a thing and later I am not able to recollect it fully. Further, I get tired after physical exertion. Initially, after a long run it used to take a day to recover and relax. And now, when I go for long runs I get tired, feel too exhausted and it takes five or six days to get back to normal. While searching on the internet I came along nootropics to boost memory. Can I take that? Please refer me some medication or herbal products to solve my issues. Also, when I'm having some sort of examinations, I thoroughly revise my subjects like earlier I use to do but now in the morning I'm only able to get few points not the complete thing. I'm able to recall but not at the time when it is required. It happens while conversations also some points skip and I'm not able to give all the points. I'm currently taking tablet phenytoin, and dietary supplements of super omega 3 capsules, 2 times a day, always nutrikite's Siberian gingsek with gingko biloba, 2 times a day and focus factor tablets that are nutrition supplement for brain which I got from the US., 2 times a day. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence and would like you to know that I am here to help you. The head injury has left some damage in your brain. The frontal area on the left side is affected. This area of the brain is needed for attention. Hence, you lack attention. Attention is an integral part of the memory. Even though your long term memory may be intact, you seem to have a forgetfulness because of lack of attention. There are two ways to treat this. Also, a combination of both the above will give best results. For drugs, I would suggest you tablet Neuciti forte (Citicoline) two times a day, after food for three months in addition to Phenytoin which you are now taking. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For yoga, I would recommend you to consult a yoga master. Please let me know the improvement in three months with this combined treatment. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19149, + "tgt": "What can be done for blurred vision after getting deodorant in my eyes?", + "src": "Patient: Hi doctor, This morning by mistake I sprayed the body deodorant directly into my eyes. Thereafter, I cleaned my eyes thoroughly with water and put some V.Rohto drops in them. The whole day has passed but the vision in my left eye is still blurry. Is it something urgent to be taken care of and should I see a doctor now? Doctor: Hi. It is not an emergency. You can use Rohto drops (Naphazoline hydrochloride), along with it start using lubricants like Refresh tears eyedrops or Tears naturale (Carboxymethylcellulose, Dextran, etc) eyedrops once every three hours. Wash out all of the chemical from your eye using clean filter water which is comfortably warm. Apply an ice pack to relieve pain. You will need to see an eye specialist in case: Accidental. Slit-lamp examination. Chemical injury. To start with antibiotics or steroids depending on the slit-lamp exam findings. Protective goggles. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18629, + "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": 1842, + "tgt": "The corner of my toenails are becoming grayish-blue in color. Is it nail melanoma?", + "src": "Patient: I have 4 month old twin girl babies. After delivery under my left toenail under blood clot. And another toenail light shade of grey color. No pain. But sometimes not comfortable to walk. Can cure or not mam. I am afraid for this. So tell the reason and suggestion cure or not. All corner of fingernail become bluish after taking onabet lotion drops they are hidden. But toenail not cure. Now I taking zincovit SYRUP, TRIBOOST TABLET last two month . Sertaconazole nitrate drops lotion put to all finger nail . Height 147cm weight 57 kg. Please tell suggestion mam. Doctor:" + }, + { + "id": 13496, + "tgt": "Can rabies spread by sharing a drink?", + "src": "Patient: Hello doctor,My roommate was scratched very lightly by a stray cat the other day. Then a couple of days later, I shared a drink with her. Could I get rabies? Doctor: Hello. Rest assured that eating or drinking does not transmit rabies. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28354, + "tgt": "Suggest me any medicine and guide me reduce weight", + "src": "Patient: Hi, I am 20 years old. My weight is 65 kg. My height is 5' 5\". I want to lose my weight about 4 to 5 kg.\u00a0Please suggest me any medicine to reduce weight. Doctor: Hi. Medicine to lose weight: As a doctor, I never really recommend my patients to take medicines to lose weight. Only one drug is approved for use in India- Orlistat. If you really want to take it, you can take tablet Orlistat 60mg thrice a day (after your 3 major meals). As I have seen in practice and also research results say that orlistat does not produce too much change in weight. It shows just a small percentage of weight loss when coupled with low-calorie diet and exercise. And Orlistat has its own share of side effects: I can make a good diet chart and exercise regimen for you if you would like to follow up, in which case you will have to get back to me with your details- your daily food routine, your work timings, your daily sleep cycle, the kind of exercises you prefer, etc. I hope that answers your question. Revert back to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 3137, + "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": 8810, + "tgt": "My daughter has developed an asthmatic cough. Please suggest a remedy", + "src": "Patient: Hello doctor, My daughter is 3 years and seven\u00a0months old. She is a\u00a0healthy kid. After two and a half years, we observed that she repeatedly catches a cold and cough. The cold lasts for more than two weeks followed by a\u00a0cough. Her under eye becomes dark. She breathes with her mouth and\u00a0keeps her\u00a0mouth open all the time. She once coughed continuously and we rushed her to the emergency room. She was admitted and a nebulization with oxygen was given. Our family doctor said that it was rhinitis and that due to the\u00a0persistent cold, she has developed the asthmatic\u00a0cough. She had wheezing last winter. Currently, we use Asthalin, Budecort inhaler, and Montair LC Kid syrup. Her cold is allergic, but the allergy test was negative. Even a slight climate change affects her. Please suggest a remedy. Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 21151, + "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": 920, + "tgt": "I had negative HIV tests with a swollen lymphnode in my underarm. Am I in window period?", + "src": "Patient: Hello doctor, I am 29-year-old, married male. I have a baby who feeds on breast milk. I had a sexual encounter before 8 months with a professional with a condom. I am 95% sure that my protection was intact. Then I started reading about the HIV symptoms and technicalities of testing online. Five days later, I went to a Dermatology and Venereology specialist and described about the incident. He was confident enough that he advised me not to go for any testing. Although my fear of infection remained. Around two months post-exposure, I felt tenderness here and there like on the back of my head, arms, one lymph node in my underarm was swollen and I developed cold and cough. I started sweating during that time as well. I looked a bit thinner. I got panicked and went to the doctor again. He checked me and was still confident that I am not infected. But for my mental satisfaction, he prescribed me thorough testing which includes HIV1/2, VDRL, HBsAg, HCV along with urine R/E, M/E, C/S analysis. On 74 th day post-exposure I took all those tests and they all came back negative. After lapse of a few days again I felt some skin irritation on theback and burning sensation on my forearms. Although no skin changes can be seen. Again I got panicked thinking that I may be in the window period for HIV. But the doctor remained confident and he adivised me not to go for any repeat testing. But my sense of fear, anxiety, panic, guilt, and impurity continues. On 110th day post-exposure again I repeated the tests but I excluded the urine analysis this time. All the tests came negative again. The HIV tests were fourth-generation combo test both the time. I am on the eighth month post exposure. Still, I feel tenderness hear and there. Recently, I am developing small red blood vessel like dots just underneath my skin on my hand and feet which is staying for 5-7days and going away leaving faint black spots. I again showed it to the same doctor. He is confident and repeatedly asked me to stop worrying. He also gave me anti-anxiety, anti-OCD, anti-depressant drugs. I am also taking sessions with a psychologist. But still, my mind is not free from the fear of HIV and also fear that my wife and child might get infected by me. My questions are, do I need to repeat any test to out rule the probability of HIV? Are there any probability of error from lab test given the fact that I took the tests twice? Do I need to worry about the window period as there is conflicting information available on the internet? Do I need to worry about the phenomenon of delayed seroconversion? Do I need to opt for the tests from a different lab? Do I need to worry about HIV 1/2anymore? How to unroot the fear from deep inside my mind? Any other opinion on my history? Doctor: Hi. The chances of transmission of HIV by the given description is almost nil. HIV tests are repeatedly negative and after three months of exposure it is conclusive. You are free from HIV. There is no need for you to worry about seroconversion. You can forget about the episode and lead a normal life. There is no need for any further HIV tests in any lab. Just relax. Do some yoga, exercises, meditation, etc." + }, + { + "id": 20641, + "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": 17034, + "tgt": "Should I undergo varicocelectomy?", + "src": "Patient: Hello doctor, I am a 23 year old male. I have no BP, diabetes or thyroid problems. Last month, I was diagnosed with grade 1 varicocele. I consulted my home town doctor for treatments, and he prescribed few medicines. However, he did not say anything to my queries.\u00a0Is my testicles size normal? I\u00a0am experiencing mild dragging sensation at the\u00a0left side of the lower abdomen and left pelvis area even after medication. And also I\u00a0observed that my left testicle is shrinking in size. Should I\u00a0\u00a0undergo varicocelectomy surgery? If\u00a0gone through the surgery, can my testicle size regains its original size? Which is the better option- a\u00a0varicocelectomy or emboilization or laparoscopy?\u00a0How much is the average surgery cost at normal hospitals? Please clarify my each and every doubt. I was taking Hetrazan100. I used to take this medicine thrice per day, and I took it for one month. After that, I had Levomac 500. I am currently taking this one per day and has been taking for past five days. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16618, + "tgt": "I have been having chest discomfort. What could it be?", + "src": "Patient: Hi, I am a 31year old male. I was recently diagnosed with minor gastritis after EGD. I was having stomach problems but have recovered at present.\u00a0Last two weeks I have been having some chest discomfort. ECG and other tests show normal heart function.\u00a0Since two days, the chest sensations are more prominent mostly while moving. Please help. Doctor: Hi,\u00a0 Welcome to icliniq.com. Since you have mentioned that ECG and other tests came out to be normal, it is not associated with any cardiac abnormality. As you have a history of\u00a0gastritis\u00a0confirmed through EGD (Esophagogastroduodenoscopy), there is more possibility of association with\u00a0acid reflux. Acid causes irritation of esophagus and leads to inhibition of vagal tone (vagus nerve supply to the heart) resulting in\u00a0increased heart rate. This in turn leads to\u00a0palpitation, chest discomfort, burning sensation etc.\u00a0 I advise you to follow these: Another possibility is that you could have some\u00a0muscle spasm/pull if this sensation is pain. If there is\u00a0pain during movement of chest then you can take some\u00a0muscle relaxant\u00a0like\u00a0Chlorzoxazone\u00a0in combination with some\u00a0pain killer. The word chest discomfort indicates that it\u00a0could be palpitation (feeling of one's own heart beat which usually occurs when the heart rate increases), tightness in the chest, burning sensation or chest pain. If the discomfort persists, revert back with details like dietary habits, blood pressure and medical reports to a\u00a0cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16590, + "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": 22251, + "tgt": "My vomit was red-colored. Is it due to red wine or blood?", + "src": "Patient: Hello doctor, I am 26 years old. Yesterday night, I went out with my friends and I drank for the first time. We drank quite a lot and my last drink was a glass of red wine. After coming back, I felt sick and puked. My vomit was red colored. I vomited quite a lot. I was wondering if it was blood, but then it was so much that I do not know I would be standing after vomiting so much blood. I do not have any other symptoms. I am otherwise fit. It happened last night and I am perfectly fine since morning. I was wondering if it could have been blood and do I need an endoscopy or was it the red wine coloring the vomit? Doctor: Hi. Nothing to worry much. It will be most probably the wine with some amount of gastric juice. Retching during vomiting will cause small erosion and bleed. This is a self-limiting one. Just observe the color of your stools for the next three days. If the stools are yellow (as usual), then you can leave it alone. If it is black (like hair or tar), then you have to get a blood test done and probably consider endoscopy. Hope your queries have been cleared. Do revert if you have any further concerns. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19733, + "tgt": "I had a filling and now feeling pain inside the tooth. Is this normal?", + "src": "Patient: Hi doctor, I had a tooth filling done. My dentist injected anesthesia three times to get complete numbness. The numbness from the anesthesia has subsided. But I have pain inside my tooth. I suspect that the pain in my tooth is due to the drilling done in my tooth. I have a strange pain shooting from my tooth up through the cheek into my temple and sinuses. My cheek is swollen, and the pain in my cheek is a headache type pain. Is this normal after a filling? Doctor: Hi. I can understand your concern. Yes, it is painful sometimes. But it is only related to the stimulus, that means the pain at the time of chewing or due to hot or cold fluids. If the pain is continuous and interferes with your sleep cycle, you may need to revisit the dentist and get the filling removed. Sometimes the long buccal anesthesia wound gets infected and can cause pain. But in your case, the pain looks like pulpitis, and it is not usual if it continues for more than three days." + }, + { + "id": 29779, + "tgt": "How to resolve the pain at the ear piercing site?", + "src": "Patient: Hello doctor, I got a piercing done in the upper portion of my ear about four months back. Still, I have pain around one of my ears, but there are no signs of infection. I do apply lukewarm salt water solution to the affected area, but still it hurts.\u00a0Please let me know something to resolve this. Doctor: Hi. 1. Allergic contact dermatitis. 2. Intertrigo. Tablet Dolo (Paracetamol) 650 mg if there is severe pain. Revert back with the details to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28530, + "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": 13857, + "tgt": "I am facing a problem of delusion. Is there any other solution for it?", + "src": "Patient: Hello doctor, I am facing a problem with delusion. It is like an attack and I start thinking that my family members or my friends want to do something wrong with me and I suddenly get very angry and start shouting. The base of this problem is around 12 years ago when I spoke wrong about a female member of my family to a friend of mine. So, whenever I get an attack, I think that my friend had told everything to my family. I faced this problem for the first time around 6 years ago. Currently, I am taking Soltus 50 mg daily which was 100 mg earlier. So, I want to know what problem is this and do I have to take this tablet for a lifetime or is there any other solution for it? Doctor: Hi. Delusion is a false belief, which is very firm and unshakeable. It is a symptom of psychosis, which is found in schizophrenia, bipolar disorder, depression, mania, etc. It is due to increased dopamine chemical in the brain. Other causes are genetic, sociocultural and psychological. If you had shown a complete response on Soltus 100 mg in the past, then you can again start Soltus 100 mg now. Soltus (Amisulpride) is a antipsychotic medication, whose dose can be increased up to 400 mg. If you have continuous illness for the last 12 years, then you have to take medicine for a lifetime because chances of recurrence of these illnesses are very high. What is your height, your other symptoms, current sleep, appetite, your work?" + }, + { + "id": 2841, + "tgt": "Is neuromuscular block necessary during surgery?", + "src": "Patient: Hi doctor, I am going to have laparoscopic surgery to remove an ovarian dermoid cyst. I am afraid of being under general anesthesia in the presence of neuromuscular blocks.\u00a0Is there a way to ensure that I am unconscious before administering the neuromuscular block? I have read a horrible story about someone being paralyzed first, before the other drugs took effect and being conscious during intuition.\u00a0Is a neuromuscular block necessary during this entire surgery or is it only in the beginning for intubation?\u00a0Is it possible that intraoperative awareness is more common than we realize, because amnesia-inducing drugs erase people's memory of it? Or would anyone with conscious during surgery also have a memory of it?\u00a0Are any sort of analgesics used in this surgery? Is it true that if I experience awareness I would also be experiencing severe pain?\u00a0If heart rate and blood pressure are indeed sufficient indicators of awareness, then why have other healthy young people like myself experienced awareness while paralyzed without anyone noticing their stress response and therefore deepening the anesthesia? How was that able to occur and what would prevent it from occurring in my case?\u00a0I read that some drugs used in anesthesia can block the body's normal stress response, so that heart rate and blood pressure would not increase even in a state of intense pain and anxiety. Would I be receiving any drugs that would produce such an effect, blocking my body's normal stress response and preventing those indicators of awareness?\u00a0Is it possible to listen to a recording on headphones while in surgery? I have a guided relaxation tape that makes me more confident. I would stay unconscious or at least be able to cope with an awareness experience.\u00a0Thank you so much for reading my questions and I look forward to hearing the answers. Doctor: Hi. For further doubts consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 26131, + "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": 13229, + "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": 28314, + "tgt": "Why did not spinal anesthesia work properly during my C-section?", + "src": "Patient: Hello doctor,I had a spinal block during C-section. But, I was able to feel the surgeon performing the surgery, and it was so painful. So they gave me general anesthesia, and I was intubated. I did feel some numbness in my lower body when they administered the spinal block, but I was still able to feel everything.\u00a0What would be the\u00a0reason for the anesthesia not working well in my case? Doctor: Hello. Thank you for the query. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 18273, + "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": 28924, + "tgt": "My nephew took Tayo 60K for nine months. Can it be the cause of hypervitaminosis D?", + "src": "Patient: Hi doctor, My nephew was diagnosed with low vitamin D a few months back. His CPK was 642, and vitamin D was 8 ng/mL. He was advised to take Tayo 60K sachet, once a week for initial 12 weeks, and then one sachet a month for the next six months. Now, his vitamin D level is 18.62 ng/mL, and CPK was 260.66. What can be the cause? Doctor: Hello. I read your query and understand your concerns. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21544, + "tgt": "There is swelling, itching, and redness of face. Please help with treatment", + "src": "Patient: Hello doctor, I am a 20 year old female. There is swelling, redness, and itching on my face. Please help me with a treatment. This problem lasts so long, sometimes more than six months. Doctor: Hi. I have gone through your complaint and you seem to be having dermatitis. I would recommend you to apply topical steroid like Mometasone cream on the affected area twice daily for two weeks and take antihistaminic like tablet Levocetirizine 5 mg twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, use a soap-free cleanser for washing face, avoid sunlight, hot humid weather and stay in a cool airy environment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30352, + "tgt": "How to prevent OHSS in PCOS case?", + "src": "Patient: Hi doctor, I am a 20 year old married female. I have PCOS and my husband has azoospermia. I would like to go for IVF. I have heard about OHSS in PCOS patients. Please\u00a0suggest what to do. Doctor: Hi. Firstly, I am sorry to learn about your situation. I would advise you to keep your head up and not be sad. Everything will be fine in the end. Coming to OHSS (ovarian hyperstimulation syndrome), yes, it is true. PCOS - polycystic ovarian syndrome patients have a higher chance for it. However, at the time of egg stimulation in your IVF cycle (in vitro fertilization), your doctor will monitor the egg growth and adjust your injection doses accordingly. So, OHSS is prevented. If you are overweight, then please try to lose weight. Please speak to your doctor before starting IVF and explain your concerns. So, she or he is aware that you are aware of OHSS and will take stringent care. Be aware that despite the doctor's best efforts, sometimes a mild degree of OHSS can happen and it is nothing major. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21447, + "tgt": "Why am I getting a lot of nightfall if I do not masturbate?", + "src": "Patient: Hello doctor,I am 24 years old single male. I stopped masturbation two months before. After that, I am getting a lot of nightfall, though did not get any wet dreams. Felt embarrassed. Please help. Doctor: Hi. It is normal. Semen is made every day, it has to come out, if not by masturbation, then by nightfall. Relax, gradually it will become less. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7128, + "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": 20468, + "tgt": "Will sex during period cause any delay in next period?", + "src": "Patient: Hello doctor, My last four months periods were on 24, 21, 21, and 22. When should my next date be? I had sex during my period. But there was no discharge inside me (we do not remember actually). So, will there be any delay in periods? Doctor: Hello. According to the tracking, your cycle is nearly 30 days. Your periods always need not be on time. You can expect in a couple of days. Also, you have not mentioned that you have had unprotected sex. Your periods might be delayed due to other reasons. I would recommend you to wait till the month end in case you have not had unprotected sex last month. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28598, + "tgt": "Is it safe to take Flecainide 50 mg for two weeks?", + "src": "Patient: Hello doctor, I am a 30 year old male, who is a competitive athlete. I do not have any structural or plumbing heart issues. I have been diagnosed with WPW accidentally, and I am waiting for an ablation in 17 days. I am mostly asymptomatic, and I never had\u00a0any extremely rapid heart rates. My resting heart rate is actually in the 40's. However, I do sometimes get palpitations and every once in awhile get a run of 5 to 7 in a row. The EP I saw in the hospital prescribed me Flecainide 50 mg, twice daily. I saw another EP, who was a much older guy, as a second opinion. He seems to think I do not need the Flecainide, and maybe not even the ablation. I do not agree with him on the ablation due to recent medical studies on WPW and how ablation is recommended even for asymptomatic patients, especially athletes. My question is regarding Flecainide. I have not had any palpitations since I began taking it a few days ago, but I want to make sure this drug is not putting me at risk for creating a dangerous rhythm. Reading case studies and medical journals, it seems there is some risk. I have not been known to go into AF, and besides palpitations, I am asymptomatic with WPW. Do you think Flecainide at this dosage is safe and reasonable for the next two weeks, until my ablation? Doctor: Hi. In WPW (Wolff-Parkinson-White) syndrome, there is a chance of rhythm disturbance, cardiac rate , and it is episodic in nature. I can present as palpitation, but the timing cannot be predicted. Regarding Flecainide, I do not think you need to continue for next two weeks. But, your cardiologist who will perform this surgery, is the best judge to advise you whether he wants to continue it prophylactically or not. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10606, + "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": 21452, + "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": 22992, + "tgt": "I have acne breakout and scars on forehead. What has to be done?", + "src": "Patient: Hello doctor,I had a really bad acne breakout and scars and it was just on my forehead two months back. Then I just had another one about two weeks ago, on my forehead again. It is not mostly just dark acne scars and I want to get rid of them. My skin also turned from combination to dry on my entire face. My forehead is a little bit itchy sometimes and so are my eyelids. Doctor: Hi. I have been through your case. Well, acne is common in your age. Drink plenty of water and juices. Avoid fast food and chocolates. Even then you may have frequent relapses which are precipitated by stress, periods, and cosmetics. For daily routine healthy skin, do the following: First, use only this. If still, your dryness would not go away then we need to go on steroids, not now. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13426, + "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": 23288, + "tgt": "I have warts on my penis. Is it an STD?", + "src": "Patient: Hello doctor,I had unprotected intercourse with one of my relatives 14 years ago. I had gone through two to three sets of tests back then including HIV, and all were negative. But I still have some neurological problems which started one month after I had the intercourse. The doctor did not find any STD through VDRL test. And the doctor informed it was psychological. Four years back, I had safe sex and oral sex with some random girls. At present, I have very small two or three warts on my penis, which a dermatologist said is normal and it recurs. He prescribed one ointment and it was gone. It has come back again. Also, I have a very small white line or very light patch in the penis. Still having the neurological problems (under treatment) for some nerve suppression at neck level disk. Not sure if there is any link with STDs from back then. I am having a problem with having babies. Therefore I would like to confirm if I have any STDs. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I can see a single, skin colored, raised and round bump on the glans. Perhaps it is a genital wart, however, I request you to kindly upload a few more good quality and closer images so that I am able to have a closer look and guide you better. The whitish line on the undersurface of the prepuce is not an STD. It seems like it is due to Fordyce spots arranged in a linear pattern. Fordyce spots are quite common. They are ectopic sebaceous glands. As far as your screening tests are concerned they seem to be conclusive since they were done almost five years after sexual contact and would have certainly ruled out HIV and syphilis. You neurological symptoms are most likely unrelated. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23710, + "tgt": "Either Mirena or hysterectomy, which is better for irregular periods?", + "src": "Patient: Hi doctor, I am 29 years old. I have tilted bicornuate uterus. My history includes two cesarean sections, PCOS, adenomyosis, dysmenorrhea and amenorrhea. Now, I am suffering from irregular and very painful periods. I am getting heavy clots for three days and bleeding for the next four days. My cycle varies between 23 and 45 days. The pain has been increasing and the cycle becomes more irregular for the past 12 months now. Other symptoms are irritability, night sweats, sore breasts, feverish days leading up to the period. My current medications are Pristiq, Lithium and Dothep. The plan of treatment was to insert Mirena.\u00a0However, the attempt failed due to closed cervix. I was booked in for Misoprostol (vagina) and attempt Mirenas again. If this does not work, then open hysterectomy will be considered as laparoscopy cannot be done due to scarring.\u00a0Both, my mother and maternal grandmother had hysterectomy before 40 years of age. Should I seek a second opinion or further testing? Thank you. Doctor: Hi. I went through your query. At your age, instead of hysterectomy, Mirena is a better option. Misoprostol is very effective in opening the uterine cervix and most likely the procedure will be successful. Whereas hysterectomy is concerned, you can go for both laparoscopic as well as open. Previous surgeries and adenomyosis is not a problem if your surgeon is competent enough to do such surgeries. Though I would recommend you try with Mirenas (Levonorgestrel-releasing intrauterine system) as much as possible, as it would be a wonderful option for you. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8908, + "tgt": "I have got grade 3 ACL tear. Should I consider surgery?", + "src": "Patient: Hi doctor, I fell down from bike 10 days back and since then I am unable to walk properly. I have a problem in the knee. In the X-ray report, there was no fracture found. However, in MRI it shows ACL grade 3 tear. So just wanted to know if surgery is mandatory or any other option (without surgery) is available to treat ACL tear. If I do not go for surgery then would there be any serious consequences? Please suggest. I have attached my reports here. Doctor: Hello. At your age, if you have a complete ACL tear, then the best idea is to have surgery and reconstructed. This can also be treated non-operatively by physiotherapy and muscle strengthening of the hamstrings. However, this does not fully compensate for the ligament loss. If you still have symptoms of knee buckling after physiotherapy then also it is an indication of surgery. If you do not get operated, then your chances of developing late osteoarthritis increases which may later require surgery. ACL grade 3 tear." + }, + { + "id": 3666, + "tgt": "Please tell me about the causes of headache in a child with thalassemia major", + "src": "Patient: Hi doctor, My son is thalassemia major subject. His age is 6 months(male boy). His weight is 5. He is suffering from headache and fever every now and then. Some times heart beet is fast. His liver and spleen are enlarged. He has been blood transfusion in one time in last week. Now he is taking folic acid 5mg (flovita )a tablet (1/2)per a day. Kindly suggest if he needs to take any other precaution. Can you please provide a diet chart for my child which can help him to grow up his body. Doctor: Hi. He is suffering from thalassemia major. Here there is destruction of the blood cells due to which haemoglobin becomes low frequently. Hence he will need blood transfusions regularly. He is prone for infections because of low haemoglobin which can also cause fast heartbeat and cardiolmegaly (increase in size of heart) and tiredness. Hence, please consult a good pediatric hematologist who will make a monthly follow up plan for your baby and monitor his growth, haemoglobin levels and start appropriate treatment based on his health condition and reports. Continue breast feeding the baby. You can give the normal weaning food. Rest will discussed by the hematologist in detail. His low weight gain is due to the low hb mainly and not related to food. If his haemoglobin is monitored and maintained at near normal levels his growth will improve." + }, + { + "id": 15830, + "tgt": "Why is there an increase in SGOT?", + "src": "Patient: Hi doctor, My daughter has an SGOT of 81 units per liter of serum. She is suffering from high-grade fever and cold. So we are giving Tylenol. What is the problem? Doctor: Hi. SGOT (aspartate aminotransferase) is a liver enzyme, which increases due to multiple causes. One of the reason can be a viral infection. These mild rise in titer are very nonspecific and do not to worry. When the disease gets controlled, it becomes normal. Maintain good hydration. Your daughter is suffering from viral infection, so there is no need to take antibiotics. You can continue the rest medication as adviced by the doctor. Review after two days." + }, + { + "id": 5213, + "tgt": "I doubt whether the precum got in due to ripped condom. Should I take Plan-B pill?", + "src": "Patient: Hello doctor, I and my partner had sex yesterday. We were using condoms but he had changed the condom three times already. On the last one, he took it out because he felt like he needed to ejaculate but it went away after he had pulled out. He then asked me to masturbate him and he ejaculated a little not even a lot. So I realized that the tip of the condom was ripped. I was scared of what if his precum went inside me. He says no but most guys does not even feel when their fluid comes out. I was ovulating last week I do not know if I should take plan b pill or not? I am also scared of the side affects. Doctor: Hello. You are right to state that if the condom was torn, there may have been some precum gone inside the vagina and even that can make you pregnant unless your partner is absolutely sure about it. You can choose to take the emergency contraceptive pill within 72 hours of intercourse. It would cause bleeding in the next five to seven days and may be even scanty to heavy. That should prevent any implantation and prevent fertilization by increasing the tubal motility. If you are not sure then you may consider this method of contraception. Side effects may differ in different users from headache, dizziness to nausea and delayed periods in the next cycle with heavy flow. You may choose not to use it. Ideally speaking the chances are getting pregnant cannot be ascertained or quantified as you are not sure about the ejaculate. If you want you can wait till your next periods and if you miss them by seven days, then you can do a pregnancy test done to affirm or neglect the pregnancy. And if positive then safe termination by the medical method can be opted under specialist supervision." + }, + { + "id": 16406, + "tgt": "My child has trouble in peeing. I can see blood in his diaper. Please help", + "src": "Patient: Hello doctor, My son is 4 years old. He has been having trouble in peeing for the past two days. I do not know if his penis burns or itches when he pees. When I ask him if it hurts, he says no. It looks like he wants to pee but keeps holding it, since it is painful. There is some red pus or something in his diaper. What could be the reason? Please help. Doctor: Hi. The clinical features which you have mentioned indicate that your baby might have UTI (urinary tract infection) or urinary stone (less likely). A child with UTI will have a burning sensation during micturition (urination). UTI might cause hematuria (blood in urine). This is the cause for the red color in your child's diaper. UTI may or may not be associated with fever. Follow these steps: For prescription of antibiotics revert back with the reports to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 25769, + "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": 12243, + "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": 23851, + "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": 27103, + "tgt": "I am allergic to Ornidazole. Can I take Imodium for loose motions?", + "src": "Patient: Hi doctor, I am suffering from loose motions for the last one month. I have to go about three to four times a day and every time it is semisolid, with some liquids, and leave me in itching or burning in the anus. Initially, doctor gave me Zifi-O due to which I got balanitis. So, on the third day I just stopped taking Zifi-O. Stool test is clear, resistance sensitivity showed Oflox 24 and Azithromycin 20. So, my local doctor told me to take one tablet of Azithromycin for three days. Today, it is the third day and I have not seen any improvement. Today only I started taking Enteroquinol. I am allergic to Ofloxacin and Ornidazaole, it gives me balanitis. For curing balanitis, skin specialist gave me Zocon 100 DT. I am attaching all my reports for your reference. Please guide. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9875, + "tgt": "I am suffering from chronic rashes for past two months. Kindly advice", + "src": "Patient: Hello doctor, I have had a chronic rash for two months to date. It usually lasts anywhere from one hour to six hours. But it seems to go away mostly. It is worse at night. The rash tends to run mostly along both sides of my torso, my back up to my shoulders, thighs, occasionally arms and calves but rarely. No lotion is helping. I am extremely fatigued, no matter how much I sleep. I tested myself for the ANA Screen, IFA, W/reflux titer, and pattern. I came back to positive. In ANA pattern, nucleolar titer says 1:40. Then had myself tested for DNA (DS) antibody and RNP Antibody but both came back normal. Doctor: Hello. Based on your history and attached image (attachment removed to protect patient identity), it looks like chronic urticaria to me. Now I would like to know, 1. Does the rash disappear on its own? 2. Does it leave any mark? 3. Try to remember that in case any new medication was started at the time the rash appeared first. 4. Any fever? 5. Have you got your blood sugar, thyroid test done? Revert with the asked details for better help." + }, + { + "id": 19318, + "tgt": "A 2 year old baby gets cough when weather changes and has low Hb. Kindly help", + "src": "Patient: Hello doctor, My brother's child (2 years old male) has been suffering from the following ailments: He was hospitalized due to severe pneumonia and bronchitis two months back. He will get a cough when the weather changes to cloudy, rainy, or very cold weather and when he has more cough he will get a high fever (sometimes reaches 104 degrees). He will not eat properly. So we try to give him food with a small number of intervals. His hemoglobin is 10.5/A1+. His mother is having hypothyroid and on thyroid medicine of 75 mg per day Thyronorm. His immunity may be sensitive and he is getting all vaccination as per government schedule. Doctor: Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Hemoglobin level is low, it should be around 12 g/dl. CRP (C-reactive protein) level is high, suggestive of acute infection during hospitalization. Urine infection was also present at the time of admission. Repeated infections occur in a child with a low immune system. In my opinion, you should give syrup Vitcofol (Folic acid, Nicotinamide, and Cyanocobalamin) 2.5 ml two times a day for one month, and syrup Bevon (Vitamin A, E, Cholecalciferol, etc.) 5 ml once a day for one month. Vitcofol to increase the iron level and Bevon is a multivitamin syrup to increase immunity. Give food rich in fat and protein like full cream milk two times a day. Add a small amount of ghee or butter in every meal. Give egg once a day. In fruits, give banana, apple, and mango. Give paneer and soybean curry. Give two almonds daily. Give nonvegetarian food also, if you eat. Repeat hemoglobin level and review after one month. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 24946, + "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": 10246, + "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": 200, + "tgt": "How to improve my serum iron level?", + "src": "Patient: Hi doctor, I am a 35 year old female. I have been experiencing a\u00a0rigorous hair fall. I am also feeling tired and dizzy. My skin and hair has become very rough and dry. Also the blood loss during periods is excessive. I got my blood tests done six months back and my serum iron was 36. My doctor had put me on an Iron supplement named Solfe for 6 months. I got my serum iron and vitamin D tested again. I have attached all the reports for your reference. My serum iron is still the same and it has not improved at all.\u00a0Also, I get bruises on my body randomly.\u00a0My thyroid levels are normal.\u00a0Can you advise why my serum iron is not increasing, though my Hb is 11.9? My transferritin saturation is also low. Can this cause severe hair loss? Please advise a solution for my problem. Doctor: Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Platelet count and endometrial biopsy. Revert back with the images and reports to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16726, + "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": 15745, + "tgt": "I have a problem to defecate completely. What to do?", + "src": "Patient: Hi doctor, I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1. I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me. Doctor: Hi. It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time." + }, + { + "id": 28091, + "tgt": "My wife is 20 weeks pregnant, and she has a small myoma. Can she deliver the child safely?", + "src": "Patient: Hello doctor, My wife is 20 weeks pregnant, and we got an ultrasound done. The report shows a small myoma measuring 49x26 mm in the anterior wall of the uterus. Can you please see the attached report and evaluate her problem to me? What to do next? Are there any chances of complication during delivery? Will she stay in good health after the delivery?\u00a0Can she deliver the child safely? Will both the mother and child be safe? Is there anything to worry about as such? Please suggest. Doctor: Hello. I have seen the ultrasound report (attachment removed to protect patient identity). Myoma or fibroid are sometimes seen along with pregnancy. It is very tricky how myoma reacts with the pregnancy. The thing is that the chances of it increasing in size during pregnancy are high, and sometimes it may cause pain. And very rarely, abortion can happen due to severe pain. But, some patients have uninterrupted pregnancy and do not have any symptoms due to myoma. So, it will depend on the size, position, and its blood supply. You need to continue all medication regularly and take adequate rest. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23721, + "tgt": "I have chest pain and shortness of breath. What could be wrong?", + "src": "Patient: Hello doctor,I am 44 years female, for last four days, I am having chest pain with shortness of breath. I consulted a cardiologist and done echo, ECG, and TMT and the reports are alright. The doctor gave me a painkiller, but still having the same problem. What could be wrong and which doctor should I consult? Doctor: Hello. I need to know more about the symptoms, like precipitating factors, factors that increase pain. It can be gastritis and reflux disease. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning? If yes, it further supports the diagnosis. You should avoid fatty, oily and high-calorie 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. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You will need antacids in that case. Secondly, does this pain increase on applying pressure over the area? If yes, it could be costochondritis and it is a musculoskeletal type of pain and needs prolonged NSAID therapy. Does this pain increase with deep breathing and coughing? If yes, it a pain arising from the lining of lungs and needs NSAIDs treatment and evaluation. I suggest consulting an internal medicine physician first. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26119, + "tgt": "Please help me identify the reason for pain in my jaw and face", + "src": "Patient: Hello doctor,I have pain in my\u00a0teeth when I\u00a0chew. I have some pain in the\u00a0face also. It is from the last two months. The doctor is unable to identify. Doctor: Hello. I have gone through the files uploaded (attachment removed to protect patient identity). These are some common causes. For more information consult an orthodontist online --> https://icliniq.com./ask-a-doctor-online/orthodontist" + }, + { + "id": 8934, + "tgt": "I have twitching in my forearm. Could it be ALS?", + "src": "Patient: Hello\u00a0doctor,Since the past week, I have had a twitch in my forearm area. I do not know if it was because I had to lift\u00a0a three-gallon bottle for a long stance, or due to my anxiety issues. There is no weakness or atrophy as could be the case with ALS. Also, the movement of the twitch is very visible. It goes and comes. It will stop if I move it in a certain way. Is this serious? My arm feels\u00a0strong, and I can spread my fingers wide. I am so worried about this intermittent twitch. It has not moved to twitch anywhere else,\u00a0but has been confined to the small area on my forearm. Can you please tell me if this is something deadly? Doctor: Hello. I read your query and understand your concerns. 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 neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5270, + "tgt": "I have backache and chest discomfort following RF ablation. How to confirm it is non-cardiac?", + "src": "Patient: Hello doctor, I am living with idiopathic RVOT NSVT for over ten years now. I had my RF ablation done a 20 days ago and my ectopic, NSVT episodes have come down by 90% and I am feeling healthy generally. I had my echo, ECG, Holter, cardiac MRI. Echo, cardiac MRI are normal. Cardiac MRI was done post RF ablation and also has come out to be normal. MRI was ordered to rule out any structural abnormalities and to rule to ARVD, and cardiomyopathy. I am feeling back ache, shoulder ache, and mild chest discomfort now continuously for a few days. It looks very much like muscle and back pain that I have always and is not related to exertion as some times I feel it even while sleeping. I have not been doing any physical exercise for a couple of months and have put on some weight too. With normal MRI, echo, ECG except for ectopic beats, can I conclude the pain is not cardiac related? Attaching here with my reports. Does the MRI report also talk about ischemic factors or should I under go any further cardiac tests to rule out cardiac factors? If not cardiac, which specialist should I consult now for my back pain? Doctor: Hello. I had gone through your all reports. (attachment removed to protect patient identity). Your Holter monitoring suggestive of premature ventricular beats some time occasionally, sometime in bigeminy, other time in couplet or NSVT (nonsustained ventricular tachycardia) this could contribute to irregular pulse or palpitation. MRI (magnetic resonance imaging) not suggesting any ischemic areas, and your RVOT (right ventricular outflow tract) also not unduly dilated. There is a very mild defect in the mitral valve but that is not contributing to regurgitation or any symptom so nothing to worry and yes, you can exclude cardiac factor but only after some investigation like x-ray whole spine (cervical, thoracic and lumbosacral region). For your shoulder and back pain, I want to ask a few things. Since how long you are suffering from this? Is this pain radiate to arms also? Back pain is confined to which area? Lower back or upper back? Did you have an episode of palpitation along with chest discomfort? Until then, I will advise you to use the hard bed without a pillow, do some physical exercises. Take Neurobion once daily for seven days. Reduce wait. Avoid oily foods." + }, + { + "id": 8609, + "tgt": "What could be the adverse effects of following restrictive dieting?", + "src": "Patient: Hello doctor,1. What are the dangerous effects of restrictive dieting?2. What vitamins help the people in losing weight?3. How the basal metabolism rate (BMR) connects with weight gain or loss?Kindly help. Doctor: Hello. Side effects of restrictive dieting may include more cravings for food and overeating, lower metabolism rate, bone density can also decrease, intestinal health may also get affected adversely. Vitamin B complex helps in reducing the weight because it maintains our normal metabolism. Basal metabolic rate (BMR) is the amount of energy our body requires for normal functioning at rest. If a person has low BMR due to underlying health issue like hypothyroidism, then it may lead to weight gain because the body is not producing proper energy and the calorie-burning is lower. However, our diet, lifestyle, and exercise also affect BMR." + }, + { + "id": 30009, + "tgt": "My son is worried and depressed about his final exams. Kindly advise", + "src": "Patient: Hi doctor, My son is 22 years old and doing final year college. He used to be good at studies. During his first year college, he was in love with a girl and that was a one side affair. So, he became depressed. He was diagnosed with acute psychosis and treated with Divalproex sodium and Olanzapine. He was stabilized by then. He continued medication for three months and then stopped it. Again, before four months, he became hyperactive, sleepless, angry and began to feel invincible. He was being treated for acute mania with Lithium carb 900 mg and Olanz 15 mg. Now, he has to appear for his final examinations and he is too much worried and depressed. Sometimes, he cries. I took him to the same doctor and he gave some antidepressant, but no improvement in the last six days. Only we have five more days to exam. Kindly advice what to do. Doctor: Hello. I can understand the situation that you and your son are in and you have my sympathies for the same. If worry and exam anxiety are the main issues currently, then he can be given tablet Trika SR (Alprazolam) 0.5 mg in the morning daily. This can be given till his exams are over. Alprazolam should help to certain extent by temporarily reducing worries and stress. Bipolar depression takes time to respond and I am sorry to say that there is no therapy, which will treat it instantaneously. Continue with the prescribed medication and things will hopefully improve with passing days. I would also like to recommend that you convince him not to burden himself with the pressure of exam unnecessarily. The priority must be on coming out of bipolar depression and remaining normal in the future with proper treatment. If he is not able to clear the exam this time, he can always do it at the next opportunity. You could also consider the option of not appearing for the exam if you feel that failing in the exam will hurt him emotionally more. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 21497, + "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": 19272, + "tgt": "My last endoscopy for gastritis was eight years ago. Do I need another test?", + "src": "Patient: Hello doctor, Eight years ago, I had an esophagogastroduodenoscopy. It came back normal except for some mild chronic antrum gastritis (reactive gastritis) and mild duodenal bulb duodenitis. I have been on Prilosec for 10 years, but have recently had some flare-ups, lots of stomach gurgling, gas, and constipation issues. Do you think I need another test? Doctor: Hello. Hope I have cleared your queries to your satisfaction. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15593, + "tgt": "I have jaw discomfort and misaligned bite. How to correct them?", + "src": "Patient: Hi doctor, I am 18 years old. I have jaw discomfort and a misaligned bite. I have not removed my wisdom tooth, and I have a habit of popping the jaw. I usually put my palm over the jaw near my ear, and there will be a pop. I have a gum tissue behind my molar, and I am unable to close my left side of my mouth completely. Please give me a solution. Doctor: Hi. Check your temporomandibular joint X-ray first. It sounds like a TMJ problem called a lockjaw. Depending upon the degree of damage, you require treatment. The most common solution is wearing a splint every day to prevent a rough sliding of joints. Since you are 18 years old, it is not mandatory to remove all the wisdom tooth. But if these cause the joint discomfort, then it is better to do an extraction of all the wisdom tooth. I advise you visit an oral and maxillofacial surgeon and the doctor will give an accurate treatment plan." + }, + { + "id": 12163, + "tgt": "Why there is a variation in pulse during walking and at rest?", + "src": "Patient: Hi doctor, I am 28 year old. My sugar level is normal, TSH is 2.91 and cholesterol is 203. I am facing a problem with my pulse rate. It is between 115-120 when I walk or do any activity. But when I am in rest, it ranges between 80-100. I feel lightheadedness when I walk. Is it normal? Doctor: Hello. Cholesterol is in upper borderline. It will come down with low cholesterol diet and exercise daily. Heart rate more than 100 while walking is fine. From your history lightheadedness is the only problem. Is this lightheadedness significant? Do you feel like falling or black out? Monitor your BP (blood pressure) while feeling lightheaded. Measure your BP while sitting followed by standing after three minutes. Sometimes people have positional hypotension. Also, do a Holter monitoring (24 hour ECG) with normal activity whole day. So, we can see your heart rhythm pattern while lightheadedness and rapid heart rate." + }, + { + "id": 1439, + "tgt": "I feel numbness and cold sensation on the left side of the body including face. Why?", + "src": "Patient: Hi doctor, I am feeling numbness and cold sensation on the left side of my body from calf, legs up to arms, and face. I am 35 years old with a height of 169 cm and weigh about 64 kg. I am taking Pregabalin for the past two days. Doctor: Hello. Well, most of your symptoms do look like related to the nerves only as the feeling of tingling and numbness can be related to that. I have gone through your older reports as well (attachment removed to protect patient identity), where there is a mild spasm of the spine. But since it is affecting your hands, and face it probably looks like coming from the neck region this time. You can get an x-ray done as and when you get time but will guide you with the following lifestyle changes as well. You can continue Pregabalin for 15 days to 30 days at least. If you feel the relief is not adequate, you can increase the dose to twice daily for seven days. Include vitamin D along with Pregabalin as well to strengthen your bones. As for the postures: 1. Make sure you are not sitting in front of the laptop for too long with head bent forward. It should be at a good height so it does not strain your neck too much. 2. Daily walk for 20 minutes along with spine and neck strengthening exercises for 10 minutes. 3. You can use local sprays and gels over the neck for some relief. I hope this helps. Cervical radiculopathy." + }, + { + "id": 7454, + "tgt": "I am suffering from ED. Is it due to BP drugs?", + "src": "Patient: Hi doctor, I am a doctor practicing in a rural area and aged 55 years. I am having high blood pressure for last seven years. My blood pressure was 180/100 mmHg before treatment and now I am on Telmisartan H 40 mg once daily. My BP fluctuates between 128 and 135 systolic to 85 and 90 diastolic. I do not have any symptoms of hypertension either before or after starting treatment. My only concern now is that I am having ED. Is it due the drugs I am using or BP itself or just age factor? I have tried Sildenafil, but no effect. Can you suggest me any solution either by changing the antihypertensive drug that is less likely to cause ED or any other medication? Or do you advise me to accept the situation? I can understand and follow your advice. Thank you. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25321, + "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": 13068, + "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": 19009, + "tgt": "I took Flonase for hay fever and had chest tightness. Can I continue taking it?", + "src": "Patient: Hello doctor,I started taking Flonase at night for hay fever and when I wake up in the morning I am having wheezing and my chest is tight. I do not want to stop taking it because it is so helpful for my allergy symptoms but I am really worried about this side-effect. Current medications are Cymbalta 120 mg/day and Suboxone 5 mg/day and Sprintec. I am a 29-year-old female with height 5\u20191\" and weight 108 lbs. Doctor: Hello. Flonase (Fluticasone) is an intranasal steroid spray that has very less systemic absorption. It will help relieve allergy symptoms and will not cause wheezing. In fact, for wheezing, you may need another steroid, like an inhalant steroid using inhaler or Rotavap (rotary evaporator). Budesonide or Seroflo and Salbutamol are such inhalers. The other medicines you are taking, namely Cymbalta (Duloxetine) and Suboxone (Buprenorphine), are they prescribed by the same doctor? Usually antidepressants are not combined with the deaddiction drug. Do you experience any other symptom? Since when are you taking the two drugs together? Is the wheezing only after starting the Flonase? Or along with hay fever, you got wheezing as well? Please write back. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 10537, + "tgt": "My arm got trapped in a door. What should I do?", + "src": "Patient: Hi doctor, I got my arm trapped between a metal pole and an electrically controlled door. The blood flow was cut off for around 30 seconds to a minute. My arm is quite painful and swollen. It has some blood spots and my wrist hurts when I bend my hand and fingers. Do I need to see a doctor? Is it sprained? What should I do? Doctor: Hi. Revert back after two days to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 9299, + "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": 14260, + "tgt": "What can be done for cough that occur only during particular months of the year?", + "src": "Patient: Hello doctor, I am 30 years old, female. I get cough problem during year end which never goes till next 3 to 4 months. I get a little bit of relaxation by medicine but not completely and again next year I feel the same problem. I have gone for X-ray, etc., and everything was fine. Doctor: Hi. Your cough seems related to the weather which gets worse during the winter season. Which city do you live in since some dry arid or polluted cities have high levels of toxins? And what is your BMI (body mass index) or weight and height? That may also cause gastric irritation if weight is above normal. This seems to be a kind of allergic bronchitis that is healed by increasing immunity. Lemon and ginger are the best natural ways to improve immunity or take a Vitamin C supplement. The cough will go with regular care and warm water treatment. Take care." + }, + { + "id": 23595, + "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": 28296, + "tgt": "Do I have bladder sphincter dyssynergia?", + "src": "Patient: Hello doctor, I am a 24 year old male, and I have a lot of problems during urination, from 20 days. The quantity of urine is very less, I feel that my bladder is not empty, and I have to pee frequently. I\u00a0consulted a doctor, and he asked me to do a\u00a0urine culture, KUB scan, and uroflowmetry.\u00a0My urine culture and KUB scans were\u00a0normal. But after seeing my uroflowmetry report, he told me I have bladder sphincter\u00a0dyssynergia. So, he gave me Sildoo 8 mg, Contiflo Icon 0.4, and COQ LC, for a month. I\u00a0am taking them from the last 20 days, and I have slight relief.\u00a0I read on the internet that it is a neurological problem. Can dyssynergia bladder be diagnosed based on uroflowmetry only?\u00a0Do I have bladder sphincter dyssynergia?\u00a0What is the cure?\u00a0If I do not have a\u00a0problem, then what should I do?\u00a0What are the other possible diseases that I might have? Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4332, + "tgt": "Why do I get blood in semen after sex and masturbation?", + "src": "Patient: Hello doctor, I am a 53-year-old male with no previous medical history. For the past two years, I observed my semen to be slightly pinkish in color (now I realized it was due to traces of blood) but I did not pay much attention. Since the last two to three months, I have been seeing blood in my ejaculate specifically if I have sex or masturbate on consecutive days (the second day the amount of blood and redness is much more). If I give a gap of 15-20 days then on the first day I do not see any blood but on the second day, it is quite distinct. I do not feel any sort of pain during or after sex or while masturbation. I do not pass blood in the urine. I do not feel any burning or itching sensation while ejaculating or urinating. I have had no injury in my pelvic area or to my testicles. I do not suffer from diabetes or hypertension. I have been having sex and masturbation two to three times a month. Recently I took Levofloxin 500 OD for six days thinking if it was due to a urinary infection the antibiotic might help but it has not helped. So far I have not consulted any clinician on the subject. Doctor: Hello. The condition you described is known as hematospermia which means blood in semen. Although, it is considered a benign symptom in men but if for any person above 40 years of age the possibility of carcinoma should be ruled out. In two-third of the cases, no cause is found and treatment is not indicated. In many of the cases there is no intervention required but with increasing age chance of prostate tumor are high. I request you to visit a urologist as soon as possible. The purpose of visiting urologist is to rule out the possibility of prostate malignancy. The other common cause of this condition is a sexually transmitted disease. You did not describe anything else in association with blood in semen, so the possibility is very low. In case, if you have any sexual exposure to some unknown or commercial sex worker in the recent past or you are having other symptoms of sexually transmitted disease it is wise to get physician consultation. I hope this helps." + }, + { + "id": 21113, + "tgt": "I have growth in my genitals with big thread like rashes. What is the reason?", + "src": "Patient: Hi doctor, I have some growth on my genitals. They look like big thread-like rashes. I did a urine test for infections, and the results were negative. I have done a skin culture test which said it is a fungal infection. I have taken various antibiotics like Ceftriaxone, Augmentin, and Septrin. But there is no significant change. I am currently taking antifungal drugs. Please advice. Doctor: Hi. Are they itchy? Any other sites involved like finger web spaces, abdomen? Any other family members or friends have similar complaints?" + }, + { + "id": 10321, + "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": 20858, + "tgt": "I am having blood in sputum in the mornings, dry throat and mouth. Can this be cancer?", + "src": "Patient: Hello doctor, For about a year I have been coughing up mucus with a small fleck or flecks of blood in it. It happens only in the morning and not every day. I have noticed that my throat and mouth are very dry on the days that it happens. I also have little flecks of blood in my snot when I blow my nose first thing in the morning. I have had a chest X-ray that was normal. I recently quit smoking (a few days ago). Should I be concerned that it may be cancer? I am 32. I have also seen an ENT that said everything was normal. Doctor: Hello. I went through your case carefully. I need some more information so that I can help you. Do you feel dryness in the eyes also? Some foreign body sensation in eyes? Do you need to drink some liquid with food to swallow it?" + }, + { + "id": 1969, + "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": 18973, + "tgt": "My WBC count is above 10,000. Do I have blood cancer?", + "src": "Patient: Hello doctor,I am a 26 year old female. Last year, my physician told me that I have an iron deficiency, and put me on supplements. My WBC count is 10,300 now.\u00a0I have no infection, and I am not on any other medication.\u00a0I am worried due to the high WBC count.\u00a0I am attaching my CBC test report.\u00a0Please help me in understanding my blood counts.\u00a0Is there any reason for panic? Doctor: Hello. I have seen your CBC (complete blood count) report attached here (attachment removed to protect patient identity). Take care. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 27800, + "tgt": "My triglycerides level was 207 mg/dL. Is it necessary to take medicine?", + "src": "Patient: Hi doctor, Recently, I got a lipid profile done, and the triglycerides level\u00a0was 207 mg/dL, apart from that everything was normal. As it was a festival season, I had a lot of drinks and food for three days before the blood test.\u00a0My doctor told me to take Razel\u00a0(Rosuvastatin) tablets for 3 to 4 months after food\u00a0and told me\u00a0to control my diet. Is it necessary to take medicine? Can the triglycerides level be reduced only by controlling my diet at this stage? And even if I take the pills, will it cause any side effects? Please explain. Doctor: Hi. I will try to explain in detail about the lipid profile. Triglyceride levels in the lipid profile depend on the fasting status. If the blood sample is taken in fasting, the upper limit is 200 mg/dL. But the value changes with the food taken by you. In your case, there is no need to take the tablets as your LDL (low-density lipoprotein) and HDL (high-density lipoprotein) cholesterol are normal. You need to do regular physical activity and control your diet. Rosuvastatin usually does not have much effect in reducing the triglyceride level. It will decrease the LDL levels instead, so no need for medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20710, + "tgt": "I have fast heart rate and high blood pressure with mitral valve prolapse. Please help", + "src": "Patient: Hello doctor, I have a fast heart rate, palpitations, and high blood pressure. I have a mitral valve prolapse. I have been put on Amitriptyline, Florinef, and Propranolol. Doctor: Hi. This is most likely pheochromocytoma, anxiety, panic attacks or essential hypertension. A pheochromocytoma can also cause arterial resistant hypertension which could be fatal sometimes and this blood pressure is usually not controlled with common blood pressure medications. You could consult your doctor for blood tests of Metanephrine. You could also go for thyroid screening test as hyperthyroidism symptoms could be presented this way. Also, involve in relaxation techniques and try to avoid stress and also consult with a cardiologist for a second opinion as well as we have to be always on the safe side as the safety of the patient is our first priority." + }, + { + "id": 7377, + "tgt": "Fluid is seen in subcoracoid and subdeltoid bursa. What should I do?", + "src": "Patient: Hello doctor,In left shoulder joint minimal fluid seen in the subcoracoid and subdeltoid bursa and also in bicep tendon. Finding symptoms of subcoracoid/ subdeltoid bursitis and mild biceps Tendinosis. Doctor: Hello. The report is suggestive of some impingement of shoulder joint with a mild fluid collection. I recommend you to not to load your shoulder for a while. I suggest: Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 22461, + "tgt": "Is there any chance of pregnancy post sex after Primolut tablets?", + "src": "Patient: Hi doctor,I have taken seven Primolut tablets last month for delaying periods. After three days of stopping those tablets I got periods but this month it is almost 14 days delayed. Still, I did not get my periods. I have involved in sex before four days of periods date. Is there any chance of getting pregnant? Please suggest. Doctor: Hi. Check if you have taken or recently stopped any medications or hormones, had an illness, strict diet or strenuous exercise, thyroid abnormalities all can delay periods. Wait for a week and have serum beta hCG (blood pregnancy test) to clear pregnancy status. Near menses less fertile period actually, so fewer chances of pregnancy but you have irregular cycles now so better do blood pregnancy test. If the test comes negative have the same course of Primolut (Norethisterone) to have bleeding I would recommend 10 mg twice daily for five days and wait for 1 to 2 weeks for bleeding. On day two of bleeding have all blood test like serum testosterone, serum progesterone, serumprolactin, serum insulin, thyroid function test, LH (luteinizing hormone) and FSH (follicular stimulating hormone) ratio. Transvaginal scan in the day outside periods. Collect all laboratory reports and discuss here or with your gynecologist. Have a check on abnormal hair growth those could be signs of PCOS. Have exercise to have normal BMI, healthy diet with less salt, sugar,and oil. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18727, + "tgt": "Will I get pregnant as I had sex after taking I-pill?", + "src": "Patient: Hi doctor, I had sex 15 days back and had an I-pill after that. But, within two hours we had sex again. But, I did not take any tablet after that. My last period was 31 days back. Till now my periods has not started. Is there any chance of pregnancy? Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13387, + "tgt": "How do we detect kidney stones?", + "src": "Patient: Hi doctor, I am a 25 year old, fairly healthy female. I have been suffering from kidney stones since the age of 15. Mostly the stones would go away on their own without causing any pain. But in the last seven to eight months, I had been suffering from recurrent UTIs and mild pain in the kidney. Around four months back, I got an ultrasound done and found a 10 mm stone in the middle pole and 6 mm stone in the lower pole. At that point, I started on ayurvedic medicine (Calcury). I got an ultrasound done a month later and found the stone size remains the same. But there was no pain or infection of any sort at that time. Last month (I was still asymptomatic) I got a KUB done. It showed only one stone, it did not look like a staghorn stone. A few days later, I got another ultrasound at a different place and according to that doctor, my stone was 17 mm (in the middle pole) and 8 mm (in the lower pole). In the last 15 days, I passed two tiny stones of 3-4 mm which were very soft and pebble-shaped. This made me realize that I may possibly have struvite stones. However, for the last week, I am getting immense pain after a workout. My creatinine was 0.9 last month. I would like to ask you the following questions:- What should be my course of action after this? What is causing this sudden pain? How can I find out what kind of stones do I have? Will shockwave lithotripsy be possible in my case? How accurate is the number 17 mm and 8 mm? Doctor: Hi. Since you have got stone problem so early and since you are a recurrent kidney stone former, you need a thorough evaluation to prevent further stone episodes. You should collect the stone you pass in urine and do FTIR (Fourier Transform Infrared) spectroscopy analysis to know the composition. You also need a 24 hours urinary metabolic evaluation to know the exact problem leading to stone formation. The stone size as per ultrasound may not be accurate, so please get a CT KUB (computed tomography of kidneys, ureters, and bladder), to know the exact number and size of the stone. Pain is due to blockage of the ureter when the stone comes down from the kidney. ESWL (extracorporeal shockwave lithotripsy) is definitely a good option for stones up to 15 mm size." + }, + { + "id": 19820, + "tgt": "How can we treat cyst in the ovary?", + "src": "Patient: Hi doctor, I am 40 years female. I have a cyst with echoes in the right ovary measuring 53 x 52 mm found during ultrasound. What to do? I am taking tablet Thyronorm 150 mg. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The cyst in the right ovary is found with thick walls and shows internal echoes, with size more than 4 mm. Ideally, the differentiation is needed to be done to know whether it is endometrioma, hemorrhagic cyst, and ovarian tumor, which presents with internal echoes and often with internal septations. So it is better to get tumor markers done to rule out any possibility of ovarian cancer, hence get CA 125 (cancer antigen 125), CEA (carcinoembryonic antigen), AFP (alpha-fetoprotein), beta hCG done. If it is negative then, one can be assured, and you can go for medical or surgical intervention. Considering the size, which is more than 4 mm, it is advisable to get it laparoscopically removed as it may not regress with medical management of hormonal pills or oral contraceptive pills for hemorrhagic cyst or endometrioma. You may discuss the options with your Gynecologist in detail and try to have an informed decision. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26154, + "tgt": "Is spending 10 hours a day at the computer too much?", + "src": "Patient: Hi doctor, I have always had floaters, and almost like a visual snow which is more prevalent at night. I had anxiety as a teenager and I noticed the floaters after I developed high anxiety. I have a 20/20 vision otherwise. Recently, I developed astigmatism, a very slight case. I spend a lot of time on the computer. One doctor said that my eye pressure was 5 in both the eyes. But then, I went for two other opinions and the eye pressure was between 10 to 12. So, it looks like the first optometrist had not calibrated her machine properly. Tears revealed healthy central vision and no retinal tear. While I am in the grocery stores and driving at night that is when I really notice it, and everything seems surreal and too bright. Could this be a case of computer vision syndrome or something else? I also have dry eyes. Doctor: Hello. It is good to know that you are so aware. I will try to answer your queries one by one. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7404, + "tgt": "Can fingering the vagina make one pregnant?", + "src": "Patient: Hello doctor, I am a 25-year-old female and for the first time, my partner did fingering in my vagina. And it was on the next day when my periods ended. He is pretty sure that his fingers did not have any semen. Also, he rubbed his penis over my body with both our lower body parts covered with clothes. Is there any chance of me getting pregnant in case his pre-ejaculated semen was on his hand while fingering into the vagina? Should I take an i-pill to eliminate the risk? Doctor: Hello. It was next day at the end of your period. So, the chance of pregnancy is nil on this day. Even if you had sex that day, you would not have got period. So, there is no need to take an i-pill. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24733, + "tgt": "Are these head-reeling episodes sue to stroke, seizure or syncope?", + "src": "Patient: Hello doctor, I have consulted you over this forum regarding the health of my mother (59 years), who is under treatment for hypothyroidism (Eltroxin 50 mcg), hypertension (Olmezest 20 mg), osteoarthritis (Gemcal D3, Kondro OD) and mild anemia Hb 10.6 [11.5 - 15] (Folvite). I would like to request your kind review for some of her recent symptoms as well, which I try to summarize below along with brief history. Early this year, she had a fever (100 to 101 F) with cold and was on Calpol 650 and Cetirizine for a few days. One morning, right after breakfast, while sitting on a chair, she started feeling reeling of the head along with darkness in both eyes, which resolved on its own after she went to bed and laid down. The same evening, when the doctor visited her for fever, her BP was 130/80 (left arm - sitting position) with pulse 102. She also had a left-sided headache, which took two to three days to settle down along with Calpol 650. Two months later - This time she was too worried about her son's health and recovery and night sleep was affected for a couple of days. She herself was also not too well due to stomach issues, antibiotic, gastritis, lack of appetite, etc. One morning, she started having running nose along with some amount of sneezing, for which she had taken a couple of Cetirizine tablets that day. The next day, right after lunch, while being in the sitting position itself and talking about her son's health issues, suddenly she reported to feel reeling of the head along with darkness in both eyes, followed by she was bent towards her left with left-hand palm shaking for 10 to 15 sec and was almost about to fall down, which however did not happen with help from others. We felt for next 5 minutes or so she was in an altered consciousness, staring at something silently, although the rest of us got extremely anxious. When we tried to speak to her, she was initially making some strange sounds, followed by normal words in hoarse voice and after that she started talking normally. However, she was crying and worrying about her son's health, although my wife was trying to console her. Later she mentioned not to have any memory of the whole incident, except the last part of consolation from my wife. She was back in normal activities in next 10 minutes, but reported to feel too tired and sleepy for at least next two weeks. As per doctor's appointment, I took her to our medicine doctor after five to six days of the incident, who classified this as a case of viral infection, noted BP 118/82 (right arm - sleeping position) and 'no H/O convulsion'. After a week of the incident, she had four times motion (not loose motion although) on an evening and started feeling headache after that. On the next morning, she reported feeling heaviness in legs as well as the head, which was, in fact, disturbing her daily activities. When we talked to the doctor, he advised testing serum sodium (138.4) and potassium (3.72) levels, which were normal. With rest, she improved in the evening and was able to get back into regular routine. In the following few months she had only one instance of reeling of head which happened in the morning and got cured on its own. She also had fever with cold sometime in the middle of the year, which caused her a left-sided headache, which also lasted for three to four days in spite of taking Calpol 650. Most of her BP readings during this period were around 110/80 (left arm - sitting position) and 120/72 (right arm - sleeping position), which prompted the doctor to change BP medicine to Stamlo 2.5 mg. However, due to slight swelling in feet after a month, it was changed back to Olmezest 20 mg. Around two months ago, some of her previous issues such as gastritis, constipation, three-four times of motion resumed back. One day she woke up pretty early (4.30 AM) and felt a significant amount of reeling of the head, which lasted almost 10 minutes, before settling on its own. She also had a left-sided headache, which again took three days to settle down, even after taking Calpol 650. She visited the doctor within next few days, who noted BP 132/82 (right arm - sleeping position) and mentioned the headache symptoms are clinically similar a migraine. The doctor suggested taking Olmezest 20 mg twice daily as her BP seemed a little higher as compared to the previous readings. He also advised for CT scan and Holter monitor for 24 hours, in case there are recurrences of reeling of head, seizure or presyncope. I have also uploaded her past six months of test reports for your kind review. She also started feeling mild to moderate pain in the waist joint (middle portion) since past one month, but I am not sure if that is relevant to our current discussion. What do you feel about the possible cause of these incidents? Was there really a possibility of stroke, seizure or syncope, or, are these some warning signs? What should be our next step from here on? As people at home are really scared hearing CT scan or Holter, is there anything else we could do to rule out such possibilities? Doctor: Hello. It is difficult to comment if the episodes are solely syncope/ fainting spell due to orthostatic hypotension or abnormal heart rhythm. I agree with Holter monitoring. I would also, recommend EEG study for one hour to make sure we are not dealing with seizures. Her hemoglobin is low and needs further workup regarding the cause. Low hemoglobin or anemia can make her more susceptible to syncope episodes. I hope this helps. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9378, + "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": 9561, + "tgt": "I have a few lesions on my penis. Could it be HPV?", + "src": "Patient: Hello doctor,I had a few lesions on my penis and suspecting as HPV. I remember first I noticed these before five months after a lady in massage center rubbed my penis with her buttock for her tips. I did not have any intercourse at that time. Last month, I gave HPV swab and biopsy tests, but nothing got diagnosed. I do not think there is an FDA approved screening test for males.Last month doctor removed those lesions using laser, now my doubt is these lesions can lead to cancer? If yes, only penile cancer or this virus can transfer to throat and head and can cause head/neck cancers? Now if I have HPV vaccination, that will be helpful? Any immunity supplements can help to cure HPV? For the safer side, I have given HIV antigen and antibody test twice after 14, and 28 days of my last sexual encounter (had oral sex with a condom) results are negative.1 st test value is 0.18 and the second test value is 0.36 and as per the lab report it of the index. Increase in antibodies value in the later test is fine or abnormal? Doctor: Hello. The HPV infection is caused by a group of viruses called Human papillomaviruses. Majority of them are self-limiting and do not produce any symptoms. Most common viruses that cause warts are type 6 and 11, and they are harmless, whereas types 16 and 18 cause cancer. Now in your case, I need to know the type of virus found in the lesion. If that is negative for HPV, you need not worry. HPV spreads sexually and can spread to genitals, rectum, mouth or throat, and condom can offer protection though not complete.The HPV vaccine does offer protection, and you can go for it. There are no provided supplements that can enhance immunity. Your HIV antigen as well antibody titers are within normal limits, and you need not worry about it. My only suggestion is to avoid high-risk sexual behavior, which reduces sexually transmitted altogether. Please get back to me if you need any more clarification." + }, + { + "id": 5197, + "tgt": "Can I stop Olmezest without doctor's consent for blood pressure?", + "src": "Patient: Hello doctor, I am a 60-year-old non-diabetic woman. I am married with a daughter. I had a hysterectomy operation. I am hypertensive and was on Asomex 2.5 mg for the last three years. But taking Asomex 2.5 mg, my BP level fluctuated and sometimes it even increased to about 170/90. I am unable to take Asomex 5 mg as it leads to swelling of my legs and frequent urination. I am on service so on telling my doctor he reduced the dosage to Asomex 2.5 mg. Two months back, I was having a little discomfort and even experiencing pain on the left side of my chest. On monitoring, my BP at my Omron digital BP machine my BP came out to be 180/102. So on the next day, I immediately consulted a general physician and he prescribed me two drugs. Olmezest CH 40 to be taken in the morning and Asomex 2.5 mg to be taken at night or Asomex 1.25 mg if the BP goes below 120/80. I started taking these two drugs from the next day and even regularly monitored my BP using Omron digital BP machine. After 20 days of regularly taking these drugs my BP came down to 123/78, so I took Olmezest CH 40 in the morning and Asomex 1.25 at night and continued this medication for one month. A week ago I was feeling quite weak and on monitoring my BP I saw my BP came down to 90/60. So, now I have stopped taking Olmezest CH40 for the last six days and now I am only taking Asomex 2.5 mg. Today in the morning my BP was 118/70 and my pulse level was 73. Is it safe to stop Olmezest CH 40 like this? What hypertensive drugs can I take and in what dose to stop my BP level fluctuating in this manner? Doctor: Hello. You may stop Olmezest if BP falls. You will likely need another antihypertensive along with Asomex 2.5 which is not enough for you and we will not be able to increase it due to side effects. Olmezest takes some time for its full action so when it achieves its full action, it leads to hypotension. So, you will likely need 20 mg of plain Olmezest instead of Olmezest CH 40 which contains two antihypertensives. So, in my opinion, you should continue to monitor your BP regularly, ideally thrice a day for one to two weeks till medicine dosage are optimized. And as soon BP starts rising above 135 to 140 systolic, you should start plain Olmezest 20 mg once a day in the morning. This will help in preventing the future episode of accelerated hypertension. Also, continue with a low salt diet, regular exercises. Hope this helps you and get back if you have any doubts." + }, + { + "id": 14343, + "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": 23025, + "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": 14357, + "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": 1612, + "tgt": "While ejaculating or urinating, I feel incomplete. Why?", + "src": "Patient: Hi doctor, I am a 24-year-old male. I have been having trouble urinating. Whenever I urinate I feel like there is a blockage that is preventing all the urine coming out at once. This requires me to wait for a long time and continue pushing the urine out and then at the end I am using my fingers to squeeze the urethra to get out the last. Even after all of that, there continues to be some dribbling of droplets. Also, sometimes after masturbating, I end up having to go every five minutes 5-10 times to let out a few more drops until it is all emptied out. This is something I have been struggling with for quite a while. I showed my doctor and he assigned an antibiotics course that did not make a difference. I suspect it has something to do with semen blocking the flow of urine but I am not sure and cannot find anything related on google. Any advice on this would be appreciated. Doctor: Hi. Semen blocking the way cannot happen so this much thing is clear. Secondly, for how long you are having urinary symptoms you mention? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Does your poor flow of urine settles or become somewhat better when you strain during micturation? I think it can be a stricture disease. Do you have any history of diabetes or hypertension or any medication taken? Which antibiotics did you take? Any history of catheterization or trauma to the penile region?" + }, + { + "id": 8919, + "tgt": "Had a CT scan for brain stroke. Please tell how serious is this", + "src": "Patient: Hello doctor, This query is for my grandmother. She is hospitalized and the doctor is saying some brain stroke. She is in conservative medical management. CT scan and other investigations are done. Sharing the reports here. Please let me know how severe is this? What should be the treatment at present? Doctor: Hello. Your grandmother, 85 years old, she is admitted to a local hospital with symptoms of stroke as suggested to you by your doctor. I saw her CT scan which shows minor ischemic changes in her brain (attachment removed to protect patient identity), which means old blood clots which is not that significant at her age. And no need to worry from all the reports, the problem looks minor. But still, as a neurologist, I wish to know about her BP, sugar level and is she able to speak, eat or walk? If all yes, then continue conservative treatment. I wish to get more clinical details about her." + }, + { + "id": 6424, + "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": 4697, + "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": 22875, + "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": 28410, + "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": 9767, + "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": 5537, + "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": 13066, + "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": 25564, + "tgt": "Is it alright to marry someone with the same blood group as you?", + "src": "Patient: Hello doctor, I am planning to get married. But my partner and I have the same B+ blood group. In this case, when we plan a baby, is it harmful? I have heard that the same blood group cannot conceive a baby together. Please advice me regarding the same. Doctor: Hello. Every individual has a unique ABO and Rh blood group. It remains same throughout the life. You and your partner having same blood group will not lead to any problem in conception or harm to you or the baby. If your blood was negative, and the fetus had a positive blood group than further workup is needed especially Anti D injection. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16751, + "tgt": "Why does my brother get jaundice every year during summer?", + "src": "Patient: Hello doctor, My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, he has low IQ. Hence, he is unable to explain his situation well. We are really confused. Can you tell me what is actually happening? Please find attached the various lab reports for your review. Doctor: Hello. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14816, + "tgt": "I have a chipped tooth that is sharp, sensitive and hurts. What to do?", + "src": "Patient: Hello doctor, I have recently chipped the top of one of my teeth off, it is quite sharp and hurts when I eat certain things (sugary things it seems). The part that came off was very thin but I am worried my tooth could become more sensitive and more could break off so I would really like to fix this in some way. What is the best way to go about this? Doctor: Hi. The sensitivity is because of the exposure of the second layer of the tooth (dentin). It can be easily cured by using anti-sensitive toothpastes. Replace this toothpaste for night brushing and you will find best results in two weeks. You have also mentioned that the edges of the broken tooth is sharp and hurts you. For this you should visit a nearby dentist where the edges of the tooth will be rounded off to smoothen the surfaces. If the chipped portion is quite big to be replaced, it can be done with tooth coloured resin type filling materials which mimic the natural tooth to 90 %." + }, + { + "id": 20616, + "tgt": "During masturbation, I felt some pain on the back side of my neck and head. Please help", + "src": "Patient: Hi doctor, I am a 27 year old male. I masturbate twice a week. Recently, during masturbation, I felt some pain on the back side of my neck and head. Please help. Doctor: Hi. Masturbating two to three times a week is healthy unless you get addicted to the habit. This kind of pain or sprain happens due to increased blood flow to your penile region and vasoconstriction along with it. It resolves spontaneously once the excitation is over. This can be relieved by a little stretching after masturbation or by doing exercises for 30 minutes every day. There is nothing serious to worry about." + }, + { + "id": 3453, + "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": 28803, + "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": 30208, + "tgt": "Shall I use the prescribed eye drops for a 3 month old?", + "src": "Patient: Hi doctor, My 3 months old baby got an infection in his right eye. It became red and appears like a layer covered the eye. The tears keep coming from his right eye. He was prescribed to use Alcon Vigamox sterile 5 mL and Ciprofloxacin ophthalmic ointment. Is it fine to use for a 3 month old? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1144, + "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": 22110, + "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": 1919, + "tgt": "Due to betrayal from a bad relationship, I am completely stressed out. Please suggest solution", + "src": "Patient: Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately. My issue is I feel like crying very often. I feel being hated by my friends and acquaintances. I fell into a toxic relationship one and a half years back. He betrayed me but I cannot let him go as I am so addicted. And now I do not have any close acquaintances to turn up on. I was under psychiatric treatment for the past one year. I was put on Fluvoxin 100 and Dicorate which I stopped due to weight gain. Now I do not want to be under medication. Some therapies or strategies would be better for me it seems. Please help. Doctor: Hello. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. I will give you one example. In fever, Crocin /Paracetamol helps is given. To this, you can add cold water sponging which helps, but you cannot replace Crocin with sponging. This is the exact same thing. There are medicines which also help you not gain weight, or are weight neutral. You can ask your doctor for the same. One example of such a dose plan would be Fluoxetine 20 mg and Lithium 300 mg and Aripiprazole 2 mg. Also if u wish, you can consult a psychologist for some sessions of CBT (cognitive behavioral therapy) and undergo six to eight sessions online or locally." + }, + { + "id": 23622, + "tgt": "I noticed slight nose bleed a day after fall. Should I get it checked?", + "src": "Patient: Hi doctor,Yesterday I was walking and tripped, resulting in a facial injury from concrete. The point of impact was my nose, and aside from several cuts, I am unsure if it is broken. It is not crooked at all and did not even bleed when the incident occurred. But it is quite swollen and hurts to touch. I blew my nose this morning and there was a bit of blood. I have also had a few headaches. Should I go get it checked out or am I fine? Doctor: Hello. You have sustained some bruise and possibly internal injury over the bony dorsum of the nose. This is the area of nasal bones, their suturing with each other and their junction with the frontal bone (forehead bone). If you were to come to me, I would check for crepitus and palpate the whole area for any deformity, step change, tenderness, bubbles feeling, etc. It may be difficult for you to do on your own and arrive at right inferences. Next, what I would do is to get a CT scan of nose and sinuses. If a CT is not available or not feasible, we can go for a plain radiograph of nasal bones. However, a CT is preferred. The radiological investigation whether CT or X-ray will help us know whether there is any fracture of nasal bone or septum or orbital margins or rim and if there is any collection of fluid or inflammation. Depending on that we can tailor our treatment. If there is a Y-fracture, we correct immediately. Suppose it is more than 48 hours after sustaining the injury, then we wait for two weeks for healing to get over and then subsequently plan a rhinoplasty surgery to correct any remnant deformity. Right now there is swelling and so we cannot infer anything concrete without doing an investigation. Hence go ahead and get the investigation and we shall help you on how to go about with it. Since you are 18 years old and the nose is a prominent area of the face and very importantly concerned with the overall beauty of the face, I would suggest you go and get the tests done and follow up with us. Till then, to relieve pain Tylenol (Paracetamol) as per your weight, taken twice or thrice daily. To relieve edema take Trypsin-Chymotrypsin-Rutopside-Bromelain combination which is anti-inflammatory and helps relieve edema of the nose. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22315, + "tgt": "After marriage my periods last only two days. Is something wrong?", + "src": "Patient: Hello doctor, I used to have periods that last four to five days but after my marriage, I started getting my periods only for two days but my periods are on time and regular. It has almost been six months now that I am getting it for two days. Last month, I got my periods on 20th and this month on 17th. So it is on time. And I already got checked my hormone levels too and they are quite normal. There is no issue with my estrogen or other hormones. So, why I started getting it for two days now? Is there something wrong or serious? Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). Everything is fine and there is nothing to worry about. This could be because of hormonal changes. So, relax and do not worry. However, if you have a doubt, then get yourself checked by a gynecologist and get a complete blood count and pelvic scan done. Do get back to me with the reports so that I can guide you further. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5272, + "tgt": "I have fear of death with anxiety and depression. How to overcome it?", + "src": "Patient: Hello doctor, I have always struggled with anxiety, depression, and panic attacks. I have several phobias and have recently acquired a new one, fear of death. I cannot stop thinking about it and it is seriously interfering with my life. I have trouble getting up in the mornings and going to work, I do not feel like doing anything anymore. This has been going on for over two weeks now and nothing feels the same to me anymore. I do not feel normal at all and nothing seems real. I recently started on Prozac 10 mg and I am currently on day eight. I wake up with a lot of anxiety in the mornings and today I am just feeling very weird. Is this something someone can get over? I just want to go back to normal. Doctor: Hello. Your current symptoms of difficulty in waking up and loss of interest in work, with severe anxiety, is indicative of clinical depression. What you describe as death phobia involves obsessive thinking about death. So, it is more likely to be a symptom of OCD (obsessive-compulsive disorder) too. OCD and depression frequently coexist or obsessive symptoms are seen in depression too. Fluoxetine is not the preferred drug for anxious depression with OCD symptoms, because it increases anxiety initially in the first few weeks. You need to take a Benzodiazepine along with it in the initial few weeks (Clonazepam, Chlordiazepoxide, etc). Benzodiazepines work better than Vistaril (Hydroxyzine) PRN. Also, 10 mg per day is a starting dose. I would prefer using Fluvoxamine rather than Fluoxetine because it covers initial anxiety and it can be started at an effective dose. To answer your question, it is not something that you can overcome on your own. You will need medicines. It will respond to regular and proper medication. Secondly, if you are feeling weird, talk to your doctor and ask if he can give you a Benzodiazepine. The initial anxiety on Fluoxetine gives a weird feeling. Also, ask if he can give a different antidepressant instead. I hope this helps." + }, + { + "id": 27532, + "tgt": "I missed my period for the first time in my life. Can you help?", + "src": "Patient: Hi doctor, I missed my period for the first time in my life, and I am worried about the reason behind it. I am not sure why I have not got my periods yet. What to do now? Can you please help? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26551, + "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": 9203, + "tgt": "What is the possible fastest way to heal for shoulder tendonitis?", + "src": "Patient: Hello doctor,I have shoulder tendonitis, and it has been three months already without significant results. I want to know the fastest way possible to heal it, I tried physical therapy, but it did not have much of an impact. Doctor: Hello. It will be useful if you share the MRI reports. Well, I would like to know what movements are so painful for you and in which position the pain is highest. Once you let us know, we can provide you the accurate exercise prescription. In general, for any tendonitis, it is must that the shoulder girdle stability exercises are to be done. Post which there will be a set of passive or active-assisted ROM exercises. As once we get a good range which comes closer to pain-free, we can look forward to holding relax activities and contract to relaxation exercises. On the later stage, we need to look forward to deltoid strengthening exercises, scapular muscle strengthening exercises, and arm strengthening exercises. Also, if the MRI report shows that there is a partial or complete tear of the tendon, then the treatment has to be changed. In most cases with proper physical therapy guided exercises, the improvement should come in 2-3 weeks. In case if you have more queries, please feel free to contact me, and I will assist you for the same." + }, + { + "id": 27577, + "tgt": "Please suggest a treatment for hair loss", + "src": "Patient: Hello doctor, I am a 28 year old male. For the past four years, I have been experiencing hair loss. About two and a half years ago, I started using Finasteride once a week along with a Ketoconazole shampoo 1 % and Lipogaine, which is similar to Rogaine. I would use this only at night usually using about 2 to 2.5 ml total around my temples and at the vertex. The ingredients in Lipogaine are\u00a0water, propylene glycol, ethanol, minoxidil 5%, azetinol, saw palmetto, beta-sitosterol, oleic acid, gamma & alpha linolenic acid, apple polyphenol, biotin, niacin, biotinoyl-tripeptide, phosphatidylcholine\u00a0vitamin B6 and B12. The treatment was working well, and I grew back some hair, but about four months ago, I started experiencing a drastic increase in hair loss. I would wake up in the morning after applying the Lipogaine, and my hair would be extremely dry, brittle and stiff which would cause it to fall out very quickly. Around the same time, I developed a circular rash on my forehead which I received while doing cardio at an unhygienic gym. I went to the gym with no rash and left the gym with a 2 inch rash on my forehead. I went to see a dermatologist who told me it was seborrheic dermatitis but he thought it was weird that it took a circular shape on my forehead. Around the same time, my overall activity level dropped as well. I was much less active although I still go to the gym every day. I would go to bed late around 4 AM and wake up at about 12 to 1 PM. I recently switched to regular Rogaine which has shown an improvement as far as my waking up hair quality is concerned, but now I am experiencing scalp dandruff possibly because I am using it twice a day. I also increased my Finasteride usage to two to three times a week. I am still losing hair, but I do believe it has slowed. My hairline has receded since the start, and I feel that I have been losing hair somewhat evenly everywhere on my head except for my sides. Before I believed it to be a hormonal imbalance like a thyroid issue, but lately I am leaning more towards an immune response brought on by the rash on my forehead and my high quantity of Lipogaine usage, which would cause some scalp irritation, along with my lack of daily activity. Also, even though the doctor did not see it, I have noticed occasional small red bumps on my scalp. After using Rogaine for about three weeks, I decided to try the Lipogaine\u00a0just for a night and got the same dry and brittle hair response as before. Please help. I would love to keep my hair as long as I can, but it is a losing battle right now. Doctor: Hello. From your description, I would say you have a male pattern hair loss also called as androgenetic alopecia. If you are comfortable using Rogaine solution, you can continue with it or consider Minoqilib 5% (Minoxidil) solution 1 ml at bed time over the scalp. If you have seborrheic dermatitis or dandruff then that needs to be controlled with Ketoconazole 2 % shampoo to wash the scalp twice a week. Because, if you apply Minoxidil over the scalp in such a condition, it will lead to more irritation. As you are applying Minoxidil and want to use Finasteride topically consider using a combination instead of separate applications. Also consider procedures like PRP (platelet rich plasma) or hair mesotherapy for better results. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13979, + "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": 9973, + "tgt": "Does radiation from cell phone cause nerve problem?", + "src": "Patient: Hi doctor, I have a tingling, warm and very uncomfortable sensation in my finger when I touch my phone. What could it be? I am very afraid it is due to the radiation from the phone. Doctor: Hello. We are exposed to variable amounts of radiation from our cell phones. However, it is not strong enough to cause tingling and numbness or nerve damage. The only way to know if your phone is causing it is to abandon using it for a day or two and check if the symptoms still persist. If it is only localized to the finger, then there can be a nerve compression or possible nerve damage which will self-heal in some time. However most commonly, it is due to vitamin deficiency, and hence it is advisable to take any multivitamin supplement for a month. Also, increase the vegetable intake in your diet. Try avoiding the phone for some time, just to see if the sensation stops. Keep taking the vitamin and watch out for any similar symptom in other places of the body. If it does, get back to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14419, + "tgt": "I am getting shooting abdominal pain during and in between periods. Why?", + "src": "Patient: Hello doctor, I am 18 years old, female, I am 5'2\" and 129 lbs. Lately, I have been getting shooting pains across my abdomen, when I am off and on my period. I also cannot eat a lot or else I will get nauseous but I am still extremely hungry afterward. I have had an ovarian cyst in the past but this does not feel the same. Doctor: Hi. This is called primary dysmenorrhea. It can start anytime within five years of the beginning of periods in girls. Do not worry. It is a benign condition but definitely painful. I would advice start taking tablet Naproxen 250 mg twice daily with meal two days before your expected periods and take 500 mg twice daily on the day of the start of the cycle. You can continue for 2 to 3 days even after starting cycles if needed. This will help in preventing pain. When you grow up, mostly it will go away." + }, + { + "id": 16774, + "tgt": "Is there an ayurvedic remedy for vitamin D deficiency and body pain?", + "src": "Patient: Hello doctor, I have vitamin D deficiency. The test report says that the count is 2 ng/mL. I had an oil massage last week. Now I have joint pain, tiredness and I get depressed very soon. Is it related to the body massage? Is there any cure for it in ayurveda? Doctor: Hi. According to your attached reports (attachment removed to protect patient identity), your BMI (Body Mass Index) is 27. This suggests that your weight is more than normal. You need to reduce your weight. Obesity also leads to low level of vitamin D in blood and increases joint pain. You have mentioned that you have undergone body massage. As of now you can start with Bonton granules 1 teaspoon with milk twice a day and tablet Asthiposhak 2 tablets after food twice a day.\u00a0Continue with your current medication. Revert back with the answers to the above questions to an ayurveda specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6806, + "tgt": "Why is my cylindrical power changing so rapidly?", + "src": "Patient: Hello doctor,I am 25 years old and I use spectacles from the last three years. Before that, my eyes were fine. In the last two years,\u00a0it is deteriorating fast and the cylindrical eyesight varies much. Initially, it was - 0.5, but after one year it became - 1.5 and now it is 2.5. Why is my cylindrical eyesight changing? Is this serious? Please\u00a0help me cure this. I am very much stressed. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12073, + "tgt": "What is the best treatment for burn?", + "src": "Patient: Hi doctor, Four days ago, boiling water burnt my buttocks. I had pain only on the first day. I am using sterile gauze Silver sulfadiazine and Bacitracin antibiotic cream or spray. Today it started paining while changing the dressing. What is the level of burn? I have attached photo for your reference. What is the best treatment? Doctor: Hi. It is a first degree burn as you can see the eroded skin (attachment removed to protect patient identity). Systemic antibiotic is needed along with topical and daily dressing. Stop Bacitracin, as it can cause sensitization in many individuals. Continue Silver sulfadiazine thrice daily. Daily dressing and cleaning with Betadine lotion is a must. Following injections should be taken: Drink at least 5 liters of water daily, otherwise you may need injectable fluid also. Take healthy proteinaceous diet and drink lot of coconut water as it contains minerals." + }, + { + "id": 25558, + "tgt": "Are Paxil and Crestor safe when taken together?", + "src": "Patient: Hello doctor,I have been taking Ativan 0.5 mg for some time now but my nurse practitioner wants me off. So, she prescribed Paxil 20 mg once daily. I am also on Crestor 10 mg. Are all of these safe together? I am not sure I trust a nurse practitioner. Doctor: Hello. It is always a good idea to be sure. Paxil (Paroxetine) is a respected and very effective SSRI (selective serotonin reuptake inhibitor) and commonly used to treat major depressive disorder, generalized anxiety disorder, panic disorder, etc. Unlike Ativan (Lorazepam), it is not habit forming (addictive) and does not typically lose effectiveness over time due to the body 'getting used' to the substance. It does take four to eight weeks to start working and may feel like it is worsening your symptoms (anxiety) initially, but that will go away and most patients derive a lot of benefit from it. Paxil is generally safe to take with statins like Crestor and you should not have interaction issues. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17685, + "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": 17348, + "tgt": "I was advised ayurvedic medicines for work-related stress. Will this help?", + "src": "Patient: Hello doctor, I have developed anxiety problems due to severe work-related stress. I work in the IT services with timings from 2 PM to 11 PM. So, I go to bed by 1 AM and wake up around 6.45 AM every day. Due to stress, I am having palpitations. I had a full echo, ECG, and a treadmill test to rule out cardiac problems and the results were normal. I was advised Betacap 20 mg and Restyl 0.25 each once a day. I have been taking these medications for close to one and a half years now. However, during a Siddha camp in our office for stress, they reviewed my medications and have advised me to take Ashwagandha 400 mg twice, one in morning and night each along with my allopathy medications.\u00a0Also, I have lost my sex drive due to stress. I would like to take advice on this medication and dosage. Will these ayurvedic supplements cause any interactions? Doctor: Hello. I have prescribed you the yogic drugs, which will make you healthy mentally as well as physically. After three months, you can stop Betacap. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26856, + "tgt": "My 2 year old kid's sugar levels are out of control. Please guide us", + "src": "Patient: Hello doctor, My 2 year old daughter was diagnosed diabetic and I am giving four units of Lantus and two boluses Novo rapid for each meal three times. But still, her sugar levels are not in control. We give her low-carb and proper diet. What should we do now as none of the doctors we consulted are able to guide us in the proper direction? Doctor: Hello. I just read your query.\u00a0From what you have mentioned, it appears that your daughter has insulin-dependent diabetes mellitus and you are concerned about her high blood sugar. Hope you will do the needful and get back. Revert with more information to an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 31058, + "tgt": "I did not ejaculate during sex, but my wife missed her periods. What to do?", + "src": "Patient: Hi doctor, I had sex with my wife and I am very sure that I did not ejaculate. But, there were some white watery drops outside her vagina. Now, she did not get her periods this month. We had sex on the 8th and her periods normally start from 15th to 20th of every month. Please help. 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": 8892, + "tgt": "Will doing amateur fighting and sparring with headgear cause long term brain damage?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I want to start amateur fighting, sparring, with headgear how likely is long term damage? Is it more with continuous high impact to the head, or one serious blow could ruin it? I am a physicist and value my reasoning a lot, I just wonder how dangerous is it. Doctor: Hello. I understand your concern and would explain that headgear or amateur fighting can lead to chronic damage to the brain (related to the repeated trauma). This can lead to small strokes and an increased risk of dementia in the future. It can also lead to increased risk of intracranial bleeding, due to the head trauma. As a Neurologist, I would not recommend this type of sport, as it can lead to irreversible changes in the brain." + }, + { + "id": 29369, + "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": 14037, + "tgt": "How to perform CPR (Cardiopulmonary Resuscitation)?", + "src": "Patient: Hello doctor, My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. After sometime I again rubbed and she breathed and stopped breathing after I stopped rubbing. A doctor came home and confirmed her death and all that he asked was whether she had any heart disease. I guess it was a silent heart attack. Please let me know how could have I saved her life or the procedure of rubbing the chest was right or wrong? Also, if I had rubbed the chest continuously whether it could have helped? (or only CPR will help in this case). Just asking this question to help someone else in future. Doctor: Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthalin in medicines, due to missed drug, due to high potassium caused by respiratory drugs, due to high blood pressure causing brain stroke, etc. If there is a heart attack or cardiac arrest, then the best way is to give CPR (Cardiopulmonary Resuscitation). Do not rub, but compress the chest with your hand and release as if you are manually pumping blood. Also, you should have given mouth to mouth respiration if you thought she is intermittently breathing. This way you are pushing air into lungs manually. The purpose of CPR is to allow lungs and heart keep working till we can get the patient onto a machine. Since the diagnosis here is not clear, we would suggest that what you did was in the right direction but you should have applied more pressure and done it aggressively. Please learn basic CPR from any institute or doctor so that next time you know how to save someone!!" + }, + { + "id": 3887, + "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": 14619, + "tgt": "Why have I missed my period after taking Unwanted 72 post-unprotected sex?", + "src": "Patient: Hello doctor, Last month I had periods on 10th. We had sex on the 23rd night and 24th and I had unwanted 72 on the 24th night. Now I was expecting to get my periods on 7th or maximum by 10th of this month but I have not got my periods yet. What can be the problem? Is it a sign of pregnancy? Doctor: Hello. As per the dates you have provided, you had sex on the 23rd of last month, that is 13 days from your period date, that is the most fertile period of the cycle. But you took emergency contraception, so chances of pregnancy are very less. Also, please can you tell that if your partner was using condoms or you were on any contraception apart for that emergency pill? When you take an emergency pill it also affects your period schedule. It can be 7 to 10 days before or after scheduled date, so the best course will be getting a pregnancy test done using home pregnancy kit. Kindly specify other details too so that I can guide you further. And do not panic, we are here to help." + }, + { + "id": 6158, + "tgt": "How to cure pearly penile papules?", + "src": "Patient: Hi doctor, For three days, I am have been having some reddish pink and white spots on the inner part of the penis. It is exactly on the corona, the under area of the head of the penis. Also, I have slight soreness on the inner part of the foreskin near the spots. It smells unpleasant. It is itchy and mildly painful to touch. I do not have any problem in urinating. I have been using coconut oil twice a day for lubrication. I feel generally unwell and low temperature of about 99.0-99.5 degree Fahrenheit. But, fever may not be related to this and can be coincidental. I am not sexually active for some time. I have been going to the gym for about four months and on a high protein diet for the past three weeks. It includes protein shake, four egg whites a day, etc.\u00a0I am attaching some photos, so that the position is clear and no ambiguity remains in the line of treatment to be administered to me.\u00a0Thank you. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist\u00a0" + }, + { + "id": 22558, + "tgt": "My ECG is normal and heart rate is high. Please advise", + "src": "Patient: Hi doctor, I recently observed that my heart rate (including the resting one) is high. Resting rate is between 75 to 85 beats per minute and an average brisk walking rate is around 115 to 120 beats per minute. When I was unaware, I lived a perfectly normal life with 15 to 16 active hours. However, while doing a recent ECG, my doctor advised me that my heart rate is high. About 110 beats per minute. My pressure was 110/80 mm Hg and ECG was normal. My cholesterol levels are good. I am taking tablet Metformin and Aspirin. My HbA1c is 6.1 %. Doctor: Hello. Regarding your heart rate, it is fine to have a resting heart rate of 75 to 84 beats per minute. It does not signify any major abnormalities. Exercise, stress, anxiety, smoking, caffeine can certainly lead to pulse rate elevation. So, as you mentioned, your ECG (electrocardiogram) was normal except rate. So it must be sinus tachycardia, which can occur due to anxiety if you had brisk walking. Moreover, your home readings are fine so, there is nothing to worry about it. So, just get thyroid test and hemoglobin tested once. The rise in pulse rate with exercise is an absolutely normal thing. According to the age, maximum heart rate for you is around 160 beats per minute. Also, try to note your pulse rate while sleeping. So overall, I think there is no need to worry about it. Next HDL (high-density lipoprotein) is lower (attachment removed to protect patient identity), we expect it to be above 40. The best way to elevate is healthy lifestyle including healthy diet like low calorie, fat and oily diet, weight loss, avoiding smoking and drinking. Also, your HbA1C (glycated hemoglobin test) is good. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6475, + "tgt": "Could my liver hemangioma actually be liver cancer?", + "src": "Patient: Hello doctor,I started having right sided pain in the rib area around one year and three months ago. It got really bad last week and I went to a doctor. They did an ultrasound and found several hyperechoic nodular foci on the liver. He said this could simply represent hemangiomas but could be mucinous metastases. I started panicking as I have always had bad health anxiety. I went to get a CT scan and could not do a contrast so found well defined \"mildly hypodense mass\" measuring 44.6x32.9 mm. I started to get really bad - not sleeping, not eating, losing weight, bad headaches, ringing in ears, muscle twitches, shaking, etc. They scheduled me for biopsy and when I got there the surgeon said they pulled up my old CT from six years ago and the mass had not changed. So, it was most likely hemangioma and not going to do a biopsy.I still kept on the downward spiral as I did not believe them. I was told an MRI with contrast was the best test for liver lesions so I paid and had that done. Also had a brain MRI done because I thought I definitely had stage 4 cancer. All of this was one year back. MRI showed multiple liver lesions with largest 30.5x23.9 mm. T2 hyperintense and several others. All identified as behaving as hemangiomas and simple cysts. Not being satisfied with that I had a colonoscopy and upper endoscopy done. Both alright. Decided to go to liver specialist and they did another MRI with 9 cc Multihance. Findings were all clear except liver with \"multiple lobulated T2 hyperintense hepatic lesions\" largest being 3.1x2.5 mm. All consitent with hemangiomas. \"No suspicious hepatic lesions\".The specialist also told me if I had stage 4 I would be in very bad shape with no treatment. I started back working out and put all my weight back on up to 200 lbs and feeling better except same pain in right side rib area every day. Got another six month follow up MRI last month and nothing had changed. Last week, I started having pain again in right rib area and started internet searching again and finding most hemangiomas are single not multiple and most metastases are multiple, which mine are. Also that hemangiomas are mostly in women not men. So now I am back to not sleeping, not eating, and feeling like I have some type of stage 4 cancer. Never had any cancer diagnosis though and none in my family. Eat good, worked out twice a day, only drink water, maintain a healthy weight. Even though I know in almost a year and a half with no treatment and stage 4 I would be bad shape or actually dead as the average lifespan of stage 4 metastases without treatment is 8.7 years, but I do not really believe that because they are not oncologists. I looked up and saw that NET's could be slow-growing cancers and maybe I have that. I just need an independent second opinion on what could cause right side pain besides what is showing up in all the tests I have had done. Also if having three MRI's with contrast saying the same thing is specific enough to rule out liver metastases. Online it shows MRI with contrast has a 97 % specificity when done one time so is three times even better to rule it out? Why would a male in great shape otherwise develop hemangiomas throughout the liver? Would a PET scan be better than MRI at this point? Thanks. Doctor: Hello. Do not worry and do not panic. All your reports (attachment removed to protect patient identity) are pointing towards hemangiomas. It is easy to differentiate between cancer and hemagioma by a radiologist on CT scan, MRI, or ultrasound. Your reports are clearly indicating cystic lesions (hemangiomas). If these liver lesions were cancerous, usually they will be symptomatic - progressive weight loss, poor appetite, jaundice and deranged liver function tests, sometimes dark urine, etc. Any cancerous liver lesion will progressively increase in size. Even slow-growing metastatic neuroendocrine in liver is usually stage 4 neuroendocrine tumor. Your blood report is showing normal liver parameters, CT scan/MRI showing cystic/hemangiomas in liver. Any radiologist can easily differentiate between hemangioma and metastasis. So, your radiologist has mentioned clearly benign cystic lesions. Also, you have no weight loss, poor appetite, and your liver parameters in blood test are normal. Also, colonoscopy and gastroscopies are normal (there was no need to go for endoscopy). So, relax and do not worry at all. But keep following up with the hepatologist for these hemangiomas. Internet search information will confuse you. If any questions, contact me for free for one more time in the next few days. For further queries consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 22536, + "tgt": "89-year-old suffering from painful, itchy skin disease. Is it due to aging?", + "src": "Patient: Hello doctor,For the past two months, my 89-year-old husband is suffering from a painful, burning, and itchy skin disease. He has been seen by his family doctor and two trips to the emergency. At first, thought to be shingles and later pruritis. The painful episodes happen at night and early morning. I cool it down with oatmeal compresses and Gold Bond anti-itch lotion. It goes from a 10 down to a two. Sometimes it does not appear for a week and it is back again. The only medication he is on is Coumadin. He is and always has been a non-drinker and non-smoker. He has dementia but, only at night. Our environment is scent free, no chemicals and soap and laundry soap are hypoallergenic. What can this be, is it part of ageing? Doctor: Hi. From your history and description, the most common possibilities are urticaria or peripheral small fiber neuropathy. Shingles is a one-time episode and are usually localized. The complaints do not appear to be related to external factors such as scent or environment. With aging, a lot of degenerative changes set it. These processes could affect even the tiny neurons in the skin resulting in repeated episodes of itching and burning. Antihistamines, oatmeal bath and compresses could help to some extent. However, an addition of drugs such as Pregabalin or Nortriptyline or Gabapentin, which are thefirst-line agents in small fiber neuropathy, would be of great help to alleviate the symptoms. Do let us know if he is a diabetic, he is known to have vitamin B12 deficiency and any other comorbidities. Please upload appropriate images of any skin lesions if present. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8240, + "tgt": "Is Flucloxacillin a good drug for tooth abscess?", + "src": "Patient: Hello doctor, Will Flucloxacillin help in tooth abscess? Doctor: Hello. 1. Flucloxacillin and Amoxicillin are all the drugs falling under the Penicillin group, and basically, these are all the antibiotics which fight against bacterial infection. 2. Metronidazole is again an antibiotic on its own. 3. Yes, these medications will help to reduce the infection in tooth abscess along with active dental treatment. 4. Only with the antibiotics and pain killers, there is no dental infection which could be completely cured. 5. If you are going to self medicate yourself, please drop the plan. Visit your nearby dentist to know how infected the abscess is and then get it sorted out first with thorough clinical examination and an X-ray. 6. Please note that any antibiotics should be taken for a course of five to seven days, not less, and not more. If you have any other doubts, please write again." + }, + { + "id": 24243, + "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": 29267, + "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": 13691, + "tgt": "Kindly go through the abdominal CT scan and explain the health condition", + "src": "Patient: Hi doctor, I have queries regarding my mom's health. She is suffering from some abdominal issues. When she had a CT scan, they found an impression with the liver. I attached her report and please tell me if there is a serious issue. Yesterday she got admitted with intolerable abdominal pain. Her doctor asked us whether she had any injuries on that area. But she never had any injuries. They prescribed some medicine and asked her to take an injection for two days. She was discharged home in the evening and last night she got severe abdomen pain. She is worrying a lot and crying all the time. She is getting pain while she coughs. She is unable to sleep and has constipation. I totally rely on you to get suggestion. Doctor: Hi. According to the CT scan report (attachment removed to protect patient identity), there are two problems. In the liver, there is hemangioma which is a benign tumor meaning it does not cause any harm. If it increases in size, then it is resected. The other problem is with the muscles of the abdominal wall in which a small amount of blood is accumulated which is causing pain. It can occur after some trauma or injury to the site. It will also resolve in a few days. So I think hopefully she will get fine in a few days. Take care." + }, + { + "id": 11487, + "tgt": "My period is irregular after abortion. Is that due to PCOS or uterine cancer?", + "src": "Patient: Hello doctor, I have been bleeding heavily for the past two days. I had large blood clots, and I soak through a sanitary pad every one to two hours. My last normal period was before five months. After that, I did not get a period for the next two months. I got a period on the third month but it only lasted for one day, and it was light. In the fourth month, my period was strange. It was a mixture of spotting, light bleeding, and moderate to heavy bleeding which lasted for 11 days. It stopped because I took a Plan B emergency contraceptive pill not because I had unprotected sex but because I read that it will stop the period. My period ended after that for three days. I had spotting before seven days which continued as a normal period after two days. From the next day of my normal period and till now, I have been bleeding very heavily and passing large clots. I had a surgical abortion last year at 13 weeks. My period came back on the very next month of my abortion. After three months, my gynecologist did a transvaginal ultrasound to check me for PCOS. The ultrasound showed that I had polycystic ovaries, but blood work showed normal hormones, so PCOS diagnosis was not confirmed. The ultrasound was otherwise normal. Before three months, my endocrinologist wanted to do a scan because she still believed I had PCOS. The scan was normal, and It just showed polycystic ovaries. She did another round of hormone testing, and my hormones were normal after which PCOS diagnosis was not confirmed. I am 5\u20199 in height and 270 lbs in weight. I gained over 50 lbs since last year due to depression from abortion. Now I have been reading a lot about uterine (womb or endometrial cancer), and I am worried that I might have cancer. Can uterine cancer develop that quickly? Doctor: Hello. I doubt that you have PCOS which is the most common cause of irregular cycle in young age like you. Secondly, it is not necessary that hormonal levels become abnormal always to make a diagnosis of PCOS. It could be a clinical diagnosis as well as based on the presence of irregular cycles and ultrasound evidence of polycystic ovaries. The main cause of heavy bleeding is that when one does not get periods regularly the lining of the womb becomes thicker and when it sheds it causes heavier and prolonged bleeding. And the thick endometrial lining is one of the risk factors for the development of endometrial cancer in later life. But it does not develop at early ages commonly. It is usually a problem of menopausal women, but PCOS is one of the risk factors for development. So it has been recommended to regularise your cycle with the help of pills to avoid heavier bleeding and regular shedding of the lining of the womb. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 15601, + "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": 21201, + "tgt": "My right sinus and ear are always full with sore throat. What is the problem?", + "src": "Patient: Hi doctor, I have a sore throat. My right sinus and ear are always full. The sore is behind my right tonsil. Doctor: Hi. I understand your concern. Your right sinus is full which indicates that you are suffering from right-sided sinusitis. It will create a post nasal drip and eustachian tube dysfunction. Therefore, a sore throat and a clogged ear are likely to develop. It will be better to consult your ENT doctor for a thorough examination. Do a necessary investigation to finalize the diagnosis. Then only the treatment can be planned. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6908, + "tgt": "What are the natural ways of reducing calprotectin in Crohn's disease naturally?", + "src": "Patient: Hello doctor, How to reduce calprotectin for Crohn's disease naturally? My cousin has been diagnosed with Crohn's disease three months back. Earlier, he had diarrhea, but now he is more controlled with foods, and there are no symptoms. But the calprotectin test resulted as 305 ug/g. His ESR and CRP are normal. He is 10 years old and weighs 68 pounds and 4.67 ft in height. Doctor: Hello. I can understand your concern. It is very common to high level of calprotectin in stool. Because Calprotectin is a protein released by a neutrophil during inflammation in gastrointestinal tract. Crohn's disease is an inflammatory condition that is why Calprotectin is found in stool. It can be manage naturally through ayurvedic medicines. Inflammation in GIT. Ulcerative colitis. Crohn's disease. The following medicines may help in this condition. 1. Bilvadi lehyam 1 teaspoon twice a day before food. 2. Dadimashtaka Churna 3 gm twice a day after meals. 3. Kutajghan Vati 2 tablets twice a day after meals. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati and Mandukasana as well as pranayana like anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 28847, + "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": 8946, + "tgt": "How long should I wait for complete vertebral self-fusion?", + "src": "Patient: Hi doctor, I have constant low back pain. The pain is radiating from the lower back to the buttocks and both legs. There is a tingling sensation after exercise and walking. Before five years, I had a bad episode of back pain with sciatica. I was told that it was a slipped disc\u00a0but did not get a scan. Since then I have had odd flare-ups, but nothing serious until a month ago. Now, I was diagnosed to have a high grade 1 spondylolisthesis, and the disc as that level is almost gone. It means the bones started to fuse, although there seems to be a small gap on the scan. I was told that it would be better to let it self-fuse instead of having an operation. The exiting nerve roots are narrowed at this level, but no problem with the spinal canal itself. I was wondering how long would take for the vertebra to self-fuse? Are there any disadvantages or future problems? I am in constant pain, and my quality of life is not great because of this issue. I have tried myself keeping active, but too much activity make the pain worse. I am a police officer, and unable to do any front line duties. I am only doing desk-based work, and I have to change my position frequently as this also hurts. I am currently on Tramadol and Co-codamol. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 3430, + "tgt": "What are the pros and cons of coconut oil in health?", + "src": "Patient: Hello doctor, Is coconut oil bad for the skin? A few years ago coconut oil was all the rage. We were told to slather it from head to toe for miraculous benefits. However, lately, it is been getting some backlash thanks to its comedogenic properties. My questions are, What are the pros of using products that contain coconut oil on your skin? What are some potential cons? What skin types can benefit most from coconut oil? What skin types should stay away from it? How do you recommend using coconut oil in one's routine to reap benefits and avoid breakouts? If someone wants to use natural coconut oil on their face, what kind do you recommend using (i.e. unrefined, organic, etc.)? Doctor: Hi. Coconut oil is extracting traditionally from raw coconut or from dried coconut kernels. It is saturated oil and frequently used in skin, hairs or cooking purposes. This oil has health-promoting properties. It contains several fatty acids that have benefits to skin health as well. Now we will discuss some more about coconut oil step by step. Coconut oil contains several fatty acids which of them lauric acid and myristic acid are very common. These fatty acids have antimicrobial properties which help to protect the skin against harmful microns. Coconut oil also has anti-inflammatory properties. It helps to protect the skin from inflammation, contact dermatitis, eczema or other inflammatory conditions. It also helps to nourish and moisturize the skin. Coconut oil does not contain protein or carbohydrates and a trace amount of a few nutrients. The fatty acids found in coconut oil raise bad cholesterol like LDL. These are the cons of coconut oil. This oil can be used in dry skin or hairs to moisturize them. It benefits skin health but not ideal for everyone. Coconut oil could potentially clog the pores and causes black heads. Sensitive skin people should not use coconut oil. If anyone has dry skin or hairs those can apply. They can do gentle massage with this coconut oil. Coconut oil is very healthful if used externally. As it contains highly saturated fatty acids and raises bad cholesterol so those who have bad cholesterol should be avoided to use it internally. Coconut oil has a lot of benefits but one should use it after knowing its properties and their health conditions." + }, + { + "id": 16896, + "tgt": "Is there any long-term health problem associated with TOF?", + "src": "Patient: Hi doctor, My girlfriend underwent\u00a0TOF surgery at 19 years\u00a0of age. I want to know the long-term prognosis associated with it. Some says it is complicated and not same as VSD or ASD types. Will it have any long-term health problem associated with it even after surgery? As an expert can you shed light into the matter from your experience? I have attached her pre and post surgery documents. Doctor: Hi. I have thoroughly gone through your case, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. It is hopefully very positive to say that she has nothing wrong and there is nothing left behind of the heart defects. 2. She was well operated and has recovered very nicely and as expected. The prognosis is good and she is fine. 3. She is good to go for marriage and even continue to have her family extended. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14164, + "tgt": "What is the reason for the color change of the tooth followed by a trauma?", + "src": "Patient: Hello doctor, When I was 11 years old, I was knocked off my bike and cracked my front tooth in half horizontally, shortly after the dentist fixed it. Since then I have had no problems with it and had multiple x-rays to check on it. When it happened, the color of the tooth changed very slightly, to a very slightly more yellow shade than the rest of my teeth. I am curious to know what happened when the trauma occurred. Did my tooth die? What are they checking for when they x-ray the tooth? Doctor: Hello. I have been through your query and can understand your concern. Any trauma to the tooth generally has long-term consequences like tooth discoloration, etc. As you said that your tooth was fractured, it might have led to a slight injury to the pulp or even if not so, the fracture line would have been close to the pulp. In both cases, the pulp over time starts to become non-vital sometimes due to injury and sometimes due to the restorative material lying in close proximity to the pulp. This over time results in the discoloration of the tooth. The characteristic feature of this discoloration will be that only the involved tooth will be discolored and other teeth will be normal or not discolored. If that is the case, it generally means that the tooth is in the process of becoming non-vital till the tooth becomes slight brownish black which means the tooth is entirely non-vital. It is generally not associated with any kind of pain as the process is chronic and takes time to set in. I would advise you to have a visit to your nearest dentist. He would prescribe a vitality test of the tooth and also would get an x-ray for the tooth. By that way, he would come to know if the tooth is dead or still vital and accordingly will propose treatment. If the tooth is vital, he will put some medication over the pulp to let it heal and then fill with the pulp friendly restoration. However, if the tooth is dead, I would suggest you to go for the root canal treatment (after evaluating the condition of the tooth and soft tissue). Meanwhile, keep your oral hygiene good, brush twice daily and floss regularly. Use mouth rinses to clean the mouth after meals." + }, + { + "id": 12692, + "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": 16334, + "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": 11686, + "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": 21514, + "tgt": "Why does my baby poop frequently with gas?", + "src": "Patient: Hi doctor, I have a 1-month-old daughter. For the past two days, she passes the poop with more gas. I am breastfeeding her (no top milk). She has developed a rash over her genital area. Can you suggest something for her gas problem and frequently pooping with gas? I think pooping frequently causes rashes. So kindly help me in solving frequent pooping with gas. Doctor: Hi. Is it happening for the last two days only? Or was it from birth? If it is from birth, then you should go for a stool examination. Or else it will be transient. I hope you are not giving bottle feeding. A rash free ointment can be applied locally. An image of the rash can be sent to have a little more idea. Is the child active and feeding well? Is the stool watery? What is the frequency of the stools? Kindly suggest. Let me know these things to understand better. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13510, + "tgt": "Kindly advise the treatment for severe constipation", + "src": "Patient: Hi doctor, I am 22 years old and severely constipated. I have a bowel movement once every week and a half, or even two weeks. I eat normal foods as any 22 year old would. I love fruits and drink lots of water, etc. I am on my fourth day of Miralax and nothing has happened. The only thing that has worked is when I got an enema in the ER. My biggest issue right now is excessive gas. I am a student. When I get nervous before a presentation in class, just being in class in general, I get excessive gas and it is so bad that it makes terrible noises and sends me running from the classroom. Then when I get out of the classroom, it is as if it goes away. So my anxiety before presentations I believe makes it worse, therefore my doctor prescribed Xanax .25 mg as needed before those events. However, I know that my constipation is contributing to this. I am in desperate need of a solution. My doctor wants me to get a colonoscopy. What foods and what can I take to help with my constipation and decrease gas during class so that I can focus and earn my degree. Doctor: Hi. You seem to be suffering from an acid peptic disease associated with functional constipation. I would recommend you the following: 1. A combination of Pantoprazole and Levosulpride once daily. This would help you with bloating and reduce gurgling sounds. 2. To take syrup Lactulose 20 ml in the night. 3. To take smooth muscle relaxants like Mebeverine. Another important aspect is that have you got your thyroid profile done?" + }, + { + "id": 1526, + "tgt": "I bleed whenever I get horny. Why?", + "src": "Patient: Hello doctor, I bleed whenever I get wet and horny. I am currently taking a Depo shot every three months and Adderall every day for ADHD. I am 15 years old. My height is 5'6 and I weigh about 200 pounds. Please help. Doctor: Hi. Abnormal uterine bleeding is the most common side effect of Depo-Provera therapy, especially in the early months of use. It is a problem whenever bleeding continues for more than 14 days, is heavy, or symptoms such as pelvic pain accompany it. Bleeding irregularities that typically occur may include breakthrough bleeding (you are having this), spotting between periods, prolonged periods lighter or heavier periods than normal, lack of period (usually after one year). Some women with 8-10 days of bleeding over two weeks are administered tablet Ethinyl estradiol for 10 days and bleeding generally stops in five days. Other physicians prescribe an estrogen patch. If estrogen is contraindicated, patients are given 800 mg of Ibuprofen three times a day for five days. In all cases of heavy bleeding apparently related to Depo-Provera use, other causes (e.g., cervical malignancy, uterine fibroids, sexually transmitted diseases) should be ruled out before treatment. Depo-Provera acceptors can anticipate irregular bleeding as long as for one year and learn to accept it. If not too severe, this is the most effective management strategy. I hope this helps." + }, + { + "id": 4986, + "tgt": "Please tell some medication for elbow pain", + "src": "Patient: Hi doctor, I have right arm elbow pain for few days now. I play table tennis and cricket. I got the pain after playing TT for longer duration. Do you suggest me to take x-ray? Please guide with some medication. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5985, + "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": 26537, + "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": 19631, + "tgt": "My wife was diagnosed with GUTB and was tested positive for TB. After 2 months of fertility treatment, she complained of vomiting and giddiness", + "src": "Patient: Hi, My wife was diagnosed with GUTB (Genitourinary Tuberculosis) and was tested positive for TB PCR. HSG showed blocked fallopian tube whereas USG showed normal ovaries and uterus. After 9 months of ATT (Antitubercular Treatment) her fallopian tube opened during the HSG test. Thereafter doctor started giving her treatment to facilitate conceiving. After 2 months of treatment she complained of vomiting and giddiness. When we went to doctor, after clinical examination doctor diagnosed her PID (Pelvic Inflammatory Disease). She also got her periods delayed. What might be the reason for PID? Doctor: Hi. Hope I have answered your query if you have further questions, get back to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19493, + "tgt": "How harmful is poison oak when contacted?", + "src": "Patient: Hi doctor, I disk golf in an area where a decent amount of poison oak is present. I would like to know how fast urushiol binds to skin, and once it does is there any possibility to spread? I use an electronic cigarette which requires me to handle cotton that I feed into the atomizer. My doubt is if urushiol vaporizes automatically, what will be the harm? Doctor: Hello. I have read your query. Poison oak causes allergic contact dermatitis (ACD) and is the most common cause of ACD than all the other causes combined. The allergen which cause ACD is usually present within the sap named urushiol and it will be mainly present in the leaves and the inner stems of the plant. After the contact with any part of the plant it usually takes 12 - 48 hours for the symptoms to occur. But the resin will bond immediately to the skin on contact. So, you should remove it with a mild soap wash immediately. If within 10 - 15 minutes of contact washing is done, 50% can be removed. But, if it is beyond one hour, washing does not help much. You can use Bentonite barrier creams which can prevent bonding of urushiol to your exposed parts. Urushiol once bound to the skin does not vaporize and does not spread to other parts of the body. As it is a local reaction, the intensity of it depends on the amount of resin contacted. For further information consult a an allergy specialist online. ---> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 4521, + "tgt": "Is lump behind palatopharyngeal arch supposed to be throat cancer?", + "src": "Patient: Hello doctor, I recently noticed white little lumps on the spots at the back of my throat, one behind palatopharyngeal arch which is a red lump and another on the back of my throat each side with red bumps and white little things on them. What is it? I do not know how long I had it. I do not drink or smoke. Is it cancer like throat cancer or mouth cancer? I am a 27-year-old female. I have white sack looking things behind my tonsil as well with which look like blood vessels. But anyway I am sending the picture. I am scared. Please help. Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). The red bumps with white little things on them at the back of the throat (behind the palatopharyngeal arch) are called lymphoid granules. These are lymphoid tissues that are normally present. However, in you, they seem to be slightly enlarged. When enlarged and infected they are very congested, red and may exude pus. In your picture I cannot make out pus. The enlargement without redness or pus may indicate chronic throat infection. In case of chronic pharyngitis or tonsillitis, you may be having these bumps for a long time. However, you may have suffered throat pain, fever, soreness, difficulty in swallowing and painful swallowing intermittently. They are not cancer. The tonsils appear normal to me. They do not have a smooth surface. They have pits called crypts through which tonsillar secretions come out into the mouth. When the pits are clogged then you may develop tonsilloliths or stones which may be painful and give globus feeling. Otherwise, the tonsils look normal. If you suffer from the intermittent symptoms I mentioned then perhaps this is a case of chronic tonsillopharyngitis where we can explore the option of surgically removing the tonsils from both sides to give you relief from the symptoms. Otherwise, we need not bother." + }, + { + "id": 24907, + "tgt": "My period is late by six days. Why?", + "src": "Patient: Hello doctor,I am a 25 year old\u00a0female. My periods were due on the 17th\u00a0and today is the 23rd. I\u00a0have still not got my periods. I have a very weird taste in my mouth. I have\u00a0mood swings. I am passing urine frequently. My poo is very liquid. All this is happening with me from the past three days. Please suggest what it could be. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29432, + "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": 15161, + "tgt": "What can be done to gain weight and muscular body?", + "src": "Patient: Hello doctor, I am 21 years old. A male with height 173 cm, weight 46 kg. I eat well but I look very slim and weak body. So, please give a good suggestion for a healthy and muscular body. Doctor: Hello. I just read your query and it appears that you are underweight although you have a very good height. I suggest you take a high protein diet preferably if you are a non-vegetarian then take chicken, mutton, eggs daily. Also, try to eat small meals frequently. Take Ensure milk powder twice a day regularly. You must take a high-calorie diet more than 2500 kcal per day. Problem is if you are a vegetarian, in that case, you must add your proteins from dry fruits, soya milk, soybeans, ghee, etc. Sleep well and exercise in moderation for 20 to 30 minutes daily." + }, + { + "id": 30967, + "tgt": "Having spotting for the last 8 months. Is it something serious?", + "src": "Patient: Hi doctor,I am 28 years old. I am not sexually active. I had spotting on 10th and 11th of this month and again from 14th to 16th of the same month. I had the last ultrasound before two years and it showed no cysts. I am under a lot of stress and depression. Is this something serious? Doctor: Hi. Revert back with the answer to the above question to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13238, + "tgt": "Is it necessary to get allergy testing done for perioral dermatitis?", + "src": "Patient: Hello doctor, I have personal dermatitis. I was prescribed 12 weeks of 100 mg Doxycycline. However, I am skeptical about taking antibiotics as I have read that with a lot of people the rash returns upon finishing treatment. Also, it can mess up your gut which is apparently linked to perioral dermatitis. I have gone gluten, dairy and sugar free, started Probiotics, Zinc and Omega 3 supplements and the rash still persists. I also use Metro gel and also it helps my rash is still there. It is mild but is very annoying and sore. If I take antibiotics will it make things worse? Or should I go get allergy testing? I have also cut out flouride toothpaste and eliminated SLS. Doctor: Hi. You can skip Doxycycline, if you have gut problems and you cannot tolerate it. If you are suspecting that your perioral dermatitis is due to contact of any allergic material, then go for allergy testing. Otherwise it will not benefit you. I would like to know your work. Any allergy to known material and picture of your leison? You can use mild steroid preparation over it for relief. Perioral dermatitis Apply hydrocortisone 1% ointment over leisons bd for 2 weeks Take antihistamine if you have itching Rest continue with your measures Maintain hygiene of the area Wash with soap and water Avoid using dettol and other irritants Follow at 2 weeks with pics plz" + }, + { + "id": 30170, + "tgt": "Is Bisoprolol advised for high heart rate?", + "src": "Patient: Hi doctor, I am facing problem of high heart rate of around 100 beats per minute.\u00a0I can also feel my beat even if I am at rest. My ECG, echo and TMT test are normal. My doctor prescribed Bisoprolol 2.5. Is that fine for me? Is there any serious problem? I am 26 years old. My BP is 130/80 mmHg. 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": 21071, + "tgt": "I have tightness in the artery after carotid endarterectomy. Does the patch become unattached?", + "src": "Patient: Hi doctor, I underwent carotid endarterectomy before four months on my right carotid artery. After a doppler test, it showed 90 % stenosis. A patch was used during surgery. It seemed to be fine after surgery. On follow up, I consulted a vascular surgeon. He told me that I have a right and better recovery. But I have a pulling or a tight sensation coming from the artery or patch. The feeling is not pain, but it is a pulling or an uncomfortable feeling. Do I need to be concerned about it? Should I need to contact the surgeon? I am taking Clopidogrel 75 mg and Pravastatin 20 mg. Doctor: Hi. It is perfectly normal to have stretching sensation in any surgical area. You may have less sensation in the neck and lower cheek. It is advised to be careful when you shave as you might accidentally cut it." + }, + { + "id": 22165, + "tgt": "I have tiredness and vitamin D3 deficiency. Please advice", + "src": "Patient: Hello doctor, I am 51 years old feeling frequent lower back pain and tiredness. BP, sugar and other tests are normal but my vitamin D3 is deficient. Please advise. Doctor: Hello. Vitamin D deficiency is one of the common cause of generalized body pain. It is more frequent in perimenopausal and postmenopausal women. Back pain can also be due to osteoporosis or degenerative (age-related) spine changes. It is better you start taking Calcium and Vitamin D rich diet which includes milk and milk products and meat. Back extension exercise and core muscle strengthening exercises can be done. Vitamin D sachet 60 k unit once a week. Tablet calcium 500 mg twice a day. It is better to get X-ray lumbosacral spine anteroposterior and lateral to rule out any other pathology. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5467, + "tgt": "Is it possible to get erectile dysfunction due to masturbation?", + "src": "Patient: Hello doctor, I am 32 years old and I am going to get married after two months. I am doing masturbation rubbing penis in bed for many years. Will this affect my sexual life after marriage? Can it lead to erectile dysfunction and other issues? Doctor: Hi. I read your query and understand your concerns. I would like to inform you that masturbation is completely harmless process and not associated with any ill-effects. Infact almost 95 % of the men do masturbation in their life time and nothing is wrong with self-stimulation. You can get assured that masturbation is not going to affect your sex life in any way." + }, + { + "id": 3522, + "tgt": "Is it safe to undergo root canal treatment in a 2. 9-year-old baby?", + "src": "Patient: Hello doctor, My son is 2.9 years old and has a problem in the upper four teeth (x-ray attached) and doctors are suggesting for RCT (root canal treatment) as they are very much decayed. So I just wanted to confirm the same. Doctor: Hello. I have seen the x-ray. (attachment removed to protect patient identity). If the child is cooperative and can sit through the procedure then it is fine to have pulpectomy procedure i.e. root canal treated. If your child does not have any pain or swelling and the tooth does not appear to have some large hole or pink fleshy growth inside which can be seen, then it is fine to let it remain like now and use fluoride toothpaste for kids to prevent further decay. It is difficult to have a cooperative child at this age so do not put too much stress on the kid if he is very afraid. If you see swelling or if there is pain then go by your pediatric dentists advice and do a root canal." + }, + { + "id": 20678, + "tgt": "I have crooked teeth and broken decayed tooth. Do I need extraction for braces?", + "src": "Patient: Hello doctor, I have crooked teeth at front and tooth behind the crooked teeth was decayed and half broke in sideways. It was touching the crooked teeth in backward and my teeth in under jaws are somewhat misaligned. Do I need a tooth extraction for braces? Doctor: Hi. You have crowded teeth and in medical terminology, it is called malocclusion. Early growth issues, small arches, delay in the eruption and delay in fall of milk teeth, habits like tongue thrust. General oral examination. Crowding (malocclusion). There are treatment options available as follows: 1.Removable orthodontics using prosthetic appliances. 2.Fixed orthodontic appliances. 3.Removal of some teeth can be needed to create space for crowded teeth to align but that is normal procedure, not to be worried. 4.Visit nearby hospital for an orthodontic treatment. 1.Avoid tongue thrust, nail-biting in early life, especially among babies. 2.Care of children teeth to avoid caries and decay during the growing period. 3.Visit nearby dental hospital after every six months particularly during initial 12 years of age to avoid any misguided eruption and decay. Growing period stretches up to 25 to 30 years of age. So, it is better to approach the nearby dentist early so that your defect can be corrected before it is too late." + }, + { + "id": 13005, + "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": 27236, + "tgt": "I often have to clear my throat. Please suggest a cure", + "src": "Patient: Hello doctor,As part of the season change, I have developed a little rash in my throat. I have to often clear my throat congestion. Nothing else. Please prescribe a medicine for the cure and also some preventive medicine for the next one week so that I will not catch a cold or fever as I have an event back home in a few days. I have no fever as of now. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8136, + "tgt": "My son has severe constipation after taking Paxil. Please help", + "src": "Patient: Hi doctor, I have a twelve year old son, weighing 100 lbs. He was admitted to the hospital 12 days back for major depressive disorder (MDD), lack of sleep and having suicidal thoughts. He was\u00a0prescribed Paxil 20 mg. I am concerned because he is exhibiting periods of low, melancholy moods and periods of extreme out of control highs. He has loud outbursts and feels like he cannot control himself. He previously suffered from chronic constipation since he was very young, to the point of having blockages that would severely expand his intestines. He had been doing great with that for nearly eight months after seeing a doctor but, severe constipation has returned because of Paxil. I would discuss these concerns with his psychiatrist, but we are in the early stages of his aftercare and I am not getting an appointment any sooner than a month from now. I worry that Paxil is not right for him and is making things worse. Doctor: Hi, Welcome to iclinq.com. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15244, + "tgt": "Please tell me the treatment to remove scar on my face", + "src": "Patient: Hello doctor, I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help. Doctor: Hi. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist." + }, + { + "id": 3557, + "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": 14318, + "tgt": "Does numerous enlarged lymph nodes with Epstein Barr virus indicate lymphoma?", + "src": "Patient: Hello doctor, Needle core biopsy of 1.5 cm lymph node in the abdomen at porta hepatis. Numerous small and large nodes are present. Flow cytometry shows peripheral blood contaminated specimen, lymphocytes population is 97 % of total leukocytes and consists of T-cells helper and suppressor immunoph and poly B cells, not suggestive for B cell lymphoproliferative neoplasm. Immuno outcomes: CD3, CD5, CD43 many positive T-cells. CD20, CD79A many positive B cells. CD23, Bcl-2 some positive. Cyclin D1: rare positive only CD10 negative. Diagnosis: negative for malignancy. Question: I have a history of sibling lymphoma and I have the epstein barr virus. Should they consider mantle cell lymphoma? Needle core biopsy through endoscope may not be definitive. Excisional would have been better. Lymphoma symptoms are present. Primary biliary cholangitis was also diagnosed before five years. Lymphocytic colitis and erosions in the stomach are also found. Should I ask for more testing for lymphoma? Doctor: Hello. Hereby, I am giving my opinion for your case. You are having ebstein bar virus infection. This virus can lead to hepatitis development and enlarged lymph nodes. You are right on your suspicion that multiple enlarged lymph nodes raised suspicion towards malignancy especially lymphoma. But the main thing is biopsy is considered conclusive and your flow cytometry report is clearly suggestive of non-malignant lesion that is polyclonal cells are present. So these reports are not suggestive of any lymphoma. You have mentioned diagnosis as primary biliary cholangitis, so in this autoimmune disease, liver enzymes can be elevated. In this disease, over the time cirrhosis also can be developed. No need of repeat biopsy just now as per the mentioned report. Consult a gastroenterologist for primary biliary hepatitis. Take care." + }, + { + "id": 8282, + "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": 19253, + "tgt": "Is it true that body might get habitual to antihypertensive drugs?", + "src": "Patient: Hi doctor, My father is taking Telma AM 80/5. How can it be gradually lowered to AM 40/5? Please advice. Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12149, + "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": 30164, + "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": 27480, + "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": 11122, + "tgt": "Unable to sleep as well as breathing problem in a 86 year old. Why?", + "src": "Patient: Hi doctor, My grandmother is 86 years old. She is having cold since last 10 days that gets controlled with medicines. But, in the last 4 days she has breathing problem and also she is\u00a0unable to sleep well. She has given blood for testing. Please help. Doctor: Hello. Thanks for writing to this platform. As you said, your grandmother initially had cold and is now suffering from breathing difficulty. It is advised to shift her to any nearby hospital and do a chest x-ray to rule out any infective cause. And also to rule out any underlying obstructive lung disease that could be present. At this age, it is very common to have pneumonia or obstructive lung disease or any other lung disease which causes breathing problems. But, we can make a final diagnosis only after a chest x-ray and some blood tests. Once the diagnosis is made after checking the x-ray, definitive treatment can be started. It is also important to monitor her blood oxygen levels in hospital. Everything can be done easily once she goes to hospital." + }, + { + "id": 25792, + "tgt": "I am perimenopausal and I have not got my periods. Am I pregnant?", + "src": "Patient: Hello doctor, I am a 46-year-old female and my periods have become increasingly irregular. They used to be around 24 days in length and my current cycle is now 36 days. My basal body temperature indicated that I may have ovulated on day 10. But I have not menstruated at all this cycle - not even spotting. Late last week, I had slight cramps and pains in the regions near my ovaries, which made me think that perhaps my body was trying to ovulate again. I have taken a pregnancy test, which was negative. I do not believe I am pregnant; rather, I think I may be entering into perimenopause. I have been trained for a marathon last year and during training, I ran up to 50 km or more per week. I had a cycle of 36 days. However, since that time, my cycles have been as short as 14 days but no longer than 31 days. My partner and I use condoms and I track my cycle so that we do not need to use these on infertile days. However, given the length of this cycle, I am unsure whether condoms are necessary until after I have menstruated next. My question relates to fertility in this perimenopausal stage. As I believe I ovulated on day 10, does this mean I remain infertile until I get my next period? Or is my body going to ovulate again, meaning that I will again be fertile? Doctor: Hello. No, you have not ovulated on day 10 because if it would have been so you would have had your period by now. Menstruation usually occurs 14 days after ovulation and the duration between ovulation and menstruation is always fixed. Ovulation occurs only once in one cycle. I suggest you repeat the pregnancy test after one week. Since your cycles are irregular now, you cannot rely on fertile period method. Take proper contraception during an entire cycle. If you do not get your period even after a week and pregnancy test comes out to be negative again then you should undergo some investigations to find out the cause. I suggest you get a thyroid profile, prolactin levels, serum LH (luteinizing hormone) and serum FSH (follicle-stimulating hormone) checked. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9785, + "tgt": "What is gelastic seizure?", + "src": "Patient: Hi doctor, What is gelastic seizure? Other than uncontrolled and involuntary laughter, what are the other possible symptoms? What are the causes of gelastic seizure? Is it genetic? Please explain in detail. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29141, + "tgt": "I have stomach rumbling and foul smelling gas problem, please help", + "src": "Patient: Dear Doctor, One week ago, I suddenly started suffering from severe acidity for 2 days. It was accompanied by mild fever and extreme fatigue\u00a0(only 2 days). I consulted a doctor and he prescribed Pantodac for the stomach issue, and other pills for the fever, which got cured. But my stomach is still bad (over 7 days now), though I have been careful with my diet. No vomiting or any such sensations. Now there is no acidity pain as well. The only problem is that my stomach keeps rumbling throughout the day and there is a lot of foul smelling gas. It goes on all day long, the medicine seemed to have a very little effect. Is there something to be worried about? Could it just be due to the heat? How long does this (gas only) usually last? Doctor: Hi, The medicines will only have effect as long as you take them. The main mode of treatment in cases like yours would be lifestyle changes. Please reduce intake of gas forming foods like potato and pulses like chickpea. Also\u00a0do few simple changes in your food, sleep and activity as follows: If you have further questions, feel free to ask a\u00a0gastroenterologist online\u00a0--> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 5190, + "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": 10166, + "tgt": "Is it advisable to use Neomycin during first month of pregnancy?", + "src": "Patient: Hello doctor, My wife is currently on her sixth month of pregnancy. I am pretty much concerned about using Neomycin 0.5 % and Clobetasol 0.05 % ointment during the first month of our pregnancy. We had itching and burning sensation. We used approximately 4 g of ointment in total. She applied some ointment over her inguinal area and me over head of penis and we also had intercourse after that. This happened two times. Would this have caused vaginal absorption of Neomycin and damaged the fetus? Or as it was the month of conception would it have damaged the sperms, egg or the fertilized egg? I read some articles where topical Neomycin has caused ototoxicity, nephrotoxicity and reduced spermatogenesis in males. Should I have terminated the pregnancy earlier? Should I monitor the baby after birth for these toxicities? We did three scans so far dating scan, NT scan and anomaly scan which are normal. Doctor: Hello. There are possibilities of absorption per vaginally and I agree there are reports of ototoxicity and nephrotoxicity but as she is six months pregnant now and all scans are normal so there are no morphological anomalies in the child but as far as ear hearing abnormalities are concerned, that cannot be detected by scans. Also, as on date after 20 weeks of gestation, pregnancy cannot be terminated by law unless gross abnormalities are evident in the foetus and permission would have to be sought by high court only." + }, + { + "id": 13852, + "tgt": "What can be done to manage itchy red dots due to bug bites?", + "src": "Patient: Hello doctor, I have bug bites that appeared as small red dots first and then turned into bigger, more normal bug bites within two days. I have washed my bed sheets twice and got more when I was away in another city for two nights. They are itchy, but there is no pus or anything. I have about a dozen of them. Do I need to go to a doctor? Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity). The condition seems to be papular urticaria, which is due to an allergic reaction to an insect bite, fleas or bed bugs. 1. Continue with Loratidine 10 mg, you can take it twice a day for a week. 2. A combination of steroids like Mometasone and an antibiotic like Fusidic acid to be applied over the lesions twice daily for one week. Wearing fully covering clothing will help. Insect repellants or sprays in your home or office." + }, + { + "id": 12573, + "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": 26996, + "tgt": "There was blood in the spit. What might be the reason?", + "src": "Patient: Hello doctor, I spit blood early in the morning after waking up. I consulted a dentist and then a chest specialist, who advised bronchoscopy and sputum tests. The reports were normal. But, nobody could find the cause for the blood in\u00a0spit. It is happening from the past two years. Not regularly, but once or twice a week. What might be the reason? Whom should I consult? Doctor: Hello. Get these investigations done and write back to me with the reports. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20333, + "tgt": "How can I maintain a normal blood pressure and sugar level?", + "src": "Patient: Hi doctor, My fasting blood sugar is 159.8 mg/dL. My postprandial blood sugar is 280.7 mg/dL. My BP is 160 by 90 mmHg. Doctor: Hi. From your laboratory report, I can see your blood glucose levels at a higher level than its normal range. HbA1C level (glycosylated hemoglobin) in blood will give us a better idea about your blood sugar control. You may need to start a treatment to reduce the blood sugar levels. Also, your blood pressure is also slightly high. Treatment for reducing your blood pressure and blood sugar will require a detailed study of your past medical history, your family history, your drug history and also a detailed clinical examination. It is difficult to achieve all this soon. I suggest you meet a doctor for proper clinical evaluation and subsequent treatment of your condition. Try to avoid taking processed sugar and sweets, and salty food. Take increased intake of water and raw vegetables, and try to do exercise for at least 30 minutes daily." + }, + { + "id": 9545, + "tgt": "What are the ways to cure recurrent UTI?", + "src": "Patient: Hello doctor, I have a recurring UTI. I am travelling at the moment so wanted to get some advice on how to get rid of it. I have already taken a three-day course of antibiotics the first time I had it. It went away but maybe a week later it came back at which point I took a sachet that you dissolve in water. It also went away then but it has come back now because yesterday I took a morning after-pill I think. There seems to be a tiny bit of blood. Although this is the third time, it fully comes back, it always seem to be there a little bit on and off sometimes just for an hour or occasionally when I pee. I am not sure if there is a cause for concern but can anyone tell me whether I am not taking the right medication to fix this. Doctor: Hi. In males, recurrent urinary tract infections are uncommon and always indicate an underlying pathology or anatomical abnormality of the urinary tract. It requires complete examination of urinary tract to look for any pathology or anatomical abnormality ASAP because if these problems remain untreated can have long term and serious consequences on kidneys including kidney failure. I recommend you to visit your urologist at the earliest to identify the cause and treat it accordingly. In females, urinary tract infections are little common because of short urethra especially in married females and pregnant women. However, too frequent UTI is also not acceptable and it warrants complete examination of urinary tract to identify the pathology or anatomical abnormality and treat it accordingly. Ultrasound of KUB region will help in identifying problem and urine culture and sensitivity will guide you for the correct antibiotics. Suggestion is to have plenty of fluids to maintain urine pH towards alkaline. I advice to take antibiotics only after consulting your urologist." + }, + { + "id": 25232, + "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": 12693, + "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": 29930, + "tgt": "What are these white cyst-like lesions on my penis?", + "src": "Patient: Hello doctor, I have a group of small, non-painful, non-itchy and\u00a0white cysts\u00a0on my penis shaft and body. They appeared a month back and they are spreading slowly. Also, I found the same on my body. But, I am not sure whether they are the same. Please help me out. Doctor: Hello. Although photo of the lesion is not very clear (attachment removed to protect patient identity), as per your description of problem it is looking like molluscum contagiosum. It gets spread by contact, either sexual or nonsexual. It is painless, small, pearl-like solid and non-itchy lesions (same as yours). If you look closely, there will be a pinpoint depression in every lesion. For treatment, it can be removed by needle or electrocautery for that you have to go to a local dermatologist. It is a very simple procedure and require approximately 20 minutes. Because, it is a STD (sexually transmitted disease). We should rule out the history of unprotective sexual contact. Also, check for HIV and hepatitis B. Try to send a close picture of that area for better evaluation. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7804, + "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": 11219, + "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": 642, + "tgt": "Though my mom's period stopped before 5 years, she gets brown discharge now. What is that?", + "src": "Patient: Hi doctor, My mother is 58 years old. Her periods stopped in 2015. Later she got her periods once in a year. Now from the last year blood like brown fluid came from her vagina when she go to toilet. She do not feel pain or any other symptoms. All test came positive and nothing seen in ultrasound. No infection and no fibroids also. Please guide. Doctor: Hello. Blood mixed vaginal fluid in the postmenopausal women need to be evaluated cautiously and carefully. Although the common cause of such bleeding is due to deficiency of hormones once menopause is achieved, the possibility of cervical and endometrial cancer needs to be ruled out. Ultrasound will not detect anything abnormal if the condition is still in an early stage, for which microscopic evaluation of the cells needs to be done to see for any cancerous changes. Rarely, the bleeding can be from the urinary tract or from the rectum which could be mistaken as vaginal bleeding too. You need to get her a pap smear and HPV (human papilloma test) testing done along with endometriosis evaluation to rule out both cervical and endometrial cancer possibility. If possible, please share her ultrasound reports to look for her endometrial thickness value. Please do not ignore these tests, if not done previously. I am assuming by getting her evaluated, you have already gotten her examination done with a gynecologist, if not then please make a visit to your gynecologist for her examination. PAP smear and HPV testing. Endometrial aspiration with endocervical curettage. USG (ultrasound) for endometrial thickness." + }, + { + "id": 25107, + "tgt": "What could the pain under my armpits be?", + "src": "Patient: Hello doctor, For the past two days, I have been having pain under my armpits beside my left breast. The pain sometimes also goes down my arm into my collar bone and sometimes into my shoulder blade. Please help. Doctor: Hello. From what you have mentioned, there are many possible causes: So please provide me with answers in order to reach the appropriate diagnosis. Most likely this is a benign condition but we have to exclude serious causes as well. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29033, + "tgt": "Can homeopathy help with medicine induced hyperhidrosis?", + "src": "Patient: Hi doctor,If a patient gets hyperhidrosis due to medications such as antidepressants and stimulants, will exercising help? Does it lower the sweating? Or will make it worse? Can\u00a0homeopathy assist on this issue? Thank you in advance. Doctor: Hello. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 18374, + "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": 12766, + "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": 12245, + "tgt": "What causes burning and tingling sensation in head?", + "src": "Patient: Hello doctor, I am an 18-year-old girl and I have been having weird sensations in my head over the last four months, it is a really weird feeling as if my head is burning and sometimes I feel a cold spot over my head with tingling. I do not even know if I can identify it as pain but it is driving me nuts. It is not constantly in one place but it kind of goes over my head and sometimes over my eyes and I can feel it in my temples too. Sometimes, it feels as if I have electricity in my head. It gets so much worse when I lack sleep and whenever it hurts too much I cannot really sleep. I went to a neurologist and had an MRI section and it was all good. I have a very sound and healthy brain. The doctor said it is anxiety and gave me anti-depressants but honestly, I am not anxious at all. It is my head that is making me so and all the medications are doing nothing but make me pity myself more and the pain is not going away at all. I do not know what to do and no one is believing that I am actually feeling so they all think I am doing it for attention but I cannot really take it anymore. Please help. Doctor: Hello. You are having this complaint only for the past four months. While having a headache, are you feeling nauseous or vomiting? Any double vision? If it is, it may be a migraine headache. You can try my simple prescription and get psychiatrist opinion. Psychiatrist counseling. Ophthalmic opinion for any refractive error. Migraine. Tablet Stemetil 5 mg two times daily, tablet Pantaprazole 40 mg two times daily, tablet Dolo 650 (Paracetamol) two times daily for five days and review. Avoid continuously using the computer, TV, cell phone, headphones." + }, + { + "id": 4526, + "tgt": "Why do I get intestinal blockage while on suppositories?", + "src": "Patient: Hello doctor. I did a herbal cleanse which seemed to cause a blockage. I worked with suppositories, fleet, laxative, magnesium supplements, senna docusate for temporary results. My symptoms are straining excessively, feeling of rectal blockage, digital retrieval to relieve pressure, feeling of incomplete evacuation, intermittent pressure rectal area and dyschezia feel. This can be the case even with soft stool. I used Miralax for eight days. Shortly thereafter, I took 500 mg Magnesium capsules and Benefiber. The next day the stool was bulky, good diameter and easy to pass. I took the same supplements but for the next day, the stool is fairly bulky with some strain. I used the restroom four times to empty the rectum with straining. Later pressure cannot be moved, so used suppository. I am concerned about impaction but no blood or leakage. I had a history of constipation but never like this before. I am taking Dilantin and Levothyroxine for several years. Doctor: Hello. From what I could make out from your description is that you have history of constipation but have a recent worsening possibly due to the 'cleanse'. You have a background of hypothyroidism. You have used a plethora of laxatives with some partial relief. For your immediate relief, I would recommend using safer laxatives like PEG (Polyethylene glycol) and Stool Softener under the guidance of a physician or a gastroenterologist. You should also get your thyroid profile checked as uncontrolled hypothyroidism is a known cause of constipation. Do not strain excessively and use enema or suppositories if you feel impaction. You may require a colonoscopy in case you have not had one recently. I hope this helps." + }, + { + "id": 21175, + "tgt": "I have low back pain and frequent urination after sex. Why?", + "src": "Patient: Hi doctor, I am 40 years old and have suffered from bouts of prostatitis a few times. I have not had an intimate life for many years. Now, I am having an intimate life with one person, who is clean as well as I am. After vigorous sex, I am having frequent urination, especially at night. I was wondering if vigorous sex can irritate me to bring this on. There is no blood in urine. I had a dipstick urinalysis a month ago and was cultured. All came back negative. But, I have low back pain.\u00a0Also, my SG was 1.008. Is that low? Ay girlfriend was told that she has a UTI and is susceptible to UTI during sex. Is it something that can also affect me? Because, I am peeing a lot. Doctor: Hi. We are here to help you. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 21159, + "tgt": "Black patches over both the legs. Not itching. Please explain what it is", + "src": "Patient: Hi doctor, I have black patches over the legs. It is not itching. Please explain what it is. Doctor: Hi. Please answer a few questions for better help. For the time being, you may apply Dermocalm lotion (combination of Calamine and Liquid Paraffin). Revert back with the answers for the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8818, + "tgt": "What is the solution for tongue numbness after tooth extraction?", + "src": "Patient: Hi doctor, Three months back, I had a\u00a0wisdom tooth extraction. Still, I feel tongue numbness. What is the solution? Doctor: Hi. The tongue numbness is caused by nerve injury or irritation at the time of giving local anesthesia before your tooth removal or even due to the closeness of the roots of your tooth to the nerve bundle. However, this is usually transient and there is a gradual recovery of your nerve function. Since this is the only symptom, there are higher chances of restoration of nerve function. It usually takes six to nine months for complete recovery. There is a small chance that it may be permanent. Also, you can consult your dentist regarding the same. He or she can do a thorough check up of other areas and determine the extent of the numbness. You can also increase the chance of healing by taking a nerve growth factor like Neurobion. You can get it prescribed by your doctor after discussing the problem with him or her. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20378, + "tgt": "Kindly suggest a good medicine to increase hemoglobin quickly", + "src": "Patient: Hi doctor, My father is 62 years old. We need good medicine to increase his hemoglobin quickly. His CBC report has hemoglobin with 9.9 g/dL, WBC of 38000 WBC per microliter, and platelets of 1,90,000. Doctor: Hi. I have gone through the attached report (attachment removed to protect patient identity). The hemoglobin level can be increased with ferrous ascorbate tablet along with good elemental iron. Take tablet Orofer (Ferrous ascorbate with Folic acid). Now moving on to the main concern, your CBC report shows high absolute lymphocyte count and smudge cells are also present. You have to rule out chronic lymphoid leukemia. I suggest you investigate with flow cytometry investigation which can exclude CLL (chronic lymphoid leukemia) if present." + }, + { + "id": 27046, + "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": 23154, + "tgt": "Kindly tell me the difference between depersonalization disorder and depression", + "src": "Patient: Hello doctor, I need to know all of the differences between depersonalization disorder and just having depression. Please give me all of the differences and how to tell if you have depression or depersonalization. I believe I am experiencing depression. But I just want to make sure it is not depersonalization disorder. Doctor: Hello. Depersonalization is simply a symptom in which individual has feelings of detached from self. The individuals feel that they have changes and world has become vague and changed. Recently depersonalization has been included in dissociative disorders. This can occur in severe anxiety and even under severe stress too. Depression is a mood disorder. In depression, symptoms like low mood, reduced energy, tiredness, lack of interest in anything, bad thoughts, reduced psychomotor activity, poor desire, etc., symptoms are seen commonly. Diagnosis is not very difficult and it is easy to make difference between depression and depersonalization. In depersonalization, individual will have simple symptoms like a feeling of detachment from self and no other symptoms are seen usually. Depression patient will show a variety of symptoms. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28895, + "tgt": "My mind set is negative with stress. Please help with your valuable suggestions", + "src": "Patient: Hi doctor, I am 21 years old. My problem is that my mind set is so negative and it does not remain the same. At present, I am suffering from stress. Please give me your valuable suggestions. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11670, + "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": 4416, + "tgt": "I am worried about the lump in my neck. What is it?", + "src": "Patient: Hello doctor, I am a 28 year old male.\u00a0I got a\u00a0lump in the right side of my neck before two weeks.\u00a0I am taking capsule Cipmox 500, but it has not yet cured. Though it is not painful, I am worried. It never happened earlier. Please help. Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13839, + "tgt": "Why am I getting lumbar pain while lying on back with occasional acne?", + "src": "Patient: Hello doctor, If I lie on my back for more than two minutes, I have quite severe lumbar pain when I try to get out of bed, mainly when I try to straighten up. It goes away once I manage to straighten up. I also have lumbar acne that comes and goes every few months but this is not so severe. Doctor: Hello. I read your concern. The pain what you describe could be due to flexibility issue. Less flexibility in hamstrings and less hip flexor muscles can cause this issue. This changes the biomechanics of low back altering the posture resulting in pain in the lower back. I would like to suggest you stretch hip flexor and hamstrings. Try sleeping with a pillow below the knees. Do lots of lower abdomen pelvic floor and core stabilization exercises. Dead bugs 30 seconds thrice, hundreds 10 BC thrice, air cycling 30 seconds thrice, bridging with pillow squeezing between legs 15 thrice, step ups 15 each thrice, clamshell 10 seconds hold six each thrice, superman reach 15 each thrice, back extension exercises 15 thrice. Kindly revert back to me after 10 days. Keep icing your back frequently. For 15 minutes once in two hours." + }, + { + "id": 30509, + "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": 22888, + "tgt": "How can I treat the small red dots on the side of my knee?", + "src": "Patient: Hello doctor, I have a cluster of small red dots on side of the knee. It looks like a hickey. It is smooth, painless, and itch-free. It has been on the knee for about two months. I have attached images for your reference. What medicines should I take? Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5752, + "tgt": "My mother-in-law takes my newborn to sleep with her. Will SIDS happen to my child?", + "src": "Patient: Hello doctor, My baby boy was born three weeks and one day earlier, with a weight of 5 lbs 9 oz. We live with my husband's mother, and she is helping us take care of our son. For the past couple of nights, she is taking our son into her bedroom for him to sleep with her. She has two dogs that are miniature pinscher that can be very mean at times. I cannot sleep those past nights because of our son not being in our bedroom and it has stressed a lot and I cried a lot. This is my only child, but my husband's second. I do not want anything bad happening to him like SIDS or anything like that, especially he is so tiny. As I read online, it said for babies not to sleep with anyone and to sleep in their beds due to them being at risk for SIDS. I am too afraid that our son will roll off the bed and hurt himself very badly, or one of her dogs attacks him. I apologize if I sound like a crazy over reacting mother, but it has got me so worried as being a mother for the first time. If I dare say anything to my mother-in-law about it, she will kick us out in the freezing cold and make sure that we have no place to live. What should I do? Doctor: Hello. I understand your problem but it is important to take up this problem as a family collectively involving your husband, mother-in-law, yourself, and if possible your mother too. If I was in your place I would tell the mother-in-law that I wish to stay close to my child as I am unable to sleep without the child in sight out of anxiety and that I want to feed him at night. You can say that since the child is small, the child would require breast feeding every two hourly even at night which is actually very important. That way you can keep the baby with you when the baby is sleeping. And please dogs around the child are strictly not allowed. Regarding SIDS (sudden infant death syndrome) it can happen to any child. Getting anxious about it will do no good. Instead read about how much you can do to prevent it like keeping the child in the supine position while sleeping, burping the child for 20 minutes post-feeding, etc. Also, keep the child in a separate cot whilst sleeping. I have had incidences, in which the child was sleeping with the mother and the mother's hand by mistake went on the baby's face and the baby was unable to breathe." + }, + { + "id": 21424, + "tgt": "How can I take care of my skin during summers and winters?", + "src": "Patient: Hi doctor, I am 28 years old. I have acne prone sensitive facial skin. In winter it is dry, and in summers it is oily. I am unable to select my skincare products, and due to this, my skin is getting worse. I cannot try various home remedies as some of them make my face red and irritated. Mostly, my face becomes red and irritated after I wash my face. And mostly my face becomes red when I wash my face only with water in the morning. I also have large pores on face and pimples are a significant problem. Due to these problems, I do not use moisturizers. My skin is losing elasticity too. So please suggest some chemical free or herbal products for my skin in winter and summer. How should I take care of my face? Doctor: Hi. Use aloe vera cream twice daily. It will help to moisturize your skin. Do you get flushing or redness on your face when eating spicy food? Hot coffee or tea? Stress? Do you get more red pimples during your menstrual cycle? Have you used steroid creams on your face like Betnovate, Panderm? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21873, + "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": 26988, + "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": 247, + "tgt": "What could be the reason for high WBC and neutrophils with immature granulocytes?", + "src": "Patient: Hi doctor, I just received my blood test WBC is 22000, neutrophils are 8700, high absolute immature granulocytes and low lymphocytes. I have noticed that for three years my blood tests have been on the high levels for WBC. Should I be concerned? I have been in and out and they never call me for a follow up. Maybe I should change the doctor? Also, can Phentermine be the cause of this? I only took it for two days before the blood test. I am a 39-year-old female. I have bone pain, neck pain, dizziness, and hair loss. Doctor: Hello. Following is my opinion for your asked question. Your total WBC count and neutrophils are high. Mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body. Your detailed physical examination and investigation should be done to find the underlying cause. For your complaint you can investigate further with ANA (antinuclear antibody) estimation, USG (ultrasound) abdomen, Vitamin D estimation, serum calcium estimation, blood pressure measurement, and blood sugar estimation. Your ear examination also should be done. Antibiotic courses can be prescribed as per the provided report. However, before that physical examination and above investigation can be done. You need to follow up your CBC (complete blood count) with peripheral smear examination report after a few days to check values once again. You can consult a good internal medicine specialist for your examination and investigation accordingly." + }, + { + "id": 8841, + "tgt": "Kindly check the Doppler study and explain the report and treatment options", + "src": "Patient: Hello doctor,My mother-in-law has knee pain for almost three years. Earlier, the pain was mild, and she was taking anti-inflammatory and pain killers under orthopedics care. Now, her pain is quite severe, and the pain killer does not provide any relief. We had Doppler study for her legs, and I have attached the report. Please explain the report and which specialty doctor we need to consult? Doctor: Hello. I have viewed the prescription and the right lower limb arterial and venous Doppler scan reports (attachment removed to protect patient identity). The prescription mentions medications and injection given for severe pain and discomfort. The arterial Doppler for right lower limb is showing mild wall thickening of the vessel walls in the right leg and is acceptable for age. The arteries are otherwise showing triphasic blood flow and are normal. The venous Doppler is showing a mild problem in the veins of the right leg, and at one area there is backflow of blood (going to the heart) below the knee posteriorly and is a condition called varicose veins. There is no incompetence of the larger junctions called saphenofemoral junction in the groin and saphenopopliteal junction at the knee. This can be discussed with a general surgeon or vascular surgeon doctor if available, and usually does not need any active treatment at this point. However, the patient can be told to avoid standing for long duration and keep a pillow under the ankle at night to improve the blood flow. Some doctors might suggest wearing compression stockings during the day. For the severe knee problem, an MRI knee will be of help to see if there is fluid collection and effusion or bone and cartilage destruction or ligament and meniscus tear in the knee and if that is causing the problem. For MRI knee, you can discuss with the orthopedic specialist and then get the test done in a place close to you. The x-ray can be normal in some patients, and MRI knee will show the problem areas." + }, + { + "id": 5373, + "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": 9185, + "tgt": "How can severe pain in back tooth be treated?", + "src": "Patient: Hello doctor, My lower back tooth hurts severely. I have taken Tylenol and it is still not helping. Doctor: Hello. You may have an abscess with infection. You need antibiotics along with painkillers like Tylenol. Get an early appointment with your dentist and get an X-ray done to find which wisdom tooth or other molars are infected. You may need extraction or root canal treatment for it." + }, + { + "id": 8768, + "tgt": "My weight is 48 kg. What should I do to increase it?", + "src": "Patient: Hello doctor, I am 20 years old male. My bodyweight is 48 kg. I want to increase my weight, so now what I should do? Doctor: Hello. You need an extra 500 calories a day if you want to put on excess weight in a week. Protein is the key to muscle building. It will help you gain muscle weight rather than fat mass. Good sources of protein are red meat and poultry, eggs, and whole grains. Salmon is high in calories and healthy fats. Best healthy foods help to gain weight fast. Homemade protein smoothies. Drinking homemade protein smoothies can be a highly nutritious and quick way to gain weight. Milk has been used as a weight gainer or muscle builder for decades. You may also include rice, nuts and nut butter, red meats, potatoes and starches, salmon and oily fish, and protein supplements." + }, + { + "id": 28813, + "tgt": "I was prescribed a lot of medicines after a miscarriage. Are all these drugs necessary?", + "src": "Patient: Hi doctor, I had a miscarriage 15 days back, my TSH is 4.19, hemoglobin is 12.1 g/dL, height is 5 feet, weight is 68 kg, and blood sugar is 54 and 116 mg/dL. Now my doctor has prescribed me with a lot of medicines like Thyroxine, Glyciphage, Aldactone 100, Terbinafine 250, etc. I have some itching in the vagina, so I was given Fungi gel, hookworm, and other infection releasing tablets to be pushed inside the vagina. Should I continue all the medicines? Is it really necessary? Doctor: Hello. Sorry to hear about your miscarriage. All is\u00a0not over, as your reports (attachment removed to protect patient identity) seem normal to me. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26524, + "tgt": "My whole body is getting very tanned. What cream can I use?", + "src": "Patient: Hello doctor, My whole body gets very tanned these days. So, tell me any cream or lotion to clear it. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30189, + "tgt": "My boyfriend moved to another city and I miss him so much. How to handle this situation?", + "src": "Patient: Hi doctor,I am in a relationship for the past four years and my boyfriend has now moved to another city. We were in the same college and I used to hang out daily. But, now things have changed. He is busy there with his life. We are talking so less and so I cry some days. I am not even able to study. I just miss him all the time. Please give me a solution. It is affecting my life. Doctor: Hi. I completely understand that you feel disturbed as your boyfriend moved to another city. It is a natural human reaction to feel sorrow or low or depressed after a loss or failure. We call this grief. Although he is still in your life and sometimes you talk to him, this cannot be considered a loss. The feelings you are experiencing is similar to grief. You need to identify the meaning of his departure in your life. For this, you need to ask yourself a few questions. Is he gone forever from your life? Has he left you? Are crying, being sorry and worried a healthy way to deal with your relationship when you and your partner are going through a tough time in life? What can be other healthy ways or solutions to deal with the situation? These questions will help you redefine the situation of your life. Grief. Here I am advising you some things to cope up better in this crucial time of your relationship. 1. Do share your thoughts and feelings to your partner. 2. Missing your loved one is a positive emotion. Communicate it with your partner. As you mentioned that there are a few moments when you both talk, make this shorter time well productive and good that you both miss talking to each other instead of feeling bad. 3. Find meaning in your life. Think about your interests and what you want to do in life. Now you have more time available to focus and work out to reach your goals. Share your plans with your partner. Get new ideas to spend your time in more productive and healthy way. 4. Be around people instead of spending time alone, because it generates the feeling of loneliness even you are surrounded by lots of people who can help and support you in this hard time of your life. 5. Spend time with your friends and find enjoyment in life. Do whatever you enjoy. It can be anything as listening to music, doing exercise, eating your favorite food, traveling, wearing your favorite dress or aroma, etc. 6. Do a relaxation exercise or deep breathing to calm yourself down. Sit in a comfortable position, take a deep breath, focus on the air going in and out and imagine something positive. Do this exercise every day. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 3392, + "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": 2333, + "tgt": "My daughter underwent CXL eye surgery a month back. How long to continue the eye drops?", + "src": "Patient: My daughter Age 12 yr. has gone under CXL Eye surgery a month back. Due to lock down its not possible to consult the doctor, I would request kindly advise, till when we have to continue these eye drops. (from 27 days ) we are continuing (Vigamox-Moxifloacin Ophthalmic solution IP 0.5% W/V 3times a day and Carboxymethylcellulose eye drops IP 5times a day) how long we have to continue this or what other basic precaution should we follow please help..If it possible I would like to consult from you either video/audio. Doctor: Hi. Good afternoon. I hope you doing well. Most probably CXL done for keratoconus. usually post op antibiotics drop (vigamox) are prescribed for 4-6 weeks so you can continue vigamox 2-3 times a day till 6 weeks. Second drop is lubricant/ artificial tear that can be used long term to avoid dry eyes. so continue that till you ger re-examined by a doctor. if there is no redness/pain or any other problem nothing to worry about. after CXL you would need long term follow up to assess that disease is stable or still progressive. for that your de may advise Topography scan after 6 months or 1 yearly. So stay at home, stay safe. You are most welcome for any queries. GOD BLESS YOU" + }, + { + "id": 508, + "tgt": "I am having weak erections due to masturbation with prominent veins on penis. Please help", + "src": "Patient: Hi doctor, I am 25 years old. I am having weak erections for two months. I think it is because of more masturbation so I stopped doing it since 35 days, but still, I am not having erections. I am also having a prominent vein on the top and either side of the penis even when flaccid. I do not smoke or drink. I exercise regularly. I am worried now please help. Doctor: Hi. According to your history, it looks like you have psychogenic erectile dysfunction. Stopping masturbation would not help. The best would be to start a short course of medicines and take cognitive behavioral therapy to reduce the anxiety which has caused this problem. The vein in the picture looks absolutely normal (attachment removed to protect patient identity) and it is in fact a sign of a healthy penis. Remember it is temporary and most men face this issue sometimes. Maintain a healthy lifestyle and sleep for seven to eight hours at a stretch. Use Lavender aroma in your house which helps reduce your anxiety." + }, + { + "id": 12096, + "tgt": "I feel I have something stuck in my throat and chest. How should I eat?", + "src": "Patient: Hello doctor,I am a 20-year-old female and I weigh 122. I understand that I have anxiety and that I have GERD acid reflux, so I am used to the throat feeling. But today it is different and I feel I have something stuck in my throat and chest near my throat. It does make it hard for me to swallow and I have a dry cough as well. Any advice on how to eat? I am afraid to choke on my food and I have not taken food all day. Doctor: Hi, Welcome back to icliniq.com. The condition of food getting stuck in the throat with a heaviness of chest are also symptoms of GERD. Hence, along with medication, I need you to change food pattern. 1. Reduce oil and cheese products. 2. Drink 4 liters of water per day. 3. Do not skip meals in a day. 4. Omeprazole is not a powerful antacid. Hence, I suggest you take a higher one." + }, + { + "id": 8024, + "tgt": "Is it advisable to sleep with gauze in mouth after tooth extraction?", + "src": "Patient: Hello doctor, I got my number 32 extracted at 1:30 PM. It is now 12:40 AM. I am not bleeding a lot but it is still coming out. Any advice? I would like to sleep but would hate to swallow blood in my sleep thus making me sick. Can I sleep with gauze in mouth? Doctor: Hi. I have gone through your question. I can understand your concern. If the bleeding is still there and you are not able to sleep, change the guaze and wet the another guaze and put it there. If bleeding will not stop you can use a guaze with ice pack. My suggestion is do not be apprehensive, as raised blood pressure is also the cause for bleeding. You can also visit an emergency room for further treatment. The two reasons may be the left root stem and high blood pressure provided you do not have any underlying blood disorder. Yes do not sleep with guaze as it may obstruct your airway and can be fatal too." + }, + { + "id": 601, + "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": 12930, + "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": 8896, + "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": 1770, + "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": 26064, + "tgt": "I have itching on different parts of my body. Is it a sign of liver cirrhosis?", + "src": "Patient: Hello doctor,I have itching on my body since three days. It is not on one part. It happens in different parts of my body. I have a very fatty liver disease. Can it be related to the liver?\u00a0I do not have any other symptoms of liver problem like yellow eyes. Can it be a sign of liver cirrhosis? Doctor: Hello. Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13619, + "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": 29966, + "tgt": "Kindly clarify if I am suffering from uterine cancer", + "src": "Patient: Hi doctor, I am sending you the reports of my transvaginal ultrasound. Please tell me if the fibroids are to be removed and the risks of such surgery. Doctor: Hello, Welcome back to icliniq.com. As the pictures are really unclear, kindly avoid sending photos of the report. You may just scan the written report and send it to me. I would like to see\u00a0the ultrasound report. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19290, + "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": 3080, + "tgt": "Late night thoughts makes me overthinking. Why?", + "src": "Patient: Hello doctor, Every night around 2-3 AM, any thought that crosses my mind makes me overthink about it. I am worried about such things that do not have a fixed solution. It may or may not happen. I've tried listening to meditating sounds, calming sound during that time but to no avail. After an hour or two I do get normal but then I am so full of energy that I cannot fall asleep so I get up and start some work. (I am a freelancer working from home). I usually cannot sleep until my head feels heavy, eyes start closing and I start dozing off while working. For a few weeks, I have been sleeping in the afternoon or evening for three to five hours only. Rest of the time I am either thinking or working. Sometimes if I cannot stop thinking I smoke around two to three cigarettes to get over it. It does not help me sleep but helps me focus on work more and overthinking stops quite instantly. Doctor: Hello. Your blood report is absolutely normal (attachment removed to protect patient identity) and I do not think there is anything alarming. Yes, your lipid profile is deranged and if you are overweight then try to reduce weight. At your age, it is not common to see raised cholesterol. Regarding the issues you have during sleep, in my opinion, this is probably occurring due to anxiety. You should seek a psychiatrist consultation for treatment. Improve your sleep hygiene and this will improve the symptoms. Avoid giving attention to minor things. Take a high protein diet and complex carbs and low in fats. I hope this helps." + }, + { + "id": 16528, + "tgt": "Can an endometrial polyp grow so quickly in a span of eight weeks?", + "src": "Patient: Hi doctor, I had induced abortion three months ago and had a transvaginal US. It showed everything was normal and the endo lining was 8 mm and the uterus looked closed. I cannot find that report, but I know the uterus looked normal, just like on all my previous reports.\u00a0I had my periods regularly for the next two months. I think I ovulated both times because I had all the signs and the temperature rise. Both periods were quite heavy and last one was a bit more on the hemorrhagic side, but not something to worry. I just noticed, it was more abundant and red than my normal and also less crampy and painful. No spotting or any other irregularities. Yesterday, cycle day 11, I went for an ultrasound to monitor my follicles and incidentally the doctor saw something in my endometrial lining, which she assumed was a polyp. The endo lining was 12 mm. I have attached images for your reference.\u00a0The doctor was not worried about it, since it was so soon after the late abortion and she said maybe it will go away on its own and wait for two to three months. Although she said if it is a polyp then it will not go away. So, I am confused. Anyway, I have become very stressed over this, worrying that it is endometrial cancer and why else would a polyp grow so much and so quickly in just seven to eight weeks. On all my ultrasounds in the last years, no polyp was ever found or suspected and the image never looked like this. I am\u00a0wondering how serious and worrisome for cancer this looks. Should I push for a hysteroscopy? I know that if it is cancer, I am going to lose my uterus and ovaries and never going to have a baby and I am terrified this will be the case. And I have read that up to 4% of endometrial polyps are cancer. My bad luck seems to never end.\u00a0Also, could it be something other than an endometrial polyp, such as a placental polyp or a blood clot or a placental site nodule? I read about those online. I have taken a home pregnancy test and it was negative. So, I do not have much HCG in me anymore and I also ovulated normally and have a dominant follicle right now waiting to ovulate. I am just surprised that it is so soon after the miscarriage.\u00a0Can you let me know your opinion? What does it look like to you on the ultrasound pictures? What should I do next? Doctor: Hi. From the ultrasound picture (attachment removed to protect patient identity) you have provided, it does not look like polyp in endometrium. In fact it looks like some collection such as fluid or blood in endometrial cavity, although the appearance of single static film can be deceiving. Polyp normally looks more hyperechoic (whitish). Even if it is polyp, there is no need to worry as many polyps come and go with menstrual bleeding and as you said there is 96% chance of it not being cancer. I always like to look on positive side. So, there is no need to hurry for hysteroscopy. Chance of polyp being endometrial cancer is very low especially if it occurs after abortion or childbirth as your endometrium had more than sufficient exposure to progesterone to prevent cancer. If you are feeling physically fit to carry pregnancy and of course if hemoglobin has come back to normal, there is no contraindication for conception. But, my recommendation would be to wait for at least one more month. If polyp is seen again in next midcycle scan, we can plan hysteroscopy in future and there is no need to think about it right now. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29224, + "tgt": "Does lack of estrogen raise calcium level in urine?", + "src": "Patient: Hi doctor, Five years ago, I had a hysterectomy\u00a0for early stage node negative breast cancer. I am 49 years old. Currently, I am on Arimidex. My prognosis was 4% risk of recurrence. Since my surgery, my calcium levels are at 9.7 to 10.2 and albumin are 4.7-5.0. Four years ago, a routine CT scan showed two stones. I have them followed annually by ultrasound. This month, my doctor decided to do a 24-hour urine as the stone grew a little. I have attached the reports. My 24-hour urine was 452, which I understand is elevated. Is the level very high? Does lack of estrogen raise calcium in urine and affect urine results? I did have one lobe of my thyroid removed before 16 years for 4 mm papillary thyroid cancer. My PTH was checked\u00a0three years before and it was 22. Doctor: Hi. I have seen the reports sent by you (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23836, + "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": 2002, + "tgt": "I have mild cold with something stuck in throat and swallowing difficulty. What could cause this?", + "src": "Patient: Hello doctor, I have had a mild cold symptoms over three weeks ago. Because of this global pandemic I got stressed and started feeling chest pain and abdominal muscle pain, etc. I did not have a fever, like not a single day. So I know that chest pain can occur due to stress and anxiety and to make myself feel better I went to the doctor's office so my doctor can listen to me breathing with a stethoscope. She said that my lungs are totally clear and that there is no strange noises. She said that I should take vitamin B and I was diagnosed with oral candidiasis. Now I am feeling a sort of bubbly feeling at the top of my chest and in my throat but only when I lay in bed and I feel like there is something stuck in my throat and I have a bit of discomfort when swallowing. So if my doctor said that my lungs are fine, what can it be? Doctor: Hello. Most common symptoms of Covid-19 are fever, cough, and dyspnea. You mentioned you do not have fever, cough nor dyspnea so it is least likely you have Covid-19. Moreso, your lungs were clear. However, since we are in a pandemic, observation and self-quarantine is still advised. Yous symptoms of lump sensation in the throat and difficulty in swallowing may be caused by gastroesophageal reflux disease or GERD. Stress may have triggered it. I recommend you take Omeprazole 40 mg one tablet for two to four weeks. Avoid eating spicy, oily, fatty, and dairy foods. Avoid drinking alcohol, carbonated, caffeinated drinks. Avoid smoking and avoid lying down within an hour after eating. I hope this helps." + }, + { + "id": 30248, + "tgt": "I am worried about spotting during my initial days of pregnancy. Please help", + "src": "Patient: Hi doctor, Actually, I am 6 weeks pregnant. During my 5th week, I had a light spotting of brownish black color. I was worried as it is my first pregnancy. In the emergency room, they told me to take complete rest. After five days, I visited the ER again and had a scan. The doctor said that he never heard my baby's heartbeat. He said that I may have miscarriage. He also said that I have some vaginal infection and so, I was prescribed with Clindamycin 300 mg. After using this medicine, I am not spotting. I am so nervous. What can I do now? Doctor: Hi. I can understand the anxiety you are going through. I have gone through your 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": 17825, + "tgt": "My wife has PCOS. Will she be able to conceive?", + "src": "Patient: Hello doctor, My wife has PCOS\u00a0and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a\u00a0primary infertility problem and she suggested Mychiro tablet for three\u00a0months. Is there any severe issue for her? They mentioned in the\u00a0report that E7 was 9.3 mm on the eighth day of the\u00a0period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue. Doctor: Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20282, + "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": 22756, + "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": 13875, + "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": 16973, + "tgt": "Is this brown spot I developed, a wart or a symptom of HPV?", + "src": "Patient: Hello doctor, A few months ago, a doctor told me that I had a genital wart. It looked like a flat mole to me. Eventually, it was removed. I want to know if this brown spot I developed recently is also a wart or a symptom of HPV. Doctor: Hello. Genital wart is caused by a virus, human papillomavirus (HPV). It is contagious, can spread from one person to another and can also spread to surrounding areas of the skin. I saw the picture (attachment removed to protect patient identity). It looks like a flat brown macule. The wart will have a rough surface with finger-like projections or cauliflower-like. During the initial stage, when it starts to appear, it will be flat. Later, it becomes elevated and rough. I am afraid I am not able to say if it is a wart or not because the picture is becoming blurred when I try to zoom in to appreciate the finer details. Thedermoscope examination will reveal the features. A mole will have pigmentation in a pattern, where dotted vessels are seen if it is a wart. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 22030, + "tgt": "My 5 year old son is losing his front teeth. Is it good or bad?", + "src": "Patient: Hi doctor, My son is five years old. Recently, he lost his front bottom teeth and now the other front bottom tooth is also loose. Is it good or bad? Before four months, all his molar teeth were removed due to decay. Doctor: Hi. Exfoliation of primary teeth is not bad at five years of age. Mostly, the primary teeth fall due to the clear eruption of the permanent teeth. There will be a formation of roots of the permanent teeth to erupt. The roots of the primary teeth get resorbed by the crown of erupting one and the teeth become loose or fall. It is normal. In case, if you are not using a space maintainer on the posterior teeth (molars), you need to use it. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4630, + "tgt": "Will Shilajit and Ashwagandha help to regain lost power and memory due to masturbation?", + "src": "Patient: Hello doctor, I am 19 years old and weighs about 65 kg. I am suffering from masturbation effects like leg pain, fatigue, night fall, body weakness, and weak memory. I also think that my hair are getting thin and I lost my few hairs from the top of my head. I masturbate for the last seven years. In the beginning I do excess masturbation like four to five times a day but now I controlled it and I usually do once or twice a week. I tried a lot to stop it but cannot stop it. I need your help. Please suggest me some medicine to recover from the side effects of it. Can I take Shilajit and Ashwagandha both or not? And in which dose I should take it? Please give me some suggestion to gain my memory power. Doctor: Hello. This is not abnormal in this age. Please take the following drugs: 1) Rathina Purush capsule one in the morning and one at night with a cup of milk. 2) Gnanavalli capsules one in the morning and two in the evening. These drugs are available in Siddha and Ayurveda pharma. These are the two major drugs for your issues. You may contact local ayurvedic medical shops to get it. 3) Shilajit and Ashwagandha these two are supplementary and very useful. You can take Shilajit one in the morning, one after lunch and one in the evening. Ashwagantha legium is better. 1 gm in the morning, 1 gm after lunch and 1 gm after dinner. All these four drugs are to be taken after food for three months. They rejuvenate you and boost your energy level. Also, your memory will be improved. 4) You can consume more dry grapes, grape juice, pomegranate juice and add more curd or buttermilk in your diet. 5) You need to apply Brahmi hair oil to hair and wait for 30 minutes, then take a bath. This should be done every alternate day in the morning. This is to maintain normal body temperature." + }, + { + "id": 16039, + "tgt": "Is it possible for ear perforation to heal on its own again?", + "src": "Patient: Hello doctor, I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again? Doctor: Hello. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now." + }, + { + "id": 19823, + "tgt": "My CRP value is 2. 61. What does it indicate?", + "src": "Patient: Hello doctor, In my routine blood check, the CRP value came up as 2.61. Is this harmful? The lipid profile is as per nominal value. I am attaching the reports. Doctor: Hello. I went through your reports (attachment removed to protect patient identity). For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 9734, + "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": 3471, + "tgt": "Is it advisable to stop bipolar medication once I stop getting the symptoms?", + "src": "Patient: Hello doctor, I am a patient of bipolar disorder. I am not experiencing bipolar disorder symptoms for more than two years. So, can I leave medication gradually? I have completed my education during my treatment. I was diagnosed with this disorder a few years back. I am constantly being treated for the past six years until now and unable to understand the timing of leaving the medication. I skipped the medicines all of a sudden two times before but not after that. My psychiatrist says that you are in a stable condition, but I cannot tell you when I shall end your minimal medicines. He even does not give any clues about this to my parents. And, all of us are confused and upset because of this condition. Please advise. I am currently taking Adablizer 10 mg 1/4th tablet only at night, Oxalepsy 300 mg one in the morning and one at night. Doctor: Hello. Normally, after the first episode of bipolar illness, medicines are advised to be taken for one year and stopped slowly. After a second relapse it is advised for two or three years and then stopped. For the third relapse, it is to be continued lifelong. If you have taken them regularly as you have said, you can try reducing them slowly over course of four to six weeks and if you feel that symptoms are recurring you might need to go back to the previous dose you felt comfortable on. Reduce Aripiprazole 10 mg to 5 mg for four to six weeks. Then reduce Oxcarbazepine 300 twice to 300 half in the morning and one at night for four weeks. Then make it just one tablet at night. Then Aripiprazole 5 mg half for four weeks. Then 300 mg half for four weeks. Finally, you can stop Oxcarbazepine and lastly after another four weeks stop Aripiprazole." + }, + { + "id": 19752, + "tgt": "My mother is so clueless about what she is doing. Why?", + "src": "Patient: Hi doctor, My mother is 50 years old. Sometimes, she is so clueless about how to talk, what to talk and when to talk. As a result she always gets hatred from the people around her. She fights with everyone and always complains about each and everything happening.\u00a0We used to think all these where hormonal problems, but it is getting worse day by day.\u00a0She always feels that she is unloved. She is extremely possessive about people and she does not let my father socialize with anyone. If she does not like a person she does not let us interact with that person. She never tries to understand people and what they tell whether it is right or wrong. She is extremely selfish, stubborn and half the time she is grumpy. Is it any physiological problem? \u00a0Do we need to take her to a psychiatrist? Please suggest us. Doctor: Hi. Revert back with the details to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14114, + "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": 11451, + "tgt": "What can be the reason for sudden uneasiness and weakness?", + "src": "Patient: Hi doctor, A 44 year old woman, suddenly felt uneasiness and weakness. Her BP was measured and the reading was 141/96. She weighs 55 kg, non-diabetic, no previous history of dyslipidemia and she is quite active. What investigations should be done immediately? And how to proceed? Doctor: Hello. Well, a single episode with the symptoms of uneasiness and weakness is most of the times nonspecific or due to a mild anxiety attack. If such is the case you should not be worried about it. But, if such episodes are frequent and comes repeatedly, then definitely it should be thoroughly investigated. Though her BP (blood pressure) is slightly on the higher side, it is not as high as to cause sudden onset and prolonged uneasiness. To be on the safer side, I would like to suggest her very mild antihypertensive and anxiolytic for a short duration. But before that, I would like you to get few investigations done on empty stomach and let me know the reports. Another important factor to consider for her is that it may also be related to menopause, which can lead to hormonal disturbances, anxiety, uneasiness, hot flushes, mood disturbances and intolerance to mild/moderate heat and cold. So, kindly let me know about any recent changes in her menstrual cycles, so that I can evaluate that aspect too. Revert back with the investigation reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14997, + "tgt": "There is a neck swelling and Mantoux test shows 15 mm raised surface. Can it be TB?", + "src": "Patient: Hello doctor, My mother has gone for the Mantoux test and the report stated 15 mm raised surface. There is a swelling on the left side of the neck near the shoulder. Firstly we went to a homeopath because we thought that it is a stone. After 3 to 4 days it started paining after that we went to the mentioned doctor. He has given those medicines and has written some of the tests. And now he has written a new test called FNAC (which I do not know). So today my mother has gone for the test and yet the report is pending. Doctor: Hi. I have reviewed your query and here is my advise. The swelling could be due to infective enlarged lymph nodes, reactive node enlargement or tuberculosis. You cannot rely on the Mantoux test. It is not the test for tuberculosis. To confirm tuberculosis and to rule out the nature of lesion you need to investigate with fine needle aspiration cytology. In this investigation, a needle is inserted into an enlarged node and material taken outside over slide which is stained and examined under the microscope. It is five minutes OPD procedure, so do not worry about that." + }, + { + "id": 22741, + "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": 1558, + "tgt": "My wife is 10 months pregnant with severe vomiting. Please suggest solution and supplements", + "src": "Patient: Hello doctor, My wife is 10 weeks pregnant. Due to lockdown, we are not able to go to the doctor. She feels body pain and started spitting a lot from the fourth week. She also vomits a lot. Please tell me what should I do and also suggest health supplements for her. Doctor: Hello. Nausea and vomitings are pretty much common during the first three to four months of pregnancy which happens due to sudden hormonal changes. The body pains she feels is also due to the same reason. I am assuming she must be taking Folic acid supplements already after she got to know she was pregnant, or once the scan was done. If not please start them immediately. After 14th week she can stop Folic acid and switch to iron supplements once nausea and vomitings subside. I will be mentioning the tests that she needs to take up as she is already 10 weeks pregnant. There will be an important scan in the coming weeks, that is, between 11 to13 weeks, which is called NT scan (Nuchal scan) and also a blood test called double marker test which is for the screening of Down's syndrome in the fetus, along with other chromosomal abnormalities called Trisomy 13 and 18. Please do not miss these tests. You can get back to me if you got any further queries. Pregnancy-induced nausea and vomiting. NT scan (11-13 weeks). Dual marker test (11-13 weeks). Tablet Folvite 5 mg daily, Doxinate plus (Doxylamine, Pyridoxine and Folic acid) two tablets at bedtime for 15 days (it reduces nausea and morning sickness). Tablet Emset SOS 8 mg before food, if vomiting is uncontrolled. Syrup Gelusil two teaspoons thrice daily 15 minutes before food for one week. Small meals at frequent intervals. Avoid spicy foods. Drink more water and fluids to avoid getting dehydrated. Avoid sexual intercourse untill 14 weeks to prevent the risk of miscarriages." + }, + { + "id": 3283, + "tgt": "My irregular bleeding is disturbing my cycle to conceive even with medications. What to do?", + "src": "Patient: HelIo doctor, I have been diagnosed with PCOD and endometriosis suffering from irregular bleeding which does not seem to stop. I saw a gynecologist last month, she happens to be my regular doctor. I am also planning to conceive so she gave me certain medications that would help me to plan. But the main problem arising is my period does not seem to stop and now it is really disturbing. I am confused with my medications also when I am planning to take contraceptives to regularize my period it would not be good for me I guess. Kindly suggest something which will regularize my period and also help me continue with baby planning medications. I am currently on Folic acid with Metformin tablets. Doctor: Hello. The PCOD (polycystic ovary disease) is confirmed by ultrasound transvaginal and there is a presence of a small fibroid as well in the posterior wall of the uterus along with a left ovarian endometriotic cyst. (attachment removed to protect patient identity). This simply confirms that there is an estrogen depletion and testosterone excess in your body which needs to be rebalanced and that can be done with the help of oral contraceptive pills and Myo-inositol and D-Chiroinositol supplementation for at least three cycles. You have to understand that PCOD is alike diabetes and cannot be completely treated but can be controlled and prevented with lifestyle and dietary modifications post-medical treatment. You need to be placed on medications before you start ovulating naturally which you are not due to PCOD. The presence of a hemorrhagic cyst, unlikely endometriotic too can be addressed with the PCOD regimen. The insulin resistance in your body would too have to be controlled and you need to avoid oily, spicy, and fried foods to an extent along with brisk walking daily with adequate daily water intake. Please do not opt for an ovulation induction cycle as that would be an attempt in vain." + }, + { + "id": 25476, + "tgt": "Post fibroids operation there is gradual deterioration in health. What to do?", + "src": "Patient: Hi doctor,My mother is facing a psychological problem. She had a fibroids operation seven years back. Before the operation, she was very active but after this, her health has gradually deteriorated. At present, she cannot recognize anyone, she shouts by seeing everything, she has an involuntary passing of urine and cannot eat on her own. We have also consulted a neurologist, but they said there is no problem. We cannot take her out. Please suggest us what to do. Doctor: Hello. Her symptoms could be related to depression, but I would first recommend performing a brain CT scan to exclude a brain tumor or hydrocephalus which can mimic this clinical situation. I would also recommend checking your thyroid hormone levels and vitamin B12 and vitamin E plasma levels to investigate for a possible deficiency. If all these test results are normal, the next step would be consulting with a psychiatrist. In such a case an antidepressant may be needed. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3586, + "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": 10832, + "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": 17093, + "tgt": "We had a TORCH test after miscarriage. Can you explain the reports?", + "src": "Patient: Hello doctor, My wife was pregnant last year, but a miscarriage occurred.\u00a0We consulted our gynecologist and he\u00a0suggested we have a TORCH test. The result of TORCH was rubella IgG 270.30 and IgM 0.42, and CMV IgG 118.60\u00a0and IgM 0.26. We are unable to understand the report. Is this hike in the value of Rubella IgG and CMV IgG the cause of miscarriage? Please guide us. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17075, + "tgt": "Can Ovidac injection give false beta hCG values?", + "src": "Patient: Hello doctor, I conceived with the help of frozen embryo transfer, which was done the 26th of last month. My last menstrual period was on the seventh of last month. My beta hCG was 494 on seventh of this month, it was 886 on the ninth, and it was 2875 on the 12th. A few days back, I started mild spotting, so I\u00a0consulted a\u00a0doctor. He did an\u00a0ultrasound and said everything is fine. The ultrasound picture had a small black hole in it. The doctor prescribed Ovidac\u00a0and\u00a0Michele\u00a0injection. Yesterday, I decided to get a beta hCG checked, and it was 10636. Does Ovidac\u00a0interfere with beta hCG? I took Ovidac\u00a024 hours before the blood test. Please explain. Thank you. Doctor: Hi. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 1343, + "tgt": "How can GERD be treated completely?", + "src": "Patient: Hi doctor, I have been diagnosed with GERD as confirmed by an ENT specialist, I took medicine for over a month but I did not get totally well. I changed my diet plans, cut off fatty foods, fried foods, citrus foods, etc., started excersice. I elevate my head while sleeping. But nowadays I wake up in the middle of night with very dry mouth and extreme sore throat, sometimes coughing. When I drink water even warm water my throat is itching, it does not get much itchy while swallowing. I am feeling comparatively at day time. Doctor: Hello. Do not worry, you will get well soon. Yes, you have problem of GERD, due to acid reflux you have this problem. I will suggest you some investigation and treatment for this. Follow same diet plan. Try to walk for sometime after every meal. Get done upper GI endoscopy done from some good institute if not done previously. Send me blood investigation and other investigation report if available so I will see them and advice you accordingly. Here I am prescribing some medicine which will surely help you. Tablet Normaxin 1 tab BD for 7 days, tablet Rablet L 1 tab OD before breakfast, syrup Gelusil 2 tsp TDS, syrup Sucral 1 Tsp TDS. Total duration 7 days." + }, + { + "id": 8201, + "tgt": "Is there any chance of oral HPV transmission via kissing?", + "src": "Patient: Hello doctor, Four months ago, I had an encounter with a CSW. During that time, I kissed her mouth, boobs, and the outer lips of the vagina (not vagina). I had taken tests for HIV, HBsAg, HSV, after three months and all those came negative. During that time, I had taken a normal urine test for UTI. In that report, the pus cell values are 3 to 6. My questions are: I had not taken any separate test for gonorrhea, chlamydia, or trichomonas. May I take that normal urine test report (whose pus cell values were 3 to 6) as conclusive because in a forum, I have read that pus cell values of more than 10 is only considered as STD. Or, do I have to take a separate test for those? Is there any chance of oral HPV transmission by kissing the lips (mouth), and the outer covering of vagina. If so, is any blood test available for testing oral HPV? Doctor: Hello. You said you did your HIV test three months after sexual exposure. So, it is very unlikely that you got infected. Secondly, the likelihood of getting gonorrhea and other infections which you mentioned are very unlikely after three months. If you had developed gonorrhea, there would be discharge or bumps over the penis within one month. About oral HPV, if your sexual partner had this infection, then there is a possibility of transmission, but that too is very unlikely. If you had developed, you would have symptoms by now. There would be at least minute warts that would have appeared over the oral cavity or genitalia. So, do not get tensed. Be cool. Take care not to have encounters with unknown persons and if you do, I suggest using adequate protection in the form of condoms. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 29153, + "tgt": "My front teeth chipped out following a hit. Please suggest me the right treatment", + "src": "Patient: Hi doctor,I got a hit, and four of my teeth chipped, out of which two hurts. It has only been less than 24 hours so far. I went to the dentist, and she says that I need a root canal right away. However, taking a second opinion, the other dentist says a root canal is not necessary and it will heal on its own since it is not looking major. Please suggest me the right treatment. Previously, I had braces treatment. I am in retainers for almost two years since the braces were taken off. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27428, + "tgt": "Is it normal to get two migraines in a day?", + "src": "Patient: Hello doctor, I am a 19 year old\u00a0female. Is it normal to get two migraines in a day, within nine hours of each other? I have been getting them more often in the last few months, roughly once a month for the last six\u00a0months. But all of a sudden, I have gotten two today. Doctor: Hello. For more information consult an ayurveda specialist --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10549, + "tgt": "Can stopping Sizodon LS suddenly cause any problem?", + "src": "Patient: Hello doctor, Since four years I am taking Sizodon LS medicine from a trusted doctor. Nowadays I feel sufficient response. But after consulting my same doctor, he is avoiding to stop that medicine. As per his opinion, if I stop this tablet, again I will face problem after a month. Now, I request you, is it true or false? Doctor: Hi. As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the drugs depends upon many factors like your diagnosis, family support, etc. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist." + }, + { + "id": 18069, + "tgt": "Could sinus infection cause autophony?", + "src": "Patient: Hi doctor, I had a sinus problem and got cleared before two months. Now, I have been suffering from autophony in one ear for the past two months after the sinus surgery. I used to clench my jaw a lot during sinus issue and there is some jaw pain. All my audiometry and pressure tests are normal. Also, there is no problem in my MRI. Please help. Doctor: Hi. For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 15331, + "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": 14546, + "tgt": "My friend's son has been diagnosed with hypochondroplasia. Kindly suggest the best treatment", + "src": "Patient: Hello doctor, My friend's son has been diagnosed with hypochondroplasia. He is 11 months old. His height is 50 cm and weight is approximately 5 kg. Kindly suggest the best treatment. Doctor: Hi. Hypochondroplasia is a rare and genetically inherited condition. It involves the skeletal system, and the child's height and weight are definitely low. And birth history (attachment removed to protect patient identity) also suggests some abnormality. What about the parents status, is anyone affected or are they normal? Very rare tests have been performed, and he has been examined at reputed institutes and already seen by a genetic specialist. The child needs a multispeciality/multidisciplinary approach: Unfortunately, there are no medications to cure this disease. Genetic disorders can affect many body systems. The best we can do is treat the symptoms that are caused. There are more severe forms of the disease which can be life-threatening. Hypochondroplasia is only a milder form. Hope this information is helpful." + }, + { + "id": 16998, + "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": 14241, + "tgt": "Why is a PCOS patient noticing blood on inserting finger though missed period?", + "src": "Patient: Hello doctor,I have not had periods in three months due to PCOS (polycystic ovarian syndrome). Recently, I had a burning sensation while I urinate. I had couple of pictures taken and I realized I bruised myself while showering because my nails are long. Yesterday, I had some cramps like period cramps, checked for a period, there was none. I used my finger to check and saw blood, so wore a safety napkin throughout the last night while asleep and woke up with nothing on it. Inserted my finger again this morning and I still see little blood. What is the issue? Doctor: Hi. I have read your concern. I presume you already know that PCOS causes your irregular menstrual cycle. And it can also present like very scanty bleeding or just spotting today then nothing at all the following day, it is called oligomenorrhea and it is part of the PCOS. However, with the history you have told, you have long fingernails. It is also possible that you have caused a little scratch to the vaginal mucosa that would have caused the mild bleeding. I suggest you set an appointment with obstetrician and gynecologist to prescribe you with pills to regulate your menstruation. In the meantime, if the bleeding is just mild, you need not worry about it." + }, + { + "id": 22890, + "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": 8545, + "tgt": "Eating fatty foods give me severe stomach cramps. What could be the reason?", + "src": "Patient: Hello doctor, I am a 24 year old female. What could be the cause of a severe stomach pain that happens after eating nuts, seeds, and things with oil in them? By oil, I mean even olive oil and not just greasy foods. This reaction has been happening for a year or so, and I have avoided these foods as a result. I recently had rice with olive oil, and within five minutes, my stomach hurt so bad that it felt like the beginning or middle stages of labor.I have taken a Pepcid, and it did nothing. I do not have any diarrhea or vomiting, just severe pain, and stomach cramps. Doctor: Hello. Severe stomach pain and cramps can be caused by pancreatitis and food allergy. In your case, both are equally probable. Pancreatitis is a common cause of pain that occurs after the intake of oil-rich foods. Food allergy is a diagnosis of exclusion. I suggest the following investigations be done: Avoid all the precipitating agents. Further management methods can be decided after the investigations are done. Revert with the reports. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3822, + "tgt": "What can cause yellow colored urine?", + "src": "Patient: Hi doctor, My urine is yellow in color for the last two months. One week back, I had blood test, urinalysis and LFTs. All the reports were normal. What is the reason for the yellow color of my urine? Doctor: Hello. High colored urine can be because of various reasons. Drinking less water in the hot weather can also cause high colored urine. Revert back with the answers to a forensic medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/forensic-medicine-physician" + }, + { + "id": 7389, + "tgt": "If a person with chronic kidney disease receives Toradol 60 mg,can that lead to acute renal failure?", + "src": "Patient: Hello doctor, If a person with chronic kidney disease with a creatinine of 1.9 and a GFR of 40 receives Toradol 60 mg IM as a single dose, can that lead to acute renal failure? How soon would failure occur after the administration of the medication? Doctor: Hi. For further queries, consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 17323, + "tgt": "I lose my erection when I try to penetrate. Why?", + "src": "Patient: Hi doctor, I am a 38 year old\u00a0male, who is a regular smoker, and I work abroad. I go home for two months every year. From the last two years, I am facing problems in my sex life, when I go home. My penis is not getting erect fully, and when I try to penetrate, I lose my erection. I drink alcohol only during my vacation. Hoping to hear from you soon. Thank you. Doctor: Hi. Depending on the reports, the treatment is advised. Stop smoking. Revert with more information an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14047, + "tgt": "What makes me getting suicidal thoughts and avoid marriage?", + "src": "Patient: Hello doctor, I do not know what disease I am suffering from but it is killing me deep down. I do not want to get married, my parents are forcing me. Please help. It is going on from past 3 to 4 months. At times, I feel like going away from the house or to kill myself but then I see towards my family and the idea of dying gets ruled out. I was suffering from mild depression but my parents do not know about it. Doctor: Hello. Let us summarize your complaints, thoughts of running away from the current situation, occasional suicidal ideas, avoidance of marriage. Marriage is a cause of joy but it is a stress in itself. So, maybe you are trying to avoid further stress because you are overwhelmed with the stress of your current life. Besides, medical education is tremendously stressful and enough to cause depression in the vulnerable. Besides, you give a history of mild depression in the past. If you are having suicidal thoughts, even occasionally, it is a marker of severe depression and needs treatment by a psychiatrist. Other symptoms of depression include sadness, loss of interest in previously pleasurable activities, change in sleep, appetite, weight. Anxiety, guilt feelings, pessimistic thoughts, if you feel that you also have these symptoms, then it is likely to be a major depressive disorder. It can be treated with antidepressant medicines like Escitalopram or with counseling, psychotherapy with a psychologist. If you do not have these symptoms, then we will have to search for other causes of your current complaints. Send follow up to this query if you have any other symptoms. Take care. Consult a psychiatrist privately for more help, information, and guidance about depression and its treatment." + }, + { + "id": 3539, + "tgt": "Is there any serious concern in my LFT report?", + "src": "Patient: Hi doctor, I do not eat spicy, but I have acidity. I have slight pain in the bones of foot. I am on blood pressure medication since five years. In my LFT there is a slight increase in SGOT 45.9 U/L and SGPT 77.4 U/L. I have attached my entire blood report for your reference. Please advise if it is of some serious concern. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18917, + "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": 22684, + "tgt": "Had unprotected sex when she was in her period. Will she get pregnant?", + "src": "Patient: Hi doctor, My fiancee and I had unprotected sex yesterday. Her period also started yesterday. It was the first day of her period. She took an I-pill after seven hours. Today also, she was bleeding and again we had unprotected sex. Her period cycle is of 24 to 27 days cycle. Will she get pregnant? Please help us. Doctor: Hello. I have gone through your history and understand your concerns. As you had I-pill, the chances of pregnancy are not there in your case. But as you had unprotected sex after I-pill, then the chance of pregnancy is again there but as she is in her menses, there is almost no chance of pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27023, + "tgt": "What can these white patches in my mouth be?", + "src": "Patient: Hello doctor, I have developed a few white patches in my mouth for few days. The image is attached herewith. Is it just a fungal infection or something else? What medicine do you suggest? There is no pain or bleeding. It is not increasing in size. I never had anything like this previously. I never smoked or chewed tobacco. Doctor: Hello. Also, please send a clear image of the lesion. Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13055, + "tgt": "What does my blood test for excess gas release indicate?", + "src": "Patient: Hi doctor, Yesterday, I took the blood test because of excess gas release and in that my red blood cells showed some impressions. Please help. I have attached my report. I am afraid and shivering. Is there any problem in my blood test? Doctor: Hello. Your CBC report is normal and does not suggest a specific abnormality. The red blood cell count is within the limit so do not worry about that. In the attached report, serum amylase and lipase are elevated (attachment removed to protect patient identity). So pancreas inflammation has to be ruled out. For that, you need to investigate with ultrasonography of the abdomen. Meanwhile, symptomatic management has to be done. For stomach pain, Rabeprazole antacid has to be prescribed. For gas problem Simethicone containing tablet or syrup has to be prescribed. After one week, repeat your serum B12 level. It is water soluble vitamin, so mostly it will bring down to the normal level after a few days. I suggest you consult a nearby physician for detailed evaluation." + }, + { + "id": 29193, + "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": 22884, + "tgt": "How can I stop fishy smell coming from my vagina?", + "src": "Patient: Hello doctor, About two weeks before my most recent period, I began to get a fishy smell from my vagina. I wash it every day using Vagasil. So, I was confused. Once my period came, the smell went away and I thought it was gone for good. But, the day after my period ended, the smell was back, but it was a rotten smell, not a fishy one. I am currently on my third month of the birth control pills called Aubra. I am not sure if it has anything to do with the smell, but I figured it was necessary information. What I really want to know is what can be the cause of this and how can I get rid of it? Doctor: Hello. You have not mentioned your detailed menstrual, gynecological, medical, drug history, etc., or any disease you have been treated for. First of all, it is better to have a vaginal swab to check which pelvic infection this is. Notice any symptoms you have along with this vaginal discharge like fever, itching, abdominal pain, vomiting, etc. Follow up with the report of the vaginal swab. After sending the sample to the lab, I suggest starting: Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Have treatment of disease completely if you have been treated for any. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17273, + "tgt": "Please suggest some medicines for my wife's UTI and hematuria", + "src": "Patient: Hi doctor, My 31 year old wife got UTI and hematuria last year, which got resolved after medication. Today she started having UTI symptoms like frequent urination with burning and pain. Please suggest some medicines. Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4627, + "tgt": "Kindly interpret my CT scan report for perforated ear", + "src": "Patient: Hello doctor, I am a 40-year-old male. I have perforated right ear for the past 20 years and get discharges on various occasions and treated every time. But I have no discharges for the last three years. As a routine checkup, I am asked for a CT scan and the findings are as follows: 1) Right -sided mastoid air cells are partially sclerosed with reduction pneumatization, however, no collection is seen at present in mastoid air cell or middle ear cavity. 2) Right maxillary small retention cyst. 3) Mild DNS with nasal septal spur. I have no problem in the ear except a tension (pull) in nerves (veins) around the right ear while moving my head to and fro. I am currently taking antibiotics and Montelukast. My lab report shows WBC 9600 / cu mm, Neutrophils 74%, lymphocytes 18%, monocytes 01%, eosinophils 07%, basophils 00%, ESR first hour 06 mm. Doctor: Hi. You have right-sided chronic otitis media which is a common type of chronic middle ear infection. It is common to have recurrent ear discharge in this condition because of the perforated eardrum. Since your ear is dry for three years you need not worry much. As far as CT (computed tomography) findings are concerned, 1. Sclerosis of the mastoid is common in patients with perforation of eardrum with earlier infections. It is absolutely normal in you to have these findings, there is nothing to worry about. 2. Maxillary retention cyst is a common incidental finding in routine CT scan and not a problem to worry about if you do not have nose related problems. 3. DNS with spur if asymptomatic (like nose block) is also a common incidental finding and can be present in many normal individuals. So your CT scan report can be considered normal for all practical purposes." + }, + { + "id": 23262, + "tgt": "I observed a white round swelling in my mouth. What could it be?", + "src": "Patient: Hello doctor, I observed a white round swelling at the right rear of my mouth cavity behind the last tooth. Also a white straight line behind my uvula. Sometimes I feel that something is stuck there in my throat. No other symptoms. Doctor: Hello. Your symptoms can be related to many diagnoses. A picture if possible would help. It can be a yeast infection, a viral or a bacterial infection. I suggest you do some examinations such as a throat culture and a blood test. Meanwhile, some tips: Hope my answer was helpful. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11912, + "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": 654, + "tgt": "I have psoriasis with flaky, reddish, and itchy skin at the back of my ears and temples. Please help", + "src": "Patient: Hello doctor, I might be suffering from psoriasis. I have a flaky, reddish, itchy hairline, back of my ears, and almost on my temples. How can I treat that? At first, I thought it was dandruff but as I started to see the flaky skin emerging towards the hairline and gradually towards the back of the ear and the temples. I realized it was something more so I googled it and I fear it is psoriasis that I do not have much knowledge about but I would like to take professional help to deal with this issue. Doctor: Hi. Thank you for providing information. Kindly hold on a minute, I am typing detail answer and explanation of your query." + }, + { + "id": 22068, + "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": 18006, + "tgt": "Please explain the odd in my chest x-ray and liver scan report", + "src": "Patient: Hi doctor, I am done with my chest x-ray. But, I am\u00a0worried and I do not want to wait a week for my doctor's opinion. So, I have attached it. Please convey your opinion. Thanks. Doctor: Hi. I have seen your chest x-ray (attachment removed to protect patient identity). For further information consult a radiologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 10314, + "tgt": "I need a second opinion regarding my daughter's fever treatment. Please guide me", + "src": "Patient: Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was\u00a0done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 %\u00a0monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came\u00a0negative.\u00a0All subsequent tests came negative. Now\u00a0the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the\u00a0CSF culture reports. My concern is whether it is alright not to give Vancomycin. Doctor: Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 4290, + "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": 3714, + "tgt": "Please help with my recurrent fungal infection", + "src": "Patient: Hello doctor, I am getting itching in the area where I wear my undergarments. I tried many medicines for fungal infection, but it does not go away. It has been there for more than a year. It keeps recurring. Currently, I am applying Miconazole cream and Clotrimazole powder. Please help. Doctor: Hi. With your given description, it looks like resistant tinea cruris infections or may be erythrasma (skin condition affecting the folds in the body), You have not mentioned the duration of individual drugs you have taken. Itraconazole is a good drug for this, but you have to take 100 mg daily for around 28 days. Along with this you can try Sertaconazole cream with Fusidic acid cream to cover erythrasma twice daily for minimum of three months. Follow certain general measures such as: May be not taken full duration of the course of medicines for fungal infection. 1. Blood sugar. 2. Skin scraping for KOH (Potassium hydroxide). 1. Tinea cruris. 2. Erythrasma. 3. Candidal dermatitis. Recalcitrant tinea cruris. Revert back after the tests to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17619, + "tgt": "Please suggest a solution for sunburn", + "src": "Patient: Hi doctor,Someone suggested me to apply baking soda over the sunburn. So, I have applied baking soda on the face. The skin around my eyes is getting dark, wrinkles and has some pain also. Please suggest me some cream to get rid of this fast. Also,\u00a0suggest me some medicine to get rid of sunburn. Doctor: Hi. I can understand your concern and\u00a0I have reviewed your photographs (attachment removed to protect patient identity). Irritant reaction to baking soda. Irritant contact dermatitis. Revert back after 10 days to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15559, + "tgt": "Please suggest the right medication for maintaining the sugar levels and blood pressure", + "src": "Patient: Hi doctor, I was diagnosed with BP and diabetes. I am taking Diamicron 60 mg, Amaryl 2 mg, Adalat 20 mg, and Atenolol 50 mg daily. I am experiencing ED for more than a year now. What should I need to do now? Doctor: Hi. You are taking these medications in the wrong order. Both Diamicron (Gliclazide) and Amaryl (Glimepiride) belong to the same class. It should never be taken together, and it can cause hypoglycemia. Please explain about the experience with Glucophage (attachment removed to protect patient identity). If you do not have diarrhea or GI symptoms, then you can retake it again and gradually increase the dosage. Start taking Glycomet 500 mg (Metformin) twice daily. Discontinue Diamicron, and Adalat and continue taking Amaryl 2 mg, and Atenolol. Start taking Zestril 10 mg (Lisinopril) once daily at night time. Please send me the BP readings and blood sugar levels taken recently to adjust the medications for you. Take the right medicines to decrease the complications of diabetes and BP." + }, + { + "id": 27954, + "tgt": "What is an arachnoid cyst?", + "src": "Patient: Hello\u00a0doctor, My friend had giddiness, so he got an MRI scan. The report showed a well-defined cyst in the posterior fossa, dorsal to the cerebellum. It is an arachnoid cyst. It also states bilateral AICA lying at the level of the internal auditory canal without entering the meatus. Type 1 AICA vascular loops. I do not understand the report. Please help.\u00a0Since a\u00a0cyst is mentioned in the\u00a0report, can it be cured by medicine? How did my friend get this cyst in the brain? And why did he get it? Is it due to drinking alcohol? Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20254, + "tgt": "How does spina bifida progress?", + "src": "Patient: Hello doctor, I have spina\u00a0bifida, which is a\u00a0slow degenerative syndrome. In the\u00a0long run, what kind of deterioration will take place? Doctor: Hello. For further queries consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 22600, + "tgt": "Do the tests performed confirm that I have not contracted HIV?", + "src": "Patient: Hi doctor, I want to tell my case and I would appreciate a detailed answer on this subject. About five months ago, I had sex with a CSW during a vacation. The relationship included oral sex and vaginal sex. The relationship was completely protected (also oral) and I put on a condom (I do not know if it got broken). After two days of the incident, I noticed a small red bloodbath on my scrotum, which later grew (the skin doctor diagnosed it as an angerectomy). After about two weeks after the incident, I began to have severe pain in the legs and feet that have gone and are still coming today randomly. In addition, 10 days after the incident, my temperature rose to 37.5 for about a month and a half. After a month or so, I started to get a lot of wounds in my chest, shoulders, and back (the dermatologist diagnosed it as a folliculitis). These wounds are coming and going today. In addition, many small red dots (about 50 to 60) have begun to appear on the skin especially in the chest and arms to this day, more and more news appears (the skin doctor claimed to be hemangiomas). It looks like a little blood blister. Also, I suffer from severe dehydration in the skin and palms for a long period of three months, there is really a white layer of dryness and even hand cream does not help. Lately, I have also realized that my tongue always feels dry and the color is white with a little white bump in the end. I have lost weight about 5 kg for a period of two months. In addition, strong head pain that comes and goes and a painkiller does not help at all, and also suffers from fatigue all the time. I have done a lot of testing of HIV combo Ag-Ab, fourth generation, and all were negative. In addition, two weeks ago (four and a half months of the case), I tested hepatitis B and C (negative result). As well as an antibody test for syphilis SCR by ELISA (negative result). In addition to the above, about a week after the incident, I began to feel a stab at the end of the penis, and I also had a feeling of burning at the end of urination. I have done many urine tests that include PCR from urine for chlamydia, gonorrhea, trichomoniasis, mycoplasma and/or plasma several times, all of which returned negative. About two months ago, I started a transparent discharge from the end of the penis. I repeated the tests, negative, also a general urine test without findings (no leukocytes) and urine culture returned without findings. Here are the questions: Have the tests I performed and returned negative throughout the period clearly indicate that I have not contracted HIV from the case described? Can there be a case in which the virus is not detected and more time is required for further testing? If so, when to do it? In light of all the symptoms I have described, what can it be? What more can be checked that expresses itself in such a way? Are light symptoms recommended to perform a different method test like PCR for example? Has the combo test detected HIV types 1, 2, O? Does the test detect all sub-types and all strains of the virus? Can it be that I have HIV 2 and the test cannot detect antibodies because it can take a longer time? I read that sometimes in rare cases it can take a year to detect enough antibodies and before that all the test will be a false negative, is that really possible? Is there anything new that has emerged in the medical literature at this time that figured out from what all I have said? Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). Your screening tests for HIV are conclusive. A three months intervening period between risk exposure and HIV screening tests (fourth generation HIV antigen-antibody combo test and third-generation HIV antibody screening test) is considered enough for a test to be considered conclusive. There is no need to do another type of test. The combo test is suited to the strains, types and subgroups of HIV prevalent in a particular area and therefore unlikely to miss HIV strain, type or subgroup. HIV 2 can be detected by a combo test and it has the same window period (three months) as it has for HIV 1. Delayed seroconversion is only possible in case of immunosuppression like organic transplant recipients or those on oral steroids. Not otherwise. Your tongue looks normal. The little white bumps, in the end, are circumvallate papillae which are quite normal. The bumps on chest and shoulders are perhaps acne rather than folliculitis whereas the red dots are perhaps cherry angiomas. However, I request you to kindly upload a few more good quality images of the affected areas so that I am able to confirm and guide you better. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 29082, + "tgt": "I had ringworm, and that area turned black now. What to do?", + "src": "Patient: Hi doctor,A few months ago, I had gotten a ringworm on my inner elbow. It stayed there for a few weeks, and it had cleared up. After a few weeks, I noticed a black mark where the ringworm had been.\u00a0Now, it is like a black stone. I do not know to describe it unless you saw a picture of it. It itches sometimes, and it is like attached to my skin. I have looked online to see if I could find out what it is, but I could not. Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16503, + "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": 7789, + "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": 7174, + "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": 19518, + "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": 9813, + "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": 15612, + "tgt": "My fiance's blood group and mine are different. Will it create problems to our baby's health?", + "src": "Patient: Hi doctor, My blood group is AB+, and my fiance's blood group is AB-. Will different blood groups create problems in future, regarding baby's health or other issues? Doctor: Hi. Hope your concern is solved. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 9909, + "tgt": "What is the treatment for fibroids in my uterine wall?", + "src": "Patient: Hello doctor, I am 36 years old with 5'8\" in height and weight 143 lbs. Started my period when I was 13. My husband and I want to start trying to conceive. We had some tests done to know where we stand since I am not young, and I had a hysteroscopic myomectomy three years ago. Back then my doctor told me I had a couple of other fibroids inside the uterine walls, but his concern was only the one inside the uterine cavity which he removed. I got two different doctor opinions on my recent tests. Both agree I have two fibroids about 4 cm each inside my uterine wall, that my hormone levels are normal, my husband's sperm looks perfect, and they want to do surgery to remove the fibroids. However, on my HSG test, the lab stated that my right fallopian tube is good, did not mention the left, but on the X-ray, it seems to be blocked. No liquid went through. ' The first doctor was not concerned about the health of my tubes, only the fibroids. The second doctor said the right tube does not look fine, she saw it as distorted upwards and the ovary far away from it, plus one fibroid on each side of it. She thinks the fibroids are to blame for the distortion. My questions are, do fibroids affect the position of the fallopian tubes? Could this be corrected by removing them? Would it make sense to see unblocking options for the left tube? If my fallopian tubes are indeed damaged. Is there any point in having the surgery? Fibroids do not cause me any trouble otherwise. Doctor: Hello, Welcome to icliniq .com. 36 years is not old. Of course, pregnancy chances are higher before 35yrs, but ladies do get pregnant after that too. Fibroids distorting the uterine cavity or tube needs to be removed, also those which are near the implantation site of the embryo, they can cause the inadequate blood supply to the fetus.If fibroids are stretching the tubes thereby blocking the free flow of dye, they need to b removed. Another option, instead of going for removal is IVF. If fibroids are close to the sides of the uterus, removal may interfere with the blood flow to ovaries, thereby reducing the egg number. Surgery will need cauterization of bleeders, which will reduce the blood flow. So at 36 years, you will not want to reduce eggs number further. If the cavity of the uterus is normal, IVF would be good.Do not worry about the fibroids pulling away tubes from ovaries. Even if you ovulate on the blocker side, the egg will swim or will b pulled to the opposite side. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 13781, + "tgt": "What causes a swollen lymph node behind the ear?", + "src": "Patient: Hello doctor, I have had this swollen lymph node behind my ear for about three months now. What could the reason be? There is no pain. I am able to move it. I am not having any other symptoms such as fever, weight loss or fatigue. I have been coughing up mucus for a few years now. Could this be the reason and is there any infection suspected? About two weeks ago, I noticed a smaller lymph node appear right under my ear lobe (the top of my neck) what could be the reason for this? I also realized the skin where my lymph node is red and warm. Is it cancer? Please help. I have pictures attached with the lymph node behind my ear. Doctor: Hi. It looks like you have a small benign lymph node. Lymph nodes do no harm and everyone has lots of them in their bodies. These flare up only when there is a little infection to fight in your surroundings. So there is not much to worry about, especially it is not cancer. Based on the photos and information you provided (attachment removed to protect patient identity), it may also be a benign lipoma which is a lump of fat slightly thicker and does not need anything to be done. Just leave it in place and it will go away on its own. Do not massage it. See a doctor if you experience pain or if it increases in size significantly. Take care." + }, + { + "id": 29225, + "tgt": "Kindly advise me the steps to quit smoking", + "src": "Patient: Hi doctor, My age is 20. I smoke five to six cigarettes per day for the last one year. I am unable to stop smoking. Please help me to get out of it. I do not want to smoke. Doctor: Hello. I appreciate you for taking a forward step to quit smoking. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21297, + "tgt": "I masturbate but fail to get erection during sex. What could be the reason?", + "src": "Patient: Hi doctor, I am a 23-year-old male. I do not get an erection as my cock is not getting hard now. When I am having sex, it does not get hard for a long time. I am worried about this. Please suggest. Doctor: Hi. Please give some answers to my questions. Do you get an erection during masturbation? Do you smoke? Are you hypertensive or diabetic? Do you involve in excessive masturbation? Do you watch porn? Do you have anxiety symptoms like a headache, shakiness of hands, excessive sweating, abdominal discomfort? Do you have depressive symptoms like persistent low mood, loss of interest, weakness, disturbed sleep or appetite, feeling of hopelessness, guilt, suicide? Are you married? If yes, then when you got married? Revert back to me with answers, so that I can help you to get better." + }, + { + "id": 8936, + "tgt": "Does excessive masturbation damage the tissues of the penis?", + "src": "Patient: Hi doctor, I am 26 years old bodybuilder, who weighs 220 lbs and 5.9 feet tall.\u00a0I masturbate from the past 14 years, and recently I was doing it excessively, up to eight times a day. I never had sex before, and I am afraid of failing in my future relation due to this amount of masturbation. Sometimes, I have a weak erection, but when I stop for one or two days, it becomes stronger. I have some drops of urine come out after I finish urinating. I feel I will have a weak erection or premature ejaculation during sex. What do I have to do to avoid that? Do I have to stop masturbation completely? What test or examination can I do to evaluate my sexual performance before I\u00a0have sex? Doctor: Hi. Masturbation is the most harmless of all sexual acts. No fear of STDs (sexually transmitted disease) or pregnancy. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14792, + "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": 19194, + "tgt": "I have spastic paraplegia. Will dopamine help me?", + "src": "Patient: Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? Doctor: Hi. L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases. For further follow up, consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27162, + "tgt": "My 15 year old sister has seizures, and her brain activity is abnormal. Please help", + "src": "Patient: Hello doctor, My sister has been having seizures. So, we consulted a doctor, who said she has\u00a0abnormal brain activity. Her EEG showed abnormal spikes. Currently, she is taking Levipil 1000, \u00a0twice a day.\u00a0What is going on with my sister? No one is explaining anything, and the medication is affecting her behavior too much. Please help. Doctor: Hello. I have read your query and understand your concerns. I hope this answers you.\u00a0If you have more questions, feel free to write back to me. Please do not forget to mention the symptoms of the patient along with the\u00a0description of the behavioral change, which will help us in pinpointing the probable cause. Thanks again. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22415, + "tgt": "How can I correct exceeded values in my blood test report?", + "src": "Patient: Hi doctor,PFA my (27 years old female) blood test report. Highlighted in bold are the tests which are out of range. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? I have got the blood test profile checked just as a general checkup and not specific to any illness. I am little skeptical about TSH (thyroid stimulating hormone) results in its extremely high than acceptable range. Is it possible that there might be some mistake in the report? I have completed a course for hormonal imbalance (three strips of medicine, 21 tablets each). Doctor: Hi. Let me assure you there is nothing to be worried about. Few dietary deficiencies and the thyroid report (attachment removed to protect patient identity) shows hypothyroidism (that means your thyroid gland is not producing sufficient hormones) and yes, a TSH level that high can be seen. But before I suggest any medications I would like you to repeat the test with a NABL certified laboratory in your locality. Presently you can start with the following: Your report shows low Hb (hemoglobin) because of iron deficiency. So eat a lot of iron-rich food like ragi, dates, peanuts, jaggery, laddoo, and leafy vegetables. Avoid raw cabbage, broccoli, cauliflower in your diet. They tend to alter the proper function of your thyroid. Eat it only if well cooked and not more than once a week. 1.Capsule Dexorange (Ferric Ammonium Citrate), 0-1-0, after meals daily for 90 days. 2.Capsule Uprise D3 60k, 1-0-0 after breakfast, once a week for 8 weeks. For more information consult a diabetologist online.--->https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 8824, + "tgt": "I feel as if something is moving in my throat. It is bothering me a lot. Please help", + "src": "Patient: Hello doctor,I feel as if there is something stuck or moving in my throat around the back of the\u00a0mouth to the Adam's apple. It has been bothering me for a few days. There is no pain associated with it, just the feeling as if something is moving up and down my throat. It goes down if I swallow, and comes up if I let it. Doctor: Hello. A foreign body sensation or a feeling of something stuck in the throat is a very common complaint. There are so many causes like acid reflux, pharyngitis and allergic rhinitis that could cause the feeling. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19793, + "tgt": "How can I terminate a pregnancy with medicines?", + "src": "Patient: Hi doctor, I am a 20 year old\u00a0female, who weighs 47 kg and my height is 5 feet. I\u00a0do not have any symptoms right now, but I am worried that I may get pregnant. If I get pregnant, then how can I terminate it early with medications? Please give me appropriate answers. Thank you. 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": 4480, + "tgt": "Why am I having swelling and pain in penis after scrotoplasty?", + "src": "Patient: Hello doctor, Two weeks ago I had a scrotoplasty. Accompanied with this was liposuction (around lower stomach and inside of thighs towards the groin) to thicken the penis. Operation went well. Had general swelling and edema of the penis and scrotum with pain. I have been taking anti-inlfammatory tables, antibacterial antibiotics and pain killers. One of the symptoms I have had is pain in my penis when I stand. It is like the blood rushes to that area and cause discomfort. I then lie back down and the pain subsides. Based on this I have just been resting. I noticed yesterday when feeling the scrotum that my left testicle has swollen. I am guessing it is about two inches long by 1.5 inches wide in the shape of an egg. It is not soar to touch, but feels hard. The scrotum or stiches do not show any signs or reddness and the scrotum appears to be okay in color. I have not had a fever or vomiting. I have read different reports on line as to why this could be like fluids draining from liposuction into scrotum, severe edema, orchitis, etc. And advice would be appreciated? Doctor: Hi. First of all I would like to inform you that size mentioned by you is within normal range and it should not be called swelling unless there is gross difference from other side. The average testis size is 3 to 5 cm in length and 3 to 4 cm in width. Now, regarding feeling hard, this is completely normal after scrotoplasty as there is mild deem of testicular skin along with testis itself. This may take almost 4-6 weeks to completely disappear. I feel this is normal complication of surgery as there is no fever, no tenderness, no redness (sighs of inflammation). I would like to inform you that keeping scrotal support and proper rest may help you. In case this continues to remain in same stage sort aggravates with time it will be ideal to see your doctor and get examined. Regarding other symptoms related to pain at the tip of penis I feel this is due to clogging of secretions in urethra which creates problem. In my opinion excess intake of water and fluids may help you." + }, + { + "id": 7113, + "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": 8364, + "tgt": "What can be done for swollen labia with pain?", + "src": "Patient: Hello doctor, I am a 25-year-old female with no children. My husband and I have been together for six years. We have no extra-marital affairs and I am 100 % sure of that. My right labia is swollen and is very painful to touch, even a slight breeze of air causes extreme pain. The pain is similar to a sunburn. It is painful enough to make me cry. The swelling starts from my right vulva next to my vaginal canal and goes all the way to my anus. The area with the worst pain is next to my perineum. This started as a painless lump in the size of a peanut that could be palpated from within my vagina with a finger but not visible externally. This was about a week ago. Now, it is huge and painful. My labia is three times larger than its normal size and very red. There are no discharges, no foul smells, and it is not itchy. I am managing the pain with Clobetasol topical cream and Mefenamic Acid orally. The pain disappears instantly with the cream but I think it is also making the swelling bigger (steroid?). I am on my third day of Co-Amoxiclav 625 mg (twice a day every 12 hours) but I think this is what caused the swelling in the first place. Also, I tried to do a sitz bath and it only made the condition worse. Just a few hours ago, I had trouble breathing (allergy?). I have never been allergic to any medication before. Any impression or advice would be appreciated. Doctor: Hi. From the symptoms you described, it sounded like you developed Bartholin gland abscess which is an occlusion of the Bartholin gland duct and that turned to be abscess. Steroid cream is not used for treatment. You need to finish the antibiotic and continue a warm sitz bath three times a day. The abscess will get soft and drain spontaneously. If you had this previously and have the abscess at the same location, it would be better to have a procedure called marsupialization. You can continue Motrin for pain." + }, + { + "id": 169, + "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": 3400, + "tgt": "Which is a better birth control pill than Ortho-Cyclen?", + "src": "Patient: Hi doctor, I had to switch my birth control from the Mononessa to Ortho-Cyclen today. Do you have a better recommendation? I was on Ortho-Cyclen when I was 16 and I remember hating it. It did not help with my cramps or make my periods any shorter. I still bled for 7 plus days. I am now 23 years old and sexually active. Please help me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25960, + "tgt": "I take insulin, but my sugar levels are high. What should I do?", + "src": "Patient: Hello doctor, How are you? I am a 54 year old male. Nowadays, my sugar level is very high. Every day, I inject 28 units of insulin, 16 units in the morning before food and 12 units in the evening before food. But, my sugar levels are at 255 mg. I want to know if I should increase the shot of insulin. If yes, by how many units? Doctor: Hello. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 3697, + "tgt": "Though we are having protected sex, my partner is getting delayed period. Why?", + "src": "Patient: Hello doctor, I and my partner are sexually active. Although we take precautions (using two condoms at a time) there is always a sense of fear when it comes to her. Each time she gets her period it is delayed by two weeks or 10 days at least and less discharge in terms of flow. Last time she had a normal flow (6 days) according to her but had a little abdominal pain, with watering mouth and a bit of headache. May I know the cause for why her periods get delayed and a reduced discharge because it creates an impression as if it is of implantation bleeding and leading to pregnancy. Request your understanding of how things work as it creates daily confusion and stress. Also, does she require to seek a personal doctor inspection? She is 25 years old. Doctor: Hi. No, there is no need for inspection. You can go for pregnancy tests with home testing kits. This change in periods (duration and flow) is normal for her as she is active sexually and there are emotional and hormonal changes that cause all of this. If there are no flow, excess flow, missing periods unbearable and sustained pain in her abdomen, back and thighs then there is a need for a gynecologist visit for checkup." + }, + { + "id": 4384, + "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": 14632, + "tgt": "What can be done for bleeding and pus discharge from toenail?", + "src": "Patient: Hi doctor, I have toenail problem. I had bleeding and pus formation. I consulted a doctor and she had prescribed the following treatment. Tablet Novamox CV 625 three times a day for five days. Apply T-bact ointment twice a day. After taking the above treatment, the pus formation stopped. But there is some bleeding and wound. I am attaching the images so that you can have a better look. I am getting married in a couple weeks, so I do not want to opt for nail removal. Kindly let me know what needs to be done. Doctor: Hi. How did this start? Did you have trauma to the nail? Is it painful? Is it only one to nail? How many times it has bled? You have mentioned there was pus, was it greenish? Or just frank white pus? Does it smell bad? Your other toenails appear yellow (attachment removed to protect patient identity). Are you using any cream or lotion like Betadine or Turmeric? When did you take the last dose of the antibiotic pill? It looks like pyogenic granuloma growing underneath as per the pictures you have attached, also there is a secondary infection. Pyogenic granuloma is a benign growth of blood capillaries that are usually painless but bleeds with trauma. It can also be pseudomonas nail infection. Can you please answer the above questions so that I can make a concrete diagnosis?" + }, + { + "id": 731, + "tgt": "What is the treatment for DVT?", + "src": "Patient: Hi doctor, I am having DVT in my left leg. I had about a year of\u00a0Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it\u00a0shows protein C deficiency. What to do? 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": 29524, + "tgt": "I am 22 weeks pregnant. Shall I get fluoroscopy for back pain?", + "src": "Patient: Hi doctor, I am 22 weeks pregnant. For my severe lumbar injury, shall I get a procedure done under fluoroscopy? Would I be able to\u00a0see the baby in the fluoroscopy? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19090, + "tgt": "How can you tell the difference between food poisoning or possible Acetaminophen poisoning?", + "src": "Patient: Hello doctor, How can you tell the difference between\u00a0food poisoning\u00a0or possible\u00a0Acetaminophen poisoning? I ask this because I used the internet to look up for my symptoms. And it is two days since when my symptoms started. I took 4 tablets of\u00a0Tylenol\u00a0rapid release and an hour before that I had tablet\u00a0Tylenol Cold\u00a0for my cold which I have had for the past 3 days. Now I have a very\u00a0sour stomach\u00a0for the past two days. Yesterday I was\u00a0vomiting\u00a0and having\u00a0frequent\u00a0bowel movements. I have only had water and antacid since yesterday around 10 PM. Today I had a medium rare prime rib with steamed veggies and a salad, then when I was back home, I had a cup of egg nog. Doctor: Hi. Hope you find this information useful.\u00a0For any clarifications feel free to ask a\u00a0general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4038, + "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": 25152, + "tgt": "Why did my doctor give medicines when there was no fetus detected?", + "src": "Patient: Hello doctor, I am a 26 year old female. I had got positive pregnancy by the urine test. I scanned by ultrasound but no detection of the fetus. My last period was two months ago. And my missed period was last month. My doctor gave me FOL-XT and Miprogen 200 mg. I am confused about tablets. If I have to take them or not. Doctor: Hello. Your urine test is weakly positive. It means your pregnancy may have occurred late, hence not detected on ultrasound. Sometimes, in these cases, there is a risk of miscarriage. So, the doctor has given the medicines to protect from such occurrence. You can take it and repeat the pregnancy test every week and ultrasound after two weeks. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5724, + "tgt": "Why is my anti-HAV IgG reactive?", + "src": "Patient: Hi doctor,I have attached my hepatitis blood profile for your reference. I just want to make sure that everything is clear. The report includes\u00a0Hep B surface antigen 0.26 (non-reactive),\u00a0Anti-HBs 1.85 (non-reactive),\u00a0Anti-HBc 0.10 (non-reactive),\u00a0Hbe-antigen 0.34 (non-reactive),\u00a0Anti-HBe\u00a02.02 (non-reactive) and anti-HAV (IgG) 1.56 (reactive). My current medication includes Doxycycline and Echinacea.\u00a0Thank you very much. Doctor: Hi. I have viewed your blood report (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25073, + "tgt": "Is the OraQuick HIV home testing really accurate?", + "src": "Patient: Hello doctor,I am a male who had unprotected intercourse two days ago with a female who had tested negative on Oralquick two months ago. Turns out she has been quite active and I am debating on doing PEP. I can see her on Tuesday and she said will take another test but that will be 96 hours. I can start PEP tomorrow but it may not be needed if she tests negative. My questions are if I start PEP can I stop if I find it is not needed? How much does one trust an Oralquick test? I read they can have 7 % false negatives. Does taking Acyclovir have any effect on HIV or PEP? Should I do PEP? Doctor: Hello. Acyclovir has no effect on PEP (post-exposure prophylaxis). Yes, it would be wise to start PEP and later you can stop it. Oraquick is not reliable after two days of exposure. Hope it helps. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6456, + "tgt": "My stomach is getting bigger, and I have constipation problem. What to do?", + "src": "Patient: Hi doctor, I am a 21 year old girl. I used to eat a lot from my childhood, but I\u00a0was not that fat. I had a big belly from 13 years, and I used to hide it in my dress because I was shy of it. From about five months my stomach has become bigger. I have problems with sitting and doing daily household works like cleaning and washing. I had no such problems when I was in college, and it all started after my college life. I also have a\u00a0constipation problem, and I do not go to the bathroom daily. Usually, I go once in two or four days. I do not hold it in, but I do not have\u00a0the feeling to go to the bathroom at all. I have a\u00a0habit of holding urine, and sometimes I hold my urine for 12 hours.\u00a0I have no problems with my periods, as\u00a0usual, it is two days early and some pain in the starting, for which I take painkillers. I did not consult any doctor still. I am also attaching the photos of my stomach. Please help. Doctor: Hi. After seeing your photos (attachment removed to protect patient identity), this is what I feel. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19807, + "tgt": "How to find out whether the stem cell sample is futile or not?", + "src": "Patient: Hello doctor, I preferred for stem cell preservation of my baby at a private stem cell bank.\u00a0Now, after 3 months, I received a mail stating that despite our best efforts the isolation and expansion of mesenchymal stem cells were unsuccessful primarily due to no growth. The customer care replied that the sample has some inherent tissue nature, not adapting to laboratory environment and is contaminated with gram positive cocci bacteria.\u00a0So, they cannot preserve the cord tissue. Is it so difficult to decontaminate the bacteria? Is it a negligence of paramedic during collecting sample? How do I investigate that the sample received at the laboratory is futile or not? Doctor: Hi. Based on your query, my opinion is as follows. For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 823, + "tgt": "What are the reasons for hypoglycemia?", + "src": "Patient: Hi doctor, My mother has been suffering from diabetes for three years. She is 61 years old and weighs 40 kg. She was on Gemer-1. Early morning around 5 AM, she often complains of excessive sweating and weakness. Sweating stops after taking tea, biscuit or sugar. She has stopped taking medication for the last 15 days. Due to personal loss, she has been undergoing stress and tension. Please suggest the required medical tests that she should undergo. Thank you. Doctor: Hi. Revert back with the reports to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27472, + "tgt": "Does my echo report indicate any bigger issue?", + "src": "Patient: Hi doctor,I had anterior myocardial infarction five years back, and I was on medications until angiogram and angioplasty were done last year. My last month echo report states, mid anterior septum, anterior wall, and anterolateral wall thinned and hypokinetic. Apical septum, LV apex thinned, and akinetic. Dilated LV with moderate LV dysfunction. No LV clot, 2+ tricuspid regurgitation, moderate pulmonary artery hypertension, mild mitral regurgitation, impaired RV function (TAPSE 1.4cm), dilated right and left atrium, and EF is 40 %. Does the above indicate any bigger trouble? Doctor: Hello. 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": 2455, + "tgt": "Is performing ELISA test difficult?", + "src": "Patient: Hi doctor, Before 16 years, I had two\u00a0high risk exposure with sex workers and the risk was condom break in both situations. After three months from my last exposure I did ELISA test for HIV 1 and 2. It came back negative. Again, I did the same mistake after one year, condom break with a sex worker. Then after five years I did HIV test ELISA 1 and 2 and it came back negative. I was about to get married that time. I did not believe the results because my brain keeps telling me maybe the last laboratory did not do a good job or maybe the one who is working in the laboratory did not know how to perform the test. They convinced me it as negative and I do not have the virus. I did my best to believe it and move on in my life. I got married and when my wife got pregnant, she did the HIV test in her first and third trimester during her pregnancy and it came back negative. My questions are,\u00a0is preforming ELISA test hard or easy? I do not know what ELISA generation it was. Should I believe and trust the laboratory? Is it possible that it has been more than 13 years from my first high risk exposure and I am still in a good health? Can my wife get HIV from me? Please explain. Doctor: Hi. For further information consult an HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 27406, + "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": 16082, + "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": 6143, + "tgt": "I had herpes simplex 2 infecton. Is it possible to get proctitis anal herpes without anal sex?", + "src": "Patient: Hello doctor, I acquired herpes simplex virus 2 infection two months ago from oral sex. Now, I have proctitis anal herpes. Is it possible to have it without engaging in anal sex? Doctor: Hello. Herpes infection normally involves either the mouth (manifesting as cold sores), or the genital region, and can include the scrotum, penis, and the anus. It is possible to have it without engaging in anal sex. It is a highly contagious disease, and in the active state it can manifest in the above-mentioned sites and also spread very easily. You should get yourself checked again for both HSV (herpes simplex virus) 1 and 2 to confirm if you have not done it. The good thing is it can be treated. You can do a course of Famciclovir two tablets daily for seven to ten days. Since it can spread through both vaginal and anal intercourse, it is better to get your partner tested too. The more you delay, there are more chances of it turning into a chronic infection." + }, + { + "id": 16568, + "tgt": "My lower jaw sits a little backwards. Can this be corrected?", + "src": "Patient: Hello doctor, I have some problems with my dental structure. The one that I feel as a major issue is that my lower jaw sits a little backwards from where it should rest. It is resulting in giving me a double chin and makes me look awkward. Kindly suggest how this can be corrected. Thank you. Doctor: Hello. Revert back with the photos to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3673, + "tgt": "Are difficulty in swallowing, coughing, and chest burn symptoms of esophageal cancer?", + "src": "Patient: Hello doctor, A few months before, I felt burn and pain in the chest area when I swallow anything like my own saliva. It lasted more than a week and again I felt normal. Again yesterday, I started to feel this pain and I started to think about that and felt stress. Tonight, when I swallow anything I feel this chest pain and burn. And when I do not swallow also I feel pain in the chest area. Is it serious and should I worry about that? When I searched on the internet it says big diseases like esophageal cancer. The symptoms say difficulty in swallowing, coughing and things and now I feel like I am feeling all those symptoms. Please help. Doctor: Hello. The symptoms you have been experiencing such as difficulty in swallowing and burning pain warrant a more extensive study with barium studies (in which you swallow a material composed of barium and then you will be radiographed, the esophageal structural pathologies are going to be demonstrated by this way, such as strictures), and endoscopy (to have a more clear view of esophagus and stomach). Gastroesophageal reflux which is the backflow of acid into the esophagus is the most common reason and it can be treated easily with medications. Gastritis or H. Pylori infection needs to be treated with specific medications (UBT- urea breath test, is required to rule out H. Pylori infection). The results of the aforementioned test are required to make a definite diagnosis, however, esophageal cancers are extremely unlikely given the duration of your symptoms and your age. I can assure you in your age most common etiologies are esophageal spasm and strictures. Former can be treated with calcium channel blockers and antidepressants, and in case of strictures, endoscopic dilation can be done to relieve the pressure." + }, + { + "id": 1086, + "tgt": "I have itchy rashes at the bottom of the ears with negative HIV tests. Do I need another HIV test?", + "src": "Patient: Hello doctor, I had protected sex with a woman. After a few days, I had an itch at the bottom of one of my ears. After 12 days, I done an HIV RNA PCR test and it was negative. After a few days, I had a wart-like bump in the shaft of my penis and body itching. Then after 60 days, I have done HIV duo combo test and it was negative. In these days, I had intense itching with rash similiar at the bottom of both of my ears. After 90 days, I have done the ELISA test, test for hepatitis A and B, herpes, syphilis, chlamydia, and they were negatives. After a few days, I had small itchy red bumps in the body. After 225 days, I done HIV tridot test and it was negative. But the itching in the body with bumps continues. Now I am 314th day after sex. What should I do? Should I go for another HIV test or other STD tests? Doctor: Hi, Welcome to icliniq.com. I have gone through the case. In my opinion, if you have no contact history for almost a year then there is no need to repeat all the tests. But first, you need detailed physical examination because there are different types of itchy red bumps and some of these are linked to sex and some are not. So do not go for all tests at once." + }, + { + "id": 18440, + "tgt": "I am discharging a transparent vaginal fluid all time. What to do?", + "src": "Patient: Hi doctor, I am a 33 year old\u00a0unmarried girl. I am having high sex desire, which makes me uncomfortable. I have transparent fluid discharge all the time. What to do? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26604, + "tgt": "What are these freckle-like spots on my nose and cheeks?", + "src": "Patient: Hello doctor, I am a 21 year old female. On my nose and some parts of the cheeks, there are freckle-kind of spots which I thought was alright to have. But, now I noticed that it is increasing from the last few years. What are these? Are these pigmentations or freckles? Can it be removed totally? What products will be effective against it and how much time will it take to show effects? It is a very young age to get these sort of stuff. So, I am worried. Doctor: Hello. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 2807, + "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": 5314, + "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": 22494, + "tgt": "Is my thigh numbness due to low blood circulation?", + "src": "Patient: Hi doctor, I have numbness in my left thigh. I have attached the region in the photograph. The red area is high in numbness and has very less sense. Only a nail or scratch can feel there. Other, green areas have mild numbness. When I sit for a long time, it worsens without pain. Sometimes, I feel that this may be due to low blood circulation. Is this very serious? Can this be a pre-stage of sciatica or peripheral nerve problem? Can this be treatable? Please advise some medicine for this. I do not have any pain in the affected site. Also, the numbness feeling is only on the surface and not in depth. Doctor: Hi. Meralgia paresthetica or radiculitis. CBC (complete blood count) and serum vitamin B12 level. Revert back with the investigation results to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1042, + "tgt": "Will delaying vaccines for an infant cause any problem?", + "src": "Patient: Hi doctor, I am blessed with a baby boy (3 months 10 days). I am sharing with you his vaccination card. All vaccines are almost due because of the Corona Pandemic. Most of the clinics are almost closed. Will you please suggest, whether these vaccines can be delayed a bit till the suspension of lockdown, or do I need to arrange it ASAP. Really tensed about this unexpected and unfortunate situation. Doctor: Hello. I understand your concern for your child. I would say you can wait for some more time till the end of this month as probably after this month lockdown restrictions will be over. I believe you should go according to your pediatrician as he would understand the situation best at your place. Till then, best hygiene measures should be taken for your child. Use hand rub or wash hands properly before touching your child. Avoid giving bottle feeds. If you maintain this, there should be no problem. All vaccines can be given at a later date." + }, + { + "id": 18450, + "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": 16903, + "tgt": "Why do people fix midline misalignment of teeth?", + "src": "Patient: Hello doctor, Why do people fix midline misalignment of teeth (the middle of upper and lower teeth do not line up), apart from appearance as the factor? I had undergone treatment with wire braces and removed them off just yesterday.\u00a0I noticed that I have a little midline misalignment even after treatment.\u00a0When I bring my jaws together (while biting) the edge of my left lower central incisor touches between (the back) of the upper central incisors.\u00a0This makes me feel very uncomfortable. I have attached pictures for you to understand my issue. Doctor: Hello.\u00a0 I have viewed the pictures (attachment removed to protect patient identity). Revert back to an orthodontist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 4042, + "tgt": "What are the ways to treat folliculitis permanently?", + "src": "Patient: Hello doctor, I am suffering form folliculitis for about 1 month. I regularly visit my doctor and take all medicines on time. The problem is folliculitis present on my legs and hands. Every week they are gone and then come again then my doctor ask me to do test of blood test and IgE test my blood test report was all fine but my IgE level is 170. So, please tell me what should I do to control my IgE and how to get rid of folliculitis permanently. Doctor: Hello. Folliculitis is inflammation of the hair follicles. Usually it is due to bacteria but sometimes fungus can also cause Folliculitis. Most commonly it is seen over face, beard, chest, arms and legs. Mainly diagnosed by careful inspection of the affected area by the specialist. Sometimes pus or blood tests and skin biopsy is also required to find out the cause. As you said, your blood tests shows IgE level 170. It is completely normal and it has nothing to do with the Folliculitis. So nothing to worry about IgE levels. If your Folliculitis problem is recurrent, then you have to find out the cause for recurring infection of affected area. Talk to your doctor for good antibiotic course or antibacterial cream to apply on affected area. Also it is very important to keep good personal hygiene. Do not share your towels or clothes with anybody. Use good quality soap for bath. If no improvement, then you should see any other Skin Specialist or Dermatologist for expert opinion." + }, + { + "id": 18060, + "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": 2817, + "tgt": "Am I suffering from any neurological disorder?", + "src": "Patient: Hi doctor, I am a 30 year old male. I am suffering with the below symptoms which feels like a disorder. I have this disorder running in my family. A few of my paternal uncles also have them, but in a mild form. I had these symptoms since childhood, but it was very mild at that time. I had ignored them previously, but over the course of time this has got severe and now it has started to concern me. The symptoms are severe anxiety, panic struck, sweating palms, facial sweat, getting nervous, trembling hands and legs, voice breaking down, throat gets dry, extensive sweating of palms and sweat starts dripping from palm within a few minutes (hyperhidrosis). I am\u00a0having the above symptoms when I\u00a0attend any public or office meetings where I have to speak in front of a crowd, in\u00a0any social gatherings where I feel I am at focus and when I\u00a0face any adverse condition or under mental stress due to work pressure.\u00a0However, I am perfectly normal when I am alone or relaxing at home, having no sign of anxiety or sweat. I have tried a lot to keep my anxiety under control before going out for meetings, but these symptoms appear involuntarily and starts making conditions worse for me. This is making my life difficult and I have started avoiding meetings or gatherings.\u00a0Am I suffering from any neurological disorder? If yes, please suggest what kind of treatment I should undergo to bring my life back to normal. Doctor: Hi. I have read your question with care and understand your concerns. For further information consult a\u00a0neurologist online\u00a0-->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14565, + "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": 5950, + "tgt": "I feel my senses are dulled and I am unmotivated. What should I do?", + "src": "Patient: Hello doctor, I had a period of time in my life recently where I was depressed and unmotivated. I have always had some forms of anxiety from time to time as well. More recently, however, I began to make strides to come out of my depression and started being happy and living life again, but I have noticed a very strange and crippling symptom that I acquired at some point in my life, that seems to maybe be getting worse. Basically, it feels as though my senses are dulled, and my perception of the world around me is severely limited. My thought patterns have become very slow and disjointed, and my day to day activities especially when alone is very very basic and boring. It is almost as if my brain is no longer autonomously processing information around me, creating memories, stimulating me with thoughts and ideas. I feel empty and blank. The severity of this feeling fluctuates and it seems to improve sometimes, especially if I am not feeling overly anxious or if I do positive things like working out or meditating. I do not know how much of this I can attribute to pure psychology and I am worried more and more that there is something physically wrong with my brain. It almost feels dementia like. My short-term or the\u00a0working memory can be extremely short-lived and sometimes when thinking through pretty basic thoughts or narratives or plotlines or solving simple problems, I easily forget what I was thinking about or I cannot hold the pieces of information long enough in my head to make sense of them. Most of the time, it is not that I do not understand the problem it is just that I am trying to wrap my head around. Rather, I will be able to fully explain it to myself and come to the answer, but still for some reason be unclear as to whether I truly got it or not, and so then I will force myself to go through the logic of the problem again and again until I am satisfied with how much it has been \"solidified\" in my head. I might not have articulated this too well, but I am only saying it to underscore that this seems to be more a problem of information processing rather than my analytical abilities. I have found that my long-term memory seems to be somewhat stronger. This is especially true for memories formed a long time ago, which leads me to believe that maybe my recent short-term memory problems are also preventing me from encoding enough information in the moment to create vivid memories. Anyways, whatever this is, it has been further exacerbated by my intense focus on the problem, which is preventing me from being happy and sending me back into depression. I am seeing a neurologist in two months but I really do not want to wait that long to talk to someone. Meanwhile, I would love some insight or opinions on what this might be. Sorry if this explanation was somewhat rambly and disjointed. I am not very good at putting this problem into words so let me know if there is anything I should clarify or elaborate on further. Of note, I am on\u00a0Advair and Albuterol and in the past, I have been on Wellbutrin. The onset of these symptoms seems to have maybe been gradual but my acknowledgment of how bad they are was definitely more abrupt and coincided with my efforts in trying to climb back into the real world after my depressive episode. Another strange symptom that has presented itself for a while is ED and I have been concerned that the presentation of ED with neurological symptoms could suggest MS. Are my worries valid? Kindly reply. Doctor: Hello. Kindly revert back with answers to the above questions. For more information consult a\u00a0neurologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16597, + "tgt": "I want to know about my EEG report. Please explain", + "src": "Patient: Hi doctor, I want an explanation about my EEG report. I will try to explain my problems. After taking antibiotics, I had neurological reactions to them. They are memory loss, brain fog, and had concentration problems. Later on, we discovered that I have sensitivities to a lot of medications and chemical sensitivity. So I would like to explain the EEG report which was done during my reactions to antibiotics and brain problem. Can antibiotics slower the brain activity? My EEG report showed these results. My essential activity was appropriate. I had a relaxing and intermittent alpha rhythm with a frequency of 9 to 10 Hz and an amplitude of 30 V. There was alpha activity occurring intermittently from my parietal region to the temporal and central areas. The diffuser was the interpolated low-amplitude beta rhythm. My reaction to closing and opening the eyes was appropriate. A central and temporal had an intermittent rhythmic theta activity with a frequency of 6 Hz. Temporal and frontotemporal are rare theta waves or a tiny group of theta waves. During my deep breathing, I had no response to waves. The phenomenon of tracing was reflected during IFS. Doctor: Hi. I have gone through the report (attachment removed to protect patient identity). There is a critical finding seen. You have a slow activity (theta waves) in the temporal and frontotemporal lobe. It correlates with the memory problems, and for the confusion you had. Coming to the point, I would recommend repeating the EEG (electroencephalography) after some weeks after taking the antibiotics. It may be a temporary brain dysfunction due to a possible allergic reaction or a metabolic disorder. We cannot say that taking antibiotics slows the brain activity, but it causes a temporary malfunction of the brain, probably due to cell swelling or cell dysfunction (electrolyte imbalance)." + }, + { + "id": 8614, + "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": 3622, + "tgt": "I had oral thrush, swollen lymph nodes, and fever after a week of unprotected sex. Is this HIV infection?", + "src": "Patient: Hello doctor, I have unprotected vaginal and oral sex with a sex worker three weeks ago. I do not know her status of HIV although she said she is clean. Exactly after seven days of my exposure, I feel something wrong with my body as it is feeling uncomfortable. I had oral thrush, loss of appetite, swollen lymph nodes in neck, body aches, needles like pain all over my body, night sweat although no fever but I can feel the temperature is high, it is 98.5-99.3 degrees for the next couple of days. So I suspected that I got infected with HIV. Due to anxiety, I took the HIV antibody test on the 9th day of my exposure which I know is a bit early come out negative. But then on the 10th day (exactly after 9 days 10 hours), I took HIV 1 RNA TMA test on stdcheck.com which they said 95-99% accurate in 9-11 days after exposure. I got the result yesterday, as negative no HIV 1 RNA detected. Now, still I am in confusion because I am 100% sure I got infected with HIV. I do not know if these tests are conclusive or not. I do not have guts to do another test. Please help. And also some of my symptoms are gone but I discovered some additional like pain in kidneys, lower abdomen, chest pain, joint pain, and extreme fatigue for two to three days. Doctor: Hi. I have gone through the details and reports. (attachment removed to protect patient identity). All the tests are negative is a good sign. The chances of transmission of HIV by unprotected intercourse with an HIV positive person is too low. If negative it is nil. You can allay fears. HIV RNA PCR is negative and is a good sign. It is almost conclusive. The chances of tests coming positive later are nil. But it is better to get tested for HIV 1 and 2 antibodies after three months to have conclusive results." + }, + { + "id": 23058, + "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": 17126, + "tgt": "How to reduce my serum ferritin level?", + "src": "Patient: Hi doctor, My ferritin level is 1500, and I want to bring it down to 150. How much will one DFO IV session or each Exjade pill reduce the ferritin level on an average? I am a healthy individual, and I do not have HIV, HCC, or any other disease. Doctor: Hi. Your serum ferritin is high, so the cause should be found out first. Take care.\u00a0Hope this will help you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12637, + "tgt": "Kindly suggest a treatment for corneal dystrophy", + "src": "Patient: Hello doctor, I had a consultation with a local doctor, and she told me that I have corneal dystrophy. It is genetic here as my mother also have that. I can see bubbles moving around when I concentrate at any point, it is like tiny white color dots on cornea. I am using spectacles since last few years (cylindrical power, -2(L), -1.5(R)). This dystrophy is not a big problem for now, but it creates a problem when I study or read something. It creates a headache, which distracts me while studying. Can you please suggest me a treatment either prevention through surgery or medication (any eye drop)? Please let me know if you need further details. Thank you. Doctor: Hello. Dystrophies of the cornea are divided based on the layer of cornea involved. If the dystrophy is the cause of your headache, then your dystrophy must involve the outer layers of cornea. More than frank pain, these conditions cause irritation which increases on blinking, more during early morning hours. If this is the case, then the best over-the-counter medication is Lacrigel (2% Hydroxypropyl methylcellulose acetate). This medication is essentially a gel formulation of the drops your doctor has recommended and just like the drops, it will cause no side effects except for mild blurring soon after installation. The exact diagnosis of such dystrophies can be done by a cornea specialist. In case you need any further information, please send a very clear and magnified photo of your cornea. I will do my best to help you." + }, + { + "id": 8954, + "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": 18806, + "tgt": "Is delaying angioplasty a risk?", + "src": "Patient: Hello doctor, My father, who is 62 years, had a heart attack before two months. He was admitted to the hospital and the first aid was given. His angiography was done after four days and the diagnosis was single vessel disease with Mid LAD 90% stenosis. Doctor has advised him 20 days of medicine and post that they will decide for further course of action either putting a stent (angioplasty) or continue medicine for some more time. Currently, he is on rest at home and feeling better without any pain or any visible or noticeable complaints.\u00a0I am attaching here the angiography report along with the diagnosis report and prescribed medicines.\u00a0How do you analyze the situation?\u00a0Is the course of treatment right? Can\u00a0medicine cure or improve the things? Is delaying angioplasty a risk?\u00a0Does angioplasty (stenting) have self-life or side effects?\u00a0If angioplasty is required, how soon we should do it? Also, please suggest any specific stent for long term benefits. Thank you. Doctor: Hi. I have reviewed your health query regarding your father and can well establish the sensitivity of the issue. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21685, + "tgt": "My smile gives a bad impression because of my large upper lip. Please help", + "src": "Patient: Hello doctor, My upper lip right side corner is somewhat large. When I smile, it moves far away. It gives a very dirty impression. It creates depression for me. I can send you my picture if needed. Please help. Doctor: Hello. I have seen the picture sent by you (attachment removed to protect patient identity). Yeah, definitely I can see that you have a little bit elongated lips on one side and that is what is making it asymmetrical. The solution for this is either surgical which will be for long term. If nonsurgical, then you can opt for fillers treatment to make it symmetrical, but that will be short living treatment and you will have to repeat it after four to five months. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 23825, + "tgt": "Can a small thin-walled hemorrhagic cyst turn cancerous?", + "src": "Patient: Hello doctor, My mother is 48 years old presented with symptoms of vomiting, acidity, bloating, and headache. She is in a perimenopausal phase. She visited a gynecologist and went for a pelvic ultrasound. The reports show that she is having a small thin-walled hemorrhagic cyst with internal echoes in her right ovary and few sub centimetric nabothian cysts in her cervix. I am a bit worried if this hemorrhagic cyst is something to complex and could it turn out to be something cancerous? I am very much worried. Doctor: Hi. I have seen your attached report (attachment removed to protect patient identity). It would be better for me to have your mother's obstetrics, gynecological, medical, surgical and drug present and past history as I could be able to correlate symptoms. If she has been treated for any problem better to have a check on that and take regular treatment like diabetes, hypertension, etc. This perimenopausal age is very much prone to get disease due to aging. Mostly mood variations, night sweats, bone pains, all these symptoms near menopause. A woman should start taking extra care in advance near 40 years of age like calcium with vitamin D supplements, daily light exercise and walk, etc. Ovarian cyst multiloculated 5 cm or more without symptoms should have regular follow up ultrasound along with tumor marker investigations, etc., and an ovarian cyst with symptoms less than 5 cm even should be investigated. As medical and related drug history I do not know cyst with symptoms better to investigate with serum calcium 125 (antigenic tumor marker) and grey scale sonography. International multicentre research showed that cyst of 3 to 5 cm asymptomatic with normal calcium 125 have 0 % chances of malignancy. So, it is better to have serum calcium 125 done for her. Calcium 125 more than 65 U/ml has greater chances of malignancy. The hemorrhagic cyst should resolve by itself may be with minor pain. Observe for any abnormal symptoms like severe abdominal pain, abnormal bleeding report to the tertiary care center. It is better to have serum calcium 125 test and discuss here or with the local gynecologist. I hope things will be better. She should take care of all other physical problem nicely as diabetes, hypertension as many problems together also give complicated effects. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24626, + "tgt": "I have a very lean body build. I want to increase my muscle mass. Give me a diet suggestion", + "src": "Patient: Hello doctor, I have a very lean body build. I want to increase my muscle mass. What should I do? Shall I take any medicine or any diet suggestions? Age 23,\u00a0male, weight 59kg, height - 179cm. Doctor: Hi. You must take a high protein diet. And to aid better protein absorption, include acidic foods like lemon, orange, etc., in your diet. I am mentioning here a sample protein rich diet. You may modify the same as per your taste. Breakfast: Midday: Lunch: Evening: Just before dinner - A bowl of soup (chicken/mutton/vegetable). Dinner: You may try different recipes with high protein vegetables like soybean, pulses, besan. Take soya milk which will give you added proteins. Fish has high omega 3 fatty acids. When making fresh paneer, the left over water is protein rich and can be used in various ways, added to good as well. Various recipes made out of hung curd which will again add variety being protein rich as well. A note of caution: Do not over do with the proteins, as they have to break down for digestion and an appropriate levels of uric acid have to be maintained in the body. If you have further questions, feel free to ask a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 18974, + "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": 26976, + "tgt": "Why is my congested throat with swollen tonsils not getting cured?", + "src": "Patient: Hi doctor, I am suffering from a\u00a0congested throat with swollen tonsils (with some white spots on it) since\u00a0three\u00a0days.\u00a0Doctors\u00a0gave me capsule Cefspan 400 mg, twice a day, tablet\u00a0Fexet 160 mg, once daily, tablet\u00a0Brufen 400 mg twice\u00a0daily, Daktarin oral gel. It is not reducing.\u00a0What should I do? Please guide me accordingly. Doctor: Hi. Thanks. For further queries consult an ENT\u00a0otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14442, + "tgt": "What can be the reason for spotting and delayed periods?", + "src": "Patient: Hi doctor, My last 2 periods were very light. The latest one came after 50 days and started with 5 days spotting followed by light flow which is going on for 6th day now and has not stopped. My periods have been regular so far, 30 days cycle and lasts for 3 days with 2nd day heaviest. But, since the last 2 cycles there has not been a heavy day. I have a history of systemic lupus erythematosus since age 14 and now am 31. Recently for acidity I was on Rabeprazole for close to 3 months. Doctor: Hello. I understood that your menses have been regular so far and it is just since last 2 months that you have been experiencing delayed menses and metrorrhagia (abnormal bleeding). It seems unlikely that there is a sudden hormonal deficiency. But, likely stress induced hormonal imbalance and late estrogenization has probably occurred. Date should not be a concern here in the delay as the pattern had been regular till last 2 cycles. The delay can also possibly be due to hyperprolactinemia or recent onset hypothyroidism as well. Hence, I would advise you to get a thyroid profile and serum prolactin levels done as well. However, if the bleeding does not stop in next few days then you can consider opting for Progesterone pills like Meprate (Medroxyprogesterone) 10 mg once a day for next 15 days. This shall not just help control bleeding but also regulate it for this cycle. Observe the pattern for next 2 cycles and try to keep the stress levels low in next cycles. Follow up with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3940, + "tgt": "Will HPV infection cause esophageal cancer?", + "src": "Patient: Hi doctor, Just over a week ago, I developed severe swelling and soreness on the left side of my throat, particularly at the base of my tongue. My left ear is also in a lot of pain. Swallowing is extremely difficult and I went to see local urgent care where they prescribed me with Amoxicillin 500 mg and said it was most likely pharyngitis even though I have not had tonsils for many years. My main concern, even though it is a worse case scenario, is esophageal cancer through HPV can occur, as my girlfriend was recently diagnosed with HPV. Again, I know this is the worst case scenario, but since she was diagnosed I really been concerned about HPV-related cancers. From what I read and what I've been told, there are no real tests to check in men for HPV and even though there is the vaccine it is not recommended for men ages 26 to 45 years. I have already been taking Amoxicillin for about four days now and nothing improves. I have also tried taking regular over the counter cough drops and gargling with salt water. This has not helped at all either I have also been told that throat cancer from HPV can usually be spotted unless you have lesions in your oral area. Right now I am at a loss of what I really need to do? Any help or advice would seriously be appreciated. I am also under Amlodipine 5 mg. Doctor: Hello. Your problem can be due to pharyngitis. It is possible that Amoxicillin is not effective enough in your case. You may need some other antibiotics. I want to see your throat myself. Can you send me a picture of your throat? (I should be able to see posterior pharyngeal wall and tonsils). We can think of HPV-related problems only after ruling out other infections. Did you lose your weight? Are you having any swelling in the neck (lymph node enlargement)? The only way of ruling out HPV-related oral cancers is by taking an oral biopsy. Before concluding anything please send me a picture of your throat. I will be able to guide you in a better way." + }, + { + "id": 1140, + "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": 24120, + "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": 11185, + "tgt": "Please explain the reason behind the abnormal hematological parameters", + "src": "Patient: Hello doctor, Recent health check (which I do it by myself routinely and I do not have any diabetes, BP or any other disorder), I found abnormal values of the following hematological parameters, Hb- just normal, RBC- low, MCHC- low, MCV- high (lab has marked all the last three items under bold). Liver , kidney and other blood parameters are normal. Cholesterol- normal, except TGL, which has slightly gone up. My age is 53, BMI- 23, active and fit. Kindly advice whether I need to worry. Even two years back also the parameters RBC/MCV/MCHC were marked as abnormal which now I have noticed. Doctor: Hello. I have checked your attached reports (attachment removed to protect patient identity). Your hemoglobin level is within normal range. So you may need not to worry about that. You need not worry regarding slight low red blood cell count. For slight high MCV, you can investigate further with serum B12 estimation. Your triglyceride level is slight high. For that you can continue with prescribed medication that is Atorvastatin. So finally you need not worry regarding your all attached reports as per my opinion." + }, + { + "id": 25650, + "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": 13635, + "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": 12762, + "tgt": "What can be done for dryness in and around lips after rosacea treatment?", + "src": "Patient: Hello doctor, I have been suffering from rosacea. So went under proper treatment but now around my lips area, there is dryness. Though I used all the creams on my face, I did not apply creams on the lips area. So is it because of that? Doctor: Hello. This is perioral dermatitis (attachment removed to protect patient identity). A type of eczema that occurs around the oral cavity. The most common reason is the steroid that causes it whether they are present in products we use on face or from the treatment we do. Yes, it can be part of rosacea, in fact, perioral dermatitis come under the umbrella of rosacea. The most important thing is hydration of skin for which you have to apply emollient. Apply simple Vaseline (Petroleum Jelly) 4 to 5 times a day. Wash your face with mild soap and water. Apply good sunblock of SPF 60. Follow at two weeks. Perioral dermatitis." + }, + { + "id": 26494, + "tgt": "Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?", + "src": "Patient: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This\u00a0started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical\u00a0brisk knee reflex, and it is brisker on the right leg where it bothers me, not including the plantar reflexes. Everything else was said to be fine. I had EMG that was normal except for\u00a0single highly polyphasic motor units with a high amplitude which signal a nerve issue at L5-L4, but my MRI only showed scoliosis which I have had since a child. I am very scared. Please advice me. You think this may be an early onset of ALS? Doctor: Hello. I can completely understand your concern. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14776, + "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": 7283, + "tgt": "Please suggest Ayurvedic treatment for broncho asthma", + "src": "Patient: Hello doctor,I am 28-year-old and suffering from broncho asthma for six years. My chest reports are clear, but often I suffer during respiration. I am using Seroflo 125 of Cipla. I often face a problem of breathing. Please advise me the Ayurvedic medicine to get out of this problem permanently. Doctor: Hello. Bronchial asthma is an autoinflammatory reaction of your lung to allergens. Allergens can vary from climate to food habits. Initially, you will have to take steps in skipping those trigger factors which are responsible for asthma. Certain food items can trigger asthma. Usually, these are hard to identify as the reaction comes probably after a day or two. At this stage, however, I suggest you begin the intake of two medicines. They are as follows. 1. Agasthya Rasayana one teaspoon twice daily after food. 2. Kanakasava 30 ml twice daily after food. Follow these for two weeks and follow-up regularly for absolute heal." + }, + { + "id": 805, + "tgt": "I have unilateral ptosis. Is there any cream or non-surgical way to cure it?", + "src": "Patient: Hi, I have gradually developed unilateral ptosis, is there any cream or non surgical way to cure it. My eyes were fine till about a year ago, gradually my right eyelid started to droop and is getting worse day by day. Doctor: Hello As you have send me images of your both eye I can see there is ptosis in your eyes right eye it is looking more compare to left eye. As you told it started a year ago and not from birth so it can be apponeurotic ptosis but we have to take exact measurements for ptosis and we have to compare both eyes. For your query as you have asked if your eye lid is dropping Day by day and it's getting worst then only way to treat is surgery. There is no medical treatment for any kind of ptosis. LPS weakness Ptosis measurements Ice pack test AchR-Ab Thyroid profile MED Apponeurotic ptosis Myesthenia gravis Ptosis Depending upon ptosis measurements and lab test 5 days" + }, + { + "id": 24318, + "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": 2984, + "tgt": "Is it necessary to take Ecospirin during second pregnancy when the first one was normal?", + "src": "Patient: Hi doctor, Currently, I am 14 weeks pregnant with my second baby. I am attaching my NT and double marker report for your reference. I have a 5-year-old son and no abortion in the past. I have conceived naturally both times. My doctor has asked me to do either NIPT or CVS and I am not sure if I really need to do any. She has asked me to take Ecospirin 150 immediately if not doing CVS else start after CVS. I have some queries. Do I really need to go for either NIPT or CVS? Or I can forgo these tests? Should I take Ecospirin 150 as my previous pregnancy did not have any complications and at present also I am in good condition with no health issues (also I don't drink and smoke)? Are there any issues with my beta HCG and Papp-a value? Do you see any other concerns in my report? Please reply. Doctor: Hi. I have seen the report. (attachment removed to protect patient identity). Now every laboratory has its own calculation methods to come to a risk ratio after the test. b-HCG and PAPP-A levels are also different at different times of pregnancy and also has some effects of weight and age on it. This is a genetic screening test. And we do this test to find out what is the risk of this pregnancy having a congenital abnormal baby. (Specifically Down\u2019s, Edward, Turner, and Patau syndromes). This risk ratio has cut off values. Means trisomy 21 (Down\u2019s) has a risk ratio of 1:365 in your case and cut off is 1:250. Now with this report, we are calculating the risk of having a baby with Down\u2019s syndrome is 1 in 365 pregnancy with your age and with the test and ultrasound reports you have. We are calculating the risk and the report is always low risk or high risk. There is never no risk. Practically also after doing all available tests we never can rule out all the possible abnormalities in the baby. CVS (chorionic villus sampling) and sometimes amniocentesis are 100% if they found baby DNA in the procedure to rule out that the baby does not have trisomy 21 or other major chromosomal anomalies. That does not mean all genetic abnormalities are ruled out. Both of these procedures also have some risk of abortion during or after. And that is why we advise these test in high-risk double marker. NIPT (non-invasive prenatal testing) is also a screening test like double marker but the test is less risky as compared to CVS and amniocentesis but at the same time more costly. And test sensitivity to rule out trisomy 21 and other is 99.99%. After all these details you must be confused. Now other trisomies are definitely low risk but in case of trisomy 21, your report is 1:365 and which is somewhat near cut off 1:250. Ideally I advise further testing of CVS and amniocentesis if the value is below cut off value. But 1:365 is also near the cut off value. So it is a debatable issue. 1:365 means that out of 365 pregnancy 364 will be normal and 1 pregnancy will have trisomy 21. Secondly, you can start Ecosprin tablets. We usually start it in some high-risk patients. If you have pregnancy after 30 years then you come under high-risk group. So you should start it. In CVS there is chance of bleeding inside and that is why your gynecologist does not ask to start it if you are going for CVS. And every pregnancy is different. And we cannot say that if previous pregnancy did not have any problem nor the baby has any problem then this pregnancy will not have anything wrong. Yes, we can say that if previous pregnancy was normal then there is somewhat more chance that this pregnancy will also normal. Go through all details two or three times to understand it properly and then ask anything if you have more questions. I hope this helps. I am not able to open NT scan report. Yes, but the second report is saying that NT is 1.93 and nasal bone is seen. Mostly these two sonography markers are also used to calculate the risk in double marker apart from b- HCG (beta-human chorionic gonadotropin) and PAPP-A (pregnancy associated plasma protein-A). Both NT (nuchal translucency) and NB (nasal bone) are normal." + }, + { + "id": 5438, + "tgt": "Are there chances of pregnancy after a few years of tubectomy?", + "src": "Patient: Hello doctor, I have my tubes tied. but in the last two months, I have been having all the symptoms of pregnancy but have spotted too. I have heard that in some women after a couple of years their tubes can come undone and get pregnant. I am not sure what I can do because my pelvis has been hurting and I have tenderness in the breast, light headedness, dizziness, mood swings, tired, etc. Is that a symptom of being pregnant? Doctor: Hello. If your concern is pregnancy here, and you feel that tubal ligation may have failed then the best way to put your doubts to rest would be to undertake a serum beta hCG (human chorionic gonadotrophin) test now which is negative shall confirm that you are surely not pregnant. Though tubal ligation is a permanent sterilization procedure and failure rates are 1-3% but seen only in the next three months if at all. This has been three years now and you have been safe so rest assure that tubes are tied. The symptoms that you are experiencing corroborate more with premenstrual syndrome which indicates that your menses are due in the next few days. They include mood swings, sore breasts, nausea, headache, dizzy spells, distaste, increased frequency of urine and fatigue, all form PMS. So just wait for a few days and allow your menses to resume and once they resume they indirectly indicate that there is no pregnancy. PMS (premenstrual syndrome). None. PMS. PMS. Get a serum beta hCG test to rule pregnancy to reassure yourself. Wait and watch for menses to resume. Please follow up if menses not resumed in the next three to four days." + }, + { + "id": 14443, + "tgt": "Why is there severe toothache with swollen face even after taking antibiotic?", + "src": "Patient: Hello doctor, My tooth started hurting about a month and a half ago, just one night of hurting badly. Then went away. About weeks later started hurting again but nothing too bad. I just dealt with it. Now, again I have severe pain. I went to ER, said it was abscessed tooth and gave me Amoxicillin. The pain was still very bad so went back to the doctor. Three days later they prescribed me Clindamycin. Started taking them this morning. The pain is very bad and now my face is starting to get swollen. My whole face hurts, hurts to talk or really do anything. Should I go back to the ER or wait and see if this new antibiotic works? Please help me. Doctor: Hi. I have gone through your question and I can understand your concern. I think you are having an acute periapical infection with involvement of buccal and mandibular space infection. If the swelling is increasing and there is burning pain you may need another antibiotic with Clindamycin. For that upload a picture so that I can provide you with the best possible treatment plan. Make sure you do not have any airway obstruction, that can be dangerous. Periapical infection due to the cavity. IOPAR X-ray. Acute apical periodontitis. Buccal space infection." + }, + { + "id": 15050, + "tgt": "I have not got withdrawal bleeding after 10 days of taking Unwanted 72. Why?", + "src": "Patient: Hello doctor, I had unprotected sex 10 days back and then took Unwanted 72 after four hours. I have not got any withdrawal bleeding yet. What does it mean? When should I take the pregnancy test? Also, I am a patient of PCOD. Doctor: Hello. You have rightly taken the emergency contraceptive pill within 72 hours of unprotected intercourse. The success rate of ECP is 99 % and ideally,the withdrawal bleed should start in the next 4 to 7 days, but if it has not yet, then you can opt for a serum beta hCG test after eight days post last intercourse to rule out pregnancy, if any, due to possible emergency contraceptive pill failure. If the hCG levels are less than 3 mIU then you are pregnancy safe else you are pregnant. If the test is negative then you can safely wait for the menses to return for at least two weeks and then, can get an ultrasound pelvis done to check for endometrial thickness and post that if the endometrial thickness is more than 9 mm then you can opt for a withdrawal bleed with Progesterone." + }, + { + "id": 5093, + "tgt": "My recent widal test shows TO-1:60 and TH-1:40. Is this normal?", + "src": "Patient: Hello doctor, I am 25 years old. I have a little long story of typhoid. In March, I tested positive for typhoid with widal test and the report shows TO - 1:80, TH - 1:40. My doctor prescribed me some antibiotics and I took them for eight days. I tested again and all titers were negative. I immediately left all the medicines as I though I have recovered. I was fine. In May, again I tested positive for widal test and the report shows TO - 1:160, TH - 1:80, TA - 1:40. This time I took two antibiotics Oflomac 200 and Ceftas 400 mg for about one month. After one month I tested for widal and my TO titer was 1:60 and TH was 1:40. My doctor said me to leave the medicines and he told that it is normal now. Now here my concerns starts, in July and August, I took two widal tests on the interval of one month and both reports were the same as TO - 1:80, TH - 1:40. I showed this report to three doctors and they all said that it is normal. It will take some time to fall the value of titers after typhoid. Symptoms: I never had any fever during all history. I just had joint pains, leg cramps and sometimes stomach pain. My question is have I become a typhoid carrier or this is really normal? And if I have become the carrier then is it curable or not? I am very stressed about it and it has disturbed my whole life. I am asking this because, now these days, when I go for morning walks, I have leg pains whole day with a very bad taste of my tongue. Doctor: Hi. Widal test is a vague test which has limitations. It is done only to get an idea of which type of organism might be present. If you see the report again, you will not find any value for a zero level, means the level of a normal person can also not be zero. Anything less than 160 be it 20, 40 or 80 is considered normal. Only 160 and above needs treatment. You have already taken a lot of antibiotics, no need for anything now. Since you are still thinking about carrier state, do the following things: 1. Get a Typhidot IgG and IgM done. Your IgM will be positive as you had past infection. IgG should be negative as this shows present infection. So this way, you get clarity on what is the status of typhoid now. 2. Get a stool routine and culture done. This will show you if you are excreting typhoid bacteria or not and are a carrier or not. The treatment will be decided only once we find something in that. 3. Get an ultrasound of the abdomen done to rule out any swelling of the liver or intestines. Once you have this done, you will be clear with everything. I hope this helps." + }, + { + "id": 2391, + "tgt": "I have swelling in throat involving tonsils. Please help", + "src": "Patient: Hello doctor, I am a 23-year-old female. I am having some problem in my throat and I think those are tonsils as I am not having any pain or difficulty. But whenever I am looking into my mouth I feel something around tonsils. Please help. Doctor: Hello. I can understand your concern over the swelling in your throat that you observed recently in this period of Covid-19 outbreak. I checked the image and I can definitely see some swelling there. (attachment removed to protect patient identity). I have a few questions for you. Have you observed this on the back of your throat for the first time? In the past did you have a similar issue? Have you been in contact with anyone who had respiratory tract infection recently? Do you have a fever or a cough? Sometimes this type of swelling is a result of an allergic reaction to some specific food or allergen which can be triggered after you consume anything cold. As far as there is no pain and difficulty swallowing food and water, you do not need to worry much. Although keep a check on it for a week or two and see if there is any change in the swelling. You can gargle with warm water and adding little salt in it for four to five times a day and avoid eating anything cold for some duration. Feel free to contact me if you observe any change in the swelling. And stay safe as the Covid-19 is spreading quickly. Maintain social distancing and wash your hands before you touch your face, nose, or eyes." + }, + { + "id": 30261, + "tgt": "Can porokeratosis recur?", + "src": "Patient: Hi doctor,I was diagnosed to have porokeratosis through a biopsy. I used Imiquimod cream and it was gone. After three years, the area started itching again now. Is it due to the recurrence of the same disease? Doctor: Hi. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12551, + "tgt": "How can I reduce weight?", + "src": "Patient: Hello doctor, I am 35 years old and I started dieting early last year. But it seems like my weight plateaued. I have been eating a low carb diet during weekdays and on Sundays, I eat the carbs that I want to eat. I work out 3 to 4 times a week. I sometimes sleep late. I have been on this schedule for the past 10 months. So for now, I am frustrated and worried why am I not losing weight. Doctor: Hello. Well, eating only low carbohydrate will not help. Follow a protein-rich, low carbohydrate, a fiber-rich diet that will fulfill the purpose. Have three small meals per day with lots of water. You can cheat sometimes with healthy junks. Exercise regularly with walk in the morning, at least for 30 minutes. Have low fat or skimmed milk in the morning, with brown bread. Avoid spices. Can have vegetable soup in the evening. Chicken and vegetable salad can work. Can start pilates, which works wonder for shaping up the body. Meditation before going to bed to bring positivity in mind and calmness. Warm lemon water early in the morning is also beneficial." + }, + { + "id": 14557, + "tgt": "My hCG doubled in 72 hours. Does it mean I will miscarry?", + "src": "Patient: Hello doctor, At six weeks and one-day pregnant, I had a gestational sac measuring at five weeks, six days. (I do not always have 28-day cycles, sometimes 30 days), and the gestational sac was empty (no yolk sac, no fetal pole). Two days prior to the ultrasound, my progesterone measured at 5.3 and my hCG was 6009. My hCG had doubled in 72 hours. My intuition is telling me that I am going to miscarry. Given my progesterone level and the fact that my gestational sac is measuring plenty big enough for at least a yolk sac to be seen. My doctor keeps saying just wait. My question is, given everything presented, am I correct to assume a miscarriage? I feel that I have prepared myself to expect it. Doctor: Hi. I could understand your concern. It seems you had a bit irregular periods as well. Now sac is there but no fetal pole or yolk sac around 5+ weeks. Beta hCG that shows a progression of pregnancy increasing more than 50 % as you described. This scenario is known as anembryonic pregnancy means no embryo development. It is better to wait for a week or 10 days. Here, you have not mentioned the exact measure of the gestational sac. In case of irregular periods or some other factors dates discrepancy also occurs but still point is that still no yolk sac or fetal pole as you said, then more chances could be suspected like missed miscarriage or anembryonic pregnancy, if still in coming days fetal pole could not be seen. You can prepare yourself to be positive whatever has been written for you as you could have a healthy conception again. In case of an abnormal product of conception normally miscarriage happens so do not be sad. Just wait and see and have rescanned after 7 to 10 days to reach any definite conclusion. In case of bleeding, cramps, abdominal pain immediately report to tertiary care gynecology emergency unit. Irregular periods or abnormal product of conception. Wait and have a transvaginal scan after 7 to 10 days with expertise hands. Anembryonic pregnancy or suspected missed miscarriage. Suspected missed miscarriage. Follow scan report to have a final conclusion for proper further intervention. In case of bleeding or pain immediately rush to a gynecologist or early pregnancy unit emergency." + }, + { + "id": 26888, + "tgt": "What liver problem do the attached reports show?", + "src": "Patient: Hi doctor, Kindly take a look at the medical reports of the patient. He suffers from a liver problem, which suddenly started last week. Could you please diagnose the case and give your recommendations? Can the patient be treated with medication or should he go for surgery? Thank you. Doctor: Hi. I have seen the attached reports (attachment removed to protect patient identity). For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27494, + "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": 14556, + "tgt": "What treatment can be done for smashed thumb with swelling and blood clot except nail removal?", + "src": "Patient: Hello doctor, I have a smashed thumb by the cricket ball. I was hit last week and there is blood clot under my nail. Thus I am still having pain in my finger and it is swollen. Now the pain reduced a bit but the swelling is unchanged and because of it I am still having pain and I cannot bend my finger. I showed myself to a doctor and he gave me some medicines and also I had an X-ray of the finger and the reports were good. Because there was not a lot of progress I went to the doctor again but my earlier doctor was not present and another doctor observed me and told to remove the nail. He told me to consult with a surgery specialist and he will tell me what to do. I do not want to remove the nail and for that, I have found the solution that by making a small hole through the nail, blood can be removed. Now please tell me what should I do. Doctor: Hello. After careful analysis of your history, it looks like a hematoma of the nail bed or contusion. Since you have mentioned that X-ray reports were negative, you do not have to worry about anything serious. Firstly, I would suggest you not to rely on any other information from anywhere as all of it is not right, and it would do more harm than good when not done under supervision. That is what doctors and specialists are for. Secondly, it seems like you have a dead nail as a result of the trauma, and if the doctor you consulted with has suggested you for a nail removal, do follow his or her advice. I know nail removal is a dreadful thought for people, but, that is normal. It would be done under anaesthesia and is a very simple and quick procedure. And your nail will grow back in time as well. So do not hesitate to carry the needed procedure out. As of now, do not do any procedures on your own. It would cause deep infections and may get worse. Stay healthy and be positive." + }, + { + "id": 19787, + "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": 1717, + "tgt": "My baby likes to have milk in only one breast. Why?", + "src": "Patient: Hello doctor, My baby is 7 weeks old and she is on exclusive breastfeeding. She prefers the right breast than the left and cries to latch on the left. So I started to pump and bottle feed from left and direct feed from the right. I pump three to four times a day and make around 100 ml from the left. My breasts are lopsided and the right side is full most of the time while the left side feels very soft. This week all of a sudden my little one prefers bottle than my breasts so I wanted to wean of bottle feeding the pumped milk. She now sucks like around 30 minutes a day from the left and rest from the right. I do not want to pump or express again from the left to increase the supply. My question is, how can I balance feeding from both breasts without pumping? My little one does not like spoon feeding the expressed breast milk. Please help. Doctor: Hello. It is normal for a baby that he or she chooses any one side of the breast on its own. But if you feel that your breast lopsided then you need to take some tricks. Start to feed your baby from the small one. Let him suck more and more from the small one. After some days, it will become large and engorge. But do not avoid to breastfed from the larger one too. When the large one fills please feed your baby from this side or express milk by using hand. You can use a breast pump to express milk from the larger breast. But if you do not want to use pump, use your hands. You do not need to feed him with this expressed milk. Do continue breastfeeding a few days from small one more and more. After some days both will become balanced. One thing do not practice your baby bottle feeding. Then he won't breastfeed again." + }, + { + "id": 28476, + "tgt": "My cerebral venous thrombosis is improving, but why do I still get severe headaches?", + "src": "Patient: Hello doctor, I was diagnosed with cerebral venous sinus thrombosis, eight months back, after suffering severe headaches. I have never had headaches in my life, except very occasional tensions headaches. I have been taking Warfarin ever since, and I had a follow-up MRI, four months back. The radiologist report says there is an\u00a0improvement in previously seen dural venous thrombosis, with residual\u00a0nonocclusive filling defects within the superior sagittal sinus and\u00a0torcula, and extending into the proximal right transverse sinus.\u00a0 Initially, after having been placed on Warfarin, my headaches pretty much went away. I have, however, woken up in the morning with the occasional bad headache. I was confused as to why this would happen, so I did some reading to find out that headaches could continue for quite some time due to scar tissue. What confuses me about this is that if it is scar tissue, then the scar tissue is always there. In that case, why would the headaches come and go? I spoke to my doctor almost two weeks ago, because Acetaminophen does not help the headaches, and they can sometimes be quite painful. At the time of our conversation, I had a headache that lasted three days. However, in the past week, I have had three headaches bad enough that I have had to take prescribed Vicodin for them. The headache that I had this morning came on in the middle of the night, and I resisted taking medication for as long as possible. I did take Vicodin, but I still have pain. Is it normal for me to still be having severe headaches six months into treatment? And I have five children to care for, and my husband works out of town most of the time. The headaches, while not completely debilitating, makes it difficult for me to go about my normal duties. Can you shed any light on this? I cannot find any good information to help me understand why I am still having headaches that hurt just as bad or almost as bad as the ones that sent me to the doctor in the first place six months ago. Doctor: Hello. Revert with more information to a\u00a0neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7649, + "tgt": "What should I do to remove yellow stains from my teeth?", + "src": "Patient: Hello doctor, I have yellow discoloration on my teeth. The stains persist even after getting my teeth cleaned. The nearby dentist informed that the stains are due to chlorine content in the water. What should I do to remove these stains? Doctor: Hi. Revert back with the photo to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23638, + "tgt": "Please suggest a medicine for constipation that I can take when trying to get pregnant", + "src": "Patient: Hello doctor,I have acid reflux and poor digestion with constipation issue. I feel like gas is trapped in some part of the body and sometimes there is a burning of the chest. Is it due to poor digestion. Meanwhile, I am planning for a baby. So, please suggest a medicine or antacid which does not affect that planning. Doctor: Hello. I just read your query. If you are planning for a baby, then do not take a strong laxative for constipation because sometimes they may lead to loose motion and loose motion further can lead to abortion. So, instead of taking medicine for constipation, I suggest you improve your diet. For acid reflux and poor digestion, follow these simple instructions: I gave you suggestions more for lifestyle changes because they are more effective than taking medicines. As you are trying for pregnancy, try to have intercourse between the 11th to 15th day of your cycle because ovulation usually occurs in these days. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25131, + "tgt": "Are my UTI pills causing this heavy period bleeding?", + "src": "Patient: Hello doctor, I have a question. Well, I had an STD. It was chlamydia, but it was cured. It was months ago. I recently had sexual relationships like two months ago, after that, I started getting a yellow discharge and I went to the doctor. They told me I had UTI. They gave me pills that I am taking and my period did not come for like one month and my period usually is not regular. And now that I am taking the pills, my period has not stopped bleeding for 13 days now, and usually, it lasts a week. But, I am worried because I do not know if it is the pills or not because it does not stop coming. Doctor: Hello. The pill is not the cause of bleeding. You said your cycles are not regular. So, what happens is because the cycle duration is long, there are chances of heavy bleeding. Unless you have confirmed that pregnancy was not there (abortion can cause too much bleeding), do a urine pregnancy test just to rule out it is not an abortion. If it is just heavy bleeding due to hormonal imbalance then take tablet Pause 500 mg three times a day for five days. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7233, + "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": 2865, + "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": 30548, + "tgt": "Would glucose water consumption alter potassium levels?", + "src": "Patient: Hi doctor,The patient is a 28 year old male. He had diarrhea for about 25 days, out of which about one week was severe (had around 85 times in a week) and hospitalized. While in hospital, he had increased potassium (4.7) and was given a nebulizer for two days. He lost about 10 kg during this episode. 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. He travels a lot and has erratic sleep patterns. Though he has adequate sleep, he sleeps very late at night. He has a history of GERD, but not under any medication now. Yesterday, we visited a urologist for UTI like symptoms. They checked urine sample and also took a blood sample. All other parameters were normal, except potassium and it was 6.2. They said it was abnormal and asked to get another test done today. Yesterday, since the laboratories were not open, a friend (general medicine doctor) suggested having glucose as a home remedy. We again gave the blood sample this afternoon around 12 and the reports showed potassium as 4.4. We then consulted a general medicine physician today. He examined and asked a thorough history. He said that there is nothing to worry and that was a sampling error due to some cell breakdown.\u00a0Please explain what to do next. I have a doubt if that glucose would have reduced potassium levels to 4.4 and would have misled? Should we get the test done again? If yes, when?\u00a0Thank you and awaiting your reply. Doctor: Hi. For further doubts consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22552, + "tgt": "I am having irregular periods and planning to conceive. Kindly advice", + "src": "Patient: Hello doctor,I have been having irregular periods for a while now and I am planning to have a baby but do not know the best moment to conceive. I had my last period a month back and three days after that I had unprotected sex with my fiance and thought I had conceived because I started having cramps and frequent urination a week later but my period came a few days back. I will love to know when best I can conceive, please. Doctor: Hi. Have your periods duration increased or reduced? It would be better if you send me your detailed gynecology, menstrual, obstetric medical history as well. There are two ways to regulate cycles. One is to have hormones (norethisterone or COCP-combined oral contraceptive pill) cyclically for three months (will regulate cycles hormonally) and have blood tests serum testosterone, serum prolactin, serum inhibin, serum progesterone, FSH (follicular stimulating hormone) and LH (luteinizing hormone) and thyroid function test on day two and the result should be checked and abnormality to treat . And, then try for conception as cyclic hormones will act as second to try for conception without hormones to have unprotected sex from day 8 to day 19 on alternate days without taking any hormones or test. For 28 days cycle, if you have after hormonal treatment best days to try for conception are from day 8 or 9 to day 13. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16116, + "tgt": "What is the reason for high vitamin B12 levels?", + "src": "Patient: Hello doctor, I am 41 years old and just had lab work done and all tests came back great other than B12 which was 1243. But RBC, WBC, and everything were perfect. Is this a huge concern? Doctor: Hello. Your vitamin B12 level is slightly high. In such cases, hematological profile, liver, and kidney profile have to be checked. I want to check your full CBC and peripheral smear examination report as well. So, kindly upload it so that I can comment on that. Kindly provide me one important history about B12 supplements intake. If you had taken the B12 supplement before the test then that also can simply elevate your B12. It is not a huge concern usually. Vitamin B12 is water soluble vitamin and it can be excreted through urine usually. After checking your reports, I will comment further." + }, + { + "id": 22403, + "tgt": "I have ringworm infection for the past seven months. What has to be done?", + "src": "Patient: Hello doctor,I have ringworm for the past seven months. It comes and goes. I have used many creams tablets. No use. But finally, I found a cream named Valerate-C. It is a very effective cream. If I apply it once at night, it solves the itching problem overnight. The infection also reduces for a week. After a week or 10 days, the infection starts again. I tried using it continuously for two weeks. When I stop using infection comes again after two weeks. I am stopping using because of its lacking. I could not find that cream anywhere. I only find that in my village. I cannot stay in my village every time. I bought that cream many times bulky (four creams). After the completion, the infection starts again after two weeks. Please solve my problem. How can I kill ringworm's root? I have used Sapat lotion also. It is just burning the skin and the infection. After four days or a week, the infection starts again. Please help me. Doctor: Hi. Please take a picture of the lesion and send to us. The cream you are using is a combination of steroid and antifungal. You may get similar creams everywhere. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 26704, + "tgt": "There is a painful white patch near my last tooth. Please help", + "src": "Patient: Hello doctor, How are you doing? I have a pain in my jaw inside the mouth near my last tooth. There is a\u00a0white patch. It is painful and I cannot swallow properly because of the pain. Please help me. I am a student. Doctor: Hello. I am doing very well. Thank you. Hope it helps you. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 3047, + "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": 28959, + "tgt": "When should I go for a review after septoplasty and maxillary antrostomy surgery?", + "src": "Patient: Hi doctor, I had septoplasty and maxillary antrostomy four weeks back, but I still have swelling\u00a0in the nose. My Rhinocort nose spray does not stay in my nose when I spray it. I rinse my nose with\u00a0saline four times a day, and still, my nose is dry. I am going to get a doctor's appointment after eight weeks, is it too late? Is it normal that nose spray will not stay in the nose? Doctor: Hi. Hope you feel better soon. Do revert if you need any more help. For further queries consult an\u00a0ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30474, + "tgt": "Being a lactating mother, how to avoid pregnancy?", + "src": "Patient: Hi doctor, I am 28 years old and had unprotected sex with my husband a few hours back. I am a lactating mother and I do not want to get pregnant under any circumstances. Kindly suggest a medicine which is most effective in this situation to avoid pregnancy without affecting breastfeeding and my five month old baby. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11484, + "tgt": "Is there any change of pregnancy followed by oral sex?", + "src": "Patient: Hello doctor, My fiance had her periods (period started) five days before, we had oral sex on the fourth day, and I had precum. When I tried to enter her vagina, she said it is paining, and we stopped. I have not ejaculated. Is there any chance of pregnancy? She had her period regularly after 28 days. If chances are there for pregnancy, please suggest pills to avoid it. When to take and can she take pills in the evening? Doctor: Hello. If her cycles are regular, then you had sexual activity in a safe period, and there is no risk of pregnancy. No need to get worried. Also, the sexual activity you had does not result in pregnancy. So you can stay relaxed and there is no need to take any pills to avoid pregnancy. Use condoms during sex to remain safe, and emergency pills are alternative but should be used in accidental or emergencies only." + }, + { + "id": 17110, + "tgt": "Whenever I think of sex,my penis starts secreting a transparent fluid. Is this a normal condition or some disease?", + "src": "Patient: Hello doctor, I am a\u00a020 year\u00a0old male. Whenever I think of sex, my penis starts secreting a transparent fluid which keeps on coming out from my penis until I masturbate. Also if I do not masturbate after the excitation, my penis starts paining. Is this a normal condition or some disease? After 1-2 hours of masturbating, there is a mild pain in my penis which persists for few minutes. Also tell me how to increase the sperm count. Please help me with this. Doctor: Hello. What you are experiencing is a normal process. Whenever men are excited, the secretions start discharging from penis. The fluid which discharges initially is the pre-ejaculatory fluid (pre-cum). When you masturbate, the seminal fluid is discharged. Slight pain after excitation and masturbation is also normal. It subsides in a day or two. This is mostly due to muscle fatigue. Sperm count can be increased by drugs like Fertisure-M taken once a day for at least 3-6 months. Revert back to a sexologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7946, + "tgt": "What is the treatment for broken tooth after filling?", + "src": "Patient: Hello doctor, I had a severe toothache and after getting permanent tooth filling done tiny pieces of tooth started to break. Now completely the tooth is fallen and when consulted a doctor he told dental implant of the tooth must be done because RCT can be done but as there is no root so the cap might come off again and again. Please help. Doctor: Hi. I am unable to understand your question completely. If there was no root then how was the filling done? And which tooth are you concerned about? Answer me with a photograph of the same in your follow up. As far your problem is concerned, permanent fillings do not come out that easily provided it is manipulation and filling and post filling procedures were all done correctly. Secondly, yes you can go for RCT only if there is a healthy supporting root. As far as the implant is concerned, you can opt it will be a perfect choice if you wish you may also go for prosthodontic bridge provided your adjacent teeth are healthy enough to give support. In the bridge, we take the support of one or two adjoining teeth and thus there is a set of 2 to 3 crowns which get fixed on healthy teeth hence your absent teeth gets a crown." + }, + { + "id": 18419, + "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": 14600, + "tgt": "I am having IVF failure even though there are good stimulation and embryo production. Why?", + "src": "Patient: Hello doctor, Repeated IVF failure. I would just like an independent opinion, I am 34 years old and already had four failed IVF's. Not once was there a positive pregnancy test. I am healthy, gave birth to a healthy baby boy eight years back with my first husband who sadly passed on a few years ago. Remarried a few years later and have been struggling with infertility. Have been on numerous Clomid and IUI cycles with no success. Finally resorted to IVF and thought that after at least three attempts it would be successful as I had a good response to stimulation and good embryo production. The only issue was my husband's sperm morphology and viscosity. Fertilization was done via ICSI and was told that the blastocyst was top grade and perfect looking and already hatching. Is there any reason why the embryos are failing to implant. I am so frustrated, confused and depressed. The whole experience is emotionally and financially draining especially because I have no issues with my uterus, no hormonal issues, etc. My husband blames me, according to him, if the embryos were perfect looking than the problem surely is me. My clinic said I should come in and try again, however, I do not want to try again not knowing what the problem is or what can be done differently. Doctor: Hello. I completely empathize with you and understand your concerns here. The primary step where, in your case, things could have gone wrong is the stage of implantation over a non-receptive endometrium of the uterus when a top grade blastocyst is being transferred and each time there is a negative result. The implantation at endometrium is the issue in your case, most likely. Few things are important for a good endometrium. The endometrial thickness should be more than 9 mm at ET. Good endometrial blood flow in zone 2, 3 and 4 to check for receptivity through transvaginal Doppler study in the mid-cycle before embryo transfer. Before even contemplating IVF, an endometrial biopsy for histopathology report should be obtained to rule out any pre-existent endometritis or and acid-fast bacillus (tuberculous cause). The malefactor is taken care of by ICSI and IVF and hence a high-grade blastocyst is being achieved for transfer. I would like you to share with me the last IVF cycle medicinal protocol, scans, follicular monitoring reports and if possible reports of endometrial biopsy for a histopathology, pap smear report, high vaginal swab culture (if any) for further study and check to ascertain what went wrong in your case." + }, + { + "id": 8681, + "tgt": "Please view my reports and explain me the results", + "src": "Patient: Hello doctor, I would like to know the meaning of some results I have attached. Please help. Doctor: Hello. I viewed your reports (attachment removed to protect patient identity), and I can say as follows 1. Your body max index is 39, and it indicates your obesity. 2. Abdominal CT findings are fatty liver, and mild enlarge prostate. Fatty liver means that the liver is occupied by fat tissue. In your case, you need to lose weight and increase physical activity. Otherwise, If I were your treating doctor I would suggest doing liver panel enzymes like AST (aspartate transaminase), ALT (alanine transaminase) and bilirubin, cholesterol, and triglyceride level. I hope it was helpful to you." + }, + { + "id": 8217, + "tgt": "Symptoms of pseudotumor are reverting after stoppage of drugs. Will it lead to immediate blindness?", + "src": "Patient: Hello doctor,I have pseudotumor diagnosed before four years. I was taking Diamox and had a spinal tap. I stopped taking Diamox because I was pregnant before two years, and my symptoms went away along with the swelling. Last year my symptoms came back. I am not able to see an ophthalmologist until four more days. I am worried that I will go blind before I get to see my ophthalmologist. Will blindness happen all of a sudden? Doctor: Hello. Diamox is to control your eye pressure. It does not treat the actual disease it is to manage your ocular pressure that might have increased due to pseudotumor. Since it is a diagnosis of exclusion, you might have undergone a lot of investigations to exclude all other possibilities, including sarcoidosis and wegners. Treatment for pseudotumor or non-specific orbital inflammation is steroids. Some people need a short course of maintainable in the long term to control it without which it recurs. Some get resolved after some time it all depends on the type of pseudotumor you are having did you had an orbital biopsy (a piece of your lesion taken through an operation). Usually, we do a one if not it is orbital apex or sclerotic. For your record sclerosing variety is resistant to treatment. Unfortunately, I cannot say whether you can go blind or not suddenly because not impossible. Due to high pressure, vascular occlusion, optic nerve compressing or reduced blood supply to it and many other things can cause blindness. What I can say is if it is predotumer and if it is a recurrence (not something new) you need steroids and other treatment accordingly. Most importantly, you need close monitoring of your vision to exclude optic nerve damage, which is detrimental and require urgent action." + }, + { + "id": 12035, + "tgt": "I am trying to get pregnant. Kindly guide me about the ways to conceive", + "src": "Patient: Hello doctor, We are trying for baby from the past four years but we did not get any fruitful result even we took many medications. Can you please guide us? Doctor: Hello. There are often many reasons why a couple cannot conceive. I did not see a semen analysis in your query or laboratory results (attachment removed to protect patient identity). If this has not been done, that would be the next step. If this has been done and is normal, other likely causes could be the mild endometriosis noted on the attached operative report even though it is not causing any distortion of the pelvic anatomy. Most couples will try intrauterine insemination (IUI) if sperm count is normal, as this is usually the less expensive option. If IUI fails to achieve pregnancy, IVF (in vitro fertilization) is typically the next step. There is also a test to check for ovarian reserve or if quality oocytes are the present called AMH or anti-Mullerian hormone. I am uncertain if you and your partner have undergone any of these therapies or tests that I have mentioned, but based on the information given here these would be reasonable options to pursue." + }, + { + "id": 19176, + "tgt": "Is it necessary to undergo biopsy for an UTI?", + "src": "Patient: Hi doctor, My aunt is suffering from urine infection. Doctor advised her to go for a biopsy to find out the cause. My concern is, is it safe to get a biopsy? Doctor: Hi. I understood your concern. But, biopsy is not recommended for any form urinary tract infection (UTI). Biopsy is a test of a small amount of mass which is usually done when cancer is suspected. For further assistance consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9588, + "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": 26246, + "tgt": "Why do I feel a strong connection even though we met for the first time?", + "src": "Patient: Hello doctor, I met a person recently. I met the person for the first time. But, I feel some strong connection towards that person. I feel like I already know that person, but do not know how. Doctor: Hello. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 6444, + "tgt": "What is the remedy for enlarged liver and prostatomegaly?", + "src": "Patient: Hello doctor, My liver is borderline enlarged 155 mm with increased echotexture. There is mild prostatomegaly with insignificant postvoid residual volume. I am currently on Udiliv 300 mg. Kindly suggest some remedy. Doctor: Hi. I need to know regarding your clinical symptoms if any. Did you do any blood tests, blood counts, and liver function tests? For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 7094, + "tgt": "I have sensitivity in my molars while having cold water. Why?", + "src": "Patient: Hello doctor, My molars are suddenly sensitive to cold water only. Should I concern about it? Doctor: Hello. It does call for concern no doubt, but you need to be careful now with that tooth at least. Sensitivity means your tooth's outer layer has been eroded, so you need to take care of a few things, 1. Do not over brush that tooth or tooth in that area. 2. Avoid taking very hot and very cold food as they may cause shock to the tooth. 3. Do warm water and salt rinse three to four times a day. 4. Must clean your mouth with fingers properly after every meal. 5. If you have any gastritis or stomach related issues, solve it sooner. 6. Do not overthink. It is no big deal. Do revert for more queries. Do follow-up after four to five days." + }, + { + "id": 6313, + "tgt": "Suggest me homeopathy medicines for food poisoning and stomach pain", + "src": "Patient: Dear Doctor, I am suffering from food poisoning and stomach pain. I have loose motion\u00a0(diarrhea) too. Please help me with homeopathy medicines for this problem. Doctor: Hi. Please let me know from how many days or hours have you been having this trouble? Do you have any other symptoms like vomiting, sweating, dizziness, tearing in the eyes, excessive salivation, mental stress, and stomach cramps? Please provide me all the details so that I can help you better." + }, + { + "id": 12269, + "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": 24178, + "tgt": "I have hemoptysis. Please advise", + "src": "Patient: Hello doctor, I have hemoptysis. Doctor: Hi. Hemoptysis is referred to as blood in the sputum/cough. If you are having such symptoms the following workup is recommended: If you have already done a chest X-ray, do upload the images. Also, do you have any other symptoms like weight loss, low-grade fever, history of trauma or breathlessness, history of smoking, etc.? Please follow up with above details. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 21143, + "tgt": "Suffering from hair loss due to scalp psoriasis. What to do?", + "src": "Patient: Hi doctor, I am suffering from scalp psoriasis. I have yellow flakes appearing predominantly on the frontal and middle portion of the scalp. After shampooing, it is accompanied by hair loss. What can I do to prevent flaking and to reduce my hair fall? I am using Ketocare shampoo with Topisol 6 % lotion and a Revilus multivitamin. Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). I would recommend you use Salytor shampoo (Coal tar with Salicylic acid) twice weekly and continue with Topisol 6 % lotion (Clobetasol with Salicylic acid). If it is associated with itching, take tablet Levocetirizine 5 mg once daily at bedtime. For hair fall, take tablet Follihair A (Folic acid with Biotin) once daily." + }, + { + "id": 22716, + "tgt": "Can chewing sunflower seeds cause flare up of geographic tongue?", + "src": "Patient: Hi doctor,I noticed this on the side of my husband. It is only on the left side. He does have a geographic tongue but has never had a flare on that side at all. He has been chewing sunflower seeds like crazy due to softball season going on. He does not have aids or any immune system issues. He tried to brush it off but it did not come off. It came on suddenly. It was not there a month ago. Doctor: Hello. It is just slight inflammatory reaction of tongue epithelium. Nothing to be worried about. It changes according to diet and will become normal in few days or week. Is there any irritation or burning sensation? For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1329, + "tgt": "My wife has swollen gums with pain in wisdom tooth area. Please suggest solution", + "src": "Patient: Hello doctor, My wife is having toothache and swollen and inflamed gums for four days. This is due to wisdom teeth. Currently, she is taking Cataflam 50 mg two tablets in 24 hours for the past two days for pain relief. Her age is 36 years and her weight is 56 kg. She does not have any past medical history. Currently, we feel visiting the dentist should be avoided. Please advise for medication. Doctor: Hi. The proper treatment of wisdom tooth is extraction as wisdom tooth is not able to perform its function of chewing because it is present in the most posterior position of our oral cavity. So it is of no use in saving it by RCT (root canal treatment) and crown and wasting money and time in it. So it is better to go for extraction after lockdown overs and kindly visit a dentist who is taking all the sterilization measures with PPE (personal protective equipment) kit. Until that time, do saline and warm water gargle three to four times a day for seven days. Take hot pack from outside the mouth and apply it on the affected cheek area to reduce the swelling twice a day for seven days. Take tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg BD for five days, Zerodol SP (Aceclofenac, Serratiopeptidase, and Paracetamol) BD for five days, Pan 40 (Pantoprazole) OD before food in the morning, and capsule Becosule OD. In case of severe pain take tablet Ketorol - DT (two tablets dissolve in a glass of water). I hope this helps." + }, + { + "id": 14335, + "tgt": "What is causing stomach pain and low appetite with frequent burping?", + "src": "Patient: Hello doctor, I have been having stomach pain recently, low appetite, and sometimes it hurts when I eat meals. Now I am feeling slightly better. I am sticking to liquid meals like soup and I am trying to stay away from lots of dairies for a while. Now I am burping almost every minute, and I have just felt gassy for the longest time. This has been happening for maybe three days. Doctor: Hi. I can understand your concern. By your history and description, the possibility of GERD is more likely. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, indigestion, burning epigastric pain, burping, belching, etc. So take Pantoprazole and Levosulpiride combination on empty stomach twice daily. Avoid oily and spicy food. Avoid junk food. Avoid large meals, and instead, take frequent small meals. Please let me know if you are taking any painkiller or birth control pills. Also, let me know if you have a stressful life. I will be happy to help you further. Wish you good health." + }, + { + "id": 15067, + "tgt": "What is the reason for vomiting sensation after taking three I-pills in a month?", + "src": "Patient: Hello doctor, I am 19 years old and had taken three I-pill in a month and after having the third pill, I am feeling very strange like vomiting and uncomfortable. What is the reason behind it? Can it be a serious problem? Please help me. Doctor: Hi. I-pill is hormonal contraceptive pills that affect the menstrual cycle and prevent conception. But hormones have their individual effects as well. Recurrent I-pill can give you nausea, vomitings, breast tenderness, etc. If I-pill is taken in the first ten days of periods with proper dose and without vomiting, then it will inhibit ovulation and as a result, conception. So, no need to have recurrent I-pill in the same menstrual cycle. Now have plenty of water, fruits, vegetables and avoid any hormones as recurrently ovulation has stopped. Give the body some time and wait for withdrawal bleed. It can take around two weeks post last pill or a few more days as you have taken three pills in a cycle." + }, + { + "id": 14735, + "tgt": "How to manage severely chapped lips?", + "src": "Patient: Hi doctor, I am a 27-year-old, 5 foot, and relatively an athletic female. I have been suffering from some pretty severe chapped lips. I realized this was common because of the cold weather and dry heat from the furnace, so I was treating them with a two-step process with intensive lip moistener. About a month ago, I realized my lips started to feel different. It feels like there is just a very thin layer of skin on them. They feel odd or numb when I touch them, and they are extremely chapped. After looking online, I put Aquaphor during the day and Hydrocortisone cream at night. I stopped that last week because my lips seem worse. They are not peeling at all, but they look cracked and get very dry. They also throb throughout the entire day and are swollen. Nothing has helped, and I am starting to get concerned. I worry that I possibly over-treated and burnt the first layer of skin of my lips (if that is possible). I started running around the time my lips got chapped but I have taken a week off, and nothing changed with my lips. My diet has not changed. I try to stay hydrated (I drink around 50-60 ounces per day). I am on 10 mg Adderal once daily. Please help. Doctor: Hi. Chapped or cracked lips is usually a common complaint in winters. From your clinical image (attachment removed to protect patient identity), your lip cracking does appear significant. Applying Vaseline and moisturizer are good remedy options. But given recurrences, you need to consider food allergies and repeated lip licking. Kindly mention if you have a habit repeated lip licking, have been noting an exacerbation following intake of certain foods, and if you have been applying any other creams. Continue Vaseline and intensive moisturiser as previous." + }, + { + "id": 16969, + "tgt": "Does Flucloxacillin help in case of a dental abscess?", + "src": "Patient: Hello doctor, I have a dental abscess. Will Flucloxacillin help? Doctor: Hello. Firstly, I would like to know if you are sure it is a dental abscess or could it be another tooth infection. I do not know if you have visited a dentist for this problem. Also, if available, forward me your X-ray or any other investigation reports. Coming to your question, Flucloxacillin does help in case of a dental abscess, but it is always advisable to visit your dentist for a thorough check up and get treated accordingly. Flucloxacillin 500 mg twice daily for at least three days should help. Lastly, have you been allergic to any medicines in the past? Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19125, + "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": 4993, + "tgt": "What is the reason for my daughter's constipation and stomach pain?", + "src": "Patient: Hi doctor, My 18 month old daughter has had problems since birth and I am desperate for a second opinion. The history is complicated trying to explain the symptoms but I will do my best. It was detected polyhydramnios in pregnancy. My daughter\u00a0born at 36 weeks 4 days through emergency C-section due to pre-eclampsia. Her weight was 3070g. NG tube passed three times due to polyhydramnios. We went home on day two. Readmitted on day five for phototherapy. Till 4 months of age, several visits with health visitor and GP for colic like symptoms and constipation. She will scream in pain which opening her bowel and only opening her bowels every four to five days. Over this time they tried Colief, Infacol, Lactulose, Glycerin suppositories, Ranitidine, Gaviscon and Domperidone, nine different formulas and we also tried all common natural remedies for reflux like keeping upright after feeding, etc. No alleviation of symptoms at all with exception of glycerin suppositories which did seem to help the constipation. In\u00a08 months pediatric consultant suggests functional constipation and recommends higher dose of Lactulose and Movicol for 16 weeks. He suggested that we are giving her too many glycerin suppositories and that is making her dependent on glycerin to open her bowels. And so Glycerin was stopped. We\u00a0delayed weaning whilst waiting for appointment. At this point, her symptoms completely changed to intermittent diarrhea and constipation, bowel frequency increased to once a day, colic like pain and she does not start vomiting until the consistency of the food moves up to a more solid consistency. The laxatives made absolutely no difference. In her 10 months of age the constipation has turned to diarrhea. The doctor is happy that it was functional constipation and discharged her. At\u00a011 months, she had first acute episode of chronic diarrhea and forceful vomiting lasted for 16 days which coincides with the introduction of cow's milk. During\u00a011-14 months of age she was introduced to solid food. Chronic forceful vomiting which does not seem to follow any pattern. A food diary is followed for several weeks and there does not seem to be any consistent non-IgE allergy as a cause. During her\u00a014 months of age we had an appointment with dietician and switched from normal formula to Pepti and then Neocate. Her chronic wheeze disappears overnight but chronic vomiting continues. She troubleshoots overfeeding as a cause. We are feeding her more as she is vomiting. When we did not substitute the feeds she lost weight. So, if she vomited a feed we gave her another one hour later, we fed her small quantities throughout the day to try and prevent vomiting. Again in\u00a015 months consulted her dietician and he suggested definite non-IgE\u00a0cow's milk protein allergy and to try trial and error with other three common allergies- soy, wheat and dairy. So, then for a month we followed strict elimination of those three. This month she had only Neocate liquid diet plus corn snacks (organix) and one paella meal. Symptoms improved but sporadic forceful vomiting remains. She\u00a0tolerated only one baby paella meal well which is overcooked rice, very mushy consistency. Now again we attempted to challenge the three foods\u00a0back in and move beyond this one meal. All attempts were failed. Her reaction to us seems to be much more about the consistency of the food rather than what the food is. She can tolerate a large amount of breadcrumbs, but cannot tolerate a piece of toast. We continue with food diary and there really is no clear pattern which isolates one food. Again in her 17 months age when we consulted her dietician he was unsure whether the\u00a0symptoms fit FPIES at all and suggests gastro referral. Then she had second acute episode. We went A and E on day five and was sent home with suggestion of gastroenteritis. Chronic vomiting and diarrhea lasted 15 days. She lost 10% of her body weight. Sent home on Neocate as the only diet.\u00a0But, there is no evidence of gagging, choking or problem swallowing. No fussing or wriggling during feeding. Four months back, her weight was 12.3 kg and now 10.9 kg. Her barium x-ray showed mild malrotation but at MDT it was decided this was not explanation of symptoms. We have recently tried Omeprazole to rule out severe reflux and it made no change. Genetic blood tests, kidney and abdominal ultrasound were normal. For us her symptoms now are identical to what they were like before the onset of weaning. Again, she is suffering from intermittent colic pain and constipation, but there is no vomiting. She is not sleeping well at all. We have increased her water intake and added Lactulose and the stools are no longer hard, but she still seems uncomfortable. Stools are very dark green.\u00a0We have tried a couple of solids. She prefers crunchy food. She tolerates corn-based crisps as they basically dissolve into crumbs into your mouth. We tried peas, grapes and she passed all of the peas, grapes and beans completely undigested in her feces. Without solids she does not sleep well at all, because the Neocate just does not fill her up for long enough and so she is screaming all night because she is hungry. So, we tried a few solids and she is still screaming half the night with colic like pain. She is clearly in pain because she is absolutely screaming. She is pretty inconsolable, but the only thing that does relieve it is sucking on something like a bottle of water. She is waking up about every 20 to 30 minutes throughout the night. During the day she still has this colic like symptoms and she is tired and clingy and uninterested in playing. She does tend to have one to two hours a day of good time where she will play happily. One month back we had consultation with SLT. Her elder sister is under SLT. Doctor: Hi. 1. Hirschsprung disease. 2. CMPA Barium enema study. Continue on same diet till further plan. Revert back with the previous investigation reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2052, + "tgt": "I have chest discomfort with upper and lower back pain. Please help", + "src": "Patient: Hello doctor, I have chest discomfort and upper and lower back discomfort since yesterday. I passed stool twice today and the last one was cloudy. I am a 32-year-old male. My height is 5'6\" and I weigh about 77 kg. Doctor: Hi. I reviewed your history. Do you have a burning epigastric sensation? Difficulty in breathing? Do you have hypertension or diabetes? What is your last meal? All these significant history points are important to exclude any cardiac problem or any gastric problem." + }, + { + "id": 18689, + "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": 27540, + "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": 27942, + "tgt": "My daughter has scabies, which did not subside with medication. Please help", + "src": "Patient: Hi doctor, My daughter is 20 months old and weighs 15 kg. She is a very active child. She was suffering from severe itching and rashes. The doctor diagnosed her with scabies. He prescribed HH mite cream for three days, and Atarax syrup 2.5 ml thrice a day. On the rash, he asked us to apply Flutivate cream at night time. It has been 15 days since the treatment was started. The itching and rashes have gone down, but she is still itching once in a while. Now, she started itching her motion area too. Can you please tell me if there are further tests to be done, or medicines to be changed? Doctor: Hello. Please continue the Atarax syrup (Hydroxyzine) only if there is itching. You can repeat HH mite cream (Permethrin) if itching is significant. It has to be applied to the whole body below the neck. Avoid the head, face, neck, anal and vaginal areas. Also, avoid regions where the skin is scratched. Over the scratched regions, you can apply Flutivate (Topical Fluticasone). Clip the nails of the baby, before the application, as the eggs of the scabies mites are generally present in the nails, which might cause a reinfection. Apply at night, and wash properly the next morning. All the family members should undergo the same treatment, even if they do not have symptoms. All the bed sheets and pillow covers and clothes of the family members should be washed separately. Fresh bedsheets or pillow covers should be used the next morning. I suggest you use HH mite soap (Permethrin topical), till complete recovery after this application. Itching may continue even for a week or two after HH mite application. So, if you have already followed the above procedure during your previous application, you can just use soap for now and wait for recovery. If you have not followed the above procedure, you can repeat the application of cream. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 81, + "tgt": "I have chronic hepatitis B with viral load of 6 million IU/ml. Am I at danger?", + "src": "Patient: Hello doctor, I am currently diagnosed with chronic hepatitis B. Viral load is 6 million IU/ml, SGPT is 85 and others are in range, and HBeAg is 0.06. Should I start medication? Am I in danger? I am a 30-year-old male. I also have a loss of appetite, gastritis, and bloated stomach. Please help. Doctor: Hello. Yes, you should definitely start the treatment. But I want you to get a baseline renal function tests and fibroscan of the liver. If renal functions are normal then we can start and continue the treatment at the maximum dose. You can use tablet Tenofovir 300 mg once daily. If the renal function tests are normal. I would urge you to get a fibroscan and alpha-fetoprotein AFP. If you are married then please get your wife and children tested. I want to know about your rest or family like your sibling, mother, and father. Is any family history of hepatitis B? It is important because screening has to be performed in case there is suspicion of vertical transmission (from mother to fetus). You can get the tests and see me afteward to discuss the reports of tests and provide other information related to your family. I may then suggest testing for them. Lastly, I remember that hepatitis B cannot be completely cured but can be substantially controlled with antiviral medicines. It requires follow up and guidance. Chronic hepatitis B, HBeAg positive disease. AFP (alpha fetoprotein). Fibroscan of liver. Follow up to discuss the relevant family history and to discuss the lab reports." + }, + { + "id": 20017, + "tgt": "Does drug absorption get reduced after a gallbladder removal surgery?", + "src": "Patient: Hello doctor, Can drug absorption be decreased due to gallbladder removal? I take Griseofulvin for a persistent tinea capitis. I was advised to take it with a fatty meal to enhance the absorption of the drug. My gallbladder was removed five months ago. Is it possible that due to this situation, the drug is absorbed less well? Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 994, + "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": 27510, + "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": 15440, + "tgt": "I recently had a breakup and moved to a new city for job. How to cope the situation?", + "src": "Patient: Hello doctor, I am 22 years old, female. I moved to a new city, for my job purpose, and I do not have any interest in this city. I do not like and recently my boyfriend broke up with me. After four years of long relationship. Now I cannot get over him. I cannot erase memories. I feel devastated and I am totally alone in this new city. I cannot sleep. I cannot eat properly. I am crying every night. I do not have anyone to share my feeling. I am too much emotional. Also, I have anger issues. I just cannot handle all of this. Please help me. Doctor: Hi. You seem to be facing a number of things at one time. It is indeed a lot at once, but you get through this phase a stronger and wiser self after this life experience. Firstly, you need to talk to someone face to face to vent out, a friend or someone close to you. Try keeping yourself busy, organizing your new room, make a friend or a walking partner. Join some activity or thing you like when you are free, like Zumba, dance class, or gym and ways of looking after yourself. Doing deep breathing exercises, at least three times a day will help you calm, also going for a jog or walk in the mornings preferably. Keeping a diary helps to vent your feelings on day to day basis and help think straight. Meeting up face to face with a psychiatrist will help you deal with your emotions currently and will give you medication if need be after proper evaluation face to face." + }, + { + "id": 24790, + "tgt": "I feel something moving in my penis during urination. Please advise", + "src": "Patient: Hello doctor, I am a single male, 34 years. I currently feel before or after urinating something moving in my penis. And, just now, I noticed a whitish or yellowish liquid coming out of my penis. It started last weekend after I had unprotected sex. Doctor: Hello. As per your query, you mentioned that you had unprotected sex. You may have a urinary tract infection.You do not have to worry too much. It can be treated with antibiotics within five to seven days. Please get urine routine test. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9701, + "tgt": "Why there is a constant low level of iron in a 3-year-old child?", + "src": "Patient: Hello doctor,Child aged 3 years. Iron level is 26 continuously since when he was 5 months old. Even though taking various iron supplements since first diagnosed at 5 months. Huge problems are sleeping, itchy skin, and mood swings. Nobody can tell me what is wrong? Is this all related? Doctor: Hello. I would be very dishonest to give you a miraculous answer after a two sentences question about something that seems going on for more than two years. Full clinical examination, growth monitoring, blood test (is iron? or ferritin?) vitamin B, immune system, need to have some details regarding his diet, his symptoms, past test, etc." + }, + { + "id": 3578, + "tgt": "Why do I have problem in focusing on things?", + "src": "Patient: Hello doctor, I have lots of problem in focusing on things. I do lack of confidence in dealing with public and get nervous in social gathering. I become irritated when something wrong happens and always have negative ideas. I have hydrophobia too. Please help. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 28041, + "tgt": "Are my routine test reports normal?", + "src": "Patient: Hi doctor, I just had a routine checkup done. Please check the attached reports, and let me know if everything is fine. Doctor: Hi. I had seen your report (attachment removed to protect patient identity). Take care.\u00a0Hope your concern is solved.\u00a0Consult your physician for examination and prescription. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28768, + "tgt": "After five weeks of braces treatment, why does my premolar hurt?", + "src": "Patient: Hi doctor,It has been five weeks since I got my braces on. During the second week, one of my premolar on my lower left jaw started to hurt in the morning. I cannot bite down as it hurts. It was loose, and it made some popping sensation when I press it or bite. I went in for an emergency and hoping my orthodontist would do an x-ray. But, all she did was look at it and touch it. She said it is normal. It has now been three weeks, it is still loose and make that popping sensation. I am starting to worried and very paranoid.\u00a0Should I be concerned? Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 10993, + "tgt": "Why am I experiencing ankle pain after two years of arthroscopic surgery?", + "src": "Patient: Hello doctor, About two years back, I had an arthroscopic surgery (OCD MTD) for my ankle because of a previous injury. At first, my ankle got better, but now it is starting to get worse. As I am experiencing a lot of pain and difficulty in walking, I got an MRI done. Please see the results. Can you tell me what they mean? Doctor: Hi. Previous injury. 1. MRI images. 2. X-rays and clinical pictures. Revert back with the details to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 13308, + "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": 172, + "tgt": "I have a white spot on the gum. Whtat could it be?", + "src": "Patient: Hello doctor, I just noticed a white spot on my gum, not anywhere near my teeth. I am scared of it. Doctor: Hello. Thank you for sharing the image (attachment removed to protect patient identity). Based on the information you have provided, it looks like an ulcer. It is a common ailment found in most people. For a definitive diagnosis, I will need some more information. Since when did you notice this? Any history of trauma due to accidental lip biting or injury while brushing? Nature of the white spot, does it pain, burn on touching, and movement of the lip? Any allergies to any medication? Your diet? Nutritional deficiencies? Autoimmune disorders and blood disorders (rare)? Your water intake per day? Generally, oral ulcers tend to heal by themselves within 7-10 days. If there is pain or discomfort hampering routine activities like chewing or talking, a topical formulation like an antiseptic coupled with an analgesic gel can be applied to the ulcer directly for symptomatic relief. Also, a nutritional supplement rich in B-complex vitamins is prescribed to promote healing. I hope this helps. Trauma due to lip biting, or during brushing. Nutritional deficiencies. Autoimmune or blood disorders (rare). Blood investigations (if symptoms do not resolve after 15 days). Aphthous ulcers. Stomatitis. Aphthous ulcers. Antiseptic and analgesic topical gel to be applied on the ulcer. Advise use of nutritional supplements rich in B-complex vitamins. Daily intake of at least three to four liters of water. Maintain a healthy diet and exercise routine. Careful brushing technique without hurting adjacent soft tissue. Brush twice daily with a flouride containing paste. Use of interdental floss to clean the surfaces, spaces and contacts between the teeth. Use of salt water gargles every day especially after meals. Tongue cleaning on regular basis. A periodic check up with your dentist once every six months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. As soon as further details are provided." + }, + { + "id": 15660, + "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": 27337, + "tgt": "Why have I developed an allergy to cigarettes even though previously I could take it?", + "src": "Patient: Hello doctor,I am an 18 year old. I was in a boarding school and tried smoking cigarettes quite a few times. I am not addicted to it. I just thought it was alright to try it a few times. I used to try three sticks in a span of three weeks. And then, I stopped for around three months. And now, when I smoke even two sticks,\u00a0I puke. I searched online about this condition. And, it says it is lung cancer. Can you please help me?\u00a0I want to know why I puke? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 816, + "tgt": "With respiratory problem, is it wise to plan gallbladder operation?", + "src": "Patient: Hi doctor, My mother was diagnosed to have acute cholecystitis. She is 65 years old and is suffering from respiratory and heart problem. One mild stroke also happened around two years back. She had recently failed pulmonary function test. Will it be wise to plan gallbladder operation? Please reply. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 472, + "tgt": "Can periods cause loose stools?", + "src": "Patient: Hello doctor, Loose stools that are yellowish in color. Only minor abdominal cramping that feels like a period cramp (due to having period for the past two days). Taking oral contraceptive. Abdominal cramping is not continous. Only been occuring for 24 hours. Doctor: Hello. I need to know whether the loose stools are really having organic cause or just secondary to functional changes occuring with time of periods. Loose stools are said when stool volume is more than 200 ml in a day, semisolid to liquid in consistency. Mild abdominal cramping is common when one approaching menstruation, a condition is called premenstrual syndrome which is common condition with various symptoms, not necessarily related to female genital tract. But accompany with emotional and physiologic changes in to abdomen, skin, body blood circulation. You just make sure, that you take home made well cooked diet. Otherwise no need of any investigation or medicine for now. Take oral rehydration solution ORS in one liter of water, and take 200 ml to 300 ml every time you have loose stools. I could have helped you much if you have provided some more information about that pain and quantity of stools. Well, onset for 24 hours, mild cramping, does not show any alarming symptoms. So do not worry. You can take a gynecologist opinion on this. Take care, have a good day. Nonspecific abdominal cramp and loose stools? Food poisoning? Premenstrual syndrome? Follow up with gynecologist" + }, + { + "id": 3101, + "tgt": "What causes brown discharge after stopping pills for PCOS?", + "src": "Patient: Hi doctor, I am 25 years old. I have been diagnosed with PCOS 3 years ago. I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my GP advised I stop my pill. My periods have been on and off however I have not actually bled as such. There is just continuous dark brown discharge for a few days but no red flowing blood. What could this be and how do I go about treating it? Doctor: Hello. If you have been on pills for PCOD for more than 3 years now and yet your hormones remain uncontrolled and menses have not been regularized, then there is definitely something wrong in the treatment protocol or you may not be following the lifestyle changes which you may have been advised to follow. It is best to stop pills for at least 3 months after such a long treatment already and switch to lifestyle changes now for results. If pregnancy is not a concern lately, then the pills can be avoided. However darkish brown blood indicates irregular shedding and this could be due to isolated progesterone deficiency, which can be evaluated by your serum progesterone levels. However immediate control of bleed can be achieved with antifibrinolytics. You may discuss it with your treating gynecologist. Please feel free to discuss this further in detail. Regards." + }, + { + "id": 1232, + "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": 17891, + "tgt": "My wife has swelling and pain on her toe. Does she require surgery?", + "src": "Patient: Hello doctor,My wife has swelling and pain on her toe (pictures attached). Sometimes, blood and pus also secrete from it. Can you please suggest what we should do? Can this be healed through medicine? Please advise the medicine we should use. Does she require any surgery? Please advise. Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 945, + "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": 19467, + "tgt": "My dad died of multiple organ dysfunctions after a Whipple procedure. What was the cause of his death?", + "src": "Patient: Hi doctor,This query is regarding my dad, who was diagnosed with obstructive jaundice last year. He was admitted to a hospital, and the doctor examined my dad and told us that they need to perform a Whipple procedure\u00a0on my dad. We did not\u00a0ask for a second opinion, and we let them go ahead with the surgery. The operation took 13 hours, and he was hospitalized for 41 days after the surgery. He was finally discharged after 41 days, but he was suffering from stomachaches, arms pain, and fever. The biopsy report showed stage 1 pancreatic cancer, and the oncology doctor told us that chemotherapy is not required. He just told us that CA-19-9 test needs to be done every three\u00a0months, for five years. My dad recovered, and he was on a\u00a0normal diet.Last month, my dad started complaining about stomach pain, so we admitted him to the hospital again. After an endoscopy and CT scan, the doctor told us that there was some infection in the operated area and that antibiotics will cure it, and my dad will be released in two days. After two days, the doctor told that the infection was still there, so they need to admit him for two more days. But after four days, my dad started having a fever,\u00a0vomiting, and shivering. So, the doctor changed his antibiotics and admitted him for three more days. We requested him to refer him to another hospital, but he said that he could handle my dad's case, and told us not to worry. On the tenth day, my dad was shifted to the ICU. My dad's nails and tongue changed to dark blue color, and the doctor told us that it was due to less blood flow. My dad was bleeding in the urinary tube, so we shifted him to the hospital where the Whipple was performed. Then my dad was again admitted to the ICU, and the doctors put him on a ventilator and other life supporting devices. The doctors informed us that he was suffering from multiple organs dysfunction. And the next day morning my dad passed away. I have enclosed CT, MRI, and other lab reports. How did my father die? What caused his death? Please help me. Thanks Doctor: Hi. I have carefully gone through all your dad's reports (attachment removed to protect patient identity). Hope that explains it for you.\u00a0 For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22630, + "tgt": "Ulcerative colitis improved with Ayurvedic medicines, but tummy pain persists. Why?", + "src": "Patient: Hello doctor, I was diagnosed with ulcerative colitis one year ago. I consulted a doctor and started taking Vegas OD and Cardinol. It got controlled but again there was a flare-up. I need to go to the toilet eight to 10 times, stomach cramps, and pain and blood seen in the stool. So, I started ayurvedic medicine now such as Belwadi churna along with Gangadhar churna, sankha Basma, Kapardak Basma, Kaharwa pisti, Kutajghan vati and Kutjarist syrup. I am also taking Mesacol 400 mg four tablet TDS and Cortonil 25 mg OD. I am taking these medicines since 20 days and now I am feeling much better. My stool is fine, no blood is seen. I go to the toilet only three to four times. But, my stomach is still paining mildly and excessive gas is forming. Please suggest me. Am I taking the right medicine? Doctor: Hi. Ulcerative colitis is an inflammatory bowel disease associated with pain, and bleeding in stool as you mentioned in your complaints. It is a very notorious disease. Its healing mostly depends on your lifestyle and food habits. Stress is also one of the causes of ulcerative colitis. You are taking good medicines now. You should continue them for at least three months regularly. In this period, you should avoid spicy and fried junk foods, avoid smoking and drinking if you have these habits. Skip milk and milk products but you can take curd with cumin powder 3 g. You should also avoid tea and coffee. Prefer fibrous foods and fruit as well as leafy greens vegetables. You can add Sandu Bilajil one spoon twice before food. Takra basti has a good result in such kind of cases. You can visit a Panchakarma specialist near you to take Basti therapy. Continue your medications. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5031, + "tgt": "Is there any siddha medicine for low sperm count with hydrocele and calcification in testes?", + "src": "Patient: Hello doctor, I am a 29-year-old male. I have a low sperm count problem and also found tiny calcifications in both testes, bilateral minimal hydrocele. I am married two and a half years before and trying to conceive from the last seven months found I have low sperm count issue of 16 million per ml. I am taking Kalyanamka Ghrutam. I require your advice and treatment as we are trying for a baby. I have attached my reports. Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). The tiny calcification and minimal hydrocele will not interfere with your fertility. Usually, both arise as a result of local trauma or local infection. I do not know how long the swelling in scrotum (hydrocele) is there? What you are taking to improve sperm count are sufficient to achieve fertility. However, you can add two more drugs to prevent or avoid the interference of calcification and hydrocele to fertility as well as to cure it. Kalarchi kaai seed kernal chooranam, take 10 gm, mix with egg white yolk and make a paste using a finger. Apply this paste on both scrotum at night. Continue this for three months. This is the only medicine to cure hydrocele. In most of the cases, this drug alone can cure it. If the hydrocele is increasing in size, then allopathy doctors can drain the fluid using a needle. I do not think it is required in your case. Take Nandhi mezhugu capsule. One capsule in the morning after food, for five days. Again two days gap, then again take the drug for five days followed by two days gap. Thus, in a week, you take five days capsule and the remaining two days no capsule. This can remove calcification in the testis. This drug can be taken up to six months. However, as the calcification of tiny areas of testis will not interfere in fertility, you can just apply Kalarchi chooranam external to reduce the hydrocele. If you wish, you also take Nandhi mezhugu. You will be all right within the next three months. Trauma or infection in testis. Previous investigations can be repeated after three months. Filariasis to be ruled out." + }, + { + "id": 11892, + "tgt": "I had pain under breast and armpit following delivery. What could it be?", + "src": "Patient: Hello doctor, Just had a baby three weeks ago. Three days ago it started to pain under left breast then under left armpit. The pain continued in a part of my arm, then a spot on my neck and then a spot on my shoulder. And I read about heart attack. And I have been under a lot of stress recently. Kindly advice. Doctor: Hello. Unlikely to be a heart attack. This is atypical chest pain. I guess you do not have any shortness of breath. Considering your age group the possibility of heart attack is extremely low. Next, the pattern of pain is not consistent with the heart attack. Heart attack pain is sudden onset, retrosternal or left-sided rather than just below the breast, going to left arm associated with uneasiness sweating, etc. It usually does not persist for three days even without treatment. The possibilities in you are musculoskeletal pain, cervical causes, pain from breast itself due to hormonal changes and stretching of tissues due to breast enlargement, etc. Try to press over the site and see if pain reappears, if yes then it suggests that it is a local pain rather than due to the heart attack. So, unlikely to be related to heart attack, but should get examined by a local doctor and ECG done if necessary after examination. Examination of doctor will also help to assess the possibility of peripartum cardiomyopathy, which usually presents with shortness of breath rather than chest pain. Hope this helps you and get back if you have any doubts." + }, + { + "id": 4268, + "tgt": "Why is my son having continuous chest congestion?", + "src": "Patient: Hello doctor, My son is 5 years old. He is dealing with continuous chest congestion and coughing with change in season. Doctor suggested Foracort 100 for two to three months with two shots in the morning and two at night after using nebulization Levolin 1.25 mg and Budecort 1 mg in the past for chest congestion. Will it affect his immunity? He eats healthy food with no junk at all, but still gets cough and congestion so frequently. Please suggest some medicine. Is it due to pollution? Or as he grow, will the things be better for him? 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": 6367, + "tgt": "What causes flutters in chest?", + "src": "Patient: Hello doctor, I am a 28-year-old male, in good shape and exercise 5 to 6 times per week. Lately, I have been feeling weird flutters in my chest. Started wearing a heart rate monitor. It showed my average resting heart rate at 44 BPM, which seems low. Noticed these symptoms are happening almost daily and heightened if I drink any alcohol (1 or 2 beers). Recently, did an ECG. It looked normal. I did another one when my heart felt fluttery and showed some weird results. Doctor: Hello. Do you feel as if your heart is racing? Have you ever noticed any dizziness or fainting? Is there any family history of heart disease? Since it started has it been progressing? It could be palpitations you are experiencing which are often benign. But I will love for you to upload the ECG result, let me study to make sure there is no underlying pathology. Best regards." + }, + { + "id": 25883, + "tgt": "What are these orange and red lumps above the top teeth of my 10-month-old?", + "src": "Patient: Hello doctor, My 10-month-old baby is cutting her top tooth and there are orange and red lumps above where the tooth has started to come. What are these lumps? I have attached few pictures for your reference. Doctor: Hello. I have seen the photos (attachment removed to protect patient identity). As your child is 10 months old, the upper teeth should have been erupted by this time. But three to six months delay is normal and it looks like your child is putting teether in his mouth and bitting it hard which is normal during teething. If the lower teeth are there, they also exert pressure if the child bites strongly on upper gums which also leads to this condition. Just check if there are no other lesions like this in the baby's mouth. If the child is irritable, you can use an over-the-counter analgesic gel, like Dologel (Choline Salicylate and Lidocaine Topical) over the lesion only and keep the area clean. Take lukewarm water and wipe the area with wet cotton and you can give the child a chilled teether to give relief. If there is associated fever that is also normal up to 100 degrees Fahrenheit. If the lesion does not resolve in three to four, visit a pediatric dentist to get a treatment. But, from the picture, it looks like it is only a teething trouble and this will resolve on its own. Regards, For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19766, + "tgt": "Why is the tissue stained reddish brown when I wipe my vagina?", + "src": "Patient: Hi doctor, I got my periods last week, and the blood was reddish brown when I wiped. I had normal flow for the next four days. But on the fifth day, it got reddish brown again. Today I noticed little light pink blood when I wiped. Is\u00a0this normal? How do I chart my period? Should I start charting the day I see spotting and end it on the day there is no more blood on the tissue? I am nervous about ovarian, uterine or cervical cancer. Doctor: Hi. Let me start by assuring you that these are normal features. You are normal from the history you have mentioned. For a young lady, cancer is not possible, unless you have a strong family history of cancer. During periods, the follicles keep on growing slowly, along with them, the endometrium or inner lining of the uterus also thickens. Then around 12th to 16th day of periods, ovulation occurs and the egg is pushed into the tube. The remains of the follicle, which is called corpus luteum, it is the source of progesterone hormone, which further keeps the endometrium thick and spongy for a possible pregnancy. If no pregnancy, this comes out in the form of blood, bright or slightly dark red blood, for around seven days.Then it stops as the next cycle's follicles get ready. Now in your condition, all these are due to some hormone imbalance. It can be caused by your weight. The second possibility is a vaginal infection. Vaginal infection is transmitted during sex, so you and your partner have to be treated at a time, or else you will get infected again. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at the beginning and late towards the end of sex. Pain will be radiating to the back, thighs. The infection will cause congestion of the glands, and they keep oozing discharge even after periods are over, which comes as pinkish discharge. You will need evaluation by a gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21742, + "tgt": "I have had cramps and brown or slightly red discharge, but no real periods. Why?", + "src": "Patient: Hi doctor, I am a 43 year old female. I am thin build and have no health issues. I am a non-smoker and non-drinker. I do not have kids and not sexually active for the past 15 years. I had my hormone levels checked four months ago. The report showed no menopause and thyroid was fine. My two recent pap smears were also normal. I had a hormonal check as I missed my periods four months ago and since then I have had normal periods. Again, this time I have had cramps and brown or slightly red discharge, but no real periods. I have had two pelvic ultrasounds. The first one showed hemorrhagic ovarian cyst and this disappeared on the second ultrasound scan. But, the second once showed a cervical polyp. Ovaries were normal and there is no cancer, pcos or endometriosis. I am going to get the polyp removed after a month through hysteroscopy and D and C. Why have I missed my period? Why do I have cramps and no periods? Why was there brown discharge? Is cervical polyp the reason? My cycle is always 21 to 23 day and today is my 27th day. Please help. Doctor: Hi. This type of missed period could be due to ovarian cyst, which can also cause painful cramps with brownish spotting. Polyp can also cause pain with brownish spotting. If your hormonal profile is normal, then yes, you will get periods. Please get LH (luteinizing hormone) and FSH (follicle stimulation hormone) done to understand about delayed period if it reoccurs. Please share images of ultrasound and get back to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist to guide you further." + }, + { + "id": 190, + "tgt": "There is a painless bump on the soft palate. What could it be?", + "src": "Patient: Hi doctor, I feel some tissue or bump on the soft palate. It is soft without pain. I have been having it for many months. The doctors said that it is due to brush injury and will heal, but it did not. What is it? Doctor: Hi. I understand your concern. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19455, + "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": 7751, + "tgt": "Should I be taking Beta-blocker and Calcium Channel Blocker for variant angina?", + "src": "Patient: Hello doctor, I ended up with emergency angioplasty after two and a half hour of cardiac pain. The doctor found totally occluded LAD, opened it to 50 percent with angioplasty. He recommends bypass surgery and am waiting to see cardiac surgeon. I am concerned with diagnosis which were almost non-existant. I was discharged from hospital with the following medicines: Before breakfast: Omeprazole, Antacid. After breakfast: Losartan, Angio ll, Aspent, Aspirin, Spironolactone, Diuretic, Ismo, Vasodilator. After dinner: Losartan, Angio ll, Ismo, Vasodilator. 8 PM: Flomax, Tamsulosin, Sennakot. Before bed: Semvistatin 140 mg, Statin, Lorazepam, Relaxant. I am concerned that he did not include a Beta-blocker and a Calcium Channel Blocker. I have variant angina which is quite severe at times. I also am not sure as to the ability of my heart to function and whether I am in danger of pulmonary edema or having liquids around the heart. I will not be able to have surgery for another 2 to 4 weeks and am wondering of my prognosis until then and is it possible to exercise like riding a bicycle at this time. I have included copies of angiogram and echogram for your study and comment. Doctor: Hi. The diagnosis of variant angina and STEMI due to total occlusion of a vessel do not go hand in hand normally. The documents provided by you also do not mention that you have variant angina (attachment removed to protect patient identity). Please provide more clarifications that how you concluded you have variant angina. If you really have variant angina, you can still be given Calcium channel blockers. Tablet Ismo also deals with variant angina very well. If you do not have variant angina, Beta-blockers may also be prescribed, provided there are no contraindications like heart failure, etc. Your problem may be managed by bypass surgery or angioplasty to both the vessels provided you are not a diabetic. If your RCA can still be opened by angioplasty is the issue to be decided by interventional cardiologist. In view of recent STEMI and EF of 35 %, you should not ride a bicycle or do strenuous exercise. Pulmonary edema, recurrent angina and heart attack are all possibilities for which you are being treated. Do not worry much. Keep yourself relaxed. You must seek a second opinion from an interventional cardiologist. Discuss risk and benefits both of angioplasty and bypass surgery." + }, + { + "id": 26047, + "tgt": "My sperm count is 25 and I am unable to impregnate my wife. How can I be helped?", + "src": "Patient: Hello doctor, I am a 32-year-old married man and I have a habit of masturbation once in a day since the last 13 years. I have no problem with erection or excitement but I am unable to conceive my wife. We have been married for the last two years. I have had sperm analysis and the sperm count is 25 and motility 30. Is this okay or do I need to worry? Will I be able to conceive my wife or am I infertile? Kindly advise as to what has to be done. Doctor: Hello. I can understand your concern. Thanks and take care. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 16775, + "tgt": "Can an unchanged mole actually be an early melanoma?", + "src": "Patient: Hello doctor, Is this melanoma? Does it look bad? Doctor: Hello. I have noted your concern and have viewed the image (attachment removed to protect patient identity). This could be an atypical/ dysplastic nevus - has irregular borders, looks asymmetric in shape and is perhaps bigger than 5 mm. It certainly requires a dermoscopic examination or a biopsy. Dysplastic nevi may be confused with early melanoma. Has it changed in anyway recently - in terms of size, shape, color or thickness? How long since you have it? Regards. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 5476, + "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": 149, + "tgt": "My stomach pain is radiating to my back and vomitus is yellow in color. Please help", + "src": "Patient: Hello doctor, My sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back. She is suffering from this pain for the past one week. Please help. Doctor: Hello. I can imagine you must be very upset about your sister. And I really feel sorry that she is in pain for a week's time. Well, the pain you mention that is severe and radiating to back is suggestive of pancreatitis. However, the possibility of peptic ulcers cannot be completely ruled out. Ideally, the pancreatitis that is inflammation of the pancreas (a gland at the back of tummy) should be managed in the hospital. However, the pain of ulcers (peptic ulcers) in the stomach and small bowel can be managed at home. But before making a diagnosis it is required that you provide further history about her pain. Did she have this before? And if yes, how long it last? Did she frequently have heartburn or acidity issues? Is she on some medications right now? You mentioned her age, what is her marital status? Did she have fever? or yellowish eyes? or dark yellow eyes? You mention she has yellowish vomiting, but is she able to take orally or she is throwing up everything like water or food that you give to her? You see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response. For time being, you can give her capsule Esomeprazole 4o mg now and half hour before meals. Expect the reduction in pain if it is due to peptic ulcer disease. The pain of pancreatitis will not settle with this capsule. If she is unable to take orally, then you can visit a nearby nursing clinic and get IV Omeprazole 40 mg. Pancreatitis. Peptic ulcer disease. Complete blood count. Serum amylase and lipase. Liver function tests. Urine detailed report. Ultrasound abdomen. Follow up to discuss after investigation, or earlier before getting tested, if you have more concerns." + }, + { + "id": 2100, + "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": 11946, + "tgt": "I have taken Yasmin in high doses soon after sex. Will I get pregnant?", + "src": "Patient: Hello doctor, I have had sex without any contraceptive. I told him not to cum inside me but because of excitement he accidentally came inside me. Then I immediately run into the bathroom to take a pee. And then took tablets of Yasmin. Then the following day I took another two pills and then after 12 hours, I took again another two. Is it possible that I can get pregnant? And I also have hypothyroidism? Please help me. Doctor: Hello. It is possible to get pregnant after unprotected intercourse, but it also depends on where you are in your menstrual cycle and if they are regular. You are most likely to get pregnancy about two weeks before your period starts. The fact that you immediately took a high dose of hormonal contraception lowers your chances, although that is an off-label use for Yasmin. Depending on where you live, emergency contraception can be purchased over-the-counter and taken within 72 hours of unprotected sex, some women have this on hand just in case. Another effective way to prevent pregnancy after unprotected sex is to have an intrauterine device (IUD) inserted within five days. The IUD can then be left in place for very effective, long term birth control. Your period may be delayed since you used Yasmin in such a high dose. I would advise a pregnancy test if your period does not start in 21 days." + }, + { + "id": 13532, + "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": 16321, + "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": 13775, + "tgt": "I noticed chest pain in the left side. Please advise on the same", + "src": "Patient: Hello doctor, I am a 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need to do as it is the first time I have faced such a symptom. Previously, I had once felt once the same pain (before 30 days), but it was very mild. I read on the internet that, it is due to the gas problem, but I am not sure. Please advise on the same. Doctor: Hello. I understand your concern. Most common causes of such chest pain are: 1. Muscular pain Costochondritis. 2. Chest pain due to heart issues. 3. Acid peptic disease. We cannot afford to miss cardiac reason for chest pain, so we always advise to get an ECG and chest x-ray done. This will give an idea if the pain is cardiac in nature or not. If you have recurrent episodes of acidity, get upper GI endoscopy and ultrasound abdomen done. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. For muscular chest pain , do hot fomentation of the affected area and apply Diclofenac ointment locally. Avoid smoking and alcohol. Avoid hot and spicy food." + }, + { + "id": 21810, + "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": 28281, + "tgt": "My eyelids seem to droop when I am relaxed. Could it be ptosis?", + "src": "Patient: Hi doctor, From the past 12 months, my eyelids seem to droop when in a normal or relaxed state. It\u00a0takes an effort to perform any kind of activity. I am doing eye exercises, but their effects are temporary. My eyelids close even more often after I use mobile or laptop.\u00a0Could it be ptosis? If yes, how can it be treated naturally? What about surgery? I have attached few photos of my eyelids. Doctor: Hello. I have reviewed your photos very carefully (attachment removed to protect patient identity). I hope this will help you.\u00a0Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21905, + "tgt": "Can my stomach upset mean some underlying issues like cancer?", + "src": "Patient: Hello doctor, Ten days back I had green chilies and sprout. While coming back from office I felt discomfort around belly button then coming back from office I had buttermilk and after that fried rice and basa fish. After that loose motion started for five to six times at night and there was mild pain around the belly button. Took Norflox TZ then flow came down after day after I visited doctor yesterday seeing no improvement and after examining he did not suggest any test. I insisted him but still, he said nothing needed. Medicine advised by him are as follows: Pantocid DSR one in empty stomach for seven days. Brakke one after breakfast and one after dinner for five days. Telday 40 at 6 PM (this is ongoing medicine from last three years for blood pressure). Cyraflora one after dinner for 10 days. Lots of drinking water and one liter ORS every day. Today morning the loose motion was somewhat solid but again after lunch, I had pomegranate and two chocolates and again had loose motions. I have no abdominal pain, quite active, no fever, only feeling that I will pass stools if I try to fart. Stool color as mentioned to doctor and you as well is oily foam (which is causing me tension). I know I should not have had the milk chocolates and mixture today. All I need to know is: If the medicine prescribed is okay or not? I just quit smoking as well from last day so I think recovery should be early already three days past? Can this stomach upset be any other underlying health issues (like cancer and all)? I am very tensed. Any tests needed? What all to have in the daily diet for a healthy gut and what exercise is needed? Can tension worsen this situation? Doctor: Hi. From what you mentioned, you have gastroenteritis. The medications prescribed are suitable. I suggest that you take Nicotine replacement therapy as Nicotine withdrawal may cause restlessness, anxiety and sleeping disorders. It is less likely to be due to cancer. At the moment there are no tests needed. Have a healthy diet with enough vegetables and fruits, avoid spicy and rich foods. Stress can cause diarrhea and bloat. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13951, + "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": 16308, + "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": 21025, + "tgt": "Please suggest ayurvedic medicine for PCOD and weight gain due to thyroid", + "src": "Patient: Hello doctor, I am suffering from thyroid and PCOD for the past four years. Currently using Thyronorm 37.5 mcg. I gained weight after getting a thyroid disorder. Please suggest any ayurvedic medicine. Doctor: Hello. I just read your query. Ayurvedic treatment is very helpful in these problems. There is a procedure named virechana in ayurveda which is medicated purgation therapy. It can be very useful for you. So, I advise you to visit a nearby ayurveda physician or a panchakarma center and ask about the procedure. Along with the procedure, your physician will prescribe you ayurvedic treatment. You should go for it." + }, + { + "id": 1741, + "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": 24761, + "tgt": "What could pain in the abdomen and above the belly button be?", + "src": "Patient: Hello doctor, My 66-year-old mother is suffering from diabetes for the last 30 years. Her gallbladder has been removed. Angioplasty has been done two years back. She had an infection in her scalp and took higher antibiotics for few months. She is now taking Basugine 20 at night, Actrapid 12 in the morning, Rosuvas 10 mg at night, Concor 2.5 mg, Clopitab 75 mg one in afternoon, and Pantocid 40 mg twice daily. Still, she has pain in her abdomen in her belly button area and above it and there is a burning sensation continuously. She has to use Cremaffin to pass stool daily. The stool is semi-fluid. She cannot sit for some time due to weakness and sleeps after her meal. She also takes Enzar Forte after meals in the morning. Doctor: Hello. It seems that your mother has acid reflux and pain due to stress. Stress could be mental or it could be related to removal of the gallbladder as well as taking so many medications. At this point in time, my recommendations would be to start her on capsule Colospa Retard (Mebeverine) twice daily half an hour before meals. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Give it initially for 10 days and then write back to me with results. For more information consult a critical care physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 12993, + "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": 8332, + "tgt": "I am 15-years-old and scared that I have been through precocious puberty. Have I finished puberty?", + "src": "Patient: Hello doctor, I am a 15-year-old boy. I have questions regarding my hormones and my puberty. I am scared that I feel as if I may have been through precocious puberty as I have had a beard since I was a late 13 years old. Will I be able to grow still taller, and is there any way my hormones can be regulated and have I finished puberty? Doctor: Hello. Precocious puberty can be called when the onset of puberty is eight years or below for girls and nine years or below for boys. The beginning is not synonymous with a growing beard, which is a more advanced stage. Staging is usually done with a scoring system called tanner staging which considers pubic hair, testicular and penile development. You should note the first changes in these aspects. Females can grow until the mean age of 16, males for a period three to five years longer. The ethnic, familial, nutritional background is important for final height and pubertal development. As long bones, especially those of the lower limbs, are important to give the height, radiograph of ossification centers like those around knees can be taken. If all the centers are ossified, you are not likely to grow taller. As you are turning 16, it would not be appropriate to suppress your puberty which could be done at a younger age by GnRH analogs or a few alternative agents. I hope you got guidance." + }, + { + "id": 23747, + "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": 1494, + "tgt": "My mother has skin infection in face, neck, and ear canal. What could cause this?", + "src": "Patient: Hello doctor, My mother is 57 years old. She is having skin infection around his face, neck, and ear area and she is a cardiac patient. For the past two days she is taking Surfaz-SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream), Zenflox- OZ (Ofloxacin and Ornidazole), and Allegra 120 mg. Please help. Doctor: Hello. Your mother has herpes zoster. It is caused by varicella zoster virus which causes chickenpox earlier in life and gets reactivated later in life to cause herpes zoster. She has to take tablet Valacyclovir 1 gm thrice a day for seven days. For the pain, tablet Diclofenac 50 mg at night ( if severe, twice a day). Apply Fusidic acid cream twice a day over it to avoid secondary bacterial infection. Varicella zoster virus. Herpes zoster. Tablet Valacyclovir 1 gm thrice a day for one week, Diclofenac 50 mg at night for one week (twice a day if severe pain) along with tablet Rabeprazole 20 mg in the morning empty stomach. Follow up after one week." + }, + { + "id": 6913, + "tgt": "I had severe bleeding after intercourse. Is it quite common to bleed after sex?", + "src": "Patient: Hello doctor, I recently had intercourse, and there was quite a lot of bleeding. The next day it stung quite a bit, and when I urinated, it was painful to sit down. I inspected my vulva with a mirror and found a tear or rip at the base of my vulva. I searched, and I think it is at the posterior fourchette. It is 10 days since this, and there is no longer pain and discharge or bleeding. However, I can still see the tear, it is red. How long should it be before this seals over and should I avoid having sex until it does? Also, how common is it for this to happen, and will it happen every time I have sex? Doctor: Hi. According to the history given by you, apart from a vaginal tear, the following reasons can also cause similar symptoms: 1. Firstly, women can bleed post-sex if intercourse is done soon after the periods, but this does not cause pain. 2. Secondly, virgin girls can bleed initially for a few times. 3. Lastly, intercourse done without proper arousal or foreplay makes the vagina less lubricate, causing pain and bleeding. You should visit a gynecologist for a detailed examination because sometimes tears can be deep-seated and be missed causing future problems." + }, + { + "id": 21456, + "tgt": "I am getting a boil like thing on my lips. Is it herpes?", + "src": "Patient: Hello doctor, I am starting to get a boil kind of thing on my lips. Picture attached. How can I stop it? I hope it is not herpes. Doctor: Hi. I am sorry the picture is slightly blurred (attachment removed to protect patient identity). I am not able to make out if the lesion is a bump or blister or a pustule. It is very important for me to have a clear view of the lesion. Can you please attach clear pictures that focus more on the lesion? This can be: Can you please answer these questions as well so that it helps me narrow down to the most precise diagnosis. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21187, + "tgt": "Why do I have dizziness, nausea, fatigue, upset stomach, and night fever?", + "src": "Patient: Hello doctor, I have dizziness, lightheadedness, nausea, fatigue, two months long upset stomach and fever at night. I am a female, 43 years old, had a hysterectomy five years ago due to cancer cells in the cervix. Currently, I am taking thyroid medication and anti-depressants. Doctor: Hi. Sorry to hear about your suffering. The symptoms you have mentioned could be due to many conditions like anemia, tension headache, infection, etc. CBC is required in order to exclude anemia and infection. I recommend that you take Paracetamol 1000 mg every six hours for the fever and headache." + }, + { + "id": 16599, + "tgt": "Could you please check if my hCG reports are normal?", + "src": "Patient: Hello doctor, I am 28 years old.\u00a0I got a positive result in the urine test for pregnancy after a missed period.\u00a0My last period date was on the 24th. As I had slight abdominal pain,\u00a0I was asked to do the beta hCG blood test twice in the gap of 48 hours to detect if the pregnancy is normal or ectopic.\u00a0Below are the test results. I have also attached the reports.\u00a0Beta hCG as on 26th 2349.18 mIU/mL and\u00a0on 28th 4357.73 mIU/mL.\u00a0Could you please suggest if the results appear normal?\u00a0There has been no bleeding or spotting and the abdominal pain is reduced as well.\u00a0Also, the pain is not restricted to one point or area.\u00a0Kindly suggest if any further tests are required now.\u00a0Apart from the above, please let me know if I can take Cetirizine twice a week as I have a skin allergy for quite a long time and have been relying on Cetirizine.\u00a0Also, please inform me if I need to take any alternative for Cetirizine. Also, kindly suggest me some medicine for the increasing acidity. Thank you. Doctor: Hi. BG (blood gas), CBC (complete blood test), HIV (human immunodeficiency virus), STS (serologic test for syphilis), HbSAg (hepatitis B surface antigen), urine routine, thyroid profile and blood sugar fasting. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26877, + "tgt": "My second anomaly scan shows two markers for DS. Is there a need to worry?", + "src": "Patient: Hello doctor, I am a 31 year old female. My first trimester NT and double marker test showed a very low risk of 1:3690 for DS and 1:100000 for two other abnormalities. During the second-trimester anomaly scan, the\u00a0doctor found two markers, CP cyst and mild RPD 4 mm and 4.5 mm. I have given blood for NIPT but did not get any results. I am at 23 weeks now and stressing out and getting really depressed. I have no family history of abnormalities. Is there a need to worry? Doctor: Hello. I have gone through your question and understand the concerns. Hope you found the answer helpful. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8501, + "tgt": "What causes severe heart palpitations?", + "src": "Patient: Hello doctor, Symptoms are heart palpitation and continuous nonstop neck crack that pains my cervical spine also. I randomly have episodes of heart palpitations, one time I jumped 3 feet out of my bed suddenly being shocked by a hard fast-beating heart palpitation that lasted for seven seconds, that was scary, it felt my heart was going to burst out of my chest and the beat reached my upper chest to my throat and neck, it is not a heartbeat that we get from playing sports, it was a weird episode of heart beats. After that incident in months, maybe a year I then got an episode of heart palpitations like that intensity but this time it lasted for 15 minutes going and coming with sweat only. Then after that, I just get them randomly while sleeping and awake for 1 or 2 seconds and now mostly when I pee standing up it also appears for a quick second and goes. I did CT scan and sonar heart tests and all doctors said my heart is fine, I also wore a Holter scan for 24 hours and still results say my heart is normal, but the issue here while doing the tests and wearing the 24-hour Holter I surprisingly had no heart palpitations. I am really worried, can you educate me on what test I have to do. When I shower I get tired a bit and have heartbeats that are not palpitations, they are just heart beating as if I am playing a sport, soccer or something, I get that quick beats when I pee, when I pray going on floor, when I walk up one simple set of stairs, and right before closing my eyes and full crashing to sleep I then suddenly wakeup having heartbeats. It is like brain telling me not to sleep as soon as I close my eyes falling into sleep it starts again, when I laugh hard it beats like I am playing sports, every small activity causes my heart to beat normal but the heartbeat speed is like when I am playing sports and running. And as I mentioned, sometimes I get quick palpitations that are different than fast heartbeats, it is like my heart is racing to get out of throat for second or so. Another really really main concern I am so worried about is that in my chest, in my lungs I feel a window of 1 to 3 seconds of tingly or bubbly feeling that reaches my throat, it has no pain and it is not heartburn, and it appears always, like every 1 minute or sometimes every 5 or 10 minutes or more and sometimes for seconds. It is a feeling of very small lighting or like a line that is slowly traveling from my chest up to my throat then back down to the chest and gives me sometimes a closed throat or cry throat feeling for a split second then goes back down to the chest. What should I do? I have incredible stress and anxiety, I sleep at 10 AM, sometimes 11 AM and wake up by 6 PM and cycle repeats. I think a lot and am afraid of what will happen. Doctor: Hello. Listening to your symptoms, the possibility which we need to rule out is of cardiac arrhythmia like atrial fibrillation or PSVT. They occur intermittently so may not be picked up on Holter monitoring as you did not have those symptoms during Holter monitoring. It is better if you can attach your ECG and other reports if you have. Most of the cases these are not life threatening although it may give uncomfortable sensations. So, firstly calm yourself and stop thinking anything bad. So, if you are having these symptoms on daily basis now, I would advise you go repeat Holter or even 48 hour Holter or may need long term monitors like implantable loop recorder if Holter is not successful. If it picks then it is fine otherwise you may need elctrophysiological studies which are invasive tests and should be a last option. So, at present, please attach your reports and go for repeat Holter preferably 48 hours. And if this not successful again then we can think of other options." + }, + { + "id": 18850, + "tgt": "I have neck and shoulder pain that go away when I lie down. Any suggestions?", + "src": "Patient: Hello doctor,I complained of neck and shoulder pain. It was diagnosed to be muscle spasm by a doctor. X-ray has been taken. I was given cream and Muscadol tablets. I used ice and some exercise. It worked over 90 % but the problem is I feel pain after sitting on a chair for 10 minutes continually. It goes away when I lay on my back. Any suggestion please? Note it is an old problem approximately four years. Also, nine years back, I suffered from neck stiffness. Doctor: Hello. Your young age makes arthritis (wear and tear) unlikely. And you did not mention any history of traumatic injuries to your neck. The issue seems to be postural as the pain appears after sitting up and resolves on lying down. It would be useful to check the Xrays to confirm there are no bony issues. You will then need to have your desk and chair adjusted to allow support for your neck. There are also some neck braces that you can use for added support. I hope you find this answer helpful. Please let me know if you have any further questions. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 28543, + "tgt": "I have multiple itchy lesions all over my body. What can they be?", + "src": "Patient: Hello doctor, I am 72 years male, who weighs 66 kg and I am 166 cm tall. I have multiple itchy lesions all over my body which responses temporarily to oral steroids. RAST test showed I am allergic to dogs and cats. My dermatologist diagnosed it as type 3 hypersensitivity (IgG mediated), and\u00a0I am not taking gluten, barley, garlic, and wheat, but there is no response. I have pancreas divisum, chronic pancreatitis, intraductal papillary mucinous neoplasm (IPMN), which is not growing since discovered five years ago. But my calcium is high (19.9), creatinine is normal (2.82), amylase\u00a0is 54, and HbA1c is 5.7. They accidentally found small cysts in the liver and kidneys (not a cystic disease but considered normal with age), mild asymptomatic diverticulosis, and BHP with minimal symptoms. I also have a partial hearing and memory loss, mild tremors, some cervical and sacral degenerative changes. I take a\u00a0lot of nutrients, antioxidants, and stopped alcohol six years ago. I do a lot of exercises.\u00a0 I have recurrent attacks of angina from when I was 50 years old, mild CAD, and controlled hypertension with minimal medication.\u00a0My EF is 65, mild mitral regurgitation and mild right ventricular atrial hypertrophy.\u00a0What is my diagnosis? Do I need to do more testing? What is the treatment? Doctor: Hi. I have read your query. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8823, + "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": 27642, + "tgt": "My third ventricle has grown from 4 mm to 6 mm after an SAH. Why?", + "src": "Patient: Hi doctor, I am currently abroad on vacation, and I had an important question, which could not wait until I saw my primary care neurologist when I am back home. Five months back, I was\u00a0involved in a serious hit and run accident (me being the victim). I sustained numerous injuries, the most prevalent being a traumatic brain injury (SAH). I was released from the hospital after about a month and returned home to continue recovering with my family. After months of recovery and PT for my femur surgery, I am just now beginning to get back on my feet, and I am planning on returning to work as a professor at the end of next month. During my last neurological examination, the CT scan found that my third ventricle has grown from 4 mm to 6 mm. This worries me tremendously since the research I have done online signifies that this may indicate hydrocephalus (attached is the radiologist findings). My question to you is, can my third ventricle enlarging be anything other than hydrocephalus? Is this a common occurrence after a traumatic SAH due to an accident? If it is indeed hydrocephalus, is the only treatment a shunt? Is there a less invasive treatment? I am really scared beyond words, and I am hoping that I do not end up with hydrocephalus. What is the usual timeline for the hydrocephalus to develop after SAH?\u00a0I will be sure to get a full check-up once I see my neurologist in a few weeks, but I just cannot wait any longer for an answer. Thank you for your time. Doctor: Hi. I read your query and understand your concerns. I hope this helps 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": 2343, + "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": 6856, + "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": 17786, + "tgt": "Why is my neutrophil number dropping?", + "src": "Patient: Hi doctor, I recently had my blood tests done for unexplained bruising, mouth sores, muscle pain and headaches. The neutrophil number came back as low of 1.2. I looked back at my past laboratory results and the neutrophil number has been dropping as follows. First it was 3.4, then 3.2, 2.9, 2.7, 2.1 and now 1.2. Could this be a sign of something more serious? I take Enbrel for psoriatic arthritis and also, my immune system is low. 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": 15163, + "tgt": "What can be done to cure painful cystic acne naturally?", + "src": "Patient: Hi doctor, I currently suffer from a deep painful cystic acne and am looking for a natural cure or remedy that will help with my condition. I am 21 years old and have no history of any diseases and am not taking any medicines or prescriptions for anything. Some symptoms I have are oily skin, deep cystic acne that does not come to a head. I usually break out around my mouth, chin, shoulders, chest, and back. It gets worse around the menstrual cycle. I have irregular periods, they are usually late. I have been taking different natural approaches such as changing my diet and taking Vitamins to control my acne but nothing is working. I feel very depressed and hopeless at this point. I tried about everything to control my breakouts. Some things work at first then my acne comes back with a vengeance. I get cystic acne on my shoulders, middle of my back and lower back. And around my mouth, and when it is the time of the month, I get a big cystic pimple in the middle of my neck. I have searched homeopathic remedies and came across people like me that had successful treatment which made me decide to take this approach. Is there anything specific you would recommend to cure my deep cystic acne? It feels like my hormonal acne has taken over my life, I feel very hopeless at this point. If there is anything I can do to improve my condition in any way, I would be extremely grateful to hear back from you. Doctor: Hi. Do not get depressed by this. It will be solved easily. Do not spoil your mind by such things which have solutions. You can start Pulsatilla 1M five pills empty stomach in the morning (take on the alternate day), Hepar sulph 30 five pills in the morning noon and night, Berberis aquafolium gel of SBL company apply on acne in morning and bedtime, Acnil soap or Trisan 0.5 % soap for face wash. By medicines, your acne may start discharge and then do not get tensed. It is a process of healing. Along with medicines, avoid junk food (spicy, oily, fat rich), take proper sleep, do not think much. Everything will be fine but I need follow-ups to decide the duration of treatment and further medication. If possible send pictures of acne." + }, + { + "id": 25440, + "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": 21188, + "tgt": "What causes frequent sneezing, wheezing and cough during cold climate?", + "src": "Patient: Hi doctor, I have frequent sneezing during cold climate. I have wheezing and cough. I used several medicines for seven years. I have no problem with the heart, and I do not have asthma. Doctor: Hi. I have reviewed your query and here is my advise. Your symptoms are suggestive of allergic bronchitis. You are having an allergy to cold as per mentioned in the history. I suggest you investigate your CBC (complete blood count) and spirometry to assess the severity and to look for eosinophilia if present. You can be prescribed Montelukast with Fexofenadine combination drug for a week. If wheezing is present in auscultation, then use a bronchodilator drug in the form of nebulization if required. Do steam inhalation with warm water three times a day. Take one tablespoon of turmeric powder with milk daily. You can consult a Pulmonologist for auscultation and a physical examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 20365, + "tgt": "Please explain my CBC report", + "src": "Patient: Hi doctor, I am a 38-year-old male. I have a question about my CBC report. My lymphocytes are high with 65 %. My neutrophil levels are low. My total WBC is 3200 WBC per microliter of blood. I have these levels remaining the same for about two years. I have constant body pain. I am very weak, and I do not have any weight gain. My thyroid tests are normal. My ANA panel is normal and C-reactive protein level is elevated with 14.2 mg/L. I am taking Tramadol 50 mg for pain. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your lymphocyte count is elevated. As the condition sustains the same for the past two years, you might need investigations like flow cytometry or bone marrow aspiration study to be done. For an initial workup, you can investigate serum calcium estimation, sodium and potassium estimation, SGOT (aspartate transaminase), SGPT (alanine transaminase), serum protein estimation, urea, creatinine estimation, and peripheral smear examination. According to the cause, specific treatment are given." + }, + { + "id": 27274, + "tgt": "I think I am fat even though I am told I am not. Am I anorexic?", + "src": "Patient: Hello doctor,I have had a loss of appetite and a feeling of nausea after eating for a while now. I also see myself as fat although I have been told I am not. I used to lower the amount of food I ate so that I would not put on weight. I only ate dinner as a way of getting thinner. Does this make me anorexic? 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": 29367, + "tgt": "Please review my dad's report and let me know if hiccups and burping are to be worried", + "src": "Patient: Hi doctor, My dad recently was admitted to hospital after a heart attack, and he was in the\u00a0hospital for almost a week. Currently, he was discharged and taking rest at home. The doctor advised that his heart pumping rate is around 23% and require improvement. Since morning he has been having hiccups, and he is burping a lot. I would like your help to review the results and also let me know if hiccups and burping are to be worried. Please suggest anything that\u00a0needs\u00a0to be done from our end. I appreciate your response. Doctor: Hi. I saw your dad's reports (attachment removed to protect patient identity). He has severe heart failure due to supposedly decreased blood supply to the heart (ischemic left ventricular dysfunction). The cause of hiccups and burping could be due to gastritis induced by Clopidogrel or Aspirin. It could also be caused the by ischemic inferior wall that is the portion of the heart, which is adjoining the diaphragm, incessant contraction of which may cause hiccups or due to the accumulation of fluid in the lungs (subpleural effusion) which could also irritate the diaphragm. I suggest you take an ECG and chest x-ray to rule out these conditions. 1. Inferior wall ischemia. 2. Subpleural effusion. 3. Renal failure. Renal function tests, ECG and chest x-ray. 1. Ischemic LV dysfunction. 2. Intractable hiccups. Rule out cardiac cause of hiccups (with the above tests) as well as renal disturbance. I suggest you tablet Metoclopramide or tablet Baclofen 10 mg twice daily for hiccups, preferably after seeing a physician. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28407, + "tgt": "I have to get a uterine septum removed. Which anesthesia is safer?", + "src": "Patient: Hi doctor, I am a 38 year old female, who weighs 200 lbs and I am 5.4 feet tall. I have to get a uterine septum removed, and I am terrified of going under general anesthesia. I never had any surgeries in the past. My cholesterol levels are slightly raised, and I have Raynaud's disease. I get panic attacks, and I am very anxious about getting my surgery done under anesthesia. It is a very hard to choose\u00a0general or sedative or spinal anesthesia. I do not know which is safer for me. Doctor: Hello. I have read your query in detail. Please be free of tension. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 8850, + "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": 1428, + "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": 7816, + "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": 18102, + "tgt": "What is the treatment for pus filled acne?", + "src": "Patient: Hello doctor, I am having acne on my cheeks for the past one month. I have red and pus filled acne. Redness is more in the cheeks area. I used Clindamycin gel and the pimple size reduced. But, pimples did not go away and also spreading nearby. I have used Benzoyl peroxide too, but no improvement. I am using Salicylic acid face wash twice daily. My face is oily. Kindly suggest me some way for removing acne without leaving redness. I have attached pictures for your reference. Thank you. Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and do understand your concern. Moderate acne vulgaris. 1. Continue to use Clindamycin gel in the daytime. 2. Continue Salicylic acid face wash twice daily. 3. Apply Adapalene and Benzoyl peroxide gel (Minoz-BPO gel) at night-time only. Initially, you may experience a little bit of tingling due to this cream. If so, then apply this cream on alternate nights. 5. During the day, use a non-comedogenic gel based sunscreen for every three to four hours. 6. In addition, you will require oral antibiotics. Start with one tablet Doxycycline 100 mg daily for three weeks. After three weeks we will review your improvement and decide on the further treatment. 1. Avoid hair oil application. 2. Drink plenty of water. Revert back after three weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8993, + "tgt": "How to treat migraine and one side headache?", + "src": "Patient: Thank you doctor,I have suffered from migraine, and my one side headache is more in every day. So please advise about migraine. Doctor: Hello, Welcome to the icliniq.com. For migraine, Ibuprofen can be prescribed SOS when a headache occurs. If no improvement with Brufen than Sumatriptan or Rizatriptan can be prescribed. Avoid bright light, loud noise exposure. Take atleast six to eight hours of sleep. Avoid fasting and take food both time in the afternoon and evening. Avoid constant work on the computer. You can consult nearby physician for detailed evaluation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 28506, + "tgt": "Can I take Zolfresh to regulate my sleep cycle?", + "src": "Patient: Hi doctor, I traveled to a new country for a short business trip of 3 to 4 weeks. Today is my fifth day, and I am having problems to sleep at night from these past\u00a0five days. As a precaution, I carried Melatonin and Zolfresh with me. Can I take 10 mg Zolfresh to get proper sleep? I took Melatonin last time, but it was not effective. When should I take Zolfresh? Will it help regulate my sleep cycle? My head is paining, and my eyes are burning due to lack of sleep. Doctor: Hello. For more queries consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 8413, + "tgt": "How accurate is the bleach pregnancy test?", + "src": "Patient: Hi doctor, How accurate is the bleach pregnancy test? What is your suggestion? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12115, + "tgt": "What causes running nose with streaks of blood and post-nasal drip?", + "src": "Patient: Hello doctor, I have since I can remember, a runny nose, especially in the morning. Not uncommonly there are streaks of blood. Quite often also post-nasal drip. At times, I have itchy runny eyes. My doctor has prescribed an ointment Otocomb which sometimes help. In the past few months, I have noticed a sore in my inside of the left nostril. It feels like it runs neatly along the rise or cartilage. It sometimes forms a scab that I pick at. I am worried that it is not improving. Doctor: Hello. What you are explaining is consistent with chronic allergic rhinitis and chronic sinusitis. I wanted to know if you have ever tried a nasal spray and if yes for how long? Which one and did it help? Do you have pets? Did you have patch testing ever?" + }, + { + "id": 28666, + "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": 3096, + "tgt": "Is there any way to get amnesia through anti-epileptic medications?", + "src": "Patient: Hi doctor,This is for my dad. He has epilepsy and is now 52 years old. Last Saturday, he went on his normal routine of getting ready but did not know what happened and he walked out of the house without any clothes. When we asked him if he was okay, he said yes. But after the whole episode, when we asked him if he knew what he did, he said no. We do think that his epilepsy is triggered by less sleep and the only medication he takes is Gabapentin. We think that he is getting depressed because he has a loss of appetite, loss of weight, slowness in activity, concentration problem and occasional mood swings. His current neurologist does not do anything and all he does is keep doing a blood test each time. Doctor: Hi. Thank you for your question. History of epilepsy and intermittent episodes of confusion with loss of memory of the episode (amnesia) is concerning for seizures. For the workup of seizures, he should get routine brain wave testing (EEG - electroencephalogram) or a long-term EEG monitoring to identify any abnormal brain discharges which can cause a seizure. Other things to look at it is head imaging like CT head or MRI brain (if not done already) as it is not uncommon for elderly patients to have blood collection around the brain (subdural hematoma) to present with altered awareness or confusion. I agree with blood tests as an initial test to look for metabolic encephalopathy due to deranged blood electrolytes level and body metabolites such as BUN (blood urea nitrogen), ammonia, etc. Please do not hesitate to reply if you have any other questions or concerns." + }, + { + "id": 24302, + "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": 23303, + "tgt": "Are my rashes an allergic reaction to the molds on the walls?", + "src": "Patient: Hello doctor, Last year, I moved to a coastal area to go to college. I moved into an older house that had really poor ventilation. As a result, when it was warmer inside than outside, I had condensation on my walls and water beaded down. So, soon after I moved in, mold grew on three of my bedroom walls. I had to clean the walls every week with bleach. During this time, I began to get rashes and eczema on my hand and on my legs. They were constantly dry and itchy and I unconsciously itched them until they bled. Seven months later, I also had extremely dry skin around my right eye which was red and itchy. I unconsciously rubbed the area which caused it to become inflamed and become swollen to the point it affected my vision a bit. To treat my rashes, I applied cream to my legs and hands every few hours. For my eye, I applied cream every hour and got eye drops. I also tried Triamcinolone Acetonide Cream 0.5% on my hands. I had a rash from poison oak previously. This prescription cream prevented the itchiness but caused it to dry out enough to start peeling, cracking and bleeding. So I stopped using the prescription cream and just used a regular cream for all my rashes. After about a week of using cream, the skin around my eye returned to normal but I had to still apply cream to ensure it did not dry out and peel.The problem is that I still have a huge rash on my hand and up and down my legs. It has gotten extremely bad as I constantly have scabs or bleeding wounds on my legs from itching or they have puss oozing out. For the past couple weeks, I have been waking up five to six times before my alarm to find I am itching my rashes. Now the rashes seemed to have spread as well. They began on my lower legs and have since spread to the entirety of my legs. My hand rashes started small the size of a penny. Now it is the size of a dollar coin. It also seems to have spread up to my wrist and maybe starting on my other arm as well. I thought of many what could be the cause of my rashes but I do not have many ideas. Could it be an allergic reaction to the mold from my walls because it started during this time? But, I still have the rashes almost a month after the mold had stopped growing. The mold spores could still be on the walls or the environment. Could I be allergic to the cream? I have used this cream for the past two or three years. Could I be allergic to the shampoo or the soap? I have had the same bottles for past nine months, two months before the rashes started. Could I be allergic to bed sheets? I have the same bed sheets for the past seven months. Could I be allergic to food or milk? I cook all my food and have not had any steady foods that I had not already been eating before. I thought maybe I could be lactose tolerant. Of note, my both parents are and it started around the time they were in college so I cut out dairy for two weeks, but nothing changed. Could it be allergies to pollen? I thought maybe I was allergic to the mold in the winter and now that it was spring, I was allergic to pollen. But I have no symptoms of allergies than the rash. Can it be due to dirtiness? I normally shower once every two days. I tried showering daily for two weeks, but no change in the rashes. Am I allergic to the new place? I went back to my old place some time back for spring break. The week I came back to the new place, my rashes had stopped itching and seemed to be healing completely. The rashes returned the second week when I was back. Can it be due to dryness due to heaters and the winter weather? The heaters were always on in the winter and I had to remoisturize all my skin more often. The weather is now much warmer and heaters are not turned on anymore but I still have the rashes. I have now had the rash on my hand for six months. I have had the dryness around my eyes for three months. I have had rashes on my legs for almost seven months. I plan to go to see a doctor but I have to wait until I return home. Attached below are three pictures; my eye when it is dry and peeling, my hand rash, and the back of my knee where it usually itches the most.Can you please tell me what I could do to help fight these rashes? Doctor: Hello. I have read your query in detail and do understand your concern. Judging from your description and the attached pictures (attachment removed to protect patient identity), I am quite sure you are suffering from a kind of eczema known as atopic dermatitis. Involvement of eyes, back of knees. dry skin, history of allergies in your family goes in favor. Other allergies like lactose intolerance, excessive sneezing, hay fever etc. may be sometimes associated with this condition. You can take antihistamines like tablet Levocetirizine 5 mg in the morning and Hydroxyzine 25 mg at night. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. In severe cases, your doctor may put you on a short course oral steroids. Moisturisers which are specially meant for such conditions, eg, Cetaphil Restoraderm Body Moisturizer should be applied twice daily. You may also apply coconut oil or olive oil to your body. Avoid using soap on your skin. Use a medicated soapless cleansing lotion instead, eg. Cetaphil Cleansing Lotion. Do not scrub or bleach this area. Wear cotton clothes. Stay away from allergens like pets and dust. You can use steroid cream like Triamcinolone for face, Mometasone or Clobetasol for your body to tide over severe itching phases. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4179, + "tgt": "Is there any Ayurvedic medicine to bring down the level of TSH and uric acid?", + "src": "Patient: Hello doctor, I had been diagnosed with hypothyroid nearly 10 months ago. My TSH was over 100 during that time. Also, I had uric acid which was high. Doctor prescribed me to take Thyroxine tablet 50 mg daily and to increase it to 100 mg after one month. Also, uric acid medicine was given. I took that for a couple of months but slowly stopped both medicines. Instead, I am now taking 750 mg Ashwagandha and 400 mg Shilajeet daily. I got my TSH and uric acid tested recently and TSH comes to 12.0 and uric acid is 447 (both results are still higher than normal). Can you guide me for a suitable Ayurveda medicine to bring thyroid and uric acid to a normal level? Doctor: Hi. I have seen your attachments (attachment removed to protect patient identity) and read the complaints carefully. It is not a big issue and can be managed through Ayurvedic medicines and yoga practices. Hormonal imbalance, metabolic disorders. TSH (thyroid-stimulating hormone), uric acid, blood pressure, and blood sugar. You should take the following medicines regularly for one month and after one month you may revert back with investigation reports. Rx, 1. Kanchanar Guggulu one tablet, Gandamala kandan rasa one tablet, Giloy ghanvati one tablet thrice a day after meals with lukewarm water. 2. Punarnavasava 15 ml with equal amount of water after meal twice a day. 3. Amla alovera juice 10 ml daily in the morning. Avoid spicy and fried junk foods. Drink plenty of lukewarm water regularly. Avoid milk and milk products, egg and non-vegetarian foods, beans and protien rich food. Do regular Kapalbhati and Pranayam like anulom vilom nadi shodhana bhramari and specially ujjai. Do these things and provide your valuable feedback after one month." + }, + { + "id": 25934, + "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": 30654, + "tgt": "Why did my dentist suggest sinus lift for placing implant?", + "src": "Patient: Hi doctor, I have\u00a0consulted four dentists with my x-rays. After years of failed root canals, cavities, gum disease and eventually failed four tooth bridge, I am now seeking implants that will hold a hybrid bridge to replace my upper arch. I need six implants with a full contour Zirconium prosthesis. . Three of the dentists had almost identical treatment plan suggestions, as described above. The fourth included sinus lifts, which was surprising and the others did not mention anything beyond bone grafting. The sinus lift is a big addition. So, I am hoping to get an unbiased opinion about the sinus lifts. Thank you. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29648, + "tgt": "I am anxious and wake up with racing heart. Why?", + "src": "Patient: Hello doctor, A few months back, I felt a shock in my heart. There was chest discomfort; I was sweating and my pulse was going down. I almost felt like a heart attack,\u00a0but, after\u00a0a few minutes everything was normal. The next day I went to my GP to check and in ECG he found that I had irregular heartbeats. He referred me to a cardiologist, but I cannot see him due to lack of appointment. Meanwhile, I had palpitations and so I went to emergency.\u00a0There they took many ECGs, blood tests, chest x-ray, etc., and according to them, everything was normal except my heartbeat, which was a bit higher around 110. So, they gave me beta blocker of 1.5 mg. I went to see my GP again and this time my heartbeat was irregular. I decided to visit a private cardiologist. He took ECG and echocardiography\u00a0and found nothing wrong except little high BP. I took my reports to my GP and he took my ECG again. My heartbeat was irregular from time to time. I feel current or shock in my heart and different parts of the\u00a0body. I am confused and do not know what to make of it. I am anxious sometimes and wake up with a racing heart. Thank you. Doctor: Hi. I have seen all your details. Revert with the details to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10733, + "tgt": "How can I distinguish that I was bitten by a bat or not?", + "src": "Patient: Hello doctor, I think I was bitten by a bat, so I wanted to know how to know that if I was really bitten by a bat. I did not felt anything at that time but some itching after that. I am not sure that I was bitten by a bat, so I wanted to know how do we feel when bitten by a bat. Also I saw that the thing which landed on my neck was small but had small wings that looked like a bat. I was asking ways to distinguish that I was bitten by a bat or not. Doctor: Hello. If a bat bite there will be bite marks, usually superficial. 1)Early symptoms are fever, headache, and general malaise. 2) If the disease progresses, there will be neurological symptoms such as insomnia, anxiety, confusion, agitation, difficulty in swallowing, hallucinations, excessive salivation, paralysis, hydrophobia (fear of water), or agitated behavior. If you still have doubt better go for vaccination ARV (anti-rabies vaccine)." + }, + { + "id": 2199, + "tgt": "I have chronic abdominal pain with bloating and defecation problem. Why?", + "src": "Patient: Hello doctor, I have been struggling with a lot of upper abdominal pain since six months. I have constant, chronic pain in my upper right abdomen and chest. I was adamant it was my heart but have had all heart tests done and everything is fine except for palpitations they think are from anxiety. Gallstones have also been discovered but that pain would be on my right side and not on my left. The left side pain is unbearable sometimes, it hurts to breathe in deep, it is very tight. There is popping sensations a lot and I really struggle with constipation and then I can have a couple of days with diarrhea. I have completely changed my diet and lifestyle, given up smoking and alcohol for two months now. I only drink water and the occasional green tea, have cut out all other drinks. I eat clean now and have lost 20 lbs in the last two months. My bloating has dramatically gone down but the pain has not. I have taken so much Gaviscon since four months that it does not work for me anymore. I have cut out nightshade vegetables, gluten, unhealthy fats and dairy except for the occasional non fat greek yoghurt in my smoothie. The pain is still there, I have been to the hospital multiple times and they just say it is gastritis. I know I have indigestion problems but I feel like there is something else going on. An endoscopy showed nothing wrong just told to continue gastritis medication, but the medication does not work, the change of lifestyle is also not working. Any advice on what could be wrong would really help. Doctor: Hello. I have reviewed your concern. Thank you for the extensive details. I am happy to know there is no sinister problem going on, all you are suffering is functional problem. You have mixed features of dyspepsia and IBS and both have unknown causes. Most of the people have underlying anxiety or depression. My recommendations for you would be: 1. Continue Sertraline and Propranolol. 2. Take Buscopan as per need, if you feel colicky abdominal pain because it can cause constipation if taken frequently. 3. Take Ispaghol husk two teaspoons, put in a glass of water, keep it for four hours and then drink it to make your bowels regular. 4. Avoid foods that you think that troubles you most, so you have to decide which are those foods for you. 5. Keep yourself well hydrated. 6. Take capsule Esomeperazole 40 mg once in the morning before breakfast. 7. Take tablet Levosulpiride twice per day before meal. 8. Take Ecotec sachet once a day. Follow up after seven days. Stress. IBS. Dyspepsia. Avoid lying down after meals. Remain active. Stay cool and calm. Chew food well. Take a small but frequent diet. After seven days." + }, + { + "id": 29839, + "tgt": "Can stress and restlessness delay periods?", + "src": "Patient: Hello doctor, I had PCOD and took homeopathy medicine, after which my periods started getting regular. I got engaged about two months back and I got married last month. I took pills during my engagement and marriage time\u00a0to advance my periods. I got my period on 14th each month after taking the pills. This month, I did not use any pill but had unprotected sex twice after the 21st day. I have slight cramps, but no sign of periods. Should I be worried about getting pregnant or is it stress and restlessness that is delaying them? I am very tensed. Please answer. 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": 6926, + "tgt": "My ears feel clogged following sinus infection. Why?", + "src": "Patient: Hello doctor, I was recently treated for a sinus infection with Augmentin which I am still taking now, I feel dizzy, and my ears feel clogged now. Should I go to a doctor, or is this normal in the endings of the illness? Doctor: Hello. I completely understand your problem. I am sure that you are aware ear and nose are connected by a tube called Eustachian tube. Whenever we suffer from common cold or sinusitis, this tube gets congested as well. This leads to symptoms that you are suffering from. I would suggest the following, 1) Continue Augmentin 625 mg for seven days. 2) Xylometazoline nose drops two drops twice a day and after instilling drops in nose take good steam inhalation for five minutes and continue it for seven days. 3) Steam for 15 days. 4) Tablet Levocetirizine 05 mg once a day will also help. If symptoms persist, you may need to see an ENT doc, and the condition is called as OME (Otitis media with effusion)." + }, + { + "id": 7661, + "tgt": "I have been feeling a pulsating nerve under my right eye. What to do?", + "src": "Patient: Hello, I am a 35 year old male. For a week now I have been feeling a\u00a0pulsating nerve under my right eye. It is not on the eyelid, approximately 3-4 cm below it. It is present only sometimes and visible when I look at the mirror. Doctor: Hi. I reviewed your history. Hope this helps you. Consult an\u00a0eye care ophthalmologist online\u00a0for further follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17483, + "tgt": "What is the chance of getting glandular fever through e-cigarette sharing?", + "src": "Patient: Hi doctor, My friend had glandular fever in the starting of last month. On last weekend, I had two puffs on an e-cigarette in which he had before me. His doctor said he is not contagious, but could be in rare viral scenarios. I do not know what does it mean. What is the chance of me getting glandular fever? His doctor said it was only contagious in a rare infectious way. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25442, + "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": 27399, + "tgt": "I do not get erections, and I have low sex drive. Please help", + "src": "Patient: Hi doctor, I am 88 kg and 5.6 feet tall. I have a small penis of 4 inches, and it is soft. I do not get erections, and I have low sex drive. After I urinate, some urine keeps dribbling from my penis. My penis stays soft and shrunken. Kindly help. I have never had sex, as I am ashamed of my penis size. I have no confidence at all. Please help. Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13675, + "tgt": "Can I get pregnant with an endometrial thickness of 5 mm?", + "src": "Patient: Hi doctor, I had irregular periods. All my other test reports are normal such as LH, FSH, AMH, thyroid and FBS. I had done pelvis transvaginal sonography three days back, but last period date was 28 days back. My report summary is as follows. Pelvis shows an anteverted, uterus with central endometrial canal. The uterus measures 56x29x34 mm. The endometrial thickness measures 5 mm. Both the ovaries were well visualized and appeared bulky with multiple small follicles noted in parenchyma. Right ovary measures 38x24x37 mm, volume measures 17.4 cu mm. Left ovary measures 40x22x33 mm, volume measures 14.7 cu mm. There is no free fluid in cul-de-sac. Is everything normal? Will I be able to get pregnant? I am 30 years old and married for 4 years. I have not been pregnant earlier and have been trying for baby since 3 months only. Currently, I am taking Folic acid and other vitamin supplements. Please advise. Doctor: Hello." + }, + { + "id": 6457, + "tgt": "What is this bump which I have on the place where the wisdom tooth was?", + "src": "Patient: Hi doctor, I have a kind of bump on the side where my bottom wisdom tooth was. Also, there appears to be a little hole in the area with white stuff on it. It is behind my last bottom tooth where the wisdom tooth was removed years ago. It is sore to touch. I have attached the photo. It is not the where my finger is, but behind the back tooth. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11259, + "tgt": "I have a painless pea sized lump in groin area. Kindly advise", + "src": "Patient: Hello doctor, I have a pea sized lump between my right buttock and thigh (groin area) that I just noticed a few weeks ago after accidentally shaving over it. It is not painful, but a little sore like a scrape would be. It appears to be solid in the middle and darker, but has almost an inner tube look around it that is pinkish. It does not look like it has fluid in it. Doctor: Hi. What your photo shows is a skin ulcer (attachment removed to protect patient identity). There are many reasons for skin ulceration in the groin area. We have to rule out sexually transmitted diseases first of all. I would like to know if you are sexually active, whether your partner has any such problems. How about your general health? Do you have any kind of problems in your other body systems? For the ulcer, you can apply a topical antibiotic like T-Bact cream daily thrice. It will help it heal if it is a simple bacterial infection. I would suggest you apply it for two weeks, then approach a local dermatologist for a full checkup, in case it is not responding. Get well soon." + }, + { + "id": 2356, + "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": 334, + "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": 30866, + "tgt": "Why is my mom adamant in her decision?", + "src": "Patient: Hi doctor, My mother is 63 years old. Always, she wants to go out and buy new clothes. She is adamant and\u00a0not listening to us. She is having medicine Serta 100, Donep and Sulpitac. Doctor: Hi. I have read and completely understand that you are facing a hard time handling your mother. The symptom you mentioned here are more likely suggest a disorganized behavior, which can be a part of psychotic disorders like schizophrenia. Genetic and environmental factors, including family background and personality characteristics. Confirmation of her diagnosis. Check the suitability of her medication. Psychotic disorder and dissociative fugue (reversible amnesia). 1. Psychotic disorder. 2. Disorganized schizophrenia. As she is already taking medicines, you need to follow these suggestions. 1. Ensure that she is not missing any dose of medicines and it should be a family member's responsibility to either give her medicines or keep check for proper medicine schedule. 2. Check with a psychiatrist to suggest if she is taking the right medicine. Because, when the symptoms do not recover it is sometimes necessary to change the medicines. You also need to provide all the medication history to the doctor and for how long she is taking these medications. 3. Go to a psychologist for her psychotherapy. She strongly needs guidance related to the management of disorganized behavior. 4. Complete a psychotherapy plan, because the behavioral treatment is mandatory for her along with medications until she gets adjusted in life. 5. Guidance to deal with your mother will also be provided to you and family members, which is the crucial part of psychological treatment. Ask for it from a psychologist. Take psychological treatment as soon as possible along with revised medications as there is a likelihood of worsening her condition. Once the psychotic disorder becomes uncontrollable, then it is very difficult for the patient and family members to cope with the condition. Therefore, early detection and treatment is strongly recommended. For further doubts consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 664, + "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": 11779, + "tgt": "What are the symptoms of chickenpox?", + "src": "Patient: Hi doctor, I have been diagnosed with chicken pox. However, I am skeptical because not only the red bumps are not nearly as prolific as normally seen in chicken pox patients but they also are not itchy in the slightest. Could this just be an outbreak connected to spring allergies or is it just a mild form of the pox? Doctor: Hi. I have gone through your case. Firstly, yes this is a mild form of chickenpox which occurs in those individuals who have very good immunity. But important thing in your history is that you already had chicken pox in your childhood. Once after getting chickenpox, it is extremely extremely rare to have it again in life. It can occur again but it occurs in severly immuno-compromised patient and presentation is very severe. However, you have described some mild diseases. In the end you are not having chicken pox but anything can be said after seeing your picture." + }, + { + "id": 22943, + "tgt": "Can gas embolism in spinal cord affect sensation of whole dermatome?", + "src": "Patient: Hello doctor,If a person had been diving and experienced an arterial gas embolism in the spinal cord. Specifically, it was disrupting the nerve root for the T8 or S1 dermatome. Would the whole region of the dermatome be affected with decreased sensation? Meaning, would it wrap around the torso (T8) or down the calf (S1) or is it possible to have an isolated numb spot within the T8 or S1 dermatome itself? What specifically would you do to test and map out the area of the deficiency and how would the symptoms truly present? If you were testing the cranial nerves for deficiencies, would it matter if the patient can see you touching his skin for the trigeminal nerve? Doctor: Hello. I read carefully your question and would explain that an arterial gas embolism in the spine, would not affect just a nerve territory or a dermatome. But it would lead to a much more severe condition, associated to spinal shock, inability to move the legs, inability to control the sphincter and a sensory deficit affecting both lower limbs or the four limbs and the body (in case of an upper cervical spine). A spine MRI study is necessary in such cases after a careful neurologist consult. Nevertheless, gas embolism in the spine is a really exceptional diagnosis, because it usually affects the brain. The trigeminal nerve is normal if you can feel equally the touch in both sides of the face. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24831, + "tgt": "Can cough and small red spots in hand after intercourse be HIV symptoms?", + "src": "Patient: Hello doctor, I had sex with a sex worker 45 days back. During which my condom broke and then immediately I withdrew my penis and went to the washroom and cleaned my penis with water. After this incident, I am having a little cough and small red spots on my hand. Can this be HIV symptom? Please help me. Doctor: Hi. Unprotected sexual encounters are a risk factor for multiple STDs including HIV. Condom slippage is considered as condom failure, and it is regarded as unprotected act. However, the risk of acquiring HIV through the sexual route is as low as 0.02 to 0.5 %. HIV has a window period up to three months during which the test results can be a false negative. Hence, it is advisable to get a screening test done now and again at 12 weeks after the last exposure. Coming to your symptoms, they appear non-specific and unlikely to be due to HIV. The usual symptoms are fever, joint pains, and skin rashes which last hardly few days and usually start around two to three months after getting infected. The investigations to be done are ELISA, HBsAg (hepatitis B surface antigen), anti-HCV (hepatitis C virus) and VDRL (venereal disease research laboratory test). For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4915, + "tgt": "Will drinking alcohol be responsible for high blood sugar?", + "src": "Patient: Hello doctor, I am 50 years old. I have done my sugar test last week which showed\u00a0high blood sugar value and high cholesterol. My doctor advised me to test because I had irritation while urinating. My doctor prescribed me to take Cumet-SR tablets. My weight is 85 kg and height 5.8 feet. I have few questions regarding this. Is this sugar value bad? Is drinking alcohol responsible for high blood sugar? Which fruits and meals can I take to control my blood sugar? Should I reduce my weight? My cholesterol level is little bit high. Can you suggest a diet for that? Is oats good for controlling blood sugar? I have attached my blood reports for your reference. Please help. Doctor: Hi. I have gone through your complaint and seen your reports (attachment removed to protect patient identity). Yes, drinking alcohol raises blood sugar. You should take 5-6 portions of fruit or vegetables each day. You can eat citrus fruits like orange, sweet lemon or other fruits like 1 cup pieces of papaya, pineapple, water melon and apple daily. You should avoid mango, grape, date and sugarcane. Take adequate amount of salad containing tomatoes, cucumber and green leafy vegetables daily. Use green leafy vegetables in soup or salad. Take adequate intake of beans and nuts. You can use artificial sweeteners up to certain extent. You must restrict your carbohydrate intake. Avoid rice, processed flour, potato and sweet potato. Avoid alcohol, smoking, sweets and cold drinks. Try to incorporate whole wheat in diet. Oats are good in controlling sugar. You must carry out moderate exercise 20 minutes per day for five days a week. 1. Obesity. 2. Alcohol. 1. HbA1c. 2. Blood sugar. Diabetes Mellitus. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13336, + "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": 22376, + "tgt": "I have been having excess phlegm for last two weeks. Is it throat cancer?", + "src": "Patient: Hello doctor,I have been having excess phlegm for the last two weeks. It is sometimes green in color or clear color. Phlegm comes sometimes when I am talking. There is also hoarseness of voice. I smoke cigarettes, although trying to quit. Have not smoked for three weeks. Can this be throat cancer? I am worried. Doctor: Hi. Throat cancer is the last diagnosis to be expected. Firstly, you have a bacterial infection revealed by the green sputum. So you have to take an antibiotic as Targo (Levofloxacin) 750 mg once daily for 10 days plus hot fluids. You must have an endoscopic examination of your larynx to detect the cause of hoarseness. Do not speak loudly and avoid spicy and cold foods. Show me the picture of the laryngoscope when you have it. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1927, + "tgt": "My 9-month-old baby cries and becomes angry very easily since she fell off the bed. Please help", + "src": "Patient: Good evening, I have a 9 month old daughter who fell off the bed yesterday at around 4pm. I didn't saw if she hit her head or how she hit her head. I gently attended to her and looked for signs of any injury. After making sure that there is no injury, I started consoling her because she was crying uncontrollably. When she stopped crying and calmed down, she started being drowsy but I did not let her sleep because I was worried. At around 5:30pm she vomitted. At 6pm, she finally went to bed but I was still monitoring her. After monitoring her for 24 hrs, I noticed that her sleeping pattern changed and she cries very easily, becomes angry easily and exhibits extreme emotions. Doctor:" + }, + { + "id": 3898, + "tgt": "Can an old man with partially injured cervical spinal cord able to walk without assistance?", + "src": "Patient: Hi doctor, I have some questions I would like answered on cervical spinal cord injuries, please. If a person only had a partial transection of the cervical spinal cord would their final outcome still be a complete cervical spinal cord injury, where they no mobility or sensory function? Or is it possible their final outcome could be an incomplete cervical spinal cord injury where they have some mobility and sensory function? Can a person with a neck fracture die from their cervical spinal cord being compressed because of bleeding and swelling from the fracture compressing against the cord? Can a person with an incomplete cervical spinal cord injury, caused by a traumatic accident, die four days after the accident because of the cervical spinal cord failure to control blood pressure and heart rate, or respiratory failure because of damage done to the cord? Or would they have to have a complete cervical spinal cord injury to die four days after the accident because of the same reason stated above? And lastly, would it be possible for a elderly male, aged 80, who has had a fall, and has either a partially severed his cervical spinal cord, or his cervical spinal cord been injured by being compressed from bleeding and swelling as result of a neck fracture, be physically able to walk roughly 50 meters with someone assisting him? If it is possible, what would their balance be like, for example, if the person assisting the injured man was holding him with one their arms holding him at the waist would be able to walk in a straight line, or would his walking be staggered, unbalanced and uncoordinated? Doctor: Hello. I read carefully your question and would explain that the cervical spinal cord is a very delicate part of the spinal cord because in its beginning are located the most important centers which control the heart rate, the pulmonary function, and the blood pressure values. It is true that just after a trauma a man can walk, with or without assistance for 50 meters and this can sound strange. In fact, this can be related to the lack of damage to the spinal cord in that moment (there is only the fracture of the vertebral column, while the central nervous system is intact). While walking, the instability of the damaged vertebral column causes further damage to the spinal cord and the person gets paralyzed. Regarding the partial and complete damage of the spinal cord, it is difficult to judge. All the damages begin as partial, but because of the spinal cord instability, the lack of right immobilization and the bleeding and swelling, the damage may become complete in the next days. The swelling and bleeding tend to spread and the spinal cord is trapped within the vertebral column, and can not expand further, so the swelling and bleeding cause further damage to the spinal cord. It is difficult to judge in the first days of trauma. But, because of the swelling in the first days after the trauma (first week), the person may die because of acute cardio-respiratory arrest, due to the dysfunction of the heart and respiratory function. The swelling tends to spread in the upper cord and the paralysis becomes complete, affecting also the respiration and the heart rhythm. I hope this helps." + }, + { + "id": 16594, + "tgt": "Are ELFA and HIV DUO tests conclusive at three and six months post-exposure?", + "src": "Patient: Hello doctor, I have had a few unprotected high-risk exposure in my life so far. I had a concern and checked my status of HIV through an ELFA test after three months of the\u00a0last encounter. I did another ELFA test after six months, and both were non-reactive. I did not have any exposure in between the tests. My condom broke after the six months test, so I did fourth generation HIV test, syphilis, chlamydia, HSV-1, and HSV-2 at six weeks post my last exposure, and they were all non-reactive. I\u00a0also got an ELFA\u00a0test after three months post my last exposure, which was also non-reactive. I had a qualitative EDTA plasma HIV-1 RNA PCR test four months post my last exposure with a minimum assay range of 35 copies per ml. The reports said viral load not detected. I got an HIV DUO test, 23 weeks post my last exposure. I have fever and cold for almost six months now. I am a\u00a0known asthmatic for years, and my IgE levels are 900. I get recurrent and persistent rashes like hives on arms, back, and legs since a year. I also have a persistent sore throat since a few months and painless muscle twitching now and then since a month.\u00a0I am panicked and restless since six months now, and I had a recent episode of anal fissure following a couple of days of constipation, which healed without any medication. I am going crazy, and I had gone to the extent of killing myself of being guilty because I am recently married. Kindly help, if the above tests are sufficient to allay my fears of HIV. Are ELFA and HIV DUO tests conclusive at three and six months post my last exposure, irrespective of previous exposures?\u00a0Can there be any point where both antibodies and p24 antigen are not detectable in an HIV infected patient?\u00a0If there is a seroconversion stage now, will there be no antibodies detected till now? I am not on any antiretroviral or immunosuppressive drugs, and I am confused and not able to take this off my mind.\u00a0Will there be no HIV antibodies detected if I had been exposed five years before? If I had acquired HIV, would my immune system go so weak?\u00a0Having said all, am I HIV negative?\u00a0Please help. Doctor: Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11363, + "tgt": "Why are faint T lines appearing on urine pregnancy tests, while ultrasounds say I am not pregnant?", + "src": "Patient: Hi doctor, I have been trying to conceive for a few months, but every time the test comes back negative. My last periods was on the 25th of last month, and I started ovulating on the third of this month, and it ended on the 12th. My husband and I had sex on the fifth. Despite my history of irregular periods, I was expecting them to come this time around the\u00a0same date as I was put on Cabergoline to control my high prolactin (22 on the last report) for regularity of periods. I did not get periods on 25th, but I did not worry too much, as I could have been late in general. However, I checked pregnancy on 20th of this month, which was negative, but I kept the kit. I checked the pregnancy again on 28th and found it negative again, and kept the kit again. After a few hours, I went back to throw the kits, and I found a very faint line on the 28th one, and checked the other one also and found a very faint line on that also. The one on 20th was more fade than the one on 28th. I thought it is urine or evaporation line, and did not take it seriously. I went to the hospital, and the doctors did not find any gestational sac or ectopic pregnancy in ultrasounds also. Nothing at all. But as I had a faint line, they asked me to come back after 10 days. Yesterday morning, I again did a home pregnancy test. Within 2 to 3 minutes, I got another faint T line. This time it was a bit darker as compared to the previous one.\u00a0I do not understand what is going on. The doctors said that there is nothing called as false positive if the test is checked within prescribed time frame, and a T line appears only when there is some hCG hormone, however, nothing on the ultrasounds. My all four I-can strips show faint lines, but the Prega news kit does not show anything at all. Complete negative. My ultrasound shows nothing. What could be happening with me? My medications since last month are Cabergoline, Metformin, and Folic acid. The doctors say that it could be too early to say something, or it could be ectopic, which could not be verified in the ultrasounds.\u00a0Could you please give me some opinion on this, as to what could have been the reasons for faint T line appearing within 2 to 3 minutes, while ultrasounds say I am not pregnant? Doctor: Hello. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 22248, + "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": 29191, + "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": 25706, + "tgt": "Why are there muscle cramps after having had total thyroidectomy?", + "src": "Patient: Hello doctor, I had total thyroidectomy three months ago. I have been on 100 mcg Levothyroxine since day one. I feel always cold, body hair would shed more than normal, muscle cramps occur fairly easily, and low energy levels. I have had Graves disease in the past. My most recent blood work showed FT4 at 1.00 (range 0.60 - 1.80), FT3 at 2.4 (range 2.3 - 4.20) and TSH to be 0.88 (0.34-5.00). Please help. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have well-controlled thyroid function test. In view of the hair fall and muscle cramps, I would suggest that you have your vitamin D level tested. I suggest you take tablet Neurobion Forte (multivitamin) twice a day for a month for muscle cramps. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28639, + "tgt": "Is it normal to hear a little sound in a closed room?", + "src": "Patient: Hello doctor, I have noticed that when I am alone in a closed room or studying, I hear some sound. My father used to say this is because of wax in the\u00a0ear, but when my ears are clean, I still hear the sound.\u00a0I am sure that my hearing is fine. Could this be the\u00a0sound of blood circulation?\u00a0Is it normal to hear a little sound in a closed room? Doctor: Hi. This is called tinnitus, and there are many reasons for it. Some of the reasons are an infection of the middle and external ear, otosclerosis, sensorineural hearing loss, glue ear, anatomical variations of the vessels, etc. First, we need to examine your ears and do an audiogram, then only we can come to a diagnosis. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11355, + "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": 19474, + "tgt": "I have constant bowel pains, and alternating diarrhea and constipation. Is it IBS?", + "src": "Patient: Hi doctor, I have had a lot of constant bowel pains and alternating diarrhea and constipation. Quite often, I am noticing brown sesame seed kind of thing in feces. Is it a parasitic infection? Or is there a possibility for IBS? Doctor: Hi. Your symptoms of pain and alternating constipation and diarrhea definitely point towards IBS (irritable bowel syndrome). The natural method of reducing these symptoms is by avoiding spicy food, eating your meals on time, and drinking adequate amounts of fluids to keep yourself hydrated. It is also important to make a food routine, which means you should have meals that are familiar to your body. Avoid surprising your body with new varieties of food suddenly. There is a probiotic medicine capsule Vibact IBS (Lactobacillus plantarum) which can be taken once daily for a month. This has shown relief in some of my patients with similar complaints. As for the complaint regarding your stools, you have to undergo a complete stool examination at a diagnostic laboratory to figure out the nature of the particles in your stools. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23130, + "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": 29661, + "tgt": "My vaginal lip was red and swollen. Would that have been from friction?", + "src": "Patient: Hi doctor, My doctor gave me antibiotic for bacterial vaginosis. I just finished the\u00a0last pill before three days. Then, I was a bit irritated down there. Now, I have my period. So, I had\u00a0dry humping with pants on. Shortly after, my vagina was irritated and I checked it out. One side of my lip was red and swollen. I felt a lump. I was itchy, irritated and sore. The area was also a little dry. The other side was not irritated at all. Could it have been from friction? Doctor: Hi, Welcome back to icliniq.com. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16805, + "tgt": "How to quit exhibitionism and frotteurism?", + "src": "Patient: Hello doctor, Recently, I started exhibitionism. I had not known what I was doing until\u00a0I read on the internet that it is a psychiatric disorder. I also came to know that it is an abnormal behavior. My first abnormal behavior before I started exhibitionism was frotteurism and masturbation, which began when I was 17 years old. I feel that this is not right, and I always vow myself not to engage in this weird practise. But, I find myself doing it whenever I get the chance. I want to quit because I feel ashamed of it. I get worried thinking that I never going to quit these habits. Currently, my girlfriend does not know about this, and I am not planning to tell her, but I will tell her years after I have quit. I feel it is the right thing to do because telling her might jeopardize our relationship. I would very much appreciate it if you could help. Doctor: Hi. All the best. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25138, + "tgt": "Should every tooth get a post and core and a crown after root canal treatment?", + "src": "Patient: Hello doctor,Should every root canal treated tooth get post and core and a crown? What happens if it is not done? The tooth is upper 4 with a class-2 cavity and was restored by composite. Doctor: Hello. No, all teeth are not post and core treated. However, we recommend a crown for all such teeth as the teeth become fragile after a root canal treatment. Post and core is done if there is an extensive loss of crown of tooth due to decay or fracture. In your case post and core should be done or not, I can tell you exactly if you send me a picture of your tooth and X-ray, if available. Hope this helps. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14705, + "tgt": "Is there any cure for pruritus ani?", + "src": "Patient: Hello doctor, I have been suffering from a condition known as pruritus ani for almost a year. It gives me uncomfortable itching around the anal area. I have tried creams, seen a doctor and a colorectal specialist, taken Metamucil and sitz baths. I did pretty much everything, but the problem persists. Some days are better than others, but the problem has never entirely gone away, and I cannot take it anymore. Is there any way that this condition can be cured once and for all? I want my normal life back. Please help me. Doctor: Hi. I can understand your concerns regarding pruritus ani as I have analyzed each detail that you have provided. I have managed lots of cases with a matching condition and feel that you too will make good use of the information and suggestions. First, please get your stool tests done on three consecutive days. You need to wear loose undergarments made of thin cotton and dry up skin after every bath and whenever there is moisture. Use antibiotic and antifungal creams mixed in equal quantities to take care of any germs inhabiting the area. For now, no steroid creams need to be used. If you are using one, taper that off slowly till you are comfortable without one. It might lead to a temporary increase in discomfort, but it is an absolute requirement. You can have sufficient antiallergics like Levocetirizine once or twice a day to neutralize itching completely. The affected area need not be touched, and for that, the above medication helps a lot plus there is a useful contribution from one's determination too. Deworm your GI system with Albendazole or another suitable agent about which you can get advice from your physician. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch and scratch, which is bound to have resulted in thickening of the affected skin." + }, + { + "id": 26495, + "tgt": "My uric acid levels and albumin levels are high. Are my kidneys damaged?", + "src": "Patient: Hello doctor, I am a 44-year-old male with a BMI of 26.\u00a0During a recent health checkup of blood and urine, the following readings were observed. I have mentioned only the ones who have the higher readings. Protein 1+ detected in dipstick, serum uric acid at 9.2 mg/dL, MPV at 12.5 fL, FBS at 112 mg/dL, HbA1c at 5.5, cholesterol at 227 mg/dL, triglycerides at 181 mg/dL, VLDL is at 36.2 mg/dL, ALT/SGPT at 48 U/L. Serum creatinine at 1.23, increased from 0.99 tested six months back. Other than this, all others were normal.\u00a0I also have been infected with hepatitis B twice and\u00a0vaccinated for hepatitis B. I have been a diabetic for more than\u00a0two years. The HbA1c\u00a0vary between 5.5 and 6.5. The first one was done two years ago. I also have hypertension for more than five\u00a0years. It is not very much under control. It varies from 135/80 to 150/100 and now it has reduced a bit to 140/90.\u00a0I met my general physician who advised me to check my albumin to creatinine ratio. I tested it four times. The\u00a0results are as follows: \u00a055 ug/mg, 150 mg/g, 11.4 ug/mg, 37.5 mg/g. My ultrasonogram revealed\u00a0fatty liver and cystitis. All the rest is fine. My ECG was fine. I have been advised to have a urine culture. My current medications are Telma-AM\u00a040,\u00a0Dynaglipt, Ecosprin AV\u00a075,\u00a0Levofloxacin, and\u00a0CTD 12.5 mg. I\u00a0am not able to understand why my albumin levels are so high and I would like to know how and when can they be rectified. I have attached reports for your further reference. Doctor: Hello. I\u00a0have seen all your reports\u00a0(attachment removed to protect patient identity). I hope I have\u00a0cleared your doubts. Thanks. For more information consult a\u00a0urologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20596, + "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": 28764, + "tgt": "I need help with my depression and anger", + "src": "Patient: Hi doctor, I feel like I need help with depression and anger. I am a single mom and constantly feel irritated mostly with myself. I cannot seem to be able to do the simplest tasks. It is an effort to get up, to shower, and to get dressed. The only reason I do it is because I am a mom. I feel so guilty all the time that my little girl is left with just me, as her dad is not interested. It is not postnatal, as I have had periods like this before her birth. And my bond with her is so strong, and she is the only good and right thing I have ever done. I am so sad, and my esteem is rock bottom, and I have learned to hide it well. I put a smile on, but I feel it is getting worse, and I do not go out anymore. I am losing touch with most of my\u00a0friends. My doctors have this system, where you speak to the receptionist, then they have a phone interview to see if you need an appointment. I am terrified they will just laugh at me and tell me to go away. Doctor: Hi. I understand how difficult it is to struggle every day with yourself, to fight the anger and depression within you. I have treated many patients who go through this trauma every day. My advice for you would be, try taking the following. Please follow this advice for a week, and if you find it helpful, feel free to revert. Revert after a week to\u00a0a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1703, + "tgt": "Headache during erection and ejaculation is refraining my sexual life. Please help", + "src": "Patient: Hello doctor, One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex again and the same experience but I managed to ejaculate. Yesterday, I tried to have sex again and the same experience and I did not ejaculate due to the pain. I am so stressed that my erection is getting weaker. Now, I just have an erection and I am having mild headaches. I have never experienced a situation like this neither have I ever heard of a situation like this. I am 40 years old. Is there any solution for this? I am very worried and I am already thinking that this is the end of my sex life. Because of this Coronavirus, I am even afraid to go to the hospital. Please help. Doctor: Hello. You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled out, you can be sure of the diagnosis. Preventive medications like Indomethacin can be used 30 minutes to one hour before intercourse once we confirm the diagnosis. Benign vascular sexual headache. MRI brain. Benign vascular sexual headache. Structural brain lesions. Benign vascular sexual headache. Tab Indomethacin 50 mg 30 to 60 minutes before sexual activity (maximum of two tablets per day). Avoid strenuous activity during intercourse. Review with MRI report. Review after 3 days for response to medications" + }, + { + "id": 11984, + "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": 20771, + "tgt": "Can macroadenoma be treated with medication?", + "src": "Patient: Hello doctor, I am 29 years old female. My prolactin levels were found to be 1000 ng/ml. Pituitary size on MRI showed 17 \u00d7 26 \u00d7 15 mm. The endocrinologist said it is macroadenoma and asked to consult a neurosurgeon. My query is that whether the pituitary size is too big. Can an endocrinologist not treat it with medication? How early I have to take treatment? Is surgery required? I have no headache or blurred vision. Doctor: Hi. I understand all your concerns. From what you have mentioned, you have a large prolactinoma which requires treatment. Usually, we start with medication in order to reduce the hormone level as well as the mass size. In those with macroadenoma, surgery is usually required in order to prevent complications like nerve compression that could affect the vision. Please provide me with photocopies of the investigations you have performed and let me know if you have any symptoms. Vision field examination is required. In case of surgery, a transsphenoidal approach is the most common." + }, + { + "id": 22329, + "tgt": "How would I know if swollen puncture wound needs to be drained or not?", + "src": "Patient: Hello doctor, I have a puncture wound that is very swollen and painful. Went to urgent care and they gave me an antibiotic. How would I know if it needs to be drained or not? Doctor: Hello. If it is swollen a lot with pus collection then it has to be drained. Usually, it is visible outside and there is pus point called anabscess. Also, if it is not responding to antibiotics then we have to suspect the underlying pus collection and need investigations like ultrasound in those cases to confirm the underlying collections. So I think, you should upload the picture for me to have look. Also, if puncture has happened due to metallic objects or a lot of wound contamination also request for tetanus shot if not had recently. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12605, + "tgt": "What is the drug of choice for respiratory allergy and throat infection?", + "src": "Patient: Hi doctor, I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaflo nasal spray and Fomtide inhaler two puffs every night. What is the drug of choice for the respiratory allergy and throat infection? Kindly help me. Doctor: Hello. From your history, it is obvious that you are suffering from allergic rhinitis and asthma. The current treatment you are taking is appropriate for controlling your asthma and nasal rhinitis. There is no any drug of choice for treatment of respiratory allergy. The steroids are the mainstay of treatment in any allergy. Nasoflo nasal spray (Fluticasone) and Fomtide inhaler (Formoterol and Budesonide) are good for allergic rhinitis and asthma treatment. For controlling nasal discharge, you can add any second-generation antihistamines like Levocetirizine or Fexofenadine or Desloratadine. The ultimate goal of treatment in nasal and airway allergy is to control symptoms. There is no permanent cure for any allergy. The avoidance of trigger or allergen should be given priority. So I advise continuing the same treatment for you. If the symptoms get worse in spite of treatment with inhalers, kindly take expert advice of your Pulmonologist. Thank you. Any allergen. Skin prick allergy test or blood allergy test. Nasal and inhaler steroids. Avoid known triggers." + }, + { + "id": 4146, + "tgt": "What causes neck and back pain?", + "src": "Patient: Hello doctor, Gender male, age - 51, height- 167, weight- 74.8, latest BP - 140/90, presently no medication, slight neck and back pain, attached latest report. Doctor: Hello. I just read your query and saw the attached file (attachment removed to protect patient identity). Your cholesterol level, uric acid level are increased. Along with this your TSH level is also decreased which is indicative of hyperthyroidism. I am advising you medicine for high cholesterol level and for back and neck pain here. Take it regularly for two weeks and consult me after two weeks regarding improvement and for further management or you can consult a nearby Ayurveda physician. As far as hyperthyroidism is concerned you need hormonal therapy to correct it. So for that you should visit a nearby general physician. Take capsule Arjun two capsules two times a day with water after food for two weeks. Take capsule Giloy two capsules two times a day with water after food for two weeks. Take tablet Triphala two tablets at bedtime with lukewarm water. Do not take anything after taking these tablets. Capsule Shallaki two capsules two times a day with water after food for two weeks. Take Mahanarayan oil and do gentle massage with it of your neck and back two times a day. Do not sit under fan or AC for sometime after applying the oil. two weeks" + }, + { + "id": 7387, + "tgt": "I masturbate quite a bit. I used dildo and I am bleeding. Please help", + "src": "Patient: Hi doctor, I am a 19 year old female. I am a virgin, but I masturbate quite a bit. Before, it was around at least once per day but it has been dying down to mainly the weekends. I use a vibrator and it is not actually a vibrator but a small hand-held massager for the back. I use it on my clitoris and use my fingers for stimulation. I started around 9 years of age but then I had a two year period where I stopped completely, but started again around 12 years and have continued from that. When I was 9 years, I broke my hymen I believe, but only when I was 12 years, I started fingering myself. I use two fingers and actually, I have been bleeding from then. It happens even when I am not on or near my period. My nails are not that sharp, but when I finger myself, I bleed most of the time. The bleeding is very light. Just yesterday I started using a dildo and I was fine. I make sure my things are clean before and after I use them. But today after pumping myself with the dildo I felt a weird liquid flow out of me. I know it was not an orgasm because it did not feel like one. But when it flowed out it was like blood. I have no idea of what is going on. Am I making myself infertile? Does my vagina have some sort of disease? Do I have any health risks from this act? Doctor: Hi, Welcome to icliniq.com. Masturbation does not generally hold a great risk but it does cause some complications. Frequent masturbation causes addiction. The mild bleeding you experience with the use of the vibrator could be due to local injury to the vaginal mucosa following a stimulating contact. This is alarming as time and again doing this could convert it to a chronic injury and cause ulcers, sores, andinfection. The dildo you are newly using can also lead to similar problems. I suggest you use them very occasionally or not use them at all. Keep the vaginal area always dry. Each and everytime you pass urine, wash and dry the area with a soft towel. Use Lactacyd feminine intimate wash to clean your private parts." + }, + { + "id": 19668, + "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": 25280, + "tgt": "Do I have a loose tooth sensation or is my tooth actually loose?", + "src": "Patient: Hello doctor,One of my front bottom teeth feels ever so loose. I give it a gentle push with my tongue and feel a movement sensation. However, when I look at it in a mirror and try to wiggle it to check if it is definitely loose, you cannot see it moving at all, nor can I feel the sensation mentioned above. Is what I have just a loose sensation or is the tooth actually loose? I brush twice daily and use mouthwash once a day. If I continue my current cleaning regime, will the tooth tighten back into place? Doctor: Hello. I understand your concern. Unless the tooth is visibly moving there is less to worry. The sensation you are feeling could be due to a number of reasons like less space for the tooth to be in position (crowding), excessive force from the opposing teeth (trauma from occlusion) which leads to swelling of the structures supporting the tooth, an infection to the minute fibers which holds the tooth in position or certain habits (grinding). A consultation with your local dentist is recommended. The treatment depends on the underlying cause and needs an in-person consultation. You may practice the oral hygiene you have been following. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5521, + "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": 18594, + "tgt": "What is the treatment for ingrown hair that came after waxing?", + "src": "Patient: Hello doctor, I have an uneven skin tone with dark forehead and dry skin. I want to brighten my complexion. Also, I have small bumps and ingrown hair after waxing. I have attached pictures of the same. Please suggest a treatment. Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). Consult your specialist doctor, discuss with him/her and take the medicines after their consent. For more information consult a\u00a0dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 18817, + "tgt": "My 3 year old daughter has fever. Can I give her Meftal and Novamox?", + "src": "Patient: Hi doctor, My daughter has a\u00a0fever since last night. It has been 24 hours, and her fever is between 102 and 103.5 degrees Fahrenheit. She has no other symptom till now. She is 3 years old. We are giving Pharmadol tablets. Can I give Meftal\u00a0P and Novamox 125? Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30940, + "tgt": "Why do I get pain and gassy feeling in the stomach?", + "src": "Patient: Hi doctor, I am having symptoms of stomach ache like having gall stones and noticing gas. I went to the doctor and had all the blood tests. The result showed nothing, but a low vitamin D. I went to so many doctors and nothing found abnormal. I am always thinking about my condition and the situation of my son if I die as I am a divorcee. Sometimes, panic attacks happen when I hear any disease. What should I do to erase these thoughts from my mind? Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10440, + "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": 16018, + "tgt": "I have longer and irregular periods problem. What to do?", + "src": "Patient: Hi doctor, I have periods for more than ten days. For a few days, I usually have light bleeding. It will be dark brown with a little hint of blood. I will have like this for eight to ten days. Then, I will have a heavy period until it stops. I usually have periods for 10 to 17 days. I will not have periods for two and a half weeks. I always have irregular periods nowadays. I had a miscarriage last year and after this, my periods have become irregular. What can I do now? Doctor: Hi. Ongoing through your history, you can have PCOD (polycystic ovaries). It is a congenital condition. It is genetical. You can get it from your parents. When you have a sudden gain in weight, the cholesterol is converted into estrogen hormone. When there is fat in the body more than average, it is converted to hormones. FSH (follicle stimulating hormone) stimulates follicle from the ovary. When the follicle is ready to ovulate, the FSH is suppressed by the estrogen hormone from the ovary. When the estrogen hormone comes from fat, the brain becomes confused, and the follicle growth stops at a smaller follicular size, and it will not rupture. On the next scan, you will see these follicles as polycystic ovaries. It is usually associated with obesity, irregular menstrual cycles, absence of periods for a few months and later there can be a heavy period with clots and fleshy masses or spotting on off and off. There can be a thyroid abnormality and prolactin problem indirectly. You will develop an extra pad of fat around the mid-segment of the body, especially in waist, thighs, and breast. There will be an absence of fat below elbows and knees. There will be an excessive hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face, black skin over the back of the neck, inner thighs and undersurface of the breast. You may have a family history of diabetes. Regular ovulation will not occur during this problem, and you cannot get pregnant until it is treated. It increases the chance of early pregnancy abortions. But there is a solution. Your weight has to be weight (kilograms) = height (in centimeters) - 100. When you have a reduction of weight to normal range, then there is no requirement of medicines to get periods or to get pregnant, and pregnancy will be healthy. Avoid eating junk foods, fast foods, and red meat. Reduce taking snacks in between meals. Have a low-calorie diet with high proteins. Do regular exercise (especially for waist and hip area), aerobics, yoga, and brisk walking. Try to reduce two to four kilograms per month. When there is a loss of weight of five kilograms, you can see changes. You will not require medications and the problems during periods will resolve soon without medications. If you want to have regular periods till you reduce weight, you can have birth control pills cyclically from the first day of the periods for three to six cycles. It will regularize your hormones and periods." + }, + { + "id": 15383, + "tgt": "Can I take Isotretinoin along with Tetracycline without any drug interaction?", + "src": "Patient: Hi doctor, I am a 27-year-old female, and I have mild, cystic acne for the past five years. Yesterday, I got prescribed with Accutane 20 mg per day, and my weight is 50 kilograms. If everything is fine, I will be taking it for the next ten months. I know that taking Isotretinoin can cause idiopathic intracranial hypertension and I also take Tetracycline. I have heard that both should not be taken at the same time. I have been taking 100 mg Tetracycline for the past one week (seven days). I took my last pill yesterday evening. How long is the wash-out period of Tetracycline is? If I take 100 mg Tetracycline per day for seven days, when can I start taking Isotretinoin? Taking after 24-hour is enough? Doctor: Hi. There should be a time gap of seven days between stopping tetracycline and starting Isotretinoin. Monitor your fasting lipid profile and liver function test. While on Isotretinoin, you should not conceive. There should be a gap of six months after stopping Isotretinoin." + }, + { + "id": 4752, + "tgt": "My left shoulder is broader than the right. Is this a growth problem?", + "src": "Patient: Hi doctor, I am a 19 years old female. I have noticed that one of my clavicles is longer than the other. My left shoulder is slightly broader than the right shoulder. Every now and then I am experiencing pain in my left shoulder. My waist on the left is bigger than my right side as if I have lopsided curves as well as my breast is bigger on the left than the right. My posture looks good and my spine looks normal. I have tried looking into scoliosis, but was told nothing wrong with me. Is this a growth problem? Doctor: Hi. For further doubts consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 16535, + "tgt": "Can there be high ESR level while having cough and fever?", + "src": "Patient: Hello doctor, I am 48 years old. My recent blood report shows high ESR level. I am having cough and fever in the evening. Doctor told me that I am having bronchitis and has given me antibiotics as well as cough syrup. I am sending you my x-ray and blood test report for verification. Please guide. Doctor: Hi. I have seen your reports\u00a0(attachments removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20150, + "tgt": "I have floaters. Should I worry about my vision?", + "src": "Patient: Hi doctor, I have eye floaters. There is no family history of glaucoma. I do not smoke or drink and also not eating non-vegetarian foods at present. My eye pressure in both the eyes are 18 to 20 mmHg. My floater eight years ago after severe eye infection from welding light radiation. There is no OVD or retina problem. Should I worry about my eyes? How much it is prone to develop glaucoma? Is there any threat to my vision? Please check my OCT report and guide me. Thank you. Doctor: Hi. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16916, + "tgt": "Kindly suggest medicines to minimize the muscle and nerve tightening and any new effective medicine for ankylosing spondylitis", + "src": "Patient: Hello doctor, Seven years ago, I was affected by ankylosing spondylitis (HLA-B27 positive) (RF negative). And then after a year,\u00a0I was affected by\u00a0pulmonary tuberculosis (TB lungs). Tuberculosis was controlled within months and I\u00a0continued taking\u00a0medication for ankylosing spondylitis. And then for a few months I had used homeopathy and ayurvedic medicines.\u00a0 Now I am on SAAZ-DS and NSAIDs. Bilateral SI (sacroiliac) joint spaces are reduced and restricted forward movement and other joint movements. I am doing light exercise, but in pain. It is a bit difficult. Last month, as usual back pain knocked on my right side lower back, but this time muscles got tightened and in the morning when I wake up, pain is so severe. Pain is so severe that, even pain killer does not work. After few days, the pain disappears and one of the nerve on the same right side back feels like tightened and I feel something like electric shocks. Even during sleep, when I wake up there is too much pain. I get stuck in one position, but after standing and walking, the pain disappears gradually. Again after few days, it reduces gradually but not completely. I am now 28 years old and I weigh 66 Kg. In the past few months my weight has increased about 6 Kg, I am requesting you to kindly suggest medicines to minimize the muscle and nerve tightening and any new effective medicine for ankylosing spondylitis. Doctor: Hi. Following are the answers for your queries: Stay healthy. Revert back with the reports to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 17676, + "tgt": "I have dry mouth and coating on tongue after oral sex. Do I have HIV?", + "src": "Patient: Hello doctor, I have been stressing for six months about the oral sex that I received from a CSW. About a month later, I got a lump sensation in my throat, and then a white coated tongue. I had a full STD panel at 10 weeks, and then again last week. Both were negative. And no STI's. My tongue is still coated and I have dry mouth. I was worried that maybe the HIV tests missed a strain. Can this dry mouth be from constant anxiety? Can I take my two tests as conclusive and move on? Scared to infect my wife and newborn. Doctor: Hello. I have no reason to suspect the accuracy of these tests. Yes, dry mouth can be due to anxiety. Your tests (attachment removed to protect patient identity) are conclusively negative and you can definitely move on. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9555, + "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": 14983, + "tgt": "Suffering from OCD. Please help me if I can take Prozak and what will be the dosage?", + "src": "Patient: Hi doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since I was a child, and I did not know that I have this type of sickness until I read about it on internet. And now I am 27 years old. I need to ask you whether I can take a medicine by myself (Prozak or alternative). My symptoms are that I keep repeating certain words and sentences in my mind all the time from morning till evening or some pictures in my mind. And I cannot stop this thing at all. I am really tired of it. Please help me if I can take Prozak and what will be the dosage. Also is there anything I need to know before planning to stop the medicine? Doctor: Hi, Thanks for posting a query at icliniq. First of all I would like to inform you that OCD like symptoms occur in various disorders other than OCD itself. And the management of different disorders varies according to etiology. Regarding your question about self treatment, I would suggest against it, as every drug is associated with one or another kind of side effect and they can be better managed only in expert hands. Besides this which drug is suitable for you can be decided by a psychiatrist or other trained mental health professional. Most of the patients do not respond completely to only medication in case of OCD, as they also require some form of psychotherapy treatment. What I suggest at this moment is, first take an online psychotherapy consultation that will evaluate you in detail to decide further course of action." + }, + { + "id": 12636, + "tgt": "What are the significant symptoms and causes of depression?", + "src": "Patient: Hi doctor, My sister is showing some strange attitude. She says that she is hearing a strange voice and acting strangely. Are these due to depression? What are the symptoms of depression? What are the causes of depression? Before three years, she was treated for depression, and still on medication. But, sometimes she put up strange behavior like aloud in the singing in the midnight and restless but will insist she is fine. How do I help my sister? How long does it take to cure? Does medication for depression make the patient see more than required? Doctor: Hi. Hearing a strange voice is a symptom of psychosis which can be a symptom of depression. Low mood, lack of interest in previously pleasurable activities and lethargy are some significant symptoms of depression. Genetic cause, a reaction in an unhealthy way to a life stressor, hormonal changes especially in females are some causes of depression. Recovery from depression varies with client symptoms. High mood and confusion can be a symptom leading to seeing of images. Consulting a doctor is essential." + }, + { + "id": 28939, + "tgt": "My nephew has got a skin infection in midfoot. Please explain what it is", + "src": "Patient: Hi doctor,My nephew, who is 5.6 years old, has got a skin infection in the right midfoot. My sister noticed it a week ago. She thought it as some infection due to sweat in summer. Now, it has been the same which is in the attached photo. Until now there is no itching or burning or any irritation or pain. There is no swelling in that leg. There is no discharge, and the skin is not peeling over there. It looks shiny and somewhat scaly in dark pink color. It is not puffy, and there is no pitting on pressure. He is not aware of it unless we ask him about the skin change. Please explain what it is and advice the treatment. Thank you. Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). Revert after five days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23498, + "tgt": "What is a complementing skin care regime when undergoing skin resurfacing treatment?", + "src": "Patient: Hello doctor, I have started getting Venus Viva skin resurfacing treatment for atrophic acne scars. I will be getting six sessions over the next six months. I want to complement this treatment with a healthy skin care regime. I read that aloe vera gel and certain essential oils such as carrot seed and lavender essential oil aid in skin regeneration. My question is can I apply these oils (diluted in grapeseed oil) or aloe vera gel as an overnight lotion? Will it clash with whatever process the viva treatment has initiated within my skin? I do not like the night cream offered by my cosmetologist as it appears a little too emollient and does not smell that good. Also, I would rather use something natural. Doctor: Hello. I have noted your concern. A resurfacing treatment would leave your skin red and sensitive for a few days till the epidermis regenerates fully. So, you should be judicious in using products which supposedly while aiding skin regeneration are in fact, irritating or comedogenic. I am against using essential oils on the face, particularly because they usually do not suit sensitive skin and being an oil they can flare up acne which I am sure would be the last thing in the world you would be expecting, considering that you are taking these sessions to improve the appearance of your acne scars. Aloe vera gel is a good option and you can definitely use it post resurfacing sessions. Make sure you use a good brand and not raw aloe vera extracted directly from the leaves. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 18835, + "tgt": "Does sesame seed help in getting periods?", + "src": "Patient: Hi doctor, My last period was two months back. Then I postponed my period by taking lemon seeds and till now I have not got my period. I am taking sesame seeds daily for the past four days but I did not get my period. Can you please help me by giving medical prescription to get period? Doctor: Hi. I do not think period can be postponed or withdrawal bleeding can come with these seeds. If you are not sexually active then you may take progesterone tablets like Gynaset 5 mg (Norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. Consult your specialist doctor, discuss with him/her and take the medicine with consent. However, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. You are quite underweight with BMI 14. Try to improve your weight through good diet and exercise. Also get your thyroid profile done. You can share your reports when available. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15812, + "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": 20545, + "tgt": "Can I follow physiotherapy to cure AVS?", + "src": "Patient: Hi doctor,I am suffering from AVS for the last two months and have been suggested to undergo core decompression. But according to some physiotherapist, by seeing my MRI, it can be treated using some exercises as my femoral shape has not changed or collapsed. I cannot understand what should I do. I am 35 years old. Doctor: Hi. Avascular necrosis is an irreversible disease. Once the process has started, it cannot be reverted. The rate of progress depends on person to person. The treatment depends on symptoms and quality of life. Initially, the patient experiences only pain and range of motion is not limited. The pain is because of raised pressure inside bone and since the shape of the head is maintained, so the range of motion is good. So in this case, core decompression helps in reducing the pressure and in turn pain. But, this surgery does not stop or slow the progression of the disease. In the later stages when the shape of the head is deformed and there is pain and hence the quality of life is severely affecting, then the only option left will be the hip replacement. I would be able to help you more in the decision if you could tell me what are your symptoms and what all you feel you are not able to do in your daily life." + }, + { + "id": 19782, + "tgt": "What is the treatment for hemorrhoids?", + "src": "Patient: Hi doctor, There is a sharp pain, itching and burning sensation in my anus. I am suffering from hemorrhoids. I am taking ointment and painkiller with a sitz bath. What can I do to treat them? Doctor: Hello. According to the history, you are having piles of a greater degree. Your local anal examination and proctoscopy examination has to be done to check rectum and anal area to look for ulceration associated with piles. Take less spicy foods. Do not strain while defecation. Nonsteroid anti-inflammatory drug can be prescribed like Brufen (Ibuprofen) for pain and inflammation relief. Stool softner like Cremaffin syrup can be taken to reduce the friction while passing stool and water sitz bath are useful. If you are having prolapse associated or piles non-treatable with medication, then surgical intervention might be needed. For more information consult a preventive medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician" + }, + { + "id": 15505, + "tgt": "Should we concern about the baby if the maternal serum is reactive for CMV?", + "src": "Patient: Hi doctor, I delivered a baby ten weeks ago which weighed 2.0 kilograms at birth, and it was a pre-term cesarean delivery. The baby was healthy according to the attending pediatrician at the time of delivery, and the baby was not taken to the NICU. I got a maternal blood report which was taken during the baby\u2019s umbilical cord blood banking at the time of baby's delivery. The report suggested me that my (maternal) serum is reactive for both CMV IgG and IgM. I am very scared. Is there any other test available which can be done after ten weeks on the baby for diagnosing CMV infection? Please suggest me. Is this a concern and what to do next? Currently, I am giving breastfeeding and also giving powder milk. Do I need to stop breastfeeding? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). I can understand your concern. CMV (cytomegalovirus) IgG and IgM suggests that you have cytomegalovirus infection and it can spread to the baby. 90 % of infections are asymptomatic. But 5 to 15 % may have hearing loss, mental retardation, and microcephaly. These are the tests which should be done in the baby. They are spin enhanced culture and virus isolation in tissue culture. It is the most sensitive and specific test for diagnosis. Other tests such as urine, saliva, CMV antigen test, CT (computed tomography), MRI (magnetic resonance imaging), hearing test, ophthalmological evaluation, CBC (complete blood count), and LFT (liver function test) should also be done. The child should be examined soon by the neonatologist. Infection can spread by breastfeeding. Breastfeeding should be stopped until you show the child to the neonatologist." + }, + { + "id": 19386, + "tgt": "I feel weak and lethargic off late. What should I do?", + "src": "Patient: Hello doctor, I am a 27 year old\u00a0male. My blood test results are as follows: hsCRP is 3.48, SGPT is 63.1, GGT is 85.6, and lipoprotein (a) is 47.1. Rest of the 80 odd blood tests are in the normal range. Should I follow up with any tests? Is there anything to worry about, especially regarding my heart and liver? I feel weak and lethargic. Doctor: Hello. 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": 13511, + "tgt": "What is causing pain in anus while passing motion?", + "src": "Patient: Hello doctor, I am 35 years old lady having horrible pain in my anus while passing motion. It is intolerable. I am applying Anovate cream but still, it is not helping. Please advice. Doctor: Hi. I have read your problem carefully. Though history is incomplete, I think you are suffering probably from anal fissure. I need to know if there is any bleeding per rectum or anything coming out from the rectum during defecation. It occurs mostly in a female. The main cause behind it is chronic constipation (passing hard stool chronically). You need to follow the following: Taking adequate water, adequate vegetable, and fruits. Taking hip bath 3 to 4 times daily, warm water in a bowl, add 3 to 4 spoons of Betadine solution and sit on warm water for 10 minutes. Take stool softener, syrup Osmolax 3 to 4 spoon 3 to 4 times daily for 7 to 10 days. If not improved within 2 to 3 days, consult with a surgeon immediately." + }, + { + "id": 16368, + "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": 4614, + "tgt": "I am bleeding more than a week after taking i-ipll. Why?", + "src": "Patient: Hello doctor, One week ago, I had intercourse on my third day of the period and after approximately 30 hours of that, I have taken an i-pill. From the next day of taking the pill, I had severe back pain and lower abdomen pain which continues for one week. And after one week, I started bleeding and right now do not know why I am still bleeding? Is it my period that came again? Doctor: Hello. I read your message. Can you tell me in detail about your periods date, date of intercourse, date of taking I-pill, and date on which bleeding started? After i-pill, bleeding is expected for a few days. But you said you got bleeding twice. So, please tell me all the dates so that I can conclude properly." + }, + { + "id": 5911, + "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": 26127, + "tgt": "How to overcome the disgust after having an injured bird fly into my kitchen?", + "src": "Patient: Hello doctor, Today in the morning a wounded pigeon entered my kitchen suddenly. It was attacked by other pigeons. It sat down on my mixer. I took a stick to remove it. But, failed to remove it. I am a vegetarian. I cannot tolerate such a thing in my kitchen. Nobody helped me. At last, my maid came and somehow removed it with a stick. Since then, I do not feel like eating anything or doing anything. I am feeling disgusted. I cannot cook anything. How to come out of this feeling of disgust and dirt? I feel nauseous. Please help. Doctor: Hello. Thanks. Best regards. For more information consult a psychologist\u00a0counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 21899, + "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": 23062, + "tgt": "What can be done for fluorosis in upper front teeth?", + "src": "Patient: Hello doctor, My upper two teeth have fluorosis and they come outside. So, can I correct those two teeth only? Doctor: Hello. As you have mentioned about fluorosis in your two front teeth, you can get it treated either with a procedure called as bleaching or you can get veneers, that is, a layer to cover the teeth. You have also mentioned that the front two teeth are moving outside. For that, you can either go for braces or get intentional root canal treatment with a crown on both the teeth. These are the treatment options for your problem. You can visit your dentist to get the treatment done. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20320, + "tgt": "I am having bleeding after positive pregnancy tests. Is it normal?", + "src": "Patient: Hello doctor, Last week I took three pregnancy tests and all three came back positive. This morning I woke up and was cramping and bleeding like I would with my normal period only a little lighter. Is this something to be concerned about? Doctor: Hi. If you are pregnant and the pregnancy test is positive, then bleeding after workup means there is threatened abortion. This is the initial phase of abortion, you should do rest in bed, consult a gynecologist personally for a scan for fetal well being. Over exercises. Ultrasound of lower abdomen for fetal well being. Start tablet Duphastone 10 mg twice a day, and tablet Folic acid 5 mg once a day for 15 days. Injection hCG 5000 IU intramuscularly stat and weekly for three months. Avoid sex and exercising." + }, + { + "id": 13647, + "tgt": "Should I consult a doctor for fluctuating blood pressures?", + "src": "Patient: Hi doctor, My age is 26 and I have an issue with my blood pressure. It keeps on variating. Sometimes, it is high (150/90, 140/85, 130/90) and sometimes, normal (120/80, 110/60). I want to ask that do I have to consult a doctor and have some test? If yes, can you recommend those tests? Or do you think it is fine to have this much BP? Doctor: Hi. You need to test your blood pressure on a daily basis. The first thing in the morning and night time before you go to bed. You have to be resting for at least five minutes, and no food or drink for 30 minutes. Take the readings for one week. If it is, at the majority of times, above 140 then you need to consult a doctor. Otherwise, you need to have regular exercises, reduce salt, and caffeine." + }, + { + "id": 16962, + "tgt": "We are planning for a baby. Will my penis size affect this in any way?", + "src": "Patient: Hi doctor, Please help me get rid of the following issues. I got married before two months.\u00a0I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant?\u00a0While masturbating, I am able to erect up to 5 inches and also produce sperm. But during intercourse, I could not ejaculate.\u00a0Recently (for past two days), I am a bit worried of these issues. As a result of my worries, my penis is not getting stiffer.\u00a0Now we are planning for a baby. I am a bit confused because of fear, anxiety and worries. I am not able to have sex even though I feel that I am normal. Please help me get a baby. Doctor: Hi. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed.\u00a0Your problem is delayed ejaculation, probably due to your anxiety.\u00a0So I am prescribing you some medications for erectile dysfunction, delayed ejaculation and anxiety. Anxiety. Delayed ejaculation. Tablet Bupron XL (Bupropion Hydrochloride) 150 mg in the morning for 7 days and then twice a day. Tablet Buspin (Buspirone Hydrochloride) 10 mg twice a day. You should do deep breathing exercise such as 15 deep breath 4 times a day. You should start yoga/meditation. Revert back after 15 days to adjust the dose of medication, to a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24662, + "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": 28765, + "tgt": "Kindly plan me diet chart, i m 30 yrs old 5 feet 5 inches tall and weight is 68 kgs", + "src": "Patient: Hi doctor, I am 30 years old. I am 5 feet 5 inches tall and my weight is 68 kg. I am a bit heavy around my lower body. Kindly plan me a\u00a0diet chart. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 28618, + "tgt": "There is no improvement in my back pain. Does it indicate disc problem?", + "src": "Patient: Hello doctor, I am a 35 year old female. About a month ago, I injured my mid-lower back while doing weightlifting. There is one vertebra\u00a0that feels bruised to the touch, and I have pain in that one spot when I do certain movements, like bending. I also have a lot of muscle tightness and aching throughout my back. I am wondering what the bruised vertebrae could mean. Does it mean any disc issue? I have not had much improvement in the last four weeks since the injury. I took Ibuprofen, but it does not help much for the pain. Thank you. Doctor: Hello. For further information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 20364, + "tgt": "Is it normal to have decreased urine in 2 months old baby?", + "src": "Patient: Hi doctor, I am having two months old baby. Since two days I am observing that his diapers are not wet and heavy as they used to be. So I checked his urine output by laying him down without a diaper for five hours and fed him twice with two and a half hours gap between each feed. He peed thrice after the first feed with 20 minutes gap and he did not pee until he had his second feed. After the second feed, he peed thrice with 20 to 30 minutes gap. Recently, I have reduced his feeding amount on pediatrician advice as he was vomiting. I used to feed him up to 100 ml with 3 to 4 hours gap and now I am feeding him 60 to 70 ml with 2.5 hours gap. I am exclusively expressing milk and feeding through the bottle and sometimes on formula. He is having motion 3 to 4 times per day. Please advise me if this is normal since I feel that his urine has decreased compared to previously. His weight is 4.5 kg checked 20 days before. Doctor: Hello. I understand your concern for your baby. Your baby should urinate 6 to 8 times per day. As you have told that the baby peed after feeds, this seems absolutely normal. You may just keep a track on total 24 hours urine. Should be 6 to 8 times in a day. Reducing feed amount is fine but feed every 2 to 3 hourly and on-demand feeding. Why are you not breastfeeding? Is there any problem? If it is there, it should be addressed. The bottle feeds increase the risk of infection. The stools 3 to 4 times is normal. Weight is 4.5 kg, it is a good weight but need to know the birth weight. Then only would be able to know whether adequate weight gain is there or not. And also the present weight, if you know." + }, + { + "id": 18717, + "tgt": "Is it possible to stay sexually active with one testis?", + "src": "Patient: Hi doctor, I am 31 years old. I can remember that since I was about 11, my left testicle has always been high up in my scrotum. When I look down at my genitals, I cannot see my right testicle. But, my left one is clearly visible and starts at the same position next to my penis. I understand that one testicle is normally higher than the other, but this is abnormal. It also feels stuck in position. Why? Doctor: Hello. I had gone through all the data you have posted (attachment removed to protect patient identity). For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 2159, + "tgt": "How to get relief from arthritis?", + "src": "Patient: Hi doctor, I am worried for my 63 years old elder sister who is almost bedridden now due to the following ailments. She has severe pain in the stomach (started two months ago), knee pain for four years and swollen legs for three years.\u00a0Doctors are of the opinion that she is suffering from severe arthritis and acute gastritis. The medicine, which she is taking for arthritis is causing pain in stomach. How she will get relief from all these ailments? Please advise. A copy of prescriptions and pathological investigation reports are attached herewith. Thank you. Doctor: Hello. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18739, + "tgt": "Are zirconia braces good?", + "src": "Patient: Hello doctor, My orthodontist just recently offered the option of zirconia braces. I am getting braces in a week, but I cannot figure out for the life of me, what in the world zirconia braces are. I cannot seem to find any information on these. Are they new? Where can I learn more about them to decide if I am willing to pay the extra money? Thanks. Doctor: Hello. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 21409, + "tgt": "I get palpitations and irregular heartbeat. Is it due to hyperthyroidism?", + "src": "Patient: Hi doctor, I have been having difficulties breathing. It feels like mucus is blocking my airways. I also have this feeling that something is stuck in my throat. I did a thyroid blood test, TSH, and T3 which were normal but T4 was high. I did thyroid scan, it showed a soft cyst of 10 mm \u00d7 8 mm in my left lobe and another one in my isthmus about 6 mm. I am having a serious stomach acid, heart palpitations, irregular heartbeat, and my pause ranges between 40 to 45 each time I check it. I always feel hot, feel tired easily when doing a hard job. I would like to know if I have hyperthyroidism and for the cyst, do you think I need a surgery or is my problem something which medication can solve. Doctor: Hi. You are likely to be having thyroid cyst with hyperthyroidism and GERD (gastroesophageal reflux disease). As far as thyroid problems are concerned, they are managed by medical treatment followed by surgery. Your other problem of thick mucous and hyperacidity can be managed by a change in lifestyle, dietary habits, and medication. You have to consult your doctor for a thorough examination and necessary investigations to manage it properly. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18509, + "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": 12189, + "tgt": "I suffer from dermatitis. Kindly advice", + "src": "Patient: Hello doctor, I have acne, and my pharmacist said that it is dermatitis. I tried every homemade mask, but it does not work out. I have not tried any medication but have used some skincare products like face washes. And apart from that, I have a terrible uneven tone (tan) on my face, neck, and arms that I do not like. What should I do? Doctor: Hello. 1. It seems that you have acne vulgaris grade 3. 2. Please do not touch or squeeze them. If you are scratch them, it will lead to the mark. 3. I have suggested the medicines below. Please consult your doctor, discuss my suggestion and take medication with consent. Acne. 1. Capsule Doxycycline 100 mg once a day. 2. Adapalene gel 0.1 apply at night in a tiny amount on pimples and do not rub it. 3. Use Benzoyl Peroxide face wash for 20 days." + }, + { + "id": 16723, + "tgt": "How to treat spitting in 3 months old baby?", + "src": "Patient: Hi doctor, My baby is 3 months old and she is formula fed - Nan Pro 1. Her birth weight was 2.6 kg, which dropped down to 2.2 kg after 15 days of her birth. Her present weight is 4.6 kg, length is 56.5 cm and head circumference is 38.5 cm. She spits up around 6 to 7 times daily even after burping and keeping her in upright position for at least 20 minutes after each feed. She had an abdominal scan and the report was normal. She is too skinny. I am giving her Rantac 1.5 mL twice a day, Vitazyme drops once a day and Junior Lanzol 1/3 a day. I am extremely worried about her weight. Please advice. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4430, + "tgt": "Is it possible to get pregnant without penetrating into vagina?", + "src": "Patient: Hi doctor, Is it really possible to get pregnant without penetrating into vagina? We did not have sex. We rubbed the vagina and penis. Her period is late by two days. Is there any chance of getting pregnant? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27679, + "tgt": "I need an evaluation of my annual health check up. Please help", + "src": "Patient: Hello doctor, As part of a corporate health check up, I had undergone liver\u00a0function test, USG abdomen with pelvis and lipid profile. The impression in the USG was mild hepatomegaly with grade-II fatty changes. I have attached the reports. In LFT the total bilirubin was 1.41, direct bilirubin 0.43, and indirect bilirubin 0.98. The other health issues I have are GERD, iron deficiency, vitamin B12 deficiency, and vitamin D deficiency. Doctor: Hello. Revert with more information to a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22022, + "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": 6476, + "tgt": "My son suffers from allergy cough and vomit. What is the permanent cure for his problem?", + "src": "Patient: Hello doctor, My son, aged 15 years, is suffering from allergy since his childhood. He will have cough and vomiting whenever it is attacked, mostly in the winter. We use Asthalin, Sereflo, and sometimes with nebulization, he will be fine for some days. Please advise a permanent cure for his problem. Doctor: Hello. From the medication you have detailed, he is being treated for asthma. Any positive family history? Does he have chest tightness or shortness of breath or wheezing during the episode? Any seasonal variation or exacerbation in winters? Asthma is due to hyper airway responsiveness to air borne allergens. Treatment includes: prevention of the episodes and management of acute asthma. Identifying and avoiding the allergen remains the mainstay. Inhaled corticosteroids control the hyper airway responsiveness and control the occurrence of episodes. Asthalin and nebulization remain the treatment for acute episodes. As I have told you, for any allergic diseases, avoidance of the merger is what should be done and followed. You may go to an allergic specialist to help you in identifying the allergens." + }, + { + "id": 25737, + "tgt": "Can ECG changes occur due to anxiety?", + "src": "Patient: Hi doctor, I am a diabetes patient. Recently, I had an ECG done which showed borderline normal sinus arrythmia. Immediately, I had a 2D echo and it showed a normal study. But my blood pressure is not normal. It is around 150/90 and so my doctor advised me to take Betaloc-50. In addition to this, I\u00a0have anxiety problem for many years. Please help with some advice. Doctor: Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. I appreciate the efforts you put in to upload the case completely along with EKG reports (attachment removed to protect patient identity). There is only a slight variation in the normal sinus rhythm and so do not worry about it. Your BP (blood pressure) is high and needs treatment. For that you said you are on Betaloc-50 (Metoprolol). When did you start taking this medicine? I will suggest you to keep taking the medicine for BP and hope that will control your blood pressure. Keep a record of your blood pressure and after sometime make a follow-up to see how things are working. If needed we may add some medicine for blood pressure. Diabetes and high blood pressure are two important risk factors for heart diseases, coronary artery diseases and heart attacks. You also need to go for some blood work important to see how is your blood sugar level, cholesterol, kidneys and liver working. I am advising you some tests for that. It is necessary to see if diabetes and high blood pressure has affected your body organs. Go to lab with overnight fasting and have the following tests:- 1. Serum proteins. 2. Serum electrolytes. 3. Liver function tests. 4. Kidney function tests. 5. Fasting blood sugar. 6. HbA1c. 7. Fasting lipid profile. 8. Thyroid Profile. 1. Continue the medicine and consult a psychiatrist for anxiety. 2. Make an appointment, as you need in person visit to discuss in detail about the past medicines too. Revert back with the laboratory results to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25515, + "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": 19091, + "tgt": "What is the issue with my upper back?", + "src": "Patient: Hello doctor, I am suffering from\u00a0lower back pain for the past five months. After going through physiotherapy and other exercises, I feel better. Now, I have developed upper back and shoulder pain too. I think it is because of the exercise I did before. I have attached my MRI of lower back, C-spine and shoulder x-ray for your reference.\u00a0Kindly let me know what needs to be done to reduce the pain, as I am just taking pain killers.\u00a0Now my main concern is regarding\u00a0upper back and shoulder pain. Please help. Thank you. Doctor: Hello. From your query what I understand is that you have lower back pain that is well controlled with physiotherapy exercises, but have recently developed upper back and right shoulder pain which you think may have been brought upon by some of the exercises. Let us discuss your neck and lower back separately. Degenerative changes in neck due to postural habits and possible sedentary lifestyle. Upright x-rays of neck and lower back. 1. C3 to C6 degenerative disc disease with axial neck pain and possible acute neck spasm. 2. L5-S1 annular tear, mild disc bulge and mild radiculopathy. 1. Muscle relaxants, if acute spasmodic pain is present. 2. Physiotherapy of neck and strengthening exercises. Revert back with upright x-rays of your neck to a spine health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 20776, + "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": 13936, + "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": 4702, + "tgt": "Why am I having a tender lump beneath skin near anus?", + "src": "Patient: Hello doctor, Suffering from mild IBS D since last four years. Noticed a tender lump beneath skin near anus three years ago. Swells and shrinks itself. Mild throbbing and pale yellow fluid discharge from anus when pressed during swelling. Proctoscopy was done in a piles hospital. The doctor said no piles, fissure and fistula. MRI was done in another hospital. 17 mm T2 hyperintense linear tract with no abscess. No overt fluid signal as well. The doctor said nothing and discharged me. What is this tender lump? I am a healthy 35 years old male working in a office. Doctor: Hi. After reviewing the information shared and your pictures (attachment removed to protect patient identity), it appears you are suffering from Fistula -in Ano (tubular interconnection between anal canal and outside skin near the anal opening). The swelling you are talking about is called perianal abscess. It is a swelling because of infection of some anal glands.Around 30-40 % perinal abscesses are associated with a fistula. In your case having a couple of good quality pictures of the anal region can help in suggesting further treatment. Your MRI report reported presence of around 2 cm size fistula, with no abscess at the time of imaging and no higher up extension. This is a good prognosis type. It will need either of two things: (There are many treatments possible but for you I would suggest these). 1. Thread insertion in the fistula a tightening it every week. This treatment is called \"Cutting Seton\". You can use Shar-sutra or Silk thread. 2. Surgery to take the fistula out and let the area heal by itself over time (4 - 6 weeks). This can lead to loss of incontinence as well (control on stool holding) What to do now: You need to followup with a surgeon to do any one of the above two suggested treatments. Do sitz bath - take lukewarm water in a tub put a half a teaspoon of ordinary salt in it. Now sit in this water and try to make the water clean and sooth your anal region. Sit for around 15 min, 3 to 4 times everyday. Try to do at least twice per day. It will decrease itching and help to heal the fissure (as reported by you in your info provided). Avoid constipation with a large platter of salad, sprouts or Sat-Isabgol 2 teaspoon three times per day. Take 3 to 4 litres of water, measured by a bottle, measuring cup everyday. In case you need more information and help regarding what to choose and why, kindly followup with a couple of good quality pictures of the fistula site or discuss it with your local doctor." + }, + { + "id": 3170, + "tgt": "Is it possible to get lung infection through orange mold?", + "src": "Patient: Hi doctor, This afternoon, I decided to clean my bathroom of mould, using gloves, but no mask (I chose to help my breath instead). There was orange mould on the inside of the bath, and black mold on the walls. I used a wet sponge to clean off the orange mould. It was easy to remove, as it was soft and slimey. I held my breath, and cleaned it quickly, then came back to clean some more, and so on until it was all gone. I also held by breath to clean off the black mould, which I scraped off. At no point did I breathe in any mold smell. However, a few minutes after cleaning the orange mold, I returned to shower it off, and there was still a musty smell of mold, I only breathed it in for a second, because I held my breath even for this task. But I am worried the small amount I breathed in could affect me. I am very sensitive to strong smells, and can suffer tightness of the chest; although I am not asthmatic. I do however suffer from hypothyroidism. Is there a danger I could have negatively impacted my lungs/breathing? Doctor: Hello. Different types of molds can give hyper-reactive response to the airways. It is always advisable to wear mask as much as possible. You may still be exposed despite of you holding your breath but if you have no Immediate shortness of breath or chest tightness then it is less likely to effect you. Please let me know if you have any other questions." + }, + { + "id": 13702, + "tgt": "Can balanitis cause tearing of foreskin and pain while masturbation?", + "src": "Patient: Hello doctor, I am perhaps suffering from balanitis. The foreskin is torn at some places and it hurts too much to pull the skin back. Some white substance is accumulating every day under the head of the penis. What to do? To be honest, it hurts while masturbation. So, I have stopped masturbating. But the skin tear does not heal. I am afraid very much. Doctor: Hi. I have seen your query. With your descriptions, it seems you have developed balanitis xerotica obliterans. You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist." + }, + { + "id": 23264, + "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": 27619, + "tgt": "Would you recommend birth control pills for my acne?", + "src": "Patient: Hello doctor,I am a 33 year old female. As a teenager, I got acne on my face and back. In my 20's it mostly went away. I would get a pimple here and there on my face, but nothing too bad. My back cleared up completely. Now in my 30's, the acne has started to come back worse. I get breakouts on my face, chest, and back. I have tried courses of antibiotics like Minocycline and Doxycycline, but they never cleared up entirely. My doctor checked my hormone levels, but there was nothing abnormal. He also got me checked for PCOS, but there was nothing abnormal there either. Would you recommend trying birth control or should I go straight for Accutane? Doctor: Hello. Please attach some good quality pictures of the affected area. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 27506, + "tgt": "Is it possible to have a vitamin D deficiency in spite of taking supplements?", + "src": "Patient: Hello doctor, I am a 31 year old male. For about two weeks or more, I have been experiencing a mild nonspecific pain in my upper body. It is mostly at the upper back, at the center and slightly towards the right. At times, it occurs in the middle and lower back, at the sides, behind the right upper arm, and occasionally around the chest and right collarbone. Mostly it is in the upper back at the center\u00a0and slightly towards the right. The pain is mild and not at all severe or crippling. The feeling is sometimes of little stiffness, and sometimes a throbbing or pounding. I do not feel any trouble in doing my usual chores. I have a habit of examining my body, pressing here and there to feel anything unusual and on one such occasion, I had found a couple of places on my chest which was painful when pressed deeply, but I do not feel anything unusual under the skin. In fact, several months ago, I had found a couple of other places on the sides which were painful when pressed deeply. I have a desk job, though I get up and move around quite regularly. I do not remember having any injury. I have never had any major accident. My queries are, what may be the possible causes and could they be serious? And, is there any chance this has any connection with lungs? I do not have any breathing difficulty and do not feel any pain or anything unusual while deep breathing. In fact, I have a habit of walking, and only a couple of days ago, I had walked 4 km\u00a0at a stretch without any extra effort or discomfort. Please advice. Doctor: Hello, I went through your detailed post. The predominant complaint is a\u00a0mild pain in the upper back and around the\u00a0arm. If these possibilities are excluded by investigations and a clinical examination, then a chest X-ray is warranted. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26823, + "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": 18858, + "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": 6696, + "tgt": "For my open bite, do I need braces or surgery?", + "src": "Patient: Hi doctor, I have a quite wide open bite. I am 24 years old and want to get them fixed with braces. The open bite is so big that I can thrust a pencil in my mouth with my teeth closed. I have attached a photo for your reference. Will it require surgery or can it be fixed with braces? How long will it take to fix them? Doctor: Hi. I have seen the picture you have attached (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19, + "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": 27940, + "tgt": "I suddenly developed three pimples on my temple. What can I do?", + "src": "Patient: Hello\u00a0doctor, I woke up today with three pimples\u00a0on my left temples. It is not hurting, but just scary to look at. I am due for my periods. Can it be because of that? I do get pimples, but never in bundles. Seeing three of them popping up all at once, is freaking me out. Doctor: Hello. Hope it helps. If you have any other question, please do not hesitate to contact us. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 42, + "tgt": "My LFT is raised for a year with recent AST, ALP, and GGT showing 200. Please help", + "src": "Patient: Hi doctor, I am 23 years old. It has been more than a year my liver function test result remains high. I have been tested for hepatitis A, B, C, E, and autoimmune hepatitis, but the result all came out negative. My doctor told to take blood test regularly. But, it has been almost a year now, the result still remains high. The lowest result so far I get is AST 90. But my latest liver function test result shows my AST, ALP, and GGT all 200+. May I get any advice on this? I did not take any medication, consume any alcohol, but the result still came out high. I am so worried about that. Please help. Doctor: Hello. I can imagine that you must be very concerned about your persistent elevation of the liver enzymes. As you already have viral etiologies excluded this is time to look for other things which could lead to persistent elevation of the liver enzymes. Notably the Wilson, alpha, antitrypsin deficiency, hemochromatosis, autoimmune hepatitis type II. I want you to upload all your previous investigations, ultrasound reports if done, and any other testing that you have been performed in the past two years. I also suggest you to get following blood tests which would help us excluding the above possibilities. It is possible that you have some testing already and I do not want that you should repeat it but do upload the reports as I can see those. Secondly, despite you had a viral screening that showed nothing abnormal but there are certain other tests like Hb core total which can tell occult or latent infection and cause of your raised enzyme levels. Since the investigation may cause you significant cost it is possible alternative that you can discuss with me in detail, as we can shrink some of those testings by closely inquiring about those causes in history before getting tested. I am sure we would reach a conclusive diagnosis by relevant information you provide and after investigations. Wilson. Hemochromatosis. Autoimmune hepatitis type II. Alpha antitrypsin deficiency. Chronic viral hepatitis. Complete blood count. Liver function test (fresh) and all previous as I can see the trend Hb core total. HbsAb, HbsAg. Serum ceruloplasmin. Serum copper, ferritin, and transferrin saturation. Anti LKM 1 antibody. Serum alpha antitrypsin level. Autoimmune or other metabolic diseases. Follow up after investigations and all previous reports or earlier if want to discuss before getting tested." + }, + { + "id": 26904, + "tgt": "Does staring at car headlight cause vision problem?", + "src": "Patient: Hello doctor, I am a police officer and tonight we were looking for a specific car. This entailed me staying in one spot and looking at the license plate of oncoming cars. As the cars come in I am staring at the license plate trying to read it while also looking right into its headlights. I felt a pain in my left eye as I was staring and trying to read the plate. I am not sure if it is just me worrying too much. I hope I did not damage my vision from the headlights. Could car headlights cause damage to my vision? Doctor: Hi. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21306, + "tgt": "What investigation should be done if CPK and vitamin B12 are high?", + "src": "Patient: Hello doctor,My sister\u2019s blood report shows CPK was 290, which is on the higher side. So, the doctor advised checking B12 and it was found to be 185.3. What further investigation is required? She is 65 years old. Doctor: Hello. CPK (creatine phosphokinase) is elevated when muscle injury occurs like in the case of myositis, muscle trauma, heart attack, etc. It had no relation with B12 level. Your CPK is only mildly elevated. Your B12 is definitely high for which following investigations can be done: All these investigations will rule out liver disease, kidney disease, and blood abnormality, if present. These all can affect B12 level. According to reports, further comment can be given. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 523, + "tgt": "I have some circular itchy bumps on my left buttock. Please suggest medication", + "src": "Patient: Hello doctor, I need help regarding with some circle bump appearing on my left buttocks, it is so very itchy and sore. I just bought antifungal cream and antifungal soap over the counter but I still want to know what really is this appearing on my buttocks. I did take some pictures of it, so I can send it over here. Please give me prescription of what medicines needs to make it disappear and heal. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from red-colored circular bumps on your left buttock which are very itchy and sore. According to the pictures that are provided here (attachment removed to protect patient identity), I think you are suffering from folliculitis. They are developed when hair follicles become infected due to bacterial infections like staphylococcus aureus or friction or shaving. They may be caused by viral or yeast infections too. Initially, folliculitis may look like rashes, a patch of small red bumps that are very itchy with sore and form whiteheads. Overtime, they can spread and progress to crusty sores. You can take Flucloxacillin 500 mg four times daily for 10 days by applying antibacterial cream on your affected area along with your current medications. You can apply topical steroid cream too. Wash your affected area daily with antibacterial soap and wear loose clothing along with maintaining personal hygiene." + }, + { + "id": 23323, + "tgt": "What does the MRI of right ankle following a climbing fall show?", + "src": "Patient: Hello doctor,MRI scan on right ankle following a climbing fall of 3.5 m and hitting the ground, inversion rolling on impact. This was a year back ongoing pain and issues. The pain is around ATFL and joint and occasional swelling after heavy activity. I am a rock climber and train in the gym. I work part-time personal trainer so spend a lot of time on my feet, and also studying physio. The report and scan are attached, would like a second opinion as the scan is slightly subjective. I work in the sport and rehab industry. Please see scan images to see any issues, impressions are high grade 2 sprain of ATFL and CFL large tibiotalar joint effusion lateral malleolus trabecular fractures. I would like a new report, please. I need a second opinion 20 years old, 158 cm tall, 52 kg. Currently, I am taking Fluoxetine 20 mg daily for anxiety and depression. Doctor: Hi. The MRI scan images (attachment removed to protect patient identity) of your right ankle confirm the following findings: For more information consult a radiodiagnosis physician online --> https://www.icliniq.com/ask-a-doctor-online/radiodiagnosis-physician" + }, + { + "id": 4827, + "tgt": "Though I changed my glasses according to the reading, there is no improvement. Why?", + "src": "Patient: Hello doctor, I recently bought new glasses with a different prescription, but I genuinely feel no difference between my glasses. I have tested it at in daylight and also during night time numerous times, I just see the same. I tried to look for the cause myself, but it came to a dead end. Thanks for taking the time. I have put the prescription changes down below for some more details. Right eye Left eye: Sph -3.50 Sph -3.50 Cyl x Cyl -0.50 Axis x Axis 175 Vis. 0.85 Vis. 0.85. After eight months: Right eye Left eye: Sph. -4,00 Sph. -4,25 Cyl. -0.50 Cyl. -0.75 Axis 175 Axis 175 Vis. 0.80 Vis. 0.78. Doctor: Hello, Welcome to icilniq.com. From your attached prescription, I can tell you that there is a very definite change in the power of your glasses and also in the amount of how much you can see. The best to make that difference stand out, that you can do yourself is to cover each eye and look through the other, ideally at an object or letter just visible to normal people around six meters or 20 feet away. You can also try this in different levels of light just as you have compared before. The impression I get from your prescription is that while your myopia has increased in both the eyes, there has been some decrease in the amount of vision in both your eyes. That is to say that the power has increased and the amount you see has come down. As always, testing of glasses is a subjective assessment and varies depending on your suggestion and the optometrist performing the test. In case you are not happy with your current glasses you can always return to the same place for a re-check. I hope this helps." + }, + { + "id": 8868, + "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": 19993, + "tgt": "Is it normal to hear heartbeat and pulse in the right ear?", + "src": "Patient: Hello doctor, I hear my pulse and heartbeat-like sound in my right ear if I bend over, especially after exercise or eating food. Is it normal? Can it be due to blood pressure or is it due to any blockage in my blood vessel near my ear? Doctor: Hi. The symptoms you feel are called as heart palpitations. It may be due to thyroid disease, anxiety, heart disease, blood pressure or many other reasons. You need to consult your cardiologist for proper evaluation of the cause and to treat that accordingly. Diagnosis is the first step and that need proper and thorough diagnostics. Usually taking Atenolol 50 mg once daily may suffice the need to relieve the symptoms. As this is a prescription medicine, your cardiologist can recommend it and prescribe you after an in-person visit. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27475, + "tgt": "As soon as I go out, why do I get red rashes in the ear canal?", + "src": "Patient: Hello doctor, I have had ear problems now for a long time. The problems occur when I am outside in the fresh air, even for a short period. As soon as I am outside in fresh air, I get red spotted rash in the ear canal that eventually secrete\u00a0some fluid. After a while, it gets filled with so much fluid that the doctor has to suck out all of the secretions, as the ear canal gets plugged.\u00a0My ENT doctors do not have any suggestion on this matter. Do you have any idea on what this might be?\u00a0Thank you. Doctor: Hello. Your problem does appear rare. Can you help me with more details on it? If you provide me answers for these, it will help me make a definitive diagnosis. I will help find a solution to your problem. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29681, + "tgt": "Do I need medicine for triglyceride level of 423?", + "src": "Patient: Hi doctor, My triglyceride level is 423. Do I need a medicine to bring it down? If yes, then which one? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5654, + "tgt": "I have problems with all people around me and my mind is fluctuating. What is my problem?", + "src": "Patient: Hello doctor, I am 21 years old. I have been wanting to see a doctor for so long but I do not even know where to start from. I have been suffering from the same symptoms for over 15 years. I have been having problems with every single person in my life. My parents, friends most especially and people around. I feel really sad, the kind of sadness that you can literally feel it in your heart. I cry for weeks, people avoid me for weeks, I feel suffocated, I have palpitations, etc. A few years back I felt suicidal and I really do not want to die. I hear voices mostly of my sister crying at night or during the day, and I imagine things happening, me hurting someone or someone I love getting hurt. And I can actually see it happening in front of my eyes. And sometimes the triggers are my surroundings, maybe there is a knife or some cars passing by. And it happens more than 20 times in a day. I really have problems with people especially the people I love the most. I just feel like they genuinely do not like me, or they are just staying with me because I will benefit them in some ways. I have the most problem with my boyfriend, I just find myself in a situation where I just stop talking to him. At some point, he told me I am trying to make him think like me, and I just stop talking to him for no reason and it is like a cycle. One minute I am fine the next I just get in a mood. And it is actually true. My mother calls me a chameleon because of my mood swings. I will be the happiest person on earth, planing my life, my business, listening to motivational videos one time and the next minute I feel worthless, useless, I just do not want to do anything. I am really a problem in people\u2019s lives and they really care about me so much. I think it is best if I just cut everyone out, I am just tired of feeling this way constantly for years. I do not even know how to explain how I feel what is actually happening. I am really scared to talk to people, I feel like they are ignoring me or I am just this worthless person that nobody wants to talk to. When I have a presentation I feel like I am going to die. And this is my final year in dental school. I have never talked to some of my classmates. I feel like the doctors do not even like me, but they have no other choice because I am always with two of my friends who everybody likes. And now I have a lot of medical issues that I cannot get a real diagnosis for. I have severe body pain that I cannot even sleep at night, palpitations, dizziness, breathing problems, abdominal pain, severe period pain and I wake up at the night gasping for air. The doctors told me it is anemia, but it is vitamin D deficiency. I am fine now. I really need your help, I just want to feel how it feels to be human, to be normal, and not to overthink. I really have a lot to explain but I do not even know how to put it in words and it is a lot, and I am too scared to talk about it. I really do not know what to do. I am tired of feeling this way for years I just want to understand what is wrong with me. Please help. Doctor: Hello. I have gone through your concern with interest. It is clear that you have a social anxiety problem and an episode of depression. It is also likely that you have personality traits that result in such behavior. To make the final diagnosis you need to visit a psychiatrist in person. There are mainly two methods to manage your symptoms, first psychotherapy, and second drug therapy. Depending upon your type and severity you need to choose either one or both. Psychotherapy is usually helpful to understand your cause of symptoms and problematic behavior and how you can modify it and learn to manage your stress is a more effective way. Drugs such as antidepressants, a mood stabilizer and antipsychotics can be used to manage your symptoms. So first get an in-person consultation with your psychiatrist. I hope this helps." + }, + { + "id": 19115, + "tgt": "There is a localized yellow spot on the nose. How to heal it?", + "src": "Patient: Hi doctor, I have a yellow spot on the right nose. When something touches it like air or finger, it gets irritated and sneezing happen for at least five to six times or more. So, I captured photos to see it, and it appeared as localized yellow spot. I applied Clindamycin, but no much effect so far. It seems like a pimple from the last two months. I just ignored it, but still, it is present and irritates sometime. I was using Otrivin for a long time at bedtime for congestion of nose. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20415, + "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": 23751, + "tgt": "Why are my immune system readings not low although I am on immunosuppressants?", + "src": "Patient: Hi doctor,I am a 54-year-old woman and I am on immunosuppressant drugs for Behcet's and Sjogren's disease. My latest blood tests are a bit off and I am waiting for a specialist appointment, but I would be so appreciative if someone in the know can let me know what might be happening.IgA is 27.4 g/l (.8-4) hh (is that a pretty high result?)IgM 5.9. G/l (7-16) lowGGT 71 u/l (. >50) h Total protein 86 g/l. (66-84) HAlbumin 32 g/l. (32-48)Globulin 53 g/l. (25-41)Rouleaux formation in the blood kidney stones (due for surgery in a week).Electrophoresis is marked polyclonal increase in the gamma fraction. Symptoms multiple wedge fractures last year from twisting in the car. Rib fracture from a massage. Back pain, bone pain, joint pain. Sore upper right quadrant of the abdomen with distension, changed bowel pattern. I do not drink. I am now 5 feet 3 after losing nearly 4 inches in height recently and 94 kilos. On immunosuppressant meds. So should not all my immune system reading IgA, IgG and IgM be suppressed? Doctor: Hello. For more information consult a hematologist online -->https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 14140, + "tgt": "Is a human brain transplant possible?", + "src": "Patient: Hello doctor, Is a human brain transplant possible? Doctor: Hello. Human brain transplant or full body transplant is possible theoretically. Research is going on in this field where we have a case of head transplant from one dog to another where the dog died after a few days. There are a few reports of surgeons who believe it can be a reality in humans in 2 years. The most significant barrier in head transplant is the inability of the nerves to regenerate fully. A scarred nerve will not be able to transmit signals properly. Let us hope it would be possible someday and that would be a great achievement for humanity." + }, + { + "id": 20141, + "tgt": "Why does it pain in my genitals when I urinate?", + "src": "Patient: Hello doctor, I had sex after a long time the day before yesterday. Today whenever I am going to the washroom to urinate, it is burning and somewhat paining. Please suggest what to do and what can be the reason behind it? Doctor: Hello. The symptoms sound like some vaginal infection. Vaginal infection is transmitted during sex (so partner is the source) so both have to be treated at a time or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) late towards the end when fully erect penis touches the innermost vagina due to inflammation of the structures around the uterus with pain radiating to the back and thighs. Associated with infection, the bowel movement is also affected. There are also features of gastritis. Bleeding of periods will be thicker, darker, clots and fleshy masses like, may smell bad, more days with spotting after the periods too. When you have an infection inside the uterus, the blood flow increases as the inner lining is inflamed and the blood mixed with the inner lining of uterus form a thick, doughy or fleshy mass. As the healing of the lining is not complete, it keeps spotting or you have blood stained discharge. Pain is throbbing even before periods and it lasts after periods are over too. Usually, the infection is mixed and not just due to yeast fungus. There will be a family of aerobic and anaerobic bacteria, all of which cannot be detected on culture. When one is treated and cleared, other will grow and if not fully treated, it will regrow. Before starting the treatment, confirm that you are not pregnant. I suggest you and your partner have the following: Consult your specialist doctor, discuss with him or her and with their consent take the medicines mentioned below. All these on the same day by both of you. I suggest you can also have capsule Doxycycline 100 mg twice a day for one week, vaginal wash with VWash (Lactic Acid Formulation) or similar cleanser twice a day and a vaginal pessary. Also, capsule Clingen Forte (Clindamycin, Clotrimazole, and Tinidazole) or Candid-CL (Clindamycin Topical and Clotrimazole Topical) or Cansoft-CL (Clindamycin and Clotrimazole) once at night for five nights. Your partner can have a local application of an antibiotic and antifungal cream Candid-B (Beclometasone Topical and Clotrimazole Topical) or Candiderma cream (Beclometasone Topical, Clotrimazole Topical, Neomycin Topical) or Lobate GM (Clobetasol Topical, Miconazole Topical, and Neomycin Topical) on the penis twice a day after wash for seven days. Do not have sex until the infection is fully gone. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11224, + "tgt": "In my CBC, RBC shows anisopoikilocytosis. What does it indicate?", + "src": "Patient: Hello doctor, This is my CBC report and everything is normal except RBC. In it, RBC shows anisopoikilocytosis predominantly microcytic hypochromic cells along with normocytic hypochromic cells and few targets cells. WBC is within normal limits. Platelets: adequate. (MCV) mean corpuscular volume72.0 fL, normal range 80 to100 fL. (MCH) mean corpuscular Hb. 18.6 pg, normal range 30 to 36 pg. (MCHC) mean Corpuscular Hb. Concentration 30.0 g/dl, normal range 32 to 36 g/dl. I will attach the report. Please suggests cause and solution for this. Doctor: Hello. Your report is suggestive of microcytic hypochromic anemia. Do not worry about that. It is a treatable condition. With the recovery of hemoglobin level by tablet, your PS (peripheral smear) will be reverted to normal. It is not an alarming condition. But I suggest the following work up for you. 1. Serum ferritin estimation. 2. Serum transferrin saturation. 3 Serum FEP. 4. Serum TIBC. These four investigations, help in rule out iron deficiency anemia. 5. HB electrophoresis. This fifth investigation will rule out any hemoglobinopathy if present. Kindly revert back with these reports so that I can guide you further. Hope I have answered your question." + }, + { + "id": 8764, + "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": 14310, + "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": 3843, + "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": 30502, + "tgt": "We have been suggested for C-section after 36 weeks. Shall we proceed?", + "src": "Patient: Hi doctor, Actually, my wife is 37 weeks pregnant. The growth scan shows that the fetal growth is 34 weeks 5 days. So, our doctor is suggesting for C-section after about a week's time to avoid any suffocation to the fetus. Is it fine to get a C-section during the fetal growth of about 36 weeks? Please suggest. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11525, + "tgt": "Is there a chance of HIV transmission through contaminated waxes used in parlor?", + "src": "Patient: Hello doctor,I went to a parlor for upper lip and chin waxing. I am scared if the wax was contaminated by a person before me and if he or she bled and had an infection like HIV. The person double dipped, and I do not know that on how many people the wax was used? And what issues they might have had? Doctor: Hello. You are right. You have every reason to think and fear about the procedure. But the fact is, HIV cannot survive in the outside environment and cannot transmitted in this way. But what you have to fear for is HBV (hepatitis B virus) because HBV can live and infect for one month in the outside world. HIV can only survive for two minutes maximum, and after eight seconds, it loses their infective capacity. So, regarding HIV infection, you are safe." + }, + { + "id": 23327, + "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": 15072, + "tgt": "The injection area abscessed when a 9 months old was given an immunization for measles. What to do?", + "src": "Patient: Dear doctor, My 9 month old daughter had an immunization for measles. It was given on her right arm and the area is abscessed. She is not consuming food properly. What to do? Doctor: Hi. Injection abscess needs to be drained with an antibiotic. You need to consult your nearest pediatrician immediately. If untreated it can lead to complications. Read on what our experts say about injection abscess, its treatment options, and preventions." + }, + { + "id": 9310, + "tgt": "I am suffering from throat gurgling. What could be the reason?", + "src": "Patient: Hi doctor,I am getting anxious about my health. I just wish you to look at a photo I have attached. It is a photo I got from the internet, which looks very similar to me. I\u00a0have no other symptoms.\u00a0I have always had the slight red marks, but have never noticed them. Please help. Doctor: Hi. Those represent the cobblestone appearance of posterior pharyngeal wall and it is in early stage. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11410, + "tgt": "I become more hypersexual by having Concerta for ADHD. How can I control it?", + "src": "Patient: Hello doctor, I was diagnosed with ADHD. I was on Ritalin from 9 years to 14. I am 30 years old now and feel like I need some help. I have started retaking Concerta last year as it improves my concentration but also makes me even more hypersexual. I have a major problem with being over sexual to the extent that I would harm myself for gratification. I want to be humiliated and struggle with what is called small penis humiliation. I have never harmed others, but I am afraid that I will make myself into risk by doing self-harming and repeating it for the needs. I want to stop it, so I tried lowering my testosterone, but it just comes back occasionally. And it masks the problem that there must be something wrong in my brain. Doctor: Hello. If you think that your sexual need is increased by Concerta (Methylphenidate), I have a few advice for you, which you should discuss with your psychiatrist. 1. Can he slightly decrease the dose? Till your symptoms of ADHD (attention-deficit hyperactivity disorder) does not flare-up. 2. Add some second-generation antipsychotic like Risperidone which ultimately increases your prolactin level and decrease sexual urge. 3. Avoid porn and do not watch such type of videos. 4. Relaxation technique like yoga, meditation, and mild exercise may also help you. Avoid junk foods and take healthy foods. Have proper sleep." + }, + { + "id": 7679, + "tgt": "Can first pregnancy be planned after 30 years of age?", + "src": "Patient: Hello doctor, My fiancee wants to get pregnant within next eight months and is pressurizing me to get married by then. She says that even waiting for one month will be too late as she will turn 30 by then. Will 8 months make such a difference that her body will be deteriorated if she waits until next month? Doctor: Hello. Theoretically, it is ideal to have pregnancy before thirty especially the first pregnancy as after 30 we say it is elderly pregnancy and there are some inherent complications associated with elderly pregnancy like hypertension, GDM, impaired fetal growth, etc. So it is desirable to have first pregnancy before 30. So you talk to your fiancee and try to find a middle path and tell few months does not make much difference." + }, + { + "id": 20822, + "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": 14105, + "tgt": "Kindly advise treatment for blocked nose due to allergy", + "src": "Patient: Hi doctor, I am suffering from a blocked nose. I have consulted a doctor and he told I am suffering from allergy and it is incurable. I am worried. Please guide me. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. A blocked nose can be from an infection of upper respiratory tract also. If you have a fever and throat pain along with the blocked nose, then it is due to some infection. Allergy also causes blocked nose, sneezing, running nose, dry cough, etc. And yes, allergy is incurable. There is no permanent treatment for allergy as such, but it can be controlled with drugs and other measures. To control allergy, you should avoid allergens like dust, pollen, specific allergy-causing food, and grasses. Avoid exposure to cold climate and cold beverages. For nasal blockage, you can use some antihistaminic decongestant nasal drops as Nasivion nasal drops. You can also take some oral antiallergic drug like tablet Montek-LC (Montelukast and Levocetirizine) twice daily for ten days if your doctor has not prescribed you an antiallergic medication." + }, + { + "id": 10007, + "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": 8077, + "tgt": "Had injection Fondum based on my ECG. Is it mandatory to have the balance two injections?", + "src": "Patient: Hello doctor,I am recommended the injection Fondum based upon the ECG. The ECG report says the blood supply to one valve is less other all is fine, already taken one. Also, other medicines as Rosumac gold (Aspirin, Rosuvastatin, Clopidogrel), Sorbitrate. Should I take balance two injections of Fondum or consult a cardiologist. Had done an Echo two years back and that was normal. Doctor: Hello. These medicines are given for acute coronary syndromes. Please send me ECG so that I can guide you accordingly that what to do next. Please tell about the age of patient, symptoms, and any blood tests performed." + }, + { + "id": 4699, + "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": 13208, + "tgt": "Is nebulization advisable for a baby suffering from frequent cold, cough, and fever?", + "src": "Patient: Hello doctor, My daughter is 1 year and 10 months old and is suffering from severe cough and cold. She also had some kind of cough and cold since 15 to 20 days and after a dose of Azitral for five days she got cured. Now again she has caught cough mainly dry cough. in the night situation became worse and could not sleep the whole night due to severe dry cough. Now the doctor has adviced Augmentin duo syrup 5 ml per day for five days. Really disturbed by her reproductive dry cough. Do frequent medication harm her internally? Should we use nebulization? Is that better than antibiotics? She is taking Ascoril LS syrup. She does not have any breathing difficulty, only dry cough with fever (100 F). Doctor: Hello. I note that your daughter is having a second episode of cough and cold within 15 to 20 days. Cough is quite common and tends to be more noticeable at night. Many children suffer during seasonal changes. Your doctor may have prescribed Augmentin Duo (antibiotic) to treat any underlying infection. Kindly complete the course of antibiotics as recommended. Usually, there are no long term side effects. Ascoril-LS sometimes helps in managing cough but cough remedies are not always able to relieve cough. They are commonly used but not recommended in this age group. Does your daughter wheeze as well? Your doctor will be able to check by listening to her chest during the examination. If there is significant wheeze, nebulization can be considered. Other tips for managing cough and cold are as follows. Give her frequent sips of warm water. It will hydrate her. Make her sleep reclining with head in a slightly higher position. You can make her sleep in your shoulder if she is more comfortable. You can try saline nasal drops, especially before feeds. Ensure that the room is clean and has adequate ventilation. (No smoking, no pets). If the cough does not get better with a week, kindly see your pediatrician again to review your daughter." + }, + { + "id": 4675, + "tgt": "There is chest pain with high BP. Is it due to heart attack?", + "src": "Patient: Hello doctor, My grandfather is feeling chest pain and High BP since last 2 days. We admitted him to the hospital and according to the doctor he had a mild heart attack. We want a second opinion about his health condition and further treatment. I will attach the reports. Doctor: Hello. Heart attack in your grandfather's case is diagnosed on the basis of CKMB, and Qualitative Troponin T tests (attachment removed to protect patient identity). CKMB is not specific test to diagnose heart attack and it may come positive in many other conditions. Same is the case with \"qualitative\" troponin t test. Yes, but if there is no kidney problem, no severe infection in body and patient has chest discomfort, then we can say its heart attack. ECG may help in making diagnosis as well. Echocardiography is overall normal. To diagnose heart attack best tests are ECG and \"Quantitative\" Troponin I test. If your grandfather still has chest pain, I would advise go directly for angiography and then angioplasty if indicated on angiography. If your father has no chest pain, then go for a test called Stress Echocardiography or Myocardial Perfusion Imaging. And if positive for changes consistent with heart attack then angioplasty. Please note, in some cases angioplasty is preferred and in some cases bypass is preferred, that is decided on many factors including angiography report, patient's overall condition, and patients wish. In some cases of very frail old peoples, only medical treatment is preferred and no angioplasty or bypass is attempted. This also depends upon overall condition of the patient and angiography report. In any case whether angioplasty, bypass, or only medical treatment, medicines are continued throughout life keeping in view contraindications and side-effects of medicines. Please tell about overall health of your grandfather, any other diseases he is suffering from such as kidney diseases, lung problems, walking issues, etc. Also, show me his ECG and other reports if already done. When overall picture/scenario of patient is in mind then I can guide you properly for further management." + }, + { + "id": 29446, + "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": 26188, + "tgt": "Are the tests which I have undergone sufficient to conclude my HIV status?", + "src": "Patient: Hi doctor, I had protected sex with a CSW before 5 months. I do not know the condom status either broken or ruptured one. I was drunk that day but I did not even ejaculate. Since I had a doubt, I took a test on 4th week, HIV 1 and 2 antibody rapid tests from laboratory which was non-reactive. On 6th week, HIV 1 and 2 rapid tests was non-reactive. On 53rd day, I had HIV 1 and 2 antibody plus p24 combo. The result was non-reactive. On the same day, I had HIV 1 and 2 rapid test ICT methods and the result was non-reactive and I repeated the same test on 59th day and the result was the same. Please advice that the mentioned tests are conclusive or should I go for further test? I took VDRL test also in 4th week and it was negative.\u00a0I have started getting red spot like rashes on my body from 8th week of exposure and today I found white sore on my tongue.\u00a0What test should I opt for STI and HIV to be sure? Do ARS symptoms start at 8th week?\u00a0Can fourth-generation combo test on 53rd day be taken as good news for being HIV negative? Please confirm it. Doctor: Hi. I can understand your concern. You have gone for antibody testing for HIV 1 and 2 many times and it has come negative. When two tests for antibody detection based on different principles are negative, it means individual is not having HIV infection. You have also undergone p24 antigen detection on 53rd day and it is also negative. This test detects HIV antigen and is useful during the window period when the patient is asymptomatic but viral antigen load is high. Negativity of this tests also goes in favor that you have not acquired HIV infection. Since the antibodies are usually produced between 6 and 12 weeks, I would recommend you to repeat ELISA test (enzyme-linked immunosorbent assay) for HIV 1 and 2 at 12 weeks again. To be absolutely sure, you can go for virus culture which is undertaken only in specialized laboratories or polymerase chain reaction (PCR) test. But, it is quite expensive. ARS (Acute retroviral syndrome) symptoms usually start after 2-4 weeks of initial exposure and your rashes and sore tongue might be due to some other reason. Yes, it is definitely good news that your fourth generation combo tests is negative and since all tests are negative it is quite conclusive that you are HIV negative. Revert back with the report to an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22117, + "tgt": "Should stitching be done immediately for a gash above the eyebrow?", + "src": "Patient: Hello doctor,A 6-year-old boy had an accidental fall while riding a scooter. Got a gash above the eyebrow. He was wearing spectacles, and the lens might have caused the gash. Took him to the nearby hospital, where they have given painkillers and antibiotics. They have not stitched up the gash. We are waiting for a plastic surgeon to come in the morning. Should the stitching be done immediately? Does it need to be done under local anesthesia or in OT? Doctor: Hello. It is good if the primary treatment was given immediately. As the wound is on the face, above the eyebrow, it would be advisable that a plastic surgeon does the suturing. As it would be cosmetically better in all aspect. Waiting overnight would not cause any major difference in the remission and healing of the wound. It is to be done under local anesthesia, preferably in minor OT (operation theatre). For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7633, + "tgt": "Kindly tell me about the medicines to be used to treat fever in a baby", + "src": "Patient: Hello doctor, My son's age is 9 months, 12 kg, having fever since yesterday, we have given liquid medicine two times as of now (Paracetamol). After taking the medicine, fever came down and again back to 101 F, can you suggest any other medicine? Doctor: Hello. When we see a rise in body temperature we call it fever. Fever is a symptom and not the diagnosis of a disease. Fever can be caused by various reasons most commonly due to some infections. Fever is the body's response to infections, rise in body temperature, helps prevent the spread of infection in the body. But we reduce fever by drugs because it causes discomfort and may induce convulsions in some children. Paracetamol reduces fever only and does not treat the cause of fever. So once the effects of the drug come down, fever rises again. So I want to know what other symptoms are present along with fever-like cough, cold, pain in the abdomen, etc. Which will provide a clue about which infection is likely. So continue Paracetamol every sixth hourly and if fever persists go for blood tests like CBC CRP urine microscopy or chest X-ray, blood cultures and if needed antibiotics will be started." + }, + { + "id": 29700, + "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": 30252, + "tgt": "Is my breathlessness really due to anxiety?", + "src": "Patient: Hello doctor, Three years ago, on Christmas Eve, I was traveling to my sister's home about 45 minutes from my home. My grandmother gave me a peppermint and as I swallowed it felt as if a piece got stuck in my throat. I got a strong sensation that I could not breathe. When I reached my sister's home, I took a walk outside and within 10 minutes the sensation went away. I had this issue on and off for the next couple of years, yet it was manageable. Fast forwarding to this year, the symptoms have worsened. I have severe shortness of breath all day long with no relief, sharp pain on the left side of the chest, arm and sometimes jaw pain, headaches, lightheadedness, weakness, insomnia, out of touch with reality and nervousness. I feel like I am going to die at any minute. In the last two months, I have been to the ER about six times. Whenever I go, the doctor will say it as GERD and panic attacks. Once, I visited a hospital for chest pain and they admitted me for observation as one of my enzyme tests came back minimally high. The doctor stated that she wanted to keep me on observation, because of my family history of heart disease and I am a smoker. All my tests were normal, but my symptoms are still present. My PCP prescribed me 5 mg Buspar twice daily and Zoloft 100 mg once daily. I have been on these for a month with absolutely no results. He set me up in order to see a pulmonary physician; however, stated that it was extremely unlikely that I had any breathing restrictions due to the several tests I have had. Also, stated that he was fairly confident that my heart was fine. I have lost count of the EKGs, ECGs, CT scans, chest x-rays, and blood work, which is all negative. He did mention that my physical symptoms could potentially be coming from sleep apnea. I know that I have caused some of this on myself, because I am obese and I do smoke. I have no quality of life and at this point I am beginning to feel depressed. I barely can get through a shift at work. When I stay at home, I am afraid to be alone. Also, driving is a nightmare. I am at my wits end; I just feel a sense of hopelessness and also feel as if the doctors do not believe that my symptoms exist. I am just a 29 year old female. Is this really due to anxiety? What step should I take next in order to get better? Please help me. I have a 3 year old daughter and I want to enjoy my life with her. I think about my death daily because of the chest pain and shortness of breath. Doctor: Hi. I have the following recommendations to you. If you really want to help yourself, then start immediately. Quit smoking immediately. Follow a healthy diet and start losing weight. Initially, start with a 10 minute physical exercise and increase it gradually. By that, I mean a very simple walking to start with. Please you follow these steps and sleep apnea will eventually go away. Have a stress ECG to identify if your blood vessels of heart spasm on exertion. If things did not improve, then visit a psychiatrist to alleviate your anxiety. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27985, + "tgt": "Can a biopsy ascertain the cause of chronic endometritis?", + "src": "Patient: Hello doctor, My friend tested positive for chronic endometritis following a biopsy. Her question is, what needs to be present in the tissue sample to conclude that the endometritis is the result of a miscarriage? What could be the other causative agents? Doctor: Hello. For further queries consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 23580, + "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": 7838, + "tgt": "A light green fluid is leaking from my ear. Kindly help", + "src": "Patient: Hello doctor, I have hearing loss from childhood. I had an infection in both the ears four years before and got it treated with antibiotics and got well. But, within weeks, a fluid of light green and sometimes brown color started leaking from my ear often during the day and it was itching. The doctors just gave me eardrops like Candibiotic and said its nothing. Until today, I am unable to find a solution. Recently, I took Augmentin 625, Omez 40, Allergen tablet and Ciplox D ear drops for one week. At that time, it stopped and started leaking again when I completed the medication. I again took the medicines after one month and the same happened. I have vitamin B12, vitamin D3 deficiency and I am taking medications for that. I have slight thyroid. I always have giddiness. Kindly help. Doctor: Hello. You can have two of these conditions. This is what I can diagnose based on your history that you have given very well. Either chronic ear problem with a perforated eardrum or a fungal infection of the ear canal and drum. Perforation of the drum explains most of your symptoms like hearing loss, giddiness, repeated discharges from the ear and itching inside the ear. Fungal infection of the ear can also produce similar symptoms but it is mostly pain, fullness, ear discharge, and sometimes reduced hearing. Among the two, considering you have been having this problem since a very long time, I would say, it is perforation of the eardrum and a chronic discharging ear. For this problem, we need to check inside the ear using a camera or an otoscope. For the same, you must visit an ENT specialist rather than a physician. An otoendoscope is present in most ENT centers these days which can help you also see the problem inside the ear. Now let us assume you have a perforation. The next step is keeping the ear dry. For the same, an acute infection is treated with special antibiotics (which are better for ear infections) and thereafter you may use a hearing aid or undergo tympanoplasty operation. The relative benefits and side effects of hearing aids with perforation and tympanoplasty can be explained to you if you require. First, let us stop the discharge. If you were to come to me for this issue and if I could diagnose it as chronic perforation syndrome, then I would put you on a course of Ofloxacin 200 mg one tablet twice daily, with Lorfast 10 mg (Loratadine) one tablet once daily, Singulair 10 mg (Montelukast) one tablet once daily and Recofast (Phenylephrine and Triprolidine) tablet half tablet in the morning. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I would simultaneously rule out nose and throat problems as they can be the cause for recurrent ear problems. You would have to keep the ear dry, with special care during bathing so that water does not enter the ear. Once the ear is dry, I would advise you to go for a hearing test called pure tone audiogram. Any audiology center will be able to do this test. Based on the report of the test, we will have to tune our long-term management. Remember that the test should be done when there is no active disease. I hope I have given you a good picture of the problem. Do write back for more details and any doubt you want to clear. Will be happy to help you. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 26106, + "tgt": "I have wart-like lesions in my left groin. Are they genital warts?", + "src": "Patient: Hello doctor, There are\u00a0soft wart-like lesions in my left groin region. A picture is attached for your reference. It is\u00a0itchy on and off and it is mildly painful. Is this a genital wart? Doctor: Hello. I have gone through your query and the image attached (attachment removed to protect patient identity). Yes, they seem like warts. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26820, + "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": 8592, + "tgt": "What are the adverse effects of taking Dolo, Cetirizine, and Tryptomer tablets at the same time?", + "src": "Patient: Hello doctor, My wife took Dolo 650 mg 10 tablets and 10 tablets of Cetirizine tablets and 10 Tryptomer 10 mg tablets at a time. Is anything serious about it? As she is not willing to come to the hospital. Doctor: Hello. It is dangerous, kindly take her to the nearest emergency care center as she has overdosed herself with the medications. It is beyond the daily allowed limit for an adult. So, there will be adverse effects, and there may be severe consequences also. She needs observation in ICU at least for 24 hours. If you can take her to the hospital immediately, she can be given stomach wash, and the medicine that is still in the stomach can be removed, but it depends on how long it has been since she has taken the drug. So, please take her to the nearest emergency center immediately as it is dangerous." + }, + { + "id": 5430, + "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": 5113, + "tgt": "I got recurrent miscarriages stating nil fetal heartbeat and IUGR. What to do next?", + "src": "Patient: Hello doctor, I am married for over three years. In these three years, I had five miscarriages. First three times I had miscarriages in the second and third month (due to missed heart beat of the baby) then in the fourth time I had the termination of pregnancy in the sixth month (due to low amniotic fluid level of the baby) it is found in the fifth month scan but baby parts are found normal. Again for the fifth time I had a medical abortion due to no heart beat in the baby. I undergo all medical tests HSG Scan, thyroid, prolactin, anti cardiolipin Ab IgG, anti cardiolipin Ab IgM, partial thromboplastin time (aPTT), HbA1c, LH, FSH, Estradiol - 17 b (E2), platelet count, hemoglobin, prothrombin time (PT), control (PT), INR, bleeding time and clothing time, etc. And in the karyotype test done for me and my husband reports that chromosome analysis of culture peripheral blood lymphocytes cells revealed a normal female karyotype. No clonal numerical or structural abnormalities were noted. A variant in one of the chromosome 9 was observed with an additional heterochromatin region on the long arm. Rest of that everything is normal. In that sixth month termination of pregnancy I took injection Heparin 5000 iu daily once, Ecosprin 75 mg, Porgy ova 2 mg, Duphaston 10 mg, Folvete 5 mg. Even though my pregnancy terminated due to severe oligohydramnios. But till now I did not find any solution to my problem and the doctor too was also not able to find out what is the problem. They are telling its unexplainable thing. Please give some suggestions for me. Four months passed away for the last miscarriage. Now give me some suggestion for the next step. Doctor: Hello. Learning from your history, you are a case of recurrent pregnancy loss with three continuous abortions (missed abortion) in the first three pregnancies but you had a fourth naturally conceived pregnancy which lasted for six months and was terminated for severe IUGR (intrauterine growth restriction) and oligohydramnios. Your next pregnancy was again a missed abortion. With this view and your normal karyotyping and tests that you have furnished seems all right. This pattern fits into the criteria of Thrombophilias which are a major cause of recurrent pregnancy losses. As you said you have undergone test of anticardiolipin antibody (ACLA), thyroid and prolactin. I need to see the reports. Further need to know your antinuclear antibody status, serum progesterone levels, serum testosterone and prolactin levels as well. They are important to decide the cause and further diagnosis of RPL due to thrombophilias. My advice for you would be: 1. Do not plan any pregnancy for another three months as the uterus needs time (minimum of six months) to recover from the previous pregnant state. 2. Start tablet Folic acid 5 mg from today for the next three months when you can consider pregnancy again. The idea is folic acid should be started three months prior to planning pregnancy which would avoid any chances of congenital anomalies and malformation in the fetus and thereby missed abortions (which probably may be the cause, though there are no means to do tests on just two months fetus). 3. When you get pregnant say after three months then as soon as you get a urine pregnancy test confirmation you need to be started on thromboprophylaxis for thrombophilia with injection Enoxaparin 20/40 mg s/c daily depending on your weight and tablet Ecosprin 75 mg daily for the whole of pregnancy till delivery. 4. Tablet Dupastan 10 mg also to be started from the day of confirmation of pregnancy till 14 weeks. All these can be considered and there are ways to prevent further losses, but I would like to see all the reports especially the above-mentioned ones. But no pregnancy for the next three months please and start Folic acid immediately so that your chances of missed abortion reduce due to unknown cause in future pregnancy, which you may plan after three months." + }, + { + "id": 14270, + "tgt": "I have an ovarian cyst of 4 cm. Will Kalarchikai prove to be beneficial?", + "src": "Patient: Hi doctor, I am diagnosed with an ovarian cyst of 4 cm and advised for a laparoscopy. I do not want to go for that. Is Kalachikai enough for curing this? Is there anything else in ayurveda that can cure this? Please reply. Doctor: Hi. The ovarian cyst can manage naturally through ayurvedic medicines and yoga practices. Here is a big sized cyst. It can take some time to resolve. Only Kalachikai is not much enough. It needs other supportive medicines. Intake of spicy and fried junk foods, lack of physical activity, obesity, hypothyroidism, hormonal imbalances or other unknown etiology. USG abdomen, thyroid profile, blood sugar, blood pressure, lipid profile. PCOS, hypothyroidism, obesity. Take Kalachikai powder 3 gm twice a day with warm water after meals for 90 days. You should also take the following medicines. Avoid spicy and fried junk foods, drink plenty of water. Do regular Kapalbhati Mandukasana and Ardhamatsyendrasana as well as Pranayama like Anuloma vilom, Nadi sodhan, and bhramari." + }, + { + "id": 9457, + "tgt": "I have glans discoloration. How to treat that?", + "src": "Patient: Hi doctor,I have a circular or oval area of discolored skin on the shaft of my penis, near the base. It started as a small circular area that looked very much like ringworm and now, it is much larger. The area of skin is paler than the rest of my penis and it seems to have some red scaling around the edge of the discoloration. I am using a Clotrimazole and Beclomethasone dipropionate cream. Doctor: Hi. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7752, + "tgt": "What can be used instead of Bicarbonate wash after bladder augmentation?", + "src": "Patient: Hello doctor, My age is 23, I have undergone a surgery for bladder augmentation nine years back, since then I am doing Bicarbonate wash every week. Please suggest an alternative for this procedure. Doctor: Hi. The point of bicarbonate washing off bladder is to create alkaline nature, which is not a good environment for harmful cell to grow thereby inhibiting cell growth. And it will strengthen the bladder. Yes, what you can do is limit sugar, meat, dairy products, etc., which make our body more acidic. There is no substitute for the method. Bicarbonate washing is the best method. I will advice you to continue it, I understand it may be tiring, but the method itself is effective. Also ask your doctor how may total bladder wash you will be needing. As I know this procedure is not for lifetime." + }, + { + "id": 30149, + "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": 12874, + "tgt": "Why is there cold with watery eyes and blocked nose?", + "src": "Patient: Hi doctor,I am suffering from a cold, sore throat and ear pain. Even I have watery eyes for the past two days. Last night I took Cetirizine and Paracetamol and today morning I took Paracetamol and Lozenges but it is not decreasing at all. I got more secretion and blocked nose. What can I do for this? Please help me out. I am 23 years old, 40 kg, 149 cm. Doctor: Hi. It looks like a common cold, viral in nature, usually, antibiotics are not needed and self-limiting but chances of superimposition by a bacterial infection is there. As due to ear pain, likely secondary to eustachian tube blockage, fluid collection inside the middle ear and chances of the bacterial infection, you need some aggressive measures. I would like to start antibiotics Augmentin 625 mg three times daily for three days, continue Cetirizine, and take Ibuprofen 400 mg twice daily with the meal instead of Tylenol. I would recommend using warm moist inhalation (boiling water mist) once or twice daily." + }, + { + "id": 5233, + "tgt": "I am diabetic and hypertensive. Will Lopar-SR help me in high altitude?", + "src": "Patient: Hello doctor, I am a 71-year-old male with h/o HTN and diabetes. They are well under control with Amlopres one tablet daily and Cetaphin 500 mg two tablets daily, Clopitab 75 mg one tablet daily. I have a cyst in my kidney which is asymptotic. Nephrologist did not prescribe any medicine for that. My general health is good and I walk about 4 km daily. I am planning a week-long vacation to a place which is 10000 feet altitude high. I had been to places that are higher than that height, but I did not stay there for not more than a day. In order to acclimatize to high altitude, I plan to take Lopar SR 250 mg twice a day for three days. Will this help me to stay at 10000 feet for about five days? Are these tablets contra indicated for me? I seek your valued advice in this regard. My wife has COPD, but under control with Seriflo 250 mg rotacaps daily. Doctor: Hello. I had a look at your query. And would first like to congratulate you on maintaining controlled sugar and blood pressure. Now I would agree with the entire prescription meant for you. The medicine Lopar (Lorsatan) has some side effects but it is not serious enough to cause trouble within five days. So I do not think you need to worry if you discontinue it in for five to six days. Overall, I think you should be fine. However, I am not sure that the same can be said about your wife. She has COPD (chronic obstructive pulmonary disease). The air in the hills is thin and usually lacking in carbon dioxide that the city air has in abundance. Oxygen is the respiratory trigger for the patients of COPD. So they breathe in when the oxygen content in the body is low. So when the air is thinner with lesser content of oxygen, she may feel breathless. I would suggest that the frequency of Seroflo (Salmeterol and Fluticasone propionate) should be increased. Also, it is better to carry an MDI (metered dose inhaler) inhaler instead of rotacaps. The former is more effective. She can take the MDI at least three to four times daily and also as and when required. I hope this helps." + }, + { + "id": 17338, + "tgt": "I feel uneasy while peeing. Is this UTI?", + "src": "Patient: Hi doctor, I am a sexually active female. After a day of such vigorous activity, I am suffering with symptoms such as stinging and burning sensation while peeing. I am getting the urge to pee again and again while actually do not pee much. I still feel that my bladder is not fully emptied. There is a little pressure in the pelvic area with mild pain and discomfort. My urine is smelly too. As per what I read over the internet it\u00a0seemed to be UTI. So, I ignored it for a day or two but the symptoms are still there and strong.\u00a0I would very much appreciate you to get a solution for this as soon as possible. Doctor: Hi. For further information consult an\u00a0urologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4401, + "tgt": "Which anesthetic agent is used during labor?", + "src": "Patient: Hello doctor, I was wondering if an anesthesiologist would mind getting interviewed. I am writing a research paper and could not contact any anesthesiologist around me. Thank you for the help. Below are the questions I need an answer. 1. How many years have you been a part of this profession? 2.\tAbout how many times a month do you administer anesthesia to a pregnant mother in labor? 3.\tRegarding the previous question, what kind of anesthetic is used? (GA, LA, or RA) 4.\tHave you heard of transmitting the anesthetic agent through the placenta, from mother to child? 5.\tIs there any information you could provide for the above? 6. About how many times a month do you administer anesthesia to infants for surgery related procedures? 7.\tRegarding the previous question, what kind of anesthetic is used? (GA, LA, or RA) 8.\tWhat kind of chemical compound is used in the hospital\u2019s anesthetic? 9.\tDoes this hospital use an anesthetic \u201cCocktail\u201d (mixing drugs with anesthesia)? 10.\tWhat information can you provide about the issue of neurological degeneration in infants who have been exposed to anesthesia either during surgery or birthing? 11.\tWhat kind of introductory do you give your patients about the anesthesia they are about to receive? 12.\tHave you ever had a follow up with any infant patients later in life? (adolescent age) 13.\tIs there any more information that you believe could help me better understand this topic? Doctor: Hi. I am glad to answer your queries. Responses are by the question numbers: 1.I have been working as an anesthesiologist for the past 8 years. 2.I would administer anesthesia for around 15-20 caesarean sections per month. 3. In my practice RA is the choice of anesthesia for the pregnant mother under going C section.When RA is contra-indicated we do administer GA; in this scenario we avoid opioids drugs since they cross the placental barrier which is can affect the baby; I use induction drugs like Propofol, muscle relaxation with Succinylcholine and Vecuronium, and maintenance with nitrous oxide and oxygen. Once the baby is delivered I give the opioids for the pain relief. 4.Yes I am aware but I just follow my hospital/team protocols. 5. Opioids drugs like fentanyl, pentazocine etc can affect the fetus/ neonate.I am unaware of the effects of other anesthetic drugs on the fetus/neonate. 6.I do not practice pediatric anesthesia. 7. Not applicable. 8.Thiopentone -Barbiturate; Fentanyl, pentazocine, -Opioids; Vecuronium-Muscle relaxant, Midazolam-Benzodiazepine,Propofol- unclassified. 9. We do use cocktail mixtures. 10. Ketamine can cause severe neurological complications in the fetus/neonate.Others I am not sure. 11.I have a pre-anesthetic clinic in which I assess and choose the appropriate anesthesia. I explain in detail about the anesthetic procedure, complications if any. Finally I answer the client\u2019s queries and explain pre-anesthetic instructions. 12. No I have not." + }, + { + "id": 27851, + "tgt": "Can high eye pressure damage the optic nerve?", + "src": "Patient: Hi doctor, I am 65 years old. I developed partial retinal detachment in the right eye. An urgent surgery was done and a silicone oil has been filled. This happened around two months back. The vision field is restored and the retina is reported to be well attached.\u00a0But, about two weeks back the pressure of \u00a0the eye has raised. After surgery, it was in the range of 20-21 mmHg and now it\u00a0is 32 mmHg.\u00a0After surgery, my doctor prescribed Timolol maleate drops twice a day. Since last five days, it has been changed to a combination of Brimonidine and Timolol.\u00a0But, the pressure is still 32 mmHg.\u00a0I also feel that my eyes are sticky and a bit swollen. Though my vision field is full, it is blurred to the extent of 50%. I can see objects, colors, etc., but cannot make out the letters. Self-illuminated letters in big size are visible from a distance of 10 to 14 feet.\u00a0Of course, I have to wear my earlier glasses.\u00a0My eye was operated for RK before 30 years. I underwent cataract surgery seven months ago in both the eyes and was fitted with Toric Multifocal lenses. I am on medication for the past seven years for mild hypertension and diabetes. I have attached my current medication list for your reference. I wish to know the reason for high eye pressure. Is the value safe? Will it cause any damage to the optic nerve? How to\u00a0bring it back to the normal range? Please explain. Doctor: Hi. Revert back with answers to the above questions to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11935, + "tgt": "What are the ways to manage fatigue in a patient taking Metformin?", + "src": "Patient: Hello doctor,My father's age is 60 years and is a patient of type 2 DM. He is also a patient of hypertension with an abnormal lipid profile. His RBS is now 360 mg/dl. He is suffering from extreme fatigue although BP is controlled by anti-hypertensive drugs. In this condition, how can we manage fatigue although he is taking Metformin regularly? Doctor: Hello. Looking at RBG given (360 mg/100 ml), he has totally uncontrolled diabetes. When this happens there is a lot of glucose lost through urine, leading to excess urination, excess thirst and excess hunger. Plus there is unexplained weight loss and severe tiredness. The remedy for that is to achieve strict glucose control. Ideally, in a well-controlled patient, fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8. For his age, it can be around 7 %. It is clear that his current treatment is totally inadequate. There is a need to upgrade the same. Some additional drug or drugs are required. Plus we will have to give a closer look at his present diet, weight, the extent of daily exercise. It is also necessary to check lipid profile, serum creatinine, and urea as well as microalbuminuria. Therefore, it is necessary to consult your local physician and get the necessary treatment initiated. If you are looking for online help, then please come back with all the above details for a consultation. Then I will be able to give specific guidance and even prescribe necessary medication. But please do not neglect. Such high glucose is an invitation for long term complications associated with diabetes. I hope you understand the situation." + }, + { + "id": 1594, + "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": 1368, + "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": 2413, + "tgt": "I am diabetic and getting recurrent pus filled boils over face and neck. Please suggest medication", + "src": "Patient: Hello doctor, I am 68 years old. I was supposed to meet you after 15 days of treatment prescribed by you. Due to lockdown, unable to appear for consultation in person. The bacterial infection on the face and neck (pus filled boils) initially got reduced but new eruptions has started to emerge. The tablet course also have got over. Kindly suggest the way forward in this treatment. I am attaching the old prescription. Doctor: Hi. I have seen the attachment. (attachment removed to protect patient identity). I have not got the picture of your skin lesions. But as you are giving the history of boils again. Please keep the blood sugar under control. HbA1c 9.4 is high. This is the reason for recurring boils again and again. Please start tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice a day for one week, Levocetirizine or Vozet half tablet twice a day for three weeks. Apply T bact cream on the boils. If paining add Dolo 500 twice a day for five days." + }, + { + "id": 29685, + "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": 9764, + "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": 30861, + "tgt": "I am wasting most of the time on the internet. Please help", + "src": "Patient: Hi doctor, I am wasting most of the time on the internet. I am always chatting through the internet and trying to find what others are doing. I am also repeatedly thinking of the same. I am unable to concentrate in any other events. Please help. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21804, + "tgt": "What is the reason for delayed erection?", + "src": "Patient: Hi doctor, My friend is 37 years old and has a fear of marriage. He was not sexually active for a long time. It has resulted in a delayed erection. Recently, he tried and ejaculated only for two to three minutes. He does not feel like a man enough, and he is in fear that he cannot satisfy a woman. Is there anything helpful? Any natural food, drinks or fruit that can help? He wants to feel like a man again. Doctor: Hi. If he is getting a good erection but, ejaculating only for two to three minutes means that he is anxious. It is the reason for poor erection. If his erection is healthy, then there is nothing serious. Drugs like Dapoxetine can be tried to make ejaculation time longer. With experience, his time will improve on its own. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2035, + "tgt": "I have discomfort while trying to insert a finger in my vagina. Is it due to the fear of sexual activity?", + "src": "Patient: i was wondering if i can speak to someone about pain while insertion. i\u2019ve never been able to insert a tampon, and i experience discomfort and a blockage when i try to insert a finger. it\u2019s most likely related to psychological and irrational fear of sexual activity and also stress. i\u2019m afraid to ask my doctor about this, and plus, with the pandemic, i cannot see a doctor expect for emergencies, or i\u2019d like to see if there are home solutions. it\u2019s even frightening to ask on here, so. Doctor: Hello, Hope u r safe I understand your anxiety.Many people do have this issue,but with slow and persistent efforts you can overcome it. From your history ,I realise you are slightly on the bulkier side .If you could try Nd reduce your weight(say about 5kg in the next 2months),u will feel considerable difference in your sexual interests too. please take care of your vaginal hygiene too to avoid itching etc. Please get your thyroid and prolactin also tested. Meanwhile once the pandemic is over ,pls get a gynaec to examine you becoz at times a rigid hymen or a septum may be the problem (since you mentioned a blockage). Later if these do not work we can try vaginal dilators which are available in the market . Hope this helps." + }, + { + "id": 4256, + "tgt": "Had sex after four days of her period. Is there a chance of pregnancy?", + "src": "Patient: Hi doctor, We had sex after four days of her period. What is the chance of pregnancy? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20677, + "tgt": "How do I stay free from bad breath?", + "src": "Patient: Hello doctor, How do I stay free from bad breath? Doctor: Hi. Causes for halitosis (bad breath) are: Simple ways to overcome bad breath: These alone do not cure bad breath. Identification of the cause and its elimination is mandatory. Consult a dentist online to be free from halitosis --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2717, + "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": 7093, + "tgt": "How to recover from intermittent cervical pain?", + "src": "Patient: Hello doctor, Last year started to work out in the gym for six months and made good gains in strength-wise and stamina wise. After some months, my left arm became very hard and painful while doing weights. Later cervical pain also started. And because of it, I have stopped my gym activity completely. Orthopedic referred me for physiotherapy after taking cervical and spinal MRI. Currently, the cervical pain is intermittent and left arm still pains if any weight is lifted. I have noticed one thing while doing bench press the pressure comes on behind the neck muscles. Someone told me about nerve hardening. Also, left-hand faces are tingling if I sleep on the left side. I am doing physio exercise regularly. I want to recover and restart my gym activity. It has been over a year, and still, the problem is not getting resolved. I do not even know what steps to take towards recovery. Doctor: Hello. I reviewed your symptoms, and it seems at second levels of the upper neck, a cervical region the disc bulges are pressing on C4, C5, C6 roots, and incidentally, it supplies shoulder girdle as well upper arm muscles including biceps. The paraesthesia, what we call for tingling sensation is again because of the above. First of all, I would advise to be off from weight lifting for a few months and not only that any heavy lifting objects, riding a two-wheeler, sleeping with high pillow must be restricted. For physical exercise, you can have walking briskly, and I insist on undergoing planned programmed physical therapy in your place itself. If pain persists, you can have Naproxen 500 to 1000 mg daily for 10 days. Proper sitting methods while in a job and avoid computer screen viewing for hours and altering your lifestyle would alleviate and make you feel better over time, instead if you strain yourself with heavy gym exercise, things will go worse. You may need repeat MRI after 6 to 10 months to assess the size of disc protrusion Naproxen 500 to 1000 mg once a day for 10 days. Avoid intense exercise." + }, + { + "id": 10475, + "tgt": "What does grade-1 fatty liver mean?", + "src": "Patient: Hello doctor, All my reports are normal except one. They told me that I have a grade-1 fatty liver. What does\u00a0this mean? Doctor: Hello. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26296, + "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": 505, + "tgt": "I feel like something is stuck in my chest, and I have acidity. What to do?", + "src": "Patient: For the last one month i am having gastic issue as i feel that some thing got stucking in my chest or stomach and have acidic feeling in throat more over constant air get passes through my mouth but nothing relaxation at all. Got heavy chest pain on left side during the period. My digestion process also get disturb as stool didnot come properly Doctor: Hello. I welcome you to icliniq. Well it seems you have gastroesophageal reflux GERD. You acid symptoms can be defined by presence of GERD. I hope this will help you Come back to discuss if any more concern you have good day GERD Nothing for now Motility disorders NERD GERD as above Follow up in 1 week to inform how you respond to treatment" + }, + { + "id": 12647, + "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": 20980, + "tgt": "I took tablet Metronidazole 5 hours after I had taken 20 ml of red wine. What can I do now?", + "src": "Patient: Hello Doctor, I took tablet Metronidazole 5 hours after\u00a0I had taken 20 ml of red wine. What can I do now? Doctor: Hi, Metronidazole and alcohol interaction causes disulfiram-like reaction. This leads to nausea, vomiting, tachycardia (increased heartbeat), shortness of breath, etc. If you had consumed red wine 5 hours before the drug intake, then it is all right. There is nothing much to fear. You may have nausea and vomiting, but that would be minimal and temporary. 5 hours is ample time for the wine to be metabolized in the body. For further follow up, consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1671, + "tgt": "I am losing 15-20 strands of hair daily with thinning and dandruff problem. Please help", + "src": "Patient: Hello doctor, I am a 21-year-old male. I am losing like 15-20 hair strands on a daily basis now. For the last nine months, I am facing this problem. I never had this type of hair fall or any hair fall before. Where I stay, there was hard water, so I started using drinking water for bathing. A few months later, I got to see some less hair fall than before which is around 30 hair strands a day. So now I cannot have my previous hairstyle and I can see some small patches in my crown corner. But the thing is that I do not think my new hair is growing vigorously. I got worried when I see four to five strands in my pillow cover every morning and most importantly my hairs are thin which falls and some dandruff problems nowadays. As I got no family history in baldness, I am so anxious about this issue. Please help. Doctor: Hi. Hair fall can mainly be divided into two types, you can have increased shedding or thinning of hair. Increased shedding means seeing more than 50-100 hairs falling per day. Less than that is a normal hair fall cycle and usually grows back. Increased shedding can happen because of dietary deficiencies, stress, high fever, water change, harsh shampoos, dandruff. Since you are noticing patches of emptiness most likely it is thinning or male pattern baldness. This can happen due to genetics and male hormone testosterone acting on the roots. Smoking, thyroid issues, and consuming whey protein can accelerate it. By genetics, it need not necessarily mean your father or mother, it could be uncles or grandparents as well. Minoxidil is the treatment of choice for patterned balding. Also, checking up for deficiencies like serum ferritin, vitamin D, and B12 and TSH (thyroid-stimulating hormone) will help. Photographs are needed to exactly identify if you are having patterned balding and accordingly treatment can be started." + }, + { + "id": 12869, + "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": 28667, + "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": 25197, + "tgt": "What treatment can be had for the skin tag in my groin area?", + "src": "Patient: Hello doctor,I am a 42-year-old male. I have what looks like a mole or skin tag in my groin area. The mole or tag itself does not hurt. The mole or tag is soft and rubbery. I have noticed a hard boil like a lump under the tag or mole a couple weeks ago. When I squeeze it, blood would come out. It did heal but I noticed yesterday a small boil like lump that came back and I squeezed again and a little blood came out. Again the actual mole or tag does not itch or hurt at all. I am on blood pressure and cholesterol medications. I have attached photos. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). This is an acrochordon (skin tag) which must be secondarily infected due to constant squeezing. Groin area, armpits, and neck are the common site of skin tags. Was there color change (black pigmentation) weeks prior or was it skin colored before and changed recently? Avoid touching and squeezing as it would lead to recurrent bacterial infection. Apply Fusidic acid 2% cream twice daily. Excision of same would be the best line of management. Also excised lesion can be sent for histopathology to confirm the diagnosis. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8277, + "tgt": "I have itching inside the penis but no rash. Please advice", + "src": "Patient: Hello doctor,I am having itching inside my penis since three days. When I urinate, the itching gets increased and after urination, it subsides. There is no rash. Please advice. Doctor: Hello. Is it inside the penis or on the penis head? Do you have any other symptoms like fever, slow flow of urine, or straining to pass urine? Any history of recent sexual activity? It looks like a urinary tract infection at present. Waiting for your answers. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 1566, + "tgt": "Can hereditary spherocytosis be the cause of elevated bilirubin and blood in urine?", + "src": "Patient: Hi. I\u2019m 20 years old , I wanted to ask a hematologists a question because I feel like my primary doctors aren\u2019t taking the right precautions/ steps with my current symptoms, I have hereditary Spherocytosis, snapping scapula, and what I believe to be a spermatocele. During some blood work a few weeks ago my bilirubin was highly elevated, my wbc was low, and at my appointment yesterday they took a urine sample and found a large amount of blood in my urine, and I feel like this is very serious considering the blood disorder I have, and my doctors keep making me wait days at a time before follow up appointments or more tests, and I just feel as though this should be acted on immediately since they still don\u2019t know what\u2019s going on with me, and I just wanted to see if a hematologist could give me some input on what I should do. Doctor:" + }, + { + "id": 13316, + "tgt": "Is the packet of amniotic fluid different in twin pregnancy?", + "src": "Patient: Hello doctor, In the case of twin pregnancy with a different placenta, the packet of amniotic fluid is also different or there is only one packet on which both babies are living? Doctor: Hi. Twin pregnancy is of four types. One with two amniotic sacs and two placentae which is known as a diamniotic dichorionic twin. If there is only one sac and one placenta it is called monochorionic monoamniotic twin. If there are just one sac and two placentae, it is monoamniotic dichorionic. If there are two sac and one placenta it is called dichorionic monoamniotic twin. However, if you have a doubt then get back to me." + }, + { + "id": 21735, + "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": 111, + "tgt": "My father passes stools whenever he gets an urge to pass urine and antibiotics did not help. Why?", + "src": "Patient: Hello doctor, My father is 86 years old. He is a hypertension patient and on Metosartan 25 mg, Ecospirin 75, and Nexpro. For prostrate, he is on Maxvoid 4 mg for the past 10 days. He is complaining that while passing urine there is an urge and sometimes he passes stool. On medical advice, he took Imodium four tablets for two days and Ofloxin 200 mg for five days but still the problem continues. Please advice. Doctor: Hello, Welcome you to icliniq.com. I can understand you must be very concerned about your father's health. Well I have reviewed his medical history, which he has been taking for hypertension, prostate, and recent use of antibiotics and Imodium. So typical symptom you mention that whenever he urges to pass urine, stools passes by itself which is suggestive of stool incontinence-means loss of control stools. With his age, it is possible that he has weak anal sphincter. The anal sphincter is a muscle around the anus which contracts and control the stool output. In older age, it become weak and lack sustained contraction hence get loosened. With every attempt to pass urine, which increases abdominal pressure, would also lead to evacuation of stools. This stool incontinence because of loose sphincter at times perceived as diarrhea, however, it is not actual diarrhea. For diarrhea, once has to have stool volume more than 200 ml/24 hour, and significant change in consistency of stools like watery stools, or greenish unformed stools containing food particles. If none of these signs which are suggestive of diarrhea I suggest you to stop Ofloxacin if given for perceived diarrhea. The drug he has been taking for prostate also causes external anal sphincter and hence partly contribute to his stool incontinence. I want to know if he is feeling mucus (thick jelly like material) in stools, blood in stools or rectal pain, or repeated visits to toilet when nothing comes out? This information is important to rule out any inflammatory process beside loose anal sphincter. I suggest you few investigation for stool studies, which will tell if he has active infection of bowel and if present can be treated with antibiotics then. For treatment he can take Imodium, two tablets thrice daily for two more days. Excessive use of this medication would cause constipation and can worsen patient discomfort. I want you to help him learn pelvic muscle strengthening exercises. There are many youtube videos available to learn how to do pelvic floor strengthening exercises while sitting on a common chair. Lastly biofeedback therapy which is a computerized software which help him to control his anal sphincter while passing urine or otherwise. This treatment is offered at physiotherapy department of a hospital. Avoid excessive fibers and modify liquids (1 to 1.5 liter maximum) intake in a day. This would reduce the overall bulk of stools formation in the bowel and hence decreased stool output. Stop or reduce alcohol intake if taking. This also causes diarrhea and loose sphincter controls. I hope this helps. Stool incontinence secondary to age with loose sphincter, plus drug side effect. Digital rectal examination (performed by gastroenterologist in person). Norectal manometry (not usually required if digital rectal examination is suggestive of the diagnosis). Stool detail report. Stool fecal calprotecin and stool for occult blood. Stool for ova and parasites. Stool for fat globules and reducing substance. Complete blood count. Stool incontinence secondary to older age and drug-related. Follow up to disclose other parts of history as mentioned above. Otherwise follow above regimen and see me in one week time after investigation." + }, + { + "id": 8391, + "tgt": "Is it true that Ashwagandha has bad interaction with anesthesia?", + "src": "Patient: Hi doctor, I am due to have a surgery cone biopsy for CIN 3. I am stopping all my supplements a week before, as requested by the hospital. However, I ordered an herbal medicine last week, Ashwagandha, to try for insomnia and nerves. It was dumb to try without consulting a doctor. I think I have only taken it three to four times in total, about half teaspoons of the stuff for each dose over the last week. I had almost a half teaspoon with water. I just looked online that they advised to stop taking Ashwagandha at least two weeks before surgery as it may have a bad interaction with anesthesia and also may cause bleeding. I have never had general anesthesia before and I am somewhat terrified of not waking up from it already. Another doctor advised to stop taking the stuff one week prior, which puts me in the clear. I wanted to have your opinion on it. The last dose was 48 hours ago. Do you know about this herb and its dangers with surgery? Do I need to reschedule my surgery? Doctor: Hi. Regarding your query, it seems you have already searched a lot on the social networks. For further doubts consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 15919, + "tgt": "Is it safe to take Cefuroxime by a breastfeeding mother?", + "src": "Patient: Hello doctor, My wife is suffering from fever from the last 3 to 4 days. She was taking P650, Calpol 500 twice daily. But the fever is still persisting. Today we contacted a local doctor and he prescribed Zocef CV 500 antibiotic course for three days. But we have a one and half-month-old baby girl who is continuing breastfeeding. Is that Zocef CV 500 safe for breastfeeding? Please suggest. Doctor: Hi. Though the low level of Cefuroxime (Zocef) is being secreted in breast milk and postulated possible side effects are a change of intestinal flora of the baby and may lead to diarrhea. But the prospective studies failed to show such kind of the side effects in the study population (there was no difference in cases and controls). Hence, this medication is considered safe in lactating women. And the lady should continue breastfeeding as usual.On the top, she should take antibiotics only if there is an indication." + }, + { + "id": 5127, + "tgt": "I found pimples on my private parts. What to do?", + "src": "Patient: Hi doctor, I found pimples on my private parts yesterday. But, I do not feel any irritation. Please help. Doctor: Hi. Please send good quality photographs taken under natural light for further knowledge of your problem.Revert back with photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22485, + "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": 10200, + "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": 20740, + "tgt": "How to control schizophrenic patient?", + "src": "Patient: Hi doctor, My uncle had got schizophrenia when he was 20 years old. Now he is 45 years old. He gets aggressive after taking pills, and he is alright without them. He has stopped talking. He is not sleeping and talking to anyone. He isolates himself. He does not even take a shower. My dad bathes him. Doctor: Hi. Your uncle has schizophrenia. It is a chronic disorder. It is a less likely cause for getting aggressive after taking pills. If he is on any antipsychotic medication, then it will get better for him after taking it. You have to teach to improve his care. He needs Amisulpride medication. Your uncle is suffering from negative symptoms because of schizophrenia. You have to take him outside to the sunlight exposure for 20 minutes. Give him some brain stimulating work like training him to separate vegetables, wheat from the rice mixture of 100 grams. I am sorry to say that he may have a lifelong illness. But it can be controlled with medication and behavior therapy." + }, + { + "id": 24876, + "tgt": "How can I manage tan, dark, dry and itchy skin?", + "src": "Patient: Hello doctor, I am 32 years old. My hands are very tan, dark, dry and itchy. I have this in the whole body. Please suggest me sunscreen for hands and to clear my dark skin as I am getting married in two months. Doctor: Hi. Tanning from sunlight needs few weeks to fade. People having type 4 skin produce more melanin on exposure to sunlight. Tanning is a kind of protection from sun so that we do not burn. To remove this sun tan, avoid further exposure to sunlight, use sunscreen with SPF 50 and Suncros tint sunscreen. Apply sunscreen 30 minutes before stepping out and repeat applying every 4 hours. Sunscreen provide protection for 3 to 4 hours. Hence, need to apply repeatedly. Use Kojic acid, Glycolic acid and Arbutin combination cream (it comes by name Demelan cream) for dark areas at night. 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 suggestions. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24685, + "tgt": "I had a sudden outbreak of hives. Are my medications appropriate?", + "src": "Patient: Hello doctor,This is regards to my urticaria problem. I had a chronic urticaria three years back, for which I underwent a course of Loratidine and Xyzal-M for close to one and a half years and was keeping well. All of a sudden, I had a severe outbreak of hives last week and was put on Dazit-M, Allegra 180 and Xyzal along with Methylprednisolone (8 mg).This time it is so severe and after three days it is not coming down. I need your advice on my current condition and if my medications are appropriate. Doctor: Hello. At the moment, you are having acute exacerbation precipitated by one of the exaggerating factors like artificial flavoring agents, any drugs or some chemical agents. You have already been prescribed steroid which is Methylprednisolone for three days and some other antiallergic medicine as well. I will recommend you to be patient for one more week and continue the same medication. If in case there is no improvement, only then I will recommend having another short course of steroid. Meanwhile, I will ask you to please avoid readymade or take away meals, use bland products for washing, avoid perfumes deodorants, etc. I know this is difficult to do but avoid as much as you can. You can apply topical steroid lotion mixed with vaseline lotion in equal parts and then apply on your hives two times daily. Please continue with your oral medicine in addition to this. In case you have any breathing difficulty then see a doctor on an emergency basis. Next time please send a picture of the lesion as well to know the extent of disease too. Revert after a week to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13807, + "tgt": "Why is there a skin patch on my lip that gets white and dries out?", + "src": "Patient: Hello doctor, I have had this patch of skin above my top lip for the past couple of weeks. It has not worsened or disappeared. It is white and dries out. I have been putting on ointments but nothing seems to improve it. It does not have bumps. Doctor: Hello. It seems like Pityriasis Alba which is patchy post inflammatory hypopigmentation, usually on the face, in those who have dry skin or are atopic. I suggest you use Tacrolimus 0.03 % ointment, twice daily. Rub it in. Do you use a moisturizer on your face? How do you wash your face? Do you have any allergies?" + }, + { + "id": 26526, + "tgt": "I have itching in the anus and nothing seems to work. What to do?", + "src": "Patient: Hello doctor,I have intestinal worms causing itching in the anus. I tried Mebendazole 500 mg and also Albendazole 400 mg for three days but nothing works. Doctor: Hello. After viewing your query, I would like to add: Kindly follow the above steps. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 28655, + "tgt": "Will HSV affect my daily lifestyle or marriage?", + "src": "Patient: Hello doctor, I was diagnosed with HSV-1 four months back, HSV IgG was positive, and IgM was\u00a0negative. I am a healthy person, and if I keep myself away from HIV, will I still have HSV outbreaks after 60 years of age? HIV is the only known immunocompromised state. Will a\u00a0cold, flu, thyroid, diabetes, or any other general illness trigger HSV outbreak? Instead of Acyclovir 200 mg for five days, can I take a single dose of\u00a0Famciclovir\u00a01200 mg, when I get a sore? Will HSV affect my daily lifestyle? I am going to get married, so please help me. Doctor: Hi. For further queries consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 26342, + "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": 3547, + "tgt": "Please guide us with the treatment for my mom's skin disease", + "src": "Patient: Hi doctor, My mom is suffering from skin disease for the last two months on her palms and bottom part of her legs. She has an itchy feel from inside and usually her hands are getting tight and dry. The upper layer of her palm skin is coming out in patches. Please guide me with the pictures attached. Doctor: Hi. I have seen the pictures (attachment removed to protect patient identity) and the given history of your mother. Certain general measures have to be followed such as: For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17973, + "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": 20909, + "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": 4402, + "tgt": "What is the best option other than braces to fill the gap of missing upper left canine?", + "src": "Patient: Hello doctor, I have an impacted tooth in the roof of my mouth and I do not have a top left canine. What are my options to fill the gap? A bridge or an implant? Or anything else? Not braces please and the fewer appointments are better. Doctor: Hi. First of all, I need to know your age. The treatment plan varies according to the age factor. Secondly, the impacted tooth no matter where it is, it should be 100% removed. This is done to reduce the possibility of complications in the future. It cannot even form a cyst, abscess, etc., because it is prone to infections. Only after the removal and depending on the remaining space restoration options are considered. If you are young, then braces option will give you the best result because it does not involve grinding of teeth. Plus it gives you a permanent result. Even though the time frame is more for the treatment, it is worth it. Next is the bridge option. Here, there is grinding of teeth on either side of the gap. Reliable but why do you want to unnecessarily grind the teeth which might make your teeth sensitive when the bridge fails in the long run. Then you got to fix it again. Double expense. Implant is a good option. This depends on how sound is your jaw bone and for canines, it is mostly not considered because of the difficulty in imitating the natural aesthetics. For a detailed and customized treatment plan please visit your dentist and discuss the best option that suits your age and the quality of bone." + }, + { + "id": 12517, + "tgt": "Why people drink more water in chronic mercury poisoning?", + "src": "Patient: Hi doctor, In the case of chronic mercury poisoning,\u00a0is there an increased consumption of water? The same question, for chronic fluoride poisoning. Please guide. Doctor: Hi. In chronic mercury poisoning, it binds and stops the functions of SH (sulfhydryl-containing enzymes). It also gets deposited and causes cellular toxicity. If the toxic pathology happens in the gastrointestinal tract (GIT), then the patient feels burning inflammatory sensation in the GIT. In order to cool it, he consumes more water. This concept is mentioned in Indian Traditional Siddha Literature. But, no modern study is available on this concept. It also says that even a person become psychotic. In chronic fluoride poisoning, there are no such symptoms as the fluoride target calcium sites like teeth and bones. It also has other effects in internal organs. Many geographical areas are contaminated or rich in mercury and fluoride. The groundwater (or drinking water) is rich in mercury or fluoride. The same water is used for agriculture. Thus, people tend to consume mercury and fluoride through drinking water and vegetables. Fish (from mercury-contaminated sea) consumption also leads to mercury poisoning on a chronic basis." + }, + { + "id": 30379, + "tgt": "We are scared about twin pregnancy complications. Please advise", + "src": "Patient: Hi doctor, My sister-in-law is 3 months pregnant. Three days ago, during her antenatal scan, we came to know that it is a monozygotic twin pregnancy. We have a few questions. How to know that it is not a conjoined twin? I have attached the scan reports. Please let us know whether the growth is fine. It was found to be a twin only after 3 months. Will it cause any major difference in their growth? Also, she is a short person and 38 kg weight. Also, she lost 3 kg in the last three months due to pregnancy sickness. Will it lead to premature delivery or C-section? She does not have any health issue such as BP, thyroid, bleeding disorder, diabetes, etc. This is her pregnancy and I have attached the scan reports for your reference. Please guide us doctor. Doctor: Hi. Firstly, my hearty congratulations for twin pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15222, + "tgt": "I have tingling in upper lip without any weakness or numbness. Please help", + "src": "Patient: Hello doctor, I am female, have good health, fit, and 45 years old. For the past two days, I have had a small amount of tingling in the upper lip. No weakness, no face or body numbness, no headache. Please help me. I have severe myopia and wear glasses. Doctor: Hello. Your symptoms are so localized that it is really exceptional for any neurological disorders like MS (multiple sclerosis), Guillan Barre or any brain tumor (other symptoms should be present and the beginning is a little slow and progressive)." + }, + { + "id": 12131, + "tgt": "I have an infection in my private part. Kindly advice", + "src": "Patient: Hello doctor, I have an infection in my private part. Kindly help. Doctor: Hello. What are the symptoms in it? How long has it been there? Any recent unsafe sexual exposure?" + }, + { + "id": 24866, + "tgt": "Can you suggest a good cream for pityriasis versicolor?", + "src": "Patient: Hi doctor, I have this skin condition called pityriasis versicolor. My regular dermatologist prescribes a single dose of Fluconazole 450 mg and it recurs after a few weeks or months. Could you suggest something better to me like a skin cream? Doctor: Hello. I have seen your query. I suggest using topical Clotrimazole cream local application twice daily and use 2 % Ketoconazole shampoo applied once daily for three consecutive days per week till the clearance of lesions. Other oral antifungals in case of relapse are Ketoconazole tablet 400 mg once per month or Itraconazole 400 mg once a month for six months can cure the disease. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 8912, + "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": 14216, + "tgt": "Will touching of bed sheet by needle tip before TT injection cause any contamination?", + "src": "Patient: Hello doctor, I have got a TT injection in deltoid of left arm today from a local hospital. After loading injection in casualty the nurse called to injection room, I sat there, nurse cleaned my arm with spirit. After cleaning, I noticed that the preloaded syringe with the needle was kept on the bed with needle touching bedsheet by the time I was about to ask, injection was administered. After this, I also enquired about this to the nurse then she said cap was slipped off and did not notice. I also enquired to RMO he also said no need to bother. I am having doubt that injection needle if touched the bedsheet, will there be contamination. Now I am anxious about this. Will there by any possibility of diseases due to this unsterile injection? Please give your opinion. Doctor: Hi. Good to know that you are careful with healthcare. Firstly I would like to know what was the reason to take a TT injection? On a general note, the injection needle scenario you described is completely safe from most serious viral infections, but only a few bacteria may persist. You see, any organism that develops disease inside a human body grows in a warm medium such as blood and requires a liquid temperature controlled viable environment. But in this case, the bedsheet is a nonviable environment for any infective organism or germ. Hence the chances of you falling sick from that needle are as low as finding a shooting star in the sky. Although I do not say it was completely sterile, it may cause at most a slight immune response that may look and behave like a mosquito bite. Keep me updated with any suspicious symptoms you notice and do not worry, we are here for you. The nurse was not wrong either. Take care. Using a rubbing alcohol dipped in cotton over your skin prior to the injection makes your skin sterile and also the needle as it goes in. Follow up as necessary." + }, + { + "id": 22921, + "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": 13337, + "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": 16930, + "tgt": "It is painful to go to the loo. Is this hemorrhoids?", + "src": "Patient: Hello doctor,For the past six months, I have had a problem where it is very painful to go to the loo. Whenever I try, there is blood on the toilet paper as well as all over the toilet. I already tried two types of medication. I used suppository as well as a cream (Anusol HC) that goes on the outside of the anus. Unfortunately, neither of them worked. What should I do? Is this hemorrhoids? Doctor: Hello. Your bleeding per anus is because of this anal problem. As per the image provided (attachment removed to protect patient identity), it seems to be piles along with tear or fissure also. Your proctoscopy anal and rectal examination needed to check that region properly. Hope this solves your concern. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12714, + "tgt": "What can be done to treat gum abscess that is spreading to cheeks?", + "src": "Patient: Hello doctor, I have an abscess on my top left gum that is now spreading to my cheeks. I am 19. I had an abscess in the same place at 10 or other young age. Last time I went to the dentist they did not do the cleaning in the first appointment so I did not get one, but wisdom teeth removal was suggested. I have good teeth, bad gums. Also cracked my teeth when younger. So one of my two front teeth has a fake bottom (do not know if that is relevant). I do use a gel and just learned that it could be contributing. Doctor: Hi. Immediately start with these medicines. Tablet Augmentin 625 mg twice a day for five days, tablet Gramex 400 mg twice a day for five days, tablet Brufen 400 mg twice a day or thrice a day if the pain is severe for five days. Moreover, take some mustard oil or olive oil, put 1/4th teaspoon of salt in it. Make a paste and put it on gum line having the infection. Do it three times a day for three days. When swelling regress, put this paste on gums before sleeping. And start saline water mouth rinses. Take a 1/4th teaspoon of salt in lukewarm water and do its rinses 4 to 5 times a day for two weeks. And you must know this will only subside infection for some time but will go permanently after getting treatment from the dentist. Stay happy and blessed. Give me followup after three days." + }, + { + "id": 12307, + "tgt": "What are the treatment methods available for ringworm infection?", + "src": "Patient: Hello doctor, I have ringworms on my face, nose, eyebrows, scalp, jock itch, white spots around the anus that hurt and itch. I get blood when I go to the bathroom, nails rip off easily, always feeling sleepy, swollen lymph nodes and itching all over the body. Please help. Doctor: Hi. For how long do you have this problem? This is not ringworm or fungal infection. There are multiple atrophic plaques over the face and arms from your picture. Have you applied anything over them? It looks like it is lupus erythematosus but confirming the diagnosis would be made on skin biopsy. You also have folliculitis over beard area with secondary infection over it. I will suggest you consult your nearby health facility. Skin biopsy. Lupus erythematosus, Tinea incognito, atrophic lichen planus, folliculitis. Take oral antibiotics for folliculitis, tablet Co-Amoxiclav 1 gm BD for one week, apply Fusidic acid ointment BD over the lesions. Maintain hygiene of body, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 25627, + "tgt": "Why has my foot injury not healed post accident?", + "src": "Patient: Hello doctor, I had an accident five months ago and had an injury on my left foot. Since then until now, it is not fully healed. Please see the photos of the injury attached and please tell if it is normal or is there something that went wrong. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). The fact that your injury is over five months old, yet to heal, suggests two possibilities. Either there is a foreign body as a small stone, metal piece and the like, which will prevent healing. The other possibility is that there is a bone infection under the ulcer. An X-ray of the foot should be taken and these possibilities can be diagnosed. Once the diagnosis is made then the proper advise on management can be given. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 24310, + "tgt": "No improvement in pain seven weeks after fall. Does it indicate it is not healing?", + "src": "Patient: Hello doctor, I fell over seven weeks ago at a running competition (at the end of a race), and had subsequent knee pain, swelling and difficulty walking. I then proceeded to have an X-ray which ruled out any fractures and then an MRI which showed a partial PCL tear. I have been having physiotherapy on it since including leg strengthening exercises. However, severe pain still persists, no improvement from the pain felt two weeks post-injury. Does this indicate it is not healing? Doctor: Hello. The pain indicates that you might give some more time for it to heal properly. Do not be in a hurry to start up your exercises. Partial PCL (posterior cruciate ligament) tear recovers well with exercises. So, you do not worry. Keep working towards pain reduction first before starting off any exercise routine. Work for range of movement in your knee. Once you attain pain-free movement with complete or at least considerable pain-free range, you can start off next level of rehabilitation. Till then, work on the recruitment of muscles and maintain whatever you have. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 9955, + "tgt": "I had a bleeding in my private area after placing some object in it. Why does it occur?", + "src": "Patient: Hello doctor,I am a 15-year-old female, and I have put something inside my private area, and when I took it out, it started bleeding. Why? Doctor: Hello. According to your description, there is a possibility of injury to either hymen or vaginal mucosa. If the bleeding is minimal, which may be due to mild abrasion, that will subside usually. If the bleeding is persistent, better to consult your gynecologist once, get examined to find out the exact problem, and take treatment accordingly. I hope I have answered your query." + }, + { + "id": 24517, + "tgt": "My sex urge has dropped due to testosterone supplements. Kindly help", + "src": "Patient: Hello doctor,My age is 26 years. My sex urge has dropped since three months I guess because of testosterone. I had been doing bodybuilding before and was taking testosterone. Doctor: Hi. I have gone through the problem and understand your concern. Yes, high doses of testosterone can cause a decrease in sexual libido. As it is a well-known fact that testosterone is a must for sexual libido but higher dose can decrease it. Once you stop testosterone, your libido will return to normal level after a few months, as the body gets back to its normal function. So stop it now and wait for a few months. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28375, + "tgt": "The back of my right leg is paining after a fall. What to do?", + "src": "Patient: Hello doctor,I fell at my work yesterday. The doctor said that there is no fracture, but the back of my right leg is hurting. Please help. Doctor: Hi. Revert with more information to an internal medicine online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17645, + "tgt": "Why am I having itching and irritation near genital area?", + "src": "Patient: Hello doctor,I am suffering from heavy itching and irritation in the area between thighs near genital area and asshole area. Currently, I am using Candid B lotion and Clotrimazole cream. Doctor: Hi. Avoid Candid B (Beclometasone and Clotrimazole) cream. It is a fungal infection. You will need oral antifungal medication. Are you allergic to oral medication? Are you diabetic? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28650, + "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": 20600, + "tgt": "I am hyperthyroid and have polycystic ovaries. I have menstrual irregularity. Please help", + "src": "Patient: Hi doctor, I am 32 years old. I amhyperthyroidand I havepolycystic ovaries. I had my period for just one day last month. It was very light. I, however, took two pregnancy tests two days ago. The first one read positive and the second, which was taken a few hours after read negative. Could you please help? Doctor: Hi. Thyroid disorder and polycystic ovaries, both can cause menstrual irregularity. They are also responsible for lighter periods. But, test once positive, cannot be ignored. I think you should get a TVS (transvaginal scan) done and a beta hCG (human chorionic gonadotropin) level before considering anything negative. It could be a missed abortion also. Consult a gynaecologist online with the test reports for further diagnosis --> https://www.icliniq.com/ask-a-doctor-online/obstetrics-and-gynaecologist" + }, + { + "id": 12197, + "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": 3337, + "tgt": "Will persistent dry cough, wheeze and rattling in chest end up in chronic bronchitis?", + "src": "Patient: Hello doctor, I am 19 years old and have had acid reflux for the past five years. I have had a cough and whistling sound (wheezing?) with it for five years and over the past few months I have had rattling in my chest. The doctors cannot hear the rattling, but I feel it mostly when I lay down. In addition to the rattling, the cough has gotten worse. It is much more of a dry cough and it burns. Also, for the past five years it feels like it is hard to breathe, but the doctor say my lungs and says it sound clear. An x-ray was also performed a few weeks ago and they said the results were normal. What could cause this? My biggest fear is chronic bronchitis. I am having another endoscopy soon, but would a bronchoscopy be better? Doctor: Hello. From your history, it is very clear that you are suffering from too many problems in your teenage. First thing, I want to clarify is you are having morbid obesity. Also, you suffer from chronic gastroesophageal reflux disease i.e. GERD. So you are having dry cough for such a long duration. The current symptoms you suffer are suggestive of bronchial asthma. GERD is the aggravating factor for your dry cough. The most important investigation to rule out asthma is spirometry also called as pulmonary function test (PFT). Obesity is making all symptoms worse. So you should also concentrate on weight reduction and regular exercise. If PFT is suggestive of asthma, you need definitive inhaler treatment to keep your asthma under control. Chest x-ray may appear normal but dry cough for such a long duration again suggest asthma. Priority should be given for weight reduction. Allergy to dust, GERD, and obesity. PFT or spirometry, AEC (absolute eosinophil count) blood test. Bronchial asthma, GERD. Bronchial Asthma. Inhaled corticosteroids through metered dose inhalers, antacids for reflux and weight reduction for obesity. Avoid spicy food. Needs regular monthly follow up with your doctor to keep your asthma under control." + }, + { + "id": 10924, + "tgt": "I do not have the feel of sleeping. What is the reason?", + "src": "Patient: Hi doctor, I am feeling tired for a couple of weeks. I do not have the feel of sleeping. I cannot completely open my eyes in the morning. I have a headache and neck stiffness. I went to a urgent care as I had chest pain, they did an ECG and blood test and told me that there is nothing to worry about heart and they told, I may have GERD and gave me some acidity medication. I had a follow up with an ENT as I was having a headache. The ENT doctor told me that I have a sinus infection. I took antibiotics given by the doctor for seven days to get some relief but, still, there is tiredness, feeling of sleepy and some discomfort in my throat and neck. Three years back, I used to have acid reflexes and I used to cough a lot so I developed tonsils. I am not sure what is causing headache and tiredness? Is this anything to do with brain stroke or gastro problems? This is causing a lot of anxiety and stress for me. Currently, I am taking Amoxicillin, Fluticasone, Prednisone, Ranitidine tablets. Doctor: Hi. It may be due to sleep apnea or obstructive sleep apnea. Frequent awakening while sleeping that is unidentifiable to the individual himself causes all the discomfort. It is a disease where we cannot sleep well and we will feel uncomfortable and lazy, you will have no energy and daytime sleepiness is very common. GERD can be a chronic issue. It also adds to the symptoms especially as you have head and neck issues. I can see you are already taking some medications for this. If there is no benefit, consult a Gastroenterologist soon. For evaluation and assessment, consult a sleep apnea doctor who would run a lot of tests after careful examination. For more information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6936, + "tgt": "I am suffering from headache and my MRI is normal. Please help", + "src": "Patient: Hello doctor, I have disorientation, headache, sensitivity to light, forgetfulness, and drowsiness. I went to the hospital to rule out brain aneurysm, nothing was found, but I need a resolution for the pain. Please help. Doctor: Hello. Headache with sudden onset and the worst headache of life need evaluation. Since your MRI brain is normal, it is reassuring. One thing that still needs to evaluate is, has there been any change in your vision, how is your fundus (eye) examination (to make sure there is no increased intracranial pressure). If all these tests are normal, then you might be suffering from status migrainous. Fioricet should be avoided as this may cause dependence. Things that would help, 1. ER visit for migraine cocktail for headache relief. 2. Water intake two liters per day. 3. Exercise daily. 4. A good sleep of at least five to six hours. 5. Preventive medications like Riboflavin 100 mg oral daily or Magnesium oxide 400 mg oral daily (trial for a month). 6. See a neurologist for detail evaluation. eye examination (fundoscopy) Migraine cocktail if secondary Headache is ruled out." + }, + { + "id": 10467, + "tgt": "Am I suffering from pneumonia?", + "src": "Patient: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, blood culture and sensitivity, sputum AFB, sputum culture and sensitivity and sputum gram stain tests were done. The results were normal except the gram stain test results. The gram stain sputum culture conventional showed pus cells and epithelial cells occasionally, bacteria - gram positive cocci, gram negative rods. Sputum culture and sensitivity showed pus cell - occasional, epithelial cells - occasional, bacteria - gram positive cocci and gram negative rods and growth observed - normal flora. So,\u00a0kindly explain the above results and advise me. My past medical history includes fistula-in-ano, hypertension and vitamin D deficiency. Currently, I am taking Telma 40 mg and Lumia 60k. Doctor: Hi. Revert back with the investigation reports to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 4716, + "tgt": "I am having a feeling of guilt and fear. How to cope with it?", + "src": "Patient: Hello doctor, I am feeling very stressed for some issues. I am having a feeling of guilt and fear. How to cope with it? Doctor: Hello. You have reported feeling stressed for the past 5 days due to some issues. Were you completely normal before 5 days? It is common to feel stressed when faced with difficult life circumstances. You can follow these strategies to manage stress till you get better. 1. It is very important not to isolate yourself during this period. Try to open up and talk to a trusted family member or friend so that they can support you. If you are feeling low, you will want to avoid meeting other people. But try to make an effort to go out and see others. 2. Exercise regularly. Go for walks, play sports. These will release natural endorphins in your body and help to improve your mood. 3. Eat regularly and sleep well. Avoid using alcohol or any other drugs. These will just numb you temporarily and will not help in the long-term. 4. Try meditation to calm yourself. 5. Try to keep yourself occupied by continuing with your regular work. Distract yourself. During leisure time by listening to nice music, watching movies, etc. 6. Follow sleep hygiene measures. Try to sleep for atleast 7-8 hours daily. 7. Try progressive muscle relaxation exercises and deep breathing exercises. 8. Try not to worry about things beyond your control. Is there anything in particular which makes you feel guilty and fearful? Is it related to any recent stressor? If you are continuing to feel stressed and not able to cope, visit your doctor locally for an assessment. Remember it takes some days to feel back in control." + }, + { + "id": 17701, + "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": 11485, + "tgt": "I have Budd-Chiari syndrome and I feel very uncomfortable due to ascites. Please help", + "src": "Patient: Hello doctor, He was diagnosed with Budd-Chiari syndrome before five months, and he is feeling very uncomfortable due to ascites. Currently on Acitrom 3 mg, and Udiliv Dytor 10 mg. Kindly advice. Doctor: Hello. Budd-Chiari Syndrome is a rare condition caused by narrowing and obstruction of the hepatic veins. Obstruction of the veins prevents the flow of blood from the liver to the heart. Obstruction is due to the formation of a fibrous web in the blood vessel or blood clots. It can be due to a blood disorder, infections, chronic inflammatory disorders, cancer, liver enlargement, and fluid collection in the abdomen, etc. Do LFT (liver function test), RFT (renal function test), CBC (complete blood count), CT (clotting time), BT (bleeding time), and US abdomen (ultrasound). Treatment depends upon the cause. But generally, treatment is medical or surgical. Mainly ascites fluid is taped to relieve tension and portal hypertension management is done. Some times liver transplantation may be needed." + }, + { + "id": 10561, + "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": 23467, + "tgt": "I have red skin on head of penis. What medication can I use?", + "src": "Patient: Hello doctor, I have red skin on the head of the penis. The forehead of the penis is red and when I pull skin up, I see some thick water like liquid (sometime look like it is white) is coming out of skin. The whole area where water coming out is red and looking like it has injuries or cuts. This situation is since last one week. When I dry penis head area, I find comfortable but when I pull down skin again, it gets moisture again. What medication should I use to get rid of this situation? Any herbal or antibiotics treatment? Doctor: Hi. From your history, it can be candidal balanitis. Treatment for the same is antifungal medications. But to be sure of diagnosis kindly send an image of the involved area and revert back so that oral medications can be advised along with topical. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17968, + "tgt": "I injured the head of my penis during masturbation. Will it heal on its own?", + "src": "Patient: Hello doctor,I injured the head of my penis, during masturbation, with a toilet paper roll. The cut seems to be half a centimeter long and blood came out but the bleeding stopped almost immediately. I used water to clean it (the blood seems to be stuck there) and then Betadine. Should I see a doctor or will it heal on its own? Doctor: Hello. If bleeding has stopped it is not necessary to see a doctor. Just apply Betadine (Povidone-Iodine) as already done by you and clean with Savlon (antiseptic) solution. Avoid masturbation for five to seven days. With this management, it may bleed again. In that case, you need to apply pressure with fingers. You can also put gauze and surround with dressing tape or a band-aid. During masturbation, avoid using things which can cause trauma to the penis. Or wear a condom which can provide a layer of protection. Avoid bending of an erect penis. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4351, + "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": 91, + "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": 6141, + "tgt": "I had piles with blood in stool, and now there is a lump outside my anus. Please suggest medication", + "src": "Patient: Hello doctor, I am having a piles problem. I had blood in my stool for about one month, and now a lump is felt outside of my anus. I need some medication. Please suggest. Doctor: Hello. I have gone through your issue. It does not confirm that you have piles but, it could be most probably piles. Is it painful when it bleeds or not painful? Is the blood coated on stools or does it drip down, or blood mixed with stools and mucus? Do you have constipation or hard to pass stools? Was there bleeding after an episode of constipation or passage of hard stools? Is the lump outside the anus painful? Have you been previously diagnosed with piles? The best thing to do is get it examined by a gastroenterologist to confirm the diagnosis. I would suggest you some laxative for some time if you do not have loose stools. It could help to heal. Syrup Looz (Lactulose solution) 30 ml at night before bedtime for two weeks and Anovate cream (anti-haemorrhoidal cream with Beclomethasone Dipropionate) for local application twice a day for ten days. I would advise you to consult a gastroenterologist at the earliest to have it assessed properly." + }, + { + "id": 20058, + "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": 27008, + "tgt": "I have elevated homocysteine and uric acid levels. Please suggest the treatment", + "src": "Patient: Hi doctor, My homocysteine level is 65 mcmol/L. Vitamin D and SGPT values are 7.72 ng/mL and 70 units respectively. I\u00a0also have higher uric acid levels. I have attached my reports. Please suggest further treatment plan. Doctor: Hi. For further queries consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 8237, + "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": 6994, + "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": 4229, + "tgt": "How to go ahead with hormone replacement therapy?", + "src": "Patient: Hello doctor, I take Clorazepate, Quetiapine, Akineton (Biperiden), Ludiomil (Maprotiline) and Lyrica (Pregabalin).\u00a0I am wondering whether I can go ahead with hormone replacement therapy which includes Estrogen and Spironolactone. Doctor: Hi. Revert back with the asked details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 27004, + "tgt": "My kid has constipation issues from the last three months. What might help her?", + "src": "Patient: Hello doctor, My kid is 1 year old. Since the last three\u00a0to four months, she has constipation issues. Her doctor prescribed her a medicine which worked for a while. But, now she again has it. Doctor: Hello. If there is any other query, do let me know. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 8721, + "tgt": "Do you know the reason for gum pain after temporary crown placement?", + "src": "Patient: Hi doctor, I am looking for a little advice since I cannot be seen until tomorrow by my dentist. I recently had a root canal on my bottom left tooth (last one at the back in the photo). A few weeks later, I got a temporary crown placed over it. The area beyond the tooth is inflamed and hurts badly. It is causing pain on the side of my tongue and the left side of my throat. I have no idea what could be causing it. I remember them attaching a metal piece back there to keep my mouth dry and open, but not sure if that could be the cause of anything. It did hurt when they did the procedure. What can I do today to relieve the pain? Also, do you know what could be causing it? Thank you. Doctor: Hi. I had gone through your complaint and the relevant details (attachment removed to protect patient identity). The cause of your pain should be either of the following. 1. Check occlusion and perform coronoplasty (reducing tooth occlusion by restructuring the tooth). 2. Smoothen the margins of the temporary crown. 1. Do not brush aggressively on the affected site. 2. Do not rub salt on the inflamed area. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16301, + "tgt": "My HIV test reports came nonreactive. Still, is there any chance for HIV infection?", + "src": "Patient: Hi doctor, I had a partner. I have not done sex with her. But I have kissed her. I do not have any symptoms till 80 days. But my fear and anxiety got increased. So after ten days, I did a tridot test. It came nonreactive. After ten days, I had a problem of having frequent urination and itching. So I consulted a doctor. He asked me to do a urine test, and the results came normal (with pus cells of three to six). Again, after ten days, I did a card test for HIV, VDRL for syphilis and HBsAg. All the results came nonreactive. After a few days, I got sores inside my lips. So I was planning to take IgG test for HSV. Is tridot test taken for HIV is reliable? Is there any chance to get gonorrhea and chlamydia after 100 days? Is IgG test is reliable after four months? Please advise. Doctor: Hi. Tridot test for HIV is reliable. There is something called window period in HIV. It usually ranges from two to three months where the test for HIV will be negative. In such cases, the test has to be repeated. Since you have done the test after three months, this test should be conclusive. VDRL (venereal disease research laboratory test) and HBsAg test (hepatitis B surface antigen test) are reliable. If they are negative, it means that you do not have an infection. Gonorrhea symptoms will start within two to five days of contact, and chlamydia comes within 10 to 14 days of contact. The chances of having gonorrhea and chlamydia after three months are minimal. For Herpes, you have to take both IgG and IgM antibodies test. IgG antibody indicates past infection, and IgM antibodies indicate present infection. If you have blisters, then IgM will be positive. If IgG alone is positive, it suggests about the past infection. I explain about pus cells also. Pus cells are polymorphonuclear leukocytes and neutrophils. There should be more than ten pus cells in the urine per high power field for the urine test to be positive. Having three to six pus cells are not of much significance. It should be more than 10 to be worried." + }, + { + "id": 12405, + "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": 15698, + "tgt": "There is a painless swelling inside the lips. Could it be a cancer?", + "src": "Patient: Hi doctor, My mother has a swelling inside her lips. It is not painful, and it is not getting healed. She consulted a doctor. The doctor told that the swelling had occurred due to an allergic reaction. Is it cancer? Please suggest. Doctor: Hi. Every swelling is not cancer. It can be a fibroma. It occurs due to trauma or biting lips. The second one is a mucocele. It is a swelling of sebaceous glands. It also occurs due to injury or biting. Both are non-cancerous. Please send a picture of it. So that, I can guide you further. Please say whether your mother has a habit of nail-biting. The management depends on the size and nature of the swelling. It may need some drugs or excision. You can consult a dentist and an oral medicine specialist soon for treating it. Please mention about her habits, drug history, and the presence of any sharp tooth in her mouth." + }, + { + "id": 9997, + "tgt": "Kindly view the X-ray and give us a second opinion", + "src": "Patient: Hello doctor, My partner had a small accident while on holidays. She slipped and fell on a wooden floor and landed on her outstretched right hand. (dominant hand). Her wrist got injured, received immediate medical attention with a splint attached, and an X-ray image was taken about 14 hours after the accident. She received a cast after the diagnosis of a fracture of the tip of the ulna. We would like to have a second opinion based on the attached images, especially whether other damage can be identified on the radius or other wrist bones, and whether more invasive treatment is necessary. Swelling and pain have experience on both sides of the wrist (radius and ulna), but the movement of fingers, including the thumb, did not incur further pain. The swinging of the hand sideways or up and down was also possible and without increased pain. No numbness or circulation issues have been identified. Doctor: Hello. There is a fracture involving the lower end of the radius and in the styloid process of ulna bone (attachment removed to protect patient identity). There is not much displacement in the fracture areas. It is essential that you meet a consultant orthopedician and review the injured areas. In such cases, usually a splint and cast are provided, and once the inflammation comes down in four to five days, then a definitive treatment on the fracture might be thought of." + }, + { + "id": 29358, + "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": 22581, + "tgt": "My TSH level is high and vitamin D level is low. How can it be managed?", + "src": "Patient: Hi doctor, I have thyroid problems for the past five to six years. At present, I am taking tablet Thyronorm 25 mcg. For the past one month, I have low energy levels along with stiffness and pain in the muscles, especially in the upper back and neck. So I got my blood tested for vitamin D and thyroid profile. The results are attached. TSH is out of range, and vitamin D seems to be very low. Doctor: Hi. I went through your reports (attachment removed to protect patient identity). I have noticed that your TSH (thyroid stimulating hormone) level is very high. It indicates that your thyroid hormones levels are not in the sufficient range. Hence, we need to increase the dose of Thyronorm. I recommend you to take tablet Thyronorm 50 mcg (Thyroxine) every morning in the empty stomach daily. Also, your vitamin D levels are also low. I recommend you to start taking Vitamin D supplements. Take capsule D-Rise 60K (Vitamin D3) one tablet weekly once for three months. Once your thyroid and vitamin levels get normalized, your low energy levels and muscle stiffness will get relieved. Repeat TSH after two months. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 21771, + "tgt": "What is the treatment for elbow pain due to computer use?", + "src": "Patient: Hello doctor, I often have elbow pain due to spending more time with computer and using a mouse or keyboard. I work 7 to 8 hours daily in computer and pain is gradually increasing. The pain earlier used to reduce by taking Voveran tablet and using Voveran gel. The pain has become frequent now and I am taking Tendoshot capsule for the last few days. I also use tennis elbow strap in both hands while working and that gives some comfort. I do a few elbow exercise but that seems not sufficient in reducing pain. What is the treatment for elbow pain due to computer use? Whether should I take Voveran 50 or Tendoshot for pain relief? Is there any other medicine to use for pain relief? Whether tennis elbow strap or sleeve will be appropriate for this purpose? How to prevent elbow pain while using the computer? How serious can be this elbow pain in future? Doctor: Hello. It happens due to excessive use of muscle which causes stretch over the tendon at the origin giving rise to pain. So obviously, best treatment is to somehow restrict the use of muscle as much as possible. Now, you will not be able to avoid computer use but try to restrict other activities like the lifting of heavy weights, and all the motion which involves the use of these muscles like twisting or rotatory motion till it heals. It is not at all serious, it may trouble you, may settle with time or at extremes may need some local injection for the pain to subside. Next thing, you should support your elbow as much as possible during use of computer like keeping on the edge of the chair or using pillows or some other support so as to reduce stress. Also, rather than any medicines, you should use sleeves or brace as much as possible. If not adequately helpful then may have a local Voveran gel (Diclofenac). Tablet Voveran should be avoided as much as possible, and only have if absolutely painful. Tendoshot (Chondroitin sulfate, Vitamin C, etc.) you may have. In painkillers, if you need, safest is Paracetamol like tablet Dolo 650 or Ultracet if it is not helpful then comes Voveran. You may use hot water fomentation. Also, visit local physiotherapists and get some exercises learned for it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5611, + "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": 795, + "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": 10009, + "tgt": "Can a painless tooth be extracted since it has a hole in it?", + "src": "Patient: Hello doctor,Can I pull out hard teeth out no pain because I got a hole in my teeth? Whenever I use to eat something, it got stuck in it and caused severe pain. Kindly give me some advice about pulling it out without any pain. Doctor: Hello. I had gone through your question, and I can understand your concern. If the pain occurs only when you eat food and it gets stuck into it, it is reversible pulpitis. For that, you do not need to get it extracted. You need to get it filled, and it will cost you less than that of pulling (extraction). Second, you will save your tooth too. My suggestion is to get dental filling done as soon as possible. If you want to get it removed, you need to visit a doctor (dentist), and there will be no pain because during extraction local anesthesia is given." + }, + { + "id": 16411, + "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": 15909, + "tgt": "I have joint pain. Please help", + "src": "Patient: Hello doctor, I have pain in the joints. Doctor: Hello. I went through your post, you have not mentioned which joints are paining and whether you have swelling of joints also. Your vitamin D level is low (attachment removed to protect patient identity) so you need to start taking supplements for it (capsule Lumia 60k) once a week for eight weeks. Do RF (rheumatoid factor) and anti-CCP to rule out arthritis." + }, + { + "id": 26550, + "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": 18539, + "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": 3866, + "tgt": "I was licked by a dog five years ago. Shall I get vaccinated now?", + "src": "Patient: Hi doctor, Five years ago,\u00a0I was licked by a domestic dog on my foot. There were cracks below my foot. But, I did not know whether the dog touched those cracks or not. The dog lived for another four years and died. Is there is any use if I take rabies vaccine now? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5239, + "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": 8398, + "tgt": "I am having hairfall even after using Minoxidil. Kindly advise", + "src": "Patient: Hello doctor, I am 23 years old, I am having hair fall since my puberty started. But it was less then. Since a year it became worse. I shed 50 hairs per day. Have a receding hairline. Consulted a dermatologist seven months ago. I am on Hairmax forte solution (kind of Minoxidil) in night and Renocia in the morning. I take Renocia tablets in the morning and Rubired syrup at night as suggested by the dermatologist. From the seventh month, I can see little new hair on my scalp like 5 mm (not cm, that is too small) in length and it is too thin. Now, this is my seventh month and shedding did not stop. Moreover, am seeing that little hair-like 6 cm to 8 cm is falling out a lot like 25 per day (but it is too thin that I cannot even see without zooming my eye). I am feeling that I am losing the hair that came because of Minoxidil. My shedding does not stop. I am worried a lot that I will go bald. Please tell me whether I should continue the same medication or ask my dermatologist to change my medication. Doctor: Hello. For me, first should run scalp skin scrapping examination to rule out possible fungal infection or other pathologies. Next, hormonal and hereditary patterns should be considered. Plus, should check your blood for anemia (complete blood count), folic acid, vitamin B12, vitamin D levels, liver or kidney function test, thyroid function test to rule out respective problems that might be related to hair loss. The current treatment is fine. Keep regular follow ups with your caring dermatologist." + }, + { + "id": 3529, + "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": 11823, + "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": 13341, + "tgt": "I have a spot on my tongue. Is it something serious?", + "src": "Patient: Hello doctor, I have found this spot on my tongue for the past seven months and for the most part, has not really changed. No symptoms, but can sometimes feel the bumps when I run my finger over it. Does this look like it is a frictional problem or something worse? I am guessing friction based on what I have been told before but want to confirm with another opinion. Doctor: Hi. I had gone through your question and understand your concern. As per your photographs (attachment removed to protect patient identity), it does not look like any severe problem. This could be the friction or irritational in nature due to a sharp tooth edge. This lesion only looks like hyperkeratotic and nothing else. So, there is no need to worry about it. Please let me know if there is any sharp tooth edge, also if there is any swelling under your mandible (chin). You can also take high Vitamin A diet like carrot or Vitamin A supplements for at least a month, it will be helpful and the lesion will disappear soon. Sharp tooth edge or faulty brushing technique. Traumatic ulcer. Frictional hyperkeratosis. Enameloplasty, if there is a sharp tooth edge. Brushing (modified Bass technique). Use ultrasoft toothbrush." + }, + { + "id": 1654, + "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": 7695, + "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": 29340, + "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": 11921, + "tgt": "What is the treatment for thalassemia major?", + "src": "Patient: Hi doctor, I am a thalassemia major patient. My spleen size is 21. How to reduce my spleen size? And also I want to increase my weight? My age is 21. How much percentage risk is present in the unrelated donor stem cell transplant? My ferritin is 1500 and weight is 48 kg. Please suggest some solution. Doctor: Hi. At present there is no way to reduce the spleen size. Diet for thalassemia major patient should include plenty of fruits and vegetables and protein rich diet. Taking vitamin C supplements will help to increase the immunity of the body. Bone marrow transplantation is a curative treatment for thalassemia major (symptoms of severe anemia from childhood). Bone marrow transplantation can be done if you do not have any long-term complication of thalassemia major. Adult thalassemia patients are higher risk patients for transplant-related toxicity due to an advanced phase of disease and have a cure rate of 60 to 70% with current treatment protocol. There is 90% long-term survival rate in patients with favorable characteristics such as young age, HLA (human leukocyte antigen) match and no organ dysfunction. I would suggest you to consult a hematologist who can guide you better." + }, + { + "id": 1996, + "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": 23844, + "tgt": "Am I having temporary pain or just sensitivity in my upper front teeth?", + "src": "Patient: Hello doctor, My front upper right tooth spontaneously became extremely sensitive to heat yesterday while drinking hot liquid in the middle of the day. Shortly after, it became painful, primarily when touched or biting. I can also feel some throbbing from the root or gum. Today it is still painful. I am not sure what I could have done, I always brush the area twice a day so I would be surprised if there were decay. I have minor gum recession above the tooth in question. I also had panoramic and 3D X-rays taken a couple of weeks ago for my wisdom teeth, and the images did not display anything unusual going on in the front teeth. I have not bitten anything hard or consciously done any damage to it. What could be going on? Is this just temporary pain or sensitivity? Doctor: Hi. The sensitivity could be due to tooth abrasion. But pain indicates a pulpal or a periodontal pathology (pain due to decay tooth or problem with the gums involving the tooth). An X-ray could probably be of good help in such a situation. Maybe, you had a hit to the tooth previously (even a few years back) it could suddenly cause pain. Or it could be gum recession or any food stuck between the tooth and the gum. It could be trauma from occlusion (a condition in which the affected tooth is damaged due to continuing hard contact with the opposing tooth of the lower jaw when clenching the teeth). So the cause of the pain must be diagnosed to come up with a treatment plan. If it is due to the hard bite, occlusal correction should be enough. If it is sensitivity and gum recession, a deep scaling and/or a local flap surgery procedure should be done. If it is pain due to tooth decay or X-ray suggests a periapical problem, root canal therapy (RCT) should be done. Management depends on the cause of the problem. Visit your dentist for the proper treatment plan. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13991, + "tgt": "Is there any medicine available to relieve gum pain after scaling?", + "src": "Patient: Hello doctor, My younger brother aged 18 years, is having teeth bleeding from a month. So I suggested him to consult a dentist and he went for it. As no one was there to guide him about what to do, he got into a trap by some brokers and they took him to their doctor. The doctor said it is pyorrhea and he started clearing it and did not even speak a single word about money. While cleaning his gum, my brother was having a lot of pain in his gums and his gums were receded. Although the doctor just cleaned his tooth and gums became too thin and he does not want to go there. Could you suggest some medicine which could relief his gum pain and make his gum strong like before? Doctor: Hi. The best therapy for healing of gums after scaling is as follows: 1. Saline water mouth rinses. Take a cup of lukewarm water, put 1/4th teaspoon of salt in it and do its rinses twice a day, mandatory for two weeks. New and healthy gums grow every 14 days so they will become better in two weeks hopefully. 2. Do Chlorhexidine or antibacterial mouthwash twice a day for two weeks. 3. Take tablet Froben 100 mg (Flurbiprofen) twice a day for three days. That will heal minor inflammation of gums. Kindly give me followup after a week. Avoid going to brokers because a proper doctor and sterilized instruments are very necessary for good oral hygiene. Take care. Stay happy and blessed." + }, + { + "id": 5699, + "tgt": "What is Brown-Sequard Syndrome?", + "src": "Patient: Hello doctor, In case of\u00a0Brown-Sequard Syndrome - left side damage, I am just wondering why the muscle strength grade of the left leg flexion 0/5 and left leg extension 2/5? Doctor: Hi. Revert back with the asked information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13564, + "tgt": "I feel difficulty in tasks with lack of concentration. How to approach my problem?", + "src": "Patient: Hi doctor, I have been noticed some of my symptoms for a few years. A few people make comments that got ADHD and so I searched about it. I feel difficulty in finishing a task in an appropriate time. I am always late and tired. I also interrupt other people for help, and my senior shouted me for this. For example, I study in school, and every year it gets too hard. I feel worthless, frustrated and wishing to die. I have a lack of concentration, hard to work and changing tasks without completing it. I think some psychiatric help is must here. Please help. Doctor: Hello. You report difficulties with attention, poor concentration overactivity, and impulsive behavior. These may be suggestive of ADHD (Attention Deficit Hyperactivity Disorder). ADHD may present since childhood but is more evident in the adolescent stage, as the academic demands get higher. You say you are in school. Even though you may be intelligent, if you have ADHD it may affect your educational attainment. No wonder it is causing frustration. ADHD is increasingly recognized in recent decades. It is not a behavioral problem, it is a neurodevelopmental condition which is treatable. ADHD can be managed by behavioral support, and if symptoms are significant, then medication (stimulants like Methylphenidate or non-stimulants like Atomoxetine) will be helpful. I will recommend discussing with your parents, family doctor about possible ADHD and get assessed. You can also speak to pediatric or psychiatric doctors in your school regarding the same." + }, + { + "id": 18725, + "tgt": "I have a breast lump. Is there a possibility that it might be cancerous?", + "src": "Patient: Hello doctor, I have a lump in between my breasts. I have had it for a couple of years.\u00a0Yesterday, I noticed that it got slightly bigger. Also,\u00a0it became painful and red.\u00a0Is there a possibility that it might be cancerous? I do not have any family history of breast cancer. Doctor: Hi. We are here to help you. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10969, + "tgt": "Can I get STD after having protected sex?", + "src": "Patient: Hello doctor, Four months back, I had protected sex with a massage girl. She gave me body to body massage, and then performed oral sex and vaginal sex while I was wearing a condom. I was wearing a condom throughout the whole time.There really was no kissing. Maybe one or two kisses on her neck. Some skin to skin contact. 1. What are my risks for contracting a STD (specifically which ones)? 2. What are my risks for contracting other STDs? I am tested HIV after 4 and 12 weeks with fourth generation test CMIA method, it is negative. 3. A small bean size cyst or lipoma is existing from three months onwards and still exists. Is it related to any STD? Doctor: Hello. Skin to skin contact can lead to genital warts and genital molluscum contagiosum in the area of direct contact, which are viral infections. I cannot quantify the risk exactly but can tell that you will get these only if she had these active lesions at that time. No chances of HIV, syphilis, hepatitis, if no mucosal contact or blood contact. You need to send me the photograph of any skin lesion to comment on that. Take care." + }, + { + "id": 8632, + "tgt": "What is the movable and nontender pelvic mass at the midline?", + "src": "Patient: Hi doctor, A 49-year-old G4P4 (4004) comes to your outpatient department because of bloatedness and abdominal enlargement for the past six months. LMP was two months back. She denies urinary nor bowel disturbances. Pelvic mass is palpated at the midline, movable and nontender, approximately measures 10 cms. Can I know the impression? Doctor: Hi. How are you doing today? History needs a few more details. G4, you mean she is pregnant? Rule out pregnancy. Have a urine pregnancy test, you never know. Amenorrhea may be due to perimenopausal status. Mass can be a fibroid, adenomyosis, ovarian mass in the midline. Nongynecological cause like rectus divarication and bowel hernia, mesenteric cyst, mass in the bowel. You will need to examine per speculum and manually to confirm and finally a scan to localize the mass. Since it is mobile and no other complaints, should be a benign cause." + }, + { + "id": 21158, + "tgt": "Is it possible to get white teeth without resorting to veneers?", + "src": "Patient: Hey doctor, I have always wanted white teeth. My parents had told me when I was a baby my teeth rotted as a result of the milk bottle getting left in my mouth. Fast forward to all the way now. Nothing has worked. I went to a dentist for an evaluation. And he gave me teeth whitening tray to take home. And it seems that has not worked. Is there any way possible for me to get white teeth? Without having to resort to veneers? Doctor: Hi. Firstly, I would like you to know that baby teeth are always pearl white in color and that is the reason they are called milk teeth. The permanent teeth which you have now are always slight yellowish to greyish in color by nature. I saw the picture you have attached (attachment removed to protect patient identity). And your teeth seem to be perfectly alright. There are no evidences of any problem of milk bottle decay with your current teeth. With the home bleaching tray given to you, it can only bring one or two shades lighter than the original. You cannot expect miracles to happen. And veneers are not for you as well because we do not want to ruin your shiny enamel. I reckon you maintain good oral hygiene and stay happy with this beautiful set of teeth. May be home whitening once in a while will do. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17974, + "tgt": "Why do I suffer from cold and runny nose every summer?", + "src": "Patient: Hi doctor, During every summer season, I\u00a0suffer from a\u00a0cold and runny nose. What can be the reasons? Doctor: Hello. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19680, + "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": 14321, + "tgt": "Will scaling cause loosening of teeth?", + "src": "Patient: Hello doctor, Today I went to the dentist for a checkup and cleaning. When I came out I realized that my two front teeth were loose. I guess they were too rough. When I was 7, I fell on my teeth and I have been told that the roots got extremely short after that. My dentist said there was nothing she could have done then. She suggested just using my back teeth and cutting my food into small pieces. I want to know if there was a way to make it not loose anymore or help it. Doctor: Hello. I have been through your query and I can understand your concern. After cleaning and scaling of the teeth, they generally become loose temporarily because of the ultrasonic movement of the instrument. You do not need to worry as it will get to the normal in coming days. I would suggest you not making the teeth more loose by moving them by your tongue or fingers. Just keep it like that and it will become normal after some days or a week. Follow up after one week." + }, + { + "id": 2815, + "tgt": "Is there any possibility to get pregnant with sex after two days of period?", + "src": "Patient: Hi doctor, Two days after my partner's last period we had sex. I am sure that the sperm did not go inside. According to the last period schedule and as per 28 days cycle, she was expecting her periods by yesterday or today which has still not come. I have some queries. What are the chances of her being pregnant (which should not be the case because we had done sex in a similar way previously also without any issue)?Can she still expect her periods considering a slight delay? What are the methods or characteristics so that she can diagnose if there is any pregnancy? If yes, then considering this is still an early stage (around 28 days) what can we do to avoid pregnancy? Doctor: Hi, Welcome to icliniq.com. How are you doing? I do not see any chance of pregnancy. For any lady, ovulation will be around 12-16th day of the period. Life of egg is 24 hours and that of sperm is 72 hours. Since you had sex on day 7 of periods, there is no chance of sperm being alive till date. Ovulation and the egg will not be available on the 7th day of periods. So in total, there is no chance for pregnancy, delay in periods is not due to pregnancy. It can be delayed even if any significant mental or physical stress, any severe anxiety, or depression. As you had sex so early in periods when there was no egg available. With full protection, then there is no chance for pregnancy. Chances of pregnancy are zero. You can wait for periods up to 7-10 days after the expected date, this is normal. If you want to diagnose pregnancy, it can be done with a home urine pregnancy test, earliest one day after the expected date. If doubtful, it can be confirmed with blood serum Beta HCG (human chorionic gonadotropin) tests. This can diagnose the smallest of pregnancy anywhere in the body. There is no chance of pregnancy, but if you still think there is a chance then you will have to have MTP pills (Mifepristone) once pregnancy is confirmed. I hope this helps." + }, + { + "id": 21852, + "tgt": "I am having medullary sponge kidney calcification. Kindly advice", + "src": "Patient: Hello doctor, Flank pain about nine weeks. Medullary sponge kidney calcification of kidney, past lung pneumothorax four times. Sinusitis surgery six times. No urine or blood infection. Normal kidney function. Chest pain sometimes. Fatigue, diarrhea only morning. Initial signs of clubbing. Currently, I am on Symbicort and Avamys. Doctor: Hi. The features of the ultrasound are of medullary sponge kidney which is a genetic disease with one in every 20000 affection. Although the condition is progressive, the kidney functions will be preserved for a long time. Urine gravels, stones, and infections are common that is why there is a flank pain. Hyperparathyroidism is common and should be excluded by measuring the parathormone level in blood. The lung condition and sinusitis suggest associated autoimmune condition, so autoimmune profile should be performed. Churg-Strauss disease may be associated which cause asthma, sinusitis, and renal affection. My advice: Your case requires further investigations and assessment to reach the appropriate decision. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11281, + "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": 29888, + "tgt": "Am I giving the right medicine to my daughter for fever?", + "src": "Patient: Hi doctor, My 6 year old daughter was having fever since last night. Fever was between 100 and 101 degrees Fahrenheit. Initially, baby felt cold and her feet were cold as well. But, later on even the feet became hot. I administered syrup Calpol 5 mL once at 10 PM. Child's weight is around 34 kg, slightly stout figure. She has cough, though, which is not productive, but has a lot of spasm. My daughter has an exam today. Now, in the morning the fever has subsided, yet remains at 99 degrees Fahrenheit.\u00a0Please advice. Doctor: Hi. I understand your concern. For further information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 29871, + "tgt": "Should I cleanse my body before starting workout to reduce weight?", + "src": "Patient: Hi doctor, I am 22 years old and a mother of three kids. I am overweight. I currently weigh 180 lbs and I am 5'1\". I have decided that I want to change my life around and start eating healthy, stop smoking, start exercising, etc. I just want to be the best role model for my kids. My question is, what should I do to start this journey? Should I cleanse my body first before I start working out. If so, how to start? I just do not know where to start. Can you help me? Doctor: Hi. It is really nice to hear that you want to have a change in your life. This will be an example for other ladies also. Revert back after a month to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 29824, + "tgt": "My daughter has abdominal lymphadenopathy. Is that a critical health issue?", + "src": "Patient: Hi doctor, My daughter, who is 5 years old, was detected with abdominal lymphadenopathy. Her ESR level is 62. She is also suffering from constipation and abdominal pain. Her doctor done blood tests, ultrasound and endoscopy followed by histopathology. The biopsy report shows chronic duodenitis with mild eosinophilia and mild intraepithelial lymphocytosis. The reports are uploaded for your reference. The doctor prescribed Esomeprazole (1000 mg) once daily for 30 days, Rifaximin 400 mg three times daily for 3 days and Polyethylene glycol 3350 for two months. Is there any critical health issue with my child? We have an interpretation that biopsy related to cancer. Please clarify. We are so much worried about our child's health. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 282, + "tgt": "Either MR angio or CT angio, which will show brain aneurysm clearly?", + "src": "Patient: Hi doctor, Three months ago, I had an MRA of the brain as I have weird headaches that time. The result showed a little thing, which they thought could be a small aneurysm between 1 mm and 2 mm. But, they were not sure whether it is an aneurysm or anything on the arteries. So, they advised me to go for a CTA. My question is,\u00a0which test would show it more clearly? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19764, + "tgt": "Am I at risk of having a baby with trisomy?", + "src": "Patient: Hi doctor, I am 28 years old. I am 23 weeks and three days pregnant now. My first-trimester scan was normal. My anomaly scan was done at 20 weeks six days was fine. My quad test alone is abnormal with raised beta hCG value of 6.54 mIU/mL. Am I at risk of having a baby with trisomy 1? Is it common at this age? What is the risk? Doctor: Hi. It would be better if you send me your detailed history regarding previous menstrual, obstetrics, gynecology, medical and drug history. Your age is less risky to have genital anomalies as you are too young. Trisomies are more likely to occur in advanced maternal age. Family history is also a factor if you have a family history of congenital anomaly. You have more chances if your immediate blood relatives have it. Nuchal translucency also matters. It is best measured around 13 weeks. It should be less than 3 mm actually. Biochemical profile showing 1 in 111 women of the same hormonal level have expected chances of trisomy. So combined risk is not high. Be positive and follow your treating doctor if you have any abnormal symptoms. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5989, + "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": 7637, + "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": 9309, + "tgt": "Can I take Omeprazole for mild gastritis-like symptoms?", + "src": "Patient: Hi doctor, I have suffered from gastritis-like symptoms for about a week now. I have an occasional mild tummy ache and nausea which is relieved by belching. I have suffered from acute gastritis now for several years, although I cannot be 100 % certain why. I tested positive for the h. pylori bacterium two years ago. I have consulted medical specialists in this past week, who have asked me about pain, but I have felt no pain when tested, nor vomiting, or blood in feces, etc. So, it is gastritis, although again, I am not sure what it stems from. There are possibilities though. Firstly, there is the presence of h. pylori. Secondly, a week ago, I accidentally brushed a bottle I was drinking from against my fridge, before drinking from it. I was worried about it because my fridge has not been cleaned in years. So, I may have picked up a bug. Thirdly, about 25 years ago, I had a very severe alcohol problem, although I have not drunk alcohol since then apart from very occasionally. That said, alcohol can be a trigger for gastritis, although not this time, as I have not drunk anything alcoholic for nearly two years. I have Omeprazole tablets 20 mg. I have been told it is advisable to take these for gastritis. Is Omeprazole generally well tolerated? Are there any side effects? Does it clear up symptoms rapidly? Is 20 mg a suitable dose for gastritis? Alternatively, I can take a week long course of Omeprazole, Amoxicillin, and Clarithromycin (triple therapy). I have these medicines at home. Are there side effects to this therapy? If so, what are they? Is it safe to take this? So, this is my situation. What do you advise? Should I try out the Omeprazole or the triple therapy? I look forward to hearing from you. Doctor: Hello. You seem to be suffering from irritable bowel syndrome (IBS) associated with gastritis. Yes, you can take Omeprazole 20 mg. Once a day would be enough. There are no major side effects. There is no indication for taking triple therapy for h.pylori again. I advise the following for treatment of IBS. These are the best options for you based on the details you have provided. If you have any further queries, feel free to ask me. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20208, + "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": 15615, + "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": 9633, + "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": 1222, + "tgt": "My partner has severe wisdom tooth pain with facial swelling. Please help", + "src": "Patient: Hello doctor, My partner is having a lot of pain in his wisdom tooth. I guess he is getting it but his whole mouth got swelling and he is not even able to talk. He is having fever also now and the pain is not bearable. What should we do right now as none of the doctors are available? Doctor: Hi. Your wisdom tooth got infection, so there is pain and swelling. The infection is spreading that is why you have restricted mouth opening and facial swelling. Better start with high dose antibiotics and pain killer temporarily. It will be easier for me to give correct treatment if you send an image of your face and involved teeth." + }, + { + "id": 3224, + "tgt": "What are these sores that I have on buttocks?", + "src": "Patient: Hi doctor,I have some sores that have shown up on my buttocks. It started off as red itchy bump and I used some apple cider vinegar on a few of them thinking it was ringworm and it scabbed. I am not sure what these scabs are. It does not look like the pictures I had seen of STDs. But I am wondering if I should be concerned about possible STD. Doctor: Hi. I have seen the pictures attached (attachment removed to protect patient identity). It seemed to be caused by a fungus named tinea. You have got a fungal skin infection. You can apply Clotrimazole ointment after consultation with dermatologist and take Ibuprofen per oral. Wear cotton only and loose clothes. Avoid tight fitting jeans as that causes the buttocks line to closely approximate and the itching to aggravate. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2734, + "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": 3613, + "tgt": "What could be the reason for acute vomiting and dizziness?", + "src": "Patient: Hi doctor, I am feeling dizziness and vomiting sensation for over one week. Rest everything is fine. Periods are normal and just had periods ten days back. I just had my blood test done. Kindly advise the possible medication and preventive health care. I am attaching my complete blood report. Doctor: Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Most of the values are borderline normal. Early iron deficiency anemia manifestations through low MCV and MCHC are present. However, iron levels are normal and should get corrected within two months. Hemoglobin being the lower limit of normal, it should not be the cause of the symptoms being experienced at present. Vomiting and dizziness sensation appears to be possibly local cause like gastritis or gastric reflux esophagitis. Proton pump inhibitors like Pantoprazole with Domperidone should be helpful in curbing vomiting. Irritation in the stomach or esophagus is known to cause dizziness. I hope there is no tarry or black color stools (if present, it indicates bleeding in the stomach). You need to reduce stress, eat regularly, and avoid spicy foods. Sleep should be regular and proper. Avoid lying down immediately after food, at least for two hours. Also, you need to concentrate on nutrition to improve borderline values. Take protein rich diet with green leafy vegetables, two egg whites and Vitamin C rich fruits should help in improvement. Also, maintain good hydration, with at least five to six liters of water per day. Avoid coffee or tea, if possible as it can cause gastritis and also reduce iron absorption. For now, Pantoprazole with Domperidone should be helpful along with lifestyle changes as indicated above. I hope this helps." + }, + { + "id": 29883, + "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": 16220, + "tgt": "I have increased lipoprotein level. How to reduce it?", + "src": "Patient: Hi doctor, I am a 42-year-old female. I am not taking any medications till now. Recently, I did my yearly medical tests and saw my LP(a) at 54.3 mg/dL. Please suggest. Doctor: Hi. Usually, LP(a) level should be less than 30 mg /dL. But, you have an increased level. High level of LP(a) signifies the increased risk for atherosclerosis of vessel and heart disease like ischemic heart disease. The doctor usually prescribes this test when there is a high risk for cardiac disease or positive family history. I suggest you check your blood pressure and random blood sugar estimation as well for the further work up. It is advisable to investigate your serum TSH (thyroid stimulating hormone), LDL (low-density lipoprotein), HDL (high-density lipoprotein) and triglyceride estimation as well. You can revert with the reports." + }, + { + "id": 3828, + "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": 1970, + "tgt": "I have dull headache with burning and tingling at the back of the head. Please help", + "src": "Patient: Hello doctor, I have been experiencing headaches for the last three days. It is more of a burning or tingling feeling at the back of the head that seems to travel to the front sometimes. It is not a severe headache it is more of a dull ache and also my scalp feels sensitive when I scratch or touch in those areas. I have no eyesight problems besides blepharitis and no unsteadiness or vomiting. I have done an MRI of head and neck six months back and it was clear, and I was diagnosed with fibromyalgia four months back. Doctor: Hello. Regarding your concern, I would explain that your symptoms are suggestive of tension type headache, which is a benign type of headache related to psychological stress. A wrong posture can also cause such type of headache. So, in my opinion, there is no reason to panic. I would just recommend taking painkillers (Acetaminophen or Ibuprofen) and try to relax. A warm bath can help too. If the headaches persist, I would recommend taking Duloxetine (considering also the diagnosis of fibromyalgia) or Amitriptyline. There is no need for brain MRI, as I am sure that it will result in normal. I hope this helps." + }, + { + "id": 13724, + "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": 24494, + "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": 16653, + "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": 17553, + "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": 23214, + "tgt": "Can RCT be done for a 5-year-old child?", + "src": "Patient: Hello doctor, My 5 years old son has a problem in one tooth (second last on down left side ) and doctors are suggesting for RCT (root canal treatment). I have attached the pictures to this query. Here are my questions: Can RCT (root canal treatment) be done for a 5-year-old child? Will it affect his next teeth (at around 7 years of age)? Is there any alternate for RCT as he is least cooperating? Doctor: Hello. This tooth is a milk tooth which will fall off in around 10 to 11 years of age (attachment removed to protect patient identity). So, till then to save it, you have to do a root canal treatment. Root canal treatment can be done on a child if he is cooperative or at least parent approves. It will not affect the permanent tooth which will come out below this around 10 years of age. So do not worry. It is advised not to extract this tooth at this age as it will affect the normal growth of jaw. For more information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 4049, + "tgt": "Is frenectomy a major surgical procedure?", + "src": "Patient: Hi doctor, I went for a regular dental cleaning today and the periodontist is strongly recommending local surgery to remove some muscle between my lower lip and gum. He scheduled it as a frenectomy and insists it needs to be done to prevent further gum loss as he says the muscle is above the gum and not below where it should be and is pulling at the gums. He says its a 30 minutes procedure. I needed some advice on what to expect in terms of what the process will be? What to expect on the day and after? How painful it is likely to be? And whether it is likely to cause any sort of facial deformity? The periodontist insists it will not be painful as I will be on anesthetic measure, but I could really use a second opinion as I am not finding much online regarding this process. Would it be advisable to get it done or should I refuse to go for it? Please also advise on what to expect. The periodontist recommended taking three days off work which has scared me a little about how big procedure this is compared to what he is telling me? Doctor: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. If you pull down your lower lip, you will see a small stretch of muscle connecting your lip to the gums just below your lower front teeth. This small flap of skin and muscle is called the frenulum. Frenectomy is a minor surgery that removes this small bit of tissue. This procedure is advised if the frenum is highly attached to the gums. It constantly pulls our gums down on every lip movement. This leads to premature gum recession and early tooth loss. This process will be much faster especially in the lower tooth because they are the smallest tooth and have little gums surrounding them. On the day of the procedure, the frenulum and the gums surrounding it will be anesthetized and the highly attached frenulum will be gently snipped and the remaining tissues will be repositioned and sutured. This will be a minor procedure after which you will be put under antibiotics and painkillers for the next three days. The next three days to a week will be your healing period during which, it is better you avoid or limit talking and lip movements. You can take three days off so to facilitate easy healing. These three days off is not because of the procedure but because of the sensitivity of those small muscles which is in the process of healing. This will not cause any major changes to your facial and lip structure. If your frenulum is causing lower gum recession, I recommend you to get frenectomy done soon to prevent future gum recession and tooth loss. I hope this clears all your concerns." + }, + { + "id": 131, + "tgt": "Does Duphaston delay periods?", + "src": "Patient: I am 30 Years old, Missed period for 8 days now. Since my 24 day of menstrual cycle was starting using duphaston drug once daily and finish the prescribed dose yesterday. And my menstrual cycle is between 26-28 days, this month on the days of my periods I got cramps but nothing come out. Could this be side effects of duphaston or? Doctor: Hello, Welcome to Icliniq. I would like to know the reason why you had been taking Duphaston? If you have been planning for a pregnancy, then it would be advisable to check your urine pregnancy test once. If negative you can wait upto two week for your Periods to come as you just finished your course of Duphaston yesterday. It may Take maximum upto two weeks for the withdrawal bleed to happen once the Duphaston is stopped. If you got pregnant this cycle, then you may not have periods even after 2 weeks. So check.accordingly. please feel free to revert back anytime with any further queries. Have a nice day." + }, + { + "id": 903, + "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": 30685, + "tgt": "Is it true that varicocele correction improves low testosterone?", + "src": "Patient: Hi doctor,I am 34 years old. My height is 5'11' and weight is 90 kg. I have been facing erectile dysfunction for the past three years. I visited an andrologist and he did various tests. All are good except that my testosterone levels are low. My doctor suggested that should be due to varicocele. If I get varicocele correction, will it solve the problem? Is there any other way to increase my testosterone levels? Please suggest. Doctor: Hi. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 18024, + "tgt": "Can anxiety cause foot drop and twitches in the body?", + "src": "Patient: Hi doctor, I am a 26 year old female, and I developed foot drop five weeks ago, the foot was numb, and I could not dorsiflex it. But, now I can dorsiflex, and the steppage gait has disappeared unless I walk long distances. I have more power in the foot now, but it is still a\u00a0lot weaker than the other one, I cannot walk on my heels yet. However, I have been extremely anxious about this foot drop, and a\u00a0couple of weeks ago I started to twitch, first in the legs and then all over my body, I can see the twitches. When I am talking with someone and thinking about something else, the twitches go away and come back when I think about it. I do feel weak in my body, especially in the legs. Can it be due to the anxiety? I am going to a neurologist, but there is a three months\u00a0waiting period, and I\u00a0am scared. I do not think we have had any ALS in my family. Please help me ease my mind. Doctor: Hello. It is good that your foot drop is improving in a five weeks period. The twitches that you are feeling may be due to anxiety also. If it was ALS (amyotrophic lateral sclerosis), the foot drop would be unlikely to improve. As it is improving, it is unlikely to be ALS. I suggest you undergo the following investigations. There can be many causes for foot drop. You should meet a neurologist for investigations to find reasons for foot drop and its proper management. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12839, + "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": 25048, + "tgt": "Shall I wait for period or take a pregnancy test?", + "src": "Patient: Hello doctor, I have a regular 30-days cycle of periods. Last month on 10th, my menses started. On 11th, I had sex and he ejaculated inside me. Yesterday was my actual next period, but it did not come yet. Shall I wait for the period or take a pregnancy test? Doctor: Hello. Wait for three more days. In case, it does not start, then do a pregnancy test. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9928, + "tgt": "Is there a chance of getting HIV even after having protected sex?", + "src": "Patient: Hello doctor,I am a 24-year-old male. I had six times protected sex with a prostitute. I had used a condom all the time, and it was not broken or slip off. At all the time, I used to do vaginal intercourse merely half a minute. After that, I remove my part and masturbate. I have not ejaculated inside. Then after masturbation, I used to remove my condom. But now I am worried about my status. In my scenario, may I have been infected with HIV? Please help me to get out of this guilt, and overthinking is killing me. Doctor: Hello. Even though there is a higher than normal incidence of HIV infection in workers in the sex trade, the fact that you used a condom, does make the risk that you contracted the HI Virus very low and unlikely. In my experience, however, I have found that patients will only truly relax or have their concerns completely alleviated when they have themselves tested. A rapid HIV test requires a very quick finger prick that can be done almost at any primary health care clinic, and results are available within a few minutes. This will give you documented proof of your status and is the only way to put your concerns at rest once and for all conclusively." + }, + { + "id": 14055, + "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": 30496, + "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": 20717, + "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": 6781, + "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": 8784, + "tgt": "I am unable to hold any objects due to numbness of hands and legs. Kindly help", + "src": "Patient: Hello doctor, I have stiffness and numbness in my hands and legs for past six months and so I cannot pick up any object properly because they slip. Before seven months, my B12 was 211, then I started to take supplements, and now it is 2000. Kindly help. Doctor: Hello. You are suffering from weakness in both the hands and legs. It appears like you are suffering from peripheral neuropathy. I have seen your reports, sugar is normal, B12 was low, but now it is normal. And many other routine reports are normal. My advice to you is to go and consult a neurologist or neurophysician. It is not a straightforward disease or vitamin B12 related. Please do NCV (nerve conduction velocity) or EMG (electromyography) and if necessary, go for nerve biopsy." + }, + { + "id": 19611, + "tgt": "Why do I have pain beside a capped tooth?", + "src": "Patient: Hello doctor, I got a tooth pain when it is gently tapped last year. I suffered for two days. I did not consult any doctor. Now it is okay. I want the reason why I got a pain. I got the pain in a tooth beside the tooth that is already capped. Doctor: Hi. The tooth pain on tapping suggests some infection in the tooth, or any food getting stuck between two teeth, sudden biting of any hard food, maybe if any abnormal biting of teeth and so on. There are many reasons for this. So we have to make sure what caused you the so called pain on tapping. Good that you did not have any pain thereafter. Just check out if you have decay in that tooth. The best suggestion would be just to visit the dentist and explain to the doctor about your condition. They will examine and if required take a small X-ray and decide as to what causes you the pain. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3190, + "tgt": "Will cutting down of Xanax dose lead to additional psychological disturbance?", + "src": "Patient: Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the medication from the pharmacy it was for 3 mg /day. I asked them to double check and that was the quantity that my doctor had written. I call his office and the office manager said that she would ask him about it. When I called the next day she said that he did not make a mistake and I asked for an explanation and was told that he did not give one. I started to feel sick a few days later and panic attacks actually started to increase the day that I talk to his office manager. I suffered minor but disruptive withdrawal symptoms physically and mentally for about two weeks and then they subsided but panic attacks continued to occur at random every day and my GAD symptoms increased to the point where CBT methods were not working. Then last month, the script was back to 4 mg per day normal dosage. I thought yes, back to normal. But again this month the script was back down to 3 mg per day which means I am going to experience a minor hell again. I am a defense and aerospace engineer who works on a contract basis through an agency and the client had noticed a drop in my performance before month but back to normal last month, now they are going to see it again and I will probably lose the contract job. I also started online system engineer classes and I am freaking out over being able to handle the exams and homework as I typically work on the class at night and am now without my evening dose. I again asked for an explanation and was not given any. My question is a 25% cut in dosage physically dangerous and I am well aware of the strong psychological addition issues, so will this settle down before my career and social life and general well being take a hit and I revert to hiding in my apartment with my dog and my employer and friends will give up on me. Doctor: Hello. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety of withdrawal is quite similar to your panic and generalized anxiety and it is difficult to make a difference between the two. Withdrawal anxiety will reduce over time. I do not think that your disease will worsen because of this to the initial level but the withdrawal will cause distress for a few weeks. I recommend using more nonpharmacological therapies like relaxation training during this period. Ask your doctor to avoid making sharp changes in dose and consider adding drugs like SSRIs (selective serotonin reuptake inhibitors), etc. Breaking your tablets and taking the pieces in such a way so that you reduce the inter dose interval without changing the dose. I hope this helps." + }, + { + "id": 25816, + "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": 28635, + "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": 14068, + "tgt": "Why am I not getting full hardness and morning erection?", + "src": "Patient: Hello doctor, I am not getting full hardness. No morning erection. I got 70 to 80 % hard erection. This is happening for the past two years. Why is this happening and is there any serious problem in my penis? Please help me. Doctor: Hi. I have read and understood your problem. It can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests. Stop smoking if you smoke. Check BP. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. So relax, do exercise, if no improvement then you will need blood tests. Usually, it is stress or any hormone, sugar problem, not due to any problem in the penis." + }, + { + "id": 5503, + "tgt": "My last period was 48 days back. What should I do?", + "src": "Patient: Hello doctor, My last period was 48 days before. Till now no period. Pregnancy kit tests are negative. I have completed Meprate 10 mg five days course. Still no period. What should I do? Please help. I am very stressed. Doctor: Hello. I think you should test your blood for Hb %, sugar (fasting and postprandial), and prolactin for better evaluation. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14702, + "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": 27578, + "tgt": "How to prevent a pregnancy after unprotected sex?", + "src": "Patient: Hello doctor, I had sex today with my fiancee. Although we did not use protection, I did not cum into her. I am tensed. What can we do to prevent a pregnancy? Her periods are due next week. Please suggest. Doctor: Hello. I went through your query. You had unprotected sex but did not ejaculate inside. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16886, + "tgt": "The reports of bone marrow aspiration and biopsy differ. How?", + "src": "Patient: Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possible? Can it be due to any mistake during the\u00a0reading of BMB sample? The doctor who made BMA and BMB told that the patient has no fat in the bone marrow. The health position of the patient is worsening, the bone pain, fatigue, abdominal pain is more and more intensive. Can you give an explanation for this? Doctor: Hi. Revert with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23918, + "tgt": "Can eating turmeric everyday reduce the chances of cancer?", + "src": "Patient: Hello doctor, What are the symptoms of brain cancer and colorectal cancer? One more thing, if I eat turmeric every day the chances of cancer will be reduced or not? Can it be cured in Ayurveda? Doctor: Hello. I just read your query. See there are a number of symptoms which are linked to both these cancers. Moreover, in initial stages, some patient might not feel any symptoms. As far as turmeric is concerned it has many properties including anti-cancer properties. But it can not be guaranteed that taking turmeric alone will help you in not getting any disease in future. Yes, Ayurveda has treatment for cancer but it depends on the condition of the patient. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13804, + "tgt": "What causes itching and hot feeling in between thigh and vagina?", + "src": "Patient: Hello doctor, I have a strong itching and hot feeling in the space between my left thigh and vagina. What could be causing this? I am really not able to tell if there is a color change. Doctor: Hi. Intense itching as you describe mostly indicates a fungal infection. It is possible that you might be working in a hot environment or maybe sweating too much there along with wearing tight clothes. That prevents aeration of the area and promotes fungal growth. Try using antifungal or Cotrimoxazole ointments on the area to get relief. Hope you get well soon." + }, + { + "id": 31002, + "tgt": "My son gets some blood clot like black spot while playing. Why?", + "src": "Patient: Hi doctor, My 14 year old son gets some blood clot and black spot while playing. It used to stay for a few days, but this time it has been there for the past two weeks. He also has some pain on the spots. His BT 1 minutes, CT 4 minutes 15 seconds and albumin protein is 5 g per 100 mL. My son used Picon ointment for vitiligo for the past five years. Now, he is\u00a0using Tenovate ointment and Methoxsalen solution. I have also attached his laboratory test reports for your reference. Please suggest. Doctor: Hello. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10584, + "tgt": "How to identify if I am bipolar?", + "src": "Patient: Hello doctor,I did a lot of tests to see if I am bipolar because I have a lot of similar symptoms. They all had the same answer that there is a high possibility that you are bipolar, go to a specialist. I already have a psychiatrist, but I do not know how to talk about it. Could you help me because I am desperate? Doctor: Hello. I can appreciate your dilemma. I will suggest discussing your concerns with your psychiatrist. Write down all the reasons why you think you may have bipolar disorder and discuss it with your psychiatrist during your next review. Screening tests in the search may give approximate guidance, but they not very specific. For example, many teenagers have significant mood swings, which may inadvertently be flagged up as bipolar. A proper diagnosis can be made only by a comprehensive assessment, including detailed background history." + }, + { + "id": 21914, + "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": 29201, + "tgt": "Why am I spotting watery mucus after a miscarriage?", + "src": "Patient: Hi doctor, I used to have a regular menstrual cycle. But since the last four months, I noticed spotting mixed with watery mucus in the mid of the cycle. I was put on birth control pills a year back, but I still got pregnant and had a miscarriage six months back. After two months of my miscarriage, I started having this spotting problem. After going through the internet searches, I found out that my hormones are all normal and I do not\u00a0have any cyst or polyp. I also had an ultrasound done, which came back normal. I had chlamydia five years back and got it treated. Could this spotting be after my ovulation as my hormones levels are going down or something else? I have attached my scans, reports, and medication for your better understanding. Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29422, + "tgt": "I am harming myself frequently. Why?", + "src": "Patient: Hello doctor, I have had the following problems for quite a few years. I was all right at first, but lately, it has been getting worse. Moderate to severe depression almost all the time such that feeling happy is an escape and a treat. I harm myself when feelings go out of control. I hit or bang my head, and other parts of my body and I swear at myself. Lately, the frequency of such incident is increasing. Other people only know me as silent or very quiet, though occasionally I turn talkative. I am extremely scared of human relationships. I suffer from addiction to porn and binge eating. I feel extreme tiredness. I generally despise and have a morbid fear of romantic relationships and though I feel jealous of people who do. I try to avoid any such happenings in my life. I almost always try to be perfect in what I do and get depressed when I cannot. Sometimes, I talk to myself like I am two people, one cursing or talking soothingly and the other receiving it. I took an online personality test today, and it tells me I may have borderline personality disorder. Can you please tell me what am I\u00a0suffering from? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24552, + "tgt": "My baby's penis is ballooning during peeing. Is there anything to worry about?", + "src": "Patient: Hello doctor, My son who is 2 months old sleeps longer during the night now and urinates very less during the night (one or two times only). Yesterday, he went without peeing for about five to six hours at night. Since few days he is also crying when urinating (before and after as well). His penis is also ballooning during peeing and at times it seems like he is straining or pushing. He does not cry always also when peeing. I showed a doctor about the ballooning and pain and he looked at the penis and told that his skin is too tight and the hole is small. He told to push the skin back and apply an ointment (Fusidic acid based) after bath. I just applied it once as I am not sure about pushing the back skin and the ointment itself. We also did a urine routine today and everything is nil (pus 1-2 /hpf and epithelial 2-3 /hpf). Is there anything to worry about? Please advice. It is very hot climate here right now. Doctor: Hello. Relax and do not worry. Yes, what the doctor suggested is absolutely right. He has tight foreskin called physiological phimosis. It should resolve by 3 to 4 years of age by itself. You just need to pull the skin slightly and apply ointment. Do not worry, it will not cause any harm. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24023, + "tgt": "Is there any surgery to eradicate hirsutism?", + "src": "Patient: Hello doctor, I am a 21 year old female. I have been suffering from hirsutism (due to PCOS) for about six years. I have undergone treatments like LASER (for about a year) and even consumed antiandrogens and contraceptive pills. But, nothing really worked out. It is horrible now. The growth of the hair is very thick and grows very soon. I wax once a week. I even used few creams, but again nothing gave out the results. The doctors I consulted told me to lose some weight, and trust me I am doing that. Please help me out. I want to know if there is any surgery to eradicate hirsutism. I heard laparoscopy might help. Please do write back to me. Your reply is awaited sincerely. Doctor: Hello. Before I can answer, I would like to see some lab reports. If you have them, please send those reports. Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30232, + "tgt": "Can varicocele cause infertility?", + "src": "Patient: Hi doctor, I am a 23 year old male. I was diagnosed to have grade 1 varicocele. I attached USG report. Can varicocele cause infertility? From the report, kindly let me know my testicle size. Is my testicle size normal? Recently, I have been putting weight, especially my lower body increases more than my upper body. Fat sticks to thighs and buttocks, which are embarrassing to me. I have undergone total testosterone. Is my report normal? I gave sample at 12 PM. Even at that time total T value should lie in between average, but my T value falls to a lower value. Why? Is that due to small testicle? My penis size is 5 inches and girth is 4.5 inches on erection. Is this normal? Will the size of testicle reduce with age? Please clarify my doubts. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27062, + "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": 4980, + "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": 20842, + "tgt": "Will tight foreskin cause any problem in future during sex?", + "src": "Patient: Hello doctor, My foreskin of the penis is tight. Is there any problem in the future during sex? My age is 20 years, male, and single. Doctor: Hi. If the foreskin has become inflexible, rigid, and inelastic, it may cause pain while having sex. It usually occurs due to a condition known as phimosis. The main cause being poor genital hygiene. Visit a urologist or a general surgeon to assess whether it will need partial or full circumcision or can be retracted fully without any surgical intervention." + }, + { + "id": 7175, + "tgt": "How will the heart function with Tetralogy of Fallot?", + "src": "Patient: Hello doctor, In Tetralogy of Fallot, after systemic to pulmonary artery shunt is done, the mixed-blood goes through the pulmonary artery, then to the lungs to get oxygenated. This blood gets oxygenated, then enters the heart through the pulmonary vein. Now is it the same mechanism happening? So how does this method help to increase the oxygen level in the blood? Doctor: Hello. I am a cardiologist, and I am glad to clarify your doubt. In Tetrology of Fallot, the defect between the two ventricles is significant and non-restrictive. Hence both ventricles will function at the same pressure. Also, the aorta lies directly above the ventricular septal defect (VSD). Therefore how much pulmonary and systemic circulation occurs is determined by the degree of pulmonary stenosis. If the pulmonary stenosis is severe, a large amount of impure blood gets pumped from the RV to the aorta leading to cyanosis (bluish discoloration of extremities). If the pulmonary stenosis is mild, less blood gets shunted to the left side, and the patient may not be cyanotic at rest." + }, + { + "id": 64, + "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": 13490, + "tgt": "Can gutkha consumption cause burning sensation with white patch in mouth?", + "src": "Patient: Hi doctor, I am 34 years old, male. I am eating gutkha for the past 12 years and now I have found a white patch in my mouth and I consulted an ENT. He suggested me 10 days course of one Asbex tablet and one cream for the white patch. I am using it for 10 days and now the white patch is slowly disappearing. So how long does it take to cure permanently and is there any biopsy needed and when I eat I felt buring sensation at the wisdom teth and inside the cheek and this buring sensation is now reduced as I have stopped tobacco since 15 days. How can I feel permanent relief from these? Doctor: Hi. Keep applying that gel for two weeks more. Avoid spicy food for one month. You have to take less spicy food for your entire life if you want to stay away from cancer. That's the bad news for you that you are experiencing the first few symptoms of oral cancer that is burning sensation at cheeks and gums and white patch at buccal mucosa or tongue and limited mouth opening. But the good news to you is that the symptoms are resolving and getting better with medications. So, it is not proper cancer yet, just infection which is recovering. Now make a promise to yourself that you will not have gutkha, pan, chalia for your entire life and will not put yourself in trouble of cancer as it is horrible to deal with. This is the permanent solution to it." + }, + { + "id": 5760, + "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": 11886, + "tgt": "What do my foot and ankle scans indicate?", + "src": "Patient: Hello doctor,I was injured three months back when my left foot and ankle were forced inward during a test and we heard a loud pop. Since there is extreme pain, I cannot put weight or walk basically bed-bound, it has been three months. It has not changed instead gotten worse with more pops, swelling more and bruising too. Was at the beginning and it has gone down now to back again. I need help with another radiologist opinion. They said my calf and foot scans were unremarkable. I need to see if there is a change in my foot, ankle condition. Please help. Doctor: Hi. There is no area of obvious injury in the scan images (attachment removed to protect patient identity). However, due to the presence of small muscles and ligaments, it is always best to know where exactly you are having the maximum pain and review the images again. It is requested that you please upload a photo of your foot with a marking over the area of pain. I will review the images of the previous and new scan and make a detailed analysis. It may be noted that the images are of MRI foot and lower leg. If your pain and discomfort are extending to the ankle and subtalar joint, then a MRI ankle joint is also needed." + }, + { + "id": 11827, + "tgt": "How to overcome lack of concentration and negative thinking?", + "src": "Patient: Hello doctor, I overthink a lot. Because of that, I have doubt and negative thinking about my loved ones especially my fiance. I am not able to either concentrate on my studies. I am not able to follow my goals, and I get distracted very easily. Please help me. Doctor: Hello. Thank you for taking help from a psychiatrist. It is essential for you to trust your partner for a healthy relationship. Otherwise, it will get ruined. Just keep faith in him. Spend quality time with him. Make good memories with him. Start doing exercise daily for 30 to 45 minutes. Do meditation for 20 minutes. Spend a good time for your hobbies like read good books, write journals, painting, etc. Live your life, do not just spend it. Be bold and confident. Stay with positive people. Do not stay alone. Keep your self busy. Still, you have negative thinking, then you need to start medication for a short time." + }, + { + "id": 28206, + "tgt": "I feel nauseous after eating fast food. Is this food poisoning?", + "src": "Patient: Hi doctor, I had some fast food from the last two days, and I am feeling nauseous. I even vomited once, after which, I felt little better. I am feeling a bit better now, but the vomiting tendency is still there. I am also burping a lot, which has the same taste of the fast food. I do not feel like eating anything at all. I was perfectly fine till yesterday evening.\u00a0Please suggest some medicines. Is this food poisoning? My body temperature is 99 degrees F. I have grade 3 fatty liver, which was diagnosed last year. I take medications for that, and the SGOT and SGPT parameters were within range. Doctor: Hi. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12563, + "tgt": "Is it advisable to take Dexilant by a GERD patient?", + "src": "Patient: Hello doctor, I am a 48-year-old female. I am 5'11\" and I weigh 145 lbs. I have been generally healthy my whole life other than some minor chronic conditions (IBS, sinusitis). I had a hysterectomy two years back and appendectomy four years back. I was recently diagnosed with a sliding hiatal hernia and GERD by endoscopy. I have been suffering from reflux symptoms (without realizing it was reflux) for a few years. My main symptoms were inner ear pain or dizziness, sore throat, chronic cough. It was my ENT who discovered the acid in my esophagus. I have been on a strict low FODMAPs diet customized for reflux for three weeks. I was prescribed Dexilant and started taking 30 mg first thing in the morning four days ago. (On an empty stomach, 30 minutes before food. My symptoms are worsening and now I have chest pain with shortness of breath). Question 1: My doctor told me the Dexilant would start working in two days. Is it possible that it takes longer? Is it possible it can worsen reflux symptoms? Question 2: Could the chest pain or shortness of breath be caused by acid aspirated into the lungs? If so, how is that diagnosed? I am in a lot of pain and really need symptom relief. Doctor: Hello. Thank you for that detailed history and uploaded EGD report (attachment removed to protect patient identity). Reflux esophagitis does sometimes cause symptoms of inner ear pain, sore throat, and chronic cough, but it is much more common to have symptoms of choking during the night time and heartburn. You have been diagnosed on endoscopy with a 2 cm sliding hiatus hernia (which is comparatively small size), grade A (LA classification) esophagitis. The polyp from fundus is usually benign (fundic gland polyp). A few biopsies were taken from esophagus, apparently to rule out eosinophilic esophagitis together with biopsies from duodenum and stomach. I guess you are awaiting the results. To answer your questions: 1. Yes, Dexilant (Dexlansoprazole) mostly improves the symptom in two days. Dexlansoprazole will act immediately but relieving of symptoms may take some time because it depends on mucosal healing. Dexlansoprazole can cause minor side effects like nausea, vomiting, diarrhea, dizziness, etc. You should continue Gaviscon for a few more days. Avoid liquid diet, take more solids or semisolids, do not go immediately to bed after food, keep head end little elevated. 2. Esophagitis and reflux can cause breathing difficulty, but it happens usually if the symptoms have been persisting for a very long time and have been left unaddressed, so as of now I do not think you have any significant lung issues other than the probable occasional reflux of gastric content causing some symptoms. To improve your current symptoms, my suggestion would be to add Gaviscon tablets after every major meal for a week, simultaneously continuing with your Dexilant, which I believe you are taking 30 minutes before breakfast. The other lifestyle modification advice would be to restrict coffee and tea to 2 to 3 small sized cups for a couple of weeks, to not lie down at least for two hours after a major meal. Avoid wearing very tight fitting trousers or belts over the abdomen. Elevate the head end of the cot (or there are a special type of pillows which has a slant) by at least 6 to 8 inches. Avoid citrus fruits and sour food for a few weeks. Restrict smoking and alcohol." + }, + { + "id": 28137, + "tgt": "I do not have sensation in my lower body parts. Does my MRI show the reason?", + "src": "Patient: Hi\u00a0doctor, I am a 29 year old female.\u00a0Almost 15 to 20 days ago, I felt that my feet were cold as if they were frozen. I felt numbness in my left leg, and suddenly, I had double vision issues. I thought it was because of increase in my eye number, but I was wrong. I then went to an eye specialist, who told me that it is related to the brain. Then, I got an MRI done. I went to a neurologist, who told me to take Ecosprin. But, after taking one tablet, I feel numb and stuffy. There is no sensation in my lower part of the\u00a0body starting from my stomach. I have attached my MRI and blood reports. Please assist. Doctor: Hi. Thanks for your query. I have seen all your reports (attachment removed to protect patient identity). Hope this helps. If there is any further query, feel free to ask. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3439, + "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": 26049, + "tgt": "Constant awareness of heartbeat in a youngster. What could it be?", + "src": "Patient: Hello doctor, I am a 20-year-old male and I\u00a0need you to tell me if it seems like I\u00a0could have a heart rhythm problem. I have a constant awareness of my heartbeat, but my pulse is always normal so my doctor attributes this to anxiety. I do not have a murmur and my doctor has always said my heart sounds fine. However, whenever I am sitting for a long time and then I\u00a0stand up, I\u00a0get very lightheaded. I read online that could be a sign of a heart rhythm problem. I have never passed out. I am not overweight and I do not smoke. My only symptoms are constant awareness of heartbeat especially at night and the occasional dizziness upon standing. Does this seem like SVT or a heart problem? Doctor: Hello. Regards. For more information consult a\u00a0cardiologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22752, + "tgt": "I have headache, dizziness and restricted neck movement. Please advice", + "src": "Patient: Hello doctor, I am suffering from a severe headache, tenderness on the head, burning sensation on scalp, mild dizziness, and feeling the heaviness of head with restricted neck movement with pain. Currently, I am taking Levothyroxine 25 mcg for hypothyroidism. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to tension-type headaches or a cervical spine disorder (a bulging disc or a wrong posture). Coming to this point, I would recommend consulting with your attending physician and performing a cervical spine X-ray study, a complete blood count for anemia and PCR for inflammation. If the above test results are normal, tension-type headache remains the main possible cause. In such case, a local muscle relaxant ointment in the neck and painkillers are the main treatment. I recommend also trying to correct your posture. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29442, + "tgt": "What is the exact window period of HIV?", + "src": "Patient: Hello doctor,Before 16 years, I had lots of high-risk exposures. Before seven years, I started having lots of various symptoms that I have to this day. At that time, I ceased my activities and got tested. All STDs\u00a0tests were negative, but I continued to have symptoms. I can say that I have had many (over 40) HIV tests along with syphilis tests. Like I said, no risk exposure for the last seven years. Before four years, I have had HIV third, and fourth generation tests. I also have had proviral HIV 1 and 2. I have had Abbott RealTime RNA as well as western blot, and they have been negative. In the last six years, I have also had many syphilis tests, and everything has been negative.As I was still having symptoms, I tested again, and it includes FTA, RPR and TPPA. The RPR\u00a0and TPPA were negative, but FTA was positive. I freaked out and checked after some weeks, and all were negative. My doctor said that one incident was a false positive. I have not tested since. Am I HIV negative Can HIV tests miss any HIV strains or subtypes? What is the absolute window period for HIV? Can I be certain that I do not have syphilis? What is the absolute window period for syphilis? Do I need any other tests? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9321, + "tgt": "Is it possible to self-induce a muscle twitch in BFS?", + "src": "Patient: Hi doctor, I had a minor hamstring injury last month and currently, I am receiving physical therapy. In addition, I visited a neurologist for peripheral neuropathy in my foot. Last year my neurologist diagnosed me with benign fasciculation syndrome (BFS). After the injury, I am getting twitches in the injured leg most of the time that is in my right thigh for past three weeks.\u00a0But, there is\u00a0no clinical weakness.\u00a0I can also induce a twitch by tapping the injured inner knee area. My leg injury appears to responding slowly to the physical therapy.\u00a0My question is, is it possible to self-induce a twitch in BFS? I heard that also in ALS condition one can self-induce twitch. This is bothering me now. Please explain. Doctor: Hi. I have read your query and I understand your concern. Revert back with the answers for the above questions to a neurologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8289, + "tgt": "Is it normal to have fluctuations in BP after delivery?", + "src": "Patient: Hello doctor, My sister gave birth around 10 days ago. She is 26 and it was her first pregnancy. She was discharged from the hospital within a few days and everything seemed normal. Last Friday night, a little less than a week after the birth, she went to the ER and was admitted back into the hospital with blood pressure at 171/117 and blurry vision. In these three days, her blood pressure has been going up and down, from over 200/120, down to 139/79. They have diagnosed her with postpartum preeclampsia. Last night her blood pressure spiked again, at around 1 AM, they moved her into the ICU. Her vision is still blurry, and it seems to have taken them hours to get the pressure back down. My main question is, is it typical for her blood pressure to still be fluctuating after three days in the hospital? Is it understandable for the doctors to be having trouble keeping the blood pressure down? My mom has been unable to see my sister since they took her to the ICU, because my mom cannot take the newborn, there. The only way my mom has gotten information is through my sister texting her. Even though my mom is still in the hospital, she says no doctor has talked to her since they moved my sister, and my sister is not in a great condition to make decisions right now. Is all of this normal? Doctor: Hello. She has developed postpartum preeclampsia. It is rare but possible that the patients could develop hypertensive crisis from preeclampsia. If that happened the patient will need to be closely monitored in ICU and due to the medications used to control BPs might drop her BPs too low therefore she needs to be in ICU until her BPs are stabilized. I would not contemplate transferring her when she is still in critical condition. Since the cause of preeclampsia has been removed (the baby and the placenta), we just need to wait until her BPs return to the normal state. Besides giving her medication they are trying to remove anything that could possibly stimulate her BPs such as stress. It takes time so please be patient. They are doing the right things." + }, + { + "id": 24289, + "tgt": "I am worried I am diabetic as my mom is type 2. Please advise", + "src": "Patient: Hello doctor,I am a 38 year old female with a weight of 58 kg. I do not have any symptoms but just happened to check my blood sugar with a glucometer. The first time random came 126. Then after few days, it was 144. Fasting once was 126 and my PP came 122. Today, I had green tea with honey and tested, it came 130. I was not sure of the reading. So, I repeated back to back thrice and the results were 105, 122 and 112. I am worried I am diabetic as my mom is type 2. I have an active lifestyle otherwise. Doctor: Hello. I understand your concern. First of all, you need to stop worrying. You are not diabetic unless your tests show a blood sugar level of more than 200. Since you have a family history and your test results are inconsistent, you could be pre-diabetic. On the other hand, this could also be an error due to a faulty glucometer. Even if you are pre-diabetic, it can easily be corrected by lifestyle modifications, without any medication. I suggest that you go to a reputable laboratory and get the following tests done, which will help us decide better: On the day of testing, after your fasting test is done, eat a normal breakfast like you eat every day. Please follow up with your results. We will definitely work up something for you. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27201, + "tgt": "I suffer from headaches, insomnia, depression and anxiety. Please help", + "src": "Patient: Hello doctor, I have been suffering from headaches for the past 80 days. I smoked four cigarettes every night and two every day early in the morning for 30 days, and then I stopped it with nicotine gum. From the past 160 days, I am\u00a0suffering from insomnia. Five days after I quit smoking, I started having the headaches. So, I just took OTC painkillers for ten days and later it became more severe. I consulted four different doctors but, it did not help. They prescribed Amitriptyline, Topiramate, Escitalopram, Divalproex sodium, Propranolol, and Flunarizine in different combinations. I am totally messed up due\u00a0to all these medicines. My headache gets worse if I watch a movie. I got my\u00a0eyes checked by an\u00a0ophthalmologist. He said I have +0.25 power on both the eyes. I am a quality engineer, and I have been staying alone, far away from home since the last 12 months. And my concern is, I am not able to concentrate and communicate at work due to these headaches. I stopped the gums and started Bupropion. But, I am not craving for cigarettes any longer. They are almost never on my mind at all. But now, I experience panic attacks a few times every month for the last six months. I have never touched alcohol. The only mistake I did was smoke cigarettes, and I felt very guilty about that and stopped it. But, this headache, depression, and anxiety due to personal problems are killing me every day. Doctor: Hello. I have gone through your query and understand your concern. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1500, + "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": 11285, + "tgt": "Can uteroplacental insufficiency lead to premature baby?", + "src": "Patient: Hello doctor, My age is 31 years, had scan done at 27 weeks and it showed early dialostic notch in bilateral uterine arteries with mild increased mean uterine artery pi- 1.42. Suggestive of uteroplacental insufficiency. I have got BP now (150/90). This is not anomaly scan. Seek second opinion, please let me know what are complications arising from this. I have read that if BP increases, there might be case that baby would be prematurely born with intestinal issues as blood supply is restricted. Also, whether it can cause any issue to my child, if born early. Doctor: Hi. Kindly attach your ultrasound report." + }, + { + "id": 2278, + "tgt": "I have a rash on my penis which comes and goes and is sensitive. Please help", + "src": "Patient: Hello doctor, I have a rash on my penis head, it does not hurt much and it does not look severe, but it is uncomfortable and I feel very sensitive now and also it stings when I urinate but not always. Beacuse of Covid-19 I do not want to visit a doctor, so I browsed the internet and I am afraid it is not getting better as it is. It has been a month now and it comes and goes. I took Zithromax for three days and Locoid lipocream but nothing happened. After one week, I am taking Zithromax and I took Augmentin 1 g every 12 hours for one week and Fucicort cream, it got better but the skin felt very sensitive and stinginess inside shaft started. I stopped Fucicort now and using Elica-M at night and just vaseline in the morning for three days now as I am afraid to get worse. It does not hurt much but I still have slight redness and stinginess on the outside. Doctor: Hi. You have used steroid creams and a lot of antibiotics. But I do not know how it started at all? Was it itchy to start? Urine burning or after you urinate, because steroids change every morphology and just cover symptoms and signs. I want to know if there was any discharge from the urethra to start with? Any history of unprotected high risk sex? Fever, or itchy red rash in partner? If none of the above then follow this. Take tablet Fluconazole 150 mg of for seven days, Sertaconazole cream twice daily for seven days and coconut oil. Review after seven days. Single dose Fluconazole for your partner. If you are diabetic control it and keep dry." + }, + { + "id": 3856, + "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": 14754, + "tgt": "What is the black spot in a tooth with sealant?", + "src": "Patient: Hello doctor, I am asking a question regarding my daughter who is 3 and 1/2. She was seen by her dentist a few months back. They performed a cleaning and also put sealant on her molars, as they have deep grooves. I just recently noticed a few dark spots in her molars, but I am wondering if that is due to the deep grooves. Everything looked good, the dentist said a month ago, so I am quite alarmed if she has a cavity in that short amount of time. May I please provide you with a picture? Doctor: Hello. Yes, your daughter has deeply grooved teeth (attachment removed to protect patient identity). By book, its treatment is in the following steps. Cleaning, that your dentist did perfectly as there are no residues of plaque or tartar at tooth surfaces. Deep fissure sealants, that is done to seal any carious activity if could occur in deep grooves. It is also done by your dentist. After the sealant treatment if any dark spots mean carious activity is seen it means that through micro cracks bacteria has traveled inside the enamel causing carious activity to start. Now, this is treated with fillings. It does not happen in a day or two, it takes like six months to cause slight decay in the tooth. In your daughter's case, this activity might have appeared after a few months. Now your dentist will check if there is a catch in these black spots (carious cavity), then fillings will be done. Sometimes, there is no catch in these black spots, means carious activity is arrested and not propagating inside the tooth and they are not harmful to teeth and can be left untreated or just sealants are done to arrest them. If the black spots are becoming more evident, propagating to inside layers of teeth (harmful) and now some ditch or catch is formed in those grooves it definitely needs filling." + }, + { + "id": 14308, + "tgt": "I am a WPW syndrome patient. What effects can I expect from mining work?", + "src": "Patient: Hi doctor, My question is regarding WPW syndrome. I suffer from WPW syndrome, I just came to know about it. I am a mining engineer and work for a mining company, my day to day work involves blasting and exposure to heat, dust, and low oxygen environment. The blasts are severe, the peak particle velocity (a measure of vibration in rock after blast) is around 150 mm/sec. Can this working environment be harmful to me as it may increase my chances of ill health happening due to WPW syndrome? Doctor: Hi. Thanks for the query. The working environment has nothing to do with increasing the chances of WPW (Wolff-Parkinson-White syndrome). However, some patients could collapse and have a brief loss of consciousness with WPW episode. It is recommended that those patient work in as safe as possible environment like avoiding the situation that requires being on ladders, and it is better in your condition to avoid areas with low oxygen and where ambulance and emergency help might be difficult to get to. The risk of WPW is if the patient develops atrial fibrillation that could end up with fatal VF. Have you thought about WPW ablation?" + }, + { + "id": 11154, + "tgt": "Could RLQ pain be chronic appendicitis?", + "src": "Patient: Hi doctor, I am a 15 year old female and have been having RLQ pain for nearly five months. I am physically fit. I do exercise at least six days a week and eat quite healthy. I have a sharp stabbing pain at McBurney's point. I also feel immense pressure at my RLQ like someone is sitting on my stomach constantly.\u00a0I had an ultrasound to find appendicitis. But, they found enlarged lymph nodes and said they would become normal soon. I did not have cold or anything in the past two to three months before this happened.\u00a0It stopped hurting for about three days and then started hurting again, this time without the pressure. Within the last two weeks it has become worse than ever it hurts. I am always feeling nauseous, even when it is not hurting. It hurts daily and sometimes causes me to double over for 10-15 seconds. It has nothing to do with monthly cycle at all and does not seem to react with food. This Monday morning I had to stop my fitness training as it was so bad and could not complete the session, which is very unlike to me as I enjoy fitness. I have had two ultrasounds and could not find appendicitis or anything else wrong. Also, I have had two blood tests done for appendicitis and that showed slightly higher amounts of white blood cells, but that is not enough for doctors to diagnose as appendicitis. I went to ER at 3 AM; they did more bloods and sent me home about three months ago.\u00a0Could this be chronic appendicitis? I do not know what to do and the doctors seem to think that I am making it up. Please help. Thanks. Doctor: Hi. After reading your well presented history, I think the following are the possibilities. Urine for microscopy and routine pus cells and crystals. Use proton-pump inhibitors for some time and observe for any relationship between vigorous exercise and pain. Revert back with investigation reports to an internal medicine physician.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20839, + "tgt": "Please help me to manage stress related to career", + "src": "Patient: Hello doctor, I need consultation about my stress management problem. I am appointed on a management post in a public sector hospital while my actual field according to my academics is research and teaching. I am facing difficulties in adjusting myself in this job while staying for the first time in my life away from home. I am trying hard to find some job suitable to my nature but at present, I have to stay here unless I find some suitable job. I am facing a stressful situation. All the time I want to stay away from people to whom I have to deal according to my job description and I am always in search of a chance to go back to home and I do not know what to call it but my actual problem is this. Kindly give me consultation to manage this situation. Doctor: Hello. First of all, you should have the acceptance that you have a job and you must do your job irrespective of the fact that this is not your subject. If you think that this is not for you then you should have not taken this job. Once you have accepted about the job, then you will start working properly. Hard work will result in positive results which will act as a reinforcement which will further drive you to do hard work. Stop searching for any other job as of now and focus on your current job. This will definitely help you." + }, + { + "id": 984, + "tgt": "I have fatty liver with dizziness, heel pain and morning headaches. Please help", + "src": "Patient: Hello doctor, I had a problem with lower left abdominal pain for 7 years which is diagnosed in 2017 as an umbilical hernia. I subsequently did the surgery in January 2018 and I was diagnosed with moderate fatty liver during the test prior to the surgery. But I was given Liv 52 to take for three months and Lipitor 20 mg. But when I reported to work I started noticing mild pain in my heels and imbalance which I thought was due to the drugs side effects. Somewhere in March I panicked out of sleep and started sweating with my heart beating very fast. I rushed to the hospital and they did a brain CT and kidney function test which was normal and the gave me some anxiety tablets Lexotamil 1.5 mg. Afterward, I noticed that my heel pain was aggravating with flashes of dizziness and minor headaches which I could manage. I reported to the hospital and was referred to an orthopedic specialist. There I was asked to do and MRI of the brain, neck, and spine with magnesium, phosphate, calcium, and sodium test which were all normal. The doctor then gave me Renerve and Stugeron for the dizziness. But still the issue persisted so I reported back to focus and was asked to see and ENT specialist and EYE specialist. I went to an eye center but they all proved negative. So I was referred to see a neurologist who asked for an MRI of the thoracic and lumbar spines and also test for Folate and Vitamin B12. But again they were all negative and he said my situation might be idiomatic so he did not give anything. But in all these, I realized my energy levels were coming down I easily get tired and occasionally my heart rate will go up with a feeling of uneasiness and confusion all coupled with balancing disorders associated with cluster headaches. I went back to my hospital and was advised to see a cardiologist. He also did his relevant test which all proved negative and he declared me safe. But he advised if I am still not normal I should see his boys at the executive heart center which I did. They have been working on me since and nothing has come up. Although the symptoms still persist. So just last week I was not feeling very well and had to go for a check up when I was told of the micro-pulmonary embolism and was admitted. I currently have serious heel pain without swelling in the legs, dizziness without spinning, chest discomfort, unsteady gait, muscle weakness and extreme fatigue, diminished vision, issues with acid reflux and indigestion, occasional heart palpitations, insomnia, and pressure and discomfort in the chest after standing for about 5 minutes or while walking with extreme dizziness. I currently take Xarelto 15 mg, Motilium once daily, Stugeron 25 mg, Maalox plus suspension 150 ml, Pariet 20 mg, Carvedilol 6.25 mg, and Lexotanil 1.5 mg once daily at night. Doctor: Hello, Welcome to icliniq.com. I can imagine how difficult time you have doing all these visit to doctors. Well, I have gone through your history, I could not see you have any specific gastrointestinal issues at this moment. Your main concerns are related to the neurological department not a gastroenterology department. I urge you to seek help from a neurology team. Well, some of your concerns like fatty liver, and indigestions are related to my field, hence I would like to give you some suggestion regarding that. So I see you already on some medicine for indigestion such as Maalox syrup and Pariet which is an acid suppressant medication. They are relatively safe and can be taken regularly or intermittently based on symptoms. The second concern from GI prespective are fatty liver. You did not mention your weight so I could not estimate the body mass index which is a direct tool to assess the level of fat one has over the liver and other body tissues. Atorvastatin (Lipitor) can reduce some fat from liver but they are not the preferred treatment for fatty liver disease, they can control lipids however if elevated. Atorvastatin can cause myopathy means muscle damage and can cause severe cramps over legs and throughout the body. I want you to check your creatine phosphokinase (CPK) levels to confirm this if you have recently stopped your Atorvastatin. The preferred therapy for fatty liver disease, if you are not diabetes is Vitamin E 400 mg twice daily for at least three months. The other recommendation is to reduce your weight by 7 to 10% of current body weight in the coming six months. Walk 150 minutes/week and dieting which is all required. I am sorry I could not answer the rest of your concern, but I want that should contact a neurologist available online on icliniq to be given proper suggestions regarding your health. I hope this helps. Fatty liver disease. Indigestion. Creatine phosphokinase. Drug-induced indigestion. Capsule Vitamin E 400 mg twice daily for three months. You can follow up with me for your GI related issues, and discuss long term management of your fatty liver disease." + }, + { + "id": 29812, + "tgt": "Please recommend a treatment to get rid of severe acne", + "src": "Patient: Hello doctor, For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, but they were soft with pus. Initially, a white ball like cyst came out and after that, it has never been the same. Sometimes, a very thin hair will also come out of it. I have used every acne medication available, including Accutane. Currently, I am using Rituxan, Trazodone, Lexapro and Modafinil. Doctor: Hi. Revert back with the details to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17108, + "tgt": "There is a white spot on my daughter's MRI. Could it be multiple sclerosis?", + "src": "Patient: Hello doctor, This question is in regards to my 12 year old daughter. She had a routine eye exam at the optometrist's who noticed that she had blurred disc margins. We were given a referral to an eye specialist, who checked her eyes and said that her vision and peripherals were perfect, but yes, there is a slight bulge behind her discs bilaterally. She assumed it was probably just a calcium deposit, but it was best to get an MRI to be sure. We have done the MRI and now are waiting to see the specialist again. But of course, we are panicking and thinking of worst case scenarios. I have viewed the MRI and can see a very small white dot on two different angles of the scan (see attached images). Does this look like something? Would love to get some feedback as soon as possible as we cannot handle waiting anymore. My daughter is asymptomatic at the moment. There is no loss of sight, no headaches, or dizziness. She seems fine. But we would like to be sure. Thank you. Doctor: Hello. Please do not worry. I hope this will help you. Regards. For more information consult an eye care\u00a0ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3726, + "tgt": "Why does my skin hurt and itch during workout?", + "src": "Patient: Hello doctor, My skin hurts and itches during the workout\u00a0and also it gets hurt when I am out in the sun. When my body temperature is high, my skin starts to hurt and itch. After my body cools and heart rate gets stable, the itching and hurt stops. Especially in my face, chest and back, but I do not feel it in my legs. I have acne on my face, chest and back. I had acne-like two years ago, but I did not have these problems with my skin. Nowadays, especially this year in spring this problem appeared. I should point that I had been consumed Doxycycline and Trichopol, but I have already stopped consuming them. I have been using acne cleanser and I stopped consuming it also as my problem is not solved. I have stopped consuming these things a month ago. What do you think about it? What is that? How to cure that? I cannot go out for it because these symptoms start when I am out in sun. What do I need to do? How to treat it? Doctor: Hi. You can use certain general measures to reduce the above two conditions. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21004, + "tgt": "Why are there brown spotting during seventh week of pregnancy through IVF?", + "src": "Patient: Hi doctor, I am currently 7 weeks 2 days pregnant and I conceived through IVF. Two days back I started having brown spotting and I went for an ultrasound and they could see baby and heartbeat both. Now, when I go to the washroom, sometimes I see brown spots on the tissue. My doctor stopped Ecospirin and vaginal suppositories and instead I am taking daily Progesterone injection since last two days and other medicines as per attached prescription. Why are these brown spots coming? Is it normal as I am really worried? Also what precautions should I take? I am on rest at home. Should I elevate my legs or anything else you would suggest? Please tell if this is normal, my last LMP was a month back. Doctor: Hi. I can totally understand your concerns, But the good points are that the ultrasound has established a pregnancy and secondly, there are no worrying features. Your obstetrician was correct in stopping Ecosprin and starting intramuscular Progesterone. It looks like old bood rather than fresh. I will suggest wait and watch strategy and hopefully, it will clear." + }, + { + "id": 30119, + "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": 6038, + "tgt": "What could be causing nausea after workout?", + "src": "Patient: Hello doctor, I am seeking fitness expert insight on nausea after the workout. If someone feels nauseous after a workout, what might that mean and if someone regularly feels nauseous after workouts, what could be causing that? What can someone do before, during and after a workout to prevent nausea? What types of workouts are more likely to cause nausea? Are there any good pre or post-workout snacks that can help with nausea? Doctor: Hello. Feeling sick after a workout is multifactorial overexercising, high intensity, overhydration, or electrolyte imbalance are some of the causes. Regular episodes of nausea could be due to high intensity or overhydration. Keep hydrated but do not take too much water. Maintain salt balance, and take a fatty diet with some salt prior to high-intensity exercise. High intensity, and prolonged exercises like marathon, etc., are more likely to cause nausea. Salty fatty snacks in moderation prior to exercises with help to stave off nausea." + }, + { + "id": 2594, + "tgt": "After bitten by a stray dog, I get pulsating sensation. Is this a symptom of rabies?", + "src": "Patient: Hello doctor, I have been bitten by a stray dog on the left leg on March 10th. The next day I went to a nearby doctor and he advised me to take two doses of vaccine as I had taken three doses earlier before four years. There was no blood visible at the wound and I washed it in soapy water also for five to ten minutes but from March 23 I am feeling pulsating sensation at the bite site often, they come and go. It does not happen always. I have consulted with four nearby doctors and they all told me this not a sign of rabies. So is it for rabies or for extreme anxiousness? The dog is still alive and fine. Doctor: Hello, Welcome to icliniq.com. Firstly, yes this is not a symptom of rabies and it would have progressed by now if it was rabies. Also, since you are vaccinated and the dog is still alive, you are unlikely to get rabies. So, it is unlikely to be rabies and trust local doctors. Also, keep watch over the symptoms. So, you should not worry at present." + }, + { + "id": 14851, + "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": 7822, + "tgt": "I am not able to gain weight and muscles. Please advise", + "src": "Patient: Hello doctor, I am 21 years old and my height is 5'7\" and my weight is 57kg. My problem is related to my reduced body growth and development. I regularly take diet 3-4 times a day and drink about 3 litres of water a day. Besides this, I have also taken health supplements like horlicks/enduramass in the past. But still my weight and muscles do not increase. My cheeks are sunken and I always look tired to people. My face skin does not glow at all and I always look tired. My bones in the back, and neck are completely visible and my nerves in my hands are also visible. I have consulted doctors in the past and some of them gave some medicines/vitamins, but nothing worked out. My urine smells very bad (not always) and so I had also undergone urine test 2 years back, but nothing major found by doctors and I was only given some vitamins. I do not suffer any major disease. For your information, I masturbate once in 7-10 days. My confidence is decreasing and I find myself out of my friends circle. Doctor please help me. How can I look like at least average boys of my age group. Doctor: Hello. If you are unable to gain weight, you should be evaluated for organic causes behind it. It can however be just constitutional. But it is not uncommon to have some organic causes behind this problem. If there is any organic cause, it should be evaluated. If you have any loose stools, pain in the abdomen or anemia then you would require evaluation for Coeliac disease. In case you have fever or weight loss, you would require evaluation for intestinal tuberculosis. I would advise you to get anti TTG (Tissue Transglutaminase) antibody test done to rule out malabsorption syndrome like Coeliac disease. You should also get a thyroid profile done to rule out any issues like hyperthyroidism that can cause weight loss. If you have any cough, expectoration then get a chest x-ray done to rule out any evidence of tuberculosis. If no cause is found, this might be just constitutional and requires just a good diet and exercise. Share my opinion with your doctor. Stay healthy. Consult an internal medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16634, + "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": 14679, + "tgt": "Is the bleeding in between periods indicative of pregnancy?", + "src": "Patient: Hi doctor, I had my period two weeks ago roughly. Just a few minutes back, I had some medium dark colored bleeding. What could this mean? Is it pregnancy? Doctor: Hi. It is a very short description of your query. It could be implantation bleeding if you had recently unprotected sex, or any infection that is appearing as vaginal discharge or could be bleeding or discharge from a local lesion or could be signs and symptoms of cervical erosion or any other pelvic pathology or just unscheduled bleeding due to hormonal effects, etc. Check if you have been taking any contraceptive or any hormonal treatment or imbalance or had any other medical disorder? Have serum beta hCG to exclude pregnancy. If it comes negative, then have tests advised below. Have a vaginal swab to exclude infection, complete blood count and thyroid function test. Have one transvaginal scan, cervical smear and if possible outpatient hysteroscopic examination by a gynecologist. Check on the regularity of cycles, any other abnormal symptoms, revise your medications by discussing with the related specialist and to have complete treatment with regular follow ups. Collect laboratory results and discuss here. Have a strict hygiene, use condoms to avoid transmission of infectons. Have a balanced diet, daily walk and try to have normal BMI. I hope things would be better. In case of positive pregnancy test no need to have more tests but start Folic acid daily and do have a scan after 2 to 3 weeks if remains asymptomatic. Implantation or contraceptive or medicine use. Beta hCG if comes negative then only cervical smear, CBC, TFTS, transvaginal scan. Unscheduled bleeding. Hygiene, revise medication, complete check-up and regular treatment of any health issue you have." + }, + { + "id": 23044, + "tgt": "I am getting white hair, and it's been increasing gradually. Is this the effect of water?", + "src": "Patient: Hi, I am getting white hair from last 3 years, and the number has increased in the last 3 months. Is this the effect of water.\u00a0Kindly suggest the medicine for this problem. Doctor: Hi. Water has no effect on graying of hair though hard water can cause dryness of hair. If your parents also had premature graying of hair then yours is hereditary (genetically inherited). You can start tablet PABA 100mg once a day for 2 months. This will prevent further greying of hair. Take care. Revert back to a dermatologist online after 2 months --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7551, + "tgt": "What is the treatment for ERM in a 59-year-old?", + "src": "Patient: Hello doctor, My mother is 59-years-old. Her height 5'2 and weight 66. She has ERM in eyes, and so, she is not able to see correctly. She has done the OCT test twice this year. 1. Observed ERM in both eyes. 2. ILM RPE central subfield thickness is 387. 3. Cube volume is 12.1. 4. Cube average thickness is 338. Doctor: Hello. She has problem in macular region in which there is decreased vision mostly central vision. Epiretinal membrane has thickened on the retina. Most cases improve on medication. Of vision is degrading. It has to be surgically corrected by doing vitrectomy intraretinal membrane peeling, where the inner gelly like substance is removed and the thickened membrane on retina which is causing problem is peeled off. The vision improves gradually. Aging. Amsler grid, Oct (optical coherence tomography), FA (Fluorescein angiography). Macular hope, macular oedema, parafoveal telengiectasia. Macular pucker. Vitrectomy and ILM (intraretinal membrane) peeling." + }, + { + "id": 17301, + "tgt": "How to calculate the radiation dose from three scout scans?", + "src": "Patient: Hello doctor, I had a CT scan of the chest and abdomen. What is odd about this scan is that the technician did three scout scans before the final helical scan, which made me uncomfortable because I do not know how much radiation I received in those scans. When I got the CD, I looked at the dose report and it only reported the radiation dosage for the helical scan. The data for the scout scan is just dashed. So, I called the clinic and asked them for the radiation dose of the scout scans, and I was promised that someone will return my call with the requested information. But, I never got any callback. Is the radiation dose for the scout scans actually on the CD the clinic gave me and if so, can you help me extract that information? I have attached the reports. Doctor: Hello. Hope your query is answered.\u00a0Please do write back if you have any doubts. For further queries consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 6307, + "tgt": "Can I use Kojivit cream to improve my complexion?", + "src": "Patient: Hi doctor, I have a wheatish complexion. Can you please suggest if I can use Kojivit cream for skin lightening? Doctor: Hello. Yes, you can use Kojivit gel (Kojic acid) safely daily. But, it only removes extra tan from your skin. You can try using a Glycolic acid based face wash for better results of skin lightening. Make sure that you apply sunscreen every 5-6 hours. You can also get chemical peeling, microdermabrasion, and laser done from a dermatologist. For further information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 22182, + "tgt": "Why am I getting out of breath so quick?", + "src": "Patient: Hi doctor, I do around 8000 to 10000 steps a day. But it is not continuous. I drive everywhere. When I tend to walk anywhere, I get out of breath quick. I had my ECG and echocardiogram checked with Holter monitor. All the reports were normal. I have a peak flow of 67 liters per minute which is good. I did a chest X-ray before two months ago, which was normal.Why am I getting out of breath so quick? Doctor: Hello. Your respiratory and cardiac workup is normal (attachment removed to protect patient identity). The tests you have investigated is fine. So cardiac and respiratory cause seems less likely. Now for dyspnea, check your CBC (complete blood count) report to rule out anemia in which low hemoglobin can lead to dyspnea. Give your history regarding anxiety, if present. A panic attack can also lead to dyspnea. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14372, + "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": 11842, + "tgt": "I need a second opinion for the medicines I take for bipolar I and ADHD", + "src": "Patient: Hello doctor, I have a query about the medication prescribed to me, and I need a second opinion. My diagnoses are bipolar 1 and ADHD. I take daily, 1. Lithium 1600 mg. 2. Lamotrigine 300 mg. 3. Amisulpride 400 mg. 4. Haloperidol 4 mg. 5. Sertraline 200 mg. 6. Pregabalin 400 mg. 7. Propranolol 80 mg. 8. Lisdexamfetamine 60 mg. 9. Procyclidine 15 mg. 10. Diazepam 10 mg (PRN). Is that too much medication? Do some of these counteract with each other? Doctor: Hello. The rule of thumb in psychiatry is to prescribe medicine for an adequate duration and adequate dose, before considering it ineffective or plan to change. If your doctor has previously tried one medication for proper dose and duration now, he can add another drug, so it depends on how you are responding to medicine? So it might be possible that if you did not respond to one medicine your doctor keeps adding medicine to your prescription. If you are not in a depression or not a rapid cycler, Sertraline can be tapered down. If you are in remission, Lamotrigine can be slowly stopped. I found no counteracting drug. Antidepressants can be given with mood stabilizers in bipolar disorder (depression episode)." + }, + { + "id": 25279, + "tgt": "What is the cause of shoulder pain and how to treat it?", + "src": "Patient: Hello doctor,I am a track athlete and yesterday in training I did some bench press, short sprints, push-ups and core work. I warmed down and stretched. I woke up this morning with pain in my right shoulder and halfway through the day, this pain is getting worse. What is a possible cause of this and how do I treat it? Doctor: Hello. I have understood your concerns about your shoulder pain. I suspect acute injury to shoulder muscles or ligament. So, that is why the shoulder may be paining. According to me, because of bench press, your muscles around the shoulder may be overstretched and that can lead to injury. But, that will healwithin a week. You need to be cautious about giving rest to the shoulder. Apply only ice pack to painful part for two days thrice a day for 20 minutes each. You can consult a physiotherapist to take TENS (transcutaneous electrical nerve stimulation) and ultrasound treatment. Within a week you will get benefitted. Hope you satisfied with the answer. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 20808, + "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": 93, + "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": 11086, + "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": 23668, + "tgt": "I fear I might have a cardiac arrest although I am only 18. Please help me", + "src": "Patient: Hello doctor,I am an 18-year-old boy. I have a fear I might have a cardiac arrest. I have mild chest pains and pain in my left hand. I have already done echo and TMT tests. Both came out negative. The doctors say that my heart is healthy. But, I still fear I have some condition or something might happen. I would also like you to know that anxiety runs in my family and I have been diagnosed with generalized anxiety disorder. But, I do not think it is anxiety this time. I also had an X-ray which came out absolutely normal. All my doctors say I have nothing. Could you please help me? Doctor: Hello. Hope this helps you. Get back if you have more information to share or any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 7318, + "tgt": "I am suffering from nasal congestion even after having drugs. Please suggest treatment", + "src": "Patient: Hello doctor, I am a 43-year-old male with height 167 cm and weight 79 kg. I am having nasal congestion for 10 days now and have taken Niacin and Kaasahara syrup for the past four days, but there is no improvement before that I tried Allopathy. Please suggest if the medication what I am taking is fine and should continue, or else suggest alternate medicine. Doctor: Hello. The medicines you are taking are mostly for cough, and not for nasal congestion. I suggest, 1. Haridra khanda one teaspoon mixed with one teaspoon honey, taken a day after food thrice. 2. Anu thailam 2 drops in each nostril, twice a day. When you put this nasal drop, it may come to your throat in which case spit it out. If you swallow it mistakenly, it is fine as it is harmless. 3. Mahalaxmi vilas ras (plain) 1 tablet taken a day after food thrice. These medicines are available in Ayurvedic stores." + }, + { + "id": 9453, + "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": 20760, + "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": 21549, + "tgt": "Can I have sex during 17 weeks of pregnancy?", + "src": "Patient: Hello doctor,Currently, I am 17 weeks pregnant. I had spotting which started during 13 weeks and lasted for about a week. I was put on bed rest and advised to take Susten 400 mg. Everything was fine in 16 weeks ultrasound. The doctor said no need of bedrest hereafter. But did not say anything abt sex. Can I have sex with my husband? Is it safe now? Doctor: Hi. It would be better if you could send me your detailed history and scan report that you had recently. Mild bleeding at 13 weeks could be due to local pathology like cervical erosion, polyp, threatened miscarriage or just low lying developing placental at a very initial stage, etc. You got a Progesterone supporting form of a tablet that helped you and now you are asymptomatic. If you have not had any previous miscarriage or cervical incompetence history or recently not had any diagnosis of threatened miscarriage or cervical incompetence or low lying placenta or any polyp or cervical erosion, can have sex but very gentle with lubricant. (Talking about penetrative vaginal sex). Try to have a valid exclusion of all the above with proper history and examination like a prepregnancy normal cervical smear or outpatient hysteroscopic normal examination and recent normal scan and normal cervical length measurement recently can make things easy for you. (That is why I needed your complete history and investigation reports). In case of any symptoms, you report treating obstetrician or nearest tertiary care center to exclude any emergency. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15685, + "tgt": "How to reduce hair fall soon?", + "src": "Patient: Hi doctor, I am 22 years old. I have a problem of hair fall. My hairs fall so quickly, and there is no regrowth of hairs. Please help. Doctor: Hi. Nowadays, hair fall is very common due to change in lifestyle and food habits. Excessive use of different kinds of shampoos, conditioners and washing hairs using hard water result in hair fall. Reduced blood supply to the hair roots makes the hair weak, and it leads to hair fall. You should follow some precautions to prevent hair fall. Apply Bhringaraja oil to the hair at night. Massage the hair for five to ten minutes and wash them with water the next morning. Shampoo your hair weekly twice or thrice using protein shampoo. Do these things and provide your valuable feedback." + }, + { + "id": 10502, + "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": 11540, + "tgt": "I have just one kidney, can I fast?", + "src": "Patient: Hi doctor, 8 months back, I was detected with kidney tumor and immediately had an operation. In that operation, one kidney was removed. My health has slowly improved and now doctors say that I am fine. I want to know, this year after 8 months, can I keep my roza during the month of ramzan? Is it advisable to fast for a month? Every day I will not be drinking water or eating anything from sunrise to sunset. Please advice. Thank you. Doctor: Hello. I would strongly advice you\u00a0against fasting for ramzan. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30716, + "tgt": "How do I come out of my failure?", + "src": "Patient: Hi doctor,I failed in my exams and really depressed. Please help me come out of this. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7257, + "tgt": "I have cramping and brown spotting after starting combination pills. Why?", + "src": "Patient: Hello doctor,I recently started taking the combination pill. I started the pill about a week before I was due to have my regular period. I had the pills regularly for eight days before I had unprotected sex. I took the pills at the same time every day with no issues and I am now two pills away from the placebos, but I have been having slight cramping and some brown spotting for two days. I cannot think of a reason as to why the pills would not have worked, and I know that the breakthrough bleeding can happen especially when just starting, but I associate that type of cramping and bleeding with implantation and am worrying about the possibility of a pregnancy. Doctor: Hello. How are you doing?\u00a0I see that you have not been properly advised about taking the pill.\u00a0Let me try to explain. Hope I have clarified your query. Do write back if 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": 26547, + "tgt": "My 10-year-old son often argues with adults. Is ADHD the right diagnosis?", + "src": "Patient: Hello doctor, My son is 10 years old. Since one year, he has been urinating in his pants in school and often arguing with adults and sometimes with other kids. He has once threatened me that he would commit suicide. He tells people he is a \"master manipulator\" and that there is nothing wrong with him. He has been seeing a counselor once a week for about a year, and she has twice diagnosed him with ADHD. He has no problems paying attention and is not hyperactive or fidgety. I do not feel this diagnosis is accurate. We have been trying to have an appointment\u00a0with a psychologist for\u00a0the\u00a0past five\u00a0months and have got one recently. In the meanwhile, we are\u00a0hoping to find some answers. What could be going wrong on with him? Doctor: Hello. I understand your concern. From your description, there are two things which come to my mind apart from the ADHD (attention-deficit hyperactivity disorder). One is ODD (oppositional defiant disorder), and the other one is a conduct disorder. But, your description does not suffice the above diagnoses. For this, I need more data and a detailed description of his behaviors. Since how long has he has been exhibiting such behavior? Such behaviors need early treatment with medications and counseling. Psychotherapies can effectively control and prevent the child from doing something dangerous. So, I suggest you continue with your current treatment and consult a psychiatrist. All the best. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1614, + "tgt": "I have little red bumps all over my thighs and butt. How to get rid of them?", + "src": "Patient: Over the last couple of years I have had little red bumps all over my thighs and butt. The ones on my thighs are mainly on the sides and the back under my butt. They are not painful or itchy at all. For a while I thought they were razor burn but I have tried different razors and creams/ gels but nothing is helping they always show up. I get them on my inner thighs as well but they aren\u2019t as bad as the backs and sides. The ones on my butt I feel are acne. I don\u2019t know how to treat it though. They mainly show up after I have shaved my bikini zone. They show up right on my underwear line and can be kinda painful occasionally. I have not been treated for any of these bumps. I would like to know how to get ride of them and get smoother skin. If there is a product I could get or something I could do I would like to find out. Doctor:" + }, + { + "id": 21195, + "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": 7363, + "tgt": "I am no longer attractive to my wife mentally. How can I solve this issue?", + "src": "Patient: Hello doctor, My wife for 18 years no longer finds me attractive. Not physically but mentally. That is I no longer turn her on because I let her down, have lied and been lazy over the last years. She had already made her mind up to leave me before I knew we had a problem. For the children's sake, she has agreed to go into therapy but admits she does not see much hope of rekindling the lost passion and I am not 100 % convinced that she wants to. We are great friends, hang out a lot together, fitness, date nights, concerts, festivals, etc. We rarely argue, have no money issues, drug or drink abuse or violence. Is there any realistic chance that counseling can turn this around? Doctor: Hello. You have already taken the first step of acknowledging the problem and trying to address it. You have to gradually rebuild the trust, which is crucial for the survival of any relationship. You have admitted to letting your wife down and lying to her, which could have significantly contributed to your wife's negative feelings towards the relationship. It is difficult to comment further without knowing your wife's perspective. Couples therapy or marital therapy can potentially help to salvage the relationship. As you may know, you cannot predict success in all the cases, but I have personally seen several families benefitting from the intervention. I will advise you to attend therapy sincerely and take it from there. Make sure that your wife does not feel pressurized in doing things against her wishes. It is interesting to note that you are still great friends, and there are no significant conflicts involved. Did your wife not challenge you when you were lying and let her down? Has she internalized all her worries, anger instead of talking about them with you openly and seek a resolution? Therapy can help to find common ground and how to handle emotionally difficult scenarios. Marital therapy can come across as challenging but will be helpful. Continue with fun activities together as a family. I hope this helps. You can contact again if any further advice is needed." + }, + { + "id": 9983, + "tgt": "My wife has black spots on hands, back and legs. What is it?", + "src": "Patient: Hi doctor, My wife is suffering from black spots on hand, back and legs. I have attached the photos for your reference. She is suffering with this disease since three years. These are itching too. All her blood tests are normal. What to do? Doctor: Hi. I have read your query in detail and\u00a0viewed the attached pictures (attachment removed to protect patient identity). These are spots of lichen planus. It is a skin disease which causes lots of itching. 1. She can apply Tenovate-GN cream (combination of Clobetasol propionate and Neomycin sulfate) over these lesions. 2. She can tablet Levosiz 10 mg (Levocetirizine hydrochloride) can be taken in the morning and evening. Consult your specialist doctor, discuss with him/her and take the medicine with their consent. Revert back with the answers to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15876, + "tgt": "I have a rash and white layers over the head of the penis. Is it due to HIV?", + "src": "Patient: Hi doctor, I am 27 years old male. I have a rash and a white layer formation on my head of the penis. It is itchy. I always have this problem for at least a month. I need a permanent solution to get cured. Is this related to any HIV issue? Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). This condition is called Balanoposthitis, in which there is inflammation of glans (penis tip) and foreskin. Most often, it is caused by candida (fungus). It is contagious, and it spreads from person to person if there is unprotected sexual intercourse when the infection is active. Please mention about the medicine used for it. Please suggest the history of unprotected sex. You can use topical Clotrimazole 1 % gel or lotion. Apply it to the affected area twice a day after cleaning the area with mild soap and wipe the area with a clean cotton towel. Apply the gel for six to eight weeks. You can take capsule Itraconazole 200 mg one capsule twice a day after food. Always keep the area clean and dry. Avoid using moist inner wear and use a dry one." + }, + { + "id": 10260, + "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": 17240, + "tgt": "I have enlarged lymph nodes in my neck from six months. Do I need a biopsy?", + "src": "Patient: Hello doctor, I am considering pursuing a second opinion about some palpable lymph nodes that have been present in my neck for approximately six months now. There is a total of eight of them, present on both sides of the neck. These are all cervical lymph nodes, with the exception of one, which is submental. I have seen my physician about this, and subsequently an ENT. I have had ultrasounds of the nodes done on two separate occasions over a period of two months, as well as two CBCs to check for anything in the blood. Thus far, everything has come back normal. The first report reads: palpable foci correspond to normal-appearing lymph nodes. The second report reads: Palpable areas of concern all correspond to benign-appearing lymph nodes. No pathologically enlarged nodes are seen. None of the lymph nodes are larger than 0.7 cm. So, technically they are not enlarged, and bloodwork is normal. Therefore, my doctors have told me I do not need to worry about anything like lymphoma for now, and that a biopsy is not necessary. However, my concerns are that, even though the lymph nodes have not changed much over the last six months, none of the nodes have gone away at all. And, I have received no explanation for the cause of the palpable nodes. Secondly, I have been using Humira to treat my Crohn's disease, which I am aware carries an increased risk for lymphoma. I have not had any other significant symptoms like fever, weight loss, or night sweats.Therefore, my question is, should I push harder to get a biopsy of the most prominent lymph node to rule out lymphoma for sure? And, should I seek a second opinion about all of this? I just cannot put my mind at ease, and I feel as though my concerns are being dismissed after the examinations, ultrasounds, and blood tests. Please let me know if you have any thoughts or suggestions. Doctor: Hello. For more information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14964, + "tgt": "Have 2 pins in foot after hammer toe surgery. Doctor says I will need to be sedated to remove them. Is sedation common?", + "src": "Patient: Hi doctor, I have two pins in my foot after having a hammertoe surgery. The doctor said that I would need to be sedated to remove them. Although it is an office procedure, is sedation common? Doctor: Hi. Yes, sedation is common, as it will ease the doctor to do the procedure, and also it calms you during the procedure. The sedation is a very short one will last for only about 3 to 4 hours. But my advice is to avoid driving for the day." + }, + { + "id": 4659, + "tgt": "Why do they send a mole biopsy sample for second opinion?", + "src": "Patient: Hi doctor, I had a mole removed from my leg. The pathology laboratory has sent my sample to another laboratory for second opinion. Why would they do that? Doctor: Hi. For further clarification consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 14491, + "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": 24773, + "tgt": "Would dermatologists be comfortable checking the penile area?", + "src": "Patient: Hello doctor, I am feeling itching in the penile area and anal area from almost two to three months. I am taking antibiotic Taxim-O 200. It works for a few days and some pus cells are found in the urine test. But after some days, again there is intense itching in the penile area and there is also ear itching. I am already taking L Montus medicine from seven years. Now, I want a diagnosis of the cause of this. I think it is due to lower immunity but which tests would confirm the cause? I have done HSV recently and it gave a negative result. Symptoms become worse after ejaculation in nightfall. I have never had sex. Find attached the images of the affected area. Doctor: Hello. Itching in the penile area and around the anus could very commonly be a symptom of fungal infection. These are the moist areas of the body and tend to catch fungus quickly. Do you notice any rashes or round patches or whitish discoloration at these places? Are you diabetic? With regards to immunity, you could go for a complete blood picture and ESR (erythrocyte sedimentation rate). Preventive measures: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9477, + "tgt": "Is there a safe and assured ayurveda treatment for autism?", + "src": "Patient: Hi doctor, My 3.5 years old mild autistic son is nonverbal. The doctor has given Risperidone (Sizodon) and some vitamin supplements for the last six months. My son is under speech therapy also. As all the allopathy medicine has side effects, is there any safe and assured ayurveda treatment for this condition? To what extent can my son get improved? What is the probable time frame? My son is hyperactive. He cannot focus as there is some sensory issue. He avoids the unknown person,\u00a0especially same aged children. He is very selective in food and does not chew a few foods. He does not like almost any fruit. His MRI, USG, ECG, allergy panel and blood count were normal. He was vitamin D deficient. Doctor: Hello. I just read your query. As you have mentioned about autism, autism is a neurodevelopmental disorder. People start noticing the symptoms in their children during 2 to 3 years of their age. It might be due to some genetic problem, environmental issue, some infection during pregnancy like Rubella and sometimes no known reason can be ruled out with this problem. The other symptoms you have mentioned like hyperactivity, lack of focus and difficulty in interaction with other people are all associated with the same problem. The reason behind all this is that your son's neurological and behavioral development is not normal. Sometimes this problem improves up to a large extent with the help of medicine and other therapies. Sometimes, it can be there as such during a lifetime. No doctor or medicine can assure you about the exact time and the exact progress. But that does not mean you stop trying. Now coming to ayurveda medicine, there are prescribed many medicines in ayurveda which will help your baby up to a great extent. Genetic or environmental. Revert after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3681, + "tgt": "Warts in my genitals has become bigger, red and painful. Why?", + "src": "Patient: Hello doctor, I have had a clear wart looking things pop up on my genitals for a few years now, never many I just burn them off and all is fine. However, a few months ago, I had three darker color things popped up and I burned one off but it did not heal fully. It actually got bigger and redder and more painful. I have attached a picture. Can you tell me what I am dealing with here, please? Doctor: Hi. I have seen the picture. (attachment removed to protect patient identity). This does not seem to be herpes genitalis. In case of herpes, you would have got vesicles that would burst to leave erythematous erosions. These can be verruca plana variety of wart. The second one looks inflamed. Use antibacterial cream for it. Between I hope to burn them of means, getting them treated medically." + }, + { + "id": 6287, + "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": 13527, + "tgt": "What should one do when the contact lens was not removed for 10 years?", + "src": "Patient: Hello doctor,My husband has not removed his contact lens from his eyes in over 10 years he says. He cannot remove them. Please let me know what he should do. Doctor: Hello, Welcome to iclinq.com. If contact lens has been there for the last 10 years, then it would cause a lot of problems like redness, watering, itching, pain, blurring of vision. I do not think the contact lens is still there. You should still consult an Ophthalmologist for an eye exam to ascertain it, and get it removed if still present. Please follow up with what the doctor advises and any other query." + }, + { + "id": 9214, + "tgt": "I am allergic to some food items and have allergy problem in esophagus. Kindly advice", + "src": "Patient: Hello doctor,I am a 22-year-old. I have allergy from last two year from a dairy product, bananas, and rice. I have a breathing problem due to an allergy problem in esophagus. For the last two years, I was under homeopathic medicines, but it is not working. Please guide. Doctor: Hello. As per Ayurveda, it can be explained by Vyadhikshamatva (immunity of the body). Everybody has a special capacity to fight against pathogens or allergens. Vyadhikshamatva works in two ways. 1. It does not cause disease and, 2. Whenever any way causes disease, it helps to suppress them. So ultimately need to improve your immunity and try to protect your self from allergens. Take Himalaya Septilin syrup 10 ml twice a day before meals and Patanjali Haridrakhand granules 3 gm twice a day after meals. Avoid taking those things who triggers your symptoms. Do regular kapalbhati and pranayama as it helps to regulate your metabolism." + }, + { + "id": 1636, + "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": 15510, + "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": 26293, + "tgt": "I am diagnosed with a flattened diaphragm. How serious is it?", + "src": "Patient: Hello doctor, I was recently admitted to\u00a0the hospital for three days with chest pain along with severe shortness of breath. I had a 2D\u00a0echo and a CT of my heart done. The results revealed a flattened\u00a0diaphragm and\u00a0hyperinflated lungs, but the cardiac tests have not yet arrived.\u00a0How serious is a flattened diaphragm? I have also been put on new medications namely prednisone 20 mg three tablets for five days and\u00a0Sucralfate\u00a0once a day. Kindly suggest what should be done. Doctor: Hello. I went through your post. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14106, + "tgt": "I have developed hair dye allergy. Please help", + "src": "Patient: Hello doctor, I am a 52 year old male. I have been using hair dye since last 25 years. Two years back, I had hair dye reaction on the scalp. Yesterday morning, I had dye reaction again. The entire skin of scalp came out like snake's skin. After that rashes have come on the knee, elbow, and on the feet. What do I do? Doctor: Hello. As per the details given, it seems that you have hair dye allergy. Most of the hair dye products contain a chemical called PPD (para-phenylenediamine) which is responsible for allergic reactions. In such cases, I advise my patients to strictly avoid application of hair dye. You may use herbal henna for dyeing hair. I advise my patients to apply topical steroid like Hydrocortisone in the affected area. Antihistamines like Levocetirizine also help. You need clinical examination. So, you should visit your doctor so that he can examine you and give you prescription accordingly. You can share my opinion with him. Stay healthy." + }, + { + "id": 5632, + "tgt": "My fasting sugar is more than postprandial. Is this serious?", + "src": "Patient: Hi doctor, My fasting sugar has been more than postprandial sugar levels consistently in the last few reports. The last four months values are 130 and 120, 125 and 113, 121 and 127, 118 and 99 respectively. With these data, I have not been given any medicines for diabetes. At present I am taking medicines for BP; Stamace 5 and Atorsave 10.\u00a0Can you guide me on this? Is it abnormal or serious? Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17521, + "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": 12783, + "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": 28689, + "tgt": "Will Jupicef tablet be effective to treat a boil on the vulva?", + "src": "Patient: Hello doctor, I have got a boil on my vulva, and it is paining\u00a0when I sit or walk.\u00a0Currently, I am taking Jupicef 500 mg tablet for a\u00a0throat infection. Kindly tell me if this will rectify the boil as well. 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": 4317, + "tgt": "How do yoga practice help in losing weight?", + "src": "Patient: Hello doctor, I am 20 years old. My height is 5' 2\" and weighs about 75 kg. What are the yoga I could do to reduce weight? How many days a week and for how many hours shall I practice yoga? Doctor: Hello. According to your height and weight, your BMI (body mass index) comes out to 30.24 which is considered to be a clear case of obesity for Asian population according to the latest guidelines. If you are really willing to lose weight, then you just need to understand that weight gain or weight loss is simply due to a balance between calorie intake and calorie requirements. The second most important point is there are no short cuts to weight loss. The ideal recommended weight loss per week can be approximately two kilograms. So, you can expect approximately 6 to 10 kg of weight loss in one month. Weight loss for the first two weeks is always easiest. The main difficulty is in the second and third months. Plan and follow any weight loss strategy for a minimum of six months. Go for yoga a minimum of one hour per day and five days a week. An ideal recommendation will be two hours of workout per day. One hour can be given to yoga and another one hour can be reserved for jogging, running, walking, dancing, exercise or any other physical work out. Some practices which are useful for weight loss are jogging, jumping, spinal twists, back swing, hip twist, forward and backward bending, side bending, Parivrtta trikonasana stretch, dynamic suryanamaskara, chakki chalanasana, bhunamanasana, chapaati making, dhanurasana swing, salabhasana, alternate bhujangasana and parvatasana, navasana, navasana swing, paschimottanasana stretch, halasana, alternate paschimottanasana and halasana, cycling, eka pada uttanasana and dwi pada uttanasana, side leg raising, naukasana, naukasana swing, kapalbhati kriya, jala neti kriya, laghu shankha prakshalana, vamana dhauti, nadi suddhi pranayama, bhramari and surya anuloma viloma. It is not advisable to start with these practices without guidance especially in the beginning. Suryanamaskara is especially beneficial. Start with three rounds per session and keep adding one extra round every third day till you reach ten rounds per session. Dietary modification is a must for success. You can follow different diet plans. For example, one week liquid-only diet, another week fruits only diet. Becoming very strict with one diet plan makes it difficult to follow. Go for food items which are bulky (more volume) but with less calories, for example, fruits and salads instead of an item which are have condensed calories and but less bulk like sweets. All the information is relevant to you as long as you are not suffering from any other ailment. It is worth to check your thyroid status if you have not done it already." + }, + { + "id": 23873, + "tgt": "Are there any treatment options available to stop the progress of cataract ?", + "src": "Patient: Hi doctor, My mother is suffering from rapidly progressive kidney disease, for which she is on Prednisone for last 4 months. As a side effect of the drug she is developing cataract\u00a0in her eyes. She usually wears prescription glasses but recently her eye sight improved and upon examination her doctor said she is developing cataract although it is minor at present. They prescribed some eye drops and watch for any changes to see if she would require any surgery. Are there any treatment options available to stop the progress of cataract or treat it without the surgery?\u00a0Thanks. Doctor: Hello. I understand your concerns. 1. Age related. 2. Side effects of drugs (steroids). Wear glasses at present. Revert back with the photographs to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29157, + "tgt": "Why is the medication for schizophrenic disorder causing weight loss and lethargy?", + "src": "Patient: Hello doctor, I am a 34 year old male weighing 81 kg. I had my first manic episode 16 years back, for which I was put under psychiatric care for two months. Then again after a couple of years, I had some depressive symptoms for which I was prescribed Escitalopram 20 mg once daily and some ayurvedic herbs for two years. After that again six years ago, I had a second manic episode for which I was\u00a0hospitalized for two months and diagnosed with a schizophrenic disorder, and was given Lithium carbonate 500 mg twice daily and Amisulpride 50 mg before bedtime. Due to some thyroid elevation problem, Magnesium valproate 200 mg twice daily was prescribed instead of Lithium carbonate. But from the past three\u00a0months, I am\u00a0experiencing loss of appetite, lethargy, weight loss, abdominal cramp, and acidity. My psychiatrist put me on Bupropion 150 mg once daily, which caused tremors and\u00a0sweating. So he changed it into Clonazepam, which is causing acute indigestion. Please suggest some medicines as am losing a lot of weight and feeling lethargic. Doctor: Hi. It seems that you have bipolar affective disorder and currently in the depression phase. According to me, your thyroid disturbances should have been treated while taking Lithium, rather than discontinuing it, as Lithium is the best medicine for your condition. Loss of appetite is due to Magnesium valproate tablets as it causes liver dysfunction. I suggest you get a liver function test done. I would advise you try increasing Magnesium valproate to minimum 500 mg, twice daily and also increase Amisulpride in low dose. Consult your specialist doctor, discuss with him or her and increase the dosage with their consent. Before starting Bupropion, you should have tried minimum effective doses of current medication. I would like to see your recent thyroid profile for better understanding. Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29169, + "tgt": "My mom has disc problem. Should we go for surgery or physiotherapy?", + "src": "Patient: Hello doctor, My mother, aged 41, has been suffering from back pain, hip pain which became leg pain and foot numbness for almost three months now. She went to an orthopedician\u00a0and had an MRI of the lumbar spine, which revealed a\u00a0problem in the L5-S1 disc. I would really appreciate if you can assist me. Should we go for surgery or physiotherapy? Which will be effective in her case? Doctor: Hi. I have reviewed your question and your attached MRI reports (attachment removed to protect patient identity). For further information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 14487, + "tgt": "I have severe breast pain with fullness from ovulation to periods. Is it hormonal imbalance?", + "src": "Patient: Hello doctor, My husband and I have been trying to conceive for five months now. The past few months I have been noticing severe breast pain throughout my entire breast and fullness of both breasts from ovulation until the time I get my period. I read that this could be indicative of a hormone imbalance? My periods are regular and I typically have 30 days cycles. Doctor: Hi. Symptoms you have described are effects given by hormones produced before menses and after ovulation. As you are trying to conceive as well and active sexually, the body tries to respond to that too. Attempts for trying to conceive stimulates and activates hormones more efficiently. So those hormonal presence gives effects as well, like breast tenderness. If the pain or tenderness is there all over the cycle and on a specific side only then you need to worry and consult breast specialist. Hot fomentation, warm baths and then oil massage could be helpful. Have folic acid daily. Try to have a complete treatment of any health issue you have. A daily walk and exercise to have normal BMI. Have recreational activities and quit recreational drugs. Hormonal changes of the cycle. Massage, hot fomentation, warm bath. Can have tablet Postan 500 mg for severe pain. Folic acid, sex in the fertile period." + }, + { + "id": 4854, + "tgt": "Will dry eyes cause blurring of vision?", + "src": "Patient: Hello doctor, Would dry eyes cause cloudy vision with little nonmoving black dots? This is my normal vision and every once in a while I can see perfectly. The eye doctor said everything in the eye looks perfect. I have noticed when I sleep one eyelid does not close all the way but this is the vision in both eyes. I did have a vitrectomy in one eye and the other is still in need of cataract surgery. Doctor: Hi. Yes, dry eyes can cause blurring of vision. As you said you feel your one eye is not closed properly while sleeping, so there is a greater chance of getting cornea dry and can lead to exposure keratopathy. But you have not mentioned any history of stroke or Bell's palsy? Did you have any? Did your doctor notice that you are unable to close one eye properly? Your BMI (body mass index) is also high so with obesity, there is a condition related to floppy eyelid in which eyelids are more elastic and get everted while sleeping that can also cause dry eyes. You said you had vitrectomy in one eye. Please explain why was that advised? Are you having diabetic retinopathy or you had a vitreous hemorrhage or retinal detachment? Or you had similar black spots in that eye too? These black spots in vision may also be due to vitreous liquefaction and condensation, which is age related problem. Jelly in the back of your eye starts becoming liquid after 50 years of age. So you can use artificial tear drops or dry eye and the eye you feel does not close properly. You can also patch your eye while sleeping with simple tape. So that your cornea does not get dry out. Your eye doctor is doing a great job. He has examined your eyes so he knows better and he will do the best. You can discuss with him if anything missed like if you have not told him about incomplete closure of the eye during sleep." + }, + { + "id": 4859, + "tgt": "Will Cipralex prescribed for anxiety disorder cause manic episode?", + "src": "Patient: Hello doctor, I was diagnosed with an anxiety disorder and was given Trintellix 10 mg. I took it for two weeks it helped with anxiety attacks but made me nervous about every emotion or feeling I felt. My mother has bipolar disorder and health anxiety and I think I have health anxiety too. I am worried that I might get bipolar disorder. So I was constantly checking when on Trintellix for any signs of mania. Even though I have never had any manic episodes, I also would shake and have a racing heart so I would get so scared. Which was causing me nervousness? I could not even judge if the drug was working. My doctor switched me to Cipralex but I am afraid to take it and the same thing happens to me. I also have intrusive thoughts sometimes and I feel stuck. Not sure what to do or what medication would be my best bet? I am also on Clonazepam 0.5 at night to help me sleep. Doctor: Hello. It looks like you are experiencing significant anxiety. I note that you are weaning off Trintellix 10 mg and are you are in a dilemma about starting Cipralex (Escitalopram) due to concerns about side effects like developing mania. Since your anxiety appears quite significant it is best managed by a combination of medication and psychological therapy like CBT (cognitive behavioral therapy). Cipralex is an effective medication in this situation. Remember that it will take at least two weeks for your body to get used to the medication and in this period some may experience nervousness, agitation, etc. It generally settles down and you will see full therapeutic benefit from around four to six weeks. So medication is worth a try and have regular follow up reviews with your psychiatrist as advised. You can take Cipralex long term till anxiety is better. Clonazepam 0.5 mg is meant to be taken for the short term only, ideally less than four weeks to prevent developing dependence. In addition to medication, consider CBT to develop psychological strategies to manage anxiety. Regular exercise also helps. Maintain a good sleep schedule. Avoid alcohol and caffeinated drinks. I hope this helps." + }, + { + "id": 15816, + "tgt": "Is it possible to develop peptic ulcer while taking Lansoprazole?", + "src": "Patient: Hello doctor, A few years back, I suddenly developed constant dyspepsia, bloating, and reflux. Also on and off stomach pain. I was prescribed Lansoprazole and it took away the symptoms until a few weeks back. Symptoms have suddenly returned despite still taking PPI. Can an ulcer develop whilst taking Lansoprazole? I am also having minor pain under the right ribcage. Can an ulcer develop or worsen whilst taking a PPI? Doctor: Hello. Peptic ulcer disease is mostly related to the presence of Helicobacter pylori infection (a bacteria that is transmitted via saliva and is present in around 70 % of adults). The first step of the treatment is actually PPI. When this stops working (yes, you may develop more serious symptoms. Whilst taking PPI's) you have some options like add antiacids whenever you have symptoms like Magaldrate-Simethicone 3 to 4 times a day. Add H1 blockers (Ranitidine 150 mg tablets) every 2 to 3 times a day. Avoid over-the-counter pain-killers (with some exceptions such as COX2 inhibitors). If symptoms continue despite this, you need to do an H.pylori testing, if positive you need to take the medication for its eradication (it includes two antibiotics). This usually improves very much the symptoms for months or years." + }, + { + "id": 13996, + "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": 17344, + "tgt": "Is it safe to take Udiliv during pregnancy?", + "src": "Patient: Hi doctor, My wife is in her 7th month of pregnancy. Since last 15 to 20 days, she has been experiencing itching throughout her body. She was ordered liver function test. Report for blood sample collected and attached. Based on this report, she has been taking Udiliv 150 mg twice a day and also Liv 52 tonic twice a day for the past 10 days. Her LFT was repeated and the report for the same has also been attached here. Still parameters are out of range. Please suggest what should be done based on these two reports? Should she continue taking Udiliv 150 mg twice a day? Itching is still persisting, especially during the night. Is it something alarming? Doctor: Hello. She is suffering from IHCP or intrahepatic cholestasis of pregnancy (attachment removed to protect patient identity) and hence the itching. The parameters have deranged and AST (aspartate aminotransferase), ALT (alanine aminotransferase) and Alkaline phosphatase have increased because the dose of Udiliv (Ursodeoxycholic acid) being prescribed has been low. Please consult your specialist doctor, discuss with him or her and get the dosage increased. Then, the liver function test can be repeated again after a week. Also, remember that in cases of IHCP, pregnancy should be terminated at 37 week period of gestation and should not be allowed to continue further for the chances of complication. Revert back after a week to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20664, + "tgt": "Is Pre-seed lubricant safe to conceive?", + "src": "Patient: Hello doctor, Is pre-seed lubricant safe to conceive? Is naturally not lubricating a cause of concern? TTC two months: How many months will it take to conceive naturally? TSH 5.2. Is it normal to conceive? Doctor: Hello. Pre-Seed (Vitamin E, Chloride salts, etc.) lubricant that mimics fertile cervical fluids to support sperm on their journey. Unlike most other lubricants, Pre-Seed fertility-friendly lubricant is pH-balanced and isotonic, so sperm can swim freely. So it can be used. As you have been trying only since last two months, so I would like to comment that the chances of even natural conception with each cycle across the world are 30 to 35 %, so you need to be patient. Thirdly, the TSH (thyroid stimulating hormone) levels of 5.2 are high and make you a hypothyroid which easily affects fertility (attachment removed to protect patient identity)." + }, + { + "id": 7707, + "tgt": "What are intramural uterine fibroids?", + "src": "Patient: Hello doctor, Multiple intramural uterine fibroids 30, 20,12 and small interior wall 30, 25, 12 mm posterior wall. Right ovary 37*33*12\u2019mm volume 8.2cc. Left ovary 38*25*15 mm irregular cyst. Kindly advice. Doctor: Hello. I have gone through your query and reports. The size of the fibroid is very small and negligible, and there is nothing to worry about. Please repeat the scan after three months to know if there is any change in the size. However, if you have a doubt, then get back to me." + }, + { + "id": 7580, + "tgt": "Has running made my gout worse?", + "src": "Patient: Hello doctor, I have been diagnosed with gout. Pain in the big toe is gradual for over four to five days until acute on the sixth day with swelling. During the early stages of pain, I continued with my running. I had no prior knowledge of gout. Could I have made the condition worse by running? I was prescribed Naproxen 500 mg twice daily. I have taken it for one week. Swelling and redness have now gone but mild pain and tenderness to touch continues.How long can I expect to feel this pain and tenderness? Also, I have become dehydrated at times due to running whilst on holiday in hot and humid conditions and with a sudden increase in alcohol intake. I consumed beer most evenings whilst on holidays over a two-week period. Blood tests are yet to be performed in a week's time. Please help. Doctor: Hello. You would not have done any damage to your toe or made gout worse by running on it. The pain and tenderness are likely to last for a few more weeks but should gradually resolve completely. The attack was probably brought on by the beer and the dehydration. If you avoid those precipitants, it may never happen again. But, if it does you may need to take Allopurinol, a preventing medication. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 11634, + "tgt": "Kindly advice me how to delay my period", + "src": "Patient: Hello doctor, I am on a holiday. I wish to delay my period. Kindly advice. Doctor: Hello. Please mention your last menstrual period date. Ideally, menses can be delayed safely and effectively by starting progesterone only pills from day 21 of your cycle daily till as long as you wish to delay your menses but advisably not more than 15 days. Once the pills are stopped, one usually get her withdrawal bleed in the next three to five days. If started later, on just a few days before the expected date of menses, then there are high chances that complete cessation of bleeding may not occur and you may experience irregular spotting in between the course of medications. Hence it is important to learn about your last menstrual date. You can use tablet Medroxyprogesterone acetate 10 mg one tablet twice a day from day 21 daily for the next 10 to 15 days to delay your menses. The most common side effect faced are progesterone side effects like headache, constipation and often bloating sensation, but it can be controlled by increasing daily water intake up to three to four liters a day." + }, + { + "id": 26774, + "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": 6957, + "tgt": "I am at the risk of HIV AIDS. Please help", + "src": "Patient: Hi, I am a 31 year old\u00a0male. About 38 days before I had sex with a CSW (Commercial Social Worker). It was protected vaginal sex and protected oral sex. Also there were deep throat kisses which lasted almost a minute. I am not sure if the condom was torn during the intercourse.\u00a0 Since last 3 weeks I have sore throat and mild joint pain. No real fever. Sometimes during afternoon time, my body temperature raises up to 37.2 degrees centigrade.\u00a0The sore throat was mild but was a one pin point like feeling. The phlegm had blood stains. Phlegm was green or yellow in color.\u00a0 I went to the doctor and he checked chest x-ray and found no problem.\u00a0I tested HIV 3rd Generation antibody test after 19 days of exposure, which was negative. My questions: Are my symptoms related to Acute Retroviral Syndrome (ARS)? Is there any possibility for transmission of HIV through deep kissing? What can be the cause for blood stained phlegm? An ENT specialist had told me that the partition of my nose is a little bent. Is there any relation of this and my symptoms? I am feeling a little weak but I think this is mostly because of anxiety. How accurate is my 19 days HIV test result? Can sore throat without fever can be a symptom of ARS? I have only sore throat and very mild joint and muscle pain and that too not constant. Doctor: Hi, Welcome to icliniq.com. Based upon your history, my answer to your questions: 1. Are My Symptoms Related to ARS? Acute Retroviral Syndrome (ARS) typically begins 7-14 days after the exposure to a HIV positive patient, and may last for up to 3-4 months. The symptoms are typically \"flu-like\" with fever (may be high grade or low grade), fatigue, headache, aching muscles or joints, sore throat, swollen lymph glands and sometimes a maculopapular rash. Now, this is simply a description of ARS, this does not prove that you have it!!!!! Let me dissect this issue a little closely for you:a) The failure rate of condoms may be up to 5%, and since you are not sure of it being torn, there is a definite likelihood that it may have ruptured. However that still does not ensure you acquiring the infection. Because HIV acquisition has so many issues - the CSW in question should be positive and more likely to spread it if she had symptomatic AIDS with high viral titres. Thus, there is no way of accurately assessing your risk of acquisition of the infection. I would recommend that instead of teasing your mind about \"YES\" or \"NO\", get the tests done (mentioned below) to get over your anxiety.b) Though your symptoms are similar to ARS, by all means these are also the symptoms of the following diseases. So, unless we get the tests done, we may not be sure. There are other STDs (Sexually Transmitted Diseases) related, that have a similar clinical picture . \"Herpetic gingivostomatitis and pharyngitis\" (caused by Herpes Simplex Virus, a sexually transmittable disease), and rarely \"gonococcal pharyngitis\" (another STD, in which urethral pus filled discharge is additionally, but not always seen along with sore throat). The third possiblity is of course a \"normal viral fever\" caused by simple viruses like adenovirus, coronaviruses etc., which may transmit from anyone to anyone, simply due to kissing. Let us hope you have the last type of fever that subsides without any complications.Your picture is non-specific and does not suggest any infection related condition. 2. Is There Any Possibility for Transmission of HIV Through Deep Kissing? Kissing per se is not known to transmit HIV, except for few doubtful cases reported in medical literature. Of course \"deep throat kissing\" may have a little higher risk. The possibility will depend on the HIV status of the CSW. 3. What Can be the Cause For Blood Stained Phlegm? If you have been trying to clear your throat vigorously to get rid of the phlegm, the severe blows on the throat may also lead to mildly blood-tinged sputum. The other cause may be Pneumocystis jiroveci pneumonia, commonly seen in patients with HIV-AIDS. However, it is just a rare possibility. 4. An ENT specialist had told me that the partition of my nose is a little bent. Is there any relation of this and my symptoms? ENT specialist may have diagnosed DNS (Deviated Nasal Septum). It might be a cause for recurrent sinusitis and occasional epistaxis (bleeding from the nose), none of which is your primary symptom. So it seems to be totally unrelated. 5. I am feeling a little weak but I think this is mostly because of anxiety. Weakness may be a part of the viral fever which you have, with additional component of anxiety induced lethargy. No harm in taking Giloy Amla Juice twice a day (10 ml) and tablet Septilin twice a day for a month. Get your Complete Blood Count (CBC) and Liver Function Test (LFT) done. In addition get serological tests for hepatitis B and hepatitis C done. Very few people know that the possibility of transmission of these infections along with or even without HIV is decently high in sexual encounters. 6. How accurate is my 19 days HIV test result? It takes up to 12-16 weeks for HIV antibodies to become detectable by ELISA test. Thus your HIV ELISA test, though being accurate (depending on the lab you got it done), is still not an indication. It simply suggests that you are not \"seropositive\" for HIV at present. A repeat test of HIV ELISA, 3 months after the day of intercourse and then once again at the 6th month is the standard practice of confirming or ruling it out. However, in today's era we have early diagnosing blood tests which may detect HIV infection even before ELISA turns positive. These tests include: So I will advise you to get the above tests done to have the peace of your mind.If at all (God forbid!), your report for ARS comes positive, there are Highly Active Antiretroviral Therapies (HAART) available, which may be started soon after the tests detect the infection. The details of that may be discussed in our next consultation once I have your reports. But do not lose hope, because modern medicine is capable of salvaging your condition (and all this is based on the premise of you having ARS, which has not even been proven!!!). 7. Can sore throat without fever can be a symptom of ARS? I have only sore throat and very mild joint and muscle pain and that too not constant. I have answered this query for you in the discussion above. The Final List of Tests to be Done: 1) For HIV-ARS: 2) For related STDs: 3) General Tests - CBC, LFT. In conclusion, get the tests done, do not spend sleepless nights till reports are available. Revert back with the reports to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19660, + "tgt": "What causes shooting pain in the anus and how to treat it?", + "src": "Patient: Hello doctor, For the past one month, I get a shooting pain in my anus, or maybe rectum. It only happens when I am sitting down or laying down. The pain usually lasts a couple of seconds and every other day it happens. I have also have been pooping small balls, not the normal poop. Is it the reason I get those pains? I used to not have a hard time pooping and I never got these pains. It all happened after I had a hard time pooping. What could this be? How can I cure it with home remedies? I do not have money to go to a doctor. Is it something serious? I am getting scared. Doctor: Hello. It appears you have a fissure and there is a damage to your tract due to hard stools. Your stool should be soft. For that, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables (spinach), and raw cucumber. Avoid smoking, refined food, fatty and oily food. You should have plenty of fluids and regular exercises. Also, I suggest a syrup like Lactulose 15 to 30 ml at bedtime to maintain your stools soft. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Second, you can use 2 % Lidocaine gel before each stool so as to relieve the pain. Also, sitz bath will be helpful. During a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contains Potassium permanganate. If not responding to above treatment, then you can sitz bath. Hope this helps you. 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": 25628, + "tgt": "Does Glucosamine have any side effects?", + "src": "Patient: Hello doctor, My mother has primary symptoms of rheumatoid arthritis. She takes Methotrexate 10 mg weekly and for her heart, she takes Nebicard 5 mg and Caat 20 mg. She has no flaring of her symptoms but random mild joint pain occasionally. I would like to know: Is she in remission? How do you define true remission? I give my mother additional supplement of Glucosamine. Does this have any adverse reaction with Nebicard 5 mg and Caat 20 mg. Are there any side effect of Glucosamine and kindly suggest doses of Glucosamine. Doctor: Hello. Yes, she is in remission. It is defined as clinically or less joint pain and/or swelling with no morning stiffness. I suggest she can take Glucosamine. There is no interaction with the other drugs that she is taking, Common side effects of Glucosamine are diarrhea, constipation, nausea and abdominal gases. The dosage of glucosamine is 750 mg twice daily after food. However, consult your specialist doctor, discuss with him or her and with their consent take the medicine. This is only a second opinion platform. 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. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20820, + "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": 41, + "tgt": "I have oily skin with pimples and white heads leaving brown scars. Please suggest solution", + "src": "Patient: Hello doctor, I have an oily skin type. Recently I am experiencing pimples, white bumps, red dots on my cheeks close to my ears. Sometimes I feel very itchy near the pimples. I have developed one or two new big pimples on my forehead also. When the pimple subsides after a week or two it leaves a reddish brown mark on that area. I feel the need to wash my face very often as it starts feeling very heavy and sticky from all the oil on my face. I used Clear Gel for some time but it is not working on my skin. Not using any other medication at the moment. Kindly help me with the same. Doctor: Hello. Attach a picture of the lesion for details. Use Ahaglow face wash twice daily for 15 days. Are there pustules? Inflammatory red lesions? Photosensitivity?" + }, + { + "id": 12105, + "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": 30426, + "tgt": "Why does my 1. 5 year old baby get recurrent urinary tract infection?", + "src": "Patient: Hello doctor, My 1.5 year old baby has suffered from UTI\u00a0for the last 18 days. The culture report showed Klebsiella pneumoniae 100000 cfu/mL. Her doctor said Colistin is sensitive and she has been treated with Colistin and catheter IV for 15 days. But, her infection is not clearing and is going up and down. Today's report says pus cells 30 to 40, RBC 6 to 8 and epithelial cells 1 to 2. She had open ureteric bilateral surgery for grade 5 reflux on the right side and 4 on the left. Please guide us doctor. Doctor: Hello. Your baby has proven UTI - urinary tract infection with Klebsiella and is Colistin sensitive and unfortunately not responding. Also, she had bilateral reflux, which is prone to cause recurrent UTI. The reason for persistent urine infection may be underlying anatomical defects (the reflux), resistance to Colistin or involvement of upper urinary tract (kidneys). I recommend you to repeat urine cultures and get an ultrasound examination to look for any complications developed and whether any intervention is needed now, as during active infection other imaging studies are deferred. I need to know, how many episodes of UTI she had earlier? Also, give me more details of reflux and surgery done and antibiotic prophylaxis being used. Please continue her antibiotics. Thank you. Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23709, + "tgt": "I have resorted to drinking after my father's death. Please help me", + "src": "Patient: Hello doctor,I am a 25 year old guy. I am working in a private company although my dream is to work in government sector. I have that caliber which I know and I believe I can, but the problem with me is nowadays, I take everything for granted. I lost my father three years back. Till then, everything was fine as my bonding with him was like a friend. I used to discuss a lot of things with him just like a friend. After him, I have to take care of the responsibility of my family which was not like that actually. I have spent a big amount of his savings. Now even I know the financial stage of my family. If I do not get a government job, it will not be possible to live the life the way I want to. I am not happy at all with my private sector job. A year back, I had a breakup with my longtime girlfriend.The problem now is although I know the outcome of everything, I am not working towards my goal .instead, I am a regular drinker. I really want to stop drinking. I keep myself motivated that I will not drink today but somehow I do end up drinking. It all started after my father's death. I do not want to make it an excuse for my drinking habit but still, I do not know how to leave this habit. I am losing so much due to these things. I feel like I am behaving like a numb person even after knowing everything. I live alone as well. What should I do? Doctor: Hello. I have gone through your problem and understand your concern. It is clear that after the death of your father, you were not able to handle the pressure of responsibility and started drinking alcohol and spending excessively. As you are regularly drinking for the last three years and now want to quit, that is good. Consulting a psychiatrist in person will be very helpful and he will ask for some investigation like liver function tests, USG abdomen, etc and treat you accordingly. Management of alcohol use is very important and it depends upon many things including total daily intake, duration, last intake, the status of the liver, etc. Sometimes what happens is that due to stress and family pressure, etc. the person is not able to take the right step forward and may take a wrong path like in your case. As of now, you are motivated. So, a consultation with a psychiatrist as soon as possible is important to manage alcohol-related problems and other psychological problems if he detects any. Similarly continue to work to get a job in the government sector, as it is difficult due to lack of enough vacancies. So, keep studying. Do regular exercise and take adequate sleep. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 20614, + "tgt": "What is the little red spot on inner thigh surrounded by ring-like shape?", + "src": "Patient: Hello doctor, My 8-year-old daughter has something on her skin. It started about five weeks back with a little red spot on her inner thigh. Initially, it was a bit dry inside. Later, surrounded by a ring-like shape. Now, it has become big. She got Daktarin for ringworm treatment but it did not help, and after a week the spot got even bigger and changed the color to purple. In the meantime, she was getting new red spots. We went back to GP, and she got Hydrocortisone as a change in treatment. Still no results and new spots are showing up. After a week, we came back to GP, and she got antibiotic Flucloxacillin. There was no change. Yesterday, a swab was taken, and she got Permethrin cream, and I cannot see the results. I am cleaning her with Hibiscrub for the last five days. There is no itchiness, discomfort or discharge. Doctor: Hi. I saw the picture (attachment removed to protect patient identity). Few rashes look like Pityriasis rosea. It is a self-limiting condition, usually seen as a reaction to viral infections, some oral medications can also precipitate Pityriasis rosea. It starts with the mother patch, which is the biggest patch that appears first. It presents with red round rash with scales at the edges; we call it collarette scales which is very classic of Pityriasis rosea. After the mother patch appears, daughter patches follow it. It will be seen on arms, neck, chest, back, and thighs. Each lesion will appear round to oval in shape, with scales at the edge. Sometimes, red bumps are also seen (papular Pityriasis rosea). The peak of rashes (maximum number of rashes) will be around the 4th week, and by the end of 6th to 8th week, rashes start subsiding. Fungal infections (tinea) are very itchy. Fungal infection presenting without itching is very unlikely. Though rashes look similar. In scabies, rashes will be intensely itchy with red bumps over finger spaces, wrist, armpits, around the belly button and groin. I would like to know that did she have fever, cough or sore throat before the rash? Is she taking any oral medication? Does anyone else in the family have similar rashes? Any changes in the routine skin care products, like body lotion, powder or detergent? Do you have pets at home and are these pets ticks free? Can you also upload some clear picture of single rash so that I can appreciate all the finer details? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25834, + "tgt": "Why am I having PPD in spite of being on Percocet and Zoloft?", + "src": "Patient: Hello doctor, I had my baby last week. After coming off IV painkillers for the C-section, the doctor prescribed Percocet. On the third day after giving birth, my depression returned as it was before. Is it safe to take Percocet, Zoloft, Lithium, and Wellbutrin-XL? It seemed like the depression came back right when I started taking Percocet but it could also be PPD. I am not sure how am I getting PPD with all my current medications. Doctor: Hello. Thank you for taking help from a psychiatrist. It will be better to stop all the above medications except Zoloft (Sertraline) and Lamictal (Lamotrigine). Zoloft and Lamictal cause very rare and mild side effects. Pregnancy may cause depression. You need family support and emotional care after pregnancy. You can take psychotherapy counseling sessions. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7050, + "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": 3836, + "tgt": "Can chronic constipation and absence of hunger result in varicose veins?", + "src": "Patient: Hello doctor, My mother is getting varicose veins. It has just started. I just noticed these bulging veins today. I suspect the reason is chronic constipation and absence of hunger. Chronic pathogenic infection of GI tract may also be there. Flatulence and low energy levels are also present. What to do? Doctor: Hi. Revert back after the ultrasound to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28566, + "tgt": "My daughter has repeated episodes of vomiting. I would like your opinion on this matter", + "src": "Patient: Hello doctor, Last year my daughter decided to go on an all vegetarian diet rather drastically. A few weeks later, she got ill with vomiting which lasted for approximately two weeks, so we made three visits to the urgent care, where she was treated for gastritis and dehydration. One month later, the same thing occurred, so this time I took her to another doctor who ran blood tests, stool culture, tested for H.pylori and did an ultrasound. The blood tests were normal with the exception of a high CPK and bilirubin reading. The ultrasound results were also normal. And this happened\u00a0again a couple of months back. This time a CT scan was ordered and some additional blood tests were done, all of which were normal. The only thing that appears consistent with these episodes is that they always occur approximately two weeks before her period is due, except for an episode that occurred this weekend when she did not eat on time. I am rather concerned and would like your opinion on this matter. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5733, + "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": 18518, + "tgt": "Why do I have leg pain when I stop taking vitamin D3 supplements?", + "src": "Patient: Hello doctor, It all started with leg pain some two years ago. At that time my vitamin D3 level was only 8. Then, I took Uprise-D3 60000 weekly dose for two months. I was cured and fine. But after six months, the problem started again. I did my blood tests again and it was 30. I started taking vitamin D3 again and got about 70% relief. Three months later, my vitamin D3 level was 66. But when I stopped taking vitamin D3, the symptoms occurred again. Kindly help. My uric acid is 7.6 and calcium level is 10.5. Doctor: Hello. It appears that you have myalgia. I suggest that you take You need to drink eight to 10 glasses of water daily. Usually, vitamin D has to be taken along with calcium supplements even if the calcium levels are normal. Also, 50000 IU of vitamin D can cause muscle pain. Dehydration can also cause muscle pain and high uric acid levels. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 22561, + "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": 14143, + "tgt": "Why are there small whitish bumps on both sides of vagina that itches sometimes?", + "src": "Patient: Hello doctor, I am just worried about these small whitish bumps on both sides of my vagina and I do not know what they are. I am kind of freaking out. Sometimes it itches but most of the time it does not, and they appeared out of nowhere. Doctor: Hi. There may be various conditions ranging from just physiological vaginal cysts to some problems like herpes, warts that need medical treatment in cases of vaginal or vulval bumps. In order to get into the actual diagnosis, it is essential to have a look. Although it is advisable to seek medical help if the lesions are itchy, painful, smelly or with pus or blood-stained or ulcers. Development of ingrown hair after shaving Brazilian area is a common problem. Please note to use condoms during sexual activity, if you are unsure of the type until you seek medical advice. 1. Ingrown hair- bump containing a curled in hair. 2. Genital herpes- pimples in clusters, some ulcers may be present, may be itchy, tingling and recurrent. 3. Genital warts- tiny cauliflower-like growth, may be itchy. 1. Ingrown hair gets better with time, no medical treatment required generally. 2. Genital herpes- tablet Acyclovir 400 mg thrice a day after food for seven days. 3. Genital warts- get them removed by a dermatologist by laser therapy. Use condoms during sexual activity." + }, + { + "id": 21816, + "tgt": "Can acid reflux cause harm to throat?", + "src": "Patient: Hi doctor, I am 30 years old female. I have tiny red spots on the uvula. I can see a small vertical bulge behind my uvula on the pharyngeal wall. I am very concerned. What could be the bulge? Doctor: Hi. The picture is not clear (attachment removed to protect patient identity). This bulge can be enlarged adenoid. Do you have any pain in the throat or while swallowing? Do you have a fever? Do you snore while sleeping? For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4807, + "tgt": "Can Statins be avoided in cases of high cholesterol?", + "src": "Patient: Hello doctor, Recently prescribed by ARNP low dose of statin, but prefer trying diet limited to 200 mg cholesterol with average daily of 100 mg plus E-revise 5 days a week to lower with supplements instead. I am 64. Do not smoke. Do not drink. Trying to lose 20 lbs, female. At 243 total with 58 Hdl. Is statin necessary? Or other testing like stress test? Doctor: Hello. When patients present to me in the hospital with a similar presentation considering your age, family history, I commence them on Statins initially. You should use Statins for atleast a month or two before trying out the option of diet or other natural methods. At your age it is slower to loose weight. So, yes, it is necessary that you use Statins for atleast the first 1 to 2 months till your total cholesterol has dropped to atleast 200 mg/dl before continuing with diet and supplement. Perhaps, Statins rarely have side effects. You do not need stress test now. It is mostly indicated when you are having symptoms such as shortness of breath, chest pain, etc. For now it is not necessary. I advise you take the Statin for a couple of weeks first. You can switch to diet and supplement once your total cholesterol is below 200 mg/dl. Also, countinue with all other medications as prescribed. Hopefully, you will be fine. Best regards." + }, + { + "id": 21064, + "tgt": "How many days will it take to dissolve kidney stones with medications?", + "src": "Patient: Hello doctor, My wife is having 12 mm, 10 mm stones in both left and right kidneys. Currently, she is using Cystone forte, Neeri tablet, and Smashit. So, how many days it will take to dissolve these stones? Doctor: Hello. I just read your query. See first of all let me tell you one thing that the size of the stones is large. Kidney stone having size around 4 to 5 mm get dissolved with the help of medicine easily as compared to large-sized stones. Another thing is the composition of stone means from which thing the stone has been formed, that also matter. Some stones are unable to dissolve with the help of medicine. But we cannot know without examination from which thing the stone has been made. So continue your treatment. In case you face any trouble you may require consultation from a urologist. If stones will be dissolved with the help of medicine then fine otherwise she might require surgical management. Genetic cause or poor eating habits or some underlying disease. USG abdomen." + }, + { + "id": 23659, + "tgt": "I have irregular periods and I am on Norethisterone. Should I continue the drug?", + "src": "Patient: Hello doctor, I have had irregular periods for months. I am experiencing abnormal periods where I am bleeding every other week. Sometimes the bleeding lasts a few days whereas sometimes it lasts at least eight days. More recently, I have had my worst period. I have had it 10 days then off for three days and then back on again for another one. I am currently on a period and it does not look like it will go soon.\u00a0They are not particularly heavy periods for me and are both a mixture of different shades of red.\u00a0I currently take the Norethisterone, the only tablet for contraceptive. Please help. Doctor: Hello. The contraceptive efficacy of the Norethisterone is quite less and if you are taking it irregularly then also it may cause a breakthrough bleeding. So the important thing is to get a pregnancy test as this is the most common cause to rule out. If this is ruled out then irregular intake of hormones is the second cause. I suggest you get a gynecological ultrasound and a serum beta hCG (human chorionic gonadotropin) done. AUB (abnormal uterine bleeding), pregnancy, and hormonal imbalance are the differential diagnoses. The treatment plan is to stop taking the pills at present. Let us know the reports of the investigation. Preventive measures include the use of a combination of oral pills. Follow up with the reports. For more information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6711, + "tgt": "My grandmother has multiple gallstones. Is there any nonsurgical method to treat it?", + "src": "Patient: Hello doctor, My grandmother has multiple gallstones. She is very weak, and according to our doctor, she will not be able to tolerate surgery. I wanted to know if there are any non-surgical methods to treat this condition. She is having severe abdominal pain, accompanied with pain between the shoulders. She is having this problem for more than 8-12 months now. In addition to the problems that I have mentioned, she says that she can not eat anything. Even though she feels hungry, she says that her stomach feels full. Also, she says that she experiences a severe burning sensation whenever she eats or drinks anything. She is not taking any medications for this specific issue. She takes medicines for soothing the burning sensation down her throat to the chest so that she can eat peacefully. Apart from that, she takes medicine for keeping her blood pressure in control. Though she does not have any heart disease, she does take some medicine for heart as a precaution. We did an ultrasound, and the reports are attached. As per the report, she has multiple gall stones, along with the possibility of the adhesion of the gallbladder with the bowel. There is no surety about this; it is just a possibility. Doctor: Hello. I have seen the reports. (attachments removed to protect patient identity). There is no doubt that laparoscopic cholecystectomy is a safe and the standard treatment for cholecystitis nowadays. However, some patients continue antibiotic therapy without undergoing surgery. She could be admitted and receive medications, including antibiotic therapy, according to the protocols, analgesia with paracetamol and Metamizole, prophylaxis of thromboembolic disease, and proton pump inhibitor administration. Oral intake of water should be initiated upon admission if she did not complain of nausea or vomiting, with a progressive increase of liquid and food intake according to her oral tolerance. In my opinion, you should revise her surgeon about the availability of performing laparoscopic cholecystectomy. I hope this helps." + }, + { + "id": 14615, + "tgt": "How can I find out if my filled teeth have caries under the restoration?", + "src": "Patient: Hello doctor,I have three first molars that have been filled with amalgam three years ago. I need to know how can I find out if one of them has caries under the restoration because one more first molar was also restored by amalgam, and three years later, I was experiencing some pain. When the doctor checked, it turned out that it was full of caries, and I had an endodontic treatment. Is there any way to find out if my other amalgam restored molars have caries? Are there any other methods other than radiographs because I know that prolonged exposure to radiographs is not very healthy. And also, last month I was exposed to x-ray 11 times, besides experiencing that severe pain and leading to endodontic treatment. I have a panoramic radiograph which was taken a month ago. Can you tell me how to find out if there is caries underneath the restorations (like how caries looks in a radiograph)? Doctor: Hello, Welcome to icliniq.com. Yes, there are possibilities of caries (tooth decay) underneath amalgam restorations. Please check the panoramic radiograph and see if there are any dark patches below the amalgam fillings in the teeth. It would be best if you could send a photograph of your recent panoramic radiograph (OPG), for confirmation. Your panoramic radiograph is more than enough to find out if there is secondary caries (caries underneath restorations) in your molar teeth. Intra Oral Periapical radiograph (IOPA) is the x-ray of an individual tooth. IOPA might be needed for detailed investigation of an individual tooth during later stages of treatment. You could try digital x-rays which have very low-level radiation exposure compared to conventional x-rays." + }, + { + "id": 29088, + "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": 6893, + "tgt": "I am getting cold and sneezes almost every day. How to get rid of this condition?", + "src": "Patient: Hello doctor, I am facing too much cold (almost every day), whereas during my last four-year stay in the previous place, even for a single day, I never had a cold. All medicine like Avil, Sinarest, Citragin, etc. failed and almost all home remedies also. Please suggest to me which medicine will give me relief from many hundred sneezes, continuous nose leaking, severe eye irritation, headache, and laziness. Doctor: Hello. From the symptoms detailed, you have allergic rhinitis. Do you have a history of sinusitis? Sinus tenderness which can be elicited by applying pressure over your head, on cheek bones? Do you have congestion or blocked nose? Well the main cause of allergic rhinitis is the allergen that may be indoor, outdoor, occupational, pets, dust, smoke, incense sticks. Management includes, 1) Environmental control that is to identify and eliminate the allergen. This is the mainstay. Try to identify the trigger, avoid its exposure. 2) Pharmacotherapy, this includes T. Mont- L (Montelukast, Levocetirizine) evening 6:00 pm daily once. 3) Tablet Allegra 60 mg twice daily. 4) Intranasal Otrivin sprays if you have blocked nose only for five days. Intranasal corticosteroids, Beconase AQ or Flonase (Fluticasone) or Rhinocort, Nasacort (Triamcinolone) two to three times daily. It may take a few days for the effect to start. Do steam inhalation with few drops of Nosikind plus dropped in the boiled water. As I have already suggested, you need to identify the allergen and get rid of that. Do continue home remedies. Do revert if your symptoms do not come down in three to five days." + }, + { + "id": 28276, + "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": 9830, + "tgt": "Shall I switch to Glycomet SR 500 mg to control my glucose?", + "src": "Patient: Hi doctor, I am in the initial stage of diabetes. I have been diagnosed before a year only. I walk 7 km a day and five days a week. Still, my present medication does not maintain my glucose levels. My average fasting blood sugar level is 140. I am currently on Glycomet 250 and I am wondering if I should switch to 500 mg SR. I am also concerned about if this stronger medication will affect my kidney function. My medication is only dealing with control of glucose level and no dietary supplements to improve pancreas function. Do you suggest any medication or supplements? During sonography for another issue, my doctor mentioned that I have a lot of fat around the liver, which I guess can also contribute to diabetes. I am doing exercise to reduce overall fat. Do you suggest something else to reduce this fat? I am a 32 year old male. My height is 170 cm and my weight is 82 kg. Doctor: Hello. I understand your concern. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 14376, + "tgt": "What measure can be taken to reduce tooth pain as I am out of home?", + "src": "Patient: Hi doctor, Since yesterday I am getting tooth pain in my upper left canine. It is paining four to five times a day and it is very severe pain. It is there for 15 minutes. Afterward, everything is normal. My question is what might be the problem? Can you please suggest any temporary relief medicine or technique from this pain for the next four days as I am on a tour. Doctor: Hi. Almost dental caries can cause pain whether it is constant pain or intermittent. According to your condition, it is almost caries bacteria cavitated inside the tooth and pain results from the infected bacteria reaching the pulp chamber (the sensory area inside the tooth). So, actually, you will feel pain and discomfort frequently. I suggest you reach a dentist as soon as possible but you can take analgesics to subside the pain temporarily. You can take Acetominaphen tablet 200 mg one tablet twice a day for five days. Also, if you could place small cotton with a little clove oil, it will be very helpful. You can apply the piece of cotton with clove oil inside the cavity of the canine 3 to 4 times frequently or you can use this technique at the time you feel pain. Bacterial infection. Acute pulpitis. Small cotton with clove oil." + }, + { + "id": 20581, + "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": 9352, + "tgt": "Endometrial thickness was 14 mm last week. How long will it take to get my period?", + "src": "Patient: Hello doctor, I am waiting for my period because I am going to start on hormones to freeze eggs. I did this some month ago also. And since then, my cycle has not been normal, and I am usually very regular. After this, I got on the period before a month and that lastet for two weeks. And since that nothing. I went to a gynecologist, and she said my endometrium was 14 mm, one cyst was cracked some days ago, and my period was just around the corner. That was one week ago. Is it possible that the endometrium has been this way for a long time, and my period is not around the corner? Doctor: Hello. As rightly stated by your doctor, looking at your Endometrial lining (14 mm) you should have got your periods by now. But it seems that you are having some hormonal imbalance (mostly less progesterone) which has led to a thickened endometrium but no periods as yet. By taking progesterone, you will get withdrawal bleeding (periods). Once you get your periods, please consult your fertility expert for further medications so that you can go ahead with the egg freezing. Take tablet Norethisterone acetate 5 mg three times a day for three days. You will get your periods in the next four to five days." + }, + { + "id": 8766, + "tgt": "My son has an urge to smoke after his bipolar drugs are changed. What to do?", + "src": "Patient: Hello doctor, My son is a bipolar patient, he is not taking drinks, and smoking mean while for the last four months. He is under treatment for bipolar disorder. Now, after four months of treatment, we put him to college after the gap of two years, but he just went for a week and not going now. He was on Quitiapine 300, but he got angry so the doctor increased his medication to Quitiapine SR 500 and Oxetol 300 twice. I am too worried after the change in the medication my son has an urge for smoking. Doctor: Hello. From your description, I understand that your son has developed bipolar disorder or psychosis in the background of substance misuse. He is on medications (Qutiapine and Oxetal), which are mood stabilizers and antipsychotic medicines, which will be helpful to treat your son's condition. Additionally, your son needs to have psychological therapy support to manage his mental health condition and prevent relapse of drug use. Therapy and motivational interviewing will help to treat urge to have cigarettes and other drugs. Your son will need continuing support in his journey of recovery. Encourage him to eat healthily, exercise regularly, see helpful friends, family, and keep himself occupied positively. Continue regular reviews with your doctor and treating team." + }, + { + "id": 8894, + "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": 9503, + "tgt": "Can a gay impregnate his wife?", + "src": "Patient: Hi doctor, I am a gay, married to a woman and had sex with my wife. My question is can my sperms impregnate my wife? If it happens, my children will be straight or gay? Doctor: Hi. Yes, even if you have homosexual orientation even then you will be able to make your wife pregnant. No need to worry for that provided your sperms count is normal. Homosexuality does not have direct genetic inheritance. So, no need to get worried for that too. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30497, + "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": 16218, + "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": 23054, + "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": 7282, + "tgt": "My 3-month-old baby looks weak. What can I do to improve her weight?", + "src": "Patient: Hello doctor,My baby is 3-month-old she was having a fever now with a weight of 5.8 kg. What should I give to gain more weight and look humpty she looks too much weak also. Doctor: Hello. 5.8 at three months is fine. The child should not be Humpty. A good weight is must, not under or over. If she had a fever, the most common is viral fever characterized by fever and nasal discharge with or without mild cough, and child will be active otherwise. If she does not have all these features, it could be other infection also, for that we need to discuss by direct conversation. 1. If it looks like viral fever, give her only Paracetamol syrup 4 ml three times a day along with frequent breastfeeding and monitoring of the temperature. 2. Give her breastfeed exclusively up to six months. 3. After six months start on cereal supplements, and report with weight so that we can decide how much to be given. 4. Complete vaccination. Report back if you need assistance for any purpose related to parenting and child health." + }, + { + "id": 13296, + "tgt": "How can I cure burning and itching in vagina with white discharge?", + "src": "Patient: Hello doctor,There is some thrush coming out of my vagina and it is slightly yellowish like cottage cheese and along with that, my vagina is burning, itching, and inflamed. Doctor: Hi. Have you been treated for any other health issue like diabetes or any other chronic issue? If yes, it is better to have a regular check-up and proper treatment for that. Diabetes increases risks for infections. Overtreatment can destroy normal vaginal flora to make it more prone to the infection. You already have Fluconazole tablet, it is better to have 150 mg but it would be better if you take a high vaginal swab to check in the laboratory before starting treatment. Have strict hygiene, use condoms to avoid transmission of infection. Wear soft comfortable undergarments. Avoid cosmetics and products locally and use water and soft razor for removing hairs. Have sitz baths frequently. After swab collection, have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg eight hourly for 14 days along with Clotrimazole and Clindamycin vaginal suppository for alternate three nights. Collect swab report and discuss. Infection. HVS." + }, + { + "id": 25772, + "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": 25013, + "tgt": "Baby was recommended to take Eltroxin for three years. What do you suggest?", + "src": "Patient: Respected doctor,My baby was born on 5th at the 36th week of pregnancy. Then he was admitted to NICU as signs of jaundice were seen and discharged on 8th. Then again on 11th, he was again admitted to NICU because of jaundice. Then on 12th (8th day) the doctor did a test of TSH, T3, and T4 (report is attached) where TSH was found 10.87 uIu/ml (report attached) and low T3. Thereafter, the doctor recommended a dosage of Eltroxin of 25 mcg for three years of life due to suspected hypothyroidism and advised us to repeat TSH level after three years and hence we have started giving the 25 mcg dosage to the baby since 12th. Meanwhile, we again tested for TSH, T3, and T4 (report is attached) on 28th. The TSH came out less than 0.05 ulu/ml. Kindly advise whether we stop the dosage of Eltroxin (25 mcg) or lower the dosage. Doctor: Hello. I suppose there is some miscommunication or misunderstanding. We never recommend a continuous dosage of Levothyroxine for three years without checking the levels periodically. So, what is usually done is that we repeat thyroid profile three monthly and adjust the dosage. However, the current scenario warrants stopping the drug for a few weeks till the level comes within the normal range. Once the level falls within the normal range we keep on monitoring the levels. If they increase, we start Levothyroxine again and adjust the dosage three-monthly based on TSH levels. I hope it helps you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8497, + "tgt": "Kindly view my blood glucose values and advice the treatment", + "src": "Patient: Hello doctor,My height is 5.10, and the weight is 100 kg. My fasting blood glucose level reading is between 110 to 116, whereas random is 98 to 105. I took an HbA1c which was 5.9, what should I do? Doctor suggested some random tests and figured out fasting sugar level a little high, so I went for HbA1c, and I am taking the readings at home since then. Doctor: Hello. Your BMI is 33.75. So you have obesity class-I. Your fasting blood glucose is high, but not high enough to call it diabetes. You have impaired fasting glucose (IFG), a form of prediabetes, which may proceed do diabetes. You have to reduce your weight and start taking more vegetables and no sugary or sweet food, no excess fat. Vegetables should constitute half the normal plate, a starch-like bread from whole cereals should constitute a quarter, protein in the form of fish or lean meat (chicken better) should represent the remaining quarter of the main meals. Start doing exercise, walk fast enough to put two steps a second, for at least 30 minutes a day, at least five days a week. You can take Orlistat (Xenical) 120 mg with a meal to reduce your body weight. Fat may come out as oily stool as a side effect. Tablet Metformin 500 mg after supper will help prevent progression to diabetes. Both Orlistat and Metformin may cause mild to moderate abdominal upset in a few for a few weeks, after that it should go away. I hope you will follow to get in better shape." + }, + { + "id": 29741, + "tgt": "How to solve my food allergy?", + "src": "Patient: Hi doctor, A year ago, I have developed sudden severe allergies to foods. Apples and almonds cause itchy, uncomfortable feeling in the throat, difficulty in swallowing and breathing and coughing. Bananas cause nausea, vomiting and stomach pain. Nectarines, peaches, plums and pears cause swelling and hives on and around the lips. I have always eaten such fruits before. These allergies developed only in the past one year and the symptoms worsen with time. 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": 29354, + "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": 15113, + "tgt": "Why am I having cracking and popping sounds in jaws and wrist?", + "src": "Patient: Hello doctor, My jaw pops and cracks and it has been happening for like two years. It used to be worse but it comes and goes. Also, when I move my wrists, there is a cracking or popping noise. Sometimes, my wrist locks and I have to roll it to fix it. Is this bad? I am a female. Doctor: Hello. Fingers popping is common and not considered to be a cause for worry. It, however, must be remembered that you should avoid popping them. Jaw cracking is another condition that as long it is not painful it can be observed, but if you have pain in the areas just in front of the ears when you clench your teeth or you feel a click, or you are unable to either open your jaw fully or if the jaw dislocates then you should see a doctor. Wrist clicking and locking need to be seen by a doctor to confirm that this is from a generalized laxity of the ligaments and not from an injury." + }, + { + "id": 13265, + "tgt": "When will I get my next period after taking Unwanted 72?", + "src": "Patient: Hello doctor, I am 24 years old and my height is 5'2\" and weight is approximately 48 kg. I had my last period on the third of last month and it lasted for seven days. I had intercourse on the first of the same month and took Unwanted 72 on the same day but now I am not getting my periods. I have tested pregnancy test three times till now and it shows negative. I just had two days of bleeding in between. Doctor: Hi. As per your query, you had bleeding for two days after taking Unwanted 72, so there is definitely no chance of pregnancy in the first place, also proved by the negative pregnancy test. So relax. After such pills, the next 1 to 2 cycles are a bit irregular. Please also try to reschedule your life back to track, as it plays an eminent role in your hormonal regulations. Do you get irregular periods often or this was your first time? Please take the following medications and you shall get your periods in 4 to 10 days after finishing the course. Tablet Primolut N 5 mg twice a day for three days." + }, + { + "id": 2828, + "tgt": "I am getting periods only with medication. Why?", + "src": "Patient: Hi doctor, I am a 23 year old girl. I am suffering from irregular periods for the last two years. With medication period occurs, but the problem persists when the medicine is discontinued. I had my last periods two months back. Tests done for TSH and pelvic ultrasound done. Please guide. Doctor: Hello. Revert back with the detailed history to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21351, + "tgt": "How can I treat the Epstein-Barr virus infection?", + "src": "Patient: Hello doctor, I have a history of anxiety and panic issues. I was trying to find out the root cause of it and I have found that I have IgG antibodies against Epstein-Barr Virus and a Streptococcal infection (Anti-DNase B Test) in my throat. I also seem to have OCD issues and always remember having throat and tonsil infections during my teenage days. Azithromycin used to help me calm down the infection. I also have an overgrowth of Streptococcus in my small intestine. This is called SIBO. My symptoms are all matching up with the signs of a possible adult PANDAS-like situation. I would like to take your advice on how I should treat the EBV and Streptococcus. Doctor: Hello. As I understand you are having antibody against EBV (Epstein\u2013Barr virus) and Streptococcal infection but you have never suffered from EBV disease. You only had some episode of Streptococcal throat infection in the past. So first I wish to explain you that Rifaximin is a newer drug and can be used to treat it. However many other antibiotics like Cephalosporins, Tetracyclines, Macrolides etc. can be used to treat it. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You also need to take a rich fibrous diet with vegetables and fruits to balance your gut flora. Probiotics and prebiotics are also available in the market that can be taken. Limit ingestion of sugar, animal fat, and animal protein. I suggest to consult a gastroenterologist and take treatment. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11636, + "tgt": "I have red rashes on breast followed by milky discharge. What could cause this?", + "src": "Patient: Hello doctor, A while ago, I started noticing milky discharge from my breast, the discharge continued for about three months. After two months I started to develop red burning rashes on my breast. The rash first appeared as a single ringworm like red rashes on my breast and no improvement for two days now and rashes have increased at the sides of my two breasts. What could cause this? And are these two occurrences related? I applied a triple effect cream (Bmn plus cream) on it, that is when it started to produce blisters. Please help. Doctor: Hello. I can understand your concern. Milk secretion in nonpregnant women is galactorrhea that can occur due to causes like increased prolactin levels in the body, prolactinomas, continuous usage of antacid like drugs, etc. Rubbing of clothes to the nipple can also lead to discharge. Tight innerwear, allergy to fabric material lead to skin rashes, etc. can aso be the cause for the discharge. So, you, please consult your gynecologist once, get examined and go for serum prolactin levels and if needed sonomammography. With this work up the possible cause of your problem can be identified and treated. I hope I have answered your query. Take care." + }, + { + "id": 24872, + "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": 5452, + "tgt": "I experience headache and shortness of breath after taking Gentamicin for hydronephrosis. Why?", + "src": "Patient: Hi doctor, I am a 26-year-old male. I weighs about 48 kg. I am writing this because I could not find proper diagnosis and guidance. This year I was diagnosed with bilateral mild hydronephrosis with 4 mm stone in both kidneys and also 4 mm cystitis. For one month I took ayurvedic syrup Calcurosin five to six bottles with Calcurosin capsules along with three kinds of antibiotics. After one month stones were passed and for hydronephrosis I took four doses of Gentamicin injections for two days. During these injections I suffered with severe head ache, vomit sensation, shortness of breath and urine cut for one day. I took this all treatment under a doctor of pharmacy graduate. So after getting all these symptoms I got afraid and immediately consulted a urologist. The doctor advised to have a CT scan kub plain, the report found to be normal. And serum creatinine is 0.7 mg. But even though CT scan found to be normal still I am suffering from pain radiating from back to the front. Abnormal urination like some times very frequent urination and sometimes very less urination. Serum creatinine before a month is found to be 0.8 mg, and last week it was 1.0 mg. At present my symptoms are: Pain radiating from back to front, numbness in hands and legs, leg cramps and leg pain above the ankle and thighs, lower back and hip bone pains, constipation, abnormal urine output, burning sensation and pain in penis, sometimes getting pain in the left side of the chest even during laughing and sometimes it is difficult to breathe in the morning. I am having recurring urine infection and bladder pain after masturbation. Doctor says no problem with masturbation and prescribed an antibiotic. But not addressing why it is happening? In six months I used eight to nine antibiotics. Urine report reads as specific gravity as 1.005. Earlier the urine ph was 5.5, I used Citralka syrup. It came to 7.1 but now it is 6.0. Ten days back I done a ultrasound scan test and found normal. Urine osmolarity shows 85. Why I am experiencing all these symptoms? Why getting abnormal urination some times more and some times less? Why creatinine is increasing (0.7 mg to 1.0mg)? Why specific gravity is low (1.005) which indicates any problem, earlier even during mild hydronephrosis it was 1.022? Why leg cramps, ankle pain? When there is no kidney problem why I am suffering from these symptoms? Is there any hidden problem? Once again shall I go for CT scan abdomen contrast. Will this scan cause any problem as I have already done it six months back but it is only plain. Kindly suggest what is my problem? I am facing all these symptoms only few days after taking Gentamicin injection. Do this injection caused any problem? I read in the internet that Gentamicin can cause Bartter syndrome, renal tubular necrosis. Is that true? I am attaching a photo of my left leg foot which shows some abnormality. Kindly suggest. Doctor: Hi. I have read through your query in detail. Please find my observations below. You are underweight and should start weight training exercises and increase appetite to 2200 kcal daily. Gentamicin occasionally causes adverse effects and probably you had some of it. However, since you stopped after taking four injections therefore not much damage was done. Since serum creatinine after Gentamycin was 0.7 therefore your kidney was not affected due to taking injection. If there is a side effect on a kidney after taking Gentamycin then the serum creatinine rises from 1 to 3.0 and this did not happen with you. Also, renal failure reverses to normal 14 days after stopping Gentamycin and you are unlikely to be having it. CT (computed tomography) scan was normal and it means that no stone was thereafter the treatment. In this case, the only reason for back pain might be a residual infection in the prostate. Also, you have taken antibiotics many times and felt better. There is a condition called nonspecific prostatitis and many people have the symptoms which you are having. This requires a long duration treatment. I suggest you get urine culture and sensitivity test done and if required then a cystoscopy to rule out any focus of infection as this might also cause pain and other associated symptoms. Please get your serum electrolytes tested to know if you are having any electrolyte imbalance which is responsible for pH changes and pain. Your symptoms might be due to more than one condition and it is requested that you please discuss in detail with the urologist and get required investigations to know the cause of your problem." + }, + { + "id": 22715, + "tgt": "Does the double marker test result point towards Down's syndrome?", + "src": "Patient: Hi doctor,My wife's double marker test results are as below. Age 32 years old, hCGb - 53 ng/ml and Corr MOM 1.08, PAPP-P 653.6 mU/ml and Corr MOM 0.36, T21 - 1:224 age cut off 1:596 and cut off 1:250. What is the risk of Down's syndrome? Doctor: Hi. She is 32 years old. I do not have her complete gynecology, obstetrics, medical, previous family and drug history actually but at 32 years of age, the risk is not as much as elderly pregnant ladies at 40 years of age or above. So age-wise low risk as you have described report 1:596 means one in around 600 children will be affected. So least risk. For previous history in her and your family of Down's syndrome you have not mentioned actually but if it was significant (means if you had any relative with Down's syndrome) it should be mentioned them in the report as well. The biochemical risk they have mentioned one in 224 children in her laboratory report (attachment removed to protect patient identity) they made risk value. Normal cut off value for biochemical risk is one in 250 children actually below this doctors just have to describe petient that your risk is one in 224 children. But this risk is not all over for her it is just biochemical results in the laboratory that can have some fluctuations as well in results. All over her age, the previous history is not having any significant risk and biochemical markers also not very abnormal. It is better to have a scan around 13 weeks for nuchal translucency to have a more clear idea as this also need to check for Down syndrome for safe side. It is measurement 2.98 mm or below is normal. At 20 weeks better to have detailed anomaly scan with expertise hands and at 22 weeks better to check hearts and its flow tracts for develping baby via scan. In case of any abnormal symptoms like bleeding, pain or dizziness or palpitation report to the hospital. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27244, + "tgt": "Does spotting after I-pill rule out pregnancy?", + "src": "Patient: Hello doctor, My wife started her last menstrual cycle on the 22nd of the previous month. We had protected sex on the 27th of the previous month. Unfortunately, the condom ruptured but, I was able to pull it out a few seconds before ejaculating. Just to be safe, she took an I-pill seven hours after intercourse. She had light spotting after a week which lasted for three days. It has been almost a month since her last period and she is not showing any signs of PMS. Is there any possibility of pregnancy? Doctor: Hello. I have gone through your query and understand the concerns. I-pill has the usual side effect of delaying the next expected periods by two to three weeks. So, most likely her periods are delayed due to the pill. I will suggest her to get a urine pregnancy test done if the periods are delayed. If negative, then she can safely wait for the periods for another two weeks. Hope you found the answer helpful. Regards. For more information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 1354, + "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": 18955, + "tgt": "Can De Quervain's syndrome cause nerve damage?", + "src": "Patient: Hi doctor,I am feeling burning in the\u00a0wrist. I had De Quervain's\u00a0release six months ago. Can one have nerve damage as a result of De Quervain's syndrome? I am currently on Exemestane. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1209, + "tgt": "What are the ways to manage irregular periods in a PCOS patient?", + "src": "Patient: Hi doctor, I have been diagnosed with PCOS for more than 3 years. Recently I have been doing yoga and doing intermittent fasting for the past 2 months. Now I got my period twice in April and for may month it is spotting for the last 2 days. Please help me. Doctor: Hi. Treatment of women with PCOS should begin with lifestyle measures. For those who are obese, a combination of weight loss and exercise may stimulate ovulation. Intermittent fasting is wonderful lifestyle. What is your mode of intermittent fasting. Are you doing 16/8 or fast and feast? Have you tried 36 hours fasting? Please let me know. Also, low carbohydrates diet with no sugary juices and no added sugar is very beneficial. If the woman is not overweight or weight loss is ineffective then: taking into account potential adverse effects, ease and mode of use, the woman's BMI, and monitoring needed, Clomifene citrate or Metformin or a combination of the above. For women who are taking Clomifene citrate, I offer ultrasound monitoring during at least the first cycle of treatment to ensure that they are taking a dose that minimises the risk of multiple pregnancy. Women prescribed Metformin may know side effects such as nausea, vomiting and other gastrointestinal disturbances. If woman known to be resistant to Clomifene citrate, we can go for laparoscopic ovarian drilling or combined treatment with Clomifene citrate and Metformin if not already offered as first-line treatment or Gonadotrophins. So, there are plenty of options available and you are not alone we can together make a plan for management. Please give me more details if you have done investigations ultrasound and Harmone tests." + }, + { + "id": 18331, + "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": 9427, + "tgt": "What are the chances of normal delivery when scan report says head is not fixed?", + "src": "Patient: Hello doctor,I am 37 weeks pregnant now. Today doctor told me to get admitted everything is fine as per scanning only head is not fixed. Are there any chances of normal delivery? Doctor: Hello. Is there any other reason why your doctor wants you to get admitted. If everything is normal with you and your baby, then we can safely wait till 40 weeks of pregnancy before taking a call for labor. There multiple factors like, 1. Whether the head of the baby has entered the pelvis (engaged head). 2. If your pelvis is roomy enough to accommodate the baby\u2019s head. 3. Any associated medical problems in you? All these are few factors which help us decide whether you can have a normal delivery." + }, + { + "id": 12304, + "tgt": "Is it advisable to get root canal treatment before extraction of adjacent wisdom tooth?", + "src": "Patient: Hello doctor, I have an infection in my root canal and also have wisdom tooth nearby root canal. So first what should I remove? Infection in the root canal or wisdom tooth? Please suggest. Doctor: Hello. From the X-ray, I understand that all your wisdom teeth are indicated for removal as they are erupting in the wrong path. However, I would suggest you get the one which is troubling you extracted first followed by re-root canal treatment for the adjacent tooth. It is better to get the extraction done first followed by the root canal. This sequence may vary from dentist to dentist and also based on patients preferences." + }, + { + "id": 26470, + "tgt": "What medicine should I take to postpone my periods?", + "src": "Patient: Hello doctor, I am going on a vacation in two days and I am supposed to get my periods today. I still have not got them. I am wondering\u00a0if there is anything I can take to get my periods now or take something that can delay my periods. Doctor: Hello. For more information consult an\u00a0obstetrician-and-gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19206, + "tgt": "Why am I so lean even after eating healthy foods?", + "src": "Patient: Hi doctor, I am a 22 year old male weighing 45 kg and my height is 5'5\". My concern is why I am so lean despite of eating healthy foods. Please help. Thank you. Doctor: Hello. Thanks for using this platform. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15693, + "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": 706, + "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": 4808, + "tgt": "Why am I having toothache while chewing with filled teeth?", + "src": "Patient: Hello doctor, I got 6 fillings done a while back that were causing me no pain whatsoever or sensitivity, so I found a new dentist got the filling done and by week 3 the fillings on the left top were causing me more severe pain than week 1 and my bite was off no matter how many times she adjusted it there was only 1 tooth touching and being damaged, dentist is denying she did anything, says there is no infection. I finally went to the ER and dentist visits later and I had an abcsess lanced on the roof of my mouth and need a root canal on a tooth that had a short cavity in the first place by the dentist, the pain goes away with antibiotics and I have been doing alright for the past 2 months except pain when eating on the effected side, now all of sudden the top 2 molars on the left where the infection was there are red around them and pain when pressure is applied. Mind that when I bite down on top left second to the back molar is the only tooth touching anything all the others are not touching each other no mattter how hard I try since my dental work and I am scared I am getting an infection again. Doctor: Hello. The problem with cavities are either you will find out about it when you start getting severe pain or if some dentists points it out. in your case, occlusal corrections could have been done more accurately to find out which tooth is having the high point and reduce it appropriately. If there is an abscess get root canal treatment done. I need to see X-rays and pictures to give you any definitive diagnosis and treatment plan." + }, + { + "id": 19345, + "tgt": "Why am I having red bumps on my chest and neck?", + "src": "Patient: Hello doctor,About two and a half weeks back, I noticed a lot of red bumps spreading on my chest and some are starting to go up my neck. They do not hurt or itch. They look like regular small pimples or whiteheads that I sometimes get on my chest, but these have not gone away or lessened. I use a wash with Benzoyl peroxide and it does not seem to be doing anything. I also use Onexton on my face but not on my chest. So, I do not know if that is related. I recently started taking birth control again, about a month ago, but I have taken this exact brand before and it did not cause this previously. I am 20 years old. I recently got some new shower gels and thought maybe I was allergic to one of them, but it is only my chest that is breaking out. I have stopped using any scented shower gels and just use a feminine wash all over my body because I know it is good at balancing pH levels. Doctor: Hi. I have noted your details and concerns. Your history and details point out towards a hormonal cause of the symptoms. The hormonal preparations are well known to result in a picture that you described. Since the body's hormonal status is ever changing, therefore, one may not get the same effects everytime a hormonal pill is used. In such a situation, using frequent washing of the area will help but the best way out would be to seek counseling for alternate methods of contraception. Changing shower gels and anti-acne preparations have not worked to your advantage as the current problem needed a different approach. I am very hopeful that your problem will be now resolved and you will feel good. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22667, + "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": 13652, + "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": 29302, + "tgt": "My daughter is grinding her teeth badly. Why?", + "src": "Patient: Hi doctor, My daughter is 14 months old. I had given her a 5 mL dosage of Albendazole before a month. She was doing all fine. From the last week, she has a cold and cough. It is not bad and, whenever she has a cold, she recovers fast. \u00a0This time, she is grinding her teeth so bad. I was advised that I should have given the second dose of the worm infection in 21 days, but I skipped. Will it be harmful if I give the remaining dose now? Or when should I give the second dose? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18657, + "tgt": "How can high blood sugar be treated in someone who has chronic diabetes?", + "src": "Patient: Hello doctor, My mother has an 18-year history of type 2 diabetes mainly due to stress. HbA1c is 11 and fasting blood sugar level is 247 with G.M.SR 2. Her ESR is 40. She is suffering from frequent body aches these days especially in shoulders. In the past, she has taken Glimestar. Please help. Doctor: Hello. A fasting blood sugar level of 247 is quite high and HbA1c (glycated hemoglobin) of 11 indicates uncontrolled blood sugar. The medication that your mother is taking is not sufficient to control her blood sugar. She definitely needs a revision of her prescription. Uncontrolled blood sugar levels can lead to inflammatory conditions that show up as body pains. People with diabetes are also predisposed to developing frozen shoulder, which might explain her shoulder pain. She might need medication and physiotherapy for this. Her ESR (erythrocyte sedimentation rate) is also high and it needs further evaluation. She also seems to be underweight which is characteristic of uncontrolled diabetes. Her medication needs to be changed, but only after a complete physical examination and evaluation of laboratory parameters by a diabetes specialist. She can probably be relieved of most of her issues once her blood sugar is controlled. I suggest you visit a diabetes specialist at the earliest to avoid any complications. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 26813, + "tgt": "I am unable to work because of headaches, balance problem, and tinnitus. What to do?", + "src": "Patient: Hi doctor, I am a 53 year old female, and I weigh 60 kg and 5.3 feet tall. From the last 2.5 years, I have suffered from headaches and balance problems. I had an MRI, which was seen by an ENT two years back, and it was all clear. At that time, I was off work for six months as I kept stumbling. These symptoms never completely go but get manageable. Also since this started, I have tinnitus, and I have been off work for a month now. My GP put me on Amitriptyline, starting at 10 mg and increasing the dose every two weeks by 10 mg currently up to 80 mg. The headaches are not as bad, but my balance is awful. I now get tingling or numbness in my head, fingers, and toes. The GP said that I do not need another MRI. This is now controlling my life, and I work as an occupational or physiotherapy technician, so I am unable to do my job. Sometimes I get blurry vision. Doctor: Hello. I would like to know some details or your problem: As your primary complaint is tinnitus and balance problem, you should get an ENT check up. It might be Meniere's disease. Until you meet an ENT specialist, I suggest you try taking the following: Revert with more information to a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 13023, + "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": 23202, + "tgt": "Taking Pantoprazole for high cholesterol. Can forearm tingling be signs of heart attack?", + "src": "Patient: Hello doctor, My husband has had high cholesterol for some time in the past week. He has mentioned that his forearms feel like they tingle after which clammy hands follow. It happens suddenly and stays for a while then goes away. It is not constant. He does seem to have had intestinal blockage however it has been regular this past week. He has been to a doctor who tested his cholesterol there and it read 6.5. Should we be concerned? He is currently on Topzole. With some reading online, we are concerned that there are signs of a heart attack? Please help. Doctor: Hello. Your husband's tingling is most likely due to the long time effect of Topzole (Pantoprazole) which causes hypomagnesemia which is reduced magnesium in the blood which in turn causes tingling and also increases the chance of a heart attack. There is nothing to worry from your complaints as there are no signs to indicate any possibilities of a heart attack. Chest pain migrating to back, neck, or jaw with shortness of breath and cold sweat are the most common signs of a heart attack. I suggest you do a random blood sugar test to rule out diabetes. A lower dose of Topzole (Pantoprazole) is suggested. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27010, + "tgt": "I have taken medicines for H. pylori infection, but the symptoms did not get better. Please help", + "src": "Patient: Hi doctor, I was diagnosed\u00a0to have the H.pylori infection a\u00a0year ago. I have taken several doses of antibiotics, but the symptoms did not get better. What could be the problem? Doctor: Hi. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25716, + "tgt": "Does my beta hCG report indicate that I am pregnant?", + "src": "Patient: Hello doctor, I had my last period a month ago. I had an unprotected sexual intercourse with my partner three days later that is on the third day of my last period. But, he did not ejaculate inside me. Typically, my period lasts for two to three days only. He did not use any protection nor did I take any contraceptive pill at that point in time. I took Azithral 250 mg twice a day for five days in the previous month. A few months ago, I had similar issues and my period started 15 days late. Now, I am worried and regretting my decision of not taking the pill as my period has not started and I am scared to be pregnant. I am not getting any specific symptom related to my periods. I am just feeling a bit dizzy. I have done a beta hCG test today. Please check the report. Please tell me what to do next? Doctor: Hello. I do not see any reason for you to worry. Usually, the ovulation occurs between the 13th and 16th day of periods. Life of the egg is 24 hours and that of the sperm is 72 hours. So there is no chance of the egg being available for three days and sperm will not survive until next ovulation. Your beta hCG (human chorionic gonadotropin) levels show that there is no pregnancy. This test detects the smallest of pregnancy anywhere in the body. Pregnancy is not the only reason for missing your periods. There may be other reasons: Whatever be the reason to have periods, I suggest you have tablet Novelon (Ethinyl Estradiol and Desogestrel) or Ovral-G (Norgestrel and Ethinyl Estradiol) or Dear 21 (Ethinyl Estradiol and Levonorgestrel) or Duoluton L (Ethinyl Estradiol and Levonorgestrel) or Intimacy plus 3 (Desogestrel and Ethinyl Estradiol) one tablet twice a day for 10 days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You will have periods within seven to 10 days of the last pill. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6265, + "tgt": "I underwent bypass surgery and my eosinophil count is high now. Please help", + "src": "Patient: Hello doctor, I am a 47-year-old male. I am suffering from ankylosing spondylitis for 34 years. I had my bypass surgery before 18 years and having depression then on. Now My eosinophil count is high 1090. I am currently on Pentop 40 in the morning, Fludac 20 once daily after breakfast, Concor 2.5 once daily after breakfast, Ecosprin AV 75/20 mg after dinner, Dolwin Plus at night, and Anxit 50 mg at night. Please suggest me medicine. Doctor: Hello. I have read a brief summary of your case. You had CABG (bypass heart surgery) after that you are on Concor (Bisoprolol, beta-blocker), Ecosprin AV (combination of Asprin and Atorvastatin). For depression, you are on Fludac (Fluoxetine), and anti-anxiety drug Anxit (Alprazolam). Now coming to ankylosing spondylitis, I want to tell you that there is no permanent cure for this condition. What we can only prevent are pain and discomfort. You are already on analgesic Dolwin plus (Tramadol and Paracetamol), I can add Methotrexate 7.5 mg weekly for three weeks along with Folvite (Folic acid) once daily for three weeks. It can help you in relieving symptoms but do not continue it further without any doctor's advise. I repeat you have to take Methotrexate 7.5 weekly for three weeks, which means total of three tablets only and further continuation will depend upon the result in your case. There are many causes of raise in eosinophil and need detailed evaluation. 1) When did you first detect that your eosinophil count got raised? 2) Are you suffering from some other diseases like skin disease or lung disease also? This raise could be due to worm infestation and I will advise you Albendazole 400 mg with meal weekly once for three weeks and then, repeat the eosinophil count. This is also advisable that you get a stool test done before starting Albendazole. Cardiac opinion: You had CABG (bypass surgery). I want to know whether you had any kind of cardiac problem like chest pain, shortness of breath, palpitation or fainting attack after that. Are you on regular follow up? You are advised for non-invasive CT (computed tomography) guided angiography. This is not any kind of invasive process, just like a CT scan only." + }, + { + "id": 20946, + "tgt": "Please suggest some treatment for deep acne scars", + "src": "Patient: Hello doctor, I have many deep acne scars on my face. I have shown to many doctors but did not get a good result. I have found now that lastly, I will have to go for laser treatment. Please suggest me what to do. Doctor: Hi. Treatment of acne scar depends on the type of scar. There are various treatment modalities for scar for instance subcision, it is a surgical procedure to release the tight bands below the skin that is holding the scar, injection of platelet-rich plasma, TCA (trichloroacetic acid) cross, deep chemical peels, Co2 (carbon dioxide) laser resurfacing. Discuss these options with your Dermatologist. Co2 laser is effective and gives good results but again I do not know the type of acne scar that you have. Please attach your clinical picture along with your query so that it is convenient for me to give appropriate suggestions." + }, + { + "id": 15391, + "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": 19172, + "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": 18298, + "tgt": "How long will it take for high BP to become normal?", + "src": "Patient: Hi doctor, My mom has high blood pressure ranging from 170/90 mmHg to 180 /90 mmHg. The doctor has now prescribed tablets of 25 mg to take every morning to reduce the BP. Doctor told that there is nothing alarming after checking ECG results and a few laboratory checks that I have attached. He asked to reduce anxeity and stress. My question is how long would it take for BP to reduce to normal levels? And what steps further do I need to take to avoid serious complications? Need urgent help as I am now very much concerned. Thank you. Doctor: Hi. For further doubts consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15345, + "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": 18647, + "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": 25842, + "tgt": "The shape of my freckle worries me. Please have a look at it", + "src": "Patient: Hi doctor, I would like you to look at a freckle (I do not know if it is a mole) that is on my upper thigh. I have had this for many years and it is completely flat. I have not noticed any changes and I have no other symptoms. It was just the shape that I was a bit concerned about. It measures 5 mm by 3 mm. Doctor: Hello. I have gone through your images (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30023, + "tgt": "Why should we avoid oral contraceptive pills after 40 years?", + "src": "Patient: Hello\u00a0doctor, I have a question. Estrogen shows cardioprotective effect before menopause. But, it increases the risk of CVS diseases if taken in oral contraceptive pills. And, they say that oral contraceptive pills should be avoided after 40 years because of CVS\u00a0complications. I am not getting it.\u00a0If it is cardioprotective, then why cannot it be given after 40 when estrogen levels in the\u00a0body\u00a0decrease? Also, I wanted to know, whether these side effects of oral contraceptive pills are dose dependent. Because, normally in young women estrogen is cardioprotective, but if given extra from the\u00a0outside, it is increased in the body than required and so, it cause complications. Is this true? Please explain. Doctor: Hi. Natural estrogen is cardioprotective as it increases the level of HDL (high-density lipoprotein) and decreases the level of LDL (low-density lipoprotein). Oxidation of LDL cholesterol is believed to be the initiator of atherosclerosis. Estradiol and other estrogens are believed to inhibit this process. Hormone replacement therapy - HRT rapidly increases the level of C-reactive proteins in the body, a marker of inflammation associated with increased risk of cardiovascular disease. Recently, two major studies found that HRT in postmenopausal women increases the risk of breast cancer. Another study proved that HRT in postmenopausal women increases the risk of cardiac events and thrombosis. Hence, women should be advised to cease therapy postmenopause. However, a detailed analysis showed that the time of initiating HRT postmenopause plays a crucial role. When initiated within five years of menopause in a healthy woman estrogen-based HRT has far more benefits than adverse outcomes. The pros of HRT includes: The cons of HRT are: So, pros and cons are to be evaluated before initiating HRT in postmenopausal women. For more information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28781, + "tgt": "How long does it take for the uterine lining to thicken after weaning?", + "src": "Patient: Hi doctor, I exclusively breastfed for 17 months, while trying to conceive a handful of times. I believe that I conceived, but implantation failed. My gynecologist suggested to wean and then try, and maybe my uterine lining needed to be thickened. I weaned two months ago, and so far both cycles have ended with a period, which was normal 26 to 28 days cycle. I believe, after the 14 days luteal phase, I have conceived because after every time we try, I get nausea along with pregnancy discharge and other pregnancy symptoms. But, then implantation does not sustain and my period comes. I am wondering if you think this is an implantation issue due to the thin uterine lining, is from breastfeeding or something else? And if yes, how long does it take for your lining to thicken? I do not want to keep putting myself through this again and again. Doctor: Hi. Do get back to me with reports, so that I can guide you further. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9271, + "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": 1498, + "tgt": "My period is delayed this month. Can hypothyroidism be the cause?", + "src": "Patient: Hello doctor, I am a 21-year-old female. I have hypothyroid for the past one and a half years, and currently on 25 mg Thyronorm. Things have been normal, but my period has been delayed this time, it is exactly 46 days since my last one. I feel tired most part of the day, and currently, due to lockdowns, I could not exercise much. Can you please suggest some nutrition and about what can I do to get my period and if my doubt is correct thyroid levels must have been increased. But I cannot take a test right now. Last time, when I checked before one year the amount of TSH was near normal (2.1). Doctor: Hi. Do you have any other associated symptoms like painful menstruation? Do you have headaches? For how long this problem is going on? Do you feel you bleed more or is it usual? There are many causes of irregular menses. Any mental stress can cause even your having exams or any other stress-related activity can affect the regularity. There are hormonal disturbances that can lead to menses irregularities. Levothyroxine dose (25 mcg) is very low. If you cannot do your blood tests I think you can increase it to 50 mcg and try to check TSH (thyroid-stimulating hormone) in six weeks hopefully until then labs will be open. Regarding nutrition, you need to eat a low carbohydrate diet without any sugary juices or added sugars in any way. Take a good sleep of seven to eight hours. Drink plenty of water at least two to three liters. If you practice intermittent fasting, it will give your health a great boost." + }, + { + "id": 13597, + "tgt": "Stress-a barrier for brain development,is that true?", + "src": "Patient: Hi doctor, I read that great stress will cause brain development inhibition in children. Can this be caught up through something? Is this permanent? Doctor: Hello. Great amount of stress in children does affect brain development. As the brain develops till the age of 18 years, stress can affect the development. Stress can, in general, affect the functioning of the body, hormonal balance, and immunity levels as well. If the stress persists beyond the child's tolerance, the effect can be long-lasting or permanent. However, if the child is relieved from stress, he can show a tremendous spurt in development. Some ways to help children under stress would be," + }, + { + "id": 24994, + "tgt": "Few of my joints are popping. How to make it go away?", + "src": "Patient: Hello doctor, A few months ago, I was not thinking and I hit a door with my hand and it has been a few months since then. I got tests and an MRI done on it and came back fine, just a mild motion artifact they could find, and I do not know what that means. The elbow popping will not go away and my wrists pop sometimes too. I have fallen off my bed and rolled on my ankle and heard a loud crack. that was a few months ago too. My legs pop now as well. I used to weight a lot and lift weights. So, I was pretty buff. I have lost a lot of weight since then. The tests say I have not broken anything but my doctor was talking to a physiotherapist on a TV and he recommended me a 0.1 milligram dose of Risperidone. Would that help with my issues? Also, my mom did have schizophrenia. I am adopted, so I do not live with her anymore. Do you think this is a good idea? I would like your opinion. Doctor: Hello. I read your concern. The issue what you are narrating could be due to poor movement control in the joint. Do not worry. I presume that you do not have much of pain and any other issue except popping. I would suggest: You are talking about motion artifact in your MRI (attachment removed to protect patient identity). Do not worry about that. It is actually hyper-intensified signals of blood flow that can create an imageon the film. You do not have to worry about that. As I told you earlier, if you do regular stretching and strengthening of your upper and lower body, you will be alright. Along with a bit of stability and proprioceptive and balance exercises. Get in touch with me in case if you need any more help in this regard. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 16940, + "tgt": "My husband and I are in a sexless relationship. Please help", + "src": "Patient: Hello doctor, I have been married for almost three years now. My husband and I have not consummated our marriage. There is no intimacy and physical relationship in our marriage. Ours is a love marriage. But now, I am getting frustrated with our condition. From what I understand, my husband has a very low sexual desire and upon my extreme insistence, he tries to get physical but, the penetration does not happen at all. I want to make my marriage work but, we try to\u00a0have sex only once a month and the penetration never happens. This gets my husband disappointed and he then says we have to try again next month. This once-a-month attitude frustrates me. Please help. Doctor: Hello. Relax and do not worry. Your husband may just require some basic blood tests. All the above tests are to be done at 8 AM in the morning. For further queries consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 16658, + "tgt": "What is the difference between heart attack and costochondritis chest pain?", + "src": "Patient: Hi\u00a0doctor, I am 21 years old, and I visited my GP today, who thinks that I may have\u00a0chondritis. I just have a question regarding the difference between this and heart attacks. The pain has been varying from the right side of my left pectoral to the left side of my left pectoral muscle. Being fairly young, this had made be worry a lot. Please help. Doctor: Hello. Firstly, to begin with, the probability of heart attack is very less at this age. Costochondritis pain will increases on applying pressure over the area, if yes, it could be costochondritis. This is the most important sign of costochondritis. Heart attack pain will be very severe on the left side, which is associated with radiating pain to the left arm and a lot of sweating. It will not last more than 24 to 48 hours in severe heart attack and more than 20 minutes in a minor heart attack. To clear your doubt, you can get an ECG (electrocardiogram) done. Overall, I do not think it to be a cardiac pain. 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": 20442, + "tgt": "Why am I depressed, anxious, and angry all the time?", + "src": "Patient: Hello doctor, I really do not know why I am depressed all the time, I feel sad, angry and anxious. I used to be happy and funny but not anymore. I am male, 27 years old, 182 cm, and 76 kg. This started two weeks ago after I proposed to my girlfriend, the problem is that there is nothing wrong with the proposal, everything went as expected except I had a small argument with my father that day about another subject which is different than the proposal. But after two days, I started to feel depressed, stressed out and angry about small things, I feel sad all the time. I am not under any kind of medication and I never took medication before. Doctor: Hi. I have read your query carefully and here is my advice. These are temporary adjustment reactions because of recent major events in life. You need to take some break from everything, spend time with family and friends and plan a small trip to cope up this stress. I am sure you will be okay in a week. If still, you feel it is not working, you can contact me again. Life is beautiful, and you did not do any mistake. So keep patience, think positively and stay happy. If these symptoms persist more than two weeks, we will start a few medications which will help you in early recovery." + }, + { + "id": 21276, + "tgt": "I cannot get rid of bad breath although I brush every day. What to do?", + "src": "Patient: Hello doctor, I brush my teeth every day and still cannot get my breath fresh. It comes from my throat. I have tried everything. Can you tell me what to do? Doctor: Hi. This is the age when you will be having new teeth erupting which causes gum swellings and accumulation of plaque (deposits) on teeth which might cause the bad breath. The other thing is any cavities, if present, cause bad breath as well. Any gastro problem such as GERD (gastroesophageal reflux disease) may also cause this. People who skip breakfast also suffer from this. So, in this way, there are many reasons for bad breath. First, we need to identify the cause so that we can come to a proper treatment plan. Just visit your dentist and get the solution soon. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10051, + "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": 19672, + "tgt": "I am always extremely tired and sleepy, and have short-term memory loss. Can I take Modafinil?", + "src": "Patient: Hello doctor, I am 34 years old mom of a 5 year old. I am excessively tired and have a need to sleep at all times. I had CBC done, and my eosinophils are high, and my MPV is low, but everything else came back fine. My body aches, and I feel horrible. I have bruises that appear out of nowhere all over my legs and even my buttocks and my skin itches. I also have about 10 to 11 red dots on my skin that look like someone took a red pen and put a dot on me. I am also suffering from short-term memory loss and sometimes confusion. My doctor put me on a medicine called\u00a0Modafinil 100 mg, yesterday. I have not taken it yet. I am also taking Klonopin, Prozac, and Buspar for about eight years or longer since getting out of the Marines.\u00a0Please help me figure out what I should do next. Should I consult a hematologist or an oncologist? Should I be worried? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28560, + "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": 23413, + "tgt": "Does my nose look really big?", + "src": "Patient: Hello doctor, I am 18 years years old and just wondering if my nose is average or actually big. Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). Firstly, I would like to assure you that you are just perfect and nothing needs to be done cosmetically. Secondly, if the structure of your nose is causing you any physical ill health, you need to consider a surgical procedure. A deviated nasal septum is a state where there is a tilt in the nasal bridge more than usual. It is nothing serious and a majority of the people do have it. Sometimes, this causes frequent allergies, cold and sinus problems or it interferes with the daily activities. This is the only scenario where you need to consider consulting an ENT specialist in person and follow their advice. As of now, presuming you have no such problem, you are good to go. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 8388, + "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": 12098, + "tgt": "Does lifestyle changes alone help in improving cholesterol level?", + "src": "Patient: Hi doctor, I am a 33 years old male. I weigh 84 kg and I am 5 feet 8 inches. I have high blood pressure. I am taking Triolmezest 40 mg and it is in control now. For the past 5 years I have cholesterol. I have attached my lipid profile report please refer. Should I start medication or lifestyle change will help? Also please let me know the side effects of medicine. Is my report bad? Doctor: Hi. You have deranged lipid profile (attachment removed to protect patient identity). With such high level of LDL (Low density lipoprotein) treatment with drugs is necessary. I would suggest you to get fasting blood sugar, thyroid profile and ECG done. You should start on statins like Atorvastatin or Rosuvastatin. Lifestyle changes are necessary along with this, as medicine can be later discontinued and lifestyle changes can be adapted for natural control of cholesterol. I would advise you to: Get your lipid profile repeated after a month and get back with reports. This is my best opinion for you. You should discuss with your doctor before acting upon any advise. Stay healthy." + }, + { + "id": 26461, + "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": 1672, + "tgt": "Can missed period after sexual intercourse mean pregnancy?", + "src": "Patient: Hello doctor, I am a teenager and I had sex for the first time 2 weeks ago and now I am worried that I might be pregnant. We used a condom but I am not on birth control or anything else. I have had irregular periods for some years now so I do not know if missing my period would be a sign of pregnancy. Also, after a day we did it, my period came but I am not sure if it is related to the fact that I lost my virginity or it was my actual period so now I am really scared to wait another 2 weeks or who knows, maybe a month or two. I cannot talk to any adult and I really need a specialist\u2019s opinion on this. Doctor: Hi. How are you doing? For a young lady the only way to check for your chance of pregnancy is blood test. Lady can have a bleeding vaginally, when their hymen memberane rupture. Clinically we see bleeding, which can be mild spotting to heavy bleeding. As you mentioned that you have irregular cycles, exact date of ovulation cannot be guaranteed. Simple way out is 15-20 days after the sexual contact have a serum beta hCG test. Even the earliest of pregnancy can be detected. As you had used condom, chance of pregnancy is low. But blood test is confirmatory." + }, + { + "id": 10945, + "tgt": "Is masturbation a harmful act?", + "src": "Patient: Hello doctor, I have several questions. Please clear my doubts and tell whether they are myth or fact. Is masturbation harmful? Is hair fall associated with masturbation in any way? How frequent can one have sex? I am having sex with my partner daily and even twice a day sometime. Is it harmful? When I do fast, I ejaculate in some 3 to 4 minutes and I am not able to satisfy my partner. Am I suffering from PE? If yes, then what should I do? Is it necessary to pull the foreskin back before inserting my organ?\u00a0I have only one partner and she is also loyal. Is there any issue with unprotected oral sex? We have been doing unprotected oral sex for the last 8 months and there is no problem so far. Is it harmful if we do anal sex?\u00a0Thanks a lot in advance. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3670, + "tgt": "Kindly advise any non-surgical method of releasing fibrotic contracture", + "src": "Patient: Hello doctor, I have a big scar in my right thigh that has led to a contracture with little flexure on my knew joint for over ten years. I have recently underwent a corrective Z-plasty release but with only little gains in flexure, the Doctor said the contracture had develop a fibrosis that needs to be removed. Is there any non-surgical method of releasing fibrotic contracture? Doctor: Hi. From what I can see in the pictures is that you have got a massive tissue loss over your thigh and that too over such a long period that it has gone for severe contracture. Only the Z-plasty will definitely not give you enough results. As your doctor has suggested you will have to go for complete removal of the scar and fibrotic tissue with reconstruction by a large free flap. Before that, few investigations will be required which will give the idea about how much post op benefit u will be gaining. Non-surgical methods are there for removing the fibrosis, but definitely not for such a massive one. X ray of the knee and hip, MRI of thigh region, vascular doppler of donor vessel for a free flap. Scar and fibrosis Excision with reconstruction by free flap" + }, + { + "id": 3783, + "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": 19227, + "tgt": "I am 12 weeks pregnant, and my NT scan showed 3 mm thickness. Should I redo the scan?", + "src": "Patient: Hello doctor, I am a healthy 41 year old woman, and I am 12 weeks pregnant for the first time. The results of my NIPT harmony test indicated no risk for trisomy 21, 18, and 13. The results of my blood test and NT scan showed that everything was normal except the nuchal fold thickness was 3 mm. This gave a risk of 1:106 for trisomy 21. The nasal bone was, however, visible.\u00a0My understanding is that, despite the 3 mm nuchal fold thickness, I can assume that the risk of Down's syndrome is extremely low based on the results of the NIPT test and visibility of the nasal bone. I have been told that it is not necessary to consider having an amniocentesis. I understand, however, that there is a risk of heart defects, and I have been told that a cardiologist will examine my ultrasound in week 18 to see if there are any problems.\u00a0Can you please comment on my situation and tell me if there are any specific questions that I should be asking my doctor or if there are any other tests I should consider?\u00a0For example, I understand that the NT scan can be performed until 13 weeks and six days. Should I consider having the scan done one more time before this date to see if the nuchal fold thickness has changed? And should I have my next ultrasound earlier than week 18? Doctor: Hi. First of all, I would like to congratulate you on starting this beautiful journey, being a mom of two, I understand your concerns.\u00a0Here is what I would suggest. I hope it helps.\u00a0Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12829, + "tgt": "Is it normal for the eyes to blink when I move my jaws?", + "src": "Patient: Hi doctor,My right eye automatically starts to blink whenever I used to eat something or do movements from my mouth. I checked with a doctor a few years back, they did not give me any sort of appropriate results for that. My parents also checked with some doctor in childhood and never got any result for that. How it can be possible that there is no solution for that as everything is possible in this world. Many times I feel bad and embarassed when people noticed my defected eye. Kindly solved my query. Doctor: Hello. The condition that you are describing here closely resembles a condition called Marcus gunn jaw winking. This causes a drooping of the affected eyelid with such movements of the eyelids on jaw movements. The cause for such movements is due to various factors, the nerve which supplies the facial muscles erroneous supplies the eyelid muscles, while in normal situations these are distinct and do not supply both these muscles together. The treatment for such a condition is surgical and would need the expertise of an oculoplastic surgeon. This would be available in most eye hospitals. Although, the success rates are variable and you may need more than one surgery in the long run." + }, + { + "id": 17750, + "tgt": "What can be done for stomach cancer metastases to six lymph nodes?", + "src": "Patient: Hello doctor, My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scenario. Doctor: Hello. As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherapy and radiotherapy. Before that, I would advise you for CT scan and tumor markers like CEA and CA 19.9 to look for any evidence of residual disease at four weeks after surgery as residual disease after surgery will be taken as high risk. If you are able to get a PET CT then it is better. There are certain poor markers in his tumor (attachment removed to protect patient identity) like signet ring histology, lymphovascular and perineural invasion, node positivity, and a bit close margin. These all factors make him a high risk for recurrence. Though there is no definite advantage of chemo and radio vs chemo only, those who are at high risk for recurrence benefit from chemo and radio. So in his case, I would opt for chemo and radiotherapy. But before going ahead with this, I will definitely need to assess the patient's general condition and how he is taking his nutrition. Whether he is fit to receive this treatment. Otherwise, I would opt for chemotherapy only. Therefore, I would advise you to take further treatment at the center which has both facilities. Depending on what type of chemo regime is followed the duration of treatment will be around six months. On an average, around 50 % patient with stage III stomach cancer will be alive at the end for three years if they receive adequate treatment." + }, + { + "id": 24412, + "tgt": "I have sudden blurring of vision on one eye. Is it due to retinal detachment?", + "src": "Patient: Hello doctor, My vision was crystal clear this morning. I just woke up from a nap, and the vision in my left eye is blurry. It has not cleared up in the past half an hour. Twice over the years, this has happened, and it normalized over a few hours, but I am in a jungle now. So, I would like to err on the side of caution. I have had previous retinal detachments. Doctor: Hello. Did you get any surgery done for retinal detachment earlier? It may be a recurrent episode of retinal detachment. If you have diabetes or hypertension that may be a cause of this detachment. It can also happen in vitreous hemorrhage in which you will see a slightly reddish vision and will not clear up. If this is the case, then it will clear up in few weeks. What is the exact cause can be told only on examination. You should rush to the emergency asap. If detachment surgery is required then visual prognosis depends on the time elapsed between episode and surgery. So, you should not delay. There is not much you can do at the moment by yourself. Just seek help from someone to reach a hospital. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8046, + "tgt": "I applied toothpaste in lower eyelid which has caused an indentation. What has to be done?", + "src": "Patient: Hello doctor, I am 18 years old and I once in my lifetime applied toothpaste on my bottom eyelid trying to help with the dark circles I had but then I had an irritation there and the next morning I had a scab which later fell off and left an indentation on my end eye that looks like an ugly wrinkle. Can this be treated to remove the wrinkle with a cream? Because this small indentation is causing other wrinkles near it. Please help with a depth answer. It would mean a lot. Doctor: Hi. I understand your concern. The indentation below the eyelids as I can see the picture (attachment removed to protect patient identity) could have been due to two things. Toothpaste that you had applied might have caused contact dermatitis and in turn skin thinning in that area. The other reason could be that there is loss of tissue under the lower eyelid skin. You could use Vitamin C serum under the eyes. This helps you lighten dark circles as well as minimize indentation. You can also place plain wet wipes over closed eyes to maintain hydration. If the indentation and wrinkles are too loose, you can get fillers done from your dermatologist. Contact dermatitis, tissue atrophy None As described above Avoid frequent rubbing of eyes and use of harsh products" + }, + { + "id": 1810, + "tgt": "I am having hearing issue and sloughing causing more pain. Why?", + "src": "Patient: Hello doctor, I am having issues with hearing, pain, pressure, and sensitivity to noise. Can slough in ear be painful? I am currently using Topamax, Allegra D, Baby Aspirin, Tylenol, Aleve, and Ibuprofen. Doctor: Hello. Sorry, I need more details but I will comment on the pictures as clear as possible. (attachment removed to protect patient identity). The first picture shows a lot of shaded superficial layers of the skin. This can be painful. This may be a dermatological disease like eczema. I still do not know which ear is it, right or left? The last picture seems to be of the left ear. The drum is intact, no perforation, the white patches in the drum are called tympanosclerosis which is deposition of calcium granules within the drum tissue. This can happen spontaneously or after healed drum perforation and drum surgeries." + }, + { + "id": 15792, + "tgt": "Please explain the CECT report taken after six cycles of chemotherapy", + "src": "Patient: Hi doctor, My father is 62 years old. I have attached his CECT of thorax, abdomen, and pelvis. It is taken after six cycles of chemotherapy with Gemcitabine and Cisplatin. He is diagnosed with carcinoma of unknown primary with left lung metastasis. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The scans look quite reassuring. There is nodular enhancement involving the left diaphragmatic pleura with minimal pleural effusion. Background fibrotic changes are seen in the bilateral upper lobes. The head, body, and tail of pancreas appear healthy with no focal solid-cystic lesion or area of calcification. The gallbladder seems normal. There is no intrahepatic biliary radicle dilatation seen. There is no focal lesion seen in the liver or spleen. A small cystic lesion is noted in the mid pole of the right kidney, and it is like a simple cyst. The urinary bladder is partially distended and grossly normal. There is no ascites or lymphadenopathy seen. Bowel loops are non dilated. There is no focal area of thickening seen. The prostate is enlarged, and it needs further evaluation with ultrasound (transrectal ultrasonography) and blood PSA (prostate-specific antigen) levels." + }, + { + "id": 13879, + "tgt": "Can a young adult get type 2 diabetes?", + "src": "Patient: Hello doctor, I am 20 years old, type 2 diabetes patient. Please give me information about diabetes. Every morning, I do running around 2 to 3 km. Doctor: Hello. I have seen your attached details (attachment removed to protect patient identity), which show you are on multiple drugs to control blood glucose and your blood glucose levels seem to be in very good control. However, if levels drop too low that is less than 70 mg or so, there is a possibility of developing hypoglycemia. So please take care not to have too low levels. Regarding what is diabetes and details about it, it is very difficult to explain here. However, some points are being given: 1. Diabetes is a hormone (insulin) deficiency disease, plus there may be resistance to its action, mainly in fat or overweight person. In some persons both these situations are responsible. Excess weight and physical inactivity are major culprits. 2. Once diabetes develops, there is a derangement of metabolism of carbohydrates, fats, and proteins. But the major visible problem is high glucose levels and HbA1c. 3. This leads to an effect on microvasculature (small blood vessels) supplying retina, kidney, and nerves. Secondly, damage to macrovasculature (large vessels) like coronary arteries supplying the heart and large vessels supplying lower limbs. These actions lead to retinal damage (retinopathy, kidney damage and neuropathy and sexual problems in male). Large vessel damage causes heart-related issues, damage to the blood supply to lower limbs and ulceration at times leading to loss of limbs. Type 2 diabetes was earlier seen in persons above 40 years. However, nowadays it is seen more often in much younger age group, even in teen age. Strict blood glucose control with fasting less than 100 mg, PP (postprandial) 150 to 160 mg and HbA1c less than 6.8 should be maintained. Apart from taking specific medications, it is essential to take properly planned restricted diet, no sweets, no deep fried foods, no bakery items, no foods made of maida and avoid colas. Increase the intake of green leafy vegetables and salads. Plus regular exercise of over one hour and maintaining a near normal weight are important aspects of the treatment." + }, + { + "id": 18997, + "tgt": "What is the treatment for an eyelid bump?", + "src": "Patient: Hello doctor, I have an eyelid bump which is not going away. What is the treatment? Doctor: Hello. Revert with more information to an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17768, + "tgt": "I am suffering from cough for the past one month. Can it be cured?", + "src": "Patient: Hi doctor, I am a 22 year old male. My weight is 50 kg. Around 50 days ago, I had a sore throat, nose itching and cough. I noticed a tiny amount of blood with mucus (only two times). I do not know whether it has come from lung or nose or throat. Then, my doctor told me to get\u00a0complete blood count test and chest x-ray (PA). Everything was fine. ESR was little high, but after some days when I tested again, the ESR also become normal. Then, my doctor prescribed me an antibiotic tablet and Montek LC. After the complete course, my throat pain was gone, but I still had a cough. So, the doctor told me to continue Montek LC for a month. I completed one month course,\u00a0but I still have a cough. A cough is\u00a0sometimes dry and sometimes with mucus. I do not understand the reason for my cough. I am leaving abroad in four days, but my cough is not getting better. What can I do now? Doctor: Hello. Thanks for writing your query to me. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 2581, + "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": 25456, + "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": 28026, + "tgt": "Why do I keep talking to people in my mind?", + "src": "Patient: Hello doctor, I am taking 3 mg Risperdal\u00a0for two years and 40 mg Fluoxetine from the last two weeks. Sometimes when I speak, I say one thing and mean something else. The sentence which I say is good, but I mean something lustful or violent inside. When people speak to me, I repeat or say along with them in my mind what they are saying, but angrily. I get restless when people around me are talking. In my mind, I respond as if everyone talking around me is talking to me, so if two people are taking and I can hear, I mentally reply to questions or have a parallel conversation mimicking them in my mind, as they continue to talk outside. For example, if someone says to someone, 'you want water?,' internally I think 'you want to get hit?' And then I wait for their reply. And if they say yes, I either start laughing that I said something else in my mind or I get angry. At times, my mind is just not quiet when people are talking to me. When watching a video of people speaking or a TV anchor speaking with no sound on, I mumble words in my mind as they speak instead of keeping quiet. I try to talk to people with my mind and my thoughts. Let me know how to stop this. Thank you. Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Feel free to write back to me if you have more questions.\u00a0Thanks and regards. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 16817, + "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": 19226, + "tgt": "My father has developed weakness in the right hand and leg. He is not able to walk. Please help", + "src": "Patient: Hello doctor, My father is 75 years old and he is overweight. My father stays with my relatives in a remote place. Last night when he was sleeping outside, the weather was cold due to rain and the fan was on. He had felt cold at midnight and when he woke up, they found his right hand and leg were not working properly. He can feel everything, he can also move both legs and hands, but feels lack of power in the right hand and leg. He is not able to walk and not able to drink water. They reside in a place where there is no neurologist. They visited an ayurvedic doctor this morning and he has given some ayurvedic medicne and nurokind plus injection 2mL once daily.\u00a0 Please suggest the right treatment. Doctor: Hi. Best thing is to get a CT scan head done and share the reports as soon as possible. Delay should be avoided. Also provide the below details: 1) Is he a smoker? 2) Does he have diabetes, high blood pressure or heart disease? 3) How many hours have passed since he developed this weakness? Revert back to a neurologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14344, + "tgt": "Is this a tooth abscess or root canal?", + "src": "Patient: Hello doctor,Is this a tooth abscess or root canal may be? Doctor: Hi. How are you doing? I have seen the images (attachment removed to protect patient identity) and based on that, I would say that your wisdom tooth has caries (cavity) that seems to be deep. Secondly, it has not erupted (come out) completely into the oral cavity and the gums or flap covering it is inflamed and enlarged. A few questions, do you have pain, especially while chewing or sleeping? Is there any painful swelling, especially below the angle of the lower jaw (lymphadenopathy)? The permanent solution for this is tooth removal (extraction or surgical removal, which can be confirmed after seeing X-ray: OPG or IOPA). Again, an X-ray only can confirm whether any abscess is there or not. If you do not have pain, then you can delay the removal a bit. But, get it removed as soon as possible. Yes, a tooth with such a cavity can receive a root canal treatment if the cavity reaches pulp (blood supply) of the tooth. But, this wisdom tooth is advisable for removal only. I will explain why. This tooth is not completely erupted into the oral cavity and does not have space too. Secondly, maintaining oral hygiene in this area is difficult and access to the dentist for the treatment is difficult too. Even after root canal, placement of crown (cap) in this area is difficult and a total waste. So, why to waste your money and the dentist's efforts. Thirdly, this tooth, by evolution, has become non-functional, so its removal is not going to affect you much with mastication. So, keeping all this in mind, removal is the only best option for this tooth. You can attach the X-ray and answer regarding the pain (if you have) so that I can help you further. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20918, + "tgt": "Is DMSA available in oral form for high arsenic levels?", + "src": "Patient: Hello doctor,My wife and I have high arsenic levels, greater than 10. Probably due to water. We are changing the RO filter on our water purifier. What could be alternative causes? The best treatment is reportedly DMSA. It is available in injectable form. Can you tell me if it is available in oral form too? If so the brand name or source. Are there any significant side effects to oral and injectable DMSA? Doctor: Hello. For arsenic poisoning, chelation DMSA (Dimercaptosuccinic acid) drug used that is available as Succimer or Chemet brand name. It mainly occurs because of arsenic consumption through groundwater, industries, glass industry, pesticide exposure, etc. In hair and nail, its level detection also helpful when its level high in blood. Succimer available as 100 mg capsule also. The dose depend on stage and severity of involvement. Sometimes 10 mg per kg per day for five days also can be prescribed. This drug not available everywhere. It is available in few medical stores. The side effects include diarrhea, nausea, vomiting, skin rash, sometime neutropenia, elevated liver enzymes, etc. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25827, + "tgt": "Why is there continuous release of gas from my stomach?", + "src": "Patient: Hello doctor, I am suffering from a gastric problem for the last one year. There is a continuous release of gas from my stomach. The stomach sort of puffs up all the time, gas production is in every 10 to 15 minutes and it goes out through the anus or mouth. After 10 to 15 minutes again I have the same symptoms. I have visited many doctors but they are unable to cure completely. Recently I visited a doctor and he prescribed me to take some capsules like Panlipase 25000, Velgut, and Medigas and after taking these capsules, I feel better. He advised to continue the medicines and now I am in the third month. But still, the problem persists. What is the reason behind the release of gases and how can it be cured completely? Doctor: Hello. Gas formation is not always abnormal and need not always be treated. You can take precautions like avoiding foodstuffs which can increase gas production. Other measures are to regularise bowel habits, avoid constipation and have an adequate intake of water daily up to two to three liters. Tablets like Velgut (Probiotic) help temporarily. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15238, + "tgt": "What is the black pointy substance sticking out of my gums?", + "src": "Patient: Hi doctor, I have done a root canal before few years. But it fell off, and nothing has been there for a few years. This morning, when I woke up, I saw a black pointy substance sticking out on my gum. What is it? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). On looking your tooth and after going through your complaint, there is a retained root piece. It is left behind there. There is nothing to worry. You need to extract it soon from your dentist. Root canal treatment generally fails when the tooth is not capped. Since it has fallen on its own, the top portion of the tooth has come off leaving the root stump. In some instances, you can see it after a long time due to gum recession." + }, + { + "id": 183, + "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": 28473, + "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": 14222, + "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": 13302, + "tgt": "Is it normal for a child to urinate frequently?", + "src": "Patient: Hello doctor, We are concerned about our 3 years old boy. He started urinating very often at the day time. He urinated about 40 times a day today. Every couple minutes, sometimes 5-10-15 minute gaps with a small amount urine. Our boy has no temperature, no pain, seems happy, playing like usual. Sleeps well and does not urinate at night. Hopefully, you will give me an advice. I will look forward to hearing from you soon. Doctor: Hi. From what you are describing, there may seem to be an overactive bladder. It is more during the day and normal at night in this case. In such cases, it is usually transient. I would also want to know the psychological state of this child if he has been shouted at or beaten by someone. Since this is a very common reason for such a phenomenon, it should go away in a while once the offending agent is taken care of. It is advisable to do an ADH level for this child if this persists for more than a week. Oxybutynin may need to be started if symptoms are severe and not resolving." + }, + { + "id": 3184, + "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": 16765, + "tgt": "What can cause irregular menstrual bleeding?", + "src": "Patient: Hi doctor, I am suffering from irregular bleeding for the past six weeks. I\u00a0have been using Mirena for the past 10 years for birth control and PCOD. After Mirena my periods had stopped and I would get them once in six months for a day. In six weeks, I have got this bleeding for the third time. It lasts for a maximum for a couple of days.\u00a0I am diabetic too, and it is under control. Doctor: Hi. As per your history, it appears that you are having abnormal uterine bleeding and the cause can be many. As you told that you are diabetic, I would advise you to get a transvaginal scan first and followed by endometrial sampling to rule out the cause. In your case of irregular bleeding my suspicion goes for hormonal disturbance. Please revert back after ultrasound for endometrial thickness. 1. Transvaginal scan and endometrial sampling. 2. Fasting blood sugar. Revert back with the investigation report to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5340, + "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": 4788, + "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": 15506, + "tgt": "Do I have intermittent feet and wrist pain due to nerve disorder or high uric acid?", + "src": "Patient: Hi doctor, I have pain in my feet and wrist sometimes, and I take painkillers. It goes and comes back again after a few months or weeks. It is not due to external injury. I got a blood test, and my uric acid was high at 10 mg/dL. Now, I take Feburic 40 mg for some time. Today again, I had a pain on my feet, and I am sending the location of pain present on my feet. Is it due to high uric acid? I eat chicken more. Does eating chicken cause an increase in uric acid? I am overweight, and I am trying to reduce my weight. My weight is 99 kilograms, and my height is 177 cm. Do I have the pain due to a nerve disorder or fibromyalgia? My mother had fibromyalgia. What should I have to do? What diet should I need to take? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). As the uric acid is high at 10 mg/dL, it is likely a cause of arthritis. Febuxostat that you are using now should be used every day even when you are not having pain. This medication is used to treat acute gout, and it prevents recurrent attacks. Check your uric acid level if you are taking Feburic 40 mg. Increase the dose to 80 mg and recheck uric acid in four weeks. Uric acid should be less than 6 mg/dL. Avoid drinking alcohol, and you can add proteins to the diet such as chicken, beef, mutton, or fish. But not in excess and it should not be taken every day. Do these blood tests such as CBC (complete blood count), ANA (antinuclear antibodies), rheumatoid factor, anti-CCP (anti-cyclic citrullinated peptide) antibodies, and ESR (erythrocyte sedimentation rate) to rule out other possible diseases." + }, + { + "id": 29280, + "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": 16994, + "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": 25417, + "tgt": "What could be the reason for spotting in a postmenopausal woman?", + "src": "Patient: Hello doctor, I am a 55-year-old woman. I stopped having periods three years ago. I visit my doctor every year for a gynecological physical and regular physical. My regular physical last year was great and my gynecological physicals have always been good as well except for uterine fibroids. My last GYN visit was four months ago and everything was fine. I have never had an abnormal pap smear. I have had the fibroids for almost 20 years. During my last GYN visit, all my tests were normal and my doctor said my fibroids were shrinking. A week ago today I saw what I thought was a very small amount of blood on my poise pad. It has not happened since. This has never happened in the last three years since my last normal period. I also suffer from OCD and anxiety and I am always to myself. I am not even sure it was blood to be honest and of course, I will call my doctor and make an appointment for next week. It was not brown spotting and it was not bright red either. I do not have a UTI or pain in my abdomen or anything. Again, it was very, very small and light. I am thinking perhaps I had something on my hand and it touched my pad and I did not notice it. A little insight would be helpful. I am currently on Valsartan and Prozac. Doctor: Hello. It is blood spotting and it may be due to the presence of fibroids in the uterus or due to non-infective endometritis or due to some hormonal change. All these may occur after a gap of few years post-menopause, rarely Prozac may also cause bleeding. It may not occur again, anyways you have to see the gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22824, + "tgt": "Do I really have chronic myeloid leukemia?", + "src": "Patient: Hello doctor, I am 18 years old and I got told that I had chronic myeloid leukemia. Do I seriously have it? Or what do I really have? Blood test: high basophils and low hemoglobin. My symptoms are weight loss, anemia, dizziness and pale skin. Urine: leukocytes 1 to 2. And, I have a ball right under my left eyeball of the size of a pebble. Doctor: Hello. Well, CML (chronic myeloid leukemia) is a treatable blood cancer. The diagnosis of CML is suspected by a peripheral blood examination in which the number of basophils and eosinophils is highly raised and urine examination has no role in its diagnosis. So, on the basis of your report, it cannot be said that it is CML. For the confirmation and definite diagnosis of CML, you need to get these two tests: Once you get the reports of these two tests, only then it can be confirmed that you have CML or not. Please do not hesitate to ask me if you have any more doubts. Take care. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 10774, + "tgt": "What do to when eye was swollen following a hit?", + "src": "Patient: Hello doctor,I got a ball hitted on my eye so my eye got swelling, redness and pain and also my vision is lightly blur. So kindly tell what I should do? Doctor: Hello. This is a widespread scenario among children. The pain and swelling around your eyes will disappear. I recommend that you use ice packs to help faster recovery. The vision will likely improve in case you have any watering. This will happen spontaneously. I recommend that you see an ophthalmologist in case of no improvement in symptoms in a day or two. Redness, swelling, and pain can also occur due to a fracture of the orbital and facial bones. These will need repair to heal. Blurred vision can be due to various causes after injury. The most important and dangerous of these is retinal detachment and cataracts. I hope this helps you." + }, + { + "id": 1766, + "tgt": "I have large intestine obstruction with constipation and piles. Please suggest medication", + "src": "Patient: Hello doctor, I am 36 years old. I have a problem on the right side of the large intestine. I have four babies with cesarean surgeries. My youngest baby is 13 years old. My uterus was removed five years ago due to rasoli. After this operation, I felt pain in my anus and a year later I was alright but later on my mother suddenly passed away. Due to sorrowness, I felt pain in my stomach and a pull in my belly. Followed by I had constipation and piles (no bleeding). Now whatever I eat or with empty belly I feel heavier on the right side of the large intestine. After eating something I feel that it has blocked due to any hindrance. I thought it may due to eating beef or meat but now doctors say that my large intestine is infected and even using medicines show no improvement. My hunger is normal but I have constipation and little pain in the right intestine with a large amount of urine with crystals in it. Please suggest medication. Doctor: Hello. I have reviewed your situation. For confirmation, what is going on, you need to visit to a gastroenterologist and get booked for upper and lower GI (gastrointestinal) endoscopy. But reading at your situation, it looks you have both acidity problem and constipation. Till you meet some gastroenterologist, you can take capsule Nexium 40 mg (Esomeprazole) once a day before meal, and Isphagol husk two teaspoons in a glass of water, keep it for four hours and then take it. If you still feel symptoms, you can follow us. So we can upgrade the treatment. I hope this helps." + }, + { + "id": 15242, + "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": 27352, + "tgt": "What is meant by non-specific inflammatory lesion?", + "src": "Patient: Hi doctor, I had excision biopsy for a lump in the left leg. The result shows the features of non-specific inflammatory lesion. What does it mean? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28219, + "tgt": "I have HbE disease, and my wife has HbE trait. How will it affect our baby?", + "src": "Patient: Hi doctor, My wife and I are both 29 years old. I have been diagnosed with hemoglobin E disease. My hemoglobin A is 68.7 g/dL, hemoglobin F is 9 g/dL, and hemoglobin E and A2 are 26 g/dL. And my wife has been diagnosed with a hemoglobin E trait. Her hemoglobin A is 9.1 g/dL and hemoglobin E and A2 are 77.1 g/dL. We are planning for a baby. What is the possibility of our baby acquiring thalassemia major? What are the other complications during or after pregnancy?\u00a0I have always had mild anemia, my hemoglobin always ranges from 9.5 to 11 g/dL. Doctor: Hi. I have gone through your attached reports (attachment removed to protect patient identity) and history. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24356, + "tgt": "Please check my NIPT report and explain", + "src": "Patient: Hello doctor,I am 27 weeks pregnant. Is my amniotic fluid normal or high? I hope there is no chance of any birth defect in my baby. My NIPT (noninvasive prenatal testing) test was normal. Also, my level 1 and level 2 scans were normal. Please check my report. Also, there is some problem with the artery. Doctor: Hello. At this stage, we do not look for anomalies. If NIPT is normal, then you can be 99 percent sure that there is no anomaly. Also, the level 1 and 3 scans have been normal which is reassuring. The liquor is fine and nothing to panic about (attachment removed to protect patient identity). The uterine artery shows a change in blood flow which may cause growth restriction in the coming weeks for the baby and also may indicate a high maternal blood pressure. For now, the baby is fine. Monitor your blood pressure daily and also check your blood sugars every fortnight. Go for the scan every 15 days or four weeks as suggested by the doctor to check growth and doppler. Better to take steroid injection at 30 weeks or so for respiratory lung maturity of the baby. An anticipation of a preterm delivery can be made and kept in mind. Plan a delivery in a set up with good ICU (intensive care unit) care. Keep a daily fetal movement count strictly. Report to the doctor immediately if you have vomit, headache, reduced movements of baby and high BP. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11422, + "tgt": "Can Fluoxetine be tried instead of Venlor XR?", + "src": "Patient: Hello doctor, I tried Venlor XR 75 mg during the night and got very poor result for put me to sleep. I tried to take it only in the morning and that too resulted in me being very sleepy. Can I try Fluoxetine? Or any other alternative medicines like ayurveda? Can I take St.John's wort or 5-HTP? I would also like to know can Tofisopam be tried? If so, in what dosage do I need to take them? Can any combination among these provide good sleep only during nights and keep one fresh and active in the morning? Please guide. Doctor: Hello. Rather opting for ayurveda measures or opting for St John's wart or 5HTP; you can add the following supportive measures. For further information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 26178, + "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": 23924, + "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": 25105, + "tgt": "My bottom teeth are very sensitive. How do I get relief?", + "src": "Patient: Hi doctor,My bottom teeth have been feeling very sensitive for the last few days now. However, I have had a blast on my gum towards the back of my tooth for about a month now. I have seen my dentist and he explained it was just like a spot, although it keeps coming back even when I pop it myself. I was wondering if these issues may be linked in any way? Doctor: Hello. The sensitivity of bottom teeth can be most commonly due to gum infection leading to gingivitis or periodontitis. So, my suggestion is to consult an oral physician and get evaluated. An X-ray can also be done for confirmation. For now, use anti-sensitivity toothpaste twice a day. Use a soft toothbrush to brush your teeth. Hope this helps. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8495, + "tgt": "My 6-year-old has ADHD and the EEG report is abnormal. Is Valprol syrup safe for him?", + "src": "Patient: Hello doctor, My nephew is 6-year-old, and weight is 20 kg, had been detected with ADHD from three years. We had started his medication and behavior therapy around 40 days back under the consultation of pediatrics and psychologist. After 10 days, we consulted a neuro-psychiatrist who recommended us EEG brain (sleep). The report of EEG was abnormal, whereby non-epileptic discharges were captured. The doctor prescribed liquid Valprol in some dosage. Since the finding was abnormal, we thought of getting a second opinion from a neurologist with video EEG this time. The video EEG (awake and asleep) under consultation with senior neurologist gave absolute normal findings. We showed this video EEG report to the previous doctor and asked him why is the difference in his (abnormal) and elsewhere video EEG (normal) report. The former doctor said that once the patient has been detected with abnormal findings, then subsequent normal findings cannot contradict the fact that the patient has the issue of non-epileptic discharge. We are confused about whether we should give him the syrup Valprol or not. Doctor: Hello. I have read your concern and seen the reports (attachment removed to protect patient identity). It seems like there is a discrepancy. It would be wise taking to account both results are true positives. It is warranted to that you go to your child neurologist to confirm if these are seizures. Most of the time, a video EEG (electroencephalography) confirms the presence of seizures. If it was not caught on video EEG, a thorough history and physical exam are warranted for your nephew. You can continue the valprol for now and let your neurologist discontinue it on the proper time." + }, + { + "id": 1755, + "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": 17516, + "tgt": "Condom broke while having sex. Can I take an I-pill to prevent pregnancy?", + "src": "Patient: Hello doctor, I had an I-pill nine months ago and I got my periods some two days later. Currently, three days before, while having an intercourse, my husband's condom broke. Can I take an I-pill now to avoid pregnancy? Can I take this now? Are there any side effects? I want to know about a daily contraception pill. Is it harmful? Of note, I had a medical abortion 10 months ago. Doctor: Hello. Yes, you have to take it as you do not have any other option. It will harm your body if you take it so frequently. Your hormonal milieu is disturbed. Regarding side effects, you may experience bloating, heaviness, and stomach upset. For regular contraceptive pill, you need to tell me your last regular period. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25675, + "tgt": "What precautions to take for obstetric cholestasis?", + "src": "Patient: Hi doctor,My wife is in the second trimester and she has been detected with obstetric cholestasis. We have been recommended Udiliv. Everyone here seems to have this by the end of her pregnancy, but she got it early. What can we be doing to get everything under control? Doctor: Hello. For cholestasis of pregnancy, the serum bile acid test and LFT (liver function test) are to be done once weekly or fortnightly depending on the severity. You should consult a liver specialist or gastroenterologist. This condition might affect the growth and liquor (water level) around the baby. So, ultrasound to monitor the growth and water level around the baby every three to four weeks or early if clinical exam shows decreased growth or less amount of liquor. Sometimes, these patients require delivery before term as the severity or doppler changes warrants. Do not worry, but be in touch with your doctor regularly. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14237, + "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": 3739, + "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": 9666, + "tgt": "Why is my WBC and neutrophil count low and liver enzymes high?", + "src": "Patient: Hi doctor, I got a complete blood profile done about two weeks ago, and my doctor said that my reports were normal. But, my\u00a0WBC and neutrophil count were low. After doing some internet searches, I am anxious. Although the doctor\u00a0said it was fine, he gave me some supplements. But lately, I have been going through a lot of stress, and I have an anxiety disorder, so it makes me a little weak. I\u00a0am healing right now, will it have any reaction to the stress? My body feels weak and tired, and my liver enzymes are high. I got tested for hepatitis B and C, but both came back negative. I got the same test for liver enzymes done about a year ago,\u00a0and it was high. So, I got an ultrasound of the liver, and the\u00a0doctor told me that everything was normal and my blood tests were normal too. I started taking liver supplement medicines, and my liver enzymes went down, but now it is high again. And my blood tests are also not normal. I have vitamin D deficiency, so I take vitamin D supplements. I am attaching my blood reports. Please help me. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Please get back with the reports. Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5355, + "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": 1348, + "tgt": "I have pain in back side of neck with a shock while turning towards left. What is the treatment?", + "src": "Patient: Hello doctor, For the past three days, I am having pain in backside of my neck. The pain actually is not in the complete neck it is in a part from neck to mid of the back. When I turn my head to the left it is a kind of electric shock feeling. This may be because of some sleeping angle, I do not know but I am feeling it very badly. The pain I feel is from goes from neck nerve at the back to the left arm and down to neck till the middle of back. From today morning I have a little headache. Also, I am diabetic. Please help. Doctor: Hello Are you using a thick pillow? Neck muscles seem to be in spasm. Muscular spasm. Give elaborate history on any medications you are allergic to or taking at present." + }, + { + "id": 4818, + "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": 6113, + "tgt": "I had HCG injection 20 days before and how to confirm my pregnancy?", + "src": "Patient: Hello doctor, How to confirm pregnancy? Please help. Doctor: Hello. Please get a urine pregnancy test done with an early morning urine sample to ensure that you are pregnant or not. However, if you have a doubt then get a blood test for pregnancy done. Do get back to me with reports so that I can guide you further." + }, + { + "id": 5942, + "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": 30802, + "tgt": "Should we think of IUI or ICSI to conceive?", + "src": "Patient: Hi doctor, My wife and myself have been married for one year and seven months. We started regular coitus about eight months ago for at least two to three times per week. Her cycle occurs every month, but ranges between 26 to 29 days. We are unable to conceive. Her hormonal profile and pelvic US are normal. Based on my attached seminal fluid analysis, what is your analysis? What suggestions can you make concerning the low motility? Should we think of IUI or ICSI? I am a general practitioner by profession. Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 29101, + "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": 5508, + "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": 21619, + "tgt": "What would be the result of CBC and PBS tests in a patient with pityriasis rosea?", + "src": "Patient: Hello doctor, I recently had my blood tested and it turned out that I have WBC at 16000. I have no fever, a cold or a cough. Although I have rashes and I suspect this is pityriasis rosea. My doctor is not aware of my suspicion. Now he wanted me to undergo CBC and peripheral blood smear. If I really have pityriasis rosea what would probably be the result of my CBC and PBS? I am 22, female, 5'1\", 48 kg. Doctor: Hello. Pityriasis rosea is a form of viral skin infection. Your total WBC count can be high because of that and in your CBC, high lymphocytes can be a possibility but it is not the rule. For your rash, Levocetirizine 5 mg OD like an oral antihistaminic drug can be prescribed. If needed, topical steroid also can be prescribed. I suggest you consult a dermatologist for examination. Repeat your CBC with peripheral smear examination report after a week. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14313, + "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": 28892, + "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": 9332, + "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": 26496, + "tgt": "I have frequent urination, but only in the daytime. Why?", + "src": "Patient: Hello doctor,I am a 30 year old male. I have frequent urination, but only in the daytime. I take medications for IBS, Libotryp\u00a0DS,\u00a0Lopamide, and\u00a0Hostacycline 500. Doctor: Hello. I went through your post. Frequent urination can be caused by UTI (urinary tract infection), raised blood sugar (diabetes), excess water intake during daytime and enlarged prostate (BHP). You will need a urine examination, blood glucose and an ultrasonogram of the pelvis to look for prostate enlargement. Meanwhile, instead of Tetracycline for IBS (irritable bowel syndrome), I would suggest Rifaximin 400 mg twice daily. Avoid non-vegetarian foods for a while in case you consume them. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8288, + "tgt": "Is it fine to undergo surgery for ankle fracture after three weeks?", + "src": "Patient: Hello doctor, I recently broke my ankle playing soccer. I went to the hospital right away and the doctors set me up and place me in a cast and told me I will have to do surgery. Six days later they told me that the next available surgery date is in the next three weeks. Is it fine to wait that long to do the surgery? Also, when I am lying down I am not in any pain, only numbness in a big toe but as soon as I stand up I start feeling an intense burning pain even though there is no weight on the feet. Doctor: Hello. I am thinking that the ankle may have been too swollen to operate and that is why they delayed the surgery to allow the swelling to go down which can take a week to 10 days. Did they not clearly say so? Three weeks itself is a long time I think. It may be a systematic issue rather than the swelling. Yes it is still safe to be operated at three weeks post-injury. The pain that you experience when the leg is down but not weight-bearing is from the blood rushing into the leg and the resultant swelling makes the tissues tense and painful. Again, this should settle with time or may persist till even after the leg comes out of the cast for sometime." + }, + { + "id": 11247, + "tgt": "Why are my arms, neck and underarms blackish when compared to the rest of my body?", + "src": "Patient: Hello doctor, My arms, neck and underarms are blackish compared to the rest of my body. Please look at my pictures and inform me the solution. Doctor: Hello. I understand that you are concerned. Looking at your photographs, I can appreciate that you have two things (attachment removed to protect patient identity). 1. Acanthosis nigricans: The darkening of the neck and underarms is due to thickening of the skin, known as acanthosis nigricans. It is a manifestation of insulin resistance and is usually associated with diabetes mellitus, weight gain, obesity, thyroid disorders and certain drugs. Sometimes no cause can be identified. 2. The arms darkness seems simple tanning due to sunexposure as I can appreciate the sharp cut off at the arm, where sunexposure ends the skin is fairer. Use the following medications: 1. Kojic acid cream apply once at night for pigmentation. 2. Suncros sunscreen lotion apply three times every three hourly on sun exposed areas during day time. 3. Tablet Limcee (Vitamin C) one tablet once a day after breakfast. Get following investigations done 1. FBS. 2. T3,T4, TSH. 3. Fasting lipid profile. Please review with reports." + }, + { + "id": 3165, + "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": 25424, + "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": 7291, + "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": 29214, + "tgt": "How to correct post-frenectomy upper lip sagging?", + "src": "Patient: Hi doctor, I have a\u00a0gap in between my incisors. When I approached a dentist, he advised to go with frenectomy and then braces treatment. I had upper lip frenectomy three days back. Now, when I smile, I can notice the middle portion of my upper lip is sagging a little, and my incisors are not completely visible. How to correct this? Doctor: Hi. Post-frenectomy problem. Massage the area with an astringent gel. Warm saline gargles. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7990, + "tgt": "My dull aching chest pain is shooting while doing physical work. Why?", + "src": "Patient: Hello doctor,I have always had chest pains and pains specifically in my left arm or chest, but right now, I feel like it is difficult to breathe and I have upper left arm pain to my left breast. It is mainly a pressure a dull ache, but now it is shooting. It is more difficult to breath when I lay down. When I run or exert myself physically or when I am distraught or crying, I have shooting pain down my left arm. Doctor: Hello. Your chest pains seem to be muscular. Another possibility is of acid reflux that can also cause such kind of illnesses. We should also rule out any cardiac issues in case of chest pains. So, you should get a chest X-ray and ECG done. If the ECG and chest X-ray are normal, the pain is probably muscular or due to acid reflux. For muscular pain, I advise doing hot fomentation over the affected area three to four times a day. You can also apply Diclofenac gel locally over the involved area. On taking this treatment, this usually resolves in five to seven days. In case you have pain in the abdomen, and acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone. Share my opinion with your doctor before acting upon it. I hope it helps. Muscular pain. ECG, chest X-ray." + }, + { + "id": 13119, + "tgt": "How can the penis size be increased?", + "src": "Patient: Hello doctor, My penis is very small (3 to 5 cm). It is the size of a child. My age is 23. Please help. Doctor: Hi. Penis length is usually measured in an erect state and is between 2 to 6 inches normally. What we see in porn videos is not normal. For females, only outer two inches of the vagina has sensation. So for successful intercourse, any penis length more than 2 inches is adequate. Often duration of intercourse or masturbation can be short. If done frequently, and with time, this duration will increase. Right now you do not need medicines. If you have persistent issues, you may contact again." + }, + { + "id": 6351, + "tgt": "I have cough, sore throat and increased urinary frequency for a few days. What to do?", + "src": "Patient: Hello doctor, I am a 28 year old male. I have some symptoms for the last few days like cough, sore throat, frequent sensation of urinating, with no or very little urine and feeling of incomplete emptying of the bladder. It is accompanied by pain, which feels like it is in the urethra. The frequency of urination is every 30 minutes, sometimes immediately after using the restroom. I was never sick before, so I am a little concerned. Doctor: Hello. I understand your concern. You have not given adequate history. Did you have any unprotected sexual intercourse in recent days? Are you at risk for STD (sexually transmitted disease)? If so, then frequent urination and burning accompanied by some pain can signify some STD. For fever and sore throat, I will advise you saline water gargling. Do it three to four times a day and avoid cold food for the next few days. If you do not have STD scare, then you can have tablet Ciplox (Ciprofloxacin) 500 mg twice a day after food, for five to seven days, and your symptoms will resolve. If you do have STD scare, then I suggest taking tablet Doxycycline 100 mg twice a day for seven to ten days, depending on your severity. If your symptoms are not resolving after two days, kindly consult your local physician and get yourself checked for STD, and they can do your urine routine and culture." + }, + { + "id": 29889, + "tgt": "What are the possible causes for urinary incontinence?", + "src": "Patient: Hello doctor, I am 76 years old.\u00a0I had an open radical prostatectomy about four months back. Today, I am completely incontinent. I do not smoke or drink. I do hiking and exercise daily. I also do the Kegel exercises faithfully. I have read several ways to do them and I can locate\u00a0the sphincter muscle. After the surgery, besides the catheter, I had a drain tube from my chest. For the two days in the hospital, it drained at least a cup a day. On the second day, as I was leaving, the nurse took out the drain. I traveled six hours to my home. Upon arriving, I noticed that the scrotum had swollen and my penis had shrunk. By the end of the next day, it had swollen so much that I could hardly walk and if I scratched, it would bleed. I called the surgeon, and he was not concerned. The next day, I was in very much pain and could not reach the surgeon. That evening, I called my regular doctor who told me to go to ER. The next day, they did a CAT scan and found a lake at the bottom of my abdomen, but told not to worry as my scrotum would not explode. Four days later I saw the surgeon, who told me to increase the diuretic that I was using to reduce blood pressure (Hydrochlorothiazide). I increased the dose from 50 mg once a day to 150 mg. After a week, I suffered from severe cramps. My surgeon told me to eat bananas. I did and there was no change. So, he lowered the dose to 100 mg. After three weeks, the scrotum returned to normal, but my penis was shrunken from about 4 to 5 inches to less than an inch. Today, I can stop the urination with mental concentration, but the sphincter does not seem to get the signal from the bladder. My penis is now about one inch. I am socially isolated because of the smell. I cannot continue my professional speaking to promote books. My surgeon says sorry. In a year, I can be put in with an artificial sphincter. Do you think the lake in my abdomen caused the problem? Do you have any suggestions? Currently, I am taking Atenolol 50 mg, Amlodipine or Olmesartan 5 to 40 mg and Simvastatin\u00a020 mg. The blood examination revealed all parameters within the normal limits. Doctor: Hi, Relax and do not worry. Urinary incontinence is a major complication of radical prostatectomy. It happens in 90 percent of the patients. Your urinary incontinence is not related to the lake in the abdomen. Usually, urinary incontinence will be present till one year in almost every patient who undergoes prostate surgery. The best solution is to do the Kegels exercises properly. Your sphincter might recover by one year. Regarding the penis size also, you do not have to worry as it will recover with time. I can give you some temporary solutions so, that your quality of life becomes better and you can do your daily work. I suggest you use a penile clamp. It is an external clamp like device, which you can apply daily to prevent incontinence. It will stop the urine so that at least you get time to go to the bathroom. You can also use a condom catheter. It is also a good option as you can wear it every time and go outside so that the urine drain continues through a condom catheter into urine bag, which will be attached to your leg. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26159, + "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": 541, + "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": 23363, + "tgt": "I suffer from premature ejaculation. What has to be done?", + "src": "Patient: Hello doctor,I suffer from premature ejaculation. Kindly help. Doctor: Hi. Premature ejaculation can be managed by two approaches: It is advisable that you first try the behavior method to manage premature ejaculation. It is difficult initially to practice them but over the period you can learn them, and the effect of these techniques are longer lasting. Also, drug treatment shows its effect after few days and initially it may not be evident but within a week or two, it shows its effect. Also, try to spend enough time during foreplay. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8902, + "tgt": "Kindly suggest the ways to overcome the withdrawal symptoms of marijuana", + "src": "Patient: Hello doctor, My little brother is 20. He was previously smoking marijuana not sure what kinds in his social circles. This was about a year ago from now. Ever since then he has never been the same. We have taken him away from being able to take marijuana for a year now and still, he acts like he is high. He is very disconnected, he talks to himself a lot, he is always laughing to himself, he cannot hold a full conversation without diverting and talking about something that completely makes no sense. He is very irritated and has now become short-tempered and very defensive. He talks to no one, he can go a week without saying a word even when spoken to. He is very disconnected, he does not even know or remember how to take care of himself anymore. Please, anything you know that can help? Doctor: Hi. Marijuana contains cannabis, cannabis cause psychosis three times more than the general population where schizophrenia is 1 % common in the general population. It seems he has developed schizophrenia, I would suggest to take him to the psychiatrist to give him antipsychotics which is very necessary for him, because psychotropic medications are controlled drugs you would not get with this way rather you need a proper prescription." + }, + { + "id": 13194, + "tgt": "I need an effective cure for acne", + "src": "Patient: Hi doctor, I am a 20 year old male. My weight is 114 kg and I am 5 feet 11 inches tall. I want to reduce my acne as soon as possible. I have a few hard bumps along with normal pimples. Mostly they are painless. I need an effective cure. I have attached a relevant picture. I have been using aloe vera gel now. Doctor: Hi. I have gone through your history and attached photograph (attachment removed to protect patient identity). You should continue with Dermadew acne soap but stop using aloe vera gel. Besides this, you need oral as well as topical medications for your acne. Start with tablet Azithromycin 500 mg once daily for three consecutive days in a week for 4-6 weeks along with Nadifloxacin gel in the morning and Benzoyl peroxide 2.5 percent gel at night on the pimples. I hope it will help you. If a satisfactory response is not seen in six weeks we might need to add another capsule. You can revert back to me after six weeks for follow up. Also, keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of the scalp, reduce the intake of sugary foods and try to reduce your weight. Seborrhea and hormonal imbalance. Acne vulgaris." + }, + { + "id": 1693, + "tgt": "Are vitamin A and D supplements safe to take with fatty liver?", + "src": "Patient: Hi doctor, I have low vitamin A and D levels. Are vitamin A and D supplements safe to take with liver disease? What are the highest doses that are safe to take? I have fatty liver but I do not know if it is a simple fatty liver or has progressed to NASH and fibrosis. I am a 33-year-old female. I smoke and have a history of acid reflux, low heart rates, fat indigestion, and fatty liver. Lab tests showed vitamin A 0.9 umol/L and vitamin D 37 nmol/L. Previously, I had an abdominal ultrasound and it showed liver 14.6 cm in length which gives rise to a moderately coarse dense echo pattern consistent with fatty infiltration. ALT level was 58 U/L. I am currently on N-acetyl cysteine (NAC). Thank you. Doctor: Hello. Your vitamin A level is marginal rather than low. Less than 0.7 or 0.5 is considered low and up to 1.05 is considered marginal. So, you will probably need supplements at a very low dose. Total intake of up to 10,000 units daily is unlikely to cause any harmful effects. So, supplements of 7500 units or even 10,000 units per day for a month or two would be enough for you. I guess you do not have any symptoms of vitamin D deficiency like xerophthalmia or visual difficulties where one would need higher doses. Also, for vitamin D, supplements like Calcirol sachet are recommended in dosing of 60,000 units once a week for eight weeks with milk, and following which you may have it once a month for the next six months. Both these are unlikely to interfere with liver issues considering fatty liver and high ALT level. You are unlikely to have progressed to the severe liver disease within such a short period and without symptoms. Hope this helps you and get back if you have any doubts." + }, + { + "id": 23377, + "tgt": "I am diagnosed with exercise-induced asthma. Can I cure it?", + "src": "Patient: Hello doctor, I am an 18-year-old male. I play football and run. About 5 to 6 months ago, I noticed that I could not get a full breath when and only when I was exercising. The only medication I was on was Accutane. I have since completed my Accutane cycle and have had an appointment with a pulmonologist. I was diagnosed with exercise-induced asthma, or exercise-induced bronchoconstriction and prescribed a Dulera inhaler and Singulair pills. I noticed a major difference in my breathing and it felt normal. Once my prescriptions ran out, and my next lung function test being two months away, I decided to see if I could still run and breath normally with no inhaler or Singulair. I was fine for a few weeks but it has since started back again to where I cannot get my full breaths. I want to know if there is any way I can cure my EIB or get off my inhaler and prescription because my plan is to join the military, and you can not enlist if you are on any medications or inhalers. Any feedback is beneficial. Doctor: Hello, Welcome to icliniq.cm. Exercise-induced bronchoconstriction or asthma is very common if you are experiencing shortness of breath after exercise. As you said, you were prescribed on Singulair (Montelukast sodium) and Dulera (Mometasone furoate and Formoterol fumarate) inhaler after which you were fine. Let me clear it to you that any asthma is a chronic disease affecting the airways. After exercise, changes occur in airways which produces a cough and bronchoconstriction. For the management of asthma, especially exercise-induced, you must take inhalers regularly. So there is no question of stopping the treatment. There is no way that this condition can be cured in long-term care. So there is no permanent cure for exercise-induced asthma. The only way you can control it is with the use of inhalers. So I advise you to continue same treatment and repeat your spirometry test to confirm the diagnosis. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 821, + "tgt": "Can glue cause black spots on the whitish part of the eye?", + "src": "Patient: Hi doctor, When I was opening a powerful glue bottle, two small drops of glue went into my left eye. After two months, I observed black spots on the whitish part of my eye. Please help. Doctor: Hi. The cause of black spots may since childhood just like moles on the skin. Most probably they are not related to glue. Need an eye checkup once. Please do safety measure while dealing any such thing or any chemical. Use protective glasses. If any accident happens, then first of all wash your eyes with water as early and as much as u can and go to doctor. Revert back with the photos to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15092, + "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": 22417, + "tgt": "I took I-pill within two hours of sexual intercourse. Will I get pregnant?", + "src": "Patient: Hello doctor,I had my periods on 20th of the last month and yesterday I had sex but accidentally the condom broke. So, I took I-pill within two hours of having sex. And today also I had unprotected sex and after sex immediately took I-pill again approximately within one hour. Is there any chance that I will be pregnant? Right now we are not planning to have a child so I am worried. I had a normal cycle of 32 to 35 days. So I am expecting my this month period on 22nd. Could you please tell me that is there any chance to be pregnant? Doctor: Hello. There was no apparent need of taking the second I-pill. The first would have sufficed for next 72 hrs as well. However, now your withdrawal bleed should be expected in next 5 to 7 days following progesterone withdrawal and not on your due expected date. If you have a withdrawal, it would indicate that you are pregnancy safe. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14226, + "tgt": "The beta hCG levels of my wife are very high. Does this signify a healthy pregnancy?", + "src": "Patient: Hello doctor, My wife is 25 years old and she has PCOD. We are trying to conceive for 2 years. We had done an IUI which failed. We did IVF, but it ended with a chemical pregnancy. Last month, our doctor did Frozen Embryo Transfer (FET). He transferred 2 embryos on that day. We got a positive result through urine test. We did serum beta hCG test. The report shows hCG level of 1,50,000 mIU/ml. The value looks like very high. Does this value signify a healthy pregnancy? Does it mean a twin pregnancy? Doctor: Hello. The normal hCG levels in a singleton pregnancy as follows: In a twin pregnancy, the levels are 30% higher than the singleton hCG levels. Generally, during the Frozen Embryo Transfer, 3 to 4 embryos are being transferred, and hence the levels can be as high as this 1,50000 IU. But, as you are sure that there were only two transfers, then according to that the value is still higher for a twin pregnancy. Considering the present scenario, this may indicate a molar pregnancy. It would be important to get an ultrasound pelvis done to identify multiple gestational sacs, and if molar pregnancy is suspected, then an MRI would be warranted. You can follow up with the USG report, and I would be able to guide you better after seeing the reports." + }, + { + "id": 21347, + "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": 5856, + "tgt": "Am I getting vibration sensation in feet because of low vitamin B12?", + "src": "Patient: Hello doctor, For the past one month I have been experiencing a feeling of something vibrating under my left foot. The feeling goes away when I walk, run or even rub my foot with any object. I find this quite distressing and I have been finding it very difficult to fall asleep. Two years back I was treated for severe pricking pain all over my body and a few other symptoms, one of which a rhythmic vibration, but then it was on the top of my foot but now the feeling is present at the bottom and the vibration is much less rhythmic. I was prescribed Pregabalin for a month. I was diagnozed with low levels of B12 and prescribed a daily 1000 mcg B12 supplement. I got a blood test done recently and B12 levels were normal. I am concerned about this new development as it affects my daily life. Please help me find a solution. Doctor: Hello. I have read carefully your question and would explain that your symptoms could be related to peripheral neuropathy, probably caused by low B12 levels. Anyway, a pinched nerve cannot be excluded. For this reason, I recommend performing nerve conduction studies in order to investigate for possible neuropathy or a pinched nerve (tarsal tunnel syndrome)." + }, + { + "id": 20281, + "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": 978, + "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": 15716, + "tgt": "Please suggest some remedies to prevent the shrinkage of anus", + "src": "Patient: Hi doctor, I am a 24-year-old woman suffering from hemorrhoids. I have a feeling that my anus is reducing in size. My doctor has advised me to do a surgery for removing it. But my hemoglobin levels are low. So my doctor recommended me to increase the hemoglobin levels. I am taking iron supplements to improve my hemoglobin levels. I am very depressed. I have a fear that a delay in surgery can worsen my condition. Please suggest some remedies to prevent the shrinkage of the anus. Doctor: Hi. You have to remove piles through surgery as it is increasing in size. Anal shrinkage is not a complication of piles. Because of the enlargement seen in piles, the anal area looks shrank. You can take a stool softener for piles like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide). Avoid taking excess spicy foods. Drink more water. If the pain is severe, then an oral anti-inflammatory drug can be taken. Topical Lignocaine jelly can be applied if there is severe pain. You can use anal water sitz bath in lukewarm water for piles." + }, + { + "id": 16322, + "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": 23891, + "tgt": "Having Lazy eye with vision problem. How can the vision be improved?", + "src": "Patient: Hello doctor, My daughter is 30 years old and is having Lazy eye with vision problem, in her left eye. It is not squint. The other eye is having normal vision. How can the vision be improved? Doctor: Hi. Lazy eye, without squint could lead to the following possibilities: 1. Amblyopia. 2.Retinal problem. 3. Neurological problem. I would advice you to: Since her age is already 30 years, and if she got diagnosed to be amblyopic, the chances of visual improvement in amblyopic eye is minimal. So, consult an eyecare ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 779, + "tgt": "What causes fluid in abdomen with back pain and low BP in a hepatitis B patient?", + "src": "Patient: Hi doctor, My father is suffering from hepatitis B and currently his medication is going on. Medicines are: Entaliv 0.5 mg, Reheptin, Pantodac L, Livoluk 15 a day, Ulyses 300, Norflox 400, Lasilactone once a day, Lket trice a day. Also, tapoing is doing. Condition- Fluid in abdomen, back pain, low BP (90/60). No improvement even after two months of treatment. Doctor: Hello. I can understand you must be very upset about your father's health. Form history and medication history, it seems he has liver cirrhosis. In other words it is called scarring of liver, shrunken liver, or chronic liver disease. Well the medications he is on, and recent history of tapping of abdominal water, suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation. The liver transplantation is the only definite therapy for advanced liver scarring such as in your's father case. But it is required to assign liver transplantation not too early and neither too late. There are some scoring that should be performed before recommending liver transplant. The one such score require blood investigations, radiological test such as Contrast enhanced CT scan. The reason why you do not see any improvement even after 2 months of treatment is that all treatment is just supportive and does not correct underlying problem within liver, except Entaliv which is used for suppression of hepatitis B infection. To correct underlying liver, it is liver transplantation which could help. The survival are good after liver transplantation such as on average 70% individuals survive at 5 years after successful transplant. I want you to share me the complete blood investigations and tests that have been done, as I can be able to stage his disease, and give you reasonable approach to the problem. Chronic liver disease Hepatitis B related Follow up to provide more information and investigations" + }, + { + "id": 24645, + "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": 4437, + "tgt": "What is this mild swelling and discoloration on my penis?", + "src": "Patient: Hello doctor, I have discoloration on my penis. I do not have any\u00a0pain. It is just a dark red and seems like peeling. It has been there since two days and there is mild swelling in that area. I have got this for the first time. Please help. Doctor: Hi. Revert back after ten days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30726, + "tgt": "My son is losing his ability to walk. Please help", + "src": "Patient: Hi doctor, My son is a month away from 3 years old. Approximately 3 months ago, he started to lose the ability to walk. He is not able to stand up with making a tripod position. His balance is extremely unstable and his grip in his hands has diminished that he is not able to hold a crayon. When he does walk, he skirts the furniture or just refuses and says ouch. I took him to his primary care doctor and he ran a CBC and a CRP. Both came back normal as well as x-rays on both ankles and knees. He asked to wait for a few weeks, monitor him and return if it does not improve. After a few weeks, the doctor himself understood that it has gotten worse from just observing him in the clinic. He again ran another CBC, CRP and CKMB. All those came back normal. We then got an EKG and discovered borderline RVH. We have an appointment with a neurologist by next week. So, I wanted to head up on the things to ask for, possibilities and directions on where we go from here. Thank you for your time. Doctor: Hi. I read your query and understand your concerns. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12008, + "tgt": "What are the best Vitamin C serums for removing brown spots from face?", + "src": "Patient: Hello doctor, My sister's age is 28, normal, sensitive skin. She is having brown spots on her face. Can you please suggest the best Vitamin C serums for removing brown spots on her face without any side effects? Is there any other options (simple and safe) for removing such brown spots? Doctor: Hi. There are many causes for brown spots on face, it could be: 1. Freckles. 2. DPN- Dermatosis papulosa nigra. 3. Melasma. 4. Post-inflammatory hyperpigmentation. Treatment is different for each, it is very difficult to suggest any treatment for you without seeing your pictures, I will have to see the pictures to make the diagnosis so that I can suggest you the most appropriate treatment options. Please attach your clinical pictures of the face taken in good daylight." + }, + { + "id": 7611, + "tgt": "What causes toothache with hard bump in the gum?", + "src": "Patient: Hi doctor, I have pain in my molar tooth on lower right side and under it is a hard bump in my gum. The pain is only when I eat or touch bump or tooth. Please help. Doctor: Hi. That bump seems to be an abscess collection from your explanation and the infection in your tooth has reached pulp. You should go to your dentist at the earliest, he or she will get your X-ray done and then treatment will begin. First of all, abscess drainage is a must followed by antibiotic therapy. Take care. Follow up after two days." + }, + { + "id": 10943, + "tgt": "I have blurred vision in my left eye. Is lasik a good option for me?", + "src": "Patient: Hello doctor, I am 22 years old and I have blurred vision in my left eye. It started when I was 17-years-old. I also have an allergy in my eyes. I consulted with the doctors, and they suggested lasik surgery for me. Doctor: Hello. If you have allergy problems, then you are not an ideal case for any refractive surgery procedure like Lasik (laser-assisted in situ keratomileuses). First of all, the actual cause of blurred vision is needed to be diagnosed, whether it is a refractive error or you need glasses. Then to get rid of glasses Lasik is one option. But if your cornea is affected due to allergy (allergy can affect cornea) and the clarity is changed, then Lasik might not help. So you need to get an eye examination from a specialist and then get diagnosed for the exact cause of blurred vision. You can send your prescription if you already have consulted to an eye specialist. Then we can discuss the appropriate treatment option for that cause. You are welcome for any queries." + }, + { + "id": 10204, + "tgt": "Why am I having thick white and greenish vaginal discharge with itching?", + "src": "Patient: Hello doctor, I think I might have an yeast infection, I have thick white discharge, itching, and today the discharge is a little greenish. What should I do? Doctor: Hi, Welcome to iclinq.com. If its appearance is like curd, then probably it is yeast and you can take a single dose of tablet Canestein 150 mg to treat it." + }, + { + "id": 18156, + "tgt": "What is the ayurveda treatment for eye pain?", + "src": "Patient: Hi doctor, I am getting eye pain when I look into my mobile or computer. Please help. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23568, + "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": 20066, + "tgt": "Are my sore throat, dry mouth, and fever due to rabies?", + "src": "Patient: Hello doctor, A dog tried to bite me on the road. I withdrew my hand fast and so it has teeth just grazed my skin. I thoroughly inspected my hand and there was no cuts or bleeding. I washed my hand after the incident and it has been one week since the episode. Yesterday, I started the rabies vaccine course (Day 0) as a preventive measure. But I have been experiencing a bit of a sore throat and dry mouth and slight temperature for the past week. I would like some advice from you given I have always been susceptible to colds. Doctor: Hello. It is unlikely to be rabies. I suggest having tablet Azithromycin 500 mg once a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days if this sore throat persists for more than three days. For now, I suggest Betadine (Povidone-Iodine) gargles four times a day. For cough, I suggest syrup Alex (Phenylephrine, Chlorpheniramine, and Dextromethorphan) two teaspoons whenever needed up to three times a day and tablet Allegra (Fexofenadine) 120 mg once a day for three to four days, if developed running nose. Avoid cold food items. For temperature, you may have Paracetamol 500 mg whenever needed. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. 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": 6316, + "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": 8470, + "tgt": "I am suffering from chest pain and my chest hurts on smoking. Is this indicative of lung cancer?", + "src": "Patient: Hello doctor,I am a 28-years-old male with 250lb. I have little pain in the chest when taking a deep breath, especially in the morning. I do not have a cough at all when I try to cough hard sometimes there is little tiny blood in my saliva, and my mouth tastes bloody. I keep smoking these two weeks a lot which I can see when I smoke a lot my chest hurts, but this blood thing is scaring me that I may have lung cancer. What should I do? Doctor: Hello. I can understand your concern. First of all, do not think directly about lung cancer because the possibility of it is very less. Possibility of other smoking-induced lung diseases like pleurisy, lung infection, bronchitis, etc. is more likely. So please let me know, 1. Since how long do you smoke? 2. How many cigarettes per day? 3. Do you have breathlessness? Please reply to me answers of above-asked questions, so that I can guide you better. I will be happy to help you further." + }, + { + "id": 10978, + "tgt": "Is it a must to undergo surgery for enlarged prostate?", + "src": "Patient: Hi doctor, My father is having enlarged prostate and has to undergo prostatectomy surgery. But, it is getting delayed due to ITP (idiopathic thrombocytopenic purpura). Right now he is under urine catheter. From past 12 days he is using Silodal-D 8 mg. Doctor said that after 20 days the prostate gland will reduce.\u00a0Through ultrasound test we came to know the size of prostate enlarged is 54.6 cc. My doubt is, if it is enlarged to 54, is it possible that it can reduce through tablets? Or is it a must to undergo surgery? Right now the platelet count is 40,000.\u00a0Please suggest a solution for this. Doctor: Hi. Your father was on medication and has history of urine retention in the past. Currently, he is on catheter. Chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate) for prostate. Size is never a criteria for surgery. Enlarged prostate can shrink by 30% if Dutasteride is given. But, this does not guarantee that the patient will become catheter free. However, it reduces blood vessels in prostate and helps decrease blood loss in surgery. Dutas-T (Dutasteride and Tamsulosin) also contains similar medicines as Silodal D (combination of Dutasteride and Silodosin). His ITP needs to be tackled and with all due precautions and keeping platelet concentrates on standby. He can undergo endoscopic surgery with due risks. Laser surgery - HoLEP will be better for him if available." + }, + { + "id": 9494, + "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": 12036, + "tgt": "Is it normal to get dryness in the nostril?", + "src": "Patient: Hello doctor, About 16 days ago I started getting dryness in my left nostril only. Mucus felt like super glue. I chalked it up to season change but it did not go away. So I went to my primary care doctor, they chalked it up to seasonal and could not see anything with the limited view of the tools they had other than irritation on the left side. I scheduled another appointment about a week later when the symptoms still had not gone away. I realized when I used a Q-Tip to clean my nose in that nostril that I would get blood (not a nosebleed). It was on the inside of the Q-Tip only so it was a specific area in the back of my nose. I was getting an aching pain on that side of my face. The doctor gave me Amox and Flonase, I took the Amoxicillin for five days and am still using the Flonase. The congestion has definitely improved, but I am still getting inconsistent blood when I touch that area, light aching that is inconsistent or when I cough that I can feel in the left sinus. Left nostril still feels sticky. I am 35 years old, I smoked off an on for about 6 to 7 years (have not touched a cigarette in about four years). I used oral tobacco for about 3 to 4 years (have not used in two years now) and I vaped for about two years (stopped about 14 days ago). There is no history of sinus or head cancer in my family other than my grandmother who had skin cancer on the flap of her right nostril. She was a lifetime smoker, it was removed. I am not experiencing any weight loss (the opposite actually), I am not fatigued, I am not getting headaches, my sense of smell and appetite is intact. I just want to know why I am having these symptoms. It does not really get cold here. Even when it has I have never had reactions to season change. Doctor: Hi. Do not worry at all. It does not look like cancer at all. All the symptoms you have seem to be for chronic sinusitis. The antibiotic you had is not bad but according to my opinion it is not enough to treat sinus infections in adults, so I recommend Medofloxine 750 mg once daily for 10 days. Medofloxine is a Fluoroquinolone. In case you cannot find it in your country you can use Moxifloxacin 400 mg for ten days which is a Fluoroquinolone too. Also, you need to add a mucolytic to liquify the mucus inside your sinus. Continue the Flonase. After 10 days of treatment if no improvement, you have to perform a CT scan for your nose and sinuses to see what is the shape of the pathology inside your sinus. As the infection can be fungal, not bacterial but fungal infection is rare although it is a far possibility." + }, + { + "id": 17423, + "tgt": "Why do I have dry mouth two months after unprotected oral sex?", + "src": "Patient: Hello doctor, I am writing hoping you can give me a sigh of relief or a little clarity. First, let me start by saying I do have an HIV phobia. However, below will give you a better idea of my story. Two months back, I had unprotected oral sex with a guy that lasted for about two minutes. He then penetrated me unprotected for about a minute in which I made him put on a condom. After we were done, he cleaned himself up and penetrated me again for about three minutes. Ten days later, I noticed I had a sore throat and dry cough with a very low temperature and immediately scheduled a visit with my doctor as I was really nervous. I had a slight fever and asked my doctor to perform an STD test. When I got my results back I tested HSV 2 positive. I thought I was fine as far as those results were concerned. However, I read that there was a window period that I needed to test. As time went on I started to have a very upset stomach, gassy, bloated and diarrhea. I am also lactose intolerant. So, I suspected that it was from that. It went away but today I have it again, however, I am taking Penicillin and I heard that this was one of the symptoms. I have a dry mouth which I also heard could be from the Penicillin as well. My period for this month is noticeably lighter than normal which I am freaking out about. I never got a rash or anything or that I noticed. About a week ago, my husband started having diarrhea with an upset stomach and I noticed a rash on his knee which looks more like a bruise than a rash. It was red and purple with no bumps and very small but had no other symptoms. I also noticed that I had a small lymph node in the neck (which is the reason I am on the Clindamycin). I got nervous and decided to go back to the doctor so that she could test me for HIV again and the results were still negative. The lymph node has gotten smaller and stopped hurting, however, I do not see a stone or anything in my mouth that looks like a stone. Now my mouth is really dry not producing any saliva. This is my biggest concern. I also developed thrush. I have stopped taking any medicines so that I can see which medicine it is. Can you please give me some insight? Doctor: Hi. A fourth generation HIV duo test is considered reliable and conclusive if it is still negative after six weeks. Most STD (sexually transmitted diseases) specialists consider this six weeks gap as the upper limit of the window period for an HIV duo test result to be considered final. Since your exposure was two months back and your last HIV duo test was almost eight weeks after exposure, your test result is reliable and conclusive. You do not need to worry about HIV from that particular episode. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12352, + "tgt": "What are the ways to prevent migraine headache?", + "src": "Patient: Hello doctor, I am suffering from migraine from my school time. Just before 2 years a neurologist suggested me Naproxen 500, which I am taking when I am getting an attack. But in the summer I am getting the attack twice a day and this is only the cure. But the headache is killing me. Please someone help me for precaution or any medicine which help me to prevent from the headache. Doctor: Hello. While for acute attacks Naproxen + Domperidone is fine, but to prevent the attacks from happening you should take migraine prophylaxis. You could try a beta-blocker (Metoprolol, Propranolol) extended-release tablets or use SSRI's (Amitryptiline, etc.). Also, Triptans are better if you have moderate to severe episodes of migraine. I would suggest you to chart your headache, maintain a diary of headaches, with the frequency of headaches per week or month and duration of the headache with or without medications, so that severity of migraine could be determined. On the basis of that only, the therapy can be modified." + }, + { + "id": 28578, + "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": 19523, + "tgt": "How to identify the cause for skin allergy in a child?", + "src": "Patient: Hi doctor, My daughter was born 6 months ago with a weight of 2.9 kg. Her current weight is approximately 8 kg now. From 3rd month of her age, she has got skin problem. We started formula feeding along with breastfeeding at that time. She got\u00a0skin redness and some sort of problem in her cheek. We have visited pediatrician and he proposed not to worry about that and asked me to use Johnson's baby milk cream. Nowadays we find that the problem has\u00a0spread all over her face. It cannot be found in the picture as it is taken just after applying baby cream. Her face has been washed with lukewarm water in the morning and night. And again we are confused with her nutrition. Please provide us good and healthy diet plan that can be taken routinely for her healthy life. Thank you. Doctor: Hello. I have seen the images (attachment removed to protect patient identity). The following are some changes which I can suggest: If the skin problem is still persisting, show to a dermatologist or a skin specialist for further physical evaluation.\u00a0 Allergy to skin products or food. Use Calosoft (combination of Calamine and Aloe vera) lotion or Dermocalm (Calamine and Light Liquid Paraffin) lotion -all over body twice daily after bath for one month. Avoid allergic substances if identified. Revert back after two weeks for follow up to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11861, + "tgt": "What home remedies can be used to cure loose motions in a baby?", + "src": "Patient: Hello doctor, My 10 months old baby girl is having loose motion from the last five days. Sometimes she passes normal bowl, but today she is passing very loose bowls and since morning she has passed about five times, runny and loose stool. Kindly suggest me some home remedy or medicine. Doctor: Hi. Give ORS as much as she wants to prevent dehydration. Start Zinc syrup 10 milligrams once a day and a good brand of prebiotic probiotic available locally. Look around her bums area, if there is a redness rash, then apply Zinc-oxide cream locally 3 to 4 times a day. If she is looking dull, seems irritable for not passing urine, then please bring her to a pediatrician as soon as possible. If stool continues, please do stool routine and microbiology report. Above all advice will not help to stop the stool frequency but it will help to prevent the complication. Mostly it is looking like viral gastroenteritis so it will subside by itself only to just give ORS when she passed the motion to prevent dehydration." + }, + { + "id": 18788, + "tgt": "Please suggest some ayurvedic remedy for dandruff and hair fall", + "src": "Patient: Hello doctor, I am 20 years old and I have dandruff on the scalp. I also suffer from too much hair fall. Please suggest some ayurvedic remedy. Doctor: Hi. Consult an ayurveda specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25578, + "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": 14770, + "tgt": "I am a 30 year old male, suffering from glaucoma since 2 years. I have heaviness and itching in my eyes", + "src": "Patient: Hi doctor, I am a 30 year old male suffering from glaucoma since the last two years. I have heaviness and itching in my eyes. Please guide me on what to do. Doctor: Hi. I need a few answers from you, before deciding on the reasons for heaviness or itching. Can you please give the details for the following questions? Itching can be because of specific anti-glaucoma medications. I need to know the eye pressure to decide whether your current heaviness is due to the anti-glaucoma medications. This is to decide whether we need to change or continue the medication or decide on any other modalities of eye pressure control in relation to the severity of glaucoma. Revert back with the details to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30838, + "tgt": "I am concerned that my mom may have a blood disorder. Kindly help", + "src": "Patient: Hi doctor, I am concerned that my mother may have an undiagnosed blood disorder. Can you let me know if her symptoms are anything that can be related any blood disorder? She is 54 years old. Her weight is 65 kg. There is no history of cardiac problem or diabetes. She is relatively healthy and eats a nutritional diet. She has had eight normal deliveries and hemorrhaged\u00a0badly during her last four deliveries. Her last delivery required significant medical intervention to cease hemorrhaging. She was advised not to have more children as she would be unlike to survive another birth due to severe hemorrhaging. She has never required a blood transfusion. Family history includes grandmother with ovarian cancer and her mother is obese with diabetes and cardiac complications. Her past medical history includes easy hemorrhages and anemia. She always bleeds easily and has always bruised very easily and it takes a long time to disappear.\u00a0She is taking Iron supplements to manage anemia. Recently, I massaged her aching leg, and immediately after her thighs became brown and it disappeared within 24 hours. Often, she gets aching legs. She was investigated for venous incompetence recently and no DVT found. A few weeks ago, she developed sudden onset of blurred vision in her right eye, sharp pain behind eye and vision loss. Then, she was diagnosed to have central retinal venous occlusion, for which she is now under treatment and got a first eye injection last week. She has been told that they do not know the reason for CRVO as there is no predisposing risk factor. Stress echocardiogram was normal, as were her INR and APTT. Doctors are unable to explain the reason, but she is still bleeding inside her eye.\u00a0It has become worse and she is developing more symptoms, including pain and a slight droop in that eye. My dad and I have always thought that she may have an undiagnosed blood disorder, as many things do not add up and no doctors have been able to establish a cause for any of this.\u00a0Years ago, a GP told mum that her blood was not sticky enough, but I do not know he said this on some blood tests he may have done. We are very concerned and will probably request a referral to a hematologist.\u00a0Can any sense be made from the above symptoms? I appreciate any help. 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": 4985, + "tgt": "Why do I hear ringing noise and low-pitched humming alternatively?", + "src": "Patient: Hi doctor, I am a 69 year old retired internist. I am not taking any regular medication other than Aspirin 325 mg. I have no known allergies and have never smoked. I do not have any medical history of thyroid disease, autoimmune diseases or Paget's disease. Around four to five weeks back, I noted the onset of an intermittent, occasional episode of either a high-pitched ringing sound in the right ear or low-pitched humming in the left ear. I do not recall if they occurred at the same time although they might have. Each episode lasted for 10 to 20 seconds before abating spontaneously. There was no associated vertigo or hearing changes. Last evening, I noted the onset of the ringing noise in the right ear remained for 20 seconds; as it began to abate; the lower pitched humming noise began in the left ear and has remained since. This was associated with a sensation of fullness, pressure and slight muffled hearing in my left ear. The humming is constant and non-pulsatile. It is not positional and there is no vertigo. I do have a history of TMJ disorder and it seems that when I open my jaw fully, the noise increases in volume. I also noted last evening when I yawned deeply, the right ear ringing noise appeared for a few seconds. At times, the humming noise reduces in intensity spontaneously for a few seconds. This morning, I also noted some fullness in my right ear with a crackling noise when swallowing. I recently had an acute sinusitis that resolved after five weeks, although there was no ear involvement. I have been under stress and have not been sleeping well. I have checked my blood pressure at various times during this episode; all results are quite normal. I had a complete physical examination two weeks ago with full blood panels; all were quite normal. Please help. Doctor: Hello. What you are suffering from is known as tinnitus. It is not a disease itself rather a symptom due to various underlying causes like age related, hypertension, impacted wax, fluid in middle ear, patulous eustachian tube, TMJD (temperomandibular joint disorder), hyperthyroidism, etc. But, as you have mentioned you are not suffering from any hearing loss, vertigo and your blood pressure is also within normal limit and considering the characteristics of tinnitus it is mostly due to eustachian tube defect. Aspirin intake also causes and aggravates tinnitus. So, first do not worry and do a valsalva maneuver 20 to 30 times a day. The procedure of which you can get in YouTube. Then take steam three times a day. Get a PTA (pure tone audiometry) and a tympanogram. 1. PTA. 2.Tympanogram. ETD (eustachian tube dysfunction). 1. Valsalva maneuver. 2. Steam inhalation. 3. Mecobalamin (Methylcobalamin) 1.5 mg once daily. 4. Ginkgo biloba, one capsule once a day. Revert back with the investigation reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20437, + "tgt": "While cleaning the ear, the bud came out with a black colored deposit. What do I do?", + "src": "Patient: Hello doctor, I am facing ear pain since yesterday. My right ear alone is paining. When I tried cleaning with a earbud, the bud came out with a black colored deposit. What do I do? Doctor: Hi. After considering the facts of your query, it appears like you are suffering from either of these. Treatment is different in both the above situations. I suggest taking Paracetamol 500 mg for pain relief. The above conditions have to be confirmed to start with the treatment." + }, + { + "id": 17850, + "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": 5408, + "tgt": "What are the best ways to control, remove and prevent swine flu?", + "src": "Patient: Hello doctor, Please tell the best way to how can we control, remove and also prevent the swine flu? Doctor: Hello. Swine flu is caused by a virus called H1N1 and H3N2 group of influenza viruses that are widespread across continents. Since they spread by aerosols, which means that a person having swine flu can spread it by just sneezing and coughing and people around can get infected by inhaling the droplets in the air coughed or sneezed out. Vaccination is one of the effective ways of preventing swine flu although it may not be 100% effective. Get yourself vaccinated before the onset of the flu season every year. If you are an asthmatic or having chronic respiratory problems it is all the more recommended to get yourself vaccinated for flu. The best treatment is prevention, by maintaining hand hygiene, cough etiquette, i.e. covering one's mouth and nose while coughing and sneezing and turning away from surrounding people, frequent hand washing. Once you suspect that you have flu, take adequate rest, hydrate yourself, seek medical help as soon as possible." + }, + { + "id": 1622, + "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": 16516, + "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": 7699, + "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": 2876, + "tgt": "Bupropion usage caused me loss of smell. Will I regain it?", + "src": "Patient: Hello doctor, I need your help? Doctor: Hello. I am here to help you." + }, + { + "id": 23766, + "tgt": "Having endometriosis. Can I use Vitex with Duphaston to conceive ?", + "src": "Patient: Hi doctor,I have endometriosis, so my doctor placed me on Duphaston 10 mg, once a day. But, I am not ovulating, and I am trying to conceive. Can I use Vitex 20 mg together with it? Doctor: Hi. How are you doing? May I start by telling you few basic facts of endometriosis. Every month, when a lady has periods, most of the blood goes out through the cervix, but a small fraction goes into the abdomen through the tubes. This blood settles on and around the ovaries and uterus. This blood gradually forms a lot of adhesions and causes the symptoms of pain during periods and sex, when the adhesions get pulled. This is a progressive condition, and every month this pain and adhesions keep increasing. Now you can imagine what is the solution, stop periods. For you the best method is pregnancy. You will have 10 months of no periods and later no periods till you stop breastfeeding. Tablet Duphaston is hormone Progesterone, which is the same hormone produced by the ovaries during the second half of periods. This will keep the inner lining of the uterus thin, and as it is taken continuously, it will stop the hormonal ups and downs needed for ovulation. That is the reason you are not ovulating. This is suitable when you are not waiting to get pregnant. I am not sure how helpful tablet Vitex would be. May I suggest that you stop Duphaston, and you will have periods of few days. Just go through the following investigations to find if any problems are there: In endometriosis, the tube can get blocked, and no matter how good the egg and sperm are, they may not meet at all. Once all tests are done, have ovulation induction under a doctor's supervision. Do not delay pregnancy using small methods. Your endometriosis will be progressing every month. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10669, + "tgt": "Is surgery the only option for nontuberculous mycobacteria infection?", + "src": "Patient: Hello doctor, I am 30 years old and married for the last 3.5 years. One and a half years back, I had a surgery to remove ovarian cyst and fibroid tumor from uterus by laparoscopy. But, somehow one incision area got infected and I was under antibiotic for almost 5 months. Meantime, I relocated and the infection become worse for which I had to undergo another surgery to remove the abdominal abscess. In a couple of months, I become quite well but one sudden day pus came out from the same area along with pain. My surgeon said it was fine as the pus was there during the healing period. But this gets worsen and the area again needs to be cleaned out through a minor surgery. I still have that area swollen with pain on the left abdomen and hence recently went through another CT scan and it seems that I am suspected of having nontuberculous mycobacterium infection on my abdomen wall.\u00a0My doctor wanted another round of surgery to clean up the wound followed by prolonged antibiotic. Could you please guide me by letting me know if surgery is the only option or there are other ways that I can leverage and get cured? I do not want another surgery and looking for alternative but effective solutions.\u00a0Please let me know if you require additional information. Doctor: Hi. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing cases of atypical mycobacterium. In some cases based on clinical assessment, successful treatment requires aggressive debridement of all infected subcutaneous tissues and skin. Surgery does play a major role for these kinds of infections and may have to be repeated. I should be able to give you more inputs if I see the scans and reports. Kindly revert back with the same." + }, + { + "id": 8805, + "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": 5844, + "tgt": "My echo with bubble test shows interatrial septal aneurysm. What is the cause and cure?", + "src": "Patient: Hello doctor, I am 31 years old. During my second echo with bubble test, it says that I have an interatrial septal aneurysm, but there are no holes in my heart. I was given blood thinners. I am currently taking Clopidogrel. What is the cause and cure for this? What kind of lifestyle I should be maintaining? I am scared. Doctor: Hello. Do not worry about it. It is a congenital problem, and there is no particular reason for it. It is seen in one to two percent of normal individuals. Although, there is a slightly increased risk of clot formation over the bulging of aneurysm and stroke, however, it does not cause any problems in most individuals. There is no specific lifestyle for it. In general try to have a healthy lifestyle as much as possible like avoiding obesity, etc. Usually, we do not give any treatment for it. You may continue blood thinners if your doctor advises it. I hope this helps." + }, + { + "id": 2757, + "tgt": "I have a little fever with no history of foreign travel or contact. What is the chance of Covid-19?", + "src": "Patient: Hello doctor, I am suffering from coughing, throat infection from last week. At that time fever did not persist and also did not felt any chest pain. Two days later, I consulted with a doctor. He prescribed Cavidur 625, Montek LC, Ambrolite syrup and Betaline gargle solution. Since then throat infection improved and frequent cough also coming out. Coughing also improved remarkably though not completely. From yesterday onwards fever is occuring (maximum 100-degree Celcius). I have not come in touch with any foreign returned person nor went outside. In our state, there is no incidence of Covid-19. Please suggest what to do? Doctor: Hi. I can understand your concern. In my opinion, you should get done a chest x-ray and CBC (complete blood count). If both these are normal then no need to worry much. I hope this helps." + }, + { + "id": 13332, + "tgt": "I have stains on malaligned teeth. Please advise the management", + "src": "Patient: Hello doctor, I am 21 years old. Since childhood, some of my teeth are sort of crisscross. So the accumulation of food has led to yellow spots in some places. I brush once a day but properly. I consulted a dentist and she suggested me to get my teeth cleaned. But that is not a permanent solution. What can I do for permanent white and well-aligned teeth? Doctor: Hi. Your teeth are actually crowded. So, deposition of food and stains have lead to these brown marks on your teeth. What you have to do to make your teeth white is go for proper scaling and polishing, and brush your teeth twice daily regularly. Second Option, if still, it is the same, even after scaling and polishing, marks are not going, you can go for a veneer. Now let me ask you some questions. Are you a frequent user of some tea, coffee or black tea, beverages? Are you taking any medicines regularly? These all can cause these marks to appear again. Then for proper alignment for your teeth, you can go for a fixed orthodontic treatment. You can also use aligners if there is only a small difference in alignment." + }, + { + "id": 23229, + "tgt": "I am suffering from nose blockage, fever, sneezing, and coughing. Kindly advice", + "src": "Patient: Hi doctor,From the last one week, I am suffering from nose blockage, fever, sneezing, and coughing. And from yesterday, I got my periods also. So my body is feeling totally weak. I am unable to stand properly also and also have a reddish color in the throat. What to do doctor? Doctor: Hi. The symptoms you are having are suggesting of possible viral flu infection. If you have a reddish color in the throat, then it is possible bacterial tonsillitis. Should get further checked by your physician as might need prescription medications. Meanwhile, you should take iron supplement together with drinking plenty of fluids. Use nasal saline spray to keep your nose unblocked. Apply cold balm on your chest and upper back to relieve congestion at night. Aerosol therapy can help together with taking anti-histaminic orally. Let me know if you have further queries. Wish fast recovery. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 26247, + "tgt": "The back of my gum is hurting. What to do?", + "src": "Patient: Hello doctor, The\u00a0back of my gum has been hurting and it is red. I\u00a0do not know why. I\u00a0do not know if it has anything to do with my wisdom teeth because they are all in except one. It was peeking in the gums the last time the dentist checked them and did not say anything. So, I\u00a0do not know what it could be. Doctor: Hello. In any case, you do not need to worry. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 19128, + "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": 4637, + "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": 5875, + "tgt": "I have problems falling and staying asleep. Please comment on my EEG reports", + "src": "Patient: Hello doctor, Could you please analyze the EEG recording enclosed and provide me with a detailed diagnosis? The reason for this examination is that I have problems falling and staying asleep for two years. I sleep only three to four hours a day, with common medication not or poorly working, and also I am suffering from memory impairment, which is worsening in the last two to three weeks. My current medication is Triazolam 0.375 mg and Prothipendyl 120 mg. PS: \"Augenbewegung\" on the recording means eye movement. Doctor: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). The EEG (electroencephalogram) looks normal. There is no evidence of epilepetic activity. There are some changes which are benign (marked by blue pen) and no need to worry about that. I would like to know more about the type of sleep disorder you have. How many hours do you sleep? How many times do you wake up? Do you fall asleep during the day? Have you had sudden sleep attacks? Any history of sleep paralysis? Any history of acting out of dreams? Was any MRI done? Have you undergone polysomnography? Any family history of similar problems? Have you tried tablet Modafinil?" + }, + { + "id": 18170, + "tgt": "Will Nexium help to improve belching?", + "src": "Patient: Hi doctor, I have been having shortness of breath, excessive yawning and belching. After about a week the shortness of breath went away. Last night, I drank bicarbonate of soda with lime and water and woke up back with the gasping for air and feeling of shortness of breath.\u00a0Could the baking soda have caused this? Is this serious or will the shortness of breath go away? I do not have any other symptom of acid reflux. How long does it take for Nexus to work? I feel like I am going crazy. Will I ever return to my normal state before I started taking weight loss pills? This is how everything started in the first place. Please answer both the questions in detail. Thank you very much. Doctor: Hello. I had gone through all the details posted. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6253, + "tgt": "I am experiencing some warning signs of heart attack. How to figure out my problem?", + "src": "Patient: Hello doctor, I have been under tremendous stress for the past five years and I am worried about my heart. I have been having consistent early warning signs of a heart attack such as shortness of breath, nausea/indigestion, heartburn, pain in my upper abdomen, pain in my neck/jaw and pressure/tightness in my chest. I typically only experience these signs during the week when I am at work and not so much on the weekends when I am home relaxing. I have never been in a situation like this so I figured I would ask you as to how I should treat this? Should I get tests done and if so, what tests? Doctor: Hello. Firstly, considering your age, probability of heart disease is low. All these symptoms are probably related to gastritis and reflux disease rather than heart problem. But, symptoms of heart disease and reflux overlap, so I would recommend you get yourself tested. You will need ECG, followed by echo and TMT if necessary based on ECG and echo reports. Stress tend to worsen gastritis and reflux problems which may worsen your symptoms. Since you are having such symptoms frequently and one cannot have such heart attacks frequently, these episodes are unlikely to be cardiac. Also, try to relax yourself with relaxation techniques. Regular exercises also helps to relieve stress. Also, avoid fatty oily and spicy food. Avoid smoking and alcohol, if any. Avoid heavy meals and have some walk after meals rather than resting immediately. Have some antacids like Pantoprazole or Rabeprazole is available with you. Hope this helps you and get back if you have any doubts." + }, + { + "id": 13059, + "tgt": "I am a male suffering from infertility. Please advise", + "src": "Patient: Hi doctor, I am a 30-year-old male suffering from infertility. Recent semen analysis test shows no sperm found in semen, FSH- 0.08, LH- 0.02. Total test 3460.80 results. What should I do? Doctor: Hi. You are suffering from azoospermia. Pre and post-testicular azoospermia are frequently correctible, while testicular azoospermia is usually permanent. Go for serum prolactin level, a testicular biopsy may be required to find out the exact cause so I would advise you to consult local urosurgeon as physical examination is also required." + }, + { + "id": 4463, + "tgt": "What are the ways to prevent recurrence of MRSA infection?", + "src": "Patient: Hi doctor, I am a 49-year-old woman and last month I was hospitalized with a necrotizing soft tissue infection on my thigh. I had two debridement surgeries and was discharged after 5 days. I was treated with about 4 IV antibiotics. I do not remember them all, I recall seeing Vancomycin and Penicillin. I was told that the infection was not MRSA, but a \"slower moving bacteria\" they did not tell me what it was. I was swabbed for MRSA in my nose and butt before both surgeries and was told I did not have it. For the last day of my stay, I had a roommate who had a bad MRSA infection on her butt and sometimes had diarrhea incontinence during dressing changes. I had no physical contact with her, but we had the same nurse. I was discharged with a five day course of Augmentin. The wound has been healing very well and has not gotten infected, but three weeks after discharge I got an abscess under my arm. I went to an urgent care and was prescribed Clindamycin and told to return in three days for drainage. The abscess did not improve or get worse over the three days. I got it drained and was prescribed Augmentin and told to also continue the clindamycin. That was a week ago and the wound is healing well. They called today and said cultures show it was MRSA and they prescribed Bactrim and told me to stop the other antibiotics. I am feeling devastated by this and wanting to understand why it happened. Could I have gotten it in the hospital? I am concerned that it will not go away. Are those swabs at the hospital conclusive and mean for sure I did not have MRSA a month ago? I have never had any medical problems before and these experiences have been very frightening. Is there anything else I can do to prevent recurrence? I have read about everything from bleach baths and hibiclens to antibiotics in the nose. Doctor: Hi, I am sorry for what you have had to go through. As you previously did not have MRSA strains, it is possible that now you have hospital-acquired strains in your blood. It is a superbug and superdifficult to treat as it is resistant to drugs of choice so you have get culture and sensitivity test to find out which one is it sensitive to. As you were told to stop other antibiotics and start Bactrim, this means the strain you have got is sensitive to Bactrim. If there is anything else you want to ask, please feel free to contact me." + }, + { + "id": 22900, + "tgt": "It has been more than a week to date of menstruation. Kindly help", + "src": "Patient: Hello doctor, It has been more than a week to the date of menstruation of my fiancee. She has no symptoms of pregnancy as we have tested the urine to check the pregnancy at home. She is trying to induce periods by eating papaya, cardamom, etc., but nothing happens. We are worried now, please help. Doctor: Hi. Eating papaya, etc., will not induce menstruation. Please get a serum beta hCG levels done. It is a simple blood test. The medicine to induce menstruation is given according to the value of this test. So message me back or visit a gynecologist with reports and get proper medication. Please do not take it lightly. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3896, + "tgt": "A day after a homosexual encounter, I get sores on penis. When should I test for HIV?", + "src": "Patient: Hello doctor, I am a 22-year-old male. Yesterday I had sex with a guy. We had protected anal sex for one to two minutes only. Apart from this, we both had oral sex. At first, we had unprotected oral sex and after that we had protected one. None of us ejaculated during the whole sex. After one day I am having sores in the penis and mouth. Now I am having a fear of getting HIV. So, I want to ask that what are the chances in the above situation of getting AIDS if my partner is HIV positive? When should I get tested for HIV if supposed I had sex today? Can I have a PCR-HIV test for now and how accurate is this? Doctor: Hi. I need the following details to help you better. Whether your partner is infected with HIV or any history of multiple sexual contact? Chances of transmission of HIV is more among homosexual individuals. Have you noticed these ulcers frequently or how long these ulcers are present over your genitals?" + }, + { + "id": 28191, + "tgt": "What if my ability to remember things is temporarily stunted?", + "src": "Patient: Hello doctor, I have a question regarding memory. What if my ability to remember things is temporarily stunted? For example, if I eat too much junk food or go through depression, which I have heard inhibits\u00a0memory recall, when I am back to normal, will the things I tried to remember be just as clear as before the problems? Or, will I have trouble remembering them? Thank you. Doctor: Hi. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25728, + "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": 5802, + "tgt": "Which is the most accurate method to measure body temperature?", + "src": "Patient: Hi doctor,I have a question regarding body\u00a0temperature measurement. What is the most accurate way to take one's temperature? Doctor: Hello. For further information consult a family physician online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2730, + "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": 11706, + "tgt": "Can I opt for PRP injection after IVF failure?", + "src": "Patient: Hello doctor, I had done first IVF last year, but it failed due to a bad quality egg. Embryos were not developed after two days. AMH level is 1.52, and the egg count was low. On consulting another doctor, she suggested to go with PRP injection to rejuvenate the ovary, so that egg count and quality will increase. I am afraid if PRP will cause any harm to the ovary? Are there any issues to try PRP? Doctor: Hello. You have been wrongly guided by your doctor because there is no apparent need for PRP (platelet rich plasma) therapy and injection into ovaries to rejuvenate the ovaries to produce better quality eggs. The therapy modality is relatively new and not sufficient studies have been done yet on them. It is being done for women with really low antral follicular count and AMH (anti-mullerian hormone) less than one and failed two natural timed intercourse and six IUI (intrauterine insemination) and one IVF (in vitro fertilization) cycles. You were directly subjected to IVF cycle, which was wrong without treating the pathology. AMH can be increased with DHEAS (dehydroepiandrosterone) therapy which is oral supplementation along with low dose OC pill (oral contraceptive) therapy for two months. That improves the quality and also the chances of natural conception. Also, another concern is a bicornuate uterus, which has their own demerits for natural conception so that IUI can be offered for conception at least for six cycles, post-therapy. If succeeded, then the bicornuate uterus is unable to sustain the pregnancy for the complete term, and often preterm labor occurs giving birth to a preterm baby. So weigh this complication as well in your mind. You can either opt for Strassman's operation first to increase the size of the uterus by joining them together and then try after a year or take the risk of IUI or IVF and accept complications associated with bicornuate uterus itself. You have to think and make a decision. PRP is the last line of therapy, not primary, in my opinion." + }, + { + "id": 12042, + "tgt": "Why do most of the mothers prefer breast pump to extract milk?", + "src": "Patient: Hello doctor, Why more mothers are choosing to exclusively pump their breast milk? How does it work for them? Kindly explain. Doctor: Hi. Mostly breast pumps are used by mothers who need to prepare for the child in advance due to their business. Most of the working ladies are using breast pumps to empty the breast in advance and to have milk as per need. Breast pump helps to maintain breast production by emptying breast if used properly. Emptying of breast even if the baby does not need at present but after some time helps to maintain milk production and also can be managed in hectic routine of working ladies. Some time sick babies are unable to suck, so in those timings, breast pump helps fully for mother to empty breast as engorged breast can give her symptoms as well. Babies taken care by maids can be well fed by breast milk even in a tough working schedule of the mother with the help of a breast pump." + }, + { + "id": 452, + "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": 378, + "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": 16113, + "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": 20671, + "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": 24641, + "tgt": "How can I get relieved from the stretching pain in the ribs?", + "src": "Patient: Hello doctor, I am a 42-year-old male. I am getting a stretching pain in the lower part of my ribs, front and back on right-hand side for past one week. It feels like it is under my ribs on base. Doctor: Hello. Thanks for your query. You have musculoskeletal pain which is dull and tight pain that increases with movement and taking the breath. Local Voltaren (Diclofenac) gel three times per day and Deep Heat cream three times per day for two weeks will improve it. The other possible cause is herpes zoster, Do you have any red vesicular rash on the skin? Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 9853, + "tgt": "My pregnancy test is positive, but no sac seen in ultrasound. Why?", + "src": "Patient: Hello doctor, I had my last periods 51 days back. 13 days back my home pregnancy test was positive. But, no sac\u00a0seen in ultrasound. When we checked at home 10 days before, again it showed positive. Sac was not seen today too. My hCG report is 188.19 mlU/mL. Please advise what to do. Doctor: Hi. As per your history, it appears that you are in 5 weeks of pregnancy. At this time the gestational sac should be there. But, do not worry as your beta-hCG is showing pregnancy levels. You should wait for one week and get the ultrasound repeated preferably a transvaginal one. That will clarify the situation. Ultrasound transvaginal after one week. Progesterone support . Revert back after a week with the repeat tests to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5832, + "tgt": "The report shows VDRL positive and RPR negative. What does it mean?", + "src": "Patient: Hello doctor, Actually my friend's wife while checking the VDRL test in the first trimester got a positive result, but her husband got negative at the same time, and the doctor told her to do the RPR test then it is negative. What it means? I have a doubt weather she is positive or negative? Please clear my doubt. Doctor: Hello. The VDRL (venereal disease research laboratory test) and RPR (rapid plasma reagin) are a screening tests for syphilis. Some nonspecific antibodies sometime might give false-positive results. Your RPR, however, is negative. So syphilis is less likely. But you cannot rely on these two screening tests. You can investigate her with a more advanced confirmatory test like FTA ABS (fluorescent treponemal antibody absorption) or TPHA (treponema pallidum hemagglutination) test for syphilis. I hope this helps." + }, + { + "id": 29695, + "tgt": "One side of my hip joint is higher than the other. What can I do?", + "src": "Patient: Hi doctor, I have pain in my lower back and around the top of my hips. My aunt, a massage therapist, checked me out and told me that one of my hips is higher than the other. The pain began around eight months ago and I just cannot keep spending money to the chiropractor. But, the pain has been getting much worse lately. What can I do? Doctor: Hi. Limb length discrepancy. X-ray to be done immediately. Revert back with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 4340, + "tgt": "What causes ulcer in the mouth frequently?", + "src": "Patient: Hello doctor, I am getting an ulcer on the inner cheek of the mouth. It disappears on the second day. But, again reappears after 1 or 2 days. It is about 29th time I am getting the same place ulcer within three months. Doctor: Hello. It could be a common aphthous ulcer also know as canker sore. It has various causative factors such as deficiency of vitamin, hormonal imbalance, psychological reasons such as stress, some kind of allergy such as for food or paste or mouthwash, accidental trauma, injury caused by the sharp cusp of tooth, and bacterial infection. Your problem could be any of the above. To know the exact reason, kindly get a clinical examination and blood report. Appropriate supplements will be suggested if the reason is either anemia or nutrition deficiency. In case of constant poking of sharp tooth, it will be either polished or filled. Meanwhile, observe the following to avoid further pain and recurrence. Please avoid hot and spicy foods and take lots of water to keep yourself hydrated. Rinse your mouth after every meal or do saline mouth rinse thrice daily. If the ulcer hurts, a topical anesthetic like Dolojel or Hexigel can be applied over the ulcer with a clean finger. Visit your nearest dentist as soon as possible and get a complete oral examination done to identify the cause. I hope this helps." + }, + { + "id": 9402, + "tgt": "I have a growth in pubic area like extra skin. What is it?", + "src": "Patient: Hi doctor, I am a 48 year old female. My weight is 58 kg.\u00a0I have noticed a round flesh color growth that hangs externally on my pubic hair outside my labia majora. It has been\u00a0there for two years. It does not hurt but it is bothering me because it became a bit bigger. I have attached a photo. I am taking medicine Zoloft and Valium. Please help me. Doctor: Hi. I have noted the description and observed the attached picture (attachment removed to protect patient identity). I will attempt to solve your health concerns as best as I can. I have dealt with a good number of cases having similar presenting features. In all such cases, a close visual examination was generally sufficient to arrive at the proper conclusion about the identity of the problem. The picture you have attached is not that clear. I will request you to kindly send a better set of pictures limited only to the lesion, as well as describe how the lesion feels to touch whether soft or hard. Also give me additional details like release of any cheesy material upon pressure from the sides, any oozing of pus, firmness at its base, any satellite lesions, any relationship with similar condition in your partner, and finally if you notice that there is any small depression in the center of roof of lesion. I am considering the possibilities of a wart, molluscum, benign skin lesions or sebaceous cyst. Most of the stated problems should be easy to tackle. I will await your response. Revert back with clear photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20335, + "tgt": "What is a good home remedy for tooth decay during pregnancy?", + "src": "Patient: Hello doctor, I have acid erosion or decay in the back of my bottom front teeth. They are chipping at the gumline. I have a past history of bulimia and although after years I have finally recovered. Long ago, I have had decay in the back row. What is a good home remedy for now that I can use? I am currently pregnant. So I cannot go to the dentist for X-rays or anything such. Please help. Doctor: Hi. I have gone through your question. I can understand your concern. I will recommend you to brush your teeth twice daily after breakfast and before going to bed. You can visit a dentist but keep in mind do not go for any X-ray but there is no problem with filling (dental restoration) (attachment removed to protect patient identity). Use ultra soft toothbrush because erosion of teeth increases more and more abrasion too. So do not use a hard toothbrush and also limit your tooth brushing up to 2 to 3 minutes only. Avoid painkillers during the pregnancy period and use desensitizing toothpaste if you feel any sensitivity." + }, + { + "id": 24454, + "tgt": "The area near the last molar is swollen and painful. What should I do?", + "src": "Patient: Hello doctor, The area in the end of the last molar is swollen and it is painful. The last molar in the above side of the mouth is coming in contact with that skin below from yesterday. I thought it will be normal in a day and the pain was less in the morning but now it is the same as yesterday night. Can you suggest what I should do as the dentist in my locality is closed today? Thank you. Doctor: Hi. It is pericoronitis, that is, inflammation of the gum over the wisdom tooth. For now, you can take antibiotics like Amoxicillin 500 mg and anti-inflammatory painkillers like Ibuprofen. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do warm saline gargles. Do cool compresses over the cheek. Hope this helps. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15466, + "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": 2541, + "tgt": "What could be the cause for seizure?", + "src": "Patient: Hi doctor, I am a 33 year old female.\u00a0I had an epileptic seizure and then passed out whilst sitting in front of my laptop. I bumped my knee on the table not even hard enough to bruise then the seizure happened. This has never happened before. Also for a month or so I\u00a0am\u00a0hearing some\u00a0wheezing sound in my head. I feel tired and stressed lately. Whilst\u00a0in front of a\u00a0computer I feel tics in my right eye frequently. My GP told me to ignore the seizure. He prescribed me Vastarel 35 mg for a month. Recent blood tests show everything fine which includes FBC, iron, ferritin and glucose. He advised\u00a0me to have a brain examination only if I have another seizure. Is he right? Or\u00a0do I need further checkups? Also, what could be the cause for this seizure? Thank you. Doctor: Hi. Let me share some facts of seizure. A seizure is due to abnormal or synchronous activity in the brain and presents as a mild tremor to violent shaking or change in the behavior. Epilepsy is due to recurring epileptic seizures as a result of malformed or brain malfunction usually associated with abnormal EEG (electroencephalogram) and scans. Thus, seizure is not synonymous to epilepsy. The most challenging fact is to define the actual episode and confirm it to be a true seizure. If yes to above, then just stay away from those provoking factors and everything going to be alright. Unlike that if it is unprovoked requires work up like EEG, video EEG and later MRI brain to confirm epilepsy. Revert back with the answers to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7706, + "tgt": "One month old baby has not passed stool for four days. Is it something to be worried?", + "src": "Patient: Hello doctor, My one-month-old has not passed stool for four days. She is passing smelly gas a lot, and she is not sleeping properly. Her stomach grumbles. Why? Doctor: Hello, Welcome to icliniq.com. 1. Was your baby passing stools usually before these four days? How often was she passing stools? 2. When did the baby first pass meconium (first stool)? 3. Was she passing soft stools? Was it easy to move? 4. Was she born at full term? What is her weight? How is she feeding? Breast milk or formula feed? 5. Is she fine with your feeding? 6. It is common for newborn babies on breastfeeding to pass stool only once every few days. Some babies pass stools more than seven times in a day, some pass stools once in seven days. Both of these are a regular pattern. What is important is whether the stools are soft and comfortable to pass? 7. If you are breastfeeding, continue feeding her as usual. If formula-fed, consider adding some more water or change of brand. 8. If your baby is in pain or very uncomfortable or vomiting, you need to take her to her pediatrician today for physical examination. I hope this helps." + }, + { + "id": 24585, + "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": 17410, + "tgt": "How to prevent further deterioration of gap between the front teeth?", + "src": "Patient: Hi doctor, I have always had perfect teeth. But recently, I noticed a small gap forming between my front two teeth and my incisor had rotated a bit. Tooth gaps are in my family. Is there any way I can prevent my teeth from deteriorating? Doctor: Hi. I have read through your complaint and the relevant details. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11898, + "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": 2309, + "tgt": "I have an urge to urinate constantly for the past 15 days. Please help", + "src": "Patient: Hello doctor, I have an urge to urinate since 15 days. Top of my penis glans become darker some days before I get the urge to urinate. I have constant urge throughout the day. I am 27 years old. Doctor: Hi. Coming back to your query, have you started the treatment of your own? Though the picture you provided (attachment removed to protect patient identity), is of low quality but I can make out some bluish discoloration near the tip, is that you are talking about? Have you had any history of unprotected intercourse or oral sex, have you encountered similar problem in the past? Have you seen this kind of discoloration after use of condoms before or you can correlate this time? Any history of diabetes or hypertension? I am writing you the prescription for the complaint you told me. Do update me with answers Tablet Roliflo (Tolterodine plus Tamsulosin) 2. 0-1-0, Syrup Alkamax /Citralka 10 ml 1-1-1, tablet Chymoral forte 1-0-1. Stop Ibuprofen after three days from the day you start. Continue rest of your medications as before for total of seven days (if not get settled we will get some investigations done)." + }, + { + "id": 19392, + "tgt": "What can happen with prolonged use of topical steroids?", + "src": "Patient: Hi doctor, Two years back I had the problem of ringworm on my upper leg near both side of testes and I used antifungal cream Betnovate C and Quadriderm. By using this cream my ringworm are gone but skin becomes very thin with rashes mark. Now there is no problem with ringworm but the skin looks very ugly. Please help. Doctor: Hello. Looking at the history and the picture (attachment removed to protect patient identity) there seems to be a clear correlation. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2543, + "tgt": "My friend abused cocaine and became sick. What to do now?", + "src": "Patient: Hi doctor, My friend abused weed, alcohol and cocaine in a span of 20 days. Last two days he had cocaine twice, even though that was the first time and did not sleep. Then, he travelled and became sick with 104 degree fever, cough, swollen tonsils and right knee numbness. His blood test result showed RBC count 13.4 g and WBC 11300 with leukocyte 16%. This happened before a month and he is still coughing. He just had medicine to reduce body temperature. Please help. Doctor: Hello. 1. HIV RNA by PCR (not the antibody testing) 2. Monospot test. 3. Throat swab and culture. 4. Hepatitis C RNA by PCR. It would depend upon the results. If you can get the results to me then it would be great. I suggest tablet Ibuprofen or Diclofenac sodium every 8 hours for fever. Consult his specialist doctor, discuss with him or her and take the medicine with consent. If he is unable to eat or drink, jittery, confused, having a high heart rate and low blood pressure then he should be seen in the emergency room. Revert back with the report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29694, + "tgt": "What are the tests urologist may order for low testosterone?", + "src": "Patient: Hi doctor, We are planning for a\u00a0baby, but there is low sex drive. I am having sex twice in a month. I feel fatigue, stress and low energy. In my job, I am standing for almost 10 hours a day. After a\u00a0routine checkup, we went to for IVF. They ordered my semen analysis and my doctor referred me to the\u00a0urologist. I\u00a0do not know the reason. Can you please let me know the reason and the\u00a0type of tests the urologist may order. I am taking testosterone shots from last two months as my testosterone levels are very low, total testosterone 225.2 ng/dL and free testosterone direct 5.9 pg/mL. Please\u00a0explain my semen analysis report, which I have attached here for your reference. Doctor: Hello. I have seen all the reports sent by you (attachment removed to protect patient identity). Revert with the answer to the above question to an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 8543, + "tgt": "Does WBC count of 40000 suggest leukemia?", + "src": "Patient: Hello doctor, What would you think if you see a\u00a0WBC count as 40000 on CBC findings? Is it enough to think about leukemia or lymphoma? What is the difference between leukemia and leukemoid reaction? Please explain. 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": 23299, + "tgt": "I have weird line shaped rashes when I scratch. What is causing this?", + "src": "Patient: Hi doctor, Since last week, I have been feeling itchiness around my body, especially arms, feet, abdomen, and back. At first, it started every night, but it starts to feel itchy in the afternoon too. Now, the itch kind of calmed down, but every time I scratched, my skin tends to form weird raised lines which look like rash bumps, but in a weird line shape which is not really caused by how I scratched it. Just like the pictures below, the rash can either look like weird shapes or like red scars which form in order for some reason. Also, the rash does not go away after a while, sometimes it just stays there. Now it mostly forms around my back, breast, legs and arms. Is there any cause of this? Please advice. Doctor: Hi. I saw your clinical picture (attachment removed to protect patient identity), it is called dermographism. Usually, it is seen in 4 to 5 % of the normal population. Dermographism is a form of physical urticaria. Scratching, rubbing, or any kind of physical pressure can cause this type of rash. We don't treat this condition unless it is symptomatic like irresistible itching and causing distress for the patient. I suggest: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26920, + "tgt": "What can I do for canker sores that do not go away for two weeks?", + "src": "Patient: Hello doctor,What can I do for canker sores that keep multiplying and have been there for about two weeks? Doctor: Hello. Hopefully, it helps. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 4665, + "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": 25732, + "tgt": "What to take for cough that started after going out in cold weather?", + "src": "Patient: Hello doctor, My father is 78 years old and has a little cough for about a week after he went out in cold without covering up. He is not coughing throughout the day but does especially while sleeping or early in the morning. He is not coughing out phlegm. Earlier too he has such with weather changes about four months back. He had been given Levoday 500 early which relieved his cough. But somebody told us that this medicine should not be used repeatedly. He is a diabetic and hypertensive too. Doctor: Hello. It seems he has an upper respiratory infection. A course of Azithromycin-500 capsules once for three days will be reasonable. It is an antibiotic commonly prescribed for a respiratory infection. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Anti-tussive like Selgon tablets (Pipazethate) or guava syrup would be helpful. Warning signs that you should watch for: Hope he will get well soon. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 934, + "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": 16071, + "tgt": "What are the procedures followed to reduce weight?", + "src": "Patient: Hi doctor, I am 21 years old. I want to reduce my weight soon. My height is 5 feet, and my weight is 74 kilograms. What are the procedures followed to reduce weight? Doctor: Hi. A simple formula is followed to reduce weight. You should eat foods with reduced calories. You should take fewer calories when compared to the calories burned through the exercise. Do a workout for 45 minutes every day. You should have a good sleep for seven to eight hours a day. Stop eating junk foods. Avoid drinking alcohol if you have the habit. Take a handful of nuts every day. Avoid having stress." + }, + { + "id": 28004, + "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": 23009, + "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": 30893, + "tgt": "How to treat UTI in a 6 months old baby?", + "src": "Patient: Hi doctor, My son has been suffering with pain while urinating. He is a 6 month old baby boy. Here a local doctor did a urine test and said as Escherichia coli urinary tract infections. What is the proper treatment for this? Doctor: Hello. As per the report, your child is having urinary tract infection, which is resistant to many oral antibiotics. The only oral antibiotic it is sensitive to is Co-trimoxazole that is Septran. You can start a course of Septran for at least seven days and repeat a urine test after seven days. The other option is start IV therapy with injection Ceftriaxone and Amikacin and repeat the test after five days. IV therapy is more effective than oral. There is nothing to panic about as this is most commonly seen in children. It is not a serious condition and it is curable. So, relax and start the treatment. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 30544, + "tgt": "Is there any contraception method without side effect?", + "src": "Patient: Hello doctor, I had unprotected intercourse with my partner while I was in my unsafe period. Although I took an ECP within 6 to 8 hours of time, I am a bit curious as if it will work or not. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20167, + "tgt": "I suffer a lot from canker sore. I have tried all home remedies,but no relief. Please help", + "src": "Patient: Hello doctor, I am a 21year old boy. I suffer a lot from canker sore (mouth ulcer). I have tried all home remedies and over the counter medicines without much success. Kindly help. Doctor: Hi. You may try the following treatment: Consult an internal medicine specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28943, + "tgt": "Could the pain in my lower rib area be due to a heart problem?", + "src": "Patient: Hello doctor, I have been dealing with some health issues lately. When I was 32 years\u00a0old, I had my first atrial fibrillation, for which cardioversion was done in the hospital. Five years after that, I had a second attack, with the\u00a0same result. I have never taken any medicines, just started taking CoQ10 and Magnesium, and have not had a problem. I still have PVC and feel those skips, I have had treadmill tests, stress echocardiogram, EP study, coronary calcium scoring, and EKG done, all tests showing the heart to be structurally normal. Recently, I had a severe pain in my right ribs\u00a0and I went to the doctor, and he found a liver hemangioma and cysts in the ultrasound, it was benign in nature. That day, my doctor told me to put Nitro under my tongue, and the pain went away immediately. He then did another EKG and blood tests and said he does not feel it was my heart. Because\u00a0they saw spots on my liver and my pain was in the\u00a0upper right quadrant, where the\u00a0liver is located. However, I have looked at three of the EKG sheets, and they say abnormal on them. Also, I have been having bouts of shortness of breath and central chest pain, but I was putting that off as anxiety from this liver mass, and acid reflux that I have had in the past. My CRP levels were fine in the blood workup, and my BP has been fine. Cholesterol has always been high. The most recent coronary calcium score was 0. My question is, looking at all this could the right side pain in lower rib area be due to the heart? And would heart have anything to do with the multiple hemangiomas and cysts on my liver as well as two parapelvic cysts? I am attaching all my reports. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity) very carefully. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20528, + "tgt": "I slept without removing my contact lenses and had blurred vision. Why?", + "src": "Patient: Hi doctor, Without remembering to take off my contacts, I slept with them on. It was only for three and a half hours. These are yearly lenses, so they are pretty thick. They are FDA approved but doctors normally do not recommend them. I woke up with my vision having a white haze. As the time goes by, it is going away. But I just wanna know if I should schedule an appointment with my doctor. Doctor: Hello. I have gone through what you have mentioned and feel that you do need an ophthalmologist appointment. The causes for such a foggy or hazy vision could be corneal edema. As you might already know the contact lenses do not permit good aeration of the cornea, this can cause accumulation of fluid inside the normally transparent cornea causing foggy vision. You may also experience seeing rainbow colored halos around light and glare. Corneal ulcers. These are also caused by contact lens wear and present with foreign body sensation and pain along with foggy vision. With the above in mind, I feel it is best to visit an ophthalmologist for further evaluation and treatment. Measures to be taken in the meantime are to stop using contact lenses, use glasses. Resume contact lens wear only after your ophthalmologist's advise. Use over the counter lubricants (example-Refresh tears eyedrops 6 to 8 times a day) to soothe the eye. Use sunglasses while outdoors and avoid exposure to dust or wind." + }, + { + "id": 5401, + "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": 4259, + "tgt": "My 15 months old baby is only 5. 5 kg. What to do?", + "src": "Patient: Hi doctor, I would like to discuss regarding the medical issue of daughter with you. She is now 15 months old, but her weight is only 5.5 kg. According to doctors, all reports are clear except her growth hormone. She is not taking any medicine. I have attached her laboratory reports for your reference. Please help us. Doctor: Hi. I have gone through all the medical records of your baby (attachment removed to protect patient identity). Genetic cause. 1. MRI brain. 2. Growth hormone stimulation test. 3. Prolactin level. 4. ACTH level. 5. Blood sugar. 6. Ultrasound abdomen and pelvis. 1. Growth hormone deficiency. 2. Hypopituitarism. 3. Turner syndrome. 4. Laron dwarfism. Growth hormone replacement therapy, which has to be decided after detailed investigation. Revert back with the reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22522, + "tgt": "Is it common to gain weight and then lose weight with Metformin?", + "src": "Patient: Hi doctor,I was told I have PCOS after a scan but after telling the doctors something was wrong as I kept gaining weight. I was put on Metformin but I started gaining even more weight so I stopped taking it. My facial hair increased and I still had very slow weight loss. I then started taking it again and the weight loss has started again. Is this common? I am on 500 mg once a day. I am currently 118 kg Doctor: Hello. I just read your query and from what you have mentioned it appears that you have PCOS (polycystic ovarian syndrome). Yes, it is common to have weight loss with Metformin therapy and it is actually very good for you. You see Metformin decreases insulin resistance which is very common in PCOS. Once insulin resistance decreases the body starts utilizing the available insulin made by the body and in turn, there is modest weight loss. Now PCOS therefore, decreases, resultant hirsuitism decreases along with weight loss and the cycle continues so on and so forth. In fact, you must take Metformin 500 mg thrice a day to see best results. To top it off if you combine brisk walk of 45 to 60 minutes daily and eat mostly fruits and vegetables and avoid sweet drinks and carbohydrate-rich and junk foods then you can achieve not only excellent control over PCOS but also lose a considerable amount of weight. So yes it is common to lose weight with Metformin. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17104, + "tgt": "Kindly give instructions to use Nicotinamide gel", + "src": "Patient: Hi doctor, I have the acne problem. My doctor prescribed me to use Nicotinamide gel. Should I wash my face immediately after using Nicotinamide gel? Please explain. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7681, + "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": 17166, + "tgt": "Does my MRI explain as to why am I feeling lost and confused?", + "src": "Patient: Hi doctor, I am a 29 year old woman who has been experiencing mental confusion, concentration problems, memory loss, blurry vision, burning sensation in my head, personality change, and short-term memory loss. I forget\u00a0conversation, repeat questions over and over, zone out when people are talking to me, and I do not feel like myself. I got a CT scan done, but they did not find anything. I also had an MRI done without contrast, but could not understand the findings. I tried to go to my doctor to explain my problem as a walk in, but he left early.\u00a0 The MRI said ventricles are normal in size; subarachnoid spaces are not prominent, no\u00a0mass, midline\u00a0shift or hemorrhage.\u00a0White matter is normal, and there is no diffusion restriction. Significant\u00a0mucosal\u00a0inflammatory thickening and signal change in frontal sinuses, ethmoid sinuses, bilateral maxillary sinuses left greater than right. Sphenoid sinuses are clear. Cerebellar tonsils are in normal location. Impression: Sinusitis otherwise negative. \u00a0I want to figure out what is wrong with me. I got an appointment with my doctor only after a month. I feel as I am going blind and losing my mind. I need your help. Some years back, I broke my nose and had a rhinoplasty to get it fixed. I do not have any breathing problems. Doctor: Hello. Your MRI of the brain is normal, except some sinusitis. I would like to ask a few questions. Since when are you experiencing these symptoms? Do you have a headache or vomiting? Is there any history of seizures or loss of consciousness? How is your sleep? Are you taking any medication? I would suggest you get the following investigations done. The differential diagnosis of your condition are as follows: Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22885, + "tgt": "I feel multiple lymph nodes in my neck which are painless. What could be wrong with me?", + "src": "Patient: Hello doctor, In the past, I have only been able to feel one lymph node in my neck on my left side. I now feel three on the left and two on the right (towards the back). My doctor also found one near my collarbone. All are painless. They are about a centimeter in diameter. I have an inch in diameter lump in my armpit that does not hurt. I have been told it is a ligament. There is a lump in my right breast not shown on mammogram. Blood work: high D-Dimer, low LMY %, high MID, high RDW. What could be wrong with me? A CT with contrast was done on my chest. I do not have a clot in my lung. My mom, her sister, and their two aunts had breast cancer. I am 5\u20196\u201d, 262 lbs, 32, do not have periods because I was born without a uterus. I have Meniere\u2019s disease, asthma, PTSD, panic disorder, PCOS, IBS-C. I am on Effexor XR 150 and Effexor regular 75, Buspirone 15 mg three times a day, Risperidone 2 mg, Zantac 150 mg, Tizanidine 2 mg, migraine meds, a preventive inhaler, a rescue inhaler, and a nebulizer. Doctor: Hello. I have reviewed your detailed query and can well understand your concerns. Lymph nodes are the areas where our body fights against the foreign bodies like pathogens (like bacteria). If there is an infection of the throat, lymph nodes draining the throat area kicks in and fights against the pathogens. In this process, these nodes enlarge. But this is a temporary process and lymph nodes get to normal size once the infection is over. Sometimes, however, these nodes remain enlarged and this is a benign increase in size (harmless and is merely a cosmetic concern). Sometimes, nodes enlarge due to cancerous (malignant) lesions. But this possibility has been ruled out by your doctors. D-Dimer levels are usually high in states where there is a tendency of high blood clot formation and its breakdown in the body. Hormonal imbalances in females also make them prone to coagulation states. PCOS (polycystic ovaries syndrome) also may cause it. Certain medication may also do the same. Do not worry about lumps if they are cleared by your physician as they are possibly benign and not malignant. Hope it helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2951, + "tgt": "What do for skin lesion on nose after using nose pore strip?", + "src": "Patient: Hi doctor, I am a 29 year old female. I washed my face and did not apply moisturizer or any other thing. Then I placed the Biore pore strip on my nose. While removing, it ripped my skin. It was red, burns bad, liquid comes out of it and looks like a huge blister. I had this for about almost three weeks ago. I tired alcohol, which makes it burn. Also tried Neosporin, Vaseline and Aloe vera. I have consulted a doctor and he asked me try Mometasone or Hydrocortisone or Triamcinolone or Naftin one at a time for about three to four days. It itches and burns. I did not find any improvement in healing. Please help. Doctor: Hi. I have read your concern and understand your problem. Patch test. Irritant contact dermatitis. 1. I suggest Potassium permanganate compress. Take two crystals of Potassium permanganate and dissolve it in half bucket of tap water. Then take a clean gauge, immerse it in this solution and keep over the affected area for three to five minutes. Repeat it twice daily for five days. 2. After cleaning the area just apply Fluticasone and Fusidic acid combination twice daily for five days. 3. I also suggest tablet Levocetirizine once daily for five days. Consult your doctor, discuss with him or her and take the medicine with consent. Never in future use Biore strip. Before using any new product first of all do patch test. Revert back after five days to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30301, + "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": 5404, + "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": 28894, + "tgt": "My brother's daughter has a problem of frequent urination. Please help us", + "src": "Patient: Hi doctor, My brother's younger daughter is 6 years old. Her weight is 24 kg and height is 4 feet. She always rushes to the bathroom to urinate. In a day, she rushes 20 to 25 times to urinate. We were done her urine RE, and it shows everything as normal. She becomes thirsty to drink water. She fears to go to school for such problem. Besides these, her everything activity is normal. Also, her growth and hunger mood are normal.\u00a0We want a suggestion for such problem. Previous she had some allergic reactions including red rashes, itching, etc., and it was solved with medicine. We are living in a rural area, and there are no good pediatricians available.\u00a0Please help us what to do.\u00a0Thanking you. Doctor: Hi. I can understand your concerns. Increased frequency of urination in a 6 year old child can be due to UTI (Urinary Tract Infection), renal stones or diabetes mellitus. Since, in this case, increased thirst is also present there is a probability of diabetes mellitus. Although in diabetes mellitus increased hunger is also present, it is not necessary. Kindly repeat urine routine microscopy and urine culture test with fresh morning sample. Also, do blood sugar levels, HbA1c levels and ultrasound KUB (kidney, ureters, and bladder). Kindly review with the above reports. Take care of your child. Revert with the reports to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 10985, + "tgt": "Why does skin become darker after delivery?", + "src": "Patient: Hello doctor, My wife aged 27 years is going through her 5th month of motherhood. Before delivery she was looking good and also her skin was fair as well as good. But now her skin got darker, there are some spotting on her face and also dark circles around both the eyes. Kindly help to improve her appearance. Thank you. Doctor: Hello. These changes are all due to hormonal changes which occur during pregnancy. So, it is very difficult to treat. It is better to avoid any treatment during this period. Many drugs cannot be given during pregnancy as it can affect child. Moreover, these changes many times subside after pregnancy or lactation period. So, counseling her is the best choice. Use a safe soap or cleanser like Cetaphil to wash face. She can use sunscreens like Shade lotion 2-3 times a day. It helps to prevent darkening of skin. Ask her to take nutritious diet as recommended during pregnancy. Do not strain or rub the eyes and give rest to the eyes. Check if there are any refractive errors of eye." + }, + { + "id": 4422, + "tgt": "Why should one drink lots of water while taking Phenazopyridine?", + "src": "Patient: Hello doctor, I have interstitial cystitis.\u00a0Why should one drink lots of water while taking Phenazopyridine? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 606, + "tgt": "I suffer from stomach bloating and severe constipation with low platelets. Please help", + "src": "Patient: Hi doctor, I am suffering from bloating since February and from March I am also experiencing severe constipation. I have tried all dietary change but none seem to be helping me here. For the past few days, I was also experiencing pain in the abdomen, sudden sensations in legs, and mild pain in testicles. So yesterday I went to see a local doctor and done the CBC test. All the parameters in reports were normal except platelets, which were 90K. Without any further tests to know the underlying cause of low platelets, the doctor wrote me some medication. I am really very worried about my health and want to know the root cause of all these problems. Please help. Doctor: Hello. Your previous symptoms are suggestive of irritable bowel syndrome constipation type (IBS-C) provided you have no weight loss, fever, blood in stools, and vomiting. It is not a worrying disease and you just have to follow some lifestyle modifications and simple treatment as given below. Your low platelet count should be investigated. First of all, you should repeat it by manual microscopy as machines can sometimes give false readings. Second, as chronic malaria and dengue are common in your setup so it also needs to be investigated. Please share if you have any history of fever, jaundice, liver disease, spleen enlargement, or weight loss. Peripheral smear. Dengue serology/ NS1. Malarial parasite. HbsAg by ELISA. Anti HCV by ELISA. Ultrasound abdomen. IBS-C/ Thrombocytopenia cause? Movicol sachet in a glass of water every night for two weeks. Spaghol husk 2+2 in glass of water. Continue tablet Levosulpiride 25 mg thrice a day before meals. Drink plenty of water. Exercise. After investigations." + }, + { + "id": 15241, + "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": 19269, + "tgt": "Swollen gums causing dislocation of teeth. What can be done?", + "src": "Patient: Hi doctor, I have developed swollen gums from about six months and four months ago, my front gums were also swollen. During the course of two to three days, my front teeth began to develop a gap. Within a weeks time, one of the teeth became loose and more dislocated. My nearby dentist suggested me to put a cover on the teeth after filling it from the bottom. I do not want my teeth to remain dislocated and fixed in that position. I want my teeth back in the normal position. Doctor: Hi. I have gone through your images (attachment removed to protect patient identity). This is midline pathological diastema,that means there was either an aggressive infection or the formation of a cyst (midline palatal cyst) that cause the gap. This can also happen due to trauma. In your case, if there is no more swelling or there is no more drainage of pus, you can go for fixed orthodontic appliances followed by a retainer. You do not want to build up your teeth with filling material. But in case if there is any primary cause, you need to treat it first. Please reply to my following questions: I need an IOPA (intraoral periapical radiograph) and OPG (orthopantomogram) of the region to view the cause. Brush twice daily with an ultrasoft brush. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29778, + "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": 18193, + "tgt": "Is herpes zoster dangerous?", + "src": "Patient: Hi doctor, My mother was diagnosed to have herpes zoster. Also, her doctor says that the herpes has caused ulcers. I would like to know in how much time it will heal? Is herpes zoster a dangerous one? Doctor: Hi. As you know, Herpes zoster is a viral infection. It takes 7 to 10 days for the lesions to heal. But, in patients who are diabetic, old age, secondarily infected and with an incomplete antiviral dose or seropositive it can take up to 15 days to get cured. In elderly age group even after the skin lesions heal the patient might experience intense pain in that particular area. It is called as postherpetic neuralgia. Kapsi gel can be applied (Capsaicin) once the skin is completely healed to relieve pain. Consult your specialist doctor, discuss with him or her and take the medicine with consent. How many days before she was diagnosed? What is her age? Please send images of the area. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14951, + "tgt": "What are the ways to reduce stomach belly?", + "src": "Patient: Hello doctor, I want to reduce my stomach belly. I need some suggestion. I have a belly for the past six months. Doctor: Hi. The belly fat around the waist can put you at risk of lots of diseases. Anything above 40 inches in men and 36 inches is obesity. Diet: count calories, keep a diary for food you are having daily. To reduce weight you have to cut on carbohydrates and fats. You can increase proteins, fibers, lots of vegetables and fruits. Instead of white rice and bread, change it to brown rice and bread. Coffee can also increase your metabolism. Include green tea around three cups a day. Two exercises: Start daily cardio for 30 to 40 minutes at least five days a week with muscle strengthening exercise especially abdominals. Three weight loss pills are also available like Orlistat and Phentermine." + }, + { + "id": 17290, + "tgt": "How can rashes coupled with severe itching on the legs and arms be treated?", + "src": "Patient: Hello doctor, I am a 35-year-old female and I have rashes on my legs, arms, and armpits with severe itching. I have no fever or difficulty breathing.\u00a0I have had allergies but never this serious. I am currently on\u00a0Allegra, Zentel, Xevor, and Moisturex.\u00a0It has gotten worse in the last three days. Please help. Doctor: Hello. I think right now you are having an urticarial rash. I suggest you take tablet Cetirizine 10 mg at night for seven days. This may induce sleep but there is nothing to worry about that. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Also, apply Clobetasol lotion and Provate lotion (Clotrimazole, Betamethasone, and Neomycin) on your body lesions two times daily for seven days. Apart from the above two treatments try to avoid spicy foods, eggs, chicken or meat for a few days. Urticaria sometimes may be due to insect bites or drugs as well. Please let me know if you have taken any medicine before the rash appeared like painkillers or any other drug for any illness. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27069, + "tgt": "I have weight loss due to digestion issues. How to gain the weight back?", + "src": "Patient: Hello doctor, I am suffering from digestion issues, mostly bloating, from more than seven months. While taking medicines, I was feeling fine, and once I stopped them, my symptoms recurred. My present symptoms include indigestion,\u00a0constipation, improper\u00a0motions,\u00a0low appetite, weight loss, inability to gain weight, acne, anal itching,\u00a0body aches,\u00a0etc. I have issues with my mind also such as lack of concentration, confusion and other problems. I consulted a neurologist who said my vitamin B12 levels were low. So, I took supplements. Now, after taking those medinces too, I do not feel much of an improvement. In the past, I was affected by worms for around five months. When I took medicines for that, many of my problems got solved. But, digestion issues persist. I consulted a gastro doctor two months back. He said there were no structural problems present and prescribed Cadigut, Acta pro, and Folizorb. Once, I started to take those medicines, I felt good, and my weight improved. But,\u00a0once I stopped those, the same problems restarted. Now, I am on Acta pro. Before this, I never had issues with digestion. It all started with worms. After presenting this query, the doctor asked me to check for bacterial overgrowth in the intestine (SIBO), hydrogen breath test and asked to take probiotics. My appointment for the test is next month. Is there anything that I have to follow before the\u00a0test? Please suggest which probiotic\u00a0tablets to take. Doctor: Hello. I hope it helps you. If you have any further queries, please ask me. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24530, + "tgt": "Why are there small red bumps in beard area when I wake up?", + "src": "Patient: Hello doctor, Every morning I wake up and the beard area of my face is full of small red pussy bumps. This has happened for many months now. I wash my face with Cetaphil cleanser and sometimes Ketoconazole shampoo. This removes some of the pus but my face is still red and a little itchy. I took several different antibiotics for severe acne in my teenage years and early 20s. I shave using an electric shaver with a guard so the blade never touches the skin and the hair is still about 2 mm long. Doctor: Hi. I saw your pictures (attachment removed to protect patient identity). This condition is called folliculitis. It is the infection of hair follicles that form red bumps and pustules around the opening of hairs on the skin surface. Most of the time the infection is bacterial in origin, caused by Staphylococcus or Streptococcus. Sometimes the yeast in the skin can also be the cause for folliculitis. The treatment for folliculitis includes: Before applying the medication, after washing face, clean the area with warm saline water using clean cotton cloth or gauze (never cotton, because cotton gets stuck to the skin). Dip the cloth or gauze in warm saline, gently clean the area. Then apply Clindamycin lotion in the morning and Miconazole gel at night. Do not prick the lesions. Wash face very gently. Avoid close shaving or reverse shaving. If this problem is occurring repeatedly then you need to undergo swab testing for culture and sensitivity of the bacteria inside the pus. Other possibilities are acne and Rosacea. Both can have pustules. Acne involves almost whole of face, chest, and back. Rosacea involves center of the face, chin, nose, and prominence of the cheek. Trying to rule out these two conditions. Can you please answer these questions: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10602, + "tgt": "How to wean Veniz XR safely?", + "src": "Patient: Hi doctor, I am a 23 year old male. Currently, I am taking 225 mg Veniz XR for depression. I am taking it for the past 6 years. My problem is ED. For the past one year, I am suffering from erectile dysfunction. Please suggest me some medicine. I am unmarried. Can I use Sildenafil for one night stand?\u00a0I also have one side affect from Veniz XR. I get excess sweating after sleep at day time. Is this due to medication? How can I overcome this problem? Also\u00a0please suggest me how to wean off Veniz XR safely without withdrawal symptoms. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4855, + "tgt": "Kindly suggest a solution for a 18-month-old to pass stool easily", + "src": "Patient: Hi doctor, I have an 18-month-old daughter. My daughter has had trouble with her bowels since she was 8 months old, she finds it impossible to do a normal stool. She strains and screams to the point, she falls asleep from exhaustion and still does not pass stool. She does have a regular bowel movement but she is in constant pain while doing it. Her stool has got to the point of having blood in it. I have taken her to numerous doctors and tried just about everything possible to help her. Her current specialist has given her the same medicine which I have stated does not work. It does not matter what the dosage is. I have contacted him to tell him it does not work and he has just said to change her to another type of laxative. Laxatives do not work for her. I feel it is something more serious. So I was just wondering if you could take the time out to give me some advice on what I could do or what might be wrong with my daughter. I cannot handle watching her be in pain anymore. Doctor: Hi. She has chronic constipation. As you have noticed blood she also may have fissure in anus due to which she has extreme pain. Give her lots of water and a high fiber diet. Dry fig milkshake, dates, and prunes in any form help a lot. Give either one of them every day along with fruits and vegetables. You can try lactulose suppository for a few days which may prove more effective than syrup. Secondly, make her sit in a tub of lukewarm water with few drops of Savlon put on it. This is called a sitz bath which will help if there is fissure (wound due to peeling of skin in the anal area). Do this three times a day. Also, encourage her to pass stools immediately after every meal as it is the ideal time to try when bowels are in action for the digestion of food. If you do not find any improvement in five to seven days, please consult a pediatric surgeon to check the fissure and investigate further." + }, + { + "id": 1781, + "tgt": "What to do for freckles that developed overnight?", + "src": "Patient: Hi doctor,I have developed some brown patches and freckle like spots on my left hand overnight. I went to bed last night with a new light brown freckle on the palm of my hand and woke up this morning to it being darker and there being more freckles and patches. There are a couple of patches on my ring finger and it looks like a stain. The brown spots seem to have become darker over the day and a couple more have appeared. What do you think this could be? As far as I am aware, I have not been exposed to anything.\u00a0Thank you. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10974, + "tgt": "What causes tingling sensation in arm?", + "src": "Patient: Hello doctor, I have tingling left arm. Thumb and index finger are somewhat numb. Skin lesions infect arm. I was told that they are not shingles. Bone at base where skull and spine meet is stiff and sore. On no medication. Taking Ibuprofen for pain. Doctor: Hi. Tingling sensation in the left arm can be due to nerve compression in the neck or in the arm. You will need a thorough physical exam followed by electroneuromyography study of the arms and legs and if possible, MRI of the cervical spine. Meanwhile, do not lift heavy weight and bend forward." + }, + { + "id": 25274, + "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": 20890, + "tgt": "Is the white discoloration on the penis due to phimosis?", + "src": "Patient: Hello doctor, My issue is related to skin color. Of late I have been observing that there is a change in the color (white) at the shaft (penis) as well as the skin below. Which is there for quite some time and is increasing now. However, there is no pain or itching or any other issue. I just wanted to know the reasons and treatment required. Doctor: Hi. You probably had a condition called phimosis, which ruptured during sexual activity. The traumatic rupture heals by fibrosis which is white in color. Except for cosmetic issue, it is not going to affect you. Skin darkening procedures can be sought from a Dermatologist. If you still have phimosis consult a Urologist for single day procedure. It relieves pain during sex due to phimosis." + }, + { + "id": 27793, + "tgt": "What can the lump on penis be?", + "src": "Patient: Hi doctor, I have a small lump on my penis. I have not had any unprotected sex and also have a steady partner. I have this for about a month. Please help. Doctor: Hello. It is very difficult to diagnose it without seeing it through photos. Here I mentioned the possibilities, which could be the lump. These are the two main differential diagnoses. Since how long it is on the penis? Is it painful or itchy? Please explain the lesion, duration, symptoms and how it looks. Revert back with the detailed answer to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6015, + "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": 3371, + "tgt": "Why do I have little red dots all over my leg?", + "src": "Patient: Hi doctor, From young age, I have had little red dots all over my legs and not much hair. I am a 31 year old male and I want to know the problem. There might be ingrown hairs, but I do not know. I have more of them hair especially on the back. Doctor: Hi. I have read your concern and examined your given pictures (attachment removed to protect patient identity). Revert back after two weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12288, + "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": 13395, + "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": 25591, + "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": 23190, + "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": 12383, + "tgt": "What is MSA? Why am I examined for it?", + "src": "Patient: Hi doctor, I have a balancing problem. I have low blood pressure in change of posture. I am on Midodrine. During a neurological examination, I was asked to tap my toes. Every time when I did that my heel involuntarily tapped several times. What is the reason? I am being examined for possible MSA. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I feel really sorry for the balance problems you have. I pray for the best of your health ahead. Yes, you have many symptoms that point my finger too towards the diagnosis of MSA (multiple system atrophy) although definitive studies are needed. Your age, balance and gait issues and postural hypotension all that concludes initially towards MSA. Your physician was actually examining the signs of cerebellar dysfunction and myoclonus (muscle twitching. Let me explain you the pathological meanings of MSA to understand more about your neurologist's intentions and your heel's presentation in doctor's office. MSA is a disease of old age. There is degeneration of neurons in brain that cause problem in relaying information passing to and from the brain and all those electrical circuits in brain's certain areas. Naming the areas of brain affected will be irrelevant here. But, it is worth mentioning that it is related to body's balance and gait controlling areas; areas that cause to keep our blood pressure normal in limits when we stand up and lie on the bed. The way your doctor tested you, he was finding the involuntary muscle contractions (specifically a group of muscles). This is then called MSA-C where C means cerebellar predominant. It is to differentiate diagnosis from MSA-P where P stands for Parkinsonism predominant type. You are taking Midodrine that is used to control postural hypotension. It means you have postural hypotension too, and this is also a feature of MSA. I need to ask some questions to assist you and prepare you more regarding knowledge about your disease, so that you may not be blank when you visit your doctor next time. You can discuss some important things with him. Please spare some time to give me details about: 1. Do you have ever felt tapping in head, palpitation or racing heart when you lie in your bed? 2. Do you have diabetes? Are you on any medications? 3. Have you felt dizzy and lightheaded ever after taking a meal? 4. Have you ever felt tremors in hands, muscle rigidity and any change in your handwriting? 5. Do you have sleep apnea diagnosed ever? Or I may ask do you get up from deep sleep due to lack of respiration and shortness of breath? 6. Do you have observed hoarseness of voice along with these gait problems?" + }, + { + "id": 11735, + "tgt": "How to overcome severe anxiety?", + "src": "Patient: Hello doctor, I have severe anxiety problems which cripple me. I feel trouble in concentrating on my studies and other daily activities. I have PCOS and suffering from depression. I am an introvert, and my body is swaying all the time. A feeling of constant motion present like a boat ride. What can I do to live a better and happy life? How do I get rid of the anxiety? Last time when I had anxiety and depression, I lost 15 kg weight. Also, my hemoglobin and other vitamins levels were reduced. I am currently under Shelcal 20 and Autrin. In the past, I was on Venla 25 g. Doctor: Hello. You should work on your weight loss. It will help you with both your PCOS and depression. Do the daily exercise for 30 to 45 minutes. Do meditation for 20 minutes daily. Avoid junk foods, eat healthy joint cooked foods. Take enough 6 to 7 hours of sleep. Spend quality time with family and friends. Spend time for creative hobbies like read good books, write journals, do paintings, etc. Live your life, do not just spend. Take a cold shower in the morning and drink enough plenty of water." + }, + { + "id": 17425, + "tgt": "I have tightness in chest. Is it start of a heart attack?", + "src": "Patient: Hi doctor, I am suffering with cold and cough. A week before I had cold, I felt some tightness in my chest that was aching. It was associated with some burning sensation on top of my back and around my shoulder blades. Since I had cold, the condition has got worse and has remained for few days constantly. It is slightly painful and causes discomfort. I get quick sharp pain while stretching or lifting. The pain gets worse when I am standing. I have chest congestion and off late been coughing up yellow phlegm. My chest feels tight when I cough. I have been having neck pain too. I am very much worried and concerned about my heart. I will be flying for a few days so, now it is giving me a huge concern. I would like to know, is it the start of a heart attack? Please help. Thank you in advance. Doctor: Hi. I have thoroughly gone through your case and can understand your genuine concerns. 1. Muscular spasm for example: respiratory muscles like diaphragm, abdominal muscles, chest accessory muscles of respiration and back muscles. 2. There is an aching lung tissue because of bad cough. 3. Chest infection (respiratory tract infections). 4. When you cough on already aching muscles you will have chest tightness. This is known as the guarding reflex of the body. I would suggest you to start with these medications after consulting your cardiologist for physical examination. 1. Tablet Azithromycin (Zithromax). 2. Tablet Ebastine (Ebatrol). 3. Tablet Ibuprofen (Advil). 4. Start having a good cough syrup. 5. If you are not allergic to vicks, then apply vicks vaporub over the chest and neck to get better relief. 1. Start using a nebulizer. 2. Use vicks warm mist humidifier. In case you are allergic to vicks, then use only plain water in the humidifier. 3. Drink lots of fluids and take good rest. 4. In order to prevent constipation, take lots of fiber rich foods and whole grain containing healthy foods. 5. Avoid processed foods, coffee, tea and energy drinks. For further queries consult a cardiologist online.--->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17864, + "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": 24953, + "tgt": "My son's doctor suspects lymphoma. Can it not be a simple infection?", + "src": "Patient: Hi doctor,My son had a full blood count as he experienced fever (38 degrees) for the past 10 days. The onset of fever is around 5 PM. I took him to the emergency department and they are questioning whether he may have lymphoma. His WBC was 16.65x10 e3/uL, LY% 5.6, BO% 26.8, NE 9.73. Can it not be a simple infection? Glandular fever for instance? Doctor: Hello. His total leukocyte count is increased but the main reason for your doctor's suspicion for a hematolymphoid malignancy is the high basophil percentage. Leukemia is diagnosed by the presence of blasts more than 20 % in the blood and/or bone marrow and more than 25 % in case of lymphoblastic leukemia. It can only be confirmed by the examination of the blood and bone marrow. If the percentage of blasts is consistent with leukemia further tests like flow cytometry and genetic testing will be required for treatment. It is better to get a hematolymphoid malignancy ruled out. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 401, + "tgt": "How to start teaching a nonverbal child with Down syndrome through online sessions?", + "src": "Patient: Hi! I'm a SPED teacher and currently, I'm about to teach a non-verbal child with down syndrome. I would like to ask where to start. I don't know where and how to start teaching the child, most especially that today, we do online sessions. Also, it's my first time to handle a non-verbal child. Hoping that you can answer my query. Thank you. Doctor:" + }, + { + "id": 29687, + "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": 10560, + "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": 7150, + "tgt": "Why have I got dark pigmentation under eyes after using face cream?", + "src": "Patient: Hello doctor, I got dark pigmentation below my eyes which extends till the side face also, I got the marks after using the cream suggested by a skin doctor. The dark patches are in both sides of my eyes. I tried Vitamin C VC+15 Serum, it also did not work for me. Currently, I consulted another doctor, he prescribed me Clotrimazole and Beclomethasone cream. Doctor: Hello. Clotrimazole and Beclomethasone combination is not meant for pigmentation and therefore should not be used for this condition. It is an antifungal preparation. I would suggest you to use a Kojic acid based cream like Kojic cream, twice daily. The cream you are using is too irritant to be used on periorbital skin. I would suggest you to try a few sessions of Glycolic acid chemical peeling along with topical treatment. Also, use a broad spectrum sunscreen like Neutrogena dry touch ultrasheer sunscreen, throughout the day." + }, + { + "id": 9650, + "tgt": "I am suffering from scrotal skin problem. Please advice", + "src": "Patient: Hello doctor, My age is 24 years. I have scrotum skin problem. Kindly advice. 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": 29260, + "tgt": "How to recover from altitude sickness?", + "src": "Patient: Hello doctor,I have got really bad mountain (altitude) sickness before five days. They put me on oxygen and gave me a pill at the airport. I traveled back to sea level and seemed to be recovering. I traveled in a car the last couple of days, and I am now with very little medical support. I have weird chest and stomach pains that were similar to when I got altitude sickness. I do not want to eat. I did have some chicken, rice and water an hour ago to get some energy. I think I got the second stage HACE or HAPE. My face is not swollen. I am worried about my chest and stomach pains. What to do? Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12587, + "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": 12113, + "tgt": "Why am I having upper back pain at night?", + "src": "Patient: Hello doctor, I currently am suffering nighttime upper back pain. It is only painful when laying down, I have been prescribed Co-codamol but have yet to get any tests or scans done. This pain wakes me every night to a point I cannot roll over or change sleeping postion. Last night bothered arms from the elbow down, went numb with pins and needles. Kindly advise. Doctor: Hello. As this sounds like the cervical radiculopathy, an MRI is suggested of the cervical spine. Also, I will advise you to use neck collar and continue the medicine. Once the pain level drops between 5 to 6 in the VAS pain scale of 0 to 10 where 0 is no pain and 10 is maximum pain, then you can begin neck strengthening exercises which will help stabilize the cervical spine. Also, shoulder stability exercises, inter-scapular muscle strengthening exercises are advised." + }, + { + "id": 25980, + "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": 21849, + "tgt": "My one eye has developed to be smaller than the other. Do I need a surgery?", + "src": "Patient: Hi doctor, I have an eye problem which is that my left eye developed to be smaller than the other. It is more obvious when I take pictures. Is there anything I can do or will I need to do a surgery? Doctor: Hi. From your photo (attachment removed to protect patient identity), I can tell you that the upper eyelid of your right eye is drooping down. It is a medical condition called ptosis. Although your right eyeball is not small, due to the drooping, it gives us a false impression that it is small. The main problem is in the eyelid. It is a benign condition and apart from cosmesis, has no relevance to the function of the eye. Does your eyelid drooping remain constant or does it vary depending on the time of day? If yours is a variable ptosis, you will need to be tested and treated for muscle disorders. But if your drooping is a constant one, then I can tell you that this condition will need surgery and there is no other remedy for this. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 874, + "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": 12334, + "tgt": "Will taking excess of thyroid pills cause any serious problem?", + "src": "Patient: Hi doctor, My sister ate a bottle full of thyroid pills. She feels so weak and nervous every day. And she gets angry and her body temperature is always too warm and I searched the effect of too much of thyroid pills. Her age is 18 what should we do now? Doctor: Hi. Please visit the emergency department of any hospital and get a stomach wash done. The symptoms she is exhibiting is that of hyperthyroidism for which treatment is needed. It will increase heart rate, cause diarrhea, tremors of hand, anxiety, and agitation. Do not waste time. Take her to the nearest hospital urgently." + }, + { + "id": 2336, + "tgt": "I have red patches on head with hairfall. Please suggest solution", + "src": "Patient: Hello doctor, My head has red patches for the last six years. My hairs are falling (white hair only). I also suffer from low testosterone level for the last six months. Please help. Doctor: Hi. You have a condition called as scalp psoriasis. This happens due to an increase in turnover of cells at the level of skin. Stress, infections, climatic change, and consumption of eggs or red meat can cause this to increase. You can use a Clobetasol with 6% salicylic acid lotion on the patches everyday morning and night for two weeks. You can also use a coal tar based shampoo to wash your scalp on alternate days. Consuming fish is beneficial, you can also take fish oil capsules like Seven seas. You can apply Cobiwell S (Salicylic acid and Clobetasol) lotion over the patches morning and night for two weeks. Use Polytar shampoo thrice a week, leave on scalp for five minutess and wash." + }, + { + "id": 12099, + "tgt": "Can HIV be transmitted through oral sex?", + "src": "Patient: Hi doctor, 27 days ago I had protected sex with a girl, whom I knew only for 5 days and it was the first time. Also, we had oral sex also. During oral sex, I had no protection. Next day I started having pain on my testicles and my stomach. I was feeling weak the whole time, and after a week I gave urine and semen for culture. The urine culture was clean, and the semen culture with bacterium E. coli has been detected. It is worth mentioning that I am suffering from prostatitis and I have been diagnosed and treated for more than 3 years with almost the same bacterium, which I thought has been eliminated. Also on that day, we had sex 3 times within 5 hours and I am thinking whether the intensity of that might have brought back the E. coli or it was still there and it appears now. I do not know therefore this is my first question. Since the oral sex was not protected, can it be that she passed me the E. coli? Or is it due to my prostatitis? After my semen results, the doctor asked me to take Tavanic 500 mg once per day for one month. I am now on the first week, the pain is still there but comparatively less. I still feel pressure on the lower part of my stomach and also since the last 3 weeks I feel my stomach always full and not so comfortable. Can this be a side effect of the E. coli or something else? I had no fever since then, and I did not lose my appetite, but I am feeling full. Apart from the E. coli that I need to finish my treatment, now I do have a fear whether I have been infected with any other STDs. If yes, the semen and urine culture should have normally shown something abnormal. Also, I have a fear if because of the oral sex, I might have been infected with HIV, could this be possible? Should I do an HIV test? If yes which kind of HIV test can give me a fast indication. Thank you. Doctor: Hi. Frequency of sex has nothing to do with E. coli bacteria (Escherichia coli). Prostatitis is very resistant to treat, so it is not necessary that if you have taken treatment, it will not recur. Sometimes, you have to take 4 to 6 months of treatment for prostatitis. This is the main reason why you are still having the pain. Semen and culture usually do not cover all STDs (sexually transmitted diseases) and lower abdominal pain is a non-specific symptom and can be attributed to prostatitis. Yes, HIV (human immunodeficiency virus) can be transmitted through oral sex. So if you know the person, it is better to get her tested because if she is not HIV positive, then you need no testing. Nevertheless, you can go for HIV 1 and 2 antibody test by ELISA (enzyme-linked immunosorbent assay) method and HIV RT-PCR (reverse transcription polymerase chain reaction). I hope the above information is useful to you." + }, + { + "id": 1473, + "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": 29703, + "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": 5002, + "tgt": "Is there a therapy for painful swollen joints?", + "src": "Patient: Hi doctor, My mother is 45 years old female. Her weight is usually between 35 kg to 42 kg. She is suffering from severe pain and swollen joints for the past 15 years. Due to lack of financial resource we were unable to get treatment. Is there any therapy to heal her? She is unable to fully move her joints due to severe pain. She is using tablet like Lefra as prescribed. Please help us. Doctor: Hi. Revert back with the investigation reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29067, + "tgt": "I feel run-down all the time. Why?", + "src": "Patient: Hi doctor, I returned from abroad feeling run-down with gastrointestinal issues. I thought that I might have gotten a parasite. Stool tests were performed, but no parasite was found. I then developed flu-like symptoms that lasted several weeks and still feel run-down and tired all of the time. My eyes look a bit discolored as well. Doctor: Hi. Revert the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16324, + "tgt": "I always get headache when I study or work. Please help", + "src": "Patient: Hi doctor, I am 17 years old, and I always get a headache when I am studying or when I am using my mind at any work. So I am unable to study more. Please help me. Doctor: Hi. It can be a tension headache or a migraine. In a tension-type headache, the pain is in whole head, in a migraine, the pain is in one half of the head, with intolerance to light and noise. When having pain at night causing insomnia, pain that increases a lot with a cough or defecation, when having excessive drowsiness, alternations in walking, alteration in vision or mobility of arms and legs, and when having a rigid neck also needs attention. If you have these following symptoms, you have to consult a doctor soon. If you do not have any of these suspicious symptoms, then it can be a tension headache or a migraine. Both these problems can be treated with non-steroidal anti-inflammatory drugs. Take Ibuprofen 500 mg three times a day, Naproxen 500 mg three times a day and Diclofenac 50 mg three times a day." + }, + { + "id": 30602, + "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": 27847, + "tgt": "Can you please help me interpret the attached EKG?", + "src": "Patient: Hi doctor, I am a 27 year old female. I went to the ER a few years ago, and I was diagnosed with pleurisy and anxiety. I only recently saw my records from that day. My EKG showed sinus tachycardia. My heart rate was 110, which I guess was due to anxiety or trying to breathe with pleurisy. I was also diagnosed with lateral repolarization abnormality. The doctor wrote \"non-specific ST segment and T wave abnormalities\" but otherwise normal EKG. I am really scared of this. I think that I have some kind of horrible heart rhythm that will lead me to just suddenly drop dead. I have severe health anxiety. Can you please help me interpret the attached EKG? Do I need to be afraid? I do not understand why the doctor would just let me go if it was something bad. Doctor: Hello. I have seen the ECG (attachment removed to protect patient identity). 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": 22268, + "tgt": "Is there something serious about lymphocytes count that is high?", + "src": "Patient: Hello doctor, I have extreme pain in my throat and one swollen lymph node too and 99-degree fever. Before these symptoms I was only suffering from fever which was a low-grade fever I had my CBC done before three days and it shows that my lymphocytes count is 60 % and WBC is 6.6x10 and the rest is normal. But now I am having throat pain too with fever. Please guide me what is happening with me. Is there something serious about my lymphocytes count that is high? Doctor: Hello. Your ESR (erythrocyte sedimentation rate), lymphocytes and IgE are high (attachment removed to protect patient identity). So it can be because of viral inflammation of upper respiratory tract along with allergic involvement. You can be prescribed decongestant like Levocetirizine plus Montelukast combination drug for a week. Do saltwater gargle with warm water three times a day. Diluted Betadine gargle will also be useful. Take Vitamin C 500 mg three times a day for five days. Drink more water. One teaspoon turmeric powder with milk taken daily. Avoid excess spicy foods. If no improvement than will investigate further so after week repeat test. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6020, + "tgt": "My father is suffering from low ejection fraction rate of 25%. Is there any way of recovery?", + "src": "Patient: Hello doctor, My father is 56 years old and is suffering from a low ejection fraction rate of 25%. Is there any way of recovery? Doctor: Hello. This depends on the cause. If the cause is ischemic, meaning it has occurred due to blockages and the heart muscle is already dead, then it is unlikely to improve or improve slightly. And if the heart muscle is not dead, then opening the blocked vessel will help in improving heart function. Now, the way to know whether the heart muscle is dead or not is viability assessment with PET (positron emission tomography) scan. If the cause is non-ischemic with blockages like DCMP (dilated cardiomyopathy), then there is a chance for improvement with medication. So basically, there may be some improvement with medicines, but whether marked improvement would occur or not will depend on the viability of heart muscle, which can be known on further testing with PET scan. I hope this helps." + }, + { + "id": 6308, + "tgt": "After conjunctivitis, my eyesight has become blurred. Why?", + "src": "Patient: Hi doctor, My age is 26. My problem started with an incident while cutting my nail and a piece of the nail hit my right eye. Luckily, it was a minor cut. I consult with a doctor and his medicine solved my problem. After some days, conjunctivitis attacked my right eye and spread into both the eyes. I consulted again with my doctor and with the advised medicine, it was cleared. But, after some days of conjunctivitis, my right eyesight started to become blurred. Then, I consulted my doctor and at first, he gave me Lotte M and Refresh tear to use. After using that for a month my sight became clear again. But, the problem is after stopping the medicine my eyesight started to become a little blurry and my eye sometimes feels gluey. My doctor changed my medicine and gave Lotte pro, but my right eye stays clear only when I use the medicine. It has been happening for the past eight months.\u00a0Please tell me the reason for my problem. What should I do now? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16337, + "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": 14427, + "tgt": "What can be done for pain in and around left molar, TMJ and ear caused by teeth grinding?", + "src": "Patient: Hello doctor, I grind my teeth at night even though it has not been confirmed. I have the white lines on my cheeks. Yesterday and today I have this pain from my left molar to my TMJ and ear ache. And I do not know if it is from where the grinding is getting worse, a tooth infection, or ear infection. I have an ulcer at the back of my mouth where the white line is where I grind my teeth. A bit sore and tender at one spot under my mandible. Doctor: Hi. The grinding teeth at night usually come from stress or psychological problems so you should visit a dentist near to you in order to get a night guard to protect grinding teeth at night. At the same time, you should consult with your psychiatric physician to know the cause and the origin of the grinding that why it comes at night. The night guard is a plastic impression that covers the crown of your all teeth. You should wear at night when you are sleeping and you will remove when you wake up in the morning. It would be good to attach the photo of your teeth." + }, + { + "id": 30445, + "tgt": "How to find the reason for my memory loss and confusion?", + "src": "Patient: Hi doctor, I recently had a serum PEL IFE with a free light chain analysis. PEL and IFE were normal, but elevated kappa 39.86 mg/L and lambda 19 mg/L with the ratio of 2:1. The test was done due to persistent and worsening polyneuropathy. Currently, I am having confusion and significant short-term memory loss. I have a previous history of confirmed neurological Lyme disease and Bartonella before three years.\u00a0I appreciate any of your thoughts. Doctor: Hi. We are here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 509, + "tgt": "I have tinnitus and it does not subside on antibiotics. Why?", + "src": "Patient: Hello doctor, I have an ear infection on my right ear for the past one week. So my doctor prescribes me some antibiotics Amoxicillin with Prednisolone. But my tinnitus did not go away. How long will it take for the tinnitus to go away if there is no pain in my ear? Doctor: Hi. The answer to your question entirely depends on how you developed the ear infection in the first place. In general, until the eardrum heals you will be having weird noises, tinnitus, and ear discomfort due to interference with sound transmission and processing. If the ear infection has happened secondary to recurrent allergy or cold, then you will have probably developed a eustachian tube catarrh due to which the fluid is still present in the middle ear causing the tinnitus and will take around two months approximately in toto for tinnitus to resolve. If the ear infection has occurred due to trauma (by earbuds etc), the tinnitus will take approximately four to six weeks, as this the average time it takes to heal the ear drum. I am sure you fall into one of the two possibilities mentioned above. There is absolutely nothing that you need to worry about as this usually takes a while for things to normalize. At the same time make sure there are no triggering factors out there. Some one they include use of earphones, headphones, exposure to loud sounds, consumption of alcohol, smoking, stress, etc. Try to maintain a healthy lifestyle as much as possible and do not think too much about the tinnitus nor try to Google about it too much. I hope this helps." + }, + { + "id": 12313, + "tgt": "My brother has high BP, mood swings, night sweat, etc. What does it indicate?", + "src": "Patient: Hi doctor, My brother is 34 years old. He was diagnosed to have high blood pressure in his 20 years of age. He feels palpitations and sweats at night while sleeping even in cold weather. Many times the sole of his feet get swollen. He remains in haste, cannot wait for long, and gets anxious many times. He forgets things easily that is things where he had kept earlier like taking mobile or purse or identity card with him while going to office. He dislikes delay in anything because he cannot wait much. He gets angry and irritated if the person before him works slowly or not able to understand what he said. He does not have patience and has little tolerance for delays and imperfection. He used to talk more negative about girls. He knew that is wrong but by saying so he feels relaxed. Though he accepts his faults, he is impulsive about scolding others for their imperfection, shortfalls, weakness and sluggishness. He lost his father at the age of 12. His father died of heart attack and his mother is suffering from chronic schizophrenia. Doctor: Hi. First, regarding his mental condition, it seems that he is suffering and there is a definite need for treatment. The problem becomes more acute considering positive family history of schizophrenia in mother. Most of his symptoms indicate mood disorder which includes both bipolar disorders as well as depression. Now regarding his physical condition, I feel there is a definiteneed to evaluate for pheochromocytoma. It is a condition where high secretion of brain chemicals (noradrenaline) resulting in high blood pressure, irritability, instability, and swelling of feet. Even his psychiatric condition can be explained by the same disorder. Considering all these, please take to him to a doctor for physical evaluation about the possibility of pheochromocytoma. He will take a more detailed history and will suggest some investigations which include vanillylmandelic acid (VMA) level." + }, + { + "id": 13631, + "tgt": "My daughter had a seizure. She bit her tongue and urinated. Does she have epilepsy?", + "src": "Patient: Hello doctor, Please help! I am so upset. My daughter had a seizure. She had one 7 months ago too. We thought it was syncope, but now we think it is a seizure. She had CAT scan, blood work, and EKG and all the reports are fine. We saw a neurologist, and he said everything seemed all right. He gave her an overall examination, no other tests though. This time she bit her tongue and also urinated. She got sick when we got home from emergency room too. Do we have to take her back to the neurologist? Does she have epilepsy? Doctor: Hi. I have gone through your daughter's comprehensive medical history written by you. Tongue bite and urination indicate that these episodes are seizures. The probable diagnosis would be epilepsy. Tongue bite is not seen in syncope, though urinary incontinence may be rarely observed. I suggest that she should be put on empirical antiepileptic therapy and observed for response. I wish her a good therapeutic response to medicines. Antiepileptic medicines." + }, + { + "id": 24223, + "tgt": "Shall I take Azithromycin for chest congestion and cold?", + "src": "Patient: Hello doctor, I am 38 years old and I weigh 55 kg. l am having chest congestion and cold. The doctor prescribed me Azithromycin 500 mg for three days and Levocetirizine. I am asthmatic. I am also taking Foracort 400 twice a day whenever I have a breathing problem. My symptoms are not improving. What shall I do? Doctor: Hello. As you have started on antibiotics, I suggest you take it for three days. For your asthma problem, you need to assess the level of airway diseases that can be done by pulmonary function test with reversibility. According to that, we have to adjust the dose of medicines. Take care. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 781, + "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": 3114, + "tgt": "What causes numbness and tingling in hand, mouth and feet?", + "src": "Patient: Hello doctor, I am 23 years old. Recently I have strange symptoms. Firstly I had numbness in my left hand then in my right hand. Then I had the same symptoms in my legs and feet. I have numbness and also tingling. Then I had headache, mouth numbness and also right face numbness. I have been checked by the doctor I did the vitamin D test and I have dificiency 20.1 are my results. And the doctor advised me to take B12 vitamin injections and also \"annister 25.000 ul'' two for two weeks and then I have to take them every month for three months. It has been three days that I took the suplement and I do not have improvement. I am afraid, please, do you have any suggestions for me? Doctor: Hello. Firsty, the complaints of tingling, numbness indicates some neuronal insufficiency which could be due to various reasons including vitamin b12 deficiency, multiple vitamins deficiency, thyroid dysfunction. I can say there is not much to worry if you have healthy dietary habbits and medications. Thyroid profile B12 deficiency Thyroid dysfunction B 12 deficiency 1. Tab. Neurokind-lc at night 10pm after food x 20 days 2. Tab. Mvt once daily afternoon after food x 20days 3. Tab. Vit D3 60k IU weekly once for 6 weeks Review with reports after 1 week" + }, + { + "id": 16463, + "tgt": "How to treat dentigerous cyst and odontoma present in the lower gums?", + "src": "Patient: Hi doctor, I have been detected with a dentigerous cyst and compound odontoma inside my lower gums. I have been advised for removal of the cyst and to have a biopsy of the cyst for odontoma. I do not have pain and swelling. I visited a dentist before few months where I took an X-ray. We found a small dark area in the X-ray. It was an odontoma with an unerupted canine. It was confirmed again in a CBCT scan. The results came with a dentigerous cyst and odontoma. I am scared of the surgery done under GA. Is it necessary to remove the cyst? Surgeons suggest me different opinions. One oral surgeon is implying for removal of the cyst, odontoma and placing a plate on the canine. Another surgeon is recommending for the removal of the cyst and odontoma. Another dentist says me to wait and watch as it is asymptomatic. I am attaching my reports. Please suggest. Doctor: Hi. If the cysts are small, they can be left untreated. But the problem is that the cysts can create an infection later. They can also cause more issues like tooth mobility, bone loss or any other transformation. So it is better to remove it. Odontomas are developmental. They also create problems when they are left untreated. But again, there are chances of cyst formation and expansion later. So, if the oral surgeon suggests for removal of the cyst, try to go for it. I have gone through the reports (attachment removed to protect patient identity). It is better to remove the cyst. Currently, you do not have problems. If it is left untreated, it can form ameloblastoma in the future. You do not worry. These cysts are found in any person due to the impacted tooth." + }, + { + "id": 11926, + "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": 21767, + "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": 21612, + "tgt": "What is the probable reason for burning sensation of body as per ayurveda?", + "src": "Patient: Hello doctor, My father usually jogged every morning and does regular exercise. His bowels are not clear and the right side of his body has a burning sensation. As per the ayurvedic doctor, his cholesterol is increasing. So, please can you help me with some probable reasons for the above problem and their cures? Doctor: Hello. Burning sensation in the body can be due to Pitta dosha increase. Moreover, your doctor's advice regarding an increased cholesterol level and prescribed treatment are also right. You can follow the same prescription you are following. He has to take treatment regularly for two or more months under supervision. These changes can be due to age or may be due to diet. So, avoid excessively spicy, oily, deep fried food and junk food. You can also perform a blood test related to cholesterol called as lipid profile test after discussing with your doctor. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8107, + "tgt": "My 20 year old son has gained 18 kg weight in two years. Will there be a thyroid dysfunction?", + "src": "Patient: Hello doctor,My son is of 20 years old. He has gained 18 kg in last two years. Now he weighs 91 kg and height 5'10\". We had a blood test, and T3 and T4 are normal. TSH is 0.692. Is there a problem with his thyroid function? Doctor: Hello. TSH (thyroid-stimulating hormone) levels should be 0.5 to 5 depending on which international unit is used. Kindly check with your lab, whether that is normal for the age. Usually, they will give you a printed report only if it falls within the range, then no need to worry. His BMI (body mass index) is more compared to his height and weight. He needs to reduce his weight to minimum 80 only for his height. Kindly ask him to join a gym or any training programs or yoga. Do some dieting and breathing exercise. Ask him to walk for 30 minutes a day, especially brisk walk. The diet should be strict with no fat, more fruits, and vegetables. I hope this info helps you sort out your problems." + }, + { + "id": 30754, + "tgt": "Please suggest a cure for my skin rashes based on the report", + "src": "Patient: Hi doctor, I have rashes similar to the rash of SLE, swollen, painful and redness around the eyes, severe fatigue and muscle weakness. These symptoms occurred a few months back after I had an intestinal infection. The doctors suspected it to be dermatolysis too, thus having a skin biopsy done tomorrow.\u00a0I have a few laboratory tests done in one of the famous hospital for an autoimmune disease checkup. My red cell distribution width, CV and SD were high. The anion gap, CRP and sedimentation rates are high while the immunoglobulin IgM level and\u00a0gamma globulin fraction were low. The total liver enzyme level was elevated and I have fatty liver disease.\u00a0My current medication is Synthriod.\u00a0Please suggest me some advice based on the report. Doctor: Hi. Revert back with a picture of the rash and reports to an\u00a0internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28802, + "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": 29030, + "tgt": "What are the causes of constant burning and pain in genitals with frequent urination?", + "src": "Patient: Hi doctor, I am experiencing a burning sensation before and after urination; sometimes I see the light pink colored blood in the urine. From the past seven days, I am having a lot of discomforts, even while sitting idle or sleeping there are a constant burning and pain in my genitals, and I urinate frequently. I also have an itching\u00a0anus and mild pain in the right lower back. I was diagnosed with a brain AVM seizure 15 years back. I get seizures sometimes for two minutes in a month. I take Encorate Chrono 300, Sodium valproate 200 mg and Valproic acid 87 mg. Five years back they found kidney stones, about 5 to 6 mm in size. But now, my USG reports show no stones.\u00a0I will attach my test reports.\u00a0Please suggest what to do. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12963, + "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": 2778, + "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": 6060, + "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": 9698, + "tgt": "16 year old with no breast development. Please help", + "src": "Patient: Hello doctor, My sister is 16 years old and extremely worried about her breasts. There is no development in them at all, what so ever. There is no breast bump, they are the same size as they were when she was 5. She has had her period for two years and has pubic hair. What is wrong with her breasts? Could estrogen help in any way? It gets her down so much and it is all she can think about when she wakes up and when she goes to sleep. It makes her cry herself to sleep every single night and wake up wishing she had breasts. She feels horrible like this. She feels like a boy. Please help her. She is desperate. She went to a doctor but they were absolutely no help. Doctor: Hello. I just read your query and I can empathize with you. Sometimes, a girl's breast can develop a bit later than most of the other girls her age. You said that she is 16 and got her periods two years ago. That means at the age of 14 years. So, it was later than most girls her age. So, naturally, her breast can grow later too. There is nothing to worry about. There are many options. Firstly, we have to know whether all her hormones are normal or not and treat accordingly. Secondly, we can always have a breast implant surgery if nothing works on the medical side. Ask her to eat a well-balanced diet. Stop worrying. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18591, + "tgt": "During sexual activity suddenly I am losing erection. What to do?", + "src": "Patient: Hi doctor, During sexual activity with my wife, initially I am getting erection. But at the time of penetration, suddenly I am losing erection. I found sudden decrease in sexual interest too. What to do? Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 597, + "tgt": "I get pain in the anus while passing stool and sitting with a fleshy lobe in that area. Please help", + "src": "Patient: Hello doctor, I am a 24-year-old male with no past medical history. I have been facing pain while passing stool. The pain ceases after a few hours. But, it comes again if I sit for a longer duration. Sometimes, I see small strips of blood on the stool. I have been sitting in warm water and keeping ice-pack for some days. It does help relieve pain. On examination, I also saw a small fleshy lobe near the anus. I am attaching a picture of the area. Doctor: Hello. As I can know from your history that you are suffering from pain while passing stool and also blood in the stool you have noticed. I have diagnosed your problem, it looks from your photographs although it is not very clear that you are suffering from anal fissure. May I know if you have occasional constipation and if you have work that has a more sedentary lifestyle? I suggest you to have leafy vegetables, salads, high fiber diet, cabbages, and spinach so that you do not have constipation. Next, you can buy Dabur Isabgul powder and take two teaspoons in one glass of water or milk. You can take at bedtime, and drink plenty of water. Apply Anovate ointment (Beclomethasone dipropionate) in the raw area where you have pain after passing stool. Get back to me after three days and let us see if it works or not. Take hot sitz bath, I mean you have to sit in a tub of lukewarm water at least three to four times a day. It heals 80% of anal fissure." + }, + { + "id": 19044, + "tgt": "Shall I go for PRP treatment to control hair fall?", + "src": "Patient: Hi doctor, I have been suffering from scalp psoriasis and male pattern baldness grade 3A.\u00a0Can I go for PRP treatment for hair fall control?\u00a0I am presently using\u00a0Finasteride, multivitamin and Minscalp F 5% solution. Doctor: Hi. I have read your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12116, + "tgt": "I experience blurred vision in one eye when I close my other. Is it normal?", + "src": "Patient: Hello doctor, I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work. My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight. Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help. Doctor: Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you." + }, + { + "id": 17862, + "tgt": "What may be the reason for pain on the back side of roof of the mouth?", + "src": "Patient: Hi doctor, I have very bad pain on the back left roof of my mouth. My left top and bottom teeth, jaw and the left side of my tongue is really sore. I felt that there is a hard lump, which feels like a bone and it is excruciating to touch it. It hurts to swallow, yawn and makes my ear pop. The bump is back of the teeth, like near next to my tonsil. I have had cough, cold and sinus symptoms for a couple weeks and it is almost better now. My current medications include birth control pills, Topamax, Trileptal and Vyvanse. Doctor: Hi. I understand your concern and it appears as you are having, For both the above conditions you have to consult your ENT doctor (ear, nose and throat specialist) for examination and treatment as surgical intervention may be required to treat it. In the meantime, you can take tablet Paracetamol, antibiotics (preferably broad spectrum) and have adequate fluid orally. Do warm saline gargle at least two to three times a day. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28837, + "tgt": "What can cause lower abdominal pain?", + "src": "Patient: Hi doctor, I have pain in lower abdomen. I feel that the pain is coming from my right testis while taking a bath. It is not severe, but still, it has not come down. I am on homeopathy treatment for skin allergy. Doctor: Hi. We are here to help you. Such pain in lower abdomen can be due to any of the following reasons. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6974, + "tgt": "What is the significance of a sclerotic lesion in rib scan?", + "src": "Patient: Hi doctor, What is the significance of a sclerotic lesion in rib found on CT scan? What does sclerotic mean? Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 7972, + "tgt": "Will giving Cognium syrup to depression patient improve his concentration?", + "src": "Patient: Hello doctor, I have a 15-year-old son who was suffering from depression two months ago but is fine now except for having a few weird thoughts. The only issue currently is that he is not studying. He was suggested the following medicines- Cognium syrup and Shine-25 tablets. I plan to give only Cognium syrup, shall I go ahead? Please recommend the appropriate dosage. Doctor: Hello. The Shine 25 mg/d is an anti-depressant. You can start from 1/2 a pill at night (one hour before sleeping), if you do not use it then there will be no anti-depressant effect. The Cognium syrup is brain stimulating syrup, start from 1/2 of the recommended dose on the bottle. Give him a month and then if you see no effects then increase the dose to 1 pill of Shine and full dose of Cognium syrup. Lack of interest in studies could be a sign of depression. You may have to put more time and effort into studying with him." + }, + { + "id": 22484, + "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": 9998, + "tgt": "Does ductal hyperplasia indicates cancer?", + "src": "Patient: Hello doctor,I am a 41-year-old female with 5' 2' in height 190 lbs weight. I have a question about my breast mammogram and biopsy report. No medications and allergies. My report says there is a usual minimal type of ductal hyperplasia. Could it be cancer? Doctor: Hello. I have gone through the reports you have provided and the limited clinical history in your case. As I gather from it, let me summarise the case that I understood. Do your age and date of reports has been crop, it appears to me that you undergo an annual mammogram and before two years in a memo from the shelter of defending with high BI-RADS, and you have undergone a biopsy for the same which candidate for any malignancy. There are no additional details about your family history regarding any breast or ovarian cancers. Hence I am taking it as negative. If my understanding of the case is correct, I will agree with your doctor's plan if there is a positive family history, then you make it I am right breast about the clarity of annual mammogram. If you have any family history of any tumors in the family, I suggest you, please update me so that we can calculate your lifetime risk." + }, + { + "id": 20662, + "tgt": "Why are periods delayed after taking I-pill?", + "src": "Patient: Hi doctor, I and my fiancee had an intercourse a month back. Her periods had ended three days before that. Her menstrual cycles range from 26 to 30 days (usually 28). I did not use a condom and pulled out before the climax. She took an I-pill at the 46th hour after intercourse). She got bleeding (like the last day of the period) starting three days later and continued until the fifth day. Her period was due 10 days back. She did two hCG tests using morning urine four days back (without drinking water or going to the toilet for 8.5 hours) and both the tests came negative (a deep band on control and nothing on the test). She is having cloudy, white, stretchy vaginal discharges for the past one week and no sign of period till now (no cramps, etc.). She is having a bloated stomach, nausea, and headaches along with mood swings like irritability (she has a migraine and spondylolysis). What can be done? And is there any chance of pregnancy? Doctor: Hi. Since she took the I-pill within less than 72 hours, it is nice. She is safe. For the bleeding that came, it is because the I-pill can cause menses irregularities and may induce earlier menses. The bloating, nausea and mood swings may also be the side effects of the medication. For me, you are safe and to be sure 100 %, I recommend her a blood test for hCG." + }, + { + "id": 28807, + "tgt": "What is the treatment for sleep paralysis?", + "src": "Patient: Hello doctor, I am a 21 year old male, who weighs 70 kg and I am 5.6 feet tall. I am having a lot of problems while waking up in the morning. I cannot move my body when I get up in the morning. It happens when I have a disturbed sleep. One of my friend, who is not a physician and a patient of sleep paralysis himself, diagnosed my condition to be a case of paralysis. Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. Try these simple steps for four weeks, and you will find the difference yourself. Revert after four weeks to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27546, + "tgt": "Please help me with my left foot pain", + "src": "Patient: Hi doctor, I am suffering from left foot pain, as I fell from my two-wheeler. I consulted a doctor and got an x-ray, and he said it's Achilles tendon rupture and tibialis anterior\u00a0tendonitis. He gave me tablets for five days. But the\u00a0pain is still there when I walk. Doctor: Hi. For more information consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5186, + "tgt": "I have a itchy bump above the butt crack and is popping. Is it due to STD?", + "src": "Patient: Hello doctor, The top of my butt crack has been itching for the past two days. I decided to scratch and a bump appeared. When I woke up this morning I noticed that it was still itchy but the bump was there anymore. I reached the back to feel it, but it felt a little wet as if it popped. I do not know what happened while I was sleeping. Can you please tell me what this is? I have been reading about it online and all that keeps popping up is herpes. Is it right? Doctor: Hello. I went through the details and photo given by you. (attachment removed to protect patient identity). Though the photo is not clear it appears as excoriated vesicle. You have not mentioned your age and symptoms like pain. It is at the top of your butt crack and the skin appears dry. I do not see any pus. This is unlikely to be due to herpes. It can be due to irritant dermatitis or dryness causing dermatitis or any insect bite if pain also present. Please clean the area with warm water twice daily. Apply topical Eumosone (Clobetasone) cream twice daily. Take antihistamine like Cetirizine. You can get back if it does not subside or any new lesions develop anywhere else." + }, + { + "id": 19343, + "tgt": "My son has a painless bump on his palm. Is it a wart?", + "src": "Patient: Hi doctor, My son, who is 6 years old, has a bump on the palm of his hand. It is a hard bump, and he is on antibiotic\u00a0Cefalexin 259 mg. Is this a wart? It does not pain on touching.\u00a0He has had this for about a week and a half. His primary care doctor did not seem to know what it was so she prescribed an antibiotic. I have attached a photo of the bump. Doctor: Hi. I have seen the photo (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13092, + "tgt": "Can I combine 7. 5 mg of regular Paxil with Paxil CR for about a week or month?", + "src": "Patient: Hello doctor, I have been on Paxil CR 37.5 mg for 16 years. After a recent depression or OCD episode that occurred around my period, I saw a psychiatrist to see if I needed to bump up my dosage or change medicines. She prescribed me 7.5 mg of regular Paxil, not CR, to take with my 37.5 mg CR a few days before my period and a couple days into it. The 7.5 mg capsule is marketed as a menopause or anti-hot flash drug called Brisdelle, but is just Paxil. Is it safe to combine this 7.5 mg of regular Paxil with my Paxil CR for about a week or month? It feels weird to me because of the CR or regular difference, the short usage, and the fact that the pill is marketed as a menopause relief pill. Thoughts? Doctor: Hi. It is safe to take the additional 7.5 mg of Paxil or Brisdelle along with 37.5 mg of Paxil CR, as you rightly mentioned that both are same medicines. The increase dose of Paxil or Brisdelle for short time is for managing your hot flashes, and it is just like that the dose of Paxil are increased to manage your symptoms. If your symptoms are well managed by this then it is good otherwise you may need to increase the dose further. The CR and regular difference is just how the active ingredient of the pill is released in body and to minimize the side effects of sudden increase of drug in body." + }, + { + "id": 3918, + "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": 17198, + "tgt": "After applying dettol on my scrotum, my erection became weak. Why?", + "src": "Patient: Hi doctor, I am a 29 year old single male. My weight is 57 kg and height is 5'11\". There had been some itching in my scrotum for two weeks for which I was applying Eberconazole cream.\u00a0A few days ago, I had accidentally applied undiluted dettol on my scrotum while taking a bath and right side of scrotum became very red. Since then, my erection has become very difficult and the organ seems very weak. I applied Onabet B after consulting my doctor. I also have vitamin D deficiency for which I am taking medication. Last week, I had a tooth extraction and took painkillers, Ibugesic and Novamox for four days. Besides, I am treating some small vitiligo patches by applying creams. Am I suffering from erectile dysfunction? Is it curable? What are the possible treatment options? Doctor: Hi. For further information consult a sexologist online.-->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18948, + "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": 23429, + "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": 26416, + "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": 10762, + "tgt": "A 5-year-old child has stomach ache around the navel area from time to time?", + "src": "Patient: Hello doctor, My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal. A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason. Doctor: Hello. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent." + }, + { + "id": 347, + "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": 14040, + "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": 16667, + "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": 6983, + "tgt": "What is the kidney report indicating?", + "src": "Patient: Hi doctor,My nephew is having left kidney size of 90x36 mm (moderate-gross dilatation PCs is seen (AP diameter of pelvis 23 mm) cortical thickness 5 mm and his right kidney is 70x28 mm.Impression: Moderate-gross LT hydronephrosis (left side hydronephrosis with possible PUJ obstruction). Age of the patient is 2 years and 3 months, trying to understand if this case needs to be operated to remove urine. I am concerned that as patient is only 2 years old, does this really be operated immediately or can we wait for a few more months under monitoring. Doctor: Hi. There is narrowing of left kidney tube called PUJ obstruction (attachment removed to protect patient identity). He needs to undergo DTPA renogram to know extent of kidney function and degree of obstruction. If kidney is functioning fairly and if an obstruction is confirmed, it needs to be repaired. Age is not an issue as it can be operated safely after 6 months of age. Left kidney thickness is 5 mm, so it may be getting damaged, better to do DTPA scan and then go for surgery without delay." + }, + { + "id": 12451, + "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": 16537, + "tgt": "As my HSV is positive, I am worried about HIV infection. Please help", + "src": "Patient: Hi doctor, I had\u00a0protected sex with CSW. After 16 weeks, STD test HSV 1+2 IgG is 13.30,\u00a0Chlamydia trachomatis antibody IgG is 1.13 and HIV\u00a01/2 combo P24 test is .05.\u00a0I am in depression that herpes is positive\u00a0and in future any chance of HIV positive.\u00a0I am unmarried. Doctor: Hi. Revert back with the reports to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18441, + "tgt": "We had protected sex during her periods. Is there still a chance of pregnancy?", + "src": "Patient: Hello doctor, My fiancee and I had protected sex yesterday, on the second day of her periods. She took Unwanted 72 today morning. Please let me know if there are any chances of pregnancy. Doctor: Hello. I hope this answers 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": 3947, + "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": 29657, + "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": 2359, + "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": 3, + "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": 5433, + "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": 4297, + "tgt": "How to prevent redness of eyes in vernal conjunctivitis?", + "src": "Patient: Hello doctor, My son is 8 years old and sometimes he has bloodshot eyes. This allergy was started when he was one year old. He has been diagnosed as vernal conjunctivitis. Doctor: Hello. I reviewed your history. Vernal conjunctivitis is a chronic condition and requires treatment for a long time. It usually decreases in severity by 15 years of age. The treatment mainly involves the use of antiallergic drugs like Olopatadine with steroid eye drops in acute and severe cases. Since the treatment is required for a long time the treatment needs to be done under the supervision of an ophthalmologist. Hence, I advise you to consult your eye doctor for examination and treatment accordingly." + }, + { + "id": 25028, + "tgt": "Which surgery is required for biliary atresia?", + "src": "Patient: Hello doctor,My 4 month old baby has jaundice. The doctor is suggesting surgery. After seeing the report, can you please guide me what is better for us and is surgery the only option? Doctor: Hello. As per your description, the child is having jaundice and as per the reports (attachment removed to protect patient identity), it is obstructive jaundice. It could be biliary atresia as per the ultrasound report. Treatment for biliary atresia is only surgery and surgery should be performed as early as possible within two to three months or else the surgery will be a failure. Please take a second opinion with other pediatricians and pediatric surgeons too, it is a serious issue. Please do not neglect. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 22433, + "tgt": "I have AS since 10 years. Please suggest better medicines", + "src": "Patient: Hello doctor, I have suffered from AS since 10 years. I manage it by diet, walking, and a few simple exercises. But since three months, I am suffering from right leg pain with neck pain, right eye redness and pain (HLA-B27 positive) and getting some pain relief tablets along with B12 injections, and Vitamin D3 60K tablets. I am also diabetic since 10 years. Please suggest better medicines. Doctor: Hello. Ankylosing spondylitis is a chronic problem and lifelong. However, treatment is very important because the fusion of joints may cause problems with the movements of the body. Redness of eye is called scleritis and can occur in AS. NSAID (non-steroidal anti-inflammatory drugs) are the first line drugs and if the patient fails to improve with them, then biologics are given. You need to get evaluated and examined by a rheumatologist for disease activity to look at which treatment you will need at this point. The activity is calculated by physically examining the patient and doing few investigations like ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein). For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 7112, + "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": 13105, + "tgt": "Will physiotherapy help to treat Erb's palsy?", + "src": "Patient: Hi doctor, My daughter has Erbs palsy but we did physiotherapy for three months and the doctor said she is fine but she is still struggling with the hand and this is about six months after the doctor discharged us. Please tell me what should I do. Doctor: Hello. Thank you for providing the brief history of your daughter. I am sorry firstly to hear that your daughter is being diagnosed with Erb's palsy. Well, I would suggest you to continue physiotherapy for atleast three days a week as it will be of good help for her. Usually, cases with Erb's palsy recovers well when they perform physiotherapy for over longer periods in infants. Firstly, in the initial stages the physiotherapist will do passive movements of the limb but off late it will be progressed to toy reaching where she can use the maximum of her efforts and learn proper movements. We need to teach brain the movement. In between there might be a use of infant stimulation which will be of use to activate the muscles which are not active. A competitive physiotherapist for using the stimulation over an infant is needed as they have to analyze to which muscle it has to be given. Also a precaution has to be taken while applying a stimulation to the infant as the kid might not like it, so a competitive physiotherapist is a must for this. In my clinical practice over a period of 12 years I have seen many infants with Erb's palsy. They have responded well with the physiotherapy and with careful attention. Breech delivery. Erb's palsy. Physiotherapy." + }, + { + "id": 1890, + "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": 25717, + "tgt": "How can urinary infection in an elderly woman be treated?", + "src": "Patient: Hello doctor, My 86-year-old bedridden mother has a urinary infection. The culture and sensitivity reports are attached. Can you tell me which antibiotics to take? Also, can the low level of antibiotics prevent future infections of the urinary tract? She was having E. coli for a year and a half until it was cured 18 months ago. Can you also give me pointers how to reduce the incidence of urinary tract infections? Kindly tell me the source of the Morganella morganii. Doctor: Hello. Kindly answer these questions. The source of infection is usually perineal and vaginal flora. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26504, + "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": 18529, + "tgt": "Is long-term use of Etizolam harmful?", + "src": "Patient: Hi doctor, I was prescribed Etizolam 0.5 mg and Escitalopram\u00a0for a month, as I had insomnia, stress, and anxiety.\u00a0However, during the last week, it did not seem to work. I was struggling with sleep. Is it possible that I become addicted to the drug? Will I need a higher dose to get the same effect? Is long-term use of this medicine harmful? Doctor: Hello. Remember every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2551, + "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": 14906, + "tgt": "I had my period late by 21 days. Lower left side pain, bloated on that side; and back pain, abdomen pain", + "src": "Patient: Hi doctor, My period is late by 21 days late. I got all the pregnancy tests done, but everything came back negative. I have lower left side pain, feel bloated on that side, back pain, and abdomen pain. I am 18 years old and weigh 170 lbs. Doctor: Hi. I suggest you get beta hCG (human chorionic gonadotropin) test to rule out pregnancy and ectopic pregnancy with 100 % confidence. If negative, you should consider taking progesterone for withdrawal bleed and painkiller for pain. If beta hCG is positive, you need to go to the emergency room as there is a chance of ectopic pregnancy." + }, + { + "id": 5211, + "tgt": "I am positive for herpes 2 with rashes in the thigh. Will it confine to genital area also?", + "src": "Patient: Hello doctor, I am a young female who recently developed a rash on my left thigh. It was very painful and looked very similar to a shingles rash. So I went to urgent care to be examined and they performed a culture swab. My relationship status is that I live now with my ex-boyfriend and he was the only male I was with for the past three years. We had a make-up relation session last night, and this morning the urgent care informed me the culture swab came back positive for herpes simplex 2. I am quite confused as to why there is only one lesion present and it is nowhere near my genital area? I have not had any abnormalities in my genital area, nor any difference in urinary tract issues or anal abnormalities. Should I be taking regular precautions as if I had genital herpes? Should my ex-boyfriend go and get tested? Also, is there a chance that the swab's results were incorrect? Can I expect to eventually have genital symptoms? I am so lost and scared and the urgent care facility is not helping with my concerns. Please help me. Doctor: Hello. I understand your concern. Genital herpes normally presents with the lesions or the cold sores as you mentioned, and the rash can be a very atypical presentation which is also rare. It is mostly the cold sores, and the mucosal lesions, which ultimately crusts and heals on its own. The issue is that a lot of times herpes can be acquired and the symptoms will not be manifested for a long time in people with good immunity. Since you have been with your partner for thee years, without any other sexual exposure, it is better that he gets tested and rules out herpes too. As I said, it can be asymptomatic and it is better to know the status. Normally herpes tests are highly sensitive and 95 % of the time they are right. But I will still suggest you get yourself re-evaluated for herpes and other STDs like chlamydia. If a positive result comes up once again, with appropriate treatment of Acyclovir, the outbreaks can be reduced to a large extent. I hope this helps." + }, + { + "id": 4438, + "tgt": "What are these small red itchy bumps around my groin?", + "src": "Patient: Hello doctor, I have a really irritating itch around my groin area, inner thigh and also in the abdomen area. It has spread to my buttock area too.\u00a0I need help in solving this. Please help. Doctor: Hi. I need more information on your problem. Revert back with the asked details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17452, + "tgt": "I have pus oozing lesion in my underarm. What can it be?", + "src": "Patient: Hi doctor, I am a 41 year old female.\u00a0I am obese. My weight is\u00a089 kg and height is 5 feet 7 inches. Currently, I am taking Thyronorm 75 mcg and Storfib 145.\u00a0Previously, I used to get lymph node enlargement in underarms and groin area, but they never become lesions.\u00a0I have been having a pus oozing lesion in my underarm for the past 1.5 years. When I take antibiotic, it heals. But once I stop the medicine, it recurs. Earlier, I showed this lesion to a lady physician who suggested an ultrasound scan. Scan revealed a pocket of pus, but no changes in surrounding tissue. This lesion started, when I changed my deodorant once. My 14 year old son also has the same issue. He gets lesions in his underarms, sometimes heals and at other times pus leaks. I do not feel any thickness in my breasts in self-examination. I feel it is more dermatological. Please share your valuable opinion. Thank you. Doctor: Hello. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28172, + "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": 16863, + "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": 21099, + "tgt": "What is the reason for having pink streaks during vomiting?", + "src": "Patient: Hi doctor, I stopped drinking for a few days. Yesterday, I drank three drinks with a margarita and a couple of glasses of wine. I have not eaten dinner and went to bed. I woke up at 5 AM with a feeling of nausea. I vomited a few times, and I noticed a few small pink streaks. I think it might be blood with the vomiting. Do I need to go to urgent care? Doctor: Hi. It is likely gastritis caused by irritation due to alcohol. These pink streaks are less likely to occur as blood in vomiting. It is usually mixed well and dark colored due to acid. Even if it is blood, it may be a minor erosion in the GI (gastrointestinal) tract. It is usually not worrisome, and it will settle with antacids. However, there is no harm in getting yourself examined in ER (emergency care) especially if you are having recurrent vomiting or if the blood reappears, with severe abdominal pain. Get your BP (blood pressure) checked once if you have electronic BP apparatus at home. Have plenty of water, avoid spicy food, and soft drinks. Have some antacids like tablet Pantoprazole or Lansoprazole twice a day for three to four days and syrup Gelusil (Aluminium hydroxide with Magnesium hydroxide) three times a day." + }, + { + "id": 26973, + "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": 6823, + "tgt": "I feel my clitoris is smaller than before. Is this normal during pregnancy?", + "src": "Patient: Hello doctor, I am very concerned and need an answer. I am seven weeks and pregnant and have had no complications so far. But, today, my clitoris feels way smaller then it did yesterday. And I am way more nauseous then I have been. I cannot stand or sit up for too long before I am rushing to the bathroom to gag and dry heave, but not throw up. I cannot get into my doctor for 10 days, but I am very scared that something is wrong. I am 19 years old, have a uterine fibroid which my doctor said should not interfere with baby, and cysts on my left ovary. My clitoris is smaller, no sensation, very dry, and is sore. I am taking Keflex (Cefalexin) for a uti and Zantac for acid reflux. Please get back to me as soon as possible. Do I need to go to the ER, or am I paranoid with my first pregnancy? Doctor: Hello. Please do not be scared, and the vaginal symptoms are due to uti (urinary tract infection). Take a lot of water and a warm bath (not hot but warm) to relieve those symptoms. Nausea is a part of morning sickness, and besides Zantac, you can take Doxinate tablets twice a day for seven days. Also, increasing the intake of bananas will provide you comfort as they are rich in vitamin B6. Do not take any other medication than Keflex, Zantac, Doxinate, and Folvite (folic acid). I hope this helps. hyperemesis gravidarum doxinate vitamin b6" + }, + { + "id": 29104, + "tgt": "Following throat infection, why is there an altered taste?", + "src": "Patient: Hi doctor, I am a 24 year old female. I was at my local out of hours service this morning with an extremely painful and swollen throat. I was told I had a severe case of tonsillitis. I have been given antibiotics. Since then I feel a poison taste running down my throat and had a bit of a relief of pain at the more severe side. It is like something had burst in my mouth, and my mouth tastes like poison taste. I also have been experiencing\u00a0abdominal pain and pain in my rib area. Doctor: Hello, Welcome to icliniq.om. For further information consult an ENT otolaryngologist --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19241, + "tgt": "What can cause blood in stools?", + "src": "Patient: Hi doctor, I am facing an embarrassing problem.\u00a0Since last two weeks, I feel like going to the toilet more than once, while usually I do it only once in the morning. Also, I am a bit uncomfortable as all day it feels like I have not cleared my bowel activities for the day. Recently, about four days back, I noticed blood along with my stool. It was full red in color and fresh. Also, to mention that from last two weeks my stool was very hard. So, I doubt if it is a case of internal tear in the stool passing line and not a serious case of piles. But to add, these days I am feeling a bit uncomfortable near my anus and some sort of itching type, but not exactly itching. Today morning, I saw five to six fresh blood drops and then only stool passed out. I touched my anus with my finger and found fresh and red blood in my fingers. I\u00a0also found one small blood clot near the anal area.\u00a0I am really worried about this. Please help me with this. About 9 years back, the same kind of problem happened. But, my father took me to a doctor and as far I remember the doctor gave me two ointments for application inside the anus. Then after a few days I was fine.\u00a0Kindly help me and let me know if you want to know anything more. Doctor: Hi. I am sorry to hear that you are having these concerns. Fresh red blood in your stools may come from any one of the following: For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7786, + "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": 30510, + "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": 6032, + "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": 5690, + "tgt": "I am 26 weeks pregnant and I ate sunflower seeds which is suspected for listeria. What to do?", + "src": "Patient: Hello doctor, I am 26 weeks pregnant, and recently I ate sunflower seeds that have since been recalled for listeria. I became ill the next day with vomiting, weakness, fatigue, muscle aches, chills. It was not until 10 days, later that I heard about the recall and made a connection. My gynecologist is concerned, but has no experience with listeria so she is not confident about how to proceed. She had a sonogram to verify the baby is fine at this point. She also ordered a blood culture. However, I have read that blood culture is not necessarily accurate. While my symptoms are gone, I fear that it can stay in my system for 70 days and could affect the baby at any point during that time without me knowing. My doctor is under the impression that any preventive treatment would require an inpatient stay with IVS and may have risk for the baby. Therefore, she does not want to proceed unless the blood culture is positive. Is there anything further I can do as a precaution? Doctor: Hello. Well contracting symptoms, immediately the next day following contaminated food is extremely rare. The incubation period to get symptoms of illness following the ingestion of food is 48 hours to 70 hours. Listeriosis is a self-limiting illness unless the patient is at high risk as in immunocompromised persons as it is an opportunistic infection. Pregnancy particularly third trimester is definitely a risk, but other more common causes like viral illness and other causes are to be ruled out. As in your case, your illness vanished without any intervention, it would have been a viral illness or a self-limiting illness. The only recommended investigation to rule out listeriosis is culture with enrichment media. Other serological tests are there but are unreliable. The good thing here is that you and your baby are completely fine. Your concern is apt but you need to await for the result as treating without confirmation a pregnant lady who is not symptomatic is of no use. Do not eat frozen foods, hot dogs and all these stuffs. Stay positive and do let me know the results." + }, + { + "id": 29789, + "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": 16095, + "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": 17129, + "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": 13865, + "tgt": "Will Lulifin lotion dropped into eyes accidentally cause any problem?", + "src": "Patient: Hi doctor, My mom accidentally dropped the Lulifin lotion into my eyes. Is there any first aid treatment or should I contact the doctor? Please tell me. I am scared. Doctor: Hi. Lulifin is an antifungal lotion. You should immediately do an eye wash with clean water, and continue this for at least 20 to 30 minutes. You can get some antibiotics steroid eye drops and apply for three times a day for 4 to 5 days. Please remember that if your vision is affected then it is better to see an eye doctor." + }, + { + "id": 10618, + "tgt": "The stretch marks on my inner thighs hurt. Please help", + "src": "Patient: Hello doctor, I have stretch marks on my inner thighs and buttocks area. When I sit for about 30 minutes, the stretch marks hurt (in the scale of 1-10, the pain is around 8). So, I have to stand up once in a while. More and more stretch marks appear when they hurt and they hurt too. It is very uncomfortable, and it already affects my work (programmer) where I have to sit all the time. I have visited 4 dermatologists already, and one of them even said that stretch marks are not painful, maybe it is varicose veins. I already tried laser, derma roller, pain reliever, retin A, collagen cream and cocoa butter (but they did not work) as per doctors advise. This all started when I started gaining weight/muscle a few years ago. I already stopped going to the gym and all my supplements about a month ago, but the pain is still there. Doctor: Hi.I have gone through your history and picture (attachment removed to protect patient identity). I get your worry. I can see that you have already tried a lot of therapies for the same with not much relief. Weight gain is usually a gradual process and not much skin stretch pain is experienced. But few nerve endings become exposed to the exterior in the stretched skin. When weight loss occurs, stretched skin hangs back loose. But it is still not back to normal skin. It is still thin and exposing your sensitive nerves when you stretch, like when you sit or squat. This is why you get that pain sensation during such activity.Now having considered that you have tried most of the options, I would suggest you try a few additional measures that can help." + }, + { + "id": 12238, + "tgt": "I feel some pricking sensation without itching in genitals. What could it be?", + "src": "Patient: Hello doctor, I am having a pricking sensation (worsens if I am walking) in my genitals, and very infrequently in my armpits. No itching, only either pricky feeling or like a cut when touched. The dermatologist could not see any infection but another doctor told that it is Fordyce. This has been for the past 18 months. Now it has been reduced significantly for the past 7 to 15 days. The antifungal powder and cream I was using provide only temporary relief. Doctor: Hello. Looking at your photographs (attachment removed to protect patient identity), I can see the follicular prominences (the tiny raised bumps around hair) on scrotal skin. They look more like Fordyce spots which usually do not itch. But itching can be due to secondary xerosis, friction, sweating or intertrigo (infection of the folds). You need to understand there is another disease known as Fox Fordyce's disease but that has severe itching, not infrequent and more common in the axilla. It does not seem you have that right now. It looks to me as Fordyce's spots along with intertrigo and xerosis. Follow the medication I am writing below. Treatment: 1. Cetaphil cream apply twice a day. 2. Oilatum soap for bath. 3. Tablet Teczine M ( levocetirizine and montelukast) 10 mg once at night. 4. Tablet Ivermectin 12 mg once a week for two weeks." + }, + { + "id": 14455, + "tgt": "I am hearing a separation noise under earlobe while filling mouth with air. Can this be due to wax?", + "src": "Patient: Hello doctor, I have this strange feeling behind my jaw on the left side just under my earlobe. When I fill my mouth with air to increase the pressure, the area that is irritated fills with air and makes a strange separation noise. It sounds like pulling apart wax and hair and I can feel the air in the area. Then it just makes a squishy noise. I have no idea why this happened but it started approximately 1 to 2 days ago. What could this be? Doctor: Hi. The problem you are stating can be wax filled in the ear which is in a liquid state due to the entry of water and can cause this squishy noise in the ear. I suggest you prevent entry of water while taking bath for a few days by applying cotton to your ear during the bath time. If this wax sustains in the ear use wax melting ear drops and can get it cleaned or can consult your nearby ENT surgeon and get it confirmed and cleaned." + }, + { + "id": 16329, + "tgt": "Do eggs increase sperm count?", + "src": "Patient: Hi doctor, Do eggs included in the diet increase the sperm count in men? If not, what medication should I take? Doctor: Hello. Egg is a rich source of protein. Protein is required for healthy sperm formation. Hence, it contributes indirectly to sperm formation. Green leafy vegetables are also rich in protein and they aid in semen formation. Apart from these, you can take capsule Absolut 3G once daily at bedtime for a month. Consult a sexologist online for more details --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1491, + "tgt": "How to reduce the body temperature of a 1. 4 years old baby?", + "src": "Patient: Hi doctor, My son is 1.4 years old. His weight is 12.6 kg. He has been\u00a0suffering from fever for the last 12 hours. His temperature came down, but not to the normal temperature. He was given only Paracetamol liquid solution three times. Please suggest. Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 24208, + "tgt": "Why do I wake up drenched in sweat in the middle of the night?", + "src": "Patient: Hi doctor, I am a 35 year old with no heart problems, not taking any medications, no known inflammation, no abnormal body temperature, no allergies ever. Overnight, I only sleep 3 and a half hours maximum, and when I wake up my t-shirt is all wet like I was running a marathon. My eyes are red in the morning too. This has been going on for the past 30 days. Any idea what that could be? Thank you so much. Doctor: Hello. Increased sweating without any predisposing factors such as cardiac problems or any medication-overuse, but associated with eyed issues, can be a sign of increased thyroid gland activity known as hyperthyroidism. Associated symptoms include increased appetite, loss of weight, diarrhea, intolerance to high temperature, tremors of hands, etc. There may be increased pulse rate in this condition. You may need to get thyroid function tests which assess thyroid hormone levels which can diagnose the condition. If thyroid function test is normal then anxiety can also present similarly. You need to consult a physician or an endocrinologist for detailed clinical evaluation to identify the exact cause of your symptoms. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3625, + "tgt": "I got hit on penis accidentally and getting pain on erection. Why?", + "src": "Patient: Hello doctor, I had a minor injury four weeks ago when my partner while on the bed accidentally hit my erected penis on the left side next to the frenulum under the head. I had some minor pains here and there but I stopped all sexual activities. I did notice a very sharp pain today after an erection only, and the pain was at the same location of the injury. As I wanted to feel if there is a lump I did feel something there at the same location I described above (size of 1-2 millimeters). Please tell me if this will heal in a good way such as no scar tissue or bad way with scar tissue and Peyronie's as my age is only 26 and I do not have any medical history or problems, and the same for my family. I do have varicoceles on my left nut sack grade 1. I have attached a picture of the frenulum. My questions are: What will be the healing time and pain healing time? What are the percentage of chances of developing or not developing scar tissue or Peyronie's at this age? Will you recommend any medicines like Pentoxifylline or anti-inflammatory? I am not taking anything now. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). If the trauma was at the level of frenulum then you can go for frenuloplasty so that frenulum will be freed from glans and there should not be any problem further. Peyronie's disease generally develops after trauma to the shaft of penis. There is no recommendation to start medication for this prophylactically. Take some pain killers and anti-inflammatory medicines so that pain and inflammation will subside early. It may take three to five days." + }, + { + "id": 2053, + "tgt": "What is the recommended way to wean off HGH during pregnancy?", + "src": "Patient: Hello doctor, I am 38 years old and I have been taking HGH and Anavar for six months for my training and weightlifting. I am also single and had no plans for ever getting pregnant but I am now 5 weeks pregnant and do not know a safe way to get off the GH. I was taking 4 IU a day. I am not sure if it contributed to me getting pregnant as previously I have had two miscarriages and an ectopic pregnancy when I was married (two years ago). I have stopped the Anavar as soon as I found out. What is the best way to come off GH? Shall I just stop or do I need to wean off of it? I am worried if I just stop my body would not produce for a while and it will cause pregnancy at a risk to survive. Doctor: Hello. Congratulations on your pregnancy and on having escaped literally in the nick of time from the potential risks of Anavar. Anavar contains Oxandrolone, which is a male hormone derivative, if taken inadvertently during pregnancy, then it causes virilization (masculinization) of the female fetus. It takes a few days to metabolize form the body, so I recommend you to stop both with immediate effect and start on folic acid supplementation sooner. The gestation is only 5 weeks as on date and the fetal pole has not yet arrived. If you do not stop, then there are high chances of you getting an anembryonic pregnancy which is pregnancy without a fetal pole or a chemical pregnancy which can be confirmed only after two weeks with a scan to check if fetal heart rate has arrived or not. It would confirm if the pregnancy is viable or not. If no heartbeat, then there are chances that it may have been affected by the effects of Anavar and HGH (high growth hormones) and hence non-viable. Avoid exposure to any teratogen during the length of the pregnancy." + }, + { + "id": 6488, + "tgt": "I recently had my appendicitis surgery but still having pain in right lower abdomen. Why?", + "src": "Patient: Hello doctor, I had my appendix removal surgery before twenty days via laparoscopy. I am having pain in the right lower abdomen for the past three to four days. Ultrasound shows mild post-operation fluid build-up. I have enclosed my USG report. Is this serious? What does this mean? Please advise on diagnosis and treatment. Doctor: Hello. I have seen the reports. (attachment removed to protect patient identity). When anybody has an intra-abdominal inflammation, there will be inflammatory fluids, which is described as a fluid collection. This inflammatory fluid irritates the abdomen and develops a pain. When we do a laparoscopic appendectomy, there will be some inflammatory fluids. After the surgery is done, the surgeon cleans this fluid by the suction. There are many hidden intra-abdominal pouches that may collect some fluids and remain in the abdominal cavity even after the operation. Some surgeons may put an intra-abdominal drain to drain any remaining fluids, while others are satisfied with good suction. Anyway, the minimal remaining inflammatory fluid is not a big deal and will be naturally reabsorbed by the body with the aid of medication. So you now have two reasons for the pain: 1. The operation itself and the healing wound. 2. The remaining intra-abdominal inflammatory fluid." + }, + { + "id": 9641, + "tgt": "I have been vomiting for past three days and feel nauseous for certain food. Also, I have loose bowel movements. Why?", + "src": "Patient: Hello doctor,I am a 23-years-old female. I have been vomiting for the past three days and also having loose bowel movements. I sometimes cannot stand the smell of certain foods. I find it very easy to fall asleep. Doctor: Hello. If sexually active, it might be due to pregnancy. Get a home test to rule it out. If not pregnant, then, could be acute gastroenteritis. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. Tasectan (gelatin tannate) to stop loose bowel movements. Probiotics to stabilize intestinal flora. Follow the BRAT diet (banana, rice, apple sauce, and toast). Take plenty of fluids, especially plain water with ORS (oral rehydration solution) to replace the lost fluids. If cannot stop vomiting and cannot take anything, go to the ER as might need to receive intravenous replacement therapy." + }, + { + "id": 23733, + "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": 11268, + "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": 14017, + "tgt": "What are the two small symptom-less dots on the tip of penis?", + "src": "Patient: Hello doctor, I have recently noticed two very tiny pin sized skin color or pinkish dots on the tip of my penis. I am sexually active but have not been for about four months which was protected. These dots seem to have no feeling when I put my finger over it. Never burns, itches or leaks, only a bother to my eyes. They never increased in size much. Sometimes, get slightly smaller. Do not inflate when engorged. They have been there for about a month and a half now and have not gotten any solutions. I am a 20-year-old male. Doctor: Hello. I have read your query and went through the pictures (attachment removed to protect patient identity), they look essentially harmless and if you do not have any itching and if it does not bother you much, you can let them be. They are either pearly penile papules or overgrowth of sweat glands (sebaceous hyperplasia) and they can be differentiated only on close viewing. That said, both are pretty harmless and are not STDs if that is what you are worried about, but if you do want to get them removed, you can consult your dermatologist and there are minor procedures like radiofrequency to get rid of them." + }, + { + "id": 21825, + "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": 1544, + "tgt": "Gums in two of my lower front teeth has raised up. What caused this?", + "src": "Patient: Hello doctor, On the my bottom my two front teeth the gums have came up over them but not covered. But the gum is higher up than it is in any other teeth in my mouth. What caused this? Can I fix this in home itself? Doctor: Hi. That condition of your gum is called localized gingivitis. It occurs because of the deposition of calculus and plaque on your teeth and inside the gums margins, which causes inflammation of gums that enlarged in size. The first treatment is ideally you should visit a dentist and get the scaling, cleaning, and polishing done. Once your teeth and gums get cleaned, after you will have to maintain your hygiene, then after a few days it will become totally fine. Right now at home you can do proper brushing and flossing and do warm saline i.e. warm water and salt rinses daily, it will heal slowly, but scaling is genuinely required. I hope this helps." + }, + { + "id": 3296, + "tgt": "How long does cold sore virus live in liquid lipstick?", + "src": "Patient: Hi doctor, I was just wondering how long germs would live on in a liquid lipstick? Around five weeks ago I had a vomiting bug, most likely gastro. I went out on Saturday night and wore a liquid lipstick, and was sick on Sunday. Will these germs still be living in the liquid lipstick and make me sick again or will they have died. Also, if I shared my liquid lipstick with someone who potentially had a cold sore, I am not sure if they get them or not, would those germs live in the liquid lipstick? Doctor: Hello, Welcome to icliniq.com. I understand your concern. There is exactly not much research done on how long bacteria or viruses could survive in a liquid lipstick. If you have had a gastrointestinal infection, and if your lipstick came in contact with your saliva, the microbes could have gone into the lipstick. How long they survive in the lipstick, and how fast they multiply, largely depends on what kind of chemicals were used in the making of the lipstick. Moreover, different microbes need different kinds of growth environment, so it is hard to comment on that. I would advise you to avoid using cosmetics when you are sick. Regarding sharing of your lipstick, it is never a great idea to share your cosmetics with others. Cosmetics should be used as personal items, just like you would use your toothbrush. Sharing cosmetics can lead to the spread of skin infections. If you think you have shared cosmetics with someone you think might have some kind of infection, I would advise you to dispose it, and buy something new. I hope this helps." + }, + { + "id": 25988, + "tgt": "Please give me a solution for extreme hair loss", + "src": "Patient: Hi doctor, I am a 19 year old boy with extreme hair loss. Even at this age, my scalp is clearly visible. I tend to lose around 100 strands of hair daily. Please help. Doctor: Hi. A person normally will lose 100 strands of hair daily. The problem of hair fall arises if the person loses more than 100 strands of hair which tends to make a visible scalp leading to androgenetic alopecia or male pattern baldness. The main culprit is the DHT-dihydrotestosterone (the pivotal androgen in men) to which the hair is sensitive to, therefore DHT blockers will prevent hair fall. None required. Androgenetic alopecia. The treatment for hair loss has an individual variability, not all treatments will suit for all people and the treatment takes a minimum of 6 months for its full effect. 1. You can continue with Grocapix gel (Capixyl) and Capsule Logihair for now, since these treatments will take some amount of time to show the effect. 2. A new technique called platelet-rich plasma can be tried which should be taken in an interval of 2-3 weeks for 5-6 sittings. 3. Other treatments include Minoxidil, Saw Palmetto lotion and lasers. Once you send the photographs of your scalp it will be easy to suggest you further treatment options. Revert back with the photographs to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15556, + "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": 29403, + "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": 27087, + "tgt": "How can I improve my health after an abortion?", + "src": "Patient: Hello doctor,I had to undergo an abortion last month for twin discordance at my fourth month. It was performed as a normal delivery and again D and C was done within a week due to placenta remains. I had severe vomiting and my food intake was very poor during the pregnancy. Now, I am having issues with whole body weakness and joint and bone pain. The back pain and neck pain are severe. When tested, vitamin D levels were at 11.2 mg. Kindly suggest a remedy. I was asked to take bed rest and I\u00a0am on calcium tablets. I was working in night shifts but currently on leave after the abortion. Doctor: Hello. I just read your query. After an abortion weakness is mainly due to blood loss. So, if you are taking any iron supplementation then continue that. If not, then start taking iron supplements. You can start Ayurvedic medicines for iron supplementation. Take tablet Sapta Amrit Lauh one tablet two times a day with honey after food for one month. Along with this, take a diet rich in iron such as spinach, beans, broccoli, raisins, apricots, peas, iron fortified cereals, pasta, etc., and fruits like apple, banana, peaches, and prunes. As your vitamin D level is below normal and you are advised complete bed rest, it would be difficult for you to expose yourself to sunlight daily. Once you recover, expose yourself to early morning sun rays, because these sun rays lead to chemical reactions in the skin and help in the formation of vitamin D. As you are taking calcium supplements, talk to your specialist regarding taking vitamin D tablets. You have to take these tablets one tablet per week for four consecutive weeks or as your doctor tells you. Along with that, start taking tablet Asthiposhak two tablets twice a day with water after food for four weeks. Do not take both iron and calcium medicines together. Leave some time gap between them. Take foods rich in calcium and vitamin D such as some cereals, orange juice, soy products, cheese, egg yolk (only if you took it earlier), fatty fishes like salmon and tuna (only if you ate fish earlier), mushrooms, yogurt, milk, kale, broccoli, almonds, etc. Sleep adequately for at least for six to eight hours a day. If you are overweight, then after recovery, reduce your weight, because being overweight also causes a low level of vitamin D. Take Lakshadi oil and do a gentle massage of your whole body. After half an hour, take bath with lukewarm water. Do it till the pain subsides. Try all these things regularly, and you will soon feel positive results. Do consult me after ten days regarding improvement. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5294, + "tgt": "I feel nausea and fatigue on taking regular birth control pills. Why?", + "src": "Patient: Hello doctor, I have recently been feeling nauseous and fatigued. I have a paranoia about being pregnant, but I am not sure if I should be worried or not. For about a year I have been consistently taking the birth control pill, every night at the same time. The last time I had sex was the day before my period was supposed to occur (according to my BCP schedule). It was without a condom, and my partner ejaculated inside of me. The next day I got my period and it was normal. A week after I finished my period I started to feel nauseous. I stayed on the pill and had my period again at the correct time. It was a bit lighter than normal but still enough to fill a tampon or two. I have just started back on the pills and feel slightly nauseous again. Do you think I have cause to be concerned? Or is everything normal? Doctor: Hello. The nauseous feeling you are experiencing on and off is most probably related to the birth control pills you are on and by the history you are giving, there is a least chance of being pregnant. So you need not worry. Nausea is a very common side effect with pill usage. I would suggest you take an anti-emetic tablet after seeing your doctor for a few days. It must subside with it, if that does not have any effect, then you may need to switch over to a different combination pill that would suit you. Sometimes even hormonal changes in the body during and after menses or at the time of a forthcoming menses could cause nausea. Make sure you drink lots of water." + }, + { + "id": 6181, + "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": 21043, + "tgt": "Are the irregularly textured skin on face scars or damaged pores?", + "src": "Patient: Hello doctor, I have some irregularly textured skin on my face that are not even visible if you are not trying to find them. Are they scars or damaged pores? Also, I have been using Dapsone for a month now and have applied BP 205 and Adapalene 0.1 in the past. Can these cause such texture damage? And what is the red part (encircled), is it PIH or something else? Also does Adapalene 0.1 alond with Clindamycin 1 improves skin texture? Doctor: Hi. You have post inflammatory hyperpigmentation with minute acne scars that are very few (attachment removed to protect patient identity). For PIH (post-inflammatory hyperpigmentation) you can use Aziderm (Azelaic acid) 20 % gel in the morning. For acne scars, you can continue Adapalene 0.1 % gel at night. If you want you can go for chemical peeling and derma roller." + }, + { + "id": 28003, + "tgt": "Am I suffering from tuberculosis? Please clarify from my CT report", + "src": "Patient: Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung. I am currently under thyroid cancer treatment. I got two CT scans done for both neck and chest. I have attached both reports here. Please help me in clarifying few terms which I did not follow. I would like to know, what is wrong with my scan? And also suggest if any tests are needed. I have a\u00a0history of shortness of breath along with thyroid cancer. The technique they used was non-contrast axial 256-multislice CT scan of the chest which was performed using 3 x 1.5 mm slices. The findings were as follows. There is no pericardial effusion and no sign of discrete pulmonary nodule. The heart is not enlarged. There is no endobronchial lesion in the trachea. Esophagus is intact. There is no enlarged mediastinal lymph node. Linear densities in the middle lobe and inferior segment of the lingula give an impression of atelectasis. There is no sclerotic lesion present. Regarding CT scan of the neck, the technique used was non-contrast axial 256-multislice CT scan of the neck that was performed using 2 x 1 mm slices with coronal and sagittal reconstruction. The findings are 1.3 x 1.3 x 1.7 cm rim calcified nodule in the left thyroid lobe and the right thyroid lobe is unremarkable. The nasopharynx, oropharynx, hypopharynx, larynx, submandibular and parotid glands are all normal. The prestyloid parapharyngeal space is maintained. No evidence of enlarged lymph nodes. The oral cavity and floor of the mouth are normal.\u00a0The cavernous sinuses and visualized brain parenchyma are\u00a0unremarkable. A convex shaped soft tissue density is seen within the left maxillary sinus. Both mastoids are properly aerated and there is no sign of any bone destruction. Kindly help. Doctor: Hello. Tiotropium inhaler two puffs once every morning. For further information consult a pulmonologist online.---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20341, + "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": 4433, + "tgt": "What can cause foul smelling dark patch on forehead?", + "src": "Patient: Hi doctor, I have a dark\u00a0patch on my forehead\u00a0which smells bad. For this, I have tried laser treatment as well. But, it did not work. Please help. Doctor: Hi. Revert back with the information asked above to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14614, + "tgt": "I have really intense pain in the right lower side of my abdomen due to ovarian cyst. Please help", + "src": "Patient: Hello doctor, I had cysts in both my ovaries. I had medications for a while, but I stopped using them. Since then, I have been vomiting almost everything I eat, and my stomach gets swollen all the time. I feel uncomfortable. I feel really sick every time I go to the restroom (almost every half hour). To be honest, I do not drink much water, and I do not eat well. I feel I lack nutrients and antioxidants. I also have really intense pain in the right lower side of my abdomen, and I also have pain during sexual intercourse. Doctor: Hi. Treatment of ovarian cysts depends on the size and type of the cysts and your age. If your age is less than 40 years and if the cyst is a simple one, it will resolve with medications. You can ask your doctor to prescribe some medicines to prevent acidity and vomiting and can continue your medicines (for cyst) along with them. If the cyst is a complex one and causes too much pain (as you have described), it is better to consult your doctor for the removal of the cyst. Most of such cysts can be removed laparoscopically. Hope this helps you." + }, + { + "id": 16882, + "tgt": "What is the difference between jaundice and hepatitis?", + "src": "Patient: Hi doctor, I was diagnosed to be suffering from hepatitis. My SGPT and bilirubin levels are high. I have been experiencing vomiting and nausea for the past one month. I had tested myself for jaundice around 15 days back; only bilirubin was high that time. Now, in the recent test taken three days ago, both SGPT and bilirubin levels are high. I am on medicine for hepatitis and also, taking antidepressant. What is the difference between jaundice and hepatitis? Doctor: Hi. Hepatitis B and C, serum ceruloplasmin, PT (prothrombin time), aPTT (activated partial thromboplastin time), INR (international normalized ratio) and ultrasound abdomen for fatty liver. Revert back with the detailed history and investigation reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20457, + "tgt": "Why am I not able to reduce my weight?", + "src": "Patient: Hi doctor,I am 59 years old. I had a hysterectomy before 20 years. Now, I am having difficulty losing weight. I am afraid of following the strict diet as I suffer from osteoporosis. I do not take medicine but take calcium, vitamin D and magnesium supplement. I am eating clean but not able to lose weight.I did a thyroid test and it is good according to the range. I have also performed a hormone test but the result is very strange maybe you can help me to understand from what I am deficient. Here are my result, E2 66.4 pg/ml, progesterone 0.81 ng/ml and total testosterone 0.25 ng/ml. Please help me. Doctor: Hi. Once you cross 50 years, your body is into menopause. So, even the remaining ovarian female hormones start falling. When you have a hysterectomy, they remove the uterus and blood flow to ovaries also reduced, so ovary which was supposed to work till the 50s may stop at 45 or so. By this time you start putting on weight, and your calcium level starts lowering, as you have lost the protection of estrogen hormone from ovaries. Once lost calcium cannot be regained. Now let us get to what we can do. Active aging is advised. It means to try to be as busy as possible. At least walk for 30-45 minutes per day, if possible longer. Never stop any work which you have usually been doing. You may not be able to restart again. Try to keep your mind and body busy with whatever you like, such as painting, singing, playing, etc. There are certain yogas for elderly and those with osteoarthritis. Never overdo. Try to increase gradually. Before and after the exercise have some heat at the joints of pain like a heating pad or dip in the warm water with two handfuls of salt in it. This will relax the joints, and you can move better. Now about diet, have a well-balanced diet. Avoid junk food, red meat, sweets as far as possible. Have plenty of fruits and vegetables, oats, corn flakes and milk daily after removing the cream. Having anything which is raw is safe. Avoid fried items, chocolates, and snacks between meals. Never do fasting. This will only make you weaker and lose the necessary nutrients. Never try to lose weight with medicines. These medicines also deprive you of many vitamins and proteins and lower your immunity, cause hair fall and unhealthy skin. Do not unnecessarily spoil your head with the hormone tests. You are fine. If you had started weight reduction at a younger age, you could have just maintained it. It is not late; you can still do it. Just tell yourself that you are healthy and just improve health the way I have mentioned. Keep having calcium medications; they will not allow a further fall in calcium. All the best." + }, + { + "id": 3680, + "tgt": "Why do I have pain in penis after sex?", + "src": "Patient: Hello doctor, After sex with my partner, I am feeling pain in my penis and my testes are also too small. I am feeling weak after sex. Doctor: Hi. I read your query and understand your concerns. First of all, I like to inform you that your question have a lack of details and this will limit my response to generic one rather than specific applicable to your problem. The pain in penis after sex is indicative of infection if it occurs up to 24 hours or more. If the pain was immediately after sex most probably it was due to vigorous sex. In there former condition, you need to get blood investigations and urine examinations such as CBC (complete blood count), urine microscopy, urine culture, and sensitivity. If the later condition applies to you, a simple rest for a few days will resolve the condition on most occasions. Regarding smaller testes, I will suggest semen analysis. This will reveal the amount of sperm produced and thus the measure is testis capacity. Weakness after sex is non-specific and indicates your poor health. The CBC test advised above will assist us in this. I will request you to eat healthily and do regular exercise. I hope this helps." + }, + { + "id": 5489, + "tgt": "I hear high pitched ringing sound in my ears and dimmed echo in my head. Could it be treated?", + "src": "Patient: Hello doctor, I am a hard-working man in my mid-60s. Two years ago a 15 lb street light fell on my head, a 10 feet drop. Since then I have been having a problem with my ear, a dimmed echo in my head when I speak and frequent high pitched ringing that leads to aggravating headaches. This could not be solved by the doctors and nothing was found in any tests such as MRI, and CT. Unfortunately, it is been a real struggle. I do not sleep well, and it is burdening my life. Is that a known problem? Could it be treated? Any help and advice could make a big difference. Doctor: Hello. Tinnitus is often described as a ringing in the ears like roaring, clicking, hissing, or buzzing which cannot be attributed to an external source. Post-traumatic tinnitus usually follows head and neck injuries. Do you have tinnitus in both the ears or in one ear? Any history of hearing loss? Any triggers like exposure to loud noise? Does loud noise or loud music hurt you? Well, for treating your tinnitus other causes for tinnitus need to be ruled out. Compacted ear wax. Drug-induced as if you are on high doses of Aspirin for any other reason. Management involves a multidisciplinary approach. Good to know your CT (computed tomography) and MRI (magnetic resonance imaging) being absolutely normal. I would suggest you go to an ENT specialist for audiometry to see for any hearing loss. Ear wax removal if any. Drugs cannot cure tinnitus, though may help to reduce the severity of symptoms. Take Tryptomer (Amitriptyline) 10 mg half an hour before you sleep, tablet Alprax (Alprazolam) an anti-anxiety drug 0.5 mg at bed time should help you to get some sleep. Avoid tea, coffee, and alcohol. Masking devices: Ear devices similar to hearing aids that produce a continuous low-level white noise that suppresses tinnitus. Tinnitus retraining device, also a wearable device that delivers a mask to the specific frequencies of the tinnitus you experience. Over time, it will accustom you to the tinnitus. Cognitive behavioral therapy and counseling also help a lot. In the end, there are few herbal products like Ringstop ear drops and Clear tinnitus that has helped a few to fight tinnitus, though results are individualized and the outcome cannot be assured." + }, + { + "id": 26580, + "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": 19391, + "tgt": "In spite of testing positive for herpes, can I receive kidney transplant?", + "src": "Patient: Hello doctor,I have chronic kidney disease and am on dialysis and scheduled for transplant next month. Today I tested positive for genital herpes. Will this cause me to not be able to receive a transplant? I know you have to take immunosuppressants and I do not know how this will affect my situation. Doctor: Hi. The immunosuppressive agents taken post-transplant will increase the risk of having an outbreak of genital herpes. So you have to report to your doctor to put you in a prophylactic antiviral therapy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21838, + "tgt": "Can viral fever lead to Parkinson's disease?", + "src": "Patient: Hello doctor,I had a viral fever six years back. I had a very high temperature of 105, bad cough, also hallucinations. I was seen in the hospital by a CDC doctor and was told I needed to see him a month after I got out of the hospital. I saw him and asked him what I had, and got no answer what so ever, I was still feeling pretty bad. Later that year I had my left knee replaced, and other than some side effects from the anesthetic everything went well. I had some slight balance problems, and a slight tremor in my right hand for about three years before the virus. I went to a neurologist and was told it was nothing. Last month I had my right knee replaced, and within a few days I had a severe tremor in right hand, weakness on the right side of my body, and was dragging my right foot, and severe speech problems. My wife took me to ER as she thought I was having a stroke. I was in the hospital three days, and was told it was stress and was given a script for CARB or LEVO ER 25/100, told to make an appointment with a psychologist, and motion specialists. I was able to see a motion specialist, and was diagnosed with Parkinsonian features affecting balance, gait, aphasia, apraxia, and was told this was brought about by the virus I had six years back more than likely. I get a fairly good response from the medication once it kicks in. I have some pain in my joints, and suffer a low-temperature fever about three nights a week, and have been getting speech therapy two times a week. I can no longer work and wonder if you have any experience with this. I have had MRIs and DAT scans which are normal. Doctor: Hi. I want to assure you that 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. Started back even before six years you had the onset of what we call Parkinson disease. This is a disease, nobody may ever be able to stop or make it to a pause even with medications. But we may delay the onset of symptoms of the disease for sure. The dopamine-producing neurons are lost in the brain and the patient loses the inhibitory effect of the neurotransmitter dopamine on our activities. The patient presents with unintentional movements of body parts which were normally kept in check by the inhibitory action of the brain chemical dopamine. In treatment, you are taking the best available therapy LevoDopa-CarbiDopa. Patients give a positive response to this drug. You need to carry on the treatment. This will help you keep the symptoms suppressed for as long as you keep taking the medicine. Temazepam is also good for you. It is a second line drug treatment and controls the shakiness and tremors. Keep up with this treatment and speech therapy and keep a follow up. For more information consult a neurologist online.--->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4872, + "tgt": "What sort of examination is carried out for erection problem?", + "src": "Patient: Hello doctor, What will my doctor exactly do while examination, when I tell him I am having erection problems? Doctor: Hi. It depends on what all positive findings you give while giving history. For example, the doctor will ask you for diabetes, high blood pressure, any regular medicine intake, psychiatric medicines, low hemoglobin symptoms, etc. These diseases usually cause ED (erection dysfunction) as a secondary cause. Then depending on what comes out of the conversation, the check-up will consist of general body workup. For the ED part, the doctor will surely look for a local problem, the size, and consistency of testis, the shape and size of the penis. He will then try to check for erection as a reflex on touching and will also check for skin retraction. The next step can be a stamp test or a penile Doppler, where the blood supply of the organ will be checked. There can also be a nerve conduction test done if the doctor thinks that the nerve supply is deficient. I hope this helps." + }, + { + "id": 19932, + "tgt": "While on train journey, I was not able to breathe. Why is it so?", + "src": "Patient: Hello doctor,I am 61 years old. While on a train journey, I was not able to breathe. Doctor: Hi. It may be a sleep disorder. Kindly go for spirometry and sleep study. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 17466, + "tgt": "How to get rid of melasma?", + "src": "Patient: Hi doctor, I am a 28 year old male. I am having melasma\u00a0over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes more darken on cheeks and nose. Please suggest any medicine to get rid of these ugly spots. Doctor: Hi. I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to use Aziderm 20% gel (Azelaic acid) twice daily for dark spots. In morning use Aziderm after washing face and after 30 minutes, apply sunscreen over it. At night apply Aziderm and leave it overnight. Aziderm is slower acting, but it is safe. It can also be used for maintenance therapy. Melalite (Hydroquinone) and Lookbrite (combination of Hydroquinone, Tretinoin and Mometasone furoate) are steroid based creams and cannot be used for more than a month as they can have side effects. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25711, + "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": 20990, + "tgt": "Do I need to see a doctor if I have small sunburn blisters?", + "src": "Patient: Hi doctor, Do I need to visit a doctor for small sunburn blisters? Doctor: Hi. To help you better, I need to know a few more details. If you could send a photo, it will be helpful. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27677, + "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": 26236, + "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": 29756, + "tgt": "One of my UPTs showed faint positive, while others showed negative. How to confirm?", + "src": "Patient: Hi doctor, I was on the Depo shot for a year. My last shot was before six months and I never went back for the next shot, which is supposed to be around three months back. I had some bleeding before two months and I thought it was a period. Last month, I did not have anything. I had a lot of unprotected sex and now I am experiencing pregnancy symptoms like nausea, tender boobs, lower back pain, cramps and fatigue. Also, I have had to pee more than usual. And, I was wondering if this is just my body getting back to normal after coming off Depo or if I am pregnant. I took a UPT and I saw a faint positive, but it could have been an evaporation line. Later, I had three UPTs and all have been negative. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8446, + "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": 7596, + "tgt": "Does 2. 6 beta hCG in delayed periods indicate pregnancy?", + "src": "Patient: Hello doctor, I missed the period last month. My LMP was two months before on the ninth day of the cycle I had protected sex after 10 days of the missed period I had UPT all negative. Yesterday (17 days after a missed period) I had a beta hCG test level is 2.6 also yesterday I got my period (47th day of cycle), but the flow is quite different. Yesterday I got dark brown bleeding, but today I am getting light red colored pinkish bleeding, but clots ate there, and bleeding has a high quantity of mucus. Is it normal? Is beta hCG 2.6 non-pregnant? Please help. Doctor: Hello. Your beta hCG values are of nonpregnant level, and you have also got periods, so be rest assured that you are not pregnant. Your period was quite delayed, and there are many reasons for irregular or delayed periods like stress, anxiety, thyroid dysfunction, obesity, certain medications, and most crucial PCOS (polycystic ovarian syndrome). Need to undergo specific investigations like USG lower abdomen, blood for CBC (complete blood count), sugar, TSH (thyroid-stimulating hormone) and prolactin. Based on the reports, proper treatment will help you to get regular periods." + }, + { + "id": 19177, + "tgt": "My father has got brain hemorrhage. Is he out of danger now?", + "src": "Patient: Hi doctor, My father, who is 58 years old, has got brain hemorrhage before eight days. He was immediately hospitalized, and till today he is in CCU. He has some body movement, but he is in the unconscious state. He cannot open his eyes, cannot talk and does not have any mouth moment. He can breathe naturally without external oxygen. His previous medical history includes diabetes, constipation, high BP and continuous whistling problem in both ears since last 20 years. Also, he had a heart attack before seven years. Now, every part of his body below the neck is fine except the\u00a0right hand. He never required a ventilator. Is he out of danger zone? How much time will he take to open his eyes and come out of unconscious state? Is it normal for such patients? I have attached all reports of my father. Please reply me as soon as possible. Doctor: Hello. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 17678, + "tgt": "Can I get HIV via oral sex if I do not have any cuts or wounds on my penis?", + "src": "Patient: Hello doctor, Can HIV be transmitted through oral sex? Doctor: Hello. Revert with more information to an HIV/AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4537, + "tgt": "Will a gum shield help to protect the crown implant while playing?", + "src": "Patient: Hello doctor, I am a professional rugby player who has recently broken and had my three front teeth removed. I have had two implants fitted and currently have to wear a denture until I get the crown and bridge fitted. I have been advised by one dentist to avoid playing rugby again as an impact could break my jaw bone. However, another dentist has said that the implants are meant to be resistant and with a professional gumshield the risk is not much higher than with normal teeth. I would like to get some other opinions on my situation? Whether I should wait for a certain amount of time before playing again? Or if it is reasonable to consider playing immediately with a gumshield? Or if I should be very careful and consider playing altogether? Doctor: Hello. I understand your concern. The normal healing time of bone is six to eight weeks. However, complete healing may take anywhere between three to six months. In the case of implants, it will take a minimum of three months for it to closely adapt to the surrounding bone and gain stability. This is the most crucial phase in the entire treatment. The amount of stability gained in this healing period determines the success rate and longevity of the implants. Temporary dentures made of acrylic may not create and actively transfer the chewing and other forces to the implant and hence suggested during this healing period. Any disturbances or accidental injuries to that area during this period can lead to failure of implants which is the most advanced option for replacement. In this worst scenario, we will have no other option other than giving a removable denture. I understand your dedication and involvement towards your profession. But please do consider the safety of your implants in which you have invested your time and money. Although you would be wearing a professional gum shield over the implants, any accidental injuries could deliver the impact across your jaw bone thereby delaying or disturbing the healing process. I hope this helps." + }, + { + "id": 4879, + "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": 1578, + "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": 18956, + "tgt": "I sneeze a lot due to dust allergy. What is the best solution for curing my sneezing and cold?", + "src": "Patient: Hi, I sneeze a lot due to dust allergy. And the allergy then leads to cold. What is the best solution for curing my sneezing and cold? Doctor: Hi. If the problem persists, consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6559, + "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": 6657, + "tgt": "What causes spinning wheel or fan type thing in side vision?", + "src": "Patient: Hello doctor, I have noticed that sometimes I can see two or one spinning wheel or fan type thing in my side vision. Suddenly it comes and goes on its own. What can it be? I am scared about retinal detachment. Last I got my retina tested 1.5 years ago and it was fine. Doctor: Hello. These things are floaters. They happen due to changes in the vitreous which is jelly like thing in front of retina. If you are seeing now and then, just ignore it. If there is an increase in number of floaters and if you start seeing flashes then consult an Ophthalmologist immediately. For now once yearly regular checkup is enough. Take care." + }, + { + "id": 9006, + "tgt": "I am suffering from pain in the upper abdomen, left chest, and shoulder with upper back pain. Kindly help", + "src": "Patient: Hello doctor, I am 34-year-old female with pain in the upper abdomen, left chest, left shoulder and mostly middle-upper back pain (although back pain has been all over) upon standing, walking and on any exertion. Healthy otherwise and not overweight. I went to the ER yesterday, and they did two ECGs (did come back with an inverted t wave on one lead. They were not worried), did a chest X-ray, d-dimer (I had a DVT 1.5 years ago when I was six weeks pregnant), bloodwork including cardiac enzymes. All are normal. The pain started about two weeks ago, but was just off and on and would go away fairly quickly. I tried working out about 1.5 weeks ago and made it a couple of minutes until the jumping jack warmup. The jumping motion brought on this pressure pinching pain (not the best description, I am sure), but it is subsided when I stopped. The last few months, I have had intense burning pain in my upper middle abdomen that the doctor suspected an ulcer and put me on Protonix. The pain did get better after that, but I still have many flare-ups of that pain. It seems like when I get the chest pains, and I have a lot of upper abdominal pressure. I have to push down on my upper abdomen to help relieve some of the pain, even though the pain is felt more in the upper left chest into my left shoulder and sometimes arm. The upper-middle back pain is new and is hot pressure pain. The chest pains were off and on but have been consistent for almost three days now, but mostly only when I get up to walk around or stand. Just standing still without exertion brings on this intense pain. Sometimes certain sitting positions will carry it on too. I do not feel short of breath, except when the pressure hits. In ER yesterday my stats were good. BP around 100/60 (my norm), HR around 65, and O2 100 %. My respiratory kept alarming though around 8-9 quite a bit.I cannot help be worried about a blocked artery since that seems to be what pops up with chest and back pain. Also PE, but they were pretty confident I did not have to worry about that with normal stats and a negative d-dimer. Doctor: Hello. Unlikely to be related to a cardiac cause. Firstly, cardiac pain typically comes on exertion and relieves at rest and should persist for at least a few minutes. And rest cardiac pain suggest acs, in which pain persists for few minutes, ECG changes and positive enzymes are expected, will not be related to movements and unlikely to persists for two weeks even without treatment. It is likely related to reflux, which can cause chest, back, and arm pain as well. Will come in bouts and persists for a few seconds. However, it is better if you can get a stress test like a treadmill test and echo done to be sure. You should avoid fatty, oily, and high-calorie 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. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Also, should have antacids prokinetic combination like Pantoprazole plus Domperidone instead of just antacids. May have syrup Sucral O or other locally acting antacids two teaspoon SOS for faster relief. Overall, unlikely to be related to the heart or blocked arteries, However better to get few tests done. I hope this helps you and get back if you have any doubts." + }, + { + "id": 14837, + "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": 12864, + "tgt": "Kindly explain the reasons for tinnitus with difficulty in breathing and anxiety", + "src": "Patient: Hi doctor, About two years ago, I was playing a video game while wearing a headset with fairly loud burst sounds from time to time, and I noticed a small hissing sound was present in my ears or head when I was getting off my PC. I have always used headsets for long hours before this occurred. Ever since then this tinnitus has moved from one ear to another, and then centralized in my head. Anyhow, now whenever I put on and listen to a headset for a short period even on low volume, my ears hurt. The sides of my head around the ear and the tinnitus spikes up usually. I have tried several popular and expensive headsets with same results. Other symptoms I have are I have difficulty breathing through my nose, I feel emotionally numb, anxiety, my jaw locks sometimes when I bite on hard food and sometimes it does itself during sleep. The bones around my ear hurt. I do not know if any of the symptoms are related. But I have not been to a doctor for various reasons. Doctor: Hi. Exposure to loud sounds creates pressure over your nerve of hearing and can evoke tinnitus. Hence, I advise you to use minimal sound during games. The pain in and around your ears is due to excessive usage of headset around your ears. For your nasal obstruction, you should get a diagnostic nasal endoscopy done to rule out the cause and proceed for further investigations. Locking of your jaw can be due to the TM joint which locks more in the morning and creates pain when infected leading to pain while biting hard foods. Hence, a muscle relaxant is advised." + }, + { + "id": 28143, + "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": 20817, + "tgt": "Can my symptoms mean streptococcal throat?", + "src": "Patient: Hello doctor,I have an itchy throat that appeared after headaches, fatigue, and nausea. I have pink bumps on the back of my throat only and they cause me to cough and feel an itchy sensation in my throat. At first I thought that my mouth was just dry or I had a cold but I have never had bumps on just the back of my throat and my neck feels swollen sometimes. Could this be streptococcal throat? I have never had this before. Currently, I am taking Iron pills 325 mg and Folic acid. Doctor: Hi. It looks like pills induced pharyngitis (attachment removed to protect patient identity). Iron pills can cause pill esophagitis as theses can be stuck along anywhere up to the stomach. If you have any fever, you can take some soothing lozenges, Cepacol (Benzocaine and Menthol) lozenges. You can find any lozenges contains Benzocaine or Menthol, will help soothing throat, and take the Iron tablet with a lot of water and do not lay flat for 20 minutes after taking pills. Hopefully, it will get better by itself. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10928, + "tgt": "Kindly tell me the treatment for white itchy spots on penis", + "src": "Patient: Hello doctor, I have white itchy spots on my penis and on its skin inside. Kindly help. Doctor: Hello. I understand your concern but there is no attached photograph in your message. I need to see the picture of the affected area to make appropriate diagnosis and to suggest you the appropriate treatment. Kindly send the same." + }, + { + "id": 4724, + "tgt": "Are red and itchy rosacea symptoms of lupus?", + "src": "Patient: Hi doctor, I am 39 years old. I have a very bad red, itchy, weeping, scaly butterfly rash on my face which my doctor says is Rosacea. But it has responded to no treatments except steroid cream so far. I also have excessive watering, itching, and swelling of my eyes (ocular rosacea). Not sure if there is a connection but my periods have become unusually light during the last year. Could I have something more than just Rosacea do you think? I am currently being tested for lupus but would there be other possibilities for what could be causing this? Doctor: Hi. From the photos (attachment removed to protect patient identity) it looks like rosacea. However, the possibility of lupus and allergies to sun exposure can not be ruled out. You should check out for lupus. Steroids are not given in rosacea, as initially, it may give a good improvement, but as the times goes by you will be completely dependent on them. Topical steroids cause skin atrophy and hoards of other problems which is more or less permanent. So I will suggest you stay away from them. Topical Metronidazole gel at night with a good sunscreen (as rosacea worsens with sun exposure) will give results. Rosacea is a chronic condition and will stay for a long time. You will have to manage it well. It some times shows signs of flare-ups and downs, generally as a response to anxiety, stress, excitement, and prolonged sun exposure. Minimize sun exposure. Use sunscreen meticulously, daily. No cosmetics on the face. Follow up after the use of said medications in 15 days time." + }, + { + "id": 18259, + "tgt": "Had pilonidal sinus surgery before two months. Why is it bleeding now?", + "src": "Patient: Hi doctor, I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the doctor had removed the stitches. Everything was going fine. Now, it is bleeding after two months of healing. The ointment that they were using to put on my wound called Mebo and it helped a lot. Please help. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 17012, + "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": 19801, + "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": 15237, + "tgt": "Why do I have excessive sweating after stopping the habit of alcohol drinking?", + "src": "Patient: Hi doctor, I am a 36-year-old male. I was a daily drinker of hard alcohol for the past four years. I am in depression and anxiety. I consulted a doctor. The doctor gave me Zoloft and Propranolol. Before few days, I have removed a large ganglion cyst from my right wrist. I made a step to stop the habit of drinking alcohol. I started to have sweating from my head profusely and consistently. I had it for two weeks. Now, the sweating from my head has got subsided, and it moved to my legs. I tested for STD and HIV. It came negative. Why do I have sweating like this? Please help. Doctor: Hi. I have gone through your problem, and I can understand your concern. Yes, these symptoms are due to alcohol withdrawal. As you have stopped drinking alcohol, you can have these symptoms along with other symptoms such as tremor, palpitations, anxiety, and other severe withdrawal symptoms such as seizure and delirium. Withdrawal symptoms usually decrease in intensity by one to two weeks. You can take Thiamine and Benzodiazepine. Benzodiazepine help in reducing these symptoms and promote good sleep. Thiamine is vitamin which is usually deficit in an alcoholic. As you have abstinent around two weeks, you need only a low dose of Benzodiazepine. It will provide adequate sleep and also cause a decrease in sweat. Take tablet Trazodone. It also helps in sleep. You can consult a doctor for a prescription." + }, + { + "id": 16149, + "tgt": "How to prevent a tooth decay and explain about the toxic things we use everyday?", + "src": "Patient: Hi doctor, How can we prevent tooth decay? Please explain about the toxic things that we use every day and say a few words regarding healing tonics. Doctor: Hi. Follow these steps to prevent tooth decay. Brush your teeth twice a day. Floss your teeth after each meal. Avoid eating sugary foods. Avoid having a tartar build up in the teeth. Avoid using artificial teeth whiteners. Take a vitamin-rich diet. The toxic things that we touch every day are detergents, dishwashing liquids, petrol, mobile devices, and laptops, body sprays, and perfumes, plastic containers, money (high germ content), and nonstick pans. Healing tonics are polluted with various kinds of pathogenic organisms. They transmit diseases such as leptospirosis, typhoid, and schistosomiasis." + }, + { + "id": 26388, + "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": 23302, + "tgt": "My CD4/CD8 ratio is 1. 06. Does it indicate a HIV infection?", + "src": "Patient: Hello\u00a0doctor, I had a possible high-risk exposure four months back, and I am worried about HIV infection. I got a fourth generation PCR, PCR for HIV2, and viral load, which were all normal.\u00a0I still have symptoms like diarrhea and joint pain.\u00a0Just last week I did a CD4 panel, and this is the results, the absolute CD4 helper is 937, percentage CD4 is positive, the absolute CD8 suppressor is 886, percentage CD8 is positive, lymphocytes is 32.8, CD4/CD8 ratio is 1.06,\u00a0WBC is 12.2, and neutrophils absolute is 8.9.\u00a0My concern is the CD4/CD8 ratio, I read that a number below 1 might be HIV, and I am so close to 1.\u00a0Also, my WBC and neutrophils are high. Do you know what it means? Doctor: Hello. Let me answer your questions step by step. Hope your queries are answered, but if you still have any other question please do not hesitate to ask.\u00a0 For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8507, + "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": 18074, + "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": 18066, + "tgt": "Is it possible to have a tunica albuginea rupture and be unaware of it?", + "src": "Patient: Hello doctor, If I were to strain or have a small superficial rupture to the tunica albuginea during erection, would I notice this in any way? Will there be any pain or\u00a0bruising? I have read somewhere that the tunica has no pain nerves. That is why I wonder. There is no pain or abnormality noticed. I am only asking to be 100 % sure. Best regards. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 25835, + "tgt": "How can brown patches on the skin be treated?", + "src": "Patient: Hello doctor, My aunt has skin problems for the past six months. She gets brown patches. She locally met a doctor who gave her a cream called Sunban after applying which the brown patches turned reddish. Someone told her to apply camphor and coconut oil after which the situation deteriorated and patches became more prominent. Now she has stopped applying anything on her skin. Please help her to overcome this skin disorder. I have attached photos for your reference. Doctor: Hello. First of all, I would like to appreciate your image quality and way of taking photographs (attachment removed to protect patient identity). Everything is nicely visible. The basic problem here is melasma. She has brownish pigmented patches that are usually developing on her face. They occur because of female sex hormone called estrogen or ultraviolet rays exposure or cosmetic overuse or nutritional deficiency like iron etc. Camphor many times irritates skin. But before that, I would like to know did she apply anything else with Sunban (Octyl methoxycinnamate, Titanium dioxide, and Oxybenzone) like some skin lightening cream? As with sunscreen alone, it is less likely to become red. Anyways, now she has developed irritant contact dermatitis. At present, she needs a good moisturizer and one low potent anti-allergic cream. I suggest you use Evion (Aloe Vera and Vitamin E) cream locally twice a day. You can also use Desowen (Desonide Topical) gel twice a day for five days and then once a day for five days. If the irritation still persists, you can use it alternate days I suggest you also take Levocetirizine one tablet as required. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. In the meanwhile as a precaution avoid excess sun exposure. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9799, + "tgt": "I am overweight after pregnancy. Please advice a homeopathic medicine to lose weight", + "src": "Patient: Hello doctor, I am dealing with the post-pregnancy weight of 109 kg. My upper and lower abdomen both are heavy and thighs as well as arms too. Please recommend me a homeopathic medicine to lose my weight fast. Doctor: Hello. The best and safe homeopathic remedy to lose weight in your case would be Natrum Phos two tablets twice a day before meals for one month. No need to swallow the pills. Keep them over the tongue, and they will get dissolved within a few minutes. This remedy is safe to use even though if you are breastfeeding. Along with this remedy kindly do some exercises like yoga and walking. If possible, kindly report back one month. Let me know if you have any other questions." + }, + { + "id": 25987, + "tgt": "How to tackle breathing problems due to seasonal changes?", + "src": "Patient: Hello doctor, My 54-year-old mother has a problem with breathing. She faces challenges in breathing mostly in the summer and monsoon season. She is taking an inhaler for the last three years. Please help. Doctor: Hello. It seems your mother is having an airways disease probably asthma. It usually aggravates in monsoon seasons. She needs to follow certain precautions. She has to avoid aggravating factors like exposure to cold, foods and avoiding dust. Yearly checkup of lung function will help us to assess whether the drug dose is enough or not. Regards. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10089, + "tgt": "What is the life expectancy of a sickle cell disease patient?", + "src": "Patient: Hello doctor, My fiance got sickle cell SD. He is 27 and does not suffer from anything else. He takes medication and changes blood every 4 to 6 months. My question is does it affect his life expectancy? Doctor: Hello. Usually, in sickle cell anemia, blood transfusion is not needed. The prognosis depends on the severity of sickle cell. Dehydration, infection is a usual precipitant for sickle cell anemia. So it is better to avoid them and whenever having such incident, consult a doctor immediately. Sickle cell anemia patient's median age can be considered between 50 to 60 years but still, the exact specific prognosis cannot be predicted." + }, + { + "id": 19963, + "tgt": "I am unable to retract my foreskin during erection. Do I need circumcision?", + "src": "Patient: Hi doctor,I can stretch my penis foreskin completely and I wash it every day. But, I noticed that during erection I am unable to retract my foreskin. I feel that I am suffering from phimosis. What can I do now? Do I need to undergo circumcision? I have seen the procedure on the internet and it looks very scary. Since I am a fitness model, I go to the gym and workout heavy every day. If I undergo circumcision, then how many days I should take rest? Is there any way to cure it naturally? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2179, + "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": 11608, + "tgt": "Having panic attack, anxiety, and fear of brain tumour for past six years. Please help", + "src": "Patient: Hello doctor, I am a 27-year-old male. My weight is 255 lb, and I am a smoker. I suffer from panic attack, anxiety, and fear of cancer for six years. Right now I have been spending all my day reading about brain tumor because I think I have it since I have all the symptoms. Two weeks ago I had a panic attack where I felt I could not breathe, and feeling fainting. After that day, my ears started hurting a little bit, and I started feeling lightheaded, which is very hard to explain. My head feels like I am drunk but it is not spinning. I have not slept for days. I had this problem before when I had anxiety issues, and I went in urgent care, where they checked my ear and I did not have ear infection. The doctor said your neck muscle feels irritated and sore. He said it could be due to it or allergies. And he prescribed me nasal spray to use, but when I used that, I experience terrible headache with neck pain. After two days, I had the feeling that I am about to pass out again, so I decided to go in the ER. I told the doctor I need MRI and may have a brain tumor, and she said I could not do MRI on you without doing a blood test, ECG, and some tests where she makes me walk in a straight line and, etc. My blood test and ECG came back 100 % good. My doctor said there is no need for an MRI. I doubt that how she knows I do not have brain cancer? She gave me some pills for allergies, but I am not taking it because I think I have a brain tumor. I am a painter, and I paint houses, and I work 14 hours a day. I do not feel any tiredness just this feeling in my head is killing me. Do I have a brain tumor and am I going to die within a year? I do not have a loss of appetite or anything, and I am just really thinking that I have a brain tumor. What do you think my problem is? Doctor: Hello. Possibly you are very anxious with thoughts of having a brain tumor. It may be part and parcel of your previous anxiety problem, which might have increased recently. I suggest you consultant a psychiatrist for anxiety issues. For relieving your current thoughts and anxiety, you can get an MRI brain. Otherwise, your thoughts will keep on making you restless. The doctor might have said of not having a tumor because you do not have a different kind of symptom. Still, you can get MRI done, to relieve these thoughts. But for further management, you should meet a psychiatrist. T3, T4, TSH, serum vitamin B12. Anxiety disorder. Daily exercises in form of jogging and yoga." + }, + { + "id": 21580, + "tgt": "Is the PEP regimen given to me for condom breakage during sex correct?", + "src": "Patient: Hello doctor,I was having sexual intercourse with a sex worker when the condom broke. I was distraught so I ran to a hospital and they started my first dose of PEP after 12 hours of exposure. The regimen given to me for 28 days is Lamuvidine plus Tenofovir and Lopinavir and Ritonavir. Is this regimen right? I talked to another doctor and he told this is basic PEP and not of much help. He also prescribed PEP. Doctor: Hi. As per my experience, the regimen you are taking is fine. The only drawback is that it may be causing some more side effects like nausea, vomiting, headache, weakness, etc, and hence it is more difficult to take the one your practitioner has advised. You can continue with the PEP (post-exposure prophylaxis) you are already taking and need not stop and start another one as discontinuing it may do more harm than good. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14925, + "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": 20211, + "tgt": "Can Panderm NM be used on the face?", + "src": "Patient: Hello doctor, I used Panderm NM. After I left using it, I got scars and pigmentation on my face. Now, I am using UniWhite Cream for pigmentation. Will this work? Should I use something else? Can you suggest something without steroids and Hydroquonine and without any side effects? Doctor: Hello. Panderm NM (Clobetasol Topical, Miconazole Topical, and Neomycin Topical) cream is the most harmful cream when applied to the face. It has steroids. The steroid causes thinning of the skin, pimples, visible blood vessels, increased hair growth, secondary bacterial skin infections, and a flareup of herpes. The effect of this cream will last for a few weeks depending on the duration you have used. It is very difficult to nullify the effect of steroid on the skin. After stopping the cream, pimples, pigmentation is the most common rebound effects. I would suggest you use: It is very difficult for me to prescribe any medication without seeing your clinical picture. I have mentioned general skin care products to be used after steroid abuse. Kindly attach your clinical picture along with your query for precise diagnosis and medications. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25142, + "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": 8360, + "tgt": "Will exercise help in overcoming premature ejaculation?", + "src": "Patient: Hello doctor, I am a 29 year old married male. I have premature ejaculation problem. What are the ways for me to overcome it? Will exercises or workout help in overcoming it? Can you suggest me ways to overcome it? Doctor: Hello. Premature ejaculation in most individuals occurs because of associated anxiety, psychological reasons, and hyperexcitation. Relaxation and treatment of anxiety result in improvement in most individuals. The first thing you have to understand that it is normal to ejaculation earlier when even an individual start engaging in sexual intercourse. This occurs because of a poor experience, anxiety, and restlessness. Lack of confidence is also a reason for early discharge. So accept that even if you are ejaculating earlier even then there is no weakness in you. This is a normal thing, and you should not lose confidence for that.Distraction during sex is one method to delay the time. Try to distract yourself during sex and immediately just before ejaculation, try to withdraw the penis and then again insert it. This will help in delaying the time. Use of Lignocaine jelly over the tip of penis reduces the sensitivity of the penis, and this helps to delay the time. This can be tried. If that does not help, then you can think of using medicines. Dapoxetine is commonly used to improve the time. The drug is taken about one hour before sex helps to delay the time. The drug is safe to use, does not cause any serious side effects and can be used when needed. You can discuss with a psychiatrist for prescription of this drug. Thanks and take care. Hope this helps you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29782, + "tgt": "Other than seeing a psychologist, are there any ways of treating Trichotillomania?", + "src": "Patient: Hello doctor, I wanted to know how to cure an OCD specifically Trichotillomania? Other than seeing a\u00a0psychologist, are there any way of treatment? Doctor: Hi. I read your query\u00a0and understand your concern about treating obsessive-compulsive disorder\u00a0(OCD) without visiting a psychologist. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27377, + "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": 8110, + "tgt": "What could be the reason for pain in the filled tooth?", + "src": "Patient: Hello doctor,My 7-year-old child had a small filling about a month ago in his top premolar (baby tooth). Two weeks later he said it hurts a little when biting and with temperature. I have taken him to two different pediatric dentists who did X-rays and did not see any cracks in the filling or infection. Occlusion was also checked, and the tooth was polished down a bit. He still complains of minor pain in the tooth when biting hot and cold. Doctor: Hello. Firstly it is not a premolar but a deciduous molar, as premolars are absent in baby's dentition. And please check if the baby is having sensitivity or pain. There is a small difference between the two, which we can differentiate while a baby cannot. If the cavity is deep then even after a filling, the tooth turns out to be sensitive for hot or cold foods. If this is the case apply some desensitizing toothpaste on that tooth only two minutes before brushing and then brush his tooth with his regular toothpaste. If in case he is having very bad pain which he cannot bear then go for a root canal treatment as that tooth has to be there in the oral cavity till 12 years. I hope this would help you. Please help." + }, + { + "id": 5023, + "tgt": "I have a fluke inside my eyes. How to treat it?", + "src": "Patient: Hello doctor, I think I have a trematode (fluke) on my eyes and it seems to enter behind the eye as well. The trematode passes the vision at times and I can then distinguish the structure of the body, quite complex body and transparent. When I go to the mirror to see it I cannot. What type of fluke can do this, live on the eyes and globe and also enter inside and behind the eye? And what medicine do I need to treat this? Triclabendazole or is there other medicine? I have tried with Praziquantel and it did not work. Also, I have tried Ivermectin, Albendazole and Mebendazole but it is stil in my eye. What can I do it is very painful and do I need a rehab treatment or sort like Cortizone or is it not necessary? Doctor: Hello. Regarding your problem, I am not very sure that it is a (fluke) trematode in your eye. By the description of the anomaly that you are giving, I think it is a floater. Just check for images of floaters eye on google and you should see exactly what I am talking about. Floaters are generally harmless and are present without any apparent visual loss and no significant lifetime morbidity to the eye. In some cases, having a floater can be a dangerous sign, which may signify posterior vitreous detachment, retinal tears, and other vitreoretinal pathologies. To diagnose further I will need the duration since when you have started seeing these floating objects in your eyes. If they have started very recently then it can be a start of posterior vitreous detachment or retinal detachment or tear and therefore, you should consult an ophthalmologist, preferably a vitreo retinal specialist immediately. In case of chronic, long term duration, most probably it is harmless and therefore you do not require any treatment if it is not affecting your vision significantly, but still, you should consult an ophthalmologist for eye examination regarding your problem to rule out any other issue. I hope this helps." + }, + { + "id": 11593, + "tgt": "What does my chest scan result indicate?", + "src": "Patient: Hello doctor,Kindly take a look at my results from various scans of my chest and advice. Doctor: Hello. I have seen all your FDG-PET reports, which is very sensitive to detect any tumor activity in unidentified mass as the scan shows solitary pulmonary nodules in the left lateral lower lobe. This scan is beneficial to identify and detect tumor by detecting the oxygen utilization level as tumors have growing tissue, which takes more oxygen, so it shows increased activity of that area. Now I will tell you what is happening in your case. Generally, a solitary nodule is very common in the population as it has asymptomatic, multiple etiologies like infection, tuberculosis, simple benign tumor-like hemangiomas, inflammatory disease like sarcoidosis, malignancy, and pulmonary embolism, this all causes pulmonary nodules, out of which 90 % are asymptomatic or benign type. But in your case in the scan 1. Some metabolic activity is seen but not that significant as normal-malignant tissue shows, 2. The nodule has a well-defined shape, but with pleural extension. 3. There is no hilar lymphadenopathy, which is very common in lung malignancy. So it can be a healing granulation tissue, secondary to infection or immune reaction, but it is more unlikely to be a tumor. The last thing I wanted to ask you is, do you have any symptoms of breathlessness, weight loss, anorexia (eating disorder), or heavy smoking history, or hemoptysis (coughing up blood)? Kindly tell the history for better detection." + }, + { + "id": 4383, + "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": 14967, + "tgt": "Am I at risk of multiple myeloma based on CBC and family histories?", + "src": "Patient: Hello doctor, I am 44 years old male. I am attaching pictures of my seven year CBC history. Here is what happened this year. On my annual physical 11 months back, my WBC was low. Three months back, my GP checked it again. WBC came back in range but platelets were low. Over seven years, platelets have been between 134 and 165. GP sent my CBC history to two oncologists for review of low platelets. One said do test for H.pylori, hepatitis c, and HIV. Did the tests, all came negative. Both the oncologists asked to follow CBC. My father died of multiple myeloma at age of 64. The other day, I noticed a small bruise on my hip. Probably no big deal but have a heightened awareness now. My question is due to my father dying of MM and/or my CBC history, am I at a higher risk of blood cancer? What or when should I be concerned, what to look for? I certainly do not want to go to an oncologist with a single bruise. Doctor: Hello. Your CBC does not suggest multiple myeloma (attachment removed to protect patient identity). In the case of multiple myeloma, anemia can be there and clinical symptoms like a constant headache, kidney system related symptoms, etc., can be present. But as your father was having a history of multiple myeloma, you are also at risk. But it does not necessarily mean that you will develop cancer in the future, the risk can be there but exact percentage cannot be predicted. So if you suffer from any unusual symptoms related to multiple myeloma like a headache, affected vision, weight loss, bone fractures, fever, etc., then you have to consult a nearby doctor for detailed evaluation. Your CBC is not showing any dangerous finding but still, I suggest you investigate with peripheral smear examination report and serum immunofixation electrophoresis for further work up. Peripheral smear examination will show any abnormal cells if present and electrophoresis will help in identifying monoclonal M band if present. You can revert back with that report." + }, + { + "id": 25924, + "tgt": "I have spinning of my head with nausea and vomiting. What could this be?", + "src": "Patient: Hello doctor, I am a 28-year-old female. Yesterday morning, I woke up to the alarm and when I got up, my head spun in a way which I have never experienced. I fell on the bed and when I tried to get up, it spun again. My husband made me drink water and helped me in getting up. I felt tired and when I laid down, my head spun again. I started crying, felt nauseated and then I vomited. Only water in vomit and I felt hungry. After breakfast, I have not felt that head spin but I am not stable as well. I feel like the ground is shaking. Of note, I took Fexet four tablets. Please provide your opinion. Doctor: Hello. First of all, get relaxed. Do not panic. Everything has some solution. According to your complaints, it looks like a BPPV (benign paroxysmal positional vertigo) which is a problem occurring due to some calcium crystal deposition in the internal ear, the part which helps in maintaining a balance of the body. You need to visit a nearby neurologist or a physician for physical treatment with Epley maneuver. In rare cases, it could be a cerebellum-related problem which needs imaging studies. But first, we need to rule out benign paroxysmal positional vertigo. You will be fine in a few days. You need a referral to a neurophysician. Preventive measures include avoiding non-vegetarian foods for few weeks. Drink plenty of water. Avoid sudden waking up from bed or bending forward from a chair. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18912, + "tgt": "How can I manage itchy penis?", + "src": "Patient: Hello doctor, I was suffering from itchy penis and sore throat. Recently, I have used Tamiflu, Advil and Tylenol for fever. It has reduced the sore throat, but itchiness is still there. Could you please advise? Doctor: Hello Relax and do not worry. You may be suffering from a urine infection. So, if possible, I suggest you get urine routine, culture and sensitivity report. The above test will diagnose urine infection, if present. Meanwhile, you should drink plenty of fluids, take syrup Cital (Disodium hydrogen citrate) 10 ml in a glass of water three times a day for two weeks and tablet Flavospas (Flavoxate) one tablet in morning and evening for two weeks. The above medication will reduce your itching. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5156, + "tgt": "What can cause pain at the joint?", + "src": "Patient: Hi doctor, My inner muscle is hurting in my upper right leg.\u00a0I can touch and feel a small round lump at my upper leg joint. I am having it for the past three days. Today, I am feeling more pain. Please help. Doctor: Hi. I have gone through your query and can understand your health concern. Revert back with the x-ray reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15710, + "tgt": "Is it normal to get floaters after laser treatment?", + "src": "Patient: Hi doctor, I recently went for LASIK examination and an ophthalmologist said I have a few weak spots and I need to get barrage laser before LASIK. I am highly nearsighted -7 and -8 diopter. I got my barrage laser a few days back but I noticed floaters and a small light around the corner of my right eye which occurs occasionally. Is this common? Also, how long will it take for new weak spots or tears to appear after barrage? Doctor: Hi. It is normal to see floaters and light post laser also because the retina is a light-sensitive tissue but if it increases in frequency and shower of floaters occurred then immediately call for a checkup. There is no time limit for fresh spots to develop. We cannot comment on it. It may take days to years but mostly I have seen in my patients that it is less likely to develop in near future once laser barrage is done." + }, + { + "id": 8274, + "tgt": "Can I get HIV if I got a cut on my finger from someone's broken phone screen?", + "src": "Patient: Hello doctor,I was using my driver's mobile phone and his screen was totally broken and after a few minutes, I noticed that I had a cut on my finger. If there was blood already on the screen and if I got a cut and there was a little bleeding on my finger then can I get HIV in this situation? Should I get tested? Doctor: Hello. I have noted your concern. There is no risk of HIV (human immunodeficiency virus). Firstly, the virus does not survive outside the body for more than a few seconds and dies quickly on drying. Moreover, a minor cut does not provide direct access for the virus into the blood. It has to be a fresh deep actively bleeding wound for the virus to gain access to the bloodstream. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3384, + "tgt": "What should I do for my fungal infection?", + "src": "Patient: Hi doctor, I am having fungal infection on my inner thighs, ankle, arms and back for about six months now. I have taken 250 mg Terbinafine for one month along with antifungal cream. But, I did not see any difference. What should I do? Doctor: Hi. I read your descriptions. Revert back after a month with photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25747, + "tgt": "My face gets bloated with seasonal changes. How can I get this treated?", + "src": "Patient: Hello doctor,I have an issue. Every time when the season changes, my face becomes bloated and lips become chapped and nose becomes wider. It resides for at least two months. Even after exercising, I experience the same issue. It does not hurt but makes me look weird. I am not able to figure out what is the issue. Sometimes I find that eating peanuts also result in face bloating for me next morning. It affects my daily routine indirectly. My looks vary on a daily basis but when the season changes this issue increases. Doctor: Hello. When the season changes, you get these troubles right? Could you describe more? Widening of the nose - does it mean the nose becomes larger? Which area of the nose? The bony area at the top of the nose or the soft area towards the bottom of the nose? Do you have a picture of the widening? Does it happen during wintertime or during summertime? Are there any other symptoms along with that like running nose, nose blockage, decreased sensation of smell, postnasal drip? The bloating of the face - does it produce any redness or rashes? Like after eating peanuts does it cause itching and rashes? Do you get this problem with any other food item? Did you change your place of residence recently? Is it after your change of residence that these problems started surfacing or are they present for a long time? Have you taken any medicines to relieve yourself of these symptoms? For how many days do these symptoms last? How do they resolve? Have you shown to any doctor? Have you done any blood testing? Any allergy testing like skin prick testing or blood allergy profiling have you got them done? If so can you share the report with me? Along with these is there any breathing trouble? any chest problem or wheeze or asthma? Have you faced these troubles after exposure to any dust outside the house? What is your profession and do you travel on a two-wheeler? Please provide us all these details. Please click a picture of yourself from the front and from sides and upload to us. Do take a picture of open mouth showing details of the oral cavity and throat and posterior pharyngeal wall and send us. We will help you out with the problem. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 7744, + "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": 22266, + "tgt": "I am concerned about discolored patches on hip. Kindly advise", + "src": "Patient: Hello doctor, I am a 59-year-old female. I have discolored patches on my hip that just recently developed. Within the last month, I have had CT stomach, routine blood work, X-ray but they all returned normal. I do have chronic stress and I have been constantly losing weight and usually go to pass stool two sometimes three times a day. The stool is usually semisolid and there is frothy pale yellow liquid in it. I am not sure what is causing this discoloration, but I am really concerned. Doctor: Hi. There are a number of causes of pigmentation, but you have not provided a picture to look that what type of pigmentation you are having. In my opinion, send a picture or see a doctor physically. Also, inform if other sites are also involved. Causes include drugs, diabetes, malignancies, idiopathic, post inflammatory, hepatitis, etc. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8848, + "tgt": "What are the ways to stop daytime breastfeeding?", + "src": "Patient: Hello doctor, I am exclusively breastfeeding my 7 months old baby. My baby has started solids. I give her two meals and two snacks. I am planning to go back to work now. My question is how do I stop daytime breastfeeding? Should I breast pump and bottle feed her or should I start Formula? Doctor: Hi. It is better to breast pump and store the milk rather than Formula feed. The breast milk should be stored in hygienic conditions in the fridge separately from other food items. The milk need not be heated again before consumption but the bottle in which it is kept should be put in warm water (along with milk in it) so as to warm the milk." + }, + { + "id": 14060, + "tgt": "I take Quetiapine XR 400mg. How can I gradually withdraw?", + "src": "Patient: Hello doctor, I take Quetiapine XR 400mg. How can I gradually withdraw? Doctor: Hello. Quetiapine is an atypical antipsychotic, with a half-life of less than 24 hours. It has a benefit of not causing extrapyramidal side effects. However, it can cause sedation, postural hypotension, and urinary complaints. Although it does not cause any withdrawal symptoms, it is recommended to stop gradually by tapering over a period of time. As you are taking 400 mg XR formulation of Quetiapine, you can taper it by 100 mg every 2 days until you reach a dose of 100 mg, when you reach 50 mg, take 50mg for one more day and then stop. However, if you are taking Quetiapine for some psychotic conditions or acute mania/ BPAD (Bipolar Affective Disorder), I would suggest you to consult your treating psychiatrist before tapering your medications, as at times unsupervised tapering can lead to the reappearance of the symptoms." + }, + { + "id": 29522, + "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": 6969, + "tgt": "Does fluoxetine cause restless leg, headache and increased sweating?", + "src": "Patient: Hello doctor, I have been on Fluoxetine antidepressant drug for a few years. I just started to notice few change, but I do not know what to do. I am getting more headaches than normal, restless legs at night and hot sweat most of the day and night. Are my problems related to the drug? Can you prescribe any medicine for this? Doctor: Hello. Yes, the problems you are facing are most likely related to long-term side effects of the drug Fluoxetine. Mild headaches and sweating are known side effects intrinsic to Fluoxetine. Usually this drug is tolerated by most patients only at the lowest effective dose. Also studies have shown that Fluoxetine exaggerates pre-existing restless legs syndrome (RLS) in many patients. From the given information, it seems that the side effects of Fluoxetine are beyond the tolerable levels for you. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13110, + "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": 21147, + "tgt": "Please suggest homeopathy medicine for pain in kidney area without any stone detected", + "src": "Patient: Hello doctor, I was diagnosed with 10 mm stone in the left ureter four years back. I started to taking following medicine: Berberis Vulg Q 10 drops three times, Hapro Xpel drops 20 drops three times (composition: Berberis Vulg 10x, Sarsaparilla 10x, Terebinthinae OL, 8x Cantharis 8x, Lycopodium 12x, and Hydrangea Arb \u00d8). After medicine, I got relief but I got piles. Last month I did an ultrasound and no stone was detected. So, I stopped Berberis Vulg Q and continued diet without any restriction and I was taking 1 to 1.5-liters water daily now for the past five days. I have pain in the same region and I feel sometimes like vomit. Pain is manageable without any painkiller. Please suggest what should I do. Also is taking Cystone syrup safe with these homeopathy medicines? Doctor: Hello. According to your query, the stone was not there in ultrasound but only pain in the kidney area. The reason for pain may be the light gravel of stones which might be in the urinary bladder or urinary tract which is not visible in the ultrasound. Do the following: Diet should be restricted with avoidance of any cold drinks, hard substances, pulses, etc. Take three doses of LYCO 200 (Lycopodium) potency for three days. Dose to be taken: One dose every day early morning without eating anything. Take three doses for three days. Do not take anything like syrup or antibiotics in between. You can take a painkiller. Increase your water intake and drink lukewarm water one full glass before sleeping. I will continue the further treatment after three days." + }, + { + "id": 24169, + "tgt": "I have not started menses two months after abortion. Please advice", + "src": "Patient: Hello doctor, I am a 32 year old female. I took Breeky for abortion two months back which completed successfully. Now, I have not yet started menses. Please advice. Doctor: Hello. Normally, the periods take around two to three months to resume after taking Breeky (Misoprostol). I see you have a high BMI (body mass index). That may be one reason for irregular periods. Also, hypothyroidism needs to be ruled out. Just check your TSH (thyroid stimulating hormone) and if it is more than the upper limit of normal, do consult a doctor nearby for starting treatment. In the meanwhile, try to cut down your extra calories and do workout. Hope this helps. Get back if you have any queries. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25759, + "tgt": "I have pain in my penis. Can I be infected with HIV?", + "src": "Patient: Hello doctor, I had unprotected sex 90 days back and my symptoms now are penis pain. The body pains, muscles pain, and my upper lips have white spots. Two months ago, I got a sinus surgery. I am afraid of HIV. After 65 days of the exposure, I had an RNA-PCR test done, p24 and a duo combo test. In 90 days, I had a Western Blot and ELISA test and everything came negative. I have a tonsils problem too. Doctor: Hello. I have gone through your problem and understand your concern. As all the test for HIV (human immunodeficiency virus) are negative at the initial level and after 90 days, it means you are not infected with this virus. So do not panic. Pain at multiple sites can be due to other medical conditions that are psychological in origin because of excessive worry and anxiety. For white spots on the upper lips, get a consultation with a dermatologist to find the cause of it. Probably you are having too much anxiety as to suffering from a serious infection. In such situations, SSRI (selective serotonin reuptake inhibitors) and psychotherapy are helpful. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25695, + "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": 6821, + "tgt": "What causes a lump at the back of throat?", + "src": "Patient: Hello doctor, I have a lump at the back of my throat (oropharynx). When I look inside my mouth, I can see it. The veins around it are enlarged and well visible. I asked my doctor what it is, and she told me it is an enlarged lymph node. I do not fully trust it, since I cannot find any lymph nodes in literature at the exact spot my lump is at. It is directly in the middle, and I thought the lymph nodes of the mouth were located on the sides of the head or throat. I would say it is not more than 1 inch in size, and it has no yellow or black spots. Doctor: Hi. Mostly it is an inflammation of the lymphoid adenoid tissue as it can extend downwards from the nasopharynx. Is it painful or tender to food?" + }, + { + "id": 10353, + "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": 18849, + "tgt": "Is it normal to have multiple migraines in a week?", + "src": "Patient: Hello doctor,I need your advice, please. I am a 44-year-old working mother of three children and normally in great health. In the last 20 years, I have had about three visual migraines. There is no headache and I get back to normal 30 minutes later. This week, I had a visual migraine on Monday, felt a bit nauseous afterward for the rest of the day. I woke up on Tuesday and felt normal. Then about 8.30 AM started with another visual migraine. Then, I had a terrible headache and vomited. The right cheek and right arm went numb that lasted all day. I had another one on Wednesday and a fourth on Thursday. The thing that is worrying me is that I am still not back to normal. I could not remember people\u2019s names at work on Friday and felt totally spaced out and at times confused. I did not remember speaking to my mother on the phone this morning. In fact, I rang her and when she answered through the car speaker I had forgotten it was me that rang her. I saw my GP on Friday and she said no red flag symptoms but she has referred me to a neurologist as I have had multiple migraines and this is unusual. My appointment is on the 20th. The thing that I want to know is should I be going to the ER sooner for a scan? I know myself I am not behaving normally and my close family and friends have noticed. Doctor: Hello, Welcome to icliniq.com. Your symptoms could be related to status migrainosus, which causes a temporary dysfunction of some brain regions related to persistent migraine attacks. For this reason I would recommend performing a brain MRI (which would be better compared to the CT scan) and some blood laboratory tests to investigate for possible causes which have triggered these frequent migraine attacks as follows: If a brain MRI (magnetic resonance imaging) cannot be performed in a short period of time, a brain CT (computed tomography) scan would be an option in case of persistent migraine attacks. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13663, + "tgt": "Kindly guide me about taping my shoulder to avoid dislocation", + "src": "Patient: Hi doctor, I am 21 years old. I was wondering due to my shoulder being really bad and after doing surgery and still, even after that I am always dislocating it. I have been trying to tape it but I am not 100 % sure how to do that, so it will minimize the chances of it dislocating while snowboarding. I have been wondering whether the kino tape would be better or just a normal sports tape and if you could give me tips on how to tape my shoulder, it will be really helpful. I do exercises to try to stabilize shoulder but not with alot of progress. Doctor: Hi. I read your concern. In your case, taping can help you little in stabilizing the joint. However, Kinesio tape helps you to recruit or inhibit muscle and is of less help in providing stability to the joint. If you want to tape, then go for rigid tape. If you were my patient, I would honestly suggest you go to a good arthroscopic surgery and get your stabilization surgery properly and follow the proper rehabilitation protocol before attempting to start your sport. You have to first regain your stability range and strength before introducing to your sport again. If you are really keen only in taping, then tape your shoulder in that position which limits your sideways lifting and outward rotation of the shoulder which is actually a difficult position to limit. Stabilize your scapular muscles and can limit the scapular movement limiting the shoulder mobility. However, in a long run, this will not help you to make you independent. Just think about getting a good arthroscopic stabilization to your shoulder." + }, + { + "id": 28494, + "tgt": "How to plan the treatment for ear pain?", + "src": "Patient: Hi doctor, I am a 22 year old female, suffering from ear pain. The doctor confirmed that it is due to some\u00a0virus and there is a\u00a0small hole in my\u00a0ear. Some tablets and Otobiotic drops were given. Still, it did not cure my pain. Please help. Doctor: Hi, Welcome in icliniq.com. I understand your concern. You are probably suffering from CSOM (chronic suppurative otitis media) with otitis externa. My advice is to consult your ENT doctor for thorough examination of the ear and necessary investigations to know the real pathology for planing final treatment of eardrum perforation. For your ear pain due to secondary infection, I suggest the following. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 13534, + "tgt": "Can I get complete cure for PCOD through Ayurveda?", + "src": "Patient: Hi doctor, I am a 30 year old female. I am suffering from heavy periods for the past seven months. PCOD is diagnosed in ultrasound. Amycordial and Amree Plus are the medicines given by an ayurveda doctor. Shall I take ayurveda treatment for this? Please suggest. Doctor: Hi. You need to undergo a process called virechana - ayurvedic detoxification. This is a six-day therapy, works wonders on PCOS (polycystic ovarian syndrome). Consult a panchakarma specialist for physical evaluation and to undergo virechana. The prescription suggested by your doctor has insufficient medications to get the desired results. In my opinion, please start the following medicines in addition to them. I would have been more precise if I had more details but with the information provided by you, I suggest the following. Get back to me after a month of taking these medicines. Regular exercise, healthy diet with fruits and vegetables are advised too." + }, + { + "id": 4922, + "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": 10901, + "tgt": "Can kitten allergy in family members make me allergic too?", + "src": "Patient: Hi doctor, I am thinking about getting a kitten, my father and brother are allergic to it. So, it will be kept in the upper room. I want to know if I have the same allergies. During my college days, I have spent six years with cats, never touched them but you could see them walking around, some even came close and hid under my tables. Doctor: Hi. Allergy can run in families, you have a chance of being allergic as your father and brother are allergic to cats but not a must. Being close to cats in the past for many years is a good indicator that you might not be allergic to cats but still allergy can develop at any age. You can do a skin allergy test by a dermatologist (skin doctor) to know if you are allergic to cats or not. Skin allergy test. ?Allergy. Avoid contact with cats, if proved to be allergic." + }, + { + "id": 12815, + "tgt": "Can myelopathy associated with Hashimoto's be treated?", + "src": "Patient: Hello doctor, I am a 59-year-old female who was diagnosed five years back with the rare I have not had an MRI scan or seen by a neurologist for a follow-up. Since I was diagnosed, I have not been given a prognosis of myelopathy associated with Hashimoto\u2019s. I was paralyzed from the chest down before diagnosis. I was put on a course of three months Steriods and then 125 mg Azathioprine which was in last year and increased to 150 mg currently. I get three hours of physio a week and three monthly blood tests, full blood count, TPO, and TSH. In your opinion what would be the expected neurological care for this condition, and the absolute minimum acceptable standard of care? Is an annual MRI necessary? Should a specialist be able to provide a prognosis on my condition? Any other advice you consider helpful to me. Doctor: Hi. I am sorry to hear about your illness. You are likely suffering from Hashimoto's myelopathy based on your description. It is rare condition and only a handful of cases have been described worldwide. It is known to be very steroid responsive and there should be a remarkable improvement with steroids injections. If you had no response to the injections, I wonder about other diagnoses as well, given you have a history of cervical disc bulge causing weakness. The best way I can come to a better answer is by looking at the MRI images of the spine and brain, report of CSF studies with CSF level of anti-thyroglobulin and anti-microsomal antibodies. If we are seeing damage in the cord and the muscle power testing is weak with atrophy of muscles, for the past three years, then the recovery will be guarded. I will strongly advise, rehabilitation with PT, OT and botulinum toxin injections or spinal cord pump installation if significant spasticity is there in both legs." + }, + { + "id": 22645, + "tgt": "What is the procedure for dental implants in place of fixed prosthesis?", + "src": "Patient: Hello doctor,I lost my upper incisor after a childhood injury which later on was replaced by a dental bridge by a dentist who damaged my three healthy teeth to fix the bridge. It has been 15 years now and I want to go for implants. So, I have questions about what would be the whole approach? My bridge will be removed along with the teeth it is fixed on? And after how much time implants will be done? Doctor: Hello. Basically, getting implants is a surgical procedure where the dentist would be putting an implant in your bone through a small surgery under local anesthesia. After that you will have to wait for a few months for the implant to osseointegrate inside the bone means it will adapt itself inside the bone like the natural root. After that, there will be a second stage surgery, a very small procedure. After a few months, you will be getting the crown or the artificial tooth permanently. But before all of this, you need to get your bridge out, the teeth will not be removed with the bridge. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18951, + "tgt": "I have pain and edema after being hit in the scrotum. Will my fertility be affected?", + "src": "Patient: Hello\u00a0doctor,I got hit in the right scrotum three months back. I underwent an ultrasound and my report reads:Minimal hydrocele found.\u00a0The scrotal wall appears edematous.This was on my right scrotum. The left one is normal. On the doctor's advice, I took Akeso, Chymoral, Hetrazan tablets for two weeks. I\u00a0suffered huge pain on alternate days for the first month. The pain gradually decreased. Now after two\u00a0months, I went for an ultrasound again. This time my report reads:Grade-1 varicocele seen on both side.Mild diffuse scrotal edema in the anteroinferior aspect (thickness 7. 89 mm) on right.I took Banocide forte and vitamin tablets.Now, I feel mild pain on sexual arousal in my right scrotum, mild pain while touching the exact site of injury on the right side. I have irritation and hotness after prolonged sitting. The left is normal. I cannot ride my\u00a0bike due to this. Also, will masturbation worsen the condition? Should I stop it? I used to do it two to three times a week. Will my condition affect my fertility? Will I get complete recovery from my pain and condition? I am worried. Expecting your reply soon. Doctor: Hello. First of all,\u00a0trauma on the testis is very common. As it is a very sensitive structure, pain and discomfort will be there and will persist for some weeks to months also. You will get cured, but it may take some time. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 3777, + "tgt": "I have dry eyes with weird eyelids and eye lashes. Could this be due to Demodex mites?", + "src": "Patient: Hello doctor, I have been suffering from dry eyes for four years. I have seen many eye doctors, but no cause has been found. A while ago, I started noticing my eye-lids looking weird. I also discovered I had Demodex mites on my face, but none were found on my eyelashes. However, I made some photos of my eye-lids and found the base of my eye-lashes looked white. My question is, could this, after all, be the sign of Demodex mites? During these four years of dry eyes, I get occasional left eye pains. The problem is exacerbated by computer use, reading, being outdoors. My eyes are not red, no blurred vision, no excess tearing. Warm compresses, eyelid massages, eyelid hygiene, and diet changes did not help. Around a year ago, eye-lid problems started. My eyelashes do not fall out easily, though. Doctor: Hi. We do have natural microbe or flora on our face and eyelashes but Demodex mite cannot be, it is a foreign microbe that needs to be treated. I can see the images (attachment removed to protect patient identity) and there is redness beneath the eye and also white at the base of the eyelash. There are many reasons for it, firstly, are you having psoriasis which itself can be flared up and needs treatment by a skin specialist. This also has an effect on eyes causing dryness and burning. Secondly, as you are saying dandruff that you have to check. Do you observe it at your hairs, shoulders, and eyebrows? That also has to be treated by antidandruff shampoo again call for a skin specialist. Thirdly, blepharitis because it also causes similar symptoms apart from the face. Do you have any other symptoms like thirsty mouth, itching in any part of the body, or rashes? Well, I would suggest you to get it checked once with a skin specialist also because it is now a chronic condition. I will write medications for you. Eye ointment Dexamethasone over the eyelashes at night and day for 15 days. Eye drop Systane ultra (Polyethylene glycol) four to five times a day for 15 days. Eye ointment Neosporin at the face just down to eyes where rash is there. Genteal gel at night and day inside the eye. Use any anti-dandruff shampoo. use anti mite shampoo for hairs. Lid scrub by scrubbing it with buds dipped in one part of shampoo and two parts of water. This should be continued for 15 days. Please consult a skin specialist. It is important since you are so much in pain." + }, + { + "id": 24818, + "tgt": "Why is there sore throat and swollen lymph nodes after protected sex?", + "src": "Patient: Hi doctor, I am just recently divorced and I have children. I have not had any new sexual partners but last week I met a man and without planning it, by the weekend we had sex. I was under the influence of alcohol so my judgment was impaired. He performed oral sex on me (but I did not) and we rubbed genitals for ages to make him hard. He never penetrated me fully but his penis was around that area for a while and probably pushing around entry area. When we actually had sex, he used a condom and ejaculated into that. I am completely panicked. It is day six and I have got a sore throat, swollen lymph nodes and achy muscles and I am itchy all over. I went to the GP today and was tested for everything but in the meantime, I am going crazy. He is a bit of a stud and has had other women. Do you think I am at risk? Doctor: Hi. Receptive oral sex carries a risk of transmission of herpes simplex virus if he has a history of cold sores. Otherwise, it can be assumed to be safe. HIV is not a risk because saliva is not infectious. As far as rubbing genitals is concerned, if there was no penetration or any fluids exchanged (precum), then it carries a negligible risk of HIV though there is a risk of genital herpes and HPV especially since it was a prolonged rubbing. However, penetrative sex is not safe, and there is a risk of HIV and other STDs like herpes simplex virus infection, syphilis, gonorrhea, chlamydia, and HPV. You may take a full panel STD screening including genital herpes, gonorrhea, chlamydia, syphilis, and HIV, especially if you are not sure whether he penetrated and if he had precum. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23068, + "tgt": "How to cure acne that has been there for 17 years?", + "src": "Patient: Hello doctor,I am 29 years old and suffering from acne from the last 17 years. Can you please help me? Doctor: Hello. You would need oral retinoid treatment from your dermatologist for four to five months for treatment of acne. Have you taken any treatment previously? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12727, + "tgt": "Why is my vaginal opening is too loose without any sex?", + "src": "Patient: Hello doctor, My vaginal opening is too loose without any sex. I do not know what is the reason? Can you please tell me what is the reason? Doctor: Hi, Welcome to ilciniq.com. How are you? Hope you are fine. I have read your problem carefully. There is some lack of information. Your age, profession, height, previous sexual history, etc. You should remember that a loose vagina is a myth. It is a misconception. The vagina is elastic. With your age, it may lose their elasticity. So opening may lose their elasticity. Vaginal opening may be loose. If the looseness is fixed and not progressive you can wait. If loosening is progressive you should consult with a medical specialist or gynecologist-obstetrician. There is some exercise of pelvic muscle which may help such as Kegel exercise, pelvic tilt exercise. Do not be panic. Lead your normal life and observe." + }, + { + "id": 2692, + "tgt": "I have sharp pain while breathing with no lesions. Why do I get this?", + "src": "Patient: Hi doctor, I have pain for the past four weeks already. The pain is consistently sharp and takes my breath away, and stabbing. And with the pain, I have spasms all over my body. I can feel some pulsation inside my left upper side under my ribs and the pain starts with the cramps on my back going to the front with the contraction pain. My blood and urine are fine. I had done an MRI scan. And the MRI says normal appearance of the liver. No focal lesions are seen. The gallbladder is normal. No intrahepatic biliary duct or common bile duct dilatation. I just would like to know what if no intrahepatic biliary duct or common bile duct dilatation is normal. Please help me to understand. Doctor: Hi. Inflammatory conditions like costochondritis must be ruled out. As of now, you can use analgesics and anti-inflammatory combination like Aceclofenac, Seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated." + }, + { + "id": 11509, + "tgt": "What should be done for fluttering sound in the ear?", + "src": "Patient: Hi doctor, I am having a polyp in my sinus and have been suffering from frequent cold for a long time. Now, I am facing a fluttering sound in my ear. What should be done? Doctor: Hi. Generally, polyp in sinus needs to be removed. If ethmoidal polyp, then it can be treated with steroid spray. Ear problem can or cannot be due to a polyp. You need to tell your complaint in detail. Sometimes, polyp can block the eustachian tube and ears and it can cause ringing or fluttering in the ear. Kindly tell me in detail so that I can guide the treatment. If you have got a CT scan done, then you can send me or else you must get a CT scan PNS (paranasal sinus) done. Revert back with detailed history to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15246, + "tgt": "My gums are itchy after eating. Please help", + "src": "Patient: Hi doctor, My gums are itchy after eating. I used mouthwash. After using it, I usually rinse my mouth with water. I started to have a burning sensation in my gums after using mouthwash. But still, my gums are itchy. Doctor: Hi. You have gingivitis. You have itching sensation after having meals is because of the periodontal pocket presenting with a gap between the teeth and gums. Please mention about the mouthwash used whether it is Chlorhexidine or H2O2 (Hydrogen peroxide). If you use H2O2, it should not be used more than 5 % concentration. Sometimes, mouthwash can cause a chemical burn. Doing dental scaling (oral prophylaxis) is necessary." + }, + { + "id": 4577, + "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": 2120, + "tgt": "I am hypertensive with grade 1 diastolic dysfunction. Is it safe for me to go out during COVID-19?", + "src": "Patient: Hello doctor, I am having a history of hypertension for the last 13 years. My BMI is around 39 and recently I found grade 1 diastolic dysfunction. What is your advice on going out to the office? As I am working in a bank and it comes under essential services. What precautions should I take against COVID-19? Doctor: Hello, Welcome to icliniq.com. Certainly, you fall into hig-risk category and prevention is very important in your case, so ideally you should avoid going to bank or outside as much as possible. But this may not be possible for essential service providers like you, doctors. If you could not manage to stay home then take full precautions like using mask all the time, keeping distance from all the individuals, using sanitizer frequently, etc. If your BP is remaining above 140/90 mmHg for most of the times then you need to get some more medications added like tablet Cilinidipine 10 mg once or twice daily depending upon the requirement. Also, LDL cholesterol of 181 is too much elevated and you need to be on medication for it as well along with healthy lifestyle like tablet Rosuvastatin 10 mg bedtime for eight weeks. So, you need to take full precautions as you fall into high risk category. I hope this helps." + }, + { + "id": 3202, + "tgt": "I have loss of appetite and dry lips after taking Adilip 135. Why?", + "src": "Patient: Hello doctor. I am 35 years old. My triglycerides are 628. I am taking Adilip 135. But since I have started taking the medicine I have lost my appetite i.e, I do not wish to eat anything and I am feeling heavy stomach always. Simultaneously, I am having extremely dried lips round the clock. I have started using Olive oil in my food. I take one glass of milk (dairy non-creamy) daily. My diet is three chapatis in the morning, five chapatis in the noon, one bowl of roasted chooda in the evening, three to four chapatis at night and I glass of milk. I take approximately 1.5-2 liters of water in a day. Kindly suggest me why I am having dry lips and loss of appetite? Do I need to change my diet? Doctor: Hello. I have thoroughly gone through your case and can well understand your genuine concerns. What about the family history of high cholesterol in your family? Is there family history of diabetes in your family? Is there heart disease history in family? Anybody in your family have diabetes? Are you a diabetic? If not ever got screened for diabetes? Do you have hypertension? If not, have you ever screened for it? Any other medications you are taking for any reason? The symptoms you have may be due to: Side effects of the Fenofibrate you are taking for hypertriglyceridemia. Diabetes also leads to the issues you have. Fasting lipid profile. Fasting blood sugar levels. (Do not just tell me the triglyceride levels. Make a picture of the reports, and please upload them in a follow up query along with the aforementioned asked details in the history). Your best treatment is lifestyle modification. Add exercise in your routine life. Jogging for 10,000 steps at a healthy pace daily will lead to a fair decrease in your triglycerides levels. Olive oil is also good. Canola oil is also a good option for cooking. But try to cook in non stick utensils without using more than a few drops of oil. No meats, fried food, fast and junk foods, beverages, alcohol, and cigarettes. No added salts and sugars. No spices and caffeinated drinks for you. Avoid cheese, yogurt, ketchup, etc. You need to change the diet. One chapati for breakfast and one for lunch, half chapati at dinner. You are taking extra diet. Our diet makes cholesterol. Not only fatty and oily meals lead to the production of cholesterol, but also the sugars, carbohydrates, and proteins (amino acids) also lead to the manufacture of de novo cholesterol through a metabolic process called metabolic cross-talk. Take salads, vegetables, and fruits. Fish is better for protein intake." + }, + { + "id": 13576, + "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": 12854, + "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": 8987, + "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": 2416, + "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": 26487, + "tgt": "Can you suggest any ayurvedic medicine for bloating and incomplete bowel movement?", + "src": "Patient: Hello doctor, I am having bloating and incomplete bowel movements for the past six to seven months. There is a light pain in my left abdominal area for the past two days. Please let me know the reason behind this. Doctor: Hello. I read your query. As you mentioned, you have a\u00a0problem of bloating and incomplete bowel evacuation for some time. You also have abdominal pain that can be due to gas. To avoid this, follow the instructions mentioned\u00a0below: I hope you have understood my suggestions. Regards. For more information consult an\u00a0ayurveda specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14461, + "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": 28141, + "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": 30894, + "tgt": "Are we on the right track of treatment for my mother?", + "src": "Patient: Hi doctor, My mother is 60 years old. She has a history of high blood pressure. For the past two months, she has been having some pain in the stomach, which then shifted to back.\u00a0During diagnosis, increased pus cells were found. After taking treatment for a month, the pain still continued in the stomach as well as in the back. Then, we moved to orthopedician. There he found that ESR has raised to 80 mm and prescribed the medicine accordingly. After taking those medicines for a month, the ESR has only reduced to 65 mm.\u00a0My query is whether we are on the right track and this recovery is sufficient I am attaching latest laboratory reports and medicine prescription. Doctor: Hi. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 17428, + "tgt": "The slightest intake of sugar causes premature ejaculation. Please help", + "src": "Patient: Hello doctor, I feel some discomfort in my urethra, which results in premature ejaculation. I suspect it is due to irritation from the intake of sugary food or any other food. The slightest intake of sugar causes premature ejaculation. Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4978, + "tgt": "Why do I have indigestion and vomiting since a month?", + "src": "Patient: Hi doctor, I am having indigestion and vomiting since one month. It is not frequent, but twice or thrice in a week. When I am having my dinner after eating half of the meals I feel some air in my stomach and suddenly vomit everything. I am having this issue in the morning too. When I wake up, I feel my stomach is full. Indigestion is also there. Please suggest me some medicine. Thank you. Doctor: Hello. 1. It is usually due to changes in the pH of the stomach and changed secretions including hydrochloric acid. Go for some tests and upload the reports. 2. Other causes may be a gross pathology of the gastrointestinal tract most probably in the upper GI tract. For that, an endoscopic examination is mandatory to rule it out. 1. H.pylori (Helicobacter pylori) screening test. 2. Esophagogastroduodenoscopy (EGD). 1. You need to consult a gastroenterologist for thorough evaluation and management. He will go for EGD. 2. Ask your physician for prescription of Dexilant (Dexlansoprazole) twice before meals and Itopride thrice a day before meals. 3. Take Citrucel (Methylcellulose) dietary fiber supplement with plenty of water. 4. Take bland diet and avoid spicy, hot and sour meals, fast and fried food. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8657, + "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": 2586, + "tgt": "How could a person respond to Venlafaxine for bipolar disorder 2, if not with SSRI?", + "src": "Patient: Hello doctor, To start, I have bipolar disorder type II, social and generalized anxiety disorders. Previously, I failed to SSRI medications such as Zoloft, Prozac, Lexapro. I tried Lithium, Depakote, and Carbamazepine with no success. However currently, I take 50 mg of Lamictal and 75 mg Venlafaxine. This treatment kind fits me because I have lessened anxiety levels for sure. It is my first week on Venlafaxine XR. And the second week on Lamictal. In a few days we will increase Lamictal to 100 mg and after two weeks to 200 mg. I also take Tranxene 10 mg if needed, as well as Olanzapine 10 mg. How come I responded to Venlafaxine XR so fast, when I did not respond to SSRI? I lack energy and motivation, should I increase Venlafaxine XR to 150? If so, will it have more effects on my anxiety and depressive episode? Doctor: Hello. It is good to know that you are responding to your current medication. Venlafaxine XR is an SNRI (serotonin-norepinephrine reuptake inhibitors) which can be helpful when SSRIs (selective serotonin reuptake inhibitors) have not been effective. I note that you have been tried on different SSRIs and mood stabilizers before with no success. It is positive that you have found Venlafaxine XR 75 mg to lessen your anxiety. I will advise to continue with the titration regimen suggested by your prescribing doctor. Do not rush to increase the dose to 150 mg as titration needs to be carefully considered after weighing up your response and any side effects. As you are also on increasing dose of Lamictal it makes sense to do the titration gradually. Have regular follow up with your prescribing doctor as you are on multiple medications and need to monitor. Along with medication, I hope you are also having therapy/counseling to manage your health. I hope this helps." + }, + { + "id": 23759, + "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": 18966, + "tgt": "What is the reason for head spinning and heaviness?", + "src": "Patient: Hello doctor,My mother is 75 years old. She is suffering from head spinning and heaviness problem since the last six months. Her BP, sugar, thyroid and other blood test reports are normal. After getting a suggestion from a doctor (Medicine) she had gone on an MRI test. The MRI test (non-contrast) of brain report was given with a doubt of evidence of blooming in GRE in the left parietal lobe and right basifrontal lobe without evidence of perilesional edema and advised for further evaluation with contrast to rule out calcified granulomas and other etiologies. Also, MRI report findings include:Small vessel white matter ischemic changes.Chronic lacunar infarct in the right external capsule.Mild cerebral atrophic changes.The Doctor of medicine gave medicines for the treatment of vertigo and nerve but suggested to show immediately to a neurologist. My mother does not know the brain problem and she refuses to go to a doctor for further checking due to her fear. So, I need your help. Doctor: Hello. I have gone through the detailed query and understand your concerns. In my opinion, there is a definite need for face to face consultation as it seems to me that there is a need for cognitive evaluation. The MRI changes observed are indicative of vascular pathology and should be treated if concomitant symptoms are present. Regarding the doubtful observation over MRI, nobody can help with this. Either one sees the MRI report or you get contrast MRI. This will unearth the true pathology of blooming in the parietal and frontal lobes. Since there is no edema, it can be concluded that there is little possibility of malignancy or recent changes but it does not rule out the chronic healed granuloma. I request you to do following: I hope this helps you. Thanks and regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22171, + "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": 28399, + "tgt": "I have sharp stabbing headaches, which get worse after exercise. Should I go to a doctor?", + "src": "Patient: Hello doctor, I am an 18 year old girl, who weighs 140 lbs and I am 5.7 feet tall. I get sharp stabbing headaches, which get worse after exercise. I also feel a less intense pressure throughout my head. I have this problem from the past four years, and they are getting worse. When I am stressed, I get these headaches 10 to 30 times a day. They last for about 20 seconds to 20 minutes.\u00a0I get a pressure between my eyes that makes me feel dizzy, and I feel nauseous, and it is the same feeling as the stabbing headaches but less intense.\u00a0These headaches have recently become more frequent and last longer.\u00a0I can feel it behind my eye sometimes too. When I get it somewhere else, my eyes water up. It increases when I strain my back, bend over, and when exposed to light. My long distance vision is possibly decreased, sometimes I have very slightly blurred vision. I always seem to be nauseous. I even have memory problems, and the things I want to say do not come out properly, and I lose my train of thought. I have a constant cold, sleep paralysis, dizziness, and hallucination. I am always tired, and I feel a sharp pain in my neck and shoulders. Should I go to the doctor about all of these things? Or should I not worry about them? Doctor: Hello. Thank you for the query. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 23716, + "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": 9478, + "tgt": "I am having black spots on the tongue. What might be the cause for it?", + "src": "Patient: Hello doctor, I am having black spots on the tongue.\u00a0What might be the cause for it? Doctor: Hi. Black spots on the tongue might be due to: Avoid colored foods, brush twice daily and clean your tongue with a tongue cleaner. Avoid harsh scraping of the tongue while cleaning to prevent damage to the taste buds. Kindly give a detailed history of the duration of the spots, exact location and family history for more help. For further information consult a dentist online--->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12746, + "tgt": "What are the ways to treat blurry vision?", + "src": "Patient: Hello doctor,I am of 21 and I am suffering from permanent blurry eye vision in my only right one. It is by birth. Is there any chance to cure it without any permanent glasses and without any operations. Suggest me, please. Doctor: Hello. I understand that you are having blurred vision in your right eye since birth. This kind of presentation can be due to a variety of reasons, the most important being amblyopia. This is a weakness in your vision nerve and the vision centers of your brain. This diagnosis can be made after the examination of your eye and vision. In case you suffer only from a problem which is cured by wearing glasses, you have the option of getting the surgery done. In case you have amblyopia or other neurological problems, they are not corrected by glasses or surgery, that needs attention. My suggestion is to get your eye test done and read through the job requirements of the jobs you are applying for. In case you are having any trouble understanding or need some help with technical details, please send a scanned copy of your doctors report and your job requirements. I will do my best to help you." + }, + { + "id": 9805, + "tgt": "Does persistent twitching in the calf indicate severe neurological condition?", + "src": "Patient: Hello doctor, I have had strong, persistent twitching in my left calf for over a week, sometimes with intermittent twitching in thigh, foot and buttock of the same leg. I am very concerned about this. I had a neurological exam (strength and reflex testing) at my GP, and he said all looked normal or good or no loss of strength or unusual reflexes. He ordered blood tests, and they have not come back yet, awaiting results. I have been exercising strenuously for the past few months and wonder if it could be exercise-related, but feel alarmed that it is on one side. Two weeks ago, I did not see a stair, stumbled and fell on my left hand, hurting my elbow, which has been in pain too. Physiotherapist hypothesizes this fall could have also brought on the twitch. I am seeking advice as I am quite scared that it could be a severe neurological conditon since I twitch about once every three seconds, sometimes even more, and it has only let up for a few hours before coming back in the same calf and part of the muscle. I have not noticed any real weakness aside from slightly wobbly feeling legs (but can still do a full workout on the gym, walk on heels and toes without difficulty, etc.). Mainly the anxiety is keeping me awake and probably making it all worse. My muscles feel tight and compressed at the moment, from calf up to left hip or buttock. Doctor: Hello. I passed carefully through your question and would explain that the twitching in this calf could be related to a twisted muscle or a pinched nerve (considering the straining physical activity that you have been doing lately and the falling). I would recommend performing nerve conduction studies and a lumbar spine X-ray study to exclude a possible pinched nerve or a bulging disc in the lumbar vertebral column. I would also recommend checking calcium, blood electrolytes, and vitamin D plasma levels for possible deficiency and inflammation tests like complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate). I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 24739, + "tgt": "I have an endobronchial nodule in the right lobe. Is it cancer?", + "src": "Patient: Hello doctor, I have a 0.2 cm endobronchial nodule in the right lower lobe. I was a smoker for 20 years. I had a CT scan for cough and now new nodule. Is this cancer? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). It seems to be a very small nodule. Do not get afraid first. Anyway, we have to confirm the pathology. At present, take treatment for cough. You will need to take follow up if the symptoms continue or after three months if the nodule is progressive. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 23265, + "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": 1716, + "tgt": "I have early periods with heavy clots, cramping and back pain. Are these signs of miscarriage?", + "src": "Patient: Hello doctor, I have some symptoms for the past one and a half weeks that mimic the symptoms when I found I was pregnant with my daughter. I was supposed to have my period tomorrow. Last week, I started with light spotting and it happened on and off for a day maybe less. Then within two days, I started bleeding. I thought it just started early but I have been on occasional bleeding (lighter to heavier) for two days. I have had cramping, back pain, headache and today I had a lot of blood clots, and tissue coming out with it along with right groin pain for a couple of days. I have never experienced these symptoms and they are intense. I am scared this is the start of a miscarriage. But any test I have taken has been negative. I am on the patch for almost a year and have not experienced anything like this, and I have a weird feeling now. Doctor: Hello. First, to confirm a pregnancy, you should perform a pregnancy test two weeks after having sexual intercourse. So perform a urinary pregnancy test or b-HCG (human chorionic gonadotropin) test to exclude or to confirm a pregnancy. And after that perform an ultrasound to evaluate the uterine cavity. On the other hand, maybe your menses have come earlier and has a different pattern compared with other menstrual bleeding. As you use the patch for one year there are low chance of pregnancy always, if you have used it correctly." + }, + { + "id": 11556, + "tgt": "Can I try for pregnancy when my HSV IgM, CMV and rubella IgG positive?", + "src": "Patient: Hello doctor, I had a silent missed abortion last year in the third month of my pregnancy. After that, I got some tests done, which resulted in CMV IgG positive. Then I got vaccinated for rubella to prevent any casualties in the next pregnancy. Now I want to try and conceive, but just now I got my torch panel done again. And now the HSV IGM is positive with 1.15 range along with CMV and rubella IgG positive. Should I wait or can I try to conceive right now? My husband's torch panel also done, nothing abnormal. I am currently under Folic acid and Multivitamin, for now, to conceive faster. And also a homeopathic medicine for migraine. Doctor: Hello. Yes, you can try for your pregnancy as IgG (immunoglobulin G) means that you do not have any current infection. It is only due to prior exposure. And for HSV, the only thing you have to watch is the presence of active lesions. Otherwise, there is no other reason not to try for pregnancy. You must try for it whenever you and your partner feel ready to do so. Secondly, abortion is a very common thing in reproductive age and only after one abortion there is no need to undergo all these extensive investigations. I hope it has helped you." + }, + { + "id": 17833, + "tgt": "My 5 months old baby often cries due to gas problem. Please help", + "src": "Patient: Hi doctor,My baby has just completed 5 months. We are giving her formula milk since my wife had less milk. She has constant problems with gas. I have given her Colicaid before a feed and burp her 15 to 20 minutes after every feed and gas gets released as well. Even after that, she cries due to gas pain. I then keep on patting her and can hear gas get released after some 30 minutes of feeding. Her doctor has prescribed Anafortan if she cries even after Colicaid is given. At times she spits up milk in curd form after 2 hours feed. Can you please help? I am not sure if this is a problem with the formula milk. Doctor: Hello. Apparently normal phenomenon. Ultrasonography abdomen. Continue Colicaid drops as advised. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20265, + "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": 11622, + "tgt": "Are hair fall, acne, indigestion and irregular periods interrelated?", + "src": "Patient: Hello doctor, I have doubts regarding indigestion, severe hair fall, acne with irregular and short menstrual cycles, which is lasting from a few days. Are these interrelated? I am suffering from PCOS, as the latest lower abdomen test shows a cyst in the lower ovary. Also, my menstrual cycles are getting reduced to one to two days with severe pain and indigestion during periods. For the past one month, I have started taking Shatavari gulam. Sometimes I also observe the cracking of bones in my legs. Please suggest me the treatment plan. Doctor: Hello. I came to know from your complaints that you have PCOS with hair fall, indigestion, and reduced menstrual flow. Yes, your doubt is right, it is all related. As per Ayurveda PCOS is caused by eating excessive sweet, fatty foods which increase kapha (mucus) in the body. When kapha increases, it reduces the digestive power and patient complaints of indigestion. That is your main problem that I understand. Due to improper diet and physical activities, vata (pacifying foods) also get aggravated in PCOS. Hence the digestion is not proper, and the rasa dhatu is not formed properly affects the menstrual blood (rakta dhatu) and that cause more kapha and medas, and this is why some PCOS patients will gain more weight. The undigested food is called ama. This ama will produce hormonal imbalance that causes changes in menstrual flow. Some patients will complaint heavy flow once in three months, or some complaints less flow that lasts for one or two days. The energy responsible for transformation is called as pitta. In PCOS, pitta is also getting vitiated and patient complaints of hair loss, pimples, painful menstruation sometimes with clots. The movement of follicles from ovum to fallopian tubules is controlled by vata. When vata is impaired producing scanty menstruation with pain, the cracking of bones in legs happens due to aggravated vata. Hence treatment will include all steps to reduce vitiated vata, pitta, and kapha. Treatment plan. Kindly consult your doctor, discuss the suggestion and take the treatment with consent. 1. The first step is to improve digestion through Ashta choornam or Vaishwanara choornam or Hinguvacadi choornam or Amruthotharam kashayam. 2. Next step is to pacify the increased vata through intake of Narayana thailam one teaspoon in kashayam which I am going to explain in the third step or simply oil in hot water. 3. Pacify pitta and kapha through Varanadi kashayam, Kulathadi kashayam, and Kumaryasavam. 4. Raja pravartini vati is also effective. 5. Regular intake of sesame seeds (black) with jaggery is also a natural remedy for menstrual problems. 6. Garlic roasted in ghee is very effective for painful menstruation. Garlic should be taken three weeks before to menstruation. 7. Avoid junk, spicy, oily and fast food. Try to reduce the intake of pickles which produce water retention and cause pain during menstruation. 8. Proper sleep and stress reduction are also important. I saw in your report that you have a cyst in the left ovary (26*26 mm) which is not dangerous and it is a simple cyst that can be managed with medication (attachment removed to protect patient identity). I think my reply will help you. If you have any doubts or complaints, please contact me. For better results, please follow the medications for one month and contact me later." + }, + { + "id": 17977, + "tgt": "What are the health benefits and nutrition facts of Palmyra (aka Nungu) Fruit?", + "src": "Patient: Hi doctor, What are the health benefits and nutrition facts of Palmyra fruit\u00a0Nungu Fruit)? Doctor: Hi. First of all I would like to thank you for asking such a good question. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 2268, + "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": 9146, + "tgt": "Can excessive masturbation cause loss of energy and depression?", + "src": "Patient: Hi doctor, I am 27 years old. I have\u00a0engaged in excessive masturbation over 10 years. Due to this, following are the side effects I am experiencing as of now. I have low physical and mental energy as well as lack of clarity in mind and\u00a0lack of energy\u00a0to work properly. I feel my\u00a0breath is hot and there is an imbalance.\u00a0My earlier stammering problem increased dramatically because of the above side effects. There is depression, lack of interest and enthusiasm. There is no sexual problem and not suffering from erectile dysfunction or other related problems.\u00a0My immune system is very weak and I am suffering from frequent throat infection if not maintained proper hygiene. When I get throat infection, I feel as if my immune system would use all the energy in the body to fight the infection and above symptoms would increase dramatically. Without thinking that the above problems were due to masturbation, I have undergone many tests such as EEG, heart, vitamins, thyroid hormones, testosterone hormone, throat, sinus, etc., and there was no problem as per the reports. I tried vitamin B complex. Due to which there is slight improvement. I have also decided to abstain from masturbation until recovery. I request you to advice how to recover and gain back the mental energy? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11645, + "tgt": "I have brain fog, hair loss, and weight loss. What are the recommended medicines?", + "src": "Patient: Hello doctor, I am 55 years old and had my left ovaries removed when I was 40. I have low estrogen and suffer from brain fog, hair loss, pain, and weight loss. Currently, I am taking Vitamin supplements. What should I take and how often should I take it? Doctor: Hello. In this age group these symptoms are very common due to hormonal changes. These are menopausal symptoms. You can take the following medicines regularly. Kindly consult your doctor, discuss the suggestions and take the treatment with concern. You should take Ashwagandha and Shatavari powder 3 gm each and Prawal Bhasma 500 mg twice a day with warm milk after meals. Also take Ashwagandharishtam 15 ml twice a day with equal amount of water after meals. Take these medicines regularly for one month. You should take Ashwagandha and Shatavari powder 3 gm each and Prawal Bhasma 500 mg twice a day with warm milk after meals. Also take Ashwagandharistam 15 ml twice a day with equal amount of water after meals. Take these medicines regularly for one month. Avoid spicy and fried junk foods, Drink plenty of water, do regular kapalbhati and pranayama like anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 9562, + "tgt": "I have penile itching, burning, and discharge. Please advice", + "src": "Patient: Hello doctor,I am a 29-years-old, male, married, suffering from slight penile itching and burning in the pipe (through which we urinate) at almost the end of the penis and some times little penile discharge with no color and smell, please suggest me the prescription. Doctor: Hello. The cause of your problem can mostly be due to three common reasons, 1. Infection of urine, for confirmation of which you have to do urine routine microscopic test. 2. Urethritis, which is sexually transmitted diseases, as you are married, there is a possibility, if it is due to this, it will cure by Azithromycin you are taking. 3. Any small stone passing through urethra? I suggest you can take Azithromycin for three days. If then also not cured then do a urine routine and also get a physical examination done by a urologist nearby to see for any other causes." + }, + { + "id": 4599, + "tgt": "Kindly advise the medicines for patient with TB, mood swings, and low BP", + "src": "Patient: Hello doctor, My mother is 67 years old. She has the following health issues: Type 2 diabetes mellitus without complications, high blood pressure disorder, aneurysm, fluid in the lungs, (HFpEF) heart failure with preserved ejection fraction, atrial fibrillation (irregular heartbeat), collection of fluid in sac covering heart, chest pain, chronic left-sided low back pain with left-sided sciatica, temporary loss of blood supply to brain, low blood pressure from this year, bladder infection. Currently, her most upsetting symptoms are as follows: Doctors think that she might have TB and so she is on TB medicine as an empirical treatment. Severe shortness of breath (even when lying on the bed), temporary loss of vision. Currently, she sees but not like before. Low blood pressure (she is currently on Sodium chloride serum), very moody and frustrated and angry most of the time. She used to be a very calm person before. Hallucinations, not able to sleep. Her medications are shown in the attached picture along with the number of tablets per day and the total dosage. Could you please advise us about the medicines she is being given since she is very upset about it and we think she might not be able to complete the TB treatment. Are there any medicines that have bad interactions or unnecessary? Doctor: Hi, Welcome to icliniq.com. First of all, stay calm and support her fully. I understand it is tough to stay calm and there are too many medicines to take but she can do this. All drugs are correct for the treatment. TB drugs are very important and one must complete the treatment. Rifampicin is the drug that might decrease the effect of other group of drugs for which we can increase the dose of other drugs (attachment removed to protect patient identity). Do not take all the drugs altogether, go slow. Keep a gap and keep record of all the blood tests and get them monthly checked to check their side-effect on the body. By keeping a check you can reach your goal and free of TB." + }, + { + "id": 26248, + "tgt": "I had three failed IUIs. Will I benefit from IVF?", + "src": "Patient: Hi doctor, I am 27 years old. I went through three IUIs, but all of them failed. All my hormonal test such as FSH,\u00a0LH, TSH, and sugar are\u00a0normal. Even the ultrasound is normal. My AMH is 1.14. Six months back, during my follicle study, I used to have five to six follicles SGFS on day-2. But, from the last two cycles, I have two to three follicles on each side. The doctor has suggested IVF. Is my AMH level too low? Will IVF benefit me? Doctor: Hello. I have seen your 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": 20073, + "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": 4030, + "tgt": "What could be the reason for mild high frequency hearing loss in my daughter?", + "src": "Patient: Hello doctor, My 9-year-old daughter has recently been diagnosed with a mild high frequency hearing loss in both ears. Her hearing levels are only very slightly below normal and it is not impacting her day to day in a noticeable way so, for the moment, the audiology team are just monitoring it. My worry is that I accidentally caused it when she was a baby. There was one time when she was a young baby (maybe 2 months old) and she was in a rear facing car seat in the front of my car, i.e her ears were near the speakers at the front of the car. I turned the engine on and the radio blasted out really loud, I think it was probably on volume 12 or 13. I turned it down straight away and she did not cry but now I feel awful that I may have damaged her hearing. Please could you tell me how likely it is a one-off incident like this would have caused it? Doctor: Hello, Welcome to icliniq.com. I understand your worry. I would say it is possible to develop such a hearing loss due to what we call acoustic trauma, noise-induced. However, we can never be sure whether the loss is due to that incident or due to some other or if the loss was congenitally present. What you can do to prevent further deterioration is prevent her from listening to loud music, keep her away from loud sounds, try and use noise isolation buds when there is excessive noise outside, eat a healthy diet and meditate. Rather than worrying about what could have caused the loss, I think it will be prudent to prevent any further damage to the ear and guide your daughter on the right path to achieve what she wants to. I hope this helps." + }, + { + "id": 22935, + "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": 23134, + "tgt": "Why is a vascular dementia patient having choking?", + "src": "Patient: Hello doctor,My 89-year-old husband is on Coumadin, no other medications. He has vascular dementia. I took him off all antipsychotic drugs a year ago and he is no longer aggressive. A few weeks ago he began choking. I took him to the ER. They diagnosed acid reflux. I disagreed as he does not have the usual symptoms and I do. He continues to choke a few times a week complaining about something stuck deep down in his esophagus. He tries to cough it up and then says it is clear again. An appointment with a ENT is months away. What can this be? I would greatly appreciate an opinion. He is in failing health due to age-related medical problems. He never smokes, never drank. His appetite is good and blood pressure acceptable, no fever. Doctor: Hello. I went through your post. Well, choking is one of the leading causes of death in elderly with age more than 75 and causes are usually food related like too spicy for age, hard food or hot food abs sometimes aerated drinks. The condition is aggravated by what is called contribution from Parkinson's disease. A proper food eating technique and avoiding certain foods will help. In addition, an endoscopy with an occasional need to esophageal manometry will help to establish the diagnosis. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28681, + "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": 5456, + "tgt": "I sweat too much in hands and legs. What to do?", + "src": "Patient: Hello doctor, I am 21 years old. I have too much sweat in hand and legs. I tried medicine but there is no effect. Please tell me how to get rid of it? Doctor: Hello. With the information you have given me, I understand that you are 21-year-old male suffering from a condition called palmo-plantar-hyperhidrosis. Here I suggest some methods by which you can get rid of the problem. Please keep in mind that these are just suggestions and one can prescribe a decisive treatment only on the basis of complete examination which includes relevant investigations and a thorough history. However, here are the suggestions: Topical agents: These can be applied and left overnight and washed off in the morning. Have to be done frequently for many days to correct the problem. Some of the agents are Drysol, Glutaraldehyde, Boric acid, Aluminium chloride gel, and Resorcinol. Many more chemicals have been put forward for the treatment of palmo-plantar-hyperkidrosis. Iontophoresis: It involves the passing of electric current through the skin. Two varieties in vogue are tap water iontophoresis and anticholinergic iontophoresis. Botox injections: Intradermal injections of Botulinum toxin A help in reducing sweating due to their anticholinergic action at the neuromuscular junction. Surgical methods include radiofrequency ablation, open and endoscopic surgical thoracic sympathectomy, subcutaneous liposuction. I hope this helps." + }, + { + "id": 14780, + "tgt": "Anxiety is every day of my life. Rarely I do get a small break without anxiety. It has been 10 years", + "src": "Patient: Hello doctor, Anxiety is every day of my life. I rarely get small breaks without anxiety. It has been 10 years now. Panic attacks do come. I am taking Xanax 0.5 mg 1 to 3 days. I am a 26 years old male, and my height and weight are 5.9\" and 80 kg respectively. Please help. Doctor: Hi. With your brief description, it appears that you are suffering from some anxiety disorder most probably generalized anxiety disorder. The drug you are taking is neither sufficient nor appropriate when we have a lot of safer and more effective drugs currently. I assure you that you can get rid of most of the anxiety symptoms with proper treatment." + }, + { + "id": 11998, + "tgt": "Can you list the drugs incompatible with Quetiapine and Lamotrigine?", + "src": "Patient: Hi doctor, My query is regarding the incompatibility of Quetiapine and Lamotrigine with other groups of drugs. Now I have to get treatment for an anaerobic infection. I was prescribed Azithromycin, Clindamycin, Metronidazole and Mycomax. However, I will be extremely grateful if you list me all groups of drugs incompatible with Quetiapine and Lamotrigine or just list the most important ones. Thank you. Doctor: Hello. As such for Lamotrigine following drug interactions need to be considered as important. For Quetiapine, Cytochrome P450 (CYP450) enzyme inhibitors reduces clearance of Quetiapine hence raises Quetiapine levels, therefore dosage needs to be reduced. May increase effect of antihypertensive agents. Besides these interactions no other major interactions with any other group of drugs." + }, + { + "id": 28971, + "tgt": "My sister feels depressed after marriage. How to deal with this?", + "src": "Patient: Hi doctor,Three years ago, my sister got married. But, her marriage lasted only for one month. According to her, the boy was not physically and mentally fit. So, she came back to live with us. She was very mentally disturbed at that time. A few months back, her second marriage got fixed again, and the bridegroom is our relative that is, the son of my mother's brother. She got married a month ago. Now, she is getting depressed again. Everything is perfect with the boy and his family. But she is getting mentally ill day by day. She starts blaming herself for the failure of her first marriage and is getting depressed. We are not able to judge her behavior. Does she have any kind of mental problem? How to deal with this situation? She was perfectly alright just before the marriage. Please suggest. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14639, + "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": 11277, + "tgt": "Why is my mother unable to get a sound sleep after taking Stalopam?", + "src": "Patient: Hi doctor, My mother is 51 years old. Over 9 years she is unable to sleep properly either in the day as well as night. She started to feel irritated and we consulted one of our family doctor and he suggested to start Stalopam plus. But now a days even after taking the same medicine she is not getting proper and sound sleep. Currently, she is on Stalopam plus one capsule a day. I have attached the prescription. Please suggest us what to do? Doctor: Hello. I have gone through the prescription attached (attachment removed to protect patient identity). Diagnosis was anxiety with insomnia for which Stalopam plus (Escitalopram) was prescribed. It seems she has developed tolerance to this drug. So, either dose should be increased or new drug should be substituted. To manage her insomnia and anxiety you need drug therapy such as starting on a sleep aid drug which also lessens anxiety like Clonazepam at dose of 0.5 mg to be taken half an hour before bedtime and continue to take the same. This will ensure quick relief of your mother's anxiety and insomnia but it has to be taken after consultation with a psychiatrist. Proper sleep hygiene needs to be practiced daily, so as to help her maintain good sleep in the long run. Sleep hygiene entails following important points. Anxiety. Check blood pressure. Insomnia Selective serotonin reuptake inhibitor (SSRI) and Benzodiazepines along with sleep hygiene." + }, + { + "id": 12133, + "tgt": "What can be done for vertigo with bilateral hearing loss?", + "src": "Patient: Hello doctor, Suffering from vertigo from past two years. Diffuse narrowing of basilar arteries. Bilateral ear loss 60 percent. Doctor: Hello. I understand your concern and would explain that your symptoms could be related to an inner ear disorder. When did you perform the brain MRI? Your symptoms are not suggestive of stroke, but if you have not performed a brain MRI recently, I recommend performing it. Regarding your therapy, I would recommend using Mannitol IV for a short period of time, to help with vertigo. It is also important for taking daily baby Aspirin to prevent stroke and continue Stugeron for vertigo. I would also recommend performing a cervical spine MRI study in order to exclude possible bulging discs in the vertebral column, which may trigger your symptoms. I remain at your disposal for any further questions whenever you need. Brain and cervical spine MRI, ENT consult." + }, + { + "id": 29969, + "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": 6706, + "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": 15016, + "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": 18794, + "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": 19632, + "tgt": "Is L-Glutamine safe for a rheumatoid arthritis patient?", + "src": "Patient: Hi doctor, My wife has been suffering from rheumatoid arthritis for more than 10 years. For the last two years, she has been taking infusions of Rituximab or Rituxan 2 g. Last infusion was six months ago.\u00a0It is also confirmed that she has Leaky gut syndrome.\u00a0Is it safe to take L-Glutamine (supplement for Leaky gut) for patient infused with Rituxan? Please explain. Doctor: Hi. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 30715, + "tgt": "Please suggest some anti-allergic eye drops for seasonal allergy", + "src": "Patient: Hi doctor, I suffer from seasonal allergy every year. It starts from the month of August till December for the past 15 years. When the season changes, I get running nose, excessive sneezing and itchy\u00a0watery eyes. I also have an intolerable\u00a0itching in the\u00a0eyelids and in the corners of the eye.\u00a0I am using Flomist nasal spray and Cetirizine tablets for the\u00a0nose. I am not able to concentrate on my work due to my eye\u00a0allergy. I\u00a0also used I-Kul eye drops and other eye drops, but no improvement. Please suggest some anti-allergic eye drops. Doctor: Hi. Revert back with the photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11830, + "tgt": "What causes gas issues with headache and leg pain?", + "src": "Patient: Hello doctor, I am 37 years old and my height is 5 feet. I have some regular problems such as stool is not clear due to which I have gas problem. Headache now and then starts from one side left. Leg pain with swelling, more pain in the ankle to toe. Doctor: Hi. You need to do daily regular exercise and take tablet Zerodol P half tablet BD for five days." + }, + { + "id": 15669, + "tgt": "I have abdominal pain with watery stool. Please help", + "src": "Patient: Hello doctor, I have the following symptoms. Abdominal pain, starting from yesterday night. Had instant noodle and two eggs for the meal last night. At first, it was severe pain and strange sound in the intestine and could not poop. And then I had diarrhea and poop water. Hardly slept last night due to severe pain. This morning the pain is continuously happening like every five minutes and poop water with little blood. I am a male, 27 years old, height 5'7'', and weight 154 lbs. Doctor: Hello. It is likely a food poisoning. Most importantly, have ORS 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should have tablet Pan D (Pantoprazole and Domperidone) before breakfast once a day for 3 to 4 days. You should get prescribed capsule Vizylac or Sporulac sachet three times a day for five days. For immediate pain relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. If it does not respond in 1 to 2 days or get worsened, then need to have tablet Norflox TZ (Norfloxacin) two times a day along with some antacid like tablet Pantoprazole before breakfast once a day for five days." + }, + { + "id": 13787, + "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": 7146, + "tgt": "What is the treatment and life expectancy for chronic bronchitis?", + "src": "Patient: Hello doctor,I have chronic bronchitis. Now I have running nose and sneezes, please suggest long term goal and moreover what is the life expectancy for chronic bronchitis? Doctor: Hello. About chronic bronchitis, it is a part of a disease called COPD (chronic obstructive pulmonary disease). It is diagnosed by the history of heavy smoking, which is the most important factor in controlling the disease and prevention of complication. To prevent further deterioration, you must avoid smoking, and smokers are rapidly treated by systemic steroids and antibiotic. Smoking. Chest X-ray. Bronchial asthma, ILD (interstitial lung disease)." + }, + { + "id": 9918, + "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": 15228, + "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": 19974, + "tgt": "I have hair fall problem, and my hair becomes oily and greasy. Please help", + "src": "Patient: Hello doctor, I am a 27 year old female, who weighs 88 kg and I am 6.1 feet tall. I wash my hair daily morning, but they become oily and greasy by evening. I also have\u00a0hair fall\u00a0problem. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16840, + "tgt": "My mom has been suffering from head spinning. Why?", + "src": "Patient: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her\u00a0doctor suggested complete bed rest for two months. It has been a\u00a0month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having high blood pressure and is a diabetis patient. She is on regular tablets. What to do for the head spinning while sleeping on bed? Doctor: Hi. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second possibility is as she is diabetic and hypertensive, we have to think about circulation deficiency to the brainstem, which controls balance. It can be evaluated by doing MRI brain and adding Ecosprin to improve circulation to the brain. It may also be drug induced. If she is taking Gabapentin or Pregabalin for neuropathic pain, then it may cause giddiness and sway while walking. It can also be due to hypotension secondary to the hypertensive at night. Vitamin B12 deficiency also can produce swaying and giddiness. You can confirm it by asking about peripheral numbness and increase in giddiness on standing with closed eyes. It can be corrected by vitamin B12 supplementation. Consult your specialist doctor, discuss with him or her and ask to add Vertin or Stugeron. See the response. If your mom is not improving, then think about other possibilities. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23911, + "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": 25775, + "tgt": "How is the ovulation day in a woman determined?", + "src": "Patient: Hello doctor, I have a question to ask about the ovulation period of a woman. How can we count the day of ovulation? Do we count from the first day of the period or from the last day of period? Doctor: Hello. The ovulation day is counted backward from the last day of the menstrual cycle. For example, if a woman had a regular cycle of 30 days so she will ovulate 14 days prior to her last day of that cycle. Meaning, she ovulates on the 16th day of her cycle. Another example is that if a lady has a regular cycle of 28 days then her ovulation will occur 14 days prior to her last day. Meaning, she will ovulate on the 14th day of her cycle. It is so because the menses start exactly after 14 days of ovulation. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18451, + "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": 12183, + "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": 11468, + "tgt": "I had antibiotics for chest infection. Could that be the reason for swollen penis tip?", + "src": "Patient: Hello doctor, Over the last three days, the tip of my penis has become very tight and looks swollen. It is difficult to retract the foreskin and also there was blood after masturbation. This issue started when I used antibiotics for chest infection. Currently I am taking Prednisone for chronic hives and antibiotics for the chest infection. Doctor: Hello. It seems like posthitis or inflammation of foreskin leading to phimosis. This may require a circumcision sooner or later. Consult your family doctor for this, and he may refer you to a concerned specialist. It is a short day care procedure. Take care." + }, + { + "id": 9886, + "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": 10877, + "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": 5539, + "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": 8598, + "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": 1220, + "tgt": "My right arm, shoulder, and neck are paining. What to do?", + "src": "Patient: Right arm joint upto the shoulder neck pain for the last few days it increased from yesterday evening having difficulty moving 490yrs Male Doctor: Hello, I read your concern. In my opinion it could be due to some nerve irritation following neck spasm due to facet joint irritation. Nothing to worry. As of now I would advise you to If irritation reduces, try to Maintain neck in mild arching by placing hand on the chin while lying down over stomach. Hold this for atleast 5 mins.. During this you should not experience any pain in shoulder.. There will be pain in the back of neck. Hope this is helpful for you Kindly revert back to me to let me know your status. Bad posture Facet joint arthropathy Wry neck Rice and mobilisation Avoid aggravating postures After a day.." + }, + { + "id": 13748, + "tgt": "I'm allergic to dust and temperature. My nose is almost always blocked. Please advice", + "src": "Patient: Hello doctor, I have allergies to dust and temperature changes. I get headaches frequently around my eyes. I breathe through the mouth during the night and sometimes in the day. My nose is almost always blocked. I also have huge under eye bags, a protruding brow bone, and a bigger lower lip because of mouth breathing. My tongue is usually white with foul breath and my ears have a little more than normal wax. I had adenoids as a kid and my parents left it untreated. Some doctors say I might have sinusitis while some say it is just an allergy. I had an NCCT PNS and it showed inverted 'S' shaped mildly deviated septum. Doctors suggest septoplasty, but I am skeptical about it as I do not think it will cure my problem. I think my cure lies somewhere else but I am not able to find it. Your help would be greatly appreciated. Doctor: Hello. Let us discuss your problems one by one. Before you undergo any surgery for this issue(s), you must know for sure if you have an allergy. Allergy is a form of hypersensitivity by your body to substances which do not elicit such a response from other individuals. Also, there is no known cure for allergy. We can, however, keep it under wraps using our medications. Hence, for someone who has allergy, we only give a guarded prognosis for surgeries, which means the success of surgery performed on such a person will be less because he has an allergy. Going back to your problem, only such a deviated septum that causes nose block almost always without any respite with nose drops and steam, do we advise septoplasty. A gross deviated septum increases your chances of contracting rhinitis (infections of nose) due to increased air currents and alterations in normal clearance mechanisms of the mucosa. This can aggravate your mouth breathing and headaches. Headaches around the eyes, like how you have described, could be due to sinusitis. Sinuses are air-filled cavities in your skull and facial bones which open into the nose through a small hole called ostium. The ostia of sinuses could get blocked due to mucosal edema which could be due to infections or non-infectious swellings. Blocking of the ostia result in poor ventilation of sinuses and hence sinus ache. Nose drops when applied in apt positions will gain access to the ostia and reduce the edema around it, increasing its diameter, to allow for better ventilation of sinuses. To confirm whether you have an allergy, you may undergo a few blood investigations like serum IgE (immunoglobulin E which is increased in blood in those with allergy) and AEC (Absolute Eosinophil Count). If the counts are higher, then we may institute you on nasal steroid sprays which have to be taken for a month or two or longer. These sprays control allergic responses very well in most individuals. If after the spray, your symptoms are getting better, you may forget the surgery. This advice is based on what information you have provided. I am giving you some general measures which you may practice: Hope you get well soon." + }, + { + "id": 18927, + "tgt": "My baby's bilirubin levels are above 21. Is he at risk for cerebral palsy?", + "src": "Patient: Hello doctor,I was recently blessed with a baby boy. This week, I just took him to the hospital to check if he had jaundice, as he seemed too sleepy and the bilirubin levels came to 21.80 on the eighth day. I do not know at which rate the levels were being raised. The doctor immediately put him under phototherapy. I read at a lot of places that bilirubin levels above 20 are at\u00a0greater risk of cerebral palsy or brain damage. I am too concerned about it. Could you please tell me about this in a little detail? How late are we in the treatment? Is he already at risk of above concerns? Doctor: Hello doctor. I understand the situation you are going through. For more information consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 3328, + "tgt": "AKT-4 taken for tuberculosis is affecting my ear and mind. How to stay away from it?", + "src": "Patient: Hello doctor, I am taking AKT-4 tablet for TB. It is affecting my ear and mind. Please suggest an idea to stay against it. Doctor: Hello. The anti-tubercular drug AKT-4 is a cocktail of four drugs namely Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol. I will concentrate on the side effects that have disturbed you now, side effects on the ear and the neurological effects. Most of the neurological effects are caused due to Isoniazid. It is known to cause decreased sensations, altered mental status, numbness, etc. To counteract the same Pyridoxine 100 mg per day is given. Pyridoxine is a B-complex vitamin whose function is affected by Isoniazid. Nextly, Ethambutol can cause some mild neurological disturbances and significant vision problems. It can result in decreased field and accuracy of vision. If you experience any such defects with vision please contact the doctor who prescribed AKT-4 and ask him if Ethambutol can be substituted. Ear side effects are common with Streptomycin (another anti-tubercular drug). But Streptomycin is not present in AKT 4. So you need not worry. Tuberculosis requires dedicated treatment for a long time. Some amount of side effects are inevitable for the sake of curing the disease. Earlier longer therapies were advocated for TB which used to have even more side effects. A good diet, regular exercise, calm and peaceful mind and vitamin supplements are all necessary to tide over the many of the side effects caused by these drugs." + }, + { + "id": 1071, + "tgt": "Though I take regular diet, I look very thin. Why?", + "src": "Patient: Hello doctor, I am a 26-year-old male. My height is 5'9\" and weight is 54 kg. I do not look healthy. I take a regular diet and meals thrice a day. I do not have any health problems like cough, fever, and pain. Actually, I want to put on my weight and develop my muscles because I look very thin. Could you suggest me any medicines or supplements for my better body growth? Doctor: Hi. Good to know that you are eating well. What about family history? Are your both parents or anyone parent is underweight? If it is familial, it is difficult to gain weight. You can try with any protein powders, Ensure is good for a supplement. Take it as mentioned in the bottle. Try to include some evening snacks. You can eat milk based sweets like rasagollas, milkshake, etc., prepared at home. Exercise every day to increase your metabolic rate. Simplest is brisk walking. Gradually increase your intake of food. Do the above-said things and get back to me after 10 days. Ensure two teaspoons daily with milk. Follow up after 10 days." + }, + { + "id": 20460, + "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": 20665, + "tgt": "I have itching in eyes and headache. Can this be glaucoma?", + "src": "Patient: Hello doctor, Kindly advise regarding glaucoma. I am having no serious complication in the body but having a problem in eyes like itching and sometimes feeling headache. Doctor: Hello. I have gone through what you have mentioned and through your test reports (attachment removed to protect patient identity), I can tell you that the appearance of your optic discs is deviated from normal, as per the given photos and image, your eye pressure is 20 mmHg. As per the calculations on your summary sheet (18 + 2 for corneal thickness) and there again are a few deviations from the normal on your visual fields reports. Based on these tests you have shared, it is hard to reach any conclusions or brand you as a glaucoma patient. You see glaucoma is a chronic progressive disease which sometimes needs follow up data of around three visits, around 3 to 6 months apart for an accurate diagnosis to be made and for the patients to be started on treatment. My advice to you is to meet a glaucoma specialist as per your doctors orders and follow up with him. Depending on your test results and progression of visual field defects your treatment will be monitored and titrated. Progression of such glaucoma cases will be quite variable and unpredictable, but I would consider you to be lucky and to have a good outcome as your disease (if diagnosed in the future) has been picked up sooner than after substantial damage." + }, + { + "id": 18853, + "tgt": "My penis is not erecting properly. Please advice ayurvedic treatment", + "src": "Patient: Hi doctor, I am 28 years old working bachelor planning to get married in next 4 to 5 months. But I am very tensed and concerned about my penis size and erectile potential. For last 5 to 6 months penis is not erecting properly and less hardness. Please suggest me some Ayurdevic remedies to improve hardness and erectile potential. Also, there is a sebaceous cyst on my scrotum and penile papules on the penis. It is impacting my sexual stamina and size. Doctor: Hi. Definitely, I would like to help you. It is good to hear that you are planning for marriage. Erection and hardness of penis mostly depend on your psychology. According to your thoughts, some hormonal activities occurs which leads to increase blood flow in penile blood cavity which causes hardness and erection. Stress, performance anxiety, injuries or other medical conditions may affect these functions. But do not worry it can be managed through ayurvedic medicines. The sebaceous cyst may not be harmful to you. But if it is irritating you then it needs surgical removal. Once you should check your blood sugar levels, lipid profile and testosterone levels. Take the following medicines to improve your concern: Rx, 1.Shatavaryadi Churna 3 gm twice a day with warm milk after meals. 2.Shilapravang 1 tablet twice a day with warm milk after meals. 3.Laghu Mushali paka 3 gm twice a day before food. You should follow some precautions too like: 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking. 3.Quit masturbating. 4.Do regular Yoga and pranayama. For more information consult an ayurveda specilist online.--->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9693, + "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": 12359, + "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": 17455, + "tgt": "What does the gradual increase in my mother's MCV and MCH indicate?", + "src": "Patient: Hi doctor, My mother, who is 60 years old, is currently under treatment for hypothyroidism, hypertension and stage 2 osteoarthritis of knee joints. She is currently on the following medicines:\u00a0Eltroxin 50 mcg,\u00a0Olmezest 20 mg,\u00a0Gemcal D3 and\u00a0E-cod Plus. I have attached a copy of her recent kidney, thyroid, lipid and hemogram reports. Her Hb is reported as 10.8 with the blood smear report mentioning RBCs mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. Platelets appear mildly reduced in smear. Macroplatelets are seen. Following this, our doctor advised to test ferritin, B12 and folic acid. It came as normal, although the samples were provided after mild breakfast. Another thing I wanted to mention is that last year also, she was diagnosed with mild anemia with Hb 10.6 and ferritin 39. However, following Orofer XT for three months her Hb was improved to 12.4. After that due to gastritis issues, the doctor had advised her to take Orofer XT once a week and it was stopped three months back. At that time, her Hb was 12.0. Doctor: Hi. Based on your query, my opinion is as follows: Hypothyroidism or nutritional deficiencies. Reticulocyte count. Revert back with the reports to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25913, + "tgt": "Can I get HIV from an accidental prick of a pointy object like nail?", + "src": "Patient: Hello doctor, My cousin stepped on a nail. It had a pointy object from the street. It got stuck in his feet. It took him from morning to evening to take the nail off his feet and he threw it at me. It hit my arm not knowing if that nail was infected or had blood on it. So when he threw it at me, it stuck my arm and pitched it like the pointy part hit my arm. Can I be infected with HIV this way? Doctor: Hello. There is no risk of HIV (human immunodeficiency virus). The virus does not survive outside the body and it is certainly not transmitted through fomites. Moreover, intact skin does not allow the virus to pass through. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30942, + "tgt": "I am extremely worried about my breathing problem and cough. Please help", + "src": "Patient: Hello doctor, I am a 24 year old female. I have been\u00a0facing breathing problem for the past five days. The first time it happened for a few minutes after I had finished my dinner and after that I smoked. I am not a heavy smoker and this has also not happened before. The problem is that I am breathing, but I am unable to take a deep breath in comfortably. I have recently suffered from dengue and recovered almost a month back. I had a very bad cough with mucus that time, but shortly after I recovered I discontinued the cough syrup. I am still coughing occasionally. Regarding my current situation, I went to the doctors and they gave me nebulizer. But, it did not help. They checked my chest and back with a stethoscope and said everything was clear and so was my chest x-ray. I am on AB phylline 200. Please help me as I am extremely worried. Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 13869, + "tgt": "Why are there two ways in vagina with clot in between?", + "src": "Patient: Hello doctor, I have a problem that I am a newly married person and having ambiguity with the vagina. There are two ways in the vagina of my wife and between this way, there is just a little bit clot in the vagina. How can I remove it? Doctor: Hi. If you are certain that there are two passages in the vagina, it could just be a minor vaginal septum, which is common and can be removed surgically. There are no complications. Or in some rare cases, your wife may be having two sets of a uterovaginal canal, also known as uterine didelphis. In that case, I do not want to scare you, but your wife is at risk of recurrent miscarriages, premature birth, kidney abnormalities, etc. Physical examination and USG pelvis or MRI pelvis for your wife will rule out such condition." + }, + { + "id": 3090, + "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": 18012, + "tgt": "What ayurveda medicine cures blood in stool?", + "src": "Patient: Hi doctor, I am a 38 year old male. My weight is 85 kg and height is 5'11\". I had the problem of blood in stool before a year and that got cured with medicine. Now again I feel very difficult to go toilet. I think it as constipation. I feel hard to pass stool. I used to wake up around 6.30 AM. After drinking a glass of lukewarm water, I used to walk for 30 minutes and then will have a cup of tea with two biscuits by 7.30 AM. After half an hour again I will have a glass of warm water at 8 AM. Despite all these, I used to pass stool with difficulty. So, please give me some valuable advice to cure my problem. I also have a problem in my legs below the knees. I feel restless in my leg all the time and after doing some work like visit to market and any other thing I feel my leg has been very tired and should take rest. But, when I take rest I feel very uncomfortable. So, I have to move my legs time to time. I have taken many medicines and multivitamin but there has been no benefit. Because of this trouble, I do feel lazy and avoid traveling as I cannot stand for long time. I cannot have both hot and cold food because of the uneasiness in my tongue and teeth. Please help. Doctor: Hello. Revert back after a week to an ayurveda specialist online -->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30418, + "tgt": "Shall I take injectable vitamin B12 to improve my fatigue symptoms?", + "src": "Patient: Hi doctor, I have been diagnosed with chronic fatigue syndrome. I am taking 3 g of Valtrex a day, increased from 2 g before four months. Until a month ago, my CFS seemed to be improved. Then last month, I had a major setback with the return of symptoms beyond fatigue, such as heart palpitations, tinnitus, tingling or burning in hand and feet, balance problems, shortness of breath, loss of appetite and a new set of stomach pains with occasional diarrhea. I am taking B12 and folic acid orally and my last B12 test was high. I think 1600.\u00a0My blood work has been borderline pretty consistently for years and it is followed by the most recent CBC, which was taken last month is as follows.\u00a0HCT around 37, 35.7; HGB\u00a0around 12, 12.6; MCH around 34, 36.5;\u00a0MCHC around 32.5, 35.2; MCV around 101, 103.9; platelets 146-119, 152; RBC around 3.6, 3.44 and\u00a0WBC around 4.2, 4.5 My doctor has told me that these results are not significant and cannot be an explanation for my recent major relapse. I read a recent case report where the B12 blood test does not always mean that the B12 is being absorbed or used by the body.\u00a0Is there any possibility that this minor turn down could be responsible for symptoms? Is there any down side to start injectable B12 to see if it makes a difference? Are there any additional blood tests that might clarify this? I know that the dosage of Valtrex is high and that antiviral can affect CBC. Doctor: Hi, Welcome back to icliniq.com. 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": 5529, + "tgt": "A 68-year-old diabetic woman lost most of her teeth. Is dental implant suggested for her age?", + "src": "Patient: Hello doctor, My mother is 68 years old. She lost most of her teeth. Our doctor suggested full mouth dental implants. My mother has diabetes, and she is worried about the surgery and pain. I would like to know if she can go ahead with full mouth dental implants at this age? Will her diabetes create any issue? I have listed the last three blood sugar levels taken two months before. Fasting 73.8 mg/dL, after meals 124.5 mg/dL. Fasting 278.9mg/dL, after meals 206.2 mg/dL. Fasting 175.5mg/dL, after meals 109.2 mg/dL. Doctor: Hello. One can go with full mouth case with dental implants when the underlying bone conditions are ideal, which means patient's boney ridge should have adequate height and width. As per the age, there should not be any bony resorption. Bone conditions are important for implant stability. Systemic conditions like blood pressure and blood sugar levels should be under normal levels. After going through your given reports, patient's blood sugar levels are not constantly under control. So, need to check HbA1C (glycated hemoglobin) and follow up with diabetologist for strict diabetes control. Blood sugar level is important for the proper healing of bone during the process of implant placement. It will be beneficial if you upload image of an OPG (orthopantomogram), or give further details about the bone condition for proper treatment planning and management." + }, + { + "id": 14670, + "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": 19431, + "tgt": "Why has platelet count gone down after CABG?", + "src": "Patient: Hi doctor, My father underwent CABG before six months. Till then he was on Clopilet alone. His platelet would remain 150000. After CABG, he has been put on Ecosprin and after that his platelets remain 110000 to 140000. Is that fine? He has no other complaints. Is there something we can do to improve his platelet count? He had stroke and also underwent chemotherapy for NHL before four years. I have attached the list of medicines he is currently taking. I have attached his CBC report for your reference. Why platelet count went down after CABG? Doctor: Hi. Based on our query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22750, + "tgt": "Why are my eyes dilated for the past four days?", + "src": "Patient: Hello doctor,My eyes are very dilated. I am 18 years old and female and around 105 lbs. It is happening for past four days. Currently, I am taking Naproxen and some other medicine for periods. Doctor: Hello. Did you use any drops? Or any trauma? Physiological causes, autonomic disorder (local or generalized). Slit lamp examination, CT scan head and brain. Adie's pupil. Physiological mydriasis. Observation, slit lamp examination. Sunglasses, lights inside car while driving, avoid recreational drugs and caffeine. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25936, + "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": 22677, + "tgt": "I have visible blood in the urine after exercise. Do I need MRI with contrast?", + "src": "Patient: Hello doctor, My doctor recommended I get an MRI of the prostate and kidney. I have visible blood in the urine after exercise. We suspect it is a result of prostate laser surgery several years ago, but the doctor wants to rule out other sources of bleeding. I am okay with MRI's but will not agree to get an injection of Gadolinium contrast after reading the latest study showing long-term retention of this toxic material in the body. Ultrasound: I also read there is a new, safer contrast media using some type of \"microbubbles\" for use with ultrasound to detect blood flow. Questions: From a diagnostic perspective, is it absolutely necessary to use contrast with the MRI's? Would ultrasound with contrast be of diagnostic value? I appreciate any suggestions. It is very difficult for a patient to get knowledgeable answers to these types of questions. I had prostate laser surgery several years ago to improve urine flow with large prostate BPH. After surgery, I had visible blood in urine for nearly two months. Since then, I have been experiencing bleeding after exercise (for example, 5K run, tennis, basketball, etc.). Bleeding usually ends in few hours but recently experienced greater duration of bleeding. Doctor: Hi. Prostate MRI is one of the best noninvasive techniques to asses any condition of the prostate. Gadolinium is a contrast material used for better delineation of any suspected lesions. The chances of adverse effects are higher in people who have a kidney condition. However, you may proceed with a plain MRI of the prostate to get a basic idea of any lesion of the prostate and there is research showing that Gadolinium contrast is not absolutely needed for prostate MRI. b for evaluation of prostate. Transrectal ultrasound prostate may be done without contrast but gives less information than an MRI scan. You may also get PSA (prostate-specific antigen) levels done and get tested for any urine infection. Regards. For more information consult a radiodiagnosis physician online --> https://www.icliniq.com/ask-a-doctor-online/radiodiagnosis-physician" + }, + { + "id": 1080, + "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": 16199, + "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": 3015, + "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": 18733, + "tgt": "Can I get pregnant just with precum?", + "src": "Patient: Hello doctor, I have to ask about my risk of pregnancy from precum. My husband just let his penis inside me three to four times without a condom and he did not have an orgasm. Could I be pregnant? This happened around two months back. I got my periods five days after the event which was my regular date. I also got periods after a month but periods lasted only two days and a little bleeding happened on the third and fourth day. Can I be pregnant? Doctor: Hello. Pre-ejaculate or precum usually does not contain sperms so the chances of pregnancy are very low. Moreover, you seem to have got your periods twice after the unprotected intercourse. So, it is unlikely that you may be pregnant. But still, for your confirmation, you can check your urine for pregnancy with an early morning urine sample. This is because the bleeding pattern had been different from prior cycles. If it is negative you can stay assured that you are not pregnant. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4497, + "tgt": "Do you recommend natural methods for abortion?", + "src": "Patient: Hello doctor, I would like to have a natural abortion because I have no other choice. What could you suggest to successfully achieve this goal? I am currently taking anti-depressants and BP medicines. Doctor: Hello, Welcome to icliniq.com. There is no acceptable or approved method to have a natural abortion. If it happens on its own that would be a different issue, but you doing something on your own to have an abortion is not at all recommended. Please do not brush away my opinion as something you have already heard or just because you are in a desperate state with no option. Having an abortion on your own at home has hazardous complications including heavy bleeding, leftover fetus parts in the uterus, resultant infection, sepsis and sometimes even may result in death. There would be nothing anybody can do if things go out of hand. You have mentioned that you have no other choice. I politely disagree with you, and whatever the reason maybe it is not worth putting your life at risk. Please go to a doctor personally get medical attention personally. If you cannot go on your own due to legal age or personal reasons, open up to your parents or trusted guardian adults even if it may bring upon their anger or saddens them. I am telling you again anything and I am willing to stress this upon you as many times, anything is better than putting your precious life at risk. Do not do this on your own and please go meet a doctor and get medical attention. PS: You have mentioned that you are currently on antidepressants and blood pressure medication. How long have you been diagnosed with hypertension? I will be waiting for a reply from your side that you did not do this own and met a doctor. Take care." + }, + { + "id": 22101, + "tgt": "Will taking oral contraceptive pill with Myoinositol not contradict each other?", + "src": "Patient: Hi doctor,I would be very grateful if you help me with the following question. I have been diagnosed with endometriosis two years ago, had two failed IVF protocols. It seems that the main problem is the egg quality. Also, have a high prolactin level. I am taking Dostinex for that. My doctor prescribed me to take Janine (oral contraceptive pill, consisting of Progestin 2 mg and Ethinylestradiol 0.03 mg) for two months. I have also heard about the combination of supplements Myoinositol, Curcumin, Folate, Resveratrol, and Melatonin. Would taking an oral contraceptive pill with Myoinositol bundle simultaneously not contradict each other as contraceptive pill works to suppress the ovulation and Myoinositol on the other hand works to improve the egg quality? Doctor: Hi. That is a good question. Let me assure you that, only oral contraceptive pills, taken continuously, to avoid periods will help you. As the occurrence of periods will add on to the blood collection into the space around the uterus and increase the endometriosis. It is not the function of stopping the ovulation which it is used for. Myoinositol, on the other hand, reduces the insulin resistance and improves the chances of future ovulation. I do not see any use of having this in your case. It will only be a placebo. All you need is to have serum FSH (follicular stimulating hormone) and AMH (anti-Mullerian hormone) on day 3 or 4 of periods. This will predict the number of eggs that you have. Depending on that you can go ahead with a different protocol for IVF stimulation (in-vitro fertilization). For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 27060, + "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": 26560, + "tgt": "Can you go through my reports and tell me if I require any further tests?", + "src": "Patient: Hello doctor, I went through a health checkup program last week. There were some findings.\u00a0WBC count was 10900 (normal being 4000 to 10500), and\u00a0HDL cholesterol was at 38.\u00a0Can you please check them? Are the values alright? Are there any further tests to be done? Doctor: Hello. I went through your post and the investigations (attachment removed to protect patient identity). Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23278, + "tgt": "I started to have cramps after sex and also felt bloated. Am I pregnant?", + "src": "Patient: Hello doctor, I am\u00a0trying to have baby. Actually, we started trying just last month. I think we timed it well during and before ovulation. I started feeling to have cramps after having sex. I never feel cramps at the time of ovulation. So, it was unusual. It used to increase when I stand for long. It was normal and not really uncomfortable. It was there for four days. Can it be cramps after conception? I felt tired for two days. My pelvic area also felt heavy. But, now I do not have any cramps. I think I feel bloated. I read online that all these could be early pregnancy signs. I thought it would take more time to get pregnant. Am I pregnant? I feel no more signs. Now I am in a week after my ovulation and a week before my expected periods. So, I\u00a0cannot do pregnancy test. I am going crazy thinking that I might be misreading the signs. I am a pessimist, so do not want my hopes up. My age is 28 at present. Please guide. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22772, + "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": 4027, + "tgt": "I have runny nose, cough and sore throat. Is this an exhibit of sinusitis?", + "src": "Patient: Hello doctor, I am a 16-year-old female and not pregnant. I have a runny nose, mucus, cough, sore and swollen throat, what seems to be liquid in my ears (can hear pulsating), my face is achy, and headaches. I always experience sinus infections usually accompanied by strep throat around this time of year, but I feel different I can say worse. I have had these symptoms for the past three days and they are gradually getting worse. They started with an uncontrollable sneeze. I checked my temperature today there was nothing alarming, but even when I am sick I do not run bad fevers. I am currently using nasal spray and allergic medicine. Doctor: Hello, Welcome to icliniq.com. I have gone through your query and I can understand your concerns. The symptoms you have described suggestive of simple ARI (acute respiratory tract infection). There is no need to worry as it can be completely cured by timely treatment and chances for the complication is less. I suggest you to consult a general practitioner and do the following things: 1. Simple analgesics like Paracetamol or Ibuprofen for pain. 2. Antihistamines like Cetrizine or Levocetirizine would provide symptomatic relief. 3. Nasal decongestants like Xylometazoline if you have blocked nostrils. 4. A short course of antibiotics like Amoxicillin for five to seven days can be taken. 5. Steam inhalation twice a day would be effective. Generally, symptoms will subside within a few days if the symptoms persist despite all these we have to do the following investigations as prescribed by your physician. 1.CBC (complete blood count) and urine routine. 2.chest x-ray to rule out pneumonia or other lesions. I hope this helps. Bacterial or viral infection. Basic blood and urine investigations. Chest x-ray. Sinusitis. ARI. Conservative with antibiotics and symptomatic management." + }, + { + "id": 28411, + "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": 4237, + "tgt": "What is non-alcoholic fatty liver disease?", + "src": "Patient: Hi doctor, I am a 30 year old male. My weight is 85 kg and my height is 174 cm. I am non-smoker and I do not drink alcohol. My problems are gas formation, uneasy feeling after meals and lack of energy. My bowel does not get cleared properly and I feel too much tired after hard work. My heart beat become too fast during this time. I also have breathing problems after running. I have attached my recent blood test report for your reference. Please check and help me with your suggestion. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity) and your complaints. Revert back after 15 days to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18309, + "tgt": "Can laser be used to treat eye floaters and retinal tears?", + "src": "Patient: Hello doctor, I am 29 years old. I have eye floaters in both my eyes. I am suffering from nearsightedness, and I have retinal tears. I consulted several doctors, but I did not get proper answers. The topic of eye floaters is not studied well in my country. My ophthalmologist says that I should do nothing and wait, just have a systematic evaluation of my eyes. I also consulted a laser eye surgeon. He offered me to get LASIK surgery at first, but he also did not give me definite and concise answers. The floaters almost poison my life. I am really close to a depression. My occupation is connected with computers, so I have to work on it for a long time every day. The last time, my eye floaters become more and more bothersome, and it seems to me that their number is gradually increasing. They are of different forms and sizes. I read a lot of information about the possible eye floaters treatment. To be honest, I am afraid of vitrectomy, as it is extremely risky. Laser treatment is more preferable, but I got to know that the patients of my age are not treatable by means of laser procedure. In this case, I have got some questions to ask. What should I do to stop the increasing of my eye floaters? Should I follow my ophthalmologist's advice and do nothing? Are there any successful cases of eye floaters treatment among the patients of my age by laser? Can I have a laser treatment of eye floaters when I become older or this type of eye floaters can never be treated by laser? Doctor: Hi. I have many patients like, and I have treated them also. Your age is no problem. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 28730, + "tgt": "Why do I feel fatigue in the morning?", + "src": "Patient: Hi doctor,I wake up with a\u00a0heavy head, headache, and drowsiness. It seems tough to do anything in the morning. But, I feel more energetic in the\u00a0evening. Why? Doctor: Hi. Many things can cause morning fatigue. If you snore at night, you may have a condition called sleep apnea or otherwise known as obstructive sleep apnea. This causes a lack of oxygen and can cause people to feel drowsy during the day. However, this would not explain why you have more energy in the evening. The other things that can cause fatigue in the morning include depression and sadness. The type of sadness that gets more energy in the evening is called bipolar depression. Also, it is important to check thyroid when it comes to fatigue. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14598, + "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": 10347, + "tgt": "Does burning sensation in the scrotum after having oral sex indicate HIV?", + "src": "Patient: Hello doctor,I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have got urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness.The symptoms then disappeared then for four days, I got ticklings on my back, arms, chests, but again nothing visible on my skin. Since two days I have got paresthesia on my left foot, left arm and left hand that does not seems to stop (sometimes I feel it more or less) and sometimes some cramps in my leg or arm. I got a 4th generation HIV test at three weeks, which was negative. Do you think I have a chance to have HIV? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for? Doctor: Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood." + }, + { + "id": 28374, + "tgt": "3D mammography showed calcifications in the right breast. Do I need to worry?", + "src": "Patient: Hello doctor, I just moved, so I do not have an OB or internist to ask these questions. I did my yearly mammogram in 3D for the first time. I did bring my past images, but they were not in 3D. I got a call back for calcifications of the right breast, and it\u00a0was recommended that I get three additional images. I am anxious because I thought that 3D was meant to see calcifications very well. But, they said the report is very vague, it did not mention the size, shape, or pattern of the calcifications. Do I need to worry? I was adopted, so I do not know my family history. I have had cysts in that area before. Doctor: Hi. I saw your mammogram report (attachment removed to protect patient identity). I hope this will reduce your tension to some extent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16686, + "tgt": "Thyroid level is normal but, thyroglobulin antibody level is high. What does that indicate?", + "src": "Patient: Hello doctor, I had depression symptoms. When I checked thyroid, it was normal. but when I checked my thyroid antibody the result shows thyroglobulin antibody (ATG), serum: 32.77 IU/mL. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have antithyroglobulin antibodies. The presence of antibodies only suggests that you may develop thyroid dysfunction in the future but as of now your thyroid gland is functioning well. I would suggest repeating thyroid function test every three to six months. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 27877, + "tgt": "Please guide me after seeing my latest thyroid reports", + "src": "Patient: Hello doctor, I am a 47 year old male. I am having hypothyroidism and high BP from the last 15 years. My height is 5 feet and 6 inches and weight is 82 kg. I am taking Thyronorm 125 mcg and Telsartan H80 daily. I am attaching my recent blood reports. Please guide on what I should do. Doctor: Hello. I read your query about your health conditions and saw the detailed reports which you have attached (attachment removed to protect patient identity). Hope you find my advice beneficial. Take care. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 30180, + "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": 1139, + "tgt": "I took ECP after 42 hours of intercourse on the 10th day. Is there any chance of getting pregnant?", + "src": "Patient: Hello SIr, After finishing 1 pack of combination pill(21 Tablets) I forgot to start another pack on 8th day,So I started new pack from 10th day,We had intercourse in 10th day and I took ECP(Unwanted 72) after 42 hours of intercourse,Is thre any Chance of getting Pregnent? Doctor:" + }, + { + "id": 7469, + "tgt": "What causes low platelet count?", + "src": "Patient: Hello doctor, I have had blood tests done. In the past, I have had clumping platelets, then low sitting at 135 then 114 now the last two are at 103. Is that bad? Doctor: Hello. The platelet clumps sometimes can give a false low count of platelet if CBC is done in automated cell counter only. So in such case, you need to investigate with platelet count by the manual method as well after peripheral smear preparation. So I suggest you investigate further with the peripheral smear examination report. You can revert back once the peripheral smear examination report is done. The viral infection, malaria, hemolytic anemia, dengue, ITP are some of the causes. So kindly mention since how long you have persistent low platelet and at which time these three CBC was done (attachment removed to protect patient identity)?" + }, + { + "id": 15557, + "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": 266, + "tgt": "I am worried about the side effects of diuretics on kidney. What shall I do?", + "src": "Patient: Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I\u00a0am improving well. My EF has improved to 40% on first follow up after a month. I have lost about 6 kg to 7 kg weight in the last three months. I am under excellent diet control and daily walking about 70 minutes. I gave up smoking completely. One\u00a0week back I had my blood checked for various profiles and regarding which I have a few queries. My lipids are on the low side that is total cholesterol 123, HDL 23 and LDL 61. I was on Rozucor 40 for the first one month and then I am on Rozucor 10 mg. Am I below the target range? If yes, can I get the dose reduced further? My uric acid is high 8.1. I read that this may happen due to hypertensive medicines, particularly diuretics and ARBs. Is the high uric acid a point of concern? Should I consult my treating doctor? My kidney profile with sodium and potassium are within limits.My BP is constantly on the lowest average of 90/55 mmHg with heart rate of 65 to 72. Can I reduce my medicines, particulary diuretics? I am worried about the side effects of diuretics on the kidney. My alkaline phosphatase is at 131, just 3 points above the higher limit of 128. Is it fine to have this reading post myocardial infarction? Please explain. Doctor: Hi. I appreciate your concerns. After thorough review of your health query, I want to answer those questions. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9621, + "tgt": "What is the chance of getting stroke while on medications?", + "src": "Patient: Hello doctor, My mom had a stroke two years ago related to AFib. They put her on Eliquis, maximum dose. Last week she had another stroke, and they believe it is heart-related. They are still puzzled though and have added a baby Aspirin a day on top of the Eliquis. Has anyone heard of a recurrent stroke while on this medication? I am not 100 % confident in their decision. Kindly help. Doctor: Hello. Recurrent strokes are very common. As your mom have atrial fibrillation, she must be on regular anticoagulants for prevention of stroke. But as now she has developed new stroke while taking anticoagulants, Its right decision to add ecosprin for further prevention of stroke. Must check your mom's compliance of medicines (if she was taking it regularly or intermittently skipping medicines). Also she should be evaluated for other risk factors of stroke. CT angio neck and brain vessels, 2D Echo or transesophageal echo and serum homocysteine." + }, + { + "id": 26991, + "tgt": "I am experiencing heart flutters and skipped beats. Why?", + "src": "Patient: Hi doctor, I am a\u00a024 year old\u00a0male, who is 5.9 feet tall and weighs 160 lbs.\u00a0I have been experiencing weird heart flutters and skipped beats. It mostly happens when I am at the gym lifting weight, and taking a deep breath in while doing so. I have always exercised without experiencing such feelings. It is very annoying, and I am quite concerned. Hope you can help. Doctor: Hello. 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": 24365, + "tgt": "Can you give me a medical opinion on CT angiogram?", + "src": "Patient: Hello doctor, Please, could you give your medical opinion on the following CT angiogram? My query would be for you to look at the jugular veins which are near C1 in the neck. Symptoms have progressed over the course of four years, dizziness, neck pain, chronic headache, and collapse. The report has come back fine but would appreciate another opinion. Doctor: Hello. Please upload your CT angiogram images. I need to go through all the images in your CD DVD and will have a detailed look at the vessels near the C1 vertebra area including the jugular veins. Regards. Revert with more information to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 16471, + "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": 15925, + "tgt": "Why does my heart rate increase with fever?", + "src": "Patient: Hi doctor, I feel feverish for the last three days. My BP is 88/111 mmHg and heart rate is 87 to 106. Yesterday, I got fainted after some exercise and brisk walk. I am on Azitromycin, Aviral-H 40, Delip 20 and PCM. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28707, + "tgt": "My hair has been thinning for years. What is causing it?", + "src": "Patient: Hi doctor,I am a 35 year old girl, and my hair has been thinning for years. Now, it looks like male pattern baldness. It is so embarrassing. I need to find out what is going on. It is not genetic and I am overweight. I do not know what is causing it. Doctor: Hello. Please revert to me with all your reports. Revert with reports to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26326, + "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": 10900, + "tgt": "I eat fennel seeds. Is it causing delay in pregnancy?", + "src": "Patient: Hello doctor, I have a habit of eating fennel seeds a lot. Could this be the reason for not getting pregnant even after trying for two years? Doctor: Hi. Fennel seeds can normalize your gastrointestinal tract and nervous system. It balances excess pitham. It helps in balancing heat within the uterus, that is very much essential for getting pregnant. So, daily consumption of fennel seed life long will never affect the pregnancy. You may continue consuming it. Please check gynecologist or Siddha or Ayurveda doctor to evaluate why there is a delay in conception. Please check for your husband too. The reason may be identified for specific treatment." + }, + { + "id": 24849, + "tgt": "Why is there clicking sound post pectoral implant surgery with liposuction?", + "src": "Patient: Hello doctor, I am about four days postoperative from pectoral implant surgery with liposuction. Recovery is going well. No fever or unusual swelling, etc. I have what I feel to be a normal pain. My only concern is that sometimes (not always and not with same movements) I hear what sounds like a gurgling sound (squishy) or a clicking sound (very light with no pain) almost like a little pop near my shoulder. I just want to make sure that this is normal. I called my surgeon and he said that it will go away. Doctor: Hello. What your surgeon has said is true. Few days postoperative may be until two weeks there will be slight crackling sound near and around the implant site. It is normal. The space created for the implant during surgery is what makes that sound. Nothing much to worry about as it will resolve on its own. Just try not to do any massage over the area and avoid pectoral exercises during this period. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 9548, + "tgt": "I have problems with my gait and my left hand is raising automatically. Why?", + "src": "Patient: Hello doctor, I have noticed recently that my left arm seems to be raised automatically. This is also about my waist height. I saw a neurologist three years ago, and everything was fine. I also had a brain MRI in 2018 because I was having problems with gait, sometimes need to put my hand on the wall when brushing hair or teeth. My orthopedic doctor found that have a bit of cervical stenosis in my neck C3 and C4. I also hold my cell phone in this hand for many hours while typing. Sometimes when I try to keep three things in my left side, it is a kind of clamps up, and I forget what I am holding (about five yearslike this). Intake blood pressure medicines, and I take a large amount of sleeping pill called Zolpidem 20 mg per day. I am finding it a bit difficult to work sometimes and also suffer from a sore neck sometimes. Doctor: Hello. The clumsy hand and gait difficulties could be related to the cervical spine stenosis. Anyway, I would recommend performing a brain MRI and a physical, neurological exam by your neurologist, before coming to this conclusion. I would also recommend stop taking Zolpidem gradually. This drug should not be used for a long time because it can cause addiction and tolerance. Instead, I would recommend switching to Mirtazapine, which can help regulate your sleep without the adverse effects of Zolpidem. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 7384, + "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": 2089, + "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": 1694, + "tgt": "My urine output is low, except when I exercise or do abdominal massage. Please help", + "src": "Patient: Hi doctor, I am a 30-year-old male. I have urination problem. It started a day ago. I observed low output of urine that is only a small amount every time I have urinated. But, when I exercise or do some abdominal massage, the urine output level is more. I also uploaded the lab test report. Kindly check and suggest medicines. Thank you doctor. Doctor: Hi. Your reports are grossly normal except for isolated ketonuria. I think you get repeat urine for ketones test done as I do not find a cause for it (it can be lab miscalculation). Mostly ketonuria occurs in uncontrolled diabetes, starvation, prolonged vomiting and diarrhea, glycogen storage diseases, severe sustained exercise, dietary imbalance (high fat or low carbohydrate diet), and high-grade fever. So, repeat the test and we will discuss it if still positive for ketones. I will prescribe medication for your urinary problem and just a few questions. Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is there any history of surgery or catheterization in the past? Do you have any history of recurrent UTI? I am looking forward to your answers. Thank you." + }, + { + "id": 25029, + "tgt": "My 18 month old eats very less. Should I give him an appetite booster?", + "src": "Patient: Hello doctor, My 18 month old son is very choosy and eats very less. He eats everything one day and almost nothing another day. I am worried about his health. He frequently gets cold and congestion too. What can I do? Can I give him any appetite booster? What is the best food for him? Doctor: Hello. This is a common concern that every mother has. Kids are fussy eaters and we should inculcate good food habits in them. Try giving different food items to him on different days, keep changing, and experimenting with food - this might help him eat something. Never try feeding the same item to your child. Kids are bound to get infections - at least one in a month. It can be from other kids in playschool or park. They will develop immunity once they cross 5 years of age and infection will be less thereafter. Hope this has been of help. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2424, + "tgt": "Can any test determine if a person will have abnormal kids?", + "src": "Patient: Hi doctor, Can normal tests tell that a person will have abnormal kids or no kids at all? Please explain. Doctor: Hello. Revert back with clear details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20537, + "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": 2788, + "tgt": "What causes red spots after cleaning penis?", + "src": "Patient: Hello doctor, I had smegma since 1.5 years which resulted into balanitis (that is what I think as per symptoms like difficulties in pulling foreskin, cuts, pain, rash swelling, etc.) and recently I applied Candid cream (non steroidal) twice a day for 10 days and smegma seems to be gone and also balanitis seems to be fine. But my foreskin and glans still becomes red and I can see small red spots after rubbing penis to clean. Also just saw a blister at the opening of urethra (it is little inside and need to spread the opening to see it). What could be the reason? Doctor: Hi. Can you tell me if there is any burning, pain, discharge, itching or difficulty in passing urine? Are you able to retract your foreskin up completely? Is there history of sexual exposure? Are you married? When we rub on penis head or foreskin, it can become red as the skin is very thin and sensitive. The skin lining the urethral opening is usually pink or red. Sometimes what we think is a blister may be normal mucosal skin. If there is a blister or ulcer, see your doctor or a urologist. Let me know answers to the above questions." + }, + { + "id": 9241, + "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": 11513, + "tgt": "What can be the reason for the allergy on cheeks and chin of an one month old child?", + "src": "Patient: Hello doctor, My son is 1 month old. His weight is 2.7 kg, and he has been suffering from allergy in his face especially on his cheeks and chin since last five to six days. Now it looks like a sunburn and an allergic reaction. But I could not understand the cause. He has trouble in breathing, and nausea and no medicines were used till now. Kindly suggest any anti-allergic syrup with dose. Doctor: Hello. The allergy that you may be talking about is probably milk dripping from the sides of the lips onto the cheeks and chin. This milk may be causing those allergic rashes on the cheeks and chin. Please observe, and if it is so, please wipe off the milk that is dripping. Another thing that you mentioned is that he has trouble breathing and nausea. Generally, children below the age of six months make certain sounds from the nose and mouth that makes us feel they are breathless. However, these children can take feeds well. If such is the case, then your child is normal with respect to your sense of breathlessness. Do not worry. Please note that even after taking the above steps if there is no improvement or worsening over the next few days, it is best to get the child evaluated physically by a pediatrician." + }, + { + "id": 19398, + "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": 30039, + "tgt": "Am I at a risk of possible pregnancy after missing my contraceptive pills?", + "src": "Patient: Hello doctor,\u00a0 I am currently taking a low dose of combined birth control medication (Femme 20/100) containing 21 hormone tablets and 7 placebo tablets. I was on a higher dose of contraceptive medication (Microgynon 30). Microgynon 30 was switched to lower dose pill because of severe PMS type symptoms. Currently, I am taking Ritalin 60 mg per day in 3 x 20 mg intervals, Abilify 300 mg depot injection monthly, Femme 20/100 contraceptive pill and Clonazepam 2 mg twice a day as needed. I had unprotected sex on day 6 of inactive pill. I forgot to take active pills on day 1, 3 and 4. But, I had 2 pills on day 2 and had unprotected intercourse.\u00a0I am concerned about the possibility of pregnancy. It is now day 5 and I am\u00a0regular on my pill. Am I at risk for a possible pregnancy due to missing so many hormonal pills? Also, what should I do from this point onwards? Should I continue as normal or begin a new packet entirely? Doctor: Hi. Since you have missed three pills, you are not protected for this cycle for further intercourse. But, you were protected in earlier intercourse. To keep your cycle regular continue the present pack, but take extra precaution during this cycle. Use condoms. You can also use a Morning-after pill, not more than once in this cycle. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14133, + "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": 2432, + "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": 1048, + "tgt": "My husband gets frequent sharp cramps in right lower abdomen lasting for a minute. What could this be?", + "src": "Patient: Hi doctor, My husband gets sharp cramping in the lower right side of the abdomen over a period of two months. It happens once or twice a week and lasts for a minute. We checked for appendicitis and kidney stones and all the reports are negative. We did a CT scan of the abdomen and it came normal but with a finding of stage 1 fatty liver. Can you please help me understand what is his issue? Doctor: Hello. I will definitely help you. Right lower abdomen pain has many reasons including appendicitis and kidney stones. There are some other reasons like indigestion of food, infection of the small intestine, or worm infestation. This may be functional also in which no cause is identified. The main reasons are indigestion and irritable bowel syndrome in which all investigation were normal. So if a CT scan is normal and there are no other complaints like vomiting, bloody stool, urinary complaint, constipation then it must be functional due to indigestion. Avoid fatty and spicy food and lots of water have to be taken Give two-hour gap between dinner and going to bed. Please get back to me if any of the above symptoms are there and attach an investigation report also for better help." + }, + { + "id": 28867, + "tgt": "Kindly suggest an appetite enhancer to gain weight", + "src": "Patient: Hi doctor, I am a 24 year old male. My height is 5'8\" and weight is 53 kg. I want to gain weight. I do not feel hungry. I want to increase my\u00a0appetite so that I can eat more. I also do not eat junk foods. I have always been underweight. I used a syrup to increase appetite when I was 14. But, I did not find that now in pharmacy. Please suggest good appetite enhancer. I am very upset because of my lean look. Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 1305, + "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": 16996, + "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": 9627, + "tgt": "I have acid reflux with fatty liver, constipation and hemorrhoids. Kindly advise", + "src": "Patient: Hi doctor, I have been suffering with acidity or acid reflux from the past one year. My scan report says fatty liver and I also have polyps in my gall bladder. Past few months I also seem to have had constipation and hemorrhoids. Doctor: Hi. I need few more details to help you better: 1. Have you got your cardiac evaluation done? 2. Are you getting relief on Razo (attachment removed to protect patient identity)? 3. Any thyroid or diabetes problems? 4. Any other medications you are taking? 5. Are you overweight? Revert with the asked details for better help." + }, + { + "id": 3993, + "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": 992, + "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": 29465, + "tgt": "Kindly check my reports for abnormality as I am getting palpitations along with gas problem", + "src": "Patient: Hi doctor, I am a 22 year old male with the problem of heart palpitations. Recently, my lifestyle is not active. I feel lazy, and I am overweight.\u00a0I first got palpitations 10 days before when I woke up on an empty stomach and bloating. I had a few of them even after motion until I\u00a0had something to eat. In between, I did not have any problems until yesterday when I felt it again the\u00a0same time when I woke up. Palpitations last for maybe a minute with two to three skipped heartbeats. During palpitations, I\u00a0do not experience any other symptoms. When I start walking or jogging, my heart beat increases and I stop having this feeling of skipped heartbeat. Please tell me if this is something to worry about or not. Doctor: Hi. Occasional missed beats are very common in normal people. But, if they are coming recurrently, then you should undergo some tests. Please get the following tests at cardiology center near you. Remember, it could be nothing, or it could be some serious disease, and it cannot be said before tests. So, do not worry right now and do the above tests Revert with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8524, + "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": 17415, + "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": 15021, + "tgt": "I am having one eyeball misalignment and dual vision after a train travel. Kindly advise", + "src": "Patient: Hello doctor, I am 33 years old male. I traveled by train for 12 hours and came sleeping, then I developed a headache. Now, suddenly I am having one eyeball misalignment and dual vision. No other symptoms. Please help. Doctor: Hi. You are experiencing sudden squint. Please get blood pressure checked now. The double vision right now is not an emergency but if you have high BP, that has to be taken care of. If you do not have a BP instrument, kindly tell me if you have these signs. Dizziness, headache at the back of your head, slurred speech. If you have these signs, please visit an emergency ward of a hospital nearby. The eye problem can be taken care of in the morning." + }, + { + "id": 28713, + "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": 30730, + "tgt": "What is your opinion on my breathing issues?", + "src": "Patient: Hello doctor, I have been suffering from breathing issues for about two months. At that time, I was coming off Duloxetine HCl. I was also having weird headaches, but that has subsided. I have been to several doctors and had blood work, oxygen level test and pulmonary test. Everything came back normal. With my breathing, I have the constant urge to take a deep breath in hopes of getting that satisfying deep sigh. I am constantly thinking about my breathing, even when I sleep. I am still able to exercise vigorously, run long distances, etc., with no problems. My fear is that I am experiencing diaphragm weakness as a result of something neurological. Here are my questions. I have been placed on anxiety medicines, which have helped to keep me sane. What is your expert opinion?\u00a0Does this sound like diaphragm weakness?\u00a0Would I be able to exercise vigorously if my breathing muscles were weakening? Doctor: Hi. We are here to help you.\u00a0I have some questions that you need to answer. Revert back with the answers to the above questions to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 7812, + "tgt": "Is it normal for a mole to disappear?", + "src": "Patient: Hi doctor, Several years ago, I had a flat, brown mole on the inner side of my lower lip. I am not sure whether it appeared suddenly or I just noticed it later after some days. I went to my dermatologist and she said it was a mole. She might have said freckle and that it was not anything to worry about. Since then, it faded in color until it just disappeared one day. It probably disappeared a few years later. I have not had any mole that disappeared. Is this regression of any concern? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3227, + "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": 23670, + "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": 26015, + "tgt": "I have clear white bumps in the corner of the mouth. What could they be?", + "src": "Patient: Hello doctor, I am a 24 year old male. I have small clear white bumps in the corner of the mouth. It is not hurting. Some are very small. They are more than 20 in number. I am currently taking vitamin D3 supplements and iron supplements. Doctor: Hello. I have reviewed your query and can well understand you are worried about the lesions (bumps) on the corner of your lips. There are many reasons behind this kind of lesions. It mostly is caused either by a deficiency of nutrients, dehydration, or a viral infection. The virus is named as herpes and it causes lesions on the lips. I know you are taking vitamins D3 and iron supplements. So, keep taking the medications until you get your levels to normal. If it is a herpes viral infection, it usually goes away on its own. No specific treatment is needed for that too. In worst case scenario, it can be cancer due to any reason. Mostly, smokers are the target of this type of serious disease. Smokeless tobacco (paan and gutkha) is also associated with cancerous lesions like this and other mouth cancers. This is prevalent in the region where you live. It is better to avoid any kind of tobacco addiction and also drinking alcohol. Hope it helps. Please keep a follow up for a better outcome in this case. If you feel there is something left unanswered or you need further assistance, please consult me back anytime. I would be happy to assist. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11766, + "tgt": "I am suffering from anterior tibial tendinitis. Should I quit my job?", + "src": "Patient: Hi doctor, I am a 25 year old female with no allergies, smoking and drinking. I am suffering from anterior tibial tendinitis. I first began to feel the throbbing pain in my foot a month back. I was told that I have tendinitis. Last two weeks, I have worked for 12 hours a day with no day off was a big contribution for this medical condition. Anterior tibial tendinitis limits my activities by making it hard for me to walk or stand during long periods of time. I did not have any medical tests done. A physical examination of my right foot and ankle was done last week. I received a prescription for an anti-inflammatory pill called Naproxen. I was advised to take this 500 mg pill up to two times a day to help with pain but the pill must be taken before the pain begins. I was also advised to continue wearing supportive shoes, insoles, ankle supports and\u00a0ice my foot for approximately 20 minutes whenever I feel the pain. I can do other activities that I do not put so much stress and strain on the foot. I was out a total of 3 days because of this condition. I did call my employer and let them know what was going. I also bought to their notice that I would be out for the next 2 days due to this medical condition. I did my research on this medical condition looked up information on the computer about tendinitis. When I looked up this information I was advised to cease the activity which caused tendinitis. I also looked up the short-term and long-term effects of this medical condition. I have documentation to prove that I do have this medical condition. Shall I apply for leave? Or should I quit my job? Doctor: Hi. No, you need not have to quit your job. What you can do is that you can get an ultrasonography (USG) of the tendon done which will show you the inflammation and it will provide you with the documentation of anterior tibial tendinitis. With this documentation, you can apply for about 3 weeks of leave. The leave you got was only for the emergency department. You can visit the OPD (outpatient department) and do a USG scan, document it and apply for further leave. Meanwhile, you can use Naproxen as prescribed to you. Do hot fomentation now over the affected area thrice a day and limit your activity to give rest to the affected part. Also a removable walking cast is going to help you a great deal to recover from this condition sooner and present worsening of this condition which will lead to chronic anterior tibial tendinitis." + }, + { + "id": 18714, + "tgt": "Can I use Nexret gel for anti-aging?", + "src": "Patient: Hi doctor, I am a 35 year old\u00a0female with borderline oily skin living in a very humid city. Only gel-based products work for my skin. I was wondering if I could start using Nexret gel, as a night treatment for anti-aging and general maintenance on a long-term basis. I have a few sun spots and pimple marks that need to go. My father and grandfather have vitiligo, and that is one reason I fear using products that tamper with the pigmentation process.\u00a0Currently, I am using a face wash, Micellar water, and an anti-shine gel moisturizer in the morning and night. I also use vitamin C day gel and a sunscreen gel with SPF 50 in the day.\u00a0Thank you so much in advance. Doctor: Hi. I have seen your query and concern. Please attach a picture if possible, for better evaluation. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4619, + "tgt": "Had treatment for rectal cancer before 6 years. What iss the chance of recurrence?", + "src": "Patient: Hello doctor, I am a 64-year-old female, operated cancer breast and cancer rectum. I completed the treatment for breast cancer. I underwent neoadjuvant CTRT and anterior resection with covering ileostomy for cancer rectum. I completed adjuvant chemotherapy and ileostomy closure done. My CT thorax shows multiple enlarged left retro pectoral nodes. Doctor: Hello. As per your reports, your mammography is normal. (attachment removed to protect patient identity). CT (computed tomography) shows retroperitoneal lymph nodes and multiple hypodense lesions. Chances for breast cancer recurring after 10 years are usually unlikely. What can you tell about your baseline stage of cancer breast and cancer rectum? As serum CEA levels are normal, there is discordant radiology and serological picture. I would like to view CT films and if previous CT films are available. The CT is definitely abnormal. Liver lesions can be simple cysts too. If that is the case I would not give much importance to retroperitoneal nodes and just advise you to be in close follow up. May be repeat CEA and CT after three months. There are no definite guidelines for this type of situation. And the plan of action depends on experience and clinical judgment regards how likely is the recurrence. If symptomatic I would advise you to follow up. Most likely the picture looks like recurrence of cancer rectum. But as treatment was completed more than three years ago, recurrence this late is not common and chances of different diagnosis like TB (tuberculosis) or infective cause can also be there." + }, + { + "id": 23739, + "tgt": "Can HPV in sexually active individual cause throat cancer?", + "src": "Patient: Hello doctor, I do not show any signs or symptoms. Instead, I just want accurate information on the subject of HPV in a sexually active individual. I would like to know its role in throat cancer. Yes, I know it can cause it, but I would like to know more regarding numbers. Is it rare? What percentage of people get throat cancer from it? Also, I am 30 years old and have smoked half a pack in a day from 19 to 26 years of age. I have quit now and have not smoked in the last four years. I know the body naturally fights off HPV with the immune system. But, I damaged and lowered my immune system while being very sexually active (orally) with women. Should I be worried? I know I am young and stopped smoking but just asking. Doctor: Hi. Cancer in oral cavity and larynx has many clear risk factors including smoking and alcohol consumption. Although human papilloma virus (type 16) is found in most oral and laryngeal cancers. There is no evidence that it is the cause of cancer. There are many studies on the topic without a clear outcome. HPV is found in 7% of all oral cavities in your country with only 1% HPV 16. There is no clear evidence how people get the virus in their oral cavities (some people never practiced oral sex). Also, the HPV is a weak virus. People with adequate immunity can overcome it easily. On the contrary, HPV 16 is the main cause of cervical cancer in females, and that is why they should be screened and get vaccinated for it. It is similar to HIV. There is no evidence that people get HPV infected with kissing. You should not be worried as it is very rare to get laryngeal cancer because of oral sex. I recommend safe sex with condoms to avoid STDs. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26686, + "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": 27442, + "tgt": "I am stressed and want to quit my job. But, I cannot. Please help", + "src": "Patient: Hello doctor, I suffer from anxiety and depression from the last few years. My work causes me fatigue, but I do not have an\u00a0option. I have very low energy, palpitations, and sexual dysfunction. Sometimes, I get very angry and end up hurting someone. Or, I just leave my job and home and go somewhere random. Please advise me a proper course. Doctor: Hello. I understand your concern, but you will have to elaborate on your issue for me to give you proper suggestions. Revert with more information to a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 27652, + "tgt": "I have fatigue and weakness after taking Unwanted 72. Could I be pregnant?", + "src": "Patient: I am a 23 year old female. I had my periods on the first of this month. I had unprotected sex with no ejaculation on the eighth and took Unwanted 72 the next morning. The first withdrawal bleeding was on the 11th and the second was on the 15th. But, I have general fatigue, weakness and abdominal cramps.\u00a0I need advice. Doctor: Hello. Take care. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21566, + "tgt": "What is the ayurvedic treatment for my 7 years old son having hives and bumps?", + "src": "Patient: Hello doctor, My son is 7 years old and has acute urticaria. It started 20 days back with symptoms of swelling of feet and hives. Now, the hives and bumps are all over the body. I have started to give him Allegra syrup since 10 days, daily 5 ml. Doctor: Hello. I just read your query. Follow the below-mentioned management for your son: Follow this management for one week. Hopefully, you will feel better results and then consult me regarding improvement and for further management or you can consult your nearby ayurvedic physician. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7106, + "tgt": "Can fibrosis of the liver be seen in abdominal ultrasound?", + "src": "Patient: Hello doctor, I had problems like gas, diahhrea, and abdominal pain. I had an ultrasound of abdomen and diagnosed with fatty liver. Will this ultrasound show fibrosis of the liver? Doctor: Hello. Ultrasound abdomen can only tell about the presence of fat. For fibrosis and quantification of fat, another imaging modality is used called Fibroscan. It is similar to ultrasound. For confirmation of fibrosis, sometimes a biopsy of the liver is needed, but it is an invasive procedure, so we mostly rely on Fibroscan. For pain abdomen gas you can use the following medicines, 1 Capsule Esomeprazole 40 mg once daily before breakfast for four to eight weeks. 2. Tablet Mebeverine 135 mg twice a day before meals for four weeks. 3. Tablet Rifaximin 550 mg twice a day before meals for two weeks." + }, + { + "id": 29650, + "tgt": "Kindly suggest treatment for disc compression", + "src": "Patient: Hello doctor, I got disc compression problem and nerve drags from thigh to feet in the night-time. Sometimes, it gets twisted in feet and it pains a lot. There is no balance in legs to walk. Please suggest some remedy and help me Doctor: Hello. Injury or overweight X-ray or MRI Revert back after two weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30810, + "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": 27368, + "tgt": "What do elevated kappa light chains and IgM indicate?", + "src": "Patient: Hi doctor, I am a 34 year old male. My free kappa light chains are elevated, but the ratio came back normal. IgM is also elevated, but IgG and IgA are normal. What does this mean? I do have a history of DVT. I am on blood thinners. I also did angiograms of my lower extremities. Can you help me understand what is actually going on? Please find the attached reports. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity). For further queries consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 15142, + "tgt": "Father died during angioplasty due to pulmonary edema. Need second opinion", + "src": "Patient: Dear doctor, My father died during angioplasty. The treating doctor said that the death is due to pulmonary edema. But we suspect it may be because of a medical negligence. I need a second opinion. Doctor: Hi. What happens in a heart attack is that the patient's heart is not functioning properly. It does not maintain the speed and pressure required. And therefore, the blood and the fluid collects in the body including the lungs. When the fluid collects in the lungs, a person cannot breathe well. Angioplasty is quite a standard procedure for heart attack. It is an urgent procedure for acute heart attack meaning sudden heart attack or a planned procedure in an angina patient. In either way, if the pumping is slow then pulmonary edema can result. Have a look at the echocardiography, if done. If the LVEF/EF is low, then the chances are that your doctor is right. Sorry again for your loss." + }, + { + "id": 11777, + "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": 21218, + "tgt": "What are the four round bumps on my penis?", + "src": "Patient: Hi doctor, I have got four round shaped bumps beneath my penis area. I do not know what it is. Please guide me. Doctor: Hello. Please upload the close-up pictures for making a diagnosis." + }, + { + "id": 24293, + "tgt": "Why is my baby having continuous watery stools?", + "src": "Patient: Hi doctor,My baby child is of one month and 10 days old. Actually, she had fever two days earlier but fever is fine now after consulting doctors. Now, she is having a continuous watery stool for last two days. But watery stool is continued. She is not sleeping at all. Doctor: Hello. As your baby is only one month 10 days old, very less medication is recommended in this age. Continue to breastfeed, watch for adequate urine output. ORS (oral rehydration solution) solution to be only given if urine output is low. You can also give Econorm (Saccharomyces Boulardi) sachet half sachet twice daily diluted in milk. For your information, a baby on breastfeeding may pass slight curdish stool which is golden yellow in color. It can be as frequently as the feed is being given. This is normal. It improves when the baby is four months of age. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30444, + "tgt": "Why are not my wounds healing soon?", + "src": "Patient: Hi doctor, I am a traveler. Recently, I noticed that any of my cuts were taking a very long time to heal and are never fully recovering. They are leaving a small scar or discoloration. Initially, I thought that the cut did not heal as I was in the water every day for a few hours.\u00a0Insect bites are the worst for this. They are scabbing up (when I scratch) and leaving behind scars on my skin. I have traveled a lot from my young age and have never experienced this before.\u00a0I should have got in touch a few days ago, but I thought it would heal.\u00a0I am generally healthy and in good shape. Also, I frequently go to the gym. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22168, + "tgt": "Why am I suffering from decreased erectile function and libido?", + "src": "Patient: Hello doctor,I am a 52-year-old male. I am suffering from decreased erectile function and decreased libido. Also, my triglyceride and estradiol levels are high. Free testosterone 11.65 pg/ml, total testosterone 649 ng/dl, serum estradiol 70.45 pg/ml, height 5\u20199\u201d, weight 80 kg, blood pressure 140/90. Presently, on Ecospirin 0.25 and Met XL 0.75. No history of diseases. Triglycerides are 342. KFT, LFT, TFT are normal. Blood glucose and urine routine are normal. I take 5 to 6 cups of tea daily. Please suggest some safe and effective medicines to cure my problems of decreased erectile function and very high estradiol level. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have erectile dysfunction. I suggest that you check your serum prolactin, FSH (follicular stimulating hormone), LH (luteinizing hormone), serum ferritin, HbA1c levels and get back for review. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 4481, + "tgt": "Is it safe to administer Benzodiazepine in a patient taking Phenibut and Kratom during general anesthesia?", + "src": "Patient: Hello doctor, I am going to be under general anesthesia in coming days for surgery. I did let my pre-op nurse know and wrote down all current medicines and supplements but have a question about 2 supplements. As I am not going to take them the night before anyways but just wanted insight. The first is Kratom. I wanted her to know so the anesthesiologist could dose my pain medicines right during surgery. Second is Phenibut F.A.A. (Free Amino Acid) would this would this have any effect on tolerance to the Benzodiazepine they choose to administer? Doctor: Hi. You are taking 2 drugs one of which is Psychoactive compound (Kratom) while other one is mind calming magnet (Phenibut). If you are taking those drugs since long time then you may have some tolerance to Opioids/Benzodiazepines/other sedative anesthetic medicines. So I would suggest you personally inform the anaesthesiologist regarding them so that he can make necessary adjustments in dose of anesthetic agents. I just have added effects of these medicines on body. Kratom contains psychoactive compounds Mitragynine (C23H30N2O4, molecular weight 398.49) and 7-hydoxymitragynine (7-HMG). It is used to treat chronic pain or opioid withdrawal, although no scientific evidence supports this use. The leaves are used for recreation and for self-medicated opioid withdrawal treatment.Kratom's toxic effects include dry mouth, changes in urination, nausea, vomiting, and weight loss. Serious complications, such as seizures and coma, have been reported. The effects of Kratom are dose dependent. Small doses produce cocaine-like effects; larger doses cause morphine-like sedative effects. Kratom users report increased work capacity, alertness, sociability, and sometimes increased sexual desire. Phenibut is a modified version of gamma-aminobutyric acid (GABA) which is one of the inhibitory neurotransmitters in the brain. It exhibits a relaxing effect and is also describe as producing a euphoriant, dis-inhibiting and calming state of mind." + }, + { + "id": 15257, + "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": 21429, + "tgt": "I am pretty flexible but doing center splits cause sharp pain. Why?", + "src": "Patient: Hi doctor, I do a couple of sports to have some hip flexibility. I am pretty flexible, and I can do right and left splits. But when doing the center split, I get a stopping pain in my outer hip with no stretch in my inner thigh. If I rotate my knees back and hips forward, I can do more stretch, but there is also a slight stop. What is this and can it be worked? Will stretching help to release that stopping pain or am I anatomically incapable of doing a middle split? There is pain only when I am doing a center split. How to fix it? I do a lot of kicking, and I do not want to injure myself. Doctor: Hi. There are many factors, other than tight inner thigh muscles that limit the split especially center split. Bony restriction in the hip joint, as the hip joint bone gets jammed into socket because of extreme coxa vara angle (angulation between the neck and shaft of the thigh bone) leading to restrictions in movement. These jams will not happen when you do a side split as there is slight rotation occurring in the joint and allows the action to happen. Other reason could be ligamentous (pubofemoral ligament) limitation as the ligament tightens and it limits the further movement. This ligament realigns and will relax while doing forward and side split. So, it will not restrict your movement other than center split. You can try tilting your pelvis forward so that there can be some relief with limitation in both the cases. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25143, + "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": 13888, + "tgt": "I have been suffering from social anxiety. Is there any treatment to get rid of these problems?", + "src": "Patient: Hello doctor, I am a 29 year old male. I have been suffering from social anxiety. Following are the consequences that I am facing through in my daily life: I am not at all confident to talk with new persons, especially in group meetings. My heartbeat used to raise and I will forget things to be discussed. I cannot remember and pronounce properly even with the people whom I meet daily. I do not know how to react when they wish me or when they talk to me. I am trying my level best to get rid of this anxiety by facing it but once in a while, only I could handle these situations up to my expectations. Also, I have intrusive thoughts especially when I go to the temple or when I see the photographs of god, I will feel like something bad would happen to me. If I read a book and implement that in a big project also, I could not remember even the titles. Somewhere I have read, social anxiety can cause memory loss. Recently I forgot my card pin number which I used 2 months back. My concentration power is very poor too. The other problem that I am coming through is uncontrollable daydreaming, even though if I try to keep my mind busy I will get into it unknowingly. I could not do anything to improve my career because of these problems. I am not sure whether it is any disorder or normal behavior of people. Please suggest me if I require any treatment to get rid of these problems. Doctor: Hello. You have Obsessive Compulsive Disorder (OCD) and social phobia. I can understand your concern. I have read through your history and from that, it is clearly evident that you have anxiety spectrum disorder. The symptoms like difficulty in talking with persons, increase in heart rate, forgetting things easily, inability to pronounce things properly, difficulty in reacting to others, difficulty to talk in arguments, etc., are due to social anxiety. The symptoms like daydreaming, poor concentration, inability to divert thoughts, etc., are due to anxiety only. The intrusive thoughts, repugnant thoughts like bad thoughts when you go to the temple, etc., are related to obsessive thoughts, and this needs proper evaluation. Social anxiety does not cause memory loss but due to persisting distraction and lack of concentration individuals find it difficult to focus and concentrate. This will cause feelings like loss of memory. Considering your history, I would suggest you visit a psychiatrist for evaluation. Medicines like SSRIs such as Fluoxetine, Paroxetine, Sertraline, etc., can help to reduce these symptoms and you will feel better. These medicines are free of serious side effects and are better tolerated. Apart from medicines, relaxation exercises like yoga, progressive muscle relaxation exercises are also equally helpful in anxiety and obsessive-compulsive disorder." + }, + { + "id": 18696, + "tgt": "Please look into my NT and double marker test reports and assess my risks", + "src": "Patient: Hello doctor, I was recommended for NIPT, early TIFA scan and then amniocentesis if needed. Here are my NT and double marker reports. Kindly interpret the real risk level for me and what should be the next step ahead if there is any concern. My blood sample for the double marker was collected at eight weeks and two days and the NT scan was done at 12 weeks and two days. Both NIPT and amniocentesis are hard for me to afford. Moreover, amnio is said to be risky and I do not want to take risks. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17829, + "tgt": "Why do I get some weird thoughts and numb feeling?", + "src": "Patient: Hi doctor, Nine months before, I had to break up with my mom's house. Then, I found that she passed away. Since then, I am really numb without any feelings. I have been crying non-stop for her, because she was my best friend as well. Also, I am not able to explain my feeling. In the past one and a half weeks, I am constantly getting angry, snapping at my children and partner and feeling very on edge. I cannot stand any noise and I have all weird thoughts in my head. One, for instance, I cannot get into the car unless I can see the air bag sign as I am scared that we are going to crash. If my kids or partner goes out, I always think something bad is going to happen to them. Also, I am unable to go out alone. I could not answer the door or eat or sleep. I just do not know what to do anymore. I do not want to go to a general practitioner as they think I look like an idiot for saying all of the above. What can I do now? Please help me. Doctor: Hi. I can understand your feeling. Please do not worry and do not scare about your symptoms. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 29870, + "tgt": "Kindly give some suggestion for twisted sacrum and dextroscoliosis", + "src": "Patient: Hi doctor, My left side back has been a problem for many years. My sacrum moves posterior with activity. Kindly give some suggestions for twisted sacrum and 12 degrees dextroscoliosis. What muscle groups need to be focused upon? Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 12330, + "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": 18227, + "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": 10285, + "tgt": "Why do we have pain after deep tissue massage to tight calf muscle?", + "src": "Patient: Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out? Doctor: Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard." + }, + { + "id": 10724, + "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": 25543, + "tgt": "Is it safe to completely shave the head when there is severe hair fall?", + "src": "Patient: Hello doctor, Recently, I suffered from typhoid. I stopped taking medications one month back. But, after my recovery, I am facing heavy hair fall with burning on the top of the head. If I run my hand through my scalp, every time, there are at least 10 to 20 hair strands in my palm. They do not contain roots. Recently, I visited a physician. He said that it is common after medications, no need to worry. But I am facing more trouble with burning head and headache, falling hair without roots. So, please suggest something and help me get rid of these problems. Doctor: Hello. I have seen your query and concern. From your description, it seems you are having telogen effluvium. You can use tablet Xtraglo (Vitamins, Minerals and Amino acids) once daily for six months after consulting your GP. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1875, + "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": 4891, + "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": 15261, + "tgt": "What does the MRI of ankle, foot and hip taken after four years of a fall injury indicate?", + "src": "Patient: Hello doctor, I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal. Doctor: Hi. Your MRI of the ankle, foot, and hip seems to be normal (attachment removed to protect patient identity). Well, I am not able to understand your problem. What difficulty you have? Is it present while sitting or only on standing? Kindly elaborate more of your symptoms so that I can help you better. If possible send a photograph of both your foot while standing." + }, + { + "id": 18968, + "tgt": "Is it possible for gay parents to raise a child normally?", + "src": "Patient: Hello doctor, I have a cousin who is gay and her and her partner just recently adopted a child and I am fearing for that child's future because of the problems it could face as an adult which is they have a greater chance of committing suicide, suffer from obesity and depression, become dependant on drugs. Doctor: Hello. I understand your concern and worries. You are right in saying that a child needs the love and affection of both parents but at the same time, it is just love and affection which matters the most. The person who is giving it becomes secondary. There is no hard and fast rule that children of gay people will have a distorted future. The point is if the child is being brought up with love, affection, care, understanding, and support, he or she will adjust with environment easily, will develop good coping skills and good caring parents are more important than the gender of parents. Parental counseling can be done. Good care, support, understanding, nurturance of the child." + }, + { + "id": 21014, + "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": 17172, + "tgt": "I have testicle pain after an episode of mumps. Please advise", + "src": "Patient: Hello doctor, I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the\u00a0other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it?\u00a0For the time being, please suggest some precautionary antibiotics for my relief. Doctor: Hello. I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 12531, + "tgt": "Why does my tonsil look like a white build up with veins on it?", + "src": "Patient: Hello doctor, I have a left tonsil that looks like a white build up with some veins on it. I recently was diagnosed with a jaw bone that was malaligned so I am wearing several appliances to get that back set in place. I recently went to an ENT and they put a scope down my nose and said my tonsils are even. He mentioned to come back in two months. Why is that? Why not just take a biospy now? Please help because I really hate waiting for two months just to be seen again. Doctor: Hi. The left tonsil seems mildly hypertrophied and unhealthy. But it does not have any active infection. Can you take a picture with both tonsils in view? Tonsils are normal structures and unless one is much bigger than the other we usually do not suspect anything. Do you have any symptoms with tonsils? Is there a post nasal drip or throat pain or soreness or foreign body sensation in the throat? The tonsils inside the nose or at the back of nose are called nasopharyngeal tonsils or the adenoids which usually regress by 10 years of age but in some, they remain. How old are you? What appliances are you wearing or using for jaw bone correction? Can you take a picture and send? The tonsillar biopsy is not as simple as biopsies at other locations. We do it under general anesthesia and we remove the entire tonsil. This is done at a particular position and probably your jaw condition does not let that position to be made on you. Do revert back with all the details so that we can help you." + }, + { + "id": 29882, + "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": 11761, + "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": 20264, + "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": 30339, + "tgt": "I need a second opinion as my wife is bleeding during pregnancy", + "src": "Patient: Hello doctor, My wife is 6 weeks pregnant. She is experiencing pain in the stomach and waist from the start of the pregnancy. Sometimes, the pain is severe. As per our local gynecologist, all the reports are normal and there is no need to worry. I have attached all the reports taken till now for your reference. Also, she had slight bleeding for around two times and yesterday, there was heavy bleeding like menstruation whenever she goes for urine. Our gynecologist suggested Trenaxa 500 tablets. After that, there is no bleeding till now.\u00a0We are worried and need a second opinion to know the safety of our baby. Why is there bleeding and continuous stomach and waist pain? The stomach and waist pain is still present. There is no previous medical history. She is 29 years old. Her height is 5'2\" and weight is 41 kg. Doctor: Hi. Revert back with the report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28345, + "tgt": "Can you tell the reason for crampy stomach and belching when the scope tests are clear?", + "src": "Patient: Hi doctor,I am in my early 60s. For the last three months, after dinner, I feel indigestion for 2 hours and have a crampy stomach with lots of belchings. Because of this, I am not on regular food. Earlier, I had a few issues, but that was manageable and not so intense. Now, even when not taking food, I get belching and wake up in the middle of night.\u00a0I had gallbladder removal around 20 years back. When I visited a doctor, he advised for endoscopy and colonoscopy. Both the results were good. Why then the cramp and belching did not go off? Incidentally, I had a reducible right groin inguinal hernia before three months. I feel very anxious with my heath problem. Can you tell the reason for crampy stomach and belching when the scope tests are clear? Doctor: Hello. I can understand your concern for your symptoms. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16809, + "tgt": "When can I do an angiography after a heart attack?", + "src": "Patient: Hi doctor, Can you tell me within how many days angiography must be done after a heart attack? Doctor: Hello. After a heart attack, angiography should be done within the first 24 hours. But, if it is not done and if the patient is on thrombolytic medicines like streptokinase medicine, and no symptoms, then it can be delayed. There is no exact time, but it is better to get it done as soon as possible. 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": 21866, + "tgt": "Whenever my wife took Ambien and Accutane together, she had alcohol-like breath. Why?", + "src": "Patient: Hello doctor, My wife has taken Ambien 5 mg, once or twice a\u00a0week to get to sleep after a difficult day at work. She used to take the 5 mg without any problems, for almost a year. A couple of months ago, she started a course of Accutane. At first, she took 20 mg per day, now it is down to 10 mg per\u00a0day, and it made her sensitive to her Ambien when she would take that. When she cut the 5 mg pill and took what looked to be close to 1 mg worth, she would develop this strange alcohol-like breath about an\u00a0hour after taking the pill. The breath would go away after 30 to 45 minutes. She also has complained of her entire body's skin getting itchy for about the same time period, after taking the low-dose Ambien. I have told her to quit the Ambien while she's on the Accutane, but she is trying to give herself small doses, that still result in those reactions. Are these reactions symptoms of something much more dangerous, or are they like an allergy and not indicative of permanent damage? Any help is appreciated. I am trying to weigh when and how to approach this subject with her. Doctor: Hello. Take care and God bless. For more information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 9514, + "tgt": "Why am I having cobblestone appearance in throat with pain?", + "src": "Patient: Hello doctor, I have had one sided throat pain for a week now when swallowing, usually have cobblestone appearance on the back of the throat, now my throat pain is slight and maybe more on to the side of where this lump above my tonsil appeared. What does this look like? Could this be a tonsil stone? Doctor: Hi. It appears more like a cyst within the tonsillar tissue. If no symptoms then we can leave it as it is. But since you have pain with congestion and cobblestone appearance of the posterior pharyngeal wall, I suggest you take some decongestants and Tylenol. Try for a few days and review with us with a fresh picture. Please do some warm saline gargles also. If you feel better in a few days then you may continue the medicines for five days and stop. But if no improvement then you may need antibiotics or a culture swab and then antibiotics." + }, + { + "id": 25839, + "tgt": "How accurate is the lever test in diagnosing ACL injury?", + "src": "Patient: Hello doctor, How accurate in your opinion is the Lelli ACL (Lever test)? I am almost three months post-op of having my ACL reconstructed along with a few lesions addressed during the surgery. I am concerned I have ruptured my ACL again after feeling a short sharp pain when turning in the sand on vacation. It has been three days since the incident and the knee now feels a lot looser and I have some pain in different areas. I have tried the Lachman test with no noticeable shifting, and the Lelli test was positive with good leverage hopefully assisted by my intact ACL. I will have to see my surgeon and physio soon but I am just wondering how accurate the Lelli test is. There seems to be no difference when comparing the test in both knees. Doctor: Hello. I read through the concern. The Lelli test is accurate in diagnosing acute on chronic ACL tears, more sensitive than many other traditional tests performed in an acute condition, especially partial and acute tears. Do not be afraid. Keep calm. Take precautions not to strain and exert your knee. Keep it supported with an ACL brace until you get properly diagnosed by a good orthopedic or physio. Do not jump to a conclusion and keep worrying as you might not be accurate enough to say the reason for translation as there could be many factors like muscle inhibitions and imbalances that exist post surgery which may all confuse you leading to false positive tests. Hope this is helpful. Kindly revert back 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": 8926, + "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": 27254, + "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": 7024, + "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": 10609, + "tgt": "What could be the white lines near the teeth on the lower lip?", + "src": "Patient: Hello doctor,I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts. Doctor: Hello. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus. History of smoking. Biopsy. Candida, leukoplakia, and submucous fibrosis. Lichen planus. Biopsy (nearest dental hospital) and follow-up with a specialist. Nicotine patch to stop smoking." + }, + { + "id": 8216, + "tgt": "Having severe pain during brushing and all my teeth are sensitive. Please help", + "src": "Patient: Hello doctor,It has been over two years since I brushed my teeth however, I have no physical signs of decay. I have recently (last three months) tried every sensitivity toothpaste known over the counter because my teeth are susceptible. Whenever I brush my teeth, the pain is so bad. I nearly faint I have been to my local dentist is lost his last resort is to kill my nerves, but I do not want to do that unless necessary. Please help. Doctor: Hello. I understand that you suffer from susceptible teeth. You say that there are no signs of decay, I ask you, is it severe sensitivity can be a sign? However, to be accurate in commenting, I will share my thoughts and the things we need to do to diagnose this. If you have large fillings (deep fillings), it can be a cause, as it is close to the nerves of the tooth. Also, if you made a new filling in less than four weeks, this could be a cause. If you have a history of teeth grinding this can be a cause. And if in a small percentage some physiologic normal tooth morphologic gaps between the enamel and the cementum tissues of the teeth sensitivity can be the cause, but the last scenario is not causing that severe pain. Also, you tried many sensitivity toothpastes, and it did not work out, I think that it is time for a dentist interference. Does your pain occur in a particular tooth or is it generalized, did you have a new dental treatment, fillings or scaling? Are you a smoker? What is your age? Do you have a teeth-grinding problem? I need more history, x-rays and some intraoral photographs for better diagnosis and for making a good treatment plan. I hope that answered your question. Decays, deep fillings, pulpal irritation, trauma, bruxism, and calculus. Panoramic, periapical x-rays, intraoral photographs. Irreversible or reversible pulpitis. Hypersensitivity. Comprehensive diagnosis and treatment plan in two weeks, a dental check-up every three months." + }, + { + "id": 27488, + "tgt": "Why am I having pain from my breast to the armpit?", + "src": "Patient: Hello doctor, I am a 30 year old female, who weighs 130 lbs and 5.3 feet tall. For about 12 days, I have had consistent pain in the outer side of my breast up through my armpit. I have a tingling and slightly numb feeling in my left arm. I did not injure it, as far as I am aware. It started suddenly one morning. There is also a heaviness feeling in that whole area. When I look at the area, there is no physical change that I notice. I do not\u00a0have lumps in breast or armpit that I could find. Doctor: Hi. I need to know few more details about your problem: Kindly get back with following answers, so that I can help you better. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3663, + "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": 21164, + "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": 29265, + "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": 24528, + "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": 8856, + "tgt": "I did not brush my teeth before putting braces. Can it affect the braces?", + "src": "Patient: Hello doctor, I am not really sick or anything, I just have a quick question. I put on my braces early this morning, but I did not have time to brush my teeth prior to putting them on. The orthodontist did place some chemicals on my teeth and washed it with water before putting the braces on. I am just wondering if not brushing my teeth will affect the stability of the braces. Doctor: Hello. I have read through your concerns. Brushing your teeth will definitely improve your oral hygiene and reduces the food accumulation and plaque formation in later stages. If you are not comfortable brushing with braces on, I would advice you to opt for piksters or flossing to remove the plaque that is accumulated overnight. Have a lukewarm saline water rinse every morning to flush the debris out. Why oral hygiene is important is, the plaque can change to hard calculus overtime and definitely disturb the braces and its integrity. So please make sure you inculcate good oral hygiene." + }, + { + "id": 3107, + "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": 16524, + "tgt": "Is there any diet restriction following dog bite?", + "src": "Patient: Hi doctor, I was bitten by a house Siberian Husky. The pup is 8 months old and is not vaccinated for rabies. I used to visit it everyday. It is normal and drink water. I was given only tetanus as I am allergic to the antirabies vaccine which was administered and discovered 10 years ago when I had a dog bite. Can I eat all kinds of non-vegetarian foods, curds, citric and acidic food, ice creams and chocolates? What has non-vegetarian food got to do with a dog bite? Please explain. Doctor: Hello. There are no dietary restrictions following a dog bite and you can eat whatever you like to have. Also, let me share a few facts after dog bite:- A 10 days quarantine for the dog that has bitten is generally followed. If the dog during this period if develops any personality change like aggressiveness or excitability or dullness or any paralysis the dog should be humanly killed. The most important is, one should clean the dog bite wound thoroughly, not to suture and get vaccinated. Avoiding non-vegetarian foods, onion and garlic following a dog bite is a social taboo and a misconception. There is no scientific explanation to explain the relation between the pathogenesis of rabies and what we eat to the extent of my knowledge. You can eat everything and just observe the dog. Be careful next time while playing and taming dogs. Keep in mind your allergy to rabies vaccination. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12585, + "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": 22272, + "tgt": "I suffer from insomnia. What can be done to get a good sleep?", + "src": "Patient: Hello doctor,I suffer from insomnia that had increased in the last year. I used a lot of medications that were prescribed to me by my local physicians such as (Diazepam, Lorazepam, Alprazolam, and Mirtazapine). Initially, it is useful at the beginning and then insomnia returned. I also follow a behavioral treatment (went to the bed at 12:00 AM and wake up at 7:00 AM on a regular schedule) but the problem is persisting. The main point is when I go to bed, I did not fall in sleep for at least three hours and in some cases stay awake till morning despite the medication that I took at night. My main concern is I want to sleep directly when I go to bed even if I sleep for few hours only. Looking forward to hearing from you and give me a suitable advice or medication. Doctor: Hello. It seems that you have been in trouble with sleep disturbances for a quite long time. Also, it appears that you have difficulty in the onset of sleep rather than difficulty in maintaining the sleep. Before proceeding to management, I would like to know few things first: Kindly provide me with this information, so that I can help you in a more effective way. For more information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 4955, + "tgt": "While trying to conceive, I feel the symptoms of periods within 20 days. Is it normal?", + "src": "Patient: Hi doctor, We are trying for a baby for three months. I have been facing a couple of issues. I feel the symptoms of periods within 18 to 20 days of my previous cycle. My regular cycle was between 25 to 28 days before. I was taking Folvite (Folic acid tablet) but started using iron tablets for two months. Please let me know what could be the cause? Or is this normal? Doctor: Hi, Welcome to icliniq.com. The feeling of symptoms like periods but not actually having bleeding could be due to ovulation pain, what is called in medical terms is Mittelschmerz's pain. If your cycles are ovulatory, all the more good. Try for conception in the middle of your cycle days, say in 25-28 day cycle 8-18 days. Do not worry if three months are gone. Give a fair trial for six months before undergoing any investigations. Folic acid to continue till you conceive. It will prevent neural tube defects in the baby." + }, + { + "id": 11722, + "tgt": "How to Cure Candidial Balanitis?", + "src": "Patient: Hi doctor, I am a 44 year old male. I have itching on the head of the penis and the foreskin. It started about 3-4 days back. But now it seems that I have symptoms of balanitis. I found white substance under the foreskin. There is also some minor tear which make it difficult for me to move my foreskin. I have applied Candid cream for that. Please guide me. Doctor: Hi. There is a difference between Candid cream and Candid B cream. This seems like you are having candidial balanitis. Please apply Onabet cream (Sertaconazole) twice daily for a week. Wear loose cotton underpants. Do not wash your foreskin everytime you use the bathroom. Keep the area dry. Also get a fasting blood sugar level done. After a week you can take a follow up consult with a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1916, + "tgt": "Are there any methods to increase the size of penis?", + "src": "Patient: Hello doctor, I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis? Doctor: Hi. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your's should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry." + }, + { + "id": 20579, + "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": 30867, + "tgt": "What can cause fever, body pain and rashes on the face?", + "src": "Patient: Hi doctor, I am a 57 year old male. I was\u00a0down with fever since yesterday. My fever is ranging between 101 to 103 degrees Fahrenheit. Along with fever, I have body ache and some rashes on my face. Yesterday, my platelet count was 1 lakh. Today, in CBC the platelets 1.25 lakhs, RBC 4.47 and lymphocytes 16. Last year, I was tested positive for dengue. I am taking Paracetamol, vitamin medicine and an anti-allergic as recommended by the doctor. Doctor: Hi. I have gone through your query and can understand your health concern. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25471, + "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": 2321, + "tgt": "I had Ex-lax for constipation and bloating, but I was not benefitted. Why?", + "src": "Patient: Hello doctor, I got on an airplane and started having stomach pain. When I landed I used the restroom but could not empty my bowels. I then drove for two hours and had terrible stomach pain. I then used the restroom and was able to terminate a little but it was not a normal amount. I continued to be constipated for days. I finally took ex-lax and that cleared me out but I could not go the next day. So I waited a whole day and took it again (it worked) but I cannot terminate. It has been days. I usually go three times a day. I have been running, hydrating and eating well. I am not stressed. My stomach is completely bloated and each time I take ex-lax the bloating is gone and my stomach is four times smaller. I took some prune juice and my lower abdomen started having painful contractions for an hour followed by diarrhea. I am at a loss. I have tried fiber too and nothing helps. Please help. Doctor: Hello. A couple of things, use of stool softener or laxative is not recommended unless you have constipation for three days and you are passing gas. You are most likely to have diarrhea if you use it earlier also you may have post diarrhea ileus (the gut can go into a stunning situation and you would be constipated). My recommendations would be not to use any stool softener or laxatives and allow your natural habit to return. Please add vegetables in your diet and salads. Please only use MiraLAX (Polyethylene glycol 3350) it is a laxative solution from day 3 if you are not still going. Also, the bloating is a side effect of the product you are using." + }, + { + "id": 30397, + "tgt": "Why am I not comfortable with my contact lens?", + "src": "Patient: Hi doctor, Since I started using my new contact lens, I feel some pain in my right eye when I was blinking every time. As my eye is watering, I took my contacts out and now I am fine. I keep cleaning my contact lens and nothing is there, but still it irritates me. Why? Doctor: Hi. 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": 7244, + "tgt": "Is UTI contagious?", + "src": "Patient: Hi doctor, A few days ago I was diagnosed with UTI infection. I was put on antibiotics, and the ER doctor sent my urine for a culture. My doctor told me that Klebsiella pneumoniae is present in my urine culture and referred me to a specialist. What does it mean? I am 23 years old and sexually active. Will this bacteria cause harm? This year I have had about four UTIs, which is not normal for me. I am done taking the course of antibiotics. I was given a five-day course. Could this be because the antibiotics are not treating it? Is this curable? Is it contagious? Should I stay away from sexual activity? I am trying to get pregnant. Please help. Doctor: Hi. UTI - urinary tract infection caused by Klebsiella takes longer to get treated. But, once cleared it should not come back. Recurrent UTI could be due to kidney stones, diabetes, dehydration, involvement of upper urinary tract, frequent sexual encounters, etc. I would suggest you carry out ultrasound examination of your abdomen to rule out upper UTI, fasting blood glucose levels to rule out diabetes and carry out culture sensitivity of the organism. Antibiotics will surely clear your infection. It is not contagious but can occur in the sexually active individual due to more chances of mucosal injury. I would advise you take a good quantity of water: Ensure water intake of 2 to 3 liters per day. It will provide a good output of urine. The high output will clear urine infection by flushing action. For further infection consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28037, + "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": 1735, + "tgt": "My blood sugar level increased with quitting alcohol. Shall I increase Trajenta dose?", + "src": "Patient: Hello doctor, I am a diabetic. One month back I used to drink alcohol about 350 ml every night and in the morning I take one tablet of Trajenta. Since I have stopped drinking, I feel to eat some sweet and I do eat some ice cream once a day or a Bournvita milk. When I check my sugar randomly now on On- touch Ultra it is between 200 to 265 mg/dL. So to maintain my sugar level can I have two tablets of Trajenta in the morning and evening? Doctor: Hi. From your history, I could understand that you are suffering from uncontrolled type 2 diabetes for one month. Usually, uncontrolled blood sugars may not initially show symptoms, that does not mean it is safe to have high blood sugars for a long time. We are controlling sugars to prevent complications which are usually manifested 5-10 years later. In your case, the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms, which usually will be over within a couple of weeks. Anyway, still your blood sugars are uncontrolled. I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake. Also, try to spend 30 minutes daily for regular aerobic exercises. Coming to your medication, do not increase Trajenta 5 (Linagliptin). Continue the same dosage. You can add a new tablet for better sugar control. Avoid drinks completely for avoiding sugar fluctuations. HBA1c (glycated hemoglobin),serum creatinine, and urine albumin creatinine ratio. Continue Trajenta 5 mg 0-0-1. Add tablet Amaryl M1 1-0-0 (before food). Fundus examination by an ophthalmologist to rule out diabetic retinopathy. Review after three weeks." + }, + { + "id": 29435, + "tgt": "I am a diabetic and have severe burning pain in feet. Why?", + "src": "Patient: Hi doctor, I am suffering from severe and continuous toe burning for the last two years. It spread up to the middle of the feet. After 30 to 45 minutes of walking the burning becomes more intolerable. I wake up in the night due to disturbed sleep. My age is 69 years, and weight is 83 kg. I am diabetic, and my sugar level fasting is 120 to 125 and PP is 165 to 180. I am taking medicine for Zoryl\u00a0M3. Doctor: Hi. We are here to help you. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24440, + "tgt": "I am planning for a baby. Kindly guide me", + "src": "Patient: Hello doctor,I am planning for a baby. I need suggestion on that like counseling. I have only acidity problem. Doctor: Hello. Kindly let me know how we can help you. Do furnish your age and your spouse age and also married life. Do you and your partner have any medical illness and also any history of abortions before? For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16825, + "tgt": "What are the treatment options for heart block?", + "src": "Patient: Hello doctor, My 72 year old father, recently got some breathing problem, so we went to the doctor. The doctor said that his cholesterol is high, and told my dad to take medicines.\u00a0After a month he went for angiography and the reports show some blockages in the\u00a0arteries. He got a minor heart attack 20 years back, and he is hypertensive. I would like to know the treatment options. I am attaching his ECG, blood test, and angiography reports. Doctor: Hello. His reports (attachment removed to protect patient identity) certainly show significant blockages in the arteries. It is not possible to comment on the treatment from the photos alone. You need to upload the final report of the angiography, mentioning the vessel and percentage of the blockages. Get an echocardiogram done, to know the functioning of the heart, as decreased function can lead to shortness of breath. He should have a healthy lifestyle like avoiding fatty, oily, high-calorie diet meat, smoking and alcohol. I advise him to have low salt diet, lots of green leafy vegetables, fruits and fish. Monitor his blood pressure regularly. BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking according to his capacity for at least 30 minutes a day and five days a week will help him. Hope this helps you and get back with the report. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8615, + "tgt": "Please tell the foods that can be used to fight or reduce spring allergies", + "src": "Patient: Hello doctor, Seeking the specialist insight on foods and spring allergies. What are some foods that can help fight or reduce the symptoms of spring allergies? What makes each of these foods effective? Are there any foods that might make spring allergies worse? How long do you have to be eating these foods on a regular basis for them to help? Doctor: Hi. As per Ayurveda the Kapha that increases and accumulates during extreme winter is liquefied by the hot sunrays of spring season. This weakens the digestive fire causing various diseases. Hence, the aggravated Kapha is to be quickly pacified by various means. The aggravated Kapha can be pacified by induced medicated emesis, nasal drops. Following precautions should be taken in spring season. 1. Intake of diet should be light and dry. 2. Need of regular exercise and massage. 3. Taking bath with lukewarm water with camphor, sandal, agar and saffron. 4. The culinary delights recommended in spring season are old barely, wheat, meat of those animals which residing in arid areas and honey. 5. Sleep during daytime and food times having sweet and sour and are of heavy. 6. Cold and unctuous properties are to be avoided in spring season." + }, + { + "id": 12394, + "tgt": "How can bad breath be treated?", + "src": "Patient: Hello doctor, I have a bad breath problem. I really feel a bad breath in my mouth when I wake up early in the morning. Doctor: Hi. I had gone through your question. I can understand your concern. There are two main general reasons for halitosis (bad breath) related to oral cavity or teeth and the second one is related to the stomach. For oral cavity related you need to check for any cavity, accumulation of plaque and any gum problem. If there is any such issue visit a dentist and get scaling done. If it does not help, you may need gastric consultation. Try to avoid smoking and do not keep your stomach empty for a longer period. Take plenty of fluids and you can use mouth freshener till the cause is eliminated." + }, + { + "id": 24515, + "tgt": "Is the fact menorrhagia leads to anemia true?", + "src": "Patient: Hi doctor,Person who suffers from menorrhagia (heavy bleeding during period) is at higher risk of anemia. Is this true? Is there any basis to this claim? What if you are already anemic and suffering from menorrhagia? What complications are associated with the same? What precautions should one take if suffering from iron deficiency anemia? Please give me some tips to keep me healthy during my periods. Doctor: Hi. It is common for a woman to experience blood loss of 60-80 ml per menstrual cycle. In cases of menorrhagia the blood loss is heavier and in the form of clots or in terms of using more than 6-7 sanitary napkins daily during menses. Menorrhagia easily leads to anemia over a period of time if it has been chronic and has not been investigated and controlled or treated. Reasons for menorrhagia can be many, but most common being progesterone deficiency in reproductive age group. This can be easily diagnosed with a day 21 serum progesterone test and can be dealt accordingly with cyclical progesterone. If you are already anemic and have ongoing menorrhagia then likely that you would become further anemic if you have not been taking iron supplements and adequate green vegetables and salads in your diet maintaining the iron balance. A level of hemoglobin less than 7 g% is severe anemia in women, any levels less than 10.5 g% is termed as anemia. For preventing anemia, you must take green leafy vegetables in your diet and salads which are rich in iron and keep yourself well hydrated. Also take plenty of citrus fruits especially rich in vitamin C, which helps in absorption of iron in the body and promotes red blood cell production and increases hemoglobin and keeps healthy periods. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23434, + "tgt": "MRI report for migraine says minimal microvascular changes. What does it mean?", + "src": "Patient: Hello doctor, I am 52 years old and had an MRI for worsening migraines for the last six months. I have had migraines for 31 years. The finding was a few foci of T2 and 3 mm T2 prolongation within the left frontal subcortical white matter. No associated restricted diffusion or abnormal enhancement. No additional parenchymal signal abnormality. The ventricles and midline structures are of normal appearance. Impression or conclusion: Minimal left frontal chronic microvascular ischemic changes. No findings of an acute intracranial process or abnormal enhancement. What does all this mean? My neurologist said to take seizure medicine for the migraines and my brain is fine. Currently, I am taking 12.5 mg of Amitriptyline every day and Sumatriptan when needed. Doctor: Hi. See, your MRI report is normal (attachment removed to protect patient identity) and has nothing to get worried. I would like to know a few things: Revert with the asked details for a better help. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22036, + "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": 2380, + "tgt": "After sports injury, I gained a lot weight. How to lose my weight?", + "src": "Patient: Hello doctor, I am a 24-year-old male who has spent the last three years severely overweight. I had a sports injury and I packed on a lot of weight afterward. In total around 100 pounds. I felt fairly healthy at 6'1 280 pounds I was playing collegiate rugby. I decided to make a change in the last two weeks and I have completely cut out sweets, candy, soda, fast food, and junk for the most part. I have been eating once a day, midday a meal that consists of rice, fish, chicken, salad, and sweet potatoes. It would be around 800-1000 calories. I take around a 30 minutes walk that I have been building upon with light bodyweight exercise. Just going as I feel comfortable. So my question is do you think going from a 3000-4000 calorie a day diet and dropping to 1000 a day is too drastic? I am trying to cut a lot of weight I am hoping around 75 pounds in the next three months. I feel fine and it is not overly fatiguing. I take multivitamins and if I feel really hungry or have a sweet tooth I just have a spoon or two of peanut butter. When I started I was 388 pounds and today I weighed myself at 373. My water intake has been consistent as well. Just wondering if what I am trying to accomplish is attainable or realistic and if it is fine for my long term health. I feel like obesity is just as bad. Looking forward to your response. Doctor: Hello. Well, yes gradual loss of weight is always advisable for your health. It will be difficult but needs patience over time. You can continue with the amount of items taking but do jot skip any meal. Always have a natural source of multivitamins like fresh fruits or vegetables. Have some chicken slice vegetable salads which will include protein and vitamins. It can be taken as a wholesome meal per time. Exercising twice daily for at least 30 minutes is best. Treadmill walk or pilates or dance aerobics also helps in cutting out the weight. Never starve yourself. You can have juices of all kinds without sugar which will keep your stomach full. Water intake should be optimum but not over drinking. Diet and workout both will aid in maintaining a healthy weight. Meditation and good sleep contribute a lot in maintaining a good mental state." + }, + { + "id": 11402, + "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": 11881, + "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": 22624, + "tgt": "I have infection in my private area. How can it be managed?", + "src": "Patient: Hi doctor, I have an infection in my private area for a month. A white substance is gathering over the skin. No matter, how much I wash and how much I peel it off, it is not going. It is causing a little bit of itching also. I tried taking Tablet Azithromycin 500 mg for three days. There is a lot of improvement. It was almost gone. But, it came back again within two days. I am attaching the picture of the infection. I also have some pimples surfaced on my face. Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). Please follow these instructions. 1. Avoid sweating and friction as much as you can. 2. Wash your clothes separately. As this is a fungal infection, it can spread to other family members. 3. Wear loose clothes. 4. Maintain good hygiene. 5. Take Tablet Terbinafine 250 mg once daily for 21 days. 6. Mix Clotrimazole and Hydrocortisone cream in equal amount and apply on your affected area two to three times a day. 7. Azithromycin has no role. So stop it. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18980, + "tgt": "Can a deficiency of vitamin B12 cause breathlessness?", + "src": "Patient: Hello doctor, I had a blood test recently and my ESR was elevated to 22, while vitamin B12 was low. I have pain in the right armpit and also a pain in the\u00a0neck. Doctor: Hello. Your B12 level is low, hence it should be treated with Folic acid tablets and Cyanocobalamin injections. Take care. Hope your concern is solved. For more information consult a hematologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 19395, + "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": 16242, + "tgt": "Do I need an injection for a dog bite?", + "src": "Patient: Hi doctor, I am 18 years old. I was playing with my friend's dog yesterday. By mistake, the dog's teeth touched my hand, and a little drop of blood came out. Do I did need an injection? Doctor: Hi. If your friend has done a vaccination to the dog, then there is no problem. Keep the bitten site clean, wash with warm water and soap. Apply Oxygenated water and Betadine (Povidone Iodine) locally. You can take them over the counter, and there is no need for a prescription. As you are 18 years old, and if still, you are getting your scheduled vaccines, then there is no need for getting another Tetani injection." + }, + { + "id": 13515, + "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": 29550, + "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": 13540, + "tgt": "I am having tenderness with itching below left shoulder blade. Why?", + "src": "Patient: Hello doctor, About a month ago, right below the left shoulder blade started itching. No rashes, bruising or anything abnormal. A few days ago that same area became tender to touch. Again nothing was visible. Now that area hurts all the time. It feels sore, sometimes it starts to feel like the muscle is tingling (like pins and needles) and feels numb from time to time and it itches every so often. If I put pressure on that area it hurts more. I have tried over the counter pain killers and it does not seem to help. The pain comes and goes on its own. Not taking any medication. Doctor: Hi. With the description given, it looks more of a neurological problem rather than a skin problem. If there are no rashes and only tingling sensation and pain, etc., over skin of lower shoulder blade, then most likely you are having notalgia paraesthetica. It is a superficial nerve disorder of the skin. For now, you can try a local anesthetic cream called EMLA which has Lidocaine and Prilocaine. Try it for a week or two. If no improvement, then please consult your local physician. You may need some oral medication which is not available over-the-counter." + }, + { + "id": 30299, + "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": 22163, + "tgt": "The platelet count has reduced to 35,000 in dengue patient. Is it critical?", + "src": "Patient: Hello doctor,My mother is suffering from dengue fever. The platelet has reduced to 35000. Is it critical? Her reports show sudden reduction in platelets from 1,00,000 to 60,000 then to 35,000. Please comment on this. Doctor: Hello. You have been diagnosed with dengue fever. Dengue fever's first phase is a febrile phase in which fever last for five to seven days and then a critical phase occurs in which plasma is expelled from circulation which lasts for one to two days. So, platelet decline in one stage and afterward it recovers. So, a close clinical watch up is necessary in that case. If any unusual bleeding occurs, immediately consult your physician. Drink lots of water. That is necessary to maintain plasma volume and you can take papaya extract syrup also. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30304, + "tgt": "I missed my pill on day 4 and had sex. What is the possibility of pregnancy?", + "src": "Patient: Hi doctor,I have a 28 day period cycle. I have been taking pills for two years. I had sex on day 4 and day 6 of my cycle. The problem is that I forgot to take one pill. What is the possibility of pregnancy here? I am worried. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16130, + "tgt": "Is it good to take beer while breastfeeding?", + "src": "Patient: Hi doctor, Is it right to take a beer while breastfeeding? Is it different from other forms of alcohol? Doctor: Hi. It is not healthy to take an alcoholic beverage during pregnancy or breastfeeding. It has a lot of adverse effects on the baby. You can have a light drink immediately after nursing the baby. Wait for at least three to four hours before nursing the baby again. Breastfeeding mothers should stay away from alcoholic beverages always." + }, + { + "id": 7059, + "tgt": "Is there a chance to get pregnant in woman on top position?", + "src": "Patient: Hi doctor, I am 29 years old and my wife is 26. I have been married for 2 years now. We are trying for baby since last 1 year but with no positive result. We used to intercourse as per ovulation calculator but my problem is that I can ejaculate only when she is on top. I fail to ejaculate when I am on top or in missionary position. In this position I suddenly lose my erection within 50 to 60 seconds. Is there any chance to get pregnant when woman on top? What should I do to increase my stamina? How to overcome sudden erection loss while intercourse in missionary position? I have attached my semen report here for your reference. Doctor: Hi. First, I would like to tell you that there is no problem in conception even if woman is on top. The possibility of pregnancy is not in the position. Women can get pregnant even when semen is outside the vulva or thighs and even with precum. So, do not lose hope. I went through your reports (attachment removed to protect patient identity). Except for some infection in your semen there is no problem. I would like to know the medication you have taken regarding this issue. How long has your wife being taking ovulation induction medicine? Hopefully I will be able to guide you better after that. Revert back with the answers for the above questions." + }, + { + "id": 11794, + "tgt": "What is the cause of body itching and how to prevent it?", + "src": "Patient: Hello doctor, I have itching all over the body and different part itch at different time. And whenever it itches skin becomes pink like you can see in the photo attached. Also whenever skin itches I have some pain or movement in the stomach, I also have pain during bowel movements. What is the cause and medication for this and how to prevent it in the future? Doctor: Hello. Your history and clinical images are more in favor of acute urticaria. It is an immediate kind of skin allergy, and once it starts, it usually tends to last 4 to 6 weeks if appropriately treated. You could even try to identify any possible exacerbating factor. The usual ones are pain killers, flowering plants, pet animals, artificial colored food items, nuts, seafood, cement dust, etc. You can start taking tablet Allegra 180 mg (Fexofenadine) once daily in the morning, and tablet Teczine 5 mg (Cetirizine) once daily in the evening for three weeks regularly. You can apply Calosoft lotion at sites of itch." + }, + { + "id": 25283, + "tgt": "5-year-old has poor vision. Will eye exercises suffice or does he need glasses?", + "src": "Patient: Hello doctor,My 5 year old son has poor vision -2.0. He improves his eyesight by doing eye exercises himself. Should he wear eyeglasses? Doctor: Hello. I do not know whether you have got his cycloplegic refraction or not. Is this just auto refractometer finding or final refractive power? Anyways, I will suggest you get a repeat cycloplegic refraction done at a good center by an optometrist who is experienced. Secondly, this refractive power is significant enough to cause symptoms. Your son may be able to correct it because of high accommodation at this age but this is not good. He may develop squint or many more other problems if not treated. So get his refraction done as soon as possible and use appropriate glasses. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16776, + "tgt": "Is it possible to get genital wart without sexual exposure?", + "src": "Patient: Hello doctor, I am a 21 year old girl. I saw a cauliflower shape growth in my vulva which was diagnosed as warts. I was given Acivir tablet 800 mg despite the fact that I had no sexual contact with anyone. Then, I got my menstruation for seven days. I used to apply vaginal wash and tea tree oil and had Acivir for five days. Now, I have dandruff like on my pubic hair, left part of vulva, on my thigh crease and buttock line. This dryness also appeared on my scalp with lot of dryness, but it subsided few months back. I also have hypothyroidism. The wart almost subsided. Once when I used tea tree oil in vulva at night I got a burning sensation, so I guess it maybe allergy. I have no yellowish discharge and I clean my vagina three to four times a day. I have hair loss too for a longer period along with complain of dandruff. When I use milk cream like Vaseline, dryness goes for half a day or so but then later it appears again. I got a checkup two months back for reticulocyte count and thyroid T3, T4 and TSH too after medication and my thyroid is almost normal now. Please help for my condition. Doctor: Hi. Surprising fact is that you have a genital wart, but without any history of sexual exposure. Then it is not a wart. And it has subsided as I could not find it in the picture (attachment removed to protect patient identity). But, what a miserable condition you have done with your private organ. The whole area is inflamed, red as well as dry. And the cause is the use of so many substances to this highly sensitive skin. Do you consider your genitalia a very dirty place or expect from it to emit the odor of flowers all the time? Trust me those substances and your practice of repeated washing is the cause of this. Just stop those substances and also stop frequent washing which could damage the normal vaginal defense. Apply only Calamine or Caladryl lotion (Diphenhydramine) twice a day over the skin. Let it heal by its own. Continue all your other oral medications including thyroid. Contact dermatitis. Blood sugar fasting and postprandial. Fungal infection. Vulvovaginitis due to contact dermatitis. Emollients like Caladryl ointment. Stop all skin application. Revert back after a week to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8603, + "tgt": "What is the role of boric acid suppositories in bacterial vaginosis?", + "src": "Patient: Hello doctor, How do boric acid suppositories work for bacterial vaginosis? 1. What do boric acid suppositories do? 2. Do you recommend them to your patients? 3. At what point do you advise your patients to use them? 4. What are the certain brands you recommend? Doctor: Hello. 1. Boric acid is cheap medicine, which was used before as vaginal suppository for 10 to 14 days for chronic candidiasis. 2. Mostly it is given along with antibiotics or over the treatment can increase resistance or damage normal flora that increases risk of infection more. 3. Mostly given to patients with chronic infections. 4. Boric acid acts by making the vagina more acidic, but it is useful in chronic infection. 5. It can give burning and vaginal discharge. 6. Some physician used it with Metronidazole three days suppository continuous, and then once a week for a few weeks. 7. I used to advice hygienic precautions, use of condoms at sex to avoid transmission of sexually transmitted disease, soft, comfortable undergarments, sitz baths recurrently in a day, avoiding overtreatment, avoiding local cosmetics, use of water and soft razor (to remove hairs) only, etc. 8. I am recommending complete treatment of any health issue that patient have like diabetes as these also increase chances of infection. 9. I used to give Doxycycline 100 mg twice daily and Metronidazole 400 mg 8 hourly for 10 to 14 days along with Canesten vaginal pessary (Clotrimazole) on two alternate nights. 10. So I rarely recommend my patient boric acid as it is not useful for the patient with first time felt infection." + }, + { + "id": 19184, + "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": 10279, + "tgt": "Can allergic asthma turn into permanent asthma?", + "src": "Patient: Hello doctor,I am 29 years old now. I have allergic asthma for last 6 to 7 years but in very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange flavored drinks. But since last one month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is can such allergic asthma turn into permanent asthma? I want to avoid any long-term course until extremely important. What is my option to tackle or control and reduce above symptoms, with mostly home remedies, diet control exercise and minimum synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21. Doctor: Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15663, + "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": 19648, + "tgt": "How likely am I to develop anaphylaxis to local anesthetic if I tolerated it in the past?", + "src": "Patient: Hi doctor, I am 27 years old and really worried about developing anaphylaxis to a local anesthetic. Even though I have had it twice without any problems, I would just like some information on how likely this is to happen and some information to help me put my mind to rest and stop worrying. Doctor: Hello. Anaphylaxis may last lifelong. Also, if you have not experienced a severe reaction in the past, you are unlikely to develop the same in future. Do not worry. Just be aware and keep rescue medicine always with you as standby. For more information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 12530, + "tgt": "How can numbness and burning at the base of the neck with shooting pains be treated?", + "src": "Patient: Hello doctor, I am a 53-year-old male. My symptoms began about three months ago and include the following: Numbness and burning at the base of the neck. Shooting pains and stingers in the upper back and near shoulder blades. Soreness in shoulders. Muscle twitching that comes and goes particularly in hands, fingers eyelids and ankles almost all at rest. Body temperature regulation issues causing damp collar of my T-shirt after waking from sleep and now some anhydrosis on exertion because I did notice I do not seem to be sweating and I feel like I am overheating after some exertion. Foggy head feeling, especially in the morning. Dry throat upon waking up and sometimes during the day that will not go away. Frequent urination some days that sends me to the bathroom every hour to an hour and a half. Tests my internist has conducted in the last month to investigate my symptoms: MRI of my cervical spine that showed some bulging discs but nothing significant. CAT scan of my neck to look at lymph nodes and all was normal. Chest X-ray which was normal. Blood work which showed all normal except vitamin D which was low. I am now taking a supplement. I am obviously very scared that I am developing MND such as Parkinsons or MSA. Doctor: Hello. I understand your concern and would explain that your symptoms could be related to low vitamin D levels. Anyway, I would also recommend performing further tests if you have not already performed yet: 1. Thyroid hormone levels for thyroid gland dysfunction. 2. Vitamin B12 levels for the possible deficiency. Nerve conduction studies would help investigate for neuropathy or motor neuron disease. Regarding Parkinson's, a DAT scan would help investigate for this disorder. Anyway, your symptoms are not typical of this disorder." + }, + { + "id": 18416, + "tgt": "Had sex two days before ovulation. Will I get pregnant?", + "src": "Patient: Hi doctor, I had unprotected withdrawal method sex\u00a0two days before ovulation and had one I-pill within 30 hours. Today, I am experiencing period like cramps from morning. I just saw some spotting which may or may not be my early period.\u00a0I am regular in my periods.\u00a0My last period was on 12th of last month and it lasted for five days. Now, is this an early period or implantation bleeding for pregnancy? When should I do urine pregnancy test? Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26943, + "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": 23026, + "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": 9270, + "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": 23567, + "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": 16079, + "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": 30574, + "tgt": "I found myself talking to my loved one in sleep. Why?", + "src": "Patient: Hi doctor, In the middle of my sleep, I feel like I have virtually talked to my close one. Suddenly, when I awake, I realize that he is not beside me. Why am I getting such feel? Doctor: Hi. There could be associated psychological condition such as narcolepsy. Narcolepsy is explained by the bouts of sleep during any time in the day, even a person may sleep at workplace. This causes extreme disturbance and requires medical or psychological treatment. If hypnopompic hallucinations are the only thing you have experienced and no narcoleptic bouts are present, then this is the indication that you are going through normal process of transitions during rapid eye movement sleep. Hypnopompic hallucinations (auditory type). There is no particular medical or psychological treatment for mere hypnopompic hallucinations. However, some doctors prescribe medicines to treat the disturbance that is anxiety caused by this condition. If you are fine with your hypnopompic hallucinations after learning that it is a normal thing, then you do not need any further treatment. If you find yourself worried about your condition, then you can just take a counseling session with a psychologist. I appreciate that you just noticed this phenomenon and consulted a specialist. If you find any other psychological factors such as narcolepsy, then this is the alarming point. Just get the problem treated as soon as possible without any hesitation and delay. Also, check if there is any other sleep related problem present such as nightmare, sleep terror, narcolepsy, etc. You can consult a sleep specialist in order to rule out these conditions. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 16914, + "tgt": "I have vaginal itching and white deposits on skin. What can it be?", + "src": "Patient: Hello doctor, I am 35 year old. I have diabetes. I had dengue infection few months back and since that day I have vaginal itching. It is usually mild but gets severe sometime. I am not sure whether it is because my blood sugar, which is not in control and nothing to do with dengue. I think it as yeast infection. It is itching too much around vagina including urinal area. There is a white deposit on my skin. For itching, I scratch it and it pains. Can you please help me? Thank you. Doctor: Hi. It seems you do have yeast infection. It looks like your blood sugar is not under control because of which you are having this problem. Dengue is unrelated to this. Try putting Canestan (Clotrimazole) ointment on the area after properly cleaning the area, four to five times a day. Keep the area dry and clean. Also insert three Candid-CL tablets (combination of Clotrimazole and Clindamycin) daily at night into the vagina. This should help you out. If not, then we need to add oral antifungal medicines. Also, if this does not control the vaginal itching, take Allegra (Fexofenadine) tablets at night. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15396, + "tgt": "How to improve the function of left hand and leg after a stroke attack?", + "src": "Patient: Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest. Doctor: Hi. After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, and it needs to be taken care by proper medicines or physiotherapy. I suggest you consult a neurologist in person for appropriate examination with all your previous reports." + }, + { + "id": 26332, + "tgt": "My daughter sees a little dot from her left eye. What are the probable diagnoses?", + "src": "Patient: Hello doctor, My 14 year\u00a0old daughter was seeing a little dot on her left eye (could be a floater only). She is fine. There is no fever, no headache, no nausea, or pain on any part of her body. When an ophthalmologist examined her, he told us that her optic nerve is elevated. So, he referred us to a neuro\u00a0pediatrician. The neurologist then requested an MRI and found some small grayish matter on the brain and declared that my daughter has ADEM. While on steroids, the neurologist requested a lumbar tap. The result was good. My question is: if there is a grayish matter on the brain (MRI), does this always mean ADEM or autoimmune? Also, can we rule out multiple sclerosis because the lumbar tap result was alright? Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 26529, + "tgt": "Does a small tonsil stone require surgery or will it go away on its own?", + "src": "Patient: Hello doctor, I was diagnosed with a tonsil stone. I have typical symptoms due to tonsil stone along with slight ear pain since the last four to five days. I got checked yesterday and was given an antibiotic and betadine to gargle. It is small in size as said by the doctor. Will it go away or do I have to do swabbing with cotton\u00a0or surgery? Doctor: Hello. I understand your concern. I hope I have answered your query. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27559, + "tgt": "Why do I have brown discharge with mucus before four days of periods?", + "src": "Patient: Hello doctor, A year before, I was getting regular periods. One day before period, I used to get spotting\u00a0then bleeding for five days. I was on birth control pills. A year ago, I stopped the pills. So from nine months, I am having brown discharge with mucus before four days of periods, then bleeding for five days. I do not understand why every month brown discharge start so early before periods. Because of this, I am always with the due date of my periods every month. I visited a gynecologist, who said it is normal, but I am still not convinced. I am trying to conceive. Would it be the reason for not conceiving last year? Doctor: Hi. You have not mentioned for how long you took the birth control pills. There are many adverse effects of the pills, which women are not aware of and the doctors are also not telling. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28066, + "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": 6531, + "tgt": "Can vitamin B12 deficiency cause depression and anxiety?", + "src": "Patient: Hello doctor, My best friend has been suffering lately from deficiency of vitamin B12. Our doctor informed us that he suffers from depression and anxiety because of vitamin deficiency. Is it possible? His dad died when he was 10, so I observed that he takes it so seriously when he feels that he is not fulfilling his duties to his mother and sister. He is trembling and shaking because of subconscious thinking. I know his mother and sister, and they are proud of him. How to convince him for it? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16089, + "tgt": "Will rabies virus survive outside host if exposed to sunlight?", + "src": "Patient: Hello doctor, Can rabies virus survive outside host on grass or leaves if it is exposed to sunlight? Doctor: Hi. Usually, UV rays of the sun are known to kill the virus. So usually they do not survive outside the body when exposed to the sunlight." + }, + { + "id": 11800, + "tgt": "How does meconium aspiration syndrome affect a newborn?", + "src": "Patient: Hi doctor, My daughter born 7 days back is suffering from meconium aspiration syndrome (MAS). I would like to know, how we measure her growth of lung capacity. Doctor: Hi. In newborns measurement of lung capacity is not as useful as in adults. Important clinical signs of respiratory effort, respiratory rate and the x-rays that had showed the meconium aspiration syndrome (MAS) and also the general condition of baby. These are the important parameters that show the improvement rather than just lung capacity." + }, + { + "id": 6063, + "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": 11482, + "tgt": "I have knee pain. Could it be due to wearing of improper shoes?", + "src": "Patient: Hello doctor, I am 31 years old. I have pain in my knees especially in the left one. I have not been able to walk for quite long, and sometimes it feels that some fluid is traveling towards the feet and some cold sensations as well. My job profile needs lots of walking. Can the pain be due to the wearing of improper shoes? Doctor: Hello. Kindly give me the following information. 1. Since how long you had the pain? 2. Have you had any injury in the knee joint? 3. What aggravated the pain? 4. Is pain more in the knee or foot? 5. Do you have any back pain radiating down to the left leg? 6. Do you have any other medical problems for which you take medications?" + }, + { + "id": 7726, + "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": 21726, + "tgt": "What is the treatment for constipation in ayurvedic medicine?", + "src": "Patient: Hi doctor, Please suggest me a way to cure my constipation. I am suffering from my childhood. Now, my age is 45. I am taking medicines for the past four years. Before two years, I got TIA attack. I took both ayurvedic and homeopathy medicines for constipation. After a few days, I got peripheral neuropathy. I took allopathy medicines for three months, and I was taking homeopathy medicines too along with it for constipation. I had no relief from my problem. I was taking tablet Dulane 20 mg, Pregab 150 mg once a day, tablet Insumin plus. Doctor: Hi. I can understand your difficulty due to constipation. People who naturally have vaatha type of prakriti (lean body) has the higher chances of constipation. So, I would like to suggest the following: Consume dry grapes whenever you eat snacks, at least four times a day (morning, afternoon, evening and before bed). When taking more dry grapes, there is no problem of constipation. While sleeping, you sleep on the left side. While morning when you are getting up, make sure that you lie down on the left side of the body for at least 10 minutes before getting up from the bed. Sleeping on the right side or other positions will help to increase constipation. Then drink a cup of hot water. Avoid tea, coffee, and smoking if you have these habits. You see whether your nostril is blocked, it can also cause constipation. Regular pranayama practice done daily can help you to relieve constipation. These two drugs are sufficient to treat your constipation. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22608, + "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": 6827, + "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": 4647, + "tgt": "I seem to be suffering from some kind of grounding disorder. What is it?", + "src": "Patient: Hi doctor, I have been suffering from some kind of derealization or something for the past five years. It seems to be related to a bunch of vitamins I took to treat autism. Anyway, I seem to be suffering from some kind of grounding disorder that has a lot to do with the kinds of principles that Lawrence W. Barsalou is always writing about. Also, I really miss being an OCPD control freak who likes to do everything the old fashion way and has the entire future planned out to the tiniest detail. I felt a lot more productive that way. I think the best way to treat all this is with medication and cognitive behavioral therapy. Currently, I am having Adderall and Prozac. Doctor: Hi. I can understand your feelings of detachment. Treatment: For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11045, + "tgt": "Does lack of periods due to high prolactin level damage general health?", + "src": "Patient: Hello doctor, I am a 35-year-old female. My weight is 91, and I have three children. I am not having my menstrual period for the past four years. After running some tests, doctors confirmed it is high prolactin, and gave me drugs, but it did not help. I want to find out if there going to be any damages to my health because of this? What can I do? Doctor: Hello. It points out that you had early menopause, which occurs in 5 to 10 percent of women at age less than 40 years of age. And yes it has adverse effects same just like menopause in another woman at the usual age. So you must consult your local doctor and get a prescription for HRT (hormonal replacement therapy) which will result in monthly cycles as well as protect you from developing early osteoporosis. You have to continue taking it until the natural age of menopause. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 14383, + "tgt": "I am on Rosuvastatin and Amlodipine. What are my lipid profile and liver test showing?", + "src": "Patient: Hello doctor, I need you to please analyze my lipid profile and liver test where I can see that a few numbers are at a very high end. Currently, I am taking following medicines Rosuvastatin 10 mg one tablet daily, Amlodipine Besylate 5 mg one tablet daily. I am a chain smoker and smoke average 20 to 25 cigarettes daily. Doctor: Hi. Your liver enzymes are raised a bit, and lipid profile is deranged a bit, for which you are taking Rosuvastatin. Rosuvastatin may cause the liver function to derange. Since how long are you taking Rosuvastatin or any other lipid-lowering medicine? If the liver function was normal before starting Rosuvastatin and deranged after taking it, I will advise you to continue taking it and re-monitor LFTs (liver function test) after two months. If it rises even more, then stop statin and remeasure levels after two months. If you have muscle pain, fatigue, etc., do creatine kinase levels. Do regular exercise, stop smoking immediately. Follow up after one month." + }, + { + "id": 22309, + "tgt": "Can I take antidepressants only when needed and not continuously?", + "src": "Patient: Hello doctor, I have depression. But for some reason, I do not want to take antidepressants. I have been taking it for the past one year. And have stopped it. But sometimes I get very depressed. Can I take my antidepressant like Desvenlafaxine sometimes? As needed? Or maybe any other antidepressant which I can take a couple of times and then be antidepressants free? Doctor: Hi. You have not mentioned the severity of your depression. If you have the first episode of depression. and you were stable on medication for more than six months then you can try to stop the medication. But if you have again depression then you need to take medication. You also try to manage your depression by non-pharmacology management. like, take daily 7 to 8 hours of sound sleep, avoid junk food and eat healthy home cooked food, avoid cold drinks and any types of alcohol or smoking or drugs. Do the daily exercise for 30 to 40 minutes like swimming, walking, etc. Do daily meditation for 10 to 15 minutes, eat fruits and vegetables, lose your weight. Try to take a daily cold shower in mornings, spend time on good hobbies like reading books, write a diary, painting, etc. Be active in your life, do not just spend life, live your life. Be confident and bold, spend quality time with family and close friends, avoid staying alone. Do the investigations like CBC, TSH (thyroid stimulating hormone), vitamin B12, these abnormalities may lead you to depression. And your weight is really 90 kg, then you must have to lose your weight. It will help you to deal with your depression. But you need to take medication if still, you have depression. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5363, + "tgt": "I am having ankylosing spondylitis. Can I take fat burner supplements?", + "src": "Patient: Hello doctor, I am having pain in the spine. I am taking painkillers, calcium tablets and doing exercise. I have done my HLA B27 test. Can a person suffering from ankylosing spondylitis take fat burner supplements to reduce weight? Would it have any adverse effects? Doctor: Hello. There is no study directly correlating fat burner supplements and their possible effects in patients with ankylosing spondylitis. Fat burner supplements often contain caffeine which reduces fat by increasing your metabolic rate. Caffeine also has an untoward effect in bones wherein the bone density reduces, a condition that we refer to as osteoporosis. Interestingly, osteoporosis is also frequently seen in patients with ankylosing spondylitis. Hence, it would be my assumption that fat burner supplements may worsen osteoporosis in patients with ankylosing spondylitis. It is always better to stick to natural methods of weight loss, and such supplements are usually discouraged. Often, FDA (Food and drug administration) finds out that some of these supplements are not adequately tested for their negative effects on health before they are made available to the public. I hope this helps." + }, + { + "id": 3363, + "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": 13285, + "tgt": "I have missed my periods after unprotected sex. Kindly advise", + "src": "Patient: Hello doctor, I had unprotected sex with my husband a month back and my LMP five days before that. I took Plan B pill within 10 hours of intercourse. My cycle is usually 25 days and I have not got periods yet. I tested 10 times, all were negative. Should I go to gynecologist and request for an ultrasound? Will ultrasound detect early pregnancy? Doctor: Hi. I can understand your concern. The possibility of pregnancy is very less and the possibility of hormonal imbalance is more likely. Please let me know. Do you have any other symptoms like breast tenderness, abdominal pain or fullness? Have you taken Plan B before? In my opinion, you should wait for 1 to 2 weeks more before going to the gynecologist for an ultrasound. Please reply me with answers to the above-asked questions, so that I can guide you better. I will be happy to help you further." + }, + { + "id": 21927, + "tgt": "What is the cause for fever, stomach ache, and loose motion?", + "src": "Patient: Hi doctor, I am suffering from fever, stomach ache, and loose motion for the past three days. Please tell me what has happened to me. Doctor: Hi. Now, the season of malaria and dengue has started. Get your blood tested for dengue and malaria. It should be your first preference. Then you have a loose motion for the past three days so, hydrate yourself as more as possible. Dissolve one packet of ORS (oral rehydration solution) in one liter of water and drink three liters per day. It will hydrate you and allow the harmful organism excreted out through the urine. For further management, take one tablet of Norflox TZ (Tinidazole, Norfloxacin, and Lactobacillus) with one tablet of Pan 40 (Pantoprazole) three times per day for two days. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17361, + "tgt": "Why do I have fat balls all over my body?", + "src": "Patient: Hi doctor, I am 27 years old and my weight is normal. I have fat balls on my body everywhere and some are painful. How can I get rid of those? Please help. Doctor: Hi. From your description, most probably you have lipoma which is the accumulation of fat. If they are painful, get them surgically removed. Please tell me the following things to help you better: Revert with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30457, + "tgt": "What could be the possible reason for pain on my face?", + "src": "Patient: Hello doctor, I am having pain in my right side of the face between the temple and cheekbone.\u00a0I am getting a stabbing pain when I press there.\u00a0I am also suffering from sinus and taking Sinarest and antibiotic.\u00a0What can I do? Doctor: Hi. Do you have a CT scan of your paranasal sinus (PNS)? If you have sinusitis, then you have to continue antibiotic and decongestant for at least a week. Also, you need to take a steroid nasal spray along with decongestant nose drop. Chronic sinusitis has to be operated and acute can be cured with medicines. The pain between your temple and cheek is a very vague symptom. This pain cannot be due to maxillary sinusitis. Revert back with the report to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14678, + "tgt": "I want to know if having sex during pregnancy will harm my baby?", + "src": "Patient: Hello doctor, I am 20 weeks pregnant. I wanted to know that does having sex during pregnancy harm my baby? And is it safe? Doctor: Hi. Having sex during your entire pregnancy is safe. Some precautions should be taken:" + }, + { + "id": 20609, + "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": 12512, + "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": 28823, + "tgt": "I have BDD and anxiety disorder. Will my baby procure my illness?", + "src": "Patient: Hello doctor, I am a 30 year old married male. I suffered from BDD, general anxiety disorder, and major depressive disorder for the past 8 years. I take Fluoxetine 60 mg and Oxcarbazepine as a mood stabilizer. Things are in control now with little ups and downs. My main concern is that I am married and should I have a baby or not? Is there any chance that my baby will procure my illness? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7577, + "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": 22727, + "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": 11273, + "tgt": "Is it normal to not have periods till 18 years of age?", + "src": "Patient: Hello doctor, I am 18 and I have never had period but sometimes I feel like something wants to come but it does not come. I had puberty hair and underarms hair two years back. Doctor: Hello. It is called primary amenorrhea and it is a complex problem for which you need full assessment with all blood tests and ultrasounds and even more to rule out the cause and find a diagnosis what actually is going on inside. And sometimes it usually runs in families like if your mother or sister also had delayed periods then that could be another cause. But I would suggest you to see a gynecologist for further evaluation." + }, + { + "id": 23981, + "tgt": "My heart beats fast and eyes become red if I drink alcohol. Is there a treatment?", + "src": "Patient: Hello doctor,My heartbeat raises and the eyes become very red and I become tired when I take alcohol. Why does this happen so? And, what is the treatment? Doctor: Hello. The alcohol ingested is metabolized in the liver and converted to acetaldehyde. This takes place in the liver. The variations in the effect of alcohol in different people take place because of the difference in the genetics of enzymes called alcohol dehydrogenases (ADH). In short people with ADH enzymes fast acting in the liver, based on genetics, will have less effect of alcohol as the alcohol gets converted fast to acetaldehyde and vice versa. Answering the second part of your question regarding treatment, make sure you drink plenty of water while ingesting alcohol and also avoid taking alcohol on an empty stomach. The effects of alcohol on you seem more than usual because of genetics which cannot be changed and of course the best treatment would be to cut down or stop alcohol. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9199, + "tgt": "How to help my father to get rid of his depression?", + "src": "Patient: Hello doctor, My problem does not concern me, but it does concern my father, who has suffered from a rare disease last year, which left him paralyzed from the waist below for a month. Since then, a year ago, he has slowly been recovering, but the problem is that he is depressed and turning towards alcohol for pain release. He will not admit he has either of those problems to anyone, not even my mom, and now he has started talking about leaving us because it is the best for us. I want to help him but do not know how. Doctor: Hello. According to your father, he is doing the right thing. He is 54 years old. He had suffered from a rare disease last year, and it is taking time for his recovery. He is paralyzed waist below. He has nothing to do when he is alone. He is just laying down throughout the 24 hours, which makes him more and more depressed. Naturally, he (anyone for that matter) drifts himself into negative cognitive territories. Another thing you should understand here is that this kind of depression not neuro-chemical related. This is a deep disappointment. Anyone experiences deep depression in their life due to adverse life events should follow such a course. Motivation and support are key to your father. He will be missing many things. Understanding him, identifying those missing aspects, getting him creative things to do at his bed, getting maximum out of him and motivating him to do all the above, these are the things we should concentrate on. Not psychiatric drugs, but psychological motivation and change of lifestyle and support are the three things that should support your father at this juncture." + }, + { + "id": 20372, + "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": 8655, + "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": 13950, + "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": 4760, + "tgt": "How to cure BP?", + "src": "Patient: Hi doctor, My blood pressure is 145/95. How can I cure it through home remedies? Please suggest. Doctor: Hi. I have gone through your query. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26101, + "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": 1253, + "tgt": "What does my PSV value of 0. 79 MoM indicate?", + "src": "Patient: Hi doctor, I had Doppler MCA. The report showed MCA-PSV value of 0.79 MoM. What does it indicate? Please explain. Doctor: Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15644, + "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": 10590, + "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": 7620, + "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": 5009, + "tgt": "What can be done for dark patches after using Utramedanine?", + "src": "Patient: Hello doctor, I have vitiligo. I used for my patches Utramedanine solution with sun and I think I used to much because it burned. Now, I have dark patches like brown. Will it go away? Doctor: Hello. I have noted your description and analyzed the situation at hand. The medicine being used by you is photo-sensitizing agent which means that it needs to be applied and then the treated area has to be exposed to ultraviolet rays for a controlled duration, preferably using a timer. Unfortunately, you exceeded that limit. The problem that you are facing is a common complaint in many patients. It is called photosensitive reaction. The good part is that the problem usually takes care of itself especially if you do not allow it to occur repeatedly. In your case, what has happened is that the skin has got an overdose of medication and is responding by producing inflammation and more pigment than desired at fast speed. If you leave it in this position, even then it is likely to heal but some patients need weak steroidal creams like Hydrocortisone to hasten the process of recovery. In case of itching, one may use anti-allergic. Please protect the area from further sun exposure for some day. Give a rest of a week or so and then restart the same treatment but with smaller dose of application and least possible sun exposure which can be tolerated by your skin. Please be extra-cautious about following instructions for such medications in future. You are highly likely to get good results with these measures. In case of any concern revert to me for further management." + }, + { + "id": 2878, + "tgt": "I often forget things with anxiety and behavioral change. How to deal with it?", + "src": "Patient: Hello doctor, I forget things quite often and have anxiety problems that lead to a change in behavior. I have never experienced such problems and my head aches a lot and I am suffering from anxiety. Please help as my behavior is changed a lot which affects people living with me. I have not got any tests done. Doctor: Hello, Welcome to ciliniq.com. You seem to have a mixed anxiety-depressive disorder, This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitors) type of medicines such as Escitalopram 10 mg, or Fluoxetine 20 mg, etc., which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. In addition to the medicines, you can also undergo a few sessions of cognitive behavioral therapy from a clinical psychologist. Also, do consider doing deep breathing exercises or progressive muscle relaxation daily. In case you are having problems with sleeping you can try some sleep hygiene methods like: 1. Maintain good temperature, no noise or light. 2. One hour prior to bed, wind down and try reading or music. 3. Do not use the laptop, TV or phone one hour prior. 4. Avoid caffeine, alcohol, or tobacco two hours prior to sleeping. 5. Avoid exercises three hours before sleeping and take warm milk at bedtime. 6. Go to bed only when sleepy and avoid other activities on bed. 7. Use bed only for sleeping or sex. 8. If you do not get sleep, do not toss and turn, get up go to another room, walk about for 10-15 minutes and come and lie down. See for 10 minutes, if not sleepy go out again." + }, + { + "id": 28851, + "tgt": "Why do my elbows pain and swell every time I climb?", + "src": "Patient: Hi doctor, I have a climber's elbow, it is there for years, and nothing I do helps to relieve the pain. The soreness in my elbow is isolated to mostly the pronator teres muscle, and it pains whenever I do vertical pulling exercises such as pull up, pull downs, and seated rows. I recently stopped exercising for about eight months due to a shoulder strain, and when I got back to the gym, my very first session caused severe pronator teres muscle soreness and inflammation. Did I just lift too much weight too soon? Should I be lifting less weight until I am sure my body can handle it? How come I have met so many rock climbers who never get climber's elbow? But, I have to ice down my elbows every time I climb. Doctor: Hello. Hope this is helpful for you.\u00a0Revert in case you need any further assistance. For further queries consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 11907, + "tgt": "How can I keep my hair healthy?", + "src": "Patient: Hello doctor, I am 21 years old, and I have been struggling all my life with how to manage my hair and maintain a healthy hair texture. My hair used to be curly when I was younger but then became wavy over time and for the most part, it is wavy (I feel like it would be slightly more curled if it was healthy). I used to have a lot of insecurities with my hair growing up. To the point where I cry about it sometimes even now. It is always very dry and tangly and I used to straighten my hair a lot to be able to manage it. But I stopped straightening my hair over two years ago due to damage. I feel like hair products I use (like leave-in conditioners and sprays) only help my hair for a few weeks to a month, it almost seems like my hair gets used to it and adapts to fight me back. I have used hair masks like olive oil and coconut oil but not consistently. Lately, I only wash my hair once a week (it takes a lot for my hair to get oily, and I only wash it more than that if I am outside where there is a lot of dust or dirt). My diet is a lot of protein and carbohydrates (I workout 5 to 6 days a week) but very little greens (I am trying to work on eating that more). When I wash my hair once a week, I also lose a lot of hair, like 2 to 3 clumps, I do not have bald spots or anything, but I do get worried about my hair. I feel overall my hair is very fine, dry, and flat. It sits flat on top of my head with no body and it bothers me very much. I hate when other girls complain about their hair saying it is dead and they need a haircut, when their hair is way better than mine. I am going to have my hair for the rest of my life, I just want to know how to take good care of it and keep it healthy and put the right products so that I can feel happy, healthy, and confident. Doctor: Hi. I think your problem is very common and you should not feel so let down. Please get your blood tests for thyroid and iron profile. I hope your cycles are normal. If not then please get yourself checked from a gynecologist and follow a healthy diet like drinking lots of water. Eat lots of vegetables like broccoli and fruits like avocado. Please apply fresh aloe vera gel on the damaged root tips once or twice a week. Make a paste consisting of yogurt, almond oil, and vitamin E capsule and apply once or twice a week. Do not use any sulfate-based shampoo and use good serum oils on your root tips. Keep doing this and you will get results soon. Apart from that, wash your hair twice a week a least." + }, + { + "id": 10402, + "tgt": "My genital redness exists still after medication. Please help", + "src": "Patient: Hello doctor, I am 25 years old male. My problem is redness of the genitals. It has been two months now. It first started from my penis head with four or five red bumps like spots. Then I consulted a dermatologist. He gave me Candid-B cream to apply and some anti-fungal tablets. But I mistakenly use liquid Dettol in water to wash my penis, and it spread badly to my scrotum area. Whole red no itching and no pain just a little red nerves beneath. I have used creams like Onabet, Dermiford k5 prescribed by doctors. And have done 25 days course of Itraconazole 200 mg two times per day. And that with Onabet cream and glycerin lotion. The last cream I used was Betnovate gm, which damaged my penis and gave me a burning sensation on scrotum and foreskin. Now I am applying no cream, only keeping ice pack, and I consulted another doctor. He said after seeing pictures that there is no fungus just irritant contact dermatitis. Please help. Doctor: Hello. According to the history given by you, it could be irritant contact dermatitis followed by application of dettol. Since you have used most of the creams and few of it containing steroids, your skin has got thinned, and that is why you could see red colored vessels. It is advisable that you should not apply any cream which contains steroids it could worsen your lesions. Apply coconut oil before taking a bath, no soap on the affected area during bath. Please share pictures of it so that we could start with the treatment. You might need to take oral steroids to improve your condition, but no topical cream. You can take tablet Levocetirizine 5 mg at night time for five days. This is to reduce the itching or burning part but not going to cure it. It is advisable to consult a dermatologist." + }, + { + "id": 12949, + "tgt": "Can candida infection cause bump in penis and difficulty in swallowing after unprotected sex?", + "src": "Patient: Hello doctor,I had previously been on syphilis treatment and it healed but yet I had unprotected sex with a lady and she has a vaginal yeast infection and I am starting to see a straight like a bump on the tip of my penis and am also having difficulty swallowing. Then I found white thick stuff at the back of my tongue. Is it candida? Doctor: Hi. I read your complaints. It looks like you been having some fungal infection in the tongue which comes only when your immune system is a bit compromised. It also seems that you had been on treatment for syphilis. I want you to know that in syphilis the treatment depends on what stage you have at present. I saw that picture that the lesion on your penis looks like it is asymptomatic so you could be in primary syphilis (attachment removed to protect patient identity). I need to see your complete blood count analysis, your basic blood test analysis so with that I will be able to answer your question better in regards to the treatment of your tongue related lesion. I want you to take Fluconazole 200 milligrams one tablet followed by 150 milligrams once a day for 10 days. I want you to get me the latest blood test reports and any other blood test reports in regards to your health conditions." + }, + { + "id": 25196, + "tgt": "Should I be worried about HIV from protected blowjob and handjob?", + "src": "Patient: Hi doctor, I had protected sex with a commercial sex worker. The act involved a handjob and blowjob with condom. No penetrative sex involved. I am now having sore throat and cold after four days. Should I be worried about HIV or STD? Doctor: Hello. I have gone through your problem and understand your concern. As you had blowjob with condom, so the chances of HIV or STD are rare but can occur. A sore throat and cold after four days of the exposure can be due to STD or in general common cold which is likely a strong possibility. So, I recommend that you should be investigated for the possible STI/ HIV also as soon as possible, as a baseline and these can be repeated after three and six months. It also decreases your apprehension, as you investigated for HIV and found negative. Similarly a timely action can be taken for any STI/ HIV if found positive. At this point of time, it is unlikely that you have HIV infection as you had protection, but testing is recommended. Thanks and regards. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10720, + "tgt": "How to differentiate symptoms of testicular cancer from varicocele?", + "src": "Patient: Hello doctor, What are the difference in symptoms in testicular cancer and a varicocele? Doctor: Hello. Testicular cancer will have painless testicular lump, swelling of scrotum, swollen lymph nodes, or weight loss. Varicocele will have infertility dragging testicular pain, lump or swelling above testis in spermatic cord. Best to differentiate between two is ultrasound scrotum." + }, + { + "id": 6053, + "tgt": "Kindly explain about the pros and cons of the Mediterranean diet", + "src": "Patient: Hello doctor, What is the biggest pros and cons of the Mediterranean diet? Doctor: Hello. The Mediterranean diet is my favorite and I always recommend my patients to follow this diet. With regards to pros and cons, should focus on what this diet consists of: Mainly of fresh fruits and vegetables, olive oil, olives, fish, legumes, whole grains, nuts. Basically, all body parts will get benefit. Plus, sharing meals with others and being physically active are also part of this diet, and makes it very beneficial. With regards to cons, should look into the risk of following this diet: I do not know any study to confirm the risks. This is because all food types are eaten in moderation. So, there is no fatal restriction in food, nor in physical activity and social interactions." + }, + { + "id": 170, + "tgt": "I have testicular pain and swelling and it subsides only with hot baths and masturbation. Please help", + "src": "Patient: Hi doctor, I am having pain in my right testicle but it is a dull pain and it is hard to pinpoint exactly which side but I would like to say it is my right testicle that gets swollen and also has that fullness feeling in the entire sac. It normally flairs up every single morning for the past four months and I seem to have an increase in sexual dreams since it has been happening. It is not the worst pain in the world but it is discomforting. I really do not want to see a doctor as it is very embarrassing for me. Throughout the day, it will become swollen and sometimes not. Hot baths and masturbation are the only things that help with the pain. I normally have to masturbate every single morning to take the pain away. I do feel like I can feel something down there on my right side behind my testicle that feels like a smooth tube (not sure if this is normal as I also feel it on my left side, but it is not as big on my left side). A few other symptoms I have experienced with this are lower back pain and nausea. But once again, this has been ongoing for four months now. Can you help me? I am currently on Melatonin and Allegra. Doctor: Hi. I appreciate your detailed description. Testicular pain can be apparent and have a cause or can be idiopathic (unknown) also. Testicular pain can be secondary to the inflammation of testis epididymis or both it can be associated with a hernia which not necessarily appears to you if it is small. It can as well be due to hydrocele (fluid collection around the testis) moreover varicocele (dilated veins around the testis). Testicular tumor can also cause pain testicular hematoma blood collection beside the testis or epididymal cyst, referred pain from lower ureteric stone lastly idiopathic. The accuracy of diagnosis depends on history and examination ultrasound of scrotum and ultrasound KUB (to role out any abnormality in your urinary system). Moreover urine tests to rule out urine infection. From your presentation, I doubt varicocele or hernia but cannot exclude other causes. Regarding your back pain it might be a referred type of pain from testis so I hope treating the testis pain relief it. You will need an ultrasound of your scrotum and urine analysis post ejaculation urine for culture. Then to follow up with results. At the moment for the pain, you are advised to take Naproxen sodium 500 mg twice daily for 30 days. Do not worry about it. I hope I can find the cause and give you the proper treatment after investigations further. You can follow up with me at your convenience. Scrotal support, wearing fit underwear will reduce your discomfort. I hope this helps. Ultrasound scrotum. Ultrasound KUB (kidney, ureter, and bladder). Urine analysis. Post ejaculatory urine culture. Naproxen sodium 500 twice daily for one month. Fit underwear. After investigations." + }, + { + "id": 28044, + "tgt": "Nothing seems to cure my stomach flu. Please help", + "src": "Patient: Hello doctor, A week ago, I woke up with an upset stomach, diarrhea, vomiting and rotten egg burps. I suspect it was due to a dairy product that I ate a day earlier. A few hours later, I ate some pasta, and everything started over again with diarrhea, vomiting, and the rotten egg burps. The next day, I started getting hiccups. I went to see a doctor who prescribed Imodium for diarrhea.\u00a0I have not had loose stools since. He prescribed Motilium for the vomiting which did not work though. I can barely keep anything down even with the medicine. I spent two days drinking only water. To this day I am still getting these hiccups, and I must say it is discomforting. Yesterday, I started having very little of clear broth soup which I am managing to keep down. I do not feel hungry, but I just want to eat. I do not feel nausea, just real discomfort when the hiccups come by, which is almost every hour. It is even disrupting my sleep. I should mention that I lost around 6 kg since the first episode. I also feel a lot of heartburn during the hiccups. The doctor ordered that I get my blood tested, along with an ultrasound. I am attaching both the reports here. I need a second opinion on what is going on, how long it might last, and what treatments I should\u00a0be taking. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity), and they are within normal limits. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22648, + "tgt": "What is the ideal testosterone level in men?", + "src": "Patient: Hi doctor,I am a 30 year old male. My height is 5'7\" and weight is 79 kg. I recently did some tests and the findings are as follows. Testosterone 239 ng/dL, HDL 24 mg/dL, VLDL 60 mg/dL, triglycerides 302 mg/dL, Vitamin D 29 ng/dL, Vitamin B12 164 pg/mL and HbA1c 5.2%. My BP is under control. I also have lower back pain due to loss of lordosis. I am now taking medicines for cholesterol and calcium. I have been masturbating quite frequently since age 16. I recently had sex for the first time and I ejaculated quite fast. My erection does not last long. I visited a local doctor and he observed my penis with a device and said my penis muscles are weak. What should be the ideal testosterone of a male my age? I intend to marry next year. Am I fertile? Are my sperms strong? Can I have a normal sex life? How to rectify the problem of weak penis muscle? Doctor: Hello. Considering your age, the Normal Testosterone Levels should be around 270-1000 ng/dL. The report of yours shows lower levels. Obesity or overweight is one of the important reasons for low laboratory levels of testosterone. Semen analysis can tell if you can have a child or not. If your sperm count, morphology and anatomy are normal, then there would be no issue in having children. Ejaculation in a minute is considered as normal. No need to worry. With practice your time will increase. If you are getting good erections, then there would be no issue of muscles. If your erection is good, then no need to worry. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27845, + "tgt": "I get lower back pain on and off. What to do?", + "src": "Patient: Hi doctor, I have been suffering from lower back pain, which radiates to my buttock and thigh muscles. The pain is not constant. It comes and goes. What shall I do? Doctor: Hello. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15206, + "tgt": "What could be the reason for my recurrent testicle pain?", + "src": "Patient: Hi doctor, I sat on my testicle before two months, and I experienced an initial sharp pain for a few hours. I went to the ER and did a blood test, urine test and an ultrasound. Torsion, as well as infection, was ruled out. The exact incident occurred before few days. I did a urine test and another ultrasound. Torsion was ruled out once again. When the pain flared up again, I went to the doctor back. Again, I did an ultrasound, urine test, and blood test. Torsion and infection were ruled once again. The doctor pointed out a little bit of fluid around my testicle, and I had no pain. But, still, I have pain in my testicle. What was ruled out with these tests? From where does the pain arises? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). This acute testicular pain with normal testis examination and ultrasound report look like simple orchialgia. Ruling out torsion is very important in young males presenting with testis pain. It shows that the testis is not twisted on its own. Pathologic pain has associated redness and swelling. From your report, I can say that you do not have torsion and epididymitis. Young males have simple orchialgia due to muscle tone. You need scrotal support. Take tablet Pregabalin 75 mg at bedtime." + }, + { + "id": 23596, + "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": 15913, + "tgt": "Is it necessary to get colonoscopy for blood in stool?", + "src": "Patient: Hello doctor, I am 27 years old, 247 lb male. I have been having a problem with blood in stool for two years now. Sometimes, I have blood in stool for two or three days and sometimes goes away for months with no blood. For three months, I did not have blood in the stool. Now I started to drive a truck 12 to 14 hours a day sitting on the truck and I started having blood again. I am very scared. I may have colon cancer. My doctor did a blood test on me one month ago including vitamins and minerals and everything came back 100 %. I told her I am scared that I may have colon cancer she said no you do not and you do not need a colonoscopy. How does she know? I have blood in stool for two years now and not in normal shape. Doctor: Hi. See it is difficult to say what is the reason for blood in your stools. But definitely, this is not a normal thing. You could be having piles.Actually, piles are the most common cause of blood in stools. That is why your physician must have in general told you to relieve your stress. My recommendations would be to take a soft, and a blended diet. Take plenty of fluids. Make sure you do not strain during stools. If you still have the blood while you are not straining in stools and you are not constipated, you would definitely require a colonoscopy." + }, + { + "id": 964, + "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": 15412, + "tgt": "I had a BP reading of 167/105. Was it so high due to anxiety or a heart problem?", + "src": "Patient: Hello doctor, I have a generalized anxiety disorder and panic disorder. It is mostly under control, but I get very nervous at the doctor. I have had a BP reading as high as 167/105. My doctor says its just because I was nervous. Is this true? I am not overweight, I exercise regularly, I am not hypertensive, I eat healthily, I am only 18 and neither of my parents has high BP. So, was it that high because of anxiety? Could a heart problem cause it to be that high? Doctor: Hello. You may have high BP just for once. It may be due to anxiety. Persons with anxiety and depression may have high BP. You should do BP monitoring for one week. Check your BP twice a day for one week and note it down. Or at least once a month for four to six months. If you still have persistent high BP then go for hypertension management. And if you have an anxiety disorder, then treat it as early as you can. It will surely help lower your BP. You are too young to have high BP. You must monitor your BP. The long-term high BP can lead to various organ damage. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3099, + "tgt": "What can be done for nocturnal emissions?", + "src": "Patient: Hi doctor, I cannot stop nocturnal emissions. I sleep on my back and I do not even put any blankets on myself. I neither watch something or think about it, but it happens two or three times a week. I get brain fog from it and my voice badly changes. I get tired of it. Please help. Doctor: Hi. Nocturnal emissions usually occur in sex dreams and often even without dreams. Sleep ejaculations are healthy and normal for everyone. They do not cause any problem in your sexual life either now or in the future. Just as pressure cooker releases steam every time the pressure inside the cooker increases, so also your body expels the unused semen once in a while and gives way for the production of new sperm or semen. This is nature's way of releasing the sexual tension building up in you. Probably it is also a way to check that your sexual system is working fine, and to make sure semen does not become stale. Night falls disappear once you enter into regular sexual life. There are a number of myths in society about night falls. Buying those myths causes psychosomatic symptoms like brain fog, weakness, fatigue, etc. Be assured, all these are myths and misconceptions due to a lack of scientific knowledge. So the next time nightfall occurs, laugh it off, wash it off and enjoy it. If the symptoms persist, they may have other reasons behind them. Get a general medical check-up to identify the causes." + }, + { + "id": 1719, + "tgt": "My eyes are watery, red, and itchy, with dark circles around. Is it an allergy?", + "src": "Patient: My age is 20, one of our relative informed us to contact you as we needed it badly I have eczema and I have been taking medications from 5 years with multiple doctors with no end results... some worked some didn't main problem is I have running nose( from 3 years), skin gets round around mouth with black scars, full black rough skin on the neck and past 6 months I have got allergy in eye's with watery eyes, sometimes redness, itching and full dark circles around the eyes.. I have been consulting with one a doctor from 6 months... I'll Share the prescription which she gave thrice in 2 months and was informed to use only for 15 days not more than that but after 15 days now again I have got severe eye pain in and surrounding on dark circles I have also checked with eye doctor and they gave multiple ointments and drops which didn't worked out requesting you please help with prescribing similar medicines which will help me with issue. Doctor: Hi I went through all pictures and prescription s The problem what you have is ATOPIC DERMATITIS It's a disease that is not infection but your immunity will be working abruptly and uncontrollably Triggers are food, dust, any bite or cosmetic s It's a lifelong problem presenting with different issues at different ages You have PERIORAL DERMATITIS, OCULAR DERMATITIS, ALLERGIC RHINITIS AND CONJUNCTIVITIS... ITs all because of your Atopy Please start on Tab Defcort 6mg twice a day for 1 week 1_0_1 After one week tab Defcort once a day for 1 week 1_0_0 Tab Taxim O 200 twice a day for 5 days (few areas infected) Tab Xyzal M (Levocetrizine +Monteleukast) = 1/2_0_1(half morning night 1 tablet) 3 weeks (for itching) Zensoft Max or Cetaphil lotion .. Morning on spots Momate F cream mix with Calosoft AF lotion.. Night.. On the spots Drink lot of water Review after 3 weeks Stop all triggers Take care" + }, + { + "id": 13270, + "tgt": "What treatment can be done for divergent squint eye?", + "src": "Patient: Hello doctor, I have a complete retinal detachment in my left eye from an early age (11 to 12), went to many places including renowned eye care hospitals but nothing worked. Anyways, after a few days my left eye started to go outward and within a short time went completely outward (divergent squint). At that time, I did not care nor did my parents but now I am 22 years of age and suffer from social anxiety because of my eye. So the question is can it be corrected with surgery? Is there any chance of me having double vision after the surgery assuming everything goes well? Thirdly, an eye doctor said it may again turn one day. Is that true? Is there any possibility of eye turning again after surgery? Doctor: Hi. Firstly, as you have mentioned that you have had a total retinal detachment (RD) in your LE during childhood, I would like to emphasize on the fact that RD surgery will not help in improving your vision. The squint you are talking about is an adaptive mechanism of the eye towards poor vision due to RD (abnormal retinal correspondence). Even after squint surgery, the vision would not improve. Squint surgery involves either lengthening or shortening of the muscle. So the amount of correction needed is only a subjective measure. Only for cosmetic reasons, squint can be corrected. The outcome of surgery can be analyzed only by performing certain tests. Also, whether the squint can revert back or not can be decided only by the test results. So, kindly revert back to me with the following test reports. Refraction testing, intraocular pressure, dilated fundus examination, B scan of LE, OCT of LE, squint evaluation (qualitative and quantitative). Coming back to your questions. Firstly, squint correction can be done for cosmetic reasons with no visual outcome. There are chances of having double vision or diplopia after squit surgery, depending on whether there is over or under correction. There are chances of squint reverting back (due to various other reasons). Kindly revert back with your reports." + }, + { + "id": 18603, + "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": 20071, + "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": 14327, + "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": 16121, + "tgt": "What is the reason for having a habit of crying frequently without a reason?", + "src": "Patient: Hi doctor, I am crying frequently without reason. What is the cause? Why do I cry frequently without a specific reason or trigger? How can we stop them? How to treat the problem? Doctor: Hi. Crying frequently without a trigger is always associated with psychological issues. For physical causes, it can be a chronic pain from a chronic inflammatory condition like rheumatoid arthritis, osteoarthritis, or physical weakness from a debilitating disease like cancer. There is some psychological or mental component associated with physical factors for causing this problem. It depends upon the individual's self-control and mental strength to stop the problem. Counseling can also help. It is better to get help from a psychiatrist when it gets worse or when it is affecting the daily routine." + }, + { + "id": 9881, + "tgt": "Can retained lens in the eye cause drooping of eyelid?", + "src": "Patient: Hello doctor, Day before yesterday my lens got lost in my right eye. I thought it must have fallen. Later, my eye turned red and started mucus discharge and the next day the lens was expelled. So the redness got reduced but now there is mild drooping of the eyelid of that eye. Please help. Doctor: Hello. Most probably you have infection of the eye, due to lens being there for a long time. It causes inflammation of eyelids which causes drooping. You should start putting some antibiotic eye drops. Consult some ophthalmologist nearby to prescribe you one for it. Do not worry, it should resolve within a week with proper treatment. Also, do cold compresses, like, keep ice in a handkerchief and keep it over your eye. It will reduce the swelling. Take care that the infection should not spread to others." + }, + { + "id": 4041, + "tgt": "Are my HIV reports positive?", + "src": "Patient: Hi doctor, I have had a possible low risk exposure a year back which is about 53-54 days before this day, this has wrecked my life, the exposure can be best described as follows and I apologize for the graphic nature of the same, no penetration, no oral sex, but the unprotected penis has touched the vaginal area during a body to body massage with a thai therapist. I have had a HIV DUO test on day 13 and day 31, both negative / non-reactive, I have had a oraquik home test at day 42 which is was again negative. There are no real symptoms except extreme stress, a sore throat for which I have not really required a medication as of now. I have had a legion / boil on my upper back since the last 1 to 2 years which did not affect or bother me as of now but for some strange reason has decided to ache or itch since the last 7 days for which I have consulted a skin doctor and was told that it is a legion because of oil deposits which has become infected now and has prescribed medicines before he can take it off. Now, I request you to please answer the following question: 1. Can I move on? With the possible case of low risk and my tests at more than 28 days for a HIV DUO test at more than 28 days which a lot of specialists say is conclusive or should I get tested again? 2. Do you think that my boil / legion flaring up has anything to do with HIV? I do request you to pl help me with this as soon as possible. Doctor: Hi. 1) Yes, the test is conclusive although antibodies take some time to develop. 2) It is good that at least you know your baseline HIV status. 3) You can go for repeat test at three months although the risk was minimal. 4) In future, I suggest you to use precautions and condom usage. 5) Your lesion at back is most likely folliculitis which can be there in any individual because of increased sweating. Follow the prescription of your dermatologist." + }, + { + "id": 28450, + "tgt": "Is sexual abstinence for three months necessary after a miscarriage?", + "src": "Patient: Hi doctor, I had a miscarriage two weeks back. The baby had no heartbeat or growth even after nine weeks. So, the doctor gave me tablets for abortion. And she advised taking rest and abstinence from sex for three months. I am confused about that because I am eager to have a baby now. Please suggest. Doctor: Hi. How are you doing? Sorry to hear about the loss. Hope God gives you all the mental strength to face it. 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": 14885, + "tgt": "Why are there vomiting and headache in a hypertensive patient?", + "src": "Patient: Hello doctor, My mother is suffering from a vomiting and acute headache from the last two weeks. I have visited a local doctor and he has suggested some tests. After doing all the tests he prescribed some medicine for vomiting and headache. But the problem continues. When we revisit the doctor he was suggested for MRI and further blood tests. I have already done all the tests. I am sharing the test reports with you. Please check the reports and suggest what kind of treatment she needs to recover from the problem. My mother has hypertension and essential hypertension and taking Telma 40 and TVS 10 medicines from the last one year. Also taking Vasograin for an acute headache. Doctor: Hello. I have seen the MRI brain report (attachment removed to protect patient identity), suggesting multiple sebaceous cysts in the brain, and ring like enhanced lesion on cerebellum (small brain) right side which can be infective lesion like tuberculoma, neurocysticercosis, toxoplasmosis or tumor lesion like astrocytoma or medulloblastoma or secondary metastatic tumor or may be benigntumor. That is why she is developing that condition. Her condition might be worse if she will not get proper attention. Kindly follow following instructions. Admit her in any hospital under neurologist. Keep her in ICU. Make her BP stable. Go for diffusion-weighted MRI for a clearpicture, CT thorax to rule out any lung or breast malignancy. Do lumbar puncture and CSF fluid analysis. Rule out through blood cultures any parasitic, worm, bacterial or viral infection according to that treatment." + }, + { + "id": 16513, + "tgt": "What are the skin care products to enhance complexion?", + "src": "Patient: Hello doctor, I am a dark complexion person with age of 31 years and I am happy with the natural appearance but my all family members are fair complexion except me. Sometimes it is disbalances my confidence. It is my request. Kindly suggest me some face wash or face cream which helps me to get little enhancement in my complexion. But please steroid free. Doctor: Hi. Can you please upload a few pictures if possible for diagnosis and advise proper treatment?" + }, + { + "id": 1601, + "tgt": "What is the chance of herniated disc L5-S1 causing pain in groin area and testicle?", + "src": "Patient: Hello doctor, I have been diagnosed with a herniated disc at L5-S1 and bulge at L4-L5. I have some lower back pain, but I also have pain in the groin area which seems to move also in the testicle. My question is, could the pain in the groin area and in testicles be caused by this herniated disc? Doctor: Hello. Well, the pain of L5-S1 disc herniation typically is pain on the backside of the thigh and radiates down to the leg on the outer aspect and to the foot. The nerves of the groin region are more below. But, as in your case, if the disc prolapse is big then it can also compress nerves of the groin region and can cause pain. Do you have any bladder issues or any numbness in your private parts?" + }, + { + "id": 8819, + "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": 2221, + "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": 4393, + "tgt": "I had electric current sensation in lips during colonoscopy after taking Propofol. Why?", + "src": "Patient: Hello doctor, I received Propofol for my colonoscopy. As it was administered my lips felt buzzy, as though an electrical current was passing through them. Is this an allergic reaction? Thank you. Doctor: Hi. First of all you need not get anxious because of this buzzy feeling you went through after you were given Propofol. Buzzy feel or electrical current feel is all part of the any general anaesthetic agent. Propofol is a very good medicine given by your physician for making you sleep during colonoscopy. Sometimes you do have this sort of buzzy." + }, + { + "id": 17660, + "tgt": "Why am I bleeding for the past 16 days?", + "src": "Patient: Hello doctor, I have been bleeding for 16 days. I have had blood tests done and an ultrasound done which both came back normal. My last PAP test was about 16 months ago which was also normal. I am 26 years old and currently taking Femme-Tab ED 20/100. Kindly advice. Doctor: Hi. You have not mentioned about current and previous menstrual, obstetrics, gynecology, and drug history. Please answer the following questions: Femme-Tab ED 20/100 is Ethinylestradiol and Levonorgestrel containing contraceptive and having few side effects and contraindications as well. Most of the side effects appear but severity and presentation differ person to person. Irregular vaginal bleeding is the side effect of OCP (oral contraceptives) but duration and pattern differ person to person like few get affected after years of use and few respond immediately. I do not know how long you have been on this. Could have chances of stroke, high BP (blood pressure), cardiovascular accidents like VTE (venous thromboembolism), breast cancer, endometrial cancer (post endometrial hyperplasia). Femme-Tab ED 20/100 contraindicated in SLE (systemic lupus erythematosus), migraine with aura, etc. Few drugs like antiepileptic and few antidepressants also reduce the efficacy of contraceptives. Bleeding could be a side effect of hormonal contraceptive and its interactions to disturb cycle. To reduce or stop bleeding you can have Ponstan (Mefenamic acid) for three days eight hourly and Tranexamic acid 500 mg eight hourly for three days. You can change contraceptives to reduce its long-term effects after discussion. Start iron supplements to reduce the risk of anemia. If bleeding does not stop even after above treatment better to have detailed check up with a gynecologist. Any local cause of polyps, trauma, endometrial hyperplasia (need the endometrial biopsy to exclude pathology), adenomyomas, fibroid uterus (although you have done the scan, blood, and smear and all normal). Is thyroid function test done? If not better to have along with serum beta hCG (human chorionic gonadotropin) level (blood pregnancy test) to be on safe side. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22735, + "tgt": "Can unprotected sex during period cause pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex on the second day of my period. My partner did not discharge. Can I get pregnant? Doctor: Hi. I have gone through your query. It is highly impossible to get pregnant due to unprotected intercourse during your period. Endometrium of the uterus is not habitable for a conception during this condition and hence pregnancy is not possible at this time. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11107, + "tgt": "What is the treatment for constant cold and wheezing in a 1 year old kid?", + "src": "Patient: Hello doctor, My son is 1 year old and has constant cold. I have consulted my pediatrician also. He has been suffering from cold, and wheezing for the past one month. If I use Augmentin Duo, he is getting fever, wheezing and severe cough. So I use Azithral 200, Levolin, and the condition is somewhat fine. But he is not getting complete cure. Please help. Doctor: Hello. Your child may be suffering from what is known as hyper-reactive airway disease. Please get the child evaluated physically with chest X-ray and basic blood tests like CBC (complete blood count) and CRP (C-reactive protein) at least. Based on the reports, if it does not show any infection, you can start the child on a long term course of Montelukast 4 mg one dose at night along with syrup Levolin (Levosalbutamol) based on the degree of coughing. The child may also need intermittent nebulization with Duolin (Ipratropium, Levosalbutamol) and Budecort (Budesonide) as and when the need arises." + }, + { + "id": 20106, + "tgt": "I kissed someone who had HPV. Could I be infected?", + "src": "Patient: Hi doctor,I kissed someone who had HPV, about three weeks ago.\u00a0I have been having diarrhea, nausea, and abdominal pain for the past three days. I also threw up today.\u00a0Could I have been infected? Doctor: Hello. HPV (human papillomavirus) is spread through sexual route. It is a sexually transmitted disease. The common mode of spread is through vaginal or anal sex. Sometimes, it can be spread through oral sex also. For diarrhea, symptomatic management is done as follows: Hope your doubt is cleared. Take care. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 11900, + "tgt": "What does bleeding with a strong odor after masturbation mean?", + "src": "Patient: Hello doctor, I just had my period and last night, I masturbated and this morning there was blood and it had a strong odor. What does that mean? Doctor: Hello. Strong odor means you might be having a vaginal infection which may commonly occur in women due to lack of hygiene sometimes (during masturbation hand or sex toy if not sterilized properly) may lead to traveling of germs up inside the vagina and may result in infection and smelly vaginal discharge. I would suggest once wash your affected area as much as possible with plain water and avoid using any cosmetic products there and avoid tampon as well. Preferably use sanitary towels for periods and as soon you finish your periods get yourself assessed by a doctor to get the exact diagnosis of discharge and appropriate treatment." + }, + { + "id": 19123, + "tgt": "My foreskin is swollen after a frenuloplasty. Is it paraphimosis?", + "src": "Patient: Hello doctor, I had a frenuloplasty yesterday and the doctor told me that I had to put back my foreskin 24 hours after the operation, but it is impossible for me to do it. My foreskin is big and swollen and the stitches seem\u00a0to hold it retracted. Is this normal? Or is it paraphimosis? Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 853, + "tgt": "I have uterine fibroid and gets abdominal pain with fever after periods. Can I take Combiflam?", + "src": "Patient: Hello doctor, I am 50 years old. I have a fibroid problem for the last two years. This month after periods, I have severe abdominal pain and fever also. I am suffering for the past two days and I manage the pain with Combiflam. Please tell me how much doses I want to take a day and how long can I take it? Doctor: Hello. You can take Combiflam (Ibuprofen) tablets after food maximum up to three times a day. But however, I would like to point out that the fever and pain may not be because of your fibroid problem because you have been diagnosed with the problem long back. We have to find the cause for the same. Without knowing the cause for fever it is not advisable to take Combiflam, preferably please take Paracetamol or Dolo 650 mg for fever. One possibility is degenerative changes in the fibroids, which can get secondarily infected and cause pain and fever, or sometimes a reproductive tract infection, or most commonly it can be even because of urinary tract infection. So I would like to know if you are experiencing any pain or burning while passing urine or if there is any increased frequency of passing urine. If yes, please get a urine test for routine microscopy and culture sensitivity to look for the infection. We may have to start antibiotics because you are having a fever too. Please revert back to me with the necessary details to look for the cause of the fever. Urine routine and microscopy. Urine culture and sensitivity. Ultrasound abdomen and pelvis. Fever evaluation recommended. Drink plenty of water and fluids (at least three to four liters per day). Syrup Citralka two tablespoons thrice daily in half glass water for three days in case of any burning while passing urine." + }, + { + "id": 12601, + "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": 3387, + "tgt": "What can be the reason for lower back pain at the age of 14?", + "src": "Patient: Hi doctor, My daughter is 14 years old. I wonder whether she has herniated disc. Because, she has all the symptoms except the numbness in legs and feet. It hurts in the lower part of my back. Usually a herniated disc is from sports injury and heavy lifting. But, she recently have not had any sports injuries or have not done any heavy lifting. But, in the past she had. Her back has been hurting when she cough, sneeze, sit or even walk down my porch steps. It has been hurting for may be two to three weeks now. I have not heard people of her age have a slipped herniated disc and other stuff. Please help. Doctor: Hello. Let us analyze different reasons for back pain of her age. Plain KUB x-ray to look for renal stones and urinalysis with culture. 1. Back sprain. 2. UTI. 3. Less likely ovarian cyst or kidney stones. 1. Tylenol two pills every 8 hours for pain on as needed basis. 2. Flexeril 5 mg (Cyclobenzaprine) every 12 hours as needed for pain. Revert back after a week with investigation report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23387, + "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": 9971, + "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": 19182, + "tgt": "Is there any medicine to overcome the effects of alcohol?", + "src": "Patient: Hi doctor, I am contacting you regarding an uncle of mine. He is 40 years old.\u00a0His health issues are related to alcohol (beer). He drinks quite a few times a week. When he starts drinking, he drinks a few liters before stopping. He also smokes, but only sometimes.\u00a0He finds heavy breathing after just minor physical activity. In his medical history, he has high blood pressure, high cholesterol, anemia, anxiety disorder, severe headache and sometimes constipation. He had also ulcer earlier and was recommended Omeprazole. He found this medicine to be helpful for him in the beginning only, but not now anymore. I know of a fact that it is best for him to quit drinking alcohol or at least reduce the amount of it. He has been advised for this several times. But, he is addicted to it and is not easy for him to quit. My question is specifically related to alcohol. Is there any medication he can take before or after intake of alcohol which can be helpful for him in kind of safe drinking? He takes Omeprazole, but is not satisfied with the results. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 3976, + "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": 23423, + "tgt": "HIV1 RNA test is negative. Can it be concluded that I do not have HIV?", + "src": "Patient: Hi doctor,I had sex with massage girl a month back with a condom. But I am not sure about condom break. I had HIV1 RNA test 21 days late. It came negative. So do I need to take another test or can it be concluded that I do not have HIV? Doctor: Hi. Yes, you need to go for fourth generation ELISA (enzyme-linked immunosorbent assay). For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 24037, + "tgt": "I have fever and diarrhea with little blood. What does that mean?", + "src": "Patient: Hello doctor,I have been ill for the past five to six days and seem to gradually be getting better. I had a very strong fever the first night, then very mild fever and lots of diarrhea over the last three days, but yesterday I noticed there was a lot of blood but also last night I managed to get the longest sleep. I only had to go to the toilet once and only a little blood and this morning almost nothing. Should I be concerned? Doctor: Hello. You are likely to be suffering from dysentery. It is like bloody diarrhea, fever, and loose stools indicating you are having an infection going on. I would like you to get a CBC (complete blood count), stool routine and microscopy tests also done. Till then you should drink ORS (oral rehydration solution) to avoid any dehydration. Regarding blood in stools today I think it will resolve with the proper antibiotics. Colitis. Ofloxacin 200 mg twice a day, Metronidazole 400 mg thrice a day for five days, Paracetamol 500 mg for fever SOS, and tablet Pantoprazole 40 mg twice daily for five days. Avoid eating spicy foods and a fatty diet. For more information consult an internal medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6903, + "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": 21370, + "tgt": "I have dull, persistent aches and pain in abdomen. Is it due to dance practice?", + "src": "Patient: Hi doctor, I am a 21-year-old female, 1.75 m and 70 kg. For the past two to three months, I have been under quite a lot of stress due to an ongoing internship and various school commitments. I am experiencing dull, persistent aches and pains (at times these are sharp pains) on my right abdomen, and I am suspecting it is related to my womb or uterus. I also have sharp and dull pains along my backbone. I have been deferring a visit to the doctor as I had dismissed it earlier thinking that it was due to my frequent dance practices (three times a week). However, after many online searches and having a paranoid mind that causes me to overthink, I ran out of options except to seek for your professional advice online before seeking the help from a physical venue. Could you kindly help diagnose my ailments? Doctor: Hi. According to your complaints, it seems you may be suffering from muscular pain if your pain is not related to any signs like change in bowel habits or related to any abnormality in periods or menstruation or any kind of change in stool or urine and any other associated symptom like nausea or vomiting or relief of pain after bowel movement. If any of the above is present and/or if your pain does not subside in two days or if it recurs anytime again, please get yourself examined by a surgeon. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29346, + "tgt": "Though I am taking Lamictal, my depression persists. Please help", + "src": "Patient: Hi doctor, I am suffering from type 2 bipolar disorder. 10 years ago, I was diagnosed and treated for depression alone. I am a 42 year old female. I got married and have two kids. I stop the medication for five years and then I started to take it for the last one year. I am taking Lamictal 200 mg every day, but that is not enough. I feel depressed most of the time as there is no supportive groups or good psychologist in my place. Please help. Doctor: Hello. If Lamictal (Lamotrigine) is not helping much, then you can discuss with your treating doctor regarding either substituting it or adding another medicine for bipolar disorder. Certain non-pharmacological methods that will assist are as follows. Follow a flexible routine and exercise regularly. Do meditation daily for at least half an hour in the morning. You can join self-help groups online. Listen to music as it helps in relaxation and removing anxiety. Certain music have been found to be especially relaxing. Besides, you can also consult a psychotherapist on this platform. For further information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 11283, + "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": 15624, + "tgt": "Will CMIA Abbott fourth generation test at 13 weeks give accurate results?", + "src": "Patient: Hi doctor, Is a CMIA Abbott fourth generation negative test 100 % reliable at 13 weeks? Can both p24 and antibody remain undetected by a combo test? Does CMV coinfection increase window period? Doctor: Hi. HIV infection has a window period of 1 to 3 months during which the test results can be a false negative. According to WHO, all results are considered conclusive at 12 weeks after the last exposure. Hence, your test is definitive if done at 13th week. As per the protocol, if infected, either the antigen or antibody would reach detectable levels by 12 weeks. CMV (cytomegalovirus) infection does not alter the window period. Kindly upload the latest report to confirm the same." + }, + { + "id": 9285, + "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": 11718, + "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": 18252, + "tgt": "What is the right treatment for mild diffuse disc bulge in L4-L5?", + "src": "Patient: Dear doctor,My mother has been experiencing little back pain for more than three years. So, she has been consulting some neurosurgeons for some time but no major problem has been detected by them. Recently, the pain has increased a lot. She had consulted a nearby orthopedic surgeon. He has taken an MRI. Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina. He has suggested my mother take physical rest for more than two months and he has given some medication. He has been saying that the current issue with L4-L5 disc bulge is not very serious and can be treated with medication and physical rest. If the disc bulge does not get treated with medication even after some time like six months, then he said he would suggest a neurosurgeon who would operate on my mother for L4-L5 disc bulge. As I am not very familiar with medical terms, I wanted to take your help online to get better suggestions for my mother's treatment. Please suggest me the right treatment for the current condition. All the medical reports and MRI reports have been attached to this email. I hope for the best treatment for her in the current scenario. Doctor: Hello. I agree with her doctor that surgery should be postponed as much as possible considering the mild bulging. I suggest using painkillers and Amitriptyline (if no contraindications) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Holding a lumbar brace and performing physiotherapy can help improve her situation. If the pain persists, surgery should be discussed again. Kind regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15927, + "tgt": "I had withdrawal bleeding after taking contraceptive pill. Will I get pregnant?", + "src": "Patient: Hello doctor, I had sex with a condom. But it tore in the middle of the act. But the guy did not ejaculate. I took unwanted 72 within 15 hours. I experienced withdrawal bleeding a week later that was quite normal like a period and lasted for four days. I took UPT which was negative. Can I still be pregnant? Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. Also, you say that you had withdrawal bleeding after taking the pill. So relax and do not worry. There is no chance of pregnancy. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 10350, + "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": 13524, + "tgt": "Kindly suggest a medicine to manage fungal infection on the wrist", + "src": "Patient: Hello doctor, I am suffering for the past two months supposedly some fungal infection on the wrist of my right hand. It is circular and expands in a ring red in color. I have been using Candid B cream but as it goes away it comes back again and increase in size. When it expands, white pus-like small things form and on applying the cream for 2 to 3 days goes away but again surrounding area gets these small pus-like things and so the ring expands. It has left a white patch in the center and red ring at sides. It burns in hot but feels good in cold air. Is there a medicine which I can take? Doctor: Hi. Your history is strongly in favor of tinea corporis. Tinea Corporis is a fungal infection, usually a consequence of excessive sweating, occlusion, and friction. If not treated correctly, it tends to keep recurring. Candid B is a combination of an antifungal with steroid and such combinations have recently been banned too. The steroid in the composition tends to only suppress but not cure the infection. In addition, it adds to the resistance, hence further delaying the response when treated correctly. Kindly upload appropriate images to confirm the diagnosis, stop Candid B immediately, let us know all the sites which are affected (groins, axilla, etc.) and mention if you are a diabetic. Tablet Levocet 5 mg once daily at nite for two weeks for itching. Stop Candid B." + }, + { + "id": 30273, + "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": 11243, + "tgt": "My periods occur either delayed or prior to the due date. Why?", + "src": "Patient: Hello doctor,From the last six months, I am getting my periods either five days before my due date or two days later than the due date. I want to know, is it normal to experience this time interval in periods? Doctor: Hello. Yes, this is normal. Seven days plus or minus is considered as a normal menses cycle. It means any cycle length between 21 to 35 days is normal." + }, + { + "id": 4658, + "tgt": "Can a diabetic patient have brown rice?", + "src": "Patient: Hi doctor, I am a 38 year old male. My height is 6 feet height and weight is 90 kg. I have been a hypertensive for the past ten years. My fasting sugar generally comes in the range of 100 to 130; PP 140 to 170 and A1c level is 6.6. Should I start medicine for this? For hypertension I am taking Losar H in the morning and Amtas 5 at night. All other tests such as lipid, KFT, LFT thyroid, etc., are normal. Doctor: Hello. Your levels are indicating that you are diabetic. But, the values are not that high enough to start on medications. I recommend you to start diabetic diet and exercise regularly. Also, repeat your fasting blood sugar (FBS), postprandial blood sugar (PPBS), and HbA1c (glycated hemoglobin) after three months. Diet to be followed: Exercise to be followed: Revert back with sugar reports after three months to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 4478, + "tgt": "What can be done for tooth sensitivity after chipping off of the tooth filling?", + "src": "Patient: Hello doctor, I had braces and got them off and two tooth (upper left, last two) had a gap. My dentist said my filling also chipped from the removal and decided to redo the filling. Afterwards I experienced pain. Like sharp pain from eating hard things like chips, grainy things that went into the grooves. I went back and they fixed my bite by shaving some off. That did not work, so I went back and they redid the filling on the last back tooth because that is where I experienced the most pain. I went home waited two weeks or so and had same pain when eating hard grainy things. So I went back and they fixed the bite. Went back again after a few weeks because same issue came up, they found natural tooth was an issue and said maybe I was getting down to the dentin. They refilled those small spots. I went home and had to go back in after a few weeks because I felt a few minor sensitive areas. They fixed my bite by shaving some off again. And of course that did not help so I went in again and this time they found two areas of the natural tooth and the filling was sensitive, they think the filling was sensitive was maybe due to the shaving from previous appointment. This time the following day it was way worse in terms of eating. Maybe it was the day after but running my fingernail on the tooth was sensitive. My dentist said I may need an onlay or crown if this keeps happening. I went to another dentist for second opinion, and took X-rays as attached. She said the filling looks good, and it was done well and it is all smooth. I wanted her to give me a second opinion and if I should get an onlay or crown. She said part of my filling is close to the nerve. I was surprised to hear that because the first time they did the filling it was far from the nerve, so I don not know what happened (maybe they redid it and drilled more). She said even if I do an onlay or crown that with the temporary might not work and I can still be sensitive, in which I would need a root canal. I called my friend who is a dentist and she told me I should wait it out. It is also possible the pulp horn can shrink and not be so close to the filling as it is pretty close. She also does not suggest a crown because it is taking away healthy tooth structure and that if that did not work I would have to pay double as I would need a root canal. When air goes on it, it\u2019s sensitive, and sometimes when cold water goes on it it is sensitive, it was not like that before. Just seemed like it all got worse, but then again I just got it done two days ago. Doctor: Hello. If only that particular tooth is being sensitive and no other, then the best for you may be going through the root canal treatment. The teeth may have been grinded down due to successive refilling and may now be very close to nerve. Sometimes using a strong toothpaste like GC Toothmousse helps in relieving this sensitivity completely by blocking all tubules, so try it first.Apply some directly around and between those two teeth. Wait for five minutes then brush it off. Crown can be delayed till you can, but just crown or inlay will not work without root canal treatment." + }, + { + "id": 26373, + "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": 18058, + "tgt": "My brother is 91 kg. Suggest a diet to reduce his weight", + "src": "Patient: Hello doctor, My query is regarding my brother who is 24 years old. His height is 5'5\" and weight is 91 kg. How can he\u00a0reduce his weight\u00a0fast? He does not go to gym because of his right leg ligament problem. Kindly help us. Thank you in advance. Doctor: Hi. Lifestyle modification. Diet plans. Keep a control in having fast and junk foods. Follow the given diet and revert back after 15 days to a nutritionist online.---> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 23281, + "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": 20028, + "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": 10278, + "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": 7909, + "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": 29858, + "tgt": "Are ventricular ectopic beats dangerous?", + "src": "Patient: Hi doctor, I am a 28 year old male. My ECG shows ventricular ectopic heartbeat of 56 beats per minute. What should I do? Is it dangerous? Doctor: Hi. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17434, + "tgt": "Shall I continue both Atisarahara vati and Deva vati to cure diarrhea?", + "src": "Patient: Hi doctor, I was suddenly down with loose motions (two watery motions) and the next day I had a vomit. Immediately, I consulted my allopathy doctor, and he diagnosed it as either viral gastritis or severe hyperacidity. He put me on the antibiotic for five days. There was no motion or vomit after that, but there was some discomfort in stomach especially after eating. Then, I started taking Atisarahara vati\u00a0two tablets with buttermilk three times a day\u00a0for about four to five days and then reduced to two times a day before food. I had loose motions around once or twice since starting the medicine. The motion was not loose, but it was with gas, discomfort, etc. Yesterday, I got Deva vati\u00a0tablets. I took overall three tablets till now with lukewarm water. I find relief and hope this settles my stomach problem. My question is should I take Atisarahara vati also with Deva vati or only Deva vati?\u00a0Do you recommend any other\u00a0with Deva vati? I am 62 years old in relatively good health. I do not take outside food, spicy, oily, etc. Somehow, I was erratic on the\u00a0timing of the meal. But, now I have set a regular timing for food. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30877, + "tgt": "Please suggest some advice to reduce my mother's leg pain", + "src": "Patient: Hi doctor, My mother is 68 years old. Her weight is 75 kg and height is 165 cm. She has severe right leg pain from behind the knee and around the calf muscle, especially in the nerves.\u00a0She has varicose veins on her thighs and has had continuous pain for nearly 35 years following her third pregnancy.\u00a0She is a homemaker and does all her work herself, she feels tired every two hours to the extent where she cannot lift her leg anymore. A half an hour relaxation will give her energy to get back on her legs.\u00a0She is doing yoga to manage this pain without any medication. Currently, the nerve pain keeps changing from one place to another and varies randomly.\u00a0It increases when she has a hot water bath or hot water foot massage and\u00a0walks as a part of her routine\u00a0exercise. She also feels like there is a bubble, which keeps moving. Sometimes, she is unable to walk or walk with a help of the stick very slowly. She is applying oil on her leg, but has found no relief. \u00a0 She is on Topdip 5 mg for BP, B complex and Neurobion tablets. She had a kidney stone last year and removed it by taking ayurveda medication. Her thyroid and sugar levels\u00a0are normal, but have vitamin D deficiency. So, she has started taking Vitamin D supplements.\u00a0She is a vegetarian and will not consume any junk food or sweets.\u00a0Please suggest some advice to get relief from the pain. Doctor: Hi I do understand your concern. It is not possible to make conclusions with limited information, but you can do the following things for her to get pain relief. Revert back with the report to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 569, + "tgt": "Why did the doctor advise to stop breast milk and start Isomil formula for my baby?", + "src": "Patient: My baby is 3 months old, last month he had rashes and a loose motion, we did a stool test of ph and reducing substance done, the report says that the reducing substance is positive, the doc advices to stop mothers milk and start isomil formula, the baby did not take isomil, so I continued with breastfeeding and after some days we checked his weight, it was good, the baby is growing properly, he is active, does not cry coz of colic. He poops 6 to 7 times max, he is exclusive breastfeed, he frequently passes urine. The only thing is poop is bit greenish but the test report say it's yellowish brown, other than that there is no issues of rashes also everything is fine, baby sleeps well and passes the gasses well.. The stool test was done again yesterday and it's the same as last test ie reducing substance is positive My queries are as below 1 from above description shall we still follow doc by stopping breastfeeding and using isomil Why has this issue come up in 2 months, before it was all good. How long will this intolerance last I have stopped dairy products, I can't have a small cup of tea also, can I have it? Can I use half cup milk for tea? Doctor: Hi, Am glad to hear you did not stop breast-feeding and that the baby\u2019s weight gain is good. Babies of 3 months may pass stools after every feed-which means if you feed 10 times, they may pass stools 10 times. So that is not a thing to get worried. Regarding the colour of the stools, green-yellow-golden-brown are all normal shades of stools. So you don\u2019t have to worry about green colour. Please remember one more important thing - if the baby is not having any problems/symptoms, then, don\u2019t get any tests done. Because even in a completely normal person there can be a few parameters outside the normal range. We cannot keep chasing the lab report completely forgetting the baby\u2019s condition. If you get a routine health check done during your visit to your pediatrician for vaccination it is sufficient (That is, if the baby is not having any problems/symptoms). Any change in the mother\u2019s diet changes the composition of the breast milk to a small degree, which then is reflected on the child\u2019s routine. You may start taking milk with tea, initially small amounts and gradually increase. The baby\u2019s bowel movement pattern might change but that doesn\u2019t mean it is not good for baby\u2019s health. But don\u2019t start to feed cow\u2019s milk/pateurised milk to the baby yet. Let the baby be atleast 6-7 months for that. Please let me know if you have any questions." + }, + { + "id": 9393, + "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": 6422, + "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": 23920, + "tgt": "My kid fell down on his face. What is the risk of having developmental problems?", + "src": "Patient: Hello doctor,My little three month old boy fell down on his face from his cozy. Fell from his size in terms of height. We went to the hospital the next day in order to make some checks. The doctor did send us home without doing any scanner. He said it should be fine as there were no bruises, a medical examination was normal and there were no other complications such as vomiting or loss of consciousness. He only was unusually tired in the morning and that is why we made someone check him.Now. The big question is, are there any risks of difficulties in cognitive and psychomotor developpement in the future. I am worried about the risks of sequelae on the cognitive part. If the risk exists (I guess there is never zero risk), what is the prevalence or percentage of risk? Thanks a lot for your understanding and I thank you in advance for your true and right answer. Doctor: Hello. I read carefully your question and would explain that the risk of developing cognitive disorders or seizures is very low (less than 5 %) if there is no brain damage (in brain MRI). I agree with the doctor for not performing the brain CT scan as there was no loss of consciousness and no vomiting. The fact that his situation has improved is really reassuring that there is no intracranial bleeding or stroke. Anyway, I would recommend as follows performing a brain MRI (as it does not impose the risk of radiation like the CT scan), just to make sure that everything is fine. It is also important to avoid any possible repeated trauma in the next weeks. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14634, + "tgt": "Is it possible that mine and my husband's blood types which could be incompatible, kept me not conceiving all these 8 years?", + "src": "Patient: Hello doctor, I am not sure of mine or my parent's blood types, but my sister's is O-negative and is Rh-negative. Does this mean I am also Rh-negative? And is it possible that mine and my husband's blood types, which could be incompatible, kept me from conceiving from 8 years? Doctor: Hi. There is a 50 % possibility that you could be an Rh-negative blood group. There is no blood group combination between couples that has known to cause problems in conception. If you are Rh-negative and your husband Rh-positive, then the problem of Rh incompatibility arises in the baby, that too in the second child. But it can be easily dealt with and identified at conception. Do not worry. Just get yours and your husband's blood group checked and consult an obstetrician and gynecologist." + }, + { + "id": 21982, + "tgt": "I am throwing up since morning. What could be causing this?", + "src": "Patient: Hello doctor, I started throwing up this morning and it has been continuous throughout the day accompanied by stomach ache and diarrhea. I am pretty sure I just ate something bad but I called into work and they said I need a doctor's note to return back to work and I could use an online doctor for it. Doctor: Hello. You are having acute gastroenteritis from eating outside food. For that, symptomatic management is done with lots of water to maintain hydration. Also, take Vital Z powder with water to maintain electrolyte balance. Empirically, a five days course of Ofloxacin plus Ornidazole should be prescribed by your treating doctor. Discuss with him or her and start taking the medicines with their consent. Your stool routine microscopic examination is advisable. Revert back with stool and CBC (complete blood count) report for giving more comment. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5332, + "tgt": "Pus cells are evident in my semen analysis report. Kindly interpret my report", + "src": "Patient: Hello doctor, My semen analysis shows: Sperm Count - 98 millions/ml, Liquefaction time - 25 minutes, Reaction - alkaline. Motility: active - 70%, slugglish - 10%, non-motile - 20%. Morphology: Normal forms - 92%, abnormal forms - 8%. Other findings: Pus Cells 40-45/HPF. Semen culture also shows no growth. Please tell me the appropriate medicine. Doctor: Hi. If you do not have symptoms of urinary infection like burning, frequency of urination, blood in urine or semen, you need not take any medicines. Immature sperms also appear like pus cells on microscopy. One good option is to repeat the semen analysis after one week. Do not keep abstinence from more than two to three days before the next analysis. If pus cells are again seen in the high count, we may have to repeat semen culture for routine bacteria, as well as tuberculous bacilli and then decide accordingly. If you have any of the symptoms described above, you can repeat semen culture once more and take antibiotics accordingly. I hope this helps." + }, + { + "id": 24460, + "tgt": "I have a small fracture in thumb. Please advise if surgery can be avoided", + "src": "Patient: Hello doctor, A week back, I slipped and injured my right thumb. There was a cut just below the top side nail with lots of bleeding. The doctor had bandaged it, and the wound seems to have healed. The X-ray report says 'evidence of mildly displaced comminuted fracture is seen in the base of the distal phalanx of the right thumb. Rest of the visualized bone appears to be normal.' The doctor has advised surgery which I do not want. Please advise if surgery can be avoided. Doctor: Hi. The need for surgery depends on the displacement and the width of the bone fragment. Kindly upload your X-rays so that I can give you an accurate advice. Regards. 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 an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5276, + "tgt": "How can blood in stool be treated?", + "src": "Patient: Hello doctor, I am suffering from dysentery (not sure) from last couple of months. I found blood in my stool. So the doctor suggested to do colonoscopy test. Colonoscopy report says that there is one small papilla near anorectal junction, may be cause of the bleeding. The doctor gave me tablets and till then everything was fine and the same doctor told me that it is because of dysentery. But from the last couple of weeks, there is too much of bleed in my stool with lower abdominal pain and fever every night. Motion is kind of semi-solid and 4 to 5 times in a day I have to go to toilet. I have consulted many doctors but nothing is work out. Can someone please put me in touch with some speciality doctor? I also had treatment of homeopathy for two months without any success. I am totally frustrated. Doctor: Hi. Frequent motions along with blood for weeks is not due to dysentry. Also a small papilla causing this amount of symptoms is very unlikely. So what else it could be? It can be inflammatory bowel disease, malignancy, chronic infections, tuberculosis. My advise is get stool routine and culture sensitivity test now. Also, please upload all the reports of test that have been done including colonoscopy. Till then you can take tablet Rifagut 1-0-1 for one week, tablet Pause 500 mg three times a day for five days. Kindly revert back with report." + }, + { + "id": 15781, + "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": 19244, + "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": 9148, + "tgt": "Can I smoke after having my tooth opened for RCT?", + "src": "Patient: Hello doctor, Early today, I\u00a0was at the\u00a0dentist's because\u00a0of a sharp pulsating pain in my\u00a0tooth. The doctor opened the tooth, cleared the root canal with those little needles, and he left the tooth open and put some medicine in and a piece of cotton. The dentist told me to come back in a week or so when the\u00a0pain stops. The pain stopped immediately when my tooth was opened, and I am\u00a0okay now. It only hurts a little. I would like to know if is it fine to smoke with an\u00a0open tooth? Will smoking make the pain worse? Will it pain like a dry socket which happens after tooth extraction? Doctor: Hello. Keep me updated with the improvements.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2430, + "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": 25738, + "tgt": "Can body heat cause chickenpox?", + "src": "Patient: Hello doctor, My daughter got chickenpox last year. During that time we did not take her out and applied neem leave paste. It got cured in 15 days. Now, this year also, again she got chickenpox. Now, she is 4 years old. What to do now? Why has it come again? \u00a0She ate chicken and mango the same day. Is it because of that she got chickenpox? When I was a\u00a0kid, I got chickenpox three times. All the time we have applied neem leave paste only. Two years ago, I got again, and that time I ate more mangos and chicken. Is body heat causing chickenpox again and again? Doctor: Hi. Firstly, I would want to know if the diagnosis of chickenpox is made by you or a doctor. It is highly unlikely for anybody to get chickenpox twice and even if the person gets chickenpox twice least likely it would be once every year. Her weight 11 kg is very less for a 4 year old, which suggests she must either be frequently ill or malnourished. The fact that you also had the same issue in your childhood points to a genetic cause of some form of immune deficiency. If such is the case, then eventually the child will outgrow this problem as the age progresses just like you. Chickenpox is caused by Varicella zoster virus and not due to heat or due to eating some food item. Also, I would like to know if this child has been vaccinated to date and if not then please get her vaccinated. It is important to get the child evaluated with blood reports, and a physical workup with a pediatrician is necessary for diagnosing chickenpox. Please give proper nutrition to the child and avoid outside food as the weight of the child is very less for a 4 year old. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10616, + "tgt": "Why is my fasting blood sugar level higher than postprandial?", + "src": "Patient: Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fasting sugar level. My HbA1c reading is 6. I am taking Glycomet 500 mg before dinner\u00a0daily.\u00a0Can you tell me why my fasting is higher than my postprandial? Doctor: Hello. For further doubts consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 25200, + "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": 17170, + "tgt": "Kindly suggest some ayurveda medicine for my anal fistula", + "src": "Patient: Hi doctor, I am a 37 year old male. I am facing fistula problem. I have visited a doctor and taking allopathy medicine for the last one year. I would like to go with ayurveda treatment. I am getting a\u00a0problem with the fistula at least once in a month and if I take allopathy medicine, then it will reduce. Due to my family circumstance, I am not in a position to for surgery as of now. Kindly guide some ayurveda medicine for fistula. I was advised to take the following by a doctor here. Curcumin capsules, tablet Triphala guggul (Vara churna) and Nirgundi oil. Kindly give your guidance. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24623, + "tgt": "How can I avoid a chance of getting pregnant?", + "src": "Patient: Hello doctor, I had unsafe sex with my partner on the 21st. My menstrual cycles for the last three months have been as follows: 18th, 13th, and 9th. I usually have four to five days' bleeding. Is there any possibility of getting pregnant? How could I avoid this chance of getting pregnant? Can I use I-pills yet? How many pills to consume? Are there any other preventive measures available? Could you please suggest me my safe period? Doctor: Hello. From day 1 to 10 of the period, it is safe period. There is no chance of pregnancy as there is no ovulation happening during this period. From day 12 to 24, it is a fertile period and there are high chances of pregnancy. Since you have not crossed 72 hours of intercourse, you can still take an emergency contraceptive pill. It is just one emergency pill within 72 hours of intercourse to prevent you from pregnancy. However, if you have a doubt then get 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": 24836, + "tgt": "My tinnitus has worsened. What is my chance of recovery?", + "src": "Patient: Hello doctor, I am looking for a second opinion. I got tinnitus from loud noise three weeks ago. Most of the time the noise is constant 3 or 4 on a scale of 1 to 10. Yesterday morning I experienced my best day as the noise seemed to reduce to a 2. However, it went back up to a 3 and 4 again yesterday afternoon and most of today. I did see an audiologist several days who examined and tested my hearing. No hearing loss was found, and he said my ears looked healthy. He was optimistic in saying I should improve in the coming weeks. Should I be concerned that the loudness returned? And do I have a good chance of recovery being that no hearing loss appears to have occurred? I am currently on Bactrim for rosacea, Provostatin for cholesterol and took steroid Prednisone for five days for ears. Doctor: Hello. The cause of tinnitus is usually idiopathic. Every normal person can hear that sound many times in their lives. It goes away as suddenly as it had started. There is no reason for worrying as you have no hearing loss. So relax, do not worry as these kinds of tinnitus is intermittent. Sometimes some situations, some kinds of food can start that tinnitus. As you reported that the sound was on scale 3, please try to avoid it. If the tinnitus is disturbing you, consult audiologist for TRT (tinnitus retraining therapy). For more information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 25764, + "tgt": "Why are my periods delayed after taking the I-pill?", + "src": "Patient: Hello doctor, I got my periods 48 days before. I had an unprotected sex 40 days ago after which I took an I-pill. I had slight bleeding after one week for three to four days. I again had sex 11 days ago during which condom got ruptured. So, I again took an I-pill the same night. I have not got my periods since the last time. I am a bit worried. I did a pregnancy test 12 days ago itself but it was negative. Kindly help. Of note, I have had a medical abortion. Doctor: Hello. This could be because of hormonal changes due to the pills you have taken. There is nothing to worry about. 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. Do get back to me with reports so that I can guide you further. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11300, + "tgt": "Is Zoloft safe for heart?", + "src": "Patient: Hello doctor, I have anxiety disorder from the age of 15 (will be 35 by the end of this month). I started having frequent panic attacks and debilitating anxiety after my grandmother's death. Before all this, I had been on Paxil. Six months before, my doctor switched me to Zoloft 50 mg and increased to 100mg and 150mg in the following consecutive months. I am very worried about the possible QTc prolongation and sudden cardiac death. I struggle daily to take Zoloft. I had three ECG. First one was taken before six months, the second one before a month and the third one in this month in which my QTc was 400 to 420. Is Zoloft safe? Will it cause me sudden cardiac death? Doctor: Hello. Zoloft (Sertraline) is an effective and safe SSRI (selective serotonin reuptake inhibitor) for managing anxiety disorder. Zoloft is generally considered a low risk for QTc (is an electrocardiogram representation of ventricular depolarization and repolarization) prolongation in healthy people. I can see that you had three ECGs in the last few months with QTc between 400 to 420 which is within normal limits. Zoloft in traditional doses (up to 200 mg daily) usually does not cause any significant increase in QTc. You are only on 150 mg once daily. So highly unlikely to have an adverse reaction. Can I ask why you are particularly worried about QTc prolongation and sudden cardiac death? Do you have any relevant risk factor like a previous heart problem or family history of arrhythmias and heart problems? Were these repeat ECGs done for any specific reason or only because of your anxiety? If you are otherwise healthy, Zoloft is generally safe. If you need any other medication for other reasons, remind your doctor that you are on Zoloft so that they can avoid prescribing medication that can potentially interact together. Also, street drugs are not advisable. Regarding your other query about Ativan (Lorazepam), you can continue gradually weaning till you are off completely. When reduced gradually chances of withdrawal effects are much lesser. It is good that you are stopping Ativan as it is not recommended for long term use. I note that you are currently in therapy. It will help to address your longstanding anxiety and develop better psychological coping strategies. It is common to experience worsening of your symptoms when you lose a loved one. Hopefully, you will recover gradually from the loss. You can also try deep breathing techniques and progressive muscular relaxation for managing stress and anxiety. I will also advise you to discuss your worry about QTc prolongation with your prescribing doctor. He will be able to monitor and advise you accordingly." + }, + { + "id": 15340, + "tgt": "I underwent sigmoidoscopy. Is intestinal abscess a possibility?", + "src": "Patient: Dear doctor, Is intestinal abscess a possibility? I need a second opinion. Medical history: On April 1st, I underwent sigmoidoscopy, and since then, a pain started on my left side. They also diagnosed C.difficile. We started Vancomycin. Then the pain stopped. At week-3 of treatment with Vancomycin, we went from four times daily to twice daily and three days later, the pain came back. My doctor restarted over the Vancomycin treatment to four times daily and, three days later, the pain went away. I am on twice daily dose now since the last two days and the pain came back again. My Question: I suspect an abscess caused by the sigmoidoscopy (considering that this examination produced extreme pain 15/10 on me). Is it possible that abscess treated with Vancomycin temporarily is the reason that my pain comes and goes the way that I explained? Doctor: Hi. It could be one possibility that sigmoidoscopy has caused an abscess, but again to prove that a repeat sigmoidoscopy has to be done. But also, there might be other causes like inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or other infections as well. Also, I wanted to know what was your first sigmoidoscopy finding. I advise you to get one stool culture sensitivity and one stool calprotectin test done and revert back to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner Also, if you are unwilling for sigmoidoscopy, you can get capsule endoscopy or MRI abdomen." + }, + { + "id": 2821, + "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": 13330, + "tgt": "Will taking emergency contraceptive pills after unprotected sex cause any issues?", + "src": "Patient: Hello doctor,I have had unprotected sex. I took Plan B (72 hours) pill almost right after, four hours later. I consulted with the pharmacist on the phone but she sounded careless and told me it was safe to use. I am too young. The main question is I do not know if I should even call this vaginal sex because he did not cum and we decided to call it off after three minutes because we were scared of the consequences. But I took the pills anyway, just in case. Can you help me? Doctor: Hi. Plan B is an emergency contraceptive to be taken in case of male ejaculation inside vagina. If you have already taken the medicine, nothing much can be done right now. I hope you have attained menarche, so then you should get your periods in the next two weeks. The next period might be a bit irregular due to the pill effect. If there was no ejaculation or pre-cum, there is no chance of pregnancy." + }, + { + "id": 21000, + "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": 25463, + "tgt": "Is gynecomastia normal in teenage boys?", + "src": "Patient: Hello doctor, I am a 19-year-old boy. I have gynecomastia and no facial hair at all. I also have several acne on my face and my back and chest. I think I have a hormonal imbalance. I have attached a copy of my hormone test reports. My FSH level is low at 0.74 \u00b5IU/mL but my LH level is normal at 4.96 \u00b5IU/mL. Please help. I have attached photos for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). It appears that although your FSH (follicle-stimulating hormone) is slightly low your testosterone and other gonadotrophic hormones are normal so it does not make a difference. Usually, the FSH varies depending on the time it is tested. If it bothers you then retest after one to two months. Your gynecomastia could resolve in a year or two naturally as some males do tend to have gynaecomastia in their late teens which normally resolve on its own by 21 to 23 years. Your facial hair shall come gradually as you are a late bloomer that is still having the effects of puberty. Take it easy and let your body take its normal course. Regarding acne you can take: You can have these once daily for as long as your face is cleared. This will take usually three to six months. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 20615, + "tgt": "I had a shoulder surgery done recently. Can I go for a trip this month?", + "src": "Patient: Hello doctor, I had a labrum tear. I had a shoulder surgery done a month ago. They repaired the tissues back into place. My cousins have planned for a trip to the beach next month. I have been advised by the doctor to take off the sling in that week. I do not know if I can go with them soon afterremoving the sling. The place is going to be a bit crowded and I am scared something might happen. Do you really recommend me not going or is there any option that will let me go but be safe? Doctor: Hi. I understand that you had a surgery of the shoulder (I guess it is arthroscopic Bankart repair) recently. In any case, I would not restrict you from going to the occasion. However, I generally advise my patients not to lift the arm or rotate the arm outwards for a minimum of six weeks. These movements are likely to cause harm to your repair. Any activity that does not cause these movements is allowed. So, if you can make sure to avoid these, go ahead with the trip. But if you have a fear that you could move your arm or someone could disturb you, which is likely to happen in a crowded place, I would strongly advise you to use your sling. The sling will help others stay away from you." + }, + { + "id": 17326, + "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": 2198, + "tgt": "My sugar value after food is 325 mg/dL. Please suggest diet to reduce sugar levels", + "src": "Patient: Hello doctor, I have diabetes and my reading before fasting is 165 and after fasting is 325. I am taking Glycomet 250 three times a day and taking diabetes tablet once a day. Can you kindly advise on the diet to bring the after fasting reading down? Doctor: Hi, Welcome to icliniq.com. You need to first stop all sugars and sugar drinks. Fruits to be taken as a sweet fish only. Especially grapes, mango, and banana should be cut down. Many people think it is fine to eat bread rice or pasta but if you see deeply one bread of about 30-50 grams contains about 12-13 spoons of sugar. I have seen people avoiding one spoon of sugar in the tea but eating two or three breads at the same time. So cut down your bread, rice, pasta, and potatoes and eat more vegetables. You can take more lentils, beans, and salads. Another important aspect is intermittent fasting that can also help to control your sugars. Even there is growing evidence that intermittent fasting can reverse diabetes. I hope it makes sense. You need to check your sugars more frequently especially fasting and after two hours of eating and cut down anything which leads to higher sugar levels. Usually, fasting sugar target is 100-120 and post prandial 160-180 and HbA1c less than 7. Currently, your sugars are high so you need to compliant with medications, diet and may need drug modification as well." + }, + { + "id": 30068, + "tgt": "Kindly suggest medicines for anal pain", + "src": "Patient: Hello doctor, A few days back, I faced problem with digestion and constipation. I had frequent bowel movement. But, the stool became tight and I had to pressure it out.\u00a0Now, I feel pain and inflammation in my rectum and it seems that there is some swelling inside. The irritation gets intensified as the day pass. I feel a constant urge for a bowel movement and discomfort in the abdomen and get some relief when I lie down.\u00a0I have to work being seated for 4 to 5 hours and so, this problem is much irritating. So, kindly suggest some medicine, which will be helpful to get relief from the pain and for smooth bowel movement. I am a 27 year old male. Doctor: Hi. Revert back after a week to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3658, + "tgt": "If sperms spill outside the vagina, is there still chance for pregnancy?", + "src": "Patient: Hi doctor, Last week I and my partner had a romance, I did everything expect for the penetration of my penis into her vagina. At last, I was masturbating outisde with my hands, when the sperm came out it spills out over her legs and also near to her vagina. So we got scared that if sperm spill over was only outside her vagina. Incase, if the spillage over her vagina was only outside means will it cause pregnancy? If it causes pregnancy means what are all the symptoms immediately or with in a week? If in case pregnancy means how to stop now? Please tell us if there is any solution for our safer side to keep us without fear. When the period will stop incase of pregnancy? Please help. Doctor: Hi. Pregnancy can happen rarely in the scenario you described. There will not be any immediate symptoms of pregnancy. The earliest symptom is missing the next expected period. You cannot do anything to stop the pregnancy right now. If she misses her period, she can confirm pregnancy at home by doing a urine pregnancy test. If pregnancy is confirmed, you can consult a gynecologist for abortion through medicines. In case, she becomes pregnant, she will miss her next expected period. Remember one thing, pregnancy is very rare (most unlikely) in the scenario you described, so there is no need to fear. Just wait for her next period and things will become clear by then." + }, + { + "id": 4519, + "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": 20593, + "tgt": "Why am I feeling sad and do not feel like doing anything often?", + "src": "Patient: Hello doctor,I am a male. For a while, I have been feeling very down like I do not feel happy. I feel sad but then after a while, I feel alright. Then I feel sad again. Sometimes, I wanna be left alone, sometimes, I wish I had more people and I think about self-harm a lot and I cannot cry easily but when I cry, I cry a lot and I do not feel like eating but when I do I crave a lot of food. Then I will not eat properly for a few days. I have an interest in playing games but I do not even feel like playing games or doing anything. Doctor: Hello. It is good that your weight, height, BMI (attachment removed to protect patient identity) are within normal limits and age is appropriate. No such stress factor has been described by you. Is there any stress and mental trauma that troubles you or any situation that creates stress? You described all symptoms going towards major depressive episode. In depression, the person wants to live alone and have decreased interest in pleasurable activities and suicidal thoughts are also present. The first thing you should do is discuss your problem and start talking. Never let yourself free, try to be busy in other activities. Start regular physical exercise. It increases endogenous opiates like Endorphins. Start medications. T3, T4, TSH (thyroid stimulating hormone). Major depressive episode. Start medication and behavior therapy. Avoid loneliness." + }, + { + "id": 9408, + "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": 17140, + "tgt": "Can uterine or cervical cancer delay my periods?", + "src": "Patient: Hi doctor, My period is always regular with an interval of 28 days. I never missed my period before. Now, I am late for five days. Today, I had a little light pink faint discharge when I wipe. I have taken 4 pregnancy tests and all were\u00a0negative. When I referred online, it says ovarian cancer. I had a baby last year. As I was at high risk, I had an ultrasound once a month. If I had any type of gynecological cancer, why did not show up in any of the 10 to12 ultrasounds. I am so nervous as I have never missed my period unless when I am pregnant. I just want to know if this could be a cancer. I also had some pinkish brown discharge mid-month during ovulation. Is this normal or could this be a cancer? I had my annual laboratory before five months along with thyroid test, but everything was normal. Please explain me. Doctor: Hello. I had gone through all the data posted. Do not get worried much as you told your periods were always regular. Just with five days late of periods, it does not mean that you have cancer. You said there was light pinkish discharge, so which could be spotted and may be a sign of pregnancy. Kindly repeat your urine pregnancy test again after three days. As you said you had done ultrasound abdomen multiple times, which were normal, ovarian cancer will not come up all of a sudden. Kindly tell me how you are high risk for cancer, so that I can advise a genetic screening, which might be helpful. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24885, + "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": 17319, + "tgt": "Is normal delivery possible if the baby weighs more?", + "src": "Patient: Hi doctor, My wife has completed 39 weeks of pregnancy. We got an ultrasound yesterday, and the report is completely normal. But her labor pain is not getting induced, so the doctor is suggesting cesarean, as the baby's weight is 3.65 kg. My wife would like to have a normal delivery by inducing pain artificially. Our first baby was normally delivered six years ago, by inducing pain artificially when he was 3.33 kg. My wife is 35 years old, and I am attaching the latest ultrasound reports. Is there any harm to the baby during normal delivery in our case? Is there any chance of the head or shoulder getting stuck? Is the baby's weight more than normal? What is the possibility of normal delivery after inducing pain? Thanks and regards. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity), and it is normal. No, delivery is risk-free, normal or caesarean. If her BP (blood pressure) and blood sugar are normal, then there is no contraindication to normal delivery. Regarding the chances of the head getting stuck, it can be assessed only at the onset of labor by internal physical examination of her pelvis and relative size to head of the baby. A baby of this size may be delivered vaginally, but many parameters should be optimum. She had normal delivery six years back, she is 35 now, her pelvic bones and muscles may have become less stretchable, and she may not get good enough contractions, and the labor may become prolonged in that case the baby in the womb may get less oxygen. These are possibilities that may or may not happen, if she goes into labor, she and the baby has to be carefully monitored, and if the things do not go wrong, then she may deliver normally. Until the outcome, no prediction can be made with surety. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3098, + "tgt": "What are the ways to educate people about grocery shopping?", + "src": "Patient: Hello doctor, I am currently redesigning the common nutritional label to make it more to encouraging people to make healthier decisions while grocery shopping. I would love it if you can take a few moments to answer some of my questions below as they are important to our research and final design. Please feel free to answer as many questions and at any length that is comfortable for you. What do you think is the most common and most damaging misconception people have when it comes to purchasing food in the supermarket? Do you think that people focus too much on calorie counting and not enough on eating healthy foods? If you can include only three things in a nutritional label, what would you choose? In your experience, what do people mostly focus on when studying nutritional labels, calories, fats, or sodium? What do you think they should be focusing on the most? In your opinion, how can people make more educated decisions when grocery shopping? Do you think the nutritional label is enough to rely on? If you were to design a completely new nutritional label, how would you make it easier to understand or read than the previous five examples of nutritional labels? Do you have any suggestions? Of the many food trends that constantly spring up, should the average consumer believe any slogan slapped across the packaging of food products? What are some tell-tale signs to be aware of? Thank you so much for taking the time to answer my question; you are helping in more ways than you might think. Doctor: Hi. All the best for your projects. I think it will take time to teach people to understand the importance of nutrition labeling but with my experience, I can answer your questions from the way I have understood by my patients. Misconception spreads mainly through advertisement. People does not read and they want to just understand what media say. The trend of looking into calorie content is increasing mostly on our IT people. I would prefer calories from sugar, calories from fat and sodium content of product per 200 g. About calories, I think we need to teach each detail of sources of fat, sodium and potassium levels. I guess all medical professionals need to teach the importance of reading, food labeling as we can observe an increase rate of metabolic disorder. If we guide in the proper way it could be helpful, it might be in schools or some awareness programs. A small note on the ingredient used and its importance or guiding note on macro as well as micronutrient uses in points. The mantra of advertisement needs to be changed or we need to explain the concept of being healthy with the use of daily simple products." + }, + { + "id": 13935, + "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": 1017, + "tgt": "What should I do for my dizzy feeling?", + "src": "Patient: Hello doctor, I do not want to be sound like I am panicking, but I really do feel quite uneasy. Since I woke up I feel dizzy. My head is rolling and when I close my eyes, I feel like the world is rolling around in a full speed. It never happened with me any time before. I just had my lunch now, but I do not feel to eat any due to the same.\u00a0Please advise what should I do? Thank you. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9135, + "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": 19067, + "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": 17382, + "tgt": "Can I take ayurveda medicine for more than 5 years for kidney problem?", + "src": "Patient: Hi doctor, My creatinine is between 1.70 to 2.10 for the last five years. I am on ayurveda kidney medicine. Can I take ayurveda medicine for kidney problem for more than 5 to 10 years? Will it cause any side effect on long term use? Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10833, + "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": 30982, + "tgt": "Antenatal USG showed mild ventriculomegaly of fetus. What to do further?", + "src": "Patient: Hi doctor,My antenatal USG done at 20 weeks of pregnancy showed mild ventriculomegaly of 9.2 mm at the level of the atria of the lateral ventricles of the fetus. Also, I am having hypothyroidism with mild hypertension. The rest of the USG is normal. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26395, + "tgt": "I have had multiple concussions. Is it due to growth hormone deficiency?", + "src": "Patient: Hi doctor, I am a 28 year old male and I have been living with a lower quality of life for the past eight to nine years, starting around six to seven months after I had a pretty severe concussion. I had been diagnosed with post-concussion syndrome and saw several neurologists who ran numerous tests and scans but never did anything for me. The problems I have had are brain fogginess, slight memory problems, increased anxiety, lower sex drive, sleep problems, concentration difficulties, slight dizziness and an overall feeling of not feeling 'myself'. I have dealt with these issues for around eight years and pretty much gave up on trying to feel 'normal'. Recently, I read about how TBI can cause pituitary damage leading to growth hormone deficiency which covers several of my problems and has been underdiagnosed in patients who had TBI. I also had a severe ankle break from sliding during a paintball game a couple of years ago, five breaks in my ankle and one of the worst the surgeon had seen. I understand low bone density could also be caused by low GH and could have attributed to the severity of my break. I had also been concussed on one or two other occasions less severe than the one nine years ago. Is low GH something that I could have and should look into screening for? Doctor: Hello. I just read your query and from what you have mentioned, I feel that you could have osteoporosis or osteopenia rather than growth hormone deficiency. You can have your bone DEXA scan done and follow up with your orthopedician if it turns out to be either. Growth hormone deficiency causes a loss of muscle mass rather than decreased bone mineral density. Regarding dizziness, it could be benign positional vertigo for which you can see an ENT specialist. A traumatic brain injury does not mean severe concussion. Both are involving different areas of the brain. If you are still in doubt, you can have an insulin tolerance test for growth hormone reserve assessment. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 3692, + "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": 22770, + "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": 17969, + "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": 28228, + "tgt": "Is there any medicine in ayurveda for conceiving a baby boy?", + "src": "Patient: Hi doctor, I had two girl child. For conceiving a boy, what we do in ayurveda? Doctor: Hello. I just read your query. For further doubts consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8879, + "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": 23645, + "tgt": "While treating a patient for depression, when can we add in Celexa?", + "src": "Patient: Hi doctor, I am a psychiatrist. I would like to switch a patient from 300 mg Effexor to Celexa. I know how to taper the Effexor. But, when can I add in Celexa? I have tried Cipralex, Prozac, Effexor and Abilify, but the depression is not responding. All the routine laboratory tests are normal. Doctor: Hi. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29908, + "tgt": "How can I overcome the problem of assuming things?", + "src": "Patient: Hello doctor, I feel that different people have different types of nature. For example, holding a\u00a0pen to write. There is a difference between people holding a pen while writing. I always assume that it determines the knowledge of mine. If I hold a\u00a0pen like my class topper, I assume that I will become topper too. I want to get rid of this thought. How can I overcome this problem? Doctor: Hi. I read your query and understand your concerns. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 6543, + "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": 4304, + "tgt": "Can migraine cause sharp pain in ears?", + "src": "Patient: Hello doctor, I have a migraine. I have readjusted my eyeglasses prescription for headaches. I feel sharp pains in my right and now started to feel like it is in my left ear as well. Please help. Doctor: Hi. If you would have presented to me as an outpatient, I would have told you that your medical history is grossly inadequate to make any clinical impression. Migraine is unlikely to cause sharp ear pains. It may be related to inner ear pressure abnormalities, eustachian tube abnormalities or TMJ (temporomandibular joint inflammation). Stress caused by wearing improper eye glasses can cause stress headache which can cause precipitation of even migraine episodes. Meanwhile please start taking tablet Tryptomer (Amitriptyline) 10 mg once a day at bedtime. Along with that start mental relaxation exercises, Pranayama, and yoga. These things will likely help you. Please have an ENT opinion also." + }, + { + "id": 8551, + "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": 26110, + "tgt": "I have a feeling of a sense of hotness in my body. Is it anxiety related?", + "src": "Patient: Hello doctor,\u00a0 I have anxiety. I have chest pressure and stiffness in the back. I have a sense of hotness in my body. In the past, I have been on\u00a0Amitop 10 mg and Dexanil\u00a0Plus. I have had whole body tests performed and the results were normal. Kindly advice on treatment. Doctor: Hello. I read your query and tried to understand your problem although it was difficult to do so because there was an inadequate description. Since you have mentioned anxiety and a few of other symptoms of anxiety, I assume that you are suffering from an anxiety disorder. The assumption is also supported by the fact that you are on medications which are helpful for an anxiety disorder. I am writing down a few of the strategies that will help you in the management of the stress which is the cause of your anxiety. Wishing you a very happy and healthy life. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 19426, + "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": 27681, + "tgt": "The skin on my face is itching. Please help", + "src": "Patient: Hi doctor, I have a weird\u00a0itchiness on my face. Please help. Doctor: Hello. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 17801, + "tgt": "I have hard lump under the penis shaft. Is it smegma?", + "src": "Patient: Hi doctor, I am a 31 year old male. My height is 6 feet and weight is 84 kg. My medical history includes psoriasis, hyperuricemia and essential primary hypertension. I am taking Cilacar 10 mg (Cilnidipine) one tablet daily after dinner at 9 PM for hypertension. For psoriasis I am applying Propygenta NF cream - combination of Clobetasol propionate and Neomycin sulfate cream. For scalp topical 3% lotion - Clobetasol propionate 0.05% and Salicylic acid 3% lotion. My uric acid is under control by drinking 3.5 to 4 liters of water regularly. My current blood pressure is 120/80 mmHg.\u00a0For the last 14 months, there are flat hard lumps at the base of the penis just under the shaft. For this reason, I had visited a local urologist last year, but he suggested me to clean my penis under the shaft. This is to inform you that I have not cleaned my penis till the age 30. I am an uncircumcised male. As advised by the doctor I have cleaned my penis under the shaft with water. I do not masturbate regularly. But, since eight months the intensity of masturbation increased to four times a week till date. But for the last two weeks, I am feeling mild pain at the side of the lump. The size of the hard flat lump is more or less the same. Even if I press, there is no pain on the lump. My urinary flow is very good. No blood, discharge or foul smell under the shaft. The penile shaft is smooth. There is no burning sensation during urination and ejaculation.\u00a0I am very much concerned. How to get rid of this occasional mild pain? What is this lump all about? Is this years of smegma deposition? Please help me out. Doctor: Hi. I think the lumps that you able to feel are nothing but smegmoliths. These are nothing but concretions of smegma, if not cleaned for a long time. Are you able to retract your foreskin completely? If you cannot, then you may be having phimosis, which can be managed by circumcision. This will also prevent further accumulation of smegma. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20675, + "tgt": "Why do I have rapid heart rate and dizziness after doing strenuous activity?", + "src": "Patient: Hello doctor, About a year ago, I had a long break from doing any type of fitness. About five months ago, I started doing more things again, mainly little things like going out to hang out with my horses, and going to a therapist for a bit. Then around two or three months ago, I decided to go to a fitness trainer to get myself even more fit for my horse riding. I have been held back quite a bit by an issue, what tends to happen is normally when I do something strenuous (but it also happens when temperature switches or the air just becomes more humid) I will start feeling my heart rate become quite rapid and heavy feeling, then I feel dizzy (my head feels really weird) and I will quite quickly feel sick and have to throw up or at least dry-retch. The doctor thought it might be something to do with my thyroid glands so took a full blood test, everything looked normal, my trainer thought it might be anxiety but it has happened at times where I am at my calmest, and my parents thought it might be because I am unfit, but after doing training and my fitness is pretty much back up to where it was before my break, it is still happening and has not improved at all. I have always done sports for most of my life before the break, the main two being athletics and horse ridings (though I only do horse riding now as well as fitness training). Doctor: Hi. As per your symptoms, you feel dizzy when you do strenuous work or when the temperature changes (I guess when it becomes hotter) and when it is humid. As you feel nauseated. And you said that all blood reports with thyroid reports are also normal. The chances are this is due to vasodilation, that is the blood vessels dilate so the adequate amount is not reaching heart which in turn reduces blood supply to organs. Vasodilation. 1.Vasovagal syncope. 2.Hypovolemia. 3.Postural orthostatic tachycardia syndrome. Postural orthostatic tachycardia syndrome." + }, + { + "id": 18924, + "tgt": "Suffering from anxiety attacks which are of a sudden onset. I am a schizophrenia and heart attack patient", + "src": "Patient: Dear Doctor, I am being treated for Schizophrenia which was diagnosed 10 years back, and suffered heart attack during December 2013. I underwent angioplasty (PTCA + Stent) during the same month. I was taking psychiatric drug Sizopin 200mg before the attack; and was asked to abruptly stop the drug after the attack. Currently I am on psychiatric medications as Arip MT 30mg (0-0-1), Oleanz RT 5mg (0-0-2), Ativan 2mg (0-0-1). And\u00a0on cardiac medicines as Prax 10mg (1-0-0),\u00a0Ecosprin\u00a0150 (1-0-0), Ivanode 5mg (2-0-1), Atorsave 20mg (0-0-1), Lasilactone (\u00bd-0-0), Folvite 5mg (1-0-0), Pantocid 40mg 1-0-1 (Before Food). Now, I suffer from anxiety attacks which are of a sudden onset. During anxiety attack, I breathe heavily, and I feel detached from the surroundings. I feel like I am losing control of my self and fear that I will go mad. I find it difficult concentrating on work during anxiety attacks, and also I am feeling very tired and weak during the day. Please advise. Age 35/ Male, height: 5 feet 8 inches, weight: 73 kg. Doctor: HI, Thanks for posting a query at icliniq. I assume that you are having good life with current medicines baring anxiety attacks. The possible reason for your anxiety attacks are: Current medication- Can you outline the onset of anxiety attacks after starting one or another medication that you are taking currently. Part of schizophrenic illness - If you have these attacks irrespective of medication status that it is likely that these are the part of your schizophrenic illness. Withdrawal effect of one or another drug- If you are inconsistent in taking your medicine then this reason is a strong possibility. The duration of anxiety attacks is one of the strong factor that determines the diagnosis. Before we proceed for medication or treatment of these attacks you are requested to post more information about it. You can also book for an online phone or video chat consultation, so the problem can be evaluated in detail. Please provide the following details: At this moment my advice is to shift the aripiprazole to morning time and continue the rest of the medicines. Consult a psychiatrist online with the above mentioned details. --->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28567, + "tgt": "Can diabetes make my hands itchy and numb?", + "src": "Patient: Hello doctor, I am suffering from anxiety and depression from past few years. I took various antidepressants. Now I am taking Vilazodone, one tablet in the morning and Lonazep 0.25 mg from last ten\u00a0days. But I am having breathlessness and palpitations when I do any small physical activity and irritability. My hands get\u00a0numb, and itching occurs on my hands and legs. I guess it is because of diabetes. I feel my chest is heavy, and my legs and back pains a lot. My sugar level is 130 fasting and 235 postprandial. I am taking Glimisave M. My sugar levels fluctuate badly, and my HbA1c is more than 7, a\u00a0few months back. I think due to sugar intake it is out of control; otherwise, it is normal. I have very low energy due to depression medicines, and I am very drowsy, and irritability does not reduce. I have negative thoughts, and my hands\u00a0get numb. I have a\u00a0habit of chewing tobacco. Please, advice some treatment. Doctor: Hello. I am sorry to know that despite the best efforts you are not responding with current antidepressants and there are active symptoms. In case you have more questions, feel free to write back to me. For further queries consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 31005, + "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": 19759, + "tgt": "Does sharing lip gloss spread oral herpes virus?", + "src": "Patient: Hi doctor, If I buy used lip gloss with an applicator that dips into the bottle, could there be any worrisome that bacteria or virus from the previous user's lips withstand the cosmetic preservatives? I am worried, especially about the oral herpes virus. I keep reading the conflicting information about the hardiness of this virus. Please explain. Doctor: Hi. For further information consult a microbiologist online --> https://www.icliniq.com/ask-a-doctor-online/microbiologist" + }, + { + "id": 29536, + "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": 14596, + "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": 30596, + "tgt": "What will be the future effect of early puberty?", + "src": "Patient: Hello doctor, This is regarding my younger daughter's health and I would like to get a second opinion before I take any decision.\u00a0My younger daughter was 1 year 6 months old when she came to this new place. Last year,\u00a0when she was 5 years old we had to do a physical examination for getting admission in the school. During the examination the primary care doctor noticed some abnormal growth in her body like breast buds and asked us to consult a pediatric endocrinologist for further examination. We consulted a pediatric endocrinologist and did a complete examination such as blood test, bone age and brain MRI.\u00a0The MRI came back normal with no issues, however the\u00a0bone age showed 8.5 years old. Also, physical development shows\u00a0Tanner 2 breast development, Tanner 1 pubic hair and scanty axillary hair. Her random LH value was 0.9.\u00a0The doctor said she is hitting the precocious puberty and needs to be treated.\u00a0The treatment plan was Lupron or Supprelin. We researched the side effects of Lupron and Supprelin and found like overweight and unconsciousness affects the body in later stage and many mixed answers.\u00a0We were confused and was not able to discuss with anyone. As this was new to us, we left that moment without proceeding any treatment. Again, this year,\u00a0we went for another set of examination and the results came up with the bone age as 10.5 years. Actually, she is 6 years old. I\u00a0am attaching the current results for your reference. The doctor again said that we need to do treatment and to start with Lupron 30 mg every three months. We are still in a confused state whether to start the treatment.\u00a0So, we like to have a second opinion.\u00a0What will happen if we do not treat? Will she end up in less height and growth once she hit puberty?\u00a03. What are the side effects of Lupron? Will you be able to tell us the experience shared with any of your patients? Can this get\u00a0cured naturally? Is it due to the\u00a0environment or food habits of my place? If we move to our native, will that environment and food habit cure this?\u00a0We are totally in a confused state and not able to take a firm decision. Doctor: Hi. Estrogen tablets intoxication. Central precocious puberty. Lupron as suggested. For further doubts consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17555, + "tgt": "I have a history of genital herpes. Will I get HIV despite using condoms?", + "src": "Patient: Hi doctor,I have a history of genital herpes, and the infected area is at the base of my penis where condoms do not cover. Should I worry about HIV if I use condoms regularly in the future? Or will I get HIV despite using condoms because of my herpes infection? Doctor: Hi. An open wound or raw area is a potential focus for acquiring viral infections like HIV when contacted with an infected partner. However, once the wound heals, the risk falls back to that of normal skin as elsewhere. The risk for HIV in your case would be high only if you participate in intercourse when your genital herpes has not yet healed completely. It is advisable to abstain from all sexual activities for up to two weeks after an episode of herpes so that the infection resolves completely. You could continue to participate in sexual activities as normal people after two weeks. With the use of a condom, after the healing of the wound, your risk would be the same as any other person. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8715, + "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": 4032, + "tgt": "What causes sneezing with itchy eyes and runny nose in the morning?", + "src": "Patient: Hello doctor, I have horror mornings. After I open my eyes and I get out the bed (only after I stand up) I start sneezing maybe 20 times. I have itchy eyes and years and runny. I feel like I have sand in my eyes. I have done prick tests for allergies and all come back negative. I also have done nasal cornettes turbino reduction and all in vain. My mornings are the same. What is the cause of this? Doctor: Hello. Allergic rhinitis is a perrinial manifestation of allergic reactions to unknown triggers. Also you may have coexisting allergic conjunctivitis. Though, Prick test is negative for most of the allergens, we can not neglect the role of unknown allergies in your case. So I advise you to do blood allergy test with All Full Panels including environmental, food, drugs and medicines, vegetarian and non vegetarian foods, fungus, pollens, etc.Definitely we will be able to find out the single cause for your allergy. About medications, all drugs whatsoever you take, are only helpful symptomatically. So as long as you take medication you feel good. But there is no choice as there is no permanent cure for allergies. So I advise you to start T. Montelukast 10mg one at night, continue Rhinocort Nasal spray, and T. Claritin, it is must to repeat blood allergy test as Prick test can not test all available allergens and and role of unknown allergens can not be neglected. So avoiding the known trigger Allergen and continuing the symptomatic treatment is the best solution for your problem. Continuous scrutiny must be going on to find out exact allergens in your surroundings." + }, + { + "id": 21557, + "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": 11531, + "tgt": "Why do I have loss of libido, premature ejaculation, erectile dysfunction, and fatigue?", + "src": "Patient: Hello doctor, I am having loss of libido, premature ejaculation, erectile dysfunction, and extreme fatigue. I am currently on Lipicard 200, and Esomeprazole. Kindly help. Doctor: Hello. I can understand your problem. Your weight in proportion to height is almost near the normal range. But in lipid profile, the cholesterol levels are high, and HDL levels are low (attachment removed to protect patient identity). Deranged lipid profile is one of the common reasons for reduced libido and sexual dysfunction. You should try to improve your physical activities and try to bring weight and lipids in a normal range. Exercise will help in improving the libido too. For weak erection and reduced libido drugs like PDE-5 (Phosphodiesterase) inhibitors like Tadalafil can be used. Low dose Tadalafil in 5 mg per day after dinner daily will help to make a strong erection. To improve erection at the time of sexual intercourse, you can take an extra 10 mg tablet on SOS basis about half to one hour before sex. Kindly consult your doctor for suggestions and take the treatment with consent. This will improve libido and will make erection hard. Avoid smoking, and alcohol use to stay healthy. Supplements containing L-arginine and Yohimbine have great roles in improving libido. Take Nano-Leo which consists of L-arginine that helps to reduce the fatigue." + }, + { + "id": 20146, + "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": 17687, + "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": 6516, + "tgt": "My daughter has fever despite taking Crocin and sponging. Please suggest a remedy", + "src": "Patient: Hello doctor,My daughter is 3 years and 11 months old. She is suffering from a fever since last night. The temperature was between 101 and 102 F. She has been given three doses of Crocin suspension DS today and right now she has a 99.8 F fever after giving sponge. There are no other symptoms. Please suggest a remedy. Doctor: Hello. As per your clinical history, your child is suffering from fever since one day. If the fever is persistent and does not respond to this, you must visit a pediatrician for the clinical evaluation of your child, and some workup may be required. For further queries consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 4202, + "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": 17424, + "tgt": "Inspite of having Zovirax, rashes on my penis has not subsided. Why is it?", + "src": "Patient: Hi doctor, I am a 30 year old male. I got\u00a0rashes on my glans penis after sex with my wife. I have consulted a doctor and he suggested to use Zovirax 200 mg four times a day for one week, thinking that it is herpes. But, I think it is not. I have used it but no improvement at all.\u00a0The rashes getting disappeared within a week when there is a gap of intercourse. After sex, I am developing rashes again and as there is a gap of one week, the rashes getting disappeared. This has started only one month back. No pain, no itching, the rashes look red.\u00a0I think it may be fungal or bacterial infection. What medicine shall I use?\u00a0When I used Candid dusting powder, the rashes are getting cured. Kindly suggest. Doctor: Hi. Revert back with clear pictures to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1010, + "tgt": "Could vomiting cause prominence of the vessels of sclera?", + "src": "Patient: Hi doctor, I am a 21 year old female. I was bulimic for about a year. It happens once or twice a week. I never noticed any permanent changes in my eyes throughout my episodes. However, the last time I ever binged and purged three months ago, I vomited violently. A few weeks after this, I noticed that the vessels in my sclera are indefinitely more prominent than before.\u00a0Did this happen because of the continuous pressure subjected to my eyes with vomiting? Or could it just be due to many hours of reading and laptop use? I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes. I am using Optive comfort solution. I would like to know if my bulimic phase could have caused the prominent vessels in my eyes, as this has not been mentioned anywhere else online. Doctor: Hello. I can understand your concern regarding your complaints. 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": 26842, + "tgt": "I am trying to conceive after stopping my birth control injections. Please guide me", + "src": "Patient: Hello doctor, I came off the Depo birth control injection about seven months ago. I have been trying to conceive, but nothing yet. I have prolonged periods, some lasting 38 days. For the past few months I have been using ovulation tests, but I never get a positive result.\u00a0I have an application on my phone where I key in the date of my period each month, and it tells me my most fertile days. I take ovulation tests every day, even more than once a day sometimes, and still nothing. I am so confused. At the moment, I am on a 22-day cycle. I\u00a0have been having a terrible breast pain, for the past week, which I never had previously. I feel totally sick and tired. I am experiencing mood swings as well. I am totally confused. I do not have any medical conditions except for fibromyalgia. Doctor: Hello. How are you doing? Hope I have been of help to you. Do write back. All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 5238, + "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": 27357, + "tgt": "I am suffering from severe allergy. Please help", + "src": "Patient: Hello doctor, I am suffering from severe allergy. I tried different medicines for this, but everything was useless. Please help. Doctor: Hi. Depending on the severity and type of allergic reaction, the treatment is given. So, for commenting more, I need more information. Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12695, + "tgt": "I am having bleeding for long time after tooth removal. Why?", + "src": "Patient: Hello doctor, I left the dentist at 3:45 after getting a big top right molar pulled. It is still bleeding at 6:30. Is that fine? Doctor: Hi. Yes, it is normal. Sometimes it takes 24 hours to get bleeding arrested. Just take a big pack of cotton, place it in the socket, and bite it very tightly. Keep it in this position for like 2 to 3 hours. Do not check in between. After it, remove and then have some icecreams or take a cube of ice, crush it and rub over the area or put on cotton and place cotton pack again after taking medicines, meal, etc., for next 3 to 4 hours. Do not spit saliva in between but swallow it as it will be blood free as blood will be absorbed in the cotton pack, will not be taken in. Talk less. Keep it cold and take soft diet for a day. Hopefully, bleeding will stop in a day. Do not use straw for juices, get it in the glass to drink, make your facial muscles rest as much as you can. And then after 24 hours start saline water mouth rinses five times a day for two weeks. It is mandatory." + }, + { + "id": 18601, + "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": 4458, + "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": 7497, + "tgt": "What should be done when TSH level is 4. 87 at 31st week of pregnancy?", + "src": "Patient: Hello doctor,My wife is at her 31st week of pregnancy, but now her TSH level is 4.87. She is continuing Thyrox 125. What to do? Doctor: Hello. I read your query, and from what you have mentioned, it appears that your wife needs to increase the dose of thyroxine to 150 mcg and repeat her thyroid function test after four weeks again. You must repeat her thyroid function test every four weeks during pregnancy. You did not mention what was her dose before getting pregnant? Was this test done while she was fasting? If not then do it again now while she is fasting. How long does she have hypothyroidism? Is she taking it on empty stomach first thing in the morning and avoiding eating breakfast for the next hour after medication. Secondly, is she taking any iron or calcium supplements together with the thyroid medication as it can interfere with the absorption of thyroid medication? The spacing of any iron or calcium supplements should be at least four hours away from thyroid medication. If she has any problem, she must follow in an emergency or her gynecologist as soon as possible to be on the safe side. I hope you find my advice beneficial." + }, + { + "id": 26086, + "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": 24140, + "tgt": "What neurological disorders could cause episodes of presyncope?", + "src": "Patient: Hello doctor, I keep having episodes of presyncope. I have been to the local ER four times and was admitted on the last time. During the course of those four visits, I had all my basic blood work done which came out normal. I had a CT scan without contrast that was normal. An ultrasound of my carotid arteries that was normal, we checked for historic hypotension and the test did not show anything abnormal, and I was cleared by a cardiologist. So, it is not cardiac related. I was released from the hospital saying everything looked fine and was told to follow up with a neurologist. My question is, from a neurological standpoint, what neurological things could be causing my pre-syncopal episodes? Again CT scan without contrast was normal and I had a basic neurological exam from a regular doctor that said everything was fine. What could it be? I do not believe I am having seizures. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to different possible causes: Coming to this point, I would recommend performing further tests to investigate the possible causes: Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5803, + "tgt": "My HbA1c is 7. 5. Should I continue my tablet for diabetes?", + "src": "Patient: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test.\u00a0Here is the result, fasting - 128 mg/dL, 1 hour\u00a0- 340 mg/dL,\u00a02 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication.\u00a0Now I would like to know should I take any tablet.\u00a0Here I have also attached my HbA1c report for your reference. Doctor: Hi. Revert back after a month to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 18095, + "tgt": "Is it safe to take Betnesol after 30 weeks of pregnancy?", + "src": "Patient: Hello doctor, I am a 34-year-old female and 33 weeks pregnant. I have been told by my gynecologist to take Betnesol cover about which I am not sure whether it is required or not. She says she will plan my delivery after completion of 37 weeks. Will the baby be fully developed by that time? Will the baby do fine after birth? I had a C-section last year. Please guide. Doctor: Hello. Betnesol (Betamethasone) is usually given if delivery is expected between 34 to 36 weeks. At 37th week completion, the baby is mature. It depends on the ultrasound if there is any growth retardation or any low fetal weight even at 37 weeks when Betnesol (Betamethasone) is sometimes given. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6358, + "tgt": "I am having nasal congestion and not getting relief from medicine or sprays. Why?", + "src": "Patient: Hello doctor, I have chronic nasal congestion for a longer period, roughly ten years. I got a blood test done before six years. Flagged for pteronyssinus *26.64kU/L* Class V and farinae Mite *18.76kU/L* and doctor prescribed Zyrtec. At first I will get mild relief and it will not last more than an hour. Since then I have tried other OTC allergy medicine as well as multiple nasal sprays that do not work. I continue to have running nose without any relief of blocked nose. Is there some type of relief I can get which I have not tried earlier? Doctor:" + }, + { + "id": 11112, + "tgt": "What can be done for sore swollen area behind the upper last tooth?", + "src": "Patient: Hello doctor, I have very sore area behind the last tooth on my upper right side of my mouth. It hurts terribly to chew and swallow because of the location of the soreness. I am 52 years old and never really had problems with my teeth. Also, the area does not look red or has any open sores, just swollen. It started about two days ago. Doctor: Hi. There are three possibilities about this soreness, either there is some problem with the tooth, may be it is fractured. Secondly, possibility is that you may have got trauma due to biting or food like fish sting stuck there. Third possibility is that due to trauma from biting you may have developed an ulcer. Now if your tooth is carious, fractured, then you may require antibiotics or it may require to be restored or extracted. If it is irritating mucosa around then we need to contour tooth to relieve area. Third, if there is ulcer then you may require the topical gel for one week. You can send photograph of the area if possible." + }, + { + "id": 7852, + "tgt": "Could Oxycodone affect brain and cause panic attacks?", + "src": "Patient: Hi doctor, I took Oxycodone and mixed it with alcohol two months ago. I did not drink a lot but ended up with the worst panic attack. I did not go to the hospital. A week later, everything was fine, but I had some stressful events in my life. Now, I am experiencing anxiety, and it is not controllable. A lot of overthinking and I am wondering if Oxycodone could be the one to blame. I have had anxiety way before, and it just went away. But, now it is occurring again. Could Oxycodone affect my brain terribly? I had a blood test a month ago, and everything was normal. Doctor: Hi. It is not due to Oxycodone because its plasma half-life is 4 to 5 hours. It is completely eliminated or metabolized by the body after 12 hours, so there is no question of the previous drug causing such anxiety episodes. I would suggest you consult a physician or to take Chlordiazepoxide 10 mg two times a day. Also, include 20 minutes of exercise in your schedule apart from the daily routine activity because the body gets acclimatized to that schedule. Because, that would cause secretion of endorphin, which is an antidepressant hormone. It is very common to have anxiety episodes these days, so do not worry. Take care." + }, + { + "id": 15991, + "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": 22121, + "tgt": "I am facing erectile dysfunction and early ejaculation. Kindly give instant solution", + "src": "Patient: Hello doctor, I am facing erectile dysfunction for the last three to four years and also early ejaculation. Presently, I am using medicines for BP - Tenormin 50 mg and also for depression - Aplog 2 mg, Pethidine 50 mg and Mirtaz 15 mg for the past 10 years. My problem of ED and EE is from past five years. For this, I have used Suhagra tablet 50 to 100 mg and some sprays and Tantex capsules but there is no use. I am facing an embarrassing situation. Kindly give me an instant solution to this problem. Doctor: Hello. If your blood pressure remains in the normal range then that is good otherwise this should be controlled. I hope your blood sugar levels are also normal. You should get HbA1c levels checked in order to rule out any altered levels over a period of time. You should also get serum testosterone and prolactin levels done to rule out any hormonal cause. Tadalafil can be tried to make erection strong. You can talk to your doctor about that. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29807, + "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": 14187, + "tgt": "My pimples are getting worse. What will I do?", + "src": "Patient: Hi doctor, I am 17 years old and suffering from pimples from last two weeks. It is increasing day by day. So what will I do? Please suggest some medicine. Thank you Doctor: Hi. It is essential that you drink 4 liters of water as constipation can cause pimples. Once a regular bowel moment is established, you could apply Oxidoben cream (combination of Adapalene and Benzoyl peroxide) at night over the pimples. It will dry them up and shed them away. Continue it for three weeks. Avoid unnecessary use of facewash as dry skin can also cause pimples. Wash face with plenty of water during the day. Also, I suggest capsule Azithromycin 500 mg once every day on Sunday, Monday and Tuesday for two weeks." + }, + { + "id": 7659, + "tgt": "Can vitamin B12 deficiency cause chest pain?", + "src": "Patient: Hello doctor, I am a 31 year old male. I have been diagnosed with a vitamin B12 deficiency and I am taking medicines from last month. I have a slight pain in the left side of my chest and also below my chest. My ECG is normal. Doctor: Hello. For more information contact a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 1324, + "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": 22764, + "tgt": "Is my shoulder pain a disc problem or nerve pain?", + "src": "Patient: Hello doctor, I am working as a design engineer. I work more than ten hours per day in front of the computer. Last two months ago I have pain in my right leg while walking and irritating buds while sitting on the right side. So I went to doctor. He took MRI and says I have disc bulge L4 L5 and it presses the nerve root. The doctor prescribed some anti-inflammation tablet and take physiotherapy for ten days and take rest some days. I finished my physiotherapy and I do exercise twice a day suggest by the physiotherapist. I take rest in bed for one month, but my pain not reduced. I consulted some ortho specialist they said bulge is very small only no need to worry. Now I have some shoulder pain and nerve pain in my right hand. While sleeping I feel numbness in my baby finger and ring finger from the wrist on both hands. I am confused now is it the only disc problem or something nerve problem? I have taken medication for erectile dysfunction for two months ago. The doctor prescribed one month medicine but I took two weeks only later I scared of my leg pain and I stopped medicine. Doctor: Hello. The numbness in your small finger is related to a pinched nerve in the elbow, probably related to a wrong position during sleeping. It is not related to the bulging disc in the lumbar vertebral column. I would just recommend performing a nerve conduction study if the numbness persists. In the meantime, I would recommend avoiding pressure on the elbow during sleeping or on the desk. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29439, + "tgt": "Is it normal to have the uvula towards left side after cleft palate operation?", + "src": "Patient: Hi doctor, Our baby is 2 years 3 months old. She had a soft cleft palate. The doctor operated her and closed the soft cleft palate. Now, we can see that her uvula is a little bit on the left side in the\u00a0mouth\u00a0and not at the\u00a0center. We are worried about this. She already went with this surgery in such a small age. Is it fine to have uvula towards\u00a0left side or will it cause any issue in future? Doctor: Hi. For further information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 24312, + "tgt": "Do you think my condition is vestibular migraine?", + "src": "Patient: Hello doctor, I talked to you a few weeks back regarding my condition. Unilateral vestibular hypofunction caused may be due to vestibular neuritis. I have attached the test results for your review. I also have mild cervical spondylosis but the pain is almost gone but there is some stiffness in the neck and occipital muscles. Do you think this is neuritis or Meniere's disease - not sure what the difference is - I have a constant sense of imbalance. The doctor suggested a Gabapentin medicine. Is this considered a vestibular suppressant and should I take it? What are vestibular migraines and do you think I have this situation? Doctor: Hello. Your unilateral vestibular imbalance could be because of some previous attack of vestibular neuritis which has left back its impressions. I am saying this because at present you do not have any fever, nausea, or vomiting nor any ringing sounds in your ear. Yours is just a vestibular imbalance added on with some cervical spondylitis issues. Your condition cannot be called Meniere's as your symptoms do not fit into it. Gabapentin is a kind of antiepileptic drug which can act on subtle unusual presentations of fits or sometimes even unusual migraine. The doctor must have prescribed it to rule out such situations by a trial course of medication. I suggest you try it for a week and look at the response. If your giddiness is not responding, stop using that drug. But my advice would be to avoid any drug. Keep doing your physiotherapy to your neck as well as vestibular rehabilitation exercises. Maintain good postures during work. Allow your body to compensate and adjust itself. Be patient and believe me they would definitely help. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12497, + "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": 18933, + "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": 26231, + "tgt": "My tongue and lip are numb nine hours after a tooth was removed. What to do?", + "src": "Patient: Hello doctor,I just removed one wisdom tooth on my right side. It has been nine hours and the half of my tongue, lip and teeth are numb. What should I do? Is this permanent? Doctor: Hello. I have been through your query. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 7745, + "tgt": "I get recurrent kidney stones with stomach pain. Kindly advise", + "src": "Patient: Hello doctor, I have many health problems. My gallbladder was removed two years back and now I feel pain in the left as well as right side of the stomach below ribs. I am also suffering from repeated kidney stones at the left side and also in my both arms, I feel some bulges sort of thing. Please suggest what test I need to do and which specialist I should consult. Doctor: Hello. You are suffering from vitamin D deficiency which may cause hypocalcemia and bone pain. Also, mainly present like ribs pain and back pain, spontaneous rib fractures. Other possibilities are like postcholecystectomy syndrome. Use tablet Pantoprazole before breakfast for one week. Use Capsule C Rise D3 60k once a week for six weeks. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 27759, + "tgt": "I discontinued my osteomyelitis medication. Should I restart it now?", + "src": "Patient: Hello doctor, I was diagnosed with osteomyelitis about eight weeks ago. I went to the hospital every day for exactly six weeks to receive antibiotics called Rocephin. After six weeks of infusions, I could not go anymore as I had no transportation, not even money for the bus. So, I called the doctor and asked to be put on oral medicines because I could not make the last four days. But, he asked me to continue the infusions again, even though I have not taken them for a week and a half. Will the antibiotics be effective? Is the infection not going to go away? Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 31063, + "tgt": "How to replace loose teeth with denture implants?", + "src": "Patient: Hi doctor, I have very bad teeth and all are loose. I want to take them all out and replace it with denture implants. What are my options? Please explain. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3480, + "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": 23906, + "tgt": "Why is there spotting and brown discharge with clots in a six weeks pregnant woman?", + "src": "Patient: Hi doctor, Now I am six weeks pregnant. I had two miscarriages before. I have some spotting and brown discharge with clots seen continuous from the fifth week to now. Two days before I went for scanning and a perfect heartbeat was seen, no subchorionic hemorrhage was there. But still, small spotting and clots were seen. What is the reason for this? And will it affect the fetus? Any birth defects? Or any problems? Please answer. Will it end with miscarriage? I have one other doubt, that whether trisomy or other chromosomal abnormalities of the fetus can be identified? How to identify? And which stage of pregnancy it can identify? Doctor: Hi. Please take Progesterone supplements and adequate rest. Avoid having sex and lifting heavy weights, or bumpy drives. If properly treated and taken good supplements, miscarriage will be prevented. Trisomy and chromosomal anomalies can be detected by 12 to 13 weeks and for the rest of the development details can be found on TIFFA scan (targetted imaging for fetal anomalies) around 20 weeks. 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": 15627, + "tgt": "Will ayurvedic medicines taken for GERD cause any complications?", + "src": "Patient: Hello doctor, Due to my lifestyle and obesity, I had been suffering from acidity and GERD from last 10 years and was having Pantacid, Sompraz-D regularly once in a day. Everything was normal other than acid reflux at times which was manageable. I had changed my lifestyle drastically with pure vegetarian, part meals, daily walk, etc. I reduced weight from 109 to 100 in five months. I have decided to get rid of the modern medicine which gives me only an temporary relief. I have consulted an Ayurvedic doctor and started having Vasaguluchayadi Kashayam, Amrithotharam, Acidact tablets and Trivridh Lehyam. Everything was fine as usual. After two weeks, I got a severe cough and cold, further to that my acidity went high to an unusual level with a severe ear and neck pain. And also my esophagic pain was more than ever. I had all my blood test and abdomen scans done but they were absolutely normal. Even my cholesterol levels have come in to control. When checked with my doctor, he says my condition is improving a lot. But I have a lot of deposits in my body which will be removed during the process. May be because of that I am having the pain. Can you please let me know if I have something to worry? Will symptoms usually aggravate in Ayurveda treatment? But I have a great value for Ayurveda. My only worry is, the problems now I am facing are actually life threatening. I did not ever have ear and neck pain when I was having allopathy medicine. Doctor: Hello. I just read your query. See all the medicines you are taking are good for your problem. The ear pain and neck pain due to a cough and cold can be due to generalized infection of upper respiratory tract infection or any other cause. See as your all investigations are normal. It can only be an assumption if there is no clear cause. As long as these ayurvedic medicines are concerned, you can take them under the supervision of your Ayurvedic physician. because these generally do not cause any trouble to the patient." + }, + { + "id": 8475, + "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": 25224, + "tgt": "How can I make my little child eat well?", + "src": "Patient: Hello doctor,My 2-year-old boy does not eat food and does not drink milk. I am very worried. Can you kindly suggest me right treatment to solve this problem? Doctor: Hello. Kids disliking food or milk is a very strange state. This usually it happens due to faulty weaning practices. I suggest the following: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12078, + "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": 12228, + "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": 1913, + "tgt": "I get excruciating pain in prostate after ejaculation. Please help", + "src": "Patient: Hi doctor, This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate, or just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in my prostate. It is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. I am just turning 20. I am very active and healthy, so something like this has harmed me physically and psychologically. Please help. Doctor: Hello. You need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychological causes with the partner. (I do not think you fall under later categories). Please answer some of my queries. Do you have intercourse before? Any relationship issues? Do you have hematospermia (blood in semen) anytime? Any surgeries in childhood? Any testicular swelling or UTI (urinary tract infection) in the past? Any foul-smelling discharge from urethra? Any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you a diabetic? Though I still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis." + }, + { + "id": 3604, + "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": 9623, + "tgt": "My report says left adrenal mass involving lower limb 11 mm in size. What does it indicate?", + "src": "Patient: Hello doctor, Left adrenal mass involving lower medial limb 11 mm in size. What does it mean? Doctor: Hello. It means that there is an abnormal mass in the adrenal gland. The adrenal gland is an essential organ which is located over the top of both kidneys. Mass in the adrenal gland is an abnormal condition and requires further investigations to make a definitive diagnosis. It could be adrenal adenoma, pheochromocytoma, adrenal carcinoma, could be a metastatic lesson from cancer elsewhere in the body. Less commonly, it could be a lipoma or tuberculosis. Mass in the adrenal gland is abnormal. I suggest you visit your doctor as soon as possible for further evaluation. I hope this information helps." + }, + { + "id": 24612, + "tgt": "What could be the reason for abdominal pain and fever in my baby?", + "src": "Patient: Hello doctor, My baby is 33 months old and is having pain in the abdomen and fever of 102 degrees for the past three days. My baby gets viral fever every month or once in two months. What could be the reason? Doctor: Hello. The most common reason for repeated infections is low immunity. This is because of incomplete nutrition in food. Please make sure that the meals you give him are proportional to proteins, carbohydrates, and vitamins. The second most common cause is cleanliness not well maintained. We may think and feel that we wash their hands and mouth and keep them clean but sometimes we miss by which these infections make way into their body. So please pay attention to the nutrition. Please feel free to contact if any queries. For more information consult a pediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12498, + "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": 16251, + "tgt": "Why am I having tender breasts and breathlessness after unprotected sex?", + "src": "Patient: Hi doctor, I am 25 years old. I had unprotected intercourse with my fiance 20 days back. He withdrew before ejaculation, still, I took Unwanted 72 after three hours to prevent pregnancy meanwhile. Next day, I got a vaginal fungal infection for which I took Candid V6 for six days (symptoms are relieved now, still I get ocassional vaginal itching). Now after nine days, my breasts feel tender and areola portion is little swollen. I feel a little bit fatigued and breathless also. What can be this due to? Is this PMS? Are there any chances of pregnancy? Can antifungal tablet reduce the efficacy of the pill? What can be done meanwhile? I do not want to get pregnant at this time as we are not ready yet. Doctor: Hi. As your cycle length is 27 days, and you had unprotected intercourse on day 8 or 9 of your cycle and that was the most fertile period of your cycle. So, do not worry, wait till your next periods. If they occur in time, then no pregnancy but in your case, the chances of pregnancy are more. If pregnancy occurs, then after an ultasound, if it is in the uterus, then medicines are there for an abortion." + }, + { + "id": 2644, + "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": 410, + "tgt": "Why am I having body pain and muscle weakness after delivery?", + "src": "Patient: Hello doctor, Pain started in my back after 2 months of delivery but now it is all over the body majorly at right side. Currently, having depression medication for the past six months and my doctor adviced me to consult a neurologist as physical pain and muscle weakness is not going away. Doctor: Hello. I read carefully your question and reviewed your X-ray report. Your X-ray shows a normal vertebral column, just muscle spasm (attachment removed to protect patient identity). Coming to this point, I would recommend performing regular physical activity to help reinforce your back muscles and help relieve the muscle spasm. I would also recommend taking a muscle relaxant (Flexeril) to help reduce the muscle spasm. If this does not help, I would suggest considering also fibromyalgia as a possible cause underlying the muscle pain. It is also necessary checking vitamin D plasma levels and magnesium plasma levels for possible deficiency. Another treatment option to consider would be Gabapentine or Doluxetine." + }, + { + "id": 31021, + "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": 25605, + "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": 11785, + "tgt": "I have severe toothache with swelling. What is the management option?", + "src": "Patient: Hello doctor, I have a toothache, and my mouth is swollen which I can feel it in my face. When I press my mouth, I noticed little pus coming out. Kindly help. Doctor: Hello. It is a case of acute alveolar abscess from a tooth infection. Let me check your attachments (attachment removed to protect patient identity), and I will advise and initiate treatment protocol accordingly. I checked your attachments. Your teeth are carious and grossly decayed, and due to that, you have developed an infection which resulted in swelling in the gum region and adjacent areas. Right now you take antibiotics Amoxycillin 500 mg three times eight hourly for five days and tablet of Paracetamol 500 mg, Acelofenac 100 mg Serrapeptase 15 mg or Zerodol SP (Aceclofenac, Serratiopeptidase, Paracetamol) twice daily for five days. You also add Pantoprazole 40 mg once daily for seven days. You also maintain good oral hygiene and try salt gargles three times but only if you are not hypertensive. However, the final solution lies with the extraction or removal of these teeth." + }, + { + "id": 18923, + "tgt": "How to grow dense beard?", + "src": "Patient: Hi doctor, I am 26 years old, but do not have facial hair growth yet. I only get mustache but no beard. Please give me a solution. How to grow a good dense beard? I do get but some uneven growth. Thank you. Doctor: Hi. Welcome to icliniq.com. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 899, + "tgt": "I have infection with pus and redness in the genital area with positive HSV 1. Please help", + "src": "Patient: Hello doctor, I am a 35-year-old male. No episodes of herps except chickenpox in childhood. No Infection of HIV, clinically tested every six months for the last seven years. My partner and I both are not having HIV (clinically tested). I had a bacterial or fungal infection with pus and redness in the genital area. So I have done the blood test. HIV is negative. HSV-1 IgG 4.5 positive. HSV-1 IgM 0.29 negative. HSV-2 IgG 0.45 negative. HSV-2 IgM 0.69 negative. As HSV-1 is mostly non-genital infection. I did not have any episodes of HSV-1 type herps in my life. I never had HSV-1 type herpes anywhere in the body. I am straight and have a relationship only with my spouse. How can blood show HSV-1 IgG positive without any symptoms? Dermatologist says it is due to past infection and not about present infection. Doctor told I should take antiviral dose Acyclovir for 20 days for HSV-1 IgG past infection. Is it useful to take antiviral dose for the past HSV-1 type infection? Will it reduces IgG level in the blood? Is HSV-1 IgG is false positive? Doctor: Hi. First understand the situation, IgM indicates recent infection and IgG indicate chronic infection. Since you have both the IgM negative, it means that there is no recent infection. Secondly, about 70- 80% of US population is HSV-1 (herpes simplex virus) positive, it means they are infected once in a life time and antibodies will remain for throughout life. But it does not mean that 80% of US population should start taking Acyclovir. There are no guidelines for taking Acyclovir until you are symptomatic. So do not think too much about this figure. If you had any other problems, you can revert back to me." + }, + { + "id": 23847, + "tgt": "Does my symptoms point towards autoimmune disease?", + "src": "Patient: Hello doctor,Based on the following, do I have an autoimmune disease:An overall feeling of sickness.Irregular heartbeat sometimes.Swollen and painful joints.Swollen legs, ankles, fingers, and toes.Headaches sometimes.Shortness of breath.Psoriasis arthritis.Visual problems, burning, itching, very dry, red eyes, and light sensitive.Feeling lightheaded.Behavior and mood changes, irritability.Chronic Dry mouth.Sinusitis.Unexplained weight loss.Night Sweats.The test findings are as follows:14 mm left kidney stone found four months back (removed via urethroplasty) and 2 mm stone in right kidney.11.5 mm left kidney stone found 20 days back.4 cm gallstone calcified 4.0 x 3.1 x 3.0 found four months back.8 mm calcified benign granuloma spleen and small hiatal hernia in CT scan four years back.Interosseous hemangioma in T11 vertebral CT scan 20 days back.C-reaction 2.56 this month.Vitamin B12 268 and erythrocyte sedimentation 26 this month. Doctor: Hello. I went through your post. Things which favor the diagnosis of autoimmune disease in your case are as follows: You need to be investigated for UCTD (undifferentiated connective tissue disease), RA (rheumatoid arthritis), Sjogren's syndrome. The tests you need to do are ANA (anti-nuclear antibody), dsDNA (double-stranded DNA), CBC (complete blood count), anti-Ro/La (for lupus erythematosus), RF (rheumatoid factor), anti-CCP (cyclic citrullinated peptide), urine examination. Once reports are available will help in confirming the diagnosis. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 78, + "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": 3634, + "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": 12484, + "tgt": "Can I terminate my pregnancy if result comes positive for Down's syndrome?", + "src": "Patient: Hi doctor, I am in my late 6th month pregnancy. Recently I went for a scan named targeted imaging for fetal anomalies (TIFFA). All the reports were normal except hypoplastic nasal bone and higher normal values of amniotic fluid. I am approaching you for second consultation now. My questions are, what if we go for genetic amniocentesis and results were positive for Down's syndrome? Can I terminate the pregnancy in my 28th week of pregnancy? How much safe it is to go for amniocentesis test? Is there any alternate test to get better results? I decided not to have a baby who is mentally retarded. Please suggest me your valuable advice. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. We can better comment on the outcome after getting the results of the amniocentesis. Even if Down's syndrome, people usually go for keeping the fetus alive and they go for completion of pregnancy to the full term. 2. You may terminate anytime depending on where you opt in for this termination. I mean you need to have expert hands for that. 3. Amniocentesis is very widely done test all over the world and as for every diagnostic invasive procedure it has its own safety profile. 4. Risk of complications is always there as it is associated with invasive procedure. Again I want to add that if you opt in for the expert hands and a seasoned professional obstetricians and gynecologists and interventional radiologist then there is no to low risk for the baby and the mother. 5. Amniocentesis and karyotyping to rule out for genetic disorders that involve chromosomal anomalies is the best test universally. No other choice, as this is what we need to know next and this is the specific test available which may guide us about that. 6. It is your right to decide and it is solely you who can decide about your body as to what is better for you. Physician can only guide you about the procedures and the final decision is solely your own as to what should be done." + }, + { + "id": 23221, + "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": 26030, + "tgt": "Why do my eyes feel tired and dry?", + "src": "Patient: Hello doctor, I am a 25-year-old female. I was submitted to myopia correction surgery (LASEK) some eight months ago. The surgery was successful and the ophthalmologist said my vision was at 100%. Before that, I had used glasses since I was 12 for myopia and astigmatism. My myopia kept evolving and I had to wait until it was stable enough to perform the surgery. I am not sure if this is relevant but both my parents wear glasses for myopia and now for presbyopia as well since they are in their 50s but my 16-year-old younger brother does not wear glasses. However, for my new job, I spend eight hours a day in front of a computer plus it has a lot of white bright lighting. Sometimes at the end of the day, my eyes feel tired and dry. I even put lubricant drops throughout the day but still, they get dry. I am afraid that because of that my myopia will come back. So, I thought I could use reading glasses while I am on the computer to help prevent it and filter the blue light from the screen. Do you think that is beneficial or it would be a waste of money? Is there any evidence that reading glasses help prevent reoccurrence of myopia? Of note, in the past I have been on Sertraline 50 mg one pill a day, Alprazolam 0.25 mg one pill a day, Sodic Levothyroxine 125 mcg one pill a day, and an oral contraceptive. Doctor: Hello. There are three reasons for your dry eyes. You make sure of the following: The display of your screen should have a good resolution. For example, a retina display and the height of the screen should be just below the eye level. Every 20 minutes move your eye from the screen 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. Make a rule that whenever you click on a mouse you need to blink. Take a break every 45 minutes for five minutes. Use your lubricant four to six times a day and whenever your eyes feel tired. The light in your room should come from behind your head and not in front of you. As long as the reading glasses are concerned, use at work if you have a refractive error. The above steps will definitely give you relief. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6626, + "tgt": "I have a corn in my foot. Can corn cap remove that?", + "src": "Patient: Hi doctor,I have a corn in my right foot for the last 15 days. Initially, I applied antibiotic ointment and taken some antibiotics ointment. And, now I have applied corn cap. I want to know whether my treatment in going in the right direction. Can corn caps alone take care of corn? I have applied corn caps two days ago. I have attached the pictures here for your\u00a0reference. The white color bump is after application of corn cap and the red one when I was applying antibiotic ointment. It is causing unbearable pain. What shall I do? Doctor: Hi. I have read your concern and examined your pictures (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4925, + "tgt": "How to increase breast size?", + "src": "Patient: Hi doctor, I want to increase my breast size without going for an implantation. Please recommend a safe and effective medicine for my problem. 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": 14076, + "tgt": "I have unwanted hair on my upper lips and chin. What causes this?", + "src": "Patient: Hello doctor, I am a 23 year old girl. I have unwanted hair on my upper lips and chin. My breast size is also small. Is there any medicine which will help in getting rid of these problems? Doctor: Hello. Answers to all the above questions shall help me guide you much better." + }, + { + "id": 1618, + "tgt": "I have itchy and swollen testicles. Please help", + "src": "Patient: Hello doctor, My testicles are very swollen and itchy. Please help. Doctor: Hello. Please do mention whether it is painful or not? If possible you can attach a photograph of the swelling? As of now, you can try a topical antifungal that may be available online or over the counter in the US (Terbinafine ointment). Apply it over the itching in the morning after shower and before going to bed. If possible get a testicular ultrasound done and do post to me. Fungus. USG scrotum. Keep the area dry." + }, + { + "id": 17523, + "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": 14801, + "tgt": "Are there any liver supplements I can take while on Risperdal and Depakote?", + "src": "Patient: Hello doctor, Are there any liver supplements that I can take while on Risperdal and Depakote? Doctor: Hi. The side effects of Depakote (Sodium valproate) on the liver are quite common and well known. It does cause an increase in liver enzymes level and symptoms like weakness, lethargy, jaundice (yellowing of skin and sclera), loss of appetite - all due to its effect on the liver. But, there is no role of any liver supplements to prevent Depakote-induced liver dysfunction. What you can do is get liver function tests (LFT) done regularly and check for an increase in liver enzymes. Only if the value is at least three times the normal, the medication can be stopped. For a detailed reply, kindly give more details regarding your illness as well as the current medications. Consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19270, + "tgt": "Can infection on penis cause severe itching?", + "src": "Patient: Hi doctor, I am suffering from an infection on my penis. I am using Clotrimazole cream over the infection. Once I miss applying cream a day, the penis gets infected with red patches, pus-filled boils and there is severe itching. My partner is not affected by any problem though we are sexually active. I am not diabetic when I saw my blood test. Kindly help me to cure it. I am frustrated with my problem. Kindly give me medical advice. Doctor: Hi. Please send photos of the affected area before applying Clotrimazole cream. After seeing your images, I can give my comment about your problem. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2858, + "tgt": "My mom has a black spot in her eye with drooping eyelids. What could it be?", + "src": "Patient: Hi doctor, My mother is 63 years old. Her weight is 60 kg and her height is 5'2''. For the last two-three days, she was getting an eye burn. Yesterday, she felt like a sand particle inside her left eye. Also, dropping of the eyelid. So today we started putting some over the counter eye drop. While putting drop we noticed a black mark inside the white of her eye. Is it a matter of concern? Doctor: Hi Welcome to icliniq.com. I have seen the picture. (attachment removed to protect patient identity). This appears to be a mole. By seeing her eyelids it appears a bit swollen so can be a mild infection. Start Moxifloxacin eye drop six times a day for seven days, Refresh tears eye drop six times a day for seven days, FML-T (Tobramycin, Fluromethalone acetate) eye drop three times a day for seven days. Take tablet Cefixime 200 mg twice daily for three days (kindly rule out any allergies beforehand), Occupol eye ointment (Chloramphenicol and Polymyxin-C sulfate) at bedtime." + }, + { + "id": 22547, + "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": 11175, + "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": 11819, + "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": 16452, + "tgt": "I have boils in private area after shaving. Please help", + "src": "Patient: Hi doctor, I shaved my lower region and then I had sex. Now I have boils around my private area. It is very painful. Please help. Doctor: Hi. Please send me your detailed obstetrics and gynecology history, your medical history, and drug history. Please say about the material used such as hair removal cream or razor to remove the hairs. Sometimes removal of hairs after a long time gets sensitive to hair removal creams. Sometimes an old dormant infection can get active. Do a vaginal swab and follow the laboratory results. It can also occur due to irritation or reaction to hair removal creams. These symptoms can reduce gradually after some time. Have sitz bath to get relief from pain. Take tablet Ponstan 500 mg (Mefenamic acid). After taking a sitz bath, try to have some time without undergarments at home. Have a soft, comfortable undergarment. Use water to clean and use olive oil as a moisturizer. Have Doxycycline 100 mg twice daily and take tablet Metronidazole for every eight hours for seven days. Collect the swab and discuss the results with your gynecologist to have a specific treatment." + }, + { + "id": 2302, + "tgt": "I did not get periods for two months, and pregnancy test was negative. What else can it be?", + "src": "Patient: I am 18, and I am sexually active and had sex twice last month, both using a condom but I\u2019m not on birth control. I did not get periods in these last two months. I have frequent late period by a few days but they always come. So I took a pregnancy test a week ago and it came out negative. I have no idea if I\u2019m actually pregnant or how I could tell that something else is wrong. Doctor: Hi, Don\u2019t worry,I am there to help. I need to know about the date on which you got last periods.Also please give me certain details- -Are you having weight gain? -Is there excessive facial or body hair? -How much delayed are your periods? -Any dark pigmentation around neck or armpits? Since your pregnancy test is negative-you may not have conceived. It\u2019s probable that you are developing PCOS too. During lockdown period the physical activity of most of us is a bit restricted and also there looms a lot of stress regarding Covid 19 These are factors that may lead to hormonal imbalance and hence delayed cycles. It\u2019s important to engage is some exercises that can be done at home and it\u2019s advisable to eat green vegetables and fruits and drink milk regularly. Meditation ,diet and exercise forms the primary regime to avoid irregular cycles.Its better to avoid excessive cheese ,fat,butter ,ice cream and fast and junk food. Hope this helps Please follow up with above details." + }, + { + "id": 7669, + "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": 4734, + "tgt": "Is it possible to get natural conception at the age of 45 years?", + "src": "Patient: Hello doctor, I am 45 years now and still not blessed with a child due to late marriage. This is my third year after marriage. I get my periods regularly but this month I got my period as usual on the correct date. And after one week, again I got my period with lot of clots. Is this sign of menopause? Or all the cysts are coming out? Please advise how to become a mother in my case. Doctor: Hello doctor, Welcome to Icliniq.com. Age is an important factor in getting conception of an embryo. The best healthy ovum are usually released during the early years of life. Thus, during a late age, we might have an unhealthy ovum. So, if you are trying to conceive, you approach a gynecologist to check the status of your uterus, endometrium, ovary, ovum and hormonal levels. If there is something wrong, we can specifically give the treatments. Mostly, in this age, menopause is possible. Other things such as fibroid uterus should be ruled out through an ultrasonogram. If menopausal attained, then the estrogen, progesterone level in the blood will be in the lower level. I suggest you go for a lab investigation to rule out the cause. In allopathy system, you may try for in-vitro fertilization techniques for conceiving. In Ayurveda, take tablet Aloes compounds two in the morning, two in the afternoon and two in the evening after food. Continue this tablet for three months. If you do not have fibroid uterus and menopause, you will get conceived. If a fibroid is there, we can treat with other drugs or do surgery to remove the fibroid. If menopause attained, then no hope for natural conception. Invitro fertilization may be helpful. Simultaneously, the semen analysis to your husband to be done. If a couple gets their kid at the age of 47, by the time they reach 70 years, their child enters college. This is how late marriages affects the care of the next generation." + }, + { + "id": 6923, + "tgt": "I am under SNRI for stress and experiencing low sex drive. What to do?", + "src": "Patient: Hello doctor,I have a current issue that I cannot find a solution for the last five years. I suffered from anxiety a debilitating one, and after trying many SSRI, nothing worked except Effexor SNRI, which reduced the stress. Now the problem is that I have no libido and sex drive and all the associated issues. The psychiatrists in my place that I see insist that it is not from the medicine and it is from me. And this thing is annoying, so what can I do to solve this problem also Wellbutrin is not sold in my place. Doctor: Hello. You may be aware that SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) like Effexor are good at managing anxiety, but it can cause sexual side effects in some people. As your local psychiatrists said, it is also typical for the low libido to be related to anxiety and depressed mood as well. Was your libido normal before you went on Effexor? If lowering of libido is directly related to commencing Effexor, one option is to try a lower dose and see whether anxiety is controlled and libido improves. Another option will be to switch to mirtazapine which has a lower tendency to cause sexual side effects. I will recommend discussing with your psychiatrist, as you will need to be monitored while making any medication changes. Also, have had CBT for anxiety? It will help you in managing stress when medication is eventually tapered off." + }, + { + "id": 28853, + "tgt": "Is it fine to take Yohimbine in the morning?", + "src": "Patient: Hi doctor, I am a 31 year old male. I am taking one Yohimbine capsule daily in the morning. Is it dangerous to use? Should I take it along with Cialis or any other supplement? 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": 24057, + "tgt": "Why do I have tightness and rubbing feeling down the outside of my thigh?", + "src": "Patient: Hi doctor, I am a runner and was training for a marathon till about three weeks ago noticed tightness and rubbing feeling down the outside of my thigh. I had a sports massage and they said it was my IT band. I felt better after the massage and have managed a few 3 to 4 miles run since then which feel fine when I am running but when I am not, it still feels uncomfortable behind my knee like a tight rubbing feeling if I bend it. Really frustrated. What can it be? Have been doing ITB stretches on it for the past week now but still does not feel like it is getting any better. I had a problem with IT band about five years ago. Doctor: Hi. The problem you are having is IT (iliotibial) band tightness. Stretching would help a lot but it does not help everyone. You may start strengthening your core muscles and also the hip joint muscles. Work more on the quadriceps medialis muscles that is the inner thigh muscles. Have your gait analyzed by a physiotherapist. If it brings out any strength deficiencies, then the weak muscles can be strengthened restoring normalcy in the system. Sometimes the problem in the ankle may also predispose you to IT band tightness. If you need any further clarifications you may contact me. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 10263, + "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": 15416, + "tgt": "How can I get rid of social phobia and performance anxiety?", + "src": "Patient: Hi doctor, I am 17 years old female. I have persistent depression and social anxiety disorder. I have not ever taken medication for this issue. My social anxiety usually springs me into full-blown panic attacks like shaking, feeling unsteady, trouble catching breathes, extreme twitchiness and my throat close up. I wanted to go for an audition for a singing competition, but I have social anxiety, and it is a severe debilitating symptom. I have been wondering if there is any medicine to take as a temporary sedate as it is enough for me to perform, and to stop taking them when it is not needed. Doctor: Hi. Your symptoms are suggestive of social phobia and performance anxiety. Do not worry as there are lots of good medicines which will help you to perform without anxiety. Medicines like Beta blockers like Propranolol will help to reduce your anxiety symptoms. You can also attend few psychotherapy sessions to learn relaxation therapies with exposure and response prevention techniques. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23557, + "tgt": "I experience episodes of anxiety every three years or so. Is it due to my medicines?", + "src": "Patient: Hello doctor,About every three years or so, I experience what I call an 'episode' where anxiety comes over me very quickly and I focus and worry about an issue that normally would not bother me. It takes over my mind so that it is all I can think about for weeks. This leads to instant insomnia and loss of appetite. I have been diagnosed with OCD. I describe this as an 'OCD of my thoughts', not physical actions like checking locks, straightening up, etc. I have been taking Zoloft (Sertraline) for the past 19 years. Most of these 19 years, I have been taking 100 mg. This drug has worked well for me with little side effects. Two years ago I reduced it to 50 mg. Then, recently I stopped taking it completely. This lasted for about seven weeks and then I had a change at work which caused anxiety to hit me like a ton of bricks. So, I started taking 100 mg for four days and then increased to 150 mg quickly. I have been taking this along with Xanax for the past five weeks. The difference between this episode and the past episodes is that I constantly feel an increased heart rate and shakiness for no real reason. I cannot relax and go about my day normally. And I feel the need to take Xanax every day. I have read that taking Zoloft can actually cause anxiety. My doctor says that anxiety from medication feels different from anxiety caused by an actual situation. He also is alright with me increasing my dosage to 200 mg, but I am fearful that it will cause more anxiety. I am wondering if I actually need to reduce my dosage to 100 mg. Please reply back with facts, and not information that may make me worry more. Thank you. Doctor: Hello, Welcome to ciliniq.com. I can understand you well. But, I ask you not to worry as many of my patients who went through anxiety disorder have recovered completely thanks to psychotherapy. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing of the heart and shakiness. There are a number of anxiety disorders including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Obsessive-compulsive disorder (OCD) is a common mental health problem. Symptoms typically include recurring thoughts and repetitive actions in response to the recurring thoughts. A common example is recurring thoughts about germs and dirt, with a need to wash your hands repeatedly to clean off the germs. However, there are many other examples like sexual thoughts, counting, checking, orderliness, etc. The usual treatments are cognitive behavioral therapy (CBT), a selective serotonin reuptake inhibitor (SSRI) antidepressant medicine, or both. Treatment often works well to reduce the symptoms and distress of OCD greatly. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 29040, + "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": 11067, + "tgt": "I have painful rashes on thigh that spreads? Is it shingles?", + "src": "Patient: Hi doctor, I have got very painful rashes on my left thigh which seems to be going up to my spinal cord.\u00a0Is it shingles? I do not know but I want a good diagnosis soon. Please help. Doctor: Hello. Yes, this does look like shingles. Please visit a dermatologist on an urgent basis and start on antiviral like Acyclovir or Valacyclovir as soon as possible. Other possible causes for sudden occurrence of such lesions can be irritant contact dermatitis that you can rule out by thinking if you have come in contact with any chemicals or insects on these areas." + }, + { + "id": 29017, + "tgt": "Can a person with high CPK donate blood?", + "src": "Patient: Hi doctor, Can a person with persistent high creatine phosphokinase (CPK) count of 13000 - 17000 IU/L donate blood? Does blood with high CPK count useful for blood transfusion? Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9413, + "tgt": "My skin around the nails turned brown. Why?", + "src": "Patient: Hi doctor,I bite the skin around my nails, and now I noticed that the skin is turning brownish. I have tried washing it, but no result. Should I be concerned? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30846, + "tgt": "I am suffering from itchy red blisters all around my body. What are they?", + "src": "Patient: Hi doctor, I am an 18 year old male. I am suffering from some red blisters all around my body, which are very itchy. This also spreads in my groin area and in the penile shaft. It is very itchy. Please help me. Doctor: Hi. Is the itching predominantly occurs at night? Is there any other member of your family affected? Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4823, + "tgt": "What are the ways to conceive with PCOD and thyroid issues?", + "src": "Patient: Hi doctor, I am 24 years old having PCOD and thyroid from past 3 years, as well as my weight has increased to 65 kg from 50 kg within these three years, my height is 4.9 ft. I am suffering alot to reduce my weight and it is not happening .Now I am planning to conceive, please suggest me medication to reduce my weight as well as to conceive. Doctor: Hi. Thyroid and PCOD both affect fertility so need precautions, investigations on regular basis if needed, treatment and dose adjustments accordingly. Thyroid abnormalities can affect fertility, periods flow regularity, can cause miscarriages, increases risks of congenital anomalies in fetus, etc. So have regular consultations and check of thyroid levels so can have dose adjustments. Polycystic ovaries can disturb periods scanty / irregular, can give abnormal hair growth, sudden weight gain, disturb insulin levels that increases risks of having diabetes as well as disturb metabolism. Main factor that will help is weight reduction or balanced weight and BMI by daily exercise, yoga and walk, can take help of instructor. Have balanced diet with less sugar, oil, spice and salt, can adjust with dietician to guide for balanced diet . Have Folic acid daily and sex in fertile period of cycle. You can have tablet Glucophage 500 mg twice daliy after food and if feels low sugar levels then better start with lesser dose. To regulate periods for 2 cycles in addition to weight reduction, Folic acid and Glucophage can be taken with combined oral Contraceptive pills to regulate cycles. Husband's general health also needs attention, should quit smoking or any other recreational drug. After 2 months start sex in fertile period of cycle. Have complete treatment for any health issue you or partner have. Send me recent transvaginal scan and blood tests on day 2 of periods (testosterone, progesterone, insulin, prolactin, FSH and LH, thyroid function test). If conceived, continue Glucophage in whole first trimester and then discuss here or with treating doctor." + }, + { + "id": 26457, + "tgt": "An untreated abscessed tooth has started draining from outside the mouth. What to do?", + "src": "Patient: Hello doctor,My partner had an abscessed tooth a while back that went untreated due to no insurance and not having the money for an office visit. The infection has somehow traveled to the outside of his mouth and has to be drained from the exterior on his jawline. No matter how many times it is drained, it comes back. What does he need to do? Doctor: Hello. I have gone through your query and understand what exactly is the situation. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 27430, + "tgt": "Is 'eating just bananas for breakfast' a good way to lose weight?", + "src": "Patient: Hello docotor,I eat only two bananas for breakfast. Is it recommended to do so or does it cause stomach pain, gastritis, gas and bloating? Doctor: Hello. If you need more help, feel free to consult me. For more information consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 12326, + "tgt": "Is there any treatment other than hormonal pills for perimenopause symptoms?", + "src": "Patient: Hello doctor, I am a 46-year-old female who is dealing with perimenopause symptoms. My Ob-gyn has recommended taking low dose of birth control pills to relieve my symptoms. However, I am at a higher risk for breast cancer because my late mother (who died in an auto accident) was a breast cancer survivor and am not crazy about a course of treatment will fiddle with my hormones. Are there any treatments that do not involve hormones? Doctor: Hello. That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Secondly, yes other options (SSRI, SNRI, Clonidine, Primrose oil, Black cohosh, Red clover, etc.) are available for menopausal symptoms. But the choice of the treatment option depends on your symptoms. Many over-the-counter drugs like evening Primrose oil, etc., are available which are helpful to many women in relieving their symptoms. Another way is the choice of route of administration of hormones like pills, skin patches, vaginal rings, etc. These again depend on your symptoms and your overall medical fitness. Hope this information has given you a brief idea regarding options for your query." + }, + { + "id": 2527, + "tgt": "How to come out of my ego problem at office?", + "src": "Patient: Hi doctor, I am 30 years old. After completion of school and I did not join college for eight years. Then I joined a diploma course. My father consulted many psychiatrists to find out my problem. Unfortunately, I was admitted by one doctor in nursing home for around three months for treatment. I hate both the doctor and my father for punishing me by placing in this nasty place. My only fault is I do not like printed education and not sociable with people. I like loneliness and withdrawal from society. I love my desktop computer and spent time there. Now, I\u00a0am giving good interviews on different company and getting jobs in many places, but cannot serve longer period. I am working there only for a short period. I cannot stay in the service. At present, another psychiatrist prescribed Oxetol XR 300 and Nexito plus one per day. I cannot understand my problem. Kindly help me to continue my job. Doctor: Hi. After reading the history I can say that your main current issue is difficulty in continuing a job for long. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29394, + "tgt": "I have swelling and numbness after mandible surgery. How long will it take to subside?", + "src": "Patient: Hi doctor, I was having a bilateral fracture of mandible at angles on both sides and have done the surgery. After six weeks, there is slight swelling on one side and also numbness in the\u00a0lower lip and a small portion of skin below the lower lip. How much time will it take to subside the swelling and numbness completely? Doctor: Hi. For further information consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 22970, + "tgt": "I took five I-pills within two months. Does it affect my fertility?", + "src": "Patient: Hi doctor, I am 18 years old and I took five I-pills within two months and I am not getting periods. The last I-pill I took was before two days. Will it affect me in future while having a baby? Does it affect my fertility? Please answer me as soon as possible. Doctor: Hi. While I-pill is a good emergency contraceptive, it is an emergency contraceptive. Taking five in two months is way too much. Please stick to routine contraceptives like pills and condoms and use I-pill sparingly. Now having five I-pills in two months will not have any long-term effect. It will not make you infertile. But it will lead to menstrual irregularities which might last for 3 to 4 months. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5403, + "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": 18879, + "tgt": "How long can I expect the shoulder pain to last after rotator cuff repair?", + "src": "Patient: Hello doctor, I had arthroscopy surgery of my right shoulder approximately five weeks ago. The surgeon repaired a rotator cuff tear, labrum tear, released one bicep tendon and did not reattach it, and subacromial decompression. The pain is still intense, and I am taking Oxycodone. I just started passive range of motion physiotherapy. How long can I expect the shoulder pain to last? It is far more than I thought, and for much longer than I anticipated. Doctor: Hi. 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": 27209, + "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": 27975, + "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": 3239, + "tgt": "Kindly suggest a diet chart for my 6 months old daughter", + "src": "Patient: Hi doctor, My daughter is 6 months plus now. She has started with solid foods but because of being new mother I am mainly rely on books for her nutrition or diet.\u00a0However I am looking for expert advice so that I can give her the best chart.\u00a0Below I have explained her current routine. I am a working mother and currently on maternity leave. So, in the morning after waking up I feed her breastmilk.\u00a0Thereafter during 9-10 AM she takes mosambi or pomegranate juice.\u00a0In the afternoon between 12 to 2 PM she takes water of moong dal or water or rice plus moong dal.\u00a0Between 4 to 6 PM she takes extracted water of boiled apple. In case she is awake I feed her breastmilk in the evening. If she is more hungry I give her moong dal water.\u00a0Please suggest a\u00a0good diet chart for her. When should I take her next updated diet chart? Her pediatrician\u00a0advised not to give any external milk or formula. Can I give her cerelac instead once I start going office?\u00a0Apart from all these I give her boiled water to drink sometimes and one day I gave her coconut water. She liked coconut water a lot and drank a lot but normal boiled water she takes very little.\u00a0Kindly provide a good diet chart for my daughter.\u00a0Also her baby sitter is asking me if she can give my daughter biscuits dipped in water or milk. How much nutritious it would be to give my daughter biscuits and from which age it can be given? My\u00a0baby weight is 7 kg and height is 69 cm.\u00a0Thank you very much in advance. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 23605, + "tgt": "Is cataract operation required immediately for me?", + "src": "Patient: Dear doctor, The patient is a 76-year-old male. I am uploading eye check-up report. Kindly advise on the following: Is cataract shown in the report? Is cataract operation required immediately? Is retina covered in the checkup? Any other observations by you? Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). There are early changes of cataract in both eyes but still, the patient's vision is totally correctable with the glasses prescribed. So, no need for cataract surgery as of now maybe a year down the line but not now. About the retinal examination, the only comment is about glow is made, no charting of retina examination has been done. In my opinion, the patient should be prescribed glasses. If the patient is not very active, cataract surgery can be postponed for about a year. Along with your drops, I suggest using Vigamox (Moxifloxacin) eye drops four times a day for seven days and then stop. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21169, + "tgt": "Would you consider vomiting after three days of appendix surgery a normal one?", + "src": "Patient: Hi doctor, My sister went through appendix surgery three days back. She vomited yesterday when we were taking her home and then we took her back to the hospital. The doctor gave an injection for vomiting and discharged her. Today, she vomited again at 7 pm. We need your expert advice if this is normal after appendix surgery. Should we get a scan again to ensure if the surgery went well? Doctor: Hi. If it is just vomiting without fever or pain in the abdomen and otherwise passing flatus and stools and able to eat well rest of the day, then it should be fine. Try to walk her around. If any of the above symptoms, any distress or discharge from the surgical wound is present, then contact the doctor. Ultrasound scan at day 3 following surgery is not of much consequence if no other symptoms are present. If symptoms are present, then get the patient admitted to a good hospital for monitoring and evaluation. For further information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 8250, + "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": 11514, + "tgt": "Why does the skin next to both sides of my nose get red and flaky?", + "src": "Patient: Hello doctor, I have questions concerning about the skin on my face. The skin next to both sides of my nose gets red and flaky with dry skin. It is itchy and appears often. I do not scratch it, and I have used shea butter and aloe vera. It helps a little bit, but so far still the same condition exists. I have been smoking occasionally for a few years and never had a problem. I stopped about three weeks ago due to this problem to see if the irritation is due to my smoking, but it is not getting better. I will be visiting a doctor in about a month. Kindly give your opinion. Doctor: Hello. It can be seborrheic dermatitis, an inflammatory response because of seborrhea, caused by a superficial fungal infection. Do you have dandruff?Seborrheic dermatitis is usually associated with dandruff. Kindly send me the picture of your face from a distance (not in a close up view)." + }, + { + "id": 16223, + "tgt": "I have fibromyalgia and chronic back pain. Please help", + "src": "Patient: Hi doctor, I have fibromyalgia and chronic pain in the lower back. I also have pain in legs. The pain is so severe that I cannot do anything. I can move only inside my house. I step out by using my wheelchair. I have been prescribed with several kinds of analgesics over the years. But nothing has helped me. Is there anything else? I have even tried seeing physiotherapists too. I had a relief from pain when I was given a large dose of Morphine. Currently, I am taking Apixaban, the blood thinner. Doctor: Hi. You have spinal cord compression due to untreated vertebral fracture which causes severe back pain and difficulty in moving your lower limbs. In such cases, MRI (magnetic resonance imaging) is the most diagnostic one, and a neurosurgical consultation is required. Surgery can be done to decompress the spinal cord. It can improve the pain and movement. In case, if the operation is not possible, stronger pain medication can be taken to control the pain. I recommend taking Tramadol 50 mg for every six hours along with Paracetamol. Also, take vitamin B complex tablets to improve your nerve conduction and pain. In pain management, we follow a ladder to achieve pain control. Please send me your X-ray for reviewing it. Please provide your reason for taking a blood thinner." + }, + { + "id": 11698, + "tgt": "I have rashes on penis due to balanitis. What can be done?", + "src": "Patient: Hello doctor, I think I have balanitis, due to itching I have got rashes on the penis foreskin. I am having difficulty on retracting the foreskin, and the foreskin has formed a rubber band like structure at the tip of the penis. There is also a little bit of redness on the tip of the penis and inflammation too. Lately, I have been feeling inflammation of the glans. Doctor: Hello. 1. Yes, it is balanoposthitis (balanitis), most probably candidal balanoposthitis. 2. Do you have a history of sexual exposure recently? And if yes, does your partner has genital itching or vaginal discharge issues? Take the following medications with your doctor's consent. 1. Tablet Fluconazole 150 mg. Take one tablet today and one after a week. Do it for your sexual partner also, if any. 2. Apply Candid cream twice a day. 3. Tablet Levocetirizine 5 mg once at night. Do it for 10 days." + }, + { + "id": 19591, + "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": 19780, + "tgt": "What does my MRI for back pain and numbness in hands indicate?", + "src": "Patient: Hello doctor, What does my MRI results mean? Severe mid-back and lumbar back pain, numbness in hands, muscle cramps in legs, constant pain. Doctor: Hello. I read carefully your MRI images (attachment removed to protect patient identity) and would explain that these images indicate just chronic degeneration of the vertebral column. There is no disc herniation or compression of spinal cord. Coming to this point, I would recommend performing a physical exercise to help against chronic back pain. I would like to see more images of the cervical vertebral column. Could you please upload the MRI report for a more professional opinion?" + }, + { + "id": 17197, + "tgt": "How to evaluate the reason for low hemoglobin?", + "src": "Patient: Hi doctor, My mother is 76 years old. She is diabetic and on medication for around 15 years. She is suffering from typhoid fever. Her hemoglobin level is low at 6. She is also very weak to walk on her own for the past few days. Kindly suggest some advice. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 2525, + "tgt": "What is the procedure to remove a blister in hand?", + "src": "Patient: Hi doctor, I have a blister in hand. This was caused because of playing tennis. I initially got this three years back. But, it is still persisting. It does not trouble when I do not play, but is uncomfortable while playing. Since I have it for long, please suggest any ointment. Also, advice if it can be removed completely with any procedure. Doctor: Hi. Revert back after four weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15718, + "tgt": "My partner gets pain on penetration after a period of abstinence. Why?", + "src": "Patient: Hi doctor, I am a 58-year-old male. I am healthy, and I do not have erection issues. My partner is 55 years old, and she is healthy. She visited an obstetrician and gynecologist last month. She is celibate for about six years. But now, we are living together for seven months, and we are trying to have a more physical relationship. On my first attempt, she had pain during initial penetration. During my second attempt, she allowed for penetration up to four inches, and she was very comfortable to have further penetration. During the next attempt, she started to have pain even beyond one inch of penetration. Can I know whether inserting finger during lubrication make intercourse uncomfortable during initial penetration? Doctor: Hi. At 55 years of age, it is vital to know whether she has reached menopause or still she gets her menses. Even perimenopausal status itself can cause atrophic vaginitis. It results in vaginal dryness and mucous atrophy. The second reason can be PID (pelvic inflammatory disease). It can also initiate a deep pain during penetration. Due to prolonged abstinence, the vagina muscles can be tight, and it can also cause vaginismus. All these features are needed to be evaluated and ruled out before proceeding further." + }, + { + "id": 5415, + "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": 25071, + "tgt": "How to confirm H. pylori infection?", + "src": "Patient: Hi doctor, Two months ago, I had diarrhea and vomiting. My gastroenterologist diagnosed it as GERD and found H.pylori unit 112 tested through blood. My LFT, CBC, RBC were fine with occasional white cells in my urine and uric acid was 6. I took Klaricid 500, Ospamox 1 g, Levopraid, Omeprazole and Librax. After taking antibiotics, I got a burning sensation in my stomach and a feel of gas\u00a0on the side of right kidney. But, my kidney reports are fine. When I showed my reports to another doctor, he said there is nothing to worry about H.pylori. He relates everything to anxiety. Also, another important issue is that I am getting a feeling of twitching and cramps all over my body. When I put my head on the pillow, my muscles start paining. When I wake up, I have heavy body pain and watering eyes. I took a physiotherapy session. She prescribed me Tizanidine and Neurobion. But, they did not work. My physiotherapist asked me to consult a hematologist. But, my CBC and RBC reports are normal. What to do now? Please suggest. Doctor: Hi. Upper GI endoscopy for H.pylori and colonoscopy for irritable bowel syndrome. Irritable bowel syndrome. First do an upper GI endoscopy. If there is H.pylori infection or gastritis, then take treatment for 15 to 20 days. If this test comes negative, then proceed for colonoscopy to rule out irritable bowel syndrome. You may go for a CT scan abdomen before doing colonoscopy. 1. Avoid spicy and oily food for gastritis. 2. Take gluten-free, starch-free and fat-free food for irritable bowel syndrome. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21859, + "tgt": "Do my symptoms point toward ARVC?", + "src": "Patient: Hi doctor,I am 25 years old\uff0cmale\uff0chad PSVT and did an RFA surgery two months back\uff0ccaught a VT during Holter recently\uff0cUCG clear\uff0cMRI says left ventricular septum thickening about 20 percent. The local doctor thinks it is a viral myocardity\uff0canother doctor that I know says he saw of QRS and he thinks might be ARVC\uff0cwhat is your suggestion? I have high BP sometimes\uff0cand now taking Bisoplor and coenzyme q10. Doctor: Hello. Firstly, the possibility of ARVC (arrhythmogenic right ventricular cardiomyopathy) is less. MRI or echo would pick changes in the right ventricle. I guess right ventricle is normal on echo and MRI so unlikely to be ARVC. Next thing, you mentioned about thickening of the septum in MRI. What is about your echo finding, does it suggest anything pointing towards hypertrophic cardiomyopathy? So we should rule out hypertrophic cardiomyopathy. If possible, please upload your echo, MRI and routine ECG for interpretation. Regarding the possibility of viral myocarditis, it would show some changes on echo or MRI so that is also a less likely possibility if echo and MRI not showing any consistent changes. Also, troponin would be positive in active myocarditis. So I would once like to go through your detailed report and see if we can get some clue regarding diagnosis or else we will have to treat it like idiopathic VT (ventricular tachycardia). For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22549, + "tgt": "I have nausea and burning pain in abdomen. Please provide advise", + "src": "Patient: Hello doctor, I am a female, 45 kg, 5 feet one inch. I have nausea, slight pain and burning sensation in upper left abdomen, and discomfort on the left side of the abdomen. I am currently on Dolgina, Librax, Calbo. Doctor: Hello. The burning pain and nausea with pain are suggestive of viral gastritis or small ulcer. Acidity or acid reflux from that can lead to nausea by irritation of posterior pharynx. I suggest taking Rabeprazole 20 mg OD for a week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Avoid gastric irritants like: Cooked oatmeal helps in soothing the stomach. Probiotic tablet also can be prescribed if needed. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17049, + "tgt": "I feel urethral discomfort after hand job. Should I be concerned about STI?", + "src": "Patient: Hello doctor, I am a 30 year old male. I received a hand job from a mysterious individual, and afterward, I put hand sanitizer all over my groin area. I think I put some in my urethra as well. Later that night I noticed a dull discomfort in my urethra, but nothing painful. It does not\u00a0hurt when I pee. It has been a day now with the same symptom. Should I be concerned about STI? Do you think the hand sanitizer caused it? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8451, + "tgt": "I am under Xarelto for DVT. How many months should I continue this?", + "src": "Patient: Hello doctor, I have diagnosed with DVT before four months and currently on Xarelto 20 mg once a day. My hematologist has advised me to take six months of Xarelto. However, the literature says three months is enough. My all test results like protein C deficiency, protein S, factor 5, and prothrombin. OCP was the main reason for my blood clot. Should I continue taking Xarelto for three months or six months? Doctor: Hello, Welcome to the icliniq.com. I should appreciate your awareness of health. For venous thrombosis, anticoagulant should be taken for at least three months. However, when the risk of thrombosis is high than duration can be extended for the next additional three months. So the clinical correlation is needed to decide the duration of treatment. If your doctor has suggested a total of six months duration of therapy, then I would suggest you take it for six months. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 11193, + "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": 4025, + "tgt": "Will dirty dollars washed along with my underwear further increase my BV infection?", + "src": "Patient: Hello doctor, I apologize if this is an odd question but I am very concerned as I have been in treatment for recurrent yeast, and BV infections for over a year. Several dollar bills were accidentally washed (cold cycle, no disinfectant detergent) along with a pair of pants and a load of underwear. The money was lost in the washing machine with my underwear during the whole cycle. I did not realize this until the next day when I went to do another load of laundry because they were crumpled in a corner, so I had to worn a pair of underwear all day that had been washed in the same water as the money. I know that money is absolutely covered in bacteria, and being that the underwear was washed in cold and dried in low heat. I am wondering how likely it is that a vaginal infection will result from them having been in a wash cycle with several dirty dollar bills. Again, I apologize if this query seems a bit paranoid; I am just very afraid of contracting any further vaginal infections, especially not from an accident like this. Doctor: Hello, Welcome to icliniq.com. I understand your concern. But to me, the probability of contracting infection is very less. Firstly, you are not immunocompromised. Vagina is home to millions of bacteria and whether one will contract infection or not depends on immunity, which I guess is intact in you. Now, concern remained is of STD organisms, out of those candida and BV you already had. These organisms must already be present in your vagina in a low number, so the risk of acquiring this is low. Also, the probability that those dollars carrying STD organism is less because nobody will frequently touch between note and genitalia. And also these infections will usually occur with sex. Also, most of the viruses are inactivated with drying or sunlight. So overall, risk is very low and I think you should not be worried about it. I hope this helps." + }, + { + "id": 5761, + "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": 11377, + "tgt": "Which homeopathy medicine is recommended for my son's concentration problem?", + "src": "Patient: Hi doctor, My son is 15 years and medium built. He recently has some concentration problem. What homeopathy medicine can I give him? Please suggest the recommended dose. Thanks. Doctor: Hi. It is essential to understand the cause of a concentration problem. Based on the limited information provided here I can think of a few remedies. If your son has taken too much stress of his studies and due to which he is not able to perform well or unable to concentrate, then you can give him Kali Phos 6x two tablets twice a day for 15 days. If Kali Phos 6x is not available, then get Phos 30c three pills once a day in the evening for seven days. You can give him Five Phos 6x if he is generally not able to concentrate and the cause is not known. Five Phos 6x two tablets can be given twice a day for 15 days. I would suggest you seek help from professional homeopath either face to face or online consultation on icliniq.com. It is very important to understand the details of his problem to prescribe any homeopathic remedy correctly. I hope he will feel better with this remedy. Let me know if you have any questions or else report back in 15 days." + }, + { + "id": 20638, + "tgt": "I am having allergies in a new house. Could it be due to molds?", + "src": "Patient: Hello doctor, I moved into an apartment four months back. Now that it is the end of summer we have had the AC off and the apartment feels very stuffy. To me, it has a smell to it not sure how to explain it. I know I am allergic to pets and dust, previously I know cats have lived here and there is carpet in the apartment and my allergies and the smell is worse in our bedroom. I walk in closet where there is no ventilation. Could it be a mold problem? I have a newborn. All I know is my allergies are horrible when the windows are closed. Doctor: Hi. Is there a way you can move the bedroom to a more ventilated area? Or the new born can be raised predominantly in the more ventilated area. In addition to molds and fungi, one should also vary of pollens. Pollens get dispersed with winds and can come inside the house through windows and can cause similar problems like molds. Just that molds and house dust mites (mites are found in carpets, curtains, upholstery, soft toys, etc.) are mostly perennial in causing allergies and pollens can be seasonal as well as perennial in doing so. You are right in suspecting mold in the less ventilated area. You can remove the carpets curtains in the bedroom and wash them in warm water if possible. You also get allergy free material from which curtains carpets and pillow covers can be stitched. If the baby starts showing symptoms of allergy, like sneezing, running nose, skin rashes, watering of eyes, you may need to find out what the baby is allergic to. Do revert back to me and I shall guide you further." + }, + { + "id": 7971, + "tgt": "When will swelling due to nephrotic syndrome in a baby reduce?", + "src": "Patient: Hello doctor, My daughter, 2.8 years old was diagnosed with nephrotic syndrome. She had swelling in limbs, private part, stomach, and eyes. She also had slight cold during that time, but no running nose or cough. I have attached her reports. From the last one week, we started medicine, post which the eye swelling (by 90 %), face, hand, legs have reduced and hand have also reduced, but the private part and stomach still have swelling. Overall swelling is still present. Urine check showed improved creatinine results after three days. Her weight has increased 1 kg from the last five days, everyday it is gradually increasing by 200 to 300 gm. Even prior to start of her treatment she had good appetite, she used to eat every few hour either a biscuit or yogurt or a fruit or bread slice. My questions are: In how many days does this swelling reduce? The doctor here suggests albumin infusion if the weight continues to increase or the body swelling does not reduce by five more days. Is it safe to use albumin infusion? Does it require admission into hospital? How many days should we wait before we decide on albumin infusion? Any other alternate to albumin infusion to reduce edema? When will we know if the medicine is working, the doctor say it takes maximum of 30 to know the impact? Whats happens if the child does not respond to the current medication, doctors here are not disclosing but I want to be prepared financially and mentally? What are the scenarios to take child immediately to hospital? Please help. Doctor: Hello. I can see clearly that your daughter\u2019s condition is improving (attachment removed to protect patient identity). This is the nephrotic syndrome of minimal change type as usually comes in the children. The reason behind less improvement in the private area and stomach edema is that steroids are causing central obesity and I believe that this is temporary and will subside when she tapers down the steroids (after remission of the disease). Supposedly steroids are reducing the amount of protein filtered in the kidney and consequently, serum albumin will improve with time without the need for albumin infusion. We might use albumin infusion with diuretics when albumin in blood is less than 2 g/dL, if there is marked hypovolemia or acute pulmonary edema or renal failure. Usually, children are responding to the steroids within 2 to 4 weeks, then after remission, tapering down the dose over about six weeks. Take your daughter to the hospital if there is marked shortness of breath or very low amount of urine or when she is severely unwell. Generally, the course of the disease is benign and it usually shows a good response to the treatment, I advise you to be patient with the doctors." + }, + { + "id": 19838, + "tgt": "I find myself acting negatively to get attention from people. Please help", + "src": "Patient: Hi doctor, I become attached to people more easily, and I crave attention from the people I do connect to. I find myself wanting to act out negatively to get this attention from them, such as by starving myself, so they notice I have lost weight, or by self-harming in prominent places instead of hiding it. I do not want to worry anyone and hate myself for craving attention like this. But, I do not know how to make it stop. I have never told anyone about this and usually try to hide my emotions. This issue has been present for about seven years. In the past, I have engaged in different forms of self-harm as well as periods of fasting, self-induced vomiting, laxative abuse to lose weight. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10090, + "tgt": "What causes pain during dehydration in a sickle cell anemia patient?", + "src": "Patient: Hello doctor, Sickle cell anemia is my problem. My age is 30 years, while dehydration time, I am getting pain. Is this issue dangerous? Doctor: Hello. Yes, sickle cell anemia is a disease where RBC shape changes while dehydration and oxygen level goes down in body. Usually red blood cell will be round and plate shape. During dehydration and less oxygen time the shape of the red blood cell becomes sickle shape. Now RBC will stick together and block the blood vessels and produce ischemia. So to reduce the obstruction, you need fluids more. If obstruction is in lung, spleen, kidney or any organ, it is dangerous and severe painful. So avoid dehydration conditions, do not do severe exercise, avoid going to hill stations where oxygen is less. Drink adequate water." + }, + { + "id": 16580, + "tgt": "Is it possible to treat pain while walking through physiotherapy or medicines?", + "src": "Patient: Hello doctor, I am 65 years old with weight 88 kg and height 5'10\". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here: Under report one MRI dorsal spine, spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Rest normal. Report 2 MRI cervical spine with contrast: spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels see I in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disco-osteophyte protrusion seen at C4/5, 5/6, and 6/7 levels having left propensity and causing compression of bilateral exiting C5,6,7 nerves root in their respective foramina. Rest normal. Report 3 MRI thorax with contrast: fibrotic band seen in left basal lung parenchyma. Rest all normal. Report 4 MRI lumbosacral with contrast: spinal curvature is straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disc bulge with posterocentral disc protrusion seen at L5/S1 level indenting the thecal sac and compressing bilateral traversing S1 nerve roots. 12 years back, I had L4/L5 disc bulge problem stenosis and sciatic nerve type pain in leg left and burning sensation and pinpricks in feet of both legs. I was about to go for surgery but an osteopath corrected this with manipulations for 5 to 6 days and signs abated. Till then this part is fine. But now there is some pain or mild sensation sometimes in legs. I sit long hours on the computer and am academician so have a sedentarylife. I also have GERD type problem. It is also noted by me that if I continue walking for a few days by stopping frequently then after a few days pain does not occur or come after long walks. Now my worry is in light of all the history and records. Questions: Is it possible to treat this pain by physiotherapy or medicine or both or any other method? What is prognosis for the type of MRI pictures reported? And how spine health can be restored or brought near normal? The line of action suggested so I do not have pain in back and epigastric region when start walking. Currently, I am taking medications for diabetes, acidity, and hypertension. Doctor: Hi. I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25203, + "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": 28849, + "tgt": "I noticed some boils on my face while shaving. What can they be?", + "src": "Patient: Hello doctor, I noticed some boils while shaving. I have attached the pictures, what can they be? How long will it take for them to go? Sometimes, shaving is painful because of them. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6267, + "tgt": "I am 29 weeks pregnant and took an ultrasound scan. Is my ultrasound report normal?", + "src": "Patient: Hello doctor, I am 29 years old. My ultrasound scan shows that I am 29 weeks pregnant with single transverse placental localizations is posterior, lower segment and complete, Previa liquor is moderate, fetal heart beat and movement is present. Approximate fetal weight is 1300 gm, BPD is 7.48 cm, F.L. is 5.5 cm, abdominal circumference is 24.4 cm, and intra uterine pregnancy. Is this normal? Doctor: Hello. This pregnancy is absolutely going fine till date. But let me tell you one thing that it is a high-risk pregnancy because of the placental localization, which is called Placenta Previa. So you have to be very much cautious during this pregnancy. Do not do heavy strenuous work, do not let anyone do an internal examination for you and no intercourse even. Any time you may have bleeding and report to your doctor immediately. Keep a strict watch on your baby's movements. And the mode of delivery would be a cesarean section as normal delivery is not possible in such cases." + }, + { + "id": 4505, + "tgt": "How does weight loss affect period?", + "src": "Patient: Hello doctor, I was on a diet and I lost a lot of weight. I used to be 57 kg and later I was only 38 kg. I lost my period and I went to the hospital and they asked me to gain weight. Now I am 42 kg and still, I did not get my period back. Doctor: Hi. Now you have two factors that do not allow your periods. As you said, any sudden reduction of weight or even a sudden increase in weight can affect the control of the brain on these hormones which in turn control your ovulation. You are still a young lady in early adolescence. Maybe you had your first periods few years ago. It is only about the age of 19-21 years that your hypothalamo-pituitary-ovarian axis in short, the circuit between your brain hormones and ovarian hormones, becomes mature enough to have normal ovulation and hence normal periods. You gave sudden stress on this circuit with sudden weight reduction, which would have shifted the balance. You need a minimum fat in the body to have normal hormones and normal cycles as ovaries breakdown fat deposits in the body to form hormones. Your target should be height in cm - 100 = weight in kg, I mean your weight should be 158 cm - 100 = around 58 kgs. You were never overweight. Advice: Do not go on binge eating. No fasting. Have a regular controlled diet thrice a day. Reduce the high-calorie diet, junk food, and red meat. Have a lot of proteins. Have regular exercise, aerobics, dance, brisk walk and so on. Have a thyroid profile and serum prolactin done in the early morning in an empty stomach, just to confirm any other hormone problems. Wait for a month or two. I bet your periods will come back. If you still do not get the periods on your own, you will need to evaluate you and start on a cycle of hormones for a month or two to artificially get the hormone train back on track, which has got derailed now. I hope this helps." + }, + { + "id": 29213, + "tgt": "I am pregnant and having glaucoma. Will the labor pressure damage my eyes?", + "src": "Patient: Hi doctor, I had keratoconus and started developing glaucoma. My eyes are really weak, and my right eye is at its thinnest point. I will upload reports from my doctor. I am pregnant and scared labor pressure. Will it cause any harm to my eyes? What is your opinion? I am on Euthyrox 25 for underactive thyroid. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27277, + "tgt": "What are the early signs of pregnancy?", + "src": "Patient: Hello doctor,I am a 26 year old female. I am trying to get pregnant. My doctor recommended me to take Susten 200 after the ovulation period. Now, I am on the 29th day of my cycle. I have some pregnancy symptoms. But, I am not sure. Please give me some clarity. I am scared too. Doctor: Hello. Please note the following physical signs of pregnancy, which you may experience in a few days if pregnant: I suggest you consult your gynecologist for other blood tests and confirmation. 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": 2885, + "tgt": "I feel sleepy, tired, and headache with high Hb and hematocrit. Do I need blood thinners?", + "src": "Patient: Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I have attached my blood work. Do you think I have any abnormality in blood? Do you think I am having a stroke or heart attack? Do I have too much thickness in blood as high hemoglobin and hematocrit? Do I have any kind of blood cancer like polycythemia or polycythemia vera? In spite of having too much hemoglobin and platelets, why am I having weakness? Do I need to take blood thinner medicine? Doctor: Hello, Welcome to the icliniq.com. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychiatrist for counseling and anti-anxiety drugs. If stress is not present, then the causes for weakness are overexertion, lack of exercise, depression, kidney problems (for that urea, creatinine investigation done), myositis, etc. As for three weeks you are not improving you can be investigated with EMG (electromyography), EKG (electrocardiography) investigation for further workup. Answers to your questions are as follows: I do not think this blood report is abnormal. It should be repeated as two weeks passed. In stroke vision problem, half part weakness, slurred speech like problem present. So the stroke chance is very less. But EKG investigation can be done here as dizziness present since many times. Your Hb and HCT are not much high that needs immediate concern. I do not think it is polycythemia vera case. Repeat CBC to check HCT and RBC value now. For weakness rule out the above causes No n\u00e9ed of taking any blood thinner. Include green leafy vegetables and fruits more in your diet." + }, + { + "id": 17147, + "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": 10839, + "tgt": "Why am I unable to protest verbally though I can?", + "src": "Patient: Hi doctor, My writing skill is very strong but verbally I cannot protest at all against difficult people. My verbal communication skill is proper and organized if and only if I am focused and conscious at that moment. Otherwise, I tend to be unprofessional and non-intelligent in speaking. Even when a friend illogically shouts over me, I cry over phone and still keep talking in gentle manner. My logic remains in my mind, but I just cannot speak out, which in turn disturbs me later. Sometimes, I get angry by thinking I could not stand verbally for myself at the right time. In the past I was taking Trinicalm plus. What is the problem? I have a feeling that either I am too gentle, less courageous, lack confidence or definitely soft natured and lack mental strength. Please help me. Doctor: Hi. Sometimes, it happens because of low self-esteem. Hence, you need to work on it. You need aversion therapy. You do not have to interfere in other's rights but, other side you have to stand for your rights. Do not be very cruel or too innocent, and then people will start teasing you. Remain in between. For some people who are having predicted behavior, you can prepare answer beforehand. So, you will get some self-confidence. Also, do not think too much about others. Forget everybody. Focus on yourself. Remain happy and tension free." + }, + { + "id": 5938, + "tgt": "I have hard, itchy lumps on the scrotum. What is it?", + "src": "Patient: Hi doctor, I have lumps or cysts on the scrotum for a year of around 8-9 in number. They are of different size. There is no pain but I feel too much itching on the skin of scrotum. When I touch them they feel little hard. By seeing the photos which I have attached here for your reference please tell me what it is. Doctor: Hi. I have gone through the photos (attachment removed to protect patient identity) you have attached. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18649, + "tgt": "What happens to a person taking ATT medicines when not having tuberculosis?", + "src": "Patient: Hi, What happens to a person taking ATT medicines, when not having tuberculosis? Doctor: Hi Consult a pulmonologist online for further queries regarding ATT medicines --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12329, + "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": 25866, + "tgt": "What causes headaches, shaky hands and nervous tics?", + "src": "Patient: Hello doctor, Please see my symptoms: Headache. Hands slightly shaking. Nervous ticks (meaning I make a flinching motion). Please also note that I feel anxiety daily. Doctor: Hello. Since when are you having anxiety? Sweaty and shaky hands are a manifestation of anxiety. Though headaches can be associated with anxiety too, a headache needs more detailed history: Investigations to be done: Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23885, + "tgt": "I have extreme and unstable emotions. What is wrong with me?", + "src": "Patient: Hello doctor, I am a 23 year old female, 5 feet and 8 inches, 285 lbs; currently taking Seroquel 100 mg at night and Adderall 30 mg on days I have to work. I have a history of depression, anxiety, self-harm, drug abuse, obsessive thoughts, and chronic fatigue. I have gained 40 lb weight in the past six months. Previously, I was diagnosed with borderline personality, and have been on two psych holds within the last five years, completed two three-day stays for in-patient treatment, most recently four months ago.\u00a0I was told I might be bi-polar. I cannot motivate myself to get out of bed unless I have to go to work. I have a history of toxic relationships and abandonment issues. I cannot seem to stop thinking about what happened with my most recent relationship even though I know he was not a good person and did many bad things to me. I have overwhelming feelings and feel things in extremes. I have a history of drug abuse, mostly Klonopin, Xanax, and\u00a0pain medication. I am clean since four months. I have a history of reckless behavior. Now that I am not abusing pills, all I do is sleep and eat and compulsively spend money. I feel lost like I do not fit anywhere. I am upset about my weight gain, but cannot motivate myself to do anything about it. I want to go back to school but cannot bring myself to do the work. I was seeing a psychiatrist five years back for similar issues from another relationship and was diagnosed with borderline personality and was put on multiple medications that did not help me. So, I stopped going and stopped taking the meds and felt better. I got myself together and went to school and graduated with honors with associates in radiologic technology. I was alright for those three years and it has been pretty downhill the past year since I met someone else and it went horribly wrong and affected my job, which I quit due to my ex being there, which then cost me the job I was just offered because my previous boss gave me a bad reference. I lost the opportunity at a great job, and since then it has been very hard. I got reckless. I was taking way too many pills. My relationship with my mother was strained, and it got out of control. I cut my wrists with the idea that I did not care what happened, and that day I was admitted for an inpatient treatment for three days. I have not abused anything since then, but I am miserable. I just want to know what is wrong and why I feel things in such extremes. Doctor: Hello. I have gone through your problem and understand your concern. I understand you were diagnosed as suffering from borderline personality disorder (BPD) and responded poorly to treatment despite multiple medications. In BPD, usually, you do not respond to medicines. You also need psychotherapy namely DBT (dialectical behavior therapy) in which you are explained about your behavior and emotions and how to control maladaptive behavior. Associated depression is a contributing factor in not being able to get out of bed. Because of BPD, or maladaptive behavior, you are having these extreme emotions. And, as with many persons, weight gain is a common side effect of the psychotropic drugs. So, do regular exercises to control weight. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 22982, + "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": 3427, + "tgt": "What can be done for foot drop after surgery for herniated disc?", + "src": "Patient: Hello doctor, I am 32 years old and had an herinated disc and had surgery a few years back, it was a post delayed surgery. Due to the delay in surgery (18 days) I left with a foot drop and right leg weakness. I was bedridden for 4 months. Totally weak. But I gradually developed doing physiotheraphy and with some Ayurvedic treatment. I started waking now with out any help. But my foot drop is still there. But I can lift my toe and ankle little bit from last month. Can I come to my normal life, how long I need to wait to get cured from foot drop? Doctor: Hello. I can advise you in detail if i have your detailed neurological charting including assessment of motor power, sensory charting of lower limbs and evaluation of deep tendon reflexes. Also, latest MRI of LS spine is required to see for adequacy of decompression. To answer your query, the best results come early after the spinal decompression surgery, if motor loss can be ascribed to compression in spinal cord or roots. Also intensive physical therapy helps you to gain power . But since you have started gaining power, it can continue for at least 6 more months, so my advise to you will be to continue with intensive physical therapy including muscle stimulation, vitamin B12 intake and come back to me with your neurological charting and MRI films so that i can see and advise you further." + }, + { + "id": 20852, + "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": 14249, + "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": 22145, + "tgt": "I was abused mentally and physically. What can I do to solve this problem?", + "src": "Patient: Hi doctor, Before four years, I had a dating with a guy. After a year, he kissed another girl, and I saw him. He said to me it was just once and nothing else. I have recently found out that he was involved romantically with her all the time and I have been an option for him. I was abused mentally and also physically at times. I am unable to stay away from him. We are studying in the same college. I cannot ignore college to stay away from him. What can I do now? He hates me if I score more than him. How can I solve this problem? I feel sad all the time. Doctor: Hi. I am sorry to hear about your relationship problem. I can understand you. It is difficult to manage it, but it is not impossible. You have to move away from that guy. If someone loves you, then that person will be happy, if you progress or achieve something in your life. Like your father, who loves you, he will also be pleased with your achievement. Your boyfriend is just using you. He is not even ready to accept your progress. He is not a person for you. First of all, stop talking to him and clear all the contacts with him. You must go to college and do not stay alone, always stay with some friends. Talk with them once. Initially, you will feel bad, but it is best for your good future. You will find someone better. It is not the last one. Be bold. Do not get afraid. Take a healthy decision for your life. Life is to live. Do not feel guilty for the wrong choice of boyfriend. It is a part of life. We are meant to make mistakes. Concentrate more on studies, score higher marks than him. Get a high score in your exams. Make him feel guilty for losing you. Love yourself. Spend more time with your family and friends. If you are staying in a hostel, must do a video call to your parents daily. Please do not give another chance to him, and you have given it already. Do not trust him anymore. Read more, take good sleep at least 7 to 8 hours. Do daily exercise for at least 30 to 40 minutes. Do meditation for 10 to 15 minutes. Take healthy foods, avoid junk foods, spend time on your hobbies or develop some creative hobbies like painting, writing, play some instrument, or listen to songs, sing songs. Plan your future. Write your daily goals in a diary. Take a decision and go for it. Move on. Do not get stuck in an abusive relationship. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 59, + "tgt": "What could be the reason for chronic diarrhea with tapeworms in a diabetic?", + "src": "Patient: Hello doctor, I am a type 1 diabetic and I suffered chronic diarrhea for the past 10 years. Finally, the doctor found tape worms, and eggs in the stool. I had several rounds of praziquantel, last round was 2 weeks ago with 650 mg per day with a break in between. I took supplements of all kinds, and now colonics. I am still passing worms. I have improvements in health, pain, and girth around my stomach also improved but I am frustrated. I cannot seem to get rid of it. Please help. Doctor: Hello. I suppose you must give a brief history of the nature of your diarrhea. Like mostly it is oily and malodorous, watery or gassy? Does it have any relation to meals? Do you feel any abdominal pain, fever, or itching at the anal area? Do you ever have a low Hb? Any loss of weight? What type of worms did you notice on the stool R/E report? And most importantly, is your diabetes controlled? Worm infestation. Complete blood count. Stool routine examination. Diabetic diarrhea. Drink boiled water (after cooling). Personal hand hygiene. Sugar control. Tablet Albendazole 200 mg (two tablets now). Personal hygiene." + }, + { + "id": 9604, + "tgt": "I had diarrhea with lime green tint and I am type 1 diabetic. Is this diabetic enteropathy?", + "src": "Patient: Hello doctor, I have type 1 diabetes at 27 years old (diagnosed around eight years). Recently I was somewhat nauseous, and today diarrhea with a lime green tint. I read about diabetic enteropathy, but this is the first time I feel like it could be diabetic-related diarrhea mostly because I had not had much to eat other than peanut butter and jelly sandwich for breakfast and a juice box for lunch. I was 79 around 11 am, and at 8 am I was 118. The last few days I have been consecutively around 150-to-mid 200's (but mostly in the 150 to 190 range). Otherwise, my numbers are generally stable overall, and I believe my last A1C was 6.8. I had two bowel movements today with diarrhea. I took my blood sugar just a few minutes ago, and it was 290, and going down (I gave myself a shot of Humalog to keep me steady for dinner). I was just a little worried because of the article I read on diabetic enteropathy. It is treatable by just keeping the blood sugar tighter, and I was a bit scared if it might be fatal. I assume it is, but I do intend to keep things better regulated after this. I need to be a bit more at ease after what I read. I did not want to contact my doctor if it is something I can fix with regulation. Doctor: Hello. Diabetic enteropathy is not diagnosed after a single episode of diarrhea. Usually, it is chronic and intermittent with regular bowel movements in between. Constipation can also be present. Diarrhea can occur during the night. There are other causes for acute diarrhea-most commonly infections, food poisoning, or adverse reactions to medications. I suggest you wait and see how this whole thing pans out. As long as there is no blood in the feces and no abdominal pain or fever, I would not worry about some serious underlying condition. Tighter control using insulin is possible but can be difficult due to hypoglycemic episodes. However, if you cut down on carbohydrates and reduce the dose of insulin appropriately, you can achieve lower HbA1c levels with fewer hypoglycemic episodes. I suggest you go through these articles about this. Also, if you can afford or if your insurance covers it, try getting a CGM (continuous glucose monitor). I hope this helps. Please let me know if you have any other questions." + }, + { + "id": 9809, + "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": 7450, + "tgt": "My CT scan reported multiple cysts in gallbladder. What is it?", + "src": "Patient: Hi doctor, Suddenly, I had an intense stomach pain. As per recommendation, I had a CT scan and other tests were carried out. It reported small multiple calculi with biliary sludge in the gallbladder. Jaundice is also high. My stomach pain, headache, body pain and vomiting is happening regularly. I have all these for the last 20 days. Please suggest me what to do. As per my doctor I should not go for surgery till jaundice is completely nil. Doctor: Hello. I had gone through all the details posted. The problem you are suffering from is called acute calculous cholecystitis, where gallbladder has stones and gets inflamed along with hepatitis. As the stones are multiple, you may also suffer from pancreatitis, which should be checked by doing serum lipase level. So, in acute calculous cholecystitis when a patient presents early, surgery can be done for removal of gallbladder within three to five days of starting of pain abdomen or it has to be performed four to six weeks after everything has subsided unless there are any complications. Initially, we keep such patients nil per oral till vomiting and pain in the abdomen subside. Then, start on oral liquids and soft diet and keep on monitoring liver function tests. Kindly upload your liver function test and ultrasound official report for more information on this. You need to take antiemetics, antibiotics and hepatoprotective agents like Ursodeoxycholic acid. Avoid oil foods, non-vegetarian foods, take bland diet and follow up with liver function tests. Kindly get back with further details and upload all the concerned reports, so that I can go through them in detail and can help you further with your problem. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19622, + "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": 7299, + "tgt": "What is the treatment for lower eyelid swelling?", + "src": "Patient: Hello doctor, My right eye corner is swollen and having pain when I close my eyes for the last two days. Swelling is on the edge of the lower lid. My baby threw his soft toy which kind of touched my eye two days ago. From then onwards I am having this issue. Kindly suggest a remedy. Doctor: Hello. It seems like the infection has occurred due to injury. It appears to be bacterial blepharitis. You can do hot fomentation first of all for pain relief. Vigamox (Moxifloxacin) eye drop six times a day for seven days. ocupol eye ointment at bedtime for five days. Start tablet enCifixime 200 mg twice daily for three days. 1. Tablet Diclopara plus (Diclofenac, Paracetamol), Serratiopeptidase once after meals for three days. 2. Tablet Pantop 40 mg (Pantoprazole) once before breakfast for three days. Please rule out any allergies beforehand. You will get relief within 24 hours." + }, + { + "id": 17767, + "tgt": "My wife got pregnant after taking Unwanted 72. Is the baby going to be normal?", + "src": "Patient: Hello\u00a0doctor, My wife took one Unwanted 72 pill after intercourse. But, it failed and resulted in a pregnancy. However, we decided to go ahead with the pregnancy. Now,\u00a0please help us with the following questions:\u00a0Does Unwanted 72 pill cause any problems or defects to the\u00a0fetus?\u00a0Unknowingly, She has consumed few pieces of semi-ripened papaya. Does this cause any growth problems to the\u00a0fetus?\u00a0She lifted a 20-liter\u00a0water can for household purpose. Does this cause any impact? She had a\u00a0chest discomfort. After an\u00a0ECG,\u00a0the doctor gave her Ranidom\u00a0DSR\u00a0tables and she consumed five of them during the\u00a0first trimester. Does this impact the growth of the baby in any way?\u00a0We found her to be pregnant at seven weeks and did not start Folic acid until then. Does this impact the\u00a0fetus growth? A few days after taking Unwanted 72, bleeding occurred and it stopped. We suspected missed periods. Please provide your views on that.\u00a0What else can be done to catch up with the missed diet and not taking Folic acid or proper precautions?\u00a0I request you to give us proper guidance. 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": 27160, + "tgt": "My two year old daughter has horizontal stripes on her nails. What could be the cause?", + "src": "Patient: Hello doctor, My two year old daughter is generally healthy. But, today I noticed some horizontal lines on her toenails. I am sending a picture of the same.\u00a0Could it be a serious problem? Doctor: Hello. I have seen the picture (attachment removed to protect patient identity), and understand your concern. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15828, + "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": 1767, + "tgt": "My sister has delayed growth for her 15 years of age. What should be done to improve her growth?", + "src": "Patient: Hi doctor, My sister is 15 years old. She is having a problem with growth. She is not growing even a single cm from 1 year. I am too scared about her future. She is only 150 cm now. Many advised her to do skipping, swimming, cycling, etc. Though she is doing skipping, it does not help much. I just need some scientific help. Please help me out. I am scared of her growth. Doctor: Hi. Good day. Thanks for your query. I am afraid that I do not have good news for you. In your sister's age, it is not possible to increase height of about 2 or 3 inches with any medications. The growth plates in the bones close after 13 - 15 years of age in females and no increase in height possible. Growth plates are the areas of new bone growth in children and teens. They are made up of cartilage cartilage, a rubbery, and flexible material. For instance, the nose is made of cartilage. As kids grow, the growth plates harden into solid bone. A growth plate that has completely hardened into solid bone is a closed growth plate. After a growth plate closes, the bones are no longer growing. Growth plates usually close near the end of puberty. For girls, this usually is when they are around 13 - 15 years old and for boys, it is when they are about 15 - 17 years old. What is the height of your father and mother? Your sister may have an average height of both of them. Another option is limb lengthening surgery. Thanks." + }, + { + "id": 4213, + "tgt": "What to do for swollen feet?", + "src": "Patient: Hi doctor, I have got swelling in feet and excess pain over last few days. I have breathing problem while walking. I also feel weakness since few days. Please help. Doctor: Hello. CBC (complete blood count), urine R/E (routine examination) and C/S (culture and sensitivity), serum creatinine, serum electrolytes, prothrombin time (PT), serum total protein, serum albumin, chest x-ray P/A view (posteroanterior), ECG (electrocardiogram) and echocardiography. Get your BP and pulse checked. 1. Nephrotic syndrome. 2. Cor pulmonale. 3. AGN - acute glomerulonephritis. CCF - congestive cardiac failure. 1. Tablet Furosemide (Lasix) 40 mg only at morning for five days. 2. Capsule Omeprazole 20 mg two times daily morning and night half an hour before meal for 10 days. 1. Do not take fluid more than one liter. 2. Do not eat any fruit or drink any fruit juice now and do not take extra salt or added salt with your food. 3. Now have vegetable and no meat or fish has to be taken. Revert back with the investigation reports to a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11483, + "tgt": "White itchy spots around the lips, below the nose, and on the chin. What could it be?", + "src": "Patient: Hello doctor, Our 12-year aged daughter has a problem with the skin around the lips, below the nose, and on her chin. It started before seven months, and the skin in those places is red with little white spots and often very itchy. We visited many general physicians a few times, but they cannot determine what it was. They suspected it to be some bacterial infection, acne or something else. She has tried different creams and ointments such as Hydrocortisone, Hydrocortisonum Oceanic, Bactroban 2 %, Freederm, Duac, Virupos, Fusidic Acid, Oilatum, and even Elocom. And Elocom seemed to work but just for a few days. Without any cream, it gets worse very fast, and changes are visible in hours. She had eczema and some skin allergies, but it was not so severe and long-lasting. The condition at this moment is, so severe and she needs a quick help. Doctor: Hello. This condition is known as perioral dermatitis, which usually results from the use of topical steroids. One feels better when they use topical steroids like Elocon (Mometasone), but it gets worse as soon as it is stopped. You need to stop using steroids and start taking following medications A. Pimecrolimus, 1 % Cream, apply once at night. B. Metronidazole gel 0.75 % apply once in the morning. C. Use sunscreen every three hours during day time. D. Capsule Doxycycline 40 mg once a day. E. Tablet Fexofenadine 120 mg once a day. Do this for 20 days and then follow-up. Please stop using topical steroids for this." + }, + { + "id": 29140, + "tgt": "My daughter has high SGPT. Is it due to liver damage?", + "src": "Patient: Hi doctor, My 2 year old daughter had an abscess on left side of her face. \u00a0We got it operated and the biopsy result found to be\u00a0tuberculosis. But, 45 days of TB culture report came back negative. It was operated a year ago and she was started on TB drug. The medicines prescribed were tablet Macox ZH kid 1.5, Combutol 200 1 tablet daily, Livolexin 3.5 ml and Hycibex 5 ml. Yesterday, her LFT values showed SGPT 43 against normal laboratory value of 35 \u00a0and SGOT 23 against normal value of 35. Rest everything\u00a0are normal. It appears that SGPT value is very high. We are worried as her liver might have got damaged. Kindly prescribe some medicine. She had Combutol for six months and within a month Macox ZH kid was replaced by Macox plus. She does not have active TB now. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5696, + "tgt": "Can my OCD get cured with lower dose of medicine?", + "src": "Patient: Hi doctor, I have brain lesion in the left temporal lobe size 0.9 mm as found in brain MRI. I had seizure twice two years ago. I am also suffering from OCD. Fluoxetine 40 mg has been very effective in treating OCD, but caused memory problem, speech problem and lack of concentration. When can I lower my dose? Can I cure my OCD with lower dose? I am medicine compliant and after trying several SSRIs found Fluoxetine effective in lowering obsessions, intruding thoughts and compulsiveness. Please help me. Doctor: Hi. For Obsessive compulsive disorder (OCD) you have to take medications. Less than 40 mg Fluoxetine will not be effective. So, continue the same dose. Chances of relapse are very high in OCD cases. As you are having it for six years it is better to continue the medication. Take multivitamin and Tetrafol 1 (Folic acid) along with it to improve cognition. May I know, till now how many episodes you had? Revert back with the answer to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25940, + "tgt": "Can a minor head injury due to fall from a height result in brain tumor?", + "src": "Patient: Hello doctor, My now 18-year-old son fell from a height 14 years ago. He got a minor injury. I consulted a neurologist for a CT scan just for my satisfaction. But, the doctor said no he is absolutely fine. I am still worried whether in future he will suffer from a brain tumor because of this injury. Doctor: Hello. First of all, I would like to inform you that head injury is not a major risk factor for a brain tumor. Most of the brain tumors occur because there are genetic predispositions and mutations in germline cells and no such event occurs due to head injury. Secondly, since he just fell down and there was just a minor injury, I can assure you that there is no risk from that fall during his lifetime. Regards, For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1909, + "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": 25663, + "tgt": "Can tonsil pain have any association with HIV?", + "src": "Patient: Hello doctor,I had unprotected sex once and had a fever within a couple of days of the exposure. A couple of years have passed by and I have started getting headaches and symptoms like sinus and tonsils. I went to the ENT and I was told I had grade 3 tonsils and it is better to go for surgery. I took a major surgical profile test and they also did an HIV test at the same time. The HIV test showed non-reactive. This was a year back. After that, I was never involved in any unprotected sex. Please let me know if tonsils have anything to do with the HIV and also comment on that I have got tested for HIV after three years of unprotected sex. I got tested for tonsils at multiple places. Few say go for surgery and few say no need for a surgery. Can someone please help? Doctor: Hello. Tonsillitis is not a specific sign of HIV (human immunodeficiency virus) infection though it may happen more commonly in those who are HIV positive as compared to the others. Moreover, a negative HIV screening test result after three years of risk exposure rules out HIV infection with certainty. As far as surgery for tonsillitis is concerned, it would be best for you to go with the advice of an ENT (ear, nose, and throat) surgeon. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23647, + "tgt": "How can I reduce pain when changing dressing of infected wound?", + "src": "Patient: Hello doctor, I have had my foot sole stabbed by wood recently and unfortunately, it got infected. Now every day I go to the hospital to change the dressing. The wound is just at the center of my right foot sole, please tell me how to reduce the pain when dressing change. The nurse uses the alcohol pad to wash the wound, bring me to tears every time. She only explains that the wound area is too sensitive. Doctor: Hello. I can understand your concern. For infected wound, you have to do regular dressing and an anti-inflammatory drug can be prescribed for that. Ibuprofen like anti-inflammatory drug will be helpful in relieving inflammation. Infection involves inflammation component as well and because of the release of the inflammatory mediator also, so pain can be there. An antibiotic course also should be taken for the infected wound. When after few days wound get converted into healing wound pain will subside. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1497, + "tgt": "I get painful acne with discharge and scars. Please suggest solution", + "src": "Patient: Hello doctor, I have had acne since three months. I cannot get it to stop. I am a 45-year-old female and have not had issues since I was a teenager. I do not know what is going on. It is mostly on my chin. Occasionally, it will be on my forehead and nose They are very painful with clear drainage. It leaves terrible scars. Everything I have tried makes the acne worse. I have very sensitive skin. I am not sure what to do. What are your suggestions? Currently, I am on Ativan, Ambien, Lamictal, Effexor, and L-methyl folate. Doctor: Hello, Welcome to icliniq.com. Are you a diabetic? Are you using any hormonal supplements? Since when your taking tablet Lamictal or Effexor? Lamictal in few cases may cause drug-induced eruption and acne. Effexor also cause rash. I saw your images not clear (attachment removed to protect patient identity), but it shows the pustular and nodular type of leisons followed by healing with pigmentation. You may use Clindamycin gel local application twice a day after face wash. Apply only the area that pustular acne are. Do not apply near the eye. You may take capsule Doxycycline 100 mg twice a day for one week. Check your hormonal status like serum estrogen and testosterone levels. Check your blood sugar levels. Avoid chemicals (new soap or creams) application on the face. If you developed any allergy to the above drugs please stop it immediately and consult with your physician." + }, + { + "id": 19164, + "tgt": "Is it safe to take Telma 40 and Dilzem tablets together?", + "src": "Patient: Hello\u00a0doctor, My father recently underwent an\u00a0operation\u00a0on his right leg, that is, PFN. After the operation was performed, an echo was done on the 16th of last month. The echo pressure is 75 mmHg and RA-RV were dilated. So, the doctor suggested the following medicines: Dilzem SR twice a day. Lexilactone half tablet in the morning. Eliquis 5 mg twice a day. On the 5th of this month, an echo was done again. The pressure was 40 mmHg and normal RA-RV. We consulted the doctor on the 17th, and he suggested the following medicines:\u00a0 Dilzem SR 90 twice a day. Equilis 5 mg twice a day. Telma 40 at night. Is it safe to take Telma 40 and Dilzem\u00a0SR both tablets together as both lower the blood pressure? His\u00a0BP is 126/80. Before the operation, my\u00a0father took Telpress am 40 regularly. Doctor: Hello. Regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 429, + "tgt": "My dad's feet are so puffy. Why?", + "src": "Patient: Hi doctor, My dad is 83 years old. He keeps coughing up phlegm and sleeping all the time. He is cold and his feet are very swollen. His feet are so puffy\u00a0and he feels difficult to wear shoes or walk. He weighs about 300 lbs. He is suffering from congestive heart failure. Currently, he is on Lisinopril for blood pressure, Potassium supplement and Furosemide for water retention and Cetirizine for allergy symptoms. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28110, + "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": 16902, + "tgt": "How long does cortisone stay in the body?", + "src": "Patient: Hi doctor,I am a 53 year old female. I have had a cortisone injection for a flare up of adult-onset Still's disease. I would like to know, how long the cortisone stays in the system? Doctor: Hello. Hope this helps you and get back if you have any doubts. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1471, + "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": 4967, + "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": 18905, + "tgt": "How to know if abortion was successful or not?", + "src": "Patient: Hi doctor, I found out that I was four weeks pregnant last Tuesday. I took Misoprostol sublingually three times on three hours interval. Later that evening, I had serious cramps and diarrhea. I bled a little and passed out blood clots twice. Then the next day, I noticed I was passing out blood tissues. I felt the drug did not work. Two days after, I took another 4-pill of Misoprostol. I had fever for some few hours plus diarrhea and cramps. I bled a little few hours later. Was the abortion successful or not? Doctor: Hello. Medical abortion is available once a pregnancy is detected via ultrasound (usually around five weeks) up to nine weeks (63 days) gestation. The abortion is achieved using a combination of two medications which work together to terminate a pregnancy. If you feel it is incomplete abortion, I suggest you meet your doctor and get a scan done to confirm that the abortion is complete. If it is not complete, the doctor may advise you what to do next. If it is crossed nine weeks, he may plan a surgical method. Please consult your gynecologist at the earliest. He/she 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": 30024, + "tgt": "Why did not I get my periods after delivery?", + "src": "Patient: Hello doctor, 11 weeks ago, I delivered my baby. I breastfed for only one day. But, my breasts continued to leak heavily for four weeks. I bled for three weeks and\u00a0I still have not had my first period. I have taken a few pregnancy tests. All are negative, except one, which was a faint positive, which a minute later changed to negative. I took a test again and straight away became negative. I have PCOS and my periods do not get delay for more than a week. During my last pregnancy, I did not get positive pregnancy result until I was 2 months pregnant. Doctor: Hi. It seems that you have delivered two to three months before. It is normal that you bleed in less amount up to one and half month. It is absolutely normal. After delivery, you do not ovulate at least for three weeks and on average for three months. So, you do not have periods. Sometimes, you may have an irregular period for more than three months and that is why urine pregnancy test is negative. Your hormonal cycle can be irregular for some time after delivery because it was almost blocked for 9 months during pregnancy. For further information contact an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6653, + "tgt": "Using ayurveda how to regain my vigor, vitality and strength lose due to masturbation?", + "src": "Patient: Hello doctor, I am 40 years old and married. I was under the influence of masturbation in early life and could not snap out of it until I got married a couple of years back. I am currently experiencing weakness, lack of energy and enthusiasm, concentration, irritable mood, and forgetfulness. I am not able to enjoy my sexual life with my wife. I look dull, feel tired, and the brightness of my face has also gone. In view of the aforesaid circumstances, I most humbly request your kind self to prescribe some ayurvedic medicines that will help me get rid of these problems and regain my lost vigor, vitality, strength, memory power, etc. Doctor: Hello. I understood your concern. Decreased or lack of proper erection of the penis is known as erectile dysfunction. Stress, anxiety, smoking, drinking, medications like antacids, high cholesterol, high blood pressure, diabetes, obesity, and low testosterone may cause such kinds of issues. Mostly it is psychologic, that it is due to masturbation. So you can restore your health naturally through ayurvedic medicines and yoga practices. Take: 1. Dabur Mushli pak Laghu 3 gm with warm milk after meals. 2. Dhootapapeshwar Makardhwaja Gutika 1 tablet twice a day with ghee. 3. Dabur Ashwagandha Avaleha 3 gm twice a day before food. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Do regular kapalbhati Mandukasana and Ardha Matsyendrasana as well as pranayana like Anulom Vilom, Nadi Shodhana and Bhramari. Follow up after one month." + }, + { + "id": 21154, + "tgt": "I have severe back pain and severe migraine. Please help", + "src": "Patient: Hello doctor, I am an 18-year-old female. I weigh 126 pounds.I started having severe back pain. It feels like someone is crushing my spine and I have a migraine, it feels like a heartbeat. I cannot eat or drink without getting sick. I do not know what to do. Doctor: Hello. Both the conditions are treatable. For back pain, have you done any investigation? In obese patients, back pain is common and called lumbago. Analgesic medication and physiotherapy are beneficial for that. You have to investigate with an X-ray of the lumbar spine to rule out arthritis or degenerative lesion if present. Investigate with serum calcium and vitamin D3 level also. Low level of it also can lead to osteoporosis and so spinal pain occurs. You have mentioned that you are having a severe migraine. For relieving acute attack, if a nonsteroid anti-inflammatory drug like Naproxen is not effective, then Rizatriptan 5 mg tablet can be prescribed to relieve the acute attack of migraine (although migraine has to confirmed before). To prevent repeated migraine a prophylactic like Amitryptiline can be taken. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Excess noise, bright light, lack of sleep and smoking can precipitate an attack. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29374, + "tgt": "I am getting intense back pain and cramps. Could this be a miscarriage?", + "src": "Patient: Hi doctor, I am a 17 year old female. I am on the birth control pill Azurette and have had unprotected sex with the combined pull out method and the pill. Lately, I have been feeling intense back pain to the point of the inability to lay down in bed and extreme difficulty walking. Also, severe cramping in my abdomen and intense menstrual cramps for the past three days. I am due to get my period in a week, and I have not missed a period yet. After looking into the symptoms, I was crazily and probably paranoid thinking about miscarriages. Could this be a miscarriage? There is no bleeding, but the pain is intense. Also, I visited ER three weeks ago with severe vomiting. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23201, + "tgt": "I am having loose motion as a side effect of Pantocid HP? How to stop it?", + "src": "Patient: Hi doctor. I had Pantocid HP after doctor advice and had loose motion 4-5 times. For stopping loose motion what shall I do? For past six days I am taking Pantocid HP kit. No problem except loose motion of about 5-6 times and some weakness. I am taking Bifilac HP one tablet daily and a vitamin capsule. How long loose motion will happen as it is a 14 days course. I know this is a side effect. Can I take electrol powder (ORS) and coconut water? Should I follow any food restriction except spicy food? Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). Pantocid HP kit contains Pantoprazole, Amoxicillin and Clarithromycin and is used in the treatment of gastritis by Helicobacter pylori bacteria. Pantoprazole reduces acid secretion while the other two kill bacteria. Loose motion is a common side effect of Amoxicillin and Clarithromycin. I will suggest you to take Bifilac (probiotic) 3 times a day. That may prevent loose motion from antibiotic and also to replenish your gut flora. Take this after consultation with your physician. You can take ORS (oral rehydration salt) and coconut water. I also suggest you to take Imosac M (combination of Loperamide Hydrochloride and Simethicone) and Racicadotril to stop loose motion till you consult your doctor. Avoid spicy food and take a light diet that your body can digest easily. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19074, + "tgt": "Other than laser, is there a way to treat acne marks?", + "src": "Patient: Hello doctor, I am having acne since one month. I am currently applying Epiduo gel at night. Now, my acne is calming down. I am using sunscreen at daytime. But, after clearing of pimples, my face becomes red. I am currently using Retino-A .025% on scars. Does Retino-A reduce red marks? Or should I go for Glycolic peels? Can I take peels at home? Or is there any other way than laser to treat red marks? Doctor please guide me on this. I have attached the pictures for your reference. Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26292, + "tgt": "What do my CT reports imply in the short and long term?", + "src": "Patient: Hello doctor, My CT scan report says 'serial axial CT scan image of the brain shows normal CSF space, the lateral verticles are symmetrical. There is no midline shift or bleed images. However, it shows a faint area of lacunar infraction along the pons.' What does this imply, short to long term as I am currently normal? The scan was done when I reported a slight right arm weakness which was determined to be nerves. Doctor: Hello. Revert with more information to a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 17626, + "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": 16450, + "tgt": "Why do I have weakness and fatigue with severe body pain?", + "src": "Patient: Hello doctor, I am a female, 18 years old, suffering from weakness, headache, body pains, back pain, stomach pain, and leg pains. Sometimes, not able to bear pain. I am suffering since last two months. Doctor: Hi. You have severe anemia (attachment removed to protect patient identity) which needs to be corrected urgently. Some of your symptoms can be attributed to the anemia itself. However, it is very important to identify the cause of such severe anemia. Please give me more details about your symptoms and get the following investigations done. 1. Peripheral blood film. 2. Hb electrophoresis. 3. USG of the whole abdomen. 4. Serum electrolytes. 5. Liver enzymes. As soon as possible get the tests done so that we can correct the anemia and identify the cause. You may need blood transfusion if symptoms are severe or if there is breathing difficulty." + }, + { + "id": 11628, + "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": 9292, + "tgt": "Is it normal to have numbness and toothache after pulpectomy?", + "src": "Patient: Hi doctor, I had pulpectomy on a lower left tooth two days ago. I am still in pain and the outside of my chin and lower lip is still numb. The dentist told me I would not be in any pain after the procedure, but it is still hurting. I had Ibuprofen 200 mg four times a day. Is this normal to have numbness and to have pain in the tooth? Doctor: Hi. As I see this, there are two issues here. Firstly, the pain in your lower left tooth could be due to a couple of reasons. Whenever there is infection of the pulp, the infection spreads beyond the tip of the tooth; it extrudes the tooth out of its socket within the jaw. When this happens the tooth is painful especially when it touches the opposing upper tooth. The other reason for tooth pain could be that the entire infected pulp was not removed. Either way, you need to go back to your dentist. The second issue here is the numbness of your chin and lower lip. This usually happens when the nerve in the lower jaw gets nicked by the needle while giving the local anesthetic. If the damage is minor, the nerve repairs itself and the normal sensation will return. If numbness persists after two to three months, then you need to consult your doctor." + }, + { + "id": 25447, + "tgt": "I have red areas on my face. Is this rosacea?", + "src": "Patient: Hi doctor, I am almost 22 and I am pretty sure I have rosacea. My face gets flushed frequently around my nose, a small part of my forehead and chin, particularly during summers. I also get small pimple-like bumps on the red areas, especially my nose. Sometimes the tip of my nose also swells up a little. And a small part of my chin is bumpy almost all the time. I have also noticed that my skin has become a little leathery. Like it has aged. This has been happening since two years now. Although it was more noticeable last summer. It seems to go away during winters. I went to two different doctors, two times to each. One of them said it is age-related. And the other one just gave me an allergy medication. Which did cure my condition. But the symptoms started to appear again once I stopped taking the medication. What should I do? Doctor: Hello. I would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition. However, if it is rosacea, I would like to mention few skin care tips here: Take care. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3317, + "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": 7192, + "tgt": "I am suffering from itching all over my body. Please help", + "src": "Patient: Hello doctor, I am suffering from itching all over the body wherever there is hair in the body like in private parts hands, leg, thighs, stomach, back and in scalp and hair quickly falls out when I scratch wherever it itches, and skin flakes fall like rain when I comb my hair. Suffering from 12 years from this problem. Allopathy is not helping much. Doctor: Hello. Sweat glands help to regulate body temperature and moisturize skip. At hairs areas, due to sweat, there is a possibility to develop a fungal or bacterial infection. So keep clean and dry that areas and apply Mahamarichyadi oil to affected areas and during bath you should use Tetmosol soap (Sulfiram). At scalp apply Kerala Neelibhringadi oil at hairs root and do gentle massage with a fingertip for 10 minutes daily at night and wash it with shikakai powder in the morning. Thyroid profile, lipid profile, DHT (Dihydrotestosterone). Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 27862, + "tgt": "What is the risk of getting a hantavirus infection after contact with rat feces?", + "src": "Patient: Hello\u00a0doctor,My partner and I cleaned a garage yesterday and there were a lot of rat droppings. Some may even have fallen on our faces while lifting and moving boxes. I did not think anything of it until I researched hantavirus. We do not have any symptoms, but should we get tested? Can we get tested without symptoms? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8083, + "tgt": "What are the ways to cure rashes on hand and body?", + "src": "Patient: Hello doctor, I have got rashes in my hand and my body. I have been taking Ozith 500, Montex l tablet, Axytop soap and Notacalamine lotion for the past three days but there is no result. Doctor: Hello. With the details you have provided I understand that you are suffering from rashes over the body and hands. Also that you are taking the following medicines: 1. Ozith = Azithromycin (antibacterial). 2. Montex = Montelukast (anti-leukotriene). 3. Axytop soap = Ketoconazole (anti-fungal). 4. Nocalamine lotion. It seems that you are using multiple drugs without a clear basis unless some doctor has examined you and prescribed the same. Please follow these suggestions (advice). 1. If you have taken Ozith for three days, it is enough. Unless the doctor who prescribed it had asked you to take for longer. 2. Stop using Axytop soap unless you have some fungal infection over the body. With regards to the above two points, I wish to know whether the soap and tablet were prescribed by some doctor and if so for what complaints? This will help me assess your condition and arrive at a more decisive diagnosis regarding what has caused the rashes. 3. Continue Montex tablet. It should be Montelukast 10 mg. If it is 5 mg, take a 10 mg tablet. Take Montex once daily preferably in the morning. 4. Continue to apply Calamine lotion. It is soothing and reduces itching also. 5. Take Levocetirizine 5 mg once in the morning and once in evening for two days and thereafter once a day for next two days. This is an anti-histaminic which reduces histamine release and function and help reduce allergy. Alarming signs: Please rush to the doctor or a hospital if you find any of the following problems. 1. Difficulty in breathing or swallowing: it can be because of angioedema, one of the manifestations of allergy. 2. Worsening of rashes and intense itching and redness. 3. Giddiness or weakness to the point that you are not able to do routine activities. In the above cases, it signifies that the condition cannot be treated at home, you may require some steroid injections to help reduce the inflammation that is threatening your life. Kindly provide me with the details I have asked for a more decisive diagnosis and specific advice. Till then I have suggested certain points to you. Hope you get relieved soon." + }, + { + "id": 29832, + "tgt": "I need a second opinion regarding my father's scan reports", + "src": "Patient: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter? Doctor: Hi. Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 488, + "tgt": "I have elevated lipid profile and low vitamin D. Should I start medicines?", + "src": "Patient: Hello doctor, I am 39 years old. Recently I have done some health check ups. The report shows my LDL cholesterol is 140, Triglycerides -165, HDL-30. Should I take any medicine? Or should I start walking or exercise? My vitamin-D level is 20.15. What medicine should I take for my low levels of Vitamin D? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Your lipid profile and liver enzyme ALT are deranged and Vitamin D is low. For low Vitamin D, you should have tablet Uprise D3 (or Calcirol sachet) 60,000 units once a week with milk for eight weeks. After eight weeks, you should have it once a month for the next six months. Now the liver enzyme is deranged likely due to fatty liver, which is related to deranged lipid profile. You should get an ultrasound of liver to confirm it. Now since LDL (low density lipoprotein) is moderately elevated, you may give a try of a healthy lifestyle. So you should have a healthy lifestyle like avoiding fatty, oily, high calorie foods. Avoid fried, fast food, egg yellow, non veg consumption, and avoid excessive oil. Do not reuse the cooking oil once used for frying. Have regular exercises like brisk walking or running according to the capacity for atleast 30 minutes a day. Repeat lipid profile after eight weeks and if there is a response then should continue a healthy lifestyle or else will medications like tablet Atorva (Atorvastatin) 10 mg bedtime once daily for six to eight weeks. I hope this helps." + }, + { + "id": 9125, + "tgt": "I am getting pain on insertion of penis. Is it due to fear or physical pain?", + "src": "Patient: Hello doctor, I get pain when my husband inserts, but I am not sure it is because of fear or physical pain. I contract my muscles and thighs, and he is not able to do it. We are not having proper sexual intercourse. I get highly wet too but contract myself when he inserts. Please help. I feel it is more of mental blockage. Doctor: Hello. It might be mental stress or fear. But you must get checked up from gynecologist to ensure there is no physical problem. Some women do have strong constrictions and pain during sexual intercourse. If you still feel it is a mental issue than following tips may help, 1. Discuss with your husband before having sexual intercourse. 2. Read about female sexual stimulation process and the reproductive system. Learning about your body also reduces fear. 3. Learn and discuss sexual intercourse process through reading or consulting an expert." + }, + { + "id": 19985, + "tgt": "I have nausea and vomiting every day because of acidity. Please help", + "src": "Patient: Hello doctor,I have a problem of acidity. It feels like a condition when a woman is going through morning sickness. I am 21 and single, but every morning I feel nausea and cannot eat anything until I throw up. Any slight stress, excitement, or sadness increases acidity that I am not able to eat anything unless I puke. I have a history of H.pylori but it has been treated with the triple line therapy, but since then I have this problem of acid reflux, and especially then when do not get sufficient sleep. Because of that, I have lost 9 pounds. I try my best to get sufficient sleep but eight hours seems not enough for me. This whole thing started since I had H.pylori. Although it was treated, these kinds of symptoms have developed since then and are very irritating. Please help. Doctor: Hello. The root cause for your acidity is stress and please concentrate on the causative factor of stress. If you come to know what is the causative factor, then try to plan how to face or avoid in a non-stressful way. If you are facing problems please consult your neuropsychiatrist. He will guide you how to face it. You also need cognitive behavioral therapy also. Avoid spicy food and caffeinated drinks. Avoid high spicy non-vegetarian food. Eat more fruits and green leafy vegetables. Eat dry fruits and nuts. Use tablet Nexpro-L (Esomeprazole and Levosulpiride) in the morning before breakfast. Use syrup Sucral (Sucralfate) two teaspoons thrice a day. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7341, + "tgt": "What are these red bumps on my knuckles?", + "src": "Patient: Hi doctor,For as many years as I can remember I have these red bumps on my knuckles on the top of my hand. The funny thing is, every time when I am pregnant they disappear. Can you tell me what it could possibly be? I have eczema, but that does not go away during pregnancy. Doctor: Hi. I have seen your pictures and descriptions (attachment removed to protect patient identity). Vitamin B12 deficiency. ANA titer (antinuclear antibody). Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11449, + "tgt": "I have a tingling sensation in my hands and feet. Can it be due to anxiety?", + "src": "Patient: Hello doctor,I am a 26 year old female. At the beginning of this year, I had a bad cold, and two weeks later, I had a\u00a0tingling in the wrists, feet, and legs, which the doctor said was reactive arthritis which lasted a few weeks. Then, the first time my left hand felt weak was five months back. It felt weak, more so at rest but, when I had to grip things, I was able to. I went to a physio and had a neck massage as my back was also tense and the next day, the weakness was gone. So, the massage helped it. Now, more recently, I had foot weakness on the left side and a weakness and very mild tingling in hand. Again, my back is very tense and tight from gym and work position.\u00a0As soon as I get this, I get very anxious, and I feel the tingling gets worse. The only difference in daily activities is lifting weights at the\u00a0gym, weighted squats, and heavier arm exercises. I used the foam roller on my foot last night, and today the foot weakness was gone. The foot weakness lasted 12 hours on and off. There are no problems walking or anything like that. It just felt weaker but, it was not. The weakness always comes randomly but, I do seem to always have a tight back when the weakness occurs as well. Could this be MS? Does it sound like it? I am extremely worried now. I have never been diagnosed with it. I have just read about it online. What could this be from? I went to the opticians last week, and my eyes were fine. There were no eye symptoms. It was just a standard check-up. My eyes were said to be perfect. I do not have any bladder or bowel symptoms and no other weakness anywhere else. Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 24111, + "tgt": "Please explain the echo report in detail along with remedy", + "src": "Patient: Dear doctor, My mother has some problem. Nothing specific, but a general weakness with increased heart rate sometimes. After a course of gastroenterology specialist checkup, no abnormality was found in the gastrointestinal tract. But, now an echocardiography reveals some type of dysfunction in the heart. I attached the echo report. Please explain the report with the remedy and how serious it may be. Explain in detail. Doctor: Hello. I have gone through your mother's reports (attachment removed to protect patient identity). The LV (left ventricular) diastolic dysfunction in the echo is normally seen in females of her age and is not a cause for worry. The heart rate in both the ECGs (echocardiogram) you uploaded is in the high normal range. The potassium at 3.1 is low, and that could be the cause of weakness, along with anemia for which she is receiving iron therapy. The heart appears fine to me. Regards and all the best. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24711, + "tgt": "Why is the DHEA level high and what does it mean?", + "src": "Patient: Hi doctor, My daughter is 15 years old and she has high levels of DHEA (dehydroepiandrosterone). In the first test, it was 641 and 381 in the second test. She took her test when she had periods, normal testosterone and thyroid antibodies. She always had a deep voice and body hairs on her chest and stomach. She was taking birth control pills two months ago because of her irregular periods. Routine blood test for being on birth control revealed the results above. Her cholesterol and lipids are high as well. She is not overweight and she has a healthy diet. My concern is why there is a high level of DHEA sulfate and what does it mean? Doctor: Hello. I just read your query about your daughter. It appears that your daughter has irregular menses and hirsutism which is mostly due to polycystic ovarian disease. DHEA means dehydroepiandrosterone. The levels are usually raised in two conditions: If the testosterone levels are normal as in your daughter\u2019s case, then this rise is due to polycystic ovarian disease and congenital adrenal hyperplasia is ruled out. Polycystic ovarian disease is responsible for your daughter\u2019s excessive hair on her body and rest of the symptoms. It is usually treated with oral contraceptives. Hope you find my advice beneficial. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14775, + "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": 12247, + "tgt": "Kindly suggest some solution for sudden knee pain", + "src": "Patient: Hi doctor, This morning I got sudden knee pain. Since then I am having difficulty walking or moving my knee. I did not get my knee hurt. Please suggest some solution. Doctor: Hello. Thanks for writing to this platform. You have written sudden onset pain in the knee region since morning with no history of any injury to the knee. Also, I want to actually know whether there are any associated signs or symptoms of any inflammation like skin redness, swelling, local warmth, etc? If it is just a localized knee pain with no associated symptoms, my advice to you will be: Do not hesitate to contact me should you need any further information/SOS (as necessary)." + }, + { + "id": 22250, + "tgt": "I had a bump between scrotum and anus. Was it a wart or STD?", + "src": "Patient: Hello doctor,Recently, I found a bump in the area in between my scrotum and anus. The dermatologist removed it and sent to lab. Lab said it was a viral verruca. The doctor said this most likely is not an STD and more of a normal wart in a weird location. Should I consider this not as an STD and move on with my life? Doctor: Hi. I have gone through your case in detail. In my opinion, wart in this area is likely to be transmitted through sexual contact. So, it is part of STD (sexually transmitted disease). You need to undergo complete workup of STD and then move ahead. This is not a location of a common wart. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2679, + "tgt": "Can draining eustachian tube improve vertigo?", + "src": "Patient: Hello doctor, I have been having vertigo for over five weeks. I was prescribed Doxycycline and Mescline. Unfortunately, the Mescline did not make me feel better. I think my issue is that my eustacian tubes are clogged and need to be drained. How can I do this? Is there a medicine? Doctor: Hi. Ear blocking sensation with vertigo for five weeks especially if it is bilateral is unlikely to be due to eustachian tube dysfunction. Eustachian tube dysfunction in general does not cause significant vertigo unless there is associated infection of middle ear or fluid in the middle ear. Since you do not have pain, it iis unlikely to be due to infection of middle ear. So possible cause can be fluid in the middle ear (glue ear) which is usually due to long standing eustachian tube dysfunction. Most of the times it is a self resolving condition. Treatment for this condition is symptomatic with anti-vertigo medicines such as Cinnarazine or Betahistine taken every day for a week. For fluid in the middle ear you can use decongestant nose sprays such as Oxymetazoline or Xylometazoline. Steam inhalation two times daily also can be beneficial. If these medicines do not work, then detailed examination of ear for inner ear dysfunction and hearing tests such as Pure Tone Audiogram and Tympanogram may be required." + }, + { + "id": 15330, + "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": 4238, + "tgt": "My TVS showed thickened endometrium. Is it of concern?", + "src": "Patient: Hi doctor, I had symptoms of brown discharge and suggested transvaginal scan which shows thickened endometrium and impression of mildly bulky uterus and cervix. Please see the attached scan report. All blood tests are normal like TC, DC, ESR, Hb, T3, T4 and my TSH is 0. 92. Please suggest whether it is of any concern. I am undergoing medication for last 10 days Sysron-N thrice daily and since then I am not having any brown discharge. I had C-section delivery before 9 years and then had a D and C abortion four years back. I also have problems of irregular periods. Doctor: Hello. I have gone through your history, report (attachment removed to protect patient identity) and understand your concerns. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18724, + "tgt": "Following fracture, my finger appears to be tilted. How to correct it?", + "src": "Patient: Hi doctor, I had a crack in my ring finger. But, after the plaster, the finger tilted towards the little finger. How to get it straight? It has been one week since the plaster is removed. Please help. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4475, + "tgt": "Is adenoid removal mandatory to get cure from severe ear pain in a 5-year-old boy?", + "src": "Patient: Hello doctor, My 5-year-old son has been complaining of severe ear pain (just right ear) and occasionally says that he hears a sound in the same ear. When he is abroad he has a nonstop cold, phlegm and chest congestion. But when he travels here he is absolutely fine. He also suffers from nose blockage and struggles to breathe through his nose. He breathes through this mouth only most of the time. The doctors abroad suggested surgery to remove his adenoids. However, when he is here he is absolutely fine and the doctors are against surgery. Could you please suggest what is the solution for his suffering? Doctor: Hi. Have you taken an adenoid x-ray? Can you upload the x-ray if you have taken it? Do you think there could be some allergen in his place abroad which could be causing allergy and nose block in your son? Does he take food properly? Is there any dust inside the house abroad? Any chance of pollens or house dust mites? Does he have any sneezing or running nose? Does he show any rashes over his body? The ear pain is there only in the right ear and when only he stays abroad? Does your son have an ear problem here? Do you feel he has hearing loss from that ear? Have you covered his normal ear and checked the hearing from his affected ear, let me know? Can you upload the relevant x-ray and blood tests? What we are worried if the adenoids are causing ear block this can lead to compromised development as your son will have some hearing loss. Removal of adenoids will take care of this problem. You may have to get some ear tests done. Meanwhile, the allergy may aggregate the problem in when he is abroad and here it may not be aggravated. But adenoids will not lessen in size even while in India." + }, + { + "id": 23243, + "tgt": "How to find the reason for chest pain? Will you suggest tablet for gastritis?", + "src": "Patient: Hi doctor, My grandmother is 68 years old. She has a habit of drinking almost every evening, but not too much. For the past three days, she has had this acute pain in her back area right below her shoulders and has spread to the front of her chest. She has lost appetite and has not eaten much in the past three days. Our local physician said that it is due to some sort of stomach irritation from the increase in her white blood cell count. The doctor prescribed some medication, but it does not seem to be of much help as her pain is still there and increasing sometimes. I have listed the medications. Zerodol-P, Fexokast, Rabidoc-LS and Antacid gel. I would be very grateful for some medical advice. Doctor: Hi. Revert back with the investigation report to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9937, + "tgt": "Can CT be used to check ascending aorta?", + "src": "Patient: Hello doctor, I recently had an echo done a month ago. It came back normal. I was reading my finding and I saw it was an enlarged ascending aorta at 3.7. They never said anything about that. So I got an appointment to go to a heart doctor and he looked at my echo and said everything was fine. But I told him I would like a CT scan with contrast to see was this true. So I did my CT chest with contrast. It came back with no finding, no aneurysm and my ascending aorta was 3.3. Is the CT more accurate or could the contrast block it? I am just asking. This is confusing to me. Doctor: Hello. Regarding your concern, I would like to explain that contrast enhanced angio CT is very accurate at delineating the aorta anatomy, its dimensions and any possible abnormality like enlargement or aneurysm. As your CT scan has resulted within normal ranges you should relax and not worry about it any more. You may perform an angio MRI after a distant period (after several years), if it is required by your doctor, as it has no radiation." + }, + { + "id": 14412, + "tgt": "My mother had tablets for urinary infection and now she is having diarrhea. Please advice", + "src": "Patient: Hello doctor, My mother had a urinary infection caused by Escherichia coli. She was treated with a 10 days course of Nitrofurantoin. The count of bacteria in her urine then was 500 hpf and 50 WBCs. Her symptoms were relieved. But after a week, she feels slight burning sensation now. During the infection period and now she has been having an urge to go to the toilet quite often and some irritation while passing the stools too. The stool is watery. We got her routine blood tests done and her WBC count in blood is slightly higher. She has no fever. Please advice. Doctor: Hello. I reviewed all the attached reports (attachments removed to protect patient identity). Your mother has the stomach irritation and loose stools due to the medicines she had taken. She will be relieved from this in 2 or 3 days. She has iron deficiency anemia. So, you should give her foods which are rich in iron like spinach, red meat, and eggs. Also, you should give her plenty of fluids and cranberry juice. This will help her in her urinary tract infection (UTI). I suggest the following medicines for her." + }, + { + "id": 17625, + "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": 4371, + "tgt": "Kindly explain why I feel sick and sweaty after sleeping in the afternoon", + "src": "Patient: Hello doctor, I am 22 years old, male. I have one weird problem when I take snap at afternoon, I am feeling sick and sweaty and when I do not, I am feeling normal, what problem is this? Doctor: Hello. In afternoon especially after lunch, one tends to feel sleepy as maximum blood is diverted to the GIT hence one may feel drowsy and lethargic and weaker. But if you tide away this episode then endorphins take over and you may feel energetic and normal." + }, + { + "id": 22723, + "tgt": "My hemoglobin count is low. Is it due to iron deficiency?", + "src": "Patient: Hello doctor,I had my blood testing done yesterday. Rest all reports are good except for my hemoglobin count. The following pointer is highlighted:Hemoglobin- 8.4 g/dL.Eosinophils- 7.4 %.Monocytes absolute count- 0.14 x 10^3/ul.Basophils absolute count- 0.01 x 10^3/ul.Hematocrit (PCV)- 32.6 %.Mean corpuscular volume (MCV)- 71.5 fl.MCH- 18.4 pq.MCHC- 25.8 q/dL.RDW-SD- 51.6 fL.RDW-CV- 20.3 %.PDW- 7.5 fL.PLCR- 11.5 %.Considering above test results, is there anything serious to be taken care of? Is it just due to iron deficiency? How should it be prevented? Could you suggest what could be done for the same? Doctor: Hi. Your Hb level is low and blood indices also low. Your serum iron level as well low. Hence, it is suggestive towards iron deficiency anemia. For further workup, peripheral smear examination and serum ferritin investigation have to be done. You need to have a prescribed iron tablet that contain good elemental iron like Orofer XT like tablet containing Ferrous Ascorbate with elemental iron 100. This tablet can be taken until bone marrow iron storage gets normal. That is why I recommend serum ferritin testing as well which reflect iron store. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2123, + "tgt": "I have swelling in right side of neck with lower back pain and wrist pain. Please help", + "src": "Patient: Hello doctor, I have swelling in the right side of my neck (location: supraclavicular lateral to sternocleido mastoid muscle) for about one month. I also have left lower back pain towards the mid axillary line. It is not superficial pain but pain on deep press for about two weeks and right wrist tendon tear for about four months. Please help. Doctor: Hi, Welcome to icliniq.com. It seems you are suffering from muscle problems passing through the spine. I simply suggest you only three things at first. 1. Wear soft collar. 2. Wear wrist band. 3. Back strengthening exercise for low backache. You can take pills like Advil (Ibuprofen) or Aleve (Naproxen) once a day after food. Doing hot water fermentation will also help reduce pain and swelling. Moving head in a circular motion, clockwise and anti clockwise, bending left to right and right to left and moving the head up and down holding for 5-10 seconds. This staring exercise will reduce neck pain. And for wrist tear wear a wrist band and take Aceclofenac tablet. Do not put pressure on the injured hand as it may increase more danger to the tendons. I advise you to get: 1. X-ray or MRI of cervical spine AP (anteroposterior) and lateral view. 2. X-ray of the wrist joint. Strain and stress, improper posture. X-ray of the cervical spine and lower back. X-ray for the wrist joint. After two days." + }, + { + "id": 28663, + "tgt": "I had periods after sex, but no periods since then for two months. Why?", + "src": "Patient: Hi doctor, I had sex and took a pill after two days. Again in a gap of three days had sex and took an I-pill. 10 days later, I had periods, and after that, I have not bled since then. I took three home pregnancy tests which showed negative. What could be the reason? I am on regular Thyronorm 62.5 for hypothyroidism. I had ovarian cyst four years back, which was treated with medicines. Doctor: Hi. One thing is clear that the pregnancy test is negative. Also, you took the pill well in time and also got the withdrawal bleeding. We will have to investigate the reason for not getting periods. Get an ultrasound pelvis done. There can be ovarian cyst again as they tend to recur. Also, I suggest you take progesterone tablet like Medroxyprogesterone 10 mg daily for three days and see the response. Consult your specialist doctor, discuss with him or her and take treatment with consent. You may discuss your scan report if you like and I will guide you further. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23384, + "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": 11866, + "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": 17769, + "tgt": "I would like to get a proper diagnosis regarding my high hs-CRP", + "src": "Patient: Hi doctor, I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal.\u00a0My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets.\u00a0My vitamin B12 is also on lower side. I am married for 11 years now. I am taking the diet similar to wife, but her vitamin B12 is almost close to 900.\u00a0My hs-CRP is high.\u00a0I also get skin wounds regularly.\u00a0I want to rule out whether I have celiac disease or dermatitis herpetiformis or any other underlying disease? I would like to get a proper diagnosis of the above conditions before going in for any medication. Doctor: Hi. Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows: Repeat the lipid profile and revert back to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23193, + "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": 721, + "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": 9951, + "tgt": "How can someone cope with depression?", + "src": "Patient: Hello doctor, I got married last year and I noticed that my wife feels down for a day or two every few weeks, most of the times she has a reason but she overreacts, and recently we had some financial problems and she faced some troubles at work that she considered might effect her career and it has been a week now, she feels depressed, but she refused to seek a professional opinion about her case and she is not taking medication for her depression. She suffered certain hard circumstances at her childhood and teenage years and I need your help to know how best I can deal with her and what can be done for her to feel better. Doctor: Hello. Your wife will benefit by counseling or talking therapy to address her past adverse childhood experiences and help her manage her low mood. When a person is depressed, their thinking can be distorted and can view even slight setbacks in a catastrophic manner. You continue to be considerate and supportive in dealing with your wife's emotional problems. Try to have an open talk with her whenever she is ready. Do not force her to talk against her will but if you continue to offer support she will gradually be more receptive. Encourage her to eat well, sleep regularly and go for regular walking. Take care." + }, + { + "id": 29837, + "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": 6224, + "tgt": "My son is suffering from hearing loss due to encephalitis. Is there any alternate for cochlear implant?", + "src": "Patient: Hello doctor, My 2-year-old son got encephalitis 40 days back, and he was discharged in five days from the hospital. He recovered very well. We noticed hearing loss from one month. Bera test report shows profound hearing loss, but MRI and Ct are fine. My doctor suggested a cochlear implant. But we want to know if any other alternative is possible like giving steroids? Doctor: Hello, Welcome to icliniq.com. Surviving encephalitis is like getting another life, given its drastic complications. But the risk of developing long term complications often creates problems. Hearing loss occurs in approximately 2-4% following brain infection. It was rightly detected with BERA (brainstem evoked response audiometry). Having profound hearing loss means it is a severe form of hearing loss. Options for the treatment of hearing loss: 1) Treating the underlying condition, if still persisting. (in your case it is already cured). 2) Hearing aids, as many varieties are available. It improves hearing but does not restore hearing to normal. 3) cochlear implants for severe to profound sensory neural hearing loss, or when hearing aids fail. The younger the child at the time of hearing loss, and the delay in diagnosis can affect hearing and communication skills. As your child is above 2 years, and you have identified the problem early enough, the main aim is to develop his communication skills, which can happen with adequate hearing. And good results are achieved with proper treatment. Giving steroids for your child would not solve this problem. Steroids are given during the acute infection process of the disease to prevent some complications from occurring. Your child would require a multidisciplinary approach including pediatrician, audiologist, speech therapist, ENT specialist, and psychologist, or behavior therapist if required. Going for cochlear implant seems to be the better option for your child. Because hearing can affect communication and interaction, it has to be tackled properly with appropriate treatment options. Observe for visual difficulties, because they would depend on the vision for understanding the language until they have good hearing. Cochlear implants are also known to give better vocabulary compared to hearing aids. You can discuss treatment options with a ENT specialist. I hope this helps." + }, + { + "id": 14405, + "tgt": "Can a patient with PCOD and lighter periods get pregnant?", + "src": "Patient: Hello doctor, I have PCOD. My period is on the time but stays for 1 to 2 days and bleeding is very less. I am trying to conceive. The doctor gave me Dronis-30 and Rejumet tablet. My weight has also increased. Can I conceive? And two years ago the doctor gave me the Gardasil vaccine. I used Novelon two years ago but the period condition is the same. Doctor: Hi. Yes, definitely you can get pregnant. PCOS is a condition which can be easily reverted by diet, exercise, yoga, lifestyle modifications, and physical fitness. Get started with Folic acid supplements. Continue taking the medication as prescribed by your doctor. Try during your fertile period which is between 12 to 24 days of your periods. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 29425, + "tgt": "I was always bullied as I am a transgender with cleft palate. What would I do?", + "src": "Patient: Hi doctor, I am 26 years old. Since I was a kid, I was always bullied because I was born to be a cleft\u00a0palate. Also, I am a transgender. My parents, especially my father did not care for me. Instead, he will just keep on scolding me. He will compare me to my other relatives, and he will hurt me. I stop studying in college for almost four years because I was bullied. I envy other people because they were born with no physical defect. In order for me to be appreciated, I just lie to my parents. I seek love to other people and crave for attentions. I pretend to be a girl to my previous and present boyfriend, and I always get hurt. I do not want to hurt anyone, but I cannot help myself to pretend to be a girl with a perfect face because all my life I was always being bullied. I always want to experience to be normal. For me to escape from reality, I just think of the happiness that I could have with my boyfriend. Although my friend does not know that I am not a real girl and I am not the person he sees me in the picture. There are moments and times that I want to commit suicide because I am so depressed and so problematic in family, school, love life and my future. I have planned that once I got work, I want to have surgery to be a transgender, to be beautiful and so that they will not reject me anymore. Please help me. I cannot understand myself anymore. I am always emotional, but sometimes I am happy. But, most of the time I am very lonely. What would I do? Doctor: Hello. For further information consult a psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12541, + "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": 10486, + "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": 29642, + "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": 1795, + "tgt": "My ears are blocked with pain and discomfort and ear drops did not help. Why?", + "src": "Patient: Hello doctor, My ear has been blocked for the past three days. There are mild pain and discomfort. This could have been caused because of the earbud. I used Ciplox ear drops and have tried Crocin pain relief, but it does not help. Ear feels extremely uncomfortable, and hearing is muffled. Please suggest some anti-inflammatory antibiotics as I am unable to visit a doctor because of the COVID-19 situation. Doctor: Hello. It does not necessarily have to be due to earbuds causing otitis externa though that could be one possibility. There are others also. Can you tell me if you had a cold recently? Does it feel like there is a fluid inside the ear? Do you feel like you need to pop your ears? Is there any throat irritation? How severe is the earache? It could be secondary to middle ear infection also." + }, + { + "id": 26179, + "tgt": "What are the chances of STD from my encounter, especially HIV?", + "src": "Patient: Hello doctor,I was recently in a sexual encounter with a sex worker. It was a condom-protected sex. The condom did not slip or break. But, I inserted my finger into the girl's vagina for two minutes. Is there any chance of catching an\u00a0STD from the whole thing (the intercourse and the insertion of the finger),\u00a0especially\u00a0HIV? Doctor: Hello. Hope your query is answered, but if you have any other questions, please revert. Best wishes. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18360, + "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": 18999, + "tgt": "I have raised white lines in my mouth that I can scrape. Is it leukoplakia?", + "src": "Patient: Hi doctor, I went to the ENT for a sore throat. He ended up saying I have leukoplakia. It is mainly in the gap where I am missing the tooth. He said it was in other areas around my lower gum but it pretty much wiped off of there. I then went to my dentist who said it was not leukoplakia. I then went to an oral surgeon who also does not believe it is, but says if it is not gone, to get a biopsy. I just wanted your opinion because you have always been right with the oral problems I had. Some of the white lines are raised and hard, but some I was able to scrape off with my fingernail. I also noticed a red spot. So, I am hoping it is not speckled leukoplakia. I did get a VELscope done which was fine. I have an appointment for a brush biopsy but that says not 100 percent. Do you think I should get the brush done or wait to have a real one because the brush biopsy removes the leukoplakia and then it will not be there to get a real one? In the meantime, before biopsies, what is your opinion? Do you think it is specked or regular leukoplakia? A picture is attached. Doctor: Hello I have seen the image (attachment removed to protect patient identity). For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 6826, + "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": 24680, + "tgt": "My CRP level is 8. 3. Does it mean anything serious?", + "src": "Patient: Hi doctor, I am a 19 year old male. I lately made blood and urine test to check my kidneys and liver. Thankfully, I found everything to be within the normal range except for the C-reactive protein serum, and it was 8.3 mg/L. I would like to know what that mean. Also, I am feeling cramps in my stomach, kidneys and sometimes, in the heart. I smoke cigarettes and guess this information might help. Thanks in advance. Doctor: Hello. All your reports are normal (attachment removed to protect patient identity) except CRP (c-reactive protein). It is a marker of inflammation in the body. It indicates that some damage is going on in the body and your case it is because of smoking. It also indicates that you are at a higher risk of cardiac disease, so now the priority for you is to cut on smoking and then stop gradually. The cramp is probably due to gastritis and acidity. CRP does not cause cramps. You can get prescribed by your doctor tablet Pantoprazole 40 mg before breakfast once a day for two weeks. Avoid fatty, oily food and a high-calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals consisting of lots of green leafy vegetables and fruits.instead of heavy meals. Have regular sleep habits and avoid stress. Avoid smoking and also alcohol if any. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26459, + "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": 20239, + "tgt": "I am experiencing pain while urinating but all tests are normal. What could be the reason?", + "src": "Patient: Hello doctor, I am 21 years old. For the past two months, I have been experiencing pain while urinating and I also have pain when my bladder is full. I had taken a urine test and the test said I had an infection for which I was given antibiotics. The pain has come down, but a mild pain is still persistent. I took a urine culture test later. The report said there were no bacteria. Then, I had an abdomen and pelvis scan done. The report was normal. But still,I am experiencing pain. Please help. Doctor: Hi. Usual causes of such symptoms include urinary tract infection (UTI) or urinary stones (renal stones). When routine tests turn out to be normal, a frequency volume diary may be made. Next would be a urine flow test and a sonography for residual urine volume. If these are normal and pain persists, cystoscopy can be performed in office settings. When no organic cause is found, it can be labeled as bladder pain syndrome (BPS). There are certain diet and behavioral changes to be made and some medications which will help cure BPS. Consult a urologist online with the reports of the above-mentioned tests --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14777, + "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": 22626, + "tgt": "My nipples are hurt very badly. How long will it take to become normal?", + "src": "Patient: Hi doctor, My partner pressed my nipples very hard multiple times. It was very rough. My nipples are hurt very badly. I am facing a huge amount of pain in my nipples. Is this a serious issue or just normal? Please answer I am very much tensed. How long will it take to become normal? Doctor: Hi. I can understand your worries and this pain is all natural, due to intimate circumstances observed with your partner. It will resolve soon with time and may take a couple of days to a week for the pain to vanish. But, if it is unbearable, you can take Tablet Acetaminophen or Ibuprofen for pain. It is available over-the-counter. For quick relief, take the cabbage and keep it in a refrigerator. Take one leaf of it and put as a layer inside your bra (on each side). It will soothe your breasts and sore nipples. It will give you relief. You can repeat it as much as you needed. Change the leaf with fresh one taken out of the refrigerator (each time). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22782, + "tgt": "I have started sneezing a lot, around 10 times at once. Please advise", + "src": "Patient: Hello doctor, I am 19. I have suddenly started sneezing a lot, like throughout the day and at one time maybe I sneeze 10 to 11 times. I have never had any such problem before but since the last one year I have developed this problem and it is becoming very irritating. Doctor: Hello. The main cause behind repetitive sneezing is an allergy. There can be many causes behind allergy, like allergy due to dust or some problem related to your nose as polyps, turbinate hypertrophy, or any other. However, it is completely treatable. So, I advise you to visit a nearby ENT specialist at least once so that he can examine you properly and guide you according to your problem. Once you come to know the reason, take treatment accordingly rather than taking random treatment. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13819, + "tgt": "Will cardiac ablation worsen POT syndrome?", + "src": "Patient: Hello doctor, I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse? Doctor: Hi. I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardia Syndrome (POTS). It will rather help improve the symptoms of the disease and will lower the racing heart (tachycardia) feelings. I advise you to do aerobic exercise on a regular basis so that venous return from the lower extremities can be increased. If you experience feelings of dizziness to the extent of syncope (fainting), I advise you to wear graded compression hosiery extending up to the waist, thus helping to increase static pressure in the legs and decrease venous pooling in the lower extremities. Autonomic nervous system problems, conduction defect in heart. Take plenty of fluids with at least 3\u20135\u2005g of common salt daily. Avoid standing for long hours." + }, + { + "id": 1173, + "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": 7712, + "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": 446, + "tgt": "Does high cholesterol medicine have any side effects?", + "src": "Patient: Hi doctor, My cholesterol and triglyceride levels are elevated. But, they were the same in my previous checkup reports too. I am a bit reluctant to take medication because of the side effects. My father has both cardiac and diabetic issues. I am doing exercise regularly and my intake of sugar is also under control. I do not smoke, but drink 3 pegs only on Saturdays. Can you please let me know why my cholesterol levels are still high? Is it too high to take medicines? Is there any side effect with the medicines? What precaution do I need to take in my lifestyle? I know that the long-term elevated levels of cholesterol is risky. Please help me. Doctor: Hi. Your vitamin D levels, thyroid levels and HbA1c are quite good. Regarding your high cholesterol, it may be due to hereditary and food related. You have a high risk of coronary artery disease as you have a positive family history and high cholesterol. If you have any severe muscle pain report to a physician. It is a rare side effect theoretically. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13553, + "tgt": "I am not able to concentrate in the class or studies. Please help", + "src": "Patient: Hello doctor, I am a 19-year-old girl, weight 38 kg, height 5 feet. So my problem is related to brain concentration. Earlier up to school, I had good concentrating power. After schooling, I started preparing for entrance exams and it has been two years preparing for the same but now I feel that I have trouble concentrating over questions, concepts during class or while doing self-study. Please help. Doctor: Hi. Lack of concentration can be due to several reasons, most common reasons are stress, lack of sleep, disinterests in the project and lack of motivation. Here are some tips and the principle by which they help you. Minimum seven hours sleep helps to reinforce the memory, and re-energize you for the next day. Regular routine, especially sleep timings, starting from your meal times, the time you visit the library, and workouts, keep it regular. Improves your time management, keeps you healthy and prevents loss of time due to sickness. Eat healthy. Eat what suits your taste and digestive capacity. Eat from only hygienic places. Again this helps prevent the unnecessary sick leaves. Non-study activities. It is a must, it gives a break to your mind which is already stressed by continuous and monotonous study hours. It could be anything starting from prayer, meditation, sports activity, work outs, morning or evening jogs. Have a healthy study group. Do not be selfish with your group, be contributory towards your group. It has multiple benefits, it acts like a mnemonic helping you remember facts in relation to place our person you discussed it with. It gives a sense of easiness to find many people are with you on the same boat. It acts as a strong motivation, if there is a healthy and friendly competition among the group members. Stay away from distractions like the internet. Keep distance from people who speak negative most of the time. Try to be in company of people who are highly charged in energy. All the best." + }, + { + "id": 6436, + "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": 23074, + "tgt": "How to deal with constipation accompanied by severe pain in the abdomen?", + "src": "Patient: Hello doctor,I have constipation since two days. There were no feces and there was severe pain. I cannot even move. Suggest some medicine. Doctor: Hello. Do review as and when needed. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7552, + "tgt": "I have tuberculosis arthritis and in severe pain. Kindly recommend some medicine", + "src": "Patient: Hello doctor,I have tubercular arthritis in my right hip. I am in the army, and hence, it is mandatory to be physically and mentally fit. Presently I am on ATT for the last eight months, which showed some improvement, but it also has some cartilage damage and synovial thickening, which is causing pain. Is there a remedy to go off this pain like cartigrow and am I eligible for that, please see my MRI and reports and let me know. Doctor: Hello. Your MRI show (attachment removed to protect patient identity) tubercular arthritis involving both hip joints with more extensive disease on the right than left. It is associated with synovial thickening and joint space reduction however there is not much mention of extensive cartilage erosions. At this stage of imaging we need to wait till the infection resolves and then in the healing stage we have to consider regenerative treatments. If you have any further doubts please feel free to discuss." + }, + { + "id": 8971, + "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": 25074, + "tgt": "What does it mean when there is back pain, arm stiffness, and grip loss?", + "src": "Patient: Hello doctor,My daughter has been experiencing severe back pain, arm stiffness with grip loss, shooting pains down legs when the heel is put to floor and vision blurring when sitting in the car for long periods, for over two years following spinal anesthesia for C-section. MRI scans show nothing and she is taking a maximum dosage of Endone. She now has vascular issues with bilateral inflammation and swelling in lower legs. She has been to a pain specialist and neurologist who have no answers. She is losing hope and trying to care for four children. Can you please offer us some answers? Doctor: Hello. I understand your concern and would explain that her symptoms (especially the grip loss in her arms and blurring vision) are not related to a lumbar spine disorder. A brain disorder (intracranial hypotension) or a cervical myelopathy could explain some of her symptoms. Intracranial hypotension could be a complication of local anesthesia, but you should know that it usually leads to a headache and blurring vision or nausea when standing up or sitting and the symptoms usually improve with lying down. So, it seems that her symptoms are not typical of this disorder too. Coming to this point, it is necessary to perform a brain MRI study and a cervical spine MRI study. The bilateral inflammation and swelling in her legs do not seem to be related to any neurological disorder. For this reason, it is important to perform inflammation tests (complete blood count, PCR, sedimentation rate) and a Doppler ultrasound of the leg vessels to investigate for chronic venous insufficiency. A cardiac ultrasound is necessary to exclude possible heart failure as a possible cause of increased fluid retention. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26132, + "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": 4329, + "tgt": "What is the powdery substance in my lower front teeth?", + "src": "Patient: Hello doctor, My front two teeth are not fixed and have broken edges because of a car accident, but right now I feel like my lower front tooth are peeling. I can feel a white powder type thing whenever I touch the tooth with my tongue. I cannot bite from my upper front tooth plus after the trauma I could not take care of them properly because I feel too much pain whenever I brush. I need your help. Please guide me on what to do? How can I fix my problem? I am very much tensed. Doctor: Hello. I understand your concern and have gone through your clinical picture. (attachment removed to protect patient identity). Please do not be tensed. This can be treated. White powder substance in your lower front tooth is called calculus. Food deposits or plaque that settles on the tooth gets calcified in the long run and becomes hardened calculus deposit. Although we do a proper brushing every day, there are certain spots between teeth where the bristles fail to reach. Hence, professional tooth cleaning (scaling and polishing) is always advised once in six months. Broken and irregular edges of your upper tooth can be fixed with a simple tooth colored aesthetic filling. Pain during brushing in the lower tooth could be from the impact and damage caused during the accident. Get an x-ray taken to check the status of tooth, gums and its underlying bone and ligament. Blacks spots on the teeth are the initial stages of tooth decay. Get them filled at once before it advances and gives you pain. Visit your nearest dentist and get a dental examination done. You will require: 1. Scaling and polishing procedure to remove calculus. 2. Composite fillings for an upper front tooth and lower left back molar. 3. X-ray for your lower front tooth to check its health and stability. I hope this helps." + }, + { + "id": 624, + "tgt": "I get flare up of diarrhea once in a month with lethargy, loss of appetite and dry mouth. Why?", + "src": "Patient: Hello doctor, Every once a month at least I get a flare up of diarrhea where I go at least six times a day and nothing seems to settle my stomach. The stool itself has a weird texture, almost sand-like. Most of it float down but some do float up and there is mucus in it. Other symptoms I am experiencing are lethargy, feeling of being full yet hungry, loss of appetite, and dry mouth. Any idea of what this could be? Doctor: Hello. Do you have lost some weight since the start of symptoms? Do you have noticed any triggers (diets, stress, change in lifestyle, or drinking alcohol ) before such episodes? Alcohol has a large amount of fermentable carbohydrates which can cause diarrhea, gas, and bloating, often episodes of binge drinking. The common possibilities are that you have one of the above trigger which causes your gastrointestinal (GI) upsets. They can go unrecognized with episodes of symptoms as in your case. The other possibility is endometriosis. Endometrium is the lining of the uterine cavity of the female internal genital tract. In menstruation, the lining sheds causing bleeding and pain. Endometriosis is a condition where endometrial tissue is implanted into gut, and it behaves similarly as one has menstruation on monthly cycles. It causes pain (at times very severe), diarrhea, and even bleeding from the gut. It is important that you notice yourself the temporal (time) relation between the onset of symptoms and onset of menstruation. I want that you should provide me more information, as I can be able to investigate you properly in a specific direction, providing you target management plan which can fit you best. I hope this helps. Cyclical abdominal symptoms. Endometriosis. Celiac disease. Food allergies. Eosinophilic gastroenteritis. Endometriosis. Environmental triggers. Follow up to provide more information to diagnose and investigate properly." + }, + { + "id": 25407, + "tgt": "Why am I having a longstanding problem with muscle twitches?", + "src": "Patient: Hello doctor,I have been experiencing muscle twitches for the past seven years. They can be located anywhere in my body and last a few minutes to a month on and off. I am an active person, going to the gym three to four days per week. My most recent bout has been on the side of my hard and seemed to happen after playing some video games with my son. I have mentioned these many times to my general doctor and he told me not to be concerned. When should a person be concerned regarding muscle twitching? Doctor: Hello. As you said your active lifestyle could be one of the reason, simple dehydration can cause muscle twitching. I would recommend you to maintain good hydration and diet. Relax and stay calm. Have a check on coffee, alcohol, and smoking. If you are taking any supplements they can also be a reason for twitching. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 11351, + "tgt": "I have a static sound in my ears after I was exposed to a gunshot noise. Kindly advise", + "src": "Patient: Hello doctor, I was exposed to a loud noise (gunshot). Since then, I have a static noise in my ears when it is really quiet, and I get a pressure at the back of my head that often turns into a\u00a0headache. Sometimes, I also get a tone in my right ear. If I do some physical activity, I may have dizziness. This has been going on for six weeks now. I have been to an ENT and did various tests (attached). None are showing hearing loss, and since the tests are clean the ENT cannot determine what is wrong. Doctor: Hello. Do revert with more information. I will be happy to help you. Revert with more information to an\u00a0ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27755, + "tgt": "What is the risk of simple limbal epithelial transplant surgery?", + "src": "Patient: Hello doctor, I am a\u00a027 year old male. One year ago, there was a chemical injury to my right eye caused by cement. An amnio graft surgery was done immediately following the injury. Recently, a slit lamp examination, post-dilated examination, and a fundus examination were conducted, and my right eye was diagnosed as 'total LSCD s/p chemical injury' and I was suggested a simple limbal epithelial transplant. Now, is there any possibility to get back my vision in the right eye? Is there a risk to the left eye by doing this transplant? Kindly explain. Doctor: Hello, Welcome to iclinq.com. I read your query and understood your concern. Revert with more information to an eye care\u00a0ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26860, + "tgt": "Why has my mother's creatinine level spiked despite taking tablets?", + "src": "Patient: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level spiked to 3 from 2.4 within a\u00a0week. She is having\u00a0issues in breathing. She is in ICU now. Why did this happen\u00a0even after taking medication? She has a history of diabetes. She is taking Insulin 10 to 20, Neugaba M 75 mg, Becotag, Soda mint, Ecosprin AV 75. Please help. Doctor: Hi. I hope it helps you. You are free to ask any further queries to me. For further queries consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 8301, + "tgt": "I have trivial mitral regurgitation. Is it something serious?", + "src": "Patient: Hello doctor, I just recently had an echocardiogram. The result was normal. The only finding was trivial regurgitation of my mitral valve. I was told this is normal. The question I have is, is this something that could get worse over time? If so, what lifestyle changes can I make now to prevent that from happening? I am 42 years old. Doctor: Hello. Trivial mitral regurgitation is physiological, which means normal. And in absence of structural heart abnormalities, this will not progress. So, there is nothing to worry about it and needs no specific precautions. You may continue with all your daily activities including physical exercises." + }, + { + "id": 20514, + "tgt": "Why am I not able to leave the relationship with my partner?", + "src": "Patient: Hello doctor, I am 20 years old and I am in a relationship which is draining me emotionally, physically and mentally. But I am still giving it chances because the guy I am with probably loves me a lot, cries at the thought of leaving me and is loyal to me. I cannot decide. I cannot just leave. I am stuck in a vicious circle. He controls me, he does not trust me even if I do not lie or do anything. He thinks I am making a fool of him and doing other things and being disloyal even though I am not. I give explanations every time and he does not believe. Every time I have to answer his investigations. I feel like I am controlled. I cannot wear what I want to. I can not go wherever I want to because he does not trust me even though I am doing nothing wrong or nothing to break his trust. I do not know what is keeping me from leaving. I have been with him for the past six years and I love him but I do not feel the happiness anymore. Maybe I cannot let go because of the fear of leaving or the love or the idea of not being with him. I need help. Doctor: Hello. I can understand what you are going through right now. People are difficult to understand at times. Currently, I think you are being psychologically or emotionally abused. The guy controls your life, your freedom, your decisions on everything, hurts you, blame you unnecessary (being dishonest) still claim to love you. This is exactly what happens when one is psychologically abused. To stop this, you need to take some bold decisions, do not show your dependency on him, pretend as if you do not care about him being hurt, take your own decisions, take strict actions when he blames about your infidelity. Your self-respect is the most important thing. Further, if you need any help we can discuss the matter." + }, + { + "id": 19858, + "tgt": "There is a pus-filled sac developing even after removal of Bartholin gland. Why?", + "src": "Patient: Hi doctor, I recently had a Bartholin's abscess which drained and burst on its own. However, ever since then, I have a small sac filled with pus that continuously fills and drains. I then started to develop a cyst on the same spot. I went to a gynecologist and then got my Bartholin gland removed. Now, the site of excision has healed. However, I still have the sac problem and now I feel that I am developing a cyst again even though the Bartholin gland is not there. Doctor: Hello. If the gland is removed completely with the sac, then this should not recur. I think that it is not removed completely. I suggest you take capsule Ciprofloxacin 500 mg twice a day for five days, tablet Ibuprofen 400 mg thrice a day for five days, and Mag Mag ointment (Magnesium sulfate topical, Sulphacetamide sodium topical and urea topical) locally. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Stir the ointment, then apply over the abscess and not over the mouth. Apply with a piece of cotton wrapped in a gauze. Then wear a panty. Then give hot dry fomentation every four hourly. It will take out all the pus and become dry. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24493, + "tgt": "Erections are weak and I cannot sustain it. Is this a side effect of antidepressants?", + "src": "Patient: Hello doctor,I am 24 years old, weight 86 kg and height 170 cm. I am facing erectile dysfunction after leaving antidepressants for one month. I do not have erections. The erection is very weak and I cannot sustain it. I went into depression four months back for which I was on antidepressant medication. Since then, I have erectile dysfunction. Earlier, I thought it to be associated with depression but now I am fine and left antidepressants for more than a month. I am still having erectile problems. There is no desire and libido. I do not know if it is a side effect of antidepressants or other problem. Kindly help me with the issue. Doctor: Hello. I have gone through your problem and understand your concern. Well, it can be side effects of these drugs but it should have subsided by this time. So, you need to get some investigations such as serum prolactin level and serum testosterone level done. Depending, upon the result, you need to take further action. Sometimes, this can be managed by Bupropion and Sildenafil, but these are prescription only drugs and to be taken after considering the above-mentioned investigation report. Regards. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17756, + "tgt": "I have less dense hair and thinning of hair. Will there be any problem while taking Finasteride along with Cyclosporine?", + "src": "Patient: Hello Doctor, I have less dense packed hair with slight thinning in the hairline and on the vertex.\u00a0I have this condition since 2003. I am applying Minoxidil 5% since 10 years and from 2005 for every single day. My concern is I was diagnosed for Pure Red Cell Aplasia (PRCA), an autoimmune disorder and have been under immunosuppressive drug Cyclosporine 300mg/day for 2 years, since February 2013. Surprisingly, the Cyclosporine has helped controlling further thinning. But now I would like to take at least 0.25mg of Finasteride per day (1/4 of 1mg tablet) for improvement on already thinned areas. When I discussed with my dermatologist whether I could take the \u00a00.25mg Finasteride while I am on 150mg Cyclosporine twice a day, she told that I can take it and there will not be any problem if I take lower dosage of 0.25mg Finateride.Brief note on my PRCA disease history: Actually I was first diagnosed with PRCA in January 2008 with hemoglobin 6.4 g/dL. I was put forth on one and a half years of immunosuppression - Cyclosporine tablets 150mg twice a day till September 2009. When my hemoglobin reached 12 g/dL in September 2009 I was advised by my hematologist to stop the Cyclosporine intake. So, from September 2009 till December 2012 I was doing good with my hemoglobin level 12 g/dL without any immunosuppressants. Suddenly after December 2012 the \"relapse\" of PRCA occurred and as of now I have been advised to be on some amount of immunosuppression dosage with the Cyclosporine throughout life to prevent the relapse again. Right now my hemoglobin level is 12 g/dL. I have attached my latest Complete Blood Count (CBC) report. Cyclosporine intake has been reduced to 100mg twice a day at present.\u00a0 So, I am just continuing to apply the 5% Minoxidil right from 2004 till date without fail.\u00a0And during the period between September 2009 to December 2012 while I was doing good without any immunosuppressive Cyclosporine medication, I took Finasteride 1mg for a period of 5 months under supervision of my dermotologist. I did not have any sexual side effects except for my semen become more liquid, but my hair thinning improved a lot. Even I had a good amount of new hair growing out on the hairlines, temple and on the vertex. But I stopped Finasteride with fear of possibly having side effects after a long term usage. Could you please advise whether it is safe to start taking 0.25mg of Finasteride now. As I am on immunosuppressant Cyclosporine and have to continue at least minimal dosage throughout life, will 0.25mg of Finasteride have interactions with Cyclosporine or any other adverse effects? Also I had discussion with one of my dermatologists. He advised that I can safely take Finasteride 1mg and Minoxidil-Finasteride are US FDA approved for androgenic alopecia. He also clarified that there is no interaction between Cyclosporine or Finasteride. And when I asked him about Saw Palmetto instead of Finasteride, he replied that though they are claimed to block DHT, there are no clinically proven results. Could you please advise me on this? Doctor: Hi,\u00a0 Welcome to icliniq.com. Thanks for sending such an excellent description of your medical history and reports. (attachment removed to protect patient identity) Revert back to a dermatologist online if you have any further questions --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21261, + "tgt": "I dream about the same guy every night from two years. I am scared. Please help", + "src": "Patient: Hello doctor, I have been having a dream about a guy since two years. Every day it is the same. I wake up in the middle of the night even before I can see his face and am unable to fall asleep after that. I am scared, but do not know where to go or ask for help. No one will understand me if I tell them about this. Please help me. Doctor: Hello. You are having bad dreams also known as nightmares. It is a type of sleep disorder which is treatable. Maintain proper sleep hygiene, that is, maintain a proper routine. If you still having the same problem, you can take tablet Zolpidem after consulting a psychiatrist. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8867, + "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": 76, + "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": 5208, + "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": 1060, + "tgt": "I get sudden shaky abdominal pain with dizziness. Could this be a shock?", + "src": "Patient: Hello doctor, I experienced a sudden and severe pain in my stomach (lower part) and anus, which caused me to shake, become dizzy, and really pale, and I have difficulty breathing. I did not faint, but if I were standing up then, I probably would have. It happened to me once before and I was on my period then. I had consulted a doctor then as well and was told that perhaps my body was just shocked because I had skipped a few months of my period. I am also diagnosed with iron-deficiency anemia, but I am currently not taking my iron tablets. This time around, however, I had my period last month and was not on my period at all. I am not sure what it is but wanted to let you know should you have come across a similar situation with one of your patients. Please reply. Doctor: Hello. Well, most of our patients initially complain to us about very vague symptoms at onset, just like yours. But we explore the possibility based on some more information and yes, of course, investigating them thoroughly. The pain you mention which made you still and shaky, can be arising from the gut as in abdominal colic (a sudden wave of spasm in muscles within the gut). Or can be arising from endometriosis which is anther problem of the female genital tract, whereby there is excessive growth of normal uterus tissues in the lower part of the belly. Thirdly, it can simply be due to perimenstrual syndrome which is pain occurring at the time of menses. For now, I suggest you to do some test and ultrasound abdomen and pelvis, later we can discuss the findings of your result. Functional abdominal colic. Perimenstrual syndrome. Endometriosis. Complete blood count. TSH (thyroid-stimulating hormone), FT3. Liver function tests. Stool detail report. Urine detail report. US (ultrasound) abdomen and pelvis. Follow up after investigation to discuss the results." + }, + { + "id": 29656, + "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": 26065, + "tgt": "My platelet count is decreasing, but dengue and malaria are negative. Please suggest", + "src": "Patient: Hello doctor, I have a high-grade fever for the past six days. I checked for Widal test which was positive initially. My platelet counts were at 2.2 lakhs and now it is on a decreasing trend at 1.4 now. Also, the leucocyte count went from 7700 to 2400. Dengue and malaria test are negative. Kindly suggest me what to do. I am taking Monocef, Oflaxin, Pan 40 and Dolo 650. Doctor: Hello. You can continue the same treatment. Revert with\u00a0further reports. Take care. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8207, + "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": 25833, + "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": 14847, + "tgt": "Should I compulsorily take Atorvas, Starpress and Nitrofix for angina?", + "src": "Patient: Hello doctor, I am 65 years old, 173 cm height, 84 kg suffering CAD, HTN and DM type 2. Having three stents and still PLV 90 % blockage. On tablet Atorvas 20, Starpress XL 50, Nitrofix SR 30, Telma 40, Dianorm-M and injection Lantus 24 u. But due to angina or short breathing, tablet Flavedon MR also started for three weeks. Now I am feeling well. Whether all three tablets are necessary for angina? Please guide. Doctor: Hello. Yes, you will need all tablets, as they have an additive effect. Other two antianginal like Starpress (Metoprolol), has many beneficial effects other than this, and decrease mortality. So it needs to be continued. Also, Nitrofix (Isosorbide mononitrate) is also important and needs to be continued, otherwise angina will recur. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly and BP should not be persistently more than 140/90 mmHg. 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." + }, + { + "id": 453, + "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": 23061, + "tgt": "Does acne itch?", + "src": "Patient: Hi doctor,I had acne on my left nostril and left arm. They were small and itchy. When I scratched, blood came out and the area has become red. Even after four days, there is redness with some bulging. There is some inflammation and itching as well. Sometimes, there is also a sensation of itching throughout the body, but there is no soreness or acne on my body except my left nostril and left arm. I am currently on Sarna lotion and Atarax 25 mg. Doctor: Hello. Was it just acne or may be some insect bite? Because, in acne there will not be any itching. So, I think it is some insect bite and the same thing happened to another part of the body. Due to scratching you further triggered the inflammation. I suggest the following treatment. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Revert back after a week to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22370, + "tgt": "I took I-pill within 12 hours of unprotected sex. Why have I not got my periods yet?", + "src": "Patient: Hello doctor, I really need your help. I had unprotected sex and then, within 12 hours, I had I-pill. After seven days, I started bleeding and the next month I did not get my periods and in the month end, I took Deviry 10 mg for five days and now it has been three days, my periods have not started. What should I do? Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. Also, you say that you had withdrawal bleeding. So relax and do not worry. The delay could be because of hormonal changes due to the pill you have taken. There is nothing to worry about. However, if you have a doubt then get a urine pregnancy test done with early morning urine sample to ensure that you are not pregnant. Do get back to me with reports so that I can guide you further. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17297, + "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": 13585, + "tgt": "How can I cure one sided headache with vomiting?", + "src": "Patient: Hi doctor, I have one side headache. How to cure it? Will you please give your suggestion? During maigrane headache, I have vomiting. Doctor: Hello. You seem to be suffering from migraine. Treatment of a migraine is mainly prophylactic, that is, the medicine reduces the episodes of a headache. Tablet Flunarin 5 to 10 mg HS should be taken daily. There are other prophylactic medicines also available. Further, you better see a neurophysician, get all the routine investigations done including MRI and EEG. Avoid triggers of a migraine like taking proper sleep, avoid bright lights, loud noises and it could be any other source." + }, + { + "id": 4594, + "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": 3421, + "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": 28468, + "tgt": "My husband suddenly started having lower back pain. What to do?", + "src": "Patient: Hi doctor, My husband is a healthy 38 year old, who does not smoke and drink. He has worked hard since he was 11 years old, and he held his current job for five years now, which includes laying carpet and floors of all kinds. He has never had any issue with his body in his entire life up until last week. The pain started suddenly in his lower back as he was lifting a bucket half filled with glue. He did not pay any attention at the time, but the next morning the pain shifted down to his left thigh and hamstring, and it is so severe he cannot even walk or sleep. He said it gets tight for five minutes at a time then loosens up. It has been like this for a whole week now, and he cannot get comfortable with anything. He went to the emergency room a couple of days ago hoping for relief, but he got a pain shot in one arm, a muscle relaxing shot in the other, and a prescription for pain and muscle relaxants. But,\u00a0nothing seems to work, he uses a heating pad, baths in Epsom salt, uses Bengay, does light exercise like stretching, but the pain remains. Could there be a medical condition causing this muscle spasm? Doctor: Hello. For more information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 26208, + "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": 28464, + "tgt": "Kindly see my reports and suggest how to lose weight", + "src": "Patient: Hello doctor, I have a desk job, and I drive almost 3 to 4 hours, so I mostly feel tired. But, I have recently started working out and taking a protein diet.\u00a0I recently got an annual check-up done, and I want you to see the attached reports, and give your\u00a0opinion on them.\u00a0I have been on a protein diet recently, as I am trying to lose some weight, kindly consider this before giving an opinion. Doctor: Hello. I just read your query and saw your\u00a0reports (attachment\u00a0removed to\u00a0protect patient identity). Hope my advice is helpful to you. All the best. Revert after six months to a general practitioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 157, + "tgt": "I have dull testicular pain on standing with enlarged veins. Please help", + "src": "Patient: Hello doctor, My left testicle has a dull ache when I stand for a period of time. I can also see an enlarged vein on my testicle. It goes away when I sit or lay down for a little bit. I will attach a picture of the vein. Doctor: Hello. I think it is a hernia. Kindly give some other details. Do it have cough impulse (it means the swelling expands upon coughing, it is said to have a cough impulse). Can you get over the swelling? (this means when swelling is there are you able to pinch your spermatic cord?) ignore if you are not able to understand. Do you do weight lifting? Diabetes or hypertension? Any medication?" + }, + { + "id": 12220, + "tgt": "I developed itchy and dry skin after dyeing hair in salon. Can you have a look?", + "src": "Patient: Hello doctor, I have a question about my skin condition. I have developed a really itchy and dry skin after I dyed my hair. Here are the symptoms. I do not know what the condition is as my appointment is months away. Can I attach pictures? Doctor: Hi. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed allergic contact dermatitis to hair dye. Though you may not have had this on your previous exposure, now onwards you may have a severe reaction to the dye. You can use topical 1 % Hydrocortisone cream local application twice daily and take tablet Levocetirizine once daily for one week after consulting your dermatologist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2345, + "tgt": "There is no ductus venosus during 1st and 2nd trimester. Will it harm the fetus?", + "src": "Patient: Hello doctor, I have absence of ductus venosus during pregnancy during the first and second trimester. Please suggest. Doctor: Hi. Absence of ductus venous during the first and second trimester scan is a vascular condition that might be of concern for fetal abnormalities. It can put the fetus at risk of other congenital anomalies including facial clefts, hemivertebrae, cardiac, genitourinary, and gastrointestinal anomalies." + }, + { + "id": 4488, + "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": 11018, + "tgt": "Does RBC count of 6 to 8/hpf in urine report mean UTI?", + "src": "Patient: Hello doctor, My 64 years old mom was recently diagnosed with ovarian cysts and is undergoing a hysterectomy plus oophorectomy two days later. During the same routine health checkup when her cysts were diagnosed, her urine report showed RBC of 6 to 8/hpf. Is this a possible UTI? And if it is, why should not our surgeon correct it before the operation? I asked him about it, and he said it would be taken care of when she gets admitted. I wonder why? I am particularly more worried about it because she also has a left artificial hip from the past two years which should not catch any infection. I remember her orthopedician asking for a urine culture a few days before her hip replacement and giving her antibiotics for the UTI immediately after that surgery. So, why is this surgeon not bothered to correct the UTI pre-operatively? Doctor: Hello. RBC (red blood cells) in urine does not mean UTI (urinary tract infection). Pus cell in urine indicates UTI. Up to five pus cells per HPF are normal. 2 to 4 is in your case. So, it is not UTI. There are many causes of RBC in urine. Is she on any blood thinners, like Ecosprin (Aspirin) or Clopidogrel which can cause mild RBC in urine. So, that might be the cause and not UTI. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14174, + "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": 30700, + "tgt": "Do infections spread through cryoprecipitate transfusion?", + "src": "Patient: Hi doctor, My wife is a factor XIII deficiency patient and every month she takes seven packets of cryoprecipitate.\u00a0I am a bit worried about the side effects of this transfusion. I just read some articles on the internet, which shares the information about the side effects of transfusion. From that I came to know that the patient may get some infections like hepatitis B, C, malaria or HIV. Do these infections spread through cryoprecipitate product?\u00a0I know the blood has undergone several tests and then cryo has been extracted from it. I am newly married and your response will help me to decide whether to continue my marriage life or not. If she gets infected in the future, then there are chances of spreading to me as well. So, please help. 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": 27662, + "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": 20900, + "tgt": "How can I confirm that whether I am at risk of getting HIV?", + "src": "Patient: Hi doctor, I and my partner went through an HIV 1 and 2 test five months back. Both of us tested negative. This month we had unprotected sex. I did not have sex in between and upon asking my partner, he too said that he had no sex with anyone else. He does not do any drugs and stays with parents. However, I panicked and went to the doctor and insisted upon PEP. Four days back, my partner went through a CMIA test and was negative (0.27). I think he is clean. However, I am still scared. In this situation, do you think I might be in HIV risk? Please guide. Doctor: Hello. I have reviewed your query and here is my advise. Your partner is HIV negative with CMIA (chemiluminescent microparticle immunoassay) test. But this test can effectively exclude HIV after six weeks of exposure. Mostly your partner might be right and if you believe him then do not worry about HIV. But if you have a doubt regarding any form of exposure, then again after six weeks, a repeat test is needed. As per my opinion, although a chance of HIV is less, you should get investigated with HIV after six weeks of exposure to effectively rule out HIV. (By CMIA or fourth generation ELISA test)." + }, + { + "id": 30781, + "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": 20683, + "tgt": "I am diabetic since 22 years of age and taking insulin. Is it type 1 or 2?", + "src": "Patient: Hello doctor, I was diagnosed with diabetes at age 22. When I was first diagnosed, I was taking pills which never worked. So, after a while, I started taking Insulin and have been since. I am taking five shots a day including rapid and long-acting Insulin. I was wondering if I would be type 1 or type 2 diabetic. Doctor: Hi. You can be either type 1 diabetic or LADA (latent autoimmune diabetes of the adult) which behaves exactly like type 1. That is why pills worked for you first and then you ended up on Insulin. Either way, you will surely need Insulin to survive. I can recommend some tests to confirm your type and I can help plan your treatment according to your weight and some nutrition counseling that will help control your blood sugar nicely." + }, + { + "id": 18235, + "tgt": "Can my height and weight play a role in aortic regurgitation?", + "src": "Patient: Hello doctor, I am 57 years old. I had a recent echocardiogram to monitor my moderate aortic regurgitation and mildly dilated aortic root and ascending aorta of 41 mm. Both remained stable. My rest echo report indicated the following: Normal left ventricular size. Overall low normal systolic function with and EF of 54, LV FS equals 27%. No resting regional wall abnormalities. Spectral Doppler shows impaired relaxation pattern of LV diastolic filling and indeterminate LV filling pressure with E/A ratio equals 8. Normal right ventricle size, wall thickness, and systolic function RVS equal 15 cm. Mildly dilated left atrium of 23 cm2. Normal right atrium. Normal pericardium. Tricuspid aortic valve with localized prolapse of the anterior half of the right coronary cusp resulting in eccentric posterolaterally directed aortic regurgitation with no evidence of stenosis; PPG of 12mmHg; moderate aortic regurgitation 2-3/4; resting LVOT SV equals 125 mL Indexed equals 62 mL/m2 Mild regurgitation of mitral and tricuspid valves 1/4. Normal pulmonary artery systolic pressure. RVSP equals 31 mmHg. My questions are My height, weight, and body surface area are 165 cm,96 kg, 2.03 m2. l am actually 182 cm tall and was wondering if this affects the measurements in any way? My cardiologist wants to see me in a year for a follow-up echo and does not think I will need a new valve in the short term. Does this seem reasonable? I am 57 years old and am wondering if I should be worried about the reference to impaired relaxation pattern of LV diastolic filling. I am currently on Atenolol 100 mg, Crestor 40 mg, and Effexor 75 mg. Please help. Doctor: Hello. I have evaluated your echo report. In your case, the echo clearly shows that AR (atrial regurgitation) is due to a localized prolapse of the anterior half of RCC (right coronary cusp). So it is not due to coaptation failure. By general rule, tallness has nothing to do with AR although there is a relation of large arm span (Marfan) associated with dilated aortic root producing AR. According to the guidelines, aortic stenosis should be surgically managed if associated with LVEF (left ventricular ejection fraction) less than 40% and dilatation of left ventricle cavity. Since you have only mild left ventricle dysfunction as of now, it is a wise choice to defer surgery. Grade 1 diastolic dysfunction is normal with someone with moderate AR. I would suggest changing Atenolol to Metoprolol sustained release 50 mg twice a day. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23087, + "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": 18935, + "tgt": "Why is the pulmonary embolism patient having burning sensation in legs?", + "src": "Patient: Hello doctor,I am having a burning sensation in my leg. I am wondering if that is a blood clot and if I should go to the emergency room. I had a massive pulmonary embolism and have been coded for 45 minutes. I am on a blood thinner called Eliquis. I am very freaked out right now as I have not had this burning sensation in years. Doctor: Hello. DVT (deep venous thrombosis) that is a blood clot in the legs does not cause burning sensation but causes swelling of the affected leg and you are already on blood thinners. I hope you INR (international normalized ratio) is within therapeutic range unless you are taking new oral anticoagulants. I think you should do blood sugar and preferably HbA1c (glycated hemoglobin) and relax as it cannot be DVT. For more information consult a cardiothoracic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/cardiothoracic-surgeon" + }, + { + "id": 18258, + "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": 27610, + "tgt": "After taking Unwanted 72, the condom broke during sex. Will I get pregnant?", + "src": "Patient: Hi doctor, I had unprotected sex on the 12th day of my menstrual cycle, but I took Unwanted 72. And we had sex again, but the condom\u00a0broke. Will\u00a0I get\u00a0pregnant? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21736, + "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": 27104, + "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": 13919, + "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": 9977, + "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": 3729, + "tgt": "What causes continuous vaginal bleeding?", + "src": "Patient: Hello doctor, I am writing on behalf of my wife. She is facing continuous bleeding from vagina since seven days after post pregnancy bleeding. Here is the complete scenario.\u00a0We blessed with a baby 38 days ago and it was a C-section delivery. 16 days back the bleeding had stopped completely. Everything was normal. 10 days back my wife started to have vaginal bleeding again and bleeding till today. We thought that this is her monthly period after pregnancy.\u00a0The bleeding is heavy so she needs to change 8 to 10 pads a day. She is\u00a0feeling tired and her BP was low due to excessive bleeding. We have also visited doctor nearby yesterday. She has given two tablets to eat twice and day. Pause MF and Methergine were the tablets given.\u00a0After having these tablets, bleeding is happening at same flow. BP and tiredness has disappeared.\u00a0There is no other complication like fever, stomach pain, etc., except bleeding.\u00a0She needs to feed one month baby as well. Also note that there is no sex done post-delivery. Please help us. I am attaching her CBC, PT, INR/PTT reports for your reference. Doctor: Hello. Your wife is having bleeding per vagina following one month of Cesarean section. This is termed postpartum hemorrhage and often creates an emergency. This could be caused by an infection of C-section wound commonly. But, as per your report (attachment removed to protect patient identity) she is having some form of blood clotting disorders raised prothrombin time (PT) and international normalized ratio (INR). Now, definitely she needs hospitalization. She might have another bout of bleeding and in that case, you will not be able to control the situation. Pause MF (combination of Tranexamic acid and Mefenamic acid) and Methergine (Methylergometrine) can subside the bleeding temporarily. But, she needs intravenous antibiotics and may need clotting factor transfusion (fresh frozen plasma) as well as blood transfusion. As her hemoglobin is 10.8, it is substantially low to combat another episode of massive bleeding. I know the baby will be deprived, but do not take the breastfeeding as a priority in contrast to your wife's impending danger, if any. Blood coagulation disorder. 1. Routine blood, liver function tests (LFT), urea, creatinine, platelet count, bleeding time (BT), clotting time (CT) prothrombin time (PT) and activated partial thromboplastin (APTT). 2. USG (ultrasonography) whole abdomen. Postpartum hemorrhage. Admission along with IV antibiotic as well as FFP transfusion and blood reserve required. Revert back after the investigations to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5613, + "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": 1103, + "tgt": "I am in my early stage of pregnancy with dry cough. Please help", + "src": "Patient: Hi doctor, My last period was on 25th February 2020. I have done urine test twice at home and it is positive and I do have other symptoms of pregnancy. I am sure that I am pregnant. Due to Corona situation, I am afraid to get out and do other tests and see the doctor. I do have a dry cough for the last one month and some time with white mucus. Mostly when I eat rice, and spicy food my cough starts. I have called a gynecologist and she told me to have Adovas after lunch and Duvent (Rupatadine 10 mg) after dinner for seven days. After seven days, I called her and told her that I feel a little better but not stopped coughing and she advise me to take Adovas only three times a day. I did and it did not help me at all. I called her again and she advises Montelukast 10 mg after dinner and its also not working. It has been four days since I took Montelukast and I feel like I need to deep breath when I take it. I have only cough, no fever, no pain, no breathing problem, no headaches, and no running nose. As you know in this Corona situation I cannot go out with a cough to get other tests or see a doctor for my pregnancy advice and lab test. Would you please help me advising good medicine so my cough stops. Other than the above, I am taking Folic Acid 5 mg two times moring and evening as she told me do I need to take anything else for my pregnancy at this moment. Please help. Doctor: Hi. Congratulations on your pregnancy. Let me tell you in the first three months of pregnancy vomiting sensation, gaseous state, mood swings, breast, and back pain are common. I understand it is not possible to have a consultation now. For cough, do stream inhalation three times a day, tablet Azithromycin 500 mg twice daily for five days, syrup Dextromethorphan / Guaiphenesin combination 5 ml twice daily for five days. (We get it as syrup Ascoril in India). You will be fine. Folic acid is a must once a day till your pregnancy, and tablet Doxinate (Doxylamine) twice daily before food will prevent nausea and vomiting." + }, + { + "id": 22007, + "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": 8512, + "tgt": "Will overweight be a reason for my headache?", + "src": "Patient: Hello doctor, I am a 27-year-old obese woman with venous pulsatile tinnitus in my left ear. I have no history of high blood pressure or diabetes. I have been overweight for about five years and was a normal weight before. I am being treated for OCD, ADD, and depression. I take 150 mg Sertraline, 20 mg Amphetamine salts, and 50 mg Trazodone. I am also on Loestrin 24 Fe birth control. I have been having some headaches (two times per week, mild pain) that occasionally improve with caffeine but no other symptoms. Would losing weight be the best first step to take before visiting a neurologist? Doctor: Hello. Regarding your concern, I would explain that this feeling could be related to an inner ear disorder. Your blood lab tests show increased white blood cell count suggestive of an infection. Anemia is also present. That is why I recommend taking iron supplements. A brain MRI is also necessary to exclude possible vascular malformation of the brain. It is also essential for checking thyroid hormone levels. I hope you will find this answer helpful." + }, + { + "id": 9297, + "tgt": "How long after taking last pill of Terbinafine can I drink alcohol?", + "src": "Patient: Hello doctor, I have been taking Terbinafine for the last three months for my nail fungus. I just want to make sure that it is safe for me to drink alcohol now that I am off the pill. I plan on drinking a whole week (seven days) after I take my last pill. Will I be fine? How long after taking my last pill of Terbinafine can I drink alcohol? I took my last pill this three days back. Doctor: Hello. Actually, small traces of Terbinafine will stay in blood for few weeks. However, its initial half-life is 36 hours, after a week period, the level is significantly at a lower level. So you may safely drink alcohol. However, it is better to keep it at a moderate level as liver must be recovering from slightest injury if any. So you may have it but have it in moderation for three to four weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8032, + "tgt": "What can be done for hemorrhoid at anus along with pain in inner thigh muscles?", + "src": "Patient: Hello doctor, I have hemorrhoid at the anus along with pain in inner thigh muscles. Doctor: Hello. I guess you do not have pain at anus while passing stools. Is there anything which comes out of anus during straining? It is better to get it confirmed by a local doctor by examination regarding the diagnosis. Hemorrhoids as such are not life-threatening. The problems associated are bleeding and sometimes pain. Permanent treatment is surgical removal. However, it can be well controlled. Firstly, you should avoid straining at any cost while passing stools. Straining will increase them and also lead to bleeding. So it should be avoided. Next thing is your stool should be soft so as reduce the damage, bleeding and need for straining. For that, you should eat high fiber diets like fruits apple, banana, oranges, and green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty and oily food. You should have plenty of fluids and regular exercises. Also, you should have Isabgol powder two tablespoons bedtime to maintain stool soft. Alternatively, you may have a syrup like lactulose 15 to 30 ml bedtime to maintain your stool soft. If there is a pain, then you can apply 2 % Lidocaine gel before each stool so as relieve pain. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27608, + "tgt": "My sister has a headache that does not subside with pain medications. Please help", + "src": "Patient: Hello, My sister has headaches from the last six months. Earlier, it was random, but from the last two months, it is continuous. The MRI is normal and no medicines are working. Please help. Doctor: Hello. Revert with more information to a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 27286, + "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": 1573, + "tgt": "My mom is diagnosed with UTI and recurrent candida in throat. Will Fluconazole help?", + "src": "Patient: Hi doctor, I need some advice on behalf of my mother who is 67 years old. For the past 12 days my mother has been experiencing pain in the throat area, feels like something is stuck, vomiting mucous, weakness, body aches, white tongue, difficulty swallowing, and vomiting feeling while talking and eating. She vomits about twice a day. She consulted an ENT and internal medicine doctor. ENT dismissed her after nothing found in throat using a camera but the internal medicine doctor did some investigations. Results showed UTI (epithelial cells 20-25/HPF and pus cells 30-35) and TSH (13.5) raised as well as Candida Albicans growth from a throat swab. She has had this issue every few months and normally clears up on its own, but this time it is very severe and not going away. Current medication: Cefotil (Cefuroxime 500 mg and Clavulanic acid 125 mg), Gelora gel for oral thrush (Miconazole BP 2%), Motigut for vomiting 10mg), Thyroxine (50 mcg currently but internal medicine doctor asked to increase the dose to 1.5 tablets due to high TSH). Urine culture was done and it was normal. My query is, whether this is a bad infection, not bacterial but growth of esophageal candidiasis can be treated by antifungal therapy Fluconazole? No improvements are seen with many antibiotics. Oral thrush candida was found on initial appointments and also candida in throat swab. Is there any harm in trying a course of Fluconazole? She had a history of fungal infections in the throat which normally clear up on its own. This time it seems much more serious. If it is fine, what dosage would you recommend and for what period? Doctor: Hello. Yes, your mother is suffering from 1. Hypothyroidism. 2. Oral candidiasis. 3. UTI (urinary tract infection). 4. Dysphagia. Oral candidiasis or oral thrush if not improved within five days after starting local antifungals then you may start oral antifungal medication. You may use tablet AF (Fluconazole) 150 mg once a day for one week. But in case of old age, people may feel nausea or vomiting for this drug then you can give iv Fluconazole (Forcan 100 ml) once a day for five days. In old age, vitamin B12 deficiency is also common, so it may present like glossitis with pharyngitis. Take vitamin B12 injection weekly once. You can give Neurobion injection also. Use Candid B mouth paint for local application. Use tablet Levosulfuride 25 mg twice a day for nausea and vomiting. At the same time check for serum electrolytes levels which may be altered in old age lead to vomiting. You may give probiotics like capsule Gut ok or Sporulac sachets to increase the immunity levels and also prevent gut growth of fungus. Remaining medications you continue the same. Response to the treatment may take four to five days. Diabetic patients are more prone to oral candidiasis so check for blood sugar." + }, + { + "id": 15800, + "tgt": "How to get a proper erection?", + "src": "Patient: Hi doctor, I am not getting a proper erection for the past three months. I consulted a sexologist, and the doctor told it as a sexual energy issue. Please help me. Doctor: Hi. The common causes for having an erectile issue in this age are stress, anxiety about erection, and due to certain nutritional deficiencies like Vitamin D. Take dates, raisin, anjeer, and almonds in your diet. Also, take Ashwagandha powder or capsules with milk twice daily. Practice kegel exercise and gomukhasana exercise daily. I suggest you take tablet Megalis (Tadalafil) 10 mg one tablet at night for three weeks and tablet Shelcal (Calcium carbonate with Vitamin D3) one tablet in the morning and night for four weeks." + }, + { + "id": 30686, + "tgt": "Is mid-cycle spotting normal?", + "src": "Patient: Hi doctor,I have been getting mid menstrual cycle spotting. Is it normal? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19681, + "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": 15145, + "tgt": "Ringing sounds in the ear. Taking Neomycin. But no relief yet", + "src": "Patient: Dear doctor, I am hearing ringing sounds in the ear. It is three weeks now. I consulted a doctor and he said that everything looks normal but gave me Neomycin and I still have the ringing. Doctor: Hi. I understand your concern regarding ringing sounds in the ear or tinnitus. This can occur due to varied reasons like: It can occur without a known cause too. I would advise you to get an audiometric testing done and share the report with me. Avoid exposure to any loud noises. If it is disturbing your sleep, use a high-speed fan or clock to mask the sounds. Try not to concentrate on the sounds and you could take an anti-anxiety drug, after consulting your physician. Hope these measures would help. Do let me know or consult an ENT specialist online, if you have any further questions --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29878, + "tgt": "Kindly give your opinion regarding LASIK after seeing my reports", + "src": "Patient: Hi doctor, I have been wearing contact lens for the last 12 years. Recently, they started getting uncomfortable. So, I stopped using them and got a LASIK consultation with a Pentacam. I have attached the reports taken two days after stopping contact lenses and three weeks after stopping contact lenses. One thing that pops out is the anterior elevation in the left eye. My surgeon says that I have a slightly higher than normal chance of developing post-LASIK ectasia, but it is unlikely. I want a second opinion before I take the plunge. I have no complaints at the moment, except for not being able to wear contact lens for long. Also, I hate glasses. Doctor: Hi. I have seen your prescription and Pentacam scans (attachment removed to protect patient identity). 1. Myopic Astigmatism. 2. Blepharitis. 3. Allergic conjunctivitis. For further doubts consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 19729, + "tgt": "What is the lightest diet to have in a patient with lazy bowel?", + "src": "Patient: Hello doctor,I have developed a lazy bowel due to laxatives and I have developed depression. I have a little cereal in the morning but I am scared to eat. What can I have? My doctor is ordering a CT scan today. I cannot eat until then but after, what is the lightest diet? Doctor: Hi. Constipation is mainly related to lack of fiber in the diet and poor bowel habits or intestinal motility disorders. The indication of a CT scan is not obvious here. Your doctor must be thinking of some obstruction of intestine or mass in the abdomen. When it is scheduled, it should be done to rule out the said etiology. You should follow their instructions for the CT scan. Thereafter, you should follow a high fiber diet to alleviate constipation. I want to know about the other investigations, whatever blood or stool investigation was done. Kindly provide the report. We will plan for the laxative, that will clear your bowel. Chronic constipation. 1.High fiber diet. 2.Polyethylene glycol, 35 gm once In a day, night time with 200ml water. 3.Plenty of water 4 to 5 liters per day. 4.Regular exercise, walking for 1 hour." + }, + { + "id": 11885, + "tgt": "Should I take an emergency move when a 9-month-old swallowed a piece of balloon?", + "src": "Patient: Hi doctor, My son is 9 months old and has swallowed balloon. Post that he had food. He had no breathing problem. Now he is sleeping. What should I do now? Doctor: Hello. Please give the child laxative food like banana, rice, etc., to help the child pass stool. Usually, the balloon should come out from stools in 24 hours if it has gone into the stomach. It is less likely that it may have gone into the wind pipe because there is no breathing problem. Please watch for any signs of breathlessness, vomiting episodes, abdominal distension till the balloon does not come out in the stools." + }, + { + "id": 8252, + "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": 3304, + "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": 12237, + "tgt": "I have been suffering from gum bleeding associated with choanal bleeding. Please advice", + "src": "Patient: Hello doctor, I am a 43-year-old female and have been suffering from gum bleeding and recently had episodes of posterior choanal bleeding, I was examined by a dentist and ENT surgeon and they could not find any abnormality. I am a hypothyroid patient and I had to stop taking medicine for it due to low TSH level. I have also been suffering from thrombocytopenia for long. I am post-menopausal for the past seven years. Please advise me what I should do. Doctor: Hello. First, from what I see from the results (attachment removed to protect patient identity) is the presence of low T3 and T4 levels with elevated TSH at the same time. It means that your thyroid function is deprived again and you need to re-start hormone replacement therapy. The fact that your lipid levels are elevated speaks in favor of slowed metabolism and can be attributed to the current hypothyroid state. Second, your platelets are borderline. At this time they are sufficient enough in quantity to exert anti-bleeding properties, so if you had bleeding at this moment, most probably it was not due to their count. But if your hypothyroidism is autoimmune in nature, the reason for which you did not mention, then there is a high chance that you have immune thrombocytopenia as well. Usually, one autoimmune disorder goes together with another. But even if you have immune thrombocytopenia, at the current platelet count it would not require any treatment. The hypothyroidism requires though. You have a slight increase in eosinophils. Again, they are borderline, but nevertheless, this prompts investigation for parasites such as echinococcosis, leishmaniasis, toxocariasis are the ones that are more frequent in your region. Next, do you take any medications that could potentially inhibit platelet function? Such as Aspirin, Clopidogrel or do you eat a lot of garlic? Then, if there is no drug substance causing dysfunction of platelets, you will need to check your coagulation with conventional tests such as APTT, PT, and INR. Last, but not the least, this could be a case of inherited plate dysfunction, but that you should have had since early childhood. And finally, I assume you had your differential manually checked by a laboratory specialist and they did not found any abnormal cells on the smear. You also have not mentioned whether the dentist reported on gum hypertrophy, but I assume there is none. You can take some Vitamin C, you might be lacking it, and Rutascorbin to prevent capillary fragility. Hashimoto thyroiditis. Parasitologic tests, coagulation tests: APTT, INR, PT. Platelet dysfunction. Ascorbic acid (Vitamin C) 500 mg daily for two weeks, Rutoside (Rutascorbine) 20 mg twice daily." + }, + { + "id": 1126, + "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": 7348, + "tgt": "Does constant decrease in neutrophil count indicate leukemia?", + "src": "Patient: Hello doctor,I have lowering (variable) neutrophil for past two years. The count is like 2.6, 2.3, 2.0, 2.43, 1.91 being recent, which is lower than usual. The other counts like lymphocytes, platelets, and hemoglobin, RBC are all within range. My only problem is I am getting recurring cold. In the last result, my MPV came a little higher 13.10, whereas normal being 12. I am fearful of leukemia.I did peripheral smear test as well. No abnormal cell was seen in peripheral smear. Only mild neutropenia was seen. I need help to know precisely why only my neutrophil is getting down? Is it leukemia? Doctor: Hello, Welcome to the icliniq.com. Your absolute neutrophil count is borderline low in the recent report. In the value of the previous description was within the range that is more than two. So it cannot be called persistent neutropenia because the normal range is more than two. Anyway, your peripheral smear examination report does not show any abnormal cells. So the chance of leukemia is very less according to the mentioned report and peripheral smear examination report. The repeated cold can be responsible for an increase in lymphocytes and so relative neutropenia can be seen. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 19387, + "tgt": "How to get treated for panic disorder?", + "src": "Patient: Hi doctor, I often get a feeling that my heart is going to stop. I have panic disorder also. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2769, + "tgt": "Inspite of taking medicines for tonsil infection, I still have pain in throat. Why?", + "src": "Patient: Hello doctor, I had tonsil infection last week for which I went to the doctor who gave me antibiotics and pain killer. My throat infection is healed, but still I am having pain in my throat. Again I went to the doctor and he told it is lymph swelling and he prescribed me with Cetirizine and pain killer. I am taking this medicine from the last two days but I am not getting any relief still I am having pain on one side of the throat. Please suggest. Doctor: Hello. Please take a picture of the back of the throat with open mouth showing details of the affected area and send to me. Is the lymph node palpable? Is there any fever? Did you complete the antibiotic course fully or did you stop abruptly?" + }, + { + "id": 23643, + "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": 3536, + "tgt": "Penetration of any kind hurts me. Please help", + "src": "Patient: Hi doctor, I am having pain during sex. Penetration of any kind hurts me. The most painful are the inner lips especially on the right side. I get burning sensation inside too, but not very high. I had some bleeding last night and it stopped fairly quickly. We were not being rough either. I am on Depo-Provera shot. I think that I might have vulvodynia. But, I have pain inside too. Please help. Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity) that you have attached. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1115, + "tgt": "My mother has severe heart problem, and her feet and ankles are swollen. Please help", + "src": "Patient: Age: 62 years My mother has severe heart problem. She had high blood pressure from long time but didnt get any medication. Now her feet and ankles are swollen. A doctor recommended Triforge 5/160/12.5+Loprin 75mg. Her BP is managed now, but she feels high heart rate, palpitations and cold sweating. Please help me; i cant afford hospital expenditures. Waiting for your kind and helpful response. P.S: She is also taking epival from last 3 years. Doctor:" + }, + { + "id": 8384, + "tgt": "Can I take green tea to increase efficiency of weight loss workout?", + "src": "Patient: Hi doctor, I have started my workout for weight loss. My query is about increasing efficiency. Which should I take or which would be safe and effective for me? Green tea extract or green coffee? Is there any specific brand I should purchase? Doctor: Hello. Green tea contains antioxidants and has some positive effects on the skin and body. It can also be used as a low calorie refreshing beverage in place of your regular coffee or tea. But do not rely on it for your weight loss. It does not have the effects as shown in advertisements. I usually recommend my patients to follow a balanced diet with regular physical exercise. No fancy food is required to achieve weight loss. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 28965, + "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": 4801, + "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": 4311, + "tgt": "What are the ways to treat black spot in teeth?", + "src": "Patient: Hello doctor, Just yesterday I discovered that my front tooth looks a bit black and then I decided to look behind that tooth. I found out that there is a black spot between two teeth behind. And I have not seen it before I was a bit shocked to find that out. I am a student and cannot afford to visit dentist. Can you please consult on how to cure it without pulling out and visiting a dentist? Doctor: Hello. I understand your concern. The most common cause of black spots on tooth is cavity or tooth decay. Unfortunately, there is not any medicines or home remedy that could stop the progression or cure tooth decay. This can only be done by a dental treatment. Tooth has three layers, outer enamel, dentin and innermost never layer. When decay starts in the enamel layer, it does not show any symptoms other than visible black spot on tooth. At this stage, a simple tooth filling can be done. But if left untreated, it progress through dentin and when reaches nerve layer it starts to give out pain. This is when a simple filling cannot be done. A root canal treatment and crown procedure will be the only option to save the tooth in that stage. I can understand your situation but please visit the dentist and get a simple filling done as soon as possible to save that tooth. Treating at early stage will be a good decision financially. Meanwhile avoid stick and sugary foods and maintain a good oral hygiene to reduce the decay from rapidly progressing. I hope this helps." + }, + { + "id": 3530, + "tgt": "Kindly suggest a cough medicine for my wife, who is 5 months pregnant", + "src": "Patient: Hello doctor, My wife is 5 months pregnant. She is treated in one of the reputed hospitals. She has been advised to take Feronia -XT and Cal 360 tablets. Over last three to four days she is having cough in the night time\u00a0and she is afraid to use any tablets or tonic. Kindly suggest which tablet or tonic she should take. Doctor: Hi. Blood test to check for hemoglobin level, total count and differential count. Cough in pregnancy. Revert back after the investigations to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1501, + "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": 24985, + "tgt": "Is pain and weakness in the knee while walking associated with multiple sclerosis?", + "src": "Patient: Hello doctor, I have been referred to a neurologist by the general practitioner but the appointment is six weeks away and I am worried.I would like to know if this sounds like MS and what scans I might likely to have? The complaint started with numbness in the distribution of the femoral nerve two weeks ago. Now with some pain and weakness in the knee while walking. Thigh pain when stretched back, lower back pain. There are no hard neurological signs in me. Lower limbs reflexes are normal. SLR (straight leg raising) test is 90 in both legs. I have some subjective altered sensation around left knee and further down in the left leg. I have soreness in left hip at night and hot and cold sensations around the leg and behind the knee. I have had on and off hip pain since my first pregnancy, eight years ago. I have three children and younger one is 1.5 year old. Doctor: Hello. I read carefully your question and would explain that your symptoms do not seem to be related to multiple sclerosis. So, just relax and do not worry about it. In my opinion, your complaints are related to a possible bulging disc in the lumbar vertebral column, which is causing radiating nerve pain and numbness in the leg. It is also the main cause of back pain. For this reason, it is necessary performing a lumbar column CT scan or MRI to investigate this disorder. Meanwhile, I would recommend having some rest, avoiding prolonged standing up or sitting position. Painkillers (Acetaminophen, Ibuprofen) coupled with a muscle relaxant (Flexeril - Cyclobenzaprine) would help improve your situation. Consult your specialist doctor, discuss with him or her and take the medications with their consent. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17683, + "tgt": "I am losing weight due to diabetes. How to control this?", + "src": "Patient: Hello\u00a0doctor,I am a 69 year old male. I am a diabetic patient using Cetapin XR 500 tablets since the last two years. My bloodsugar is almost in control, but I am\u00a0losing weight. Can you help me? Doctor: Hello. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 6041, + "tgt": "What is the stigma around mental health?", + "src": "Patient: Hello doctor, What is the stigma around mental health? Why it is there? How can people help break the stigma around mental health and what advice do you have for people who want help but stigma is keeping them from getting it? Doctor: Hello. Stigma for mental illnesses is as old as civilization itself. Persons having mental illnesses were considered as evil. Mental illnesses were thought to be due to past life sins. A person having any kind of mental illness whether neurotic or psychotic was considered as \"mental\" or \"crazy\" or \"lunatic\". Progressively these all resulted in failure to acknowledge the mental illness and individuals develop thinking that what others would think if they consult a psychiatrist. Stigma is there because of cultural beliefs. Even in western countries, people have hesitation in consulting a psychiatrist. What will others think about me? People will make fun of me if I consult a psychiatrist, psychiatric medicines will make me emotionally numb, I will become dependent on medicines, etc., are the reasons there is a stigma for mental illnesses. Psycho-education is the most important method to break stigma. Awareness in public about mental illnesses, acknowledgment by celebrities that they too suffer mental issues are the factors that can help to break the stigma. Making people believe that mental illnesses are like any other medical illnesses, and these occur because of change in neuro-transmitters also help in reducing stigma." + }, + { + "id": 3466, + "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": 8522, + "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": 3154, + "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": 9657, + "tgt": "Why am I having right ear fullness and background noise?", + "src": "Patient: Hi doctor, I am having right ear fullness and it started several days ago. Last night I awoke due to a pulsating pain in my right ear. I hear some background noise and in silent environment, it is most evident. Is that fine? I had Bell's palsy 2.5 months ago on the left side and again, a month ago on the right.\u00a0Both are very mild cases. I had an\u00a0MRI 2.5 months ago and that was normal. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25127, + "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": 29330, + "tgt": "I am getting angry by remembering old incidents. Should I see a psychiatrist?", + "src": "Patient: Hi doctor, I am a 40 year old male. I do not think I am depressed as such. I am doing everything fine and having a happy family life.\u00a0But, something is troubling me since a year or so. I get anger, mostly by remembering old incidents, sometimes incidents from my childhood. Mostly involving my father, who did many wrongs to me. I get angry by remembering these events. Mostly, turn violent mentally. It causes an immediate mood-swing, but everything becomes normal instantly, as I come out of it very quickly. It goes off in a flash. Initially, these convulsions were only internal. I mean that I just had them in my mind. But slowly, they have begun to surface. It became readable on my face, and sometimes I make gestures responding to them mostly when I am alone. My wife has complained a few times that I keep saying something alone, at times. My 5 year old kid\u00a0have also asked me at times as he has seen anger on my face because of no reason. Sometimes, it comes when I am driving, and I react to that by increasing the speed or harsh overtaking. I take control as soon as I realize that I did it. It happens more if I drive alone. People give me looks as they see something on my face.\u00a0I work as a software engineer. I work on complex projects\u00a0and doing my job successfully. This problem is not affecting me right now, but later it might if the things get further out of hand.\u00a0I try to avoid these thoughts actively, but they do surface. I tried meditating to calm the mind. Do not know if it is working.\u00a0Based on my symptoms, do you think I am suffering from a mental ailment? Obviously, the things are not normal. What do you call this kind of behavior? Should I see a psychiatrist? Doctor: Hi. Thank you for your query. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4061, + "tgt": "My eldest son had PET and CT scans. Will the radiation affect my other son?", + "src": "Patient: Hello doctor, Over two years ago my eldest son was diagnosed with lymphoma. He had PET scans and CT scans. These started at the end of my last pregnancy and went on while my son was a newborn and infant. I do not remember him holding the baby, but he came home from scans and was around him. They never said this was dangerous or told him to stay away from anyone for any length of time. I would like to know whether my baby has been exposed to radiation. Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. For further doubts consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 20621, + "tgt": "Will CMV or herpes infection before or after birth affect pregnancy or child?", + "src": "Patient: Hello doctor, I am in 36th week of pregnancy. My last ultrasound was doppler happened at 34th week 5 days. I showed the pregnancy of 32 weeks 5 days with mild IUGR. Fetal weight 1885 grams. My gynecologist advised CBC, and Torch IgM, IgG tests. In the CBC test, total leucocyte count is 13300/cumm, MPV is 8.0 fl. All other values are normal. Torch IgM is nonreactive or negative. Torch IgG is positive for CMV value 1.59, and positive for herpes value 3.49. Is there any danger to my pregnancy or my child to be infected by CMV or herpes before or after birth? Doctor: Hi. Your baby growth is lagging behind. I need weekly no stress test and ultrasound with doppler every 10 days. Do the following things for baby's well being. Maintain daily baby kick count and note down between 9 AM to 9 PM. Blood pressure monitoring on an alternate day. Urine test routine and microscopy, bed rest, high protein diet. About infection, did you have any previous abortion? Or a previous baby with any birth defect? The report (attachment removed to protect patient identity) suggests that it is an old infection. Do not worry about that. As you already have immunity for CMV (cytomegalovirus) and herpes. Pregnancy-induced hypertension. 1.Urine test routine. 2.BP monitoring. 3.NST (nonstress test) weekly. 4.Ultrasound with doppler every 10 days." + }, + { + "id": 21969, + "tgt": "How can I manage gum bleeding in bottom teeth?", + "src": "Patient: Hi doctor, I brush regularly and floss, even started oil pulling with coconut oil. My bottom gums feel really tender and bleed over the smallest thing. How can I manage it? Doctor: Hi. I think you have injured the gum not because of trauma from the coconut but because of force. Now either there is calculus (hard deposit) or you have got the periodontal infection. You need to take medication like Ofloxacin and Ornidazole combination at least for four to five days. Also, you need a scaling if you feel there is calculus. You can check with a dentist for further evaluation because sometimes there are chances of fracture too. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17705, + "tgt": "What can cause recurrent fever and chills?", + "src": "Patient: Hi doctor, I am a 49 year old male. I have been suffering from fever and chills for the one week. I started on antibiotics Novoclox. I had two tablets and the next day had rashes on the body. Hence, I started taking Cetirizine once daily. The fever and rash has subsided now. Today morning, I had alcohol and non-vegetarian food. From afternoon, again, I started developing a fever and chill. My last recorded body temperature was 102. Please help. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30228, + "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": 5784, + "tgt": "My wife has swelling on lips, mouth and itching all over. What is it?", + "src": "Patient: Hello doctor, For the past two years, my wife is having skin allergy problem. It started soon after delivery of a baby. Sometimes, swelling on lips, mouth and itching on body was present. Three years back, took treatment for one year and the skin allergy resolved. But, now over a month, it has started again. She has got all her blood tests and other skin tests done and all turned out to be normal. Now, she is under homeopathy treatment for the past one month, but the medicines are not effective. Please guide. Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1298, + "tgt": "The orthodontist advised extracting four teeth to treat high canines. Is it necessary?", + "src": "Patient: Good morning My daughter (12 years) has high canines. The Orthodontist advised to extract 4 teeth before we start the treatment. I would like a second opinion to know if it is really necessary and if necessary which teeth bcs I read that the opinion differ to which teeth to extract especially in girls (to avoid saggy cheeks in the future. Thank you. X-Rays taken five days back. Doctor:" + }, + { + "id": 21226, + "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": 9096, + "tgt": "What are those non-itchy, multiplying bumps on penis?", + "src": "Patient: Hi doctor, I have noticed these bumps and spots on the bar of my boyfriend's penis. It does not seem to cause any discomfort to him such as itching or sensitive to touch. We have been sexually active supposedly monogamous for a year. I noted the first one about three months ago and they seem to be multiplying. Should I, or we, be concerned?\u00a0Thank you so much. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity) and descriptions. These lesions seem to be genital warts (condyloma acuminata). It is a contagious disease, caused by human papilloma virus. Generally, two thirds of individuals who have sexual contact with a partner with condyloma acuminata develop lesions within three months. Oral, laryngeal or tracheal mucosal lesions are transferred by oral-genital contact and anal intercourse can transfer lesions in perianal area. Needs to rule out immunosuppression by doing certain investigation like HBsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C Virus), HIV (human immunodeficiency virus) and VDRL (venereal disease research laboratory). Treatment plan includes radiofrequency cautery, chemical cautery (30% TCA - trichloro acetic acid), CO2 laser and topical Imiquimod applications. Review after one month if required. Revert back after a month to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15070, + "tgt": "Stopped taking medicine Effexor. Now having dizziness and brain zaps", + "src": "Patient: Dear doctor, I have stopped taking my medications, Effexor 75 mg for a few days. I am wondering when my dizziness and brain zaps would stop. Doctor: Hi. The sudden discontinuation of Venlafaxine (Effexor) particularly seemed to cause discontinuation symptoms during the first three to seven days. Ideally, it should not be stopped abruptly. It should rather be decreased sequentially over two to three weeks. And, another strategy is to consider switching to Fluoxetine, which may suppress the discontinuation symptoms and it has little tendency to cause such symptoms itself; and then discontinuing that. My advice is to wait for a few more days and if the symptoms still persist, meet your physician again and suggest to put on Fluoxetine. Revert back for further queries to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 10324, + "tgt": "What causes nausea and vomiting without any underlying condition?", + "src": "Patient: Hello doctor, My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months. Doctor: Hi. She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments." + }, + { + "id": 9209, + "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": 24910, + "tgt": "Why am I having scrotal pain, pelvic tissues deformation and gastric issues?", + "src": "Patient: Hello doctor, Since two years, I am having pelvic pain, scrotal pain (scrotal veins) and the penis has become visibly smaller. There is erectile dysfunction, loose skin above the penis and between scrotum and anus, diarrhea, mood swings, muscle spasm, joints issues, GERD, hormonal changes (level of free testosterone is of a man aged 70, while I am 33), headaches and ringing in the ears. What is the reason here for scrotal pain, pelvic tissues deformation, enlarged veins and gastric issues? Do I have rectal cancer? Doctor: Hi. All your symptoms fit into changes concerned with the liver parenchymal disease with associated varices and enzyme deficiencies rather than rectal cancer. However, on observing your MRI (attachment removed to protect patient identity), I could deduce- I would request you to get your liver function tests enzymes panel done and a routine abdomen ultrasound to evaluate liver echotexture. The preventive measure that you can take is prohibiting alcohol and other alcoholic beverages. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 17149, + "tgt": "I am worried about palpitations. Please advise", + "src": "Patient: Hi doctor, Last Wednesday night, I got palpitations. I took Rivotril 5 mg and slept. Next day I rushed to my physician. He prescribed me Ciplar 10 mg tablet and advised me to take one tablet daily after breakfast. Palpitations did not happen from past three months. My doctor advised me to continue the tablet and said nothing to worry. But I am worried as what could be the reason for my palpitations. I am disturbed by thinking that will I get heart attack?\u00a0I am sleepless now. Please help. Doctor: Hi. Palpitations in the absence of loss of consciousness/blackout/sudden fall are not considered as malignant. Occasional non-recurrent palpitations may not be significant at all. Hence you need to see if you have any of these alarming symptoms or these palpitations are recurrent or not. On the background of structurally normal heart - your normal ECG and ECHO study (attachment removed to protect patient identity) with no other cardiac symptoms, absence of alarming symptoms and absence of recurrence, speak of a non-cardiac cause. These may be related to stress, thyroid disorder and certain medications. I would suggest you to upload your recent ECG if possible. Revert back with your report and answers to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8466, + "tgt": "What causes intermittent and heavy flowing periods?", + "src": "Patient: Hello doctor, My menstrual period has changed a lot for the past two months. I noticed that it has become intermittent and may last for two weeks with super heavy flows with blood clots. Last month, it started suddenly with heavy flow with big blood clot, and I thought it was my first day. However, it stopped and went back again during the first week of this month. Until now, I still have my period and I am starting to get very worried because I am still on heavy flow. I am almost 40 years of age. Thanks. Doctor: Hello. Menstrual irregularities are very common at your age group and it could be due to endometrial hyperplasia (one of the reasons). I would advise you to get a pelvic scan done to see the endometrial thickness to see how it is. If it is normal, then you might need hormonal pills to regulate your cycle. Mirena is the best option to avail for regularity and reducing heaviness. But I would advise to seek medical help in person and get yourself assessed in detail first and then get treatment." + }, + { + "id": 22186, + "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": 10121, + "tgt": "Is it possible to have infertility due to low progesterone levels?", + "src": "Patient: Hello doctor, I recently took a women's health test to test my hormones. I just got my results back and my Progesterone level is extremely low where as my Estradiol level is in the normal range. I have dealt with many irregular periods since I was young and have not been able to conceive a child with my husband and now I think I know why. I was wondering if my results can be looked at by a doctor to give me anymore information on what is going on with my test results. I am only 25. Doctor: Hello. The reports are fairly normal including the hormonal profile but the progesterone levels (attachment removed to protect patient identity). If these levels are from the proliferative phase then they can be considered normal, however, if from the luteal phase, then they are definitely low. Considering that LH was 11, this test may have been done around day 10 to 14 of your cycle, was it? In cases of progesterone deficiency, one tends to get anovulatory cycles and also shortened cycles with mid cycle bleeds and irregular shedding with often passage of clots, so if not so and if you are experiencing delayed irregular cycles then cause is likely PCOS and not progesterone per se. Also, important in any fertility evaluation is the the male fertility factor. It is important to learn if the semen analysis report of your partner is normal or not, whether the quality and quantity of his sperms are good or not, so please share his semen analysis report as well for review." + }, + { + "id": 16633, + "tgt": "Is it normal for my stomach to make squeaky sounds a few years after hernia surgery?", + "src": "Patient: Hi doctor, Is it normal for my stomach to make squeaky sounds a few years after hernia surgery? Doctor: Hi. The squeaky sound might be due to two reasons: Most common cause of this is IBS (irritable bowel syndrome). This has a history of constipation and alternative episodes of diarrhea, with or without pain. If you have these symptoms, then it is IBS. Fibre-rich diet and medications should be taken. There are rare chances of it being an obstruction, secondary to surgery. In this case, you have to get an ultrasound abdomen scan done. Revert back to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21877, + "tgt": "I had unprotected sex and took ECP tablets. Why am I not getting periods?", + "src": "Patient: Hi doctor, I had unprotected sex with my fiance. After sex, within 48 hours, I took two ECP tablets. After taking it, bleeding started for two days. My menstrual date was a week back but I did not get it. Also, I face some kind of a different taste in my throat, have a headache and troubled heart. In every month I take one dose of ECP and every time when I take ECP, bleeding start for two days and I successfully get my periods. But now after sex, I took ECP and the same bleeding started for two days but I did not get my periods. Is this any sign of pregnancy or any infection or whatever? Doctor: Hi. Your periods can become irregular after taking ECP (emergency contraceptive pill). It may be early or delayed by one week. You may also have spotting. You have taken medicine correctly. The urine test will not pick up early pregnancy. Please do serum Beta hCG blood test now to rule out pregnancy confirmatively. I would like you to start on monthly contraceptive pills, to avoid such situations in the future. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30254, + "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": 15779, + "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": 3775, + "tgt": "What causes numbness in arms while sleeping?", + "src": "Patient: Hi doctor, I am a 35-year-old male. I have been to several doctors (neurologist) and I have not been told what is wrong and what I can do to fix it? My symptoms are: for the last ten months, when I go to sleep I wake up with one or both of my arms being numb from my elbow down to my pinky and ring finger. So I know there is something up with my ulnar nerve. This happens when I am asleep on my back, which is why I got an MRI of my neck to see if it was happening from there. When I saw the spine specialist he said my MRI was normal for my age. This is what the MRI report showed. C5-C6 = 2 mm disc protrusion, mild effacement of thecal sac, AP canal diameter 9.5 mm. C6-C7 = 2 mm disc osteophyte complex, moderate effacement, AP canal 9.5mm. C7-T1 = 2mm disc protrusion, AP diameter 11.5 mm. He looked at the images and said nothing would be happening to the nerve from the neck. Also, I saw a neurologist and they did an EMG, nerve conduction study, EEG, and MRI of the brain. They said everything was normal. Everything I have found online points to ulnar neuropathy or cubital tunnel syndrome. I just have not had any doctor confirm what is going on and I do not know anybody personally that has experienced this issue. It is disrupting my sleep causing me to wake up multiple times each night. My questions are, what can I do to fix this physical therapy, surgery, etc.? Are there long term effects for having this? Doctor: Hello. Sorry about your present health condition. Usually during sleeping on supine position or sleeping on sitting position with hands side by side may can cause some compression of ulnar nerve lead to temporary signal interference call neuropraxia which is common in all individuals, but more in obese people, or hypothyroidism, or diabetic, or B12 deficiency, or hypocalcemia, or anemia, or hypokalemia conditions. So prevent medial rotation of arm while sleeping. Get it done serum calcium and electrolytes. Als,o get done your blood sugar and thyroid status. Use vitamin B12 and Folic acid tablets. Tablet Pregabalin 75 mg is useful at night time. If no improvement, please review with the above investigations. Avoid smoking and alcohol consumption because it aggravates the condition. Rest your arms on pillows by the side." + }, + { + "id": 16415, + "tgt": "What is the treatment for hip fracture?", + "src": "Patient: Hi doctor, My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand. She used a walker to walk as the implant got loosened. Her two out of four cortical screws came out. Some doctors suggest a total hip replacement. Please review her X-ray and advise a partial hip replacement (fitting only the implant stock and ball whiteout acetabulum cup). If yes, should a mono or a bipolar ball be favored? I am sending her X-ray. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, it is best to do a hip replacement. A monopolar hip replacement would be the best option. This operation supports her life, and the decision should be made with her." + }, + { + "id": 15419, + "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": 19872, + "tgt": "I have low self esteem with glossophobia in public. Please help", + "src": "Patient: Hi doctor, My problem is killing me. I have low self-esteem with glossophobia whenever I talk in public. I have a hideous feeling whenever I contact people. It is damaging me to the core. I want to come out of it. Please help. Doctor: Hi. I can understand your concern. Anxiety problems are very crippling. They stop you from doing things which you can do, and they reduce your career growth. It is very distressing to see ourselves in that condition. We have treatment for all the types of anxiety disorder. You can get better with the treatment. Treatment plan includes both medicines and psychotherapy." + }, + { + "id": 9307, + "tgt": "Chest x-ray revealed a flattened diaphragm. Please help", + "src": "Patient: Hi doctor, My husband is 52 years old. He has never smoked and is currently training for a half marathon. He is very fit. For a couple of years, he is suffering from mild asthma and using Ventolin inhaler. For the past few months, he is suffering from chronic cough and that sounds like an asthmatic cough. This is not always relieved by the Ventolin. He had a spirometry test which came back normal. A few weeks ago he came down with pneumonia and had a chest x-ray which revealed a flattened diaphragm. He was treated with antibiotics, fully recovered from the pneumonia and had a second x-ray done a few days ago with the same result. The doctor has given him a referral to a pulmonologist, but the appointment is only after a month. I am very concerned about his x-ray results. I have attached all his reports for your reference. What are the likely diagnoses? Doctor: Hello. For further doubts consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15305, + "tgt": "Suddenly, I am losing hair in patches. What can I do?", + "src": "Patient: Hi doctor, Suddenly, I have hair loss with a small circle at the upper side of the right ear. What can I do? Please help. Doctor: Hi. There is sudden hair loss in patches, and it is known as alopecia or spot baldness. It can occur due to autoimmune issues, psychological stress or fungal infection. It can revert. According to Ayurveda, leech therapy may help you to have regrowth of hair. Also, after rubbing, some irritant like Danti seeds or its preparations helps to reopen the hair pores, and it stimulates the hair follicles to have regrowth of hair. Take Ichhabhedi tablet. It contains Danti as an ingredient. Apply this powder, and it helps you to have regrowth of hair again." + }, + { + "id": 19558, + "tgt": "I cover my teeth with whitening trays while smoking. Is it fine?", + "src": "Patient: Hi doctor,I recently got my teeth whitening trays but I smoke too. But when I am smoking, I use the trays to cover my teeth. No, I do not bleach at that time. I just use the tray to cover my teeth. Is that fine? My trays smell like tobacco. Does that matter? Doctor: Hi. I have gone through your query. See, you have to choose either one side. You have got stains due to smoking too and that you know. Whatever treatment you undergo, smoking is going to degrade it, and you will ultimately get stains again (in this case). I might sound rude here, but you have to stop smoking. You have to gradually decrease smoking and then totally stop. Otherwise, let alone the cancer part, it will definitely cause stains and degrade your gums and teeth health too. So, it is smoking vs too much of your tissues health. In the long run, you will lose your teeth either due to cavity or loosening of teeth. So, stop smoking. Coming on to your query, I do not think that covering the teeth with tray is going to help much. Actually, you are totally causing a negative effect by smoking while teeth whitening rather than doing any benefit. Sorry for the frank answer but you need to take care of your health and seeing your age, this is not a good habit as it can go for addiction. Rest, yeah, we are there to treat you as much as possible for the consequences of your habit. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16182, + "tgt": "How to delay my periods?", + "src": "Patient: Hello doctor, My monthly period was due on last week, but the same has delayed. I want to delay my period by around 15 days. I am 38 years old. I am married and have no medical history. Doctor: Hi. Delaying cycle by medicine. Pregnancy testing. Primolut N 5 mg thrice a day. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20527, + "tgt": "Why am I sad and anxious most of the time?", + "src": "Patient: Hello doctor, I am very sad and anxious most of the time. Lost motivation and most happiness, which has probably been gone for a while. Was on Zoloft for about five months, but it did not do anything. It was only on 50 mg/day so maybe that is why. I do not really want to cope with medicine because in the long run its just a mask for the way I feel. I am 23 years old and have a 10-month-old just some background. I quit my job because I did not feel mentally strong enough and would cry at work every day. I have been out of work for eight months and am scared to go back, which is also contributing to me being completely broke and contributing to me feeling worse about myself. Doctor: Hello. At your age, depression is reactive, means that there will be some stress factor. Are you feeling that life is no more useful or interesting, is there any suicidal ideas, have you lost pleasure in previously pleasurable activities? We have to increase the dose of Zoloft (Sertraline) and you should start some psychotherapy sessions. You should take part in social gathering and develop interest. Start talking to friends and relatives about your problem without thinking about what they will think. Start physical activities and keep yourself busy. Do one thing that you think is interesting. Avoid loneliness. Thyroid profile." + }, + { + "id": 11320, + "tgt": "My periods are not regular after my abortion. What should I do?", + "src": "Patient: Hello doctor, I had abortion, D and C, two months ago. After that, I got my regular cycle on the next month, and it was normal. Last month starting there was a one-day spotting, which again started on the mid of the month and lasted for four days. And after some days I had periods with a dark brown colored discharge but not of that adequate amount, but it lasted for six days like a regular period. But I had contact last month after which only the next spotting kind of discharge came as I told. I had progesterone from this month for four days to regularize my cycles. But I have not got my cycle till today. It is more than six days now. I usually used to get my period on the 5th day after progesterone. But this time I did not get my period till now. I do not want to be pregnant now. What should I do? Doctor: Hello. If there is a history of sexual intercourse after abortion, then I would suggest you do a blood test and serum beta hCG (human chorionic gonadotropin) after 10 days of intercourse. Also, I would advise you to do one pelvic ultrasound and serum beta hCG to rule out any retained product of conception. If everything is fine, then you can take OCP (oral contraceptive pills) for three cycles to regularize your periods. Please do a pelvic ultrasound and serum beta hCG and send me the report." + }, + { + "id": 10782, + "tgt": "Does Seroquel extend the time of my derealization last longer?", + "src": "Patient: Hello doctor,I have been using an antidepressant for the last two to three years. About two months ago, I received very exciting news that I had been waiting for a long time. After a short while, I had panic attacks one after another. I asked a doctor and learned that the things I was experiencing were depersonalization and derealization.For the past two months, I have been, living in fear and anxiety, hoping it passes, but nothing significant has happened. Now the doctor prescribed me 25 mg of Seroquel an antipsychotic drug. My antidepressant prescribed has also doubled in amount. I have read that Seroquel can have negative consequences when taken unnecessarily, or it can lead to schizophrenia.I am moving abroad within the next three months, and need to have healed by then. Do you think that there will be adverse effects of Seroquel on me, such as worsening my situation, intensifying the feelings of fear or making the time of my derealization last longer? What should I do? Doctor: Hello. Seroquel is Quetiapine and is an antipsychotic drug, but the drug is also used in mood disorders like bipolar disorder or resistant depression. The drug does not make a person schizophrenic. A lot of psychiatrists use this drug as augmentation therapy for depression or insomnia. If they have prescribed this drug, then remain relaxed. This will not cause any harm to your mental health but will help you. The drug is safe to use and has no severe side effects." + }, + { + "id": 2564, + "tgt": "Does having pulmonary stenosis put me at a greater risk for COVID-19?", + "src": "Patient: Hello, I am 21 years old with a prominent pulmonary stenosis. My work is staying open during the COVID-19 pandemic and are wanting to know what employees will work. I feel like if I say I don\u2019t want to work they may hold it against me in the future. It is Family Video so people are constantly coming in and out and touching things. My county just had their second confirmed case and the patient was around many people during the time before she was diagnosed, therefore going to spread quickly. Does having a pulmonary stenosis put me at a greater risk or is it safe for me to wait out the situation and work in the meantime? Thanks! Doctor: Hi, Welcome to the Icliniq Following is my opinion for your asked question Pulmonary stenosis puts you at higher risk for complicated Covid infection. So if you get covid infection than course might be aggressive in you. Your country as mentioned not reach at stage where complete lockdown needed. However it's good if you can avoid contact with other individual and if you can stay at home with your family. Surface contact, hand shaking, kissing all can also favour spread of covid. So avoid close contact and use frequent hand sanitizer. Hope I have answered your question Let me know if I can assist you further Regards" + }, + { + "id": 21053, + "tgt": "Please guide me with the treatment for urinary tract infection", + "src": "Patient: Hello doctor, I was diagnosed with urinary tract infection (E.coli) three months back. I took Ciprofloxacin for 10 days, but there is no sign of improvement. Now I have a dull pain in the back region, waist, and sometimes at flank. There is complete body weakness, mild fever, tingling sensation at hand and feet. Are these all symptoms of a kidney infection? Please guide me. Doctor: Hello. It looks like an upper urinary tract infection. Get your urine test done in a place where they check whether it is E.Coli (Escherichia Coli) or ESBL (Extended-spectrum beta-lactamases). Also, do an ultrasonography for the bladder to check post void residue. Start tablet Levoflox (Levofloxacin) 500 mg after giving urine for culture. Consult your specialist doctor, discuss with him/her and take the medicines with their consent. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 26102, + "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": 15835, + "tgt": "Kindly advise management of fever, cold, cough, sore throat, and body pain", + "src": "Patient: Hello doctor, Fever, cold, cough, sore throat, body pain. Please suggest some medicine. For the past two days, it is there. It is for my husband and his age is 39. Doctor: Hello. Your husband could have acute pharyngitis like infective cause. It could be a viral infection for which symptomatic management can be done. You can be prescribed Vitamin C 500 mg BD for five days. It is advisable to take Levocetirizine or Phenylephrine like decongestant. Diluted Betadine gargle will be beneficial for you. If no improvement, then further work-up is needed in form of ASO titer and CBC." + }, + { + "id": 22239, + "tgt": "My daughter suffers with heavy periods and weight gain. What to do?", + "src": "Patient: Hi doctor, My daughter is 15 years old and weighs 99 kg. She has immense pains during periods following which she cannot go to school for around 10 days a month. She has PCOS. She is in grade 10. She was on tablet Deviry and Ovacare. She also faints at times during periods. Earlier, she used to bleed heavily. Two months ago, she bled for 3 weeks and due to which she had gynecological checkup and a few tests. Since she started these tablets, she is getting a lot of clots and her periods are not regular. She has put on weight in the last two to three years. Please help. Doctor: Hello. She is a case of PCOS (polycystic ovary syndrome). She is having anovulatory cycles with decreased estradiol levels and painful menses with severe premenstrual symptoms. She needs to be placed on low dose oral contraceptive pills for at least three to six months and Myo-inositol supplementation along with antispasmodics to be used as and when required when the dysmenorrhea sets it. OC pills shall avoid clots, decrease blood flow and maintain the hormonal imbalance. Also, exercise and weight control through diet would have to be practiced with sufficient daily water intake. Ask her to avoid, oily, spicy, fried and fatty foods completely. Deviry (Medroxyprogesterone) alone should be stopped and it is not the treatment. Because, it does not contain Myo-inositol. Consult your specialist doctor, discuss with him or her and take the medicine with consent. This has to be continued for three cycles at least. This shall need treatment for at least three to six months and you would need to follow up. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 21373, + "tgt": "I have congestive heart failure with EF at 42. Will this get normal with healthy diet?", + "src": "Patient: Hello doctor, I am a healthy 50 year old man who worked out six days a week. About six weeks ago, I had chest pain and went to a hospital. I was admitted after having three blocked arteries, at 99, 93 and 88 percent, and successfully had three stents put in. Since released, I have turned to a vegan diet and eat fish, chicken, and greens. Would it be alright to have one cheat meal per week, aka steak, burger, Italian or would that do damage? Also, I have congestive heart failure with a fraction rate of 42. The doctor put me on Carvedilol and said with proper diet, exercise and meals, I can get that number back in the normal range in five to six months. Doctor: Hello. I would explain that heart failure is a clinical syndrome. EF (ejection fraction) is not the only element indicative of heart failure. It may differ based on the clinical situation and other parameters. I agree with your current therapy. I agree with your doctor that a healthy lifestyle is necessary to improve your situation. We cannot make predictions on your heart function, but we can hope that everything will be fine. Unfortunately, this is a chronic and serious medical condition, which cannot be cured. The optimization of the therapy and a healthy lifestyle can help improve your survival and improve your life quality. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4867, + "tgt": "What does my tests taken for acid reflux show?", + "src": "Patient: Hello doctor, What do these tests results mean? Esophageal mobility: % failed 30, % weak 40, % ineffective 70. EGJ outflow obstruction, median IRP 19.8. I am having acid reflux and taking medications for GERD. Doctor: Hi. Can you send across the endoscopy report? Looks more like EGJ outflow obstruction than achalasia cardiac. Anti-reflux surgery alone will not help. May need myotomy too. Will give a definite comment once I see the pending reports." + }, + { + "id": 30463, + "tgt": "I am worried about my chest CT scan. Kindly explain", + "src": "Patient: Hi doctor, I had viral fever about three weeks back accompanied by cough, breathlessness and exertion. I have consulted a pulmonologist and he advised blood tests. Now, I have breathlessness after a long walk and slopes, tingling sensation in the heart and there is a feeling of phlegm in the throat. I had tuberculosis about 32 years back. Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 5992, + "tgt": "Why ketogenic diet should not be taken for long term?", + "src": "Patient: Hello doctor, Why ketogenic diet should not be done long term? Why it is not a good idea to follow a ketogenic diet for the long term and what are the potential negative effects on the body by following a ketogenic diet for the long term? Please comment. Doctor: Hello, Welcome to the icliniq.com. The opinion regarding keto diet varies from many studies. The ketogenic diet or low carbohydrate diet is helpful in weight reduction and should be done under trained nutritionist guidance. Self keto diet experience is not advisable. Although it is useful, the long term keto diet is not advisable as per my opinion. In keto diet, carbohydrate is not used as its intake is very less. The body will use the fat directly for metabolism and so ketone bodies can form. It can lead to ketosis in a diabetic patient and very rarely in normal person. Some study suggests that ketosis not harmful. But as per my opinion, it is better not to the take risk and avoid long-term keto diet. Keto diet can lead to diarrhea as well. Rather, you can take a balanced diet and do exercise." + }, + { + "id": 2610, + "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": 2911, + "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": 5944, + "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": 8540, + "tgt": "How to increase the width of vagina?", + "src": "Patient: Hi doctor, I got married before sex months. On the first day, as my wife had more pain, I did not force her. However, when we started participating in sex I am unable to insert into her vagina. But, her vagina is too tight. So, we both met a gynecologist. She checked my wife and had inserted one finger. She told that lengthwise it is good and advised both of us to participate in sex daily. She has given lubricant gel Lignocaine hydrochloride LOX 2% jelly and told my wife to apply and start practicing daily. We tried without gel for a week, but unable to penetrate. Today,\u00a0she has applied gel and tried with the insertion of one finger and then she applied two fingers, but not going freely. Kindly we need your advice in this situation.\u00a0How to increase vagina width? Please let me know any tips or suggestions. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8265, + "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": 28758, + "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": 13152, + "tgt": "What are the ways to treat ear fungal flakes?", + "src": "Patient: Hi doctor, I am having ear fungal flakes according to my doctor. I want to know how much time it will take to cure and what type of medication generally is prescribed in this condition? And this condition can be cured without medication? Doctor: Hi. The condition you are describing is called otomycosis. This is a very curable condition in which topical antifungal drops have to be used along with the above medication. The mainstay of treatment is antibiotics, topical antifungal drops like Clotrin plus or Candibiotic plus ear drops and Levocetirizine tablet. The main thing is the water precaution. You have to keep a thick cotton while bathing and remove it after taking bath. Swimming and water activities are completely prohibited." + }, + { + "id": 6527, + "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": 1085, + "tgt": "I think the CT abdomen shows some liver problem. Kindly suggest solution", + "src": "Patient: Hello doctor, I may have a liver problem and would like to get advice. I had done some medical tests recently and the liver turned out to be a bit problematic for me. Hence, thought of consulting a specialist. I am currently blood pressure, blood thinner, cholesterol-reducing drugs, and medicine for thyroid. Doctor: Hello. I have gone through your query. Your BP and cholesterol levels seem to be fairly well under control of treatment. Kindly share all your available reports, liver function tests, and details of the symptoms and problem that you are facing at present. Kindly get back with the above details and any other questions if you have further discussion and management." + }, + { + "id": 30231, + "tgt": "Why am I feeling hopeless and a little nervous always?", + "src": "Patient: Hi doctor, I am having really bad anxiety. I have a feeling of hopelessness and fear of the unknown. I have been diagnosed with depression when I was younger and have been to a mental institute once. I just feel like being around no one. I am irritable and have tremors. It has been happening about three times a week. I do not feel happy, always tired, dizzy and almost passed out. My heart is beating funny and barely can breathe. I am a little nervous about going to see my doctor. I fear that he might think I am lying or something. Doctor: Hi. I understand your concerns. ECG, thyroid function test and fasting blood sugar. Panic disorder with depression. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14512, + "tgt": "There is low TLC after delivery. Why?", + "src": "Patient: Hi doctor, The patient is my wife. Patient age is 30 years, we have one child 2.3 years old and healthy. She was feeding baby till 2 years of her age. During pregnancy TSH was 5.7 and taken medication, after pregnancy, TSH became normal, stopped the medication as advised by the doctor. During pregnancy, heel pain was there continuously with coccyx pain. Did MRI whole spine, it was normal. Since last one month, there is no heel pain but while getting up from bed in the morning, there is a pain in both feet. She takes a few seconds to get up from bed in the morning only. She is taking Tayo 60k for seven weeks and one on monthly basis. She feels very low energy throughout the day with mild body pains. We consulted the doctor (general physician), advised CBC, TSH, vitamin D, vitamin B12. I am attaching reports. TLC was 3.97, after one week it was 3.56. Platelet was 125, after a week 158. As of now, I do not have any problem except weakness, mild body pains. Patient weight is 42 kg to 45 kg for many years. During pregnancy, it is 53 kg, now it is 43 kg. Height is 5 feet. My query is regarding TLC count and platelet. If we need some more investigations? If there is any abnormality then how fast TLC can go down. What is the reason for low TLC? Does she need to consult someone else? If after three months TLC count will be the same, is it worrisome? If it is not going down or up, is it serious? Assume it is the same for the next six months than what should I do? Doctor: Hi. Kindly find answers of your questions as below. Your total leukocyte count and platelet were low initially. But gradually it has been improved so suggest recovery of any unnoticed infection. Moreover, the peripheral smear examination report was normal (attachment removed to protect patient identity) and not showing any abnormal cells that warrant further investigation. You have to still repeat CBC after few days. The TSH is high, so hypothyroidism should be ruled out. For that repeat TSH estimation after few days and investigate with T3, T4 estimation as well. If there is any abnormality, then gradually all counts go down or high and peripheral smear shows abnormal cells if blood cancer is present. It is difficult to say one reason for low WBC. But the infection can be possible. If no cause is evident then ANA estimation can be done to do work up for autoimmune disease. If your CBC values do not fall within the range in the next few days then hematologist can be consulted for a detailed evaluation. If hypothyroidism is confirmed then Levothyroxine should be started." + }, + { + "id": 30124, + "tgt": "I got ear infection after over masturbation. Will it get cured?", + "src": "Patient: Hi doctor, I am a 29 year old male. I have tinnitus for the last two weeks. I am taking tablets, but there is no improvement. I do not know the cause. The doctor, whom I visited, said that my nose hole is rooted in such a way that my ear gets infection like that. Also, my ear has pus inside. I think my tinnitus is due to masturbation. I do masturbate daily around two to three times a day and sometime more than that too. I used to do it in the sleeping position with the left side down. I could feel heat in my left ear when I masturbate. Initially, I did not think it as a big issue, but I am worried now. A year ago, I did over masturbation one night and the next day my left ear got infected. But, there is no hearing loss or tinnitus that time and that infection went off. Now, I am having pus and a ringing sound in my left ear. Also, I feel only some 50% hearing in my left ear. Is this temporary or permanent? Will\u00a0my left ear recover completely? Doctor: Hi. I understand your concern. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23603, + "tgt": "Suffering from nightmares, sleeping problem and headache. Can this be due to glaucoma?", + "src": "Patient: Hi, I am suffering from nightmares, sleeping disorder and one sided headache especialiy while reading or watching TV. Can this be due to glaucoma? I did not check it with a doctor yet. Doctor: Hi, Nightmares indicate an anxiety disorder. If you have flashbacks, anxiety attacks associated with the nightmares and if they are related to past abuse that you have been subjected to then you might be suffering from Post Traumatic Stress Disorder (PTSD). Your one sided headaches especially while reading or watching TV sounds like a classic case of migraine. You should check your vision. Have a full psychiatric evaluation done by a psychiatrist." + }, + { + "id": 3516, + "tgt": "What are the ways to maintain blood pressure during dialysis?", + "src": "Patient: Hello doctor, My father 70 years old, is just recovering from a septic shock and amputation. He has had is leg amputated below the knee. He had an infected wound on his foot and fell into a septic shock. 1. He has kidney failure and needs dialysis. His blood pressure dips too low during dialysis and it had to be aborted. Is there anything that can be done for him to keep his blood pressure up during dialysis? 2. His amputation wound is not healing. Can anything be done to promote wound healing? Could another amputation above the knee help the wound to heal? Doctor: Hello. There are number of ways to try to avoid fall in blood pressure. 1. Do not take blood pressure medicines prior to dialysis. 2. Avoid eating during dialysis. 3. May be tell doctor to reduce his fluid removal on HD. 4. Reducing the dialysate temperature by 0.5 celcius. 5 . Or still issue persists can take tablet Gutron (Midodrine) 2.5 mg tablet prior to dialysis and dose can be increased to 7.5 mg. Regarding wound healing, elderly take some time for wound to heal, we can wait sometime and ensure adequate nutrition, normal Hb and still problem persist, can consult surgeon about further plan." + }, + { + "id": 9235, + "tgt": "Kindly advice on the biopsy reports of my mother", + "src": "Patient: Hello doctor,My mother has been operated two months before. She was suffering from constipation, and the doctor found a tumor in the CT scan. Some operation called laparotomy was done. After that, she is fine now. The stool is passing through the stoma. After the biopsy report, I have been asked to consult oncologist for further medication if needed. I have attached the biopsy reports. Please advice. Doctor: Hello. So she has colonic carcinoma. As you told, she is passing stool through the stoma, that gives me the impression that probably she was not surgically fit at the time of surgery to complete operation in one stage. As per the cancer stage, she needs to undergo cancer chemotherapy, but in this case, probably we first have to do another surgery for closure of her stoma, and after that, if she is medically fit enough to tolerate side effects of chemotherapy, it may be considered." + }, + { + "id": 18626, + "tgt": "I see some flying corpuscles in my vision. Is this a nerve issue?", + "src": "Patient: Hi doctor, On certain surfaces like light or plain background and dark surface I see some flying corpuscles in my vision. My eye check-up is normal including retina check. Doctors said because of this isolated symptom one cannot suspect any nerve problem.\u00a0When I wake up at night, these flying corpuscles or tiny stuff in my vision bothers me. I have this right from my childhood and I am 32 now. Should I\u00a0be worried for this? Doctor: Hi. For further queries consult an eye care ophthalmologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23067, + "tgt": "What are the risks of high-intensity cardio exercise?", + "src": "Patient: Hello doctor, I am a healthy 36-year-old. I run several times a week, often sprinting up hills for two to three minutes. In the past three years, I have had a few minor cardio-related symptoms, which I had checked out because I am motivated to stay in top physical condition. These include: Dizziness (drop in blood pressure) when standing up suddenly. Feeling of shortness of breath during minor physical exertion (for example climbing stairs). That seemed out of character for my general level of fitness. A minor episode of palpitations that resolved in a week or so (last year). I have had two thorough cardio workups in the past five years to look into these issues, including a 24 hour Holter monitor, EKGs, and two cardio treadmill stress tests. Two cardiologists have told me my cardiovascular system is in excellent shape and they cannot find anything wrong. They seemed quite impressed I made the full 21 m on the treadmill. I have no current cardio issues. My question is this: what are the risks of intense cardio exercise? Basically, what are the risks if I try to sprint up a mountain? I have read about the dangers of long periods of running, one hour or more, but do not really see anything about the risks of dropping dead from sprinting too hard too long. Doctor: Hello. Exercising regularly is a good thing to keep ourselves healthy. If you are a trained athlete and exercising under the guidance of an expert for intense cardio, exercise risk will be minimal. Your expert will design a workup that will suit you, like duration of the session, the frequency of the session, and adequate rest periods between workup. So, the risk of intense cardio exercise will be minimal if it is planned properly according to your fitness levels. Coming to your second question, if you sprint up a mountain with an adequate recovery period in between, the risk will be less. If you do not allow adequate recovery period, you may get symptoms related to muscular fatigue and dehydration. If you go high up the mountain (at 5000 to 8000 feet), there will be less oxygen availability and if you are not accustomed to such conditions of low levels of oxygen you may develop acute mountain sickness and then exercising will be harmful. If you are accustomed to low levels of oxygen, moderate-intensity exercise may be advisable under expert guidance.Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12024, + "tgt": "From my blood reports, please tell me what kind of fever do I have", + "src": "Patient: Hi doctor, I am a 55 year old female. I am a diabetic patient since last 10 years. I am taking Insulin, Panlipase, Shelcal, and Pantocid on regular basis. I had fever few days back and taking Calpol. The doctor suggested some tests. The reports are attached. Doctor: Hi. We are here to help you. I have reviewed your reports (attachments removed to protect patient identity). The urine report indicates that the sample is either contaminated or you have urinary tract infection. Now, the fever could be viral, dengue or due to urine infection. Your widal test for typhoid is also positive. I would like to know, since when are you having the fever? How high is the fever? What is the current status?" + }, + { + "id": 30139, + "tgt": "I was found to have ectopic pregnancy and I am bleeding now. What to do?", + "src": "Patient: Hi doctor, When I was 10 weeks pregnant, it was found out to be an ectopic pregnancy. I did get a surgery or shot, because my hCG was decreasing on its own. I was keep on doing blood test for every 48 hours. When my hCG was 5, I started spotting. After two days, I started bleeding heavily. I am wondering if this is my first cycle after an ectopic pregnancy or something else. I am bleeding with clots for the past 10 days. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26180, + "tgt": "I found lice in my sister's hair. How do I ensure they are gone?", + "src": "Patient: Hello doctor, My sister is 16 years old. I found lice in her hair a few days ago. For two nights, she applied butter in her hair while she slept. I then combed through her hair with a\u00a0flea comb twice a day. She washed everything in vinegar at a high temperature. I have not\u00a0seen any today on her\u00a0hair. But, she is still itching much worse than before. How do I know when the lice are gone for sure? Doctor: Hello. I have seen your query. These serve as a good measure. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 10431, + "tgt": "18 weeks pregnant woman used spray pesticide. Is it harmful for the baby?", + "src": "Patient: Hello doctor, My wife is around 18 weeks pregnant and, she started to spray pesticides inside our home. I am concerned that this might harm our developing baby. Please advise. Doctor: Hello. I understand your concern. Definitely pesticides of any category are harmful. If it can damage the pests, then that will be harmful to the baby. But we humans are bigger in size and damage is not significant, unless sprayed daily for many days, for a long time and directly onto the face. By 18 weeks, the baby is fully formed, so there cannot be any significant damage or long term effects on the baby. To be on a safer side better to avoid your exposure to pesticides. Do not worry, and your baby will be ok now. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 11520, + "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": 4548, + "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": 23335, + "tgt": "I have a lazy eye. What should I do?", + "src": "Patient: Hello doctor, I have a lazy eye. My right eye (sph - 0.50 cyl -0.75 axis 10 degrees) and the left eye is fine. I am 24 years old. I am a web developer, I have to work in front of the computer screen more than 13 hours. Kindly answer the following: What should I do? Do I need to change my profession? Is it curable? What is the treatment? Is there any chance of getting other eye affected? Doctor: Hello. Are you facing any problem in vision? I do not think you will be having any problem with your vision. It does not seem to be lazy eye to me (attachment removed to protect patient identity). Your right eye has a slightly subnormal vision and that may not be even noticeable. Is your eye tilted? If not and still have any problem with your vision then get your retina examined. You need not change your profession at all. It will not do anything. Lazy eye is not curable at this age. No, another eye will not get affected by the lazy eye but yes can be involved in other diseases. Really want to know what symptoms exactly you are having because your power in the right eye is not that significant enough to use glasses. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29444, + "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": 18958, + "tgt": "I have a pain where my leg joins the hip. What could it be?", + "src": "Patient: Hello doctor, I am a 19 year old male. I have been having pain near the right groin, where the leg joins the hip, for the last two\u00a0months. It used to be very painful mostly during the end of the day. It was not always present, only twice or thrice a week. But now, it has become worse. So, I went to the doctor. He gave me some medicines\u00a0but, it did not work out. So, he asked me to get an\u00a0X-ray of the right hip and pelvis. The X-ray was normal and there was nothing wrong. However, I do get some internal sound when I put my leg down or if I lift it high. Now, I get pain at my back on the right side. A year ago, I had a blood test showing zero\u00a0myocytes. The doctor said that the sound is a muscle sound. It pains mostly at night. I cannot even sit properly. Doctor: Hello. I went through your post. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25868, + "tgt": "Diagnosed as Pott\u2019s spine in the L4-L5 region. Severe pain in back as well in the right leg. What to do next?", + "src": "Patient: Hello doctor, Fourteen months ago, my wife went through a C-section delivering a baby girl. After 15 days of surgery, she started feeling lower backache with very local pain in bending, sneezing and coughing. Initially, we thought it is a post-cesarean effect. As she was breastfeeding the baby, she took homeopathic medicines. Afterwards, we consulted an orthopedic as there was no relief of pain. Three months later, we consulted Neuromedicine. With certain blood investigations and an MRI report, they diagnosed it as a Pott\u2019s spine in the L4-L5 region. The MRI report said there was an altered T2WI hyperintense and T1WI hypointense signal intensities noted involving the L4 and L5 vertebral bodies with the paradiscal destruction of the L4 vertebral body. A post-contrast study reveals heterogeneous involvement. An irregular peripheral enhancing T2WI hyperintense and T1WI hypointense collection is noted in intraosseous space, prevertebral and paravertebral space extending behind L4 and L5 vertebral level. Small similar collections were noted in the adjacent psoas muscles. Anterior epidural space collection was noted behind L4-L5 level causing spinal canal stenosis. Rest of the vertebrae were normal. Of late, she has started feeling severe pain in her back as well in the right leg. Right now she is feeling difficulty in moving and walking. Can you please prescribe her what to do next? They have started the treatment course and suggested to wear an LS belt. The medications are as follows: R-Cin 500 mg OD, Econex 850/300 OD, Pzide 500 BD, Dolo 650 mg BD, Syrup Dicalciiplex N 1 TS BD. Doctor: Hello. She has Pott's spine that is tuberculosis of the spine and the treatment duration for this is 18 months. Now, the symptom you have mentioned suggests that she has got severe compression of the nerves of the back aggravated by a jerk. In such scenario, she needs to apply Taylor's brace on her back to support her back and she may even need rest for a few weeks. In such cases, I also prefer to add up a medicine which helps in reducing the disc edema and that is a tablet Disperzyme (Bromelain, Trypsin, Rutoside). Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6511, + "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": 23417, + "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": 28620, + "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": 15802, + "tgt": "Please advise the management of chronic sinus infection due to weather", + "src": "Patient: Hello doctor, I have chronic sinus infection because of it I will face problem whole winter. What treatment should I take to get relief from cold in these winter months? Shall I make a choice for vaccination? Doctor: Hi. According to infectious disease guidelines, all persons aged 6 months and older are recommended for annual vaccination. For your symptoms treatment, here are the recommendations. Smoking cessation, irrigating the nasal cavities with saline reduces postnasal drainage, removes secretions, and rinses away allergens and irritants. This should be done 2 to 3 times a day thoroughly. Nasal glucocorticoid sprays (Budesonide, Fluticasone propionate, Mometasone Furoate). One or two sprays once daily. Antihistamines may be helpful if your chronic sinus has an allergic component." + }, + { + "id": 14253, + "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": 26281, + "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": 16553, + "tgt": "Can H. pylori infection be treated with injectable antibiotics?", + "src": "Patient: Hello doctor, I have been diagnosed with an H.pylori infection. My current symptoms are an inability to eat properly, excessive burping, and restlessness.\u00a0My doctor advised taking Cravit and Amoxicillin,\u00a0along with Pantoprazole as an\u00a0acid reducer. Just after one doze of antibiotics, I have severe bloating in the\u00a0stomach and found it difficult to breathe or burp, and had to be rushed to the emergency room. Can H.pylori infection be treated with injectable antibiotics? As my stomach is extremely sensitive to strong oral antibiotics as of now. I am in severe discomfort and help would be greatly appreciated. Doctor: Hi. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1870, + "tgt": "What is your suggestion on my blood report?", + "src": "Patient: Hi doctor, I have attached my blood report here for your reference.\u00a0Please have a look and give me your suggestion. Doctor: Hello. 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": 7738, + "tgt": "Can taking Primolut irregularly cause delay in period?", + "src": "Patient: Hi doctor,I am 28 years. I had my period on the 24th of last month and I had unprotected sex on 2nd of the next month. I took Primolut on the same day and I had been bleeding again on 5th to 7th. It was not like usual bleeding. After that bleeding, I sometimes take Primolut on my own, like, when I take it today, I will not take it tomorrow. Till now today is 29th and am still not having my period. I have tested three tests and all are negative. I am confused about it. Doctor: Hi. It would be better if you would send me a detailed history. Primolute N is actually used for delaying periods. It leads to withdrawal bleed but you have taken it as an emergency contraceptive pill actually. You got a withdrawal bleed as well although medicine was not taken properly with proper dose and days. After that also you took medication haphazardly. This medication is a hormone and can give side effects as well. These disturb cycles as well. Urine pregnancy test and transvaginal scan are not very good to diagnose pregnancy in very early stage actually. Better have beta hCG (blood pregnancy test) to check your pregnancy status. If it comes negative then have tablet Primolute N 10 mg twice daily for complete five days and wait for bleeding in coming 1 to 2 weeks. If you want to have contraceptives and proper hormonal support for your cycle for regularity, have combined oral contraceptive pills for three months." + }, + { + "id": 12805, + "tgt": "I have long-sightedness. Will lasik cure it?", + "src": "Patient: Hello doctor,I wanted to ask you about long-sightedness. Doctor: Hello. I have gone through your attachment (attachment removed to protect patient identity), you have myopic astigmatism in both with the left eye having high astigmatism. If you have any doubts about this prescription then please be more specific about it, I will do my best to help you." + }, + { + "id": 7034, + "tgt": "Is Xarelto a viable option in patient with heterozygous factor V Leiden and DVT?", + "src": "Patient: Hello doctor, My girlfriend is 26 and was diagnosed with heterozygous factor V Leiden and heterozygous prothrombin 20210. She is very active, runs half marathons, and works out three to five times a week. She had broken her ankle, and we watched TV for two weeks and noticed some swelling. We took her to the doctor, and she had a DVT. She was also on birth control at the time. We have stopped birth control, and she did a regime of Xarelto. Now since the doctors have found out, she has these two mutations, they want to put her back on Xarelto for life. Is this a viable option? Can she be safe without the blood thinners? We believe the clot was due to the increase factors (birth control, break, and sedentary life). Do you think she needs blood thinners for life or she can take then at times of increased risk breaks, surgery, pregnancy, etc.? Doctor: Hello. Based on your query, my opinion is as follows, 1. Being positive for factor V Leiden and prothrombin is a considerable risk for thrombosis and is very much prone for thrombus formation in the future. This is very much common in homozygous inheritance individuals. 2. I do agree, OCP (rest could have been the cause. However, having associated other thrombosis risks with a history of thrombus (DVT) at present warrants indefinite anticoagulation therapy. 3. With the mutations in play, blood thinners are the safer choice. 4. However, if she is not keen on starting, in heterozygous patients, single thrombus should not warrant lifetime therapy. However, the risk is high up to eight times, compared to normal individuals. Need to watch for DVT symptoms particularly and if there is another episode in future, with or without OCP or any other factors, lifetime therapy is warranted. If there is another thrombotic episode, I would strongly suggest starting blood thinners for life as thrombus, if not detected early like the present time, can be life-threatening. 5. Being heterozygous at present, with a single episode, at present, with associated possible bleeding risks, blood thinners for life may not be warranted. I hope it helps." + }, + { + "id": 15908, + "tgt": "What can be done for painful retained tooth root?", + "src": "Patient: Hello doctor, I have a tooth which is gone but the root is still there. It is super sore. The pain is unbearable and put Anbesol, Orajel, Ibuprofen, Advil, Aspirin, tried it all. What should I try to do now? Can I just pull it out? Do I have to go to a doctor or dentist? What will they do for me that I cannot do myself? There is also swelling and redness around the area. I washed it out with a couple different things like warm salt water, Hydrogen peroxide. Please help. Doctor: Hi. I have got your problem. As there is root piece left inside, then definitely you should go to the nearby dentist to get it extracted soon. As there are pain and swelling, it means that the root piece is infected. So you need to get it removed as soon as possible. Dentist will take that region's radiograph and will give you local anesthesia and then will extract that root piece either non surgically or surgically depends on the case. Do not worry. It will be fine after that. Take care." + }, + { + "id": 13173, + "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": 22655, + "tgt": "Foreskin of penis does not retract. Will it cause problems while having sex?", + "src": "Patient: Hello doctor,I am 26 years old male. The foreskin of my penis does not retract even when the penis is erect. It remains attached near the tip from the inside. I am able to masturbate normally and ejaculate but I fear that I will not be able to have sex. I have never had any growth problems in general. Will I face any problems while having sex? Doctor: Hi. Is it acquired or is present from birth? Please send the photographs of your attached foreskin. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6357, + "tgt": "I am having kidney stone and it has not expelled even after taking medicine. Why?", + "src": "Patient: Hello doctor, I have a 5 mm kidney stone in my left lower ureter, which has been there for almost a month now. But it is not expelled despite using Neeri and Urimax and Tamsukem plus. There is only a slight pain, but frequent urination feel and pressure in the penis. As per the ultrasound, there was a stone in the left upper ureter, which moved to lower ureter. But for the past four weeks, it has not shown much progress and seems to be stuck. It has not reached the urinary bladder junction yet. Please suggest the best way out. Doctor: Hello. I have seen your scan reports. (attachment removed to protect patient identity). Your history, symptoms, and CT (computed tomography) scan shows that you have a left lower ureteric stone, and the stone is causing upstream dilatation. Medical expulsive therapy has failed. Hence you must undergo URSL (ureteroscopic lithotripsy). It is microsurgery for ureteric stone. Do not worry. It is a safe operation with a very high success rate. Medical expulsive therapy with Tamsulosin can maximally be done for four weeks. You have exceeded that limit. And you have dilatation of left kidney and ureter. So consult your local urologist and go for URSL. You will be all right in 24 hours. URSL." + }, + { + "id": 7071, + "tgt": "Should I brush my teeth after a wisdom tooth removal?", + "src": "Patient: Hello doctor, I just got all four of my wisdom teeth removed last week. I was looking at my back teeth, both top and bottom. On all the four teeth, at the very back of my mouth, just front of where the wisdom teeth were, I noticed what appears to be brown hairline-looking marks in the pits and on the sides of those back teeth. I am afraid they are cavities because, I did not brush much the past week, as I did not want to upset the wisdom teeth holes. Does this sound like cavities to you? I cannot think of what else they could be, but I did not realize they formed that quick. I am really upset because I am 18, and I have never once had a cavity in the past. And, now it seems like I do, just because my wisdom teeth did not allow me to brush back there. Doctor: Hello. If you still have some concerns, you can consult me by uploading a picture of those stains. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2512, + "tgt": "Is it possible to detect MVP through ECG and TMT?", + "src": "Patient: Hi doctor, For two years, I have been suffering from MVP (mitral valve prolapse). Then, I have undergone ECG and TMT, but no MVP detected. But, I was advised to take the tablets given for MVP, which includes Metolac-ER 50 and Dothimax 25. Will these tablets cause any side effects? Doctor: Hello. Mitral valve prolapse cannot be detected on ECG - electrocardiogram or a TMT - treadmill test unless has very advanced and causing severe problems. It can be picked up by an echocardiogram, which is a heart ultrasound. Now coming back to your medications, Dothimax (Dosulepin) is an antidepressant, Caution should be exercised in patients with a history of epilepsy, high blood pressure, increased eye pressure and urinary retention. The most common side effects of Dosulepin are dizziness, blurred vision, fast heart rate, urinary retention, tremor, blood disorders, low blood pressure, sexual dysfunction and sweating. Less common side effects are nausea, vomiting, loss of appetite, headache, giddiness, chills, sleeplessness and anxiety. MetoIac - Metoprolol is a beta blocker. This medication is used as a hypertension or BP medication and also just to reduce the heart rate in people with arrhythmias (abnormal heart rhythm or rate; meaning fast and irregular). Most common side effects are depression, low BP, low heart rate, erectile dysfunction and dizziness. Please do not suddenly discontinue these medications. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30611, + "tgt": "After taking cocaine, I usually end up with sexual chats about minors. Why?", + "src": "Patient: Hi doctor, I have a very unusual problem and quite honestly, I am petrified of the reply. But, I feel I need to talk about it and get a professional outlook on what is going on in my head.\u00a0I am ashamed to admit that for many years I have had on and off problem with cocaine. I suffer with low self esteem, anxiety and depression and tend to use it as a confidence booster. Unfortunately, though the drug seems to turn me into a totally different person, but nothing like sober at all. Once I have taken cocaine, I get a strong sexual arousal and find myself talking in chat rooms with pretty much anyone. The one thing that is scaring me and making me feel sick to my stomach though, is the conversation I am having on these sites. I usually end up engaging in sick sexual conversation which is mostly about minors. When I am sober, I end up very distressed and confused and unsure as to where these thoughts and conversations come from. I would like to make you aware, however, that these thoughts only ever come about under the influence of drugs and not when sober. I would never engage in anything with a minor, in fact, when I hear stories about pedophiles, etc., in reality it makes me feel disgusted about how people could ever do such things. I take care of my nieces and nephews all the time and have never felt sexually attracted to them. On the whole, I actually have a very low tolerance for children and have even asked to be sterilized because they drive me mad.\u00a0I am certain that I do not want any. However, I feel there must be something wrong with me to engage in such horrid conversations. Is there a chance that I subconsciously attracted to children? Or is this just the drugs causing me problems? Like I said, when I am sober, I do not think these thoughts and never even enter chat sites. I am currently on Sertraline and Quetiapine. I have been with my fiance for two years and know how much I love him. Please help me. I am so confused, upset and disgusted with myself. Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16459, + "tgt": "How can acne on back, shoulder and chest be treated?", + "src": "Patient: Hi doctor, I have acne on my back, shoulder, and chest. Doctor: Hi. Acne is a disease in which the patient may experience frequent exacerbation due to stress or hormones or periods. Acne of the chest is difficult to treat. Take capsule Doxycycline 100 mg once daily for three weeks. Apply Clindamycin lotion two times a day." + }, + { + "id": 23000, + "tgt": "Can I lose weight by eating only eggs for breakfast and lunch?", + "src": "Patient: Hello doctor,There is a diet to lose 10 kgs in 10 days where I have to eat three eggs at breakfast and three eggs at lunch and\u00a0oats for dinner. So, I want to really do this diet. My question is, can I eat four or six eggs together at\u00a0breakfast because I cannot have them later due to my schedule. Is it fine? Doctor: Hello. This is absolutely not a good way to lose 10 kg in 10 days. It can create several health problems. So, I suggest you do not do this. The best rate would be to reduce 4 to 5 kg in a month. About eating eggs, eating three to four eggs is ideal for weight management, but we need also other food items to maintain weight like fruits, vegetables, cereals, dals, water, etc. I suggest the following: Revert to me if you need a personalized diet chart. I will gladly help you. For more information consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 22821, + "tgt": "I am being tested for antiphospholipid syndrome. What will the treatment be?", + "src": "Patient: Hi doctor, Following a DVT, my hematologist sent me for a blood test and it needs to be repeated again. According to the test request form, the request is 'antiphospholipid ab blood' and clinical details are 'previous VTEs, lupus ab positive as of October last year'. I am keen to understand the impact of a second test. If it is positive, what condition would I have and what would the typical treatment be? If it is negative, then am I really safe to stop any treatment? Could the 'positive' condition that arose that may have caused my DVT arise again? Appreciate your advice. Doctor: Hello. Systemic lupus erythematosus (SLE) is an autoimmune condition. The condition can affect a single organ or multiple organ systems. DVT (deep vein thrombosis) in SLE is multifactorial. The most common cause is the presence of antiphospholipid antibodies. However, in some patients who are negative for antiphospholipid antibodies, also present with DVT. Anticoagulant therapy is usually not given on a long-term basis. If you have antiphospholipid antibodies as per the test results, you need to be worked up for SLE. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14988, + "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": 22664, + "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": 11674, + "tgt": "How to confirm diabetes when we receive unlike values from different lab?", + "src": "Patient: Hello doctor, I am a-32-years old male. Two days ago my wife and I had diabetes tests, and as of now, we do not have diabetes. Three to four months ago when we tested my result was 120, and my wife result was 140. But two days ago when we had tested, I have 122 before breakfast and 240 after two hours of breakfast. My wife had 142 at fasting and 242 after two hours of breakfast. We were shocked and worried. My mom and dad do not have diabetes and wife side her mom had diabetes, but her father does not have. My weight is 81 kg, and I am 5'5\" height. My wife is about 87 kg weight and 5'5\" height. Again we did a test at another place using glucometer after four hours after lunch, and surprisingly I got 102, and my wife had 170. The lady who did our test in front of us and confirmed that we do not have diabetes. Please help us. We do not know how to proceed. Awaiting for your response. Doctor: Hello. A glucometer is not the standard gold method it has a variability of 30 Plus or minus for conforming. Do HbA1c (glycated hemoglobin), FBS (fasting blood sugar), PPBS (postprandial blood sugar level) and urine complete. If these all reports turn to be normal, then there is nothing to worry. Maybe from tomorrow do regular exercise and take the test after seven days." + }, + { + "id": 15746, + "tgt": "I am sensitive to wood smoke. How to clean and detox my blood?", + "src": "Patient: Hi doctor, I am very sensitive to wood smoke. The particle smaller than PM 2.5 or smallest ultrafine particles in wood smoke can behave like gases and can pass through the lungs and reaches the bloodstream directly. I have an increase in blood viscosity level after experiencing the smoke. I can feel it in my arteries. I have three stents placed for my LAD. What can I do to clean and detox my blood? Doctor: Hi. Our lung alveolar macrophage will do the job of clearing particles through the phagocytosis process. But when the load is over, or daily exposure is there, then phagocytosis can become defective. There is no specific drug needed for detoxification. You can practice the following steps for detoxification. Take more green leafy vegetables and fruits. Take more Vitamin C rich foods. Drink lots of water. Taking warm water is useful. Take one teaspoon of turmeric powder with milk daily. There is no need for taking medication for this problem." + }, + { + "id": 20155, + "tgt": "I had unprotected sex. Can HIV testing be a risk for me?", + "src": "Patient: Hello doctor, I am a 28 year old male working in MNC. I am sexually active. Seven months back I had a brief unprotected sex with a CSW and post of which I got scared and did the following tests. Fourth generation test after 7 weeks, 12 weeks, 22 weeks and 25 weeks.\u00a0All the reports came back negative. I do not do drugs and not even donated blood technically. I have not risked myself with a CSW again. However, I had unprotected sex with my girlfriend 7 months back once and five months back twice. She is 100% HIV negative. Having sex with an HIV negative person is it a possible risky exposure during window period? Can it cause seroconversion? As per your expertise, is there anyone who had very late seroconversion? Help me in the details of fourth generation test accuracy.\u00a0Can HIV testing be a risk for me? I got tested in one of the famous laboratory.\u00a0I am 99% convinced that I have no issues. However, 1% of my mind asks me to get tested again. What do you advise me? Am I 100% HIV free? Do I need to get tested again? Why are these thoughts bothering me so much? I am very much stressed because of this. Please help. Doctor: Hello. Let me answer your queries one by one. For further clarifications consult a\u00a0HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23448, + "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": 23354, + "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": 29301, + "tgt": "I feel devastated for the death of my dog. Please help", + "src": "Patient: Hi doctor, My dog passed away, and I cannot quit crying.\u00a0I might need something to help me deal with this. What would be the best medicine for this?\u00a0I am 54 and not taking any regular medication. I feel devastated by her loss. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 20199, + "tgt": "Had odd reaction with breast implants. What is your suggestion for new one?", + "src": "Patient: Hi doctor, I got my breast implants (saline) removed two years ago. I had them for several years. Suddenly, I started having odd symptoms such as Raynaud's, poor circulation and heat and redness in my hands and feet when hot. Since then I have changed my diet, started supplements, started low dose Naltrexone and solved a lot of histamine and allergy issues with the help of a homeopathic doctor. I felt really good then. Then I had a endometrial surgery. After stopping all my supplements and LDN for a week I felt almost exactly the same before I had implants. I am wondering now whether it was the removal of my implants or my medicines or lifestyle changes that helped me. I have a deformity in my breast now. I would really like to have implants again. What is your suggestion? My ANA is negative and all my blood tests are great. Doctor: Hi. Implants triggered immune reaction. For further information consult a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 13077, + "tgt": "What are the ways to permanently treat recurrent stye?", + "src": "Patient: Hi doctor, I developed a stye around seven months ago in my right eye (lower lid). The stye took almost six months to get rid of, it is not fully gone and is still there. I used warm compresses but I thought this was quite a lengthy process. I have now developed a stye on my left eye (upper lid). The bump is swollen and formed a round ball. I have again tried warm compresses and it seems to be making it worse. I am now trying salt and warm water soaks. I have also been to the doctors and had blood tests, etc., and all came clear. I just need advice on what I need to do to get rid of this. I have been washing eyelashes daily. Doctor: Hello. The stye usually resolves in a week. If it is persisting even after treatment then it could be a chalazion. Kindly share photos of your eyes so that I may guide you better." + }, + { + "id": 11, + "tgt": "Should I continue the medicines for PCOS even after my periods get regular?", + "src": "Patient: Hello doctor, I was diagnosed with PCOS in January so my gynecologist prescribed me Ginette 35 for six months and Bonemac D3 for one month. But from March my periods are regular without taking medicines but there is sometimes slight pain in my lower abdomen and side abdomen. Should I continue medicines despite having normal and regular periods? Doctor: Hello. If you are having regular periods in terms of flow, duration and regularities and if you have already stopped taking Ginette since March, there is no need to resume its intake immediately unless you need contraception also at the same time or not wanting a pregnancy now. In that case, you need to use an alternative mode of contraception to avoid your pregnancy. Please attach your previous prescriptions blood test and ultrasound scan reports based upon which PCOS was diagnosed. Also, inform your height weight and whether there is excessive hair in the chin, upper lip, chest, and abdomen Follow up with reports again. Also, follow the lifestyle modifications described below. Blood for serum fasting insulin levels. Blood for serum vitamin D3 levels. USG (ultrasound) TVS (transvaginal scan) if not done in the past three months. Continue vitamin D. Avoid junk food spicy and dip fried foods. Low carbohydrates, fat restricted, gluten-free diet is recommended. Regular brisk cardio excercise like walking jogging cycling swimming for at least 30 minutes a day is a must. Take frequent small meals." + }, + { + "id": 14100, + "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": 30067, + "tgt": "Would fundoplication help gastritis?", + "src": "Patient: Hello doctor, I have been struggling with pressure under my ribs and tightness in my chest for 5 years. It is on and off, but mostly it gives me a hard time to come through.\u00a0I feel hard to belch often.\u00a0I have taken Esomeprazole and Nexium to keep the reflux down, but the tightness and other awful symptoms are still there.\u00a0I have been diagnosed with nonerosive esophagitis and some doctors think that it might be erosive as well. One of the hospitals here has\u00a0offered me a fundoplication for my problem. Also, I was informed that could give me 80% chances to be free of symptoms. I have been diagnosed with hiatus hernia. Also, this gives me anxiety and heart palpitations. Sometimes, I am waking up at night with a feeling of heart attack. I have checked my heart; and everything is healthy. Doctor: Hi. I have carefully worked through your health query and can well understand your issues. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29613, + "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": 2810, + "tgt": "Can a lesion inside the ear cause lightheadedness, fatigue and enlarged lymph nodes below jaw?", + "src": "Patient: Hello doctor, I have been looking for the cause of my constitutional symptoms including lightheadedness and fatigue. I have enlarged lymph nodes, with the biggest being behind my jaw just under my ear on the left side. I used a camera to look inside of my ear, and I found a concerning discolored area of the skin inside my left ear canal. It does not look like ear wax, and it does not hurt, but I am concerned that it is melanoma or another harmful growth? I have images of it I will try to attach. Doctor: Hello, Welcome to icliniq.com. The area of discoloration does seem to be something like a nevus. Though uncommon nevus can occur in the external auditory canal. Otherwise, your external auditory canal and TM (tympanic membrane) are normal and are not a source of fatigue and lightheadedness. Did you try palpating the lesion? Did you clean ear by syringing? Malignant melanoma in this region is very rare and can be very silent. The best way of making sure that the node below your ear is not due to the lesion is to go for fine needle aspiration cytology. Further, you need to monitor for the growth of the lesion. However, it is most likely to be a benign lesion." + }, + { + "id": 13940, + "tgt": "How can I get rid of rough dry hands with deep cracks in palms?", + "src": "Patient: Hello doctor, I am 18 years old and my hands are very dry and rough. There are very deep noticeable cracks in palms and the webbed skin between the thumb and the index finger is very dry and rough. No lotions help. It is a big self-conscious thing. It has been this way since I can remember. Any help would be appreciated. Doctor: Hi. I am glad you asked this. In my professional opinion, this could either be a worse case of dry hands (xerosis) or a localized form of palmar keratoderma, a close-up examination with regards to surface elasticity and color would be elemental in determining the diagnosis. The treatment for palmar keratoderma is different as many medications like retinoids and other medicines are not available over the counter. You will have to see your dermatologist to institute the treatment for the same. In either case, avoid excessive washing with soap. Avoid handling harsh chemicals like washing soda, detergents, bleach, car cleaners, etc., with bare hands. Use hand lotion regularly to keep the skin soft. Take omega 3 supplements to regulate the cholesterol environment in the skin." + }, + { + "id": 20154, + "tgt": "My mother had slipped and hurt her back. X-ray says it is spondylolisthesis. Please provide an orthopaedic review", + "src": "Patient: Hello Doctor, My mother age 55 years, has slipped and hurt her back. X-ray says it is spondylolisthesis L4/5 & L3/S1 grade with reduced l5/S1 disc spaces and compression fracture d11 vertebra. Please help. Doctor: Hi. Consult an orthopaedician and traumatologist online --> https://www.icliniq.com/search/online-doctors-directory/orthopaedician-and-traumatologist" + }, + { + "id": 22020, + "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": 16760, + "tgt": "Do ovarian cysts cause pain during pregnancy?", + "src": "Patient: Hello Doctor, I am 30 years old. I am currently 8 weeks and 5 days pregnant. I went for an ultrasound at 5 weeks and there was a gestational sac and a yolk sac. However, I also had a 2 cm luteal cyst on my right ovary and what looked like a hemorrhagic cyst of 3 cm on my left ovary. I asked about it and the doctor said it did not look suspicious and she did not suggest any follow up. I have been having pain in my left side ever since ovulation, but how come the luteal cyst is on the right side? Could I have gotten a hemorrhagic cyst on the side that did not ovulate? Is the fact that I have 2 cysts at the same time a concern or should I not worry? I have a family history of breast cancer and so I am worried about ovarian cancer as well. The pain comes and goes, I have not had it for 3 weeks. But 3 days ago it started bothering me again. The pain is very mild and not interfering with anything but it makes me worry about the cyst. My next ultrasound is at 12 weeks. Is that a long time to wait to check on the cyst again? Or is it unlikely to represent a problem? Also I have read that hemorrhagic cysts usually disappear in pregnancy when ovaries stop working. But can they grow during the first 12 weeks when they are functional and shrink after the placenta takes over? If the ultrasound at 12 weeks shows it has grown, is that indicative of cancer or still most likely benign? Doctor: Hi. Both the cysts one of 2 cm and other of 3 cm, and one luteal cyst and one hemorrhagic cyst respectively are insignificant and has no concern with cancer at this size. On and off pain during pregnancy do happen but this cannot be ignored if it is very severe. You had your USG done at 5 weeks and now you are 8 weeks 5 days, but pain is still present on and off. You have not mentioned about the cardiac activity of fetus in your last scan. So, it is better to repeat your scan to know about the cardiac activity as well as the size of both the cysts. Regarding the ovarian cyst we have to see whether the size is increasing, decreasing, or it is the same. If it's increasing then it is of concern (if more than 5 cm). If it remains the same or decreases, then nothing has to be done, as it will regress on its own. So, repeat your scan now instead of repeating it at 12 weeks. As you have told me about the family history of breast cancer, I advice you that in future you will have to be vigilant regarding the same. Revert back with the scan reports to an obstetrician and gynaecologist online.----> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15024, + "tgt": "After defecation, secretion of seminal fluid followed by pain in penis on erection and slight pain in groin", + "src": "Patient: Hi doctor, I am a 32 year old healthy male. After defecation, I have secretion of seminal fluid, which is followed by pain in the penis. On erection, I have slight pain in the groin. Doctor: Hi. Secretion of seminal fluid after defecation is a normal event. Do not worry about it. The reason for the pain could be due to an infection, and it has to be diagnosed. The location and the source of infection have to be identified. Please get the following tests done:" + }, + { + "id": 22619, + "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": 11260, + "tgt": "Can swelling in perianal area due to G-string mean herpes?", + "src": "Patient: Hello doctor, A week back, I wore a G-string that was a little snug and I accidentally fell asleep in it. The next day, I noticed that my perineum and anal area were sore so that night I got a mirror and looked and noticed that there was a straight swollen line from my anus to my vagina opening right where the string sits. So I did a sitz bath and applied Neosporin and Destin and the pain stopped. This morning I checked on it and it is still swollen but no more pain unless I poke it with ny nail. Is it herpes? Doctor: Hi. I have seen your images (attachment removed to protect patient identity), looks like perianal area is swollen secondary to explained injury. It will take a little time to heal completely. Kindly follow the following instructions: 1. Lignocaine gel for local application over perianal area before and after defecation. 2. Continue sitz bath for 4 to 6 minutes a day. 3. Tablet Combiflam 400 mg BID for three days. 4. Drink plenty of water. 5. Keep hygiene over perianal area." + }, + { + "id": 10787, + "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": 25700, + "tgt": "Have my gums receded because of placing smokeless tobacco in the same spot for years?", + "src": "Patient: Hello doctor,I am a 32-year-old male. I have used a smokeless tobacco called Swedish Snus for going on four years now, always in the same spot. My gums have severely receded in this area. I am otherwise healthy. I recently made an appointment with a periodontist but I am terrified I may have gum cancer. I noticed about a week after I quit putting smokeless tobacco in this area the gums became extremely sore, and are still sore two weeks later. I do not see any lesions in this area of my mouth, but the gums look 'pickled' is the best way I can put it. I do not know if the soreness I am feeling is from the gum tissue or exposed roots in that area of my mouth. Doctor: Hello. I have gone through the images posted (attachment removed to protect patient identity). You have to change your brushing technique as soon as possible. Brush in an up and down motion without putting too much pressure on the teeth and gums. The recession is definitely not any type of cancer. It seems to be a side effect of intense to and fro brushing. Use a soft-bristled toothbrush. You can consult a periodontist to find out ways to regenerate or surgically stitch back the gums to its old position. For more information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 4717, + "tgt": "Which is more advisable for replacing missing tooth, implant or bridge?", + "src": "Patient: Hi doctor, I would like to get a second opinion on my dentist's plan to fix my missing teeth. I am missing my upper lateral incisors since birth and have had a temporary resign bonded bridge since I was 17. I am now ready to take the step to a more permanent solution. My two options are a bridge or implants. After my X-rays and MRI scan, it became apparent that I do not have enough bone for implants and I would need a bone graft. Since I would need at least 3 mm for each side, my dentist told me that there was a chance it might not take and I would need another surgery. The position of the roots of the adjacent teeth are not a problem, there is enough space to place the implants, just not enough bone. Initially, he did say he would prefer to do the implants, since it is a better solution for long-term. When my dentist asked the opinion of another dentist in the office, he said that the bridge would be a better solution so I would not have to go through multiple surgeries and it would be done sooner. The bridge is indeed a quicker solution, but I am not very keen on having parts of my teeth removed for the bridge. It will also need replacing at some point, and if the underlying teeth have a problem, the whole bridge needs to be replaced. Both my sister and mother have a bridge (they are also missing their upper lateral incisors) and I am not impressed with either results (these were placed by different dentists). I am fine with the process taking a little longer (and being more expensive) if it means it will give me a more natural smile, but I am also afraid that I will be going through surgery for something that might not even take. My dentist now does not want to express his opinion anymore, and just keeps giving me the pros and cons. Any insights would be greatly appreciated. Doctor: Hi. In my view, even though I do not have any pictures or X-ray, I believe it is better for you to get bridges. You can get costly Zirconium bridges which are highly aesthetic and looks exactly like natural teeth. Get those side teeth root canal treated to prevent future sensitivity or pain. This will give you a highly satisfactory result in my view. Implants need much bone support and as your lateral incisors are congenitally missing, the bone at the region will be very thin and any bone graft is bound to fail in > 50 % cases. For more details, send pictures if possible." + }, + { + "id": 1977, + "tgt": "I get back pain at rest with tingling sensation during sleep. Why?", + "src": "Patient: Hello doctor, I am having back pain at rest for the past for one month. I am also having an issue with sleep since it is hurting and it keeps on tingling when at rest. Please advise. Doctor: Hi. You are very young to actually have persistent back pains. There are many causes of pain in the lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, or any bony instability besides many others. So accurate diagnosis is the key to proper management of the condition. You will have to elaborate your problem as to a detailed discussion of your back pain which means the duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations), or any weakness in limbs? Any associated symptoms like fever, weight loss, etc? What medications are you generally taking until now for your existing problem? If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesia, etc, then you can start with the following recommendations for an initial period of two to three weeks. 1. Maintain proper posture of your back while working and sleeping. 2. If pain is more then you can take a short course of anti-inflammatory medication like Etoricoxib or Paracetamol or one which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and Vitamin D intake, if levels are low in the body. 5. Ice packs can be applied if your pain is acute, then hot fomentation can be done at home. 6. Analgesic spray for local application can be used and is easily available. 7. Avoid lifting heavyweight, acute forward bending in the mornings, etc. We will observe you for the next two to three weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation." + }, + { + "id": 20083, + "tgt": "I am going to have sex for the first time. Which pill should I take to avoid pregnancy?", + "src": "Patient: Hello doctor,I am a 24 year old\u00a0female. I am going to have sex with my fiance for the first time. In order to prevent pregnancy, what pill should I take? Are there any\u00a0side effects of taking the\u00a0pill? Doctor: Hi. How are you doing? A condom would be a good option, as it avoids any semen into your vagina, so no chances of pregnancy. It also avoids transmission of any infections, not just STDs (sexually transmitted diseases). There are no hormones involved, your hormonal balance is not disturbed and periods will be as before. But if you want the emergency contraceptive pill, then I suggest you try using I-pill or Unwanted 72. These pills are a high dose of progesterone hormone, the same hormone which is produced in your body in the second half of the period after ovulation. This pill will suddenly increase the thickness of your inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. You will get your period or bleeding of the increased thickness within 7 to 10 days of taking the pill. This bleeding will be thick, fleshy, dark red or brown, with slight lower abdominal pain till the bleeding is really reduced. 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": 21380, + "tgt": "How can we manage the pain during wisdom teeth eruption?", + "src": "Patient: Hi doctor, I am 18 years old. My wisdom teeth are erupting. I have pain in my back of the mouth on my gums. How long does it take for them to come out finally? And how can I deal with this pain? I was awake for three nights. It is keeping me awake at night. It is causing a lot of pain. Last time, I visited my dentist and did a filling. Please help me if possible. Doctor: Hi. I have gone through your query. The time taken for the eruption of the wisdom tooth is not guaranteed. A clinical examination with an OPG X-ray is required to check the status and position of teeth. If it is found with enough space and aligned correctly, it will come out. Or else, it is better to have removal of the teeth. Since you have pain in gums, I would suggest doing lukewarm salt water gargling. You can take Aceclofenac 100 mg after food twice a day only if you have severe pain. If you have acidity, then take Pantoprazole 40 mg once daily half an hour before a meal. If you are taking pain medication continuously, it can cause or aggravate acidity. Antibiotics can be taken if you have lymphadenopathy (swollen lymph nodes below jaw) or difficulty in mouth opening or severe pain at night or some other severe symptom. In that case, you can take Amoxicillin 500 mg thrice daily for five days after food. These medicines will give you symptomatic relief. If you have an allergy to any of the medications mentioned above, do not take them. Consult back here or with your local dentist for the medicines. You might require operculectomy (removal of gums covering the erupting tooth) if the tooth is favorable for the eruption but you have recurrent inflammation of the gums covering that tooth, to guide and provide space for the tooth to erupt. It is done after the examination or picture and X-ray assessment. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28462, + "tgt": "I am suffering from UTI since I got discharged from the hospital. Why?", + "src": "Patient: Hello\u00a0doctor, I had a heart attack two months back, for which I was treated\u00a0in the hospital. But since I came back home, I have been suffering from a urinary tract infection. I have tried three courses of medication, but the infection is just not going away. I am always wetting my pants, and it is becoming very embarrassing. What else can I try? Doctor: Hello. Frequent micturition with incontinence is very much suggestive of urinary tract infection (UTI). I need to know whether you were catheterized during treatment for heart attack. This can be a catheter-related UTI. Another possibility after a recent hospitalization could be hospital-acquired UTI. Both are difficult to eradicate with routine drugs used for community-acquired UTI. If the infection is not clearing even after three courses of antibiotics, then it is best to do the following investigations: Based on the urine culture report, appropriate antibiotics should help to cure your condition. Ultrasonography helps to rule out any obvious abnormality that got missed in physical examination. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11664, + "tgt": "Please suggest the dose of Anafranil for OCD", + "src": "Patient: Hello doctor, I am a 21-year-old male. I have OCD for past five years. I went to several doctors and used too many drugs such as Sertraline and Fluoxetine and Anafranil. The only drug that helped was Anafranil. I asked from my doctor to prescribe Anafranil but he denied and in every visit he prescribes SSRI, but it does not help me like Anafranil. What is the highest dose of Anafranil for OCD? Can I use only Anafranil 75 mg once a day? Please help me. Doctor: Hello. Anafranil (Clomipramine) is a type of older antidepressants, and it has some undesirable side effects like constipation dryness of mouth, at times effect on the heart. Because of the side effect for file usually, doctors refrain from going for higher doses. But if you are not facing any adverse impact, then we can increase the dose of drug top to 150 to 200 mg. The toxicity of this drug occurs easily as compared to SSRI (selective serotonin reuptake inhibitor) which is again a limiting factor for prescribing commonly. But always follow your treating doctors advice in increasing and decreasing the doses of drugs." + }, + { + "id": 26809, + "tgt": "What can we conclude from the ECG of my father?", + "src": "Patient: Hi doctor, My father experienced chest pain and back pain two days ago. He is 74 years old and diabetic. His BP was 130/84 mmHg and he takes medicine for high BP. His pulse rate was 95. His fasting sugar reading is 126 and PP is 154 with medication. We went for an ECG and something written on the graph as sinus rhythm, left atrial abnormality, leftward axis, QRS (T) contour abnormality and consider inferior infarct. However, in the handwritten report, the doctor wrote the conclusion as normal. What can we conclude from this? Is there anything to be done? Doctor: Hi. Echocardiogram and treadmill test (TMT) to rule out coronary artery disease. Essential hypertension. Strict anti-hypertensive control and we may need to add beta blockers, if there is angina. 1. Low fat and cholesterol diet. 2. Advise quit smoking if he is a smoker. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7769, + "tgt": "Tablet Loperamide has reduced my diarrhea. Can I take more Loperamide tablets?", + "src": "Patient: Hello doctor, I had 3 rotis in a highway hotel, with curry and raitha. After 1 hour, I got loose motion. I took tablet Eldoper (Loperamide), one tablet.\u00a0I felt better then. After about 2 hours, I again had loose motion (lesser than the earlier time). I also felt it was a little restricted than the earlier probably due to Loperamide. What do I do now?\u00a0Should I take any tablet? I have more Loperamide tablets. Shall I take them? What food should I eat during this time and what should I avoid? Also, can I take fruits like apple, pomegranate? Could that help me with this problem? Doctor: Hi. Get well soon. Consult a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2227, + "tgt": "I am unable to open my mouth more than two fingers wide. What to do?", + "src": "Patient: Sir, Since yesterday evening, I am unable to open mouth widely, it is only opening 2 fingers long.... when i am trying to open more widely, i am feeling pain in right side of mouth jaw. I had also gone to a doctor yesterday's night and he injected me & given tablets,,, At morning 4:00Am, i tried to open mouth but after a once try i was successfully open mouth for 2 tries. after that once the jaw locked till now Doctor: Hello, 1. Any previous history of dental treatments like fillings, tooth removal, root canal treatment? 2. Habits history? ( tobacco chewing, smoking..) 3. Any associated tooth pain? 4. Any recent fall injury? This lock jaw could be due to several factors like tensed jaw muscles, wisdom tooth issues, jaw joint issues or could be a condition called OSMF which is caused by a long term pan chewing habit. Initially this condition is treated with painkillers and muscle relaxants. Please continue using the tablets for the said number of days. This will take atleast a week to come back to normal state. However, a clinical examination is required to diagnose and treat it suitably. And do not open mouth forcefully because this can restrict the mouth opening still more and delay the recovery. Please continue the meds and report back to your doctor for review and practice the mouth opening exercises that your doctor had instructed. Good day!" + }, + { + "id": 12577, + "tgt": "Why did I get bleeding after taking I-pill?", + "src": "Patient: Hello doctor, I had taken a pill and got bleeding. I thought it was periods because I had little cramps but that bleeding was so light and it lasted for three to four days. After that I had protected sex two weeks back but to be complete sure I took another pill two days later and my periods was due a few days back and now I am not having any bleeding. That bleeding was my periods or what? And when next I am going to have my periods? Doctor: Hello. I-pill is emergency contraception. It should be taken not more than once or twice in a year. It has many serious side effects. Secondly, you took I-pill twice in one month would definitely create some hormonal imbalance which might take a couple of weeks to settle. It is difficult to tell whether earlier was your normal menses or withdrawal bleeding. Chances of pregnancy cannot be excluded without a blood test, you need to do a blood test to rule out pregnancy." + }, + { + "id": 10484, + "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": 16923, + "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": 28773, + "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": 12751, + "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": 10335, + "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": 22467, + "tgt": "I feel continuous ache in eyes, headache, and fatigue. Kindly advise", + "src": "Patient: Hello doctor, I was diagnosed with hypothyroidism two years back with TSH 7.45. SGOT 61.0, SGPT 42.0, triglyceride 241, cholesterol 220, LDL 125.8, HDL 46.0. The BT report a year back is as follows: TSH 8.38, T3 92.3, T4 6.75, SGOT 26.5, SGPT 30.24, triglyceride 188.85, cholesterol 215.61, HDL 44.32, LDL 156.6. Ratio 4.90. I feel a continuous ache in my eyes, headache, fatigue, become anxious easily, get a severe headache if exposed to heat. I get hungry every three to four hours. I have been doing exercise and Yoga for last eight months. It brings slight relief in morning hours and by 12 PM fatigue sets in. I was taking Thyroxine 25 mcg for six months last year. I used to have low BP and low pulse, felt giddiness in evening and so reduced Thyroxine dosage to 12.5 mcg for last five months. I am not diabetic. Kindly advice. Doctor: Hi. Your all problems are linked with your poor controlled thyroid disease. All your previous thyroid reports are out of range. You need to start Levothyroxine (Thyronorm or any other brand available in your city) 25 mcg once daily in morning on empty stomach. At least 30 minutes before eating anything. Your cholesterol is also not controlled. Start tablet Rosuvastatin (Rosuvas F) plus Fenofibrate combination 10 mg once in the night after dinner. Please check your blood sugar as well. A headache in heat is very common for that you can use an umbrella and try avoiding sun exposure if possible. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14397, + "tgt": "BP has not come under control after taking Telma and Cilacar. Why?", + "src": "Patient: Hello doctor, My dad is having a persistent BP of 150/95 even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? Doctor: Hi. Telama is Telmisartan and your dad is talking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg evening and he is to continue in Cilacar 20. Ideal BP should be less than 130 for the systolic (top number) and less than 85 for the diastolic (low number). If the BP is not controlled to the above recommendations then other medicines are to be added." + }, + { + "id": 14806, + "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": 27449, + "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": 15900, + "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": 24637, + "tgt": "Is Budecort necessary for cough with phlegm in a 2-year-old kid?", + "src": "Patient: Hello doctor, My 2-year-old daughter has a cough with phlegm. She is suffering for the past two weeks. She got hospitalized for pneumonia the week before. She has wheezing now. Her doctor has prescribed Levolin and Kidpred and has started Budecort inhaler too. The doctor told to continue Budecort for a year and said that she might have asthma. Usually, she is a healthy child and does not get cold or cough often. It started when she started going to day care. Earlier, she was on Levolin, Fevergo and Asthalin nebulization. Is this medication correct? Is Budecort necessary? If at all she has asthma, does she has to take medicine life long? Doctor: Hello. According to the history you have provided, it is difficult to conclude whether she has asthma. Pneumonia sometimes takes a month to completely flush out of the lungs. The doctor must have prescribed the medication according to her physical and laboratory examination. Coming to your question of Budecort (Budesonide), if the doctor has confirmed that she has asthma, then yes, the year-long inhaler is necessary. In kids who are confirmed case of asthma, there are certain parameters that we have to go through and guidelines to follow. So, taking Budecort will definitely be helpful. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23642, + "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": 8102, + "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": 5041, + "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": 1797, + "tgt": "I have mild pain in right shoulder joint and unable to lift weights. Please help", + "src": "Patient: Hello doctor, I am having a mild pain at my right shoulder joint or below. I am unable to lift weights and sometimes even cannot lift up my hand also. Kindly suggest. Doctor: Hello. You are having pain in the right shoulder with weakness in the right hand. Please answer my few questions. Can you hold a cup of tea in your right hand or it is dropping from your hand? Can you hold the bathtub while bathing? Is that pain continuous or occasional? Any history of trauma or accident? Are you suffering from diabetes or high blood pressure? Any history of neck pain?" + }, + { + "id": 7272, + "tgt": "How to get rid of the negative thoughts and be a better person?", + "src": "Patient: Hello doctor, I am a 26-year-old male. I observed I have always inclined towards the negative side of things. Due to recent events, like heartbreak, and age-related illness of parents, feeling extremely negative, exhausted, and feeling difficulty to breathe and loss of appetite are some problems I often face. I am suggested these are panic attacks triggered due to anxiety. Sometimes it is too much. I feel exhausted and want to lay down even though I have not done any tedious task. And now that I recall, I have had these symptoms for over a decade, but since last one year they are noticeable, and the symptoms are louder than ever. Some months back, I had a break-up, and two months later, my mother was admitted to the hospital due to some illness. She is better now, but during that time, I had a constant burning like sensation in the back of my head. Sleeping became impossible, and I was scared to sleep alone, I stopped using the phone two hours before sleep and meditated starting from five minutes a day to 15 minutes in one stretch. The burning sensation always stayed for 10 to 12 days, and then it became occasional, and later it was gone. I believe meditation helped, and accepting that these are caused by excessive overthinking and most of my thoughts are not reality, has helped me cope. But I wish it was not that complicated. I wish I were not so vulnerable to stressful situations, and my body did not react so vividly in tensed situations. I am a lot better, except it will be even better if I could learn to focus on the good and be a doer instead of feeling lost and helpless in tough times. Doctor: Hello. You are reporting some depressive and anxiety symptoms probably related to stressful life events. It is very positive that you have started meditation and it has helped in making things better for you. Meditation helps manage stress. You can also try yoga if feasible. Learn deep breathing techniques. As you realized, stress can cause physical and emotional problems when it is not adequately managed. It can happen to anybody going through a stressful period. When you develop better coping mechanisms, you will be able to manage stress more effectively. Try to exercise regularly. It lifts your mood and lowers your anxiety. Try to have a good supportive network of trusted family members and friends. If you continue to feel stressed and have emotional difficulties, you can consider counseling. If depression and anxiety symptoms are persistent and affecting your life, medicines can be considered." + }, + { + "id": 20349, + "tgt": "I have a swollen lump on the left side of my neck. Is it due to teeth infection?", + "src": "Patient: Hi doctor, I have a small swollen lump on the left side of my neck. I do not feel sick. But I feel like I have a fever and headache. My teeth look fine, and I do not have sensitivity. Can I have an infection in my teeth? Doctor: Hi. I had gone through your question. I can understand your concern. Yes, as per your history, you may have a dental infection or an ear problem on the same side. You need to upload a picture of your teeth so that I can conclude it. There can also be a dangerous lesion associated which may present as lymphadenopathy of the neck. You feel feverish due to the infection you have. Please provide your drug history to prescribe medication." + }, + { + "id": 27796, + "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": 11238, + "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": 15417, + "tgt": "Can I take Zoloft for anxiety without any worry about the side effects?", + "src": "Patient: Hi doctor, I suffer from anxiety, and I was never diagnosed with any other mental health problems before. I am not taking medication for anxiety due to fear of drugs. My family members present on my maternal side have a generalized anxiety disorder. Recently, my anxiety became high due to some personal events. A few weeks ago, something triggered my mind, and I was harming one of my child in my mind. After that, my thoughts got escalated, and it became like a daily thing. I am unable to forget these thoughts. My doctor prescribed me Zoloft 25 mg for anxiety, and I started taking it. Will Zoloft help me to come out from these thoughts? Doctor: Hi. I can understand your situation. Anxiety disorders are common psychiatric disorders with significant prevalence in the general population. Yes, Zoloft (Sertraline) will help you to beat anxiety, and the thoughts of killing your son come under an obsessive fear, which is again a sort of anxiety disorder. This medicine will help you, and the dosage should be adjusted by your psychiatrist, based on the improvement and the side effects of the drug. Do not worry and you will get better." + }, + { + "id": 11776, + "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": 8812, + "tgt": "My HIV testing at 11 weeks was negative. Should I retest at 12 weeks?", + "src": "Patient: Hello doctor,I had cunnilingus with an escort.\u00a0After this encounter, I had an RNA PCR test at 15 days and anti-HIV 1 and 2 as well as p24 antigen test after two, four, six, eight and 11 weeks. All the results were negative. But, while some websites say that the\u00a0result is conclusive after eight weeks, some of them say 12 weeks is conclusive. Please tell me if my negative result can change or not. Doctor: Hello. I have gone through your query and 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": 6098, + "tgt": "Why did the eye protrude out of socket in a thyroid patient?", + "src": "Patient: Hello doctor, My mother is 51 years old and she had thyroid sometime in the past. There are no signs of it from the last one year. However, she has these bulging eyes all the time, but she can perfectly see everything with her spectacles. I do not really know what happened to her the other day. She was watching her favorite TV show and all of sudden, her right eye popped out of her eye socket and she started shouting. It was such a scary and frightening situation where I and my dad did not know what to do and out of nowhere, my dad suddenly pushed her eye with a little pressure and the eye was back in its position as usual. My mom experienced severe pain after this incident when she was rushed to an Ophthalmologist. The doctor had no clue about the reason for her eye pop out. However, I advised her to go through a few medical tests and the results are yet to come. Meantime, I just want to understand why this happened to her and will this happen regularly and what is the treatment needed to prevent this from happening again. I just do not want to think of any situation where she is alone in the home and the same happens to her. I just want her to be completely cured from this one. Please help me with my query. Doctor: Hello. From your question, it is not mentioned if it is hypo or hyperthyroid. But the symptoms suggest it would be hyperthyroidism or Graves\u2019 disease. I hope your mother is on medication otherwise the condition might worsen. The condition occurs due to overgrowth of tissues around the eyeball which occurs in this disease. It is not reversible but you can consult an oculoplasty clinic where a surgical decompression can be done. These are complications of the thyroid disease. It would have not developed if diagnosed earlier. T3, T4, TSH (thyroid stimulating hormone), and antithyroid antibodies." + }, + { + "id": 5983, + "tgt": "I am a 20-year-old suffering from premature ejaculation for the past six months. What to do?", + "src": "Patient: Hello doctor, I am a 20-year-old male. I am having premature ejaculation problems. It has started sometime back and it may sound weird. I went from barely feeling anything and lasting an hour for before three years, to being almost hypersensitive and lasting 10 seconds tops for the past six to eight months. This all happened and I have PE since then. Nothing changes it, except for when I drink. If I get drunk, I go back to the not feeling anything stage. I have resorted to that a few times to save myself from embarrassment, but nothing psychically has changed for me, and I am at a loss of what to do? Please help. Doctor: Hello. Brief answer: 1)Behavioral approaches during sexual activity. 2)Sexual counseling. 3)Avoiding anxiety and stress factors. 4)Antidepressants (serotonin group drugs). Detailed Answer: If I am your physician, I would suggest you with behavioral approaches during sexual activity like stop-start method, stop-squeeze techniques, antidepressants(serotonin group drugs like Dapoxetine, Paroxetine) which needs to be taken for minimum of two weeks for assessing the drug's efficacy, and also tricyclic antidepressant (Clomipramine) three to six hours befor sexual activity. I would also suggest you visit a psychiatrist for sexual counseling who is expertise in assessing the psychosocial factors causing problems in your sexual life, and also for considering the above prescription. Also, limit alcoholic beverages, which by itself cause premature ejaculation and erectile dysfunction. I hope this helps." + }, + { + "id": 8113, + "tgt": "What is the treatment for loose motion in an 8-month-old baby?", + "src": "Patient: Hello doctor,My eight-month baby has a loose motion for 20 days. Stool test has been done, and it shows negative, I have consulted doctor, but still, she has loose motion around five times a day. Can you please help me with this? Doctor: Hello. Give your kid following medicine. 1.Syrup Zenflox 100 mg (Ofloxacin) one teaspoon full twice a day for five days. 2. Syrup Vizylac one teaspoon full twice a day for five days. According to me stop milk from 8 am to 8 pm and give semisolid diet like dal, dalia, khichdi alu kela rice, apple, upama, halwa, patolia, rab, kadi idle poha satu custard, etc, and from 8 pm to 8 am give mother milk is preferable if not give top milk without water and add sugar as per your taste by cup or glass. To start with stop milk for four hours for 15 days and give semisolid diet next 15 days stop milk for 8 hours and provide semisolid food lastly stop milk from 8 am to 8 pm and provide semisolid diet. For your knowledge 100 ml milk gives 70 calories of energy 100 ml juices give 55 calories of energy, and 100 gm of semisolid food gives 350 calories of energy. Stop bottle feeding." + }, + { + "id": 14369, + "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": 5659, + "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": 5604, + "tgt": "I felt my heartbeat in shoulder blade. Why?", + "src": "Patient: Hello doctor, I felt my heartbeat in my right shoulder blade for about 30 minutes and this concerns me. Is this heart related or stress related? Over the past three months I have had many EKG, echocardiogram and stress test, all were normal. Today I felt a very new and strange sensation while sitting down. My heart was beating fast for about 25 to 30 minutes and I felt it in my right shoulder blade and upper right chest. Please do not overlook because I am young and female. What could this be? Is it anxiety or stress or heart related? I am 40 and female. Doctor: Hi. The pounding or racing heart rate you are experiencing is known as palpitations, that is, awareness of one's own heartbeat. They usually are not serious and go away on their own. They may accur during physical or emotional exertion, anxiety, stimulants like caffeine, nicotine, alcohol. Unlike that if you have chest pain, shortness of breath, or dizziness or syncope, you need medical attention and evaluation. Some of the causes are listed here under: Anxiety, physical exertion, heavy meals, alcohol, coffee, smoking, medication like for cough or asthma, fever, dehydration, hypoglycaemia, hyperthyroidism, cardiac arrhythmias, cardiac failure, etc. So, now detail your history whether it is spontaneous or during exertion, or following any activity, fast regular or irregular, how many times a day, any associated with chest pain breathlessness or dizziness. ECG, hemoglobin, thyroid profile. After these tests according to the results further tests can be obtained. Stay chill, see if you are in any medication. Good sleep always helps." + }, + { + "id": 13139, + "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": 22316, + "tgt": "I feel excessive gas formation and numbness of head. Is it a psychiatric issue?", + "src": "Patient: Hello doctor, I have been hospitalized for excessive gas and the doctor ran a liver profile which came out normal. So, the doctor diagnosed that my excessive gas formation was due to anxiety and they prescribed Xet CR, Etizola, Clonafit, and Rabekind. I have used Etizolam for three weeks and stopped. I used Xet CR for the last six to eight weeks and Clonafit for the last two weeks. However, I still have episodes where I feel my head going numb in the back of the head. I got an X-ray and it said I have mild spondylosis. Because of the pain, I have developed a repulsion to sleeping as well and now I am completely tired during work. My doctor asked me to consult a psychiatrist. So, looking for help here. Doctor: Hello. A lot of individuals with anxiety present with symptoms of epigastric discomfort. This could present as symptoms of excessive gas formation. It is usually accompanied with symptoms like rapid heart rate, sweating, trembling of hands or body, sense of fear, feeling as if the throat is choking, etc. The cervical X-ray (attachment removed to protect patient identity) is almost normal. Mild spondylosis is seen in a lot of individuals and this usually causes slight pain in the neck. This is not the cause of the symptoms you are having. Feeling of heaviness in the neck and numbness in head is most likely part of anxiety. If there is any associated stress, then that further confirms anxiety. You have been given Paroxetine (Xet), Clonazepam and Etizolam. These are anti-anxiety drugs and help control the anxiety. If even with Xet CR your symptoms are persisting, then you can talk with your doctor to increase the dose. If you are on 12.5 mg dose then the dose can be increased to 25 mg per day. For reducing the heaviness in head, drugs like Propranolol can be used. Propranolol 10 to 20 mg in morning can help to control the symptoms and will reduce the numbness of head as well as anxiety. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17371, + "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": 10043, + "tgt": "What can cause genital numbness?", + "src": "Patient: Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18660, + "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": 8672, + "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": 18269, + "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": 5509, + "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": 21996, + "tgt": "What is the risk of SCD in a patient with LVH and PVCs?", + "src": "Patient: Hello doctor,What is the risk of SCD in a patient with LVH and history of PVCs and possible NSVT? Will simply treating BP reverse any risk? All I have read about this indicates the prognosis is unclear but I am very worried and hope you can shed some light on my situation. I have not had confirmed NSVT but I have felt longer fluttering sensations and have had PVCs for 10 years off and on. I am 23 years old. My stress test was normal. I am on Zio patch now. My echo showed apparent LVH and aortic root dilation 3.8. If I have LVH, does that predispose me to arrhythmias like a hypertrophic cardiomyopathy would, and can it be reversed if I control my blood pressure, which is higher than normal? Doctor: Hello. Firstly, how bad are your hypertension and hypertrophy? Can your hypertrophy be explained by your hypertension? If yes, then it is likely hypertension induced. Hypertrophic cardiomyopathy may cause hypertrophy in young age, but it usually causes severe hypertrophy, with thickness usually more than 15 mm, and can be detected in the echo. Please attach echo report if possible. Also, let me know how much maximum was the BP reading? You have mentioned 145/90 which is mildly elevated. Next, Compared with those without VPCs (ventricular premature complexes), patients with VPCs had significantly higher all cardiovascular mortality, somewhere between 1.5 to 2 times. But, the majority of patients do well and lead a normal life. Also, your stress test is negative ruling out coronary artery disease which additionally contributes to mortality. Also, you should have a treatment for hypertension which should remain under control and strict BP control may reverse hypertrophy and ectopics to some extent but not completely usually. However, you should ask for beta blockers containing medicines like Metoprolol for BP so it will also control ectopics. So overall, the majority of patients do well and there is no need to worry much about it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5153, + "tgt": "What is the effect of congenital heart disease during pregnancy?", + "src": "Patient: Hi doctor, My wife is pregnant now with nearly 10 weeks. She has congenital heart disease, so I need some clarity from you for getting the successful delivery.\u00a0All reports including echo and ultrasound scan report are attached here for your reference. Importantly, she has not got any symptoms till now and she is like a normal person with her daily activities.\u00a0Can we continue this pregnancy?\u00a0Is it safe for both mother and baby? I\u00a0request you to provide your detailed opinion on the same. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10000, + "tgt": "My symptoms after intercourse threatns me even after having negative HIV result. Kindly help", + "src": "Patient: Hello doctor,Before two years had sex with a call girl in a dark location for about 10 to15 min. I did not eject, and I am sure that she did not eject as well (not 100 % sure). Do not know if the condom broke (as it was dark) but had some liquid on my penis (maybe fluid in condom, not sure) After few days from then I had cold followed by itchy skin. I took medicine from the doctor and got it resolved.After a few weeks from then, I had fever 100 F, mild night sweats, mild sore throat, slight weight loss (around four to five kg). Also I feel tired most of times. After 50 days, I got an HIV blood test, which came out negative. Do not know the name of the test, they took blood from my fingertip, tested it using some chemical for 40 minutes, and gave a report. Doctor suggested me get the same test after three months. Now I took medicines for flu symptoms which are giving me relief. But, very worried about the situation. Will medicine I used for cold and itchy skin have impact on HIV. Was the test enough for diagnosis as I do not know the name like fourth-generation etc. Also I washed my penis after 20 minutes with water thoroughly. Please help. Doctor: Hello. The HIV test uses a finger prick blood sample, with results given within 20 minutes, and is 99 % accurate at detecting any HIV exposure that may have occurred more than 12 weeks ago. However, it can potentially pick up HIV infection from as little as four weeks ago. There is nothing to worry nothing will happen, and please repeat your test after 12 weeks. If you want accurate results to get, it has done RNA PCR which will give actual results within 10days. Antigen detection like P24 gives best results with in two to four weeks. Probably your suffering from a simple viral upper respiratory infection. After 12 weeks, please consult your doctor he will examine and treat you accordingly." + }, + { + "id": 6593, + "tgt": "I brokeup with my girl friend. I am frustrated and lonely. How to overcome it?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I broke up with my girlfriend two months ago after a healthy relationship of four years. All these happened just within two days, and I could not even understand what to do and what not. She said that she forgot all the moments and memories of our relation, and this breaks my heart. I did everything to get her back, but she refused. She is the only thought in my mind all the time, and all my daily routine is out of track. I am going through the worst phase of my life. I am frustrated and feeling lonely. Please help. Doctor: Hello. You are facing an adjustment disorder. The relationship appears to be an important part of your life, but still, change is the hard fact of life. You may not be able to forget her ever, but her memories will stop giving you pain. Currently, you do not need any medicines. Practice the following tips, and it will help you tide over the crisis: 1. Set a schedule for yourself and follow it as if your life depends on it. Make sure you leave no space for free time in it. 2. Start spending time with those friends and family whom you had not given time earlier due to your commitment to your girlfriend. 3. Avoid social media and common friends for at least four weeks to avoid unnecessary encounters. 4. Do not take alcohol, smoking, or any pills to avoid heartache. You will end up adding another problem to your list. 5. Do not take caffeinated drinks and cold drinks at least four hours before bedtime to avoid sleep issues. 6. Practice deep breathing for ten minutes every day to calm your nerves." + }, + { + "id": 12847, + "tgt": "I have decreased level of vitamin B12 with tingling and numbness. Kindly advise", + "src": "Patient: Hello doctor, I have a platelet count of 55 and vitamin B12 is 176. There are tingling and some numbness in feet for about a month now. Is this a dangerous level and what could be the cause? Doctor: Hello. Your B12 is low and you should take Vitamin B12 1000 mcg daily orally for six weeks and test the level again. I see it was less on repeat but not sure how much was it spaced out and how much you took orally? Since it did not improve with oral replacement, you would need IM treatment and if I am your doctor I would also check you for vitamin D3 and iron deficiency. There could be a couple of things here including poor oral intake or poor oral absorption by the stomach or the gut." + }, + { + "id": 24914, + "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": 773, + "tgt": "What causes delayed period with pelvic pain?", + "src": "Patient: Hello doctor, I am experiencing pelvic pain for the last few days everytime and my period is late for 1 week as of now. I confirmed that I am not pregnant. I have an urge to urinate more than normal. I also have small nipple pain on both the sides. Please clarify my doubt. Doctor: Hi. Please mention how your menstrual cycles are regarding regularity, duration of bleeding, etc. Your symptoms might be due to premenstrual syndrome with Urinary tract infection. If periods are delayed for 7 days and pregnancy test is negative wait another 7 days for your periods. If not repeat a preg colour test again and inform. Take the tablet below for pain and if pain increases or there is dizziness nausea vomiting or fainting do an USG TVS and inform. Urine for RE ,ME and Culture sensitivity test .Urine for pregnancy test and USG TVS if no periods in 7 days Preg colour test and USG TVS if periods dont occur in 7 days. Urinary tract infection with delayed periods with premenstrual syndrome Tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days. Tablet Drotin Ds 1 tablet SOS on pain abdomen Drink plenty of water avoid salt sugar and caffeine intake. 7 days." + }, + { + "id": 25235, + "tgt": "My penis has a dry spot. Please suggest medicines", + "src": "Patient: Hello doctor, I am 18 years old. I swim five days a week for at least one to two hours per day and noticed my penis had a dry spot. This has been going on for at least a month and it slightly itches. Sometimes, it hurts and is slightly swollen. Doctor: Hello. I have noted your concern and I have viewed the images. It is dermatitis/ eczematous condition of the skin of the glans. I suggest you apply a topical steroid such as Cortisone cream, twice daily for a few days. In addition, I suggest taking tablet Cetirizine 10 mg once daily for symptomatic relief from itching. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24115, + "tgt": "Is CT coronary angiography better than catheter based investigation for heart blocks?", + "src": "Patient: Hello doctor,320 slice CT scan machines have been introduced in my country. It is claimed that a CT coronary angiography done on such a machine will pinpoint accurately the blocks in the heart. Rendering a catheter based investigation unnecessary. Can you confirm whether this is true? Doctor: Hi. It is not always true. Even today catheter angiography is the gold standard. CTA (computed tomography coronary angiogram) is a good screening tool to evaluate coronary blocks in high-risk asymptomatic patients or to assess preoperative cardiac fitness in some patients admitted for non-cardiac surgeries. If a patient has symptoms suggesting coronary artery disease, confirmed by ECG (electrocardiography) and echocardiogram, it is better to go for catheter angiogram. New generation CT scanners provide excellent quality images but CTA has not replaced catheter-based angiogram at present. But the future for CT angiogram is very bright. For more information consult an interventional radiologist --> https://www.icliniq.com/ask-a-doctor-online/interventional-radiologist" + }, + { + "id": 2223, + "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": 18856, + "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": 20781, + "tgt": "My baby has white spots on her teeth. Is there anything to be done?", + "src": "Patient: Hi doctor, My daughter is 11 months old and started having her upper teeth when she was 9 months old. And I noticed she has white spots along the gumline and some on the middle. I took a photo and showed it to a dentist here and she said its hypocalcified enamel. My question is, is it reversible? What do I do to not make it worse and what causes it? I only give fruits and vegetables as food and water. And, I also breastfeed. What can I do to prevent worsening of her teeth condition? I brush her teeth two times a day with fluoride-free toothpaste. Is there anything I can do or let her take? Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). The spots cannot be reversed. They form during fetal development inside the womb and first three months after birth. Any dietary deficiency for you or baby may cause or sometimes even genetic predisposition is found. There is nothing to do other than maintaining the teeth through brushing. Such hypocalcified enamel can break down fast if proper brushing is not done and the cavity may form soon. So, please be sure to brush every day till she can do so on her own. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5282, + "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": 5926, + "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": 26097, + "tgt": "How to reduce borderline cholesterol by diet control?", + "src": "Patient: Hi doctor, My health issues are borderline total cholesterol and triglyceride. I have been suffering from hyperlipidemia for the past five years and I have attached all the reports for your reference.\u00a0I have reduced down weight from 75 kg to 67 kg. With diet control, I have reduced my triglyceride a little bit.\u00a0Triglyceride was drastically increased by Isotroin medicine of skin. So, I stopped it. Earlier, I was under antidepression medicine of Cipralex - Esclitopram 5 mg. My liver function tests are still normal. My x-ray and sonography also shows that I have not developed fatty liver. How to reduce cholesterol by diet control as other health parameters are normal? Doctor: Hi We are here to help you. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3191, + "tgt": "I am getting sour metallic taste in mouth after wisdom tooth extraction. Is it due to infection?", + "src": "Patient: Hi doctor, I just got all four of my wisdom teeth removed two days before and I have a bad taste in my mouth that tastes like sour dough but more like metallic. There is not really any pain there, my jaw is just sore from being held open for about an hour but the taste has been happening for about a day and a half. I am worried that it may be an infection even though I have been carefully brushing my teeth twice a day and using a lukewarm saltwater solution. Is there really anything for me to worry about when it comes to that and is there a way to get this horrid taste out of my mouth so I can stop losing my appetite? I am also on contraceptives so that is why I am a little worried that it may be a dry socket but I do not have the excruciating pain which is what confuses me. Doctor: Hello. It is very strange that you have all your wisdom teeth removed at the age of 14. These teeth normally start to erupt or come through at the age of 18 years or later when they start to cause trouble and we think of getting them out. Anyway, if you had all the four removed or even one of them and had the wound closed with stitches, check in the mirror and see if the stitches are still there, in which case you are unlikely to be having a dry socket. If you, however, find the socket or the hole that was holding your tooth open, it is more likely a dry socket and it is best to get back to your dentist where you had the operation to get it cleaned and covered with a dressing. Until then, continue brushing your teeth and rinsing your mouth with salty lukewarm water, or you may use an antiseptic mouthwash such as Listerine or Chlorhexidine instead." + }, + { + "id": 21679, + "tgt": "Please tell some home remedies for scars caused by skin allergy and acne", + "src": "Patient: Hello doctor,I had a skin allergy and had immense breakouts. The pimples and acne have gone but have left too many icepick scars. So, please tell me about any home remedies which will do miracles for me and what should I add to my diet? Doctor: Hi. Home remedies are not going to work on any acne scars since the pathology is below the dermis and topical applications will not penetrate till that depth. The procedure like TCA (trichloracetic acid) would help for icepick scars. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23451, + "tgt": "How to handle a schizoaffective disorder patient? What are the best treatment options?", + "src": "Patient: Hi doctor, My brother is 37 years old. He\u00a0is suffering from schizophrenia or schizoaffective (confused) disorder\u00a0for the last three and a half years. The symptoms are an auditory hallucination, delusion, aggression, speaking to\u00a0himself, grandiosity, and racing thoughts.\u00a0Initially, for one and a half years, he was on Risperidone 3 mg and after six months of taking medicine, he got his insight. But, he was feeling some problem with Risperidone. So, after one year the doctor had changed the medicine to Quetiapine 400 mg. Just in two months, all the symptoms were gone (no auditory hallucination, no delusion, etc. He became\u00a0alright.\u00a0So the doctor decreased the Quetiapine dose to 300 then to 200. When we found him alright for three to four months, we have stopped the medicine, and the symptoms came again (first relapse). So the doctor increased the drug dose again to 300 mg. After one month, the symptoms were\u00a0gone. But, we were giving the drug regularly without any miss. For the last one month, along with the previously mentioned symptoms, he has racing thoughts,\u00a0aggression,\u00a0sometimes weeping, sometimes laughing, and suicidal thoughts. The\u00a0doctor had increased the dosage from 300 to 400 and now to 600 since one\u00a0week, along with Clonazepam 75 mg. Still, his symptoms are not getting reduced.\u00a0Please suggest us a good medicine. How can we handle the patient? He has a history of BP, fatty liver and gallbladder stone since one month. He is taking Amlopres AT and Udiliv 300. Doctor: Hi. I read your query with keen interest and understood your concern about the poor response of your brother to the current antipsychotics. I hope this answers you. Feel free to write back to me if you have more questions. I will be glad to assist you further. Thanks and regards. For further queries consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 15537, + "tgt": "Why am I having tingling sensation in hand?", + "src": "Patient: Hello doctor, Today, my hand is tingly off and on. It is my entire hand, but it especially seems to affect my pinky finger. My other hand does not have this issue, and it does not affect any other part of my body. The tingling feeling has come and gone for two hours. Is there any way for me to tell if it is serious or not? Doctor: Hello. I went through your post. Tingling sensation in any part is due to nerve irritation supplying the area. In case of hand, it can be due to cervical spondylosis or due to CTS (carpal tunnel syndrome). However, none is serious and can be managed easily. So, no need to worry. You should check your vitamin D level and B12 level. These deficiencies can also cause tingling." + }, + { + "id": 19529, + "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": 14463, + "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": 12652, + "tgt": "Which procedure should I undergo to increase sperm count?", + "src": "Patient: Hi doctor, My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed medicine to boost my sperm count and motility and the third one advised to get the varicocele corrected by surgery. According to him, surgical correction will certainly increase the sperm count. In case it does not work, then he asked me to go with ART. Please suggest, as to which one I should opt for? Thank you in advance. Doctor: Hi. After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm count does not change, then I would suggest you go with either of these options. In severe cases of oligospermia, medicine will not help. Some of the factors to be taken into consideration are the period of infertility, the sperm motility and the grade of varicocele." + }, + { + "id": 7321, + "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": 17052, + "tgt": "What is an opacity on the bladder?", + "src": "Patient: Hi doctor,What is an opacity on the bladder? My husband had kidney stones, recurrent urine infections and minimal blood in urine. He had antibiotics and it got cured. He had a scan and was told that opacity on the bladder. When we consulted a doctor, she said that the report is very vague. Another doctor told us that there is a growth on bladder, bowel and pelvis. We are worried now as she mentioned it as cancer growth. Please clarify it. Doctor: Hi. I can understand the apprehension. Urine for malignant cytology. 1. Foreign body. 2. Calcification. 3. Malignancy. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5132, + "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": 2021, + "tgt": "Why do I feel like a muscle gets pulled when I lift the left side of my lip?", + "src": "Patient: When I lift my left side of my lip it feels like a muscle is pulling. It is just to the left of my nose. My face is not drooping nor is my mouth. I do not see any red or white spots and there is no pain. It just feels weird. It started about a week or so ago. I do not smoke. Doctor: Hello Your description of your symptoms sounds a bit strange to me but if your lip moves involuntarily, then you may have muscle twitching due to too much caffeine if you drink a lot of coffee, but there are also other less common causes. If you have tingling, this could be an early sign of recurrent herpes infection though it lasts only a few days before the vesicles start to appear and one week is a long time. There may also be a spasm in your lip muscles so try hot pads on your lip for starters to relax the muscle and if you take a lot of caffeine, reduce your consumption and eat foods rich in potassium like banana. If you start to feel tingling or see any redness in that area you may need to consult a doctor (an oral medicine specialist or dermatologist) for an antiviral prescription. There are other rare possibilities that may be the reason behind your symptoms but as they are uncommon I would not worry about them at the moment. Having said that, I suggest seeking further medical attention if you don't improve after a few days." + }, + { + "id": 18379, + "tgt": "Why does my leg pain even after walking short distances?", + "src": "Patient: Hello doctor, I am 40 years old and my leg pains while walking. Can I please know what is the reason behind this? This problem started nine years ago. But, now my leg pains after walking even 20 to 30 meters. I am currently on Thyroxine 50 mg. I have had a Doppler ultrasound. Please help. Doctor: Hello. There are many causes of leg pain. The most common is degenerative lumbar disc disease with radiculopathy due to compression of nerve root especially if the pain is only on one leg. The other causes are vitamin D and B deficiency especially if the pain is on both sides and vascular insufficiency. However, the last one is seen in smokers and elderly generally not at this age. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5111, + "tgt": "Is it advisable to take Lorazepam during pregnancy?", + "src": "Patient: Hello doctor, Just two days ago I found out I was about 1-2 weeks pregnant. And it has been about 4 1/2 weeks since my last menstrual period. Unfortunately with labor day being this weekend I have been unable to see my regular OBGYN. But I did go to the ER to confirm the pregnancy 2 days ago. So my blood results came back with an HCG OF 248 and the doctor said I am right around 1-2 weeks. So, here is my question. I have been stressing out badly due to the fact I have been on Lorazepam 1 mg every night for anxiety and PD for the last 2 years as well as Percocet 10 mg as needed for back pain. I have been taking both of the medications during my pregnancy when I had no idea I was pregnant. Since finding out I have tried tapering on both medications. The Percocet is making me sweat and very agitated and when I tried to cut down on the Lorazepam I was shaking and almost hallucinating and delusion. I also tried not taking the Lorazepam at all and woke up crying, shaking and sweating. I want to be off both these medicines but I am worried more about the Lorazepam as it is a class D pregnancy drug. I have read about the terrible problems this causes for infants. I am so scared that I am considering abortion. I do not want to be a terrible mother before I even give birth. I have been having bad panic attacks over this and cannot seem to relax as the complications of these medicines are always on my mind. Any advice at all would be very much appreciated. Doctor: Hello. Well in your case, as you said rightly Lorazepam is category D drug and not advisable. Ideally we advise avoidance of this medicine during and even before till 12 weeks pregnancy to avoid congenital malformations. You have tried leaving/ reducing it, but your withdrawal have been strong and you are finding it difficult to cope. My advise would be you can contemplate abortion with medical management to be safe or if you are keen on continuing pregnancy then the only way of finding any manifested malformation would be at 16-18 weeks. Then abortion can be contemplated if malformation found on anomaly scan, else you can plan to continue pregnancy. These are two options you may consider." + }, + { + "id": 18622, + "tgt": "What are the chances of acquiring a HIV infection from a used, hair-cutting blade?", + "src": "Patient: Hello doctor, Yesterday, my son went to a local salon for a haircut. He received small scratches on the neck while getting his haircut. I noticed that it was done with a used blade, which was not cleaned properly. Is there a risk of an HIV or other viral infection due to this? Please guide me. Doctor: Hello. The likelihood of HIV (human immunodeficiency virus) transmission, in this case, is 1 in 300. Firstly, you are not sure that the person, on whom the blade was used previously, was HIV positive. More importantly, HIV rarely survives in dried blood. So, in the case the person's blood was on the blade, it would have dried in 15 minutes. Hence it is less likely that the HIV would survive. In spite of all this, I would say precaution is the best. Always ask the barber to use a new blade. Also, the chances of getting a Hepatitis B and C infection are higher than that of an HIV. To prevent this, I suggest getting a Hepatitis B vaccine. Please consult your local clinic in case you experience any unexplained and non-recovering fever. If you are still worried, consult your local clinic and get an HIV test done after one to three months. For more information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17173, + "tgt": "Will my anxiety relapse if I stop SSRI?", + "src": "Patient: Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I stopped taking medicine, I started having anxiety and depression again. So my doctor prescribed Zoloft 50 mg and Wellbutrin XL 150 mg. After taking these pills, I started having side effects like extreme weight gain, fatigue, decrease libido, erectile dysfunction and slight\u00a0hand tremors. I am worried to take a combination of two tablets for my illness because I read that taking one medicine is better than taking two. Is it true that\u00a0Wellbutrin XL, when combined with SSRI, causes weight loss? And if I stop taking SSRI completely, will my anxiety relapse? I am looking for a medicine which helps my illness without causing any side effects as mentioned above. Please note that the following medications are not available\u00a0in my country Valdoxan, Edronax, Desyrel, Pristiq and Viibryd. Doctor: Hi. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action. SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSRI is prescribed to reduce its sexual side effect. In your case, you are using Sertraline with Bupropion, and you are reporting no improvement in weight gain or sexual function, it is not that common to gain weight with Sertraline, but it can happen. Buproprion traditionally is an activating drug, and it is useful for reducing weight and improving sexual functions. I suggest you try taking Escitalopram 10 mg and Buspirone 15 mg (7.5 mg twice daily). Escitalopram is a classic SSRI, which has a minimal side effect of weight gain and sexual dysfunction. I know you do not want to take multiple medicines, but it is a much better approach to handling your illness. I would suggest you start this combination of drugs immediately after consulting your specialist, as some people are more sensitive to the adverse effects of the drug, so we may have to explore multiple options before we find the right combination for you. Continue doing daily exercises, meditation and relaxation exercises. Revert with further information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13322, + "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": 25541, + "tgt": "Can this hard and tender lump inside my lower cheek be cancerous?", + "src": "Patient: Hello doctor,I am 25 years old. Just under my right jawline, I had a tender pain, a couple days later it had swelled. Now, that has gone down but there seems to be a bump inside my lower cheek where the gums meet the cheek. It seems thick or hard, not really moveable and more on the inside of the cheek rather than gum. I cannot see it but I can feel it with my tongue. I drink on the weekends and have used tobacco pounds for the past four years or so on average twice a day. The lump is tender, not really painful and not visible. Doctor: Hello. The symptoms that you have described are most common to an infection-related swelling associated with a cavitated tooth. This can be easily diagnosed by a clinical examination (you can check by yourself or send a picture) followed by an X-ray (IOPA). If however, there is no evident cause related to the tooth, it could also have originated in the gums (could be due to food lodgement or an acute manifestation of chronic periodontitis). In that case, you must get an OPG (orthopantomogram) X-ray done. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19378, + "tgt": "A 26 month old stopped talking all of a sudden. What could her condition be?", + "src": "Patient: Hello doctor,A 26 month old girl stopped talking at 19 months and started showing less response and a medical assessment was done and termed the child as differently abled. Some home therapies were done and the child was then allowed to interact with more people and now she showed drastic improvement in terms of behavior and restarted uttering some words but still could not identify her face and body parts, toys and diaper, etc. Can she be a normal child like others? All these happened in a gap of two months. Her EEG is fine and MRI scan not done yet. The doctors team said she needs speech therapy and other motor skills therapy which is yet to be started next month. Please help us find what is her actual problem and whether she will be a normal child. Doctor: Hello. Please get an MRI brain done with a repeat EEG to rule out any anomalies in the brain and its functioning. From your history, this seems more like a psychological issue rather than anything else, very important clues being that the child was apparently alright and had no history of any convulsion or any brain-related events prior to this episode. Another very important clue is that the child improved drastically over a period of two months. Please get an MRI brain and repeat EEG for the child and then consult a pediatric neurologist and then if required, consult a child psychologist. It is too early to comment on the prognosis or actually what the child is suffering from since I have not seen the child or interacted with the child. The signs that you mention may be early signs of autism. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18425, + "tgt": "Do children with soft cleft palate also need multiple surgeries to fix the issue?", + "src": "Patient: Hello doctor, I am having one doubt in my mind. Previously, I read that all cleft palate children usually undergo multiple surgeries. Is this statement valid for the soft cleft palate as well? Children with soft cleft palate also need to undergo multiple surgeries? My child was having only soft cleft palate which was repaired five months back. As of now, we can see that her speech has improved to some extent after the surgery in these five months as well as milk coming out of her nose is not seen from last month. How to know whether we need any surgery or not? We hope she will not require any. Please let us know whether all children with soft cleft palate also need to have multiple surgeries? Doctor: Hello. Multiple surgeries in cleft palate children depend upon the extent of the cleft and the age of the child at the time of operation. Only cleft soft palate rarely need another surgery. But, it is quite often that there is an underlying defect of the hard palate as well which is bony. Bony defects might need grafts and may need multiple surgeries. Secondly, in some kids, the cleft palate is associated with a cleft lip which requires another surgery. Any life-saving surgery has to be done early but cosmetic procedures are done later. As your child has only soft palate defect, no further surgery might be required. But, if you can send me the reports, I can suggest you better. Regards. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5522, + "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": 19630, + "tgt": "What can cause lymph node enlargement in the neck?", + "src": "Patient: Hi doctor,I would like to seek your help on higher lymphocyte count.\u00a0I am taking antibiotics after my doctor noticed enlarged lymph nodes on my neck and edge of my ears. I am under medication to check whether this infection is due to some throat issues or not. But, my ESR count remains same after a week.\u00a0My platelet count is settled in comparison to my earlier reports. I have attached my reports for your reference. Please help. Doctor: Hi. FNAC and Mantoux test. Viral or tubercular. Revert back with the reports to a general medicine physician online---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 791, + "tgt": "What causes sweet taste after recovering from COVID-19?", + "src": "Patient: Hello doctor, I was COVID 19 Positive on 25th April 2020 while on 11th May 2020 my repeated test of COVID19 was negative. After that I feel all the time sweetness taste in my mouth upon that I myself went for blood sugar random and hbA1C, today on 15th May 2020 I received the results of my blood sugar random which is 92 while hbA1C is 6. Please do advise any medication for it. My age is 45 years and weight 73 kg. Doctor: Hi. It is a great news that you recovered and doing well after COVID-19 infection. Considering the current medical reports, your HbA1c is suggestive that you are in pre-diabetic stage. And your fasting sugar is absolutely normal. You do not need to start any medicine for diabetes. Sometimes recent infection may also lead to high sugar levels. Repeat tests after 1 month. And from now on I would suggest you adapt more healthier lifestyle choices. Good nutrition diet, regular exercises, quit smoking if doing are the basic ways. Take care of yourself. FBS/PPS hbA1C Lipid profile Vitamin D levels ?Pre diabetes Healthy life style modifications. Achieve 5 % weight loss from current status and maintain. After 1 month with reports." + }, + { + "id": 12398, + "tgt": "Will a child with spondylolisthesis be able to play sports?", + "src": "Patient: Hello doctor, My 10-year-old daughter just found out she has grade 3 spondylolisthesis. I am assuming she is done ever playing sports again? Doctor: Hi. I do not think there will be any problem in playing sports when she grows up if she takes adequate precautions. Spondylitis is not a disease. It is not curable. If she takes proper care and does some exercises she will definitely recover. You should also consult some physiotherapist for this problem. Also, she should take a good proper and balanced diet that is rich in Calcium, Proteins, Vitamins, and Minerals that provide adequate nutrition to the body and hence proper growth that can help in the curing of the problem." + }, + { + "id": 14740, + "tgt": "If I have had open heart surgery, how long should I take warfarin?", + "src": "Patient: Hi doctor, If I have had an open heart surgery, how long should I take Warfarin for? Doctor: Hi. It depends upon the cause for which the surgery is being done, and what open heart surgery is being done. And if you have any indication for long-term anticoagulation like atrial fibrillation (abnormal heartbeat). I can provide you more insights only after knowing the complete details. Revert back to a cardiologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16505, + "tgt": "I have itchy bumps on my hand. Please help", + "src": "Patient: Hi doctor, I have bumps on my hand. It keeps spreading. I have itching, and I do not know what to do. I need some help. I am sending my pictures. Please help me. Doctor: Hi. I have gone through the query and the pictures of your hands (attachment removed to protect patient identity). Your rash is eczema, more specifically pompholyx (dyshidrotic eczema). You have to find the cause of the disease and avoid it. The most common reason is the use of irritant chemicals such as detergents. Working with a wet hand for a more extended period can also cause pompholyx. If you are using any such irritant, try to avoid it. You can apply a Clobetasol cream (Cetyl alcohol with Propylene glycol) twice daily for two weeks. Do not use the cream on the healthy skin, as it is a corticosteroid. Also, take Levocetirizine 5 mg tablet at night before sleep for two weeks, for the management of itching. Please follow me after two weeks. Dry your palms entirely after having a wet work. Avoid using harsh chemicals with bare hands." + }, + { + "id": 16037, + "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": 29246, + "tgt": "Do you think high pitch sound through headphones will damage ears?", + "src": "Patient: Hi doctor,I have sensitive hearing. Otherwise, I feel great and use hearing plugs when necessary. I fear that hard and high pitch sounds will destroy my ears. Today, when I was about to do a home hearing test on my mobile, and accidentally the volume was at its loudest settings. The first tone that came out of the headset was a high pitch sound of around 8000-9000 kHz. It felt very strong. I was very choked by this and took the headphones off immediately. The tone sounded in my ear is 1 second or less. My ears did not ring after but feel like they are blocked a little, or it is just a feeling. I am not sure how hard the sound pressure was inside the headphone, but I took my db\u00a0meter and put it on the headphones and played the same tone again with the volume full and the level was about 74.6 decibels. I just want to know if I have anything to be scared of and if a small event like this can damage my ears permanently? 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": 25345, + "tgt": "Will recent intake of 5 mg Cialis cause complications in spinal anesthesia?", + "src": "Patient: Dear doctor,I am undergoing a spinal anesthesia on the 11th for an inguinal hernia condition that I have. However, during a party with friends, I accidentally took a 5 mg Cialis tablet. I have heard that this may create complications in anesthesia. I am really tensed whether to go ahead with the surgery or not. Can you please guide me? I am hesitant to tell this to the doctor in front of my family. So please advice me. Doctor: Hello. I read your query regarding the spinal anesthesia. The Cialis tablet should not have any effect for the procedure on the 11th. Usually the drug effect lasts for only for 36 to 40 hours. Even spinal anaesthesia guidelines is for stoppage of such drugs for 24 hours prior to surgery only. So you can go ahead with your planned inguinal hernia repair. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 28426, + "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": 5561, + "tgt": "I am having lobulated and fluid-filled cystic sol in both the ovaries. Is microsurgery possible?", + "src": "Patient: Hello doctor, My present condition is: Weight 75 kg. Hemoglobin 6.9 gm%. Right ovary: 12.7 X 12.3 X 10.7 vol 887 cc large lobulated cystic sol noted in the right adnexal region. Left ovary 4.5 X 6.3 X 6.2 cm vol-159 cc echogenic fluid-filled cystic sol noted in the left adnexal region. Currently, I am taking Megestone tablet and Ferium XT one per day. Doctor: Hello. I have seen your all reports which ever you attached with. (attachment removed to protect patient identity). Now as from previous reports and surgery and recurrent state you should do a complete diagnostic report for further treatment and even before planning the operation. Go through CA (cancer antigen) 125 level, RMI (risk of malignancy index), CT (computed tomography) scan to see for any other changes or spread. You did not mention your complaint or what you are actually expecting in the answer. But yes, from small small pieces you attached, I can say that get an opinion of an oncosurgeon for it." + }, + { + "id": 27298, + "tgt": "When would a hepatitis antigen be considered as positive?", + "src": "Patient: Hello doctor, Recently, a friend said he was hepatitis antigen reactive whose titer was 37.46/34.29. His doctor suggested a confirmatory test. At what level would the antigen be assumed to be positive? Doctor: Hello. You can revert back to me for further queries. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2966, + "tgt": "Is it safe to apply Zidoval gel internally for BV during early stages of pregnancy?", + "src": "Patient: Hi doctor, I am four weeks pregnant and I have BV (vaginosis) and some candida hyphae. My gynecologist prescribed me to apply internally Zidoval gel for five nights and then take two days break and apply Canesten soft gel pessary the following night. I already asked her if it is safe to take during early pregnancy and she said yes. I am now doing some online research and found many contradictions. Do you think that these are safe to apply? I am so much worried. Doctor: Hi. As such local application is somewhat safe and if you have diagnosed infection then it is always a query whether to take or not. If the infection is not much severe then you can wait for 12 weeks of pregnancy and then take the medicines. In early pregnancy there are many contradictions whether to give or not to give tablets. But if the infection is severe then infection itself can cause harm to the pregnancy which is less than the medication hopefully because there is no certain study available to count actual risk while treating this type of infection in early pregnancy. So you have to choose wisely and if the infection is not severe then avoid any drugs and drink more water." + }, + { + "id": 23599, + "tgt": "Why did I get a panic attack after smoking Marijuana?", + "src": "Patient: Hello doctor, About a month ago, I decided to smoke marijuana with some friends, as I have several times before. Everything was going as usual, but when I took the second drag, I instantly had a panic attack. I decided to go to my room to try to wait it out, and after a while, the high went away, but the panic stayed. The rest of the night, I was in a state of constant anxiety, and at around 10 PM, I took some Doxylamine to try to fall asleep and end the night. When I woke up, to my surprise, I was still in a state of panic. This is where I started getting more worried. The rest of the week, I felt depersonalized, and I had horrible anxiety. I had several ups and downs during this period where I would feel better then worse and so on. A couple of weeks went by, and I slowly started feeling a little better. It is the fourth week now, and I still feel as though I have this pit in my stomach, which I am always trying to fight to prevent another full-blown panic attack. I feel horrible, and I just want to feel myself again. The Doxylamine seems to help calm me down a little, but this is not an ideal way to cope, as I cannot be tired all the time. Most of the time these days, I feel fine, but when I am not being proactive or doing something, I feel it creeping on, and I dread the feeling. I have been feeling depressed lately as a result of all of this, and I just do not feel the same. Did I inadvertently trigger some kind of panic disorder within myself, as a result of smoking? Or am I somehow over thinking everything? I want to go to my physician to talk to him about it, but he will probably think I am just trying to get my hands on Benzodiazepines or something. Any help would be grateful. I do not know how much longer I can live like this.\u00a0Thanks. Doctor: Hello. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23109, + "tgt": "Are my symptoms after effects of viral gastroenteritis?", + "src": "Patient: Hello doctor, I am a 22-year-old female. About 20 days back, my history was this: I had diarrhea for two days (thrice a day). I had a low-grade fever too during those two days. I managed to carry it over with natural supplements. But it did not subside. The next day, it worsened with watery stools and I started getting dehydrated since I could not take anything inside. I had a fever and severe shivering. I took Doxicycllin (three tablets in one dose), but I did not get better. Then, I started vomiting up too. So, I was taken to the hospital and prescribed oral medicines since I hesitated to get admitted because I was to write my CA exams in two days. So, I took the oral medicines. They were: Orni-O, Pan DSR, and Bifilac. But I did not get alright still as I could not take any food inside and I vomited blue foamy. So, I was admitted and put on IV fluids and antibiotics. I felt little better but had the extreme discomfort in my tummy but I got discharged and followed oral medicines. The next day I was totally unwell, vomiting and watery stools (six to seven times). But the next day, on the day of my exam, this continued. So, I had to get admitted again and had a short session of IV fluids and medicines to stop my immediate symptoms as I needed to sit for three hours exam. So the JR there prescribed me to take Loperamide once in two hours. I took two pills as such and my loose stools got stopped and my bowel movements were nil. My stomach got bloated and I could not eat anything. So again, we went on a second opinion where they prescribed Racedotil, Endogen, Emecet and Pantocid diagnosing as viral gastroenteritis. After this course, I had my dehydration gone by and started taking fluids but I did not have proper bowel movements. Then started my severe constipation which ended up hurting my colon and I took Dulcolax. After that, I passed loose stools for two days but then now I stopped taking Dulcolax. But my botheration is my metabolism is still not alright. I am not able to eat as much as I feel hungry. I take bland foods only and on liquids too. But as soon as I take my food, my tummy is bloated and I need to walk but then it is not getting fine. Past two days, I did not have my stools. So, I took that soft stools drink and this morning with great pain passed out. But, I could not eat anything properly. My stomach is bloated and I feel like something hurts me badly in the stomach but I do not have a particular local pain but have some upper abdominal pain and discomfort after I eat. My questions are: Is it good to continue taking Dulcolax till my metabolism gets fine? Are these after-effects because of the viral gastroenteritis or do I need to check with any other specialist regarding this? I feel tired. Why do I feel so? It has been 19 days I am with this ailment. What type of foods can I take to ease my bloating? Doctor: Hi. It is always better to avoid regular use of Dulcolax (Bisacodyl). Your symptoms now are secondary to after effects of a severe diarrheal episode. This is self-limiting. You need to give time. Tiredness is mainly because of the nutritional inadequacy as well as dehydration added on. Your aim now is to increase gradually your dietary intake and hydration. Always consider foods that are easily taken in, well cooked, avoiding excess spicy or oily stuff. Consider short frequent feeds rather than usual three-time feeds. Take around three liters of water daily in various forms. Make sure the water is clean. You can add tablets like Zincovit (multivitamin and multimineral) and Econorm (probiotic) twice daily for a week. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18368, + "tgt": "Is LASER treatment safe for piles?", + "src": "Patient: Hello doctor,Is LASER treatment for piles safe or not? Any side effects? Please let me know which one is better - laser surgery or normal surgery? Waiting for your reply. Doctor: Hello. For piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. For grade one - those which bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard surgery nowadays is stapler hemorrhoidectomy. This is painless and gives best results. Earlier days open surgery was done but is painful. LASER treatment is almost not done nowadays as it can cause local complications including narrowing of the anal canal. It is highly unsafe and not a good option. Hope your query is cleared. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 22633, + "tgt": "Can fever and stomach infection medicine affect I-pill actions?", + "src": "Patient: Hello doctor, I had sex with my fiance ten days back and my periods ended five days before that. Our condom bursts and I have taken I-pill within half an hour but before one hour of doing sex, I took my fever medicine and stomach infection medicine which I was taking from two days back. So, is there any risk for pregnancy? Will I get my periods on time? Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. Even if you have taken medication for fever or stomach infection it will not affect your I-pill. 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": 27911, + "tgt": "Which neurological disorder causes memory problems and confusion?", + "src": "Patient: Hi doctor, I feel really spaced out and detached from my surroundings. It is like I am in a dream. It is like there is a glass between me and the world and everything just seems really surreal and far away. I also have a lot of brain fog. Some memory problems and confusion. I feel like this all day long, but it gets better and worse throughout the day. I have been experiencing this for about a month now.\u00a0I have had a blood test, neurological exam (done by a family doctor\u00a0and not a neurologist), and a brain scan that all came back normal.\u00a0Does this sound like something could be wrong with my brain? Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0If you have more questions feel free to write back to me.\u00a0Thanks and regards. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16107, + "tgt": "What is the reason for high fever during evening alone?", + "src": "Patient: Hello doctor, My father is having a fever for the last five days, every evening about 102\u00b0F. Please check his reports and in the attachment and consult whatever we can do. Please give a brief description of his state. Doctor: Hello. It seems that your father has a bacterial infection. Antibiotic therapy is necessary to improve his situation. His lungs are clear and his heart is fine too, besides a small amount of pericardial fluid, which could be caused by inflammation. Further tests may be needed like a blood bacterial culture, a urine analysis, etc." + }, + { + "id": 24679, + "tgt": "I have white coat hypertension. Should I take Xanax before an appointment?", + "src": "Patient: Hello doctor, I am a 71-year-old female. I have white coat hypertension. I have had this all my life. I have been to numerous psychologists and therapists. I am in good health and take 1 mg of Synthroid daily. When I go to the doctor's office my BP goes sky high. At home, it is around 120/70. I went to the doctor last Monday. Just before leaving for the appointment at home it was 140/80. At the appointment, it was 180/90, and the pulse was 123. I got home an hour later. It was 120/75 again. I have a great fear of high BP since I was a child. At my last appoinment, I took Xanax 37.5. It is the first time ever I have taken any meds like that hoping that would calm me down. I guess it did not work. I am so worried that that high number will kill me. I am so tired of worrying about it. Doctor: Hello. These blood pressure spikes related to white coat syndrome are not dangerous and do not cause any permanent damage to your heart or blood vessels. They are caused by the anxiety when consulting with your doctor. These spikes do not need to be treated. There is no need for any treatment, as they do not impose you to any increased cardiovascular risk. I would also recommend checking your thyroid hormone levels, in order to make the proper dose adjustments to Synthroid (Levothyroxine), if necessary. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6655, + "tgt": "I am diabetic with weakness, shoulder pain and tingling sensation on hand. What to do?", + "src": "Patient: Hello doctor, I am a diabetic patient. I am having weakness, shoulder pain, and tingling sensation on hand. I am taking the following medicines: 1. Lantus injection 26 units in the morning. 2. K GEM (Gliclazide 50 mg and Metformin 500 mg). 3. K pio (Pioglitazone hydrochloride 15 mg). 4. Tendia (Teneligliptin 20 mg). 5. Forxiga (Dapagliflozin 10 mg). Blood sugar level: FBS 200 mg/dl and PPBS 250 to 270 mg/dl. What to do for this? Please help. Doctor: Hello. I read your query, and from what you have mentioned, I would suggest increasing the dose of Lantas to 30 units once daily. Try to rotate the insulin injection sites as well. Try to walk for 30 minutes and drink 12 glasses of water daily. It will help the natural lowering of your blood sugar. I suggest taking Neurobion forte one tablet twice daily for your tingling. Try shoulder rotational exercise to help with your shoulder pain, but it should not be a weight-bearing exercise. just do flexibility exercise like yoga for the shoulder. Keep a regular follow up for better diabetes control. I hope this helps." + }, + { + "id": 4835, + "tgt": "How to care a patient post heart surgery?", + "src": "Patient: Hello doctor, My question is regarding post-surgery care in heart-related ailments. How is the monitoring done? How often does re-admission occur? How to prevent this? Doctor: Hello. Regarding the care of non-cardiac surgeries in cardiac patients, If you are suffering from cardiac problems such as previous heart attack, heart failure, any cardiac valve problem you have to take cardiac fitness before surgery. If fit, then go for surgery. After the surgery you can take rest as advised by your surgeon. If the cardiac issue is stable, there is no need to reassess the cardiac problem. If cardiac problems, such as heart failure, worsens then you may need echocardiography and other related investigations. Regarding medicines, ask your surgeon not to prescribe you medicines that have a high amount of sodium, which may worsen your cardiac or hypertensive problems. You may take a low sodium diet and may start light exercise according to your surgeon. Regarding cardiac surgery: 1. For pain relief, you may take a pain killer for wound-related pain. 2. Gradually increase level of activity upto six to eight weeks. You may drive then also. 3. Eat a low sodium diet. Do not eat up to full stomach. Eat small amounts mutiple times per day. Readmission depends upon complications that may develop such as wound infection, heart failure, heart attack due to blockage of the grafted vessels after bypass surgery. If a heart valve is implanted, it may get stuck and it causes sudden worsening of symptoms. Some times bleeding may occur due to unmonitored blood thinners. To avoid: 1. Do not stop medicines on your own. 2. Keep monitoring clotting profile, in case blood thinner such as Warfarin is prescribed. 3. Take a low sodium diet. 4. Avoid excessive exertion just after surgery. I hope this helps." + }, + { + "id": 7142, + "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": 1808, + "tgt": "I am suffering from ear pain, and feel like the whole head is blocked. Why?", + "src": "Patient: Hello doctor, I am suffering from ear pain, and a kind of the whole head is blocked like sensation. The left and right ears are blocked with some air or water like state. I have this ear pain for four days gradually on the same pain note. I have taken Aceclofenac with Paracetamol and Amoxicillin. I have also tried Otorex ear drops but the pain neither reduced or increased. The right ear is a kind of inflamed and not even let the drops go through. I am already on Deplatt A, Concor, and Imdur in the morning and Amlong and Rosuvastatin in the night for my angina complaint. I am also on Thyronorm 75 mcg in the morning. I am scared to go out to a hospital due to the pandemic effects, so please advise. Doctor: Hi. It looks like you have developed what we call as eustachian tube catarrh. This tube ventilates both the nose and the ear and can get blocked due to allergy or sinusitis or in any upper respiratory infection such as common flu. If you have allergic issues, it has to be adequately treated. Tablet Sinarest (a combination of Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day, i.e., 12 hours apart for one week can be considered. Otrivin nasal drops three drops three times a day for 10 days should also help. Valsalva exercise 15 to 20 times a day. Steam inhalations also do give a little relief. Antibiotics and painkillers will not help as it does not treat the problem. However, complete the course of your antibiotics and do not stop them halfway. I hope this helps." + }, + { + "id": 25497, + "tgt": "Why does my son refuse to have a sibling?", + "src": "Patient: Hello doctor, My wife is five weeks pregnant and it is the second time. Our first kid is now 6-1/2 years old. He is totally refusing to have a sibling. He makes statements like \"I do not want a brother or a sister. We are a good family like this.\" He says it is not a good idea to have a baby. He does not want his mother to be fat and have a big tummy. We did not tell him yet that my wife is pregnant. How can we deal with this and would this affect him psychologically? Doctor: Hello. What you are describing your child is normal insecurity of the first born child. Whenever there is a second baby expected due to the constant attention which the coming baby gets, the first child gets insecure and feels unsafe as young children have a different mindset. They feel that their parents will be snatched away from him. Also when the second child is born, the elder one craves for more attention from the parents. This is also called as sibling rivalry. You need to ensure your elder child that he will be loved and taken care of as earlier. You need to explain him about his responsibilities about the second child that he is also responsible to take care of the younger child. When you make your child responsible with affection, this fear will slowly go away. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 3723, + "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": 27605, + "tgt": "Please suggest some exercise to reduce squint eyes", + "src": "Patient: Hi doctor, I have squint eyes, please check the attached picture. I am 24 years old, and I started wearing glasses when I was 16. I do not think I had squint before I started wearing glasses. Please suggest some exercise to reduce squint or tell me what will be best for me. I have -3 power with cylindrical power in both eyes. Doctor: Hello. Revert with more information to an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29484, + "tgt": "My wife is 31 weeks pregnant. Will high TSH level have any impact on delivery?", + "src": "Patient: Hi doctor, My wife is 31.3 weeks pregnant. My wife, as well as my baby, is\u00a0good. Every month on 5th we regularly do routine blood tests like FT4,\u00a0TSH, CBC, fasting sugar and PP. She is a thyroid patient and in the\u00a0dose of Eltroxin (125+25) every day. This time her TSH came as 3.667 though the\u00a0normal range is 4.7. When I see reference range in pregnancy that says up to 3.0 is normal. Please suggest if this borderline high is fine. What should we do now? Her gynecologist stated that she will make her deliver after a month exactly from now. Please help as I am in deep stress. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6901, + "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": 13239, + "tgt": "What are the risk factors associated with doing root canal treatment in a child under general anesthesia?", + "src": "Patient: Hi doctor, My son is 3 years old and has serious tooth decay. The doctor has suggested root canal treatment and that procedure will be done under general anesthesia. The whole procedure will take three hours of time as number of tooth is eight. My question is that is it safe to go through three hours of anesthesia for such a small kid? What is the risk factor? Doctor: Hello. As a parent, I can understand your nervousness. First thing it is inhalational anesthesia and most commonly used in pediatric procedure, it means there is no use of any kind of drug for anesthesia. Only a gas mask placed on face and a balanced ratio of N2O (laughing gas) and oxygen release for a conscious sedation. For continues monitoring an anesthesiologist should be present all time during procedure. After procedure within a minute child will wake up from sedation. So, please do not worry about this. It is safe and used world wide for child procedure. If you do not want a long sitting then you could ask your dentist for two or more settings but it may be more expensive." + }, + { + "id": 30293, + "tgt": "How to treat my ADHD?", + "src": "Patient: Hi doctor, I have ADHD. My common symptoms are disturbance of selective attention of auditory and visual input, disorders of visual perception, impaired organization and categorization of verbal material, disturbance of language comprehension, impaired long-term memory, altered personality and affective behavior and handwriting problems. Already, I have tried medicines like, Focalin, Adderall, Strattera, Quillivant, Ritalin, Topiramate, Metadate, Concerta, Vyvanse, Dexedrine and antidepressants like Zoloft, Lamictal and Wellbutrin. They all give me the same effect and worst my symptoms. \u00a0My brain SPECT indicates left caudate and right temporal hypoperfusion. These findings correlate with the reported symptoms of decreased attention and concentration when the temporal lobe is involved as in focal hypoperfusion. An interictal epileptogenic focus or learning disabilities may be present complicating the ADHD. I have no hope for this. Please help Doctor: Hi. I understand your symptoms and the clinical case scenario. Most of the medicines, which work for ADHD (attention deficit hyperactivity disorder), are not working well for you. Actually, they are worsening you. This is an observation which supports the possibility that we are not dealing with an ADHD alone, but also another co-existing disease, most likely medial temporal lobe subclinical seizures. So, you do not have any classical signs of temporal lobe epilepsy, but you do have T signs of temporal dysfunction. Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3011, + "tgt": "Do enlarged prostate of 4 cm suggest prostatitis?", + "src": "Patient: Hi doctor, I am a 52-year-old man. My height is 6' 2\" and I weigh about 215 lbs. I work out three times a week. I am typically healthy, although under a lot of stress in general. I drink more alcohol than I should, approximately three glasses of wine each night. I stay away from food and drinks with sugar other than wine typically. My family doctor is English speaking and my urologist is Spanish speaking. Six months ago, I noticed that I was urinating more often and when I had to go, I felt an urgency to go. Previously, I was told that I had a somewhat enlarged prostate at about 4 centimeters and figured that may have been it or infection and thought that would pass. I recently went to my family doctor and he recommended that I get an ultrasound for the prostate. The radiology stated the below. Prostate was well visualized and is enlarged measuring 3.7 x 3.7 X 5.4 centimeters. There is a nodule that is pressing into the bladder that measures 1.9 x 2.1 x 2.4 centimeters. This nodule does not have blood flow within as visualized by ultrasound. My family doctor then sent me to a urologist. I showed him my lab results and he pointed out my PSA level of 1.54. He also pointed out my urine test which said Specific gravity: 1.015, Hidden blood: Traces, Leukocyte esterase: +, pH 7.0. I can upload that and the blood test. I will upload the tests, but they are in Spanish, but the technical words are the same. He also did a rectal exam with his finger. He told me that he thinks that I almost definitely do not have cancer and I have prostatitis. He prescribed Levofloxacin 500 mg once daily for one month, Meloxicam 15 mg, once daily for 14 days, Doxazosin 4 mg, taken every night once daily for two weeks. I am basically healthy, other than having some short term memory problems and stress. That may be from having a B12 level of 185, which I discovered two weeks ago and have taken two B complex shots for that so far. After reading the side effects of these prescribed drugs, that scared the crap out of me. I do not want to have some reaction and lose my good health. Are these the drugs you would prescribe? What are your thoughts? He told me no alcohol, coffee or carbonated drinks while taking the medicines. That I can do. Please suggest. Doctor: Hello. I have seen all your reports. (attachment removed to protect patient identity). I think you are in good shape except for the urine problem. Yes, your urologist has diagnosed you properly. There is no evidence of cancer prostate at present. It looks like prostatitis only. What you need is antibiotics course for one month. Levofloxacin is the best antibiotic for prostatitis as prescribed by your doctor. Meloxicam is for inflammation and Doxazocin is to relax your prostate muscles. All of these medicines have side effects but they are very rare. We prescribe these medicines regularly and no one had any major side effects. So go ahead and finish your medicines course you will be alright." + }, + { + "id": 28198, + "tgt": "What can I do to get taller?", + "src": "Patient: Hello doctor, I am a 21 year old female student with great interest in human growth. More specifically, growth in height, as in getting taller. As learned from textbooks, teenagers stop growing around 18 to 21 years old. Well, I have always been optimistic about everything, and I refuse to believe that our growth is limited to a certain age. There are some recent articles that highlighted growth after 21 or 22 years, and this really gives hope to people with height issue, including me. I know that genetic plays more than 80 % of our growth.\u00a0I am 5 feet tall, and I had my period when I was 10 years old. I gained only 1 to 1.5 cm a year since 12 years old. Based on health record, I gained only about 5 cm. My dad is 5.5 feet and my mom is 5.4 feet tall. Can I still gain some height? I assumed yes because we now know there are other bigger suns outside of our galaxy and the astronaut did not stop searching when they landed on te\u00a0moon decades ago. How can I maximize my growth? What are the causes of my lack of growth? What are the factors that stop human growth? \u00a0Can you give me any other information? I am about to conduct a personal experiment (with precautions) on myself to see if I can gain 2 inches in three years. I am hoping that with proper rest, nutrition, and physical activities will maximize my growth. There will be no height enhancement pills involved so, I really need to study from you guys. If you are still reading, then I thank you very much for spending your time to read my little obsession. I know there is an attitude in my writing, so please do not mind me, I am born bold. Doctor: Hello. I just read your detailed information and would like to answer your query one by one. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23922, + "tgt": "I have uneasiness below collarbone and feel spasm during breathing. Please help", + "src": "Patient: Hi doctor,I am a-32-year old female. Recently, I am feeling a sort of uneasiness below the collarbone and quite in the middle of the upper portion of the chest. Initially, I thought it was a spasm but I have it for more than two weeks and feels little heavy deep inside. Kindly let me know the problem. Sometimes I feel spasm during deep breathing or while sleeping in the side positions. Currently, I am taking prenatal tablet one per day. Doctor: Hi. Most likely the cause of your symptoms is GERD that is gastro-oesophageal reflux disease. In simple terms, the acids from the stomach regurgitate to the esophagus. Before prescribing medicines I would like to know of any possible pregnancy and your last menstrual period date. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29960, + "tgt": "From my report, kindly advise the preventive measures of future health problem", + "src": "Patient: Hi doctor, I am a 32 year old male. My height is 6'1\" and weight is 120 kg.\u00a0I had blood tests and need your advice on preventive health care and preventive medication, if any. I am looking forward for your guidance and advice.\u00a0I am obese since birth with a family history of obesity. I do not have any other complaint. I am a lacto vegetarian by diet. I am taking Vitamin D supplements currently and not on any other medication. I seek your detailed analysis of the blood report and kind advice to prevent future health problems and risks. 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": 23225, + "tgt": "I am having sore throat. How can I cure it?", + "src": "Patient: Hello doctor,I have been having a sore throat for past one week. The pain is mild but constant, it feels as if there is something is stuck in the back of my throat or on my tongue, but nothing is there. There is redness around the area. I went to the doctor five days back and was prescribed a 10 days course of antibiotics (Amoxicillin). It did not make much of a difference. Is there anything else you would recommend me to do to clear this up. Those are the only symptoms. I am a 23-year-old male. Doctor: Hi. You seem to have granular pharyngitis (attachment removed to protect patient identity). Your throat looks chronically infected. Do you have post nasal drip as well that means does phlegm drains down from your nose to throat? It is suggestive of sinusitis which can recurrently cause throat infection for a long time. You can start Clarithromycin 250 mg twice daily for five days but if possible get throat swab tested for culture and sensitivity and then start antibiotics based on the report. If it is difficult for you to get a throat swab done then you may directly start Clarithromycin as advised. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16964, + "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": 22718, + "tgt": "Is CT abdomen and chest suggestive of Tb?", + "src": "Patient: Hello doctor, This question is about my 36-year-old brother. He was having a fever on and off since one month and lower back ache since last three days. We did his NCCT KUB to rule out stone but the radiologist saw pleural effusion and did a contrast CT abdomen and chest. The radiologist said it is suggestive of TB. Please look at the report and guide us. Also, tell if chances of lymphoma or any cancer. Doctor: Hi. Sorry to hear about your brother's symptoms. I have checked the attached reports thoroughly (attachment removed to protect patient identity), the pleural effusion and the enlarged lymph nodes could be due to many causes, although TB is the most likely diagnosis. In order to confirm the diagnosis, we need to take a sample from this effusion and analyze it. Analysing the morning phlegm for TB bacteria is required. In case the diagnosis is confirmed, a combination of antibiotics is required for six months. In case the effusion increased and causes shortness of breath, removal of the fluid by a needle will be required. Lymphoma could be the cause, but less likely. Analysis of the effusion will confirm the diagnosis. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28489, + "tgt": "Are my right knee and hip pain due to osteoid osteoma?", + "src": "Patient: Hello doctor, I am suffering from right knee and hip pain, for more than one year. My MRI reports showed a right femoral neck stress fracture with surrounding edema and osteoid osteoma. The doctor saw my blood and MRI reports and suggested taking capsule Sunbless 60K, tablet Ezorb forte, and tablet Voveran 50 gm.\u00a0But I am not feeling any relief, in fact, the pain is going from severe to unbearable.\u00a0The doctor asked for a PET scan. I am very desperate due to this problem. I have attached my reports, kindly help me. What should I do? Doctor: Hello. I understand your concern and would like to help you with it. I have seen your reports (attachment removed to protect patient identity). Feel free to discuss further. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12316, + "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": 28231, + "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": 12051, + "tgt": "What can cause irregular periods and feeling of incomplete bowel emptying?", + "src": "Patient: Hi doctor, Over the past 3 months, my periods have become irregular. It was regular throughout my life. I faced spotting between periods and had been detected with a submucosal fibroid of 2 cm. For the past 3 months, I feel in the morning after passing bowels, that my bowel has not cleared. This feeling of incomplete evacuation of bowel remains till noon. I drink nearly 2 liters of water in the morning to noon. With more water, I feel bowel pressure, but do not need to pass it always. My usual bowel movement is one time a day and on some days it is twice. Doctor: Hi. I understand that your periods are irregular and you have a feeling of incomplete evacuation of bowel. This type of combination is seen in hypothyroidism. So you need to check your thyroid function after consulting a physician. These two problems can also be totally unrelated in that case you need to consult a gynecologist for periods problem. For bowel, you can take high-fiber diets, specifically diet rich in fruits and green leafy vegetables. Regular timing of food and a good healthy breakfast are also very important. If the problem persistents, you may need medication. Initially, medicated fibers like Isabgol also known as Ispaghula and others after consulting physician or gastroenterologist." + }, + { + "id": 30688, + "tgt": "What should we do to enhance my dad's appetite?", + "src": "Patient: Hi doctor, My father is 76 years old. He had an accident and got a blood clot on his right auditory nerve. The doctor said that he will be fine in some three months. But, he has become worse. He lost his appetite and not eating anything. He vomits every day. He is unable to recognize anyone. He is not sleeping. He has lost weight and looking more skinny. What should we do to get his appetite better? His sugar level is slightly above than normal and he also has high BP. He is on regular tablets for sugar and fits. I have attached his scan and blood test reports for your reference. Doctor: Hi. I understand your question. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10435, + "tgt": "I am scared to sleep whenever I hear about some accident. Why?", + "src": "Patient: Hello doctor, It has been around four years that I am always scared to sleep. It usually happens if there is an accident I am scared that it will happen to me too, and I would not sleep for about a week. I am so scared of earthquakes, and many nights, I will not sleep thinking that our building will fall. If there is any news like killing people, I will lock all the doors and windows thinking that I will be killed too. And another thing is supposed I eat at 1 pm for the next two hours I will be full and suddenly I feel so hungry, and in a minute I started feeling so weak and start to shiver. This happens whenever I am feeling hungry. Doctor: Hello. Your symptoms are suggestive of an anxiety disorder, which is making you excessively worried about things happening around you. It can be tiring and emotionally exhausting to experience high levels of anxiety all the time. Try relaxation exercises to help manage stress and related anxiety levels. Deep breathing techniques and progressive muscle relaxation exercises will be beneficial. If possible, try yoga as well, and counseling or talking therapy will be helpful. If symptoms are severe and persistent, you will benefit by consulting a psychiatrist for a full assessment and consider medication options as well." + }, + { + "id": 17725, + "tgt": "What are the causes of high amylase levels?", + "src": "Patient: Hi doctor, My 50 years old mother's\u00a0blood report showed the amylase levels to be high. The amylase level is\u00a0126, rheumatoid factor is 16, and\u00a0TSH is 6.275.\u00a0What do these values indicate? What are the causes for this? What is the treatment? Doctor: Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23569, + "tgt": "I have no symptoms except heavy flow. Can I still have PCOD?", + "src": "Patient: Hello doctor,I am 20 years of age with weight 64 kg and height 160 cm. I had my periods for three to four days with mild bleeding on the fourth day. Now for the past two to three months, I am having periods with heavy flow for two days and mild bleeding on day-3. The doctor suggested PCOD test. My hormone levels are normal with testosterone and insulin in the normal range. Also, I do not have any unwanted growth and no acne problems. Can I still have PCOD? Also, I do not have diabetes or thyroid. Please give me a conclusion as to what has happened. Doctor: Hi. A regular period can range from three to seven days duration, with bleeding being mild to heavy on all or any day. A period can also return monthly or between 21 to 35 days. Your period may have changed in length and days on which heavy bleeding occurs but it still falls well within the remit of a normal range. All of your investigations have been normal. A change in period history can be normal in young adults and can happen in response to any change in physique, as well as emotional and physical state. I would not be worried, neither is any treatment warranted based on the history you have presented. This is a normal change. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5584, + "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": 25689, + "tgt": "Why is there pain below the shoulder?", + "src": "Patient: Hello doctor, My wife has pain in the area below the left shoulder for the past one week. The pain is there even when she deep breathes, moves her left hand, or does any movement. She is a feeding mother, has overweight and had a cesarean delivery a year ago. She had a similar complaint but reduced after rest. But this time it has not reduced. We tried an external application of counter pain and used hot water pack. She suspects sometimes during feeding that she sleeps on one side which is causing this problem. I have attached the image of the area where she has pain. Please help. Doctor: Hello. I feel that the pain is coming from the neck and this is a fairly common pain diagram for neck issues. She needs to look at her posture and as she is feeding this is even more important. Also holding the baby may make things worse. See a good physio and do some neck exercises which will help. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22543, + "tgt": "Can cafe-au-lait spots cause neurofibromatosis?", + "src": "Patient: Hi doctor, I have noticed three to five cafe-au-lait spots in my body in which three of them are confirmed, the other two were light and was not examined by my dermatologist. I do not have enough spots to be diagnosed with neurofibromatosis 1, but I was scared that I could be affected with neurofibromatosis 2 later. I have permanent tinnitus, but neuromas were ruled out, which was cleared on seeing a clear brain MRI. I have no tumor in my brain or any other signs except these spots. Should I expect these tumors to appear in the following years, or there is any possibility to have these spots as a benign symptom? I have no cutaneous schwannomas. My aunt on my maternal side has them. I may also carry a red hair gene, which may make the spots more frequent. Please help me to clear this. Doctor: Hi. Having some Cafe-au-lait spots is usually a benign phenomenon, that you need not get worried about it. In order to diagnose NF (neurofibromatosis), there are many criteria that you will not meet. Please send me some photos of the spots in order to be fully reassured. Please tell me, if you have any other skin changes. Also, tell me about the average diameter of the spots. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26005, + "tgt": "Can a torn cartilage in the throat trap food and cause bad breath?", + "src": "Patient: Hello doctor, Can a torn cartilage in the throat trap food and cause bad breath? Doctor: Hello. There is no cartilage in the oral cavity and oropharynx. A cartilage is present in the larynx (lower throat) and below the larynx. Any injury can cause a tear in the cartilage. But, it will not cause bad breath. Generally, food particles get trapped in the tonsillar crypts in the oral cavity, ferments, and cause bad breath. Also in case of sinusitis, post-nasal drip can cause bad breath. If you have symptoms suggestive of acidity, then acid reflux causes regurgitation of food and causes bad breath. Please describe your symptoms in detail, if you have any associated throat pain, headache, post nasal drip, nose block, acidity, etc. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5721, + "tgt": "I fixed my temporary crown back with toothpaste and now my tooth hurts. Why?", + "src": "Patient: Hello doctor, I woke up this morning to find my temporary crown off of the teeth and stuck between the teeth and my cheek. I was able to pull it off but when I did, I noticed a piece missing from it. I did not find the piece. So, I am guessing I probably swallowed it in my sleep. My dentist is closed today and I cannot find an emergency number for them. So, I looked up remedies online. I cleaned out the temporary and applied a small amount of Sensodyne toothpaste and spread it around. I then put the temporary back on and cleaned the excess toothpaste and bit down a little. The problem is when I placed the temporary back on with the toothpaste, it hurt very badly for about 10 minutes. I applied a small bit of Orajel to the surrounding area. Now, my question is two-part: Was it supposed to hurt when I placed temporary back on and fixed it with the toothpaste? Is that just sensitivity? I have had fairly cold water and it has not hurt. So, I did not think it would be temperature and maybe it is the toothpaste. My second question is, is it a problem that the temporary now has a piece missing from it? I was reading that the important thing is that it stays on so the tooth does not move. I have an appointment in two days to have my sutures removed. Obviously, they will see this piece missing and I worry it is a big deal but, I have no way of contacting them. Doctor: Hello. For more information consult a periodontist online --> https://icliniq.com./ask-a-doctor-online/periodontist" + }, + { + "id": 22052, + "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": 27125, + "tgt": "How is obstructive sleep apnea treated?", + "src": "Patient: Hello doctor, I was diagnosed with obstructive sleep apnea and secondary pulmonary hypertension two years back. I am using a CPAP but, not too regularly now. When sleeping, I often feel a blockage of my air passage, especially while exhaling, as if suddenly clogged by some tissues. This would repeat several times and would be normal when changing sleeping positions or with some intentional jaw movements. Further, I find it difficult to breathe or become breathless while traveling by bus or car at a speed of 70 km/h or more, when the air rushes in from the outside. Could this be a case of ENT problems? If it is, please advice on its treatment. Doctor: Hello. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6793, + "tgt": "I got a bump on the penis after masturbating without lubricant. How to deal with this?", + "src": "Patient: Hello doctor,I am a 23 year old male and in good health. The last time I was sexually active was over two months ago, and after that, I usually would masturbate two to three times a day with no lubricant. I developed a small bump under the head of my penis. So, I looked up online and it was all HPV and herpes. I was scared but very doubtful it could be those. About a week later, I ended up getting drunk and masturbating pretty hard and for a long period of time and got a few more red bumps within the next couple days. Then, I shaved against the hair since I had hair going all the way up my penis shaft. I had several bumps the next day. The original bump has gone away as well as the other bumps. Now, I just have a bunch of little red, painless bumps around where the hair grows, but they have no hair coming out of them. They only really have slight pain if I squeeze or pick at the area. I hope this is all nothing. Doctor: Hi. I have seen your query. From your description, it seems you have developed tractional folliculitis due to excessive masturbation. You can use topical Mupirocin ointment twice daily and take tablet Azithromycin 500 mg once daily for three days after consulting your GP or dermatologist. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7495, + "tgt": "My symptoms are suggestive of bipolar. Please help", + "src": "Patient: Hello doctor, I am a student. For some months, I have noticed that my mind is playing tricks on me. It is more like every day I have a down phase which lasts for two to four hours when I feel all negative emotions are coming to my mind. I think of anxiety and fear. I feel like I have a beast inside my mind to which I have to fight to make myself in a normal state. First, I thought it was depression, but it is not lasting for whole days, not it continuing for months, but more like two to three hours of down phase. I have seen people with severe depression, where it is difficult to get out of bed also a difficult task. This is not for me. At least I can talk to people, and I go to work every day. For me to feel better, I have to sleep or distract myself with songs. I thought it might be bipolar, but I am not sure. I want to know can it be symptoms of mild to moderate depression, or is it bipolar or any other mental disorder or it is due to stress? Doctor: Hello. I can certainly understand your condition. I have worked through your attached query in detail. As per your symptoms, you possibly seem to have subsyndromal depression otherwise called as dysthymia. If it is not treated on time, it may convert into depression. (Please note mild, moderate and severe are grades of depression but not dysthymia). In individuals with all the above symptoms, it is advisable to screen yourself for thyroid issues if not checked earlier. This is certainly not a case of bipolar disorder. It is advisable to consider certain medications to improve your symptoms. Treatment may last for six to nine months. In case if you are looking for a prescription, please let me know, I shall offer medications. Stress Complete Thyroid profile (T3, T4, TSH). Depression, bipolar disorder Dysthymia. SSRIs (selective serotonin reuptake inhibitors). Stress management. Good sleep and appetite. Avoid smoking and alcohol intake." + }, + { + "id": 6782, + "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": 228, + "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": 6010, + "tgt": "There is no relief in using medicines for skin infection arond genital area. Why?", + "src": "Patient: Hello doctor, I am suffering from skin disease and three different skin infections are observed in my abdominal and genital area. Small white pits on bottom of penis and prepuce, red patch in the mid of both scrotum, and a white round patch on the inner side of thighs just touching the scrotum. I tried self-medication. I have applied Nuforce GM and Zole-F each for seven days. Also, I took tablet Fluka 150 mg last Sunday. In the last seven days, I have not seen any healing, though, it restricted spreading. Please advise and prescribe medicines. I have attached the photos. Doctor: Hello. I had gone through the pictures. (attachment removed to protect patient identity). In my opinion, you are having candidal intertrigo. So please avoid creamd containing steroid. Just use antifungal cream and powder. Lesions in scrotum and thighs are fungal lesions. And you do not need to bother about the lesion in the penis. They are of non infective nature. Only if there is any pain or pus, you can take treatment. Fungal infection. Candidal intertrigo. Apply Candid cream (plain Clotrimazole cream) twice daily on inner thighs and scrotum for two weeks. After applying candid cream, apply Abzorb powder (Clotrimazole powder) over sweat in prone areas such as inner thighs for two weeks. If there is any itching, take tablet Teczine 5 mg (Levocetirizine) at night after food. Avoid steroid containing creams. Completely dry your inner wear before wearing, Follow up after two weeks." + }, + { + "id": 16265, + "tgt": "Why am I having white thick vaginal discharge and stomach pain?", + "src": "Patient: Hello doctor, I have white runny thick discharge with strong odor and itching, stomach makes weird noises and sometimes quick pain in lower stomach. Also thick white stuff under clit hood. Doctor: Hi. I saw the clinical picture (attachment removed to protect patient identity). Features are consistent with vaginal candidiasis. Thick curdy white discharge, itching are the classical symptoms of candidiasis. You need intravaginal anti-fungal medicine. Vaginal Clotrimazole gel, also oral antifungal tablets. Meet your Gynecologist for further evaluation and to rule out pelvic inflammatory disease because you are saying, you also have abdominal pain and heavy periods." + }, + { + "id": 30264, + "tgt": "Is it normal to have bloated stomach after laparoscopy?", + "src": "Patient: Hi doctor,Five days ago, I had a laparoscopy. I am wondering when the bloated hard tummy will go away. I am worried that it has not subsided yet. Is this normal? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12208, + "tgt": "How can I overcome suicidal thoughts due to manipulation and exploitation?", + "src": "Patient: Hello doctor, I am suicidal. I feel so manipulated and exploited. My parents never listen to what I say and indirectly or directly cause some very unpleasant memories. Maybe I just want to be an ordinary kid, I want to play computer games and stuff, maybe I do not need to do academic stuff all the time, but they will not listen, instead, they push me down to a bottomless hole and they drive me crazy. Doctor: Hi. Suicide is not a solution to any problem. There is no problem in the world which does not have any solution. Just we have to see from a different view. Take a break in your life. Think about what you want to do in the future. If you are not interested in the study, leave it but what you want to do to survive in this world, think about it. If you have something fruitful to do except study than talk about it with your parents. Make sure that they believe in your plan. Strictly stay away from any form of recreational drugs or alcohol. Stay away from social media or limit the use of it. Do not live a virtual life, come to the reality of life and the world. If your parents do not listen then someone elder who believe in you and then ask that elder to talk with your parents. Ask your parents what they want from you and why they want it. Talk politely with parents. Do not do any unnecessary argument. It is a very tender age and do not take any decisions in a hurry. Relax and think. Life is very beautiful. Enjoy it." + }, + { + "id": 4370, + "tgt": "What are the ways to manage hemoglobin and sugar level in a diabetic patient?", + "src": "Patient: Hello doctor, I am opening up a new subscription under you, so that I can chat more easily. I request you to follow our discussions from previous records. To remind again, this query is for my mother. Age-47, she is on her regular medicines for above mentioned conditions. However, recently her hemoglobin levels fell to 7.8. After consulting a doctor in my local area, she is taking iron pills. The problem is with her fluctuations in Diabetes readings and haemoglobin levels. I am attaching the recent conducted reports below- 1.\tBlood sugar level + Hb 2.\tCbc + Lipid profile 3.\tUrine culture 4.\tThyroid panel My query is to what can be done to improve her diabetes readings and hemoglobin levels. It will be highly helpful if you elaborate the necessary steps to be taken including types of medicines that are to be taken. Doctor: Hello. I have seen the medicine list being taken by her (attachment removed to protect patient identity). Of those drugs ROXCEF is an antibiotic to be given for a very limited period may be 5 days or so. BIO D 3 strong is also not needed on continuous basis, unless she has any specific neuropathy problems or any such complaints. Is there a to speak to you so that I can clarify a few things in one go. For her diabetes I feel Glycomet G2 once a day (instead of Voglibose containing tablet) once a day with DYNAGLIPT-M is enough. Rest of the medicines are to be continued." + }, + { + "id": 1709, + "tgt": "I got an itchy rash on anus with no anal sex. Could it be HPV?", + "src": "Patient: Hello doctor, For the last weeks, I have a kind of a rash and itchy feeling on my anus. I am a 22-year-old male, without any sexual contact in that area. I have done every STD test and all came negative. I noticed some white spots right above the anus. I cannot really see the shape and because of the Coronavirus I could not get it checked on a clinic yet. Is it possible to have an outbreak of HPV in a place where you have never had any sexual contact? I have a lot of hair in the area and I think it could be folliculitis like I had on the other regions in the past, but I want to be sure. Doctor: Hi. I have seen the picture. (attachment removed to protect patient identity). There is definitely an inflamed swelling in that area. Central area is white. As you are having a lot of hairs, that area can easily get infected. Are you having any fissure problem? Please check your blood sugar. It is not HPV (human papillomavirus). Warts will be presenting as asymptomatic growth, so it is not herpes also. It is furunculosis (bacterial infection of the hair follicle). Please start on antibiotics Doxycycline 100 mg twice a day for one week. Apply Mupirocin ointment in that area. Drink lots of water. See that you are not having constipation. Wash the area with water and soap after defecation. After the Corona crisis meet your doctor. I hope this helps." + }, + { + "id": 7306, + "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": 8640, + "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": 28966, + "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": 10313, + "tgt": "I am a crohn's disease patient. Can I take ayurvedic medicines?", + "src": "Patient: Hi, I am a crohn's disease patient and now my ESR level is 70 and CRP positive. I am taking pentasa 1g twice (morning and evening) and also 150mg of azoran (immunity suppressant tablet) in the morning alone. Today I visited an ayurvedic doctor to start ayurvedic treatment and he gave me medicine indukantham kashayam and septilin and both seems to boost the immunity of the body.\u00a0I want to know is it good to have both medicines like pentasa/azoran with ayurvedic medicines as mentioned above.My ayurvedic doctor has said that I can continue both for some time and then review after a week and check if ESR levels have fallen.\u00a0Please advise. Doctor: Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time. Revert back to an ayurveda specialist online after two weeks for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3732, + "tgt": "What is neutropenia?", + "src": "Patient: Hello doctor, I recently had my blood test and the results came back that I had mild neutropenia. It has got me a little concerned since this has been present on my last two blood tests with the lymphocyte count being significantly higher, but still within the normal upper limits. I have had no infections, fever, night sweats, aches, no splenomegaly and no history of anything. I currently take Propecia 1.25 mg for hair loss. My first blood test five months back was this way neutrophils 42.8 % and absolute neutrophils 2.1, lymphocytes 45.6 % and absolute\u00a0lymphocytes 2.2.\u00a0My newest blood test as of this week reads neutrophils 30% and absolute neutrophils 1.2, lymphocytes 59% and absolute lymphocytes 2.3.\u00a0I will upload my most recent laboratory work. If more information is needed then I can get the previous one.\u00a0Thank you. Doctor: Hi. Based on your query, my opinion is as follows: Low grade viral infections increasing lymphocytes. The normal lymphocyte count is 20% to 40% and here is 59%. 1. Improve nutrition to fight the low grade infections. 2. Maintain good hydration. Repeat test after three months and get back to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19413, + "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": 30158, + "tgt": "Please suggest further action after reviewing my wife's blood report", + "src": "Patient: Hello doctor, This is for my wife. She is 36 years old. Her height is 5'4\" and weight is 65 kg. Recently, we had a blood test and the attachments here are the results of the same. We are worried with the absolute lymphocytes count and percentage as well as the other highlighted numbers in the report. She keeps complaining of a slight pain in the stomach though not frequently. We are afraid of any cyst and we checked for it last year, but found nothing abnormal. I request you to review these numbers and suggest a further course of action. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). 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": 30328, + "tgt": "What is this oval shaped growth beyond tonsil?", + "src": "Patient: Hi doctor, I noticed an oval shaped growth beyond my left tonsil. The top is white and the bottom is in normal color. It seems like a nodule that is hanging on the flat throat surface. It also seems that capillaries are running in and out of this growth. Please see the attached picture. It does not cause any symptoms whatsoever. I am not sure how long I have had it. What could cause this? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22831, + "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": 2338, + "tgt": "Is it dangerous to remove large quantity of fat in single session of liposuction?", + "src": "Patient: Hello doctor, I got liposuction surgery last month. I was in the hospital for two days and then I was discharged. I come from a small town so I had to go a bit far from my hometown for the surgery. My doctor claims that he has 22 liters of fat removed from my body. My bodyweight before surgery was 90 kgs and post-surgery it was around 79. I got liposuction in my thighs buttocks abdomen and arms. I searched online and it says that this much amount of fat removal from one surgery is not healthy. To give an idea of my BMI my height is 5'2\". The problem is it is already 21 days since surgery, and I have one of the drains which my surgeon kept open still draining, it started to drain post 7 days of surgery and it is on the back of my right thigh, and this is the third that opened since surgery but the two drains have already closed and clean, I still have swelling all over my body and I am facing a bit of problem in walking normally. Because of the lockdown in my city I am unable to meet my surgeon and get post-op care, but he suggested that any general surgeon can help me so I consulted a general surgeon in my town and he said everything is fine. Also, I have skin necrosis on my left thigh. I do not know what I should do? As I have read online that most of the patients get well after 21 days of surgery and here I am still going through drain let alone nowhere close to healing completely. Doctor: Hi. Drains left open for fluid discharge generally close within two weeks. I think you were done a tumescent type of liposuction. You do not have any immediate complications as per your description, so I think it was done nicely. But prolonged complications in drain discharge needs some supervision. I hope you do not have any fever, because that indicates infection in that case you have to start antibiotics as per culture sensitivity immediately. I also wanted to know about your urine intake and swelling and thus you need to be done kidney function tests for the swelling. If there is skin necrosis it also needs immediate intervention. I advise you to have some tests which I am writing and get help from a good surgeon. Infection which spread to internal organs can be dangerous and so the skin necrosis. Emergency services are not blocked in lockdown. Liposuction. RFT (renal function test), LFT (liver function test), complete hemogram." + }, + { + "id": 30985, + "tgt": "After IUD insertion, my cycle has become irregular. What is your opinion?", + "src": "Patient: Hi doctor, I am a 19 year old woman. I have always had normal 28 day cycle. Before five months, I have stopped taking a low dose hormonal birth control pill in favor of the paragard IUD. My cycle continued as normal after this. However, before two months, I had periods after 21 days and the next month too the same 21 day cycle followed. Then, I began my cycle after 14 days and have been menstruating for 15 days now. Other confounding variables include moving to the college, which were a large climate, altitude and environmental change as well as resuming sexual activity around the beginning of this cycle. I was tested for STIs before five months and received negative results. I have remained in a monogamous relationship. What is your opinion? Do I need to visit my gynecologist? I have heard that hormone pills can be taken to stop bleeding. Is that true? 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": 22876, + "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": 28173, + "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": 29962, + "tgt": "Please recommend some measures to help my friend gain weight?", + "src": "Patient: Hello doctor, My friend is too thin and weak. She had TB when she was young. Her blood group is O and Rh positive. Please advise something to help her gain weight. Doctor: Hi.\u00a0I have gone through your case\u00a0thoroughly\u00a0and can well understand your genuine concerns. I\u00a0want to assure you that you do not have to worry as everything is going to be fine soon.\u00a0 I hope she has no tuberculosis right now. Kindly get her checked for dormant TB too. Regarding maintaining a normal body weight: If she can eat and drink and has no major disease process going on in her body, then I never recommend supplements and medications for the purpose of weight gain or keeping weight within normal limits. Diet Suggestions for her: 1. Taking plenty of water, fresh fruit juices made at home, salads and healthy diet. A healthy diet should include a good proportion of proteins like fish, eggs, meat, nuts, beans and wholegrain foods. 2. Say no to alcohol and cigarettes. 3. Avoid excessive tea, coffee, chocolates etc and other caffeinated drinks. 4. Avoid beverages of any kind including energy drinks. 5. Take zinc containing foods like oyster, chicken, nuts and beans, red meat, vegetables and salads and whole grain foods. You need zinc for normal hormone levels too and for good health. 6. Avoid fast food, refined meats, fried foods. Say no to extra sugars and salts. Physical Activity: 1. Without regular physical activity, she cannot get in shape and cannot maintain her body weight in limits. 2. Ask her physician for the ideal body weight goals and body mass index. I need her age, weight, height, waist circumference if you need any guidance from me in this regard. 3. Jogging, yoga, meditation, cardio exercises and aerobics are all good activities for her healthy heart and body. For further information consult an general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12707, + "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": 30402, + "tgt": "For uterine fibroid, how quickly should I get surgery?", + "src": "Patient: Hi doctor, I am 46 and a mother of three children. I have been diagnosed with multiple fibroids a few in the anterior wall intramural and a few on the posterior wall and a bulky 134 x 74 x 87 mm uterus. The endometrium is displaced posteriorly. The symptom is mainly heavy menstrual bleeding that lasts for eight to nine days. The symptoms began not more than a year ago. Ultrasound with an interval of two months shows slight growth. My doctor advised hysterectomy. Is it absolutely necessary for my condition? If so, then how quickly should I undergo the surgery?\u00a0Is there any medication or alternative treatment that can be relied long term to avoid surgery? What are the possible consequences that I shall expect if I decide against hysterectomy? Doctor: Hi. You are having symptomatic uterine fibroid. Since it is symptomatic and you have had children, then the best for you is to go for a hysterectomy. This will make you to have peace of mind. If you do not get surgery, then there is a tendency of recurrent heavy menstrual bleeding resulting in fatigue and weakness. Then there is a chance of recurrent blood transfusion with all the complications associated with blood transfusion. The alternative is the use of drugs, which can only be used for a short period and the fibroid will grow back once you stop using the medicine. The drugs may also have so many side effects. As a consultant gynecologist, who sees patients with large fibroids, I will advise you go for a hysterectomy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11857, + "tgt": "Is there any risk in repeated open heart surgery?", + "src": "Patient: Hi doctor, I am a 32 year old male weighing 60 kg and my height is 5'9\". I had undergone open heart surgery 7 years back for aortic stenosis valve replacement. One day my eye got swollen and felt some dizziness. So, I went to the doctor for checkup. He told me that I had calcium deposit on aortic valve, which is already replaced valve. Now I want to know that, Is there is any option for replacement of valve again other than open heart surgery? My whole report was good in terms of cholesterol and other things the only problem was calcium deposit. If valve can be replaced through TAVR, where can I get the best treatment? Earlier I had valve replacement open heart surgery in a reputed hospital. Please provide me all information regarding this. Is there any risk in another open heart surgery or in TAVR? Doctor: Hello. I have thoroughly gone through your case and can well understand your genuine health concerns. Transthoracic aortic valve replacement (TAVR) is usually considered as a good choice for patients who are not a good candidate for open heart surgery. It is a good alternative for patients based on clinical evaluation and severity of the disease. Every procedure has its own risk factors and the same to TAVR and open heart surgery. It includes heart musculature rupture, valvular damages, some damage to the vessels coming out and going into the heart. Damage to the brain and other major organs due to clot or thrombus formation may also occur due to manipulation and surgery. But in modern day techniques, there are least complications and the benefits outweigh the risks for sure." + }, + { + "id": 10206, + "tgt": "How can I manage dry eye?", + "src": "Patient: Hello doctor, I have a problem in my eyes. My right eye is dry and left is normal. I use Systane Ultra eye drop from the last one year and Omega 3 capsule from last three months. No result was found. No improvement was found. Please suggest me how I can get relief in my right eye? I want to overcome dryness in my eyes. Doctor: Hello. Unfortunately, dry eye is a chronic condition and does not go away. First of all, you should use the eye drop in both eyes and not only on the one you feel the dryness in, second of all, the minimal quantity of drops that might help you during the day is four times but there are no limits, you can even use it every hour. The other option is to have punctum plugs inserted and that might reduce the quantity of drops you have to use or to use the only available medication for this condition which is called Restasis. For a more detailed advice please provide me with more information such as schirmer test results atleast." + }, + { + "id": 12486, + "tgt": "Suffering from dust allergy and coughing green mucus. Does it mean infection?", + "src": "Patient: Hi doctor, I have been suffering from dust allergies since childhood and use Foracot 200 and Montair 10 in case I have an episode. From 3 to 4 days, I am having an episode but it is not getting better. Also, I am coughing green mucus (seems like small dots). Does it mean that I have an infection? Please advice. Doctor: Hello. The green expectoration raises suspicion for pseudomonas infection of the lung. You have to rule out acute bronchitis infection by chest X-ray and spirometry. If bronchoconstriction is present then nebulization of bronchodilator drug like Levosalbutamol can be prescribed. If you have long term history of frequent attack of allergic bronchitis then maintenance bronchodilator inhaler like Foracort on long term basis might be prescribed. I suggest you consult a pulmonologist for detailed respiratory evaluation." + }, + { + "id": 17060, + "tgt": "Is it safe to drink alcohol after stomach biopsy?", + "src": "Patient: Hi doctor, I received an upper endoscopy and biopsy about 10 hours ago. My weight is 150 lbs and I was given 50 mcg of Fentanyl and 180 mg of Propofol for sedation. The procedure was successful and there were no immediate complications. I came home and rested for several hours and have plans to go out with some friends. I would like to consume two or three pegs of alcohol. Am I safe to drink alcohol? The only side effect I am feeling now is slight stomach irritation from the biopsy and nothing else. Please let me know. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7081, + "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": 24775, + "tgt": "There is severe left-sided headache but all reports are normal. What to do?", + "src": "Patient: Respected doctor, My sister feels a severe headache in the left side portion of the brain since two days and pain is not continuous but when it starts, it starts at a point on the left side and remains for five to 10 minutes. In a day, 20 to 25 times the pain is repeated. I consulted a neurologist here in my hometown. He suggested a CT scan, EEG, CBC, and ophthalmologist and psychologist opinion. All the reports are normal but today she does not feel better. Please advice. What is the main problem and what can I do? Doctor: Hello. I have checked the attached reports (attachment removed to protect patient identity). From what you mentioned, I suspect that your sister has a migraine headache. Is there nausea or photophobia (avoiding lights)? A migraine causes severe pulsating headache usually on one side and lasts few minutes up to few hours. She should receive chronic treatment if there are repeated attacks. When was her first attack? The other possible cause is glaucoma (high eye pressure). I suggest Paracetamol 1000 mg tablet. If unsuccessful to abort the headache, Sumatriptan should be tried. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25356, + "tgt": "Nails appear to be unfixed in the skin. Can this issue be treated?", + "src": "Patient: Hello doctor, My friend's daughter is suffering from nails problem in both hands and legs. She is a 14-year-old girl now. The problem started when she was a 2-year-old baby. The nails appear to be unfixed in the skin because they would easily be pulled out when they are stuck in clothes' fabric, for example. Then a new nail will appear in the place of the removed one in a month or two. She is otherwise a normal girl with no unusual symptoms. Her father has not consulted a doctor because nobody knows what disease it is and which doctor they should consult. When I saw the patient I thought it would be a fungal infection and I decided to consult you. Would you please look at the pics in the attachment and tell us about your impression and views about the case. Can such an issue be treated? What is the treatment plan? Doctor: Hello. I saw the clinical picture (attachment removed to protect patient identity). It looks like twenty nail dystrophy. This is a clinical diagnosis. Some cases are genetic and some are acquired. The cause for the nail dystrophy is not very well known. Some of the systemic diseases like anemia, IgA deficiency, primary biliary cirrhosis are the mentioned causes. Some of the skin diseases like atopic dermatitis, alopecia areata, vitiligo, eczema are also known to cause this type of nail changes. This is not a fungal infection. Because all the finger and toenails are involved equally. Usually, fungal nail infection starts in one fingernail then spreads to few other nails, but never all nails. This is a difficult condition to treat, there are case reports saying spontaneous correction of nails with age.Other treatment modalities include: A protein-rich diet consisting of eggs, chicken, milk, dal, and curd would help because nail is made up of protein. Dietary protein is very important. She can start taking nail nutrient pills, that has biotin, calcium, zinc, iron, etc. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6489, + "tgt": "I urinate in every 5 minutes interval and I am not diabetic. What is the reason?", + "src": "Patient: Hello doctor, I am urinating in every five minutes interval of time daily. This problem does not occur for about ten days in a month. Why the frequency of urine increases though I do not drink excess water. Sometimes in the night, there is a burning sensation. I have the feeling to urinate, but when I go for urine, it is not coming, and I feel the burning sensation. I do not have diabetes. I have this issue for more than one year. I thought it was due to my study pressure, but this time I do not have any study pressure instead, it happens. I have done the uroflowmetry test. Doctor: Hello. This can occur due to stress or due to prostate gland swelling. Since it is occurring only some days of a month, stress is the more likely cause. You can share your uroflow and other reports here. If you have done urine routine tests, RBS (random blood sugar), and Sonography of the KUB (kidney, ureter, and bladder) region, you can share those also. Whenever you start getting frequent urination, take TerolLA-2 (Tolterodine Tartrate) once daily. Try relaxation exercises and try to extend urine holding time by five to ten minutes. Take less fluids at night and avoid tea, coffee, and cold drinks after 6 pm." + }, + { + "id": 11519, + "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": 6151, + "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": 16213, + "tgt": "My toilet bowl was completely red. Why?", + "src": "Patient: Hi doctor, I had a bad experience today. My bowl was entirely reddish. I do not know what it could be. Currently, I am taking Envas 2.5 mg. Doctor: Hi. You have blood in the stools. If you have blood in the stools again, then you have to investigate with a stool routine examination. It can be an infection of the colon, and an antibiotic course can be taken. If the bleeding is painless and fresh red, then you can try to rule out piles by doing proctoscopy examination." + }, + { + "id": 20861, + "tgt": "How can we manage high BP?", + "src": "Patient: Hi doctor, My wife has got high BP. Her BP is 160/100 mm/Hg. What we have to do to decrease it? Please suggest. Doctor: Hi. She has stage 1 hypertension. For that lifestyle modification is needed. Take low salt diet. Use potassium salt for cooking. Fruits and green leafy vegetables can be taken more. Avoid a sedentary lifestyle and do active exercise daily for half an hour to one hour. If the blood pressure is not controlled by lifestyle modification, then medication like Telmisartan or Amlodipine can be started with a low dose. The secondary cause of hypertension can be ruled out by renal doppler arteriogram, urine VMA (vanillylmandelic acid) estimation, serum sodium, potassium, and aldosterone estimation. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13430, + "tgt": "Is there any way to cure PTSD and bipolar disorder?", + "src": "Patient: Hello doctor, I have PTSD and bipolar disorder type 11 and it is getting harder for me to function daily. I have already seen my health care provider. For this, she gave me a prescription and I still have the manic episodes. Doctor: Hello. I read your query and understand your concerns. I would like to inform you that most of the psychiatric medications take too long to show effects on individuals. Since you were prescribed Risperidone just a week back, there is no need to wait for more time. Most patients with Risperidone show an effect after 3 to 6 weeks in general. In addition, the prescribed dose of Risperidone is just 0.5 mg which is the lowest possible dose. In case the effect is not evident by 2 to 3 weeks, the dose should be increased to a higher level (1 mg or higher). Most of my patients need 1 to 4 mg Risperidone and only small fraction responds to low dose such as 0.5 mg. I mean to say that both the time and dose of medications may need change to show the effect of prescribed medications." + }, + { + "id": 24756, + "tgt": "Why is my baby having fever every 10 days for the last two months?", + "src": "Patient: Hello doctor,My son (aged 8 months, weighing 8.5 kg) is suffering from fever frequently once in 10 days for last two months. We have got urine (culture and routine) and blood tests (CBC, CRP, IgE total) done for my son. The urine report is normal. However, as per the blood report, there is some infection in the blood and Hb is low (attached reports). So, the doctor prescribed some medicines (Lacktrum powder) and we started giving the medicine from last week. We have been also giving Vita Nova D3 and Bevon since his birth. Today also he got a fever. Why is the fever still continuing despite being on medication? Is the medication enough for him? Any other tests required? Please provide your opinion on this. Also, he is falling down frequently while trying to stand or sit. Will it be an issue? Doctor: Hello. As per the blood investigations, you have shared (attachment removed to protect patient identity), it suggests that there is some bacterial infection in the blood. I suggest you start a course of antibiotics for your child at least for five days, preferably Amoxyclav (Amoxicillin and Clavulanic Acid) or Taxim (Cefixime) depending on your paediatrician's recommendation. Rest is fine in the report. You need not worry. It is common in this age group. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5101, + "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": 23963, + "tgt": "Troponin-T, MR and TR levels are high after first heart attack. Please help", + "src": "Patient: Hello doctor, Actually, my father has just had the first attack of heart and his troponin-T test value is 1.76 ng/ml. Also, his echo test reports are showing the TR and MR results in higher. He is planning to have angiography but I do not think that he should stop there. So please guide him. I need your help. I am searching for treatment. Doctor: Hello. So basically after a heart attack, best possible treatment is angiography followed by angioplasty or bypass surgery. So he should have angiography done and further management will depend on angiography report. Till the time, he should continue medicines which will prevent development of further attack. If possible, please upload his detailed echo report so as to interpret it better. Usually, mild to moderate MR (mitral regurgitation) and TR (tricuspid regurgitation) needs just medicine, may resolve with time. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9020, + "tgt": "I brushed my gums too hard and now it hurts. Please help", + "src": "Patient: Hello doctor, I was brushing my teeth and went side-tracked and brushed my gums too hard and now my right upper gum by my right canine and first pre-molar hurts. It hurts to eat salty foods and I was eating some chips and that made it hurt too. What could this be? Is it serious? Doctor: Hello. You have actually traumatized your gums while brushing too hard, but do not worry since it is a minor problem. Our gums have a tendency to heal on its own, within a few days without any treatment. For faster results, you can use a mouthwash containing Chlorhexidine gluconate twice a day. This will lead to faster healing. It is nothing serious. Just be a little gentle while brushing from next time. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4391, + "tgt": "I have one inch flaccid penis with hypospadias. Please help", + "src": "Patient: Hello doctor, I barely turned 16 and my penis is only 1\" when flaccid and about 4\" when erect. I suffer from hypospadias and I wonder if it will grow? Doctor: Hello. It takes a lot of courage to discuss problems related to genital, and it feels good that you have that courage. Regarding your first query about the size of your penis, as you told that in the flaccid state it measures 1\" and in erect state 4\", and that you are just 16 years of age. I would like to assure you that you need not worry about the size of your organ as for your age it is appropriate and with age, its size will increase. It is similar to the average size of the penis that adolescent boys usually have. At this age, male sex hormone testosterone level begins to rise hence male secondary sexual characters begin to mature which includes the size of penis, scrotum, development of genital, pubic and axillary hairs, hoarse voice, and masculinity as well. So by your age, your sex hormones have begun to increase, hence your organ size will increase gradually with time along with your libido. Regarding hypospadias, I would suggest you to consult a surgeon especially a urosurgeon as this anomaly requires surgical correction, if you have not get it done till now. With treatment, it has no effect on sexual performance as well. So you should not be too worried about all these conditions and seek an opinion from a surgeon as well." + }, + { + "id": 2642, + "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": 11987, + "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": 3408, + "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": 25339, + "tgt": "What is the risk of baby being born with Down's syndrome?", + "src": "Patient: Hello doctor,My wife underwent double marker test. Results are as follows. Please tell me if there is any risk factor regarding the pregnancy. Her age is 31 years. PAPP-A : 0.35 MoM, fb-hCG 2.14 MoM, age risk 1:743, biochemical T21 risk 1:54, combined trisomy 21 risk 1:226, trisomy 13/18 + NT. Doctor: Hello. Yes, there is a risk of the baby being born with Down's syndrome. To confirm it, there is a test called chorionic villus sampling where the sample of the placenta is taken and chromosomal analysis is done to rule out trisomy 21, 18, and 13, that is abnormal chromosome. But there is another blood test which is done at 16 to 18 weeks of pregnancy plus level 2 ultrasound scan to rule out any stigma of trisomy 13, 18, and 21. To confirm at this stage of pregnancy, amniocentesis is done for chromosomal analysis. If AA tests are suggesting trisomy then I suggest you go for termination of pregnancy. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2797, + "tgt": "I have vaginal itching leading to vaginal fissures. How to stop this?", + "src": "Patient: Hello doctor, I have been having vaginal itching for a while which led to vaginal fissures down to my bum and have done a test which I need you to help me clarify and advise what to do. Thanks. Doctor: Hi. I have seen the report. (attachment removed to protect patient identity). Fissures are due to continue scratching over the itching part. Avoid scratching. Report says you have a vaginal infection with candidiasis (fungal infection). And E.coli growth found which is normally not found in the vagina. And sensitivity report says that all the medicines with \u201cS\u201d are sensitive or effective against these organisms. So basically you can take Candid v6 like vaginal pessaries. Along with that Amoxyclav (Amoxicillin and Clavulanic acid) antibiotics two times a day for five days and Metronidazole 400 mg two times a day for seven days. Do drink more water so that urine should be clear. Keep the vaginal area as dry as possible. Change pads more frequent during menstruation. Eat healthy and less oily and less spicy food. All these precautions to avoid recurrence. Do not scratch. It will increase the problem. If you are not following the proper precautions these infections are bound to reoccur. So be alert. Also, do clean the area with water after sex and do urinate immediately." + }, + { + "id": 2077, + "tgt": "I had fever with nose block and there is no breathing difficulty. Should I worry?", + "src": "Patient: Hi doctor, All day I been have constant worry thinking something is wrong with me. I had a fever last week but all symptoms are finished. The only thing I feel I have is when I breathe through the nose it feels 5% blocked but I can breathe fine. Since the day I got unwell I have been feeling I have serious illness my whole body feels tense. Doctor: Hello. Your concerns are valid in light of the current pandemic related to Coronavirus infection. The good news is that your symptoms have improved significantly and you can breathe much better than what you were feeling before. You also do not have any fever or shortness of breath (difficulty in taking a breath in and out). If anything I would say you are over the difficult part. You can try using a nasal spray that has steroids or Saline. You can also take an antihistamine if your nose is running which would include Loratadine among others. Since you are almost symptom-free I would suggest you wait another one week before coming in full contact with other people around you. It is hard to say if you had the Coronavirus infection or not but you are doing much better which is excellent news. Please make sure that you are washing your hands thoroughly and cleaning the surfaces around you. I would also suggest wearing a mask at least for another one week." + }, + { + "id": 28254, + "tgt": "When I bite, both sides teeth do not come in contact at the same time. Please help", + "src": "Patient: Hi doctor, About 2.5 years ago I put extreme pressure on my back teeth by mistake, and they are now slightly pushed into my gums. Just a week ago, I noticed my upper right wisdom tooth and the tooth next to it were growing a bit crooked, so I decided to move them back myself gradually. I started getting a\u00a0toothache in those teeth accompanied with migraines on that side. My teeth have begun loosening, and the gums are swollen, but it is not hurting. The teeth are starting to tighten up now, but they feel slightly numb, they are still sensitive to pain, though. Now my left upper molar has started getting the same symptoms. One more thing, the teeth on the right side have been pushed a little further than my left, which has resulted in the left side of my teeth touching before my right side. Could this cause the pain in my left upper molar? I am scared that I will lose my teeth. Doctor: Hi. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18826, + "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": 23816, + "tgt": "Having Myopia, Should I wear UV sunglasses only on prescription?", + "src": "Patient: Hello doctor, I am having\u00a0myopia and I wear power glasses. My doubt is that can I wear UV sunglasses or should I go for prescribed sunglasses? Doctor: Hi. You can use UV glasses in your prescribed glasses. You can ask your optician to make it with UV filter. It is just like your mobile phone and you can order a screen protector of your own choice. It has nothing to do with your glasses number. It just blocks UV light rays that are dangerous to the eye. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18749, + "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": 12723, + "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": 16784, + "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": 1821, + "tgt": "I am getting moving chest and back pain with sore throat and abdominal pain. Why?", + "src": "Patient: Hello doctor, I am a 33-year-old male. I feel pain in my chest as well as back (not on a fixed place, it was moving pain), sore and bad before 25 days. After a few days, I had a cough during the night. Then I consulted a doctor and he prescribed me the following medicines. Augmentin 625 twice daily, Montair LC once daily, Tayo 60 K once a week, Vitamin C twice a day. After eight days I was normal. But it started again after two days. Then he recommended the same for the next seven days. After five days, again I was normal. But after two days I feel pain in my abdomen (center only). Then I stop taking the medicine and after two days I was normal. Since last night, I am feeling again moving pain in the chest and back. And sore throat and pain in the abdomen. Today I tried for an x-ray but no one was ready without prescription. But I have a report for LFT. Please help. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from chest and back pain which is moving in nature and not fixed with a sore throat and abdominal pain since last night. You had a cough at night and on medications now for that. You had a similar episode three months before too. According to your description, you are suffering from acid reflux and asthma. Acid reflux occurs when acid travels up the food pipe to the mouth. This can happen when the muscle at the bottom of the food pipe which acts as a gateway to the stomach becomes weak or loose. Heartburn is a burning sensation in the chest or abdomen and it has nothing do with the heart. People feel heartburn behind the breast bone after eating. In some cases, pain can be felt in the back as well. So symptoms of heartburn caused by acid reflux include a burning sensation in the chest, a sour taste in the mouth and pain in the middle of the back. You can take syrup Gaviscon, Domperidone (thrice daily before each meal) with Lansoprazole (once daily before meal) and you should always remember that your acid reflux may worsen the asthma condition." + }, + { + "id": 7663, + "tgt": "Is there any relation between bowel movement and heart rate?", + "src": "Patient: Hi doctor,My heart rate goes up to 150 prior to bowel movements. This happens especially when I have an upset stomach. Please explain. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12794, + "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": 6231, + "tgt": "My wife is 6 months pregnant with placenta previa and not feeling fetal movement. Why?", + "src": "Patient: Hello doctor, My wife is six months pregnant. Till, now she is not feeling any fetal movements. Her recent ultrasound shows placenta previa. She is having pain in her stomach, along with edema on both the feet. Please help. Doctor: Hello. With the symptoms you have mentioned, I feel you should immediately go to the obstetrician and get an urgent ultrasound done first to learn about the fetal well being. It is not a good sign that she has not felt the baby movements as of now. Secondly, with placenta previa and pain in her stomach, the first thing to rule out is abruptio placentae, which could be life-threatening for the child. Thirdly, pedal edema suggests that she has gestational hypertension as well, which makes her more susceptible to abruptio further. Do not waste time and report to the emergency now." + }, + { + "id": 2367, + "tgt": "Do you think that rib or shoulder trauma could be the cause of my nerve problems?", + "src": "Patient: I have had nerve issues for a couple of months, such as random stabbing pains, loss of sensation, heavy limbs and a constant mild pressure in my head with occasional increased pain. 4weeks ago i had shortness of breath, a tight chest, constant burning sensation in my chest with sharp pains into my back when inhaling deeply. The doctor put this down to pleurisy after listening to me breath through a stethoscope but as I had no cough or virus leading up to this, it seemed odd. The burning sensation and pain when inhaling deeply went after a course of antibiotics, but I am still left with nerve issues, headache and muscular pain. I have recently noticed one of my shoulder blades is far higher than the other in a relaxed standing position and from the front my left rib appears to be further outwards and I'd say an inch or so lower. Do you think it's possible that some sort of rib/shoulder trauma could be the culprit of the pleuritic symptoms and nerve problems and what can I do about it if so? Doctor:" + }, + { + "id": 2366, + "tgt": "I have pain in right thumb due to excess of squeezing lemon. Please help", + "src": "Patient: Hi doctor, I would like to ask for your advice about the pain at the base of my right thumb. I suspect this is the result of what I did back before two months, I always squeeze a lemon fruit using my hands. This pain started last month and still continues to this day. I feel pain when I stretch open my palm. The thumb is in pain when I use it. I do not feel so good because I cannot play table tennis and the piano because of this. Can you help? Your advice is greatly appreciated. Doctor: Hi. I totally understand that you are suffering from first metacarpophalangeal joint arthritis. This condition occurs when you involve in repeated twisting motion of the thumb. This is partly confirmed by the vague bulge at the joint region. I would suggest you to get an x-ray of the hand once to confirm the same. Meanwhile, I would suggest you with treatment protocol. Repeated usage of the joint. X-ray hand AP, lateral. Rheumatoid nodule. Arthritis of first MCP joint. Tablet Lornaxicam and Paracetomol BD after food for one week. Tablet Rabeprazole 20 mg OD before breakfast for one week, tablet Tendofit forte BD after food for one week, Diclofenac sodium gel twice a day for local application, hot fomentation twice a day. Do not use the same thumb at least for two weeks. Review with reports." + }, + { + "id": 3141, + "tgt": "How to rule out the cause for erectile dysfunction?", + "src": "Patient: Hi doctor, I am a 46 year old male. My weight is 75 kg and height is 6 feet. I do not have diabetes and BP. I have asthma which is under control. I am facing problems in getting erections. It is getting worse with time. I tried some treatments for depression and practiced relaxation techniques with no success. My erectile dysfunction problem is there during each sexual activity. The problem started some five years ago. I used to take Viagra 50 mg. The result was good initially but the hardness lasts only for 30 minutes maximum. I could not bear the side effects like headache and face swelling. Even that tablet is not working for me recently. My problem reached to unmanageable levels recently. I get early morning erections.\u00a0I would like to be treated for this. I would like to know what tests to be done for identifying hormonal or any other deficiency. I will provide any other information as required. Thank you. Doctor: Hi. I understand your problem. Revert back with the reports to a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10154, + "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": 30153, + "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": 22994, + "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": 3023, + "tgt": "An HIV infected surgeon rubbed my bleeding site with bare hands after injection. Am I at risk?", + "src": "Patient: Hi doctor, Last month, a doctor with HIV gave an injection in my vein without using gloves. She did not use any cotton, she just put her finger to stop the bleeding. She also rubbed my vein with her hands when it was still bleeding. Am I at risk? I did HIV DNA PCR after 9 days, and after one month fourth generation ELISA test. One of the doctor told me that the window period is 90-180 days. What test should be done after six months? Doctor: Hi. Let me answer your query step by step. There was no risk of HIV involved by the injection given by HIV infected doctor surgeon. Even if she touched with her finger at the bleeding site with the naked hand, you were not at risk. HIV cannot be transmitted by touching HIV infected person. Your risk was unwarranted in the scenario you mentioned. The test which you took, was highly sensitive and specific and gives accurate results. Window period is the time taken for antibodies to develop after infection and then to be detected by a particular test. 99.9% of the people who are infected with HIV develop HIV antibodies by three months. It is good that you know your HIV status now, you do not require any further test. I hope this helps." + }, + { + "id": 14069, + "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": 23867, + "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": 15314, + "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": 2534, + "tgt": "Please give some tips to control my anxiety", + "src": "Patient: Hi doctor, I have a question dealing with a disorder that I have had for a long time now. I am suffering with severe anxiety. I want to know that in what way can I handle my bad anxiety. I have tried many methods to deal with my anxiety, but nothing much is changing. I recently started to wonder if it is something more than just anxiety since my problems and suffering seems a bit too much. I am curious to know any possible idea I can try to do about it soon? Thank you very much. Doctor: Hi. I understand that you are suffering with severe anxiety and panic attacks. Our brain is designed in such a way that we react to external signals and stimuli. Our reaction depends on the stimuli. If the stimuli are less, then we react less and if the stimuli are more, then we react more. Anxiety is a stage where we react more for less stimuli or sometimes no stimuli at all. This may be due to two reasons, temporary stress and biochemical abnormalities in the brain. If it is the former reason, then it will go away after a few days. If it is the latter reason, then you may need to take proper tablets. As per your narration, since you are having this for a long time, it is probably due to some biochemical abnormality in your brain. But, please do not worry. This can be treated quite easily with tablets. Just like diabetes (increased blood sugar) and hypertension (increased blood pressure), which are basically biochemical abnormalities, anxiety can also be treated with tablets. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20347, + "tgt": "Am I at risk of developing cancer after being exposed to CT scan multiple times?", + "src": "Patient: Hi doctor, I am 29 years old. Within six months of having a delivery, I have done a head CT, and three chest CT studies to rule out PE. My first PE study was done with a protective shielding on my chest to reduce the radiation to my breasts. I did not have any shielding on my second study. During my third study also, I did not have any shielding. They used a dose on pediatric mode resulting in 6 mSv radiation. I have no plans on receiving a CT again. I am willing to know the risk for having cancer from these scans. I have also done a lung MRIs for monitoring the growth. I would like to know it from a radiologist point. I am worried about developing cancer at this point. I have also done an abdominal and pelvic CT before two years. Doctor: Hi. CT of the head might have given you two mSv radiation. CT of the abdomen and pelvis might have given you 14 mSv radiation. CT scan of the chest might have given you 45 mSv radiation. The total radiation dose received approximately is 61 mSv. You might have an additional cancer risk of 0.842011 %. We have used a standard data to calculate the maximum possible dose. As the dose used was six mSv, then the risk is less. So the chance for having cancer is less." + }, + { + "id": 25681, + "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": 27747, + "tgt": "I need a second opinion about my orthodontic treatment", + "src": "Patient: Hi doctor, I am currently having Damon braces for almost a year. I have attached a picture. What do you think about my teeth position, especially, my canine? I think it looks weird. What should be done by my dentist to make it look right? Doctor: Hello. Do not worry it can be done by a trained orthodontist. Hope this helps.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8750, + "tgt": "I have herpes infection. Could it be the reason for the my dry mouth?", + "src": "Patient: Hello doctor, I have been struggling now with an issue for about a month. Extreme mouth dryness. Something very new to me. I have never had anything like this before. So sore mouth, sore tongue, and very dry. Is the case that I am short on saliva most definitely. I was recently tested for Diabetes and thyroid, which both returned normal results. I met a nice girl, and we were kissing a lot. It turns out she has herpes on her face. About five days later, I contracted this under my lip. And it was very painful. My doctor confirmed it was herpes. I had not had herpes before. Now in researching. I am wondering is there such a thing as salivary gland infection from herpes? This was when all my problems started. So I am thinking that could this herpes contraction have possibly done something to me and my salivary glands. Right now, I am waking up in the morning dry as the desert. This continues into the day. So something is not right. I am considering Sjogren's syndrome but then happened to stumble upon this salivary gland infection from herpes and thought I better ask. Doctor: Hello. Dry mouth due to reduced salivary gland secretion. Yes, herpes may be the reason for dryness affecting the glands. Are you under treatment for hypertension? For salivary flow, rinsing your mouth with warm salt water, sucking on sour lemons or sugar-free lemon candy to encourage. Chew sugar-free gum or suck on sugar-free hard candies to stimulate secretion. Do not drink coffee it will make your mouth dry. Stop smoking. Drink plenty of water. Use alcohol-free mouth wash. The medicine for Hyperion and depression can cause dry mouth." + }, + { + "id": 12121, + "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": 25464, + "tgt": "What medicine can help itching in the thighs and underarms?", + "src": "Patient: Hello doctor, I am a 57-year-old male. My weight is 75 kg. I am not having BP problems or diabetes. I am suffering from itching near the thighs and underarm area since last two months. I have taken Terbinafine 250 mg once daily and Luliconazole cream for six weeks. Since the last two to three days, the itch has started again. Please advise. Doctor: Hello. Your concern may be intertrigo secondary to candidal yeast infection. I suggest you stop using Terbinafine tablet and try Sporanox (Itraconazole) 100 mg capsule. Have it one daily for four weeks. Do not change the brand. Apply Onabet (Sertaconazole Topical) cream twice daily and Onabet powder (Sertaconazole Topical) immediately after applying the cream. You need to have Teczine (Levocetirizine) 5 mg daily one after dinner. You need to have twice bath if possible and avoid wet and sweat-inducing activities. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15622, + "tgt": "What are the ways to overcome the fear of needles?", + "src": "Patient: Hello doctor, I am quite afraid of needles. I get anxious even thinking about blood tests. I fainted once while taking blood test. Please suggest me to overcome fear. I have to get blood tests done but I am extremely anxious. Doctor: Hi. Needle phobia is quite common and it has different types like vasovagal syncope attack which you have encountered earlier. You can try local anesthetic cream when a needle is to be inserted so that pain associated with needle prick is not felt. Beta blockers can also be tried as these drugs decrease the likelihood of vasovagal syncope. A psychotherapy called CBT is also effective. In this, a systematic desensitization is done and maladaptive emotion and thought are challenged and corrected." + }, + { + "id": 12372, + "tgt": "What is causing loud noices from stomach?", + "src": "Patient: Hi doctor, My stomach makes a lot of loud noises even though I am not hungry. I have anemia and when I started to take Ferrous sulfate, my stomach noises begin again. I remember that eventually, I started to feel pain along with it. So my doctor adviced me to stop taking the medicine for a month until my stomach calms down and start taking the tablets again. I also switched to Ferrous fumarate but that does not help. I began taking the tablets again, at first I felt pain which eventually disappeared although the noises are back again and it is getting worse. It is also bothering me because it is loud especially when I am in the middle of the lecture in the university. Please help me. Doctor: Hi. Some people do have rumbling noise in the tummy. Is there any associated nausea or vomiting or abdominal distension? Have you lost weight? How is your appetite? You have not mentioned the reason for your taking Ferrous fumarate? What was the cause of your anemia? Was these cause related to any problem in your abdomen or intestines? Have you had any surgeries in the abdomen? If you are continuing to have symptoms and you think it is related to taking Ferrous fumarate, you can substitute it with parenteral Iron infusion, but that would need a new prescription and visit to the day-care hospital or GP surgery on regular intervals till your body iron stores are stable. If you have copies of any previous tests, please upload. It would be informative to guide me in giving a comprehensive opinion." + }, + { + "id": 6874, + "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": 21346, + "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": 27147, + "tgt": "I have endometriosis and cysts in both my ovaries. Should I try IVF?", + "src": "Patient: Hi doctor, I am a 34 year old female, and I am suffering from severe pain and heavy bleeding every month, during my periods. I need to take painkillers to feel fine, and sometimes, it does not work. My recent medical report shows that I have endometriosis and cysts on both of my ovaries. But, I am scared about the CA-125 result, which is 638. I am advised to try IVF. Is it because of endometriosis? Or am I suffering from cancer? Should I try IVF? Please help me. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21420, + "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": 28755, + "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": 16352, + "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": 21292, + "tgt": "What could cause urinary and vaginal infection after sex?", + "src": "Patient: Hello doctor, I have tested for STD, and so far I have no signs of it. I had E-coli in the urine and trichomoniasis in the past. I was treated for both. Since then I did not have sex with my partner for four years because I get a burning sensation or itching that creates discomfort in the chest close to the heart. I also get a urinary tract infection. Sometimes, I can only feel it inside the clitoris. It seems like skin should not touch skin, or it will get infected easily every single time. Even condoms are irritants. What could be causing an infected condition of the urinary tract and vagina every single time I have sex? It must be a bacteria or the saliva used for lubrication might contain herpes virus. My partner and I are clean. We bathe daily. I think that because I take antibiotics (Bactrim and water pill) to kill bacteria, it causes yeast infections and we both are infected by yeast. How can we control the bacteria that initially created all this trouble? The urine test shows bacteria, but not much to start medication. Doctor: Hi. You have candidiasis which is a common yeast infection caused by excessive use of antibiotics. It causes inflammation and may cause white discharge (cheesy like) in severe cases. My advice would be as follows: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19987, + "tgt": "Is Natclovir safe to take during pregnancy?", + "src": "Patient: Hello doctor, I am a 25 year old female, I have had three unsuccessful pregnancies.\u00a0Currently, I am 12 weeks pregnant, and I have done TORCH test as asked by a local doctor. The reports showed Rubella antibody IgG 138 IU/mL positive, but IgM negative 0.12 IU/mL index. It also showed Cytomegalovirus IgG positive 46 IU/mL, but IgM negative 0.07 IU/mL index. And Herpes simplex IgG positive 3.67 IU/mL, but IgM\u00a0negative 0.37 IU/mL.\u00a0My BP, hemoglobin, blood\u00a0sugar and TSH (I have hypothyroidism) are normal. I had a fever,\u00a0cough, and cold from two days. I currently take Susten SR 300, Fol\u00a0XT, and Eltroxin 50.\u00a0Is my baby at risk? The doctor prescribed Natclovir medicine for ten days. Is it necessary? Can this medication cause any\u00a0problem to the\u00a0baby? I have also got an ultrasound done, and the reports show live pregnancy with 167 heartbeats. I am very tensed, and please help. I have attached the reports. Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4168, + "tgt": "Will oregano oil used for clogged ears cause permanent damage?", + "src": "Patient: Hi doctor, I had clogged ears from sinus allergy congestion and my mom put a drop of oregano oil in my ear. It hurt horribly and was throbbing and burning my ear. I got my ear flushed out with water and got antibiotic drops. Could the oregano oil into my ear have caused permanent damage? Or caused any bacterial infection? The doctor said there was no ear infection. But could the oregano oil spread or seep into my ear and cause bacterial meningitis? Is it dangerous that it went in my ear? I am currently taking Lexapro 20 mg, antibiotic ear drops and doctor prescribed Doxycycline if it gets infected. Doctor: Hi. Before I answer your query I would like to give you a brief over view of the anatomy of our ear. Our ear consists of three main parts namely outer ear, middle ear, inner ear. The outer ear is separated from middle ear by our ear drum. That means that there is our ear drum which prevents entry of anything even air from the outer to the middle ear. The middle ear is separated from the inner ear by a hard bone. So there is no question of passage of anything from the middle ear to inner ear apart from the sound. Now coming to your query, so seek to have had eustachian tube dysfunction (eustachian tube is a tube which connects the ear to nose) secondary to the common cold and sinus inflammation. Oregano oil can be an irritant and can cause significant pain when it comes in contact with sensitive structures of the ear such as skin and ear drum. But the ear drum is very resistant and would not allow the passage of air inside the middle ear. Since the doctor has already examined your ear and ruled out any significant injury to the ear drum or any significant infections there is no need for worry. There is no possibility of any bacterial meningitis or any harm to your body due to oregano oil. Probably there is physical injury to the skin of the outer ear and will heal in a few days." + }, + { + "id": 4349, + "tgt": "Kindly explain the methods to treat toothache permanently", + "src": "Patient: Hi doctor, I have severe toothache and worm teeth. Please let me know the medicines I need to be used to cure it permanently. Doctor: Hello. I understand your concern. Unfortunately, there is no medicine to cure tooth decay without dental treatment. Tooth has three layers, outer enamel, dentin, and innermost never layer. When decay starts in the enamel layer, it does not show any symptoms other than a visible black spot on the tooth. At this stage, a simple tooth filling can be done. But if left untreated, it progresses through the dentin and when it reaches nerve layer it starts to give out the pain. This is when a simple filling cannot be done. A root canal treatment and crown procedure will be the only option to save the tooth. Taking painkillers will help control the pain but it does nothing to cure the decay. It can only be manually treated by removing them. Please visit your dentist and start treatment immediately. I hope this helps. For further queries, I would be happy to help. Good day!" + }, + { + "id": 21602, + "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": 24079, + "tgt": "Are there specific conditions under which Unwanted 72 can fail?", + "src": "Patient: Hello doctor,I am a 22 year old female. I had my periods on the 2nd of this month. I had unprotected sex on the 10th and took a tablet of Unwanted 72 within an hour of having sex. After five days of taking the tablet, I experienced spotting for two days and very light bleeding on the third day. I have not had my periods since then. What are my chances of getting pregnant? If I am not pregnant, when should I expect my periods? Should I count my cycle from 2nd or 15th, that is, the date when I experienced light bleeding due to pill? Also, could the bleeding that I experienced be implantation bleeding since it was too less? I also took a home pregnancy test on 21st that gave a negative result but I am not sure if I can rely on it. Should I take another pregnancy test? Doctor: Hello. The Unwanted 72 has a success rate of 99 % and so the withdrawal bleed that you experienced on 15th is more likely to be pill withdrawal rather than an implantation bleed. Another reason being you were on day-9 of your cycle during your act of sexual intimacy which was within your safe period, presuming that you have regular cycles. However, you may get a serum beta hCG test done to conclusively rule out pregnancy if in doubt. If the hCG levels are less than 3 mIU then you are surely not pregnant. If not pregnant, then your next menses shall be by 20-21st of the following month or late by a week to 10 days considering 15th as your fresh LMP. There can be a delay of seven to 10 days, as it is a known side effect of Unwanted-72 and can be seen for one to two cycles. Regards. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12305, + "tgt": "Is it advisable to take Buspar to cope with serotonin depletion?", + "src": "Patient: Hello doctor, My complaints started 22 years back, light feeling in the head, cramped neck and chest, hypochondriacal thoughts about heart disease (which I do not have). This caused several panic attacks and anxiety and finally chronic fatigue. My doctor prescribed Paroxetine 20 mg and after some extra anxiety, I was practically free of problems for 20 years and lived a wonderful life. Six months ago after a long period of bad sleep and insomnia, I became anxious again with panic attacks and this time along with negative obsessive thoughts about breathing (not able to stop thinking about breathing), so severe that I cannot function in a normal state anymore. My doctor, the general practitioner, upped the dose of Paroxetine from 20 to 30 mg, but it caused a strong adverse reaction. I became very emotional and unstable, not able to sleep and very restless and racing thoughts. I have had the 30 mg dose over a period of 8 to 9 weeks to see if the symptoms went away and my situation improved, but it did not. So I am back at 20 mg again. The extreme adverse effects have eased it but I still have obsessive thoughts about my breathing. This is going on dozens or many times a day and is causing so much anxiety. The bottom line is that I am aware of my breathing and is afraid to get rid of this thought, but I think it is fed by general anxiety, because when I take a Benzo or sleeping aid later in the day, the obsessive thoughts are gone. This now controls my life and I am unable to cope. It is also mentioned under the name sensorimotor obsession. In my opinion, this is a kind of OCD, but the basis lies in general anxiety. This breath OCD also manifested itself 21 years back when I first took the Paroxetine, but after a while went away and never brought so much anxiety. Now my question is whether this is caused by Paxil poop out or tachyphylaxis although the upped dose did not work. And what to do, augment the Paroxetine with Buspar to try to fight the possible Serotonin depletion? Or switch to another SSRI or SRNI? Or TCA? I am 51 years old, male and only taking some Benzos as other medications. I also have no other medical issues as far as I know. Doctor: Hello. You have provided a helpful insightful summary of your problems. As you rightly identified, your difficulties appear to be related to excessive anxiety. Panic attacks, obsessive preoccupation about breathing, fatigue and sleep disturbance appear to be related to high anxiety levels. I note that you responded very well to Paroxetine 20 mg for more than two decades but did not tolerate the increased dose recently and 20 mg is no longer effective. This is noticed commonly clinically due to various reasons. Just wanted to clarify whether in addition to medication, have you received any psychological therapy like CBT for management of your anxiety. CBT is highly effective in anxiety and will be very useful for the symptoms you describe. Kindly discuss with your doctor about CBT input. Even if you had CBT before, it will be worthwhile having it again to gain an additional perspective. Regarding medication change, switching to another SSRI like Sertraline should be considered first before SNRIs or TCAs or augmentation strategies. Benzo can be continued for short periods. Kindly discuss with your doctor as you will need to be monitored during the switching period. Also, I just wanted to highlight other additional strategies that help to decrease anxiety levels. Try progressive muscle relaxation exercises at least twice daily. Avoid alcohol, caffeinated drinks, it will worsen anxiety. Regular walking or exercise helps. To sum up, medication helps but also consider CBT and non-pharmacological measures in addition to medication as there is good evidence that they help with anxiety." + }, + { + "id": 12298, + "tgt": "I am having a bruise at the base of the penis shaft with pain after intercourse. Kindly advise", + "src": "Patient: Hello doctor, Last night during intercourse, I started having a burning feeling at the base of my shaft, almost like a paper cut. I finished the fun like normal and pain subsided. Later that night, a few hours later, we did it again. It hurt a little but not bad. This morning when I woke up I had a bruise at the base, where the pain was. As the day had progressed, it has gotten more purple and a little more swollen. I have a picture if needed. Doctor: Hi. This could be a fractured penis (tear in the hard lining of penis rods below the skin). It has to be confirmed by penile doppler and if present, has to be repaired by small surgery. If not repaired, it may lead to poor erections in the future. Avoid intercourse for a few days. Also, avoid vigorous intercourse in the future. Take care. Till then you may take some anti-inflammatory medication." + }, + { + "id": 19465, + "tgt": "Do you have any idea about the weird sensation in my head?", + "src": "Patient: Hi doctor, I have some weird sensation in my head for over two years.\u00a0I am at a complete loss for what to do. I have seen a neurologist and talked to a few other medical specialists and none of them have any idea about my problem. It literally feels like there is something moving all around my brain. I got an MRI and it came back normal. So, my doctor said it was just anxiety. But, it is definitely not anxiety. Honestly, the symptoms feel like withdrawal and I have mentioned that to my doctors as well. But, they said if I stopped my medicines 2 years ago, then probably that is not the cause for my symptoms. I swear this is not just my imagination. It literally feels like there is something bubbling in my head. It does not hurt, but there is a lot of pressure involved. I feel it is very abnormal. I just want some answer. Please help. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1109, + "tgt": "My 19-month-old son grinds his teeth and does not eat properly. Should I give him Albendazole?", + "src": "Patient: Hello doctor, my son is 19 months old .... He is grinding teeth most of the time ... Not eating at all...only one spoon after that he has feel of vomiting.... So am giving food with a long interval between every bite... Also we r giving only mashed foods... Previously he was taking 2 idlies.. now even half idli is difficult for him to finish.... One of my friends suggested me to give albendazole syrup ad his symptoms suggestive of worm infestation.... Can i give albendazole syrup ... If yes how many ml and his weight before two months was 9kgs ... Because of lockdown we didn't check his recent weight.... If no what medication can we give ... Please reply am really worried about his eating habits.... He became very thin comparing to before... Thank you in advance.... Doctor: Hello, hope you are safe. Thank you for the elaborate history. I appreciate your concern regarding your child. I would like to first tell you that grinding is a common phenomenal in children till 6 years most children outgrow it by 6 years. However at this age if he is grinding you can give him plenty of water Positive feedback helps. And for more discussion regarding reward and positive feedback you can consult me on phone as it\u2019s difficult to explain those things verbally As for albendazole, you can give 400 mg once stat dose only repeat at 6 months interval. Regards" + }, + { + "id": 24498, + "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": 16023, + "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": 4899, + "tgt": "My mom is unable to walk on her own. What could be the reason?", + "src": "Patient: Hi doctor, My mother is 83 years old. She is suffering from hypertension. She is taking Tazloc 40 mg bd since six to seven years. Of late, she cannot walk on her own. Please advice. Doctor: Hi. Revert back with the investigation reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17023, + "tgt": "I feel bloated and get loose motion just after eating food. Why?", + "src": "Patient: Hi doctor, Whenever I sit or lay down to rest or sleep just after taking food I get loose motion. Often, it is mucus loose motion and high headache. Also, I get vomit. What is my problem? What treatment should I take for this? 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": 24000, + "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": 1362, + "tgt": "I am a diabetic and pregnant for 3 months without doctor consultation. Is my baby safe?", + "src": "Patient: Hello doctor, I am a diabetic patient for two years and currently entered the third month of pregnancy. And till now, I did not consult any doctor. Is my baby safe? I am taking iron, calcium, and zinc tablets for six months. Please tell me about the precautions and healthy tips. Doctor: Hello. First of all, diabetes with pregnancy is a high risk pregnancy. The blood sugars should be checked before getting pregnant. In case a woman gets pregnant with high blood sugar levels, then there can be a risk of miscarriages, and certain congenital disabilities in the baby. Please check your blood glucose levels and HbA1c level to see for your glycemic control. Also, I am assuming you are taking folic acid supplements because that is a vitamin that helps prevent certain birth defects (neural tube defects - in other words brain and spine defects) in the baby. It would have been good if you had mentioned the medications that you been taking for your diabetes to check if you could continue them, also if any dose modifications are required. Because pregnancy-induced hormonal changes can disturb the glucose control as the pregnancy advances and it needs close monitoring. Please get back to me with the necessary details so that I can help you better and guide you through your pregnancy. I hope this helps. Have a great day." + }, + { + "id": 7352, + "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": 25092, + "tgt": "What would be a good workout routine for me based on my health limitations?", + "src": "Patient: Hello doctor,I am a 52 year old male, very fit. I have rounded shoulders with slight thoracic kyphosis and sit at the desk often but do shoulder, neck, back stretching exercises regularly to combat this. I think that the main problem is coming from weakness in my thoracic spine, causing me to use arms to support myself on the desk. I think the weakness may be coming from my T11/T12 area as it shows up as having a fairly damaged disc compared to others (see attached MRI).Although the whole T3-T10 area seems to have dessicated discs that I have had since my 20s. I have had fairly tight hamstrings all my life and I have tried to stretch them intensely with a number of standard stretches, which works for a short while but they quickly become tight again. I have noticed just recently that using the leg press machine at the gym (see photo attached) is helping a lot to stretch my hamstrings.What I am confused about however is that when I keep the legs loaded, I eventually feel a great stretch and workout on my lower back and then in the T11/T12 area I mentioned, directly around the joint. This seems to be the only way I seem to get to feel a release in the thoracic joints and what feels like strengthening, but it has never been recommended to me. I have done thoracic spine strengthening in isolation (using floor back extensions, as well as tennis balls etc) and as I said hamstring stretching in isolation, but they have limited effect.I am hoping this exercise will do the trick in terms of restoring some flexibility and strength to my thoracic area and take some load off my upper spine and neck from the poor desk posture. I would appreciate any thoughts that you have. Doctor: Hello. I read your concern. In my opinion, your posture is the main culprit more than strength and weakness of your thoracic musculature. I wanted to know about your low back posture and pelvic tilt. With your narration, I presume you have weakness in the gluteus muscles which is not supporting your low back thereby causing stiffness in the hamstring and in your thoracic spine. The relief what you get while stretching in leg press machine is not from the mere stretch but your gluteus muscles get activated and started to fire to support your lower body reducing the load placed over the hamstrings. I feel you would have a mild stiffness in your low back while getting up early in the morning. I am not saying pain but kind of stiffness which settles within few minutes once you stretch or start to walk. In my opinion, I suggest you the following: Glute recruitment exercises like bridging, clamshell (10 s hold six each side), side lying and lifting leg up, lying on your stomach and lifting the leg backward, step ups, Swiss ball supported squats and isometric bridge hold (30 s hold). While doing all these exercises, I suggest you exert pressure over the heel. Do not take weight over your toes. These exercises are to be done for 15 reps of three sets twice daily. Stretch your abdomen muscles. Do retraction work if upper back and stretch frequently your pecs. Both pec minor and major lats. Scapular pushups, shoulder retraction help you regain your posture. Support your low back while sitting by keeping a pillow in the low back. Hope this is helpful for you. Kindly revert back in case you need any further clarification in this regard. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 21267, + "tgt": "I got a small non-raised patch of dry irritated skin on penis head. What is it?", + "src": "Patient: Hello doctor, I woke up with a small nonraised patch of dry irritated skin on my penis head. The area is a little sore and also the skin is dry and peeling. I am only sexually active with my partner for two years and she is clean. I have not been with anyone else. Doctor: Hello. Please send few more photographs taken in natural light. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6183, + "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": 6911, + "tgt": "Why am I having pain before and after urination?", + "src": "Patient: Hello doctor, I have been getting a lot of pain before and after urinating lately. Mostly after. I urinate several times in a very short period. When I am done it starts to really hurt. I was checked last week for a UTI and it came back negative. The specific gravity in report was low. But they considered the report to be normal. It still bothers me. Any idea? Doctor: Hi. The symptoms are surely suggestive of UTI and bladder hyperreactivity. I would like to advise you that you get an ultrasound of lower abdomen with kidney bladder and pelvis (uterus, ovaries) to rule out any stone lodged in urinary tract. Although your urine routine shows no pus cells but you get a culture done, it will identify the causative organism. Then you should start antimicrobial like Nitrofurantoin or other medicine to which the bacteria is sensitive. I have cranberry juice and plenty of fluids. Please show to a gynecologist, as sometimes a uterine prolapse or growth can press on the bladder and cause condition mimicking UTI." + }, + { + "id": 11688, + "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": 23290, + "tgt": "Can shining of the phone flashlight be detrimental to my retina?", + "src": "Patient: Hello doctor,Nine months ago, I used my iPhone flashlight to check my pupils in the mirror. I had the light extremely close to my eyes and was checking my pupils due to other issues I was experiencing. After I did this, every light source I saw was extremely different. Beams were coming down from every corner, all traffic lights were no longer circular, they were like starbursts. All car headlights were extremely bright now and the light was no longer flat in my view. This went up and down, like up towards the sky and then it fades off. When this happened, my eyes were blurry and burning. Now they no longer burn but I still experience the same thing. I have seen a retina specialist and a cornea specialist, both have said nothing is wrong. I am extremely frustrated because I know something is wrong. When I go to a bathroom, beams of light shine into the mirror. The best way to describe it is to picture a laser tag room but this happens from every light source that comes across. Please help. What could this be? Will it go away or get better over time? I am so confused as to what I have done. What I see is not normal. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25186, + "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": 1513, + "tgt": "Some gassy feeling in the throat is causing bad breath. Is it esophageal outpouching?", + "src": "Patient: Hello doctor, My question is about my throat. At the back of my throat, I can feel that there is a gas coming and it feels warm. Also, it has a bad smell. I tried everything but nothing provides a solution to my problem. I have tried using Chlorhexidine mouthwashes but it did not resolve my issue. I have already consulted an ENT specialist. I have been experiencing occasional tonsil stones but he did not advise anything other than removing them manually. So far upon inspection, there are no stones present. Is it possible to have esophageal outpouchings? I do not experience vomiting or painful swallowing. I have occasional hyperacidity which resolves by taking Prazoles. My problem is bothering me especially when I talk. People say that my breath stinks. Also, I am uncomfortable with a gassy feeling behind my throat. I have good oral hygiene and have already visited the dentist and ruled out oral problems as the cause. I am also thinking of PND. Every morning when I gargle there is a thick mucus on the back of my throat. I am desperate for a solution. Please help. Doctor: Hi, Welcome to iciniq.com. The most probable problem out there would be a chronic GERD with LPR (chronic gastroesophageal reflux disease with laryngopharyngeal reflux). Let me explain what exactly is happening. Your stomach contains contents that are acidic in nature and is only meant for the stomach, if these content reflux or have a reverse entry into your food pipe (esophagus) or throat which is not meant to handle this acidic pH. This can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the bloaty feeling, repeated belching, or even bad odor in your breath. Yes, esophageal diverticula (outpouchings are a differential diagnosis and have to be checked with contrast barium swallow). The probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing. Please follow some instructions: 1. Maintain a strict diet schedule, and eat on time. 2. Avoid oily, spicy, and cold food items/ beverages. 3. Keep a minimum gap of two hours between your last meal and going to bed. 4. Try to sleep in the left lateral position. 5. Eat frequently but in little quantities, never over eat. 6. Salt water gargles at least 8 to 10 times a day for one month. 7. Keep sipping on warm fluids as much as possible. 8. Avoid exposure to dust by wearing an n95 mask. You can consider the following treatment. Take tablet Pantoprazole with Domperidome combination once in the morning for 20 days, syrup Gelusil or Mucaine gel one teaspoon three times a day 20 minutes before food. The treatment schedule includes more precautionary measures rather than drugs themselves. I hope this helps." + }, + { + "id": 23797, + "tgt": "Patient has painful papules on both sides of hands. Please provide diagnosis", + "src": "Patient: Hello doctor, The patient is a 12 year old female. One month ago, she presented with drenching sweating and cold feeling with cold hands. Two weeks later, the skin of hands became erythematous and blanched on pressure. Then, they gave her measles vaccine in the school. Two days later, she developed painful papules on both sides of fingers and palms. All these symptoms are associated with malaise and generalized muscle pain. Blood pressure is 130/90 and pulse is 130 per minute. Endocrine investigation, echo, CXR, abdominal us, abdominal CT, autoimmune Ab all negative. IFAT for brucellosis negative. No sign of arthritis, only arthralgia. Now she takes Prednisolone 5 mg and Chloroquine tablet and Lyrica capsule. The rash is improving, but malaise and myalgia with arthralgia are still present. I would greatly appreciate it if you can provide me with your diagnosis regarding this case as our local physicians have confused us with multiple diagnoses. Any information about the disease is greatly appreciated. Is it life-threatening? Kindly advise on what you find necessary. Thank you. Attached is the patient's medical test results as well as some photos of her hands. Doctor: Hello. I went through your post (attachment removed to protect patient identity). The significant problems mentioned in the post are: All these could be manifestations of vasculitis. However, I have not seen her LDH (lactate dehydrogenase) and CPK (creatine phosphokinase) level documented. The possibility of chronic infection is there. So, hepatitis serology needs to be done which can also cause similar symptoms. I will treat this patient has hypocomplementemia vasculitis after doing nail foldcapillaroscopy and skin biopsy. I suggest giving her Prednisolone dose of 0.25 mg/kg per day for two weeks and simultaneously do the investigations as mentioned. Consult a specialist doctor, discuss with him or her and start the medicines with their consent. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 28148, + "tgt": "My mother has abdominal tuberculosis and duodenal stricture. Please help", + "src": "Patient: Hello doctor, My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help. Doctor: Hello. Hope I answered your query. If you have any further doubts, I would be happy to help you. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 7216, + "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": 30419, + "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": 27932, + "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": 10667, + "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": 29610, + "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": 9635, + "tgt": "What causes pain in kidney with blood in urine?", + "src": "Patient: Hi doctor, I went to the hospital with side pain near kidney. They discovered blood in my urine. I followed up with urologist for a lot of pelvic pain. I am attaching my urinalysis results from both visits. Both show the blood and the second one says urine squamous epithelial cell mod lpf. I have to wait two weeks for scope but I do not think it could be anything but bladder or kidney cancer. Also, when this first happened, there were two episodes where I got terrible pain in bladder area and vagina and went bathroom and bright red blood came out. It did not appear to be in urine. Doctor: Hi. Your description of symptoms basically points to a possibility of left sided ureteric colic. It is unlikely to be cancer. You have mentioned that you have undergone CT scan. I could not find report of CT scan or films in the attachment (attachment removed to protect patient identity). May I know what are CT findings? If you can provide the report, it will help in making diagnosis. I would like to reassure you again, it is unlikely to be cancer. Please get back to me with CT report." + }, + { + "id": 30951, + "tgt": "Why does my breathing problem increase in AC room?", + "src": "Patient: Hi doctor,I have been\u00a0having a little trouble in breathing. I feel my problem increases more in an air conditioned room. I was on the following medicines for the last three days without much improvement. They are tablet Augmed 625 mg, tablet Pan-D and tablet Cetzine. My blood report declared a higher ESR of 25 mm. I have attached the laboratory reports for your reference. Please help. Doctor: Hi. I have gone through your query and would like you to know that I am here to help you. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2498, + "tgt": "Will drinking wine cause delay in healing process after microneedling?", + "src": "Patient: Hello doctor, My question is, when can I drink more than two glasses of wine a day or a whole bottle without it hindering the healing process after my dermapen session of micro needling? And also, because I was occasionally drinking a few bottles of beer after I had gotten it done, does that mean my healing time has to be longer than six weeks? By the way, I did my acne scar regions with 2.00 mm needles. Doctor: Hi. Alcohol use can diminish wound healing, it increases the blood flow so it can also cause bleeding. Excessive alcohol intake also reduces the immunity of the body which can lead to delayed wound healing. Same principle applied to micro needling. Micro needling is also a small type of injuries created in the facial skin so that the healing process makes a healthy smooth skin and remove the scar. So if you take alcohol during that process alcohol is going to affect that healing process and it can lead to infection. So I advise that you should completely avoid alcohol if possible. A small amount of one glass of beer per day can be taken if you cannot control your urge to take alcohol. I hope this helps." + }, + { + "id": 18774, + "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": 2637, + "tgt": "I am suffering from erectile dysfunction with high FSH and LH. Please help", + "src": "Patient: Hello doctor, I am 41 years old. My height is 5'7\" and I weigh about 74 kg. I am suffering from ED. T3-110, T4-9.4, TSH-1.37 Total cholesterol 238 (last year), and 249 recently. 25 OH Vitamin D (total) 58.87 ng/ml. Blood glucose random-104 Blood glucose post prandial 124 g/dL HbA1c 6.3 T level 330, TSH 1.660 Uiu/ml, FSH 250, LH 400, Prolactone 540, Free testosterone 75.90 pg/ml. There is a smoking history of 20 years (one packet per day) but I completely quit from the last six months. Doctore give me four to five testosterone injections and a sachet to drink with hot water. Later an endocrinologist told no need for medicine and hormones are functioning properly. Doctor: Hi. All your tests are normal except for high level of FSH (follicle-stimulating hormone) and LH (lutenizing hormone) and prolactin and your endocrinologist advises for no medicine. For managing your ED (erectile dysfunction) try the life style modifications and use of Sildenafil or Tadalafil as on when required basis. Avoid alcohol and tobacco products if using currently. Go for a regular morning walk at least 45 minutes daily or go for exercise daily. Spend more time during foreplay. Take adequate sleep. Eat healthy food and drink plenty of water. I hope this helps." + }, + { + "id": 23492, + "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": 5439, + "tgt": "I feel hot with excruciating pain in neck, back and shoulders. What could it be?", + "src": "Patient: Hello doctor, I am 18 years old. My feet hurt like crazy sometimes even if I stand on them for five minutes (especially in the heel). After a while, the bottom of my feet would burn. I think something is wrong with my brain because I have got my vitals checked and everything seems to be fine. I get hot really fast, regardless if I am outside in the sun, or in a hot room. The sun does cause rashes and itching if I am in it too long (not sure if that is relevant). Once I feel hot, I start to sweat a lot, I feel dizzy, and then nauseous with a headache. Every time I feel hot, I feel sick with terrible headaches. Even if it is cool through the house and everything is fine with me, say I will get up to clean and after five minutes of cleaning I feel hot, just from moving around. Also, I have excruciating pain in my neck, back, and shoulders all the time, a lot of time it accompanies a headache. I do have dry sinuses, bronchitis, and costochondritis and I used to drink plenty of water. Doctor: Hello. I understand your symptoms. There are two possible conditions which can present this way. One is fibromyalgia, where there is a pain at multiple sites in the body, some other vague symptoms and when investigated, almost all the tests are fine. Second, a less likely possibility is autonomic nervous system dysfunction, some of your symptoms like inability to adapt to heat, drinking a lot of water, anxiety, episodes of migraine may be related to that. The highest control of the autonomic system is from the hypothalamus in the brain, any lesion in that area can produce a set of symptoms like discussed above. You can take Dulane (Duloxetine) 20 mg at bedtime (if you are not known allergic to this one) this would help to some extent for pain relief. You can get an MRI (magnetic resonance imaging) brain done just to rule out any other cause of the headache and autonomic imbalance." + }, + { + "id": 1292, + "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": 2870, + "tgt": "How does smoking weed affect the fetus?", + "src": "Patient: Hello doctor, I just found out I was pregnant a couple of weeks ago. I smoke weed. I am slowly trying to stop. I have about seven months left of my pregnancy. If I was to cut way back and stop completely at five months of my pregnancy would I and the baby be clean when I deliver? Doctor: Hi. We need to worry about what the baby is facing now and not about what will happen after you stop. All the components of smoke, the bad air (carbon dioxide), tar, the chemicals in the smoke, which may vary with what you are smoking are all powerful vasoconstrictors. I mean they narrow the blood vessels, so they reduce the blood flow to the baby. If we could go back I would have advised you to stop it the moment you got pregnant. Late better than never. Every\u200bday baby is growing, so the requirement of blood flow is increasing as the baby's vital organs are growing and getting blood for that. So if the flow is compromised even a day, we do not know if any damage has occurred. This may not be visible on any scan, but it would be safe to immediately stop smoking and start having lots of highly nutritious food with lots of sugars, juices. Do yoga or breathing exercises, in short, improve the supply of nutrition and oxygen to the baby as these two are the secrets of a healthy and active baby. Hope I have made it clear. Baby will not have any of it in its body, but the damage caused by the smoke will be seen in the baby's body. For your baby's sake do try to stop it today or as soon as possible." + }, + { + "id": 4629, + "tgt": "Do negative troponin rule out heart problem, inspite of chest pain?", + "src": "Patient: Hello doctor, I am a 44-year-old female. I get random chest pain either on the left side or on the right side that is painful to touch. There are some instances when it feels like my chest is going to collapse. This feeling lasts for a second or two. Almost like a lightning bolt has shocked me. There are other times where I feel like something is pinching or pressing on my left or right side of the chest. I have been diagnosed with costochondritis and GERD and prescribed anti-inflammatory pills plus Omeprazole. I also have high blood pressure and high cholesterol for which I take Losartan 25 mg, Hydrocholorithazide 25 mg, and Fenofibrate 145 mg once daily. I had an EKG done and that turned out normal. I went to the clinic two weeks ago as I had pain in the middle of my chest that lasted less than a minute. I had an EKG done again and it turned out abnormal. My blood pressure was elevated at 130/100 mmHg and I was having an anxiety attack. Although EKG was abnormal, blood tests came out normal and Troponin was negative. I am totally freaking out. Doctor says that I am fine but I should see a cardiologist to rule out heart problems. I am worried because several months ago my EKG was perfectly fine but now it is abnormal. Please help. Doctor: Hello. I understand your concern. Your troponin was normal, this is good because that was not heart attack. Regarding your ECG (electrocardiogram), I do not know what was the abnormality. I want to see your ECG to guide you accordingly. One thing I would stress that please reduce your weight as obesity is the most to many unwelcomed diseases. Obesity is a field in which cardiac diseases grow. Only reducing weight will solve many of your symptoms and worries. Regarding your chest pain, it is atypical and does not seem to be related to the heart. Take painkillers when you have pain." + }, + { + "id": 29653, + "tgt": "I am bleeding while on birth control. What could be the reason?", + "src": "Patient: Hi doctor, I am 20 years old. I am 134.3 pounds and approximately 5'6\" tall. I am a new mother of 1.5 month old baby girl. I am on birth control and using the Nexplanon bar inserted into the arm postpartum. My issue is that I have started bleeding now. I am not breastfeeding and there is no milk production any longer. Is it possible to have your period soon after giving birth and while on birth control? Doctor: Hi. Firstly, after childbirth, there is bleeding in the form of lochia (normal uterus discharge after delivery), which is normal and usually lasts three weeks where the endometrium is shed Also, breastfeeding promotes early involution of the uterus. So, it is advisable to continue breastfeeding for at least six months. In your case, you have stopped breastfeeding and introduced Nexplanon, a progesterone insert, which has a life of three years. For information, every progesterone based insert takes two to three months to adjust to the cycle and during that period spotting in the form of intermenstrual bleeding is common. It is advisable to practice barrier contraception for at least three months till the periods are completely stopped after the insertion of Nexplanon. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5934, + "tgt": "I vomit if I drink too much liquid on an empty stomach. What could be the problem?", + "src": "Patient: Hi doctor, Nearly two years ago, I got a bad cold and vomited badly. It continued for days leading me unable to hold down any foods or liquids until I checked into the hospital and given IVs, which made me better.\u00a0However, since then, I am more prone to getting close to vomiting if I drink too much liquid on an empty stomach or fast cardio or weights. Earlier, I could drink cups of coffee and make fast sprints without any problem. I have taken Metonia, which helps empty the stomach but only\u00a0gives short temporary relief. What could be my medical problem and what would be the solution? Thank you. Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18615, + "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": 28161, + "tgt": "Why do I feel nauseous when I drink bottled water?", + "src": "Patient: Hello doctor, Every time I drink bottled water, I feel nauseous. What is the reason? Doctor: Hi. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 513, + "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": 8613, + "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": 20417, + "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": 23206, + "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": 12591, + "tgt": "Why am I getting pus filled pimples often?", + "src": "Patient: Hello doctor, I am suffering from some allergic symptom on my foot. First this was like a pimple with forming pus. After it burst, and started itching and it started forming in that place also. What is this? What is the medicine for this? Doctor: Hi. With the information given and photos provided, I assume that you are most probably having eczema. Eczema commonly presents like these morphology associated with itching. Please apply Excel-G cream [Clobetasol with Gentamycin] twice daily for 10 days and Deslor Desloratadine tablet once before sleep for 10 days. If you do not find any improvement, kindly review back to me for further advice. Tinea Pedis Excel-G cream twice daily for 10 days or tablet Desloratidine once daily for 10 days." + }, + { + "id": 21581, + "tgt": "Why is there frequent urination during night time?", + "src": "Patient: Hi doctor, My Mother is 78 years old. She has high BP and diabetes. She takes regular tablets. She gets UTI at least once a year. She is currently complaining of a burning sensation all over the body. During the daytime, she passes very less urine. But during night time, she is going very frequently. I have uploaded her urine culture report. Please suggest. Doctor: Hi. Do you have sonography of abdomen? If not, please do an ultrasound of abdomen with post-void residual urine to rule out any physical cause of UTI (urinary tract infection). As per the history, you can give tablet Levofloxacin 500 mg once daily for seven days and tablet Cranpac (Cranberry extract) twice daily for 30 days to prevent UTI. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 20221, + "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": 15043, + "tgt": "I am sexually active and period is delayed though UPT is negative. Kindly help", + "src": "Patient: Hello doctor, I am 18 years old and female. I have a 28 day cycle period and I am currently five days late. I have recently become sexually active and use condoms. I took a home pregnancy test the day I was due and it came back negative and I also took two to three days after my period was due which also came back negative. I have recently been extremely stressed due to school and have come down with the flu approx 9 to 10 days ago. I have been on APO-Cephalexin antibiotics for approximately 4 to 5 days. I was wondering why my period is late? Please help. Doctor: Hello. If condoms are used correctly, they are about 80 % effective in preventing pregnancy. Stress and illness and taking certain new medications can definitely affect when your period comes. Have you had any early symptoms of pregnancy which most girls experience before they even have a positive pregnancy test? If you need accurate confirmation of pregnancy as soon as possible, you can have blood work done that I recommend for patients in your situation. Also, finding a different contraceptive option that is right for you can help in the future. Just let me know what your preferences are and I could help if you would like to explore birth control options." + }, + { + "id": 8586, + "tgt": "I am suffering from hypomania, insomnia, and conflicting opinions. Why?", + "src": "Patient: Hello doctor, 1. I have periods of a hypomanic switch into periods of depression fast, but depression does not go to the point of suicidal thoughts. 2. Insomnia, extreme active periods and periods of no motivation to do anything. 3. Conflicting opinions, but also strong opinions. 4. Two opposite sides, a bright, playful and innocent side, and a violent, dark, crazy, psycho side, either can switch in an instant. Both of these sides are myself, and I often have trouble finding out which personality is the real me. One day I can feel like one, and the next day, I will feel like the other side, like a completely different person. 5. These two sides are entirely opposites meaning my values, behavior, hobbies, feelings towards others, etc. all are getting changed. Doctor: Hello. Most people with psychiatric conditions like psychosis, schizophrenia, bipolar disorders, etc. do not realize they are ill. That is called a lack of insight. The fact that you are concerned about yourself enough to ask for help here means that you have an idea. You are at that growing up the stage when you are figuring out your personality, and the hormonal surges can also make you go through an emotional rollercoaster so you might be experiencing normal physiological and psychological changes with your age but overthinking it. I would suggest listening to music, running, doing meditation, and other things to divert your mind for a month and see how you feel. If things do not change, let me know. I hope this helps." + }, + { + "id": 30246, + "tgt": "Though I am stress-free, I am getting horrible headaches. Why?", + "src": "Patient: Hi doctor, I am almost 18 and ever since I was little I have had horrible headaches or migraines. Before, I used to get at least once in a week. If I sit in my dark closet, I feel like I am going to vomit or just bad enough. So, I do not want to get out of bed. I tried talking to my doctor about it and she shrugged it off like it was nothing. She wanted to get me out of her office as soon as she could. My family thinks it as stress. I am a senior in high school with a part time job. You may think that is what is causing it, but I am not stressed. Everything is going pretty easy, but this year my headaches are worse than they have ever been. I get pains in my neck, eyes and all over my head. I do have them every day. I just want them gone. What can I do? Doctor: Hi. You need to exclude the physical causes of headaches. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5265, + "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": 20377, + "tgt": "I have vaginal discharge, itching and irritation while peeing. Is this an infection?", + "src": "Patient: Hi doctor, I have bleeding after sex. I have pain while having sex. I have vaginal discharge and irritation while peeing and itching. Is this an infection or something else? I took an Unwanted 72 before three days. Doctor: Hi. Post-coital bleeding often occurs due to cervical erosions or cervicitis. It shows increased vaginal discharge, and it can lead to secondary urinary tract infection with burning sensation and irritation during urination. So meet your gynecologist for a speculum examination and a urine culture. Have a treatment after seeing the results." + }, + { + "id": 18556, + "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": 13923, + "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": 22065, + "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": 16598, + "tgt": "How can I treat keratosis pilaris on the arms?", + "src": "Patient: Hello doctor, I am 30 years old male. My skin complexion is fair. I have keratosis pilaris on both upper arms. I am using Clindac A (Clindamycin phosphate topical solution) once daily for last one month\u00a0as per my local dermatologist's advice. However, there is\u00a0no improvement. How can I treat\u00a0keratosis pilaris\u00a0and remove the small red, bumpy marks from my arms? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23912, + "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": 1862, + "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": 17812, + "tgt": "I have only one kidney by birth. Can I live a normal life?", + "src": "Patient: Hi doctor, Recently, I came to know that I got unilateral renal agenesis. My left kidney is absent. Basically, I am a physique model and use to do bodybuilding. I use to take lots of supplements. Also, I was on anabolic cycle for a few months as well. Being with unilateral kidney, will these supplements and anabolic affect my existing kidney? Can I live a normal life without any cautions. I would like to know the precaution of safeguarding my one kidney. Doctor: Hi. We are here to help you. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 14870, + "tgt": "How do you know when you are depressed and should see a doctor?", + "src": "Patient: Hello doctor, How do you know when you are depressed and should see a doctor? Doctor: Hi. The cardinal symptoms of depression are following, and these should be present for at least for two weeks: If you have any of the above symptoms, then it indicates that you have some mood disorder. This is also important to remember that these symptoms may be present in other medical and psychiatric disorders as well. If your symptoms impair your functioning in any domain and causing distress to you or your family members, then it is time to see a doctor. In my view never to wait for more than two weeks for impairment in functioning to see a psychiatrist." + }, + { + "id": 6244, + "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": 15, + "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": 15173, + "tgt": "I have been having mild labor contractions all day. What can be done?", + "src": "Patient: Hi doctor, I am pregnant with my first child and I am 39 weeks and 3 days. I have been having mild contractions all day. For the past hour, they have been really intense and I have felt a lot of pressure. The midwife has told me not to come in as my contractions are still two minutes apart. I have just felt down below and I am slowly crowning. I am in agony and the midwife is determined that I do not need to go in yet. Shall I just go in? Doctor: Hi. Do not worry. This is not crowning, this is the last phase of the second stage of labor when the head of the baby is on your perineum. The rate of contractions will occur once in 2 to 3 minutes and will last for around 30 to 45 seconds. I would advise you to go in, as you have already reached the date, pain has been there for all day (that is quite a lot of time) and you feel they are increasing, along with the pressure feel. Suppose you break out waters, the pain will be even more intense and you will not be able to move out easily. It is always advisable for you to be around the midwife when you are entering the active phase of labor. Just feel for the rate and duration of the uterine contraction and also for the severity of contraction. If it is getting closer and lasting longer, you better not wait." + }, + { + "id": 25306, + "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": 17083, + "tgt": "I am suffering from knee pain, loss of appetite, and vitamin B12 deficiency. Please help me", + "src": "Patient: Hello doctor, I am a 37 year old male, and\u00a0\u00a0I am suffering from knee pain, loss of appetite, fatigue, lack of interest, vitamin\u00a0B12 deficiency, and my tooth enamel has eroded.\u00a0I am taking Losar 50 for high blood pressure from six years. And from the last five years, I am also taking medicines for GERD. Please help me. Doctor: Hi. I hope it helps you.\u00a0If you have any further query, please ask me. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 5976, + "tgt": "I have cough and my throat is red which does not get relieved on Azithromycin. Why?", + "src": "Patient: Hello doctor, I am 22 years old. I have some issues. Three years ago I had sex with a girl whom I don't know well and five months after I got two red dots on my hands (one on the right hand and one on the left hand) and that one on the left hand was spreading by the time and other stayed the same. They do not hurt when I touch them, and before two months I started to cough and my throat became red but it does not hurt. My lymph node on the left side of the neck became a bit bigger. I consulted a Doctor and he gave me Azithromicin, after I finished with it nothing changed. The lymph node is normal now, but my throat is still very red and it does not hurt. I was afraid of that so I went to a private clinic and did an OraQuick HIV-1/2 test on blood from blood vein and it was negative. So is that sure that I do not have HIV? Anxiety is torturing me, what you think that could be? Doctor: Hello. First of all, the dots which you have mentioned are no way related to HIV infection. You have tonsillitis, so my advice is to take Amoxycillin and Clavulanic acid 625 mg tablet twice daily for ten days. Since you had unsafe sex, you might be exposed to HIV, so go through HIV, RNA, RTPCR tests, and ELISA to rule out any HIV. RTPCR will detect the virus even if it is present in a very low amount. Chances of acquiring HIV after penetrative vaginal sex with HIV positive women is only 0.1%. So kindly review with the tests which I am quite sure of yours being negative. From now on always practice safe sex." + }, + { + "id": 20008, + "tgt": "I am trying to recover from years of masturbation. what ayurvedic supplements can I take?", + "src": "Patient: Hello doctor, I am a\u00a020 year old male. I am healthy, but I am trying to recover from years of masturbation, and also have a varicocele. Can I supplement with Ginkgo biloba,\u00a0Panax ginseng, Shilajit, and Ashwagandha? If yes, at what dosages? I am bodybuilding as well. Thank you. Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27904, + "tgt": "My test for HIV-1 was reactive. What to do?", + "src": "Patient: Hello doctor, I am a 32 year old woman, and I have warts on my genitals and around the area, which led me to a dermatologist. The doctor diagnosed them as STD and advised me to get HIV tested, as part of the\u00a0diagnosis. The blood sample resulted in a reactive result. I approached another lab and got both ELISA and Western blot tests done. There too it resulted in reactive for HIV-1 and non-reactive for HIV-2. The overall result classified as provisionally reactive. The HIV-1 antibodies have all shown up positive. HIV-2 antibodies have resulted in a negative. I am curious to know as to how it can come positive or reactive when I have no such symptoms, and my immunity is quite healthy. I am enclosing the lab reports for your reference. Please help me with the way forward to negate this or confirm this. Kindly note that my partner denies having been infected with the virus, and I have had no other partner till date other than him. I have a\u00a0good appetite, sleep, and motions. I do not have a cold or flu or fever in the recent past (last two years). I do not have sudden weight gain or loss either. I have irregular periods and minimal menses flow. Usually, my periods get irregular when I have intercourse with my partner. I do get fungal infections at times, for which I apply Candida ointment.\u00a0 Also, my research on the internet read that there is a window under which repeated tests are needed to be done to confirm the\u00a0presence of HIV, but no doctor till now has advised me any such thing for that matter. I strongly feel and believe it is just STD and not HIV. I request your advice\u00a0to get more clarity on this.\u00a0Thank you. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). Hope my answer has given you some direction. Please do not hesitate to ask or call anytime for any other question.\u00a0Best wishes.\u00a0Stay healthy. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 25458, + "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": 27617, + "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": 28652, + "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": 1585, + "tgt": "My 2-year-old daughter is getting seizure around 15-30 seconds in sleep. Please help", + "src": "Patient: Hi doctor, I would like to have a second opening regarding my daughter's case. She is just 2 years old and she was having some seizures at night while asleep. For 10-15 days, we started to observe that she is having jerking movements, stiffening of the body, and sometimes teeth grinding for about 15-30 seconds. I am attaching her consultation and lab report for details. Doctor: Hello. I can understand your concern. According to your statement, your two years baby has been suffering from seizure which lasts for 15-30 seconds. Anything that interrupts the normal connection between nerve cells in the brain can cause a seizure. This includes high fever, high or low blood sugar, drug withdrawal, or brain injury. There is various type of seizures like absence seizure, tonic-clonic seizure, atonic seizure, clonic seizure, tonic seizure, myoclonic seizure, etc. By CBC, EEG, and MRI of brain, we can detect the type of seizure and then treat them accordingly. As soon as you know your child is starting to have a seizure, you should gently try to get your baby in a position where your baby is safe. Stay with ur child. Do not put anything in your child's mouth. Do not try to stop or restrain the child's movement. Children often foam at the mouth during a seizure, wash that carefully." + }, + { + "id": 26240, + "tgt": "What is the best food during 8 weeks of pregnancy?", + "src": "Patient: Hello doctor, What is the best food during\u00a08 weeks of\u00a0pregnancy? Doctor: Hi, Welcome to icliniq.com. Pregnancy is a state where a woman needs high quality nutrition to ensure development of a healthy baby. It is very important to include green leafy vegetables such as spinach and dill, to improve health and prevent any deficiencies in blood. It would be great if you can include a raw vegetable salad as a mini meal everyday. I usually advise pregnant women to take at least three different fruits everyday. Some fruits like papaya need to be avoided. You can include one serving of protein powder with milk once a day. In addition to healthy food, also take iron and folic acid supplements, calcium and vitamin supplements if necessary as per the doctor's advice. Also, it is very important for a pregnant woman to sleep 8 hours a day. This can be divided as 7.5 hours sleep at night and then a half hour nap after lunch (with a minimum gap of half an hour after food intake). It is very good for pregnant women to go on a half an hour moderate paced walk everyday. Consult a nutritionist online for further details regarding a special diet plan for yourself --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 24304, + "tgt": "I had sinus surgery 15 days back. When will the pain go away?", + "src": "Patient: Hello doctor,I had my sinus surgery 15 days back. After four days nasal cleaning was done. After it, I got severe pain for five to seven days. But after that it reduced. But still, it persists. Please let me know how much time it will fully go away. I am clearing that I had all type of sinuses and my surgery time was three to four hours. Currently, I am taking nasal cleaning, spray, and antiallergic tablet. I also took antibiotics for 15 days. Doctor: Hi. Are you not taking any anti-inflammatory medication? You should take paracetamol one gram twice daily. it will reduce swelling as well as pain. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16561, + "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": 23590, + "tgt": "Have been always anxious, nevous and aggressive. Do you have any suggestions?", + "src": "Patient: Hello doctor, I have a 6.5 years old boy born on 26th of March 2008. The boy was born with c-section and apgar score was low immediately after delivery but improved in the following measurements. He lived with us at home. In the period from January 2009 to April 2012 his social life was limited because we stayed away from our home town. His rapport with other kids was very limited ane then improved after April 2012. The boy is always anxious, nervous and aggressive at home with his younger brother and mother. When we go out, he cannot interact with strangers easily. Even with cousins he does not interact properly, especially in the absence of us. I note in the last few months that he always puts his nails inside his mouth and there is noticable damage to his nails. He started to go to school two weeks ago, but he does not like school as well. The teacher says that he always follows her and cries even during break time. We really have difficult time with him. His academic level at school is the lowest among other children. I do not know what is the probable diagnosis for his case. I have tried to book an appointment with qualified psychiatrist here but no available doctor until end of October. Today I went to pick him up from school and he was crying there and when we arrived home he was hungry and he refused to tell us anything about school. So we asked his elder cousin who said he cried the whole day and was following the teacher. Teacher also told me the same thing and he is not able to concentrate in the lessons. I hope you can find a solution for the this problem of our child. Do you suggest using medicine, behavioural therapy or any other suggestions? Doctor: Hi. Consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25309, + "tgt": "Please suggest homeopathy remedies for severe hair fall", + "src": "Patient: Hello doctor,I am 32. I am suffering from severe hair fall from last five months. My hair comes out in bunches whenever I wash or comb them. They already got too thin and also I am a patient of hyperthyroidism. I am done with the tests. Reports are normal and thyroid is under control. So, what can be the other reason for my extreme hair fall? I really cannot understand. Please help. I am very tensed. Doctor: Hello. For hair fall, you need to use Iodium 1M one dose and Acid Fluor 6C daily 10 pills in the morning. And you have to take nitrous food. Do not use chemical shampoos and hair oils for your hair. Use Arnica hair oil and Arnica shampoo (SBL company) regularly. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 29196, + "tgt": "Why do I have clear liquid discharge from my vagina?", + "src": "Patient: Hi doctor, I am nine days post ovulation and have been experiencing clear liquid discharge from my vagina since two days. I also have a headache, stomachache, and tiredness. I am a little overweight,\u00a0so I have been starving myself.\u00a0Is this clear liquid discharge normal? Doctor: Hi. Once ovulation occurs, the remaining follicle, called the corpus luteum, will keep producing hormone progesterone, for a possible pregnancy to get implanted in the uterus. There is nothing to worry as the watery discharge is because of this. Other symptoms include depression, getting short tempered, bloated feeling, pins and needles in breasts, toes, and fingertips. These symptoms are aggravated by pregnancy, sudden increase or decrease in weight or any recent mental or physical stress. I suggest you try reducing your weight. According to your height, your expected weight should be between 52 to 58 kg. The excess cholesterol will form hormones and cause the above symptoms. Once you reduce weight to normal range, you would not need any medicines to get periods or to get pregnant. To reduce weight, I suggest you try the following. Try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, as it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes in your health. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5658, + "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": 1437, + "tgt": "I have hives on my body which turns painful on scratching. Please suggest medication", + "src": "Patient: Hello doctor, I just want to ask what is the best medicine for allergy? I have hives on my body and so itchy when I scratch them it turns painful. I even have them on my soles and palm. I am currently on Loratadine. Doctor: Hi. Itching with hives has various causes. Treatment of it is mostly according to the cause. Another treatment is symptomatic. Loratadine is antihistaminic and antiallergic medicine. In your case of itching with hives, you can take Desloratadine with Montelukast (Dazit M) or Fexofenadine with Montelukast (Allegra M). But to search for the cause of itching with hives will be more beneficial." + }, + { + "id": 2426, + "tgt": "Is ELISA test reliable?", + "src": "Patient: Hi doctor, I am 29 years old. I had protected sex with a call girl before five months. But, I want to confirm whether I was infected with any disease. I have read on the internet that window period for HIV is three months and hence to confirm I have undergone HIV testing called ELISA. The result of which is non-reactive and the value is 0.062. Again, now I repeated the test and it showed result as non-reactive with the value of 0.104. The two reports have been attached here. Regarding symptoms, I did not develop any fever or allergy in the last four months. Is ELISA test reliable?\u00a0Is there any need for me to take any other test or repeat the test?\u00a0Can I stop worrying as I have already covered window period?\u00a0Why did the test show some value like 0.6 and 0.104? Does it indicate the presence of any disease?\u00a0What is the window period?\u00a0Please help me in detail as I am much worried. Doctor: Hi. Let me answer one by one. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22689, + "tgt": "Why am I having pain in between head of first and second metatarsal joints?", + "src": "Patient: Hello doctor, I am experiencing intermittent pain in between the head of the first and second metatarsal joints in both feet. There is no apparent limitation to the range of motion. I have also experienced a bit of a stinging pain in and around the big toe joint. Pain occurs while wearing certain footwear. I have begun to supinate a bit to avoid the pain. The pain is before the joint more than the joint itself. No apparent swelling. When not using feet or not wearing footwear, there is no pain (unless I press). Last year's X-rays came up negative except for small heel spurs. As pain is more prominent in right foot, podiatrist only X-rayed the right foot. He said that he could not find a reason for the pain. I have asked him for a format report several times and have not received it after two weeks. Please note that foot had athletic tape wrapped around it just below the metatarsal joints, which seems to appear on the photos. I have compared both X-rays of the metatarsal joints (last year and this year) and can see no difference at all, except the shadow of the athletic tape near the first metatarsal joint. I know it is a shadow as in some of the pictures, you can see a three-dimensional shadow surrounding the toe. However, I am not a radiologist, but a philosopher. Your honest and professional opinion would be appreciated. Doctor: Hi. Most likely due to improper footwear here is asymmetrical joint space reduction involving the first and second metatarsophalangeal joint, relatively more in the great toe which might be the reason for your pain. Also, your foot radiographs (attachment removed to protect patient identity) do show few small osteophytes at the first metatarsal-phalangeal joint. However, no similar lesions are seen proximally at the tarsal-metatarsal region (area of your pain). No soft tissue abnormality is seen. Above changes are concerning for rheumatoid etiology. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 6606, + "tgt": "Is it normal to get decreased taste sensation following sinusitis?", + "src": "Patient: Hi doctor, I am a 40 year old female, non smoker.\u00a0I had a sinus infection as a result of cold nearly two months ago. I was put on Doxycycline for two weeks and then a steroid nasal spray when the inflammation in my nose had not resided. I can smell things quite clearly up close to my nose but cannot taste whatsoever. I am now on a course of Amoxicillin and Prednisone to try and get rid of the inflammation once and for all. I had a CT scan which did not show any blockages just some mucous and inflammation. If I burp, I can taste my food. Does this mean I will get my taste back when everything clears up? How long should this take? I still feel some tightness in the bridge of my nose and one nostril still feels more blocked than the other. I am just so scared that my taste will not go back to normal and I have a constant nauseous feeling. I wonder if this is because I am so stressed about losing my taste forever. Thanks for your help. Doctor: Hi. We will help you alleviate the problem. I understand that you are a 40 year old otherwise healthy lady suffering from sinus infection. You perceive smells close up your nose but have decreased taste sensation. You are worried about when the taste sensation will return and what can be done to accelerate the return. Next, I understand that you have taken a complete course of Doxycycline and now you are on a course of Amoxicillin. Also to relieve the inflammation the doctor initially gave you a locally acting steroid nasal spray. Currently, you are taking steroids (Prednisolone) orally. I would suggest the following measures as well which if you follow will help you in a great way. I reiterate that this loss of taste sensation is temporary and it will be restored as and when your sino-nasal infection resolves. For the same, I have suggested you various measures. Nasal congestion. 1. Diagnostic naso-endoscopy. The endoscopic viewing helps us to see the pathology and ascertain if the inflammation is indeed what we think or has some other pathology. It helps us to take samples for culture sensitivity and histopathology as well. 2. CT para-nasal air sinuses. Please attach the report as I see that you have already done the scan. Ideally, I would require the CT scan film that they would have given as a soft copy as well. 3. Serum IgE. 4. Absolute eosinophil count (investigations AEC and Serum IgE help us understand if you suffer from allergy). 5. Hemoglobin level, to check for anemia and rule out Plummer-Vinson syndrome also called as Patterson-Brown-Kelly Syndrome. 6. Total leukocyte count and differentiated leukocyte count. 7. Erythrocyte sedimentation rate. 1. Chronic rhino-sinusitis. 2. Fungal sinusitis. 3. Occupational rhinitis. 4. Allergic fungal rhino-sinusitis. Chronic rhino-sinusitis. Revert back with the answers for the above questions and CT reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10815, + "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": 5675, + "tgt": "Is eight days time enough to get through the window period after sex?", + "src": "Patient: Hello doctor, I had an encounter about a month ago and that have put me at risk of HIV. I was out of town for vacation and visited a doctor who prescribed me Truvada and Tivicay as PEP. I finished the 28 days regimen yesterday and tomorrow\u00a0I have to go\u00a0for the fourth generation test that has HIV-1 and 2 RNA antibodies testing at the local Planned Parenthood. Eight days back, I got HIV and STD tests done and they turned out to be negative. Does this time enough to get through the window period and see whether am I infected? And if not, how long should I wait after the PEP regimen to have the tests? Doctor: Hi. Revert back after two weeks to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 753, + "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": 1280, + "tgt": "Is mole with large circular area a suspicious one?", + "src": "Patient: Hi doctor, Today I noticed two moles on my back with large dark circles around them. I have attached the photos of one affected area only. I have always had these moles, but have never seen these dark circles until today. I have had biopsies of moles from my back before and they were not cancerous. However, in the past, my dermatologist and a plastic surgeon removed a pre-cancerous mole removed from my right calf and a suspicious mole from my right bicep. My mother had a melanoma removed. I am also recovering from a case of shingles on my face. Could my immune system have been weakened from fighting off whatever is going on with these moles? Please explain. Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27318, + "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": 12859, + "tgt": "Can pulling out a molar tooth bring a change in facial features?", + "src": "Patient: Hello doctor,I have an infected root canal. It is a molar and it is next to an implant. I really want to pull it due to money. But I cannot afford an implant and I am concerned about facial features if I pull the tooth and let it go without an implant. Doctor: Hi. I have read through your complaint and the relevant details. You can absolutely choose to get the tooth removed in case of financial situations. But what I reckon would be to go for the cheapest replacement options such as a removable partial denture where you still maintain that space next to the implant. Unlike natural tooth, the implant does not shift to the empty space but the load bearing capacity changes. Since there would not be a natural tooth to hold the load every time you chew. It is transferred completely to the implant. So, the more implant gets the load the more chances of its failure rate. A removable denture for the lost molar will help distribution of the chewing load. And please do not worry about the facial features. It is not going to get affected at all if you remove the molar tooth. Aesthetics is a concern only with the front teeth and not with the molars." + }, + { + "id": 9211, + "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": 7688, + "tgt": "Eptoin increases GGTP and ALP in cystic granulomatous patient. Is it normal?", + "src": "Patient: Hello doctor, My father is 53-years-old, and he is taking medicine for cystic granulomatous for six years. Eptoin medicine does increase GGTP (140 now) ALP is 134. Kindly advice. Doctor: Hello. Eptoin (Phenytoin) causes many things like the slow performance of duties, confusion, and decreasing the intellect of a person. But it is a perfect drug to prevent fits. You are correct. The cause of increased GGT (gamma-glutamyl transferase) and ALP (alkaline phosphatase) is due to Eptoin only. They are liver enzymes, and they get elevated in liver disease. Please do not be alarmed. Eptoin has not injured your father's liver. See, it is difficult to explain. The liver has many functions. The liver produces these enzymes. They elevate when liver cells are damaged. But they also raise when their production is more. Eptoin increases the production of these enzymes. It is entirely harmless, and their levels become normal when we stop Eptoin. But you cannot stop Eptoin. It is an important drug. So my suggestion is to do nothing and not to worry. These enzymes can be elevated by drinking alcohol or if your father already has a liver problem. Kindly clarify those. If he is having any of these problems, please contact me. 1. Liver enzymes increase when the liver is damaged. 2. But your father does not have a liver problem. 3. The elevation of enzymes is due to increased production, stimulated by Eptoin. 4. No need to worry, and no drugs or any other thing are needed. 5. Please do these tests regularly in four-month intervals." + }, + { + "id": 24375, + "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": 17274, + "tgt": "Can I take an emergency pill if I am taking medicines for PCOD?", + "src": "Patient: Hello doctor,I am a 25 year old female,\u00a0diagnosed with PCOD. Since last week, I am\u00a0taking tablet Normoz for that. I had unprotected sex today, that is, on the\u00a014th day of my menstrual cycle. I took the Unwanted-72 pill within one hour. What are\u00a0the chances of conceiving? Can I get pregnant? Please help? Doctor: Hello. I have gone through your history and understand your concerns. Hope you found this useful. Good luck. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 337, + "tgt": "Kindly explain about the usage of Lidocaine to numb the pressure due to retainers", + "src": "Patient: Hello doctor, I am trying to use Lidocaine spray to numb the pressure sensation I get from wearing my retainer. Could you please tell me how to properly use Lidocaine spray without numbing my whole mouth and tongue? I just want to target the lower jaw. Doctor: Hello. I should recommend you revisit your Dentist to get it adjusted. The retainer might be too tight ,it should not be as tight to take a numbing spray (Lidocaine). For now if you are using a numbing spray there is no way you can stop numbing your tongue in as you cannot manage the aerosol of the spay, eventually it is going to spread and numb the entire mouth as you are saying. For the time being, I might suggest Rexidine M Forte gel (numbing gel). It contains Chlorhexidine + Metronidazole + Ligocaine. It will help you better but its action might be less than the spray but definately will help you with the issue of numbing the entire mouth. Dressin mouthwash (relieves a bit pain upon using). These two.things will help you a lot. Pressure from a tight retainer" + }, + { + "id": 23435, + "tgt": "Can dry socket occur due to smoking?", + "src": "Patient: Hello doctor,Is it normal for the tooth extraction healing process to exceed one week? Specifically, rawness accompanied by dull pain. I am a smoker and concerned whether dry socket can occur due smoking on day six after the procedure. Doctor: Hi. Normal complete healing of an extracted tooth socket will definitely take up to two weeks. As you have asked, the rawness and dull pain would be there in the first week. Also, dry socket can occur within the first three days of extraction and not anytime later. It happens only if the blood clot after extraction is continuously interrupted through smoking habits or even a vigorous gargling or brushing. But, in my opinion, I advise you to quit smoking until the wound heals which is simply the best to do. Also, try to avoid hot and spicy food and prefer cold fruit juices or yogurt that soothes the wound rather than irritating the healing gums. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7743, + "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": 21121, + "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": 12643, + "tgt": "Does trisomy 21 of 1:250 report show high risk?", + "src": "Patient: Hi doctor, I am 12 weeks 5 days pregnant. My NT scan measures 1.6 mm, the double marker PAPP-A is 2.82, and free beta hCG is 36.7 Could you please help with the report? Was it normal? My trisomy 21 is 1:250. Doctor: Hello. 1 in 250 is a high risk for trisomy which means your risk of having a baby with trisomy 21 is 1 out of 250. But this test is only a screening test which means that they just calculate the risk of having a baby with down syndrome. If someone is found at higher risk like yours, then she is offered a diagnostic test (amniocentesis or chorionic villus sampling). In those tests, a sample of fluid is taken from your baby and examined in labs to confirm the diagnosis accurately." + }, + { + "id": 8906, + "tgt": "I am unable to fall asleep. Taking ETIZOLA 0. 5 for every night. Please advice me", + "src": "Patient: Dear Doctor, My problem is that, I am unable to fall asleep and it persists for more than a year now. Now started taking ETIZOLA 0.5 for every night. Slight headache is also felt whenever I fail to sleep. I am a male, 38 years old, teetotaller (never drinks alcohol). Doctor: Hi, Chronic insomnia in a middle aged man who is a teetotaller is not very common. (Read expert advice for getting a good night's sleep) One leading cause of insomnia, or inability to fall asleep (Initial Insomnia) is Major Depression. If you experience periods of increased worrying, decreased energy, lack of interest and motivation, anxiety, irritability, sadness with or without crying spells, increased forgetfulness -- you might have a case of depression, which is easily evaluated and treated and is the best way to address your chronic insomnia rather than just taking sleep aides. You might want to see a psychiatrist in person or book for an online therapy at icliniq." + }, + { + "id": 2752, + "tgt": "Experiencing abdominal pain and cramps after taking Unwanted 72. Am I pregnant?", + "src": "Patient: Hello doctor, My partner and I had protected sex on the 15th of this month, but I cummed in the condom but kept going. Not taking any chances she took a pill on the 18th. From the next day after taking the pill she had light bleeding in the form of blood clots and also experienced abdominal pain. The pain has persisted till now but the severity has decreased. Could you please tell me whether she is pregnant or not? Doctor: Hi. If you had protected sex then she should not be pregnant. Do one urine pregnancy test for confirmation. Abdominal pain can also be due to stomach infection or kidney stones. Do drink more water. Eat healthy and less oily food. If not decreasing then she will require an ultrasound scan for further diagnosis." + }, + { + "id": 10887, + "tgt": "Does the CBC test results of 2 years and 6 months old indicate something serious?", + "src": "Patient: Hello doctor, 2 years and 6 months old with abnormal CBC test results (two tests seven weeks apart). First tested because of enlarged lymph node (only one side) in neck. Node has reduced in size to what appears normal. Low MCHC (just barely outside range of 32.0 to 36.0) 31.3. Low NE % of 26.1 Auto diff with range 43.0 to 65.0, high LY % 62.7 with range 20.5 to 45.5, high EO % 3.9 with range .9 to 2.9. Highly # 6.2 with range of 1.0 to 5.5. What does this indicate? I have read all the horrible possibilities. Is it possible these are indicative of something not serious? Doctor: Hello. Your CBC report is suggestive of lymphocytosis (attachment removed to protect patient identity). The common cause for lymphocytosis is viral infection. The enlarged lymph node could be due to that. Now, your enlarged node return to normal size as per history, so suggestive of infective etiology. You might be feared about leukemia like condition. But in blood cancer, total count is very much high like more than 50000. So, it is not suggestive of blood cancer. However, if you have persistent lymphocytosis, then it is advisable to investigate with peripheral smear examination report for further work up. It will be able to help in identifying any abnormal cells, if present like atypical lymphocytes, blast, etc. You can consult your pediatrician for detailed physical examination." + }, + { + "id": 6693, + "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": 19939, + "tgt": "How to dry the fluid in liver in a cancer patient?", + "src": "Patient: Hello doctor,My mother is suffering from breast cancer. It has spread to the liver. There is a recurrence from last three years. This year she is suffering from ascites. Already three ascites tapping has been done. I want to ask if there is no medicine for ascites cancer patient to make water dry in the liver. Doctor: Hello. Ascites secondary to cancer needs multiple steps to control it. It may not completely get dried but it can get controlled well. You need a high protein diet to increase the body protein level which reduces the amount of fluid formed.You need good movement and exercises (limb) which will help in reducing the fluid accumulation in tissues. I suggest you take protein powder supplements. Low dose urine producing medicines can be added. Hope your query is cleared. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6500, + "tgt": "I am feeling disorganized and dizzy following chiropractic adjutment of neck. Why?", + "src": "Patient: Hello doctor, Is feeling disorganized, dizzy, and fatigue normal after a neck adjustment? Additionally, I have a mild headache in the back of the head, and occasional tingling in the arms and the legs are normal. I have done x-ray hip, and my right side hip is slightly higher than the left side. Got neck and back adjusted by a chiropractor and experiencing some symptoms which are causing some anxiety. Doctor: Hello. You have mentioned about your pain in the neck area and x-ray of the hip, which indicates pain in the neck and back both area, and this may be due to muscular imbalance. Some muscles like the back of the thigh may be tightened and not flexible, so that might give a malalignment, so pain increases. In the neck area, if you feel pain radiates to the arm and fingers, that may be due to nerve impingement on one local point due to more workload. I need to check the history. According to me, at the age of 24, no degeneration happens, just your posture may be wrong and malaligned. You need to do swimming, aerobics, and yoga daily. If possible, join the Art of Living workshop anywhere in your area. Do Pranayama and meditation that will make your body healthy and mind peacefull. I hope this helps." + }, + { + "id": 21146, + "tgt": "Why am I having stomach pain while eating with unintentional weight loss?", + "src": "Patient: Hello doctor, I have had stomach issues for a long time and had the gallbladder removed around four years back. My stomach issues have gotten worse. Then, ten months back I had started getting this horrible burning sensation on the right side near ribs. The doctor thought it was my liver and did blood work, everything was fine. Then six months back I got to a point where every time I ate I was in extreme pain. I have lost around 60 lbs since then. I went and saw a different doctor, they did blood work which came back abnormal (amylase 24 IU/L, lipase 8 IU/L, narrative current ADA criteria for glucose: normal: 70-99 mg/dL, impaired fasting glucose: 100-125 mg/dL, diabetes mellitus: at or above 126 mg/dL). The diagnosis of diabetes must be confirmed on a subsequent day by measuring fasting plasma glucose, two hour PG or random plasma glucose (if symptoms are present). Sodium 139 mEq/L, potassium 3.5 mEq/L, chloride 106 mEq/L, carbon dioxide 26 mEq/L, anion gap 7.0 mEq/L, blood urea nitrogen 4 mg/dL, creatinine 0.70 mg/dL, glomerular filtration rate greater than 60 mL/min/1.73 m*2. A persistently reduced GFR is a specific indication of chronic kidney disease. The eGFR calculation has not been validated in patients greater than 70 years. Calcium 9.1 mg/dL (8.4 - 10.5 mg/dL), glucose 88 mg/dL (70 - 100 mg/dL), protein total 6.5 g/dL (6.0 - 8.0 g/dL), albumin 3.9 g/dL (3.5 - 5.0 g/dL), alkaline phosphatase 68 IU/L (40 - 150 IU/L), aspartate aminotransferase 21 IU/L (10 - 40 IU/L), alanine aminotransferase 42 IU/L (6 - 31 IU/L), bilirubin total 0.6 mg/dL (0.2 - 1.2 mg/dL). Ultrasound impression showed probable cavernous hemangiomas in the left hepatic lobe although the ultrasound appearance is nonspecific. Recommend CT of the abdomen with IV contrast utilizing triphasic hepatic protocol. Then sent for CT and the impression is previous cholecystectomy. The focus of abnormal echotexture on recent ultrasound through the liver is felt to correlate to an area of low attenuation on CT. CT findings are nonspecific. This may represent an atypical hemangioma. Neoplasm is felt less likely. This is well visualized with ultrasound. Short-term follow-up ultrasound in 2 to 3 months recommended to ensure stability. If this is unchanged it can be followed at larger interval increments. Right renal cyst. It states I was given oral contrast, I was not. The doctor had also told me these are something I was born with. I had an ultrasound of liver and they seem nothing on my liver. So is this something I should keep worrying about and get another opinion? Doctor: Hello. Yes, it is likely to be hemangiomas only. I think your treating doctor is right. Ultrasound is a good investigation for hemangiomas and it definitely shows its presence and also suggested by CT scan. Now, regarding your doubts, firstly ultrasound is a very observer dependent investigation. So, the findings seen by one may be missed by other. And another important thing is, hemangiomas grow with time and hormonal changes, so it might be possible that it was present but of a small size to be detected and has grown over a period of time. Next thing, if you are worried too much about it then you may get another ultrasound of the abdomen done by an independent radiologist. Also, you should get your CT scan reviewed by another radiologist for his opinion. You may ask for a CD having ct images, and get it reported so as to confirm the findings. No need to repeat CT done now. Also, follow up ultrasound should be done after three months to look for a change in size." + }, + { + "id": 13183, + "tgt": "Will I frequently get genital wart if affected once?", + "src": "Patient: Hello doctor, I have a question about HPV. I am a 28-year-old male with one genital wart and I wanted to know if this is for life? Will this keep coming back every so often? What are the best ways to get rid of the wart and a way to prevent them from coming back? I also read that the immune system plays a big part in clearing the virus. I was thinking about taking medical mushrooms and Inosine Pranabox for immune boosting. Doctor: Hi. Warts are treatable. Kindly always attach the picture of the lesion for reference. It is not necessary that warts come and go. Once you are treated properly it does not mean you have to suffer from it again and again. It is human papilloma viral infection. This virus has 150 types because our immunity has to fight with this. That is why it is very important that our immune system should be healthy. The best treatment for genital wart is cryotherapy. Other can be CO2 laser. Sometimes a small wart can shed off itself but that depends upon the type of the wart. To boost your immunity you can use Zinc preparation. It has a role in preventing further warts. Genital wart. Cryotherapy for wart. Use Zinc preparation to prevent it." + }, + { + "id": 17478, + "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": 3877, + "tgt": "What can I do for male breast enlargement?", + "src": "Patient: Hi doctor, I am overweight for my age. I am wondering whether you could help me out. I also feel that I have male breast enlargement. I just wanted to check what I can do further. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9088, + "tgt": "I noticed a clear bubble under my tongue. It is not painful. Is this due to an infected tooth?", + "src": "Patient: Hello doctor, I have had swollen glands for a few months now. I have seen an ENT doctor for the same. He ran a blood test and it came back normal. He told me give it a month and they should go down. They have not gone down or grown. Before going to the ENT doctor, I also visited a dentist and got to know that I have a tooth on each side that is infected. He said that the molar has to be taken out. Today, I noticed a clear bubble under my tongue. It is not painful. Are these related? Doctor: Hi . Revert back with the x-ray reports to a dentist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21410, + "tgt": "For mood disorder, can I switch to Ayurvedic medicines and stop allopathic tablets?", + "src": "Patient: Hello doctor, I am having \"mood disorder\" and under treatment for around nine years. The doctor said that the medicines are to be taken lifelong. Now prescribed Valporil CR-300 and LithoSun SR tablets (both 1-0-1). If I come to Ayurveda, can I stop these medicines within some time? While visiting an astrologist, he recommended me to take \"Manasamitra vatakam\" tablets along with Saraswata Ghritam for 21 days. My query is, can the above Ayurveda tablet be used along with the other allopathic medicines? Will there be any side effects? In what proportion is it to be used? Doctor: Hello. As you have this problem from a very long time, suddenly stopping the allopathic medicines may lead to worsening of the problem. So, follow the advice of your psychiatrist. Along with the allopathic medicines you can take Ayurvedic medicine. But keep some time gap between your medicines. The ayurvedic medicines recommended to you are good and you can take it as per your physician's advise. But initially, take under supervision and in case of any problem visit your physician. Along with medicines, try to stabilize your mood by doing meditation and breathing exercises like Pranayam and Anulom vilom daily. Walk daily for at least 30 to 60 minutes. Adopt a new hobby like dancing or painting, etc. Learn new things. These things will help you in managing your mood. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27964, + "tgt": "I have a slight loss of hearing in my right ear. Please help", + "src": "Patient: Hi doctor, I am a 19 year old male, and I have been feeling an ear blocking sensation for the past two weeks. I also have a slight loss of hearing at times in my right ear. Although it is mostly in my right ear, sometimes the sensation alternates to my left. It feels as though the sound is not coming through. It is an odd sensation to describe. I have had a doctor check me out, and they did not see any damage or signs of infection, but they are not specialists, so I am not sure what could be causing this or how to treat it if possible. Also, I have been experiencing slight dizziness or heaviness and pain in the back of my head. Thank you. Doctor: Hello. It should resolve completely in about a week or two. If you need more details do revert. I will be happy to help you. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14724, + "tgt": "Can having an IUD impact intercourse?", + "src": "Patient: Hi doctor,How having an IUD can potentially change or affect intercourse for a woman? What are the ways a woman's intimate life may change with an IUD such as certain position hurt more, etc., and why? I would like you to touch on the differences between hormonal and non-hormonal IUDs. How they impact intercourse? Also, kindly share some tips to solve IUD-related problems a woman might stumble across during intercourse. Thank you. Doctor: Hello. IUD or intrauterine devices result in effective contraception for long. The IUDs are an active, cheap and safe method of contraception. Most of the IUDs release a small quantity of hormones daily and provide effective contraception. In general presence of IUD does not affect the sex life of female or even male partner. The string attached with IUD lies in the cervix, and this is not a sensitive part, so practically woman doesn't feel the string. The effects on sex life occur because of psychological reasons only. Sometimes, certain positions especially when female is on top results in pain during sex. Even the partner sometimes feel the pain. Missionary position is relatively safer. Hormonal IUD releases a small amount of hormones daily and provides contraception while non-hormonal like Copper-T has copper filament attached which provides contraception. Copper-T feels heavier than hormonal IUDs.Non-hormonal will not cause any hormonal effects so will not affect sex life. First of all, a female should be reassured that the IUD will not cause pain. In most the pain occurs due to psychological reasons. They might feel string sometimes but they should ignore the feeling totally. Caution should be there when female is on top during sex. Thanks. Take care." + }, + { + "id": 6449, + "tgt": "How can I fix the small gap in the bottom half of my front teeth?", + "src": "Patient: Hello doctor, I have braces on at the moment and my orthodontist says I can get them off in four to five months. I think it looks okay for the most part but the thing that bothers me is this small gap in the bottom half of my front teeth. I have asked my orthodontist about this and she said that it is just because the front teeth come together but not at the bottom half because of the shape of my teeth which is triangular as opposed to rectangular. She said she cannot do anything about it, but I am very unhappy with the way it looks when I talk, laugh, etc. I researched about this kind of gaps, but most people report having gaps between the top of the two front teeth and not in the bottom like me. Is there any treatment that could possibly bring the front teeth together fully or at least more than they are right now? I hope there is something I can do to make it less obvious. Doctor: Hello. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 10315, + "tgt": "What could be causing extreme lymph node pain in the neck?", + "src": "Patient: Hi\u00a0doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph node pain. Recently, I was found to have an abscessed wisdom tooth and an abscessed crowned tooth. I had both pulled and was given Clindamycin for 10 days. Still, I have neck pains.I have been on a ton of antibiotics so not sure if bacteria are even responsive anymore. Should I be concerned about meningitis or that the infection has spread to lymph nodes? It has been about a month or two that neck pain has continued. Would blood work or an\u00a0ultrasound be a better way to see what is going on? Is there anything I can do to treat this at home? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19233, + "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": 18332, + "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": 17472, + "tgt": "Can erythema nodosum occur at the same spot in both feet?", + "src": "Patient: Hi doctor, I am a 33 year old female with a history of erythema nodosum. I used to get outbreaks over my bilateral shins and ankles. Last bad outbreak was probably around seven to eight years ago. I woke up this morning with pain and swelling of the lateral parts of both the feet around the cuboid bone. The strange thing was that it continued to hurt with radiating pain throughout the day. I made a podiatrist appointment. After x-rays and examination, he diagnosed me with peroneal tendonitis and gave me orthotic boots and ankle braces to wear. The doctor seemed confused by the swelling and the fact that this happened so acutely with no injury, increase activity, etc. However, it did not hurt me until I reach home. I am realizing that the pain is so familiar, like my nodules, which I used to get on my shins. I am just wondering if it could really be erythema nodosum on that part of my foot and especially being that it is occurring bilaterally at the same exact location on each foot. Is this possible? Thank you so much for your help with this matter. Doctor: Hi. We are here to help you. Streptococcal infection. ESR and swab. Revert back with the investigation reports to a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 2784, + "tgt": "What causes pain in leg after walking?", + "src": "Patient: Hello doctor, I have got my left leg pain when I walk and stand after 30 minutes. Doctor: Hello. Your laboratory tests are quite normal and not indicative of any infection (attachment removed to protect patient identity). Considering the past medical history for seizures, I would recommend performing an EEG in order to exclude seizures as a possible cause underlying muscle twitching. Regarding the pain, I would recommend performing a Doppler ultrasound of the leg vessels, coupled with nerve conduction studies in order to examine the nerves and leg vessels." + }, + { + "id": 26351, + "tgt": "I am obsessed and keep pondering about my husband's past love affair. Please help", + "src": "Patient: Hello doctor, My husband and I had a love marriage. My husband had an affair six months ago, but the\u00a0affair is no more. An enemy of my husband reminded me of his past and I am now obsessed with the betrayal and keep on pondering about the past affair. I am afraid that he still is in a secret love affair. I do not have a piece of mind. Please help me. Doctor: Hello. Regards. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1964, + "tgt": "Recurrent swelling in voice box prevents me from singing. Please help", + "src": "Patient: Hello doctor, I had voice box swelling before two months. I had taken medicines for around 10 days, it subsided and my voice was getting better. But at the beginning of this month, it started again. I could not visit any doctor due to the lockdown. I tried to rest my voice and did continuous steaming. But it is impossible to not talk because I have a day job that involves talking to clients. I am unable to sing now. I do not know up to what extent my voice is damaged? Doctor: Hi. First and foremost, acute inflammation of the vocal cords what we call acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing of which the problems will recur again after a short span of relief. My advice to you would be to give an absolute voice rest for the next 10 to 14 days. Now absolute voice rest means you should not even be saying yes/no during the day. If your work involves the use of your voice I advise you to take complete off from your job for the next 10 to 14 days. The vocal cords require time to heal completely and this takes usually 10 to 14 days. Your voice might return to normal in five to six days, however, there is always a hidden inflammation in your vocal cords which can resurface if measures are not followed adequately. Treatment: 1. If you are having gastric issues, consider taking tablet Pantoprazole 40 mg once a day for 15 days. 2. Tablet Wysolone (Prednisolone) 20 mg once a day after breakfast for two days followed by 10 mg for two days and finally followed by 5 mg for the next two days. This is a steroid tablet and is effective in reducing inflammation in the vocal cords, but the above preventive measures should be taken if you want your voice back." + }, + { + "id": 20464, + "tgt": "Suffering from premature ejaculation. I ejaculate faster and the sperm comes out quickly", + "src": "Patient: Dear Doctor, My problem is that, I ejaculate faster and the sperm comes out quickly within 20 to 30 seconds.\u00a0Suggest a better medicine to delay the ejaculation. Doctor: Hi. Follow up with a sexologist online after three months --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13735, + "tgt": "I am suffering from thyroid problem. I have been suffering from erectile dysfunction. I have fear of not performing", + "src": "Patient: Hello doctor, I am suffering from a thyroid problem. My TSH level is on the higher side. At present, I am taking 50 mg Thyroxine. For the last 4 or 5 months, I have been suffering from erectile dysfunction. Please give me a proper solution. Doctor: Hi. Unfortunately, the information provided at this stage is very limited, and it is difficult to interpret and make conclusions.I request you to post the following details: At this stage, I would like to inform you that thyroid is mostly not responsible for erectile dysfunction, and we need to explore additional reasons for same. I am not sure about your age, but if you are above 50 years, you are requested to get the following blood reports if not acquired already. Erectile dysfunction is a complex disorder and needs a thorough evaluation for treatment. I look forward to seeing more details." + }, + { + "id": 1051, + "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": 11782, + "tgt": "Is pregnancy possible when precum enters vagina indirectly?", + "src": "Patient: Hello doctor, My finger had a drop of precum, and I touched my partner\u2019s vagina indirectly through her cotton panties. Will she get pregnant? Doctor: Hello. I can understand the concern. Precum or pre-ejaculatory fluid also contains sperm to make a female pregnant. If your sperm has reached inside her vagina by any probability, there are chances of pregnancy. Also to be noted she should be in her fertile period (10 to 15 days from her last menstrual period) to get pregnant. If you are anxious, and if it is within 24 hours you can go for an emergency contraceptive pill (I pill). I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 5, + "tgt": "Constipation cause bleeding from external hemorrhoids with abdominal pain. Is it diverticulitis?", + "src": "Patient: Hi doctor, I am a 22-year-old female who often suffers constipation to the point where I feel like I get minor external hemorrhoids that often bleed. Again, I have not got doctor verification for this but that is what I think. Recently, I have been experiencing pain around the left side of my stomach. I cannot localize it. Sometimes I feel like it is on my back, sometimes the lateral side, and sometimes the front. It usually happens after I eat or pass a stool but I have a minor sensation of discomfort even when I am just sitting. All of this has been getting a lot worse the past couple of days. I often feel nauseated too. I think I may have diverticulitis, however, I am not sure how common it is for my age. I also feel like I have a small localized swelling on the LUQ that hurts when I press on it. I am not sure what is wrong and I really want to go get some tests done but I do not feel safe going to a hospital with certain circumstances. Doctor: Hello. I think you are overthinking about your symptoms. To be conscious is good but to be over conscious may fall in the category of anxiety and is not good. I will advise you to be relaxed. Based on your symptoms, I do not feel anything to be worried of. Considering your age and symptoms of constipation and feeling something more probably pointing towards hemorrhoids or some local pathology. But physical examination and maybe flexible sigmoidoscopy would be appropriate to confirm underlying pathology or maybe online video consultation with gastroenterologist if you are worried about going to the hospital. I will advise you following general measures to follow that will help you. 1) Try to relax. Do not overthink. There is nothing serious we are thinking of. 2) Take fibers. Increase it in the diet in the form of vegetables. Add Ispagol in your diet. 3) Avoid constipation. 4) Take plenty of water. 5) Do regular walk, exercise inside your home if you can not go outside. 6) Do not strain in the restroom. 7) Take a sitz bath daily. Follow me in case you got further queries." + }, + { + "id": 3727, + "tgt": "Got a swelling post-extraction. Why has it not reduced?", + "src": "Patient: Hi doctor, A couple of months ago, I took out my lower wisdom tooth. There were complications and my inferior alveolar nerve was compressed during the extraction. I dealt with lip and chin numbness for over a month and I still have swelling below my chin in the jaw and neck area. It looks like a double chin and I did not have it before the extraction. I was wondering if it was fluid buildup. Is there any way to get rid of it, because it is not going away by itself. I had taken antibiotics, but the swelling did not reduce. Please help. Doctor: Hello. Revert back after the test scans to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21529, + "tgt": "I have nausea, loss of appetite and stomach pain. How to get better?", + "src": "Patient: Hello doctor,I have been nauseous for nine days. I am traveling to a different state. I am feeling full since the last one day. Then I lost my appetite. It came out of the blue. Then I started having diarrhea, not straight on, but it will skip days. Then the day before yesterday, I had a half brown half greyish stool then after I can sleep I wake up at midnight feeling weak and cold. I had minor stomach pains in different areas of my stomach. I took nausea pills and Tumms for two days. Doctor: Hello. You have an infection causing diarrhea. I suggest the following medicines: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you get fever, tablet Paracetamol 500 mg twice a day for two days after food, with above medications. 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": 15001, + "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": 19512, + "tgt": "I need your suggestions on which sunscreen to use", + "src": "Patient: Hi doctor, I am in a little trouble. Summer has started where I live, and I am addicted to playing cricket, whatever the weather or climate be. From last two weeks, I have noticed that my face color has become darker due to the\u00a0sun. So, I am a little confused about which sunblock cream to use. I need your suggestion on which cream to use. I do not understand the concept of SPF 25, 30, 50 and 60. Doctor: Hi. Sun protection factor or SPF blocks damaging UV rays, which are responsible for skin aging, darkening, sunburn, and malignancy. I would advise you to use sunscreens that are a multi-spectrum or broad spectrum, which blocks both UV-A and UV-B rays. Select Sunscreen according to SPF value. SPF number not less than 30 and not more than 50 will serve the purpose. While going to play, you may apply a generous layer of SPF 50, and for the routine purpose, you may use SPF 30. Do drink plenty of fluids and wear protective cotton clothing particularly light-colored clothes. Take care. Have a nice and safe game. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24568, + "tgt": "Does hydrosalpinx recur after a bilateral tube disconnection?", + "src": "Patient: Hello doctor, I am 36 years old. I had a bilateral hydrosalpinx (HSG) mainly due to endometriosis. I do not have any pain symptoms, and I had a bilateral tubal disconnection to maintain the blood supply to the ovaries. After this, I had IVF but failed. I had HSG again, and I do not know if there was spilling on the right side but no hydrosalpinx. Some doctors suggest left tube corneal end cauterization, but I was afraid. I had the hysteroscopy and was free, and I am now on the second trial with the frozen ones but experienced now some watery vaginal discharge, and I am worried if there is hydrosalpinx and the second HSG after disconnection what do you think and what you suggest? Doctor: Hello. I find lots of misunderstandings in the history. From the report you have sent, I can say that your uterus is normal and thereby there will be no problems in undergoing IVF. Once the tubes have been disconnected, how can you still have HSG showing spill in either tube? The inner diameter of the tube is 1 mm and is so sensitive. Once the tube has been disconnected by a knot or clip or cautery or any other method, then there can be the reversal of patency only by surgery, if the prognosis is bad. I do not see any fluid collection inside the tubal area. As you see there is no such connection between uterine cavity and tubes. So the watery discharge cannot be from tubes. Fluid could be from erosion on the cervix, or a vaginal infection, which can be treated locally. So in total, I feel the uterus is normal and can confidently go ahead with IVF, no need to have any further interventions on tubes. They are not visible and have no connections with the uterine cavity. So neither can fluid enter uterus from tubes nor can embryo enter tubes from the uterus. To further substantiate my advice, your hysteroscopy was also normal. So just do not worry about it. Hope I have clarified your query, do write back if any more queries and give me your feedback. For more information consult an infertility specialist online -->https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 15363, + "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": 1857, + "tgt": "Is it safe to take Udiliv 300 mg five times a day for high SGPT and itching during pregnancy?", + "src": "Patient: Hi doctor, I am 27 weeks pregnant and have been detected with high SGPT 117. I have full body itiching which is getting worse, and my doctor has prescribed me Udiliv 300 mg five times a day for one month. Is it safe to take Udiliv 300 mg five times? Doctor: Hello. Based on the description you mentioned, it appears that you have this condition called intrahepatic cholestasis of pregnancy (ICP), which can cause elevated liver enzymes or bilirubin along with itching. But however, it is important to rule out other causes of elevated liver enzymes (SGOT, SGPT, ALP) like hepatitis, HELLP syndrome (syndrome of hemolysis, elevated liver enzymes, and low platelet count). Each condition can have different implications in pregnancy. Please check for your blood pressure records, platelets count, coagulation profile, viral markers (HBsAg, Anti HCV, HEV IgG and IgM). It would have been good if you could share the reports of your liver function tests and ultrasound abdomen (for liver) and also given details about any other symptoms you have faced like any stool or urine color changes, skin or eyes color changes, any fever, any raised blood pressure records, or any skin rashes (excluding that caused due to scratching because of itching). And yes, Udiliv is totally safe in pregnancy and has shown to improve the symptoms and also the level of liver enzymes in ICP. Please take Vitamin k supplements to avoid any coagulation defects." + }, + { + "id": 30181, + "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": 10857, + "tgt": "I am suffering from stomach cramps and diarrhea. What should I do?", + "src": "Patient: Hello doctor, I am having bad stomach cramps that I can feel through my throat and diarrhea for the past one week. Kindly advice. Doctor: Hello, Welcome to ilciniq.com. Please follow the following prescription. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. IBS (irritable bowel syndrome), abdominal flatulence, and diarrhea. Buscopan (Hyoscine ButylBromide) one tablet three times a day. Eucarbon (Charcoal) two tablets three times a day after meals." + }, + { + "id": 25901, + "tgt": "Could oral surgery be the cause of seizures in my little one?", + "src": "Patient: Hello doctor,My daughter had an oral surgery because she had a lot of cavities. They had to put her to sleep soon after the surgery. I am assuming less than six months that she started having seizures. Could the surgery or medicine they used made her develop these seizures? She is on medications for the seizures. Doctor: Hello. It is highly unlikely for the medicine used during the surgery to cause the seizures now. Regarding the surgery causing this, the only possible explanation is the development of a stroke during or after surgery which can lead to seizures later. But, I guess she did not have stroke symptoms like facial deviation or limb weakness. So this is also less likely. However, we can get an MRI (magnetic resonance imaging) of the brain done to look for the cause. If it is showing some structural abnormality like the previous stroke findings then we can assume that it might have occurred during the surgery. If not, then this is epilepsy which occurs due to electrical problems in the brain and is not related to any specific cause. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23936, + "tgt": "How can I get my period immediately?", + "src": "Patient: Hello doctor,My period has delayed two days. I want to get period in one day. I am going on a trip so I want to get period immediately. How can I get it? Please suggest me any medicine. Doctor: Hi. Hormones are used to delay or prepone menstrual bleeding. Hormones or medicines need to start in advance like a week or six days before. If you are going in one or two days and the due date is also within one or two days, then hormone might not be as effective as it would be when started earlier a week back or six days or you may even get irregular bleeding even after taking hormones. For postponing for weeks, you can have Primolute N (Norethisterone) 10 mg twice daily for two or three weeks if you want to delay cycles and can stop three to four days before you want to get withdrawal bleeding. Similarly, if you have time you can start pills now and stop after five days. Within a week you should have menstrual bleed as ur menses. I have given you both the above scenarios. Another important thing that hormones are taken for delaying or to prepone menstrual bleeding can make your periods irregular for few months or you can have unscheduled spotting. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15254, + "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": 30029, + "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": 11506, + "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": 22223, + "tgt": "I took Deviry and found I am pregnant. Will it harm my baby?", + "src": "Patient: Hello doctor, I took Deviry 10 mg for 15 days twice a day. Now, I found that I am pregnant for five weeks. Will it harm my baby? Should I continue with the pregnancy or are there any chances of abnormalities in the baby? Doctor: Hello. You have not described your detailed history regarding medical, surgical, gynecological, obstetrical history here. Have you done serum beta hCG or transvaginal scan? If done beta hCG, it is better to have two levels (test to be done two times with an interval of 48 hours) beta hCG to have a clear idea about the pregnancy whether it is increasing by more than 60 % in a healthy manner. Divery is a progesterone hormone. Few doctors give it to support conception and early pregnancy as well. So, it does not have a harmful effect actually. Ask all medications from your treating doctor in detail that you have been taking for conception, PCOD, regulation of cycles, etc. as few hormones are supportive to pregnancy while others can have wrong effects as well. Have full treatment if any disease that you have been experiencing. Continue Folic acid 0.4 mg daily. Have transvaginal scan and beta hCG two levels with an interval of 48 hours. Few patients with a history of multiple miscarriages, polycystic disease, infertility, etc., are advised supportive hormone progesterone for pregnancy or early conception. You have not given your history here but it is better now to discuss with the treating doctor that with early pregnancy your previous history will he/she think that you need progesterone support. If yes, it could be given until the end of the first trimester or even more. I hope you get my point. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4509, + "tgt": "Is it advisable to consume steroids while trying to get pregnant?", + "src": "Patient: Hi doctor, I have been diagnosed with sinusitis, cold and ear infection for more than 10 days. Took antibiotics with ENT doctor consultation, I could see improvement in sinus pain, cold but one ear still remains clogged, finding difficulty in hearing. When checked with doctor, I was informed that the fluid has entered deep and need steroids to recover it. I have been prescribed Prednisolone 5 mg for 15 days with 6 tablets per day for first five days, then 4 for another 5 days and two for remaining 5 days. Along with this steroid, doctor have given Clarinase and one more tablet named Gasec for preventing the stomach related issues as side effect of taking steroids. My queries are is it fine to take such tablets while trying to conceive? If not, how many months I have to wait for conceiving? Is it the right treatment for clogged ears due to sinus? What type of side effects can I expect due to this steriod? Doctor: Hi. If you are trying to get pregnant you must stop Steroids because it has a harmful effects on the nervous and immune system of the fetus but do not panic because you have taken a small dose of Steroids for a short period. Yes, Steroids are one of the best treatments for the collected secretions behind ear drum after sinusitis and common cold. You can start trying to be pregnant the next few days from stopping Steroids. Do not wait for side effects as the dose is small, the period of treatment is short." + }, + { + "id": 10630, + "tgt": "There is a lump above my left collarbone. Is it cancerous?", + "src": "Patient: Hello doctor, I consulted two doctors regarding a lump that I could feel above my left collarbone, whenever I strain or turn my neck. Both the doctors said that it was just a prominent tendon, but gave me an ultrasound to ease my mind. The ultrasound said 'there is a 6 by 4 mm hypoechoic nodule in my left supra clavicular area, presumably representing a small lymph node. If clinically indicated, an MRI or a CT can be done for further evaluation. On seeing the reports, one of the doctors said that I need a biopsy right away. The other doctor referred me to an ENT. I followed up with the ENT, but he was not able to feel the lymph node and said that the lump is just a prominent muscle and nothing to worry about. The ENT also said that the ultrasound was normal and that a 6 by 4 mm node is normal and nothing to worry about. I have been reading online, and it is mentioned everywhere that a hypoechoic nodule is cancerous, especially in the left collar bone area. What does a hypoechoic nodule mean? Does this mean it is a small cancerous lymph node? What does it mean by 'if clinically indicated, a CT or MRI can be done for further evaluation.'? I also had a CBC done, and that was normal. I had a neck CT done six months ago for a pulled muscle, and that was normal as well. If it did not detect this small nodule six months back, can it have grown in just six months? Is hypoechoic bad? Why did the ultrasound say presumably a lymph node? I am so worried now. Do I need a biopsy or is there nothing to worry about? Doctor: Hello. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpate. A soft node is generally secondary to some inflammatory response, generally an infection. Please ask your doctor to have a look at your abdomen and re-evaluate the node, although I am almost certain, it is nothing but an inflamed node. As it is of a short duration, it is highly unlikely to be anything dangerous. I suggest you get the following tests: For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7434, + "tgt": "Will my gallbladder polyps turn cancerous?", + "src": "Patient: Hello doctor, I got my abdominal ultrasound done due to pain while urinating. In the ultrasound, it showed as 'gallbladder polyps'. I checked online and it said it can lead to cancer. I am very scared. I am uploading pictures. Doctor: Hi. There is nothing to worry about gallbladder polyps. I have seen the images (attachment removed to protect patient identity). These are small non-problematic thickenings of the gallbladder wall. Pain while urinating is not due to gallbladder polyps. Since you are having multiple polyps, it is always recommended to remove the gallbladder by surgery (keyhole or laparoscopy). Surgery is adviced because these polyps may grow rarely and some polyps may be actually small stones which indicate that the gallbladder is not functioning. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14162, + "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": 5157, + "tgt": "Does vitamin deficiency cause twitching and tingling?", + "src": "Patient: Hi doctor, Before a week, I began having twitches and tingling in both legs from the knee down. For some time now, probably 6 months or more, I also began feeling that my legs were heavy and just general weakness all over, not really muscle weakness. I am also a gastric bypass patient and have a history of low B12, iron saturation and low vitamin D. To complicate matters even more, I went to an orthopedic spine specialist about a month ago, due to the stiffness in my neck. I was unable to turn side to side and this has been going on for several years, like 5 or more. Also, I have a sharp pain between my shoulder blades. My cervical MRI shows moderate facet joint arthritis, small central spur on C5-C6 and some compression of the spinal cord. Even more complicated is that the MRI showed thyroid nodules and the ultrasound reported as typical of a multinodular goiter. My TSH was 4.18. I visited my family doctor and he said that the twitches were probably from low vitamin B12. He gave me an injection yesterday and took blood to measure B12 and vitamin D. My vitamin B12 is more than 2000 and vitamin D is 9. I am going insane thinking that I have some horrible neurological disorder with the twitches and tingling in my calves, general fatigue and heavy feeling of my legs when I walk. My primary care physician did a strength test on arms and legs and said it was normal. Can low vitamin B12 and vitamin D cause these symptoms? I just feel weird and scared. Doctor: Hi. Vitamin B12 deficiency can cause subacute combined degeneration of the cord. So, the treatment is daily Vitamin B12 or Vitamin B complex supplementation for 12 weeks. Your vitamin D levels are also low. The treatment is Vitamin D capsules 60000 IU every Sunday for 12 weeks. In your present scenario, for twitching, the first line of management is vitamin B12 supplementation and vitamin D supplementation. Consult your specialist doctor, discuss with him or her and take the medicines with consent for 12 weeks and you will have a dramatic improvement in the next three months. Revert back after three months to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3992, + "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": 8544, + "tgt": "Why can I retract foreskin only during flaccid state but not when erect?", + "src": "Patient: Hello doctor, I am a male of 5'11\" and 92 kg weight. My age is 26 years and I am on no regular medication. I cannot retract my foreskin in erect position, but can retract during flaccid state. I also ejaculate very soon and I cannot get full erection. What treatment should I take for this? Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15719, + "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": 27523, + "tgt": "I feel weak, numb, and almost pass out. Do my CTA reports show the cause?", + "src": "Patient: Hello doctor, I have been feeling weak, numb, and almost passing out throughout the day randomly for a month. I had a CTA in the ER, and they sent me home with this report. And they said to check with neurology, but not to worry. I have read and it says not to worry unless you are symptomatic, which I think I am. I have had a year of random anxiety, confusion, pain, and stroke like episodes. The neck CTA report read, no CTA evidence for internal carotid artery stenosis, occlusion, or dissection. Mildly hypoplastic right cervical vertebral artery without evidence for dissection, stenosis, or occlusion. Evidence for prior right hemithyroidectomy. The head CTA read, no CTA evidence for large vessel occlusion secondary to embolism or acute thrombus. Hypoplastic right intracranial vertebral and basilar arteries. Severe hypoplasia of the right posterior\u00a0cerebral artery\u00a0P1 segment with a patent right posterior communicating artery supplying blood to the\u00a0right posterior circulation. Doctor: Hi. Thank you. Revert with more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9546, + "tgt": "Is it normal to have chlamydia IgG negative and IgM positive on 168th day of exposure?", + "src": "Patient: Hello doctor, On 168th day of risky exposure, chlamydia IGG is negative and IGM is positive. Gonococci urine test- grams smear is negative for gram negative dipplococci morphollogically resembling gonorrhea. I have taken Doxy1 LDR Forte for one week (14) along with Flavospas 200 mg after two weeks of exposure. Please interpret my test and inform which specialist doctor I have to consult. Doctor: Hi. You can consult a dermatologist and you have taken right treatment." + }, + { + "id": 21822, + "tgt": "Do I have a risk of getting HIV from a drug addicted sex worker?", + "src": "Patient: Hi doctor, I took HIV RNA TMA TEST after six days and seven hours of exposure, and it was negative. But I am still worried. Can this result be a false negative? What about the accuracy of this test? Doctor: Hi. Although the test is sensitive, you have taken this test too early from the day of last exposure. You need to get retested after two weeks of exposure with the same test. I want to tell you the HIV test recommendations: The recommendations are fourth-generation HIV rapid test should be done at four weeks and if the result is negative, get a confirmatory HIV antibody test at three months of last exposure. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 31043, + "tgt": "Had I-pill after unprotected sex, but did not get periods on time. Why?", + "src": "Patient: Hello doctor, I had unprotected sex with my boyfriend and had an I-pill after 11 hours. I had to get my periods today, but still I have not. Usually, I have a 28 day cycle and today is my 30th day. What shall I do? Doctor: Hello. After the I-pill intake periods generally start in the next 7 to 10 days. So, please be patient. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12030, + "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": 2729, + "tgt": "Painkillers caused kidney problem, please suggest oil or ointment for knee pain", + "src": "Patient: Hi doctor, This query is for my aunt who is 60 years old. She has knee pain (both) for more than 15 years. Initially, she used to get swelling around the knee and pain. She keeps taking injection and painkillers for pain for the last 15 years. Recently, she was ill for around three months with a bacterial infection in her legs. As she was under treatment for that infection, her pain got subsided for some time due to pain killers and other antibiotic effects. Now, again she is getting pain. She also has some kidney issue and her current creatinine is 1.5. But it was high six months ago. She was prepared for knee replacement surgery and it was canceled as her husband got a stroke a day before surgery. While going through the tests before surgery, we got to know that her kidney is under trouble. Her creatinine was so high at that time. As I am far from her I could not present any of the reports. Now also she was advised to stay away from pain killers and other medicines to prevent further kidney problems. Kindly suggest some ointment or medicinal oil to apply for knee pain. Doctor: Hi. You need to take the following tablets: Tablet Tramadol 50 mg 1-0-1 for 10 days after food, Rabeprazole 20 mg 1-0-0 for 10 days before food, Shelcal (calcium) 500 mg 1-0-0 for 30 days before food, Wintogeno cream (Ayurveda formulation) which can be purchased from eBay can be used by her twice daily. Take these tablets only if you are not allergic to them. Do not take them if you are a known case of bronchial asthma. Follow up immediately in case of any untoward reactions. Advice: 1. Activities that cause pain should be avoided temporarily. 2. If the knee is swollen or sore, squatting, kneeling, twisting and pivoting, jogging, aerobics, dancing, and playing sport should be avoided until knee pain and swelling resolve. 3. You should wear a knee cap for support to the knee joint. Wear it all day and you can remove it at night. 4. Apply ice packs twice daily for 15 minutes each. 5. You need to get your x-ray of both knee joints AP (standing) and lateral views. Do the x-rays and upload them for accurate advice. 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." + }, + { + "id": 17970, + "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": 2024, + "tgt": "I have severe upper abdominal pain and cannot sleep. Is there a home remedy to relieve pain?", + "src": "Patient: I have severe pain in my upper abdomen possibly because of an acid reflux and i can't sleep. After eating I feel a sudden pain in my upper abdomen or more specifically in the epigastric region. Last week I'm surprised that even though I don't have any problem digesting milk or dairy products I got suddenly become lactose intolerant after drinking an sterilized milk. I thought first it's just a common digestive problem so I take loperamide however after a few minutes I suddenly feel the symptoms of a heartburn so I take kremil S. Is there's a home remedy that can lessen the pain! Doctor: Hello,, I am a family physician with Icliniq and would be glad to try and answer your question. Thanks for all the information you gave about your question. Whenever you share with us a problem, it is always helpful to the doctor when you give information like when the problem started, it's location and severity, other accompanying symptoms like diarrhea, vomiting, fever... if you have had it before, and what response there has been to treatment. Also it is important to know if a doctor has seen you for this problem in the past,, whether you smoke or drink, and whether or not you have other medical problems for which you regularly take medicine. There can be many reasons for upper abdominal /chest pain in your age group. I will list them for you as well as the most common treatments. If none of these help you, you would need to contact us again with more information. Gastritis/ulcer disease can cause severe pain and sometimes bleeding in the upper abdomen. You might have dark stools, feel dizzy from loss of blood or have lots of soreness to touch in your belly. Often patients do better when they stop taking any pain medicines like aspirin or ibuprofen which can irritate the stomach and use a proton pump inhibitor like omeprazole 20 mg 30 minutes before breakfast every day for 2 weeks. Some people use a 1/2 teaspoon of baking soda in a 120 ml glass of warm water, which can help but isn't used regularly Another problem is acid reflux. It is very similar to gastritis, but usually causes heartburn as the acid goes up into the esophagus in the chest. It also responds well to omeprazole. Abdominal pain can come from stress which irritates the large intestine. Loperamide often will help that pain, usually 2-4 mg at a time when you feel the paint, up to 4 times a day. A stomach and intestinal infection can cause pain. It is usually accompanied by diarrhea and sometimes fever. Most stomach infections respond to loperamide and increasing your fluids. Gallbladder disease (stones) can cause intense pain, especially after meals that are fatty. This problem is best diagnosed by having an ultrasound done and seeing a surgeon. Pancreatitis is an inflammation of the pancreas which is often caused by drinking alcohol. There is often very severe pain and vomiting. Patients can get better by stopping any alcohol and not eating for 1-2 days. Often they need to see the doctor. Lastly, COVID-19, the virus which is causing the pandemic worldwide, can cause diarrhea, fever and cough. It is always wise to think about whether or not you have had contact with a patient who was diagnosed with the virus, and consider getting tested. As always, any problem that is not getting better or is getting worse despite what you can do at home needs to be seen by a doctor. Hope this information is helpful to you!" + }, + { + "id": 30936, + "tgt": "Please suggest some ointment for burn injury", + "src": "Patient: Hi doctor, My son, who is 2.7 years old, met with a burn injury. Today afternoon, he kept his hand over a hot cooker and got injured. We applied toothpaste immediately and some powder to reduce the burning sensation. Now, after four hours, it has become like a boil. I have attached the image for your reference. Please suggest some ointment. Doctor: Hi. I have gone through your query and can understand your concern. I have seen the picture as well (attachment removed to protect patient identity). For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4180, + "tgt": "What causes tremors with pain in arms, legs, and joint pain?", + "src": "Patient: Hi doctor, I am a 45-year-old female. I was treated with intravenous Cortisone injection therapy for a week for having acute demyelinating symptoms for almost two months that appeared together with a new lesion at the cerebellum area of my brain. There had been three other there, supposedly migraine type. Lumbar showed oligoclonal zones both in the blood and spinal cord. My problem is that since then, and even if the cerebellum lesion has disappeared, I still experience symptoms not as acute as it had been during the episode, but quite annoying to disturb my everyday life. I have pain in my left arm and joints, left leg, and joints of both of my legs. I also have back pain and tremor but not always. I get tired very easily. But tired does not mean tired. It means that I start having problems with my balance in the left leg, tingling, eye sight problem, cannot cope with too much noise, argues and fights with family gets me worse. Nobody understands there is something going on. The last neurologist I saw said that it is a matter of stress so he suggested to consult a psychiatrist. My psychiatrist says stress does not cause this sort of pains as I already get a depression treatment for seven years. However, let me say they are gonna get me crazy with all this. Do you have any idea? How I might proceed? Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to chronic lesions of multiple sclerosis MS (sometimes there is no total improvement after steroid therapy). Anyway, I would recommend starting Gabapentin for chronic pain or switch from Zoloft to Duloxetine which is better for chronic pain. I would also recommend performing a new brain and spine MRI (magnetic resonance imaging) in order to exclude possible new lesions. It is also necessary to check thyroid hormone levels for possible hormonal imbalance and vitamin D plasma levels for possible deficiency. I hope this helps." + }, + { + "id": 10509, + "tgt": "I feel stress even for small things which urges me to pass stool frequently. Why?", + "src": "Patient: Hello doctor,I feel stress, tension, and anxiety for even little things. Due to tension, I have the urge to pass stool frequently. My digestive system has been distributed. Some times I \u200bsuffer from constipation, and loose motion, but mostly from loose motion. Gas also forms in the stomach. I always feel less stamina, loss of strength, weakness, fatigue, tiredness, with low immunity\u200b associated with tightness, aches, and pain in both hands and legs. Kindly advice. Doctor: Hello. It seems you have developed severe anxiety towards something. You may try Argentum nitricum 30c one dose (four pills) once a day in the evening for five days. After five days start taking Kali phos two tablets twice a day for 15 days. These remedies should help to reduce your anxiety to some extent. Please do not take these remedies for a longer duration than the recommended period. Let me know if you have any other questions. I would be happy to answer your queries." + }, + { + "id": 9179, + "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": 3970, + "tgt": "Is chemical or nuclear echo the only relevant test to determine left bundle branch block?", + "src": "Patient: Hello doctor, I was diagnosed with a left branch bundle block a few years back. I have been under the care of a cardiologist to make sure my heart is fine since then. I have done stress echos yearly or every two years since and have been told my heart is otherwise fine. I just had to switch the other doctor because of insurance and my new doctor says old stress echos are irrelevant, that only chemical or nuclear echos work in patients with lbbb. Is this true? I have a strong family history of heart disease, my father survived two heart attacks, mother survived double bypass and my maternal uncle died from a heart attack, all were smokers with high cholesterol and high blood pressure. I am a former smoker. I am a 43-year-old female. I have been exercising six days per week for over 20 years. My cholesterol is high 213 but HDL is 140 and triglycerides are low. I am a little put off by a nuclear stress echo and would prefer the regular exercise. But I want to know what this new doctor says is true? Then I guess I will have to go nuclear. I am currently taking Spironolactone 100 mg for acne, Omeprazole, and multivitamins. I just had an ultrasound of heart and EKG past monday. Doctor did not mention anything other than lbbb that was previously diagnosed. Doctor: Hello, Welcome to icliniq.com Treadmill test is not very informative in case of lbbb patient, however, stress echo either exercise or nuclear is valid. Stress thallium is the best test to be done in you. I guess you did not have any symptoms like chest pain or heaviness during stress test and if so it will still suggest the absence of significant heart disease. In my opinion, there is not much difference between exercise echo and chemical stress echo and not invalid, but nuclear scans like stress thallium is certainly a better test. I would advise for a nuclear scan as it would be more informative. Anyhow, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have a low salt diet and monitor your blood pressure regularly. Do regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and 5 days a week. Eat lots of green leafy vegetables, fruits, and fish once or twice a week. Avoid meat, smoking, and alcohol if any. There should not be any abdominal fat deposition or obesity. Get your lipid profile and sugars tested once." + }, + { + "id": 6303, + "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": 26635, + "tgt": "I am experiencing water-like discharge in my first trimester. Is this normal?", + "src": "Patient: Hello doctor, I am on the last day of my first trimester and I was experiencing water-like discharge yesterday as if I am about to start periods. I had intercourse five to six days before this. Is this normal during this phase of pregnancy? I am experiencing an itching on my outer labia and the skin is removed slightly. What can I apply? Doctor: Hello. How are you doing? Do not worry. There will not be any problem. Hope I have clarified your query. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11474, + "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": 23615, + "tgt": "When will walking get normal after foot fracture?", + "src": "Patient: Dear doctor,I had a 2,3,4 metatarsal foot fracture on 13th. Thereafter, the foot was in a cast which was removed on 20th. Now, there is as slight swelling and it hurts when walking. I am unable to walk smoothly. I partially drag the foot when walking. Hence, I request your advice on the following: When will my walking be normal? What should I do to expedite the same? Doctor: Hello. 2, 3, and 4 metatarsal fracture can vary from undisplaced midshaft fractures to head fracture which affects forefoot (front part of the foot) to the base of metacarpal fracture which can vary depending on the anatomy of the fracture and thus the treatment also varies. An X-ray of your foot at the time of injury and probably a fresh X-ray would have been more appropriate to discuss about the condition. Coming to your questions now: The fracture should consolidate in a favorable position after which foot movements and walking can be normalized. Ideal healing time for foot injury is 6 to 12 weeks depending on the fracture. Healing is a normal process, Its rate cannot be increased. However, avoiding factors that impair healing is recommended. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11078, + "tgt": "What can be done for vision problem in MOG IgG positive, and NMO IgG negative person?", + "src": "Patient: Hello doctor, MOG IgG positive, and NMO IgG negative. Sudden problem in vision of one eye. Age 9 years, female. Treatment IVMP for five days. Please suggest the best possible treatment and please explain about the condition. Doctor: Hello. MOG-antibodies are common in children with acute demyelinating syndromes (like optic neuritis in your case) with both monophasic and relapsing disease courses. MOG is myelin oligodendrocytes glycoprotein normally present on oligodendrocytes of brain, spinal cord and optic nerve myelinated neurons. Many time during viral infection or due to some unknown reason, bodies immune cells falsely perceive it as a foreign particles and attack on it and it will damage the myelin sheeth. Mostly affects vision of eyes, spinal cord function and brain. Diagnosis is made by history and examinations, MRI brain and spine, CSF, NMO, MOG antibodies. Treatment of patients with MOG-Ab-associated demyelination includes management of acute relapses and chronic immunotherapy for those with relapsing disease. Acute phase treatment: Best possible treatment in your case is IV Steroid for five days, already given. But in case severe disease, IV immunoglobulin or plasma exchange for five days, both will reinstall immunity but not indicated in your case as she is improving with steroids. Maintenance with tablet Prednisolone 1 mg/kg/day for four to six weeks, then will slowly taper down and stop. But in case of relapse (further attacks) will have to continue for long time." + }, + { + "id": 240, + "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": 13568, + "tgt": "What are the side effects of Unwanted-72 pill?", + "src": "Patient: Hello doctor, I want to know about the Unwanted-72 pill. Does it have any side effects? I had unprotected sex with my fiance for the first time and I am confused about what to do. I want to know if this pill is safe. Doctor: Hello." + }, + { + "id": 12817, + "tgt": "Will having sex twice lead to fraternal twins?", + "src": "Patient: Hello doctor, Fraternal twins are when two eggs have been released and both get fertilized by two different sperms. Does this mean the woman had sex twice to fertilize the second egg or one sperm fertilized both of them? Doctor: Hi. Actually, twins are babies produced by single same pregnancy can be monozygotic (identical) or dizygotic (fraternal). Monozygotic develop from one zygote which splits in an early stage of development and form two embryos. Dizygotic (fraternal) twins mean each twin develop at the same time from a separate egg and each egg is fertilized by its own sperm at the same time. It means woman had sex once only and at time fertilization two eggs fertilized by two sperms. In a few milliliters of semen, millions of sperms are there. So two sperms used to fertilized two eggs." + }, + { + "id": 13335, + "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": 7664, + "tgt": "My 11 year old daughter has congenitally elongated tailbone. Will it affect her as she grows?", + "src": "Patient: Hi\u00a0doctor, My 11 year old daughter, who weighs 35 kg and is 4.10 feet tall, is suffering from pain in the\u00a0tailbone. The x-ray revealed that it is a congenital elongated tailbone. The report read, coccyx shows longitudinal clefting, which appears to be congenital variation. She has been advised to sit on soft surfaces, with a pillow, since sitting on hard surfaces seems to aggravate the pain.\u00a0She has to be careful about her sitting posture all the time since sitting in the wrong posture triggers the pain.\u00a0I needed to know if this pain will reduce with age since she is a growing child? Or can it further increase and cause problems later? Also, can any exercise or surgery solve the problem? Doctor: Hello. I wish you had included the x-ray with the detailed description. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19034, + "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": 11456, + "tgt": "What should I do when hot oil splashed on my hands?", + "src": "Patient: Hello doctor, Yesterday while preparing food, a spoon full of hot oil splashed on my hand. Small blisters started popping up, and it started getting more significant. By today morning, the skin around the blisters has become black. I applied ice and cold water and also one over-the-counter cream. Please find attached the picture of the burn. Should I keep applying ice or should I do anything more to expedite the healing? Is it healing as it is supposed to be? Doctor: Hello. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed superficial burn.Take injection Tetanus and use Silverex ointment (Silver Nitrate) local application twice daily for one week after consulting your general physician or nearby dermatologist." + }, + { + "id": 2258, + "tgt": "I have itching in the throat with little cough. Are Cetirizine and Calvam 250 enough?", + "src": "Patient: Hello doctor, I am having itching in throat and little cough for more than two weeks and cold. No fever, no body pain. My BP and sugar are normal. I am taking Cetirizine and Calvam 625 with little improvement. Doctor: Hello. Do you have any postnasal drip or cold? Do you have any acid reflux, stomach ache, or sour eructations? Is there any cervical lymph node? Do you smoke? Can you attach a picture of your throat?" + }, + { + "id": 20642, + "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": 1040, + "tgt": "Does alcohol hinder the work of Abilify?", + "src": "Patient: Hi doctor, A person used Abilify and drank alcohol heavily on Abilify. Then switched medications and quit drinking for years. Can that person go back to Abilify again? Will it work? Or does drinking alcohol make the medication never work again? Please explain. Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27438, + "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": 18751, + "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": 10759, + "tgt": "Can someone get ADHD in their teenage years?", + "src": "Patient: Hello doctor, I am a 16-year-old male. I am concerned about my mental health. I have symptoms of ADHD like fidgeting, restlessness, being very talkative, losing focus or attention, but I am very extroverted, and my academic ratings are good. Does someone get ADHD in their teenage years? And am I one of those people? Doctor: Hello. ADHD (attention-deficit hyperactivity disorder) is a developmental condition which is noticeable since early childhood. Symptoms like hyperactivity, impulsivity, inattention will be present before the age of 12 years. Parents and teacher would have commented about it even in nursery and early primary school years. It is unlikely for someone to develop to ADHD in teenage years without having any symptoms before. Other causes like anxiety, too much stress and pressure, family, and social problems need to be ruled out. Also, important criteria for diagnosis is functional impairment like you may not be able to do well in academics and not able to achieve your potential. But you report doing well. So ADHD looks less likely. If you have any other concerns, discuss with your parents and family and consult your doctor." + }, + { + "id": 15649, + "tgt": "Will taking Regestrone post unprotected sex prevent pregnancy?", + "src": "Patient: Hello doctor, I and my fiancee had unprotected sex a month back. I had an orgasm before having but not during sex. She has PCOD so her periods are irregular. She went to the doctor and doctor suggested having Regestrone 5 mg three tablets for three days. She started taking it 13 days later and finished after three days. The day before yesterday, she got her periods. But she did not have blood clots and flow is very slow. Is there any chance of pregnancy? Doctor: Hi. How are you doing? As she has PCOD (polycystic ovarian disease), her ovulation date cannot be predicted. So there is always a chance of pregnancy. But as she had bleeding after having tablet Regestrone, pregnancy is not possible. Bleeding after having hormones will be thicker and lesser than normal, that is expected. Once the bleeding occurs, the inner lining of the uterus has fully been shed, so there is no chance of a possible pregnancy to get implanted on the post bleeding, thinned out uterine inner lining. So I do not see any chance of her being pregnant. But if you are still not satisfied or want a further confirmation, have her blood serum beta hCG tested. This can detect the smallest of pregnancy anywhere in the body." + }, + { + "id": 18042, + "tgt": "How to maintain sperm count through treatment?", + "src": "Patient: Hi doctor, I am suffering from hypogonadotropic hypogonadism. I am taking HCG 5000 and HMG 150 injection twice a week. My sperm production has started from azoospermia. We have done IVF and it was successful. My doctor asked to take testosterone injection, but if I take this my sperm production will be stopped. I want to know how to keep sperm production active. Please let me know the available option to maintain the sperm. I heard about Clomiphene citrate 50 mg or Enclomiphene citrate 25 mg treatment. Please help me with that. Doctor: Hi. HCG (human chorionic gonadotropin) and HMG (human menopausal gonadotropin) are excellent choices to ensure a good sperm production, which is needed for fertility that you have achieved. However, this treatment combination rarely leads to normal testosterone levels, which is needed for good muscle mass and general well being. Testosterone injections will be ideal for the same, cheaper and easier to take. Yes, it will reduce your sperm count, which is reversible once it is stopped. Hence, unless you want to have a second child soon, there is no rationale to continue the difficult regimen of HCG and HMG injections. You can conveniently switch to testosterone injection now. Then a few years later, we can stop the testosterone injection and go back to HMG with HCG if you plan a second child. Clomiphene citrate will not help in hypogonadotropic hypogonadism. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28963, + "tgt": "My son has the problem of tearing in one of the eyes since birth. Please advise", + "src": "Patient: Hi doctor, My child is facing the problem of tears in one of his eyes since his birth. He is now 9 months old. I have consulted many ophthalmologists, and they all agreed that it would go automatically with daily massage. Though\u00a0it has reduced now, still it comes. Otherwise, he is in finest health.\u00a0Please advise. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27401, + "tgt": "I missed taking the birth control pill and now have severe bleeding. Please guide me", + "src": "Patient: Hello\u00a0doctor, I was prescribed a birth control pill to stop an ovarian cyst about two months ago. I have been taking the pill regularly, but I missed a day. I have been sexually active. I have now been bleeding for three weeks without a stop. My doctor told me to stop taking the pill until the bleeding stops. Even though I did, to this day, it has not stopped. In addition to the bleeding, I have nausea, bloating, fatigue and cramps. What should I do? Doctor: Hello. How are you doing? Please do not get stressed out. You are fine. All this while, you have been trying to control the symptoms of the cyst, when the real cause of this cyst, which is anovulation is still present. Let me explain. You are not pregnant. I say this because, just by missing a single pill, you cannot get pregnant. These pills suppress the hormones from the body and thereby the ovulation. So, for these hormones to be released, you have to miss at least two pills, that is, 48 hours of no pills. Also, you are continuously bleeding, and this rules out pregnancy. The problem here is your weight. You are trying to stop the cysts with the pills. But, they can only prevent further cyst formation and not those which are already there. From your history, I presume you to have PCOD (polycystic ovarian disease). This is a congenital condition, by which I mean, it is genetically programmed, and you get it from your parents. When you suddenly put on a lot of weight, this cholesterol is converted to the estrogen hormone. This is similar to how obese men develop breasts, and young obese girls get their periods at a younger age. In both the cases, they have high levels of estrogen, the female hormone. In your body too, when fat, which is a store for future use, is more than normal, this is converted to estrogen, which tips the balance between FSH from the brain and the ovarian hormone. FSH (follicle-stimulating hormone), as the name suggests, stimulates the follicle from the ovary. Once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But, when the same estrogen hormone is coming from fat, the brain is confused, and the follicle growth stops early, at a smaller follicle size and thus, will not rupture. In the next scan, you will see these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for few months and later, heavy periods with clots and fleshy masses, or spotting on and off, thyroid abnormality and prolactin problem indirectly. You will develop an extra pad of fat around the mid segment of the body, especially the waist, thighs and breast, no fat beyond elbows and knees, excessive body hair growth, hair fall , dark shade over lower half of the face, acne ,oily face, darkening of the skin over the back of the neck, inner thighs and undersurface of the breast. PCOD will not allow ovulation to occur on schedule and hence, you cannot get pregnant, until you are treated. It also increases your chances of early pregnancy abortions. But this has a solution, namely weight reduction. Your weight has to be weight (in kg) = height (in cm) - 100. In your case, your target weight is 52 to 55 kg. Once you get your weight to the normal range, you will not need any medication to get your periods or to get pregnant, and your pregnancy will be healthy. To reduce weight, I suggest the following: Bloating is due to the side effect of the hormonal imbalance. It will get rectified automatically. Now, to control bleeding and have everything corrected, this is what we can do: 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": 11063, + "tgt": "Is it possible to get spotting due to transvaginal scan during pregnancy?", + "src": "Patient: Hi doctor, I have a history of recurrent early miscarriage (before seven weeks). Investigations pointed to high autoimmune antibodies and high NK cells. With medication, I conceived naturally and had a successful pregnancy. I am now pregnant again (unplanned) and am 7 weeks + 3. I had some spotting and cramping three days ago. The spotting was light and stopped within a few hours. The cramping continued for another day. Blood hCG levels are rising very well and are currently over 83,000. A transvaginal scan yesterday showed the heartbeat and we were told all is well. Today, I had some light spotting (dark brown) and discomfort and passed a brown clot. My query is whether this may have been the cause of the spotting the other day, or maybe this was caused by irritation from the TV scan yesterday. I am concerned anyway and any advice would be greatly appreciated. Current medications: Eltoxin, Prednisolone 5 mcg, Clexane. Sarting Intralipids next week to target NK cells. Doctor: Hi. How are you doing? I understand your concern. From your history, I do not see any reason for you to worry. This spotting could be from mild erosion on surface of the cervix, which may bleed spontaneously or during sex or due to scan probe. In your history as you have not mentioned pain, I can say for sure that there is no intrauterine blood. Scan also did not pick any hemorrhages (attachment removed to protect patient identity). The medications you are having is absolutely the perfect ones. Most of the miscarriages before 12 weeks are due to genetic problems. But in the present scan as baby's growth has been adequate, you do not need to worry. This clot could be an implantation bleed. This is normal and nothing needs to be done." + }, + { + "id": 5547, + "tgt": "I suffer from anxiety and OCD. Is it due to increase in FT3 level?", + "src": "Patient: Hello doctor, I suffered from terrible anxiety and OCD that seems to come and go over time. My mother had exactly the same disorder like myself. She was diagnosed with an under active thyroid and autoimmune thyroid issue. On taking medication to sort her levels she has been free from the mental health problems. I recently started getting the issue again and took a thyroid function blood test. All levels were within range but my FT3 was slightly elevated at 8.97 pmol /L. I would love an expert opinion on if periodic FT3 level increases could be causing the anxiety, depression, and OCD issues. I am currently on Sertraline 150 mg. Coupled with my mother\u2019s exact issue, and cure, I am not sure what these results could mean? What should my next step be and could this elevated FT3 cause my anxiety to start? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have sub-clinical hyperthyroidism and the FT3 here does not seem to be high enough to be causing the symptoms that you have mentioned so rest assured on that front as of now. This condition does not need any treatment as of now. This condition just needs regular follow up thyroid function tests every six weeks to three months. You must consult your psychiatrist for your anxiety and OCD (obsessive compulsive disorder) issues. You can also benefit from avoiding caffeinated beverages and alcohol if at all. So as regards the thyroid function test just keep repeating it regularly. I hope this helps." + }, + { + "id": 27097, + "tgt": "My childhood asthma is resurfacing and my BP is high off late. What is wrong?", + "src": "Patient: Hello doctor, I am 64 years old, completely fit, 5 feet 2 and 118 lbs. I have a steps tracker. So, I know my resting heart rate is 67 on average. I walk an average of 18,000 steps a day, may be more. I golf four times a week and usually walk. But, I did have asthma as a child, and it seems to have resurfaced. I have been taking Flovent (just in the last three months) because the humidity and allergens were horrific. I take Benadryl sometimes at night. I do take Aleve or other Ibuprofen daily. I have a family history of high blood pressure. Six months ago, my blood pressure was in the range of 110/70 to 120/80. The other day, I took a reading and it was 141/87. It was the same for the last several days. I am not sure when this elevation occurred. I never eat fast food or processed food, and I am also on a gluten-free diet. Doctor: Hello. You have not put forward any specific query about your health issue. What I have understood is that your average pulse rate is around 67 per minute. Your BP usually varies from 110/70 to 120/80. But off late it is higher. Periodic check up is recommended. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 5056, + "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": 5195, + "tgt": "Please suggest medicine for PE in male with diabetes and high blood pressure", + "src": "Patient: Hello doctor, I am a male 50 years of age. I am having diabetes and high blood pressure for the last seven years and taking medicine for the same. I have a very low libido and premature ejaculation too. Please suggest some medicine to overcome this problem. Doctor: Hello. I hope your blood pressure and blood sugar levels are in the normal range. In a lot of patients with diabetes and hypertension, the main reason for poor erection is poor blood pressure and sugar control. If your blood sugar levels are not in the normal range then please get the levels in the normal range. HbA1c should be tested in your case. If the levels are normal then no need to worry. HbA1c levels tell about the long-term blood sugar control. To get a strong and hard erection, you can think of using tablet Udenafil 50 mg tablets. The drug is a selective drug and is safe in diabetes too. This will help in hard erection. To increase the ejaculation time, drugs like Dapoxetine can be used on SOS basis. This will solve your problem. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Have healthy food and exercise daily in order to remain fit. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15697, + "tgt": "Kindly explain the factors used to calculate the risk of trisomy 21", + "src": "Patient: Hi doctor, My NT scan showed me a range of 1.4 mm and my double marker showed me a risk of 1:20300. But my age risk showed a result of 1:176. Which one has to be considered and what it signifies regarding the risk for trisomy 21? Doctor: Hi. I have gone through the query (attachment removed to protect patient identity). Many factors count for calculating risk. They are age, serum markers, family history, and nuchal translucency. An age-related risk is more after 35 years of age. As you are 38 years old, so the risk is calculated as 1:176. But, individually it cannot define the whole risk as it involves other factors also. Nuchal translucency less than 2.9 mm is considered normal, and you have a range of 1.4 mm, so the factor does not show a risk for an anomaly. Serum markers show a least negligible risk like 1 in 20300. So this factor is also not under threat. You have not mentioned about your family history as it will also play a role in calculating the all over risk. So the combined risk is decidedly less. Have a usual anomaly scan at 20 weeks to check for any anomaly. Around 22 weeks, try to have a cardiac outflow tract." + }, + { + "id": 28629, + "tgt": "My mother had brain stroke. Could you help us with the treatment?", + "src": "Patient: Hi doctor, My mother, who is 65 years old, had a brain stroke. Could you help us with the treatment? I have attached the MRI report for your information. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22643, + "tgt": "I always have a stuffy nose causing brief dizzy spells. How can I stop it?", + "src": "Patient: Hello doctor, I have a continuous stuffy nose which gives me brief dizzy spells that go once I try to blow my nose (not hard). It just helps equalize pressure. My glucose, BP, heart tests are normal. I eat and drink regularly. I work in a dusty environment. The dizziness is definitely associated with congestion. How can I stop it? Doctor: Hello. Either a dust allergy or infection is causing you an allergic rhinitis. You will need X-ray PNS (Water's view) and CT PNS for a confirmation. I suggest taking: Avoid dust by covering with a facemask. Follow up with the reports. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7550, + "tgt": "What should I do to overcome the nervousness I get during foreplay?", + "src": "Patient: Hello doctor,When I start foreplay I get so nervous, body temperature gets so hot, and heart rate beats so fast. I get precum in 2 minutes after that erection goes. So after that, I do not know when I can get an erection again. Will it come after half an hour and after that will I be fine? Is this normal? Will this issue go away after some try? And is there any medicine which I can use temporarily (not always) to avoid nervous, temperature, etc.? Doctor: Hello. It is common to feel nervous during foreplay initially, most of the time it becomes normal after few days so it is better to wait few more days and spend more time during foreplay so that ejaculation will not be fast and you can enjoy your sex life to the full extent. Most of the time, it is because of anxiety and will pass away. This is quite normal in young adults trying first-time sex. So do not worry too much. You wait two more weeks and see the results if still some issues remain then consult again. I hope this helps your concern." + }, + { + "id": 20937, + "tgt": "I have lump sensation in throat, ear pain, and post nasal drip. Please help", + "src": "Patient: Hi doctor, I am a male, 28 years old. I am not overweight. I had no surgeries before and no incidence of reflux in my life but I have a sinusitis and I am a heavy smoker (20 cigarettes per day). I am smoking for around 10 years. The symptoms three months ago were sudden lump sensation in the throat. The treatment given by a local pharmacist at a time was Pantazol 20. Current symptoms are lump sensation in the throat, continuous sore throat (more than three weeks), pain in ears, post nasal drip, and feeling of a water coming up from stomach to mouth. The treatment taken since one month ago till now are Pantazol 40 twice a day, Domperidone three times a day. The result is all symptoms are still present after a month. They come and go with no relevance to the medicine. Others include eating a lot used to relieve the symptoms in the first but no effect now. I am perfectly fine when sleeping. Minor pain when swallowing saliva but no pain swallowing water or food. I had a barium swallow with no effect of abnormalities or reflux, I had a throat swab that had a negative result. Doctor: Hi. You are suffering from postnasal drip and its complications. The treatment taken by you is not of postnasal drip. So, you have not gotten any relief. I advise you to start on tablet Levocetirizine 5 mg once a day, Fluticasone nasal spray, a combination of Pantoprazole and Domperidone. Write back after 10 days." + }, + { + "id": 4150, + "tgt": "Can abnormal edges of liver in ultrasound mean cancer?", + "src": "Patient: Hi doctor, I am a 45-year-old male, non-smoker and social drinker. I am a generally healthy with no underlying medical conditions, or family history of severe illness. The only thing I have been diagnosed with is idiopathic hematuria which was told to me around two years ago. I have no other symptoms, appetite is fine and no major weight loss. However the last few weeks I was having twinges around different areas of the stomach and aching kidneys. I decided to have an ultrasound yesterday, all organs were fine however something starting with H was seen in the liver. The person undertaking the ultrasound says these are normal but mine has a fuzzy edge and to make sure all is okay she has sent me for a cat scan with contrast. Her opinion was it looks fine but best to check. I have health anxiety so my alarm bells are ringing with liver cancer. I understand the chances of me having this are low but would like an opinion from an expert. Doctor: Hello. I have gone through your concern. From what you have mentioned the doctor has probably identified a hemangioma which is a common finding and benign, the confirmation and characterization of a hemangioma of liver is best done with a CT scan, the chances of it being a liver cancer is extremely low in view of your health status. I would advise you to go ahead with the CT scan so that we can confirm and also assuage your concerns." + }, + { + "id": 7415, + "tgt": "I am using Klonopin for anxiety and it has got worsened. Kindly advice", + "src": "Patient: Hello doctor, I have been diagnosed with major depressive disorder and take both Prozac and Wellbutrin daily. I also have extreme anxiety and take Klonopin. Lately, my anxiety has worsened to the point that the Klonopin does not help like it once did. I wake up almost every morning having a panic attack, and I do not want to leave my bed, but I have to function. Doctor: Hello. Anxiety disorder and related panic attacks are best managed by a combination of medication and psychological therapy like CBT. Prozac (Fluoxetine) is effective not only against depression but also helps with anxiety. Discuss with your doctor whether you are on the optimal dose. Klonopin (Clonazepam) is indicated only for short term management of stress. If used for a more extended period, Klonopin may lose effectiveness and cause dependence. So discuss with your doctor whether it is recommended to continue Klonopin in this situation. In addition to medication, CBT is very effective against anxiety. If you had already done a course of CBT, consider having some booster sessions. Try deep breathing techniques and progressive relaxation exercises for 15 to 20 mins daily. It will help you to relax and manage stress better." + }, + { + "id": 3152, + "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": 27153, + "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": 27151, + "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": 13346, + "tgt": "When can birth vaccine be delayed in a newborn?", + "src": "Patient: Hello doctor, My baby's birth vaccine has been delayed by one week due to health issues (my baby was born on 15th but the birth vaccine was given on 22nd). So, the next vaccine which was supposed to be given in six weeks has been given on 7th of this month (after two months) but if I see according to his birth it should be near 1st or 2nd and the next vaccine which is in 10 weeks comes on 7th or 8th of next month but according to his birth the 10 weeks completes by 1st of next month. So my question is are the vaccination being given as per the day of birth or as per the time from when the birth vaccine was received? Please solve my problem and tell me whether my baby is on the right track of recieving vaccination. Doctor: Hi. I understand your concern. Vaccines are given as the birth age for a full-term normal weight baby. If the baby was premature and hospitalized, then it can be delayed. If it is delayed then one month gap is usually kept between two vaccines for better vaccine uptake. You are right, your baby's next dose schedule is around 1 or 2 of this month. There must be a reason for the delay, as I mentioned earlier. In the long run, it usually does not make a lot of difference. Make sure all the necessary vaccines are received." + }, + { + "id": 11367, + "tgt": "I have some reddish white hard spots on my scrotum. Please suggest the treatment", + "src": "Patient: Hello doctor, I am 29 years old. There are some reddish white hard spots on my scrotum. They are painless but itchy. How can I get rid of them? I have searched on the internet and it says that it is calcinosis cutis of the scrotum. Please suggest something to clear those. Doctor: Hello. I understand your concern, but you should have sent me the pictures to confirm the diagnosis. If it is calcinosis, then no cream or powder will help. The only treatment is surgery for that. Take care." + }, + { + "id": 27419, + "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": 20475, + "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": 9237, + "tgt": "I am becoming lazy after having Amitone for head pain. Is it good for me to continue it?", + "src": "Patient: Hello doctor, I am a 54-year-male. I am a sugar patient. I have sudden pain at the back side of the head, and I had the same problem at five years back. Yesterday he went to the hospital, and the doctor suggested a tablet Amitone (Calcium carbonate) 10 mg at 8 pm for one month. After taking this tablet from early morning to evening, I feel lazy, with body pains. Can I continue this tablet? Doctor: Hello. It is essential to rule out the cause of the headache first and foremost and to see whether these physical symptoms he has now are related to the headache or medication. Since it is at the back of the headache, I would strongly suggest getting a CT scan done to rule out anything serious. Secondly, does he have any weakness in the limbs, or is it just feeling lazy? If there is any weakness in any part of the body, the ct scan is again essential. If there is body ache, then I suggest give it a few days. It should subside. I hope this helps." + }, + { + "id": 25445, + "tgt": "Will getting blood test for allergy help me receive the right treatment?", + "src": "Patient: Hello doctor, So, I have hives, also known as chronic urticaria. Basically, I break out when the climate I am in is hot, or when I exercise. I visited my family doctor and he told me to get a blood test and he also gave me a Cetirizine (Zyrtec) prescription which is 20 mg. I have been taking this medication for about four days now, and I still get these itchy hives. If I were to get a blood test, will the doctor be able to prescribe the right medication, so I can get rid of these annoying hives? Doctor: Hello. The blood test should determine what allergen is causing the problems in you. Sometimes it can be a combination of allergens. Once we know that we help you avoid the same and prevent the sensitivity reactions. Allergies and hypersensitivities are not cured by medicines. Allergen avoidance plays the major role. Additionally, we can give you immunotherapy if the problem does not resolve. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 15584, + "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": 26200, + "tgt": "I am still tired one week after an episode of left-sided chest pain. Do I need few more tests?", + "src": "Patient: Hi doctor,Last week at 4 AM, I had an ache and pain on the left side of my chest. My whole body was shivering. I waited for 30 to 40 minutes and then went to the hosptial. The doctor did a checkup and all the reports came back normal. The ache lasted the whole day and by evening the pain subsided by 70 %. But, I still feel heaviness at the same spot. Also, I feel very tired from that day. I have leg cramps and am unable to do any work. So, am I alright or need few more tests? Doctor: Hello. I \u00a0have seen the reports (attachment removed to protect patient identity). Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5354, + "tgt": "I have dry and scaly skin with white and black scars. Please help", + "src": "Patient: Hello doctor, I have very dry skin. My skin is like fish skin since I was in my grade school until today. I have white and black scars also. Please help. Doctor: Hi. I have read your query, the following is my diagnosis and treatment. There can be a lot of reasons for dry skin. From a genetic cause like ichthyosis which is a very severe condition to something mild like xerotic eczema. Dry skin worsens in the winter season. You have not mentioned the type of scars you have like is it flat, raised, etc., and which part of the body are they present. (A attached photo will give me a clearer picture of the scars). You should do the following: 1) Apply lots of moisturizers regularly at least three to four times a day all over the body. 2) A proper way of applying moisturizer is applying it in an ample amount after the bath (i.e when the skin is a bit damp). 3) If the dryness is too severe you will have to use a mild topical steriods (for which I will need a clear photograph of the lesions). 4) A good massage with a non-fragrant oil before bath can improve the suppleness of your skin. 4) Drink lots of water. 5) Eat high fiber and vitamin rich foods like fruits and vegetables. 6) Avoid junk foods. Avoid soaps or use a very mild liquid soap. Please follow me up with clearer photographs of your skin lesion." + }, + { + "id": 19973, + "tgt": "What can the blemish on my forehead be?", + "src": "Patient: Hi doctor, Since one year, I am having a blemish on my forehead. Occasionally, the color of the blemish changes from red to pale red. It is not raised. I have tried facial cleansers and scrubs, but nothing seems to have worked. I am attaching the photographs. Please check them and suggest me some solution. Doctor: Hello. I have read your query and checked your photographs (attachment removed to protect patient identity).\u00a0I would like to know the following details: Revert back with the above information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6453, + "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": 12578, + "tgt": "How to make a 7-month-old drink formula milk?", + "src": "Patient: Hello doctor, Absolutely nothing is wrong with my baby. We went to the hospital and nothing is wrong. It is just that she is seven months and she has been eating foods. So now she does not like how her formula taste. We have tried every brand and every kind of formula and she just does not want it any more. What is something else that I could give her? Doctor: Hello. I just got your concern. Relax. I am here to help you. Follow advice. Just give her some time to accept the taste of the new formula. Do not rush to introduce many things at a time. By offering multiple tastes at the time you are confusing her so she is frustrated. Give one taste or formula at a time and try it at least a week. Meanwhile, you continue breastfeeding. Do not force her to feed. Offer her just twice or thrice. If she does not want then fine. Wait for her appetite. Give her when she asks. Monitor her growth and development. During weaning time consult your GP if he prescribes some Iron, Multivitamin syrup to bridge the nutritional gap." + }, + { + "id": 6907, + "tgt": "My friend lost his vision in one eye after an accident. What are the possibilities to get back the vision?", + "src": "Patient: Hello doctor, My friend got an accident a while ago and lost a vision in the left eye. He has three issues in his left eye. 1. There is a haem clot in the aqueous chamber of the eye. 2. There is a membrane formation occurring there, 3. There, is the permanent lens has got displaced from its exact location. However, the retina is intact. I like to know, is there any way to return vision? If yes, how many surgeries needed? Doctor: Hello. A blood clot in aqueous will be absorbed spontaneously however if it is more it has to be surgically removed. Even membrane formation is removed surgically. Due to the displaced lens, the vision is poor. It is corrected by placing an IOL intraocular lens. There is a good chance of vision there is no retinal injury. But what about anteriorly to the retina is everything normal, it would have been better if you would have attached reports." + }, + { + "id": 27175, + "tgt": "My mom has discomfort and tightness in the upper abdomen. Could it be a stomach infection?", + "src": "Patient: Hello\u00a0doctor, My 66 year old\u00a0mother has a discomfort in the upper abdomen since five days. She is experiencing gas trouble and tightness in the\u00a0upper abdomen. Her stools are a little constipated but, she is passing\u00a0every day. Now, she has a fever between 99 to 100 degree from five days in the evening. She feels uncomfortable, especially after eating. Please advise. She is diabetic and hypertensive. Her doctor advised she take Medomol 500 and Rabez DSR both twice a day for five days. She also feels very weak. The doctor did a blood test, and a urine test and her WBC was quite high. Now, he has started her on Oflox OZ twice a day for five days along with Rabez DSR and Zantac. Please advise if the high WBCs are because of a stomach infection and if the medicines will help. I hope there is no cause of worry. Her current medications are Glycomet-GP 3/850, Voglibose 0.3, Telmisat AM 5 mg, Alzolam 0.5, Nexito 10 mg and Fibator 5 mg. Doctor: Hello. I have read your query and gone through the reports (attachment removed to protect patient identity). Regards. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 26739, + "tgt": "From the reports, can you please tell me the reason for my mom's swollen feet?", + "src": "Patient: Hi doctor, I have a question about my mom's peripheral blood smear test. She is 62 years old and is diabetic. The report says she has normocytic normochromic anemia with neutrophilic leukocytosis. Her neutrophils are 85 %, lymphocytes are 14 %, eosinophils are 1 %, and neutrophils show coarse toxic cytoplasmic granules. Her feet are swollen from the past two months, which is the reason we did this test. Please provide insight. What disease does she have? What is the treatment? I have attached her test reports. Thanks. Doctor: Hi. I have seen her reports (attachment removed to protect patient identity). In your mom's case, considering that she is a diabetic patient with swelling in both her feet (also known as edema), a few things come to my mind. She could be having some skin infection in the swollen legs. And to fight this infection, the body mounts a response in the form of increased number of neutrophils to fight the infection. I am worried why she has this swelling in the first place. She could be having high blood pressure or hypertension or early signs of heart failure. Diabetes is also known to cause kidney problems that can result in water retention in the body and resultant leg edema. Diabetes and kidney issues, can themselves increase the risk for infection, especially in elderly patients. Renal injury because of diabetes can lead to anemia of the type mentioned in your mom's peripheral blood smear test. It means she has decreased red blood cells production because of one or more of the following: So, here is what needs to be done: For now, see a local practitioner and discuss the above. Do not ignore the swelling. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 3820, + "tgt": "I have tremors in left hand. Is it rubral syndrome or muscle weakness?", + "src": "Patient: Hi doctor, I have tremors on my left hand. I am on Amantrel 100 mg tds, Frisium 30 mg and Propranolol 40 mg.\u00a0I have been through two stents in my heart, but I have no myocardial infarction. I am on beta blockers Valent 40mg od and Retorlix 5 mg od.\u00a0My neurologist says this as Rubral syndrome\u00a0and my very senior physician said this is more likely to be muscle weakness because through a strict regime I have come down to 99 kg from 140 kg in the past 19 months.\u00a0I would like to slowly discontinue Frisium because it makes me drowsy.\u00a0My question is, should I taper one medicine after another just to see what works best? The physician told me to stop all medication completely which I do not think as a great idea. Can you please help? Doctor: Hi. I understand your concerns. Let me try to help you. Rubral Tremors (Slow tremors at rest). 1. Parkinson's disease 2. Parkinson-plus disorders (group of neurodegenerative disorders) Parkinson's disease. Continue tablet Amantrel (Amantadine). Do daily morning and evening 45 minutes of walk. Revert back after two weeks to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25227, + "tgt": "Do my blood test results indicate that I have cancer?", + "src": "Patient: Hello doctor, Blood tests show high leukocytes of 12000 per mL with lymphocytosis and an elevated alkaline phosphatase at 162 u/L. Kindly suggest further tests to rule out cancers and lymphoma. Doctor: Hello. You need to repeat your CBC (complete blood count) after three to five days. If lymphocytes count is normal then the chances of cancer are very less. If lymphocytes count remains persistently high then further workup as follow. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4529, + "tgt": "Is surgical removal necessary for last tooth pain?", + "src": "Patient: Hello doctor, One week ago, I started feeling pain in the mouth in the left side last tooth. The pain was so severe that I was unable to open mouth and also ulcer over that area was not visible to the doctor (GP). He advised me to take Becosules, Rubifol, and Zocon DT for five days. I started taking those medicines, but I started feeling pain in the full left side teeth and jaw that extends towards the ear. After searching over the net I came to know that it is a swelling of gum and something called gingivitis which may be the cause of my pain. After I have gone to the dentist, she advised me the following medicines: Augmentin 625 mg TDS for five days, Metrogyl 400 mg TDS for five days, Chymoral forte bd for five days, Zerodol P BD for five days, Rantac 150 mg od for five days. I asked the dentist to reduce so much of medicine but she told me that you cannot modulate the antibiotics as it is a course. Plus she told me that your affected teeth i.e beneath the swollen gum needs to be surgically removed once you get back to normal. I started taking these medicines leaving the above medicine advised by GP except Becosules. Now my queries are: After one day, I started vomiting. And minor flecks of blood were also visible in the vomit. Now I want to know whether I am taking the right medicines and the right dosage? Whether any of the above medicines can be removed? Since I had gone to the dentist after full five days of ulcer medicines my jaw was not opening that time, but from the next day I started reliving pain and gradually my jaw also started working and helps in chewing foods. So can I reduce the dosage of the above medicines and leave Zerodol as I think it is a pain killer and I do not have so much pain now? I am scared of hearing surgical removal of my teeth, so whether it is necessary to get it removed? Will I get back to normalcy after medicine? Whether removal is actually required in case of gingivitis? Any other suggestions? Doctor: Hello. I am sorry to hear about your problems. The symptoms and line of treatment you have described points to be normal. Though you can take painkillers as per your requirement, I advise you to not to stop the antacid (Rabeprazole and Domperidone in many cases) as they may help you prevent conditions like nausea and vomiting. The blood appearing is alarming, and the source of bleeding should be figured out. Notice if the blood is coming out along with pus of the tooth or not. You may consult or call me in this regard. It would be better if you send me a picture of the tooth and gums in questions to pinpoint the condition. It is not always necessary to go for surgical procedures." + }, + { + "id": 2795, + "tgt": "My WBC level is 3. 6. Is it a sort of cancer?", + "src": "Patient: Hello doctor, I am inquiring about a concern I have about my CBC results. I have shown a WBC of 3.9 for almost two years, and recently had a followup CBC and it showed 3.6. I have felt like I have been fighting off a head cold and particularly stressed with the current virus situation. Do you think this kind of count is of any cancer? Of course, I get on google and got worried about things like leukemia or some sort of illness that could compromise my immune system with the current virus going on. The other levels are below: RBC: 4.5 Neutrophils: 56% Lymphocytes: 31% Monocytes: 11.4% Eosinophils: .3% Basophils: .8% Platelet count: 292. Doctor: Hi, Welcome to icliniq.com. First of all, I wish you very safe health during this Covid-19 crisis. Coming to your question, I reviewed your records. And I am glad that you came up with your concerns. I will be happy to answer that based on my experience. One thing which I can say confidently is that you do not have cancer. So good to hear those four words. Yes, that is not the way cancer presents and not specifically at your young age. Your lymphocyte count and neutrophil counts are good and there are no abnormal cells as well. With regard to the current Coronavirus, I agree that we all should be vigilant. Your lymphocyte count and platelet are good and hence blood work-wise you need not worry. But I am sure you must be aware of when to get Covid-19 testing based on the symptoms. Rest assured you do not have cancer, just get lab check yearly." + }, + { + "id": 17267, + "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": 15098, + "tgt": "Is it possible to get headache with shivering due to an epidermal anesthesia?", + "src": "Patient: Hello doctor, My friend, 32 years old, seven years back during delivery time epidural anesthesia was given. After that, have got a headache now. It is a chronic headache like a migraine, no other complication, no hematoma, and all rigor and shivering present. What is the diagnosis? Doctor: Hello. First of all, I would like to say that the epidural analgesia taken seven years back is definitely not the reason for her chronic headache. As she is having chills and rigors, check her temperature, and headache along with that suggests some acute viral fever. Kindly review with a physician for addressing the current issue. Although keeping in mind her chronic complaints of a headache I would suggest her to visit a neurologist for the evaluation of cause and treatment of same. A migraine. Acute viral infection. Acetaminophen." + }, + { + "id": 21308, + "tgt": "After delivery, my wife had an injection for fever and milk production got reduced. Please help", + "src": "Patient: Hi doctor, My wife has delivered twin baby girl. She had delivery through C-section. She had normal breastfeeding after 11 days. After that, she got a fever with high temperature. So, she went to a hospital. They gave an injection and a tablet for three days. Her fever was gone. But after that, she cannot get milk for feeding. What is the problem? Doctor: Hi. Delivery is more stressful. There is a lot of physical work. During pregnancy, the requirement for food and blood is double. The chances of anemia, weakness during delivery and after delivery is more. Milk production also depends on many factors like genetically few mothers can produce less milk without any health issue. Illness or medications can reduce the milk production. They can have weakness and poor nutrition. They can also have less milk intake and multiple pregnancies too which can reduce the milk production. It depends because few ladies do breastfeeding till three months or more and they will use formula milk whenever needed as per their convenience as well. Better feed is the breastfeed actually. Was fever associated with an infection? What medications were given to her? Any other health issue? Taking foods and multivitamins has to be doubled as she had a twin pregnancy. There may be weakness due to more blood loss during delivery. It can also reduce the milk production. Have a healthy diet, with multivitamins, plenty of fruits, vegetables, milk can also help to increase the milk production. Some drugs can also increase the milk production as certain drugs increase the action of prolactin hormone, which can increase the milk production. I think illness, medications, and weakness are the reasons for the reduced production of milk. It is better to have a natural increase in milk production by food, health, and better positioning of babies for sucking. As she has two babies, she can go for better formula milk along with breastfeeding to fulfill the babies requirement. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12171, + "tgt": "What causes dry throat and mouth with blocked sinuses at night?", + "src": "Patient: Hello doctor, For two years, I wake up in the night with dry throat and mouth and blocked sinuses. Back of mouth or throat is also coated with unpleasant, pale yellow scum on waking (during the day, I am fine). I saw ENT doctor a month ago, diagnosed inflamed sinuses and prescribed four months of steroid drops. These are not working and now I have blood flecks in mucus when I blow nose first thing on waking. This morning, blood streaks are also in the scum from throat which feels raw. Doctor: Hi. I think that you need to perform a CT scan for your nose and sinuses. There may be a surgical cause for your naso-sinal problems as polyps, deviated septum or hypertrophied turbinates. Perform the scan then show it to me. Do you have excessive sneezing or rhinorrhea? Do you have any allergies for any odors?" + }, + { + "id": 4563, + "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": 4550, + "tgt": "I experience occasional peripheral vision shadow on widening my eyes. What is it?", + "src": "Patient: Hello doctor, I am a 19-year-old male. I have been to a few ophthalmologists about this and they seem to think it is benign. But I want to get some other input on this. If I widen my eyes and move my head around, I can see shadows in my far peripheral vision moving as my head does. And it seems that the shadows change and become different sizes as time goes on. Now I do have astigmatism in my right eye and from time to time I get aching, almost gnawing pains that are with the movement of the eye. And has happened in both at the same time before. I find that it happens mostly when I am in a place with very weird or bright lighting or when I am looking at a bright screen in a weirdly lit room. I suffer from anxiety and depression which is why I guess I am coming out to ask some more questions. And I also have Asperger\u2019s syndrome. The aches radiate to my temple as well. But as I have said I have been to doctors and they have dilated my pupils and looked at my retina and ocular nerves and told me they looked good. So I honestly do not know what could be causing these weird shadows. I have had them for quite a while. And they also get bigger and more noticeable with head tilt like when I exercise or go running or do something very physical. I currently take Prozac 20 mg and Pantoprazole 10 mg. Doctor: Hello. What you are describing is most probably breaks in the gel shaped part of the eye and is called floaters. It is a normal and physiological condition that we see in patients that have refractive errors and have no significant consequences. If these symptoms persist and are causing you discomfort look for an ophthalmologist that does a procedure called laser vitreolysis who could break them down into smaller bits so that you do not notice them that much and that is pretty much the only method of treatment." + }, + { + "id": 8025, + "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": 3208, + "tgt": "I get recurrent wounds with burning sensation between left leg and scrotum. Why?", + "src": "Patient: Hello doctor, I am a 22-year-old male. Today I woke up and before taking a shower I felt a burning sensation when I touched the spot between my left leg and my scrotum, then I discovered some wounds, similar to cuts in the area, they were not there yesterday. I also have to mention that they had appeared before, in the same area (about three times in the last three years), and they usually disappear in about three or four days. I have a partner and I am really worried about this being herpes because if that is the case I would absolutely consider leaving her, just to avoid her my problems. I had sex with two strangers, with one of them about four months before getting this for the first time. I also removed my pubic hair with a machine about two weeks before this. Doctor: Hi. What is the complaint in it? Is it on one side or both sides? Have you ever noticed any blisters? What is your profession? Looking forward to your response in order to help you." + }, + { + "id": 24842, + "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": 18135, + "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": 8667, + "tgt": "I have dysphonia and cannot talk for very long. Kindly help", + "src": "Patient: Hello doctor, I was diagnosed with dysphonia about a month ago. I have had a couple of speech therapy sessions but progress is glacial. I am still hoarse and in pain. I have been on 40 mg of Omeprazole for a month and Gaviscon Double Action for two weeks. I feel like the back of my throat is still swollen and I have pain in the corners of my throat. This only briefly eases when I really do some throat opening exercises. I cannot talk for very long without everything getting sore still. I have been like this since the beginning of the year since I had a chest infection and pneumonia. My mouth is now getting sore from all the Gaviscon tablets as the liquid irritates the corners of my throat. I really do not know what else I can do. I am having panic attacks and starting to feel like the only option is to take my life. I had a post nasal drip for most of the year so far and I am trying to get my salivary glands to work again properly. Doctor: Hello. Muscle tension dysphonia takes time to get cured. A few sessions of speech therapy are not going to rid you of the problem. Muscle tension dysphonia occurs due to various reasons and can be present after laryngitis or pneumonia as in your case. As an ENT surgeon, I would like to see the laryngoscopy video myself to ascertain if indeed the false vocal cords are producing voice instead of the true ones. Dysphonia plica ventricularis is the grade 2 of muscle tension dysphonia. Dysphonia plica ventricularis is when the false cords medialize to produce voice. Continue the speech therapy and anti-reflux treatment like your ENT surgeon and audiologist has prescribed. The speech therapy is aimed at suppressing maladaptive phonatory mechanisms and learn techniques designed to minimize muscular tension. Do write back to us if you need any further information on this. But at the same time please be patient with this problem to get resolved. Take adequate voice rest and whenever you use voice take care not to raise the voice or use unnatural frequencies. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6301, + "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": 22088, + "tgt": "Can I-pill cause any side effects when taken three times in 10 days?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner, and after 48 hours she took an I-pill. After a day, again we had unprotected sex, and she has taken I-pill after 48 hours. After a day, again we had unprotected sex. Now whether she needs to retake I-pill? Can I-pill cause any side effect when taken three times again and again between the period of 10 days? Doctor: Hi. It is better to have another I-pill. Although it works, the efficiency decreases with time. There are no other significant side effects. However, menstrual irregularities are more like delayed periods for few cycles, nausea, vomiting, and breast tenderness. Also, taking I-pill on a regular basis will reduce the efficiency and increases the failure rate. So it is better to take oral contraceptive pills. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27758, + "tgt": "I feel I have cancer even though all my reports are normal. Please help", + "src": "Patient: Hello doctor, I am a 26 years old male. I have had anxiety for six years now and panic attacks from even before. I have been feeling dizzy for a week now all day, a little bit of pressure on my head. I have alternate periods of sweating and chills. I have been to the hospital a few times because I thought I have cancer. And, they did some CT scan and blood tests and said I have anxiety and to avoid self-diagnosing.\u00a0My question is, can my anxiety and stress make me feel dizzy or is something really wrong with me?\u00a0I am really scared. Please provide me details about the symptoms of anxiety and stress. Doctor: Hello. I can understand your concern. I hope you understood. Thanks and Take care. You are welcome to ask follow-up doubts. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 7716, + "tgt": "I am afraid about the vaginal fluid contact by hand inspite of using condom during sex. Am I safe?", + "src": "Patient: Hello doctor, I had sex with a woman, but I do not know her HIV status. I used a condom, but I am afraid that the condom is not safe, and I might have into contact with some of her vaginal fluid by my hand. Doctor: Hello. A condom is much safer (about 80 %) compared to unprotected sex. So you are safer to that extent even if she would be HIV positive. But then, as you guessed right, condoms may not protect you from every infection or infestation. Therefore it is good to see an STD specialist and seek his counseling. You may require some tests based on symptoms, and other tests even if there are no symptoms. If the hand has no cuts or open wounds, ulcers, etc., transmission through the skin on the hands is rare for most infections (unless you did not bring the wet hand into contact with your penis or other sensitive areas)." + }, + { + "id": 12029, + "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": 7808, + "tgt": "What causes pain after getting an injection in the butt?", + "src": "Patient: Hello doctor, I was given injection in both sides of my butt. But my right butt is paining a lot. What could be the reason? Doctor: Hi. The buttock pain after injection can develop due to faulty procedure sometimes. If the injection is not given by an experienced person, then sometimes pain can persist for 1 to 2 days. Even with an experienced person sometimes pain can develop if a certain medication is given. So pain development depends on the medication also which is injected. You can wait for 1 to 2 days for relief from pain. You can apply hot compress once or twice a day for soothing." + }, + { + "id": 11592, + "tgt": "What is the treatment for thinning of hair?", + "src": "Patient: Hello doctor, My hair is becoming very thin. Kindly advice. Doctor: Hello. May I know your age, and since how many months are you experiencing thinning of hair? Please send the pictures of the scalp." + }, + { + "id": 2945, + "tgt": "Can shoulder fracture during childhood cause pain now?", + "src": "Patient: Hi doctor, I am suffering from pain in my right shoulder, hip, knee, foot and lower back. I have a bunion on my right foot. I sometimes feel that my hip is not in place and if moved wrong it will result in knee pain. I broke my collar bone as a child and I am not sure if that would be causing any shoulder pain now. Pain is not always intense, but worsens as the day progresses. Neither lying down nor icing and applying heat does not help. Also, Tylenol does nothing for it. Is this arthritis? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22502, + "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": 1454, + "tgt": "What is the treatment for Thygeson's superficial punctate keratitis?", + "src": "Patient: Hi doctor, I am suffering from Thygeson's superficial punctate keratitis disease and it is chronic. My father has glaucoma. I have been using steroid eye drop. They are Fluorometholone ophthalmic suspension and Restasis eye drop. I have been having this eye problem since about\u00a0two years. I am attaching my detailed description. Please help me. Doctor: Hello. For further information consult to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12057, + "tgt": "My hip pain aggravates during yoga and exercise. How to manage the pain?", + "src": "Patient: Hello doctor, I am a 34-year-old male. My right hip pains when moving the leg in specific positions (best explained in a few photos). Need help in identifying what muscle or tendons are affected so I can move forward with a correct stretching. I suspect a few problems but need an expert opinion. I do not feel any pain in my daily life, and I can play tennis or squash without feeling any pain, but the problem can worsen after exercise and yoga. I have a history of not stretching, and my body is relatively tight, especially hip flexors and leg muscles. I have no history of severe hip, leg or spine injuries. To my recollection, the problem first started a few years back while running down a staircase the pain disappeared after a few weeks. Symptoms began again a few months ago while doing yoga and other exercises. I had a bad habit of putting my right foot under my left thigh while sitting on my office chair (basically sitting on my foot). I do not feel any pain while doing this but could be a factor to my current problems. Doctor: Hello. Based on my clinical experience and the pictures (attachment removed to protect patient identity), you are more than likely dealing with hypertonic muscles. Based on my views the top three muscles would be the TFL (tensor fasciae latae), glute medius, and piriformis. I commonly see these muscle tight in practice. To treat them, or to at least know if they might be an issue, I would recommend getting a lacrosse ball and stretching them out. You will find a sore spot and hold it for three to five seconds. Roll off and find a new place. Do this three to four times a day. I advise against using it based on the picture and clinical description of your problem. I would also recommend seeing a licensed provider for an actual physical examination for proper treatment and care. I hope this helps you." + }, + { + "id": 26781, + "tgt": "My wife does not lubricate during sex. What can we do?", + "src": "Patient: Hello\u00a0doctor, I am a 28 year old\u00a0male, who is married from the last 14 months. My wife did not have prior sex education. She does not get lubricated during sex at all. So, we are unable to have sexual intercourse. She gets severe pain if I try to stimulate her with my fingers. However, she is comfortable with the penis. We have a lot of foreplay. She gets aroused, but there is no lubrication. We use a lubricant gel whenever we have sex, but even then, I am not able to penetrate her. We are having trouble doing it even in the missionary position. She is unable to spread her legs. So, we have to do it with her legs down. The penetration is not enough in this position. Whenever I try to have sex by spreading her legs, her vagina contracts, and we have failed to do it even after repeated attempts. This is causing me to\u00a0feel frustrated, and of late, I do not have strong erections. I have decent erections during masturbation but not during sex. I have attached the results of both our fertility tests. Please help. Doctor: Hello. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22806, + "tgt": "I got a new birthmark like thing. Is it melanoma?", + "src": "Patient: Hi doctor, I have a birthmark like thing on one of my toes. I am 90 percent sure that I have not had it since birth. My father passed away due to melanoma. I am much worried about this. Please help me. Doctor: Hi. I have read your query and can well understand your concern. From your question I can understand that this lesion has been present on your foot since long time. Melanocytic nevi maybe benign or malignant. If this lesion has recently changed any character that is increased in size, change in color, uneven pigmentation, etc., and then chances of malignancy are more. Please observe it carefully. Malignant melanoma is a disorder which carries a high index of suspicion and especially if it occurs on the feet. Hence, we cannot ignore this lesion. Since there is a strong family history, I advise that you should get a biopsy done as soon as possible. A biopsy will determine the true nature of this lesion. 1. Melanocytic nevus. 2. Malignant melanoma. 3. Lentigines. 4. Post-inflammatory hyperpigmentation. Revert back with the biopsy report to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15778, + "tgt": "Is it recommended to get blood transfusion before uterus removal?", + "src": "Patient: Hi doctor, My mother is 64 years old. She has a fibroid above the uterus. The doctor has advised removing the uterus. She has a low level of hemoglobin, and she is given injections to increase the range. But it got increased from 10 g/dL to 10.4 g/dL. But the doctor advises my mother to have hemoglobin to be at 11 g/dL. The doctor recommends for a blood transfusion, and he ordered 350 ml blood from the blood bank. He plans for a uterus removal operation a couple of days later. Is this advisable and a routine procedure? Doctor: Hi. As your mother is 64 years old, it is better to have uterus removal and removal of fibroid along with it. Please mention about the symptoms faced by her. Please send the ultrasound report to guide you further. For increasing the range of Hb (hemoglobin), iron injections alone will not give quick results. So the doctor has decided for transfusion of blood before or after surgery. Depending on the location of the fibroid, there will be excessive bleeding, and it is better to have a blood transfusion soon." + }, + { + "id": 2494, + "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": 8210, + "tgt": "What causes red lump under armpit?", + "src": "Patient: Hello doctor, Is my armpit lump something serious? Slightly red lump under left armpit. Appeared approximately two weeks ago, slowly went away and almost disappeared, now it came back again. Only a tiny amount of pain when pressing. Feels a bit like a small hard pea. No fever, no weightloss, but slightly tired at times. I have added pictures. Doctor: Hi. I have read your query carefully, I have seen pictures also (attachment removed to protect patient identity), I just want to tell you that you need not worry about that lump. The lump may be a sebaceous cyst, which is very common and sometimes disappeared automatically. If it appears again then you can contact me. I will examine that and if it pains and burns in armpit then take these following medicines: 1. Tablet Ibuprofen 400 mg if only there is a pain. 2. Tablet Amoxyclav 625 mg once daily for three days. Please tell me one more thing if this lump is movable or not, I mean it is fixed or can be repositioned." + }, + { + "id": 24069, + "tgt": "Am I diabetic or are my readings due to Seroquel?", + "src": "Patient: Hello doctor,My A1c is 5.4 and my fasting glucose is 107 and I was taking 800 mg of Seroquel which is a medication for paranoid schizophrenia and is known for causing diabetes and high blood sugar and five minutes after taking a 400 mg pill, one day my sugar went over 200 and the next day five minutes after taking a 400 mg pill, my sugar went up to 495. So, I stopped the Seroquel. According to my A1c, I am a nondiabetic, according to my fasting glucose, I am a pre-diabetic, and according to those two high blood sugar readings, I am a serious diabetic. Those are three different diagnoses. But those two high readings could have just been because of the Seroquel because I have never had high readings like that other than when I was taking the Seroquel and I was taking a high dose. A lot of people only take 100 to 200 mg, but I was taking 800 mg. So, do you think I am a diabetic or do you think it was just the Seroquel that caused the two high readings? Doctor: Hello. Quetiapine (Seroquel) in such high doses may produce hyperglycemia. So, the first possibility is drug-induced hyperglycemia. So, try to reduce the dosage after consulting your doctor. You have to monitor your blood sugar regularly when you are taking these type of drugs. The second possibility is new-onset diabetes and a wrong HbA1c lab report. So you have to check your FBS and PPBS with HbA1c again after few days. So, if FBS is less than 100, PPBS is less than 140 mg/dl, and HbA1c is less than 5.7, you are not diabetic. If FBS is between 100 to 125 mg/dl, PPBS is at 140 to 200 mg/dl, and HbA1c is at 15.7 to 6.4, you are prediabetic. Anyway check your blood sugar regularly and try to reduce weight. Do adequate exercise. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 4768, + "tgt": "What do bile salt and bile pigment signify in jaundice?", + "src": "Patient: Hello doctor, What is the value of bile salt and bile pigment if a person has jaundice? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9893, + "tgt": "Is Cefpodoxime safe for a person who had liver injury with Amoxicillin-Clavulanate?", + "src": "Patient: Hello doctor, I am suffering from a painful sore throat and tonsillitis for two weeks. I am allergic to Penicillin and earlier had Amoxicillin-Clavulanate antibiotic-induced elevated SGOT and SGPT of the liver. With treatment, I fully recovered. Now, this time, the doctor prescribed Cefpodoxime instead of the Amoxicillin-Clavulanate combined antibiotic. Whether Cefpodoxime will be safe for a person like me who earlier suffered from Amoxicillin-Clavulanate induced liver injury? I am badly suffering from strep throat. Please suggest. Doctor: Hello. Cefpodoxime and Amoxicillin being different classes of drugs, will not cause an allergy if the other one causes. Cefpodoxime is safe in patients with liver injury, at least in moderate doses. For the throat problem, I would advise in addition to antibiotics, some good symptomatic treatment. That would include anti-inflammatory medicines, painkillers, mouth rinses, and supportive measures. Dietary advice - avoid cold foods and liquids, smoke, dust, masala, spicy and oily foods. Take plenty of warm liquids, soft diet, warm water, etc. Take multivitamin tablets till your condition improves. Anti-inflammatory meds are Chymoral forte (Trypsin Chymotrypsin) or Disperzyme (Rutoside, Bromelain, and Trypsin) tablets. Mouth rinses like Tantum gargles (Benzydamine) diluted in water will be helpful. Any associated nose or ear symptoms will require additional measures. Do you suffer from allergy? Take rest and avoid going outside for two days. Do write back to me in case you need any more advice. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 9648, + "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": 426, + "tgt": "Please give some advise to improve my hemoglobin level", + "src": "Patient: Hi doctor, Recently, I had RARP surgery for prostate cancer.\u00a0My Hb level post surgery fell to 10.8 and I was advised to stay on iron supplement Dexorange Syrup one teaspoon thrice daily after meals.\u00a0In view of ongoing treatment for erosive gastritis, which is now under control, the Iron supplement was started three months ago. Then, my Hb level has improved to 12.5. I had a CBC, folic acid and iron study and I have enclosed the reports for your reference.\u00a0I am a vegetarian.\u00a0Please advise further course of action as I have been advised to stop the Dexorange syrup after three weeks and continue with iron-rich diet.\u00a0My gastroenterologist is not in favor of long-term usage of Iron supplements.\u00a0The stomach ulcers due to H.pylori have been treated and stomach lining restored. Currently, I am\u00a0taking Nexpro 40 mg in the empty stomach and Librax once at night. My CBC report issued an alert for anisocytosis.\u00a0My amylase level is around 174 U/L, but pancreatitis and bile duct obstruction have been ruled out. I am taking Unienzyme tablet in the morning and night along with one probiotic capsule Vizylac.\u00a0Please advise if any attention or investigation or treatment required further. Thank you. Doctor: Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Repeat hemoglobin after three months. Add more iron, vitamin B12 and folic acid in your diet. Revert back after three months to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30034, + "tgt": "How to treat itchy bumps on my vagina?", + "src": "Patient: Hello doctor, I\u00a0am a 25 year old unmarried female. From last one year, I have been suffering from vaginal infection. A few small bumps have grown inside the skin of the vagina. Sometimes, I feel itching inside it. I am sexually active with my fiance. I have consulted a specialist. She told me due to stress or irritation or infected clothes or might be bacterial growth this kind of infection happen. She prescribed me some medication and gel. But, that lumps are still there. I am worried. I have attached the images of it. Please suggest. Doctor: Hi. It appears to be a contact dermatitis superadded on the warts. Use Panderm cream (combination of Ornidazole, Clobetasol, Terbinafine and Ofloxacin) on the affected area twice a day for 15 days. Also, put Clingen forte vaginal pessary (combination of Clotrimazole, Tinidazole and Clindamycin) once at night in your vagina before sleeping for seven days. You might have a slight vaginal discharge in the morning and that will be due to the medication. Also, you and your partner need to take tablet Syscan 150 mg (Fluconazole) once on day 1 of your period for three cycles. Please do use cotton undergarments and do not use soap to clean your private areas. You can use vaginal wash. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13817, + "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": 28881, + "tgt": "I got injured while playing football. Is there any ligament damage?", + "src": "Patient: Hi doctor, I was just playing football and got stamped on rather severely. I always get studded, but this one is much worse than the rest. The top side of my foot and a bit to the right has large swelling and pain. Is there any ligament damage? I hope not as it was only the first game of the season. Attempting full range of motion is difficult with pain. I never had the same issue previously, but have torn the ligaments in my other ankle. Doctor: Hi. I saw the photo that you have attached (attachment removed to protect patient identity). X-ray as soon as possible. Revert with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 24890, + "tgt": "I just found out I am pregnant. Is there any risk of malformation from Minoxidil?", + "src": "Patient: Hi doctor,I am 28 year old female who is overweight. I have been using Minoxidil 5 % topical solution for alopecia areata on the scalp. I just found out my urine pregnancy test is positive. Now I have stopped using it. I might be in the early weeks of pregnancy. Should I be worried about the fetus? Is there any risk of malformation? Can you please let me know asap? Doctor: Hello. Truly speaking, there is no much data available on this. So, it is not possible to say convincingly anything. It basically falls in category C meaning, no human studies are available but animal studies have shown some adverse effects. This is for oral consumption and prolonged intake. But, in your case, it being topical and for a very short period, the probability of the child having any congenital anomalies is very less. Even in females with oral consumption, some children have had some problems but the mother had other problems as well. So no convincing data is available. But, in you, the probability is less. So I think, at this moment there is no need to worry since chances of malformations are less, but you should get a malformation scan done at 16 to 18 weeks of pregnancy. 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": 23808, + "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": 7897, + "tgt": "I have sinusitis and lost smell sensation. Will nasal drops help?", + "src": "Patient: Hello doctor, I am male, 43 years old, I was born with cleft palate but it is fine now and I have sinusitis and loss of smell sensation. I took steroids Prednisone nearly two months back and got my smell back but suddenly four days ago now the smell is gone again. Just to let you know I have moderate sleep apnea and using CPAP, I also have some allergy in the nose. I also use a nasal spray, just started like three days ago after stopping for three months. My question is how can I get my smell back? Shall I continue the Avamys Nasal Drops? Doctor: Hello. 1. Your recurrent problem of not able to smell is due to sinusitis and allergy. Once that gets treated smell will come back. But in chronic sinusitis, the smell may or may not come back due to prolong disease. 2. Avamys should be helpful. These steroids sprays reduce inflammation inside our sinuses and nose. For steroid sprays to act in our nose we should have wide sinus openings. To see if you have space in your nose for sprays to act you will have to get plain CT scan of nose and paranasal sinuses done. If your nose is very crowded and infected then you will have to undergo endoscopic sinus surgery which will remove active disease and inflammation. Following surgery, you will have to continue sprays for a few months to avoid recurrence and it will make your nasal mucosa healthy and you will be able to smell. 3. Oral steroids will relieve your symptoms temporarily, but in case of sinusitis we need to treat the disease for a long time." + }, + { + "id": 4386, + "tgt": "My swollen right inner cheek interferes talking and eating. Please help", + "src": "Patient: Hello doctor, My right inner cheek is swollen. This happened for the second time this month. The swollen cheek falls between the teeth while talking or eating. I am having pain too. Doctor: Hi. I have read through your complaint and the relevant details. The swelling should be the reason for any tooth infection associated with the right lower back tooth region in the least case. If that is ruled out during a dental consultation, then it could be the infection in the salivary gland. I say this because you have mentioned a history of swelling interferes with eating and talking. Usually, salivary gland swellings affect both the sides of the cheek region and also below the tongue with or without pain. You also got to check if you have dry mouth or dry eyes because salivary gland infections go in hand with these two symptoms in most of the cases. Mouth ulcer ointments might not work for this kind of pain. Hence, I request you to visit your nearby dentist to get a complete oral check up done. During your consultation, if tooth infection is ruled out then the suspicion would be over the salivary glands. Also, if you got any fever history please get that to the dentist's attention. Meanwhile, for pain relief please take tablet Flexon (Ibuprofen and Paracetamol) thrice daily after meals for two days. If you got any gastric irritation with this tablet please take capsule Omez D (Omeprazole delayed-release) 20 mg half an hour before food along with the after food tablet. Bacterial or viral infections. Blood check to rule out viral origin. Ultrasound or Computed tomography (CT) scan to visualize salivary gland stones." + }, + { + "id": 21316, + "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": 18101, + "tgt": "My cut wound looks the same even after a month. What to do?", + "src": "Patient: Hi doctor, I am an 18 years old female. I cut myself when I recently shaved around my anus and buttocks. A few days later, it was pink or red before a scab comes. Now, even a month later, it still looks the same. It does not itch, but bothering me. What should I do? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15713, + "tgt": "I have reddish mark on face and itching on inner thighs. How to cure it?", + "src": "Patient: Hi doctor, I am 27 years old. I have got allergies on my inner thighs. I used all the medicines. But there is no relief. Recently, I went for sonography and found with multiple cysts in the ovary. Due to allergy, the skin of inner thighs got darker, and I have reddish marks with itching on my face. Please help me. Doctor: Hi. With your descriptions, it seems that you have developed tinea cruris. It requires a minimum of two to three months to have a complete cure. I would suggest you take tablet Itraconazole 100 mg once daily and use 2 % Miconazole gel local application twice daily for one month and use Kz 2 % soap (Ketoconazole) for bathing after consulting your GP or nearby dermatologist. Revert me after a month." + }, + { + "id": 11527, + "tgt": "Is Diovan an effective drug for left ventricular hypertrophy?", + "src": "Patient: Hello doctor, I am a 40-year-old male. Recently I was diagnosed with LVH in ECG (possible LVH). My cholesterol level was 175, and pressure was 90/150. Now pressure came down to 80/135. I am taking Diovan 80 and I have little chest pain. Is this disease curable with this medicine? The sugar level is borderline. Doctor: Hello. Left ventricular hypertrophy (LVH) is reversible and is caused by high blood pressure for a long time. When the heart has to exert more against raised BP, it hypertrophies just like an athlete when exercises, his muscles undergo hypertrophy, same is with heart. So when an athlete stops his exercises, weight lifting, training, etc., his muscles come back to normal over time. Just control blood pressure and sugar. Consume a low salt diet. Regarding chest pain, I would advise you to undergo ECG, treadmill test and exercise tolerance test (ETT). After that, send me reports so that I may guide you better and for future planning regarding preventing other issues." + }, + { + "id": 1335, + "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": 13246, + "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": 24923, + "tgt": "There is pain on the palate. Do I have Eagle syndrome?", + "src": "Patient: Hello doctor, I have changes and pain on the palate, obsessive jaw and tongue movements (I have a feeling something is wrong with my palate and feel the need to lick it with the tip of my tongue constantly), constant feeling of something leaking on the back of my throat and below my tongue and neck pain. I have been diagnosed so far with nasal septum deviation and tonsils to be removed. The CT scan shows my head before surgery. After the surgery, all symptoms still occur. Do I have Eagle's syndrome? If so, is it just calcified or is it elongated? Do I have incisive canal cyst/fistula? Is there any sign of possible CSF leakage? Any other findings (except for the obvious deviated nasal septum)? Doctor: Hello. You might be aware that Eagle syndrome is a condition where there is an elongation of the styloid process or calcification of the stylohyoid ligament. This causes pressure on the cranial nerves and results in pain related to the nerve compression. We usually measure a styloid process and if it is longer than 3 cm in length then there is a possibility of Eagle syndrome. Your images (attachment removed to protect patient identity) show the possibility of Eagle syndrome in the axial images and your symptoms can be from nerve compression. It is difficult to accurately measure the length of the styloid process and to see the calcified stylohyoid ligament since the coronal plane images are not available. There is a cystic lesion in the hard palate and this can suggest a nasopalatine and incisive canal cyst. CSF leakage cannot be told on plane CT images. If needed then contrast study is done and looked for leakage. There is deviation of the nasal septum. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 30255, + "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": 5059, + "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": 22346, + "tgt": "I have blood coming out of stool once a month. Is it cancer?", + "src": "Patient: Hi doctor, I have periodic blood coming out of my stool once a month for the last one year. It is very periodic and is not regular. Along with that, I recently developed frequent indigestion and stomach burning sensation. I do have a history of gastric issues though. Now, I am really confused if I consider this as a symptom of stomach or colon cancer. However, my appetite is good and I do not have fatigue or any other issues. Doctor: Hello. I can understand your concern as bleeding along with stool (bleeding per rectum) is a major concern for any individual. Do not worry much as there are more noncancerous causes of bleeding per rectum than cancerous causes in your age group. So, you need thorough investigations. Your stomach problems, indigestion, and burning sensation seem to be associated with APD (acid peptic disease). It is common in males. So, you should visit a general surgeon and he will examine and look for any local hemorrhoids, anal fissure (tear), fistula, etc. If he cannot find any such thing, He will refer you for colonoscopy and if needed for gastroscopy (less chances) plus they will advise some basic blood tests. Usually, if the blood coming with stools is reddish, it is mainly through the colon, rectum, or anal area and if the blood is coming from the stomach and above, it will change the color of stool to black. So, there will be blackish stool. The various causes of bleeding coming with stools are: All these are noncancerous causes and the last one is colon, rectal or anal cancer. In your age group, it is not so common to have colon or gastric cancer unless some genetic or hereditary factors are involved and cancer is usually associated with significant weight loss, decreased appetite, etc. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 6342, + "tgt": "I need to gain weight and taking Zincovit syrup. Kindly suggest a medicine for the same", + "src": "Patient: Hello doctor, I need to gain weight. Many doctors said that I am not having any problem in my body and I have to eat well. Now I am taking Zincovit syrup. Suggest me some tablet or syrup. Doctor: Hello. The syrup you are using is absolutely fine and will take care of your nutrition requirements. The most important factor here is gaining weight in proper shape and taking polyunsaturated fatty acid are helpful to the body and of saturated fatty acids are harmful to body. Now you can get this good fat from fresh fruits, mixing milk and banana every morning and evening and eating that. If you are eating eggs, then you can also eat boiled eggs or different dishes of eggs with less oil. Basically, along with this syrup, you also need to increase your healthy diet and have to work out. Otherwise, after few years, you will have this weight gain as a problem and will be searching for medicine to reduce it. So keep up your diet and work out 30-45 minutes regularly." + }, + { + "id": 24463, + "tgt": "Does 'rubella IgG reactive' indicate any infection?", + "src": "Patient: Hello doctor, My wife had her last period two months back. We got married nine days later. Her period skipped for last month. Some bleeding is happening once in a day for past two days. But, it is in small amount only. We visited the doctor; she suggested tests. We did all the tests like CBC, Hb, rubella IgG, thyroid, and urine routine. Kindly explain what rubella IgG reactive means in the test. Is there any infection? We did pregnancy test also, which came negative. Doctor: Hello. If pregnancy has been ruled out already, then the delay is likely to be stress induced. However, it is important to learn if she has any hormonal imbalances and ever had irregular menses or not with possible causes being hypothyroidism, hyperprolactinemia or PCOD (polycystic ovarian disease). Nevertheless, the reports (attachment removed to protect patient identity) indicate rubella IgG positive, which indicates previous infection, not recent or ongoing. Secondly, the urine report shows urinary tract infection with WBC (white blood cells) and pus cells. So, she would require a short course of antibiotics for the same. It is suggested that she should get an ultrasound pelvis done to check for endometrial thickness and also for ovarian volume and follicular status. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10767, + "tgt": "Is it fine to take Coenzyme Q10 and Ashwagandha on the same day?", + "src": "Patient: Hello doctor, Can I take Coenzyme Q10 and Ashwagandha on the same day? Doctor: Hello. Coenzyme Q10 had a specific benefit. Ashwagandha is a herbal supplement with multiple actions on various biochemical and metabolic pathways. From pharmacology, Naturopathy, and Integrative Medicine perspective, I can suggest taking both the medicine together. But I suggest you have a gap of one hour between these two supplements. While consuming Ashwagandha, please drink a cup of milk or honey and water, which gives more benefit according to Ayurveda." + }, + { + "id": 30336, + "tgt": "Will typhoid cause hearing loss?", + "src": "Patient: Hello doctor, My wife lost her hearing for the past 30 hours. I took her to the doctor and he said it is because of typhoid fever. My wife got fever 15 days back. So, what should we do? Will she get her hearing back? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 522, + "tgt": "I am diabetic and have cold toes and feet with sweating. Why do I get this?", + "src": "Patient: Hello doctor, I am 66 years, 175 cm, 72 kg. I have diabetes from 2009 and hypothyroid from 2011. I am taking Janumet (50/500) BD and Thyronorm (75) OD. My blood sugar is 105 - 111, HbA1C 6.7. TSH is1.93 and Hb is 11.9. My lipid profile is normal. Serum creatinine is 1.16. My diabetes has been under control by medicines since inception. My BP is 125/82 mmHg. Temperature is 98.0 F. Sometime I feel cold in my toes, even when my feet are sweating. Can you suggest some remedies? Doctor: Hi. HbA1c (Glycated hemoglobin) is still on the higher side. It should be below 6 to be normal. Do regular testing of FBS (fasting blood sugar), PPBS (postprandial blood sugar) to monitor the blood sugar levels. Coldness in feet can be due to less blood supply to feet that can happen in case of any clot in blood vessels. Peripheral neuropathy is also common in diabetes which can lead to less sensation in feet. I would suggest you undergo color Doppler leg to rule out any clot. Tablet Gabapentin once daily you can start along with previous medicines." + }, + { + "id": 2568, + "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": 5565, + "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": 21944, + "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": 26183, + "tgt": "Can you help me decipher my thyroid reports?", + "src": "Patient: Hello doctor, My reports read as follows: Total triiodothyronine (T3) CLIA 91 ng/dl. Reference range 60 to 200. Total thyroxine (T4) CLIA 7.8 \u00b5g/dl. Reference range 4.5 to 12. Thyroid-stimulating hormone (TSH) CLIA 0.74 \u00b5IU/ml. Reference range 0.3 to 5.5. What should I decipher from this? Doctor: Hello. I just read your query and saw all your reports which you have attached (attachment removed to protect patient identity). Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 6491, + "tgt": "I have tight foreskin and skin bridge. Will it affect the ability to have kids?", + "src": "Patient: Hello doctor, I have a tight foreskin, and during sexual intercourse, I have issues with the ring constricting below my head. I also found out that I have a skin bridge between my foreskin and head. Due to this reason, I cannot fully enjoy sexual activity, and I cannot ejaculate inside my wife. I have tried masturbating and ejaculating inside, but having done that for several months, we are still not getting pregnant. I consulted a urologist, and he said that I should get a circumcision. Does having a tight foreskin and skin bridging affect the ability to have kids? Doctor: Hello. Your problems are not due to the skin bridge. Everybody has it. But the tight foreskin makes the intercourse a bit difficult and sometimes even painful. You are prone to get abrasions while having intercourse. You will be benefitted by the circumcision surgery. It is a safe procedure. If you do not want to undergo surgery, you can go to any infertility clinic and get an Intrauterine Insemination of your semen into your wife's uterus and make her pregnant." + }, + { + "id": 12945, + "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": 27126, + "tgt": "All my reports are normal but I still have gynecomastia. What could be the reason?", + "src": "Patient: Hello doctor, I had prolactinoma diagnosed with secondary hypogonadism. I was treated with cabergoline and hydrocortisone for a few years and then taken off hydrocortisone when the adrenals began to function properly. My\u00a0most recent blood tests came back normal, and I\u00a0was tested for loads of other things including an MRI\u00a0that shows no further growth. On paper, I am healthy and normal. But, I still\u00a0get gynecomastia symptoms.\u00a0My left nipple continues to be puffy, sensitive and at times causes a discomfort with dull aches. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12152, + "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": 6448, + "tgt": "How to prevent aerosinusitis?", + "src": "Patient: Hi doctor, I have a\u00a0problem-related flight landing. I have experienced a sudden and sharp pain in the eyebrows in 3 out of 10 flights. It is very painful. I have noticed it happens when I have a cold and cough. I searched\u00a0on the internet and got to know\u00a0aerosinusitis or barosinusitis. How to prevent it with medicine? Will Betahistine or vertigo tablet work? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27887, + "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": 1885, + "tgt": "Can fatty breast in male lead to breast cancer?", + "src": "Patient: Hi doctor, I am having rough period. I am worried about my health and about breast cancer as I have fatty breast albeit, rare in men. Also, I had undergone ultrasound before seven months and everything was normal. Before a couple of days, some little red marks had appeared\u00a0in my chest. When I\u00a0press that I feel a tiny bump really close to the surface of the skin, but no pain at all. What is it? Please explain me. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9095, + "tgt": "Can I get Clotrimazole ear drops without alcohol?", + "src": "Patient: Hello doctor,Can I get Clotrimazole ear drops without alcohol? My doctor prescribed me Canesten ear drops since he suspects a fungal infection, but the drops hurt like hell since they contain alcohol. Do you think there is another brand that can be used with perforated ear drum? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22343, + "tgt": "I have frequent bowel movements for a week. What is the reason?", + "src": "Patient: Hi doctor, I am having bowel movements a lot more than normal for a week and today it has gone to the point where I went and came back after 10 minutes. I eat salads all of the time. I have the feeling that I really have to go and most of the time only a little comes out sometimes, a lot comes out and there is no consistent form in it. I had Clostridium difficile colitis before two years. Doctor: Hi. Hope, you did not have any recent change in your diet habits and you are not taking any medicines which can potentially alter the bowel frequency. Transient changes in bowel frequency is a normal phenomenon. Nothing to worry much. Keep a close watch. You need to worry only, if you have watery stools, blood in stools or if you have pain associated. Other precipitating factors like anxiety, stress is needed to be ruled out. I suggest you a probiotic capsule (Darolac) once daily. Have a good diet with more salads and adequate water. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21791, + "tgt": "My ovulation test says I am at low fertility even on peak day. Kindly help", + "src": "Patient: Hello doctor,My husband and I have been trying to conceive and I have been trying to track my ovulation and I should have it correct but every time I take my ovulation test it says I am at low fertility even on my peak day. I do not know if I am doing something wrong or what. I just need some guidance. I have a really irregular period and have had complications in the past where I have lost substantial amounts of blood causing me to be hospitalized. The doctors do not have a specific answer for why my body does it but my body will not shed the uterine lining on its own. Doctor: Hi. How are you doing? The single reason for all your problems like poor cycles, no ovulation, excessive bleeding is your weight. Your expected weight is 55 to 57 kg. You must be having PCOD (polycystic ovarian disease). Extra weight is typically in the central part of the body. Typically distribution is above your elbow and knee joint. Mainly around arms, breast, back, abdomen, waist, and thighs. This fat is converted into estrogenic hormones, so also testosterone, the male hormone. Thus altering your hormonal balance, which is needed for normal ovulation. Symptoms that you may face due to this imbalance are hair fall, excessive hair growth, acne over face, back, arms, oily face, skin pigmentation on the face. Dark pigmentation over the back of the neck, the undersurface of breast and inner thighs. Skin tags over the neck. So when you have no ovulation on time, pregnancy will not occur and periods are also altered. When you have periods after a long gap, it will be heavy, painful. So, the single solution is to lose weight. Have a healthy diet, no junk foods. Lots of raw fruits and vegetables. Aerobics, yoga, exercises specific to the area where fat is more. Reduce weight gradually at 2 to 3 kg per month. You will definitely have regular periods and pregnancy. Do not worry. All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 18666, + "tgt": "Is it normal to have high SGOT and SGPT levels, immediately after stopping Udiliv?", + "src": "Patient: Hi doctor, I was diagnosed with high SGOT and SGPT levels and started medication (Udiliv) one year back. They levels dropped a month back, and the tests showed normal values. So, I stopped taking the medicines after the doctor's advice. Today when I did a blood test, SGOT and SGPT was 59 and 114. Is this natural to have high SGOT and SGPT values, immediately after stopping medicine? Will it take some three months or so to settle down to ideal values? Doctor: Hi. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12747, + "tgt": "Will low head position of the fetus lead to preterm labor?", + "src": "Patient: Hi doctor, I am 29 weeks pregnant. Yesterday, I had an ultrasound and the impressions are single live intrauterine fetus of 29 weeks gestation with posterior placenta of grade 2 maturity with adequate liquor with active fetal movements. Cervical length 3.91 cm, FHR 150 per minute, AFI 14.6 cm, EFW 1322 +/- 128 g, 51 ST centile, with normal Doppler flow parameters with head low down well approximated to LUS. I was given IV Ferium 10 ml as my hemoglobin is 9 g/dL. Nuchal translucency, nasal bone, double marker test, glucose test and anomaly studies were normal. I am very much worried that my doctor suggested me to take complete bed rest as head is very low down to uterus and it may lead to preterm labor. I was given injection Betnesol two doses 24 hours apart on yesterday and today. Please suggest me the precautions which I should take to avoid preterm labor and also suggest me diet during this term. Doctor: Hi. I went through your query. Your report is absolutely normal. The head in the current scan is low down but at this stage, the baby keeps moving around. At present, it is down and the next moment it could be up or even in breach. So, the position of the baby is not very significant at this stage. The chances of preterm labor can be determined by the cervical length, which in your case is absolutely normal. Anything less than 3.5 cm could because of concern. Normally, it is around 2.5 cm when we say that preterm delivery is very likely. You can be assured about that. Your doctor's advice is also correct and valid, it is just that you need to take care of yourself. Do not do activities which can induce the cervix to ripen this early. For example, do not do squatting movements, avoid intercourse, avoid walking, avoid lifting a heavy load, etc. Basically should avoid movements which would further push the baby downwards. But, it is not necessary to be on total bed rest. If you repeat the scan in some time, you will notice that the baby may be in a totally different location and position." + }, + { + "id": 29502, + "tgt": "What should be my ideal weight during 27 weeks of pregnancy?", + "src": "Patient: Hi doctor, I am 27 weeks pregnant. Anomaly scan, double marker and 3D scan are done and perfect. Tetanus vaccine was done. Any test or vaccine required during 24 to 28 weeks duration as I will be out of station and will return after 15 days? I will enter in 29 weeks by the time I visit the doctor. My prescription is attached here for reference. Please reply in detail. Doctor: Hi. I have gone through your prescription (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": 22681, + "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": 3376, + "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": 16734, + "tgt": "My pregnant wife is suffering from loose motion. Please suggest a tablet", + "src": "Patient: Hi doctor, My wife is pregnant and she is due for delivery in another one week. She is suffering from\u00a0loose motion.\u00a0Please suggest good tablet. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27926, + "tgt": "My 1. 2 year old son has difficulty in passing stools. Please help", + "src": "Patient: Hi doctor, My son is 1.2 years old. We have recently moved to a new city, and ever since, he is not comfortable passing stool. His stools\u00a0are hard and cause him pain. Apart from climate change, the\u00a0water here is very hard. He takes baby\u00a0food and homemade food, which we also consume. His height, weight, and head circumference are normal. Doctor: Hi. It is one of the common complaints we encounter from the parents. There is nothing to worry. Thank you, have a nice day. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25972, + "tgt": "TSH of 5960 and free T4 of 1. 14 in an 8-year-old. Should I be worried?", + "src": "Patient: Hello doctor, My 8-year-old daughter had labs done twice now and I have one doctor saying its concerning and another saying they are fine. I need another opinion. Labs done two months ago TSH was 5210 and free T4 was 1.43 and labs done this month are TSH is 5960 and free T4 is 1.14. I have attached lab reports for your reference. Doctor: Hello. I just read your query and from what you have attached (attachment removed to protect patient identity), it appears that your daughter has a slightly high TSH (thyroid-stimulating hormone). As of now, there is no need to take any treatment. However, her tests have to be repeated in every three months. You have to observe her closely for growth parameters like weight and height according to her age and later keep a watch regarding achieving puberty. If any of these aspects fall behind then she needs to take treatment for it. Regards. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28397, + "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": 28558, + "tgt": "My son complains of stomach pain and discomfort. What would be the likely reason?", + "src": "Patient: Hi doctor, My 5 year old\u00a0son lives in a village and is habitual of having milk twice a day. As he loves milk sometimes, he drinks raw milk (unsterilized milk). His father owns a dairy business. For the last one week, he is not feeling well and mostly complained about having a stomach ache, fatigue and usually restless. What would be the likely reason for such complaint? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30022, + "tgt": "Shall I continue Camne VID and LVate tablets for erection problem?", + "src": "Patient: Hi doctor, I have erection problems since about 1.5 years. I am 32 years old and married. My weight is 80 kg and height is 5'7\". I have no other health issues apart from the erection. Earlier, I was advised by a doctor to take Camne VID and LVate tablets for a month and I felt fine. Later, I discontinued those due to my work, travel and other work life. Whenever I have intercourse with my partner, I feel erection problem and my erection does not stay long. So, shall I continue with Camne VID? Please suggest a remedy for a good sex life. Doctor: Hi. I have gone through your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12178, + "tgt": "My son is suffering from corneal abrasion. Is there anything else to help him?", + "src": "Patient: Hello doctor, My son is 12 years old. Today in school another student threw a gift card (credit card size) which got stuck in his eye. He immediately experienced some internal eye bleeding and diplopia. He saw the urgent care MD who put dye in his eye and diagnosed a corneal abrasion and prescribed Erythromycin ointment four times daily. Should he consult an Ophthalmologist as well and what other treatment may be needed? Doctor: Hello. I am very sorry to hear that your son is injured. But, rest assured that such things are quite common and corneal abrasions usually heal in about five to seven days without any further harm. I suggest that you continue with the Erythromycin ointment and make sure that your son does not go out in sunny, windy or dusty environments. If necessary dark goggles can be worn temporarily for extra protection. I recommend that you see an Ophthalmologist in case of the following: 1. If there are pain and watering that does not improve with the Erythromycin Ointment. 2. If the redness is not reducing. 3. If there is a drop in vision. I hope this helps you." + }, + { + "id": 23428, + "tgt": "Should my fiancee consume a contraceptive pill in case she misses her period?", + "src": "Patient: Hi doctor, My fiancee and I had sex this weekend. It was unprotected and I ejaculated inside. We had sex during her safe days. She is expecting her periods in a day or two. Can there be any chance of delay in her periods? Can she consume a contraceptive pill within 72 hours and avoid pregnancy? I have asked her to consume the pill tomorrow (60 hours after sex) in case she misses her periods. Please advise. Doctor: Hello. If she is getting regular 30 days period cycle and you had intercourse after the 20th day of her period then there are no chances of pregnancy. Also, no need to take any contraceptive pill as her periods are due in two to three days. The period can delay because of stress and tension. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24801, + "tgt": "What can be the white hyperintensities on MRI?", + "src": "Patient: Hello doctor, I am a 39-year-old female who is otherwise healthy. I recently had an MRI due to smelling smoke that is not there. Some white hyperintensities were found on the MRI. As a result, I had a lumbar puncture. Everything came back normal, no oligoclonal banging was present. However, my IgG synthesis rate appears abnormal. The values are IgG CSF 19.4 mg/dl, albumin CSF 69.2 mg/dl, IgG serum 453 mg/dl, albumin serum 2.3 g/dl and IgG CSF index 1.42. Doctor: Hello. The increase of protein (IgG and albumin) production in the LCS (liquide cerebro-spinal) could be related to different chronic neurological disorders like an autoimmune disorder, a chronic infection like Lyme disease, multiple sclerosis (MS), etc. Although the presence of oligoclonal bands has been excluded, MS cannot be excluded (in 20 % of the patients with MS, these bands are not present). As there is a presence of white matter changes, there is something wrong, and further investigations (blood and LCS laboratory tests) are needed to determine the diagnosis. I would like to directly review your brain MRI report for a more professional opinion. What is your medical history? For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16315, + "tgt": "I have red spots all over the body with fever and pain behind the ears. Why?", + "src": "Patient: Hi doctor, I am 49 years old female. I have red spots all over the body. I have pain in the thigh and back. I have a fever for the past two days. I have a pain behind my ears with a headache. I am unable to eat my food. I have slight coughing and slight swelling on my face. Doctor: Hi. It is most likely a viral fever. It is better to get a full blood count done to be on the safer side. Take plenty of fluid and rest. Do not take Aspirin or Ibuprofen or any other NSAID (nonsteroidal anti-inflammatory drugs) or painkillers. You can take Paracetamol three tablets in a day for fever." + }, + { + "id": 2866, + "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": 13101, + "tgt": "What do the itchy bumps on my labia minora indicate?", + "src": "Patient: Hello doctor, I had unprotected sex about four months ago. Recently, I discovered some bumps on my labia minora that are somewhat itchy. I believe it might be herpes or warts. It does not burn when I pee, just feel slight discomfort. I hope the picture helps. Doctor: Hi. The bumps do not typically look like warts or herpes. Vagina has a lot of glands to keep it moist, it is likely that some gland ducts got blocked and are giving you bumps. Do not worry, they will go off gradually. Just wash the area with warm water and non perfumed gentle soap. Do not use douches, sprays, or harsh detergents to clean the area. Wash your underwears with soft detergent." + }, + { + "id": 17881, + "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": 2292, + "tgt": "My diabetic mother has burning sensation while urinating with dark urine. What steps should we take?", + "src": "Patient: Hi doctor, This is regarding my mother, who is 67 years old and has a previous history of slightly high BP and sugar and she is taking medicines for both. The issue is that on Sunday she experienced a burning sensation while urinating and then the sensation was gone, but on Monday night she again felt the burning sensation while urinating. She also said that the urine was darker yellow and also a bit warmer than usual. She has not been taking too much water, and I have told her to drink more water and see tomorrow if the burning sensation returns when peeing. However, since she complained I thought of at least contacting a doctor on a preliminary basis. What could be causing this sensation and if it persists what steps to take? Doctor: Hello. Sorry to hear about your mother's problem. Most probably your mother is having a urinary tract infection (UTI) which is quite common at her age but still not normal. I recommend (as she is diabetic as well as hypertensive) to get investigated. The following test should be done. CBC (complete blood count). RFT (renal function test). Urine routine and culture. Ultrasound abdomen with PVRU and HbA1c. I am going to start her on empirical treatment (see prescription) for three days so that she gets herself investigated meanwhile and relieved of her symptoms. But if there is any obvious underlying cause of UTI (which will get clearer after all investigations) we may have to act further. She is overweight, try if she can shed some weight with exercise. UTI. UTI. Plenty of fluids. After three days." + }, + { + "id": 614, + "tgt": "I have a lump on my glans penis with no pain. What could it be?", + "src": "Patient: Hello doctor, I have a cm sized lump on the glans of my penis. It appears to be under the skin. Therefore I ruled out the possibility of it being a Fordyce spot which I appear to have and are usually on the skin. It is slightly raised while flaccid but really shows in definition when aroused. I seem to have a similar definition around the start of the glans and end of the shaft, which I have had for some time. When I move the skin these lumps it do not move at all, unlike Fordyce. I suffered with bad eczema on my penis when I was a young child and used creams to heal. I do have trouble retracting the skin as it is tight and I am not sexually active. However, I do masturbate usually two to three times a week. I wanted to know the possibilities of what it could be? Should I be worried? Can I treat it myself if it needs treatment? And should I stay away from any sexual activity during this time? Doctor: Hello. I read your query and gone through the attached images (attachment removed to protect patient identity). First of all, I like to inform you that from the attached images it does not look like something serious. This is applicable for almost all forms of lumps over the penis. The most common possibility for similar looking lumps includes pearly penile papules and sebaceous cysts. The other possibility is scaring from eczema which you experienced during childhood. The possibility of a sexually transmitted infection-induced lump is out as you are sexually inactive and masturbation carries no risk of sexually transmitted infections. Most of these lesions are likely to go without any intervention or will stay without causing any damage which means there is no need to do anything on your part. However, if you see there is a sudden change in size, pain, pain during erection or ejaculation, any form of discharge or fever, unexpected weight loss consider seeing a doctor without delay. I hope this helps." + }, + { + "id": 16325, + "tgt": "How to detect pregnancy after having an unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner, and I gave her I-pill within 50 hours. After five days, she got her periods. After a month, she got her periods again. But her breast and lower stomach size have got increased. I want to know whether she is pregnant or not. Please help me. Doctor: Hi. She has got periods twice after having unprotected intercourse. Her first period can be due to the withdrawal effect of drugs, and the second episode after a month can be a regular period. Change in breast size can occur during regular menstrual periods. But it is usually not noticeable. You have not mentioned whether there was an ejaculation done or not. So if you think that there is a change in size, I would advise you to do a urine pregnancy test for your partner. As it is more than eight weeks, it will detect pregnancy if it is there." + }, + { + "id": 27726, + "tgt": "I have recurrent headaches from the last nine years. What could be the reason?", + "src": "Patient: Hello doctor,I am a 28 year old male. I have been having headaches for more than nine years now. I am an internet entrepreneur. So, I use computers a lot, though the usage has reduced significantly since I hired people to help me. However, it is important to note that my headaches started way before I knew how to use a computer. I have used a lot of painkillers, to an extent that, I do not respond to paracetamol and many of other painkillers anymore. I have also visited an ophthalmologist, who recommended anti-glare glasses, which I use with the computer. However, I am alarmed because it is not only artificial light that causes my headache. Even the slightest physical activity like ten push-ups, brisk jogging, laughing too much, driving, or just sex triggers a headache. The problem is, it does not go away until I take a painkiller. I am willing to go through a thorough process and consultation to determine the cause and probably the remedy to my sorry state. Please help. Doctor: Hello. I hope it helps you.\u00a0If you have further queries, please ask me. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25589, + "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": 27410, + "tgt": "I have trouble in uttering certain words. How do I overcome this?", + "src": "Patient: Hello doctor,I have a difficulty in pronouncing words that start with a vowel, for example, 'experience' or 'academic'. Whether the word is in the starting or the middle of the sentence, there is always a difficulty.\u00a0It has been around two and a half years since the problem began. I have to take a momentary pause and thrust it out forcefully. There is an unusual feeling in my chest too when I force myself to speak such words. The special aspect of this problem is that there is no problem when I practice\u00a0saying these words in my room. But, when I speak to others, it gets revived. I need you to suggest some speech drills, breathing exercise, or special precautions, so as to help me get over this probelm. Doctor: Hello. For further queries consult a speech therapist online --> https://icliniq.com./ask-a-doctor-online/speech-therapist" + }, + { + "id": 13235, + "tgt": "Is there a way to protect broken tooth without filling?", + "src": "Patient: Hi doctor, Three weeks ago a very small part, about 1/8th part of my tooth fell and I went to the dentist. He suggested filling but I was reluctant because it involved grinding. Can I prevent any further damage to my tooth by taking proper care that is brushing twice, using mouthwash and gargling every time I eat? Doctor: Hello. As explained by you, this seems to be the case of crown fracture in which no deep part of the tooth is involved. Even simple fracture of the crown (enamel) may cause sensitivity and roughnesses caused by fracture may cause traumatic ulcers. So it is advisable to go for grinding of the tooth (enameloplasty) to remove sharp edges and filling is advisable to prevent any sensitivity. Heavy biting forces. Ellis class1 fracture. Enameloplasty and restoration." + }, + { + "id": 21117, + "tgt": "Does negative index value in HIV tests indicate pre-existing immunodeficiency?", + "src": "Patient: Hello doctor,I had an unprotected sex, and then after 18 days, 40 days, 90 days, I had an HIV 1 and 2 antibody test including p24 (combo test). All four times it was negative index value around the same of .016. I have read about immunodeficiency people developing late antibody. I am really stressed out that am I having pre-existing immunodeficiency. I have never been hospitalized for any medical reason, and I do not fall sick very soon, like I get fever once in two years. Please advise what to do. Should I test again? Doctor: Hello. If you go again and get tested and then also if it is below 1.0, you are not at all infected with HIV. As per your statement, you had no complaints till test. If you felt sick, then it might be a problem. For any sickness due to low immunity, do not have any assumption or prediction as it is not fine. So do not go for any test. Try to boost up your immunity with a healthy diet, morning walk, some outdoor activity." + }, + { + "id": 26619, + "tgt": "I have scrotal dermatitis. Is it a relapsing disorder?", + "src": "Patient: Hello doctor, I have scrotal dermatitis. My dermatologist gave me some steroid creams, riboflavin tablets, multivitamin and mineral tablets. It subsided and I was normal in ten days. But again it came back in another 2 or 3 months. When I consulted the doctor again, he said\u00a0it is relapsing\u00a0due to lack of vitamins. And he suggested me to eat sprouts as breakfast for 3 months. I had it for one month and then stopped. After 6 months I got the same issue. I consulted another dermatologist, he gave me antihistamine tablets and cream and he said that it might be due to stress. He advised me to apply baby powder after bath. This gave relief, but not complete cure. I want to know the exact reason for my problem.Is there any test to detect the reason for my disease? Doctor: Hi. Take care. Revert back to a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27436, + "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": 4056, + "tgt": "Will cycling, a cardio exercise, lead to erectile dysfunction?", + "src": "Patient: Hi doctor, I have slight BP and high cholesterol. I am looking to do cardiovascular exercise. I have a concern about the spinning cycle. Some says it affects your main part of the lower body since you put additional load on the same meaning the seat you are sitting, blood circulation reduces due to additional pressure and you may face erectile dysfunction. I have seen a few pages on the same as well. I am afraid if I could do cycling. What is your advice? Doctor: Hello Welcome to icliniq.com. If you are a beginner then do not start with intense or advance workout. Choose an exercise and then slowly start it and as time passes increase its duration and holding position. Any exercise which intensely starts show harmful effects on the organs of body and overall health. Always involve a proper healthy diet along with exercise. Just exercise without proper diet has minimal effect on health instead of it sometimes shows harmful side effects. It is better for you to start with light jogging then develop its pace, and after a month go for particular workout. Specific workout also starts slowly and then develop its pace and strength. If you have already weakness in your body and have other health issues like cardiac, etc., then do not do exercise without proper consultation with your doctor about the present and past history of illness. I hope this helps." + }, + { + "id": 21796, + "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": 5232, + "tgt": "I have knee stiffness and cracking sound in the knees with walking difficulty. Do I need surgery?", + "src": "Patient: Hello doctor, I am 30 years old. I have pain, stiffness and cracking or creaking sound in both the knees and joints. Pain is persisting for 24 hours and there is difficulty in walking. There are some other symptoms apart from pain which I have listed below: Locking of joints and stiffness if I sit in a specific posture for long. Weakness in joints all the time in standing and walking position. I cannot sit down in a squat position due to enormous pain and even if I do I would not be able to stand without any support. Not able to climb up and down the stairs properly. I can only able to bend the right leg knee on the stairs. No history of any injury, but I have bow legs. During a consultation for the same issue, one of the doctor did say that my axis is little twisted and advised to wear a correcting innersole in my shoes, which unfortunately I was not able to wear as no shoe was fitting me after inserting those soles. My height is 5 feet 11 inches and my weight is 80 kg so I am a little overweight but not much. I am not a fitness freak, in fact, I do not do much of exercises and the majority of my time goes sitting in front of my computer owing to my IT profession. Chronology of events: The pain started in my right knee ten months back. The pain was not much at the start and only happened when I used to stand for long. Consulted a couple of doctors who gave certain medicines like Novovartalon and Ccelebrex capsules. The medicines did not help and the situation only deteriorated further. Approximately two months back I played football for a little while and the pain started to occur in the left knee as well after which I again went for a diagnose. This time it was told to me that I have damaged the meniscus and cartilage in both my knees and thus a surgery will be required. I went to another doctor who tried with exercise and medicine Celebrex for three weeks which ended last week without any significant improvement. I am currently living abroad due to my professional assignment. Language is one of the biggest barriers here, therefore I wanted to be sure that is this the only safe and best option before proceeding with any of the surgical solution. Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). The main findings of the reports are as follows: Left knee: rupture of anterior horn of medial meniscus and posterior horn of lateral meniscus. Right knee: rupture of posterior horn of medial and lateral meniscus. X-ray of both knees suggest chondromalacia (softening of cartilage) in both knees. To summarize you have meniscal injury in both knees. They are unlikely to develop without prior trauma. And as such, based on the MRI (magnetic resonance imaging) reports both your knees require arthroscopic (key hole surgery) repair of the torn menisci. Non-operative treatment is likely to cause continuous pain on the long-run. Arthroscopic surgery has been associated with good results. However, I would advise you to consult a well trained and experienced knee arthroscopic surgeon for your condition. It is a good sign that the rest of your cartilage are relatively normal in MRI, though the exact picture is likely to be confirmed only during arthroscopy. Unfortunately the images in your rar file did not open up. Kindly send in JPEG format if possible. At present, I would advise you pain killers, relative rest, brace in both knees to prevent further injury to your menisci and cartilage before you plan for surgery." + }, + { + "id": 22017, + "tgt": "I am O+ve and fiance is B-ve. What problems are we going to face?", + "src": "Patient: Hi doctor, My blood group is O positive. I am going to marry a girl whose blood group is B negative. What type of problems are we going to face? I need your help. Doctor: Hello. With proper precautions, you will not get any problems. Your wife has to receive anti D at the proper time during pregnancy. Otherwise, the baby may have hemolytic disease soon after birth. There will be no other problem. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28163, + "tgt": "Do laser combs help regrow hair?", + "src": "Patient: Hello doctor, I am experiencing hair loss problem. I have read somewhere that laser comb helps regrow hair on the\u00a0scalp. Is it worth buying the laser comb? Do they actually work? Doctor: Hi. I have read your query and understand your concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24350, + "tgt": "What is the solution for face color being dark when body is white?", + "src": "Patient: Hi doctor,I am a female and my age is 25 years. My body is white but face dark black. I have used many creams and lotions but there is no change. So, I want a solution for this. Doctor: Hello. I just read your query. See if your face color is darker than your body color then it can be due to excessive exposure to the sun. But, if it is your natural color then it cannot be lightened through creams, etc. To get rid of sunburn apply sunscreen lotion half an hour before going outside. Apply sunscreen even on cloudy day. Apply aloe vera gel on your skin two times a day. Use oatmeal scrub two to three times a week. You can use any other scrub too if you want to. Drink plenty of water daily. Take more of fresh fruits and vegetables in your diet. These all things will help you a lot. But if you have some sort of skin problem then I advise you to visit a nearby dermatologist first. I hope you understand my point. We will have a follow up after three weeks. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1595, + "tgt": "I have swollen lymph nodes and sore throat even after a month of wisdom tooth removal. Why?", + "src": "Patient: Hello doctor, I had aggressive damaged wisdom teeth removal about a month ago. And since then I have a swollen lymph node in my neck on the side of the removal which sometimes it hurts and feel swollen and sometimes normal but it does not go away. But for the last two days, both sides are swollen and my throat is sore and hurts when I swallow or smoke. Is this something serious? Doctor: Hello. I have seen the image. (attachment removed to protect patient identity). It is showing right follicular tonsilitis with keratitis of the right buccal mucosa and attrition of the teeth with discoloration of the teeth present. For tonsillitis, you have to use antibiotics like Amoxicillin and Clavulanic acid 625 mg twice a day for five days, and tablet Azithromycin 500 mg first day followed by 250 mg once a day for five days. Avoid cool drinks and alcohol. Avoid smoking and tobacco chewing. Use water vapor inhalation and salt water gargling thrice a day. For keratitis, avoid smoking and use capsule vitamin A once a day for one week. Eat green leafy vegetables and fruits. Please consult with your oral pathologist, he will examine and if possible will take a biopsy and treat you accordingly. I would like to some details. How old are you? Since when you are smoking? Is lymph node feeling hard or soft? It is possible that lymph node enlargement in case of any infection in the oral cavity, nose, or ears. If the lymph node is soft, painful, and easily moving means it is inflammatory pathology. But if it is hard, matted, and non-movable means a malignant pathology." + }, + { + "id": 4948, + "tgt": "I have low platelet count and Hb with burning back pain and morning stiffness. Please help", + "src": "Patient: Hello doctor, I am suffering from low platelet count, low hemoglobin, burning back pain, shoulder pain, arm pain, forearm pain, breathing problems, abdominal pain, morning stiffness, foot, and hand pain. I feel tired, eyes pain and burning, headache, pallor, and frequent urination. My burning pain in the back gets worse while doing some household activities. Can you please help me with what is going on with me? I am currently taking Naproxen 250, vitamin B12 injection and vitamin D3 capsule. Doctor: Hello. The shoulder pain, arm pain like symptoms could be because of low vitamin B12 levels. So you can complete the course of B12 injection. For breathing issue, however, you need to investigate with spirometry and chest x-ray. Additionally, I have observed that your hemoglobin level and platelet counts are low persistently for the past two to three months. So kindly consult a nearby hematologist for a detailed evaluation of low platelet count. Some autoimmune thrombocytopenia like cause needs to be searched as per provided history. For that primarily ANA (antinuclear antibody) investigation has to be done. I hope this helps." + }, + { + "id": 26328, + "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": 3528, + "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": 3901, + "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": 2048, + "tgt": "I have intermittent acne on butt with permanent black marks. Please suggest solution", + "src": "Patient: Hello doctor, I have acne (inflammation) on the hair follicles on my butt for a long time, which goes on and off, but the marks and blackness of skin have been there forever. The marks are dry and persistent. When a particular one dries, the skin can be easily pulled off and it often has a tiny whitish needle in the middle. It does not pain, but the marks are really bad. I have just used home remedies like aloe vera and coconut oil. Please suggest a lasting solution. Doctor: Hi. I went through your case. Though photo are bit blurred. Upload a clear one if possible. (attachment removed to protect patient identity). Characteristics you mentioned are spines, dry, and their persistence but again you said they go on and off. I can see some are having small pus. That is important, make it clear if they are always or have any seasonal variation. You did not mention itching, I want to be clear do they itch or not. Do you have a history of allergy in the form of itchy rash? Are these bumps only on buttock area or elsewhere also like elbow, neck, etc? Did they ever make large pus-filled abscess? Do you have any other medical conditions? It is a chronic and rare disease but to be sure I need above history. Then I may advise you a biopsy to confirm the diagnosis. Constitutional. Biopsy for HPE (histopathological examination) Keratosis pilaris, lichen spinulose, and follicular eczema. Ureative20 cream in the morning. Tretinoin 0.05% cream at night. Moisturizer. Review with history and photo then plan further." + }, + { + "id": 27856, + "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": 6392, + "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": 29680, + "tgt": "Why is my baby having loose motions for so many days?", + "src": "Patient: Hello doctor, My baby is 12 days old. He is having loose motions from the third day of birth. I gave him cow's milk for the first and the second day and he was fine. When I started breastfeeding him on day 3, he started having loose motions. His stools are not the same all the times; sometimes, it is watery and sometimes, it is normal. I am worried that this is happening because of cow's milk. Please help me out. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27797, + "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": 30220, + "tgt": "I had a bad panic attack. When will I become normal?", + "src": "Patient: Hi doctor,Last night, I had a bad panic attack with shortness of breath, shaking, heart racing and chest pains. Today, I have chest soreness and discomfort. Is this normal? When will it stop? I have anxiety and I am prone to anxiety attacks, but none with chest pain. I am on regular Zoloft 75 mg. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20057, + "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": 4643, + "tgt": "My eye looks dilated after using contact lens for 12 hours. What to do?", + "src": "Patient: Hi doctor, I used\u00a0contact lens for more than 12 hours and also applied eye drops twice. During that time, my left eye had slight pain. But, I ignored it. Next morning, left eye looks dilated and off center. What to do? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30291, + "tgt": "In PFT, what does fair lung volume mean?", + "src": "Patient: Hi doctor, Here are the details of my chest issues that I was hoping you could help me with. I will attach all the information I have in terms of x-rays and function tests. I am\u00a037 year old otherwise healthy female with normal BMI. I have a smoking history of 16 packs a year. Four years ago, I quit smoking completely. Now, I regularly run for around 1 or 2 miles. My symptoms include mild dyspnea with a feeling that cannot get a satisfying breath. Tender feeling in the lungs on deep outward or inward breath or cough. The tender feeling in the upper back under shoulder blade. I have a feeling of the chest infection or inflammation, but there is no mucus production and no spontaneous coughing. I have chest tightness. I have good and bad days, but generally the symptoms remain constant. I do not get anxious, except about this. My oxygen saturations showing normal at rest and EKG is normal. I have attached chest x-rays of the last five years as well as current bloodwork and spirometry. The first basic pulmonary function included a post bronchodilator test and was done at clinic A (general clinic).\u00a0The second PFT included lung functions and diffusion capacity and was carried out at clinic B (pulmonology clinic). I was\u00a0prescribed Albuterol and started taking it 1.5 weeks ago. I have an initial appointment with a pulmonologist in a week. Basically, I\u00a0am trying to get an opinion for the following.\u00a0What is going on? Do things will get worse from here? Is there hyperinflation of my lungs for the last 6 years or is this a new finding?\u00a0What are the values in the second PFT indicating fair lung volume and fair diffusion capacity?\u00a0What does the isolated DLCO/VA value mean? Is this reversible? Please explain. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13997, + "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": 14034, + "tgt": "Is it advisable to carry on surgery for stage 4 breast cancer?", + "src": "Patient: Hello doctor,Today my mother-in-law was diagnosed with breast cancer stage 4. She is having a fracture in the hip bone for two days and was admitted in hospital for that. Later, it was diagnosed as cancer. They are planning to do surgery for fracture and after that chemotherapy. Now she is unable to walk or sit. Is there any risk in doing surgery at this stage 4 of cancer? What are the treatment for this stage? What is the prognosis? Please give us a reply. Doctor: Hi. She needs PET-CT whole body scan to establish the sites of metastasis involved all over the body. Breast cancer only with bone metastasis has a good prognosis. She needs six cycles of chemotherapy first and then reassessment. Surgery is indicated for spine or bone for fixation of fracture and local radiotherapy. Surgery or radiation for breast is not warranted at present. If the spread involves liver, lung or brain other than bone, then prognosis will be bad." + }, + { + "id": 21244, + "tgt": "What homeopathic medicine can be used for acne, pores, and excess oil?", + "src": "Patient: Hello doctor, Actually, I have a combination skin and I seriously do not get what should I use for my face to remove excess oil and get rid of acne and open pores. Will you please suggest me a good face cleanser and a cream too? And, one more thing that should I use any bleach or not? Doctor: Hello. I am glad to answer your query. Berberis Aquifolium is one of the good remedies for skin conditions. You can purchase Berberis Aquifolium mother tincture. Use 15 drops of mother tincture in half cup of water, stir it well and apply all over your face twice a day (morning and evening or night). Let it remain on your face for at least 30 minutes and then wash it off with cold water. Do this for 2 to 3 months. Refrigerate the remaining mixture of liquid. You should you milder soap for washing your face like baby soap or Berberis soap. You can use Neutrogena cleanser if you want, they are milder as compared to others. Avoid using any kind of bleach or strong chemicals on your face as they will make the condition worse. I hope you start seeing some improvement after using this remedy." + }, + { + "id": 17518, + "tgt": "My 3 months old baby's vision has not developed yet. Is this normal?", + "src": "Patient: Hi doctor, My daughter is 3 months old now.\u00a0We got her examined by an eye specialist\u00a0this week, but the doctor said that her vision is not yet developed due to which she cannot see or differentiate colors.\u00a0As per the doctor's examination my daughter's eyeballs, retina, etc., are fine but the\u00a0link of the eyeball to the\u00a0brain has not developed yet.\u00a0We parents are concerned and wish to know what we should do in this situation. Is this normal? Can the vision develop in the\u00a0future? If yes, how long we need to wait? We seek this consultation as a second expert opinion and advice. Doctor: Hi. 1. VEP. 2. Refraction under atropine. 3. Cardiff count. Glasses with amblyopia therapy if required. Revert with the details to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9880, + "tgt": "How can voice quality be improved that has become bad due to consuming energy and soda drinks?", + "src": "Patient: Hello doctor, Because of drinking energy drinks and soda drinks since last 10 years daily, I feel my voice quality has decreased. I feel that my voice is unattractive. I do not know what words to use but I feel that there is some problem. The quality of the voice feels low. Please give me solution or answer. Doctor: Hello. You have consumed energy drinks more than enough through 10 years. Change of voice for more than 10 days with failure of treatment is a strong indication for laryngoscopy to assess the condition of your vocal cords. So, did you receive any treatment before? And how long do you have this voice change? Do you have reflux or burning sensation in your chest or your stomach? Do you eat fast foods daily?" + }, + { + "id": 4587, + "tgt": "How is Asperger syndrome named today?", + "src": "Patient: Hi doctor, I was diagnosed with Asperger syndrome when I was 13 years of age. I am 22 now. How does the DSM-5 change that disorder? Doctor: Hi. Asperger was previously regarded as a separate disorder, but now it is categorized as a form of autism spectrum disorder (ASD) in DSM-5 Diagnostic and Statistical Manual of Mental Disorder). ASD includes, By the current DSM-5 criteria, individuals previously diagnosed with Asperger syndrome would be diagnosed as having ASD without language or intellectual impairment. This is because; previously when Asperger was introduced in 1994, it was distinguished from autistic disorders as there was no delay in language and general cognition. But now it is put under autism spectrum disorders because there is no evidence of different response to treatment or of a distinct cause in Asperger syndrome versus high functioning autism. Previously Asperger's was diagnosed only if they did not meet the criteria of autistic disorder, so to resolve this confusion both were kept under the same umbrella of ASD. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22693, + "tgt": "Can one get pregnant without penetration or ejaculation?", + "src": "Patient: Hello doctor, I and my partner were having soft sex without penetration. In the process, we just rubbed our genitals against each other. Two to three days later, she has started feeling nauseous. She is complaining of pain in the breasts, pelvic pain and swelling in the vulva region. A pale white fluid has started discharging at regular intervals from the vagina. After some time, it was gelatinous. She is frequently complaining of abdominal cramps. I am worried whether she is pregnant. Doctor: Hi. Since there was no ejaculation, there is no chance of pregnancy. This could be because of hormonal changes or anxiety or physiological. There is nothing to worry about. So relax and do not worry. However, if you have a doubt, then get yourself checked by a gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27700, + "tgt": "Is it possible to get pregnant with 7. 6 mm of endometrial thickness?", + "src": "Patient: Hello doctor, Kindly review the attached scan report of my pelvis and let me know if there is anything abnormal. This scan was done today, because I had a miscarriage nine months ago and the scan after miscarriage said that 13 mm of residue is being seen. The doctor confirmed that I need not worry as this will tear off in my subsequent menstrual cycles.\u00a0Now doctor asked me to get the scan done to see whether everything is fine as I am trying to conceive again. Thank you. Doctor: Hi. From your query I understood that you have a previous history of miscarriage and a follow up scan showed a 13 mm endometrium thickness. A 13 mm endometrium thickness is borderline, which means you may or may not have required a surgical evacuation at that time. Also, endometrial thickness is not a valuable guide and we consider the clinical parameters like bleeding per vagina as more important for opting evacuation. I have gone through your recent ultrasonography report (attachment removed to protect patient identity) where endometrium is 7.6 mm. It is fine and I must say you it has nothing related with your previous poor pregnancy outcome. Both the ovaries are also normal and this is essentially a normal scan report. Blood for Hb gm% (hemoglobin), TC (total blood cell count), DC (differential count), platelet, LFT (liver function tests), total cholesterol, urea, creatinine, FBS (fasting blood sugar) and PPBS (postprandial blood sugar). Preconception counseling. Tablet Folvite 5 mg (Folic acid) once a day. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29767, + "tgt": "Kindly check my friend's semen report and give a valuable suggestion", + "src": "Patient: Hi doctor, My friend is 32 years old and got married before two years. But, he did not have any kid yet. My friend got semen analysis test. The report was attached. Kindly check. Also, I have attached some of his wife's reports. Please give a valuable suggestion for getting pregnant. Doctor: Hi. I can understand the situation. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6102, + "tgt": "I would like help understanding my ultrasound reports", + "src": "Patient: Hello\u00a0doctor, I had an ultrasound of my abdomen yesterday and got the results today. My ALP is 155 and AST\u00a0and ALT is within the normal range. I am not taking any medication at the moment, but I would like help with understanding what this means 'liver parenchyma has increased and coarse acoustic texture and correlation with liver function studies are advised. There is no intrahepatic biliary ductal dilation. No discrete masses are demonstrated sonographically'. Doctor: Hello. Your liver function has normal SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase), and slightly elevated ALP (alkaline phosphatase level), which has not much significance. I am more interested in the serum albumin level, serum globulin level, and serum GGT (gamma-glutamyl transferase) level. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27263, + "tgt": "Is my mother's leg pain sciatica or something else?", + "src": "Patient: Hello doctor, My 49 year old mother has a severe (sciatica-like) leg pain. There is also pain below the knee and at the back of the\u00a0leg. The pain is an extreme burning sensation kind\u00a0of pain. It sometimes moves to the hips. The pain increases when she sits or tries to walk. She is taking a pain killer called Zerodol-SP. \u00a0But, it is not working. Suggest some medicine that would give her relief. Doctor: Hello. For further queries consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 30923, + "tgt": "How to manage high fever, body pain and headache?", + "src": "Patient: Hi doctor, I am a 23 year old female. Since yesterday, I have been suffering from high fever, body ache and headache. Fever dropped to 102 degree Fahrenheit in the evening. I had Crocin. Later, the temperature hit 104 degree Fahrenheit. I got shivers and vomited once. Still the temperature is same. Should I need cold water treatment or hospitalization? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21385, + "tgt": "How can I get rid of pimples and dark spots through ayurveda?", + "src": "Patient: Hello doctor, I am 19. How can I get rid of pimples and dark spots? Doctor: Hello. At your age, the most common cause behind pimples is hormonal changes and they vanish off naturally after some time. But, you can still follow this management: Consult me or a nearby ayurveda physician after one month regarding improvement and for further management. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22185, + "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": 13745, + "tgt": "My mother has cough and problem with breathing. Please advice", + "src": "Patient: Hello doctor,For the last 15 days, my mother is facing problems while breathing due to the current weather condition here in our place. There is too much pollution, humid weather and it is also rainy season here. She was having cold earlier, but that has been treated. Right now she is having little cough and problems while breathing. She says she feels something choking while she breathes. She has been taking homeopathy medicines but it seems it is not working anymore for her. For now, she is taking 300 mg Deriphyllin to get the ease of that blockage, but it seems it is also not working for her. Due to this, she is not able to work or roam around. She is facing real difficulty in doing household work. Please advice. Doctor: Hello Sir. Asthma has many triggers. They are cold weather, dust, mist, rain and as you said, pollution is also a cause. Since her symptoms do not come down with Deriphyllin, I am suggesting the following. She needs one antibiotic to completely remove the pathogen. Also some medications to reduce cold and wheezing. Once her symptoms are reduced, we can start single-drug therapy for a month to prevent wheezing coming back again. All the above medications have to be taken twice a day. She will get some sleep due to these medications. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. How to use the inhaler? Take the inhaler, remove the white mouth cap, keep the inhaler in the mouth, and while inhaling press the container downwards once, and breathe deeply while closing the mouth. Repeat the inhaler after two minutes. Like this, she has to do in the morning and at night.Please start medications as soon as possible. After 5 days, once her symptoms reduce, stop all the drugs and start the following drug: Tablet Montair LC (Montelukast and Levocetirizine combination) 0-0-1 (at evening 7 PM) for one month. This drug also causes sleepiness.If wheezing comes again, the inhaler is enough. The inhaler is completely safe and does not cause addiction. She will get well soon. Exacerbation due to dust, mist, cold climate, pollution and rain. COPD - Chronic Obstructive Pulmonary Disease Exacerbation of bronchial asthma She has to wear a woolen cap which will cover her mouth, nose and ears while going outdoors. She should always have the inhaler in hand and use it anytime if needed." + }, + { + "id": 21215, + "tgt": "I have been on balanitis treatment without a positive result. Please help", + "src": "Patient: Hi doctor, My doctor told me that I have balanitis. He prescribed Clotrimazole and Beclomethasone cream, Itraconazole capsules (one capsule every day) and Levocetirizine dihydrochloride (one tablet for every night) for 10 days. I have finished all medicines in 10 days. First three days I felt that I have benefited, but still I am not cured. Why? Doctor: Hello. The treatment which you are taking is entirely correct. Continue it for another two to three weeks. Undergo a test for diabetes as balanitis is a recurrent problem in a diabetes patient. Also, please attach some photo of the area so that it will be easy to diagnose the condition and provide effective treatment. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13591, + "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": 8862, + "tgt": "Kindly prescribe medications for wisdom tooth pain and gum swelling", + "src": "Patient: Hello doctor, These days I am suffering from the pain of wisdom teeth. The gum swelling hurts. It is all right at day but worse at night. I am wondering what kind of medicine can I take to relieve my pain. Doctor: Hi. As you complained of pain in your wisdom tooth. Gum swelling is present. Medicines advised are antibiotics: Tablet Amoxicillin 500 mg with Clavulanic acid 125 mg (Augmentin 625 mg) (after meal), analgesic: Tablet Diclofenac (50 mg) + Paracetamol 325 mg + Serratiopeptidase (15 mg) (after meal), tablet Pantoprazole 40 mg (before meal). Advise to show to your dentist also." + }, + { + "id": 18453, + "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": 23437, + "tgt": "How can I correct my eye ogling while talking to someone?", + "src": "Patient: Hello doctor, During childhood days I was a bit introvert but used to enjoy a lot by playing all sorts of indoor and outdoor games apart from studying. During college days also no issues were there as such. But while joined in a metro city as my first job felt bit awkward that I was not able to mingle with all people in my colony. I used to avoid social activity a bit. After that posted in a remote area where stayed for five years and enjoyed a lot mixing and partying with all sort of people. Then I was posted to my home place where one influential boss wanted to keep me in his section but due topressure from higher up he had to give up his idea, but directly or indirectly he was harsh. That was the beginning I feel. Along with that during that posting, I used to travel a lot, worked almost day and night just for my good name, that people will appreciate. Got lots of appreciation but these process initiate. During initial days after few hours of conversation people used to know about my eye ogling issue but now I feel within few minutes they can make out. Please help. I want to change it at any cost. Sometimes doing exercise, yoga but not so regular. My sleeping is very good, after going to bed, within a few seconds I used to sleep. Previously during any stomach ache, hand pain, headache for any reason, I used to think I will die very soon for that cause. What will happen to my family and so on. Although in my family, my wife has a good job and have only one child. But during last few months, much of change was going on in a positive way. During any farewell or any party if any photography will be there then my face will be in very much in tension. So nowadays during the photography session, I am avoiding that and instead, take photographs of all. Slowly and steadily I want to change eye ogling issue. My eye ogling look is like someone is surprised to see something strange. I know I can change but an efficient or proper support is needed. Never taken any medication. For blood pressure taken Repace 25 initially two years back. From mid of last year taken Repace 50. And later started taking CTD T 6.25/40. Felt many a time to stop this CTD T due to no such tension except eye ogling. Doctor: Hi. Tension or stress is different from hypertension or high blood pressure. BP (blood pressure) medications will not help with the psychological tension you are describing. Social avoidance is another problem you have described. You are mostly disturbed about a preoccupation with eye ogling. And you have had panic related to normal bodily symptoms like stomach ache, headache, and hand pain. I think you are having anxiety issues. Consulting a psychiatrist would be my advice. I would suggest taking tablet Nexito 5 mg once a day after breakfast. It starts to have an effect on anxiety and social avoidance after at least 15 days of taking it. There are no side effects in the long term but in the initial two weeks, you may experience gastric trouble or bloat and initially increased anxiety. If they happen, start with a half tablet of Nexito 5 mg. You might need a prescription for this medication. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 512, + "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": 30276, + "tgt": "How do I know if I have listeria or toxoplasmosis?", + "src": "Patient: Hello doctor, I am a 31 year old female and currently 37 weeks pregnant. This evening I ate a burger that was pink on the inside. I am worried about getting listeria or toxoplasmosis from it.\u00a0I will be scheduled for a C-section around 11 to 13 days from now and I am wondering what are the odds of passing a possible infection to my baby in this time span? Can one transmit toxoplasmosis or listeriosis to a fetus during the incubation period of infection? Should I undergo any tests? Or is my risk small?\u00a0Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11605, + "tgt": "What is the treatment for itchy skin ulcer in pubic area?", + "src": "Patient: Hello doctor, I have a skin ulcer that appeared about a week ago in the pubic area. The initial lesion is now surrounded by four liquid filled bumps that look like they also will become ulcers. A small itchy bump developed into an ulcer in 10 days. Three days between photos at a different stage of the ulcer. Now itches and oozes.I have never had a skin issue like this. My girlfriend thinks it was because my swimsuit was not cleaned for days. We live in a hot, and humid climate overseas. Please recommend medicine. Doctor: Hello. 1. Looking at the images (attachment removed to protect patient identity), I could think of two differentials for it and they are pyoderma, a superficial bacterial infection, or herpes genitalis, a disease spread via sexual contact and presents with grouped blisters with pain. 2. Right now treatment for pyoderma is all that you require as even if it is herpes anti-herpetic medications are not needed after 72 hours. So clean the area with normal soap and water and apply following cream twice a day and take these medications for five days. Kindly consult your doctor and take the treatment with consent. 1. Tablet Cefadroxil 500 mg twice a day. 2. Tablet Fexofenadine 180 mg once a day. 3. Cream Mometasone plus Fusidic acid twice a day. Get following investigations done if possible, HSV 1 and 2, IgG, and IgM serology." + }, + { + "id": 10408, + "tgt": "My tongue is bleeding while brushing and having white sopts in the uvula. Kindly explain", + "src": "Patient: Hello doctor,My tongue hurts and bleeds when brushed. White spot on uvula area and white and small red dots on the roof of my mouth. Also, a yellowish color is seen on the roof of my mouth. Doctor: Hello. The condition is called aphthous stomatitis. It usually follows a brief period of stress to be emotional or physical, as a febrile sickness. You need to take a short course of antibiotics, topical analgesics, anesthetics. Multivitamin supplements and antacids can be taken. It is usually self-limiting, and the treatment is aimed at symptom relief." + }, + { + "id": 30159, + "tgt": "I have a problem with my bowel movement. Kindly explain it", + "src": "Patient: Hi doctor, I am practicing as a karma yogi. I have a problem with the bowel movement. I am taking up to 30 minutes to out the dross. After practicing yoga and exercise, I am again in need to go to restroom again. I wonder how the dross is segregated without having food in the morning. I wake up at 4 AM completely out my dross and bath. I will do the prayer and exercise after the sip of a cup of tea and without having any food. I am in a situation to out my dross for freeness of the stomach. This is the only problem I have with my stomach for more than two years. My bowels are polluted I guess. I have been a tobacco user for eight years. Now, I have left that habit, but I still have some temptation to smoke. How to improve my bowel movements? Doctor: Hi. Chronic habits. Motion routine and scan. Irritable bowel syndrome (IBS). 1. GCR. 2. IBS. Conservative. Avoid smoking and coffee For further doubts consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 17554, + "tgt": "I am anemic even after taking iron supplements. Why?", + "src": "Patient: Hi doctor, I have a history of anemia. I have been taking iron supplements prescribed by my doctor for the past few months. After a while, I had an appointment, and my doctor said that I am still very anemic. A few years ago, I had an eating problem. I was overeating, but I did not gain weight. Is there something wrong with me? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27946, + "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": 23720, + "tgt": "I have something like a bruise. Can you tell me what it is?", + "src": "Patient: Hello doctor,I have an issue with my skin. It has changed color, maybe a bruise or something even though it is not itchy or painful. Doctor: Hello. Yes, it appears to be a bruise only (attachment removed to protect patient identity). Commonly this occurs due to trauma or injury noticed or unnoticed. So do you remember any history of injury while walking, playing, driving, etc.? Is there any possibility of injury during sleep? If yes then it is fine and it will resolve in a week or two. Is it just a single bruise or multiple over the body? You should try to search at other sites as well. If multiple or there is no clear-cut history or possibility of injury, then we need to rule low platelet count as a cause for the bruise. So, you should get platelet count, and PT INR test done in order to rule out clotting problem. 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": 615, + "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": 6095, + "tgt": "My BP is 111/63 mmHg. Is this normal?", + "src": "Patient: Hi doctor, I am feeling very dizzy lately, and I have lost a lot of weight without dieting. I am suffering from headaches a lot. This morning, I was shaking so much, which lasted for about two hours. I checked my blood pressure, and it was 111/63 mmHg. Is this normal? Doctor: Hi. Thanks for your query. Thanks. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29385, + "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": 24905, + "tgt": "My wife and I are trying hard to conceive a baby but no results. What to do?", + "src": "Patient: Hi doctor,I got married four months ago. My wife and I are of the same age 26. We both are really trying hard to conceive a baby, but it is not happening. Even though my wife says that the penis goes like 40 % into her but I feel it is full. Even the sperm goes into her every day, but no results yet. We are very worried. What to do? Doctor: Hello. I understand your concerns. The successful conception is dependent primarily on two factors:1. The female has regular periods.2. The male has a normal semen analysis and good erection. Before proceeding to advanced staging you have to confirm to me that your wife has regular periods and you have a normal erection and semen analysis (you can send me the report). The next stage after excluding the male factor, we have to confirm that your wife is ovulating normally every month by a blood test. If there is insufficient ovulation a medication can be used to enhance ovulation. Have you experienced any degree of varicocele? I recommend that you follow up in order to reach the appropriate diagnosis. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22712, + "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": 12182, + "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": 22938, + "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": 29800, + "tgt": "Is it possible to get a surgery for fracture after two weeks of the incident?", + "src": "Patient: Hi doctor, I have displaced clavicle fracture. My doctor told me that the surgery depends on my decision. It has been two weeks since I got the accident. Initially, I thought the fracture would heal itself. But, I do like to get surgery. Is it possible for me to have operation after a period of two weeks since the incident? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 25898, + "tgt": "How can dark patches on the cheeks be treated?", + "src": "Patient: Hello doctor, My 21-year-old cousin whose height is 181 cm and weight 120 kg has dark patches on his cheeks. Photos are attached. The patient had already consulted a doctor regarding this year ago. The doctor had suggested that it might be acanthosis nigricans and suggested cholesterol evaluation. The darkness has reduced now but not totally gone. Please see the test results and kindly advice treatment. Doctor: Hello. I have gone through the photos (attachment removed to protect patient identity) Yes, it can be acanthosis nigricans. But does he have similar pigmentation over the nape of the neck, groin area, and armpits? His serum cholesterol levels are raised. He also is overweight. There is a deficiency of vitamin D and B12. I would like to know what creams has he applied? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 225, + "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": 17905, + "tgt": "A stitch after a normal delivery has not healed after five months. Is it a fistula?", + "src": "Patient: Hello doctor, I had a normal delivery five months back, but I can still see one stitch, which has not healed properly. The skin is still raw near the vagina. It does not hurt, but only when I pee or when water touches there, it stings. Please help. I do not want to get restitched, as it has been a long time. I am applying T bact and Drez S ointment. Doctor: Hi. How are you doing? 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": 6362, + "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": 17943, + "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": 10144, + "tgt": "Will taking antibiotics cause diarrhea or loose stools?", + "src": "Patient: Hello doctor,I took antibiotics about a month ago, and ever since the fourth day of antibiotic treatment, I have been suffering from diarrhea or loose stools. On the fourth day, I had bad cramps and loose stools that lasted from the fourth day to the seventh day. This then returned afterward with even worse pains, but this time, I had yellow stool followed by diarrhea. Ever since I have been having loose stools on and off that is foul smelling and mushy. Is this because of the antibiotics, or is it an infection? Doctor: Hello. Your diarrhea could be a direct side effect of the antibiotic, in which case, it should resolve after stopping the antibiotic. It could also be due to a condition called Clostridium difficile infection (C. diff for short). C. diff is a bacterium typically found in the intestines of most people. But under certain circumstances (frequent exposure to antibiotics), a couple of strains of this bacteria can multiply and produce toxins (called C diff toxin A and B). This can provide diarrhea-sometimes bloody, with crampy abdominal pain. I suggest getting tested for C diff. You need to submit a stool sample for C diff toxin. If it is positive, there are treatments for it includes oral Vancomycin, Fidaxomicin, or Metronidazole. I hope this helps." + }, + { + "id": 24821, + "tgt": "Does pain from SIBO discourage one from having sex?", + "src": "Patient: Hi doctor, My wife was diagnosed with SIBO a few months back. We changed our diet to compensate and now she is on antibiotics. The pain in the gut is persistant. She does crossfit twice weekly and wall climbs at the gym. But says the pain discourages her from having sex. Any ideas? Doctor: Hello. So we need to consider partial response for the treatment. We should also rule out other causes for the abdominal pain. What is the exact site of pain? Is it upper abdomen, lower abdomen or generalized? Is there any vaginal discharge, burning and frequent urination or diarrhea? I am keeping the possibility of simple gastritis, which is usually associated with upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in the throat or chest burning. If associated, she needs some antacids like Esomeprazole and Domperidone combination. Other possibility is of pelvic inflammatory infection of genital tract which may cause pain in the lower abdomen and pain during sex. If it is not fitting in either, then antibiotics course needs to be repeated with another antibiotic. Usually, Rifaximin is given but if inadequate relief is there, then she should be given a combination regimen of Metronidazole 500 mg three times per day along with Cephalexin 500 mg three or four times per day. She should also receive multivitamin supplements. For immediate pain relief, she can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed upto three times a day. This should give her symptomatic relief. Consult your specialist doctor, discuss with him/her and take the medicines with their consent. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16565, + "tgt": "Would papaya and long distance travel result in abortion?", + "src": "Patient: Hello doctor,I am 7 weeks pregnant and I want to terminate it. Please suggest me some natural methods. Doctor: Hello. Yes, there are medical methods available which could be availed under a doctor's supervision only. This is an abortion kit containing one Mifegest (Mifepristone) tablet 200 mg to be taken orally and 4 Misoprostol 200 mcg to be inserted per vagina after 48 hours of taking the Mifegest. You may have a bleeding per vagina just like your cycle. This is a prescription medicine as well as there are some chances of more bleeding per vagina, which you have to keep it in your mind. Just get in touch with your doctor if there are rare chances of excessive bleeding as you may need a surgical evacuation at that time. This method is applicable up to 7 weeks only and if you have to adopt it, do not delay further. Ultrasonography (USG) after 15 days. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15808, + "tgt": "How to have a stability in blood pressure?", + "src": "Patient: Hi doctor, My mother has BP in an unstable condition. She was taking Paroxee Cr, Etizola, and Covance 50. After taking these tablets, she had frequent urination, and her BP was fine. When she consulted the doctor for the problem of frequent urination, the doctor changed Covance 50 to Ctd 6.25 mg for blood pressure. After that, urination got controlled, but BP became unstable. She has a feeling of nausea. Her creatinine level is fine, and she does not have diabetes. She has a TSH of 8.9 mIU/L. Her hemoglobin is below 7 g/dL. Please suggest. Doctor: Hi. She suffers from anxiety and depression, and so she is taking antidepressants. TSH (thyroid stimulating hormone) level is raised which suggests that she has an under-working thyroid gland. Though she is taking Ctd tablet (Chlorthalidone), her blood pressure is not under control. Hence we need to try some other antihypertensive for her. Do CBC (complete blood count), thyroid profile, fasting lipid profile, renal function test, electrolytes, and ECG (electrocardiography). After doing these tests, you can consult a general physician for examination. Her HB (hemoglobin) is 7 g/dL which means that she is severely anemic. She can take Amlodipine or Valsartan 5 by 80 mg daily in the morning for controlling BP. She can take Ferrous sulfate 200 mg three times a day for anemia. Follow the same medications for depression." + }, + { + "id": 17030, + "tgt": "Please suggest a medicine for jaundice", + "src": "Patient: Hi doctor, I am a 22 year old male. I\u00a0am suffering from jaundice. I used to smoke and drink. But, since 15 days I have quit. Last week\u00a0my eyes became yellow and after that I had my blood test and hepatitis test. I am uploading the report. Please suggest me medicine and further diet plan. Doctor: Hi. Alcohol. Ultrasound abdomen. 1. Alcohol abstinence 2. Rest 3. Low fat and high protein diet. Revert back for further information to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27701, + "tgt": "I do not want to take OCP for uterine fibroids. Please help", + "src": "Patient: Hello doctor, I am a 49 year old woman, and for about a year now, I have been menstruating excessively. I have uterine fibroids,\u00a0so my gynecologist suggested that I take birth control pill, which I do not prefer. I have not missed any periods yet. I have a few normal ones, and then I get very tired, get a headache and then bleed excessively for a long time. This time it has been three weeks so far. The longest time has been three months of bleeding. Doctor: Hello. As your gynecologist must have explained that uterine fibroids are benign smooth muscle tumors of the uterus, usually found in childbearing age. Small fibroids usually do not have any symptom and do not require any treatment, but as you have excessive bleeding and other symptoms, you need treatment. After menopause, they usually decrease in size. Fibroids usually do not have any proper cause, but there are some risk factors which may produce fibroids in a lady like obesity, smoking, parity, low thyroid level, low physical activity, excessive consumption of red meat, etc. Fibroids are usually dependent on female hormones estrogen and progesterone, which may contribute to control further bleeding and cramps. Along with contraceptive pills, other symptomatic treatments are given in fibroids like painkillers, Iron supplements, etc. Surgery is required in cases where fibroids keep on increasing, despite all management. But, if you are not willing to take medicines, you can go for ayurvedic management for fibroids which are also very effective if taken properly. First of all, if you are overweight then try to reduce your weight with the help of yoga, exercise, walk, etc. You can take help of a professional trainer to learn some exercises. If you want to practice yoga on your own, then do practice these yoga postures as they will help you a lot in your problem. If you have a thyroid problem, then do take proper medication for it, as it will also help in relieving your problem. Due to excessive bleeding, your body might be iron deficient. So, along with iron supplementation take foods which are rich in iron, like green leafy vegetables, fruits like apple, peach, banana, prune, raisins, etc. Take one glass of warm milk and add a teaspoon of turmeric and coriander powder, mix well and take two times a day. Turmeric is very helpful for fibroid treatment. Include kidney beans and black eyed beans in your daily diet, as they help reduce the estrogen levels. If you eat fish, then you can take once or twice a week, fishes like salmon and tuna have some anti-inflammatory properties and help counter fibroids. Avoid junk food, excessive caffeinated drinks like tea, coffee, cold drinks, and red meat, smoking and alcohol. You can take following ayurvedic medicines which are very effective in uterine fibroids. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. Follow all the above dietary and lifestyle changes and take all the medicines regularly and you will soon feel positive results. Consult after one month regarding the results. Revert after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10657, + "tgt": "Why is there a dull aching pain above the back of my knee and buttock?", + "src": "Patient: Hello doctor, I have had a dull aching pain just above the back of my left knee (near the hamstring) and in my left buttock on occasions for about five weeks now. I am normally fine sitting but hurts when standing still or walking. Could it be a hamstring strain or sciatica? Doctor: Hello. You lie down on your back, stretch your legs straigh, then lift your left lower limb up without bending knee joint. If you get severe pulling pain from buttock to whole leg, then it is sciatica. This test is called (SLR) straight leg raising test. Hamstring muscle pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over. Do the SLR test to know there is sciatica or not." + }, + { + "id": 25802, + "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": 22205, + "tgt": "I have not passed stool since eight days. Will I die of constipation?", + "src": "Patient: Hi doctor, I have not passed stool from the past eight days. This is the third time I am constipated, the last two times it got fixed within 2 to 3 days. I have\u00a0tried everything, and yesterday I went to a doctor, who gave me a lot of medicines. I took all the medicines yesterday night as well as today morning, but still, it did not help. I did pass a little stool midnight, but it was very less. I am attaching the medicines list. I have to strain a lot to pass stool, and I always feel a little stool is stuck in my anus. Will I die of constipation? My doctor told me if I do not pass stool today, he will do an enema. Am I suffering from a pelvic floor disorder? What is blocking my rectum? How to fix this? I am just an 18 year old male, and I see my friends playing and going to college, and I am stuck with this problem. Doctor: Hi. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Review back as per your requirement. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19928, + "tgt": "Can I have herpes even without having sex?", + "src": "Patient: Hello doctor, I am a 25 year old male. Yesterday, I was diagnosed with herpes even though I never had sex before. Not even kissing. How is that possible? From yesterday night I have mild fever. The rash started on left side of torso a few days back. Please help. Doctor: Hello. Herpes is not a STD always (sexually transmitted disease). It is the reactivation of the old chickenpox you got in childhood. The virus is same, it hides in nerves and never completely goes away. It resurfaces after some time like herpes in a particular dermatome when you have contact from someone with it or through fomites as well. Continue the medicines given by your doctor. Crusting means you are no longer contagious. But, until that time be away from children and pregnant women in house. For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 26765, + "tgt": "Do PCOS and SUFE have some underlying cause?", + "src": "Patient: Hi doctor, I have a couple of conditions, and I would like to enquire whether there could be an underlying cause.\u00a0I am a 27 year old female, and I have recently been told I have PCOS. I am not entirely surprised, as I have painful ovulation. I am due to have a follow-up to further discuss scan results. Before\u00a0this, as a teenager, I was diagnosed with slipped upper femoral epiphysis (SUFE), which I have managed to keep under control. Prior to my hip condition, I developed kidney scarring from a bad infection. For both of these, I was monitored for a few years. Are\u00a0there any other tests that I should request? Could there be an underlying cause, like a deficiency or hormonal inbalance? Thanks in advance. Doctor: Hello. Certainly, there is a possibility of underlying hormonal abnormalities. Scarred kidney is due to infection, that should be left apart. SUFE and (PCOS) polycystic ovaries syndrome have hormonal causes, for which you will need extensive endocrinological evaluation. You should get the following tests done: Anyway if you are visiting endocrinologist, then he will definitely order all these investigations. You also mentioned about anemia, if still have it, then you will need investigations for that, like serum iron studies, vitamin B12, and folic acid levels. Do you have blackish foul smelling stools? If yes, then you need to get occult blood testing. Hope this helps you, and get back if you have any doubts. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9188, + "tgt": "I feel myself in perpetual nihilism and total apathy with anxiety attacks. Why?", + "src": "Patient: Hello doctor,I am having some anxiety attacks right now because I am feeling overwhelmed with the medical school application process. I have a history of undiagnosed major depression (the reason I know I have it is that I studied psychology at university and know the symptoms and etiology pretty well) I can feel all my confidence, esteem, and mental health deteriorating at an unprecedented rate and feel myself slipping.I come from a collectivistic and tough cultural background, so for me, this is much more than simply a career choice. I did not do great on my exams. I have a lot of people who depend on me, and I feel like I am letting them down, and I am not meeting expectations. It does not help that the chair of pre-med at my university flat-out told me that my statement sucked (after I had already applied because she did not give me feedback in time).The reason why I have never sought out my depression previously is because of my background, which influences my parents into thinking I am crazy or something is severely wrong with me. They are pretty old and would not understand. I graduated this year and minored in philosophy, and I did pretty well in it, but it came with a price, I was once pretty religious, but my faith has fallen, and I am a borderline atheist. In general, I feel myself in perpetual nihilism and total apathy. I am not sure how to move forward. Doctor: Hello. Feelings and symptoms like palpitations, getting a heart attack, difficulty in breathing, digestive concerns, and sleep problems can be a part of heart-related issues or anxiety. Besides worrying consistently and preoccupations are also a part of it. Since you have mentioned that it is because of career-related and performance-based. It can further analyed by thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy thought channelization, and restructuring is quite helpful. Also, to make yourself relax, you can do the following: 1. Deep breathing excercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per requirement. Thought to remember is you did your best at all stages of life, results do not matter. You are not the master of the world and cannot have control over things. The only thing which you can control is your psyche and thoughts and direct them in the way which makes you healthier to perform the way you are doing.Ups and downs are part of the struggle, keep moving on." + }, + { + "id": 14919, + "tgt": "Will smoking cessation cause strained bowel movements?", + "src": "Patient: Hello doctor, My age is 39 years. I have quit smoking, cold turkey after smoking for almost 18 years. It is my 29th day of being smoke-free. Everything was going fine until last 7 to 10 days my bowel movement has been strainful. Few days I have seen very small sized hard stools and sometimes small stool with very little water. I started taking Metamucil. However, the stomach felt bloated severely after eating anything. I sometimes feel a sudden hunger spike that becomes uncontrollable and once I eat, the stomach swells like a balloon. I also started taking one capsule of Triphala to ease out my symptoms. From past 4 to 5 days, I have started feeling fatigue and a very strong one like light handedness and no energy in my legs. I had a sore inside my mouth and that has healed significantly now. The acid reflux is there, especially while making out with my partner I felt food coming up. The consistency of stool after eating Metamucil has been more like rubber shaped long zig zag sausage with uneven and weird cracks and sometimes mucus as well. I feel gas below my stomach and sometimes have to strain hard to pass. I got my CBC done two days back (normal report), kidney, liver, thyroid (normal), Hb (normal), sugar (normal). I also got my FOBT stool test done (negative report). Are the above symptoms cigarette withdrawal symptoms? Or stomach bug? or IBS? I take the following tablets daily. one Magnesium tablet, one Menevit tablet (for sperm health and male fertility), one Omega 3 1000 mg capsule, one 64 Billion Probiotic capsule. Doctor: Hello. I went through your post, it is normal to have hard stools after quitting smoking for that you have to add a salad, do exercise, and take enough water. It is a temporary phenomenon which usually settles in three months till intestines adapt nicotine free blood. You have started laxative Metamucil which has caused gastritis. You need to stop that and continue Nexium at least 10 days daily before breakfast. That will take care of the issue. There is no need to take omega, probiotics, Menevit or Magnesium tablets. Do not take unnecessary medicines. It is not IBS." + }, + { + "id": 2685, + "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": 996, + "tgt": "Can you recommend a good probiotic?", + "src": "Patient: I am looking for a good probiotic. I have read conflicting results online and don\u2019t know which ones are a rip off or legitimate. It seems for one to be affective it needs to survive the trip to your intestines and too many make that claim without knowing if it\u2019s true. Can you recommend one that Gastroenterologist recommend that don\u2019t cost a fortune? Thank you so much in advance! Medical history: I am healthy with no Gastro problems that I know of. Only medication I am on is Zyrtec Doctor: Hello. I welcome you to icliniq. Well It is very hard to define which probiotic is the best to one. Since Microbiota (pooled microorganisms in your gut) is completely different from the other person and For one to know what range of microbiota is present in your gut; you have to get it tested by giving a fresh stool sample and ask for stool mapping for microbiota. Once you have report in hand Anybody can tell which good bacteria are short and should be replaced and which bad bacteria are present to be removed. Actually there is no specific regimen of probiotics developed to empirically replace with probiotics. studies has largely seen Bifidobacterium bifidum, Bifidobacterium breve, Streptococcus thermophilus, Bifidobacterium longum subsp longum, and other lactibacillus species such Lactobacillus rhamnosus, Lactococcus lactis, Lactobacillus casei, Lactobacillus paracasei, Lactobacillus plantarum, and B. longum all work well. But there is no single capsule that can fit all. You have to take a probiotics which can anticipate and fullfil your need. The one which I commonly prescribe is Ecotec twice daily beside good diets including fruits green vegetables and yougurt. Avoid use of antibiotics as possible as can. The probiotic use comes after a good healthy diets and avoidance of antibiotics commonly used for common infecion of gut and flu. I hope this will help good day follow up if need to discuss more about different diets and life style modifications required to keep your gut healthy" + }, + { + "id": 22882, + "tgt": "Can same blood group of parents cause any problem to baby?", + "src": "Patient: Hello doctor, Me and my wife blood group are same A positive. And my wife is five months pregnant. I want to know that is there any problem with our baby? Doctor: Hello. The same blood group not at all lead to any problem in conception. Same blood group people can marry and can produce a normal child. So as far as same blood group concerned do not worry about that. But as a doctor I will advise you to check your wife thalassemia minor report by Hb electrophoresis by HPLC method. You can provide me with reports for further interpretation. If you both are relative in nature then genetic counseling is needed. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20060, + "tgt": "How to remove pimples and the scars on my face?", + "src": "Patient: Hello doctor, I have lots of pimples and scars on my face. How can I remove it from my face? Please guide me. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29885, + "tgt": "What to do for headache in case of chronic infective granulomas?", + "src": "Patient: Hi doctor, The patient is a 28 year old male. His weight is 56 kg and height is 6 feet. He was an assistant Professor in an Engineering college. For around five days, He had a\u00a0heavy unbearable headache, high fever, vomiting, loss of appetite, lost consciousness and had a single episode of seizure on the fifth day. He was admitted to ICU in the hospital and got discharged after 10 days. He had an MRI brain with contrast after one day of my admission and it suggested chronic infective granulomas with leptomeningeal involvement. The other tests were CSF GeneXpert negative, CSF ADA negative. TB medication - AKT 4 was started along with tablet Levipil 500, tablet Benadon 40, tablet Pan 40 and tablet Wysolone (40, 30, 20, 10 and 5 mg dose reduction). His current symptoms are frequent, bearable headache every day, Headache may continue for an hour. It is nearly one month and still I have a headache, but the amplitude of headache is less than that of during and before hospitalization. Please give us suggestion for follow up. Doctor: Hello. 1. Repeat MRI brain with contrast to look for any hydrocephalus, status of granulomas - improving or newer developing. 2. Fundus examination to look for any papilledema. 3. Regular LFT (liver function test) checkup to look for any hepatotoxicity developing due to ATT. If repeat MRI shows worsening of granulomas, then the patient can be considered to start on fifth ATT - Injection Streptomycin or tablet Levofloxacin (only after consulting neurologist). Revert back with the reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27561, + "tgt": "I have upper left back pain, and my ECG was abnormal. Is it a heart problem?", + "src": "Patient: Hi doctor,I have pain in my upper left back region. My ECG was abnormal, but my echo was normal. My BP is 130/80 mmHg, random blood sugar is\u00a0184, total cholesterol is\u00a0124, and triglyceride is\u00a0463. I have panic disorder, and I am taking regular medicine. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26003, + "tgt": "A 72-year-old has an uncontrollable shaking of his hand. How can it be treated?", + "src": "Patient: Hello doctor, My father who is 72 years old has a problem of uncontrolled shaking of his right hand for the past three years. The problem has increased over the years and now he finds it difficult to hold the toothbrush also. Some works he can do without much difficulty like riding a scooter, sweeping with his right hand etc. But this problem is only increasing. He has consulted a neurologist after my insistence to rule out Parkinson's. The doctor assured that it is not that and gave some medication. This was about eight months back. But, there has been no improvement. My father does not have any other ailments. Of note, he only had a stent operation three years ago. Please let me know what is this problem called, how to treat this and is it curable? Doctor: Hello. Based on the symptoms you have described, your father likely has an \"essential tremor.\" This is a very common neurological condition affecting 4% of the elderly population. Yes, it is not Parkinson' s disease but it has to be differentiated from Parkinson's disease by a neurologist especially who is trained in movement disorders. Movement disorder neurologist is additionally trained in conditions like essential tremor and Parkinson's disease. Please do not hesitate to ask any further questions. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20287, + "tgt": "What are the recommended home remedies to get rid of constipation?", + "src": "Patient: Hi doctor, My son is 16 years old. He is suffering from constipation. What are the home remedies used to get rid of it? Doctor: Hi. Tell him to drink plenty of water daily. Give him more fibrous diet like fruits such as papaya, vegetables such as radish, and whole grains. Avoid taking excessive caffeinated drinks like tea, coffee, and cold beverages. Give him Triphala powder two teaspoons at bedtime with lukewarm water or with lukewarm milk for seven days. Do not give him anything after giving Triphala powder. Try all these things regularly. Consult a nearby ayurveda physician after seven days regarding improvement and for further management." + }, + { + "id": 30823, + "tgt": "Please suggest a medicine to improve my memory power", + "src": "Patient: Hi doctor, I am suffering from memory problems.\u00a0I cannot remember even small things like the groceries that mom told me to buy. After reaching the shop, I do not remember anything.\u00a0Please give me a suggestion to improve my concentration and memory power.\u00a0I am 19 years old. I think too much about everything and learning a lot of things at once. I am suffering with this poor memory power and concentration problem for one year. Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11970, + "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": 17826, + "tgt": "Doctor has prescribed tablet ecospirin 75 AV for me. What is the use of this medicine?", + "src": "Patient: Hello, Doctor has prescribed tablet ecospirin 75 AV for me. What is the use of this medicine? Do I have any nerve disorder? Doctor: Hi. For further help consult a\u00a0neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4009, + "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": 20044, + "tgt": "My foreskin does not go back. Is it phimosis?", + "src": "Patient: Hello doctor,I think I have phimosis. The foreskin does not go back and head of the penis does not come out. I am 21. I got to know just now that it should retract. Till now I did not have any problem in urinating. No infection till now. Please suggest is there any problem in future? And if yes what I can do to correct it? Doctor: Hi. You have a tight prepuce that does not retract. Your preputial orifice is not so narrow as to cause difficulty in urination. However, you run the risk of paraphimosis in which your foreskin may get retracted and form a constriction ring causing the glans to swell. This occurs after intercourse. You need to get circumcised before sexual life. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1740, + "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": 5268, + "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": 16527, + "tgt": "Please suggest some treatment for testicular pain", + "src": "Patient: Hello doctor, About a week ago, I started feeling some dull ache in my right testicle and the scrotum area. The pain radiates to my right leg also like cramps. It is like sore scrotum. The pain usually comes and goes, especially during riding bike, sitting in office and laying down on my sides. I do not\u00a0see much swelling or feel any lump-like thing when I tried to inspect it. It is not a severe pain, but there is some discomfort all the time. Sometimes, it goes when I walk. I had the same issue a year ago and my urologist suggested me to take varicocele test. I\u00a0had grade 3 varicocele in the left side and grade 1 on the right side.\u00a0I do not feel good at times as my legs get hurt.\u00a0Please suggest me some medicine if you suspect that I need any. Doctor: Hi. Please relax and do not worry. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28763, + "tgt": "From the attached investigations, kindly explain the condition of the patient", + "src": "Patient: Hi doctor, The patient was admitted due to eight episodes of\u00a0hematemesis, weight loss and loss of appetite since last six\u00a0months. It was accompanied by bone pain, abdominal pain, abdominal distension, jaundice, vomiting, altered bowel habit, fever, shortness of\u00a0breath, decrease urine output or altered sensorium. Investigations the patient had are USG abdomen, UGI endoscopy, hemogram, liver function test, complete urine examination,\u00a0differential WBC, smear study, microscopic examination, RT-PCR FOR BCR-ABL\u00a0and esophageal biopsy. Doctor: Hi. I had undergone the patient's reports (attachment removed to protect patient identity). For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 27884, + "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": 28471, + "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": 18975, + "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": 7416, + "tgt": "What could be the reason for yellow discharge from a bursted lump in the groin?", + "src": "Patient: Hello doctor, I had a lump in my groin, which I pushed, and it popped. Now I have a small hole near my vaginal opening which leaks yellow clear stringy discharge and also a small amount of blood if I push where the lump used to be. I have had this a couple of months now what could it be? There is no pain. I currently have a copper coil, 5'8, 67 kg, and in good health. Doctor: Hello. The opening is your urethra. The yellowish discharge and blood tinged discharge is coming from urethral diverticulum which is an outpouching of the urethra. It is not infection although you see stuff that looks like pus. The treatment would be surgical removal of the diverticulum. I would recommend you to consult with a urologist." + }, + { + "id": 17306, + "tgt": "To avoid diabetes during pregnancy, what diet should have to follow?", + "src": "Patient: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I have been craving for a lot of sweet things, so kept having them. Iced tea, cold drinks, juice, ice cream; anything sweet you can think of. This is the reason that caused such a high levels of sugar in my blood. To confirm that I have gestation diabetes I am going to repeat my test and I have been following the required diet before the test. What do you recommend me? Should I repeat the test? Can the numbers be lower next time? Should I take high carb diet and avoid all the sugary stuff for test? Please suggest. I am extremely worried. Thank you. Doctor: Hello. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These levels demand for a strict diet control. If the repeat OGTT (oral glucose tolerance test) also shows similar values, then you would have to be started on human Insulin for controlling your sugar levels. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4123, + "tgt": "I still get some sinusitis after FESS and septoplasty. Why?", + "src": "Patient: Hello doctor, I have a history of sinusitis. Last year, I had chronic sinus symptoms and got a CT scan. It showed, nasal septum deviation, blocked maxillary and frontal sinusitis due to nasal polyps. I got a FESS and septoplasty done. This year, the symptoms reappeared strongly. I have severe headaches, facial pressure, nasal discharge and pain in jaws and ears. Along with that, I have a frequent infection in sinuses and have done an antibiotic course four times in three months. I got a CT scan and it shows complete opacification of maxillary sinus, little ethmoid sinus and hypertrophy of nasal turbinates. I am using Nasonex (steroid) spray twice a day, getting nasal rinse done repeatedly with saline water. I am taking steam and anti-histamine before sleeping but not getting better. Please help. Doctor: Hello, Welcome to icliniq.com. I shall tweak your medicines a bit and let us see if that gets you an improvement. Change the antihistaminic to one with Montelukast. Say like Levocetirizine or Fexofenadine plus Montelukast 10 mg. Take this once daily. Take another antihistamine different from above at a different time daily. That means you will be getting two antihistamines per day and one with montelukast combination. Take a short course of Deflazacort 6 mg twice daily. Take the same for five days and taper it to once daily for the next five days. Use the Nasonex (Mometasone furoate) spray appropriately twice daily. There are particular instructions as to using the spray. It has to be held in a particular way and sprayed. If you have thick nasal discharge or fever or throat pain it is prudent to add an antibiotic preferably Clarithromycin 500 mg twice daily for five days. Let us know the progress with these medicines. Please upload previous and current CT scan films to us when you write to us the next time. Do provide all previous treatment records and medication details when you get back." + }, + { + "id": 19616, + "tgt": "I am having heartburn for past four months. What can be done?", + "src": "Patient: Hello doctor, I am a 35-year-old male having daily heartburn running for more than four months. Currently, having Omeprazole and Domperidone. Doctor: Hello. I have gone through your details and I appreciate your concern. It looks like you are having symptoms of GERD (gastroesophageal reflux disease). It occurs when stomach acid goes back into the food pipe. Both acid reflux and heartburn are part of it. An endoscopy can confirm the diagnosis. You can continue to take Pantoprazole 40 mg daily two times a day, along with Mucaine gel (syrup) two times a day before meals. Increase water intake, eat small meals, avoid oily, spicy and citrus food, fruits. Avoid carbonated drinks. Exercise daily. Follow the medication with lifestyle modification." + }, + { + "id": 29227, + "tgt": "Would TB treatment interfere with HIV test?", + "src": "Patient: Hi doctor, I had unprotected sex before 1.5 years. I was in deep mental stress after that with no proper food. After seven months, I got admitted to a hospital with skin rashes, headache and vomitings. Doctors tested and confirmed that I got meningitis TB and given treatment for 10 days. I was asked to use Forecox tablets for nine months. Now, that is more than a year after my high-risk exposure; I was tested for HIV 1 and 2 under enhanced Chemiluminescence, which was non-reactive. Please tell me whether my HIV results are conclusive despite all these parameters. Would my TB\u00a0treatment and immune system alter the HIV results? Because my WBC count is low while testing HIV when compared to before. Please advice. Doctor: Hi. Unprotected sexual exposure is a risk factor for multiple STDs (sexually transmitted disease), including HIV. However, the risk is quite low ranging from 0.02 to 0.04%. HIV infection has a window period of one to three months during which the test results can be false negative. According to WHO (World Health Organization), all results are considered conclusive at 12 weeks after the last high-risk exposure. Tuberculosis and HIV are known to have a higher coincidence rate together. But, as your test results are negative and well beyond the window period, you can be assured that you have not acquired the infection. Kindly upload the report to check the method used and the laboratory to confirm the same. 1. HBsAg, (hepatitis B surface antigen) 2. Anti-HCV (hepatitis C virus) 3. VDRL (venereal disease research laboratory). Revert with the reports to a HIV AIDS specialist online.---> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 29561, + "tgt": "Whenever my mom applies kumkum, she gets allergy. Why?", + "src": "Patient: Hello doctor, I am asking a\u00a0query on behalf of my mother. One year back, my mom got some allergy in the area where she applies kumkum\u00a0(a powder she got used to putting it from many years in the\u00a0centre of the\u00a0forehead). The allergy has reduced after she consulted a doctor, but it left a black scar-like mark. Also, whenever she apply any kumkum\u00a0powder again, the black mark is spreading. I hope you understood the problem and I will attach images so that you could identify the\u00a0problem more easily. Please suggest any medicine. Could you tell us the cause of it and why this issue came suddenly, which is not there previously? Thank you. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24249, + "tgt": "I got some rashes on my hands after carrying iron rods. What could it be due to?", + "src": "Patient: Dear doctor, I am a 66 year old male. No diabetes, no hypertension with normal lipid limits. I am working in a remote area where no medical facility is available. Since last week, I have a rash on my right hand with a rose circle that has several watery eruptions. It is only in the hand. The ones I have near my right thumb and its back near the nail are painful. Not much itching except for some occasional itching near the rosy area. No rash in other areas. I have taken some photos of those eruptions for your perusal. So far no fever. A local RMP advised an antibacterial ointment but it does not work much. I traveled on a motorbike as a pillion rider holding some iron rods at the back. Soon after the ride, I noticed these eruptions. I feared it is chicken pox. I wait for your advice. Regards. Doctor: Hello. I went through the images (attachment removed to protect patient identity). You are having herpes zoster. This is a viral infection. I suggest taking the following tablet. Valtoval (Valacyclovir) 1 g thrice a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. The infection will subside in seven days. You might experience some pain for 30 days. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 5047, + "tgt": "My left eye is lazy eye with a power of -2. 50 D. Will it recover to normal on using spectacles?", + "src": "Patient: Hello doctor, I am a teenager. My left eye has got a power of -2.50 D and I am near-sighted. Will my lazy eye recover to normal vision by using spectacles? How long does it take? Doctor: Hi, Welcome to icliniq.com. As you have told that you have -2.5 D in the left eye but you have not mentioned refraction of the right eye. Please tell me your exact age? From how long you are using glasses? Do you patch your normal eye or have you done patching previously? Please explain the refraction of both eyes and your corrected vision with these glasses? Is there any deviation of eyes (crossed eyes or squint eyes)? What I understand from this that your right eye is 6/6 and the left eye is lazy eye due to myopia (minus glasses). So actually lazy eye is when one eye can see a clear image and the second eye cannot see clearly due to refractive error and the vision remains blurry in that eye. So vision will not develop properly if glasses are not used at an early age. The connection between the eyes and brain develop in 8-11 years of age and that is the sensitive period. The most common cause of lazy eye is the difference of refractive error between two eyes (Anisometropic amblyopia), the difference of more than one diopter can cause lazy eye (amblyopia). So the most sensitive period is 8-11 years, but in a few paper they say lazy can be improved in teens by full correction with glasses and patching of the normal eye (results are not unpredicted). So you can try full correction glasses and at day time while you are awake patch your right eye for two to six hours and use your left eye so that vision could develop in that. The success rate is less if the patching started at a late age, and amblyopia is severe. One more thing do not patch your right eye all the time because there could be reverse amblyopia due to lack of use of right eye. Studies have shown that patching for two hours and six hours have almost equal results. So patch your good eye while reading or doing some work. Consult your eye doctor for repeat refraction every three to six months. If patching does not improve the vision after six months, there are a fewer chances of further improvement." + }, + { + "id": 23898, + "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": 23956, + "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": 29802, + "tgt": "I am hearing a voice saying something odd. What to do?", + "src": "Patient: Hi doctor, I know it is something odd, but I have to ask. These days I am hearing something odd. I do not like hearing or to say I am being pissed by that. I am hearing a voice saying that your height will increase if you masturbate. I guess it as an odd hearing. Please help. Doctor: Hello. I read your query and understand your concerns. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 11199, + "tgt": "Does Rabipure vaccine require booster vaccination every year?", + "src": "Patient: Hello doctor, I got dog bite before 17 days, and the wounds are categorized as a category -II. Within an hour, I got a Rabipure vaccine and TT at the hip area. However, the next day morning, one more dose of Rabivax has been given in the shoulder and continued the schedule from the second day. My doubts are, 1) Will there be any side effect due to the extra dose given within 24 hours? 2) Will, it make any difference in giving, first-day Rabipure and subsequently Rabivax? 3) Is there any food restriction after a dog bite? 4) Do I require booster vaccination every year? Doctor: Hello. Yes, there is no problem in injecting two dosages within 24 hours. Usually, the first, two shots are given after one another. Apart from that Tetanus toxoid is must that you have taken. It is not the case that the vaccine is ineffective. This is the usual protocol that is followed for safety concerns. Overall, five shots are given within one month. You do not worry but follow your physician. There is no restriction on foods provided as you are fine with your stomach. However, you should avoid intoxicated drinks like alcohol and other things. Vaccination is recommended for high-risk cases. You can get vaccinated that is for safety after year, and it is recommended in case of risks. Rest do not worry as the majority of the times dogs are not rabid, and you might be aware of that." + }, + { + "id": 30918, + "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": 1743, + "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": 9821, + "tgt": "There is knee inflammation after stopping steroids. Why?", + "src": "Patient: Hello doctor, My daughter (4 years old) had an eye injury around seven months back. She is now diagonised with granulomatous panuvietis. I have consulted in person around six opthalmologists and they have told that it is due to eye injury. However, one of them wanted me to go for auto immune tests just to rule that out and asked me to consult a rhemutologist as well. My daughter did not have any joint pains or any other problems at all. It was only eye inflammation. We did all the tests including CPR, ESR, RA factor, ANA and every possible test. Tb also, jaundice LFT, X-ray, B-scan, C-scan. All of them are normal. Only that she has cataract in eye due to inflammation which opthals told that it is due to injury as it was ignored and not treated. Later, the doctor prescribed her Deflazacort 18 mg. She was on medication for three weeks and we were shifting our house to another city. She suddenly fell ill due to hot weather. Physicians asked to stop steroids immediately and the opthal doctor also asked us to go ahead with them. She was ill only for a day. Next day, we shifted back to our native which is much cooler and she was absolutely fine without any medications. However, after a day, she started having severe joint pains only in her knees. Since we were in a village,we could not take her to doctor. After 4 to 5 days she started getting swelling in both the knees. When we rushed to doctor, they claimed it as autoimmune. Now we are in confusion. Till she was taking steroids ,she was fine. Rather, even before she was on steroids also, she had no problems. However, after pulling off steroids, she has inflammation and there is no evidence of why this inflammation has occured, if it is autoimmune. As all her reports are normal and only her joint inflammation which we believe is due to the medicines that she took, can anyone conclude that its autoimmune? Does any knee inflammation in a normal person means autoimmune? Is inflammation in any part of the body related to only auto immune diseases. Is there no other reason? Now the doctor is saying that she has to be on immunosuppressants for two years. Is this only because she has inflammation in leg which also occured due to withdrawal of steroids and there is no other reason? Doctor: Hello. I shall try to answer your queries one by one. Eye injury may sometimes set up the autoimmunity. It is not clear in your question how much eye problem she currently has. Inflammation anywhere in body could be set up by infection, autoimmunity, or auto-inflammatory disease. The age group of the patient suggest the possibility of oligoarticular juvenile idiopathic arthritis. In this, eye involvement is also common, in the form of uveitis. But it can be definitely diagnosed only after physical examination. Most of the blood tests are usually normal in it. If it is juvenile arthritis, then long time treatment is recommended. Wysolone and Folitrax are commonly used to treat it. Other possibilities for garanulomatous uveitis include tuberculosis and sarcoidosis. You should consult with a rheumatologist for establishing a definite diagnosis. In addition to the tests described, I would also suggest to get HLA B27 to be done." + }, + { + "id": 8164, + "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": 15974, + "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": 18326, + "tgt": "Is it possible to have gingival recession by faulty brushing technique?", + "src": "Patient: Hi doctor, I have cut my gumline due to brushing too hard. I have a slight recession on my gum. I am taking good care of my teeth. But I am panic. There is no bleeding and pain present. I used a water pick to clean it. I visited a dentist before four months. Doctor: Hi. I can understand your concern. I have gone through the attachment (attachment removed to protect patient identity). You have a pathological pocket or a healed pathological pocket. The gum recedes due to the pocket or due to faulty brushing technique. I recommend you get oral prophylaxis (dental scaling) done. Use an ultra soft toothbrush. Use modified bass technique for brushing. Also, have a habit of maintaining your brushing time within three minutes. Please let me know if you have any systemic condition like diabetes or hypertension." + }, + { + "id": 18772, + "tgt": "Would I be pregnant if I had sex one day after my menstrual cycle ended?", + "src": "Patient: Hello doctor,My boyfriend and I\u00a0had sex for the second time two days back which is one day after my cycle ends.\u00a0We used a\u00a0condom for protection.\u00a0I have some pain in my vaginal area.\u00a0I am currently using Lox jelly for pain relief.\u00a0Will I be pregnant? Also, my boyfriend ejaculated on time. Please help. Doctor: Hello. For more information consult an\u00a0infertility specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 9051, + "tgt": "My father's hemoglobin has not increased because of iron deficiency. Kindly advice", + "src": "Patient: Hello doctor, My dad has got iron deficiency from the past two years, and we came to know about last week because of that hemoglobin is not increasing. Please help. Doctor: Hello, Welcome to the icliniq.com. I have read your concern and below is my answer to your question. The attached report is showing hemoglobin level only 7.5 suggestive of moderate degree anemia (attachment removed to protect patient identity). It could be iron deficiency anemia. For such a low hemoglobin level, he needs to be given iron sucrose like injection according to weight. Then he needs to be shifted on iron tablets like Ferrous ascorbate. If still no improvement than stool routine micro examination and occult blood test done for further work-up. GI (gastrointestinal) endoscopy also might need to be done to check for any tear leading mucosal bleeding if present in stomach or duodenum. If he has any clinical complaints than mention it. I hope I have answered your question. Let me know if you have any questions." + }, + { + "id": 906, + "tgt": "I masturbate regularly and found my erections less hard nowadays. What to do?", + "src": "Patient: Hello doctor, I am 40 years old. My sexual life was good but due to hysterotomy performed on my wife due to fetus complication, I am not able to have sex with her till date. In the event of this, I have been masturbating three to four times a week to relieve my urge for sexual excitement. However, lately, I have noticed that while masturbating my erections are not that rock hard like a couple of months back and even the force by which I used to ejaculate has drastically reduced and my sperm does not come out in force but just dribbles out of my penis on orgasm. I have no sort of medical problem or diseases and lead a normal diet without any medicines. My wife's gynecologist had once prescribed CoQ LC and Fertisure M medicines for me. However, I need your advice as to which medicines I should take and the dosage to overcome my problem and even get ready to make my wife conceive naturally. Doctor: Hi, Welcome to iclinq.com. I can understand your concern. As such nothing much to worry about. Erections may not be the same every time, these would settle down as you enter your sexual life again. Generally the following hysterotomy, sex life can be started after six months but here the main thing is the psychological part, the women is going through. Spend value time with your wife which would help her get back to her old sex life. If you are worried about your fertility profile get a semen analysis done and look for the concentration and motility of sperms. And also get a random blood sugar done. The very fact that your wife has conceived spontaneously rules out both male and female factors of infertility, so just relax. The possibility of erectile dysfunction with your complaints is less considering past history. Have a trying time for 5 to 6 months. If pregnancy is delayed then consult a fertility specialist. I hope this helps. Psychological. Semen analysis, RBS (random blood sugar). Psychological. Reassurance. Increase the value time for each other." + }, + { + "id": 22852, + "tgt": "Uric acid is increasing. Can I shift to Aldactone from HCTZ?", + "src": "Patient: Hello doctor, I am a hypertensive 31-year-old. ECG, TMT normal, echo normal except mild concentric LVH. On Telmisartan/ Amlodipine (80/5) at night and Amlodipine/Hydrochlorothiazide (5/12.5) in morning. HCTZ was started one month back but after monitoring Na, K are alright but uric acid is on the increasing trend. So, instead of HCTZ can I shift to Aldactone? I do feel I have slight (very mild) edema, maybe Amlodipine-induced edema as I am on 10 mg daily. Earlier, despite Telmisartan and Amlodipine, my BP was high but when HCTZ was added, it was working perfectly for me. My BP now is in the range of 120/80. So, I do not want to remove the diuretic. One of my medical friends suggested Aldactone may be introduced. It has no effect on uric acid, is that right? Kindly help me. Doctor: Hello. I agree with you that Hydrochlorothiazide increases uric acid levels, while Amlodipine may increase the leg swelling (peripheral edema). Coming to this point, Aldactone can be added to your therapy, but it has a weak antihypertensive effect and it may lead to high potassium levels. For this reason, it is important checking regularly potassium levels while taking Aldactone. If your blood pressure values remain still high while on Aldactone, I would recommend adding Moxonidine to your therapy. You should discuss with your doctor about the above treatment options. I remain at your disposal whenever you have any other questions. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5619, + "tgt": "Why do I have red spots on skin that itches and spreads?", + "src": "Patient: Hi doctor, I am 32 years old. I have got some red spots on my skin especially on legs, where I wear socks and also one spot on my left hand.\u00a0After long time,\u00a0I recently started jogging. I am new to the place where I am now. I had encountered sock allergy earlier also, but got relieved after using some cream. I do not remember them. Now, this is itching and spreading slightly.\u00a0Can you kindly check the photos and advise accordingly? How to get them healed? Can I continue jogging? Doctor: Hi. I have reviewed your photographs (attachments removed to protect patient identity). You are having eczema. I would recommend you to apply Clobetasol propionate cream on the affected areas twice daily and take tablet Levocetirizine 5 mg twice daily. Continue this for two weeks and revert back. Endogenous due to internal sensitivity of the individual. Eczema. 1. Avoid using soap and avoid wearing synthetic socks. 2. Wear cotton socks. Go for regular oiling. Revert back after two weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2483, + "tgt": "My eyelid is swollen and purple and antibiotics are not helping me. Why?", + "src": "Patient: Hi doctor, My eyelid is swollen for a couple of months. At first, it was purple and itching hard. I used Ciprofloxacin ointment for two weeks applying every eight hours, reduced purpleness and swelling in the first two days then stopped helping. Tried Doxycycline for two weeks but still the same. For the last week, vision distorted or slightly blurry in that eye and today feeling pain around that area but not eyelid more like in the head, hard to describe. Any suggestions on how to treat? Doctor: Hi. Can you send me a closeup picture of your eye?" + }, + { + "id": 13730, + "tgt": "Can medicines taken for MDR tuberculosis cause diarrhea?", + "src": "Patient: Hello doctor, My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ativan 1 mg, Zenoxa 300 mg, Censpram plus, Redotil, Combutol 1000 mg, Augmentin 1000 mg, Pzid 750 mg, lcin 500 mg, Ethide 250 mg, Linox 600 mg, Econorm sachet, QPAS. Does any of the above-mentioned medicine can cause this problem? Doctor: Hi. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increased gut motility. You can substitute it with plain Rabeprazole. Augmentin has the potential to cause antibiotic-induced diarrhea by altering the gut flora. Your list contains Econorm which helps in relieving diarrhea. All the antidepressants can alter gut motility but mostly decrease it." + }, + { + "id": 30381, + "tgt": "Kindly clarify the statement regarding HPV in my Pap smear report", + "src": "Patient: Hi doctor, About three months ago, I got a Pap smear for the first time and it came back with abnormal HPV positive. My doctor did not really go in depth. So, I proceeded to get another Pap smear with another doctor about a week and it came back normal. I asked the doctor about my HPV and he said everything is normal. I went home happily by thinking that my body got rid of the virus pretty fast. I thought in case of young women it will clear on their own. But, I recently looked at my results online and it says the following. The HPV DNA criteria was not met with this specimen result, therefore no HPV test was done. I am unclear whether no HPV test was done or no need to get a further HPV test as my pap smear came back normal.\u00a0I would like to get some clarification. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30183, + "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": 20410, + "tgt": "Is surgery necessary for grade 3 dislocation of ACL?", + "src": "Patient: Hello doctor, My husband dislocated his ACL. I would like to get his X-rays evaluated for a second opinion. He was diagnosed with grade III dislocation. Is surgery necessary based on the X-rays attached? What are the risks if he does not operate? How does non-operative treatment compare? How long does he have to make a decision on surgery based on the X-rays? The doctors mentioned that if he does surgery, he would need to have two procedures. Could you advise what are the names of the procedures to repair his shoulder? It was also noted that there is haziness in the lower lung. Is immediate treatment needed for this? How severe is this? Doctor: Hi. This is clearly acromioclavicular joint injury (attachment removed to protect patient identity). There are two ligaments which basically keep our ACL joint in position. In type 3 injuries, both ligaments are torn. Now, according to literature, treatment of type 1,2 injuries is non-operative and type 4,5,6 is operative. But the treatment of type 3 is controversial. It is basically surgeons choice. I usually try for six weeks conservative and if my conservative treatment fails then I go for operative. Operative treatment depends on the time of injury. If it is acute, then we can apply a hook plate. In old injuries, we can do mini-open endobutton fixation. I am sorry, I cannot guide you for the type of surgery because you have not mentioned the day of injury. Nothing is to be done for chest if it is not symptomatic. I think it is just an incidental finding." + }, + { + "id": 12914, + "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": 2497, + "tgt": "USG suggests cyst on ovary or hydrosalpinx. What does it mean?", + "src": "Patient: Hello doctor, I need a second opinion on my ultrasound result. Transvaginal ultrasound reveals cyst on ovary or hydrosalpinx? Ultrasound was done on day 9 of menstrual cycle. I stopped taking birth control 5 months ago. I am currently not taking any medication. Perhaps you have another opinion or have other findings. Thank you. Doctor: Hello. I have gone through your brief clinical history and the images you have provided. (attachment removed to protect patient identity). Though I would like you to answer a few more questions so as to provide you better diagnosis and suggest appropriate management. Are your menses regular? Is the flow normal, heavy or low? Do you have children? Normal delivery or cesarean sections? Any abortion, miscarriage or D and C done? Any history of urogenital infection or chronic discharge per vaginum? Now coming onto your query and analysis of the images you have sent. First image shows anterverted uterus with a 3.9 mm calcific focus in endometrial region. This calcification is most likely due to earlier infective or inflammatory pathology. Nothing to worry about. Second image shows minimal amount of clear fluid in the endometrial canal with thin endometrium for 9th day of cycle. Third, Fourth and fifth images show an oblong soft tissue structure adjacent to the left ovary. This could either be part of the bowel or fallopian tube (I can differentiate it on a dynamic scan or an ultrasound video rather than a still image). The left ovary looks normal with few follicles seen within it. No obvious cyst is seen in the image provided. Also, the left tube is not dilated and therefore no hydrosalpinx is seen. The last sixth image shows part of normal bowel loop in the right adnexa. No right ovary or dilated tube is seen in the image provided. I hope this helps. Infective - inflammatory. Hormonal assays serum FSH (follicle stimulating hormone), LH (lutenizing hormone), prolactin and androgen levels. complete blood count, Ruined routine and microscopy. SOS PAP smear Follow up with reports." + }, + { + "id": 1240, + "tgt": "Due to fall, my mom has knee pain which aggravates while sitting and bending the legs. Plese help", + "src": "Patient: Hello doctor, Two months ago my mother fell down on her knees but did not seem to complain. Recently, she did a bit of house work for a few days and her knee is in pain especially in the back where you bend your leg. Pain is also notable when she sits down for an hour or longer and gets up, and also when waking after sleep. Doctor: Hello. Your mother has osteoarthritis of the knee and the fall may have stirred this further. The pain that you describe is at the back of the knee this can come from the knee cap as well as the degenerative tear of the medial meniscus. As there are a very little mechanical symptom like locking and giving way not there is much of an effusion I feel that the pain is from the knee cap. The pain in such cases can be at the back of the knee, pain is worse in climbing stairs or coming down, worse after having sat down for any length of time. This condition is called patellofemoral compression syndrome and can be helped with regular exercise and patellar gaping and a course of anti-inflammatory medications like Diclofenac or Piroxicam. In addition, she can take Paracetamol and Tramadol combination for pain. She will need to do VMO, gluteal, core strengthening exercise, and hamstrings stretches, in addition, she needs to avoid squatting. The physiotherapist can in addition give IFT or TENs to help. it will take 3-6 months for the pain to settle down. MRI also shows an incarcerated needle tip under the patella have but I need to have this physically checked if this was recent and was it from the fall on to a sharp object." + }, + { + "id": 8050, + "tgt": "What can be done to manage vision and headaches in glaucoma with astigmatism?", + "src": "Patient: Hi doctor, I am 48 years old, female. I have been diagnosed with starting glaucoma and I have all OCT scans and glaucoma screening results. I would like to know what precisely is happening with my eye. I had a bad vision already for 3 to 4 years and was wearing glasses but now it is not comfortable to wear. I also have astigmatism. I struggle to see now clearly and have constant headaches. Please let me know if you can diagnose and see what problems I am facing. Doctor: Hi. OCT is normal. Glaucoma is in very early stage (attachment removed to protect patient identity) but you have not mentioned your intraocular pressure forastigmatism. I would suggest these options: 1. Toric contact lenses. A non-surgical procedure but contact lenses require constant care. 2. LASIK surgery preferably PRK LASIK surgery is one of the best options now but coming to my third option, phasic lens extraction and replacement with toric multifocal lenses. Option 3 is preferable because 10 years down the line you will be needing a cataract surgery anyways. For glaucoma point of view please tell me your intraocular pressure readings." + }, + { + "id": 18521, + "tgt": "Will travelling to a place with high rates of pollution affect my lungs?", + "src": "Patient: Hello doctor, I am a 23 year old male who has just returned home from a year's trip to a country known for high rates of pollution. I am currently experiencing shortness of breath (no coughing) and excessive burping. I will try to provide you as much detail as possible. When I went, I did not have any symptoms. Three months had passed with no problem. Then I slowly started to become tired while working out and eventually at the five-month mark I was exhausted. The main symptoms I had were fatigue (unable to exercise at all), shortness of breath, pain/discomfort in the upper back, and excessive burping. Now after returning (been back for two weeks), I only have shortness of breath and burping. I still feel some discomfort in upper back but not as severe. I went to the ER and got a chest X-ray and blood work (I have listed the tests), all came back fine. So as of now I do not know what to think and I am debating whether to return there as it is known for its high pollution rate in most cities, and at times it seemed that my symptoms fluctuated with the pollution level. I do not know what to think about the shortness of breath. It feels as though I need to take deeper breaths. I am able to exercise again though. I am currently using Omeprazole for the burping. I have been using it for almost two weeks and it is not helping at all. I also have antacid and digestive enzymes that I use occasionally. What are your suggestions for tests I should take or in general? I honestly want to know if it would be a good idea to return given the information I have provided. Thanks for your help. Doctor: Hello. In case all your investigations are normal then you probably have acute bronchitis or associated anxiety. In your case scenario, my suggestion would be antiallergic like Levocetirizine and Montelukast once daily. Addition of Etizolam as an antianxiety drug would help you further. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I hope it helps you. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 7284, + "tgt": "Kindly suggest treatment for lack of sleep and anxiety", + "src": "Patient: Hello doctor,Recently I am suffering from lack of sleep and anxiety, last night I could not sleep at all because of restlessness and from a couple of days. I have been sleeping less for like two to three hours in the night. I am also suffering from anxiety, where I sweat a lot and become restless. Please, advice some medicine that I can use temporarily to complete my six to eight hours of sleep. Doctor: Hello. Feelings and symptoms like palpitations, getting a heart attack, difficulty breathing, digestive concerns, and sleep problems can be a part of heart-related issues or anxiety. It is essential to have some physical examinations before taking medicines. Also, first time medicine can be prescribed after a physical exam. At first, you must need to get proper assessment identifying the cause of this anxiousness, whether it is work-related or some personal issue. It can be done by analyzing thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy thought channelization, and restructuring is quite helpful. Besides, to make yourself relax you can do the following, 1. Deep breathing excercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per requirement." + }, + { + "id": 29850, + "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": 1599, + "tgt": "My home pregnancy tests are positive, but I am spotting. Should I be concerned?", + "src": "Patient: Hello, I\u2019m a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I\u2019ve tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It\u2019s now almost 3am and I noticed I\u2019m still spotting but very lightly. I do have an appointment today to confirm if I\u2019m really pregnant but I am concerned. Doctor: Hello, Welcome to Icliniq. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy." + }, + { + "id": 9870, + "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": 9602, + "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": 9653, + "tgt": "Should chemotherapy be given after tumor removal for 13. 32 U/ml CA-125?", + "src": "Patient: Hello doctor, My wife has undergone tumor removal surgery along with uterus and ovary removal a week back. CA-125 test value is 13.32 U/ml. The doctor has advised to undergo 4 to 6 sessions of chemotherapy based on the biopsy report and below impression: Sex cord- stromal tumor\u2013 granulosa cell tumour. Capsule intact. Unremarkable endometrium and left ovary, chronic cervicitis, uninvolved omentum, uninvolved pelvic peritoneum. Ascitic fluid cytology, inflammatory cells\u2013 lymphocytes. No malignant cells. Please review the attached reports and advice accordingly. I need to plan further treatment. Is chemotherapy required? Even though the CA value is within the normal range. Is there any other treatment possible? Chances of cancer in future if any? Or Chance of spread? If chemotherapy is required: When should it be started? How many sessions are required? Frequency or gaps between two sessions. How long does a session take? Side effects? Doctor: Hi. I went through your reports (attachment removed to protect patient identity), I have a couple of questions. First and foremost, any other blood tests done, called as tumor markers, similar to CA 125, like AFP, bHCG, inhibin, estrogen? Based on the details provided, she may require chemotherapy because of large size and possibly high mitotic index (though not mentioned in the report). Usually, the chemotherapy is given every three weeks to be started 4 to 6 weeks from the date of surgery. In this type of cancer, CA 125 is normal. Other markers such as inhibin and estrogen are high. There is a 30 to 40 % chance of spread, however, to be certain I need to see the patient and CT scan images in person. Usually, each session is about 4 to 6 hours. There are multiple side-effects." + }, + { + "id": 19017, + "tgt": "How to normalize my high triglycerides?", + "src": "Patient: Hello doctor, My triglycerides are 296. Should I take some medicine to normalize it.? My total cholesterol is 183. Doctor: Hello. I suggest you take tablet Atorva (Atorvastatin) 20 mg once daily at night time before sleep for two months. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Some patients do complain of myalgia after using this dose. If you find any kind of body pains after starting this, you need to take 10 mg tablet once daily. Diet management and regular physical exercise should be continued along with medication. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15689, + "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": 15365, + "tgt": "What is the white mass seen above my teeth in MRI?", + "src": "Patient: Hello doctor, I had a brain MRI nine months ago. The report came back completely normal. I decided to look at the images last night and I noticed this bright white mass above my teeth. Either the mass is near my teeth or in my sinuses. I am worried that I have a tumor growing and it was looked over by the radiologist. The report does not mention this white mass and in the report my sinuses are normal. So I am wondering if this is a normal finding on an MRI and that is why it is not mentioned? I have no pain or symptoms. Also, if this was an abnormal mass, I should have symptoms nine months later, right? I also have a temporary acrylic crown on my bottom molar. I cannot tell if it is near the bottom or top of my teeth. If this is the bottom of my teeth then could this be my temporary crown? Doctor: Hi. The MRI brain looks normal (attachment removed to protect patient identity). The bright spot on the right side is a small right maxillary sinus polyp which is completely benign. Take care." + }, + { + "id": 28533, + "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": 26298, + "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": 26531, + "tgt": "I have a swelling in the lower part of the eye. What should I do?", + "src": "Patient: Hello\u00a0doctor, I have a swollen lymph from three weeks on the eye lining on the lower region. I went to the eye specialist. He gave me Zenoxim 500 for a week two tablets per day and Ocupol ointment to apply for three weeks. He said it is an infection and if it does not go in three weeks then he needs to do a small dissection to cut it. I am not sure what to do. Should I wait or take the medicine? Doctor: Hello. Regards. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26460, + "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": 22534, + "tgt": "I have been unbearably itchy with little plaque rashes. What can be done?", + "src": "Patient: Hello doctor, For two weeks, I have been unbearably itchy. I had a rash to go along with it that looked more like little plaque rashes but those have faded now. I am left with super itchy skin that bumps up when I itch but fades away after a while. The itching is driving me insane. I have seen two doctors and they have no clue what is going on, just that it is not contagious because my husband and kids do not have it. Doctor: Hi. In my opinion, you are having urticaria as your rash came along with itching and then disappeared. You should note if something you have taken after which this itching has started like drugs, meat, expired poultry product, some insect bite reaction and even artificial food flavors also start this. I know it is hard to notice. Please avoid any perfumes, and contact with pets as much as you can. What is the pattern of itch? Does it occur at night only or get aggravated at night? Moreover, please send the picture of your lesions if possible. I suggest tablet Cetirizine 10 mg at night for 10 days. Apply Calamine lotion twice daily. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1308, + "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": 3534, + "tgt": "Why does my palm sweat a lot?", + "src": "Patient: Hi doctor, My palm sweats a lot. Also\u00a0my skin is too sensitive and gets tanned. How to get rid of it?\u00a0Why there is a sudden growth of hair on my face? Doctor: Hi. I have read your concern. Review after few weeks to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1824, + "tgt": "My mom has a fever for more than a week with bowel problems. What could cause this?", + "src": "Patient: Hello doctor, My mother is 65 years old. She is having a fever for the last seven days. She also suffers from stomach problems. For the first five days she did not have any stools, then she passes stools four times the day before yesterday, and few times yesterday. Probably she has severe amoebiasis. But her fever is not receding. What to do? She is currently on Omez D once, Ofloxacin 200 mg bd, Azithral 500 mg OD, Vizilac one tab TDS, Metronidazole taken for five days and now stopped, ORS in ample amount. Doctor: Hello. I reviewed your mother's history and investigation. (attachment removed to protect patient identity). The history and low TLC (total leukocyte count) and low platelets on CBC (complete blood count) are suggestive of enteric fever. Kindly do the following things. It does not look like to be amoebiasis. US (ultrasound) abdomen. Enteric fever. Continue Azithromycin in the same dose and complete five days. Injection. Ceftriaxone 2 gram IV in 100 ml NS daily for seven days. Tablet Paracetamol three times daily. ORS (oral rehydration solution). Use a soft diet. Get back to me with the US report." + }, + { + "id": 10465, + "tgt": "How can I improve my immunity against pneumonia?", + "src": "Patient: Hello doctor, How can I improve my immunity for\u00a0pneumonia\u00a0since I already had it five times? Once when I was a kid, thrice in high school and currently at college. Please help. Doctor: Hello. For further doubts consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 5199, + "tgt": "Can you suggest medicines for pimples and dark marks?", + "src": "Patient: Hello doctor, I am a 33 year old, and I am suffering from severe pimples followed by dark marks on the face. I did so many chemical peels, and the condition did not improve. My friend told me to take Minocycline 50, so I am taking it since two months, and my pimples are improving. Can I take this tablet? My friend also told me to take Epiglow and Epilight tablets. Is it good to take all these tablets? Can you suggest any other better medicine? Doctor: Hi. Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 2493, + "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": 19742, + "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": 29410, + "tgt": "Why did my doctor suggest quadruple marker test for my pregnant wife?", + "src": "Patient: Hi doctor, My wife is pregnant. Her doctor has suggested us to get a Quadruple marker or triple marker study test. Why does he suggest this test? What is the use of that test? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11673, + "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": 4601, + "tgt": "Do alcohol consumption contribute upper abdominal pain?", + "src": "Patient: Hello doctor, I have pain in my left upper abdomen and feels like something is about to bulge out. I smoke and drink too. I feel quite congested and full at times and it has affected my activity too. Sometimes the pain radiates to the back and I have difficulty in breathing as well. I am 6'2\" in height but weighs around 110kg. I had reactive arthritis with spondyloarthropathy when I was 17 years old and last year I was diagonosed with costochondritis. Sometimes I take Etoricoxib 120 mg. Doctor: Hi. Your complaint of left-sided pain in the abdomen and its running to the back can be suggestive of one of the following: 1) Gastritis is the swelling or inflammation of the stomach. The acid problems may be due to your obesity as your weight and BMI are high 32.89. It may be due to high spicy food, alcohol, smoking especially in the empty stomach. Pain killers also can cause it. 2) Pancreatitis is the inflammation of a deep-seated gland called pancreas. Pain is set on after alcohol intake last for a couple of hours and runs to the back. It can be accompanied by vomiting. 3) The type of arthritis that you have described can also be associated with some other organ problems but it is less likely. What to do about it? 1) Stop smoking. 2) Stop taking alcohol at least till this issue has been resolved. Also, I would like to know more about the type and amount you consume and frequency. 3) Try to lose weight. Your weight (as per your height) should be 80 - 85 kg. Target for around one to two kilogram loss per week. Kindly elaborate more regarding your symptom of feeling quite congested and full at times and how exactly this has affected your activity? Regarding the fullness, if you feel a tightness in the abdomen, when did it start? How has it increased or decreased over the last couple of months? Do you have regular bowel movements? Or are you constipated? A jumbo plate of salad and drinking three to four liters of water per day will help. Also, it will help reduce weight. Did you ever need to visit the emergency for this pain? If yes, what treatment was given? Please upload the records. Any investigations done? like an ultrasound of abdomen or blood investigations. If yes, please follow up with the reports. If no then I think you should get the following investigations: 1. Ultrasound of abdomen. 2. Blood investigations hemoglobin, hematocrit (HCT), total leukocyte count (TLC), platelet count test (Plt), ESR (erythrocyte sedimentation rate), serum sodium, potassium, creatinine, urea, AST (aspartate aminotransferase), ALT (alanine aminotransferase), ALP (alkaline phosphatase), bilirubin, albumin, amylase. 3. You may require an endoscopy later. Get back with these questions and investigations or follow up with your doctor. In case of severe pain go to a good hospital rather than to stay home and take painkillers." + }, + { + "id": 26962, + "tgt": "I have a red rash with small red dots on my penis. Can it be an STD?", + "src": "Patient: Hello doctor, I have a red rash with small red dots on my penis. My previous partner cheated on me one year ago. Tonight, I made out with a girl. Both of us were dressed. There was a lot of rubbing. There is no itchiness or pain when I pee. Can it\u00a0be an STD from my ex a year ago which was my last unprotected sex or just irritation from sweat and rubbing? Doctor: Hello. I read your query and understand your concerns about the possibility of an STD (sexually transmitted disease). I hope this answers you. Feel free to write back to me if you have more questions. You may also approach me for online video consultations or counseling related to sexual disorders and sexual health. I will be glad to help you. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 16579, + "tgt": "Why is my child having wet cough and running nose often?", + "src": "Patient: Hi doctor, My 2.5 years old is having a wet cough and running nose (no fever). It starts with a dry cough and in a day or two, converts to wet. The same process has been going on for a month. He stays healthy for 2 to 3 days and then falls sick. Advise medicine for current situation and supplements for immunity improvement. Doctor: Hi. What you are describing seems to be something like hyperreactive airway disease. In such cases, we initially give a trial of Montelukast for a few weeks to a month and look at the response. Based on the response, we may add steroids followed by inhalers (different combinations) (again based on response). This requires multiple follow ups and evaluation in the initial few stages till stability. Hence I would recommend you to go to your pediatrician and ask him about the above thought process that I have described." + }, + { + "id": 27639, + "tgt": "I have multiple health problems, all at once. What is wrong with me?", + "src": "Patient: Hello doctor, I am 28 and weigh 115 lbs.\u00a0I have an ulcerative colitis flare up, a cold sore outbreak, genital herpes outbreak, and a knee injury that will not heal. The lab tests confirmed an infection with both the herpes\u00a0viruses. What is happening to me?\u00a0I work 65 hours a week as a geologist. My job is physically and mentally demanding. I am emotionally distressed due to my health problems. I have had ulcerative colitis for the last 12 years. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29512, + "tgt": "Kindly suggest a medicine for my granny's throat pain", + "src": "Patient: Hi doctor,My grandmother, who is 70 years old, is suffering from severe throat pain. She had cold, cough and fever before two days. We consulted a doctor and had medicine. Then, she was fine for a day without any fever. From yesterday afternoon, she started complaining of throat pain. She could not even swallow her own saliva. So, she is not willing to take proper food. As my granny is old enough, I am so worried about her health. She is not willing to come to hospital. I request you to suggest a medicine for her. She also has yellowish eye discharge from yesterday. Today morning, she could not open her eyes when she got up from sleep. I just wetted her eyes with warm water. She is a hypothyroid patient for more than 30 years and on Eltroxin 100 mcg. Doctor: Hi. I read your query and understand your concerns. For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 21519, + "tgt": "I notice a bump on the mole on my chin. Is this melanoma?", + "src": "Patient: Hi doctor, I am a 28-year-old female. I have always had a small, raised, symmetrical mole on the right side of my chin. It has always been very benign and had a hair growing out of it that I consistently plucked. About two weeks ago, I noticed a small, shiny whiteish bump on the mole and called my dermatologist. Because of the holidays, I could not get an appointment anytime soon and still have another week to wait. Over the last couple of days, the mole has gotten bigger though it has stayed symmetrical and is still slightly smaller than a pencil eraser. It is slightly more raised and it stings to touch. I also realized that it has been a month or two since I had to pluck any hair. None has grown. I have had a zit on this mole a couple times but this does not really look like the previous moles. I am conscious it could be another more severe zit or maybe a cyst but I am very nervous that it is cancer. I had a couple of moles removed in childhood that were not quite suspicious but that the dermatologist removed just to be safe. My mother has had several basal cell cancers removed. I spent many summers in my youth outside and am worried that this is melanoma or nodular melanoma even though it is not dark. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). It looks to be a pretty benign nevus to me. Well defined, uniform colored, small, rough to oval, and symmetrical. I think the nevus perhaps has an ingrown hair and the resulting inflammation has caused it to swell up and sting a little. I suggest you apply a topical antibiotic either Neosporin ointment or Mupirocin 2 % ointment, twice daily for a few days. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20078, + "tgt": "Is there a remedy to ease tinnitus?", + "src": "Patient: Hi doctor, I have ear tinnitus effect. There is continuous multifrequency sound persisting on which sometimes one particular frequency tone becomes significant for few seconds.\u00a0Doctor told there is no cure and I have to live with it.\u00a0Is there any remedy to ease it? I heard something like acoustic neuromodulation can help to cure it. Is Ginkgo biloba can ease ringing in ear with tinnitus effect. It is more neurological issue than ear.\u00a0I was on Cipralex - Escitalopram for 4 years after withdrawal it really bothers me. Kindly advice. Doctor: Hi. Tinnitus is bothersome and unfortunately sometime it is difficult to treat. Acoustic neuromodulation is helpful and have shown positive results. You could try this option. Studies have shown Ginkgo is not effective for tinnitus. Revert back with the answers for the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14516, + "tgt": "I get sudden sharp chest pain with arm pain. Please help", + "src": "Patient: Hello doctor, I am a 25-year-old boy. Since last 4 to 5 months sometimes sudden sharp chest pain is coming at different points and that comes only for 1 or 2 seconds only. And sometimes left arm is also paining but that also for a few seconds only. I have consulted an experienced cardiologist and done all necessary tests ECG, echo, cardio, doppler test, stress test, and lipid profile test. All reports came normal. For more confirmation, I want to show you my reports. Can you please check my reports and let me know what is the cause of this pain? Doctor: Hi. Your tests are normal (attachment removed to protect patient identity). Pain is not due to heart. Other common cause of pain is anxiety and stress. For that do regular exercise, reduce weight if you are overweight, avoid any addiction if you are addicted to smoking, etc. Stress and anxiety, musculoskeletal pain. If the pain is continuous take painkiller tablet Ibuprofen 400 mg at the time of pain. Avoid stress, daily exercise such as brisk walk for 30 minutes at least." + }, + { + "id": 11731, + "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": 24757, + "tgt": "What can cause swaying sensation, lightheadedness, and loss of balance?", + "src": "Patient: Hello doctor,I am feeling lightheaded, dizzy, and off balance. There is pressure at the top of my head and back down to my neck. When lying down, there is a swaying sensation to the left side. There is ringing in my left ear. Also, a cracking noise when swallowing and fullness in the left ear. I have been to two ENT doctors, cardiologist and a neurologist. The ENT diagnosed eustachian tube dysfunction and prescribed steroids, but no relief. The neurologist performed VNG. I will attach the results. Everything is normal with the heart. What else could cause the lightheadedness and swaying sensation? Doctor: Hello. You are having positional vertigo. Your reports also suggest the same (attachment removed to protect patient identity). You should take anti-vertigo medicines and do maneuvers for vertigo relief. Please tell me if you have a history of frequent nasal or throat infection. What else other than steroids have you been taking so far (so that I can suggest you better). Any history of hypertension? Follow up with the required information. Take care. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29808, + "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": 15377, + "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": 28306, + "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": 28868, + "tgt": "My parent's overprotectiveness and interference troubles my marriage life. What to do?", + "src": "Patient: Hi doctor,My parents bought the house where I live with my husband, and we pay them every month for it. Also, they were cosigners to get us into the mobile home park, and we pay a lot. Every time we are late on the payment and my parents want to know every detail of our finance. It is causing stress on my relationship with my husband. Also, it has gotten to the point where I am hoping for something major healthwise will happen to me to make them realize that there are other more important things. Why are they behind us always? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5321, + "tgt": "I notice wetness at the tip of my penis after a while of intercourse. What could this be?", + "src": "Patient: Hello doctor, I had intercourse with my girlfriend and it slipped. Also, my girl just started her menstrual cycle at about the same time. After about two weeks later, I noted slight wetness at the tip of my penis and had some irritation. I took Azithromycin three tablets. The irritation stopped, but slight wetness at the penis tip remained. It is very slight wetness at the tip, as during the day every few hours we go to urinate and is only on the tip. The wetness can mainly be seen in the morning when I get up after eight hours of sleep. I got blood tests and VRDL is negative. I seek your advice on medication and what could this be? Doctor: Hello. The wetness you are experiencing may not be an infection, it could be due to friction-related issue after intercourse causing some inflammation. As you have already run the tests and taken a course of antibiotics, there is not much to worry about. Observe the discharge for a week if it gets foul-smelling or you develop a fever or an itch over the area you may have to see the doctor. In the mean time get a urine microscopy and routine test to rule out any urinary tract infection. Avoid nylon undergarments and use cotton ones instead. Use a condom always during intercourse and make sure you do not have an allergy to latex." + }, + { + "id": 2075, + "tgt": "I did not get my periods for four months. Please suggest what to do", + "src": "Patient: Hello doctor, I have a missed period for four months. This has happened before and my period came normally for one to two years after. There is no pain and no medications for that. No symptoms or chances of being pregnant. Please suggest. Doctor: Hello. Irregular periods can be due to many reasons. A little bit more information will help in making the right diagnosis. May I know when you had your first periods? Have you lost or gained weight recently? Any change in lifestyle or stress recently? Are you having any pimples, hair growth in face, chin, etc? All the above reasons can contribute to irregular periods. You could also be dealing with a condition called PCOS (polycystic ovary syndrome)." + }, + { + "id": 29864, + "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": 4225, + "tgt": "Why does my buttock stink badly?", + "src": "Patient: Hello doctor, I am a 32 year old male. My buttock\u00a0always stinks badly. Please help. Doctor: Hi. 1. Excessive sebum production due to massive hair in the area. 2. Can be an issue of the external anal sphincter that causes leakage of fecal matter from anus and causes smell. 3. Can be a hygiene issue. 1. Anal sphincter tonometry and anoscopy. 2. For proper diagnostic evaluation you need a consultation from gastroenterologist surgeon who may also go for a proctoscopy if needed. 3. Management options are best decided after diagnostic tests. 1. Shave the area very well and keep dry. 2. While going restroom do not rely only on the paper towels. Rather use plenty of water to wash thoroughly every time in restroom. 3. Apply some scented roll on the area for hygiene. Revert back after the investigations to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 327, + "tgt": "My doctor prescribed Dogmatil 50 mg for IBS. Should I be taking it?", + "src": "Patient: Hi Dr. I have mild lower back abdominal pain, lower back pain , and pressure on the bladder area. My local dr. diagnosed me with IBS after doing CT Scan (ethnography oral and IV contrast) , urine, stool and blood test. The CT scan showed everything was normal and urine, stool and blood tests also normal. He said take these 2 medicines. 1 - duSPATALIN 200mg twice daily, and 2 - DOGMATIL 50mg twice daily. When I read the side affects of DOGMATIL 50mg, it has a lot of side affects for which I am a bit scared of. My question is should I be taking DOGMATIL 50mg? Doctor: Hello. I welcome you to icliniq. Well Dogmatil is not otherwise indicated in irritable bowel syndrome, it is better given and effective if someone who has upper gastrointestinal tract symptoms such as vomiting, nausea, or early stomach fullness, frequent belching. IBS is more a problem with small and large bowel, not stomach otherwise. So, since you do not have any symptoms suggestive of stomach involvement, I suggest you to refrain from use of Dogmatil. Duspatalin however can be used and very well tolerated among IBS patients. It is basically an anti spasmodic agent, it reduces pain, but can cause constipation. You should remember this while its use. I hope this serve the purpose. Take care and have a good day" + }, + { + "id": 13713, + "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": 8664, + "tgt": "When I stand up quickly, my heart rate jumps. How to fix it?", + "src": "Patient: Hi doctor,\u00a0 I am a 26 year old healthy male. My height is 178 cm and weight is 73 kg. I do exercise regularly and I am healthy too. I\u00a0have recently visited a cardiologist and done a cycloergometric test (Bruce stage 4 protocol).\u00a0During the test my blood pressure remained normal but my heart rate increased very high to a level of 194. Without the ability to regulate my pace I felt as if I hit the wall. I felt very lightheaded, slight blurry vision and tingling sensation in legs. When I run the same thing happens every time, so it is not a single occurrence. My resting blood pressure was 132/80 mmHg. Sinus rhythm in ECG was 113 per minute. During the test we exceeded the maximum load of 5% and 111% maximum heart rate for the candidate's age (194bpm). Blood pressure increased to 160/60 mmHg. Base ECG at maximum load does not change much.\u00a0Blood pressure was normalized in two minutes.\u00a0 When I stand up after sitting for a while, I get blurry, black out vision which is often severe. My breath is quite shallow. I feel tired most of the time and muscle fatigue. The symptoms always worsen when hot or dehydrated. I did the \"standing up test\" on my own. I measured my heart rate while I am sitting relaxed for several times which are 62,64,67,70 and 73. Zero to two minutes after standing up the values are 74,88,90,97 and 93. After two minutes it is\u00a077 and after five minutes it is 84.\u00a0There is an increase of around 30 bpm in the first two minutes.\u00a0Quickly going from lying down to standing up heart rate jumps from 63-105. What causes this and how can I fix it? So far I tried to increase my water intake. I have tried drinking a lot still I feel dehydrated. I also tried increasing my salt intake. 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. Revert back with the laboratory reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2084, + "tgt": "Are implant supported bridges good?", + "src": "Patient: Hello doctor, Are implant supported bridges good? Will they cause bad breath in the long term? I have dental bridges in my four front teeth for about eight years, but now it is causing bad odor. Doctor: Hi. Implant supported bridge is an extremely good option for replacement of missing teeth. Implant is the best treatment option in dentistry and it is a lifelong treatment option. It stays for ur whole life without causing any problem. Once osseointegration has taken place successfully it acts extremely perfect. But you have to maintain your oral hygiene nicely. You have to use electric brushes for maintaining your implant and you have to visit the dentist every year for follow up for scaling and polishing, just for maintaining your oral hygiene. Go for It. It is the best treatment option if you are healthy systemically. Patients suffering from high blood pressure or diabetes might have some problems. So your dentist will decide what is best in those conditions after all the blood tests, OPG, and CBCT (will decide your bone condition) diagnosis. I hope this helps." + }, + { + "id": 29421, + "tgt": "Can alcohol induce AF?", + "src": "Patient: Hi doctor, I am 23 years old. I had alcohol induced AF after consuming vodka. I consumed roughly the same amount two nights before. AF seemed to start after vomiting. I was cardioverted after 12 hours. I was informed by the doctor that this was alcohol induced. He advised me to avoid alcohol for a month, and probably it will not happen again. I have a history of alcohol abuse. My chest x-ray is normal. I had a follow-up 24-hour ECG and echo. Will AF recur?Is it ever safe to drink again? Is there a likelihood of congenital problem? My father had similar episode 40 years ago after drinking Port wine, and it was told as due to sediment. Could sediment cause AF? I do not have congenital heart disease as far as I am aware. I would have asked my doctor these questions, but Midazolam had made me sleepy. My blood reports\u00a0are normal except potassium deficiency at that time. Thanks for your help. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6640, + "tgt": "My pregnant wife is having pain under right armpit. Is there any problem?", + "src": "Patient: Hello doctor, My wife is 2 months and 5 days pregnant. She is having pain under her right armpit for two weeks. It pains only if we touch it. Is there any issue with this? She is taking Pregnacare medicine. Doctor: Hello, Welcome to iclinq.com. It seems like she might have some furuncle (boil) under her armpit. It would be useful if you could share any picture of the lesion, so that accurate diagnosis and advice can be given. But as she is pregnant so I would recommend to consult your local doctor as well and avoid using any over the counter medications without any authentic advice. For now, she must wear loose clothes made of cotton and keep the armpit sweat-free as much as possible. I hope this helps." + }, + { + "id": 17580, + "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": 27945, + "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": 21659, + "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": 16627, + "tgt": "I have gastric problems, and I puke every day. What to do?", + "src": "Patient: Hello doctor, I am a 22 year old male, I smoke weed and cigarettes every day, and do not eat food at the right time. So, I have gastric problems and I puke every day, from the past six months. What to do? Doctor: Hi. I have gone through your details, and I appreciate your concern. As per the history, most likely you have severe gastritis with overlapping esophageal spasm and gastroesophageal reflux. It is because the stomach acids regurgitate back into the esophagus, causing heartburn and severe burning sensations. Dyspepsia can be a sign of gastroesophageal reflux disease. Dyspepsia can also be a sign of a stomach ulcer or gastritis, which is an inflammation of the lining of your stomach. I suggest you get an upper gastrointestinal endoscopy, to rule out any erosion of esophageal mucosa or Barrett's esophagus or ulcers. I suggest you try the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. If your symptoms are not relieving, please discuss with your primary physician. To be on the safe side, I would suggest getting an EKG (electrocardiography) done because sometimes atypical angina can present with same symptoms. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13547, + "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": 28550, + "tgt": "Can a lower back pain lead to paralysis?", + "src": "Patient: Hi doctor, I am a 24 year old student. When I was 17 years old, my lower back was injured while playing cricket. That time I was also a little depressed and was taking some tablets. After 15 days, I got typhoid, so I did not care much about the injury at that time. But since then, I have been feeling stiffness and numbness in my lower back. Now, my problem has worsened. My MRI (that I have attached) shows that there is compression on the\u00a0right side, in L4-L5 region. And the right exiting S1 nerve is also compressed. My bones have become weaker, and L4-L5 interarticular is fractured.\u00a0My weight is increasing, and I was always more sensitive to cold. As of now, the right side of my neck and the\u00a0right-hand feels very weak. I do not have\u00a0power in my body. I am taking\u00a0Pregaba-M 75, twice a day and Calcitriol weekly.\u00a0Earlier I used to take calcium, but I stopped as my problem worsened after taking them. Can I recover\u00a0from this? Somebody advised for surgery, is it not risky? My pain is relieved from exercise but not cured. What should I do? And where should I consult for this? Due to this, I am not able to concentrate on studies and also very tense. Can this result in paralysis? Doctor: Hello. For further queries consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 29791, + "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": 11942, + "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": 21234, + "tgt": "I have multiple cysts over periphery of ovaries but want to conceive. What to do?", + "src": "Patient: Hello doctor, I have irregular periods. After an ultrasound, I came to know that I have multiple cysts over the periphery of ovaries. I want to conceive as I am trying for two months but failed. Tell me what to do. Doctor: Hi. The scan report you have mentioned (attachment removed to protect patient identity) shows that you have a condition called PCOS (polycystic ovaries syndrome). It is because of hormonal changes. There is nothing to worry about. Lifestyle modifications, fiber-rich diet, plenty of fluids, vegetables and fruits, exercise, yoga and weight loss will help you. Get started with Folic acid supplements. Try during your fertile period which is between 12 to 24 days of your periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 370, + "tgt": "My face looks old because of acne and acne scars. Please help", + "src": "Patient: Hello, due to the pandemic I'm not allowed to visit a dermatologist in person. But my skin has changed for the worse drastically. Im a 16 year old student, but my face now looks old because of the following: So I had some dark spots cause from acne scaring and I decided to use the \"AMBI skincare fade cream\" which I thought would work wonders but it left a red, darker, larger spot on my forehead, chin, and sides of cheeks. So I let it be for a few days and it was still the same, so then I decided to look u some home remedies, and I found that garlic not only fights acne, which I have on top of the scaring (which looks horrible) but it also fights dark patches, so I applied that on my face and it burnt... A LOT, but I thought that the burning sensation must mean that its working its magic but, noo. the next day my skin was irritated, and red. Now fast forward to today ( almost a month and a half before the incident) my forehead is wrinkly (but it could also be thin forehead hairs) (oh also my forehead was affected the most, because I put the majority of garlic on that area of my face ). I have huge drak- yellowish, brownish patches all over my skin, plus some acne. Ive TRIED homemade recipes to lighten your face, but they haven't been working, then I tried boosting my melanin, and collagen, but still nothing, and now I'm using anti wrinkle cream, but from doing all of these things I don't see any results, heck I actually see it getting worse, My mom told me to give it time, but I'm not sure that would be the best approach. Please help me. Doctor: Hey Acne are common in teen ages in most if the people. They should not be much disturbed. They appear and slowly disappear with age. They are due to excessive sebum production from the oil gland in your face along with blockade of thise oil tract into the surface of skin aggravated by oily cosmetics and bactetia. The treatment depends upon the grade of acne. For mild ones we use simple creams and gels made up if vitamin a derivatives and few antibiotics whereas in highet grade you need otal meducation plus those topical ones. But in severe grade we use oral vitamin za derivative like isotretinoin. It seems you have dark spot diue to acne. Is it only pigmentation or you do have scars as well? Whatever it be, protect the skin from sunlight as much as possible , can use sunscreen gel spf 30+. The medicine you hzve been using contains alpha hydroxy acid which coul be anyacid. They must be spplied in low quantity. I prefer to use retenoic acid along with AHA at bedtime. You cab use kojic acid and glycolic avud combonation at night which vould ve available in cream. Please send me your photo and solve my prior query." + }, + { + "id": 19876, + "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": 20440, + "tgt": "Is avocado good for cholesterol?", + "src": "Patient: Hello doctor, I am 30 years old and my cholesterol report is showing as LDL 180 mg/dL. My friend says avocado helps in improving HDL and it does not increase LDL, as it has monounsaturated fat. I am confused. Is avocado good for cholesterol? Doctor: Hi, Welcome to icliniq. First, let me tell you some basics of cholesterol. HDL (high-density lipoprotein) is a good cholesterol. The higher the HDL, better the health. Whereas LDL (low-density lipoprotein) is a bad cholesterol. The lower the LDL, better the health. Avocado, though a high-fat food, reduces LDL and raises HDL. So, it is good for health. Since your LDL is very high, I would advise you to start medications after consulting a specialist." + }, + { + "id": 1398, + "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": 1227, + "tgt": "My eczema is coming back on and off. Am I allergic to gluten?", + "src": "Patient: Hello doctor, I have had an issue with a topical dermatitis\\eczema for about a year and a half. I have been using steroid creams and anti-itch cream but it kept coming back on and off. Three weeks ago I started getting hives and before two weeks, they covered most of my body from my neck to my ankles. As per my doctor, I went on Prednisone and Cetirizine but it did not stop. Now I am on Methylprednisolone and Cetirizine and it seems to be getting a little better. I cannot figure out any triggers though, the itching and the hives are pretty much unbearable. It does not seem to be a sugar allergy, but I am uncertain about a gluten allergy. I have had a previous allergy test but revealed nothing except for allergy to a few animals, which I have none. I never had a gluten test. My current medications are Amlodipine, Paroxetine, Wellbutrin, Famotidine, and Cetirizine. Methylprednisolone for the past four days. I am 52 years old. Doctor: Hello. I have seen the attachments. (attachment removed to protect patient identity). It must be difficult for you with the itch and the rashes. Can you upload the report of your allergy testing? Why do not you go ahead and get the flute testing? It is a blood test and not as costly as the routine allergy panel. Secondly, when did you start Paroxetine and Wellbutrin? Were those started recently? Is there any correlation between their start and the development of the rashes? When you take the steroid tablets and antihistaminics are you better off? Do the rashes stay at bay then? Are there any triggers inside the house? Any insects or dust particles? Any history of change of place of stay?" + }, + { + "id": 8646, + "tgt": "Can kissing and getting touched by vaginal fluid on face cause HIV?", + "src": "Patient: Hi doctor, Two days ago, I met a sex worker and we were just kissing each other and my underwear was on. Then she started playing with herself and there were vaginal fluids on her hand. She put her hand on my face and close to my nose and wanted me to smell her vaginal fluid. After about 10 minutes, I felt like this thing might be dangerous, so I went and washed my face. I do not know if she had HIV or not but I am very scared. Doctor: Hello. When there is no sex intervention and vaginal fluid was touched by her on the face, so it is clearly no penetration as the skin acts as a strong barrier. Kissing has the least chance or nil for HIV but yes, HSV (herpes simplex virus) is common. If any symptoms other than seasonal like a sore throat, common cold, then consult a general physician MD or an ENT specialist. The night sweat, rash all are common, so do not panic. Yet, if you have fear or anxiety, you can go for the test. Once the test results are negative, you are risk-free. Take healthy food, fruit juice, milk products. The test to be taken are ELISA (enzyme-linked immunosorbent assay) kit within 7 to 10 days, RNA PCR on the 15th day, fourth generation CMIA kit test on the 28th day. You can take any of these." + }, + { + "id": 13063, + "tgt": "Does the amount of blood sample affect the test result?", + "src": "Patient: Hi doctor, I recently took the Alere Determine HIV-1/2 Ag/Ab rapid test. The counselor used two drops of buffer. The test brochure said to use only one drop. I would like to know whether the test is still valid or not. Doctor: Hi. Yes, the test is valid. There is nothing to worry about." + }, + { + "id": 164, + "tgt": "My granddaughter is 2 months old with persistent jaundice. Please review her reports", + "src": "Patient: Hello doctor, My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight? Doctor: Hi. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations." + }, + { + "id": 4940, + "tgt": "Why BP and sugar levels not reduced despite taking medicines?", + "src": "Patient: Hello doctor, My mother is 55 years old. She is suffering from diabetes and high BP. Her BP remains 140/90 mmHg. She is taking the following medicines: In the morning Telmisat 40 one tablet, Thyox 25 mg one tablet. During lunchtime Jalra 50 mg one tablet before food, Zoryl M2 Forte one tablet during food. During dinner time Jalra 50 mg one tablet before food, Zoryl M2 Forte one tablet during food, Avas 10 one tablet, Telmisat 40 one tablet, Metolar50 one tablet. The recent lab report shows: Fasting Glucose -137 mg/dl. Post prandial Glucose- 189 mg/dl. Urine report shows: Albumin- 184 mg/l. Creatinine- 0.22 g/l. Albumin to CR- 836.4 mg/gm Micral test-184 mg/l Urine analysis shows: Protein (albumin)- present(+++) Cystatin C.serum 1.51 mg/l. More details about the presenting complaint: She is suffering from high blood pressure and diabetics. Despite taking medicines diabetics is not lowering. Also sometimes swelling appears in the legs. Doctor: Hello. Your mother as you said is hypertensive and diabetic. She is on Glimepiride, Vildagliptin antidiabetics and Atorvastatin, Metoprolol as statin and antihypertensive. Her BP (blood pressure) is in under control as per her age and blood sugar is raised moderately. I would advise to start her on insulin the dose ll depending on her weight and blood sugar level. If she is not fine with insulin I would advise to increase the dose of antidiabetic drugs after consulting your family physician. Her kidneys and eyes are fine. Please take care of her feet by doing a regular examination of feet. Increase her daily activity by daily walks and avoid lifts. Diet should be strict. Avoid non-vegetarian rice and fried foods." + }, + { + "id": 14279, + "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": 17928, + "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": 18456, + "tgt": "Will protein supplements help in calcium deficiency?", + "src": "Patient: Hi doctor, My wife is suffering from body pain and a feeling of weakness every day. She is calcium deficient. Will any protein supplement help? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24408, + "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": 28984, + "tgt": "What should I do for persistent headache?", + "src": "Patient: Hi doctor, Initially, my problem started with a headache, and I felt shaky and dizzy the next day. I felt the same for around four days and went to the hospital. They said that I was dehydrated. But they did not give me anything for it and sent me home. I still have a headache, shaky, dizzy and feel almost worse. What should I do? Doctor: Hi. I am sorry to hear about your persistent troubles. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5593, + "tgt": "I have a dull on and off pain in the left side of the abdomen. Please suggest on my lab report", + "src": "Patient: Hello doctor, I have a dull pain on the left side of the abdomen that comes and goes. I had the same pain before 10 years. Can you please provide feedback on the recent labs I had done? Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). I have evaluated your reports and only two findings are significant. 1. Mild vitamin D deficiency- for that you can take Cholecalciferol 60 K tablet once a week for two weeks. 2. Gluten allergy- this could be a non-specific report. You need to get it confirmed by getting the anti TTG antibody (trans glutaminase) IgA test. Gluten allergy presents with symptoms of weight loss, abdomen pain, anemia, recurrent loose stools. I hope it helps." + }, + { + "id": 11319, + "tgt": "What is the treatment for recurrent worm disease in a 2-year-old?", + "src": "Patient: Hello doctor, My daughter is 2 years old and suffering from worm disease. After taking medicines, it repeatedly occurs every three months. She was already given Mebex before one month, but it does not work out. So please suggest how to completely clear worms disease. Please advise the treatment. Doctor: Hello. In this case of recurrent worm infestation, I would advise you to do a course of Mebex (Mebendazole) for the entire family living with the child and for the child itself once a week for 10 weeks. This will be coupled with a thorough cleaning of the house, specifically doorknobs, water taps, handles, and bedsheets. The child should be given syrup Mebex 10 ml once a week for 10 weeks along with weight and age-appropriate dosing for other family members at the same time as the child is taking the medication." + }, + { + "id": 1577, + "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": 19602, + "tgt": "Shall I try lifestyle modification to control BP?", + "src": "Patient: Hi doctor, I am 59 years old. My height is 5'8\" and weight is 95 kg. I am not a diabetic or hypertensive. But, I have had anxiety attacks. My recent BP check showed 140/100 mmHg and the two follow up checks showed 160/100 mmHg and 140/100 mmHg. My doctor prescribed my Telma 20. I am also on Thyronorm 50 for hypothyroidism. Shall I try lifestyle modification? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23859, + "tgt": "What should be done for cloudy vision after cataract surgery?", + "src": "Patient: Hi doctor, In case of cloudiness and pains at night after cataract surgery,\u00a0what should be done? Doctor: Hello. After a cataract surgery, the patient is put on a steroid and antibiotic drops to reduce the reaction in the eye, the swelling of the cornea if any and to prevent infection. You have mentioned that you experience cloudiness and pain at night after cataract surgery. If you have pain and cloudiness, which is more at night, then you may be having a recurrent reaction in the eye or increased pressure in the eye. It is best to show your treating ophthalmologist at the earliest. I will be able to answer better if you provide me with more details and a photograph your eyes. Revert back with the photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5383, + "tgt": "I experience flutter in the center of my chest while laying and standing. Why?", + "src": "Patient: Hello doctor, For the past few weeks, I have been experiencing a flutter in the center of my chest mostly when laying on my back. It does not happen often, maybe once or twice a night (not every night). Flutter is the best way I can describe the feeling. It lasts only for a few seconds. I also had this feeling while standing a couple of times. I am under medication for blood pressure and anxiety. Doctor: Hello, Welcome back to icliniq.com. In general, heart rhythm disturbances or even benign palpitations are better felt during rest. Now coming to likely possibility in you, I think it is probably to atrial or ventricular ectopics or their runs. Benign palpitations usually not felt like a flutter but like a sustained feeling which gradually comes and goes. So, you should get yourself evaluated further. You should get an ECG (electrocardiogram) done, which may or may not pick these disturbances as these are intermittent. So, 24-hour Holter monitoring may be necessary. Alternatively, you may wear smart watches with ECG monitors like Kardia monitor or other smart watches. They can guide us regarding the heart rhythm during symptoms and clinching the diagnosis. So, there is a possibility of cardiac disturbance, which are not usually worrisome but we need ECG to confirm the exact cause. I hope this helps you and get back if you have any doubts." + }, + { + "id": 28933, + "tgt": "My left eye keeps watering. Is there any treatment apart from surgery?", + "src": "Patient: Hi doctor, My left eye is watering and having difficulty in reading. I am facing this problem since 18 months. Several eye drops and ointments were used with any positive result. I had the same problem before 10 years, and it was cured with some injection. Now, after consulting three specialists, they recommended for surgery. Is there any other treatment apart from surgery? Doctor: Hi. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23858, + "tgt": "Far sight has not improved post cataract. What can be done now?", + "src": "Patient: Hello doctor, My Mother underwent a cataract procedure. After the procedure, we were informed that there was some complication while doing the procedure and they have to do another retina surgery. The same happened next day. It has been more than three weeks but there has not been any remarkable improvement. She gets irritation. It feels as if there is some hair or dust particle in that eye. It pains sometimes but the pain has no specific trigger. She also complains of seeing multiple floaters blocking her vision. There is a remarkable improvement in her near sight. She is able to read without using glasses. But the far sight is not clear. As per her, it is worst than her earlier vision before the treatment. Kindly advise what should be our next steps. Also, is the treatment going in the right direction? Doctor: Hello. Sometimes, complications happen in cataract surgery also. It is mentioned in the medical literature that there is zonular dialysis this makes a little tricky surgery. This makes lens weak and there are chances of particles of lens going back towards the retina. But this is completely treatable and I did it in many patients and seen in many patients doing fine. It is like you are driving and anything can happen at any time. Now, the irritation and pain are a superficial problem and is related to the surface and also could be because of sutures which were used during retina surgery. This will be fine for a period of time and I will be prescribing medicines. Little vision will be compromised but the good thing is that her near vision is fine. Distance vision will take time like four to six weeks and will not be normal as the other eye. The treatment is going right. So do not worry. I suggest you try Systane Ultra Eye Drop (Polyethylene Glycol and Propylene Glycol) two times a day and eye drop Genteal Gel (Hydroxypropylmethylcellulose) at night. Consult your specialist doctor, discuss with him or her and with their consent take the eye drops. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 314, + "tgt": "I have vaginal dryness and itching at night. What should I do now?", + "src": "Patient: Hi doctor, I have PCOS and suddenly I am having vaginal dryness and a bit of itching especially at night. I have tried all homemade remedies for my periods but I did not get it. What should I do now? And this vaginal dryness is literally making me feel irritated. Please help. Doctor: Hello. First of all, I like to inform you that PCOS (polycystic ovary syndrome) could be an underlying cause for vaginal dryness due to hormonal imbalance caused by PCOS itself. Secondly, itching is probably the result of vaginal dryness rather than anything else. In case you are sexually active, we need to look for STI (sexually transmitted infection) as they can also present with similar symptoms. Practically speaking if the vaginal dryness causing significant impairment in your quality of life, it is time to see a doctor. She may run some tests and do some examination to find out the exact cause of the problem. However, for time being topical estrogen can be used for symptomatic relief. It is available in the form of gel, ring or cream. As per your convenience, you can use either cream or gel and the use of ring requires assistance of a doctor. The second thing is stress management. Stress is one of the common reasons for causing decreased vaginal lubrication. Thirdly, avoid soap-based formulations to clean the private area as it increases dryness. I hope this helps." + }, + { + "id": 4713, + "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": 24857, + "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": 7042, + "tgt": "What can cause inconspicuous akinetopsia?", + "src": "Patient: Hi doctor, I am experiencing inconspicuous akinetopsia, which can be caused by Nefazodone, Risperdal and Trazodone.\u00a0I take Abilify 10 mg, Trileptal 600 mg twice a day, Luvox 150 mg twice a day and Trazodone 50 g as needed for sleep.\u00a0Could any of the other medicines can cause akinetopsia? The akinetopsia happens only while driving. Everything looks like snapshots instead of a smooth video like I am seeing in a strobe light. Also, the road tiles and rocking back and forth. I had it 10 years ago. I am on medication for bipolar for 10 years now. Is this illusory paIinopsia? I saw an ophthalmologist and he said that all tests came back normal. My MRI also came back fine except for a tiny cavum septum pellucidum. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24554, + "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": 21513, + "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": 22352, + "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": 3123, + "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": 19620, + "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": 11590, + "tgt": "I am not on Femilon but still getting discharge after intercourse. Why?", + "src": "Patient: Hello doctor, I had been on Femilon last month and did not continue with it this month after my periods. When I was on Femilon, I had discharge after the intercourse and I assume that the semen flows. Now, while I am not on Femilon anymore, I am still getting discharge after intercourse. Does this discharge mean that the semen is not getting inside and comes out entirely? If no, what could cause this discharge? If yes, would I be able to still conceive if the semen flows out of my body after the intercourse? Please help. Doctor: Hello. The discharge after the intercourse is more likely to be cervical physiological discharge which is following sexual excitation and can come out as mucoid homogeneous non-smelly vaginal discharge. If the semen is coming out after ejaculation then it is advised that you should practice sex in missionary position and keep two pillows under your back during the act and after ejaculation cross your legs and lie down for 10 minutes. This shall avoid extrusion of sperm and shall increase your chances of conception." + }, + { + "id": 8883, + "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": 1704, + "tgt": "Can I consume cold foods with tonsillitis?", + "src": "Patient: Hello doctor, Can I eat cold foods when suffering from tonsilitis? I think cold is not related to tonsilitis because a virus or bacteria cannot live in cold or hot. Why is there still a misconception in that? Some doctors say you can eat and some say you cannot. What is the illusion? Doctor: Hi. If you are having a susceptibility for throat infections you need to understand why it is happening. Having cold drinks or fluids bring down the body's immunity by shade and that is why it can attract a viral or bacterial infection. It is not about whether the bacteria can survive in cold or not, but it is about whether your body's immune system is able to fight the infection to neutralize it before it spreads. Viral particles and bacteria are all there in the air that we breathe and usually the body fights back to protect from getting invaded by these organisms. Everyone has one particular level of immunity, some have a weak immune system while some have very strong immunity and can still bear eating junk food and drinking cold drinks all day and still not get an infection. It all depends from person to person. If your body is sensitive to cold things or anything for that matter, it is better to avoid such items to prevent you from acquiring an infection and taking unnecessary antibiotics and medications. I hope this helps." + }, + { + "id": 1297, + "tgt": "I am suffering from sore throat, tonsil pain, and postnasal drip for three weeks. Please help", + "src": "Patient: For consecutive three weeks, I have been suffering from acute sore throat and swelling and ear heaviness. In the first week, I took cefixime for six days. Then I took pulmocef 500 mg for with winolap tab and tab dolonex dt for 7 days. In this week, sore throat, tonsil pain, swelling in throat, stiffness of walls of throat, post nasal drip. I am taking cepodem xp with montair fx now for the last three days. Still I am seeing thick mucus in back of throat, as frequent post nasal drip. Even full swing fan is causing sinus problem now. Please guide. Uric acid 6.81, male 47 yrs, hba1c 6.3 no diabetes no htn so far Doctor: Hello I am enabling you a free query so that you can reply back to us." + }, + { + "id": 10404, + "tgt": "Why does bruise reappears after stopping the vitamin supplements?", + "src": "Patient: Hello doctor,I get bruising easily. My blood reports are fine, and the bruise gets clear with vitamin C and K tablets but occurs again when I stop the medicine. Why? Doctor: Hello. Kindly mention since how long you have such problem? And mention the duration of the treatment. In such easy bruising case, the causes like liver disease, low platelet count, and coagulation abnormality have to be ruled out. You have investigated for that, and all the parameters are within the range. So if your problem is since a few days, then you can continue oral vitamin C that is Limcee and topical vitamin K. If the problem continues, then consult nearby hematologist for detailed evaluation. Hematologist might evaluate further in the form of fibrinogen estimation and full coagulation profile testing. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 27558, + "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": 15890, + "tgt": "Please suggest some medicine to cure vaginal swelling, discomfort and abnormal discharge", + "src": "Patient: Hi doctor, From yesterday, I have vaginal swelling, discomfort, and abnormal discharge. I had intercourse with my partner before four days. Please prescribe some home remedies or medicine to cure this problem. Doctor: Hi. You have some vaginal infection, and it is causing the problem. Please get yourself checked by a gynecologist internally 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 ordinary tap water whenever you use the washroom. Avoid using vaginal douches and creams. Revert me with the reports to guide you further." + }, + { + "id": 16974, + "tgt": "Can I drink water while fasting for a thyroid profile test?", + "src": "Patient: Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I\u00a0take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nostril) twice a day. I take Immunace Forte after lunch and Libotryp at bedtime. So, why are my periods not regular? Is this a side effect\u00a0of my medicine or could it be due to a disease? Recently, I was also prescribed Uprise-D3 (60000) once a month for six months. My recent 25-OH vitamin D total is 21.1 ng/mL. I also have sudden weight gain. My weight in the last one and a half years increased from 57 kg to 81 kg. I also have a chronic nose block. Doctor: Hello. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2394, + "tgt": "Kindly explain the risk of getting Coronavirus infection in an asthmatic", + "src": "Patient: Hello doctor, I am 33 years old male, I have very mild asthma since my teenage years into my mid 20s. For the past 6 years or so my asthma has been very rare, maybe once every couple of months, but now it seems to be coming more recently active after doing yard work or exercise but no medicines needed as symptoms would go away on its own. Unfortunately, for the past 3 months I have been getting more symptoms which I assume is due to season and high pollen count. I am now taking Albuterol sulfate as needed and going on my third dose of Symbicort 80/4.5 as of yesterday. My concern is with this coronavirus am I considered high risk with my level of asthma? Is it a good idea to start a corticosteroid like symbicort or should I be on something more mild? I am considered an \"essential mail worker\" so I am wondering if I should continue to work. (Side note: my wife is 7 months pregnant on top of all this). Doctor: Hello. I can understand your concern. According to your statement, you are suffering from childhood asthma which is worsening now due to season and high pollen count and occupational hazards. You should undergo serial measurements of peak expiratory flow/FEV1 at work and away from work that will determine whether you should go outside for your job or not. You can also undergo RAST (Radioallergosorbent test) that will determine the amount of IgE that reacts specifically with pollens. You have history of atopy and you are on Corticosteroid now and your occupational history suggest that you are immunocompromised now. An immunocompromised person is more vulnerable to Covid 19 or Coronavirus . If you are attacked by Coronavirus , it will be a life threatening condition as ur respiratory tracts are weak and history of repeated respiratory tract infections recently. It is also very contagious too. So from you it can be spread to your wife and your unborn child which is life threatening to both of them. If you are feeling better with your current medication, you can continue. You can also add nebulization with Albuterol 3to 4 times daily along with inhaler Albuterol SOS. You should abstain yourself from work and environmental exposure that will be beneficial for you and your family. If any complications occur inform me and I will try to lessen your sufferings." + }, + { + "id": 6188, + "tgt": "Is loose motion normal in a newborn?", + "src": "Patient: Hi doctor, My baby is of 9 days old\u00a0now. She is suffering from loose motion. I had given her Colicaid six drops in last 24 hours. She is only on breastfeed. Is it safe for her? Doctor: Hi. A baby can pass five to six stools in a day or can pass stool once in two days. Both are normal. Since, baby is on exclusive breastfeed chance of infection is very less. Briefly, your baby is normal. In my opinion, you should give prebiotic like Enterogermina (Bacillus clausii) ampule once a day for three days to increase gut immunity. Mother should breastfeed the child more regularly to prevent dehydration. There is no need to give Colicaid (combination of Simethicone, Dill oil and Fennel oil) drops. If any symptoms of fever or decreased feeding present then a checkup with the doctor is must. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28038, + "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": 27385, + "tgt": "Does dengue cause menstruation-like bleeding?", + "src": "Patient: Hello doctor, My fiancee had a\u00a0bleeding on the 25th of last month. It lasted for about four to five days. She then got dengue and on the 14th of this month, had mild spotting for a day and a\u00a0half. The doctor said it could be the dengue causing the spotting. She has not gotten her periods yet. I have read that there could be bleeding during pregnancy as well. Doctor: Hello. If she had her period on the 25th of last month, then there is no chance that the bleeding on the 14th of this month was due to pregnancy. If it was due to pregnancy, then it should have come around the 25th of this month. So, do a urine pregnancy test first. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1974, + "tgt": "What are the recommended options for AV fistula placement?", + "src": "Patient: Hello doctor, This query is for my father in law aged. He is 58 years old and is diabetic and currently under medication for BP also. He has a history of two major heart attacks. In the last five years, he did not have any major heart issues. Recently due to extensive amount of medications taken for a long time, he started showing signs of high amount of creatinine (currently 6.9). We did a few dialyses. Now doctors have advised doing an AV fistula on his left hand. His left hand is partially amputated from a previous septic shock treatment about four years back. His right hand is fine but an AV fistula there might terribly limit his movements and self-care. We wanted a medical opinion about where the fistula can be placed or can it be near to chest area as an alternate option? Doctor: Hi. There are three main types of AVF (arteriovenous fistula). The radiocephalic fistula is a forearm fistula created by anastomosing the side of a radial artery to the end of a cephalic vein. It is also referred to as the Brescia-Cimino fistula. The brachiocephalic fistula is an upper arm fistula created by connecting the side of a brachial artery to the end of a cephalic vein or slightly central to the level of the elbow. Finally, the brachial artery\u2013to\u2013transposed basilic vein (BTB) fistula is another upper arm fistula. This fistula is created by anastomosing the side of a brachial artery to the end of a basilic vein that has been transposed laterally and elevated superficially to make it amenable to dialysis cannulation. Other sites could be leg also. I advise you to discuss it with your doctor. The patient requires dialysis for sure or you can put a central line and replace it every 15 to 20 days. But AV fistula is the best option." + }, + { + "id": 26135, + "tgt": "Would hypothyroidism affect my pregnancy?", + "src": "Patient: Hello doctor, I am a 30-year-old female. A thyroid profile done recently shows the TSH at 1.95, T4 at 13.9, and T3 at 113. I am on Eltroxin 100 mcg and folic acid. I am planning for pregnancy. Please advice. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism (an underactive thyroid disease). From the reports (attachment removed to protect patient identity) you have mentioned, the hypothyroidism seems to be well controlled. I suggest that you continue with the same dose of Levothyroxine tablet till the time you conceive and then once you are pregnant, then you can repeat the same tests and we can manage your dose accordingly. Wish you good luck and hope you found my advice beneficial. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 21646, + "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": 176, + "tgt": "I am tested positive for COVID-19 with raised bilirubin levels, nausea, and fatigue. Please help", + "src": "Patient: Hello doctor, I am a 28-year-old male. I am tested COVID positive on 13th May. After 20 days, I go through all blood tests in which I found serum bilirubin total is 2.8, direct-0.8 and indirect-2.0 are elevated. I am always getting a fever around 99.0 and pulse rate around 95 on resting. I also have nausea, dizziness, fatigue, and weakness. I am currently on Ursocol 300 twice daily, Pantocid 40, and Dolo 650 sos. No relief yet. Please guide me. Doctor: Hello. I went through your records (attachment removed to protect patient identity). I see that you were tested COVID positive on 13th May and your investigation was done on 30th May. It has been a month from the COVID test and two weeks passed after your LFT (liver function test). This result could be per se because of COVID itself as any viral infection is more likely to involve the liver during the course of illness and take some time for it to recover. Second possibility, all viral infections will suppress your immune system that makes you more prone for secondary infections which may lead to persistence of low-grade fever. I will suggest you to get investigated for other organ involvement also especially the kidneys and also to repeat the LFT to see what is the current status as two weeks are already passed by. CBC (complete blood count) with peripheral smear. LFT. RFT (renal function test). Malaria antigen test. ? Viral fever induced hepatitis. Continue the current medications at present." + }, + { + "id": 24710, + "tgt": "Can excercise cause high blood pressure?", + "src": "Patient: Hello doctor, I have been worried about my heart lately, and I was hoping you could answer a question I have regarding diastolic blood pressure. I recently did a test at home measuring my blood pressure before and after exercise using an Omron M3 comfort blood pressure monitor. In each case, I did for two minutes of step-ups, walking up and down two steps for that period of time. My blood pressure before exercising was 114/84 mmHg, and my heart rate was 71. Afterwards, I was sweating lightly and my heart was pounding. My blood pressure was 153/94 mmHg and my heart rate was 88. Two minutes after resting, my blood pressure was 145/108 mmHg, and my heart rate was 88. Two minutes after that, my blood pressure was 136/85 mmHg and my heart rate was 81. I am worried about the rise in my diastolic blood pressure immediately after exercise, and especially the fact that it seemed to continue to rise before dropping back. I should also say that I have been diagnosed with an anxiety disorder and as a result, I recently had two resting electrocardiography, blood work, a cholesterol test, and a blood sugar test, all of which have come back normal. Many thanks. Doctor: Hi. Blood pressure is a dynamic thing. It will always vary in relation to activity, stress, time of the day, and physical status. The variation in BP measurement you did is likely to be related to activity and is a normal phenomenon. To diagnose raised BP, undergo an ambulatory blood pressure measurement. Thanks. For more information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15903, + "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": 9046, + "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": 4039, + "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": 7672, + "tgt": "What causes teeth shaped indentations on the sides of the tongue?", + "src": "Patient: Hi doctor, I always get indentations on the sides of my tongue because of my teeth, and sometimes my tongue gets cut. My middle teeth are crooked. I am attaching photos of my teeth and tongue. Doctor: Hi. I have seen the pictures you have attached (attachment removed to protect patient identity) along with the complaint. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23722, + "tgt": "How soon can I have a baby after an early miscarriage?", + "src": "Patient: Hello doctor, I had an early miscarriage at five weeks of pregnancy. I would like to know my ovulation days and if I am physically fit now. I wish to get a baby soon after this. Doctor: Hello. How are you doing? The ovulation day is determined based your periods duration. For a lady with 28 days cycle, ovulation will be on day 14, that is 14 days before periods. So if your cycle is regularly 30 days, ovulation is on Day 15, and so on. The first day of bleeding being day-1 of the cycle. Now, if your cycle is irregular, the calculation is the longest cycle minus 8, and shortest cycle minus 11. The days between this is the duration of ovulation. For example, your longest cycle is 34 days and the shortest cycle is 27 days. Then, 34-8 = 26, 27-11 = 16. So, between day-16 to day-26 will be your ovulation. When you try for pregnancy, start having sex daily or on alternate days once bleeding stops till day-10 of periods. This is not for pregnancy, it is to throw out the older sperms. Then, no sex for three days. Now, young sperms accumulate. Then from day-13 have sex daily at least once for five days, later is optional. So now, young and healthy sperms are more. The older the sperms, pregnancy chances are low and such pregnancy has abortion rates too. Ensure that both of you do not have any infections or fever during that time, as that can affect the baby. I suggest you avoid any painkillers or Paracetamol as that can stop ovulation. Ovulation after a miscarriage is no different after a normal period. After a miscarriage, it is better to avoid pregnancy for three months, as the underlying cause may still be there. After that, you have to calculate using the days I have given. It is quite clearly mentioned. Hope I have cleared your query. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14727, + "tgt": "I heard a pop while turning neck and now it is sore. Please explain", + "src": "Patient: Hello doctor, I woke up this morning to go to school. When I lifted my head and looked right, I heard a big pop and my left side of my neck and upper shoulder are sore. I have been icing and heating it. I need this to heal soon as possible as I have hockey match coming up. Doctor: Hello. After careful analysis of the history provided, I would like to say that you are having a neck strain and probably resulted in torticollis. Having said that, I would like to also mention that it would take time to heal. It is basically a tear in the muscle and few structures around your neck and it would take time to heal, not more than two weeks. Also, it is not dangerous, so do not worry and be patient. As of now, you need to continue with the hot and cold application maneuver. Start applying Diclofenac with Menthol ointment on the area twice daily for five days. Take tablet Diclofenac with Serratiopeptidase twice daily for one week after food, capsule Pantoprazole 40 mg twice daily before food for one week, tablet Thiocolchicoside twice daily after food for five days. Follow the above advice and it would fasten the healing and provide quick relief. Do not worry. All the best in your sports event. Hoping it would be a week away. Stay healthy and positive." + }, + { + "id": 8315, + "tgt": "Is it better to opt braces treatment after tooth removal?", + "src": "Patient: Hello doctor,My family member has been advised for the removal of teeth and then the braces to be fixed for alignment. Kindly give a second opinion. Doctor: Hello. Yes, this is right. Alignment of teeth can be corrected only if we remove a few teeth which are not going to be needed in the future too to give space for teeth to shift themselves and align." + }, + { + "id": 14276, + "tgt": "I get raised heartbeat and shortness of breath while having anxiety. Why?", + "src": "Patient: Hi doctor, I am 18 years old. I have a problem that suddenly an anxiety is taking place and my heart beat increased, the heart is like a balloon, sometimes I think that my breath is going and I am going to die. What should I do? Doctor: Hello. The problem you are experiencing is called a panic attack. In this problem, the person feels as if he is going to have a heart attack but this does not happen. This problem usually starts in young age. I would advise you to get your thyroid function test done and also follow the following. Regular deep breathing exercise, meditation, and yoga, regular physical activity. You should go for a formal psychiatric consultation if it occurs again." + }, + { + "id": 8234, + "tgt": "What is the treatment for ophthalmic aneurysm?", + "src": "Patient: Hello doctor, I met with an accident and got a hit in the occipital region before a month. Though there is no pain or headache, had a check MRI scan last month. Incidental finding of ICA aneurysm. To confirm, had another MRI scan from a different hospital and that too revealed the same as ophthalmic ICA aneurysm. I would like to know the treatment options. Can it get cured with regular medication? Or is surgery must for this condition? If yes, kindly explain the surgery. There is no pain, headache, giddiness, or any associated symptoms. I had pancreatic stone removal many years ago and diabetic. I am on regular medication Gluformin G2 (morning one and night one) and 50 mcg Levothyroxine (morning one). Doctor: Hello. I have read your concern about the ICA (internal carotid artery) aneurysm. It is a good thing that you identified it early. The size is small. Aneurysm at this location is hard to operate on because of the depth, and the rupture rate (which we are concerned about) is almost nil. If your son is hypertensive, nondiabetic, and does not have a family with aneurysm rupture, then it is wiser to observe this aneurysm for growth. Repeat CT angiogram in six months is helpful. These things should answer your question." + }, + { + "id": 8611, + "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": 21910, + "tgt": "I am suffering from bronchitis, asthma, piles, and hyperacidity. Kindly help", + "src": "Patient: Hello doctor,I am 26 years old and suffering from bronchitis, asthma, piles, and hyperacidity at the same time. What should I do? Which doctor should I consult? Doctor: Hello. I have reviewed your query and here is my advise. For piles, Cremaffin syrup can be prescribed for a week. Avoid straining while passing stool. Take low spicy foods. For pain and inflammation relief, a non-steroid anti-inflammatory drug can be prescribed. Anal water sitz bath can be beneficial. For hyperacidity, Rabeprazole 20 mg OD for a week can be prescribed. Avoid gastric irritants like excess spicy foods, excess tea, and coffee, etc. Cooked oatmeal help in soothing the stomach. For asthma, spirometry should be done to assess the severity and further management plan. If repeated asthma attack occurs, then bronchodilator inhaler can be prescribed. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30018, + "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": 12117, + "tgt": "Can I conceive with displaced navel?", + "src": "Patient: Hello doctor, I suffered from loose motions due to navel displacement. My period date is the 10th of this month. My last menstrual period was the 14th of last month. My husband and I are planning for a baby. I am suffering from abdominal bloating, fatigue, constipation, and acidity. Can I conceive even after knowing about my naval displacement? Doctor: Hello. First of all please make it clear that there is nothing like navel dislocation, or displacement exist in this world neither it is a medical problem or terminology. You might be suffering from loose motions because of any intestinal (small or large bowel) infections. So your first problem has been ruled out as you do not have any navel displacement. Secondly, as you said you are due date is 10th of this month, so this is the last week of your cycle. So there is no use of trying for pregnancy at this time as you are about to start periods soon. My advice would be to start working for pregnancy right after your period ends until the next ten days (8 to 18 days of cycle) on every alternate day to improve chances of pregnancy. Hope it works out for you. I wish you all the best. Any further queries, please do not hesitate to contact me." + }, + { + "id": 16937, + "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": 17736, + "tgt": "What could be the cause of crescent-shaped front teeth?", + "src": "Patient: Hello Doctor, My son is 2 and a half years old and has very jagged (crescent-shaped) front teeth. I have brought him to two dentists. One said it appeared to be an enamel deficiency and the other said it was due to him grinding his teeth. I have never seen or heard him grind. Doctor: Hello. I have read through your complaint and the relevant details. I also saw the picture attached (attachment removed to protect patient identity). This is definitely not because of teeth grinding because the features of the tooth say it all. This could be something called as Hutchinson's incisors with the clear crescent shape of the teeth. There is a high possibility of his back teeth (molars) having a similar shape. If that is so, please check with a general physician if the child has any other abnormalities in the internal organs including rhinitis and rashes. Because Hutchinson's incisors is a sign of congenital syphilis (birth defect). Mostly, in syphilitic infections, permanent teeth will be affected. But here, considering your son's age it is the milk teeth that are affected. Hence, it could be as simple as enamel deficiencies which were already diagnosed. If infections are ruled out, then you need not worry about the enamel malformation because once the permanent teeth erupt, it will be resolved automatically. After a consultation with the general physician, you might choose to get the teeth filled by a dentist for cosmetic reasons. Thank you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30733, + "tgt": "A few days before periods, I am getting abdomen pain. Why?", + "src": "Patient: Hi doctor, I am 29 years old. My height is 5 feet and weight is 41 kg. I have been facing this problem since two years. A week or 10 days before my periods, I got a very sharp abdomen pain before urination. Also, I got frequent urination. If I delay passing urine for more than 10 minutes, then the pain gets unbearable. During this time, I will not be able to travel or go out and have a normal day. After passing urine, it pains badly for some time and then slowly subsides for a while. My periods are moderate to high. I used to have periods with an interval of three weeks. I had an ultrasound of kidney a year ago and it was fine. My bladder showed that it does not pass all urine. However, this problem is only there for those 10 days\u00a0and not the rest of the month. Please help. Doctor: Hi. I understand your concern. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26950, + "tgt": "I have plaque deposits on my teeth. What to do?", + "src": "Patient: Hi\u00a0doctor,I have plaque deposits on my\u00a0teeth\u00a0and gums. My gums bleed often, and they are receding. Please help. Doctor: Hi. I have viewed your image (attachment removed to protect patient identity), and it is calculus deposits over your gums. Please write back if you have more queries.\u00a0Hope you get better soon.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25208, + "tgt": "Faraway objects appear blurred. What should I do?", + "src": "Patient: Hello doctor,Sometimes, the faraway objects become blurred as well as I cannot see the writing in class on the board clearly or the slides on the projector. But, the problem is that it is not regular. Rather sometimes, as I can see everything clearly like when I go to the movies I sit at the back still everything is clear. What should I do? Do I need an eye test as I have done it last year? It was clear at that time. These symptoms were still there but not frequent as now. Doctor: Hello. We need to know if you are far-sighted, that means hyperopic. They usually have good vision at a young age. But the vision deteriorates with aging and when stressed. For that, you may need a cycloplegic refraction. The other thing may be tear deficiency. Use refresh tears every four hours and increase the blinking rate when you have blurred vision. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3018, + "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": 16649, + "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": 18092, + "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": 6068, + "tgt": "I underwent biopsy of prostate and getting brown discharge while emptying my bowels. Is this normal?", + "src": "Patient: Hello doctor, I had a transperineal ultrasound-guided prostate biopsy approximately four weeks ago. As a result of the biopsy, I have been getting a discharge of fluid from my penis when I empty my bowels. This happens usually with a hard stool. The color of the discharge is brownish. Is this a normal experience from a biopsy? Is there any further information you can point me? Blood in the urine has stopped approximately two weeks following the biopsy. Doctor: Hello. Anatomically prostate is located just in front of the rectum. The biopsy procedure would have caused some micro trauma with resultant bleeding. So, when a hard stool passes through the rectum, it puts pressure on the rectum thus causing the collected old blood to come out through urethra as brownish blood which dilutes with the urine. As such this is harmless and need not worry about this. However, if you have pain and fever associated with it, you need to consult the urologist. I hope this helps." + }, + { + "id": 25034, + "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": 1650, + "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": 876, + "tgt": "Due to abfraction, my upper front teeth are discolored. Are my teeth dead?", + "src": "Patient: Hello doctor, I am seeing by my top gumline 6 of my teeth have mild abfractions and are changing color from the gumline down. I do not know what to do and I am freaking out. Are my teeth all dead? My last visits to the dentist's office is in November of last year and I noticed some color change in February but I did not know it was severe. What are my options? Doctor: Hello. I went through your query and seen the attached image (attachment removed to protect patient identity). The image is not clear to determine any specific concerns of yours as color was not visible properly. But as an expert, your teeth looked fine. You need scaling. Do Betadine gargle in lukewarm water. Take tablet Metrogyl ER 1 tablet bd for five days. Your left lateral looked short. It might be due to the quality of the image. If it is like that I doubt it to be deciduous can be sure, the image was hazy. Anyways no worry, nothing is dead, so please do not freak out. Stains and calculus. Intraoral x-ray of the upper left lateral incisor. Scaling and medications. Avoid sticky or sweet food. Follow up after 7 days." + }, + { + "id": 25702, + "tgt": "My ear feels blocked after a suction toy was pulled on it. Can you please help?", + "src": "Patient: Hello doctor, My niece was playing with a toy with some kind of suction on it. She put it on my ear and pulled the suction. Now my left ear feels blocked or something. It is the same feeling as having water inside. It was painful at first (especially when I burp) but got better after a day. The pain is almost gone now but the blocked/ fullness feeling is still there. What should I do? Doctor: Hello. Avoid water entering the said ear while bathing or swimming. We need to make sure there is no perforation of the drum. For the same, you must visit an ENT surgeon who can look into the ear through an otoscope. You can take an antihistaminic tablet to reduce fullness. It will help if the fullness is due to eustachian tube dysfunction caused due to pressure changes by suctioning. Do revert back if you need any support. Will be happy to help. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28303, + "tgt": "Is pituitary adenoma life-threatening?", + "src": "Patient: Hello doctor, I got an MRI done due to severe headaches, and I was diagnosed with pituitary\u00a0adenoma. So, I consulted a neurosurgeon, who suggested some scans. Everything was normal according to him. He later said that the tumor is tiny almost 1 cm, and he asked me to wait and see. If any problem persists, then he will see later. But recently, I am having mild headaches and fear that it may turn into a big problem. Kindly suggest what to do. Doctor: Hello. Best wishes. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7836, + "tgt": "There are pink spots in my scrotum. Is it a jock itch?", + "src": "Patient: Hello doctor, I noticed for some time now that the skin in my groin area looks gray and when I looked close, I saw that my skin was peeling and there were a few pink spots. And my scrotum began to itch. I assumed it was a jock itch. So, two days ago, I purchased Lotrimin Ultra and applied it in my groin and testicles. I used it twice a day so far. But today, in the shower, I noticed that my scrotum has pink-looking sores. I have attached a picture. You can see the spots if you zoom into it. I am not sure if it is from the Lotrimin or something else. I am also not sure if this is a jock itch because I\u00a0have not been to a doctor yet. I am baffled and seek your help. Doctor: Hello. Hope this helps. For further queries consult\u00a0a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 14314, + "tgt": "Had a bypass surgery. Can I take Actifed and Otrivine nasal drops together?", + "src": "Patient: Hello doctor,I am a 60-year-old man. I have had a bypass operation 17 years back. I am on alpha and beta blockers. Is it possible to take Actifed and Otrivine nasal drops together? Doctor: Hi. I would suggest it is better to space these out at least two hours apart. Give a gap of two hours before taking other after taking one. Pseudoephedrine and Oxymetazoline have common alpha agonist activity, can increase, give a surge in BP, especially if your BP already remains at the borderline. Another thing that I am concerned is, if you have underlying subclinical BPH, taking these two together can precipitate urinary retention and you will not be able to empty bladder." + }, + { + "id": 459, + "tgt": "Can you suggest a cream or an ointment for dark circles?", + "src": "Patient: Hi doctor, I am a 24 year old male. I have severe hyperpigmentation around eyes. My eyes always feel tired. Also, I have this white mucus in my eyes daily when I wake up. Please help. Doctor: Hello. I can understand your concern. Revert back with the answers to the above question to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22434, + "tgt": "Is it common to extract milk teeth for the eruption of permanent teeth?", + "src": "Patient: Hi doctor, My son is eight years old and still have all his baby teeth. Now there is one permanent tooth erupting behind one of his baby teeth. I took him to a dentist and he suggested extracting all the eight teeth (four up and four down) to give space for the permanent teeth to erupt. It would be done at once under general anesthesia. I have never heard of such procedure and I think it would be too extreme for an eight-year boy. Is this a common procedure to extract teeth for the eruption of permanent teeth? Doctor: Hello. I have gone through your query and I do not find it suitable to extract all his teeth as the recommended time period for the eruption of permanent teeth is between 6 to 12 years. It is better to wait and you can do one thing apply a gentle force to the milk teeth to make them mobile so, they can be extracted naturally not under anesthesia or all at once. Give a better diet and nourished food for your son, undernutrition is thought to be one cause for a delayed eruption so keep a notice on his diet. Give him adequate minerals and salts in his diet. You do not need to worry, just wait for some more time and in case, the problem persists then, they need to be extracted by a method called serial extraction, not all at once. Nourish your child well with adequate minerals. Follow up after three months. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21920, + "tgt": "I have sharp pain in my back. Do I need intensive decompression process?", + "src": "Patient: Hi doctor, I am 33 years old. I usually feel healthy after picking up a large box. Before a week, I got a sharp pain in the middle of my waist at the back. Then I was not able to bend, and I had very limited moving. I went to a chiropractor. He told me that I need to do 25 to 30 sessions of decompressing, three times a week, on an electric bed that he has. Do I need to have such an intensive decompression process? Can I do a spinal decompression on my own in my home? Before ten months, I had a CT scan. I found that my three discs are bulging at the lower vertebrae. Doctor: Hi. As long as you do not have any leg pain (electric or shooting type) or associated numbness you can do this without the intensive chiropractor sessions. Take muscle relaxants, ice the muscles which are in spasm, take painkillers like Tramadol for severe pain, and Paracetamol regularly, in addition to any available NSAID (non-steroidal anti-inflammatory drugs) tablet. Please have precautions to avoid lifting and do only gentle stretches for the back. For more information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 21684, + "tgt": "I overreact and not been able to concentrate on studies. Is it depression?", + "src": "Patient: Hello doctor,I think I am suffering from depression. I cannot pinpoint the exact moment when the symptoms started but what I feel is I have been betrayed by my friends too much of a time. I have started overreacting to even superficial of matters. Matters that could have been completely ignored. Example, I have now developed the habit of shouting at my girlfriend even on the slightest of topics like not picking my call. After my last professional papers (during which I had a big fight with my roommate which got ugly and I eventually left the flat), I have not even been able to concentrate on my studies. I do love my girlfriend and I really feel that she is being close to me and is having bad of me. I do want to change myself but I am unable to. Currently, I am taking Finax tablet. Doctor: Hi. You may be suffering from insecurity for your relationship. Be yourself whatever you are. Do not think what people will think about you. Everyone is going to judge whatever you do either good or bad. Only remember one thing that does not do anything that intentionally or unintentionally hurt anyone. Start to develop confidence in yourself. Try to find a reason why you get angry. When you get angry just look at the watch for 30 seconds before reacting. Anger is impulsive if you control for initial phase then you can manage it. You may have an underlying depression, but you have not mentioned any other depressive features. You can deal with your depression with some nonpharmacological way like daily do exercise for 30 to 40 minutes. Do meditation for 20 minutes, eat healthy food, avoid junk foods, take enough deep sleep for seven hours, fix time for your sleep, spend time with family or at least call once a day, spend quality time with friends or girlfriend, stay away from social media or control your use, spend time for active creative hobbies like reading good books, writing, painting, learn new skills or language or play musical instruments, take vacation once a year. Live life not just spend. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 8882, + "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": 14867, + "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": 5457, + "tgt": "I have lower and upper back pain for the past two years. Please help", + "src": "Patient: Hello doctor, For the last two years, I have back pain in the upper and lower region. I am uploading here with my reports for your reference. Please suggest diagnosis and medicines to cure this disease. Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). I would like to ask you a few more queries to see where your disease is heading for. We do have a limitation of clinical examination, but I would do my best to guide you here. When is the pain more? Is it the morning time or constant throughout the day? Do you have difficulty in turning position at night? Any family history of similar complaints? Any history of redness of eyes or disturbed bowel habits? Do you wake up well in the morning or you feel your body is stiff? Do let me know these queries. As per your lab reports, most of them are fine except for a couple of things. 1. CRP (C-reactive protein) levels are not done which are important markers for arthritis. 2. HLA-B27 (human leucocyte antigen) has been done by an outdated technique. We prefer doing it by PCR. Never the less let me know these queries and I would guide you to the next best investigation. ? Spondyloarthropathy." + }, + { + "id": 18764, + "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": 6870, + "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": 20779, + "tgt": "My tooth become sensitive after a nonmetal filling. Do I need a root canal for that tooth?", + "src": "Patient: Hi doctor, My dentist convinced me to replace my metal filling with a nonmetal filling. After doing it, I got sensitivity to hot food and liquid. Then I went to visit my dentist. She took an X-ray and said the filling (she replaced) was close to the nerve. She suggested a specialist. He told me that I might need a root canal for that tooth. Is this normal? I had a previous root canal done to some other tooth, which got infected. Finally, I got pulled it out. Doctor: Hi. I have gone through your query. If the X-ray shows that the filling or cavity is approximating or involving pulp, you will definitely need a root canal as just a filling will cause pain and infection in future. Maybe the doctor would have given a temporary filling just in case if the cavity was approximating pulp so that if you are asymptomatic for minimum one month, you can go for permanent filling. Since you have symptoms, it is better to go for a root canal. Do not worry, you will be fine. Make sure you get a cap (crown) after root canal and maintain it properly. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11816, + "tgt": "If problem is in hip joint then why do I have pain in the knee?", + "src": "Patient: Hi doctor, I am 24 years old. I have stiffness and pain in thighs and knees\u00a0for more than a year. I cannot sit properly and stand up instantly. I am having problem in each and every activity involving legs. I have reduced mobility and flexibility of legs. My report shows AVN stage 3 of hip joint, for which I have been suggested hip replacement surgery.\u00a0My question is that, if problem is in hip joint then why I have so many problems with knees? When I stand up, my knee gets blocked and I cannot stand instantly. There is cracking sound in knees when I sit or stand up. I am worried whether I have some other problem in knees also. Doctor: Hi. Hip avascular necrosis (AVN) and hip arthritis causes pain in the affected hip and also sometimes in the knees as the same nerve which supplies the hip also supplies the knee joint. It is called as obturator nerve. This nerve supplies both the joints. So if there is hip joint pain, many patients also get pain in the knee joint. But, also to be sure if nothing is wrong with the knee joint, you should take x-rays and document it. Get x-ray of the knee joint both in anteroposterior view (AP) and lateral view and then get a follow up done to confirm your problem." + }, + { + "id": 17435, + "tgt": "Is the abortion process complete or not?", + "src": "Patient: Hello doctor, I recently had an abortion pill. I took Mifepristone tablet first then after 36 hours, I took four tablets of Misoprostol of 200 mcg orally. At first, there was light bleeding during one hour then after some time I had heavy bleeding and it almost soaked two pads and it continued for almost two to four hours. After that, I am having light bleeding. There is little blood coming out from the vagina. I thought abortion process was not completed so again after 24 hours I took four more Misoprostol of 200 mcg but after that, there is still no result of heavy bleeding. I wanted to know what to do next and whether the abortion process is completed or not. Please help me through this. I have nausea, vomiting and abdominal pain along with it. Doctor: Hello. I guess you have not passed any tissue or mass like structures out of the vagina. So we cannot be sure about the complete termination of pregnancy. Presence of just bleeding does not ensure the complete termination. So our priority is to confirm it. Now it is a time for you to get yourself examined by a gynecologist, an ultrasound of the pelvis to look for complete or incomplete termination. Ultrasound will confirm the status of pregnancy. However, it is not recommended to have excess doses of Misoprostol now. Also, although the risk of infection is not high, keep watch for fever and if developed then have antibiotics started immediately. So overall, next most important step is an ultrasound of pelvis and if incomplete termination then an evacuation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18580, + "tgt": "Why am I getting blood in stool?", + "src": "Patient: Hello doctor, I am getting blood after my toilet and from last night I have to go to the toilet every 10 minutes. I am a 25-year-old female with a weight of 55 kg and height 5'2\". Doctor: Hello. You are having blood in stool complaint as per history. Hereby, I am giving you my opinion on your case. It can be an acute infective condition like gastroenteritis or colitis. Your local rectal examination should be done and stool routine microscopic examination should be done for primary work up. You can be given an antibiotic course after stool report like Ofloxacin plus Ornidazole combination for five days. Drink more water. Avoid excess spicy foods. The probiotic tablet can be prescribed along with maintaining hydration with lots of water. Take Vital Z powder (Dextrose and Potassium chloride) with water to maintain electrolyte balance. Take care. Consult a physician for examination and discuss all these. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19259, + "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": 27260, + "tgt": "When to take a pregnancy test for the most accurate results?", + "src": "Patient: Hello doctor,My period cycle is usually of 30 to 32 days. Today, I am on the\u00a035th day and still have not got my periods. I took a\u00a0home pregnancy test and both were negative. Should I take a blood test? Will it be able to give me the right hCG count if I take it this week? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25376, + "tgt": "I notice trash forming in the penis head. Kindly provide a permanent solution", + "src": "Patient: Hello doctor,Recently, I notice trash getting formed in the penis head. Sometimes, it is itching and sometimes giving a foul smell. This started early last month. But then it worsened later. I have been washing it regularly with warm water and after a couple of days, it again forms. Kindly provide a permanent solution. Do I need to show it to a urologist or will you be able to answer? Doctor: Hello. It could be a fungal infection. If possible send me images so that I can see and suggest you properly. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9177, + "tgt": "Does a rough handjob resulting in wound carry a risk of HIV or any STDs?", + "src": "Patient: Hello doctor.Does a rough handjob with oil which resulted in a wound and some blood be a way of transmission of HIV or any STDs like herpes or HPV? After four weeks there is a black dot on the penis head but not where the wound was. It is not itchy. I am uncircumcised. Kindly help. Doctor: Hi. For HIV to transmit there has to be some exchange of infectious fluid like either blood semen or vaginal fluids or contact with infected mucosal surfaces like genital or anal mucosa e.g., during a sexual intercourse. A handjob is absolutely safe as it does not involve an exchange of any of these infectious fluids. Skin is not infectious as the virus is fragile and does not survive on the skin or dry surface unlike genital mucosa, which is moist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15609, + "tgt": "What is the reason for stabbing pain on my back?", + "src": "Patient: Hello doctor, I woke up last night and felt like someone stabbed me on my right back side. Along with tremendous stomach pain. I am male, 79 years old, had my knee replaced four months back, got a rash on the repaired knee last week like poison ivy. I have been diagnosed with an extremely high amount of arthritis, have had two back surgeries, triple bypass along with some other minor problems. I am fairly active physically but within the past week, I seem to have hit a wall not feeling well and seem to be having a little problem walking. I tried this morning some Pepto, took Norco, using a heating pad on the stomach. There seems to be a little relief. A couple of years ago had two attacks but by time got to the emergency and was fine. Doctor: Hi. Most likely you are suffering from gastroenteritis. It is an intestinal infection marked by diarrhea, cramps, nausea, vomiting, and fever. However, it is not necessary that all symptoms are there in a single patient. Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you are infected and can range from mild to severe. Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days. Treatment includes drinking plenty of fluids to avoid dehydration. You need to drink more than usual to replace the fluids lost from vomiting and diarrhea. Water is best, but you could also try fruit juice and soup. Take Paracetamol for any fever or aches and pains. Get plenty of rest. If you feel like eating, try small amounts of plain foods, such as soup, rice, pasta, and bread. Use special rehydration drinks made from sachets electrolyte solution to maintain depleted electrolyte levels in serum. Take anti-vomiting medication (such as Zofran 4 mg twice) and antidiarrhoeal medication (such as Loperamide up to 16 mg a day). It is better to take three days antibiotic and anti-protozoal course. Tablet Ofloxacin 200 mg twice a day, tablet Metronidazole 400 mg twice daily." + }, + { + "id": 24360, + "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": 678, + "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": 10025, + "tgt": "Is PAP test valid for screening prostatitis symptoms?", + "src": "Patient: Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had prostatitis symptoms in the past. Now, it seems to be fine. Doctor: Hi. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating doctor has done a rectal exam to find out any prostate nodules. If it is normal, then it is not necessary to repeat the tests. Hope this helps you. Feel free to revert back with any questions. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 84, + "tgt": "I am fat and facing difficulty in losing weight. Please suggest tips to reduce my weight", + "src": "Patient: Hello doctor, I am tired of being fat and I am tired of diets. After a diet, I gain double and every time it is harder to lose. I am desperate, lonely, and depressed. I do not want to be fat for my entire life. I am only 26 and have always struggled with my weight. Please help. Doctor: Hello. I can imagine the level of your frustration regarding your weight. Yes, it is nearly impossible to keep reduce weight and maintain diet and exercise. I may not be able to give you a composite plan of action for your weight reduction since it is not basically a one day consultation task. In fact, it is a long term commitment towards yourself and towards a multidisciplinary team inclusive of a dietician, bariatric endoscopist (gastroenterologist), behavioral therapist, and lastly a bariatric surgeon. So I would give you facts and figures for the existing evidence of weight reduction therapies. Remember your current body mass index BMI is 34.3. The goal of any weight reduction treatment is to reduce weight to optimal ranges where the physical and psychological well being of a person is maintained. Now anybody whose body mass index (BMI) is more than 40 should straight away consider bariatric intervention in the form of endoscopic or surgical modality. And anybody whose BMI is 35 but having other conditions such as uncontrolled diabetes, coronary artery disease (heart disease) or lung dysfunction (lung hypertension and sleep disorders) should undergo interventions. But you see not all person fit into above category. Many have BMI less than 35 (such as in your case) and having very troubling symptoms, among such people individualized approach is employed whether medicinal use or endoscopic or surgical intervention. Diets and regular weight reduction exercises do help to reduce weight by 7 to 10%. All medicines which are currently in use help reduce weight by 10 to 20%. Certain endoscopic bariatric procedures such as balloon placement in stomach and sleeve gastrectomy does help reduce weight around 25% And lastly, surgical procedures such as metallic rings around the stomach via laparoscopy and surgical sleeve gastrectomy, and surgical Roux Y bypass, help to reduce weight by 30 to 35%. The figures are ranges, they vary significantly in individual cases. I also want you to understand, that these interventions should be accompanied with optimal dieting and exercise even after surgery or medicinal therapy. Otherwise, the weight can frequently recur to original ones. This above description is only to make you understand and figure out things. I can recommend you to start with dieting (keeping your calories well below 1500 Kcal daily), running, swimming, and weight lifting on a regular basis. I also suggest you to meet a dietician on icliniq or otherwise in person, to get a diet plan with respect to your calorie requirement. I can suggest you some medicinal treatment, but they are prescription medicine, may not be OTC, and the course has to be taken for at least six months to see the effect. Naltrexone/Bupropion (Contrave) is proven and FDA approved and can be started in your case. But I want you to provide more information about your health, as I can assess your condition first and treat aimfully rather adding more harm to your health. Because these medications have some side effects and they should be kept in mind before giving it therapeutically. I also want to know about family support, any occupational therapist available near your vicinity, your current job status, and medical health insurance, and also information whether the cost of these medicines is covered or not. Until that time you follow up, I want you to get the following blood tests to better know the impact of your obesity on bodily systems. I hope this helps. Obesity. Complete blood count. TSH (thyroid-stimulating hormone), FT3, FT4. Liver function test. Fasting lipid profile. Serum CRP (C-reactive protein). Albumin total protein and AG ratio. Arterial blood gases. Urine detail report, and urine for albumin. Will decide after further information is provided and after investigation thoroughly for any underlying metabolic complications." + }, + { + "id": 2842, + "tgt": "I used Cannabis in my teenage. Am I at a risk of having cancer?", + "src": "Patient: Hello doctor, When I was in my late teens, I was engaged in a lot of high cancer risk activities. The one I have been most worried about was using Cannabis. The Cannabis itself does not worry me too much. Although, we occasionally had access to papers being teens and also not the smartest we inevitably utilized plastic bottles to create make shift bongs or waterfall pipes with aluminum foil bowls. I know that using a flame anywhere near plastic should be considered a cancer risk and I am sure the heated smoke coming into the container released some kind of BPA like chemical. At one time I even used a beer can, which even at 17 that seemed like a bad idea, but I was drunk and who cares about your long term health. Now I am 27 and just graduated. I am at that point where I know I am not invincible. So, have I all but guaranteed myself a cancer diagnosis down the line? I had this risk factor for around two to three years at which point I left to my college. Would this be on par with a couple of decades of smoking or much more worse? Any assistance or information would be greatly appreciated. Doctor: Hi. For further doubts consult a\u00a0medical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25267, + "tgt": "Baby feeds only five minutes at a time. Is she getting proper feed?", + "src": "Patient: Hello doctor,My daughter is 2 months old. She feeds only for five minutes at a time. I am worried if she is getting proper feed and if not, what should I do? My milk let down is too fast. So, every time she feeds and gets choked. Please suggest how can I help her. Doctor: Hello. Please note the following points: Monitor the weight of the child to see if he/she is getting proper feeds and gaining proper weight. You can feed the baby with a bottle or with a sipper to monitor how much feeds the child is taking and this will also regulate the flow of milk. However, use a sterilizer to clean these so that there is no chance of infection. Visit a lactation consultant to find out what problems you are facing while you are feeding and how they can be rectified. Burp the baby for at least 15 to 20 minutes post feed. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11938, + "tgt": "What causes decreased heart rate while lying down?", + "src": "Patient: Hello doctor, I am a 20-year-old male. For the past several years my heart rate is as low as 48 while lying in bed. I have no symptoms. I am not an athlete. Should I be concerned? During the day it is around 70 bpm and with exercise, it gets to 160. It just gets to the 40s while I am in bed. Should I be worried about this? Doctor: Hi. Your heart rate is normal and this variation in heart rate during exercise and rest shows a healthy heart. Just keep your heart healthy for the rest of life by moderate exercise, avoid alcohol and tobacco, avoid stress and fatty meals. By following these measures you can enjoy a healthy life even in your 80s. This perfect healthy happy heart is a precious gift. Please protect your heart as heart will protect you too." + }, + { + "id": 27391, + "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": 5223, + "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": 30949, + "tgt": "How to get treated for ulcerative colitis?", + "src": "Patient: Hi doctor, I am suffering from ulcerative colitis for the past five years. I had a colonoscopy twice and sigmoidoscopy once in the past five years. I am 28 years old. I had Balacol 750 mg six times a day and Mesacol enema for a month. Because of short supply of Balacol, I cannot take it for one week. As a result, I just started getting rectal bleeding and cramping while passing stools. I feel fatigue and fever. Please help me to solve this problem. Now, I am on Mesacol 400 mg 12 times a day. Doctor: Hi We are here to help you. For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26629, + "tgt": "Can you give me clarity regarding my annual medical report?", + "src": "Patient: Hello doctor, I am a 43 year old male. I have an active lifestyle with a focus on my diet and daily health regimen. I do not have any significant medical history, except for high cholesterol levels. I want to boost my testosterone levels too, as I hardly have any libido. Unless absolutely warranted, I am not comfortable taking\u00a0allopathic drugs, though\u00a0I do take vitamins and omega-3 fatty acid supplements.\u00a0Please help me evaluate my annual medical report, which I have attached. Doctor: Hello. I have seen your complete list of investigations (attachment removed to protect patient identity). The following are my observations and suggestions: Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20240, + "tgt": "I had chest pain. Can I get anesthesia for facelift surgery?", + "src": "Patient: Hello doctor, Eight months back I had chest pain. My dad expired at the age of 54 years because of MI. Hence the doctor insisted that I should take some tests and everything were normal. I have attached are some of the test results.\u00a0I have not got any chest pain later.\u00a0I am taking medicines for depression such as Adderall, Cymbalta, Wellbutrin and Abilify.\u00a0I would like to get facelift surgery and for that need to be under anesthesia for five hours. Can I get general anesthesia? Thank you. Doctor: Hi. On review of the echocardiogram (echo) and the stress test (attachment removed to protect patient identity) it appears that you should be fine going through the surgery. However, I do not have your blood work. Usually the surgeons would like to have it within 30 days prior to the procedure. If answers to all these questions are no, then you are at low risk for facelift surgery. Good luck for the surgery. Revert back with the above asked answers to an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 20386, + "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": 21112, + "tgt": "I have pain in abdomen and cough. Is it due to low vitamin D?", + "src": "Patient: Hello doctor, I feel pain in my lower abdomen. The throat is always filled with a cough and no energy. I diagnosed earlier and the doctor said that I have lower levels of vitamin D. What should I do? Height 175 cm and weight 65 to 68 kg. Doctor: Hello. It sounds like you have several things going on at once. First off, I do not believe that any of your symptoms are due to low vitamin D, probably 1/3 of the entire population has a low vitamin D level. The most common cause of lower abdominal pain, especially if it is crampy in nature, is constipation. If you have had an issue in that area I would consider using a Fleet's enema or Dulcolax (Bisacodyl) suppository, as well as taking a daily fiber supplement such as Metamucil. Drinking at least six glasses of water a day, taking a walk for at least 20 minutes a day, and cutting back on milk and meat products. The next most common cause of lower abdominal pain is irritable bowel syndrome. People with irritable bowel syndrome are usually sensitive to certain foods, usually ones that are greasy or high in fat content. Other causes of lower abdominal pain include prostate infection, diverticulitis, appendicitis, and muscle strain. If you are noticing that it hurts in your abdomen to move, cough, or go over bumps in the road in a vehicle, or if you are having a fever, or if you are feeling dizzy when you stand up, I would recommend seeing a doctor immediately. As far as your throat symptoms and cough, most common cause is allergic rhinitis, which causes postnasal drip to irritate your throat and cause a cough; treatment is an antihistamine and using an air filter machine with a HEPA filter, as well as hypoallergenic (plastic) mattress and pillowcase covers to protect against exposure to dust mites. In general, any products containing lactose have been found to make phlegm and mucus thicker, so you may wish to pay attention to that element of your diet. There are hundreds of causes for \"no energy\", including a low thyroid, poor sleep or diet, stress, depression, anxiety, a low blood count, a heart condition, a lung condition, or any physical or emotional stress on the body." + }, + { + "id": 16604, + "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": 27207, + "tgt": "Can toxins from cigarette smoke get passed on to me during sex?", + "src": "Patient: Hi doctor, I am really concerned to let a 50 year old guy who smokes cigarettes and\u00a0marijuana, and drinks every day be sexually intimate with me. He\u00a0touches me, pokes me with his hands and fingers, puts his tongue in my mouth, ejaculates over me on my skin, etc. If he does all these to me, could he pass the smoking toxins on to me and if not, what is the exact scientific reason for it? I do not think that brushing his teeth and using mouthwash would be adequate to remove all of the smoking toxins from his teeth, mouth, and tongue. Doctor: Hello. I read your query and understand your concern.\u00a0 For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8281, + "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": 27828, + "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": 29064, + "tgt": "Is my sinus problem making me cough up bloody sputum?", + "src": "Patient: Hi doctor, I am a 21 year old female, who weighs 80 kg and I am 6.1 feet tall. I have a sinus problem and coughing up blood. The blood is bright red in color, and the sputum is white. I got treatment for sinus yesterday, and they gave me Betnesol and Levbrox. I also have pain in my colon.\u00a0I am taking medicines since yesterday, but the blood is still coming out. I got pneumonia last year, and ever since have this sinus problem. I do not have any problem\u00a0in breathing. Doctor: Hi. If you have a fever and if the symptoms are not improving, then get CBC (complete blood count), x-ray and sputum examination done. For further queries consult a hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1068, + "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": 5478, + "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": 14014, + "tgt": "What are the ways to manage a combination skin?", + "src": "Patient: Hello doctor, I am so depressed regarding my face. I have combination skin. It is dry and oily too. I am applying a petroleum jelly daily but after that, my face looks dull. No glow on face after washing with face wash. It glows but not after applying vaseline petrolium jelly. Doctor: Hello. I read your query and understood your concern. You have a combination skin which is a little difficult to take care of. In the morning, wash your face with Cutishine facewash and follow up with a good sunscreen like Suncros or Sunban ultra XL gel. Reapply sunscreen once more in the afternoon. In evening wash your face with Cutishine again and apply a moisturizer like Venusia Max while your skin is still damp. Just before sleeping wash moisturizer off with normal water and apply GlyAHA Koj cream all over your face. This should solve a lot of issues for you. Follow up with us after one month." + }, + { + "id": 21160, + "tgt": "I am suffering from tinea cruris (itching near scrotum). Please advise", + "src": "Patient: Hi doctor, I am suffering from tinea cruris, itching near scrotum, for a very long time and left untreated. Now, I am losing my hairs from the left side of the scrotal area. I went to a doctor and he gave me a cream and a medicine for 10 days. After 10 days, I got relief and also hairs are growing back. Over two days, I had noticed some redness in the scrotum. It may be due to sweating in summer as I go to the gym. But, I am a little worried because when I checked online, I came to know it is one of the symptoms of STD. Please clear my doubt. Thanks. Doctor: Hi. Tinea cruris is a fungal infection of the groin. It is possible that you may have got a recurrence of the same. It would be of great help if you could tell me the medicine and cream that you have used and after how many days of stopping the medicine did the problem recur. Till then, you may apply Abzorb (Clotrimazole dusting powder) on the area of concern. STDs (sexually transmitted diseases) do not remain silent for so long and additionally, you generally will have pus-filled lesions or discharge with STD. Revert back with the name of the medicine to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24576, + "tgt": "Why do I have pain in back of my head with blocked ears?", + "src": "Patient: Hi doctor, I have a horrible pain in the back of my head, and my ears feel blocked. There is no wax. I have cleaned them. I am petrified. There is a tumor that has been missed. I had an MRI brain scan three months back which came back normal (no intracranial abnormalities). I have sinusitis too. Kindly help me. Doctor: Hi. As such your symptoms fit into chronic tension headache. However, to be sure, I need the following details: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11139, + "tgt": "Can I consider spotting that lasted for three days as my periods?", + "src": "Patient: Hello doctor, I experienced spotting in the last week for three days. It was a small amount of spotting discharge, which was brown with a bit of red. I did not get my period on the actual date. May I consider the spotting as my periods? But it was not the usual amount of bleeding as I have in my period. I only used a liner with it and not may napkin pad. Doctor: Hello. Your spotting for the three days cannot be considered as the menstrual period. The usual amount should at least be at 80 ml per cycle, and that would approximate at least 10 moderately soaked pads. Some possible causes would be a hormonal disturbance, and this could vary as far as pregnancy, and hormonal imbalance is secondary to stress, weight loss, current illness, etc. I would suggest you to have a pregnancy test first if it is negative, then you may opt to observe until the second week of next month. If there is no period still, you need to consult your gynecologist to help you with the diagnostics such as transvaginal ultrasound and if no other causes, she may prescribe you with pills to regulate your period back. Hormonal imbalance." + }, + { + "id": 18699, + "tgt": "How to cure acne in the case of combination-type skin?", + "src": "Patient: Hello doctor, I have combination skin on the face with acne. I am not really sure if it can be termed acne. There are these very minute skin bumps. Please see the attached photo. I do not usually get pimples though. What can I do to make my face clearer? Doctor: Hello. Your concern is acne vulgaris grade I. Your skin is of mixed type with the T-zone of the face oily and the remaining parts are dry. Start using Papulex (Nicotinamide) face wash twice daily. If your skin gets too dry after face wash, apply Aquasoft FC moisturizer after face wash. Apply Epiduo (Adapalene and Benzoyl Peroxide) gel once daily at bed time on the moisturized skin. If you notice any irritation, you can wash it off within 30 minutes or else leave it overnight. Avoid dairy products at bedtime. Take a diet rich in vitamin A like carrots, papaya, green leaves, watermelon, etc. Do not pick acne. They will subside with age. Do not experiment with any other over-the-counter medication. This will help you. For more information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22591, + "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": 26881, + "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": 3675, + "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": 23604, + "tgt": "Taking Ketoconazole for minor penile fracture, causing anxiety disorder, Is there any treatment?", + "src": "Patient: Dear Doctor, I had a minor penile fracture and the doctor recommended Ketoconazole to stop erection. But I am suffering from anxiety disorder and I have heard that one of the side effects of Ketoconazole is depression. Will this medicine add to my anxiety?\u00a0Should I continue to take this medicine? Please give me advice. Doctor: Hi. Hope I have answered your query." + }, + { + "id": 28858, + "tgt": "I have a swollen calf without pain since three weeks. What can be the cause?", + "src": "Patient: Hello doctor, I have a swollen calf muscle from the past three\u00a0weeks. I am not having any pain, but it feels a bit numb sometimes. Doppler study of left lower limb came out normal. I consulted an orthopedic, and he prescribed Flexura D twice a day, Pan 40 mg once a day, and ME12-OD vitamin B12 for two weeks. From past two\u00a0days, I am taking the medicine, but I am finding no change. When I wake up in the morning, the swelling is little less, but after I do\u00a0some walking or stand, the swelling increases.\u00a0I am not able to figure out what the problem is. Kindly give me your opinion, I have already consulted a general physician and an orthopedic doctor. Doctor: Hello. For more details consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 27154, + "tgt": "I get attracted to handsome men lately. Am I homosexual?", + "src": "Patient: Hello doctor, I am 30 year old unmarried male. I used to be a straight guy and was attracted to only females, but for the past one year, I find a male attractive if he is handsome. Does that mean I have turned homosexual or bisexual? Is it because I am unmarried and never had sex before? I have never had a relationship with a girl, though I always wanted to have sex with a girl. Please reply soon. I am quite disturbed. Doctor: Hi. I can understand your concern. Thanks and take care. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24179, + "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": 17242, + "tgt": "Kindly recommend a medicine for urine infection", + "src": "Patient: Hi doctor,I am suffering from a urinary infection for the last one week. I am unable to control urine. But, no medication is taken yet. I am a 34 year old female. My height is 154 cm and weight 76 kg. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19113, + "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": 28287, + "tgt": "I cannot retract my foreskin, and it hurts when I have sex. Is it phimosis?", + "src": "Patient: Hello doctor, I am having an issue with my foreskin, it does not retract and it hurts whenever I have sex. I do not have pleasure during sex, and it is also difficult to keep personal hygiene in those areas. I am a bit afraid that it can be phimosis. It is not from when I was born\u00a0but happened suddenly and unexpectedly just a few months ago. What should I do in this situation? Where shall I go? Do you think I will need to have a surgery? Please help. Doctor: Hello. Relax and do not worry. Please send me images if it is possible. Yes, it is phimosis. And from what you are describing, it sounds like severe phimosis. You will have to get a circumcision done. So, please consult a nearby urologist. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9741, + "tgt": "Please look at the pictures and advice how to improve and make my feet normal", + "src": "Patient: Hello doctor, I want to improve and make my feet normal. Please check my picture and give me a solution. Doctor: Hello. You have plantar warts caused by the human papillomavirus (attachment removed to protect patient identity). There are a lot of treatments available, for some of them you need to visit the local dermatologist and others can be done at home. Start following medications. KIndly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Zincaps 100 mg (Zinc sulfate) three times a day after meals. 2. Duofilm gel apply once at night for six weeks. It takes time to get improvement, use at least for six weeks." + }, + { + "id": 30320, + "tgt": "Is Hb level of 22 normal in newborn?", + "src": "Patient: Hi doctor,This is regarding my friend's daughter. The baby is 7 days old. Initially, we were reported that the baby had jaundice. She was on phototherapy for two days and was declared normal. Now, her hemoglobin level is 22. Her father's Hb level is 17. Is hemoglobin level 22 normal in newborn? We are advised now to go for drips due to high Hb level. Is that a correct treatment? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30210, + "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": 1344, + "tgt": "I noticed a new mole in my toe. Is that cancer?", + "src": "Patient: Hello doctor, A new mole on a toe that I have not noticed before, I know about it probably for a week, it is blackish and not round, about 3 to 4 mm wide and sort of even in color. I am 21 years old male and as far as I know we have no cancer history in my family. I can provide photos too. Doctor: Hi. I went through your case history and the photos provided by you (attachment removed to protect patient identity). I can see a dark irregular lesion of about 5 mm in size over the tip of the toe. As it is to 3 days history the first thing I want to rule out is an history of injury or bruise.They do present like this and you may have forgotten the history of trauma. Secondly, moles also appear at this age and they also present like this if you have tendency of moles this may be a normal mole you can just observe it for few days. The other thing obviously is melanoma, acral lentiginous melanosis, this can be dangerous and has to be ruled by biopsy as soon as possible. But as you do not have any family history and if you do not have any other or very few moles over other parts of the body the chances again become very less. And again such a small history of the lesion the possibility is least. But to be sure you should monitor the lesion. Observe it for 5 days. If due to trauma, it will diminish and slowly go away. If persist and grow more immediately, go for a biopsy by a dermatologist for histopathogical examination. trauma, biopsy after 5 days. Intradermal hemorrhage, nevus nevus excision. none after 5 days." + }, + { + "id": 3818, + "tgt": "What is the right dose of Pregabalin in fibromyalgia?", + "src": "Patient: Hello doctor, My sister takes 225 mg Pregabalin for fibromyalgia at 7 PM, but it is not giving any relief from pain. She has severe back pain. We tried another 150 mg at 10 PM and the pain reduced fairly. What is the right dose and at what time it should be given? I am attaching her medicine list for your reference. Her vitamin D is 22 ng/mL. Please guide. Doctor: Hi. For further clarifications consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 19870, + "tgt": "Why has my period not come even after taking I-pill?", + "src": "Patient: Hello doctor, I had sex with my fiancee using a condom but it was doubtful if the condom was broken but I could not confirm. Because one moment, while we were having sex, I felt myself without the condom but when I pulled out the condom, no drop was fallen. Because of this, I had given her I-pill and she had taken it around 48 hours after the sex. But it was on the second day from her date of the period. So, she is getting scared if any chance of pregnancy is there or not. What is the reason for the delaying period? Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. The delay could be because of the hormonal changes due to the pill she had taken. So relax and do not worry. However, if you have a doubt, then get a urine pregnancy test done with early morning urine sample to ensure that she is not pregnant. Do get back to me with reports so that I can guide you further on. Take care." + }, + { + "id": 16065, + "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": 27106, + "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": 18511, + "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": 23192, + "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": 12106, + "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": 20680, + "tgt": "Why am I having low fever with weakness for one month?", + "src": "Patient: Hello doctor,I have a low fever with a weakness for past one month. Please help. Doctor: Hello. Firstly, I would like to assure you that you do not have to worry about the issue. Having a low fever for a long duration with weakness is a sign of viral fever which is typical during seasonal changes and monsoon. As for the report (attachment removed to protect patient identity), since your blood report is normal you do not have to worry at all. As of now, you need to make sure you eat a healthy diet and do not skip meals, as it is very essential to have adequate immunity. Take tablet Dolo 650 (Paracetamol) only in case you feel a rise in fever, otherwise, you can skip it. Have a lot of water at least 10 glasses per day. Take Vitamin C chewable tablets 500 mg twice daily for a month. Do follow the above advice and you will be good to go. Be happy, healthy, and have a nice day." + }, + { + "id": 11727, + "tgt": "Why do I have swelling and pain in the knee. Please explain my MRI", + "src": "Patient: Hello doctor,I have severe pain and swelling in the back side of the right knee. My MRI was inconclusive. Please explain. Doctor: Hello. I viewed the MRI of you knee (attachment removed to protect patient identity) and there are suspicious mild thinning of the articular cartilage in the bones of the knee and minimal fluid in the knee joint area. These changes are slight and not likely to cause any severe pain in the knee. The other causes of a severe pain surrounding the knee at your age can be due to changes in the blood flow in the arteries and veins. You may discuss with your doctors and get a right lower limb arterial and venous doppler test done. This will tell if there is any block in the vessels or a clot causing the pain. This kind of pain is felt in the muscles and soft tissues of the leg." + }, + { + "id": 2037, + "tgt": "I have pain in my left hand due to accident and it disturbs my sleep. Why?", + "src": "Patient: Hello doctor, I have nerve pain in my left hand. I had fallen from a bike last one week. Since then I thought it was muscle pain. Today I consulted an MS ortho and he said there is no issue. He gave medicine for pain relief. I was feeling nerve pain in the left hand and the pain is getting severe at night. Currently, I am taking Lupiflex-8, Pantop, and Enzoloy H. Doctor: Hello, Welcome to icliniq.com. I would like to know some details about your symptoms. In which part of the left hand, you have pain? At shoulder? Between shoulder and elbow? At elbow? Between elbow and wrist? At wrist? or In palm and fingers? What kind of pain is it? stretching, or heaviness, or pins and needle sensation? Burning type or some other type? Is pain persistent? or intermittent? Do you have any neck pain also? Is there any weakness in left hand grip? Have you noticed any factor which increases or decreases the pain like neck movement, arm movement, gripping something in hand, touch, or pressure at some point? Was there any swelling or redness at the site of pain? Please revert with above mentioned information. If possible, also send pictures." + }, + { + "id": 22128, + "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": 136, + "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": 9817, + "tgt": "Is vitiligo hereditary?", + "src": "Patient: Hi doctor, I have a doubt regarding vitiligo condition. My father-in-law has vitiligo and he is 60 years old now. He has 2 sons and 1 daughter. Daughter is married and having two kids. None of the above have this condition. Is there any chance of getting vitiligo to his sons or to his grandchildren in future? To say simply, is vitiligo hereditary? Doctor: Hello. I understand that you are concerned. There is a definitive genetic component in vitiligo and if someone is affected by it, he is more likely to transmit it to his kids than a person who does not have it. There are 4 to 5 times more chances of getting vitiligo than general population without it, if one of the parent or sibling has one. So, if both parents and siblings do not have, then chances are less. I mean if only grandfather is involved and not the father, then chances reduce. Take care." + }, + { + "id": 29329, + "tgt": "I have a swelling on my neck for a few months. What could it be?", + "src": "Patient: Hi doctor, My lymph node on the right side of my neck is swollen. I also have some swelling on the both sides of the back of my neck. It is hurting badly. \u00a0I have been on antibiotics for months, and it has been the same. It is very hard to see in a picture, but you can see and feel it in person. It feels like a cyst. I could not eat and lose weight.\u00a0What can I do? My height is 5'9\", and I weigh 140 lbs. I am currently on Gabapentin for my seizure. Doctor: Hello. Revert with more details to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10133, + "tgt": "Other than Sutent, which medicine can I opt for papillary renal cell carcinoma?", + "src": "Patient: Hello doctor,My father is recently diagnosed with papillary renal cell carcinoma type 1, and he has no BP or sugar. However, he had undergone bypass surgery ten years ago. Our doctor has suggested targeted therapy is better for him as there is another mass found in the lungs too. Our doctor has prescribed Sutent 37.5 mg, to begin with, and slowly increase it to 50 mg.However, due to our financial conditions, we cannot afford Sutent as it is pretty expensive for us. As we do not have any insurance. Is this the only drug available for this type of cancer, or do we have any other affordable and similar drugs with minimal side effects? We want to get your suggestion on this. Kindly help. Doctor: Hello. As per history given above. Your father as metastatic renal cell carcinoma. I would have liked to have few additional markers like his general condition, report of CBC (complete blood count) and LFT (liver function test), RFT (renal function test) to look at his risk score. In metastatic RCC, in first-line settings we have three TKI (Tyrosine kinase inhibitor) that are approved and commonly used. Namely, Sunitinib, Pazopanib, and Cabozantinib. Sunitinib and pazopanib have almost the same progression-free and survival benefit. Cabozantinib has benefit in progression, but final overall survival was the same as sunitinib. Toxicities are bit different for Pazopanib with more chances of hepatitis, weight loss, and diarrhea. If you are not affording for Sunitinib, then I would say Pazopanib would be better as it is cheaper with similar benefits and slightly different toxicities. Cabozantinib is costlier and not yet available. I hope it helps. I would be happy to help you further if you have any more queries or questions regarding toxicities of these drugs. TKI." + }, + { + "id": 5155, + "tgt": "Can fibroids be treated with medicine?", + "src": "Patient: Hello doctor, My sister aged 41 years is having painful periods, heavy bleeding, left lower back pain, lower abdomen pain and difficulty in breathing immediately after taking food. She is having these difficulties nearly for the past six months. The latest finding of doctors here is fibroids in the uterus and the uterus is to be removed. The scan reports are attached here for your reference. She has two children's and both were cesarean. Eight years ago itself, she was informed to have fibroids and she took some homeopathy medicines for three months. From then on, she has not taken any medicines. She does not have any other chronic illness other than the ones mentioned above.\u00a0I shall be grateful, if you advise\u00a0options for treating the above. Can the fibroids be treated with medicine? Or removal of the uterus is the only option? Please guide. Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30586, + "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": 27489, + "tgt": "Are my dad's TB medicines the reason for a change in his behavior?", + "src": "Patient: Hello doctor, My father has been a diabetic patient for the past 20 years. Six months ago, he got affected by pulmonary tuberculosis and got administered with anti-TB drugs and insulin was administered in basal bolus regimen. Now both TB and diabetes are well under control. For the past one week, he takes only two drugs for TB, namely Isokin 300 and Pyzina 750 for TB, apart from Glyciphage 500, Cardivas CR 40, Tazloc AM 80, and Minipress XL 5 mg tablets as advised by the doctor. But, for the past one month, I notice a change in his behavior. He has developed a sort of restlessness. He laughs childishly without caring about anything. He is developing an adamant attitude like for example, he took a huge quantity of food at one go, without heeding to our advice to eat slow and thereby a vomiting sensation developed. He is indifferent to everything now and seems to have no feeling of happiness, sadness, affection, or pain. He never listens to us and lives in his own world. This is more severe in the evenings and at night. His doctor mainly attributes this to stress and says he will be alright in due course when he\u00a0entirely stops the TB drugs. Is this a side effect of the drugs or related to some other problem? Please advise. 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. Thanks and regards. For more information consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 21716, + "tgt": "Why is there numbness with tingling sensation in my right hand ring finger?", + "src": "Patient: Hi doctor, Before a month, I carried heavy grocery bags and after that my right-hand ring finger got numb with a tingling sensation. It is persistent for the past one month. Doctor: Hi. Carrying heavy grocery bags just once will not cause any numbness in ring finger with a tingling sensation. Do you work for long hours on a computer using the keyboard? Your symptoms indicate nerve entrapment like carpal tunnel syndrome. Even, if your nerve is injured while lifting heavy grocery bags, then by one month, it should have healed as nerve regeneration, it reaches one inch per month. You can take nutritional supplements like Alpha lipoic acid and Vitamin B12. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11551, + "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": 28839, + "tgt": "How long can uveitis persist before there can be a permanent eye damage?", + "src": "Patient: Hello doctor, My daughter has been diagnosed with posterior idiopathic uveitis, and she also has type 1 diabetes. The diagnosis was made about six weeks ago, and three weeks ago she was put on Prednisone, but I am not sure. Her eyesight was originally blurred around the periphery, which became clearer after she went on the treatment. But, it became distorted as if she was looking through a funhouse mirror, but is still improving. Since she has begun tapering the medicine, the doctor told her the condition is turning worse, although not as bad as it was. She is scheduled to go in a week from today to discuss other options, among them, injections directly into the eye. Through reading about uveitis on websites, this seems to be the correct flow of treatment regimen. My question is, how long can this condition persist before there can be a permanent eye damage? Is it possible to ascertain? Doctor: Hello. I hope this answers your query. For further queries consult an eye care ophthalmologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16944, + "tgt": "After LASIK and flap striae surgery, when will I get normal vision?", + "src": "Patient: Hi doctor, I had LASIK on my both eyes before 10 days. The next day, my right eye was clear, but my left eye was blurry. I went to the doctor and he said that there are striae on my flap, which needs to be fixed again by a surgery. He asked me to wait for two days because he thought that the vision might come as it was cleared by 5% since the operated day. Later, I had my other surgery where the doctor raised the flap, stretched and put it back. I was told that the surgery is successful and vision will come in three days. I visit the doctor every day to show the results, but I still have no vision and it is more than five days now. Kindly please tell me when will my vision come. How much time will it take? I was told that my epithelial cells are not formed yet they needed another day. Please help me. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11217, + "tgt": "Maintenance drugs in kidney carcinoma patient has been stopped. What is your opinion?", + "src": "Patient: Hi doctor, My dad is 78 years old and was diagosed with stage 4 transitional cell carcinoma of left kidney for which he underwent a neprourectomy. It is six months now and he took immunotherapy for the same. He had three doses of Ketruda but with third dose he developed pneumonitis and changes in lung. He had blood culture but no infection was present so they treated with steroids for 10 days, after stopping steroids he developed some tiredness and fever for which he was put on antibiotic Bactrim. But after he took that for a few days, he was better but just two days back he developed extreme drowsiness, slurring of speech and confusion. He was advised to rush to a nephrologist because his creatinine was 3.7 and his HB was 7. His potassium levels were high too and ESR was 120, lymphocytes were low. So, they took out all the drugs he is presently on to stabilise his creatinine and potassium levels and transfused blood. My question is he was on maintainance drugs for 40 years of which Sartel 40 for hypertension, Glyciphage for diabetes, Liofen and Gabantin for trigeminal neuralgia and Ativan for anxiety have been withheld. Do these drugs cause any interference with his kidneys? Please let me know because I want a second opinion and be double sure that this is the right thing to do. Doctor: Hello. I have gone through the details about your history. Cause of deranged renal function is multifactorial. First of all, Ketruda that is Pembrulizumab can cause interstitial nephritis, that can cause damage to kidney and rise of creatinine. Sartel is for blood pressurebut it can cause rise in creatinine in acute setting such as after surgical stress, so stopping is a good decision. When there is a damage to kidney, drug such as Gabapentin get accumulated in body and can cause neurological symptoms as you told. It will subside gradually as kidney function improves. So, from current medicines, you stop Parozep until his kidney recover, for blood pressure take Amlodipine 5 mg (as the blood pressure is normal now) (attachment removed to protect patient identity). Get urine routine done and urine protein creatinine ratio and if creatinine continue to rise, a kidney biopsy may be needed. Otherwise, control of potassium and urine output as per regular protocol of treating nephrologist. Take care and would like to know further detail and progress, wishing him a speedy recovery." + }, + { + "id": 15496, + "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": 18783, + "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": 27105, + "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": 6990, + "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": 20507, + "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": 12506, + "tgt": "What causes cold sores and rashes on the lining of my lips during periods?", + "src": "Patient: Hello doctor, Just wanted to know that from last two times, whenever I get my periods I get this cold sores and rashes like allergy happens on the linings of my lips. The last period date was 17th of the last month and I got this allergy and cold sores like blisters all over my lips and lining of my lips and get normal after, almost 10 days. And this time also I got my period on 17th of this month and the very first I developed this blisters on my lips more like rashes. Presently, it is still there. I wonder why this is happening from the last two times. It never happened earlier. Please advise. Doctor: Hello. The allergic rashes if they are occurring specifically during menses and the only line the vaginal lips then the cause is unlikely to be menses per se but rather the material of the sanitary pads that you are using from day one. If you have changed the brand of the sanitary pad lately then please revert back to the earlier one and in the meantime, you may apply ointment Candid-B locally over the labia minora and majora over the rashes thrice a day and try to keep the local area dry as much as possible. Also change pads every 3 to 4 hours, again depending on the bleeding. If possible please share the picture of the lesions to rule out allergy from herpetic eruptions." + }, + { + "id": 20272, + "tgt": "My foreskin is tight and not fully retractable. Please help", + "src": "Patient: Hi doctor, I am 18 years old. I am uncircumcised, and my foreskin is not fully retractable. I am struggling to pull it back to expose about 20 % of the head when it is erect. When flaccid, it is easier to pull the skin, and I can get about 40 % to 50 % of the head exposed. My penis has a slight curve, and it is getting worse as my age increases. It curves drastically (about 45 degrees) to the left. I cannot recall any incident that has caused damage to my penis. I do not want to get circumcised. I have attached the images of the penis at its maximum point of retraction. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). No one has a straight penis. Your penis appears normal. However, if the curvature is getting worse and if you want to confirm it, then you can get an ultrasound scan of the penis done to check for plaques. It might indicate a pathological disease like Peyronies disease. Please use lubrication jelly and try to retract the foreskin slowly in the flaccid state. Do not pull the foreskin forcefully. Please try to pull it back a little more every day. If there is a pain when pulling it again, then stop doing it and try it on the next day. If the complete retraction is not possible even after using lubrication jelly, then you have to consult the urologist." + }, + { + "id": 1701, + "tgt": "I have slight itchiness in throat during mornings with a history of acidity and thyroid. Please help", + "src": "Patient: Hello doctor, I have been experiencing slight itchiness in my throat for the past one and a half months. I do not feel it at night while sleeping. In the morning, when I wake up and eat something, the itchiness or abrasion starts again. There is a slight redness in the throat and sometimes it pains feebly. When I cough sometimes the throat feels slightly scratched and it feels prickly when I take deep breaths. There is no problem with swallowing food and water. I have had issues with thyroid, and acidity problems as well. I am taking Pantosec and took 1 HCQS pill for Corona before this itching starts. Doctor: Hello. I need a few more details before we can come to a conclusion. Did you travel outside the country? Any contact with COVID positive patient? Did you take HCQS on your own or with a doctor's prescription? Have you completed the course? Do you smoke or drink? Is there throat pain or difficulty in swallowing or lump sensation? Is there chest congestion or difficulty in breathing or wheezing? Can you please take a picture of your throat with open mouth showing details of the back of the throat and send me? I want to see the area which you said is red. Please answer my questions to help you further." + }, + { + "id": 2695, + "tgt": "My wife has muscle pain in right leg and is breastfeeding. Please suggest", + "src": "Patient: Hello doctor, My wife is 38 old. She has been suffering from muscle pain in the right leg for 10 days. Pain is worst while walking radiates from buttock up to the ankle. She is breastfeeding. Kindly suggest. Doctor: Hello. You have mentioned that your wife is suffering from muscle pain in the right leg for last 10 days. So a few questions from my side. Is there any low back pain as well? Apart from pain, is there any associated numbness, weakness, paresthesias as well? Any x-rays or blood tests if you have done recently, kindly send it to me. As far as management goes, we cannot prescribe much since she is breastfeeding . But what she can do is physiotherapy with modalities like Laser, SWD, and IFT for back and TENS for leg symptoms. Isometric back exercises, SLR, knee quadriceps exercises will help strengthen the muscles. Hot fomentation at home can be done along with the application of analgesic ointment or spray if available. Activity modification as in no acute bending, no heavy weight lifting, etc. If at all medications are needed, Take tablet Calpol 650 mg SOS can be taken for pain management. Calcium and Vitamin D supplements should be continued as per protocol for a lactating female." + }, + { + "id": 2220, + "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": 16792, + "tgt": "How to manage post spinal headache?", + "src": "Patient: Hello doctor, I am 31 years old. Four days ago, I had a C-section to deliver my baby. I had a spinal anesthesia and they also tried to put in an epidural catheter, but they could not. They just kept poking at me and eventually gave up. They told me that I had a difficult spine since I have a bit of scoliosis. Two\u00a0days after the surgery, I started getting headaches when sitting up and less so when standing, which progressively got worse. Today, these headaches are very intense. I cannot really stand or sit for a long time as the pain becomes too intense. Also, when I put my chin to my chest or when I move my head left or right the pain becomes more intense. When I put my chin to my chest, I also feel pain in my thoracic spine area. I can only lie-down basically and I have a newborn to care. Is it normal to have more intense pain when putting my chin to my chest with postdural puncture headache? I am worried about this symptom, but I do not have any fever. Can it be meningitis?\u00a0How long will it last? How can I make it better? The anesthesiologist told me not to worry that it will pass. But, she did not know about the chin to chest symptom because I did not have it until today.\u00a0I feel very sad and distressed. I do not know if this is normal for a post spinal anesthesia headache. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11681, + "tgt": "Please give suggestions to improve my weight", + "src": "Patient: Hello doctor, I have been really thin since my childhood. Though somewhere it is genetic now I do not feel comfortable. I am not able to gain weight no matter what I eat. My pelvic bones have started to show slightly. My weight is just 41 at 17. I have tried eating different foods but no positive result. When I choose exercise as an option, I lose additional weight rather than getting an increased appetite. Doctor: Hello. 1. Calorie dense food should be incorporated in your diet like dried fruits, potato, sweets, nuts, jam, jelly, banana or mango shake, porridge, badam kheer, etc. 2. Leafy vegetables should be restricted in your diet as they reduce appetite. 3. You should take three major meals a day and snacks in between. Also, butter and margarine should be considered. 4. An adequate amount of egg, meat, fish, milk should be taken as it helps you for tissue building in your body. 5. Try to eat one boiled egg every morning. 6. You should eat more food at each meal. 7. Before taking a meal, you can walk for some time as it help to you feel hunger. 8. You should take more water." + }, + { + "id": 8104, + "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": 28782, + "tgt": "I want my feelings for my boyfriend to fade. Please help", + "src": "Patient: Hello doctor, I feel lifeless most of the times. I do not find peace anymore, and I do not feel like doing anything. It is all because of that one person, and I believe he is destroying my life, but I\u00a0still\u00a0love him. I do not want to have feelings for anyone, and I want to be heartless, single, free of stress, and happy. I feel suffocated, and I am tired of life and everything. I feel so stressed, and I want to run away from my home, but I just do not have the guts. I do not want to hurt my parents neither do I want to live a stressed life. I feel death is easier than life,\u00a0and I cry more and laugh less. I do not want to feel the way I am feeling right now. I want my feelings to fade for him. He hurts me a lot, but I still love him. I want to get over it and want to live my life. I do not want to feel dead. Sometimes, I think of committing\u00a0suicide, but I get scared thinking about my parents. Doctor: Hi. I understand your concern. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4779, + "tgt": "Is high creatine kinase isoenzyme related to GSD?", + "src": "Patient: Hi doctor, I can run slowly and do aerobic exercise for 45 minutes. But, if I try anaerobic workout I get tired very soon and feel very thirsty. I have this problem since\u00a0four years.\u00a0I have the ability to fast for three days or drink only water. But, when it comes to anaerobic workout like push-up or a sprint, I am unable to do. During anaerobic workout, I get the feeling of accumulation of glucose in my muscle. To do anaerobic exercise, I need to drink lots of water. When I begin to do my muscle stretching exercise after a running session of 45 minutes, my heart beat rises and I get a feeling of breathlessness.\u00a0Few months back, I consulted a doctor and he told me that, I am suffering from glycogen storage disease. I would like to know which type is it. Kindly help me with the solution. Doctor: Hello. Revert back with the answers to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24229, + "tgt": "Blood is coming from my nose and mouth. What may be the reason?", + "src": "Patient: Hello doctor,From my nose and mouth, blood is coming. Doctor: Hello. Causes for bleeding from nose are: Use normal saline nasal spray every second hourly, avoid sneezing vigorously. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15174, + "tgt": "With TSH between 6 and 8. 9 and FT4 of 1. 3, is it justified to prescribe Timazol or Carbimazole?", + "src": "Patient: Hello doctor, With TSH between 6 and 8.9 (today 7.5) and FT4 of 1.3 (normal), is it justified to prescribe Timazol or Carbimazole (both for hyperthyroidism cure)? Doctor: Hi. With the given values, there is no need for these drugs. But in this scenario, I do not have any idea about the current prescriptions you are taking. So, with that information and lipid profile reports, I will be happy to guide you better." + }, + { + "id": 10988, + "tgt": "I feel guilty about my over imagination problems. Please help to overcome it", + "src": "Patient: Hello doctor,I am 24 years old. I have over imagination problems since when I was a child. I imagine that I am a winner and what I want and where I want to go. Still, I am facing these problems in my job, education, and personal relations. I imagine all my favorite, but in realities, it is not, what I am doing. I felt guilty about what I thought. Please help. How could I stop this over imagination problems? Doctor: Hello. The problem of excessive imagination occurs because imagination is one of the defenses used by the brain to overcome day to day stresses. Also, it prepares you for the future and motivates you. But if it is excessive and causing problem, then you may use some behavioral measures to overcome this. 1) Make a schedule. 2) Involve yourself in positive distractions. 3) Tie a rubber band on your wrist and pull it whenever you are going into the imagination too much. You may seek the help of local psychiatrist if it does not work." + }, + { + "id": 4668, + "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": 3046, + "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": 14879, + "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": 26858, + "tgt": "My allergy does not subside with 10 mg Cetirizine. Should I take 20 mg?", + "src": "Patient: Hi doctor, I\u00a0have been taking 10 mg Singulair and 10 mg Cetirizine for five years for\u00a0allergies, asthma, and Lyme. I just got two more kittens, and the medicines\u00a0do not work anymore. I am miserable and desperate. I asked my doctor to give me 20 mg of Cetirizine and something else because I think my body is immune to 10 mg. Please advise on what better set of medication I should ask for. This is what I thought I should ask for - Cetirizine,\u00a0Prednisone,\u00a0Xyzal and Fluticasone propionate nasal spray. Doctor: Hello. Do revert back for any further support. I will be happy to help you. For more information consult an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 20195, + "tgt": "I have extreme vaginal discomfort and pain. What do you think this is?", + "src": "Patient: Hello doctor,I am an 18 year old female. I have been experiencing extreme vaginal discomfort and pain. It hurts whenever my partner tries to do anything sexual. We have not had sex, but done other things such as fingering. It burns when I pee and I get a green/ yellow discarge that smells like vinegar. I also get sharp pains through my vagina sometimes. What do you think this could be? I currently take the combined pill and have been for about three weeks now. Doctor: Hello. You are suffering from a vaginal infection, mostly a protozoal infection. You have already taken antibiotics for the urine infection. So, maintain proper hygiene when you have sex. That is, proper washing of the area. If not, that leads to infection. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7184, + "tgt": "The color of my glans changed to white after I used cortisone cream. Why?", + "src": "Patient: Hello doctor, I am a 28-year-old with 60 kg, and 1.79 cm. My problem started as red skin on my glans, and the dermatologist told me to use Cortisone cream for two weeks, after that, my penis as had an inflammation, because I used Cortisone cream on my glans. (Now the inflammation is finished) but my glans is white, and my glans circle is purple and thickened, what can I do? Doctor: Hello. I checked your image (attachment removed to protect patient identity) if you have itching need to think of fungal infection. If no itching it can be PPP (pearly penile papules). Please share a clear image as it is blurred. 1. Do you have pain? 2. Did you have recent unprotected sex? 3. Do you feel any odor?" + }, + { + "id": 2634, + "tgt": "For the last three months, I get knee pain when I stand up. How to relieve this pain?", + "src": "Patient: hi doctor age 26 year, sex - male the problem is my knee pain befor 3 month my knee pain when i sit and up for 2 or 3 minut . please consult me for the relief my knee pain Doctor:" + }, + { + "id": 23369, + "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": 11746, + "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": 20628, + "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": 18043, + "tgt": "I still have painful bruises a year after iron injections. What needs to be done?", + "src": "Patient: Hello doctor, I am a 55 year old female. 12 months ago, I was given four iron injections in my buttocks alternating over four weeks. There is staining area of about six inches on each side which is fading. However, on the top and bottom edges of the stained area is a blue bruise which is as painful as if the injection were done a week ago. The bruises are painful to touch and ache without touch and hurt when I sit. I have asked three doctors and have been told they have no idea. The bruises are not getting any better and I was wondering why they are there and is it something that needs further investigation. I have no health issues other than managed hypertension. Doctor: Hello. The staining is due to the iron itself which leaked into the skin while it was being injected. The technique of giving the iron injections was not correct since neither discoloration nor bruising should have occurred. Nothing can be done to resolve this but they are usually seen to go away on their own. The complete resolution takes time, sometimes up to few years. Regular massage has been shown to hasten recovery in few cases. You could try hot fomentation to get some relief from the pain. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 27075, + "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": 22574, + "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": 10579, + "tgt": "What can be done for severe headache that starts during late morning?", + "src": "Patient: Hello doctor, I have had a crippling headache for two days now and nothing seems to help. It starts late morning and gets worse throughout the day. I just want to know what I should do. I am 21, 5'8\", female, around 160 pounds. Doctor: Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed." + }, + { + "id": 21398, + "tgt": "Why do I have brown discharge before getting periods?", + "src": "Patient: Hi doctor, I have a brown discharge, and my dates came. What is that brown discharge? Doctor: Hi. If you are getting brown discharge regularly before getting periods, it is harmless. This is a normal phenomenon, which occurs due to hormonal changes. Similar hormone changes may occur during early pregnancy, and one may get such brown discharge, but there will be no periods. I guess there is no possibility of pregnancy in you and there is no history of sexual contacts. So there is nothing to get worried. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18464, + "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": 5263, + "tgt": "I have eye flashes for about five years after an accident. What treatment can I do?", + "src": "Patient: Hello doctor, I have eyes flashes for about five years now. After I have an accident on my nose it looks like the liquid in the eyes is moving or pulling. What treatment I can do? Although I did a lot of tests for retina, what else I can do insted of waiting to see if this problem stops by it self? And I have dryness also. Doctor: Hello. Flashes in front of eyes is a classical sign of retinal detachment and posterior vitreous detachment. You should get your retina checked by a vitreo retinal specialist. Since you had trauma near your eye just before these flashes started, there is a strong possibility of posterior vitreous detachment. If your retina is fine maybe it is your brain. But this can be certainly told only by an ophthalmologist. Sometimes during accidents or falls, the occipital lobe (the part where vision center of the brain is lodged) may get injured. Or the optic nerve might be compressing. Again, this can only be told by a thorough examination and head CT (computed tomography) or MRI (magnetic resonance imaging). Flashes in front of eyes is a very important symptom and a dangerous one too, and you should get treatment immediately. Furthermore, if you want a better opinion from me, please follow up with the following details: 1. Spectacles, if any. 2. Previous history of cataract operations. 3. Age. I hope this helps." + }, + { + "id": 7555, + "tgt": "I am a 19-year-old male with a voice similar to a girl. What to do?", + "src": "Patient: Hello doctor,I am 19 years boy, but my voice is similar to a girl, what I can do? Please help. Doctor: Hello, Welcome in icliniq.com. I understand your concern about a thin voice like a female, and you are now 19 years old male. Your clinical history suggests that most likely, you are suffering from puberphonia. Here I would like to tell you that in infantile age and during younger child the voice remains same in both sexes, but as the child enters in teenage (above thirteen), the voice of male and female start differentiating and at the age of fifteen girls and boys get their proper voice. But some times in males this change do not take place, and individually develop a problem like you. Now no need of worry, please consult speech therapist and most of the time it gets corrected by good speech therapy." + }, + { + "id": 6762, + "tgt": "I am having pain in the gums of lower front teeth. What is the cause?", + "src": "Patient: Hello doctor, I am having pain below two of my front teeth in the gum area. I feel the pain even when I press my tongue in the back of the same teeth. The gum is also hurting bad. On the outside of my face, I can not touch over that spot as it is very painful. Doctor: Hello. Pain in gums indicate a site of infection or abscess. When did the pain start? Is it felt only on touching? Is it continuous or throbbing? Is there any swelling or redness in the area? Is it localized in one area or spread out? Is there pus or fluid felt on touching the area? To determine the exact cause, we need pictures and x-rays. Few of the causes could be: 1. A cavity that has extended deep into roots. 2. Periodontal problems due to chronic tartar deposits or may be associated with receding gums. 3. Combination of above. 4. Gum injury while brushing or with toothpick or fishbone, etc. IOPA of the area concerned and images of the area. To alleviate pain, apply anesthetic gel (Benzocaine) available over the counter for oral use. Do warm salt water rinse." + }, + { + "id": 9597, + "tgt": "My breathing problem started following the excercise session. Is this a significant problem?", + "src": "Patient: Hello doctor, I am a 25-year-old and never had any medical issue. Three days ago, after running and skipping I am having breathing problem, earlier I was facing shortness of breathe (like I was breathing forcefully) then I visited a doctor they did ECG (which is perfectly normal) then doctor checked with his stethoscope he said there is nothing to worry about he gave five days medicine, today is fourth day I am having the problem of deep breathing. It usually seems ok (no problem), but when I take a deep breath, it feels chest is not expanding correctly and not able to make a full breath. But when I hold my breath for some time then leave, then I can easily take 2-3 deep breath but after that same problem of deep breathing. I was using Minoxidil solution on my scalp for the last 20 days I was feeling very mild chest pain, and I noticed minimal swelling on my lower left chest (immediately stopped using it). The very next day, I did exercise after that breathing problem started. Now I can breathe comfortably, but when I take a deep breath, I face a problem. Is this a significant problem? Doctor: Hello. Does it hurt anywhere in your chest when you take a deep breath? If yes, it could be that you may have strained a muscle in your chest. Give it some time, and it should go away. However if there is anyone in your immediate family who has asthma or if you were ever diagnosed with asthma, or if you feel dizzy or short of breath after excercise again, better to get a chest X-ray done. At this point, unless you feel exhausted, fatigued, dizzy, or short of breath, give it a few days. But if you have any of these symptoms, better to go to the ER and get a chest X-ray done. I hope this helps." + }, + { + "id": 25320, + "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": 9858, + "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": 23485, + "tgt": "Why do I have pain in my scrotum even after antibiotics?", + "src": "Patient: Hello doctor,A yellowish liquid was coming from the tip of my penis a year ago. I then visited a urologist. He gave me an antibiotic course for a week. It then went away. After this, two months ago, I underwent a fistula-in-ano surgery. The doctor gave me tablet Ziprax 200 DT and Painwell medicine for one month. After I felt better, I have stopped taking these medicines. Then after two days of stopping these medicines, I suddenly had a pain in my right side spermatic cord area in the scrotum. The urologist gave me medicines Ziprax 100 DT and Diclofenac 50 mg. But, even after this one week course, my pain did not go away. He then told me to do an ultrasound. In the report, the conclusion was 'diffuse thickening in my right spermatic cord in the scrotum'. The doctor gave me a medicine Denim juicy 100 mg. But, I still have a pain there. My urine and blood report is normal. What to do? Doctor: Hello. Also, share your ultrasound report. Revert with more information to a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 28153, + "tgt": "What can be the causes of right-sided abdominal pain?", + "src": "Patient: Hi doctor, I have been suffering from pain on the right side of my abdomen, from the past three days. It pains more when I press my abdomen. The pain is not very severe, and it comes and goes. I thought it is a gastric pain, so I took medicines for it. But, it did not help me get rid of the pain. What to do now? Doctor: Hello. These are a few things we worry about in that particular area: I hope it helps.\u00a0Thank you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10044, + "tgt": "What causes warmness in the left side of chest?", + "src": "Patient: Hello doctor, I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm\u00a0in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale.\u00a0Is it normal? Doctor: Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety drugs like Etizolam. For further clarifications consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14832, + "tgt": "I am suffering from irregular periods. I am currently on levothyroxine. Please help", + "src": "Patient: Hi doctor, I am suffering from irregular periods. I am currently taking medication Levothyroxine 50. My T3 is 0.87 ng/mL, T4 is 8.30 ug/dL, TSH is 2.43 uIU/mL. I am 34 years old, weigh 75 kg, and 5 feet tall. Please advice. Doctor: Hi. From your query, I understand that you are suffering from hypothyroidism. I need to know when was it diagnosed, and what was the thyroid profile at that time. Irregular periods and weight gain is a part of hypothyroidism. I would like to modify your dose as well as advise you ways to reduce your weight. All will be well once we modify your dose." + }, + { + "id": 2593, + "tgt": "MRI shows left cerebellopontine arachnoid cyst. Could this cause head pressure and tinnitus?", + "src": "Patient: Hello doctor, MRI report shows: Left cerebellopontine angle arachnoid cyst measuring 18 x 12 x 10 mm displacing 9th and 10th cranial nerves ventrally. Misc- prominent bilateral level 3 lymph nodes also left level 2A lymph node measuring 29 x 11 mm. I went to an ENT because I was dealing with terrible pressure in my head and also pulsatile tinnitus. I constantly hear my heart beating or blood pumping in my left ear. I have had grand mal seizures and a febrile seizure when I was a toddler. In 2018 they did not see anything in my CT scan. ENT referred me to a neurologist for the pressure in my head being migraines and also to a neuro-otologist for the cyst who then referred me to a neurosurgeon that I have not went to due to Covid-19 outbreak. Only procedure I ever had done was an epidural injection in my lumbar for bulging disc, which after the procedure I dealt with massive head aches. Doctor told me they would subside. I am 21 years old. I am just looking to see some opinions on this matter and how it should be treated. Forgot to add in I have been dealing with neck pain also now. Doctor: Hello. I would like to know more about your headache, heaviness in head like the location of pain, frequency, severity, a particular time of the day when it occurs, associated vomiting, nausea or blurring of vision. How long does it last? Does it require medicines to be taken always? I also would like to know tinnitus is in the left ear only? Any medicines for seizures? Also, it would be nice if you can send images of MRI to have a better idea about the arachnoid cyst. Please elaborate on the problems and answer all these questions and send MRI images so that I can suggest you better." + }, + { + "id": 28806, + "tgt": "My left arm is paining and turned purple after a dance practice. Why?", + "src": "Patient: Hello doctor, My entire left arm is paining. I feel like the nerves pop when I finish playing the\u00a0flute. I went to a dance practice, and my hand was purple, and after I massaged it, it went back to its normal color. What is causing this? What can I do to fix it? Doctor: Hi. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12807, + "tgt": "What are the ways to treat patch due to hair loss?", + "src": "Patient: Hi doctor, I have been experiencing a patch of hair loss and it is getting bigger. I had two but the one is gone now. I am very proud of my hair and this makes me emotional. Doctor: Hi. This is alopecia areata, and the patch on your backside of the scalp is ophiasis, a subtype of alopecia areata. It is thought to be an autoimmune disease in which hair loss is in the form of patches but comes back itself as you have told. Meanwhile, you can apply topical steroids over it like Fluticasone propionate ointment or lotion. Another option is a mixture of topical Canthradine plus topical Capsicum and Methylated spirit in equal proportion and apply for five minutes twice per week as they have an irritant effect. Topical steroids will be beneficial for you. Follow up at one month. Alopecia areata. Apply Fluticasone propionate ointment or lotion over the area, take Multivitamins." + }, + { + "id": 17629, + "tgt": "Is GERD(Gastroesophageal reflux disease) curable permanently through medicines?", + "src": "Patient: Dear Doctor, Is GERD curable through medicines permanently? If yes, kindly prescribe the medicines. I have consulted many doctors and taken tablets, but after a few days it is troubling again. Please prescribe some permanent solution to this. Doctor: Hi. GERD (Gastroesophageal Reflux Disease) can be treated effectively with medications like omeprazole, pantoprazole, and with combination of prokinetic drugs like domperidone. In addition to drugs, the modification of life style is important such as: And also go for investigations such as upper GI endoscopy with the doctor's advise and if any underlying surgical conditions, they should be corrected accordingly. So, I advise you to consult a gastroenterologist for examination and investigations. Hope I have answered your query. Revert back to a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 5858, + "tgt": "What can be done for carpal tunnel pain in both hands?", + "src": "Patient: Hello doctor, I was seen today for what seems to be carpal tunnel pain in both hands or wrist right being worse. It has been going on for over two weeks straight. Massages do not work, splints do not work. The pain is horrible at night, my hands are not just numb, my middle fingers feel like they are on fire, no sleep, now numbness has been going on for over a week during the day also. Constantly no matter what I do, I received steroid injection today in right carpal tunnel. Now my concern is that I have hip dysplasia and have had injections. Yes, they help with pain but now that it has worn off my hip is actually worse. I am scared that is going to happen with my hands also. Is it wrong to tell my doctor I want surgery still and soon? And I have no clue how severe I have it since I just saw him today for the first time for this and only test that was performed was the tapping on my wrist. Doctor: Hi. Greetings for a healthy future. I understand that you have symptoms of carpal tunnel syndrome in both hands. Regarding your questions about severity and surgery I hope following helps you. In order to know the exact cause and the severity of problem, it will be helpful to get objective test done. EMG NCV is a good test to reach a diagnosis of carpal tunnel syndrome. Also, it will be important to see if there are other risk factors- Thyroid disorders, endocrinal disorders, recent hormonal changes- pregnancy or pills, etc. Regarding steroid injections: Injections in hip are within the joint and hence long term effect will be wearing of the joint. In carpal tunnel syndrome, the injections are in carpal tunnel and if your symptoms have relieved completely after injection then it is the cause of your problems. So once carpal tunnel syndrome is diagnosed then you can opt for surgery depending on the severity of disease. My recommendation is to get EMG NCV test to confirm carpal tunnel syndrome, if very severe, then plan for surgery." + }, + { + "id": 14815, + "tgt": "Can bar insertion in the arm cause prolonged periods?", + "src": "Patient: Hello doctor, I have recently had the bar inserted in my arm and have had side effects weeks after. I was wondering if these side effects are normal or are something to look into going to the doctors for. For two weeks, my period has not stopped, with the past week my flow has been fairly light and although I have had cramps, it is not as bad as when my period was originally due. Doctor: Hi. You are having a continuous bleeding problem. For that, you need to find any underlying specific cause, if present. It is advisable to investigate with USG pelvis and pelvic examination for primary work up. If all comes normal then investigate further with serum FSH, LH and DHEA estimation. If no cause identified then dysfunctional uterine bleeding is the possibility. You can be prescribed Tranexamic acid tablet and a Hormonal pill for bleeding. USG pelvis. DUB or other organic cause. Tranexamic acid just now and if needed Progesterone containing pill." + }, + { + "id": 26522, + "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": 30786, + "tgt": "How did I get positive Jkb antibodies?", + "src": "Patient: Hi doctor,I received a notice after my child's birth as I am positive for Jkb antibodies. Is there a treatment for this? What can a doctor do for this? Does this affect future pregnancy? Where does this come from? How did I get it? I have always been anemic and had Iron supplement. I am not sure whether this is related. I have attached my laboratory reports for your reference. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25909, + "tgt": "I am using Nasivion daily for nasal congestion. Shall I continue the same?", + "src": "Patient: Hi doctor, I am 28 years old. I am using Nasivion 0.05% daily for around three to four times for the last 8 to 10 years. Also, I am allergic to many things. Please help me with this health issue. Doctor: Hello. We are happy to help you. For further information consult an allergy specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 5576, + "tgt": "I am 34 years old. Please comment on my NT scan and double marker test result", + "src": "Patient: Hello doctor, I am a 34-year-old female. Kindly expain my NT scan and double marker test result. PAAP -A - 3.37 miU/ml. HCG, free beta - 147.00 ng/ml. NT value - 1.40mm. Trisomy 21 - 1:227. Doctor: Hello. Let me explain to you first why this report is done and what it is about. Basically it is a screening test and results of that do not indicate that baby has a problem. It just indicate that what are the chances of your baby to have some congenital anomalies like Down's syndrome, Patau syndrome, Turner syndrome, Edward syndrome. These all are congenital syndromes and the baby can have minor to major congenital birth defects if you continue the pregnancy. These chances are given in result in terms of 1:227 as in your case about Down's syndrome. This means according to the available data with report value of your blood, sonography findings, age, and other factors there are chances of getting pregnancy positive with Down's syndrome is 1 out of 227 pregnancy like yours with matching factors. So it also means that out of 227 pregnancy like yours, 226 pregnancy are still normal and there is no problem in baby. When the report is below cut off value which is 1:250, report is given as high risk and otherwise low risk. So in cases of high risk reports we have to do the confirmatory test to check whether the baby has Down's syndrome or not in your case. And for confirmation, we have to take baby cells directly and test for karyotyping. For obtaining baby cells we usually remove liquid around baby under sonography guidance and sent this liquid for the test. They will separate the baby cells from the liquid and do test on it. But for removing the liquid we have to puncture through the abdomen and it has its own risk. This procedure is called amniocentesis. And due to this risk, we have to segregate high risk and low risk and do test only at high risk for confirmation. But for you, one positive thing is that in the value of percentage there is more than 99% chance that the baby does not have any problem with the report 1:227. I have also seen patients with 1:5 reports and which turns out normal after amniocentesis. So at the same time, it is positive as well as negative news for the couple. But we have to go forward with this. I hope this helps." + }, + { + "id": 7670, + "tgt": "Why is my facial skin darker than the rest of the body?", + "src": "Patient: Hello doctor, The color of the skin on my face is too dark when compared to the skin on my nose, cheeks, and rest of my body. How can I restore the original color on my face? Doctor: Hi. The skin often darkens due to tanning under the effect of UV (ultraviolet) rays. I would strongly recommend using a sunscreen with a minimum SPF of 30. The sunscreen has to be applied at least half an hour before you go out and has to be reapplied every four hours till evening. I suggest trying skin lightening cream like Biluma (Kojic acid) at night. Alternatively, you could visit your dermatologist for chemical peels like Lactic acid or Glycolic acid peels. Whatever be the treatment, sun protection is a must. Hope this helped. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12774, + "tgt": "Will using face blackhead extractor in salon cause HIV or hepatitis?", + "src": "Patient: Hello doctor, I went to a salon to have a skin cleaning and they used on my face blackhead extractor. And I am worried now if I could get hepatitis or HIV if they did not clean it between the clients. Is it possible to get any disease? Doctor: Hi, Welcome to iciniq.com. If instruments are not properly sterilized and if the blood of any patient who has hepatitis, etc., present over that, it is possible that it can be transmitted. Usually, in salons the exfoliator they use does not penetrate the body and procedure is very superficial, it does not come into contact with your blood, the risk is very very low. For caution next time, you should buy your own instrument and bring that to a salon. You should not be worried now as the transmission risk of hepatitis after needle stick injury is very low and even lower for HIV." + }, + { + "id": 4567, + "tgt": "What can cause painless swelling in a baby's tibia bone?", + "src": "Patient: Hi doctor, My 8 month old baby boy has swelling in tibia bone. He does not have any pain or irritation over the swelling. He started standing by his 6 months onwards. What is the reason for this swelling? Doctor: Hi. Revert back with the photos to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 2126, + "tgt": "My wife has chest infection along with fever, cough and vomiting. Please help", + "src": "Patient: Hello doctor, My wife is suffering from chest infection. She is also having cough, vomiting, and fever every time after getting diagnosed with chest infection. Please suggest. Doctor: Hello. I can understand your concern. According to your statement, your wife has been suffering from chest infection, fever, and cough with vomiting. Does she have a history of repeated chest infections? You have not mentioned the duration here. Please provide the history of allergy, previous disease, medications, environment, family, childhood, acid reflux, etc. She may be suffering from chronic cough followed by vomiting. So she have to undergo CXR (chest x-ray), CBC (complete blood count), ESR (erythrocyte sedimentation rate), Hb%, circulating eosinophil, skin prick test, RAST test, reversibility test, etc. Reversibility test is done to determine the presence of asthma. She can take broad spectrum anbiotic like Azithromycin, nebulization with Salbutamol, Salbutamol inhaler, Fexofenadine, Montelukast, and antiemetic medications." + }, + { + "id": 26589, + "tgt": "What medicine should I take for an itching genitalia?", + "src": "Patient: Hello doctor,I am 37 years old. I am suffering from itching genitalia for over one week and the severity would range from low to medium. It is mostly due to sweating in that area. I had applied Topinate cream. Right now, I have severe itching on my genitals, that is testicles, and also the area below and my thigh area. I am using Abzorb powder frequently. I am cleaning the region with cotton swabs dipped in Dettol. There is also a lot of flaking and cracking of the skin. What medication and precaution should I take? Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 20752, + "tgt": "What will be the consequence of high blood pressure if not treated?", + "src": "Patient: Hello doctor, I want to know what will be the consequences of high blood pressure if it is not treated. Doctor: Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. If left untreated, high blood pressure may damage badly your lungs, kidneys, heart, blood vessels, brain, peripheral nerves and many more effects that may need months to years to develop. Kidney failure-coma-death, liver failure-coma-death, stroke-brain damage-paralysis-coma-death, coronary artery disease, heart enlargement-heart attack-death, pulmonary arterial hypertension-breathing, and many other issues- lungs failure and transplant needed, many more are the results of untreated hypertension. Let me help you find the best medications and treatment for you. What is your age, height, waist neck, and hips circumference, weight? What is your blood pressure readings? Comprehensive metabolic profile." + }, + { + "id": 11567, + "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": 30326, + "tgt": "My son is 17 months old. Shall I continue breastfeed?", + "src": "Patient: Hi doctor, My son is 17 months old. I am a working mom. My son was on breastfeed till two days back. Of late, my son has stopped eating breakfast, because he sucks milk the whole night. For the past few days, he eats only two mouths of food in the afternoon and night. We tried everything like changing the taste, texture and type of food. My sister suggested me to stop breastfeeding, so that he will start eating food. And, I did the same. My son literally cried for two nights and yesterday, he was quite fine. But, his food intake is the same. I am emotionally feeling very bad. Whenever I lay down, he kisses me for milk. He hugs me and looks at me in a sad way. Some of my office peers suggested me to feed him milk for 2 years. What if he still does not eat food? At least before I was relieved he was breastfed. What should I do? Shall I continue feeding him for another six months? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12502, + "tgt": "What are the ways to manage the symptoms of bipolar disorder?", + "src": "Patient: Hello doctor, I have bipolar 1. Rarely manic, depressed 2 to 3 times a year. I have felt good since last four months. This afternoon I suddenly got very depressed, hopeless, ideation. I also have racing thoughts, cannot sit still, very irritable, heart racing and cannot stop crying. I have never felt like this. The doctor is not available and the suicide hotline was no help, she did not know anything about bipolar. I take Latuda, Wellbutrin, Seroquel. Ativan and Atarax for anxiety. I was fine 2 to 3 hours ago. Now every time my son asks me a question I feel like screaming, so I am hiding in my room. I do not want to scare him. I do not know what to do. I have never felt like this, having so many thoughts so suddenly and without warning. Doctor: Hi. These symptoms are probably due to drugs side-effects called akathisia which includes almost all the symptoms you mentioned. This can occur without any warning and also change in any drug dose or schedule. Take Ativan one tablet (1 or 2 mg) now and can be repeated after one hour if symptoms persist. Propranolol is also helpful but you cannot get it without a prescription. If you have fever also then you need to rush to the emergency room." + }, + { + "id": 24203, + "tgt": "I have loss of balance after my ears were pulled. Please suggest medicines", + "src": "Patient: Hello doctor, I am 34 now. My school teacher pulled both my ears in my childhood and afterwards, I suffered a loss of balance sometimes. I have pain in both my ears and also blurring in both my eyes and fatigue. I think I have mild vertigo. Please suggest the best medicines to cure this mild vertigo. To elaborate, I have giddiness when at work and when watching TV as well. I had discharge from ears some years ago. I suffered a car accident some years ago. Doctor: Hello. Giddiness following pulling of the ear is uncommon. Are you sure you have giddiness from childhood after your teacher pulled your ears? You may probably be suffering from BPPV (benign paroxysmal positional vertigo). We need to get a Dix-Hallpike test done to confirm your diagnosis. If it shows positive you may need to undergo Epley maneuver. For now, I will suggest a few tablets so that you can get temporary relief from your problem. Tablet Emikind MD (Prochlorperazine) nine tablets, tablet Vertin (Betahistine) 8 mg nine tablets, Stugeron (Cinnarizine) 25 mg nine tablets. Take all these tablets three times a day for three days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. You had a history of discharge from the ear. So, we need to confirm that you do not have an unsafe type of ear perforation causing erosion of bone. I would suggest you consult your ENT surgeon for examination and diagnosis. You can let me know if you need anything to clarify what your ENT surgeon says. I will need these two things: Ask him to put a diagram of your tympanic membrane and write the test result. Also, any other positive findings. You can take a picture of it and send it to me. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20257, + "tgt": "What is the reason for nausea and loss of appetite?", + "src": "Patient: Hi doctor, My husband has been feeling very unwell. He is having nausea and dry retching in the morning, loss of appetite, weight loss and muscle loss. His blood work shows elevated ferritin of 537 and low sodium of 132. He has had a normal colonoscopy, endoscopy, abdominal ultrasound and CT scan. I have attached all the reports for your reference. He takes Synthroid 75 mcg, but thyroid levels appeared normal. Please help. Doctor: Hi. Based on your query, my opinion is as follows: Routine blood counts, ESR, CRP, stool examination and thyroid hormone levels. Chronic gastritis. 1. Omeprazole, if necessary you can have Domperidone. 2. Diet and lifestyle modification to reduce acidity in stomach is essential. Lifestyle modification. Revert back with the investigation results to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25845, + "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": 9441, + "tgt": "My tongue is raised on the sides with paleness. Are these symptoms to be concerned?", + "src": "Patient: Hello doctor, I decided to look at my tongue a couple of days ago, and it seems to be pale or raised on the sides. I am not sure if this is normal or if it is something to be concerned about. I accidentally bite my cheeks and tongue while I am trying to sleep (I sleep on my sides with my arm pressing against my cheek, which presses it in between my teeth. My tongue has felt a bit swollen lately, so I notice my teeth are coming down onto the sides and resting like that for a while before I see. I also started using a new electric toothbrush. Before that, I did not take care of my teeth well by any means. I would not brush for weeks at a time, and then brush once, and repeat. This is a powerful toothbrush I have been using. I am noticing now that there is some pale tissue right around my teeth and then regular, pink gum right below that. I am not sure if that could be pus or if it is from decay. My gum line has receded in that area, and there is decay on those teeth (whitish spots and some yellow). I have a horrible phobia of disease, and I have been finding information on terrible illnesses. Do these things sound like oral cancer or something worse? Or changes from finally taking care of my teeth (it has been about two weeks since starting this toothbrush regimen, twice a day). My mouth also feels dry and feels slightly burn-y in one area (inner cheek), but I even had been brushing that area with the electric toothbrush. It did not burn before that. I also have several nutritional deficiencies, and I have not been able to eat much lately from anxiety (my mom has breast cancer, and I have school anxiety). Could this be HPV or another disease? Or am I just worrying excessively (I have horrible anxiety, but I am also trying to get realistic advice)? Is this just from biting down on my tongue and cheek during sleep and or not taking care of my teeth or from the new toothpaste or toothbrush use? Doctor: Hello. I am wondering where to start at first. So let us talk about your oral hygiene. Maintain oral hygiene properly, and I think you are using a hard bristles toothbrush. An electric toothbrush is not well to develop oral hygiene properly. 1. Do not get anxiety that much. If you feel anxious, then smell something good and relaxing like a perfumeor flower that will help you to get rid of it. 2. Do not get depressed as I read in your description. Meet people and enjoy yourself out in the environment. 3. The sleeping position is needed to be changed. Just sleep in a straight posture without a pillow. 4. For dryness, drink lots of water every day that will cure dryness and also help you to maintain oral hygiene. Drink water, especially before bed to avoid dehydration. 5. For receding gums, I suggest you visit a dentist and consult them to treat them. It is a general condition of gums that happens when we do not maintain oral hygiene. There is no chance of cancer until and unless you are a heavy smoker and drinker and have other bad habits. 6. You are not suffering from anything like HPV. You are fit; need some more oral care and other attention. 7. To correct your teeth, ask the dentist to fix them, and if there is need of replacement, then it is better you replace some teeth if suggested. 8. Do not overthink. It is just a normal condition that happens when we don't maintain oral hygiene. And the tongue and cheek bites will be Cured with drinking Water, eating spicy food and drinks. Eat and drink cold will help you a lot. 9. The teeth are not coming down; it just feels when we wake up. I hope you get almost all your answers.od, avoid extreme hot food and drinks. Eat and drink cold will help you a lot." + }, + { + "id": 17417, + "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": 30906, + "tgt": "Why do I feel sudden chest discomfort and breathlessness?", + "src": "Patient: Hi doctor, I am a girl of 20. My height is 167 cm and weight is 75 kg. Over the past one week, I am having high discomfort and pain in my right chest when I breathe. The pain radiates to the right shoulder and right arm too. When I sneeze or blow my nose up, the pain is severe. I cannot explain this as a sharp pain, but there is a high discomfort. I fear of taking long breaths and so I take short breaths. If I do some physical activity, then this starts hurting me a lot. I become so tired and I wanted to take a short nap to recover. When I climb the staircase or if I talk continuously, then I keep panting for a while or feel short of breath. I do not feel the pain when I touch. I do not remember doing any heavy physical activity as a cause for this pain. Initially, I thought this would be a gastric problem, but my bowel movements are all as usual. Actually, for the past seven months, I have been having frequent throat infections, which resulted in bronchitis every time. I suffered with wheezing too during bronchitis. I have had breathing problems when my wheezing was severe. At those times, I used to have pain in my left chest. We took a chest x-ray, which was normal.\u00a0Last bronchitis appeared 15 days ago.\u00a0Now, I am in homeopathy treatment as too much of antibiotics made me sick.\u00a0I wanted to know the reason for this sudden discomfort in my chest.\u00a0Please give me some advice on the same. Doctor: Hi. 1. Aspergillosis. 2. Pleural effusion. 3. Sequelae of some disease which have been resolved. 4. Bronchiectasis. Chest x-ray, ECG, HRCT thorax and CBC. Keep away from dust. Revert back with the reports to a pulmonologist online.---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 8067, + "tgt": "Kindly view my MRI report and explain", + "src": "Patient: Hello doctor,My MRI cervical report impression is mild posterior protrusions from C3-4 to C5-6 levels causing indentation of the thecal sac. I am 32-year-old and a desk worker, need to sit 8 to 10 hours on the computer every day. I am suffering from neck pain, stiffness in the neck, and stress. Please suggest me whether daily exercise will help, does the above condition will heal or not. Please help. Doctor: Hello. It is an early change in cervical spondylosis. Kindly follow following instructions. 1) Change the working habit, and prolonged chair sitting as it cause misalignment of the cervical region leads to decrease mobility, either take a break in every two hours for 10 minutes. 2) Can do neck physiotherapy slowly flexion and extension. 3) Apply cervical collar if you are working prolong. 4) Check your vitamin D level and go for tablet Shelcal D one tablet for four weeks. You can prevent progression. At present, you have no risk. Connect me if any questions." + }, + { + "id": 9275, + "tgt": "I am suffering from dry skin, hair loss, dandruff and scalp discharge. What does it indicate?", + "src": "Patient: Hello doctor, I have a question about scalp issues and hair loss. I am 17 years old, pretty thin, have celiac. I had dry skin on my face for a while but about nine months ago I immediately started to lose hair, experience uncontrollable dandruff, and my skin became dryer than ever. My individual hairs became thinner (especially towards the roots), dryer, and started to fall out consistently from everywhere on my head except for a small area above my neck. Then came excruciating itchiness and my scalp started to produce a oil with a unpleasant musty smell. Recently, I started to lose more hair in my sideburns and temples but still experience hairloss all over my scalp (I have not had a receding hairline though). Also, in addition to dandruff, my scalp has these strange small yellow substances that are the size of dandruff but don't really resemble it. The hairs that fall out have small, yellow, oily clumps of something toward the roots and I have also gotten several polyester-like thin spirally hairs. Acne has also been bad (even when I've been off sugar, fruits, and grains) and often spreads into my scalp. There is no distinct occurrences of hair loss on my dad's side of the family. My mother's father still has a full head of hair. The only two people who have experienced hairloss in my family are my mother's two brothers. My shower water is iron-rich wellwater and often smells bad gives the skin on my face a burning sensation (even when we use a salt filter). I have had some thyroid issues but I don't think they are severe enough to cause my hairloss. Does anyone know what could be causing my symptoms? Doctor: Hi Scott 1. Diet has nothing to do with acne so keep taking fruits and other stuff. 2. Thyroidal abnormalitis are among the most common causes of Alopecia so don't underestimate it even when it looks very small. 3. Genetics do play a role in cases of androgenic alopecia but not solely responsible so no need to compare your hair fall with other family members 4.you are probably suffering from seborrheic capitis and androgenic alopecia but for making the diagnosis and providing you the proper treatment according to the grade I need to see the photographs so please send the one. . Regards" + }, + { + "id": 19111, + "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": 502, + "tgt": "I have depression with restless leg syndrome and dissociation. Please help", + "src": "Patient: Hello doctor, I am a 19-year-old college student. I have been diagnosed with depression two years ago and I have been taking Sertraline ever since. My mental health is a mess right now. I think I have restless leg syndrome and I always have the urge to move my feet and legs especially when I am lying down. Also, I have been dissociating, every once in a while, real life feels like a dream and I sometimes cannot recognize my own face in the mirror. But here is what really bothers me, the intrusive thought of death that cannot leave me at all. I close my eyes and see horrible images and think about death and visualize my loved ones dying. I have also been having recurring nightmares, almost daily, really disturbing, and often death. I also tend to worry a lot about my loved ones and always feel the need to check up on them. It became like an obsession and I fear losing control and losing stuff. I have a lot of doubt about my spiritual and religious life. In total, I am really anxious and distressed. I now have heavy heartache feeling and I tend to clench my jaws and fists. I also suffer from a restless sleep. Please help. Doctor: Hi. I have gone through your concern and it seems that you have an obsession and your restless leg can be due to iron deficiency or it may be due to Sertraline. So check out your hemoglobin, and complete blood count to rule out iron deficiency anemia. Restless leg can be managed by adding Pramipexole or Gabapentin tablet. You did not mention about the doses of Sertraline, if required its dose can be up or downed to manage depression. Avoid coffee or tea. Maintain a diary of your symptoms. Do regular exercise. Take a healthy diet. I hope this helps." + }, + { + "id": 18989, + "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": 3752, + "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": 18218, + "tgt": "What is GeneXpert test?", + "src": "Patient: Hi doctor, Is there any MDR-TB test for formalin based tissue? I had biopsy, but they dipped it in formalin. Now I asked for another biopsy for GeneXpert test. What to do? Doctor: Hi. For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 4553, + "tgt": "What does supravermian arachnoid cyst in MRI brain suggest?", + "src": "Patient: Hello doctor, I have a headache, back and right chest pain, nausea, vision blur, and dizzy. MRI brain suggest supravermian archanoid cyst (2.2 x 1.6 cm). MRI spine suggest straightening of the cervical spine, scoliosis of the upper dorsal spine, decreased L4-L5 disc space with mild vertebral waist probably congenital, right posterior lateral osteophytosis at the L4 and L5 level causing right neural foraminal narrowing. Please suggest. Doctor: Hello, Welcome to icliniq.com. It is fine about the report. Please explain the symptoms that you are suffering from. Then I will explain about the report." + }, + { + "id": 15249, + "tgt": "Is my blood test report normal?", + "src": "Patient: Hi doctor, I need a doctor to review this blood work that I received. I have had chronic sinus infections. Currently, I am taking Doxycycline 100 mg, twice a day for three weeks, for an upper respiratory infection. I am now on my second week of antibiotics. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Overall, it is fine with some abnormalities. Firstly, your potassium is high which is likely a false positive report due to hemolysis of RBC. So, nothing to worry about it. However, better to get reconfirmed. Next is your, SGOT and SGPT, which indicates liver injury and the most probable reason for such mild elevation is fatty liver, for which you need to have a healthy lifestyle, low fat and oily, calorie diet and weight loss if you are overweight. Also, ultrasound of liver is advisable to confirm fatty liver. Also, it is better to obtain hepatitis viral profile (hepatitis B and C test) to rule out the possibility of hepatitis. Next is your WBC in urine which are borderlinely elevated suggests a possibility of UTI. Although it is not significantly elevated. Also, Doxycycline will work over it. So, you may just repeat urine routine examination if you develop any symptoms of UTI like burning, increased frequency, etc. Mild ESR (erythrocyte sedimentation rate) elevation may be due to upper respiratory infection. Rest of your blood parameters are fine and figures in red are not necessarily abnormal. In the CT scan, cysts are associated with sinusitis and can be observed. Also, lung nodules and ovarian cyst are also commonly found and need no specific treatment other than observation. Also, while obtaining an ultrasound of the liver, it should also include ovaries to characterize those cyst better. So, overall, findings in CT are benign and does not appear worrisome. However, once get examined by a local doctor for complete evaluation." + }, + { + "id": 17702, + "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": 15356, + "tgt": "What could be the reason for my frequent small amount of urination?", + "src": "Patient: Hello doctor, I literally have to go to the bathroom all the time (pee urine). Everything else with my body is in excellent shape. Like every 15 to 30 minutes, I am going to pee and a lot does not come out compared to others of my age I have noticed. I usually have to get up in middle of night to go too. I am 21 years old, 5'7\" and 140 lb. Is it just because I am not that big so I have a smaller bladder or if I do not drink water for a while I will last hours without having to go. My urine is never dark or smells nasty either. Doctor: Hello. From the symptoms detailed it seems you have polyuria that is frequent peeing, and nocturia that is the need to urinate twice or more during the night. How long have you been facing the aforementioned symptoms? Increased volume each time you pee? Do you have any urgency? Bladder discomfort? Pain in the abdomen in the suprapubic area? Inability to postpone urine? Leakage of urine? Anxiety? Increased thirst? Increased appetite? Frequent consumption of caffeine, tea, nicotine? If yes, it may be an overactive bladder. It also happens in urinary tract Infection and needs to be ruled out by CUE (clinical urine test) that is by giving a urine sample for microscopy. Rule out diabetes by checking blood sugars. Only after ruling out other causes, you can be assured it is due to overactive bladder. You can do the following. Bladder training exercise, capping down the consumption of fluids particularly before you go to bed, complete evacuation of the bladder, decrease tea, coffee, and boozing." + }, + { + "id": 22696, + "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": 5237, + "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": 10913, + "tgt": "How can I cure tinnitus developed after using nasal spray?", + "src": "Patient: Hello doctor, I have developed tinnitus after using a nasal spray Sudafed, please assist. Not on any medication, hearing is fine. I was suffering slightly with dizziness prior to the tinnitus four months back which had cleared by then. Doctor: Hi. I just went through the complaints that you been having. This sounds like peripheral vertigo and this is how people usually present with. The treatment management part, take a tablet called Betahistine 16 milligrams twice daily for three days followed by once a day for three days and stop. Drink plenty of water just to prevent dehydration as dehydration sometimes worsen this tinnitus and giddiness. If you still continue to have the symptoms or the symptoms persist, I want you to consult with an ENT specialist and if you still have any queries please feel free to contact me." + }, + { + "id": 20534, + "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": 1962, + "tgt": "My antibiotic course for bursted sebaceous cyst is over. What should I do next?", + "src": "Patient: Hello doctor, My infected sebaceous cyst has burst 10 days back and daily dressing is being done by professional. I was on antibiotics but the course is over. What should I do next? I do not want to go to the hospital and get the surgery done. Since more than ten years two cyst was there and of late it merged into one. May be in the second week of last month, I started getting an itching sensation and the place becoming red and after a few days it burst. Since then regularly it is being dressed with the removal of pus. It has created a deep hole. Please help. Doctor: Hello. Do not worry, I will solve your problem. Wound healing is a very common problem in diabetic and hypertensive patients. Even when they are controlled I will advise you treatment with some basic precautions and investigations. Check your blood sugar levels regularly. Pus is still present so the antibiotic course is required for further five days. I will advise you some dressing spray to heal early. Wound dressing with removal of pus and black margin is essential every day. HBA1c (glycated hemoglobin). Ruptured cyst. Tab Zifi (Cefixime) 200 mg BD for five days, Chymoral plus (Trypsin-Chymotrypsin) BD for three days, Limcee OD for 10 days, capsuke A to Z OD for 10 days. Dressing With Oxum spray and Megaheal ointment." + }, + { + "id": 22593, + "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": 14872, + "tgt": "Suggest me medicines to control alcohol drinking", + "src": "Patient: Hi doctor, My father drinks alcohol heavily every day and behaves very rashly at home. Please suggest some tablets to control alcohol drinking. Doctor: Hi. I have some questions. How old is your dad? How heavy is his drinking? How long has he been drinking? To quit alcohol, the person has to firmly decide to do it. He should join an alcoholic recovery group. To reduce cravings, I suggest medications such as Acamprosate or Naltrexone. We can also try using Antabuse Disulfiram to make it unpleasant for him to drink. Most alcoholics are depressed and should be concomitantly given antidepressants." + }, + { + "id": 8996, + "tgt": "My hbA1c is 7. 3 and morning glucose level is always high. What to do?", + "src": "Patient: Hello doctor, My HbA1c ie average blood sugar level of the last three months is 7.3. I am taking Janumet 500 mg twice daily, but recently my morning blood sugar level in empty stomach is always 140 or more. Why? Doctor: Hello. Your present values are a little high. Let us make two changes. 1. Please make tablet Janumet 50/1000 mg (Sitagliptin and Metformin) twice a day. 2. Add tablet Empagliflozin 25 mg once a day before breakfast. Recheck your fasting and postprandial after 15 days and let me know. Add some antacid tablet if you feel bloating or gaseous distension. Please consult your treating doctor, discuss the suggestion and take the treatment with consent." + }, + { + "id": 17802, + "tgt": "Can hypothyroidism cause joint pain, shivering and fever?", + "src": "Patient: Hi doctor, I am 30 years old. My weight is 60 kg and height is 5'10\". Three months before, I was diagnosed with hypothyroidism. Also,\u00a0I am suffering from joint pain, shivering and fever. For this condition doctor advised me to take Thyrox 50 mcg, Thyrox 100 mcg for 10 days and Thyrox 125 mcg for next two months. Also, I had serum TSH and the result indicates that I have serum TSH 11.8, but after three months TSH came to 0.02. So, the doctor suspected overdose and reduced it to 100 mcg. But, I thought 100 mcg is also too much to me. So, I am taking 50 mcg for the last three to four days. Please suggest me. Doctor: Hi. Revert back with the test reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 11136, + "tgt": "Kindly comment on my paleo diet reports", + "src": "Patient: Hi doctor, I have been following paleo diet for the past 20 days. I have attached my reports here for your reference. Kindly review my report and let me know your feedback. Doctor: Hi. For further doubts consult a Paleo Diet Specialist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist/paleo-diet" + }, + { + "id": 23375, + "tgt": "I am having itching in clitoris and inflamed lips on labia. Is it an STD?", + "src": "Patient: Hello doctor,Yesterday, I had some really bad itching in my clitoris. Today I woke up with inflamed lips on labia and more discharge than usual. Please help me my vagina is sore and I am only 18 years old. I do not want to tell my parents that I have been sexually active. I do not know if it is a STD or not. Doctor: Hello. It could be sexually transmitted disease. Have one vaginal swab to check in the laboratory to exactly know the organism of infection. Have a strict hygiene. Wear soft comfortable undergarments. Use condoms to prevent transmission of infection. After collection of vaginal swab start tablet Doxycycline 100 mg 12 hourly and table Metronidazole 400 mg eight hourly for seven days. Follow result of swab and discuss here or with a local gynecologist. Sit in warm water to reduce irritation. You can have tablet Postan (Mefenamic acid) for pain eight hourly. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11428, + "tgt": "Why should not I use Hh Zole cream for long term?", + "src": "Patient: Hello doctor, I have fungal infection in groins and underarms. My doctor suggested me to use Hh Zole and Clocip. After using Hh Zole cream alone I got better result. But, my doctor suggested me to continue with Clocip cream. Why should not I continue with Hh Zole? 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": 6247, + "tgt": "Patient is 89 years old with COPD. Is Hydromorphone a recommended analgesic?", + "src": "Patient: Hello doctor, Patient is 89 years old and unable to take medications orally. Patient has COPD (with a pacemaker), CCF, had two TIA's a few years ago and is type 2 diabetic, has delirium, and is in pain. Patient is on iv antibiotics, and diuretic. 1) Is it typical not to use Hydromorphone (or alternative analgesia) for pain if a patient is on antibiotics for suspected sepsis and probable pneumonia, on the ground that the Hydromorphone could mask the symptoms of the patients recovery or decline? 2) Is some other analgesia is less likely to disguise such symptoms? Doctor: Hello. It is not advisable to withhold pain medication while the patient is on multiple antibiotics for the treatment of sepsis. As the patient is suffering from COPD (chronic obstructive pulmonary disease), the use of Hydrocodone is not advisable as it causes respiratory depression in an already compromised patient, but the patient should be prescribed alternative analgesia due to the following reasons. First, it is inhuman to allow suffering due to pain. Secondly, pain itself is a cause to maintain the delirium and prevents recovery from it. Thirdly, the recovery from sepsis can be determined by clinical examination and routine blood count. I agree that Hydrocodone can mask the symptoms but there are other pain medications which is safe and can be used in patients. Even simple iv infusion of Paracetamol can be used for pain relief, and it also works as an anti-inflammatory agent. I hope this helps." + }, + { + "id": 9608, + "tgt": "I am suffering from pressure, pain and tightness in my head and forehead. Why does it last so long?", + "src": "Patient: Hello doctor, I am having pressure, pain, and tightness in the right side of my head and forehead. And I have numbness in my right leg (lower leg). I am having this kind of right side headache and pressure with dizziness some time. I do not have any double vision or vomiting. No fever and not any other symptoms. Mainly the pain is around my right eye, my ear numbness, and top of my ear pressure. My right side leg gets numbed most of the time. No difficulty with balancing, walking, and vision. Scaring thing is this is happening for me for almost a month. Right now, I am on migraine medicine. But I am scared that I might have a brain tumor or a stroke. Do you think any of those apply to me? I am very stressed and scared now. My head pressure and right side leg numbness are not getting cured. I work overnight, and because of this stress, I even cannot sleep. Can headache or pressure go this long? Please explain to me in detail about the treatment plan. What are the primary symptoms of a brain tumor that a person experiences? And what is a stroke? Doctor: Hello. Right-sided headache or any unilateral headache moderate to severe accompanied with or without photophobia, eye-watering, nausea, etc. are typical of migraine. Numbness of the affected side may be due to migraine, or it could be a neurological problem. What concerns me is the leg numbness as well. Do you feel like your right or left leg feels weak? And the numbness, is it very obvious like you cannot feel your finger on the leg? Also, do you have other symptoms like dizziness or fainting spells? Have you ever had high blood pressure, or does anyone among your parents have high blood pressure? If yes to any of the above questions, I would suggest you get a CT scan of the head done as soon as possible to rule out anything serious like stroke or transient ischaemic attacks. Also please get an ECG done. It is essential to diagnose the condition before moving on to treatment. Please let me know so I can help you further. I hope this helps." + }, + { + "id": 11637, + "tgt": "I remember my old days as a dream instead of a clear memory. Why?", + "src": "Patient: Hello doctor, I believe I have dissociative amnesia. I am unable to recall memories until the age of 13. Every now and then I remember a spotty memory but it is never concrete and when I do remember something, in my mind it seems like a dream instead of a clear memory. What could I do with this? Doctor: Hello. Memory is the most surprising thing. You remember some events so vividly while others wash out as if they never happened. The retention of things depends on our concentration and attention at that particular time, and the wish to remember it. We all forget most of our childhood memories only a few remain fresh in our conscious. Again individual variations present, but one thing I can tell you this forgetfulness is unlikely to be dissociative amnesia. Dissociative amnesia is usually followed by a stressful, traumatic event in which our mind subconsciously want to avoid. In the absence of stressor, it often does not occur. So if you have some really bad childhood memories, you may have dissociative amnesia. A detailed assessment of yours would be required for dealing with it and appropriate treatment requires some therapy sessions." + }, + { + "id": 1837, + "tgt": "Can you please answer my questions regarding IUD, HPV, and BV?", + "src": "Patient: Hello! I am a 20 year old female. I have a few questions regarding my IUD,HPV, and BV. The itch around the genital area I had first last year, and it went away and came back three days ago. The OB said I was spotting (I recently got my IUD when I visited the OB) 1. I got my copper IUD last year, and have been experiencing \u201cspotting\u201d since. It\u2019s not everyday but it happens before and after my heavy periods. Is this normal? 2. I have been to the OB before that too and they told me I have genital warts inside my vagina. I plan on just letting it go away since there seems to be no other option. I\u2019m concerned if the IUD will make the HPV worse? 3. At the same visit, I took a pap smear and results came back positive for BV-like flora. I went undiagnosed. Will my BV go away on its own? I don\u2019t have symptoms like grey discharge or fishy odor so I\u2019m not that worried. 4. The reason why I went to the OB last time was because I was itching like crazy down there. My discharge was like cottage cheese. It went away for a while but just just now, I checked for the string to my IUD and my finger came out with some cottage-cheese like substance. Do I have a yeast infection? Been itching for a few days too. Doctor: Hi, I understand that your IUD and the vaginal infection is troubling you. Regarding the IUD,it's normal to have spotting after putting it in for some time.I assume you are having regular periods .If so wait for a month as your bleeding is not heavy.If it does not normalise,then it's wise to see a gynaecologist who will need to check u to see if the position of the IUD is normal 2.Regarding the BV,it would be wise to treat it at the earliest as even if u don't have symptoms now ,later it can cause issues. 3.Regarding the HPV,once your BV is treated it would be good to consider taking HPV vaccines (if u r not already vaccinated)" + }, + { + "id": 25174, + "tgt": "I feel more nauseous than usual during my period. Why?", + "src": "Patient: Hello doctor, My symptoms started last night. Got my period yesterday afternoon. I feel more nauseous than usual during my period. I am also feeling woozy and when I walk it is a little unbalanced because of the wooziness. Also, my stomach is a bit upset and I have been burping more than usual. Last night when I burped it felt like I was going to throw up and had that aftertaste as if I did. Feel like I just wanna throw up. My poop has been very loose and sometimes more like diarrhea as of the past week. Also, my blood pressure has been a little high with a fast heartbeat when I overdo myself. It is important to note that I am a type 2 diabetic and have acid reflux. I am currently on Metformin and Ranitidine. If you can give me some answers I would truly be appreciative. Not feeling so hot. Thank you. Doctor: Hello. I understand all your concerns. You have irritable bowel which sometimes comes with the period because of the stress and pain you have. Symptoms of irritable bowel include: bloating, burping, loose stools, and these symptoms relieve partially after defecation. The condition is transient and will improve within few days. These symptoms may be aggravated by the type of food you eat. So, I recommend a light homemade diet for the next few days. Also, blood sugar levels need to be checked as elevated blood sugar may develop similar symptoms. I suggest: Please provide me with your last blood pressure readings in order to make a better judgment on that. For further advice, please do not hesitate to follow up. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20739, + "tgt": "Why do I have a bad taste in my mouth after scaling?", + "src": "Patient: Hi doctor, I had a dental examination and scaling done last week. After that, I had a very bad bitter or metallic taste in my mouth when I eat or drink along with a stinging sensation on my tongue. I also had sensitivity in my teeth. The only difference during this visit was an ultrasonic scaler was used, instead of manual scaling. I had never undergone scaling with an ultrasonic scaler before. The scaling was extremely uncomfortable. I had a bad taste in my mouth after scaling. But, it got worsened later in the evening when I tried to eat. Could this procedure have caused some nerve damage? Please help me. The next day, I also had a headache and felt nauseous after scaling. The bad taste, stinging sensation of the tongue and tooth sensitivity has got worsened badly. I have never experienced these problems after a scaling and a dental examination. I do not have any amalgam fillings. I have a history of sinus infections and TMJ pain. Doctor: Hi. Because of the irritation and vibrations of the ultrasonic scalers, sometimes, the salivary glands become hyperactive and secrete bicarbonate to counteract any acidic ion present in the mouth. Till now, you will be apprehensive. You can feel it. Do not get panic. Nerve damages never happen with scaling. In case, if you are taking fruits or drinks during the night, avoid it for two to three days. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18635, + "tgt": "After taking I-pill, how to confirm that I am not pregnant?", + "src": "Patient: Hi doctor, I had unprotected sex with my fiance. However, I was close to my periods and he had not ejaculated inside me. But, to stay on the safer side, I had taken I-pill after 24 hours. Will I get pregnant? Doctor: Hello. If you have taken I-pill within 72 hours of unprotected intercourse, then you are likely to remain safe. The success rate of the I-pill is 99.5% if taken within 24 hours. So, you should expect a withdrawal bleed within the next five to seven days and once the bleeding starts that shall indirectly confirm that you are not pregnant. You are required to be patient now and wait for your menstrual withdrawal. As you are already in the last week of your cycle, the chances of pregnancy are low and to add you have further covered it up with an I-pill. So, your chances of conception are negligible. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30448, + "tgt": "What is the treatment for stomach pain and diarrhea?", + "src": "Patient: Hi doctor, For around two weeks, I have had sharp excruciating pain in my stomach and diarrhea. I cannot\u00a0hold my food down and the frequency of pain is constant. I have diarrhea for every 30 to 60 minutes. I also have sharp pains in my kidney area. My current medication includes Omeprazole 40 mg, Bupropion HCl 75 mg twice daily and Meloxicam 15 mg. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26478, + "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": 10830, + "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": 22312, + "tgt": "I weigh only 50 kg. What should I do to gain weight?", + "src": "Patient: Hello doctor, I am a 23 year old guy with a height of 170 cm but my weight is only 50 kg. How can I gain weight? The major issue is that I cannot eat properly even if I feel hungry. What should I do to get rid of this underweight problem? Doctor: Hello. First of all, it is important to rule out any specific cause for not gaining weight like thyroid problems with serum TSH (thyroid-stimulating hormone) estimation. For gaining weight, you can take protein-rich foods and simultaneously gym also can be joined to build up muscles. With active muscle exercise, muscle hypertrophy occurs and your weight will gain. Try to maintain your BMI (body mass index) between 20 to 25. If your BMI remains within this limit, then no need to worry. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22654, + "tgt": "I witnessed pinworms in stool of 6 months old baby. What has to be done?", + "src": "Patient: Hello doctor,I witnessed pinworms in my baby's stool at night before she sleeps. I examined the anus and found out eggs via the sticky tape test. She is 6 months old. Can you suggest the name and dosage of medicine that will be safe for her? Doctor: Hi. It is due to worm infestation and the name is Enterobipus vermicularis. Advice is as follows: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25886, + "tgt": "What precautions should I take for bad allergies to dust and pollen?", + "src": "Patient: Hello doctor, After many years of sneezing and congested nostrils, a visit to my general doctor resulted in me being tested and told that I have very bad allergies to dust, pollen and other small allergens. After many antihistamines and masks trying to solve the problem, nothing has seemed to work. I only have discomfort within my house. I am completely fine outside in all weather. Would the use of a humidifier and air purifier together help my situation? Doctor: Hello. It seems you have triggers in your living place. Try to identify the triggers. Here, the probable cause may be dust and pollen Change the bed covers once in two days and clean the windows frequently. Avoid cool foods and avoid frequent head baths. These little things will help you lot to avoid allergies. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 4866, + "tgt": "What causes tinnitus with ear pain after waking up?", + "src": "Patient: Hello doctor, Only when I wake up, I feel ear ache/pain, also pressure in my left ear, it only happens when I have been sleeping on the left ear. The ear ache/pain lingers for 5 minutes or so and fades away. It started 4 months ago, but seemed to go away for 1 month, but now I have had it again for the last 3 days. I did try and used some Cortisone cream in the ear canal before the pain went away last time, but not sure if this was just a coincidence. My doctor has examined the ear and said it looks normal, with no middle ear infection. Doctor: Hi. It is a rare case which I saw few times. It is caused by warming the auricle while sleeping on it. Use Corticosteroid and antibiotic cream when needed. Do not apply water for your ear during the time of pain." + }, + { + "id": 9388, + "tgt": "Is increase in neutrophils common during pregnancy?", + "src": "Patient: Hello doctor, My wife is in her 31st week of pregnancy with neutrophils at 77.3% and lymphocytes at 11.6% which is low. Again RBC, PCV and platelet count is also low. I am really worried what can be the reason. Doctor: Hello. These are likely physiological, normal changes which occur during pregnancy. There is an increase in neutrophils and relative fall in lymphocytes. Also, there is mild fall in platelet count and hemoglobin. Only low hemoglobin is treated with iron supplements during pregnancy, which I guess she must be receiving. Other parameters do not need any treatment if she is not having any unusual symptoms like fever and it settles after pregnancy. Get her examined by a local doctor once, if not visited yet. Also, it is better if you can upload her full hemogram report and also previous reports if available for comparison. Overall, she does not appear to be a matter of worry to me. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2521, + "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": 6794, + "tgt": "I used to masturbate in plastic bags. Am I at risk of getting cancer?", + "src": "Patient: Hi doctor, I used to masturbate from my younger age, and for many years I used to do it in plastic bags (about 51 microns), as I purchase from the market as a packet. Mostly my masturbation periods are from three weeks, two weeks and sometimes one week. Mostly, I do thrice in a month. But for doing masturbation, I wear plastic kit for around half an hour, sometimes 45 minutes. After that, I wash the penis and testicles with soap twice in cold water. And I am mostly addicted to plastic cover masturbation, but I am really afraid that it may cause cancer or it may have already affected. As of now, I do not feel anything bad. But I really need a suggestion. Please help. Doctor: Hello. I have learned about your concern about plastic use in masturbation. Plastics are made full of chemicals. Some chemical leaches when they are heated or scratched. There are some reports that regular exposure to the plastic chemical may cause carcinoma but mainly by plastic wrapped food and inhalation. Chemical exposure to skin may cause carcinoma. But only plastic exposure may very rarely cause carcinoma. You told that exposure is only 3 to 4 times per month. So, virtually there is no chance to develop cancer. So no need to be worried. But regular exposure to plastic may cause skin damage or dermatitis. So I suggest avoiding plastic." + }, + { + "id": 7021, + "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": 3744, + "tgt": "Can addiction to porn movies and masturbation cause early ejection?", + "src": "Patient: Hi doctor, I am 25 years old and a virgin. I used to watch too much porn movies two to three years back because of issues in personal life. I had watched it before that also but once or twice a week. After my breakup, I was totally depressed and shattered. A friend of mine deliberately forced me to watch porn movies to come out of depression. After that, I got addicted to it. Now the problem is I have a small penis and whenever I masturbate, I ejaculate very soon (say four minutes) and pain rises in my back tailbone as if the inner nerves are stretched too much. It seems like I cannot be in the field of encounter for a long time. What should I do? Please help. Doctor: Hi. You are contributing porn watching and masturbation to your back pain. Masturbation is a healthy way of satisfying your sexual desires and you can masturbate weekly twice or thrice. Anything in excess is not good. It will not affect your sex life or general health. By watching porn continuously and masturbating daily is common in your age. It will not cause any serious damage except early ejaculation. That is because you have trained yourself and your penis to ejaculate early. Lot of constructive time was wasted in this. You can divert your mind by concentrating in your studies or professional career. Also, learn yoga and meditation which will help your back ache and assist you to concentrate on useful activities. You can watch porn for five to ten minutes and masturbate weekly twice or thrice, but train yourself to ejaculate late by delaying stroking. For your back pain, consult an ortho doctor." + }, + { + "id": 7351, + "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": 3949, + "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": 11360, + "tgt": "My transferrin saturation, and iron levels are low but hemoglobin is fine. What should I do?", + "src": "Patient: Hello doctor, I have psoriasis for a long time for which I have been taking Methotrexate. Last week I got my iron studies and blood test done. My transferrin saturation, and total iron levels are low but hemoglobin is fine. Kindly advice. Doctor: Hello. Your transferrin saturation and iron level are mildly decreased, and your hemoglobin level is normal. So you do not have iron deficiency anemia, but it can be an early sign of iron deficiency. You need to investigate with serum ferritin level because that indicates iron storage level. You need to take iron-rich foods like red meat, beans, pumpkin seeds, and green leafy vegetables, etc. There is no need for taking an iron tablet as hemoglobin level is within the limit. I hope this will help you. Let me know if I can assist you further." + }, + { + "id": 13086, + "tgt": "Is there any way to correct receding gum line?", + "src": "Patient: Hi doctor, I have been experiencing a receding gum line and decaying teeth in my front two bottom teeth. I am desperately afraid of the dentist. I am also scared of losing the affected teeth. I need to know how to proceed with my treatment. Is there a way to make it better? I am currently on birth control pill. Doctor: Hi. I checked your given picture (attachment removed to protect patient identity). Unfortunately, there is nothing better you can do but visit a dentist and get scaling or cleaning of this hard plaque and tartar done as soon as possible. It was a plaque that gets hardened, turned into tartar and started pushing gums down the neck of the tooth, and this will eventually cause loosening of teeth. So, it is better to get it cleaned. Better to be safe than sorry. You can do saline water mouth rinses for arresting of gum recession till you get an appointment of the dentist. (Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its gargles for 2 to 3 minutes). Stay happy and blessed. Take care." + }, + { + "id": 17251, + "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": 28818, + "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": 8509, + "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": 11879, + "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": 1940, + "tgt": "What is the possibility of muscle twitch for a long period without any related symptoms to be ALS?", + "src": "Patient: Hello doctor, I was smoking weed for almost six years daily. Last July, I stopped, and then I started to have panic attacks with heart palpitation. I went to a cardiologist and everything was fine. But since then I became so anxious and I was aware of everything going on in my body. After that, I started to notice muscle twitching, in every muscle. At first, I thought it was a heart issue but after seeing three cardiologists the results were the same, my heart is fine. Then of course, I Googled it and I see some scary diseases like ALS. I went to a neurologist who, after some questions and examination said that it was due to an anxiety issue. To be sure he sent me to an institute specializing in the detection of neuromuscular disease, a neurophysiologist did a clinical examination (strength, reflex) and an EMG, and no abnormalities was showed, it were before three months. A month later, as my twitching was still going on, I went to another neurophysiologist, he did another EMG and again everything was normal. My neurologist said that it is impossible its ALS because muscle twitching for nearly eight months without any weakness. And I started to have so tingling and buzzing sensation. Again my neurologist said that it is very common with an anxiety disorder like mine. I started to take pills and to see a therapist for one month. I have to say that twitching is way better when my anxiety is low but sometimes it came back strong. I am so worried about ALS. My questions are: is EMG test reliable? Is it true that usually fasciculations come after or along with the weakness in ALS? Fasciculation for eight months without any weakness does rule out ALS? Does ALS cause pain? Doctor: Hi. I understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. Coming to your specific questions: Yes, fasciculations and weakness in ALS (amyotrophic lateral sclerosis) come together, actually, weakness comes first and fasciculations are generally unnoticed by patients, they are usually revealed upon asking or found by EMG (electromyography). EMG is reliable and diagnostic for ALS. Fasciculations without weakness ruled out ALS, eight months are a long duration for ALS, if it would have been ALS, it would have progressed to much extent. And ALS is painless, it is motor neuron disease, so the sensory system is perfectly normal. I would suggest you to try one tablet called Carnisure plus (contains Levocarnitin 500 mg and Methylcobalamin 1500 microgram). It is a vitamin for muscle and nerves, you can take it in the night daily for a few weeks and see the effect. Avoid coffee and other stimulants." + }, + { + "id": 987, + "tgt": "I have stomach disturbance along with pop sound in legs and knee joints. Please help", + "src": "Patient: Hello doctor, I am 36 years old. I am a vegetarian. Before three years due to stomach disturbance, yellowish urine, pain and some popup and cracker sound in my legs and knee joints. I visited a doctor and he suggest me for liver function test and all reports in normal range except for sugar which was 138 mg/dL at that time, he gave some medicines and referred to an orthopedic for joint pain. I visited an ortho specialist and he took an x-ray of both leg knees and tell that it is an early stage of osteoarthritis of knee and suggest for MRI. I had done an MRI and in the report it is mentioned that the left knee has affected with osteoarthritis. After that he give some medicines for 10 days and refers to a physiotherapist for exercise and weight loss. I have visited as he told and I reduced my weight and now there is very little pain remain in my left knee. But now my other joints, hips joints, both hand knee has popup sound when movement including neck, jaws, all have some very mild cracking and popping sound, as there is no pain, but as it seems to be taken care of in the next few years, so I prefer to consult a specialist like ortho and gastro doctors. Still I did not found any reason behind my current health situation, still, I have yellowish urine. Kindly interpret all the reports. Doctor: Hello. Well I have gone through your history. I would like to ask you a few more questions to confirm the probable diagnosis. Do you experience a lot of fatigue? Is the sleep pattern normal or is it disturbed? Any feelings of tiredness in the mornings after sleep also? Any history of recent irritability, forgetfulness? When you say stomach complaints does it mean loose stools or increased frequency of stools or constipation? Any history of weight loss? I have gone through your reports (attachment removed to protect patient identity). Most of them seem to be normal except for mild ANA positive. You are right that it all looks connected and we need to reach the diagnosis, as management gets easier then." + }, + { + "id": 3575, + "tgt": "My wife keeps coughing at midnight. What is the reason?", + "src": "Patient: Hi doctor, My wife keeps coughing at midnight and has breathing problem sometimes. So, doctor suggested an x-ray. I am attaching the report here for your reference. I tried searching information online and got some details, but want to know the exact cause, stage and treatment. So, please guide me. Thank you. Doctor: Hello. It would be very helpful if you would share how long she has the symptoms of cough. Also, did she have any associated symptoms like fever, body ache? Did they bring up phlegm? Is there any history of weight loss or change in appetite? I assume that your symptoms were less than a week and this may well represent acute bronchitis. It can be viral or bacterial. Keeping in mind the current viral season (influenza), it is most likely viral in origin. But, I can be more certain if you would kindly answer the questions above. Revert back with the asked answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14371, + "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": 15339, + "tgt": "My mouth stinks very badly. What shall I do?", + "src": "Patient: Hello doctor, My mouth stinks very badly. What shall I do? Doctor: Hi. You must get the cause identified. Treating the root cause will give a permanent solution for bad breath. If the halitosis remains even after the use of mouthwash for two weeks, consult a dentist online for further treatment." + }, + { + "id": 28845, + "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": 26074, + "tgt": "I have not had my periods for more than three months. Why?", + "src": "Patient: Hello doctor, I usually have a regular period cycle of 33 days. But,\u00a0I have not had any period for more than three months. I\u00a0had Primolut-N for 21 days but still no period. Later the doctor gave me Ginnette-35 for 21 days. My last pill was on the 24th. But,\u00a0still\u00a0no periods. Negative HPT.\u00a0Normal thyroid and even my sonography isnormal.\u00a0Why\u00a0am I not getting my period? I am sexually active. Doctor: Hello. You have a hormonal imbalance. On an ultrasound, we need to see the endometrial thickness. If it is more than 7 to 8 mm then only you will have your periods. Is there any history of D and C (dilation and curettage)? As you are sexually active, there are chances that you might have contracted some infection in the endometrium. You are overweight for your height. Weight reduction is a must. We need to do hysteroscopic D and C to look for the endometrium with the naked eyes and take a sample from it and send for HPE (histopathological examination), AFB (acid-fast bacillus), PCR (polymerase chain reaction), culture and sensitivity, apart from urine routine and culture as well as hemogram. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24725, + "tgt": "I have lightheadedness. Is it due to GAD medicines?", + "src": "Patient: Hello doctor, I have chest heaviness and lightheadedness along with muscular spasms. Doctor: Hello. I went through your post. Lightheadedness and feeling of fainting are either due to low blood pressure or an abnormal rhythm of the heart. You will need a BP check and ECG so that any abnormality could be picked up. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27746, + "tgt": "I have low self esteem due to my lazy eye. Please help", + "src": "Patient: Hello doctor, I am a 23 year old female and my concern is that I think I have a lazy eye or I might be cross-eyed. I have attached a few pictures. I have consulted many eye care specialists in the past, and they always say my eyes are fine and that because of the epicanthic fold in my eyes, they appear that way. But, I really struggle with it in my daily life. I do not have the confidence to meet new people or go to new places. I am really sad. Please help. Doctor: Hello. For more information consult an eye care\u00a0ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20950, + "tgt": "I have been experiencing white discharge. What can I do for it?", + "src": "Patient: Hello doctor, I am a 23 year old female. I have been experiencing white discharge per vaginum since the past 10 to 15 days. It started before my periods but was fine during that time but even after my periods continued, it is still there. It is slightly thick, not foul smelling, there is no itching as such, just intermittent discharge throughout the day. I am not sexually active. I can feel episodes of the discharge happening. What can I do for it? Doctor: Hello. I have gone through your history and understand your concerns. Vaginal discharge could be due to fungal or bacterial infection. Hope you found it useful, feel free to ask more information. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25952, + "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": 10060, + "tgt": "Had blisters due to rough masturbation. How would they heal?", + "src": "Patient: Hi doctor, Yesterday night I did some rough masturbation. As a result two blisters appeared today at my penis. I have attached the picture. There is\u00a0no itching and everything is normal except these blisters. How would they heal? Do I have to apply anything on them? Kindly guide. Doctor: Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16026, + "tgt": "There is breathing issue in a cardiac patient. Please help", + "src": "Patient: Hello doctor, My father is 77 years old and suffering some cardiac issues from the last 8 to 10 years. But recently he has faced some tremendous issue and admitted in the nursing home for thrice. He was suffering from a breathing issue. I am sharing all the latest report which I have received from the nursing home. The nursing doctor told me the different issue at a different time. Sometimes they told me there is a major heart failure and sometimes told there is an issue with high sugar (diabetic). Also, they told me that he was suffering from a bacterial infection. I am puzzled with their comments. Could you please help me and suggest an actual issue with my father? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). The likely cause for his shortness of breath is heart failure only. However, the infection, high BP may precipitate this heart failure and leads to accumulation of fluid within lungs and shortness of breath. Also, elevated blood sugar is an incidental finding and will come to know on the blood test and will not cause shortness of breath directly. So, the infection may precipitate heart failure in susceptible patients. So, both infection and heart failure needs to be treated. For infection, he needs to be on antibiotics and for heart failure, he has to be on multiple medications including medicines which will increase urination. So, in the treatment chart which you have attached, the diuretics and beta blockers which are two important medicines in his case are not there, so need to discuss with the local doctor regarding these if not having. Also, antibiotic for infection is not mentioned so discuss regarding this if course is not completed. Next thing, he should have an echo done to look for heart function if not done recently. He needs to have cardiologist consultation for assessment for angiography after his shortness of breath is resolved and an optimization of medicines. So, overall, the treatment he is having is fine but he will need some more medicines for heart failure or ECGabnormalities and will need an echo." + }, + { + "id": 15629, + "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": 4066, + "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": 24475, + "tgt": "I have fever and loose motion. Please suggest what to do", + "src": "Patient: Hello doctor,I am suffering from fever and loose motion for the past one day. I have taken Paracetamol and the fever has gone, but today again there is fever. I checked the temperature was 101.5 yesterday evening. Please suggest what to do. Today only two times I have gone but in the evening fever started with approx 100 temperature. Doctor: Hello. Fever associated with loose motion could be due to bowel infection. You need a complete physical examination as the fever has been persisting. So, should see your family doctor. For the loose stool, I suggest: For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23835, + "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": 18825, + "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": 31051, + "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": 20434, + "tgt": "What are the whitish purple lines under my tongue?", + "src": "Patient: Hello doctor, I was looking at an almost healed canker sore under my tongue and noticed the following whitish purple lines. Are they cause for concern? Doctor: Hi. I have gone through your question and picture (attachment removed to protect patient identity). I can understand your concern. No, there is nothing to be worried, it is a normal junction between the tongue and floor of the mouth. In your case, it seems it is a little bit hyperkeratinized may be because of some stress. With age, this line gets some pigmentation and becomes appreciable but there is nothing to worry. Please answer the following: If you are a smoker or taking any other sort of tobacco? Also, if there is any hard swelling below your chin or jaw? Take multivitamins once daily for a month." + }, + { + "id": 27187, + "tgt": "I have PCOD from the last 10 years. Please suggest a permanent cure", + "src": "Patient: Hello doctor,I am 25, married and sexually active.\u00a0I suffered from PCOD for a while, took all sorts of allopathic and\u00a0homeopathic medicines and when I got scanned two months ago, PCOD was not found. I thought this is the\u00a0end of my problem but,\u00a0still, my periods are irregular. Last time, I was late by 15 days and took Primolut and got my period after five days. This month, my due date was on the 19th. I started to get bloody mucus-like bits and pieces one week prior to 19th and till date, this is continuing. What could this possibly be? Can I have a permanent solution to this problem ever? I am frustrated with irregular periods and weight gain for 10 years now. Any amount of exercise does not show any result. Doctor: Hello. Please note that PCOD is not diagnosed by ultrasound. Kindly get thyroid profile, serum androsterone test, serum prolactin, serum testosterone, free androgen index, serum insulin, and fasting blood sugar test done. Start doing six sets of Surya Namaskar every day. Follow a vegetarian diet. 50 % of your diet should be raw fruits and veggies. Stop taking sweets. Consult a good gynecologist and an endocrinologist. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27624, + "tgt": "I have hard lumps on my scalp that are red and white. What could they be?", + "src": "Patient: Hello\u00a0doctor,I have these red and white hard lumps on my scalp. Some are not lumpy but, are just marks. Can you tell me what they are and how to get rid of them? I have dandruff as well. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 29476, + "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": 11015, + "tgt": "How to lower cholesterol on a Paleo diet?", + "src": "Patient: Hello doctor, I am a 25 year old male. I am 91 kg, and my height is 5 feet and 2 inches. My cholesterol levels are high, and I am over weight. I have hypertension, and I am taking tablets for cholesterol. I need a Paleo diet chart. Please help me. I am attaching my recent reports. Doctor: Hello Welcome to icliniq.com. I went through your reports (attachment removed to protect patient identity)\u00a0and saw a\u00a0marked elevation of cholesterol levels with low vitamin D levels. So, it is very much necessary to take up a strict diet so that you get all your vitals to a near normal range. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 25953, + "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": 13786, + "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": 529, + "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": 28463, + "tgt": "I have two lumps in my throat. Does the ultrasound of my thyroid indicate a potential malignancy?", + "src": "Patient: Hi doctor, I felt\u00a0two lumps in my throat\u00a0next to my thyroid, so I was sent for\u00a0thyroid and lymph node ultrasound.\u00a0For over a year, my symptoms like fatigue, sweating, lack of concentration, etc., have been slowly getting worse.\u00a0Can you please review my reports and give me your opinion on it? Is there any indication of a potential malignancy? I am attaching my reports. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 11031, + "tgt": "What is the treatment for coughing fits and severe tonsillitis?", + "src": "Patient: Hi doctor, I am a 18 year old female, who is suffering from coughing fits and severe tonsillitis. The coughing fits only come when I am lying down, and I bring up mucus which kills my throat. Doctor: Hi. Sorry to hear that you are not feeling well. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20871, + "tgt": "Is there any possibility to fill the cavity instead of RCT in permanent molar?", + "src": "Patient: Hello doctor,My daughter has a cavity and was told by the dentist that she needs a root canal on her 6 years molars. Is there any option we could fill the cavity vs having a root canal? She is in a lot of pain. Doctor: Hello. Well, the condition of the tooth decides its treatment. If the dentist has suggested her root canal that means there is nothing that can save her tooth but only root canal. I suggest you go for that. Filling the tooth is only done when there is a small cavity and has not damaged the pulp of that tooth. For stopping pain temporarily, you can consult your dentist for medications. I can suggest Paracetamol or Ketorol-DT (Ketorolac) tablet in low concentration. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26277, + "tgt": "The scar on my lip is spoiling my smile. Do I need any surgical treatment?", + "src": "Patient: Hello doctor, I\u00a0have been hit by a leather ball two months ago and because of that, a hard scar has been formed on my lip. It spoils my smile.\u00a0Swelling is also there.\u00a0I am currently on\u00a0Hexilak Gel.\u00a0How else can I be treated? Doctor: Hello. For more information consult a\u00a0plastic surgeon\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 1087, + "tgt": "Will foreign bodies cause redness in eyes?", + "src": "Patient: Hello doctor, My eye has become red and is watering, I think a foreign object has entered but I am not able to find it. What should I do? It happened yesterday and icing did not help. Currently, I am under medication for high blood pressure. Doctor: Hi. First this to rule out is a foreign body in the eye. For that ask someone to examine your eye with a torchlight and also check the upper lid by everting it because that is the common site for foreign body. Sometimes a very small foreign body cannot be seen with the naked eye and need an eye exam by a doctor. Wash your eye with clean water. If there is no foreign body seen then it is most probably conjunctivitis (that presents with the same symptoms) usually viral conjunctivitis. It usually takes 7-10 days to complete recovery but during this period protect your other eye and other family members because it spreads from one person to another through contact. For symptomatic relief, keep washing your eyes with cold water and do icepacks. That helps to relieve discomfort. Start antibiotic (Moxifloxacin 0.5%) eye drops four times a day to avoid secondary infection. If pain and discomfort are severe consult your nearby eye doctor for a complete eye exam." + }, + { + "id": 12273, + "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": 21756, + "tgt": "I have painful urination and mild lower pelvic pain. Is it UTI?", + "src": "Patient: Hello doctor, I believe I have a UTI. My symptoms include frequent urge to urinate, painful urination, cloudy urine, mild lower pelvic pain. I have had a few UTI's in the past and my current symptoms are the same as my previous symptoms. Previously, I have been treated with antibiotics and that was successful. I am a female, 28 years old, height 165 cm, weight 67 kg. Currently, I am taking Malarone. Doctor: Hi. Based on the history given by you it does look like that you are suffering from UTI though you might need a urine examination to confirm it. However, based on the clinical suspicion take tablet Zenoflox (Cefixime, Ofloxacin) one tablet BD (twice daily) for seven days along with syrup Urikind KM6 (Flavoxate hydrochloride) 15ml twice or thrice, if severe symptoms, mixed with little water as the syrup is a bit bitter in taste. Drink plenty of fluids and cranberry juice. In case of fever, take Dolo 500 (Paracetamol) SOS. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29674, + "tgt": "Please suggest a medicine for adequate erection", + "src": "Patient: Hi doctor, I am 65 years old. I am a diabetic as well as take hypertensive. I am taking medicines for the same and both are under control. I want to improve my sexual performance and need medication for adequate erection. Doctor: Hello. I can understand your concern. Revert with the details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25523, + "tgt": "I overreact a lot on trivial matters. How can I change myself?", + "src": "Patient: Hello doctor,I am a 21-year-old male and I have a partner of 19 years. We go along well. But my problem is that I overreact a lot on her actions. Like if she does not text me, my mood gets changed and I will be angry. But, I want to change myself. I want to change my attitude. I want to be more friendly. Please help. Doctor: Hello. The first important thing in a relationship is that do not force her for anything and accept her however she is. Do not try to change her. Give her personal space. If you overreact then you may lose the love and respect for you. Spend some quality time with her and try to know her likes and dislikes. Take care of her. Be a man. Do not make her cry and do not get possessive for anything. Trust her. Let her know that you are waiting for her response. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12280, + "tgt": "Is it normal for an 8-year-old to have nystagmus like eye movement while looking outside the car?", + "src": "Patient: Hello doctor,My 8-year-old son has nystagmus like eye movement only when he is in the car looking out the window and as soon as he looks at me, it stops. Doctor: Hello. I understand your concern, this is quite a common issue most children at his age develop. The eye uses several mechanisms which help to keep it steady and focused in on a target. Such mechanisms are inoperative when the person is just looking in a particular direction and not trying to see anything specific or while daydreaming. When you redirect his attention to you, he looks at your face (the target), hence the nystagmus stops. How is he in class, is he able to see his books or what the teacher writes on the board, does he have problems with seeing these? I recommend seeing a pediatric ophthalmologist just to be sure that he is not developing any refractive errors. But like I said, this is quite common at his age and is not a serious problem. In case you need any further information, please send me a scanned copy of his doctors records, I will do my best to help." + }, + { + "id": 6155, + "tgt": "My bilirubin level is elevated consistently since three months. Why?", + "src": "Patient: Hi doctor, Three months back, I started feeling feverish, but thermometer readings were normal. I went to a doctor and he ran a series of tests. Everything came out fine, except mild hepatomegaly and elevated conjugated bilirubin. My bilirubin is elevated consistently for the past three months (total: 1.3-1.4; conjugated: 0.7-0.9). Other liver enzymes are normal. Recently, I have started noticing foamy urine. But, 24-hour urine protein test was normal. I always feel feverish and my body is hot to touch, but I have no fever. Is it related to biliary obstruction? I learnt that pancreatic cancer is one of the leading causes of biliary obstruction. Doctor: Hi. I have gone through your laboratory reports (attachments removed to protect patient identity). All values are excellent, except total bilirubin which is at upper normal level which could be due to fatty liver. I would suggest you to avoid fatty and spicy foods as well as avoid alcohol if you are taking. It can also be due to side effect of any medication if you are taking. Rest assured you do not have pancreatic cancer. Because, it presents with obstruction of bile duct, causing elevated alkaline phosphatase which is normal in your case. It also presents with loss of appetite, significant weight loss, nausea, fatigue, and midepigastric pain or back pain. But, if you are doubtful, I would suggest you to carry out CT examination of your pancreas and carry out tumor markers such as CA 19-9 antigen which is positive in pancreatic cancer. Foamy urine is usually associated with protein in the urine, but you do not have protein. Therefore, I suggest that the appearance of your urine may be due to rapid urination with a full bladder. This can cause the appearance of foam. Also, dehydration may be a factor. You do not always feel thirsty when dehydrated. Thirst is a late sign of dehydration. Therefore, initially I suggest you to empty your bladder more frequently if possible and drink plenty of water to ensure good hydration. Feeling hot could be due to high metabolism rate of body. I would suggest you to get thyroid profile test done. As thyroid hormones can alter the basal metabolic rate (BMR) of the body. Drink plenty of fluids and keep yourself hydrated. Drink more water, coconut water and butter milk. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20153, + "tgt": "How to come out of unwanted thoughts in OCD?", + "src": "Patient: Hi doctor, I am a medical college student. My age is 20 and my weight is 38 kg.\u00a0I have obsessive compulsive disorder for a year. Also, before a year I suffered with deep distress.\u00a0I cried and scolded myself. I always remember my beautiful past life.\u00a0I liked to become a doctor in my first attempt, but I could not get. I was disappointed and avoided all excluding my family. But, today I feel fine. I like to rearrange my life. I like to live a good life.\u00a0I trust myself. Hereafter, I never miss myself and I control myself. But, still my mind reminds me the things and persons that I do not like. Please help me Doctor: Hi. First of all, I congratulate you for entering into medical course and wish you a great life ahead. I think your main issue currently is unwanted thoughts in your mind. This can be a residual symptom of obsessive compulsive disorder. Last year, when the stress in life was high, the symptoms of OCD must have been much more. With reduced stress, most symptoms are also reduced. There are a few things you can do about this are as follows: For further information consult a psychotherapist online --> https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 8995, + "tgt": "Kindly provide a second opinion on my ECG report", + "src": "Patient: Hello doctor, I had a DVT with massive pulmonary embolism with infarction before four years. I had a few \u00e4nxiety or panic attacks since then. Had a heart sonar and ECG done two months ago, which according to the physician was perfectly normal. I stopped taking Bisoprolol on his advice, and started with Alprazolam and Ativan when needed. Two weeks ago, I had an incident where I had my blood pressure shot up to 210/107 and a heart rate of 110 bpm. I went to the ER and had an ECG done as well as a cardio markers blood test is done. The doctor who did the ECG said that it looked like the right side of my heart did not get enough oxygen. I made another appointment with a physician, who now wants to send me for an angiogram. I want a second opinion on the latest ECG. The ER doctor said that a panic attack could also influence the ECG. Doctor: Hello. Your ECG is fine (attachment removed to protect patient identity). There is left axis deviation, which is expected in hypertension or with age. Probably this left axis deviation is mistakenly read as Q waves by a physician and thought of right side not getting enough oxygen. So, by viewing your attached ECG, I do not see any immediate need for an angiogram. However, considering your age and hypertension and a history of pulmonary embolism. It is better to obtain echo is not done recently. Also, better to get one stress test like treadmill test or stress echo. BP spike may be age-related combined with panic or anxiety, so you should have BP apparatus at home and monitor it frequently, at least thrice a day for a week. And if most of the BP readings are above 140/90 mmHg then you should have regular medicines for it. You should take low salt diet and do regular exercises as well. I hope this helps you and get back if you have any doubts." + }, + { + "id": 9326, + "tgt": "I am losing my hair due to dye. Kindly advice", + "src": "Patient: Hello doctor,I got hair loss due to dye, and it left my hair less in other parts of my head. What should I do stop hide this? Doctor: Hello. I appreciate you asking your problem. In my professional opinion, it could be an allergic reaction triggered due to your hair dye. What happens is that the dye triggers an immunologic mechanism just below the skin at the level of the hair follicles, which either arrest the growth temporarily or eradicates them. The other possibility could be a condition called alopecia aerata, which causes a similar clinical picture. In either case, the cause remains the same. I would appreciate you sending me a clear photo of your scalp to pinpoint the cause accurately. In the meanwhile, stop the use of any hair dye as any form of preservative in the dye could further worsen your situation least to say permanently. Maintain good hair hygiene and wait for the hair to grow out in about a month. If you still do not get any growth, consider injecting triamcinolone acetonide 10mg in the affected areas of the scalp every 3-4 weeks for as long as your skin specialist feels suitable. Trust me, and the injection is that painful or harmful. We use a 30 to 32 G needle, which is very, very thin. It is an everyday thing for dermatologists, so nothing to worry about. But at this point going by the symptoms you presented, without the photograph, I can only say so much. I encourage you to post a picture in the subsequent follow-up for a more precise plan of action." + }, + { + "id": 7842, + "tgt": "Why do I have mild pain in testicle?", + "src": "Patient: Hi doctor, I am 27 years old. I have mild pain in right testicle for a week. The nerves connecting to the right testicle are always in strain mainly in the area of epididymis and vas deference. It pains when I walk, jump, rub or masturbate. I get random swelling, irritation and pain in my right testicle. Sometime, the pain also accompanied by fever. When there is pain, the scrotum becomes swollen and turn red. I also have pain with ejaculation. My ultrasound was perfect, nothing came abnormal. I am having this problem since eight years. I am taking Dolo 650, Levomac- 500 and EIDO multivitamin capsule. Please suggest me some medication or tests to get them cured. Thank you. Doctor: Hi. From your symptoms, I believe you are having one of the following: Very rarely ureteric stones for repeated testicular torsion can cause testicular pain. A per-rectal examination, ultrasound of KUB (kidneys, ureters and bladders) and prostate, urine routine tests and urine culture (after per-rectal prostatic massage) will help. Ask your family doctor to get these done or refer you to a urologist for further physical evaluation and you can get back with the reports. If you have redness, swelling of scrotum along with pain attacks and especially if there is vomiting, better get ultrasound scrotum with Doppler study to rule out recurrent torsion. From the above details: Revert back with the investigations to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21432, + "tgt": "Does dental implant surgery hurt?", + "src": "Patient: Hi doctor, My sister got one of her teeth decayed. Most of it falls off on its own. When we visited the doctor, he asked us to get an implant. She is terrified of hospitals and has an anxiety problem. What I want to ask is that whether doing implant procedure hurts? Doctor: Hi. I have gone through your query. What is the age of your sister? From your statement, I assume that most of the tooth structure of the same affected teeth fell on its own and the other teeth are good. To guide you better, I would like to see the image of the teeth. If the adjacent teeth are healthy, you can also go for a bridge, which is also a fixed prosthesis, but there should be teeth on both sides of the missing teeth, and the adjacent teeth will also be prepared and capped. As far as the implant is considered, there is nothing to worry. The procedure will be carried out under local anesthesia, so there will not be any pain in 99.99 % cases, though she might feel pressure and any pain or discomfort during or after the procedure which will be managed with medications for comforting the patient. It will take time for the implant to get attached to the bone and the following procedures to complete. But it has a reasonable success rate and your adjacent teeth will not be affected. Make sure that the doctor knows her medical history if she has any. Regarding anxiety, you can guide her positively at home. The doctor will also give early morning appointment if possible and manage her anxiety and if required (for severe anxiety), medicines will be given. Tell her that everything will be done with her consent and only if she is comfortable. We are there to help you. If anywhere she feels discomfort, she can tell the dentist, and he will stop the procedure or manage it. She can communicate about her anxiety and fears to the doctor anytime. If she wants, she can visit the dentist first for just communication. Accordingly, the treatment schedule can be planned. There is nothing to get scared. I would like to see the image to guide you further. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30324, + "tgt": "What is your opinion about my sugar values?", + "src": "Patient: Hi doctor,My fasting blood sugar is 130 and postprandial is 121. After breakfast, I took a sugar tablet. What is your opinion about my values? Doctor: Hello. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 25181, + "tgt": "Will seizures slow my daughter's growth and development?", + "src": "Patient: Hello doctor, My 12 year daughter has been suffering from seizures since birth. The cause of the seizure was not known, that is, idiopathic. She is now taking Valparin 500 Chrono and Levipil 750 both two times daily. Last seizure occurred four years ago. Developments are slow although attained puberty last year at the age of 11 years. Academic achievements are fairly poor seemed to be dysgraphic. Can I expect any improvement in the future? Doctor: Hello. I understand your concern and would explain that as your daughter has been suffering from seizures since birth, it is very likely that her brain has been damaged during birth (from hypoxia) or she has any specific genetic syndrome, associated to seizures. Both these conditions, indicate that her brain is not like other girls of her age. On the other hand repeated seizures, lead to important neuronal (brain cell) damage to her brain. For this reason, we cannot expect her to have the same development as others. But, as she is still young, there is still hope for improvement in the future. You should just try to be more patient. The most important thing is that her seizures seem to be under control with her current therapy. Regarding her current therapy, you should know that Valparin can lead to ovarian cysts and menstrual cycle irregularities. For this reason, I would recommend performing periodically an abdominal ultrasound to check her ovaries. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18323, + "tgt": "I am experiencing diarrhea, weakness, and fever. Please help", + "src": "Patient: Hello doctor, I am experiencing diarrhea, weakness, fever, and\u00a0headaches. Whenever I drink or eat anything, I have loose motions. I feel this is a heat stroke. Can you please help? Doctor: Hi. Thank you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14769, + "tgt": "My 11 month old baby has not put on any weight. Her weight is 6. 5kg. Give me any advice", + "src": "Patient: Hi doctor, My 11 month old baby has not put on any weight. Her weight is 6.5 kg now. She has been in the same weight with no increase from the past 3 months. She does not eat any other solid or semi-solid food except breast milk. Please advice. Doctor: Hi. The amount of food eaten would vary from child to child. Decreased intake, fussy child, and worm infestation are commonest causes for decreased weight gain. It is important that you start experimenting with a variety of food in your baby's diet. These will provide the calories, proteins, vitamins, and minerals that are essential for her growth. It is also important to note, not to force food on kids. Keep trying new recipes. Most of the times it is \"Try and Error\" method. Lots of patience would be required to find out which are the diet, that tickles the child's taste buds which also contains maximum nutrients. You need to try multiple ones and find which your child loves to eat amongst those. Initially, it may be difficult from shifting to solid or semi-solid feed from milk-based diet. Continued perseverance and trying out what the baby likes is the key. Also, try to keep your baby's daily sugar intake to about less than 1 to 2 teaspoon, and use honey or palm sugar or palm jaggery to sweeten the dessert instead of sugar." + }, + { + "id": 25299, + "tgt": "What might have slowed down the rate of my alcohol metabolism?", + "src": "Patient: Hello doctor,I need help. We have a zero tolerance for alcohol at work. I had some alcohol eight hours (3 to 4 ounces) before work started. I am a 190-pound good shape male 70 inches and 48 years old. Based on the 1 ounce per hour metabolism, I was sure I would be in the clear. I do not have a thyroid and realized I was cold and gaining weight. I had my TSH drawn and I was hypothyroid. Could the hypothyroid state slow my alcohol metabolism? Any defense I have may help. I would never have drunk otherwise. Doctor: Hello. No, hypothyroidism does not cause slower metabolism of alcohol. What was your TSH? Have you started on meds? For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 1248, + "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": 1541, + "tgt": "I am having blood tinted crust in nose while sneezing. Please advise", + "src": "Patient: Hello doctor, I have had post nasal drip since last three months. It causes me to cough up mucus from my throat. It is very thick - sometimes bloody or sometimes cloudy. I am also having bloody, crusty issues in my nose with sneezing. I am not sick - no fever, no aches, do not feel bad. I just want to stop the mucus (it sometimes chokes me) and want to stop the bloody, crusty nose with sneezing. I tried Zyrtec. That did not help. I also tried Flonase - no help. I am afraid to take Benadryl because of other medicines I take for sleep and anxiety. What other suggestions do you have? Doctor: Hello. Are the pictures you shared nasal snort or phlegm from throat (attachment remoed to protect patient identity)? Do you have any difficulty in swallowing or breathing? Is there any cough? Any chest pain? Do you have wheezing? Is there any recurrent bleeding in your nasal cavities? Do you smoke or drink? Our approach would differ if the bleeding is from upper airways and if it is from the lower. In the first scenario, we shall give you some nasal lubricant creams with the sprays and see if the bleeding stops. In the second we will have to rule out cough and chest problems. In either case a nasal endoscopy with a laryngoscopy is essential. Do you have such blood stained mucus from nose/throat every single day? Do revert back to us with all details so that we can help you." + }, + { + "id": 22610, + "tgt": "Is it possible to get taller after 17 years of age once the growth stops?", + "src": "Patient: Hello doctor, My question is about height. I do not care about height, but it is just curiosity, my hobby, so I am not trying to cry somehow, I am just interested in this topic. If a person stops growing at the age for example 17 years and his or her height remains unchanged since then, is it possible that after few years, for example, seven years he or she will grow few millimeters like 4 to 5 mm? Is it possible that during these seven years without any growth there have remained little-growing spaces in the spine waiting and that lately, they made me grow these 4 mm? 4 mm is almost nothing, but still. Or is it that the cartilage able to grow just cannot remain to wait and not growing for few years? I have heard that testosterone makes growing spaces to ossify, so my logic tells me it is not possible for growing spaces to remain to wait in the vertebrae. So if yes, why? If not, why? Could you answer and explain with details? Yes, can be even very medical details, I will take such with happiness. Doctor: Hello. Let me answer each one of your questions one by one. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 9360, + "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": 7290, + "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": 1600, + "tgt": "Small whiteheads on my upper lip and foreskin of the penis. Are they Fordyce spots?", + "src": "Patient: Small white little heads on my upper lip and on the foreskin of my penis they are visible only when i pull down my foreskin and they are located on my foreskin only.. they dont itch or hurt..i have searched and it loooks like fordyce spots Doctor:" + }, + { + "id": 21657, + "tgt": "I have an open wound on the bridge of nose. Is it safe to go sunbathing?", + "src": "Patient: Hello doctor,A lamp fell on my nose and now I have an open wound on the bridge of my nose. My nose really hurts as well. I do not know if it is broken or if it just hurts. Also, I am on a holiday, so I do not know whether I can go sunbathing with the wound or if I should just stay in the shade. Doctor: Hi. I have reviewed the attached photograph (attachment removed to protect patient identity). I can appreciate the wound. I suggest you apply a topical antibiotic like Neosporin (Neomycin) ointment on the affected area twice daily, take oral antibiotic like tablet Cephalexin 500 mg twice daily for five days and take anti-inflammatory medicines like Ibuprofen for pain and swelling. I would recommend you to stay in shade and avoid direct sunlight on the nose. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28630, + "tgt": "I am struggling to take decision about my career. Is it a psychiatric problem?", + "src": "Patient: Hi doctor,I am a 30 year old male. At present, I am struggling to make a move in my career. I have been sitting idle for about eight months and I am confused about which career direction to take. I want to play according to my strength. I am not able to decide about it. I keep changing my decision on a daily basis. I thought I should consult a psychiatrist, but I am not sure if it is related to psychiatry or not. Can you identify the problem and give necessary recommendations to overcome this challenge? I was previously working in a law firm where I worked for about six months, and then I got fired from there. Since then, I have not been able to make a decision. Doctor: Hello. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25849, + "tgt": "Is pregnancy possible in my case?", + "src": "Patient: Hi doctor, I had flipped the condom before having sex as I had put it the wrong way. Also, I urinated for a few minutes back. Can my partner get pregnant by this? Please explain me. Doctor: Hi." + }, + { + "id": 1349, + "tgt": "I had sudden cardiac arrest with hypokalemia. Please interpret my ECG", + "src": "Patient: Hi doctor, Is this ECG normal? I had a sudden cardiac arrest (SCA) 6 moths ago. This ECG (electrocardiography) was taken a few months before that. I have had fatigue, hair loss, stomach cramps, and dizziness for a while. I have had some trouble with hypokalemia and hypomagnesemia. After being resuscitated my serum potassium was 2.7mmol/l. They tried to fix that by giving me potassium solutions. The solutions did not really work though because of low magnesium. I am currently on Bisoprolol accord 2.5 mg, Xarelto 20 mg. Doctor: Hello. I am sorry to hear about your health condition. This is extremely strange that at 25 years of age you suffered a cardiac arrest. Have you had problems with hypokalaemia before the attack? Where you on diuretics? Do you have history of similar problem in your family? Have you always suffered low blood pressure? Or was it after the attack?" + }, + { + "id": 8489, + "tgt": "My situations are making me curious to know about ADHD and OCD. Please help", + "src": "Patient: Hello doctor, I do not have any official diagnoses, but I am curious to know more about ADHD or ADD and OCD. Recently I was about to sit down to eat breakfast when I got sidetracked and started something else. One thing lead to another and next thing I know it is 45 minutes later, I have half of my room torn apart due to not finishing everything I had started, and I still had not touched my breakfast. I have had more of these types of situations recently, and it makes me frustrated and a little worried. I thought about going to see a doctor about it, but I was hoping for an opinion. Currently, I am not under any medications. Doctor: Hello. Start with one thing on another, and we may behave strangely. But it does not mean that you have some psychiatric diagnosis. The difference between abnormality and normality lies on a spectrum in psychiatry. Some criteria to define if a particular thing needs the attention of a psychiatrist. 1) Persistent in nature. 2) Disturb your day to day routine. 3) Functional impairment. 4) Disturbance of bio functions like sleep, appetite, etc. If all these things are not there, then I would not advise you to consult a doctor. If this last for some time, then contact a psychiatrist." + }, + { + "id": 14697, + "tgt": "During second sitting of RCT, the canal is bleeding. Why?", + "src": "Patient: Hi doctor, I want to ask about canal root treatment. The tooth is 37. I was on holiday with colossal pain. I visited the dentist, and he immediately started the process. He opened the tooth, and the tooth has four roots. He removed the nerves and everthing. On my second visit, it was a day later, when he wanted to fill the tooth he said that two of the roots are bleeding so he cannot fill them and finish the process. So, I need help your help here. Thank you. Doctor: Hi. Thanks for the query. In case if the canals are bleeding, then there is a possibility that the dentist is good too deep beyond the root tips causing bleeding or the infection has not yet subsided. So, first of all, your dentist can fill the canals with Calcium hydroxide and leave it for a week. It is an antibacterial and will help in resolving the infection and will ease in filling of the root canals. Along with it, you can also be advised a course of oral antibiotics for fixing the infection. Please send me the scan of your x-ray so that I can have a look and advise you how to proceed further towards most appropriate treatment. Also, please tell that is there any pain present in the tooth on chewing or spontaneously too. Please revert back with answers for further help. Regards." + }, + { + "id": 3958, + "tgt": "Please evaluate my blood test report for random tiredness", + "src": "Patient: Hello doctor, Recently I did my blood test and few areas of the result are bothering me. I have attached my entire report. Please do let me know the medication. I do not have any health issues except for random tiredness. Doctor: Hi, Welcome to icliniq.com. I have gone through all your attached reports. (attachment removed to protect patient identity). In your report, four main abnormal values are present such as lymphocytosis, vitamin D deficiency, vitamin B12 deficiency, and homocysteine borderline high. Lymphocytosis can be from temporary viral infection. As no other symptoms related I do not think further workup for lymphocytosis needed just now. For vitamin D deficiency, Cholecalciferol sachet (50000 or 60000 IU) can be prescribed which is taken once a week with milk for six weeks. For low vitamin B12, Cyanocobalamine injections can be prescribed 1000 mcg intramuscular per week for six weeks. Folic acid level also should be checked. If needed folic acid tablet is also prescribed. Repeat CBC (complete blood count) after one week. With the correction of vitamin B12 and vitamin D deficiency, your tiredness will be resolved. Consult a physician for examination and discuss all these with him." + }, + { + "id": 19584, + "tgt": "Newborn is passing motion nine to 12 times a day. Is it a worrisome condition?", + "src": "Patient: Hello doctor,My son is 25 days old and passing motion nearly nine to 12 times a day. What should I do? Should I go for any drops? Is it a worrisome condition? Doctor: Hello. Your son is absolutely alright. No worries. Following things are to be taken care. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23901, + "tgt": "I have many pimples and marks on face. How to get rid of them naturally?", + "src": "Patient: Hello doctor, I have pimples problem. I am just 16 years old and have so many pimples and marks on my face. I do not take any medicines for this, but I want to know some natural ways with which I can be free from these pimples. I want to remove the upper skin of my face and want the new and fresh inner skin to come out, but I do not want to have any type of treatment. I just want to know some natural ways to get rid of these pimples and marks left after the pimples. Doctor: Hi. Pimples are very common in the adolescent age group. Because, in this age group, several hormonal changes occur. Just take care of your skin and be aware of your food habits. Do not squeeze out the pimples because they leave behind scars and dark spots. Avoid spicy and fried junk foods. Drink plenty of water. Do regular pranayama like Anulom vilom, Nadi Shodhan, and Bhramari. Wash your face with neem leaves water/ decoction or neem face wash and apply Clarina ointment twice a day. Do these things regularly for two months and follow the above-mentioned instructions. It will help resolve your issues. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13530, + "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": 9595, + "tgt": "My 2-year-old child has a yellow mark in his back. Please advice on his CBC reports", + "src": "Patient: Hello doctor, I found a yellow mark on my 2-year-old child. I did his complete blood count and have attached the reports. Kindly advice. Doctor: Hello, Welcome to the icliniq.com. In the mentioned CBC report, there is nothing to worry as per my opinion (attachment removed to protect patient identity). The total count, red blood cells count, platelet count all is within the limit. The lymphocytes can be high in this age group, so you need not worry about that. So nothing is abnormal in the mentioned report. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 3842, + "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": 22126, + "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": 17745, + "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": 19482, + "tgt": "Can I substitute Amaryl tablet with Kombiglyze tablet?", + "src": "Patient: Hello doctor, I am currently on Amaryl 2 mg. As I will be traveling shortly, to a country where I am told Amaryl is not available, but Kombiglyze is available there. Is it okay to take this substitute? Doctor: Hi. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17965, + "tgt": "I have stomach pain and swollen ankles. What could be the problem?", + "src": "Patient: Hello Doctor, Since 1 month I have been suffering from stomach problem. Whenever I eat something, I immediately have stomach pain and pass stools. There is swelling in both the ankles. I feel weak. What could be the problem? Doctor: Hi,\u00a0 Welcome to icliniq.com. Revert back with the reports to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 354, + "tgt": "My 2-year-old kid is having high fever for the past 2 days. Can high WBC be the cause?", + "src": "Patient: Hello doctor, My baby is 2 years old. She is having a high fever for two days now. Last month when she had a fever we found out that her WBC is so high. We tested her twice and the second test shows lower results but it is still not normal. So her pediatrician advised me to have a third test but due to pandemic I did not do it and my baby was doing well. Now I think the problem is still with her WBC. What do you think? Please advise. Doctor: Hi. Whenever we suffer an infection, our body\u2019s immune mechanism comes into action. Those immune cells are nothing but WBCs (white blood corpuscles). So if the WBCs are high, then either there is an infection or the body is trying to fight bad cells in the body. WBCs are not the cause of infection. But it can cause fever by its actions. So whenever someone has a fever, it is very likely that they also have a high WBC count. There are different types of WBCs which increase/decrease in different situations. So the aim of doing blood tests is to see if only one type of WBCs are involved or there are multiple increased cell lines. Our diagnosis depends heavily on which type of WBCs are increased. So please put up the baby\u2019s blood sample reports." + }, + { + "id": 21041, + "tgt": "I have noticed a small lump on my neck. What could it be?", + "src": "Patient: Hi doctor, Recently, I have discovered a small lump on the right side of my neck. I am usually the person who starts worrying and gets paranoid whenever I discover something like this. I used to do it all the time with my glands. It feels like a gland, but it is slightly bigger and more tender than the other ones. Also, if you look hard enough, you can slightly see the shape on my neck. I have been run down lately, have a dry throat and I am also very warm. So, I might be coming down with something. I needed to hear from you doctor. Please let me know what you think as I am typically worrying. Doctor: Hello. Is it possible for you to upload a picture of your neck or for the fact any picture from the internet highlighting that area? It seems like it might be a swollen gland, which can happen even with common cold or flu. But, it is hard to confirm without a picture and exact location." + }, + { + "id": 12730, + "tgt": "How can blackheads be treated?", + "src": "Patient: Hello doctor, I would like to know why people have blackheads and when you try to remove it, it creates acne and blemishes on the cheeks and mouth area. It is concerning my skin on my face. I have been feeling insecure about my skin later due to the blemishes and acne on it. I get a lot of blackhead on my cheeks and jawlines. Moreover, I get a little bump rising when I wash my face or when I exfoliate it with natural exfoliators. Whenever I try to remove the blackheads, it gives me blemishes and acne scars which really bothers me. Doctor: Hello. Acne is related to sebaceous glands. Some individuals have acne prone skin in which normal follicles becomes clogged with keratin, sebum, organisms, etc., resulting in blackheads formation. When inflammation occurs blackheads convert to pimples and bigger pimples lead to cyst and nodule formation. Treatment of acne is important because it can lead to scarring if not treated early and properly. Its treatment starts with oral and topical antibiotics. For blackheads and whiteheads recommended treatment is topical Retinoid. Do you have oily skin or dry skin? I will suggest you start with antibiotics and at night time topical retinoid. Acne vulgaris. Tablet Azithromycin 250 mg BD for the first three days, then on alternate days for three weeks. Apply Clindamycin lotion over the lesions BD, apply Tretinoin gel plus cold cream at night on the whole face in small quantity. Wash face with mild soap and water. Avoid using irritants. Use sunblock SPF 60, moisturizer if skin gets dry." + }, + { + "id": 7942, + "tgt": "My jock itch problem recurs once I stop medicine. Why?", + "src": "Patient: Hi doctor, I am having jock itch for the last 22 months. The doctor prescribed me Fluconazole 150 mg and Levocetirizine for 4 weeks. Also, I am using Onabet cream in the morning and Lulifin cream at night. But the problem is arising once I stopped using the medicine. Please prescribe me a good medicine and solve my problem. Doctor: Hello. Good you used antifungal, and antihistamine medicines for four weeks. But your complaint is recurrence if you discontinue the medicines. Are you having diabetes? If it is, then take treatment to control sugar. Try this cream or lotion with the consent of your doctor. Lobate GM Neo cream (Clobetasol+Miconazole+Neomycin) steroid, antifungal and antibiotic combination. Apply 2 to 3 times daily for 15 days till the lesion color change to normal. Change inner cloths daily, and prefer to use cotton cloths. Wash the cloths after you soak in hot water. Hope you will be fine. Review after 15 days." + }, + { + "id": 9574, + "tgt": "Following discontinuation of Depo shot, I am getting brown discharge whenever I urinate. Is this due to hormonal imbalance or ovarian cyst?", + "src": "Patient: Hello doctor, I am a 34-year-old female. 5'4\" 130 lbs. I discontinued my Depo-Provera when my shot was before seven months. Before three months, I had a lot of discomforts and went to urgent care with suspected UTI. UTI came back negative, after the ultrasound, doctors confirmed I was likely close to ovulating and should expect the first period in about two weeks. Before two months, I had very light pink, then very light brown discharge when I wiped after urinating, but no period. Since then, I have had pelvic pressure, ache, nausea, dizziness, headache consistently. I do have one child. The discharge and other symptoms were consistent with my last pregnancy, but tests so far have come back negative. My husband and I are not preventing pregnancy. Is this a hormonal imbalance that needs treatment or possibly ovarian cysts? Consistently dry heaving at work has become very bothersome, and symptoms do not seem to be lessening. Doctor: Hello. As you have been on progesterones in the form of depot Provera for years and have discontinued for four months and had little withdrawal bleed before two months, and possibly ovulation may have occurred as well. But this scenario of menses being delayed and often taking 3-5 months post depot Provera stoppage is a common side effect of prolonging depot usage. You can opt for a withdrawal bleed during this cycle with oral progesterone for five days from day 25 to 30 of this cycle and check your bleed, and it should re-establish itself. The heaviness and pressure symptoms are indeed due to hormonal misbalance, which has occurred due to prolong usage of the depot. You should be fine, opt for withdrawal bleed this cycle." + }, + { + "id": 31004, + "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": 13700, + "tgt": "How to cure the scrotal skin affected by jock itch?", + "src": "Patient: Hi doctor,I am suffering from jock itch for two months. Initially, there were well-circumscribed lesions with darker edges and itching on groin folds. Now, the skin has become hard, pigmented and dry with loss of hair. Scrotum and penile shaft also affected and resulted in the loss of rugosities and hair as well. Earlier I used Ketoconazole cream 2%, and now I am on Terbinafine cream 1%. Doctor: Hello. I suggest you Luliconazole 1% cream, twice daily for two weeks. In addition, I suggest you take an oral antihistamine such as Cetirizine 10 mg tablet once a day for symptomatic relief from itching. You may also take an oral antifungal such as Itraconazole 100 mg Capsule, twice daily for two weeks. Can you upload a few images of the upper inner thighs?" + }, + { + "id": 19158, + "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": 1076, + "tgt": "Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same?", + "src": "Patient: Hello doctor, I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well. Doctor: Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days." + }, + { + "id": 2750, + "tgt": "Is Mefenamic acid the right medicine for baby with fever?", + "src": "Patient: Hello doctor, My baby is having fever ranging from 100 to 104 F which subsides after taking Mefenamic acid of dosage 60 mg per 11 kg of body weight. There are no other obvious symptoms except fever. What should I do? Please suggest me the course of treatment. Doctor: Hello. Since when is this happening? Is there any difficulty in breathing? Is the child feeding well? It seems just viral fever, I would say just give Paracetamol every six to eight hourly. Do not give Mefenamic acid if it gets controlled with PCM." + }, + { + "id": 28762, + "tgt": "What precaution should be taken in case of lattice degeneration?", + "src": "Patient: Hi doctor,What are the precautions should be taken in case of lattice degeneration? Also, what is the list of don'ts and do's? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7176, + "tgt": "What is the blood report after miscarriage showing?", + "src": "Patient: Hello doctor,My daughter is 25 years old, had a miscarriage a few months back. She lost a lot of blood for a week or two and continued a little less for up to a month total. Her OBGYN doctor and her PA did not give her Iron supplements at the time. This month she had her physical and they did the blood work and her ferritin, the serum is 7 and the normal range for the laboratory is 15 to 150. Iron saturation is 5 and iron serum is 18. Also, MCV is 75, MCH is 21.9, MCHC is 29.0, RDW 17.7, platelets 472, all abnormal. Her PA gave her Feosol 65 mg elemental Iron 2 per day. From her doctor's office, they said to come back in a month to repeat the blood work. Is 7 for the ferritin level concerning corroborated with all the values for the shape, volume, and size of the red blood cells? Does her bone marrow is trying hard to make healthy red blood cells? Do you think that we should go see a hematologist? Doctor: Hello. The hematology picture is typical of iron deficiency anemia with typical low serum ferritin stores and high MCV values. She has been rightly prescribed Iron supplement by the gynaecologist and should continue it for a month and then repeat her iron profile. Bone marrow is working to make fresh red blood cells or reticulocytes which is a physiological response to iron deficiency anaemia, so there is no apparent need to is it a hematologist as such, but for detailed clarification, you can always opt so." + }, + { + "id": 4272, + "tgt": "I got pap smear done for irregular bleeding. Kindly help me with the reports", + "src": "Patient: Hello doctor, I had irregular bleeding for eight weeks. Since ten days it is better. Please examine my pap smear report and HPV report. I got it done as there was irregular bleeding. I have PCOD and diabetes. Currently, I am taking Metformin XR 850 mg. Please let me know whether all looks fine. Doctor: Hi. I went through all your reports (attachment removed to protect patient identity) and they all are fine. Revert back with the asked answers to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 10809, + "tgt": "Why is blood pressure normal in the morning but increases at night?", + "src": "Patient: Hello doctor, My mother's blood pressure is 130/80 in the morning, but by 10 pm before she eats her medicine in the night, her bp becomes 160/80. She is taking calcium channel blockers, which cause swelling in her legs resulting in difficulty in walking. She is currently under, Moxilong 0.3 mg tablet twice. Tazloc 40 twice. Ecosprin AV 75 in the night. Minipress XL 5 mg twice Prolomet XL 50 twice. Dytor 5 and Benidipine 8. Doctor: Hello. She is taking lots of medicines but still if BP is raised the possibilities may be, 1. Not reducing salt intake, not following a healthy lifestyle guidelines, and not exercising. 2. Medicines may not be taken appropriately, some over-the-counter medicines such as NSAIDs may raise blood pressure. 3. She is overweight, and as such if BP apparatus cuff bladder is less than 2/3rd of arm circumference, then BP may falsely appear high. 4. Some other disease such as hypothyroidism may be present, leading to secondary hypertension. Serum TSH (thyroid-stimulating hormone) test is advised for that. Please consider these issues while measuring BP." + }, + { + "id": 14326, + "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": 10940, + "tgt": "Apart from thyroid, what can cause body pain and dry skin?", + "src": "Patient: Hi doctor, Three years back, I had headache and head numbness for few days. I consulted a doctor and got a thyroid test done. That time my TSH was 3.7 and he prescribed me Thyronorm 25 mcg. He told me to discontinue it when my TSH level comes back to 1.5. Now, for around 11 months\u00a0I am having body pain, hand numbness, dry and itchy skin, hair fall, rashes on neck and hands and bowel movement issues.\u00a0TSH - 4.58, total T4 - 7.50 and total T3 - 0.91. This is my recent thyroid result. Apart from these all the blood and scan reports are normal. I have left side back pain also. But, still the doctor says that the thyroid results are normal. Please help me. Doctor: Hi. Your symptoms fit into thyroid disease but your thyroid report is absolutely fine. A normal thyroid report rules out thyroid disease, unless you are presently on Thyronorm. So, we need to find other cause for your symptoms. Body pain and numbness could be due to nerve problems, vitamin B12 or D deficiency and diabetes. Your reports say that you are not having diabetes. But, I do not see any tests done for vitamin B12. So, kindly get the vitamin D tests done and revert back with report. Hair fall could be due to hormonal imbalance or due to stress. Is there any kind of stress in your life? I recommend you to get serum testosterone and serum DHEA (Dehydroepiandrosterone sulphate) levels tested and revert back with report. Regarding rashes kindly upload the picture so that I can give better opinion on that. You mentioned about bowel movement issue. What exact problem you have with bowels? Constipation or loose motions? Kindly revert back with the details asked." + }, + { + "id": 16971, + "tgt": "What should be done to prevent pregnancy after unprotected sex?", + "src": "Patient: Hi doctor, I and my fiancee do use condoms but sometimes condoms cause me pain due to size issues. So, we get into an intercourse without it. Basically, I never came inside her but I wanted to get educated about the facts like how to avoid pregnancy if I came inside her? I mean what should be our first step? Even if I pull out, is there any chances that she will get pregnant? Which condom is a perfect fit for starters like us? Is there any natural ways too to make sure no sperm left inside? Doctor: Hello. I shall answer your query in the order that you have asked. If you have had unprotected sex and have come inside her, and she is in her unsafe period, then the next best step to avoid pregnancy would be for her to opt for an emergency contraceptive pill like an I-pill or an Unwanted 72 pill within 72 hours of intercourse to avoid unplanned pregnancy. You have to understand that even pre-cum, which is ejaculated before the actual ejaculation occurs also contains live active motile sperms, which can also get her pregnant even if you follow the withdrawal technique during intercourse. So chances shall remain unless you ensure pre-cum control as well. The condom size is mentioned on the pack and one can decide that based on his penile length and thickness at full erection. There are standard size condoms available but that is completely user's preference. Natural ways like washing with water immediately or wiping with tissues do not help much, but if you can opt for a spermicidal vaginal cream before initiating intercourse mixed with a vaginal lubricant like KY jelly, then chances of pregnancy can be substantially decreased even with an unprotected intercourse episode. But you cannot ensure even after cleaning post ejaculation that the vaginal cavity has been cleaned off of all sperms completely." + }, + { + "id": 15133, + "tgt": "Is it possible to get a pressure sensation in teeth due to hard biting?", + "src": "Patient: Hello doctor, I feel a pressure in one of my front teeth. It is not painful and does not hurt to eat. Just feel pressure. I remember biting something the other day and it felt a little like I had bitten it too hard. No visible change to any of my teeth and it is not painful. The pressure is inconsistent. Doctor: Hi. I had gone through your question and I can understand your concern. As per your history, it looks because of biting on hard substance, periodontal ligament has been damaged transiently, it is a thin membrane between teeth and bone. There is nothing to worry, it will selfheal within three to four days. Remember that do not keep touching it, this may be enjoyable but it can lead to periodontal tissue damage. Also, take soft foods and do not bite on hard fruits like apple or even hard meat too." + }, + { + "id": 22173, + "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": 17182, + "tgt": "I was awakened this morning by a pain in my vagina. Any suggestions?", + "src": "Patient: Hello doctor, I was awakened this morning by a pain in my vagina. I have the urge to urinate often and a constant uneasy feeling in my vagina. There is no pain in the kidney area. I am thinking vaginitis or urinary tract infection. Any suggestions? Because I cannot get to my gyno until next week. I have had vaginitis and UTI, but it has been years. Doctor: Hello. You have not mentioned your previous medical, obstetrics, gynecological, and drug history here. As per your history, you have pain in the vagina and frequent urination since today morning. You have a history of vaginitis and urinary tract infection years back. I really do not know if have u been treated for any disease like diabetes, hypertension or any other like thyroid. If yes, then try to have a full treatment. For your present problem, try to have a urinalysis, urine culture and vaginal swab for ruling out urine infection and pelvic infection. If you have not had your cervical smear within three years, then it is better to have that also as it is better to have this at least three yearly at this age if no cervical pathology previously. If symptoms are unbearable, I suggest having Paracetamol 1 g eighth hourly, but if severe pain, can increase to sixth hourly. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If no vaginal discharge, but an increase in the frequency of urine and urine infection, I suggest tablet Augmentin 625 mg eight hourly for five days. Follow reports and discuss here or with your gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6332, + "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": 8189, + "tgt": "Kindly advise treatment for recurrent bladder infection", + "src": "Patient: Hello doctor, My mother is 86 years old. She is in relatively good health but is prone to a bladder infection. She does not feel pain when infected, so it gets bad before weakness and other symptoms tip us off. She just got out of the hospital with the latest bout. I am thinking that we could take a two-prong approach to prevent this in the future: a good cranberry (or other) supplement for preventative health and a daily urine dip-stick to check for infection. Doctor: Hi. Females are more prone to urinary tract infection due to the proximity of the anal orifice to the urethral orifice. However, post-menopause, this increases due to increased cornification of the vulva, which allows more easier access for the pathogen to form colonies. Added to this, the old age has poor elasticity of urinary bladder resulting in poor emptying of the bladder, which again contributes to infection. These are the real reasons for infection in your mother. I agree with you that you can start cranberry as a preventive measure. Along with this, if you can start low dose antibiotic, for which the pathogen is sensitive as the prophylaxis, which can prevent infection. For this, I need to know the urine culture profile. If you can update that, I shall be able to tell you the antibiotic as well. Please get back to me with culture profile." + }, + { + "id": 2735, + "tgt": "I am getting recurrent bump on labia with no pus. Should I worry about that?", + "src": "Patient: Hello doctor, I have a bump on my labia , it does not hurt and it is not too big but I have had one before so because it is reoccurring. I am a bit nervous. It is close to where I shave so I am hoping it is just a dull razor issue or a pimple but the fact that I had it before is concerning to me. I have not tried to pop it and it does not look like it is filled with pus or anything, it is also flesh colored. I know it is hard to give me a diagnosis since you cannot see me, but I was wondering for some insight on what this could be because I know self-diagnosing myself is not the right thing to do. I do plan on seeing a doctor but seeing with the virus going on right now I cannot make an appointment so this is my only hope to get some kind of answer to ease my mind for the time being. Doctor: Hi. Thanks for the query. I can understand your concern. According to your history, there is a possibility that the lesion you described could be a Bartholin,s cyst. But as you mentioned by direct examination only we can make the exact diagnosis. Now at this situation what you can do is, if it is painful please go for some analgesic drugs. You can take a sitz bath with lukewarm water and with few ml of disinfectant liquid like Dettol. With this the symptoms of inflammation can be relieved and size of the lesion can be decreased. You can do this twice a day for three days. If the lesion persists or recurs you may need to consult a local gynecologist for examination and treatment. I hope this helps." + }, + { + "id": 15777, + "tgt": "Had unprotected sex followed by I-pill. How to confirm my partner is not pregnant?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner. I am not sure about ejaculation. She took I-pill within three to four hours after having sex. She had her previous period before 20 days. Is she safe from pregnancy and how to confirm it? Please suggest. Doctor: Hi. If she has taken I-pill (Levonorgestrel) in a proper advised dosage, within 48 to 72 hours of unprotected penetrative sex, then she will have an interruption in her normal menstrual cycle to prevent ovulation or fertilization and even conception to have a pregnancy. Within one to two weeks after taking medicine, she starts to have bleeding that is a withdrawal bleed. The regular menstrual cycle will get disturbed for some time until the body gets out of the effects of the externally induced hormones (I-pill). Then it will become normal gradually." + }, + { + "id": 20467, + "tgt": "What is the difference between spine fusion and fixation surgery?", + "src": "Patient: Hello doctor, What is the difference between spine fusion and fixation surgery? Doctor: Hi. The spine fusion means we fuse one mobile segment of the spine. That means we fuse between two vertebral bodies. We put bone graft there and it fuses with time. This is usually done if there is instability at that segment or spinal canal is so narrow that while decompression we are sure that this segment will become unstable. We also put screws because it takes around six months to fuse, till that time those screws will prevent instability at that segment. In spinal fixation surgery, we only put screws and connect them with rods. This is done mainly in trauma cases where natural healing occurs with time and till that time screws are kept in place. I could help you much better if you can tell me your particular case in brief." + }, + { + "id": 19246, + "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": 13264, + "tgt": "Is it fine to get married to a person with same blood group?", + "src": "Patient: Hi doctor, I am going to get married after six months. My fiance is my dad's sister's son. Our blood groups are the same B+. Will there be any problem to the baby? If yes, then what is the solution? Doctor: Hi. The blood group will not be a problem but, there are chances of high consanguinity. Consanguineous marriages are associated with an increased risk for congenital malformations and autosomal recessive diseases, with some resultant increased postnatal mortality in the offspring of first cousin couples." + }, + { + "id": 22359, + "tgt": "How to get rid of bad breath? I floss, brush every morning and night, but still suffer from bad breath", + "src": "Patient: Dear Doctor, I am 16 years old. I floss, brush every morning and night and use a tongue cleaner too. But still suffer from bad breath the whole day. Please help me. Doctor: Hi. Do not worry. After following these tips you will feel better and get rid of bad breath by 2 weeks. Start using chlorhexidine mouthwash thrice a day for 4 weeks. Do saline water mouth rinses (take lukewarm water in a small cup and add 1/4th teaspoon salt in it), thrice a day for 2 weeks. Avoid soda drinks and food that may cause acidity, watch your diet carefully. If you are already having complaints of acidity or heart burning or stomach ulcer problem, then visit gastroenterologist because stomach problems can be one of the major causes of bad breath. Check in mirror if you have yellow plaque or calculus deposits around the teeth and gum margins then, first visit your dentist and get scaling done and then use mouthwash and do saline rinses. The results will be quickly evident. Check if you are a mouth breather and try to control the habit. Read dentist advice to get rid of bad breath. Follow up after 2 weeks. Stay Happy." + }, + { + "id": 13678, + "tgt": "What does a bulky uterus and an intramural fibroid mean?", + "src": "Patient: Hi doctor, My mom had headaches and backpain. So recently, my mom went for an ultrasound scan and was diagnosed with a bulky uterus. The size of her uterus is 83x41x61 mm, and they also found an intramural fibroid sized 57x33x38 mm. Could you please help me understand what exactly this means and is there any complication? Doctor: Hi. How are you doing? Let me start by saying that it is nothing to worry. Let me explain. Fibroids or myomas are benign or non-malignant masses arising from the muscles fibers of the uterus, usually in women with not many children (1 or 2). These masses are like stones and are hormone dependent. So, they grow till she has periods. Once periods stop, her hormone supply stops, and the fibroid starts shrinking. Intramural Fibroid never become malignant. If you randomly take scans of 100 ladies, 50 to 70% may have fibroids of different size. It is a dictum that, no asymptomatic fibroids need treatment. I would simulate it to, if you have a huge boil on the face, which does not interfere with food intake, just leave it alone. But even if you have a small boil on the inside of the mouth, it really hurts, then you may need treatment. Intramural Fibroids need treatment only if: If she has no symptoms, just leave it. It will shrink as her estrogen hormone is reduced. To further help in reducing the size and bleeding in periods, I suggest trying tablet Ormeloxifene (Sevista 60 mg or Novex DS), twice weekly. She can have it for a year or so and stop it after a scan. The fibroid would have shrunk. This medicine is cheap and has no side effects. If she is anxious or has any of the symptoms, then surgery and removal of the uterus with fibroids would be advised. Hope I have clarified your queries, do write back." + }, + { + "id": 2640, + "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": 695, + "tgt": "I have a small fleshy lump on my penis for the past one year with no changes in it. Please help", + "src": "Patient: Hi doctor, On my penis I have a small fleshy lump and I have had it for around 12 months. My girlfriend has had an STD check within these 12 months, and the tests have come back clear so I do not think it is warts. I think it may be a skin tag. I have been applying tea tree oil to it the past week, which has dried it up and made it feel a bit looser. The reason I am getting in touch is because I have started to develop black marks on my penis, they are very small but I want to make sure it is not connected to the lump. Doctor: Hi. I get to see you ate worried about the lump in your penis. I have gone through your pictures (attachment removed to protect patient identity), not clear though, it looks very small. Considering your statement to be present for the past 12 months with such a small size without any growth or difficulty in skin retraction, it is not a significant problem. Still, I need a bit more information for a better understanding. As I have mentioned, had it been the same size for the past 12 months? Is there any color change over the lump or redness or pain over the lump? Do not mistake me for this, how many sexual contacts you had, only your girlfriend or beyond her? Was there any watery or pus discharge anytime from the lump? Do you have any burning sensation while passing urine or cloudy colored urine? And regarding the black marks, do you have any itching sensation over the black marks? Are the black marks increasing in number and size? Do you have a fever? It will be helpful to guide you better if you can upload the investigations you have done for STD check and more clear picture of your lesions. Review back with the investigations advised below if not previously done and upload your previous investigations. CBC (complete blood sugar), RBS (random blood sugar), Urine routine. Tablet Amoxicillin and Clavulanic acid 625 mg twice daily for five days, Fexofenadine twice daily for five days." + }, + { + "id": 5807, + "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": 15268, + "tgt": "I still have pain in my knees after a surgery. Should I go for knee replacement?", + "src": "Patient: Hi doctor, I had surgery on my knee. During coughing or yawning, I get a sharp pain on the knee. I am unable to stand for a long time. It hurts a lot. My MRI doctor suggests me to have a replacement on the knee. Please advise. Doctor: Hi. Your knee seems to be arthritic, and hence the doctor advises for replacement. I need to see the X-ray of your knee so that I can take a decision. It hurts because of the weakened muscles. So you need to strengthen your quadriceps muscle by doing daily exercise under a physiotherapist. Also, do core strengthening exercise for your back. Please send your X-rays. You need to take Calcium and Vitamin D medications. Wear a hanged knee brace while standing or walking. It will give a lot of support to your knee." + }, + { + "id": 7427, + "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": 12212, + "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": 16620, + "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": 15863, + "tgt": "Kindly tell the treatment for recurrent cough and fever in a 5-year-old", + "src": "Patient: Hi doctor, My 5-year-old boy has a cough for three days and today he has a mild fever too. He also has a runny nose and watery eyes. Last month also he had a viral cold infection. Can you please guide me what should I do? I am giving him honey. And he gets sick so much. And he has a runny nose almost all the time. I think he has rhinitis allergies. But I am not sure. Doctor: Hi. Please continue giving honey to the child as one tablespoon twice a day. You can also give the honey in warm milk to provide a soothing effect. You can give Panadol for the fever. However, with regards to the child falling ill recurrently with a cough, cold and fever, it seems more so like a hyperreactive airway disease. We may need to start the child on Montelukast for a few months and see the change." + }, + { + "id": 16797, + "tgt": "What are the bony fragments left after tooth extraction?", + "src": "Patient: Hello doctor,My partner had extracted a tooth today at the dentist but there are bony fragments left and he is in a lot of pain. What are the bony fragments? Are they bones of the tooth? Doctor: Hello. If the bony fragments can be seen outside the wound and are painful to touch with tongue then you should go back to your dentist. Your dentist should have prescribed you painkillers and antibiotics for some relief. Do not touch the wound at all. Today definitely will be painful so take two to three tablets of painkillers at four hours interval. By tomorrow pain will decrease. Bony fragments are chipped bone which surrounds the teeth and may get broken when teeth are being pulled out. If it is outside the wound and can be seen clearly you may go back to the dentist for taking it out or grinding it down. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12994, + "tgt": "Can high potassium level cause nauseous and numbness feeling?", + "src": "Patient: Hello doctor, My potassium is 5.5. Is that high because I am nauseated a lot, hands and feet get tingly or go numb a lot. I am tired a lot and my heartbeat feels irregular a lot plus I have had diarrhea or very thin stool for past few months. Cancer too runs in my family. Doctor: Hello. Yes, serum potassium of 5.5 mEq is a bit high. The usual range of serum potassium is 3.5 to 5 mEq/L. Although 5.5 mEq/L is not that high to produce symptoms, but as your query suggested you are feeling the irregular heartbeat, I would suggest you get an ECG (EKG) done at the earliest. You might need medications to control the hyperkalemia (increased potassium). Regarding the history of cancers in your family, I cannot comment upon the hyperkalemia developing due to it or not." + }, + { + "id": 21467, + "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": 10320, + "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": 25677, + "tgt": "What makes me dizzy when I shout or blow hard?", + "src": "Patient: Hello doctor,When I shout or blow hard with my mouth, I get headaches or dizziness. Why? Doctor: Hello. I understand your concern. The headache you feel is due to increased intracranial pressure when shouting or blowing. Avoid such habits. If it happens without shouting or blowing, I suggest you consult a neurologist to rule out neurological problems. All the best. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8230, + "tgt": "Can a high degree hypermetropia treated by surgery?", + "src": "Patient: Hello doctor,I am concerned about my eye health I have hypermetropia of very high degree. Can it be corrected with surgery? I am wearing high power specs for long would it have affected my eye health? Please help. Doctor: Hello. I could understand that you wanted to get an insight of the surgical options for correction of hypermetropia. Yes, there are many surgical options.All of them require these basic parameters like, 1. Central corneal thickness. 2. Endothelial cell count. 3. Anterior chamber depth. 4. Fundus view. 5. Corneal topography. After evaluating these parameters, if these are in the acceptable range, I would suggest you go through a surgical procedure. The best method I recommend to my patients these days is SMILE (small incision lenticule extraction). I see patients who underwent smile, have a faster recovery , more spectacle independent and proper long-term maintenance of quality vision than other procedures like LASIK ( laser assisted in situ keratomileusis), epi-LASIK, and ICl (implantable contact lens). I can more provide a more detailed opinion reg the surgical options if I can see your eye examination reports spectacle power report etc. I hope this helps." + }, + { + "id": 1933, + "tgt": "Does the presence of beta-hCG in male indicate malignancy?", + "src": "Patient: Helo doctor, I am a male. I have discovered a lump in my right chest area, just below my nipple. It appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. No pain, no visible changes from outside. I am 49 years old and have the following established preexisting conditions like Hashimoto's, slight hypertension, migraines since childhood, and some allergies. I do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. A blood panel ordered by my GP now returns a slightly elevated free beta HCG level (3.24 mIU/ml with a reference value of 3.0 for males). All other results including CBC are normal, PSA and AFP, as well as HCG are negative, sexual hormones panel is normal. I cannot detect any abnormalities with my testicles. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? Doctor: Hi. First of all, I must say you have written your history very well. What I searched and concluded is: 1. About your HCG (human chorionic gonadotropin) level, your b-HCG is raised while total HCG is normal. Get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. Get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. Get FNAC (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? To answer this question, I was just wondering why you got HCG done in first place as you were asymptomatic? Neither of the drugs you are taking does not interfere with this test (b HCG). You cannot just ignore and sit on it (if b-HCG is deranged), you have to find a cause be it faulty lab investigation itself." + }, + { + "id": 26687, + "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": 20503, + "tgt": "How can I improve the size of my penis?", + "src": "Patient: Hello doctor, I am 18 years old and my penis size is too small due to a lot of masturbation from the age of 14 years. I am in depression due to my penis size. Please help me. Doctor: Hello. Masturbation does not cause a decrease in the size of the penis. It is incorrect to think that or believe that. Most of the young boys are obsessed with the size of the penis. The fact being that size of the penis does not authenticate virility. There is no golden rule that describes or validates the size of the penis as long as you are able to achieve an erection for the purpose of copulation. I suggest you stop obsessing over the size of your penis and if you can please try to divert your mind by indulging in other hobbies." + }, + { + "id": 16135, + "tgt": "How can premature ejaculation and mild erection be cured?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation and very mild erection. Recently, I was under medication for a kidney stone and consumed Veltum 0.4 for about a month. Doctor: Hi. For premature ejaculation and erectile dysfunction, you can take tablet Tadaza (Dapoxetine, Tadalafil) (10/30). Tablet has to be taken one hour before the act and should not be taken more than one in a day. Along with this, please try to indulge in foreplay and enjoy the act with your partner. There are some more things I would like to know. Do you have any problems urinating? Does your penis tighten during morning time as you wake up? If you have problems related to the above two questions, please visit a urologist, otherwise, you can continue with the above treatment." + }, + { + "id": 2210, + "tgt": "Is it normal for the gestational age to be a week more than the last menstrual period?", + "src": "Patient: Hi, My last periods was 4 weeks 5 days back, and I discovered that I am pregnant when I checked using the home test. However when we went for a scan today the doc says the sac measures 1.75 cms and it is 5 weeks 5 days. Why is there a difference of one week when from last period which is 4 weeks 5 days to sac weeks which is 5 weeks 5 days?? Is it normal?? Doctor:" + }, + { + "id": 3209, + "tgt": "A part of my primary molar chipped into pieces. What could be the reason?", + "src": "Patient: Hello doctor, I had an experience with a tooth as a child that I have never received an answer. My baby teeth were always kept pretty clean and well taken care of but this one incident happened where one tooth literally disintegrated in a matter of seconds. I was sucking on a sucker and noticed that small white hard particles were all over it. I was not sure what was happening inside my mouth and realized about 3/4 of a molar baby tooth was gone and I was spitting out hundreds of small pieces of the tooth. I went to my dentist to remove the rest of the tooth and my adult molars came in fine. What could have happened? Doctor: Hello. I have gone through your query and understand your concern. When did it happen (at what age)? How many molars? Any history of bottle feeding? Diet history? History of dental checkups and dental treatments had during that period? More history of the details would help. It could be tooth demineralization caused by occult caries or backward caries. This cannot be diagnosed clinically by the dentist and may not be apparent to our eyes. It can only be seen in a radiograph. Primary or baby teeth are more prone to decay even if well maintained. If not decay, the baby molar could have demineralized and become weak enamel by birth. Sometimes medicines taken by mother during her pregnancy (typically during the in-vitro formation of that tooth bud) could have caused this demineralization, if not decay. But the most common likelihood is by hidden decay. I hope this helps." + }, + { + "id": 5367, + "tgt": "Inspite of doing stretching exercise and meditation, I am not flexible. Why?", + "src": "Patient: Hello doctor, How flexible should a normal person be? I have been stretching two times a week for four years and I have not improved at all. In fact, I have become worse. I do winter guard and we stretch for about 25 minutes before practice. Our show this year is called meditation and we all have to pick a yoga pose, but I cannot do most of the yoga poses because I am inflexible. I have found only two that I can do. Also, I had hip dysplasia when I was born, but I wore a Pavlick brace and they said it corrected it. Could that have something to do with it? Doctor: Hello. At the outset, one\u2019s flexibility should decrease muscle soreness, prevent joint and muscle injuries, improve performance and range of motion after his/her normal physical activities. It is not important to touching the foot on the head. But you supposed to perform yogasanas as you mentioned, I give you few tips to follow. Poor postural habits and our daily movements result in reduced joint mobility. Stretching exercises improve a good range of motion and prevent joint stress injury as well. Stretching exercises gives enough relaxation both physically and mentally. 1. Take a hot full bath before starting your physical exercise. 2. Drink warm lemon honey water after 20 minutes of your bath. 3. Go for 10 minutes walk and 10 minutes jog. 4. Start your exercises with joint exercise (all joints). 5. Start stretching exercises after the joint exercise. 6. Then start suryanamaskara practice for six rounds. 7. There are so many yogic postures to improve flexibility for beginners (child\u2019s pose, bound angle pose, fire log pose, cow face pose, downward-facing pose, extended cat pose, extended triangle pose, etc). Do practice six to ten times each and every poses daily. 8. Consult a nearby acupressure consultant to improve flexibility pressure points and reflex pressure points. 9. Less your solid intake and increase liquid diets like fruits and vegetable juices. 10. Drink hot milk with added jaggery. 11. Include flax seeds and walnuts daily. 12. Early to bed and start your practice early in the morning. 13. Avoid all kinds of stimulants. I hope your flexibility will increase soon. Follow after a month." + }, + { + "id": 4984, + "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": 5305, + "tgt": "My 17-month-old baby has bronchitis, ear infection and labored breath. What could be causing this?", + "src": "Patient: Hello doctor, In a 17-month-old female child. We keep treating the symptoms but not the overall problem of why these things keep happening. Hardly any tests have been ordered, and we are constantly just treating the symptoms. The problems are: Bronchitis, and right ear infection for which antibiotics and nebulizer tx are given. A month after double ear infection and labored breathing for which antibiotics and nebulizer are given. Labored breathing continues along with fever, right ear infection and left ear drainage. Other histories,double inguinal hernia surgery when three weeks old. Tongue and lip tie surgery at 11 months. What could be causing this? What other tests should we be looking into? Doctor: Hello. Thanks for the detailed history. The history which you have described basically shows that the child is suffering from repeated lower respiratory tract infection, which usually presents as cough, fever, breathlessness for which nebulization and antibiotics were given. Our respiratory tract, ear, nose, and throat are interconnected organs and any issue with one of the structures especially nose and airway can indirectly involve the ear, so the child is having repeated ear infection which is technically known as acute suppurative otitis media. Now, the cause for repeated lower respiratory tract infection in a 2-year-old child are many, which may be innate deficiency of immunity, genetic problems with respiratory epithelial cells (for ex Kartageners syndrome, Immotile cilia syndrome). Rarely unnoticed foreign body in the bronchus can present with such repeated chest infections (lower respiratory tract infection). So unless a further evaluation is done it is very difficult to identify the cause. The child may need to undergo tests such as CT (computed tomography) scan of thorax, bronchoscopy, etc. You need to visit a pediatric pulmonologist for a detailed evaluation. One thing to say is such repeated lower respiratory tract infection with a middle ear infection is not very normal and proper diagnosis needs to be made." + }, + { + "id": 18812, + "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": 437, + "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": 6537, + "tgt": "My head hurts when I blow my nose. Why?", + "src": "Patient: Hello doctor, I am an 18 year old female. My height is 167 cm and weight is 53 kg. I have had headaches and pain in the eyes for the last two days. My nose has been blocked for about a week now and every time I blow my nose, my head hurts a lot. It also hurts when I shake my head. Doctor: Hello. I went through your query. I believe you are suffering from sinusitis. The drainage from the bony sinuses is blocked due to blockage of the nose and this is causing a headache. I suggest you consult an ENT (ear, nose and throat specialist), who will recommend an X-ray of the paranasal sinuses. You can use Xylometazoline nasal drops twice daily for two to three days. That will decongest the nose and relieve you of a headache. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14558, + "tgt": "Is it possible to get muscle vibration due to anxiety?", + "src": "Patient: Hi doctor, I have been diagnosed with an anxiety disorder and have had tests to rule out possible causes for my symptoms. Currently, I have been feeling an internal shaking in my muscles and twitching. I also tend to have panic attacks almost every day and these muscles buzzing or vibrating symptoms are making me feel anxious although I am not. Sometimes they also set off panic attacks. Is this muscles vibrating sensation caused by anxiety? How can I stop this? Doctor: Hi. Muscle twitching or shivering could be due to dehydration, stress, anxiety, electrolyte imbalance, infections. Anxiety is pathological fear. The condition can be treated with medicines like Etizolam or mild dose of SSRI. But natural way to handle stress is very good and helpful to adjust you in daily routines. The best treatment of any anxiety disorder includes both medicines and psychotherapy. In medicines, the SSRI group of drugs (Fluoxetine, Paroxetine, Sertraline, Escitalopram) are the mainstay of the treatment. Benzodiazepines group of drugs (Clonazepam, Lorazepam, Alprazolam or Etizolam) are used initially for short duration for fast symptomatic relief. Relaxation technique like yoga, mediations, progressive muscle relaxation method will control your anxiety. You should consult a nearby psychiatrist for your problem as treatment of anxiety disorder is given by a psychiatrist." + }, + { + "id": 30621, + "tgt": "Will Primolut-N taken during periods affect my cycle in any way?", + "src": "Patient: Hi doctor,I took one Primolut N 5 mg this morning to delay my periods and then immediately realized that my periods have already started. What should I do now? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24043, + "tgt": "Is it normal to have pain in penis for a week after rough masturbation?", + "src": "Patient: Hi doctor,Seven days ago, I masturbated roughly and afterwards, I noticed my penis/genitals area in pain (burning sensation) around this area for seven days now. I also have noticed my groin/butt area gets really warm from sitting. I have noticed my urethra tip is red as well from seven days. I do not have pain while using the urinal or seeing any blood or discharge. I have started taking antibiotics (Doxycycline) but symptoms still remain. Did urine test and it came out negative. Is it normal to have these symptoms for a week now? Could it be something else than urethritis? How long do you think will symptoms disappear? Doctor: Hello. This could also be an allergic manifestation. Since there are no urinary symptoms, urethritis is less likely. Doxy covers chlamydia and other organisms for urethritis. Usually, a 15-day course is enough. If there is no improvement, you may also consider seeing a dermatologist. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26079, + "tgt": "Please advise on premarital health check up for males", + "src": "Patient: Hello\u00a0doctor, Please provide second advice on reports. I would like to know if any other tests I should undergo apart from the existing ones. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Regards. For more\u00a0information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13603, + "tgt": "Every time I exercise on treadmill,my legs are itching. How do I prevent this?", + "src": "Patient: Hi doctor, Every time I exercise on the treadmill, my legs are blushing and itching. So, that is stopping me from exercising.\u00a0What is wrong and what can I do to prevent this? 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 understand your genuine health concerns. This is a very common problem for a lot of treadmill users doing cardio exercises. The main issue is the sensitivity of the skin. It looks very simple but I found this fact after a research on 150 people of different ages and with different health status, but with the same issue of blushing and itching on the legs while using the treadmill. Reasons: Dry skin in the legs. Wearing tight clothes/jeans or trousers while exercising on the treadmill. Wearing tight and above ankle socks. 1. Wear cotton-only trousers (100% cotton; not mixed with any synthetic fiber). 2. It is better to wear ankle socks compared to above ankle socks. 3. Wax properly and timely on the legs and apply Eucerin cream (extra dry treatment lotion) on the legs especially when doing the treadmill. 4. There must be a proper ventilation in the room where you do the treadmill. 5. Keep a judicious supply of water to avoid dehydration. 6. You need to keep a good and healthy diet full of vitamins, minerals and fluids (vegetables, salads, fruits, salmon fish, nuts, dry fruits). 7. Avoid caffeinated drinks like coffee, tea, beverages, energy drinks, etc. 8. It is possible that you may still feel itching and redness for the first couple of days, so it is better to take tablet Cetirizine 1 hour before workout. And apply Hydrocortisone cream if you feel that the redness is not going away on its own after an hour of completing workout . In a few days you will not get the problem anymore." + }, + { + "id": 29772, + "tgt": "How to improve eye power without wearing glasses?", + "src": "Patient: Hi doctor,I have -1.75 power in my right eye and the left eye is normal. Is there any possibility to reduce the power without glass? Can I reduce my eye power by doing any eye exercise and taking vitamin rich foods? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23973, + "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": 11129, + "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": 1440, + "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": 20920, + "tgt": "End of my urethral opening appears swollen and red. Does it need attention?", + "src": "Patient: Hi doctor, I am a 25 year old uncircumcised male. My condition is not disturbing my life, but for the sake of clarity, it would be nice to consult for a primary opinion on whether it is necessary to physically visit a urologist. I had a minor yeast infection a few months back. While clearing them off, I just found out for the first time in my life that I had a partial phimosis. For the past few weeks, I tried doing retraction exercise and now I can easily retract my foreskin, to view the whole glans and clear off the excessive smegma. The smegma softens after a period of time and gets lesser every time I shower for the past few weeks. However, I am a bit troubled by the fact that the bottom end of my urethral opening appears swollen. Previously, when I was not able to retract my foreskin, the appearance is like a small red bump. Upon revealing the whole glans, I see that it is a red part of the penile opening and it is like a straight line of red skin from the bottom end of the urethra opening until the end of the glans. When I raised this issue with my GP, who treated my fungal infection, he said it was probably a birth variation or minor inflammation. I told him (from what I recall), I had always had this since probably teenage or even younger. It does not concern me, but I just want to be more informed of my own well being. I have not been sexually active and just very recently solved my phimosis. Could it have been caused by the residual urine on my penile tip, since I am uncircumcised? Does this condition require serious medical attention? Doctor: Hi, I think the red line you are referring to is nothing but frenulum. It is a normal structure and since you do not have any symptoms attributable to it, I really do not think that you need to see a urologist in person. It would add better clarity, if you can attach a photo of your penis showing the lesion. Revert back with the urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29231, + "tgt": "Why do I vomit in morning hours with exposure to the wind?", + "src": "Patient: Hello\u00a0doctor, I am a 21 year old unmarried male weighing 86 kg. From the past 15 months, whenever I go out in the morning from around 4 AM to 9 AM, and especially when the wind touches my face I start vomiting. After 9 AM, I do not have any such problem on going out. I do not have any other medical problem. Please help. Doctor: Hi. Revert after four weeks to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27882, + "tgt": "I am diabetic, and I urinate frequently. Why?", + "src": "Patient: Hi doctor,I have a problem of frequent urination, and I am diabetic.\u00a0Please check the attached reports and give your valuable advice or opinion. Doctor: Hi. The ultrasound report (attachment removed to protect patient identity) shows enlarge prostate. Thanks. For further query consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 22005, + "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": 25513, + "tgt": "Do I have gingivitis or more advanced gum disease?", + "src": "Patient: Hello doctor, I am wondering if I have gingivitis or more advanced gum disease? My gums are red, a little more so than you can tell in the picture, inflamed, and somewhat sensitive. I have been brushing and flossing twice or three times a day. Is it possible for me to reverse these symptoms at home on my own? That would be preferred because I am currently unable to pay for a dentist visit. I have just started using salt water rinses to try and help reverse the gingivitis as well. Also, what mouthwash and toothpaste would be best for me to use to reverse the symptoms and restore the health of my gums? Lastly, can I take an antibiotic, such as Amoxicillin 500 mg capsules to help fight any bacteria and reverse the symptoms? I would greatly appreciate any help and guidance that you can provide. Doctor: Hello. The gingivitis is easily reversible but at least the cleaning of teeth and gums by a dentist has to be performed every six months or a year. This helps in removing calculus and plaque build up. It will not go away just by brushing or flossing. Use warm salt water gargle and yes Amoxicillin 500 mg will help but after removing the calculus build up. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2103, + "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": 12918, + "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": 23388, + "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": 9745, + "tgt": "Why am I having patches on chest and back?", + "src": "Patient: Hello doctor, I am just now noticing these patches on my skin and would like your input. My skin does not itch but I have been noticing patches on my chest and it is all over my back. Doctor: Hi. These patches are due to fungal activity. Let me suggest you some medicines. You should apply and give me feedback. Moist wet skin. KOH (potassium hydroxide) scrapping and microscopy. Tinea versicolor. 1. Wash with Ketoconazole lotion once daily. 2. Apply Terbinafine cream twice daily. 3. Take capsule Fluconazole 150 mg once only. For more information consult a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29788, + "tgt": "Why does home glucose monitor show higher reading than the lab?", + "src": "Patient: Hi doctor,My father checked his fasting sugar in a blood glucose home monitor using blood taken from pricking the finger and then putting drops of that blood on a test strip. It came out 130 mg/dL.\u00a0Then, he went to a laboratory and there he gave his blood sample. In laboratory test, the fasting sugar came out to be 108 mg/dL.\u00a0What is the reason for this difference? The laboratory test was done one hour after the test on home monitor.\u00a0The same thing has happened many times. Why does home monitor show higher reading than that in the laboratory? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 16787, + "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": 30283, + "tgt": "Why does not my wife show interest on me after her delivery?", + "src": "Patient: Hello doctor, I am not here to complain about my life and I am actually seeking guidance. I\u00a0am a 23 year old male who is married to a beautiful 27 year old female. I am a nice person and at least I believe so, a caring husband and a fun brother. Recently, we had a baby girl and she is 2 months old from today. The problem that I am facing is that my wife has become as cold as ice. I am more than certain that my wife did not cheat on me, so this theory is simply out the window. I do not know what I do wrong or how to fix this. I have tried several different advices that were already out there on the internet, but none of them seem to even slightly shift the situation in my favor. I have even raised this question several times with my wife, we talk about it ans she says that she will try, but then does not even do a single bit of what she promised. My wife always seems to have an excuse to avoid any contact. When we just got married there was passion, love and romance. But, right when she got pregnant, which was a planned pregnancy and we worked for it very hard for several months as she became irritated by everything and everyone. I did not seem to even get offended by that and simply try to be the best husband possible. I never said no to any errands, no matter how dumb they were. Even if it was 11 PM and if she wanted an orange juice, I would get my butt up and go get it. She had a complicated pregnancy and I have honestly tried to support her as much as I could. Now, the pregnancy is over and we have a baby girl to look after. It is not an easy task and definitely a person gets tired. Since, I am the only working person in family; my wife spends 80% of her time in raising our daughter. Though that is very tiring, I cannot believe that it is so tiring that she will not even want to hug me. When I come from work she does not greet me. Every time I get some rude responses like you stink or do not touch me or it is irritating. When I just approach her and try to say something nice, she just smirks it off and does not even say anything in return. She has no interest of doing any activities together. When we actually do decide to do something together, she is always on her phone texting to her girlfriends. I always ask her if she wants anything and in return I get a growling. With this behavior I definitely get discouraged, sad and simply go and play videogames. I still go up to her every hour or so and give her a little kiss or a hug and ask if she wants anything now, but still get rudeness in response. I just forgot my sex life? What is that? I never straight jump into sex, as you have probably noticed at this point. I am romantic. I always try to comfort her with some foot massage or hugging. I do not even mind doing it even if I get nothing in return, but the problem that I get none of the action. She gets my undivided attention. I do not forget to get her flowers or gift on a special occasion, yet I get nothing. I know that it sound one-sided like I am putting her in bad light, but it is all that bothers me. I am very honestly trying to keep this relationship going till the end of our days. I just ran out of ideas and I hope for some advice. Doctor: Hi. I read your query with keen interest and understand your concerns. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 7783, + "tgt": "Is it safe to use Daktacort cream on genital region?", + "src": "Patient: Hello doctor,I have had a fungal infection on my penis for a month or so now. I saw my GP and was prescribed Daktarin cream, and the symptoms decreased significantly. However, I recently run out, and I experienced dry skin again. I was prescribed Daktacort cream this time, however, it says not to be used on genital region. Is it safe to use? Also, as I am only experiencing mild dry skin now, would butter be suitable to use as a moisturizer? Doctor: Hi. Daktacort is a combination cream. It has Hydrocortisone along with anti-fungal. It can be used safely for up to two weeks, not beyond that. Hydrocortisone is low potent topical corticosteroids, it can be used on the face as well as genitalia under the supervision of a dermatologist. It is so mild that it is FDA approved for treating dermatitis in children. In fungal infection, it is wise to avoid combination creams, as fungus starts developing resistance to antifungal. Hydrocortisone can be used for winter (dry) dermatitis, along with good moisturizer which has ceramide content in it, only for two weeks. Moisturizer can be mixed with Hydrocortisone or Hydrocortisone to be used at night. The moisturizer to be used in the morning. After two weeks continue to use moisturizer. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21338, + "tgt": "What is the flesh sticking out of my vagina?", + "src": "Patient: Hello doctor, I am 24 years old and I have noticed that there is a piece of flesh that sticks out slightly from my vagina. I thought it was my clit but I do not know if it is right. It slightly comes out and I do not like the way it looks. Does anyone know what it may be? Doctor: Hello. It appears to be clitoral hypertrophied hood, which is often a natural development in women and can vary from women to women. However, this needs to be locally examined by your gynecologist to confirm and differentiate from labia minora hypertrophy. This can be surgically corrected for cosmetic purpose. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5740, + "tgt": "What can be done for tremors after over dosage of Morphine sulphate tablets?", + "src": "Patient: Hello doctor, I took an overdose of my late mother's Morphine sulphate tablets which resulted in hypoxic brain damage and this resulted in me having these uncontrollable tremmers in both my hands and jaw. Now I have been prescribed Pregabalin 50 mg daily but have just recently been giving a few Valium which stopped my twitches in my hands and jaw and I think these would be beneficial to me but I do not know what to say to the neurologist. I do not want him thinking that I am going to abuse them which I will not. But I do not know how to go about trying to explain that they really are helping me. Doctor: Hi. In view of the symptoms you have been suffering with, your diagnosis fits into a case of essential tremor which is the most common movement disorder associated with trembling, there is sometimes shaking of fingers, hands, and head. Particularly, increased with action as during writing, eating, dressing and so on. According to guidelines, Pregabalin and other drugs like Propranolol, Topiramate, Levatiracetam should be tried and they are known to do miracles. Pregabalin started at a dose of 50 mg is increased gradually to 75 and so on upto 600 mg according to the response. Now coming to Valium, yes as you said it is a very good drug but long term use causes increased muscle weakness, fatigue, memory problems, dizziness, ataxia, loss of libido, restlessness, drowsiness and so on. I would advise you to communicate with your physician and try other good medications which also will act similar to Valium." + }, + { + "id": 23350, + "tgt": "Does itchy burning pain sensation during urination mean STD?", + "src": "Patient: Hello doctor,I have itchy burning or pain sensation during urination since last 4 to 5 weeks. Prior to that I had sex with unknown person so I am thinking it could be STDs. The symptoms become more when the urine become more frothy such as after drinking beer or drinking little water. I am really confused and undecided on what to do next or whom to approach as no urologist available near my stay.Another important point to note is that I did have a bit of burning sensation (during urination) on occasion since childhood but it used to happen only once or twice in a couple of months but since 4 to 5 weeks (as stated above phrase), it has become regular burning sensation every time I pass urine. Here I will mention some symptoms I could experience:Sometimes finding difficulty in starting urination (due to fear of the pain of course).Burning or pain sensation during urination. It has become a bit itchy since having sex with an unknown person as described above. Feeling the frequent or urgent need to urinate.Sometimes when I try to force urination, seminal fluid with sticky white jelly-like liquid discharge could be experienced. These are the most imminent symptoms. I had burning sensations on occasion since childhood but it became more and almost every time I pass urine now since having sex with unknown sex partner couple of weeks before. I am 28 years old male. I have gastritis related problem. Right now I am taking medicine only for gastritis, Pan D, and digestion tablet Unienzyme. Doctor: Hi. I have gone through your query, based on your symptoms, it does appear that you might have either an STD or UTI, both of which are partner sure unprotected sexual contact. I would suggest you visit your local general surgeon or urologist for a detailed clinical examination to confirm, a urine analysis and urine culture and an examination of the discharge from the penis. Based on the reports or clinical findings, you will be started on appropriate antibiotics. There is no cause for undue concern as both conditions are easily treatable. I would also advise you to be cautious in the future about unprotected sexual contact. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3292, + "tgt": "Can UTI cause irritation in vaginal opening?", + "src": "Patient: Hello doctor, I am having a lot of irritation on my vagina opening and when I scratch it, it feels good but it gets more irritated. I went to the doctor recently and I had a UTI, however I am still feeling very itchy and I am getting concerned. I am 22 years old and right now I am only taking the antibiotics for the UTI. Doctor: Hi. It looks like boil. And mostly it is UTI related (attachment removed to protect ptient identity). Continue taking antibiotics. Can be in healing phase and that is why itching must be there. But you can take Syrup Cital like liquid 2 times a day for 15 days. And can also apply Candid - B like ointment which will help in reducing itching. Do not scratch. It will increase the infection. Drink more water. Keep the vaginal area as dry as possible. If you have white discharge per vaginal then can take Candid V6 tablets vaginally every night for 6 days. If not controlled with given antibiotics then may require to change antibiotics or antibiotics by injections." + }, + { + "id": 18019, + "tgt": "My face has swollen after a gum abscess. Should I be worried?", + "src": "Patient: Hello doctor, I have an abscess in my gums. I went to the hospital yesterday and they prescribed me 500 mg Penicillin to be taken four times a day. I started the Penicillin at 10 AM yesterday. The abscess has caused my\u00a0face to\u00a0swell. Overnight, the swelling has spread to the area around my eye. I do not have any pain unless I poke around at my cheek. I can still see out of the eye, but it is\u00a0uncomfortable. I am, however, extremely scared by the swelling around my eye and was wondering if I should return to the hospital and possibly inquire about an IV antibiotic or should I just wait it out with the oral antibiotic? Doctor: Hello. You also need to consult a dentist\u00a0as soon as possible, and the tooth should either undergo a root canal treatment or extraction, depending on the condition of the tooth. Hope this helps. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6037, + "tgt": "Should we run cold water on every type of burn?", + "src": "Patient: Hello doctor, I would like to know the first aid for burns. Should we run every type of burn under cold water and for how long? Shall we put butter, milk, toothpaste and/or lavender oil on a burn as people believe these things to be true? Does it depend on the severity of the burn, or is this a terrible idea? If someone's clothes or jewelry are stuck to them after or as a result of the burn, do you take them off or leave them? When is a burn considered serious enough to require either emergency treatment or follow-up medical treatment? What should be done immediately after a burn whether from heat, chemicals or electricity? How long does it take for a burn to heal and how often do they leave a scar? Is sunburn a kind of burn? Doctor: Hello. I have gone through all your queries and the answers are: Burns should not be run under cold water. Water with room temperature will be fine. It should be done only for a few minutes until the pain eases for minor burns. Butter, milk or lavender oil are effective and can be used, as most of them are alkaline and alleviate the burning sensation. If someone's cloth or jewelry stuck to them, immediately take off them. Burn involving facial areas or head and neck or genitalia or any burn involving more than 20 percent are serious and should be dealt in an emergency. If burn happens wash with normal saline and apply Silver Sulfadiazine cream. Consult a local doctor immediately. Healing depends on the level of burning, either restricted to epidermis or dermis or subcutaneous tissue. If upper-level epidermis is involved it takes two weeks to heal. Deep involvement will take longer duration to heal and may leave a scar. Sunburn is a first-degree burn in most cases." + }, + { + "id": 11862, + "tgt": "Can bleeding after sex during pregnancy be due to miscarriage?", + "src": "Patient: Hello doctor, I just found that I was pregnant three days ago, I got a faint positive and went to the hospital. The doctors said it was too early but they did a blood test and my hCG was at 150. I had sex yesterday morning and started light bleeding after. I had two small dots but the rest was light pink. I went back to the doctor and they did a vaginal ultrasound and I had the same problem. My cramping is nothing major. I am 21 years old, 5 feet 4 inches, and 161 pounds. Can you tell me if this is a miscarriage? Doctor: Hello. It could be a miscarriage and could be spotting in early pregnancy as miscarriages are usually confirmed on ultrasound scan and bleeding is heavy with abdominal pain and it usually takes a few days before getting stopped. I would suggest you to repeat a pregnancy test and see if it is positive or not because if pregnancy is miscarrying then there is a possibility for that to become negative due to falling levels of hCG." + }, + { + "id": 26093, + "tgt": "Are HIV DNA PCR tests at 14 days and 4th generation test at four weeks reliable?", + "src": "Patient: Hello doctor, Would the HIV\u00a0DNA PCR tests at 14 days and fourth generation test at four weeks be reliable if it is negative? Symptoms as of now are joint pains since two to three months and sometimes a headache. I am a heavy alcohol drinker and smoker too. Doctor: Hello. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 14686, + "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": 29166, + "tgt": "Having abdominal pain and bloated feeling for five months. Could this be due to colon cancer?", + "src": "Patient: Hi\u00a0doctor, I have had abdominal pain for five months. It is mainly under the right side ribs along the\u00a0right flank. I also have some pain on the left. I feel gassy and bloated. The stomach makes some crazy noises. I was constipated for a few months, but now I have constant diarrhea. I am going to meet my gastroenterologist in a few weeks. Two years ago, I had a similar problem and pain. I had a colonoscopy at that time and that revealed nothing. Could this be due to colon cancer? My pelvic CT with contrast revealed fibroids and small ovarian cyst. My abdominal ultrasound was negative. All my laboratory tests are normal except vitamin D, which is quite low. Doctor: Hi. Disturbed gastric flora. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19555, + "tgt": "I have bulky and anteverted uterus. Will my pregnancy be a success?", + "src": "Patient: Hi doctor, I am six weeks three days pregnant. I went for an ultrasound and found the uterus is bulky and anteverted. Single gestational sac is seen high up in the uterus. Yolk sac has been identified but the fetal pole is not seen. Good decidual reaction is seen. Suggestive of sonography after two weeks. However, the gynecologist said it is a reason to worry and do not have a chance of success. Please suggest. Doctor: Hello. I have gone through your query and reports (attachment removed to protect patient identity). Since your gestational sac and yolk sac are evident, there is nothing to worry about. The delay in the process could be because of late implantation. Another positive factor is that there is good decidual reaction. You can wait for a week or two and repeat the scan. Because the fetal pole and cardiac activity will be evident from six to seven weeks. Post seven weeks, if you cannot find the fetal pole or cardiac activity, then we can think. So, please do not lose hope. Continue taking Folic acid and Progesterone supplements. 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": 23177, + "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": 444, + "tgt": "After taking I-pill, my period is irregular. Why?", + "src": "Patient: Hi doctor, My regular period comes 24th of every month. I had taken I-pill on the 15 of last month and after that my period came on 24th. Again, I took I-pill on 28th and got period on 5th of this month. Now, again, I am bleeding in a gap of 10 days. Please advise whether it is normal or something serious.\u00a0Please help me. Doctor: Hello. After taking the second I-pill, the withdrawal bleed started on 5th, which again marked the onset of a fresh cycle. So, the next bleeding could have been due to an early ovulation and possibly an ovulation bleed. Also, sometimes intermenstrual bleeding is common to experience if I-pill is frequently used. Please do not use I-pill often as it has progesterone side effects. Presently, if the bleeding has stopped, then nothing to worry and just observe your cycle. Your next cycle may be delayed by a week or so. So, you need to stay informed. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27456, + "tgt": "All my reports are normal, then why do I have chest tightness and labored breathing?", + "src": "Patient: Hello doctor, Five years ago, I quit smoking. I am a 34 year old male, who weighs 220 lbs. I had health anxiety and had asthma tests, ECG, EKG, and chest x-rays done. I drank fairly often for four years. The last three months, the frequency picked up, and I was getting really drunk. Over the four years, since my tests, I have smoked roughly a pack of cigarettes total.\u00a0I completed three marathons in three months last year. My son was born two months back, and my running slowed to almost a halt (3 to 10 miles a week max).\u00a0I am not getting back in shape, and I am attempting a 365-day running streak and quitting alcohol for that time as well. Last week, I did 16 miles and this week I did 20.\u00a0I had a tight chest last week\u00a0and went to the urgent care. EKG results were normal. After running now, I seem to have a sore back and slightly tight chest. I do not have to\u00a0gasp for air, but it seems as if breathing is labored. When I take a deep breath, my chest and back feel sore. Also, I have OCD. Is this just getting back into shape? Doctor: Hello. Hope this helps you, and get back if you have any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 29464, + "tgt": "From the reports, kindly explain about my wife's burning sensation during urination", + "src": "Patient: Hello doctor, My wife has been having a burning sensation of urine for more than a year now. Earlier, she took Taxim-O, but after stopping it, the burning sensation came back. When it comes, it stays for 5 hours or so. She feels very uncomfortable and hardly can move.\u00a0She was advised to take Urotone, Alkalin and drink lots of water, We did an ultrasound, UFR and urine culture. Now, the doctor has suggested taking water only when thirsty. Her reports are attached. Please advise. Doctor: Hello. I have seen reports sent by you (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 431, + "tgt": "What are the next treatment options for my brother's condition?", + "src": "Patient: Hi doctor, My brother was diagnosed to have ALK positive before two years. He had brain and bone metastasis. He got a brain surgery, WBR and spine radiation. He was on Crizotinib for 10 months and after brain and bone metastasis progression he was on Ceritinib for 5 months. In the latest scan, the disease progression was seen again in bone and also there was a new brain metastasis. Unfortunately, in my country, there is no next generation inhibitor of Ceritinib. What are the options now? Is there any chance to use Crizotinib again? He has some bone fractures also. We are feeling helpless. He is just 35 only. Already, he had WBR twice. What are the next\u00a0treatment options? When he was on Crizotinib, he felt very active. But, while on Ceritinib, he mostly used to stay on the bed. Kindly suggest some option. Doctor: Hello. I understand your plight. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 13324, + "tgt": "Is it necessary to get Rh injection after abortion?", + "src": "Patient: Hi doctor, I am Rh negative. I recently had an abortion of six weeks and was not given the Rh injection. Is my health status safe to prevent future complications in pregnancies? This is the third week into the abortion. Can I still go for this injection? Doctor: Hi. Injection anti-D is needed to be taken in case of bleeding within 72 hours of the event. So, it is late already. Most mothers have well-developed immunity against rhesus positive blood group in her second pregnancy if the first child had Rhesus positive blood group. But in the case of fetomaternal hemorrhage also antibodies develop. Rhesus negative issue arises if your partner is Rhesus negative. So first of all, check the blood group of your partner. If he is negative, then there are fewer chances of the fetus to have a positive blood group, so fewer chances of Rhesus isoimmunization issue in coming pregnancies. You can have antibody titer to be on safe side if the husband 's blood group is positive. But if the husband has blood group positive then in next pregnancy as per protocol you will have to get anti-D at 28 and 32, if pregnancy remains uneventful otherwise more time you could receive. Rhesus negative with a history of miscarriage. Husband's blood group. Balanced diet. Normal BMI, weight. If the husband's blood group is positive, then early booking for the next pregnancy to have better care." + }, + { + "id": 2943, + "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": 19701, + "tgt": "Is there anything to worry about raising blood sugar levels?", + "src": "Patient: Hello doctor, My grandfather aged 79 years has diabetes for past 22 years. He has been on medication since then. He has other parameters normal but his sugar levels are quite high for some time. Before three months, the fasting blood glucose level was 116 mg/dl and postprandial blood glucose level was 206 mg/dl and a month back, his fasting blood glucose level was 186 mg/dl and postprandial blood glucose level was 362 mg/dl. He is currently having following medications: Zemiglo 50, Glycinorm 40, Tide 10, Cilamet XL 25, Modlip ASG, Pantoze LS, Gabapin NT. Otherwise, he is normal and his other parameters are normal. He eats rice for the lunch and otherwise, he avoids sugar as much as he can. Is there anything to worry and also please elaborate further line of treatment. Three months back, his creatinine was 1.5 which lowered to 1.4 after the above medication. Doctor: Hello. Your father is doing really well. The change in his sugar levels is due to his age. As he ages, his body processes would start to derange even if they were previously stable. He can continue eating as he presently is. But, ask him to also avoid sugar-rich fruits which usually are missed out like custard apple, chikoos, mangoes, pineapples. He should not eat high carbohydrate food as well as potatoes. Presently he is only taking tablet Zemiglo 50 and tablet Glycinorm 40 (for diabetes) rest are for hypertension, acidity and cholesterol lowering. I would like to know how many times is he taking these medicines, twice or once a day and also I wanted to know if its tablet Glycinorm M 40 or just tablet Glycinorm 40. You could also do the HbA1c (glycosylated hemoglobin) test, which would let us know if there are any variations in his sugar levels over the day, for the last three months. He should walk at least twenty minutes five times a week (if physically it is possible for him). It would help him get fitter. Overall, there is nothing for you to get worried. He is doing really well. Let him do things that keep him happy. The more he is happy, the better his health would be. For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24628, + "tgt": "Will ayurveda help in decreasing liver toxicity of TB drugs?", + "src": "Patient: Hello doctor,I am 31 years old. I had enlarged lymph nodes in the left neck, and after biopsy, it was diagnosed with lymph node Tb and currently undergoing Tb treatment. Since I am on Tb medicines, it affects liver greatly. What ayurvedic medicine can I take simultaneously to somehow decrease the toxicity of Tb drugs and help my liver? Can I take Sarvakalp Kwath (combination of Bhumiamla, Punarnava, Makoy)? Will it be helpful? What do you suggest for the liver? I am also a patient of high BP. Can I take Arjun decoction for that? I have heard that cardamom powder is also useful. Is it? What do you suggest for BP? Echocardiograph is normal. Currently, I am on Akurit-4 and Telmisartan. Doctor: Hi. The allopathic antitubercular treatment causes toxicity and damage to liver and kidney. It is nice to hear that you are conscious of it. You can take Sarvakalp Kwath (Punarnava, Bhoomi amla, Makoy) 15 ml twice a day with an equal amount of water after meals. It helps to improve your concern. You can also take Liv 52 (Caper bush, wild Chicory, Arjuna) syrup 10 ml twice a day after meals and Punarnavasava (Draksha, Honey, Misri) 15 ml twice a day with an equal amount of water after meals. To maintain your blood pressure, you can take Mukta Vati (Rauvolfia serpentina) one tablet and Jatamansi Churna (Spikenard) tablet one tablet twice a day with normal water. You should take one hour gap between both medicines of allopathic and ayurvedic. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7431, + "tgt": "My reports showed thick-walled, sludge-filled gallbladder. Kindly advise", + "src": "Patient: Hi doctor, I am a 19-year-old girl, weighing 151 pounds. I had gallbladder disease. I got to know three months back. The reports showed a thick-walled, non-functioning and sludge-filled gallbladder. The size of the gallbladder is 5.1\u00d72.2 mm. I got my tests done again last month and it says that the gallbladder is same sized, no stone or pericholecystic fluid. Currently, I am on homeopathic medicines. Previously, I used to have Nexum and Librax. I have also got my ultrasound done. Doctor: Hello. You had sludge in the gallbladder and now it is not seen. In gallbladder disease, symptoms are more important. So, if you do not have any symptoms then there is nothing to worry. But if you have symptoms, then I would like to repeat ultrasound after few months. Sludge is the initial form of a stone which means it can turn out to be a stone in future. So, kindly mention your symptoms. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4373, + "tgt": "What are the ways to get rid of allergy due to cold and dependance on Asthalin spray?", + "src": "Patient: Hello doctor, I am suffering from allergy due to cold, strong odor and old dust for the last about 35 years, dependant to Asthalin spray. How to get rid of it? Doctor: Hello, Welcome back to icliniq.com. It is nice to hear that you want to get rid of the Asthalin spray and surely we can give a try. You have been using the spray for quite a long time and your body is used to it. So, I will strongly suggest you not to discontinue it suddenly. I advice you the following lifestyle modification and food supplements which can be very beneficial to you boosting your immune system. 1. Drink lemon juice daily (squeeze 1 lemon in a glass of water and honey, do not add honey if you are diabetic). It is going to be winter soon and oranges will be available, add one or two oranges daily to you diet. Lemon and oranges contain plenty of vitamin C. Vitamin C is very good for the immune system and it helps you to fight common infection and even cancer. 2. Wear a mask to avoid dust. This is one single measure which will help you to decrease the doses and frequency of Asthalin use. Now a days washable mask in variety of colours are available for Rs. 20-30 (common used by people riding motor bikes). 3. Practice pranayam (especially kapal bhatti and anulom vilom). These two asanas have direct beneficial effects for the respiratory system. 4. Take two teaspoon Chawanprash daily." + }, + { + "id": 29707, + "tgt": "Kindly give your opinion about my father's heart operation for block", + "src": "Patient: Hello doctor, My father have been advised for a\u00a0heart operation, as heart blockages\u00a0found in the medical examination.\u00a0I am attaching the report (scan copies).\u00a0I need a second opinion from your side.\u00a0Please help and advise further. Doctor: Hi. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not enclosed the report of his 2D echo and left ventricle ejection fraction is to be known before giving a valid suggestion. So, kindly enclose a copy of 2D echo of your father. As of now, I would suggest you to go for MICAS. MICS CABG (coronary artery bypass graft) or MICAS stands for minimally invasive coronary artery surgery. It is a relatively new and advanced technique of heart surgery by performing coronary bypass for coronary artery disease. In this technique the heart is approached through the side of the left chest through a small 4 cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle. Similar to a regular heart surgery, the operation is performed using all arteries or a combination of arteries and veins removed from the leg. The vessel from the leg in these operations is also removed endoscopically without cutting the skin over the leg. Highly advanced instrumentation and advanced techniques allow for the operation to be performed very safely. MICS CABG has several advantages over the traditional technique. The best part is that all the blocks irrespective of their location in the heart can be bypassed in a safe and predictable manner. I think MICAS is a very safe option for him and much better than open heart surgery. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16111, + "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": 19351, + "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": 16883, + "tgt": "What should I do to heal my wound?", + "src": "Patient: Hi doctor,I am a pharmacist. I am having a deep wound in my foot. Currently, I am taking Taxim-O CV 325, Lyser D and Vitamin A to Z. I am dressing the wound with Betadine and T-Bact ointment. What else should I do? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26295, + "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": 26216, + "tgt": "I have an ulcer in my mouth that did not go away after antibiotics. What is it?", + "src": "Patient: Hello doctor,I am a 24 year old female. I visited a dentist a week back for pain and swelling at the back of the throat at the retromolar region. The dentist took an X-ray, but no wisdom tooth was present. The dentist prescribed antibiotic Metronidazole and I completed the course. The problem is my ulcer at the region does not heal. Is it normal that the ulcer does not go away? Doctor: Hello. I hope it helps you. If the problem persists, you can write to us or visit a dentist\u00a0with a specialty in oral medicine and radiology. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 17893, + "tgt": "Can I die from a tooth infection?", + "src": "Patient: Hello\u00a0doctor, I have an abscessed tooth. The tooth is almost gone. I will have to get surgically removed and do not have the money for it right now. I was wondering. Can I die from the infection?\u00a0I\u00a0have been on antibiotics from penicillin to amoxicillin to sulfur meth 800-160 mg. At about 1 AM, I felt the same pain I had before. But, it was just the one tooth and not my whole left side. It felt like it was trying to come out on its own again, then felt like a needle touched on what is left of the tooth. I yelled ouch. It tasted funny and weird. I touched the tooth and it was bleeding. I looked in the mirror and saw blood. I got really scared and asked my mom what I could do. She asked me to rinse my mouth with warm water. I did but I still taste that funny stuff. Should I go to the emergency room? Doctor: Hello. We are here to help you. Hopefully, this\u00a0helps.\u00a0Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 8221, + "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": 19346, + "tgt": "Why am I getting bruises on my legs often?", + "src": "Patient: Hi doctor, I keep getting bruises on both of my legs and they are in different colors. I have not banged recently and I do not know the reason. What can it be?\u00a0I am regularly using an inhaler for asthma. Doctor: Hi. Complete hemogram wit peripheral smear, bleeding time, clotting time, prothrombin time, APTT with INR (activated partial thromboplastin time with an international normalized ratio). 1) Gardner-Diamond syndrome (rare condition with painful bruising). 2) Long term use of steroids. 3) Normal skin tendency. Thrombophob ointment (Heparin Sodium) for local application twice daily. Revert back with the reports to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3995, + "tgt": "Please explain about the causes for erectile dysfunction", + "src": "Patient: Hello doctor, I am 29 years old . I am married from the last 1.5 years. My problem is that from the last two weeks I am am not getting proper erection during sex. Erection comes a bit and goes out instantly. It is just happeing from the last two weeks before that I was totally fine. I am taking some herbal medicines. Please suggest me why this happening to me. Right now I cat get any erection sex only a bit if I watch some porn or like that. I am having so much tension because of that. Yes one more thing, I used to take one penis size enlarge oil but very rarely. Might be because of that oil I am having this problem. Please suggest me best possible option to cure this. Doctor: Hi. I can understand your concern. As you are getting erections when you watch porn but are losing during sex this shows that problem is not organic. The issues are more psychological. Confido helps to boost confidence but is not proper treatment. For some times you can try tablet Tadalafil or Sildenafil. Either of these tablets if taken about half to one hour before sexual intercourse help to improve erection. If problem persists then visit a doctor and get serum Testosterone and Prolactin levels done. If levels of both these hormones come normal then remain relaxed. No need to worry." + }, + { + "id": 11343, + "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": 26146, + "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": 23490, + "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": 30088, + "tgt": "Other than laser, how to treat CSR in eye?", + "src": "Patient: Hi doctor,I am 44 years old. I have CSR in my right eye. Please tell some solution other than laser treatment. Also, I see floaters in both eyes. Doctor: Hi. In simple words, CSCR is disease of the retina in which fluid is collected under the retina (central serous chorioretinopathy). It is common in people with stress and taking steroids. If it is the first time, then treatment is not advised until three months as in majority cases it resolves spontaneously. You just need to make some changes in lifestyle to be stress-free. If you are having recurrent attacks, then after some tests like fundus fluorescein angiography (FFA) or OCT (optical coherence tomography) the treatment could be advised. The laser is applied if we find some leaking spot. Other options are injection in the eye. New studies have shown the role of Rifampicin. I suggest tablet Rifampicin 600 mg for four to six weeks and that has good results. You need to visit your eye doctor and discuss all these options. If you have a fear for laser or injection, then you can try tablets after some basic tests such as LFTs (liver function tests) and RFTS (renal function tests). I would advise you to visit your retina specialist for further management and discuss all options. He will do the best for you. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6521, + "tgt": "Is it safe to take Nucoxia for a long period?", + "src": "Patient: Hi doctor, I am a 39 year old male.\u00a0I have been diagnosed with mechanical low back pain and SI joint pain. My doctor has advised me to take Nucoxia 60 once daily for three months. Is it safe to take Nucoxia an anti-inflammatory medicine for such a long period of three months? Doctor has not prescribed any antacid. Should I take some antacid like Omeprazole with this? All blood tests LFT, KFT, hemogram are normal. I am also taking Eltroxin 125 mg as I have hypothyroidism for the past 10 years. Please advise on long-term safety of Nucoxia 60. Doctor: Hi. You have mentioned that you have been diagnosed as a case of mechanical back pain. Revert back with the investigation reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7149, + "tgt": "What are the home remedies used to treat sore throat?", + "src": "Patient: Hi doctor, How can we treat a sore throat? Please explain about the OTC medications taken, and the home remedies followed to cure a sore throat. Doctor: Hi. These are the home remedies followed to treat a sore throat. Drink a mixture of lukewarm water with honey and lime juice a couple of times a day. It gives immediate relief. Grated ginger with green tea is quite helpful. Ginger has anti-inflammatory properties with a strong taste. It helps to calm a scratchy throat. Aspirin dissolved in warm water and salt water gargling is beneficial. It can be followed for a few days to reduce the inflammation. Do not drink the mixture if you have peptic ulcer disease or any other contraindication to Aspirin. Do warm compress on the neck on the affected side. It helps to alleviate the pain and soreness. Over the counter, Paracetamol can be taken orally twice daily. It helps to reduce inflammation and pain." + }, + { + "id": 21830, + "tgt": "I have an abscessed tooth. How do I stop the infection from getting into bloodstream?", + "src": "Patient: Hello doctor, I had an abscessed tooth for two months now. I am afraid it will lead to a jaw bone infection. What do I do to stop them before it gets into my bloodstream? Doctor: Hi. I have and gone through your query and would like to say that an abscess requires antibiotic coverage and specific treatment of the cause. If it is because of a cavity in the tooth, we can go for root canal treatment or extraction based on the condition of the tooth. If it is because of gums and supporting tissues, cleaning, curettage and further minor surgery if required has to be done. So, kindly visit you nearby dentist for examination and treatment. Do not worry. It can be treated. Since you have a chronic infection, it might shoot up anytime when your immunity goes low and cause pain too. So, better visit your dentist as soon as possible. You can send me an image of the tooth and lesion to guide you more properly with a provisional diagnosis. Anyways confirmation can be done with X-ray along with clinical examination only. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6694, + "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": 189, + "tgt": "Why does my heart pound when I am worried?", + "src": "Patient: Hi doctor, I am getting anxiety and panic attacks when I am worried or overthink. I had pounding and palpitation at that time. But,\u00a0I am not feeling anything in specific. I am going 20 minutes walk daily about 6.5 km per hour and burning 200 calories. I lost around 5 kg in the past three months. I have stopped taking chocolates, coke, red bull, etc., as well to help with weight loss. I have attached my CBC report here for your reference. Doctor: Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: 1. Iron deficiency. 2. Eosinophilia. Iron supplements and iron-rich diet,. Also Albendazole, if worm infection is suspected. For further doubts consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20338, + "tgt": "Why is there loss of protein in urine?", + "src": "Patient: Hi doctor, My wife is losing protein in the urine. The result is ++. She usually remains tired and also has pain in some part of the body like back pain or head pain. She also has a lot of black pigmentation marks on her body. Is pigmentation marks cause any serious problem? Can you please tell me its side effects? And what are the issues we can face in future due to this problem? And does it have any treatment? Because already one doctor has told us that there is no treatment for this problem and my wife will get ill sooner due to protein loss, and there is also 20 % chances of kidney failure in the future. Is it true? Doctor: Hi. Protein in urine can be due to a nephrotic syndrome which could be due to many causes. Blood pressure, blood albumin level, and random blood sugar should be measured. Her urine test shows some pus cells (attachment removed to protect patient identity). I suggest using antibiotics like Bactrim (Sulfamethoxazole and Trimethoprim) for five days. Is there any history of respiratory infection in the last three weeks? Sometimes we may need to take a sample from the kidney to find out the exact cause. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26427, + "tgt": "I have a small red spot under my tongue. Should I be worried?", + "src": "Patient: Hello doctor, I am a 49-year-old female. I am not sure if I should be concerned and see a doctor. For the past two to three weeks, I have had a small, red spot under my tongue. It is not much larger than a pin dot and I think it has decreased in size. I have attached images for your reference. It does not hurt nor does it feel lumpy or bumpy. I am currently on\u00a0Mirtazapine.\u00a0Can you please advise me as to what should be done? Doctor: Hello. I went through your post and images\u00a0(attachment removed to protect patient identity) For more information consult a\u00a0general medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19890, + "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": 11748, + "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": 1493, + "tgt": "Got skin whitening as a side effect of Gleevec. Will this go away?", + "src": "Patient: Hi doctor, I have CML-CP. I am on Gleevec for the last one year. My query is about the skin whitening as it has turned too white. Will this side effect go away? Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 9771, + "tgt": "There is a change in the shape of my gums due to bleeding. When will it return to normal?", + "src": "Patient: Hello doctor,I have bleeding gums for a year or so, and it usually happens after I brush my teeth. I find a slight change in the shape of my gums. I have been taking extra oral care. Is there anything I could do to stop my gums from bleeding? And if the bleeding stops permanently, will my gums take the original shape? I want to know this because I do not wish my gums to recede. Doctor: Hello. The most common cause of bleeding gums is plaque and calculus deposition on teeth and gums (due to improper maintenance of oral hygiene). Only brushing and mouthwashing at home may not work since it is a little advanced stage and demands professional help (teeth cleaning). Gums may recede due to loss of attachment with the teeth. That requires proper oral hygiene maintenance after cleaning. In some cases, gingival recontouring or reshaping is carried out. In short, see a dentist. He will be able to address all these concerns immediately." + }, + { + "id": 11627, + "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": 10028, + "tgt": "Please enlighten me on non-invasive procedures to detect prostate cancer", + "src": "Patient: Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer. Doctor: Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25897, + "tgt": "Is my thyroid profile normal? Kindly let me know", + "src": "Patient: Hello doctor, I am a 58-year-old female with a history of hysterectomy twenty years before. Now, I have osteoporosis and I do not want to take a medicine after viewing all the side effects. I am having difficulty in losing weight despite many diets. After searching on the web, I decided to do hormone test and now I want to have an opinion from a doctor about the results I have obtained and what step should I take? My thyroid results are T3 at 4.6 pmol/L, T4 at 14.25 pmol, and TSH at 1.48 mcU. E2 66.4 pg/mL, progesterone at 0.81 ng/mL, testosterone at 0.25 ng/mL. I want to know if this is in order and I need your advice. I am currently on multivitamins, calcium, and vitamins. Doctor: Hello. Your thyroid profile is absolutely normal. Your other hormones show postmenopausal status which is normal at your age. For osteoporosis, you should take calcium and vitamin D which you are already taking. You should also start with hormone therapy for the shortest duration and lowest dose as it is not harmful This will help to strengthen your bones which is very important for osteoporosis. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 629, + "tgt": "Has Metformin 500 been recalled due to cancer scare?", + "src": "Patient: I have diabetes type 2. I am a female. My age is 27 and my weight is 43 kgs. I am currently been taking glimepiride and metformin 500. My height is 5'1''. I have read that metformin 500is recalled due to cancer scare. Require alternative medicine. My last sugar check was 395 mg Doctor: Hello greetings.. Happy to give consultation to u. With the above given history, u r sugar levels are very much high and u need to control u r sugars as early as possible. The current medications are not at all enough to control u r sugars. I will give u the prescription. Regarding metformin, the cancer risk behind metformin is totally wrong, it's a good drug of choice even we r prescribing this in pregnancy too.. So don't worry abt the cancer risk behind metformin, tats False news. I would like few investigations for u- Kindly do all the above investigations and get back for further evaluation. I am hereby sending the prescription kindly get these tablets and start taking it. Will follow up in a week with the above said investigations.. Medicines- 1) Tab. Glykind-M 80/500 1-0-1(Before food) (Gliclazide+metformin) 2) Tab. Dynalglipt-M 20/500 1-0-0 (Tenegliptin) Kindly take these tablets and get back for follow up with above given investigations..kindly contact me anytime for further queries. Kindly give u r valuable feedback. Thank you." + }, + { + "id": 26919, + "tgt": "I have taken an I-pill on day-2 of my period. When can I expect my next period?", + "src": "Patient: Hi doctor, I had my last period on the 16th of the previous month.\u00a0On the 17th, my boyfriend and I were physical. We did not have penetrative sex, but there was semen around my vagina. Should I be worried about getting pregnant? And, on 19th (within 43 hours), I took an I-pill as I was scared. Since it was my\u00a0first time, I\u00a0did not know much about these things. Please help me out. Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8362, + "tgt": "I feel my head is heavy and my brain lacks oxygen. What to do?", + "src": "Patient: Hi doctor, I always feel that my head is heavy, most of the times in a day it feels uncomfortable\u00a0as if my brain lacks oxygen. I did a master health checkup recently, and all reports were normal. I am on BP medication only. I feel fine some days, but when I start feeling the heaviness, things becomes crazy, I lack energy and do not get a sound sleep at night. I cannot concentrate on work when my head feels uncomfortable. I feel a\u00a0throbbing kind of a\u00a0headache. I have been to multiple doctors, they say it is anxiety and gave me tablet Nebistar\u00a02.5 mg, but the pain is still there. Please help. Doctor: Hello. I would like to know some details about your problem. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6744, + "tgt": "Having pain and numbness in hands and fingers. Plesae advice on my reports", + "src": "Patient: Hello doctor, I have pain and numbness over both hands for long, and fingers recently. Since pain also was there, he took Ayurvedic applications for arthritis. I had consulted neurologist last week, undergone NCS test, and I have attached the files. Advised medication for three weeks to be followed by surgery. Please help. Doctor: Hello. I understand your symptoms. I have seen the files attached (attachment removed to protect patient identity). You have a condition called carpal tunnel syndrome, and it means that the nerves carrying sensation and driving the muscles of your hands are getting compressed near the wrist bones. This is a quite common condition in females in fifties. You can continue the medicines advised. Was any thyroid profile done for you? If not, please do thyroid function tests. If that is low, we can treat you for that, and your symptoms might improve. You need to give some rest to your wrists. You can wear carpal tunnel syndrome splint. You can buy it from any nearby good physiotherapy centers. Keep the brace on as much as possible time. That will help to reduce symptoms. Continue it till three weeks. Do a brace and thyroid function tests. We will decide on further management when you review with thyroid function test." + }, + { + "id": 10452, + "tgt": "I always feel like third person is ordering me. Kindly advise", + "src": "Patient: Hello doctor, I am suffering from depression. It has been four years. I am always demotivated. I was average student but then I became a failure. I cannot concentrate on studies. I feel like god is talking to me and orders me certain things which I must do. I always feel like third person is ordering me and I get tired answering them. I feel like I have become a small child of second grade. Doctor: Hi. The symptoms like someone is talking to you, talking to God or hearing voices which others cannot hear could be occurring due to some psychotic issue. Such kind of symptoms are not generally seen in depression. Since such symptoms have resulted in loss of performance in studies, poor concentration in studies, so please visit a psychiatrist for help and evaluation. Drugs like Amisulpride, Olanzapine, Quetiapine, etc., can help you in coming out of depression and psychosis." + }, + { + "id": 6023, + "tgt": "How to spot the symptoms of high blood sugar?", + "src": "Patient: Hello doctor, How to spot symptoms of high blood sugar and warning signs for high blood sugar and pre-diabetes? I would like to know at least one symptom of hyperglycemia, and explanation of why that symptom occurs during a bout of high blood sugar? Doctor: Hello. Usually high blood glucose (hyperglycemia) symptoms are not very obvious, hence people do not come to know about the problem easily. So called typical symptoms of diabetes or hyperglycemia are : excess thirst (polydypsia), excess hunger (polyphagia) and excess urination (polyuria) are not easily recognizable. When diabetes begins patients tend to have more thirst, more hunger and more passing of urine specially at night, disturbing the sleep. In addition persons tend to have unexplained weight loss (due loss of excess glucose through urine) and unexplained perpetual tiredness. Our kidneys normally absorb all the glucose filtered, no glucose is excreted in the urine in a normal person. But if blood glucose increases beyond 180 mg/ 100 ml, then the kidneys are unable to retain the same, hence in hyperglycemia all the excess glucose is sent in the urine. In the urinary bladder when more glucose is present due to osmosis it draws more water and patient get repeated urge to pass urine. Excess passage of urine leads to more or increased thirst, hence dryness of mouth. To combat that person tends to drink more water. Loss of glucose indirectly leads to energy loss, tiredness, weight loss, fatigue and even the increased hunger. Prediabetes is a condition when blood glucose levels are above normal but below the diagnostic limit. That is fasting glucose between 101 to 125 mg/ 100 ml and post-prandial glucose between 141 to 199 mg/100 ml and HbA1c% between 5.7 % to 6.4%. Diabetes is diagnosed when fasting glucose is 126 mg/dL and above, post-prandial glucose is 200 mg/dL and above, and HbA1c% is 6.5 % and above. Unfortunately there are no very specific symptoms that can be attributed to hyperglycemia which can be easily recognizable. Hence more that 46% of people with diabetes do not come to know that they have the disease. Most often it is a chance diagnosis. I hope this helps." + }, + { + "id": 18891, + "tgt": "My father has forgotten everything due to some brain problem. Please clarify the reason", + "src": "Patient: Hi doctor, My father is suffering from some brain problem. I do not know the type of problem. He forgotten everything including our family members. He previously had taken treatment for depression for the last three years. Doctor: Hi. I have seen all the attachments you sent (attachment removed to protect patient identity). Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13362, + "tgt": "How can drinking water be made free of diseases?", + "src": "Patient: Hello doctor, My kids are getting cold and fever because of tank water. Is there anything available so that we can put inside the tank to avoid disease? Doctor: Hello. I just read your query. Use tank water after boiling. Give your children lukewarm water for drinking not cold water. Give them steam of plain water two to three times a day whenever they get cold. Strengthen their immunity. You can give them one teaspoon of Chyawanprasha with lukewarm milk in the morning. Chyawanprasha can be given in children above three years of age." + }, + { + "id": 13325, + "tgt": "I am suffering from poor concentration due to fantasy thinking. Please help me", + "src": "Patient: Hello doctor, I am 32 years old, and I am kind of facing the issue of fantasy in my head and mind deconcentration. Whenever I am busy or in social gathering most of the time I am fine. But when I am alone, walking alone and traveling alone, my mind goes into the fantasy. I kind of see this thing becoming common in people and while observing them I noticed that whenever I am in this situation my body is at rest while facial expression is changing according to what I am thinking. As I watched a lot of fantasies movies and seasons, my mind keeps stuck in these, thinking about different scenarios along with facial expression like smiling, anger, etc. It is kind of embarrassing when someone notices me. I would like to know what it is. People are saying it as daydreaming. My question is whether it is really daydreaming, or if not what it is? How can I overcome it? Doctor: Hi. Yes, you are suffering from excessive imagination or daydreaming, which is common in every individual. But some people do it more which becomes a kind of habit. Sometimes, we also use this kind of defense and imagination in order to avoid day-to-day stress. It becomes a form of avoidance behavior. Distract yourself with some positive and productive strategies like focus on your career, practice your hobbies, make a day-to-day schedule, try to follow it, use some aversive stimulation to prevent yourself from going deep in imagination like pinching yourself hard on the hand." + }, + { + "id": 5998, + "tgt": "My newborn son's TSH level is 5. 6 and T4 is 8. 6. Does he need treatment?", + "src": "Patient: Hello doctor, My son is 42 days old. His activities are normal, but his TSH level is 5.6 miu /ml and lab normal range is 4-8 miu/ml and his total T4 level is 8.6 mcg/dl and my lab normal level is, 4-8 miu /ml. My doctor says that he is in borderline and needs treatment as the correlation between two hormone level is not correct. Is this true? Please help. Doctor: Hello. TSH of 5.6 is high normal and T4 of 8.6 is fine. If this is the first time you are checking it, repeat after five days, do a free T3, free T4, and TSH next time. They are better interpreters. Correlation between the hormone levels seems to be fine. The condition which we are worried about is hypothyroidism, where the body has low T3 or T4, because of which TSH is high. Sometimes when the reports are difficult to interpret, it is always better to repeat and confirm. Thyroid is concerned with overall development, especially of the brain, the early we start treatment, the better. But over treatment is also not advisable. So better repeat the test, if TSH is coming down, no need to start the treatment." + }, + { + "id": 22328, + "tgt": "Why do women become fat during or after pregnancy?", + "src": "Patient: Hello doctor, I would like to know why do women become fat during or after pregnancy? Doctor: Hello. Women become fat because of lack of physical activity, exercise, fluid redistribution during and post pregnancy. All these factors cause weight gain. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16166, + "tgt": "I have severe pain in the left leg after lifting a heavy object. Please help", + "src": "Patient: Hi doctor, I have a diagnosis of disc herniation. I have done an MRI. I have severe pain in the left leg. I have this problem for the past two months. It got started before four months when I lifted a heavy box. I have a sharp pain. After two months, it became normal. After a month, it came back suddenly. I have sent you the photos of the disc. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, you have a large paracentral disc prolapse on the left side. I cannot say about the level involved as you have not sent a sagittal section. If you have the symptoms matching with the level of the disc, then you have to wait for at least six weeks for the disc to have a shrinkage. If there is no improvement or if you are having motor weakness or bowel or bladder disturbance, then these are the indicators for the surgery rather than having a conservative treatment. A decision to have surgery should be taken by yourself along with the advice of the clinical examiner." + }, + { + "id": 17551, + "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": 14659, + "tgt": "Why are there gap and sensitivity in teeth even after filling?", + "src": "Patient: Hello doctor, I had a root canal five months back and it has caused a lot of problems. The root canal left a gap between the molar and the tooth beside it. Food got stuck inside and it was causing pain. I came back and she said it was the tooth next to my root canal which was causing the gap. Now that tooth had a filling in it so she offered to redo it so the gap would disappear. After the new filling, the gap was still there so she put some kind of hardening fluid in between the gap and told me not to floss on that tooth. A few weeks later and the gap is back and now my tooth with redone filling is very sensitive. I am starting to feel like this is a lost cause and I do not know where to go from here. Doctor: Hi. Your case has become a bit complicated. It would have not gone this bad if the filling of the adjacent tooth would have been done before taking size for the cap, then the gap would have adjusted and you would not be having any food sticking complaint. But do not worry, there is an end to every pain and suffering. You might have to go for these stages of treatment now. First of all, an X-ray of the adjacent tooth that is feeling sensitive should be taken and assessed. The following could be the treatment options you could have. If there is some internal carious activity detected that is causing sensitivity and has not touched the pulp or root of the tooth, then again you have to go for deep filling with some regenerative dressing in the deeper part of the cavity that may regenerate the tissues above the root, reduces sensitivity and inhibits the further carious activity. If there is some carious activity that has touched the pulp of tooth then you would be going for root canal treatment and capping as done before. Then cap will be placed and it will fix your gap. You can have an option of capping at sensitive tooth after deep filling if caries has not reached pulp. Cap size will be adjusted to fill the gap and you will be relieved. It would be great if you can provide me with some of your clinical pictures of teeth and X-ray of both RCT treated and sensitive tooth. Then I could suggest better which option will suit you." + }, + { + "id": 12862, + "tgt": "Am I having shortness of breath because of iron deficiency anemia?", + "src": "Patient: Hi doctor,My age is 26 and having iron deficiency anemia. My Hb level is 11 but ferritin 18. Sometimes, I felt shortness of breath. Now, I am taking Iron medicine but when I quit taking iron tablets, my situation gets worse with time. Doctor: Hello. You can complete the course of Iron medication for 2 to 3 months according to your doctor's prescription. It is not advisable to take Iron tablet randomly. Usually, at 11 gm Hb level, dyspnea does not occur. For your breathlessness, I suggest you investigate with chest X-ray and spirometry investigation. For that, you can consult a pulmonologist for chest examination. Meanwhile, complete the full course of Iron medication." + }, + { + "id": 14797, + "tgt": "Why are there generalized itching and cherry color spots on chest and back?", + "src": "Patient: Hello doctor, I am 38 years old and a little obese. I have noticed two or three cherry color spots on my chest and back. Are they something to be worried about? I hope it is not a sign of some serious disease. Secondly, I am experiencing some generalized itching on my body. Last year same time of the year, I felt the same. Is it due to winter and dry skin? I am putting coconut oil and it gets better and also having Allegra 180. Doctor: Hi. I have gone through your case. These red spots are called cherry angioma and these are nothing to worry. They are just like black moles which normally do occur on our skin. These are due to swelling of the blood vessel. In winter we take bath with hot water which makes our skin more dry by evaporating water from our skin. Heaters do the same. As a result, the skin becomes drier. Use mild to moderate hot water, coconut oil or liquid paraffin both are fine. Or mix one teaspoon of Betamethasone lotion with two tablespoons of olive oil and apply two times a day for five days only. Take Allegra for five days only. However, if other family members are also having an itch then it is not due to winter issue." + }, + { + "id": 18241, + "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": 9551, + "tgt": "My recent MRI taken for multiple sclerosis shows no new lesion. Is this a good sign?", + "src": "Patient: Hello doctor,I am a 34-years-old female. Last year I was diagnosed with MS. I had an MRI scan with the contract last year, which showed up lesions in the brain and two were active at that time. I had another MRI last week and got my results today. It shows no new lesions or activity also the lesions I had have shrunken. Is this a good sign? I read if lesions heal, that means the MS is progressing is this right? I have had dizziness for over a year, and it is not going away. I cannot understand it as I have no active lesions, and the ones I did have are healing. Doctor: Hello. I have read your question carefully, and I will try to give you a detailed answer. There are several types of multiple sclerosis, more precisely four, 1. The first type is the commonest one, relapsing-remitting, with temporary periods of exacerbation and feeling well between attacks. 2. The second type is secondary progressing, which means that after some time in the first type, the lesions could get the transition in the second type, where symptoms worsen gradually. 3. The third type is not so common, primary progressive when from the beginning, patients have slowly worsening symptoms. 4. The rarest type, progressive relapsing, with slowly worsening symptoms, accompanied by acute exacerbation, with no remission. So, periodic clinical and imaging evaluation should classify the type. In general, conventional MRI measures do not fully correlate with clinical standards. Said, someone might have more lesions in MRI and feel better than someone who has fewer lesions. In current medical practice, MRI features that correlate more to progression are, accelerated brain volume loss (atrophy), the formation of black holes (permanent damage of axons), which indicates more degeneration. About half of them will go away, providing the sign remyelination. When they remain, it is a sign of permanent scarring. I hope I was clear in my answer. Feel free to ask further questions any time." + }, + { + "id": 9725, + "tgt": "When I stretch, I heard a crack with pain in neck. What should I do?", + "src": "Patient: Hello doctor,This morning I got up, and I went to the restroom. As I looked at myself in the mirror, I start to stretch, as soon as I stretch I heard a slight crack in my neck and sharp pain, after that I could not move it. What should I do? Doctor: Hello. I have reviewed your question. I am sorry you are experiencing neck pain. Nearly 80 % of people will experience back pain at some point in their life. If your pain is muscle related, a hot bath may help loosen you up and give you some temporary relief. When you say that you heard a pop and now you cannot move it, it tells me that you will most likely need to see a chiropractor for relief. If you were my patient, I would perform a chiropractic examination and would most likely recommend chiropractic adjustments. Since you are not my patient, I recommend that you go back to a local chiropractor for treatment and proper care. Once they perform an examination, your chiropractor may want to order X-rays to confirm a diagnosis, but I would suspect that he or she will recommend a trial of care to see how you respond to care. Until then, ice may help with some of your pain. Make sure you ice for 20 minutes and then take it off for at least 40 minutes. Repeat this as a need for pain relief until you see a chiropractor. I hope this helps." + }, + { + "id": 30737, + "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": 22965, + "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": 12542, + "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": 15722, + "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": 5899, + "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": 23235, + "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": 1536, + "tgt": "Ever since I got the Nexplanon implant, I have two periods every month. What to do?", + "src": "Patient: I\u2019ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly when I was starting my period. Recently my doctor told me to take birth control pills while on nexaplanon to see if it would decrease my periods. I\u2019ve been taking the pills for a week straight and my period has been on for 8 days which isn\u2019t normal. My period is heavy, light, it\u2019ll stop, then start again. I don\u2019t know what I should do. I just want my period to go back to normal Doctor: dear welcome to iclinq. com Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards due to the hormonal( progestronic) effect of nexplanon on the endometrium 1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome.." + }, + { + "id": 22242, + "tgt": "Previously positive ANA turned negative. Is it safe to plan pregnancy now?", + "src": "Patient: Hello doctor,My daughter had a little girl four years ago. About three months postpartum, she fell down a flight of stairs injuring her back. At the same time, she had a very bad cold. When her back continued to give her pain after seeing the orthopedist, she went to a neurologist. Her blood work showed an ANA of 640 and a positive anti-DNA number. She was told that she was a candidate for developing lupus. Since that time she had seen a series of rheumatologist as her ANA has remained positive, rarely 320 but generally 180. He just went for a routine rheumatology and her ANA is negative as is her anti-DNA number. Of course, she is elated, as she and her husband have wanted a second child badly. They have been afraid however because of the risk of her developing lupus, especially afraid of becoming disabled as she already has one small child who needs her care. She has also been told that the offspring of women with positive ANA with potential lupus may have children with a higher incidence of autism, another great fear in this generation.She is now very confused about how to proceed in terms of getting pregnant. On one hand, it feels like she may have dodged a bullet - and if so is there any sense in running after the bullet? On the other hand, she is trying to think positively that this may be a window during which a pregnancy might be safe. There seems to be a rise in autoimmune disorders in general, especially among childbearing age women. She is a 35 year old professional. Of course, pregnancy is a hormonal firestorm and she is afraid that it will reignite lupus. On the other hand, she and her husband desperately want a second child. In your experience, once an individual who had previously tested positive ANA for four years goes to a negative status, is it likely they will remain there? Would you advise against the pregnancy? In your practice have you seen the offspring of ANA positive having a greater incidence of neuro-developmental disabilities like autism? (she was never positive for that congenital lupus marker). Do you think it is likely that the pregnancy would put her at greater risk for developing lupus either now or in the future? Doctor: Hello. Yes, there have been cases where ANA once positive becomes negative towards the later part. Initially, it may have been induced by pregnancy or any infection but over course of time, it becomes negative. As for your friend, I would suggest we do ENA (extractable nuclear antigen) profile and antiphospholipid work up before she plans for next pregnancy. This will give us a clear idea if she has any other antibodies apart from ANA which can trigger underlying lupus. If they are negative she should be fine to go with it. But yes, with pregnancy it is difficult to predict if she will develop lupus or any other disease for that matter. But lupus in itself is not a contraindication for pregnancy. And there are no risks of autism in such patients. ANA is a mere antibody which can come positive in thyroid patients or you can even see in 5 % of the normal population without causing any symptoms. So to conclude, if her ENA is negative and antiphospholipid is negative we should not focus too much on just ANA. But yes, we cannot deny the little risk any pregnant female carries for developing new diseases. So if they really want we should not stop them. Hope the information was useful. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 7082, + "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": 19769, + "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": 7646, + "tgt": "My gum graft surgery stitches have become loose. What to do?", + "src": "Patient: Hi doctor, I had gum graft surgery a couple of days ago. Now, the swelling has gone down around the graft site. I am noticing that some of my stitches on one side are loose and coming out. Should I be worried about this? There is no bleeding. Otherwise, it appears to be healing. I have attached photos for your reference. Doctor: Hi. For further information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 11037, + "tgt": "Is the variation in PPBS after 2nd and 3rd hour of meal normal?", + "src": "Patient: Hi doctor, I am a 49 year old female. I have been checking my PPBS at home. But, there is a bit ambiguity in my results. My PPBS after two hours shows around 210 and if I check after three hours my PPBS levels up to 140. So, kindly please let me know that which test result am I supposed to consider. My fasting blood sugar level is usually 120.\u00a0I am not taking any regular medications. I have been noticing the variations since past one month. I am not prone to any diseases or surgery. My BP and cholesterol are also normal. Doctor: Hi. We are here to help you. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24453, + "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": 30550, + "tgt": "Please give a suggestion regarding the minor change seen in my ECG", + "src": "Patient: Hi doctor, I went for an annual health checkup and found there was a minor change in the ECG. I am 28 years old. My weight is 80 kg and height is 163 cm. My BMI is 30 and waist circumference is 90. My BP 130/90 mmHg. I am also attaching my ECG report to you. I need your suggestion. Thank you. Doctor: Hi. You may go for electrolyte levels in the blood and renal function tests to be on safer side. Though no need, if you do not have a history of renal disease or medicines that may cause increased potassium levels. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7933, + "tgt": "Is it possible to get chest discomfort and abnormal heartbeat by using Embeta XR 12. 5?", + "src": "Patient: Hello doctor, Before six months, I had some abnormal heartbeat. I went to the doctor and he suggested me to use Embeta XR 12.5. Now, from the past four weeks, I feel a little discomfort in the chest area and abnormal heartbeat and used the same medicine by myself. Today I took ECG and got low t-wave result (today I took embeta xr12.5 for 2 times). Am I in danger? Please suggest to me. I am diabetic. Doctor: Hello. I passed carefully through your concern and would like to explain that your ECG recordings do not show any pathological changes (attachment removed to protect patient identity). So relax and do not worry about it. I just would like to recommend you discussing with your attending cardiologist on the possibility of further investigating any possible cardiac arrhythmia. An ambulatory 24 to 48 hours ECG monitoring, a stress cardiac ultrasound would be helpful. If suspicions are raised after that, a cardiac MRI would definitely clarify the cardiac structure and function." + }, + { + "id": 807, + "tgt": "What causes deep breath once in a while?", + "src": "Patient: Hi doctor, I am trying to find out a specific function of the diaphragm when it comes to taking a deep breath. There seems to be a deep breath one takes similar to when one is at the doctor and they say take a deep breath and then there is a much more satisfying deep breath one can take which seems to fill the upper lungs with much more air. It looks like the diaphragm (upper belly) moves out a little bit when this deep breath happens. Can anyone explain the mechanics of this? Why can this deep breath happen sometimes and not other times? It is as if I could hold a musical note for 3 minutes because their is so much O2 in my lungs. Doctor: Hi. It is an interesting question. Your observation that sometimes you can take a deep breath that is a bit more satisfying than other times makes me a bit more curious as to whether you are in the same posture every time you try it. The diaphragm is a muscle that divides everything in chest from everything in the belly with a few orifices that help get certain things like your food pipe through. It helps to expand the lungs by moving towards the belly while to take a breath in thereby creating more space for the lungs. Since there is a finite potential space, I wonder if you feel the difference based on how much food you have had or what time of day is it. I suggest a more detailed discussion if you can provide some more information." + }, + { + "id": 20402, + "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": 14665, + "tgt": "I have been having mild pain around genital area and numbness in the penis during orgasm", + "src": "Patient: Hello doctor, I am a 23 year old male. I get numbness in the penis during orgasm. I have been doing lower back exercises since two days for my back pain. Since then, I think I have been having mild pain around the genital area and this problem of numbness. Is it temporary? Doctor: Hi. You have not provided any information regarding your marital status and education which are also relevant for me to diagnose. Numbness around in the genital area after orgasm can be calledrefractory period. This refractory period after orgasm is quite natural and normal in men. This period can last from a few minutes to one hour. So, you need not worry about this. Secondly, the lower back exercises might have not caused numbness of the penis in your case. When we do exercise after a long time, it is natural to have pain in and around that site initially for a few days. This is because our muscle becomes contracted and causes the pain. In case the pain is such that it disturbs your normal activities, then you can take a painkiller on a temporary basis. Consult a sexologist online for further queries -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3235, + "tgt": "How to treat the weird redness on my cheeks?", + "src": "Patient: Hi doctor, I have some weird redness on my cheeks all the time no matter what weather it is. I have attached my photos for your reference. It is just there and it does not hurt at all. But, I want to overcome it. Is there any way? I am 18 years old now.\u00a0Thank you. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity) and description.\u00a0It looks like melasma or post-inflammatory hyperpigmentation. Melasma is an acquired pigmentation of sun-exposed areas. Areas that receive excessive sun exposure, including the cheeks, upper lip, chin and the forehead are the most common locations.\u00a0Melasma can be difficult to treat. The pigment of melasma develops gradually and the resolution is also gradual.\u00a0 Regarding treatment, there are certain general measures to follow: Other treatment options are,\u00a0Glycolic acid chemical peel,\u00a0Nd:YAG laser (neodymium-doped yttrium aluminium garnet) with variable results.\u00a0You need regular follow up with dermatologist. For further information consult a dermatologist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16538, + "tgt": "My herpes IgM and IgG are 3. 5 and 4 respectively. Why?", + "src": "Patient: Hi doctor, I am 34 year old female. I have got my STD and HIV done. I have attached my reports for your reference. All look clear, but herpes simplex virus IgM and IgG are 3.5 and 4. I have no other symptoms. Please help. Doctor: Hello. 1. IgG HSV1 and IgG HSV2 to check for immunity against these subtypes individually. 2. The IgM antibodies may still be positive with progressive fading acute infection. 1. If you do not have active lesions or are not pregnant, there is no indication for treatment. 2. If you have active lesions, avoid unprotected sexual contact. It may however still transmit even if you do not see active lesions, since they may be hidden in the genital tract. For further clarifications consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 114, + "tgt": "HIV tridot antibody test negative till 10 weeks. Are there chances of turning into positive at 12 weeks?", + "src": "Patient: Hi doctor, HIV tridot antibody test done at 6 weeks, 8 weeks and 10.5 weeks. All negative. Are there chances it will turn positive at 12 weeks now? Test done with blood taken from vein. Doctor: Hi. Following is my opinion for your asked question. HIV tri dot antibody test is having good sensitivity and specificity in ruling out HIV as like that of fourth generation ELISA. Usually tri dot HIV test is able to rule out HIV after six weeks of exposure. However, HIV test can be considered conclusive in ruling out HIV after three month of exposure. So, I suggest you investigate with HIV rapid test after 12 week again. You can revert back with HIV report after 12 week of exposure to check it." + }, + { + "id": 5189, + "tgt": "Is there any treatment to correct bent penis?", + "src": "Patient: Hi doctor, My penis is bent towards left a lot. It is like if straight is 90 degrees then it is bent for more than 45 degrees. Over the time this has curved more. I think that excessive masturbation might be one of the reasons. Please suggest any treatment. Doctor: Hi. I understand your concern. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22224, + "tgt": "I have constant feeling to urinate and burning sensation. Why is it so?", + "src": "Patient: Hello doctor, I have been having an issue for two months on and off and I need help with identifying it. I have been constantly feeling the need to go to the toilet when nothing comes out and it is a burning sensation when I do. Also, a lot of white thick discharge comes out too. Doctor: Hi. I understand all your concerns. From what you mentioned, you have urinary tract infection. UTI causes a burning sensation while urinating, frequent urination and change in the color of the urine. Sometimes, there is a pain in the lower part of the tummy. A short course of antibiotics will improve the condition. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4472, + "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": 25064, + "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": 20883, + "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": 18452, + "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": 5417, + "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": 26220, + "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": 12689, + "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": 3228, + "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": 3495, + "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": 26786, + "tgt": "I have irregularly shaped pupils. Is there a simple explanation?", + "src": "Patient: Hello doctor, I am a 20 year old female. I weigh 50 kg, and my height is 5'2\". My only prescription medication is birth control. I have irregularly shaped pupils, and one is bigger than the other. I noticed this over a week ago, and they have remained the same. Should I be worried? Is there a simple explanation? 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": 15638, + "tgt": "Why do I have nausea after eating?", + "src": "Patient: Hi doctor, I have nausea every time and every day after eating. I cannot eat my food. I drink only water. I am feeling tired always. My stomach hurts me so much. Why do I have a feeling of nausea after eating? Why do I throw up after eating? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your BMI (body mass index) is in borderline. It is normal. I can understand your concern regarding vomiting. It can occur due to various reasons. Gastritis can also be a reason for having nausea and vomiting. Take food at regular intervals and avoid skipping breakfast, lunch or dinner. Follow a diet schedule. Avoid eating oily, fried and spicy foods. Take plenty of oral fluids. You may also need to take antacid and antiemetic if it is required." + }, + { + "id": 19060, + "tgt": "Can a woman without thyroid gland conceive and live a normal life?", + "src": "Patient: Hi doctor,Can I marry a woman without a thyroid gland? She has a nodule in her left lobe of thyroid gland but after total thyroidectomy, there was no cancer. I am tensed because she has no thyroid gland. The surgeon said it is not a matter but some doctors say there will be a complication in future. I am tensed with her life-span. Can she live a normal and healthy life without a thyroid gland? Some doctors say that every medicine has side effects.So I want to know that the side effects of synthetic Thyroxine taken for whole life? Can she concieve? Can I marry her? Please answer my every answer clearly. It is my future. Doctor: Hi. According to your history, the queries you have are usual and answers are yes, she can live quite a normal life provided she takes the supplement Eltroxin (Levothyroxine) timely and according to the prescription. Yes, she can conceive but for further information, you should consult a Gynaecologist. There are quite common side effects of Eltroxin but they do not hinder in normal sex life neither would be a reason to not marry her but you might like to consult an endocrinologist for further information. Take care. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 705, + "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": 23937, + "tgt": "Pain due to pancreatitis is unbearable. Please help", + "src": "Patient: Hello doctor,My sister has been diagnosed with pancreatitis, portal vein thrombosis, and a blood clot in small intestines. Doctors cannot seem to pinpoint what is going on in her intestines/ abdomen. They have her on blood thinners. However, no clot will cause this much pain. Her pain is literally unbearable as she is screaming in pain right after she vomits. Not even morphine helps. Please help. Hours after she eats, these same symptoms come back. Vomiting is very bad and nonstop and the pain is not bearable. They keep sending her home with narcotics but she cannot even keep those down. Doctor: Hello. She needs a CT scan along with a colonoscopy and upper GIT (gastrointestinal tract) endoscopy to detect the cause of her symptoms. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 922, + "tgt": "My dad has blood in urine, and he is becoming weak. Is it due to liver failure?", + "src": "Patient: He's my dad, becoming weak day by day. We consulted doctor who told the urine is containing blood also although its not visible looking at urine. His leg was also swelling, on medication it became fine. He also added, it may be liver failure but he didn't confirm. How he's becoming weak?Age :73Weight :70 Height :5'2I would be thankful if I get a prompt reply. Doctor: Hello. I welcome you to icliniq. I can understand you must be very upset about your father. The history you provided provides a little clue to what excatly he is sufferring with. Non visible blood in urine is called microscopic hematuria. Some liver condition can cause this problem such as Hepatitis C viral infection , hepatitis B viral infection, recent drug use, or advanced liver disease secondary to any cause. with advanced liver disease platelets (white cells in blood which control bleeding) are decreased that why patient is prone to develop bleeding from any site- may be in urine, skin or sometime internally within abdomen. The swelling you mentioned possibly be secondary to fluid collection over legs and which resolves with medications called diuretics which increase urine formation. If these all findings combined It is possible that your father is suffereing from liver cirrhosis also called scarring of liver. Dear, the liver cirrhosis requires a long term management with initially medical and supportive treatment followed by liver transplant which is the definite therapy. If you want to discuss with me in more detail plus want to show up his previous investigations I strongly urge you to use icliniq forum. You can easily book a consultation via text phone or video and get in touch with me. I hope this will help Good day Liver cirrhosis complete blood count liver function testd serum album and total protein AG ratio bun cr lytes urine DR Stool Dr alpha fetoprotien Ultrasound of liver with doppler follow up to discuss and provide more information" + }, + { + "id": 20877, + "tgt": "I have tried everything for prolonged constipation but nothing works. Please advise", + "src": "Patient: Hello doctor, I am suffering from prolonged constipation almost from childhood. Now I am 26. I am afraid of getting hemorrhoids due to this. I have tried everything starting from warm water to Eno, Digene, milk of magnesia and Isabgol. Now, all these do not work effectively on me. My diet is also normal. I do not eat junk food much. Please help me. Doctor: Hello. You are using milk of magnesia since a long time which is not advisable as it can lead to laxative abuse and dependency. As your constipation is present since a long time, the organic cause should be ruled out, if present. For this, USG abdomen scan should be done. If needed, colonoscopy also can be planned. Regular exercise, fruits, and healthy food with drinking lots of water will be helpful in maintaining gastrointestinal health. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17537, + "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": 23166, + "tgt": "I have underactive bladder. Kindly advice how I can have normal urination", + "src": "Patient: Hello doctor,I am suffering from OAB, UTI and pus cells 30 to 40. I have been under treatment for past two years by a urologist, surgeon, and an infection specialist. In recent urodynamic test after removal of the catheter, I am unable to void means suffering now by UAB. I do not know how I became patient of OAB to UAB. I have doubt of faulty treatment. Kindly advice how can I have normal urination. I am in need of very expert urological doctor treatment. Doctor: Hi. Both are opposite conditions. If you mean overactive and underactive bladders from these abbreviations, (these were not standard abbreviations) it is fairly possible that you might have over treated for overactive bladder, you can stop the treatment, and can be restarted in a week at lower doses. I would like to know the medication you were taking for overactive bladder and at what doses. What symptoms you have now and before? UTI can be treated with antibiotics but it is very important in your case to see either it is a true infection or just a colonization of bacteria in urine, that do not need a treatment. Kindly send me your laboratory reports and urodynamic study report to comment better on your condition. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27571, + "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": 12849, + "tgt": "Is there any medication available to treat double vision?", + "src": "Patient: Hello doctor, I am afraid I have developed double vision. What medicines should I take? Doctor: Hi. Double is caused due to paralysis of an extraocular muscle. These muscles are supplied by nerves. Hypertension and diabetes are the most common causes of nerve palsy and muscle paralysis due to which both eyes are misaligned and eye movements are affected. So you need to consult and you might need to consult a physician or neurologist. Control your blood pressure and diabetes. Muscle actions usually become normal in 3 to 6 months. So consult your physician or neurologist and eye specialist." + }, + { + "id": 10781, + "tgt": "Is it necessary to reschedule colonoscopy after taking Ayurvedic medicines?", + "src": "Patient: Hello doctor, I have been taking Ashwagandha, Turmeric, Amal powder and Brahma supplements. I am scheduled for a colonoscopy in three days. It is a preventive screen. I last took them a few days back. Should I reschedule my colonoscopy? Doctor: Hello. I just read your query. You can go for your colonoscopy because these are all herbal supplements and as you have stopped all these, they will be flushed out of the body in a week. After colonoscopy, if you are re-scheduled for other investigations, then do not start these till then. Even if you are not, then you can take after two to three weeks." + }, + { + "id": 29494, + "tgt": "What could be the reason for my sudden feeling of tongue numbness?", + "src": "Patient: Hi doctor, For about a week, the right end of my tongue has been feeling just like a little numb and swelling. It would come and go a little bit throughout the day. It does not hurt, but it is just annoying. Sometimes, I will rub the end of my tongue on my teeth, and I did not know if that would cause it to feel like there is something inside my tongue. When I press down on it, it goes away and does not come back for a while. I did get a tooth filled a couple of weeks ago. I was also an occasional dipper, but this just started last week. I have not had any ulcers. Any of your suggestion will be appreciated. Doctor: Hi. I have read through your complaint and the relevant details. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29273, + "tgt": "From the picture, can you confirm if the growth is nodular melanoma?", + "src": "Patient: Hello doctor, Before three months, my husband noticed a pink spot on my hip. I thought it was just a bug bite and I put some cortisone cream on it. It has been three months, and for a while, I forgot about it. Now, I do not think that it has grown much. It would be hard to say as I kept trying to rip it off. When I spent some time on the internet, I convinced myself that I have nodular melanoma. I have attached the photos. Please confirm it. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11905, + "tgt": "Will stem cell therapy help in curing sarcoids in ILD patient?", + "src": "Patient: Hello doctor,My mother aged 64 is suffering from ILD for the past three years. Now the doctor suggested recently that she has developed nodules which are mostly sarcoids in nature. Recent CT scan report shows it. Is there any way to revive her lungs condition? Is stem cell therapy effective for her? She is now on 24 hours of oxygen support with three liters capacity. Please help us. Doctor: Hello. ILD (interstitial lung disease) has many different types. What was her type of ILD when diagnosed and what treatment was given? Development of new nodules which are suspicious of sarcoidosis is quite rare, nevertheless if her condition permits which need to be evaluated by biopsy of the lungs, which might help in tailoring the treatment regimen. Repeat sputum for AFB smears, gram stain, C/S and GeneXPERT MTB/Rif. 1. Apart from home care oxygen, only another thing which might change the course of your mother is exercise, which is called pulmonary rehabilitation. 2. Weekly three times intense pulmonary rehabilitation has to be given. 3. Nutrition is very important which needs to be tailored by getting dietician consultation. 4. Stem cell therapy in ILD is still in the research phases so I cannot advise that. 5. As a last resort, you can try for lung transplantation. Vaccinations if not done earlier." + }, + { + "id": 10687, + "tgt": "Please have a look over MRI and suggest that the fibrotic is still visible on the MRI", + "src": "Patient: Hello doctor, Pain after idiopathic orbital inflammation before 11 years. I have undergone biopt two times due to inflammation with fibrosis and sclerosis. Now the doctors say the disease is gone. But I am still in pain and again using 15 mg Prednisone a day. They told me I have neuropathic pain, and this is more often in other patients with pseudotumor orbitae. My question is, can fibrotic tissue that is still visible on the MRI, cause the pain? Is there inflammation seen on the MRI? Or abnormalities or myositis? Doctor: Hello. I saw the MRI (attachment removed to protect patient identity), the sclerotic tissue from which we have to confirm that the pain you are experiencing is mainly neuropathic and emerging not from the sclerotic tissues as much as from the adjacent structures that are rich with nerves and blood vessels. Due to the anatomic changes that the eye has gone through, all the adjacent structures are still adapting to those newly acquired conditions, and that is what most probably is causing the pain. Whether it is from the compression or the disturbance in blood supply, currently, there is not much to do but to keep reducing the inflammation and prevent future reoccurrence with the prednisolone, but specific preventive measures such as undergoing a comprehensive eye exam as per the ophthalmologist recommendations are necessary. That examination should include tonometry - intraocular pressure, perimetry-visual fields, and optical coherence tomography to exclude any newly acquired changes that might require intervention. As for the diagnosis, although not much changes to the treatment will take place, it should be enforced with a blood test called ANA (antinuclear antibodies) profile to exclude any autoimmune disease that might develop on other organs. I would add a course of Neurobion, which is a complex of vitamins group B and might want to consult a physiotherapist on a method to improve blood circulation in the affected area. I hope I have cleared a few of your questions, and please feel free to follow up with additional inquiries or test results." + }, + { + "id": 29441, + "tgt": "I am getting headache on continuous attention. Why?", + "src": "Patient: Hi doctor, I feel so tired when I\u00a0listen to the lecture so that I rarely visit lecture. Also, if I\u00a0think of something, there is a pain such as headache. I continuously take medicines to a migraine. What am I supposed to do now? Doctor: Hi. I understand your symptoms. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21083, + "tgt": "I have a burn on the roof of the mouth which created a blister. What is the cause?", + "src": "Patient: Hi doctor, I have a burn on the roof of my mouth which created a blister. It got burst in my mouth after a couple of hours, and I am not sure what to do. The burn is painful, and I cannot even drink a cold drink. Previously, I got a third-degree burn on the roof of the mouth which got healed. I am taking medicines for epilepsy. Doctor: Hi. Did you consume anything hot that caused it? Since you had a blister which turned into an ulcer, it can be an aphthous ulcer which is recurrent or some other lesion. I would like to see the image of that area to guide you properly. For the time being, if you have pain, you can apply Dentogel (Choline salicylate and Lidocaine) before consuming food. It will give you relief. Avoid acidic foods and drinks like tomatoes, orange juice, and coffee. Avoid spicy foods. Avoid alcohol and tobacco products. But if it happens often, it is better to consult your nearby dentist." + }, + { + "id": 11847, + "tgt": "I am pregnant and suffering from low iron level. Can I have normal delivery?", + "src": "Patient: Hello doctor, I am at my first pregnancy, and I am seven months pregnant. I have been anemic all of my life, and I am still struggling to get my iron levels up. When I went to the hospitals for my checkups, they have not said anything about my anemia. I was wondering should I request a C- section or can I have e normal delivery? Because I am scared that will I bleed out during labor if I do have natural as this happened to my mom when she was pregnant. I would like to know what would be best for the baby during birth. Thank you in advance. Doctor: Hello. You still have three months to go till delivery. This is enough time to diagnose the reason for your anemia and also to build up your hemoglobin levels. Talk to your obstetrician about it. Blood loss in C- section and normal delivery are almost the same. So any mode of delivery is equally risky for anemia. You should do a deworming. Look for your blood iron stores and test for thalassemia. Sometimes marrow biopsy is needed too. Your anemia needs diagnosis for better treatment." + }, + { + "id": 26387, + "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": 26337, + "tgt": "My grandmother has a platelet count of 10,000. Will she be alright?", + "src": "Patient: Hello doctor, My grandmother is having a\u00a0platelet count of 10,000. She is currently on her blood pressure medication. Of note, at the age of 52, she was operated for severe menstrual bleeding. However, there is no sign of cancer in our whole family. Today is her transfusion. Will she be alright? I have attached lab test results for your reference. Doctor: Hello. For more information consult a\u00a0hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist \u00a0" + }, + { + "id": 22354, + "tgt": "What can be done for continuous bloating and farting?", + "src": "Patient: Hello doctor,I am 32 years old male. During the evening time, I started bloating and fart continuously. This is happening since last 6 to 8 months. I have high cholesterol and taking Rozavel 10. It is very embarrasing. Doctor: Hi. Rosuvastatin (Rozavel) is a lipid-lowering drug that may cause excessive flatulence in some patients. However, you might have irritable bowel syndrome. You must elaborate on your symptoms. Do you feel pain in the abdomen? Do you have a fixed time of meal? For flatulence take Simethicone tablets (Flatubust). For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 24066, + "tgt": "My fingers are forming knobs and hurt. Why is it so?", + "src": "Patient: Hello doctor, I have seen a rheumatologist and all my tests on autoimmune diseases are normal. He even ordered hand X-rays and they are normal. My fingers are forming knobs on them and hurt constantly. My movement is getting more and more limited. I can barely bend my affected fingers. I feel sick all the time. My body is constantly hurting. Fatigue and exhaustion are with me all the time. Doctor: Hello. If the markers for inflammatory arthritis are negative, then, the possibility of chronic fatigue syndrome is there. I suggest you to start Pregabalin or Duloxetine to see the response which will be helpful in chronic fatigue syndrome. Consult with your specialist doctor, discuss with him or her and take medications with their consent. Simultaneously, start an exercise program that will go a long way in helping you. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 9474, + "tgt": "Both Crocin and Meftal given for a recurrent fever in a 6 year old. Is this a right approach?", + "src": "Patient: Hello doctor, Kid of 6 years has a temperature of 101.5 since 40 hours. The fever is coming every four to five hours after giving Meftal. Day one he was on alternate Crocin and Meftal, but we think two medicines are harmful and planning to give only Meftal every six hours on the second day. 1. Please advise if this is the right approach. 2. Is fever coming back after four hours of Meftal common in first 72 hours? Doctor: Hello. Viral fever may last for 3 to 4 days. You need to give Paracetamol or a combination drug of Mefenamic acid to control the temperature for each episode of fever. Combination of Mefenamic acid and Paracetamol are more effective in controlling high-grade fever, and it also decreases the frequency of fever. Keep the child well hydrated. The dose of antipyretic for your child would be, syrup Calpol (250) 7 ml SOS or syrup Meftagesic DS 7 ml SOS. if fever is still persistent after three days, you must visit a pediatrician for clinical evaluation and workup." + }, + { + "id": 30230, + "tgt": "How to treat my mother's vasculitis?", + "src": "Patient: Hi doctor, My mother has been suffering from vasculitis. She is facing difficulty in walking. She also has thyroid, diabetes and sarcoidosis. Currently, she is on Covance 50, Gabantin 100, Dilzem 30, Raricap, Sympta 20 and Modlip 10. For vasculitis, she was prescribed to have Wysolone 7.5 mg and Mmf 500. Will it be beneficial? Or should we need any other treatment? Doctor: Hi. Revert back with a detailed history to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 29736, + "tgt": "How long would antibiotic therapy typically be tried?", + "src": "Patient: Hi doctor, Four months before, I\u00a0was diagnosed with P. acnes infection. It resulted from a shoulder stabilization 12 months earlier. I have had two surgeries for this. One to take the biopsies which diagnosed the infection and another to remove the sutures and clean out the shoulder joint. My surgeon chose to retain the three anchors against the wish of my infectious disease doctor. I have been on Penicillin for three months and my shoulder pain shows no signs of improvement. My CRP remains high, although it has been slowly coming down. The results have been 34, 30, 30 and 21. When I was first diagnosed I was told that the infection responds well to treatment, I would have a six week course of oral antibiotics and surgery, and then I would be fine. Now, three months got over and every time I see the infectious disease doctor and I just get told my CRP is not good enough and I was put on more antibiotics. I saw my surgeon again recently and he has finally accepted that the P. acnes is the cause of my pain and was not a contaminant. He is now saying that the anchors will most likely need to be removed if a prolonged course of antibiotics do not work. This is a major surgery as he will need to grind away the bone, because the anchors are tight. I will then need a bone graft as a big chunk of my glenoid will be gone. I really do not want more surgery as I have already had four in the past 18 months. I am wondering the likelihood of curing the infection with antibiotics. How long would antibiotic therapy typically be tried? And if it appears that the antibiotics are not working, then what are the implications of not having surgery or antibiotics and instead living with the infection? Other than continued shoulder pain, what are the consequences if we did not treat it? I am thinking it might just resolve on its own with time. Doctor: Hi. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18842, + "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": 30689, + "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": 27825, + "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": 4987, + "tgt": "How to remove the spots on my penis?", + "src": "Patient: Hi doctor, I have several spots on my penis from my childhood. Sometimes, when I masturbate few times in a day it gets rip and start to hurt. As I am going to be married soon, I would like to get rid of these first. Doctor: Hi. Before giving you a solution, I would like to get answer for the following questions. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21302, + "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": 21697, + "tgt": "Does vomiting after taking Femilon tablet for eight months mean pregnancy?", + "src": "Patient: Hello doctor, I am taking Femilon tablet for irregular periods for past eight months. Today I am vomiting and cannot eat anything. Why is it? Am I pregnant? I did not miss any of my tablets. I am having Metformin and Folic acid plus Femilon. Doctor: Hi. Femilon (Desogestrel and Ethinyl Estradiol) is an oral contraceptive hormonal pill that works as a contraceptive and can give you side effects as well as how early you get side effects might differ from person to person. Femilon can give you nausea, vomiting, irregular period, mood swing, headache, weight gain, and breast pain, etc. The long-term side effects could be a stroke, high blood pressure, endometrial hyperplasia, breast and uterine cancer, etc. For safe side, better to check serum beta hCG (blood pregnancy test) in case you have missed tablets or had vomited, etc. Try to revise your medications on request due to your symptoms after discussion with your treating doctor as well. Continue Folic acid daily if trying for conception. If cycles get better, you can check after stopping Femilon. In case, if you want contraceptive, better to have tablet Norethisterone 5 mg twice daily from day 4 to day 26 in each cycle cyclically. This will give you contraceptive as well as will regulate your cycles as well. In case of trying for pregnancy, you can just stop Femilon and have sex in the fertile period of the cycle or on alternate days from day 8 to day 18 of your cycles if you feel it is irregular. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25696, + "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": 3500, + "tgt": "I have burning sensation in stomach with acid reflux and bad breathe. Please help", + "src": "Patient: Hi doctor, I am not sure I am over-stressing, but I have noticed when I drink cold icy water I can feel it go down to my stomach. I hurt my tummy muscle four weeks ago, and still not 100 percent cured. It still burns and I get acid reflux as well my throat is dry and sore. My breath is smelly and I get sinus problem and feel like phlegm is going back down to my throat. Doctor: Hello. As for the feeling of cold water going down your thirst and the acid reflux, both indicate an inflammatory condition esophagitis and gastritis. This can be treated with a proton pump inhibitor Controloc (Pantoprazole) once daily and an antacid Ranitidine before every meal. The bad breath could be due to inflamed gums or an infection such as H.pylori. So I recommend you get a test for H.pylori infection and consult a dentist to examine your gums. Bad breath can also be due to sinusitis. Sinusitis can also be the cause of the post nasal discharge (phelgm at the back of your throat) and can be treated with an anti-inflammatory Ibuprofen twice daily and an antihistaminic as Cetirizine or Zyrtec once daily before going to bed for 10 days." + }, + { + "id": 10368, + "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": 22479, + "tgt": "My ESR is too high. Do you think I have multiple myeloma?", + "src": "Patient: Hi doctor, My ESR is too high that is 25 mm/hr. Granulocytes % is high and lymphocytes % is low. The main thing is the RDW is low. I am having too much body pain and leg pain in my body. Even pain-killers not working at all. Too much pain. I am having trouble to move my arms and legs when I wake up in the morning. Also having difficulty sleeping. No fever. The pain inside of the body. Cough sometime. And pain under the left ribs. Pain around neck, back and shoulder also. Do you think I have multiple myeloma? Because all my symptoms are in favour of multiple myeloma. My question is as ESR is too high is there any kind of cancer in my bodies such as leukemia or lymphoma or bone marrow cancer? Why my pain is not going away after using too many Ibuprofen? Do you want me to go to hematologist or oncologists? Please, how can I overcome from this problem? Doctor: Hello. The chronic whole body pain does not necessarily mean leukemia. Your CBC report is within limits as attached herewith (attachment removed to protect patient identity). For your condition, your physical examination first should be done in the form of liver, spleen and lymph nodes palpation. Check your calcium level as well. Your vitamin D level is slightly low below reference range and for that Cholecalciferol sachet with milk 50000 IU per ml can be prescribed once a week for six weeks. Check your liver and kidney profiles report as well. High ESR could be from inflammation or infection as well. Check your thyroid status as well by serum TSH (thyroid stimulating hormone) estimation. CT scan like higher investigation can be planned if needed. Serum protein immunofixation electrophoresis will be beneficial to rule out multiple myeloma if needed. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4007, + "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": 12826, + "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": 29237, + "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": 23473, + "tgt": "Can a purple blotch on the nose mean that I have Kaposi's sarcoma?", + "src": "Patient: Hello doctor,I had protected sex with a sex worker last year. After sex, I forgot to clean my scrotum and did not realize until 30 minutes later. I had a negative OraQuick at six months and a negative rapid blood test at 10 months, but I read that false negatives can happen. I do not remember having any ARS symptoms but my nose is slightly purple as of now. When I squeeze it, it turns white which means it cannot be Kaposi's sarcoma right? I am worried that the results may have been false negative and I cannot function. Doctor: Hello. The test kits used these days to diagnose HIV (human immunodeficiency virus) are highly sensitive and specific and gives accurate results. Your negative HIV test results at six and then at 10 months of exposure are accurate. I am quite sure you are HIV negative. Kaposi sarcoma which you are referring to is a very late manifestation of HIV and is seen in patients with advanced immunosuppression and also usually found in homosexual HIV-infected individuals. You are HIV negative. If the lesion persists on the nose, kindly show it to a dermatologist or an ENT specialist for a correct diagnosis. Hope your query is answered, but please do not hesitate to ask or call anytime for any further query. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 25198, + "tgt": "I had unprotected sex with my neighbor. I am afraid of HIV. Please help me", + "src": "Patient: Hello doctor,I had unprotected sex with my neighbor. I am really afraid of HIV. Please help me. Doctor: Hello. I read your query and understand your concerns. Please scan your reports and attach it while posting the follow-up query. Revert with more information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13257, + "tgt": "Why am I getting boils under my armpits?", + "src": "Patient: Hello doctor, I think I have hidradenitis. I get these boils under my armpits that often turns into open lesions and smells sometimes. It is embarrassing and it is taking control over my life. I need help. Doctor: Hi. Yes, it is hidradenitis suppurativa. I can understand it is a very difficult time for you. This condition requires both medical and surgical treatment. It is the problem with hair follicles and sebaceous glands. Once the glands are out, one can have relief. Right now you have active infection over the area so please start taking antibiotics. Hidradenitis suppurativa. Tablet Augmentin (Amoxiclav) 1 gm BD for two weeks, tablet Rifampicin 450 mg BD for two weeks. Apply Clindamycin lotion over the area. Maintain hygiene of the area, wash with soap and water, avoid irritants and Dettol." + }, + { + "id": 10357, + "tgt": "My blood group is positive and my fiance's is negative. What problem do we need to face?", + "src": "Patient: Hi doctor,My blood group is B positive. I am going to marry a person with B negative blood group. Is there any problem? Doctor: Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1138, + "tgt": "What can I do to deal with the symptoms of Paroxetine withdrawal?", + "src": "Patient: Hi doctor. I am 21 years old. I was diagnosed 2 years back with obsessive-compulsive disorder. I followed treatment with the help of a psychiatrist who included cognitive behavioral therapy and medication. of medication as many times as I tried to stop paroxetine (seroxat) in collaboration with my psychiatrist of course my body reacted with nausea dizziness and other similar symptoms. So I take a seroxat 20 mg one day and in the next day half alternatevely on my own initiative. This has been going on for the last few months as I was getting one and a half at first and then one. I have been taking them for two years now. I cant stop taking the medicine because I am afraid of the symptoms. What can I do to deal with the symptoms of the drug cut after I have completed the treatment? Thank you in advance for your response. Doctor:" + }, + { + "id": 10803, + "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": 13223, + "tgt": "Please suggest medicine for attention deficit disorder", + "src": "Patient: Hello doctor, I am suffering from attention deficit and disturbed memory problems. It affects the speed of my work. Presently I am taking tablet Fenofibrate 145 mg once daily and tablet Avital once daily for high triglycerides and disturbed lipids. Kindly suggest a treatment for my above problems. Doctor: Hi I have thoroughly read your query. But only with this much detail of symptoms, it is difficult to reach the diagnosis. So, please elaborate on your symptoms and answer a few questions. Revert back to me with the following answers, so that I would be able to help you better." + }, + { + "id": 22372, + "tgt": "I have questions about epididymal cyst. Please help me", + "src": "Patient: Hello doctor, I am a 24 year old male, 5 feet 11 inches, 203 lbs. I have questions about epididymal cyst. Doctor: Hi. I have gone through your query, and I would like to know a few more details. Generally, asymptomatic epididymal cyst needs no treatment if they are single and contain clear fluid which can be identified with an ultrasound. These are almost always benign and are very slow to increase in size, sometimes they stay the same for life. If they are very bothersome, then they will have to be surgically removed. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20327, + "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": 20383, + "tgt": "I am unable to maintain an erection. Please help", + "src": "Patient: Hi doctor, I am 28 years old. I got married before three months. From that day onward, I am unable to maintain an erection. My penis is not erect. I had a habit of masturbation before my marriage. Please suggest. Doctor: Hi. I have gone through your problem, and I can understand your concern. The erection problem occurs mostly due to psychological issues such as stress and anxiety in your age. However, medical conditions such as diabetes, hypertension, thyroid dysfunction or local pathology must be ruled out. Drugs like Sildenafil 50 mg or Tadalafil 10 mg are quite helpful in erectile dysfunction. These medications are avoided when taking medicines for any cardiac illness." + }, + { + "id": 949, + "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": 26917, + "tgt": "Can you review my scans to see what is causing the various neurological symptoms?", + "src": "Patient: Hello doctor, I have chronic right leg spasticity, migraines, muscle pain, ataxia, nausea, vertigo, and pins and needles in hands and feet. Please, could you review my scans to see what is the cause of my various neurological symptoms? Is it cervical myelopathy or MS? Doctor: Hello. I have gone through your scans (attachment removed to protect patient identity). Regards. For further queries consult a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 13198, + "tgt": "What has caused redness and cut like lesions in groin immediately after sex?", + "src": "Patient: Hello doctor, Redness and cut like lesions on groin immediately after sex. I noticed burning and irritation immediately after sex. I do not know if it is herpes or just skin irritation from contact or friction. Doctor: Hi. These are fissures, usually in groin area infection can present in the form of fissures and cuts. Other causes can be Crohn disease but your complaint is acute one so most probably this is an infection. Do not worry, it will get better with proper medication and treatment. Try to maintain hygiene of the area and avoid sexual contact until you get better. I would like to know if your partner has any such problem? Infection. Bacterial infection. Tablet Co-Amoxiclav 1 gm BD for one week. Apply Fusidic acid ointment BD over the lesions. Take pain killer tablets like Ibuprofen for pain relief. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 24184, + "tgt": "My CT angiogram shows intermediate OM and atheroma. Kindly help", + "src": "Patient: Hi doctor, I had CT angiogram done and the results show intermediate or high OM, has mild pus atheroma in the ostium. I take Inderal 40 mg twice a day for palpitations and medication for anxiety. I was given a spray GTN. My blood work shows Cholesterol 6.6 and triglycerides 1.0, HDL 1.0, LDL 5.1, also gamma GT at 98. The CT conclusion was mild plus proximal intermediate atheroma. I have no idea what this all means or what does OM mean. I get pain in my chest, jaw and left arm. My doctor said this could be from GERD that I suffer with. I am constantly running to the ER. Can this be fixed? I am only 40 years old. There is a strong family history of heart disease. Doctor: Hi. Well, keeping in mind strong family history of heart disease any chest pain can mimic a heart pain. But this can or cannot be related to the heart. OM (obtuse marginal artery) is the name of the artery that is a small branch of main arteries that supply blood to heart's own muscles. OM is not one of the major arteries of the heart, those when blocked pose a greater risk than this smaller branch. Atheroma is something that blocks a blood vessel. It can be formed by fatty deposits and associated with other factors too. It blocks the passage of blood through heart vessels. If your doctor (after possibly seeing the angiography reports) stated that you might be suffering from GERD (gastroesophageal reflux disease) and the symptoms you feel may be due to that stomach issue, it means they are assuming not a major blockade in blood supply to heart's own muscles. In this case, I suggest you get another opinion from a cardiologist who can reinforce the same as the previous physician said or maybe he comes to a different conclusion. All it needs is a physical examination and closer look into the laboratory reports and if needed, further investigations. Yes, it can be fixed if we make a final decision on whether you need a cardiologist or a gastroenterologist to manage this issue. If GERD, the gastroenterologist would be the next person to jump in and handle it accordingly. It takes a different direction then. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14642, + "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": 10953, + "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": 17873, + "tgt": "How can I reverse fluid retention in my nose and lips?", + "src": "Patient: Hi doctor, I am a 22 year old, and every morning my nose and lips appear swollen due to fluid retention, but as the day goes, it usually subsides. However recently, it is not going away, which means that every time my nose swells up, it remains that way. Does this mean the drainage system is blocked? How do I get around this?\u00a0How can I reverse fluid retention in my nose?\u00a0I am not on any medication\u00a0and do not have any health issues. Doctor: Hi. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5743, + "tgt": "I am having persistent nausea after drinking coffee. Please advise", + "src": "Patient: Hi doctor, I have had persistent nausea for roughly 15 months now which from memory started on a holiday where I had drank coffee and ended up with anxiety symptoms. I have had heaps of testing done and an endoscopy actually found eosinophilic esophagitis (which is basically esophagitis caused from an allergy). I have been treated with a PPI which appears to not be helping and have also been prescribed Lovan (Prozac). I am currently one week into taking these tablets and have recently cut out gluten and dairy to see if the allergy was from these foods. The doctor did a RAST test which showed a class 0 allergy to all main food groups including wheat and milk so I have just started eating them again. I have just drank my first coffee in about a week and had severe panic symptoms and tight throat which I have never experienced before. I would just like to know if a caffeine allergy is likely and could it be the cause of all these problems? I used to drink coffee fairly regularly and never quite felt great off it but it never seemed to make the nausea that much worse. Doctor: Hello. Thanks for writing your query to me. After going through your history, it is very clear that what you described are totally two different issues. One thing is eosinophilic oesophagitis and second is caffeine sensitivity. I used the word sensitivity for caffeine because it is different from caffeine allergy. What you are suffering from now may be caffeine hypersensitivity as there are no other allergic symptoms associated with panic attacks. Even if you were having coffee before, you may become hypersensitive to coffee now. The treatment of it is to avoid coffee at all and see the difference. Some oral Steroid spray like Flovent is also advised by gastroenterologists to prevent side effects of long term oral steroids. It is very difficult to differentiate between caffeine sensitivity and allergy based on clinical examination. For that you need to do skin prick test. Finally avoidance is the best strategy for treating caffeine sensitivity. I hope the concept is clear to you now." + }, + { + "id": 30371, + "tgt": "What is the chance of pregnancy in PCOS?", + "src": "Patient: Hi doctor, I have PCOS and have not had a period for over a year. Now, I have a partner and we do not use protection. Two days ago, I woke up with a light bleed and that lasted for a few hours and disappeared. Then, the same thing happened today and I bled for a few hours. I took a pregnancy test and it was negative. I have body pain and my breasts are tender. Doctor: Hi. With so much prolonged amenorrhea, ovulation is unlikely to have occurred and pregnancy is less likely. Kindly use barrier contraceptive (condom) for three weeks and repeat home pregnancy test. If it comes negative, then pregnancy is almost ruled out. Absence of menstrual cycle for such a long term is not desirable, as it increases the chance of endometrial cancer by unopposed estrogen exposure to endometrium. It is a good practice to induce withdrawal bleeding by taking progesterone tablets for every two to three months. Kindly consult your doctor for the same and for other risk reduction strategies. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25592, + "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": 186, + "tgt": "Please help with my visual disturbance and tingling", + "src": "Patient: Hi doctor, I caught Lyme disease\u00a0two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and lasts for about 20 minutes. It starts as a small circle or a line, like a cut diamond first and then it goes colored, which expands until it takes most of the vision. I cannot really see anything at this point. I feel as if the esophagus is blocked when I swallow food. I have never had migraines in my life. My mother has MS. What could cause these visual disturbances and tingling? I am on Sulfasalazine, Melperon, Leflunomide, Pantoprazole, Thyronajod, Vitamin D, B12 and Shilajit. I have Chiari malformation of about 12.78 mm at last measure, psoriatic arthritis, lupus, gluten sensitivity, herniated cervical disc, fibromyalgia, bone cysts and spurs, restless leg syndrome, wrist degeneration and cartilage too. Doctor: Hi. I understand your symptoms well. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30172, + "tgt": "What is your opinion regarding my diabetes treatment?", + "src": "Patient: Hi doctor, I am 45 years old. I have been\u00a0suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is high. So, my doctor added Pioglitazone 15 two times a day. After starting this drug, my fasting sugar level is 212 and PPBS is 250. Please suggest what I should do now. Doctor: Hi. Revert back after seven days to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27279, + "tgt": "My son has cough and running nose. Please advise", + "src": "Patient: Hello doctor, My son is 5 years old. Since yesterday, he has a\u00a0cough and running nose. Yesterday, I gave him Zyrcold syrup. 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": 22053, + "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": 30507, + "tgt": "How reliable are the PFT tests?", + "src": "Patient: Hi doctor, I have attached my PFT report and blood reports here for your reference. I would like to get a detailed analysis of my report. Kindly explain. Doctor: Hi. I have gone through your attached reports in detail (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16341, + "tgt": "What is the reason for swollen tonsil after tonsil stones removal?", + "src": "Patient: Hello doctor, Two days ago, I removed my tonsil stones with a cotton swab at home. How long after the removal of the stones does the tonsil remain swollen? Doctor: Hello. Tonsil stone removal by self is often accompanied by tonsillitis or inflammation of tonsil. Swelling of the tonsils is occurring probably due to that. I suggest you gargle with lukewarm water with a pinch of salt twice daily. That will help you to reduce the swelling. If the swelling is not reduced even after 3 to 4 days, you can take antiinflammatory mouthwash containing Nimesulide. I suggest you refrain from removing stone by yourself. Because tonsillitis can be a very painful complication of that if you do not follow strict aseptic procedure." + }, + { + "id": 24588, + "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": 23045, + "tgt": "What to do for anechoic cyst in epididymis?", + "src": "Patient: Hello doctor, I have anechoic cyst in epididymis. I have attached my reports. Please help. Doctor: Hi. For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29806, + "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": 19001, + "tgt": "What are the ways to get rid of high cholesterol?", + "src": "Patient: Hi sir, I am 30 years old male. I am working in an insurance company. No habit of smoking or drinking. My height is 5'10\" weight is 84 kg. I am getting left-sided chest pain since two years. I also have left-sided shoulder pain which radiates in the upper back and left hand pain. I had a CT angiogram last year which was normal. I had an ECG two weeks back which was also normal. When I had a blood test done last week I got to know my cholesterol levels are too high. My last cholesterol report is as follows: Total cholesterol 231 mg/dL (normal range 125 mg/dL-200 mg/dL)HDL cholesterol- 31 mg/dL (normal range 35 mg/dL-80 mg/dL)LDL cholesterol - 99 mg/dL (normal range 85 mg/dL-130 mg/dL)Triglycerides 590 mg/dL (normal range 25 mg/dL-200 mg/dL)TC/HDL cholesterol ratio calculated 7.5 (normal ratio 3.0-5.0)LDL/HDL ratio calculated 3.2 (normal ratio 1.5-3.5)VLDL cholesterol calculated 117.9 mg/dL (normal range 5 mg/dL-40 mg/dL)Non-HDL cholesterol calculated 199.9 mg/dL (normal range <160 mg/dL) I am more anxious about my condition. I am pleased for your advice. Doctor: Hi. From your query I understood your concern. Epigastric pain radiating to back and shoulders should be evaluated for gastric discomforts like gastritis and cholecystitis which is very common in deranged lipid profile. I believe this is due to hyperlipidemia. Your lipid profile is out of proportion. You need to bring these values down. Also you need investigations and thorough assessment to rule out other hereditary causes of hyperlipidemia. Below mentioned measures have to be followed to maintain the cholesterol within range, Management: A good and most important start would be to lose weight at least 15 kg. Your current BMI (body mass index) is 27 which means your are obese, reduce it to less than 25. The key is healthy diet and lifestyle, regular exercise, weight balance, etc. Choose healthier fat like omega 3, omega 6, mono and polyunsaturated fat (olive oil, canola oil, almonds, walnuts, etc) and say good bye to bad cholesterol like saturated fat. Planning diet with limited fat intake will also help. Make sure that you get no more than 300 mg of cholesterol a day. Select grains with more fiber such as wheat, pasta, cornflour, etc. Prefer fresh fruits and vegetables. Avoid processed and canned products as well as fries. Eat heart friendly fish with less fat content like tuna, mackerel, salmon, halibut etc. Avoid alcohol, if impossible keep the intake to minimum and never exceed moderation levels. Avoid smoking. Doing exercise regularly for 45 minutes a day and 250 minutes a week should be your main goal. Artichoke, garlic, oat bran, sitostanol (stigmastanol), blond psyllium, margarines, etc., help. Lipid lowering agents like statin analogues can be considered too. Talk to your doctor for physical examination and let them help you in this regard. 1. Abdominal ultrasound. 2. Serum amylase, lipase, amylase to lipase ratio. 3. Urinary amylase. 4. GI endoscopy. 5. 24 hour pH monitoring. 6. Work up for hereditary causes of hyperlipidemia. 1. Diet and lifestyle modifications. 2. Statin analogues. 3. Symptomatic care. Diet and lifestyle modifications. For further follow up consult a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3709, + "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": 14334, + "tgt": "My metal crown has become sharp and cuts tongue. What to do?", + "src": "Patient: Hello doctor, I have a metal crown, and the metal has become pointy and cuts my tongue. What can I do? Doctor: Hello. I have been through your query and I can understand your concern. The metallic restoration or crown when placed needs to be in harmony with the occlusion or the bite of the mouth. However, sometimes with due course of time what happens is that the crown gets disharmonious due to the continued masticatory forces of teeth and jaw. Sometimes, even the fractured part of the metal crown makes it sharp. This might lead to discomfort or even sometimes impinging to the soft tissues. You do not need to worry as it can be treated by trimming the sharply pointed surface. I would advise you to have a visit to your nearest dentist and get the occlusion checked. He would either go for trimming of sharp point in order to relieve you or if there might be any other problem underlying the cause, he would rectify that so it might not happen in the near future again. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Also, make a routine dental check-up six months in order to maintain your good condition of teeth and be evaluated of any problem in the earliest." + }, + { + "id": 21854, + "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": 17277, + "tgt": "How should I control my BP in winter?", + "src": "Patient: Hi doctor, I am a 35 year old male. In winter, My BP increases to around 160/105 mmHg; however, in summer, it is normal at 130/90 mmHg. I do not feel any problems yet such as headache. Now, I feel some shortness of breath. How should I control my BP in winter season? I have already started taking less salt and eating raw garlic in the morning. I have not taken any medicines, yet to control BP. I do not want to start any regular medicines at this age.\u00a0In my family, my mother also has high BP. Please tell me some ways to cure or control my BP. Here are my details. Height - 5 feet 9 inches, weight - 69 kg, body fat - normal, BMI - normal, kidney function test - normal and ECG - normal.\u00a0My lipid profile is on the higher side, but not very high. Only HDL and LDL are out of range.\u00a0HDL - 34 mg/dL and LDL - 114 mg/dL. All other things are in the range, but on the higher side. Doctor: Hello. I had gone through all the details posted. Kindly confirm whether your blood pressure is raised during winter by repeated BP recordings. Before BP recording you should not take any hit beverage, smoking and be calm. If you have any doubt, then go for ambulatory blood pressure monitoring as they can confirm whether you have hypertension or not. Once if you are diagnosed as HTN (hypertension - high blood pressure), then first is the therapeutic lifestyle changes like low salt diet, avoid tea and coffee, regular physical exercise, take more fruits and vegetables. The above measures can decrease BP by at least 10 mmHg. We can try the non-pharmacological management for two to three weeks. If the pressure did not come down, then we need to start medication. It is better to start tablet Cilnidipine 5 mg in the morning, if medication is required. Please discuss my opinion with your doctor and take the medicine with consent. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16287, + "tgt": "Will monospot test give accurate results for infectious mononucleosis?", + "src": "Patient: Hello doctor, My test is positive for infectious mononucleosis. But my EBV IgM is negative. How accurate Monospot test is? One week abdominal pain and severe throat pain were there. Doctor: Hello. Monospot test has high sensitivity but it is not so accurate. It can come positive in other infections like rubella, CMV (cytomegalovirus), HIV, toxoplasmosis, and other diseases like SLE. So, if EBV IgM is negative then chances of it being infectious mononucleosis is low. EBV infection causing mononucleosis is usually self-limited and last for 3 to 4 weeks." + }, + { + "id": 7645, + "tgt": "I have a 4 mm kidney stone but no pain. Should I do another CT scan?", + "src": "Patient: Hello doctor, I am a 38 year old man, 280 lbs. I have a 4 mm kidney stone that I went to the ER for on 12th last month because of the pain. The CT scan said \"A 3 x 4 mm calculus is present in the proximal left ureter at the level of L3. There is mild dilation of the proximal left ureter and renal pelvis, but no hydronephrosis. Left proximal ureteral calculus measuring 3 x 4 mm. There is mild associated dilation of the proximal left ureter and renal pelvis.\" On 25th, I was back in the ER with bad pain and had another CT scan. The scan said \"The lung basis are clear. There is no fluid in the pleural space on either side. No pneumothorax is seen. A 4 mm stone is again seen in the proximal left ureter in unchanged position causing mild dilatation of the ureter and the renal collecting system. Again, there is only minimal stranding in the fat surrounding the proximal ureter. No interval change. Partially obstructing stone in the left proximal ureter. Fatty infiltration of the liver and borderline sized spleen. I went back to the ER on 26th due to pain and they recommended against another CT scan due to radiation. I got Morphine and survived but I do not know if the stone moved. Now, on 10th this month, I went back to the ER because of pain and did not do a CT scan so I do not know where this stone is. I do not know what to do. I think it may be in my bladder waiting for me to pee it out, but what if it is stuck in the exact same spot from 30 days ago? Should I go ahead and do another CT scan? I am in no pain now. Each time I went to the ER, I was blood and urine tested and my kidney function is fine and there are no infections. I am just worried this stone is sitting there. Or do you think it has passed to the bladder? I do not think there is any way to know unless I get another CT scan but I am a little worried about radiation. Thoughts? Doctor: Hi. I have gone through your query. You have a tendency to form kidney stones repeatedly. It is something that you need to get evaluated once the treatment for the present condition is complete. Regarding your present problem, a 4 mm stone will be passed out spontaneously in 90 % of patients, with good hydration and medication. If you are not symptomatic, it is reasonable to wait for a period of three weeks to assess again. For you, it is possible to do an ultrasound scan to check whether there is any dilation of the ureter, which if present, then a CT scan will be necessary. If absent, you can avoid a CT scan if you are asymptomatic. Also, if the stone has not passed out during this time, you may require surgical stone removal, even though the stone is only 4 mm. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1429, + "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": 16402, + "tgt": "Why am I having severe swelling and fever after wisdom tooth removal?", + "src": "Patient: Hello doctor, I just had three wisdom teeth pulled three days back. I still have severe swelling in my face and neck. I have been having a fever since last night. I have a severe migraine for two days now. Could I have an infection? Doctor: Hi. I have gone through your question I can understand your concern. As per your history, it looks like that you may be having post extraction infection. As you said, there is swelling, pain, and fever, all these symptoms lead to a conclusion of post-extraction infection. You need to take the following medication like tablet Augmentin (Amoxicillin and Clavulanic acid) 625 twice daily for five days, tablet Zerodol SP twice daily for three days. If you are having large swelling or any other associated medical or drug history let me know so that I may adjust your medication and dosage accordingly." + }, + { + "id": 698, + "tgt": "I regularly regurgitate for about 10 minutes after each meal. Does it suggest rumination syndrome?", + "src": "Patient: Hello doctor, I am a teen and I believe I have rumination syndrome as 5-10 minutes after every meal, I regurgitate the food I eat but it is not digested and tastes like the food I recently ate. I often chew the food again and swallow, but it is quite annoying and it happens for about 20 minutes before going away. It started several years ago, but I brushed it off thinking it was nothing. What should I do and is there any treatment? Doctor: Hello. I can understand you must be upset about your condition lasting so long. You well described the symptoms and timings which are very important in your case. The symptoms you mention can present for many years harmlessly and at the time this accompanies other eating disorders such as bulimia nervosa (excessive eating) and anorexia nervosa (excessive fasting). I want to hear from you do you have certain symptoms suggestive those disorders as well. Well, rumination is a functional disorder and it can resolve with time on its own but the one recommended therapy is diaphragmatic breathing. You can learn how to perform this at home by watching some videos available on youtube. Secondly, you can start the tablet Ondansetron 8 mg thrice daily. This medication will improve gastric accommodation to prevent the reflux of contents. The diagnosis of rumination can be confirmed with gastroesophageal manometry with impedance which is a test to measure the change in pressure across the stomach and esophagus while you do this rumination. This test is sometimes important because there are certain mimickers which present in the same way but have a completely different approach. I hope this helps. Rumination. Motility disorder of esophagus. Gastroesophageal manometry with impedance. Esophageal motility disorder. Rumination syndrome. Diaphragamtic breathing, tablet Ondansetron 8 mg thrice daily half an hour before meals. Follow up to to provide more information, to decide whether a gastroesophageal manometry is required at the moment." + }, + { + "id": 24833, + "tgt": "Why am I having palpitations at times of big stress?", + "src": "Patient: Hello doctor, I recently went to the ER after getting into a physical altercation with someone. I was winded and had chest pain and back pain. The pain eased up while I was in the ER waiting for blood work and other tests. I had an ECG and that shows septal Infarct cannot be ruled out. I also had an echo scan done two years ago that was normal. I have palpitations at times of big stress and been diagnosed with anxiety and moderately high blood pressure. Currently, I am on Levothyroxine for hypothyroidism. Doctor: Hello I have gone through your ECG. There are no definite changes in the ECG to suggest an acute major heart attack. Even for anteroseptal infarction, it does not satisfy the criteria. But, considering your symptoms, the first possibility is of minor heart attack called as unstable angina. So, it raises the possibility of blockages in your arteries. Were Troponin or CK-MB (Creatine kinase) levels done? Have you been started on any medicines like Aspirin or Statin? I think, you should be started and should get an evaluation done. Have a healthy lifestyle, avoid smoking, and heavy activities till then. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24673, + "tgt": "Does chickenpox spread through breast milk?", + "src": "Patient: Hi doctor, I am 31 years old and a mother of 7 months old baby. Recently, I have got infected with herpes zoster virus on my back. It is a small patch above my waist. Doctor told me to stop breastfeeding for a week. But, my baby is exclusively breastfed till now and not taking bottle feed after several attempts. My question is should I completely stop breastfeeding? Will breast milk transfer chickenpox virus? I am eagerly waiting for your response. Doctor: Hi. I can understand your concern. If you have chickenpox or herpes zoster virus infection and you are breastfeeding, then your baby does not get infected with the chickenpox virus through your breast milk. However, if you still have blisters on your skin, then it is possible your baby could develop chickenpox if they come into direct contact with your chickenpox or herpes zoster blisters. Chickenpox virus does not spread through breast milk. It only spreads by skin contact. Since the patch is on your waist and not on any other body part, I think you can breastfeed your child. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25194, + "tgt": "My report says 'focal cortical atrophy. ' Is my brain in a healthy state?", + "src": "Patient: Hi doctor,I have a neurology related question. Actually, I have had two brain MRIs in the last two months and wanted to discuss those. I have anxiety disorder and depression. My first brain MRI said 'non-specific increased T2 and flair'. In the second MRI, the above finding did not come but it said 'mild age inappropriate focal cortical atrophy'. In both cases, the doctor said it is nothing to worry about. But, I want to take another opinion as well. Doctor: Hello. These brain MRI findings (attachment removed to protect patient identity) are not indicative of any serious medical disorder. The change in these two MRI results may be related to the MRI machine resolution (maybe you have performed MRI in different clinics) or may be explained by the radiologist qualification. Do you suffer from throbbing headaches? If yes, migraine is a probable cause. Chronic sinusitis seems to be the main finding in these MRI. For this reason, a nasal drop decongestant may be needed. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 490, + "tgt": "I am getting intense pelvic pain between 18-24 days of my cycle. Why?", + "src": "Patient: Hello doctor, I am 18 years old. And about five or six times in the past year, I have experienced intense, nauseating pain that I can only guess is ovarian, but I cannot find anything on the internet to really pinpoint it. It alternates sides, lasts for a couple of hours, and is always between days 18-24 of my cycle. This morning it lasted hours, the pain reaching from my left ribs to my pelvis, which felt like a lot of pressure and made it painful to urinate. Doctor: Hello. The pain you have been experiencing is most likely the ovulatory pain, typical to occur in the midcycle when one has regular cycles of 28-30 days, or if you have you menstrual periods of varying dates, you can observe that exactly 14 days prior to the menstrual period. It is called Mitterschmerz syndrome or pain. It is a normal phenomenon and usually mild but rarely it can be severe. As your pain has been severe today, it would be better to get an ultrasound done to rule out any other causes of your pain. If you had mentioned the date of your last menstrual periods, it would have been helpful. You can take antispasmodic medications and see if the pain gets relieved, But if it does not, then it would be better to seek emergency medical help. And I am assuming that chances of pregnancy have been ruled out, if not then please evaluate yourself (just in case if sexually active). I hope this helps." + }, + { + "id": 14262, + "tgt": "Can ayurvedic medicine be used for cold and dry cough?", + "src": "Patient: Hello doctor, Due to weather change, I caught a cold and dry cough is there since last four days. Please suggest some medicine to expel a cough from the body. Doctor: Hello. A dry cough is very common with a change of weather and is often prolonged. It often causes a lot of discomforts especially in the throat. It can also be associated with seasonal allergies. You will be needing an expectorant along with a drug from the bronchodilator group for dilation of the bronchioles and easy expectoration of mucus. I suggest syrup Mexair which contains Terbutaline (bronchodilator) and Guaifenesin (expectorant). Other than that I would suggest you do steam inhalation twice day. Syrup Mexair twice a day." + }, + { + "id": 11004, + "tgt": "Can food allergies cause palpitations? Taking Concor 5 for heart palpitations", + "src": "Patient: Hello doctor, I had my first heart palpitations two years ago. One doctor prescribed me Ciplar LA 20 and Ecospirin 75 for three months. The doctor also suggested Dilzem or Flecarite on SOS basis. I got palpitation even after having the above medicines. Dilzem worked on as needed basis but since it was a strong medicine, I stopped taking it. After one year, I got all the tests done again and irregular heartbeat got detected in Holter monitoring. I have attached the reports. Currently, I am on Concor 5 for two weeks starting two months ago. There are around two episodes per week but with this medication, duration and maximum heart rate have been controlled. Attached is the latest Holter monitoring test before 48 hours and 2D eco test reports. I need an opinion on: Can food allergies cause arrhythmia? I noticed palpitations just after having food items with cheese. Any test recommended to find out food allergies causing palpitation? What are the long-term side effects of medicines? What is the success rate of cardiac ablation? If required, should we go for burn or freeze ablation? Doctor: Hello. You are suffering from paroxysmal atrial fibrillation and intermittent ectopic. Food allergies will not cause this problem but if you take spicy food, have lack of sleep, mental or physical stress can aggravate the problem. Usually, these medicines have no or little side effects. But at the same time, you need to take medicine. Radiofrequency ablation is safe and effective. The success rate is 60 to 70 percent. You need to discuss this with a specialist cardiologist and with an electrophysiologist. You need to continue the medicines on a long-term basis. Concor (Bisoprolol) is a good drug and Ecosprin ( Atorvastatin and Aspirin) after food is good enough. I hope you don\u2019t have thyroid problem. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8377, + "tgt": "Is it normal for the penis to fall on one side during erection?", + "src": "Patient: Hello doctor, I am sure I have suspensory ligament tear or injury. I have slight pain and discomfort. My erection falls to one side when lying on my back and it also points downward when standing up. I do not have any past medical history. Doctor: Hi. As you have written that you have no past history of any significant condition, so I am sure there is no history of injury or pelvis bone fracture. It is highly unlikely for anyone to have suspensory ligament injury without a pelvic bone fracture. Penile normal anatomy is not that it stands straight at 90 degrees it always will deviate to one side. An injury which is common in the penis is penile fracture which happens during sexual intercourse but after that, there is no erection. Since you have an erection that is also not the possibility. As you have mentioned, you have a weak erection. To find the cause of it, further evaluation by means of blood test and sonography will be needed. But you should understand that erection strength and frequency decreases with age, erection which was present at the age of 20 will not be present at the age of 30. Still, if you are willing to undergo evaluation of the cause of erectile weakness you can let me know, I will tell you the required tests. If you are still sure that your condition is related to a suspensory ligament injury, an artificial erection test followed by a physical examination will be needed. This test is done by a urologist at his clinic where a small injection is given at the base of the penis to cause an erection, then penile anatomy is examined to see for any deformity. MRI pelvis is also an option to see for injury and its severity." + }, + { + "id": 5591, + "tgt": "I have bloody nose and pain in nose due to injury. Is it due to fracture?", + "src": "Patient: Hello doctor, My nose got hit about a week ago and I got a bloody nose. Usually, when I get bloody noses I just leave it and it heals by itself but this time was diffrent. The next couple of days I could not breathe right through my left nostril, my nose kept dripping clear fluid and for some reason, I kept sneezing a lot. I had a bad headache the first couple of days and it is still a bit sore. Now that the swelling has gone down it looks like my nose is off to the left. Is it broken or fractured? Can it be fixed in an ENT office? And around how much would it cost because I do not think my insurance will cover it. I am trying to get it fixed as soon as I can because I do not want it to heal wrong. Doctor: Hello. You seem to be having a septal or nasal bone fracture. These fractures are visible in an x-ray. We usually correct the features within a day of it occurring. After that time fibrosis sets in and we do not attempt to correct until three months when healing tissue has fully formed. Subsequently, we can get a CT (computed tomography) scan of the nose and PNS (paranasal sinus) and do a septorhinoplasty surgery to correct any deformity. Nextly, clear fluid dripping from the nose after a trauma like yours is a cause for worry as it can be CSF (cerebrospinal fluid). CSF is localized in brains and meninges covering the brain. It should not come out through the nose. If it does, it means some defect in the body confines of CSF and it has to be plugged. Otherwise, infection can rise up to the brain. For the above issues, it is best to visit an ENT doctor asap. In my practice, I will ideally do an MRI (magnetic resonance imaging) cisternography for CSF leak and also CSF fluid suggest estimation and CSF fluid beta transferrin examination. If it is found it is indeed CSF, then I do an endoscopic correction of the leak. The deviated septum and nasal deformity are secondary to CSF problem in the severity of the condition. I hope this helps." + }, + { + "id": 4565, + "tgt": "Is abnormal vaginal bleeding a sign of reproductive cancer?", + "src": "Patient: Hi doctor, I have been bleeding heavily from my vagina for past five days. It only happens when I either open my bowel or while urinating. I put in a tampon to confirm that the bleeding is coming from my vagina and not from rectum. When I am not using the bathroom there is no bleeding and no blood on underwear. But, as soon as I urinate and have a bowel movement I start to bleed. It is not just spotting. It is a heavy bright blood to sometimes dark heavy blood. It reminds me of my heavy days on my periods. I am nowhere close to my periods now. I am taking birth control and have been getting my periods correctly each month. This bleeding is not a consistent flow. It only happens when I use the bathroom. It is like I have blood pool above my vagina and the minute I push a little to pee or have a bowel movement it spills out. I do not have period cramping. But, the pain will be like a dull, achy to sometimes sharp pain, especially when the blood comes out. It radiates all over my pelvis, ovaries, stomach and back sometimes to my kidneys. I did consult a gynaecologist earlier today. He pressed on my stomach in which I had some discomfort. He also did a vaginal exam and said there was a lot of mucus with blood. When pressed inside, I felt little discomfort. He did a swab and sent it out to be checked for infection and prescribed me some antibiotics just in case it was an infection. He also scheduled me an ultrasound for next week and wants me back in two weeks. He told me to come back sooner if it gets worse. He seemed quite concerned. This evening, I have started to become more dizzy and lightheaded.\u00a0Could this be just an infection or something else? I do not have itchy or burning vaginal symptoms that you get when you have an infection. I am really worried about this. I am scared of cancer now as I knew that the abnormal bleeding and pain are signs of reproductive cancer. So, I need a second opinion from another doctor while I am waiting for the results. Doctor: Hi I believe this is the first episode of heavy intermenstrual bleeding or polymenorrhagia for you and during the mid cycle. If the bleeding is not controlled and remains heavy causing anemia and dizziness as manifestation then to stop the bleed the best way would be to undertake a dilatation and curettage procedure. Through which can remove the endometrium and subject sample for histopathological exam to rule out any endometrial hyperplasia and accompanied atypia, which may indicate towards an endometrial cancer depending on the reports. At present, wait and watch for excessive bleeding for few more days and if it does not reduce then review with ER and get the ultrasound done sooner and further evaluation. Keep yourself well hydrated to maintain the blood volume and avoid dizziness episodes. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9729, + "tgt": "My husband has fever associated with headaches and sensitivity to light. Why?", + "src": "Patient: Hello doctor,My husband is 43 years old, and he refuses to visit a doctor. He used to suffer from joint tuberculosis five years ago, but after some hard levels of medications, he became healthy again. Now, almost every night, he has a mild fever, and he has become sensitive to light, and he has horrible headaches. He does not have enough energy, and he looks confused (he cannot concentrate on what he is doing). Once he passed out and it took some minutes untill he was conscious again. What is\u200b going on with him? Doctor: Hello. With a past history of tuberculosis and now having mild night time fever with headache and getting episodes of passing out points toward some kind of infection in brain, may be tuberculosis of brain. It is a serious issue. I suggest you to take him hospital. He requires admission and detailed investigations. Tuberculosis of brain. MRI Brain with contrast. EEG. CSF Examination (only after admitting in hospital). other routine tests. \u00a0|\u00a0" + }, + { + "id": 30762, + "tgt": "Can you please explain my blood report?", + "src": "Patient: Hi doctor, I just got my blood work done and would like to know exactly what these results mean. Also, I do want to mention that I am a heavy drinker. The report says that RBC is low at 3.19, MCV is high at 116, MCH is high at 39.2, RDW is high at 16.5, platelets are low at 141, calcium is low at 8.5, AST is high at 75 and ALT is high at 35. Can you give me a better explanation of these results? My bones are very achy and lately I keep seeing blood dots under my skin. It looks like a blood clot. I also feel tired most of the time. When I was about 18 years old, my doctor said I was anemic. I started drinking heavily about 10 years ago. Doctor: Hello. Hepatitis B surface antigen and antibodies, Hepatitis B core antibody, Hepatitis C antibodies, vitamin D, B12 and folic acid levels and TSH (thyroid-stimulating hormone). I would also recommend HIV testing and liver ultrasound. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Vitamin D 2000 IU daily with calcium 1000 mg per day. 2. Vitamin B 500 mcg daily. 3. Folic acid 1 mg daily. Revert back with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3994, + "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": 29530, + "tgt": "My aunt had cardiac arrest and has become unconscious. How to proceed with her treatment?", + "src": "Patient: Hi doctor, My aunt had cardiac arrest 10 days ago. After a gap of 5 to 10 minutes, she has become unconscious. They put her on a ventilator. Till date, she is on a ventilator, and there is no recovery registered. Previously, she had two stents for breathing issues. Her MRI report is attached herewith.\u00a0Doctors have said there is no further hope. Kindly guide what should be our next step. Doctor: Hi. I understand the situation. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21845, + "tgt": "I am having weakness, high fever and body pain. What is the reason?", + "src": "Patient: Hello doctor,I am 57 years old male. I am facing weakness and high fever and body pain symptoms for a while now. Upon doing some routine tests with a local clinic, the test values are as below:RBC count- 5.48.Hemoglobin- 8.16.Hematocrit- 28.9.MCV- 52.71.MCH- 14.88.MCHC- 28.24.RC distribution width- 13.01.Total WBC- 3.18.Neutrophils- 29.1.Lymphocytes- 55.43.Eosiniphilis- 0.4.Monocytes- 13.66.Basophils- 1.4.Platelet - 405.MPV- 6.86.What do the above values signify? In addition to this, my iron is 18.22 and my TIBC is 300.72, ferritin is 213.00. Had colon surgery for colitis nine years back. Currently, I am taking Panadol, Ferroglobin. Doctor: Hello. Fever, weakness, and lymphocytosis in CBC are suggestive of viral infection. Symptomatic management is done with nonsteroid anti-inflammatory drug. Your physical examination should be done first that includes lymph nodes, spleen, liver palpation, auscultation, etc. Investigate with peripheral smear examination report as well. According to the physical examination, if needed, the doctor will suggest doing further investigation. If a sore throat, abdominal pain or any other specific symptoms present then inform about that. After recovery from fever, iron tablets needed to recover from anemia. Provide peripheral smear examination report once done. Take care. Consult a physician for examination. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28326, + "tgt": "My wife's periods got delayed. Is it a side effect of Ferpill F?", + "src": "Patient: Hi doctor, We are trying for a\u00a0baby since one year, and we are under treatment for that. Our consulting doctor has told us to undergo IVF, and we are in that process. From this month we are supposed to start the final lap for IVF, and for that, we met the doctor on the seventeenth day of my wife's menstrual cycle. On that day, the doctor prescribed\u00a0Ferpill\u00a0F and\u00a0Deviry\u00a010\u00a0for the next ten days. My wife is done with that course, and her periods was due ten days back, but till date, there is no sign of periods. After doing some random read, I found that Ferpill\u00a0F is a Clomifene kind of medicine, which needs to be taken on the second or fourth day of the\u00a0cycle. Is delayed periods a side effect of a\u00a0wrong dosage, at the\u00a0wrong time? In the meantime, we tried conceiving naturally till the nineteenth day of her cycle, and in this time we did not\u00a0do\u00a0any\u00a0follicular study. Please let us know your expert opinion. Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24279, + "tgt": "What is the chance of me contracting HIV after protected sex?", + "src": "Patient: Hi doctor,I had a protected sex with a sex worker five weeks before. She gave me oral sex after wearing a condom, then we had vaginal sex with the same condom for about 10 minutes. Muscle and joint pain on legs started after one month of act. I also got cold with this. I had flown after which I got this cold. I am very much worried after going through symptoms of HIV on the internet. Also, I do not know the quality of condom used. Do these symptoms relate to HIV? What is the chance of me contracting HIV? Should I get tested? Doctor: Hi. There is nothing to worry. You are not at risk. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1147, + "tgt": "I have oily skin with acne and dark spots. Please help", + "src": "Patient: Hello doctor, I have acne and oily skin with very bad acne scars and dark spots all over the face. Please help. Doctor: Hi. If possible provide me photographs of the affected areas which will help me for better understanding of your skin problem and proper treatment plan. Photographs are required for diagnosis purpose because the treatment given without proper diagnosis can be less helpful or can also harmful for you." + }, + { + "id": 16605, + "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": 12767, + "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": 1794, + "tgt": "What are those dark lesions I have on my thigh?", + "src": "Patient: Hi doctor, I have had first larger and dark lesion that is bump behind my left knee, since I do not know when, but it certainly not since birth. I noticed it before two to three year and from that time the lesion is the same and has no pain. Now, there is this another small lesion have appeared on the left leg and thigh. When I lay on my side, It is a kind of makes my left leg ache. Kindly let me know if I should panic. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13552, + "tgt": "My foot moves up and down while lying down. Please advise", + "src": "Patient: Hello doctor, When I am lying down my foot moves. What it means is like my whole foot will move up and down (if this makes sense) sometimes my hips too. I cannot remember when this started to happen but it only happens when I lie down. Doctor: Hello. You seem to be suffering from hyperkinetic movement disorders. Many people who suffer from mild or moderate PLMS (periodic limb movements during sleep) can successfully manage their condition without medication. People often report that relaxation exercises like yoga or meditation can help reduce their symptoms. Sometimes a hot bath or messaging one's legs before going to sleep will help with the movements as well. Try to have full body massage and if symptoms persist then visit any neurophysician. He will advise some tests and prescribe medications to you." + }, + { + "id": 19446, + "tgt": "My WBC counts are falling down. What is the reason?", + "src": "Patient: Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts recently in the past three months were 3.23 K/mcL, 3.13 K/mcL, 4.50-11.00 K/mcL, respectively. Doctor: Hi. I can understand your worries. First, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. Not only it depends on the count, but also on the appearance of the cells that give the diagnosis of myelodysplasia. In your case, none of the absolute values of neutrophils, Hb or platelets qualifies for meeting the threshold criterion for MDS (myelodysplastic syndromes) (attachment removed to protect patient identity). These are called prerequisite criteria and they are Hb less than 110 g/L, neutrophils less than 1.5 g/L and for platelets less than 100 g/L. A glass slide review will also cover if any abnormal cells are present. If there are dysplastic features and abnormal cells present then, a further diagnostic workup is definitely needed. In your case, the prerequisite criteria are not met. If a glass slide has not been reviewed, I suggest to do it once. Secondly, it is important to check for hematinic deficiencies such as vitamin B 12, folic acid, and iron. You have your serum levels of folic acid checked, because you may be deficient, since, the folic acid normally does not have proper stores in the body. Your vitamin B12 is close to the lower limit, which means that there might be a functional deficiency, causing megaloblastic changes in the bone marrow and this may be the reason behind the low neutrophil counts. Consider intake of any medications, that may cause suppression of bone marrow. Non-steroidal anti-inflammatory agents and Paracetamol are the reason behind the low count of neutrophils. I would consider these points before taking diagnostic work up to MDS. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23679, + "tgt": "Why does bleed severely during menses?", + "src": "Patient: Hello doctor, My wife is suffering from menstrual cycle problem. She is\u00a0bleeding too much and her period continues for 7 days. Due to this, \u00a0low BP, headache and lower back problem has started. Since last two years she is feeling weak and less energetic. Kindly suggest good medicines preferably generic names. Thank you. Doctor: Hi. From the details given in your query, it seems that your wife is suffering from abnormal uterine bleeding (AUB). There are several reasons for AUB. For diagnosis, you better do one ultrasonography of abdomen and serum for thyroid function test. Meanwhile, you can try tablet Tranexamic acid to control bleeding. Revert back after the investigations to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5647, + "tgt": "I fingered a lady and touched my penis with same hand. Am I at risk of HIV?", + "src": "Patient: Hi doctor, I had been to a massage parlor. I fingered the lady, touched my penis with the same hand, she too touched my penis (I did not cum). Also, I sucked her breasts. Am I at risk of HIV? Doctor: Hi. It is very unlikely from your description. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15290, + "tgt": "Is there any relation between high TSH level and severe hair fall?", + "src": "Patient: Hi doctor, I am 31 years old female. My weight is 49 kilograms. I have raised TSH level of 7.5 mIU/L. I have severe hair fall, and my iron, vitamin D3, and vitamin B levels are normal. How to bring my TSH level to a normal range? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have raised TSH levels. But it is not significant enough to necessitate treatment. You can repeat your thyroid function test after three months again to make sure that it has not risen further. Regarding your hair fall, it depends on the thyroid function also. You can take tablet Zinc gluconate 100 mg once daily for two months for your hair fall. You can use Minoxidil 2 % hairspray for your scalp for four months. Use it with care and avoid having contact with your face. Try to avoid having pollution effects on your scalp." + }, + { + "id": 13260, + "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": 11257, + "tgt": "Should we opt abortion when mother is infected from HEV during pregnancy?", + "src": "Patient: Hello doctor, My wife is in the 14th week of her pregnancy. During a routine checkup, we came to know that she was infected from HEV. What will happen? Do we have to abort the child? Doctor: Hello. There is no need for the abortion as HEV (hepatitis E virus) does not cross the placenta, but you need to have a close follow up for the pregnancy. Also, you have to get in touch with fetomaternal doctors (baby-mother doctors) and get a regular check-up of your liver function test. You would need to be delivered in a hospital setting as HEV may infect the baby at the time of birth. HEV is not harmful to the baby during pregnancy but needs close monitoring, and vigilant care of mother as mother's condition may deteriorate if not addressed properly. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 23729, + "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": 22318, + "tgt": "Please check my DICOM X-ray to check for any fracture in foot", + "src": "Patient: Hello doctor,One week ago I have slipped when walking, fell after hitting the curb, and landed on my right foot in an awkward position from small altitude. I was able to walk with minor to moderate pain, and visited the nearest trauma center in an hour, got an X-ray and cast immobilization, and was diagnosed with fractures in second and third metatarsals. I was told to take antithrombotic medications, avoid putting any load on the feet, and basically, that was all. The feet itself did not hurt for the whole week afterward. Today, I visited a different clinic for a check-up, got another X-ray and a different diagnosis (no fracture in the third metatarsal, but a fracture in cuneiform bone). So, I would like to ask to take a look at DICOM X-ray data from the second clinic and check what bones actually have fractures (because I am quite anxious that something could have been missed), and if there are any indications of recovery. Currently, I am taking delayed-release Acetylsalicylic acid as an antithrombotic, Calcium and D3 Vitamin supplements. Doctor: Hi. Your radiographs (attachment removed to protect patient identity) do not show any meta-tarsal fracture. However, a medical cuneiform fracture is seen. Probably it could be a Lisfranc injury. An orthopedic consultation is advisable as you would require casting to stabilize the joint. Else you may end up having chronic foot pain due to the resultant altered alignment of foot bones. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 18803, + "tgt": "How long do I have for angioplasty after a heart attack due to blocks?", + "src": "Patient: Hello doctor, My mom had a heart attack three days ago and she is having treatment and my doctor said after angiogram she had three heart blocks: one is (90-95 %), second (90 to 98 %), and third (60 to 70 %). So, how much time do I have to do the angioplasty? I mean he said she needed two rings and I am looking for the best treatment. Here the doctor is saying that she does not have time. It has to be done within two days. Some extra information: she had diabetes for a long duration and before this heart attack she had several symptoms like she could not sleep properly for two days and had problems with breathing and yes on treatment, here on the first day, the doctor said there is some water in lungs which has been cleaned now and some injuries in kidney which has been stabled with medicines. So, I am now confused about what should I do now. Do I have to fix ring on heart according to this doctor or do I have time for waiting for the best treatment? And yeah she is having now some saline and some medicines but I do not know this names now. Her physical condition is better. She is breathing and talking fluently. Doctor: Hi. Your mother suffered a heart attack and angiograph shows triple vessels disease of which two are having a critical block with diabetes (attachment removed to protect patient identity). In diabetic patients, coronary artery disease is very common. At the present moment, it is not wise to shift the patient. However, wherever you go you will have to trust the attending doctor. It is better you follow the advice and go for it. Do not make any delay. Have faith in God. He will take care. Treat diabetes adequately simultaneously. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14200, + "tgt": "Can missing period with only spotting after unprotected sex indicate pregnancy?", + "src": "Patient: Hello doctor, I am 23 years old and on birth control pills for five years without missing a dose. Usually, I have a pretty regular cycle. Had sex using withdrawal method due to STD free and on the pill. Started a new job (career) as well as ended that relationship, missed a period. At about 10 days late, my home urine test was negative. The second test was negative about two weeks after this. Got some light spotting around next cycle but no period. How likely that I am pregnant? What else could be causing this? Doctor: Hello. I have gone through your history and understand your concern. As you had protected sex, there is almost no chance of pregnancy in your case. Delayed menses and spotting could be due to hormonal imbalance caused by sex. Get your blood beta hCG levels to rule out the possibility of pregnancy." + }, + { + "id": 8852, + "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": 13133, + "tgt": "How to make the baby have enough breastfeed?", + "src": "Patient: Hi doctor, Our baby is 1 month old. My wife is\u00a0facing problem in breastfeeding as the baby is not taking the feed properly.\u00a0This is our first baby and my wife is using a breast pump to take off her milk and giving it in a bottle. I\u00a0want to know whether the use of a breast pump for a long time cause any problem to the mother.\u00a0What are the other ways to make the baby have milk directly through breastfeeding? Also, will bottle feeding cause any constipation problem? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17084, + "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": 24698, + "tgt": "What to take for pain when urinating after sex?", + "src": "Patient: Hello doctor,I am a girl, age 20. I had sex four days before, but from that date, I am continuously feeling pain during urination and getting urine out very frequently. Please tell me if that is a serious issue. How to get out of this pain? Doctor: Hello. This is common post-coital urethritis. Take more water and baking soda half spoon in one glass of water. I also suggest taking painkillers like Diclofenac with Ranitidine. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6599, + "tgt": "What do you think about GemCarbo chemotherapy?", + "src": "Patient: Hello doctor, My mother has been diagnosed with stage 4 adenocarcinoma. She was having trouble breathing due to pleural fluid buildup. As per our oncologist's suggestion we have started Gemcitabine-Carboplatin chemotherapy before 10 days. The suggested course of treatment is six cycles of chemotherapy. As the test for EGFR mutations was not successful, the doctors did not suggest Erlotinib based treatment such as Tarceva. Can we switch to Erlotinib after two cycles of chemotherapy without knowing whether EGFR is positive or not? Doctor: Hi. I can understand your anxiety. Revert back with the answer to the above question to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 19432, + "tgt": "How to reduce my hair fall and improve my hair growth?", + "src": "Patient: Hi doctor, I am 30 years old. I have hair fall, hair loss, and tangled hair. I use coconut oil for my hair. Doctor: Hi. Take capsule Bhringraj (Eclipta alba) two capsules two times a day with water after food for one month. Take capsule Asthiposhak (Asthisamhurta with Amalaki) two capsules two times a day with water after food for one month. These both will help you for hair fall and hair loss. Use Mahabhringraj oil (Eclipta alba with Sesame oil) and apply it over your scalp through gentle massage two to three times a week. Apply curd over your scalp for two times in a week for half an hour and then wash it away with mild herbal shampoo. Try all these things regularly, and you will feel better results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby Ayurveda physician." + }, + { + "id": 4147, + "tgt": "Kindly explain whether fat burner medications interfere with anti-rabies vaccine", + "src": "Patient: Hello doctor, I am on an anti-rabies vaccination. I am very worried as I have been on other medications which I beilieve may interfere with rabies vaccine: 1. Modafinil, 2. Fat burner (ingridients:-yohimbine,bioperine,guggulsterones,synephrine,caffeine). Doctor: Hi. As per your medical history, I went through, I would suggest that the above mentioned medicine will not interfere with rabies vaccine. However, keep rabies vaccine as the top priority and if possible stop other medications till the course is done as rabies is a much more serious disease then fat burners." + }, + { + "id": 7026, + "tgt": "My lung pain worsens when I take deep breath or sneeze. Why?", + "src": "Patient: Hello doctor, I am a 25-year-old girl. My problem is that I am suffering from lower lung pain on the left side for the past 10 days. I already consulted a doctor, but he was not able to find anything abnormal in X-ray and blood reports. He prescribed me some capsules and pain killers, but it does not work. It is getting worse when I take a deep breath or sneeze. It is a pinpoint pain in the left lower lungs. Please suggest me something so that I can cure my problem. Doctor: Hello. As you said, you had left chest pain for 10 days, and all reports are normal, it is very difficult to interpret it. You should elaborate your history in detail, including your history or similar episodes in the past. Attach the x-ray with your query. If you are having some acidity issues, it can be because of gastritis. You have not specified any other symptoms like cough, history of fall or any trauma in your description. So I advise you to get back to me with all these details. Most of the time, it is because of costochondritis which gets relieved with common pain killer tablets like tablet Combiflam 1-0-1 (Ibuprofen, Paracetamol) for five days after food. Even it is related with your menses also and very common in young girls. So a good correlation of your medical history will solve your problem." + }, + { + "id": 8689, + "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": 14525, + "tgt": "What does increased IgE and immunodeficiency states in report indicate?", + "src": "Patient: Hello doctor, Today I received my blood report online. And in that, it is mentioned that my IgE serum level is increased by 4 %. And also there is an increase in the level of atopic/non-atopic allergy, hyper IgE syndrome, parasitic infections, IgE myeloma, pulmonary aspergillosis, immunodeficiency states, and autoimmune diseases. So please tell me what the report says. Doctor: Hello. You have not mentioned that reason for which you got this test done. Anyways most of the doctors send for this investigation considering allergy (to dust particles) in the blood. Hence, the test was done and the report suggested mild elevation of serum IgE which indicates you have a little affinity for dust allergy but this is not a very significant rise hence take precautions by avoiding dust, regular usage of masks or handkerchiefs, keeping your pillow covers and bed sheets clean. Allergy. Vitamin D levels." + }, + { + "id": 4303, + "tgt": "Will chemotherapy work for prostate cancer in an elderly patient?", + "src": "Patient: Hello doctor, My relative aged 82 years is suffering from prostate cancer. It was discovered one year ago. Surgery was done eight months ago, and it is still spreading. He is not diabetic. Will chemo might be fatal? Doctor: Hi. I have read through your query in detail. Please find my observations below. It is important to know when the cancer spread was first detected. If it has spread to involve other areas then it is likely to be stage 4 cancer. I have served in a cancer institute for years and have seen many patients like him getting chemotherapy to prolong life. Liver and kidney functions and general condition should be maintained during treatment. Radiation also helps many patients. Usually, the survival of a patient with advanced stage cancer is not more than two years with good care and treatment. This is an average and rarely patients might survive to three to five years. Chemotherapy and radiation therapy might help to extend the life of the patient and slow the disease progression but cannot cure cancer. At the age of 82 years, it is important to give him good nutrition and diet with proteins and vitamins. Pain relief is important for him and this is to be discussed with his doctor. Please see that he is comfortable. Hope this answers your question." + }, + { + "id": 5635, + "tgt": "Why do I get back pain that worsens while walking?", + "src": "Patient: Hello doctor, I have back pain that gets worse on walking. MRI reports did not show anything abnormal. When I walk, my back gets locked. I have been suffering with back problem since 15 years. I have rash across my face that looks similar to acne filled with pus. My blood reports showed uric acid 7.2, positive ANA, negative rheumatoid factor, 46 ESR, 420 platelet count, creatinine with estimated GFR more than 59 mL/min, lymphocytes (auto) 3.9 X 10^3, high cholesterol and thyroid stimulating hormone (TSH) 1.74 uIU/mL. I have lower back pain, stiffness, fatigue often, chronic acne that gets worse with sugar, irritable bowels, restless legs, restless body, easily bruised, PCOS, excessive hair growth, thinning hair, common yeast infections, popping joints, no menstrual cycle, weight gain, dry skin, depression and anxiety. It got better with Prednisone. I have attached my medicine list for your reference. Thank you. Doctor: Hello. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 17113, + "tgt": "Please suggest a treatment for persistent hiccups", + "src": "Patient: Hello doctor, My father-in-law has hiccups since the last three years. He recently got an endoscopy done, the reports of which I am attaching here. Also, he has tried a few medications, but still he is not getting better. When I researched online about his condition, it says as chronic hiccups. So, I need to know what would be the correct treatment. Can you please help me cure him? He currently takes Ativan 1 mg for his heart. Doctor: Hello. I have gone through your query as well as the reports (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": 10807, + "tgt": "I have erectile dysfunction inspite of having L-Arginine. Kindly advice", + "src": "Patient: Hello doctor, I am suffering from erectile dysfunction. Early morning sex power is also very low. There is a quick immature erection. The genital part does not stand properly. Right now, I am taking 1000 mg L-Arginine once daily. Can you please solve my problem? Doctor: Hello, Welcome to the icliniq.com. For your erectile dysfunction problem, you have to rule out organic cause like thickening of an artery supplying penis due to fat deposition. It is called atherosclerosis thickening of the artery. For that color Doppler ultrasound, penile angiography can be done. USG (ultrasound) testes and serum testosterone estimation also need to be done. I suggest you avoid stress if you are having anxiety or stressful event history (psychological cause like stress is also associated with erectile dysfunction). You have to check your blood pressure and serum cholesterol values as well. Obesity also can be responsible for erectile dysfunction. So lose your weight. Take more fruit juices, especially pomegranates juice once daily at night. Regular exercise, yoga, meditation can be beneficial. If there is no improvement in one to two months, then we will discuss further. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 2062, + "tgt": "Does cervical neck lordosis affect sleep?", + "src": "Patient: Hello doctor, Does cervical neck lordosis affect the quality of sleep? This week I have not enough sleep at night or even day and my arms are in pain. I cannot understand because sometimes my nose are clogged at the right, sometimes at the left and my neck hurts when I do my exercise as recommended by my chiropractor. I had my three adjustments last month which supposedly should be 36. It stopped due to the COVID pandemic and now I am at home but I cannot sleep well. It feels like my body is not straight. By the way, my pelvis is tilted to the right and also my spine but just a little bit. Can I ask some help or tips from you with regard to what can I do to at least ease the pain or sleep way better? Or a few stretches to at least help my body to slowly reposition to normal? Doctor: Hello. I read your concern. Yes, the position of cervical lordosis will affect your sleep if it is not properly supported. The tightness and pain could be due to irritated neck muscles. So support them, ice them up so that spasm gets reduced and neck feels better. As of now, I recommend you to maintain good posture and support your neck properly in everything you do like sitting and sleeping. Avoid postures that might aggravate the issue like texting a lot. Watching movies in an upward position, etc. Do not do exercises while in pain. Do icing and relax. Support will help you come out of the issue faster. First, sleep properly and things will automatically fall in place. Keep hydrating properly. Back and other issues could be due to faulty postures and irritable muscles. They will reduce once you do the above-mentioned things. I hope this helps." + }, + { + "id": 16480, + "tgt": "Is it possible for the rabies virus to survive outside the host animal under sunlight?", + "src": "Patient: Hello doctor, Can the rabies virus survive outside the host animal under sunlight? Doctor: Hi. Rabies virus is not very robust under external environmental conditions. Direct sunlight and lack of humidity are very deleterious to its survival. It might survive for a couple hours or so, but there is no definitive proof. Rather what is important are the precautions that one should take if contracts virus. For example, washing contacts with soap and water are extremely essential. If the directly contacted skin is broken or cut then one may consider vaccination too. Let me know if you have any further queries." + }, + { + "id": 19329, + "tgt": "Why are the legs and hands not functioning in a diabetic patient?", + "src": "Patient: Hello doctor, My 72-year-old mother is diabetic. Suddenly her right leg and right hand are not functioning. In MRI scan of the head, it is told that bursting of vein or tube is reported. Could leg and hand function be restored? Doctor: Hi. The recovery of the weakness of limbs depends on the extent of brain damage. For that, I need to go through the scan report completely. Kindly upload the scan report and I shall give you a precise idea of what you can expect in recovery." + }, + { + "id": 856, + "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": 24806, + "tgt": "Suddenly, I start feeling dizziness, pressure in the chest, and weakness. Why?", + "src": "Patient: Hi doctor,I am 33. Sometimes, out of nowhere, I start feeling dizzy, pressure in the chest with heavy breathing and weak legs and hands. Sometimes, I have headaches. No arm or chest pain. It was happening to me when I lay down and now it happens when I am standing too. I took medicine for acid reflux for two weeks. I have no heartburn. But still, have symptoms. Blood pressure is normal and heart rate changes frequently from 59 to 78. No stress and no anxiety. It happens when I am very relaxed. Mostly at night, but lately during the day too. I did ECG but they said my heart is good. But maybe I have something it does not detect. I had a reading of 152/99 two weeks ago, but after a diet, it went down to 120/81. Doctor: Hello. This can be cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, chest pain or discomfort, blackouts, sometimes syncope. Usually, ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24-hour Holter monitoring. So, visit a nearby cardiologist for these investigations. Is there any stress or anxiety associated? Until your evaluation is complete, you can ask your local doctor for tablet Ciplar LA (Propranolol) 20 mg once a day. Also, thyroid test should be done. ln order to abort such episodes, you should try to cough hard. 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": 9283, + "tgt": "Why am I having burning sensation in groin and waist after surgery for spine TB?", + "src": "Patient: Hi doctor, I am 38 years old, male. I had two surgeries at the back (thoracic and lumbar) because of spine TB 13 years ago. Now I am having burning sensation in my groin area and on my waist, mostly right side. This used to come and go for the last few months. Last year I had similar sensation for a few days but it did not stay long that time. From the last 2 to 3 weeks, it is more frequent. Also, last week I had serious pain in my both thighs and buttocks. Then I went to emergency and they gave me Gabapentin and Naproxen. Please have a look at my MRI images that was done yesterday and let me know what is causing it. Also, if you find anything else please let me know. Doctor: Hi. MRI lumbar spine (attachment removed to protect patient identity). Observations: There is mild straightening of the lumbar vertebrae and might suggest lumbar muscle spasm. There are small osteophytes in L2 vertebra posteriorly and L3 vertebra anteriorly. Vertebral bodies show otherwise normal marrow signal changes. No evidence of modic endplate degenerative changes. The vivisualized cord is normal in calibre and signal intensity. Conus is normal in size and signal intensity. No extradural or intradural or intramedullary mass lesion. No pre or para vertebral soft tissue mass lesion seen. Spinal canal measurements are within normal limits. Visualized sacro-iliac joints are normal. Intervertebral discs: There is disc desiccation in L5-S1 disc level. There is minimal left neural foraminal compromise in L2-L3 disc level. There is mild bilateral neural foraminal compromise in L4-L5 disc level. There is mild left neural foraminal compromise in L5-S1 disc level. The CT abdomen and pelvis scan does not show any significant findings. You can have the discomfort due to mild neural foraminal compromise at L4-L5 level which is on both sides." + }, + { + "id": 19506, + "tgt": "I am fearful of rejections. Please help me stay confident", + "src": "Patient: Hello doctor, I am very less socially active, a nervous beginner in conversations, and fearful of rejections. I have never achieved what I am capable of even being highly talented. I am not sure about my aim in life. All I want is to have control over my nerves and be self-confident in life no matter what the situation be. Can you help me? Doctor: Hello. You may have cluster C personality. First, learn to talk with yourself. Talk with yourself by looking into the mirror. Make eye contact with your eye in a mirror then start a conversation with friends by making eye to eye contact. Start with just a smile for a few days then start some conversation with just hello. Be confident. Do the exercise daily. If possible go for swimming and read good books. I suggest you read one book by the name \"How to win friends and influence inhuman people?\" by Dale Carnegie. You can get this book in many different languages. Never underestimate ownself. If you will not value yourself then no one else will value you. Develop some creative hobbies like reading, writing, and painting and accept your nature. You may be an introvert, but you are not antisocial. You like your personal space and you get tired easily with public contacts. So, cheer up. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18619, + "tgt": "What is wrong in my annual health checkup report?", + "src": "Patient: Hi doctor, I am a 31 year old male. Recently, I have gone for an\u00a0annual health checkup.\u00a0Following are the areas which are highlighted as abnormal for which I seek consultation in evaluating it better. I would like to find the root cause for the same along with medication or lifestyle changes, if any, required in my case.\u00a0I am attaching herewith all the report and highlighting the areas which are mentioned as abnormal in these reports. I request you to please go through all the reports in details and advice. The reports are CBC - RBC 5.59, PVC 50.1, absolute eosinophils 858.6 and overall comment on CBC is eosinophilia.\u00a0Vitamin D total (25-OH) 15.6. Chemical examination of feces reaction (pH) \u2013 acidic (6.0). \u00a0On microscopic examination, undigested particles present and concentration method for ova - no ova detected.\u00a0Urine examination - blood and proteins traced in chemical examination and on microscopic examination leukocytes (pus cells) or hpf 2-3, red blood cells or hpf - occasional and epithelial cells or hpf 0-1.\u00a0Lipid profile - total cholesterol serum 252.1, serum triglycerides 171.2, HDL cholesterol direct 50.2, non-HDL cholesterol 201.9, LDL cholesterol 181.8, total cholesterol and HDL cholesterol ratio 5, LDL and HDL ratio 3.6 and VLDL cholesterol 20.1.\u00a0In USG liver, bright parenchymal echo pattern.\u00a0In USG spleen, mildly enlarged in size 12.1 cm.\u00a0In USG abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8mm.\u00a0Overall impression Grade I fatty infiltration of liver, mild splenomegaly and small umbilical hernia. My\u00a0BMI is 31.8 (self-calculated based on height and weight). Please evaluate and give detailed guidance. 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": 2316, + "tgt": "After scratching, my right eye becomes red in the inner corner. Is this eye infection?", + "src": "Patient: Hello doctor, My contact scratched my eye the other day. My eye has become progressively worse. It is my right eye and it is red closet to the inner corner and when I blink, it feels gritty. I think it is just an eye infection. Doctor: Hello, Welcome to icliniq.com. It is conjunctivitis. Use Moxifloxacin eye drops four times a day for two weeks. Just Tears eye drops (Carboxy methylcellulose) four times a day for two weeks. Do warm compress three times a day. Stop using contact lenses until the eye is quite. If the black part of the eye (cornea) starts becoming white at the corner, it is corneal ulcer which requires vigorous treatment, and you need to consult a local ophthalmologist as soon as possible. (since you gave history of scratch). Keep checking the cornea (black part of the eye)." + }, + { + "id": 4298, + "tgt": "The knot feel in my left side belly button disturbs bowel movement and sitting. Please help", + "src": "Patient: Hello doctor, I was doing crunches (exercise) three years ago, something went wrong near my left side abdomen I mean the left side of belly button portion. I feel a kind of knot sensation. I cannot evacuate properly even if my stool is soft. I cannot pass gas and urine comes slowly unless gas is fully evacuated. I did an ultrasound scan and everything is fine no hernia nothing. While I sleep I do not notice this knot kind of sensation but while I am sitting I can feel it. Doctor said it was a muscle catch and gave some medications but it did not work. Can you help me? Doctor: Hello, Welcome to icliniq.com. I have read your query in detail and it seems as if you might be suffering from a femoral hernia. Though less common in men than an Inguinal hernia, it does cause the kind of symptoms you seem to be facing. Long term solution is obviously surgery, but since we do not have enough information, I will try to alleviate your symptoms rather than diagnose. Wear scrotal support, this will lend strength to muscles in sitting and standing positions. You can try an abdominal binder if pain or strain or knot is more above rather than below the abdomen. Avoid standing for more than five minutes in one go, rest or sit as often as possible. Increase water intake to 10-12 glasses a day. Avoid eating high sugar foods to decrease gas or bloating. Follow up after 14 days with ultrasound abdomen and x-ray abdomen erect." + }, + { + "id": 1626, + "tgt": "My wife has diabetes and is pregnant now. Will insulin injection cause any harm to my baby?", + "src": "Patient: Hi doctor, My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics. As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor's advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily). Doctor: Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Quadruple marker at 15-17 weeks, anomaly scan at 19 weeks, and fetal echocardiogram at 22-24 weeks. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps." + }, + { + "id": 8021, + "tgt": "Why am I getting on and off skin colored itchy bumps?", + "src": "Patient: Hi doctor, For the past few weeks, I am getting skin color bumps (small bubble) all over my legs, hips and sometimes on hands.\u00a0These are itchy and go away after few hours. Again, the next day they will come in the same spots and go away after some time. In my place, it is\u00a0peak summer now. Is this summer rash? There is no liquid inside. I do not have fever or pain. Also, I am getting this for the first time now. Doctor: Hi. This looks like acute urticaria. If the skin colored hives and wheals appear and disappear for a few days, then it is called acute urticaria. If the symptoms persist for more than six weeks, then it is called chronic urticaria. If these skin colored bumps pain on vertical pressure, then it is called as urticarial vasculitis. Urticaria is due to allergy to various things. Is there any history of recent fever, burning micturition, medication intake and intake of fish or nuts? Allergy test is available to find out as to what you may have developed an allergy. Revert back with the answer to the above question to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14944, + "tgt": "Feeling lightheadedness and unbalanced. Not sure if it is the panic attacks?", + "src": "Patient: Hi doctor, Lately, I have been feeling lightheaded and unbalanced. I have been diagnosed with panic attacks once in the past. I am not sure if I am getting the same panic attacks again. Please advice. Doctor: Hi. The symptoms of panic attacks are episodically occurring attacks for a duration of 10 to 20 minutes. The symptoms include: Also, panic attacks are followed with constant apprehension regarding a future episode and change in lifestyle due to such episodes. If you have at least 4 to 5 of the above symptoms, then you have a panic attack, or else you could have any other illness. If you have only lightheadedness and imbalance, then it could be due to any cause related to brain or inner part of the ear. Kindly book for an online counseling session to discuss more details regarding your problems so that we may help you in a better way." + }, + { + "id": 3702, + "tgt": "Please suggest best remedy for cough and nose block in pregnant women", + "src": "Patient: Hi doctor, My wife is 26 weeks pregnant and she is suffering from cold and cough for the past two days. Also, she is having a chronic nose block from her 12th week and using nasal spray for relief. She is finding it very hard to sleep for the past two days because of continuous cough. Her cough is without phlegm. Please suggest some safe medicines. She is taking calcium and iron tablets along with Eltroxin 50 mcg for thyroid. Doctor: Hi. Any infection is not good for pregnant women. Please confirm if your wife has any fever. Meanwhile, you can take the following measures to help her feel comfortable: Dabur Honitus cough syrup two teaspoons thrice a day. Honitus ginger cough lozenges once in two hours. Give ginger slices soaked in honey or raw to suppress the cough. Also please provide the following information: Any fever? Any sputum while coughing, if yes, what is the color? Any breathing difficulties? Any lower backache, spotting or leaking of fluid? I would suggest visiting an ENT specialist for examination as well." + }, + { + "id": 23224, + "tgt": "I was smoking for last 30 years and left it now. Kindly explain the reports", + "src": "Patient: Hello doctor,I was smoking for last 30 years. I left it 50 days ago. My weight is 78 kg. Height is 5 feet 7 inches. Currently, I am taking Emlong 5 twice daily. Doctor: Hi. I have checked all attached documents (attachment removed to protect patient identity). The lab tests show: Otherwise, all other laboratory reports are normal. My advice is as follows: For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 29872, + "tgt": "What is your advice for my back injury?", + "src": "Patient: Hi doctor, A week ago, I fell on my back while climbing a ladder from 4 meters height. I visited the doctor the next day and he told me to do an x-ray and MRI of the spine. The report says marrow edema and mild compression of the L2 vertebral body adjacent and upper plate region and marrow edema in the L1 vertebral body. The doctor has suggested to wear Taylor's brace and advised to consult a neurosurgeon for advice on vertebroplasty.\u00a0What is your advice for the same? Doctor: Hi. I understand your problem well. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 15648, + "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": 18500, + "tgt": "Why do I have problem in bending forward?", + "src": "Patient: Hello doctor, I injured my lower back while squatting about one and a half month back. I have difficulty in bending backwards. A sharp pain was felt when I used to bend backward. But, no pain in forward bending or sideway bending. Neither any pain was felt on touching the region. So, I started physiotherapy and the situation is improving. Recently, when I was playing badminton again I felt the similar pain whenever I tried to bend backward. So, I consulted a doctor. He viewed my x-ray report and said there is no such problem in it. He advised me to stay away from sports for the next 10 days. But, the pain has worsened now. I feel pain in a different region that is just above the right hip. The pain is felt on touching that part and now I have even problem in bending forward. Even sitting increases the pain now. Standing and walking makes it better. As advised by the doctor I regularly do muscle strengthening and stretching exercises, but no improvement can be seen. Please help. Doctor: Hi. The x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. So, do not worry. Instructions to reduce back pain: Facet pain - lumbar spine. Revert back after five days to an orthopaedician and traumatologist online.--->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 26510, + "tgt": "The pregnancy test is positive. Please suggest an abortion kit", + "src": "Patient: Hello doctor, My actual period date was over a month ago. I missed my period. A small dark spotting was\u00a0seen. The pregnancy test is positive. Please suggest an abortion kit. Doctor: Hello. As you have missed your menses and the urine pregnancy test is positive and as I believe this is an unplanned pregnancy, firstly before considering an abortion pill, you must rule out an ectopic pregnancy as an abortion pill would then be ineffective. So, please get a transvaginal ultrasound done to confirm intrauterine pregnancy and follow up. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16228, + "tgt": "Why do I suffer from indigestion, constipation, hyperacidity and premature ejaculation?", + "src": "Patient: Hi doctor, I am suffering from indigestion, hyperacidity, constipation, and chronic premature ejaculation for many years. I am a chain smoker, and I had stopped drinking alcohol for the past two months. Kindly advice me a good medicine. Doctor: Hi. These health problems occur due to excessive drinking of alcohol and smoking. It is good to hear that you have stopped drinking alcohol. It will take some time to get back to normal health. I would advise you take Nux vomica 30c four pills or two drops in a half cup of water once a day at night for ten days. This homeopathic remedy will help to reduce the stomach problem and premature ejaculation problem to some extent. Please take this remedy for a long time or longer than ten days. Also, take Natrum Phos 6X tablet three tablets twice a day in the morning and evening for one month. Depending upon the improvement, you may need to change the remedy after a month. Kindly revert me after 15 days or one month if possible." + }, + { + "id": 24668, + "tgt": "My wife has missed her periods. Is she pregnant?", + "src": "Patient: Hello doctor, My wife had her periods last month. This month it did not happen, and she is having vomiting sensation, cramps in lower abdomen and back. Through the home test, two lines are appearing. We do not want pregnancy now. Please guide us regarding the same. Doctor: Hi. Abortion pills can only be taken under supervision because it may cause infection, severe bleeding and retained products of conception. Get your pelvic ultrasound done to see fetal well-being. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14850, + "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": 9405, + "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": 15071, + "tgt": "Is it possible to use the Vein Gogh treatment to remove permanently the dilated blood vessels?", + "src": "Patient: Dear doctor, Is it possible to use the VeinGogh treatment on the sclera of the eye to remove permanently the dilated blood vessels (telangiectasia of the sclera)? Doctor: Hi. VeinGogh treatment is usually used for the treatment of varicose veins where the veins are dilated on the legs. This technique is not used for the treatment of scleral veins. The recommended way is an evaluation to find out the underlying cause and set the treatment option accordingly. The common causes are chronic inflammations of sclera and tumors of the ciliary body. Hence I advise you to consult an eye care ophthalmologist online for treatment accordingly --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1975, + "tgt": "When will I get my actual period after withdrawal bleeding due to i-pill?", + "src": "Patient: Hello doctor, I took i-pill on 17th of last month and had a withdrawal bleeding on the 27th. When will I get my next period? I again had unprotected sex today. Do I need to take i-pill again or is this safe period? My period cycle is 28-32 days. Doctor: Hello. I have gone through your details. Many times some people do experience some kind of disturbance in menstrual patterns after taking an i-pill. As you got your periods on 27th March which was a withdrawal bleed, ideally speaking you should have been getting it around 24-28th April as per your routine cycle length. And this also not your fertile period as your cycles were always regular. But I would still advise you to take an emergency contraceptive pill because the previous cycle was disrupted with high dose hormones contained in i-pill. And the present cycle we do not know when exactly you ovulated. So it is better to take a preventive method as precautions (although repeated emergency contraceptive pills are not advised). Please use a more consistent method of birth control in the future like condoms and oral contraceptive pills which give a wider window of safe period and also would not disturb the menstrual cycles like emergency contraceptive pills. I hope this helps." + }, + { + "id": 2472, + "tgt": "I noticed blood from my penis while drying after bath. Is this due to short frenulum?", + "src": "Patient: Hello doctor, Today when I was taking my bath, as usual, I cleaned my penis shaft and cleaned the area under my foreskin. After dried my body, I saw 10 drops of blood on the floor and the bleeding continued for two minutes maximum. I have a short frenulum problem (but not serious). I am an unmarried male. Never go for masturbation and never go for sexual intercourse with anyone. Now I am feeling mild itching inside. Kindly suggest. Doctor: Hello. You seem to have short frenulum. Bleeding can be due to trauma during cleaning. If it recurs kindly see the source or exact site. For itching, you can take tablet Levocetirizine on demand. You can also apply Lignocaine 2% jelly locally (which may decrease some sensation for some time). Avoid aggressive cleaning of glans. You can use wet dry cotton for the same. Do not worry you will be fine." + }, + { + "id": 28520, + "tgt": "I stopped taking Arip and suffering from insomnia. Please help", + "src": "Patient: Hi doctor,Initially, I was diagnosed to have bipolar disorder before 10 years and was cured with Lithium. Then, it relapsed before five years. So, I started to have Arip 20 mg and by last month it was tapered to 5 mg. Now, I am 8 weeks pregnant. When I got to know that I am pregnant, I was advised by the doctor to stop Arip completely. But, I am unable to sleep since then. My doctor recommended Macugold Plus 3 mg, but that did not help my insomnia. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2219, + "tgt": "I have pain and swelling near wisdom tooth area. How to treat it?", + "src": "Patient: Hello doctor, I am having gum pain and swelling near wisdom tooth in the lower jaw for three days. I am unable to open the mouth fully and eat or bite properly. Please help. Doctor: Hello. As per the description, you are suffering from pericoronitis. As per the current outside scenario of viral outbreak, one should not visit the dental clinic unless it is an emergency. So for temporary relief, I can tell you medication and a few home remedies, but for that, I need to know a few more details. Do you have any infection/pus to that site? If possible upload the image of your concern area. Until then gargles with lukewarm water and add a little salt in it, do it for two to three times daily. Get back with the above details for appropriate medication." + }, + { + "id": 28941, + "tgt": "Is it possible to identify Parkinson's disease without any test?", + "src": "Patient: Hi doctor, I am writing this is for my father. He is 74 years old. Now, he was diagnosed to have Parkinson\u2019s disease. The doctor just examined and said that this is Parkinson's. Is it possible to identify without going for any tests? Will Parkinson lead to death? Is coffee better for Parkinson\u2019s disease? Which type of foods are good and which are bad? What kind of treatment do we need to take? What lifestyle changes we need? If we take medicine, can we overcome the disease? Or still, will it progress?\u00a0Please advice. Doctor: Hello. The diagnosis of Parkinson's disease is usually clinical diagnosis. In doubtful cases, a DOPA-PET scan of the brain can be considered. Parkinson's disease does not cause death, but it can affect daily living to much extent and make patient dependent. Yes, you can give coffee to him. There is no specific bad food for Parkinson's disease. He can eat as per his choices. But, if the doctor started on tablet Selegiline then avoid cheese, smoked fish, and broad beans. Take treatment as per neurologist prescription. No specific lifestyle change is needed. He can do whatever he is able to do. Medicines will help in doing daily activities with ease. But, that will not curtail disease process. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12203, + "tgt": "I am using Manasamitra vatakam for five years. Will it have any side effects?", + "src": "Patient: Hello Doctor, Before five years I consulted an ayurvedic doctor. I was suffering from hyperthyroid back pain. Then had a concentration problem in all the aspects of life. So I asked the doctor to suggest me some ayurvedic medicine for that. The doctor asked me to take manasmitra vatakam from kotakkal arya vaidyasala, the dosage of one tablet twice a day. Till date, I am taking it. The doctor told me that it does not have any side effects. Till now, I have had no side effect because of this. I feel focused and less anxious. Just wanted to ask will it be done or I have to continue with these two tablets? Will it have any side effect on the long run? I am still taking the medicines from the same brand. Doctor: Hello. Manasmitra vatkam is a good product and has no side effects in general. But it is always advised to take it under supervision only, so if tapering off the medication is required or dose adjustment is required only your physician can do that. Also only for anxiety bouts, it is not advisable for long periods. I advise you to visit your ayurvedic physician who prescribed you to take it and ask for the complete clinical psychological examination and then take it accordingly. I hope you understand my point." + }, + { + "id": 3027, + "tgt": "Why do I get whistle sound while breathing?", + "src": "Patient: Hi doctor, I recently had a graft on my nasal septum, due to a large ulceration on the left wall if it. Tissue was taken from one of my turbinates and stitched onto my septum. But, I know that I have a splint sutured into my nose. This is the problem. They whistle when I breathe and one of the stitches hangs free and blocks the air passage of the left splint. I do not know how to ask them to get it removed. I positively cannot stand the whistling. It prevents me from sleeping and distracts me in school. Please help. Doctor: Hello. With the details you have given, I understand a graft taken from nasal turbinate has been placed onto nasal septum to cover ulceration. Also post-operatively to prevent bleeding and to keep the graft over the desired area a splint has been placed. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18177, + "tgt": "Raise in troponin level has high chance of mortality. Is that true?", + "src": "Patient: Hi doctor, Six months back, I had an echocardiogram and a CT angiogram. My initial troponin T level was 0.44. After six hours it dropped back down to below 0.10. My test results from the CT angiogram were normal and the calcium level was 0. My echo was also normal. I wore a monitor for seven days and that too normal. I have\u00a0read that because of my troponin raise I have a high chance of mortality within 1-3 years. My GP could not explain why my troponin was raised. I did have an agoraphobic panic attack. At that time I feel some pain travels from my heart down my arm to my thumb like a lightening bolt. This is the reason why I went to hospital and they kept me in due to the raised 0.44 level. They gave me the reports of CT angiogram and echo.\u00a0Am I at risk of dying in the next 1-3 years because of elevated troponin? I have had heart attack symptoms such as intermittent central chest pain, bilateral arm pain, shortness of breath, palpitations, back ache, fast heart beat at 110 beats at resting and jaw pain for over six months. I am also suffering from nausea, IBS, gastritis (endoscopy diagnosed), severe fatigue, dizziness, possible costochondritis due to rib pain and intermittent pain when breathing. GTN spray helps by easing the pain but not to get rid off it. Doctor: Hi. Revert back with the answers for the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8645, + "tgt": "Can kissing cause HIV?", + "src": "Patient: Hello doctor,I am a female in my 20s. I have been having obsessive worries, so please do not judge my rather paranoid concerns, since I cannot get them off my mind. A week ago, during a night out, I received a kiss on the cheek by a male stranger, and also gave him a kiss on his cheek. Initially, I was not alert because I thought the person was a friend of my friend's, but later I realized that he was a total stranger, who was acting weird and asking everyone in the nightclub for a kiss on the cheek. For some reasons, I kept thinking that this weird person had some sort of contagious disease and was just desperate to pass the disease to as many people as possible. About three days later, I started having symptoms similar to those of a cold. I felt tired and had a runny nose. I stopped feeling tired after two days, but the runny nose has not completely stopped until today, which is four days later from the start of the symptoms. From my own knowledge and some researching, I learned that early HIV symptoms include flu-like symptoms. And although I did not have any a sore throat, fever or swollen lymph nodes, my runny nose has been worrying me and making me have thoughts that I may have contacted HIV from the weird stranger. From my memory, when he and I exchanged kisses on the cheek, his lips, and cheeks, as well as my lips and cheeks, did not have any open cuts or sores, so I have almost zero chance of HIV exposure. However, I cannot seem to put my mind at ease, as I have been having obsessive worries for about three days. Therefore, I want to seek consultation from a professional. Please give me some advice, so I can get some peace of mind. Doctor: Hello. As you have mentioned, there were no cuts in his and your lip, then 80 % problem is solved. Touch and light kiss do not transfer HIV. Saliva is their least chance of transmission, which is not known or does not have a reported case though. So, this is just a quick response, nothing else. The common cold is very common in your place. Do not worry. Take tablet Montek FX (Montelukast and Fexofenadine) one at night for three to five days. There is no HIV contamination. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16066, + "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": 4624, + "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": 8015, + "tgt": "Why am I having painful vaginal tear after sexual intercourse?", + "src": "Patient: Hello doctor, I had rough sex recently and it caused a tear in my vagina. When I use a mirror to examine myself I can see some of the cuts. It is near the entrance of my vaginal canal but not inside, positioned more towards my perineum. It has been healing for two days now and still really hurts. I have been taking sitz baths, using Vaseline, taking Ibuprofen. I have not experienced any bleeding, odd discharge or odor. Do I need to see a gynecologist or is this just a superficial tear that can heal within a week with rest? Doctor: Hi. Small superficial tears generally heal fast. Continue taking sitz bath with Betadine drops, Ibuprofen for pain but instead of Vaseline, apply some antiseptic ointment. Vaseline prevents raw ends to meet. Medical support is required, only if you develop pus, odor, discharge, etc. Was it an unprotected one? Please rule out pregnancy after two weeks, or if missed periods." + }, + { + "id": 26016, + "tgt": "Can IUI be done if the spouse has fever?", + "src": "Patient: Hello doctor,I have IUI tomorrow. I have been given Gonal F 75 mcg injections for egg growth and I am having five eggs of a good size. I got these injections yesterday at 6 p.m. My husband is suffering from a normal viral temperature ranging from 100 to 101. He is taking Tazomac 4.5 g injection with normal saline. Can he give the sample tomorrow? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3544, + "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": 1191, + "tgt": "Is it usual for fibroadenoma of the breast to pain during the fertile days?", + "src": "Patient: I am 29 years old, a mother of a 17months toddler. Two years ago I was suspected to have fibroadenoma on the right breast by a doctor who's only done the ultrasound, because I haven't accept to do the biopsy. On the report it is written by the doctor Ultrasonographic bilaterally dense glandular parenchyma, on the left side there are no signs of apathological echogenicity, on the right side is seen lobule hypohehogenic focus of 16mm suspected of fibroadenoma. Since then I haven't done any ultrasound at all, and haven't used any kind of medication because the doctor haventw prescribed me anhthing and recently I feel pain before the period and then after having the period I dont feel pain. But now that I am on the fertile days, I feel pain a lot when touching it, and I can feel that there is a thick lump near the nipple. Moreover, now I can feel I have lumps also on the left side when I touch it, and it's painful, but the right side is more painful, and this didn't happen to me before. Just to add that I am still breastfeeding. I want to do another ultrasound but until then I need your answer about these questions: 1. I don't have family history with breast cancer, except the aunt of my mother who had breast cancer. Is it possible this is cancer and not fibroadenoma? 2. What kind of a diet should I have to cure this disease? 3. I am afraid of biopsy, I've heard that it is dangerous because when you get a part of the lump removed,(and if that is cancer) the rest of it will be shared all over the body. Is it true? 4. Should I stop breastfeeding and can I plan for another baby after some months or I should better do a surgery before then? 5. Is it possible that I feel this pain these days because of the fertile days I am going through? Thank you a lot Doctor: Hi, I have gone through your narration of symptoms. With the history of pain occuring around the periods time, it is more likely to be Fibroadenosis rather than Fibriadenoma.. I would like to assure you not worry about either of this conditions as both of them are only benign conditions and not cancerous.. It wont cause any dangerous harm.. There is nothing much specific help we could get drastically from diet modification for this condition.. Just maintain your ideal body weight.. But still you need to confirm it by a Biopsy.. Need not fear about biopsy.. As you described it is not removal of part of the lump.. It is just a pinch of the lump, a small bit from it with a small injection.. Sometimes your surgeon might decide to excise it as a whole and send for biopsy in which case, it is called Excision biopsy.. But that will serve you dually for diagnosis and also completion of treatment by total removal.. And it is only a minor surgery, not a major one.. So, just throw away your fears on that.. You can continue breastfeeding and plan for pregnancy. But I think, the lump may increase in size during pregnancy which I am not sure about.. You need to consult with a Gynaecologist rwgarding this.. Do the investigations as adviced below and review back CBC, RBS, SERUM LIPID PROFILE, FREE T4, TSH, USG BOTH BREASTS" + }, + { + "id": 2155, + "tgt": "Is steam bath bad for eyes?", + "src": "Patient: Hi doctor, I am a 54 year old male.\u00a0I have floaters in my eyes. Mostly on the right eye and sometimes on the left.\u00a0I also have dry eyes.\u00a0Here are my optomap images from the optometrist for your evaluation. Please guide me. Doctor: Hi. Revert back with the old pictures to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13039, + "tgt": "I am in need of ayurveda treatment for gray hair and hair fall", + "src": "Patient: Hi doctor, I am a 26 year old male. My weight is 58 kg and height is 5'6\". My problems are gray hair and hair fall. I have an allergy to dust, perfume, and smoke. Sometimes, I have breathing problem and cough in early morning, I am working in shift. I am suffering with constipation too. My blood sugar is normal and my BP is 120/80. My blood group is O positive. There is no sugar or albumin found in my urine. For breathing problem, I am taking Montek-LC. But, there is no complete relief. Please suggest me some treatment. Doctor: Hi. The main reason for premature graying of hairs and hair fall is stress due to rotation shift. So, try to fix your shift. Take hair nourishing food like raisin, dates, fig, curry leaves and spinach. Avoid curd and pickle. Try to reduce your salt intake. Take Triphala Churna 1 teaspoon mixed with little ghee and more honey at bedtime for constipation. Tablet Asthiposhak 2 tablets after food twice a day for hair fall. Drink milk after boiling with a pinch of turmeric and pepper. It will improve your immunity and will help for hair growth too. But, it is common for everyone that 100 strands will fall every day. Use mild herbal shampoo to wash your hair twice a week. You can also apply Neelibringadi Thaila in your scalp 1 hour before hair wash or on the previous night." + }, + { + "id": 8949, + "tgt": "Is it safe to give Levolin inhaler along with Montair LC to my kid?", + "src": "Patient: Hello doctor, My physician has always suggested Budecort 100 mcg for my kid for four years and Levolin inhaler along with Montair LC kids tablet daily and some cough syrup since he is allergic. He is having a dry cough and Altacef is given sometimes if worse. The doctor insists always at least for three months to continue the inhaler and the Montair LC. Is it safe for the kids? Is there any alternative medicine that my son does not have to take the inhaler or the nebulization. Kindly suggest an alternative medicine. Doctor: Hello. It seems your doctor is trying to control acute attacks of asthma which is right. I suggest the following: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4115, + "tgt": "Can anxiety cause panic attacks?", + "src": "Patient: Hello doctor, I suffered from a horrible panic attack this morning which lasted over 5 hours and along with it I got painful cramps in my stomach similar to contraction pains and really bad chest pains, it felt like someone has physically squeezed my heart and I have seen my doctor about this previously although my anxiety has not been this bad before but I am not sure what to do. I have tried so many different medications and none have helped except Valium and Oxazipam but my doctor does not want to prescribe it because it is addictive and I do not know what to do because as I said my anxiety is debilitating now and I am a young mother of two I need to be able to look after them. This morning I had to get my mother over here to look after them because of how bad my anxiety was, worst part is I do not know why I had a panic attack in the first place. Doctor: Hello. I understand that high levels of anxiety and panic attacks can be debilitating and needs to be properly managed. Your doctor is correct in informing you that Valium and Oxazepam are not appropriate in this situation as they will make the situation worse. If anxiety is persistent, discuss with your doctor about trying SSRIs or SNRIs type of medication. You have mentioned about trying different medication before. There are different options like Fluoxetine, Sertraline, Escitalopram, etc. Based on your assessment and tolerability your doctor can prescribe appropriate medication and dosage. Try Jacobson's progressive muscle relaxation exercise atleast once daily to help to manage stress levels. Avoid caffeinated drinks, alcohol and other drugs which can worsen panic symptoms. Finally, consider having CBT therapy/counselling which is known to be effective in managing anxiety and panic attacks." + }, + { + "id": 25861, + "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": 21896, + "tgt": "Can you guide me on the pros and cons of using a copper-T?", + "src": "Patient: Hello doctor, I would like to know whether it is safe to use an i-pill in a span of seven days? We had protected sex last week and I took an i-pill immediately after the intercourse. We again had sex yesterday. I did not use any oral contraceptives but my husband did use condoms. Just to be on the safer side can I take an i-pill today? It has not been 24 hours as of yet. Please advise. Kindly also guide me on the pros and cons of using a copper-T as I am thinking of getting one may be for a period of four to five years. Does it have any harmful effects? Doctor: Hello. Thanks. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27434, + "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": 17567, + "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": 27184, + "tgt": "Penis enlargement exercises led to swollen veins on my shaft. Please guide me", + "src": "Patient: Hello doctor, I am a healthy 33 year old\u00a0male. I have sex regularly and masturbate regularly. Over the years, I dabbled in penis enlargement exercises. I quit doing them a while back because I felt it was causing a damage to the\u00a0penis. Recently, I used a cock ring, but for not more than ten minutes. Now, I am noticing swollen veins on my penis shaft. I believe it could be thrombosis or Mondor's disease. I have an appointment scheduled with my general practitioner but would appreciate any feedback. I can still get erections but they do not feel as full. Also, I have to manually stimulate to get erections. Sometimes, I feel a dull ache on the bottom part of my shaft. Doctor: Hello. I have seen the images sent by you (attachment removed to protect patient identity). Do not worry. Everything will be alright. Let your GP have look and examine you. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 15478, + "tgt": "What is the reason for cough after vaccination in a newborn?", + "src": "Patient: Hello doctor, My 2 months old got her shots a week back, and that night she got a cough. It has almost been a week and she still has it and it has gotten worse. Should I wait it out? Or take her to urgent care? Doctor: Hi. I believe this is your first child that is why the query. Coughing has got nothing to do with vaccination. It is normal in children below the age of 6 months to cough or sneeze occasionally. Frankly speaking, it does not require treatment as long as the child is able to feed without any difficulty. However, you can give drops Kofarest (Codeine and Chlorpheniramine) and drops Maxtra (Oxymetazoline) for relief. What you should watch for is lethargy and refusal to feed, breathlessness and cyanosis. These are the warning signs requiring attention. If these warning signs are present then you need to visit the nearest hospital." + }, + { + "id": 24695, + "tgt": "Can Zyrtec be given to help cure running nose and nasal congestion in a kid?", + "src": "Patient: Hello doctor, My 3-year-old son weighing 19 kg seems to develop running nose along with nasal congestion today afternoon. He also seems to have some amount of breathing difficulty today while sleeping, although he does not have any background in asthma. I have some questions: I have given him Zyrtec (Cetirizine) syrup 3.5 mL today late evening, which probably makes him feel a little better. Also, I am planning to give the same twice daily for tomorrow and day after unless something else comes up. Is this a correct medicine? Is the dosage 3.5 mL BD correct for his age and weight? We have a nasoclear nasal spray, however, he is extremely reluctant in taking it. Is there anything else we could do for his nasal congestion? Also, usually he develops some amount of throat pain the next day. Is something like 5 mL of 'Ibugesic Plus' or 'Calpol 250' fine for that? Is it fine to give him curd, fruit juice (orange, pomegranate) or fruits (apple, banana) during his sickness?Please advise if any of the above is not recommended. Since the last few days, he used to sleep a little in the late afternoon. He wakes up late and as a result, takes fruit juice (orange) and fruits like banana little late in the evening. Is this a probable cause ofsickness? He has taken his flu vaccine appointment in two days. Given he is sick and in case it continues for a couple of days, will it be appropriate to give the vaccine? What is the preferred time for the flu vaccine? Should we give flu vaccine now or wait for some more time? Doctor: Hello. The dose of Cetirizine is fine and you can give it for two days more and see. If there is no improvement then kindly do a physical examination. Nasoclear nasal spray can be easily used in form of spray be inserting the tip into the nostril and pressing it. The child can be taught to do himself. Giving plain steam can be an alternate option. Calpol (Paracetamol) can be given if there is throat pain or fever. Ibugesic plus (Ibuprofen and Paracetamol) syrup can be used for high fever. Salt water gargling will help with throat pain. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Fresh fruit juices which are at room temperature can be given any time. Giving curd depends if that triggers cold in him when given. It is better to avoid flu vaccination for now. You can plan it after one week. This time of the year is fine to take flu vaccination. Generally, it is recommended to take in in the latter months of the year. There have been major outbreaks even during summer. Hence it is better to protect your child. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15533, + "tgt": "Is it possible to cure receding jaw by changing eating habits?", + "src": "Patient: Hello doctor, I am a young teenager who has a receding jaw and I am wondering if changing my eating habits might relocate my lower jaw. I used to have poor eating habits. I ate too fast and I did not chew much. My older brother's jaw is fine. Will changing my eating habits cure my jaw? Doctor: Hi. I have gone through your question. I can understand your concern. You need to check if you chew one side or use both sides equally. Second what you think is jaw receding, sometimes it is a malocclusion which is associated with jaw disorientation. If your lower jaw is looking small or your teeth are placed backwardly, it will be checked only if you upload a picture of your jaw. No, there is no relationship between the chewing or eating habits that will precipitate at this age. I think you are having skeletal malocclusion or maxillary prognathism." + }, + { + "id": 28944, + "tgt": "My brother has got HIE and heart attack. When can he return to normal?", + "src": "Patient: Hi doctor, My brother is 51 years old. He has got HIE status after MRI reports. He had a sudden heart attack. Can he be cured? When can he return to his normal life? Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9526, + "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": 29466, + "tgt": "I feel constant throat irritation and acid reflux. Please share your thoughts", + "src": "Patient: Hi doctor, For about five days now, I have this sensation of a pill stuck in the throat right below Adam's apple. There is no pain at all. It is not there in the morning but will show up throughout the day. I can eat and swallow without any\u00a0problem, and it seems to go away when I eat. It is not quite as bad as the first three days. I did go to urgent care, and the doctor looked at the back of my throat, checked ears, breathing, and checked for swollen nodes and thyroid and said all felt normal. I did explain to him that I have had constant drainage down the back of my throat. There is no runny nose, but stuffy with occasional pain in head and eyes. I said it was probably inflammation in my throat. I notice that the bottom of the throat will get dry and that it is when it is the worst. He gave me Amoxicillin and some liquid allergy medicine to help break up the congestion. I do also have acid reflux. I have been taking 150 mg of Zantac twice a day since then. What are your thoughts on this? Doctor: Hi. For further information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 10642, + "tgt": "Is stage 2 liver fibrosis a reversible condition?", + "src": "Patient: Hello doctor,The patient is 65 years old. Doctors have concluded liver fibrosis stage 2. In fibro scan, the lymphocytes are 95 %, amylase is 20 U/L, monocytes and macrophages is 5 %. The fluid is hazy in appearance. Can liver fibrosis be reversed? Doctor: Hello. Interpretation of reports. With this advanced fibrosis, it could not be reversed back." + }, + { + "id": 22151, + "tgt": "How can we cure a kidney stone in the distal ureter?", + "src": "Patient: Hi doctor, My husband is having a severe pain in the stomach and spine for the past three days, and we took a scan today which says the right kidney measures 10.6 x 3.9 cm, left kidney measures 11.2 x 5.5 cm, calculus measuring 3 mm is noted in the left distal ureter, just proximal to the vesicoureteric junction, left distal ureteric calculus causing mild hydroureteronephrosis. Do this need surgery or can it be cured with medicine? Doctor: Hi. I would recommend taking more fluids because 3 mm stone in the distal ureter can pass on its own. He needs more fluids and pain medication. Another medication is Drotin 40 mg (Drotaverine hydrochloride) should be taken thrice daily for two to three days, which will help in passing the stone. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5285, + "tgt": "Can herniated disc cause just numbness without pain?", + "src": "Patient: Hi doctor, I have a question about a herniated disc in my back (L5 - S1) MRI confirmed about a year ago. I went to physical therapy, the pain resolved, and I continue to do the exercises for 10 minutes every other day. No more pain though. The thing is even before the pain (years before) and still now after the pain is gone, I seem to have a slight numbness or I guess I would not call it a numbness but rather I have less feeling on the left scrotum and penis area in comparison to the right side. Maybe 25 % less. Could this be from the herniated disc? It was there years before the pain and is still there now after the pain from the herniated disc has resolved. I have also noticed other parts of my body have more sensation on the right side as apposed to the left. The more sensitive the area the more of a difference there is up to 25 %. Is that normal? Is it possible to have a herniated disc only cause slight numbness for years without any pain at all? Also it should be noted this sensation of lessened feeling on the left side compared to the right presented itself a few months after I had a varicolectomy on the left side. Maybe the incision caused a little nerve damage? I would hate to think that this lessened sensation was getting worse over time at such a slow rate that I did not notice it until it was too late. I do not think it is getting worse. Should I worry about this? Also, now that the pain is gone does that mean that the disc is back where it should be or did the exercises only get rid of the symptoms? Doctor: Hello. Varicolectomy on the left side might have damaged some nerve twigs which may be the reason for this kind of diminished sensation over left scrotum and penis. This will not cause any problem and you need not worry about it.The herniated disc is of small magnitude which is not expected to cause neurological damage except for lower back pain. It might not have gone back to its original position though pain subsided. You should avoid strenuous activities (lifting heavy weights, extreme bending, etc.). But if you have diminished sensation in whole of your left side of body, you should look into spinal cord lesion in neck region or brain lesion." + }, + { + "id": 29107, + "tgt": "How to correct eye muscle coordination without surgery?", + "src": "Patient: Hello doctor,I am\u00a025 years old. I have a\u00a0problem of left eye muscle weakness which is\u00a0lazy eye and due to which my two eyeballs do not coordinate most of the time. I feel complex and low. Unfortunately, I have been an amazing student and never worried about it. I never did any exercise for it. Can I get this corrected by using a patch and doing exercise for muscle strength? I\u00a0do not want to go for surgery. Please guide me. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3494, + "tgt": "I have stress fractures in T2-T4, but I feel tingling sensation in arms and legs. Why?", + "src": "Patient: Hello doctor, I met a car accident three weeks ago and I have three stress fractures in my T2-T4, and I still feel tender. Though I hurt my neck and shoulder, I took it easy. I have been using my legs to help me get up, etc. My lower back is sore as well. I have a sore bottom and tail bone due to the seat around me. I have a little ache in my back when I move. I use my arms to get me up and my legs a lot as I go on my knees to do a few things. Last night, I noticed that my left arm is tight sore and had a tingling sensation. Also, in my left leg around my ankle and feet I felt throbbing and tingling sensation. I am wondering it started last night but I have not moved much and used the muscles. And my scan reports were good except for the stress fracture. My shoulder is still sore and thighs are not too bad, but I can feel it. Doctor: Hello. It is only three weeks post-injury. Injuries will take some time to heal. With constant sitting or lying down you will additionally get pain or sore muscle aches. Try to move your position frequently. Do you have a tingling sensation after a prolonged posture or continuously? Nerve compression can lead to a tingling sensation. Compression at the cervical spine level leads to tingling in arms and compression at the lumbar spine will lead to tingling in legs. Reconfirm with your orthopedic surgeon, there should be no signs of nerve compression after physical examination. If there is no nerve compression nothing else needs to be done. Time will heal the rest." + }, + { + "id": 14939, + "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": 16016, + "tgt": "Is it good to take an emergency contraceptive pill after an unprotected sex?", + "src": "Patient: Hi doctor, Is it right to have unprotected sex without a condom? Can I take an emergency contraceptive pill after it? Doctor: Hi. An emergency pill is meant only for emergency and during accidental contacts. It should not be used for a routine purpose. It is better to go for a consistent method of contraception like condoms and oral contraceptive pills. Cyclical oral contraceptive pills have very less failure rate when compared to emergency pills. Emergency pills have high doses of hormones, and it causes delayed or irregular bleeding." + }, + { + "id": 2814, + "tgt": "My mom got purpura and bleeding from nose while on ATT for TB. Why?", + "src": "Patient: Hi doctor, My mom is 57 years old. She was diagnosed with TB disease two months back through exclusion as her tests were negative but she had enlarged lymph nodes in the chest, low fever, night sweats, etc. Biopsy showed negative for lymphoma and sarcoma. She started ATT medicine and after 10 days, she got rashes so the doctor stopped. After 10 days, she was restarted with ATT and suddenly she got purpura and bleeding from nose and cough. She was taken for tests, where her platelets came as 10000. It has been 12 days and she has been on steroids as sos, Rivolade (past 3 days) but the platelets are still below 10000 and RBC and Hb are also dropping. She is bleeding through urine and stool. Her other tests are normal including bone marrow biopsy. Attaching her latest report. Please advise. Doctor: Hello, Welcome to the icliniq.com. According to your history ITP (idiopathic thrombocytopenic purpura), might comes under suspicion. But you are not having ITP, as bone marrow is normal and megakaryocyte not showing any sign of ITP. Check hypersplenism by USG (ultrasound)abdomen investigation. Second, rule out dengue by Ig M dengue testing (ELISA or card test). Check your kidney profile investigation for serum urea, creatinine, etc. Blood infections has to be ruled out like septicemia by blood culture. Your bleeding and all other complaints are because of low platelets. Low platelets with bleeding need transfusion of platelet in form of SDP or random donor platelet. Hence first rule out all the above cause if present and then if no cause found we have to strongly suspect autoimmune hemolytic anemia because of your CBC report (attachment removed to protect patient identity), showing normoblast and high reticulocyte count. And for that further investigation done with DCT (direct Coombs test)and other suitable workup. Steroid needed if DCT is positive and autoimmune hemolytic anemia if confirmed." + }, + { + "id": 9019, + "tgt": "I feel like my teeth are loose and moving in front. Please help", + "src": "Patient: Hello doctor, I feel like my teeth are loose and moving in front. It looks like my tongue is pushing them forward. When I look in the mirror, I can notice that one of my teeth has shifted. I do not know what happened and I am really scared. I try to brush my teeth at least once a day. Please help. Doctor: Hi. The feeling of teeth moving forward might be due to the following: Tips for good oral hygiene: For further follow up attach pictures of your oral cavity to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18598, + "tgt": "With elevated INR,is it safe to undergo surgery?", + "src": "Patient: Hi doctor, My wife is 34 year old. Her INR is 3.34 and blood factor VII activity test showed less than 2%. Her CT and BT are normal. She has been advised to undergo gallbladder removal. With same condition, she had given birth to two babies through normal delivery (second one was 1 and 1/2 years back). Recently, she had a tooth extraction without any extra bleeding.\u00a0Kindly suggest the safe way to undergo surgery. Doctor: Hi. Based on your query, my opinion is as follows: Repeat INR before surgery. For further queries consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24051, + "tgt": "I have a blocked, itching and running nose. What can be done?", + "src": "Patient: Hello doctor,I am a 22-year-old male. My height is 5 feet 6 inches and my weight is around 60 kg. I have a problem in my nose for the past two years. Currently, I am not taking any medicine. I have a blocked and running nose at the same time. Whenever I eat food, go in the wind of fan or AC, my nose starts sneezing and running. I have also sneezing problem with dust, perfume, powder, etc. Sometimes I feel normal but sometimes my problem gets worse. My power of smelling has also decreased. Sometimes I feel itching in my nose. I also get canker sores in my mouth almost every month but they heal on their own in one week. Currently, my condition is worse. Please help me and provide the best solution to get rid of these problems. Doctor: Hello. You are having an allergy to external allergens like dust, pollens, powder, perfume, etc. All these trigger an inflammatory reaction which produces temporary blockage in the nose and respiratory tract, along with secretion which tries to clear the allergens from the body in the form of sneezing or coughing. So you need to take precautions appropriately. Use mask around dusty environments. Allergic reaction. IgE levels. Allergic rhinitis. Inhaler sprays and anti histaminics. Use face mask. For more information consult an internal medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 132, + "tgt": "I have pain in my eyes and a bad taste in my mouth. Please help", + "src": "Patient: Hi...i am having pain in my eyes it's like some kind of stretch.. Secondly the taste of my mouth is very irritating and i am not having any urge to eat anything...I thinking my body is heating but i am not having any fever Doctor:" + }, + { + "id": 4502, + "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": 7449, + "tgt": "Will a fall in progesterone and estrogen levels disturb implantation?", + "src": "Patient: Hello doctor, I have done a FET transfer cycle before ten 10 days. My hCG pregnancy test is tomorrow. Are nine days too early to test? My other real concern is that on the day of transfer, my estrogen levels were 223, and progesterone was >40.0. Before four days my estrogen levels were 106 and progesterone was 35. I am still currently supplementing both estrogen (Estrace by mouth twice a day) and progesterone (PIO 1 ml IM once a day, and Endometrin suppositories twice daily). Does the drop in both hormones indicate that implantation did not take place? I find it unusual for both levels to drop simultaneously, especially while supplementing. Doctor: Hello. Usually, the levels of estrogen and progesterone will increase from early pregnancy to the third trimester. But often there will be some range of the hormones according to the gestational age. Though the levels of hormones little decreased in your case, they are still in the normal range according to the gestational age. Like during four to five weeks, the progesterone levels should be 11.2 to 90 ng/ml. And estrogen levels should be 100 to 400 pg/ml. So, according to this, your levels are still within normal limits so better to follow the course advice to your gynecologist and undergo hCG test as advised. I hope I have answered your query, and I will be happy to answer any further follow-up queries. Blood test for hCG as advised." + }, + { + "id": 6679, + "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": 30962, + "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": 22754, + "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": 24005, + "tgt": "I am having loose motions and stomach cramps. Can you suggest a tablet?", + "src": "Patient: Hello doctor, I am 50 years old lady. I am having loose motions and stomach cramps for the last two days. Can you suggest a tablet? Doctor: Hello. I suggest the following: Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5351, + "tgt": "I burnt my tattoo with slaked lime and washing soda. How to clear the scar?", + "src": "Patient: Hello doctor, I had a tatto. I was bad and due to embarrassment I burned it with slaked lime and washing soda, it now swelled up. It is five months now when I burned it with slaked lime and washing soda. Please tel me the right way to cure this. What medicines I have to take? What is the cost? I am really embarrassed due to this spot on my hand. Doctor: Hello. I understand your problem, but you have got a hypertrophied scar. Scar remolding process can continue to take place months after the real injury. In your case, burning with soda and slaked lime. It could be active but you can halt the activity by visiting the dermatologist and undergoing serial injections with Triamcinolone every 20 days apart. This will flatten out the scar to prevent the contracture. You can apply Contractubex cream four to five times a day for three months. This should solve the problem. However, the mark of the scar shall still be visible and cannot go away completely. For that, you need to undergo scar reduction surgery. We dermato-surgeons routinely perform after one year. You have caused yourself injury but I advise you go proceed with caution from now on to prevent any further damages due to self-medication. I hope this helps." + }, + { + "id": 5869, + "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": 26444, + "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": 19927, + "tgt": "What is your opinion regarding the neutrophils count of my son?", + "src": "Patient: Hi doctor, My son is 15 years old. His neutrophils count became 1000 from the first one which was 800 before a week. After 15 days, again the neutrophils count is 800 now with total WBC of 2600. He is healthy, active and has no infection.\u00a0Please note that his dad had a blood count this week and his neutrophils were also 1500. Please give me your opinion. Thank you. Doctor: Hi. Based on your query, my opinion is as follows: Nothing necessary for now. If any serious infection, then evaluation maybe necessary. Continue usual lifestyle with a protein rich diet. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19198, + "tgt": "Though my EKG showed sinus tachycardia, why did not my doctor worry about that?", + "src": "Patient: Hi doctor, I am a 30 year old female. Yesterday, I had an EKG for chest pain. My doctor said that my heart is great although my EKG automated interpretation was abnormal. It read sinus tachycardia (BPM 111) and non-specific ST depression,\u00a0non-diagnostic for this age. Doctor: Hello. I understand you are worried. Please do not worry. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 758, + "tgt": "Due to accidental pulling of cloth around neck, I choked for a few seconds. Will it cause any damage?", + "src": "Patient: Hi doctor, I am a 21-year-old healthy male with no underlying conditions. Today about six to seven hours ago, I was getting a haircut and the barber had the cape/blanket around my neck pretty tight and so I asked him to loosen it and when he did, he yanked it back before unbuttoning it and it choked me for a couple of seconds. The cape was lying on above my Adam\u2019s apple so I know it got pressed inward. There is not a lot of pain just discomfort like the feeling after getting choked. It was not intentionally done hard but it might have been the angle and where it was lying because it is a bit uncomfortable right now. If I take my mind off from it I do not feel it but as soon as I am remembered I feel the discomfort. Wondering if I had any damage permanently or if it is just temporary discomfort? Doctor: Hello. Your symptom seems to be temporary. You need not worry about it. You can take a plain Paracetamol 750 mg (Tylenol) twice daily for three days after food. Tylenol will not only reduce the pain and discomfort but also the inflammation post-injury. Instead of Semithecone, you can take Nexium 20 mg (Esomeprazole) once daily on empty stomach for three days (because Tylenol can cause acidity)." + }, + { + "id": 30619, + "tgt": "How do I let go of my anger and resentment towards my aunt?", + "src": "Patient: Hi doctor, I have seen my aunt torturing my mom during my years of growing up from 4 to 21 years. My father died when I was 3, so we had to stay at my maternal grandparent's house. All I remember in my childhood was my mom's suffering, fear of aunt, etc. I hate that aunt so much and we have cut all relationship with their family now. We are in a good place and happy. But, whenever I think of that aunt or hear some news about them, I feel that she should suffer and something bad should happen to her. I feel very angry and get disturbed if some mention anything about her. Sometimes, I feel that she and her family should suffer and she has to pay for what she has done. I just do not want to feel like that. I should let go her off and her family. I do not want to care about them. How can I do this?\u00a0I have tried so many times thinking them as someone who are unrelated to me. But, it does not seem to let go of it.\u00a0Sometimes, I feel so angry and my whole body shakes. How do I let this anger and resentment go away? Doctor: Hi. I can understand your problem. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5605, + "tgt": "Please explain the dosage of Prednisolone after cataract surgery", + "src": "Patient: Hello doctor, I am writing this to get your kind suggestion regarding my mother (Age: 56 years). Two years back, she had her cataract surgery for both eyes PCIOL. After having the surgery she was fine while she had these following drugs: 1. Neopred. 2. Xirom. 3. Optimox. She was under these drops for one month but after stopping the use of those drops she was having severe eye pain with redness. So, we went to the doctor again and he prescribed Prednisolone eye drop for multiple times a day. But when she completes the dose of Prednisolone, then again she gets the same eye pain and redness. And the doctor again prescribed the same Prednisolone drop with high dose (every hour) but we know that Prednisolone is not good for long time use as it is steroid. So, in this circumstances I am seeking your kind suggestion on the above. Please suggest us what should we do. Doctor: Hello. Your mother has post operative uveitis which happens in some patients after cataract surgery. The treatment is: 1. We try to find out any cause for recurrent inflammation. If there is no cause then we treat the inflammation. If there is some inciting factor present (like IOL in sulcus irritating iris, vitreous loss, etc.), then we treat the cause. 2. Only treatment available is steroids (best steroid is Prednisolone). If recurrent inflammation then we start with high dose and taper slowly. 3. I would like to add Nepafenac eyedrop because recurrent inflammation may cause cystoid macular edema. 4. Yes, you are right. Steroids if used for long time can cause glaucoma but do not worry. If patient is not sensitive to steroids then intraocular pressure will not increase in this short duration. 5. Moreover, your surgeon will keep assessing pressure inside eye and will stop steroids if pressure increases. So, please do not worry and keep medication as per your surgeon instructions." + }, + { + "id": 16461, + "tgt": "How can I get my gestational age accurately?", + "src": "Patient: Hi doctor, My CRL is 5.18 cm. How old is my baby now? How can I get my gestational age accurately? Doctor: Hi. The CRL of 5.18 cm corresponds to 11 to 12 weeks of gestation. A difference of two to three days is possible depending on the position of the baby and the measurement of the caliper placement. Ideally, we recommend a first scan to know the exact dating and to calculate the expected due date (EDD). As you have not mentioned your last menstrual period (LMP), I am unable to estimate the gestational age by LMP. Please provide them. I can say the result whether there is a delay in growth or there is a delayed conception." + }, + { + "id": 18404, + "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": 5836, + "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": 26408, + "tgt": "I have a weird sensation in my ear. How can I clear this?", + "src": "Patient: Hello doctor, I have two problems. The first is\u00a0I have a weird sensation in my right ear like as if cold air is passing or cold water is coming out from the ear. But, there is nothing like that since the last one week. Probably, it started after cleaning my ear one week back. May I know what is it?? The second problem is that two years ago, I have traveled by air for two and a half hours and since then my ears are popping while swallowing or yawning. Can you suggest me how to clear this? Doctor: Hello. Regards. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 970, + "tgt": "Would cancerous breast lump grow in four weeks time?", + "src": "Patient: Hi doctor, I am suffering from anxiety around the health issues, cancer and tend to obsess about things. I have been fixating on my breasts and keep thinking I feel lumps. My doctor suggested to get an ultrasound four weeks ago for my peace of mind and they were perfectly fine. Tonight, I was scratching and then prodded to the left of my nipple on my right breast. If I push firmly down I feel a small knot or pea like thing. There seems to be two and one is more prominent. I can feel something vaguely on the left side of my breast but not near a prominent. Am I right in assuming? As I had an ultrasound only four weeks ago and everything was fine, whatever I am feeling might be some muscle or something. I have to press quite firmly to feel it. If I just do a normal breast exam, then I cannot feel it.\u00a0Also, if the scan was fine four weeks ago, is it possible for a cancerous lump to grow in that time frame?\u00a0Sorry, the anxiety is tough to deal with. Please help. Doctor: Hi. I can understand your concern. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13606, + "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": 24033, + "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": 8149, + "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": 2131, + "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": 5683, + "tgt": "I am getting lumps in both armpits. Are these lumps serious?", + "src": "Patient: Hi doctor, I am a 22 year old female. I am getting lumps in my armpits and they are painful. I sweat a lot. I have dark underarms and it is itching too. Are these lumps something serious? Should I consult a doctor? Doctor: Hi. I have read your query in detail and viewed the attached picture (attachment removed to protect patient identity) and do understand your concern. These could be enlarged lymph nodes. They may occur when there is a source of infection in the body. Another possibility is secondarily infected fungal infection. 1. A course of oral antibiotics is required for one week. You can take Co-Amoxiclav (combination of Amoxicillin and Clavulanic acid) 625 mg thrice daily for five days. 2. Along with that, you may take tablet Serratiopeptidase which will help to control the pain and inflammation. 3. Topical antibiotic like Fusidic acid to be applied over it twice daily for one week. After one week, we will access the condition and further treatment will depend on that. Try to keep this area dry. You can use Aldry lotion (Aluminium chlorohydrate) overnight for the same or use an antifungal dusting powder. Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24207, + "tgt": "Which is a good medicine to prevent heart diseases in a diabetic patient?", + "src": "Patient: Hello doctor, I am 45 years old. I am a diabetic patient for the last one year. I used Ayurvedic medicines. Normally, the BP varies between 130/80 to 137/90. For the last 10 days, I am feeling uncomfortable in the chest. Recent test report: Fasting 110, PPBS 185, TC 213, Triglycerides 146, VLDL 29, HDL 42, LDL 142, TC/HDL 5.1. The doctor advised me Glycomet 1000 SR, Roseday 10, and Pantocid. I am using these medicines for the last seven days. Two days back, I felt heart attack symptoms for five seconds. The doctor conducted an ECG which was found normal. One medical student advised me to take Novastat CV 10 instead of Roseday 10. Then after, I am feeling relaxed. But should I take Novastat CV 10, Ecosprin AV 75 or Roseday 10? Suggest me the appropriate medicine. Also, suggest how long to take. Or is it for lifetime? Doctor: Hello. Diabetes is a strong risk factor for coronary artery disease. You had chest discomfort and one episode of heart attack like symptoms and your ECG was normal at that time. But, a normal ECG does not rule out a heart attack. I think you should undergo further evaluation for heart attack like blood tests: Statins are recommended by the American Diabetes Association in all diabetes patients. Aspirin is recommended only when you have blockages in heart vessels. Thanks. Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25525, + "tgt": "What treatment can I take for thrush during pregnancy?", + "src": "Patient: Hello doctor,I am 21 weeks pregnant and have intense itching in the vagina. I assume this is thrush. It started two weeks ago. So, I used a pessary and cream and things improved. About five days later, it got worse again. So, I repeated the pessary and cream treatment. Things again improved but four days later, the intense itching is back. I did a self-test for bacterial vaginitis but this was clear. I have some clear white discharge. Itching is the main issue. Should I treat for thrush again? Doctor: Hello. The test to be done is the high vaginal swab culture test (HVS) which can help isolate the causative organism and then the treatment should be directed towards the cause. The presence of itching and white discharge per vaginam do indicate thrush, but you have to understand that in cases of recurrence you have to take a complete course of six days with Clotrimazole and Clindamycin (Clingen) vaginal pessaries and also can take Lactobacillus capsules to improve the local flora against infection inside the vagina. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30889, + "tgt": "Could you give your opinion on the medicines prescribed to me?", + "src": "Patient: Hi doctor, I am 40 years old. I am having one 17 years old boy. After my first baby, I had three miscarriages and I did not get pregnant after. Unexpectedly, I got pregnant a few months ago and now I am in week 14. I had all the necessary tests, which came out normal except the anti-TPO. It is high 319, but I have a normal thyroid hormone test. I have a history of psoriatic arthritis and my gynecologist put me on medication for the rest of my pregnancy as follows.\u00a0Nexium 40 mg once daily till week 36,\u00a0Aspirin 75 mg one pill daily till week 36,\u00a0Prednisone 5 mg once daily till week 32,\u00a0Innohep 0.35 injections once daily till my due date, Folic acid 5 mg, Ferricure 150 mg once daily started from week 13, Omega 3 and\u00a0Euro D 10,000 once a week. I am too much worried about my baby. Although, I wish to have another baby, I would like to make sure that my baby is healthy. After reading the side effects of Nexium and Prednisone during pregnancy on the baby, I cannot stop thinking that I may be harming my baby instead of giving protection.\u00a0I really look forward to your opinion in my case. Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28896, + "tgt": "As I am going to travel abroad, how to keep the schedule of my birth control pills?", + "src": "Patient: Hi doctor, I am currently taking my regular birth control pill every night at 8 PM. I am going to be traveling abroad where it is 7 hours ahead so that would be 3 AM there. Can I move up my regular time to 6.30 PM to take my pills at 1 AM there? Doctor: Hello. There are two types of birth control pills. Common combined pills and progesterone only pills. In that case, I suggest you double the dosing of pills on the change over days, and this will help to keep the schedule with respect to its contraceptive efficacy. But one point is clear for both types. You need to be regular for rest of the days without any miss. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19830, + "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": 11346, + "tgt": "How can fever and a continuous dry cough be treated in a kid?", + "src": "Patient: Hello doctor, My son is having a fever for the last five days and has dipped slowly from 102.5 F to 100.4 F in five days. The fever is backed up by a cough also. For the last 36 hours, he is having a continuous dry cough for which our physician suggested Levolin syrup 2.5 mL thrice a day. Please opine. He is also on Crocin Suspension DS and RespiCare and Bresol. He has also taken these in the past. Please help. Doctor: Hello. Your child is having viral upper respiratory tract infection. His fever will subside in another two days. Viral fevers last for five to seven days. A cough will remain for a few days. I suggest instead of giving syrup Levolin (Levosalbutamol/Levalbuterol), nebulize him with 1.2 mg of Levolin every six hours. This is a much lower dose than syrup and acts on lungs directly. Apart from this, use syrup Benadryl (Syrup Diphenhydramine, Ammonium Chloride, Sodium Citrate) 5 mL thrice daily. Make him drink warm water, give him lozenges, and one teaspoon of honey in the morning and evening. This will take care of his problems. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 13778, + "tgt": "I have grade 1 fatty changes in liver. How to improve my health?", + "src": "Patient: Hi doctor, I am a 33 year old male. Recently, I went for a master checkup. To my horror, I found my liver reports abnormal. I have attached my reports for your reference.\u00a0The ultrasound of abdomen revealed grade-I fatty changes in liver. Apart from this, my triglycerides levels are also elevated.\u00a0My cholesterol levels are well within the limits. I am very much concerned. When I consulted a gastroenterologist, he recommended to abstain from meat, egg yellow and sweets for three months and suggested an active life and healthy food.\u00a0The doctor did not prescribe any medicines. Please suggest me what to do. From the day of results till date, I have abstained from meat and have been doing exercise regularly.\u00a0Moreover the doctor said that I suffer from non-alcoholic fatty liver disease. I have never touched alcohol and cigarette. I do not have any bad habits. Please suggest me a way to improve my health. Why is my alkaline phosphatase elevated abnormally? Do I have jaundice? When can I recheck my levels again? I do not have any symptoms like yellowing of eyes, skin and stomach pain, etc. Is there anything serious? Doctor: Hi. It is good to get routine checkup (attachment removed to protect patient identity) and\u00a0you got your problem identified earlier. 1. Complete blood count (CBC). 2. Reticulocyte count. Advice from gastroenterologist is absolutely recommended for you; also avoid fatty meal and alcohol. Continue exercise. We need to avoid some medications, which we will discuss after reports. Revert back with reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22779, + "tgt": "Why is my 1 month 15 days old baby crying continuously?", + "src": "Patient: Hello doctor,Actually, we have a newly born baby boy of around one month and 15 days. Our baby has a problem that, he continuously cries. Yeah, we agree that generally, newly born babies cry normally, but we cannot accept our babies crying act. Why does he cry continuously? Please. Help we are really worried about him. By seeing him crying we cannot even sit. Please help us. Doctor: Hello. I understand your concern and your worry is genuine. Please answer a few questions so that I can understand it better and help you with this: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4029, + "tgt": "My face looks red even when I am not exposed to bright sun. Why?", + "src": "Patient: Hello doctor, Whenever I am outside of home my face is looking red and many people asks me that why your face looks red. Please suggest me what should I do for it? Even in the evening, I mean without in sun rays it also looks red. I am a 20-year-old male. Doctor: Hello. I just read your query. There might be many reasons for turning your skin red while going outside. Most common reasons may include that your skin is very sensitive and whenever you go outside your skin is not able to tolerate the external heat and produces heat stress to your skin and skin turns red. To avoid this condition drink lots of water and keep your skin hydrated. This will help you to avoid this problem up to some extent. During the daytime, it might be due to UV (ultraviolet) rays of the sun. It does not matter whether it is a sunny day or cloudy day the UV rays reach the earth and have effects on your skin. This might be one of the reasons behind red skin. So apply sunscreen lotion while going outside whether it is sun or clouds. You can choose any sunscreen lotion of any reputed brand. Apply half an hour ago while going outside. If only sensitive skin is the reason behind your redness then you can also apply aloe vera gel twice a day. It is very helpful for sensitive skin and helps a lot with your problem. If it is stress or anxiety induced redness then try to keep calm your mind and body and sleep adequately. Eat fresh fruits and vegetables, it will help to keep hour skin hydrated and healthy. Redness can be mild, moderate or severe. If it is in mild form and does not causing you any other harm then, try all these and you will see very positive results very soon. But sometimes it might be due to some hormonal problem or some other underlying problem. In that case you need to visit a nearby dermatologist for treatment. I hope this helps. After four weeks." + }, + { + "id": 24539, + "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": 23684, + "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": 914, + "tgt": "After getting my hip adjusted, I get nerve pain in left leg and lower back. Why?", + "src": "Patient: Hi doctor, I had my hips adjusted about a year ago and the trainer who did it yanked my right leg to align my hips. It felt good at that time but the next day I had nerve pain down my left leg and into my lower back on the right side. Every time I stretch my left hamstring or sit in an L shape I get a really sharp pain in my right lumbar spin area. It has not gotten any better and I have tried nerve flossing but that was making it worse. Any help would be greatly appreciated. Doctor: Hello. In my opinion, you might have your sacroiliac (SI) joint strained and the same is causing you pain in the back and the leg. You just need a good mobilization of the SI joint and lower spine. Along with some soft tissue work to relieve the pain and spasm. Nothing to worry. Once you start realigning the joint you will gradually feel better. You need to start strengthening your lower back and glute stability with hip control exercises. As of now, keep a lot of icing in the painful area frequently like once in two hours for 10 to 15 minutes. Gentle stretching of gluteus and hip flexor, gentle massage over gluteus muscles, and hip mobility program will help you to relax with lower leg symptoms. I hope this helps." + }, + { + "id": 9397, + "tgt": "Will my teeth move a lot if I do not wear retainers for a week?", + "src": "Patient: Hello doctor,I have stupidly just flushed my retainers down the toilet. I had braces removed eight years back and have been wearing them religiously every night since. Unfortunately, there is a storm here. So, all the dental practices are closed. I am worried that my teeth will move before I get an appointment next week. I have a mold of my top and bottom teeth from when I first got my braces removed but I had to change my retainers after getting new crowns and a porcelain veneer in my two front teeth. So, the new ones I flushed down the toilet are different but I would say only slightly. Is there a benefit of wearing these molds until I can get a replacement retainer? Doctor: Hello. It is quite unfortunate that you flushed your retainers and I completely understand your concern regarding the relapse of your orthodontic treatment in the absence of retainers. Now, coming to your question regarding the old retainer, you cannot wear the old retainer as it is not going to help you since a minor change in dentistry means a lot. But, do not worry. Only a week of not wearing the retainers would not make much of a difference since you have been wearing them for quite a long time. My advice to you would be to wait for your appointment and get the retainers. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 16630, + "tgt": "I think I am in depression. Please help me", + "src": "Patient: Hi doctor, I am a final year obstetrics and gynecology post graduation student. I am taking my MS OBG exam in the next 20 days. I have been having some issues in my marriage with my husband. Most of the issues happened because we have been staying far away since three years. It has got so poisoned that it will only get sorted out when I go back and start living with him. The present problem is that I am not able to concentrate on my studies at all. I really need to study well and I am desperate to clear this exam as fast as possible and go back home. I keep crying all the time with my books open. Fight conversations keep popping in my head all the time. I feel miserable. I have tried every conservative measure from counseling to music, but nothing works. I feel like a depression now. There is no time left. I was never this weak before. I just need some medication only for a month till my exams, to concentrate and stay focused on studies. To avoid distraction, crying and less negative thinking. It is like a do or die situation for me. Please help me. And most of the psychiatric drugs are either not available in the medical store or are prescription drugs. So, please give a common drug and make it available for me. I will be really thankful to you. Doctor: Hi. I can understand what you are going through and you have my sympathies for the same. Exams. Marital issues. Major depressive disorder. Revert back for further doubts to a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15212, + "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": 13821, + "tgt": "Is it advisable to use birth control pills if I have a lung cyst?", + "src": "Patient: Hi doctor, My doctor said that I have follicle cyst in my both sides. I finished my first pack and started the second pack after a week I cut using it. Now after seven days, I am having periods with cramps. I cut using it because I could not breathe. I went to emergency and they said I have a cyst in my right lung. My question is when should I start the new pack or continue the same pack? Can I use birth control pills if I had lung cyst? How is it going to effect? Doctor: Hi. Birth control pills generally do not affect the lungs. Still, confirm with your pulmonologist to double check. Follicle cysts subside in three months after the oral pills use. You can start the pills from the first day of periods itself, and continue the packs back to back, no gaps. First 24 tablets are hormonal ones, while the last four are placebo, giving you a hormone-free interval for withdrawal bleeding." + }, + { + "id": 20293, + "tgt": "How to reduce hair loss, acne and common cold using Ayurvedic medicine?", + "src": "Patient: Hi doctor, I am 19 years old male. I have acne, hair loss, dandruff, a common cold, and mouth ulcer. I want to lose my weight. Please suggest. Doctor: Hi. There are several causes to have hair loss. Some of the reasons are excessive use of shampoos and conditioners, smoking, excess exposure to sunlight, changes in food habits and lifestyles, and change of place and water. Some medications also lead to hair fall. Hypothyroidism also causes hair fall. You should evaluate these things. Please provide your detailed history regarding this concern. Acne is prevalent in your age group due to hormonal changes. As the age proceeds, it will get subsided by itself. Now you can wash your face with neem leaves water or neem face wash and apply Clarina ointment twice a day. For a common cold, take Sitopaladi churna (Sitopala with Vamshalochana) three grams with Laxmivilas Ras (Karpoora with Jatikosha) one tablet twice a day with honey after having meals. Avoid taking spicy and fried junk foods. Drink plenty of water. Have an adequate sleep. Eat fibrous foods and fruits as well as green leafy vegetables. Please provide your feedback after fifteen days." + }, + { + "id": 22347, + "tgt": "What homeopathic treatment can be taken for neck pain and heavy head?", + "src": "Patient: Hello doctor, My head feels heavy all the time specifically backside and I have pain in the neck. If I watch TV or does computer I feel the strain in the eyes. I have taken specs as the doctor suggested. It has been 15 days. Can you tell me what is the issue? Doctor: Hello. Watching TV or computer too much is bad for your brain. Here lack of physical activity causes bad for the brain. And also eye strain, bright light causes the retinal damage, later you may develop computer vision syndrome. Eye strain causes a headache. Neck pain is due to: Neck pain is one of the musculoskeletal pain after working at the computer for a long time. And, it is caused by the above five problems. Immediately you have to change above all causes. Homeopathic treatment includes Bryonia 30 and Calc flour 6x are useful to release your problem. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 6366, + "tgt": "I had unprotected sex and having stomach cramps and diarrhea. Am I suspicious to HIV infection?", + "src": "Patient: Hello doctor, I had unprotected intercourse three times with an unknown woman. After 20 days, my symptoms started with stomach cramps and diarrhea. My endoscopy report shows acute superficial gastritis. But my CBC test was fine. Doctor prescribed medicine, but it did not help. Day by day, I became tired all the time, I am having a rash, oral yeast infection, and diarrhea. After two months, a gastroenterologist checked my CBC, stool, urine, HIV(combo), Hepatitis B and C, and serological test. All were negative. But the doctor did not understand what my problem is. But I always thought that I may be affected by HIV. After three months again, my HIV Elisa combo antigen and antibody test came out negative. But I am very much tired, and diarrhea persists with stomach upset. After five months, I consult an HIV specialist doctor in the ART center; that time my rapid antibody test again was negative. But this time, my CBC report shows an infection. HIV specialist told, my CBC shows an infection, but it is not specific for HIV. May be I have another infection. After seven months again, my HIV ELISA (antibody) test came out negative. After nine months, I was tested for STD pannel such as Hepatitis B and C, CMV, H. Pylori, VDRL, Herpes virus 1, and 2. But all the results were Negative. Now, after one and half years, my HIV and antibody test is negative. But I always think I am infected with HIV because I have symptoms, and medicine is not helping me. So I am planning for the HIV PCR test now. My question is : 1) What is the suspicious cause of this problem(gastritis with diarrhea)? I guess my problem is sexual infection. Before this, I never faced these problems, and it has not happened due to my lifestyle and food habits. 2)Is my HIV test conclusive for HIV? 3)I do not have IBS. Only HIV, HBV, HCV, TB cause these symptoms or another virus can also lead this sickness? 4)Advice me for more tests to rule out the reason for sickness.What can I do now? Please help. Doctor: Hello. I read your query and understand your concerns. First of all, I feel there is neither HIV nor any sexually transmitted infections. This is because repeated tests without any evidence of infection are enough to tell that there is nothing concrete in this regard. Now coming to your questions. 1. The most likely cause of your problem is stress. You might be aware that stress affects your gastrointestinal system severely and can cause a variety of symptoms, including stomach ache and loose motions. 2. Yes, it is conclusive 99 % although PCR will make it 100%. 3. The chronological association between the stress after unprotected sexual encounter and development of gastrointestinal symptoms indicates the virus are not the cause including HIV. 4. I think you need to see a mental health professional for a possible diagnosis of hypochondriasis and relevant treatment. There is no test to diagnose hypochondriasis other than the interaction with a mental health professional. I hope this helps." + }, + { + "id": 1156, + "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": 27320, + "tgt": "My arthritic knee pain has worsened and there is edema of feet as well. Please help", + "src": "Patient: Hello\u00a0doctor, I am regularly taking 6 oz of warm water with half a slice of a medium-sized lemon and one medium spoon of honey right in the morning for the last 15 days. Whatever be the benefits, I\u00a0find my arthritic knee pains have slightly increased along with edema of both feet and ankles and pain while walking. Sitting up and walking are becoming increasingly difficult. Should I stop this drink? I am taking DMARD for my ankylosing spondylitis and osteoarthritis. Doctor: Hello. I went through your post. Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17347, + "tgt": "I have fungal infection in my ear. Is it mandatory to stay at the hospital overnight for a microsuction?", + "src": "Patient: Hello doctor, I was diagnosed with fungal ear infection yesterday. Doctor asked me to get admitted in the hospital for a microsuction to remove fungal debris. Is it mandatory to stay at the hospital overnight for a microsuction? Can microsuction be done as an out patient procedure without staying in the hospital? Doctor: Hi, Welcome in icliniq.com.I would like to tell you that fungal infection in ear is quite common and it may be treated by: Most of the times patients are treated as out door patients but some times if there are some associated complications or patient's general condition is low due to some other associated diseases, then hospitalization becomes essential. Revert back to an ENT otolaryngologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20738, + "tgt": "My blood urea is 116 and Hb is 7. 8. Is it treatable by medicines?", + "src": "Patient: Hello doctor, I had a renal transplant two months back. My father is 50 years old. The creatinine level is 1.5 but blood urea is 116. Is this treatable by medicine or not? Hemoglobin is 7.8. Please reply me. I am worried about it. Currently, I am taking Tacrograf 3 and 2.5, Renodept 720 and 360, Omnacortil 20, Septran 480, Dytor 10, Udilive 300, Metolar 50, Inh 300, Levoflox 500, Rantac 150, Dexorange, Telita H 40, and Telista 40. Doctor: Hello. This is just mild renal function impairment. The situation is not critical, but most concerning is anemia. I would just recommend taking plenty of fluids and reduce protein intake. Creatinine clearance and a kidney ultrasound are necessary every six months. Regarding anemia, I would recommend erythropoietin injection regularly." + }, + { + "id": 30697, + "tgt": "Shall I take Amlodipine to control my BP?", + "src": "Patient: Hi doctor, I am 39 years old and my weight is 70. My blood pressure is 130/80 mmHg. I am on Seloken XL 50 once daily. Can I use non-selective beta blocker instead of beta blockers? Please advise if Amlodipine is good. Doctor: Hi. Your question is a hypothetical one. The reason being every drug is good and bad and has its own pros and cons. Metoprolol is a wonderful drug to slow down the heart rate without side effects on other organs. Metoprolol is a cardioselective beta blocke. Having said that, if you do not have any associated features or specific cause, then you ask your doctor to follow the protocol of the JNC 8 (the Eighth Joint National Committee) - the international guidelines for hypertension. I suggest you tablet Losar-H (Losartan) once daily as it is the safest drug. But, the switch has to be slow as you are addicted to beta blocker and removing it suddenly would cause withdrawal. Also, Amlodipine is not a good drug for you. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1370, + "tgt": "Why does the pulse oximeter not read my dad's recording properly?", + "src": "Patient: Hi there, We have just recently bought an oximeter and it\u2019s reading very well for four people in our household. However with my Dad, it struggles to read his recordings. He also has a very up and down heart rate, varying from normal to really low. However, his blood pressure readings are fine. Thanks Doctor:" + }, + { + "id": 8920, + "tgt": "Why is there incomplete penetration with pain?", + "src": "Patient: Hello doctor, I got married one month ago and since then we are trying to have sex. Me and my husband are both virgins. However, the first attempt did not succeed and with time we try more but until now every time he penetrates me I get pain and feel his penis is not entering fully like there are burdens that keep him from entering correctly along with burning feeling even when using gel. And when we try a doggy style I do not feel anything only air enters and no pleasure at all. Kindly help. Doctor: Hello. If penetration is the problem, then check for your partner erection status, and penis size. If pain is the problem, check for vaginal infection, vaginismus. If pleasure is the issue, few females respond only to vaginal massage or masturbation, not to penetration." + }, + { + "id": 5287, + "tgt": "How can paralysis after brain stroke be managed?", + "src": "Patient: Hello doctor, One of my close friend has suffered a heart attack yesterday. He has gone into coma. One side is paralytic. We are trying to seek advice as to if we can do something more for him. I can attach the MRI brain report. The doctors have kept him in ICU under 72 hours observation. Please suggest if something can be done. Doctor: Hello. From your description and the MRI report, it is quite clear that the patient is suffering from what is commonly known as brain stroke (attachment removed to protect patient identity). It occurs when part of the brain loses its blood supply and the brain cells of this area die out, resulting in loss of function of the affected area like consciousness, speech, movement (paralysis), etc. My hospital has several patients of the same type everyday. In most cases, it is a recoverable condition, albeit sometimes the recovery may be very slow and sometimes incomplete. The most dreaded effect of the stroke is the loss of respiratory function, as in that case, the patient would die immediately. Hence, the 72 hours observation in the ICU is a sensible choice. Is there anything more you can do more him? Yes, of course. While the doctors and nurses are trying to do their best for the patient, there are quite a few things that you can do to help this family. Foremost is to explain to the patient's family that his recovery may be slow and there is nothing to lose heart. Secondly, the family members should refrain from trying to enter the ICU too often to see him. It may cause an infection in the patient at this vulnerable stage. After the patient comes out of the ICU, depending on the facilities available at the hospital, it is to be ensured that the semi-conscious or unconscious patient receives full hygienic care like cleaning mouth and teeth, eyes, ears, private areas at least thrice daily. If the patient is fed through a nasal tube, the head-end of the bed is to be raised during the feeding process and upto about 15 minutes afterwards. In many cases, these may be done by the nursing staff, so you do not have to worry. Overall, in the immediate present stage, it is mostly a matter of \"wait for the treatment to succeed\", comfort the family and follow the advice of the doctor." + }, + { + "id": 4183, + "tgt": "Why do tonsils get hurt while coughing?", + "src": "Patient: Hello doctor, I am a 14-year-old male. Last week, I had really bad pain under, which I realized was my tonsils. I went to a doctor to get it checked out. He said they were definitely infected, but they did not give me any medication. He said it would go away by itself. Now, I have a really bad cough. When I cough, it makes my tonsils hurt like crazy. Last night, I had a really bad coughing fit that I could not breathe, so I ran to the bathroom, and ended up coughing up blood. Also, when I sleep, I feel as if someone was pressing on my chest, and it is hard to breathe and it is also hard to swallow. Currently, when I cough it hurts my tonsils, my chest, and now also my head. Only when I cough, I get a sharp pain on my left temple. I feel awful. My mom said I also look really pale, and my teachers have been asking me if I am fine because I do not look well. I do not want to go see a doctor, because it is a waste of time if I do not get any medication. Please tell me what I can do to feel better. Doctor: Hi. It is surprising that you were not started on medications despite your tonsillitis and throat complaints. It may be possible that your symptoms or findings were subclinical when you saw the doctor and it may have worsened further since then. It sounds like a throat infection for which you may need a course of antibiotics. On an online portal such as this, it is not recommended for me to prescribe antibiotics without an in-person evaluation. However, I can recommend the use of antiseptic gargles such as dilute Betadine gargling (5 ml of Betadine in 50 ml of lukewarm water. Do not swallow) thrice daily before and after meals for about a week along with over the counter available anti-inflammatories such as Paracetamol 500 mg twice daily for three days. If you develop fever or your symptoms worsen, it is advised that you show yourself to a doctor or at the ER and in such a situation I am certain that you will be treated with medications appropriately." + }, + { + "id": 15199, + "tgt": "I want straight teeth. Please help", + "src": "Patient: Hello doctor, I want straight teeth. I do not want braces or accelerated orthodontics or veneers. And I do not want a retainer. Is there any hope? Doctor: Hi. The various methods to obtain properly aligned teeth include braces, accelerated orthodontics, veneers, retainers and few others. The suitable method for you can be decided by knowing your age, teeth alignment, gum and jaw bone condition, any parafunctional habits like mouth breathing, lip or nail-biting etc., and your general health. In case you are more than 50 years old and have loose teeth, your malaligned teeth can be extracted and replaced with artificial teeth. Kindly provide a detailed history of yours and attach pictures for further follow up with a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24075, + "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": 19353, + "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": 12473, + "tgt": "I am feeling low and have fear of gaining weight. Please help", + "src": "Patient: Hello doctor, I have been feeling low for quite some time. I have crying spells for no reason. I have fear of gaining weight. So I hardly eat anything and compensate the calories consumed by exercising and sometimes throwing up after eating. I am not able to concentrate on my studies. I end up staring at walls. Doctor: Hello. You may have a major depressive disorder. You should take antidepressants for short time. You can take tablet Fluoxetine 20 mg daily for short time. Do not worry about your weight. You have a low BMI. Do not follow any actress or model. Take healthy food, avoid junk food. Take good sleep. Go for exercise daily. Spend good time with family and friends. Spend some time for good creative hobbies like reading, writing, painting, etc. Do something new daily. Accept yourself. Be confident. Enjoy life. Live life. Do not just spend life. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5919, + "tgt": "I fell on the floor and the x-ray of my foot shows dislocation in phalanx. Is that normal?", + "src": "Patient: Hello doctor, I have fallen on the floor from about 130 cm high and hit my foot, however, one of my toes has swollen and it hurts so much, So I had an x-ray for my feet and the doctor said it was fine, but what I see on the x-ray photo seems to be a dislocation in a phalanx. Is that normal? Can you have a look at the x-ray? Doctor: Hello. I have seen the x-ray. (attachment removed to protect patient identity). I must agree that the second toe proximal joint does look dislocated. It is, however, difficult to confirm this without having a true AP (anteroposterior) view and true lateral view. Also, what is the toe looking like is bruised, swollen and deformed? What about the fact, do you have pain over the toe? Can you move this like the second toe on the opposite foot? If you say that there is a pain, reduced movements and swollen, then, you will need to repeat the x-ray and if it is dislocated, it needs to be reduced urgently and will need buddy strapping. I hope this helps." + }, + { + "id": 14451, + "tgt": "Can anxiety or social disorder make someone apathetic?", + "src": "Patient: Hello doctor, I believe I have some form of social disorder. I do not have feelings like others. I do not feel empathy but can be empathetic on cue as I know the social cues. And I prefer to keep to myself. Can you please advise where I can be diagnosed? I have always thought it was anxiety as this has been a problem in the past. I realize I have never been in love and probably do not know what it really is. I have five kids and saw them all taking birth but I never felt joy or real happiness when they were born even though I knew I should be happy. I am taking Lexam 20 for anxiety. Doctor: Hi. With the limited information you have provided, it is difficult to give an accurate opinion. It is possible you are describing some features of autism spectrum traits or Asperger syndrome which can manifest as social communication difficulties and anxiety. It is not uncommon and the majority do not even know they have autism spectrum traits. But whether you actually have enough features to reach the diagnostic threshold can only be confirmed after a detailed assessment. Usually, people with autism spectrum traits would have displayed symptoms from their childhood and would have faced peer relationship difficulties at school. Check with your parents and siblings. Also, these traits can run in families. If your social difficulties and anxiety developed later on in life, it is unlikely to be due to an underlying neuro-developmental condition like autism spectrum condition. If you actually want to know whether you have the condition, speak to your local GP or family doctor about a referral to appropriate local specialist services." + }, + { + "id": 9005, + "tgt": "What causes itching in wrists while sleeping?", + "src": "Patient: Hello doctor, I have itching especially during night while sleeping on the two wrists. When you touch, it is a little hard. It is not spreading across the body. On the left arm above the wrist, there is just one boil and on the right wrist, there are two boils. The right ones are itchy but not as much as the left one. I am observing them for the last two days. Doctor: Hello. It is going in favor of scabies. Use Permethrin 5 % lotion once weekly for two weeks. Tablet IV scab, 12 mg once weekly for three weeks. Tablet Teczin M twice daily for 25 days." + }, + { + "id": 23934, + "tgt": "Can getting walls painted cause breakouts and rashes?", + "src": "Patient: Hello doctor,Could painting our interior walls cause our 6 year old to break out in a rash on her face? She has had mild eczema since she was a baby and is seen sometimes on her legs and arms. Shortly after we painted, a patchy rash appeared all over her face but nowhere else. If this is the cause, what can we do? It has now been three weeks? Doctor: Hi. Yes, it is very common for an eczematous child to get a reaction or allergy to any chemical. And yes, paint does contain such an ingredient which can irritate the child's skin. Keep the child's skin well moisturized by applying Vaseline. I suggest applying 1 % Hydrocortisone cream two times a day for seven days. Consult your child's specialist doctor, discuss with him or her and start using the medicines with their consent. It is persisting for three weeks because air has paint particles which arecontinuously irritating her skin. Take her away for a week or so, if possible. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5780, + "tgt": "My 3-year-old daughter has constipation even after giving Lactulose and Miralax. Why?", + "src": "Patient: Hello doctor, My daughter has constipation since she was 2 weeks old. She is now 3 years old, and constipation is still a huge issue in her life. She has been on Lactulose and now Miralax. The Miralax does not seem to be helping much anymore. We have seen four different GI's and none of them have any answers as to why this is happening to her. My baby girl needs help. She screams and cries when she has to use the bathroom and there is nothing I can do to help her. We massage her belly, give her plenty of apple juices, and prune juices. We have even increased the fiber in her diet and nothing is helping her situation. We have done Celiac thyroid and barium enema x-ray. Please help. Doctor: Hello. From your history I would like to improve on the following facts: Increase the intake of water being consumed by the child. I would advise consuming at least one to one and a half liters of water daily. Avoid consumption of any bread or bread products like cake, pizza, burgers as much as possible. You can limit their consumption to once a week to maximum twice if all is well. Reduce the consumption of milk and limit it to 250 ml daily. The diet that you have explained above is fine. Continue the same with the above modifications as mentioned. You may need to give the child lactulose twice on a daily basis for a week or two with the above modifications to see the change. Above all, I would recommend to get the child examined physically to rule out any fissure that may have developed due to the hard stools and which is now preventing the child from passing stools peacefully. I hope this helps." + }, + { + "id": 2845, + "tgt": "Is there any treatment for beta thalassemia major?", + "src": "Patient: Hi doctor, One\u00a0of my daughters has got beta thalassemia major and\u00a0G6PD deficiency. Is there any treatment for her? Please advice. Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2409, + "tgt": "For the past two years, I have fishy vaginal discharge and itching. Is it a vaginal infection?", + "src": "Patient: Hello doctor, For the past two years, I've been getting a smelly vaginal discharge, more like a fishy odor. I've never had any sexual intercourse. During those two years, my vagina was itching and sometimes it was unsupportable. I never went to a doctor as I don't know what to tell them and via message, it is easier to talk about. Well, it would be great if you looked into the matter as I'm scared of having got a vaginal infection. Thank you for your attention. Doctor: Hi, How are you doing? Hope you & your loved ones are safe and healthy. For a young lady of 18yrs , not sexually active, diagnosis are 1. If you use vaginal wash or douching frequently. Use too many antibiotics frequently for any other reason. This could be Bacterial vaginosis. It's not an infection. It's just an imbalance between the healthy & unhealthy bacteria in your vagina. Every lady has a balance between these good & bad bacteria. They act like a security preventing any new infections entering body. Using vaginal wash or douching or antibiotics can kill both bacteria and disturb the balance. Treatment would be to stop these, use Oral Lactobacillus capsules. Vaginal wash daily for 5- 10 days with yogurt or curd twice daily. 2. If you use vaginal tampons or any foreign body.This could be source of infections into vagina. Then you will need a good course of antibiotics.orally & vaginally 3. Check your blood sugar levels. Especially if you have any family history of Diabetes. If yes, correction of blood sugar levels will cure the problem 4. Rare possibility is vaginal Tuberculosis., Especially if anyone in your proximity is suffering from TB, also if your area has too many cases of TB Can have your menstrual blood checked for TB- Need to contact your doctor then. From your history I don't think it's anything serious to Hope I have clarified your query, do write back if any more queries & for your feedback All the best, take care" + }, + { + "id": 22009, + "tgt": "I took PEP after 42 hours of HIV exposure. Am I safe?", + "src": "Patient: Hello doctor,I had protected vaginal intercourse with an HIV positive woman and I had taken PEP after 42 hours of exposure. I was texted negative at the baseline with PCR RNA test and post completing PEP my blood was drawn again for PCR RNA test and it took five days to get the results. I am very happy that the result came out to be negative.The day after drawing my blood for lab test I experienced persistent pain in the neck for almost two weeks (the area around lymph nodes for two weeks) and I immediately went to the doctor and he examined my body and neck to see if there are any swollen lymph nodes. He concluded that there are not any swollen lymph nodes and I am wondering the reason behind this pain. It has been exactly 60 days after the exposure and 30 days after completing PEP.Have you seen anyone who had protected intercourse and completed PEP and later seroconverted?Does PEP delay seroconversion? If not, why does CDC recommend testing up to three months after exposure?Have you ever come across a PEP failure?I would like to do another test for peace of mind. Do you advise me to do now or do you want me to wait for few more weeks and take the test? Doctor: Hi. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13752, + "tgt": "What is causing severe lower back pain?", + "src": "Patient: Hello doctor, I am having horrible lower back pain. It is hard to sleep, sit up straight, and bend over. If I try to bend over, there is a shooting pain sent up my back. Looking at the diagrams of the spine, I see that it is at the bottom of the lumbar spine and all throughout the sacral vertebrae. I am looking for causes and possible fixes for this. Doctor: Hello. I read your concern. In my opinion, you would have glute muscles stiffness. Leading to pain in your lower back. It could also be due to some disc issue as well. Do not worry, both the issues are completely treatable. I would recommend you to do the following: 1. Do a lot of icing in your gluteus and lower back. 2. A lot of stretching of gluteus, hamstring, and hip joint. 3. Do look for hip mobility exercises. 4. Roll a tennis ball under your butt in sitting with comfortable pressure. 5. Do cobra stretch frequently at least 20 X 3 once in an hour. Do revert back to me after two days and let me know how is your issue." + }, + { + "id": 1418, + "tgt": "What is the reason for on and off urinary infection?", + "src": "Patient: Hi doctor, I am a 28 year old male. Approximately, six to seven years back, I had urinary infection when I was sexually active with my girlfriend. I was advised to take an antibiotic course, which I did not complete at that time and the infection was not fully cured. After that incident, I used to get urinary infection once in a few months. During urination, I sometimes used to have one or two drops of blood only during the time of urinary infection. In addition to the above mentioned problems, I have some other issues related to sexual health. Such as premature ejaculation, extremely bad timing, sensitivity of the penis skin, lower back pain, lack of confidence, etc. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Sometimes, approximately once a week after urinating suddenly sperm drops are released, but I have not discussed this part with my urologist in person. I am not a stressful person, so the reason behind this has to be something else than stress. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. The ultrasound has been made. The urologist here told me that, my prostate size is bigger than normal people in my age. This is not suppose to happen until a person gets older. That is the main reason of feeling weak and not being able to control urine, etc.\u00a0I hope you understood all my problems. Please suggest me some medication for all the above mentioned problems. Thank you. Doctor: Hi. I assume that your reports have all been normal. If not, then please forward it to me. Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30618, + "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": 19350, + "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": 4276, + "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": 9539, + "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": 24258, + "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": 10527, + "tgt": "Is it compulsory that the foreskin has to retract during sex?", + "src": "Patient: Hello doctor, I got married three months back. And since then, I am not able to have sex with my wife. I am not able to retract my foreskin when erect, and the head of the penis is not visible. I can only retract it less than 1 cm. The foreskin on the penis is very soft, and I cannot roll it back. When I try to penetrate, it pains and my erection is not very strong to penetrate. I tried taking tablets for improving my erection, but it has not helped. My erection is better now, but I am not able to penetrate. Please help me. Is it compulsory that the foreskin has to retract during sex?\u00a0Please help me as soon as possible Doctor: Hello. Thanks. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 12967, + "tgt": "Can there be crawling sensation post penis surgery?", + "src": "Patient: Hello doctor, I am 32 year old bachelor. For the past one year, I have a feeling that something is crawling throughout my body. I am feeling this sensation after my penis frenulum surgery. It starts from penis glans and spreads across my whole body. Right now, I do not want any medication or treatment since I am taking ayurvedic treatment. So, kindly suggest me tests for diagnosis of my problem. Please suggest me tests that would help me find, if any infection is spreading in my body as well as face. I already consulted a neurologist, he says it is a psychological issue.I am very worried, Please help me find a solution for the same. Doctor: Hi. The feeling of insects crawling inside your body is mainly a psychological condition known as delirium. There are no tests or investigations to prove it. Rarely, it can be because of parasitic infection inside the skin, lungs, and muscles. Anti-helminthic tablets Albendazole and Mebendazole can treat it. For your relief, you can get these following investigations and check for the presence of infection." + }, + { + "id": 349, + "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": 17358, + "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": 24388, + "tgt": "Why am I getting severe headache lasting for 15 to 40 minutes?", + "src": "Patient: Hello doctor, I have got a headache two to three times also during the night once or twice. The pain is severe and only in my right temple. The pain lasts for 15 to 40 or so minutes. Pain pills do not work at all. It is not a throbbing pain. Doctor: Hi. The kind of headache you have could be either a cluster headache or a migraine from the description you provided. However, if it is accompanied by other symptoms, like vomiting or neck stiffness or feeling dizzy or visual disturbances then it needs to be further assessed for any underlying pathology. A cluster headache is usually very intense and lasts for weeks at a stretch and it can even be refractory to mild painkillers. It is also associated with eye-watering, photophobia, etc. This could be your first attack as it usually presents in the 30s. It would be helpful to know if you have other symptoms and more detailed description of the pain, its nature, whether or not it radiates, etc. Please provide me with details so that I can suggest an appropriate medication for you. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11595, + "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": 13913, + "tgt": "I get bleeding from back while passing stools. Is it something serious?", + "src": "Patient: Hi doctor, I am 29 years old, male, suffering from blood bleeding from the back while passing stools in regular intervals. Initially, it bled in two months interval, and now it is one month. How serious is it? Doctor: Hello. Blood in stools can be from the upper gastrointestinal tract (UGI) or from the lower gastrointestinal tract (LGI). The dark altered blood is from upper GI bleed and fresh blood is mostly from the lower GI tract. We need to evaluate various possibilities that can cause such bleeding most commonly being hemorrhoids or piles, inflammatory bowel disease, acute dysentery. In such a scenario, I would advise you to see your doctor, who will perform a proctoscopy in his office. If any evidence of piles is found, you would be treated accordingly. If he feels suspicious for inflammatory bowel disease, he will post you for colonoscopy. Also, important here is that if you are having cramps, this might be some infection or dysentery. It is not necessary that it will always be associated with loose stools. In such a scenario, you would require antibiotics like Norfloxacin and Tinidazole. In case you are suffering from chronic constipation, you would require to use laxatives to prevent piles. See your doctor and share my opinion with him or her. I hope it helps. Stay healthy." + }, + { + "id": 25443, + "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": 21068, + "tgt": "How to reduce my chest pain that involves upper back, left shoulder and hand?", + "src": "Patient: Hi doctor, I am 34 years old male. I am married. My weight is 85 kilograms, and the height is 5 feet. My resting BP is 130/80 mmHg, and pulse is 80 beats per minute. I do not have any tension at my home or the office, and I am very relaxed. I am suffering from left side chest pain along with upper back pain (left side only) with left shoulder and sometimes with left-hand pain. When I bend my head forwards, I feel tightness and pain in the upper body and left shoulder backside. I have light-headedness, fatigue, and feel drowsy all over the day while sitting or standing. I have the pain on the left side for about three years. I underwent almost all tests, and all are normal. But the pain persists. I underwent heart tests including CT angiography and MRI brain. All are normal. I am attaching my X-ray of cervical spine and ECG which I underwent two days back. Kindly suggest how to reduce my pain. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Your ECG is fine, and from the description of pain and test you underwent, it is a cervical pain. In the cervical X-ray, there is a straightening of the spine which is the cause for your pain. You should undergo further test like MRI (magnetic resonance imaging) of the cervical spine for the confirmation of diagnosis and the extent of disease. Also, vitamin D test should be done. You need neck physiotherapy, including traction and cervical belt which is better starting after MRI. Also, you should use local Diclofenac gel for the pain relief. Hot water fomentation can be done. Also, you need to take tablet Pregaba M 75 mg (Pregabalin with Mecobalamin) at bedtime, which is a nerve stabilizer and they help in symptoms control. Also, take tablet Flexon MR (Chlorzoxazone with Ibuprofen and Paracetamol) whenever needed up to two times a day for the pain relief. You should visit an Orthopedician to get relieved." + }, + { + "id": 22728, + "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": 6575, + "tgt": "I have severe pain in my neck and upper back due to seatbelt injury. What is the treatment?", + "src": "Patient: Hello doctor, I recently met with an accident. I have severe pain in my neck and upper back. It is a seatbelt injury. It is keeping me awake at night. What should I do? I did CT and x-ray. Doctor: Hello. It is a whiplash injury, as you have mentioned. You can apply a cervical collar for the stability of your neck. Remove the collar during the night and wear it during the day time. You can go for isometric exercises (hold both palms on the forehead, then try to push your head forward while resisting with your palms). Repeat the same exercise with hands at the back of your head, i.e., on your occipital region. Do not apply overpressure, and it should be done slowly, repeating ten times, twice daily. Apply hot water bag at the back of the neck and upper shoulder region twice. Avoid driving for some days, avoid sitting for a long time, and use soft pillows during sleep." + }, + { + "id": 14871, + "tgt": "Suffering from panic disorder. Is it okay to take Daxid and Stablon simultaneously?", + "src": "Patient: Hello doctor, I am suffering from panic disorder and was prescribed Daxid 100, Qutipin 50, Stablon 12.5 (all one tablet per day). Can anyone take Daxid and Stablon simultaneously? Doctor: Hi. From the available description, it appears that you are confused with your drugs. Yes; you can take both Stablon (Tianeptine) and Daxid (Sertraline) at the same time. I want to know, are you having any other disorder other than panic disorder. Qutipin (Quetiapine) is not indicated for panic disorder." + }, + { + "id": 8909, + "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": 3862, + "tgt": "Why do I get sore throat and earache often?", + "src": "Patient: Hi doctor, I am 28 years old. I am suffering from sore throat and earache. I have white spots on the inner right side of my throat. When I eat anything chill, throat will be more painful. From childhood, I am getting the problem for at least once a year. Now, this is the second time in six weeks. Couple of weeks ago I got pink eye. Pictures attached were of my throat and medicines I am using. I am allergic to Amoxicillin and had a bad reaction called erythema nodosum. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5394, + "tgt": "Is it possible to get metal poisoning due to new body piercings?", + "src": "Patient: Hello doctor, My symptoms started a few months back. The symptoms are mostly neurological, eyesight, fatigue, depression, anxiety, and nausea. I am currently taking 500 mg Depakote ER and 150 mg Lamictal ER daily for seizures and have been taking them for several years now. My questions are not related to my medications necessarily. I am wondering if it is possible for the body to absorb heavy metals like lead, thallium, mercury and cadmium for example from new body piercings, specifically earlobe piercing, if the needle or jewelry is dirty or has toxic metals in them. I have been chronically exposed to puncture wounds with needles that could potentially have toxic metals in them for many months and I am worried that I may be poisoned. What should I do? More details about the presenting complaint: The symptoms were sudden and stronger originally than they are currently but I still have symptoms. The symptoms started a few months back. I had several puncture wounds before that. Previous history of the same issue: I have never experienced these symptoms before. Current medications: Depakote and Lamictal. Past medications of the same issue: I have been taking Depakote and Lamictal for several years. Lab tests performed: I had a lead blood test and a metals acute poisoning panel blood test a few days ago but I do not have the results yet. Doctor: Hi. The mentioned symptoms might be due to the antiepileptic drugs also, so do not confuse too much. Due to climate change, changing the brand, stress level, changing dietary patterns all can facilitate antiepileptic drugs to produce the above symptoms. Consume more fresh fruit juices three to four times in a day, that will make you fresh. Once you get a blood test report, you may know whether there is heavy metal poisoning. If it is positive, do not worry, there are better chelating drugs to remove metals from body. But, I do not think it is due to heavy metal toxicity." + }, + { + "id": 6665, + "tgt": "What are the uses of Progyluton pill?", + "src": "Patient: Hello doctor, Could you please tell me about what problem is Progyluton prescribed? Doctor: Hello. Progyluton is a combined hormonal pill. It has multiple uses. The most common uses are to treat abnormal uterine bleeding, irregular menses and contraception. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 29601, + "tgt": "Will I get lung cancer with a 3 year history of smoking?", + "src": "Patient: Hi doctor, I am 17 years old and turning 16 this month. I have been smoking marijuana and cigarettes for nearly three years or maybe less. I have been feeling pressure or a bubble like feeling in my left lung. I have really bad anxiety when it comes to thinking that I have cancer. It paranoids me. I also feel that my left lung is larger than the other when I breathe in and look down. But, I have not been having the main symptoms of cancer like coughing blood, peeing blood, loss of appetite, etc. I have been dizzy, but that is when I get up from sitting and I think that is normal. I went to the hospital a year ago as I had so much anxiety about the possibility of developing lung cancer and death. Then did x-rays and scans, But they found nothing and sent me home. They said it was chest wall pain. I just want to know, is it possible that I could have lung cancer? Can someone as young as me get lung cancer? If it is not lung cancer, then why am I expericing this discomfort in my left lung? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20976, + "tgt": "What can I do to prevent chickenpox from spreading to my family members?", + "src": "Patient: Hi doctor, My brother is suffering from chickenpox. What can I do to prevent it from spreading to my family members? What type of diet can he take? He is a 10 year old boy whose weight is 51 kg. Doctor: Hi. In case all of your family members have got full blown chickenpox earlier, there is nothing to worry about. Otherwise, you need to keep your brother in a separate room until all his lesions have crusted. Wash all his utensils and clothes separately in hot water. He can be on routine food without the spices. In case he has ulcers in the mouth, give a semisolid diet. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11372, + "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": 23773, + "tgt": "What kind of dietary changes should I make if I have Crohn's disease?", + "src": "Patient: Hi doctor, I have Crohn\u2019s disease. I would like to know how long it takes for the affected area of the small bowel to end up causing scarring (scar tissue). Do you feel if I have a lower number CRP on regular blood tests, that it should not lead to scarring, thickening or narrowing of the bowel? I have had a\u00a0resection in the past and am now on 75 mg of Azathioprine after finding very minimal Crohn's after colonoscopy. Will getting on Azathioprine for minimal Crohn's help it from progressing? Doctor: Hello. For more information consult a medical gastroenterologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25294, + "tgt": "How to get rid of this attention grabbing habit?", + "src": "Patient: Dear doctor,Thanks for this helpful website. I read an article about people who badly want to grab attention. I hated to be like them. So, I started to closely watch my acts so that I do not grab attention. With the passage of time, I found out that I like to grab attention and cannot help stop myself from doing or saying things to grab attention. I do not understand my thinking since I know this is a bad habit and at the same time, I like to do it. I know it is a contradiction and I am trying hard to get rid of this habit. My question, from a psychology point of view, is, is there such an illness that the thing you hate so much, becomes your habit and you start liking it? Or it is a desire deep inside me which was sleeping and suddenly woke up? I appreciate your effort and help. Thanks a lot. Doctor: Hello. Do not force yourself to hate anything. Allow yourself to express yourself. There is person's nature, under which they do attention seeking behavior. If you force yourself to hate something, it means you are constantly thinking about that particular thing. Do not think about it even to avoid anything. Even 'thinking to avoid' is also 'thinking'. So, just be yourself. Do what you want to do. There is nothing wrong unless your behavior affects or hurts someone's feelings or life. You will be the person what you are thinking. The mind does not know that you are 'thinking' to avoid. It just means you are 'thinking'. Try to find a book or videos by the name of 'The secret'. They have explained the psychology of our thinking. So, accept yourself and stop over thinking. Enjoy life. People with cluster-B personality are attention seekers. You may be cluster-C personality. Hope you get your answer. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18800, + "tgt": "Post plateletpheresis,my hand is turning bluish black. Please help me", + "src": "Patient: Hello doctor, Post plateletpheresis, my hand is turning bluish black day by day. It is spreading wider and a slight pain occurs in such areas.\u00a0I have attached pictures of the same.\u00a0Is this a safe sign? Please help me. Doctor: Hi. Based on your query and image (attachment removed to protect patient identity), my opinion is as follows: Revert back to a hematologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5615, + "tgt": "Do I have peripheral artery disease?", + "src": "Patient: Hi doctor, I am a 33 year old female. I have never smoked. I am not overweight and I do not have diabetes. I have been having some left leg issues. It started six months back. I started limping because my left calf, ankle and groin were hurting. My emergency Doppler venous ultrasound was clear. I had a D-dimer and that was negative. I had an MRI of my left ankle that showed a talofibular ligament sprain on my left ankle. I also had an arterial Doppler ultrasound that showed decreased flow of left anterior tibial artery and increased peak systolic velocity in the left common femoral artery. But, there was no stenosis, no sclerosis and no plaque. Could the sprain have caused that decreased flow? After three months, it became normal again. Then, while having\u00a0pedicure the woman massaged my ankle and leg. Since then the pain has returned to my left ankle and left leg. I had another D-dimer done three weeks ago that was negative. I have also recently started experiencing cold left foot and a left cold lower leg at night. By morning, both the legs as well as the feet are of the same temperature. I do get pain in the buttocks and the pain is going down my leg like a sciatic pain on the left leg. Do I have peripheral artery disease? Could a blood clot be causing it? I have a four hours flight next week and I am worried about flying. Is it safe to fly? Would the arterial Doppler and D-dimer be able to tell if I have a blood clot in my artery? Or is a D-dimer just for the veins? My LDL was 10 points above normal in my last blood test. But, my doctor did not seem to be concerned as my HDL was high. I have attached the reports for your reference. Please help me. Doctor: Hi. From your description, I understand that the first time you had a problem with your left leg was due to a sprain (talofibular ligament) around the ankle and it got resolved. I suspect the same problem or something similar is causing you the pain again. It is highly unlikely for a 33 year old lady and a non-smoker to have a peripheral vascular disease. The arterial Doppler did show a decreased blood flow, but it might be due to a temporary spasm of the vessel than any specific pathology or disease. Moreover, no clot was found nor was there any change suggesting peripheral vascular disease. It is absolutely safe to fly and you need not worry about it. An arterial Doppler will be able to make out if you have a clot. D-dimer test is only for the veins and is not useful in arterial disease. I suggest you to look for causes either in your footwear or any strain which you have put repeatedly on your ankle causing repeated sprain in the left ankle. You can get an orthopedic consultation to be sure of the same. If he or she does not find any problem and your pain persists even after appropriate treatment then further evaluation can be done by a vascular surgeon. But, I do feel you may not require it. For further information consult a vascular surgeon online --> https://www.icliniq.com/ask-a-doctor-online/vascular-surgeon" + }, + { + "id": 13011, + "tgt": "What is the reason for extreme fatigue despite normal blood report?", + "src": "Patient: Hi doctor, I am suffering from low-grade fever, hair loss, and extreme tiredness. There is pain and burning sensation in my stomach along with loss of appetite and weight gain. I got my ANA test done and it came positive. My ESR level has increased. All my other test results found to be negative. Please help. Doctor: Hi. I went through your reports (attachment removed to protect patient's identity) and observed that there is no autoimmune disease present. Since you have been suffering from multiple joint pains for the past one year, you should have tested for rheumatoid arthritis (RA) factor and got done ASO (Anti-streptolysin O) titer. ANA (anti-nuclear autoantibodies) can be elevated even in slight fever, hence no need to worry for the same. Did you get affected by chikungunya anytime before? It has been mentioned that your 3D reports are normal. Please do attach those reports for my reference. I would suggest you to kindly get the following tests done:" + }, + { + "id": 402, + "tgt": "I have muscle spasms in my cheeks due to Paroxetine. How long will it last?", + "src": "Patient: When I started paroxetine(paxil) 20 mg for GAD, I had three side effects, two of which were common, difficulty sleeping and a lack of appetite. The two were manageable. As for the third, which was a mild muscle spasms in my cheeks. Feeling like muscle cheeks are sometimes tight then relaxes. This side effect lasted 4 years then disappeared. I think when I started exercising it helped disappearing that. Last year, as per my dr instructions I switched to paroxetine cr 25mg cause the paroxetine 20 mg was out of stock. For 3 months everything was perfect, after which I started to take my pill at night. By end of the month, suddenly I started feeling as if the medicine had went out of my body and taking it again. The old side effects of the cheeks muscles spasm are back stronger, adding to it the neck( back and front) muscle contractions non stop and stiffness sometimes due to the continuous contractions. Next month, only cheek spasms(continuous)disappeared completely. Throughout this period, the muscle spasms/contractions(continuous)were covering all the back and front neck muscles at the same time. Since 3 months ago, I began to feel the muscles of the back neck muscles getting smooth and slight improvement in the contractions. They are getting mild and slow. Also feeling like cracking sound in my back neck muscles maybe due to stifness. Moreover, the spasms in the muscles is now getting isolated. Sometimes back sometimes front neck not anymore all area at the same time. I would like to clarify to you that there are no defects or abnormal movements such as tics or jerking movements in my neck. Muscle spasms or contractions are not visual. Only me who can feel them. Things are improving slowly. It is annoying but I don't want to change meds cause I had very disaster experience with the previous ones. From your experience, how long will those spasms lasts?in case I don't want to change meds, what to do to reduce more and more ?any meds or supplements could be taken with the seroxat? Doctor:" + }, + { + "id": 30983, + "tgt": "Unless I take medication, I do not get sexual desire. Why?", + "src": "Patient: Hi doctor, I am a 29 year old male. Earlier, I was very much sexually active. Then, I found that I am not sexually aroused and so visited a sexologist. He told me that I have a\u00a0low libido problem. He did a blood examination and found my testosterone is 3.72 ng/mL. He suggested me to take Androsar 40 mg, T-Fil 10 mg, Edrive and Nano Leo for 45 days. Everything was fine during the medication,\u00a0but after 15 days I felt the same problem. I am getting married in three months. I do not smoke or drink. I also started going to the gym and doing yoga on a regular basis.\u00a0Please help me. Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3576, + "tgt": "Pregnancy test positive. On the 9th day had slight bleeding, why?", + "src": "Patient: Hello doctor, My period is delayed and I took pregnancy test after seven days and it was positive. On 9th day that is four days ago I had slight bleeding with brown blood and till now bleeding continues with mix of little and medium flow. Doctor recommended me not to continue with the pregnancy. Kindly suggest which tests I should take. Ultrasound is not possible presently as suggested by doctor. Earlier I was suffering from PCOD.\u00a0I am really worried. Shall I continue with the pregnancy or not? Please\u00a0help. Doctor: Hello. Revert back after the ultrasound abdomen to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 774, + "tgt": "How can severe shoulder pain be treated?", + "src": "Patient: Hello doctor, Approximately 4 months ago, some mild pain started in my right shoulder joint but i have not taken it seriously. It started bothering me since end of February and it was slowly worsening. I daily travel by crowded trains, approximately 25 km to my workplace and back. By middle of March, while travelling (by standing) in train holding overhead handles my shoulder was hurting with every push from the crowds at various stations. During day time, there was not much pain I felt, but in the night, my sleep was disrupted frequently with pain (like pulling with a hook) on the shoulder. I applied \"DYNAPAR QPS\" (Diclofenac Diethylamine and absolute Alchohol Non-Aqueous Topical Solution). My mother was using it for joint pains and she asked me to try it but I got no relief with it. Then my cousin practicing Homeo medicine advised me some Homeo medicines and it provided only a slight relief. In the 1st week of April, I consulted an Orthopedic (Joint pain/bone specialist) and had taken X-ray of my right hand in 2 different positions. He suggested it is due to frozen shoulder problem and advised rotation of hands, shoulders, neck, etc., along with some medicines (mainly pain killers and anti-acidity medicine). Even after taking it for 25 days, still I am having pain, mainly in the inside bend of the right-elbow. If I raise my hands straight, it hurts very little, but if I bend it to comb my hair or putting my hands through the sleeve of my shirt it hurts very badly. During day time, the pain is very minor but in the night after the sleep of an hour, it starts paining badly. What I assessed is, while the weight of the upper body rests on the shoulder or around the area (including back side) while lying down, the pain radiates from this region and it hurts mainly the shoulder joint, forearm muscles, elbow joint and the wrist. After trying various positions to rest the hand and shoulder with pillows/soft towels, the pain eases little and I fall asleep again. This repeats throughout the night. I use Laptop extensively at work and at home also. Sometimes I feel a pulling pain in the wrist when I use the mouse more, but no problem with key board. Now I am working from home due to Covid19 lockdown, but afterwards, I may have to travel again by train and I am scared of the pain I will have to suffer. Doctor: Hi. It seems to be frozen shoulder, as told by orthopaedic earlier. Primary treatment of frozen shoulder is physiotherapy. Pain killer and muscle relaxants are given temporarily, start on tablet Neorelax MR 8 (Aceclofenace + Thiocolchicoside) two times a day for 5 days along with anti-acid tablet Pantoprazole 40 mg before breakfast for 5 days, stop remaining medicines. After 3 to 4 days start physiotherapy of shoulder, you may consult physiotherapist, he may suggest better physiotherapy excercise. Diabetes has to be ruled out, please check FBS and PPBS for sugar. If not relieved with above then get an ultrasound of that shoulder done." + }, + { + "id": 12284, + "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": 8748, + "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": 8487, + "tgt": "Kindly tell the best treatment for depression, anxiety and IBS with diarrhea", + "src": "Patient: Hello doctor, I have depression, anxiety, fast heartbeat, excess sweating, low energy, IBS with diarrhea from the last 15 years. I have taken so many allopathic medicine and showed to so many psychiatrist but no real effect. Now I am really confused that which treatment should I follow for long term. 1. Treatment 1- Tablet Nexito forte + Toficalm 100 in morning and evening and Libotryp in night. Taken in two months duration. 2. Treatment 2 - Tablet Nexito + Clonazepam 0.5 in morning and evening and Mirtazapine 15 mg in night- three months duration. 3. Tablet Nexito forte + Pronol 10 mg in morning and evening and Prestiq 50 mg in night for 2.5 years. Please suggest which treatment should I take for my present condition as every treatment creates some problem. Which treatment has lower side effect? Please suggest as I want to get rid of my depression and anxiety completely and am unable to focus on my work. Please help. Doctor: Hi. As you have mentioned three different prescription in which Escitalopram and Clonazepam is common to all and rest are different drug. Each drug has its own side effects and each person may have few of these side effects. Now, coming to your question that which one is to be used for long term, it depends upon what are the side effects you had. For example, treatment 3 may be not much effective for IBS but it is good for depression and anxiety. If you were alright with treatment 3 then go ahead with this." + }, + { + "id": 22883, + "tgt": "Can I get pregnant after second day of taking birth control pill?", + "src": "Patient: Hello doctor, Can I get pregnant after the second day of taking birth control pill (first time taking pills) and having unprotected sex? In the normal menstrual cycle, it is my fifth day of the cycle. Doctor: Hello. As you had unprotected sex, there is a chance of pregnancy in your case (because you are not protected immediately after taking pills). Delayed menses due to hormonal imbalance caused by sex. Get your home urine test if you missed your period by seven days. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8910, + "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": 30518, + "tgt": "Is pleurodesis compulsory for pleural effusion?", + "src": "Patient: Hi doctor, The patient is a 52 years old female. 25 days ago, core biopsy of retroperitoneal lymph node non-Hodgkin's mature B cell lymphoma diffusely positive for CD10, CD20, BCL6 and BCL12. Bone marrow biopsy showed erythroid hyperplasia with focal micronormoblastic maturation. She is suffering with bilateral pleural effusions. Repeated thoracentesis done and again pleural fluid formation causing breathlessness. ICD tube drain inserted seven days back. Two weeks ago, R-CHOP cycle 1 chemotherapy was given, but no response or effect seen as there was no drop in blood counts nor any side effects. Our doubt is whether chemo R-CHOP cycle 1 shown effect inside the body or not? If not can we give R-CHOP chemo cycle 2 after 14 days instead of 21 days. PET-CT shows metabolically active nodal disease above and below the diaphragm, in abdomen, mediastinal lymphadenopathy and at neck. Pleural fluid cytology is positive with atypical lymphoid cells, atypical large cells in clusters scattered singly and round with scant amount of cytoplasm and round nucleus with coarse chromatin. Does it mean malignant pleural effusion? After removal of ICD tube drain, is pleurodesis compulsory or not? If pleurodesis is required, then please suggest regarding talc pleurodesis. Also, do we need to consult any special surgeon for pleurodesis or general surgeon sufficient? Doctor: Hello. Thank you very much for being specific in what you want to ask. Revert back with the answers to the above questions to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist\u00a0" + }, + { + "id": 29062, + "tgt": "My pimple turned into a bleeding bump. What to do?", + "src": "Patient: Hi doctor, I had a pimple a few weeks ago that vastly turned into a little bump that will not stop bleeding. It has been like this for about two weeks, and it is driving me mad. I am not sure what it is or what to do. Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14793, + "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": 23864, + "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": 13252, + "tgt": "What happens when something gets stuck in between teeth?", + "src": "Patient: Hi doctor, I have a doubt regarding some general facts. Please explain the following elaborately. Is it fine to pluck out a gray hair? What happens when something gets stuck in between teeth for several days? What is the effect of teeth chatter? What is the growling of the stomach? When does the ear pop? Please explain. Doctor: Hi. When we pluck out a hair, we feel a slight sharp pain at that point of time. The hair usually breaks along with its follicle, thus that space remains hairless in the future. But if the hair breaks in between with its follicle intact, then the hair will regrow. When food gets stuck in between teeth for many days, the primary problem is the discomfort for one or two days. Then followed by the food particle gets decomposed causing bacteria formation which then causes initiation of caries from sides of both teeth due to acid production. You must pay attention to such a decayed tooth. When our teeth chatter, there is not much discomfort or other problems. But it can cause attrition of incisal edges and sensitivity in the long-term. Our stomach growls when our stomach is empty, thus acid production irritates the stomach walls and gas is formed. This growling is called hunger pangs. It is a physiological method by which the body lets the mind know about the need for food immediately. Our ears pop when there is a pressure change in the atmosphere. For example, when we go to a higher altitude, the eardrum adjusts to the external pressure by changing its position slightly. This helps in creating an equal pressure both inside the ear canal and outside. This maintains our body balance and helps in standing erect." + }, + { + "id": 14767, + "tgt": "Is it advisable to get dental extraction and implantation on second day of periods?", + "src": "Patient: Hello doctor, I have the following on the second day of the menstrual cycle- a headache, lots of bleeding, abdomen pain, general weakness. Is it fine to have a dental implantation surgery during this time? It includes tooth extraction and implantation. Doctor: Hi. Yes, it is absolutely fine to have implantation surgery during your menstrual cycle. You can take Ibuprofen 400 mg four hours before surgery. You should have a proper meal at least an hour or two before your surgery so that you do not feel nausea during surgery or hungry right after surgery. Hopefully, everything will go smooth. Best of luck. Stay happy and blessed." + }, + { + "id": 891, + "tgt": "What are the best ways to lower blood pressure at home?", + "src": "Patient: Hi, my dad who\u2019s 61 years old has been experiencing hypertension and I would like to ask what are the best ways to ease/lower the blood pressure at home? Hypertension runs in his family. He has pain in the nape area, and his BP is 150/100. Same issue happened last month, his BP was 160/100 and he felt dizzy and no energy. He is taking Losartan 50mg (half). Thank you so much. Doctor:" + }, + { + "id": 18654, + "tgt": "My T3 and T4 levels are high. Can this mean I am pregnant, even though I never had sex before?", + "src": "Patient: Hello doctor,I recently had my thyroid test done. I am attaching the reports of the same. The note reads that a physiological rise in total T3 and T4 levels are seen in pregnancy and patients on steroids. Does it mean that I am pregnant? I am worried, as I am unmarried and have never had sex before. Doctor: Hello. I have seen your reports (attachment\u00a0removed to protect patient identity). 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": 3126, + "tgt": "Is it a must to get angiography for cough and fast breathing?", + "src": "Patient: Hi doctor, My mother is 62 years old. She is under\u00a0regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from\u00a0prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Please suggest whether she needs angiography as a further investigation. Her doctor advised Ecosprin 150 and GTN 2.6, which she is taking from yesterday. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10889, + "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": 25549, + "tgt": "What could a sore bump behind my last molar on the right side of my mouth be?", + "src": "Patient: Hello doctor, I went to the dentist four days ago and now I am noticing a sore bump behind my last molar on the right side of my mouth. Doctor: Hello. The probable diagnosis is pericoronitis. As per your symptoms, the sore bump behind the last molar tooth can be either due to an abscess formation that can be due to an injury or it can be due to an erupting wisdom tooth that might be putting pressure over the gums. Another cause can be inflammation of the gum flap in that area caused due to food accumulation between the gum flap and the wisdom tooth. For confirmation, a clinical examination and an X-ray is needed. I suggest antibiotics like Augmentin (Amoxicillin and Potassium Clavulanate) and anti-inflammatory painkillers like Ibuprofen can help. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Application of numbing gel containing Lignocaine (Lidocaine Topical) over the bump will also help. Warm saline gargle and an antiseptic mouthwash gargle can also be used. You need to avoid hard foods to prevent irritation of the area, keep the area clean, and maintain meticulous oral hygiene. Follow up with the X-ray. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6846, + "tgt": "What can be done to treat ear pain?", + "src": "Patient: Hello doctor, I have left ear pain for the past 7 days and I used Ciprofloxacin drop but no relief. Please suggest me. Doctor: Hello. Pain in the ear- If external ear infection was causing pain then there would have been swelling around ear visible, which I suppose is not there. Wax in external ear can also cause pain, but you do not need antibiotic drops for that. Fungal infection can also cause pain, which is usually seen in diabetic and immunocompromised which I suppose you are not. Middle ear pain is caused by acute infection without ear discharge or chronic ear disease. Acute inflammation without discharge means your drum is intact, so ear drops will not reach there. Chronic ear infection with impending complication wil also cause pain. I do not know whether you have any history of ear disease before. In short, the ear drops you had used were not needed. We need to find out the cause. Other possible causes for ear pain are trauma, referred pain (from tongue base, teeth, throat)." + }, + { + "id": 18211, + "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": 13925, + "tgt": "Is it normal to have a jerky septum in 2D echo?", + "src": "Patient: Hello doctor, I had chest pain. In my 2D echo report, septum jerky is given. What does is it mean? The doctor said the heart is fine. Doctor: Hi. The echo is reassuring. A jerky septum means that there is slight dyssynchrony between the septum and the other left ventricle walls. Such thing is usually seen in left bundle branch block which needs to be confirmed on an ECG. If the ECG shows normal sinus rhythm, then nothing to worry about. The rest of the echo is reassuring. Please keep BP under well control to less than 130 mmHg." + }, + { + "id": 5829, + "tgt": "I looked at UV light and got severe pain and tears in eyes. Should I seek medical attention?", + "src": "Patient: Hello doctor, Last night I looked directly at a 55 watt germicidal UV-C light for less than one minute. In the middle of the night, I woke up with severe pain in the eyes and tears and light sensitivity. After one hour much of the pain went away, but I am still very sensitive to light. I went to an optometrist a few hours later and he stained my eyes and said my corneas were irritated but it did not look bad. He gave me artificial tear drops and told me to use these for a few days. At that time I did not realize that the UV light was the cause, I thought it was my contact lenses. Currently, my eyes are still slightly painful and sensitive to light, but it is manageable. Should I seek further medical attention? Doctor: Hello. From what you have sent, I can tell you that you are suffering from a condition called photophthalmia. Its manifestations include corneal abrasions, which are diagnosed with staining. Other manifestations are inflammation and swelling of your eyelids, conjunctiva and blurred vision. This is a self resolving condition and resolves overtime as long as you do not continue to look at the same light source. The treatment for these manifestations (i.e. corneal abrasions, swelling of the eyelid and conjunctiva) remains the same whether it was due to light exposure or otherwise. The important factors which may prevent the resolution include: Contact lens wear, please wear glasses until you feel better. Pre-existing dry eye, the treatment remains the same, but the condition persists for a longer time. Secondary infections, may require you to be started on antibiotics and medication which dilate your pupils. Home remedies: Try blinking your eyes a bit more often. Avoid exposure to the UV (ultra violet) light source. Use over the counter analgesics like Paracetamol 650 mg if pain persists. Kindly visit the optometrist in case if there is pain and redness increase, or your eyelids get stuck in the morning with a sticky discharge or blurring of vision increases. UV light exposure. Contact lens related dry eye. Artificial tears, Cycloplegics, Analgesics. Follow up after a week/sos." + }, + { + "id": 21001, + "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": 16151, + "tgt": "Does lightning crotch during pregnancy affect the baby?", + "src": "Patient: Hi doctor, The lightning crotch is a pain that shoots to the pelvis during pregnancy. Does it affect the baby during pregnancy? Doctor: Hi. No, the pain is felt only by the mother, and it does not affect the baby. As the baby grows, the gravid uterus puts pressure on the lower limbs and nerves causing shooting pain. The baby is always comfortable, and it is well protected within the uterus." + }, + { + "id": 30616, + "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": 16299, + "tgt": "What is the reason for burning sensation and pain before sneezing?", + "src": "Patient: Hello doctor, I am 38 years old, male. Whenever I am about to get multiple sneezes just before I get burning and intense pain inside my nose and sinuses. Especially if am around the kitchen or anywhere in the house, especially if frying is happening in kitchen. My sneeze smells bad most of the time. What is the treatment? Doctor: Hi. It is clear that you have allergic rhinitis, especially for indoor substances as fried oil and maybe carpets or anything else at home. You need to use intranasal corticosteroid spray once daily as Avamys (Fluticasone furoate) spray. But for the bad smell, I need to know if you have a sputum coming out after sneezing and if it is present, what is its color?" + }, + { + "id": 4443, + "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": 3346, + "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": 14881, + "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": 19935, + "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": 8359, + "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": 28015, + "tgt": "Is it safe to take Xeljanz for rheumatoid arthritis?", + "src": "Patient: Hi doctor, I was diagnosed with rheumatoid arthritis, and my\u00a0doctor advised to take Xeljanz, as it has no side effects. Is it true? It is very expensive. I want to take a\u00a0second opinion on the medicine. How safe is it to take? Doctor: Hi. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 8928, + "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": 27198, + "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": 28008, + "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": 18767, + "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": 2633, + "tgt": "What is the chance of osteoarthritis in hands being erosive?", + "src": "Patient: Hello doctor, I have been diagnosed with osteoarthritis in both hands. One doctor suggested erosions in the left hand while another read that the right hand did not see evidence of that. I was wondering what your opinion is, do you agree with osteoarthritis diagnosis and if so is there evidence of erosions? All blood were negative for any autoimmune causes, ANA, RF, ESR, CRP, etc. Doctor: Hi. Osteoarthritis is not an autoimmune disorder, so autoimmune markers are expected to be negative. In an osteoarthritic joint, as cartilage is irreversibly destroyed and bone abnormalities develop, movement becomes painful and more difficult. In my opinion, regarding left-hand x-ray (attachment removed to protect patient identity), I agree there is interphalangeal joint (distal more pronounced) narrowing and sclerosis. I hope this helps. Osteoarthritis. Anti-inflammatory and pain medication such as Acetaminophen and non-steroidal anti-inflammatory drugs, topical analgesics. Injections of Cortisone to decrease inflammation and physical occupational therapy, self-management strategies." + }, + { + "id": 6845, + "tgt": "What causes foot pain?", + "src": "Patient: Hello doctor, What does it mean when you have hurt your foot? It is not swollen but it hurts. Doctor: Hello. Normally, when the foot is twisted, it is likely to have a soft tissue injury like sprain of the ligaments. If you have flat foot then minor twisting can also lead to hairline fracture and sprain. Although both the conditions will cause swelling, in your case no swelling is present but throbbing is a sign of inflammation. So, start anti-inflammatory treatment like Diclofenac 50 mg or Ibuprofe twice a day. Get an X-ray done to look for a repeat fracture. Use ice packs. Tie bandage under guidance of an expert as correct positioning is essential and pain relief sprays for local application. Give the foot adequate rest." + }, + { + "id": 19779, + "tgt": "I did not have withdrawal bleeding even after eight days of taking Unwanted 72. Why?", + "src": "Patient: Hello doctor, I had sexual intercourse with my fiance on the fifth day of my periods, and we used a condom, but the condom tore. I took Unwanted 72 within three hours, after which I experienced no side effects of the pill. I did not have any withdrawal bleeding, and today is the eighth day after taking the pill. Is withdrawal bleeding compulsory? Am I pregnant? How to confirm if the medicine worked? Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10938, + "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": 12165, + "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": 20064, + "tgt": "How to convince my brother for his schizophrenia treatment?", + "src": "Patient: Hi doctor, My brother is under medication for schizophrenia since eight years. He is well responded to medicines. But, since two months he has not been taking tablets at night (Arpizol 10 mg). The reason is that unknowingly he is masturbating in sleep. He was in spiritual path where the act is considered as a sin.\u00a0So, he is refusing to consume tablets at night. I tried to convince him a lot, but he is not listening to the doctor's words too. The situation is getting worse. He is getting inferiority complex and becoming violent. Also, he is not ready to get treated by the doctor. He said that he does not want to stay at home and absconded once. He returned home after a day. All the people in office are laughing at him with his abnormal behavior; I cannot admit him in the hospital forcefully as he will become violent. Kindly help me in this case. His current medication includes Prodep 20 mg in the morning and Arpizol 10 mg at night.\u00a0Is the problem being due to the tablets? If it so, can we change the medicine? Doctor: Hi. I have read your query with keen interest and understand your concerns. Presence of aggressive behavior, not taking medicines and feeling that people are laughing at him along with the history of wandering tendency clearly indicates that he is slowly developing symptoms of schizophrenia, which is probably due to medicine discontinuation. It will be wrong to say that it is due to medication, but it is right to say that such behavior was prevented for last few years with the use of medication. This is also possible that 10 mg of Aripiprazole was not enough to control his symptoms. I understand his aggression, but it is better to start his treatment even in a covert manner if necessary. In addition, these days lots of depot preparation is available. It can be administered at the interval of two to four weeks, thus increasing compliance to treatment and response of the patient. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23625, + "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": 19151, + "tgt": "Can gynecomastia turn into a tumor in the future?", + "src": "Patient: Dear doctor, I am a 25-year-old male. I am worried about my breast. When I was 10 years old, I found there are some circular discs inside both my breasts. It was untreated then as I am too young. And forgot about it. But in recent time, after 15 years, I am just worried again. The lump are in both breast and when I press over my breast, it feels circular disc-like tissue around the nipple (there is some very enlarged tissue at least 1 cm). There is no general pain but when I press hard on the enlarged tissue I feel some pain. No persistent pain. Neither discharge from nipple nor redness on both breast. Doctor: Hello. You have something called gynecomastia. It is very common among males of your age group. It is the continuation of a normal physiological process. There are four grades based on the size. There is no medication to treat it. Leaving it does not cause any health issues. We need to treat it for cosmetic reasons. It is a daycare procedure where liposuction is done to shape up the chest and the gland is excised. You can find some pre and post surgery pictures online. The recovery is quick. You will be able to get back to work after two days. You will need to wear a pressure garment for three to four weeks. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 11994, + "tgt": "How to improve my daughter's immunity through diet?", + "src": "Patient: Hello doctor,My daughter is 6 years old. She is often prone to cold and fever during rainy and winter seasons. Our doctor says to improve her immunity through proper diet. We are vegetarians, but I am planning to give her eggs. Lots of people are telling lots of ideas, and I am confused. I need a proper diet plan to improve her immunity. Please help me with a good dietary plan for her. Also, shall we add millets in her routine diet? Doctor: Hi. I suggest the following diet for your daughter. The\u00a0alternative foods are also mentioned below. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 22726, + "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": 27567, + "tgt": "The internal rotation of my hip is very low. What could be the reason?", + "src": "Patient: Hello doctor, Just to give you a bit of a background, I am a young male who is heavily involved in sports. Several months ago, I noticed my left (non-dominant side) hip internal rotation is very low or practically non-existent. I also noticed pinching at the front of my hip when getting into a deep squat position. In the last few weeks, I have experienced a dull ache in the deep groin or hip region on that side. This usually went away a day or two after training, but since last Friday it has not gone away. It is not a debilitating pain, but it is noticeable when twisting, turning or kicking. Generally, it seems to go away after 20 to 30 minutes of warming up\u00a0but will come back again post-training. Hamstring flexibility is also low on that side. Could this be a hip impingement? If not, what else could it be? Would it be alright to train in the meantime? Doctor: Hello. Follow up with the reports for a\u00a0conclusive diagnosis. Revert with more information to a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 24862, + "tgt": "I feel a throbbing pain in the anus. Please help me", + "src": "Patient: Hello doctor, I am a 29 year old male unmarried. For more than one year, I feel pain in the anus like throbbing (pain like beating in the anus) and feeling huge pain four hours after masturbation. The pain continues for five minutes or 10 minutes and gradually reduce and stops. Pain rarely comes. Sometimes, without masturbation also but if I masturbate pain definitely comes. It starts at midnight or sometimes in the day. I always drink plenty of water. I never feel any pain or any problem in passing stools. I am having type-1 diabetic and taking insulin injection for the last 13 years. I am taking insulin three times and I have my diabetics in good control. I do not know what type of problem I have. Which type of treatment is required? I am afraid of what might happen if I enter into a marriage with this problem. Please help me. Doctor: Hello. Your symptoms could be related to a local infection or coccydynia. Coming to this point, I would recommend consulting with a surgeon for a physical exam and an ultrasound of the soft tissues in this region. A dynamic radiography is necessary to investigate for coccydynia, which can be treated by surgery. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11831, + "tgt": "Kindly suggest the management for chronic shoulder pain", + "src": "Patient: Hello doctor, I have extreme chronic shoulder pain in both shoulders. It keeps me away from sleeping every night for the past eight months. It is hard taking a shower or bath. Kindly help. Doctor: Hello. I would like to know if there was any fall or hit on the shoulder. In my opinion, I would recommend getting some soft tissue work on your shoulder rotator cuff muscles. Keep icing your shoulder frequently for 15 minutes once for every two hours. Do some posterior capsule stretch, and rotator cuff regularly stretches each stretch to be held for 30 seconds. I hope this is helpful for now. Kindly revert after a week to let me know the status of your shoulder." + }, + { + "id": 3249, + "tgt": "Is there a way to dilate an obstructed nose without surgery?", + "src": "Patient: Hi doctor, My baby girl is 3 weeks old and she has a problem with her right nose. She cannot breathe and the physicians said me that it is an obstruction but not an imperforation. The physicians tried to aspire and the secretions are gelatin. The secretion is bacteriologically negative. The next step is to dilate surgically with a thicker tube in nose. Is there any tube to dilate this nose without surgery? I am looking forward to your answer. Please help. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12027, + "tgt": "Is urinary incontinence a side effect of uterus removal?", + "src": "Patient: Hi doctor, My wife is suffering from urinary incontinence at the time of sleeping. She gave birth to two babies through operation, and now they are aged 9 and 5. After which she got her uterus removed through operation. Please help us. Doctor: Hi. I have read and understood your problem. Urinary incontinence is a common complication after surgical removal of uterus. You should do her urine culture and sensitivity test, also blood sugar PP (postprandial). If the problem is only at night then she should stop taking water one hour before going to sleep and pass urine. If she has to get up many times during sleep then she may need mild tranquilizers." + }, + { + "id": 25616, + "tgt": "I feel breathless only at the hostel. I am fine everywhere else. What is causing this?", + "src": "Patient: Hi doctor, I am a 28 year old girl. From the last few days, I am feeling breathlessness at my hostel. I am fine when at other places like office and home. It is only at the hostel where I feel breathlessness. Can you please help me understand the exact reason for this problem? What all open solutions do I have? One more point I want to say, I do not know whether this is related: my hands and feet remain very cold, even though I have my gloves and socks on. One of the doctors said my estrogen levels are high. Please suggest a solution. Doctor: Hello. Your hostel must have some particle, like mold, pollen or some other allergen that causes you breathlessness.So, kindly go for serum IgE total. If it is higher than 1000, then go for IgE specific for Aspergillus Nothing to do with cold hand and feet. It may be due to low BP or mostly normal phenomena in winters. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 30539, + "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": 4997, + "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": 27736, + "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": 30581, + "tgt": "Why do I have pain around my waist line?", + "src": "Patient: Hi doctor, I have tested my blood. It showed iron and vitamin D level as very low and hs-CRP is three times higher than the reference range. I am feeling some niggle or continuous pain in the right-hand side waist for the last eight months, exactly in the area where the belt is getting tightened. I took Citralka. Doctor: Hi. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19918, + "tgt": "What can be the reason for chronic stomach pain?", + "src": "Patient: Hello doctor, My 69-year-old mother constantly makes cooing sounds like a pigeon throughout the day. She says she has not passed urine and stools for the last two days. From two years, she has not been keeping good health. Two years ago, she started complaining of stomach pain. We got her admitted to the hospital twice. Current medications list is attached. We got her an endoscopy, colonoscopy, a PET scan, and a CT scan of chest and abdomen done. Doctors say there is no major problem. No malignancy. However, she has lost a lot of weight almost 15 kg. She does not want to eat. Please advise Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) Her symptoms could be related to a psychiatric disorder called dementia with psychotic signs. For this reason, I would suggest increasing the dose of Quetiapine to 50 mg daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. You should discuss with her psychiatrist about this. Regarding her stomach complaints and loss of weight, I would recommend performing some tests: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3874, + "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": 23249, + "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": 19871, + "tgt": "Why does my heart rate increases very fast on exercising?", + "src": "Patient: Hello doctor, I am 19 years old, seemingly healthy with a history of anxiety. I recently had CBC, thyroid, kidney, cholesterol, and glucose test and all came back normal so I am not anemic or hyperthyroid. For several years, when I go from sitting to standing my heart rate increases to about 110 and I get dizzy initially but I feel back to normal after about 30 seconds. My other symptom is when exercising my heart rate increases very fast very quickly. It often gets to 170. I feel fine when it does, and it comes down when I rest, but why does it get so high during exercise? If I had SVT or AFIB, would the heart rate not stay above 100 even when I quit exercising? What does it sound like I have? Does this sound SVT or POTS? Currently, I am taking Luvox 200 mg. Doctor: Hi. As you are concerned about this HR (heart rate) being atrial fibrillation or atrial flutter or SVT (supraventricular tachycardia), first, HR is usually more than 130 to 140 in these conditions, especially in SVT. Secondly, these disorders do not have any specific relationship with exercise or rest, meaning this does not start with exercising. It can kick in while resting all off sudden and can convert back any time. Your pattern is more consistent with sinus tachycardia. You may need a tilt test for diagnosis. Talk to your doctor. In addition, I would recommend you remain well hydrated and use thigh-high TED hose. This will help you with symptoms. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28909, + "tgt": "From the photos, kindly tell me if I need skin grafting for the wound", + "src": "Patient: Hello doctor, I injured myself when I fell from my scooter a month back. It is healing, but the doctor has said that skin grafting is required.\u00a0I wanted to confirm if skin grafting is necessary or the wound would heal on its own by regular dressing. I have attached two pictures one was taken 12 days back, and the other was taken today. Doctor: Hi. After seeing both the images (attachment removed to protect patient identity), I can tell you the following. Your doctor is right in suggesting skin grafting. I think you should listen to him or her. For further queries consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 27770, + "tgt": "My baby has fever even after giving Paracetamol. Please advise", + "src": "Patient: Hello doctor,My four\u00a0month old baby weighs 7 kg. He has a 100-degree fever since today noon. I\u00a0had given 4 ml of 125 g Paracetamol syrup. But the temperature is still at 100. Doctor: Hello. In the follow-up query, please tell me more about his feeding, activities, vomiting and if his urine and stools are\u00a0normal. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2200, + "tgt": "My 6-week-old baby has gas problem where Simethicone did not work. Why?", + "src": "Patient: Hello doctor, I have a 6-week-old baby. He is only breastfeeding, no formula. He had gas problems like any other baby, and the doctor prescribed us Simethicone for infants (0.5ml) three times a day to help relieve it. He eats and defecates normally (at least once a day, sometimes once every two days). Lately, he has begun crying hysterically and inconsolably. We thought of it to be colic, so we exercise his legs (bicycle kicks) and massage his stomach. But that only soothes him for a few minutes, and then he resumes crying. Today, I noticed that he was grunting. We offered him the breastmilk thinking he is hungry. But he latched on, then immediately threw his arms up, stiffened his back and let go. Then it seemed like he was grunting while trying to poop. I know babies cry. It is how they express their feelings. But when he cried, we could figure out what the reason was hunger, discomfort, wet diapers, etc. But now, we are dumbstruck. Please help. Doctor: Hello, Welcome to icliniq.com. I understand your concern. Usually at this age babies have gas or colic problems. It seems like that only. I need a few more questions to be answered. Does he regurgitates feeds also? Any relation of such episodes with feeding? Is it happening since birth (not these severe episodes but milder ones)? Have you checked the perianal area, is it red? Anything other than mother's milk like ghutti, etc? What are all medicines been tried for how many days? Do you burp the child after each feeds? Is there a lot of flatus that baby pass? Does he pass stools with force? How is the child between episode, active?" + }, + { + "id": 7625, + "tgt": "I have no feeling in my tongue after having wisdom teeth pulled. What should I do?", + "src": "Patient: Hello doctor,I am 22 years old and had four wisdom teeth pulled. The procedure happened on 7th and my tongue is still numb. I have no feeling in my tongue now. Did the dentist maybe nick a nerve or something? Will I ever get the feeling back in my tongue? I am always biting my tongue at night and when I eat. What should I do? Doctor: Hi. If you had all the wisdom teeth pulled out in one shot, then you should have been given a lot of numbing injections on all the four sides of the mouth. In that case, the injections given for the lower jaw numbness would be the major reason for your tongue numbness. Do not worry, you will definitely get back normal sensations in your tongue shortly as the nerve cells regenerate and it usually comes along with short pricking sensation. With regards to biting your tongue at night, I suggest you wear a customized mouth guard for a while. Please visit back your dentist for the Flexi mouth guards. Also, you might have to take a multivitamin medication for the nerve regeneration in your tongue. Should you have any other queries please do not hesitate to write again to me. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24290, + "tgt": "Is gym workout good for health and stress?", + "src": "Patient: Hello doctor, Is gym workout good for health and stress? Please suggest me as I want to join the gym. Doctor: Hello. Any kind of workout is good for health and stress. In particular, aerobic exercises like walking, running on a treadmill, Zumba dancing, etc., are good for overall health. It not only helps lose weight but also controls blood pressure, blood sugar, serum triglycerides, cholesterol levels. Daily 40 minutes aerobic brisk walking is recommended according to latest guidelines. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21022, + "tgt": "Can a miscarriage or smoking cause high red blood cell count?", + "src": "Patient: Hi doctor, I have just received results back from a blood test that says my red blood cell count is quite high. I am a 35-year-old female and I am a smoker (between 4 to 7 a day). I began to get headaches, dizzy spells, nausea, fatigue, and itchiness all over the past five weeks. I do not know whether or not a miscarriage could count towards what is going on or not but I would like to know what it is I should do. My doctor just said to quit smoking and come back in 12 weeks for another test. Doctor: Hello. High RBC (red blood cells) count can be due to the smoking habit. In smoking, oxygen delivery to tissue is decreased. So RBC is elevated by increase erythropoietin. A headache and dizziness in your case also seem to be due to smoking. So, it is advisable to stop smoking immediately. To rule out miscarriage, you can investigate with ultrasonography of pelvis and urine hCG card test." + }, + { + "id": 25659, + "tgt": "What is the treatment for an infant with a rash on his genitals?", + "src": "Patient: Hello doctor, My son is 2 months and 15 days old. He has a rash on his genitals and his pubic area that looks like scabies or a fungal infection. Please advice for quick recovery. We are using EziNapi cream for diaper rash. But it is not looking like a diaper rash. It may be some infection. Please help. Doctor: Hello. Yes, looking at the image (attachment removed to protect patient identity), it is less likely a diaper rash. Usually, a diaper rash involves more of perianal region. It is less likely scabies if other parts of the body are not involved or no family history of scabies at present. Still, I will suggest having a good hygiene. Some sort of a fungal infection is possible if it is chronic. You can apply candid powder two to three times a day. Keep the area dry and clean. Avoid Ezinapi (Cetyl myristoleate, Zinc oxide, and D-panthenol) as of now. This can aggregate. The baby skin is very sensitive and hence avoid using baby lotions or baby cream as of now. You can use coconut oil just to keep the area moist. Coconut oil and candid powder to be alternated every four hours. If the rash is not going away after two days then seek a pediatrician's help. Take medications with doctor's consent. Review after two days. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13522, + "tgt": "Should I get my wisdom teeth removed?", + "src": "Patient: Hello doctor, I have wisdom tooth. Is it necessary to remove it? Doctor: Hi. I have gone through your question and I can understand your concern. If it is giving you any sort of problem or giving you discomfort, you need to remove it immediately. There are chances of cyst formation in some cases too, if the impaction is not treated. You can delay it but my opinion is to get it removed." + }, + { + "id": 8049, + "tgt": "I skipped my antibiotics given for my sinus infection. Is it fine to continue now?", + "src": "Patient: Hello doctor,I have skipped three days of antibiotics Amoxicillin. Can I continue today? My doctor gave it for sinus infection. Doctor: Hello. I understand that you have skipped your antibiotic. It is essential to follow the course of medicine correctly. Now you have to restart the whole course again. It means if the doctor had asked you to take antibiotics for five days, now you must start all over again. Start for five days from now, the same way as your doctor told you. Each antibiotic has its mechanism of action, and they act to inhibit or kill bacteria at various stages in the life cycle of bacteria. Also, at a given time, different bacteria will be at different stages of their life cycle. That is the reason why we provide antibiotics for three or five or seven-day course. To kill the bacteria (or inhibit) entirely, all colonies of it that have caused the infection. Henceforth do not skip the dosage or omit taking tablets. What happens when you omit the dose or take a faulty course is the individual colonies of bacteria from among the lot will turn resistant. Next time the same drug will not work. I hope your query is answered. Feel free to contact for any question." + }, + { + "id": 30855, + "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": 6250, + "tgt": "My father got struck with a metal brooch in his left eye. What should I do?", + "src": "Patient: Hello doctor, My father got struck with a metal brooch in his left eye corner and the eye became red. There is a kind of brown spot at the corner. At the very end of his eye, a bubble is formed. Now, what should I do? I am worried, and it is hurting him a lot. Please help. Doctor: Hello. I think the injury to the eye by the metal brooch has caused a collection of blood there. It is known as a hematoma. This is the reason for the brown spot and bubble formation. You should consult an ophthalmologist for an eye checkup to confirm that there are not any pieces of metal lodged in the eye or skin around it. If that is normal, then you need not worry. The doctor will prescribe some pain killers to reduce pain and redness. Everything will be back to normal within a few weeks. But be cautious, and get it checked by an ophthalmologist at the earliest, so as to avoid any potential complications." + }, + { + "id": 13480, + "tgt": "Can radiation exposure during x-ray cause cancer?", + "src": "Patient: Hi doctor, I am an 18 year old male. I am obese with weight more than 130 kg. I got plenty of tests done in a single year. Last year, I got my CT scan of full abdomen followed by five chest x-rays. One CT scan of the brain plain and bone densitometry (DEXA) scan in June and a CT PNS yesterday. Now I am scared to go and meet a doctor. I am absolutely worried about getting cancer because I had received a very great amount of radiation with repeated scans and x-rays. Please help. Doctor: Hi. X-ray and CT scan uses ionizing radiation. Though these are harmful rays, in diagnostic radiology it is generally safe for the patients. Though you have undergone many investigations it is well below the maximum allowable safe dose for the patient. Amount of radiation delivered to the patient varies with the organ for which imaging is done like an x-ray of L/S (lumbosacral) spine causes maximum radiation during an x-ray. It depends on the voltage and milliampere used during taking x-rays. Please do not worry about radiation hazard; the total added dose is far below the maximum allowable dose. There is almost no chance of cancer due to radiation." + }, + { + "id": 24799, + "tgt": "Since taking birth control shot, I have brown discharge. Will it ever go away?", + "src": "Patient: Hello doctor,I started Depo three months ago because the pill was leading to yeast infections. But every day since taking the shot birth control, I have had a brown discharge that feels like is causing another yeast infection. Will the discharge ever go away? What should I do? Doctor: Hello. Yes, Depo (Medroxyprogesterone) may cause a yeast infection. Other few conditions Iike stress, antibiotics, weak immune system, high blood sugar, hormonal imbalance and pregnancy may aggravate the condition. So, I suggest you use candid-B V gel (Clotrimazole vaginal gel) locally, tablet Fluconazole 150 mg once a week for five weeks. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23888, + "tgt": "What is the Ayurvedic treatment for early multiple sclerosis?", + "src": "Patient: Hello doctor, I have early multiple sclerosis. I feel tired and loss of concentration, and tingling sensation on the face for the last two years. What is the treatment? I am currently taking Brufen. Doctor: Hi. You visit nearby Ayurveda panchakarma center and do the cleansing or detoxifying process first. Once in a year, you can undergo panchakarma therapy. Also, start yoga practice for lifelong. Yoga can prevent the degenerative changes in multiple sclerosis. In addition, you need to consume the following drugs for one year: These drugs can be obtained from local Ayurvedic dealers or medical shop. You need to be under regular follow up with local Ayurveda or Siddha doctor to assess disease improvement. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13639, + "tgt": "What dosage of Azithromycin can be given to a kid to cure fever?", + "src": "Patient: Hello doctor, I have a 6-year-old son and he weighs 18 kg. He has a tonsils infection. He has a high fever and I am giving him Meftal P every eight hours and Paracetamol three times daily after food as per prescription. Also, the doctor prescribed Azithromycin 200 mg syrup for him. But, from the medical shop, I got only Azithral 60 mg/mL. What is the dosage I can give to him? Please help. Of note, last month also he had tonsillitis and a fever. Doctor: Hello. Azithromycin dose for children is 10 mg per kg single dose per day for three days. So, you can give a total of 180 to 200 mg per day that is 3 mL of 60 mg/mL syrup once daily for three days. I would suggest you go for Amoxyclav (Amoxicillin and Clavulanic Acid) than Azithromycin for tonsillitis. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The dose of Amoxyclav will be 440 mg/mL 5 mL twice daily for five days. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 25193, + "tgt": "Please check the image and tell me what I can do about my kid's eye infection", + "src": "Patient: Hello doctor, My three-year-old daughter got some infection in her eyes since yesterday and trying to rub her eye. There is some discharge also coming from the corner of the eyes. Picture is attached. Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). It appears to be a case of conjunctivitis with associated nasolacrimal duct infection. All this for seven days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You have to perform nasolacrimal duct massage with your thumb and index finger of right hand place them over the portion where the nasal skin is meeting eyes, that is, corner of one's eye and gently push down. Please maintain good hygiene of your as well as patient's hand. Do wash your hands before and after instilling drops and massage. Get well soon. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22322, + "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": 3554, + "tgt": "Other than earwax, what can cause clogged ear?", + "src": "Patient: Hello doctor, I had cold a few days ago. During that time, my\u00a0ear was clogged. I originally thought that it was earwax, but I tried everything for earwax and it did not help. It has been a few days now and I am trying to find out what might be wrong. Please help. Doctor: Hello. For further clarifications consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19157, + "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": 23402, + "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": 22578, + "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": 1482, + "tgt": "How to find out the reason for vomiting sensation?", + "src": "Patient: Hi doctor, I am having some obstruction feel in the throat and vomiting sensation for the past 20 days. There is a feeling of giddiness and strain to the eyes. I do not have any pain or burning sensation. Please suggest some treatment. Doctor: Hi. 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": 13165, + "tgt": "I have a spot in my face which is spreading. What could it be?", + "src": "Patient: Hi doctor, I have a spot on my skin for about two weeks and is not healing. It started out like a pimple and is now spreading. I thought it was an infected pimple and applied Bactroban which did not help. It tingles and burns.I do not know whether it is a fungal infection or not. I had something similar to that last year, and that took long to heal as well. It healed and left a dark mark on my face as you can see in the picture.I had a blood test done, and everything came back normal. I am taking Multivitamin, Vitamin D and B12 now. The spot is bothering me because I am very fair and it is right on my cheek. Doctor: Hi. I am sure your problem is distressing and is affecting you severely. Let us understand your case. Since you are a very fair skin type patient, you are naturally more exposed to sun radiation which is UV-A and UV-B (ultraviolet A and B) rays. In effect what it does is, it disrupts the self-healing power of your skin and makes you more vulnerable to sun damage. The damage surmounts over time and the net result is skin changes along with the symptoms you described in your questionnaire. Microscopically, the cells in the deepest layers undergo irreversible changes and the cellular environment becomes a very rampant scenario where the speed to clear the damaged cells falls short of the rate at which the cells are damaged. So it results in pigmentation, slow or non-healing and damage at the molecular level. In my professional opinion, gauging from the picture (attachment removed to protect patient identity) alone my diagnosis goes in favor of discoid lupus erythematosus or DLE. It is a chronic or longstanding skin response to sun damage. It is a reversible benign condition if we institute the treatment right away. However, if we leave it to change letting time be the healer, it can transform itself into a more severe form of skin condition. It would include wearing a good sunscreen like SPF50+ (sun protection factor) or SPF70 with PA+++ on a daily basis. It should be applied liberally on all the sun-exposed sites of the body like arms, face, neck, etc. You must apply it 15-20 minutes before going outdoors. It should be reapplied again after 2-3 hours. If the face becomes oily, it is a good idea to cleanse the face with a face wash and then reapply the sunblock. My advice is to visit your dermatologist and take a skin biopsy to analyze the edges and the cell changes to clinch the perfect diagnosis. Biopsy is the definitive diagnosis. The treatment option is adequate sun protection. You can use mid-potent steroid cream like Mometasone on the affected part every night for 12-14 days and you can see a dramatic improvement. Avoid sun at all costs. Use a cloth to cover the area when you go outside. Strict sun protection is the cornerstone of the treatment. Try eating more of beta-carotene in diet from sources like carrots which act as natural sunscreens." + }, + { + "id": 20053, + "tgt": "If Norethisterone is taken continuously for years, will it affect menopause?", + "src": "Patient: Hi doctor, I am a 57 year old female, and I have been taking Norethisterone for years. When I stop taking the tablet, my period comes, and I immediately start taking the pills again. I take them because I am terrified of bleeding. My doctors say that I have to come off them, and I am terrified of what effect it will have on my body. What will be my periods be like? The doctor thinks that the pills are affecting my menopause. I am so scared of what the bleeding will be like, and I cannot cope. Doctor: Hi. How are you doing? I really do not see any reason for you to worry. I feel you are taking those pills unnecessarily. By 50 to 54 years, all ladies enter their menopause. This is a time when all follicles in the ovaries are exhausted and the hormone supply to the inner lining of the uterus is so low that bleeding will not occur at all. This is menopause. But if you keep having these tablets, you are artificially increasing the thickness every month and artificially bleeding by stopping every month. Nothing will happen, just stop the pills, you may have one normal period due to the tablets, then as your body is not producing any further hormone, the inner lining will stay thin and you will not have any more periods. To confirm this, after 2 to 3 weeks of periods, without taking any medications, get a pelvic scan done and note the endometrial thickness. Any thickness of less than 4 mm is normal. I am sure it will be so. You will not have any periods thereafter. To confirm the same in blood, you can test serum AMH (anti-mullerian hormone), the normal level is 1.1 to 3.5 ng/mL. But, if there are no follicles to produce any hormones, blood values will be less than 0.5 ng/mL. If there was some other cause for heavy bleeding, you would not have succeeded in stopping the bleeding with just Norethisterone. So, just cheer up. Just stop the medication, you will do fine. I would advise you to start Calcium and Vitamin D3 tablets to reduce the risk of osteoporosis, which is a risk in every lady after menopause. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25113, + "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": 2452, + "tgt": "What can cause hyperhidrosis?", + "src": "Patient: Hi doctor, I am a 15 year old boy and I have hyperhidrosis. I sweat so much. My shirt cannot stay on for at least 5 minutes. In some half an hour to one hour my whole shirt and armpit area will drench in sweat. Yes, I take a shower twice a day and put deodorant every day. I have even tried the antiperspirant deodorant, but that did not stop it and I think it made it worse. I really want to believe it is just puberty as this has been going on since I was 12 or 13. But, something tells me that it is not because of puberty. Everyone else at school does not have this problem and some relatives in my family has it too. Just like my shirt, my pants will start soaking after 30 minutes of sitting down. I really want a diagnosis or close to one before I actually go to a doctor as I have not yet regarding my issue. Also are there any home remedies or other over-the-counter deodorant to help minimize this issue or completely stop it? I am really fit and regularly lift weights, play lots of sports (soccer, boxing, etc.,) and keep my body in good shape. I know that weight lifting could not be a problem if that was a suggestion. I sweat a lot when I am in social places such as school or when I go out. It is not because of anxiety, but I rarely feel nervous when my arms are getting drenched. This is a more serious problem in the morning either at home or at a social place and gradually calms during the afternoon when I am at home. It is so bad that my armpits can drench two layers of clothing. For example, if I wear a shirt and a jacket over it, then it does not really matter how many layers and by the end of the day my clothing will be soaked in sweat. I do not really have any symptoms besides the fact that I am always on alert when I am out. This is really embarrassing and I have no idea what to do about this. 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": 26139, + "tgt": "Swelling, pain and enlarged veins in testicles. What could it be?", + "src": "Patient: Hello, I am 16 years old. I have been having discomfort in my testicles since 3 years. I was then examined by the doctor and he found some swelling in the left testicle and there were also enlarged veins. There were no hard lumps on examination. I then had a scrotum ultrasound that revealed 5 calcium deposits in the left testicle. On my paperwork it says, diagnosis- testicle pain- varicose and hydrocele? What does this mean? Doctor: Hi,\u00a0 Welcome to icliniq.com. Consult a\u00a0urologist online\u00a0to know the progress of the condition and the need for surgery --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 702, + "tgt": "My baby is avoiding breast while breast feeding. How to feed her?", + "src": "Patient: Hello doctor, My three months baby is avoiding breast while feeding. Is there any other option to make her drink breast milk without direct feeding? Doctor: Hello. You can express breast milk (either manually or by using a breast pump) and give that milk to the baby using a spoon. But the reason for avoiding breastfeeding needs to be evaluated. Nose block is a common cause for refusal to feed. If the child is having a nose block, you can use Nasoclear drops two drops prior to each feed. You have mentioned the baby's current weight as 6 lbs, for a three months old baby 6 lbs fall much below the normal range. Was the child preterm? How much was the birth weight?" + }, + { + "id": 28926, + "tgt": "Why is Aspirin given for high hemoglobin and RBC count?", + "src": "Patient: Hi doctor, I am a 40 year old male. My hemoglobin was 18.3 g/dL, but it has come down to 17.7 g/dL since the last two months. My RBC count varies between 6.1 to 6.27 now, and PCV is 51.9\u00a0%. I am taking mini Aspirin as suggested by my\u00a0doctor. Do I have any reason to worry? Doctor: Hi. Your hemoglobin level, RBC (red blood cells), and PCV (packed cell volume) are high.\u00a0The lymph node, liver, and spleen need to be clinically examined. Do you have a history of dizziness, weakness, and stroke? High level of RBC\u00a0and hemoglobin can cause blood clots and can lead to vascular complications like stroke. This is the reason your doctor gave you Aspirin. You are at a risk of polycythemia vera, and it has to be ruled out by bone marrow study or molecular testing for JAK2 gene mutation. Phlebotomy might be\u00a0needed to reduce RBC\u00a0mass.\u00a0Consult your physician or a nearby hematologist for examination and further work up. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28660, + "tgt": "I have asthma and nasal polyp, and some foul smell is coming from my nose and throat. Please help", + "src": "Patient: Hello doctor, I\u00a0have allergic asthma and nasal polyp since the past year.\u00a0I have seasonal asthma since my childhood, and during an\u00a0endoscopy, they found a\u00a07 mm polyp at the GE junction, which is benign.\u00a0I am feeling fatigue, and some\u00a0foul smell is coming from my throat and nose. My recent blood work report shows mild elevation in gamma globulin and absolute lymphocyte count. I am worried\u00a0for the elevated gamma globulin. Is it due to something more serious? Doctor: Hi, Welcome to the icliniq.com. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28912, + "tgt": "My symptoms include dry cough, headache, body pain and nausea. Please help me", + "src": "Patient: Hi doctor,The problem started out with a dry cough. The next day, I had achy bones and\u00a0headache.\u00a0It seemed like it was going away and came back the day after when I woke up feeling like throwing up. My eyes, chest and upper back aches with a feeling of nausea. Please help me. I am scared. Doctor: Hello. I have gone through your query, and I can understand your concerns. The symptoms you have described suggest that you have a viral fever along with inflammation of throat (pharyngitis). There is no need to worry as it can be cured completely with treatment. Please consult a physician, discuss with him or her and get the following things done with consent. If symptoms persist despite, then blood investigations and throat swab may be needed. Do warm saline gargling or gargling with a numbing mouthwash. Use expectorant cough syrups. Drink plenty of water and have a healthy diet. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22116, + "tgt": "The tip of my penis is red and swollen. What to do?", + "src": "Patient: Hello doctor, I am 29 years old. Since the last 10 days, I am having a serious red swollen tip of the penis with burning and stinging after urinating. Initially, I thought it might be because of UTI. So, my doctor had written for urine routine test and urine culture test which came negative. But the red swollen tip is still there and its burning. Ever since I got this, I am observing I am not having erection or urge of any kind. My doctor then wrote for CBC, PSA, sugar check (in case of diabetes), serum creatinine, ultrasonography of abdomen and pelvis. These reports came to be negative. He currently had given me Augmentin 625 Duo if there is any bacterial infection. I am worried as the tip of my penis is red, swollen, looking like lips and burning for more than 10 days now with no libido or morning erection at all. Please suggest me what to do. Doctor: Hello. I understand your concerns. I have checked all the attached photos (attachment removed to protect patient identity). Most probably, you have urethritis which may be caused by many organisms. I have two questions in order to exclude any serious infection: You should not worry as this infection is less likely to affect your erection, infertility or any other sexual functions. I suggest: Azithromycin 1000 mg capsule once daily for atypical organisms. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Follow safe sexual practice all the time. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14158, + "tgt": "I have a pigmented line in my toenail. Will it just disappear?", + "src": "Patient: Hi doctor, I have got a pigmented line in my fourth toenail. It started as a freckle that was tan in color quite quickly over in four or five months it has turned darker. It is not growing out but spreading in width. The bottom left part of my skin and cuticle area is very itchy at times and it feels tender in my toe and top of foot at times too. I have not had any trauma to my foot, knocked it or dropped anything on it. Is it something that will just disappear? I am a 31 year old female, currently on Amitriptyline 50 mg at night. Doctor: Hi. I have examined the submitted details and will do my best to help you overcome the problem. Close examination shows the dark band appearance that is often seen in individuals who get an infection due to a fungus. To most of my clinic patients, I suggest tablet Fluconazole 150 mg weekly and Miconazole or similar antifungal lotion twice a day. It takes some weeks before the results are apparent. If there is itching in adjacent areas, Zyrtec (Cetirizine) or another antiallergic can be a great help, taken once a day. With proper care, avoidance of moisture in the area, and well fitting footwear, the problem is manageable. Best wishes." + }, + { + "id": 24479, + "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": 23662, + "tgt": "Have taken Flagyl for Bacterial Vaginosis, Still have some itching. Why?", + "src": "Patient: Hi doctor, I am a 35 year old female. I had vaginal discharge. When I took Flagyl for BV, it cleared. So, I do not think it as an STI. Am I right? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18429, + "tgt": "My grandma is on bed rest. Her lower back is red and painful. Please help", + "src": "Patient: Hi doctor, My grandmother suffered a fall in the bathroom one month back. She is 91 now. Following the fall, she developed a vertebral compression fracture. She has been on bed rest for the last few weeks and now developed redness and pain in the lower back area.\u00a0Kindly advice on treatment including special dressing and bed or mattress needed. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 10063, + "tgt": "Is it normal to have cobblestone appearance at the back of throat after tonsillectomy?", + "src": "Patient: Hello doctor, I had tonsillectomy about a month ago. I had been healing but I am concerned about my healing process. My uvula has gotten smaller and has strange color plus I see cobblestone at the back of throat and blue or dark red color surrounding soft palate. And there are visible blue or red blood vessels everywhere around the palate and arch. Doctor: Hi. All these are normal after tonsillectomy surgery. I will suggest some steps to relieve some of the symptoms you are facing. Gargles with Benzydamine mouth wash diluted in water few times daily will help soothe the area and relieve pain. You may also take Tylenol for a few days for the pain relief. To relieve inflammation (the engorged blood vessels and cobblestone formation) you can take a combination of Trypsin Chymotrypsin Bromelain Rutopside. This medicine will relieve inflammatory cells and products from the area. Cobblestone formation is normal after the surgery. Regarding the reduced length of the uvula and the scarring on the palate, I would say, they are due to bad surgical technique. We carefully dissect the tonsil out of the pillars so that there is nil scarring of pillars and change to the uvula. We use a coblator for the purpose that minimizes bleeding and postoperative pain." + }, + { + "id": 13588, + "tgt": "My daughter inhaled sea water while swimming. Should she be concerned?", + "src": "Patient: Hello doctor, My daughter inhaled a huge breath of what turned out to be sea water when she rolled onto her back with a snorkel mask. She tried to keep swimming, but breathing was nearly impossible. There were squeaky noises as she tried to get air. Lots of coughing for about two hours afterward; the next day she was just fine. A couple of days later she had gone for a 10-mile run, but there were no problems. Next day she had gone for a 6-mile run, and there were no problems. Today she tried swimming again. She did not inhale water, but violent coughing returned and she had difficulty in breathing after getting out of the water. She was discouraged because she really wanted to swim. Should she be concerned? Doctor: Hi. I want to assure you that you need not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of the water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good at swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused a trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be an inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good in swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management." + }, + { + "id": 7992, + "tgt": "Is it normal to get sudden intermittent pain on sternum?", + "src": "Patient: Hi doctor, I am experiencing a sudden piercing pain on my sternum and a small region to the left of it, just above the heart. I only get this pain occasionally when I lift something or bend. Today I held my 1-year-old nephew in my arms for about 15 minutes and when I bent to put him down, I felt this sudden intense pain around my chest bone. This is intermittent and been having this problem from past one month occasionally. Doctor: Hi. Well, that could be due to muscle weakness. Could you please tell me what you do and how much physical activity you have in your daily routine?" + }, + { + "id": 8937, + "tgt": "I have a metallic and soapy taste in my mouth. What could be the reason?", + "src": "Patient: Hello doctor, I am a 23 year old woman. I am 5 feet 6 inches. I have bowel issues and constipation quite often. Lately, I feel very exhausted, have severe back aches, and a metallic and soapy taste in my mouth that will not go away. I am not sure what is going on. Doctor: Hello. You can be suffering from one or all of them as these are associated with each other.Please find the cause from above and get treated and examined by a gastroenterologist soon. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13872, + "tgt": "What can be done to come out of virtual world and stop imagining things?", + "src": "Patient: Hello doctor, I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people. Doctor: Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist." + }, + { + "id": 14042, + "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": 10597, + "tgt": "Why does urine appear dark brown inspite of having Fluconazole?", + "src": "Patient: Hello doctor, I was initially diagnosed with a urinary tract infection by the presence of white blood cells in my urine. I had symptoms of a typical UTI. I was given a five days course of antibiotics, but the symptoms did not go away, followed by 2*5 days more courses of antibiotics. A urine culture was done after three types of antibiotics failure. A urine culture was conducted, and it was found that I had candida albican (yeast), and I was put on an oral antifungal medication called Fluconazole, but my urine is still dark brown with white substances in it, and I still feel itching after urination. I drink a lot of water, and I am HIV negative, I tested negative for prostate cancer, and I am 27 years old. Please help. I also experience a lot of nausea and heart racing when exposed to cold areas. Doctor: Hello. Went through your post. Generally, urine culture growth showing candida is not anything significant because it is a benign infection and usually does not need treatment unless a person has taken a lot of antibiotics, or is HIV positive. The white substance in urine is phosphate, and it is called Phosphaturia you are taking plenty of water is helpful, so no need to worry about that. I would suggest you complete two weeks of Fluconazole but no other antibiotics." + }, + { + "id": 7444, + "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": 748, + "tgt": "My eye power changed as I was using wrong glasses. How to get back my previous vision?", + "src": "Patient: Dear Sir, When my eye power 2 years back, My Vision was RE- SPH- +0.5 and ADD + 1.25 LE- SPH- +0.75 and ADD +1.25 But wrongly I was using a Glass of Power RE- SPH- +1.50 ADD +1.25 and LE - SPH +1.50 ADD +1.25 yesterday when I went for a test I got to find my Vision is RE- SPH- +1.50 LE- SPH--+1.75 SO requesting you to guide me how can I get back my previous Vision. Regards Doctor: Hello, Welcome to icliniq. Com According to your Age you are having hypermteropia which is called far sightedness in which you can see distance objects clearly but near focus will be blurred without glasses. And one more thing you are 46 years old now,so this is an age for cataract. And when you will have cataract and once it will start increasing then because of lens changes there will be change in refractive index of lens which will lead to improvement of near vision and worsening of distance vision . This you can see in your case. You can compare your previous power and recent power. Now you are not having glasses or power for near vision that means you have cataracts which can be in starting stage. So you have to consult an ophthalmologist and you should undergo cataract assessment." + }, + { + "id": 14181, + "tgt": "Can I use some supplement to gain weight and build muscles?", + "src": "Patient: Hi doctor, I am 20 years old. My weight is 52 kg. I want to gain my weight. Can I use Nutrigain? Will it help in the build up my muscles? Doctor: Hi. The first thing you have to focus on your daily diet and not only supplements. So make a high-calorie food. Eat more cereals 300 gm mainly plain rice, brown rice or bread, oatmeals, maize, Nutrela, and all whole grains. Add all good quality proteins like organic, dairy proteins, fish, milk, eggs, plant-based sources like pulses and soy products. Add two tablespoons of ghee on rice and butter on chapatis. Add dry fruits, nuts, almonds, etc. Add plenty of vegetables, fruits mainly banana and sleep minimum 8 hours. Take good foods with proper digestions and need to consume all out to make the body fit and gain muscles." + }, + { + "id": 27501, + "tgt": "I have severe right-sided pain in the head, which feels like a vibration. Please help", + "src": "Patient: Hi doctor,I suffer from severe pain on the right side of my head from several years. The pain is especially in the area between the\u00a0frontal lobe and parietal lobe, probably in the area of the\u00a0motor strip and sensory strip. The pain is in the form of vibrations of low frequency. The painful vibrations extend through the part mentioned in the brain to the right side of tongue in the path of a straight line. The pain reduces as I press at temples, and I feel relief at the problematic area, and the pain starts again as I remove pressure from the temples. The pain starts if I\u00a0work, think, listen, or write, and if I keep working during the pain, it increases and compels me to stop working. Loud sounds become unbearable during the pain. Simple relaxation or sleep relieves me from pain. It has become a major obstruction during my studies, and it makes me uncomfortable at times. I had my MRI checked, and it showed no problem. Doctor: Hi. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 6028, + "tgt": "I have tonsil problem. Is there any treatment without surgery?", + "src": "Patient: Hello doctor, I am a 16-year-old male. I have tonsils. What is the treatment for it without surgery? Homeopathy is required. Doctor: Hello. I am guessing you are having repeated episodes of tonsillitis, where you have been given antibiotics. Maybe your doctor has suggested surgery. There are some effective Homeopathic remedies for tonsillitis. You can take: 1. Baryta Carbonica, 6x dosage, if you have chronic enlargement of your tonsils. 2. Belladonna, 30c dosage, if the tonsils are extremely red and there is a lot of inflammation with fever. 3. Mercurius Vivus, 30c dosage, where there are pus and foul-smelling breath. Try the one that matches your symptoms best. Take a dose every hour of your chosen remedy, and if there is an improvement, give another dose, up to four doses. It would be helpful if you consult a Homeopath in your area, who could look at your tonsils and help you to find the best remedy. For the prevention and treatment of tonsillitis, you can take a naturopathic remedy called Berberis Formula by Genestra, which you can likely order through your local health food store or order online. It prevents and treats bacterial infections. At the first sign of tonsillitis, take two capsules, twice a day until the infection is gone. I use this very successfully with my own children. Or, if you cannot easily access this medicine, you can take Goldenseal tincture, (in drops) as directed on the bottle for seven days. This is easy to find at a health food store. Take vitamin C for your immune system and a multi-vitamin or mineral supplement. Make sure you take a lot of vitamin D, which boosts your immune system. Try to keep your hands always washed well with soap and away from your mouth for prevention. I hope this helps you." + }, + { + "id": 17635, + "tgt": "I cannot resist the temptation of watching porn videos. Please help", + "src": "Patient: Hello doctor, I am a 25 year old unmarried male. My problem is since I am 20 years old, I used to watch porn videos. But, during past one year it has become a regular habit of spending thrice a week watching porn. After ejaculation, I would feel guilty. I would like to control the habit, but I cannot resist it. Every second or third day my brain would go out of my control and I cannot resist the temptation. Of late, the number of hours I spend watching is gradually increasing with around 7-8 hours a week.\u00a0During my college days, I did not have this habit. For the past one year, I am living alone in hostel with internet access preparing for competitive exams. I am afraid that this addiction could become worse in the future. I want to focus on exams and career without diversion. Apart from this, I have no other problem in my life. Please help me to come out of this. Thank you. Doctor: Hello. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18931, + "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": 15121, + "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": 23155, + "tgt": "I was told I may have Crohn's. What should I do?", + "src": "Patient: Hello doctor, I am a 48 year old female. History of malnutrition caused by stomach issues that still have not been officially diagnosed but I am told I may have Crohn's. I have chronic pain and seeing a pain specialist for stomach and migraine-related pain. My symptoms are: Severe fatigue. Body aches. Headache on and off. Postnasal drip. Mild sore throat. Shortness of breath. Upper back pain on the left side when I breathe deeply. When I had similar symptoms in fall, I was diagnosed at urgent care with bronchitis. I was given a breathing treatment, inhaler, and antibiotics. I started feeling a little better, then it came back in winter. I have felt poorly since then, but not this bad. Doctor: Hello. Calprotectin is a simple non-invasive stool test that can exclude Crohn's disease. Regarding your stomach pain, I suggest that you take Controloc 40 mg (Pantoprazole) once daily at morning. It is very effective. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Regarding your chest problem, I am afraid that you have another episode of bronchitis that will require chest X-ray and some blood tests to confirm. As for your back pain and muscle ache, I suggest local Voltragen gel and deep heat creams. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13517, + "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": 9775, + "tgt": "Can you tell me a powerful ayurveda medicine to lead a healthy life?", + "src": "Patient: Hi doctor, I am a 25 year old male. I\u00a0am a healthy person. If I want to maintain this health ever, then I understood that I should balance vata, pitta and kapha (tridoshas) in my body. I have also studied many basic principles of ayurveda for the last three years. Kindly tell me a powerful medicine that always balances tridoshas and seven dhatus in my body. I am already on Triphala. So, please tell me something useful to balance my body equilibrium. Thanks in advance. Doctor: Hi. According to Indian traditional medicines (ayurveda and siddha), one can be healthy by balancing three life humors and seven body humors. Drugs that contain all six tastes can do this. For example, amla (gooseberry), triphala, etc. But, in today's lifestyle, these two are not sufficient as you feel and I also agree with you. Once in a six month, you need to subject you for body service. It means purgation, vomiting (vamanam) and sweating or sputum expectoration are the three procedures to balance vaatham (vata), pitham (pitta) and kapham respectively. This can be effectively done under ayurveda or siddha physicians. In ayurveda, they do it in panchakarma therapy. In siddha, it is done in two phases : Currently available Kaya kalpam drugs are Triphala tablet, Karisalai karpam tablet, Bhringaraj karpam powder, etc. You can take the first tablet for five months in the morning and evening and then give one month gap. Then start second or third tablet for the next five months. Again, leave a gap of one month. This should be continued for life long. I have been using these two tablets. This Triphala karpam tablet is different and enriched with other herbals as well. Weekly once, you need to use pancha karpa kuliyal choornam. This powder is boiled in milk and then applied over the scalp at morning. Wait for one hour and then take bath. On that day, you never feel sleepy instead you will be more brisk or refresh. In addition, once in six months take Agathiyar kuzhambu just once for balancing three dhoshas. I feel this regimen is cheaper and effective than regular Panchakarma. Early stage brownish or white hairs will also become black. This is the kaya kalpa regimen for a healthy individual. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5806, + "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": 13755, + "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": 17026, + "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": 18261, + "tgt": "I got my periods a day after a positive pregnancy test. What just happened?", + "src": "Patient: Hello doctor,I have been trying to conceive for some time now. This month I was put on hCG injections and egg formation. Everything was done on time and my periods date was 30th. I did a pregnancy test at home yesterday and it gave a faint line and I am attaching the photo. Today, I got my periods three days in advance. I fail to understand what happened. Could you please help me understand how could I get a faint but visible line on my test kit and get periods the very next day? Doctor: Hello. The faint line could be because of hormonal changes due to the hCG injection you have taken. The test is to detect hCG levels in your body, which can be detected during pregnancy. 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": 30403, + "tgt": "I am having few symptoms since I had whiskey for the first time. What to do?", + "src": "Patient: Hi doctor, My mind is foggy and I am not able to think clearly. I am very forgetful and I sleep more during daytime. I cannot grasp things quickly and it takes a lot of time. My problem started 4 years ago when I drunk whiskey for the first time in my life. Since then my mind was foggy and slowed down. Also, I started skipping work and studies. Please help me. I have taken a lot of antidepressants, but it does not help. I am very much confused and I am less attentive\u00a0to the things that go around me. I find difficulty in driving the car and it takes a lot of mental effort. I have social phobia and I fear going out of home. I like to do everything at home. Doctor: Hi. Substance induced anxiety. GAD (generalized anxiety disorder) with social phobia. Psychotherapy (CBT - cognitive behavior therapy) with short term pharmacotherapy. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25213, + "tgt": "Can root canal treatment be done on a small kid?", + "src": "Patient: Hello doctor, My 2-1/2-year-old son has a problem with four teeth (front, above) and doctors are suggesting RCT (root canal treatment). Here are my questions. Can RCT be done for such a small child? Will it affect his next teeth at around 7 years of age? Is there any alternate for RCT available as he is least cooperating? The doctors are saying that general anaesthesia will be needed for RCT. Is it safe? Doctor: Hello. If he is not cooperating then root canal treatment is very difficult for him and he would need to be sedated. You can delay the treatment by taking antibiotics and paracetamol for a week. This will give relief for some months. Also, use a good toothpaste to prevent further cavities. In small children, proper root canal treatment need not be done but a procedure called pulpectomy can be done to give relief for a few years. For more information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 17000, + "tgt": "I brush my teeth twice daily. Even then my teeth are yellow. What to do?", + "src": "Patient: Hello Doctor, \u00a0 \u00a0I am 18 years old. I brush my teeth twice daily. Even then my teeth are yellow. \u00a0 \u00a0What can I do to make my teeth appear white? Doctor: Hi. Consult a dentist online to know more about scaling --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29326, + "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": 25441, + "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": 10902, + "tgt": "What can be done for fever of 101 with green color vomitings in a baby?", + "src": "Patient: Hi doctor, My kid is 4 years old (baby girl) and weighs around 14 kg. She has fever of 101 from last evening followed by vomitings and motions. She is vomiting green color fluid and passing stool of same color, we have given her Calpol 250 mg 4 ml doses twice from yestday for every six hours. Should we give her Vomita medicine? Or continue with Calpol? Doctor: Hello. Based on your history, I can suggest please go to pediatrician urgently. May be need to do abdominal sonogram because green color vomiting is unsual in 4 years old children, sometimes there may be lying some intestine problem like obstruction. I am not making you scared but informing you regarding possible urgency. You can give Calpol every six hourly. For vomiting, you can give syrup Ondansetron 5 ml three times a day for three days. Give ORS to prevent dehydration. I am not giving you full prescription because I want you to visit pediatrician and get herself checked first. Ultrasound abdominal." + }, + { + "id": 246, + "tgt": "I get joint and muscle pain with positive ANA test and normal ESR and CRP. What is my problem?", + "src": "Patient: Hello doctor, I get frequently sick with joint and muscle pain and burning legs sometimes feel difficulty walking and climbing stairs. I consulted a physical, he tested ANA and it came back positive but since ESR and CRP are normal he said no need to test further and I am perfectly healthy. But my pain never subsided, I cannot go to the office due to AC and joint pain. It is affecting my work and quality of life due to frequent sickness and unable to do normal activities. After consulting a rheumatologist he further tested ANA profile and anti ds DNA. That also came perfectly alright. I am confused with my body why my joints are paining so much without any disease? Doctor: Hello. I would like to ask you a few more queries. Is your sleep pattern normal? Do you have morning fatigue? How long did the viral last? Any hair fall, oral ulcers, dry eyes, or dry mouth? Any recent irritability or forgetfulness? It more appears to be chronic fatigue syndrome which usually has a previous viral illness. But let me know these queries and would guide you further." + }, + { + "id": 18810, + "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": 22175, + "tgt": "My 29 months old kid is having high fever and shivering. Please advise", + "src": "Patient: Hello doctor,My kid is 29 months old. She is having high fever till 101 and running nose since afternoon today. Now she has 103 fever. She also complained of shivering in the evening. She has not eaten anything. Given Meftal as of now. Please advice. Doctor: Hi. I understand the situation you are facing. Your daughter most probably has a viral fever. Keep checking the temperature regularly like hourly or second hourly. You can continue Paracetamol every sixth hourly along with tepid sponging. You can give ORS (oral rehydration solution) and a soft diet. If becoming dull or lethargic or not eating anything or any new symptoms develop, better to get admitted. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13304, + "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": 23655, + "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": 19706, + "tgt": "Will vitamin D deficiency during pregnancy affect baby growth?", + "src": "Patient: Hi doctor, My wife is 29 years old and we have a 5 year old son. It was a premature delivery in the 34th week and it was a normal delivery. After that, she had three abortions and all are because of no fetal growth and heartbeat. Currently, she is 10 weeks pregnant. Her recent ultrasound scan showed normal and good heartbeat found. From the investigation report, we came to know that her vitamin D level is 12 and B12 is 227. Will it impact the growth of the baby? Shall we continue the pregnancy? Fetal hemoglobin (HbF) 0.9%, hemoglobin A0 (Hb A0) 96.5% and above one year 94.3 to 98.5 hemoglobin A2 (HbA2). Doctor: Hello. 1. APLA screening for ACL (anticardiolipin antibody) and LAC (lupus anticoagulant). 2. Beta-2 glycoprotein. G5P1L1A3 with 10 week period of gestation with vitamin D deficiency. 1. Low dose Aspirin. 2. Pregnancy support. 3. Routine antenatal care. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30350, + "tgt": "What is your opinion regarding my medication?", + "src": "Patient: Hi doctor,Three years ago, I had a stent in my LAD, which had been 96% occluded. At that time, my cardiologist put me on Plavix for a year and ongoing 81 mg Aspirin therapy. I am also taking 50 mg Atenolol. It was 25 mg until this month and was increased due to palpitations probably stress related. I was also put on 5 mg of Crestor a day. My doctor and I agreed to this, since five men in my family took statins and all had an adverse reaction. Also, two of them were hospitalized due to it. The therapy had been working and my total cholesterol dropped from pre-stent therapy total 219, HDL 140, HDL 44, triglycerides 209 to post-stent with medicine total 138, LDL 71, HDL 39 and triglycerides 141. Over the past one year, I have been doing intermittent fasting. In the past year, have further lowered my numbers to 91 total cholesterol, 48 LDL, 40 HDL, and 61 triglycerides. This latest result has been repeated twice at six months intervals. Now, my GP is skeptical about the low dose statin and wanted to put me back on a blood thinner as well. I cannot get in to see a cardiologist for a month. I am reluctant to be put back on Plavix and I am equally reluctant to change statins and increase the dose. The new GP has kept me where I am with medicines for now. What are my options? It appears with diet and the current medical regimen that I am getting excellent results. Am I mistaken? Are high dose statins required despite the good blood results? Are all statins created equal and are they interchangeable for every individual? Doctor: Hi. Good to know that you are in good control of your lipids. First of all, statins must be used when one has had any heart attack or stroke. The dose of statin is set by the level of LDL (low-density lipoprotein). LDL must be lowered to one half. In your case, Crestor (Rosuvastatin 5 mg) is doing the best. Yes, there are side effects of statins. The most common are muscle pain and weakness. In my opinion, Rosuvastatin 5 mg is the best for you because it is of very low dose. If you change to another statin (Atorvastatin), you will have to take at least 40 mg per day and that may cause side effects as these are common in your family. So, I recommend to continue Crestor 5 mg. You may be thinking that should I quit statin as my lipid levels are quite under control. Remember, the good effects of statins in case of heart attack or stroke is not only through decreasing lipid levels, but there are also many other ways statins benefit patients. So, keep up with your current treatment regimen. Keep your blood pressure under control and do regular exercise of moderate intensity for about 30 minutes a day for at least five days a week. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1800, + "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": 17484, + "tgt": "Can I switch from Metronidazole to Soolantra cream for rosacea?", + "src": "Patient: Hello doctor, I live in a tropical country, where the exposure to the sun is too much. My skin used to be fair before moving to this country. Back in my country, I used to never go out in the sun. After I moved here, my skin is burnt. It was red at first, and then the blood vessels were visible. I started using Metronidazole cream from two years, for 4 to 5 months with breaks, after I was diagnosed with rosacea. I even tried laser treatment last year, but it did not help much. My condition is slowly getting worse, and I stopped Metronidazole cream last year. When can I start using Metronidazole again? Can I switch to Soolantra? I have read that it is a new cream for type 2 rosacea. Do I have type one or type 2 rosacea? Should I try laser or IPL? I have attached a picture of my skin. Doctor: Hi. Hope this is helpful. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17917, + "tgt": "Is it possible to have low erythropoietin count and high RBC count together?", + "src": "Patient: Hello doctor, I am 27 years old male, 6 feet, and 180 lbs.\u00a0I started a new job and the life insurance company wanted me to take a blood test. The results are attached.\u00a0My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal range 3.7-6).\u00a0The insurance company now wants me to see a hematologist for\u00a0polycythemia. What are the odds that my result is\u00a0actually related to that?\u00a0I was also just diagnosed with moderate sleep apnea. Doctor: Hello. All the best and do well in your\u00a0new job. For further queries consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 7266, + "tgt": "Are streaky opacities in chest X-ray associated with malignancy?", + "src": "Patient: Hello doctor, There are streaky opacities seen on my chest X-ray. I would like to know more about the meaning of these findings. Are streaky opacities associated with malignancy? My key symptom is shortness of breath. I have no coughing, no fever, no sputum, and no hemoptysis. Also, I am an ex-smoker and have just quit smoking for two months (my smoking history: around 20 years, around 20 cigarettes per day). Doctor: Hi. I have read through your query in detail. Please find my observations below. Streaky opacities scattered in both lung fields means that there might be small straight lung shadows along the air passages on your X-ray on both the sides. These prominent airways in the lungs are seen in both lungs and might be due to some sort of inflammation in the airways or possibly due to changes as a result of any lung infection which you had months to years back. This is not indicative of malignancy but with a history of smoking for 20 years and recent onset breathlessness, it requires detailed evaluation. However, you need to get lung function tests (spirometry) done to know if your lung breathing volume and capacity are within normal limits. Spirometry will also show any reduced breathing capacity that you might have developed due to smoking for 20 years. Your symptoms of shortness of breath might be either due to reduced breathing capacity and exchange of gases in the lungs or due to a heart-related problem. In conclusion, I recommend that you get the lung function tests and an echocardiography is done to confirm that the functioning of lung and heart are within normal range. You can take medicines as given by your doctor and get the X-ray chest repeated after 15 days. If the streaky opacities persist then doing a CT scan chest might be required to study the air passages in detail." + }, + { + "id": 9571, + "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": 7678, + "tgt": "Is it necessary to get rabies vaccine after dog scratch?", + "src": "Patient: Hello doctor, I had a dog scratch. Stray dog accidently tripped over my legs and his foot bruised over mine. No cut, no blood. Do I need rabies vaccine? Doctor: Hi. I have read your query carefully, I just want to confirm that is there any blood from the scratches over your skin? Wash the scratches with soap and plenty of water. If possible provide a image of scratches to me so that I can conclude and if possible watch over the dog for 10 days." + }, + { + "id": 20554, + "tgt": "How can I reduce social anxiety developed in me?", + "src": "Patient: Hi doctor, I am an introvert. I have social phobia and anxiety. My hands and feet start to sweat, and my voice chokes when I am required to speak in front of people. Because of this, I have lack of confidence and self-esteem which has developed a feeling of worthlessness and loss of hope in me. I am unable to concentrate on my work. My sleep has also increased. Having more amount of sleep is also not enough for me. I always have the feeling to sleep more. I have never consulted a doctor about this problem so far, and I have never taken any medication for the same. Doctor: Hi. I can understand your problem. A lot of individuals have social anxiety. The anxiety of being judged, restlessness on speaking in front of people, anticipatory anxiety what others will think about you, reduced confidence and depressive symptoms secondary to social anxiety are commonly seen in individuals. For social anxiety, both medicines and psychosocial treatment is advised. Have the practice to speak in front of the mirror, and this will help to boost your confidence. Try to reassure yourself that nothing is wrong, and no one is judging you. Breathing exercises like deep breathing, and breath for a count of six for two minutes. It will help to control the heightened anxiety. Progressive muscle relaxation exercise can also help to boost confidence. With time and practice, you will learn to control the tone of muscles which increases during anxiety. You can follow this during the events of anxiety. This will keep you calm. Medicines like beta blockers are my first choice for anxiety. Propranolol can be used in anxiety-provoking situations. The drug is safe to use, and there is no need to be taken regularly. If the anxiety persists even after that, then medications like SSRIs (selective serotonin reuptake inhibitors) can be used. The drugs should be used periodically, and it will help to treat anxiety. You can visit a psychiatrist for help regarding medicines if there is a need." + }, + { + "id": 30625, + "tgt": "While using contraceptive pill, will I remain protected during pill free days?", + "src": "Patient: Hi doctor, I am starting a pack of pill two weeks after my periods. After completing the pack will contraception start? Do I need to take the 7 pill free days after the first pack? Will remain protected during those seven days? Doctor: Hello. I guess you are taking combination pill that is hormonal contraceptives containing both estrogen and progestin (synthetic progesterone). These act by preventing your ovulation and making your cervical mucus thicker. You need to take combination pills within five days after the start of the period. Then, you need not follow other means of contraception. You may start combination pills at any time and only concern is that you will be protected from pregnancy 7 days from then. Yes, you need not take pills in the fourth week and this will initiate your withdrawal bleeding that is you will have a menstrual bleed in that week and you will be protected. Some measures you need to follow. You need to ensure that you take these pills regularly at the same time each day. If you vomit immediately following pill consumption, then take one more pill. You should not miss the pill. If you miss a period, then do not panic as irregular periods are common. You need to confirm by urine pregnancy test . For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29973, + "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": 28441, + "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": 879, + "tgt": "Doppler scan shows mid left hydrocele with loose scrotum. Is this normal?", + "src": "Patient: Hello doctor, I went for Doppler scan because I feel a small tiny seed inside my scrotum sack. The scan says everything is normal. Nothing is found, testicles are fine but it says mid-left hydrocoele found. Doctor said, no need to worry and it is no cause for alarm and that I can drain it if it got bigger. I went home. After five days, I notice a swelling that is not round in shape and close to the left testicles. The urologist did another scan for scrotal Doppler. The report is the same as the first one. Only a left mid hydrocoele was found. The doctor said, he is surprised that the scan has not picked up varicoceles. Because he noticed left varicoceles when he feels it. I can feel the right varicocele is small than the left varicocele. He asked me to go to another hospital for a scan and mostly they should check for varicoceles. Surprisingly, the third Doppler scan for scrotal in another hospital seen nothing wrong, and the investigation was normal. The urologist says, since the three reports have picked up nothing and no varicoceles are found, he could not operate on it. That this is because the varicocele is not large enough to cause problem for the Doppler to see. I asked the doctor whether I should go for a semen analysis to see if the semen is normal. He says that is a good suggestion to rule out every suspicious of varicocele and my sperm count is normal. I ask him about the swelling close to the testicles, he said, that is normal and I should relax and it will not affect my testicles. Do you think I should be relaxed about this? Is the doctor right? I have a very loose scrotum sack. Is this normal? The scrotum sack reduces in size only when I feel like using the toilet to pass out stools. Is this normal? Doctor: Hi. I went through your detailed medical history and the reports you have mentioned here (attachment removed to protect patient identity). To tell you the fact a small hydrocele is usually harmless but it has the tendency to increase in size gradually over a period of time at which point you might need surgery to help you. If the Doppler scans are not showing the varicocele it might be at an initial stage. It is a good option to get your semen analysis done, this will help you to find out if there is any problem with your sperms but will not rule out the cause that is a varicocele. It is advisable to get follow up Doppler at three months interval but I would not recommend surgery just yet, especially, if you have completed a family and you already have children. Surgery is a necessity if your hydrocele increases in size and causes discomfort or a varicocele is found on the Doppler scan of the scrotum, or immediate surgery is advisable if your sperm count is low after ruling out other causes for a lower sperm count. In the meantime, what you can do at home is to provide scrotal support. You can buy it at any pharmacy or if it is not available then you can wear tight underwear. These are just temporary measures until you can get all the tests done. I hope this helps." + }, + { + "id": 1330, + "tgt": "I have been on my period with heavy flow and clots for three weeks. What to do?", + "src": "Patient: I\u2019ve been on my period for 3 weeks. It\u2019s beyond heavy. I soak thru a pad and ultra tampon hourly. I am also passing golf ball size clots and massive gushes of blood! I have some cramping as well! No dr can see me for 3 weeks due to Covid and I don\u2019t know what else to do. Doctor: Hi, bleeding so heavily for 3weeks is really painful and tiring . I salute to you for bearing it for so long I want you to know that endometriosis can only be suppressed with taking contraceptive pills continuously . for now take tab .deviry (medroxyprogesterone ) 10mg thrice daily for one week followed by twice daily for next one week and followed by once daily for next one week and stop eventually. I am also concerned about your Hemoglobin levels following such heavy bleeding .please get hemogram ,an ultrasound done . For now you can take iron ,folic acid and bit B12 tablets to combat anemia. please get back to me if u have any queries regards" + }, + { + "id": 15233, + "tgt": "Is it necessary to get a second round of antibiotic course for sinusitis?", + "src": "Patient: Hi doctor, I have been dealing with sinus issues pretty much all fall and winter. Three weeks ago I finally decided to head to the doctor and was prescribed a Z-pak for my sinus infection (main symptoms were congestion, ear pressure, and lethargy, tiredness). After the Z-pak I was feeling much, much better. Essentially back to normal physically. Now, around two weeks post-antibiotic treatment, I am dealing with some small lingering symptoms, increased mucus in the morning, ear pressure in the mornings and evenings, and a nose blow or two of light yellow snot (this was thicker before antibiotics). My question is whether it is worth going back to the doctor to get another round of antibiotics to finish it off or is this something my body will slowly get rid of in some time? I certainly do not want to take another unnecessary course of antibiotics. However, I do want to get rid of the symptoms. I am currently using Flonase in the morning. Doctor: Hello. You do not need to go back to the doctor for antibiotics. If you were to come to me at this point, I will examine you and make sure the disease process has reduced. And if everything goes well, I will prescribe you some mucus lightening agents with anti-allergic and continue the spray. Mucus lightening agents are Ambroxol or N-acetylcysteine. Ambroxol 30 mg can be taken twice daily for 3 to 4 days or you may take 75 mg (Ambroxol sustained release) once daily for 3 to 4 days and thereafter continue either of these regimens till you have phlegm. Anti-allergic is Deslor (Desloratadine 5 mg) taken once daily or Levocetirizine 5 or Cetirizine 10. Add Singulair 10 mg once daily with these. These two you may have to take till winters resolve. Continue Flonase spray as prescribed. Can try some nasal douching once or twice daily to help alleviate the symptoms. Saline douching can be done. Nasowash is a premixed sachet with saline powder which you gotta mix in water and douche the nose." + }, + { + "id": 20436, + "tgt": "I have gingivitis. Gums are very painful. What do I do?", + "src": "Patient: Hello doctor, I am a 56 year old male. I have been diagnosed with gingivitis and taking medicines like Metrogyl, Amoxyllin, and Relaxon since two days. But, it is very painful today. What do I do? Doctor: Hi. Gingivitis is a condition in which the gums are inflamed, reddish and have the tendency to bleed while brushing. When the gum disease is severe it causes pain. From the details you have given, it is clear that you are already under antibiotics and painkiller regimen. It usually takes about five days for the symptoms to subside gradually. The pain comes down as the inflammation subsides. Pain relief will be complete only after a dental procedure called the scaling (cleaning) which is done by the dentist after the inflammation subsides. I suggest you use Chlorhexidine mouthwash twice daily. Also, apply Rexidin M gel (a combination of Chlorhexidine, Lidocaine, and Metronidazole) on the gums twice daily. If the pain is unbearable, apply Mucopain gel (Benzocaine) on the gums. This is a topical anesthetic gel that temporarily relieves the pain. But, this should not be used regularly. Do warm salt water gargling after every meal. In case you are a diabetic patient, control of blood sugar levels is very important for the healing of gingivitis. If the pain persists even after a week after scaling, then there might be chances of bone loss, abscesses or periodontitis." + }, + { + "id": 21674, + "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": 3327, + "tgt": "Will subconjunctival hemorrhage heal on its own?", + "src": "Patient: Hi doctor, My 5-year-old son has had a pretty bad cough that we are treating and he is improving. Last night, he had some pretty severe coughing fits, but we got through those with herbal tea, cough drops, and a small spoonful of honey. When we got up this morning, and I looked at him I was alarmed to see both of his eyes had puddles of red blood over part of the white areas. I did some online research and it looks like a subconjunctival hemorrhage. Everything that I read about this condition says it will heal on its own. But I would like a professional opinion. He did have some eye goop the day before as part of his cold sickness, but that cleared up on its own. Doctor: Hello. I reviewed your history and the photos attached to the question. (attachment removed to protect patient identity). The photos show sub-conjunctival hemorrhage as rightly thought by you. This is because of the collection of blood under the conjunctiva. This occurs most commonly following injury but can also occur in cases of coughing or severe sneezing as in case of your son. This will resolve slowly as the blood gets absorbed over a period of two to four weeks. No treatment is required. Use of vitamin C tablets will help in quick resolution. The cough needs to be treated appropriately. You need to consult an ophthalmologist if there symptoms like pain, diminution of vision. Otherwise no need to be worried he will be fine. I hope this helps." + }, + { + "id": 3073, + "tgt": "Is it possible to have decreased heart rate due to anxiolytics?", + "src": "Patient: Hello doctor, I am a 49-year-old male. 100 kg. 180 cm. I exercise Cardio regularly however carry a little extra weight. I suffer from anxiety and are presently on inderal lyrica and Prozac. Over the past 2 weeks I have noticed my resting heart rate on my smart watch is about 48 bpm. Traditionally it has been around 58 bpm. Other than anxiety I do not have any symptoms. What could be the causes of this and is this of concern? Doctor: Hello. I understand your concerns, do not worry you will be fine. The Inderal you are taking is what is reducing your heart rate. A 48 bpm to 58 bpm is not bad so long you are not experiencing symptoms like fainting or shortness you are fine. I advise you to countinue to monitor your pulse to make sure your heart rate isnt dangerously low. For now it is not a cause for concern." + }, + { + "id": 11705, + "tgt": "How to manage pain in penis?", + "src": "Patient: Hello doctor, I have pain at the right side near the penis for 20 days. MRI done on pelvic region showing infective etiology likely, there is thickening of right side epididymis, and vas deferens, right side seminal vesicle is thickened. Mild hydrocele on the right side. A thick-walled, 22.5*21*34 mm complex cystic area seen in the right inguinal region just posterior to and abutting the spermatic cord adjacent to the root of the penis. Current medications are Naprosyn 500 mg, Omeprazole 20 mg, Chymoral forte tablet, Methylcobalamin, Alpha Lipoic Acid, Folic acid, Pyridoxine hydrochloride and Oxidation plus capsule. Doctor: Hello. It is the infection involving right testis, right sperm tube and both sides of groin lymph nodes. Please get a urine routine and culture test done. From the list of medications, I do not see any antibiotic. I suggest you start capsule Doxycycline 100 mg twice daily, to be taken for 14 days with the consent of your treating doctor. Is there any recent history of sexual exposure? You can contact me in about five to seven days after getting a sonography of right inguinal and KUB region (kidney, ureter, and urinary bladder). Take care." + }, + { + "id": 9362, + "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": 10613, + "tgt": "While extraction, I was told that my tooth was attached to bone. Is it common?", + "src": "Patient: Hi doctor, During a recent extraction of 9 teeth, the dentist said that my right upper back molar had attached itself to the bone. When he tried to extract it a piece of my jaw bone cracked off, pierced the sinus cavity and punctured an artery. Blood spurted everywhere and they frantically applied pressure and packing until it stopped. They sutured it and sent me home with Penicillin. The dentist acted very casual like it happens all the time. I cannot find anything about this subject on the internet. It has been eight days and I have been weak and experiencing constant cold sweats. I do not have fever. I am still spitting out fresh clots of blood three or four times a day. They are not very large, but they are definitely fresh. Is this something that happens frequently with lasting and future effects? What is your opinion of these events? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21088, + "tgt": "What could be the reason for raised platelet count without any symptoms?", + "src": "Patient: Hello doctor, Ten days back I checked my report. All reports are normal. Only platelets are 590000. I have no symptoms and no fever about that. Doctor: Hello. The increase in platelet count can be because of a primary cause like myeloproliferative neoplasm or secondary reactive cause. Secondary cause includes some inflammation, infection, hemorrhage or anemia-like condition. You can take a healthy diet with more vegetable and fruits for a few days. Maintain hydration with lots of water. If you have a secondary cause, then platelet count will decrease and will fall within a normal range in a few days. But if platelet count does not decrease in a few days, then you have to consult a hematologist for examination to rule out the primary cause. He will suggest you investigate with Jak-2 mutation and bone marrow aspiration study according to need. So repeat your CBC (complete blood count) after a few days." + }, + { + "id": 20343, + "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": 30734, + "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": 15177, + "tgt": "Do I need growth hormone therapy? Age 11, weight 33kg, height 134cm, 4 cm/year growth in last 2 years", + "src": "Patient: Hi doctor, My son is 11 years, weight 33 kg, height 134 cm, father's height 165 cm, mother's height 155 cm. The increment in height in the last 2 years was 4 cm/year. Does he need growth hormone therapy? What are the investigations needed? Doctor: Hi. Your son's height falls just below the 10th percentile of height for age (WHO standard). Given that your height (parents' height) is in low to mid normal range compared to the average height of the population at large, your son's height is not lagging behind that far. His height gain in the previous two years is on the lower side. However, his main height gain will be in the forthcoming years when he enters puberty. So at this stage, growth hormone therapy is not warranted, unless a recent head injury or a recently developed pituitary gland tumor has put his growth and development at risk. If he does not have a headache, decreased field of vision or seizure disorder or take steroids for any other illness or have kidney or liver disorder, he can be just observed over the next three to six months. Maybe you can assess his nutrition intake, activity level and check his serum IGF-1 (Insulin-like Growth Factor-1), serum bilirubin, SGOT, SGPT, serum protein and albumin, hemoglobin, serum creatinine, free T4, TSH and inform me the reports (just to rule out any major disorder). Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 24456, + "tgt": "Does vomiting sensation after unprotected intercourse mean pregnancy?", + "src": "Patient: Hi, I had unprotected intercourse with my partner a month back. I did not ejaculate inside her. Later to be sure, she did a home pregnancy test after 21 days, it came negative. Since yesterday, she is having vomiting sensation, not able to eat anything, light stomach cramps and light fever. She did pregnancy test today morning again; it came negative. We are confused and worried if she is pregnant. She has PCOD also. She had her last periods 45 days back. Do we have to go for a blood test? Doctor: Hello. The best way to rule out pregnancy conclusively is serum beta HCG (human chorionic gonadotropin) test if she has not had her menses yet. If the HCG levels are less than 3mIU/ml, then she is not pregnant for sure. The delay in menses is then likely to be due to PCOD (polycystic ovarian disease) itself. An ultrasound pelvis would be required to confirm the diagnosis and then a withdrawal bleed can be opted for with progesterones to initiate a bleed. For more information consult an obstetrician and gynaecologist onlline --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29325, + "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": 7576, + "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": 10662, + "tgt": "Why is there pain in opposite tooth after root canal treatment?", + "src": "Patient: Hi doctor, I did a root canal before a couple of days. But I have pain in the exact upper tooth of the root canaled tooth. I have attached the X-ray after the first sitting of the root canal. Please suggest. Doctor: Hi. I can understand your concern regarding dental health. In this condition, it will take time to have healing of the ligament and tissue at the end of the root of the root canaled tooth as it was previously affected by the infection. So do not worry and take antibiotics and analgesics prescribed by your dentist. If the pain persists even after all these, then go for check up with a radiographic investigation of the same tooth." + }, + { + "id": 24303, + "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": 29731, + "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": 22012, + "tgt": "What HIV test should I go for if my suspected exposure was 45 days ago?", + "src": "Patient: Hello\u00a0doctor, What is the window period for HIV western blot test from the date of a suspected exposure? And, what is the accuracy of the test? Doctor: Hello. Regards. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4224, + "tgt": "How to get rid of unwanted thoughts and fear of insecurity?", + "src": "Patient: Hi doctor, I am having inferiority complex and fear of insecurity and death. I need some drugs to overcome these. Please suggest some medicines. I am having this issue for more than three years and also I used to imagine something that is not even going to happen like natural disasters, somebody comes and slit my throat or stabbing me. These kind of thoughts repeatedly coming in my mind. What to do? Please help. Doctor: Hi. I read your query and understand your concerns. Revert back with detailed history to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18325, + "tgt": "Until how many weeks into the pregnancy is abortion possible?", + "src": "Patient: Hello doctor, I am a 25 year old unmarried girl. I am curious to know about the various options for abortions (medical and surgical) and up to how many days they can be done. I tried to look online but, I got several different answers. So, I thought of asking a doctor about it. Also,\u00a0I want to know how safe is emergency contraceptive pill. I have PCOD and I am on ayurvedic treatment since the last four months. Doctor: Hello. The medical or chemical termination of pregnancy is safe and effective until 10 weeks. If it is beyond 12 weeks, surgical procedures may be required. If you take an emergency contraceptive pill within 72 hours of intercourse, there is no chance of a pregnancy. They are safe and effective. 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": 24067, + "tgt": "How can I correct my pale look due to minor beta thalassemia?", + "src": "Patient: Hi doctor, I am a 22-year-old female and I have a minor beta thalassemia (heterozygous) which is supposed to be asymptomatic but I am very pale. This makes me extremely insecure especially when people keep pointing it out. Every day I get at least two people asking me what is wrong with me and why do I look so pale and sick. I could be feeling really good and energized but look like a zombie from the outside. Please tell me if I can correct this and look healthy? I am not married and do not have kids and my period is regular and a bit heavy. Doctor: Hello. In thalassemia minor patient, Hb (hemoglobin) usually remains around 10-11 gm/dl. It is hemolytic anemia and so extramedullary erythropoiesis occurs in the bone marrow (attachment removed to protect patient identity). So, the mandible is also affected and become prominent. Low Hb is also present, hence people might notice you. You can be prescribed Iron tablet like Ferrous ascorbate for your Hb improvement. Consult nearby hematologist for examination and get your prescription. Thalassemia minor people can live normally and before marriage check your husband thalassemia minor report to avoid thalassemia major child. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13385, + "tgt": "Please tell me about the best tan removal treatment available", + "src": "Patient: Hello doctor, What is the best tan removal treatment for me? I am suffering from tan since 16. I am now 23. My tan is all over my face, but when I put on a beard for a month and then shave it off, it all goes away back to original. Is my tan deep or stubborn or easily removable? Sunscreen application is recommended every two hours. I am thinking of day Vitamin C serum application. I need to wash my face with water before re-applying sunscreen? Can I wash my face? Will washing off for sunscreen reapplication deter the efficacy of Vitamin C serum? Doctor: Hi. Tanning is due to sun. When you grow beard your hair protects the underneath skin hence it looks fair when you shave. Tan is not deep or stubborn. (attachment removed to protect patient identity). Keep Vitamin C application in evening and night and sunscreen should be used only when you go out in sun. It is useless to use sunscreen when at home. Any medication applied leave it for 2 to 3 hours before washing." + }, + { + "id": 24298, + "tgt": "Kindly help me analyze the tests taken for hair fall", + "src": "Patient: Hello doctor, I have undergone a few tests like CBC, ferritin, Vitamin D 25 OH, and thyroid function test for hair loss. Kindly help me analyze it. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity) and find that your hemoglobin and iron stores are slightly low as well as low Vitamin D3 levels. I would like you to write your symptoms again in detail and send me an HD picture of the area where you find significant hair loss and I would be better able to suggest the treatment. You may take capsule Mashyne ( Cholecalciferol, Iron, Folic acid, etc.) 60 K once every week for eight weeks and tablet Bizfer XT (elemental Iron, elemental Zinc, Folic acid, etc.) one capsule once a day for one month for the deficiency states. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10451, + "tgt": "My baby has constipation and gas problems due to Dexolac. Should I change the formula milk?", + "src": "Patient: Hello doctor, My daughter is a premature baby. Her birth weight was 1.7, and now she is 2 months old and weights 3.1. Our doctor suggested dexolac special care. She is suffering from constipation, and gas problem after having it. The doctor suggested medicines, but there were no changes. One to two days she was fine, and the next day the same problem started again. She is mostly crying at night and not sleeping. Can I change formula powder? What powder is the best for my baby? Please advice. Doctor: Hello. Please note that children below the age of 6 months pass stools either once in two to three days or 10 to 15 times per day. It is normal, and it is not labeled as loose motions or constipation. If you are labeling it as constipation because of hard pellet like stools, then I would advise you to increase the water content of the top feeds and see. As far as the gas problem is concerned, it is also normal. Nothing is to be done. Almost all babies have gas just like a normal adult. There is no medicine for the same because it is normal. You can calm down a crying baby by either singing (light tones), suckling (allowing baby to suckle), swaddling (wrapping the baby in cloth), swinging (putting the baby in a small too and fro motion). You can also tap slowly on the stomach to reduce discomfort as and when required." + }, + { + "id": 25927, + "tgt": "My mom is suffering blood in urine. Is it due to UTI or Xarelto?", + "src": "Patient: Hi doctor, This deals with my mother, who has a history of chronic E. coli bladder infections.\u00a0She has been on preventative antibiotics and topical estrogen.\u00a0Recently, she was eight months UTI free with being on 2000 mg mannose sugar daily.\u00a0Her eGFR was 65 around six months ago.\u00a0I reduced the sugar down to 1500 mg.\u00a0About a week ago, she developed some UTI symptoms.\u00a0Historically, she would get incontinence, urgency and a distinctive radiating pain shooting up torso when she peed. However, this week, she had only the symptom lightly once in two days in a row.\u00a0Otherwise, she had no other symptoms. I have attached the urine sample report.\u00a0I also have urinalysis strips. On the day of the laboratory sample, the strip was positive for nitrites, but nothing for RBCs or leukocytes. We\u00a0increased her mannose to 3 g for two days and then 2 g for three days. Then, the dipstick test showed leukocytes, nitrites and RBCS 200. Today,\u00a0two tests showed traces or negative nitrites (3 hours bladder retention).\u00a0However, the RBCs are still high at 200 and the urine sample showed a pink tinge. I have been given approval by a urologist to give my mother Fosfomycin. My mother's E. coli in the past have shown resistance to Bactrim, Amoxicillin, Ampicillin, etc.\u00a0She has no symptoms at this point other than being more tired and she is 90. Someone told me if nitrites are getting less, she might be able to get over this incident without a formal antibiotic. She does take 15 mg Xarelto daily. It was ceased last night, but taken today again. Is Xarelto playing a factor here? She also used to take estrogen cream more regularly, but now once a week if she remembers it. She had spot bleeding on her underwear a few months ago around once or twice and an ultrasound showed nothing. She has an ovarian cyst.She drinks 1 to 1.25 liters of water daily. We are just trying to gauge the significance of the blood in the urine.\u00a0She has no specific urinary symptoms, but more sleepy overall. Thank you. Doctor: Hi. I have gone through the history and the reports sent by you (attachment removed to protect patient identity). For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13824, + "tgt": "I get pain and bleeding after sex and pap smear shows CIN3. Kindly help", + "src": "Patient: Hello doctor, I have a history of back pain and pain during intercourse as well as bleeding after. My pap smear came back CIN3. What can I expect? Doctor: Hi. It depends on practices prevalent in your country and the prevalence of cervical cancer in your locality. Normally we would do colposcopic directed cervical biopsies to rule out cervical cancer and act according to the report of biopsy. Some doctors may prefer removing uterus after cancer is ruled out, especially if your age is more than or equal to 45 to 50 and if childbearing is complete. If there is a chance of cancer, extended surgery (for removal of the uterus) may be required. Kindly do not get frightened by the answer, as I have just mentioned possible treatment options we consider in our setup. All options may not be applicable in your case." + }, + { + "id": 19846, + "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": 19533, + "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": 17370, + "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": 1691, + "tgt": "I am unable to fold my finger from the time I hit on it with a tennis ball. Kindly help me", + "src": "Patient: Hi doctor, A few days back, I got hit on my finger with a tennis ball. I am unable to fold the finger from that time. I thought it as normal and applied ice. Also, I am using an ointment given by an RMP. It is almost two days now and still, I am unable to fold the finger. If there are three joints in a finger, then I am getting pain in the middle joint whenever my dad or mom does some massage with ice. Kindly help me with the above issue. Thanking you in advance. Doctor: Hi. I know how it feels when the finger got hit and unable to fold. First of all, after applying ice for 10-15 minutes ask someone to hold the finger from hand to the first joint. As you know there are three joints in a finger, ask them to slowly move the first joint without disturbing the second joint, and then do the same with the second joint by holding the first and the third joint. Repeat this for at least four times a day. If unable to do movements, then you can visit a surgical shop and ask for a single finger grip. which helps in the immobility of fingers. If available, can take Paraffin wax used in physio treatment. Melt the wax and apply it on the finger for 10 minutes. The wax therapy will be available at any Physiotherapy Centre. I hope these remedies will provide some relief from pain and gives mobility of the finger. Follow up after a week for the further treatment plans. Thank you." + }, + { + "id": 3902, + "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": 19659, + "tgt": "How to convince my husband to get his blood sugar levels checked?", + "src": "Patient: Hello doctor, This is regarding my hubby who is 35 years of age. He does not like to workout at all. I suspect him to have diabetes for a while and the symptoms I have noticed for the past few weeks are just too coincidental for a normal person. Although, I am not able to get him to undergo a blood test, as he is not listening when I say so. Could you please help me relate if these symptoms point to diabetes or any other particular health risk? Bladder Issue (he gets up five to six times every night). Abnormal facial and forehead sweating (even when it is not summer). Gets hungry frequently. In sleep, he gets a lot of jolts (like shocks) and gets up with them sometimes. Lack of sleep and thus sleepy during the\u00a0day and not much responsive to questions. Hair loss. Toenails are foggy and fungi-infected. Any suggestion or recommendations will help. Doctor: Hello. I understand your concern. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 24912, + "tgt": "How can I manage dry vagina and anxiety related to intercourse?", + "src": "Patient: Hello doctor, I have endometriosis and was under medication Endoreg 2 mg twice a day for 5 to 6 months. Since marriage, I have pain during intercourse, and anxiety related to that. I do breathing, and positive affirmation exercises to do it. Now, I want to plan a child, and the ovulation count is also very low. I have a dry vagina, and this makes it difficult for my husband too. He cannot ejaculate, and it is low pleasure due to the dryness for him. Since I am trying to conceive, trying not to use lubricant. Currently, I am on fertility drugs (Fertimod for five days) and doing follicular monitoring. Do you have any suggestion for the dryness and anxiety? Doctor: Hi. Apply Lox 2 % jelly (Lidocaine) over penis of the male partner. It will provide lubrication for both of you, also will decrease the pain. It will not affect fertility. Use tablet Etirest (Etizolam) 0.5 mg at night (half an hour before intercourse). It will decrease anxiety. Consult your specialist doctor, discuss with him or her and take medications with their consent. Also, do foreplay at least 30 to 40 minutes. It will dilate your vagina as well as provide natural lubrication. So, ultimately pain will decrease. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27306, + "tgt": "Will separation anxiety cause psychological problems for my kid in the future?", + "src": "Patient: Hello doctor, From the past five\u00a0days, I am sending my 21 month\u00a0old son to a daycare. For the first three\u00a0days, they allowed me inside the campus. Since I was close by, he was playing well. But, from\u00a0the last two days, they are not allowing me inside and hence he is crying a lot. Today he was a bit fine but, not actually enjoying. Will it affect my child's health? Will it create any psychological problem in him? I have heard that the cortisol hormone levels will be changed. Is that true? My in-laws are not staying with us. So, I have to either send him to the day care or I will have to send him to my in-laws'. Which is the best option? Doctor: Hello. I have gone through your query and understood your concern. Yes, it is true that the child may suffer from some psychological problems when not staying with the parents or the regular care giver as it occurs in some foster homes. But, as you mentioned that it is only for a few hours every day, it does not affect significantly. Make sure you are available to the child after your office hours and then take proper care of him physically and emotionally. Since in a daycare system, there will be other children with him, he will have company. So, it is not a problem. After a few days in the daycare, if you observe some changes in the baby, you may assume that the baby is not comfortable there. But, in the initial days, it is normal for him to behave like this as the baby has anxiety from the unknown surroundings and people. Leaving the baby at your in laws' place is a good option, provided they are able to take care of him. You can wait for a few days or weeks to see if the baby is comfortable in that place and then decide. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16057, + "tgt": "How can I whiten yellow teeth?", + "src": "Patient: Hello doctor, I have teeth of yellowish color. How can I whiten it? Doctor: Hi. It may be due to calculus deposit on the tooth surface. Please visit your dentist for scaling and if you get any further deposits even after scaling, you must go for polishing your tooth to get a white surface. Stains and calculus. Oral gingivitis. Oral prophylactic treatment (scaling). 1. Use mouthwash. 2. Brush twice a day. 3. Gargle mouth after every meal." + }, + { + "id": 12659, + "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": 28479, + "tgt": "I am 25 weeks pregnant, and I have severe chest pains. Please help", + "src": "Patient: Hello doctor, I am a 20 year old female, who weighs approximately 150 lbs, and I am 25 weeks pregnant with my third child. I went to the ER two days ago due to severe chest pains. They did an EKG, which they said came back slightly abnormal, but they did not explain. They hooked me up to all kinds of machines and ran a couple of tests, but I\u00a0did not want to go any further due to my pregnancy. They checked my heart rate and BP while lying down, sitting up, and then standing up. My BP was 80 to 85 mmHg while lying down, 100 to 120 mmHg while sitting, and it was 140 to 170 mmHg while standing. The doctor gave me Labetalol 100 mg,\u00a0to take twice daily. They did not do any further testing, and they told me that if it got worse, I should come back. It has not gotten worse, but it has not gotten any better either. So, I just wanted to get another opinion because this does not seem right. Thank you. Doctor: Hello. I understand what you are going through. Best wishes. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23127, + "tgt": "I am in constant pain due to disc protrusion. Will surgery help?", + "src": "Patient: Hello doctor, I have a small midline disc protrusion at C6/C7. Mild left side neural foramen C5/6 and C6/7 due to foraminal disc bulges. I am in constant pain daily and did three months with a chiro twice a week which has not helped and I am currently in my fourth week doing some kind of laser treatment (similar to acupuncture) followed by ultrasound treatment which has not helped either. Will surgery help? I am 39 and trying to have a baby (been doing IVF) want to try and fix the problem so it is not an issue when I have a baby. This has really impacted my life, I can no longer work as a carer as it is too physical for me and causes me too much pain. I can barely clean my own house and now have a cleaner helping me. I am desperate and scared it is going to get worse and that I will be in more pain when I am finally pregnant. Also, why are they wanting to repeat the MRI in four months for the thoracic spine? Doctor: Hi. May I know what kind of pain you have? Is it radiating to your fingers starting from the neck? Do you have pain in both the hands or only tingling sensations? Any aggravating or relieving factors? You have been asked to repeat MRI after some time due to a small lesion in the thoracic cord which is of unclear significance. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19808, + "tgt": "Why am I having severe gastric problems after seven years of gallbladder removal?", + "src": "Patient: Hello doctor, I have symptoms like loss of appetite, heartburn or heart skips a beat, bloating or gas, nausea or mini vomit in mouth, unpleasant taste in mouth or bad breath, abdominal pain sometimes, sometime fever, when on toilet, trouble going poo and uncomfortable movement, shortness of breath, like contractions in gut when pooing, pass gas lots. All frequent in the last two weeks. Got gallbladder removed seven years back. Doctor: Hi. See, what really happens is after removal of the gallbladder, it is seen that the person develops acidity and gastritis frequently. I would also say that these are symptoms related to irritable bowel syndrome. My recommendations would be to take a combination of Pantoprazole and Domperidone once daily for a few days. Take a soft and bland diet. Get your thyroid profile done." + }, + { + "id": 15529, + "tgt": "How to treat microcytic hypochromic anemia with thrombocytopenia?", + "src": "Patient: Hi doctor, My partner was admitted to the hospital for low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement on her platelet level. The doctor suggested me to consult a hematologist. On her recent reports, her platelet count was 42000 platelets per microliter of blood on the automated count, and it was 82000 platelets per microliter of blood on manual. Her report shows the presence of severe microcytic hypochromic anemia with thrombocytopenia. Please help us. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Her platelet count is low in the manual as well as in cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdomen has to be done to check for liver and spleen enlargement. It is also advisable to investigate with platelet function analysis. If all the reports are regular and if the platelets remain low constantly along with anemia, then bone marrow aspiration study can be done." + }, + { + "id": 6446, + "tgt": "I have 'cold water droplets' sensation all over my body. What could be the cause?", + "src": "Patient: Hello\u00a0doctor, I have been getting a\u00a0cold drop of water sensation all over my\u00a0body. It is more noticeable on the legs. I often go to clean the water, but there is nothing there. It only gets triggered when clothes touch it. I also have muscle twitching all over the body and a muscle tension on my right arm. I also noticed I am losing hair from my left eyebrow. I have no weakness, tiredness or loss of balance. No diseases run in my family, not even diabetes or cancer. I am a hypochondriac, and I was panicking for almost two weeks just because I noticed my finger was a little crooked and it was just normal. But now, I have developed real symptoms. Can anxiety cause such real symptoms? I am really scared. Doctor: Hello. I appreciate you seeking help. Hope this helps. Do take care, and all the very best. For more information consult a naturopathy specialist online --> https://icliniq.com./ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 11960, + "tgt": "What are the ways to cure headache and depression caused due to abuse?", + "src": "Patient: Hello doctor, I am very much feeling depressed due to some health issues. I am having a constant headache due to abuse. Doctor: Hi. Please provide details regarding your headache and abuse. Also, provide details about your current symptoms and like how they started and how they progress over time. What are the medications you are taking currently and for how long? Once I receive this information, I will be able to help you." + }, + { + "id": 30296, + "tgt": "Can you suggest ayurveda medicine for PCOD and hair loss?", + "src": "Patient: Hi doctor, I have two uterine fibroids each of 2 cm x 1cm size and cysts (PCOD) in the right ovary. I have a heavy hair loss and graying of hair. My hormone levels look normal. My BMI is 24. I also have a gall stone of 1.5 cm. I am trying to conceive. Can you please suggest medicines for the above problem? I am currently on Sukumara ghrita and Ashokarishtam. Doctor: Hi. Your body weight is within normal limit at present. Please maintain it. For fibroids, two medicines are required. Capsule Rasagandhi mezhugu (one in the morning and one in the evening after food) and tablet Chitramoola kuligai (one in the morning and one in the evening after food) for three months. Then, do an ultrasonogram to confirm the status. Mostly, it will be disappeared. If still there in smaller size, then you can continue these two tablets for two more months. This should be strictly taken under the supervision of ayurveda physicians as this is the special medicine for body purification like panchakarma. This may cause diarrhea and vomiting for a few patients. Usually, we give this medicine for three consecutive cycles. So, the conception may happen in the fourth month onwards. If the gall stone is not dissolved and causing problems during pregnancy, then laparoscopic surgery will be done. So, better first solve gall stone issue either by drugs or laparoscopy before planning for pregnancy. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15972, + "tgt": "How to stop hair fall immediately?", + "src": "Patient: Hi doctor, I am a 21-year-old male. I have hair fall problem for more than a year. When I am not taking a head bath a day, my hair becomes oily, and I start to have itching. How can I manage this condition? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The condition is known as androgenetic alopecia (AGA). It is also known as male pattern hair loss. It is genetic, and it occurs due to hormonal changes. It is a progressive condition. If you have a positive family history, then there can be a fast progression. Medications can control it. You can use topical Minoxidil 5 % solution. Apply one ml to the scalp in the morning after washing the scalp and apply one ml at night. It has long-term treatment. Take Androanagen (Biotin with Calcium pantothenate) tablet. It is a hair nutrient. Take one tablet in the morning after breakfast. Use Anaphase shampoo (Glyceryl laurate with Sodium laureth sulfate) to wash the scalp every day. Stop smoking if you have the habit. Nicotine decreases the blood supply to the hair roots. Do regular physical exercise every day for 40 minutes. It keeps the hormones under control. Take protein rich diet which includes egg, chicken, fish, milk, curd, and lentils. Hair is made up of a protein called keratin. So there is more requirement of protein in the diet. Wash your scalp every day. Do not use oil over your hair as you have sufficient oil in your scalp coming from the sebaceous glands of the scalp. Excess oil makes the scalp prone to dandruff." + }, + { + "id": 30840, + "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": 9063, + "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": 18827, + "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": 626, + "tgt": "Applying coconut oil for dry skin on penis shaft cause redness and burning in urethra. Is it balanitis?", + "src": "Patient: Hello doctor, I have dry masturbated for years and it created dry, itchy skin on my penis shaft. I read where coconut oil had soothing qualities for sore skin. So I tried it for four to five times for three days. Some of it got into my urethra. I noticed some minor redness five days ago so I stopped. I have no burning when I urinate. No discharge. The only sex I have had in months was oral and that person is STD free per doctor\u2019s tests in March. I have never had an STD. But it is slightly uncomfortable. I have a doctor's appointment scheduled for a week from now but was curious what my treatment options could be? Doctor: Hello. Normally, the tip of urethra is slightly more reddish compared to the rest of the penis head, as the mucosa is thin over there compared to the penis head. It is possible that you have not noticed it or paid attention to it before, and now became more aware due to oil application. Now if you are very sure that it has gone more red after the oil has entered it then also in the absence of other symptoms, you do not need any treatment for it. It would settle on its own, however, we would like to get a urine routine examination just to rule out the possibility of urine infection, which appears unlikely to me. So I think it is not a worrisome issue and you may continue to apply oil or Vaseline to penis shaft carefully. The next course of action should be urine routine examination and treating infection if we find it, which appears unlikely. Also, you should have plenty of water for a few days atleast. If possible, avoid masturbation for a few days to avoid mechanical trauma to it. I hope this helps." + }, + { + "id": 6226, + "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": 2304, + "tgt": "I get dizziness only while waking up from bed. Why?", + "src": "Patient: Hello doctor, I am getting dizziness while getting up from the bed for the past three days. My vitamin B12 is low in the report taken last month. Whether my dizziness is due to that or it is vertigo? Please suggest me some medicine. Doctor: Hello. The giddiness does not appear due to vitamin deficiency. The symptoms are suggestive of benign paroxysmal positional vertigo (BPPV). We need to confirm the diagnosis. For this you have to provide details as follows. Is it spinning sensation or is it weakness? Does it get triggered by turning your head or getting up from the bed? How long does the spinning last, say few minutes or a few hours? Is there vomiting or nausea along with it? Is there any hearing loss or ringing sound inside the ear or fullness of the ear during this giddiness? Is there any ear discharge or decreased hearing? Based on your replies we shall confirm the diagnosis and suggest the right exercise and medicine for you. The exercises cannot be explained via text. You would need to confirm for a video consultation so that we can show you the same. If the diagnosis is BPPV then I shall guide you on what to do next." + }, + { + "id": 3566, + "tgt": "What abnormality can be seen in the blood report in McArdle's disease?", + "src": "Patient: Hello doctor, My brother has\u00a0done a McArdle's test in hospital. They concluded that the glycolysis in cytoplasm is normal, but reduced function of mitochondriosis have been seen in muscle. They conclude this abnormality through the blood analysis. The respiratory and the cardiac functions have been judged normal.\u00a0My question is what abnormality can be seen on the blood sample result? What is in excess or lack, either potassium or ammonia?\u00a0I have attached his blood analysis for your reference. Doctor: Hi. Genetic autosomal recessive disease. Genetic testing for enzyme glycogen phosphorylase. Glucose rich and protein rich diet. Have instant source of glucose energy like Glucon-D and candy For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26244, + "tgt": "Would you do a peg tube replacement on an elderly patient with fever and infection?", + "src": "Patient: Hello\u00a0doctor,Would you do a peg tube replacement on an elderly patient whom has 100-degree\u00a0temperature and has infection coming from the peg site? If not, what would you do to take care of the infection? And since it is an elderly patient, would you admit the\u00a0patient\u00a0to a\u00a0hospital for the infection? If so, explain why. Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18802, + "tgt": "I had a penile injury that resulted in temporary erectile dysfunction. Please help", + "src": "Patient: Hi doctor, I had a penile injury that resulted in temporary erectile dysfunction. My penis seems to be working somewhat normally now, after about two weeks. It is still painful.\u00a0There is a small indent on the underside of my penis that was not there before. I went to a doctor, and he said it was not Peyronie's disease. However, he did not look thoroughly. Additionally, the small indent is only visible when the penis is erect. I am attaching a picture for better understanding. I am young, so the doctor Peyronie's disease was probably not likely. I would like to know if this is just simple soft tissue damage that will correct itself, or if it is Peyronie's disease. What sorts of treatments should I be seeking? Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27659, + "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": 18375, + "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": 9233, + "tgt": "I had a beta hCG test done after having unprotected sex last month. Kindly advice", + "src": "Patient: Hello doctor, My last menses was a month ago. At the end of last month, I had unprotected sex after which I took I-pill. The fifth day after taking the pill, I got some spots in a very minute and flowed for a few days. This month I took beta hCG serum test. Doctor: Hello. Kindly upload the reports of beta hCG." + }, + { + "id": 15721, + "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": 13602, + "tgt": "When I wake up, my heart is often racing. What could be the reason?", + "src": "Patient: Hello doctor, I am a 61 year old man and in reasonably good health apart from being overweight and diagnosed diabetic 10 years ago. The following has started after I lost a lot of weight. For the last 9 months, I have had to sleep sitting up in a chair and leaning to my left side. If I lie down to sleep horizontally, or remain sitting up but tilting even slightly backward, or if I slip down on to my back on the chair while asleep, my heart begins to get faster and faster. I feel no pain and it does not wake me up. That is the problem, I sleep through it until I wake up with the need of going to the bathroom. I suspect these episodes last for hours with my heart going dangerously fast. These are not palpitations. When I wake up, my heart is often racing, and I have to take deep breaths for a couple of minutes to get enough oxygen inside me for the heart to return to its normal beat. It all started very suddenly, not progressive. For all these months I have been scared by the prospect of having to go to sleep and leave it as long as possible before trying, just praying that I can get through the night keeping myself upright and with a reasonably clear nose. If I can do that, I can usually make it through reasonably fine, but this is the exception rather than the rule. Body position seems to be one key factor, clear nose another, but the first always overrides the latter in importance. I recently had to make a 6 day 1500 mile dash drive and slept every night upright in the car seat right next to an open window. I had no problems at all during those 5 nights. A cardiologist has run tests and told me there is nothing abnormal with my heart\u2019s muscle or function. I rented an automatic CPAP machine for 4 months, but have now returned it. It does not do much of help, but its data shows no continuous waking such as might happen with obstructive sleep apnea. It does, however, show that I go into periods of shallow breathing while asleep. The only other suggestion that I have had is that this might be some form of central sleep apnea and therefore perhaps more neurologically based. The company that rented me the CPAP machine say that a BIPAP machine might be better, as it will force me to breathe, but I would really like a more expert opinion before going down that extremely expensive road. Do you know any other people who have had similar symptoms and experiences, and if so, what was the cause and how was it treated? Current daily medications I take are 75 mg Aspirin for blood thinning, 1 x 15 mg Pioglitazone/ 850mg Metformin tablet for controlling diabetes, 5 mg Ramipril for blood pressure, and various vitamin and fish oil supplements. Doctor: Hi. My compliments for a detailed medical history of what you have been going through in the last nine months. I have gone through it and following are the points which are important to show the way to diagnosis: What are the problems you do not probably have: What you may have: My suggestions:" + }, + { + "id": 25364, + "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": 3213, + "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": 7683, + "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": 1634, + "tgt": "I get little blood while spitting mucus. Why?", + "src": "Patient: Hello doctor, I am a 39-year-old woman, non-smoker. Some times when I clear my throat I spit mucus with a little blood. I am not sick and I have no cough. What could it be? I consulted an ENT doctor before. Doctor: Hi. How many years do you smoke? Do you drink alcohol? What did the ENT doctor say about you?" + }, + { + "id": 27852, + "tgt": "I am looking for ayurvedic cure for heart block. How effective will it be?", + "src": "Patient: Hi doctor, My mother is 73 years old. She suffers with heart problem. She is having three blocks in arteries. We have been advised to go for stent. The blockage is 90% in one artery, 80% in the second and the third is with 70% block. Now we do not like to go for stent. We are looking for medicines to get this cured. We consulted an ayurvedic doctor. He recommended some ayurvedic medicine and he assured us that the medicine will give solution. He asked her to follow some lifestyle changes along with it. She has no other medical issues like diabetes, thyroid or bp. I have attached her prescription. Please explain the effective of those medicines in reducing blocks. Doctor: Hi. I went through your query and the attached prescription (attachment removed to protect patient identity). It is an excellent prescription. I am sure that she will get some improvement with it. But, do remember that the effect of medication vary from person to person. Take these medicines for two months and go for a re-test. Even if there is a slight improvement in her condition then avoid surgery. If not go for surgery. So in short, wait for two months for things to improve. Apart from the medications, ask her to have a low fat diet and take one bowl of boiled vegetables daily. Fruits are also recommended. She should have four to five glasses of warm water daily. It is very good for the heart. Deep breathing - 10 rounds twice daily is very good for her. Pranayama and yoga are recommended too, make sure she learns them from a qualified person. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26699, + "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": 28614, + "tgt": "My back and joint pain persists even after 2 years of cesarean. Why?", + "src": "Patient: Hi doctor, I am a 35 year old female. I am a mother of a 2 year old boy. After cesarean delivery, I had back and joint pain problem. I thought that once I stop my breastfeeding my problem will resolve. But, it persists still. Why? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26083, + "tgt": "Is squint surgery safe?", + "src": "Patient: Hi doctor, I am having a\u00a0squint in my right eye. It is turned inwards by birth and I have no vision in my right eye. My left eye is 100% perfect. I met an eye specialist. He checked my squint and told that my vision is not recoverable. He advised me to get cosmetic eye muscle surgery. He said it involved with two muscles. I have attached my checkup reports, scan reports, orthoptic assessment documents, cover test details and other documents. Please check those and advise whether I can go ahead for the surgery.\u00a0After Surgery, will ocular movements full and free? Will both eye work at the same time? After surgery,\u00a0will my eye turn inwards again or will it look perfect?\u00a0After surgery, Can other people guess that I had squint earlier?\u00a0To repair two muscles, how many hours it will take?\u00a0Can you share your experience? I am neither on medication nor using spectacles. Thank you. Doctor: Hi. I have gone through the documents and reports (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10534, + "tgt": "I have severe stomach and back pain at the same time. Can you Suggest any quick remedy?", + "src": "Patient: Hello doctor, I have severe stomach and back pain at the same time. Suggest some quick remedy. Doctor: Hi. I have read through your query in detail. Please find my observations below. Severe pain in abdomen radiating to the back might be due to many conditions which require evaluation. Problems that might cause the stomach and back pain, all the possible reasons, For spasmodic pain you can take antispasmodic medicine like Spasmonil plus (Dicyclomine hydrochloride and Mefenamic acid). This has to be taken twice daily for pain that might be a spasm. This should reduce any spasmodic pain that you are having. Once pain is stable then please consult your doctor and get examined clinically. If required the doctor might ask for an ultrasound scan abdomen to be done to know the cause. Above mentioned causes are the commonest and there are many other conditions which might cause a similar pain. Clinical examination and investigations are important." + }, + { + "id": 21280, + "tgt": "Why does my platelet count decrease consistently?", + "src": "Patient: Hi doctor, I just wanted to ask a question. My platelets count is consistently low when examined. What is the cause for the decrease in platelet count? I am not sure what are the tests checked? I am taking tablet Zoloft. Doctor: Hi. According to the history, you are having low platelet count. The various causes are dengue, malaria, hemolytic anemia, ITP (idiopathic thrombocytopenic purpura), hypersplenism, a viral infection like hepatitis, EBV (Epstein Barr virus), HIV (human immunodeficiency virus). So, according to your history and physical examination, the required test can be done. For example, for dengue, you can test IgM ELISA (enzyme-linked immunosorbent assay). Peripheral smear examination report is advisable to detect any abnormal cells present. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1234, + "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": 1657, + "tgt": "Why do I get frequent nose bleed?", + "src": "Patient: Hello doctor, I am a 27-year-old female. This query is all about my frequent nose bleeding. It started when I was in grade school, I got nose bleed when it is very hot, or when the air is dry and it only happens once a month or once every two months. For the past three months, I got frequent nosebleed for two to four times a week. I am doing the basic list to prevent it such as, lean a bit forward, pinch the nose, put ice packs, and use petroleum jelly. But the thing is, it is stressing me out. I panic when I see blood, I have asthma as well and I do not think that petroleum jelly can help me with it. I am taking vitamin C (500 mg) per day, and I use Seretide 250 (Diskus) for my asthma. Please help. Doctor: Hi. I hope you are doing well. I understand your concern. I assure you that you need not be worried. Epistaxis or nasal bleeding is a very common condition and has been reported to occur in up to 60 percent of the general population. Most nosebleeds are not serious and can be handled easily as you have mentioned. Most will stop on their own or with simple first aid actions. Common causes of epistaxis are local causes such as chronic sinusitis, nose picking, foreign bodies, intranasal neoplasm or polyps, irritants (e.g., cigarette smoke), medications (e.g., topical corticosteroids), rhinitis, septal deviation, etc. If the nose bleed is related to an injury, you should be assisted in finding medical assistance urgently. Some people may be taking medications that make them more prone to bleeding. These people should also seek care urgently. Signs and symptoms include bleeding from one or both nostrils, bleeding in the back of the throat, causing the victim to vomit blood. First Aid Interventions: Sit upright and lean forward. Spit out blood that collects in the back of the throat or mouth. Pinch the nose firmly. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for 5 to 10 minutes. Local drops such as Oxymetazoline or Phenylephrine solution can be helpful. To prevent re-bleeding, do not pick or blow your nose and do not bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart. I hope this helps." + }, + { + "id": 2446, + "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": 7180, + "tgt": "Is it possible to remove a tattoo without injury or scar?", + "src": "Patient: Hello doctor, Tattoo removal, can tattoo be removed without injury to the skin or creating a scar? I have gone for two sessions for laser treatment for tattoo removal, and each time there were multiple pinhole injuries, and the tattoo has not faded even a single bit. Is this treatment I am receiving appropriate? Doctor: Hello. Tattoo removal by a laser that is Q-switch laser causes these pinpoint spots as you have sent (attachment removed to protect patient identity). This is a normal phenomenon after laser. But it does not usually create scar if done correctly. Also, it would take at least six to eight sessions for the laser to take effect, so it is too early to say now. Laser tattoo removal is the best way to remove a tattoo for you than a surgical procedure." + }, + { + "id": 17838, + "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": 17876, + "tgt": "Do I need surgery for compressed nerve and back pain?", + "src": "Patient: Hi doctor, I suffered a back injury at work before nine months\u00a0while lifting an order of 20 batteries weighing 20 kg each. When I lifted the last battery of the order, I felt a sharp pain in my lower back, and my left leg that made me collapse and I was rushed to the\u00a0hospital. I have seen a number of doctors over the last nine months without any improvement. I was diagnosed with L5/S1 broad annular tear, paracentral disc bulge, compression of the exiting nerve canal and a swollen S1 nerve root. Symptoms that occurred since my injuries are bladder issues (dribbling, cannot\u00a0stop\u00a0peeing\u00a0and leaking during the night in the bed), muscle spasms leaving indents in my lower back, redness in left foot (photo attached), muscle twitching in the left\u00a0thigh,\u00a0calf\u00a0and big toe, left big toe and two other toes stick up with pain, swollen Achilles tendon and swollen foot and lower back pain (radiating to the left leg). The treatment I underwent since the injury are\u00a0nerve\u00a0blocking injection in the L5/S1, nine weeks of physiotherapy and hydrotherapy, three\u00a0months of medication program that included Endone 5 mg two times a day and Gabapentin 100 mg twice a day. My doctor suggested L5/S1 disc replacement surgery. I would like to get your opinion on the\u00a0treatment. I have attached some MRI scans and photos. Doctor: Hi. For further queries consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 30504, + "tgt": "Kindly suggest a homeopathic cure for asthma", + "src": "Patient: Hi doctor,I was diagnosed with asthma before 13 years, when I was 19 years old. I use Foracort 200 inhaler, Flomist nasal spray and Montair LC. Kindly suggest treatment to cure asthma. Doctor: Hi. I can understand your concern regarding your health. It might be allergic asthma. So, give full details about your disease. Revert back after a week to a homeopathic physician online.---> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 26167, + "tgt": "Can a Pitta allergy be cured with homeopathy medicines?", + "src": "Patient: Hello doctor, From the last\u00a0one year, I have Pitta allergy. There are itchy raised bumps on my body. However, they disappear after some time. It is very disturbing and irritating. Please help. Doctor: Hello. I presume you are suffering from urticaria. Urticaria is a disease where there is a transient vascular reaction in the skin due to some allergens. The eruptions are usually raised skin rashes with redness and severe itching. It can be very disturbing when at work. As you have said that it is a Pitta allergy, I presume that the allergen should be some kind of food, which is not suitable for your body. You have to make an observation as to which food does not suit you and try to avoid such foods in the future. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 30329, + "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": 11604, + "tgt": "Is triple vessel heart disease a life threatening condition?", + "src": "Patient: Hello doctor, I am a 42-year-old male. Because my half brother had a heart attack at 21 and died. I paid for an angiogram and exercise stress test. I had a good exercise outcome, but the angiogram showed triple vessel heart disease. The cardiologist said it was very mild and probably due to smoking. Cholesterols were in the normal range. I was placed on Statins and low dose Aspirin and discharged. The doctor told me that I need not worry and many people would have mild atheroma at my age. My concern is triple vessel sounds very serious and also I have a print out from the angiogram that I cannot understand. I need a second opinion. I am so anxious about it every day, and I am worried. Doctor: Hello. Thanks for providing a detail note (attachment removed to protect patient identity). I understand your concerns, but no need to be worried you will be fine. The study only shows minimal evidence of coronary heart disease, which is reversible as of this moment. In cases like this, I usually advise my patients to modify their lifestyle. Do the regular exercise of at least 30 minutes three times a week, stop smoking and adopt a healthy eating habit. Continue the medications as prescribed and hopefully you will be fine." + }, + { + "id": 413, + "tgt": "My mother gets chest pain that vanishes on medication. What is her problem?", + "src": "Patient: Hello doctor, My mother is having severe chest pain and this has been the case every year during this period. She has consulted a lot many doctors and she took all the prescriptions as per them every year then it goes away only to reappear again during the next year. She is also being upset due to this pain. All antibiotics were given for gastric problems as said by various doctors. All the testing reports seem to be normal but the root cause of the problem is not identified (all doctors are just saying this to be some gastric problem). She is currently Pantoprazole DSR, Ferhub XT, and Clonamelt 0.5 mg. Doctor: Hi. You need to understand first of all that every chest pain should be taken as heart problems until proved otherwise. So if previously ECG (electrocardiography) has been done, you should get it done again. If the cardiac part is clear, I would say that she probably has perimenopausal symptoms. At her age hormone changes occur so chest heaviness, feeling of nervousness, and hot flushes can happen. I have treated my patients with such symptoms with the help of anxiolytic drugs. Get her cardiac evaluation, if normal discuss with your doctor to prescribe this medicine to her for a few weeks and see the results. I am very hopeful that it would work." + }, + { + "id": 22850, + "tgt": "What is the survival chances for bypass in a patient who got heart attack?", + "src": "Patient: Hi doctor,Please find enclosed reports of my father-in-law. He got severe heart attack yesterday. Now he is bit stable. Need your help on how to proceed further. Should we go for angioplasty or bypass operation? What is survival chances if we go for bypass? Right now he is not listening and insisting to go home. We are trying to convince him about treatment but it will take some time. Is it fine if we wait for a month or so if he is not ready now? Doctor: Hello. How much is his ejection fraction? Risk of the procedure depends on the ejection fraction. If it is fine, say more than 45 to 50 percent then the risk of life in such surgeries is 1 to 2 percent. The preferable and better option for him is bypass surgery as he is diabetic and it is little difficult to do stenting in the lesion described. Also, the longterm result would be better with bypass. Now, it should be as early as possible, because the lesion is critical and it is 95 percent. We cannot predict the future course, whether he will remain stable or get another heart attack due to it. Although, medicines work quite well to reduce such risk, but advisable to go earlier. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15485, + "tgt": "On Ortho-Cyclen pills for 5 months. Stomach cramps after eating, brown discharge, cloudy urine & fatigue", + "src": "Patient: Dear doctor, I am on Ortho-Cyclen pills for five months. I skipped my placebo pills and went on to the next pack. Now, I am having stomach cramps after eating, brown discharge, cloudy urine, and fatigue. Kindly advise me. Doctor: Hi. Placebo pills are just vitamin tablets. So, skipping those pills will not cause any problem. Stomach cramps might be due to gastritis. For this, you can take some antacid. For \"brownish discharge, cloudy urine and fatigue\" please take urine pregnancy test. If it is negative and there is only minimal discharge, you can continue the pill which you are using. Please let me know your age and the date of the last period for me to guide you better. If you have further questions, feel free to consult an obstetrician and gynaecologist online-->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21102, + "tgt": "Why is my 6 days old baby having loose motion?", + "src": "Patient: Hi doctor, My baby is 6 days old and he is suffering from loose motion since today. Doctor: Hi. Basically, if it is watery loose motion, either it is viral induced or milk intolerance. In a 6-day-old baby, if mother's milk is exclusively given, not to worry about it as it can simulate like a loose motion in breastmilk-fed infants. Only you have to worry when the baby becomes weak, dehydrated and starts vomiting." + }, + { + "id": 17621, + "tgt": "How to correct nonretractable Foreskin and Premature ejaculation?", + "src": "Patient: Hi doctor, I am 28 years old. My height is 5'11'' and weight is 91 kg. I plan to get married this year. I am not on any regular medication. I am currently having following problems for which I desire to seek some solution. It includes premature ejaculation and foreskin of my penis does not go back all the way when erect.\u00a0There is some kind of problem on the forehead of penis because of which the foreskin does not go back. It even hurts at time when tried to pull back. I request you to provide remedy to the problems that I face. Thank you. Doctor: Hello. I read your query and understood your concern. Revert back with the answers for the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1921, + "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": 12569, + "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": 8416, + "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": 16648, + "tgt": "Could my father's bradycardia be linked to his thyroid gland disorder?", + "src": "Patient: Hello doctor, My father was diagnosed with thyroid gland disorder wherein T3 and T4 levels come as normal in results while TSH is pretty much high. Sometimes, the TSH value rises to 100. He has been on Levothyroxine or Eltroxin 100 mcg for the last 17 to 18 years now. Lately, he was hospitalized for emergency due to low heart rate and breathlessness. After many tests like Holter test, the bradycardia or arrhythmia was seen. Doctors have advised for EP study test which I am worried about because we can afford it neither financially nor psychologically. Could this be linked to hypothyroidism or the medicines for it? Heart specialists have prescribed Epsolin for controlling heart rate. What should we do? Please help. Doctor: Hi. Firstly, from the reports (attachment removed to protect patient identity) it appears that he is having bradycardia and sinus arrhythmia, but no tachycardia. So, according to me, electrophysiology (EP) studies may be helpful, but not necessary. It could be due to thyroid illness as well. Your father's TSH (thyroid stimulating hormone) is slightly elevated and not very common to cause bradycardia at this TSH levels. Before going ahead, I think the dose of Thyroxine should be increased to 125 mcg and get TSH levels in normal range. Another possibility is sick sinus syndrome (sinoatrial node disease) if it persists after normalizing thyroid level. Treatment of which is pacemaker and EP study is not necessary if established he should go for it. You have mentioned about Epsolin (Phenytoin) to control heart rate. He already has low heart rate, so this should be reconfirmed. Because, he will need medicines to increase heart rate like Deriphyllin, Alupent (Metaproterenol), Asthalin (Salbutamol), etc., and not decrease heart rate. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20009, + "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": 16049, + "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": 8406, + "tgt": "My skin has got worse after stopping the usage of birth control pill. Kindly help", + "src": "Patient: Hello doctor, I am a 21-year-old female with a really bad skin condition. The acne outbreak happened about a year ago, a time when I stopped the birth control pill, Diane, which I was on it for over five years due to a negative side effect I had swollen legs. Then I was on Almina 28 for about three to four months, with no positive impact on the skin condition. Please help. Doctor: Hello. I think your acne is due to hormonal imbalance, and there are other natural ways to treat this condition. You will need some more work up to find the leading cause. And some more detail in history to find a permanent solution. Lab test suggested are, 1. Complete metabolic profile, including liver enzyme levels. 2. Thyroid-stimulating hormone levels (TSH). 3. Total and free testosterone levels (this points towards if you have polycystic ovarian syndrome) and high testosterone levels can cause severe acne. 4. Check for A1C to rule out pre-diabetes. 5. Estrogen and progesterone levels. 6. Complete blood picture. Until you get complete workup, I can suggest simple remedies. To get rid of acne, I recommend your system with natural remedies. 1. Use 1/2 teaspoon daily of Manuka honey or nay pure raw honey in 8 oz of warm water and with lemon, drink daily if possible. 2. For hormonal balance correction use fenugreek seeds (easily found in asian grocery stores also called methi seeds) remedy soak a teaspoon in warm water 8 oz, let it sit overnight and drink only that water early morning empty stomach, do this for at least four weeks, it will help balance your hormones. I need to know the detail of the menstrual cycle as well. I can provide detail consult if you send me a message." + }, + { + "id": 19086, + "tgt": "I have burning sensation in my vagina. There is also a white discharge from the vagina with a bad odour. Please help", + "src": "Patient: Hello doctor, I am 25 year old female. I am 158 cm tall and I weigh 45 Kg. I have burning sensation in my vagina. There is also a white discharge from the vagina with a bad odour.My doctor prescribed candid cream and V wash, but I there is no relief. Please help. Doctor: Hello. Your doctor has prescribed you medicines thinking that you might have candidiasis (fungal infection). If you can answer following questions I can help you better: In case you are married, your husband might also need tretment if it is a fungal infection. Get a urine microscopy done and send the reports. Tomorrow early morning, take a urine sample of yours and give it in the nearest laboratory. These symptoms might be due to urinary tract infection. Do not worry. Hope I have answered your query and if you have further questions, revert back to me." + }, + { + "id": 1510, + "tgt": "I have mild chest pain where gastric medicine did not help. What to do?", + "src": "Patient: Hello doctor, I am a 30-year-old female. Since last night I am suffering from mild chest pain. I took Digene and gastric medicine thinking it is a gastric problem but I do not find any difference. Please help. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from chest pain with some numbness in the left arm. Chest pain can result from various conditions such as: Muscle strain inflammation of the muscles and tendons around the ribs can result in persistent chest pain which can be become worse with activities. Acid reflux can result in a recurring discomfort in the chest. Peptic ulcer disease which are sores in the stomach lining can cause chest tightness or pain. Panic attack may cause chest pain in addition to nausea, dizziness, fear, rapid heart rate, fear, etc. Costochondritis is the inflammation of the cartilage of the rib cage. It can cause chest pain which may be aggravated with activities or posture changes. Any respiratory related diseases like pleurisy, TB (tuberculosis), pneumonia, etc., can cause chest pain. Again cardiac diseases such as MI (myocardial infarction), pericarditis, HOCM (Hypertrophic obstructive cardiomyopathy), MVP (mitral valve prolapse), etc also can cause chest pain. You should undergo CXR (chest x-ray), ECG (electrocardiogram), CBC (complete blood count), echocardiography, endoscopy of upper GIT (gastrointestinal tract), etc to find out the underlying cause of your chest pain. Treatment depends on causes. So please inform me of the investigation results, and check your blood pressure regularly. In the meantime, you can take Gaviscon syrup (two teaspoons three times daily), Domperidone (one tablet three times daily), Lansoprazole capsule30 mg once daily for your chest pain." + }, + { + "id": 12118, + "tgt": "Kindly advice the natural ways of treatment for bacterial vaginosis", + "src": "Patient: Hello doctor, I met a gynecologist, and the doctor diagnosed that I have bacterial vaginosis. The doctor recommended antibiotics for a week or taking a dose of Solosec. For a minor infection, both of these options seem rather extreme for me, and I am wondering if there is a way to eliminate the disease naturally. I can find different online suggestions for probiotics and boric acid suppositories. I am expecting if there is a plan you can recommend. Kindly help. Doctor: Hello. Bacterial vaginosis (BV) is a general issue in women. It does not cause any serious problem, but it is irritating with abnormal vaginal discharges, itching, and odor. If you do not get treated in an early stage, then infections may spread to the uterus, fallopian tube, and ovaries which leads to infertility, pelvic inflammatory disorders or other complications. It may be associated with yeast or fungal infections. It can be managed naturally through Ayurvedic medicines and Yoga practices. Infection, unprotected and unhygienic intercourse, unhygienic undergarments and irregular cleaning of the vaginal area. Vaginal swab test and CBC (complete blood count). Internal hygiene is very important along with medications in such kind of issues. Wash your vaginal area regularly with Triphala Kwatha twice a day. Allow it to dry apply Himalaya Vgel and take the following oral medicines with the consent of your doctor. 1. Tablet Purim 1 tablet + Tablet Lukal 1 tablet + Tablet Gandhaka Rasayana 1 tablet thrice a day with warm water after meals. 2. M2 tone syrup 10 ml twice a day before food. Avoid spicy and fried junk foods. Maintain your internal hygiene. Use properly cleaned undergarments. Do these things and provide your valuable feedback after 15 days." + }, + { + "id": 17791, + "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": 6635, + "tgt": "My fasting blood sugar level is 102 mg/dl. Do I have diabetes?", + "src": "Patient: Hello doctor, I am a 32 years old male, and my fasting blood sugar level is marked as 102 mg/dl and triglycerides 192 mg/dl and total cholesterol 209 mg/dl. Are they high? What could be the reason for the high readings? Do I have diabetes? Should I need medicines? What should I do? Doctor: Hello. Your sugar is normal, and it is not in a diabetic range. Fasting more than 126 mg/dl is diabetic, and more than 110 mg/dl is pre-diabetic. Triglycerides and total cholesterol are mildly elevated and not worrisome. Since it is mildly elevated, likely cause is diet and inadequate exercises. Since you are young and it is just a mild elevation, medicines are not recommended. You need to have a healthy lifestyle like avoiding fatty, oily, fried, and high-calorie diets. Also, have plenty of green leafy vegetables. Avoid meat, alcohol, and smoking if any consumption is there. Egg yolk should be avoided if egg consumption is there. Should have regular exercises like brisk walking or running according to capacity. You should get it repeated after eight weeks of lifestyle modifications and see for the response. LDL cholesterol is more important than total cholesterol, so should mention its value. So, overall, these are minor abnormalities and not worrisome, can be well-taken care by a healthy lifestyle. I hope this helps you." + }, + { + "id": 21517, + "tgt": "I have premature ejaculation. How to stop it from happening?", + "src": "Patient: Hello doctor,I am having premature ejaculation. How can I stop it from happening? It is killing my sex life. Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24917, + "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": 20406, + "tgt": "I have backache after an accident. What X-ray do I need take?", + "src": "Patient: Hello doctor, I slipped and fell down the stairs. I have a backache after this accident. What X-ray do I need to take? Doctor: Hi. Depending on the location of your backache, you will need the x-ray of that part. The following will help you:" + }, + { + "id": 31007, + "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": 8490, + "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": 27307, + "tgt": "I am pregnant and bleeding profusely. Should I take an abortion pill?", + "src": "Patient: Hello doctor, I am five\u00a0weeks pregnant. From the last four days, I have\u00a0bleeding. I consulted my doctor and she gave me a medicine but, it did not work. This is similar to what happened in my last pregnancy which I lost at two and a half months. So, I decided not to continue with this pregnancy. Which pill should I\u00a0use for having an abortion at home? Please give me your suggestions and also advise me for my future pregnancy, because this has\u00a0happened twice now and I am worried if I will ever be able to become a mother. Doctor: Hello. I can understand that it must be very distressing for you. But I do not understand why you want to take medicines for abortion when you already have had one previously. If you are still bleeding and the baby is viable (alive) on the scan, they would prescribe you few injections for sustaining the pregnancy. But, since it is five weeks, it is very early to even detect on the scan. Moreover, if the fetus is not sustainable, it will abort itself. I would suggest you go for a pre-pregnancy counseling and evaluation before you plan for the next one, in case this one fails. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18209, + "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": 5077, + "tgt": "SPECT scan did not show CSF leak. Should I do CT abdomen?", + "src": "Patient: Hello doctor, I recently had a SPECT scan to evaluate a possible CSF leak. The scan was done with a dye injected into the spine. My brain was scanned and also the abdomen. The scan did not pick-up any abnormalities and a leak was not seen. I was informed today that I may need to have a CT scan of the abdomen for an adrenal issue due to high testerone levels. I assume that the adrenals were seen during the recent CT scan. I am curious to know as to the glands and organs that were visible during this type of scan. I do not want to have another scan if an adrenal problem could have been detected on the SPECT scan. Doctor: Hello. I cannot but appreciate what you call your \"curiosity\". I would rather call it your awareness and consciousness. One should indeed think twice before going through a radiation exposure for a second time. If I say in one word, the CT scan your doctor has recommended is required if the adrenals are to be visualised. Let me explain and elaborate. Firstly, please note that SPECT and CT are two entirely different imaging technologies (despite the same surname \"CT\"). When you had the SPECT, the dye was injected into the central canal, i.e. the CSF cavity of the spine. That way, the dye could reach wherever CSF could reach, so that it could be identified whether CSF was leaking out of its normal boundaries. The dye did not obviously reach the adrenals and so they were not visualised. However, SPECT is usually done in combination with CT (called SPECT-CT). In that case, the adrenals were visualised by the CT component of the scan. Still, this visualization is not sufficient for the adrenals for two reasons. One is that they are very small, so adrenal imaging requires \"thin\" sections. Secondly, evaluation of adrenal pathology often involves determining the degree of contrast (aka dye) uptake and washout at specific time intervals. These intervals are programmed into the CT machine under \"adrenal protocol\". Your urge to avoid another radiation exposure is reasonable and appreciable. Ultrasound and adrenal protocol MRI may be alternative choices that are free from this risk. However, their applicability in adrenals is quite limited as compared to CT. You may still discuss with your doctor(s) whether ultrasound or MRI may provide the answers they are looking for. So, in conclusion, the adrenals were not visualised in SPECT, and CT is the best way for evaluation of adrenal pathology." + }, + { + "id": 18057, + "tgt": "Should we get D and C as a part of treatment to get baby?", + "src": "Patient: Hello doctor, We both are 30 year old couple and we have been planning for a baby for more than a year.\u00a0My wife has normal period and as per the medical report my semen is fine.\u00a0We have visited a doctor in our locality and he advised cleaning of the uterus (D and C - dilation and curettage).\u00a0Could you please advise if our treatment is going in the right direction? Should we go for cleaning of the uterus (D and C)? My wife's current medications are JP Tone, Femitone, D3 Must, Norflox 400, Zentor 500 (Levofloxacin) and Tido (Tinidazole). Her past medication includes Ovares SR and Krimson. Please also check the medical reports and prescription attached. We have also undergone the following tests. Syphilis urine test, E.coli culture and sensitivity test, HIV transvaginal sonography, hormone tests - LH, FT4, TSH, prolactin, FSH, AMH and semen analysis. What should we do? Doctor: Hello. Please send me the complete reports to get better knowledge about your problem. A few suggestions based on the other information mentioned in the description are as follows. HSG. Primary infertility. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11035, + "tgt": "I feel like something is stuck in my throat. What could be the reason?", + "src": "Patient: Hello doctor, I have had sores on the back of my tongue for weeks now. I have a pain in both ears that comes and goes. I also occasionally have a feeling of something in my throat that will not clear by swallowing. What could possibly be going on and who should I see for this? Doctor: Hello. A chronic throat irritation with an enlargement of lingual tonsils that feel like sores in the back of your tongue, foreign body sensation in the lower part of the throat and recurrent ear pain are usually symptoms of reflux laryngopharyngitis, which is a type of acidity related disorder. Usually, it occurs because of untimely eating habits, stress. lack of sleep, etc. The treatment includes anti-reflux medications and lifestyle modifications. Have your food at proper timings. You should not sleep immediately after dinner. Wait for at least two hours before you go to bed. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16596, + "tgt": "There is a patch of tiny lumps in my penis. What is that?", + "src": "Patient: Hi doctor,I just found out a patch of tiny\u00a0lumps under my frenulum or the prepuce. It is under my foreskin. I have not\u00a0been having sex for six months, and the search results on the internet relate it to genital warts. I would like to know the problem and settle it as soon as possible. Please help. Doctor: Hi. Revert with more details and photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25818, + "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": 3335, + "tgt": "My biceps caved in a little with pain after workout. Why?", + "src": "Patient: Hello doctor, Last night I worked out my arms, mainly my biceps and today I woke up and noticed that the upper region of my biceps has caved-in a little. It seems like it has changed its shape slightly. It does not look like a popeye. There is no constant pain, but I do get a dull pain when I firmly touch that region. What could this be? Could this be a tendon rupture or tendonitis? Doctor: Hello. I have received your query and have gone through your physical findings and my diagnosis and treatment advice regarding this would be as follows. You said that previous night you have worked out your arms, the next day you had pain in anterior shoulder, and pain is not constant. Yes, I do suspect it might be a biceps long head tendinitis. I am saying this because you had more pain in the anterior shoulder. This thing could be because of your heavy workout, sudden lifting of weights, sudden high tensed overhead activity, improper maintenance of posture while workout which could stress your biceps long head which origins from the anterior shoulder blade and lead to pain, inflammation, tenderness, swelling, and minimizing activity levels. I would say that in your case, it might be an acute mild or moderate injury and not severe. My advice would be 1. Please do break your workout for some days. 2. Do not perform any overhead activity. 3. No external rotations of your shoulder. 4. No pulling or pushing using your shoulder. 5. Apply ice for 15 minutes for two to three times a day until pain and swelling subside. If symptoms do not subside, please do consult an orthopedic or qualified physical therapist. There are many techniques available for further rehabilitation. Protocols such as soft tissue mobilization, iontophoresis, ultrasound, tens, stretchings, phonophoresis, etc., can be used if injury is severe and long term rehabilitation is planned. I hope this helps." + }, + { + "id": 20039, + "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": 4848, + "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": 18281, + "tgt": "Kindly suggest some medicine for cold, cough and itchy throat", + "src": "Patient: Hi doctor, I have a sever cold and cough since couple of days. Please suggest me some good medicine, There is itching in the throat as well. Doctor: Hi. According to the history provided, it could be pharyngitis associated with upper respiratory tract infection. Your work up should be done as follows. According to the report, the further management plan can be decided. Until then you can follow the suggestions given below with the consent of your treating doctor. If eosinophilia present in CBC or AEC is high, then Fexofenadine should be considered. If needed, throat swab culture can be done to choose the medication according to the culture report. Consult a physician for examination with keeping all this in mind. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8539, + "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": 10922, + "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": 29405, + "tgt": "What is the prognosis of CKD?", + "src": "Patient: Hi doctor, My girlfriend is 35 years old. She is obese, exercises regularly and tries to watch her diet. In spite of these, she is prediabetic.\u00a0Her fasting blood glucose is typically around 105 mg/dL. Her A1C is normally in the range of 5.7% to 6%. She takes Metformin to manage the prediabetes. Her blood pressure is checked regularly and is always good. Last time, her blood pressure was 120/80 mmHg. Her eGFR has been tested several times and is always above 90. Recently, she had a medical checkup in her office, and the report was obesity and protein in the urine. So, she went to\u00a0She went to her GP who performed a 24-hour protein in the urine test. 520 mg per 24 hours was the result of this test. She was referred to an endocrinologist and a nephrologist. The nephrologist did perform an ultrasound. Neither the endocrinologist or the nephrologist were terribly concerned. My girlfriend discussed using ACE inhibitors with the nephrologist, but he did not think they were necessary as her blood pressure was normal. He recommended diet, exercise, weight loss and monitoring. The nephrologist did not tell her that she has phase 1 CKD. But, it sounds like she has. Is this correct? Both the endocrinologist and the nephrologist felt that it would not impact her ability to live a healthy life. Is this correct? If she has CKD, how long will it take to progress? What is the long-term prognosis? Is healthy pregnancy possible? Apart from diet, exercise and weight loss, are there other things you would like to recommend? Doctor: Hi. Welcome to icliniq.com. We are here to help you. Considering her prediabetes a cause of her proteinuria, yes, she would be categorized in stage 1 CKD (chronic kidney disease). However, that is very unlikely that such a prediabetes at this age is going to cause proteinuria. Yes, this is not going to impact if does not worsen further. It will not progress much as her diabetes is well controlled. The prognosis of her condition is good, and a healthy pregnancy without any complication is possible. I want to mention that she needs a repeat 24 hours protein test done after a month to reach a conclusion as a single time urine protein can occur due to many causes like heavy exercises and fever. I would recommend ACE inhibitors, ANA (anti-nuclear antibody), C3, C4 level test and ultrasound kidneys in case her urine protein persists even after one month. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 27382, + "tgt": "What are the reasons for sudden eye swelling?", + "src": "Patient: Hi doctor, I have allergies and normally it presents with runny nose and itchy eyes. So, I have been rubbing my eyes. Today, there is a sudden onset of swelling of the eye. It keeps spreading from the left corner of my eye to below and above the orbital area of my left eye. I have red conjunctiva. I can able to see and there is no spots or blurring of vision. There are\u00a0some pain and discomfort. I had Zyrtec 10 mg one dose. Also, I did a 5 minute normal saline wash with ophthalmic Prednisolone 2 drops. But, the swelling continues and is thickened. The conjunctiva seems distorted in shape. Please help. Doctor: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4593, + "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": 668, + "tgt": "I am 37 years old and getting twice a month. Am I facing fertility issue?", + "src": "Patient: Hi doctor, I am a 37-year-old unmarried female, with no sexual activity. I have been experiencing problem in periods that I have got the period twice a month in the last month, without any pain, and scanty period. My FSH is 8.29 miu/ml, LH is 7.69 miu/ml, prolactin 7.6 ng/ml, testosterone, total 18.6 ng/dl, TSH ultrasensitive 4.470 uiU/ ml. Usually my cycle is 35 days, with three to five days period, and I experience pain too. I am worried because I am getting married soon and becoming infertile. I want to have my own babies. I have attached my today's blood reports (third day of period). Doctor: Hello, Welcome back to icliniq.com. I have seen the reports (attachment removed to protect patient identity). Your hormone levels are normal. I would like to know more about your menstrual cycle. Is it this month or every month you are getting frequent periods? I would like to get you a ultrasound pelvis done." + }, + { + "id": 2127, + "tgt": "I get periods on the right time but my bleeding is light. Why?", + "src": "Patient: Hello doctor, I am on birth control and taking it regularly the majority of the time. I had sex on February 16 and he did not use a condom but used pull out method. I had my period the week before. I had a period on time the next month, but it is lighter. This past month, I had a very light period for a day and a half which could probably be considered spotting. I have no pregnancy symptoms, but should I be concerned? Is it likely the change in period could be due to stress of thinking I am pregnant? Doctor: Hi. I understand your concern. I presume that you have not missed your birth control pill and I presume that your cycles are regular. In that case, your egg release would happen around 12 to 16 th day of your period if you count the first day of period as day 1. You had intercourse on the eighth day of your period. So you are protected from pregnancy by three things. 1. You are on pill. 2. You had sex before egg release. 3. You used withdrawal method during sex. I need to know if you are having delayed cycles? Also please give me certain details. Are you having weight gain? Is there excessive facial or body hair? How much delayed are your periods? Any dark pigmentation around neck or armpits? Cycles can range anywhere from 21 to 35 days in adults. But if any of the above is developing then it is probable that you are developing hormonal imbalances. During the lockdown period the physical activity of most of us is a bit restricted and also there looms a lot of stress regarding COVID 19. These are factors that may lead to hormonal imbalance and hence delayed cycles. It is important to engage in some exercises that can be done at home and it is advisable to eat green vegetables and fruits and drink milk regularly. Meditation, diet, and exercise forms the primary regime to avoid irregular cycles. It is better to avoid excessive cheese, fat, butter, ice cream, fast, and junk foods. I hope this helps." + }, + { + "id": 14541, + "tgt": "I have a white spot behind my lower molar with swelling and soreness. Why?", + "src": "Patient: Hello doctor, I have just noticed a white spot embedded in my gum behind my lower back molar teeth. The area is a bit swollen and is a little sore. My throat is also a bit swollen and a little sore. Doctor: Hello. I have been through your query and I can understand your concern. I need to know if you have any cavity or carious tooth near that sore. If yes, it might be due to the infection of the tooth which is exudating via the gum. However, if no carious tooth is there, then it is an aphthous ulcer and it will subside on its own within a week or two. If the sore does not go after two weeks, make an appointment with your nearest dentist to get the sore tested for any anomaly. I would have prescribed you with Mouth Paint Ora-Gel or Dolo Gel in order to get relief from the pain (if any). Rub a drop or two over the white spot gently half an hour before meals. I would also suggest you do warm saline gargles in order to relieve your throat. I would advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Consider follow up after a week here." + }, + { + "id": 9192, + "tgt": "I am getting spots on my face after using Elvira for acne. Kindly help", + "src": "Patient: Hello doctor, I used to be on Dianette for acne but had to come off it after two years as it is not recommended you stay in it for that long. It caused me to gain weight, as well. I was switched to Elvira (generic of Yasmin) a year ago. No weight gain but I have spots (around five every day) on my face. I want them to go away. Any recommendations? Doctor: Hello. I understand your concern, yes the acne in your case looks to have a hormonal component (attachment removed to protect patient identity). And you are taking medicine to address the hormonal factors. Kindly consult your doctor, to discuss the suggestions and consider the following medications with consent, 1. Capsule Doxycycline 100 mg once a day. 2. Adapalene plus Benzoyl peroxide gel (EPIDUO) apply once at night on acne and wash after one hour. Do not rub it and use in very little quantity. 3. Benzoyl peroxide face wash. Avoid foods rich in the glycemic index that includes milk, sweets, chocolates, etc. Avoid other topical application on face except for non-comedogenic sunscreen." + }, + { + "id": 19445, + "tgt": "Will the lower teeth touching the veneers on top teeth cause any problem?", + "src": "Patient: Hello doctor,I have composite veneers on both of my front teeth. Sometimes, if I sense my bottom teeth touching the bonded teeth, even lightly while eating or brushing or what have you, I worry that since enamel is stronger than the bonding material, this will somehow alter the bonding. Is this possible? Thank you in advance for your insight. I spent a lot of money on the procedure and want to know what exactly would need to happen as far as my bottom teeth making contact with my top teeth in order to actually alter the appearance. Doctor: Hello. As far as normal occlusion or normal bite is concerned, the upper front teeth should not touch the lower front teeth. There should be a gap of at least 1 to 2 mm. But, sometimes when you are eating or trying to make the contact then it is absolutely normal. This way the bonding is not going to get affected. The doctors generally plan the treatment really well before giving the veneers. So, you need not worry about the bonding. Hope you got your answer. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10281, + "tgt": "I have leg pain which moves around. Is it osteoarthritis?", + "src": "Patient: Hello doctor, I have pain in my left leg which moves around. First in my knee, then in the lower leg, upper leg, etc. I previously had pain in my left arm. An urgent care doctor told me it was osteoarthritis. An X-ray of my knee was done. I was prescribed an anti-inflammation medication. Doctor: Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 27507, + "tgt": "Can physiotherapy help my mom recover from a one-sided paralysis?", + "src": "Patient: Hello doctor, My mother has left side paralysis since three years. At the very instant she had it, we started physiotherapy. At that time, we also got an MRI of the brain done, reports of which I am attaching. In the report, it was\u00a0mentioned that both the ICA are normal and we continued the physiotherapy. After that, we again got an MRI done last year, which was an MRI of the brain with neck vessels and intracranial circulation. This report shows that in the right ICA there is 60 to 70 % stenosis and 30 to 40 % stenosis in the left ICA. So, I want to ask you if there is any need for a doppler ultrasound. Should we get this removed? Will it help in recovery? I ask because my mother has not yet recovered fully. Right now, she is taking Asomex 2.5, Folydol-M, Atorva 10 mg and Ecosprin\u00a075 mg. So, please help me with this query. Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). I hope this answeres your query. Take care. Feel free to contact me for any further assistance. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 15920, + "tgt": "Can hormonal acne indicate sensitivity to testosterone?", + "src": "Patient: Hi doctor, I have been suffering from hormonal acne for almost nine years now. I do not have any other medical problems nor I am on any medications currently. I did some investigations to rule out what my problem is exactly, testosterone, DHEA, FSH, LH, progesterone, TFT, RBS and the results of all of them were within the normal range, except for prolactin that was slightly high. I could not do the DHT test. Am I hyperestrogenic? I do not know, but I can request for estradiol from my GP. I do not have the symptoms of excess estrogen though except for breast pain sometimes. I am breaking out 7 to 10 days prior to my periods each and every month, my periods are regular, so I thought that as in these days, the estrogen is the one which drops and the testosterone remain there and have a chance to cause more acne. I might be sensitive to testosterone? Although it is within the normal range as I have other symptoms of high testosterone like thick hair under my chin, on my chest, above my lips and hair shedding (I feel it is more than usual as I have thin hair) and of course oily skin. So that is why I was thinking of taking (Dim) for its anti-androgenic effects. Or shall I ask for Spironolactone? Will they prescribe it for me? Then is it better to check with a dermatologist or an endocrinologist? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have acne. Usually, it is not recommended to do estradiol test for acne. However, you can visit your gynecologist for ruling out polycystic ovarian syndrome because that can give rise to acne given the history you have mentioned. If your PCOS is controlled well by a gynecologist, then no need to take any anti-androgen drugs like Spironolactone. It is an off label prescription for acne anyways. Yes, a dermatologist will also be beneficial once your gynecologist takes care of issues as well for your hair fall and acne." + }, + { + "id": 22688, + "tgt": "I had jaundice and total billirubin is 1. 8. Can I go for a trip abroad?", + "src": "Patient: Hello doctor,I am facing a problem for jaundice for last 35 days. Around 20 days my total bilirubin was 15 and last week my total bilirubin is 1.8. Can I go for a trip to abroad? Doctor: Hello. What was the cause of your jaundice, I mean which type of hepatitis you had A, E, or some other type? Common hepatitis includes A, E which is usually harmless and in your case, since your jaundice is also settling, you have almost recovered from it. So with this bilirubin levels, you can certainly travel. I guess you do not have any symptoms now. Also, it might have come down further within last few days. So overall, considering the common type of hepatitis you had, I do not think there is any harm in traveling abroad, and this should settle in a few days. Keep diet healthy and avoid outside food as much as possible which is a common source of infection. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9071, + "tgt": "What causes breathing problem and white fluid in the throat?", + "src": "Patient: Hello doctor, I have a white fluid that goes up my throat and gives me breathing problems. It turns into some sticky glue and can dry up looking like paper. I have bumps on my right hand that keeps coming back and dries off after a few days. When it gets severe, it feels like needles in my hand. Some times the left side of my abdomen will hurt. Some times my testicles will ache. Doctor: Hello. Ok, you can purchase that Albendazole kit, but you do not know why? Get your stool examination done for ova or parasites to see if you have intestinal parasites. Sometimes the string you pulled from the skin might be fiber or due to damaged hair or skin. You can get a skin scraping examination done to rule it out. With regards to oral fluid, it might be a case of possible oral thrush. Get an oral swab culture done to rule out yeast infection and treat it adequately. I can only suggest taking, 1. Probiotics early in the morning for at least 10 days. 2. Maintain good oral hygiene. 3. Get checked by the dentist for a possible bad tooth. 4. Take antacids to stabilize stomach pH. Get upper endoscopy done to rule out stomach issue. This is the only way you can find what you have. Discuss this further with your caring doctor." + }, + { + "id": 9449, + "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": 10540, + "tgt": "Kindly suggest the alternative medicine for the hormone blocking injections in the treatment of breast cancer?", + "src": "Patient: Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blocking. We find 17 more injections are too much and will be highly stressful for my mother. Could you please suggest an alternative treatment.I have attached a few essential reports for your reference. Please let me know if you need any more details. Doctor: Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic drug." + }, + { + "id": 11436, + "tgt": "Can anxiety and stress cause frequent urination?", + "src": "Patient: Hello doctor, I am a 34 year old male. I had anxiety issues since childhood. I have been jumping from one idea to another for a long time but it has been three years I have an issue with frequent urination. It started in a bad time for me when I was obsessing that I have HIV. No burning, just slight urethra burning. I went to a urologist. He told me nothing was wrong, maybe an overactive bladder. I go to the toilet every two hours or three. I never knew what was wrong, but I started to obsess over it and it got worse to a place that my mind is in urination 24/7. I almost gave up until I went on a vacation and during that vacation, I forgot about it totally. The frequency was gone and even the burning urethra. Also, I had to remove my wisdom teeth and when I did, I was so occupied thinking about it that I forgot about urination and I noticed that I do not use the bathroom like I used to. But, I got back obsessing about it again and it got to a point that I urinate a lot of high volumes every hour. It comes suddenly and goes on its own. I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now. I do not know what to do. Can anxiety cause polyuria like this clear urine when I am stressed? Doctor: Hello. I read your query and understand your concerns. First of all, I like to state that the stress and anxiety can affect almost every organ of the body and polyuria is not an exception. In other words, yes the stress can cause almost all the symptoms narrated in your query. Secondly, I would like to assure you that this is only stress and nothing more. The statement is based on the following facts: I hope this answers you. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 7967, + "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": 12257, + "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": 6545, + "tgt": "Can you suggest treatment for my elevated D-dimer levels?", + "src": "Patient: Hello doctor, I have been having some shortness of breath. I am really bad with panic attacks. Routine blood work shows D-dimmer still elevated after eight months. Last year, the results were in a normal range under 230 in the hospital. A few months later\u00a0after I had a stillbirth, it was elevated to 0.51 the normal being 0.00 to 0.49. I rechecked it again and it was\u00a00.55. I am currently on\u00a0Zantac and Ativan. I was on Zoloft and an allergy pill in the past. I have done a\u00a0VQ scan and an X-ray of the chest and an ultrasound of the legs.\u00a0Please help me understand why my D-dimer levels are elevated when I do not have DVT and PE? Doctor: Hello. For more information consult a\u00a0hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5442, + "tgt": "I have itchy rashes all over the body and experiencing stiffness in the morning. Why?", + "src": "Patient: Hello doctor, I have a daily clock like work since four years. I finished remodeling a manufactured home and college working full time. Every night starting around 9 pm I start to get stiff and then it slowly worsens by 11 pm. I can barely lift an arm or stand up without pain. Opening a bottle and buttoning pants during this time is a lot of effort too. This stiffness and inflammation also happens in the morning, while getting out of my bed and washing my hair is a real job for me to get done. The key points being by elbows, hands, and knees. Another problem I had that happened as soon as I moved out into my manufactured home is these scratches that do not heal, they look as if they are scars but then there are some that develop that are not from scratches. But it is more like a rash that itch (manageably) and they started on my underarms and the back of my hands, where now they continue to reside there. Now it spread to my legs, stomach and armpits. I have a sore throat now but I do not know if it associated with these problems. Please see the attached photos for the rash I am dealing with. I come from a polish background and my grandmother had RA, but not until her 60s and my parents never have had problems like what I am experiencing now. I am currently on birth control and Zoloft 50 mg daily. i did a thyroid test at the age of 17 and it was negative. Doctor: Hello. I have gone through your pictures. (attachment removed to protect patient identity). The rashes do look like urticarial. It may be induced by environmental changes or it may be due to some other problem coming up. But, they do happen due to some form of inflammation going on. The pattern of your pain is a bit unusual as it happens in the night only. It may be due to your muscles getting fatigued over the long day of work. But, early morning stiffness, does point out towards another inflammatory disease. I am going to advise you on a few tests which you should carry out and meanwhile start on anti-allergics for these rashes. Do update me. Also, I would like to know details on symptoms like oral ulcers, hair fall, joint swelling, worsening of rash on sun exposure, dry eyes, dry mouth,etc.? The reason for you are on Zoloft (Sertraline) is still unclear. Autoimmune. 1. ANA (antinuclear antibody test), 2. ESR (erythrocyte sedimentation rate), 3. CRP (C-reactive protein), 4. CBC (complete blood count), 5. LFT (liver function test). Urticaria. Anti-allergic." + }, + { + "id": 8335, + "tgt": "What are the tiny multiple yellowish dots inside cheek?", + "src": "Patient: Hi doctor, I have multiple small yellowish dots inside my cheeks and lips. Please tell me what are these. Doctor: Hello. Revert back with the detailed information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3965, + "tgt": "How to treat scaly, itchy skin rashes on ankle?", + "src": "Patient: Hi doctor, I have a skin rash on my ankle. It has been there for six months now. I have tried Penicillin, steroid antifungal cream, and cider vinegar as well but it is slowly getting bigger. It is itchy with scaly flaky skin. I feel some fluid inside the red raised dots when I scratch it. It starts to smell after a while. Doctor: Hi. Indeed the clinical image (attachment removed to protect patient identity) is more in favor of tinea corporis which is a fungal infection of the body. It also has the potential to spread and using steroid-based creams will add to the resistance of the problem. Kindly mention if there are similar lesions elsewhere, if you keep your feet soaked for longer times and if you keep wearing the same socks." + }, + { + "id": 2998, + "tgt": "Is it possible to have ALS with nil EMG findings?", + "src": "Patient: Hello doctor, Six months ago, following a mild concussion, I started to have symptoms that were vaguely consistent with bilateral cervical radiculopathy. The cervical MRI showed severe stenosis and disc herniation at the C6-7 level going right and C5-6 going left. The worst symptoms were numbness, tingling, and weakness down the left arm. These symptoms really did not follow the C5-6 dermatome, however. They were all over the place in the left arm. Six months later, the numbness and tingling have resolved. I feel stronger overall. However, I have had body-wide fasciculations for four months. And I can see wasting of the first dorsal interossei muscle of the left hand. It is subtle, but I notice it. I have trouble holding a pot or a phone with elbow bent past 90 degrees. I have seen two neurologists including one neuromuscular specialist at an academic center. Both EMGs were clean. They needed the dorsal interossei muscle and all the other major muscles of the left arm. Clinical exams were also normal though benign fasciculations were noted. How do I know that I do not have ALS? What are the chances that these fasciculations are benign given the perceived weakness, atrophy, and fasciculations (body-wide)? How long does it take after the beginning of atrophy for an EMG to pick up ALS? What else could this be? Would not it be odd to develop ulnar neuropathy, worsening rotator cuff issues and bodyside fasciculations at the same time? I am not a doctor, but these seem like system wide problems. Currrently, I am taking Lamictal, Zaleplon and Lipitor. Doctor: Hi, Welcome to icliniq.com. It is highly unlikely that the EMGs (electromyography) are clean in the presence of muscle wasting and fasciculations. I believe the symptoms and signs you are experiencing are due to cervical stenosis and not due to ALS. A C6-7 disc herniation can cause all the symptoms you have described. Is it possible for you to upload the MRI (magnetic resonance imaging) pictures? In ALS (amyotrophic lateral sclerosis), usually, EMG findings precede clinical symptoms such as fasciculations and muscle wasting. This is also the case in radiculopathy due to cervical stenosis." + }, + { + "id": 317, + "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": 4771, + "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": 22454, + "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": 27474, + "tgt": "What could be the cause of high blood pressure in young adults?", + "src": "Patient: Hello doctor, I am a 19 year old\u00a0skinny male. My\u00a0BP was 158/100, but that could be because I was anxious at the doctor's. I have no prior health conditions. What could be the causes of a high blood pressure for me other than anxiety? Doctor: Hello. I understand your concern. Your age is 19 and your blood pressure is high. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15292, + "tgt": "When I am in a silent room, I can hear a low sound from my ears. What is it?", + "src": "Patient: Hi doctor, Sometimes when I concentrate in a silent room, I can hear a low sound from my ears. I went for a checkup, and there was nothing wrong in my ear. The doctor told me that the sound occurred because of hair cells and said to me that it is normal. What is hair cells? Is it normal to notice it? Could it be a sound of normal blood flow near the ears? Doctor: Hi. Hair cells are hearing cells inside the inner ears provided with cilia, and when vibrated, it stimulates auditory impulses. Yes, these cells have a unique sound, and it will not be audible to us. It needs a high technology device to pick it. Tinnitus has a lot of causes. First, you need to perform tympanometry and pure tone audiometry. Show me the results, and then we can diagnose the cause." + }, + { + "id": 13043, + "tgt": "How can red rashes on face that increases on eating spicy food be managed?", + "src": "Patient: Hello doctor, I have red rashes on the face for the past six months but its intensity changes frequently. Whenever I eat spicy or hot, go in the sun, its intensity increases otherwise redness decreases a bit. It itches sometimes, the skin is rough there. A year back, I went to the dermatologist and she recommended HH Sone cream. After that medicine, it got cured but it appeared after two months. Please help me. Doctor: Hello. I understand your problem. But you did not mention for how long did you apply HH Sone cream. All your symptoms match with rosacea. However, it can also be steroid induced skin atrophy if you have used the cream for a longer time. Kindly get back to me with details. Take care." + }, + { + "id": 29143, + "tgt": "Is atropine recommended for progressive myopia?", + "src": "Patient: Hi doctor,My daughter is 6 years old. She has progressive myopia. She has a high spherical number in her right eye, which is -3.5 and left eye -1.75. She also has a constant cylindrical number which is -3.25 in the right eye and -2.25 in the left eye. According to her pediatric ophthalmologist, the spherical number is increasing alarmingly in every six months. So, he recommended atropine drop treatment. What is that atropine treatment for progressive myopia? Is 1 % a high dose? Is this treatment recommended in children? What are the side effects? Kindly suggest whether the treatment is right and valid. Doctor: Hi. Some studies show that atropine treatment prevents progression of myopia to some extent. Hence, some doctors recommend it for progressive myopia. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 174, + "tgt": "I have lines between my eyes and cheeks. Is there any way to reduce it without surgery?", + "src": "Patient: Hello doctor, I am a 14-year-old male and I got these lines between my eyes and cheeks, it is saggy but it does not hurt and I do not know why I got it. I have been doing some excercises to help reduce the line and I also put Aloe vera gel. I sleep eight hours and I start sleeping at 10 or 11 PM but it does not fade and I sleep on my right side (is this one of the reasons?). Sometimes my eyes feel tired. What is the cause of this and how do I get rid of them or reduce them without surgery? I do not have money to go to surgery. I hope I could get an answer. Doctor: Hello. Sagging is due to loss of elasticity of the skin. Do you go out in the sun? UV rays exposure? Is your nutrition proper? Is your water intake adequate? Is there any environmental dust exposure? Stress? Poor nutrition? Non-surgical therapy such as face massage, face packs, masks, and anti gravity exercises can help. Protection from extrinsic factor (ultraviolet rays) with proper sunscreen, caps, umbrella, and clothing. Use photostable sunscreen 20 minutes before going outdoors for 20 days. Do daily skincare cleansing and moisturizing. Do you have adequate sleep and fluid intake? Avoid smoking and alcohol. Increase protein intake in your diet like nuts, milk, almonds, pulses, lentils, eggs, and dates. Maintain iron levels. Increase citrus fruits also. Vitamin C, A, E, and minerals are antioxidants which help in skin rejuvenation. I hope this helps." + }, + { + "id": 22026, + "tgt": "What is the cause for seperation of nail from nail bed?", + "src": "Patient: Hi doctor, I am 50 years old female, went through menopause but otherwise I am healthy. There is a problem with my nails. Out of 10 nails, six nails have one-third of the nails separated from the nail beds, with a v shape, looking white underneath, rest of the nails are looking pinkish pale. The nails are painless unless I press them hard. All the nails have some ridges. I kept my nails short with no polish for over five weeks. My fingers felt dry with mild skin peeling after a travel. Currently, I have a mild skin eczema. I also had seborrheic dermatitis in my scalp a few years ago. But it is under control with special shampoo treatment. I had one fingernail with a similar problem but it was in a milder condition. I thought it was nail fungal. I used Mometasone furoate 0.1 % cream for my skin eczema. It cleared up when my nails grew. I have an allergy to pollen. Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). You seem to have a condition known as onycholysis, which is characterized by the separation of the nail from its nail bed. Causes could be either a fungal infection (onychomycosis) or underlying skin eczemas like psoriasis. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 236, + "tgt": "What causes lump on tonsil?", + "src": "Patient: Hello doctor, Lump on tonsil for the past three years. Full left ear feeling. Been to ENT twice. Doctor: Hello. It looks like a mucocele or cyst (attachment removed to protect patient identity). Do you have any throat complaints? Throat pain? Do you smoke?" + }, + { + "id": 3033, + "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": 16407, + "tgt": "I have a small gum abscess. What has to be done?", + "src": "Patient: Hello doctor, I have gum abscess. It is very small and white in color. Should I visit a dentist or will it be alright if I go for home remedies? Doctor: Hi. It would have been better if you had sent a clear photograph of the jaw and whether you did a filling of the tooth in the same area so that I can assess it properly. Still, with limited inputs, I feel it is a case of gingival abscess due to a diseased tooth or carious tooth. Yes, it needs dentists intervention if there is really a problem in tooth and if the tooth is fine, then you can get well with medication. Tablet Ofloxacin 290 mg, Ornidazole 500 mg BD for five days. Tablet Diclofenac 50 mg and Paracetamol 500 mg BD for three days. Mixed with Chlorhexidine 0.1 % twice daily for 15 days. Rinsing for only 15 seconds. This abscess will resolve in a few days but as I told, it is to be seen whether you have a carious tooth or filling or RCT treated tooth in the same region. If you have radiograph, you can send. But I am pretty sure you will get relief in three days after taking this medication." + }, + { + "id": 28087, + "tgt": "I have developed 30 to 40 black spots on my face. What could they be?", + "src": "Patient: Hello doctor, Two years ago, I got some four or five black dots on my face, which looked like moles. But, I think it is spreading. The count is now 30 to 40. What can I do? Can you please suggest any treatment or medicine? Please note that my skin type is oily, and my mom also has this problem. Doctor: Hello. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12408, + "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": 7696, + "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": 17598, + "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": 19827, + "tgt": "My thyroid medicine makes me sick. Should it be changed?", + "src": "Patient: Hello doctor,I have been diagnosed hypothyroid. I am currently taking WP Thyroid. I have taken Armour and Nature-thyroid. They all make me sick to my stomach. I tried adding generic T3 and it made my symptoms worse, that is, hair loss, cold hands and feet, weight gain, fatigue, GERD, and constipation. Would a synthetic T4 and T3 be better for me such as Tirosint and Cytomel? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism. Hope you revert with your thyroid function test results. Good luck. Revert with more information to an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 12229, + "tgt": "How can oily scalp and face be treated?", + "src": "Patient: Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and face get excessively oily. So I went to another dermatologist and he says that the treatment is under weight. My weight is 55 kg. I take Isotretinoin 20 mg for four months, 10 mg for four months. So please advise me who is correct for me to treat my skin. Doctor: Hello. What you have told is correct. To prevent relapse of acne one needs to complete a total dose of 120 mg/kg of Isotretinoin. As your weight is 55 kg you should be taking a total of 6600 mg of Isotretinoin to prevent relapse. That comes out to be 330 days of 20 mg per day of Isotretinoin. That is almost 11 months of 20 mg Isotretinoin. This dose is recommended to prevent relapse of acne." + }, + { + "id": 16388, + "tgt": "What are the erectile dysfunction symptoms in a diabetic?", + "src": "Patient: Hi doctor, This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life? Doctor: Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life." + }, + { + "id": 10087, + "tgt": "Is it too risky for me to marry someone with sickle cell trait if I have beta thalassemia trait?", + "src": "Patient: Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus\u00a0thalassemia (ST+). But, will the symptoms be severe or mild or that of a carrier with very slight symptoms, that he/she will not need blood transfusions at all. What is your recommendation\u00a0doctor? We love each other and want to be sure about our baby in the future. I am looking forward to your reply Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 8757, + "tgt": "Kindly view my reports and advice whether my kidneys are damaged", + "src": "Patient: Hello doctor, I am a 43-year-old male. And I work out six days a week. I am in excellent shape. I consistently get my blood work done every four months. I am a kidney stone former and had kidney stones on and off for the last 10 years. I have a few kidney stones on my right side. I had blood drawn two times last month. My GFR was 63, and 65, creatine level was 1.34 and 1.36. Cystatin C was 1.21, and ACR was 0.6. All other blood tests are fine. Based on these results, do you think my kidneys are damaged? Do you think I should cut back on working out? Doctor: Hello. Seeing your current report (attachment removed to protect patient identity) there is mild damage to your kidney, and creatinine before four months was also elevated, then it is a slight degree of permanent damage. So the cause of the damage is long-standing bilateral stone can cause gradual damage to the kidney, so it needs evaluation for things, like urine routine, ultrasonography of kidney, test for sugars, blood pressure and if need a kidney biopsy. About workout, you can reduce the frequency of workout but no need to stop completely, if you got a mild degree of permanent damage (CKD), you need to restrict protein intake to 0.7gm/kg/ day, blood pressure monitoring, and kidney stone management. I hope this solved your issue." + }, + { + "id": 20806, + "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": 27906, + "tgt": "Can you suggest some creams for the skin rashes under my lips?", + "src": "Patient: Hi doctor, From one month, I started to observe some rashes on the skin under my lips. I have been diagnosed before with dermatitis, but this is a different kind of rash. I have attached a picture of the rash. I have already tried applying\u00a0moisturizing cream, Fisiogel, and Aciclovir. I thought it to be due to herpes, but these creams did not work. Please help. Doctor: Hi. I have seen 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": 2677, + "tgt": "How can fever with H. Pylori infection be managed?", + "src": "Patient: Hello doctor, I am a female, aged 34 years. A year ago I did h.pylori test which came positive and the doctor gave me 2 weeks antibiotics course and then I did not retest it. Most of the time I face burping and acid reflux problem, I have gallstones also 4 to 6 mm multiple stones, now since a week fever is coming which is a low grade fever from 37.1 to 37.5. Please advice me. Doctor: Hello, Welcome to ilciniq.com. With the given data it is difficult to tell which test was done to confirm H. Pylori, if it was a stool antigen test or a breath test (rarely done) or a serum test. Given that you mentioned, it came out positive, anyways you need to take a H.Pylori eradication kit, which includes 2 antibiotics along with a PPi plus one more agent (depending on physicians preference). As you are on 2 weeks of antibiotics, you should get your self-tested again for H.Pylori with stool antigen test. If it is negative you do not need to take anymore antibiotics otherwise you will need another 10 days of different set of antibiotics or you can take 2 more weeks of antibiotics and repeat test again. But the symptoms you are having might not get better with H.Pylori eradication, they might be due to acid reflux which is totally different from H.Pylori. You should get your self evaluated with an upper GI endoscopy and rule out GERD. You should avoid, fatty food and excercise regularly and keep a gap between meal and naps. shedding off a bit of fat will definitely help, as your BMI is about 27.5, try getting it to 25 and you will see the difference." + }, + { + "id": 13793, + "tgt": "Will using mobile phones cause pain in brain?", + "src": "Patient: Hi doctor, I am 23 years old, my height is 6 feet, weight is 55 kg. When I use the mobile phone, I feel pain in my brain but when I do not use the mobile phone, I feel normal. But when I use mobile I feel malaise and because of it, sleep does not come to me at night. I used to take medicines for this problem at that time. When I was taking medicine, sleep was coming daily at night on time but nowadays sleep is not coming to me at night or at day. Doctor: Hello. You should know that short conversations on the phone are not harmful to the brain. But, long conversations can lead to altered brain function (abnormal waves in EEG). For this reason, I would recommend avoiding prolonged use of the phone. I would also recommend trying Melatonin 5 mg before sleep every night for a month." + }, + { + "id": 4382, + "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": 19341, + "tgt": "As a depression patient, facing concentration problem. will my concentration improve?", + "src": "Patient: Hi, I am a\u00a0depression\u00a0patient. Taking depression medicine for a long time. Now I have stopped taking the medicine as it makes me very sleepy. Now I feel, as soon as I start reading something inside my mind, I am not be able to read it properly. And while reading, after few minutes I sit like a statue and I feel what I am reading is not processed inside my mind. I have consulted it with a doctor and he says that, there is some depression still left in me and also there may be a damage in the concentration centre of the brain because of the long existing depression. Now my question is will my concentraion improve, and when shall I be able to speak and read in my mind properly? Doctor: Hi, Thanks for posting a query at icliniq. First of all I need to know what was the drug, how long you took that medicine and have you felt tolerance to either effect or side effect of that drug? At this stage I like to inform you that with current available medication, only two thirds of the patients improve, the remaining and the other one third fail to improve even after trial of multiple drugs. The next course of action is decided on the basis of residual symptoms, magnitude of improvement, comorbid medical and psychiatric conditions, tolerability and affordability to name a few. In your case your doctor may be right but if you are taking same medication for more than six weeks then it is time to intervene. If the concentration problem arose after the use of drug then it might be the side effect of drug itself and in that case it needs replacement. If the prescribed drug dose is in lower range side, then increasing the drug dose might be the solution. At this stage I would like to tell you that drugs available currentlyt may be used for improving concentration after a detailed history of the patient and review of all previous drugs. I suggest you to approach a psychiatrist either online or in person for correction of your problem.\u00a0You can also book a slot for an online video chat session, I will be happy to help you out." + }, + { + "id": 22414, + "tgt": "I have burning sensation during urination. Kindly advice", + "src": "Patient: Hello doctor,I have symptoms of UTI. Burning sensation during urination. The problem started four days back. I suspect the problem happened due to tight fitting jeans I wore. Please let me know what other details you require. I have recently started swimming and pain started five days back. My age is 22 years, weight is 60 kg, height is 5\u20196\" and I am a female. Doctor: Hello. Do you have other symptoms like pain in lower abdomen, fever, increase in the frequency of urination? These may be the symptoms associated. There are two common causes for burning, one is dehydration. Do you also get yellow colored urine, if yes it further suggests dehydration, concentrated urine and subsequent burning due to it? So you should initially drink plenty of water until urine is white and transparent in color and continue to do so. However, if it does not help then it is better if you can get urine routine examination done which will diagnose the infection. You just have to collect some urine in speci-can and give immediately to any laboratory. Other option, you may take a trial of antibiotics directly for UTI (urinary tract infection). Tablet Nitrofurantoin 100 mg twice a day for five days along with antacids like tablet Pan DSR (Pantoprazole and Domperidone) 40 mg before breakfast once a day for five days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10086, + "tgt": "Current dose of Synthyroid is 150 mg. What is the recommended dose to get normal thyroid level?", + "src": "Patient: Hello doctor,My 24 years old daughter born without a thyroid and treated with Synthroid since birth has a TSH level of 23.980 uIU/mL and T4 Free of 1.57 mg/dl on the current dose of Synthroid 150 mcg. Her weight is 150 lbs and height 5' 4\". Her endocrinologist increased her dose to 300 mcg, thinking her dose had been 250 mcg (incorrect). What is the correct dose to return to normal thyroid levels for this condition at her age and weight? Doctor: Hello. It is better to increase the dose by 25 mcg, i.e. 175 mcg if she was using 150 mcg till date escalating the dose or thyroid medication will be like 25 to 50 mcg at a time. Not double the dose causes severe sickness. As you mentioned, she was Synthroid (Levothyroxine). It is better to continue the medication to maintain a normal thyroid level for a long time. After using this medication 175 mcg, it is better to repeat the thyroid profile after six weeks to check for that thyroid level." + }, + { + "id": 5863, + "tgt": "I have severe neuropathy in feet and intense burning throughout the body. Why?", + "src": "Patient: Hello doctor, I am a 65-year-old male. I had cancer before four years and was in a coma for about four times. My remission is a miracle. I have severe neuropathy in feet and poor control over the last three years. Even narcotics do not work and now exploring alternatives. My question is for the last six months I am experiencing wandering intense burning throughout the body. There was no diagnosis for it. Please suggest any idea. I am currently on 15 pain killers, antidepressant Effexor and Quetiapine. Doctor: Hello. I would advise you on the following, for the next one month, for relief. (a) Alpha Lipoic Acid R+, 300 mg twice daily. (b) Vitamin B12 (Methylcobalamine), 500 mg daily. (c) Omega-3 fatty acid 1000 mg twice daily. Additionally, I would also advise you to go for acupuncture, by any competent acupuncturist. At the same time, do streamline your diet and lifestyle. Follow essentially a mediterranean diet pattern and exercise daily for 30 to 45 minutes. Stay well hydrated, positive and relaxed. Complete blood count(CBC). Peripheral neuropathy. As advised. Streamline diet, lifestyle. Stay well hydrated and reduce stress. Suggest follow-up after 10 days of starting the medications as advised." + }, + { + "id": 16272, + "tgt": "Is PEP effective after a risk exposure?", + "src": "Patient: Hi doctor, Is PEP effective after a risk exposure? Doctor: Hi. It is not 100 % protective against HIV. But it significantly reduces the chances by over 80 %. Please mention about the mode of exposure." + }, + { + "id": 13689, + "tgt": "I feel pain due to wisdom tooth eruption. What can I do at the earliest to manage the pain?", + "src": "Patient: Hi doctor, I am having major pain in the back bottom right side of my mouth where my wisdom tooth is pushing in. I can see the wisdom tooth. What can I do for pain since the earliest my dentist can see me is in a week? Doctor: Hi. I had gone through your question I can understand your concern. You need to use Hydrogen peroxidase 3% mouth wash. Make sure the concentration must not be more than that. You can also use antibiotics only after consulting your dentist. You can also provide further details of your medical history or any drug allergy, including the pictures of erupting tooth so that I can offer you a better opinion and treatment plan. Wisdom tooth eruption. IOPAR x-ray. Impaction. Pericoronitis. Mouth wash and antibiotics. Avoid sticky foods." + }, + { + "id": 2228, + "tgt": "I have mild pain in left testis with discomfort while walking and mild abdominal pain. Please help", + "src": "Patient: Hi doctor, I am 37 years old. I have mild pain in left testes and it hangs more than usual. This happens for the last four to five days. I feel discomfort during walking and mild pain in the lower abdomen just above the left testicle. Please help. Doctor: Hi. Hope you are doing well. Coming back to your query, I think you are having an infection in your left testis a condition known as Epididymo-orchitis. First, you have to give yourself scrotal support (a langot /relatively small V shaped underwear) to support your testes from hanging. Second, start medication as in the prescription (see attachment). Are you a diabetic? Do you have any urinary complaints (night frequency, burning micturation, poor stream)? Any previous history of accident, trauma, urinary catheterization? Are you on any medications? Are you a smoker or alcoholic? If you can click a photo of both testis then it will be great. Last the ultrasound you uploaded has photos (attachment removed to protect patient identity), if you can upload a picture of the report then it will be better." + }, + { + "id": 5150, + "tgt": "How can I get treated for red and itchy skin around anus and vulva?", + "src": "Patient: Hi doctor, I have a really embarrassing problem. The skin around my vulva and anus is red and it keeps cracking or bleeding. The skin around my anus is also flaky and yellow in some places. It is itchy and is causing me serious embarrassment. It has started affecting me psychologically as it has been an ongoing problem for the past one year or so. I have been tested for all STDs including HIV and I am negative. So, that it has been ruled out. I have tried all sorts of steroid creams and thrush treatment, but it never worked. I really need help with this as it is making me really depressed. I also got an itchy flaky scalp and occasionally get flaky skin on my eyelids. What could this be and how can I get it treated? 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. 1. Itchy and flaky scalp and eyelids indicates seborrheic capitis and dermatitis or dandruff. 2. For that, you can use Ketoconazole based shampoo on your scalp twice a week. 3. You can apply Betamethasone lotion on your scalp over the itchy areas twice daily for one week. 4. Apply Hydrocortisone cream over the eyes once daily for seven days and then stop. Constant unremitting itching over the vulva could be due to lichen sclerosus. 1. The mainstay of treatment will be topical steroids. In addition, you may take Fluconazole 150 mg orally once weekly for two weeks. 2. Use a non-soap cleanser. 3. Take oral antihistamines, for example tablet Hydroxyzine 25 mg at night. 4. Avoid constant itching or rubbing. It will aggravate the symptoms. 5. Apply emollients for relief and to avoid itching. Loose cotton based clothing and inner wear will be helpful. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7422, + "tgt": "Are light headedness and numbness of head symptoms of intracranial hemorrhage?", + "src": "Patient: Hello doctor, I have been lightheaded or unsteady for the last month. My entire head has been going numb a few times and sometimes the sides of my head. I had a cat scan to rule out bleeding, and it was negative, but I feel like I should get an MRI to check. Do you think I could have an intracranial hemorrhage? Doctor: Hello. You seem to have the paroxysmal symptom of vertigo possibly secondary to labyrinthine dysfunction. Did you have symptoms of upper respiratory illness recently? There is no need to panic as it is not related to bleed inside your brain. If symptoms persist, you can start Stugeron tablet 25 mg (Cinnarizine) twice a day for one to two months. You can start doing some vestibular exercises. These simple techniques will strengthen your vestibular system, but you have to be regular in it. I hope you will be better soon. Secondary to post viral labyrinthitis. Dix hall pike test to determine site. Central vertigo. Chronic labyrinthitis. 1. Stugeron (Cinnarizine) 25 mg bid for one to two months. 2. Vestibular exercise. Avoid walking alone on undulating surfaces." + }, + { + "id": 24489, + "tgt": "I get angry easily and have lost interest in everything. What can be done?", + "src": "Patient: Hello doctor, I am 58 years old male. I get angry at the drop of a pin. One single nerve in my left forearm pains like hell for two to three seconds. I have no stamina to walk. The area in my trousers around thread knot area gets brown for six months or so. I have lost interest in everything. Currently, I am taking Aztor 20 mg in nights, Urisol morning and night after food, Pantop-D morning and night before food, and Urispas morning and night after food. Doctor: Hello. I can understand your concern. Sudden onset of anger could occur due to underlying mood disturbance. This can be due to depression or may be due to poor impulse control. If you have sudden onset anger with poor impulse control like throwing things, hitting others or abusing others suddenly then that should be treated properly. Anger with symptoms like lack of interest in day to day routine, poor motivation, irritability, lack of desire to do anything then that could be due to depression. Depression can present with multiple pain symptoms too. The pain you have could be a somatic symptom of depression. In your reports, you have high bilirubin levels. This jaundice should be treated properly. Aztor (Atorvastatin), Ursodiol will help to treat jaundice. This can be the reason of your worsening of mood. You should wait for around four more weeks and get repeat liver function tests done. Once the levels become normal then we will see if the mood worsening is persistent. Did you have these symptoms prior to the onset of jaundice too? If these symptoms were present even before jaundice then that is due to depression. Drugs like SSRIs (selective serotonin reuptake inhibitor) can be used to treat the depression. This will help in improving the mood too. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9643, + "tgt": "Kindly suggest medications for thinning and loss of hair", + "src": "Patient: Hello doctor, I am 32-year-old male, lately suffering from excessive hair loss, not only in a particular area on the scalp but all over thinning. No any other disease, no medication, height 183 cm, and 81 kg weight, overall, being healthy. Recently had blood tests and all reports look fine. One concern she asked me is whether enough proteins am I getting? As I am a vegetarien by food habit. She also suggested that I can try any medications without prescription like Biotin etc. Also, I see a lot of sticky dandruff, which is causing itching sensation on my scalp. Please suggest any medicine I can bring from other places and some tips on food, so I get enough proteins. Doctor: Hello. Please upload a few pictures if possible for diagnosis and advice appropriate treatment." + }, + { + "id": 966, + "tgt": "Is stem cell therapy useful for neurogenic bladder?", + "src": "Patient: Hi doctor, My daughter, who is 22 years old, has neurogenic bladder. Her height is 4'10\" and weight is 53 kg. She is suffering from voiding dysfunction and constipation. She underwent surgery for spinal lipoma when she was 45 days old. Her bladder trabeculated and grade 3 reflux. Her right kidney is 8.83 x 4.89 cm and left is 9.40 x 4.08 cm. She had been on Nitrofurantoin 100 mg and Tolterodine tartrate 2mg per day (bed time) for six years and discontinued three months back. Kindly advice on appropriate treatment option and prognosis. I would like to know if stem cell therapy is useful. I have attached her reports for your reference. Doctor: Hi. Welcome to icliniq.com. 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": 24172, + "tgt": "Kindly review my blood and urine reports", + "src": "Patient: Hello doctor, I want to get my blood and urine reports reviewed. There are few things that show in red there. As such, I am fine. The only mild problem I have is burning eyes and palms and a little heavy back head after any meal. My BP ranges between 135 to 140 by 90 to 95 mmHg and blood sugar is 105 to 125 mg/dl (postprandial). I am currently taking antibiotics, Ocid 10, and Amlodipine 5. Doctor: Hi. I have reviewed all the attached laboratory reports (attachment removed to protect patient identity) and want to add that most of your reports are fine. There is increased liver enzyme (GGTP - Gamma-glutamyltransferase) that may be due to any reason but not limited to liver damage due to any liver disease e.g., hepatitis. Heart diseases and certain infections (e.g., pancreas infection) and taking medications that are toxic to the liver may also cause a raised GGT levels. You should consult a hepatologist for further probing and to see if there is anything wrong with the liver. He may go for hepatitis screening if needed. Your present complaints of burning eyes and palms may also be associated with the liver. You said you are taking antibiotics. Having an infection and being on antibiotics may also cause eyes and palms burning. Your blood sugar tests look normal. Cholesterol levels and other tests also seem to be normal to a large extent. No worries about that. If you do exercises regularly, your LDL (low-density lipoprotein) levels possibly would also come in normal range. You should take more and more water, and do a proper physical activity (exercise) in order to remain properly hydrated and active. For more information consult a vascular surgeon online --> https://www.icliniq.com/ask-a-doctor-online/vascular-surgeon" + }, + { + "id": 15964, + "tgt": "Is it necessary to take Adava tablet to reduce cholesterol?", + "src": "Patient: Hi doctor, My doctor has advised taking Adava stat F tablet to reduce cholesterol. I have type 2 diabetes and my cholesterol 175.6, triglycerides 297, and HDL 24.5. So, do I need to take this and how long I need to take? The doctor said only three months or lifelong. Doctor: Hi. We can say you have mix dyslipidemia with your results. This means you have a lipid disorder but at this point, you do not need medication. Medication for an increase in triglycerides should be taken when greater than 450 to 600 mg/dL or cholesterol LDL is greater than 130 and you have increased cardiovascular risk (which is not your case). DM (diabetes mellitus) 2 increases your heart risk so it is important you meet your goals of control. Treatment at this point includes exercise 30 min/day for five days per week with a low carbohydrate diet (150 to 200 g of carbohydrate per day). Follow up with new laboratory test (including HbA1c, fasting glucose, and new lipid profile). The other thing to consider is to check your blood pressure sporadically since this can also increase your cardiovascular risk." + }, + { + "id": 18658, + "tgt": "Why do I have anxiety attacks soon after I wake up?", + "src": "Patient: Hello doctor, I am 24 years old, and I weigh 80 kg. My height is 5 feet 7 inches.\u00a0I have anxiety and depression from many days. Anxiety starts as soon as I wake up and it lasts for a few minutes. I calm down for a while and then again it starts. It occurs every day like a cycle without any reason. The anxiety and depression last for the entire day. I have migraines too. When these three occur together, it feels like hell. I lose concentration. I feel like freaking out, and my mind does not work. Whenever I sleep for too long or if I have lack of sleep these symptoms tend to increase. I have insomnia also. I am comfortable staying awake the entire night and sleep during the daytime. I am losing my social life because of these problems. The only thing I can do is just study for a while and prepare my food. That is it. Please suggest medications for these symptoms. Doctor: Hello. You are having multiple problems. So, along with the medicines, you need to do regular exercise and maintain a good sleep hygiene. Also, try identifying the triggers for your headaches and try avoiding them. Secondly, in such situations, SSRIs (selective serotonin reuptake inhibitors) such as Fluoxetine or Paroxetine can be helpful. Psychotherapy is also recommended. For migraine prophylaxis, I suggest Propranolol as it helps to lower the anxiety. Initially, for a few days, I suggest you try Benzodiazepine such as Clonazepam first to take care of your anxiety and insomnia and then the SSRIs. I suggest pain-relieving medication such as Naproxen to be used on an as-needed basis. These are prescription drugs. Consult your specialist doctor, discuss with him/her and take the above medications with their consent. Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28336, + "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": 29481, + "tgt": "My period is heavy and thick. Is it a kind of miscarriage?", + "src": "Patient: Hi doctor, I missed my periods for two months, and now, I have got my periods. It is very heavy, thick like a mucus and the flow is continuous. Why? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30632, + "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": 30798, + "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": 28573, + "tgt": "Is an expired I-pill effective?", + "src": "Patient: Hi doctor, I took I-pill four days back, but after taking it, I noticed that it had already expired three months ago. Is there anything serious? Will the I-pill be ineffective? Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22836, + "tgt": "I underwent tube ligation last year. How can I conceive now?", + "src": "Patient: Hello doctor,I undo tube ligation last year. I have been trying to have another baby since then but no luck. I am 43 years old and I have 3 girls. My last born is eight years old. I need help before it is too late. I am HIV positive for past 15 years. I had TB and got complete treatment. Currently, I am taking ARV. Doctor: Hi. It would be better if you can send me your complete medical, obstetrics, gynecology, and drug history previous as well. If your menstrual cycles are regular and no menstrual irregularities like any intermenstrual post-coital bleed then you can easily have your all blood test on your second day of periods, (serum progesterone, serum testosterone, serum prolactin, serum insulin, FSH- follicular stimulating hormone and LH- luteinizing hormone, thyroid function test). In case of irregular cycles, you can have cyclic combined oral contraceptives for a month to have withdrawal bleeding and can do tests on the second day of bleeding. Have one transvaginal scan outside menstrual days. Strict check on your retroviral load, better to have regular follow-ups with your physician to have best general health for conception and best pregnancy outcome. Your viral load will decide your mode of delivery as well as your management during pregnancy, at labor and baby's treatment post delivery. Have strict intake of folic acid you need extra dose 5 mg daily for a better fetal outcome. Have a complete check and full treatment of any health issue you and your partner have. Have sex in the fertile period of your cycle. Quit recreational drugs both you and your partner as it not only increases chances of congenital anomalies in children but also reduces fertility. Have a healthy diet, daily walk and recreational activities for better physical and emotional health. Collect all blood reports, scan report and discuss here or with your local gynecologist specialist if you need any extra help in form of treatment for conception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 579, + "tgt": "I have swelling in the neck with no symptoms. What should I do to prevent and control the swelling?", + "src": "Patient: Hello doctor, I have swelling in the neck and tested in the laboratory about three years ago. They say I have a problem with my thyroid and I need to consult a doctor. Unfortunately, we do not get a chance to go back to the hospital again because of a lack of money. I am 17 now and my neck is still swelling, I do not feel any symptoms as of now. The last doctor who checked my neck says it is a non-toxic thyroid problem (but they did not tell what my illness is, because it is just our school medical. better to consult a doctor). Is there any recommendations to prevent my neck from swelling? What are the foods and activities to control the swelling? Is there any thyroid home test I should try to identify how is my thyroid? I will consult a doctor if the situation is totally fine. Doctor: Hi. In most cases, when there is a swelling associated with the thyroid, the swelling moves when you swallow and can be seen when you turn your neck backward and swallow. The surest test to detect a thyroid swelling is by doing an ultrasound to assess minor details, size, blood supply, and other aspects which we need to know before we treat you. Secondly, you need to get a thyroid function test wherein we assess the level of the thyroid hormones in your body. Thirdly, we also do a fine needle aspiration cytology (FNAC) to find out what was the cause of the swelling to occur in the thyroid. Here we insert a needle in your thyroid gland in areas of interest and then observe these cells under the microscope. For patients having thyroid problems (hypothyroid to be specific), we usually avoid foods belonging to the brassica family such as kale, rape, cabbage, cauliflower, and broccoli. These are known to block the synthesis of the thyroid hormones leading to its deficiency and thyroid enlargement. Seafood, bread, and milk are rich sources of iodine. Also, understand that a hyperfunctioning thyroid also can cause a thyroid swelling and the tests mentioned above are basic and have to be done to evaluate any patient with a thyroid problem. So in a nutshell, the doctor who deals with thyroid problems will definitely get these investigations to manage the problem further. I hope this helps." + }, + { + "id": 3605, + "tgt": "I developed skin rashes over my stomach and legs. Could it be linked to HIV?", + "src": "Patient: Hi doctor, I have been away to abroad and developed skin rashes all over my stomach and legs. There are red dots everywhere and it is very itchy. I am worried it could be linked to HIV? Doctor: Hello. You have developed maculopapular erythematous lesions with itching, which can occur in multiple conditions. Please inform whether the lesions are also in finger webs and genital area. If there is intense itching, one of the differential diagnosis is scabies. Have you undergone your HIV test anytime? If no, get it done from any accredited laboratory to know your status. Please revert with complete information." + }, + { + "id": 884, + "tgt": "I get itchy dry eyes after prolonged screentime with occasional vision loss. Why?", + "src": "Patient: Hello doctor, My eyes hurt for about a week now. I feel like resting for a long period of time. They are itchy and dry. There is a foreign object sensation. Sometimes, I feel like I am losing my vision or it is getting weaker. Sometimes I do the 20-20-20 rule. Lately, I have been spending a lot of time in front of the screen. What could be the reason my eyes hurt? Currently, I am taking Isotretinoin 20 mg twice a day, and Topical Benzoyl Peroxide 5% and topical Retinoid and Clindamycin for chronic acne. Doctor: Hello. You must get your BP, and blood sugar levels done. Monitor if normal or abnormal and consult a physician. Also, get 2D echo done as soon as possible and seek a cardiologist opinion. The condition that you lost vision suddenly for some time is known as amaurosis fugax. I am telling you this first because this is serious. Also, it is a must to get your refraction done and also consult a retina specialist and get the detailed retinal examination done as well. Coming to your eye symptoms, it would have been better if you share a picture of eyes but it seems like you have allergic symptoms. I hope there is no discharge or stickiness of eyes. You can use Bepotastine 1.5% eye drop TDS one drop in both eyes for two weeks. Soft drops 0.5% (Sodium carboxymethylcellulose) eye drop six times a day (one drop in both eyes) for one month. Avoid any rubbing of eyes. Use goggles." + }, + { + "id": 22049, + "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": 20816, + "tgt": "My daughter has persistent breathing difficulty, cough and throat pain. Kindly help", + "src": "Patient: Hi doctor, My 7 year old daughter has difficulty in breathing. Sometimes, she also makes noise while breathing. She has frequent cough and pain in the throat. The doctor advised a few medications. There was a little relief after two days. After exemption of medicine, the breathing difficulty, cough, and throat pain still persist. Please help. Doctor: Hi. The following precautions are very important for your child: We have to rule out throat infection (tonsillitis), chest infection and asthma, to find out if the symptoms are due to allergy. Get an x-ray chest and complete haemogram done and revert back to a pulmonologist online--->https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15474, + "tgt": "Can heart block be cured with medicines alone?", + "src": "Patient: Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage. Doctor: Hi. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a family history of heart and blood vessel disease. If we control the physical factors, it reduces the risk of heart diseases and blockage issues. Yes, exercise, as you mentioned, is very helpful in keeping the things in balance. Your query about medicines to control the disease depends on what medications are we talking about. There may be a bunch of classes of medications in heart disease. Taking medications is mandatory in your case. If it does not lower the percentage of blockage, it will definitely be helpful in blocking any further derangement. Your cardiologist can discuss the issue better as he is having detailed medical history upfront. Cholesterol can be maintained in normal limits and your cardiac health can be kept in check. Blood pressure medications also help in some patients who have the basic issue of high blood pressure. If someone has the blood vessel disease we can give medications to relieve the spasm of vessels and dilate the blood vessels. Sometimes we raise the blood flow to heart muscles and in this way the blockage to heart vessels is relieved." + }, + { + "id": 2975, + "tgt": "What does it mean by low insulin with pretty normal glucose in a blood report?", + "src": "Patient: Hello doctor, I am 26 years old. I am diagnosed with hypothyroid about four years ago. I started from 0.25 mcg Levothyroxine, and now taking levothyroxine 0.75 mcg. Recently, I lost 4 pounds which is very bad because I am 5.6 tall and my weight is 116 pounds. I feel weak and dizzy very often. I also have irregular heavy periods and symptoms of having too much male hormone (too much hair on legs, bikini, etc, severe acne especially a week before expected period). Since one year my periods cycle became longer, before it used to be 28 days and now it is 38 days. I am also worried because of low insulin and pretty normal glucose. What does it mean? May it be because I am on gluten-free diet for two years? Please also look at my sex hormones prolactin looks too high, and I am not sure about testosterone. Doctor: Hello. I just read your query and the detailed information you have mentioned in the attached reports. (attachment removed to protect patient identity). The thyroid function is good and you must take your medicine regularly as usual. Do not worry about the insulin levels it is a good thing, it means you are perfectly normal. Your prolactin levels are the ones that you should be worried about as they are the ones causing your irregular periods. They need treatment. I would suggest that you take tablet Cabergoline 0.25 mg orally twice a week for two weeks and then repeat your serum prolactin levels. Your testosterone levels are within normal limits and perfectly normal as well. I hope this helps." + }, + { + "id": 27383, + "tgt": "When can physiotherapy be started after bilateral hip replacement surgery?", + "src": "Patient: Hi doctor, I had bilateral hip replacement\u00a0surgery done recently. The right hip was replaced last month, and the left hip was replaced this month. Is it advisable to do physiotherapy now? Doctor: Hi. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 26730, + "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": 25382, + "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": 2952, + "tgt": "What is the solution for skin sagging following bariatric sleeve surgery?", + "src": "Patient: Hi doctor, I have gone through the bariatric sleeve surgery before three years. Now, \u00a0my stomach skin is sagging. Please advise me what to do. Doctor: Hi. Since you have gone for bariatric surgery, I just want to elaborate the things for better understanding. For further information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 11568, + "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": 27635, + "tgt": "I am 9 months pregnant, and my total T3 is 208. 57. Should I be worried?", + "src": "Patient: Hi doctor, I am 9 months pregnant, and I have some doubts with my recent free T3, T4, and TSH levels. My\u00a0Triiodothyronine total (T3) is 208.57. What is it? Is it something to worry or is it normal? My TSH is under control, and it is 2.63 now. Doctor: Hello. I just read your query about your pregnancy and your thyroid function test results. 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": 28434, + "tgt": "How can I get rid of heartburn and a bloated stomach?", + "src": "Patient: Hello\u00a0doctor, I am a 32 year old suffering from anxiety disorder, and I took some related medicines for a few years and still take Mirtazapine. I have weight issues from a couple of years. I do blood examinations regularly, which come back normal. Lately, I am having problems with heartburn. I had a\u00a0helicobacter infection last year, followed by Streptococcus infection last month. Both have been treated with antibiotics. During my last blood examination, the cholesterol level was 5.7. A gastroenterologist said that I am probably prone to Gilbert's syndrome, due to bilirubin levels coming up on the\u00a0blood test. I like drinking, but I used to drink during my late 20's much more, than I do now. I am a moderate drinker. I have an appetite of a lion, but I tend to limit my food intake at a minimum, to keep my weight under control. Which I am not being able to do. I do not do any physical activity, so that does not go in my favor. Whatever food I have, I can smell the odor when I burp even after several hours. If I go slightly generous with food for three days in a row, my stomach bloats. I took Espumisan and Pantoprazole tablets about a month ago, for two weeks, and I went on a diet. It was better. Now that I am back to my daily routine, these problems are back again. I am also constipated since a child.\u00a0I would like to get your opinion. Are these symptoms related? Is this coming from the depression? How can I soothe heartburn and bloating? How to lose weight?\u00a0Your replies would be greatly appreciated.\u00a0Thank you. Doctor: Hi. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11633, + "tgt": "I am suffering from testicle pain and bubbles in penis after unprotected sex. Kindly help", + "src": "Patient: Hello doctor, I had sex with my fiance a month ago, and I did not use the condom. After 15 days the testicle pain started with abdominal pain, and then the small bubbles at penis glands. Now with the tiredness of the head, the headache is accompanied, and the sweat is high. I used to get testicle pain in only summer, three or four times per three months. The urine albumin present 1+ in the urine test, the urine epithelial cells 15 to 18 and the urine RBCs 10 to 12. What it could be? Doctor: Hello. I have gone through your query. I would like to know a few more details to answer your question better. Have you have had any fever, rashes or joint pains in the last two weeks? Based on your symptoms, it is most likely that you either have a urine infection or some infection of the genitalia. The urine test reports also suggest the same. It would be necessary to have a complete physical examination to find out what is the exact infection and treat it with medication which should be able to get you back to normal. You may require a urine culture test or urethral swab test to pinpoint what the infection is. I would suggest you to visit your local urologist at the earliest to get the tests. I hope this helps, feel free to revert with any other questions or concerns." + }, + { + "id": 3632, + "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": 7325, + "tgt": "Please give me your opinion on pterygium surgery", + "src": "Patient: Hello doctor, I am a 28-year-old female. Had pterygium for 4 to 5 years in the right eye, and in the left eye for two years. It was treated with eye drops, but I do not remember the name. I have not taken the drops in more than a year. The recommendation now is for surgery, so I am seeking a second opinion, preferably with someone who can view the photographs and offer a treatment option. Doctor: Hello. I saw the photos, and although they are not of high quality, I can still determine the borders of the pterygium. Usually, pterygiums are operated on if they have crossed the white border of the eye, have reached the central part and are causing visual problems such as blurry or diminished vision. The other reason is cosmetical and if the patient asks for the surgery. Pterygium is a chronic process during which the lesion starts to grow due to different reasons like continuous exposure to the sun, dry eye, etc. Therefore the decision of whether to do surgery or not is up to you because even after surgery, it might reoccur if the main reasons persist. There is no dedicated treatment for it, and we usually prescribe steroids to reduce the inflammation along with artificial tears to keep the eye lubricated. I would advise you to use the following, 1. Lotemax eye drops or alternative one drop three times daily for 10 days (make sure you shake the vial well before using it in case of lotemax ) and any artificial tears one drop 4 to 5 times daily in a continuous manner (do not use it before going to sleep). After 10 days you can reassess it yourself an decide whether you want to do the surgery or not." + }, + { + "id": 7979, + "tgt": "What would you recommend for red acne scars?", + "src": "Patient: Hello doctor,I am very light complected with dark red acne scars that I have had for a few years. I have some acne on my cheeks, but the acne scars are more noticeable. I have combination skin I believe because my forehead tends to be super dry to where it peels, and my nose gets oily. After any cleanser, I use my face gets very dry. Which soap do you recommend and could I use castor oil or coconut oil after for the dryness? I heard they are good face moisturizers. Kindly advice. Doctor: Hello. It is essential to avoid oily preparations on the face for acne with combination skin. It tends to develop seborrheic dermatitis. I would not advise any oil for dryness here. It is also advisable to avoid harsh soaps and cleansers. As they remove oil, they can also lead to skin irritation. Acne spots can be reduced by using creams like Biluma at night and sunscreen during the day. Creams do not effectively treat depressed acne scars. You may require chemical peels, micro-needling, or lasers. None Acne, seborrheic dermatitis. 1. Clindamycin gel twice a day for acne. 2. A mild cleanser or soap-like Cetaphil 1-2 times a day 3. Aloe Vera containing moisturizer as required. 4. Oral medicines may be required depending on severity. 1. Do not overdo face cleansing. 2. Wet wipes can be used if face washing required more than two times a day. Would like to see a picture of the acne and scars for further advice." + }, + { + "id": 20831, + "tgt": "Why am I having pain only during intercourse and tampon removal?", + "src": "Patient: Hello doctor, For the past one month, it has been painful for about the first minute or two of sexual intercourse and it is also painful to take out my tampon. It is painful and I guess kind of feel like a cut on the inside. Should I see a gynecologist about this or is there anything I can do on my own to fix this? Doctor: Hi. You have dysmenorrhea. Take capsule Meftal spas (Mefenamic acid and Dicyclomine) when you have pain. Take light food during that period. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19788, + "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": 1075, + "tgt": "I have dark spots on my cheeks close to eyes on both sides. What could it be?", + "src": "Patient: Hello doctor, I am a 59-year-old male. I have dark spots on my cheeks close to eyes on both sides identical. I would like to have medical advice on this problem which I am having for more than three years. I am currently taking Obimet SR 500, Glimisave M1, Pivasta 2 mg, Pinom 40 mg, and Clopilet 75 mg. Doctor: Hello. Please send two to three clear pictures of the affected area for better evaluation and guidance. Do you have any symptoms (itching / burning) over this area?" + }, + { + "id": 10725, + "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": 27086, + "tgt": "I am just fed up with my dark complexion. Please prescribe me some skin whitening product", + "src": "Patient: Hello Doctor, I am just fed up with my dark complexion. Please prescribe me some skin whitening product. Doctor: Hi. Natural complexion is the best. Cosmetics do more harm than good. You can avoid them. Melanin pigment in the skin protects against cancers. Presence of more melanin in the skin gives the dark complexion. You can use sunscreen lotions which help in preventing tan due to sun. There are mild peeling agents with salicylic acid used in skin peel treatment. To discuss regarding the skin peel treatment , consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27709, + "tgt": "I have chest congestion, nose block and cough after a recent weather change. Please help", + "src": "Patient: Hello doctor, I have a chest congestion and nose block leading to the formation of a thick yellow mucus when I\u00a0wake up in the morning. This started after a recent weather change in my city and I have this problem for a week now. I have not taken any medication yet. I do not have any other health issues except hyperacidity and GERD symptoms. In the mornings, if I clear the mucus, I feel relieved. The cough is phlegm-based and arises from within. Can you suggest a dose of antibiotic that will clear my throat and cough? Doctor: Hello. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14626, + "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": 28595, + "tgt": "Do you recommend any specific test to know the reason for headache and tinnitus?", + "src": "Patient: Hi doctor,Before a month, I went for earwax cleaning, and it was unsuccessful. The second attempt after three days was fine. There were some irritation and blood was found on the removed cerumen. According to the ear specialist, there is no ear inflammation.\u00a0My complaints are top\u00a0right-sided burning spot in the head, which is triggered\u00a0with\u00a0belching and movement and tinnitus. They started after right ear water cleaning. I was prescribed with Sofradex 8 mg ear drops. I had Nurofen 400 mg for two days and stopped due to side effects. General blood tests including HIV and syphilis were conducted eight days after ear cleaning and all tests were normal. Doctor: Hi. I read your query and gone through the attached blood reports (attachment removed to protect patient identity). For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21882, + "tgt": "What causes a positive after-image?", + "src": "Patient: Hello doctor,I have health anxiety and migraines. I have started seeing after-images quite frequently, especially when inside and looking outside to a road or across the road. I am blinking and seeing a positive after-image for less than a second. This is extremely worrying for me as I am unsure why this is happening. I do not know if this is caused by something else. But, I have had my eyes checked and everything was fine. Could this be symptoms of migraine aura? I have had a sore head for a while now in both temples. Doctor: Hello. I understand your concerns. Your symptoms are most likely due to migraine which cause severe headache, mainly on one side that lasts for few hours (up to 72 hours) may be associated with other features like limb numbness, nausea, photophobia, and other different symptoms. In many cases, migraine is preceded by aura which could be auditory or visual symptoms like the one you described. The other possible causes include: Please provide me with more details in order to reach the appropriate diagnosis: I suggest: Medications are required to abort acute attacks and to prevent attacks if frequent.Follow up is required to confirm the diagnosis and to exclude any serious conditions.Neurological assessment is recommended. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9529, + "tgt": "My 22-months-old niece attempts to eat food but gives up before it reaches her mouth. Please help", + "src": "Patient: Hello doctor,My 22-month-old niece is strictly eating baby food. She attempts to eat food but gives up before it reaches her mouth. She also is still on a bottle and occasionally drinks water out of a solo cup or sippy cup. She is also slightly behind in her speech, but interacts and usually plays. Kindly help. Doctor: Hello. According to me stop milk from 8 am to 8 pm and give semisolid diet like dal, dalia, khichdi aloo kela rice, apple, upma, halwa, patolia, raab, kadi idli poha satu custard etc., And from 8 pm to 8 am give mother milk is preferable if not give top milk without water and add sugar as per your taste. To start with stop milk for 4 hours for 15 days and give semisolid diet next 15 days stop milk for 8 hours and provide semisolid food lastly stop milk from 8 am to 8 pm and provide semisolid diet. Give your kid following supplements, 1. Vitanova drops (Vitamin D3) one ml once a day. 2. Feris drops one ml once a day. 3. Zincovit drops one ml once a day. 4. Syrup Ostebon one teaspoon full twice a day. All above for six months." + }, + { + "id": 7976, + "tgt": "Kindly tell me about the lotions to be applied on the skin to become fair", + "src": "Patient: Hello doctor, Please I need advice on which body lotion to apply on my skin. I have a little fair complexion with dry skin. But I love to lightning up more and also have soft, smooth, and silky skin. Doctor: Hello, Welcome to icliniq.com. For the dry skin, first of all, I suggest you rule out hypothyroidism by serum TSH estimation and free T4 estimation. If no specific cause like thyroid is present, then you can use lotion over your dry skin. You can use Nivea or Cetaphil like moisturizing lotion over your dry skin. Usually, your skin texture will improve with any one of these lotions. If still no improvement, then you should consult a dermatologist for detailed evaluation." + }, + { + "id": 14883, + "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": 4484, + "tgt": "Does PET scan showing metabolic activity brain appearing metastatic mean cancer?", + "src": "Patient: Hello doctor, The PET scan report says that the metabolic activity brain appears metastatic. Does this confirm that the patient has advance cancer? Doctor: Hi. Revert with more details. I need also pathological and treatment details. Usually, if brain is involved with multiple lesions, it is considered advanced malignancy." + }, + { + "id": 1049, + "tgt": "I am getting pimples and dark spots. How to treat it?", + "src": "Patient: Hi doctor, I am having skin problems for the two months where pimples are like faint and after it disappears that spot becomes black. Please help. Doctor: Hello. I will help you with your problem. You are having acne vulgaris which is the most common skin condition of your age. Generally, the eruptions on healing leave a mild dark spot. If the eruptions are manipulated by picking them or squeezing them, they leave darker spots on healing. In your case, if you are having oily skin, you should use Ahaglow S facewash four to five times a day. This will prevent oily skin which is one of the main causes of the acne. For the treatment of the eruptions, you should use Deriva CMS gel on the eruptions at night daily. Also take tablet Azithromycin 500 mg three days a week for 1 month (3 days daily dose, then 4 days gap, then repeat). The dark spots, if persist after the course of treatment, can be treated by other creams then. Acne vulgaris. As mentioned above." + }, + { + "id": 5366, + "tgt": "I have premature ejaculation and my tests are normal. Is it due to prostatitis?", + "src": "Patient: Hello doctor, I am 26 years old and I developed premature ejaculation out of nowhere around a year ago. Before that time I was the complete opposite. It used to take me too long then, I thought something was wrong with me. Now I can barely last three minutes. And it is weird because sometimes I can cum without even penetrating or touching my penis. I went to the urologist and got tested for STD, ultrasound testicle and bacterial lab test and everything came back normal. But for some reason, I feel like he has something to do with prostate or something because I have tried the cream and that did not work. So it is not a sensitivity issue, it feels like it is something going on in my penis tubes and my prostate. I think I may have prostatitis and the doctors just do not know. Please help. Doctor: Hello. First and foremost thing do not panic. That is the most damaging thing in your problems. Prostatitis generally does not cause premature ejaculation. Sometimes premature ejaculation can develop in case the frequency of intercourse is not much or because of stress. Symptoms of prostatitis are pain or discomfort in the urethra, discomfort in balls, lower back or lower part of abdomen, pain in thighs, painful ejaculation. Even these symptoms get aggravated by stress. PME is only a problem if it is causing distress in the relationship with your partner repeatedly. The timing of three minutes is not abnormal. So stop bothering about the timing unless it is causing a problem in your sex life. Treatment of PME is tablet Dapoxetine 30 mg SOS before sexual activity or local anesthesia (lignocaine) gels or sprays on the penis to be applied a few minutes before sexual activity. In the absence of other symptoms as mentioned above, I do not think you have prostatitis." + }, + { + "id": 13167, + "tgt": "Do I need emergency care for palpitations due to high stimulant dose?", + "src": "Patient: Hi doctor, This morning I took my usual stimulant, but at a higher dose (Vyvanse 50 mg, rather than the usual 30 mg). In addition to the usual coffee, I have tried for the first time a dietary supplement with caffeine (200 mg), Niacin (10 mg, 50% daily value), and vitamin B12 (1000 mcg, 16,667% daily value). Now, I am experiencing accelerated heart rate and in particular, irregular heartbeat. It was usual with what I have taken so far, and I will not repeat this mistake. However, I would like to understand whether I need urgent care or not. I have attached the ECG, and I have recorded it with my mobile as it has a heartbeat sensor. 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 have seen the heart beat monitored through your smartphone (attachment removed to protect patient identity). I want to assure you that this is not a big concern of medical emergency. You need not worry as it is a temporary increase in heartbeat. You will soon be normal. You need no antidote as your body will adjust at its own. When there is a high dose of the stimulants in the body, the heart rate increases due to the effects of the drugs. Our heartbeat increase and it is sensed by the sensors. It leads to an increased parasympathetic activity and that causes a decrease in the heart rate and heart beat goes normally. This is a natural reflex activity that happens in all. You also will get normal heart rate and normal heart beat. I do not think this is a medical emergency and you need not worry much. Relax and sit calm. I am happy to know that you will not do it again. It is necessary to know that if you will do it again and again it will have very dangerous effect on the heart and may cause severe damage or heart failure due to enlargement or sudden cardiac death which occurs in severe cases when heart gets an abnormal rhythm (arrhythmia). The heart beats in the mobile sensor are not reliable but I have seen hundreds of them. So when I decode yours, it is harmless for now. There is nothing significant. Nothing needed much. Take plenty of water and avoid caffeinated drinks of any type." + }, + { + "id": 17005, + "tgt": "My kid's eyeball size is quite big. What could it be?", + "src": "Patient: Hello doctor, Yesterday we had a consultation with an eye doctor for my kid. After diagnosis the doctor said \"kid's eyeball size is quite big\". He also said left and right eye have \u00a0\"-4\" power (not cylindrical) and retina is good. He also added that, at this stage we cannot do any thing and asked us to come back after 6 months. He said the power may go tentatively up to \"-6\". Above all he said that spectacles is also optional. Please suggest me what to do now, as I do not want my kid's eye power even more. Do we have any other approaches to control this? Will swinging of eyes be controlled on its own after some time? Doctor: Hello. I reviewed your history. Do write back to an eye care ophthalmologist online after consulting your pediatric ophthalmologist so that we can plan the next treatment --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9213, + "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": 17474, + "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": 20757, + "tgt": "Please prescribe ayurvedic medicines to reduce fibroid", + "src": "Patient: Hello doctor, My age is 27 years old. I am unmarried. Three years ago, I have undergone a myomectomy and a large fibroid was removed. Since then, I am fine. For the past one month, I am bleeding again with pain. Now, the scan showed more than three intramural fibroids. One largest fibroid measuring 40 mm x 35 mm. Except this, the uterus is normal in all aspects. Thyroid test also shows normal. Please describe ayurvedic medicine to reduce my fibroids. Doctor: Hello. I just read your query. In ayurveda, there is panchakarma therapy. Under which there is a procedure named as virechana therapy which is purgation therapy. It is helpful to your problem. Along with it, your treating physician will prescribe you oral ayurvedic treatment. So you should visit a nearby ayurveda physician or panchakarma center and ask for the procedure. Hormonal imbalance or idiopathic causes. Ultrasonography." + }, + { + "id": 22463, + "tgt": "Fissure remains from last three months. What is the next step?", + "src": "Patient: Hello doctor, I have fissure from last three months and the doctor recommends Anobliss cream and Lactulose solution and also sitz bath. Now, the pain is gone and it is a long time but the fissure remains there. What is the next step? Doctor: Hello. Your doctor has given you the correct prescription for your problem. If the problem is still persisting, I recommend that you continue the application of Anobliss cream and taking Lactulose solution. However, if there is no pain or bleed, you can stop the sitz bath for now. Your doctor is a better judge to check the state of your fissure. It can only be determined by a clinical examination. For chronic cases, there is an option for surgical repair but that cannot be decided without a physical examination. I recommend that you get yourself examined every two to three months to know the progression of your problem. In the meantime, continue taking the high fiber diet and Lactulose to avoid constipation. Adequate intake of water is also very important. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11104, + "tgt": "What is the treatment for constant twitching of biceps?", + "src": "Patient: Hello doctor, For almost two months, I am having widespread fasciculations. It started from my right arm and became widespread. After some time, I began to notice my right shoulder, and knee started to get fatigued quickly. I have visited my primary doctor so many times until I was given a referral for an EMG. My EMG test was clean, no form of denervation, and the neurologist diagnosed my fasciculations as benign. But now my muscle twitching is worse. Currently, I am getting constant twitching in my right biceps, and it occurs consistently without breaks. I have sleepless nights. Please help. Doctor: Hello. I reviewed, and I am glad to confirm that we can exclude any possible motor neuron disease, neuropathy, or muscle disorder. I would recommend checking vitamin D, plasma levels for possible deficiency, and thyroid hormone levels for possible thyroid gland dysfunction. Possible treatment options would be Clonazepam that helps to reduce muscle twitching and also calm down your anxiety. You should discuss with your doctor on the above tests and treatment option. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 2042, + "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": 27622, + "tgt": "I have joint pain since delivery, especially in my hands. What could be the reason?", + "src": "Patient: Hello\u00a0doctor,I am 33 and since having my baby a year ago I am suffering from joint pain, especially in my wrists and fingers. I have pins and needles sensation at times and writing is becoming difficult. I just got my reports and have elevated CRP and low folate. Any idea what could be wrong? Doctor: Hello. I went through your post. You have pain in the small joints of your body with an elevated CRP (C-reactive protein) level. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7761, + "tgt": "Is Amoxiclav a good drug for pain during urination?", + "src": "Patient: Hello doctor,I am a male, and for the past week, I had pain while urinating, especially at night. Sometimes the pain lasts after I urinate and feels like there is acid or something still in my urethra or something, it is hard to explain. I am not sexually active, so I cannot be an STI. I think it may be a UTI. I have some Amoxiclav which I had prescribed for a skin infection and never used so I am taking Amoxiclav for this but not sure how long should I take it for and standard dosage? Currently, I am taking it three times a day, so far pain (I think it is subsiding). Should I get checked at doctors if Amoxiclav does not work? Doctor: Hello. Frequency, urgency, and burning micturition, pain while urination all can be symptoms of cystitis or urinary tract infection. Most commonly, it has two types, either complicated or noncomplicated UTI. So your condition comes in non-complicated UTI. Most common drugs used in this is Fluoroquinolone drugs like Ciplox, Norflox, Nitrofluorene. But you already started tablet Augmentin. So you can take a minimum of five days. 1)Tablet Augmentin (Amoxicillin, Clavulanate Potassium) 625 mg twice daily for five days. 2) Drink plenty of water. 3) Syrup Citral K (Disodium hydrogen citrate) two tablespoon with half glass of water for five days." + }, + { + "id": 20982, + "tgt": "How to get rid of acne and its scars?", + "src": "Patient: Hi doctor, I am a 17 year old male. I have been suffering from pimples, acne, and scar since two years. I have many black spots on my face. Please help me. What can I do now? Doctor: Hi. Acne in this age is a result of overactivity of your oil glands due to hormonal changes. Additionally, manipulating with fingers, application of non-tested home remedies and dandruff can cause bigger acne with infection. You could apply Clindamycin gel twice a day to acne. A face wash like D-acne would also help if used one to two times a day. You may also require oral medications depending on the severity of acne. Scars occur due to manual picking of acne and pus-filled acne that are not treated on time. These scars are not effectively treated with creams alone. You could undergo microneedling, chemical peels or lasers from your dermatologist. Timely control of acne can prevent permanent acne scars." + }, + { + "id": 30505, + "tgt": "Should I be prepared for any other tests to check my blood cell levels?", + "src": "Patient: Hi doctor, I am a 35 year old female. I have hypothyroidism and I am on Synthyroid. Overall, I am healthy. I exercise daily and do not smoke. I have a 15 month old toddler. Throughout my pregnancy, my blood work showed an elevated WBC, but they are under 15 k/mL. They just assumed it was due to being pregnant. At six months postpartum, I noticed a lump on my neck. Further examination and ultrasound showed it was a thyroid nodule. FNA confirmed it was a follicular goiter, which is assumed to be benign. Follow up CBC blood work showed the following: WBC\u00a015.9 k/uL,\u00a0basophils 10%,\u00a0IG 9.8%, absolute neutrophil count 8.8 k/uL, absolute basophils 1.6 k/uL,\u00a0IG ABS 1.65 k/uL. All other counts were within the normal range. I would like to add that I have had a persistent rather annoying headache for almost three months and have developed a weird itching. I itch like crazy and then when I scratch it, it leaves a red chaffed mark that is more than normal. I also feel rather fatigued, but have just assumed it was due to being a new mom. The only other thing I experience is a recurrent tibial stress fracture, which was around four times in 3.5 years. I cannot run more than 5 miles per week in good shoes on a soft surface without inflaming it. This is noteworthy because I have been a runner all of my life and it is a newer thing to me. I am going to meet my hematologist soon and I would like to know what to expect from my appointment.\u00a0Should I be prepared for additional tests at my appointment? Thanks in advance. 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": 23291, + "tgt": "My results are normal except lymphocytes. Can you have a look?", + "src": "Patient: Hello doctor, I have done CBC. My results are normal except lymphocytes 49 % also lymph are normal. Doctor: Hello. There seems to be a slight increase in the percentage of peripheral blood lymphocytes. However, if the total count of white blood cells is within the normal range and if all other findings including ESR are normal, then this is nothing to worry about. If you have any other symptoms of inflammation or infection like fever, weight loss, night sweats, fatigue or loss of appetite, you may want to repeat the CBC test. An isolated abnormality in the count of blood cells is negligible if you do not have any remarkable symptoms. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18080, + "tgt": "Why do I have a white spot on my penis?", + "src": "Patient: Hello doctor, I am 22 years old. My penis head had a dry white spot. When I clean it, it is peeling. Please tell me what the problem is. I am worried. I have been having loose motions since the last four days and taking antibiotics for it. Doctor: Hello. Regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 23683, + "tgt": "Should I meet my gynecologist for missed period?", + "src": "Patient: Hi doctor, My LMP was 7th of last month. I have done my urine test and it came negative. Also, I have tested beta hCG and it is less than 1. But, I have missed my period without any symptoms. Why? Do I need to visit a gynecologist regarding this missed period? Doctor: Hello. Amenorrhea. Basic amenorrhea hormonal profile as mentioned. Duphaston withdrawal to induce menses. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19904, + "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": 2844, + "tgt": "I am having irregular periods with abdominal pain and cramps. Please suggest medication", + "src": "Patient: Hi doctor, I am 32 years old. My height is 5'7\" and weighs about 110 kg. I am having irregular periods from a long time. PCOD was detected and prescribed Ginette 35 and M2 tone (as I remember). I took for two months and my weight was increased by 10 kg and so I stopped. No medicines at present. I used to take Primolut N for delaying periods during any functions but now I stop that too. I am facing severe abdominal pain, cramps during irregular periods (usually occurs once in one and a half to two months) making me unable to move, sleep, walk, ride vehicle, etc. My friend asked me to take Apcod sachet for irregular periods but I did not take yet. It would be great if you could help me with my period issues or prescribe medicine. I am allergic to cold and dust and my chest specialist has asked me not to take any steroids due to overweight. Rest I do not have any problem. I have done USG pelvis and abdomen, Thyroid T3, T4, and TSH. I do not have a thyroid problem. Doctor: Hi. The main issue for you is your weight. Once you lose weight, the medicines will act better. Kindly do join a gym and reduce your weight and bring BMI to at least 25. You must lose weight in a healthy way and not only by dieting. Avoid junk food and follow a healthy lifestyle. Medicines that were prescribed to you are correct and do not cause weight gain. So do not worry. I cannot prescribe medicine online. But you may continue taking Ginette along with weight reduction. Only then it will cure the disease. If you are not able to reduce weight despite gymming, consult a bariatric surgeon." + }, + { + "id": 16482, + "tgt": "Can runny nose and body pain mean influenza?", + "src": "Patient: Hello doctor, My head hurts. I have got a bad runny nose, my whole body hurts, and feel very sick. Is this bad? Doctor: Hi. Your symptoms are quite consistent with influenza or the common cold. If you do not have a fever yet, you will be coming down with it soon. It is viral so it will run its course. Over the counter, Paracetamol will help with the fever and body ache. Do not take any other painkillers like Aspirin, Ibuprofen or any other NSAIDs at all. For now just stay hydrated. Drink plenty of fluids and get plenty of rest. You will begin to feel better in two days. However, if symptoms worsen or if you develop a yellow-green nasal discharge or a cough or if symptoms do not improve in a few days, you may need prescription antibiotics. But for now, just Paracetamol and fluids and plenty of rest." + }, + { + "id": 2542, + "tgt": "Should I visit a doctor for my slightly low eGFR?", + "src": "Patient: Hi doctor, I do not have any real complaints. I just got my laboratory test results. They show\u00a0BUN 29.1, creatinine 1.01,\u00a0BUN/creatinine ratio 29 and\u00a0eGFR 64. I do not have any\u00a0bad symptoms other than some retention of fluid. I urinate a lot but I am on Triamterene 75/50 twice a day. I do drink lots of water and tea without sugar. I have heart disease and had bypass before 10 years.\u00a0My general physician said that everything is fine because creatinine was fine. I am still concerned after things I have read. Should I seek a visit with specialist? Doctor: Hi. Revert back with the reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 7850, + "tgt": "Are there any side-effects of prone masturbation?", + "src": "Patient: Hello doctor, I am 19 years old, male. I am prone to masturbation since a very young age, I tried to do normally and I fail to orgasm even though it seems close. I do ejaculate a bit, but I have to follow it up with prone masturbation. I do not have erectile dysfunction for now, do not know about later. I only try to do the normal masturbation for two minutes. 1. How long does it normally take to ejaculate and orgasm? 2. What possible effects does proceeding with prone masturbation have on me? 3. What methods should I follow to stop prone masturbation? I stopped masturbation all together for 16 days and it was really hard but I still needed prone. Doctor: Hello. Following are the answers to your questions. 1. Whenever a person ejaculates, the orgasm is simultaneously achieved in most of the cases. The interval between initiation of sexual stimulus and ejaculation or orgasm is depended upon the many factors and varies from person to person. It can be from less than two minutes to more than five minutes. 2. and 3. The masturbation can be done in any position. There are no side-effects of prone masturbation. It is a psychological feeling that you can erect penis in prone position only. You need to remove that thought and you can do masturbation in any position." + }, + { + "id": 21860, + "tgt": "Is there any way I can prevent getting chicken pox?", + "src": "Patient: Hello doctor,My sister has chicken pox, and I have never had it before. Exam season is coming and I am worried that I might get chicken pox. My sister lives in the same house as me. Is there any way I can prevent getting chicken pox and is there a high chance of me getting chicken pox. I understand, that this virus is highly contagious but I am worried this may interfere with school. If I do get chicken pox, how long would it take for it to scab? Also, how long would it take for the scabbing to disappear, since I am very self-conscious? I look forward to a quick reply. Doctor: Hi. It is highly probable that you will get infected unless your sister has been in isolation. There first few days of the rash are most infectious. When the scabs are formed infectivity is gone. It takes about two weeks or more for all the blisters to scab off so in case you are infected, I will say off school for two to three weeks. Hope this helps. But hoping you would not get infected. Avoid sharing a room or an enclosed space. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1673, + "tgt": "Everything I eat makes my stool watery and upsets my stomach. What is wrong with me?", + "src": "Patient: Doctor everything is eat tends to upset my system, it causes me to stool(water) and sometimes when I have bowel movement I feel stomach pains. My stool has been watery for the past three months,went to the hospital did a stool test n the report was worm infection which I was given medications but to no avail. It was serious years back but only occurred if I took something peppery and on the first day of my period. Please what could be wrong with me cause flagyl and tetracycline doesn't work. Doctor:" + }, + { + "id": 11502, + "tgt": "I have leg restlessness, tiredness, and sleepiness altogether. Why is it so?", + "src": "Patient: Hi doctor, I feel my legs are restless and lack energy. I am feeling tired with frequent yawning and sleepiness in daytime. Sometimes, I feel nervous and vertigo while walking. Please suggest a medicine. I had Escitalopram 10 mg bd, but it did not work well. My other medication list is attached for your reference. Doctor: Hi. The symptoms described by you are symptoms of depression which are due to low dopamine levels. Escitalopram increases serotonin levels and there is a dopamine deficit remaining in most patients. My advice would be to add Bupropion (Bupron XL) 150 mg to existing drugs. You can make it 300 mg after a week if necessary. Do not stop Escitalopram. This should make you feel fresh and energetic. If your leg restlessness remains, ask your physician if you can take a beta blocker along with current medicine. Take care. Specify probable causes if any. Major depression, dopamine deficit. Tablet Bupron XL 150 mg in the morning along with previous medicine." + }, + { + "id": 7739, + "tgt": "Why is there pain in the tooth socket even after six days of extraction?", + "src": "Patient: Hello doctor, I had simple extraction of my second bottom tooth. It is day six today since I have removed. I was feeling major pain a few days ago but it is fading away day by day. I actually feel no pain in the morning but in the afternoon I feel discomfort. When can all this go away? I was expecting to be healed already. My dentist told me that I will be fine in three days and gave me only painkillers. No antibiotics. Doctor: Hi. Yes, you should have been fine till now as advised by your dentist but that was when everything post-extraction would have been fine. Unfortunately, in your case, you have got dislodgement of the blood clot after the exaction was done and this condition is called as dry socket. The pain gets aggravated third day after extraction and subsides with time but the foul smell or bad breath remains there. Are you experiencing bad breath? Kindly reply to this question. I will be waiting. Treatment is to get debridement done at a clinic and get a pack of Zinc-oxide Eugenol packet in the socket place. That is it. Change the dressings regularly it will get healed within 3 to 4 days. No need to worry. Dry socket. ZEO pack. Do not smoke or take long sips. Avoid solid food for 24 hours post operative." + }, + { + "id": 3641, + "tgt": "I get constant headache following neck injury. Why?", + "src": "Patient: Hello doctor, After a neck injury five years ago, I get a headache every morning. Because of this, I cannot sleep for more than five hours, headache wakes me. Osteopathy helps not more than one or two days. Please tell me what could it be? Experts whom I consulted, do not know exactly what is the source of headache and treatment does not help. Doctor: Hi. I feel really sorry for this painful situation you have to face. After careful review of your detailed case, I want to add that musculoskeletal insult is the main cause behind this pain and lifestyle modification is its main solution. I will elaborate all of this in a very simple way so that you may come out of this pain and can sleep comfortably. Thanks for uploading all the supporting documents and I have thoroughly reviewed all of them. (attachment removed to protect patient identity). Fortunately, your cervical spine and the surrounding structures bear no visible signs of major trauma that may have warranted immediate interventions by an orthopedist and neurosurgeons. Your cervical spine, spinal ligaments, and the muscles got extreme stress due to excess weight on them. The spinal in cervical region is not made for weight-bearing. Due to stress or strain caused by weight, there had been a stretch and/or compression causing a change in anatomical structures out there. You need to change the sleeping posture and position your head so that there is a least possible strain on the cervical spine. Keep track of everything you are doing to modify sleep habits. Adopt the one that best suits you. Buy a mattress that is angle adjustable. There are smart mattresses available in the market that makes sleeping a bit comfortable for the cervical spine patients and the general healthy population too at the same time. They are temperature controlled too so if you need to provide heat to the body they help doing it with the click of a button. First, try sleeping without pillows underneath your head. Try sleeping straight (supine position) your whole body facing upwards. Then try sleeping on the right side, then on the left side of the body. It is only you who can tell which ever suits you best. Then you may try keeping a soft pillow under the head. If it hurts again, you need to try the angle-adjustable mattress and try different angles every night. Keep track if raising the angle soothes you or decreasing the angle is a better option for you. Meanwhile, physical therapy is my advice for you. Please consult a physical therapist for proper evaluation and management accordingly. It will assist you in getting out of this pain very fast. You may use heat wraps around the neck to soothe the deep neck structures. It alleviates the pain and improves circulation. Keep a balanced and healthy diet and avoid stressing your spine out by spending a lot of time in front of TV, laptop, smartphone, etc. These are bad for your cervical spine as they all make the neck stiff at a certain angle. If required." + }, + { + "id": 20565, + "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": 25594, + "tgt": "Why do I feel that my body needs to be stretched?", + "src": "Patient: Hello doctor, I always feel my body needs to be stretched. My back starts paining when I hold a baby. What should I do? Doctor: Hello. This could be due to a number of causes including potassium, calcium, and vitamin B12 deficiencies. So I would recommend that you get a blood test for their levels or take multivitamin supplements three times per week. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If the pain does not resolve then get a CT (computed tomography) scan of your lumbar vertebrae to exclude disc prolapse. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2152, + "tgt": "I am on medication for fibroids and getting on and off bleeding. Is this the side effect of medication?", + "src": "Patient: Hello doctor, I am 48 years old. I have two fibroids 9 cm total size and was advised to take 2 x 500 mg three times a day but it completely stops the bleeding but the bleeding starts after three days again. I have had on and off bleeding for two weeks now. Is this a common problem with the medication? I am extremely worried and cannot be normal. Please help and advise. Doctor: Hello, Welcome to icliniq.com. It would have been helpful if you could attach the report of your ultrasound for me to have a look. Based on what you mentioned about the total size of two fibroids to be ~9 cm, I am assuming each one must be less than 5 cm and not so huge. Fibroids would not cause irregular bleeding unless they are lying close to the uterine cavity. Usually, in the perimenopausal age group of women, like you are already 48, we prefer to give medical management so as to control the bleeding in those who have excess bleeding. As with age, your menopause may set in and menses will eventually stop and then you will not have any problems because of the fibroids. This is done to avoid unnecessary surgery when the bleeding would anyways stop after menopause. In your case, I would like to know if the fibroids are close to the uterine cavity on ultrasound which may cause irregular bleeding. Also, in your query, the drug name has not come, but I guess it is Tranexamic acid (or Trapic or Pause) which just controls the excessive bleeding means will reduce the bleeding. But will neither stop the bleeding pattern due to hormonal disturbance in the perimenopausal abnormal bleeding nor due to the fibroids which bleed due to the close situation to the uterine cavity. Other causes if irregular bleeding apart from fibroids need to be evaluated like hormonal changes, thyroid issues, or uterine lining (endometrial) thickening, etc. If it is due to fibroid position that is causing off and on bleeding, it may not stop with Trapic (but only will reduce in amount) and may stop only after menopause or after the surgical removal of the uterus. But if it is due to the hormonal disturbance or due to the perimenopausal phase, it needs to be controlled with some hormonal medications. It would be good if you could connect with me through chat and share the reports of yours so that we can have a close look if any further evaluation needs to be done regarding the abnormal bleeding pattern. Ultrasound report needs to be reviewed. ? Thyroid abnormalities, ? perimenopausal AUB (abnormal uterine bleeding), ? Ca (cancer) endometrium, ? EIN (endometrial intraepithelial neoplasia). please revert back with reports." + }, + { + "id": 13417, + "tgt": "My skin has become sensitive without any visible symptom. Please help", + "src": "Patient: Hello doctor,A part of my skin has become extremely sensitive for no apparent reason. The skin does not look different at all, and it seems to literally be the skin and nothing deeper or muscular. It is an area roughly 10 cm by 10 cm (~5\u201d) on the front of my upper right thigh, the bottom of the area is around where my boxers end. I can clearly outline it by tracing my fingers up my thigh. If I just stand still, I cannot really feel it. Lightly tracing my fingers over it, even through my pants it hurts a fair bit. Rubbing and such hurts more. But applying a lot of pressure straight down does not make it hurt particularly more than the initial touch. Light-fast rubbing hurts the most. Walking or just moving also hurts because my clothes interact with the area. The pain feels sort of like burning, or like touching a burned part of your skin. It started two weeks ago, got worse over the first few days and now I am not sure if it is still getting slowly worse (more painful) or if it is just bothering me more and more. Any ideas? Doctor: Hello. Please provide a clear photograph for better understanding. With the description given it can be frictional dermatitis or tinea if it is itching. If there is no itching and only burning sensation, avoid friction of both legs by wearing suitable clothes and apply some moisturizers or aloe vera cream. If there is itching, try Miconazole cream 2 % for 10 days and see if there is any improvement. If there is a visual photograph then we can give better advice." + }, + { + "id": 21263, + "tgt": "What is the sore next to my throat on the roof of my mouth?", + "src": "Patient: Hi doctor, I have a sore throat on one side of my throat. But, after looking, it looks like a sore next to my throat on the roof of my mouth. What could it be? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It is oral stomatitis with pharyngitis. It can be due to smoking and alcohol infection. Certain investigations like Hb (hemoglobin), TLC (total leucocyte count), DLC (differential leucocyte count), and ESR (erythrocyte sedimentation rate) can be done. It can be treated by taking oral Vitamin B complex tablets with Chlorhexidine mouthwash. Avoid spicy foods and smoking. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12586, + "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": 24607, + "tgt": "What can be done to relieve blocked nose at night?", + "src": "Patient: Hello doctor, I am a 73-year-old male. Due to nostril blockages at night, my sleep is limited to around two hours at a time. I then turn over and the other nostril blocks and get around two hours of sleep. I use an inhaler which works for a short while. Please advise what I can do. I usually get around four and half hours of broken sleep a night. Doctor: Hello. Thanks for your query. I understand your concerns. The nasal block is a common issue, and it is usually due to allergy and increase in the winter season.Also, there is Aspirin-induced nasal block and it should be excluded. I suggest Physiomer nasal spray before bedtime. You can use Otrivin (Xylometazoline 0.025%) nasal drops from time to time, and it is very effective. Do you have any allergic conditions? Please revert for more details. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30250, + "tgt": "I have had two periods in the same month. Why?", + "src": "Patient: Hello doctor,I have had two periods in the same month. The first one was for five days and this one has lasted for six days, but I am still having some blood when I wipe. I do have PCOS and I understand that the period issue could be a result of this. I am feeling unwell and constantly have a headache. The first period was on the 5th and the next one was on the 26th. Doctor: Hi. Irregular cycle is a common manifestation of PCOS (polycystic ovarian syndrome) and it is due to hormonal disturbances inside you. You need some medication to control your cycle as well as your bleeding. Medications are different according to your need. If you do not want to conceive, a combined hormonal pill is ideal. But, if you are suffering from subfertility, an ovulation induction with a medicine called Clomifene is ideal. Consult your specialist doctor, discuss with him or her and start the treatment with consent. PCOS. Medication. Weight loss. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22285, + "tgt": "Will extra week off from Capecitabine affect the breast tumor growth?", + "src": "Patient: Hello doctor,My mother was diagnosed with triple negative breast cancer. She finished six months of chemotherapy nine months back and had a radical mastectomy two months later. She is now taking Capecitabine for four months 14 days on and 7 days off. The Capecitabine gave her diarrhea so her oncologist gave her an extra week off. My question is will the extra week off effect the tumor growth? My mom started taking Capecitabine six months back. She is also taking high blood pressure medicine. Doctor: Hi. Triple-negative breast is usually having a poor prognosis as compared to other types of breast cancer. She has completed six months of chemo followed by surgery. Now the patient is on Capecitabine. The side effects of Capecitabine are loose motions,vomiting, low blood counts and hand-footsyndrome. Usually, if mild diarrhea 1 to 3 times per day it can be controlled easily at home with medications and hydration and Capecitabine can be continued but if more or recurrent, it is sometimes necessary to reduce the dose or stop the medications temporary or even delay the next cycle. Occasionally one week delay in chemotherapy will not cause much problem or rapid progression of the tumor. But I do not know the stage of her cancer (no attached reports), whether she has any metastasis or not and I do not know about her overall general condition. Is she eating and drinking well, walking, bowel and bladder habits and her blood report? So your doctor knows about her condition and he can guide you better. You can revert back any time or day with more details (CT scan or PET CT scan reports, blood tests, etc.). I would be available to answer your queries. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27220, + "tgt": "How can I reduce my weight without any special equipment?", + "src": "Patient: Hello doctor,I am overweight and want to reduce my weight. Please tell me what are the exercises I can do to reduce weight without any types of equipment. I have slight back pain. So, kindly suggest accordingly. I want to become slim in every part of the\u00a0body. Doctor: Hello. There is no magic formula to lose weight. So, be patient and steady. For more information consult a fitness expert online --> https://icliniq.com./ask-a-doctor-online/fitness-expert" + }, + { + "id": 23145, + "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": 5519, + "tgt": "Why is there some yellow material in the tooth socket after 3 days of extraction?", + "src": "Patient: Hello doctor, I had my wisdom teeth removed three weeks ago and on the third day, it felt like I ripped my stitching. A few days later it was bothering me so I put my finger in my mouth and I felt an opening along where the stitching should be. So I decided to feel the other side to compare that side was closed. So I went to see my dentist she said that it was healing fine. But days later it still bothers me so I bought a dentist's mirror and checked it out. I only saw a bump, but I felt the opening so I put it in between my cheek and teeth and there it was an opening and some white yellow stuff. I think this poking white thing was a part of my molar, cause it was hard and the opening has been getting bigger and it is hurting more. What should I do? Doctor: Hello. I can understand your concern regarding dental health. In this condition, I would strongly like to suggest you to consult your dentist again for a clinical examination of the affected area and condition of it for better results. She will examine the area in which you are feeling hard might be because of bone. Because there are very less chances of root piece after extraction of wisdom tooth. If a root piece will be there, then she will remove it after taking an x-ray. She will drain and clean the extracted area because white yellow stuff is present which can convert to further infections. So, consult her earlier. I hope this helps." + }, + { + "id": 5694, + "tgt": "Can Venlafaxine and Mirtazapine be used together?", + "src": "Patient: Hi doctor, I am currently taking Venlafaxine and Mirtazapine together. There are discussions around adding Wellbutrin as well, I just wanted to get someone else thoughts on that combination of three drugs. Is it safe? Would it be effective? And is it a known combination of drugs which has been specificied before? Doctor: Hello. Combination antidepressant therapy works better if first line monotherapy has not been effective. I note that you are diagnosed with depression, anxiety and PTSD which can sometimes be challenging but gets better with the right treatment regimen. Different combination or augmentation strategies are used for better response. Usually, it will involves combining different types of antidepressants. Venlafaxine (SNRI type) and Mirtazapine (NaSSA type) is a known combination deemed to be safe and used therapeutically. Adding Wellbutrin (Bupropion) is not used routinely but the rationale is understandable. Bupropion is a NDRI (norepinephrine-dopamine reuptake inhibitor) type atypical antidepressant. Bupropion is also used in smoking cessation. In your case, Is Bupropion used as an additional augmentation drug or to counteract any side effect like sexual dysfunction? Combination of antidepressants can lead to relatively more side-effects including serotonin syndrome. Decision to combine drugs is made by carefully weighing up the benefits and risks involved. If benefits outweigh the possible risks, it is worthwhile trying the combination cautiously. Risk will be more if you have any pre-existing health problems like hypertension, seizures, etc. Complex decision like this are usually made by psychiatrists in specialist/tertiary medical centres. Whenever combination antidepressants are used, the prescribing consultant and treating team will have to follow up closely, monitoring the dose response and look out for any treatment emergent side effects. Usually there will be regular follow up reviews especially during the initial period. Also always inform or remind if you visit any other doctor about being on combination antidepressants if you are prescribed any other medication (like certain antibiotics) to avoid possible drug interactions. Finally, I believe you are also receiving psychotherapy in addition to medication. In many instances, psychotherapy acts as a good augmentation strategy to manage depression and anxiety disorders." + }, + { + "id": 27543, + "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": 14325, + "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": 20092, + "tgt": "My ultrasound abdomen shows fatty liver grade 1. Is it harmful?", + "src": "Patient: Hello doctor,My age is 30 years. Height is 5.6 and weight is 73 kg. Recently, I underwent with ultrasound abdomen. In that, the result came as fatty liver grade 1. Is this any harmful and I do not have a habit of alcohol drinking. What should I do? Can this be reversible? What is the diet that I should prefer? How can this be treated? Doctor: Hi. Yes, fatty liver can be harmful because it causes non-alcoholic steatohepatitis and cirrhosis in case of a long-standing fatty liver with a contribution of various other factors. It can be reversed by loosening of the weight. Dietary modification with exercise is the mainstay of the management along with few medications. Before proceeding, we need to find the cause of fatty liver and status of liver function tests. We need to do some investigations. Fatty liver under evaluation. 1.LFT (liver function test). 2.FBS (fasting blood sugar). 3.Lipid profile. 4.TSH (thyroid stimulating hormone). 5.Anti HCV. 6.Fibroscan. 1.Regular physical activity, at least one hour in a day. 2.Target weight loss is, 5 kg in next three months. 3.Dietary restrictions for fatty and junk food, restrict cold beverages and juices. 4.Capsule Evion (Vitamin E) 400 mg two times in a day. 5.Review back with reports. For more information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25285, + "tgt": "For how long should I wait to check for pregnancy?", + "src": "Patient: Hello doctor, I am 28 years old. Last night my fiance and I got intimate. While doing so, he rubbed his penis all over my genital area. I am not sure if there was any penetration. My last menstrual period started on 19 or 20th. A few hours after the closeness, I took an Unwanted-72. Could you please tell what are the chances of me being pregnant? Doctor: Hello. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. So relax and do not worry about it. 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-gynaecologis" + }, + { + "id": 15767, + "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": 10927, + "tgt": "Are my chronic granulomatous disease and sleep apnea connected to each other?", + "src": "Patient: Hello doctor, I am a 53 year old army veteran, served for 33 years, who was diagnosed while serving in the army with chronic granulomatous disease and sleep apnea. When I filed a Veterans Administration (VA) claim, the VA rated me for compensation but combined the ratings into one rating. This means that the VA is saying that granulomatous disease caused the sleep apnea. All of my research indicates these two medical diagnoses are completely independent of each other and have no impacts on each other. I am looking for a medical opinion to support my research so that I may submit it to the VA so I am rated separately for each diagnosis. Doctor: Hello. Chronic granulomatous disease (CGD) is an immunodeficiency condition where the white blood cells cannot fight the pathogens effectively which cause different types of infections. As for sleep apnea, it is caused by narrowing of the air passages mostly in the nasopharynx area which cause interrupted night sleep, usually the cause is obesity in short-necked persons or hypertrophied uvula. There is no relation between both except in very rare conditions (Kimura's disease) where CGD causes hypertrophy of the larynx. Please provide me with some photos of your neck and inside your mouth to see if there is hypertrophied uvula. Sleep apnea is usually associated with hypertension and severe headaches. Do you have any of them? Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15318, + "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": 13080, + "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": 29991, + "tgt": "What is your advise for a patient with right side paralysis and communication problem?", + "src": "Patient: Hi doctor, The patient is suffering from right side paralysis. The patient is unable to speak and communicate. Also, the BP level is too high. What is your advise? Doctor: Hello. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8564, + "tgt": "I am on the treatment for hepatitis B. Could it be the reason for low libido?", + "src": "Patient: Hello doctor, I am 41 years old, and I am working on different shifts for 15 years. Also, I had hepatitis B noncontagious and having medicine Tenvir. I had no libido for a month or two month and reaching to three months. And when I have a libido, I do not get an erection fast, but when I get it, it will be very good erection. It started in the middle of last year before that everything was perfect. Also, I am working out three or four days per week. My hormone results are, Total testosterone in last year was 261. Total testosterone in this month 263. Free testosterone is 9.85. LH is 4.08, and FSH is 5.21. My questions are, 1. Is hepatitis B effecting on testosterone or libido? 2. Is my testosterone level affecting libido? Doctor: Hello. In chronic liver disease, testosterone level may fall, the ratio with estrogen may alter, and in advanced disease, there may be testicular atrophy, gynecomastia. Recent studies show testosterone level can predict the outcome of end-stage liver disease. The functional status of your liver is still reasonably well, protein synthesis, one function, and your serum protein levels are normal, so it is not worrying. Recent studies also showed intramuscular testosterone (250 mg monthly) improve the life and well-being of men with chronic liver disease and low testosterone. I hope you have found guidance." + }, + { + "id": 4664, + "tgt": "Why does a patient with PKD have an urge to urinate always?", + "src": "Patient: Hi doctor, I am 17 years old. I was born with polycystic kidney disease. When I was 14, I was diagnosed as I was having severe chest pain and dizzy spells. I am currently four months postpartum. Since my son was born I have not been able to use the bathroom as frequently as most. It never caused me pain or anything up until about a week ago. For the past one week, I pee once a day. I feel the urge to pee all the time, but I cannot. No matter how hard I try. The pain is entirely unbearable at this point. I drink plenty of water a day. I have even tried cranberry juice, but nothing has helped. I have put off going to the hospital for the fear of being admitted, but I cannot any longer. I want a professional's opinion, do you think I need to suck it up and go to the ER? Or is there anything I am not doing that you think might help? Please guide. Doctor: Hello. Since you are a patient of polycystic kidney disease, you will be more prone for urinary tract infections, urinary stones or cysts, which could burst and form clots, which can result in obstruction. One cannot be sure unless you get a sonography done. Since you say you get urges for urinating and you cannot pass, I think you should go to emergency room (ER) and get yourself checked. I would advise you to get a complete blood count, serum creatinine, urine routine and sonography. Try to keep a chart of the amount of urine you pass and fluids you drink daily and a daily weight chart. Let me know the laboratory reports. For pain, use safe painkillers like Paracetamol and Tramadol. Revert back after the tests to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 5462, + "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": 9471, + "tgt": "From my photos, can you tell me if it is milia?", + "src": "Patient: Hi doctor, I am sending photos. Can you please advise if it is milia, a whitehead? It is getting bigger and I hate it so much. My esthetician tried to remove it. I am going to see her tomorrow. Is it worth trying again? There has to be some way to get rid of this. Please tell that to me. I am currently on Xanax and Simvastatin. Doctor: Hello. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24422, + "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": 7589, + "tgt": "My CT scan suggest interstitial lung disease. How to get it treated?", + "src": "Patient: Hello doctor, I have a cough and frequent urination. My CT scan report suggests interstitial lung disease. Multiple lymph nodes are enlarged in the abdomen. Please advice. Doctor: Hello, Welcome to the icliniq.com. The cough could be due to your interstitial lung disease problem. You can be prescribed steroid medication for that lung problem. Avoid smoking because it can worsen lung disease. The frequent urination could be due to urinary tract infection like problem. I suggest you investigate with urine routine microscopic examination for primary workup. Drink a lot of water to dilute urine. Do not take excess spicy foods. The antibiotic course can be prescribed if urine shows pus cells and bacteria. You have to repeat ultrasonography scan or CT scan once the infection is resolved. If lymph node enlargement persists than you have to consult nearby physician for detailed evaluation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 9284, + "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": 21576, + "tgt": "Will hemoglobin raise more as my iron medicines are going on?", + "src": "Patient: Hi doctor,I have taken 1000 mg of Encicarb. I tested it, after two weeks my hemoglobin raised. First, it was 10.7 and then after taking an injection, it came to 11.1. Will it increase more after two weeks as my iron medicines are going on? Doctor: Hello. Iron injections take up to four to six weeks to show an increase in hemoglobin levels. So, there is a definite chance that your hemoglobin levels may increase further if you are on ongoing treatment. But, it should be kept in mind that if the cause of your iron deficiency anemia is due to any other cause than nutritional deficiency, like bleeding stomach ulcers, heavy periods, any other bleeding manifestations or kidney disease, then they need to be treated as well. If not, it will not allow your hemoglobin to raise. If there is no other cause than nutritional, then your hemoglobin is sure to rise further. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21964, + "tgt": "I am feeling uneasy and my BP reading is lower than usual. Why?", + "src": "Patient: Hi doctor, Every time my blood pressure will be in the range of 160/110 mmHg or 150/100 mmHg. But, today, it is 90/70 mmHg. I am feeling uneasy and uncomfortable. Previously, I had angio twice, and it was all right. I am currently on Coversyl Dytor, Ecosprin, Rosuvastatin, Starpress and Vertin. I had ECG last week. I was your opinion on my problem. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25305, + "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": 17994, + "tgt": "I have few white bumps at the hair root. What is it?", + "src": "Patient: Hello doctor, I have infection of the scrotal hair. At the hair root, there is some white bump. Please suggest medicine for the problem. Doctor: Hello. Well, I did not get any photos from your side. So I can just assume what it can be. As you said it has white bump it could be folliculitis. It contains pus which can get ruptured. Tablet Droxyl (Cefadroxil) 500 mg twice a day for a week and apply T-bact cream (Mupirocin) over it. Continue the same treatment for seven days and follow up after that. Revert back with the photos after seven days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11095, + "tgt": "What is the cause for bubbling sensation in the chest?", + "src": "Patient: Hello doctor, I am a 32-year-old female. I have a right sided bubbling sensation in my chest and that is rhythmic with my pulse. It started today while at rest. I have a history of endometriosis, sensitivities to NSAIDS (gastric ulcers), and iron deficiency anemia. It almost feels like wheezing, but I am sure that it is not breathing related. There is no pain, but uncomfortable sensation comes and goes and last for about 60 seconds. What could be the possible causes? Doctor: Hello. In your case, severe anemia can cause blood turbulence while flowing through cardiac valves, which may lead to the sensation of bubbling or flowing fluid. Usually, a murmur can be heard with a stethoscope. Other cause may be just bubbling of gases in the stomach, but it is felt in the upper abdomen and can be heard in cases of hiatal hernia. If you tell more details about your symptoms such as when does this sensation occurs, relation with posture, food, activity, any other accompanying symptoms, etc. I can guide you better. If symptoms are recurrent, I advise you to have a chest X-ray and echocardiography." + }, + { + "id": 407, + "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": 27646, + "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": 26828, + "tgt": "If I do not use a nose spray, my nose is always congested. What to do?", + "src": "Patient: Hi doctor, From the past 3 or 4 years, my nose has been reliant on nose sprays. I wake up, and I am congested. I go through my day, and I am congested. My sinuses feel like they swell up. I do not have a runny nose. It is just swelling. I do not believe it is allergies because I would take Benadryl every night and no improvement is seen. The only way I can relieve this problem is with nose spray. I am tired of this, and I just want answers. I am 18 years old. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10506, + "tgt": "What can be the reason for raised liver enzymes during fever?", + "src": "Patient: Hi doctor, The issue is from 39 years ago. When I was 13 years old, I was considered for the possibility of poisoning. I was admitted to hospital for 8 days and the diagnoses were cervical adenitis and viral syndrome. I had a fever of 103 degrees for several days before going to hospital. My throat culture grew Strep. On admission to hospital, CBC showed WBC 12,900 (normal range), Hb 13.2, Hct 38.7, 36 lymphocytes, 9 monocytes, 7 eosinophils and the platelets were adequate. The almond size lymph node on the left cervical chain and the right side lymph was golf ball size. The neck was supple, no rigidity and some restriction of movement. There is no mass or thyroid palpable. The rest of the physical examination is within normal limits. Total bilirubin 0.4, ALT or SGPT was 714 initially and on discharge it was 215. SGOT or AST was 426 initially and 202 on discharge. LDH was 297 and then 217 on the day of discharge and albumin 3.8. \u00a0I am trying to figure out why my liver enzymes were so high initially and 8 days later they came down. I was treated with Keflex IV antibiotic, which cured the infection. Mono spot was negative. Urine and blood cultures are negative. From what I read, the liver cause could be toxic. But, at the of 13, I neither drink, nor had hepatitis. Doctor: Hello. 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": 12982, + "tgt": "Can reducing the dose of Dexamethasone cause liver problem?", + "src": "Patient: Hi doctor, Almost 5 years back, my father had an operation for a brain tumor in the left tempero-parietal region. He had Dexamethasone injections 12 mg and radiation on a linear accelerator 51 and 45. After two years, he had a CT and everything was fine. He even walked. But, when we started lowering the dose of the hormone he stopped walking. He took those 12 mg for five months. Now, he has steroid diabetes and retinopathy. We lowered the dose of Dexamethasone slowly and currently, it is 0.88. Now his bile production is bad and his stool is yellow. When the dose was 0.96 everything was fine with the bile. He takes Essentiale three times a day, Pankreatin 8000 thrice daily, Omez 20 mg once a day, Ascorutin thrice daily and Citrocalcium. When we lowered the dose of the evil hormone to 0.88, the bile problem started. When we started to give double the dose of Essentiale, everything started to be fine again. But, with the usual dose again the problem has come. Because of this hormone his sugar level does not drop. He is getting Insulin injection and the sugar level is 5.2. My questions are does the gall problem occur because of Dexamethasone? Is there any medicine to restore adrenal cortex function? How can one stop taking this hormone? How can we make him walk again? Will he ever be fully functional again? Thanks in advance. Doctor: Hi. I would like to know a few things very clear here. From your history, I gather that he had surgery on the brain and was on steroids post-op. And also he received radiotherapy. For what condition the brain surgery was done? He might be having what is called as steroid-induced diabetes and for which Insulin is the treatment. Steroids can harm the liverover time, but they would have been prescribed because the benefit at that time was more than the harm that would have been caused. We need to know the clinical improvement with reduced dose for further reduction. There are no medicines that can restore the adrenal cortex function. His steroid production is suppressed due to exogenous steroids. It needs tapering and then if possible can be stopped. I can comment on his recovery only after knowing his exact detail of the medical procedure done and the diagnosis." + }, + { + "id": 8242, + "tgt": "Is painful heavy menstrual flow after IUD placement a serious condition?", + "src": "Patient: Hello doctor, I had the Skyla IUD inserted two months ago to lighten my very heavy menstrual flows hopefully. My first period after insertion was very heavy and painful, more than usual, but I heard that was likely to happen. It lasted for two and a half weeks. Since then, I have had spotting daily, some days heavier than others, but very frequent. I also have been experiencing mild cramping and bleeding after intercourse. Is this a dangerous condition? Doctor: Hello. Irregular bleeding is the most common side effects of hormonal IUD (intrauterine device). You should expect irregular bleeding or vaginal spotting for six to eight weeks after the insertion. I recommend you to reach inside your vagina and feel the string. If you can feel the string the chance that IUD is in the right place is very high so you should not worry too much. Taking Motrin (Ibuprofen) and applying heating pads should help with cramping. The string should be checked by yourself now and then to make sure it is still in the right place." + }, + { + "id": 6778, + "tgt": "Is leukoplakia completely curable with medicines?", + "src": "Patient: Hello doctor, My father went to a dentist as he had white patches in his gums and mouth. The\u00a0dentist told that it is an oral leukoplakia. He asked him to stop smoking immediately. It is a serious condition which can turn into cancer. He\u00a0advised\u00a0stopping smoking for three months. After that, he can start the medicine. But he did not mention clearly which stage of cancer this is. No test has been done. He did not clarify\u00a0if the medicine is going to cure him completely.\u00a0Please help me with this. Is there any particular test to find out which stage it is in and what specific treatment would be required. Doctor: Hello. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13004, + "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": 11696, + "tgt": "I lack my concentration due to unwanted sex I had. What should I do?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I am straight but yesterday I had anal sex with my friend. I feel I took wrong decision. It is remembering me a lot. I want to forget that. My mind is not concentrating now. Kindly help. Doctor: Hello. If it has been done against your wish, you can take legal help. Are you intoxicated that time, or under any threat? Is there any injury or pain? Have you used condom? If done with your consent, just driven by impulse, not need to get in guilt. Some time accident happens. Forget it like a nightmare or just an accident. In accordance with forgetting this try to involve in other pleasurable activity, be with a friend, take proper sleep and healthy diet, can take low dose anti-anxiety drug from your doctor." + }, + { + "id": 17734, + "tgt": "Can hypothyroidism be cured with only ayurvedic medicines?", + "src": "Patient: Hello doctor, I would like to know if my hypothyroidism can be cured without taking the synthetic hormones, through Ayurveda only. In the allopathic approach, the hormone needs to be taken for the rest of one's life and I am a bit scared of it. It is possible I may also be diabetic and will need to treat this as well. Can these conditions be successfully dealt with through ayurvedic treatments alone? Doctor: Hello. I just read your query and saw all your reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. For more queries, you can consult me at icliniq. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7456, + "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": 7968, + "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": 9375, + "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": 830, + "tgt": "Would you recommend pranayama for a 90 year old?", + "src": "Patient: Hi doctor, My father is 90 years old. He has congestive heart failure and chronic obstructive pulmonary disease. He is generally in good spirits and is well taken care of. He uses oxygen and his doctors have told him that when his oxygen count goes down, to breathe in and exhale through mouth. Since his breathing is generally weak, after every time he walks or climbs stairs, he sits down with this oxygen tank and breathes in slightly and then exhales, usually with more force than he inhaled. I am trying to teach my mother about pranayama and the importance of exhaling through the nose. Her concern is that the doctors have taught them the breath in through nose technique and exhale through the mouth. Given that he is 90 with those conditions, on oxygen, is there a reason that he should use the technique the doctors are recommending? Would it be more beneficial to breath in through the nose and exhales slowing through the nose, even with the tubes in his nose? The latter makes more sense to me but since my mother only trusts her doctors, she asked to get more information about this. Thank you so much for your time. Doctor: Hi. Thanks for posing this question. Please find my suggestions below. At age 90, it becomes very important to keep the things simple for the patient. Your effort to teach pranayama is appreciable. I would advise you not to go for any difficult pranayama which is tedious to understand. Nadi suddhi and anuloma viloma or alternate nostril breathing is sometimes confusing for elderly people. If the above option is also found to be difficult, then just ask him to follow breath awareness, where one just needs to focus on breath without any active effort for its manipulation either sitting or lying. Exhaling through the mouth is perfectly fine as far as the patient is comfortable. But, there is nothing wrong in exhaling through the nose also. Let it be decided by the patient whether he wants to exhale through the mouth or through the nose. Both ways of exhaling seems to be equally good with a bit extra priority to exhaling through the mouth. Let us not trouble him by putting any unnecessary rules. I will consider bhramari pranayama (chanting of Nnnn while exhaling) to be best for him. If any religious concerns are there about any of the chanting, then these can be replaced with either only bhramari pranayama or instead of Om some other words like swim can be followed with emphasis on ''Mmmm'' sound and very minimal ''swi'' sound. Any other similar words or chants can be chosen. Treatment proposed here is to be followed under supervision and several modifications or omissions and replacements may be needed for different individuals with same ailment or same individual at different stages of ailment. For further information consult a yoga specialist online --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 22056, + "tgt": "Please give me medicine suggestion for chilblains", + "src": "Patient: Hello doctor, I am a 23 year old male. I get chilblains when I come in contact with cold places, just as an example in AC, cold weather. Please give me medicine suggestion. Doctor: Hello. The following can help alleviate and prevent chilblains: For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21626, + "tgt": "Is it possible to go on for years without knowing I am HIV positive?", + "src": "Patient: Hi doctor, I am a male. I had unprotected vaginal sex single exposure with a girl. Nine months later, I found she is HIV positive. My question: I have read that after a certain window period time (three months after getting negative) is conclusive and even after (six months) confirmation is definitely negative. But, why are all these other people saying you can go years without showing positive and that is really freaking me out big time. Is it true that it takes years to come up positive or does it only take six months to know it 100 %? What is true? Also, there is a doctor who says no test is 100 % reliable. I am still 15 months post exposure. HIV RNA PCR qualitative all are negative. 20 months post exposure, HIV-Alere combo test result is negative. Any further test is needed? I am negative now. Will my result change in the future? What is 100 % window period? Please clarify my doubts. Thank you. Doctor: Hi. For this question, it is based on the test you do. HIV enters the body on day-0, and goes to the nearest lymph node and starts replication by day-7. This is when, p24 antigens (core proteins of HIV virus) get detected and in turn, the body starts defense and produces HIV antibodies, and these get tested positive in 15 to 23 days. But, due to neutralization of antigens by antibodies, as per theory, testing after 23 days up to 28 days may give false negatives (<0.001%). So, getting a fourth generation HIV test after 28 days is confirmation by 99 %. Yes, not only in medical, but in any field, 100 % is not possible. And taking medico legality, no one gives you 100 % cure. No further test is needed. You are negative by 99.99 %. A change in result is unlikely. You will stay negative forever. The window period is a period where lab tests cannot detect the presence of infection by tests. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 24958, + "tgt": "Why am I unable to hear through my right ear?", + "src": "Patient: Hello doctor, All of a sudden, I am unable to hear for the past 10 days. My hearing is less in my right ear and hearing some sound inside the ear. Also, I felt dizzy some seven days back. ENT doctor is telling that it is because of nerve weakness. My audiometry results show that right ear is 80% not audible. I need a second opinion. Doctor: Hello. You seem to have suffered from sudden sensorineural hearing loss. This occurs suddenly without warning, and the exact cause is not known. We have various treatments, but none of it is full proof and 100 % effective. The first and foremost step in management is to find out the cause. Some investigations have to be done for that. If a cause cannot be found, then we empirically treat this condition. To find the cause, please do these tests: Complete blood count, Paul Bunnell test, syphilis serology, serum lipids, sugar and MRI brain with the auditory complex. If the cause is not discernable, we give the following treatment: Intratympanic steroid injection. We inject steroids into the middle ear which surpass into the inner ear and help relieve congestion edema and inflammation. You would need two injections in a week for six weeks. Recovery is seen usually but no guarantee. Hyperbaric oxygen therapy helps improve oxygen concentration in the inner ear and improves healing. Helps the damaged area obtain good nutrients and oxygenation. Complamina Retard (Xanthinol Nicotinate) taken twice daily helps increase blood supply to the inner ear. Additionally, you can take Gingko biloba supplement and multivitamin supplements with trace elements. If you are averse to intratympanic injections, you can take a course of oral steroids. But, intratympanic injections of steroids are better. I would like to tell you that you must start the treatment very soon. Nevertheless, recovery is not assured. If it does not recover, then the loss is bound to be lasting. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20418, + "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": 3609, + "tgt": "What is the chance of passing the structural birth defect in my hand to next generation?", + "src": "Patient: Hello doctor, I was born with a structural birth defect where my left hand is completely deformed. My left arm is normal from the wrist and above. I would like to know if this defect is hereditary if I try to have a child. What are the risk for me as a father passing any defects to my future children? Doctor: Hello. I can understand your concern. It will be of great help if you can send me the picture of your deformity. I will be happy to help you further." + }, + { + "id": 22330, + "tgt": "Leukocytes still high after a PSA spike. Please advise", + "src": "Patient: Hi doctor, Recently, I had a very high PSA spike. Antibiotics were given for a UTI, although in the end, the culture was negative. Nonetheless, all returned to normal. Antibiotics ceased a couple of weeks ago. Everything normal except now a reading of leukocyte esterase at 25 wbc/Ul (rechecked next day, same result). Psa 3.4, nitrates negative, protein negative. Doctor: Hi. I have gone through your query and the urinalysis report (attachment removed to protect patient identity). You have had an attack of prostatitis, which has led to the very high level of PSA (prostate-specific antigen), and had been subsequently treated with antibiotics. I would like to know the duration of antibiotic therapy prescribed for you. Minimal leucocytes in the urine are due to residual prostatic inflammation that will resolve with time. As you are not symptomatic at present, a urine culture after a prostate massage to ensure there is no lingering infection is sufficient at this time if it has not been done post-antibiotic therapy. Hope this was helpful. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28669, + "tgt": "I am concerned about my LFT values. How to correct them?", + "src": "Patient: Hi doctor, I am 30 years old and had a full body checkup. My liver function test showed the following values. Alanine transaminase (ALT) 104 U/L (method - UV with pyridoxal-5-phosphate), aspartate aminotransferase (AST) 60 U/L and Gamma-glutamyl transferase (GGT) 63 U/L. I am\u00a0concerned about the LFT values. How to cure them? Also, I get some mild intermittent pain\u00a0in the upper right quadrant. Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12297, + "tgt": "Is it normal to feel that the ankles are displaced while running?", + "src": "Patient: Hello doctor, I am aware a chiropractor only works on the back, but I have a question about my ankles. Every time I run, it feels similar to my ankles rolling out of place, and back into place again. It is extremely painful and I would like to know if there is anything I can do to help this. Also, I am a waitress and I have to stand for long periods of time. Doctor: Hello. As standing for long hours can lead to weakness in the ligaments of the ankle joint, leading to ankle instability. If never taken an MRI of the ankle due to any sprain I will recommend one to take. You can start using the balance board training which will help improve the muscle imbalances and provide good stability of the ankle. Balance board training has been found effective for providing ankle stability." + }, + { + "id": 13021, + "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": 26614, + "tgt": "My vision gets hazy as the day progresses and it gets better again. Why?", + "src": "Patient: Hello doctor, I am a\u00a067 year old male, with otherwise normal vision. For the past month, I would wake up with a clear vision, and then as the day progresses, it becomes hazy (not blurry). It then clears up again overnight. I do not have any other symptoms, everything seems to check out fine. Blinking my eyes or putting drops in them does not seem to help, and the cause of the haze looks like something is clouding up in the front part of my eye, like how a window fogs over. I do not have cataracts, I have IOLs in both eyes, from a long time ago. Doctor: Hello. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22178, + "tgt": "My foot is swollen after being scratched by cat. Am I infected with rabies?", + "src": "Patient: Hello doctor, I was scratched by a cat in my left foot and a little blood went out. It was like three or four days until now, when I noticed that my left foot is a little swollen. Am I already infected by rabies? Doctor: Hello. Because of the dog bite, inflammation can develop and in inflammation swelling can occur and pain also can be there. The incubation period for rabies is two weeks. So, you are not having rabies but to prevent it if you are not vaccinated then get rabies vaccine because it is not too late. The vaccination schedule is at 0, 3, 7, 14, and 28 days for non vaccinated person. If you are previously vaccinated then the schedule is different. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19297, + "tgt": "I accidentally got eyelash remover gel in my eye. Do I have to go to the ER?", + "src": "Patient: Hello doctor, I accidentally got eyelash remover gel in my eye. I flushed it out with water for 15 minutes at 6.30 PM and then again at 8 PM. It still seems red, burns, and my vision is a bit blurry. The gel has these\u00a0ingredients: propylene carbonate, polyethylene glycol, ethoxyethanol, methoxy ethanol, paraben, and vinyl polymer salt. Do I have to go to the ER? Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15399, + "tgt": "I am getting hallucinations after taking Mirtazapine. Is it normal?", + "src": "Patient: Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried? Doctor: Hi. Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and disturbing your functional life than it needs to be addressed. It is not due to Mirtazapine. Sometimes, it may happen when you are going to sleep or when you wake up from sleep. It is due to mental illness. Just keep a record of your hallucinations details like duration, time of the episode, frequency, etc. All those details will help your psychiatrist during follow up visit for evaluation. At present, you do not need to worry." + }, + { + "id": 28157, + "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": 19647, + "tgt": "Is red watery bleeding a matter of concern regarding pregnancy?", + "src": "Patient: Hi doctor, My girlfriend is 20 years old. She had periods from 24th to 29th. We had sex on the 31st and she had an I-pill after two hours of sex. She got bleeding on the 2nd of the following month and it lasted for four days. I thought it was of I-pill extra hormones Then for two months she missed her periods. I had also enquired regarding this on the icliniq and the doctor told me that it is not a serious concern and she will get her periods soon. After a while, she got her periods, but for the first two to five hours, she had red, watery liquid and it was followed by regular bleeding. But, it lasted for only three days rather than normal five days of the period. The next month periods also the same with red watery bleeding. Would you please tell me, is it a matter of serious concern regarding pregnancy? Or this is just the usual period symptom?\u00a0I am very much worried. Please explain. Doctor: Hi. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 11799, + "tgt": "Can you recommend some medicine for earache?", + "src": "Patient: Hi doctor, My wife who is 27 years old having cold since 3-4 days. Right now she is having severe earache. I have already given her painkiller like Combiflam and Nicip. Also gave her cough syrup Benadryl. The earache is very severe and she is not able to bear it. Can you recommend some medicine? Thank you. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine concern. Your wife might be having throat infection which has spread to the internal ear. This infection is causing congestion and severe ear pain. As you have already given her oral analgesic drugs they will take some time to act. I suggest you to use any of the analgesic (pain reliever) ear drops like Otic ear drops (Ofloxacin) which acts internally in the ear and will bring down her pain. Otic ear drops application:" + }, + { + "id": 19895, + "tgt": "What ayurvedic drugs can treat ulcer?", + "src": "Patient: Hello doctor, I am suffering from heartburn for the last two years with oversleeping, laziness. I do not have interest in anything. I have mental worries. I have had endoscopy two times. The doctor told me that it is an ulcer. What is the remedy? I am currently on Shatavari Lehyam. Doctor: Hello. I just read your query. Heartburn is due to an ulcer. Mental stress also worsens the problem. If you are taking treatment for ulcer then it is good. If not, then start taking treatment as soon as you can. Otherwise, this problem will get worse. Along with your medicines, you can also take Yashtimadhu Churna one teaspoon two times a day with lukewarm water after food for two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This will help you a lot. Follow up after two weeks. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7944, + "tgt": "Should I go for rabies vaccination after a minor scratch by a cat?", + "src": "Patient: Hi doctor, During my vacation I stayed in a hotel where they had 15 pet cats. I picked up a small cat to play, but she jumped from my hand and it felt like a scratch on my forearm. It was very minor, even not a single blood spot or skin removal present. She was completely normal in behavior. Now, I asked them after eight days. They said they are pet but not vaccinated and also say not harmful. They say none of the cat died but does not look very confident to me because they surely do not have any count of them. Should I go for rabies vaccination? Please suggest. Doctor: Hi. I have thoroughly gone through the photos attached (attachment removed to protect patient identity) by you and understand your concern. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25155, + "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": 14340, + "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": 4223, + "tgt": "What are the uses of Misoprostol?", + "src": "Patient: Hi doctor, Please explain me the uses of Misoprostol. Doctor: Hi. Misoprostol is a wonder drug, which is used randomly in various obstetrical conditions. It is used for abortion when the gestation is only few months, that is less than 7 weeks, along with another drug called Mifepristone. Mifepristone 200 mg is advised to take orally and following 48 hours four tablets of 200 mg Misoprostol should be given per vaginally. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17644, + "tgt": "My pregnancy tests are repeatedly negative. Could I still be pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex on the 18th of last month. It was the sixth day of my periods. I had an I-pill six hours after having sex. It has been one month and 25 days. I did not get my periods. I am checking for pregnancy every week, and it shows negative. The last date I tested was on the 4th. It was again negative. But, I am worried that I am pregnant. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17815, + "tgt": "My TSH is 6. 58. Can I keep my TSH under control without medications?", + "src": "Patient: Hi doctor,I am a 26 year old female, who is trying to conceive. Previously, I was not diagnosed with hypothyroidism. But recently, my gynecologist prescribed Thyronorm 50 mcg as my TSH is 6.58. I had concerns with taking a long-term medication. I have read that thyroid medication is to be taken lifelong. However, my doctor said she would stop the medication after conception and delivery if my thyroid is normal. Is this true? Can I really stop the medications? Doctor: Hi. I hope it helps you.\u00a0If you have any further query, please ask me. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19012, + "tgt": "I noticed white strings in my stool. I hope it is not parasites. Please help", + "src": "Patient: Hi, I am a 34 year old female. I noticed what looks like\u00a0white strings in my stool. I am also having symptoms like\u00a0abdominal cramps\u00a0and\u00a0pain, severe fatigue, memory issues, dizziness, and sometimes\u00a0constipation. I am hoping it is not\u00a0parasites. Please help. Doctor: Hello. Revert back with the reports to a medical gatroenterologist online for further evaluation and treatment --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4192, + "tgt": "What causes chondromalacia of knee?", + "src": "Patient: Hello doctor, I feel pain in my knees only when I climb downstairs. I feel pain below around knee cap. I am 48 years old and was quite active in running and sprints. My MRI shows nothing and doctors are stating chondro patella. I am on rest but no big difference in four months. All medical traits like vitamin D are great. Recently I started taking Glucosamine. I am healthy and quite fit. Doctor: Hi. I understand you have pain in the knee going downstairs. It is good that your knee MRI (magnetic resonance imaging) is normal which means you do not have something major to worry about. Regarding Chondromalacia patella as diagnosed, it is usually due to just softening of the cartilage. I would recommend you not take complete rest in fact you can just do some exercises of the knee to make your muscle strong like quadriceps, Hamstring exercises, static exercises, and knee ROM exercises. Movement of the knee makes cartilage more healthy but avoid running jumping or strenuous activities. I would suggest you can continue some medications for calcium and glucosamine for healthy bone and cartilage. If you do the above exercises and take good care of your joints your condition will improve." + }, + { + "id": 1074, + "tgt": "I have pimples on my penis for the past several years with no pain. Please help", + "src": "Patient: Hi doctor, I have pimples on my penis, I do not feel any pain when I touch. I just want them to dissappear. I am having this for the past many months, I was feeling shame to consult, but now I do not want to take risk. Please help. Doctor: Hi. I can understand your concern. According to your statement you have been suffering from pimples on your penis for the past few months. Pimples can develop on the penis as they are common elsewhere on the body. Pimples are resulted from blockage of the sebaceous gland of the skin due to excess sebum or debris or dead skin. Sebaceous glands excess secretion of oil (sebum) can develop pimples. For the prevention of pimples, you should avoid excess sweat-producing activities, wear loose clothes for preventing them from frictions, take bath regularly, and do not rub your affected area. You can use topical retiniods, salicylic acid, benzoyl peroxide, etc. Without any medications they are also disappeared with passing of time by keeping personal hygiene strictly." + }, + { + "id": 23111, + "tgt": "The dumbbell bench press causes sharp pain in triceps. Kindly advice", + "src": "Patient: Hello doctor, I participate in resistance training activities and one exercise, in particular, has been giving me problems. The exercise in question is the dumbbell bench press. It causes a sharp pain in the triceps and sometimes across the brachioradialis. There is no pain in any other exercises that extend the elbow with resistance. I am also not experiencing golfers elbow or tennis elbow symptoms. I know that one of the best things I can do is rest the muscle. My question is, can I just avoid the specific exercise that is causing me pain and choose ones that do not? Or does rest mean completely forgoing every elbow extension exercise? I am just taking psychoactive medication. Doctor: Hello. It might look like your tricep muscle imbalance or the tricep muscle fibers are not adapting to the resistance in this position. I recommend you to do not stop exercise but doing the same exercise with little to no resistance and then gradually start increasing the resistance. That will help these muscles to gain strength. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 182, + "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": 17991, + "tgt": "Are there any drops that can heal a pterygium?", + "src": "Patient: Hello doctor,I am suffering from pterygium from last two years. I feel a burning sensation and redness in my eyes the whole day, currently using rose water as suggested by an Ayurvedic doctor. Is there any drops which heal it permanently without surgery? I found one online. Could you please suggest if it works for me? I am sharing the picture below. Kindly go through and advise me. Doctor: Hello. This is a very small pterygium. I would not recommend surgery for this small pterygium. I am sorry but there is no medicine to treat pterygium. One may claim anything, but we usually do not recommend any medicine unless it is approved by FDI. You may use lubricating eyedrop frequently for irritation. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25559, + "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": 6834, + "tgt": "I have pain in my wisdom tooth. What should I do?", + "src": "Patient: Hello doctor, My wisdom teeth is hurting. There is a big flap covering the tooth, and I think food is stuck in there. Should I get this one removed? Doctor: Hello, Welcome to icliniq.com. This is called pericoronitis. Food gets trapped under the gums. You need to send in pictures and x-ray (orthopantomogram) for a conclusive diagnosis. Two things can be done. 1. At home, you can use a syringe with clean boiled or distilled water or with Betadine (diluted with water) to spray water under the flap and clean it. Also, you can use Chlorhexidine gel topically two times a day to aid in healing. 2. You can get professional scaling in the area. Might even need to remove the flap if it bothers again. It is a very simple procedure done under local anesthesia. Also, get evaluated of you need to get wisdom teeth removed. It may not even be necessary. Pericoronitis." + }, + { + "id": 16660, + "tgt": "I am on Levothyroxine but still have hair loss, and weight gain. Please help", + "src": "Patient: Hello doctor,I was diagnosed with Hashimoto's 10 years ago. I have been on Levothyroxine, and current dose is 125 mcg. During that time I have been hospitalized four times because of heart palpitations. Even though I am on medicine I still have coarse hair, hair loss, weight gain, puffy face, hoarse voice, and constipation. I was wondering if I should switch to a different thyroid medicine? The other medicines that I take are Welbutrin 150 mg, Cymbalta 90 mg, Probiotic, stool softener, and Vitamin B12. Doctor: Hello. I just read your query and from what you have mentioned it appears that you are having very good thyroid function test results. I would not recommend that you change the form of Thyroxine at any cost. Regarding your hair, face and constipation I understand it is hard having these side effects from Thyroxine which will still be there in spite of switching to an alternative form but the risk is more in switching the drug. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 25537, + "tgt": "What medicine should I take to cope up with my ED?", + "src": "Patient: Hi doctor, I am a 41 year old male. Recently, I have faced ED during intercourse. Most of the early morning my penis get erect that let me wake up from sleeping and I feel the urge of having sex. But, while having sex the erection goes off along with excitement. But, during masturbation it gets erected and ejaculation too good. For removing fatigues and to perform better, I started taking ayurvedic herbal medicine, but it did not help to do intercourse as my erection cannot sustain long. I have never faced this kind of experience earlier, though some times urge did not come due to tiredness. But, that had regained automatically. My blood glucose level when I checked through Accu-Chek and it showed the level as 96. What is the reason and what should I do at the moment? Is this a symptom of ED for future? How can I cope up this? Is there any normal remedies? What medicine should I take temporarily to cope up the situation? Please advise thoroughly. Doctor: Hello. You are getting a good erection during masturbation and also in the early morning, but during sex you are not able to penetrate and has erection loses. The history itself suggests that the cause of erectile dysfunction is psychological and not any organic cause. As, the reason for poor erection is psychological, the best way to cope with this is to take rest for a few days and spend a lot of time in foreplay. More and more foreplay would make hard erection and you will be able to penetrate. You will not lose the potency in the future and so no need to worry. With time, the symptoms would improve. For building up the confidence again and for hard erection, I suggest tablet Tadalafil or Sildenafil as and when required about half to one hour before intercourse. Consult your doctor, discuss with him or her and take the medicine with consent. This will make strong erection and will increase your confidence. You can reduce the drug once your erection becomes better. Herbal medicines like Tentex Forte or Confido can help to increase the power if used on a regular basis for about 8 to 12 weeks. Take two tablets each twice a day. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3737, + "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": 28126, + "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": 4188, + "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": 3266, + "tgt": "My chipped tooth turns gray after root canal treatment. Why?", + "src": "Patient: Hi doctor, When I was young I tripped and chipped my tooth. It was when I was 20 years old that I got braces and the dentist told me I had to get a root canal for that specific tooth. She said that the tooth was dead already. I thought it was just a chipped tooth because it looked normal and did not show any discoloration at all. Then after the root canal that tooth starts turning gray. Now that I had gotten out of my braces it really got me worried that the discolored tooth is really obvious. It also got me thinking that I should not have done a root canal cause before it looks normal but now it is really gray. Can this dentist be wrong about my tooth? Doctor: Hello, Welcome back to icliniq.com. When you banged your tooth and part of it chipped away, the pulp or the core of nerves and blood vessels that provide nourishment to the tooth probably died. It is not possible to judge this now but your dentist must have done the required tests to come up with this diagnosis. The discoloration that you noticed following root canal treatment could be due to decomposition of pulp remnants left inside the tooth following treatment. The problem can be solved in different ways. You may try first internal bleaching which is a form of tooth whitening directed at the inner part of the tooth. If this fails you can think of a veneer or even an aesthetic (tooth-colored) crown to mask the discoloration of your tooth." + }, + { + "id": 7657, + "tgt": "I am having eye pain and discomfort even after using new glasses. Kindly help", + "src": "Patient: Hello doctor, I am having dry eyes problem since last four years due to regular eight hours computer use. There is burning also sometimes and reading puts stress on eyes. I consulted a doctor and started using Softdrops daily 3 to 4 times before computer use, and taking Retinox tablets periodically for dry eyes. I started using power glass since a year back in the right eye but left eye was normal. At that time, the right eye had a visibility problem and causing pain. It went fine for one year but since last few months the left eye started causing problem in visibility and pain. This time test confirmed that the left eye is also having power problem. I again ordered new glasses and started using it for the last 22 days. I have attached both eye test reports here. I can see better in the left eye with new glasses but still facing problem in the left eye. The left eye causes pain and discomfort if I spend more time in front of the computer or while trying to read distant letters that can be read easily by right eye. I contacted the doctor again and he says nothing more can be done about power in the left eye. He says the left eye will adjust automatically after a few days of using new glasses. He suggested using Eyedol twice daily for one month to reduce discomfort in eye. I have been using Eyedol for last 20 days along with Softdrops but it seems not that effective. The discomfort in left eye goes after using Eyedol and feels better, but returns back if I read small letters from a distance in the computer screen. These are some queries I need your help. What is the exact problem in my left eye? What does the eye test report suggest? Whether the left eye needs more power lens? Why am I still having discomfort in the left eye even after using new glasses? Is Eyedol good enough to cure this problem? Is there any other medicine or treatment for my problem? Looking forward your reply. Doctor: Hello. Your symptoms are suggestive of dry eyes (computer vision syndrome). There is no permanent cure for dryness. Power on both your eyes is negligible (attachment removed to protect patient identity). In my opinion, if there is no headache then you can avoid these glasses. You may keep using them if you feel comfortable with them but make sure they have an antiglare coating. You need a lot more things like cold compresses, antiglare glasses, restrict the use of the screen, frequent lubrication by lubricating eyedrop, breaks in between computer work, proper hydration, etc. The eyedrop is anti-inflammatory eyedrop which will not cure your problem but will decrease the inflammation that is induced by dry eyes and so you feel comfortable for a limited period. This will not cure your problem. Keep using lubricating eyedrop more frequently but also restrict screen work, blink a lot, follow 20-20-20 rule, use antiglare glasses, cold compresses. All these measures will help you." + }, + { + "id": 2213, + "tgt": "My 6-year-old son has heart problem with vomiting, urine problem and fatty liver. What is the treatment?", + "src": "Patient: Hello doctor, My 6-year-old son has a diaphragm problem. He has a heart problem post operated for VSD and having pacemaker from his 11th month. Now he have a new problem like vomiting, urine problem, fatty liver, gall bladder wall thickening, mega cardio, 30 percent heart function only. What is the main problem here? And what treatment to give? Doctor: Hello. I am very much concerned about all the problems your son is going through. Now, he has a few different issues overall not a single problem. His urinary problem looks like due to inflammation of urinary bladder called cystitis, which needs investigation of urine and if needed antibiotics for that. His heart functions are weak and that may be leading to fluid accumulation and back pressure on the liver leading to gall bladder thickening and liver congestion and enlargement. He may also be having some edema in his feet or some fluid in the abdomen. Kindly send me his ultrasound and all the reports recently done so that I can decide about his proper treatment and guide you accordingly." + }, + { + "id": 623, + "tgt": "I have Crohn's disease for a long period. Will it cause ED and PE?", + "src": "Patient: Hello doctor, I am a 29-year-old male and I am diagnosed with Crohn's Disease before 11 years and was taking Immuran 150 mg/day, and diagnosed with Streptococcus after semen culture at the beginning of this year. My main concern is ED and PE but the testosterone level is within the normal range. I want to know whether my problem is urology or neurology? Doctor: Hello. You have mentioned ED (erectile dysfunction) and PE (premature ejaculation). No details of medications tried so far. Can you elaborate on this? Testosterone only indicates sexual drive, which you have not mentioned as a problem. So that being normal rules out nothing. There are no tests for ED and PE specifically. History is key. Better to discuss in person. Immunosuppressive medications do not generally cause ED or PE. You have not mentioned any reason or symptoms for checking semen culture. In the absence of any such factors these semen tests can simply be a contaminant. Even if you have prostatitis, it is not likely to cause ED or PE. No need to treat semen culture unless you are symptomatic or in other words it will not help. Have you checked fasting glucose, lipids, and thyroid function? In the absence of any such symptoms this is likely to be psychogenic especially because of age. Please check the blood tests as above. Reassurance, correct the factors if abnormal in the mentioned tests. Need a face to face/audio conversation to understand the issues in more detail." + }, + { + "id": 9911, + "tgt": "Does blood in cough indicate cancer?", + "src": "Patient: Hello doctor, I am 25-years-old. I am a smoker, and I have smoked for five years. My issue was four months ago. I got my chest X-ray, and it was normal. Then I gave up smoking for three months then again smoked for 1.5 months, but before five months, I smoked 15 cigarettes. After some days on, I was in another place, and the temperature was low. I was riding my bike and started coughing.My cough was dry and no mucus. So took medicine and it was gone in three days. But I have been coughing four to five times a day. So yesterday morning, while cleaning my tongue, I coughed, and blood came out. So in the night, I did it on purpose again blood came out. So I am scared, but in the morning, I did on purpose many times and heavily but no blood, mucus, fever or chest pain, and no shortness of breath. And whenever it is cold, I get a cough, and when sunny, there is no cough. I am scared to death. Is this cancer. Please help. Doctor: Hello. Do not usually worry this type of dry cough is due to allergy, environmental pollution, change in weather, etc. And smoking will usually worsen it. But you told that X-ray chest was normal that is a good thing. The worrying things are if in case you are suffering from recurrent fever, weight loss, shortness of breath, sweating, and persistent cough for more than three weeks. You had one episode of blood with a cough, but without examining physically, it is difficult to comment, but it could have been due to gum bleeding. Or sometimes forced and excessive coughing can cause a mild rupture in the mucosa and cause slight bleeding. But if it is coming again and again then need a thorough check-up by a pulmonologist. So it looks some allergic type of cough. Quit smoking and try to keep away from pollution, dust, smoke, etc., take a balanced diet. In case of cough persist, or there is one more episode of blood with sputum or fever develops, consult a pulmonologist." + }, + { + "id": 19027, + "tgt": "Is there an effective cure for nasal allergy?", + "src": "Patient: Hi doctor, I am suffering from allergy\u00a0over 5 years. I have chronic sneeze every morning. I often have running nose all day and it causes headache. It ceases me from work. Please help. Doctor: Hello. Allergy to unknown triggers. Skin allergy test or blood allergy test. Metaspray nasal spray and tablet Montair-LC once daily at night. Avoid the known triggers. Revert back with the investigation reports to an allergy specialist online.--->https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 29342, + "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": 19633, + "tgt": "I have multiple fibroid in uterus and missed my period for 70 days after medication. Why?", + "src": "Patient: Hi doctor, I am unmarried and my age is 40. I had severe bleeding during my menstrual period. So, I met a Gynecologist and found out that I have multiple fibroids in my uterus and the largest one is 3 cm X 2.9 cm. And my uterus was bulky. She advised me to take Fibroease 25 mg daily for three months and after three months, to meet her. Two months are over. But after taking the tablet, I did not have menstruation for almost 70 days. I am also taking Oxetol 300 mg daily for epilepsy. What do I have to do? My family members suggested me to undergo surgery and remove the uterus. Kindly advice me. Doctor: Hello. Yes, Fibroease (Mifepristone) causes amenorrhoea owing to anti-progesterone and anti-glucocorticoid effect. It is known to reduce the size by often 35 to 40 % and increase the hemoglobin as well in symptomatic perimenopausal age group women, where the aim is to avoid hysterectomies in cases of symptomatic fibroids. The only disadvantage is that endometrial hyperplasia ensues which could become atypical and malignant changes may occur. Hence, therapy should be not more than three months and endometrial biopsy should be taken if no menses post stoppage of treatment. As your concern is not marriage, hence you have been offered this treatment." + }, + { + "id": 9120, + "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": 26318, + "tgt": "I had tachycardia after a heavy period. Why?", + "src": "Patient: Hello doctor,Last month, I did a health check-up and everything was fine. Later, I had my cycle a little heavy compared to my regular one. I felt quite weak. I went for an ECG in a local diagnostic center. It showed tachycardia and an early transition posterior infarct. I am very prone to anxiety. Please tell me what to do as I am going crazy. Doctor: Hello. From the limited details on this case that I have, it seems you are worried about the finding on the EKG (electrocardiogram) as early transition infarct of the posterior wall. Hope this helps. Please feel free to ask me if you need further assistance. I would be happy to help. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 14049, + "tgt": "Why is a 3-year-old stuttering suddenly?", + "src": "Patient: Hello doctor, A 3-year-old just begins stuttering out of the clear blue. Should we be concerned? Doctor: Hi. I have read your query. Developmental stuttering is a common form of stuttering seen in children under 5 years. Stuttering occurs when a child is learning speech and language skills. It occurs because of the child's language and speech ability are unable to manage the child's verbal demands. They do not require any treatment as the stuttering stops as command over language and skills is obtained. A speech language pathologist can help diagnose stuttering. No invasive testing is necessary. Typically, you or your child can describe stuttering symptoms, and a speech language pathologist can evaluate the degree to which your child stutters. Not all children who stutter will require treatment because developmental stuttering usually resolves with time. Speech therapy is an option for some children. The best candidates for speech therapy include those who have stuttered for three to six months, have pronounced stuttering, struggle with stuttering or experience emotional difficulties because of stuttering, have a family history of stuttering." + }, + { + "id": 27137, + "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": 23693, + "tgt": "I had ovulatory dysfunction. Can you suggest a way for me to start a family?", + "src": "Patient: Hello doctor, I have had ovulatory dysfunction for about seven years. About a year ago, my husband and I decided to try starting for a family. Not seeing any success, we visited a fertility doctor about two weeks ago, she prescribed hormone blood tests. My test results are estradiol serum: 13 pg/ml, prolactin: 4.16 ng/ml, AMH: 1.97 ng/ml, FSH: 7.41 mIU/ml, and LH: 1.93 mIU/ml. Can you please suggest a way forward for me to start a family? Do I need to take a treatment considering my numbers? Doctor: Hello. How are you doing? Hope I have clarified your query. All the best. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 13300, + "tgt": "Kindly tell me whether my upper lateral incisors are normal or not", + "src": "Patient: Hello doctor, I think my maxillary lateral incisors are not in perfect shape but my dentist thinks they are. I just need a second opinion. Doctor: Hi. Your maxillary lateral incisors are perfect in shape and place (attachment removed to protect patient identity). Only, maxillary left central incisor is a bit down from occlusion that only dentist or you can feel the difference. If your case is about to end, ask the dentist to remove the bracket from #1 left side upper and put it back just 0.5 mm above and then put the wire back for like 2 or 3 weeks. Then this tooth will be intruded and will be perfect in place. Otherwise, if he feels like he can do slight slicing of this incisor too so that both the incisors will be same in place. 19, 20 difference would not be much obvious. Give me followup after your next visit to the dentist." + }, + { + "id": 22597, + "tgt": "Can you suggest a diet plan for someone with acidity issues and sedentary lifestyle?", + "src": "Patient: Hello doctor, I wanted to inquire about the diet that I should follow. I am a 27 year old student. My lifestyle is very sedentary. I have to sit for long hours for the major part of the day. I am a vegetarian and mostly eat homemade food and once or twice a month outside food. I eat three meals, that is, breakfast (poha, bread cheese, and similar meals), lunch and dinner (three to four chapatis, vegetable, salad, milkshake in summer, dal). I eat some light snacks in the evening and sometimes drink milk at night. I have had acidity issues for a few months and yesterday I had a headache and a little dizziness which I attributed to acidity problem. I have had a weak stomach since childhood. Not a big problem as such but my digestion and stomach have not been the best. Kindly advise me on what to eat, when to eat and my diet plan. I am attaching the blood report of the test conducted a week back. Doctor: Hi. Your BMI (body mass index) is normal and blood parameters are fine with vitamin D deficiency. You need to understand the type of body you have. Understanding your gastric problem, take good amounts of fluids in a day wherein you can manage even lymphocyte value. Take early morning sunlight for 20 minutes per day or BioD3 plus tablet continuously for one month then reduce to weekly once for lifelong. Coming back to gastritis, take jeera tea early morning on an empty stomach. Soak one tablespoon of jeera overnight in water, boil it like a tea in the morning, sieve and drink. You can add honey or little sugar, and mid-morning take buttermilk with jeera powder. Diet part as such you need to concentrate on protein content for your immunity as well as bone health. Divide your meals into six meals - three major and three light meals. Hope these will help maintain good health. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17947, + "tgt": "In what conditions can a person have cyclical Cushing's syndrome?", + "src": "Patient: Hi doctor, I am 21 years now. I weigh 60 kg and was diagnosed with cyclical Cushing's syndrome\u00a0at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology.\u00a0I have beard like hair in my chin, upper lip and neck.\u00a0I have high pulse rate, a moon face, central obesity with sparing of the limbs, stretch marks on my hips and boobs, anxiety and depression, severe PTSD (posttraumatic stress disorder) from 13 years of extreme abuse, acne, hyperhidrosis, fatigue and weakness, severe headaches and cognitive/attention problems that is so severe, because of which I had to quit my job at a cafe. I also have fatty deposits and irregulars periods. Currently, I am on Venlafaxine 300 mg per day following 4 panic attacks and depression. Clonazepam up to 4 mg for panic, Dextroamphetamine, Isotretinoin for extreme acne but nothing has been administered for physical exertion. I get breathless when climbing stairs. I have already been scanned for PCOS, which came as negative.\u00a0My thyroid function has been erratic, as for the T4 level that I had about 5 years ago was 20. Then, in two years, it dropped to 14. I got it tested two years later after I got sick and it dropped to 7. Now it is hard, because T4 level is back to 20 like what is normal for me. I was not taking my thyroid medication, because at the time I smoked. I have stopped smoking now.\u00a0I have been chronically ill to the point my muscles are so weak, that whenever I get up I black out, or am shaking uncontrollably. I was a ballet dancer, and I stopped due to the physical demand. Just walking to the letterbox is excruciating my muscles. Though I am young, it makes me feel like a 90 year old.\u00a0I have done some 24-hour urine samples for cortisol levels, yet they always come back negative.\u00a0My endocrinologist said that there are chances, but it could take 10 years to find. I cannot wait that long.\u00a0Are there any pituitaries anywhere else in the body?\u00a0And if so, and everything comes back fine, how will I get treatment for cyclical Cushing's? Are the pee tests fine? Is there a medication for this illness? It is ruining my life and the ability to act. \u00a0I know cyclical Cushing's is a clinical challenge as it is not widely documented. Please help. Doctor: Hi. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19850, + "tgt": "What are the treatment options in case of SNHL?", + "src": "Patient: Hello doctor, I am a\u00a032 year old male. I am suffering from a sensorineural hearing loss in both ears. So, I want to make my hearing normal again. I believe that a solution exists. Let me know what can be done to improve hearing. I have been having this issue since a long time, but I did not take proper care except for using hearing aids. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28767, + "tgt": "How to recover from typhoid and UTI?", + "src": "Patient: Hi doctor,Four months ago, I was diagnosed with typhoid and UTI. My Widal test showed S.typhi O 1: 40 and S.typhi H 1:320. My blood count keeps reducing even though I am eating well. I have back pain, incomplete bladder emptying, dark urine, sometimes vaginal pain and a little itch. I also have anal pain once in a while. I am almost dehydrated all the time and have high temperature once in a while. I had sex with my guy three months before my typhoid and UTI.\u00a0I was given Ciprofloxacin, which I took for two weeks. Also, I took some herbal medication. But, I feel dizzy when I take any medication including raw garlic. Please help me. Doctor: Hello. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 11503, + "tgt": "What is the reason for my restlessness?", + "src": "Patient: Hello doctor, I am feeling very restless, sleepy and crying the whole day. I have a feel that I am suffering from depression. Please advise. Doctor: Hello. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 11163, + "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": 30157, + "tgt": "Why has my finger become stiff after an injury?", + "src": "Patient: Hi doctor, A few months before, I got an injury on my finger. Now, my finger has become very stiff. When I try to straighten it, it is popping back. Also, it is very painful. What to do? Please help me. Doctor: Hello. You have mentioned that you got an injury to your finger previously and now, you are having some issue with its movements. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7517, + "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": 25997, + "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": 29399, + "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": 25149, + "tgt": "Can Ortho Tri-Cyclen Lo cause bruises?", + "src": "Patient: Hello doctor, I began taking Ortho Tri-Cyclen Lo at the start of this month due to follicular cysts. I have observed two bruises on arms and one on my leg. Are these side effects of the contraceptive? Doctor: Hello. I would be in a better state to answer if you could attach a photograph of the area. For more information consult a critical care physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 13912, + "tgt": "Is it normal to have erection for shorter period of time?", + "src": "Patient: Hi doctor, I am a 29-year-old male. Recently, I got married and tried having sex with my wife two days ago. It was my first time and I got discharged during foreplay only and could not achieve erection throughout that night. Even when I got an erection, I tried penetration but just lost erection during penetration. I did not feel aroused and the same symptoms are continuing for the last three days. Either I am unable to penetrate due to weak erections or get discharged within seconds. But, before the marriage, I used to masturbate once or twice a week and always got a very hard erection. I was feeling fatigue and weakness in the body for the last one week and even done bp, blood and urine test and all reports came normal apart from a minor infection which could be due to kidney stone as I have one. So, I request you to suggest me on this matter. Doctor: Hi. For providing you the proper treatment I need to know the answers of following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex-worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Does the condition remain constant with other sexual partners, if any? Smoking or alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, headache, forgetfulness, excessive sweating, the shakiness of hands?" + }, + { + "id": 18192, + "tgt": "My teeth are yellow. I am not even smiling because of embarrassment. Please help", + "src": "Patient: Hello doctor, I have a large white spot on one of my front teeth. My teeth are yellow and it makes my smile look bad. When I was young, I had used a paste given to me by my dentist. I cannot remember the name of it, but I was supposed to scrub it on my teeth, leave it for five minutes and then spit it out. I no longer have it and it did not make a difference. I do not know how to get rid of the spot and I do not feel comfortable talking or even smiling because of embarrassment. Please help. Doctor: Hi. There are two ways by which tooth gets discolored: a) External factors b) Internal factors a) External factor: The change in the color of the tooth topically by external agents. 1) Black and brown stains on the tooth surface. Causes: - smoking - consumption of tea and coffee 2)Yellowish stains on the tooth surface. Causes - deposition of plaque (dental plaque is the deposition of a thin layer containing numerous bacteria around the tooth). b)Internal factors: 1) Brownish-yellow discoloration of tooth. Causes - Consumption of tetracycline during the formation of teeth. Deciduous tooth formation takes place when the baby is in the womb. If the pregnant lady consumes tetracycline antibiotic during second half of pregnancy onwards, that causes staining of the tooth. The permanent tooth formation takes place before the age of 8 yrs, if in that duration the child is put on tetracycline medication it will cause staining of the teeth. 2)Greyish-yellow discoloration of tooth. Causes: -Dental caries: breakdown of tooth structure by bacterial action. -Pulp necrosis: it is a condition in which tissue inside the tooth dies. c)White patches on the tooth surface. Causes - Enamel hypoplasia. d)Brownish discoloration of tooth. Causes - Excessive intake of flouride (dental fluorosis). Depending upon the causes of the tooth discoloration, the following treatment can be decided: 1. Oral prophylaxis (dental scaling). 2. Bleaching. 3. Dental laminates. 4. Veneer. 5. Crowns. 6. Root canal treatment. Attach the picture of the affected tooth and follow up with a dentist online.--->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24954, + "tgt": "A spot appeared on my hand recently. Does it look like a melanoma?", + "src": "Patient: Hello doctor,I have a history of melanoma. This spot appeared on my hand this month. I am worried it could be acral lentiginous melanoma. Does it look like it needs to be biopsied? I had a wide excision of melanoma on the other hand on the middle left knuckle. Doctor: Hello. I have gone through the image (attachment removed to protect patient identity). It is a very small papular lesion at present. It does not need biopsy at present. But, if there is: then consider a skin biopsy. At present, a test like dermoscopy would help to see the morphology of the lesion. Knowing your past history keep check on the lesions. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11481, + "tgt": "Does having Cyclogest causes shortness of breath?", + "src": "Patient: Hello doctor, I am a 35-year-old female. I am 11 weeks pregnant. On the sixth week, I had a threatened miscarriage and started taking Cyclogest 400 mg suppository, twice a day. Now I am facing severe shortness of breath. Is it because of the high dose of Progesterone I am taking? Does this affect the baby in any way? Kindly advice. Doctor: Hello. You can switch to oral administration of Progesterones and half the dosage with tablet Susten 300 mg SR (sustained release) once at night daily orally. This shall reduce your possible breathlessness, and uneasiness. You should repeat your ultrasound now, and see if the placentation has improved, and the fetus is viable with no evidence of subchorionic hemorrhage. Please follow-up with the ultrasound report and discuss with your obstetrician to decrease the progesterone dosage, and take an informed decision." + }, + { + "id": 28792, + "tgt": "What test can I get for early detection of HIV?", + "src": "Patient: Hello doctor, I had unprotected sex four weeks back. Later on, I cross checked with the girl, and she stated she do not have any disease. But still, I am worried. After three weeks I have checked with P24 antigen test, the test value is 0.0, and it is non-reactive. By the fourth week (28th day) I have checked with HIV 1 and 2 antibody test and final results are non-reactive. HIV 1/2 P24 combo test CMIA method - 1.8, which is reactive. Immunochromatography method non-reactive and flow through immunochromatography non-reactive. What could be the reason for CMIA test to show as reactive? By considering these tests, what would be the accuracy of HIV status as negative? I have throat infection alone for the last two weeks. Is that a symptom\u00a0of HIV? What is the early conclusive test that I can go with? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 28457, + "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": 18507, + "tgt": "How to reduce excess saliva buildup?", + "src": "Patient: Hi doctor, I have been suffering from excess saliva buildup. As a kid, I would wake up with my pillow covered in drool every morning. When I\u00a0was on a trip before two years where out of nowhere my saliva started building up so much that I needed to swallow it every 30 seconds. The issue would go away when I was distracted, but it has been really bothering my life for the past two years. When I have to swallow the saliva, I do not enjoy it in the slightest. It is very annoying for me. I have visited a psychotherapist for this, but they said they had never seen anyone with my issue before, despite being a cognitive behavior therapy center. I have had anxiety from this, but the anxiety has only been from thinking that this saliva will keep on building up in my mouth. I did a lot of research and saw that one of the salivary glands is capable of producing five times the normal amount of saliva or something like that, which I think is causing this. It is important to note that the excess of saliva buildup is not always there. It usually goes away when I am really distracted. When I am doing nothing I find that it really builds up and I cannot stop the excess saliva build up. Could that have something to do with the parasympathetic nervous system? Because, I have heard that it is responsible for stimulation when the body is at rest. Last week, I visited my physiotherapist for something in my arm and they also told me I was very hyperaware. I was wondering if this had something to do with it. Regardless, I also found something showing that people with excess saliva have one of their glands removed and that can help a lot. Any help you could provide with this would be of great assistance. Thank you. Doctor: Hello. I have gone through all the details posted. I can understand your problem and I will explain you the possible treatment options. For further information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11781, + "tgt": "My chest X-ray shows enlarged heart due to cocaine use. Will it get better?", + "src": "Patient: Hello doctor, I was taking cocaine and alcohol once a week for 20 years. On the first of this year, I started getting a cough and breathlessness. I continue to do my binge until four weeks ago when I was diagnosed with mild left ventricle dysfunction. I then had a chest CT scan and lungs come back clear. I had an X-ray another day, and I have got an enlarged heart. I have no family history of heart problems. I know this is done through cocaine. I have been clean for four weeks, but I am still experiencing breathlessness. Can you please tell me if this can get better? If so how long does it take? Because I have no improvement and I have been working out too for the last four weeks. Doctor: Hello. Your reports are showing mild LV dysfunction (left ventricle) with no lung disease (attachment removed to protect patient identity). LV dysfunction is likely to be related to drug abuse. Still, it will be useful if you provide your ECG and echo cardiography report. If you stop taking these drugs and take medicines as suggested your symptoms are likely to improve. Duration of improvement varies with each patient depending upon the damage to the heart and compliance of the patient to the prescribed medications." + }, + { + "id": 8914, + "tgt": "There is pain in lower jaw that goes to neck, ear and the back of head. Please help", + "src": "Patient: Hello doctor, My wife is 57 years old, post-menopause for five years, has pain in her lower right jaw at one point, throbbing pain. When pain increases, it goes to the back of the neck, ears, and back of the head. We have consulted a dentist and he has ruled out any dental reason, though she has some loss of bone under one of the right lower molar. Sometimes she feels little acidity and with this, the jaw pain goes up. Doctor: Hello. Confirm her heart status. The pain you are describing may be an anginal pain. Consult cardiologist for the same. Also, I can see the lower wisdom tooth X-ray you have sent is showing the position of the third molar is slightly tilted and is pushing adjacent tooth (attachment removed to protect patient identity). The root of the lower wisdom tooth (which is shown in the second X-ray) is incomplete. Ask her to rinse her mouth with salt water twice a day. And I suggest you get lower wisdom tooth removed. Also, the upper left region has a root piece as I can see from OPG. Please get it removed else it may create certain bone-related infections. If it is already treated in the past, then save it with a cap on it, but only if your dentist suggests the same. From my side, the pain is not related to mouth as it is including back and neck. Visit a cardiologist because much dental pain of this history is of heart. Wish your wife good health and happiness. Keep me updated with the improvements. Cardiological problem, also pain of wisdom tooth. ECG, lipid test. Wisdom tooth eruption, root stump infection. Anginal pain. Visit cardiologist. Rinse mouth with salt water twice a day. After seven days." + }, + { + "id": 1323, + "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": 10718, + "tgt": "What does it indicate when my T3 and T4 are normal but my TSH is 8. 5?", + "src": "Patient: Hello doctor,I am a 19-years-old. Recently I checked my thyroid, and the report states that T3 and T4 are normal, but TSH is 8.5. What does that mean? I am skinny and 55 kgs weight. I do not have any past health issues. Please explain this. Doctor: Hello. What was the reason that you had your thyroid checked? Do you have a history of thyroid disease? Have you had your cholesterol checked? The number you provided is consistent with subclinical hypothyroidism. That is a low function of your thyroid that would not account for your low body weight. We usually do not do anything about these findings except to monitor them. I would recommend that you have your thyroid checked again in one to two years. I also recommend that you have your cholesterol checked and followed if necessary. If you develop any symptoms related to hypothyroidism, then you should see your physician immediately. Symptoms include heat intolerance, changes to your skin or hair, weight gain or loss." + }, + { + "id": 21010, + "tgt": "My penis gets swollen with itching and pain during sex. Why?", + "src": "Patient: Hi doctor, My penis gets swollen after sex for the past two months. I have itching and pain during sex. I will send you the picture of my swollen penis. Doctor: Hi. I have gone through the picture (attachment removed to protect patient identity). The swollen penis with itching can be due to balanitis with inflammation in penis and glans. You can take an anti-inflammatory drug to get relief from pain and inflammation. If the swelling is painful, use a topical steroid cream. If needed, use a topical antifungal. You can consult a dermatologist or urologist for examination and get the prescription accordingly." + }, + { + "id": 306, + "tgt": "I feel itchy when I pull back foreskin with white substance on it. What could it be?", + "src": "Patient: Hello doctor, I had this problem for three to four months when I pull back my foreskin it feels strain and kind of ticklish and itchy. I have been to the doctor and they just gave me Pevisone and it did not work. There is also a little white substance on the penis head. I do not know if it is smegma or not but it is smelly and I cannot seem to clean it. May my foreskin be dry or something? I have also done STD and test for urine infection. Doctor: Hello. Are you a diabetic or hypertensive? Have you ever tried oral medications for this? If yes, then which one? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Do you have any history of unprotected sex with a new partner in the recent past?" + }, + { + "id": 1456, + "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": 14307, + "tgt": "I get yellow-green vaginal discharge often. Can this be due to yeast infection?", + "src": "Patient: Hello doctor, I have been suffering from yellowish green vagina discharge. I have been to several doctors and they have done urine tests, vaginal swab. But nothing helped and have been given medication for a bacterial infection, yeast infection. The symptoms just keep coming back. I will attach a picture of the discharge. Doctor: Hi. Your urinalysis and vaginal swab tests were normal or not? You have received medications for bacterial infection but it keeps coming back. One thing that I want to tell you is that in normal females few have high vaginal secretions. It is sometimes by genetics or otherwise at ovulation or excitement, at fertilization or in stress or anxiety or overexertion during pregnancy or in a few diabetic patients. All can be due to over-production of normal vaginal flora as well but other infections could be there. You could have one of the above-mentioned causes. Do not over-treat vaginal secretions unless it is diagnosed infection, smelly, irritating and not normal as it can cause damage to your normal vaginal flora that is lactobacillus. As a result, you can have vaginal dryness, over-secretion from the vagina. Maintain strict hygiene. Soft comfortable undergarments. Have a healthy nutritious diet and try to have full monitoring and treatment, if you have any health problem. Have twice on two alternate days Clotrimazole pessary per vaginal and have one course of tablet Doxycycline 100 mg BID for seven days. If you feel irritating, you can sit in warm water twice daily for a few minutes. Better to use natural products locally and not chemical." + }, + { + "id": 12924, + "tgt": "Which eye drop is preservative-free along with contact lens?", + "src": "Patient: Hello doctor, I am a regular user of contact lens. Currently, I am facing a little discomfort due to dryness. Earlier I was using Soft Drop for my eyes, but recently a doctor told me not to use it with contact lenses as it contains preservatives which can spoil the contacts. I would like to request you to suggest me a preservative-free eye drop which I can use with a contact lens at the earliest. Also, I work in computers for 10 to 12 hours. Doctor: Hello. Preservative-free eyedrop is good if someone is having problems with preservatives. You can use Systane Ultra, Refresh Tears, Tears Naturale Free, etc. They are available across the counter in most countries. They are available in single-use small vials." + }, + { + "id": 9649, + "tgt": "I am afraid of losing my sanity because of my emotionally abusive father. Kindly help", + "src": "Patient: Hello doctor, I do not know how to explain my situation, but shortly, I have an emotionally abusive father and two siblings younger than me. He drained me emotionally for 18 years, and now he is aiming for my siblings. I am now used to his anger issues, insults, the traumas he manages to give my mother and me. But he is going too far, and I cannot stand him hating my siblings. I always wanted him to go away, and I hate him. Today after he beat our cat just because it tried to run away from home, I decided I want him to die. But when he comes home from work as nothing happened, everyone in the house acts like he is not a monster, this is a habit we all have now. So when he is not home I pray that he should die and not come back, but when he is at home I serve him his food, his tea, etc. and have cheerful conversations with him. I hate him, but when he is in front of me, I cannot act the way I feel. I am not even forcing myself to work happy, and it just happens like I am a robot. What kind of situation I am in? I am sure I want him to die, but he is too good at taking our entire family hostage. I am afraid of losing my sanity completely. I know when I am alone, I act like a crazy person. I do not know what is wrong with me. Please help. Doctor: Hello. Abusive relationships are quite painful to live in and survive. Especially when these are closed ones like father-child, siblings, etc., they left marked emotional pain through in life if left unhealed. I am afraid you did not mention anything about my mother. Her role here is also important to understand the core problem. It seems she is also one of the victims. As per your query, it is drawn that your father has extreme anger issues and needs help, but without having insight and motivation, it seems impossible to sort out. Sometimes when children and partner communicate the effects of such behaviors to the concerned person, he or she may felt embarassed and try to resolve and change his behavior. However, in the present scenario, you are suffering a lot, and abuse has damaged your physical and psychological capacities in the form of eating disorders and aggressive, depressive thoughts. Thoughts of killing the abuser come in to avoid the pain you are currently in, but it, later on, converted into extreme guilt and shame. Following suggestions might help to minimize the damage. Consult professional counselor and have regular sessions to channel out your concerns and catharsis as you have much to say. Remember there are a lot of things in the world which you cannot control at some stage of life and then you have just to let go and keep moving on until the time comes when you can at least control the harm if not change the situation. So my advice is to complete your education, protect your siblings, and wait till the time comes where you can protect yourself. You need to find relaxing things around you so your anger issues can be healed such as physical excercice, walk, healthy diet, hanging out with friends. Do journaling as venting out your feelings, look for positive aspects of your father's behavior, every person has both elements. Hate the behvaior of the person, not the entire person. Go for individual counseling." + }, + { + "id": 959, + "tgt": "How to overcome my fear while facing an interview?", + "src": "Patient: Hi doctor, For three years I have been at home as a caretaker for my child.\u00a0Mostly I feel exhausted and boredom every day morning.\u00a0Now, I plan to go for a job. But, I have a fear of facing an interview. Please help. Doctor: Hi. I first wish to appreciate the love and dedication you have shown towards your family, by staying away from work for three years. Revert back with the reports to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26845, + "tgt": "The dentist wants to extract my 4. 5 years old son's upper front two teeth. Is it a good idea?", + "src": "Patient: Hi doctor, My son hit his mouth on the bathtub while playing when he was 9 months old, causing both top front teeth to be pushed up into his gums. They came back down, and the dentist said they were fine. Now he is 4.5 years old, one of the teeth is ready to fall, and his dentist wants to pull out the other front tooth with a strong root. He says it is best if they both come out at the same time, but did not explain further. Is pulling an absolutely\u00a0good tooth the best option? I am attaching the x-rays of the teeth. Doctor: Hi. I have seen the x-rays that you have attached to the complaint (attachment removed to protect patient identity). Thank you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28413, + "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": 19273, + "tgt": "Ulcer present in food pipe. Can Lignocaine hydrochloride be swallowed?", + "src": "Patient: Hello doctor, My father, aged 45 years is going through chemotherapy after a major surgery in which his stomach was removed. He has Non-Hodgkin lymphoma. The medication given to him is R-CHOP.\u00a0Now, it has been 9 days since his second cycle of chemotherapy and he has painful mouth ulcers, one of which is on the food pipe. Doctor has advised to use Lignocaine hydrochloride as anesthetic before eating to avoid pain. He can tolerate the pain in the mouth but when the food touches the ulcer on the food pipe, it hurts him badly. He is taking Mucaine gel for ulcer on the throat. Is there any quick solution? Can Lignocaine or Lidocaine or Xylocaine hydrochloride 2% be swallowed? Please help. Doctor: Hi. For further queries consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 14474, + "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": 22274, + "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": 15522, + "tgt": "Will Nimesulide affect HIV post-exposure prophylaxis treatment?", + "src": "Patient: Hello doctor, I am on a post-exposure prophylaxis. Today is the eighth day. Today I was diagnosed with tonsillitis. The doctor told me to take Nimesulide. Does it make HIV treatment fail? Please, help me. Doctor: Hi. It depends upon what drugs you have been given as post-exposure prophylaxis. Nimesulide does have a few drug interactions although not to the extent of causing drug failure. Kindly mention the drugs you are using for PEP." + }, + { + "id": 14728, + "tgt": "Can apnea or swollen tonsil cause sleeping problem?", + "src": "Patient: Hello doctor, For a week or more I have not been able to sleep. Right before I fall asleep I wake myself up. It seems like some sort of apnoea event but I do not know if it is related to swollen tonsils or if its a bigger problem. I am going to the doctor this week but wanted an opinion online especially in relation to if my tonsils look normal or not. I am not experiencing any tonsil pain but that area does feel a little more swollen or constricted than normal. Doctor: Hi. I have seen the video (attachment removed to protect identity). Your tonsils are enlarged. Probably because of that you have apnea. Do you have any history of any chronic illness like diabetes or hypertension, etc.? Are you on any regular medications? Also, let me know your weight and height." + }, + { + "id": 5280, + "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": 10018, + "tgt": "Can thyroid problem cause excessive hair fall?", + "src": "Patient: Hi doctor, I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9355, + "tgt": "Is it normal for a baby to get fever after vaccination?", + "src": "Patient: Hello doctor, My baby is 5 months old. I have given vaccine to her on 18th of this month, since then she was having fever every four hours the other day too. After that she is not drinking breastmilk and formula too. Now only drinks at night time while sleeping. What should I do? Doctor: Hello. I understand your concern. Usually, vaccines are not related to decreased feeding. Fever might be because of vaccine only but not decreased feeding, it may be a sign of infection. Is the baby dull or lethargic? Is there any recent Formula change? What about stools and urine, is it normal or less? Is the child irritable or is there any swelling at the vaccine site? You should definitely see a pediatrician if this persists." + }, + { + "id": 15269, + "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": 4610, + "tgt": "What is the safest way to fill the gap between the front teeth without braces?", + "src": "Patient: Hello doctor, I want to fill the gap in four of my front teeth and reduce the size of two front teeth that seems large than others. What are the safest options, if I do not use braces? Please suggest. Doctor: Hello. You have two options: 1. Laminate veneers which are more esthetic and durable but comparatively expensive. 2. Composite veneers which are esthetic but less durable compared to laminates." + }, + { + "id": 11599, + "tgt": "What is the duration of Fertyl M and Hey Forte Plus tablet for infertility?", + "src": "Patient: Hello doctor, I am a 30-year-old married male. Me and my wife are trying for a baby but not able to concieve. I did semen test, sperm count was 84 million, morphology 60 percent, and 40 percent viable but motility was very low five percent rapid progressive, and 10 percent slow progressive. So the doctor gave Fertyl M and Hey Forte Plus tablet (twice per day) to take every day. I am consuming for the past two and a half months and trying for a baby. How long I need to continue these tablets, and when will it be effective? Doctor: Hello. Usually, these medications take one sperm cycle (around two months to act). As you have already taken for two and a half months, repeat the semen analysis test to see the improvement. Further course can then be decided accordingly." + }, + { + "id": 16572, + "tgt": "I had a frenuloplasty of the penis, the stitches have come apart. Please help", + "src": "Patient: Hi doctor, I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe.\u00a0I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist.\u00a0I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance. Doctor: Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29401, + "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": 12771, + "tgt": "What does noncoronary sinus of valsalva prominent in CT scan mean?", + "src": "Patient: Hi doctor, I have had a CT scan with contrast and they found this: The noncoronary sinus of valsalva is prominent. At this level, in the coronal plane, the aortic root measures 4.0 cm in diameter. What does this mean and should I do anything about it? I am 37 years old male, exercise a lot. Resting pulse is 45. My father died in the late 40s of heart disease. Doctor: Hello. Your aortic root is mildly dilated. If you do not have any other systemic diseases like any diagnosed syndrome like Marfans or Ehler Danlos etc., then this needs no treatment at present, but just observation. At this borderline dimensions, we just observe the patients and if it increases more than 50 to 55, then needs surgery. However, if it is genetic, then surgery is done at lesser dimensions. So, you will need regular follow up and 1 to 2 yearly CT scan to keep watch over the dimensions of the aorta. This could be done with echo as well. You should also have an echo if you did not have any. You should get yourself examined by a local doctor once to rule out syndromes. Also, mild to moderate exercises, avoid heavy activities like lifting heavy weights, etc. Avoid all addictions, if any. Low pulse rate is probably related to activities. Do you have any details about your father? You should try to search and if available will help in prophylactic measures." + }, + { + "id": 21079, + "tgt": "I have high Hb, hematocrit, and platelet count. Is it polycythemia?", + "src": "Patient: Hello doctor, My platelets have been high for the past few years without my knowledge (as no doctor ever mentioned it) but just recently I saw my cardiologist and he requested a blood test and my platelets were 619 and he referred me to a hematologist who in turn prescribed Hydroxyurea 500 mg. (My hemoglobin is 18.4 and hematocrit 55). I checked my past results and found I have had high platelets (400 to 715) for the past four years. I am very concerned about the side effects of this medication (liver and kidney since I have a history of kidney stones) and how it changes the size of the red cells. I am a 62-years-old male. Current medications I am taking are Amlodipine 5 mg, Metoprolol Succinate ER 25 mg twice daily, Aspirin 82 mg, Coq 10 and Omega 3, and Simvastatin 20 mg. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity) and here is my advise. In last two reports, particularly your Hb (hemoglobin), hematocrit, and platelet counts are high. So, it is suggestive of polycythemia or myeloproliferative like condition. Polycythemia can be secondary or primary. Secondary causes include cardiac disease or respiratory disease or smoking. So, it can be ruled out before moving on further. The primary cause of polycythemia includes polycythemia vera which is a malignant condition. So to be on safer side you can investigate with Jak2 and exon 12 mutation study by a molecular method to rule out polycythemia vera. The second investigation should be erythropoietin estimation. Hydroxyurea is having side effects in some patients but it is the best drug in case of essential thrombocythemia like a myeloproliferative disease." + }, + { + "id": 17738, + "tgt": "Why am I not losing weight in spite of exercise and diet?", + "src": "Patient: Hi doctor, I could not lose weight no matter what I do. I have acne on my chin and cheeks, increased facial hair and my hips, thighs and stomach will not lean out both with exercise and diet. I was told to take Nature-Thyroid for low T3, but felt like my throat swollen up when I take it. It would make me feel short of breath. So, I have to get off that and I just feel like this is hopeless. I am honestly tired of killing myself in the gym and eating ridiculously healthy and only seeing the scale go up. Please help. Doctor: Hello. Thank you for providing a good history. First of all I want you to take a deep breath and relax. If you could please answer these questions it would be very helpful. 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": 10124, + "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": 18340, + "tgt": "I have red rashes on my corona after unprotected sex. What medicines to take?", + "src": "Patient: Hello doctor,I have got red rashes on my corona. I have done unprotected sex 15 days before and my girlfriend is saying that she is still a virgin because we have not done intercourse properly. I just inserted and took out my penis. Doctor: Hello. I have seen the images (attachment removed to protect patient identity). It is herpes genitalis which is an STD (sexually transmitted disease).You need to take oral antiviral medications. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Tablet Acyclovir 400 mg three times a day after (breakfast- lunch- dinner) for seven days.Tablet Rantac (Ranitidine) 150 mg twice daily before meal for seven days. Apply T-Bact cream (Mupirocin Topical) twice daily. Avoid sexual contact. If your partner has similar complaints, then her treatment is also important. Get blood test for HIV (human immunodeficiency virus). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22973, + "tgt": "She always blames someone for everything. Guide me how to handle this?", + "src": "Patient: Hi, I think my wife has BPD. She always blames her sister for everything. Please guide me how to handle this? Doctor: Hi. Your one liner problem description is very difficult to answer; though I will give a shot at it. Kindly give a detailed account of her personality, temperament and your problems. Only on providing detailed complaints, will I come to know about the exact situation and offer you best advise. Alternatively you can book for an online therapy for your wife to further diagnose." + }, + { + "id": 24727, + "tgt": "There is an anal fistula with release of pus. What ayurvedic medicine should I take?", + "src": "Patient: Hello doctor,I have had fistula two years ago. It healed without surgery, but now it has again developed with the release of pus. I am taking ayurvedic tablets. Doctor: Hello. An anorectal fistula is an abnormal channel from the anus or rectum usually to the skin near the anus. A fistula may be painful and discharge pus. We can determine its direction by inserting the probe. Sometimes it is healed with proper medications and changed lifestyle. But if its root (fibrosed tissues) remain inside the sinuses, then it recurs due to changes in food habits and lifestyles. Ksharasutra ligation treatment is the best option to treat it. Treatment plan: Now you are taking good medicines to this concern. You can add Amrita Bhallataka one teaspoon twice a day after meals. But the ultimate treatment is Ksharasutra ligation treatment. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 420, + "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": 5080, + "tgt": "What causes irregular periods with less flow?", + "src": "Patient: Hello doctor, I am 25 years old, female, married 8 months back. Sexually active and using condom. I have hypothyroidism and I am taking Thyronorm 75 mcg and one Levocetirizine in daily basis. My last period was three months back. Then I got my period two months later and it was late and the flow was also very little even I was not using a pad also. Then I consult a doctor. She told me to get an ultrasound test of pelvis. The report is normal. She adviced me to take Regestrone for three days. I started it from that day. Then I got my period yesterday night with little flow again and having pain in stomach and back badly. She suggested me to go for hormone tests in 2nd or 3rd day of my period. I am very confused and do not undetstand what is going on. I am feeling very weak and sleepy all the time. Please give me some advice what to do. Doctor: Hi. There are many causes for irregular periods and scanty flow. Some are due to structural abnormality in the uterus, for which you were asked for Ultrasound which came out normal. Other causes are certain hormonal imbalances in the sex hormones secreted by pituitary or ovaries or thyroid also which can be confirmed by doing the hormonal assay. Your doctor is going in the right direction. But if you can mention me what hormonal test has been advised I can give you more information on that. I also advise you to get TSH test also. Kindly get the tests and revert back to me." + }, + { + "id": 25399, + "tgt": "Area between thigh and abdomen is dark. Please suggest a remedy", + "src": "Patient: Hello doctor, The joint area between my thigh and abdomen has become darker than the normal skin tone. The skin texture has also changed and itches a lot. When I scratch in the dry condition, flake-like particles come out of it. I am not sure whether it is a fungal infection or something else. It irritates a lot. Please suggest a remedy. Doctor: Hello. Thigh folds and armpits are usually little dark compared to normal skin tone. This is because of constant friction, sweating, and hormonal influence. If you are really worried about skin tone in that area there are few medications which can help like Kojic acid cream, but the effect will be very minimal, cannot expect to get fairer. Regarding fungal infection in the groin, there is one more condition called inverse psoriasis which affects groin area with white flaky skin. Hence 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 suggest you proper treatment. However, I would like to mention few skin care tips that are crucial to follow during tinea infections along with medications. Tinea fungal infections - crucial do\u2019s: 1. Wear dry loose cotton clothes. Try to find inner garments which are 100 % pure cotton. Make use of fans or air conditioners at night to keep the affected part well ventilated. 2. Take bath twice a day. Always use lukewarm water. Avoid using very hot water. Hot water favors fungal growth on the body. Wash the affected parts with cold water once you are done taking bath. Always use a fresh dry towel to wipe off water from the body. Make sure skin folds are totally dry before wearing clothes. 3. Use antifungal dusting powders for your skin folds such as underarms, thigh folds, below breasts, and between the toes. 4. Wash your clothes, towel, and bedspread in hot water and dry them in good sunlight. 5. Eat healthy food, keep your body weight ideal for your height because being overweight or undernourished leads to reduced immunity which increases the chances of acquiring a fungal infection. 6. If you are diabetic, check your blood sugar level frequently and make sure your blood sugars are within the normal range because uncontrolled blood sugar is a risk factor for fungal infection. 7. Ask if any of your family members have a similar fungal infection. If so, encourage them to take treatment. 8. Check your pet animals for rashes. If there are any, take them to a veterinary doctor for treatment. Dogs and cats are also the sources of infection. 9. Always complete the full course of medications prescribed by your dermatologist. Incomplete treatment results in recurrence of fungal infection which is more resistant to treatment. Tinea (ringworm): crucial don\u2019ts 1. Do not scratch. Scratching makes the rash worse. Ask your dermatologist to prescribe anti-itching medicine. 2. Do not wear synthetic clothes, tight-fitting jeans which do not allow air to flow through them and do not wear wet inner clothes. Do not wear inners while at home, just allow air to flow freely through the affected part. 3. Do not share your personal items such as clothes, towel, soap, or comb with your family members or friends. 4. Do not use over-the-counter (OTC) medications for ringworm. Most of these OTC creams contain steroid in them, which gives faster relief from itching but they make the ringworm spread to a larger area and also make the routine treatment insufficient. 5. Do not use home remedies such as garlic paste to get rid of ringworm. This could burn your skin and leave a permanent scar. Hope this little piece of information is helpful for you. I wish you a speedy recovery. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8344, + "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": 18713, + "tgt": "What are the different types of nevus spilus?", + "src": "Patient: Hello doctor,I have a birthmark and I am pretty sure it is a nevus spilus. I read that there are two types of nevus spilus, papular and macular. Can you see my picture to see which type it is? Also, do I have to worry about cancer risk? I cannot see a dermatologist and I do not want to get it removed. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 18902, + "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": 7445, + "tgt": "What is the cause for increase in CRP level?", + "src": "Patient: Hello doctor, I am a 30-year-old male. My lab results suggest, 1. Normal CBC, ESR, kidney function, and liver functions. 2. Normal CT scan on the brain. 3. I am not diabetic and do not have blood pressure or heart disease. 4. I am negative for all the virus A, B, C and HIV gen 1,2 and 3. 5. Elevated CRP level is 8. 6. My health condition is IBS, anxiety, tension headaches, allergic rhinitis, and poor dental care. I have an elevated CRP level, and I do not know why? And also how can my ESR be normal while my CRP is not? Doctor: Hello, Welcome to the icliniq.com. The CRP (C-reactive protein) raised in case of any inflammation in the body. ESR (erythrocyte sedimentation rate) doesn't need to be always increased when CRP raised because ESR is a non-specific marker of inflammation. It is not as much sense as like that of CRP. Your CRP value mildly increased which will fall within range once inflammation resolution occurs. Allergic rhinitis probably might be the cause. The irritable bowel syndrome and tension headache are associated with anxiety. So you need to treat anxiety with anxiolytic medicine and with SSRI (selective serotonin reuptake inhibitor) group of drug for few months along with counseling. For anxiety treatment, you can visit a nearby psychiatrist. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 12315, + "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": 15127, + "tgt": "Is it possible to have symptoms of STD or HIV after three months of exposure?", + "src": "Patient: Hi doctor, I am here to ask some questions regarding HIV and some other possible STDs for the woman having unprotected oral sex (cunnilingus). I tested for HIV after 12 weeks and two days of exposure. I had no sex during this period. The HIV 1/2 rapid screen test showed me a negative result. Does the result conclusive? I consulted a doctor, and she told me that doing a home testing is inaccurate. Is it true? Since, in these three months, I do not have any severe symptoms. Now, it is four months after my exposure. I have small red bumps in the back of my throat. I do not have pain and difficulty in swallowing. Is this a strep throat or pharyngitis? Is it due to STDs? Is it possible for me to have STD symptoms after three months? Please help. Doctor: Hi. Please say whether the throat pain got resolved with medications. If you have it, then it is unlikely to be a cause due to HIV infection. Secondly, the home kit for HIV has a low sensitivity and low specificity. So, it is inconclusive. ELISA (enzyme-linked immunosorbent assay) is a standard test advisable for HIV testing. Since it is four months, the window period for acquiring an HIV infection has overlapped, and hence, having a negative report at this point is very sure to conclude as not having HIV infection. I would suggest you get tested for ELISA now and repeat it after four weeks again or after a month. Also get a swab sampling done for your throat pain and consult a physician." + }, + { + "id": 1542, + "tgt": "How can stiff neck be managed?", + "src": "Patient: Hello doctor, I have noticed some worrying symptoms lately. I am a 24-year-old male with no other known condition. I have noticed that the back of my neck feels very stiff and rigid when I sit at my desk with my head bent forward to read or look at the monitor, to the point that I feel the need have to stand or lie down to alleviate the feeling of discomfort. I have noticed that the rigidity disappears when I stand, walk or lie down. I have been feeling stiff since I have started studying again some days ago. I have spent the last two months without doing much (no physical activity or studying/working) due to the lockdown. I also have widespread twitching in my thighs, calves and feet (both legs), on my back, on my chest, on my shoulders, in my arms, in my hands and in my tongue. I have felt twitching almost everywhere for a couple of years now. I also noticed that I am unable to put the heel of my left foot down when I stand or walk. I have had this issue for years and I was told it was due to tight calf muscles, although it feels more accentuated now. I would greatly appreciate any input you can give. Doctor: Hi. Neck pain seems to be due to strain in the neck muscles when you remained in one position for long duration, I would suggest you to take simple steps to avoid this, take rest for 2 minutes in every 15 to 20 minutes and move your neck side wise and rotate it to right and left. In that way strain in neck muscles can be avoided. additionally in between isometric neck excercise can be done. Avoid Using thick pillows. If this does not work we can start some remedies. Now regarding twitching. Do you have weakness anywhere in the body? Did you lose your muscles mass anywhere in the body? Do you have any sensory issues? Do you take any stimulants such as excessive coffee or something else, if yes how much? Do you feel often cramping of muscles? Regarding foot problem. Is it always or sometimes? Can you walk on forefoot? Can you walk on heels? (just try walking) Is it like foot drop? lastly why antihistaminic medicines? Please tell in more and elaborated detail." + }, + { + "id": 16122, + "tgt": "What are the toxic substances we handle every day? How do they affect our health?", + "src": "Patient: Hi doctor, Please explain about the things that are toxic to humans in their day to day life. How do they affect the health? Please advise. Doctor: Hi. Detergents contain hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents contain phenol. The skin absorbs them quickly, and they result in a renal and hepatic dysfunction for a long term. Perfumes or body sprays contain hazardous compounds. When they are inhaled, they irritate the delicate mucosal surfaces of the respiratory tract, and they result in asthma and allergic rhinitis in some individuals. Certain compounds in perfumes can also cause a headache. Processed foods like sausages are harmful to the digestive system, and when they are ingested for an extended period, they result in colon cancer. Processed meats are said to be carcinogenic. Canned food also contain chemicals that are carcinogenic. Canned foods which are rich in fructose also cause hepatotoxicity. Foods rich in trans fat predispose to atherosclerosis. Air fresheners that contain artificial fragrance can irritate the eyes and cause inflammation. It can also cause asthma due to chronic inhalation of phthalates present in these compounds. These hazardous fumes when readily inhaled cause lung parenchymal diseases in the long term. Some may affect the reproductive functions also." + }, + { + "id": 2971, + "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": 22865, + "tgt": "I have fluid in my middle ear. Is there any way to clear it?", + "src": "Patient: Hello doctor, My GP says I have fluid in my middle ear especially in my right ear. I have tried antibiotics and using a nasal spray for two weeks. This has been going on for six weeks. Is there any way to clear it or like my GP says will it just take time? Can this also make you feel slightly off balance/dizzy? Doctor: Hello. Fluid in the middle ear is called serous otitis media (glue ear or otitis media with effusion). What we do in such patients is give medical management (antibiotics, decongestants, mucolytics, nasal sprays) and if it fails we go for myringotomy and grommet insertion. Myringotomy involves making a small cut in a portion of the tympanic membrane, sucking out the fluid and then insertion of pressure equalization tube (ventilation tube = grommet) which stays for few months and then comes out by itself. Coming to your problem, the symptoms of giddiness or off balance are common with fluid in middle ear. A decisive diagnosis requires demonstration of fluid inside using a tympanometry test. This test measures the compliance of middle ear at different pressures and when there is fluid the compliance is blunted. It gives a B type curve in the tympanogram. Clinically we see using an otoscope that the drum is bulged out, the typical landmarks are obscured, cone of light is distorted and sometimes we even see bubbles. Additionally, in history, there is some fullness of ear, hearing loss, dizziness, lightheadedness, gurgling sounds inside the ear, etc. If you were to come to me, I would be doing a full clinical ENT examination and then do a tympanometry test. Complete ENT examination helps us to rule out conditions in nose and throat that could have caused this fluid collection. In your case, thus, I would advise that you go to an ENT and get your ears checked by an otoscope or otoendoscope. Such an examination also rules out any other pathology that may be masking as fluid in the middle ear. If your GP had done otoscopy and then made the diagnosis, then I would suggest to you to get the tympanometry test done. Normally, fluid from middle ear gets drained to the back of nose via the eustachian tube, that also functions to equalize pressure on both sides of the eardrum. Eustachian tube block or catarrh results in malfunction of the tube resulting in reduced ventilation of the tube consequent negative pressure which sucks out fluid into the middle ear. An obstructed tube will reduce the drainage of normally produced mucus and cause collection. I hope this helps you. Let me know what medicines you are on. If getting the test is difficult, you may take the medicines for two weeks and then see for improvement and decide about the test then. It does take some time to resolve. But six weeks is a long time. Either the medicines are not working or are inadequate. Or there may be some physical block or growth in the back of the nasal cavity. This would require a nasoendoscopy or radiological investigation. Such a thing will cause additional nasal symptoms (block, running nose, headache, facial pressure, facial pain, reduced sense of smell, postnasal drip). Do revert back with all details and we shall help you with the right advice. If you share the details of the medicines you are taking, I shall check if they are fine. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 8455, + "tgt": "Is there any better alternative for licorice?", + "src": "Patient: Hello doctor, I am a 32-year-old single male. In the past, I have experimented with using non-deglycyrrhizinated licorice to reduce my libido and make single life more manageable. I have hereditary low blood pressure so that the side effect was not an issue for me. However, after a few days of use, the licorice causes me to develop muscle aches all over my body. Which I assume are due to the reduced potassium levels from the licorice. Is there a better alternative to the licorice? Or a way to prevent the loss of potassium so I can use it for more than a few days at a time? No matter what I ate, (bananas, avocados, apricots), it did not seem to be enough. Doctor: Hi. I can understand your concern. Non-deglycyrrhizinated licorice contains Glycyrrhizin which has some side-effects like hypertension, hypokalaemia, reduces testosterone, edema, etc., as you mentioned well. Muscle cramps and aches are most probably due to hypokalaemia. To fulfill the requirements of potassium you can take a banana, avocado, orange, lemon, apricots, etc. An alternative to non-deglycyrrhizinated licorice, you can take mint, flex seed, popcorn and soda. They normally reduce the testosterone level and make men libido." + }, + { + "id": 13562, + "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": 27589, + "tgt": "My 6 year old daughter is very weak and refuses to eat. Can I give her Albendazole?", + "src": "Patient: Hi doctor,I have two kids, an 11 year old\u00a0son and a 6 year old\u00a0daughter. They both frequently complain about pain in their legs, which gets very severe many times and settles on giving them Paracetamol.\u00a0I feel my daughter is very weak physically, and she refuses to eat everything except junk food and gets exhausted by any single activity. I\u00a0am planning to give her Albendazole with Ivermectin. Please suggest further in this regard.\u00a0Thanks and regards. Doctor: Hi. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 2963, + "tgt": "Got sports injury with pain and inflammation in right ankle. Could it be fracture or sprain?", + "src": "Patient: Hi doctor, My husband is an active person who plays badminton, football, and running regularly. He also attends the gym. He met with a sports injury in his right ankle. We thought that as a muscle sprain and kept icing. He recovered 80% in two days but used Volini or Oxalgin gel regularly. After some 20 days, he drove the car for around six hours. Then, he felt some pain and inflammation the next morning. We consulted an orthopedician here who recommended an x-ray and CT scan. I am attaching the reports here. Please let me know the further treatment. Doctor: Hi. I have been through your reports. Your x-rays and CT are normal. (attachment removed to protect patient identity). The point you have marked indicates the attachment of anterior talofibular ligament. So it could be a sprain of that ligament. Just do intrinsic muscle strengthening exercises. Could you please tell me that how many days have passed since the injury?" + }, + { + "id": 21304, + "tgt": "Is the patient free from Fanconi anemia if reports are negative for chromosomal breakage syndrome?", + "src": "Patient: Hello doctor,The findings during chromosome breakage study for Fanconi anemia are not in favor of chromosomal breakage syndrome. Is the patient totally free from the Fanconi anemia? Doctor: Hello. In Fanconi anemia, there is a presence of birth defects along with severed degree anemia. If such a finding is present, then further work out has to be done for that. I have checked your report (attachment removed to protect patient identity). It is not showing any chromosomal abnormality. So, no chromosomal abnormality present as per reports. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18589, + "tgt": "I have mild pain in the left side chest. Is it a cardiac problem?", + "src": "Patient: Hi doctor, I have mild pain in the left side of the chest. I always have a feeling of having a heart attack and blockage. I am not taking any medications. Please suggest. Doctor: Hi. It can be a muscular spasm, or a heart problem or a gastrointestinal issue. Kindly send your laboratory reports soon to guide you further." + }, + { + "id": 11407, + "tgt": "Please suggest some good shampoo for dandruff", + "src": "Patient: Hi doctor, I am having problem of\u00a0acute flaky dandruff and also itching in my hair. I have tried Topisal, Nizral and various other shampoos as well. However, there is no respite from dandruff. Please suggest me some good mediation as well as shampoo and oil. Currently I am under sugar and BP medication. My height is 5'6' and my weight is 80 kg. Doctor: Hi. I have gone through your complaints. You should start with shampoo containing Salicylic acid and Ketoconazole. Use it every alternate day in the beginning. Once you notice improvement gradually taper it to twice weekly and then once weekly. Along with this apply, Clotrimazole and Betamethasone combination lotion on the affected areas of the scalp twice daily. I also recommend you to take tablet Ketoconazole 200 mg once daily in the morning and tablet Levocetirizine 5 mg at bedtime. Continue this treatment for two weeks and revert back. 1. Immune factors 2. Hormonal factors 3. Fungal infection Seborrheic dermatitis. Avoid oiling of scalp as it will increase your dandruff." + }, + { + "id": 15628, + "tgt": "Kindly tell a permanent cure for hypothyroidism", + "src": "Patient: Hello doctor, My wife is having hypothyroidism. She is having the TSH level of 13 miu/l. We had consulted a doctor and after few tests, the doctor suggested to take Thyroxine 100 mcg everyday morning on empty stomach. How long she needs to take the medication? Is there a permanent cure for this? Doctor: Hello. I just read your query about your wife and her thyroid function test results. Well, she does seem to have hypothyroidism. But her dose seems to be a bit higher. Anyways, you must usually take it according to your body weight or the TSH values. Try to repeat the same TSH after six weeks and then we can decide what is an appropriate dose for her. Yes, she has to take this medicine for life. This is not a major disease but very important gland which is not functioning properly. So we need to replace the hormones which are formed by this gland all her life. This has no side effects, so relax and continue her treatment regularly. No, there is no permanent cure for hypothyroidism. Just replacement of the hormones which are deficient." + }, + { + "id": 16195, + "tgt": "Why do I have weight loss, nausea, indigestion and pain in lower abdomen?", + "src": "Patient: Hi doctor, I am a 41-year-old male. I am having symptoms of weight loss, nausea, gas, burping, indigestion, and pain in the lower abdomen. I have lost about 10 kilograms in a year. Recently, I have done a UGI endoscopy. I am attaching my reports. Please advise me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You are having H pylori (Helicobacter pylori) infection. Take Amoxicillin 1000 mg twice daily. Take Clarithromycin 500 mg twice daily and Omeprazole 40 mg twice daily for three months. Avoid drinking alcohol and stop smoking if you have these habits. Take non-spicy foods which are easily digestible. Do not eat fast foods. Drink a cup of cold milk daily. Avoid eating fatty foods." + }, + { + "id": 10963, + "tgt": "Is it advisable to give Ofloxacin and Flagyl to a newborn for loose motion?", + "src": "Patient: Hello doctor, Five months old baby suffered from loose motion and fewer doctors gave Ofloxacin 50 mg and Flagyl 200 mg syrup. They told to give 3 ml three times a day, each syrup for 5 months old. Is this dosage correct? Doctor: Hi. The dose specified above is too much and unnecessary for a child so small as 6.8 kg. It is advisable instead to just give the child Enterogermina 1 capsule twice a day for five days along with ORS with the passage of each loose stool. As for the fever, you can give syrup Crocin (125 mg/5 ml) 3.5 ml (six hourly) if temperature is above 100 F. Also, give ORS 70 ml with passage of each loose stool. Watch for dehydration. If worsening, please show to a pediatrician." + }, + { + "id": 6384, + "tgt": "My x-ray report shows lung fibrosis and thoracic scoliosis. Will they affect my health?", + "src": "Patient: Hello doctor, I had taken a lung x-ray for my annual check-up. The result is: Mid lung fibrosis noted. Rest of the lung is clear. Thoracic scoliosis noted. Heart, costopherenic sulci, and other structures are intact. I am concerned about mid lung fibrosis and thoracic scoliosis. Will they seriously affect my health? What is the cure for them? Doctor: Hello. Please clarify whether it is mid or mild lung fibrosis reported. As you said, the chest x-ray reports mid or mild lung fibrosis, it is suggestive of some old infection or some autoimmune disease causing idiopathic pulmonary fibrosis (IPF). Even you could not have remembered. If you know, definitely it is due to some old lung infection. So nothing to worry about it as long as you do not have any symptoms. But if you experience cough with expectoration, cold, and fever, then you should check your sputum test. Accordingly, medicines can be prescribed if required. Mostly we are worried about infection with tuberculosis. If your sputum test is positive for TB (tuberculosis), then you should take regular antitubercular medicines full course under the supervision of your doctor. If not TB, then you should not worry about anything. Only antibiotics are sufficient for curing common infections. To rule out IPF, you should get done HRCT (high resolution computed tomography) scan chest for some underlying autoimmune interstitial lung disease. About your second query, scoliosis is the abnormal lateral curving of the thoracic spine. It suggests underlying osteoporosis or any other bone problem in the thoracic spine. In advanced age, it is common to have slight scoliosis in the spine due to various reasons. So again, there is nothing to worry about it. You do not need any treatment for your problem until some infection or cause of fibrosis is proved out. Any infection or advanced age or some spine disease. Sputum AFB (acid-fast bacillus) test and culture, HRCT (high resolution computed tomography) scan thorax to rule out IPF (idiopathic pulmonary fibrosis). Old TB (tuberculosis) or IPF or ILD (interstitial lung disease). Depends upon the CT (computed tomography) scan and sputum reports." + }, + { + "id": 27772, + "tgt": "My 10 months old daughter has puffy eyes and elevated SGOT. Do we need to be worried?", + "src": "Patient: Hi doctor,My 10 months old daughter has puffy eyes after she wakes up from sleep in the morning. Her blood results show AST (SGOT) as 71 IU/L. Puffiness will vanish during the day after few hours. Do we need to worry about this? Her AST (SGOT) is 71 IU/L,\u00a0ALT (SGPT) is 28 IU/L, globulin is 1.8 g/dL, and anion gap is 22. Please help. Doctor: Hi. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6971, + "tgt": "I have white patches in mouth due to cheek biting. Please advise", + "src": "Patient: Hello doctor, I am a 30-year-old male. I had cheek biting on the left side and left upper wisdom tooth was removed a month back. After that, cheek biting has subsided. Now, I have noticed white line and patch adjacent to lower left wisdom teeth and some white dots over cheek. Near it, there is no pain. Similarly, I have mild cheek swelling on the right side and white spot on the right cheek with no pain. Can you suggest the management without tooth extraction? I am enclosing my OPG and photos. Please give your advice. Doctor: Hello. The white patch and line seen on the buccal mucosa may be due to the cheek biting. The upper left wisdom tooth has been extracted hardly one month back. It will take another 3 to 6 months for these white patches to disappear. If it still persists, do trimming of the sharp cusps of other third molar teeth or extract them. Traumatic keratosis" + }, + { + "id": 21185, + "tgt": "Why is there swelling and pain even after four days of tetanus injection?", + "src": "Patient: Hello doctor,I had a dog scratch on my foot. So, I took tetanus injection on my upper arm after which I was feeling pain and swelling on my upper arm which remains to continue for four days. What is the cause of swelling and what should I do? Doctor: Hi. I understand your concern. TT (tetanus toxoid) injection can cause mild side effect, like swelling in the injection site, pain, redness. However, the side effect can last from four days to seven days. If the swelling still persists please get back to your doctor to have a look. Few things that can help decrease the pain could be taking NSAIDS like Paracetamol, rotate a warm pack off and on the injection site. Hope this helps. Take care." + }, + { + "id": 185, + "tgt": "For infected tooth, is root canal a right solution?", + "src": "Patient: Hi doctor, I had my lower right side first molar extraction about a month ago. My dentist prescribed a course of antibiotics. The pain persisted after I finished the course of antibiotics and so the dentist again prescribed a five day antibiotic course. A week went by with no pain and then the pain re-occurred. My medical doctor prescribed a third course of antibiotics now. I\u00a0fear that there is an infection under the gum line that is not being addressed by the antibiotics. Since I started the latest course of antibiotics, the pain is on and off. When I have the pain, it bounces around even to the head. I feel there may be some nerve damage when the tooth was pulled. I am taking Clindamycin for this issue. Also, I am on Insulin for type 1 diabetes, Cyclobenzaprine, Levothyroxine and Lisinopril. My regular dentist wants me to see an endodontist, on the theory that one of the neighboring teeth is infected and their solution is to do a root canal.\u00a0I hear that the root canals are a bad idea as a dead tooth is left in place to seep bacteria into the body. If possible, Can I get an antibiotic injection at the site of the infection? Please give me your thoughts. Thank you. Doctor: Hi. I can understand your concern regarding to dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23903, + "tgt": "Can Piracetam and Ecosprin be taken together?", + "src": "Patient: Hello doctor, My mother aged 60 had a stroke 15 years back. Her doctor recommended Piracetam and Ecosprin 75. She took it for just six months after she stopped. Now, can she take both the tablets? Also, she has a nervousness in the left hand. What we do? Doctor: Hello. Yes, both these drugs can be taken concomitantly. Ecosprin (Aspirin) should be taken lifelong. Piracetam may be taken for a shorter period of time. Regarding the nervousness in her left hand, I would recommend consulting with the neurologist and performing an EEG to investigate for seizures. Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23777, + "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": 7324, + "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": 18055, + "tgt": "Why am I not able to maintain my erection during penetration?", + "src": "Patient: Hi doctor, I am a 26 year old male who got married a year back. I am not able to maintain my erection while penetration, as a result, cannot have sexual intercourse. I do not face this problem when I masturbate. Doctor: Hi. Revert with more information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5988, + "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": 22763, + "tgt": "Why am I having low WBC after pregnancy?", + "src": "Patient: Hello doctor,I am concerned because I have had a low WBC since after I had my son three years back. A year later, my WBC decreased to 4 and since then has continued to decrease but now I have a low granulocyte count of 1.7 which I have not had before. It is now 3.5 from recent CBC. My last draw was a year ago and it was 4.0. I have been as low as 3.6 in the past. I am a highly stressed person since after the birth of my son. I have been in school for my BSN and MSN and I am wondering this could be related to stress. My H+H is within normal limits with only a slight decrease in my HCT of 28.1. At the time of my CBC I was menstruating so I am attributing the low HCT to menstruation. The only symptom I have is fatigue. Otherwise, my PLT, RBC, HGB and other cell line are fine. Any advice would be greatly appreciated. Previously I have had anxiety and leukopenia. Doctor: Hello. According to the provided history, you are having low WBC count along with normal hemoglobin, platelet, and other values. But your WBC count is not much low and so not much alarming. Viral infection, hepatitis B, HIV, autoimmune disorder like SLE, enteric fever are some causes. According to examination, further workup can be planned according to need. But I need to check your differential WBC count and for that peripheral smear, examination report will be best. So provide your peripheral smear examination report to check it. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22488, + "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": 30073, + "tgt": "How to remove hyperpigmented scar?", + "src": "Patient: Hi doctor, I am a 30 year old male. I have a disfigured nose tip with the hyperpigmented scar as a result of a Hydroquinone reaction (Melalite 15 cream). I have undergone several treatments including dermabrasion, subcision and chemical peel. Currently, I am taking Limcee (vitamin c) tablets and collagen powder supplement. The scar is 5 years old. How to get it removed? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27706, + "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": 25135, + "tgt": "My voice is so hoarse I can barely speak. Please suggest a remedy", + "src": "Patient: Hello doctor, Good day to you. I was having post nasal drip all last week. Yesterday, it was going away, but today I woke up and my voice is almost gone. I can barely speak. My throat does not hurt. It just feels a little scratchy, constant clearing of throat too and I have developed a cough now with a dark brown mucus (sometimes clear). Nose gets stuffy with dry bloody mucus, never gets clogged or runny. No fever, no body aches yet. Is there anything I could do to help my voice come back? I have a bottle of Amoxicillin, but not sure if it is viral or bacterial that is causing my hoarse voice. Please let me know any remedy I could use in my throat? I have attached a picture of my throat. My tonsils were surgically removed 10 years ago. Doctor: Hello. You seem to have a typical case of laryngitis associated with viral infection. You should rest the voice, that is, speak less until you feel like the symptoms are resolving. Avoid throat clearing as it irritates the throat further and hinders healing. Steam inhalation three times a day will help with both nasal/ sinus congestion and post nasal drip. You can add small amounts of menthol crystal to the steam which works better than steam alone, but do not add too many. You can use intranasal steroid spray called Budesonide one puff in each nostril once daily for two weeks. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Since you already have dry nasal mucosa, do not take antihistamines. The cough is brownish because it may be mixed with little blood which may have come from irritated throat lining. Too much throat clearing or coughing can lead to minor tears in the throat which heal rapidly, so do not worry. However, if there is fresh blood, you must see your ER doctor. Acute laryngitis, which is very likely what you are suffering from, resolves on its own in a week. If symptoms worsen or do not improve in a week, or if you come down with fever, you may require oral antibiotics. Hope this helps. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 15684, + "tgt": "I am passing blood while using the toilet. Please help", + "src": "Patient: Hi doctor, I am 21 years old. I pass blood whenever I use the toilet. There is a burning sensation and also, a swelling. Doctor: Hello. You can have proctitis like inflammation condition of the rectum. Infected piles, polyp, fissure also can present with such symptoms. So to find underlying cause I suggest you proctoscopy examination of the rectum and anal canal. According to the cause, specific treatment is given. Drink more water and avoid excess spicy foods. Meanwhile, for pain relief, you can be prescribed Ibuprofen 200 mg BD for five days. I suggest you consult a surgeon or physician for examination and further work up." + }, + { + "id": 10109, + "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": 2358, + "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": 6002, + "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": 14465, + "tgt": "My mom has throat pain while swallowing and fever since yesterday. Is it dengue?", + "src": "Patient: Hello doctor, My mother has been having throat pain while swallowing and fever since last evening. She has been advised Clavam 625 twice for five days. Her fever has not gone below 100 and after about four hours of taking Dolo 650, it goes up to 102.5. So far, she has taken three doses of Clavam. Is it normal to have such a high fever in throat infection? Could it be dengue? Doctor: Hello. Yes, it is certainly possible to have such a fever and it is likely she has an upper respiratory tract infection. I think whatever she is receiving is fine. Antibiotics will take at least 48 hours to act and initially, the infection is viral. So, antibiotics may not work for the initial two to three days. I think she should continue the same treatment. Hope this helps you. Get back if you have any doubts. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30809, + "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": 20544, + "tgt": "Why do I get bloody vaginal discharge sometimes?", + "src": "Patient: Hello doctor, I have a bloody and slimy discharge from time to time, not every day and sometimes just now when I go to loo and sometimes for two days and sometimes three days but then it is gone. I do not have any aches or cramps. I just want to know if I need to worry. I am not on any medication and not very fond of everyday medicine usage. Doctor: Hello. I understand your concern. Discharge from your vagina some days and not always is due to incoming periods or ovulation. Please pay attention to the time when you notice discharge more if a few days before periods. If from anus could be related to foods you eat, the medication you take, if you have constipation, and suffer from lack of bowel movement for 3 or more days, it is normal to have mucus or discharge from the rectum after having the bowel movement. As this has been going on for a while now, consult with your primary physician first and run a few diagnostic tests like urine analysis, abdominal ultrasound, fecal examination." + }, + { + "id": 14009, + "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": 12504, + "tgt": "What are the ways to increase iron absorption?", + "src": "Patient: Hello doctor, I am a 41-year-old woman with low iron (just above being clinically anemic). I have always eaten lots of wild red meat (moose, bison, caribou, dall sheep) and I do not seem to be absorbing enough iron. I have been taking 300 mg elemental iron supplement per day for seven months with minimal improvement. I have cut back my dairy intake and started taking 150 mg Iron with 1000 mg Vitamin C with no noticeable change. I had a minera IUD put in six months back and the spotting finally stopped, but I still do not feel better. If I miss taking Iron for a day, I am dragging the next day and the brain fog comes back. I have restless legs, broken ridged nails and my hair is falling out. Is there other ways I can increase absorption? Other options for increasing my iron? Doctor: Hello. You have taken treatment for iron deficiency for seven months. It is enough time to raise your hemoglobin level and iron level. So now you have to check your hemoglobin level, serum ferritin level and TIBC level to rule out iron deficiency anemia. If these values are altered and iron deficiency anemia present than you should consider iron deficiency anemia as a cause for the brittle and broken nail. The different causes for iron deficiency anemia include chronic blood loss, impaired gastric absorption for which endoscopy is done to look for any ulcer if present, parasite infestation for which stool routine micro examination is done. As per my opinion, you need to consult the nearby physician for your detailed physical examination. For primary workup, you can investigate with an iron profile, routine CBC, serum TSH estimation, serum ANA estimation, and micronutrients estimation. According to the cause, specific treatment is given. Do not try self-treatment with Iron tablets." + }, + { + "id": 16072, + "tgt": "How to get relief from diarrhea that present for a year?", + "src": "Patient: Hi doctor, I am suffering from diarrhea for the past one year. I consulted a doctor, and I did an endoscopy, colonoscopy, and biopsy. I got to know about chronic ileitis and chronic duodenitis. The doctor gave me VSL#3, Doxil 100, and Folvite tablets. I am taking these medicines for 15 days. But I do not have any relief. I am worried. Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You had done endoscopy and colonoscopy for diarrhea. If there are no features of inflammatory bowel disease and if the biopsy report does not show features of gluten enteropathy, then there can be a possibility of having irritable bowel syndrome. You do not have chronic diarrhea because chronic diarrhea is always associated with weight loss and malnutrition. I would suggest you take Rifaximin 200 mg twice daily and revert me after a week." + }, + { + "id": 184, + "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": 20212, + "tgt": "Does pain on pressing a mole raise a red flag?", + "src": "Patient: Hi doctor, I recently noticed a slightly raised mole on my arm over last weekend. It is light colored and similar to the color of my skin that blends with my spray tan a bit. When I press firmly on it, it feels tender. Otherwise, I do not have any pain. I have a dermatologist appointment scheduled for next month. Is this something I should be concerned about? I had a basal cell cancer removed from my back before two years. My current medication includes Niacin and Melatonin at night. Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19045, + "tgt": "My doctor reduced my Lithium dosage due to the creatinine levels. Why?", + "src": "Patient: Hello doctor, I have been taking Lithium XR 400 mg twice a day and Valprol CR 300 mg twice a day for the last 19 years. I am also taking Geminor M1 once a day since the last two years. My local doctor checks\u00a0regularly for my creatinine\u00a0level and lithium level. My last report of creatinine was 1.36 mg/dL and lithium was 0.48 mmol/L. Now, my local doctor said it is too risky and\u00a0reduced lithium dosage to 200 mg twice a day. I have no pressure or any\u00a0other symptoms. But, I am worried what is going on. 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": 21172, + "tgt": "Please suggest some preventive measures for migraine headache", + "src": "Patient: Hi doctor,I am 35 years old. I was suffering from a migraine headache for the last 15 years. Actually, it was not continuous but I recollect the durations once every five years for three months. I was taking Sebilium every night prescribed by the doctor. Again the headache is starting now. Please suggest me any preventive measures for it. Every day I get out of bed with the fear of pain. Doctor: Hello. I have reviewed your query. Drugs like Sibelium (containing drug named Flunarizine) is used to prevent the occurrence of migraine attacks. Drugs like Naproxen are used to relieve the pain during attacks of a migraine or a few other kinds of headaches. You need to be checked with a physician or neurologist. Depending on the severity of symptoms after examining you, he or she may advise you to continue Sibelium night time 5 mg or 10 mg dosage or any of the other drugs like Propanolol, Amitriptyline used to prevent attacks of a migraine. Sibelium (Flunarizine) has few side effects like increased sleep or drowsiness, weight gain, memory deficits, and dry mouth. Meanwhile, you may continue taking Naproxen 250 mg or Paracetamol during attacks of a headache. There are few other instructions or lifestyle changes to reduce the frequency of migraine attacks like: Take care. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30526, + "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": 18624, + "tgt": "My teenage sister does not have a period from almost a year. Why?", + "src": "Patient: Hello doctor, My younger sister who is 15 years and 5 months had her first period last year and again had her second period a month later. But, after that, she did not have her periods at all. We consulted a\u00a0gynecologist who suggested an ultrasound. The report reveals a small uterus 53.3 by 19.9 mm. We were then referred to an endocrinologist who ordered a series of tests. She has insulin resistance. Fasting insulin level is 77. Her LH is 2.6. Her FSH is 8.6. The prolactin level is 9.6. She has vitamin D deficiency. Her SGPT and SGOT levels are elevated to 92 and 96 respectively. He has prescribed Evion 400 twice daily for a\u00a0month and Ovral G once in a day, for ten days and vitamin D once a week for eight weeks. I am very worried. Is the medicine correct? Will she get her periods again? Will she be able to get pregnant after she gets married? Please tell me. Doctor: Hello. Your sister could be having polycystic ovarian syndrome (PCOS). It is a metabolic problem which is quite common these days. This is not a disease per se related to the ovaries but, to the whole metabolism of the body. This usually manifests as irregular cycles, excess hair growth (male pattern), obesity, etc. and there is a future risk of developing diabetes and hypertension. I would advise your sister to consider regular exercises and weight reduction as her BMI (body mass index) is in the overweight range. The medications she has been prescribed are alright. Ladies with PCOS usually have difficulty in conception but, it is possible if they regulate their cycles and their body with regular exercise and diet modifications. Do not worry about future conception. She will definitely be able to concieve, provided she regularly follows up with the advice of her gynecologist. Assure her and all the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18467, + "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": 21639, + "tgt": "Why am I not able to handle the stress and pressure of promotion in job?", + "src": "Patient: Hello doctor, I am 34 years old and have an 8-year-old boy. I just got promoted and I am not happy with it. I am unable to handle the stress and pressure of the new role. I do not wish to do any work not at work and at home. I do not wish to go to the office and just pray that I should get sick or have an accident. I do not wish to stay at home also. I do not wish to live. I think I have panic attacks in the morning like I am unable to breathe, feel really low, cannot sleep at night. And the thing is all other people who are working in my current position are doing it very well. Why am I not able to handle it? I have the option to take reversal but am really scared. What would other people, my friends, my relatives think? I feel like my mind is going to explode. Also, now we are planning to have a baby. I am really terrified. Doctor: Hello. I have reviewed your query and here is my advise. Change in position at the workplace creates extra stress and new challenges. Your problem is obvious and temporary. You are having multiple responsibilities managing son and household works beautifully. There are few medicines also to overcome stress and depression. But still, I would advice you to wait for sometime. With time, you will build up the confidence to deal with these problems. Otherwise, SSRI (selective serotonin reuptake inhibitor) medicines would be the last option. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16732, + "tgt": "Is it fine to have the same medicine for years together?", + "src": "Patient: Hi doctor, I am a 66 years old male. My weight is 70 kg and height is 5'4\". I had lost around 5 kg over a year. I am allergic to dust and will get sneeze and nose blockage following exposure. I am suffering from diabetes, BP, cholesterol, chronic fissure, constipation, occasional gastric problem. My diet is as follow. Morning:\u00a0Green tea, oats. Breakfast:\u00a0Idli/dosa/roti and a cup of tea\u00a0with milk and without sugar. Lunch:\u00a0Fruits like musambi, watermelon, apple and orange.\u00a0Rice, curry and vegetables.\u00a0Evening:\u00a0Snacks like biscuit, vada, ragi, etc., and tea with milk and without sugar. Dinner:\u00a0Rice, curry and vegetables. I am under following medicines.\u00a0Gluconorm SR 1-0-0 daily and taking this more a year.\u00a0Corvadil 2.5 mg 0-0-1 daily. I am on this tablet for around 6 years.\u00a0Fenotorva 10 0-0-1, occasionally. My doubts are, as the blood sugar levels are normal, can I stop taking Gluconorm SR? Or can I switch to any ayurveda medicine to control it?\u00a0Are these conditions linked to my weight loss? Is it fine to have the same medicines for years together? Thanks in advance. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. Do not stop or think of stopping diabetes medicine as this will lead to dangerous effects on your blood sugar levels. No other medication needed. 2. Ayurveda medicines will not work for you and discontinuing medicine will affect your blood sugar control. 3. Diabetes and blood pressure may cause weight loss. 4. Yes, the tablets are to be taken lifelong. No issues with long-term usage. 5. Please send your investigation reports and fasting lipid profile at the earliest. Revert back with the investigation report to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26995, + "tgt": "I feel as if my heart is pounding irregularly. Can it be atrial fibrillation?", + "src": "Patient: Hello doctor, I am a 46 year old\u00a0female. My blood pressure is low normal. I have never had any heart issues except palpitations when pregnant 10 years ago. They did a cardiac ultrasound at that time, which was normal. Just over a week ago, I started feeling, intermittently during the day, as if my heart were pounding irregularly. Each time, it lasts just a minute or two and then resolves. I saw my doctor, who heard some skipped beats through the stethoscope. The in-office EKG was normal (I did not feel my chest pounding at that time) as was the bloodwork (CBS, thyroid, and electrolytes). She decided to order a monitor for me, but the office cannot get me in for a month. I was talking to my father-in-law, who has had a number of heart problems, and he recommended, in the meantime, the Kardia monitor, a direct-to-consumer, 1-lead ECG machine (AliveCor). I ordered one of these, and the first test I did was evaluated by their cardiologists as a 'possible atrial fibrillation.' Since then, I have done a number (dozens) of home tests. During the times when my heartbeat feels funny, the algorithm has frequently said 'possible atrial fibrillation' or that it is indeterminate, that is, beyond the bounds of their analysis mechanism. I am not experienced enough to read the strips myself and was hoping I could email a number of the concerning ones to you in a PDF format for an evaluation. The chest sensation is not painful, but it is disconcerting, and I am anxious to get to the bottom of it. I do not know if this is relevant, but very shortly after the heartbeat issues started, I also came down with a flu-like virus. The kids have just gone back to school and started passing around the bugs. One of my sons is down with the same thing. Thanks so much for your time and help. Doctor: Hello. I have gone through your detailed narration and understand your concerns. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 17497, + "tgt": "I have keratoconus in my right eye. Shall I go for C3R?", + "src": "Patient: Hi doctor, Recently, I was diagnosed with keratoconus. I did not use any spectacle. I used to see little blur mostly in the evening. My left eye is normal, but my right eye is most affected. I have attached one file. Please go through the file for the reference of my eye standards. Six months ago, I went for corneal topography test. Shall I go for C3R? Or should I look for any other options? Doctor: Hi. I have gone through the records that you have sent (attachment removed to protect patient identity). Revert back with the answers for the above questions to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29934, + "tgt": "Can I have fibromyalgia and early signs of lupus?", + "src": "Patient: Hello doctor, I am a 36 year old mother and a veterinarian. I was recently diagnosed with lupus by a rheumatologist. The only abnormality in my blood work was elevated SSA and dsDNA autoantibodies with a speckled pattern. My CBC, UA, and the biochemical panel were normal. My symptoms included severe brain fog, fatigue, dizziness, pain in the neck, shoulders, lower back and hips, excessive thirst and poor sleep. I am also positive for HLA B-27 antigen. My lupus anticoagulant screen was negative. The cardiology antibodies, beta-2 glycoproteins antibodies, C-reactive protein and rheumatoid factors were negative. Previously, I had a polyclonal increase in gamma globulins with no monoclonal protein seen. The x-rays of the\u00a0spine, chest and hips are normal. I do not get any rash from the sun or any oral ulcers. I do not have dry eye or a dry mouth. My question is\u00a0whether I have fibromyalgia or lupus? I saw an article that said some people with fibromyalgia can have elevated autoantibodies. Another question is can I have fibromyalgia and early signs of lupus? I am currently taking one Tramadol twice a day and two 200 mg Motrin one to two times a day for pain. I was on Plaquenil twice a day for six weeks, but it did not help with any of my symptoms. I am currently taking one every other day as it will prevent it from attacking my internal organs in lupus, etc. Also, are there any other treatments you would recommend? I am living a healthy lifestyle and taking vitamins. Doctor: Hi. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 20709, + "tgt": "What are the red shiny non-itchy patch on glans penis?", + "src": "Patient: Hello doctor, I have a red shiny patch on penis glans. For one week I had three red, shiny spots on my penis glans. Now wrinkles were appearing. Initially, they were few spots but now one left. They are not itching or hurting. I applied the Itch Guard on it for week. I want it to be cured completely. Please kindly advise. Doctor: Hi. Looking at the spot, I can list a few possibilities like candidal balanoposthitis, herpes, or genital psoriasis. Any history of unprotected sexual intercourse? If yes, how many days back? Were there any blisters or pus-filled lesions before this spot appeared?" + }, + { + "id": 26866, + "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": 8081, + "tgt": "I am in need of hip replacement but I am scared of anesthesia. Please help", + "src": "Patient: Hello doctor,I am 60 years old and need a hip replacement. I am healthy, no diabetes, no heart problems. My sister had a horrible anesthesia awareness incident a few years ago, and now I am terrified to have my surgery because of any risk of being paralyzed but awake. What can I do to make sure I am asleep during operation? Doctor: Hello. I suggest you opt for regional anesthesia by a spinal and epidural anesthetic. They will give an injection between your spine, and this will make your legs numb and any sensation below the navel you will not be feeling. After the surgery numbness will go and all the sensations will be recovered. If you want to sleep, the anesthetist can give mild sedative, and you will be able to hear everything but no paralysis." + }, + { + "id": 16221, + "tgt": "I have weird uncontrollable eye movements. What is the treatment?", + "src": "Patient: Hi doctor, I have weird uncontrollable eye movements similar to nystagmus. I feel bad when I walk behind the people. My eyes have a flickering problem. It makes people feel uncomfortable around me. I have a peripheral vision starring problem too. I am attaching my picture. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your eyes look fairly stable. You have a normal involuntary pursuit movement of the eyes in which your eyes can track anything which moves in front of you. There is no need to worry. If the people around you feel uncomfortable, try to look momentarily towards them, and then shift your gaze to someone or something else. People feel uncomfortable when they have a feeling that someone is staring at them. Still, I recommend you consult a neuro-ophthalmologist soon." + }, + { + "id": 5240, + "tgt": "I am getting pink to brown spots after taking morning after pill. Is it implantation bleed?", + "src": "Patient: Hello doctor, About a week ago I had unprotected sex with my boyfriend, a day after that I took the morning after pill because he did ejaculate inside of me. I was ovulating during that time so I don't know if that could speed up the process since I took the pill about 14 hours after having the unprotected sex. Later on that day my body just did not feel right. There is tingling feeling in my belly and used the restroom a lot. I do not have an appetite because nothing seemed good to me. On the 4th day after I started getting cramps that felt like PMS cramps and when I want to go check it was only a white discharge. That lasted till yesterday the 6th day. I was still having cramps and before I left somewhere, I put a tampon in and when I am back home I took the tampon out to see if I started my periods and it was a streak of pink and brown. I put a panty liner on just incase, I kept it on all night and when I went to the restroom nothing was on it, but when I wiped it was pinkish red color. It was not like my heavy period flow just a little then it would stop and it lightens changing to a light brown color. My boobs are tender, and I am feeling nausea, constipation, gas, and a little bit of pain but not period pains. Are there chances for me to be pregnant? Is this implantation bleeding? Ps. My period has always been regular and heavy, never light or no bleeding. Doctor: Hello. The reddish discharge you have mentioned is an after effect of morning-after pills. But I would like to hight light one point that the pills cannot damage an already fertilized egg. If your egg has already fertilized before taking the pills, it is not going to help. The symptoms you mentioned are non-specific of early pregnancy. So you need to rule out pregnancy too. Do a urine pregnancy test three weeks after the unprotected sex to see whether you are pregnant or not. I hope this helps." + }, + { + "id": 11156, + "tgt": "Can appendicitis cause malabsorption?", + "src": "Patient: Hi doctor, I am suffering from malabsorption. All my tests are normal. But, my radiology result reported appendicitis. Can appendicitis cause malabsorption? Doctor: Hello. Revert back with the asked details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21345, + "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": 24687, + "tgt": "I have rashes on my stomach after a risky episode. Is it a symptom of HIV?", + "src": "Patient: Hello doctor, I had sex with a stranger 18 days back. I used a condom. I once sensed that the condom slipped, but when I checked it was in place. So, I continued. After my completion, I checked if the condom had any hole. It had no hole. So, I went off from there. But later, I got afraid. The next day, I went to test with VDRL. It was negative. After eight days, my lips got dry and caused some pain. Two days after that, I had watery motions. 15 days later, I got itchy rashes. The next morning, it had spread on to my stomach, left, and right side. Is it a symptom of HIV? Please tell me. Doctor: Hello. I have noted your concern. Your symptoms are not specific to HIV infection. They can happen otherwise as well. I request you to kindly upload a few images of the rashes on your stomach so that I am able to have a look at them and guide you better. You may take a screening test for HIV after four weeks of sex for a conclusive result. However, as far as protected sex is concerned it has a negligible risk of transmission of HIV. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 29705, + "tgt": "My mother was advised to remove left kidney. Can she live with a single kidney?", + "src": "Patient: Hi doctor, My mother is not getting recovery from her illness and now she is hospitalized in an International Hospital. In the meantime, she suffered from malena for three to four days. However, endoscopy and colonoscopy report was normal and now malena problem was solved. As her left kidney function was completely decreasing and also having several small stone in the left kidney with a large sized stone in the urinary tract of left kidney, our local advised us to remove the left kidney. We are confused what to do for her better recovery. I request you to have a look on her report and advise us. Her report includes creatinine level, USG of the whole abdomen, CT scan of KUB region and renal function test. Her problem is frequent urination, UTI, vomiting, back pain, thyroid and sugar problem. Doctor: Hi. I have gone through all reports (attachment removed to protect patient identity) sent by you. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29732, + "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": 19370, + "tgt": "I have missed my period and now feel nauseous and constipated. Am I pregnant?", + "src": "Patient: Hello doctor, I feel like I may be pregnant. I have been constipated, bad back pains, been very fatigued, nauseous, and often feeling of having to pee. I have not fully missed a period but had a very light period a little over a week ago, it was way darker than normal also very light and lasted for maybe two days. Which is odd because I have been taking birth control for almost three years now so my period has become very regular and the same consistency each time. Also another weird thing, since I am curious if I am with child or not, I have stopped taking my birth control, and as you should know, when you stop taking it the next day you bleed. Which is what normally happens to me if I miss one. But, I have not had any blood at all and it has been four days now. A week back, I took two pregnancy tests which both came out negative. Is it possible that I have taken the tests too early? I am going to a clinic today but not sure if I should. Doctor: Hello. Learning that you have been taking your birth control since last three years regularly, the bleeding that you had a week before in form of scanty menses was a breakthrough bleed and can happen in cases with prolonged oral contraceptive pill uses. The pregnancy test is negative, which it should be. The menses should generally occur after 5 to 7 days post stoppage pill pack. So, if no menses in a week, post-pill stoppage then a serum beta hCG test may be done to rule out any pregnancy conclusively first and if negative then you should wait for the menses to occur (the symptoms experienced are then premenstrual symptoms and not for pregnancy)." + }, + { + "id": 12007, + "tgt": "Does getting a stringy line on fertile days mean pregnancy?", + "src": "Patient: Hello doctor, I am on my fertile days. I got a stringy line during that. Is that a sign of pregnancy or it is normal to get that during fertile period and also the day before I got the stringy line, I got back pain and stomach pain and also cramping. I am unsure if that is a sign of early pregnancy or not. Doctor: Hello, Welcome to iclinq.com. It is quite normal to have an increased amount of stringy discharge during and just prior to ovulation or your fertile days as you describe. Cramping and back pain can also be associated with ovulation, it is usually mild and temporary. 3 to 4 days before ovulation is the time to have intercourse every 1 to 2 days in order to maximize your chances of conceiving. If you miss your period, take a home pregnancy test. If it is positive, then you have your answer. If it is negative and you still have not started your cycle, repeat the pregnancy test." + }, + { + "id": 18536, + "tgt": "What is the treatment for sinusitis?", + "src": "Patient: Hi doctor, I am a 69 year old male and retired internist. Other than vitamins and prostate-related herbs, I take no medication. I have no allergies and have never smoked. My past medical or surgical history is rather unremarkable. I have had several bouts of acute sinusitis in years past. Four\u00a0weeks ago, my wife and I developed URTI. My illness had a sinus component featuring marked nasal and sinus congestion, postnasal drip, upper airway congestion and cough productive of clear sputum. I assumed the etiology was viral and treated it as such. After two weeks of little improvement, I assumed a bacterial etiology and initiated Augmentin 875 mg bid. After five days with little improvement, I switched to Cipro 500 mg bid. After four days, I saw my primary care doctor who prescribed Azithromycin 500 mg per day. Following the second day of treatment, I developed severe fatigue, generalized weakness and headache, which forced me to discontinue the Azithromycin. I then decided to wait until the Zithromax cleared my system before re-evaluating. After some eight days, I developed a purulent nasal discharge for which I again saw my primary care MD who prescribed Doxycycline 100 mg bid. Note that I requested a culture and sensitivity of the purulent discharge but was rebuffed. After 24 hours on Doxycycline, I felt greatly improved with little sinus pressure or congestion and minimal, clear nasal discharge. Now, on day four of Doxycycline, I have noted some return of the sinus pressure, post-nasal drip and nasal congestion. However, the mucus is clear. I was given a steroid nasal spray which only served to increase the mucosal irritation of my sinuses, nasal passages, throat and upper airways. I was never febrile at any point. I am exceedingly frustrated. Note that in the past I used Levaquin and developed marked insomnia and very lucid dreams when I was able to sleep. Please help. Doctor: Hi. We are here to help you. You are suffering from chronic sinusitis. And I feel this is all allergic and you do not need antibiotics. Usually an acute attack takes five days to settle down. But, if you have persisting sinusitis, you would require CT paranasal sinuses. If the CT shows slight sinus infection, then it can be treated with conservative treatment. But, if the infection is severe, you would require surgery for the same. The conservative management of sinusitis includes the following: Please share my opinion with your doctor before acting upon it. I hope it helps. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17137, + "tgt": "Why do I have an abnormal ECG?", + "src": "Patient: Hello doctor, I have been having chest pain off and on. I also suffer acidity, although I am not on any medication. I was advised to have an ECG anyway. My ECG showed some minor variation and then was advised TMT which was normal. Please advise. Why do I have chest pains and why is my ECG not normal? Doctor: Hello. Chest pain occurs due to various causes. For example heart problem, lung problem, muscle problem, bone problem, stomach problem etc. Your TMT (treadmill test) is normal. It indicates that your heart condition is likely to be healthy. For your chest pain, the reason may be other than a heart problem. Have you done your echocardiography? If not, you can do it to rule out a structural heart problem. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18804, + "tgt": "Why is my wife getting recurrent typhoid and UTI infection?", + "src": "Patient: Hello doctor, I am asking questions on behalf of my wife. She is breastfeeding and we have a baby aged 3 months.\u00a0Every 2-4 months she keeps getting typhoid and UTI infection. Recently, she had fever, pain in hands and legs. For the third time she has been diagnosed with typhoid and widal test reports came weakly positive.\u00a0Current symptoms are light headache, sudden feeling of cold more than normal, weakness, feels exhausted and also she has UTI. There is only one symptom that she feels burning sensation 2-3 minutes after urination. Currently, she is on antibiotics and taking Zithrox plus, Zentax, Ubinext LC and Paracetamol. Before pregnancy, she had taken Baptisia tinctoria, a homeopathic medicine and was well within 5 days. Can she take the same homeopathic medicine while breastfeeding? Please suggest homeopathic medicine for typhoid and UTI. I have attached her widal test reports for your reference.\u00a0 Her CBC tests are as follows: Hemoglobin 12.1 g/dL and TLC 7400 cells/cubicmm. Polymorphs 51%, lymphocyte count 43%, monocyte 1%, eosinophil count 5%, basophil count 0%, platelet count is 2.3 lakhs per cubic mm and total RBC count 4.90. Doctor: Hello. Thanks for the detailed symptoms you have told about your wife. I have checked her reports (attachment removed to protect patient identity). For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 7486, + "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": 8424, + "tgt": "Is it normal for a child to open and close hands with stiffening the arms?", + "src": "Patient: Hi doctor, My son is 7 months old. A few weeks ago I have started to notice some odd movement, like opening and closing his hands and mainly on the right hand (just like stimming). And when he was lying on his back sometime he will stiffen his arms and legs and grunts. My partner's aunt's (his mum's sister) son has been diagnosed with autism and I do not know whether that will put my son at a higher risk. Doctor: Hi. I would like to tell you that the age of seven months is a way too early to even comment about autism. So do not worry. The movements you are describing seem like normal movements of a growing baby to me." + }, + { + "id": 8648, + "tgt": "My baby has severe vomiting after starting solids. Is this normal?", + "src": "Patient: Hello\u00a0doctor, My daughter is just five and a half months old and yesterday I started her on solids. Before that, she was exclusively on breast milk. I gave her a packaged wheat and apple baby food. Two hours after she ate it,\u00a0she vomited everything out. So, the rest of the day I just gave her breast milk. I had mixed one teaspoon of the powder with 30 ml of water. Is there anything to worry about? Also, what can I give as a\u00a0substitute? There is no\u00a0sign of weakness or discomfort. Also her neck is not yet fully stable and she still cannot sit on her own unless supported on our lap. Is this normal? Doctor: Hello. If vomiting has reduced and she is active, there is nothing to worry. Follow the instructions given. If there is vomiting even after that, please consult your pediatrician. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 30680, + "tgt": "Is it safe to get a mole removed?", + "src": "Patient: Hi doctor, I have a small, flat mole on my nose bridge. How can I remove it? Please recommend the best method with your professional advice. Doctor: Hi. I have seen your query and concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16326, + "tgt": "Why is there irritation in the stomach while eating and gas troubles?", + "src": "Patient: Hello doctor, I am working in a software company. I have a gastric problem, stomach gets big and tight when gas occurs. Below are a few symptoms. When gas occurs, irritation in stomach above the belly button and just below rib bone (little right), releasing more gas when I go to the bathroom, if I eat anything spicy, irritation in the stomach at the time of eating, below right rib, no heartburn. I met a doctor, who gave Nexium 40 1-0-1 and Sucrafil 1-0-1. It was good for two hours after food, but later gas forms, feeling stomach has increased its size. So, met a Gastroenterologist, who checked and gave, Deltone 60 1-0-0 and Lafaxid 10 0-0-1. But the same issue, after eating food, nearly two hours later, gas forms, irritation at the point comes. At weekends, when I am at home, I used to eat biscuits, fruits often, so 90 % I do not get this gas problem. My weight has increased to 8 kg in the last six months. Doctor: Hi. You have to modify your diet and lifestyle. Try to avoid or reduce the amount of gas forming foods in your diet. Also, reduce excess spice and masalas. Add more of salads. Try short frequent feeds rather than heavy food or meals three times a day. Keep yourself well hydrated with two liters of water daily. Avoid carbonated drinks, excess coffee and alcohol if any. Have regular aerobic exercises. Follow these measures consistently for a month and see the response. Regarding medicines, Nexium (Esomeprazole) is a good choice. Can have for 2 to 3 days whenever you have excess symptoms. An endoscopy and ultrasound scan of the abdomen, if not done, is highly recommended." + }, + { + "id": 6598, + "tgt": "What does sudden blurred near vision and light sensitivity indicate?", + "src": "Patient: Hi doctor, Around six years ago, I used 0.50 power spectacles for sudden blurred near vision. The same thing happened yesterday. Again, I am feeling sensitivity to light now. There is no pain, fever or eye itching. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25710, + "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": 25075, + "tgt": "My baby is gassy and fussy all the time. Kindly help me", + "src": "Patient: Hello doctor, My baby is only 43 days old. He is on breastfeeding only. I think he is having severe acid reflux as he is gassy and fussy almost all the time. He spits up and swallows it too. In the night, his nose gets congested. While feeding him he gags and chokes too. Whenever he does not fart he arches his body and cries a lot. His hiccups are lengthy too. He does not sleep in a deep sleep. Currently, I am giving him Colicaid (SOS) and Yamoo but it does not seem to work. I am burping him after each feed too. Kindly help me. Can I give him Bonnisan? Doctor: Hello. I understand your concern. I think, you just have to make sure proper time duration and frequency of feeding. Make sure, the baby is breastfed on one breast completely and then attached to another breast (frequently changing one breast to another breast or inadequate feeding to one breast can lead to loose motion as well as gas). Keep a gap of two to three hours in between the feed (frequent feeding can lead to indigestion, overfeeding as well as a lot of gas). Increase burping duration to 10 to 15 minutes or more. A decrease in burping duration can lead to nose block, which can lead to breathing difficulty as well as noisy breathing. For nose block, you can put Nasoclear drops in each nostril, one to two drops. Whenever nose block is there, especially in the night. Never breastfeed or feed in sleep or lying down position. If the baby cries excessively in the night, (evening colic) you can give Colicaid drop 0.5 ml one or two times, especially in the night. Make sure, the feeding position is proper, so that baby should not take in a lot of air during breastfeeding. Take help of online video resources on breastfeeding position. If you follow above-mentioned options, I am sure baby will be alright. No, Bonnisan is not advisable. Yamoo is given for lactose intolerance. If it is not helping stop it. Review after two days. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28216, + "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": 11985, + "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": 12460, + "tgt": "Having white discharge and bleeding after unsafe sex. What does it indicate?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend. Her regular period was on 17th of every month. We had an affair on the 16th day. She is 18 years old. After 19 hours of sex, she took an i-pill. Now she is having some white discharge and bleeding with clots. Please help us. Doctor: Hi. You have had sex with her in her fertile period, and chances of pregnancy were practically high in that period. She has rightly taken I-pill within 72 hours which shall prevent pregnancy. The present clots and discharge which generally starts by 4 to 5 days after the intake of pill which indicates a withdrawal bleed. It is expected to occur shedding the endometrium completely thereby preventing pregnancy. If she is changing 3 to 5 pads daily, then it is normal and expected to occur. So, just wait and allow the bleeding to complete and then reduce over the next few days." + }, + { + "id": 10258, + "tgt": "There is a thin black line on my finger nail. Is it skin cancer or melanoma?", + "src": "Patient: Hello doctor, I am a 25 year old female. Two years back I had noticed a very thin black straight line on my nail in the right hand finger. This line is growing along as my nail grows. Though the line was thin initially, now it has increased in its width and thickness.\u00a0When I searched in the net about the straight black line on my right hand forefinger, it is showing up as something related to skin cancer or melanoma. I am worried. Should I be concerned about this? I am not very dark, nor very fair. I have wheatish skin. Please advice me. I am attaching a snap of my finger with dark line for your reference. Also, I used to have three moles on my left hand which had been there since my childhood, but to my surprise two years back they went off easily. I got another very small new mole at a different place on the same hand and that too went away when I scratched it off. Is this something normal? Doctor: Hi. I can understand your concern. I have gone through the attached picture (attachment removed to protect patient identity). Presence of linear pigmented lines on the nails can be due to multiple causes. In white people they are considered abnormal and require thorough assessment including biopsy. In dark skinned people it is a common variant. The most common cause of these lines is racial factors. Others being drugs, trauma, lichen planus, subungual nevi and malignant melanoma. You do not have to worry too much, but do keep a watch on the pigmentation. If you notice any variation within the pigmented line or pigmentation on the adjacent nail fold or finger pulp, then consult a dermatologist in person and get yourself evaluated. Regarding moles at other sites, it is sometimes possible that they can disappear. So you do not have to worry about that. For further queries, consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20823, + "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": 12664, + "tgt": "Is it advisable to get Lasik surgery done for eye power -6?", + "src": "Patient: Hello doctor,I am male 22 years and 1 month completed. I have the eyesight of -6 for both eyes. Am I eligible for Lasik at 22 years or 23 years of age? Doctor: Hello. The decision of whether or not you can undergo Lasik or any other refractive surgery depends on three things. Your power should not change for at least a year. That is your power needs to be stable. Your corneal thickness must be adequate for the procedure. Your corneal curvature or shape must be normal. The first criteria are self-explanatory. The next two criteria can be known by a test called corneal topography, which is available at all Lasik centers. If you have satisfied all three, then the surgeon will take you up for surgery." + }, + { + "id": 28241, + "tgt": "Can you help us find a contraceptive pill that is safe and has fewer side effects?", + "src": "Patient: Hi doctor,I and my fiance aged 23 are trying to figure out which oral contraceptive should we go for. She does not have any medical condition yet. Her father has high diabetes, and she had a foot corn sometime back, for which she is wearing corrective sandals. She wears lenses, and her periods are regular around 30 days cycle. Can you help us find a contraceptive pill that is safe and has fewer side effects? Doctor: Hi. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14668, + "tgt": "Which one is better? Electric or manual toothbrush?", + "src": "Patient: Hello doctor, My question is that some days ago, I changed my brush from regular brush to electronic toothbrush. It vibrates and clean teeth. Is it safe for my tooth? Can it harm my tooth if I use it for a long time? Which one is better? Traditional toothbrush or this type of electronic toothbrush? Doctor: Hey. You did a good job. Buying an electronic toothbrush. It is more useful than a manual one in the following ways. It removes plaque from teeth in a better way with its vibratory motion. You do not have to be cautious about your motion techniques of brushing anymore. It covers all. Yes, it can harm your teeth if you do brushing more than 2 to 3 minutes at a time. That can cause abrasion on your teeth surfaces that wears off enamel but this damage due to long time brushing can happen with manual brushing too so it has nothing to do with a manual or electric toothbrush. You have to manage time and force to avoid abrasion. You can change the electric toothbrush after six months. You can see the difference yourself. Oral hygiene maintained with electric tooth brush would be far better than the normal one." + }, + { + "id": 23438, + "tgt": "Which medicine works best for severe menstrual pain?", + "src": "Patient: Hello doctor, I am a 28 year old female nurse, I have been having severe menstrual pain throughout my life, and sadly each year the pain increases. Since\u00a0I was a college student, each month for all the four days of my period, I had to stay home lying in the fetal position,\u00a0had to keep a heating pad on my lower abdomen and used to take some serious pills. I have\u00a0seen so many doctors, and each one of them gave me the diagnosis of endometriosis. After I had done a deep search about this medical condition, I was not happy at all. I\u00a0even tried contraceptive pills for six month, which reduced my pain but made me gain 9 kg due to pure water retention. So, I\u00a0stopped the pills, and the pain returned more aggressively. Since I\u00a0start working as a nurse, I\u00a0am having problems to keep up with the working time during my periods. And my colleagues cannot always help me out to switch working days with me. So, I\u00a0had a laparoscopy, and they\u00a0found inflammatory things, but they could not determine what exactly it is. So, I\u00a0changed my doctor and\u00a0did an RMI, according to it they found some endometriosis tissues. And I also have a retroverted uterus. I am tired and sick of this issue, and lately,\u00a0I\u00a0started taking medicines\u00a0to help me endure my pain. According to the latest doctor\u00a0that I consulted, I\u00a0have only two options, a medication called Visanne\u00a0or an injection called Decapeptyl. I am\u00a0terrified from both, because of there side effects and unknown results. And these will make my body go through menopause. Please help me. Doctor: Hello. The diagnosis is indeed endometriosis. And yes, endometriosis causes very painful periods, and the only way to stop this pain is to stop your periods, which can be done through pills, injections or surgery. Surgery is not the answer for you, as you have already had one. And chances of recurrence are high post surgery unless we remove the uterus and ovaries too. But, we cannot do that at your age. These injections will cause menopausal problems. So, Visanne (Dienogest) is a better choice. Or an intrauterine system called Mirena can be inserted, which will save you from taking medicines daily. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18964, + "tgt": "I had unprotected sex after missing my pill two days in a row. Should I worry?", + "src": "Patient: Hi doctor, I take Brenda-35 ED as my contraceptive pill. I forgot to take my pill on Thursday and Friday and realized it on Saturday. I took Thursday's and Friday's on Saturday and Saturday. I took Sunday's pill on Sunday and then continued as normal on Monday. However, I had unprotected sex on Saturday night and was wondering if there is any chance of pregnancy. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23884, + "tgt": "I find it difficult to concentrate and get sleepy, when I start studying. What is wrong with me?", + "src": "Patient: Hi doctor, I am a student who is currently preparing for a competitive exam, and I\u00a0am feeling very low and have a lot of negative thoughts. I\u00a0have a very good family, who have fulfilled all my wishes. When it comes to my studies, even my parents never forced me to study more than my capacity. All through my school and college, I scored more\u00a0than 80 %.\u00a0But when it comes to solving analytical questions and quantitative aptitude, I am very slow when compared to other people. Right from school,\u00a0I\u00a0have this tendency to solve the problems slowly or make a lot\u00a0of mistakes. The worst part is, from childhood my brain has not matured in how to solve a problem through critical thinking and applying the skill,\u00a0that is very much needed in mathematics. After graduation,\u00a0I\u00a0got a job, which I was not happy with. After working there for almost a\u00a0year, I\u00a0got frustrated with the work, as I was not\u00a0learning anything that I\u00a0expected. I love coding and learning advanced stuff visually.\u00a0I am always in mind to achieve great things in studies and job which many people are currently doing. I\u00a0thought if they can do it, then I\u00a0too can do it. I\u00a0resigned my job after a lot of thinking for many days,\u00a0as money does not matter to me, but only learning does. When I\u00a0try to do anything that I believe is great, then I\u00a0tend to get lazy.\u00a0I prepared a lot for the exam, but I scored a very low score. I am shattered as my\u00a0hard work\u00a0is wasted.\u00a0I am preparing for the exam a second time, and I am again feeling lazy. The thought of getting a low score is affecting my preparation now.\u00a0I get distracted by web browsing and TV for 1 to 2 hours. As\u00a0I stay alone, I feel very sleepy and\u00a0drowsy. I think\u00a0my brain is converting all the ATP into ADP, and I sleep off for 3 to 4 hours, after studying for a couple of hours.\u00a0Whenever I\u00a0try to concentrate, all the negative feelings are coming to my mind. But, I motivate and\u00a0pick up myself, and study. I am very lazy and less energetic than before.\u00a0It is like someone has stolen all the energy that was within me. Also,\u00a0I\u00a0am feeling lonely, I thought a little walk outside would help me freshen up. Now, I\u00a0have come to a situation that when I see the books, I\u00a0am demotivated and feel unhappy to prepare for the exam. This is the most important time of my life to prepare well and pick up my career, but a lot\u00a0of fear and negative thinking is present in my mind. What is wrong with me? Doctor: Hi. I read your query and understand your concerns. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10500, + "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": 26857, + "tgt": "My son has run through two cycles of medicines and is still not recovering. Why?", + "src": "Patient: Hi doctor, My 10 month\u00a0old son is not well and the doctor has given him Cacef CV dry syrup and Lizoforce dry suspension. It looks like a bogus to me because he has already run through two\u00a0cycles of medicines and is not recovering. Always on alternate days, he suffers from a fever. Doctor: Hello. I read your query and went through your son's reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21442, + "tgt": "What can be done for torn rectus femoris from AIIS?", + "src": "Patient: Hello doctor, I have a torn rectus femoris from AIIS as well as significant anterior and lateral heterotrophic ossification for past one year. The soreness in the area of the tear has increased and I have noticed a freqeuent amount of vibrations in my leg muscles as well as soreness in my muscles too. Doctor: Hello. I read your concern. As you tried with conservative management and still have not much of improvement, I suggest you try an orthopedic surgeon opinion on reattachment of rectus femoris surgically. Keep working on your glute and hamstring strength and core stability exercises. I would recommend you to not to indulge in any activity like kicking and running (I know you will not do as pain limits the movements). Do not do any kind of activity that requires you to exert your quadriceps too much as this may worsen the situation. This includes a certain position of the leg as well. Fix up an appointment with an orthopedic surgeon as soon as possible and get evaluated and surgically fixed. Until then keep icing it to avoid pain and spasm which will help you to maintain your current situation and prevents from worsening. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 14710, + "tgt": "I am 18 weeks pregnant and I am wondering why am I not able to feel any movements", + "src": "Patient: Hello doctor, I am 18 weeks pregnant with my third child, and I have not felt any movement or had any symptoms of pregnancy. I am wondering why I am not able to feel any movements. Doctor: Hi. Ideally, in multiple pregnancies, the baby movements are being perceived by 16 to 18 weeks. You may wait another week and then go for your antenatal visit and get an ultrasound scan done. You are already due for your anomaly scan between 18 to 20 weeks. That should answer all your concerns." + }, + { + "id": 4300, + "tgt": "Biopsy report shows severe dysplasia of squamous epithelium. Is it precancerous?", + "src": "Patient: Hello doctor, My mother fell on her right arm. A few days later she noticed a wound on the dorsum of the right arm but was not sure if it was from the fall. She did not care for it nor treat it. About a week later she started disinfecting and covering it but decided to visit a dermatologist as she was afraid it might be something else. Upon the looks of it, the doctor wanted a biopsy as she said it could be cancerous too. While waiting for the results the wound closed and decreased in size and signs of inflammation are gone. Today we got the results and it says \u201d hypodermis and dermis with hyperkeratosis, severe dysplasia of the squamous epithelium, chronic inflammatory changes in the dermis\u201d. Now I started reading to try and understand and what confuses me is the \u201d severe dysplasia of squamous epithelium\u201d is that carcinoma in situ? In some literature they differentiate the two in others they claim it is the same. I also came upon the fact that when there is an ulcer or inflammation reactive atypia and dysplasia may look the same hence the dysplasia may be from the inflammation. How is that determined? Is it a wound that is in the stages of healing or is it precancerous? What should be done in this case? Can we wait for one or two weeks to see if the crust will fall as in a healing wound and then perhaps have a biopsy on clean skin or should it be removed immediately with a suspicion that it might progress to cancer? If it should be removed what is the time frame? Should it be done immediately? I also talked to a surgeon friend who thinks if it is cut immediately it would cause a bigger wound which might be slow to heal again. I have attached the progression of the wound. Doctor: Hi. I have seen the attachment. (attachment removed to protect patient identity). This could be cancer. However, there is no harm in waiting for a week or 10 days and then perhaps go for an excision if it does not heal by then. Cutaneous SCC (squamous cell carcinoma) is usually not very aggressive and in most cases excision surgery with a margin of normal skin is curative." + }, + { + "id": 17351, + "tgt": "I have a swollen lymph node in neck since birth. Is it something serious?", + "src": "Patient: Hello doctor, I have swollen lymph node on the left back side of the neck. I am not sure from when I have it but I start noticing it from two months. It is not hurting me and my CBC report is normal. I do not have any other symptoms like fever, night sweat or weight loss. I wanted to know is it possible that I have this swollen lymph node from birth or do I need to worry about it? Doctor: Hello. These are subcentimeter lymph nodes which usually are benign and harmless. However, if you develop fever, joint pains, rash, change in appetite, weight loss or night sweats this should be investigated further by biopsy or FNAC (fine .needle aspiration cytology). You can also get a repeat ultrasound in the next six months to follow up on the size of these lymph nodes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6649, + "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": 7658, + "tgt": "What could be the cause for schistocytes?", + "src": "Patient: Hi doctor, My friend recently got a blood test done and they told her that she had a large number of schistocytes. However, she was not found to be anemic and has no other history of serious health issues. She is 30 and thin built. She has been anemic on blood tests occasionally in the past. I do not know if it is related. They also did a CT scan because of abdominal pain and found a 10 mm lesion on her liver and inflammation of her uterus and stomach. She saw her gynecologist for an annual checkup last month and everything was normal. She had some acid reflux and gastritis problems on and off in the past. She also has been using the NuvaRing birth control for the past two years. They recommended her to see an oncologist for the liver lesion and a gastrointestinal specialist for the stomach inflammation. My question is, everything I have read about schistocytes says that they are caused by either trauma or by disorders that cause persistent anemia. Since she was not anemic, what could be the cause for schistocytes? Doctor: Hi. I have gone through your query and can understand your concern. Schistocytes are nothing but fragmented or broken red blood cells, which are formed due to trauma to the cells. There are many causes of schistocytes in blood, One of the causes is microangiopathic hemolytic anemia. But, you have mentioned that she is not anemic. Other causes are thrombotic thrombocytopenic purpura and hemolytic-uremic syndrome in which there is a defect in platelets and fibrin, which causes destruction of RBC's. But, in these conditions the peripheral smear will show other abnormalities in platelets also. Other causes are aortic stenosis and prosthetic valve. As she has lesion in liver, I suggest to get her evaluated properly as some systemic diseases and malignancy can also cause disseminated intravascular coagulation and destruction of RBC's. In my opinion, she needs liver function test, kidney function test and ultrasound of the abdomen to confirm the diagnosis. Also, get her ECG and 2D echocardiogram done. If the morphology of liver lesion will become clear, then it will be easier to reach the diagnosis. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13618, + "tgt": "Kindly have a look at my picture and tell me if I have any postural defect", + "src": "Patient: Hello doctor, I would like to know if I have any postural defects. So I am sending a file standing straight at the stadiometer measuring height. By how much could I increase my height by fixing defects (if there are any)? I have read that anterior pelvic tilt may affect height by even 2.5 inches, so it would be like 7 cm, which sounds unbelievable. Well, but in my case, do I have any postural defects? By how much, more or less, could it affect my height? Doctor: Hello. I saw your attached picture (attachment removed to protect patient identity). Your posture seems to be near normal. Except your anterior pelvic tilt is more with increased lumbar curvature. This compensation may be due to a weak lower abdomen. Tight hip flexor and anterior hip musculature or due to weak gluteus and hamstring muscles. However, you may not gain considerable height by fixing these issues.However, you may have a good strong core which helps you to avoid many issues related to the back. I would like you to work on upper back and scapular strengthening. I recommend you do a lot of core stabilization exercises, stretching of hip flexor and do hip mobility program, glute and hamstring stretching, glute stability program, scapular stability exercises, pectoral stretch." + }, + { + "id": 7452, + "tgt": "Is it possible to get pancreatitis because of Escitalopram?", + "src": "Patient: Hi doctor, My dad is suffering from acute pancreatitis. It started six days ago and he is getting better now but he used to take antidepressants like Escitalopram and Ezeepam and he has been taking these kinds of anxiety medicines from a long time but not continuously but from last six months the usage has increased. He is unable to sleep properly and he is getting restless. He is asking for that medicine but we think that it could be a reason for his sudden acute pancreatitis as alcohol and gallstones are ruled out. Please suggest what should we do. Doctor: Hi. I have reviewed your query and can understand your concerns. The patient cannot stop the medications at his own. It is always best to inform the treating physician before thinking of changing or stopping medications. There is a specific protocol to taper off Escitalopram. If stopped taking all of a sudden, patient may feel bad side effects. I would recommend consulting his prescribing psychiatrist for proper evaluation and management. There are other causes that may also be considered before Escitalopram. Parathyroid gland function testing and calcium levels in blood, smoking and other factors also need attention. Escitalopram is not so commonly documented cause of acute pancreatitis. The de-challenge test is done for drugs which are suspected as a cause of pancreatitis. But this is a very rare cause of pancreatitis. So, undue withdrawal can only complicate the situation. His physician can better explain him after having the benefit of physical examination and a detailed hand on access to his medical records." + }, + { + "id": 29540, + "tgt": "I have redness in the gums near a decayed tooth. Is that cancer?", + "src": "Patient: Hi doctor, I am 18 years old. I have not been to the dentist in the last seven years. I\u00a0have three decayed teeth in my mouth. Right above one of them on the outside of my gum a little red patch popped up and then it started to decay. On the other side, that is, on the inside of the gum right above my tooth a red spot popped up with a white border. I am very scared, and I am terrified of cancer. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1094, + "tgt": "My pregnancy test showed two faint lines. Should I go to the doctor or wait for a week?", + "src": "Patient: Hello doctor I have history of Thyroid and PCOS, i am taking 50mg of eltroxin. my period is delayed by 6 days .when I tested preganacy test after 4 days of period days two lines are showing but not clearly. please suggest me can I go to doctor for a checkup or wait for 1 week for clear result. or what type of precaution I should take during pregnancy? Doctor: Hello, Welcome to Icliniq. I see than you haven't mentioned the date of your last menstrual period. Ideally, if you have had a regular 28days cycles, the urine pregnancy test is usually positive by the time you skip your periods. Delayed ovulation can be common in PCOS, So, I would suggest you to recheck your home pregancy test with an early morning urine sample tomorrow, and exactly at the time interval at which the result has to be read as mentioned on the kit. Sometimes if seen very late , the evaporation line also may seem as faintly positive which is actually a false positive. Early morning urine sample is supposed to be having concentrated levels of the Beta HCG hormone which is detected on the pregnancy kit. So recheck again tomorrow with a morning sample of urine. If you donot have any pain or spotting, you can visit your Gynaecologist at ease, may be in a week, and get an ultrasound done for pregnancy viability and localisation. Meanwhile continue taking folic acid & Eltroxin Medications & recheck your thyroid levels as during the pregnancy the dose may have to be changed due to increased requirements in pregnancy. Hope this helps. Please feel free to revert back anytime for any further queries or Information. - Continue Tablet Folic acid 5mg daily once till 14weeks. - Continue Tablet Eltroxin 50mcg daily once. - Avoid sexual intercourse in the first 4months of pregnancy." + }, + { + "id": 5631, + "tgt": "My wife developed high TSH post pregnancy. Is this postpartum thyroiditis?", + "src": "Patient: Hi doctor, My wife, who is 29 years old, had symptoms of tiredness and dry skin. So, we tested her thyroid function. I found that her serum TSH level was 150 as well as free T4 below normal. Is this symptom of hypothyroidism? She delivered a baby seven months ago and the test was done recently. She is still breastfeeding. Is it postpartum thyroiditis?\u00a0I felt she has mildly enlarged thyroid, but I am not sure. I am planning to undergo ultrasonography for thyroid. During pregnancy, her TSH was normal. Do we need to start Thyronorm? Or can I wait for four to six to repeat the test for suspecting postpartum thyroiditis? Is it a must to go for USG? Is there a\u00a0need to do any other laboratory tests? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2468, + "tgt": "Doctor gave me many medicines after I bled for a week during pregnancy. Are the medicines safe?", + "src": "Patient: Hi doctor, I am 7 weeks pregnant and having mild bleeding from the last seven days. Seven days before I went to a PV scan which showed 5 weeks 5 day fetus with good cardiac activity. I was put on Duphaston BD and Susten OD. After seven to eight days my bleeding is little more and red. I am advised to start tablet Sylate 500 mg thrice daily along with previous tablets of Duphaston and Susten SR. I need suggestion is it right to take so many tablets? Doctor: Hello, Welcome to icliniq.com. It is safe to take these medications in pregnancy. Do not worry about the number of medications as these have been put for you by your gynecologist to support the pregnancy as you had threatened abortion. Based on the scans the baby is totally fine (attachment removed to protect patient identity). Sylate (Etamsylate) is to control the bleeding. As of now try to take adequate rest and avoid straining yourself and keep complete abstinence from sexual intercourse and continue taking Duphaston / Susten SR (Progesterone sustained release). If the bleeding increases further, there can be a risk of miscarriage, so that is why all these supportive medications have been given to you. Goal to push your pregnancy to viability to avoid any loss. Stay positive, everything will settle fine. Continue Duphaston/Susten SR and Sylate 500. Abstinence, adequate bed rest. Follow up with your obstetrician in case of any cramps or pain or increased bleeding. Follow scans as advised by your obstetrician." + }, + { + "id": 13550, + "tgt": "Can HIV cause red dots in finger?", + "src": "Patient: Hello doctor, I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection. I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test. Doctor: Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone's window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months." + }, + { + "id": 2699, + "tgt": "Is it possible for wisdom tooth in upper jaw to come down and occupy the extracted site in lower jaw?", + "src": "Patient: Hello doctor, I had my last molar extracted about a year ago, and never had my top wisdom teeth pulled. Is it possible for my wisdom tooth to try to come down in the empty space that the molar was extracted? I have a swollen jaw and slight pain when touched. Doctor: Hello. I understand your concern. When a tooth is extracted, the opposing tooth tends to compensate by over erupting, since there is no stop for the tooth to rest on. This is called as supra eruption. From your query and the details provided, it looks like your upper wisdom tooth is supra erupting and is infected. The only option is to get that tooth removed. If the pain is quite disturbing, you can take mild painkillers like Acetaminophen (Paracetamol) or try warm saline mouth rinses thrice daily. During this pandemic (Covid-19), dental offices are instructed to provide emergency care only. So minimal and non-emergency procedures are generally postponed three weeks later for now. You can call your dentist or the nearest dental office and get an appointment if the pain becomes unbearable. I hope this helps." + }, + { + "id": 8673, + "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": 566, + "tgt": "How to manage painful bleeding piles?", + "src": "Patient: Hi doctor,I am suffering from bleeding piles with pain. Please help. Doctor: Hi. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25467, + "tgt": "Why do I have clicking and high-pitched whine after I was subjected to loud noise?", + "src": "Patient: Hello doctor, I was subjected to a loud noise in my left ear. Since then, I have had a high pitch whine and my ear clicks. It seems as if I can contract a muscle in my ear and force it to click and then sometimes it seems to happen on its own. It happens more often than not, with brief episodes where it will not and I cannot make it click. Doctor: Hello. Your problem could be diagnosed following a simple audiological evaluation with tests called pure tone audiometry and impedance audiometry to determine any hearing loss and eustachian tube dysfunction that you might be having. Treatment will depend on the result of these two investigations. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2273, + "tgt": "How can concentration be improved?", + "src": "Patient: Hello doctor, I cannot concentrate because when I study I feel I am not able to memorize. I want any medication maybe for 1 month for concentration. My doctor gave me Bupropion but it is no good for me. Doctor: Hello. From your query, I can understand that you are having difficulties related to poor concentration. There can be different reasons for struggling with poor concentration. More information will be needed to clarify the etiology behind poor concentration so that you can be guided about getting appropriate medication and treatment. How long have you been experiencing concentration difficulties? Was it present when you were a child and did you have problems with studying whilst at school? Or did the concentration problem start in recent months or years? Are you experiencing any other difficulties? Are you sleeping well? Are you eating normally? Are you using any alcohol or recreational drugs? If poor concentration has been a problem since early childhood, you need to be assessed for neurodevelopmental conditions like ADD/ADHD. Following a comprehensive assessment, if you fulfil criteria for ADD/ADHD, stimulant medication can be considered to improve concentration and inattention difficulties. Stressful situations and conditions like depression, anxiety can also cause poor concentration. I see that your doctor has prescribed Bupropion which is a helpful antidepressant medication. Have you been having problems with low mood ? How long have you been taking Bupropion? If it is not effective despite taking for more than 6 weeks, discuss with your doctor about optimising the dose or alternative antidepressant needs to be considered. Also, physical health problems like low iron levels, low thyroid, etc can also cause concentration problems. So this needs to be ruled out as well. So, if you are able to provide further additional information regarding your symptoms we can guide you appropriately." + }, + { + "id": 1052, + "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": 28264, + "tgt": "My newborn child has a ventricular septal defect. Please help", + "src": "Patient: Hello doctor,My newborn child was detected\u00a0with\u00a0heart-related issues. Could you please help me understand the severity? Please suggest further treatment. Doctor: Hello. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30469, + "tgt": "My husband forces me to carry him daily. How to manage him?", + "src": "Patient: Thank you doctor, My husband insists me to lift and carry him every day. Though I am a little stronger than him, I told imperatives by doing that. But, still he is insisting to carry him. He is referring to recent movies where heroines easily carry heroes. He is eating less food to ensure that I can lift him easily. He does not have much health issues also. Please suggest what to do. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10488, + "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": 23757, + "tgt": "How to improve my endometrial thickness to get pregnant?", + "src": "Patient: Hello doctor, My age is 32 and my husband is 37. We are married for 9 years and I have been trying for conception since 8 years. I did conceive last year, but the heartbeat was not seen. So, I underwent D and C. Till last year my period was regular. But, it became very scanty after D and C. Also, my endometrial thickness is growing only 5 mm after D and C. At present, I am taking Ubiphene 50 mg tablet for ovulation and Harmoni F and Duphaston 10 mg from day 15 of my cycle. After taking this medication also my endometrial thickness did not increase. What should I do now? Is there any way to improve my endometrial thickness to get pregnant? Doctor: Hi. I can understand your anxiety. I have read your problems and your husband's report (attachment removed to protect patient identity). Asherman's syndrome. Hysteroscopy and endometrial biopsy just before your menstrual period to rule out adhesions and tuberculosis. 1. Asherman's syndrome. 2. Endometrial TB. I suggest Ovral G (Levonorgestrel and Ethinylestradiol) for three cycles to allow the growth of endometrium. Further treatments depend upon your hysteroscopy and biopsy findings. While taking Ovral, you will not conceive. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Try to reduce your weight and avoid fatty food. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29284, + "tgt": "I would like to know about Cromotop inhaler. Please explain", + "src": "Patient: Hi doctor, My son, who is 15 years old, suffers from seasonal allergy during spring and autumn months.\u00a0He has to take Levolin inhaler several times a day and Budecort inhaler as well during the period. Sometimes, he also has to take Montair tablets.\u00a0I heard about inhaler Cromotop 2 mg, which prevents allergy and asthma. I want to know if it can be given to him. What are the side effects of the Budecort?\u00a0Is it safe to use for the long term? Please advise the dosage and duration. Doctor: Hi. For further doubts consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19428, + "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": 6982, + "tgt": "I have periodontitis. Will antibiotics help?", + "src": "Patient: Hi doctor, I have history of periodontitis. It runs in my family. I fixed my top teeth (two bridges of crowns), but not my bottom teeth yet. Last few days it got worse as I have one very wobbly tooth and pain all around my jaw bone. I think it got infected. Can antibiotics help? Doctor: Hi. I suggest you go for full mouth scaling and root planing. After that, follow these: Maintain good oral hygiene, proper cleaning of mouth after every meal and soft massage with fingers. Warm water and salt rinse 5 to 6 times daily. Do not allow food lodgement. Antibiotic, if you wish you can go for Doxycycline 200 mg for one day followed by 100 mg for 14 days. But I would suggest you go for scaling and root planning first of all because infection should be removed. Follow up after three days." + }, + { + "id": 13938, + "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": 27421, + "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": 20541, + "tgt": "How to reduce the stains in my teeth?", + "src": "Patient: Hi doctor, My teeth have become yellow. I also have stains on my teeth. I am trying to reduce the stains by cleaning the teeth. What can be done? Do you recommend any toothpaste or whitener? Doctor: Hi. Consult a dentist and get a dental scaling (oral prophylaxis) done. It will clear your calculus or stains. Also, get dental bleaching done by a dentist, which will make your teeth to look white and shiny. You can also use toothpaste with ingredients Sodium monofluorophosphate and Calcium peroxide fused with Lemon regularly on alternate days. It will keep your teeth bright. One thing, you need to remember is that most of the shining kinds of toothpaste have more quantity of abrasives. It can lead to specific damage to the enamel of the teeth." + }, + { + "id": 16509, + "tgt": "I am suffering from chronic allergy with frequent cough and cold. Please help", + "src": "Patient: Hi doctor, I am suffering from a chronic allergy. I have a frequent cough and cold. I am using Montelukast sodium and Levocetirizine. It prevents the symptoms. But when I stop taking it, the cough gets increased. Doctor: Hi. From your history, it is clear that you are suffering from allergic rhinitis and bronchial asthma. To confirm it, you have to do a spirometry test that is PFT (pulmonary function test). If it is significant, then you must take a regular inhaler treatment. Montelukast and Levocetirizine help to control asthma. But the definitive treatment is inhaler therapy. You can start using Foracort inhaler 400 (Budesonide with Formoterol) two puffs twice daily with Zerostat VT spacer followed by gargling with cold water. Continue using Montelukast and Levocetirizine. Have a regular follow up with your doctor." + }, + { + "id": 21485, + "tgt": "Will hypothyroidism affect future pregnancy?", + "src": "Patient: Hello doctor,I have a marriage offer but the girl has hypothyroidism. She is currently taking 75 micrograms Thyroxine from one year and now TSH is 15. I am worried will it create complications in pregnancy in the future. I do not want any risk. Should I accept the offer or reject it? Please help me. Doctor: Hi. Thanks for entrusting me with such an important decision in your life. Hypothyroidism if well controlled has fewer chances of pregnancy complications. If uncontrolled it is associated with pre-eclampsia, preterm labor. But as she is on 75 dose, it can be further increased to 100 or 125 mcg under an endocrinologist observation. I do believe if well controlled it will not affect her fertility or pregnancy outcomes. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14785, + "tgt": "Please explain my echo report taken for heart failure", + "src": "Patient: Hello doctor, I need help reading the results of my echo a few months back. I am just not receiving the results. I had a baby a few months back and then was back in the hospital a week later with pnemounia. During my visit back in the hosiptal with pnemounia, the doctors said my blood work kept coming back saying I had heart failure. Doctor: Hi. Your hearts' left ventricle is a bit weak (attachment removed to protect patient identity). It has a mild dysfunction. This occurs sometimes during the last month of pregnancy or five months after delivery. Many times this condition reverts to normal or almost normal within six months. I advise you to repeat the echo to know the current status of the heart. This condition is called peripartum cardiomyopathy. I hope you are taking medicines. Please follow up with the history of your condition, your symptoms, any previous illness and medicines you are taking for the heart so that I may guide you better and prescribe medicines and workup. Weak heart. Echo repeat, ECG. Peripartum cardiomyopathy." + }, + { + "id": 26067, + "tgt": "I have white patches around the head of the penis. Could you suggest a treatment?", + "src": "Patient: Hello doctor,It looks like from three days, I am suffering from genital candidiasis. Around the head of the penis, there is irritation and soreness, itchiness and white patches on the skin.\u00a0I have tried applying coconut oil and eating yogurt for two days.\u00a0I feel it has reduced. Could you please suggest any cream or pill or next step? Doctor: Hello. Relax and do not worry. If possible, send me images. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 13657, + "tgt": "I have a mole that looks different. Could that be melanoma?", + "src": "Patient: Hi doctor, Recently I had a mole that just felt funny. I went to my dermatologist and asked her to take a look. She was on the fence about it but decided to remove it given my history. I am blue-eyed, very fair, and my mother and maternal grandfather both had melanoma. She did a shave biopsy and the results came back as follows: junctional nevus with severe cytologic atypia and architectural disorder, inflamed pigmentary incontinence, a concerning melanocytic process with borderline qualities. It was recommended that the mole is excised with 5mm margins which I had done a few weeks later. I have two questions regarding this. First of all, my understanding is that melanoma can be tricky to diagnose in its earliest stages, so I am wondering if this could be melanoma. The word \"borderline\" in the path report has me the most concerned. My second question is whether or not I need anything else done regarding this mole. As I said, it was excised 5mm on all sides and the margins were clear. So, if it was an early melanoma, would there be any additional treatment? Doctor: Hi. I have evaluated your concerns and I think that you need to be applauded for your alertness. The steps that you have taken to manage the \"funny\" mole have been in the desired direction. You are right that moles can be tricky to diagnose in early stages. It so happens that they tend to be taken lightly and by the time, an individual seeks medical consultation, sometimes they have already invaded more areas. The term \"borderline\" in pathological reports indicate that: However, the mention of atypia and pigmentary incontinence leave little scope for doubt concerning diagnosis. In my practice, I have seen that pathologists tend to be conservative in their opinion. You took the best step to get the lesions removed. Now you only have to remain a careful observer watching for any unexpected growth, similar lesion elsewhere and follow up as advised by your doctor." + }, + { + "id": 10202, + "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": 9313, + "tgt": "I am diagnosed with anisopoikilocytosis. Do these misshapen cells pose any danger?", + "src": "Patient: Hello doctor, I am a 53 year old woman diagnosed with polycythemia vera (PV) three years ago. I am being treated with phlebotomy. I have fatigue at times, as well as some thinking impairment at times. Over time I have developed various anomalies in my blood test results, which my doctor explained as normal. For instance, I typically have 1+ Anisocytosis, 2+ Hypochromia and 2+ Microcytes. I have had occasional ovalocytes mentioned as well as large platelets and at times giant platelets. My last CBC mentioned there were a few schistocytes. My question is this: I understand that these are all blood cells that are misshapen due to the PV or to the chronic phlebotomies I receive. Are these misshapen cells a danger in and of themselves, or are they only indicators of a problem? How many weird cells can I have running around inside of me before it is worrisome? Doctor: Hi. Based on your query regarding polycythemia, my opinion is as follows: Due to nutritional deficiencies, secondary to excessive RBC (red blood cell) production and also mild dyserythropoiesis (defective development of red blood cells), you can find microcytic hypochromic cells ( due to iron deficiency) and ovalocytes (due to vitamin B12 and folic acid deficiency). Vitamin B12 and folic acid can impact other cell line resulting in hypersegmented neutrophils and giant platelets also. As there is iron deficiency, anisocytosis (unequal sized red cells) and poikilocytosis (abnormal shaped red cells) is seen. More the iron deficiency, more the percentage of anisopoikilocytosis. Schistocytes (irregularly shaped red cells) could be due to marrow fibrosis or red cell trapping in fibrin fragments. The former usually occurs in marrow at a later stage of polycythemia vera. At present schistocytes could be due to dyserythropoiesis in marrow. No fibrin trapping can be thought of. Things that need to be watched are - any reduced counts of red blood cells, white blood cells or platelets. This will occur before increase of schistocytes. Bone marrow fibrosis due to burning out phase will lead onto pancytopenia (deficiency of RBC, WBC and platelets) and schistocytes. As all other counts are normal, you need not worry about schistocytes for now. Schistocytes percentage more than 5% or specifically 10% should be worrisome. It usually does not occur in PV, unless it is late stage and with marrow fibrosis and pancytopenia. Revert back to a hematologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13455, + "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": 25, + "tgt": "Why do I get semen leakage in a very young age?", + "src": "Patient: Hi doctor, I am a 13-year-old male and I have had semen leakage for about three months. I think it is from weak nerves because last year, I would masturbate a lot but then I stopped because it was becoming painful and I was embarrassed. Then about three months ago, I watched something inappropriate and I ejaculated without doing anything. Then a week later, I started to have semen leakage every day about three to four times a day. I am just very worried and I just want this to be cured and go away. Also, could this affect my eyes in any way? Please help. Doctor: Hi. Let me tell you that the symptoms described by you suggest that you have a nightfall problem. The high quality way to deal with dusk is the use of herbal or selfmade remedies. There are no aspect outcomes for such remedy methods. You ought to have yogurt at least two or three bowls a day. Avoid looking at porn as plenty of porn arouses you sexually. So it is recommended now not to watch porn. Sage tea \u2013 having two cups of sage tea a day will limit the probabilities of nocturnal emission. Gooseberry \u2013 popularly recognized as amla acts as an anti-oxidant and helps in lowering the nightfall. Gradually the moist goals trouble will be solved. Bathing \u2013 it is a recommendation to take bathtub earlier than you go to bed. It helps you have a sound sleep. A sound sleep is very vital for averting nightfall. I hope this helps." + }, + { + "id": 20921, + "tgt": "What are the symptoms of tooth infection?", + "src": "Patient: Hello doctor,What are the symptoms to watch for when you have a tooth infection? I need two root canals and have four cavities. Doctor: Hi. Cavities might not be symptomatic in many cases apart from mild to moderate sensitivity. The same cavities if left in place for a longer duration without treatment, then it would go deeper or wider causing trouble. You can expect pain on a particular tooth or generalized pain. In addition ,you can also expect swelling of gums with pus discharge or swelling of face in worst case scenarios. The tooth with any sort of pain has to be looked upon for a root canal therapy initially. Upper back teeth might give you pain simulating sinusitis whereas lower back teeth come along with ear pain. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14415, + "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": 17870, + "tgt": "Why am I getting cracking sound in my joints?", + "src": "Patient: Hi doctor, One year back, while sitting on a chair in office I felt as if my back got stuck and was unable to move. I took two painkillers and managed to sit there for a while, but after two to three hours the pain started radiating to leg. I was diagnosed with moderate disc herniation at L4-L5 and L5-S1. I was advised to take bed rest for three months and felt better after five months. Then I got some manipulation done with my lower back and my condition got worse. After that I had slight pain in my tail bone while walking and the pain got worse when I sit for five minutes. It got radiated to hips, thighs and it was worse when I stood up from a sitting position. Then I left with no option except bed rest for another four months that is a total nine months of bed rest.\u00a0After that I suddenly started walking two to three hours a day in a stretch and started doing some exercises. After few days of getting my body too much into motion I felt my upper back getting stuck and again was unable to move and the pain radiated to my wrist and hand. Then had bed rest for another 10 days and felt a bit better. But, still in pain and resumed with two to three hours of brisk walking and exercises. I noticed that many joints in my body were making cracking sound while I walk or move my body and they were continuous. They are not going away no matter how much I move that joint, the cracking sound will repeat infinite times whenever I move my body. The cracking sound is mostly from lower and upper back, shoulder, ankle, foot fingers, knees also make that cracking sound and it is painful as well. Cracking sound in knees are felt more when I start walking after being in rest state and frequency of cracking sound reduces after walking for two to three minutes. I got my ESR and CRP checked. They are normal, but there is a slight increase in lymphocytes and RBC. Now, I have been suffering from this continuous cracking sounds and pain in almost all my joints for more than a month now. I also suffer from severe pain in tail bone area. Also suffers from some sensation loss (not persistent) in left side of my upper left leg, pain in groin area (but not anymore), pain in lower back and upper back. Also a few days back a physiotherapist did some manipulation, which again increased my problem and after that when I wake up in morning both my hands are badly at asleep. Doctors say that discs are hydrated and it is rather some other thing which is causing me problems but are unable to diagnose. The amount of rest I have taken and all those manipulations have gone through have only done badly rather than doing any good. I am only 27 years old and unable to do simple tasks like sitting for five minutes. Please help me, what could be the possible reason for all this. I had some back pain three years ago. My lifestyle is also not good. I do not used to any exercise or walk earlier, only sitting on a chair in front of a computer for 10-11 hours. I have also gained weight of 15 kg in 10 months. Right now, I am taking only Vitamin D3 supplement. I am attaching all my reports for your reference. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity),\u00a0but you need to provide me the following details so that I can help you better. Revert back with the asked information to a family physician\u00a0online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28292, + "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": 11694, + "tgt": "Kindly suggest me long term drugs without side effect for anxiety and depression", + "src": "Patient: Hello doctor, I have depression, anxiety, lack of confidence, lack of energy, palpitation, and excess sweating for the past 18 years. I have consulted so many psychiatrists. My current doctor prescribes me Nexito Forte, Prothiaden 25 mg, and Toficalm 100 in morning and evening. But I feel some sleep issue and sweating. I have also consulted one of a top psychiatrist, and he prescribed me Nexito 10 and Clonazepam 0.5 mg in morning and evening and Mirtazapine 15 mg in night. But it causes me some stomach problem as I have IBS, diarrhea too. Unable to understand that which combination of medicine is better for long term use. Please suggest. Doctor: Hello. You should go with Escitalopram (Escitalopram Oxalate), Clonazepam and Mirtaz (Mirtazapine). These combinations have a minimal side effect. You take antacid with it. Please do not take the above medications in an empty stomach. You must lose your weight. Do the daily exercise for 30 to 45 minutes and practice meditation for 10 to 20 minutes daily. Avoid junk foods, eat healthy home-cooked meal. Stop alcohol, smoking tobacco or stay away from any type of substance abuse. Spend quality time with friends and family. Spend time for your creative hobbies like read good books, write journals, do paintings, learn new skills or music, etc. Take enough seven to eight hours of sleep. Take a cold shower. Drink three liters of water daily. Live your life, do not just spend. Go for a vacation, spend time with nature. Stay away from social media as much as you can. Prothiaden (Dosulepin) will cause constipation. And low energy can be due to depression or anemia or thyroid abnormalities. It is less likely due to medication. Toficalm (Tofisopam) and Prothiaden will cause you oversedation or make you drowsy the next day." + }, + { + "id": 5335, + "tgt": "I have low sexual desire, erectile dysfunction and inpleasurable ejaculation. Is it due to masturbation?", + "src": "Patient: Hello doctor, I am 20 years old. I am studying in college. I have a habit of masturbation for about five years. Two months ago I got low sexual desire. After few days I got erection dysfunction. But I am able to achieve erection on rubbing my penis, but it does not stay and it goes away. No pleasure feels when I masturbate. I hate to masturbate. Nowadays I have no sex interest. Ejaculation is not pleasurable. Please help me with this problem. I do not have any bad habit. I am fit and I sleep well, but I mastubrate twice a day. Now a days my penis is not raising when I see a girl. Please suggest recovery. And I attach a picture below to know whether my penis looks normal. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). From your account it is clear that you do have an erection, tough it last for a shorter duration only. However, a decreased sexual interest and pleasure can be because of multiple reasons, common among them is stress and anxiety. Stress or anxiety can lead to reduced sexual performance as well as reduced penile erections. I will suggest you to not to be too worried about it and give your body some time to relax. Apart from that masturbation does not cause any harm to your sexuality. And the shape and anatomy of your penis seem to be completely adequate." + }, + { + "id": 25682, + "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": 9889, + "tgt": "Is Propranolol advisable along with Adderall in ADHD?", + "src": "Patient: Hello doctor, I have been prescribed Adderall 10 mg two tablets daily for ADHD and 10 mg Propranolol as needed for anxiety. Adderall is helping my ADHD. However, I have experienced increased anxiety and all the physical symptoms that come along with it, including chest tightness since taking the Adderall. I do not have chest pain or increased heart rate. Is it safe to assume the Propranolol while taking Adderall? Doctor: Hello. How long are you taking Adderall? It is known that some people experience increased anxiety when taking Adderall ( Dextroamphetamine, Amphetamine). If the excessive stress continues to be problematic and has not settled in few weeks, discuss with your psychiatrist about possibly reducing the dose of Adderall or looking at alternative medication for managing ADHD (attention-deficit hyperactive disorder). Meanwhile, Propranolol can be used as needed to manage anxiety provided there are no contraindications like asthma. I hope this helps." + }, + { + "id": 19781, + "tgt": "Can unprotected sex on third day of period cause pregnancy?", + "src": "Patient: Hello doctor, I and my fiancee had unprotected sex on the third day of her period. I did not ejaculate inside her. And she also has the history of an irregular period but from the past three months, she is getting her regular period. I just want to know what are the chances of pregnancy. Doctor: Hello. I have gone through your history and understand your concerns. As you had unprotected sex, the chances of pregnancy are there in your case but as it is done on the third day of menses that is why there is no chance of pregnancy in your case. These symptoms could be due to hormonal imbalance. Get urine pregnancy test if you missed your menses by seven days. Hope you found this useful. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18702, + "tgt": "I had sex after a week of taking abortion pills. Will it cause any infection?", + "src": "Patient: Hello doctor, I was six weeks pregnant, and on the ninth and tenth of this month, I had severe cramps and heavy bleeding. So, I consulted my doctor on the 11th, and she said that it was a miscarriage, and she gave me the first dose of the abortion pill. She gave the second dose on the 13th, which was inserted vaginally. The bleeding with clots continued and stopped after four days. I am physically normal, and I had sex on the 19th. Is it safe? Is there any chance of pregnancy or any other complications? Kindly suggest. Doctor: Hello. There is very less chance of pregnancy, but it is tough to say. Mostly, ovulation takes approximately 15 to 20 days to resume after abortion. But sometimes, it can resume early. As it is just six days after the last tablet, there is very less chance. But yes, be careful next time and use protection. And it also depends on whether the abortion is complete or not. If you are bleeding now after tablets, it means that the abortion was incomplete. If you had sex today, then you can take emergency contraceptive pills also. There is no such complication from sex. I do not know if you are bleeding still or not. Drink more water. And if required, do consult your doctor if bleeding is still there. And if bleeding stopped or just spotting is there, then as I said, there is a minimal chance of pregnancy. Hopefully, you have got your answer. If you have any more doubts, then you can follow-up. Thanks. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 657, + "tgt": "Why do I have radiating shoulder pain after a week of laparoscopic gallbladder surgery?", + "src": "Patient: I had laparoscopic surgery 1 week in a half ago and also hd an ercp done for a stone stuck in the duct. Ok a week goes by I had some stomach pain, bloating, and diarrhea, but most of that is gone now, This morning I wake up and had one of the most excrusiating pain in my shoulder that radiates into my shoulder down to the bottom of the right blade.I also have been suffering from motion sickness as well. My family doctor prescribed me with anti vert medicine and some muscle relaxants and pain killers. Tylenol don't do much, but percocet seems to work a little but the pain is still in my shoulder and neck.Its extremely hard to turn to the right because of my pain in my neck. I also have issues maintaining balance because i get so dizzy as if I have some sort of vertigo. Are these conditions normal after Gallbladder surgery? What exactly am I suffering with? Do I have irritation to one of the nerves like the vagus nerve? Doctor:" + }, + { + "id": 19906, + "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": 21262, + "tgt": "My 7 year old has fever, loose motion and vomiting. Please advise medicines", + "src": "Patient: Hello doctor, My 7 and a half year old son is suffering from fever (100+), loose motions and vomiting, headache, backache. He still uses a bottle for milk and once in six months we have to face this situation. Now, we firmly decided to discontinue feeding him by a bottle. Please advise medicines. He has no allergy from any medicine and his weight is about 29 kg. Doctor: Hello. As your child is suffering from acute gastroenteritis, it is a good decision that you have decided to stop bottle feeding. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Maintain hygiene. Have a soft diet. In case you feel that the child is lethargic, not feeding adequately, not passing urine, visit a pediatrician for clinical evaluation immediately. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21017, + "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": 9898, + "tgt": "I have been taking contraceptive pills without break for three years. Kindly help", + "src": "Patient: Hi doctor, I have been taking contraceptive pills (Yasmin) without seven days break for over three years now. I have not had my period in more than six months. I did not know about the break. What would be the side effect of doing so? And, should I stop taking it immediately even though I have not finished the 21 days or should I wait to finish this pack first and then have the seven days break? Doctor: Hi. Three years is a bit longer but up to one year without break is often given to treat certain disease like endometriosis. In your case, it may not cause any problems. Only that you may get late periods. You should complete the 21 days and then stop. You may get withdrawal bleeding after few days or it may be late. You can do an ultrasound of pelvis, blood tests, sugar postprandial, liver function tests and lipids. You may check breasts. Usually, the pill is safe. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2759, + "tgt": "I have sore throat, chest heaviness and dizziness. Am I infected with Coronavirus?", + "src": "Patient: Hello doctor, My question is about the Coronavirus. I have been having some symptoms such as indigestion, sore throat, slight heaviness in the chest area (sometimes) and dizziness (sometimes). Dizziness could be because of panic. Doctor: Hello. Please do not panic, it is not Covid-19 if there is no fever. For sore throat, you can start warm saline gargles." + }, + { + "id": 22148, + "tgt": "Left eye starts watering when I see bright light. Why is it?", + "src": "Patient: Hi doctor, I am a 26 year old male. I have noticed over the past several months, that I have been favoring my right eye more (monocular vision). My right eye is my dominant eye. I have been leaning in that direction to read. I can still see out of my left eye but the focus is from my right. I have slight double vision with close objects of about 2 feet from my face but when I consciously try and focus with both eyes it disappears.\u00a0Corneal light reflex shows slight deviation to the left of my left eye, approximately 1.5 mm. I went to the optometrist yesterday to get a prescription for reading glasses since I read a tremendous amount for school. All of my EOMI as well as my pupils were reactive to both direct and consensual light reflexes. Left pupil is slightly larger by 1 mm or so. I had a CT scan of my head last month due to a headache and acute anxiety. I have had four concussions and was worried about delayed symptoms from those. CAT scan came back clean with no noticeable lesions. My dog scratched my eye around 6 months back or so and it felt as if it pulled slightly and I am worried that might have caused it out of alignment. There was no surface damage to the eye, but the left medial rectus becomes sore if I move it too often or try to focus. My left eye starts tearing up as well whenever I go into bright lights. Since all of the extra ocular muscles are intact, should I just wait and see if the prescription fixes the problem or should I have them checked out by an ophthalmologist? I have attached the pictures for your reference. Please suggest. Doctor: Hi. I have gone through the photographs (attachment removed to protect patient identity) of your eyes. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5169, + "tgt": "Can I request biopsy for neck swelling?", + "src": "Patient: Hi doctor, I had a swelling developed on my neck overnight 10 days ago.\u00a0I went to a doctor who did an ultrasound and took thyroid function blood tests. He said it as\u00a0a 3 x 3 cm cyst with 1 x 1 cm tumor or nodule with some calcification.\u00a0He took some of the cyst liquid and sent away for tests, but it will take 10 days to receive the result.\u00a0He wants to wait for the results before deciding the next step.\u00a0I do not have any other symptoms.\u00a0All the similar ultrasound pictures online seem to be malignant.\u00a0Should I wait for the result? Or can request a biopsy of the nodule? Currently I am on vacation. Any advice would be greatly appreciated. Doctor: Hi. For further details consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5364, + "tgt": "I sleep for about 11-13 hours a day. How to control this?", + "src": "Patient: Hello doctor, I am 18 years old. I use to sleep very much about 11-13 hours a day. I sleep late at night and wake up very late. This is creating a great hamper in my study as well as my daily life. Now, what can I do in order to get rid of this devastating problem? Doctor: Hello. What you are describing is a common sleep disorder known as delayed sleep phase syndrome. It is a disorder of the body clock. This clock is tuned by bright light and blue light. Chronotherapy: Sleep in a room where the sunlight will bathe your eyes in morning, even during sleep. Once awake, spend your first hour in the sun, either having tea, or reading newspaper or jogging. In short, increase the exposure to sunlight in the morning, both when you are asleep as well as awake. Do not sleep in the day at any cost. At night time, reduce your exposure to blue light emitted by TV screens, laptop, phones, etc., by 1) Minimize the usage at night. 2) Install blue light filter or flux applications in your devices. You can also use amber-colored goggles when watching TV or using a laptop, etc. 3) Have curd or a diary product at night. 4) Go to bed at the intended time, make your room completely dark, do not use the night lamp even. Use a band to cover your eyes when on the bed. Do not use your phone while on the bed. If these measures are not helpful, take Melatonin supplements like tablet Meloset 3 mg one hour before the intended time to sleep and hit the bed at the intended time to sleep. Another option if you are fine with taking medicines, is tablet Agomelatine. It makes falling asleep easy and makes you awake and alert in the day. It also has mood-enhancing property. These measures will reset your body clock and solve your sleep issue. I hope this helps." + }, + { + "id": 21086, + "tgt": "What is the reason for chest pain that occurs with deep breath and pressing?", + "src": "Patient: Hello doctor, I need an advice and an opinion about a chest pain I have been having for the past four days. About four days back, I was at the family farm doing some cleaning. It was dusty everywhere and so when I finished, I coughed and felt the dust went inside my chest. Since then, I have been having a chest pain, right above my right nipple, the pain is kind of in the bone. So, when I press on my chest bone beneath or above my right nipple, I feel some pain. The pain sometimes comes to my neck or my side, and today it came to the left side of my chest which got me worried. The pain usually happens when I take a deep breath. It is not continuous. A month back, early morning while I was at work, it was a dusty day. Shortly after work started, I felt a pressure on my chest and a shortness of breath. So, I went to the ER, and they transferred me to the cardiology unit because my troponin was elevated. It was at 0.7. They did EKG, and it was normal. Later on that day, my troponin was elevated to 4.3. So, they did an ECO, and it was normal. The following day, my troponin was down to 3.4. They thought I had some kind of blockage and so they did a cardiac catheterization and found everything was normal. there was no blockage. I have no diabetes or blood pressure. I follow a low carbohydrate diet with intermittent fasting. My blood pressure and EKG during my stay at the hospital was normal. So, I was diagnosed with pericarditis, an inflammation of the outer part of the heart. Doctor: Hello. There are two possibilities in you, first is of musculoskeletal pain, which is originating from muscles and bones resulted due to coughing and stretch over the bones and muscles. And another possibility is of viral infection which commonly follows such exposures. This leads to inflammation of pleura and pericardium (lining of lungs) called as pleuritis or pericarditis. Both the pain will increase on deep breathing. I guess you do not have any fever, cough, rhinitis, etc., which may or may not be associated. Was there any history of heavy weight lifting or trauma to the chest? This is unlikely to be caused by heart blockages and does not appear worrisome. But, considering the history of pericarditis in last month, you should get one hemogram with ESR (erythrocyte sedimentation rate), ECG, chest X-ray and troponin done especially if symptoms persist. Also, vitamin D levels, of which deficiency is very common and predispose to such musculoskeletal pain. We also need to rule out other infections of the lungs because such exposures frequently lead to infections and above investigations will help in deciding the cause. You may use Diclofenac gel or spray for local application for symptoms relief. So, overall the first possibility is of musculoskeletal pain, which I guess should settle in another 3 to 4 days and does not appear worrisome, but should be evaluated. You may need vitamin D supplements after its testing." + }, + { + "id": 5184, + "tgt": "Endoscopy reveals problem in nasal turbinates. Is surgery a must?", + "src": "Patient: Hello doctor, I have a problem of nasal congestion for almost 15 days now. It started with running nose first and then the nose got blocked. In the past, I have taken antibiotic for eight days. For three days, I had taken Augmentin 375 twice a day and Erythrocin 500 one tablet a day for five days. I had shown it to an ENT specialist at my place. He has done endoscopy and diagnosed some turbinate issue in my nose for which he has suggested laser treatment. I would like to have second opinion on the same, to reaffirm whether it is required at this stage? I am a 46 year old male with no past medical record on this. If not required then what could be the treatment? I am attaching the diagram drawn by doctor after endoscopy. Red marking is the issue shown. Please let me have a detailed opinion. Thank you. Doctor: Hi. Revert back after three weeks to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3724, + "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": 23195, + "tgt": "What is the problem with ECG Report? Is it fine to take Concor tablets?", + "src": "Patient: Hi doctor, I want to explain my wife's situation and I need your help and assistance. When my wife was in the kitchen, suddenly she felt some pain and heat in the upper part of her stomach and felt all her body become hot. I took her to the hospital, in the emergency department her pressure was 110/70 mmHg and the doctor requested ECG. The doctor showed some kind of worry in respect to the ECG, made some mark in the ECG and requested for a blood test. After four hours he repeated the blood test and the ECG and then he discharged her from the hospital and gave her some medicine for the stomach and advised me to follow up with heart doctor. Then we went to a heart doctor and he did another ECG and echo for her heart and advised us to get a CT image of her heart, so that he can decide and give opinion. We did not go for CT image until now and went to another doctor. He made another ECG and once he saw the ECG he was surprised and said that the ECG belongs to women of age 60 years old and not 32 years old. He requested blood test, gastroscopy, exercise ECG and prescribed Concor tablets 2.5 mg. Please advise me what is the problem with my wife's ECG? And what shall I do next? Shall I go with CT image or exercise ECG? Is it fine to take Concor tablets? By the way my wife age is 32 years old and we have four children of age 12, 9, 6 and 4 years. This is the first time my wife complaints of pain and now she is feeling better and doing her household works normally. Also, she does not have diabetes or blood pressure. Her weight is 63 kg, which is correct for her height. Please assist and advise me. Doctor: Hi. First relax. There is nothing to worry about. I have gone through the detailed history and investigations (attachment removed to protect patient identity) you have attached. I found cardiac markers are quite normal. Her 2D echo is normal. Her other blood investigations are normal. Endoscopy showing that there is gastritis and duodenitis. It can be cured easily. Coming to ECG (electrocardiogram) there are some T wave inversions in lead V2 and V3. They are of little concern. Coronary artery disease is very rare in a woman of 32 years age. You can go for CT coronary angiogram, which is a very simple procedure. With reports of cardiac markers and 2D echo we can say she does not have any cardiac muscle injury and she does not have any functional problem in her heart. Just go for Coronary CT angiogram to feel tension free. Her stomach pain is most likely due to gastritis. Revert back with the CT angiogram report to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6675, + "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": 17038, + "tgt": "Please give a correct diagnosis for bumps on scrotum and whole body itch", + "src": "Patient: Hi doctor, Initially, I had bumps on my scrotum and now I got few bumps on my penis head. I have attached the pictures for better idea. First It was told that these maybe cysts. And later it was told as Fordyce spots. Please give me correct diagnosis. Thanks. Doctor: Hi. They are neither cyst nor Fordyce spots. Sexually transmitted disease can be a probability. But, for proper diagnosis I need to know the complete history that is the onset, progression and duration of lesion. Please send me the photos of lesion on the scrotum too. Only then I would be in a position to make any valid comment. Revert back with the answers for the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6862, + "tgt": "I always get red painful acne before a week of my periods. Is it because of hormonal imbalance?", + "src": "Patient: Hi doctor, I am 25 years old, and I always have breakouts before a week of my periods. I think it is a hormonal imbalance. I get big, red, and painful acne around my jawline and lower cheek, and I have a high testosterone level. I get these kinds of breakouts almost every month for more than a year now. I am not under any treatment now, but I used topical cream containing Hydroquinone, Tretinoin, and Mometasone. Please help. Doctor: Hi. Based on your symptoms, the diagnosis is acne vulgaris (grade 2). Do not apply Mometasone cream over the face, as it is a steroid cream. Please get an ultrasound of the abdomen and pelvis during the second and third days of the menstrual cycle to rule out PCOD (polycystic ovarian disease). I would suggest: Consult a specialist doctor, discuss with him or her and start taking the medicines after their consent. Please review it after three weeks." + }, + { + "id": 17564, + "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": 15634, + "tgt": "There is continuous fever after ureteric stent removal. Why?", + "src": "Patient: Hello doctor, My father had ureteric stent removal before one month. He had fever 101 F, pus cell 100 or more than that since month fever comes every week. Urine culture and sensitivity done. All antibiotics resistant except Nitrofurantoin. Fever episode is not subsiding in spite of taking antipyretics. What to do? Doctor: Hello. I have seen all reports sent by you (attachment removed to protect patient identity). As per reports, he is still having a urine infection. What is his present creatinine? Since how long is he taking Nitrofurantoin? His DTPA shows only left kidney is functioning. The plan would be to finish this course of antibiotics properly for 14 days. If fever is not under control, then we need to give him injection according to urine sensitivity report. Do repeat urine culture and sensitivity after three days of finishing antibiotics course to check infection is gone or not. In some reports, it is given that his right kidney is small and stone in right kidney. This may be the source of persistent infection in spite of antibiotics. If fever is not under control at all after taking all antibiotics, then it is better to remove the right kidney as there is no function. Anyhow and it is likely source of persistent infection." + }, + { + "id": 22617, + "tgt": "Can you tell me if a unilateral posterior polar cataract has congenital onset?", + "src": "Patient: Hi doctor, Can you please tell me if a unilateral posterior polar cataract has a congenital onset or develops after birth? I am desperately seeking answers as my daughter who is 5 years old has been diagnosed for the first time with a congenital polar cataract. The doctor who originally diagnosed her stated with confidence that it has been there since she was born. My daughter has been diagnosed with 20/300 vision and deprivation amblyopia. I took her to another doctor to get a second opinion and he stated there is really no way to tell if it has been there since birth but stated it could have been. How was the first doctor able to make this diagnosis with such confidence when another doctor stated there is really not a way to tell? From what I have researched online, posterior polar cataract is very rare and has a congenital onset, is this true? The second doctor has started her on a patching regimen for half of her waking day. Her vision has not improved since she has started wearing her eyeglasses and I am wondering how much or if at all it will improve, with such a late diagnosis. Also, I, unfortunately, contracted HSV type 1 during my third trimester while I was pregnant with her and I have also read that this could be a cause, is this a potential cause? If it is a cause in your professional opinion, would you recommend that a newborn born to a mother with HSV 1 developed during late pregnancy with an ophthalmological issue due to the risk? Any input you can offer will be greatly appreciated. Thank you in advance. Doctor: Hello. Since you had an HSV (herpes simplex virus) infection, there are increased chances that this polar cataract is congenital (since birth). Now, during initial years, if there is a hindrance in vision, then due to cataract deprivation, amblyopia sets in. Your ophthalmologist has correctly started patching therapy but my question here is why has he not thought about surgery because then we can remove the cause of amblyopia, get a clear visual axis, and start patching again. In my opinion, that would yield a much better result. Please consult a pediatric ophthalmologist who does pediatric cataract surgeries and discuss the case there because I think removing the cataract and implanting a lens is a very good choice and it will help in amblyopia therapy very much. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10547, + "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": 967, + "tgt": "I cannot sustain erection and my blood pressure is quite high. Please help", + "src": "Patient: Hi doctor, My penis gets soft very quickly and I cannot sustain erection for a long time. Moreover, after one session, it is very difficult to cope up with the next session. Sometimes, when I use a condom it is very difficult for me to enjoy my sex. Please help. Doctor: Hi. Before we can make any conclusions, I request you to provide the following details, so an impression can be made about the cause of the problem. Revert back with the answers to the questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11009, + "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": 7347, + "tgt": "My TSH level increased to 7. 40 from 3. 45 in five months. Why?", + "src": "Patient: Hello doctor, Before five years, I was tested for thyroid. The result was TSH at 3.45. Five months later, my symptoms were getting worse, and my doctor rechecked me after five months TSH was 7.40, and free T4 was 0.9. I was diagnosed with hypothyroidism. Which would explain my weight gain, hair loss, fatigue, etc. Why was there a change in my TSH? She put me on 100 mcg of Levothyroxin and 500 mg of Metformin, and I had two ultrasounds of my ovaries (outside and inside), and they were fine. She also told me my Prolactin levels were at 31.4. What does that mean? She told me to come back in six weeks to get it all retested then promptly went on vacation. Doctor: Hello. Elevated Prolactin means the concentration of Prolactin hormones in your blood is high. Prolactin is a hormone secreted by the pituitary in the brain. It controls the action of sex hormones. It can be elevated due to problems either in your pituitary or in your ovaries. You require an evaluation for that. TSH (thyroid-stimulating hormone) values keep changing even in normal persons. It depends on physical activity, the rate of metabolism in the body. When tested initially, you might have been in the starting stage of hypothyroidism, and hence the TSH value came normal. After a few months, the hypothyroidism progressed, and hence your TSH got raised. I hope this answers your query. Any clarifications or questions feel free to ask. I am happy to help you." + }, + { + "id": 6442, + "tgt": "Tight vagina is making penetration difficult. Please suggest a solution", + "src": "Patient: Hi doctor, I am a male, 28 years of age, recently married to a girl of 23 years of age. During first time sex with her, I was not able to insert my penis into her vagina. Her vagina is in closed very tight condition. I tried to insert my fingers also but could not make it. Even I tried foreplay. Can you tell me the solution for it? Doctor: Hi. It is really frustrating for a young married man and the couple to not be able to consummate the marriage and have satisfying sex. There are a few possibilities you might consider in your case. Vaginismus is a condition in which there is an involuntary spasm of pelvic muscles which make penetration almost impossible. It can be treated by relaxing the woman, supporting her emotionally and starting the sexual act by using a very thin dilator during foreplay. You need to keep on increasing the dilator thickness or may use your fingers until the spasmodic contraction of pelvic muscles is gone. Then you may start penetrating with your penis with lots of lubricants. Reassuring the partner and involving her fully in the effort is the key. Look for any structural defect in the vagina if any. Sometimes, even normal women have a very small aperture or opening due to the thick and intact hymen. just try with lots of lubrication and loads of foreplay." + }, + { + "id": 9430, + "tgt": "Is it possible to hear our blood flow in extremely silent zero DB room?", + "src": "Patient: Hello doctor,This is more of science question, I read somewhere we can hear our blood flow when in extremely silent room zero DB room, Is that true? Doctor: Hello. Yes, you can hear not only the silent room. Average person's carotid artery pulse and blood flow sounds can be heard in ears. During palpitations, we can hear the condition aortic stenosis blood flow sound. So many valvular diseases can be understood." + }, + { + "id": 15452, + "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": 4490, + "tgt": "How can I calm my nervousness before going to the dentist?", + "src": "Patient: Hello doctor, My heart rate gets very high when I go to the doctor. I get super nervous and I need to go to the dentist my teeth are getting worse but I am too scared because I know my heart rate will get high. Just wondering if you know what they will do? Doctor: Hi. You need not panic at all for a dental visit. All that happens in your first consultation is that the dentist checks your oral status with a mouth mirror and a hook-shaped instrument called explorer. This is the point that most of the young people get scared of. The instruments are not going to hurt you but used to check the tooth on its various surfaces as it is a hard tissue. Once you are thoroughly checked, then if needed x-rays might be taken with complete protection. These days x-ray techniques have gone digital for saving time and to comfort patients. You just need to open your mouth, the x-ray sensor captures the tooth and the pictures will be seen on the computer screen in seconds. The treatment options will be explained to you in detail and the procedures are done only with your consent. No dentist is going to prick you straight away with the needles. So please do not worry about it. In case where you have to get a filling done, there is a rotary machine that sprays water that is used to drill the tooth and again this is super fast when you co-operate. If you are not liking that sound, feel free to put on your favorite music with the headphones during the treatment. Also, feel free with the dental team and ask all your doubts at once because the patient's comfort comes in front of all exquisite treatments. You will be fine." + }, + { + "id": 1780, + "tgt": "Please suggest some measures to get pregnant?", + "src": "Patient: Hi doctor, From last two years we are trying to conceive\u00a0and recently my wife had SM test. The result of the prolactin blood test is 9.89 ng/mL and TSH is 2.84. The FSH result is 6.83 mlU/mL. Also the luteinizing hormone range is 3.83 mlU/ml and right ovary adnexal is 38 mm x 24 mm. Please explain the result to me. 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": 7383, + "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": 15122, + "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": 15279, + "tgt": "I have a cracked tooth and it hurts me a lot. What can I do to get relief?", + "src": "Patient: Hi doctor, I have a cracked tooth. It hurts me a lot for a week. Now, I can eat only on one side of the mouth. What can I do to get relief? Doctor: Hi. Please say about the location of the cracked tooth. Please mention whether it is present in the front tooth or back tooth. If there is a pain, you can take Amoxycillin two tablets one at morning and night. You can also take Aceclopara (Aceclofenac with Paracetamol) for the pain along with it. You can take tablet Rantac before breakfast and dinner. If the crack is present in a front tooth or back tooth, consider going to the dentist to examine the condition. If it is present in a front tooth, you can treat it by bonding and root canal treatment can also be done. A crown can be placed over it for esthetic purpose. You can go for an implant also. If it is present in a back tooth, you can do a root canal treatment, and it can be managed by placing a crown over it. If the crack is too difficult to be handled by root canal treatment, then it can be extracted." + }, + { + "id": 10791, + "tgt": "What causes numbness of foot?", + "src": "Patient: Hello doctor, Part of my foot has been numb for several days but I feel fine. No pain or anything. Is this any reason for concern? Doctor: Hi. I see that you need to perform the following tests to see if you have acquired diabetes and/or anemia related to vitamin B12 deficiency. In case the test results are negative and the symptoms resolve in the coming days then there is no need to worry. If the condition continues despite negative result in the tests, then I suggest taking Vitamin B complex supplement, like the one I will mention in the treatment part. FBS (fasting 8 to 10 hours), HbA1c, CBC. Neurobion tablets one tablet a day after food for two months." + }, + { + "id": 29879, + "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": 30829, + "tgt": "My HbA1c level was 7. 5 last month. Should I continue Gemer 1 tablet?", + "src": "Patient: Hi doctor, Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest. Doctor: Hi. C-peptide, renal function test, liver function test, serum electrolyte and complete blood picture. Diabetes mellitus. Hypoglycemic drugs with euglycemic drugs (to maintain normal blood sugar). Diet and exercise. Revert back for further information to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1359, + "tgt": "I am 82 years, and my pulse was 54 a couple of nights ago. Should I be concerned?", + "src": "Patient: Hi doctor, I am an 82-year-old man and noticed that my pulse was 54 late a couple of nights ago. I recorded it yesterday throughout the beginning with 8 am and ending at 10:15 pm. The pulse was 58, 60, 80, 78, 69, and 54. The 80 was after hiking 2.5 miles. I am concerned about the low of 54. I am currently on Valsartan and Hydrochlorothiazide 325 mg/25 mg and Amiloride 5 mg, each one per day. Doctor: Hello. Thanks for reaching out to us. I understand your concern about your health. Please do not be worried as it is nothing. It is perfectly normal to have a slightly low pulse as you age. It is a physiological change that occurs with aging perhaps 54 beats per minute can not be said to be too low. A normal pulse is between 60 to 90 beats per minute. This range differs with people. Age, body size, and activity level are some of the reasons for the variation. I advise you to continue your normal daily routine without worry. You can become concerned if it becomes lower as much as 40 and you experience symptoms like shortness of breath or faintness. Remain healthy. Best regards." + }, + { + "id": 769, + "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": 19682, + "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": 1990, + "tgt": "I have stomach irritation and cramps with the feel of going to toilet. What could be my problem?", + "src": "Patient: Hello doctor, It has been more than a month. The problem started with gastric issues in my stomach. Then it started with some stomach irritation and cramps. And then gradually I felt like whenever I ate something I feel like going to toilet. I reported it to my GP and she said to take Pantaprazole which I took for two weeks but then the situation was not improving and I insisted then she wrote a stool test for me and in the report helicobacter antigen bacteria was detected. She then prescribed medicine Amoxicillin 1000 mg, Pantoprazole 40 mg, Clarithromycin 500 mg which I took for one week. On the fifth day I felt like my body has no energy at all. Anyhow, I took the entire 7 days dose. Now it has been close to two weeks after completing the antibiotics, but even today I feel unbearable weakness in the morning after toilet. The weakness is so much that I lie down and the body starts shaking. For medicines, as of now I am only taking probiotics and multivitamins. Though the frequency of the days when I feel the weakness is reduced but yes once or twice in a week I have it. And also when I am having food I feel like going toilet. Please suggest the best I can do in such situation. Doctor: Hello. You have two problems: 1. H.Pylori associated dyspepsia for which you received treatment and hope that it will improve. 2. You have postprandial defecation and going to toilet, which is more suggestive of irritable bowel. I will advise to continue your Pantoprazole, probiotics as per the prescription of your GP and take the following medications in addition. It will help improve your bowels and subsequently your weakness in two weeks time. Dyspepsia. Irritable bowel. Tablet Mebeverine 135 mg one tablet three times daily before meals for two weeks." + }, + { + "id": 9625, + "tgt": "There is still slanting of teeth after invisalign treatment. Please advise", + "src": "Patient: Hi doctor, I have been dealing with an uneven bite since my last invisalign treatment 4 to 5 years ago. My bite feels slanted and the right side of my teeth do not touch initially when biting down. Overall, my teeth look fine other than the slant in my bite. I was wondering how long would treatment take and how much would treatment cost. Doctor: Hello. I understand your concern. I appreciate and thank you for nice pictures (attachment removed to protect patient identity). Yes, the bite is (open) irregular, uneven and some of the teeth are still rotated or tilted. To conclude the result is not as expected. Usually, if at the end of treatment, if the desired outcome is not achieved, further extension is implemented immediately (with the financial aspect as agreed upon at the time of consultation). However, if it has been pretty long you have seen your doctor (and you have accepted the result), he may charge you right from the square one. You said your right face seems swollen (picture not included), which is, in most such cases, a tender, and a full, thick muscle which gets spasmodic due to improper bite. Muscle relaxants may help for time being, but definite treatment is mandatory to address and resolve this aspect permanently." + }, + { + "id": 19056, + "tgt": "Hydroquinone creams are giving me only temporary skin lightening. Why?", + "src": "Patient: Hello doctor, My skin tone is dusky. One year ago, I started using Hydroquinone cream. After three to four months, I stopped using it,\u00a0but then, my face started to become dark again. After a month, I started to use this cream again and then stopped. I want to make my skin healthy and have a clear complexion. Please suggest what medicines and cream I have to take to get the desired result? Doctor: Hello. Hope this was helpful. Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 23373, + "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": 12796, + "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": 9969, + "tgt": "Can I get milia removed without scar?", + "src": "Patient: Hi doctor, I have a noticeable milia spot on my cheek. My dermatologist said that she would extract, but it could leave a dented scar. I have read that it does not scar. I am very nervous and unhappy with this milia, which looks like a big whitehead. Will it be safe to get it extracted? I have panic and anxiety disorder. So, I am so anxious right now. My current medications are Xanax and Simvastatin. I never had milia before and all my laboratory work is good. Please share your opinion. Doctor: Hello. Milia are a white material containing papule type lesions that mainly presents over the face. Milia are due to sun exposure. Long term sunlight exposure cause sweating and mild sunlight reaction and in turn form milia. If you notice the area, then you will come to know it is always present over sun exposed part only like face, hand, neck and forehead. For further prevention, use proper sunscreen with 50 SPF (sun protection factor). Sunscreen should be applied in daylight before going outside twice or thrice in a day. I want to make you sure that after removal of milia no marks will be left. I do it on a daily basis and almost every day. It should be extracted by small needle and it is not a time taking, painful or complicated procedure. Milia is very superficial lesion so even if it is removed manually by needle or extractor they do not leave any scar or marks. So, you can go for it without any anxiety or anxiousness. It is completely a very superficial procedure. To make you more comfortable, I would like to tell you that scar always comes when something happening deep to the skin like any injury or severe acne. But, milia are so superficial. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18284, + "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": 20904, + "tgt": "Why is there pain and blood after emptying the bladder?", + "src": "Patient: Hi doctor,My question is when I pee and at the end, it hurt when I wipe there is blood when my bladder is emptied. Doctor: Hello. You have to rule out acute urinary tract infection first by urine routine microscopic examination and if it shows pus cells and bacteria than urine culture should be done. If urinary infection confirmed than antibiotic should be prescribed for 7 to 10 days. Cystitis, kidney infection, urethritis, etc., are causes for urinary tract infection. USG pelvis scan done if needed for further work up. Maintain hydration with lots of water. Fruit juice should be taken more. Avoid excess spicy foods. Cranberry juice extract tablet useful. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6752, + "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": 13369, + "tgt": "Is it advisable to have long flight travel during pregnancy?", + "src": "Patient: Hello doctor,I had ectopic pregnancy last year and now am 11 weeks pregnant (normal). Can I travel through flight for more than 20 hours? I have thyroid. Right now my thyroid level is bit higher. I am on medication for thyroid. Doctor: Hi. Please ensure that you are not a high-risk pregnancy as per your obstetrician before traveling. Air travel is allowed during pregnancy (except high-risk cases like threatened pregnancy, high BP, diabetic, twins), just keep the following things in mind especially for more than four hours stretch flight. Drink plenty of water to keep you hydrated. Move around in the flight to keep the blood flowing through your legs, otherwise, you may develop foot swelling and cramps. Do some stretching exercises of legs while even sitting and watching the movies every 30 minutes. Prefer a break journey flight, so you do not feel nauseated due to closed flight space. Maintain sleep pattern same to prevent jet lag and sleeplessness. Take your usual medicines and an extra dose of antacid and anti-emetic. Also, travel with all pregnancy-related documents, and have a fit to fly certificate from your obstetrician, as many flights ask for it in advanced pregnancy. Have light and frequent meals, keep some food stacked in your purse, for frequent snacking, rather than hostess serving you at fixed times. Wear graduated compression stockings in flight long haul flights. Enjoy your journey without worrying much." + }, + { + "id": 14365, + "tgt": "Can I take Spirulina 500 mg tablet twice, to replace the intake of 2. 5 mg Folic acid and Vitamin B?", + "src": "Patient: Hi doctor, Can Spirulina 500 mg tablet be taken twice to replace the intake of 2.5 mg folic acid and vitamin B? Doctor: Hi. The amount of folic acid or vitamin B available in a capsule of Spirulina is not sufficient to meet the daily requirements of these vitamins. So, it is essential to substitute it by other vitamin supplements." + }, + { + "id": 5608, + "tgt": "What can be done for flu-like symptoms with anxiety during pregnancy?", + "src": "Patient: Hello doctor, I am 26 weeks pregnant and had an extreme bout of anxiety and panic four weeks ago that lasted for 2 to 3 weeks, slowly improving over that time. I was also diagnosed with a vitamin D deficiency. But all other blood work was normal. I tried Zoloft for two days and it made me so much worse. Now that most of the anxiety has subsided I have on and off flu-like symptoms and fatigue. I feel fine when I get up in the morning and then at some point in the day it starts. Could this be related to recovering from the anxiety and stress my body went through? I have always had bad health, anxiety, and it has me worried about chronic fatigue. Doctor: Hello. Pregnancy is a delicate phase, you should not take it lightly. You should not take any medication without any opinion from your treating physician. Anxiety associated with flu-like symptoms can be due to an underlying medical condition (such as infection). Hence you should seek an opinion from your gynaecologist as well. Zoloft is a safer drug for anxiety, but still you should take opinion before taking it on your own. Medical causes are more common etiological causes for anxiety, they must be ruled out first. The symptoms that you are facing these days in morning can be the residual anxiety symptoms. So, before taking any medication for this anxiety, get yourself assessed in detail to rule out any underlying medical cause for the same." + }, + { + "id": 2207, + "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": 27522, + "tgt": "I am just 22 and already going bald. Why?", + "src": "Patient: Hello doctor,I am a 22 year old male, height 5 feet and 5 inches and weight 66 kg. I first started experiencing hair fall a year ago, and after taking homeopathy treatment, there was a good improvement in a couple of months. I did not have any hair fall\u00a0for eight to nine months. But, from the last three to four months, I am experiencing hair fall again. Now, it is a serious issue. Whenever I comb my hair, a minimum of 10 to 15 hair falls. I do not have any dandruff. What should I do now?And another problem is that I am almost 23, but I am still not getting a beard on my face. I have little hair on the chin, and that's it. What should I\u00a0do to\u00a0grow facial hair? I do not take any medicines. Doctor: Hello. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 14922, + "tgt": "I have a sore throat and feel a block. Why is it so?", + "src": "Patient: Hello doctor, I had a sore throat but has gone away now. I feel like something is blocking my throat. I look in the mirror and nothing is there. I feel it deep in my throat like it is clear when I breathe with my mouth open but when it is closed, it is blocked. Doctor: Hi. I would like to know if there is actual swelling outside or inside the throat. If not, there could be following reasons for feeling like a blocked throat. This is called globus pharyngeus which is little inflammation of the throat. The medications you have taken during infection might have caused dry throat and muscles and membranes are affected due to strain. Anxiety can also cause this feeling as we are swallowing more when we get anxious. I would also suggest seeing for any ulcers in the throat. GERD (gastroesophageal reflux disease), gastritis can also cause this feeling. Treatment is to try to destress yourself and relax and take antacids like Gaviscon or Maalox after meals for a few days, if not better, please let us know. If the symptoms increase like you have pain or difficulty in swallowing please see a doctor for a physical examination." + }, + { + "id": 21019, + "tgt": "What can be done for uncomfortable sensation in the throat?", + "src": "Patient: Hello doctor, My dad is suffering from throat infection from the past four months. He is telling that there is no pain. But, there is a sensation which makes him feel uncomfortable. He went to many doctors but everyone said it is due to gastric. But, last week he had done a GI endoscopy and the RUT results are positive. So, I just want to know if it is a serious matter. Doctor: Hello. Acid reflux can lead to chronic cough and throat pain. So, acid reflux should be treated with an antacid like Rabeprazole. Avoid excess spicy foods. The head can be elevated while sleeping. Provide your report to comment further regarding endoscopy results. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 20759, + "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": 25293, + "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": 29635, + "tgt": "What is the treatment for diarrhea during pregnancy?", + "src": "Patient: Hi doctor,My wife is 8 months pregnant. She is suffering from diarrhea. What is the treatment? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26384, + "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": 5400, + "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": 4285, + "tgt": "What could be a bump at back of the throat with postnasal drip and GERD?", + "src": "Patient: Hi doctor, I wanted to ask a question about a bump at the back of my throat. It is like a bone. I went to a Local ENT, and he told me it is normal, sometimes it shows to some people. I just wanted to ask what is it? Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). Do you have symptoms like pain or itching in the throat? It looks like granular lymphoid tissues of the posterior pharyngeal wall or it could be a small cyst of the posterior pharyngeal wall also. Did you take any treatment for the swelling? If not you can just do Chlorhexidine mouth gargles three times daily for a week which will reduce inflammation and you can take an oral antihistamine like Fexofenadine which will take care of the allergy part (sometimes lymph nodes are enlarged secondary to allergy). If you have more queries please revert back." + }, + { + "id": 6434, + "tgt": "My 9 months old baby is addicted to thumb sucking. How to break the habit?", + "src": "Patient: Hello doctor, My 9 months old baby boy is addicted to thumb sucking while sleeping and other time also. What to do to break the habit of thumb sucking? Doctor: Hello. The habit of thumb sucking by the babies is related to probably lack of breastfeeding, and sometimes it is seen as habitual sucking. It is reported to be due to a lack of care and insecurity are also the reasons. You can gently remove his thumb whenever you see and when he can understand, you can tell him that it is a bad habit. You need not worry as most of the children grow out of this habit by themselves if left alone." + }, + { + "id": 25824, + "tgt": "Will Teczine-M suppress parthenium allergy or cure it?", + "src": "Patient: Hello doctor, Suddenly, I am getting whiteheads around my nose and chin and sometimes on cheeks, since two years. My nose is heavily targeted. Doctor: Hello. Please send me the photos of the area where you are having whiteheads. There is a chance of it being molluscum contagiosum or milia. So, the exact treatment can be suggested after looking at the photos. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11741, + "tgt": "What is the treatment for pus discharge from eyes of a 2-year-old?", + "src": "Patient: Hello doctor, My 2-year-old baby has pus (photos attached) coming out from her eyes since morning. After cleaning the discharge, it comes back again in 30 to 40 minutes. She has no fever, and is playing and feeding well, except the irritation she is feeling in her eyes due to pus and rubs eyes occasionally. Kindly suggest is this a cause of concern. How should we proceed with the treatment? Doctor: Hello. She has got an infection in her eyes, (attachment removed to protect patient identity) and she needs antibiotic eye drops. Start Tobrex (Tobramycin) eye drops, one drop four times a day after cleaning her eyes. Please wash your hands after touching and cleaning her eyes, use a separate towel for her to minimize the risk of infection spread to other members of the family. It is contagious (spreads from one person to others). So treat her with antibiotic drops and protect the rest of the family. It will start improving in a couple of days. You are most welcome for any queries. Tobrex eye drops, one drop four times a day. Protect others from infection spread." + }, + { + "id": 15456, + "tgt": "Is it possible to feel poor erection and delayed ejaculation because of psychiatric medicines?", + "src": "Patient: Hello doctor, I was on Escitalopram for the past 14 years till date and with Lorel also before five years back but later the psychiatrist stopped. Now, I am only on Nexito 0.5 mg daily for three days and once Nexito plus on the fourth day. I have an erectile dysfunction for which I am consuming homeopathic medicines and this has helped me a lot. But, now also I am not able to ejaculate inside her vagina. I feel like removing out the penis. Please help me out. Doctor: Hello. Taking Escitalopram or Lorazepam without a regular supervision of a psychiatrist for long periods of time is not advisable. This affects the health badly. Nexito is Escitalopram only and this could be the reason for your poor orgasm or delayed ejaculation. If your libido has reduced and you are not able to ejaculate then there is a need for re-evaluation. Drugs like Bupropion can be added to the prescription which will help in remission of symptoms and this will not affect the sexual life too. Instead of Lorazepam, drugs like Clonazepam or Etizolam can be used. Visit a doctor for evaluation." + }, + { + "id": 11216, + "tgt": "Please suggest the management for gas issue with stomach pain", + "src": "Patient: Hi doctor, My father is suffering from gas issue from the last 7 to 8 days. He does not feel like eating from 2 to 3 days. Have checked with local doctors, after a few tests they found nothing but his bloating has not gone down. He also feels pain in stomach. Please suggest. Doctor: Hi, Welcome to iclinq.com. There are different conditions that can cause abdominal bloating that goes from non-urgent to serious conditions. If he is not passing bowel movements or gas and has remarkable abdominal pain, it can be a serious condition like bowel obstruction and needs to be taken to hospital emergency department. On the other hand, if he is passing gas and bowel movements, he needs to be checked for H. Pylori which is a stomach bacteria and has a specific treatment. If H.Pylori is negative then next step is to see a gastroenterologist for potential gastrointestinal endoscopy." + }, + { + "id": 7043, + "tgt": "I act differently depending on the situations. Why?", + "src": "Patient: Hi doctor, I feel I have no personality or that I do not know my real personality. I act differently depend on my environment. I am not sure about the reason, but I cannot keep away from it. I often get depressed, feel numb and empty. I am easily hurt and have extreme emotions. I never express them, but I just feel them. I used to cut myself as I could not express my feeling. I am on regular\u00a0Zyrtec for allergies. Please help. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12763, + "tgt": "My sight is still blurry after wearing new glasses. Kindly advise", + "src": "Patient: Hi doctor, I recently had an eye exam and was able to see clearly by the time the doctor was done with my exam. I ordered the glasses and they just arrived yesterday. I out them on and it is as if I am not wearing glasses because with the glasses or without the glasses everything is blurry. I told them that and was told I have to wait for seven days for my eyes to adjust. How do I do that when I cannot read without straining my eyes either way? Doctor: Hi. As you told your vision was fine with the glasses or lenses your doctor uses during eye exam and now you are having trouble with your glasses then most probably you need to recheck your glasses if they are dispensed according to your prescription or is there any error. Sometimes a minor error in dispensing cause much trouble especially if you having cylindrical number or axis. I think your glasses are not according to your prescription or it gets mixed with someone else. So first go and verify your glasses number and match with your glasses prescription." + }, + { + "id": 27300, + "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": 22345, + "tgt": "I have insomnia and cannot find the right position to sleep. Any advice?", + "src": "Patient: Hello doctor, I have sciatica. I also have nerve pain in my face coming from my neck which stops me sleeping on my back. If I sleep on my shoulder, I get soreness on the shoulder. I have insomnia and cannot find the right position to be able to sleep. Could you give any advice? I put ice on my neck which temporarily relieves the neck pain and deep heat massage on my shoulder. Stomach sleeping is not recommended for people with back problems. Is there some solution to this problem? Doctor: Hi. In this case, there is no best position for sleeping. Instead, the way you are sleeping in every position that will help you. 1. Sleeping on the back - the pillow under the neck should be shallow enough to support the neck in one straight line. Keep a pillow under both the knees so that back is supported completely. 2. Sleeping on either side - the thickness of the pillow should be equal to how broad your shoulders are so that the head and spine be aligned. A pillow between both the arms to support the shoulder from following to either side might help. A pillow between the knees also. Keep changing the sides. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25805, + "tgt": "Can you help interpret my chest X-ray?", + "src": "Patient: Hello doctor, I had a chest and sinus X-ray a couple of days ago and I need help reading and explaining it. I had a runny nose and a cough with phlegm so the ENT doctor asked for a chest X-ray. I have attached the images of the reports. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). I am able to view your paranasal sinus X-rays. It shows mild haziness in the left maxillary sinus compared to the opposite side which can be due to a mild sinus infection. The right inferior turbinates which are a soft tissue in the nasal cavity shows mild hypertrophy. The frontal sinuses are normal. The bony nasal septum is in the midline. Probably you had a flu attack which is improving. Wish you a speedy recovery. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 7729, + "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": 30346, + "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": 24150, + "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": 29652, + "tgt": "Kindly comment on my general blood test", + "src": "Patient: Hello doctor, I recently took a general blood test. I request you to go through my blood test report and give me suggestions. Especially, I would like to mention about high-sensitivity C-reactive protein (hs-CRP) using nephelometry\u00a0mg/L, where the reference range\u00a0is 4.69. Any of your proposals will be appreciated. Doctor: Hi. I have gone through all your reports in details (attachment removed to protect patient identity). Revert with details to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23464, + "tgt": "I have itching on my foreskin. Will it recur frequently?", + "src": "Patient: Hello doctor,I have itching on my foreskin. I observed creamy deposit behind the foreskin reappearing every day despite washing my penis by pulling foreskin. I feel very itchy on the penis when I pull back the foreskin for washing. Now I am using Cetaphil. This problem has occurred three times in last six months. Cetaphil has helped. I am worried about frequent reccurrance. Should I meet a dermatologist? Doctor: Hi. Kindly send image and revert back. From your history, it can be candidal balanitis. Do you have history of unprotected sexual intercourse? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24263, + "tgt": "Please help me quit maladaptive daydreaming", + "src": "Patient: Hello doctor,I am going through maladaptive daydreaming. I have been dealing with this for long. I tried several ways to quit but I cannot. I do not take any medication right now. Please help me quit this. Doctor: Hello. There is no medication for daydreaming. Learn to occupy yourself. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18399, + "tgt": "I have 5 mm calculus in calyx and ureter. What has to be done?", + "src": "Patient: Hello doctor, I contacted you last year with a stone problem which was stuck in my VUJ and came out after taking your medicine. Now since two days, I again have similar symptoms like before, but this time on the left side. I have severe pain with fever in between. I also have frequent urination with burning sensation. I got my routine RE done and found blood ++ and acidic ++ . Also, found calculus in calyx 5 mm and 5 mm in the ureter. I took Paracetamol and currently, on Encorate chrono 300 mg. Please suggest what to do now? Doctor: Hello. The size of the calculus in the ureter is 6 mm (attachment removed to protect patient identity). This may also come out on its own. So, we will try with medicines as last time. You, please take tablet Veltam (Tamsulosin) 0.4 mg every night for two weeks, tablet Levofloxacin 500 mg twice daily for seven days, tablet Pan (Pantoprazole) 40 mg in the morning for seven days and tablet Voveran SR (Diclofenac) 75 mg morning and evening for seven days. Drink plenty of water. We will do some tests to see why you are forming stones. If possible, catch the stone and send for analysis (stone analysis). If you develop severe pain or continuous fever that are not improving with medicines, then kindly immediately contact urologist as it may require removal through an endoscope. Repeat ultrasound after two weeks. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7554, + "tgt": "A small amount of composite filling is chipped. Should it be replaced?", + "src": "Patient: Hello doctor, If a tooth with a little bit of a composite filling that is chipped off at the edge should it be replaced? It is on a molar tooth and does not hurt. The dental explorer does stick in there but no signs of decay on the X-ray. What should I do? Doctor: Hello. As there is no sign of decay, so you need not worry for now. But be extra careful with that tooth, you should maintain good oral hygiene, clean full mouth with fingers after every meal, there should be no food lodgement in your tooth. Rinse mouth properly after every meal. Do revert back for more queries." + }, + { + "id": 20412, + "tgt": "Is it better to do root canal for preserving the carious tooth?", + "src": "Patient: Hi doctor, I am 18 years old, and I am suffering from a carious tooth in premolar (upper left). Today it has got broken from the mid-portion. But the contaminated root is still present there. What can I do now? Is it better to do a root canal? Doctor: Hi. I have gone through the query. If you want to preserve your teeth, you can go for a root canal treatment. After that, you are given a post and core procedure, and finally, you will get a crown placement. This is the best management. If it is grossly decayed with root resorption, you can remove it." + }, + { + "id": 3203, + "tgt": "Will chronic bad cough cause subluxation of chest?", + "src": "Patient: Hello doctor, I have had a tingling pain all over my body for weeks. The pain, however, is mainly located in my chest. I have almost had any heart disease ruled out. Can a bad cough for a few weeks cause subluxation? Should you be able to feel a subluxation? Do all vertical subluxations show up on x-rays? What is the rate of patients who come into chiropractic treatment with subluxations? And can subluxation cause deep chest pain or pain in various areas of the body? Doctor: Hello. Yes, cough can lead to rib head subluxation, although not a common mechanism of subluxation but cases are seen in patients with vigorous coughing episodes. Careful palpation of the region can point to the abnormality, they usually go back into place on their own, if not they should be best dealt by a chiropractor or orthopedic surgeon. Self-adjustment techniques are available over the internet by videos ad images but a lot of people find it hard to learn or perform it during the first instance. Rib subluxation is usually anterior or posterior, hard to visualize on x-ray and are mainly clinically diagnosed from history and examination. These subluxations come quite often to chiropractor or orthopedic surgeon but do not cause pain in various areas of the body or tingling all over the body. I hope this helps." + }, + { + "id": 3482, + "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": 15460, + "tgt": "Why do I have pain in my left upper stomach?", + "src": "Patient: Hi doctor, I have nausea. Why do I have pain in my left upper stomach? Doctor: Hi. It can be due to acidity and gastritis. Please mention whether you have upper abdominal pain, bloating, burping, or increase in pain while taking food, sour water feeling in throat or chest burning. You should avoid having a fatty, oily and spicy diet. Have some walk after having food. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if you have the habit. You can take tablet Pan DSR 40 mg (Pantoprazole with Domperidone) before breakfast once a day for two weeks. If there is no relief, then you can add syrup Sucral O (Oxetacaine with Sucralfate) or Gelusil (Aluminium hydroxide with Magnesium hydroxide) two teaspoon three times a day for a week. To have immediate relief, you can take antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day." + }, + { + "id": 18903, + "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": 6088, + "tgt": "I am suffering from low blood pressure after C-section. How to deal with that?", + "src": "Patient: Hi doctor, I had a C-section a week ago and got out of surgery with low blood pressure and kept it low for a few days. Now, after getting out of the hospital, I still feel the same pressure on my chest. Also, I feel a horrible pounding headache. It is so hard and I feel the heartbeats vividly. I am scared. Please advise. My pulse rate is between 48 and 50. I am on Cephalexin 500. Doctor: Hi. As said by you, a cesarean section has been done for you a week ago and during the operation, your BP was on the lower side. I would like to tell you that amount and volume of blood in a mother increases significantly during pregnancy to support the nutritional need of the fetus inside her womb. As during the period of 9 months the body of the mother gets accustomed to these latest changes. During C-section and delivery of the baby a significant amount of blood is lost. The body after 9 months of high volume of the blood again within a few hours is left with the normal volume of blood as some blood is lost during surgery. So, the body will again synthesis blood and will get adapted to the new situation. And, to make all parameters normal it will take about 2 to 3 week's time. You were taken out of the operation theater in low BP state. This means that the condition (low pressure and pulse) is related somewhere to the delivery events only. Try to drink as much fluid as you can. Please get your hemoglobin level checked so that in case it has dropped significantly it can be treated. As of now pressure in the chest, low pulse, headache and palpitations (feeling your heartbeat) all points more towards anemia. As of now, I would advise you complete bed rest for two weeks. Keep a regular record of your blood pressure and pulse. Take as much fluid as possible and eat a nourishing diet. Get a hemogram, TLC (total leukocyte count) and an ECG done. In case anemia is seen, then we can start iron therapy. Do not worry too much unless you feel dizzy or unconscious like feeling. These symptoms will go away as the body settles down to the new changes. Loss of blood during C-section. ECG to check if the heartbeat is normal and hemogram. Revert back with the report to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8944, + "tgt": "My fever subsided, but headache still continues. What do you suggest?", + "src": "Patient: Hello doctor,I am having headache and fever for four days and I had Sumo cold and Gelusil. Now, the fever is less but the headache continues. Doctor: Hello. A headache along with fever is a common symptom of viral fever. Since your fever has come down, your headache should go away or get better in a day or so. Drink plenty of fluids and stay hydrated and take rest. You can take Paracetamol 500 mg on a full stomach three times a day but do not take any Aspirin or Ibuprofen or any other NSAIDs. If your headache does not improve in a day or you develop any other symptoms like neck stiffness or vomiting or convulsion, etc., you should get some tests done to exclude any other serious issue like meningitis or encephalitis. However, if your fever goes away, such possibility is unlikely. I hope this helps. Please notify if your fever does not improve. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8126, + "tgt": "Hypothyroid patient. Suggest any pre-workout supplement other than Nitrous Oxide", + "src": "Patient: Dear Doctor, I have hypothyroidism. My TSH level is higher than the normal range. T3 and T4 are fine. I go to the gym regularly and like to lift heavy weights. I am taking pre-workout supplement - Nitrous Oxide. I heard that this is not good for me but I want to take some pre-workout supplement. What should I do? Should I take some other type of supplement for strength, energy, focus, endurance? Doctor: Hi. That is a very good question. Revert back to a nutritionist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17857, + "tgt": "Is Amitriptyline better for tension-type headaches?", + "src": "Patient: Hi doctor, I had a mild balance problem while walking, a month and a half back. I did not have vomiting or nausea. I was put on Betahistine and B-Citam for 30 days, which cured 99 % of my balance problem. But, I felt dizzy the whole day. I also have a mild difficulty in swallowing, so I consulted a neurologist. He gave me Stugeron and Betahistine 24 mg, for 20 days. Today after 20 days, 90 % dizziness is gone, and I do not have the balance problem. But I still feel little dizzy, and I have tension-type headaches over my scalp. I am not taking any medicines for this headaches. Please suggest\u00a0some medicine for TTH. The doctor gave me Flunarizine and Propylamine hydrochloride, but I still have the balance problem. All my other blood reports are normal. My hemoglobin, lipid, troponin, fibrinogen, MRI, and angiography are all normal. What should I do? Should I continue my prescribed medicines? Is Amitriptyline better for TTH? Please help. Doctor: Hi. I read your query with keen interest and understand your concerns. While considering your symptoms in totality and reviewing diagnosis made by other doctors in the past, I feel a fair trial of low dose Amitriptyline should be given. Most of my patients with similar presenting complaints, report good improvement in tension-type headaches and vertigo to 25 mg of Amitriptyline at bedtime. It is not possible to say which medicine is better without personally seeing the patient, but I think Amitriptyline will make a better option. At the same time, I am of the opinion that a single medicine for vertigo should be tried first before trying multiple medications. As I can see in your description, you are taking both Cinnarizine (Stugeron) and Betahistine. In my opinion, removing Stugeron should help you in decreasing the dizziness. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18202, + "tgt": "What is the reason for my disturbed sleep and morning drowsiness?", + "src": "Patient: Hi doctor, I am 56 years old and self-employed. I do not have much work for the last few months as I have reduced my business for a gradual retirement. I go to bed at about 10 PM. I get up once in between for urination. Most of the day, in the last few months, my sleep gets disturbed at about 4 AM and after that till 6 AM I am unable to sleep and remain in bed tossing around. I feel tired and drowsy, sometime uncomfortable in between 8 AM to 12 PM. I allow myself to sleep in a bent down position, sitting on the chair for about 30 to 45 minutes in the mornings on most of the day when I drowsy. Irrespective of the morning rest, I take regular rest in the afternoon. Nowadays, I do not get sleep during this time also and keep tossing around. I feel fresh in the evenings. What is the reason for this disturbed sleep, tiredness and morning drowsiness? Can you suggest any medicine for this? I am anemic and my hemoglobin is 10.6. I also have high bilirubin, total 3 and non-alcoholic fatty liver. I neither have jaundice nor any other liver problem. I am currently taking LIV APT, Xaria plus and Pan-D. I am getting nose blockage, for the last few months, when I use AC or fan in the lying down position. During yawning too, I get nose block for a few minutes. Allergy doctor had given Xaria plus for this problem. Please let me know whether anything else is required for this. How long should I take Xaria Plus? Doctor: Hi. I have gone through your query. Stress related sleep disorder. Sleep study after one month. Obstructive sleep apnea (OSA). Insomnia. Conservative management like sleep hygiene, avoid coffee and tea and do regular exercises. Revert back after a month to a sleep medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 17145, + "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": 30222, + "tgt": "My friend had stabbing chest pain and breathlessness. Is it mini-stroke?", + "src": "Patient: Hi doctor, A good friend of mine was headed to work one morning. He got a stabbing pain in his chest and his vision went blurry. The pain went down his left arm and hand. It eased up, but the numbness stayed in his hand for about a week. He ignored it. A few nights later, he woke up gasping as if he could not catch his breath. Again, he ignored it. A few days later, at work, he experienced the same stabbing pain in his chest and inability to catch his breath. Several minutes passed and as always he ignored it. He has been diagnosed with high blood pressure and was prescribed with medication, which he takes rarely. What could all of this be? From what I read, it sounds like a mini-stroke.\u00a0Please help. Doctor: Hi. I am really sorry to hear about it. Chest pain with radiation to arms associated with breathing difficulty and blurry vision points towards classical angina. According to the symptoms, a cardiac event is more likely than a stroke. As per the history mentioned by you, the patient is hypertensive and obese. Both are the risk factors of coronary artery disease. I would suggest to go for a 2D echo test to rule out any lack of blood supply or any mild myocardial infarction, treadmill test, lipid profile and echocardiogram. When done together, then have a sensitivity rate of more than 75%. Apart from that, I would like to know if the patient is a smoker or diabetic. Also, is there any chest discomfort or breathlessness on walking fast or climbing upstairs? Revert back with the investigation reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14805, + "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": 16833, + "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": 6045, + "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": 22607, + "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": 21034, + "tgt": "Why am I getting chest pain everyday?", + "src": "Patient: Hi doctor, I am 18 years old female. I had chest pain before four years. So I visited the doctor, and he told me that it is a heartbeat disorder. He gave me a medicine called Magne B6. I was taking it for the past four years and now, I have stopped it and my pain has got worse. I have chest pain every day. Please help. Doctor: Hi. I need to know more about the symptoms, like precipitating factors (factors that increase pain). Mostly it is gastritis and reflux disease. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on taking food, sour water feeling in throat or chest burning? If yes, it supports the diagnosis. You should avoid taking the fatty, oily and high-calorie 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. You can take tablet Pan DSR 40 mg (Pantoprazole) before breakfast once a day for two weeks. Secondly, does this pain increase on applying pressure over the chest area? If yes, it could be costochondritis, and it is a musculoskeletal type of pain and needs prolonged NSAID (nonsteroidal anti-inflammatory drugs) therapy. Does this pain increase on deep breathing and coughing? If yes, it is a pain arising from the lining of lungs, and it requires NSAIDs treatment and evaluation." + }, + { + "id": 29154, + "tgt": "Why do I have chest tightness and heart palpitations followed by dizziness?", + "src": "Patient: Hi doctor, I am a 50 year old male. I have been having intermittent episodes of moderate dizziness preceded by pain in the neck or head. It happens almost four times a year and some of these symptoms are also preceded with chest tightness and heart palpitations. On one of such\u00a0occasion, I thought I would black out, so I went to the local hospital. Unfortunately, they made mistakes which led to the various ECG readings and Holter monitor readings to go missing due to faulty equipment. I do not have any congenital heart issues, so I am wondering why am I experiencing some strange pinging sensations at times which cause no pain. I\u00a0also visited a neurologist whom I believe did not take me seriously and a head MRI showed no issues.\u00a0After a couple of years of this, I went to a clinical laboratory to have an allergy test done, concentrating on metals as I have titanium screw from a tooth implant. The tests showed no allergy reaction to metals, but it did show an antibody response to myelin basic protein, which could indicate an autoimmune problem affecting nerves. The first test showed below 2 (which is the baseline between reactive and non-reactive indication) and the second test sample was also 2, but the third test was 3, which is above the baseline. The report for this MELISA test explained that this could indicate that my immune system was attacking the myelin protein. I am concerned as I am at an early stage of an autoimmune disease. I am not sure what the next step should be. Also, several years ago I had an MRI on my back L5 area due to an old injury, and they noted a perineural\u00a0cyst. It seems like my back injury to this area has improved with treatment but other symptoms as mentioned above have\u00a0replaced them.\u00a0Can you please provide some clue regarding the meaning of the MELISA test results and what my next step should be? I will shortly have a follow-up MRI done to identify any further degeneration of my spine, including the neck as well. Doctor: Hi. I read your query and understand your concerns. For further queries consult a neurologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10004, + "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": 16283, + "tgt": "I am not getting erection easily and it lasts for short time. Please help", + "src": "Patient: Hello doctor, I did not get an erection that easily and am not able to hold it for long also. I did not last longer than three minutes. Doctor: Hi. You need to get yourself evaluated to find the cause of this. If any problem detected, then proceed further accordingly. However, in your age group most common cause is psychological in nature. In such situations, the erectile dysfunction is managed by a drug like Sildenafil or Tadalafil and behavior method called Master and Johnson technique. You can google this technique and can start practicing it. Regarding premature ejaculation, three minutes is not abnormal per se, and you can increase the time by practicing a few techniques like start-stop technique or squeeze technique or coitus interruption technique. It is quite difficult to explain here but you can google them or can watch video on the internet." + }, + { + "id": 2995, + "tgt": "Is it possible to get pregnant without penetration?", + "src": "Patient: Hello doctor, I had sex with my partner last month, after the third day of my periods. There was no intercourse and also we used condoms. My period date was 2nd of this month but did not get my period. Then I consumed Primolut N for three days thrice daily. Today is the 8th day after the last dose. I have back pain, cramps, and also abdominal pain. I also ate papaya this week. I also did a home pregnancy test but the results are negative. But I do not understand why periods are not coming. I am very tensed. Is there any chance to get pregnant? Please help. Doctor: Hi. If you had sex on the third day of menses then there is no chance of pregnancy. Periods can be delayed due to stress. And even due to taking Primolut N. You need to wait for five more days. I think the period should come in these five days. Do not worry as the pregnancy test is also negative." + }, + { + "id": 263, + "tgt": "I feel heavy over my chest. What could it be?", + "src": "Patient: Hello doctor, I am a 34 year old male. I am suffering from numbness in my hands and toes. I also have wheezing. I am getting moderate chest pain and cough when I take a full breathe. I feel heavy over my chest. My body feels like burning, but also freezing under comforter. I have entire body pain and fatigue. I had the same last night. Do you have any ideas about my problem? Doctor: Hi. I have carefully gone through your query. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19730, + "tgt": "I am experiencing dry cough for last 2 months. I did blood test to see something wrong. Here are the results", + "src": "Patient: Hi doctor, I am a 35 year old male. I am experiencing dry cough for last 2 months. I visited local doctors two weeks back and they have suggested Deriphyllin R twice a day, Azithral A once a day and Allrite once a day for 5 days.\u00a0But the cough returned after the course completed. I had slight pressure on my chest but after the suggested course I only have cough. Also I was advised not to use talcum powder and body spray.\u00a0I did blood test to see if something wrong. Here are the results hemoglobin, EDTA whole blood 14.60, total leucocytes (WBC) count - 10500, platelet count 272,000,\u00a0Red blood cell count 4.78,\u00a0PCV 43.20,\u00a0MCV 90.30,\u00a0MCH 30.50,\u00a0MCHC 33.80, neutrophils 53, absolute neutrophils 5565, eosinophils 6%, absolute eosinophils 630, lymphocytes 37%, absolute lymphocytes 3885, monocytes 4%, absolute monocytes 420, basophils 0, absolute basophils 0, RBC morphology - normocytic, normochromic. WBC abnormalities not detected, platelets adequate, parasites not detected. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24630, + "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": 18138, + "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": 3891, + "tgt": "What can be done to improve erection during sex?", + "src": "Patient: Hi doctor, I have ED. My penis does not erect whenever I tried to have sex with my wife. It goes down in less than a minute. I feel really bad. Please help me out regarding this. Doctor: Hi. I read your query and understand your concerns. Before we can make any conclusions, I request you to provide the following details. So, an impression can be made about the cause of the problem. How long are you facing this problem? How the problem started whether it was sudden in onset or build up slowly over the months or years? What is the frequency of the problem in a week or month? Are you able to have some successful sexual intercourse? In a typical month out of what number of sexual interactions or masturbation do not achieve success? What are the factors that increase the problem? What are the factors that relieve the problem such as thoughts, situations, partner, place, etc? Do you get an early morning erection? If yes, how frequently and how intense? Is your partner very critical and demands sex more than what can you think? Does she feel superior to you or bothers you in some other regards? What is the effect on your relationship so far due to this problem? Please share the details of previous or other medical illnesses, like duration, any complications, treatment received to date, medications you are receiving currently if any including ayurvedic homeopathic or any other, medication you received in past and their effect. Do you have any psychiatric illnesses like anxiety, depression, fear, etc? What are the investigations done to date and reports of latest investigations such as serum testosterone, TSH, T3, T4 and any other? I must assure you that once we identify cause it will be easy to correct it. I look forward to seeing more details. Thanks and regards." + }, + { + "id": 2096, + "tgt": "I have unbearable pain in my left shoulder for five days. What to do?", + "src": "Patient: I cannot rotate my left shoulder from 5 days and continues sever pain which dont let me sleep Doctor: Hi. The main shoulder joint is a ball-and-socket joint, which allows a very wide range of movement. The joint is surrounded by a tough fibrous sleeve called the capsule, which helps to hold the joint together. A group of four muscles and their tendons make up the rotator cuff, which controls movement and also helps to hold the joint together. There\u2019s another smaller joint where the top of the shoulder blade meets the collarbone, the acromioclavicular joint. You can take ACCELOFRNAC+PARACETAMOL tab for severe pain once a day for two days. Following exercise will help reduce pain and increase range of motion. Reducing the strain When raising your arm or lifting objects, reduce the strain or pull on your shoulder by: keeping your elbow bent and in front of your body keeping your palm facing the ceiling. To lower your arm, bend your elbow, bringing your hand closer to your body. Your pain should ease within 2 weeks. you should carry on with exercise for 6-7 weeks to help prevent symptoms returning PENDULUM EXCERCISE: . Let your other arm hang down and try to swing it gently backwards and forwards and in a circular motion. Repeat about 5 times. Try this 2\u20133 times a day. SHOULDER STRETCH: . Stand and raise your shoulders. Hold for 5 seconds. Squeeze your shoulder blades back and together and hold for 5 seconds. Pull your shoulder blades downward and hold for 5 seconds. Relax and repeat 10 times. RAISING ARM AND BENDING TOWARDS SHOULDER. WALL WALK all these exercise will not only help in reducing pain make shoulder to normal. Also you can apply Diclofenac ointment and clean it with warm aftern10-15mins following hot water fermentation. it will help you reducing pain fast. follow up after 3 days for further investigation and medicines and exercise. thank you." + }, + { + "id": 11274, + "tgt": "What causes thinning of crown hair in males?", + "src": "Patient: Hello doctor, I am 19 years old, male, recently I have discovered that my crown hair is slightly thinning, however I think it is a cowlick, because the middle part of the crown where the swirl is thick but away from the swirl it is thinner. You can actually see my scalp lines or hairlines. You can see my top back hairline and side of the crown hairline. Doctor: Hi. I can see thinning of hair in the picture you have attached, but I cannot see the hair line (attachment removed to protect patient identity). It could be telogen effluvium (stress induced) or early androgenetic alopecia or visibility of scalp could be because of your short hair. Androgenetic alopecia or male pattern baldness starts with receding hair line on the temporal and frontal area of scalp then there will be thinning in the crown of scalp. I will have to see pictures taken from the front to visualize hair line receding to confirm androgenetic alopecia. Are you actively losing hairs everyday? Do you see more hairs while taking shower? Do you have family history of baldness? Any history of illness in the recent past? Any surgeries? Hospitalization? Hair needs protein for growth, diet rich in protein say 40 to 60 g of protein per day is very helpful. It depends on the body weight. Avoid hot water, use lukewarm water to wash scalp." + }, + { + "id": 30984, + "tgt": "Shall I give cow's milk to my 3 months old baby?", + "src": "Patient: Hi doctor, Shall I give cow's milk to my 3 months old baby? Also, please suggest how to give it. I am breastfeeding my baby from birth and did not give lactogen too. Either cow milk or buffalo milk, which one is better? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21654, + "tgt": "I have high blood pressure and feel chest pain. Please help", + "src": "Patient: Hello doctor,I feel pain on the left side of my chest. I have no sugar but high blood pressure. My age is 50 years. I am 67 inches in height and my weight is 78 kg. Doctor: Hello. Your symptoms could be related to gastroesophageal reflux or muscle pain. I recommend taking an antacid and Acetaminophen. If the pain persists, I would recommend consulting with your attending physician for a physical exam and some tests as follows: An exercise cardiac stress test would help exclude possible coronary artery disease. You should discuss with your doctor about the above tests. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13160, + "tgt": "What are the ways to cure cystic acne over cheeks and chin?", + "src": "Patient: Hello doctor, I recently started getting cystic acne all over my cheeks and chin. I am 21 and I had never had any problem with acne until about nine months ago when this red, inflamed underground acne started occurring and mostly only on my cheeks. It has been five months since my last big flare up, acne trickling in now, and I have had dark red marks left behind. I have been using a gentle cleanser, Vitamin C products, prescribed antibiotic ointment, moisturizer, and sunscreen. I wash my sheets and pillow cases every week, avoiding foods that encourage inflammation. My skin is healthier than it has ever been but these marks have not gotten any lighter whatsoever. What do I do? I am ashamed to have anybody see me without makeup on. I want my face back. Doctor: Hi. I can understand. Do not worry. You will get better. Kindly attach pictures of your lesions for proper diagnosis. Have you taken oral medicines for your acne? I am prescribing you night cream. Hope you will get better with it. Continue with your rest of treatment. Acne. Acne. Apply Tretinoin gel plus cold cream at night. Continue your rest of medication. Maintain hygiene of area. Wash with soap and water. Avoid using Dettol and other irritants." + }, + { + "id": 10572, + "tgt": "What can be done for bloating in a patient with acidity, GERD and IBS?", + "src": "Patient: Hi doctor, I am suffering from acidity, GERD, IBS from the last five years. I am just taking Pantop DSR or Rabekind DSR from the last three years but no result. I have high BP, stage 1 BP varies from 140 to 150 and 90 to 110. I feel bloated mostly. Sometimes breathlessness, pressure in eyes and head. I have fat in my stomach around 2 to 3 inches. I have visited many gastroenterologist but no result. Doctor: Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD. 2. Irritable bowels. 3. Bloating. You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure." + }, + { + "id": 7227, + "tgt": "What causes lump inside eyelid with blurring?", + "src": "Patient: Hello doctor, I discovered a tiny lump on the inside of my upper eyelid quite a long time ago. However, I had no pain or anything. Lately, I have been having bad headaches, today I got a shooting pain in the eye and since then, it has been a little blurred just at the top where the lump is. I have also noticed the lump has gone blue. Doctor: Hi. It seems a small marginal chalazion. A chalazion is a swelling formed due to blockage of lipid producing glands in eyelids. The good thing is mostly these are painless (except when it gets infected). In most cases, it resolves spontaneously. Sometimes, these may require an incision to drain out blocked secretions. If it is painful, then you should visit your eye doctor and he might give you some antibiotics and NSAID. Warm compresses are also helpful. You are welcome for any queries. Have a nice day." + }, + { + "id": 23658, + "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": 13365, + "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": 21768, + "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": 21911, + "tgt": "I have Fordyce spots on the edge of my lips. What can be done?", + "src": "Patient: Hello doctor, I am a 26 year old male. Fordyce spots with white yellow bumps occur on the edge of my lips. Doctor: Hi. Fordyce spots can be cauterized for cosmetic reason. If left untreated there is no harm. Topical applications will not help resolve. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 362, + "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": 25690, + "tgt": "How can cervical prolapse be treated?", + "src": "Patient: Hello doctor, I am a 72-year-old female and I have a severe prolapse. I was told four years ago that I had a problem in my cervix. So was unable to have a ring fitted around the prolapse. I have been told that it is unlikely cancer. Now after having it all this time, I have been told there are alternatives to having a hysterectomy like having a mesh implant or having the prolapse stitched back. But, I am wondering if I could have either of these procedures due to whatever is on my cervix. I am on medications for diabetes and high blood pressure. Please help. Doctor: Hello. Cervical prolapse has four stages according to severity. In severe cases, surgery is the best solution to relieve the pressure symptoms and to prevent complications such as urinary incontinence. The best solution is hysterectomy but in your case you refused it. I think you should discuss with your gynecologist about other surgical solutions such as laparoscopic fixation or Le Fort surgery. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20423, + "tgt": "I noticed skin color change on my elbow. Is that a skin disease?", + "src": "Patient: Hi doctor, Before 20 days ago, I noticed an appearance of white skin on my left elbow. I thought it was due to change of weather. My left elbow had few changes in skin color when compared to the right elbow. My body is weak and lean. I have attached the picture to you. Is this a skin disease or not? Please help me. Doctor: Hi. I can understand your concern. I have gone through the attachment (attachment removed to protect patient identity). It does not look like a severe problem. So there is no need to worry. There are drying and flaky scaling of the skin in the elbow area. It is a simple problem of dry skin due to change of weather. I advise you apply some natural moisturizer like pure almond oil. Alternatively, this can also be a condition called psoriasis, but it does not look like it. It is a treatable condition, and there is no need to worry. Psoriasis can also occur in people who are stressed. So I advise you reduce your stress, drink lots of water and try natural moisturizers. If there is no change in two to three weeks, meet your dermatologist for a direct clinical examination." + }, + { + "id": 1765, + "tgt": "My 3-year-old son speaks only few words. Is this due to stubborn nature against his younger brother?", + "src": "Patient: Hello doctor, My oldest son is 3 years old. He understands everything you say to him, but he refuses to talk. He used to say a variety of words and now he only does animal noises and a handful of words. I would like to know what I could do in order to encourage his vocabulary or if I should be worried about it in the first place. I am also wondering if his decreased vocabulary and stubborn behavior are linked to the arrival of his baby brother a year ago. I am currently trying the apps Speech blubs and ABC mouse. He also likes puzzles and games, but he will not sit for the songs or story telling. Any advice would be appreciated. Doctor: Hi. It seems like a regression of speech is there with normal receptive skills and affected expressive skills. Rather than finding the cause now focus on how to improve the condition. Apps are good but not in the initial stage. Start with some interesting real-life activities to extract some simple utterances first. Do not give anything without his utterances, even if minimal it should be there. Pa ..paa..paa in a musical manner like other phonemes also start extracting. He will surely enjoy. From this go to combining like paa paaa paaa/ taaa taa taaa /tooo toooo tooo. Then potato, then tell see we will cut potato. Cut the real potato and show him. Get a video consultation with me if you want to get the demonstration for a better understanding. Implement these techniques and give feedback on this. Thanks." + }, + { + "id": 5606, + "tgt": "Please look at the mole on my body and explain whether it is melanoma", + "src": "Patient: Hello doctor, I am a 32-year-old male with no major past medical history to speak of. I have had this mole on my right shoulder for sometime, it could be years but I am unsure, and I just want to have a dermatologist look at it to make sure it is not suspicious. I have no family history of melanoma or other skin cancers. Doctor: Hello. I have read your query. I have seen the attached photographs also (attachment removed to protect patient identity). I understand your concern. From the images, there are following possibilities for the mole you talked about: 1. Lentigines. 2. Spitz nevus. 3. Melanocytic nevus. 4. Melanoma. In such spurious cases, I prefer to advise excisional biopsy and send it for histopathology to rule out any associated atypical features. Dermatoscopy also helps to some extent in arriving to a conclusion prior to biospy. As per my advice, you should consult your dermatologist in person for proper clinical examination and if needed he would do skin biopsy for you. Although melanoma is a remote possibility as observed from the image, still it cannot be ignored." + }, + { + "id": 16085, + "tgt": "Semen and urine are yellow colored. Is it fine?", + "src": "Patient: Hi doctor, I am 22 years old. I am getting a yellow urine since last 4 to 5 months. What could be the reason and also my semen color is yellow. Can you help me with this? Is it because of masturbation? Doctor: Hi. Yellow urine is usually due to less water intake, sweating, vitamin pills or certain foods or food color. Yellow semen is seen when you masturbate or have intercourse after a break of a few days. In both cases, there is no cause to worry if there are no other symptoms. This has no relation to masturbation. If you have persistently yellow urine or yellow eyes, contact your doctor. Take care." + }, + { + "id": 30033, + "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": 30755, + "tgt": "Why am I getting angry often?", + "src": "Patient: Hi doctor, I am a 25 year old female. I cannot control my emotions. In\u00a0certain situations,\u00a0I easily get angry and irritated. I also start blaming the other person for the mistake. I take everything negatively and also speak in a negative way. I do not have patience during that time. Please give me some advice. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27732, + "tgt": "I have weakness, headache and stomach upset after a cat scratched me. Should I be worried?", + "src": "Patient: Hello doctor, I am an 18 year old girl. This week, I bought two kittens and a\u00a0dog. I took good care of them and cleaned them thrice a\u00a0day. One of my kittens scratched me a bit, but I cleaned the scratch with soap and alcohol. It has been six days and the scratch is gone. But, I feel very weak lately and have a severe headache as well as an upset stomach. I am an extremely clean person. I cleaned everything and disinfected the cat room. Do I still need to get tested for a cat scratch disease? I am a bit better now. I thought I am a bit anemic from my period and I started some vitamins. Am I in danger? The vet said that I am not if i clean my hands regularly, but I am still concerned. Doctor: Hello. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 3683, + "tgt": "Fatigue in my vocal cord is refraining me from speaking and singing. Please help", + "src": "Patient: Hi doctor, I had some vocal fatigue for a while and I have been resting my voice for pretty much one month now. I was not so sure if I should start speaking again or not. I am a bit afraid if it is going to affect my singing voice. Either way the first time I consult an ENT they said I had hemorrhagic patches on my anterior one-third of both of the vocal cords. I have been drinking a lot of water and also I took some proton pump inhibitors. I also have a phonatory gap but I do not think that is the problem here really. Anyway, I was just wondering how much time do you think I still have to keep resting. Doctor: Hello. I assume that these videos are one month prior to today's condition. (attachment removed to protect patient identity). I see some amount of inter arytenoid pachydermia (suggestive of acid reflux and associated changes in the posterior part of vocal apparatus) and anterior phonatory gap. Although I cannot see the anterior one-third of the vocal cords that clearly, I understand that your ENT has found that those portions had some hemorrhages. He was right in advising you voice rest and proton pump inhibitors. Ideally, a week of absolute voice rest is sufficient. Followed by voice restriction, vocal hygiene, antiallergic treatment, nasal sprays (based on nasal symptoms), increased hydration, etc. Now considering you have taken a month of voice rest, I think it is sufficient. But do you have any symptoms whatsoever now? Any nasal symptoms or allergic symptoms? Any history of substance abuse? Do you suffer from diabetes or hypertension? In my practice in addition to antireflux (PPI tablets), antiallergics (antihistaminics like Fexofenadine, Allegra, Deslor, etc), hydration, voice rest, dietary and lifestyle changes. I add some voice therapy. Probably you should explore some vocal hygiene tips from a speech-language pathologist or voice therapist." + }, + { + "id": 30443, + "tgt": "Do you think disc hernia can cause issues with hands and legs?", + "src": "Patient: Hi doctor, I have a herniated disk in the neck area. Later,\u00a0my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had another epidural and trigger point injects four weeks ago, but it does not seem to have done much this time. This week, I started having numbness in my toes and some burning there. My legs just do not feel quite right and maybe a little heavy. The thighs are still burning on and off. Do you think it is possible that my cervical issues at C4-C5 or C6-C7 could be responsible for both the hand and legs? Do you think I might have a lower back issue? Doctor: Hello. MRI cervical spine with images, neurological charting of extremities, vitamin D and B12 levels. Will advise once a provisional diagnosis is established. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 838, + "tgt": "Are there remedies to stop early maturity?", + "src": "Patient: Hi doctor, My granddaughter became obese last year. The doctors detected some thyroid problem. After taking the pills she became normal. Now, she is expected to have early maturity. She is 6 years now. Before three years she had a head injury. But, she was normal and it was ignored. What treatment she should take now? Doctor: Hello. 1. Ultrasonography of neck. 2. Anti-TPO antibody (anti-thyroid peroxidase) 3. Check levels of T3, T4 and TSH (thyroid-stimulating hormone). Revert back with the answers to the above questions to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 21208, + "tgt": "Low-lying placenta at 19 weeks. Is it safe to fly with this condition?", + "src": "Patient: Hi doctor, I am in my 19th week of pregnancy and yesterday, I came to know through the scan that my placenta is anterior low lying, that is, 1.9 cm beyond the os. I have a flying travel planed on 25th this month and I fly back on the 9th. Is it safe to travel? Doctor: Hello. You are in your 19th week of gestation with a low lying placenta (just 1.9 cm from the os - placental margin). Ideally, 2.5 cm from os is considered safe. So, travel with flight or any other mode is not recommended in your case presently. Also, an absolute no to intercourse as well as this may cause threatened miscarriage/antepartum hemorrhage due to jerks or exertion while traveling. Usually, the placenta naturally climbs up by 32 weeks of gestation when the lower segment of the uterus starts forming. So, presently you have to be careful and if the trip is avoidable, it should be avoided. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 885, + "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": 5835, + "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": 15155, + "tgt": "What can be done for a person always staying in her room without any communication?", + "src": "Patient: Hello doctor, My issue or family issue is how to deal with my sister to get her out of the room and act normal again. I have been praying. I also went to a psychiatrist once but that one session is not enough to answer all my questions about my sister. She is 30 years old. She is not normal and it is breaking our hearts. She literally locks herself in the room the whole entire time, the few times she gets out (she times it while we are asleep) so I did not see her the first three days during my visit to my family. After that, I saw her when she got out to take food from the kitchen. I followed her and I greeted her and asked her to greet me back and give me hug, but she ran back to her room and locked herself. Other two times I followed her and touched her arm softly and I said \"I need to tell you something dear\", to try to grab her attention to talk solutions but she did what she has been always doing lately which is walking back fast to the room and locked herself. I could not have time in those moments to even give her the gift I got her and some magazines for her to see the outside world through because she does not have a TV in her room nor any technological gadgets nor a mobile or anything of that sort. Whenever she goes quickly to the kitchen she takes food back to her room and when she opens the room, she locks it back so no one enters her room but we could smell how bad it is because she has been isolating herself for the past seven months in this manner. I do not know what to do. It has been easy for many people, family, friends to tell us that she needs to see a doctor but we all know that. But how can we do that when she refuses to talk to us? One doctor my family went to, urged them to take her by force to the doctor but I refused thinking it is an extreme measure. She has had hallucinations and was on anti-depressants too. Doctor: Hello. I can understand your concern. She is 30 and has isolated herself socially. She is not at all interacting with others. She is showing inappropriateness of emotions. You have mentioned that she once told you that she had hallucinations. What kind of hallucinations she had? I mean what were her complaints at that time. Did she complain that she is hearing some noise or hearing some conversations? She has a history of inappropriate laughter too. Did she ever show symptoms like someone is going to harm or kill her or family? Even she blamed some family member or friend that he or she might be conspiring against her? Does she accept food given to her by family members or she refuses and takes food by own? She is very guarded and is not at all interacting. Sometimes she showed positive symptoms like inappropriate laughter, hallucinations, etc., but the history is not clear. So based upon the information you provided if we make a provisional diagnosis then this goes towards two main possibilities. The first and most common possibility is some psychosis. This might be schizophrenia too. But as I have said the information to make the diagnosis is not adequate. Individuals remain guarded, socially withdrawn to a great extent in schizophrenia. The other possibility is some mood disturbance. She might be severely depressed and having associated psychotic symptoms. If legal issues permit then better to take opinion from a psychiatrist for her. If she does not agree to visit a psychiatrist then you and your family members can take an opinion. So antipsychotic drugs like Olanzapine, Risperidone, etc., can be given to her by mixing with food without her knowledge and she will become compliant to visit a psychiatrist after sometime. You should not delay her treatment and should consult a psychiatrist immediately." + }, + { + "id": 22930, + "tgt": "My husband consumed Lizol. Can it cause serious problems?", + "src": "Patient: Hello doctor, My husband consumed one full cap of Lizol. Can it cause serious things? Should I go to the doctor immediately? Doctor: Hello I am assuming that by Lizol you are referring to the disinfectant and floor cleaner. Yes, there are possible toxic complications if your husband does not seek medical care immediately. Please give him two glasses of water to drink and go to the emergency room immediately. Symptoms that may develop are nausea, vomiting, and diarrhea. There are other more serious complications that a doctor at an emergency room will be able to monitor for. All the best on your trip. Please do let me know how things are going once you reach the hospital. Blood tests to be done - CBC (complete blood count), electrolytes, urea, creatinine, calcium, magnesium, and phosphate. Treatment - Vitals monitoring, intravenous fluids, 24-hour observation. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12136, + "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": 26136, + "tgt": "How does my recent MRI report vary from the one taken eight years ago?", + "src": "Patient: Hello doctor, From the last\u00a0eight\u00a0years, I have a numbness in my toe, the one next to the big toe. Now, it slowly spread to just above the knee, and in the area above the ankle which is below the knee on the\u00a0right leg. There is no sciatic pain on either side. I have mild diabetes from 10 years. My MRI result eight years ago was as follows: Degenerative disk disorder between L3-L4, L4-L5 and disk prolapse and disk herniation in L5-S1 and mild compression noted in L5-S1.\u00a0 Tarlov cyst at the level of S2. Yesterday's MRI result was as follows: L2-L3, diffuse disk bulge noted causing anterior thecal sac indentation. L3-L4, diffuse disk bulge noted causing anterior thecal sac indentation and compromise of bilateral recesses. L4-L5, diffuse disk bulge noted causing anterior thecal sac indentation and compromise of bilateral recesses. L5-S1, diffuse disk bulge noted causing anterior thecal sac indentation. Nerve conduction study: Bilateral moderate sural sensory axonal neuropathy in lower limbs. Doctor: Hello. I have read your query, seen the attached pictures (attachment removed to protect patient identity), and understand your concerns about the compression of nerves and diffuse disc prolapse at the\u00a0lower lumbar region. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 22076, + "tgt": "I cannot breathe in spite of asthma medicines. Kindly help", + "src": "Patient: Hello doctor,I am 35 years old but I cannot breathe properly. Either I have to take nebulizer with Duolin or Borecort or Asthalene inhaler. But I am not satisfied with all these medicines. Kindly suggest. I got an asthma attack 13 years back. Doctor: Hello. If your asthma symptoms are not under control, an evaluation will be necessary to know the reason. Change in inhalers will be necessary. We need to evaluate what all things you are allergic to and those have to be avoided. I see that your weight is 92 kg. Weight reduction will go a long way in asthma control. If you also have a nasal allergy, that also has to be treated. Allergy testing may be done to determine what all things you are allergic to. 1.Poor inhalation technique. 2.Obesity. 3.Regular exposure to allergens. 1.CBC (complete blood count). 2.Serum IgE. 3.Absolute eosinophil count. 4.Spirometry. 5.Allergy test. For more information consult a pulmonologist online.--->https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16025, + "tgt": "What are the ways to detect condom breakage?", + "src": "Patient: Hello doctor, I and my fiance had sex for the first time two days back. We both were virgins till now. We used condoms while intercourse and also checked them for breakage but found them to be non-broken as per our knowledge about condom breakage. But my fiance is experiencing headache, feeling like urine not in control, abnormal feelings, etc. We are worried if these are signs of pregnancy or just due to first time intercourse. Please also tell about detecting condom breakage or leakage, as we could not find any visible hole in the condoms after intercourse. If anything serious, please suggest about taking I-pills as 72 hours are not yet completed. Doctor: Hello. It is not possible to say so early if one could be pregnant from your history. If you have doubts about condom breakage, I would advise considering an emergency contraceptive pill that is I-pill. The symptoms she has could be due to urinary tract infection. So she can get a urine analysis and culture to look for infection. Syrup Citralka (Disodium hydrogen citrate) and plenty of fluids." + }, + { + "id": 17133, + "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": 7172, + "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": 20828, + "tgt": "Can combined treatment be taken for fungal and chlamydia infection?", + "src": "Patient: Hello doctor, I was diagnosed with chlamydia trachomatis about six weeks ago. After that, I had some discharge and discomfort inside the urethra. They did a PCR test, and the diagnosis was Chlamydia trachomatis. The doctor gave me Azithromycin, I took six pills as a single dose. I still had discharge and discomfort after one week, so I went back. I had a sensitive reaction to Doxycycline before, it gives me strong oral thrush, very painful. So I told the doctor to give me something else. He gave me Levofloxacin 500 mg, once daily for two weeks. I still had discharge after that, although the discomfort was less pronounced. I tried to take Doxycycline, but after taking only one pill, 100 mg of Doxycycline, I immediately developed oral thrush (it was hard to speak and eat for 10 days) and itchy and painful fungus on my penis, so I stopped. Now after two weeks the oral thrush is gone, but I have discharge and discomfort again like in the beginning. What should I do? Is there another antibiotic I can use? Do I have to use Doxycycline and take antifungal medicine like Fluconazole at the same time? Kindly help. Doctor: Hi. Yes, if you can tolerate Doxycycline, you may combine it with Fluconazole. Fungal infection may have occurred as a coincidence. So it may not be due to Doxycycline itself. Another option is to try Cynomycin (Minocycline) 100 mg twice daily for 14 days. You may add an anti-inflammatory after consulting your doctor. If there is dysuria or straining in urine, add an alpha blocker like Tamsulosin. Take care. Please use a condom till your infection goes away." + }, + { + "id": 30554, + "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": 22023, + "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": 18808, + "tgt": "Can loss of balance occur due to high blood pressure?", + "src": "Patient: Hi doctor,Since four years, I am having high BP. I am taking Met XL 50 now and my BP is around 112/82. Sometimes, I have episode of headache and sweating.\u00a0I feel like I am going to fall. When I check BP during that time with digital machine it shows it around only 112. Does this happen because of BP? Some people say digital machine does not show accurate reading. What should I do now? Doctor: Hi. I can understand your concern. Yes, there are some variations seen in BP (blood pressure) readings while using digital device. So, to eliminate your doubt do one thing. After checking BP at home from your digital device try to verify it with manual machine. If both reading are same then it concludes that your BP is normal or I would rather say little bit low for your age. Now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). It is fall in BP during upright position. I want you to measure your BP first in sleeping position. Then stand erect for 10-15 minutes and measure BP again. If there is fall of more than 20 in systolic then it confirmed it. My advice for your condition are, Revert back with answers for the above questions to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25503, + "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": 1079, + "tgt": "My wife is 50 years old and is it safe for her to take OCP to prevent pregnacy?", + "src": "Patient: Hello doctor, My wife is 50 years and I am 54 years old. Last night we had sex with a condom, but I have doubt it may be unsafe. Her period occurs once in one and a half months. Other than this she does not have any gynecological problem. Can she take any contraceptive pill like Unwanted 72? Doctor: Hello, Welcome to icliniq.com. Though your wife is in the late part of her reproductive age and might be approaching her menopause, yet if she continues to have her menstrual cycles regularly there is a chance that she might be still ovulating and if intercourse happens in her fertile period she might conceive. It is better she takes Unwanted 72 this time. Unwanted 72 is safe for her from a medical point of view but it is not 100 percent effective in avoiding pregnancy and cannot substitute a routine contraceptive. So please do a pregnancy test also if she does not have her periods at the scheduled time. After her next periods follow up for an effective contraceptive with additional benefits for hormone replacement appropriate for her age." + }, + { + "id": 10824, + "tgt": "I can see a tar kind of thing when I cough in the morning. Why?", + "src": "Patient: Hello doctor,I am a smoker for the past 10 years. Now reduced from last two to three months. During morning cough I can see tar kind of things after brushing. Why is it so? Doctor: Hello. You have been a smoker for 10 years, and I am not sure how many sticks or packs you consume in a day, that may help in quantifying your pack year. Now this cough is productive of dark tar stained mucus. Going by your symptoms and body weight, it seems you have really lost so much weight. I want to know for how long your cough has lasted whether it is more than three weeks or three months. I want to know if you have drenching night sweat, and anorexia that is loss of appetite. Is there any change in your voice like hoarseness, do you have pains in your chest when you cough, any halitosis (smell mouth) difficulty with breathing or any pains with breathing. Do you get breathless on mild or moderate exertion, any dwellings of your feet? Is your fever continuous and not relieved by Paracetamol or Ibuprofen? From all these, based on the history of long years of smoking, and the obvious wasting (weight loss) it is suggestive of a possible COPD (chronic obstructive pulmonary disorder), to rule out malignancy also possible ptb (pulmonary TB). Try and do a sputum microscopy culture and sensitivity, do a chest X-ray, but if you can afford a chest CT scan that will give a better image of your lungs. Do sputum AFB for TB get the results of the test for further review. Chronic bronchitis, pulmonary cancer, TB (tuberculosis), congestive cardiac failure, and bronchiectasis." + }, + { + "id": 21024, + "tgt": "Why am I having flashes of light and blurring of vision?", + "src": "Patient: Hello doctor, One week back, I started to get a light glint in my right eye. It seems as though my sight is blurred in this eye and it is quite exhausting dealing with it. I had a significant sinus discharge the day before and on the opposite side the days before this started and now have this tiny blurring for a week. Doctor: Hello. By going through your query, I could understand that you are experiencing flashes of light and blurring of vision. Most of the patients visiting our clinic with a single episode of flashes do not have any abnormality, although we advise them to undergo a detailed retinal examination as soon as possible to rule out retinal detachment. Kindly let me know if the blurring of vision is gradual or sudden and also associated with any pain around the eye, watering, redness of the eye. Are you using any glasses, do you experience any headache? Are you experiencing black spots in the eye or experiencing a sudden drop of vision like a curtain falling down in front of your eye? Better to get a retinal examination done right away. If blurring of vision is transient, and if you are experiencing any dryness of eyes, it is treatable with eye drops." + }, + { + "id": 5413, + "tgt": "I suffer from recurrent tonsillitis and tonsil stones with pus. What to do?", + "src": "Patient: Hello doctor, I have been suffering from recurring tonsillitis since I was a child. I was told at one point that if I was to be diagnosed with tonsillitis again, I would have to schedule to get my tonsils removed. However, I have had it quite a few times since. I also suffer from frequent tonsil stones accompanied by pus, or just pus all together. It is really been a bother as I am becoming older and I am tired of frequent emergency room visits ending in the same treatment. The pain and severe swelling have been going on for two days now. My right tonsil, however, always appears to be swollen. I also have mucous in my nose that is draining from the back. Nothing is coming from my nostrils themselves. I am taking over the counter Chloraseptic for the pain, but it is not working. Along with vitamin C packs and cough drops. I visited my previous doctors a few months ago, they gave me a shot of penicillins and two other shots that I cannot remember. Doctor: Hello. Your tonsils are definitely infected. You need a course of antibiotics, decongestants, pain killers and good gargles. Additionally, we need to have a look at your nose to rule out if there is any rhinitis or sinusitis that is triggering the tonsil infections repeatedly. I would suggest a Z Pak 500 mg for you take it for five days one tablet once daily. If that is not there get Claritin. Take Sudafed and Deslor (Desloratadine) once a day. Get Benzydamine gargles and mix it with water and gargle thrice. Take Tylenol (Acetaminophen) as per pain. Since you are saying you got thick post nasal drip I would suggest some mucolytic and nose drops as well take it for four days. Otrivin and Mycinex would do. Once the current infection subsides I would want you to get a nasal endoscopy and CT (computed tomography) scan of nose and PNS (paranasal sinus) to rule out sinonasal problems. Do revert back for further help and guidance." + }, + { + "id": 12624, + "tgt": "What is causing blurred vision only in sunlight?", + "src": "Patient: Hello doctor, My right eye appears blurry but only in sunlight and I see my eyelashes blurring my vision. I can read clearly with both my eyes and can also watch TV and normal activity while indoors. But during day time in bright light, I cannot see clearly with my right eye. I am 43, male. My eyesight has been myopic with both eyes at -1.5. Doctor: Hello. The symptom that you are suffering from is referred to as hemeralopia, this symptom can be caused due to a number of different conditions. The most common mechanism of such a blurring involves a central corneal opacity or cataract obstructing central light rays when the pupils are constricted in bright light. I can tell you that most of such causes are treatable and can be picked up quite easily on a simple eye exam. So, I suggest that you visit an ophthalmologist. In case you need any further information, please send me a scanned copy of your doctors reports. I will do my best to help." + }, + { + "id": 18582, + "tgt": "What condition can cause chronic constipation and gas problem?", + "src": "Patient: Hi doctor, I am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. I have consulted many doctors and they usually suggest digestion tonics and tablets. One of them suggested me to do regular exercise and morning walk but that also did not help much. I have strictly banned myself from eating junk or street food over 6-7 months. My weight has not much increased in this period instead I have gained fat in my belly part. Main problem which I face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. I always feel stomach bloating. Other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. \u00a0Occasionally I feel sleepy and there is some joint and muscular pain. Seven months ago, I had stone in my kidney. It was removed by surgery using PCNL technique. Also four years back, I had appendicectomy. Doctor: Hi. You seem to be suffering from irritable bowel syndrome (IBS). Functional. Thyroid and blood sugar. Acid peptic disease. IBS. Revert back after 10 days of starting the medicines to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4078, + "tgt": "Should I be concerned about pain and diarrhea post surgery?", + "src": "Patient: Hi doctor, My 10 year old daughter had an appendectomy two days back. She was in horrible pain after that. They wished to send her home, but since the pain could not be controlled with Tylenol or Ibuprofen they decided to keep her in hospital. Then the next morning she had bad diarrhea. She went around 10 times in two hours. It concerned me, but they informed me that the diarrhea is normal. Her pain was still pretty bad, so they finally decided to try something stronger that we could take her home. It did work for three hours and they sent her home. By the time we got home, she was in horrible pain. She was crying most of the night until falling asleep. Yesterday, I noticed a lump on her back that was warm to touch and when I touched it she said that lump is the reason for her pain and it hurts her really bad. As I was concerned I called her doctor, but they said that they have no idea what I was talking about and they would like to check her in ER the next day. I know as a parent we over analyze everything. I did not to take her to the ER because of a muscle strain. Also, I do not want to over look something that could make her worse. What could the lump be? Should I be concerned? She still has fever and pain. Please help. Doctor: Hi. For further information consult a paediatric surgeon online --> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 21823, + "tgt": "I wake up in the middle of night and unknowingly eat. Please advise", + "src": "Patient: Hello doctor, I am 20 years old and have 61 kg weight with 5'5\" height. I used to be 50 kg and it was perfect for me, but I gained 10 kg in two years since I joined the university. I have been going through a problem which led me to weight gain. The problem is that once I go to sleep, I wake up in the middle of the night unconscious and go to the kitchen and eat (even though I am never hungry). I exercise daily and eat healthy throughout the day but due to this night eating problem, I am not able to lose weight. This has been going on with me for the past two years and I am so tired of it now because all my effort throughout the day goes to waste. Please help me with this. I really need help. Waiting eagerly for the response. Doctor: Hi. Do not stress, you can easily manage your problem. Please do take a consultation with a psychologist. Let us talk about the night problem. Please arrange kitchen and the place you go and eat with fruits and vegetables or place a glass of milk or healthy snack or a portion of light breakfast. With these changes even if you eat, it is rich in fiber and healthy food. Now you may need to manage a whole day diet. Do not starve. Decide your meal to 5 to 6 meal pattern with three major meal like breakfast, lunch, and dinner and between breakfast, lunch, eat fruits and lunch and dinner, have a healthy snack and bedtime milk and fruit. With these, you may solve your issues for weight reduction. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 12151, + "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": 20376, + "tgt": "Can charcoal toothpaste whiten yellow discolored teeth?", + "src": "Patient: Hello doctor, I brush my teeth a minimum of twice, if not, once a day but my teeth have a yellow look to them. Is there anything I can use at home to help get them white. I have heard that charcoal tooth paste makes teeth white. Is this true or can you recommend something? Doctor: Hi. I got your chief complaint and your concern is esthetics. Yes, there is kind of toothpaste containing carbon or charcoal which can remove stains. But there are variable opinions regarding their use. I suggest you if you are more concerned about esthetics use alternative toothpaste like Glodent (containing Bromelain, Papain, Flouride, Xylitol) daily for one month. This toothpaste can remove stains and whiten teeth. But so for tooth esthetics is considered, there are treatment modalities available like bleaching, scaling, and polishing. Send your photograph of teeth inside and outside so that I can find a proper cause of discoloration and it can be addressed properly." + }, + { + "id": 22632, + "tgt": "I tested negative for HIV twice. Can I be a case of late seroconversion?", + "src": "Patient: Dear doctor, Under a lot of alcohol, I had vaginal intercourse with a lady. I was wasted but I remember that I was protected with a condom. The condom did not break nor leak but maybe was not put perfectly. I did not manage to cum, removed it and masturbated in a very aggressive way with my bare hands for some minutes. She spit twice on my dick, that is all. Since then, I had major symptoms starting from day-2 with burning sensation and painful urination for some days and my genital organ was tender and painful. I took Ceftriaxone and a short course of Ciproxen on my own assuming I had gonorrhea/chlamydia without any test. On day-5 started a very weird tingling numbness in all the limbs which continued for a week or a bit more, sores in mouth on and off starting from the first week including a huge one in the roof of my mouth, headache, low appetite, weakness, and myalgia. Later on, I started to realize changes in the nails after one month, joints pain still ongoing, no fever nor lymphadenopathy, most importantly I lost a lot of pounds and lost appetite and lost weight especially in my face - around the eyes and mouth. I want to mention that I never stopped crying from the very first day of being horrified of HIV. I got psychological and psychiatric consultation several times with no help. Combo fourth generation lab test and syphilis test were performed in a very reliable center and were negative. After eight weeks, the second combo fourth generation test at almost 16 weeks in another major hospital also negative. Can I be a case report of late seroconversion? I am scared to death. Gonorrhea, syphilis, chlamydia, and PCR negative as well. Nowadays, I am almost asymptomatic apart from the joint pain that might not be related (got examined by orthopedic who suspects a particular problem) and of course my shrinking face and the changes in my nails which are still there. It seems so far that nothing could reassure me. I admit that there is a psychological or perhaps psychiatric element because of the huge persistent stress. But I must tell you that I always had a big round face and since the event, I lost a considerable amount of facial volume, facial wasting indeed and this was confirmed by a dermatologist. I managed to regain my body weight but not my face. I read online about HIV causing apoptosis of facial fat cells. What is your opinion in that regard? I am only four and a half months from the event. I am really confused. Should I do an HIV viral load test? What are the chances for the duo test to miss twice after the window period? Have you ever heard of or seen a duo turning positive after such a long period? I do not feel like becoming an international case report you know. Thanks in advance. These facial changes what I am experiencing are simply driving me crazy. I want so much to move on with my life but I am \"losing my face\" which is my social ID. I do not know how to explain. My relationship with my wife, my social life, and my career are already destroyed and a total mess cause this \"thing\" had taken a huge toll on me. So, I am desperate. Again, I am talking about shallowness around and under eyes, temporal wasting, maybe a prominent change in my face contour, much smaller cheeks and some empty holes in my forehead and in my skull just behind my ears. It is just weird. It was not there before, it is advancing and I cannot find any explanation for it apart from the potential relationship with that one-time unfortunate exposure. I asked a couple of national HIV experts and also got a consultation from a doctor. All of them are pretty sure I am HIV negative. The doctor was a bit mad at me even. Please help me. In my country, negative duo test at 12 weeks or after is considered conclusive and definitive. Doctor: Hello. I have noted your concern. Protected sex is safe as far as the risk of HIV is concerned. Spitting on bare penis is not a risk for HIV as saliva is not infectious. The virus cannot survive in saliva because it contains enzymes inhibitory for the virus. Moreover, a fourth generation antigen/antibody HIV screening test is considered conclusive at six weeks and beyond by most sexual specialists. Therefore I do not think you need to worry about HIV. However, you may take an RNA PCR test for HIV in order to reassure yourself. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19239, + "tgt": "I am suffering with disc bulge. Please get me a solution for it", + "src": "Patient: Hi doctor, I am suffering from disc bulge at the level of L5-S1. It causes\u00a0pressure at nerve root for past two months. I am under treatment but no satisfactory improvement in these two months. Please help. Doctor: Hi. You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely compression of both exiting L5 nerve roots.\u00a0I would like to know few more details such as, Revert back with your MRI and x-ray films to a spine surgeon online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 24895, + "tgt": "Is Prednicort a good medicine for arthritis pain?", + "src": "Patient: Hello doctor,I want an opinion for my mother. My mother has been feeling arthritis pain since last few years. Recently, I have read somewhere about a medicine name Prednicort (5 mg) which is specially used for asthma disease. But, I have read that this medicine is also helpful for arthritis pain. Is Prednicort (5 mg) helpful for arthritis pain? Please also prescribe a medicine that is really good for arthritis pain. Doctor: Hello. Prednicort (Prednisolone) is a steroid which is good as an anti-inflammatory and painkiller in arthritis but has very serious adverse effects in the long term such as osteoporosis, gastritis, hypertension, and elevated blood sugar levels. Is she diagnosed with rheumatoid arthritis? If she is, Mexotrexate injection weekly will be helpful. The most important issue is to identify the cause of arthritis then management will be accordingly. Please provide me with more details about her condition. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23446, + "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": 14835, + "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": 13351, + "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": 11059, + "tgt": "What are the chances of conceiving after an ectopic pregnancy?", + "src": "Patient: Hello doctor, Two years ago, I suffered from a miscarriage and had undergone D and C. I am suffering from hypothyroidism and on Thyronorm 75 mg, and now the levels are normal. After six months of D and C, I got pregnant while on ovulation induction treatment, and unfortunately, that was an ectopic. My right tube is now blocked as I had undergone surgery. The tube is not removed, but the tube is blocked. It has been a year since I had surgery. I am trying to conceive, but I am not able to. My doctor put me on Letrozole, and it is my fourth cycle for it. During the first cycle, the ovulation was on left tube with ET 6.5 mm, and I did not conceive. Next two were on the right side, so no chance. Now again luckily it is on the left with ET 7.8 mm on day 16. What are my chances of conceiving, and is there a risk of ectopic again? My left tube is clear HSG test was done. Kindly explain to me. Doctor: Hello. No matter which side the ovulation occurs, the egg will fall into the peritoneal cavity and moves into the available open tube through which it enters the uterus. Since you had one ectopic pregnancy, you have a higher chance of repeat tubal pregnancy. But since HSG (hysterosalpingography) shows a patent tube, you also have a high chance of normal uterine pregnancy. The only chance is to have a pregnancy and have an early scan to confirm pregnancy inside uterus. I hope I have clarified your query, do write back if you have any more questions, for feedback." + }, + { + "id": 21362, + "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": 14561, + "tgt": "Other than I-pill, is there any method to prevent pregnancy followed by unprotected sex?", + "src": "Patient: Hello doctor, Yesterday, I and my wife had unprotected intercourse and we are not planning for a child. I made sure not to ejaculate inside her and I pulled out in time but we are worried about the effects of pre-ejaculation if that might cause pregnancy. Her period this month completed a few days ago and waiting for a month seems too long. I-pill was my choice but after learning about the side effects am wondering if there is another way to find out if she is pregnant or should we just go for the pill? Doctor: Hi. From day 1 to 10 of the period, it is a safe period. There is no chance of pregnancy as there is no ovulation happening during this period. So if you had intercourse during your safe period, there is no chance of pregnancy. Also, you say that you have followed a withdrawal method. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. The side effects of the pills are minimal and temporary. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 19153, + "tgt": "How many days after taking Unwanted 72 can I expect withdrawal bleeding?", + "src": "Patient: Hello doctor,My fiance and I got intimate last week. The top part of his penis was wet. I am not sure if it was urine or pre-cum. He rubbed his penis outside my\u00a0vagina, but there was no penetration. I took Unwanted 72 on the next day. Are there any chances of pregnancy? Doctor: Hello. It is highly unlikely for you to get pregnant. 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": 1710, + "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": 13114, + "tgt": "What are the ways to improve speaking and swallowing?", + "src": "Patient: Hello doctor, There is a problem in speaking and swallowing. Doctor: Hi. Your chest X-ray shows some changes in the lungs (attachment removed to protect patient identity) and is likely from any old infection like TB if you had it previously. It can also be from smoking if you were smoking for many years. There are certain changes in the brain which are likely seen in the elder age group. However, at 51 years of age, it is less common to see such changes. These changes are not of serious nature but can be the cause of your problems with speech and swallowing. It can be a part of a cognitive and neurodegenerative condition. Your neck spine is showing mild degenerative changes. Please let me know any doubts you have and I will reply in detail." + }, + { + "id": 3555, + "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": 3531, + "tgt": "What is the treatment for itchy bump and rash on buttock?", + "src": "Patient: Hello doctor, A red rash with white tiny bumpy spot has grown on my buttock. It is very itchy. I guess it is a fungal infection.\u00a0Please help. Doctor: Hi. Revert back with the asked details and pictures to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9463, + "tgt": "Why am I getting numb only on the left leg?", + "src": "Patient: Hi doctor, At random times, throughout the day while sitting, standing and lying down my left leg will start to go numb. It will start right under the buttock in the hamstring area and slowly work its way down to last from 5 to 10 minutes. Then, it goes away upon movement. This has been happening for around one month. I thought it was because of my same position for a long time. But, it is only in the left leg. Why? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23717, + "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": 30818, + "tgt": "What is the reason for an extra bone on one side of both the legs?", + "src": "Patient: Hi doctor, I am an 18 year old male. My brother and I seem to have an extra bone on one side of both the legs. I had this from my childhood, but there is no unique pain in it. Recently, I found that other people do not have that extra bone. Here is the picture for your reference. May I know the reason for this? Please explain. Doctor: Hi. For further information consult an\u00a0orthopaedician and traumatologist online\u00a0-->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18489, + "tgt": "Shall I try some natural supplement to prevent hair fall?", + "src": "Patient: Hello doctor, I am 18 years old. I was blessed with a thick, dark and long hair. For a year or so, I have started experiencing deterioration in the quality of my hair. I am experiencing thinning, loss of luster, split ends and hair fall with alarming rate. I was stressed during my board exams, but it was over before six months. The condition has not improved. I am normally on a healthy diet. I never use soap, but I use shampoo once or twice a week. I had been on medication for a month with some success, but the condition returned once the course was over. I had been on Keraglo Eva and Tricogro hair serum. I am\u00a0willing to take relevant blood tests if necessary on your advice. I would also like to try some natural supplement such as DasGro. Please advice. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16268, + "tgt": "My son is having nasal blockage and fever. How to cure him?", + "src": "Patient: Hi doctor, My son is six years old. He has nasal blockage for the past two weeks. Now, he has developed a fever. His throat and tonsils are swollen. We took him to a doctor. The doctor prescribed him Benadryl 5 ml and Crocin DS 7.5 ml. He has not given any antibiotics. Is it fine? Please suggest. Doctor: Hi. Do not worry. You can give Augmentin DDS syrup 5.4 GM by 30 ml (Amoxicillin with Clavulanic acid) twice a day for five days along with the above-given medications." + }, + { + "id": 24723, + "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": 9062, + "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": 8738, + "tgt": "Had painkillers for toothache and feeling bloated stomach. What to do?", + "src": "Patient: Hi doctor, I have been having pain inside my mouth. At the top of my mouth, it is like a bubble and so painful. The nerves are making me having a toothache on the right side of my mouth. I have had this for three days now and took a few painkillers. Now, my stomach hurts like bloating and twitching. I had a few pins and needles in my right arm. It is just now going away. 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": 9683, + "tgt": "What is the root cause for water retention in legs?", + "src": "Patient: Hi doctor, I am obese despite doing yoga thrice weekly and eating healthy diet. I have the problem of water retention in legs and inflammation. Also I continue to gain weight. Please find the root cause. Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 4654, + "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": 5250, + "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": 9753, + "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": 28344, + "tgt": "After the first chemotherapy session for CLL, my dad has a persistent fever. Why?", + "src": "Patient: Hello doctor, I would like to enquire about my dad's health. He is 82 years old and has been having chronic lymphocytic leukemia for the past seven years. He had no symptoms other than the high blood cell count and was doing regular checkups every six months. Recently, his hemoglobin level dropped a lot (around 3 to 4 g/dL), white blood cell count was very high, he also had a high percentage of antibodies in his blood. I was also told the red cells were being destroyed. He was admitted to the hospital and was given Mabthera, after which he got better and went back home. His oncologist prescribed him a chemotherapy treatment of Mabtehra and something else. After the first chemotherapy session, he got a fever spell that has been persisting till today. It has been two weeks, and he still has a high fever, around 39 to 40 degrees Celsius, once every 24 hours. He was admitted to the hospital the day he had the first fever peak and all tests have been run to try to identify an infection or a cause for the fever. He underwent blood tests, x-rays, scans, hemoculture, etc. Nothing seems to show what the reason for the fever is. We were told it could be a symptom of the CLL itself. What do you think? I would like to seek a second opinion. Thanks in advance. Doctor: Hi, Welcome to the icliniq.com. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21543, + "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": 245, + "tgt": "I am 6 months pregnant and my gums are bleeding on brushing. Please help", + "src": "Patient: Hello doctor, I am 6 months pregnant. I have bleeding gums from the back of the front tooth while brushing. I have a history of plaque formation on teeth even before pregnancy. What is the remedy for gums bleed? Doctor: Hello. Gum bleeding, foul breath are symptoms of gingivitis. It is rather common during pregnancy and known as pregnancy gingivitis because of hormonal changes. Nothing to worry about. You can use Betadine mouthwash, gargle in lukewarm water twice or thrice a day, take tablet Metrogyl 400 mg one tablet BD for five days. You will need a scaling but as of current lockdown situation, I would advise not to hurry as you and your babies safety is of utmost importance. You can have it later. Use a soft brush and learn proper verticle stroke technique of brushing instead of forceful horizontal motion. Avoid sticky or sweet food as much as possible. Hormonal changes during pregnancy initiate gingivitis. Gingivitis. Medications for now. Medication may cause a transient metallic taste but nothing to worry. Avoid sweet or sticky food." + }, + { + "id": 6609, + "tgt": "I noticed cracks in my molar teeth. Should I wear a mouthguard?", + "src": "Patient: Hello doctor, While looking at my teeth the other day, I noticed what looked like cracks\u00a0in my molar teeth \u00a0(2nd from the back) on either side. Recently, I went to the dentist for a cleaning and also was complaining about sensitive teeth to both hot and cold. On both these teeth, I have a bit of receding gums. Although the dentist did not find any cavities, he could not be sure if I needed a root canal treatment and referred me to an endodontist. The endodontist determined that there was not any infection in my gums or teeth and said I did not need a root canal\u00a0treatment. But he did suggested me to wear a mouthguard at night. I told him I noticed sometimes that I clench my jaw, especially at night. He also suggested a mouth guard because, the dentin is wearing away on some of the molars, the gums are receding and there are little periodontal pockets forming in those teeth. These cracks in my teeth are vertical, straight lines. They do not look jagged like a crack in the sidewalk. They are dark in color and very thin. It looks like a small piece of hair is stuck in the tooth. I have one on my right side tooth that is on the front facing part of my molar, and may be two on the left molar but facing towards the back of my mouth. When scratching my fingernail over the surface of the vertical line, it is difficult to tell if there is even a difference in the surface texture. I do not know if these lines appear inside my teeth or on the surface. The endodontist did not say anything about these. It is hard to believe he missed them considering I saw them with my naked eye and he was wearing a microscope on his forehead and eyes. Maybe, are they normal and not worth mentioning? The reason I am asking is that the endodontist said that people who grind their teeth or clench their jaw can develop small fractures in their teeth and over time, would cause the need for a root canal. What could this be? Doctor: Hi. Feel free to ask any further questions to an endodontist online --> https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 2148, + "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": 28223, + "tgt": "Will Botox treat a weak detrusor muscle and an overactive bladder?", + "src": "Patient: Hello doctor, I have been told that I have a weak detrusor muscle and an overactive bladder. I feel constant irritation in the bladder and sometimes, my lower abdomen area swells up. I had negative urine cultures, and I have been told Botox may help me, but I can only have 50 % or so strength due to the weak detrusor. Can you confirm that Botox and bladder hydrodistention will eliminate constant irritation feeling? Also, can the detrusor ever recover? Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23170, + "tgt": "I have brown spots on nose for two weeks. Please help", + "src": "Patient: Hi doctor, I have brown spots on my nose for two weeks. It keeps on appearing more and more. I have tried to apply drops of lemon juice but it does not disappear. I have been experiencing painful upper middle back pain. Doctor: Hi. I have gone through your case. Please do not try any more home remedies as we do not know these can react with skin and in such condition, the skin will be initially red and later heal by more hyperpigmentation. So please avoid these. Just apply sunblock like Neutrogena with SPF 30 or 45. Use it 20 minutes before going into the sun and repeat after every 2 to 3 hours as it gets wasted and washed. Use sun protection like hats. Apply 2 % Hydroquinone only at the dark spot at night only for two hours. Do not take too much or you will have burning or if touch surrounding skin it will be also hypopigmentation. So use it if you are careful. Three weeks treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12902, + "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": 23519, + "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": 18561, + "tgt": "Kindly help me to get some sleep before exams", + "src": "Patient: Hello doctor, I have an upcoming exam. I am unable to sleep no matter what. It has been three days I have not slept at night and yet I cannot fall asleep. I did take Restyl 25 mg for about 10 days. But I have stopped. Yesterday, I had taken a tablet and yet I cannot sleep at night. Doctor: Hello. Take Clonotril 0.5 mg and increase to 1 mg in case, sleep problem still exists. Zolfresh 10 mg/12.5 mg can also help and it lacks next day carry oversedation which may be helpful as you have your exams (But not as effective as Clinotril - Still it is worth a try due to no sedation on the next day after taking it). Please describe your other symptoms, if any, like anxiety, depression, appetite problems." + }, + { + "id": 25763, + "tgt": "Can exposure to radiation cause cancer?", + "src": "Patient: Hello doctor, I am 29 years old and I am worried about bone cancer. I have had two CT scans for kidney stones around my abdomen area as a total of 7 msv. I also had a CT scan of my head. I read that the radiation can cause bone cancer. Should I be worried? Is it a low dose and not to worry? There is no cancer in my family. Doctor: Hello. It is true that radiation may cause cancer but that is one person among one million people. Also, there is no family history of cancer, so not to worry. Eat antioxidants fruits, exercise daily, and make your mind positive. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 2831, + "tgt": "Am I stuck with my curled fingers?", + "src": "Patient: Hi doctor, I had carpal tunnel, radial and ulnar nerve surgery. A tumor was removed from my elbow on the ulnar nerve. Then my two little fingers have no feeling and are completely curled in along with my thumb. For this my surgeon advised nerve transplant surgery. When I went for second opinion, nothing abnormal with nerve conduction test, EMG test and MRI. Now my surgeon has changed his opinion to electronic shock therapy. It has to be done three times a week for six weeks. Also, he is not sure about the outcome. I have constant pain, burning, tingling and sometimes swelling in my elbow and hand. It affects my daily life activities as well as my job. My surgeon also said that my arm muscles are weak to go for surgery. What shall I do? Is there anything to do with this issue? Or am I stuck with my curled fingers? Doctor: Hi. Bracing and splinting. Revert back after three months to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 2811, + "tgt": "Please interpret my MRI findings for my morning headache and lightheadedness", + "src": "Patient: Hello doctor, I have been experiencing light-headed feelings, and daily headache as soon as I wake up. I will be uploading an MRI summary, and want to know what the results mean if this is treatable, or is it terminal? I am currently on Temazepam 30 mg daily for sleep, Diazepam 5 mg as needed for Meniere,s disease, and Soma as needed for low back issues. Doctor: Hello. I read carefully your question and would explain that there is a non-specific finding in your brain MRI (attachment removed to protect patient findings), which could be a small inflammation region, a born defect or a tumor. This lesion is too small for biopsy. So the next step to follow would be a lumbar puncture in order to examine the cerebrospinal fluid and exclude any possible infection or inflammation of the brain. If the cerebrospinal fluid is normal follow up with a new MRI after three months would be necessary in order to investigate for possible progression (increase in dimensions or a new lesion). I hope this helps." + }, + { + "id": 24487, + "tgt": "What can be done for daydreaming, loneliness, and lack of concentration?", + "src": "Patient: Hello doctor,I have never consulted a psychiatrist before, but according to what I have observed about myself, maybe I am suffering from maladaptive daydreaming, loneliness, lack of concentration as well as maybe depression. This is the peak time for me to make my career. I only have two years left to do something in my life and get my dream job. But as per my condition, I do not think that I will be ever able to do so. I cannot concentrate on my studies at all. Even a sixth or seventh class student studies more than me. Earlier my condition was still controllable but now it is getting more and worse, and on top of it, I am a drama addict. So basically, I spend almost my entire day either daydreaming or watching dramas. Doctor: Hi. I can understand your problem but need more information to conclude. The symptoms of poor focus, lack of concentration, etc., can occur in depression but these are not sufficient to make a diagnosis of depression. Low mood, reduced energy, lack of interest in day to day routine, etc., are seen commonly in depression. Daydreaming could be due to poor focus and underlying anxiety. If you are not able to function normally, then please visit a psychiatrist for evaluation. Have high protein and low-fat diet to remain alert. Take supplements containing vitamin B12 and D, and this will improve your focus. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7598, + "tgt": "I am suffering from acne. How to get rid of it?", + "src": "Patient: Hello doctor, I have acne started two months ago, and I never had this issue before. It is getting worse. Please help. Doctor: Hello. Yes, you have acne bumps on your lower face, i.e. chin and jawline. I suggest you use either Nadifloxacin 1 % gel or Benzoyl peroxide 2.5 % gel, twice daily for a few days." + }, + { + "id": 18159, + "tgt": "Shall I try oil pulling for gum pockets?", + "src": "Patient: Hi doctor, I was reading about oil pulling and wondered if I try it to cure my 6 mm gum pockets. If it could possibly clean the top of the gum pockets, then will the bacteria and tartar in the bottom worse the problem in the future? I have gum pockets of around 4 mm to 6 mm and an odd one with 9 mm. The recommended treatment is deep cleaning. Will oil pulling help the situation? Doctor: Hi. For further information consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25838, + "tgt": "What does it mean if the eye bleeds after a head injury?", + "src": "Patient: Hello doctor,My daughter hit her head and her eyes bleed. I cannot have access to an eye specialist since it is a weekend in my country. I want to know how dangerous can this be. What caused the eye to bleed? What else can I do until Monday when I take her to an eye specialist? Doctor: Hello. Kindly tell me is the blood coming out of her eye or is it collected in the white part of her eye known as a subconjunctival hemorrhage. A picture of her eye would have been very helpful. If blood is oozing out of her eye, which is very less likely, kindly immediately rush her to an ophthalmologist or an emergency room. In the second situation, which is most likely the case, as long as her vision is not affected you do not have to worry from her eyes point of view. But, the main concern should be the head injury. If the injury was so severe to cause a subconjunctival hemorrhage, it means the force was large. So, kindly consult a neurosurgeon and rule out a head injury cause it might appear late and we should not take any chances. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10022, + "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": 27979, + "tgt": "Can imbalance occur due to cervical spondylosis?", + "src": "Patient: Hi doctor, I am a 45 year old male. My height is 184 cm and weight is 97 kg. I had a cervical spine x-ray and was diagnosed with cervical spondylosis. I also have mild CAD and severe sleep apnea. Due to intermittent chest pain and breathlessness on exertion, CAD was suspected. After positive TMT, I had an angiogram. The angiogram found many minor blocks and no major blocks. The diagnosis was minor coronary atherosclerotic disease and systemic hypertension. The treatment is by medical management. I have been feeling a constriction in my neck (tightness) exactly in the throat region while walking. This happens only while walking and goes away as soon as I stop.\u00a0I have been advised to consult an orthopaedician to see if the neck constriction while walking can be due to spondylosis.\u00a0I occasionally have lower back pain and numbness in hand (palm) and also weak hand grip. Some months back I felt significantly light-headed and had difficulty in balancing. After some tests, I was diagnosed with uncompensated vestibular lesion. After some medication, it improved a bit. Now again I find the lightheadedness and balancing issues i.e, I feel as though I may faint but actually not. My queries are: Can the tightness in neck while walking be due to cervical spondylosis? Can the lightheadedness and balancing issues be due to the same? I would like to know the severity of the spondylosis from the attached reports and scanned copy of my x-ray. I was suggested to have an MRI of cervical spine. Based on the reports and symptoms do you feel the MRI is necessary? I would like to know the advantage of MRI compared to x-ray findings. What would be the likely course of treatment for my condition? Thank you. Doctor: Hi. Tightness and neck pain can be due to cervical spondylosis. The lightheadedness and balancing issues can also occur due to spondylosis. Spondylosis is not so severe on x-ray (attachment removed to protect patient identity), it is of mild grade. If your hand grip is weak, it is better to get an MRI to see for any nerve compression. For treatment initially take some analgesics and anti-inflammatory with nerve stimulating drugs. MRI cervical spine Revert back with the MRI report to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7334, + "tgt": "My wife is suffering from an irritating and itchy skin rash. What could it be?", + "src": "Patient: Hello doctor, My wife has this rash for about two weeks. I have meant to ask someone to reassure her it is nothing serious. What kind of rash is this? It does not hurt her, but the skin is irritated, sensitive, and itchy. It is located around the groin but does not go further inside the vagina or near the anus. She believes it is a fungal infection, but how true is that? Doctor: Hello. I have seen the attachment (attachment removed to protect patient identity) and would like to confirm that this is a particular fungal infection with normal whitish flaky skin over a localized region and scaling present along with the classical sign of itching present. This can be controlled by the application of an antifungal cream or ointment like ointment Luliconazole 1 % twice a day for seven days and also oral intake of tablet Itraconazole 200 mg once a day for five days. Avoid local moisture development and keep the area dry and airy. Avoid any frictional injury due to tight clothes, and it would worsen the itch and sensitivity. You may in the meantime use an antifungal Clotrimazole 1 % dusting powder locally to restrict the spread till medications are procured." + }, + { + "id": 30660, + "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": 12739, + "tgt": "Is it advisable to use laser to remove birthmark?", + "src": "Patient: Hello doctor, I have a birthmark on the left-hand side of my face around or near my eye. Not too big in size. I do not know the name of the particular birthmark but it is brown in color. With and without insurance, how much would it cost to get the birthmark lasered? How many sessions would I need? How long is the healing process in between each session? Would it leave a scar? If this is not an option or if there are better alternatives, such as creams, what kind of birthmark removal creams do you recommend for my kind of birthmark? Do they work? How long would it take for it to fade when using the cream properly? Doctor: Hello. It would have been better if you could attach pictures of your lesion for proper diagnosis and treatment. From your description, it could be a port wine stain or may be congenital melanocytic nevus. For its treatment, lasers are available like pulsed dye laser, an alexandrite laser, etc. Its price varies in different countries. But usually considered to be an expensive procedure. 6 to 8 sessions are usually required but can vary according to the lesion. Lasers can have side effects if not properly performed like scarring, etc., but in the majority, it has good results. There is no such cream that can fade birth-marks. The only treatment option is laser." + }, + { + "id": 947, + "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": 17413, + "tgt": "My ALP increased to 278 after stopping Udimarin Forte. Should I be worried?", + "src": "Patient: Hello doctor, My 54-year-old father had been operated for gallbladder 14 years ago. Since then, his liver enzymes like SGPT and SGOT remain at 55 and recently his ALP was seen 140 and GGT at 79 which became normal after taking Udimarin Forte tablet. After stopping the medicine, the ALP again increased to 278. He takes Thyronorm 75 mcg for hypothyroidism and Cilacar 10 mg, a BP medicine. For triglycerides, he takes Rosumac F which got changed to E-Cod Plus. He also has a deficiency of vitamin D and takes Uprise-D3 once a week for that. He does not have any symptoms now but before sometimes he complained bitter taste in the mouth in the morning which went away after taking Liv.52 DS which he currently takes. He is a nondrinker and a nonsmoker. Is there anything to worry? Please help. Doctor: Hello. There is nothing to worry. Possibly, he has mild fatty liver because of which SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated. However, the ALP (alkaline phosphatase) is elevated in either obstruction of the bile duct or due to bone disease like vitamin D deficiency which he has. I would still suggest an ultrasonogram of the abdomen to look for fatty liver and CBD (common bile duct) anatomy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25038, + "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": 18336, + "tgt": "Is headache a side-effect of Nevanac ophthalmic suspension?", + "src": "Patient: Hello doctor, I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist eye drops only in right eye one drop four times a day. But after using Nevanac suspension I feel pain in my left eye which was not before. I have headache after using this suspension. Is it the side effects of Nevanac suspension? Should I discontinue Nevanac? I have myopia. My power is -3.75 in left eye and -2.75 in the right eye. I have myopia since 20 years. Doctor: Hello. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherical error but your prescription shows that along with spherical error you have a cylindrical error too. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. If that is not incorporated in your glasses please include it because not using cylindrical power along with spherical can cause a headache. If Nevanac does not work in next three to four days you can try Tobramycin plus Fluorometholone eye drop twice daily for seven days. Do not use it for more than seven days. Also, get yourself checked for any near vision error, that is presbyopia. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21288, + "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": 13494, + "tgt": "Will unprotected sex while on birth control prevent pregnancy?", + "src": "Patient: Hello doctor, I had questions about birth control. If I take a contraceptive, will it be okay for me to have unprotected sex with my partner? And will it cause any complications in the future if we are ready to have a baby? Doctor: Hi. If you have been on contraceptives then your body would have got used to this. Most of the contraceptive methods are hormonal and all having short and long term side effects and differs in every Individual a bit. If contraceptives are taken regularly as per advised with proper timings and dosage without vomitings, then you will have protection as you required. Any contraceptives long term use can definitely give side effects like unscheduled bleeding, acne, migraine, breast and endometrial cancer, stroke, clot formation, etc. All side effects cannot occur in a single individual but that occur for which person hasa tendency and genetic history, etc. You can have sex along with proper contraceptives with or without condoms. But try to change contraceptives frequently or some time contraceptives free period to avoid side effects. Have regular contraceptives with condoms to have complete protection. Change contraceptives frequently to avoid side effects." + }, + { + "id": 24119, + "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": 10218, + "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": 3585, + "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": 14618, + "tgt": "What can be done to remove the pimples and dark spots on my face?", + "src": "Patient: Hello doctor, I just wanted to remove the marks from my face. These pimples and dark spots on my face disturb me a lot. Doctor: Hi. This is typical acne with blackheads or comedones. I would advice use acne soaps containing Benzyl peroxide once daily in the morning and start cream or gel Clindamycin 5 % on the affected area after washing face in the morning. For soap and gel, ask pharmacists as it comes in different brands in different countries, I just mentioned contents. Also, these blackheads will get better soon if you just get these removed manually." + }, + { + "id": 23101, + "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": 1788, + "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": 30620, + "tgt": "Is it necessary to use four eye drops to control eye pressure?", + "src": "Patient: Hi doctor, Four eye drops are used in combination to control eye pressure in case of glaucoma. They are Dorzolamide, Timolol, Brimonidine and Xalatan. In what sequence with how much gap should they be given to control eye pressure? Also for controlling afternoon pressure, either Dorzolamide or Brimonidine, which is better? Should I give Dorzolamide three times or Brimonidine three times? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29048, + "tgt": "Does my uncle's blood report explain as to why he has a constant chest and stomach pain?", + "src": "Patient: Hi doctor, My uncle is having constant chest pain and stomach ache. His hemoglobin level is 6.20 mg/dL; platelet count is 598000 per mcL and ESR is 60 mm/hour. What is causing his symptoms? I am attaching my uncle's blood reports. Doctor: Hi. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12974, + "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": 27280, + "tgt": "I have a pain, swelling and stiffness in my neck. Please suggest a treatment", + "src": "Patient: Hello doctor, I am a 60 year old male weighing\u00a070 kg. I have a swelling at the\u00a0back of the\u00a0neck. There is also a neck stiffness and\u00a0giddiness\u00a0as if the blood supply to the head reduced. I had sudden stretching at the\u00a0same point 10 years back and had suffered the\u00a0same problem for six months then. Volini, muffler and heating pads help\u00a0reduce the swelling. Lifting or\u00a0stretching the back of the\u00a0arms, and turning the head sideways gives a creaking\u00a0sound but, gives some relief. I have been using the computer for six to seven hours every day for the last 12 years. Please advise medication and a specialist, if any, to consult. Doctor: Hello. You had a sudden stretching of the neck, followed by severe pain 10 years back. Now, you are complaining of the same pain with swelling at the back\u00a0of\u00a0the neck with a feeling of giddiness. Thanks and regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25067, + "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": 30342, + "tgt": "Could elevated CPK value be related to malaria?", + "src": "Patient: Hi doctor, My father, who is 70 years old, was admitted in a hospital for severe weakness, high fever (105 degrees Fahrenheit), shivering and lack of appetite. Blood tests revealed that he had malaria (Vivax) and a platelet count of 44,000, which is below normal. But, there was no dengue or typhoid. He had also complained of slight pain near his heart area. It has been only for the past five days that is from the day of fever. Malaria treatment has been started already in the hospital. For heart, they did an ECG and echocardiography and the results were normal. His doctor said that my father's ECG graph was slightly different than the same 9 years back. Then, they tested for the cardiac enzyme marker CPK. Apparently, the CPK result should be in the hundreds, but it was in the thousands. So, they are suspecting a heart condition, although they are not sure about the condition. But, echocardiogram gave a normal heart without any blocks. They are thinking that at a later stage, they may do an angiogram.\u00a0Could the elevated CPK value be related to the malaria attack or the treatment antibiotics for malaria?\u00a0Could age (70 years) be an issue for high CPK level?\u00a0Is an angiogram must now?\u00a0Could the platelet count be an indication of heart problems as well as malaria? Are CPK and angiogram tests invasive? Can they be harmful at times? Do you like to state any other general point in the above case?\u00a0I have no reports or any other data, so please respond on the basis of the above information. My father has two prior problems. Since a few years, he has prostatitis and slightly low blood pressure. Thank you. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9691, + "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": 11447, + "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": 4810, + "tgt": "Will IVF help in avoiding chromosomal abnormality in future pregnancy?", + "src": "Patient: Hello doctor, I am 38 years old and my wife is 36 years old. We are married for the last two years and trying for a baby for the last one year almost. By our gynecologist advise we underwent an IUI cycle which resulted in missed abortion at seven weeks due to no growth of fetus after five weeks. D & C done and karyotype of abortion showed a chromosomal abnormality. Remarks as below: Aborted fetus karyotype, 69, XXX G-banded metaphase shows triploidy. Wife's condition: a) Age: 36 years no issue yet. b) Has a subserous uterus fibroid of size 68 x 62 mm and bulky uterus. c) Had thyroid and she takes Thyroxin 50 mg every day. Last TSH is 1.48. d) Sugar is under control and TBC is normal. e) In childhood she had one occurrence of epilepsy. Husband's condition: a) Age: 38 years. b) Nonsmoker and non-drinker. c) semen analysis result is normal (normal fertile specimen). d) Shaving a bit high uric acid in the last one year (under medicine). Karyotyping results of partners: Husband: 46, XY G banded metaphase shows normal karyotype. Wife: 46, XX high frequency of G-banded metaphase shows telomeric association of chromosomes 1, 3, 16 & X. My questions are is it possible that after fibroid removal she can conceive a baby in a normal way? Can there be any bad effect on baby's health (physical and mental) due to the DNA abnormality found in her report? Doctor: Hello, Welcome to icliniq.com. 1. As far as the subserous nature of the fibroid is concerned which is around 7cm x 6 cm, it per se is not going to have an effect or cause hindrance in conception but it is likely that it can cause problems during the pregnancy and in the late third trimester due to abdominal pain. So, it is advisable that it should be removed anyways as the size is a concern here and can cause incoordinate uterine contractions during labor later and also chances are that it would further grow under estrogen effect. Hence better get it removed. 2. As the fetus showed triploidy XXX G banded metaphase, which as per the mother's report, she has high chances of replication of similar results in future pregnancies as well which may not be compatible with life and likely missed abortions may occur in future. Hence, it is suggested that both of you should try for an IVF (in vitro fertilization) with ovum and sperm harvesting and in vitro fertilization of the egg by your sperm and subjecting the embryos to preimplantation genetic screening with FISH (fluorescence in situ hybridization) technique or PCR (polymerase chain reaction) or comparative genomic hybridization (CGH), before selecting the embryo for transplanting into the uterus. Though the frequency of G banded metaphase telomeric association is high for 1, 3, 16 and X chromosome, the chances of the fetus getting triploidy are very high. Another best option for you as a couple would be to opt for a donor egg from another woman which can be fertilized in vitro by your sperm and then the embryo after pre implantation genetic screening can be implanted in your wife's womb to improve the chances of having a healthy conception. I hope this helps." + }, + { + "id": 3105, + "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": 29903, + "tgt": "Is it a mental problem or am I just being paranoid?", + "src": "Patient: Hello doctor, I have been constantly feeling that something touching me all over my body. I have been experiencing it for a few years, mostly the same thing. I think it was triggered by my first episode of sleep paralysis, but that was the only episode of it. I do not know what it is or why it is constantly happening. Is it a mental problem or am I just being paranoid? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13638, + "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": 3089, + "tgt": "Why have the swelling and pain not gone away after surgery for gum tag?", + "src": "Patient: Hello doctor, My daughter had an oral surgery on wednesday to remove her gum tag so her gap in her braces can close up, the swelling and pain still have not gone away, how can we reduce this further? Doctor: Hello. I have gone through your query and understand your concern. Pain and swelling after minor oral procedures are quite normal for the following 3 to 5 days. This pain and swelling will eventually fade off and regress. For lingering pain even after taking pain killers, please: 1. Do not skip doses and take them on-time. Please advise her to take prescribed pain medicines on time thrice daily because if the dose is missed or taken after the pain had already started, will not be that effective in controlling pain. 2. Avoid hot, spicy, hard and chewy foods. This can cause swelling to increase and delay healing. 3. Please leave the area undisturbed, because any irritant in that area could delay healing. 4. Avoid forceful mouth rinsing. 5. Follow gentle brushing. 6. Rinse mouth gently after every meal to remove food deposits coz food lodgement in that area could cause an infection. If the pain relief is not that adequate, please talk to your dentist and get the dosage increased. Following the post-operative instructions precisely will help better and faster healing." + }, + { + "id": 19229, + "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": 3511, + "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": 15457, + "tgt": "What is the reason for recurrent nocturnal high blood pressure in a patient on anti-hypertensives?", + "src": "Patient: Hello doctor, I am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem. She has been constantly relying on anti-hypertensive drugs from the past five years and the situation is aggravating day by day. Moreover, she claims of facing high pulse rate and is positively confirmed by ECG. Currently, she consumes a combination of Cilnidipine and Metoprolol and also other allied drugs in an emergency. Doctor: HelIo. Nocturnal nighttime hypertension is a complication of primary secondary hypertension. It can lead to some cardiovascular complications. I usually treat my patients in this situation with Potassium supplements and advice that they avoid any sodium diet. Drugs like Losartan that block angiotensin receptors are some of the medications I advise. I advise her to see a cardiologist for proper evaluation, to know the best management possible in her case. I wish her a quick recovery." + }, + { + "id": 13693, + "tgt": "Will any of my regular medications cause tingling sensation of scalp?", + "src": "Patient: Hello doctor, I am experiencing tingling sensation of the scalp on left side of my head. The medications which I am taking are Zyprexa, Prozac Sonata, Neurontin, Tramadol and Metformin. Will any of these medications cause this tingling sensation? Doctor: Hi. I want to assure you that everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. This is due to the side effect of medications you are on. It is relatively a minor side effect and is usually self limiting and not an issue of medical concerns. Many of my patients come with tremors of the eye muscles or facial muscle tremors too along with the scalp muscle tingling. All your medications are fine and nothing has to be changed because, this is just a temporary adverse reaction to them and will go away on its own. If I extrapolate my clinical expertise, I want to make sure you do not have the start of any neurological abnormality, as such kind of tremors may also be due to some associated neurologic disease. So, having said that, do you have some other neurological manifestations or any kind of disease symptoms other than this in any part of the body? Keep taking all the medicines. Your Metformin is least likely to cause such a side effect of muscle tingling. All others do have an impact of variable intensity. Avoid tea, coffee, diet or regular soda, energy drinks, alcohol, cigarette first hand and passive smoking, e-cigarette vaping, etc. Take plenty of water and keep a proper physical activity. Cardio exercises are best for you. It will raise the blood flow to the scalp vessels and will keep the emissary veins of the scalp well flushed and will help relieve the symptoms. Join any fitness club where sauna, swimming, steam bath, cardio exercises are available and follow the instructions of the instructor there. Your BMI (37.11) is high and it means you also have a higher fat content. And the drugs' fat distribution also contributes to side effects of drugs. Try to take your BMI down within the limit of 18-25. Proper rest and meditation is best treatment for you right now. Also try recreational and meditational activities with your family." + }, + { + "id": 22908, + "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": 11851, + "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": 26091, + "tgt": "Is it safe to use honey on a diabetic foot ulcer?", + "src": "Patient: Hello doctor,I have a diabetic foot ulcer that is taking forever to heal. Yes, I am seeing a podiatrist and following my foot care to his instructions. My question is;Is using 'honey' on the ulcer alright to use and will it work? I did a lot of research and all of them report\u00a0a quicker healing. Respectfully wait for your professional thoughts on this. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have a diabetic foot. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 28147, + "tgt": "My wife is hepatitis B positive. Is there any risk involved in her second pregnancy?", + "src": "Patient: Hi doctor, My wife has hepatitis B. She does not have any complications, but she always feels tired. She has already given birth once, and now she is pregnant again after two years. How many times can she get pregnant? Is there any risk involved in this pregnancy? Her doctor told that there is no need for hepatitis medications, as the viral load is below the detection level. Please help. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20802, + "tgt": "Why is my mother suddenly getting cold, fever and headache?", + "src": "Patient: Hello doctor, My mother is 48 years old. She used to suddenly get cold, headache and fever very often. We are unable to find the exact reason. We have gone through some tests for her, which I am uploading here. Please go through that, and let me know what may be the reason? And also let me know what remedy should be taken. Thank you. Doctor: Hi. I have gone through your query as well as the reports (attachments removed to protect patient identity) and can understand your concern for her health. Repeated attacks of fever, cold and headache can be due to repeated infections of the body which could be viral or bacterial. Low resistance to infections or low immunity of the body can cause repeated infections. The values are within normal limits except erythrocyte sedimentation rate (ESR). A high ESR indicates chronic infection in the body like tuberculosis or autoimmune disease or granulomatous diseases or connective tissue disorders. These conditions also lower the body immunity. In my opinion you should consult a physician and she needs proper work up to rule out these diseases. I am not saying that she has tuberculosis. Tuberculosis is the commonest disease causing high ESR. She should undergo proper investigations for that such as chest x-ray and Mantoux test. Another reason for repeated attacks of fever, cold and headache can be allergy also. So, if she develops these symptoms after exposure to certain allergens or allergy causing substances, ask her to avoid them. For low immunity, she can take high protein diet like pulses, sprouts, egg white, etc. Citrus fruits like lemon, gooseberries, oranges also boosts immunity as they contain vitamin C which makes the immune system strong. Proper nutritious diet also helps. Along with all these, she can take vitamin C tablets also daily once. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13049, + "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": 15703, + "tgt": "Kindly tell me the risks of pregnancy in women over 40", + "src": "Patient: Hi doctor, I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby. I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40? Doctor: Hello. Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors. I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy." + }, + { + "id": 26810, + "tgt": "After fistulectomy, when can I get back to work?", + "src": "Patient: Hi doctor, I have\u00a0undergone fistulectomy and right now in bed rest. I am taking sitz bath, three times a day with Betadine solution and then Betadine cream. Also, I\u00a0am on antibiotics. I\u00a0am a working in IT sector and my work requires a sitting time of 8 hours approximately. So, when can I go back to work? I am\u00a0a basketball player. When can I start playing again? How long does it take to fully heal? What all food should I avoid? What other precautions should I take when I get back to work? Please give me full details about this. Thank you. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 21744, + "tgt": "Why is my B12 level constantly high although I do not take supplements?", + "src": "Patient: Hello doctor, I am a 44-year-old female. From the last one year, my B12 level is constantly high between 1400 to 1500 pg/ml. I do not take any B12 supplement at all. My health seems to be perfectly fine and I feel fit and active. Sometimes, at the left side of my chest, I feel uneasiness. My stool is most of the time frothy. Doctor: Hello. First of all, you should get investigated with full CBC (complete blood count) with peripheral smear examination report to exclude any myeloproliferative neoplasm if present. If liver or kidney disease is present, then B12 excretion is affected. So, liver or kidney disease has to be ruled out. You can investigate with SGPT, SGOT, total protein estimation, serum urea, creatinine estimation, and EGFR estimation to rule out liver and kidney diseases. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30927, + "tgt": "Could breast discomfort occur due to ovulation?", + "src": "Patient: Hi doctor, I am 32 years old. My period and period symptoms have always been the same every time. I always have severe PMS symptoms with horrible cramping, breast soreness and on the first day of my period I always pass big blood clots with heavy bleeding. My period will last anywhere from 3 to 5 days. I have always been irregular with my cycle ranging from 31 to 40 days. On 5th of last month, I had a normal period. On 25th and 26th, I had unprotected sex using the pull out method. From 11th to 15th of this month, I experienced dull cramps occasionally. My period was very light, but dark brown the entire time with some light red mixed into it. My period was so light and I did not even need to wear a tampon. When I put a tampon in it would come out dark brown with light red scattered through it and looked like clear cervical mucus in it as well. If I stuck my finger in my vagina it had brown and red, but nothing was really coming out. I am confused whether I even had a period. I took two pregnancy tests on 11th and 14th, which came back negative. What are the possible causes for a dramatic change in my period color, amount and symptoms? Yesterday, my breasts were perkier than usual and the ache is on and off. Other than that, I have had no pregnancy symptoms or menstrual symptoms. Is pregnancy possible? If so, then how likely is it possible? 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": 13255, + "tgt": "Why does I feel like I have pulled something while yawning?", + "src": "Patient: Hi doctor, Whenever I yawn sometimes it feels like I pulled something, and on my bottom jaw I push on it and something goes up. Doctor: Hi. Your upper and lower jaw are connected with a joint called temperomandibular joint. Similarly we have elbow joint and knee joint. The lower jaw is movable only because of this joint. So whenever you yawn, sounds like that joint is rubbing high and that is why you feel that something is going up. You might be able to hear a clicking noise as well if I am not wrong. If you are feeling sore at your joint every time after yawning, please visit a GP and he or she might give you a script for this like a muscle relaxant." + }, + { + "id": 30142, + "tgt": "What is the treatment for delusion of jealousy?", + "src": "Patient: Hi doctor, My dad is suffering from a\u00a0delusion of jealousy for the last three years. What is the treatment for it? The main problem is that my dad has no insight of his problem. How much time will it take to recover?\u00a0Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6346, + "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": 10619, + "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": 30116, + "tgt": "My eyes are sore after using contact lens. Why?", + "src": "Patient: Hi doctor, I accidentally put a daily contact for astigmatism in my eye, but I do not have astigmatism. I took it out right after because it really hurts. But, my eyeball is still sore. Could it have caused damage? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26483, + "tgt": "My wife underwent ICSI. Please go through the reports and provide your opinion", + "src": "Patient: Hello doctor, My wife has undergone ICSI three-day embryo transfer. One\u00a0cell is compact grade and others are grade-B. She got pregnant successfully and the values were at DPT 14,\u00a0HCG\u00a0577 and progesterone level 23 and DPT 16, HCG 1577 and progesterone level 23. Also, she had undergone TVS, and spotted sac at five weeks. Then, after two days she started to experience light bleeding for one day and stopped afterward. Again as per the doctor's advise, we have done beta hCG on DPT 20 and It came 3200. The doctor said that since three embryos have been transferred, there might be bleeding and slow rise in BHCG. On DPT 24, there was a transvaginal scan. The result was 'tiny fetal pole 2.8 mm with yolk sac and gestation sac. But, without the evidence of a heartbeat. It measures 5 weeks and 6 days pregnant. I have attached the scan report here. Please provide your valuable opinion. Doctor: Hello. I have gone through your history and reports (attachment removed to protect patient identity) and understand your concerns. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12992, + "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": 23469, + "tgt": "I am 37 years old and have painful irregular periods. Is it due to menopause?", + "src": "Patient: Hello doctor,I am a 37-year-old female. I have gone from regular to irregular periods. I did home menopause test and all three tests tested positive for elevated FSH. Feeling extremely tired and nausea at times. Moody, irritable, hot flashes, cannot tolerate much heat or the cold, increase in weight despite exercising. Periods were every four weeks with heavy flows and very painful with pain lasting up to 21 hours and flow started out heavy and then lighten up the last two days and would last five to seven days. Now I get period every two to three weeks with little or no pain and periods are much lighter where I only have to use one pad a day instead of eight a day and lasts two to four days. Increase in headaches as well. Insomnia, night sweats and noticed that I sweat more under my arms and body hair (legs and underarms) growing faster than normal. Dizziness at times, heart flutters, and there is off balance feeling. Doctor: Hi. All the symptoms you have mentioned are those of menopause. You have a laboratory confirmation also. Nowadays ladies are entering the menopausal stage at a younger age. To alley these discomforts you can have HRT (hormone replacement therapy). Specifically for these symptoms, I suggest you have tablet Tibolone 2.5 mg once daily for three months. You may have recurrence maybe three to four years later. But you can have this medication again. It has no side effects and is very effective. You can also have Isoflavones capsules once a day. These two will give you a great relief. Try to be as active as possible, physically. More your body weight, more will be the discomforts of menopause. Your expected body weight is 52 to 57 kg. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29939, + "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": 24387, + "tgt": "Is salicylic acid treatment necessary for nodular cystic acne?", + "src": "Patient: Hello doctor,I am an 18 year old boy with severe acne, nodular cystic acne, acne vulgaris. I tried everything but nothing really worked. So, two months back, I finally decided to visit a dermatologist. The dermatologist prescribed me Isotretinoin capsules or Sotret of 20 mg. So, it was working quite well but I was having some breakouts. So, on my next follow up, she added 10 mg more. And today, after six weeks, I had another follow up. My previous doctor is on maternity leave. So, I had to meet another doctor. The new doctor decreased my dosage by 10 mg and now I am supposed to be taking 20 mg per day. The doctor I visited today suggested me to go through some acidic treatments like Salicylic acids. She said taking medicines will not get me the desired skin and I should be doing these acid treatments. So, what I want to know is: Is the acid treatment necessary? My acne is fading away but there are some new breakouts which I think is due to my own carelessness. I eat oily food, sleep very less and do not drink enough water. Doctor: Hi. Isotretinoin is a wonderful medicine for acne. The typical course of Isotretinoin ranges from three to four months, depending on the acne response to the medicine. The dose of Isotretinoin depends on your weight. Isotretinoin shrinks the oil-producing glands, and normalizes the lining of ducts. This is the best medicine for nodulocystic acne. Salicylic acid peel is helpful for comedonal (black and whiteheads) acne. It helps to exfoliate the skin. It removes the topmost dead layer of skin and helps to reduce comedones. The treatment regimen for acne depends on a lot of factors, each dermatologist will have their best protocol. I cannot really comment on this because I have not seen your acne pictures. Hence, I am providing you the information about Salicylic acid peel. Talk with your dermatologist and express your concerns. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30285, + "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": 5849, + "tgt": "I underwent vulvar biopsy and it looks there is pus in that area. Will Neosporin help?", + "src": "Patient: Hello doctor, I had a vulvar biopsy without any stitches. It seems to have been healing fine, until today. It looks as though there is pus in the area where the biopsy was performed. What should I do for this? Will Neosporin help? Doctor: Hello. Neosporin can help healing infections for small wounds over the vulva, but make sure that it is for external use only. Please ensure good hygiene of the wound. Wash it with plain water and keep it dry, and clean it every time after using the toilet. It may take one to two weeks to get healed. If the biopsy area becomes tender or you feel discharge coming out of it then do see your doctor. I hope this helps." + }, + { + "id": 9398, + "tgt": "What do hypochromia and anisocytosis mean?", + "src": "Patient: Hi doctor, I am diabetic, and my latest report showed HbA1C as\u00a011, it says\u00a0hypochromia and anisocytosis of red blood cells. What does it mean? Doctor: Hi. Take care.\u00a0Hope this will help you.\u00a0Consult a physician for examination and discuss your case. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 13758, + "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": 19277, + "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": 3343, + "tgt": "Will taking antidepressant and antipsychotic medicines for a long duration cause erectile dysfunction?", + "src": "Patient: Hello doctor, I am 35 years old. I am taking the following medicines for the past seven years, but I am extremely suffering from erectile dysfunction and premature ejaculation. What can I do? Bisoprolol 2.5 mg once daily, Flupentixol and Melitracen (0.5mg+10mg) once daily, Theophylline 400 mg twice daily, Aspirin 75 mg once daily, Montelukast sodium 10 mg (In the evening), Atorvastatin 10 mg once daily, Clonazepam 1 mg, Amlodipine and Telmisartan (5 mg+80 mg) once daily. Kindly advice. Doctor: Hi. Why are you taking anti-depressant and antipsychotic drugs, that too for so long time? Why these medicines were started? Are you also suffering from some heart problems? Please reply so that I may guide you accordingly. Regarding erectile dysfunction, most of the antidepressants do cause dysfunction. I would suggest you to consult a psychiatrist to taper down antipsychotic medicines or replace with other ones. As for as cardiac point of view, Bisoprolol also causes erectile dysfunction in some patients. Replace this medicine with Nebivolol 2.5 mg, which also enhances erections. You are taking Aspirin, Atorvastatin, Bisoprolol which are usually given for ischemic heart disease, which is uncommon in this young age. In old age, blockage of arteries also causes erectile dysfunction, but in young age, this is less likely. If this problem started suddenly, then most probably due to anxiety or depression. If progressed slowly over years I would advise you to have penile doppler ultrasound done. But before that, I would recommend providing a bit detailed history of your past illnesses, family history, so that costly investigations may be avoided. Follow up with detailed history." + }, + { + "id": 10457, + "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": 2140, + "tgt": "I am suffering from heel pain since a few days. What should I do?", + "src": "Patient: Hello sir, 29 yr. Old. Last few days I am suffering from heel pain. When I get up its pain too much and whole day its pain. Please tell me it is dangerous and what I do? Doctor: Hello, I am sorry you feel that way . Has there been any trauma on your heel? Has anyone hurt you physically before pain appears? What have you eaten before pain appears? If there has been no trauma on your heel I am considering Gouty Arthritis. It is a kind of arthritis (inflammation of the joints) due to elevated blood uric acid. Usually the pain is severe early in the morning. The affected joint could be unilateral or bilateral. Here are my advise: 1. Take pain reliever Diclofenac Na ( VOLTAREN) 50mg/tablet Take 1 tablet every 8 hours as needed for pain 2. I advise that you undergo Blood Uric Acid Test. 3. Drink plenty of water.It could help lower your blood uric acid. 4. You can apply warm compress on the affected joint. 5. You can also take vitamin B complex. It could help lessen the pain. 6. Avoid high uric acid diet like beans, internal organs (liver), sardines, more than 3 serving of meat a week, spinach, cauliflower. I advise you follow-up as soon as possible when your blood uric acid test result is already available. I hope my advise will help you feel a little better. Take care." + }, + { + "id": 28811, + "tgt": "I have got a blister in my mouth. Kindly see the picture and explain", + "src": "Patient: Hi doctor,I have got something in my mouth. It looks like a blister, but I am not sure what it is. I have just noticed it, and it does not hurt at all. Please see the picture attached. Doctor: Hi. Hematoma. Revert after 15 days to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14755, + "tgt": "I am unable to hold things due to unsteady hands. What can be done?", + "src": "Patient: Hi doctor, I am 23 years old, male, 5'5\" and around 53 kg in weight. My problem is that I do not have steady hands and cannot hold my phone steady. I smoke and drink few times in a week and I was talking to my family doctor for all this and they took all types of blood test and thyroid tests. The reports were good but still I have the problem and right now I am not in my hometown and I want a solution for all this. I need help. Doctor: Hello. Firstly, I would like to assure you that it is not a serious problem. So you do not need to worry. Secondly, as you have mentioned all the result being perfectly normal, it is just a fluctuation in the blood pressure that is causing these symptoms. Your blood pressure would be okay under normal circumstances but would fluctuate at the time of emotional stress, smoking or drinking. As of now, you need to check your blood pressure and undergo an ECG test just to ensure it is good to go. You need to drink at least 8 to 9 glasses of water a day as the unsteady hands also is a result of reduced electrolytes and fluid content in the body. Have a normal and good diet where you eat meals including a carbohydrate, protein, and fat in each meal which should be four hours apart. Do cardio and yoga at least twice a week. You need to avoid drinking, smoking and hot beverages like tea and coffee for a long time until you are symptom-free. Do not worry, follow the above and you would be alright. Stay healthy and positive." + }, + { + "id": 10403, + "tgt": "My sister has pain in the legs from thigh to knee. Please help", + "src": "Patient: Hello doctor, The problem is with my second elder sister who is unmarried and aged 62 years. She was a school teacher and has retired from service. She is 160 cms in height and weighs 60 kg. She falls under the category lean to good health except for a bulging tummy. Main problems are, 1. Pain in both the legs with more pain in the right leg from thigh to the knee. 2. Sometimes a feeling of being pushed from behind when standing. a. Apart from these, she is also suffering from, When lying down to sleep or sitting for some time, 1. Feeling as if the veins inside the legs are getting loose with pricking pain on both feet. 2. Biting pain on both feet even when one foot is pressed with another foot 3. Sometimes a feeling of scratching with a sharp instrument. 4. Pain in toes and nails. 5. Pain in the bottom of the feet 6. Burning sensation in feet, especially when the saree edge touches the feet. 7. Feeling of standing on a carpet while standing on the ground without slippers. 8. Tips of the toes are getting rough even though creams are applied. 9. The sudden jerk of hand enough to break sleep. 10. Pain in the legs are spreading from the feet upwards towards the knee. b. While standing 1. Need for placing hands on nearby objects like a wall, chair, table to get better support. 2. Pain just on the right side of the right knee (the place where the knees fold) and a feeling as if the bone will break c. When walking 1. A feeling of getting pushed from the back 2. Unable to walk at a stretch for even half a kilometer 3. The feeling of forceful dragging of legs 4. Feeling of breathlessness d. Hands are unable to work with both sides together (e.g., holding utensils with both hands for placing them on a gas oven, holding the utensil with one hand while stirring the contents with the other) even though there is no problem when working with one hand alone. She has some relief when washing legs with cold water I am attaching herewith copies of all the doctor's prescriptions, the test reports including latest scan and MRI report of the spine, the medicines she has taken for your kind perusal, please. Please go through the details and kindly advise us what to do and what medications to take to make the pain bearable, if not eradicate the same. Doctor: Hello. Went through your queries and the files attached (attachment removed to protect patient identity). This clinical scenario is possible in two cases. 1) Compression of the spinal cord at the cervical level or lumbar level or both. 2) Peripheral neuropathy is affecting all four limbs. She has been extensively investigated. Treatment for peripheral neuropathy has been tried in the form of pregabalin, gabapentin, nor tryptiline, etc. which do not seem to have afforded any improvement to her. So I suggest we may try a course of the following medications for a week. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1) Tablet Medrol 4 mg 1-0-1 after food (Methylprednisolone). 2) Tablet Pan 40 1-0-1 before food (Pantoprazole). 3). Tablet Phlogam 1-1-1 before food (Trypsin, Bromelain, Rutoside). 4). Tablet Nurokind LC 1-0-1 after food (Vitamin B12, Levocarnitine). 5). Tablet Nervijen-NP 1-0-1 after food (Nortryptiline, Pregabalin). 6). Tablet Alsody 1-0-1 after food (Alpha lipoic acid, Superoxide dismutase). Cervical stenosis, lumbar stenosis or peripheral neuropathy." + }, + { + "id": 10648, + "tgt": "Please provide opinion on my complete blood count report", + "src": "Patient: Hello doctor,I would like to know your opinion of my complete blood count. I have attached my reports with this which shows absolute lymphocytosis and macrocytic anemia from two years. Doctor: Hello, Welcome to the icliniq.com. In the mentioned history hemoglobin level is low and MCV (mean corpuscular volume) is high, So macrocytic anemia is present (attachment removed to protect patient identity). The cause for which has to be ruled out. Hypothyroidism, vitamin B12 deficiency, liver disease, etc. are some of the causes. B12 deficiency is a common cause, so rule it out by serum B12 estimation. Second reversal of CD4 to CD8 ratio can be from defect in the immune systems like immunodeficiency problems or autoimmune disorders. Chronic illness like HIV also can lead to reversal ration for which fourth generation HIV, ELISA (enzyme-linked immunosorbent assay) testing can be done. Your further workup can be done in the form of peripheral smear examination so that it can guide you further. I hope this will help you. Consult your physician for further examinations and investigations." + }, + { + "id": 4590, + "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": 19601, + "tgt": "Both my ovaries are slightly bulky. When can I conceive?", + "src": "Patient: Hello doctor, I was suffering from delayed periods from the\u00a0last three month. Every time my periods get delayed by 10 or more days. So, I visited a doctor, who suggested USG and blood test.\u00a0In USG, it shows both ovaries are mildly bulky in size. Right ovary is 3.5 x 2.3 x 1.8 and volume is 7.8 cc. The left ovary is 3.4 x 2.4 x 1.8 and volume is 7.7 cc. There is a chance\u00a0of PCOD. Then she told me\u00a0to get a blood test on day two of the periods. The results are TSH 3.57, FSH 5.46, and LH 4.42. This month, my periods were on time.\u00a0Is there any problem? When can I conceive? Please help. Doctor: Hi. All the best. For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26291, + "tgt": "I have anal pain even two weeks after a piles surgery. Is it normal?", + "src": "Patient: Hello doctor,I had undergone piles surgery two weeks ago. Still, I have pain in the anal area during bowel movements. Doctor: Hello. I just read your query. I hope you are satisfied with my answer. \u00a0Consult me after 10 days regarding improvement and for further management. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19450, + "tgt": "How to remove plaque and tartar at home naturally?", + "src": "Patient: Hello doctor, How to remove plaque and tartar from teeth at home by natural means? Doctor: Hello. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26133, + "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": 23763, + "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": 19461, + "tgt": "Why is there diabetic neuropathy in spite of being on insulin?", + "src": "Patient: Hello doctor, Although my mother is on insulin for 7 years, she has diabetic neuropathy and some complications since one week. Also, the doctor tried but the complications are not going. Doctor: Hello. You have not mentioned the age of your mother. Diabetic neuropathy is a common complication seen in patients who have long-term or uncontrolled diabetes. It may not be completely reversible. However, talk to your doctor about taking Vitamin B12 supplements and Gabapentin which may help relieve her symptoms to a certain extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. These drugs have to be prescribed by your doctor after assessment of your mother's clinical condition. Also, consult a physiotherapist who could teach her some simple exercises to reduce the progress of neuropathy. Most important of all is to have blood sugar levels under good control and take care not to have any injuries. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17693, + "tgt": "Is it fine to practice swimming after my night shift?", + "src": "Patient: Hi doctor,I am a 28 year old female. I am a nurse and frequently works in night shifts. I am trying hard to include sports in my life. I usually swim, and I need to work harder to swim to lose the extra weight. I gained weight because of my sedentary lifestyle. Will it be fine to swim after 12 hours shift? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10349, + "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": 13174, + "tgt": "What can be done to manage discomfort caused due to wisdom tooth eruption?", + "src": "Patient: Hello doctor, I am getting wisdom teeth at the back of my mouth. Now I am 22. But I am teething and it feels uncomfortable. What to do to get relief from it? Doctor: Hi. Wisdom tooth eruption will occur periodically. You will feel pain and pressure in months. For relief, you may take tablet Brufen 400 mg twice a day for three days. Put oral gel Clinica (Chlorhexidine with Metronidazole) three to four times a day for a week in that particular area. And lastly that is most important, do saline water mouthrinses three times a day for two weeks. It will relieve the soreness of gum areas. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses." + }, + { + "id": 10114, + "tgt": "I am trying for conceive but I have adenomyosis and ovaries endometrioma. Please advice", + "src": "Patient: Hello doctor, I am a 38-year-old female. Trying for conception since eight years of marriage. Before three months I have been diagnosed with adenomyosis and both ovaries endometrioma I did laparoscopy and hysteroscopy for the same in the month of may and after that they put me on conjugated estrogen tablets and Decca peptide injection after 20 days of the operation but after a month of the operation during my periods I had severe pain and PMS. I had my BP raised severe palpitations along with severe bleeding and have painful periods like before operation I am concerned after operation why there are so many such problems. I asked my gynecologist about this, but he said show to your physician I went to my family physician he started bp medicines. He said it is a temporary increased. But I am concerned about my health now and wants to get rid of all this problem. My gynecologist said conception is the only remedy to solve adenomyosis and endometriosis. I want to have a normal life because I am on bed rest for three months. Please help. Doctor: Hello. Let me start by saying that, as your doctor said, pregnancy is the best solution for all these problems. I do not see any need for bed rest. If BP reading is regular, try to reduce and gradually stop the medicine. Reports of infertility workup are missingHave your periods day three or fourth FSH (follicle stimulating hormone) and AMH (antimullerian hormone), to find what is your ovarian reserve. I hope your husband's semen report is normal. If everything is fine, please go ahead with ovulation induction with hormone IUI (intrauterine device). This would increase pregnancy chance by four times, thereby resolving other complaints. Do not waste time on other treatments. Try to get pregnant before you lose the benefits of surgery. I cannot comment on pain, as details of findings before surgery and surgical procedure is missing. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 24437, + "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": 24087, + "tgt": "I have a coated tongue for the past five months. What it could be?", + "src": "Patient: Hello doctor, I have had a coated tongue for the past five months. I was under extreme stress, worry, and anxiety. Even thought that I had got HIV from receiving oral sex. Since then, I have had a 10 week and six months negative HIV test. About a month after my exposure, I noticed that my tongue was white. Now five months later, I feel like the roof of my mouth is dry and has a clear mucus layer, and my tongue has not changed. The coating is primarily on the back. It feels like my papillae are furry. If I use a scraper or salt and then dry mouthwash it looks normal for a bit. What do you think? Doctor: Hi. I have viewed the images (attachment removed to protect patient identity). It looks like a thick white coating that is commonly seen in case of yeast infection of the tongue or oral thrush. It commonly causes dryness in the mouth. Papillae feel furry due to the infection. My suggestion to you is to start gargling with anti-fungal mouthwash like Nystatin mouthwash. Eat more of probiotics like yogurt. Place Clotrimazole lozenges in the mouth and let it dissolve. Also, get your tongue examined by a dentist. Did you use any mouthwash or took any medicine for it? For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2940, + "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": 29874, + "tgt": "Are there any chances for regrowth of my breasts?", + "src": "Patient: Hello doctor, I am undergoing the fifth cycle of chemotherapy for my left breast. For the past five months, I am undergoing this treatment. Prior to chemotherapy, I was taking ayurvedic medicine for the same problem. I took the medicine for about eight months, but it did not have any benefit. At\u00a0that time, I was not aware of the exact problem. I was advised to remove the breast completely, but by the god's grace, I was referred to a doctor in oncology. The surgery has not been performed. They started with chemotherapy. Till now, I have completed five cycles. Still, how many cycles are needed for me? Will rest be given to me after the cycles? I am unable to eat, swallow or drink. I have lost my appetite. I have vomiting. Motions are happening from when I start eating my regular diet. I am feeling very depressed and demotivated. I have lost hope from the past\u00a0five months.\u00a0My left breast is healing and dressing is done over it. The skin is removed over a part. My breast looks flat as if it is removed. There is itching over the breast.\u00a0Are there any chances for the regrowth of my breast? If yes, how many months will it take? If it does not regrow, what is the alternative for that? Doctor: Hi. From your description, I fear that you have metastatic breast cancer. Usually, the surgery is done after four cycles of chemotherapy for locally advanced breast cancer. As you have undergone five cycles, you must be on palliative chemotherapy to control the disease. Usually, it is reassessed at every three cycles to know the response and treatment is based on it, which may include a change in the type of chemotherapy, hormonal therapy, etc. You may require toilet mastectomy at some stage for your ulceration of the breast or it may be controlled with radiotherapy. These decisions are made by your oncologist and kindly ask him or her in detail. I am answering this based on your description. I can better answer if all reports are presented. Revert back with the reports to a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 10270, + "tgt": "Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma?", + "src": "Patient: Hello doctor, My mom is a glaucoma patient for the last 10 years. She has been on medications like eye drops including Azopt, Ganfort, Alphagan, Vigamox, and prior to them Cosopt (which did not suit her). She has gone through retina eye laser and also has been injected in both her eyes almost 22 times for retinal leakage as well, has also gone through cataract eye surgery 16 years ago. At the moment her eye pressure remains between 21 to 24. The doctor says implants are necessary as she can see very less now. Given her eye condition is sensitive, a doctor has suggested that it is best to operate her with Ahmed valve implant, however, it has its own risks. I wanted to know if it is better to try the latest option, called MIGS (minimally invasive glaucoma surgery) like Xen Gel Stent and InnFocus Microshunt as it has near to no complications. I want to get an opinion about this before thinking about Ahmed valve. Doctor: Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation." + }, + { + "id": 26352, + "tgt": "USG at 34 weeks says fetal cavum septi pellucidi width is increased. Should I be worried?", + "src": "Patient: Hello doctor, I am 34 weeks pregnant. Until two weeks ago, all the ultrasound reports were normal. The chance of Down's syndrome was 1 in 20000. But, two weeks ago they accidentally noticed a dent on my baby's head and cavum septi\u00a0pellucidi\u00a0(CSP) was slightly more than the 2SD. I was told to repeat the ultrasound, and again yesterday they could see the dent, and the CSP\u00a0was even bigger.\u00a0The report reads as follows.\u00a0CSP: 96 mm (85 mm is +2SD for 35 to 36 weeks GA) Bilaterally, very mild indentation of occipital bones is again seen.\u00a0Prominent CSP measures 8.9 mm (2SD above normal). For 31 to 32 weeks gestation normal CSP is 8.59 mm. \u00a0An unremarkable appearance of cerebellum and remainder of the brain for gestational age.\u00a0Can you help me understand what is wrong with my fetus? Doctor: Hello. But, do not worry. We can follow up after the child's birth. For further queries consult an obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19478, + "tgt": "Whom should I consult for a rash that appeared after unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected sex about one and a half month ago. A few days later, I saw a few things that concerned me. So, about a week later, I got tested for all the common STDs and the results came back negative. But, I am still having the same issue, but not as bad as before. I have been having three tiny red bumps like rash that are occasionally itchy and possibly a weird smell. After a while, I assumed it was a yeast infection. I started taking over-the-counter Azo pill and yeast cream, but nothing really is disappearing. Please help me. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29343, + "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": 3160, + "tgt": "My 8 months old son gets constipated very easily. What shall I do?", + "src": "Patient: Hello doctor, My 8 month old son is having eczema issues since he was around 2 months old. I presume because of allergies. We have tried many things to find what causes his issues, but still have not got it to go away long term. My main concern is that he has had issues with digestion for the past few months. He gets constipated very easily and has to eat things that help to keep him from getting too uncomfortable. He has breastfed up until this point, but recently has self-weaned. He eats lots of solids and drinks diluted juice. I avoid giving him dairy since he seemed to have a bad reaction to formula very young. He had swelling in his lips when he tried yogurt for the first time. He is only 13 pounds in 8 months, which is very low. He eats great, but is still so little. He is not crawling or scooting; he sits by himself and watches everything. He sleeps what seems like more than usual. He wants to be held most of the time. He listens to you and watches you closely; he grabs things and can switch it from one hand to the other. He can put his pacifier in himself and he likes to drop things on purpose. He does not babble much at all and does not play as much as I would expect. Doctor: Hello. 1. Protein calorie malnutrition. 2. Eosinophilic gastroenteritis. For further information consult an general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4882, + "tgt": "Can vaginosis, uveitis and back pain happen together?", + "src": "Patient: HeIlo doctor, In the past several months, I was diagnosed with anterior uveitis in my right eye. Several weeks later, I was also diagnosed in my left eye. In addition, I experienced some achilles heel tendonitis and back pain. I completed the 8 week treatment program (dilating drops for the first week and slow recession of Steroid drops) and about 2 weeks later, symptoms began reappearing in the left eye, followed by the right. I began another round of Steroid drops in both eyes and slowly tapered the consistency. I am down to 2 drops per day and I have begun experiencing severe back pain, which had previously quieted down. Also in the past 2 weeks, I have had a Pityriasis Rosea attack - the 2nd attack in 3-4 years. I was also treated for bacterial vaginosis a few weeks ago and prescribed antibiotics. It seems to me that everything is connected, but I tested negative for inflammation in my blood and no doctor has been able to link everything or look at all my symptoms as a whole. Any help or input is greatly appreciated. Doctor: Hello. It seems from the history that you are having recurrent attacks of uveitis. Uveitis is an inflammatory disease of the eye and it can be because of infections, allergies, systemic diseases. Skin diseases like pityriasis can be seen associated with uveitis. However, there is no definitive relationship between vaginosis and uveitis. Back pain because of arthritis is a common association with uveitis. The treatment for uveitis is by steroids and cycloplegic dilating stops as you are taking now and you can continue same treatment. Since the episodes of uveitis are recurrent I advice for a systemic evaluation. The common tests need to be done are complete blood count, ESR, CRP. Since you are having backpain we need to rule out arthritis and spondylitis as a underlying cause. Hence, you require X-ray of spine and RA factor. There is definitive and proven link between back pain and uveitis, hence I advice you to get evaluation done to rule out spondylitis and arthritis." + }, + { + "id": 5569, + "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": 22516, + "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": 9101, + "tgt": "What can cause spasms on face with jaw pain?", + "src": "Patient: Hello doctor, I was feeling spasms on my face especially the cheek and the muscles surrounding the lips. My jaws were paining. I was unable to chew food either. I have always had this habit of grinding teeth. I think I should stop that now. Even now that feeling is there but it is not as profound as it was last night. I was diagnosed with anxiety disorder earlier this year. Doctor: Hello. Facial spasm most common cause is facial nerve irritation or nerve injury. Second can be due to tetany due to hypocalcemia. The third can be due to temporomandibular joint pain. So, we need to rule out all these causes. Kindly tell us about any recent infection that you had. Send carotid doppler report, if you have done. Start tablet CBZ 300 mg OD for four weeks." + }, + { + "id": 8109, + "tgt": "Is it normal to feel pressure in the root canal treatment area?", + "src": "Patient: Hello doctor, I had a route canal treatment done yesterday on my two lower incisors. The pain from the tooth has gone. However, the area where the infection was observed is still sensitive to pressure. I have not taken many pain killers because the pain has not been that bad. But my surrounding teeth are sensitive still. Is this normal? Will the infection subside? And will I require antibiotics? Doctor: Hello. 1. The pain you have after root canal treatment is because when you bite, there is a pressure distributed over the teeth and taken up by the tooth supporting structures around which is a sort of new irritation. 2. The sensitivity is a normal scenario after cleaning of gums & teeth, and you will automatically recover in a week. 3. You have mentioned that you are diagnosed with bruxism, hence relieving the bite(correction of the tooth surface so that it doesn't hit the upper when bitten) has to be done by the dentist.3. Or a nightguard covering all surfaces of the lower teeth has to be customized for you to wear(management for bruxism). 4. Either of these things will help you get rid of the pain. 5. The X-ray pretty much shows no infection down the roots, so you need not bother about taking antibiotics. 6. I advise you to visit your dentist for further follow-ups to ensure the tooth is surviving well with the fillings inside the root canal as well as over the tooth surface. Management of bruxism with night guard appliance. Do not bite hard foods like apple,guava,corn with the front teeth." + }, + { + "id": 24524, + "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": 11493, + "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": 5209, + "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": 15631, + "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": 24683, + "tgt": "What is the reason for pain in both outer and inner vagina during intercourse?", + "src": "Patient: Hello doctor, I am newly married. We had sex four to five times till now. Last time when we had sex, she started feeling pain in both outer and inner vagina. She feels like peeing, but actually, it is not. Kindly suggest for a better solution and any precautions that can be taken before intercourse. Doctor: Hi. From the available description, it appears that due to inexperience there is little effort for foreplay which is leading to less excitement and resultant problems. It is most important to devote more time for foreplay and excite her before attempting intercourse. It is also important to know each other's erotic body parts so there is proper excitement. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12087, + "tgt": "How can I manage nightfall and weakness?", + "src": "Patient: Hello doctor, I am suffering from nightfall and weakness. Doctor: Hi. Night falls are called a nocturnal emission. It is a normal stance. If you had a high sexual urge and failed to ejaculate sperm or have sex, you can expect nocturnal emission. A person who masturbates or has sex at regular intervals and suddenly stops can have a nocturnal emission. These are the simple reason for NE. If you still have an issue, we can do blood and urine investigation to rule out infections." + }, + { + "id": 24180, + "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": 20247, + "tgt": "I cough up mucus with specks of blood. What could be the reason?", + "src": "Patient: Hello doctor,The last few weeks I have been coughing a lot. Multiple times a day I will gag and cough up mucus. Sometimes it is clear and sometimes it is green with red specks in which I assume is blood. I have a pressure on my chest so breathing can be hard. Doctor: Hello. I have read through your query and went through the attachment you sent (attachment removed to protect patient identity). Sometimes violent coughing can lead to specks of blood in sputum. You said that you have chest congestion and greenish sputum. That means you are suffering from upper respiratory tract infection. You need to take an antibiotic course. But if there is a recurrence of blood tinged sputum you will need to get yourself assessed. CT chest should be done along with a sputum examination. Another factor to be taken into consideration is whether you smoke. I hope I was able to help. If you have any further questions please feel free to write. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12192, + "tgt": "How can I treat the symptom-less bumps on the penis?", + "src": "Patient: Hello doctor, I am having a bunch of bumps on my dick. I think it is because I jerk off a lot but I am not exactly sure what it is. I have no discomfort, no itching, no discharge. Doctor: Hello Are you having any pain or burning sensation? These lesions look like herpes simplex virus infection. It may cause lesions on face and genitals also. Use Acivir cream (Acyclovir), and tablet Acivir 400 mg thrice a day for five days. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. Take care." + }, + { + "id": 3412, + "tgt": "Is there any alternate for Montair LC syrup for allergic cold in kids?", + "src": "Patient: Hello doctor, My daughter 5 years old and having allergic cold symptoms sneezing, irritation of eyes, nose, and wheezing in some occasions. Our pediatrician prescribed Montair-LC kid syrup 5 ml daily. Given for three months. I want to stop the medicine but the doctor suggested to give it on alternate days. If the medicine is stopped even for a day, she gets back the symptoms severely. Is there any alternative? How to taper the medicine? Doctor: Hi. As your child might have airway reactive disease, it suggests she is having airway reactive problems or allergy to some substance. The best plan of action will be to give Montelukast sodium 4 mg tablet in the night time. Give Salbutamol syrup 2.5 ml once daily for five days. Buy a nebulizer and give nebulization with normal saline to Asthalin solution in a concentration of one to one ratio. Rest medication will be gradually tapered off. Stop all syrups and rest of the medications. Gradually medicines will be reduced according to the symptoms. Allergy. Complete blood count. Asthma, reactive airway disease. Asthma Allergens to be avoided like dust, pollens, extreme hot and cold weather should be avoided." + }, + { + "id": 15300, + "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": 14150, + "tgt": "I am having low back pain for the past one month. Why?", + "src": "Patient: Hello doctor,I am facing low back pain from the last one month. I have attached my MRI report. Doctor: Hello. Your MRI report (attachment removed to protect patient identity) indicates a disc herniation in the lower vertebral column. This could be the cause of your back pain. Coming to this point, I recommend taking Ibuprofen 400 mg three times daily and a muscle relaxant (Flexeril or Tiocolchiside) for 1 to 2 weeks. It is also important having some rest and avoid prolonged standing up or sitting position or weight lifting. A lumbar brace can help. If your situation does not improve or even worsens, consulting with a spinal surgeon may be needed. Rest, painkillers, muscle relaxants. Lumbar brace, avoid weight lifting." + }, + { + "id": 18169, + "tgt": "Noticed a yellowish sag in the gums of my 13 months old baby. What is it?", + "src": "Patient: Hi doctor, My daughter is 13 months old. I just noticed big yellowish sag at the place of her first molar gum. I am much worried. Please help me. Doctor: Hello. Revert back with the photos to a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26798, + "tgt": "I feel as if there are bugs on my skin. What is wrong with me?", + "src": "Patient: Hello doctor, I have been struggling a lot with feeling like there are bugs on my skin. I am constantly paranoid. I can barely function with all of my anxiety. But I have started to realize that I have an issue because my scalp is covered in scars and cuts from scratching. I have been checked for lice several times. I have never had it. I always get checked because I feel like there are bugs all over. I find myself scratching my skin constantly. I do not know what is wrong. Any advice? I take Zoloft, Buspirone, and Seroquel. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 25837, + "tgt": "How can throbbing and shooting pain in the right ear be treated?", + "src": "Patient: Hello doctor, My 9-year old son is having a throbbing and shooting pain in the right ear. He is crying for the past two hours. I put Otek AC drops in his ear, but there was no use. He got such a pain three years back. Can you please guide me? Doctor: Hello. I need you to answer a few questions: For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11477, + "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": 4819, + "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": 4356, + "tgt": "Is there a chance for dengue reattack in the same season?", + "src": "Patient: Hi doctor, I was diagnosed with dengue towards the end of last month. I was hospitalized for five days. I went through a lot during that period and since coming out of the hospital, I have developed this phobia that I might have dengue again because my area is dengue prone with lots of mosquitoes. Whenever a mosquito bites me, I get filled with this fear that I might have dengue again. When I went to my doctor with this fear, he told me dengue does not happen twice in the same season, it can happen again in the next season, but it cannot happen again this season. I want to ask if this is true? If it is true, then what is the logic behind that? Can you please explain? I am immensely afraid of the disease. Doctor: Hello. The fact that dengue cannot happen in the same season is true to some extent but not absolutely. Let me explain. Dengue is a viral infection caused by the bite of infected ades aegypti mosquito. Every mosquito bite will not lead to dengue fever as for infection to happen. First, the mosquito should be infected by the dengue virus (DEV). By infection of the mosquito I mean, the mosquito just serves as a vector or carrier for virus transfer to humans. Also, every mosquito carrying the dengue virus would not lead to dengue fever, shock, etc. Some people just have subclinical, asymptomatic infections too. There are actually four types of dengue viruses numbered from 1 to 4. Infection with one type, followed by recovery confers immunity to that type of infection. Our body produces antibodies against the virus and protects us from further infection, with time these antibodies fade away. So immunity in DEV is present but is short-lived. It can be said that the infection cannot occur in the same season, but if an infection with another type say (DEV type 1 followed by DEV type 2) occurs, the body does not have antibodies which are protective against type 2, as the body was previously infected by DEV type 1. This type of infection is more dangerous. However, in a season only one type of DEV infection occurs usually. I hope this helps." + }, + { + "id": 23893, + "tgt": "Vertigo and nausea with violent shaking coming from my shoulders. What could it be?", + "src": "Patient: Hello doctor,I am a 30-year-old woman. I have been having rough episodes of vertigo and nausea along with violent shaking that seems to be coming from my shoulders. I have pins and needles all the way down to my legs. I went to the ER twice because my condition suddenly and abruptly worsened. The doctor told me it could be Meniere's disease. I had been diagnosed with a TMJ disorder a few months ago and had my jaw popped. Since then it has been excruciating at times. All the research studies I have done do not include tremors. Vertigo never really goes away. I am so afraid that I have meningitis or something that is life-threatening. This has been going on for about a week and a half. I have fluid in my ears and have had musculoskeletal problems with my neck. There are also strange warm sensations behind my eyes. I have pain in my left shoulder that shoots down my arm. I had an EKG and blood work done and both were normal. I had a CT scan done about six months ago. I am going absolutely crazy. It is causing me to have awful panic attacks that I cannot sleep. I am scared of my life. Currently, I am on Melatonin, Citalopram 20 and OTC Ibuprofen. Please help. Doctor: Hello. Recurrent vertigo and nausea and associated neck pain which is radiating to shoulders and hands are suggestive of a rare form of vertigo known as cervical vertigo. Usually, the causes of cervical vertigo are acute cervical spine injury, cervical spondylosis, cervical spondylolisthesis, severe cervical myofascial pain, etc. The neck muscles play an important role in the maintenance of our balance and any abnormalities of the cervical spine with associated muscles can cause severe attacks of vertigo. Antivertigo drugs can give symptomatic relief but you may need to consult an orthopedist or a spine surgeon for further treatment. For the time being, you can use a cervical collar which can stabilize the neck and avoid any movements which can trigger vertigo attacks. Regards. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15996, + "tgt": "Is it possible to see lung cancer in CAT scan if pleural effusion is present?", + "src": "Patient: Hello doctor, How likely is a CAT scan to show a lung cancer if a pleural effusion is present? My husband has a pleural effusion and has had four CT scans, none of which show any suspicious mass. Cytology records are inconclusive. I am wondering if the presence of the pleural effusion limits the visibility of a potential tumor? What about in the presence of a middle lobe collapse, could that be hiding a tumor? He has right side pain, short of breath, and was admitted to hospital and fluid drained. Doctor: Hi. Detection of tumor on CAT (computed tomography) scan has nearly 85 to 90 percent efficacy which further increases to 95 percent in post-contrast studies. The pleasurable effusion can be due to numerous causes and in your case due to mucous plugging causing lung lobe collapse-tumor need to be the cause always so do not be apprehensive about that. Any heterogenous abnormal enhancement can be a tumor seen in contrast scan which is not present in your scan." + }, + { + "id": 2510, + "tgt": "Why do I get back pain only when I put on weight?", + "src": "Patient: Hi doctor, I am a 31 year old male and single. I am\u00a0getting pain on my back\u00a0in recent days. I\u00a0used to maintain my weight around 70 kg to 75 kg. Recently, after my kidney stone surgery my weight increased up to 80 kg. After an increase in weight, I started getting back pain when I walk for more than 5 minutes and when I try to do some exercises or if I do any activities at home. A few years back, I also faced the same issue as I gained weight and later I worked out to reduce. But, this time it seems too worse. Please\u00a0suggest me how to avoid this back pain and why I am getting pain when body weight is increased.\u00a0There is only increasing in belly fat and the pain is like back bone gets very tight and not able to move or keep another step.\u00a0Please help. Doctor: Hi. For further doubts consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 13590, + "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": 30601, + "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": 25703, + "tgt": "What is the reason for increase in eosinophil count?", + "src": "Patient: Hi doctor,Yesterday I have given my blood sample for a random test. When reports came I got shocked. Is there any big health issue? Do I need to consult the doctor for this? See below lab report: RDW-CV 14.4 high 11.6-14.0 %, Eosinophils 9.1 high 1.0-6.0 %, Absolute eosinophil count 0.70 high 0.02-0.50 10^3/Ul, Thyroid profile ultra triiodothyronine (T3) 97.63 60.0 - 181.0 ng/Dl, thyroxin (T4) 6.60 3.20 - 12.6 \u00b5g/Dl and thyroid stimulating hormone (ultrasensitive) 7.244 high 0.55 - 44. Doctor: Hello. Regarding the eosinophils increase, it could be due to allergic condition or parasitic infection. So do you have any remarkable symptoms like for example coughing,sneezing, etc.? As for the elevated TSH (thyroid-stimulating hormone), it is subclinical hypothyroidism which you do not have to do anything about. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26027, + "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": 17135, + "tgt": "Why do BP values of my father vary between palpatory and auscultatory methods?", + "src": "Patient: Hello doctor, This query is regarding my father. He is 65 years old and hypertensive for the last 15 years. He was on Ramistar 5 mg and Amlodipine 2.5 mg and one diuretic. Recently, his doctor increased his dose to Ramistar 10 mg and Amlodipine 5 mg. I am an MBBS doctor and I check his BP twice daily. I have noticed that his systolic by palpatory is quite low around 110-120 mmHg, but on auscultation, it is 140-150 mmHg with diastolic 80-90 mmHg. I do not understand the difference. He is an anxious person and gets very anxious while measuring BP. I take three to four times and it starts with high, but eventually settles to the BP mentioned above. Also, he has BPH and takes Alfusin D. Will this drug decrease the efficiency of BP medicines? I would like to add that he had his stress thallium test 15 days back, which came back normal. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3786, + "tgt": "I lost 25 lbs in the last two months. Should I get my thyroid test?", + "src": "Patient: Hello doctor, I have been treated for anxiety disorder for the past eight years. They are now suspecting a thyroid problem. I have lost more than 25 lbs in the last eight weeks which has triggered the doctors to look closer into this. I have elevated anxiety, shaky and unsteady, high pulse rates especially in the morning 100 - 115 beats per minute, and fatigue. I am currently taking Xanax. I have attached a couple of blood tests that I have on hand. Please let me know your thoughts. Doctor: Hello. I just read your query and saw the results which you have attached (attachment removed to protect patient identity) and it appears to be an absolutely normal thyroid function test results. As your TSH (thyroid-stimulating hormone) is within the normal range, your thyroid function is normal. The slightly high T4 is not responsible for your symptoms since it is just a variable component, so as long as your TSH is normal your thyroid function is normal. Although you have impaired blood sugar levels, since HbA1c (glycated hemoglobin) is normal therefore just diet control will help. Take low carbohydrate and low-fat diet with daily 30 minutes of walk. You could benefit from a prior ECG (electrocardiogram). I would suggest taking tablet Bisoprolol 2.5 mg once daily for your tachycardia and anxiety. It will decrease your heart rate to normal levels and help you with your anxiety as well. Try also to do yoga and meditation daily. I hope this helps." + }, + { + "id": 9495, + "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": 14553, + "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": 15434, + "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": 25793, + "tgt": "Why do I have an increased signal intensity within the cervical cord?", + "src": "Patient: Hello doctor,I have increased signal intensity within the cervical cord at C2 and C4 levels. The cervical discs have degenerated with some loss of normal disc height and hydration. What does this mean? I also have multiple sclerosis. My current medications are Gilenya, Amitriptyline, Omeprazole, and Venlafaxine. In the past, I have been on Lyrica. Please help. Doctor: Hello. I would like to know if you have performed any brain MRI (magnetic resonance imaging) study. These lesions in the cervical spine could be related to many possible causes. They could be MS (multiple sclerosis), cervical myelopathy, myelitis, or neuro infections, etc. The diagnosis of MS should be done based on some specific neurological criteria, which include multiple lesions like this in the white matter of the brain. Besides, the diagnosis is also based on the medical history (clinical relapses with neurological deficits which have improved). In such cases, a lumbar puncture would also be necessary. In such cases, there is also stenosis of the cervical spinal column at this level. The main differential diagnosis should be done with cervical myelopathy. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 143, + "tgt": "I have frequent constipation issues. Please help", + "src": "Patient: Hello doctor, I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg. Doctor: Hello. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in drugs for diabetes and hypertension in the past six months? Do you have alternating diarrhea with constipation? Do you feel bloated? I will start symptomatic treatment and some workup for constipation. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily." + }, + { + "id": 21839, + "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": 2431, + "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": 2936, + "tgt": "My son has a brown spot on face. What is it?", + "src": "Patient: Hi doctor, My son has some brown spot on face for over 10 months. I am applying Panderm ointment. Please help. Doctor: Hello. This is a clear cut case of pityriasis alba (attachment removed to protect patient identity), which is very common in young kids. It is a kind of mild allergy due to sunlight, food or any other external and internal factor. It is treatable and not a worrisome problem. Some time due to lack of calcium and presence of worms also cause it. Treatment for pityriasis alba is very simple and almost always effective. I suggest you tablet Ostocalcium (Calcium phosphate) one tablet every day for one month. Give him milk and good nutritious food. Tablet Albendazole 400 only one tablet has to be taken. Apply Flutivate cream (Fluticasone propionate) over the white patches once in night for one month. Do not rub the cream. Consult your doctor, discuss with him or her and take the medicine with consent. To avoid sunlight allergy use sunscreen (Suncros 50 SPF) over face twice in a day, which is during morning and afternoon. Continue this treatment for one month and the problem will be resolved definitely. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13850, + "tgt": "Does brown spotting a few days after withdrawal method of sex mean pregnancy?", + "src": "Patient: Hello doctor, The last day of my period was 25 days back. My partner and I had unprotected sex a week later using the withdrawal method. Last day, I experienced having a light brown spot. My next period is due in a few days. I am 18 years old. Am I pregnant? Doctor: Hi. Drops of semen if by chance transfer to the vagina, then just a single sperm is enough to have conception but this process is not so simple as it seems. You are scared even without penetrative sex but as it was done around fertile period so that is why thinking of the possibility. Have serum beta hCG (blood pregnancy test) to check pregnancy status. If by chance it comes positive, then report to gynecologist emergency in case of any symptoms appear like bleeding, pain, etc. Have Folic acid, balanced diet, if the pregnancy test comes positive. Check for abnormality in vaginal swab like a smell, irritation. If yes, then you might need a high vaginal swab to check vaginal infection. In case of a negative pregnancy test, better to have combined oral contraceptives so you could be comfortable. 1. Beta hCG. 2. HVS if vaginal discharge is irritating and smelly. COCP cyclically if the pregnancy test is negative. COCP." + }, + { + "id": 2855, + "tgt": "Could fatigue and disturbed sleep occur due to blood cancer?", + "src": "Patient: Hi doctor, Why do I feel extreme fatigue, pain and tiredness? I cannot sleep the whole night peacefully, because of the pain in my body. I have attached my blood work. Do I have any blood cancer like lymphoma or non-Hodgkin lymphoma? Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Revert back with the report to a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 796, + "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": 27829, + "tgt": "Why am I continuously getting a blood clot in my left leg?", + "src": "Patient: Hi doctor, I am a 23 year old female, who is 5.9 feet tall and weighs 190 lbs. Several months ago, I was diagnosed with factor II clotting disorder after getting a superficial blood clot in my left leg while on NuvaRing. I stopped the NuvaRing immediately at my doctor's request due to the estrogen. My blood clot went away within a few weeks, but I got another clot in the same leg and spot about two months later. I went to a different doctor and she said it is not a big deal, and I do not have to go to the doctor every time I get a blood clot. That clot went away, but now a month and a half later, I have another clot in the same spot and it is fairly painful, although not red. It feels very similar to my previous clots. Should I go to the doctor or just wait for it to go away on its own? I wear compression socks, walk 45 to 60 minutes daily, drink a lot of water, gave up alcohol and caffeine, and take Aspirin daily. Why\u00a0am I continuously getting a clot in the exact same spot? Doctor: Hello. Take care.\u00a0Hope this helps. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4164, + "tgt": "My hairfall stopped when I started Mintop and Finasteride, but it happens again whilst on treatment. Why?", + "src": "Patient: Hello doctor, I was suffering from hair fall. My hair is very thin. Then I used Mintop 10, Finasteride 1 mg tablet for one month. After starting this prescription for 20 days hair is not falling. But for the last 10 days, so much hair is falling. Can I continue or stop Mintop and Finax? Doctor: Hi. I read your query and I saw your pictures. (attachment removed to protect patient identity). The hair problem you are having this problem is called androgenic alopecia. It is common in this age group. It is due to hormonal changes in the body especially testosterone and DHT (dihydrotestosterone). The medicines you are taking is very good. The only side effects of Minoxidil are there which is an increase in hair fall initially which eventually will subside in the next 20 to 30days. So do not worry. Continue your treatment. It will take two to three months to show a decrease in hair fall and five to six months to show an increase in hair density. Age, hormonal changes, stress. Not required at present. Androgenic alopecia. Androgenic alopecia. Morr F 10% (Minoxidil) at night, tablet Finax (Finasteride) 1 mg at night, tablet Keraglo men (Gamma linolenic acid) one in the morning and one at night. And use Anaboom shampoo. After one month." + }, + { + "id": 9929, + "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": 12868, + "tgt": "Will taking Pause 500 help in controlling heavy periods flow?", + "src": "Patient: Hello doctor, I am a 26-year-old, sexually inactive woman. My present weight is 77 kg and I have PCOD. Two months back, I tried a weight loss medication and my last period started on 12th, two months before. First I had spotting for 10 days and started bleeding heavily after that and it did not stop. I consulted a local gynecologist a month later to stop my bleeding and she suggested me Regestrone, 5 mg one tablet daily for 21 days. My bleeding stopped after having Registrone within six days. But unfortunately, I had missed Regestrone for three days and started bleeding again. On consulting my gynecologist again she prescribed me Regestrone 5 mg, two tablets daily for 21 days again to stop this bleeding and even suggested Pause 500 mg as SOS. It has been five days since I am taking Regestrone 5 mg, two tablets daily but my period has not stopped. Do you think my period will stop after taking Regestrone twice or do I need Pause 500? Doctor: Hello. The bleeding that started after missing Regestrone (Norethisterone) for three days is your withdrawal bleed where endometrial shed has started because you missed daily pills. Now, this endometrium cannot be repaired again by Regesterone once the bleeding has started. So just stop Regesterone tablets and start Pause MF tablet (Tranexamic acid and Mefenamic acid) 500/250 twice a day for the next five days. These are antifibrinolytics and shall help in reducing and further stopping the bleeding. Please increase your daily water intake to 3 to 4 liters as dehydration can further cause bleeding and weakness. Once stopped, then you should be started on PCOD regimen for next three cycles from day three of your next menses to control your PCOD induced hormonal imbalance and anovulatory cycles which are often the causes of prolonged spotting and menorrhagia thereafter in PCOD untreated patients. Please follow up with your hormonal profile, thyroid profile, serum prolactin, and ultrasound pelvis to assess the severity of PCOD." + }, + { + "id": 10665, + "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": 12277, + "tgt": "Can a NAFLD patient consume cashew and groundnut?", + "src": "Patient: Hello doctor, My mom is suffering from NAFLD. Is she supposed to avoid both saturated fats and unsaturated fats? Can she eat nuts like cashew and groundnut? Doctor: Hello. Dear, she may take unsaturated fats like omega-3 fatty acids or fish oils or cod liver oil, etc. Avoid spicy food and saturated fats. Vitamin E and Vitamin C are useful to reduce fat in the liver. Use tablet Pantoprazole before breakfast for one week in case of acidity or indigestion which is more common in fatty liver disease. Regular exercise, weight reduction may be useful. Please consult your physician for a follow-up scan and blood tests. Take care." + }, + { + "id": 8871, + "tgt": "What is the treatment for whiteheads and enlarged pores in my face?", + "src": "Patient: Hello doctor,I had acne for some time during school period and now have scares from the acne. The scarring left enlarged pores as well. The pores have whiteheads, and my nose has a lot of blackheads as well. My skin is oily in some places like the nose but dry around the cheeks. I was wondering what I should do to get rid off the whiteheads as well as reduce the number of enlarged pores. What treatment should I follow to get rid off the blackheads? I have already used many face washes with blackhead erasing ability, but none of them worked. Doctor: Hello. I have gone through your case. The best treatment for acne scar is CO2 (carbon dioxide) laser. No cream will benefit you for the scar. For shiny skin, apply Vitamin C serum at night. For blackhead apply adapalene gel only on blackhead and whitehead with a toothpick in the minimal amount on lesion at night for 20 minutes only. If you take too much, you will have a burning sensation." + }, + { + "id": 5953, + "tgt": "My child's WBC count remains high even under antibiotics. What is wrong with him?", + "src": "Patient: Hi doctor, My 4 year son is ill for past two weeks. Initially it was diagnosed as viral infection due to season change. He was given fever and cold medicine (Asthaline). Fever was mostly between 100-101 degree F. \u00a0He had occasional cough may be five times a day. He had the medicine for 5 days but there was no improvement. Then his doctor asked for a blood test. His WBC count was 23900 at that time. I have attached the entire report for your look.\u00a0Due to high WBC count, doctor suspected it as bacterial infection and prescribed him two antibiotics, Amoxycillin and Cephalosporin. In the next four days his fever got improved. But he had occasional low grade fever under 100 degree and he just wanted to lay down always. His activity has got subsided now. He is not interested in eating food. Only two small cups of orange juice a day and few bites of food. I took him to doctor again. He said antibiotics have not worked and asked for blood test and blood culture again. He also requested an x-ray suspecting pneumonia and a sonography of abdomen and pelvis.\u00a0X-ray showed prominent bronchovascular marking in both lower zones.\u00a0Sonography was normal. Liver, gall bladder, pancreas, spleen, kidneys and bowel loops were all normal. No mass or lesion or fluid or dilatation found.\u00a0Blood test again showed increased WBC of 31300.\u00a0Doctor said that he seems to have mucus in his bronchi and that seems to be the infection.\u00a0Doctor admitted him in the hospital, started giving him Linezolid and Cephalosporin along with Ipravent and Asthaline solutions, Pandotec (PPI).Today his blood culture report came as negative. No bacterial infection was shown.\u00a0Doctor asked for another blood report now and the results are appended. The WBC is still high with the value of\u00a029900. His doctor is again telling that he has both bacterial and viral infection.\u00a0We are very concerned. He is hardly eating anything and has already lost 2 kg of weight.\u00a0Before two weeks, he was absolutely fine and fit. He was physically very active.\u00a0What seems to be wrong with him now? Please help. Doctor: Hi. Your child has definitely got bacterial infection. From your attached reports (attachment removed to protect patient identity) the reasons are as follows. Contact with a person who has latent infection by coughing. Repeat x-ray chest, blood culture and CRP. 1. Atypical pneumonia. 2. Slowly resolving pneumonia. Continue full course of antibiotics. Cover mouth during sneezing. Revert back with the answers for the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18621, + "tgt": "My 3. 3 year old son has allergic rhinitis. Can I use Budecord inhaler?", + "src": "Patient: Hello doctor, My son is 3.3 years old. Last year, he had three episodes of allergic rhinitis and one episode of allergic conjunctivitis. This year, our pediatrician asked us to get an\u00a0allergy test done, and he put my son on Momeflo, Nukast 4, and Levolin inhaler. We found out that he is allergic to dust mites, oranges, and mutton. We are taking precautions and medicines as advised. Beginning this year, he got a cold which lasted for around 15 days. But, the doctor did not give any new medicine. Now, my son has a mild cough at night, but he is fine during the day. He got allergic conjunctivitis around the same time, and he we used Pataday and Mosi D for a week. Immediately after starting the eye drops, we saw him develop a cold and after few days a dry cough. Now he has started Budecort inhaler, which is to be continued for eight weeks. I am fine with the medicines, but as it is a steroid, I am worried about the prolonged use. Please advice. Please note that I have never seen him wheeze or have breathing difficulty. All the episodes of cold start with a runny nose and if left untreated for a week,\u00a0he develops a cough. He has no episode which has started with a\u00a0cough directly, so somehow I feel it is the rhinitis that is not controlled. And the doctor says that he has asthma, which I do not see symptoms of. Please guide. What is going on with my son? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12824, + "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": 18064, + "tgt": "I bled 8 days after taking Unwanted 72. Was that my normal period or withdrawal bleeding?", + "src": "Patient: Hi doctor, I have been using birth control pill (Crisanta LS) from last 2.5 years.This month I started on 13, and I doubt I missed 1 or 2. After 13 days of starting the pill, had safe sex with a condom, but we doubt that it broke. To be safe, I took two dosages of Unwanted 72 the next day and stopped regular birth control. After eight days, I got bleeding, and it lasted for five days (same number of days as my regular period after stopping pills every month). What was\u00a0that bleeding? Was that\u00a0my normal bleeding or withdrawal? I am confused as\u00a0this was near to expected period. Then, I did HPT, and it came to be negative. What are my chances of pregnancy?\u00a0Does this bleeding confirm that I am not pregnant? Somebody suggested that I can start my regular birth control pills and I started.\u00a0After 10 days, I got my full abdomen ultrasound done.\u00a0It indicates that no focal lesion was seen and endometrial thickness is 4 mm. Uterus size is 88 mm - 43 mm - 42 mm.\u00a0Do the thickness and report confirm that I am not pregnant?\u00a0What is the normal thickness at this stage if I am pregnant? Also, the doctor suggested me to stop birth control pill until I get my regular period. Is that correct?\u00a0When should I expect my next period? As I had regular birth control pill for 10 days, will it affect my next period? Doctor: Hello. What you experienced was a withdrawal bleed following Unwanted 72 (emergency contraceptive pill), which occurs in 7 to 10 days post emergency pill intake. So, it is normal. There is no pregnancy at all, as is confirmed in the ultrasound pelvis with ET being 4 mm. ET would have been more than 16 mm with decidual reaction if you had been pregnant. Latest bleeding becomes your LMP now (last menstrual period). For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4470, + "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": 18531, + "tgt": "Can I continue taking Fluticasone Nasal Spray for sputum in my throat?", + "src": "Patient: Hello doctor, I have sputum always in my\u00a0throat. I have this problem for the past six months. For the first two\u00a0months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back\u00a0to the throat. I\u00a0recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the\u00a0right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I\u00a0still continue with the spray? Can I\u00a0continue for longer periods?\u00a0How long will it take for a complete recovery?\u00a0What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat? Doctor: Hello. Do revert back for any support which you deem is necessary. I will be happy to help you. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20929, + "tgt": "PAP smear test shows metaplastic epithelial cells. Is colposcopy needed?", + "src": "Patient: Hello doctor,I am 39 years old female. For the last three months, I am having a long period cycle for 10 days. The first day is flowing but rest days are spotting. I have done pap smear test as suggested by a gynecologist. The report is showing some metaplastic epithelial cells.I was suggested to do colposcopic. Please give me a second opinion. Doctor: Hi. I have seen your report (attachment removed to protect patient identity), could not read it completely as important part is missing from the picture. But, there is some chronic infection of the cervix that affected cervical histology and there are some changes in the cell. As you have been symptomatic as well means you had a complaint of spotting so it needs further evaluation. Cervical changes or infection with herpes can lead to cervical neoplasia. It is better to have a check now and get the full treatment in early stage rather than deal with complications. Colposcopy is just investigations, not complicated. In the early stage, they can have treatment during colposcopy as well but in case of severe disease things become really complicated (need complicated surgeries even cancer, painful treatment). Care is better in advance. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22140, + "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": 14989, + "tgt": "Newborn is spitting milk after burping and has laryngomalacia. Is that a matter of concern?", + "src": "Patient: Hi doctor, My daughter is 1 month and 26 days old. Her birth weight was 3.05 kg. Her current weight is 4.4 kg. She spits the milk after burping also. She has been diagnosed with laryngomalacia. I wanted to know whether it a matter of concern or not. Doctor: Hi. The current weight of the child is absolutely normal according to the birth weight of the child. There is no need to worry about this. Babies often spit very little amount of milk after feeding even after burping, this is a normal thing. If it is problematic, then the weight of the child does not increase. Since the weight of the child is normal according to age, I think this is normal and we should not worry about this. Also working should be done for around 10 minutes for effective results. Laryngomalacia is a condition in which the muscles of the larynx are weak and as a result, there is stridor sound during breathing. This is not a serious issue. Laryngomalacia usually gets corrected around eight months of age. Sometimes calcium levels are low which can result in stridor like sound, so calcium level should be done in the child. If low, then calcium needs to be started." + }, + { + "id": 26936, + "tgt": "One of my teeth is paining. Please help", + "src": "Patient: Hi doctor, I am 22 years old, and one of my teeth is paining. My dentist did not prescribe any medicine to take the infection out of the tooth. Doctor: Hi. Thanks for the query. Hope you get well soon.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16745, + "tgt": "After delivery, how long should I wait to get my tooth pulled?", + "src": "Patient: Hi doctor, I am a 25 year old female. I am 9 months pregnant with a severe toothache. My question is after delivery, how long do I have to wait to get my tooth pulled out? Doctor: Hi. All the best for your delivery. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24975, + "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": 21907, + "tgt": "Can HIV be acquired via deep kissing?", + "src": "Patient: Hello doctor, I am very anxious I might have acquired HIV. Two weeks ago, I deep kissed a man I had just met whose serological status I do not know. During our kiss, I tasted some blood coming from a cut in his lip. I just mixed that small amount with saliva and swallowed it. 34 hours later, I started a PEP regimen out of worry, which I am still keeping up with. Two weeks later, I am now suffering from a 38 celsius fever for three days, with fatigue and night sweats and recently an enlarged painless lymph node in my neck. No sore throat, no sneezing nor coughing. I am even suffering from daily insomnia which I think is both because of my anxiety and a side effect of my PEP regimen. Please help me understand my HIV risk and what I should do next. Doctor: Hello. Is it possible for you to investigate your partner? Any other kind of exposure like penovaginal, peno-anal, or oral? Looking forward to your response in order to help you. Revert with more information to an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5068, + "tgt": "Will removal of tonsils help to get rid of recurrent tonsil stones and pain?", + "src": "Patient: Hello doctor, I have been getting tonsil stones for a few years now. But these last few months it is been getting more and more frequent. My tonsil craters have been getting deeper and harder to clean out with Q tips when I get the stones, and my throat is constantly paining on the whichever side I have them that day. For the last few days, it is been my left side and it is so painful that even the back of my tongue that connects near my tonsil hurts so moving my tongue or talking too much hurts. I have good oral hygiene, that is not the issue. It always gets worse when my allergies are bad because of excess mucus. Either way, I get them really frequently though (at least two to three times a week lately). I am sick of being in pain and having disgusting things I have to fish out of my throat and then spitting up blood. My question is do you think I should be able to get my tonsils removed if I bring my situation to an ENT? Or what do you suggest I do for now even? Doctor: Hello. It seems like you are having a condition known as keratosis tonsil where there will be afrequent collection of whitish debris in the crypts of tonsils. Usually, this condition is not associated with pain and bleeding but commonly it can cause foul smell from the mouth. The pain and bleeding in your case is probably secondary to frequent cleaning which is causing injuries to tonsils and surrounding areas which in turn produces ulcers. Usually, keratosis is a difficult condition to treat and if your symptoms are very significant and recurrent. Then it is better to undergo tonsillectomy which gives a complete cure. Keratosis as such is a benign condition and will not have any long term issues if not treated surgically." + }, + { + "id": 21932, + "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": 25714, + "tgt": "What ayurvedic medicines can treat tinea cruris?", + "src": "Patient: Hello doctor, Kindly tell me some ayurvedic drugs for tinea cruris. I had the disease last year but I am having the symptoms again. Itching has not gone completely. I have used Onabet cream. In the past, I have been on Tyza and Atarax. Please help. Doctor: Hello. Tinea cruris is commonly caused by a type of fungus called dermatophytes. It causes mostly circular growth on the skin and often looks like rings. It is also referred as ringworms. Generally, it grows in unhygienic and wet areas. Antifungal management is the line of treatment. I suggest you apply Onabet cream (Sertaconazole Topical) externally twice a day after cleaning and drying the affected area. Along with these medications, you can also use an ayurvedic ointment like Cutis cream, Six C Ointment externally. I suggest you can take Khadirarishta 15 mL twice a day with equal amounts of water after meals and Gandhaka Rasayana Vati two tablets twice a day after meals. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For precaution, you should avoid spicy and junk foods. Also rice and curd. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29505, + "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": 21702, + "tgt": "Why am I having pain in coccyx area after cycling?", + "src": "Patient: Hello doctor, I have taken up cycling as a form of exercise but now find that I have bad pain in my coccyx area when trying to stand after sitting. As I work in an office and sit for long periods, this is causing me severe discomfort. This has now been going on for three weeks. Week one of cycling, I only did 30 minutes for three days a week. Week two I did 10 minutes for two days. And week three (last week) I only did one day 30 minutes and then I have not done any since hoping the pain would ease but it does not seem to be. Doctor: Hello. Coccydynia is what you seem to be getting and not uncommon if the bicycle seats are not comfortable. Try adding a gel cover over the top of the seat. You may try sitz bath and a cutout seat for your office chair. Take Co-codamol for pain. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 7714, + "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": 16884, + "tgt": "Does a mild mitral valve prolapse require a surgery?", + "src": "Patient: Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity and my varicocele medication, I feel a chest pain. I also feel depression, anxiety, and panic even though there is nothing to worry about. Do I need a surgery or can I continue with the same medications? Doctor: Hello,\u00a0 Welcome to icliniq.com. If you have only MVP (mitral\u00a0valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Follow up with echocardiography and ECG is advised. Regards. Revert with more information to a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 11957, + "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": 9685, + "tgt": "My sperm looks watery. Will it create any problem?", + "src": "Patient: Hi doctor, I am a 31 year old unmarried male. Over the last few months\u00a0my sperm looks watery whenever I ejaculate. Will it create any problem? Also my erection is not like earlier. Kindly advise me doctor. Doctor: Hi. I have read and understood your problem. The fluid that male organ secrete during ejaculation is called semen. Semen is a visible liquid. It contains millions of invisible microscopic male counterpart of female eggs called sperms. It does not matter if your semen is more watery, the sperm count in semen should be normal and that can be detected by semen analysis, which is done at a pathology laboratory. Erection problem appears to be due to stress or anxiety. So, do relaxation exercise. However, to exclude other cause you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. Check your BP (blood pressure). If you are taking any medicine or nutritional supplement on regular basis then it may be due to side effect of that. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 25241, + "tgt": "Kindly evaluate the blood test report", + "src": "Patient: Hello doctor, Kindly evaluate my mother's blood test report. The RDW is 14.6. How can we interpret the value of RDW? She is on Nebicart 5 mg, Matilda Forte, Calright, and Caat 20 mg. Doctor: Hello. RDW is nothing but red blood cell distribution width which signifies the size of red blood cells. Increase in RDW have two probable diagnosis and one is due to iron deficiency and the second is due to folate and B12 deficiency. Before to comment on diagnosis, I just want you to clear a few details about ur mother's health condition. Has she had any history of blood loss like abnormal bleeding during menstruation or any other health issues. Had you consumed non-vegetarian food or have you restricted only to vegetarian? Is there any history of a tingling sensation or burning sensation in the feet? Kindly mention any health issues like hypertension, diabetes, or thyroid disorder? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21103, + "tgt": "What can be done for loose motion in a 15 days old baby?", + "src": "Patient: Hello doctor, My child is 15 days old and is a premature baby boy. The current weight is 2.010 kg. Recently, he is passing the motion in a semi-solid form after every mother feed. And also passing urine 8 to 10 times a day. Previously, he was passing motion 4 to 5 times a day. It seems that he has loose motion. As a home remedy, we have given him Nutmeg in mother milk. Please suggest what we have to do and is there any medication for it. Doctor: Hi. I can understand your concern. Your baby is absolutely normal. Baby's gut is in a transition phase of maturation, where motions from 0 to 8 times a day are normal. Continue breastfeeding, giving other than breastfeeding can be disastrous. Any home remedy is not recommended for six months. Mother's milk is sufficient for the baby, and he does not need anything other than that for six months." + }, + { + "id": 27447, + "tgt": "After 25 months of unprotected sex, why am I having various symptoms?", + "src": "Patient: Hello doctor, I have few questions to ask regarding my health problems. After 25 months of unprotected sex, I went for an HIV test called comb AIDS test, and the result came negative for both HIV-1 and HIV-2. At the same time, I also took a test on HBsAg, HVC, scrub typhus, Widal test, and blood sugar, but all the results were negative. I again retested comb AIDS test after three months, but the\u00a0result came negative again. Not satisfied, I went for HIV ELISA test, but even this time, the result came negative. But presently,\u00a0I am suffering from many problems such as, extreme tiredness, ulcers in mouth and tongue, weakness, reddish spots at the back, frequent thirst, frequent urination, pungent smell of urine, occasional itchy and spot eruption in private parts, occasional and pain in ears, itchy and reddish eyes, no energy to talk, easy catching cold, and uncontrollable sneezing. I recently got malaria, and I recovered after medication. Is there any possibility that my immune system was too weak to detect antibody after 25 months of unprotected sex? What is the period fo HIV to become AIDS? Is it possible that I am already into the last stage for which the HIV tests gave a\u00a0false negative result? Is there any further HIV test, which will give 100 % result about my HIV status? Some people suggest me to go for a CD4 count and PCR RNA. So, do I need to go for those test? What is the possible cause of all the symptoms that I mentioned? Lastly, I humbly request you to give a patient reading to my problems and answer my questions systematically. I will be grateful to you. Thank you. Doctor: Hi. I have gone through the details and can make out your anxiety. For further queries consult an\u00a0HIV\u00a0AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16799, + "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": 20, + "tgt": "Constipation cause bleeding from external hemorrhoids with abdominal pain. Is it diverticulitis?", + "src": "Patient: Hi doctor, I am a 22-year-old female who often suffers constipation to the point where I feel like I get minor external hemorrhoids that often bleed. Again, I have not got doctor verification for this but that is what I think. Recently, I have been experiencing pain around the left side of my stomach. I cannot localize it. Sometimes I feel like it is on my back, sometimes the lateral side, and sometimes the front. It usually happens after I eat or pass a stool but I have a minor sensation of discomfort even when I am just sitting. All of this has been getting a lot worse the past couple of days. I often feel nauseated too. I think I may have diverticulitis, however, I am not sure how common it is for my age. I also feel like I have a small localized swelling on the LUQ that hurts when I press on it. I am not sure what is wrong and I really want to go get some tests done but I do not feel safe going to a hospital with certain circumstances. Doctor: Hello. I think you are overthinking about your symptoms. To be conscious is good but to be over conscious may fall in the category of anxiety and is not good. I will advise you to be relaxed. Based on your symptoms, I do not feel anything to be worried of. Considering your age and symptoms of constipation and feeling something more probably pointing towards hemorrhoids or some local pathology. But physical examination and maybe flexible sigmoidoscopy would be appropriate to confirm underlying pathology or maybe online video consultation with gastroenterologist if you are worried about going to the hospital. I will advise you following general measures to follow that will help you. 1) Try to relax. Do not overthink. There is nothing serious we are thinking of. 2) Take fibers. Increase it in the diet in the form of vegetables. Add Ispagol in your diet. 3) Avoid constipation. 4) Take plenty of water. 5) Do regular walk, exercise inside your home if you can not go outside. 6) Do not strain in the restroom. 7) Take a sitz bath daily. Follow me in case you got further queries." + }, + { + "id": 14178, + "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": 1200, + "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": 23665, + "tgt": "Will you suggest some good medicine to get quick relief from vaginal infection?", + "src": "Patient: Hi doctor, My wife is suffering from\u00a0vaginal infection. She continuously scratches her vagina. She went to a doctor and got tablet Forcan 150 mg, Hhzole cream, tablet Dazit 5 mg and Hhlevo 5 mg. Still she is suffering a lot.\u00a0Please suggest some good medicine for quick relief. Thank you. Doctor: Hi. Your wife seems to be suffering from vaginal candidiasis or in simple terms fungal infection which presents as vaginal itching and thick white curdy discharge from vagina. She has already been prescribed Fluconazole 150 mg and local application of Clotrimazole cream for external application thrice a day. The other tablets Dazit (Desloratidine) and Hhlevo (Levocetirizine) are antacid and antihistaminic respectively. Antihistaminic is prescribed to get relief from itch. I think, if she has not been relieved from itching at all after Forcan then it is likely to be a mixed vaginosis. Please follow my prescription given below: Vaginal candidiasis + bacterial vaginosis, mixed vaginosis. High vaginal swab for culture to confirm diagnosis. Bacterial vaginosis/mixed vaginosis. Mixed vaginosis. Avoid sex till the treatment gets completed. Revert back after 24 hours for follow up to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27595, + "tgt": "I have cough, sneezing, nose block and headache when the weather changes. Why?", + "src": "Patient: Hello doctor, I am a 19 year old male. I always have a\u00a0cough. There is also a nasal flow, sneezing, nose block, headache,\u00a0body pain and fever sometimes. These happen when the weather changes, when I have ice cream, cold drinks, banana, or get drenched in the rain. I had pneumonia during childhood and always had similar issues, but now it is very frequent. Also, every winter I notice blood clots in my nose. I also have rashes quite often on different areas of my hands. They subside a little when I take some allergy medicines. I have attached my recent blood reports. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1565, + "tgt": "Why are my periods irregular?", + "src": "Patient: Hi.i m 17 years old..my periods are irregular.and sometimes it lasts for 15 days sometimes 7 or sometimes4 days..from last month i got my periods for only 3 days with very light flow.. and now it again started but very minute..little..i dont know why its happening like this..plz help me. Doctor: Hi dear, I understand your concern .am also proud that kids of your age are so thoughtful to ask these questions.at your age I was not even aware of such things . first of all after menarche ,till 18 years of age your body will be adjusting to the changing harmones and also your HPO axis will mature till 18yrs of age ..hence irregular cycles are common during this period. but in your case your BMI is on higher side and obese for your height. As per your height your ideal weight should be 55kgs. weight reduction will help you best with your periods.as more estrogen is produced from body fat ,it leads to harmonal imbalance.also obesity causes insulin resistance and acne. also get evaluated for THYROID take tab.Yaz for 3 months to regulate your periods if you have any questions please feel free to ask if you are satisfied with my answer please leave a feedback" + }, + { + "id": 18793, + "tgt": "I have a runny stomach and black stools after the flu. Why?", + "src": "Patient: Hello doctor, I had the flu for two days. That included a fever, sore throat, and runny nose with a dry cough. The flu went away and now I just have a cough, but I have developed a rash behind my ears and a runny stomach in which my stool is black. Doctor: Hello. Feel free to follow up any time with a blood investigation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17922, + "tgt": "I have hypothyroidism after taking medicines for hyperthyroidism. What is going on?", + "src": "Patient: Hello doctor, I am a 26 year old female. Seven years ago, I was diagnosed with hyperthyroidism. I took medicines and my thyroid hormones got normal. After that, I stopped taking medicines. Everything was fine for two to three years. But after some time, I came across symptoms like weight loss, anxiety, and tiredness. So, I got my thyroid checked. To my surprise, I had hypothyroidism this time. My values are as follows: T3 - 105 ng/dl. T4 - 7.7 ug/dl. TSH - 6.51 uIU/ml. I am taking 32 mg Thyronorm now. My height is 5 feet 2 inches and weight is 44 kg. So, I am underweight but in hypothyroidism, a person gains weight but I am losing it. I also checked my anti-TPO value and its value is more than 1000 IU/mL. I am really tensed whats going on. My hyperthyroidism has been converted to hypothyroidism with time and I am unable to gain weight instead of diagnosed with hypothyroidism. By observing anti-TPO level, I have Hashimoto diseases. I am really tensed. Please help me out. I want to gain weight and cure this disease. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have Hashimoto\u2019s thyroiditis. I would suggest that you have a wait and watch approach. I would recommend that you just keep checking your thyroid function test results every six weeks as of now. Then, once your TSH (thyroid-stimulating hormone) stabilizes, you can check every three months. Also, your TSH is not so high that you must take any treatment for it. So, my advice would be better to wait and watch. Since this is a phase of thyroid dysfunction, please be patient about your weight. Once your thyroid stabilizes, your weight gain will improve. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 25577, + "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": 25749, + "tgt": "What does 'first-degree atrioventricular block' mean?", + "src": "Patient: Hello doctor,I did my ECG today in which I got a first-degree atrioventricular block. What does this mean and is this a serious issue? What is its cause and treatment, please? Doctor: Hello. A first-degree heart block means there is a slight delay in conduction of heart impulse from one chamber to another, that is from atria to ventricles.This is not a serious issue. There are many causes for it, few are, congenital defects in the heart, old age, taking some drugs which affect the heart, etc. If you are having any symptoms then only you should investigate it further, otherwise, do not worry about it. This will decide your treatment. If you are not having any symptoms then do not worry. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5960, + "tgt": "I have a patchy beard on my face. Please help", + "src": "Patient: Hello doctor, I am 22 years old. I have problems with my beard. My beard grows in patches, only in certain parts of my face. The remaining areas are clear without any facial hair. It makes me look awkward. Does any supplement encourage hair growth and solve my problem. Is that possible doctor? Doctor: Hello. Beard and mustache are said to be secondary sexual characters. Some people may not get the full area of beard distribution at a young age. The area and thickness of facial hair increases as you grow. Repeated shaving also increases the possibility of hair growth and thickness. But you should also know that there are chances of some treatable causes like fungal infections or a condition called alopecia areata which commonly affect the facial hair growth. Have a balanced diet with high proteins, vitamins, and minerals. You can also take Biotin supplements. Get back to a dermatologist online with clear facial photos, to rule out the causes for incomplete facial hair growth --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30084, + "tgt": "I am worried about my fast heartbeat and chest pain. Please help", + "src": "Patient: Hi doctor, I have been having fast heartbeat and severe chest pain. When I consulted a doctor, he prescribed Atenolol for me. It relieved the pain for some time, but now it continues. There are no further investigations. The onset is sudden and for the past six months, I am having severe chest pain and blurring vision. Earlier, I was diagnosed with high blood pressure. Currently, I am not on any regular medicine. I had a chest x-ray and quantum analysis. Doctor: Hi. Revert back with the answer to the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13419, + "tgt": "Will stopping psychiatric medications change the behavior?", + "src": "Patient: Hello doctor, I am 21 and was diagnosed with unspecified mood disorder when I was about 8 for constantly getting angry at my parents, but I behaved well at school and other places outside the house. When I was about 10, I started taking 2 mg of Risperidone once a day and 200 mg of Lamotrigine twice a day for the mood disorder. However, for the past year, I have cut back on my medications to the point where I only take 100 mg of Lamotrigine once a day and have eliminated Risperidone completely. As a result of reducing the medication, I feel much more talkative and impulsive. For example, I am noticing myself interrupt my friends talking more often, but also feel happier (my guess is there are more natural amounts of Dopamine in my brain, almost all the time. In addition, I do not feel angry. My question is what is the science behind the change in my behavior after cutting back on the medication? And should I worry about the potential consequences of my change in behavior and reduced medications? Doctor: Hi. The diagnosis of mood disorders is not easily made at the age of 8 years but if you were given that diagnosis then there must have been a detailed assessment of yours. Coming to your questions, our mood, thoughts, and behavior is controlled by certain chemicals in our brain like Dopamine and Serotonin. The imbalance of these chemicals is responsible for inducing the mood and other psychiatric disorders. Risperidone and Lamotrigine both balance these chemicals in your brain and keep your mood in check. Yes, decreasing the dose of medicines without your psychiatrist's supervision worsen the problem. I would advise you to get back to your psychiatrist, he will adjust your doses according to the current state." + }, + { + "id": 10075, + "tgt": "I had unprotected sex during my infertile days. Can I be pregnant?", + "src": "Patient: Hi doctor, I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods.\u00a0Could you suggest some ways to get back my periods? Thank you. Doctor: Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant." + }, + { + "id": 16418, + "tgt": "What should I do to reduce high vitamin B12 level?", + "src": "Patient: Hello doctor, I have been taking Vitamin B medication for over one year and my Vitamin B12 level is very high, greater than 2000. What should I do to reduce the level? I am 27 years female. Please advise. Doctor: Hi. Vitamin B12 is a water-soluble vitamin. It means any excess of Vitamin B12 in the body shall be flushed out in urine. So just stop taking further vitamin supplements and the B12 level shall normalize. You can repeat the test after one month." + }, + { + "id": 11991, + "tgt": "Please let me know the do's and dont's after wisdom tooth removal", + "src": "Patient: Hello doctor, I just got my wisdom tooth removed. So, I was wondering if I can get a guidance of the do's and dont's. Like tips regarding eating or drinking to avoid problems. Doctor: Hi. Take precautions for 24 hours if the wisdom tooth has been extracted non-surgically but, if the tooth has been removed by surgical intervention with sutures placed, then take precautions until the sutures are removed. Consult a dentist online for further help --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17722, + "tgt": "Is it advisable to take Omnacortil for acne?", + "src": "Patient: Hi doctor, I have been on Isotretinoin for over a year. My acne is getting worse. Now, I am taking Omnacortil 20 mg. Is it safe to take? Please let me know. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27132, + "tgt": "How to control excess sebum production on my scalp naturally?", + "src": "Patient: Hi doctor, I am a 21 year old male, who is 163 cm tall, and I weigh 62 kg. How to control excess sebum production on my scalp? It causes my hair to fall like anything. Doctor: Hello. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10011, + "tgt": "I get fever during rainy and winter season. Why?", + "src": "Patient: Hello doctor, During rainy and winter season get frequent fevers. Most of the times I get it diagnosed, and every time doctors tell it is only viral fever. Fevers generally come twice a month. I take Paracetamol and Cefixime usually (on the advice of doctors). Generally, the illnesses go in 10 days. This has been happening from the last three years. Can you suggest any cure for it? I am a small time businessman, and this is affecting my financials. Regarding my medical history, I am a premature baby of seven months. As told by my mom and relatives, I remained alive on medicines with great difficulty. And also from childhood, I used to get skin diseases frequently, and for that, I think I was regularly administered antibiotics. Doctor: Hello. I need to know a few things, 1. Do you feel feverish, or does the thermometer record a temperature? 2. What other symptoms do you get? Runny or blocked nose, sore throat, throat pain with swallowing, headaches, body pains, etc. 3. Does anyone else around you (family members, co-workers, etc.) develop similar symptoms before or after you do? 4. Do you get any tests done like blood tests or X-rays during those episodes? From your description, it appears that you are getting frequent viral upper respiratory tract infections. These are acquired from other patients through the air (coughing, sneezing, etc.). They are usually short-lived and last no more than five to seven days. Since more than 300 different viruses can cause similar symptoms, you can get infected multiple times each time with a different virus. The same virus cannot affect you again. Unfortunately, antibiotics do not work against viruses. They are meant for bacterial infections only. However, doctors continue to prescribe antibiotics unnecessarily, and this has led to the emergence of widespread bacterial resistance. Other than symptomatic treatment, no medicine can cure or prevent these infections. They are self-limited, and you will get better even if you do not take any medication. The older you get, the less frequently you will get these infections as your body will be building up defenses with every disease. No household tips or vitamin supplements have been proven to work. Premature birth can lead to increased frequency of infections, but unless the infections are bacterial, not much can be done about them. Please get back to me with answers to the above questions and also attach any test reports you may have." + }, + { + "id": 20171, + "tgt": "Why are my arm muscles shaking?", + "src": "Patient: Hello doctor, I am a 24 year old male. I work as a software engineer. Over few days, suddenly my arm muscles are shaking for a few seconds and it will be normal after sometime. Also sometimes, I am not feeling well. Are these the symptoms of diabetes or any other health issues? Doctor: Hi. First of all thanks for the questions and for showing trust on us. Follow these self-care tips: Fort further clarifications consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1331, + "tgt": "My father gets intense pain in thighs and shoulder girdle. Please help", + "src": "Patient: Hello doctor, My 85-year-old father had mild pain in his thighs and shoulder girdle for two months which intensified in the past two weeks to a point that he could not get up from his bed. He was started on oral steroids 30 mg once daily for the past three days and has shown a 40% response but cannot stand. Blood tests were done yesterday showing normal serum electrolytes, bilirubin, TSH, and CBC with some iron deficiency. Raised values are CPK - 272, BUN - 50, SGOT - 50, SGPT - 100, and leucocytes - 29000. His Hb is 9 and eosinophilia 42 since before. Kindly suggest the diagnosis. Doctor: Hello. Well as per your history, it does look.like a diagnosis of polymyalgia rheumatica. I would like to ask you a few more queries related to his illness. When is the pattern of pain more mornings or evenings? Does he experience morning stiffness as well? Any history of weight loss or appetite loss? Any history of jaw pain or headache or fever? Do you have his reports of ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), rheumatoid factor available? As they are the most important to monitor and diagnose. Did they do any scans of the chest and abdomen? As of now the reports do not seem very great with high leukocyte count and low Hb. Diagnosis of polymyalgia rheumatica looks certain but we should rule out any underlying trigger." + }, + { + "id": 28985, + "tgt": "Do genital warts appear above the pubic area?", + "src": "Patient: Hi doctor, Do genital warts appear above the pubic area? I have attached the picture for your reference. Doctor: Hi. Genital warts over the pubic area is a common presentation of the advent and use of condoms. As condoms provide protection to the genitalia, the incidence is lower in such sites. However, the skin over the pubic area remains unprotected and can come in contact with the virus, and thus get infected. The lesion in your image appears more like a cutaneous horn. Usually, genital warts are multiple and show a tendency to spread. Kindly mention the duration of the lesion, and upload better pictures. Also, mention if your partner has similar lesions elsewhere. Get the following tests done: 1. HIV (human immunodeficiency virus). 2. HBsAg (hepatitis B surface antigen). 3. Anti-HCV (hepatitic C virus antibody). 4. VDRL (venereal disease research laboratory). Revert with more details to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3097, + "tgt": "Which is the correct time to conceive after laparotomy?", + "src": "Patient: Hi doctor, I recently had a laparotomy due to an endometrial cyst on each of my ovaries. On my right ovary, the cyst measured at 18 cm and on my left the cyst measured at 13 cm. The surgeon was able to save my ovaries with no problem. My ovaries just needed to be stitched up after having the cyst removed. My question is, when can I try to conceive? I am 20 years old and my doctor recommended I get on the pill due to the endometriosis, but I really do want to conceive really soon. None of my reproductive organs were bothered other than my ovaries being stitched. I am currently on Junel 1.5/30. Doctor: Hi. How are you doing? Great to know that the surgeon could save your ovaries, though the cysts were really so large. During surgery surgeon would have removed all the visible, I mean all macroscopic endometrial deposits. But there will be microscopic deposits, not visible to the eye and they will not allow proper fertility outcome. Immediately following surgery or any such physical stress, the egg or follicular response also will be less. So, rest for ovaries for a period of 3 months will do good. During this period of waiting, the use of hormone pills or injections like Leuprolide will allow a better follicular response. So I would advise as your doctor did. You are so young and will surely have a good follicle reserve left to use. Hope I have clarified your query, do write back if any more queries and for your feedback. All the best." + }, + { + "id": 24993, + "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": 5527, + "tgt": "I have loose and fragile teeth with short and twisted root. Will dental veneers help?", + "src": "Patient: Hello doctor, My teeth are very small and my roots are too short and twist together, leaving my teeth loose and fragile. I cannot eat certain foods or bite into apples because I have to be cautious not to accidentally pull my front teeth out. I also have a large gap between my two front teeth. Multiple dentists have mentioned veneers before, but I was wondering if there is a better option? I read that putting veneers on fragile teeth is not a good idea, but I am not sure what else could help me besides dentures. All dentists are very hesitant as to what to do because I just turned 17 and doing anything drastic on someone so young is a lot to consider. I understand, though my dentist and oral surgeon both have said that eventually, I will need more work. What are all of my options to get a set of teeth that are not so fragile? I have been to several dentists in various different locations. Since I can remember going to the dentist, the focus was always on my gap and my lack of enamel due to acid reflux (GERD) since I was an infant. I had braces for two and a half years. The braces did not close the gap all the way, but it was significantly smaller until I lost my retainer. I am fine with having my gap. If my teeth were healthy, I would have no complaints. But my teeth seem to just be getting very gradually something to put higher up on the priority list. I also have ground my teeth since I was a child, and so they have damage from that as well. All of my teeth that are in front of the canines are very loose. I am currently taking Citalopram, Seroquel, and Lamotrigine. Doctor: Hello. I can understand your concern regarding dental health. Your small, loose and fragile teeth and short and twisted roots are because of GERD (gastroesophageal reflux disease) which is presence since infancy. In such case, physical examination and x-ray investigations are very necessary which you have already done. So, I will suggest you to follow the advice of your doctor because they have guided you according to your current oral condition. So, better to follow them for good results earlier. Talking about the gap between upper front teeth, it can be resolved by composite restoration. So, nothing to worry about it. Do not brush too forcefully and frequently. Do it in circular motion and slowly. Drink lots of water to avoid the dryness of mouth. Do not brush immediately after drinking tea or coffee. Avoid sweet diet. I hope this helps. OPG (orthopantomogram) for better diagnosis and treatment." + }, + { + "id": 20256, + "tgt": "I am suffering from hyposmia. Am I losing the sense of smell permanently?", + "src": "Patient: Hello doctor, I am 56 years old and I am suffering from hyposmia\u00a0since a month, which appeared after a cold with fever and inflammation.\u00a0 I have been prescribed Flixonase nasal 400 microgram/unit dose nasal drops. I used Flixonase twice daily for about 10 days. At this point I am not sick and inflammation has gone. I do not take any medication and I am healthy. The opthalmologist did a visual check and told me that I he could not see any sign of swelling, it was a very superficial check, just look up with the light. I will describe how I feel my hyposmia: I do not have a total loss of smell. I can smell some things slightly, other things very slightly, and other things I cannot smell at all.\u00a0 I have noticed that sometimes, more or less one time at every two days, I can recover a lot of my smell sense for a short time, sometimes 30 minutes to an hour followed with worsening of my smell sense. As for example, yesterday I could smell and taste my lunch and I could smell many others things like the rain outside the house. Sometimes I have worsening of my hyposmia and when it occurs I cannot smell many things. After a while I recover some of my smell sense more or less to the level before (not the normal level). Last night, my smell sense got worse but stabilized overnight. This morning it again got worse. The same is happening with the intensity of odors, it improves and worsens along the day. It just happens. Do you have any idea of what is going on? Are those signs of recovery or indications that I am losing the sense of smell? Doctor: Hi Welcome in icliniq.com. I understand your concern. I would like to tell you that for the sense of smell we have got a sensory mucosa at the top of interior of nasal cavity and it is called olfactory area. To sense the smell there should be: Consult an ENT otolaryngologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8746, + "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": 10203, + "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": 25485, + "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": 21556, + "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": 15558, + "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": 24505, + "tgt": "Why is the heart having rapid, uncontrollable pounding?", + "src": "Patient: Hi doctor, I am 24 years old, and my heart is having episodes of rapid, uncontrollable pounding which is giving me shortness of breath and faintness. This has only started recently with my first episode giving me tunnel vision. What should I do? Doctor: Hello. This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, sometimes syncope. ECG (electrocardiography) done during episodes will show abnormality. You may need 24 hour Holter monitoring if ECG is not informative. So, visit a nearby cardiologist for these investigations. Till the time your evaluation is complete, you can ask your local doctor for tablet Metoprolol XL 25 mg once a day. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24962, + "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": 15052, + "tgt": "Can osteoarthritis cause pain in knee?", + "src": "Patient: Hello doctor, I have pain in the right knee for two months. While using a staircase, it used to pain initially whenever I starting walking or running. The pain is exactly on the front side of the knee and just below the left side of the kneecap. I started jogging a year back and continued for six months, during jogging or walking I was feeling a cracking sound but I thought it was normal. Recently, my weight started increasing so again I started jogging and gym workouts. In the gym, I was doing leg workouts like squats, leg extension, leg press, and deadlift. Knee pain started and I realized I was doing squats and deadlift in the wrong form. Later, I corrected and started doing workouts in proper form and pain is slightly reduced. I have consulted a doctor regarding this and he gave me some medicine and said it as early osteoarthritis. Kindly advise me whether I can continue my workouts, is this issue curable, how to manage this. Medicines which I am taking now is Fixit 300 (Nizatidine 300 mg), Loflam (Aceclofenac 100 mg), Joint free triple action (Glucosamine, Chondroitin, and MSM). Doctor: Hello. Your X-rays are normal for age (attachment removed to protect patient identity). What you describe is patellofemoral compression syndrome and weight gain, wrong exercises, jogging on an incline, poor shoe wear, open chain exercise like squats, knee rolls have a role to play. Physiotherapy to do like closed chain exercises, leg presses with knee not bending more than 30 degrees, patellar taping, core strengthening exercises, gluteal clam shells, hamstring stretches, VMO (vastus medialis) exercise, etc. Take NSAID like Aceclofenac but I see no role of Glucosamine combination tablets. The process of relief takes a long time so do not get frustrated and believe me this is a curable condition but effort has to be yours." + }, + { + "id": 27533, + "tgt": "Is keratoconus hereditary?", + "src": "Patient: Hello doctor, I am a 27 years old. I got my eyes checked recently and came to know that I am suffering from keratoconus. Both my eyes are damaged. I got my right eye treated and left yet to be done. I have done research on keratoconus and came to know that the cause of this disorder is unknown, but it could be family inheritance. But none of my family members suffered from this disorder. I am a married woman too. I am planning for kids. Now I am worried that my eye disorder will pass on to my baby. Can it? I am actually thinking to wait till both of my eyes get better. Do you want me to wait or plan for pregnancy now? Doctor: Hi. I understand your concern. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5542, + "tgt": "I had blood discharge 10 days post i-pill intake and I missed my regular period. Why?", + "src": "Patient: Hello doctor, I am a 21-year-old female. I had unprotected intercourse with my partner the day after my periods end and consumed an i-pill on the same day. I had a blood discharge after 10 days and it was there for three days. I expected my period dates to be between 19th to 24th of this month but my periods were delayed. So I did a home pregnancy test and it is negative, and till now I have not got my periods, are they delayed? What may be the cause? When can I expect my periods? Are there chances of pregnancy? Doctor: Hello. Taking i-pill during the first half of the period cycle results in early periods. The three days of bloody discharge you had was actually a light period which came earlier due to the i-pill. So, now expect your next period around a month after that bleed. No need to worry it is very unlikely that you are pregnant." + }, + { + "id": 19238, + "tgt": "Why does my WBC count fluctuate?", + "src": "Patient: Hi doctor, My WBC count keeps fluctuating. First it gone up to 83000 from 10500 last month and then it became 12900. Now again for the past few days it is high at 22200. Can you please help with this issue? 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": 6368, + "tgt": "What is the treatment for recurrent iridocyclitis?", + "src": "Patient: Hello doctor, I am suffering from iridocyclitis in my right eye since last six months. Every time when I stop my Pred Forte eye drops, it recurs after one month, till now it has recurred three times. I have tested for TB, anti-nuclear antibodies, anti-CCP antibodies, HLAB27 all are negative. But still the problem is not going. I have hypothyroidism since last five years, my ophthalmologist is not able to find out any reason for the same. Kindly suggest what should I do, whether it is related to autoimmune disease. Doctor: Hello. I have gone through your history and investigations (attachment removed to protect patient identity). Well firstly iridocyclitis (anterior uveitis) is mostly an autoimmune problem. We can only find a definite cause in 30 percent cases. So, when it is a single episode we tend to ignore it but when you have recurrent episodes (more than twice a year) we need to treat it. So, even if all are negative and you are getting recurrent episodes it needs to be treated. HLAB 27 method done is an outdated one. You can request them to do by PCR method as it holds importance in your diagnosis. You can discuss with your ophthalmologist. As the treatment needs to be accelerated, we need to start you on DMARDS as for iridocyclitis only few drugs are useful. My preference would be Methotrexate but we will need to discuss with your ophthamologist once." + }, + { + "id": 23514, + "tgt": "Can you compare two images of fundus and tell me if there is progression?", + "src": "Patient: Hello doctor,I need comparison analysis of two fundus photos to check if they are/are not showing signs of progression. Patient is on Xalatan, Timolol, and Dortas. Doctor: Hello. From the photographs, there seems to be a very slight progression (attachment removed to protect patient identity). But to come to a conclusion based on fundus photographs alone would be incorrect. One of the most accurate ways to judge progression is field analysis done on Humphrey field analyzer. All the known patients with glaucoma need to get their intraocular pressure (IOP) checked every two weeks and their target IOP is maintained then. The fields should be done yearly at least. In conclusion, from the above pictures, there is a very slight increase in the cup-disc ratio but more information is needed to come to a conclusion. Please do get the latest fields done and send it to me. Revert with more information to an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22797, + "tgt": "I have an itchy, tender, small growth in my hand. What could it be?", + "src": "Patient: Hi doctor,I have a very small growth-like in my hand for a month now. Actually, it started itching and the area surrounding is tender. I have attached the picture for your reference. Doctor: Hello. There are two diagnoses, which matches with your pictures (attachment removed to protect patient identity) and symptoms. The first one is infected nevus sebaceous and the second one is infected wart. Now let us differentiate the two diseases. Nevus sebaceous is a type of birthmark, which may be remain unnoticed. Now, it is infected and so become tender and symptomatic. Wart is a viral infection. Sometimes, it grows on the scalp like this. Due to touching, it becomes infected and tender. The treatment plan is as follows. First, I suggest an antibiotic cream like Mupirocin cream on it for seven days to reduce the infection. Then, I suggest oral antibiotics like Augmentin 625 mg (combination of Amoxicillin and Clavulanate) twice in a day for seven days. It will becomes dry and non tender once infection subsided. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Once it become dry and non-tender, go for removal of the lesion. In both cases, either wart or nevus, you have to get it removed by radiofrequency or surgically. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23337, + "tgt": "Why am I having constant burning pain in stomach?", + "src": "Patient: Hi doctor, I have been having burning type gnawing pain behind my sternum since last one year. I am on Esomeprazole 40 mg since last six months, which ease my symptoms. Two days ago, my GP advised me to get an upper GI endoscopy. During the endoscopy, they found one small sessile polyp on GE junction and they took a biopsy sample. I am much worried that it may be malignant. Can you describe what this sessile polyp is? How much chance that it may be malignant? Biopsy report is still awaited. Doctor: Hi. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 30287, + "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": 3119, + "tgt": "I get pimples when I take non-vegetarian and spicy foods. Why?", + "src": "Patient: Hello doctor, I am 21 years old. I have pimples problem. If I do not take non-vegetarian and fast foods my pimples disappear but if I take egg or chicken or meat it comes out again. And most important is that if I avoid nonvegetarian foods but if I do not drink six to seven liters of water even pimples come out. Please advise me is six to seven liters of water harmful for me? And I want to eat eggs how can I eat? If I take spicy food after a few hours something burns in my stomach. I cannot even take spicy foods. What do I do? I want to eat everything? Please help. Doctor: Hello. The pimple problem or acne is a very common issue for young men of your age. It affects morale and creates constant anxiety in the minds. The solution to this problem requires one adheres strictly to certain diet regimens and take abundant care of their skin. Drinking so many liters of water is not harmful. Continue it. Water helps to wash off bacterial toxins and remove pimples. Make sure you do not fill your stomach with water immediately after a meal as that would distend the tummy and make you fat over time. But taking so many liters of water intermittently is beneficial. You are advised to avoid oily foods. The yellow of egg is completely cholesterol. While preparing non-vegetarian foods to make sure minimal oil or butter is used. Use boiled meats better. Fish oils are good for health and fish is the healthiest non-veg food. Red meats are not very healthy, and so is beef or pork which have a lot of fat in them. You must use a good face wash that will remove excess oil from the skin as well as maintain adequate moisture in the skin. However, if your skin is dry type then you must use a face wash that hydrates the skin well and does not add to its dryness. Deciding on the right cosmetic product takes time and patience, but once you arrive at the right one for yourself then there is no looking back. If you are unable to tolerate spicy food it is best to avoid it. If this problem is a recent one then you may take some anti-acid reflux medicines like Pantoprazole 40 mg twice daily for two weeks and Mucaine gel syrup two teaspoons thrice daily after meals. This will remove acidic reflux in the tummy and reduce the burning sensation after meals. You are advised to reduce the intake of coffee, tea, smoking, and alcohol. Last, we have many anti-pimple or anti-acne creams available in the market. Clindamycin, Adapalene, Nicotinamide, Retinoic acid, and Benzoyl peroxide are all very effective. If you can send a picture of your face with clarity then I can assess the severity and recommend the cream and how to use the same. Do not use these creams on your own as indiscriminate use can worsen the condition and lead to disastrous side effects. I hope this helps." + }, + { + "id": 15867, + "tgt": "How can I manage constipation?", + "src": "Patient: Hello doctor, Acute chronic constipation for the last 20 years. I have been taking in the past multiple medications but could not be cured of constipation. Recently, I started taking capsule Pantocid L in the morning and I found relief to the extent of 40 % from my constipation but still, I am struggling with my constipation and even laxatives are not suiting to my body. Kindly advise. It takes more than two and a half hour to evacuate my bowels. I take a lot of water, papaya and do yoga exercises but constipation is unabated. Doctor: Hi. Chronic constipation needs laxatives and life style modification. Some of the people may not be able to tolerate lactulose. Do not worry. We have another kind of laxatives that will not produce gases. Take Peglec one packet (big one) in two liters of water over 3 to 4 hours. It will help to clear your intestine in one go. If you did not clear your stool, repeat on the same day. By the second day, take Laxopeg sachets two sachets at night time. High fiber diet, include more salads in your meals. Adequate amount of water 4 to 5 liters in a day. No junk food. Regular excercise." + }, + { + "id": 18876, + "tgt": "Why am I not interested in studies?", + "src": "Patient: Hi doctor,First time, when I was in the hostel I acted like fainting. So, they took me to the hospital and after checking BP, the doctor said it was low. The next day, I got very high fever and came home. Then after some days, I went hostel as I had kidney pain. I was brought here and had a scan. The report said that I have hydronephrosis. So, I joined as a day boarder. While studying I do not understand anything. I got zero in mathematics and I informed my mom that I cannot understand anything. My mom asked me to practice, but I am not getting interest. My exams are getting near and I do not know anything. Whenever there is an exam, I am not going college on that day. Sometimes, when I am alone, I feel something different in my body and I feel as if I am missing the past. When I see a situational scene or a song, I feel bad. I want to make my parents happy by seeing my marks. Please suggest me some ways to interest in studies. Doctor: Hi, Welcome to the icliniq.com. I completely understand that you are feeling a lack of interest in studies and unable to focus on your studies. According to research, there can be various reasons behind the lack of interest in studies and low concentration. 1. It can be due to learning difficulties in children. 2. It can be due to negative past experiences such as having failures, something negative related to study environment or teachers or fellows or due to any other academics related factors. 3. There might be psychological causes behind your lack of interest, avoiding exams and getting affected by past memories. You need to specify your age, level of study and for how long you are experiencing these problems, both academic and emotional issues. You also need psychological assessment of the symptoms you mentioned as feeling something different in body, missing past experiences, getting emotional by watching particular scenes or listening songs. First of all you need a complete psychological assessment by a clinical psychologist. It will include testing related to your academic problems and psychological issues like lack of interest, avoid studying, negative past experiences and unusual sensations in the body. You will get a feedback of your assessment and then you will be better able to understand the reasons of your problem. On the basis of assessment results, your psychologist will recommend an appropriate treatment plan for your academic and emotional problems. Here, I am advising you a relaxation exercise. You can do it before starting your study. Relaxation exercise helps to improve concentration. It also relaxes your mind and body out of stress and problems. Do a relaxation exercise or deep breathing to calm yourself and focus. Sit in a comfortable position and close your eyes. Take a deep breath and focus on the air going in and out. Focus on your muscles from head to toe of your feet and relax every muscle. As your body gets completely relaxed, imagine something positive, watch yourself studying and enjoying the material you are reading or writing. After your necessary adjustments open your eyes. Do this exercise every day. I appreciate you consulted for your problems at initial stage. Do get your assessment done as soon as possible. Delay in the treatment or ignoring your symptoms may increase your problems. Revert back with answers to the above questions to a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 3451, + "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": 16468, + "tgt": "Delayed period after abortion. Please help", + "src": "Patient: Hello doctor, My wife is 23 years old. Two months back she had abortion. After abortion she is taking Folic acid and Ecosprin 75. Last month her period lasted for around 14 days and then doctor gave her Sandoz medication. This month her period date already has passed far off but still she is not having period. We checked home pregnancy test, but it is negative.\u00a0Please guide. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 150, + "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": 29379, + "tgt": "Is there any harm in using Ovasafe and Duphaston if I plan to delay pregnancy?", + "src": "Patient: Hi doctor, I am 20 years old and got married a year ago.\u00a0I had a\u00a0problem\u00a0with water bubbles formed up in my uterus and causing irregular periods.\u00a0I used Folvite and Cystelia 35 for three months. Now, the doctor has given the following tablets and informed that I could get pregnant if I use those medicines. They are Ovasafe, Duphaston and\u00a0Folvite.\u00a0However, I would like to delay my pregnancy to two more months. Can I continue the tablets? Is there any harm in using the medicine if I plan to delay my pregnancy? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9842, + "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": 9384, + "tgt": "What is the reason for long term foot numbness?", + "src": "Patient: Hi doctor, I am a 29 year old male. Four days ago, I started feeling numb on the side of my left foot. The feel continues and the entire portion of the left foot is numb now. Please guide me. Doctor: Hi. I understand that it can be very troublesome and scary to have complete numbness in a specific area of the body. From what you have mentioned, it sounds like you do not remember any incident that brought this on. I assume this is something you noticed one day after waking up from sleep, is that right? It may be helpful to know if the numbness is on the outer side or inner side of the foot. Is there any area on the side of the ankle or the leg, between knee and ankle that is similarly numb? The sensations from the outer side of the foot are carried to the brain by nerves that go up to the S1 (sacral) level of the spine, while those from the inner side of foot go to the L5 and L4 levels lumbar. These nerves can be affected by multiple issues ranging from trauma to any location along its track, pressure from certain structures such as disc etc., and general illnesses like diabetes. It is difficult to pinpoint which part of the track of the nerve is affected. I would suggest you to consult a neurologist for a complete physical examination and get the appropriate tests that may be necessary. The treatment would depend upon the cause of the nerve damage." + }, + { + "id": 8324, + "tgt": "My teeth are continuously shifting after ortho treatment due to tongue thrust. Am I wasting time in getting braces?", + "src": "Patient: Hello doctor, I had braces three times now. First, during childhood, and second as an adult. First I had metal, wore my retainer religiously for a year, and then after being super strict, my teeth shifted. I then tried Invisalign and was not a huge fan, but considering it again. My teeth continuously shift, and I was told I have a tongue thrust, and hence, my teeth are always moving back. Am I wasting my time getting braces again? I was also considering veneers, but not sure if it would even qualify. Doctor: Hello. Why have not they put fixed retainers in your case? Especially if the case got relapsed. You must have got the second treatment done and then at end get fixed retainer at palatal and lingual side of your teeth for like good 10 years. This is the only way to avoid relapse. Moreover, if you are having tongue thrust, there is an appliance for it. I would suggest you to get treatment done (which could be fourth time) with conventional bracketing. And at the end, ask the dentist to put fixed retainer. After it gives you an appliance to limit tongue thrust. This would not cause relapse, hopefully. I could suggest you more proper treatment plan if you can provide me with clinical pictures of before, after treatment and now recent ones too." + }, + { + "id": 22909, + "tgt": "Can I take the abortion pill without doing any pregnancy test?", + "src": "Patient: Hello doctor, I am pregnant for one month. I got to know it when I missed my periods on a fourth of date. I had sex with my husband after an eighth of date. Then I did the pregnancy test 3 to 4 times and it was positive. Then I tried natural abortion methods like having food for natural abortion but it did not work. It was 4 to 5 days for it now. I want to take the abortion pill. Can I take the abortion pill without doing any test? Or use the abortion kit at home? I only take the Omega site tables as the doctor said and completed that course 15 days ago. Doctor: Hello. Firstly, if this is an unplanned pregnancy then you may consider termination. But it is important to learn the location of pregnancy first, whether it is intrauterine or an ectopic pregnancy (pregnancy outside the uterus). This is because in that case, you cannot undertake abortion by MTP (medical termination of pregnancy) pills. Hence, an ultrasound pelvis is a must to establish the location of pregnancy first. Secondly, it would also estimate the period of gestation and if less than nine weeks then you can opt for termination of pregnancy by the medical method under a gynecologist supervision safely. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19741, + "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": 8171, + "tgt": "Can hyperthyroidism cause weight loss, sweating and palpitation?", + "src": "Patient: Hello doctor, I am 46 years old male, weighing 67 kg, height 176 cm. Current symptoms are weight loss (lost about 5 kg in one month), feeling hot. Sweating, problems falling asleep, difficulty focusing on one task, forgetfulness, change in bowel habits (experiencing loose motion sometimes), palpitations, nervousness, fatigue, heat intolerance (not able to hold hot objects like hot teacup). The blood test results show thyroid-stimulating hormone (TSH) 0.008 milli-international units per liter of blood (mIU/L), triiodothyronine (T3) 2.3 ng/ml, thyroxine (total T4) 17.8 \u00b5g/dL, thyroid scan result is suggestive of thyroiditis. Doctor: Hello. From what you have mentioned and from the reports you have attached (attachment removed to protect patient identity), it appears that you have thyroiditis. Your results show that you have hyperthyroidism but not so bad but your scan results suggest thyroiditis which needs no treatment, so, therefore, you have two choices, either you wait and watch till your thyroid gland recovers from this crisis by taking bed rest and Aspirin. Or you take anti-thyroid medications if you had a high pulse rate but since you are not having any high pulse rate it would be better not to take any drugs for thyroid currently. My personal advice would be to wait and repeat your thyroid function test after two weeks. Till that time we can be sure whether treatment is necessary or not. Till that time take strict bed rest. Keep a watch on your pulse rate and blood pressure." + }, + { + "id": 11711, + "tgt": "Kindly advice me on bipolar affective", + "src": "Patient: Hello doctor, I have been taking Zoloft 25 mg and Ativan 5 mg one or two tablets to one tablet prn which I rarely take for anxiety. I take Tapazol 2.5 mg for hyperthyroid, TUMS two or three a day, Pepcid AC, vitamin D, B12, and Ventolin inhaler. I have been taking Zoloft and Ativan for 24 years. Four Psychiatrists and three medical doctors approved Ativan when I was diagnosed with anxiety. I worked for a psychiatrist for years, and he said I was merely cyclothymic if anything and stress. What is bipolar affective? Doctor: Hello. Tell me one thing, since how long you have these thyroid nodules? Because some times symptoms of anxiety and restlessness might be due to hyperthyroid state. Is there any family history of any such kind of illness? Is there any change in functioning, sleep or appetite habit? In cyclothymia, there is an alternative period of depression and mania, but none of them is in full symptomatology, which means your functioning is not affected, but you can have distinctive period of euphoria and depression. Take a healthy diet, avoid junk foods, have proper sleep, do moderate exercise, follow relaxation technique, yoga and meditation may help you." + }, + { + "id": 13187, + "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": 20526, + "tgt": "My son is 4. 5 years old. He is complaining of a weird tickling feeling. Please help", + "src": "Patient: Dear Doctor, My son is 4.5 years old. Since the last 2 months, he is complaining about a weird tickling feeling in stomach, penis and anus. Please help. Doctor: Hi. If it still persists, consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23459, + "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": 9933, + "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": 20435, + "tgt": "This is the fourth time I am changing my spectacles. I have a headache. What do I do?", + "src": "Patient: Hello doctor, I am a 21 year old male. This is the fourth time I am changing my spectacles. But this time, the spectacles are hurting my ears and my right eye. And I also have a headache. What do I do? Doctor: Hello. From the history, it seems that you are having a refractive error with frequent change of spectacles. The probable cause for your headache is the change in the refractive error. I advise you to undergo refraction testing and change your spectacles according to the refractive power required. Since you are have been frequently changing your spectacles you need to go for retinoscopy under cycloplegia by using dilating eye drops." + }, + { + "id": 3350, + "tgt": "Kindly explain about the medication that can prevent heart attack in a diabetic patient", + "src": "Patient: Hello doctor, I am 61 years old, male, 80 kg weight 165 cm height and I am a diabetic for the past 18 years and now I am on low carbo high fate diet (Keto). I am taking now januvia 100 mg tablet 1-0-1. I had a priking pain in the heart side of chest two days back and went to a hospital they have taken ECG, echo and blood test and found normal and hence they asked me to go for CT coronary angiogram. Find attached the CT-angio report. Please advice me what medicine I should take now to avoid heart atack in future. Doctor: Hello. It shows minor disease only. So, need to focus on healthy lifestyle which I guess you must be having, which includes healthy diet like avoiding oily fatty and high calorie diet. Regular exercises like walking or brisk walking according to your capacity. Such pricking pain are usually related to gastritis and reflux disease rather than cardiac. However, you may experience some exertional pain due to myocardial bridging which is usually benign. These 20-30 percent blockages would not cause any pain. In my opinion, you should be on Antiplatelet Statin combination like Ecosprin av 75/10 mg bedtime for long term, for preventive purpose. So, should discuss this with your treating doctor. If you get any pain on exertion which relieves with rest, then it may be due to myocardial bridging, then you may require beta blockers like Metoprolol. In the future, you should also undergo echo and TMT testing every 2-3 yearly to keep check on the blockages. Hope this helps you and get back if you have any doubts." + }, + { + "id": 3148, + "tgt": "Could emotions cause milky nipple discharge?", + "src": "Patient: Hi doctor, I got married three years back and I gave birth to a baby boy two years back. However, due to complications I lost my child in just seven days. I never had breastfeeding session with him as he was in NICU. But, sent milk to him through a tin pot for five days. However, after this unfortunate incident, doctor prescribed me few medicines to stop my milk. Soon my body stopped producing the milk. Meanwhile I was going through some emotional turmoil as separated from husband and my mother's cancer treatment. Since two years I have been living separately from my husband. Four days ago when I was trying to convince my husband regarding relationship, he messaged me that he do not want me back in his life. Till now I realized that something like milk is coming from my breast. Is this breast cancer? Or is this because of emotions about my baby? I am unable to discuss my emotions with my husband as he is not willing to listen. Please help. Doctor: Hello. First of all, I must tell you to relax. Stress, tension and medicine. 1. Blood for TSH (thyroid stimulating hormone), T3 (triiodothyronine), T4 (thyroxine) and prolactin. 2. Mammogram of breast. 1. Hypothyroidism. 2. Hyperprolactinemia. Stress induced nipple discharge. Revert back after the tests to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10257, + "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": 6463, + "tgt": "Give me some yoga tips to cure breathing problem", + "src": "Patient: Hi doctor, How to cure \"hard breath\" while performing activity? Give me some tips in yoga. Doctor: Hello. It is not very clear from your mail what exactly you mean by \"hard breath\". I consider it \"difficulty in breathing\" and my answer is based on difficulty in breathing. Difficulty in breathing is a non-specific symptom and can be due to a wide variety of reasons. As the symptom is related to lungs, my explanation is based on that. So, if your symptoms are due to a problem with the lungs, then you can follow these guidelines for yoga: Useful pranayama (breathing exercise) are Anuloma viloma (27 rounds), sectional breathing (5 breaths each), bhramari (9 rounds) and kapalbhati. Useful asanas (yoga poses) are basically chest openers like bhujangasana, ardhachakrasana, matsyasana, ustrasana, vakrasana, ardhamatsyendrasana,simple inverted postures like sarvangasana, and ardhasirsasana. Complementary postures needed to be followed are a mandatory part of yoga practices. Each asana is to be maintained for five normal breaths. All the practices should be done slowly. Kapalbhati has to be started at a slow pace and then gradually increase the pace. If your disease is stable, then start at 30 strokes/minute. Meditation and chanting are especially beneficial for allergic bronchitis and asthma patients. Start yoga practices under supervision. No yoga session is successful without yogic understanding and yogic counseling. Start with these yoga practices for one hour per day. You can report back to a yoga specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 20215, + "tgt": "I am feeling shaky, clammy and flushing often. How to know the reason for these symptoms?", + "src": "Patient: Hi doctor, I am 46 years old. My weight is 147 lbs and height is 5'3\". I am currently taking Tizanidine, Nabumetone, and Hydrocodone as prescribed for a back injury sustained over three years ago. My symptoms are extreme shaking, severe weakness sometimes to the point of feeling like I am about to pass out, nausea, vomiting, clammy, incredibly sweating and flushing. It happens about two to six times a day for a week and then goes away for roughly one to three weeks. I\u00a0would like to know the reason for those symptoms. Should I visit my doctor immediately? Doctor: Hello. I have gone through your query, and I can understand your concerns. Adverse drug reactions. ECG, serum electrolytes, RBS (random blood sugar) and CT head. 1. Coronary artery disease. 2. Electrolyte imbalance. Conservative. Revert with the reports to a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10299, + "tgt": "I am under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food?", + "src": "Patient: Hello doctor,I am suffering from diarrhea for the past 10 months and having treatment at the hospital. I want to know about the diets I should have. The doctor says no for milk, but fine to have curd or lassi. I want to confirm if I can have curd and lassi? Doctor: Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both." + }, + { + "id": 6087, + "tgt": "I have headaches, dizziness, and swollen feet and ankles. What should I do?", + "src": "Patient: Hello doctor, I am wondering if anyone would know what is wrong or what other tests can be done. My ANA is 1:360, TSH is 0.5, free and total, T3 and T4 are normal. SLE (systemic lupus erythematosus) is negative, Sjorgen's is negative, and thyroid ultrasound is normal. Symptoms experienced are extreme fatigue, weight gain, inability to lose weight, hair loss, not in patches but thinning extremely, loss of energy, extreme dizziness, sometimes loss of sight, constant migraines or headaches, swollen feet and ankles, frozen hands and feet all the time, neck feels swollen or thicker, chronic hives, and dry skin. Doctor: Hello. I went through your post. Firstly, let me summarize your complaints and investigations. I would, as a rheumatologist, first look whether there are clinically any features of vasculitis because high eosinophil count can occur in vasculitis or in helminth infestations. So, you need to do an ANCA (antineutrophil cytoplasmic antibodies), both C-ANCA and P-ANCA, to look for ANCA-related vasculitis. You need a spot urine protein test to see whether there is any proteinuria or active sediment in the urine. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) will tell us if there is any inflammation or not. For the time being, you should take an anthelmintic, preferably tablet Albendazole 400 mg single dose. For more information consult a rheumatologist online.-->https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 6215, + "tgt": "My girlfriend has breathing problems, throat and chest pain even after taking antibiotics. Why?", + "src": "Patient: Hello doctor, My girlfriend had mucus, throat pain, shortness of breath, tiredness, chest pain, and a build-up of snot. She had two doses of antibiotics for a chest infection. Done a chest x-ray, it was clear and normal. She was asked to take antihistamines to stop mucus from the back of the throat, but all symptoms remain. It is happening for two to three months. What is this? Is there any possible prognosis or cure? Please help. Doctor: Hello. From your history, it is evident that she has picked up an allergy, which is constantly leading her to develop mucus, and hence, her entire chest is getting congested. Ideally, there is only one thing you can do, and that is to change her atmosphere so that she is not exposed to the allergen. May be she can consider wearing a mask while working. Just an advise long term prolonged allergy like that can lead to asthma in the future. I will suggest the following medicine till she recovers. 1) Tablet Montek-LC (a combination of montelukast and levocetirizine) one tablet before she is about to go to work. She may feel a little drowsy, so ask her to take adequate precautions. Montelukast is a good drug for chest congestion and helps in relieving the allergy. I hope this helps." + }, + { + "id": 14890, + "tgt": "Kindly advise how to control wheezing and shortness of breath while having cold", + "src": "Patient: Hello doctor, I have a wheezing problem and breathing shortness when I suffer from cold. I noticed I have dust allergy also. Day by day my problem is increasing. Now I have to take Levolin inhaler three times in a day. Is there any measure to control my problem? Doctor: Hi. The whole problem can be attributed to dust allergy and bronchospasm due to cold. I would suggest the continuation of inhaler therapy for at least three months, a patch test to seek out the allergen, and dust free surroundings, (dust can harbor mites which are known to cause allergy. As you said your problem is increasing day by day I would suggest an ECG and echo just to ensure we are not dealing with an additional cardiac cause here, because usually once the cold or allergy is removed the patient usually returns completely to normal. Allergic rhinitis." + }, + { + "id": 7651, + "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": 12776, + "tgt": "Can STI cause white watery discharge with red swollen vagina?", + "src": "Patient: Hello doctor, For the past week, I had been having extra discharge down there. It is white and watery and has a bad smell. Also, my vagina has been red and looks swollen. Is it from douching or from sex? I have been with the same partner for a year now. Please help. Doctor: Hi. Is it a fishy smell? Is the discharge thin and milky or cottage cheese like? If yes, you seem to be suffering from bacterial vaginosis along with yeast infection. Does your partner have some symptoms too? Please stop douching, it tends to wash away the good protective bacterial flora of the vagina. It does more harm than good. Increase the probiotic portion in your food, you need to take Clotrimazole and Clindamycin vaginal pessary every night before going to bed for six nights. If your partner has the symptoms, tell him to have tablet Secnidazole 2 gm single dose. Avoid sex for the six nights. Try to use condoms, it greatly reduces the episodes of vaginal infection and STI." + }, + { + "id": 5865, + "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": 16314, + "tgt": "How to cure the fungal infection in my penis?", + "src": "Patient: Hi doctor, I am 18 years old. I have a fungal infection in the groin area. It has got spread. It has affected my penis. Now I have an urge to urinate inside my penis. I want to get cured. Please suggest. Doctor: Hi. I suggest you consult your local dermatologist soon. I suggest you start with antifungal medications soon. Take capsule I-Win 100 mg (Itraconazole) twice daily after lunch and dinner for two weeks. Apply Eberwin cream (Eberconazole) over the affected area once daily after having a bath in the morning and once before going to bedtime for two weeks. Avoid rubbing with excessive soap. Trim your nails. Clean the affected area every time before applying the cream. Stop taking fast foods for two weeks. Revert me after two weeks for a change in prescription. Change your underwear twice a day. Wash your underwear in hot water and dry it in the sun. Do not continue these medicines indefinitely. They will harm you. They are supposed to be used only for the desired time." + }, + { + "id": 16342, + "tgt": "My daughter is suffering from severe stomach pain. Could it be due to iron deficiency anemia?", + "src": "Patient: Hi doctor, My daughter is 13 years old. She is having moderate to severe stomach pain for a year. We thought that it was related to constipation. After a few weeks, my daughter started to have a headache, feeling of dizziness, and shortness of breath. She had a habit of eating ice all the time. Her stomach pain got increased day by day. I took her to an urgent care. They did an iron deficiency panel. Can it be an iron deficiency anemia? Can I give her an iron supplement? Does her body is unable to convert iron to ferritin? Please help. Doctor: Hi. I have gone through the attached blood test results (attachment removed to protect patient identity). Your daughter's serum ferritin is low which reflects the low iron stores. Her hemoglobin is low. Her low ferritin levels support it. Her TIBC (total iron binding capacity) is high, and it is commonly seen in iron deficiency anemia. But her serum iron levels are not consistent with iron deficiency anemia. Her transferrin saturation of 66 % suggests an iron overload. A transferrin saturation of less than 20 % indicates iron deficiency, while transferrin saturation of more than 50 % suggests iron overload. Higher transferrin saturation values are found in high iron status, such as megaloblastic anemia, sideroblastic anemia, and iron overload status. She needs a detailed hematological workup, and she should avoid taking iron pills. You are correct in your thinking. Her iron is being absorbed, but it is not adequately processed and utilized by the body. The underlying cause is needed to be determined soon and treated accordingly." + }, + { + "id": 5506, + "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": 25297, + "tgt": "Low self-esteem causing marriage to collapse. What might help?", + "src": "Patient: Hi doctor,My sister is 36 years, married, and she has four kids. She always faces problems with her husband. The same complaint is always there. He is humiliating me. He sees me as useless. He is neglecting me. He does not respect me. When I tried talking to her, I saw that her self-esteem is low and she is denying that all the time. Her marriage is about to collapse. We tried to convince her to visit a marriage counselor or a psychiatrist. But she refused. She says that all of the family is against her and we are not supporting her. She does not want a divorce nor solve any issue. She gets her full needs of self-actualization from social media educational groups that she participates in most of the time. I am afraid that she is living in her own world and refuses to have support from us. How can I help her? Or how can I wake her up as she is going to lose everything but she is unaware due to denying and blaming others? We do love her and she needs help. Doctor: Hello. It is very important to stay away from social media. It is not a true life. Make her spend time with family and friends. Fix her duration to spend time with mobile or electronic gadgets. Give her books to read. Divert her to spend quality time for creative hobbies like painting, writing, learn new languages, cooking, dancing, music, etc. Keep her busy with the new schedule. Advise her to go for exercise daily at least for 30 to 40 minutes. Get good sleep. If there is any violent behavior, admit her involuntarily to a psychiatry unit. She needs a proper evaluation to treat her. She may have psychotic symptoms or major depressive disorder. Medication can help her. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17630, + "tgt": "I have been having episodes of dry cough since 45 days. What might help?", + "src": "Patient: Hello doctor,I am a 29 year old male.\u00a0Since the last 45 days, I\u00a0have been suffering from episodes of dry cough.\u00a010 days back, I\u00a0had a 102-degree fever for three days for which the doctor prescribed Paracetamol and a five-day course of antibiotics. The\u00a0fever improved, but not the cough.\u00a0I went to another doctor and got another three days prescription for antibiotics.\u00a0I still cough (on and off ) but almost daily. I\u00a0do not know if it is normal, but I\u00a0have a whitish hard palette\u00a0and a slightly reddish\u00a0throat. I had blood work and chest X-ray which was normal.\u00a0I am worried because\u00a0of this\u00a0cough and throat clearing problem. Please help. Doctor: Hello. I went through your query. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11952, + "tgt": "Why do I have irritation when eyes water?", + "src": "Patient: Hi doctor, When I go to bed, my eyes start watering, mainly the left one. When I get out of my bed and look myself in the mirror, my eyes are red and my eyelids swollen. When I wake up in the morning, I have the same problem of tearing eyes, redness and eyelid swelling. I sleep on the left side, and the left eye is more affected than the right. After I get out of bed, the redness and swelling clears in half an hour to 2 hours, and I keep fine the entire day. I have had 3 conjunctivitis in the left eye in the last 6 months, confirmed by a general doctor all the three times. I have been diagnosed with Xanthelasma on the upper eyelid on the left eye by a general doctor 4-5 years ago. Please help. Doctor: Hi. Xanthelasma is nothing to do with your problems. It is due to high cholesterol levels. Your watering problem may be related to previous conjunctivitis attacks. Do you have irritation during watering or blurring of vision after conjunctivitis? This is more common in viral conjunctivitis. You can use artificial tear drops during watering. It may take its own time to complete normalization. However, it is not a serious problem. You can send pictures of your eyes and old records for more clear diagnosis and treatment. Do follow-up for any doubts." + }, + { + "id": 13867, + "tgt": "Will taking Gestone one day earlier after frozen embryo transfer cause any problem?", + "src": "Patient: Hi doctor, My frozen embryo day five transfer was on 16th at 1 PM, which was my day six of Gestone 100 injection. Post FET, I was advised to take Gestone injection on 19th, 22th, 25th, 28th of this month. The due date for blood test being 27th. By mistake, I took the injection today which is 18th, a day prior to the prescribed day. What to do? Is it going to affect the result? Doctor: Hi. From your query, it is understood that you have gone through the IVF cycle and Progesterone injection are just to maintain the pregnancy. So it does not matter much if you have taken one day before the scheduled dose. Now, subsequently, you take these weekly, meaning, all the doses one day beforehand the scheduled one. No need to worry. There would be no side effect surely. You be in touch for your pregnancy and have a safe pregnancy." + }, + { + "id": 7775, + "tgt": "I have leg and hip pain. Is it due to a fall or Ciprofloxacin taken for UTI?", + "src": "Patient: Hello doctor,I had a UTI that developed into a kidney infection. I also fell down a couple of stairs during this time. I went to the ER hospital (because my doctor is far away and kept being closed) and they prescribed Cipro. I was taking it and my body was soar from fever and falling (possibly). Now I am having what I believe nerve pain in my right leg and hip. The weird shooting pain started in my arm. It is not severe but definitely noticeable. The shooting pain is off and on and in my leg as well depending on what I am doing. Do you think it is a side effect of the Cipro or could it be the fall or maybe nothing? Not sure what to do. Should I wait till appointment with my doctor or go back to the ER? Doctor: Hi. I have gone through your post. You have mentioned that you had UTI for which you are talking Ciprofloxacin and also had shooting pain. Let me explain what could be the reason. The musculoskeletal symptom of Ciprofloxacin is tendinitis that means inflammation and pain at a site where muscle binds to bone, and myalgias that meangeneralized muscle pain, mild but never shooting pain. You complained history of fall, yes, fall may sometimes cause a bulge in the vertebral column disk and compress a nerve root which may result in shooting pain. You wanted to know whether you need to visit ER, I would suggest unless you have weakness of any limb with shooting pain there is no need to visit ER." + }, + { + "id": 22243, + "tgt": "Kindly help with my mother's fever and constipation", + "src": "Patient: Hi doctor, My mother aged 70 years has been suffering from sore throat and fever for the last three days. The fever is not very high and it is around 100.5 degree Fahrenheit. She is taking Crocin for the same. She had slightly low platelet count around 1.38 lakhs as of yesterday morning. To give background, my father just recovered from a similar fever and his platelet count had dropped to around 78,000 and his fever got subsided in five days.\u00a0But, the main problem my mother facing is that she is not passing stools since last four to five days. She normally has this problem, but it has been aggravated during fever. She has a previous history of constipation and takes some herbal medicine like Triphala. She also suffers from high BP and for which she takes Olvance 20 one tablet daily and her BP remains under control.\u00a0Please suggest any safe laxative for her age and current condition of fever. Doctor: Hello. For further information consult a family physician online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10468, + "tgt": "Can pneumonia cause prolonged QT waves?", + "src": "Patient: Hi doctor, I went to the emergency room with fast heartbeats. The doctor did an EKG and chest x-ray, and he said I had pneumonia. But, my QT was slightly prolonged. He repeated the EKG after a week later\u00a0and said it was fine. Should I be concerned about the prolonged QT? Can pneumonia have caused it? Doctor: Hello. 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": 11501, + "tgt": "I have painful dry patches around both eyes. What can be done?", + "src": "Patient: Hello doctor, I am having dry patches around both eyes. Although I have dark circles for a long time, this has never happened. I am using mild face cream to keep the area moist, but it is not sufficient. It is also slightly painful. Please advise. Doctor: Hello. It seems like an allergy reaction. I advise you to use a mixture of one portion of baby shampoo diluted in five portions of warm water, clean your face and the affected area. Rinse with warm water, then with cold water immediately. At the end apply Tobramycin cream or Fucidin cream (Fusidic acid) locally. Avoid eye contact. Try this twice daily. During day time you can apply vitamin E and zinc oxide cream. You can also apply fresh Aloe vera locally during the day. Let me know if you have any other question." + }, + { + "id": 25744, + "tgt": "How can bronchiectasis be treated?", + "src": "Patient: Hello doctor, I am 31 years old. I am suffering from high BP and I am currently on medication. I have no thyroid issues, no diabetes, and normal lipids. ECG and echo both are normal. But, the main problem is a little breathing difficulty. The X-ray of the chest is clear normal but the HRCT of the chest revealed early bronchiectatic changes. The question is what is the difference between early bronchiectatic changes and bronchiectasis? Is there any difference in the degrees? What is the treatment? I have a son with whom I am emotionally very attached. Can I at least live a normal lifespan with treatment or is there any specific life expectancy of five years or so? Please help me out how long can I live? Secondly, I want to expel mucus from inside. Can I try Guaifenesin alone or in combination with what? Can you please provide a drug to expel mucus. Doctor: Hello. I saw your all reports (attachment removed to protect patient identity) and want to say something. Your probable diagnosis is bronchiectasis. Early bronchiectasis does not mean you are a patient of bronchiectasis. Also, you have atelectasis. So, send me a picture of the CT (computed tomography) scan and X-ray of the chest. You can try Aerodil (Guaifenesin and Ambroxol) syrup and tablet Acebrophylline SR 200 mg OD. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You also can try postural drainage of the sputum. Online information about this is available. Another thing I want to say is you go for sputum Gram staining, AFB (acid-fast bacilli) staining, and fungal staining. Your survival can be more than 70 years. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 26625, + "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": 14531, + "tgt": "Any suggestions of quick relief for external hemorrhoid ?", + "src": "Patient: Hi doctor, I am a software engineer. I got an external hemorrhoid for the past two days. There is no bleeding, but it is painful. Also, there is no constipation as such. Seven months back, it used to happen frequently and it used to go away on its own in a few days. I was exercising earlier and now stopped for the last three to four months. I am taking Pilex tablet and cream. I need to get quick relief as I have to travel. Doctor: Hi. You can apply Anovate cream (Beclomethasone, Phenylephrine and Lignocaine) for three to five times a day. Remember, all the local acting cream has duration of action of four to six hours and need to be applied again. If pain is severe, then try oral medication like Dolo 650 (Paracetamol) or Diclofenac. Please meet a surgeon for permanent surgical treatment. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10495, + "tgt": "There is a large area of redness in my buttocks,is it psoriasis?", + "src": "Patient: Hello doctor, For a couple of months, I have had a red area between my butt cheeks (not anus, further up where butt cheeks meet). This developed on the right side as a large area of redness which now feels scaly and a bit raised. At times it may feel moist, watery, not quite bleedy though. I tried an athlete's foot antifungal spray which I think helps a little bit, but it comes back again. Is it psoriasis or fungal infection or just irritation? I am a runner and sweat a lot due to heavy exercising every day. I took a picture, and I have attached it. Please advise. Doctor: Hi. After carefully reading your complaints and looking at your photographs, there seem to be three possibilities (attachment removed to protect patient identity). For making a clear cut diagnosis, I need the answers for a few questions: Looking forward to your response in order to help you." + }, + { + "id": 20630, + "tgt": "My pregnancy test shows positive after FET. Is it a chemical pregnancy?", + "src": "Patient: Hi doctor, I had FET 15 days back. I did a test, and it is positive. I called my clinic, and the nurse was not definitely happy. She told to wait until blood test. I did ClearBlue dig, which shows me 2 to 3 weeks pregnant. Earlier it was 1 to 2 week, so it means hCG level probably is a bit higher by now. Should I worry about chemical pregnancy? Doctor: Hi. How are you doing? After a FET (frozen embryo transfer), blood is checked for pregnancy only after two weeks. Only a healthy embryo will stay on so long with a good beta hCG. Unhealthy pregnancy may give initial positive results but levels start to decline gradually and become negative. That is the reason your nurse is not happy. Also, any administration of hCG injections during these days (given for better implantation) will also give false positive results. I hope this is a healthy ongoing pregnancy and pray for that. Confirmation can be only after two weeks." + }, + { + "id": 2036, + "tgt": "My dad has neck stiffness, severe headaches, leg weakness, and tingling hand. Please help", + "src": "Patient: hello sir/madam actually my father has DM ,htn ,psoriasis and psoriasis arthritis. now from some days he has neck stiffness, sudden severe head ache . pain usually start from back of the head or temple side . pain start anytime throungout the day . weakness in leg . hand tingling. walking weakness . sir the is suddenly occur 2 or 3 times a day. please help. gabapin 100mg ,betacap 20 mg and naxxdom 250 at sos. these three medinice are recenty prescribe by local medical. note i have latest Ct scan available. Doctor: Hello. Welcome to icliniq. The symptoms that you have mentioned in your father suggest towards brain infection or meningitis/encephalitis or cerebral vascular accident/cva which means either a bleeding from the vessels or blockage in the vessels. The good thing is that the most lethal out of the above which is bleeding in the brain has been ruled out by the CT scan. The other things still need to be ruled out by some more evaluation. Based on all this I will be able to narrow down my differential diagnosis but you still need to visit a doctor in the hospital where they would examine your father completely and will be able to come to a diagnosis. Your father might need a lumbar puncture test in which a needle is inserted into the back to take minute quantity of csf which is the fluid that circulated around the brain to come to a diagnosis and for all these things he would need to go to the hospital. Also an mri scan may be required as a CT scan only picks up gross abnormalities and some pathologies may be missed in the CT scan. Mri brain Lumbar puncture Cbc Renal function tests Liver function tests Cva Meningitis Meningoencephalitis Miagraine Meningitis To be decided after the investigations Follow up with the above reports" + }, + { + "id": 24941, + "tgt": "Can depression medicines cause tremor, weakness and fast heartbeat?", + "src": "Patient: Hello doctor, I have taken Clonil 10 mg, Olonex 25 mg, Valprid and Serlift 50 mg only at night for two days for depression. After the second day, in the morning, I fainted and heartbeat were excessively fast along with muscle of all over body feeling warm. I stopped taking them since then but my body is weak and I feel a tremor, shaking hands and today also heartbeat is getting fast with little nervousness. It is the fourth day today. Please help. Doctor: Hello. All the symptoms you described could be due to anxiety disorder per se and not because of medicines as they are out of your system now. Sometimes there are few problems when medicines are started but they usually go spontaneously within 2 to 3 days. Medicine dosage can also be adjusted accordingly. So, stopping the treatment is not a good option. In my opinion, you shall consult the treating psychiatrist and start treatment with dosage change as per the current situation. Remember, every problem has a solution. You just need to try solving it and help is just a step away. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7185, + "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": 921, + "tgt": "I have tinnitus in one ear more than the other. Could this mean I am slowly losing my hearing?", + "src": "Patient: Please give me a meaningful response as i cant aford to reply and i am scared that i am slowly losing my hearing or something. I have had tinnitus in my ears for about 7 months now and it sounds kind of like T.V. static and its not loud so its okay, but today my phone emited a very high pitch sound and i closed one ear and then opened it and closed the other ear and noticed that i could hear the high pitch sound much better in one ear then the other. Could this mean im slowly losing my hearing. About months ago i got a hearing test done, but i dont have the results, but they said my hearing was amazing. Even now i have no trouble hearing at all. So what is happeing with the high pitch noise. Why can i hear it better in one ear then the other? Doctor: Hi. Welcome to Icliniq. There are different causes of Tinnitis (ringing in ears) like Infections, loss of cells, inflammation, advancing age or few other diseases of inner ear. At your age hearing loss is less common unless having a disease. there are two possibilities So, to two differentiate which ear is abnormal few test are done by Audiometerist/ENT specialist to make final diagnosis. i would suggest you to get examined by an ENT specialist and he will perform necessary test and manage appropriately. You are welcome for any further queries. Have a blessed day. GOD BLESS YOU" + }, + { + "id": 17894, + "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": 9759, + "tgt": "I have low immune system and get bronchitis and sinusitis often. Please advice", + "src": "Patient: Hello doctor, I have been getting bronchitis and a sinus infection every two months. It is so bad when it happens, I am put on antibiotics, steroids medicine, plus two inhalers. My doctor is starting to say I have asthma. I am 18 years old and I have never had problems breathing, believe me, I was able to run one mile and not die of no air and nowadays when I get sick I can barely make it downstairs or laugh at a funny joke before I start coughing. After I finish my medication (this is the fourth time) I will feel better but still out of random moments I bark like a dog (coughing). What is even weirder to me is I am starting to get the same exact infection within a short period. I am talking about 11 hours this time. I went from working eight hour shift days to waking up unable to properly stand for long periods of time. I do not know it just seems strange to me. Any advice can help though. I have a low immune system. My test for that came back with that result. As well as I have never once in my life smoked anything but as a child I did have some family smokers but nothing continuously around me. Also as a child, I did always have sinus infections a lot but I stopped getting them when I turned 16 years. Another point is my bronchitis issue started seven months back and was intermittent in every three months. I do not feel functioning until three weeks are over but yeah. I was on Trileptal 300 mg, Wellbutrin 300 mg for past 16 years and now on probiotic, steroid inhaler, and antibiotics. Doctor: Hi. I have gone through your medical history carefully and understood your concern. The low immune system makes you more prone to get an infection. Sinus infection is difficult to treat sometimes. A sinus infection can be complicated by lung infection especially when severe nasal congestion. With regards to bronchitis, from what you are explaining, it seems you have been suffering from acute asthmatic bronchitis. That might require a few days to months to completely recover. That is why inhalation medicines are also required. Bronchodilator like Salbutamol is needed to ease coughing spasms especially those you experience in the morning. Let me know your laboratory reports so I can analyze them. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21818, + "tgt": "Is it safe to take unbranded herbal tablets for short and curved penis?", + "src": "Patient: Hi doctor, I am 23 years old male. I have a short and curved penis. My penis full erection state is 12 to 13 cm, 4.7 to 5.1 inches, and the curvature is towards the left side. I went to a local sex clinic, and he suggested me an unbranded ayurvedic tablet. Is it safe to take tablets for penis enlargement and to cure penis curvature? Or Is there any other way to increase my penis length and to cure the bend? I used to masturbate before. But I stopped it now because of my small penis. I am losing my confidence level on everything. Please, suggest me a permanent solution for penis enlargement and curvature. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). First of all, there is no medicine to increase the size of the penis. It is not a muscle. Medications are available to treat erectile dysfunction and other problems. The size of the penis after erection should be between 4 to 6 inches, and the extent you have mentioned falls under the standard category. So there is no need to worry about the size. Your next concern is about curvature. The mild curvature is not a big problem. It can be present in many people. I cannot tell you exactly about it. So for that, you can visit a nearby urologist or a reputed ayurveda physician or any general physician so that he can examine you clinically and guide you appropriately. Do not take any random medicine in the name of ayurvedic medicine. You are almost normal except about one concern, so for that visit your physician. There is no need to lose confidence without any reason. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14108, + "tgt": "What can be done for pain in the shin?", + "src": "Patient: Hi doctor, I have pain in my left shin bone when I try to run. It is on the inside of my leg at the lowest point on the tibia, just above the ankle. My ankle does not hurt, just the shin at the specified location. I do not have pain on walking (unless a long way) but when I run I get immediate and continuous pain. Previously, the swelling was worse. And now, the swelling got reduced. I do not think it is shin splint because I have had them before and the pain was completely different. What it is and how do I heal it? I have had this problem for a long time now maybe around a year. Thank you very much. Doctor: Hello. Pain on running or exertion can be due to lack of appropriate strength and integrated stability of gluteal and hip adductor muscles. It makes the bones challenging to disperse the impact forces generated by the foot striking the ground. This can lead to condition called exertional medial tibial pain syndrome. Chronic compartment syndrome also gives rise to similar clinical picture including swelling in the leg. The condition is often misdiagnosed as shin splint." + }, + { + "id": 17009, + "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": 26575, + "tgt": "What can be the reason for lack of sleep and weight gain?", + "src": "Patient: Hello doctor, My mother is 60 years old. She recently got her tests done. She is not able to sleep properly. She is unable to regain her sleep if she wakes up during the night. Can you please go through the reports and let me know what\u00a0the actual problem is? I am\u00a0attaching a copy of the test results of CBP, lipid profile,\u00a0urine culture and sensitivity test, VITEK test, thyroid test, and fasting blood sugar level. Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19097, + "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": 7713, + "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": 20543, + "tgt": "My tooth infection has spread to roots. Please tell me a solution", + "src": "Patient: Hi doctor, My right tooth is infected. I have done a filling in the tooth before two years. Now, the infection has spread to the roots. I am unable to use the right side because of this problem. Please tell me the solution. Doctor: Hi. As per your history, you are suffering from apical periodontitis, as the infection has spread to the roots. The problem is due to pulp exposure. So you can take medication for at least three to five days. Take tablet Augmentin 625 mg (Amoxicillin and Clavulanic acid) twice daily for five days. Take tablet Lyser D (Diclofenac with Serratiopeptidase) twice daily for three days. If you are not allergic to these medications, or if you are not taking any other medicines, you will get rid of pain and swelling by this medication. After the infection is over, consult your dentist and get a root canal treatment done." + }, + { + "id": 22853, + "tgt": "I have a bump on my tooth. Is it just an uncommon tooth shape or something else?", + "src": "Patient: Hello doctor, I have a bump on one of my top row teeth (it is located on the inside of the tooth, not noticeable from outside) that seems to be quite hard. I picked at it out of habit thinking it was a piece of food but it seems to be on the tooth. Is this just some uncommon tooth shape or is it something else? Doctor: Hello. To get a clear idea of your problem, I would like to have a picture of your tooth. As per your description, it could be an anatomical structure in your upper molar which is called 'cusp of Carabelli', which is absolutely normal and you do not need to worry about it. For further information, please get back with the picture of the tooth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24470, + "tgt": "Why is there constant feeling to urinate after treatment of UTI?", + "src": "Patient: Hello doctor, I went to the ER two weeks ago to be treated for a UTI. I was told to go to an obstetrician if the symptoms persist. Well, it is back. There is no cramping, no pain in my back, just a constant feeling of having to use the restroom. It hurts and is throbbing even when I am not using the restroom. It is unbearable. I had Bactrim in the past for the same issue. Kindly help. Doctor: Hi. Do you have the following symptoms: It seems to be urinary incontinence. Do repeat urinalysis and if infection recurs, take tablet Ciprofloxacin 250 mg 12 hourly for seven days and also urine culture and sensitivity tests have to be done so that we can have an idea of organism which irritates you and drug sensitivity and resistance as well. In case of urine infection, take plenty of water, cranberry juice, strict sex and toilet hygiene. Avoid tight and uncomfortable under garments. If on urinalysis, infection does not come as you have told in your history, then because of urgency of urine, we will have to manage you as patient of urinary incontinence. For this, first note about inake and output in a diary, take pad test, change in lifestyle especially fluid intake and then accordingly and subsequently further investigations like residual urine volume, and cystoscopy can be taken. In a few cases, a few exercises can be done for controlling incontinence problem. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3000, + "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": 17909, + "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": 6461, + "tgt": "What can cause high platelet and low Hb?", + "src": "Patient: Hi doctor,My platelet count is going higher and hemoglobin is getting low. I feel sick. My report showed platelet count 5,85,000 and Hb 10.6. What could be the reason? Doctor: Hi. Based on your query, my opinion is as follows: Revert back with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30938, + "tgt": "What are the natural methods to cure diarrhea?", + "src": "Patient: Hi doctor, My husband is 28 years old. He had loose stools and watery diarrhea for a week. He had like 15 to 20 times diarrhea for about five days. He was diagnosed with acute gastroenteritis, hospitalized and had antibiotics and other supplements. He had high potassium and Asthalin nebulizer was given. So, they asked us not to give tender coconut. The medications are over now except for Zincovit. Again today, he is having loose stools and also lower abdomen pain. A siddha doctor suggested to have a mixture of half glass buttermilk, half glass curry leaf extract and a spoonful of powdered fenugreek. He had it once just now. How many times can he have it a day? Are there any other natural methods to cure the same? Doctor: Hi. For further doubts consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15905, + "tgt": "How to recover from dengue and typhoid?", + "src": "Patient: Hi doctor, My friend is suffering from dengue and typhoid. The test for dengue showed a positive result, and typhoid titer is 1:360. Initially, he was treated with Ceftriaxone injection BD and Paracetomal for five days. But the symptoms got worse. His platelets suddenly got reduced to 21000 platelets per microliter of blood with petechiae and bluish lips. His SGOT, SGPT, and GGT are elevated. He has vomiting and diarrhea. Now, he is treated with fluid replacement, Doxycycline, Paracetomal, and tablet Ursocol. Doctor: Hi. Your friend appears to have severe dengue. Kindly do blood cultures for typhoid fever. Blood culture helps us to identify the presence of salmonella, and it guides the choice of antibiotic therapy. The petechiae can occur due to low platelet count. The bluish lips or cyanosis should be evaluated further. You have to do chest X-ray and arterial blood gas test soon. I suggest you do an holo-abdominal ultrasound and a plain abdominal X-ray. Elevation in liver function tests are seen in dengue or typhoid, and the liver can be enlarged in dengue. But intestinal perforation is the catastrophic complication of typhoid fever. I would recommend aggressive fluid resuscitation. If there is any sign of severe bleeding or unstable vital signs, a blood transfusion can be given with fresh whole blood or fresh packed red blood cells. Ceftriaxone always works well for typhoid fever. Identifying the complication is essential." + }, + { + "id": 7357, + "tgt": "Is it advisable to marry with 4. 5 inches long penis when erect?", + "src": "Patient: Hi doctor, I am 25 years old. My penis is thin and 4.5 inches long when erect. Should I marry or not? Doctor: Hi. I have read and understood your problem. Size of the penis varies from person to person, like other physical features like height, etc. On an average, it ranges from 3.5 inches to 5.5 inches on erection. Your penis is within this range on erection, so do not worry. In pornographic films, they show big penis by injecting drugs, etc., which is harmful. So most people have wrong ideas about penis size. Sometimes, vacuum erection pumps help to increase the size but can cause injury if not properly used. To marry is your decision but you are fine." + }, + { + "id": 6014, + "tgt": "What are the signs of weakened immune system?", + "src": "Patient: Hello doctor, What are the signs of a weakened immune system? Give examples and explain briefly. What are the 11 surprising signs of a weak immune system? What can cause a weakened immune system? And what are some ways to bolster it back up? Doctor: Hello, Welcome to icliniq.com. Immunity is a defense system of the body that can fight against various harmful microorganisms. It may be acquired and inborn. As per Ayurveda it is broadly known as \"Vyadhikshamatva\". Classically it is defined as Vyadhikshamitvam vyadhibalavirodhitvam vydhyutpadpratibandhakatvam iti yavat. (Chakrapani commentary on chara sutra 28/7). It means immunity is those which has capacities to fight against diseases and resist to produce diseases. When anyone gets reduced immunity, they will suffer from these symptoms. 1. Frequently suffering from various diseases. 2. Recurrent pneumonia, bronchitis, sinusitis, meningitis, etc. 3. Infection to internal and external organs. 4. Inflammation to internal and external organs. 5. Low platelets count. 6. Low Hb (hemoglobin) count. 7. Loss of appetite, nausea, and vomiting. 8. Reduced growth and development. 9. Develops autoimmune diseases. 10. Loss of Ojas. Meanwhile, immunity is a broad term it cannot be confined in the words." + }, + { + "id": 22365, + "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": 13085, + "tgt": "Will Cortisone drops used for corneal herpes cause any harmful effect?", + "src": "Patient: Hi doctor, I (female, 38 years) had my first outbreak of corneal herpes five months back. It was treated incorrectly by a GP first with Cortisone and antibiotics. The eye doctor put me on Acyclovir cream and later added Cortisone drops to prevent scars. After a month, while on vacation (lots of sun and salt water) it came back. I did not recognize the signs at first and thought the redness was only due to irritation. It lingered, so after coming back home, I was put on Acyclovir orally. Two months back, the dye did not show any active ulcers, so I could lower the oral dose to 400 mg and use Cortisone drops again. Last week for a check up the dye showed two active ulcers again. I am really shocked and scared now. My doctor did not say if it was stromal keratitis or not. Is there a way to tell? I have always had 100 % vision since the lesions are not in front of the pupil. But I do not know why I had a recurrence even while on Acyclovir. Could the Cortisone drops be detrimental? My doctor said to increase the dose back to 800 mg and stop Cortisone. Is there a way to clear this for now? I do not know if I had two relapses or if this never really healed in the first place. Is there a way to prevent such frequent outbreaks at all? It is difficult not to stress when I fear I will go blind. Doctor: Hello. Please do not panic. You will not go blind. I assume this is herpes simplex and you have herpes epithelial keratitis. Epithelium keratitis is usually treated with antiviral and lubricating eyedrop. The steroid has no role in epithelial keratitis. Steroid increases the risk of recurrence. That is why steroid is instilled undercover of antiviral. If there are more than two attacks in a single year, then we may need to continue prophylactic oral Acyclovir for a very long period (maybe years). With recurrent attacks, there may be scars which may blur your vision." + }, + { + "id": 5939, + "tgt": "Are there any chances of me getting syphilis by sharing a drink with someone with syphilis?", + "src": "Patient: Hello doctor, Are there any chances of me getting syphilis by drinking a beverage that someone with syphilis already sipped? Doctor: Hello. No, you will not acquire syphilis just by having a drink sipped by a person with syphilis. Modes of transmission of syphilis are: Moreover, the bacteria causing syphilis cannot survive outside the body. For further clarifications regarding syphilis consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5754, + "tgt": "In case of strep pharyngitis, how long will it take to cure?", + "src": "Patient: Hello doctor, Two days ago I came down with right ear pain, swollen lymph node and ear lobe of the right ear, sore throat, tender glands and jaw pain that was all on one side. At first, I thought it was a jaw issue because if I opened my mouth too wide my throat and jaw would start hurting like crazy. At one point it got so bad I had to put my face in a pillow and use hot and cold compresses. After seven days of sitting in pain and no improvement, I went to an urgent care facility. They gave me a strep test and I tested positive for strep pharyngitis. I was put on 300 mg of Clindamycin three times a day for 10 days. It is now the eighth day and I am still in pain. The pain did ease up compared to when I first got it, but how long will it take for the tongue soreness and occasional sore throat to stop? Some of my glands are still swollen. This morning I had tongue soreness on the left side of my tongue in the back. Now I am having some tongue soreness on the right side again. It seems like the throat soreness and tongue pain keeps switching sides. What do I do? I did go to my doctor last week and told her that I am still experiencing pain since starting the antibiotics and told her about my tongue soreness. She said sometimes strep can cause tongue soreness. She even retested me for strep to see if the antibiotics were working and I tested negative. She looked at my throat said it looked raw. She also said that the antibiotics will work slowly. Since I am allergic to Amoxicillin and Azithromycin it was my final choice. I am still having throat issues. I can eat and drink no problem, but the medicines also cause me to have dry mouth. The tongue tenderness at the sides and back worrying me the most. Doctor: Hello. I looked into the photographs you have sent. (attachment removed to protect patient identity). Correlating it with your complaint and history I conclude that you have resolving pharyngitis. There is only mild congestion in your throat specially the pillars and soft palate which is a sign of healing of the infection. The antibiotics are working. In order to accentuate the healing and to relieve you of the bumps and associated complaints, you need some supportive treatment as follows. However, the following is a suggestion based on the conversation we had and is not a substitute for actual office consultation. To reduce pain and soreness: take tablet Paracetamol 650 mg twice a day for two days and thereafter once when it pains. To reduce the inflammation and edema take tablet combination of Trypsin, Chymotrypsin, Bromelain, Rutopside taken once or twice a day half an hour before food for two to three days. To reduce small oral ulcers: these usually arise during the course of antibiotics due to vitamin deficiency caused by the antibiotic. Antibiotic destroys the friendly bacteria in the gut that produces a lot of B-complex vitamins. Hence take multivitamin supplements and also probiotics lactobacillus tablets, saccharomyces tablets or powder. To soothe the throat: take warm saline gargles. Mix two teaspoons of salt in 200 ml hot water and gargle the throat thrice a day. To soothe the neck at the region of gland: do hot fomentation of the area to help reduce the pain and soreness due to the gland enlargement. In normal course, these supportive measures help immensely and you will feel just fine within three or four days. However, in the event, if you do not find relief or develop fever or develop any lump in the throat, you need to visit your otolaryngologist for an office consultation." + }, + { + "id": 22462, + "tgt": "MRI says degenerative changes seen. Is any treatment required?", + "src": "Patient: Hello doctor, My father whose age is 48 years, got a back pain a month ago. So, we consulted a local doctor. He suggested an MRI test. We did that and his report says 'degenerative changes affecting lumbar spine with left para-central disc bulges with posterior annual tear at L4-L5 and L5-S1 levels producing mild compromise of left lateral recesses with mild extradural compression over thecal sac'. I want to ask you if he will be alright in a few days after treatment or anything new he will have to do. Doctor: Hello. Regarding your concern, I would explain that these MRI findings are indicative of chronic degeneration of the vertebral column. There is no need for surgery. Nothing serious is going on. I would just recommend taking painkillers, avoiding prolonged sitting or standing up position, and weightlifting. A lumbar brace can help too, coupled with physiotherapy. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13860, + "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": 3626, + "tgt": "Will quitting Topomax result in regaining of lost weight caused by Mirtazapine?", + "src": "Patient: Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly around my belly and hip. I consulted you and my medicine was changed from Mirtazapine 30 mg to Topomax 100 mg. I lost 10 kg in three months with Topomax and stopped it eventually. Nevertheless, my weight has started increasing drastically around the belly and hips. I feel bulky and the tummy is growing out. It is so embarrassing as I am a lean guy and with a belly protruding out. I am going low on confidence. I cannot leave my depression tablets but I cannot ignore my increasing weight either. Could you please let me know what should I do to lose this excess weight and get back to shape? I cannot walk as I have a slipped disc problem. I cannot go to the gym either as it is not recommended by doctors. If on leaving Topomax, I am going to gain weight again. Then it is only a temporary solution. Further, in spite of taking Cipralex 20 mg at night, I am extremely sleepy and feeling tired all day. I fall asleep unconsciously even while driving and working on the computer. I have disturbed sleep at nite and the weight gain is another trouble. I still feel I am depressed and Cipralex is not doing all it can. I need your help to tackle my depression, sleepiness, tiredness, and my increasing weight. Please help. Doctor: Hello. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in worsening of depressive symptoms and thus altered food intake which consequently resulted in weight gain. In my opinion, you can start Topirmate again and this will help in controlling the weight gain. The drug will help in improving the depressive symptoms too. So there is no harm in restarting the drug. Apart from this please change your dietary intake. Avoid any foods with refined sugars and high fat. Take high protein diets rich like meat, and animal food. Avoid fried food totally. Lime juice in an empty stomach daily without sugar should be included in the diet. Please take at least a cup of green tea which will help to dissolve the belly fat. This will help in making you fit again. If you are feeling sleepy and tired then drugs like Modafinil can be added to your prescription. Modafinil will help in improving alertness and will reduce your tiredness. This will help in improving the depressive symptoms too. So you can make these changes and you will definitely come out of depression." + }, + { + "id": 23718, + "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": 25829, + "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": 1160, + "tgt": "Should I be concerned about blood in sputum?", + "src": "Patient: Hello doctor, Over the last two days, I have had a bad sore throat. It also accompanies with a slight cough, trouble in sleeping, occasional uncommon sweating, body soreness or fatigue, slight vomiting and voice loss.\u00a0It is not really getting better.\u00a0It originally appeared to be just a bad cold, but today there is blood in my sputum. It started about 15 minutes ago and it is only when I spit it out every few minutes. Should I be concerned? My mom thinks that it may be due to a laryngoscope I got at the ENT yesterday. But, no bleeding occurred until now. Thank you. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 392, + "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": 28671, + "tgt": "I have lumps in the throat and terrified that I have cancer. Please help", + "src": "Patient: Hi doctor, I am suffering from a sore throat and ear pain. I have lots of lumps in the back of my throat. I had Amoxicillin and gastro-resistant\u00a0tablets. I have a previous history of GERD. I am terrified that I have throat cancer. Please help. Doctor: Hi. Revert with more information to an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21569, + "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": 8187, + "tgt": "Being a type 2 diabetic, how often should I check my blood sugar?", + "src": "Patient: Hello doctor, I was recently diagnosed with type 2 diabetes. My fasting glucose was 108, and my A1C was 6.6 %. I was not put on medication yet but instead will work on my weight, exercise, and diet over the next three months before my next visit to see if I can prevent getting worse. I am 6'1,\" and 285 lbs. I am mostly sedentary but will be introducing an elliptical workout every other day for about 20 to 30 minutes a time. I purchased an diabetes monitoring system, but need to know how often and when I should check my blood sugar and what should my target ranges be? I need to know what my daily gram and carbohydrate intake should be. Or, even better, what should my percentages be based on my 1,790 caloric daily intake of carbohydrates, protein, and fat. Currently, they are based on the ADA recommendations. Carbohydrates 40 % / 179 g, protein 35 % / 157 g and fat 25 % / 50 g. I also have high blood pressure. I am on 100 mg Losartan, and my reading today was 117/84/77 bpm. Kindly help. Doctor: Hello. You have provided good necessary information to start. My strategy as a diabetes specialist, I like to do very detail analysis to make a customized approach for each patient. 1. Based on the information, you provided, you should be on medication from my experience, like low dose Metformin 500 mg twice daily with meals, or Metformin 500 mg. Extended-release once daily. While you work on diet and exercise, this is help also prevent complication from diabetes. Metformin will help you lose weight too. Metformin also improves your insulin work better for you for better and quick control of blood sugar. 2. You can check blood sugar three times weekly, at different times. E.g., one-day fasting (before breakfast, second-day post-lunch, and third day at bedtime. (2 hours post-dinner). Keep diary readings. However, you prefer to see the trend of your blood sugar. Normal range fasting in the morning 90 to 120. Post-meal 120-140 average is good. I recommend a high protein, low carbohydrate diet for you. You are in more top weight category so surely gradually need to lose weight, do not attempt instant aggressive weight loss you will end up injuring yourself and will regain weight too. I would keep carbohydrates less than 140 grams for a day overall. 1800 calorie diet max will be fine for you if you wish to lose weight then 1500 calories. 3. You are more than welcome to request detail 30 minutes to 1-hour consult as well, I go into much detail to have full analysis, and I address all potential complications and nutrition and medicines." + }, + { + "id": 23342, + "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": 20676, + "tgt": "What precautions should be taken during pregnancy regarding food and lifestyle?", + "src": "Patient: Hello doctor, I am 31 years old and got married three years ago. This is my second pregnancy and I am currently 12 weeks pregnant. I had terminated my first pregnancy due to my bad health condition. I am a practicing architect and a teacher. My work schedule is about 9 to 10 working hours a day with a sedentary pattern. My first sonography was taken during my fourth week of pregnancy which showed that I have a septate uterus. During my eighth week, there was some bleeding observed in my vagina. On my gynecologist suggestion, I had another sonography which showed that everything was normal. Post that my doctor put me on bedrest for four weeks. I also had NT scan and dual marker blood test during my 12th week whose reports were normal. The doctor has recommended me to have a uterus stitched at 14 to 16 weeks. Please guide me as to what precautions should I take with respect to food and lifestyle? Since I have a successful architectural practice, I am under stress to complete the work on the given deadline. There has been a month backlog in work which may cause me severe financial issues. Is it advisable to return back to work with all the above complications? If yes, what precautions can I take? Doctor: Hello. With working job and pregnancy, it is a difficult task. First being pregnant you need to relax. Do not stress out. Stress even mental stress has ill effects on pregnancy. Also, your weight is on the higher side. As you crossed 12 weeks, do a minimal routine physical activity. In diet, eat more vegetable and fruits with dry fruits. Avoid junk, processed, fried food. Also, stitch, you can put for the betterment of pregnancy. As far as now, your pregnancy is more important than anything else." + }, + { + "id": 14272, + "tgt": "While doing exercise I feel shortness of breath and sweating. Why?", + "src": "Patient: Hi doctor, My problem started three years back for the first time when I started taking dumbbells for exercise. As I did not know from how much weight should I start, I took 20 kg (10 kg in each hands). Within a week of exercise I felt shortness of breath and so I stopped doing it and visited a doctor. He told me to take ECG and it came out normal, but I had higher pulse rate. When he checked my BP it was also high like 140/90 mmHg. So, he prescribed Nebicard 2.5 one tablet per day in the morning and it brought down my heart rate and BP. Since then I am not able to work hard and when I do something then excessive sweating and higher pulse happens. So, I visited a cardiologist and he asked an echo test. It was taken lying down and he told there is no problem, but I have a bicuspid aortic valve. He told to continue with Nebicard and take echo for every year. But, even today I have symptoms like higher pulse and I can feel the heart beating hard when I touch the chest wall. Also, when I stand up suddenly my heart rate first increases and then decrease low after some seconds and I have sweating. This is accompanied with breathing difficulty. This stops to normal in some one or two minutes and heart rate becomes normal. This is happening to me since three years and still going on. What is wrong with me? Is BAV causing this? What test should I take now? I have done all blood tests, thyroid tests and kidney Doppler, everything were normal too. Please help. Doctor: Hi. Thanks for consulting me at this platform. I have thoroughly gone through your case and can well understand your genuine health concerns. I think you need to carry out taking the same medication as this is a mandatory medication. Exercise induced asthma may also cause shortness of breath. Excess sweating is natural and this is also a side effect of almost every medication used for lowering heart rate. It is called postural hypotension, in which you feel sleepy and sometimes weak when standing up from sitting position. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26224, + "tgt": "I have many bumps that are joining together and growing big. How to get rid of them?", + "src": "Patient: Hello doctor, I have many mole types of bumps joining up together. They have a waxy look and sometimes there is a yellow keratin-like fluid coming out of them. It is above my lip and no it is not cold sores. It has been growing over the last year. How can I remove it as it is getting big?\u00a0They are bumps that end up joining. Doctor: Hello. I have reviewed the clinical photographs attached (attachment removed to protect patient identity). The differential diagnoses are: The treatment for all the above is needling and curettage. In case of molluscum contagiosum, the molluscum bodies (a white round material) will be extracted and in case of comedones, a white keratinous material can be seen. I suggest you visit a dermatologist for the same. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 6984, + "tgt": "Why am I having a white lump behind my front teeth?", + "src": "Patient: Hello doctor, For the past few weeks I have had a development of some kind of white lump just behind my two front teeth. It moves a little if you touch it, and it is painful if you press down on it. Otherwise, it does not hurt. It is noticeable when you take pictures of the inside of my mouth, at the appropriate angles. It seemed to catch more of my attention now than before, however. I cannot seem to figure out what it can be because it has been here for a while now- several weeks. What could it be? I have never had this before, and I believe I maintain adequate oral hygiene. Doctor: Hello. It could be an abscess which needs antibiotics for a week. Show to a dentist soon, else it may get painful. Send those pictures to help me confirm." + }, + { + "id": 25347, + "tgt": "What Clomid dose is recommended for a 42-year-old with AMH of 0. 35?", + "src": "Patient: Hello doctor,I would like to know what dose of Clomifene citrate (Clomid) would you recommend for a 42-year-old with an AMH of 0.35? Doctor: Hello. I suggest apart from FSH (follicle stimulating hormone) and AMH (anti-Mullerian hormone) you do blood tests TSH (thyroid stimulating hormone) and prolactin. Clomifene is started at 50 mg daily for five days. If ovulation does not occur then the dose can be increased to 100 mg daily for five days. It is always advisable to start at the minimum dose. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 1005, + "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": 3396, + "tgt": "I have hyperreflexia. Can this be neurological?", + "src": "Patient: Hello doctor, I am 37 years old. Three years ago I had spine surgery for herniated disc L5-S1. After the surgery strange symptoms began. Four hours after surgery when I tried to sleep I got myoclonic jerks. Then I had problem with ligaments. My ligaments started to stretch so easily that I began to hurt myself. I was healthy before surgery and had no problems. I also have hyperreflexia. I have done MRI of head and whole spine and the reports are fine. Rheumatologic test and genetic test for connective tissue are negative too. Muscle enzyme and EMG testing's were fine. But, my problem is getting worse. And all this started after general anesthesia and never stopped. Neurologist says I have hyperreflexia and it is symmetrical. But they do not know the reason for the same. Can this be something neurological? Is there any neurological condition that would affect ligaments? Which tests do I need to do? Please help. Doctor: Hi. Revert back with the detailed information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27627, + "tgt": "My mother is taking six pills of 20 mg Prednisone every other day. Is it too much?", + "src": "Patient: Hello doctor, My 76 years old mother has a kidney infection. The doctor prescribed 20 mg Prednisone, and she is to take six pills every other day. I have taken Prednisone before, and I know the danger of this medication. Are six pills of 20 mg Prednisone every other day too much? Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11752, + "tgt": "Can implantation take place after 14 days of conception?", + "src": "Patient: Hello doctor, Is it possible for implantation to take place after 14 days of conception? I had flow on the exact date of my period for three days, but it was lighter. I used three sanitary pads. But next month I missed my period. I do not have any pregnancy symptoms. My TSH is 10.5. Kindly help. Doctor: Hello. Usually, it would take seven to ten days before implantation happens. The fertilized egg (conception day) will have to develop first into blastocyst stage and travel down to implantation site. The actual duration cannot be exact, but it may extend to two to four days more. So the answer is yes, it is possible that the implantation may happen 14 days after conception. In your case, it may not automatically mean implantation since you also have elevated TSH which can mess up with your hormones. I suggest you take a pregnancy test and if it is negative, then the period delay is just secondary to thyroid hormones." + }, + { + "id": 29990, + "tgt": "What are the reasons for vomiting blood?", + "src": "Patient: Hello doctor, My brother is 32 years old. He is suffering from a strange medical problem. For the last couple of years, he has been vomiting blood. The problem has got worsened recently, with the blood coming from the nose and the mouth.\u00a0This happens at least three to four times a week. Because of this problem, he has become really weak and has lost a lot of weight in the past six months. He also has grade 3 hiatus hernia and PAN gastritis. We have seen many doctors to find out the root cause of his problem, but it was of no luck. I had taken him\u00a0to a gastroenterologist, who asked us to see a hematologist as he did not find any reasons for vomiting blood. After a few tests, the hematologist asked us to see an ENT and now we are visiting an ENT specialist. He has recommended septoplasty for his nose as he thinks that will solve the problem. Several tests, including CT scan of the chest, ultrasound and endoscopy of the abdomen, CT scan of the PNS, blood tests like PT, PTT, fibrinogen and factor XIII have been done in the past for this problem, but nothing came out.\u00a0Currently, he is taking Nasomist nasal spray and Liquid Paraffin. I am still not convinced if the procedure recommended by the ENT doctor will cure the root cause of the problem.\u00a0Please help. Doctor: Hi I have thoroughly gone through your case and can well understand your genuine health concerns. I want to assure you that, you do not have to worry as everything is going to be fine if proper care and treatment is opted. This looks to me a case of epistaxis (bleeding from the nose) and it is not a simple one. It has got two important medical reasons attached to the disease history. 1. His deviated nasal septum. 2. He has nasal polyps in the sinuses. These two are the main concerns that need to be treated on a selective basis and surgery is the best option. As he also has GERD (gastroesophageal reflux) and hiatal hernia, he needs a proper time to time follow up with a gastroenterologist. 1. Endoscopic nasal septoplasty and polypectomy are the surgical procedures needed. It can be handled with care by experienced hands of an otorhinolaryngologist. 2. I suggest him Pantocid-L (Pantoprazole) for the stomach and esophagus issues. It will help to maintain normal motility of the stomach and will relieve acidity in the stomach. Consult your specialist doctor, discuss with him or her and take the medicines with consent. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22861, + "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": 9346, + "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": 4321, + "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": 1946, + "tgt": "I get moles in my chest area after a sunburn. Why?", + "src": "Patient: Hi doctor, I am a 27-year-old male. I have never had an increase in moles, except for the past two weeks I have had over 50 show up on my chest. In the past two months, I moved from one country to another, and a month ago, I had a really bad sunburn in Indonesia. Doctor: Hi. Moles are genetic collection of melanocytes which go through a cycle of emerging in childhood then become darker and fade by middle ages. In fair skin up to 50 are normal more than that increase the risk for skin cancer. And change in size, symmetry, color, symptoms also is a risk factor. Mole or nevi as called in medical term appearing in adult age like in you are always a risk factor. And in such an abrupt manner more so. They need to be followed up for any change in color, size, symmetry border, symptoms, and so. All your moles that I can see in the photo are harmless. (attachment removed to protect patient identity). Mole does increase after prolonged sun exposure as you give history. I hope you do not have any other medical problems. I advise you an initial in physically examination by a dermatologist, you can wait for lockdown, not an emergency, then you can do it yourself, all the mole for the changes described earlier, at least once a month and a complete work done by a dermatologist once every six months. Lifetime risk is very low but if you have fair skin, adult moles, more than fifty you need that follow-up to be on the safer side. I hope this helps. Sun exposure. Workup for changes. Seborrheic keratosis. Screening for changes. Every six months." + }, + { + "id": 15454, + "tgt": "What are the problems faced after taking Mifegest during gestation period?", + "src": "Patient: Hi doctor, My friend had a 45 days gestation. She took tablet Mifegest 400 mg, and there was bleeding for 20 hours. Some clotted and blackish blood came out. Now, the bleeding has stopped. Is the condition fine or not? Doctor: Hi. Please say more details about her. It is like induced abortion. In some patients, after taking medicine, it comes out in one go and then bleeding stops. In others, it comes gradually in episodes, and it might need further intervention. She can have a transvaginal scan to know whether the process is complete or whether there is any product remaining in the vagina. If the bleeding continues, the products will come out soon. If the bleeding is stopped, then the products can remain there. She might need a further medical and surgical intervention. The scan describes the need for the plan (attachment removed to protect the patient identity). In a case of retained products, she can have an infection or sepsis. So it is better to start taking oral antibiotics prophylactically to avoid having an infection. Take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) for every 12 hours for five days, and she can have a transvaginal scan to check for any retained products. In case of severe bleeding or cramps, she needs to report emergency care soon." + }, + { + "id": 25895, + "tgt": "Can I go for a haircut after having had removal of ear wax?", + "src": "Patient: Hello doctor, I believe I produce excessive ear wax in my ears due to the fact that I constantly have to go to an ENT to get them cleaned out. Today I had them cleaned out by my ENT but tomorrow I want to get a haircut. I have short hair so when I go to the barber the little hairs always fall and go in my ear and sometimes the barber will take their brush and put it in my ear to get some out. I would like to know as to how far they actually go in. I know wax is there for the purpose of stopping particles from getting into my ear. So, if I just had an ear wax removal should I wait a few days before getting my haircut or can I still go have it tomorrow? Doctor: Hello. In short, you can go for wax removal today. You may also go for a haircut tomorrow. But, before the haircut just insert a thick plug of cotton into each ear. After the haircut and shampooing, you may remove the plug. That way you will prevent hair from going inside the ear canal as well as get the wax out Earwax is remnant of dead skin, sebum secretions, and cerumen. All of it is physiologically normal. The skin of outer ear canal and eardrum grows outwards and so all the wax produced comes out in due course of time normally. In some people, the production is high and cerumen or oil secretions are more with tortuous canal and skin turnover slow. In these people, the wax tends to accumulate and produce impaction and symptoms. It is completely alright to go to an ENT (ear, nose, and throat) once a while and get the wax removed safely. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4711, + "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": 28809, + "tgt": "Why is my husband having painless hematuria since a year?", + "src": "Patient: Hello doctor, My husband who is 36 years old, is having painless hematuria since last year. The episodes are not defined, it is present for a month or sometimes as less as a week. MRI, CT scan, and cystoscopy, all show normal findings except hyperemia in the\u00a0bladder. There are stones in his kidney, and grade I prostrate enlargement, But, all these are less likely to cause hematuria as per our urologists. Kindly suggest what should be done further. Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22738, + "tgt": "I have pain in chest radiating to face, arm and neck. How to solve this?", + "src": "Patient: Hi doctor, I had pain in my left chest area may be twenty times in last years. Ongoing to hospitals and doctors ruled out heart problem called costochondritis. What are the very best recommended ways to solve this problem? The last episode lasted some three days ago. Episodes last for hours. I need relief from the upper left chest pain sometimes radiating to face, arm and neck areas. Doctor: Hi. Costochondritis originates from the front of chest area where ribs join the breastbone named sternum. It mimics a heart pain. Here, the physician can help in few ways to have a complete recovery. Proper rest and avoiding activities that aggravate the pain are helpful. This pain can last for varying degrees of time and usually relieves on its own. The main focus remains on pain and inflammation relief. Different medications are used for this condition like Ibuprofen, Acetaminophen. If there is no relief from pain, your physician may prescribe you medications containing more potent painkillers like a combination of Hydrocodone and Acetaminophen. It is very helpful for many patients having this pain. Sometimes, your physician may add some more specific medications (like Amitriptyline, Gabapentin) if he feels better. You may talk to your local physician about them. Stretching exercises and other techniques like TENS (transcutaneous electrical nerve stimulation) prove to be helpful for a large number of patients and it can be done for you to get relief from pain. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29798, + "tgt": "20 years back, I had ankle injury. Is it worth investigating now?", + "src": "Patient: Hi doctor, I have a question about my ankle. When I was at school, I was messing around in the changing rooms one day after PE. When I went over on my ankle, I heard a loud crack and experienced instant severe pain in my ankle. When I tried to limp into the nurse room, I passed out in the corridor. I could just walk, but it was incredibly painful and I could put no weight on my ankle. My mother collected me from school and took me to my GP to have it looked at. My ankle was swollen, really badly on the outside (a lump) and on the instep was a long black bruise. My GP said it was just a sprain and sent me home with a support bandage. I remember it being a good while before I could really walk again. Fast forward 20 years and I still get pain in my ankle if I step the wrong way and it feels weak. I recently had to walk through an uneven field and it bothered my ankle a lot. It bothered me again last night. So, I was wondering if it was likely more than a sprain when I did it. The crack was really loud and I was quite annoyed my GP as did not even suggest an x-ray. Is it worth investigating now? It was 20 years ago and it does not cause me a great deal of suffering. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20684, + "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": 10070, + "tgt": "After oil massage, my lower back is full of acne. Any suggestions?", + "src": "Patient: Hello doctor, So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions? Doctor: Hello. Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 549, + "tgt": "What kind of food habit should I follow to sleep well?", + "src": "Patient: Hi doctor, I work from 3 PM to 1 AM and cannot sleep once I am back. My food habits are also messed up. As I cannot sleep properly, I get up late. Hence, I am missing my breakfast and having heavy brunch. Some days, I even miss lunch and have dinner around 7 PM. I have also started putting weight unlike before. I guess it might be because of the erratic sleeping and eating patterns. I need to know what kind of food habits I should follow to sleep well. I would also like to have healthy food. Please help. Doctor: Hello. For further information consult a sleep medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 4834, + "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": 23612, + "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": 26075, + "tgt": "Is soreness of nipples a sign of pregnancy?", + "src": "Patient: Hi doctor, My partner and I had sex five days after my period a week ago. He did not use any protection. For the past one week, we had sex like four times. Right now, I feel my nipples are getting sore, especially when I try to touch it and I do have cramps below my belly button. Is this a sign of pregnancy? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24499, + "tgt": "Transabdominal USG shows polycystic ovaries and hypoechoic fibroids. Kindly help", + "src": "Patient: Hello doctor,I am 37 years old with two kids. I am 62 kg and 5 feet 4 inches tall. Nine months back, I had a transabdominal USG which showed polycystic ovaries (right ovary 11 mm and left ovary 7 mm). I always have periods of 2 to 3 days with cycle ranging from 30 to 40 days. I do not have heavy periods. Recently, I went to TVUS, and my ovaries are now (left 11 mm and right 12 mm) with PCOS. Also, it shows a 12 mm hypoechoic fibroids. My CBC, TSH, and Lipid are normal. I was taking Ginette 35 for two months but not consecutively. Currently, I am on APCOD for past five days. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). Since your periods are regular and there is no other period-related issue, there is nothing to worry about. Just an accidental finding of a fibroid and such tiny size is no worry at all. Try to keep track of the fibroid, by repeating a scan after three months, just to check if it is growing in size. Till then, just relax and do not worry. You need not worry about the PCOS (polycystic ovarian syndrome) as well. Just take proper diet, keep a check on your weight, exercise, and yoga will help you keep your PCOS in control. 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": 17479, + "tgt": "What is the treatment for raised blood pressure and heavy feeling in head?", + "src": "Patient: Hi, I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg. I am taking the following medications: Glycomet GP 2 (one tablet in the morning and one tablet in the evening daily). Galvus 50 (one tablet in the morning daily). Tricinod 10/6.5 (one tablet morning daily). Cilamet XL 50 (one tablet evening daily). Neurokind LC (one tablet afternoon daily). Ecosprin AV 75 (one tablet evening daily). Trika 0.5 (one tablet evening daily). In the past, I was on Met XL 100 (one tablet in the morning daily), Met XL (one tablet in the evening daily), Stamlo 0.5 (one tablet in the morning daily), Ecosprin AV 75 (one tablet evening daily) and Gemer 1 (one tablet morning daily). Currently, my blood pressure is high and feeling heavy on in one side the of head and weak. Kindly suggest whether the medicine given above are correct and whether I can continue with the same or not. Doctor: Hi. Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hydrochlorothiazide) once a day and if needed, add Prazopress XL (Prazosin) 5 mg at bedtime that will bring down your blood pressure. You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23962, + "tgt": "Which ayurvedic oil can be used to restore my hearing loss?", + "src": "Patient: Hi doctor, More than eight years ago I followed a treatment of ayurvedic oil drips in my right ear to help restore my hearing loss. Can you advise on the oil I can use now to do the same? I would like to begin using the proper oil for my ear again. Doctor: Hello. I just read your query. Take some sesame oil around one tablespoon and chop one clove of garlic. Pour this oil in a pan and heat it and then add chopped garlic in it. Cook the garlic in it on medium flame till it turns brown. Keep on pressing the garlic while frying. The resulting mixture results in the formation of garlic oil. When the oil cools down, put five drops of this oil in each ear. Use this twice a day. It will help in improving hearing loss. Use the oil when there is no infection in the ear. In the case of any infection, pus discharge or injury, etc., do not use this oil. Consult me after two weeks regarding improvement and for further management or you can consult your nearby reputed Ayurveda physician. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16802, + "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": 23379, + "tgt": "I have high lymphocytes count. Is it normal?", + "src": "Patient: Hello doctor,My question is about my high lymphocytes. My CBC shows that I have 6.6\u00d710 WBC count and 60 % lymphocytes count. the rest is normal. Lab remarks are normochromic but my IgE level is 422. Please help me and tell me can high IgE levels increase lymphocytes count? Or is there something serious? I have had asthma. Currently, taking Myteka. Doctor: Hello. You are a known case of asthma. Your IgE level is high because of asthma as it is allergic inflammation of respiratory tract. Complete the course of prescribed Montelukast course. Turmeric powder with milk can also be taken. Your lymphocytes can be high because of temporary viral infection. Your total count and rest of report normal so do not worry. After 10 days repeat CBC, your lymphocytes will mostly be normal. If not then investigate with peripheral smear examination for further workup. Take care. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 27351, + "tgt": "Why is my 9 year old daughter afraid of dogs and closed places?", + "src": "Patient: Hi doctor, I have a 9 year old girl child, who is afraid of dogs and being alone in closed places. Doctor: Hi. Thanks for this query. Hope my answer helped you.\u00a0Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18158, + "tgt": "I have a pain near the tailbone after a blood patch was performed. Please help", + "src": "Patient: Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to be any fluid. I do not know if this is normal and do not want to go back to the hospital for no reason. I am on Tylenol extra strength. Doctor: Hello. You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch. For more information consult an anesthesiologist online --> https://icliniq.com./ask-a-doctor-online/anesthesiologist" + }, + { + "id": 25645, + "tgt": "How much BP is good enough to start dialysis?", + "src": "Patient: Hi doctor, My father is a heart patient with amyloidosis and edema. He is in coma after cardiac arrest for seven days now. He was diagnosed with hypertension 26 years ago. His current medications are Lasix, Midodrine, Amiodarone and Eliquis. Patient also has AFib. Patient has BP readings of 121/71 mmHg. There is an option for dialysis, but could affect the fragile heart. How much does dialysis lower the pressure? Is dialysis being done in the stomach safer? What medication would help the patient before the procedure? Doctor: Hi. Revert back with the answers to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 13899, + "tgt": "I have swelling in knee after four months of ACL meniscus surgery. Why?", + "src": "Patient: Hi doctor, I had an ACL meniscus repair surgery four months ago. I still have some swelling in my knee and still feel weakness in my leg. Is that normal? Can I run now? What to do? Doctor: Hello. The knee swelling can even persist till six months after surgery, the more physiotherapy you do and the earlier you achieve full range of movements of the knee, the better it is and faster the swelling will reduce. Weakness can be overcome by physiotherapy again to strengthen your quadriceps and hamstring muscles. Running will depend on your physical follow up with your doctor and also will depend on your physio. Ideally, by now you should have started running but your physio and doctor will decide that as every case is different. ACL post-surgery rehabilitation." + }, + { + "id": 30425, + "tgt": "Please go through my dental x-ray and let me know if there is any cavity", + "src": "Patient: Hi doctor, I have got a dental x-ray done today. I got a root canal on the upper second tooth from the canine. Please go through my dental x-ray and inform about cavities if any. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30971, + "tgt": "For AC joint surgery, should I get autograft or allograft?", + "src": "Patient: Hi doctor, I got my AC joint separated while mountain biking. It is grade 5. I am getting surgery and I want to know whether I should use an autograft (hamstring) or allograft from a cadaver. I am very active in outdoor adventures and sports. Thanks for your help. Doctor: Hi. I am sorry to hear about your injury. The good news is that there are many modalities available for AC joint injuries (acromioclavicular joint), which are showing promising results. For further doubts consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 3799, + "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": 11033, + "tgt": "My teeth are yellow. Is scaling only a temporary process to clean the teeth?", + "src": "Patient: Hello Doctor, I am 19 years old. My teeth are yellow from childhood (from 10 years of age). A black layer is formed at the backside of teeth. When I see my teeth it seems very dirty and too much of creamy layer is formed on my teeth especially in lower canines and lower incisors.\u00a0In the lower teeth, yellowness is 'V' shaped and in upper incisors the creamy layer is much lesser than the lower ones.\u00a0The creamy layer gets removed by using my nails on that, but toothpowder is not able to remove that yellownees. I am feeling very sad while seeing my dirty teeth. My molar and premolar teeth have a black spot on them and people told me it is eaten by tooth worm. Is it true that tooth worm damages the teeth? When I contacted a local doctor he did scaling procedure. Just after scaling procedure, all the yellowness was clear (almost 80%)\u00a0and black layer at the backside was also clear. I became very happy by seeing this. But about a month after scaling, my teeth again turned much yellowish and looks very bad and black layer at the backside of teeth also started appearing. Is scaling only a temporary process and is it complete wastage of money? For clean teeth, is there any permanent thing which will make our teeth very much white and glowing? Doctor gave me advice that colgate is sufficient for teeth whitening and also said do not use sensodyne toothpaste (which I was using earlier) or any mouthwash like hexidine for white teeth. \u00a0Some other doctor suggested me bleaching and glodent toothpaste. But personally I observed that toothpaste never works on teeth. They are unable to clean teeth and so I am using toothpowder.\u00a0But toothpowder also does not help in permanent whitening of teeth. What to do from now for permanent cure which is safe for me and does not have any side effects? Doctor: Hello. Yellowing of teeth is mainly due to one of the following or a combination of these: You have given an excellent description of the clinical condition of your oral cavity. From your history it is very clear that, the yellowness of your teeth is due to plaque and calculus deposits. Plaque as you have mentioned is yellowish and creamy. This gets partially removed with brushing. Calculi are hard deposits either yellowish, greenish or sometimes blackish in color. They are firmly attached to the teeth and do not go off with brushing or tooth powder. Even the abrasiveness of the tooth powder cannot remove the calculi. During childhood due to improper brushing there are chances of plaque and calculus formation over the teeth. Because children at this age tend to be playful and do not concentrate on oral hygiene. \"Tooth worms\" as people say are nothing but bacteria that affect the teeth. These bacteria act on the teeth and cause demineralization of the teeth and lead to tooth decay and cavities. The lower incisors and canines are more prone to plaque and calculus deposition (v shaped deposition in accordance with the tooth morphology) due to inability of us to reach the inner sides of these teeth while brushing. At this age of yours, these deposits may be due to: Dental scaling is the procedure that removes plaque and calculi. But it does not mean that these deposits will not come back again. Continuous oral hygiene maintenance after scaling is mandatory to prevent recurrence of plaque and calculi. Hence, scaling is not a wastage of money, it is an investment to prevent one's teeth and gums from infections and thereby increase the life of the teeth. So, a permanent solution for your problem is to follow these steps to maintain oral hygiene: And finally, pearl white color of the teeth indicate that they are unhealthy. Teeth which are slightly yellow, without any deposits on them are said to be healthy. Hope this answer helps you. Consult a dentist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28395, + "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": 7725, + "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": 23971, + "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": 6538, + "tgt": "Which thermometer is better, digital or analog?", + "src": "Patient: Hi doctor, I feel like my forehead is hot, and I have a fever. I have both digital and analog thermometer. The underarm temperature in the analog thermometer shows 98.3 F, and in the mouth, it shows 99 F. The underarm temperature\u00a0in the digital thermometer shows 98.4 F, and in the mouth, it is 99.1 F.\u00a0I do not like using AC or fan in the room. Please answer the following questions.\u00a0Do I have a\u00a0fever or is it my anxiousness raising my temperature?\u00a0Should I take Crocin 650 for this?\u00a0Which thermometer is accurate for fever reading, analog or digital? Where should I place the thermometer for accurate results, underarm or the\u00a0mouth?\u00a0For the analog thermometer, how long is the standard time to hold the thermometer for an accurate reading? Doctor: Hello. 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": 13945, + "tgt": "I have periodontitis. Kindly advise the management without surgery", + "src": "Patient: Hi doctor, About three months ago, I was diagnosed with periodontitis. I am facing swelling of gums, gum bleeding and pus from gums. I would like to know available treatment options and can it be treated without any surgery. I am 26 years old. I am taking Vitamin C tablets. Doctor: Hi. There are two treatment options for periodontitis. First includes deep scaling and medications. Periodically scaling will be done of each quadrant of the jaw in two weeks and meanwhile, you should take following medications, capsule Doxycycline 100 mg one time a day for seven days (take two capsules together at first day then take one capsule from the second day). Tablet Metronidazole 400 mg, twice a day for five days, tablet Flurbiprofen 100 mg twice a day for three days. Meanwhile, keep doing saline water mouth rinses. Take a cup of water and add 1/4th teaspoon of salt in it and do its rinses five times a day at least. For one week, it is the best therapy for healing of gums. The second treatment option is for severe cases in which gum grafting surgery is done. If the first line of treatment does not affect you then go for the second option. Please provide your clinical pictures of teeth so I may suggest what should you opt for. Stay happy and blessed." + }, + { + "id": 23617, + "tgt": "My eardrum got perforated due to earbud trauma. What to do?", + "src": "Patient: Hello doctor, My eardrum got perforated due to earbud trauma. According to the ENT, no treatment is requred except precaution (water should not go inside) to avoid infection. Some kind of low noise 'hush' comes in my ear with a little hearing issue (20 % lesser than my other ear). What to do and how do I come to know about improvement? Please advice. Doctor: Hello. Yes, he is right. Since it is a perforation by a clean mode, that is by earbuds, even antibiotics drops are not required at this moment. Just care to be taken to avoid infection, which most commonly occurs by water entering into the ear. Tympanic membrane injuries heal within four weeks in a majority of the cases. The sound and minor hearing loss will recover as it heals. Also, you should get repeat ear examination done after four to five weeks to confirm if it has healed or not. If you notice any ear discharge in these four weeks, then antibiotic ear drops need to be started to tackle infection. 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": 21105, + "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": 17584, + "tgt": "Is whistling sound in a baby's breath a serious problem?", + "src": "Patient: Hi doctor, My son is 1 month 3 days old. Now and then he is suffering from cold and sneezing. A whistling sound is also coming when he inhales. Kindly suggest few medicine and advice accordingly. Thank you. Doctor: Hi. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26772, + "tgt": "After an electric shock, why does my partner still have shock-like feeling and pain in his arm?", + "src": "Patient: Hello doctor, My partner got an electric shock to his right arm a year ago. Ever since then, he has felt like he is constantly shocked, and he has been unable to move his arm properly. He is on 750 mg of Lyrica a day to control the shock-like feeling and pain. However, the hand movement has not returned. He has tried physiotherapy and hydrotherapy for seven months with no results. He now has severe muscle wasting of the right arm, particularly the shoulder. He had nerve conduction studies and an EMG performed by a general neurologist, two months ago. The NCS of the wrist showed unusual results, no numerical figure could be given, and instead, only pictures of the F-waves jumping around was shown. The EMG showed acute, chronic partial denervation in some muscles of the upper trunk, serratus anterior and rhomboids were incompletely studied as no results were able to be provided. The neurologist told us that the results were complex and unusual. He said that he could not help, and he did not know where to go from here. I am confused by what all this means. We do not know where to go from here. Could you please provide some insight or direction? He has not been diagnosed with anything yet. Thank you. Doctor: Hi. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28225, + "tgt": "I have a patch of bumpy rashes on my left breast. Is it breast cancer?", + "src": "Patient: Hello doctor, I am a female, who weighs 158 lbs and 5.9 feet tall. I feel that my strength\u00a0is declining, and I have itchiness and hot sensation across my breasts, neck, and torso. I also had a bumpy rash patch surfaced on my left breast several days ago. This rash has not gone away, and it looks like the texture of the orange peel and is yellow and red. Severe fatigue is affecting my daily activities.\u00a0I am worried it might be inflammatory breast cancer. I also have a swelling and sensitivity in that breast area. Doctor: Hi. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 21032, + "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": 8827, + "tgt": "What is the reason for constant numbness in calf muscles?", + "src": "Patient: Hello doctor, I have a constant numbness in my left calf for over two months. I have almost zero feeling when touched, pinched, burned and poked. It does not cause me any pain whatsoever apart from irregular shooting pain when crouching. I cannot find any information on this symptom. Doctor: Hello. Which part of the calf is the numbness situated? Back or the front? Injury to the tibial sensory portion of the sciatic nerve can lead to numbness in the back of the calf while the injury to the common peroneal portion will lead to numbness to the front and side in the leg. From your description of numbness following crouching will be more likely to result in the involvement of the tibial portion of the sciatic nerve. Very uncommon but by no means impossible for the sensory branches to be trapped at a fibrous arch or injured following a direct trauma. It needs clinical exam to ascertain the exact cause." + }, + { + "id": 18294, + "tgt": "I pee several times with some pimples on my penis. Is that herpes or UTI?", + "src": "Patient: Hi doctor, It appears like an infection. I do not know if it could be a genital herpes outbreak. Can you please give me your opinion about this skin condition that is more visible on my penis glans? My initial outbreak was on the glans. But now more pimples are evident. Doctor: Hi. I have gone through your query and the image (attachment removed to protect patient identity). You would have had a previous outbreak of HSV (herpes simplex virus). The current condition does not appear to be an outbreak of the same. It seems to be an exaggerating dermal gland. A clinical examination is needed to confirm. HSV infection appears to have more pimples on penis or fluid-filled vesicles. If it persists or causes any symptoms, I would advise you visit your local urologist or dermatologist for a physical exam to confirm." + }, + { + "id": 15818, + "tgt": "After unsafe exposure, I have taken various HIV tests in frequent intervals. Are they conclusive?", + "src": "Patient: Hello doctor, After unsafe exposure, I got 49 days ELISA antibody test done, 71 days HIV proviral DNA PCR test, 87 days ELISA antibody test. All were negative. The antibody test I took is not a fourth generation test. Is it conclusive or should I take another test? If I repeat the HIV test after six months what is the chance of staying negative? I am facing the problem like small bumps in the tongue, from the last two days a little bit of pain below ear region and it is a little swollen. Is it due to HIV? I am stressed, scared, full of tension. These are hampering my life. I do not know what to do. Today I am in the 107th day of exposure. Doctor: Hi. Your tests are conclusive and you are not infected. No need for further tests. Ear ache and tongue papilla are not due to HIV and may be a simple bacterial infection. Consult ENT specialist for an examination to rule out otitis externa. You will remain negative even after six months and one-year post exposure and no need for further testing. Weight loss may be a stress-related issue. Just leave this HIV issue here and you will regain weight soon." + }, + { + "id": 26651, + "tgt": "How to prevent FSGS from developing into kidney failure?", + "src": "Patient: Hello doctor, I was diagnosed with FSGS through kidney biopsy. What is the best thing to do regarding my diet? And also, how to prevent this from developing into a kidney failure? Doctor: Hello. The magnitude of reduction in protein leak in urine is the marker for improvement. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 13720, + "tgt": "Can I take Nexium for GERD beyond two weeks while pregnant?", + "src": "Patient: Hi doctor, I am six weeks pregnant. I have struggled with GERD and esophagitis for years and my gastroenterologist put me on Nexium, which is the only thing that helps. I usually do a two-week treatment every year. My pregnancy is exacerbating the GERD. I just finished a two-week Nexium treatment and today my symptoms are worse than ever, and the acid is constantly in my throats and mouth. Is it safe to continue taking the Nexium beyond two weeks while pregnant? Doctor: Hi. Yes, the symptoms can get exacerbated during pregnancy. Nexium is a relatively safe acid-suppressing drug in pregnancy. You can continue it when you have symptoms. The other alternative is tablet Ranitidine. You can add tablet Ondansetron 4 mg twice daily for a week 30 minutes before food. This also helps in reducing reflux. The other safe alternative is Doxylamine tablet. Avoid heavy meals, rather take short frequent feeds. Stay upright or move around for one hour after feeds. Do not lie immediately after food. Avoid reflux promoting foods like excess coffee." + }, + { + "id": 22936, + "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": 2669, + "tgt": "I am not able to achieve proper latch and quantity of my breast milk is also low. Please help", + "src": "Patient: Hello doctor, I am not able to achieve proper latch and quantity of my breast milk is also low. Need help for both, please suggest. My baby is 3 weeks old. Doctor: Hello. I would be very glad to help you. Because being a mother of two, I could very well understand your state of mind now. This is a common problem that most of the new mothers face at this point of time. First of all sit back and relax, do not take too much of stress. Because stress is going to affect the quantity and quality of breast milk. Proper latching is essential for both you and your child to feel comfortable during feeding. First sit in a chair comfortably leaning your back with good support. Lift your baby and hold him near your breast. You can keep pillows below the baby to achieve the height without much weight over your hands. When your baby opens its mouth, You have to put the nipple and the areola around it inside the mouth. Search for breast feeding photos or videos online and you can very well understand it. Amount of breastmilk secretion depends upon various factors. Important one is demand. If you feed the baby often the whole day today, definitely your secretion will start to increase from the next day as your body will sense the demand and produce more milk. Feed minimum once every 2 hours in the day and once every 3 to 4 hours in the night. Keep hydrated. Drink atleast 3 to 4 litres of water per day as 80 % of breastmilk is water. Take balanced diet. Include lot of vegetables and fruits. Definitely you can produce the quantity of milk your baby needs." + }, + { + "id": 1896, + "tgt": "What is the side effect of consuming I-pill twice in a day?", + "src": "Patient: Hi doctor, I took one I-pill yesterday morning at 11 AM and then had an unprotected sex at 11 PM. Do I\u00a0need to take another pill? What is the side effect of consuming I-pill twice? What is a regular birth control? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14333, + "tgt": "I have hair fall and dry skin. Please suggest some ayurvedic remedies", + "src": "Patient: Hello doctor, I am 22 years old girl now and am having hair fall. What should I do now? And my skin is dry skin. Which is the best cream for my face and which body lotion is best for me? Doctor: Hi. For hair fall, apply Bringharaja thailam or Neeli bringharaja thailam. Use fingers to do the scalp massage with this oil. After one hour of oil-finger massage, the bath should be taken in warm water. This has to be continued weekly twice (minimum) to daily. For the hair, iron, zinc, copper elements are important. So take foods that contain more iron, zinc, and copper. More stress and less sleep are also the reason for the hair fall. So, correct it. For dry skin, use Aloe vera based gel (buy from cosmetic or medical shops) and apply. Body lotions usually dry the skin. So, you may not apply body lotion or you see the lotion that contains olive oil and badam. If you consume food prepared using coconut oil and apply above mentioned herbal oil on the head (hair), the skin gets oil from them. Skin will glow. The dryness is more during winter. So, drink more water and consume oily foods." + }, + { + "id": 17165, + "tgt": "Suffering from PCOD and taking medicines, but still it has not reduced. Can you help ?", + "src": "Patient: Dear Doctor, I am a 29 year old female suffering from PCOD, taking medicines from past 1 year. But still it has not reduced. I was into Metformin and Folic acid. At the same time I have also taken medicines for conception (i.e, clomiphene). Follicar study has been conducted for four times and only once the egg ruptured, but I did not conceive. From december onwards the follicles are not maturing upto required level. Again during February and March my doctor put me on K-35 as my periods during past 1 year were not regular and still are irregular (I have to take tablet\u00a0Norgest thrice daily\u00a0for 5 days and then periods come). Recently I have consulted another doctor, she has prescribed me to stop taking Metformin and instead to start on APCOD sachet\u00a0(Myo-inositol) and Safegest D\u00a0(dehydroepiandrosterone) and during periods Adova\u00a0(Anastrozole). But I have not yet started the medicines. I am a bit confused, whether should I totally stop Metformin and start with these new drugs? Doctor: Hi. Metformin is a very effective medicine in PCOD (Polycystic Ovarian Disease) treatment. It reduces weight, increases sensitivity to insulin and decreases androgen level. All these effects are helpful in the treatment of PCOD. But as you say it is not effective in your case; you can start these above mentioned medications instead of metformin. But use of myo-inositol in PCOD is not very clear. You should consult an expert gynaecologist for your treatment. If you have further questions, feel free to ask an obstetrician and gynaecologist online. --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29450, + "tgt": "What is the future problem of having loose ligamental joints?", + "src": "Patient: Hi doctor, I am 23 years old, and my height is 5'11\". Please look at my legs. I can walk, run and sit. I have loose ligamental joints (collateral ligaments) from childhood, and I have small patella. What is the problem of having loose ligamental\u00a0joints in future? Is there any problem with small patella? I cannot stand for more than 30 minutes. I feel uneasy to stand, and around knee cap sometimes I get burning sensation for a short duration. Is there any surgery to correct loose ligament joints? Doctor: Hello. I have gone through your history and the images provided here (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19204, + "tgt": "What are the side effects of taking Adderall for a long time?", + "src": "Patient: Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, which has given a very good result, it seems stable for now. He also takes an antidepressant for depression from the past eight years. He also had a bicuspid aortic valve at birth, but it was only diagnosed in adulthood, and it has caused no symptoms so far. I am just wondering what are the risks of him developing any serious illness in the next ten years. I\u00a0am particularly concerned about his IH. Is IH a serious disorder beyond social and professional consequences? Since it is a neurological disorder, is he at a higher risk for neurodegenerative diseases in the future like PD, REM behavior disorder, Alzheimer's, dementia, MS, ALS, MSA, neuropathy, sleep apnea, or other serious neurological and sleep disorders? I have heard that depression and sleep disorders (like RBD) are risk factors for these neurological disorders. I have heard that taking Adderall long term is also a risk factor for PD in a new study. How might his multiple medications interact with each other or contribute to these risk factors?\u00a0 Does having idiopathic hypersomnia predispose him to develop REM behavior disorder in the future? What are the early signs of REM behavior disorders? Research shows that RBD is a reliable precursor to predict PD in the next 5 to 12 years, what are your opinions on his susceptibility to RBD (and by implication, PD) due to idiopathic hypersomnia? Are they in any way related? He does not have symptoms of REM behavior disorder as far as I am aware of, though he sometimes does have some periodic minor twitching or jerking while asleep, is it a side effect of antidepressant? Could it be PLMD? Does PLMD tend to lead to RBD?\u00a0How big of a deal is depression? He shows no symptoms at all with his medications. I have general anxiety disorder and take Xanax once in a while, and I know that medications are not magic. I am just wondering if he is silently feeling sad all the time, even if the medicines make it more manageable to go through daily lives. He has been on it for eight years, and he said if he stops taking them for a couple of days, he starts to \"feel it\" again. Will he ever be cured completely?\u00a0Will his BAV more likely to develop into other cardiovascular diseases like hypertension, high cholesterol, sudden death, enlarged heart, stenosis, leakage, calcification, etc.? At what point will he require surgery and how will that affect his hypersomnia and Adderall intake? Is it possible that he might never be able to take Adderall again at some point? What is the prognosis of his situation in your opinion? Can he exercise hard?\u00a0I am also wondering about the inheritability of idiopathic hypersomnia, depression, and BAV.\u00a0Lastly, I am just wondering if these conditions should be a major cause for concerns for me as a partner with whom he has a potential future and family with. What should I expect in regards to potential behavioral change, psychosis, and sexual dysfunction? And how should I support? Doctor: Hi. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully conscious, usually triggered by strong emotion like laughter or anger) and, perhaps most unfortunately (for me and fellow IHers), the lack of refreshment post-napping in idiopathic hypersomnia. Excessive daytime sleepiness (EDS) is the severe difficulty sustaining full alertness even during active and stimulating situations and the high probability of falling asleep inadvertently during sedentary activities. The social and professional consequences are as follows: Stimulants like Adderall (combination of Amphetamine and Dextroamphetamine) raises the body temperature, heart rate, and blood pressure, and repeated use or abuse, particularly in high doses, can create a range of medical issues from a stroke to a seizure to a heart attack. Adderall can cause damage to the heart and cardiovascular system when used for a prolonged period of time, especially when used in excess. The most common ADHD (attention deficit hyperactivity disorder) medication cardiovascular problems reported are hypertension (high blood pressure) and tachycardia (irregular heart rate). Sudden cardiac death may also be a potential side effect of Adderall. Other side effects of abusing Adderall long-term include: Using Adderall heavily for a long period of time increases all the risk factors and potential long-term side effects, which may get progressively worse. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25993, + "tgt": "The eye drops drain into my mouth. Is it dangerous?", + "src": "Patient: Hello doctor, The eye drops Loteprednol and Tobramycin drain into my mouth through my eye. I am now feeling the taste of the medicine into my mouth. Is it dangerous? Doctor: Hello. No, it is not dangerous. It just goes to show that drainage of tears is very good in your body so do not worry. The next time when you put drops, put pressure on the nasal side of the lower eyelid for one minute. It will not reach your mouth. But the Loteprednol should not be used for more than four to six weeks. It may harm your eyes. Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4273, + "tgt": "Can presence of Clorox cleaner on my arm affect my blood tests?", + "src": "Patient: Hello doctor, I had blood tests done. There was some Clorox cleaner or bleach on my arm. Can this affect the result? Doctor: Hi. Based on your query, my opinion is as follows: If anything abnormal found in report, then get back to a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 26672, + "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": 1317, + "tgt": "I have a swelling in the armpit, which is soft and painless. Is it breast cancer?", + "src": "Patient: sir i have piles problem is there any relation between piles and armpit swelling .That swelling was soft and no lump and no pain . i searched online about swelling in armpit it was showing like brest cancer .that swelling is there from 1 year in that year my delivery was happend in pregnency time this was came but i am not brest feeding . i am very tensed about this swelling out side hospitals are not open in this lockdown. any chance of getting fat in one armpit.wheneven i am folding my hand it was showing like a bump. plz help me is there any chance of cancer please help me this is the sign of cancer or fat i have this from 1 year if it is cancer any other symptoms will come or not please doctor give me a better suggetion and clarification about my situation. Thanks in advance Doctor:" + }, + { + "id": 29724, + "tgt": "Why is it difficult for me to breathe when I lay down while having cold?", + "src": "Patient: Hi doctor,I do not know what happened, but I stopped being able to breathe the last night. It was terrifying. My nose was stuffed up and I have been trying to get over the cold for almost 16 days now. I was laying on my back and had a dream (it was not scary at all). During the dream, I realized that I was not breathing. When I woke up, I really was not breathing and I had to swallow like 10 times just to get the feeling to go away and breathe again. I think it honestly was from the post-nasal drip down my throat and my mouth being so dry. Could it have caused a laryngospasm? What could have caused this? Should I be nervous? Could it happen again? I am on regular\u00a0Synthyroid (hypo) and have been taking Amoxicillin for the past eight days to get rid of this cold. My throat is still a little sore and I have been coughing on and off. It feels as if there is something stuck in my throat. 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": 20558, + "tgt": "Would herpes infection affect the window period of HIV 1 and 2?", + "src": "Patient: Hello doctor, I have a question regarding co-infection of HIV with various other diseases like syphilis, herpes 1, herpes 2, gonorrhea, hepatitis C, hepatitis B, chlamydia, CMV, HPV, and molluscum contagiosum. Some time ago, I had a paid unprotected oral sex encounter but vaginal sex was mostly protected. I say mostly protected because the condom was very loose due to my erectile dysfunction. I received oral sex from her without any protection. Please take into account that prior to this episode I have been experiencing chronic penile sores and burning in urethra supposedly due to my established herpes infection (earlier tested positive for both herpes 1 and 2). I also have a weak immune system because I suffered from malnutrition while growing up. I have four questions that I want to ask. Would my herpes infection affect the window period for HIV 1 and 2? Would the window period for any of these aforementioned diseases be affected in case of pre-existing or simultaneous co-infection with another STI? Also, would my herpes infection increase the likelihood of getting infected with HIV or any other STI? Lastly, please advise when should I get tested for all these STIs in order to have conclusive results. Doctor: Hello. No, herpes does not affect the window period for HIV 1 and 2. Yes, it could be if the immune system is compromised. The term window period is used mainly with reference to HIV. Herpes infection per se does not increase the chances of an STI. But the mode of transmission of herpes is similar to the mode of transmission of other STI diseases. So the risk of exposure to all STIs is the same." + }, + { + "id": 12882, + "tgt": "Is colonoscopy necessary for diagnosis of stomach pain with diarrhea?", + "src": "Patient: Hello doctor, I get stomach pain and diarrhea after meals. I do not want to do a colonoscopy because the preparation will cause more diarrhea. Therefore I want to know what can be done without colonoscopy for diagnosis? Doctor: Hello. Colonoscopy is an invasive procedure in which we can see the lesions directly. If we have doubt then we can take a biopsy and also if any lesion needs to be treated means it can be treated immediately. It is diagnostic and therapeutic also. CT abdomen, ultrasound abdomen and barium swallow, etc., are available but not possible to take the biopsy or treat the lesions. So, please consult your gastroenterologist. He will examine and treat you accordingly. Take care." + }, + { + "id": 29740, + "tgt": "I feel dizzy and have constant tremors after a long gap of back injury. Why?", + "src": "Patient: Hi doctor, About two months ago, I was left with a feeling that can be described as off balance.\u00a0It happens mostly when I walk. Whenever I take a step, like when my body shifts weight to one leg, it feels as though I sunk into the ground. I feel that in my head as well, like my vision shifts. After a while of walking I start to feel dizzy, but without the room spinning, more like a lightheaded feeling and falling into something. And then, I get slight visual distortions.\u00a0I can replicate the same sensation when I sit down and squeeze either buttock, such as if I was walking. Also in my lower back, I have been feeling a constant tremor that changes with position. When I lay down, I can still feel that tremor in my back. Sometimes, it feels as though my body jerks rapidly. If I\u00a0close my eye, it gets even worst. It feels as though everything is wobbling.\u00a0I was referred to a neurologist, but it has been extremely difficult to get in contact. I have been to an ENT specialist, who said my ears are fine. He then referred me to an ear, nose and throat institution and they said that I have vestibular migraines. But, I am not sure if it is this as I rarely get headaches. The ENT had no clue as to the back and leg issues and said that if I have migraines that it would not cause those other sensations. Everything started after having a jolt feeling in my chest and in the mid upper section. Doctors said it was bronchospasm. They gave me an inhaler, which never helped for really bad cough that I was having. And, I was also told that I have acid reflux as I was having extreme abdominal pain. I might also have a stomach ulcer and for which I am waiting for an appointment. Doctor: Hi. Revert back with the details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7985, + "tgt": "I am suffering from severe back pain during breathing, yawning, and laying down. Why?", + "src": "Patient: Hello doctor, I am a 31-year-old female with two kids. For the past five days, I have severe back pain, and trouble when I breathe, yawn, or when I lay down. When this first began, it was hurting so bad that when I would lay down, I would hyperventilate. My pain is currently around my right kidney on my back that radiates to my shoulder (more towards my arm) and my neck, all in the right side. I can breathe better today, but I have the back pain, shoulder, and neck pain still (very sharp stabbing around the kidney and pain level from1 to 10). My UA showed some signs of stones, and WBC count was elevated. I started antibiotics yesterday. I had a CT scan where they did it have any abnormal findings. The pain medications are not doing anything for the pain. I had undergone gastric sleeve completed on before two weeks, and have not had any problems with it. Do not know what to do from here? Doctor: Hello. You are having two separate problems. 1. Kidney stones, along with urine infection. You have been started on pain medicines and antibiotics rightly. But the tablets will take time to act, and you need to give two days for it. If your pain is not tolerable, you need to go to the hospital and get injectable pain medication and also injectable antibiotics. You did not mention how big was the stone because the treatment depends on the size. If it is quite big, medicines may not be of help to you. 2. Your neck pain, shoulder pain, and pain while breathing is not due to kidney stones. Probably you might be having a nerve pull at the level of your neck. You need to get an MRI scan of your neck for the confirmation of the diagnosis and also to know the severity. The medicine Gabapentin what you are taking will help you in reducing the pain, but it takes three to four days. You can double the dose of Gabapentin for faster relief but after consulting your treating doctor. I hope this information was useful for you if you have any clarification, feel free to ask. MRI cervical spine. Cervical radiculopathy. Renal calculi Drink plenty of water." + }, + { + "id": 21212, + "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": 10645, + "tgt": "Why does weight loss occur in a patient with TB and pneumonia after an extensive phase?", + "src": "Patient: Hello doctor, A TB and pneumonia patient for the last two months passed the extensive phase and gained two kg. But recently she lost two kg weight, and she feels ill and weak every afternoon. She takes her medication regularly and on time. Why does this occur? Doctor: Hello. I guess the symptoms of cough and chest pain are resolving. If she compliants with her anti koch regimen she would not be losing much weight. But it is well known that chronic illness like tb and pneumonia can cause extensive weight loss and anorexia which again add to the weight loss. You need to see a dietician for prescribed dieting to help increase your calorie intake. Multivitamin should also be taken to improve appetite. Also do a chest X-ray to see the extend of the lesion in the chest with sputum afb." + }, + { + "id": 1414, + "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": 5686, + "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": 10852, + "tgt": "I have Braxton Hicks at 27 weeks. Could I be in preterm?", + "src": "Patient: Hello doctor, I am 27 weeks pregnant and have had Braxton Hicks steady for two days with my back cramping and pressure in my bum and vagina. Could I be in preterm? Doctor: Hello. You have not mentioned your gynecological, obstetrics, menstrual and drug history. Have you previously had a normal delivery? If no, then the body prepares itself for normal vaginal delivery in the third trimester. In the first time mother, this process is long as it is happening for the first time. So, it takes more time than mothers who already had labor and normal delivery. Everyone's threshold for pain and body's reaction to late perineal changes in the third trimester and labor are different. Only mild cramps without severe contractions episodic going towards lower pelvis from the back are Braxton Hicks and it does not show labor changes in the cervix. Pressure symptoms, bladder heaviness, and recurrent urine are usual symptoms in the third trimester as the baby is mostly in cephalic presentation and growing size creates pressure in neighboring organs naturally. But precautions are necessary. It is better to differentiate between just Braxton Hicks and labor pains with cervical changes. Preterm delivery having lots of factors like infection, fetal, and maternal anomalies and diseases, rupture membranes, etc. Pain threshold relation to cervical changes is different for everyone. I cannot rule out that back cramping, the pressure in bum and vagina cannot lead to preterm delivery but there are factors behind that also that need to sort out. Otherwise, backache, pressure symptoms, mild labor like pains are normal symptoms in most of the women in late pregnancy. I hope you get my point. If there is a pain in the third trimester, we need to check with baby monitoring and mother's cervical changes with the strength of contractions. I hope u get my point. In case of labor-like frequent contractions, rupture of membranes and reduced fetal movements, you need to report to the hospital for monitoring and examination. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24130, + "tgt": "Increased stool frequency after proctocolectomy surgery. Please help", + "src": "Patient: Hello doctor,I had proctocolectomy surgery one year back. It has been five months to ileostomy closure surgery. My daily stool frequency is nine to 10 times daily. The stool is not hard one. I am having a lot of burning inside and outside of the anus. There is no pain but there is itching and burning on my anus area. I am very much panicked. Is it a sign of hemorrhoids or something else? Doctor: Hi. It is normal to have increased frequency after a pouch. As the effluent is liquid and is only ileal content, it may cause itching around the anus. Hemorrhoids will be out after proctocolectomy. Things will get better with time. There is also slightly higher chance of developing pouchitis, but it is too early for pouchitis. I feel you should not worry too much and give time for the pouch function to improve. Regards. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 11532, + "tgt": "My platelet count is high. What could be the reason?", + "src": "Patient: Hello doctor, Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Take care. Consult your physician for an examination keeping these points in mind. Hope your concern solved. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 19816, + "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": 9075, + "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": 13971, + "tgt": "What is the treatment for SVT?", + "src": "Patient: Hi doctor, I had a bad episode of SVT. It was the first major episode. The heart rate was above 200 bpm. I rushed to emergency, today is the fifth day, and still, I have tightness in the chest, shortness of breath and pain in the chest that come and go. Is this normal? I am a 30-year-old female. My weight is 70 kg and height is 165 cm. I am not on any medication yet. I have a history of high anxiety. I had a sudden onset of fast heart rate around once or twice a few years before. I have white coat hypertension. Blood tests taken in the Emergency Unit came back normal. Doctor: Hi. The definitive treatment is ablation of the pathway in the heart. An electrophysiology study is done to locate pathway, and radio frequency or cryoablation is done to cure SVT (supraventricular tachycardia). The symptomatic treatment before ablation is tablet Verapamil 480 mg per day. Some degree of fatigue is common after SVT which may last one to two days." + }, + { + "id": 23140, + "tgt": "There is loss of appetite after having vomitings and loose motions. Is it normal?", + "src": "Patient: Hello doctor, My 13 year old daughter has been suffering from vomitings and loose motions since two days. She had a fever of about 101.3 the day before yesterday. Our doctor advised her to take Oflox OZ and Sporolac DS. She has had five doses of Oflox OZ till now. The fever has gone and the number of motions has also reduced, though still watery but she is not eating anything. Her appetite is lost and even if she eats a little she complains of nausea though she is not throwing up. I am giving her Emeset for nausea. Is this a normal stomach infection? Doctor: Hello. It looks like she had a bad gastroenteritis. She is recovering. Continue both these medicines for at least five days. Can add tablet Pantocid 40 mg (Pantoprazole) daily once for five days. Emeset (Ondansetron) can be taken as needed for nausea. Consult her specialist doctor, discuss with him or her and start taking the medicines with their consent. Her appetite will slowly improve over few days. Hydrate her well with water in various forms or lemon juice, etc. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9217, + "tgt": "Is it fine to mix Formula with room temperature water?", + "src": "Patient: Hello doctor, My son is going to be 6 months next week and weighs about 6.54 Kg, birth weight was 3.03 Kg. Is weight fine? I am giving him Formula with room temperature unboiled water. Is that a problem? Can incorrect mixing of powder with room temperature water a problem for weight gain? He did not roll to tummy until now. He just moves clockwise when lying on the bed. Doctor: Hello. Weight for age is fine. Please use filtered and clean boiled water to avoid infections. Incorrect mixing will lead to improper concentration of the product and may cause either indigestion or reduced nutritional content of the Formula. Hence, always mix in concentration as per instruction of the Formula. It is alright for a 6-month-old child to start moving clockwise at this age." + }, + { + "id": 16373, + "tgt": "I had an early period this month. Could I be pregnant or has my cycle just changed?", + "src": "Patient: Hello doctor, My periods are usually 29 days apart. I had a period on the 5th this month. I was supposed to have the next period on the 2nd of next month. But, I started bleeding on 22nd itself. Could I be pregnant or has my cycle just changed? Doctor: Hi. In your regular 29 days cycle, your bleeding has started on the 17th day. This shows that you had an early menses this time. This condition is called polymenorrhea (menstruation occurring in intervals of 21 days or lesser than that). There could be various reasons for early menses including stress, sudden changes in lifestyle and eating habits. If the suspicion of pregnancy exists on your part, then do a urine hCG test (human chorionic gonadotropin) and revert with reports." + }, + { + "id": 7055, + "tgt": "Is it safe to take Atarax when pregnant?", + "src": "Patient: Hi doctor, My wife is four months pregnant now. She has itchy palms. The doctor advised to take tablet Atarax 25 mg (Hydroxyzine hydrochloride). Is it safe to have this tablet during pregnancy? Kindly guide. Doctor: Hello. Congratulations on her pregnancy.\u00a0I have gone through your history and understand your concerns. For further clarifications consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26838, + "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": 6587, + "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": 15186, + "tgt": "How much time does it take for Acidophilus to get out of the system?", + "src": "Patient: Hello doctor, How long does it take for Acidophilus to get out of your system? Since stopping I have experienced indigestion. I am wondering how long it will take for the probiotic to be out of my system. Last week I started having some digestive issues. Mainly just pain and pressure in my upper abdomen. I did not experience any diarrhea. I thought I was slightly constipated and did take Miralax one night and eventually, the stool did return to normal. However last week I woke up with awful indigestion. Next day, I had lower stomach cramping the entire day. Later that night the pain was on my lower left side, I decided to go to the ER. There they did urine tests, and did press around my belly and back, and took vitals, everything was normal. I was given Maalox and felt better. The pain eventually went away. However, again last night I woke up with awful indigestion. I recently stopped taking Acidophilus because they were not helping. I am wondering if stopping is contributing to my issues. Doctor: Hi. I do not think your indigestion is because of Acidophilus. Also, these probiotics do not get into the system. It just stays in the GI tract. They do not get absorbed. They can stay for a longer period of time and are beneficial. I think all this indigestion-like feeling is dyspepsia, may be non-specific. Just avoid overeating, spicy, and oily food. You can use Nexum 40 mg tablets over the counter for 1 to 2 weeks, every day in the morning 20 minutes before breakfast. You will get better." + }, + { + "id": 20253, + "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": 342, + "tgt": "I have a painful ball attached to the testicle. Please suggest medication", + "src": "Patient: Hello doctor, I have a painful medium size ball that I think is attached to my left testicle. It hurts too much to check, but it will not move away from my testicle, so I assume it is attached. I am not on any medications. Doctor: Hi. Medium sized painful ball attached to your testis can be inflammatory and painful. I understand the situation and hope to work up towards the right diagnosis and treatment. The different masses can be inflammation of epididymis which is above the testis or spermatocele which is a cyst containing sperms and it can be painful if infected. Abscess also can be near the testis and can cause pain. Hematoma blood collection beside testis results from trauma or injury. Other thing like torsion of testis means twist of testis and blockage of its blood supply is considered an emergency and needs an immediate operation. Ultrasound is diagnostic to confirm the mass and its type then we can decide about the treatment. I prefer you to go to a clinic near you to check preferably if they have ultrasound there then can be diagnosed properly. You can take painkillers like Brufen tablets 400 mg thrice daily with Omeprazole 20 mg at night to prevent gastric ulcer and in addition Augmentin (Amoxicillin and Clavulanic acid) tablet 625 mg thrice daily for a week. Ultrasound scrotum." + }, + { + "id": 13676, + "tgt": "After taking abortion kit, how to confirm abortion?", + "src": "Patient: Hi doctor, I had unprotected intercourse on the 11th. My menses date was on 26th of the same month, but I missed my menses. I had a pregnancy test after eight days and it was positive. I took the first set of abortion pills on the same day at 6:30 PM. At 10:30 PM, I started to have bleeding and the cramps and pain continued till morning 6 AM. It bled and five to six blood clots were there. I took my second set of pills at 10 AM. After that bleeding was very less, but the cramps were there. Till now I have some bleeding and small spots with an interval. Is everything working well? I want to assure that the abortion is complete. Please suggest me. Doctor: Hello. Firstly, you have not mentioned the name of the pills or the pack that you have taken for medical abortion. From the set of pills, I understand that you have taken two pills at 6.30 PM and then a second set of Misoprostol pills at 10 AM after 16 hours. This is a wrong protocol to use just Misoprostol pills alone and also at such a gap of 16 hours. The bleeding experienced may just be an endometrial shed and the gestational sac may not have been aborted out at all, because cytotrophoblastic invasion has not been stopped by the first pill called Mifepristone. As the bleeding has stopped it is suggested that you should get a transvaginal ultrasound done tomorrow or today to see if the sac has been aborted or not as you saw fewer blood clots and no tissue like glistening lump. I feel that you have not aborted yet as the pills have been wrongly consumed. I want you to mention the name of the pack that you have used or the name of the pills that you have consumed. There are multiple packs available and the only concern in such early pregnancy of less than seven weeks is that Mifepristone is required 36 hours prior to Misoprostol intake and then completion success rates are higher. Nevertheless, get a transvaginal ultrasound done to check for completion and review with the report." + }, + { + "id": 26777, + "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": 24143, + "tgt": "I have burning sensation on my arm. Does this sound like MS or anxiety?", + "src": "Patient: Hello doctor, Since yesterday I have had this burning sensation in a patch on the side of my left arm. It is not warm to touch but an internal warm sensation that feels like you put a warm cup of coffee against a patch of skin for a second or two and then it goes away. It appears in a wave-like pattern. It shows up in one-two seconds, then it disappears for about 10-15 minutes, then shows up again. So it is not constantly present. It is not painful at all, just annoying and it is really sending my health anxiety off. Does this sound like MS or anxiety? I do not take any meds. No other symptoms. Kinds regards Doctor: Hello. The intermittent burning sensation in your left arm could be due to several reasons. Most commonly, we see this if there is any cervical spondylosis with the nerve being pushed. This can lead to a certain area in the arm to be painful. Again, the pain can be intermittent depending on the neck movements. Another possibility is a neuropathy due to vitamin B12 deficiency which could be tested on a blood test. Multiple sclerosis is another possibility, but that seems less likely as the symptoms would persist for few days and then they start improving. It would not last only for 10 to 15 minutes and come back again. If all of these possibilities are ruled out by clinical neurological exam and/or diagnostic testing, then this could be a somatoform disorder which can be associated with anxiety. I hope this helps. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9305, + "tgt": "While trying to remove tonsil stones there was bleeding. What can I do?", + "src": "Patient: Hi doctor, I am having an issue with one of my tonsils (or around one of my tonsils). I have dealt with tonsil stones for years, and have typically used my finger or Waterpik to remove them. Last Saturday, I discovered some tonsil stones and used my finger to remove them. Upon not getting everything, I got the Waterpik out (soft rubber tip) and simply moved it gently around what appears to be the cluster of little tonsil stones. As I made that initial gentle move with the waterpik, I felt a little pump feeling as if the waterpik ran into a tonsil stone or something. I tried to see what was going on and continued. However, something started to bleed and continued to the point that I could not remove anything else. The next day, I went in to examine and it looked like the little cluster of tonsil stones were now visible. However, they seemed to be attached to the skin. This worried me because now I thought that the skin had started to grow around the little stones. The area around the stones is also deep/bluish red and hurts. I have gargled with mouthwash and salt water to help kill any germs. I have kept checking it and the \"little cluster of tonsil stones\" seems to act more like pus and less like tonsil stones. The rest of the tonsil feels fine as well as the other tonsil. They felt fine before the incident detailed above. Doctor: Hello. I have gone through the pictures (attachment removed to protect patient identity) and read every detail you wrote. I must commend you for the detailed and chronological description of your problem. Like you predicted, it does not appear like stones. It is infected tonsils. The tonsil is studded with pus which gets formed in the tonsillar crypts. The stones also form in the same crypts due to calcium deposition. Probably when you tried removing the stone on Saturday you accidentally introduced some germs and infectious agent to it and the subsequent day you developed tonsillitis infection. That explains the redness, congestion, and pain. Bleeding also indicates a breach of the mucosa which could have acted as a port of entry for microbes. For now, you require a course of antibiotics, some decongestants, gargles, and painkillers. If you were to come to me, I would suggest taking Clarithromycin 500 mg tablet, one tablet twice daily after meals. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You should also take a decongestant like Phenylephrine (or Ephedrine) with Levocetirizine (or Loratidine). Additionally, anti-inflammatory medicines like Trypsin-Chymotrypsin-Bromelain will accentuate healing and repair by the body. You may use Chlorhexidine or Betadine or Benzydamine gargles after each meal, but make sure you dilute the same with lukewarm water. You may use salt water gargles also. I would like to say that gargles tend to increase acidity if you suffer from it. Plain Paracetamol (Tylenol) would suffice for pain relief. You may take the Paracetamol thrice daily. If severe pain is there, you can try Lidocam lozenges which are Lignocaine lozenges for chewing and immediate pain relief. If the tonsillar stones have been occurring repeatedly then perhaps you can think of removing the tonsils. Tonsils do not serve any function at your age. Rather, the repeated development of stones causes the release of infections from tonsils to other areas of the throat and even ears. Tonsils mainly function to engage and remove harmful organisms from the aerodigestive tract during childhood. But over the years, it accumulates so many microorganisms that it starts acting as a source of infection. I would advise that you explore the option of removing the tonsils surgically. Various options exist for the same and latest methods using Coblation are very safe and cause minimal bleeding and can be done as a day-care procedure. Do let us know how you feel and share the progress after starting the treatment. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17877, + "tgt": "My wife is a diabetic patient. She feels heaviness and numbness in both her feet. Kindly advice", + "src": "Patient: Hello doctor, My wife is 62 years old. She is a diabetic patient. She feels heaviness and numbness in both her feet. She is not able to sleep in the night. She is taking tablet Glycomet GM2 - one tablet in the morning, tablet Sitagliptin 50/500 one tablet at night, \u00a0tablet Pregabalin 75 and active nerve tablets daily. Her fasting sugar level is 120 and post prandial sugar level is 200 and HbA1C is 7.7 to 7.9. She underwent hysterectomy in 1984 and spleenectomy in1990. Nerve conduction tests show that the nerves are slightly affected. Kindly advice. Doctor: Hi. Please do not get worried as your wife's treatment is on the right path but, some changes\u00a0are required\u00a0in the prescription. Give her all the above mentioned tablets for 15 days. Also monitor the blood glucose levels thrice a day. Revert back with the following: For further follow up, consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist Read this article to know about foot care in diabetics --> https://www.icliniq.com/health-articles/health-topics/diabetes-health/foot-care-in-diabetics" + }, + { + "id": 24139, + "tgt": "Why is there a growth coming out of socket after extraction?", + "src": "Patient: Hello doctor,I had a tooth pulled ten days back. Now there is a growth coming out of the socket. It is white or grayish and soft. No pain but it is getting larger. What is it? Doctor: Hi. I have read through your complaint and the relevant details. After every tooth extraction, there will be an immediate blood clot that is formed and if secured properly that leads to the formation of a greyish white fibrous layer. This eventually will form the gums in the tooth removed area. So this is a normal sequel. You need to worry only if you have continuous bleeding, swelling or any spicule growth which feels like a hard object pricking or pain along with any of these. It has been a week since you extracted and so I hope the healing is proceeding normally. Meanwhile please avoid hot and spicy food, vigorously brushing on that side and playing with your tongue. If you find this growth is protuberant and becoming larger please visit your dentist immediately for getting it removed if possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19649, + "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": 17628, + "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": 26627, + "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": 24334, + "tgt": "It is difficult to revert the penis skin back. Please provide a solution", + "src": "Patient: Hello doctor,My penis skin has become too tight and it is difficult to revert it. Can you please provide me a solution for this? Doctor: Hello. Phimosis means tight foreskin. In this condition, the foreskin may not be moving freely. There are two ways to treat it, one is medical and other is surgical. I will suggest the medical treatment. I suggest you pull down the foreskin as much as possible and apply Betamethasone cream on the inner side of foreskin where it is tightly attached. Do it three times daily for the next two to three months. Betamethasone will help loosen the skin. Also, do daily stretching exercises of the foreskin, that is stretch forward the foreskin for 30 seconds and then stretch downward for 30 seconds. Do it daily for five minutes. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 31056, + "tgt": "Is it normal to have high BP at the time of headache?", + "src": "Patient: Hi doctor, I am a 26 year old male. My height is 5'8\" and weight is 75 kg. For two weeks, I have been having a lot of gas and burping without any other discomfort. Due to my tough work schedule in the last week I slept only 3 to 4 hours every day. Now from the last four days, I am feeling pressure and pain in my upper neck muscles just below the head. Also, my head is feeling heavy and I have slight ear pressure in my right ear. I had some difficulty in breathing, but it was fine after I had burps and removed the gas from my body. My BP is 130/100 mmHg on average, which was 135/110 mmHg on the first day of the headaches. It has been one day that I started taking Capoten 25 mg. Even after taking complete bed rest for two days, still I have neck pain and gas problem. Kindly please advice on the matter. Also, what should I do now? Doctor: Hi. I have understood your problem and must say that it is quite a common complaint to my clinic. Sleep deprivation and increased physical stress. Acute otitis media. GERD (gastroesophageal reflux disease). PPI and antihistamine. Avoid sleep deprivation. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27872, + "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": 12700, + "tgt": "How can I manage itching and burning sensation on my penis?", + "src": "Patient: Hello doctor, I am having itching and burning problem on my penis. I cannot lift my foreskin upward. It is painful to upward the foreskin. I think I have acquired a fungal infection. My wife was under treatment of heavy menstruation periods for her menopause phase. She had passed through heavy blood flow during her periods. Used 5 to 6 pads during the day. Now, she is perfectly alright for the last 20 days. We had intercourse before seven days and then I developed this symptom of fungal and itching. She is also having the same complaint but she is having itching experience only which is too less compared to me. I have taken one Fluconazole 150 and using skin cream named Castor-NF suggested by the family doctor. Please suggest treatment and medicines to us. Doctor: Hi. Can you forward a few pictures of the affected area, if possible? Your concern may be balanoposthitis most probably. Continue Fluconazole 150 mg. Have them weekly once after dinner for four consecutive weeks and for your spouse advise her Fluconazole 150 mg two tablets with a gap of 15 days. That is two weeks. Use Cetaphil cleanser for genital wash and Seriva cream twice daily after wash for 30 days. Check your fasting and post prandial blood sugar levels and thyroid profile and report me once you get your reports." + }, + { + "id": 7439, + "tgt": "Can we use Tramadol and Acetaminophen for viral fever?", + "src": "Patient: Hi doctor, My brother, who is 27 years old, is having viral fever and the temperature was 103 degrees Fahrenheit since yesterday night. He has been complaining of slight fever for the past five days. We had blood tests and the urine test done yesterday and both were normal.\u00a0We are using the following tablets now.\u00a0Calpol 650 mg and\u00a0Amoxicillin-Potassium Clavulanate.\u00a0He has cough with some wheezing and the doctor said it is chest infection and so keep using the tablets. Please suggest any alternative medicine. Can we use\u00a0Acetaminophen and Tramadol combination here? Doctor: Hi. We are here to help you. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14021, + "tgt": "Why is there continuous cough in a child?", + "src": "Patient: Hello doctor, My 9-month-old son is facing problems of the chest with a cough for the last four days. He coughs the whole day like he is going to vomit but nothing comes out. Please suggest the medicine to use so that his cough, sputum can come out. Doctor: Hi. I have read your question in detail and I know that you are very concerned about your child. It seems that your child probably has got a lower respiratory tract infection. Since you are already taking antibiotic Ofloxacin prescribed yesterday according to prescription attached (attachment removed to protect patient identity), it seems that your child is not responding to it and we have to change the antibiotic. According to the prescription attached, the weight of the child is 8.1 kg. In my opinion, you should take syrup Cefpodoxime (5 ml equals 50 mg) 2.5 ml three times a day for three days. Continue syrup Wikoryl 4 ml three times a day for three days. If wheezing episodes is present then give nebulization with Duolin on SOS basis. However, since this is a prescription medicine, I suggest you to meet the local doctor to confirm the diagnosis. Review back after two days. Take care." + }, + { + "id": 19819, + "tgt": "How to get rid of folliculitis?", + "src": "Patient: Hi doctor, I am suffering from folliculitis\u00a0that is\u00a0pimple on scalp filled with pus. I would be grateful if you could advice me the treatment for the same. Doctor: Hi. You need to take oral as well as topical antibiotics. Start with tablet Augmentin (combination of Amoxicillin and Clavulanate) 625 mg twice daily for a week and apply Mupirocin ointment on the pimples twice daily till they resolve. This normally takes 7-10 days. If they are recurrent, then go for blood sugar fasting to rule out diabetes and pus culture to find the exact bacteria responsible for your folliculitis. Staphylococcus aureus bacteria. Blood sugar fasting and pus culture. Folliculitis. Frequent hand washing prevents spread of infection. Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19685, + "tgt": "Is there any confirmatory test available to diagnose breast cancer?", + "src": "Patient: Hi doctor, My mother has a lump on her breast. She underwent a biopsy. In the biopsy report, it came as benign. Another test showed that she has stage 3 breast cancer (she has no symptoms) and the doctor advised us for a mastectomy. The doctor recommended us to do some tests such as blood count, breast X-ray, and ultrasound. The results came normal (there is no mass lesion present, and there is no metastasis seen). Is there any confirmatory test available to find breast cancer? Doctor: Hi. I can understand your concern. The only way to confirm breast cancer is through a tissue biopsy. It is better to repeat a biopsy. There are other investigations like a mammogram, CT Scan and tumor markers, which can help to detect breast cancer." + }, + { + "id": 9492, + "tgt": "Can I have testosterone blockers to prevent testosterone production?", + "src": "Patient: Hi doctor, I am a 20 year old male and I do not want to do a MTF transition. However, I would like to stop my body from being affected by testosterone. I just turned 20 and as I grow older my body will continue to produce testosterone which will change my body into something more manly and cause me to lose my youthful relatively more feminine appearance. I would like to prevent that by taking testosterone blockers.\u00a0Can I do this?\u00a0Additionally, if I take the testosterone blockers, will there be any permanent effects? Or will the effects eventually wear off after taking them?\u00a0Thank you. Doctor: Hi. First let me make sure that I have understood your query. Basically you are a male and want to remain as a male but you need to avoid the manly transition and retain your feminine look. Please correct me if I am wrong. Well, there are many ways to do that. But what is important here is do you wish to retain your feminine look for entire life or only for few years? Do you want to have sexual orientation as a male or as a female? The available options are as surgical castration, medical castration and testosterone blockers. In surgical castration only testes will be removed and not the entire genitals and no operation in medical castration but testes will stop producing testosterone. Testosterone blockers will reduce the action of testosterone on the body as long as you take them but once you stop them the testosterone starts showing its effects. Moreover you need to keep taking the blockers for as long as you need the effect and hence if you take it for longer duration the chances to have permanent side effects increases." + }, + { + "id": 18369, + "tgt": "My calcium score test result was 0. 4. Do I have any risk?", + "src": "Patient: Hi doctor, I am 47 year old male, who is hypertensive from the past seven years. I take daily medicine to control my blood pressure.\u00a0I do not have any other problem.\u00a0I went to my\u00a0cardiologist last week, for the\u00a0yearly medical checkup. My LDL is 170, HDL is 41, ECG is normal, and blood test came back normal.\u00a0But, my calcium score test result is 0.4 (on the LAD minimal plaque), defined minimal risk. I could not understand this calcium score test result clearly. Do I have any risk? Do I have to use statins to reduce my cholesterol level? Doctor: Hello. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14977, + "tgt": "Got my wisdom teeth out. It is now paining a lot and also have a bad taste in my mouth. Is it due to infection?", + "src": "Patient: Hello doctor, I got my wisdom teeth out two weeks back. It is now paining a lot, and I also have a bad taste in my mouth. Is it due to infection? Doctor: Hi. Sadly, Yes! Your history is giving symptoms of post-operative infection. If the pain is sharp just at the socket point, then clean this area thoroughly and start saline water mouth rinses at least 8 times a day for 2 weeks. This is best for the fast healing of the wound. Take a small cup of lukewarm water and add 1/4 th teaspoon of salt in it. I suggest you try using the following: If sharp lancinating pain persists even after following these instructions for two days, then it would be better to visit your dentist and ask him to look if you have alveolar osteitis (dry socket) signs. If yes, then he can give you a dressing and thorough wash of the wound." + }, + { + "id": 11465, + "tgt": "Exams trigger my OCD. Can I take Prodep just for a month?", + "src": "Patient: Hello doctor, I have OCD for past seven years. My OCD is triggered only during my exams. Last year, I took Prodep 20 mg one month before exams and then stopped. I have my exams coming up next month. I have OCD attack, not able to concentrate on studies. Is it alright to use Prodep 20 mg for one month? I read online that it causes many side effects like loss of libido and erectile dysfunction. Doctor: Hello. Prodep (Fluoxetine) can be used in OCD and yes it has some side effects as you mentioned but not all the persons taking it suffer from these side effects. And, these are not permanent side effects and remits when you stop the drug. Secondly, it is advisable that you take these drugs only after consulting your psychiatrist, as these are prescription only drugs. Also, this drug is not used for as and when required basis. This may need to be taken for a long period. Hope this helps you. Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28879, + "tgt": "Kindly check my cousin's reports and advise if there is any abnormality", + "src": "Patient: Hi doctor,I am asking query for my cousin. He met with an episode of syncope and head injury a month ago. He was in ICU for a week. He had this in the early morning while he was in the bathroom. Also, he had a\u00a0high fever at that time. There is no previous history as such. Only he used to take medicine for a migraine that too not every day. It is a rare thing. I have attached all his reports here within for your reference. Now, his right side if the face is little weird. His speech is not clear as before. He was discharged and under the care of his parents. He started going office yesterday.\u00a0Please go through the reports and advise on any abnormality you find in the report.\u00a0How to prevent further attacks? Doctor: Hello. Kindly answer my questions as I would like to know some details of the\u00a0problem. 1. MRI brain. 2. EEG (electroencephalogram). 3. Holter monitoring. 4. 2D echocardiography. Revert with a detailed history to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2352, + "tgt": "I have stomach erosions with burning sensation and bloating. Please suggest treatment", + "src": "Patient: Hello doctor, I have erosion in my stomach, severe burning sensation and sometimes vomiting and bloating. I have done endoscopy, colonoscopy, angiography and hospitalized for about four times. Recently, again I have done endoscopy found antral erosion. Please advice. Doctor: Hello. You have recurrent complaints of antral erosions and ulceration. I will advise some treatment and hope that it will help out. You should send me all your previous endoscopies and other reports done until now. I will also like to know about your H.pylori status. None at the moment. Peptic ulcer disease. Capsule Dexlansoprazole 60 mg one before breakfast for four weeks, Levosulphride 25 mg three times a day before meals for two weeks, syrup Gaviscon (Alginate) 10 ml three times after meals for 10 days. Avoid spicy foods. Follow up after one week." + }, + { + "id": 25039, + "tgt": "What are the chances of getting pregnant after taking I-pill?", + "src": "Patient: Hello doctor,My partner and I had unprotected sex 11 days after her period started. She took an I-pill within an hour of the act but she has not experienced any withdrawal bleeding even after six days. Is it normal or is there any chance that she is pregnant? Doctor: Hello. I have gone through your problem and understand your concern. Your partner is unlikely pregnant, as she has taken I-pill within one hour. There is no withdrawal bleeding after taking I-pill, and at times, there is a change in the length of the period. Remember, that I-pill has a failure rate and is not 100 percent foolproof. So, keep continue watch, do urine pregnancy test on or around 17th. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9411, + "tgt": "I have dark spots on my fingers. What would this be and how to treat?", + "src": "Patient: Hello doctor, I have dark spots on my fingers that I have noticed this month only. It seems to be dry skin and this area\u00a0on my fingers\u00a0look bruised, as if they were left in the cold and looks almost purplish. In the past I did have tiny bumps that were itchy on the sides of my fingers but, they are not there any longer. I am concerned as I do not want this to spread. I am worried that it may be due to me having chronic fatigue syndrome. They do not hurt at all but, do look like bruising. What would this be and how to treat? Doctor: Hi. There are two probabilities of your condition, one is allergic contact dermatitis and the other is pompholyx which is also known as dyshidrotic eczema. Since you have not mentioned your age, complaint, onset and progression of these bumps in details, I am unable to comment anything with a solid base. Meanwhile use Clobetasol cream twice daily for 20 days (strictly 20 days) and review after that. Revert back to a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14706, + "tgt": "Is it advisable to take Oasoft for arthritis?", + "src": "Patient: Hi doctor, My wife is taking Glycomet GP 2, one in the morning and one before dinner, to control her blood sugar. Now, she has developed arthritis. Is it advisable to take Oasoft two tablets twice daily? Which is the better medicine for RA? Doctor: Hello. She has probably osteoarthritis, not RA (rheumatoid arthritis). Oasoft (Glucosamine) is given for osteoarthritis, especially knee. She can take one tablet two times a day. The important is physiotherapy which can be practiced with the help of physiotherapists and weight loss to decrease stress over the joint. Also, she should use hot water fomentation, Diclofenac gel or spray whenever needed for pain. She can also use Capsaicin ointment if Diclofenac is not helpful, which is applied as a thin film two times a day. If the pain is still present, she can also use Tab Naproxen 250 mg whenever needed. So you can get these prescribed, and visit orthopedician for the same. Hope this helps you and get back if you have any doubts." + }, + { + "id": 1583, + "tgt": "Had sex during last month periods, taken i-pill and missed period this month. Am I pregnant?", + "src": "Patient: Hello doctor, Actually, I had sex with my partner during period. And after that, I have taken i-pill within 12 hours. After two days my period stopped and now about one month passed but my period did not start yet and I tested with pregnancy kit with negative results. Some white liquid is leaking and some symptoms make me to feel like I am pregnant. What should I do? I am confused because the kit shows negative. Please help. Doctor: Hello, Welcome to icliniq.com. I have gone through your query. As the urine pregnancy test is negative, you are definitely not pregnant right now. Sometimes the premenstrual symptoms can also be similar to pregnancy because of similar hormones acting in both the situations. Some amount of menstrual disturbances are known side effects of the emergency contraceptive pill. So if you still have a doubt you can recheck it again after three to four days with an early morning sample. If still negative, you can be sure you are not pregnant. Just wait for a week for periods to come. Please use a better and consistent method of birth control in the future like oral contraceptive pills or condoms, and repeated emergency contraceptive pill can take a toll on your hormonal balance. I hope this helps." + }, + { + "id": 5868, + "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": 22155, + "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": 14699, + "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": 20634, + "tgt": "I feel emotionally unavailable and have fear. Please help", + "src": "Patient: Hello doctor, I feel emotionless. I am having a baby but not at all excited. The only thing I feel is fear. I feel I am emotionally unavailable. I also do not have thought process of my own and usually have to consult at least one person before taking life decisions. Doctor: Hi. You are having a dependent personality. Parenthood is full of emotions. Sometimes, we feel emotionally deprived and helpless and it is normal. Slowly you will regain your confidence and will be able to handle everything very maturely. Just keep patience and confidence in your capabilities. Everything will be fine in a few months." + }, + { + "id": 28369, + "tgt": "I have weird sensations all over my body since seven months. What can be the cause?", + "src": "Patient: Hello doctor,I have started feeling weird sensations all over my body for seven months now, and they all happen at once and on a daily basis. My skin itches all over, especially my face and scalp. A lot of the times, when I speak, I sense a vibration in my eyes or a little bit lower. It is as an inner thread is vibrating. I have the urge to rub my eyes, and when I do, they squeak profusely. I also get the urge to scratch my skin. When I scratch some parts, I feel like I am scratching a thread, extending to other regions (not only the scratched area). This is especially noticeable when I scratch my cheeks.My joints feel a little stiff and oily, and they crackle a lot when they feel like that. My fingers and palms also feel oily. My scalp and forehead feel tight and a little bit numb. My eyes are very sensitive to light, and there is an increase in eye floaters. Halos around lamp posts at night and double vision when I look at vehicle lights at night.I also feel an inner pressure in my nose when I am speaking. When I pronounce sounds like t, s, and z clearly, the pressure amplifies and sometimes my ears click. Thus, this pressure hinders my ability to speak normally. I used to be a presenter of radio shows, and my pronunciation and enunciation skills were top notch, and the fact that I can no longer speak as well because of this pressure concerns me a lot. I also feel like my olfactory sense has diminished a little bit. I have also noticed that I do not breathe as much through my nose.I am fatigued and depressed. I feel like I do not get enough sleep even when I sleep 8 to 9 hours. Sometimes, when I do not sleep enough, there is a dull pain in my ears and eyes.Some things that may or may not be related to what I have written above \u00a0are red itchy blotches appear on my skin after I take warm showers, sometimes I feel like my tongue and gums are slightly burning, there is a small internal lump in front of my ear that has not subsided for about seven months, and I have moderate acne. I have a history of moderate arterial hypertension (140/80 mmHg). However, it went back to normal (120/70 mmHg). Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 975, + "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": 178, + "tgt": "What causes sudden breathlessness with inconsistent voice?", + "src": "Patient: Hello doctor, I am a singer and I have a big problem with my voice, I really hope you can help. My voice is fine for the 10 months of the year, but right when summer starts, I completely lose my voice. This started last year, when I started getting uncomfortable when singing. At first just the higher notes (that are not even that high for me) but by the middle of July, my voice was completely gone. I went to many doctors, but nobody could help me. My voice started getting better in September and was completely fine in November. Now it is, again, very uncomfortable to sing. I suddenly have breathiness, where it should not be. My voice is not consistent nor reliable. I am concidering voice therapy but do not want to spend so much money again and not getting help. I also struggle a lot with very bad anxiety but I do not feel it getting so much worse in the summer, maybe just a little. Doctor: Hi. I feel you are having seasonal acute laryngitis. First and foremost acute inflammation of the vocal cords what we call as acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing which the problems will recur again after a short span of relief. My advice to you would be to give \"absolute voice rest\" during that period. Now absolute voice rest means you should not even be saying yes/no during the day. The vocal cords require time to heal completely and this takes usually 10 to 14 days for things to completely settle down. Make sure you do not strain your voice during that season. You can also follow the advice given and can be considered during the episodes of laryngitis. Tablet Wysolone 20 mg once a day after bfast for 2 days followed by 10 mg for 2 days and finally followed by 5 mg for next 2 days. This is a steroid and to be taken only when is voice is completely gone and not otherwise. Drink lots of boiled warm water every 2 hours. Steam inhalations will also be useful. Salt gargles 4 to 5 times a day will also bring a lot of benefit. Absolute voice rest." + }, + { + "id": 12537, + "tgt": "What is causing burning pain in calves after exercising?", + "src": "Patient: Hi doctor, I have a constant problem with my calves whenever I do exercise, or even walk up the stairs. I am a keen field hockey player and can run very fast in short bursts, however, within five or so minutes my calves burn even though I do not feel tired. When I massage my calves, they also hurt a bit and plantar, flexing my foot also hurts, my tibialis anterior. I was wondering how I can prevent this; am I running incorrectly, are my calves tight, etc. Doctor: Hello. As you mentioned about the calf muscle pain, this should be related to the footwear you been using. Are you having a flat foot? Also, what type of shoe you are using. As any shoe being used in sports should be flexible and also should be having good material. The harder the shoe sole the harder the pain can be due to quick impact. I would like to know if you have a flat foot or any ligament sprain in the past which went unnoticed and untreated. For now, as you mentioned the pain in the calf, I will advise you to do balance board training which should activate the muscles of the lower limbs and do correction of the muscle imbalances. A good sports rehabilitation should give maximum output in the game. Also, consume more fluids to avoid fluid loss and leading to fatigue induced pain. Try doing balance board training and let me know after 10 days how the pain is. Sports injury. Ligament injury. Muscle weakness. Balance board training." + }, + { + "id": 10316, + "tgt": "I lost my hearing capacity due to meningitis. Should I consult a rheumatologist?", + "src": "Patient: Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand. Doctor: Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me." + }, + { + "id": 20656, + "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": 23336, + "tgt": "I stepped on a rusty nail and now it is red and sore. What is the X-ray diagnosis?", + "src": "Patient: Hello doctor, I stepped on a rusty nail in the garage two days ago. The area around it is somewhat red and very very sore. I cannot apply any pressure. I had my tetanus and I am on antibiotics. I had an X-ray with no foreign object found. Then I had a couple MRI scans done in the area. I would like to know what the diagnosis is. Doctor: Hi. Your MRI foot shows a considerable amount of localized subcutaneous edema. The visualized plantar tendons do not show any signs of inflammation. No obvious retained foreign body is seen. However, a good antiseptic care is recommended. Keep a check on any discharge from the wound as foot injuries tend to easily get infected. Once the swelling reduces the wound can be evaluated on ultrasound to see residual edema or any collection after a week ideally. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 30135, + "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": 1968, + "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": 2279, + "tgt": "I have a feeling of lump inside my throat with no pain and difficulty in swallowing. What is it?", + "src": "Patient: Hello doctor, For the last six weeks, I have a feeling like a lump inside my throat on my right side. No pain, no problem with swallowing. It also feels a little dry if that makes sense, and it is worse when I workout with open mouth breathing. I think my tonsil is bigger on that side although I do not think it is inflamed as it is not red. ( I have photos I can show you). I did call my doctor but with the virus, he cannot tell over the phone so he put me on 250 mg AZ and it made no difference. He ran an ultrasound and bloodwork and it showed nothing. He wants to send me to an ENT but with the virus, they are not taking appointments. If I show you a photo can you give me input as to what this can be? Doctor: Hello. The pictures are very clear. (attachment removed to protect patient identity). It appears you have a milk reflux problem that is causing these symptoms. Additionally, there seems to be a small element of post nasal drip chasing the dryness and worsening of lump feeling down the throat. I am suggesting some medicines for you. These will be over the counter. Please take those in the way I am telling you. Let us see after a week and you can get an online consult with me to let us know the progress and change any medicine if necessary. Tablet Nexium 40 (Esomeprazole) one tablet once daily before breakfast, for a week, Zyrtec 10 (Cetirizine hydrochloride 10) one tablet once daily in the evening for a week, Flonase nasal spray (Fluticasone furoate or propionate 27.5 MCG) two puffs in each nostril once daily after breakfast for 4 weeks. 4. Avoid smoke, dust, cold pollution, direct air-conditioned air, spicy oily foods. Take food at regular intervals, do not fast." + }, + { + "id": 11013, + "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": 26896, + "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": 25566, + "tgt": "What is the cause of blacking out and feeling light-headed?", + "src": "Patient: Hi doctor,I am an 18 year old girl and recently I have had trouble with conscious blacking out. The first time it happened was this month and I have not had any trouble until a few days ago where it happened three to four times in one day. I will be standing or just walking around and start to feel light-headed and my eyes, although being wide open, will go completely black and will stay that way for minutes. All the while, I simultaneously lose my hearing and ability to support my body weight. My ears ring very badly and everything sounds like my ears are plugged up and my legs will give out. I stay coherent throughout the whole thing. I do not know what causes this and it does not happen often but it is worrying me. Doctor: Hello. This is fainting. I need to know some more information regarding the symptom like: has it followed some kind of stress, dehydration, prolonged standing especially in hot weather, panic, fear or pain? Because it is common for fainting to follow all these events, and it is called as vasovagal syncope or fainting. However, if not, then we need to rule out cardiac cause like arrhythmias, as it may cause these episodes due to decreased blood supply to the brain, mostly due to abnormalities in the heart rate. Did you have any palpitations, just prior to episodes? You should get one ECG (electrocardiography) done and if not informative then, you will need Holter monitoring done. If possible, try to get an ECG done or at least measure your pulse rate during the episode. Also, get your blood pressure checked once. In treatment, it is important you protect yourself during the episodes. You should quickly get to a safe place and lie down or sit for a few minutes. Have some fluids after that. Increase your fluid intake in general, avoid dehydration, prolonged fasting, and smoking, alcohol or drugs, if any. 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": 9811, + "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": 22919, + "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": 6577, + "tgt": "My ANA test is positive. What is the cause?", + "src": "Patient: Hello doctor, The ANA test is positive. The patient is fine. She does not have any history of the same issue and currently not on any medications. I have attached the lab test reports. Doctor: Hello, Welcome to the icliniq.com. I have seen the reports. (attachment removed to protect patient identity) The positive ANA (antinuclear antibody) test indicate towards some autoimmune disease like rheumatoid arthritis or SLE (systemic lupus erythematosus) like condition. However, it is not a specific marker, and it needs to be repeated after a few days to check whether persistently positive or not. The platelet count is low in the CBC report. So it needs to be monitored after five to seven days. Drink more water. Kindly mention any clinical complaints like the common cold, retro-orbital pain, headache, joint pain, etc., if present to guide you further. The full autoimmune panel can be investigated if your ANA is persistently positive. I hope this helps." + }, + { + "id": 16716, + "tgt": "How to confirm placenta previa?", + "src": "Patient: Hello doctor, My wife is pregnant and she is feeling of placenta previa. Occasionally, she also feels the pain. How to confirm that? Doctor: Hello. Revert back with the asked details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22967, + "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": 7096, + "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": 29083, + "tgt": "Should I have been given anesthesia before a filling procedure?", + "src": "Patient: Hi doctor,I had a temporary filling for a deep cavity in the wisdom tooth. I have experienced\u00a0extreme pain, and the dentist did not stop when prompted. Should I have been given a painkiller or anesthesia to numb the pain?\u00a0Before the filling, I was not in pain, could drink cold water and eat without pain. Doctor: Hi. I have read through your complaint and the relevant details. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10428, + "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": 7260, + "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": 5901, + "tgt": "I am having a white lesion on both sides of inner cheek below the jaw bone. What could it be?", + "src": "Patient: Hello doctor, I was doing a mouth check and noticed that an area inside my mouth on both inner cheek under the jawbone it is white in color. What could this be and it is the same on both sides? I am currently on Zoloft and Amoxycillin. Doctor: Hello. There are various types of white lesion in the mouth, some are harmful but some are temporary and curable. You have not not described about your habit like smoking or tobacco consumption and also not mentioned that these white lesion are painful or not, or making any discomfort during taking food. If there is any burning sensation or pain, then it may be associated with some local infection like fungal infection. Some time nutritional deficiency will also associate with these lesions. You could follow some instructions: Maintain proper oral hygiene. Do not touch the affected area. Do not take too hot and spicy food. No smoking or tobacco consumption. Take sufficient amount of water. Please visit your nearest dental office for a clinical examination. After a clinical examination the dentist could find out the root cause and suggest the best treatment for same. Clinical examination. Ulceration, Candidiasis. Ulceration. After clinical examination." + }, + { + "id": 10999, + "tgt": "Can light bleeding for two days after taking Ipill mean pregnancy?", + "src": "Patient: Hello doctor, We had an unprotected sex on 13th day of her period. She took Ipill 19 to 20 hours after sex. Now on period due date she got light bleeding for two days. According to her, she always gets her bleeding only for two days. 28 days cycle. Before sex she got periods on 21st and after sex she got it on 19th of next month. Any chance of pregnancy? Doctor: Hi. Since you have taken emergency pill within 72 hours of intercourse, there is no chance of pregnancy. The bleeding could be because of hormonal changes due to the pill you have taken, it is withdrawal bleeding. So relax and do not worry. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 26111, + "tgt": "I have a small red rash on my chest. How can it be treated?", + "src": "Patient: Hello doctor, I have had a rash on my right chest for five months.\u00a0I asked many doctors but no one can say excatly what it is. It is a red small rash without symptoms. I did try some stuff like hydrocortisone 1% cream for two weeks and an antifungal medicine for two weeks but nothing happened. Then more than a week ago, I did go to the doctor and he prescribed Fusidic Acid and betamethasone 20mg/g plus 1mg/g cream.\u00a0I have taken this for one week and three days with one day pause. I have attached few pictures before and after the treatment and the medicines seem to work very well. I want to know should I continue until the symptoms have totally gone or should I use it only once a day instead of twice a day? What is the best option without side effects and long-term complications? If I have to stop these medicines, should I start using hydrocortisone 1% cream? I have read on the internet that the cream might damage my eyes. Is it true? After I take a shower, is it safe to touch the affected\u00a0area? Should I be careful when I wash my hair or face after touching the affected area? What can I do to make sure this does not come back after it has gone. Doctor: Hello. I have reviewed the clinical photographs attached\u00a0(attachment removed to protect patient identity). Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24913, + "tgt": "I have gum bleeding. Please suggest some medication or toothpaste", + "src": "Patient: Hello doctor,I have gum bleeding. Please suggest some medication or toothpaste. Doctor: Hello. Gum bleeding is caused due to inflamed gums due to deposits accumulated in the teeth. Get a professional cleaning of teeth (scaling) done by the dentist and then follow proper brushing method (sulcular bass method). You can ask your dentist about it or check online. Brushing method is more important than the toothpaste you use. Use any toothpaste containing fluoride. And, if sensitivity is there, you can use Sensodyne till you have sensitivity. This was for general. If you have any medical history and regarding details of your gum bleeding like duration, teeth involved, let me know. I can accordingly make the diagnosis. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30341, + "tgt": "Shall I continue the treatment advised by my doctor for hip joint pain?", + "src": "Patient: Hi doctor, I am a 63 year old male. I had polio affected right leg, but have been leading a normal life since then. Recently, I developed pain in the right thigh joint, but able to walk normally. In some positions, it is painful. I have got my MRI study of the hip joint. The report is enclosed herewith.\u00a0The doctor has suggested physiotherapy IFT and IPT for 10 days and put on medication for seven days. As I am working, he advised 10 days rest.\u00a0The medicines are Tolagin 4 mg X1 for seven days, Miofree 8 mg once daily for seven days and Pantodac 40 mg twice daily for seven days. Doctor: Hello. I would have been in a better position to answer your query if I had seen the plain x-ray of pelvis films and MRI films rather than just a report. Revert back with the x-ray report to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11378, + "tgt": "Suddenly, I am having double vision at both close and far objects. Do you have any idea?", + "src": "Patient: Hi doctor,Five days ago, when I woke up, I felt dizzy, and my vision was off. I was sluggish all day and had a headache upon waking. I figured I was coming down with something and laid around all day on the couch. When I woke up the next, I had no headache and was no longer lethargic, but my vision was still off. I noticed that I was having double vision when I looked at objects both close and far away. I closed one eye, then the other, and my vision was perfect (binocular double vision). I also noticed that if I looked at something with my head and eyes straight, it was there and got worse if I looked down. But, when I look up with my eyes, it went away. Keeping my head pointed slightly down and looking up at something made it go away. I also noticed that it seems to be my right eye because if I gently pull the corner of my eye outward towards my ear, my vision goes back to normal.I went to the eye doctor, and she said it is because I am 44 and I need readers. I bought a pair from the local pharmacy, and it does help with my reading on the phone, computer, etc. Even though it is blurry looking at a distance, there is no double vision. Granted, maybe I do need them at my age, but that does not explain the double vision or how I can get it to go away by looking up or pulling the corner of my eye. My vision was tested along with all of the other standard tests, and it was all fine. I have 20/20 vision still after having Lasik to correct nearsightedness 13 years ago. I am not nauseous and no longer have a headache, but the problem persists. And, it is 15 days since starting the Keto diet, and I thought that maybe that could be causing this. So today I carb-loaded to replenish my glycogen stores, yet the problem persists. I flew back from a trip and read that maybe something could have happened with the pressure. I am not diabetic and do not have high blood pressure. I have no idea of what is going on and if it is severe or not. I do have an appointment with an Ophthalmologist coming week, but I am getting worried. Do you have any idea on what could it be? What should I do? Doctor: Hello. The fact that your vision becomes better upon changing the position of the head or pulling your eyelid towards your ear proves that this is only related to your newly acquired age-related refraction. By reducing the area of the eye slit (changing the position of the head leads to the being covered more by the upper eyelid and reducing it manually by pulling your eyelid to the side), you reduce the refractive changes in your eye. The fact that the specs provide you with better vision while reading and relieves you of your main symptom is enough to make you feel calm towards this newly acquired physiological (it always starts after 40) change in vision. However, please refrain from using that correction to see distant objects because it is not designated for that distance, taking into consideration that you do not need it for distant objects, and might lead to headaches if you do. Otherwise, you should be good to go and start adapting to this newly acquired condition because from now on, every five years it is going to change and you will need more correction to correct that age-related deficit. Some additional recommendations would be to increase the size of the fonts on your devices to evade the necessity of using the specs every time you need to visualize your devices at a near distance. Also, lubrication of the eyes with artificial tears can also help maintain an absolute clarity during visual activities." + }, + { + "id": 7841, + "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": 22695, + "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": 14762, + "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": 18348, + "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": 25340, + "tgt": "I have a sore on the tongue after kissing a sex worker. Is it an STD?", + "src": "Patient: Hello doctor,I had kissed a sex worker accidentally in the lips/mouth area. No sexual contact or intercourse happened. I am very worried from the last few days about catching an STD from the saliva of the female. Now, after three weeks, I have developed a painless red lesion on the side of my tongue from the last two days and it is painless but not like an ulcer. Kindly advise if it can be an STD like syphilis. Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). It is not an STD (sexually transmitted disease). It is perhaps due to pressure from molars. I suggest you take a B Complex vitamin once a day. Regards. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 6621, + "tgt": "What are the root causes for blood in urine when pregnant?", + "src": "Patient: Hi doctor, My wife is eight weeks pregnant and she is seeing blood during urination. Her first delivery was C-section. Our regular doctor two days ago suggested injection and medicines. Even after taking that injection and medicine, she is feeling pain in the abdomen occasionally and blood in the urine. What are the root causes? And how long will it continue? How to confirm that it got cured? Sonography reports at six weeks was normal and eight weeks which is abnormal are attached for your reference. Thank you. Doctor: Hello. After having gone through the ultrasound reports (attachment removed to protect patient identity), It is evident that your wife had experienced threatened abortion with separation of placenta at the lateral aspect of the gestational sac as evident from the second ultrasound. Presently, there is a collection behind placenta of 3 x 0.8 cm which is not actively bleeding. The fetus is alive and growing correspondingly compared to previous scan, hence the doctor must have given her progesterone and hCG (human chorionic gonadotropin) injection with advise for complete bed rest to assist supporting pregnancy. The blood is actually coming from the uterus which is getting mixed with urine primarily. The most common cause being intercourse or sexual activity in early pregnancy, next being strenuous activity like jumping, running , or even traveling for longer hours. Presently the pregnancy needs to be watched for two weeks for the growth and the progesterone support with hCG injections has to be continued till 14 weeks of gestation along with bed rest till bleeding is completely stopped. I am wishing her a safe pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19590, + "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": 9575, + "tgt": "Does having intercourse while on warfarin cause hemorrhage?", + "src": "Patient: Hello doctor,I am taking warfarin, and my INR is 2.8. I am a woman, and I am a virgin, I never had complete sexual intercourse involving penetration. My question is if I have my first complete sexual intercourse and lose my virginity while on warfarin, could it be dangerous and cause a hemorrhage? Doctor: Hello, Welcome to the icliniq.com. Usually for thrombotic events, warfarin like anticoagulant drug prescribed with INR monitoring. Duration of therapy can be up to six months (only if risk if thrombosis high then life long anticoagulant is given). So for this six month while on warfarin you can delay intercourse if possible. The risk of bleeding depends on the following factors that are based on clinical correlation. 1. Smoking history. 2. Abnormal liver function and renal function. 3. CBC (for detecting anemia). 4. History of bleeding and stroke. 5. Recent Myocardial infarction. 6. Old age (greater than 65 years). INR motoring regularly needed for not crossing INR above three. Consult a physician for examination and clinical correlation for assessment of risk bleeding. I hope your concern is solved." + }, + { + "id": 24502, + "tgt": "Are sweating, dilated pupil and muscle stiffness side effects of Venlafaxine?", + "src": "Patient: Hello doctor, Today my sister, who is 22 years old, started taking Venlafaxine 75 mg, but after a couple of hours she felt nauseated and started sweating and got red cheeks as well. Now I notice that her pupils are dilated, and she has severe muscle stiffness. She has cerebral palsy, sitting in a wheelchair, but now, suddenly, her left leg appears extremely stiff, she almost cannot bend it. Are these symptoms considered normal side effects? I am worried about isolated Venlafaxine-induced serotonin syndrome. She does not take any other medicine. Please guide me. Doctor: Hello. Sorry to know about your sister's symptoms. The symptoms you mentioned is for Serotonin syndrome which causes palpitations, muscle stiffness, hyperthermia, sweating, hyperactivity, and confusion. The mechanism is serotonin excess in the brain. It is one of the possible adverse effects of Venlafaxine (develop within hours). My advice is as follows: The symptoms will disappear within one day maximum. Does she take any other medications like anti-psychotics like Haloperidol? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1484, + "tgt": "Why do I have a big belly?", + "src": "Patient: Hello doctor, I am a 23 year old male. My height is 5'6\" and weight is 74 kg. I have a big belly with the rest of my body being a little leaner.\u00a0I have continuous hunger even after I have had food. After a meal with five roti and a cup of rice, I will feel hungry within an hour or two.\u00a0I have zero activity. I sit in front of the computer for nearly seven to eight hours every day. Is there any tests that I could take to know if anything is wrong? I\u00a0have no sugar and BP.\u00a0Thank you for the advice in advance. 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": 15367, + "tgt": "Can miscarriage happen after seeing heartbeat of fetus in earlier scans?", + "src": "Patient: Hi doctor,My fiancee had a private scan at the end of the fifth week two weeks ago. There was a heartbeat, I saw it, and the fetus was normal. Three days back, I was away for work, she had cramps and bleeding so she had a scan with the same doctor. He said it was a miscarriage, in the picture one can clearly see both foetus and sac. The morning after we went for a scan with NHS booked weeks ago. In the picture from scan at 11:30 AM there are no foetus nor sack, as confirmed in their paper. The gynecologist asked three times if we were sure that there was a heartbeat in the first scan, clearly puzzled by the evolution of the pregnancy. It looks weird to me, so quick? I fear my fiancee took abortion pills right at the end of the seventh week. Please tell me what you think. Doctor: Hello. If you have seen scan and fetus, it would be there. Heartbeat if clearly seen then it would be more then five weeks actually. Anything could be possible as it was early pregnancy. If severe cramps and fetus had a tendency for miscarriage (like a fetus with congenital abnormalities aborts easily in very early pregnancy) could have had a miscarriage. It is possible that with cramps she had experienced was the product of conception coming out but it would be with spotting before along with cramps. With abortion medications also, she could abort and two doses with an interval of eight hours could give results. But in both the cases her mental, emotional, and physical condition are the main guidance for the event actually. If she has diabetes with high sugar levels, positive thrombophilia screen, thyroid abnormalities, and/or antithyroid drugs and few other medical issues with or without treatment continuation could lead to miscarriage naturally as well. You can check serum beta hCG (blood pregnancy test level) to check and confirm the first scan you saw if you want. Beta hCG will give you a positive pregnancy test and if you follow or repeat it, it should show a gradual decrease in case of miscarriage." + }, + { + "id": 24875, + "tgt": "I am a PCOS patient. Is there any chance of getting pregnant?", + "src": "Patient: Hello doctor, I am a PCOS patient. I got married one year back. My weight is 85 kg. Is there any chance of getting pregnant? Doctor: Hello. PCOD (polycystic ovarian disease) causes an increase in testosterone levels in women with androgenic features and multiple small cysts in the ovaries. It is one of the most common reasons for irregular menses, especially oligomenorrhoea. You have to be placed on low dose OC (oral contraceptive) pills with Myoinositol supplementation with a reduction in weight with exercise and diet, and increasing your daily water intake. All these for three to six months have been advocated for treatment of PCOD. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18487, + "tgt": "Kindly suggest side effect free medicine for my wife's irritating behavior", + "src": "Patient: Hi doctor, My wife looks highly irritated the whole day. She screams loudly at the top of her voice the whole day, even for a small issue. She keeps criticizing and nagging people. She is 65 years old. She has asthma and in menopause. Doctor: Hello. Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8321, + "tgt": "What is your recommendation regarding the elastic position for braces in open bite?", + "src": "Patient: Hello doctor,At the moment, I have been wearing braces for roughly 2.5 years. I have an open bite on my left side that starts from the lateral incisor. I have been wearing my rubber bands as instructed. My appointment is until four weeks from now. Even though I should see my dentist for this, what is your recommendation for my elastics position? Doctor: Hello. As you told, you have wearing braces for 2.5 years and having a single open bite. As I can see in the attached picture, your elastics looking perfectly placed (attachment removed to protect patient identity). In orthodontic treatment, some cases took a too long time, and it depends on the nature of case and method used by the dentist. You should make proper oral hygiene and follow the instructions given by orthodontist. Regularly go for a check-up as your dentist appointment. If any time there is some delay in follow-up, nothing about to worry. Make sure you see your dentist as soon as possible after your schedule appointment. Malocclusion. Unilateral open bite. Orthodontic treatment. Avoid sticky and hard food." + }, + { + "id": 21520, + "tgt": "I have itching all over my body since I got home. How to stop this immediately?", + "src": "Patient: Hello doctor, I was away on travel the whole of last week and I got back today. I am having itching on my body since I reached home. I took Allegra, but no benefit.\u00a0This itching is happening every 15 seconds in different parts of the body like legs,\u00a0arms, face, back and goes away if I itch. What can I do to stop it immediately? There is no rash. Doctor: Hello. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 1420, + "tgt": "Why do I have some white semicircular band on my fingernails?", + "src": "Patient: Hi doctor, I have noticed something different on the tip of the nails. At the tip of all nails a band of half white color has formed and it is going around the circumference of the nail horizontally. They are not an exact horizontal line, but a circular band around the tip of the nail. I am also attaching the picture of my nails for your better understanding. I am not sure whether they were always there or have developed recently. But, I noticed them recently.\u00a0Please tell me what is the cause of this. I also have some unusual taste in my mouth or tongue. I do not know whether they are related with the nails. But, I have not had this before. Please help. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3115, + "tgt": "My p24 test shows negative result. Am I safe from HIV?", + "src": "Patient: Hello doctor, Is real time viral load reliable for HIV test after 14 days of sex encounter? I got normal result. I also did p24 on 15th day and get negative result. Now can I be safe from HIV? I use two condoms at the same time during intercourse and I do not know my partner's HIV status. With other partner, I just kissed her without any physical relation. Doctor: Hi. The answers to your queries are: If you had used the condom consistently and correctly, changed for each sexual act with one person, and it did not break or slipped off during the act and you removed it while the penis is still not soft, your risk of HIV is nonexistent. HIV cannot be transmitted by touching or kissing alone. The test you performed is highly sensitive and specific and gives accurate result. A negative HIV-RNA test needs to be complemented with fourth-generation HIV combo test at four weeks. If the result is negative, HIV rapid antibody test needs to be repeated at three and six months of last exposure. I hope this helps." + }, + { + "id": 12082, + "tgt": "Why is a 5-week-old spitting after formula feed?", + "src": "Patient: Hi doctor, My son is five weeks old and has been having issues with eating. I was not producing enough breastmilk to satisfy him so we began supplementing with formula. We started him on Enfamil newborn which he did not take well. So our doctor switched him to Enfamil gentle ease and he was spitting that up a lot so she then changed him to Enfamil AR which helped a little with spit up. He still spits up a lot but not as much as the previous formulas but now he is extremely constipated to the point where he strains and screams for hours. I am not sure what I can do to help. Doctor: Hello. I got your concern. It is possible due to evening colic or reflux. Do proper burping after feeding. You can start tablet Junior Lanzol (15 mg) half tablet once a day. At present continue same formula feeds. Monitor his weight regularly. For constipation in infants less than six months: If they are passing stool 3 to 4 times a day or once in 3 to 5 days, it is normal. I hope that all his newborn screen is normal." + }, + { + "id": 27199, + "tgt": "Should I continue taking my regular thyroid medicines throughout pregnancy?", + "src": "Patient: Hello\u00a0doctor,I am a 24 year old\u00a0female. I am six weeks pregnant. I currently weigh 66 kg. I have thyroid problems and am taking Thyroxine 100 mg daily. My\u00a0current report is normal. Should I continue 100 mg and what precautions should I take for a safe pregnancy weight? Doctor: Hello. Have a healthy pregnancy. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4139, + "tgt": "Can swimming pool water cause small wounds on foreskin?", + "src": "Patient: Hello doctor, I am male 40 years old, 187 cm and 100 kg. I have small wounds in my foreskin and it is red in color (looks irritated). I am guessing that the cause is our swimmming pool party a few days back and I was unable to take a shower afterwards. I guess that the dried and concentrated chlorine caused some irritation and wounding in my penis foreskin (I am not circumcised). It is not really painful unless pulling back the foreskin, I have used some Aloe Vera on it but I was wondering what would help fastest for the irritation to be gone. I do not have any pain while urinating. Doctor: Hi. I have gone through the history and description. I have seen the image you have attached (attachment removed to protect patient identity). Possibility of infection is more likely. So apply Betadine cream three times a day. Please let me know: 1. Do you have any difficulty in passing urine? 2. Any pain or burning while passing urine? 3. Any fever? Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further." + }, + { + "id": 14969, + "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": 2751, + "tgt": "Due to dandruff, I am facing hair loss and semi-bald spots in my head. Please help", + "src": "Patient: Hello doctor, I am beginning to have a semi-bald spot in an area around my scalp. I have had ongoing dandruff issues for around two to three years now. I used to scratch my scalp vigorously to get rid of dandruff. I have stopped doing so ever since I have noticed that my hair is thinning. Also, I have a noticeable amount of white hair for my age (I do not know if this is related whatsoever). However, I have applied Ketoconazole Nizoral Shampoo for the first time earlier in order to fix dandruff issues. Doctor: Hi. On semi-bald spot apply Tenovate cream at night for 15 days. Tablet H.vit forte once daily for 30 days (for greying and hair fall). Keraglow AD shampoo twice weekly for six weeks. Other good medicated shampoo you can use for dandruff are Scalpe Shampoo, Forfora Z shampoo, No Scruff shampoo lotion, and Ketoconazole shampoo. All are good effective for dandruff. Do not stress. Eat nutritious and healthy food." + }, + { + "id": 6522, + "tgt": "Can high dose of Ashwagandha cause problem in super sensitive individuals?", + "src": "Patient: Hello doctor, I have been interested in the herb Ashwagandha for a long time. I am a 42-year-old woman, slightly overweight, moderately active and have anxiety, depression, and fatigue. I took Ashwagandha for a month when I was off Prozac and it seemed to help with my anxiety. When I upped my dose, I started getting bad stomach pain, got worried, and stopped. I have heard that those taking SSRIs and Benzodiazepines, like I am, should not take Ashwagandha. That it can cause serotonin syndrome and/or make a Benzodiazepine user sleepy. I have also heard it can ramp up the body's immune response. That worries me a bit too as I am super sensitive. The more I am taking anything, whether it be vitamins, fish oil, etc, the worse I feel. I went to a naturopathic doctor who prescribed me a lot of supplements and I think my body tried to detox too fast or something because it caused me to get sick and shaky. She did not understand why. I just know that too much of anything can overwhelm my system. Your advice is much appreciated. I did a saliva test a few years ago that showed high cortisol in the evening and night. Doctor: Hi. As you mentioned, Ashwagandha has health benefits, especially in anxiety. If the herb root is available in raw powder form, then it could be 1 g or 1.5 g. If it is in the extract form, then the therapeutic dose must be 200 to 300 mg. More than that, it is going to cause gastric irritation, that leads to stomach pain in your case. So, the powder or extract in the therapeutic dosage could be consumed along with a cup of milk or honey and warm water to reduce gastric irritation. Honey is safer in gastritis than milk. The herb has been proven to interact with many other drugs, the interaction with SSRI (selective serotonin reuptake inhibitor) or Benzodiazepines are not proven scientifically. The news available in this regard in social media are not authentic. So, the herb can be combined with SSRI or Benzodiazepines. It is true that the herb boosts the immunity. But, no scientific research has proven it as a threaten herb in super sensitive patients. Much preclinical basic research has proven that this herb boosts the essential T- immunity cells and will not affect the sensitized immune cells. This is called as an immunomodulatory effect. This herb is popular for having immunomodulatory effect. In your case, this herb will not aggravate the immune sensitivity. So, you can continue to take Ashwagandha herb with honey and warm water or milk. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 17858, + "tgt": "Using betnelan tablet for asthma. What are the side effects of it?", + "src": "Patient: Dear Doctor, In the last 6 years, I am using Betnelan tablet for asthma. I want to know the side effects of it. Age 28 years, m, height: 170cm, weight 44kg. Doctor: Hi. The side-effects of betnelan tablet are as follows: I strongly suggest that, you can use inhaled steroids, which have much lesser side effects. Revert back to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 22356, + "tgt": "I have GERD. Can you suggest any treament?", + "src": "Patient: Hello Doctor, I have been suffering from stomach ulcer for the past 2 years.\u00a0Till now the ulcer was not severe, but since few days I have been having stomach pain\u00a0everytime after having food. Doctor diagnosed that, I have GERD. But even then I faced GERD problems rarely.\u00a0But for the past 3 weeks it has been very bad for me. I have been facing some symptoms like pain after eating food, sometimes nausea but no vomiting, heartburn, indigestion, fatigue, sleepless nights and rarely breathing difficulty. I am not able to concentrate on regular activities. Doctor also said that I am suffering from post viral infection since I had fever 2 weeks before. I take tablet Pantocid daily night before food. Recent Blood Test Result: WBC - 5300 Lympocytes - 46 Eosinophils - 02 Monocytes - 01 Basophils - 00 Haemoglobin - 11.6g/dL Packed Cell Volume - 35.4 E.S.R - 22 Urine Test: pH - 6.5 Pus cells/hpf - 1-2 RBCs/hpf - 2-4 Kindly provide some solution since I am completely depressed. Doctor: Hi. At the age of 24 year it is unlikely that you have ulcer in the stomach. It could be GERD (Gastroesophageal Reflux Disease) that is causing all these symptoms, but after long time it may cause ulcer. If you are not responding to PPIs (Proton-Pump Inhibitors) then it could be H.Pylori infection that is causing the problem. The investigations you have mentioned are not having much abnormalities except mild anaemia. The management of GERD symptoms include medicines as well as dietary modifications and exercise with position maneuvers. Usually we do not do investigations, but if it is not responding to medicines then it is needed. Advice: You have anaemia, so please take iron and folic acid (100mg iron combination) once daily. These disorders have great relation to behaviour and mood changes, so please alleviate any tension. Get Thyroid Function Test (TFT) and fasting glucose level done. Do not quit your job instead work with more energy and enthusiasm. I have provided the treatment plan with medicines and other measures for 15 days. Revert back to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21875, + "tgt": "Please suggest the right medicine for my husband's diabetes", + "src": "Patient: Hello doctor, My husband has diabetes for the last five years. Please suggest the right medicine. Recent reports are available. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). His blood sugar, lipid profile and vitamin D are deranged. Also, CRP (C-reactive protein) is elevated. Now, he should be on treatment for diabetes. I suggest taking tablet Exermet GM 2 forte (Metformin and Glimepiride) once a day before breakfast. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Let him continue this for a week and get fasting and post lunch sugar done after a week. It can be increased to two times a day after seeing the blood sugar report. Also, restrict sugar intake. Also, for vitamin D, he should have tablet Uprise D3 once a week for eight weeks and then once a month for next six months. For lipid profile, he should have tablet Rosulip (Rosuvastatin) 10 mg once a day bedtime. The lipid profile should be repeated after eight weeks to look for control. He should also have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly. 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. 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": 26628, + "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": 7930, + "tgt": "Swallowed a piece of plastic fork. Will it dissolve and pass through?", + "src": "Patient: Hi doctor, About 9 hours ago, I swallowed a 1 inch piece of plastic fork. Will it damage my intestine, colon or anus? Or will it dissolve and pass through? 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": 22778, + "tgt": "Can my HIV status change from negative to positive now?", + "src": "Patient: Hey doctor, Four months ago on the 15th, I had unprotected sex with a spa girl, on 17th I started PEP, which ended on 13th the following month. Today, I took HIV and 2 antibodies screening test, and the result was negative, nonreactive with an index value of 0.13. Now can this test be considered conclusive or I need to get another test as well? Can the status change from negative to positive now? Doctor: Hi. HIV has a window period during which the test results can be false negative. According to WHO, all results beyond this can be considered as conclusive. Kindly mention the method of test employed and upload the concerned report so that we can suggest you accordingly. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1149, + "tgt": "Why am I having red itchy patches on groin area?", + "src": "Patient: Hello doctor, Red itchy patches on groin area all the way spread around anus and thigh. Tried treating with camphor mixed with coconut oil first. Then used Cosvate GM, Ketoclean and Keto Soap. It has worsened. Doctor: Hello. You have tinea corporis/cruris which is also known as ringworm/fungal infection. Kindly stop using the earlier medicines. You should take capsule Itraconazole 100 mg twice a day for 3 weeks. Also, take tablet Cetirizine 10 mg at night for the itching. Also apply Luliconazole/Sertaconazole/Eberconazole cream twice a day. Kindly take bath twice a day. This will help in cleaning the sweat on the body which helps fungus to grow. Also, as you are a diabetic, you have to maintain your sugar levels. In uncontrolled diabetes, fungal infection is very common. Take care and stay healthy. Tinea corporis/cruris As explained above Avoid wearing wet undergarments" + }, + { + "id": 27612, + "tgt": "Can HIV be transmitted by kissing?", + "src": "Patient: Hello doctor,I had a protected intercourse with a girl twice in a single day. After that, the girl and I tested HIV negative using the fourth generation CMIA at 66 days. I again tested at 77 days using the rapid card method and that was negative as well. Is it conclusive? Also, can deep lip kissing transmit HIV? Doctor: Hello. I have read your\u00a0query and understand your concern. Feel free to ask more information. Good luck. Regards. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9432, + "tgt": "Does varying blood sugar levels at a short intervel of time indicate diabetes?", + "src": "Patient: Hello doctor,Last night I ate a cheese pizza and a chocolate bar. Eight hours later (after fasting) I tested my blood sugar and it came out at 128, and 30 minutes later it dropped to 106, and 15 minutes later it raised to 109 (without eating and drinking anything). My question is, do I have diabetes or did I initially have high sugar because I ate pizza very late at night? Doctor: Hello. Usually fasting blood glucose is 126 mg and above is considered as diagnostic for diabetes. However, it is also possible that because of the dinner, fasting glucose might have shown a higher level. So to confirm whether there is diabetes or not, you may have to get a PP (postprandial) glucose level and HbA1c %. If PP is 200 mg and above and HbA1c % 6.5 % and above, then diabetes is considered to confirm. Looking at your weight and height, another important fact is with a BMI of 42.92 kgs/Sq meter you are already in grade 3 obesity. With a significant amount of excess weight. This itself is an invitation for getting diabetes." + }, + { + "id": 13211, + "tgt": "Is it fine to eat carbohydrates within 40 minutes after taking a GH shot?", + "src": "Patient: Hi doctor, Is it fine to eat carbohydrate and sugar within 40 minutes of\u00a0growth hormone injection?\u00a0Because, it is believed that after injecting growth hormone, a person should wait for at least 40 minutes to eat carbohydrate or sugar. Please explain. Doctor: Hi. I can understand your concern. For further clarifications consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3078, + "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": 4733, + "tgt": "Why is there bad breath with tonsil stones?", + "src": "Patient: Hello doctor, I think I have tonsil stones. I have little white things in my tonsil pockets. When I cough them up or manage to get them out, they are whitish or yellowish hard clumps. I have mild sore throats all the time, bad breath (I brush my teeth constantly and I make sure I do not eat food that makes breath smell bad), and I get earaches. It constantly feels like food or something is stuck in my throat and it is really annoying. Should I go see a doctor about this? Or is there any way I can get rid of them at home? Doctor: Hello. You suffer from tonsilloliths. Tonsils which are lymphoid organs in the throat produce secretions through the crypts in them. In a few people, these secretions calcify and become stones (called tonsilloliths). In a vast majority of people it stays asymptomatic, however, in a few like you, they produce symptoms such as food stuck in the throat and mild ache. The presence of these stones causes stasis of secretions in the crypts which otherwise freely flow into the mouth. The stasis causes the development of bacterial colonies which result in halitosis (bad breath) and associated throat ache. The tonsils act as a source of infection to the ears, as the bacteria rises up along the eustachian tube that connects back of the nose to the ears on each side. Sometimes a remnant of adenoids could also be causing the ear issue. If this problem has been there for more than three to four months I suggest you go ahead and get your tonsils removed. The procedure is called a tonsillectomy. Before that, we would like to take a radiograph of your nasopharynx (to rule out adenoid enlargement). Adenoids usually regress by 10 years of age but in some, it remains longer and causes problems of mouth breathing, ear block, snoring, and ear infections. If adenoids are enlarged they also can be removed along with tonsils in the same setting, adenotonsillectomy. If you ask me the merits and demerits of the procedure, in your case the merits clearly outweigh the demerits. These lymphoid organs in you have turned more harmful than protective. The tonsils are causing you bad breath, foreign body feeling in the throat along with tonsillar stones. The tonsils or the adenoids are causing you the ear ache as well. Post-operatively you may face mild pain for two days and you can resume your work or college in three to four days time. In my set up we do this operation on day care basis. We use radio-frequency ablation for removing the tonsils which is one of the most recent advances in the field of ent surgery. Medically the problem can be managed but recurrences are the norm. You may gargle the throat using chlorhexidine dilutions or betadine dilutions multiple times a day. Drink plenty of fluids, treat an acute infection on a case by case basis using appropriate antibiotics and avoid cold spicy food items that may irritate the mucosa. However, a permanent solution for the problem will be evasive unless and until you rid yourself of the tonsils. I hope this helps. X-ray of nasopharynx soft tissue lateral view for adenoids, serum IgE. Throat swab for culture and sensitivity." + }, + { + "id": 22039, + "tgt": "I found a small bump on my gum. Should I be concerned?", + "src": "Patient: Hello doctor, So, I found one small bump on my gum right before the tooth. I barely touched it and it started bleeding but it was only one bump. Should I be concerned? Doctor: Hi. As per your history, it seems to me that you are having acute apical periodontitis with a gingival abscess. For that, you need to take antibiotics for at least five days. The tenderness of the tooth is also because of the same reason. Grossly decayed infectious tooth. X-ray IOPAR (intraoral periapical radiograph). Acute gingivitis. Apical periodontitis with a gingival abscess. Tablet Amoxicillin-Clavulanic acid 625 for five days. For more information consult a dentist online.--->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1957, + "tgt": "I have delay in menses with a history of steroids for autoimmune hepatitis. Please suggest", + "src": "Patient: Hello doctor, I am 34 years old. I am concerned about my absence of menses. My last menses was on the 16th of previous month which was about a week earlier than the before periods. I was diagnosed with autoimmune hepatitis and under medication of steroid 10 mg (prescription attached). Now I am completely normal and my last LFT test was completely under the limit. Please inform me whether the delay of menses is due to the side effect of steroids or due to other reasons. Is it a serious worrying issue? Doctor: Hello. I have gone through your history and also saw the prescription you uploaded of your recent visit to your hepatologist/gastroenterologist. (attachment removed to protect patient identity). As I can see from the prescription he had asked you to continue the medications you were taking for autoimmune hepatitis which includes immunosuppressants like steroids (Omnacortil) and Azathioprine. Let me tell you that chronic steroids therapy can hamper with your menstrual cycles by disturbing the regulatory hypothalamo-pituitary-ovarian axis. So what I mean is it is common to have disturbed cycles when you are on chronic steroid therapy. So most likely that is the cause for delayed cycles, as I see even your thyroid level (TSH) appears to be within the normal range, (although close to the higher side of normal range). Please do not worry or panic as there is nothing grossly serious to worry about. As of now you will most likely be requiring this treatment and will take some time to wean off from these medications as they are more important medication, saving your life from redevelopment of autoimmune hepatitis. So, please continue these medications as advised by your gastroenterologist. Cycles should mostly resume or get regularized once you are slowly taken off from the steroids. Steroids therapy for autoimmune hepatitis (presently on Omnacortil 10 mg daily). Serum Prolactin levels. Continue vitamin D3 supplements as advised. Continue Omnacortil, Azoran, Folvite. Follow up with your endocrinologist as advised." + }, + { + "id": 29132, + "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": 29821, + "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": 17927, + "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": 29016, + "tgt": "My wife is unable to conceive after an abortion. Why?", + "src": "Patient: Hi doctor, We are trying to conceive\u00a0for the past two years. My wife had an abortion two years back during the second month of her pregnancy. The doctor said both of our reports are normal (HSG and sperm count). My wife underwent IUI two months back without any luck. She is taking Fertisure F and Dubagest SR, and I am on Alivher. Please help us out. Doctor: Hi. For further help consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16047, + "tgt": "I have mixed emotions and unable to concentrate on my work. What can I do?", + "src": "Patient: Hi doctor, I have mixed emotions. Sometimes I am overwhelmed with emotions. But sometimes I am entirely emotionless. I am unable to concentrate on my studies as I am extremely drained mentally. Nothing is making me feel better. If I feel better for some time, at the end of the day, I feel completely numb. I am sleeping a lot nowadays. I am unable to do my work. Please help me. Doctor: Hi. I have gone through your problem, and I can understand your concern. It can be due to mood disorder and depression. You need to consult a psychiatrist soon as depression can present with a sleep problem, a decrease in energy, numbness, unable to concentrate on work, and low mood. In such situations, taking SSRI (selective serotonin reuptake inhibitor) can help you." + }, + { + "id": 23776, + "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": 28062, + "tgt": "I had a miscarriage at 5 weeks. When can I safely conceive again?", + "src": "Patient: Hello doctor, I am a 27 year old female. I was five weeks pregnant. But, yesterday night there was slight bleeding. I went to my\u00a0gynecologist today, who did an ultrasound and transvaginal scan. He said there is no gestational sac. What do I do now? When is it safe to get pregnant again? Doctor: Hello. I am sorry to\u00a0hear about your loss. Most importantly, before trying for the next pregnancy, pray well. Hope I have clarified your doubt. 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": 25063, + "tgt": "I have pain in both feet. Please check X-ray and suggest diagnosis and treatment", + "src": "Patient: Hello doctor, A 40 year old male having pain in both feet for four to five months. The pain is in the bottom of the feet going from the heel to balls of feet and toes. Enclosed X-ray of feet and foot images. Please suggest diagnosis and treatment. I am not diabetic and uric acid is normal. RA factor is also normal. Doctor: Hello. Mostly this appears to be plantar fasciitis but I could not see your X-rays as it is not attached. 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: Tablet Piroxicam (20 mg) 0-0-1 for 10 days after food. Tablet Rabeprazole (20 mg) 0-0-1 for 10 days before food. Tablet Shelcal (Calcium) 500 mg 1-0-0 for 30 days before food. Tablet Vitamin D (60 K) once daily for 10 DAYS, then once a month for 11 months. Apply Dolonex Ointment (Piroxicam topical 5 mg) after getting up in the morning. 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. Follow up immediately in case of any untoward reactions. You need to do the following exercise: 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 silicon heels or silicon soles, Apply ice twice daily.\u201cThis 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.\u201d For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4427, + "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": 19188, + "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": 4411, + "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": 8387, + "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": 24634, + "tgt": "What is the remedy for shoulder pain in a thyroid patient?", + "src": "Patient: Hello doctor,My wife is suffering from left shoulder pain since last six months specifically in the morning. Please suggest the remedy soon. She is a thyroid patient and currently on Thyroxin 75 mg. The laboratory test performed was for uric acid measuring 4.6 mg/dl. Doctor: Hello. Does she have any other symptoms of associated neck pain, arm, and hand pain, tingling or numbness in the neck, shoulder or arm, any history of trauma to shoulder or neck, etc.? Does her pain increase while doing shoulder movements? The possibilities in her are cervical spondylosis, shoulder joint arthritis or ligament pain (frozen shoulder). Her uric acid is fine. She should get one X-ray of shoulder with neck AP (anteroposterior) and lateral view. Once get her shoulder examined by a local doctor.At present, she should have tablet Naproxen 250 mg twice a day along with tablet Pantoprazole 40 mg before breakfast once a day for five days. For more information consult an internal medicine physician onlline --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2906, + "tgt": "What is the possibility of missed period after unprotected sex to be pregnancy?", + "src": "Patient: Hi doctor, I am a 20-year-old female. I am having some issues please help me. I had my period on the 2nd of last month and it lasted till 6th. I had sex with my partner on the 12th via withdrawal method. And this month I have been expecting my period since 3rd and till today I have not seen my period. I am scared. Am I pregnant? I took multivitamin and grape for two days for stomach disorder and nausea. Could this also affect my period? Because right now I am having a headache and I always feel as if my period is there and once I check it nothing was there. Please help. Doctor: Hello. Possibility of pregnancy cannot be ruled out at this moment since you had sex during your fertile period, you did not take any i-pill and withdrawal method has a significant failure rate. Multivitamins and grapes usually will not affect the periods and regarding symptoms, these can be due to gastritis but the possibility of pregnancy is there. So you should get a urine pregnancy test (UPT) done now and repeat it after 12 hours. Although, somewhat delay up to seven days in periods is normal as well, but do not worry and get UPT done. If it is negative then no need to worry and positive termination by medicine can be done as it is early. Next time take all precautions especially I-pill, or condom." + }, + { + "id": 17241, + "tgt": "I have white scaling that comes on and off on tongue. What can it be?", + "src": "Patient: Hi doctor,\u00a0 I am 56 year old and having problem of white scaling on side of tongue and also on top of the tongue. I got tested for fungal growth and it was negative. This problem is there since one year. I have consulted many doctors in regard to the same. They asked me to take extra care of hygiene. Please advise me because I am not getting relief. White scaling comes on and off. I use to brush morning and night. What it could be? Doctor: Hello. Thanks for choosing this platform.\u00a0I can understand your concern. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12669, + "tgt": "How can I gain weight?", + "src": "Patient: Hi doctor, I am 21 but my weight is just 40 kg which is too low according to me and my family. Everyone says I am too slim. So, I just wanna gain my weight now. Would you please suggest which capsule will be better for weight gaining? Doctor: Hi. Well, your BMI is less than the normal and you are surely slimmer. First of all, I would like to tell you that there is no need to take stress on this issue. You are beautiful the way you are. I will help you improve. Follow this advice. 1. Eat five times a day, small but frequent meals. 2. Drink milk two times a day. 3. Increase the intake of bananas. 4. Exercise, at least for 15 minutes a day. 5. Megace (Megestrol Acetate) oral suspension, 800 mg/day (20 mL/day) will increase your appetite. Take 10 ml in the morning, 10 in the evening. Keep an eye on your bowel habits as well, stay happy." + }, + { + "id": 7441, + "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": 9137, + "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": 5465, + "tgt": "I have tender lesion on shin for so many years. Please explain my biopsy report", + "src": "Patient: Hello doctor, I have tender lesions on shins that come and go for years. Biopsy report suggests: Granulomatous inflammation composed of well-formed epitheloid-type granulomas with surround lymphocytes, histocytes, neutrophils, and eosinophils. Perivascular and mixed inflammation with the overlying dermis. Yeast forms with focal budding within a granuloma. Mixed lobular and septal granulomatous panniculitis. My other test results: BUN-6, total bilirubin - 1.2, Angiotensin-1 converting enzyme - 70 MID, monocytes, eosinophils, and basophils - 11, RBC - 5.26. Doctor: Hello. I understand your concern. I have through your history and medical reports. In my opinion, the details provided fit into a condition called erythema nodosum. However, there is a possibility of deep fungal infection of skin. Erythema nodosum is a condition, wherein there occurs a reaction in the fat tissue beneath your skin. The reason for such a reaction could be many but is clearly not known. Major ones would be an infection anywhere else in the body. Intake of oral contraceptive pills or few other medications in the past, history of tuberculosis, sometimes pregnancy and so on. Symptoms occur in a repeating fashion and seen commonly in young women. You may also have fever during the episode. With treatment, the condition usually remits but recurrence depends on identification of the underlying cause and its tretment. It requires a thorough clinical and systemic examination to rule out the causes along with prescription-based immunosuppressive medications under medical monitoring. Any bacterial infection in the body, medications taken in the past, pregnancy to name a few. May require a tissue fungal culture to rule out a fungal pathology, chest x-ray, serum ASLO (antistreptolysin O) titer, complete blood counts, liver function tests, etc. It depends on clinical evaluation. Erythema nodosum, Subcutaneous mycoses. Erythema nodosum. May require systemic steroids and other immunosuppressive medications after confirmation of diagnosis. Avoid acute physical stress. Timely treatment of other routine illnesses have a role in preventing repeated attacks. Would like to see a picture of the skin lesions to assess better." + }, + { + "id": 28404, + "tgt": "My latest reports showed non-alcoholic fatty liver and hypercholesterolemia. What to do?", + "src": "Patient: Hello doctor, I am a 32 year old male, and I weigh 84 kg. I have a history of asthma, for which I use Salbutamol. I also have eczema and alopecia, for which I use topical Hydrocortisone and Finasteride 1 mg respectively. I do not smoke or drink. My last routine investigation, which\u00a0I did last year, showed mild non-alcoholic fatty liver. And my recent blood test shows low lipase, low creatine, and hypercholesterolemia. I have attached all my reports. Please help. Doctor: Hello. I just read your query and saw your reports (attachment removed to protect patient identity). Hope my advice is of some help to you. Good luck. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2937, + "tgt": "Is there any relationship between breathlessness and trouble to swallow?", + "src": "Patient: Hi doctor, I am a 25 years old female. I am suffering from breathlessness and cough since several months. Finally, I consulted a GP 20 days ago and had several tests done. They are TSH, lipid profile, CBP, chest x-ray, lung function test, liver and kidney functioning, blood sugar, urine test and ECG. All the reports came back normal except that I have vitamin D, B12 deficiency and low levels of iron. I have hypothyroidism, for which I took ayurveda medicine for three months. Also, I have a weird problem. Whenever I bend my head backwards and try to swallow my throat gets severely irritated and gets blocked. Then, I have to cough to clear up. Otherwise, while swallowing with my head backwards I feel like I am losing consciousness. I also feel that there is something stuck in between my throat while I swallow anything. Whenever I cough I could be able to take air inside at a time and breathlessness gets normal and I gain start to feel breathlessness after some time.\u00a0My doctor has prescribed Montek-LC saying that it could be due to allergy. I took Montek-LC for two weeks, but still did not find any improvement in breathing problem. Also my doctor had advised me to stop taking ayurveda medicine as it causes these symptoms. I started taking Thyronorm 25 mcg. Is there any relation between my breathlessness and trouble to swallow? Please advise me. Doctor: Hello. We are happy to help you. Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8695, + "tgt": "How does vitamin C affect the immune system?", + "src": "Patient: Hello doctor, Please tell all the ways vitamin C affects the immune system. Doctor: Hello. Ways of how vitamin C affects the immune system: It improves: 1. Antimicrobial and natural killer cell activities. 2. Lymphocytes proliferation. 3. Chemotaxis. 4. Delayed type hypersensitivity. 5. Contributes to maintaining redox integrity of the cells. 6. Subsequently protects them against reactive oxygen species generated during the respiratory burst and in the inflammatory response." + }, + { + "id": 10035, + "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": 3390, + "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": 26760, + "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": 30074, + "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": 3679, + "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": 14650, + "tgt": "Why am I having fear of talking to people due to difficult childhood?", + "src": "Patient: Hi doctor, I am a 45-year-old male, the youngest of my other five siblings. All through my childhood years up to the age of 20, my parents and other four of my siblings were exposed to a very angry behavior of my elder brother, the oldest of my siblings. The age gap between him and me is 15 years difference. For all I could remember is that almost every day this brother would punch my sister (who is three years younger than him) in the face, pull her hair and drag her across the room just because of talking and laughing at home and for his sake when we were at home no one is to talk or laugh in the house. I used to come from school and hide under a sofa untill my mom got home from work. When I got to the age of 20, it was this time that my parents convinced him to get a shock therapy and was given medication for his schizophrenic behavior but after some months he refused to take any medication saying that he is not a sick person. Eventually, my parents convinced him to stay at our native place house where he still resides alone. As a result of this trauma and my silent behavior, I became an easy target to bullies in the school and my surrounding neighborhood areas. I had contemplated suicide sometimes. My sisters (three) are now all married and settled.This experience has affected me and my sister (who is six years older to me) the most as we were very young compared to the other siblings at the time of this trauma. Both of us experienced the same ridicule and sometimes our heads used to jerk suddenly for which we could not control. Now we have overcome this head jerk nervous condition after many years. The ages of my siblings now, in the order of seniority which is 60 years, brother with mental illness, 59 years, sister, 57 years, sister, 54 years, brother, 51 years, sister, 45 years, myself. Please advise on my condition so I may lead the remainder of my life as normal as possible. Doctor: Hi. After I read your history that you had a very difficult past, for your brother who is schizophrenic patient, who need proper treatment and if unable to manage, he needs institutional care. As far as your history is concerned which shows depression and anxiety, can you mention that what are the current issues? Do depression and anxiety occur nowadays? How is your sleep, appetite, mood, any addiction history?" + }, + { + "id": 13200, + "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": 29486, + "tgt": "What is your opinion about stem cell therapy for back pain?", + "src": "Patient: Hi doctor, I have lower back pain for more than 8 years and sciatica for the last 6 years. Now, I\u00a0could not lift my left foot properly. My recent electromyography of left foot revealed\u00a0signs of a chronic denervation of the muscles on the left foot from the L5 motor root. My recent MRI revealed two herniated discs between L3-L4 and L4-L5. Doctor: Hello. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 10266, + "tgt": "Increased intraocular pressure in both the eyes. Should I go for Laser Peripheral Iridotomy surgery(LPI)?", + "src": "Patient: Dear Doctor, I have abnormal pressure in my eyes. I believe it was 24 in one and 23 in the other. My doctor told me that he would not dilate my eyes because it would be dangerous and asked me to find someone to do Laser Peripheral Iridotomy surgery(LPI). I am 23 years old with no medical conditions.\u00a0Need a second opinion. Doctor: Hello, Thanks for posting your query at icliniq.com. Hence I advise you to consult an eyecare ophthalmologist online for treatment accordingly --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22419, + "tgt": "Is it difficult to conceive after 30 years of age?", + "src": "Patient: Hi doctor,I am 33 years old and still unmarried. I am really stressed about marriage and kids. Is it very difficult to conceive after 30? Doctor: Hi. I read your query and understand your concerns. It is true that the chances of pregnancy decrease with the advancement of age but pregnancy are still possible upto 45 years of marriage. The chance depends on the number of follicles available in your ovary which varies from person to person. I also like to inform you that stress is one of the important parameters which decreases the chance of pregnancy so it is very important to keep it under control. Having stress free life is very important for your general well being as well as sexual health. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26144, + "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": 6924, + "tgt": "Is it fine to take beta-blockers daily or should I take only when I get palpitations?", + "src": "Patient: Hello doctor,I am a 57-year-old female. Here is my question constant heart palpitations and fluttering, continuous feeling of adrenaline rushing along with palpitations very bad at night but also during the day when sitting in doing nothing palpitations often make you feel nauseous on a 1 to 10 scale they are about an eight. All labs are normal ECG, echo, and Holter monitor are all normal.Doctor cannot figure it out and prescribed Propranolol 10 mg, told me to try these once a day. Yesterday after doctor visits heart palpitations for four hours got fed up and took one tablet one hour later, all palpitations and adrenaline rush was gone. Slept for the first time without being woke up having to cough to stop the palpitations. Had angio done approximately two years ago due to suspected heart attack or arrhythmia at home with all classic signs crushing chest pain jaw neck left arm down to the floor nauseated?Even with that lab test came back good the next day. Had carotid artery surgery two years ago to remove a piece of plaque in right carotid artery none found anywhere else no stent needed. Again all labs are good cholesterol not high on statins and warfarin. I must be perplexing to all doctors because they cannot figure it out. Was put on warfarin approximately 15 years ago due to DVTs as a result of a surgery, always therapeutic. So I had a heart attack or arrhythmia a few years back the angio came out the great doctor said everything looked fine now I have these crazy heart palpitations that would not stop. They go away as soon as I take the beta-blocker. I am told that beta-blockers even though anti-arrhythmic can also be pro arithmetic as well should I take this every day or should I only take this when I start to feel palpitations. Doctor: Hello, Welcome to ciliniq.com. So palpitations may be due to cardiac arrhythmia, anxiety, and psychological problems or due to increased awareness of one's heartbeat. Now, since your holter was normal during your palpitations, it rules out the possibility of cardiac arrhythmia. So, these are likely benign palpitations in you. Propranolol is an anti-anxiety medicine, and it also opposes the Adrenaline rush due to psychological causes. It is not an antiarrhythmic drug per, and it is not arrhythmogenic like other antiarrhythmics. So, there is no harm in having it regularly. It should be taken regularly for a few weeks and later on tapered as symptoms start reducing. Only things to be monitored are BP and pulse rate, which may be reduced due to propranolol on higher doses. I hope this helps you and get back if you have any doubts." + }, + { + "id": 1018, + "tgt": "Got chickenpox during pregnancy. What shall I do now?", + "src": "Patient: Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step. Doctor: Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14536, + "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": 29572, + "tgt": "How does diet help in mental health conditions?", + "src": "Patient: Hi doctor, How does diet help in mental health conditions such as depression and anxiety? I would like to discuss the success of incorporating diet in mental health\u00a0treatment. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6292, + "tgt": "After 96 hours of phototherapy, my baby's bilirubin is fluctuating. What can be done?", + "src": "Patient: Dear doctor, My 18 day old baby had gone for 96 hours of phototherapy. Her total bilirubin is fluctuating from 19.5, 14.5, 13.5, 13, 11, again 14 in 12 days. What can be done now? Doctor: Hi. Before advising you about the child, I need some information: Bilirubin may fluctuate during the treatment with phototherapy and the level of bilirubin depends on the maturation of the liver. And the rate of production of bilirubin in the child depends on the cause of raised bilirubin. If there is any incompatibility of blood groups between the baby and the mother, the bilirubin may rise in spite of phototherapy. But nothing to worry as the level of bilirubin of 14 is not dangerous around this day of life in case of babies with normal birth weight. It can be managed by phototherapy and adequate feeding of the child with breastfeeds to maintain hydration, which in turn lowers bilirubin. In spite of phototherapy, if the bilirubin is increasing, then the child needs further investigations to look for other causes such as hemolysis, hypothyroidism, and other problems. If the fluctuations persist, consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29722, + "tgt": "What do the symptoms of chest tightness, sweating and uneasiness suggest?", + "src": "Patient: Hi doctor,My son-in-law aged 44 years, slightly overweight, had symptoms of tightness of chest, sweaty palm\u00a0and uneasiness. The tests showed blood pressure reading as 140/80 mmHg and ECG showed left ventricle irregularity.\u00a0Please advise. Doctor: Hi. Left ventricular hypertrophy is because of hypertension, however, ECG is just a baseline test of cardiology. The tightness of chest associated with sweating can be stable angina. Stable angina is chest pain or discomfort that most often occurs with activity or emotional stress. The most common cause of angina is coronary artery disease. I would suggest you two baseline test of cardiology. 2D echo and treadmill test are used to rule out the cardiac cause of chest pain. If there is ischemia to cardiac muscles, then it will be reflected in it. My advice is to get a 2D echo and TMT. Follow up with the reports. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26358, + "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": 18003, + "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": 5889, + "tgt": "Am I getting scars on skin because of Accutane?", + "src": "Patient: Hello doctor, I used Accutane from 17 till 25 years on and off, it was always good. So 6 months ago I tried for 12 days Accutane and I saw after 2 days appearing scars on the skin for no reason. I did not have acne. It was for my hair that was alway very shiny. So I stopped ofcourse the Accutane and did bloodwork. I had low vitamine d and positive ANA and anti-DSNA. Drug included lupus. I went to every dermatalogist to help me to stop the disease because it is still haunting me. And the scars need to be stopped. Please is there somebody who can help me? Doctor: Hi. I went through all the reports and the image (attachment removed to protect patient identity). I think you are correct. There is a high possibility of drug induced effect that is Accutane induced scarring. In addition there is evidence of drug induced lupus. Though the ANA profile has ok profile it seems initial commencement of autoimmune process. I feel you should go to dermatologist academic center to seek consultation. As these autoimmune process starts and fosters slowly, you need to be on follow up take a lit PC antioxidants and Curcumin. Meanwhile, stop Accutane and also please feel free to consult me if there is a concern you have flagged in this regards." + }, + { + "id": 3560, + "tgt": "What can cause blood under the skin in leg and ankle?", + "src": "Patient: Hi doctor, My father-in-law has blood under the skin on his leg and ankle. He has had a stroke in the past and is on blood thinners. He said it is not painful and he cannot recall any hit. There is some swelling in some black and blue. He is on cholesterol medicines too. Please help. Doctor: Hi. Revert back with the details to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26632, + "tgt": "Why do I get anxiety and hot flushes at 4 PM everyday?", + "src": "Patient: Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my sodium level came up to the normal range. During the two-month time frame, I felt that Losartan\u00a0made me very anxious, and I noticed hot flushes,\u00a0which I never experienced before. My\u00a0blood pressure was fluctuating, but he refused to put me back on Lisinopril, which I had taken for nine years. At this week's follow-up visit, I told him about the flushes and my blood pressure. I also have a white coat syndrome and get very nervous when I go there, causing my face to go red.\u00a0He then said I might have carcinoid syndrome and wants me to take a 24-hour urine test. I researched this for days, on the internet, and I have no other symptoms of this syndrome, except for the flushing and uncontrolled blood pressure, which I never had until he changed my medications. I want your opinion as I am very upset and scared that I may have this syndrome. I hear that those 24-hour tests are highly inaccurate and I do not want to go for a list of unnecessary tests based on this renal specialist's opinion. I would appreciate your thoughts on this, as I heard this is a very rare disease. I am now back on my old Lisinopril medications with 12.5 mg of Hydrochlorothiazide. I am feeling better in just four days. My 4 PM flush is disappearing slowly. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16999, + "tgt": "Why am I having leg cramps after taking a gluten-free diet?", + "src": "Patient: Hi doctor,I am having leg cramps, especially after taking lunch.\u00a0I am on a gluten-free diet because of irritable bowel syndrome. This gluten-free\u00a0diet helped cure my loose motion. Doctor: Hi. Hope it helps. Please feel free to ask more queries if there are any doubts. I would be happy to assist. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17578, + "tgt": "Are there any side effects in getting a bone marrow test?", + "src": "Patient: Hi doctor, My mother's age is 60 years, and six months back her WBC count\u00a0was 26000. She got admitted for two days and was discharged, at that time her WBC count came to 9000.\u00a0Now from the last month, she was feeling tired, so\u00a0we checked the WBC count, and it was 14,000.\u00a0We went to the general physician, who gave her antibiotics for a\u00a0week, but again after a week, her WBC was same. The doctor told us not to take any medicines, and to wait for ten days. But, after ten days, her WBC count is up to 15,000. So, the doctor has suggested seeing\u00a0a hematologist. I am worried about this situation. What can be the reasons for this? I am also attaching her latest reports. Is it necessary to do bone marrow test? Is there any side effects? Doctor: Hi. I have seen your attached reports (attachment removed\u00a0to protect patient identity). Consult a nearby hematologist for examination with keeping all this in mind. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4239, + "tgt": "I am having painful stomach cramps. Will I need any surgery?", + "src": "Patient: Hi doctor, I am having really painful stomach cramps. I do not know whether it is a symptom of pregnancy. Will I need any surgery? Do I need a scan to see any damage in my stomach? I am suffering from constipation, headache, earache and dizziness along with this. Doctor: Hi. Unsure at present, but need to exclude ectopic pregnancy in the first instance. Urinary beta hCG (human chorionic gonadotropin) pregnancy test and urinalysis at GP practice. 1. Ectopic gestation. 2. Gynecological pathology - such as ovarian cyst, retrograde menstruation. 3. Dyspepsia or reflux. 4. Cholelithiasis. 5. Irritable bowel syndrome. To see GP to exclude pregnancy and for advice on sex. Revert back with the answers in detail to a general surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 25931, + "tgt": "What is the cause of widespread muscle twitching and sweaty palms?", + "src": "Patient: Hi doctor,I am 25 years old. What can be causing me to get widespread muscle twitching (twitches last about five seconds and go away and reoccur in a different muscle minutes or hours after)? Legs and hands get shaky, hands get sweaty, at night I feel like my legs are vibrating and my heart is pounding for no reason. I just noticed my hair is falling out too. I am also getting lots of anxiety, especially at night. I am in good health, I am a little overweight, not too much though. Should I get a blood test? Doctor: Hello. I have read through your question and would like to suggest that you should get a number of blood tests done. The following are the tests that I would suggest. All these tests are just to reach a proper diagnosis. It is necessary to know whether all these symptoms you are having are due to a pathological cause or physiological. You said that you have anxiety. Even anxiety alone can be a reason for your symptom complex. If all these tests come clear we may have to investigate the reason for your muscle twitchings. I hope I was able to help. If you have any further questions please feel free to contact. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2378, + "tgt": "I have some scars due to scabies. How to remove them?", + "src": "Patient: Hello doctor, I got these scars post scabies some eight years back. I want to know of a procedure to remove them immediately. Doctor: Hello. I understand from details and image (attachment removed to protect patient identity), given that there is dark pigmentation mainly on the lower portion of both buttocks. The skin over this area looks a little dry and thick as well. I recommend you to use a thick moisturizer body cream twice a day which helps in softening and renewing the skin. Avoid wearing tight-fitting clothes that may rub over this area. Very important if you have any itching, please seek to get the symptoms treated first before moving on to pigmentation treatment. Once the skin is softer, a skin lightening cream containing Glycolic acid or Kojic acid can be applied at night to the affected area." + }, + { + "id": 17511, + "tgt": "Due to gas problem, I am unable to eat properly. Please help", + "src": "Patient: Hi doctor, I am a\u00a027 year old male. From the last 3 to 4 years, I am having a troublesome\u00a0gas problem. If I did not have food, then immediately my stomach is getting filled with gas. And so, I am unable to eat after that. I have a few other problems too. I have been getting sex thoughts in mind from my 15 years of age. So, I ejaculate very quickly, but only a few drops like jelly. Also, after complete urination, I am finding a few drops of urine in my pant. Whenever I\u00a0am getting tension or fear or anger, I feel like someone\u00a0is pushing some heat into my body from head to back and hands. After some time, the feeling will get weak with a bit of hungry. What to do? Doctor: Hello. Lifestyle related. Revert after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20301, + "tgt": "I have a cold draining nose and body pain. Please help", + "src": "Patient: Hello doctor, I have a cold draining nose and body pain. Please help. Doctor: Hi. You can have rhinitis as per history. I suggest you taking Levocetirizine 5 mg OD for five days which is decongestant. You can also take Vitamin C 500 mg BD for five days. If fever is also there, then take Paracetamol 500 mg SOS. You can take steam inhalation of warm water three times a day. Avoid the intake of excess spicy foods. If no improvement, then CBC (complete blood count) can be done and you can consult a physician for examination." + }, + { + "id": 23143, + "tgt": "I have dry eyes and feel heaviness and pain. What can be done?", + "src": "Patient: Hello doctor, I am 42 years old female going through dry eyes for the past 45 days. I have been to three different doctors but no relief. I feel heaviness in the eyes along with pain and redness. I have been given a gel and a tube (Systane eye drop and Ara gel). Please help. Doctor: Hi. Dry eye syndrome is a condition which can best be managed but cannot be treated, since it is caused by multiple factors like age, environment, etc. The good thing is that it is not dangerous. You are already using Systane (Propylene glycol) and Ara gel (Hydroxypropyl methylcellulose). If no relief from these then you can try more viscous lubricants which stay longer in the eye or you can go for plugging your drainage ducts. Also get your eye sight and eye pressure tested. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29611, + "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": 9707, + "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": 9212, + "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": 8095, + "tgt": "I had a few blood spots in my shorts after getting treated for piles recently. Why?", + "src": "Patient: Hello doctor,I noted a few blood spots in my shorts. No symptoms, though. Recently did a blood test and had high amylase. I had piles and got cured recently. I was under Ayurvedic medicine. Any connection? Is it something to worry? What precautions to be taken? Doctor: Hello. Blood in shorts in the background of piles, check for any recurrence of piles. Consult a general surgeon in person to rule out any recurrence of piles. Serum amylase elevation is not a specific finding, and it is elevated in many conditions like salivary gland abnormality, pancreas involvement, etc. Maybe that is not related to blood loss. Take a general surgeon consultation in person, and it may help you. Precautions to be taken are take plenty of water, eat foods rich in fiber like green leafy vegetables, avoid mutton for some days, do regular physical activity. See to that your stool should not be hard, if it is hard, then the chance of recurrence of piles is more. If the stool is still hard with dietary measures and exercise, take a laxative like Duphalac syrup (Lactulose). I hope this response helps you." + }, + { + "id": 13858, + "tgt": "I am having severe pain in breast while breastfeeding. Please advice", + "src": "Patient: Hello doctor, I am having severe pain in\u00a0breast while breastfeeding. The pain is present only in the right breast while feeding. My son is 24 days old and I had started feeding since day 3.\u00a0From then, I have been suffering from this pain.\u00a0Though it is painful, I am still feeding him. Please advice. Doctor: Hello. You have not mentioned the specific site where you get the pain. Is it in and around the nipple or is it deep inside? If the pain is in and around the nipple, then it is most likely due to faulty technique while feeding. These are the instructions for proper breastfeeding technique: Now considering that you are not doing any faulty technique or posture and still getting the pain deep inside: In any of the above reasons, you have to visit a gynecologist as soon as possible." + }, + { + "id": 14211, + "tgt": "I had a C-section before six years and pregnant now. Can I go for abortion?", + "src": "Patient: Hi doctor, I am seven weeks pregnant and I want to do abortion but I had a baby boy with a C-section six years ago. So I just wanted to know if I can abort. Doctor: Hi. I can understand your concern. If you have decided for abortion, you can undergo but under strict supervision. You have to consult your gynecologist, confirm the gestational age. Up to eight weeks, medical termination is possible. But better to be under admission to prevent untoward effects like excessive bleeding, severe pain, very rarely scar dehiscence. Take care." + }, + { + "id": 18152, + "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": 27813, + "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": 22399, + "tgt": "Why is there tanning of skin?", + "src": "Patient: Hi doctor, I do not know why my face is two colored. My cheeks are fair but my forehead, nose and mouth area is dark. But sometimes I look very fair but sometimes I look very dark. I get darker when I go swimming and if I stay in the sun for a minute, I get tanned badly. I am just using homemade remedies such as lemon and curd, banana and curd told by my grandma. I want to be fair and glowing. What should I do? Doctor: Hi. I have gone through your query. With your descriptions, it seems you have developed dark complexion at the forehead, nose, and mouth of your face. These areas are found with more sebaceous glands which lead to excessive oiliness under the influence of hormones. This leads to more photosensitivity and more post inflammatory hyperpigmentation causing temporary tanning of these areas. You can use Sunban forte sunscreen (Titanium dioxide, Oxybenzone, etc.) daily in the morning and try to keep your self away from the sun. You can use Glutathione containing cream. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26419, + "tgt": "I am on Filgrastim injections and I have a raised TLC level. Should I be worried?", + "src": "Patient: Hello doctor, I am in the eighth week of an IVF pregnancy. I have already had three miscarriages before. I am on Filgrastim injections (10 units of insulin syringe), Dexona, Duphaston, Estrabet 2 mg two tablets thrice a day. My doctor got some blood tests done yesterday. The TLC was at 21.69 thou/mm3. So, the doctor told me to get this repeated today. Today my TLC count was 27.69 thou/mm3. Could you please tell me if this increased level is fatal for my baby? Should I be worried? Doctor: Hello. For more information consult a\u00a0hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30207, + "tgt": "Is there any treatment for corneal scar?", + "src": "Patient: Hi doctor,One month ago, some iron particle fell into my left eye. When I went to the hospital, they said that there is a scar on the front of the pupil. Also, I was informed that there is no treatment for that. Please tell me some solution. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22348, + "tgt": "Why am I having sore throat and swollen lymph node after six months of intercourse?", + "src": "Patient: Hello doctor,I was wondering if any of the symptoms I\ufe0f have correspond with any HIV symptoms and if it is likely that I have the disease. I\ufe0f am an 18-year-old female and am overall very healthy and active. Six months ago, I was taken advantage of by a male in college whom I\ufe0f did not even know. This was my first sexual experience, and I\ufe0f have not had any since then, but I\ufe0f do not know his sexual background. He did not use a condom, but also did not have enough time to ejaculate inside of me because I\ufe0f got away. I\ufe0f had absolutely no symptoms until now. One month after the traumatic experience, I\ufe0f decided to get an IUD to protect me from any unwanted or unexpected situation. Three months after the sexual experience, I\ufe0f was admitted to the hospital due to gastrointestinal issues. After my release, I\ufe0f discovered that I\ufe0f tested positive for chlamydia. I\ufe0f took the two pills (one dose) that completely cleared my STI. In the hospital, would they have been able to tell from my blood work if I\ufe0f was HIV positive or not? Now three months later, (six months after the initial experience) weird symptoms have begun to show. I\ufe0f first had a sore throat, and then only one of my lymph nodes on my left side of my neck slightly started to swell, but not significantly enough to show through the skin. At first, the lymph node was hard, but now i\u200et is starting to soften. After, I\ufe0f started having nosebleeds. Then, large red bumps started to appear in the back of my tongue, and some on the side of my tongue, but none of them are painful. I\ufe0f have no bumps in my throat or roof of the mouth or underneath the tongue, just on the back. I\ufe0f have never noticed these bumps before. Around the bumps, there was also some white coating, which was easy to brush off, but when I\ufe0f did there was still no bleeding. I\ufe0f have no rash, no night sweats, no fever or anything. But from research, i\u200et says that these kind of bumps are common for HIV positive people, as well as swollen lymph nodes. I\ufe0f also have found small white specks in my stool, but no other parts of my body have been affected but my mouth and throat. The back of my throat is still sore and scratchy, but I\ufe0f have no vocal changes. If not HIV, could I\u200et be some other STD or viral infection that is serious? Could i\u200et be another problem with my gastrointestinal tract? And what can I\ufe0f do to get rid of these bumps? It has been less than a week with these symptoms. Should I\ufe0f get tested for HIV? I have been very paranoid. Doctor: Hi. Regarding your complaints, I think the following will resolve some of the issues. Bleeding disorders. 1.HIV RNA PCR. 2.Vitamin K levels. 3.Bleeding time, clotting time, prothrombin time, APTT (activated partial thromboplastin time). 4.Liver function tests. 1.Ludwig's angina. 2.Sublingual hematoma. Vitamin K injection (5). For more information consult a HIV AIDS specialist online.--->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3490, + "tgt": "I am pregnant with extreme fatigue, body pain and increased urinary frequency. Please help", + "src": "Patient: Hello doctor, I am pregnant but I feel like I cannot do anything. I am weak and my body feels like it is on fire but it is not I am wanting to throw up all day. I am using the restroom more than normal. My heart rate goes racing and I get light-headed. What is wrong with me? I have been dealing with this for over three months and I cannot deal with it. I have a 5-month-old baby and I am totally weak to hold and play with her but I am also 5 months pregnant. Doctor: Hello. The fact that you are 5 months pregnant and frequenting restroom more than normal, with fatigue and weakness and likely lower back pain and nausea as well indicates a possible urinary tract infection having set in. You should get a urine routine and culture microscopy test done soon to rule out infection and establish the organism. You may have to be started on tablet Nitrofurantoin 100 mg thrice a day for seven days. This is a safe drug in pregnancy, in fact, a drug of choice for UTI in pregnancy. Please get yourself examined and lab tested soon. In the meantime, continue your prenatal and increase your water intake to allow early flushing out of infection. You may take cranberry juice (once a day, if you like it again) as urine alkalinise and it shall help. But a visit to your physician is to be scheduled sooner, else weakness, body ache, nausea and often increased frequency, urgency, even burning while urination may aggravate." + }, + { + "id": 23217, + "tgt": "Can antral gastritis cause hunger?", + "src": "Patient: Hello doctor, I was diagnosed with antral gastritis,\u00a0lots of acid in stomach and reflux. Problems started after I took some medicines. Since then I am always hungry. I eat more than before the problem started, but still I feel hungry. I am also suffering from excessive hair loss. Why am I always hungry? What treatment do you suggest? Doctor: Hi. Antral gastritis 1. Complete blood count (CBC). 2. Liver function tests (LFT) 3. Fasting blood sugar (FBS). 4. Thyroid functions. Diabetes. Avoid spicy food. Revert back after 15 days with the test reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16064, + "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": 22215, + "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": 4670, + "tgt": "Patient with metastatic carcinoma has severe diarrhea. Please help", + "src": "Patient: Hi doctor, My mother is having metastatic carcinoma and went through radiotherapy. Now, she has got severe diarrhea, swelling in face and do not like to eat food. Please help. Doctor: Hello. Revert back after investigations to a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 10496, + "tgt": "Kindly comment on my psoriasis prescription", + "src": "Patient: Hi doctor, I have been suffering from psoriasis in my palm. When I was 12 years old, I had this disease for the first time. After taking some medicines it disappeared. But, it used to come on and off. In the past one year, I have faced this problem quite often. In between, I had homeopathy. As it cannot be cured, I shifted to allopathy again. A local doctor prescribed me some medicines for psoriasis and I want a second opinion about the prescription. Doctor: Hi. Yes, your treatment is right. But, do not take Folitrax for long duration (Methotrexate) as it can adversely affect your liver and immunity. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4701, + "tgt": "Why am I having erection and penetration problems?", + "src": "Patient: Hello doctor, I am married, 41 years old. I have 2 kids. For the last six months I am having erection problems. I cannot even penetrate. Due to this I fear of nights. I cannot face my partner. Kindly give a solution to my problem. Doctor: Hi. I am not sure whether you have diabetes or hypertension or any other diseases. Whether you are taking drugs (allopathy or herbal) for any other diseases. If so, we need to look the side effects of those drugs. Diabetes patients gets diabetic neuropathy, thus there might be a chance for reduction in erection. There are many other possible reasons as follows: 1. After 40, if the male hormone is reduced. 2. More sathwik (pure vegetarian diets) reduce the sexual hormones. 3. Atherosclerosis to penile artery - this is due to cholesterol sedimentation to the artery which supplies blood to penis 4. Arterial thickening of penile artery 5. Psychological depression - related to work, career, economy, family, etc. This has very strong influence on the erection. 6. Any trauma (hitting) on the penis or back side of hip. this will affect the neurons. To rue out the cause and further treatment you need to consult a doctor in personally (directly). Any psychiatrist or Urologist or andrologist are the better choice to consult. You may also try the following advice; Drink badham milk or eat 2 badham nuts every day (there is a risk of increasing cholesterol at this age), eat Cashew nuts one daily (here is a risk of increasing cholesterol at this age), do pranayama or mediation to keep the mind free. Go to picnic with family. The new environments can remove the psychological depression. Try to solve other psychological problems, if any. Rathina purush capsules. One capsule morning and one at evening before food. This can be continued for one month. Within one month, if you get some effect, then continue it for a total of 3 months and stop it. If there is no improvement within one month, then no need to continue this drug. After evaluating the cause, then only we can take further drug therapy. To evaluate the cause, approach nearby clinicians (I mentioned earlier), They do Doppler or USG to find the cause. The above said physicians deal such cases daily. You need not worry about it." + }, + { + "id": 6325, + "tgt": "Why is 5 months old baby not sleeping peacefully at night?", + "src": "Patient: Hello doctor, My 5 months old baby boy is not sleeping well. He will sleep maximum for one hour continuously. Always he will have disturbed sleep. He used to be awake the whole night. I am breast feeding him. Kindly advise why my baby in not having a peaceful sleep. Doctor: Hello. There is no particular reason for the same. It has been noted that in cases where children are exposed early on to the mobile screen, the sleep cycle may be disturbed. Also, you have to note if the child has any blocked nose or coughing that may be disturbing his sleep. However, if the child is growing well in terms of weight and height, you need not worry." + }, + { + "id": 22427, + "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": 29918, + "tgt": "What are these boils that my brother has on his eyelids?", + "src": "Patient: Hello doctor, I am asking this question on behalf of my brother.\u00a0He is 37 years of age, 5' 7\" tall and approximately weighs 70 kg. He is not on any medication. He is a commercial airline pilot by profession and is perfectly fit to fly. He has recently passed his physical fitness exam that is conducted each year.\u00a0A year back, there was a boil in only one eyelid. But, the bulge was barely noticeable from outside and even from inside the eyelid. Also, there was very slight uneasiness and no irritation or pain a year back. Since there was very minimal discomfort, he did not pursue any treatment. Now, in the past 1.5 months, he has got boils in both the eyes that are noticeably larger and caused him some irritation and pain. His eyesight is better (same as always) and he still able and authorized to fly. Although we hold neutral beliefs in alternative medicine and believe it might be effective in the long-term, we are seeking quick and efficient advice or treatment. Especially considering my brother's profession and his subsequent flight physical exams that he must clear this coming year. However, we prefer to avoid any surgical treatment unless and until absolutely necessary. I have attached a high resolution picture of my brother's eyes. Please give some advice that you can. Let me know if you have any questions and I will be sure to respond at the earliest.\u00a0I am not sure whether it is a cyst or a stye or a chalazion or something else. Frankly, I have very minimal knowledge of their differences. Yet, I feel and hope it is nothing severe and can be cured with proper medicines and lifestyle habits. Doctor: Hi. Revert back after a week to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12351, + "tgt": "What does ECG of a hypertensive patient indicate?", + "src": "Patient: Hello doctor, Taking high BP medicine, Metosartan 50, Rosave 10. My ECG test shows QSR 126, other parameters are normal, BPM 90, PR interval 130, QSR 126, QT/ Qtc 346/421. Kindly suggest. Doctor: Hello. Your QRS is mildly prolonged and that to in limited leads. Otherwise no significant abnormalities. This borderline QRS prolongation is due to hypertension. These changes are not significant and irreversible. This cannot be reversed and needs no specific treatment. The only important thing is to keep BP under control and control other risk factors like lipid abnormalities. Have a healthy diet and regular exercises. It is better to obtain routine screening echo, just to see the current heart situation. So, there are minor hypertension related changes which are not worrisome, needs no treatment, but should control risk factors like hypertension, lipid abnormalities." + }, + { + "id": 2340, + "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": 18567, + "tgt": "What is the permanent remedy for dry and itchy ear?", + "src": "Patient: Hi doctor, My mother, who is 50 years, has been having itching in the left ear since a month. We consulted an ENT doctor. He did an endoscopy and said that there is no wax formation and ear is dry. He asked my mom to put one or two drops of oil in the ear. She did that for a week and there seemed to be little improvement. She was itching again severely about 15 days ago. We then applied oil using ear buds since the itching was more in the opening of the ear that is the superficial part of the hole. When we just look into the ear with torchlight, it looks dry and flaky. Why is this happening? What is the permanent remedy for this? She has very bad dry skin. Would that have an effect on this? Doctor: Hello. With the details you have given I understand that your mother aged 50 years has been having itching in the left ear since a month which gets temporarily relieved with the application of oil. Also, an ENT consultant has ruled out any local pathology or wax or ear drum abnormalities. The above tests along with the following history can help rule out any other disease, which may be causing the ear problem. The relevant history would be any of the following. Another possibility is eustachian tube catarrh, which causes tubal block and associated decreased ventilation of the middle ear and consequent feeling of itching. The same can be controlled using the Lorfast tablet. Hope to get back from you. If you provide the above details with investigation reports and prescription of previous consultation, then we can help you better. Hope your mother gets better soon. Revert back with the reports to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28333, + "tgt": "My penile skin moved back and I could not retract back. Why?", + "src": "Patient: Hi doctor,I had sexual contact with my wife recently. Although there was no actual penetration, it was like a trial. My penis foreskin got removed during the process. After two days, there was a bulge beneath the head of the penis with swelling and pain. I am unable to pull the skin back to the original position due to the bulge. I am forced to wear loose trousers as the bulge causes pain when it rubs with the cloth. Now, the bulge is not subsiding even after three days. Kindly suggest me the possible issue and solution. Doctor: Hi. I saw your photo (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6173, + "tgt": "Will Propranolol alter the drug metabolism of Sertraline?", + "src": "Patient: Hello doctor, I took\u00a0Zoloft and Inderal and noticed some interaction. I would like that to\u00a0be explained to me. Is it safe to take both Propranolol oral and Sertraline oral at the same time? Will Propranolol oral increase the level or effect of Sertraline by altering drug metabolism? Doctor: Hello. Revert back with the asked details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20663, + "tgt": "I have MGUS and noticed low Hb and WBC. Please help", + "src": "Patient: Hello doctor, I was diagnosed with MGUS earlier this year. My lab report states immunoglobulin M33, lambda free light chains 19.74, kappa or lambda light chain ratio 0.07. My doctor said there is a faint spike. Black bar on a grey background and to come back in a year. I have noticed that most of my blood tests this year with other doctors reveal low WBC and hemoglobin. I have also noticed low monocytes and neutrophils over time. I was also diagnosed with small nerve fiber neuropathy earlier this year and had carpal tunnel surgery a few months back. Doctor: Hello. You have been diagnosed with MGUS problem (monoclonal gammopathy of undetermined significance). For that, no treatment has to be done except clinical monitoring. You are advised to investigate with serum urea, creatinine estimation, urine Bence Jones protein estimation to rule out kidney damage. Serum calcium also to be checked to determine how much osteolysis present. If needed, a CT scan can be done. I suggest you consult a hematologist for your examination and monitoring every six months. If needed, the doctor will investigate with bone marrow aspiration study. For peripheral neuropathy, physiotherapy and multivitamin syrup can be prescribed. If neuropathic pain present, then pregabalin can be prescribed. For that problem, you can consult an orthopedic surgeon for the examination." + }, + { + "id": 7455, + "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": 24971, + "tgt": "What are the measures to get the blood values in control?", + "src": "Patient: Hello doctor, Please find attached the blood test report. Highlighted in bold are the tests which are out of range. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? I have got the blood test profile checked just as a general checkup and not specific to any illness (I get it checked once every two years). Doctor: Hello. I have gone through all your reports (attachment removed to protect patient identity) and I am impressed with your overall health. However, there are a few things that need to be sorted out. Your total red blood cells and hemoglobin levels are slightly increased than normal but not significant in the absence of symptoms like headache, hypertension, itching in the body after a warm bath, etc. If you are a long-term smoker, this could be a cause of the slight increase. Do you have any chronic lung disease or kidney disease that is known to you? Also, I see that your serum lipase is a little off, it usually indicates pancreatitis. Are your suffering from any symptoms like abdominal pain, fever, nausea, or vomiting? I suggest you repeat serum lipase. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22751, + "tgt": "Will using electric toothbrush make teeth even looser?", + "src": "Patient: Hey doctor,I have bought an electric toothbrush because a dental hygienist said he would recommend it as I have gum disease. The bleeding has stopped tremendously after regular brushing and help from the dental hygiene. My question is, because I have a few loose teeth at the bottom, will using an electric toothbrush make them even looser? Just because of the power of it. Doctor: Hi. Yes, it will because it does not have the same control as your hand will do. Not till you keep it as controlled as possible but it is a mechanical device. It can make your teeth more mobile if the tooth mobility is more than grade one (that means you have a slightly loose tooth). If your teeth is much mobile it will cause damage. As per your history, you are having chronic periodontitis. You need to have regular oral prophylaxis after every three to four months. So that your loose teeth will tighten properly. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25473, + "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": 14959, + "tgt": "Why am I not having any interest and feeling hopeless after retirement?", + "src": "Patient: Hello doctor, I find this difficult to explain. I wake from sleep and have to work to get back. I have lost interest in all activities, feel hopeless and empty. I can do things around the house and drive but these take a lot of effort. I just do not feel myself. I at 63, have just retired and I just do not feel anything. I have had dark thoughts too. Doctor: Hi. I can understand. You are just retired and that could be the basic problem. Just retired simply means being detached from whatever the circumstances enjoyed before the retirement. Friends, office, responsibility, etc. Suddenly you feel empty and start feeling old. There are many things to explain. You can read about retirement psychological problems. You will have an insight into your present condition. But, you can be reassured, this condition will not last. You must make sure that you be engaged and physically active. That is it. Just make sure you do not weigh yourself down. You are the same person as before, but more mature than before. You can overcome this too. Take care." + }, + { + "id": 28365, + "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": 12366, + "tgt": "What causes vaginal rashes and blood in urine?", + "src": "Patient: Hello doctor, I am noticing slight blood drops while urinating since last 2 to 3 days and irritation in the vagina. I noticed rashes on the left wall of the vaginal opening and seems to pain slightly while urinating. Please suggest the remedy. I have been consuming cital syrup on suggestions by a pharmacist. Please suggest remedies. Doctor: Hello. If there is no burning sensation while urination or there is an increased frequency of urine accompanied with red urine then unlikely that you have a urinary tract infection, instead you are likely to be suffering from vaginitis. Please get a high vaginal swab and a urine culture to rule out infection first. If diagnosed then you can be prescribed a course of antibiotics accordingly. The presence of painful rashes at the vaginal opening on one side could be herpes zoster lesions. Please send a picture of the lesions for a possible diagnosis. Are you a sexually active lady?" + }, + { + "id": 6552, + "tgt": "If I get braces for deep bite, will it affect my face profile?", + "src": "Patient: Hi doctor, I have a 1 to 2 mm deep bite, which is mild. If I get braces and my wisdom teeth out, then my lower facial profile will improve. Will it change my face from round to something else? My jawline looks very awkward. My jawline almost slants before it hits the actual change of direction point. But, for other people, their jawline is straight down or slanted straight and then hits the vertex of the two lines. Does my overbite have something to do with it? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3473, + "tgt": "How to fix auditory processing disorder?", + "src": "Patient: Hello doctor, I have a chronic migraine for almost five months now, no medicines or treatments have worked and transferring to a hospital with more resources soon. Over the past few years, I have noticed that I am having more and more trouble hearing. You could knock, walk into the room, and ask me something, and I will not know you are there. Alarms will go off in other rooms for more than ten minutes and only after I am aware they are there and I actively try and hear it else will I hear it at all. The bell in my high school has gone off and I have not noticed it, if I listen to the audio without subtitles I cannot figure out what is being said. I cannot understand the phone calls, and often in conversation, if someone does not speak clearly and at a good volume I will not be able to hear and understand what they are saying at all. I also have occasional pain in my inner ear, the pressure that feels as though my ears clogged even if they are not. The other day my hearing was tested at an ENT and they told me my hearing is perfect, and that auditory processing disorder (APD) was a possible answer but that if so there would not anything to do. I have looked into APD and it was described as almost auditory dyslexia which does not sound like an accurate description of what I am dealing with. It is hard to process what could be going on based on the fact that my ears were tested to be in perfect help. If you have any insight or advice, I would love some guidance. Doctor: Hi. Auditory processing disorder could be the possible reason but before that, the initial level of otosclerosis (spongy bone formation in the middle ear ossicle restricts the sound transmission, middle ear infection) should be ruled out. My advice is to consult with an audiologist available nearby. Please undergo pure tone audiometry, speech audiometry, impedance audiometry, BERA test (brain stem evoked response audiometry). If possible go for HRCT temporal bone (high-resolution computed tomography) also. That will give us a much clearer picture of your problem. If everything is fine then it is attention towards the sound that should be taken into an account." + }, + { + "id": 22874, + "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": 5533, + "tgt": "How can early ejaculation be managed?", + "src": "Patient: Hello doctor, My penis is in erection stage 5 inches, so is it normal? Secondly, recently I got married but I am not able to enter due to early ejaculation within 1 minute. Doctor: Hi. Size of 5 inch is absolutely normal and is in fact above the average penis size of most of the males. So no need to worry. Immediately after marriage due to lack of experience a lot of males suffer premature ejaculation and they ejaculate even on touching the vagina. This is normal, just do not lose confidence. Medicines like SSRIs like Dapoxetine can be used to delay the ejaculation time. You can talk with your doctor for prescription of this drug." + }, + { + "id": 13318, + "tgt": "What can be done to manage stomach pain with frequent stools?", + "src": "Patient: Hello doctor, My mother, 53 years old, has been suffering from severe stomach pain for the past few days. It started with running fever and dysentery 10 days back and both have subsided. Since then she has following complaints of stomach pain, have to pass stools after every food intake, stool 4 to 5 times a day, severe tiredness. She had recently done her yearly general health check-up and no abnormalities were found. Please let me know how I should get her treated. Doctor: Hi. Has she taken any medications when she was having a fever and dysentery?" + }, + { + "id": 15126, + "tgt": "Why is there itchy white spot on my penis head with a rough skin after erection?", + "src": "Patient: Hi doctor, I have these itchy white spot on my penis head and also a rough skin after erected. The white spot will be better after applying Clotrimazole ointment, but I can still see some bumps under the skin. Doctor: Hi. Your concern is balanoposthitis. It is a candidal fungal infection which causes secondary irritation and redness. Start using Lulifin cream (Luliconazole) once daily bedtime for 30 consecutive days. Apply Efficort (Hydrocortisone) 0.127 % cream once daily during daytime until redness subsides, then discard it. Check your fasting and postprandial blood sugar levels. It is not contagious and not harmful." + }, + { + "id": 2040, + "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": 15524, + "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": 4079, + "tgt": "Can I have some information about Clozapine?", + "src": "Patient: Hi doctor, My partner is diagnosed with paranoid schizophrenia. He has been taking Olanzapine and Depakote for the past eight years, which has stabled him a lot. But, he suffers from panic attack when he stays with a group of people. His key worker and psychiatrist are recommending him to start using Clozapine.\u00a0I am really concerned as I have been told that Clozapine should be prescribed only when no other drug has worked. My doubt is why cannot he have anxiety tablets? Can I have some information about this drug as we are planning for a family life? I am quite worried about the side effects. I am looking for some advice. Thanks. Doctor: Hi. Firstly, Clozapine is an atypical antipsychotic drug. It means that it is one of the relatively newer drugs discovered to be helpful in paranoid schizophrenia. Clozapine also has lesser side effects and is considered more effective than the typical or older antipsychotic drugs in schizophrenia. Since your partner is still having anxiety in presence of others, Clozapine will be helpful. However, Clozapine still has a few side effects to be watched out for. Some of them are reduction in the number of the white blood cells, cardiac toxicity, drowsiness, dizziness, headache, drooling of saliva when sleeping and weight gain. These side effects last only as long as one is taking Clozapine. Since you are planning for a child, it is important to know that many male patients taking Clozapine have experienced cessation of ejaculation during orgasm. But, it has not been documented in drug guides. Having written all that, your partner may have more or less of the side effects mentioned above. Thus, I would say that he may start taking Clozapine and see how he reacts to it for some time. Please consult with his doctor to know any other alternatives will be very helpful. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 23207, + "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": 8414, + "tgt": "Can I take Phentermine along with Cymbalta?", + "src": "Patient: Hi doctor, I take Cymbalta 60 mg for depression and Trazodone 100 mg for sleep. Can I take Phentermine for weight loss without problems of serotonin syndrome? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23762, + "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": 4816, + "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": 20465, + "tgt": "Could my insomnia be due to increase in Zoloft dosage?", + "src": "Patient: Hello doctor, I have been taking 100 mg of Zoloft for a number of years. On 14th, my doctor added another 50 mg which I take at bedtime. For the past few days, I have been experiencing severe insomnia and can rarely sleep for more than an hour at a time. In addition, I have begun taking 25 mg of Seroquel three times a day. Could the increase in Zoloft three weeks ago be causing this recent bout of insomnia? If yes, how long after my doctor returns to the old dosage before this side effect diminishes? Doctor: Hello. The increase of the dose of Zoloft (Sertraline) can cause sleep problem, as you are facing currently. To manage this, you can change the time from night to morning or afternoon. If you altogether stop night doses of Zoloft (return back to 100 mg per day), then this sleep issue will me resolve within four to five days. Another way to manage sleep is to take Seroquel (Quetiapine) 25 mg in morning and 50 mg at night time. By this, your sleep will be normal as Seroquel has sedative property. Try to manage adequate sleep hygiene, like do not sleep during daytime, no coffee after 5 PM, no alcohol, etc. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18223, + "tgt": "Would having milk or water before swab test alter the DNA?", + "src": "Patient: Hi doctor, After my unprotected sex,\u00a0I had spotting just for a single day. Now I assume it was when implantation took place as I missed my periods and confirmed pregnancy two weeks later. My question is when does implantation happened exactly? Secondly while we were waiting for swab test my child had a formula bottle and the alleged father had a glass of water a few minutes before swabbing was done. Would this alter the DNA? Or could the swabs have been contaminated? Doctor: Hello. For further information consult an general practitioner --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23466, + "tgt": "I was suggested orchidopexy for testicular torsion. Is there any alternative to this?", + "src": "Patient: Hello doctor,I am a 25 year old male who was recently diagnosed with bell clapper deformity and intermittent testicular torsion. We are unsure if it was onset by trauma or supplement use. The current recommendation given to me by the doctors is to perform an Orchiopexy as a preventative measure for testicular torsion. I was told this is a low-risk operation and would likely eliminate any issues I am currently dealing with. However, I would like to avoid this at all costs and was wondering if there are any alternative methods I could try beforehand. Doctor: Hello. Bell Clapper deformity is congenital (since birth) but may have been noticed only now. In this, the testis is suspended at an abnormal angle and is more prone to torsion. The muscle around the testicles is oriented in an oblique manner and so when it contracts during exertion, it twists the testis. Normal testis will not rotate, but bell clapper types can rotate and pinch its own blood supply. Fixing the testis is best, ideally on both sides. There is no conservative approach. I would suggest you go ahead with surgery. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7254, + "tgt": "I have a deep wound after Nesbit plication surgery. How to speed up the healing?", + "src": "Patient: Hello doctor, I am a 22 year old healthy male. Last month, I had undergone Nesbit plication surgery for congenital penile curvature. The surgery resulted in a deep wound that is not healing properly. I had the same surgery five years ago, and there was no wound at all. Now, it has been a month, and I do not seem to notice any improvement. Does penile skin grow back or would I need a skin graft? How long will it take to grow back? I am currently using Jelonet and gauze. I do not smoke or drink alcohol. I do not use drugs. How can I speed up the healing process? I have attached a picture of the wound. Kindly look into it. Doctor: Hello. I have read your query and examined your picture (attachment removed to\u00a0protect patient identity). I understand that you have undergone plication surgery for penile curvature. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23020, + "tgt": "Whenever I cough to clear my throat, why do I get a strange smell?", + "src": "Patient: Hello doctor, I am a 32 year old male. I had some cough and cold last month due to drinking chilled beverages. After that, I have had a feeling of throat blockage, and my throat was burning. If I try to cough forcefully to clear the throat, I get a strange smell in my nose. I am taking Telekast L tablet for last four weeks. Also, I have a feeling of mild right-sided ear block as well. The right side of my neck was also a bit stiff. The bad breath is really annoying. I am using Hexidine mouthwash. I typically feel the odor more just after having my meal or after coughing. Previously, I took Pulmocef CV antibiotics. At the time of the infection, I had sticky gray phlegm. It is not there now. Currently, the bad odor is still there, and I am feeling a mild blockage in right side of my larynx. Also, if I am in an air-conditioned environment, the coughing starts. While trying to swallow, I have a very mild pain in the right side of my pharynx. I had fatty liver and acid reflux last year, but it recovered after having a strict diet. I quit smoking two months ago, and I am on NRT. I occasionally drink, maximum 120 ml in a week. Please advise. Doctor: Hi. You probably have pharyngitis. The ear pain is also due to pharyngeal infection causing Eustachian tube blockage. The coughing in the air-conditioned environment is due to dryness in the throat. Please send me the pictures of your throat, so that I can suggest you better. Instead of Telekast L (Levocetirizine and Montelukast), I suggest a combination of Levocetirizine and Phenylephrine twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Also, take steam inhalation. I suggest taking a cough syrup for few days. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30221, + "tgt": "What will happen if I take Potassium chloride tablet without the need?", + "src": "Patient: Hi doctor,I was not prescribed by my doctor to have Potassium chloride tablet. But, I had one tablet per day for the past two days. Is it fine to take? What will be the side effect? Please help. Doctor: Hi. Potassium chloride tablet should not be taken without monitoring. Serum potassium level should be done once in every three days. Hyperkalemia (elevated level of potassium) is a very dangerous thing. It can precipitate many sorts of arrhythmias (abnormal heart beats) and excessive levels can even be fatal. You have not mentioned the reason for which you had Potassium chloride tablets. Are you hypokalemia or are you on diuretics? As of now, as per your query, potassium tablets should not be taken without monitoring your serum potassium level. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11684, + "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": 12760, + "tgt": "What is the spot near the black circle in the eye?", + "src": "Patient: Hello doctor, My left eye has a spot near black circle. I do not know what it is and how it will vanish. I did not remember but it is from years in my eyes. Doctor: Hello. I have gone through your photo (attachment removed to protect patient identity). I feel it could be a conjunctival nevus, given that you have had it since a long time and it did not cause you to have any symptoms. Such swellings have a tendency to grow in size during teenage or early adulthood, but usually, stop growing spontaneously. They do not cause any symptoms and are harmless in the long run. On the other hand, it could rarely be a small cancerous growth. Such swelling is called melanoma, although rare it presents with pain, foreign body sensation, redness and blood vessels growing around it. The best way to confirm the diagnosis is by excision biopsy wherein the swelling is cut out and put under a microscope. Given the rarity of this cancer and you being asymptomatic, I suggest that an eye examination whenever possible would suffice to clear your doubts." + }, + { + "id": 4103, + "tgt": "After chiropractic treatment for hiatal hernia, I experience abdominal discomfort. Why?", + "src": "Patient: Hello doctor, Two months ago, I was diagnosed with a very tiny hiatal hernia. My chiropractor found my stomach is pushed up very high, next to my esophagus. He was able to push it back down, but with a lot of painful force and manipulation. Ever since I have been getting sicker and sicker with episodes that are so debilitating that I can no longer work. They happened occasionally at first, but now three to four times each day (always upon weakening) and last for hours at a time. It begins in my mid-abdomen. I feel and see pulsating in my abdomen and get a wet sensation as though the fluid is leaking out of my chest or belly. If I push on that area (or usually all by itself), I get an instant rush of blood to my head and start to feel fuzzy. My face turns bright red and becomes so hot that I get nauseous. The redness sometimes stays, sometimes goes away. But what always follows immediately is intense heat throughout my whole body, like my spine, muscles, and nerves are on fire everywhere from my head to my palms to my mouth to the soles of my feet. Then I start to shake uncontrollably, with the shakes progressing into worse tremors in my left thigh and right biceps. The shaking definitely seems to start from the abdomen or groin area. If I press my thighs or groin or even touch them lightly, my legs increase in spasticity. When these episodes end, I feel completely wiped out (blurry vision and hard, tired muscles), but I never return to normal. I always feel shaky and not myself. I have been at the doctor's twice when these episodes were happening. The first time my BP was a bit high at 130 mmHg (usually I am spot on at 120/80 mmHg) and the other time my vitals did not change at all during the episode. Other information, possibly related: My left thigh and knee are filled with fluid, but my orthopedist attributes that to a popliteal cyst (is that the same as an aneurysm?) he found behind my knee. He gave me a Cortisone injection four days ago, but so far the swelling in the front of my thigh, my knee, and my calf have not gone down. I was also told that I have an umbilical hernia and two inguinal hernias. I also have a history of localized scleroderma, which I understand, can weaken the connective tissues and blood vessels. Recent blood tests for ANA and rheumatoid factor both came back negative. Not sure how that is possible when I was diagnosed with a positive ANA and localized scleroderma (Morphea) 25 years ago. I am very scared. Do you have any idea of what is happening to me? Or what tests I should have done? Not sure if this is GI related, vascular, rheumatology, etc. But I need to find a way to calm these spells so I can go back to work. Doctor: Hello, Welcome to icliniq.com. Well, the symptoms do sound a bit different and something we need to look into. As per the issues, I hope they have looked into any form of venous obstruction i.e. super vein obstruction. Any compression on that vein can cause the face to turn red and a bit of low blood pressure. But it is a very rare thing to happen. A CT (computed tomography) of the chest would be advisable to rule out this compression causing the symptoms. But yes, it does not explain what is happening in your legs. The symptoms do see to be of hypersensitivity. Do these symptoms happen after a hot water bath as well? Do you feel any shock-like sensation from the neck below? For the popliteal cyst, it is a bakers cyst. It is totally different from aneurysm, as aneurysm will be pulsating and moreover it is a very unusual site for it to happen. Normally, it does respond to injection Cortisone, but sometimes if the injection does not go in the right place it can persist. You may need to repeat the injection after a month or so incase it is persisting. As for localized scleroderma, it is a benign form and ANA can go negative at times. We can either call it a lab error or at times the body does act through to make it negative. How much has been the skin extent in your scleroderma though? To summarize, we need to figure out a cause for your symptoms. Scleroderma does not explain it. We need to see if it is an SVC (superior vena cava) obstruction. Of the rarest cause, with the spasticity happening in your legs on touching I would like to rule out any brain condition as well. These sound like paroxysmal dyskinesia. I hope this helps." + }, + { + "id": 10194, + "tgt": "If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion?", + "src": "Patient: Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion? Doctor: Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, 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": 11291, + "tgt": "A sinus infection turned into two ear infections. Should I be worried?", + "src": "Patient: Hi doctor,About a week ago, I got a sinus infection which turned into two ear infections. I have now been on Z-pak as well as Flonase and steroids for four days. My left ear feels substantially better. My right ear, however, is still a little plugged, and now I am experiencing pressure in my temple and jaw area on the right side of my head. Should I be worried? I have one more day left of Z-pak and steroids. Doctor: Hello. How do you feel now? Are you better? Did the pressure in the temple and area around the right jaw resolve? The reason for those two is the block of the eustachian tube on that particular side. This is the tube that equates pressure on either side of the eardrum by connecting back of the nose to the ear. When it gets blocked due to sinus or nasal problems we feel a sense of block and pressure classically in the area between jaw and ear. If the two have resolved and you are feeling better, then it is good. Otherwise, we have to check if the infection is persisting. Probably, the organism would be resistant to that particular antibiotic. In that case, I would suggest you take a course of Ciprofloxacin and Tinidazole and send a swab from the nasal cavity for pus culture sensitivity. Based on the report, we can change the antibiotic again. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Good supportive treatment is required - steroid sprays for the nose, systemic decongestants (Phenylephrine), and an antihistaminic (Allegra) to help keep the ear dry. A persistent sinus infection with ear problems requires a nasal endoscopy with documentation of ear findings also. Do revert with more details so that we can help you further. Hoping that you are just fine and that you do not require any further medical attention. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25633, + "tgt": "How can I wean my little one from breastfeeding?", + "src": "Patient: Hello doctor, My son is 16 months old and weighs 9 kg. He is not eating anything and even not taking milk. He only wants mother's milk. Is it fine to give an appetizer? If so, how much quantity should I have to feed him? Doctor: Hello. Your child who is not taking anything or eating anything is a matter of concern. He will require evaluation with blood tests like CBC (complete blood count) and urine routine microscopy. You can continue breastfeeding. You need to try adding one taste at a time may be milk or rice water or plain dal water. Add calcium and multivitamin syrup. It usually does not happen that child is not eating anything. It is usually because of wrong weaning habits or delays in weaning. Check with your doctor once. So, that there is no underlying problem. I do not suggest appetizer as it is too early. Follow up with test results. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24071, + "tgt": "I have not had a period for four months. Is it due to Mirena IUD?", + "src": "Patient: Hello doctor, I am 21. I have Mirena IUD for six months now and have not had a period for four months. A few days ago, I started and it is really mucusy and only when I wipe and food has not been appealing to me and when I do eat, I cannot eat much. This morning I feel nauseous and that is not normal for me either. I have two other kids and with them, I did not have any but maybe two symptoms, that was peeing a lot and food did not appeal to me the first 14 weeks. The last time I had sex was the 10th. Doctor: Hello. Hormones have different side effects and appear different from person to person. Mirena is a hormone-secreting contraceptive device which shows it effects like mood swings, breast tenderness, irregular bleeding, etc. According to one study, 20 % of the females stopped menses after a year's use of Mirena. Most of the women felt menstrual changes in the first three to six months of Mirena application like intermenstrual spotting, light irregular bleeding, very light menses. Some of the females showed heavy menstrual flow. Mood swings is also another side effect which you are feeling a lot. Try to have a healthy lifestyle like yoga, exercise, walk daily. Have recreational activities like painting, and swimming. But avoid recreational drugs like alcohol, cocaine, ketamine, etc. If you had diagnosed any problem or have any other symptoms, try to have full treatment. It is your choice if you want to continue with Mirena or want any other contraceptive if does not suit you. I suggest switching to combined oral contraceptive pills for some time to reduce Mirena effects (after removal of Mirena). Have urinalysis and urine culture for urine problem, follow report and use lots of water and cranberry juice. In case of absence of urine infection try to avoid fluids before work and sleep at night to have less disturbances. Pelvic floor exercise strengthens muscles and helps avoid incontinence. Try to go to a gynecologist with urinalysis report and discuss symptoms as well to have a proper examination to decide for related investigations. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26663, + "tgt": "After IUD removal, I have not had a period for four months. Am I infertile?", + "src": "Patient: Hello doctor, I was on the IUD Mirena for two and a half years and it did not suit me. So, I saw a doctor to have it removed. That was four months ago and I still have not had a menstrual cycle. I have had spotting here and there, but nothing else. My husband and I want a child, but I am not sure if I am fertile because I have not had a period. How do I know if I am fertile and producing eggs? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13605, + "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": 1555, + "tgt": "I am depressed, and I have pain and gastric problems. Are they related?", + "src": "Patient: Hello, I am a 25 years old girl and after year I am totally depressed, my life is getting worse, without friends, family, hobbies do not bother me I have already three gastroenterologists and I have tried for a half year: Helicid + famosan + ursosan + itoprid + duspatalin + probiotic + vitamin Z, vitamin B all types, vitamin A, E, D - nothing much help My new doctor said to me I have to get rid of all medicaments and start without them, and the pain is caused by lots of stress and lack of sleep. I am in third week on this medication and I am in terrible pain every day - no matter what I eat. Please, could you give me some help 1) is there any possibility that after your using these medicaments - my stomach is only trying to recover from some 'shock' without pills? I have to be patient and continue with this process? 2) how to start a new week to heal the stomach pain and get on track with standard meals? (e.g. For whole one week eat only rice, Gluten-free white bread, potatoes and after that start to add something) 3) Is it possible that taking lots of vitamins (B, Zinc, Omega 3, Magnesium, Yeast, Probiotics,) can cause stomach pain/acid reflux? I have problem with acne and I know it is from the worse digestion 4) I love to exercise but jumping or laying on the floor is sometimes painful - what is the best kind of sport to do with stomach issues? 5) Is it possible that yogurt or milk make stomach pain even I was tested on dairy allergy and everything was ok? (I love yogurt:( ) 6) It is possible that underweight (BMI 15,7) is causing all my problems? (and I have to eat a lot even I am in pain to get healthy weight) Doctor: Hello dear, welcome to icliniq, I have reviewed your concerns in detail. I can sense, you are a wonderful lively person, who likes exercise and enjoy foods. But unfortunately for various reasons, you are facing alot of troubles along with health issues, that makes the situation even more worse. Since u have been seen by three gastroenterologist, who are expert in the field and are treating you on the line of IBS, major clue is your drugs. Now, for me, most important thing is to fix all issues together. For that, only one person, who can do wonders for you is you, yourself. I am saying it because, there is strong Gut and brain relation. Your depression/anxiety need to be addressed. Why you are feeling low and socially isolated? We will together work on it as: I would recommend you to please sit with yourself in an calm environment and write down the possible solution of ur problems. When you will try to find the solutions, you can easily kill your problems one by one by different good approaches. Continue light exerxise. Practice smiling, even to those you don't know. Just to make urself happy. Love nature. This is how you life will take lovely turn, you will again start to love yourself. Imagine yourself as a mentaly fit and happy person, how would u feel, just imagine for a while. I would advise to work on it. For your pain related issues: please take following meds. I hope they will help u in calming the pain. Tb. Drotaverine 40 mg 1+1+1 Tb. Citalopram 10 mg 1+0+0 Tb. Clonazepam 0.5 mg 0+0+1 Ispaghol Husk 2tsp in glass of water, keep it for 4 hours and then take it. I hope u ll find it useful. Let me know how u feel after 1 week. Your feedback will be required, so we can help u further. Humble regards" + }, + { + "id": 17992, + "tgt": "How long do I have to wait to get pregnant, after a missed abortion?", + "src": "Patient: Hi doctor, I am trying to conceive from past six years. A year back I had a laparoscopy for tube bend. My reports show the\u00a0length of the\u00a0uterus is 82 mm. Gravid uterus reveals one gestational sac with an embryo, CRL is 10 mm, which corresponds to the\u00a0gestational age of seven weeks and six days\u00a0in the fundal region of the\u00a0uterine cavity. No cardiac pulsation could be recorded on M mode, the cervix is normal, uterus measures 9.4x6.9x6.8 cm. No adnexal mass lesion is seen. Both ovaries are normal in size and echotexture. Right ovary is 2.3x2.1 cm, and left ovary is 2.4x1.9 cm. No fluid is seen in the pouch\u00a0of Douglas. What is the reason for a missed abortion? How long should I have to wait for the next pregnancy? Doctor: Hi. Sorry about the loss, but let me assure you one thing, you will surely get pregnant again. It is not just to console you, but if you got pregnant before, irrespective of the result, you will get pregnant again. Let me explain what and why is missed abortion. A healthy egg has to meet a healthy sperm at the right time, the life of an egg is 24 hours, so it has to meet sperm within that time. But after 24 hours, it forms embryo with few chromosome damage. This fertilized egg comes to the uterus, endometrium should have been properly ripened and nurtured by proper hormones on right time, only then the blood supply to the baby will be normal, and the hormonal milieu should be fine. The best part is, if you have a missed abortion, chances of a healthy pregnancy is 97 %. So, why worry about the 3 %? It is advisable to give a gap of three months. Suppose there are any unseen reasons, they will be gone by that time. After 3 to 4 months get, these tests done, to rule out other possible causes. All these problems can be tested before pregnancy, the last one to be tested once pregnant. How old are you? If you are below 35 years, nothing needs to be done. If you are above 35 years, get serum AMH (anti-mullerian hormone) done within first ten days of your period. This will tell how many eggs are left in the ovaries. As age advances, the healthy eggs get over, and only unhealthy eggs predominate, so that could be a reason for the genetic problem. But there is a solution for each and every problem that I mentioned. Hope I have clarified your doubt. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 19933, + "tgt": "What can cause on and off feet swelling and fluid leak in diabetics?", + "src": "Patient: Hello doctor, This query is for my dad who is 75 years. In the last two months, one week he has been housebound and the initial one month, he was completely bedridden. He slipped twice on the first day. That is how it all started. His right leg could not carry the weight of his body. He is approx 110 kg, 6 feet tall. He has had this problem for the last 30 years but he had never been bedridden and the medication worked. He is also diabetic, taking medication for the heart - Eliquis 2.5 mg to reduce the risk of formation of blood clots and he also has varicose veins. On the first day after this started, he took medication himself as per his last prescription. It did not work and after four days, we called the same doctor home who prescribed Insulin, Zocef CV 500 twice 10 days, Levoflox 500 one a day for 10 days and Daflon twice for 15 days. He said to give it nine days before a follow-up. However, after five days since there was no relief and it had started oozing or edema which he noticed when he was sitting up when two visitors came over. The next day, we called another doctor, a diabetologist, as the previous doctor, then said to visit a vascular surgeon as he could not do anything about the oozing. This doctor completely changed the medicines prescribing Linospan 600 twice, Ceftum 500 twice, Chymoral Forte twice along with two other ointments Nadoxin and Betadine and dressing the wounds. This gave immediate relief. He continued the medication for two weeks till the next follow by the same doctor. By this time, the wounds (characterized by oozing, discoloration, swelling) had completely healed except a small hole at the ankle. This time, the doctor prescribed Doxy 100 twice for two weeks and Orni O twice for seven days along with the same ointments. After the end of two weeks, he continued this for a further 10 days after which he was prescribed Dalacin 300 mg for seven days. He took this for around 12 days. Since the last 10 days, he has been taking his own medication - Zocef CV 500, Levoflox 500 and Daflon and at present, he is back to Dalacin 300 since the last two days. He is averse to being admitted to a hospital for the fear of amputation and because he does not want to be admitted to a hospital. He prefers to be treated at home. 10 days ago, my mom also went to our family doctor, who on seeing the pics of the leg said that as per his opinion it required immediate hospitalization and recommended a color doppler of both lower limbs both arterial and venous. My dad cannot walk to get this test done. Please advice. Especially since he is not able to walk beyond the bed to the dining table and for not more than five minutes. Also, particularly why does the leg get swollen off and on now? After taking the antibiotics for so long (now 67 days), does it mean that there is some internal problem? How can it be diagnosed? Doctor: Hello. He needs to be seen by a podiatric surgeon, or a surgeon who deals with foot care. Being an elderly diabetic with limb swelling, it is always safe to get a Doppler (both arterial and venous) of the limbs done. Arterial doppler rules out any block or reduced flow and possibility of pre-gangrene (evolving tissue loss). Venous Doppler rules out varicose veins (which he already has) and also deep vein thrombosis (obstruction of deep veins which is dangerous). This can change the current line of management. Antibiotics can be stopped if there is no evidence of active infection and proper limb care is given. Some general measures you have to follow: You can add some flow modulators like Trental (Pentoxifylline 400 mg twice daily) which can improve blood flow. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 17682, + "tgt": "Please help me approach my husband for reunion", + "src": "Patient: Hi doctor, I have lots of stress and I want to curtail my stress. I got married and lived happily. After four months of love life, I got pregnant. Since that day my mother-in-law changed her behavior with me as well as due to family members instruction my husband started giving space to me. He started watching porn clips at the night time. I almost felt like suffocation to spend my whole day in all household work and the rest of my time in temple with my mother-in-law as per her wish.\u00a0One day in frustration he told me that he is neither interested in me nor my baby. His words hurt me a lot. But, still I tried to convince myself. But within a few days, when his mother told me that I have to get up early in the morning at 5 to wash the clothes; I did not cooperate. Then, my husband told me that I have to find the solution and they were unable to cope with me. I felt like no one is thinking about my pregnancy as well as my health. So, I decided to go to my parent\u2019s home and\u00a0left my husband without any information.When I reached my home, I realized that my mother is unwell. Within just two or three days when we visited a doctor we came to know that it was cancer. I was unable to discuss my feelings with her. Meanwhile my husband and mother-in-law tried a lot for my come back. But, I never gave response to them, not even a phone call. After one month, we met a cancer specialist and he told us he could only pray about results as it was third stage. We were in huge tension. My husband came there and told me to come back. However, the next day after a long phone conversation he said either come back or give divorce. This hurt me a lot as I was 5 months pregnant. Then, till my delivery no one from my husband\u2019s family contacted me.\u00a0I gave birth to a baby boy, but due to some complications doctor made it a Cesarean operation. Immediately they shifted my baby to NICU. I was not able to breastfeed him, but sent my milk to him for five days. On the seventh day he got serious as he had suffocation problem and done ECG. Then I informed the issue to my husband, but unfortunately we lost our baby the same day. Since that day he messaged me to come back, but I was not in a state to reply. Nearly after seven months, I met and got to know he too frustrated, weak and thought he is also suffering from emotional turmoil. Since that day I am trying to convince him for reunion, but he is denying.Then we met in court for mutual divorce. As he did not clarify the reason for divorce we were advised to meet counselor. Counselor said we have only communication problem and suffering from baby\u2019s thoughts. Due to my mom\u2019s health, I did not meet him again. Sadly, I lost my mom before six months. Now, I came to know that my mother-in-law too passed away before five months. Now, his father asked me for divorce as he wishes to see his son\u2019s second marriage, but my husband denied this. I want to continue this relationship as I love my husband. He always submits me the same answer that whenever he sees me he remembers all the painful memories and so he is unable to live with me. Recently, he said that he does not wish to have our baby back and do not want any relationship with me. Since that day I am suffering a lot through emotional turmoil.\u00a0I am missing my baby, my mother and my husband. It is very hard for me to handle my mood swing. I never had any quarrel with my in-laws or with husband. Though I am facing this situation and it hurts. Today, I am suffering so much and I had some milk like nipple discharge. Please guide me. Doctor: Hi. I am really sorry for what happened in your life. I sympathize with you. But at the same time, I also feel you do not want my sympathies. Sympathy is easy to give, but seldom solves the problem. You were in such turmoil. You faced problems with your husband, at his home, mother, child, bereavement, etc., within a short span. Even the most courageous person will not be able to solve these issues, but here you are. In spite of all those turmoil, standing tall. I bow my head. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20926, + "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": 22661, + "tgt": "I feel tired always, disturbed sleep and have increased weight. Please help", + "src": "Patient: Hello doctor, I am eager to get my reports examined and get your opinion. Reports attached for your reference. I would be more glad to seek your advice on my LFT/KFT and diabetes reports. What is required to bring all parameters to normal? I work for an IT company and mostly sedentary lifestyle. Hardly I walk for 3 to 4 km in the morning. No smoking, moderate alcohol, vegetarian. I feel tired most of the time, disturbed sleep, unknown reasons for weight increase from 82 kg to 87 kg in the last couple of months. Currently, on Ecosprin 150 mg and Fibbitor 20 (daily once in the morning) for eight years due to MI and was administered check angio. Please advice. Doctor: Hi. You have diabetes mellitus (type 2). This occurs due to deficiency of insulin which is secreted by the pancreas. You will require reduction of your weight, regular walk at a brisk pace for about 45 minutes to one hour daily for most days of the week. You should be on antidiabetic drugs too. You already have had an MI as per your history so you have to be extra careful with your weight and diabetes. You can continue the drugs which you are taking, in addition, you should be on tablet Metformin SR and one of the antihypertensive agents (ACEI or ARBs). Kindly consult a physician or diabetologist near you for the correct dosages of these drugs depending on your sugar levels and blood pressure records. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2517, + "tgt": "My two biopsy reports show different timings. Does that sound strange?", + "src": "Patient: Hi doctor, My breast core biopsy pathology reports have different information. In one it is mentioned as specimen collected at 7.10 AM and 5 cores taken. And in the other specimen collected at 2 PM and 8 cores taken. Does that sound strange? Doctor: Hi. For further doubts consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 11914, + "tgt": "Is it normal to bleed after taking emergency contraceptive pill?", + "src": "Patient: Hello doctor, I had sex with my fiance 10 days back and took the 72 pill on the next day but did not bleed. I had sex again a week later and took the 72 pill that very day. I began to bleed soon after taking it which lasted for two days and now I am having a slight lower stomach and back pains. Am I pregnant now? Doctor: Hello. It can take up to 21 days to have bleeding after taking emergency contraception and although it is good that you took it very soon after unprotected intercourse, you should not use this as your primary method of birth control. It will cause cycle delays and unpredictability. Emergency contraception is not 100 % effective, even when taken as directed. There is always a chance of pregnancy when you have unprotected sex. A pregnancy test is advised and a reliable form of birth control in the future is strongly recommended." + }, + { + "id": 9823, + "tgt": "What causes unexplained bruising?", + "src": "Patient: Hi doctor, I have been experiencing some unexplained bruising for a few weeks. Also, last week I had a few pin point red dots on the side of my back which went away in about two days. This past week I discovered some more of the cluster of red dots on the back of my thigh, which turned into a big bruise the following day. Also, today I woke up with the red dots on the back of my other thigh. I had a CBC done today, but is this something I should be concerned about? I am not having any other symptoms. Would I be more symptomatic if I had a blood cancer? Doctor: Hello. Your symptoms are not suggestive of any blood cancer or other form of cancer. For repeated bruise and attached photo of lesion (attachment removed to protect patient identity) you have to investigate as follows: Liver profile reports to check liver pathology. CBC to rule out low platelet count, if present. PT, APTT to rule out coagulation problem if present. BT bleeding time testing to rule out vessel problem if present. After checking all these reports further work up can be planned. Meanwhile you can be prescribed oral Vitamin C tablet 500 mg BD for seven days. Topical Vitamin K cream application also can be helpful. You can consult nearby physician for detailed evaluation and discuss all these." + }, + { + "id": 22602, + "tgt": "How accurate is the HIV testing after five weeks of exposure?", + "src": "Patient: Hi doctor,From the last one and a half months, I am in crisis. I tried having sex six months back. That day I did not get erections so she gave me oral. I did not perform vaginal sex because of non-erection, and whatever I have tried that was protected. But I had unprotected oral sex where she gave me a blow job. After two weeks, I have noticed a bump on my penis. I went to my doctor (skin specialist) and he gave me a few medicines for one week. Doxycycline (two times in a day), Zifi (one time in a day), Lycopene, one cream. He also first asked me to go for VDRL test but next moment refused. Still, I tested for VDRL which comes negative (test happen after one-week medicine course), although the bump on my penis now fully healed (after 2 to 3 weeks).I have also tested for HIV RNA and HIV 1 and 2 antibody and p24 antigen, both came negative after five weeks. HIV 1 and 2 fourth generation antibody test negative on the sixth week. My doctor advised me Doxycycline for next one month but I am not taking it for past four months. So, my Doxycycline course goes like one week (two capsules in a day), two weeks (one capsule in a day). My question is how much I can rely on HIV testing after five weeks. RNA and antibody and antigen test accuracy related to the window period after five weeks. Should I again continue with Doxycycline as I got a new bump on my face? Is that syphilis too? Why I got a new bump on my face (picture attached). Which test I have to go for again to detect syphilis or get HIV status? I am facing fever like feeling since two weeks after exposure where fever is not measurable (not more than 98 even) but extreme body aches. Two times I got loose motions too. Itchy body. Doctor: Hello. I have noted your concern and I have viewed the attachments (attachment removed to protect patient identity). Insertive oral sex has a negligible risk of transmission of HIV. Moreover, your HIV screening test (p24 Ag and anti-HIV antibody test) is conclusive. This test has a short window period of 2 to 3 weeks and is considered conclusive after that. The bump on your face seems like an acne lesion. Is it painful? I suggest you apply Clindoxyl (Clindamycin) gel once a day. No need for oral Doxycycline. Since it has been seven weeks since your unprotected oral I suggest you take a screening test for HSV and syphilis (VDRL) and again at 12 weeks for a conclusive result. There is no need to retest for HIV. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1533, + "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": 25284, + "tgt": "I am unable to manage daily tasks. Is this due to learning disability?", + "src": "Patient: Hello doctor, I have a master's degree and recently I have been having difficulties managing day-to-day tasks. I need to find out if I have a learning disability and how best to manage this issue. Doctor: Hello. What sort of difficulties are you facing in managing your day to day tasks? Are they only related to reading or also involve any complex mechanical activities? Have you ever had a reading disability? The best way to manage this issue will be first diagnosing what is that you are suffering from and then consult a specialist for the same. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7825, + "tgt": "Got a boil in pubic region after unprotected sex. Is it STD?", + "src": "Patient: Hi doctor, I am a 23 year old male. My height is 165 cm and weight is 78 kg. I had a whitehead boil kind of thing in the pubic region\u00a0for around three to four months. But, there was no pain on touching or pressing. Now very recently, I got four more similar things at the end of penis near the junction. They are also painless. I initially assumed it as a boil due to hair breaking, but now I am not sure. I pierced the initial boil that developed months back and from which some pus and two drops of blood came out. Rest four boils are also similar, but currently smaller in size. Kindly request you to tell what is it and how to cure. I had unprotected intercourse\u00a0before a year, The first boil I observed was around five months later to that incident and the new four boils have come up just 10 days back. I used my friend's towel for bathing. He is a very unhygienic guy and he used to have unprotected sex a lot of times in a month with different partners. Is this STD? Please suggest treatment. Is it a boil or something? Since physical examination is not possible, I am attaching labeled photos. Kindly check the photos. Thank you. 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. These could be due to a sexually transmitted infection, mainly molluscum contagiosum. Molluscum contagiosum usually presents as pearly white umblicated papules. I would advise you to get yourself tested for other STDs (sexually transmitted diseases) for example HIV test (human immunodeficiency virus), and VDRL test (venereal disease research laboratory). These lesions will require cauterization by your dermatologist. Either chemical cauterization or radiocautery could be done. Revert back with the investigation report to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5587, + "tgt": "I have frequent headache, watery eyes and pressure on nose and ears. What to do?", + "src": "Patient: Hello doctor, For the past few days, I am getting frequent headaches. Last week my BP was 140/90 mmHg. Yesterday it was 140/80 mmHg. Now again I have a headache, eyes are watering and I am feeling pressure on my nose and ears. Doctor: Hello. Normal blood pressure level is 120/80 mmHg. Your blood pressure exceeds these limits and it seems as you are suffering from stage one to two hypertension. Hypertension is a very important problem as it causes other serious illnesses over time. You are very young and so it is of tremendous importance to lower your blood pressure. Fortunately, you may be able to do this without any medication. I suggest the following: Eat a low-sodium diet. Lose weight. Go for a walk 30 minutes a day. Limit alcohol and if you are smoking try to quit it. Please measure your blood pressure for one week once in the morning, if possible before doing any activity and once in the evening. And write it down. After one week your measurements should be checked. After one month of low-sodium diet, exercise and three to four lost pounds, you should repeat this blood pressure measurement. If there is no improvement some lab tests should be done. If your symptoms did not improve in the following days, or if your headache worsens abruptly you should be examined by a doctor. I hope this helps." + }, + { + "id": 30008, + "tgt": "Please suggest me a cure for gallstones", + "src": "Patient: Hello doctor, Four days ago, I was admitted to the hospital with severe abdominal pain. I was given\u00a0Oramorph,\u00a0Codeine\u00a0and Paracetamol. I was\u00a0told that it was most likely a flare up of my gallbladder stones and that the pain would last for a maximum of 12 hours. I underwent an ultrasound scan the next day, which revealed gallstones. The next day my\u00a0doctor advised me to go home, but I was still in agony. When I asked the doctors,\u00a0why I was still in pain when it was meant to last a maximum of 12 hours, they said it could be inflamed or infected. Hence, a blood test was done and the results were fine. As the results were normal, the doctors said I could go home. I refused to go as I was still in pain. My right side and\u00a0stomach were sore to touch. Again, I had another attack and experienced the same kind of pain that I had on the day of admission. Again\u00a0blood tests were done and they said blood results\u00a0were fine and I could go home. Before I had the\u00a0chance\u00a0to say anything they had discharged me.\u00a0It is almost four days now and I am still in bed with pain in my middle and lower right abdomen, and\u00a0center\u00a0of my back. I am feeling very lethargic. What can I do? Doctor: Hi. Gallstones. Ultrasound scan of the abdomen, complete blood count and liver function test. Cholecystitis (gallstones). 1. Antibiotic therapy. 2. Pain management 3. Surgery later on. For further information you can contact a medical gastroenterologist online.--->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7189, + "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": 25331, + "tgt": "Is IV sedation the right type of anesthesia for wisdom tooth removal?", + "src": "Patient: Hello doctor,I am getting my wisdom teeth out and was told I will be under IV sedation, but I did not sign a consent to that, just anesthesia. So, I called and asked them about it. They said I will be asleep, but if they ask me to raise my hand, I will be able to do that. What on earth are they giving me? I want to be asleep during the entire procedure. Will IV sedation do that? Doctor: Hello. I understand your concern. The type of sedation your dentist has recommended for you is \"conscious sedation\" in which you will be at minimal consciousness and not completely asleep. You could respond to verbal and physical stimuli. This type of sedation helps you reduce the discomfort, pain, and anxiety during and after the procedure. Unlike general anesthesia in which you will be completely unconscious, this type of sedation is pretty safe and does not cause any side effects as such. Conscious sedation uses the same drugs used for general anesthesia but at lower doses. For minor procedures like extraction of wisdom teeth, general anesthesia is not recommended. You will be comfortable in IV sedation. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15536, + "tgt": "What is the difference between IntraLasik and Contoura Lasik technology?", + "src": "Patient: Hi doctor, What is the difference between IntraLasik and Contoura Lasik? Doctor: Hi. IntraLasik is a method in which the corneal flap is taken by laser. In regular Lasik, the corneal flap is taken by a mechanical device which has a metal blade. The rest of the procedures are the same. Contoura vision is a personalized Lasik in which the laser correction is done according to the size and specifications of the individual's eye. It is something like getting a shirt specially stitched to the individual's size, whereas regular Lasik is like buying a ready-made shirt." + }, + { + "id": 26868, + "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": 24237, + "tgt": "How often should I wash my face in case of sensitive, acne-prone skin?", + "src": "Patient: Hello doctor,I typically work out in the mornings as soon as I wake up and then shower immediately after. Knowing this, should I wash my face before I work out, rinse water on it, or just workout and then wash after? I have sensitive, acne-prone skin. So, I am trying to avoid washing more than twice a day. Also, most times on weekends, I will have to work around the house, etc. and then later in the day go out with friends. My initial thought is to wash three times on these days (when I wake up, when I shower, and before I go to bed). Do you have a different thought on this? Doctor: Hello. It is a good idea to wash your face with water before a workout to remove oil produced during sleep. Then your skin is free to breathe and secrete oil which will not be accumulated. I highly recommend it. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18605, + "tgt": "I have abdominal discomfort and gurgling sensation after stopping Raciper. Why?", + "src": "Patient: Hello doctor, I am a 54 year old female. I was taking Raciper plus for 15 days. After stopping, I have upper abdominal discomfort and hunger feeling. The abdomen is gurgling. Is this normal? Doctor: Hello. First of all, I need to know what symptoms were you prescribed Raciper plus for. Did you have the same symptoms before starting the medication? I am providing you a free follow up to answer these questions. Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21781, + "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": 30366, + "tgt": "Shall I use white petroleum jelly for pain on nose?", + "src": "Patient: Hi doctor, I have changed my location before a few months. I am experiencing pain in my nose, near eyes. It feels like a muscle or bone pain, but not inside the nose. I have white petroleum jelly. Can I use that? How to cure this issue? I have attached a photo of the painful area. It is a little above near the eyes. When I press, it is paining more. Doctor: Hi. I saw the photo and your explanation of the problem (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7278, + "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": 2649, + "tgt": "I find some streaks of blood in urine even after taking antibiotics. Could this be cancer?", + "src": "Patient: Hi doctor, I need your help as I am worried sick and it is affecting me mentally now that something serious is wrong with me. Seven months ago I began experiencing pain on my left side. I went to my doctor who said it was just muscle pain. The pain went on and got a lot worse. Four weeks I went to the toilet and I noticed I was peeing fresh blood the doctor gave me Trimethoprim for three days which did not help as my urine was still showing high leukocytes and blood so she gave me Ciprofloxacin 500 mg for seven days and there is still blood showing up in the dip stick tests. My doctor has ordered me a CT scan to look for kidney stones but with this world virus, I am not going to get my appointment anytime soon as we are in lockdown. My urine looks clear now but I have noticed today there are streaks of blood in it now and I am terrified incase I have cancer. I am still getting a stingy pain onmy left side which comes and goes and sometimes shooting pain. I have multiple sclerosis also and I took my treatment of immunosuppressants in the last five weeks. I am honestly going out my mind with worry incase this is cancer. I am worried about the streaks of blood when I urinate as this has been going on for about four weeks now it clears then it comes back again. Doctor: Hi. I have gone through your queries. Please relax and sit at home. Do not worry. You need not be in a hurry to get a CT (computed tomography) urogram done at this pandemic state. I am explaining the condition now. You are having hematuria associated with flank pain. Hematuria was episodic. At your age and profile, it is unlikely that you have a urinary bladder or upper tract cancer. The possibility is very less. Probable cause of your hematuria is stone disease. It may be a kidney stone or ureteric stone. You get these investigations done, once the lockdown gets over. Check your serum creatinine, CECT KUB and CT urogram (if creatinine is within normal limits). These will tell you the final diagnosis. In the meantime you can take tablet Tamsulosin 0.4 mg one tablet at bedtime for 30 days, Drotaverine 80 mg SOS when you have pain. Tamsulosin cannot be taken if you are having pregnancy. Take plenty of water orally (2.5 to 3 liters per day)." + }, + { + "id": 25582, + "tgt": "There are painful bumps on my penis after masturbation. Please suggest a remedy", + "src": "Patient: Hello doctor, I got some pimple like bumps on my penis. But, I was not able to identify the cause for it. I observed that it is happening to me after masturbation most of the times. So, please suggest some remedies for this problem because they are painful. I am uploading a picture. Doctor: Hello. Can you please provide more information: Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 12809, + "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": 4692, + "tgt": "Why am I feeling wetness in the perianal area after some years of fistulotomy?", + "src": "Patient: Hello doctor,I am a 29-year-old female. I suffered from abscess when I was eight and a half months pregnant. After three months, it was diagnosed as fistula and gone under fistulotomy operation. Since the past few months, I feel some wetness in the perianal area. And today, I saw a blood spot on the tissue. Also, I feel itchy and I am not sure if the anus is completely cured after surgery. Please help me. Doctor: Hi. After reviewing the information shared and your pictures (attachment removed to protect patient identity), a few things come to mind. Wetness in the perianal area and itching are because of the small amount of seepage of stools around the anus. This stool causes irritation to the skin around the anus which causes the itch. Also, the irritation can erode the skin and cause a blood drop to appear. I would like to know a bit more regarding your problem. Did you have any pain along with the blood spot or any pain after stools? How frequent is this problem of itching? Did you ever feel a small amount of stool or gas passed without your control while coughing or laughing hard? When did it start happening? Did it start happening any time soon or was it there all along after surgery? Has it changed over time? Was it a normal delivery? Was anything done to assist the delivery? Was there any complication at the time of delivery of baby? From the picture, I can think of two possibilities. 1. There is a defect in your anal sphincter, the contracting muscle. Although to be sure, a thorough examination is required along with an ultrasound called TRUS (transanal ultrasound), a special type done from inside the anus. In this case, the trouble would be there all along after surgery. So, you may be right that it did not heal properly. 2. There might be a new fistula-in-ano developing, just in front of the anal opening and behind the vaginal opening. In this case, it would have started troubling for a couple of months. 3. If it was painful for you to pass stools or associated with pain after passing stools, then it could be an anal fissure. My advice as follows: Do sitz bath - take lukewarm water in a tub and put a half teaspoon of ordinary salt in it. Now sit in this water and try to make the water clean and sooth your anal region. Sit for around 15 minutes three to four times every day. Try to do it at least twice per day. It will decrease itching. Avoid constipation with a large platter of salad, sprouts or Sat Isabgol 2 spoonful three times per day. Take 3 to 4 liters of water, measured by a bottle, every day. Do exercises for building pelvic muscles and improving the tone or control of anal sphincter. It is best to discuss all the above with your local doctor, who can examine you in person, as a definite diagnosis is unlikely without examination. If there is a defect seen on TRUS and weakness of sphincter, some surgical repair may be possible. Otherwise, exercises can help. Kindly get back with the queries and follow up on icliniq. Thank you." + }, + { + "id": 12150, + "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": 5055, + "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": 11612, + "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": 7157, + "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": 13134, + "tgt": "What are the small red dots that occur frequently on my ankles?", + "src": "Patient: Hello doctor, Small red dots started to come beneath the skin on my ankles several years ago. They do not itch and you cannot feel them when you touch the skin. It seems to be worse at the end of the workday and after wearing boots. It used to be on one side but now it is covering both ankles, part of feet and occasionally a couple on the lower leg. They do not blanch when pressed. I am on no medication and vegan, although they appeared before I made that switch two years ago. Doctor: Hi. It seems like capillaritis. That is inflammation of capillaries. It can appear after prolonged exercise and stays there without any symptoms. In other vascular problems, individuals have some sort of symptoms like pain, itching, etc. Capillaritis is not the condition to be afraid of. Sometimes it gets better itself and no treatment is a better option. Just do not stand or exercise for too long. When you are sitting put support under your feet. Do not let them in hanging position." + }, + { + "id": 21415, + "tgt": "My heart rate is low at rest and increases with exercise. What is it?", + "src": "Patient: Hello doctor, I am a 19-year-old male, no known health problems. My only symptom is a slow resting heart rate. I have seen it as low as 45. I feel perfectly fine, no syncope or dizziness. I am not an athlete so I do not know why it is so low. Is this cause for concern? With heart block, the heart rate does not increase with exercise correct? My heart rate is low at rest but increases as expected with exercise. Does this rule out a problem? If I had clinical bradycardia would not I feel bad as well? Doctor: Hello. Normal heart rate should be between 60 to 100 beats per minute. You are having bradycardia. It can be idiopathic without any cause. But it is better to get physically examined and if needed accordingly investigation can be planned. Rule out hypothyroidism by serum TSH (thyroid stimulating hormone) estimation. Rule out any cardiac cause if present by EKG investigation. Check sodium, potassium and calcium level if needed. If no cause is found, then no need to worry. Consult a physician for examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21274, + "tgt": "Please suggest diet chart or tips to lose weight soon", + "src": "Patient: Hello doctor, My weight is 81 kg and age is 18. I always try my best to lose weight but I cannot. I joined a gym today and really do not have any knowledge about nutrition. So, it is my request. Please suggest a diet chart or tips on how I can lose weight as soon as possible. Doctor: Hello. Without prior knowledge of your dietary patterns, lifestyle, existing health conditions and family history, it is difficult to suggest a diet plan that is perfect for you. I will give you a set of tips. Always keep these in mind and continue your gym routine. You will definitely reap desired benefits. Follow these general tips. It works for most people wonderfully. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 19824, + "tgt": "Can Duolin be given with Taxim O Forte for dry cough in a kid?", + "src": "Patient: Hello doctor, My son is 7 years old, and 20 kg. He is currently taking Taxim O Forte syrup for an infection. He has developed severe cough (dry) now. In the past, he was using the Duolin inhaler for an extreme cough. Please, could you advise if Duolin inhaler can be given to him when he is on Taxim O Forte syrup? Doctor: Hello. Yes, you can give Duolin (Salbutamol and Ipratropium bromide) inhalation along with oral antibiotics. But, as you have said it is a dry cough and Duolin is to be given for spasmodic and wet cough. You can give honey for a dry cough. Also, you can give Dextromethorphan based syrup like Ascoril D." + }, + { + "id": 5601, + "tgt": "How can I conceive with polycystic ovaries?", + "src": "Patient: Hello doctor, I am a 27-year-old female, I am having polycystic ovaries. I wish to conceive. Please guide me regarding treatment. Doctor: Hi. I understand your concern. As you have shared that you have a past history of PCOD and is trying to conceive. PCOS is a complex disease but not difficult to manage once the hormonal imbalance is corrected. I would suggest to consult a gynecologist and take proper following medication, once your doctor has examined you and have ruled out any other cause she may start you on Progesterone pill to support the pregnancy, Clomiphene citrate to help induce the periods and maintain fertility, FSH analogue can be useful. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and manage weight if overweight. Additional supplements like Folic acid, Calcium and Iron should also be taken." + }, + { + "id": 212, + "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": 7323, + "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": 8519, + "tgt": "I have burning sensation in glans penis. Please advice the treatment", + "src": "Patient: Hello doctor, I have burning penis glans. It burns constantly and is ruining my life. It all started after I had thrush which is now gone. Sometimes, a very light red rash appears on glans and foreskin when warm. Testicle also can go red after rubbing or shower. My doctor said I have male genital dysaesthesia which is incurable. I also have some pain in the upper right groin. After sex, my pubic area also gets bright red and then disappear. Currently, I am taking Gabapentin 600 mg thrice daily. Doctor: Hi. I have gone through your query, based on your symptoms and examination I would concur with the opinion of your treating physician and his treatment. Penile hypersensitivity is very troublesome, but symptoms usually decrease with time. If very severe, circumcision may help in reducing the sensation of the glans due to hardening of the epithelial layer, although it is not a recommended therapy for this condition. The bright redness in pubic area is due to dilated capillaries secondary to the increased genital blood supply during sexual intercourse. It is more noticeable in some people. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12599, + "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": 8185, + "tgt": "Is it possible to have breathing difficulties because of sinus and turbinates issues?", + "src": "Patient: Hi doctor, Operation for supraglottic collapse, laryngomalacia last year, increasing difficulty in breathing and swallowing for four years, supposed to have operation on maxillary sinus right ethmoid and CT scan of paranasal sinuses, was meant to have submucous diathermy of inferior turbinates, and reduction of middle turbinates on right-hand side, all in the 2980s but moved way and did not receive correspondence, just been identified with weak breathing muscles chest ribs back and potential diagnosis just given of respiratory dyskinesia by cardiothoracic surgeon. Was supposed to have palate and tongue looked at on advice of NHS respiratory consultant at the local hospital, not done. The surgeon has just sent through potential diagnosis but also alluded to MRI scan taken two years back which identifies moderate mucosal hypertrophy in left maxillary and mild mucosal hypertrophy of right ethmoid sinus as well as mucosal hypertrophy of paranasal sinuses noted. Have rung 111 for advice to see if these issues could be imitated in breathing difficulties increasing leafing to immobility and weakening breathing muscles giving the potential diagnosis of respiratory dyskinesia. Also huge swallowing difficulties. Weak swallow identified a year back, barium swallow not notified by GP. No investigations despite repeated requests ENT just larynx. Nasal breathing has been weakening for a long time and now can barely breathe lying down. Choking fits increasing without food or drink. GP has not been interested in a date. Could these sinus and turbinates issues be causing increasing differences? As now long term deteriorating problem. Choking pressure to breathe through the nose and very very weak breath. I cannot yawn. Weak jaw muscles. Cannot stick tongue out without choking. Soft palate ripping. Problems with mouth muscles smiling, etc. Feel could stop breathing in the night as breathing weaker and weaker and noises from the throat are increasing. The surgeon is recommending CPAP machine to keep throat muscles open whilst wait for neurology. Wondering if could be all ENT related. Tightening feeling around larynx and chin. Doctor: Hi. I personally feel you have been having chronic obstructive sleep apnea at different levels. However, the symptoms of difficulty in opening your mouth and yawning can be related to the temperomandibular joint. The other symptoms such as weakened chest moments causing discomfort while breathing is mostly attributed to a probable respiratory dyskinesia as provisionally diagnosed earlier. Hypertrophy of the nasal mucosa in the ethmoid and maxillary sinuses can be secondary due to sinusitis which can be responsible for the probable headache and nasal obstruction you are having. Treatment of the hypertophied mucosa can be initially done with nasal steroid sprays over a few months and then depending on your symptoms and a repeat CT scan should give an idea of requirement for surgical diathermy and reduction considering hypertrophied inferior turbinates. All in all, we are looking at different problems here and you will not get relief from all the symptoms. You have quotes above just by getting the sinusitis and turbinates treated." + }, + { + "id": 12378, + "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": 19886, + "tgt": "Why does lung cancer medicine hamper aneurysm treatment?", + "src": "Patient: Hello doctor, My friend has a\u00a0brain aneurysm and lung cancer. He is undergoing treatments for both. Now, the medicine for lung cancer is hampering the aneurysm. What to do? Please suggest. Doctor: Hi. \u00a0Revert back with a detailed history to a\u00a0pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 9590, + "tgt": "Is there treatment available in Ayurveda for 95 % artery block?", + "src": "Patient: Hello doctor,My brother is 57 years old is diagnosed with 95 % blockage in one artery, and his doctor had suggested for a stent. Can Ayurveda treatment cure this? Doctor: Hello. 95 % blockage is more and can not be cured with the help of medication, whether Allopathic or Ayurvedic or any other medicine. Because if a complete blockage occurs, it might further lead to heart attack due to the hindrance of blood flow. Medicines are given to prevent further blockage because once the blockage occurs, there are chances that in other arteries blockage may occur. So it is better to go for stenting, and once he stabilized after all the treatment, then you can take ayurvedic medicine as a preventive measure to protect the heart from any further problem. I hope you are satisfied with my answer. For more queries, you can consult me." + }, + { + "id": 11976, + "tgt": "Is it true that eating habits and certain foods impact sleep?", + "src": "Patient: Hello doctor, How eating habits or certain foods impact sleep? How much should men be stretching at 25, 30, 35, 40, 45? Does the need to be flexible vary by age? Doctor: Hi. Eating late heavy dinners will certainly affect sleep and also missing the meal altogether. Should avoid fatty meal especially at dinner time. Meals taken with lots of fluids are to be avoided too. Men should try and remain as flexible as possible, really more stiff, you are more likelihood of osteoarthritis setting in, more likelihood of injuries. Aim to continue with stretches for as long as possible." + }, + { + "id": 28970, + "tgt": "I got hurt when I was on the hoverboard. What to do?", + "src": "Patient: Hi doctor, I scraped my skin when I was on my hoverboard. My wrist got attached to the hoverboard tire, and the hoverboard started to spin fast. It hurt really bad. I was bleeding, and the white stuff came out of my hand. I am not able to pick my wrist up as it will hurt. Please help. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21446, + "tgt": "What does it mean to have PCR test of HIV below the detection limit?", + "src": "Patient: Hello doctor,I had an exposure with an HIV positive lady before four months and since then to a week back, all my fourth generation tests came negative as well as my VDRL was negative and also negative for HBsAg and hepatitis C. But I also did my RNA PCR test which came below detection range. The range was 20 to 100000 copies per ml but mine is below detection limit. Please guide me. I am freaking out right now. Is it possible to get negative after 75 days by fourth generation antigen-antibody test and have a below detection limit? I also took PEP after eight days of exposure but due to its side effect, I stopped it after 20 days. I tested 11 times in 75 days and all the test came negative except PCR test which came below the detection limit? Doctor: Hello. I went through your post. If a fourth generation test comes negative after three weeks of exposure, then the possibility of having an infection is less than 1 %. So I can assure you that you are HIV negative. You can repeat another test preferably CMIA (chemiluminescent immunoassay) HIV after three weeks again. So that we exclude HIV 100 %. So, relax and do not panic. You are HIV negative. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25338, + "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": 22218, + "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": 30986, + "tgt": "What is the reason for frequent stomach pain?", + "src": "Patient: Hi doctor,For the last five to six days, I am having frequent stomach pains.\u00a0\u00a0I am a vegetarian and have been in the new place for the last two months.\u00a0\u00a0I have been taking only fruits and salads here.\u00a0This usually happens when I eat something other than fruits and vegetables and is accompanied by bowel movements. I think this mainly happens when I eat mild spicy food. I do not drink alcohol or smoke. I have started taking Nexium from yesterday. Please help. Doctor: Hi. Revert back after five days to a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27344, + "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": 3535, + "tgt": "How do we get flu?", + "src": "Patient: Hi doctor, Why do we always have runny nose when we catch flu or cold? How do we get flu? I have headache and fever for almost a week. My tongue is sometimes white and lymph is a bit painful to touch but not swollen. Are these the symptoms of flu? Doctor: Hi For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 24167, + "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": 25619, + "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": 21134, + "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": 19692, + "tgt": "Does AST/ALT more than 1 mean liver disease or cirrhosis?", + "src": "Patient: Hello doctor,Three years ago I was diagnosed with non-alcoholic fatty liver and at that time my liver enzymes were 3 to 4 times of the upper ranges. I then lost weight and with time my enzymes got normalized. However, in last test, I have noticed a pattern where AST is greater than ALT, though they are in the normal range. AST is always greater than ALT a few points and in the last test, this increased more though the enzymes are normal. I have read the AST/ALT>1 is a sign of advanced liver disease or cirrhosis. Is this valid when the enzymes are in the normal range also? It is in the last three years that my platelet count changes in 128 to 180 range always. Doctor: Hi. No, the concept of AST: ALT is not valid when the enzymes are in normal range. However, low platelet count can be an early sign of liver cirrhosis. It is not very uncommon to get liver cirrhosis in cases of NAFLD (non-alcoholic fatty liver disease). I would recommend you upper GI endoscopy to look for any varices, a sign of chronic liver disease, fibroscan of the liver. I would also advice you to get tested for hepatitis B and C, in case you have never been tested for that." + }, + { + "id": 29382, + "tgt": "From the scan report, please explain the cause of my low back pain", + "src": "Patient: Hi doctor, I do not remember any spine trauma.\u00a0I do have morning stiffness of greater than one hour with will become better with movement. I have this issue for the past seven years. My HLA-B27 is positive. Am I suffering from inflammatory spondyloarthropathy or ankylosing spondylitis? I have attached my reports. My previous history includes bilateral linear edema of SI joint. I am currently on Celebrex 200 mg a day. Doctor: Hi. For further information consult a radiologist online -->https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 26297, + "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": 22432, + "tgt": "What dosage of Novolog is recommended for TID?", + "src": "Patient: Hi doctor,I was diagnosed with TID 14 years back. I will run out of Lantus before the next shipment arrives, but I have plenty of Novolog on hand. My daily dose is 32.5 units Lantus at 10 AM and 12.5 units at 8 PM, with a sliding scale for Novolog (typically 0 to 6 units). What dosage or schedule would you recommend for temporarily relying on Novolog only? Doctor: Hi. I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog (and not sliding scale of Novolog- Insulin aspart). You can take Novolog but it has to be every 3 to 4 hours, and it has to be scheduled. Also, you need to check your blood sugar every 3 to 4 hours before taking a shot, that is a must. You will run into very high or very low blood sugar and will see an erratic pattern, you will have to adjust the dose accordingly. Watch and check your ketones 2 to 3 times daily, should not stay without Lantus (Insulin glargine) for more than 24 hours. Novolog dose at least should be seven units every four hours (calculated from your current regimen you should need at least 1.8 units of Insulin every hour to survive). If feeling sick with nausea, vomiting, diarrhea, belly pain, blood sugar less than 70 or more than 300 you should go to ER or urgent care center. You are at high-risk ketoacidosis. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27148, + "tgt": "I had a swelling in my chest, which moved to my abdomen, groin and ankle. What should I do?", + "src": "Patient: Hello doctor, I am a 48 year old\u00a0male. Two months ago, I noticed what felt like a swelling in my chest. It impaired my breathing. It seemed like I could only inhale about half or less of my lung capacity. Over a week, the swelling moved into my abdomen. My stomach began to swell and look distended. After two weeks, it became painful to stand and walk as my stomach would stretch to full capacity. When standing, I look pregnant. The swelling moved down my body causing my groin to puff up like a pillow. Eventually, it went all the way to my ankles. After a month, pain and nausea became normal companions as my abdomen swelled even further. Eating became a challenge, as more and more foods nauseated me. Suddenly one day I became allergic to milk. I used to eat cereal with milk often. But, suddenly milk came right back up. I could not hold it down for more than half an hour. At the same time solid foods, in general, became very irritating to my stomach. This has left me mostly surviving on almond milk and cocoa. Unfortunately, the liquid diet has its own issue. This swells my stomach painfully. The only relief is to lay on my side in a fetal position. For some reason, this relieves the pressure in my stomach.\tIt might be worth mentioning that, I have had a hernia that has developed over the last half year. I have read somewhere about distended hernias being involved in abdominal issues. The hernia is not painful although it is awkward, as I can push stools out of a pouch beside my groin.\tI have been suffering from severe agoraphobia for four years, which is why I have not yet gone to a doctor about this. I cannot get anyone in the medical industry to understand the terror leaving my house causes. They all say 'come to my clinic and I will help you.' They do not understand the crippling terror that would cause.\tAny advice or suggestions would be greatly appreciated. Doctor: Hello. For more information consult an internal medicine online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21417, + "tgt": "I have bleeding paper-like cuts after scaling. What do you recommend for healing?", + "src": "Patient: Hello doctor, I went to the dentist for a teeth-cleaning on Wednesday. On Thursday, I noticed that the floor of my mouth on the bottom right side felt sore. When I looked with a light, I noticed a couple of cuts that were kind of like paper cuts. They bleed when I brush. The pain can be managed somewhat with teeth pain relief gel. I do not recall these being there before my cleaning. Or if they were, they certainly did not cause any pain. Could they be caused by the cleaning? What do you recommend for healing, pain management, and preventing wound infection? Doctor: Hi. You mentioned about the bleeding of the gums after scaling. Usually, you can see bleeding gums and cut-like appearance near the border of the gingiva due to one of the following reasons. White appearance on the floor of the mouth suggests ulcers. It may be due to: Prevention: For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30673, + "tgt": "My mother is admitted with chest pain. How serious is her illness?", + "src": "Patient: Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D echo. I have attached the reports here. Her doctor said that she was on the verge of a heart attack when admitted. Her ECG is said to be abnormal and 2D echo depicts CAD and diastolic dysfunction. Currently, she has been treated to lower her blood pressure. Her doctor told me to do TMT and angiography, if TMT appears positive. Could you please let me know by seeing the reports how serious the illness is. I would like to know the future course of action in terms of tests and treatment. Doctor: Hi. I have gone through her reports (attachment removed to protect patient identity). 1. Diabetes mellitus. 2. Hypertension. Troponin I value. Non-cardiac chest pain like muscular. Acute coronary syndrome (includes both MI and unstable angina due to sudden obstruction of blood flow to heart). Do trop I or trop T and then repeat after 12 hours from onset of pain, if the initial value is negative. If positive, then do angiography. If still negative, then do a stress test. Revert back with the reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22898, + "tgt": "I have depression and feel completely withdrawn from social life. Kindly help", + "src": "Patient: Hello doctor, I am 25 years old female suffering from depression since last two years due to various reasons. I am a loner in life and now completely withdrawn from social life. I cannot name a few friends to whom I can talk and my family does not show any care towards me. I am staying away from my family due to a job and staying alone. I consulted a psychiatrist five months back as I was having sleeping problems (I used to feel severe anxiety and fear during nights without any reason). He diagnosed me with a major depressive disorder and the doctor had prescribed some anti-depressants but I am reluctant to take such depressants as I think they might have side effects so am not using any medicines. I cannot connect to people or converse or mix up with them easily ever since my childhood, as a result, I remained a loner in life. I had never been in a loving relationship with any boy till now and that upsets me a lot. I had feelings towards two guys but they left me saying they do not love me. I feel always rejected in life. As I could not bear this loneliness daily anymore, I started chatting online not realizing I was making a wrong move. I met one person in real but I was forced to have sex without my interest (this happened two months back and I fear pregnancy). I feel totally guilty and sometimes nothing for what I did. I shut down online chatting and now I feel it impossible for me to have a social life any more. My family cannot get me married. I feel there is nothing in my life to be happy about and I feel I am not worth anything on this earth. I am feeling very much suicidal (I may not do it but I really feel that I do not want to live a life like this). I feel irritated and lose control over myself easily. I started abusing my family members saying that they do not care me enough. I lost interest in my career and not able to work properly and unable to speak friendly with my colleagues. I cannot go out of my home to anywhere on my own nor do I have anyone to go with and feel more depressed to go alone. I am afraid I may lose my career along with personal life too. I wake up in the night sometimes not recognizing myself and for what purpose I exist. I am not able to put my entire feelings but I feel them very strong. I am writing this with a hope that you will help me. Doctor: Hi. I read your query and have an impression that your psychiatrist is right in diagnosing you as a person suffering from a major depressive disorder. In fact almost all the symptoms are present at this moment which point toward major depressive disorder. I understand your concern about side effects of medications but at the same time, I am really worried about the outcome if you do not take care of yourself. I mean to say that medications may have side effects but they are really helpful to get you out from major depressive disorder from which you are currently suffering. In addition to this most of these side effects are short lasting and not everybody develops side effects. In fact, around 10 to 20 % of a person with antidepressant develop some side effects and only 1 to 2 % develop serious side effects. If you do the risk-benefit analysis of antidepressants you will find that the risk is much lower in comparison to benefits. In addition to medications, there are other options which can be handy to get rid of depression. One among them is counseling and psychotherapy. You can find a psychologist in your city for psychotherapy. If you are unable to do so I will be happy to do online counseling for you. At this moment my advice is to start taking medication and stay active. If you do not have friends, develop a friendship with your body. Do regular exercise and stay healthy which will help you to get the right person in your life and will also help in depression. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 5880, + "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": 19892, + "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": 6578, + "tgt": "May I know the recommended dose of Mirtazapine for social phobia and anxiety?", + "src": "Patient: Hello doctor, I am suffering from anxiety and social phobia. I consulted my psychiatrist to use either Citalopram or Mirtazapine. I doubt to take Citalopram because I know this causes sexual side effects more often than Mirtazapine does. However, regarding Mirtazapine, I read various things online that, because it is a norephedrine activator (SNRI) instead of SSRI, it can cause anxiety to become worse. I want a second opinion, if I were to use Mirtazapine, what is the recommended dose for anxiety and social phobia? Doctor: Hello. 1. Both Citalopram and Mirtazapine are good choices for managing anxiety and social phobia. 2. If you are worried about sexual side effects, Mirtazapine will be a better choice. 3. Both Citalopram and Mirtazapine can take up to four weeks for the therapeutic benefits to become apparent. Some people can experience agitation and anxiety during the first week or so, but usually, it settles down. Mirtazapine has a sedative effect as well, so it should be beneficial. 4. The usual starting dose for Mirtazapine will be 15 mg once daily at bedtime. If needed depending on your response and tolerability, the dose can be titrated up to 30 mg or 45 mg per day. Medication can only be started after your doctor has ruled out any contraindications and should be able to monitor your response. 5. Finally, in addition to medication, you can also try psychological therapy and CBT (cognitive behavioral therapy) for anxiety. They are highly effective and help to prevent relapse after the medication is discontinued when you have improved. Usually, antidepressant medication needs to be continued at least for six months after you feel better. I hope this helps." + }, + { + "id": 14990, + "tgt": "What has to be done for receding and weak gums?", + "src": "Patient: Hello doctor,I have an issue regarding my gums. For the past few days, I have been feeling that my gums are becoming weak and thin as they are leaving my teeth and going down from my teeth. I want to say that a part of the teeth which is hidden under gum is showing. I am a smoker and I am already trying to leave it. Please suggest me some treatment. I usually brush once daily. Doctor: Hello. I have been through your query and I can understand your concern. Receding gums can be a problem associated with many factors. It is known as the recession of gums. I would like to know if you have a habit of brushing your teeth hard. Smoking causes stains on teeth and there could be the urge to remove these stains by brushing hard on the tooth surface leading to the recession of gums. I would like you to have an appointment with your nearest dentist in order to get the teeth cleaned (scaling) properly and also to assess the severity of the recession so that the treatment can be done accordingly. Meanwhile, I would also advise you to brush with a soft or ultra soft-bristled toothbrush twice daily and also floss daily. Also do not scrub the brush onto the teeth hard, be gentle while brushing. I would love to hear from you regarding the follow-ups." + }, + { + "id": 2007, + "tgt": "Please suggest ways to maintain good prostate and testicular health and to prevent cancer", + "src": "Patient: Respected doctor. I need few clarifications on how to protect testicle of us and right foods to eat for good testicle as well as for prostate and scrotum health. Also provide how one can prevent cancer in these areas like prostate testicle and scrotum Doctor: Dear, Hope you are doing well Very nice question at a very young age i must say Diet / things to avoid Things to eat more If i come specifically for avoidance of prostate cancer then in non veg fish (salmon, sardines) as these containers omega 3 fatty acids, berries (strawberry, blueberries, raspberry, blackberry) as they contain antioxidants, green tea as again contains antioxidants, Broccoli contains phytochemical, tomatoes as it contains Lycopene which is also good antioxidant. For Scrotum health as it is a skin covering over the testicles you have to do things like you do to take care of your skin anywhere else like keep proper hygiene, proper cleaning with soap and water everyday, avoid unprotected sex with unknown partner etc I tried to answer your questions as far as possible Thanks Regards Feel free to ask anything else you have any query related to sex education or related to keep your kidneys and bladder healthy" + }, + { + "id": 18424, + "tgt": "My mom gets severe abdominal pain followed by a painful lump below her stomach. What to do?", + "src": "Patient: Hello doctor,My 58 years old mom suddenly gets severe lower abdominal pain on the right side, and at the same time, she feels a lump\u00a0below her stomach and above the thighs. She used to feel like something is being pulled inside in one direction. She gets relief from this stomach pain once she vomits, and then the lump below the stomach also disappears. The lump is a tubular structure about 1 to 2 inches diameter. Also, the lump is painful when touched and it is not movable. If she does not take rest immediately, she will have severe pain up to two days. Sometimes before the onset of stomach pain, she has dysentery. All this is going on from the past 1 to 1.5 years. During the abdominal pain, she cannot even urinate, and even if she urinates, it comes out in drops. Can you please let us know the\u00a0possible reason, treatment, and diet measures if any? Thanks. Doctor: Hi. Thanks. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12655, + "tgt": "Small rash on the head of penis which itches occasionally. What could it be?", + "src": "Patient: Hello doctor,I am 24 years old. Not too long ago, I got a small rash on the head of my penis; it was like three to four little red bumps. It was a bit itchy but not to where I would always feel the nerve to itch. I saw online that using antibacterial aloe vera gel would help. And it did go away after like three days. But then every now and then I get the same rash. It is not itchy, or I do not notice it until I look. No blisters of any kind and it just itches occasionally. I am not circumcised so if maybe I got an infection. I do not know what it could be. Doctor: Hello. Please attach pictures of your lesions for proper diagnosis and treatment. There can be infection, eczematous disease or inflammatory disorder. So, please send your lesion picture for appropriate diagnosis." + }, + { + "id": 3217, + "tgt": "Are there any new interventions for bronchiectasis to improve the quality of life?", + "src": "Patient: Hello doctor, I am a 47-year-old male. I am a known case of bronchiectasis since childhood. Is there any new treatment? Or new interventions for the best quality of life? Doctor: Hi. I can understand your concern. Yes, a new pulmonary antioxidant is available. May I know his current medications? Is PFT (pulmonary function test) report done or not?" + }, + { + "id": 4942, + "tgt": "Are itchy and dry facial skin after stopping whitening cream symptoms of topical steroid withdrawal?", + "src": "Patient: Hello doctor, I have been using Amira magic cream for about four years and I just totally stopped this year. I got itchy, very dry, red and flare up skin in my face, neck and underarms. I noticed that every time I stopped using it my skin became dry and itchy but when I started to apply the cream again my skin became clear and bright again. I read bad reviews about this cream online, we are all suffering the same outcome. Sometimes I am tempted to buy the cream again just to have my clear skin back, but I know I have to use it for the rest of my life. Do you think that the cream that I was using for a long time had steroids? Am I also one of the sufferers with the so-called topical steroid withdrawal? It has been two months since I have this dry and itchy skin. Please help me. Doctor: Hello, Welcome to icliniq.com. You should not use it further as it is clearly causing damage and problem to your skin. The manufacturer does not write steroids in its composition but the whitening creams available in the market do contain harmful ingredients. Always use the product prescribed by the dermatologist. It will take time to better your skin and hope for the best. Steroids? Steroid-induced contact dermatitis? Steroid-induced rosacea? Use good sunblock of SPF 60. Apply Metronidazole gel 0.75% over face once a day (mix it with cold cream if it irritates your skin). Use petroleum jelly four to five times a day. Maintain good hygiene of the area. Wash with soap and water. Avoid using Dettol and other irritants. Please follow up at three weeks with pictures attached." + }, + { + "id": 13052, + "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": 7718, + "tgt": "How to get rid of the pain on the right side of the bottom of my spine?", + "src": "Patient: Hello doctor, I am a 25-year-old male, around 199 cm tall and 85 kg weight. I have been playing sports when I was young (volleyball, tennis, and basketball) and I was fit for a long time. However, since I started with higher education (around six years ago), I tended to study in a semi-bent position in my bed. Recently, I started feeling a dull pain on the right side of the bottom of my spine, which persists until I either bend my spine upwards with a pillow or sleep. I also have to note that I sleep on my side, with a pillow between my knees. When I walk, this pain in the side of my spine increases (I do not feel any unbearable pain, it is just uncomfortable), but I feel a sensation from that spot in my spine to the bottom of my right leg (on the back side of it, mostly). Does this seem like a common issue? If so, please tell me what exercises I can do to prevent my spine from going bad? I am in a period of intense exams, and I need some advice on how to stop this pain? Doctor: Hello. I read your concern. I feel the pain what you describe is due to bad posture adapted all these days. It could be a neural pain due to any disc issue and may not be a worse prolapse. This may warrant a thorough examination of your spine and hip. As of now, I recommend you to do spine extension with pillows frequently, avoid the semi-bent posture which gives you the pain. Do certain glute and core stability exercises. Keep a lot of icing often like once in two hours. Please do revert back to me after two days and let me know the status of the pain." + }, + { + "id": 12979, + "tgt": "There is a hole in root canal treated tooth. Can the filling be done again?", + "src": "Patient: Hello doctor, I had a root canal done two years ago. They had to drill into a new crown. The crown was filled afterward. Today I noticed a hole where the filling was. I am scared now that the root canal is going to get reinfected. Is there a good chance that the crown can just be refilled? Or is there an equally good chance that bacteria has already gotten in? I do not think it has been longer than two weeks based on my last dental visit. Doctor: Hi. I have gone through your question and I can understand your concern. In case there is no pain and swelling, the tooth is not infected. The root canal is always filled with gutta percha material and sealed. The filling is done after the root canal procedure is properly done. Even if there is an infection that would be treated with antibiotics and refilled after that. My advice is that visit your dentist as soon as possible and get it refilled. There will be only restoration and not new root canal treatment. Fallen restoration. IOPAR X-ray. Prosthetic crown fracture. Rerestoration." + }, + { + "id": 26315, + "tgt": "Why is my mole proliferating even after excision?", + "src": "Patient: Hi doctor, I have a question about a mole. I had a mole biopsied a few week back and the pathology report came back, as\u00a0the pathologic process is that of a proliferation of nevomelanocytes within the epidermis and focally within the dermis. Cytologic atypia is present and manifests as large nuclei, pleomorphism, and abnormal chromatin patterns. No atypical mitotic figures are identified. An architectural disorder is present and manifests as lentiginous hyperplasia, horizontal growth pattern, individual melanocytic hyperplasia and abnormally formed junctional nests that focally demonstrate bridging adjacent rete ridges. There is junctional asymmetry. The melanocytic cells extend to the deep margin and to both lateral margins. The pathologist called it a \"mild to moderate\" atypical mole and suggested that I get it excised, which I did. However, when they went to check the margins, it was upgraded from \"mild to moderate\" to \"severe.\" How concerned should I be about this? And why would a mole be upgraded upon excision? They are recommending another excision, as some of the cells were left behind, which I will do within the next few weeks. Doctor: Hi. One should always look for following changes for melanocytic nevus as follows: The treatment is complete excision along with the margins. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5709, + "tgt": "Had two i-pills in a time gap of two hours. Is there a chance to get pregnant?", + "src": "Patient: Hi doctor, I had unsafe sex with my girlfriend. I am sure that I did not ejaculate but she did take an i-pill for safety. We had sex for the second time and now I guess that I might have ejaculated and so she took one more i-pill. So, in total she had two i-pills in a time gap of two hours. Now she did miss her periods. Is there any chance that she is pregnant? Doctor: Hi. If she has taken the i-pill within 24 hours of the intercourse and in her case twice within a gap of two hours then she has doubled the concentration of progesterone. Usually, a withdrawal bleed is seen within next five to seven days from the day of i-pill intake. As she has taken two it may be delayed by a few days, but chance of pregnancy is minimal. If seven day period since the intercourse have been crossed then you may do a serum beta hCG test to rule out pregnancy for confirmation and to settle anxiety. If the test is negative then she is surely not pregnant and then she can wait for her withdrawal bleed to resume naturally without fear, though the chances are minimal. If seven days have not been completed then only option at present is to wait for completion of days and see if the menses resume. Once resumed, pregnancy is ruled out. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4831, + "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": 26327, + "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": 6932, + "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": 15795, + "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": 13091, + "tgt": "How to remove a scar caused by scrub?", + "src": "Patient: Hi doctor, I have done PRP and my skin peeled so much. Unfortunately after 10 days of peeling, I used the scrub in my face. It started itching and the next day I had a brown scar in my cheek. How can I remove it? Doctor: Hi.I have noted your concerns. In a case like yours, who had undergone PRP (platelet-rich plasma) I would recommend the following measures." + }, + { + "id": 21510, + "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": 9515, + "tgt": "Why do I have leakage in my penis on doing jelqing?", + "src": "Patient: Hello doctor, I am a 22 year old male. I have little penis (3 inches) and for increasing my penis size, I do stretching exercises like jelqing and on doing jelqing, I have leakage in my penis and I do masturbate 3 times a week and jelqing time duration is five days in a week and I also do exercise for my height means for increasing my body height. So will it affect the body? Is masturbation right or wrong? I have attached the reports you had requested for. Doctor: Hello. Your reports are normal (attachment removed to protect patient identity). So, no medicine will help. Height and penis size cannot be increased at your age. Masturbation is normal and not harmful. Be careful while doing jelqing. If you do it vigorously you may damage the penis. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 850, + "tgt": "Is it possible to get sinus infection due to aspiration of soup?", + "src": "Patient: Hello doctor, Is it possible to get some sort of sinus infection from accidentally aspirating soup when you are eating? I always make the mistake of choking on ramen and it has been happening a lot lately. I noticed in the last two months that every time I have ramen and choke on the soup, I get a sinus infection or something that feels like uncomfortable post nasal drip. Could it be because of choking on the ramen? Doctor: Hi. It is very unlikely that you develop a sinus infection following consumption of any food. However, if your prone for a post nasal drip after consuming anything for that matter, it could be related to a food allergy what we categorise as NINAR (non infectious non allergic rhinitis). Post nasal drip occurs due to accumulation of mucus in the nose which has no place to go other than being blown out or pushed into the throat which often causes irritation and frequent throat clearing. I do not really suggest any treatment for this. You take steam, have warm water and do saline gargles to get rid of the irritation temporarily. Ultimately it is always best to avoid consuming anything which can trigger such a response." + }, + { + "id": 22615, + "tgt": "Will my partner get HSV if we have unprotected sex during non-outbreak?", + "src": "Patient: Hello doctor, I have herpes 2 and have taken Valtrex for three years faithfully and last outbreak was two years ago. My labs show that my numbers were very low. Trying to explain to a new partner: Never have sex if I have an outbreak. Condoms are recommended by doctors for all sex because there is the possibility of transmitting HSV even if there is not an outbreak. He thinks this is excessive and unnecessary because it is a legal issue of liability. He also thinks he is smarter than doctors. My question is that if we have unprotected sex during a non-outbreak, is it 100 % certain that he will get HSV? We read that his hands touch my herpes outbreak area, he could wash his hands after and he would not get HSV. Does this apply to his tongue to the same genital area, just cleanse the mouth and teeth and what if there is no outbreak, is oral sex safe for him? Yes, we know about dental dams. Doctor: Hello. Regarding your first question, it is better to avoid sex during an outbreak because there is a high risk of transmission during this period. Also, it would be painful to have sex if lesion involving near the vagina. Next thing, it is possible to acquire an infection during non-outbreak duration as there is asymptomatic viral shedding although the risk of infection is less. So it is better to take precautions in order to avoid transmission. In hand, we have a protective epidermal layer, which prevents direct transmission of viruses unless there is a break or wound. But, same is not true for tongue and mucosa as there is no protective layer. So, it can directly transmit infection. So oral transmission may occur irrespective of washing teeth or tongue. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25157, + "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": 24055, + "tgt": "I have pain in the throat when bending. How can this be healed?", + "src": "Patient: Hi doctor, I took an endoscopy test. Tell me what the impression means. Is it serious? Now, I am having pain in the throat when bending, and pain in chest when burping. How can this be healed? What medicine can I take? Please advice me. Doctor: Hi. Nothing to worry. There is some acidity issues as well as possibility of reflux of acid from stomach to food tube (esophagus). Need diet modifications. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 7335, + "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": 15372, + "tgt": "I hurt my fingernail, it has turned black and paining very badly. Please help", + "src": "Patient: Hello doctor, I recently (a few hours ago), had my finger hurt by a pan really hard. A part of my nail has turned black and the remaining part is a healthy pink. I have a throbbing pain. Will it heal on its own (growing the fingernail out) or will the nail turn dead and fall off? Doctor: Hi. If your fingernail is totally black, it will fall off automatically within one or two months. Since it is half black and is paining severely, it is advisable to visit a surgeon. A surgeon will assess the condition and will do the needful. The blackness is due to necrosis and can lead to infection if not treated on time. There are chances of bone involvement which can lead to complications. Meanwhile, you can start taking Amoxycillin-Clavulanic acid 625 mg twice daily for 10 days to prevent the spread of infection." + }, + { + "id": 8633, + "tgt": "What are all the diseases that could be acquired from our pets and how to treat them?", + "src": "Patient: Hello doctor,What diseases can we potentially catch from our pets and how to prevent and treat them? Doctor: Hello. 1. Toxoplasmosis is an infection from cats to human. We have to wash our hands, maintain cleanliness, and avoid contaminated food. 2. Ringworm can be contracted from spores that survive without a host. Personal hygiene and cleaning of clothes and utensils with hot water as preventive measures. 3. Campylobacter from cats to humans if not washing hands with water and soap after being in contact with cats or their feces. 4. Roundworm, cat parasite causing gastrointestinal problems and blindness if left untreated. Practicing proper hygienic measures can prevent infection. 5. Salmonella and giardia can occur through contaminated cat feces. Should practice proper hygienic measures." + }, + { + "id": 22926, + "tgt": "Is spotting due to I-pill or early pregnancy symptoms?", + "src": "Patient: Hi doctor,I had unprotected sex five month back and took I-pill within 12 to 14 hours. I have done home tests on the sixth and ninth day which were negative. I had brown spotting on the 13th day and some spotting today as well. My last period was ten days before having sex. Is the spotting due to the I-pill or it could be early pregnancy symptoms? Also, how late can someone get spotting due to the I-pill as in my case it is over ten days? Doctor: Hi. Well, the best way to find out whether this is spotting due to pregnancy or I-pill is by doing a simple blood test namely the serum beta hCG (human chorionic gonadotropin) to rule out pregnancy. Please share the report when ready. Home pregnancy tests are not very accurate. With regards to the duration till when one can get I-pill related. Spotting or bleeding following I-pill intake is highly unpredictable. If the blood test is negative for pregnancy, I suggest you not to worry and also avoid using I-pill as a regular contraceptive. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26476, + "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": 16243, + "tgt": "Is it safe to take Sysron to stop prolonged period?", + "src": "Patient: Hi doctor, I am on my period for one month. I have consulted a doctor, suggested me to take Traptic for three days, yet the flow did not stop. Then, she gave another tablet Sysron for 20 days. Is it is safe to take? I am married women. Doctor: Hi. First get ultrasound gynecology done to know the endometrial thickness. If it is less than 5 to 6 mm, then this medicine, Sysron (Norethisterone) will not stop the bleeding, but instead, you need to take combination oral contraceptive pills to stabilize the lining. If the lining is quite thick then, Sysron will work. Also, get your thyroid profile and S prolactin, fasting blood sugar and fasting insulin, on empty stomach done." + }, + { + "id": 20014, + "tgt": "Is rabies a contagious disease?", + "src": "Patient: Hello doctor, I was bitten by a dog 13 days ago. I took anti-rabies vaccine after 25 hours of the bite. I have taken three vaccines until now. I had oral sex with my wife and by mistake, I bit her at neck two days ago. Should she also receive the anti-rabies vaccine? The dog is still alive. Doctor: Hello. Contact with someone who is receiving rabies vaccination does not constitute rabies exposure and does not require post-exposure prophylaxis. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11296, + "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": 109, + "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": 4023, + "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": 11792, + "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": 24540, + "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": 22472, + "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": 6103, + "tgt": "Does taking Ibuprofen before blood work affect platelet count?", + "src": "Patient: Hello doctor, I had a hair transplant with 1500 grafts. That means about 3500 1 mm holes were made in my neck area (beard) and scalp and formed crusts and healed. Following my transplant (30 hours later), I had a normal white blood count but platelets were very low (60000), after one week my platelets were back to normal. I was also taking a lot of Ibuprofen at the time before my blood work. I have two questions: Can platelets go down because of wound healing? I have read that they have a lifespan of 10 days, is this a possibility or surgery or wound recovery will not produce this? Does taking Ibuprofen before blood work affect the count at all? Doctor: Hello. Hereby, I am giving you opinion regarding your case. Platelet has seven to 10 days lifespan but it is produced from megakaryocytes continuously. Surgery or wound healing like in hair transplantation will not reduce platelet count. If following surgery infection occurred than temporary platelet count can be low. In your case, this cause seems most commonly. In few patients, yes Ibuprofen overuse can affect platelet count temporarily. But now your platelet count is within a limit so do not worry. Sometimes, viral infection also can temporarily decrease platelet count. Now no need to do a further investigation as the count is within the limit. Continue taking prescribed medication and shampoo. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26734, + "tgt": "My 15 year old son shows a lot of anger and aggressiveness. Why?", + "src": "Patient: Hello doctor, My 15 year old son is showing a lot of anger and aggressiveness. Please see his attached files for the details. I want your second opinion.\u00a0I need your opinion on the possible treatment of my son to reduce his extreme angriness, lack of patience, and restlessness. His exams are around the corner, and I want treatment done before his exams. Or else, the medicines will make him sleepy during his exams. He is very sincere about his studies, and his behavior is normal, but I want him to work with a cool head and take precautions in life. I have also attached his prescription. Are these medicines correct for him or do you suggest any other mild treatment? Please guide me. Thanks. Doctor: Hello. I have seen all the attached reports (attachment removed to protect patient identity). I would like to know a more detailed history about your son: Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22133, + "tgt": "I am having sudden nausea in 29th week of pregnancy. How can I feel better?", + "src": "Patient: Hello doctor, I am 29 weeks pregnant. From the last two days, I am not feeling good. There is sudden nausea. The baby movement is fine but I am not able to eat anything because of nausea and frequent urination. Burning feet is also there accompanied by gas and constipation. Doctor: Hello. Vomiting is more usual in the first trimester. In the second and third trimester, it is less usual and can be due to a urine infection. Have urinalysis and urine culture. If it comes positive for infection, you need antibiotics. Have a strict check on thyroid as well. It should be normal and have recurrent checkups. Have plenty of water and cranberry juice to prevent/have relief from a urine infection. I suggest you have tablet Cyclizine 50 mg eight hourly before 45 minutes of taking food. Have small frequent meals of your choice that you like nowadays and you can have easily like juices, soups, soft diet but homemade. Have walk daily and try to have diet properly with a tablet as improper diet habits cause digestive problems. Have Calcium on alternate days for few days till you have relief from these symptoms. Check thyroid level and consult a maternal medicine specialist if abnormal for readjustment of the dose of Thyroxine. Check urine reports with a gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7562, + "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": 15848, + "tgt": "How to treat social phobia?", + "src": "Patient: Hi doctor, I have social phobia. I have this problem from my childhood. Till now, I have not visited any doctor. I am explaining my common issues. Please go through it and please suggest me. I dislike being introduced to other people. I find hard to go outside. I cannot be confident in front of other people. I hesitate to go through crowds. I have a fear to go to parties. I have a fear to have eye contact. I cannot concentrate on my work. I find it hard to socialize with other people. I feel hard to talk in front of other people. I feel anxious when I go to social ceremonies or functions. I generally want to stay silent always. I have a fear to talk with others. It makes me depressed. I have a fear to give a speech in front of other people. My mind is going blank, and I am very nervous. Please give me useful advice. Doctor: Hi. I have gone through your problem, and I can understand your concern. You have social phobia and anxiety disorder. You need to consult a psychiatrist soon as depression and avoidant personality disorder are difficult to differentiate from a social anxiety disorder. In social phobia, SSRI (selective serotonin reuptake inhibitor) and psychotherapy such as cognitive retraining, homework assignment, and desensitization are helpful." + }, + { + "id": 11762, + "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": 8875, + "tgt": "I got hit by basket ball in neck. How can I find out if there is any injury?", + "src": "Patient: Hi doctor, I was just hit on the right side of my neck with a basketball. Part of the basketball hit my chin, so my neck cartilage did not take the entirety of the impact. The basketball was probably traveling around 20 mph, I do not know for sure. As a large object, it probably did not exert that much pressure per area. Regardless, it happened in a fraction of a second. I do not have any noticeable wheezing or any hoarseness right now. However, I have some mild shortness of breath. I do not know whether this is related. Because I also have asthma and silent reflux, I have a pulse oximeter and a peak flow meter, both values of which are normal presently. I have some mild neck pain too. My cough is normal (no blood), and I do not have any difficulty swallowing. Can I wait a couple of weeks to get an indirect nasal laryngoscopy from an ENT in my area, and then depending on the result, symptoms then, get a CT/MRI a week thereafter? Or should I go seek emergency medical care now? Doctor: Hello. Normally larynx is well protected by protruding mandible. Most of the impact is received by the sturdy mandible. However, since the impact was on the side of the neck, the laryngeal framework might have received some impact. I would like you to palpate your neck for tenderness and if you can also feel for crepitus of the thyroid cartilage if any. Also, look for any swelling. If there is anything like that or if you develop any hoarseness or dyspnea you may pay a visit to ER. In the absence of these, you can wait and take some analgesics in the meanwhile." + }, + { + "id": 24533, + "tgt": "Can I use Crest whitening strips if I have a permanent retainer?", + "src": "Patient: Hello doctor, Can I use Crest whitening strips if I have a permanent retainer? Doctor: Hello. The strips will whiten only the portion of the tooth that it comes in contact with. If it is a fixed retainer, then you can use it on the front surface, but do not let the chemical touch your inner surfaces of teeth. I will prefer not using it in such a case, as there will be a difference of color in your outer (front) and back (inner) surfaces of teeth. If it is removable, you can. Make sure you remove all the excess material from the mouth and teeth before putting the retainer back on. If your teeth are sensitive, then it might ache a little while placing back the retainers. I would recommend you not to whiten teeth regularly as it can weaken your teeth and cause sensitivity in the long run. You can also ask your dentist regarding tray and gel method, for at-home whitening methods. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17742, + "tgt": "What happens to the dust that enters the eye? Will it affect the eyesight in the future?", + "src": "Patient: Hi, What happens to the dust that enters the eye? Does it go into the eyeballs? Will it affect the eyesight in the future? Doctor: Hello. Consult an ophthalmologist online for further details --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8367, + "tgt": "Why is there lactation and typhoid after withdrawal bleeding?", + "src": "Patient: Hello 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 back. Today she is experiencing some lactation and also suffering from typhoid. Is she pregnant. What to do? Doctor: Hello. As she had a withdrawal bleed, so chances of pregnancy are minimal. The lactation could be due to high prolactin levels due to hyperprolactinemia which needs to be investigated with serum prolactin levels. However, the best way to rule out pregnancy if you are still anxious is to get a serum beta hCG test done. If the hCG levels are less than 5 mIU then she is surely not pregnant. The lactation is not a sign of pregnancy. This cycle, the menses can be delayed as she is suffering from typhoid, so stay apprised." + }, + { + "id": 20441, + "tgt": "Why am I having yellow urine for last three months?", + "src": "Patient: Hello doctor, I am suffering from yellowish urine from the last three months. I already got treatment for fatty liver and I personally take Liv-52 for my liver issue, but still, the problem has not gone properly. I have also done USG, total bilirubin, LFT, KFT, etc. There is no issue of jaundice but my bilirubin count is high. There is a digestion problem too. Doctor: Hi. This is mild unconjugated jaundice. The causes are hemolytic anemia, Gilbert syndrome. There is no harm of these disorders, the liver is fine, no need to take any medication. We just need to confirm the diagnosis. For that, we need to do investigations, a little bit costly but mandatory to be sure about the diagnosis. UGT1A1 mutation (TATA repeat) for Gilbert syndrome. Peripheral smear examination to look for the evidence of hemolytic anemia. Later on, we may need to do HB electrophoresis." + }, + { + "id": 30537, + "tgt": "What do you think about the moles on my back?", + "src": "Patient: Hi doctor, I have some moles on my back and that in my opinion look suspicious. What do you think? Please clarify. Doctor: Hi. Please send the photographs to get a better opinion. Thank you. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3306, + "tgt": "I am unable to retract my foreskin during sex. Will Betadine or Soframycin help?", + "src": "Patient: Hello doctor, I had oral sex three weeks ago. That day also I faced the same issue i.e I was unable to retract or pull back my foreskin completely, it took like three to four days to get to normal. Two days ago I masturbated and again facing the same issue i.e unable to retract the foreskin completely. It will be back to normal in another couple of days. I never faced such problem before, is it that I might have developed some an infection during that oral sex? But if there was infection how it went normal after three to four days. I have attached the video of it so you can examine. I have a few questions: Can I apply some ointment like Betadine or Soframycin? The Betadine is the same Betadine brown color ointment which we apply on cuts, etc., or is there any specific for this private part? How to apply the ointment? For how long? Also, should I wash with water or keep it dry for long? In the video, I also have shown some pus-filled pimples below stomach in pubic hair region that occurs occasionally. I never trimmed pubic hair is it because of that? Is it advised to trim the pubic hair? Also, can you suggest an antifungal shampoo for public hair? My head is very sensitive to touch so it pains on the touch of cloth or hand. Is it normal? How can it be fixed? Is there any tablet I can take to cure this issue like Fusys 50 mg tablet? Doctor: Hi. I have seen your attachment. (attachment removed to protect patient identity). The foreskin opening appears to be slightly narrow due to which you are not able to pull up the foreskin easily. This may need some lubrication like KY jelly or coconut oil before pulling up the skin. The boils in the pubic area are due to skin infection. Apply Soframycin (Framycetin) or T-bact (Mupirocin) cream twice daily and take Cefuroxime 500 mg twice daily for five days. This would heal the boils. Avoid shaving the pubic hair, just trim with hair clipper or scissors. Penis head is always very sensitive. I would suggest you get your blood sugar checked once. Sometimes raised blood sugar can cause skin infections." + }, + { + "id": 9076, + "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": 26644, + "tgt": "I have shoulder pain after playing squash. How can I get relief?", + "src": "Patient: Hello doctor,I have shoulder pain possibly from playing squash. Please view my reports. Doctor: Hello. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 20782, + "tgt": "Sometimes my heart flutters and I feel dizzy and short of breath. Why?", + "src": "Patient: Hello doctor, I am a 25-year-old woman and 21 weeks pregnant. I have always noticed some irregular things with my heart but none have ever been detected on a monitor. However, it is much worse since becoming pregnant. I have noticed after eating any food, drinking caffeine, or feeling anxious my heart flutters and I feel dizzy and short of breath. Sometimes, I get a sudden wave of extreme fatigue. I am concerned I have atrial fibrillation or some other heart rhythm problem that my doctors are not finding. This triggers my anxiety and makes the symptoms worse. How would I know if it is just anxiety that seems to come at certain times, or if it is a problem with my heart? I have had a few EKGs and one 24 hour Holter monitor but did not experience symptoms during the tests. Doctor: Hello. All these symptoms may just indicate anxiety. However, we should make some attempt to rule out arrhythmias. Now, your symptoms which occurs including fluttering and dizziness can occur with anxiety or caffeine. Caffeine itself can produce palpitations and various symptoms. So overall, I would keep anxiety as the first possibility. But, whenever you get symptoms, you should try to feel pulse for pulse rate in one minute if possible for you. Or else if you have electronic BP apparatus then it may show your pulse rate. So it may indicate the possibility of atrial fibrillation. Next, ectopics are quite a common arrhythmia in the young patient, and it can be there in you. May get aggravated by pregnancy. It can give you the feeling of a skipped beat. Now, we should confirm it objectively. So the best way other than Holter is, you order Alivecor Kardia monitor, which is a mobile-based system, which is portable and you can attach yourself at home and it will record your rhythm and can be analyzed. Alternatively, various watches are available which can record your pulse rate throughout the day and we can at least analyze the heart to consider the possibility of atrial fibrillation. Overall, it does not appear anything serious to me at the moment. I guess you must have had an echo done, right?" + }, + { + "id": 18037, + "tgt": "How to cure the tiny red spots in the throat?", + "src": "Patient: Hi doctor, I am getting a throat infection for one or two times a year. As shown in the photo, I have tiny red painless spots in the upper part of the throat. When I get throat infection, mostly upper respiratory infection from nose to throat, these tiny spots become mild painful and sensitive to breathing air. Also, my throat area will become more reddish than usual. Once the throat infection gets cured, these tiny spots again become painless and less sensitive. But, they remain dormant over there. Some doctors said that it may be pin head ulcer or some allergic spots. My blood test HSV 1 and 2 shows no recent or past infection. And, other blood tests are normal. Please suggest what it can be. How to cure those spots? Doctor: Hello. I looked through the photographs you have sent (attachment removed to protect patient identity). I must appreciate the care and patience you have taken in capturing a clear photograph of the throat and labeling it for easy understanding. 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": 13352, + "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": 3759, + "tgt": "MRI says Posterocentral protrusion of L4-5 disc is abutting the L5 nerve root bilaterally What does this mean?", + "src": "Patient: Hi, I am a 32 year old male. My MRI report says: Posterocentral protrusion of L4-5 disc is abutting the L5 nerve root bilaterally. (In MRI it is black between L4-5 and kind of poking the nerve). My back pains occasionally and I think it is the nerve which is hurting, because the pain is like a sting. Currently I am taking rest and doctor said that he will check if physiotherapy can be started after a couple of weeks. I am afraid of the pain especially when it is near the neck or shoulders. I am able to walk and work. I am being treated by a spine specialist. Please let me know if I have to go to another doctor like a neurosurgeon and can I lead a normal life in future. Doctor: Hi. I am not sure of your neck symptoms as the neck has nothing to do with your lower back and from your description it is not clear if you have any leg symptoms or bladder symptoms. However I need to see your MRI scan to be able to make a judgment on the further management. Revert back with the reports to a spine health specialist online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist \u00a0" + }, + { + "id": 20013, + "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": 11968, + "tgt": "What is causing frequent headaches in the middle of skull?", + "src": "Patient: Hi doctor, I have had the headache issue for more than 12 years now and seems to be getting worse. The onset of this headache starts with like a pressure getting built up in my head, like stress for no reason and all of a sudden and then the headache starts at the back of the head and within minutes it gets severe. If I have to describe the location, it is above the base of the skull and below the top of the skull. The pain is so severe that I have to take a pain killer else it will not subside. There are no other symptoms like vomiting, dizziness, nausea, speech imbalance nothing. The pain is pulsating or throbbing and it increases with any movement or applying pressure. This headache also comes on while having alcohol and on a very rare occasion at the time of ejaculation while having sex with my partner (once in a blue moon scenario). I got my cervical spine CT scan done and the reports were normal. The onset of headache has to do something with the time as well, for example, if today it has started in the evening then for the next few days it will happen around the same time. If I think a lot or involved in any discussion (intense or involves me getting anxious or excited) it triggers. It also gets triggered sometimes, if I am washing dishes or cooking food which requires a bit of focus. I do not know what the pattern is but all I know is it is ruining my quality of life. The frequency of these headaches are very frequent and consuming pain killers has started to affect my digestive system. I want to get rid of this problem. Please suggest. Doctor: Hi. Your headache most likely is migraine since it has been going on for the last 12 years. Another less likely possibility is occipital neuralgia. One thing that is not clear from your description is whether the pain is localized to one side or occurs on either side. Nevertheless, I would recommend the following: 1. MRI of the brain to rule out structural abnormalities that could be causing the headache. 2. Start on tablet Topiramate 25 mg twice a day and build up to 50 mg twice a day. 3. Maintain a headache diary- note the time, duration and character of pain in a diary each time you have pain. 4. Consider tablet Pregabalin 75 mg twice a day if Topiramate is not effective. Migraine or occipital neuralgia. Migraine or occipital neuralgia." + }, + { + "id": 27703, + "tgt": "My son has rashes that increase every evening. What could it be?", + "src": "Patient: Hello doctor, My 4 year old son has some kind of rashes from last week. We visited a pediatrician who suggested a dermatologist consultation. I have attached images of the rashes and the prescription. We noticed that it increases in the evenings. Every morning he wakes up with clear skin and during evenings it worsens. He had a fever for two days around the same time it started. He keeps scratching himself. The severity has reduced, but it is not completely gone. Doctor: Hello. I have seen the images and reports (attachment removed to protect patient identity). The child's rash is called urticaria. This is a non-specific rash which may be due to food, dust, insect bite or a viral fever. Once it starts, it persists for anywhere between 15 to 45 days and disappears completely afterward. Zempred (Methylprednisolone) and Levocet (Levocetirizine) are the right medications for this condition. There is no need to be alarmed about this. This is a minor rash which will settle in few days. I advise you to continue the same medications. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 28160, + "tgt": "I had protected sex with a CSW. Am I infected with HIV?", + "src": "Patient: Hello\u00a0doctor, I had protected oral and vaginal sex with a commercial sex worker two nights back. The condom was intact throughout the intercourse. When I was about to ejaculate, I withdrew my penis, and the condom was intact even then. She got up and came with tissues, and I withdrew my condom with the help of tissues.\u00a0I confirmed with her twice that she does not have HIV.\u00a0I am worried if I was exposed to HIV, and that she was lying. What are my chances of getting infected?\u00a0I know the chances are very low, but anxiety is killing me. Doctor: Hi. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17440, + "tgt": "Severe heart palpitations in a 20-year-old man. What can be done?", + "src": "Patient: Hello doctor, I am a 20-year-old healthy young man. I do not drink or smoke but I do work a lot. I work for 60 hours actually and just moved out of my house with my family. I got my own new place as well as trying to maintain a relationship with my current girlfriend. I do not really have any health issues besides occasional high blood pressure. I have been having palpitations for the last month. I get a few palpitations every single day and some are scary and uncomfortable while others really do not bother me. I have had an EKG in the past. I have attached the reports of the same. I saw a cardiologist and they did a few different tests and said my heart looks normal but I am still getting the palpitations even though my doctor put me on Metoprolol which is a beta blocker. What do you suggest? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpitation. Probably, you are having stress. Manage your stress and you will be fine. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29612, + "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": 23113, + "tgt": "Is really AMH deciding factor for pregnancy?", + "src": "Patient: Hello doctor,I am 35 years old and my wife's age is 28 years. We got married three years before. I have been experiencing erectile dysfunction for the past two years. Consulted with a couple of doctors and took medicines. But in vain. Hence we decided to go for fertility center. After consulting in a center, they advised taking few blood tests for my wife and a semen analysis for me. Reports seem fine for us. But the doctor informed that AMH level is low. Hence, she has been advised to go for IVF. But we request to consider her for IUI for few times and then we go for IVF. She agreed to go for IUI for two times. She has the regular period of 28 to 30 days and HSG report is also normal. We have also done follicle study. Please go through the reports and clarify us whether we both fit for pregnancy. Is really AMH is deciding factor for pregnancy? Kindly scrutinize the semen analysis report too. Currently, I am taking medicines for prolactin and Vitamin D. Doctor: Hi. I have gone through the elaborate investigations performed (attachment removed to protect patient identity). In your case, I feel you must be suffering from premature ejaculation, rather than erectile dysfunction. You are not able to hold back semen for long, sometimes your erection goes even before ejaculation, maybe also some irritation or burning sensation at end of the penis after ejaculation, while passing urine after sex. Your only problem in semen is the lack of rapidly motile sperms. Usually, this is seen in males with low water intake, frequent urinary infections, renal stones, who hold back urine for long. IUI (intrauterine insemination) is not the first step. Better to have a course of antibiotics, improve the weak sperms and then go for IUI. Have: During this one month, do not have sex, so your infection does not go to her. Use a condom if sex. After one month masturbate 2 to 3 times then have sex. This will clear the semen and sex issue. Medicines for prolactin really not needed. For your wife, the only problem is AMH (anti-mullerian hormone) in the results. Hope the test was done within first 10 to 12 days of periods. As per scans, her follicles are growing on time, so there is something wrong with results. Better have a day three or four FSH (follicular stimulating hormone) and serum AMH from a different or better center. I think the result will come normally. For IUI,ideally, more follicles are induced. She can be given small doses of hormones and around 4 to 5 follicles are grown, they are better in health and can be triggered and ruptured using hormone injection. Then IUI can be done, of course after correcting semen only. In that case, more eggs will have a better chance with more sperms. Maybe we can discuss the corrections I have advised. I hope and feel the results will be different. You will not need IVF in that case. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 9407, + "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": 28381, + "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": 16626, + "tgt": "I am skeptical regarding the drugs prescribed to me. Kindly help", + "src": "Patient: Hi doctor, I have a panic disorder and severe insomnia worsened by my anxiety. My doctor prescribed me Ambien 5 mg or Zolfresh 5 mg at night, Paxil-CR 12.5 mg at night, Etizolam 0.5 mg twice a day and Divalproex 500 mg once in a day. I also have suicidal ideations when I do not sleep well and gets panicked. Out of all, I did not take Zolfresh, but was able to sleep well in the last two days by the combination of others. I have a period of panic attacks, but they are a few. I really want to ask if the prescribed drugs might be overdose as the main problem with me is major depressive disorder and panic attack brought out by not sleeping well.\u00a0I am skeptical regarding the drugs prescribed and I want to know the side effects due to a combination of those. Doctor: Hi. I have gone through the query and understand your concerns. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17811, + "tgt": "Tests for stomach pain revealed a high eosinophil count. What to do?", + "src": "Patient: Hi doctor, I have a\u00a0stomach ache from the last two months. It got worsened last week and I was admitted to a hospital. A lot of tests were done. The CBC revealed eosinophilia. The gastroscopy revealed an edematous\u00a0duodenum. A duodenal biopsy was taken. I have attached my biopsy report. I want to understand the same. Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15129, + "tgt": "Why are there white vaginal discharge and mild spotting?", + "src": "Patient: Hello doctor, My girlfriend had her periods 16 days back but two days back she had a white spotting and today she had blood coming out of her vagina for a second but stopped. Please tell me what does this mean. Doctor: Hi. The reason for this kind of bleeding can be some abnormal uterine bleeding or simply ovulation bleeding. Today is her 16th day of period probably ovulation day and her detailed obstetric history is not known. So watch for any pain or repeat episode of bleeding and if so get one ultrasound pelvis done." + }, + { + "id": 6887, + "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": 2303, + "tgt": "I had severe pain when I tried to have sex after a gap of six months. Why?", + "src": "Patient: I have a gynaecological issue. My husband and I haven't had intercourse for more than 6 months. A few days back when we tried to have one, it hurt a lot and he withdrew. He didn't ejaculate inside. The very next day I had a brown discharge and since then tiny blood clots ranging from red to brown have been surfacing along with light stomach cramps. Is this a sign of an internal injury. My husband's erection lasted a few seconds and he couldn't penetrate properly since I started to get hurt. Doctor: Hi, Hope you are doing well. From the history that you have posted -I believe that you may be suffering from a dry vagina due to some reasons. 1.Were you experiencing pain during cycles previously? 2.How are your periods now-interval and amount of bleed-normal or reduced? 3.Are you breast feeding? 4.Have you ever gotten Pap smear done? Sometimes dryness may be due to allergy and anti allergic medications that probably you could have taken due to pharyngitis. It\u2019s necessary to involve in enough foreplay before actual penetration-it helps in stimulating your genital glands to provide proper lubrication for penetration. Normally, the walls of the vagina stay lubricated with a thin layer of clear fluid. The hormone estrogen helps maintain that fluid and keeps the lining of your vagina healthy, thick, and elastic. A drop in estrogen levels reduces the amount of moisture available. It can happen at any age from a number of different causes. It may seem like a minor irritation. But the lack of vaginal moisture can have a huge impact on your sex life. Fortunately, several treatments are available to relieve vaginal dryness. You can use KY jelly locally in and around vagina before attempting intercourse. An internal injury is unlikely but please follow up with a gynaecologist If pain or bleeding is severe to get an examination done. Please use Tab Dolo 650 to ease off pain and hot water bag around lower abdomen during menses to avoid cramps. And the jelly I prescribed above to help reduce discomfort during intercourse. Since menses are heavy -your estrogen levels aren\u2019t sufficient- so no hormone supplements needed. Premenstrual syndrome manifests as severe cramps sometimes and since you do not plan to get pregnant as of,you can consider taking contraceptive pills- it will slowly reduce the excessive cramps and will make your bleeding volume moderate Hope this helps" + }, + { + "id": 27823, + "tgt": "Why are hairless patches forming in my beard?", + "src": "Patient: Hello doctor, There is a hairless patch forming in my beard. The hairless patch feels smoother. Please help. Doctor: Hi, Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22199, + "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": 8758, + "tgt": "Does mouth ulcer or canker sores on the side of the tongue indicate herpes virus?", + "src": "Patient: Hello doctor, Can the mouth ulcers or canker sores on the side of the tongue be herpes virus? I also had a couple of mouth ulcers on the inside of my lips, but they appeared and vanished in a couple of days. I never had a cold sore on the outside of my lips but did not know if mouth ulcers could still be from oral herpes. I also had a headache and dry mouth. Doctor: Hello. Herpes usually causes sores on the hard mucosa in the oral cavity like palate and gums whereas ulcers on tongue, lips, etc., are often canker sores. I could not see any ulcers in the image (attachment removed to protect patient identity). Kindly upload more images." + }, + { + "id": 10658, + "tgt": "I received handjob. Can STD transmit this way?", + "src": "Patient: Hello doctor, I went to a massage parlor and got a handjob. I was told by my doctor that STDs are not transmitted this way. Is this true? Doctor: Hello. I understand your concern. This is true. Only direct genital contact or contact through cuts on genitals, blood, semen or saliva can lead to STDs, not hand job. Take care." + }, + { + "id": 26984, + "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": 30077, + "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": 24452, + "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": 16059, + "tgt": "What are the symptoms of frontotemporal dementia?", + "src": "Patient: Hello doctor, My mother has recently received a diagnosis of frontotemporal dementia. Here is a history of her: She had what we believed to be a nervous breakdown four years back. This was after a year of stress from a pending court case. After this breakdown, she displayed some psychotic symptoms. Would constantly go to the toilet to wash her hands. Had obsessive thoughts that were very strong. She was placed on an antipsychotic, sleeping aid Zoplicone and Lithium. After a month, she was stabilized and came home. The obsessive thinking continued but not so much in the form of compulsions. Over the next four years, she was quite up and down and tried to take her life a few times. One becoming close and ended up in an intensive scar. She had taken a large amount of Lithium and was taken off this and antipsychotics. After recovery, she became extremely maniac but obsessions disappeared and then went into a depression where the obsessions started again. Then she displayed some psychotic thinking around my father not to be trusted and would send her back to the initial mental hospital. We then managed to have her admitted to an OCD center. In here she very quickly declined and became very delusional. They then decided to test her for biological causes. They conducted neuropsychological testing and diagnosed the FTD. I have done a lot of reading on this condition and really have not noticed the majority of the symptoms and the way she is displaying in this institution is very similar to the previous occasion four years ago. She also had an MRI done 1.5 years ago due to some seizures and they did not find any issues on the frontal or temporal lobes. These findings were not reviewed by the neurologist that recently diagnosed the FTP. He was also unable to access any information from her first admission. Does this warrant a secondary opinion. Doctor: Hi. I read carefully your question and would explain that fronto-temporal diagnosis is a very challenging diagnosis, which is determined by the neuro-psychological tests and the progression of the disease. Sometimes, the radiological findings are not typical of this disorder, so I am not very surprised to learn that her MRI findings are not compatible with the diagnosis. Did she perform any MRI four years back? Some changes between the two MRI would help determine the diagnosis. Does she have memory problems or speech problems? Anyway, you should know that sometimes the first signs in frontotemporal dementia are just depression or psychosis. Memory problems or speech problems come next (in the next years). So, if there is a progression of the disease, the diagnosis of FTD would be more probable. Does she have any family history for dementia? If her symptoms are completely reversible from antidepressants or antipsychotic therapy, the diagnosis of FTD would not stand. So, there is not too much to be done, besides treat her symptoms and wait to see for possible further progression. Genetic test for FTD can be done too." + }, + { + "id": 12207, + "tgt": "I am a G6PD deficient what are the chances of me getting pregnant?", + "src": "Patient: Hello doctor, I have G6PD deficiency since childhood. Presently I am married. And soon planning to conceive. Will I have any complications in the future? How much and till what extent? Is it true that I can never become a mother if I have G6PD? Are there chances or percentage of having a healthy child? Doctor: Hello. Yes, G6PD deficiency certainly has effects on pregnancy. It is an X-linked recessive disorder, male babies may be affected and female babies may be carriers. Chances of inheritance vary with your partner karyotype also. The severity of symptoms varies depends on your lifestyle and food intake. Complications are anemia, jaundice, urinary tract infections, preeclampsia (raised blood pressure, loss of protein in your body), spontaneous miscarriage, low birth weight, fetal anemia, infections, and newborn jaundice. Avoid infections, soya beans, and stress, avoid Aspirin and unnecessary drugs. Maintain a healthy lifestyle iron rich and protein-rich diet, iron supplements and folic acid tablets daily." + }, + { + "id": 23872, + "tgt": "Is it possible to treat cataract without surgery?", + "src": "Patient: Hi doctor, Is it possible to treat cataracts without eye surgery?\u00a0I think this is at its last stage or nearby as this problem exists for more than two years.\u00a0Please suggest me some way out of this surgery threat. 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": 11073, + "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": 927, + "tgt": "I am a CAD patient with stomach bloating and constipation. Please help", + "src": "Patient: Hello doctor, Anxiety disorder, bloated stomach, and constipation are troubling me. I am a coronary artery disease patient, with diabetes. Thinking about these issues cause me more anxious. Please help. I am currently on Mirtaz 7.5 and Daxid 50 mg. I have also done sugar, lipid profile, 2D echo, ECG, and TMT. Doctor: Hello. I read your query and understand your concerns. First of all, I like to inform you that anxiety disorder is a treatable disorder during current times as a lot of medications are available in this regard. As I can see you are taking two medications for the same but unfortunately dose of both medications is at lower limits. I also feel instead of two medications it will be ideal to have one medication with proper dosage. For example dose of Daxid (Sertraline) is 50-200 mg per day and the dose of Mirtazapine is 15-60 mg for most individuals. In my opinion, you need to discuss the optimization of dose with your treating psychiatrist. As I can see there are issues with stomach bloating and constipation. Mirtazapine needs to be avoided as far as possible. This is because abdominal side effects along with constipation are very common especially among the elderly. There is also a possibility that your medications for CAD or diabetes contributing to the current problem. For that purpose I feel you need to discuss same with your cardiologist. In addition to medications, there is a need for stress management. I can see that you have excessive concern about the ongoing medical illness. First of all, we need to acknowledge that these two conditions are treatable and with appropriate care you can have near optimal life.To smoothen the stress management, I am writing down a few of the strategies that will help you. 1. Diet: Ensure intake of adequate quantity of fiber. Two servings of vegetable salad and two servings of fruits (one preferable citrus fruit). Avoid junk food and fast food especially pizza, burgers, and excessive sweets. 2. Ensure adequate water intake. Recommended intake of water is two to three liters a day. Insufficient intake of water could be a contributing factor in the causation of symptoms. 3. Early morning exercise and brisk walking for 30 minutes at a stretch preferably in the garden will be very helpful. 4. Avoid tea, coffee, nicotine, and alcoholic beverages. If at all you want to drink something, drink fresh lime water. It is very much refreshing. 5. Start your day with a glass of lemon water with two spoons of honey added. Have a good breakfast. 6. Do not take work so seriously. We all have the feeling to excel in our respective fields and do not spend adequate time with our own self trying to understand our own needs. Spend time with your family and friends. 7. While working take frequent regular breaks. I will advise you to take a break of 5-10 minutes after every 50-55 minutes. Close your eyes and rotate the eyeballs for a couple of minutes. 8. Avoid starring for a longer time at the computer screen or TV. 9. Steam inhalation before going to sleep will be very refreshing. It will also benefit. 10. Take multivitamin and calcium supplement. I hope this helps." + }, + { + "id": 23012, + "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": 16878, + "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": 10173, + "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": 23121, + "tgt": "The CBC report shows high lymphocytes. What could be the reason?", + "src": "Patient: Hello doctor, I just want to get my brother's CBC annual report checked. Is everything fine? I see lymphocytes little high. Is that dangerous? I am worried and he is actually very healthy and fine last week he had loose motion but now he is fine and fit again. Doctor: Hello. It is fine. Slightly lymphocytes percentage is elevated, but this much variation is acceptable. Also, last week infection might have contributed to this slightly changed percentage, but it is nothing to worry as he is totally asymptomatic. If possible, get this repeated after two weeks just to see a resolution. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2965, + "tgt": "Will alcohol intake cause liver damage while on special drink for weight loss?", + "src": "Patient: Hello doctor, I am a 22-year-old male. My weight is 116 kg and my height is 5 feet 7 inches. My problem is, I am using nutrition food and milkshake to lose weight. 15 days ago, my weight is 123 kg but now it is 116 kg. I am doing a gym too. This is a product from herbal life. I want to go to my sister's marriage party for four days. I may have some alcohol but my trainer is saying if I drink alcohol then my liver will be damaged. I am also taking Liv 52 tablets. Can I get some medication or advice? Doctor: Hello. It is important to know what is the contents of your supplements. However, common supplements contain creatinine for muscle building, with which alcohol is safe in moderation. However, if the content is not known then it is better to withhold supplements two to three days prior to alcohol consumption and then probably there should not be any problem with it. But even otherwise, if there is no baseline liver damage or disease then having one or two drinks should not create any problems and I think you can have it. There is no role of anti-medicine. I hope this helps." + }, + { + "id": 25080, + "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": 17981, + "tgt": "I have dry eyes after a LASIK surgery. Is there some medication I can try?", + "src": "Patient: Hi doctor,About two years ago, I did LASIK\u00a0surgery to correct short-sightedness. I recovered from it and have a normal vision now. The trouble note is my eyes gets dry soon. And sometimes when I wake up I cannot even open my eyes as it is too dry and I\u00a0need to keep it closed until it waters which causes discomfort and pain. I am traveling by bike now to the office every day which causes dryness and ultimately stressful eyes. Is there any medication that I can try to get eyeball lubricated and protect the eyes from dust and irritation? Doctor: Hello. I am sorry, but there is no permanent treatment or cure for dry eyes, but yes with treatment, your life will become comfortable. All these measures together help. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15073, + "tgt": "Why am I having excessive vaginal discharge after taking antibiotics for acne?", + "src": "Patient: Hi doctor, I have been taking antibiotics for about two years now for my acne and recently (the past month) I have been having excessive discharge and I do not know if they are related but it is to the point where I have to wear a panty liner everyday. There are no other side effects like itchiness or pain or anything. It is just annoying. What should I do? Doctor: Hi. Two years you have taken antibiotics which is really not very suitable for the whole body generally. Recurrent antibiotics could give resistance to it and the body starts to respond it slowly and then gradually develops resistance as the intake is continued. Recurrent antibiotics can harm normal flora of different body parts actually including vagina than organs prone to infection easily. Genetically, on stress, excitement, ovulation, Fertilization, implantation secretion could increase. Have one vaginal swab to exclude any infection. Collect report and discuss here. Strict hygiene. Avoid unnecessary medications. Have mud mask for acne. Use condoms for sex to avoid sexually transmitted infection. Have soft comfortable undergarments. Can have sitz bath for irritation." + }, + { + "id": 20226, + "tgt": "What is the role of aldosterone in controlling BP?", + "src": "Patient: Hi doctor, I have got high blood pressure, low potassium and vitamin D levels. Also, my aldosterone level is very low that is almost non-existent. I think low aldosterone is supposed to cause low blood pressure. I am wondering once I start the low aldosterone treatment will my blood pressure, potassium and vitamin D level go back to normal? Please reply. Doctor: Hi, Welcome back to icliniq.com. You are right. Hyperaldosteronism causes hypertension with low potassium. But, in your case the things are opposite. That means the high BP is not related to aldosterone levels. You might be having an entity called essential hypertension. Low vitamin D levels are present in 60% of the population, so do not relate it with BP. Just have a good sunbath for at least twice a week and have vitamin D3 supplements 60000 IU once a week orally. For treatment of hypertension, I suggest ACE inhibitor therapy such as Telmisartan or Olmesartan. This will correct your BP and potassium levels. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21623, + "tgt": "Can I stop taking Glycomet once fasting sugar level comes under control?", + "src": "Patient: Hello doctor, My age is 36 years and weight is 86 kg. Recently, I observed that my fasting blood sugar was 125. All my LDL and HDL cholesterol levels are in control. So, the doctor suggested me take Glycomet SR 500 after dinner and asked me to follow for three months. So I have one doubt like in case my fasting sugar level goes down and when it is in control, can I stop this tablet or I need to take lifelong? Please suggest. Doctor: Hi. Yes, so if your sugar levels are less than 100 mg/dl without taking medication, your doctor probably might wean you off. But the condition is that it should stay in the normal range without medication. Right now, your sugar is in the normal range due to the medication. So make sure your doctor knows when you are having low sugar so he can taper it down. But mostly once the medication has started, it continues. It all depends on how good you can control your sugar with a healthy lifestyle and regular medication (if taking any). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14908, + "tgt": "I have been on prozac for 6 months and I have such low libido now. Can I just stop and will it go back to the way it was?", + "src": "Patient: Hi doctor, I am an 18 year old male, and I have been taking Prozac for probably 6 months, which has made my libido very low. Will it go back to the way it was if I stop the medicine? Doctor: Hi. I understand that Prozac (Fluoxetine) is a known cause of low libido and this might be a single or contributory cause in your decreased libido. In my view, solutions to your problem are:" + }, + { + "id": 19126, + "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": 6441, + "tgt": "I have OCD with an intense fear of sleep. How can I make peace with falling asleep?", + "src": "Patient: Hello doctor, I have been diagnosed with OCD. My OCD comes in the form of intense fear of sleep for the past five years, but it has gotten worse within the past couple of months. I am afraid the moment sleep comes, I fight this feeling until I am exhausted. How can I make peace with falling asleep and not associate it with fear and something to avoid? I am currently taking Gabapentin 600 mg, Seroquel 100 mg, and Clomipramine 25 mg. I have been on SSRI approximately 20 years back, for anxiety and depression. As I am prone to panic attacks, I have done tests to rule out any heart problem, lung problem or any other physical cause. Doctor: Hello. I will start with the pharmacological part. You can discuss with your treating doctor regarding increasing the dose of Clomipramine, not only will it help with sleep but also in decreasing the obsessions. You can also discuss regarding substituting it with Fluvoxamine if not given a trial yet. Now a few points regarding non-pharmacological methods that can help with OCD (obsessive-compulsive disorder) are as follows. I know it is easier said than done but try to accept your obsession, but not the fear or anxiety associated with it. Logging down your obsessions sometimes helps relieve the associated anxiety. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14529, + "tgt": "I have a 3 mm patent foramen ovale. Is treatment required?", + "src": "Patient: Hello doctor, I recently suffered severe chest pains. Blood results were all fine but heart sonar indicated a 3 mm patent foramen ovale. I just want to know if there is a need for treatment. Doctor: Hi. Small PFO (patent foramen ovale) is usually silent but may cause a stroke or pulmonary embolism if thrombus travels across it from right to left or left to right respectively. Moreover, your report says aneurysm of 12 mm, that needs consideration. I would suggest transesophageal echo to study it in detail. Usually, PFO is closed by the device but an aneurysm may need surgery. So, I advise you to have a transesophageal echo done and then plan will be decided accordingly." + }, + { + "id": 6629, + "tgt": "I have a clear watery sperm for months. Is this normal?", + "src": "Patient: Hello doctor,I am 20-year-old boy have watery clear sperm for months is it normal? Many of them tell that sperm is grey or white. My semen has an odor, sticky, slightly thin. Is it common at this age? There are no other problems like pain in testes, no frequent ejaculation, wet dream has happened and masturbation for two weeks. Now I am afraid of it. What I have to do? Doctor: Hello. The grey or white is a very subjective description. Do not worry if your ejaculate is colorless. Your ejaculate consists of not just sperm but prostatic fluid a fluid secreted by seminal vesicles and some other glands. Sperm gets produced in three months. Frequent masturbation will reduce the number of sperms in each ejaculate, and it will have more of seminal and prostatic fluids. Do not worry. There is nothing right or wrong about the frequency of masturbation. Understand that it is natural to feel like doing it." + }, + { + "id": 28656, + "tgt": "What is the treatment for the fungal infection on my right hand?", + "src": "Patient: Hello doctor,I have one red spot on my right hand, which is a fungal infection. Sometimes, it will grow in other body parts like stomach or legs, but then automatically disappears in 2 to 3 days. I am so\u00a0worried. What to do? What is the treatment for this? Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28346, + "tgt": "I am bleeding heavily after taking I-pill. How to reduce this bleeding?", + "src": "Patient: Hello doctor, I had unprotected sex last month, and I took I-pill after three days. Last month, my period was delayed by a week, and when it came, it lasted for about 12 days. I got my period on the tenth of this month, and I am bleeding very heavily. I had to change three large pads a day. There is no pain as such, but my lower abdomen feels bloated. I am worried due to\u00a0excessive bleeding. Also, I had a big bowl of papaya before my periods, which may have caused heat in my body. Please\u00a0help. What should I do to lessen the bleeding? Are there any risk factors? Doctor: Hello. Let me clear your doubt one by one. Hope my answer helped. Do get back if you have any doubt. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18405, + "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": 10647, + "tgt": "What causes inflammation of urinary tract after protected sex?", + "src": "Patient: Hello doctor, I have protected sex with stranger and after that I get inflammation in urinary tract. Should I get worried about it? Doctor: Hello. If you have symptoms of inflammation of urinary tract than you have to rule out urinary tract infection. For that, I suggest you investigate with urine routine microscopic examination report and urine culture for primary work-up. You can revert back with reports once done. Meanwhile, drink lots of water and avoid excess spicy foods intake. Cranberry juice extract tablet also needs to be taken for seven days. You have done protected sex so chance of sexually transmitted diseases is very unlikely." + }, + { + "id": 17169, + "tgt": "Does a transvaginal ultrasound show the remains of a miscarriage?", + "src": "Patient: Hello doctor, I had a D and C four months back after a miscarriage, and I got my last periods two months back. So, I went back to the doctor to make sure there is no continuing pregnancy. I had a vaginal ultrasound, which she said is all clear, and I am perfectly fine. She said I just have a little infection, for which she prescribed me Azomox. Does vaginal ultrasound show\u00a0if I am still pregnant? I am still waiting for my periods now. Is it normal to have irregular periods? Doctor: Hi. How are you doing? 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": 22960, + "tgt": "How can I quit taking my anti-depressants?", + "src": "Patient: Hello doctor,I want to quit taking my anti-depressants. Can you help me to slowly reduce doses? I am taking one Valkem of 500 and Flunil 20 mg in morning and one Valkem OD 500, Soltus 100 mg, Rivotril 0.5 mg at night. Doctor: Hi. I read your query and understand your concerns about the medications. From the available details, there is a possibility that you suffered from either resistant depression or bipolar depression as some of the medications prescribed to you are often used in these conditions. I mean to say that you are taking an antidepressant (Fluoxetine), mood stabilizer (Valkem-Divalproex sodium), antipsychotics (Amisant-Amisulpride) and sleeping pills (Rivotril). In my opinion, most individuals with resistant or bipolar depression need long-term treatment and any attempt to withdraw medication without supervision can bring the depression back to your life. In case you are really concerned about the medications, I think Rivotril can be tried to reduce. For this purpose start taking three-fourths of Rivotril and decrease it to the half tablet after one week. Then after this make it one fourth for another week and then stop it. In this process, you will need three weeks to four weeks to stop this. Once this is done revert back to me after three to four weeks. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14894, + "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": 2904, + "tgt": "After stopping steroid cream for phimosis, I get dryness in head of penis. Why?", + "src": "Patient: Hi doctor, I am experiencing dryness on the head of my penis and it seems to be not self-lubricating. If I do not put any lubricate on the head of my penis it will become dry and there is a stinging pain. For the last four months, I have been applying steroid cream to the head of my penis as well as the foreskin to treat it for phimosis. I have stopped using the cream for a few days now and I am still having the dryness. I have seen a few doctors and they said it is a side effect of the steroid cream. I wanted to get your opinion on this matter and to know what I can do to help fix it. Doctor: Hello. I have gone through your queries. You are having dryness of glans penis. And from the photograph, (attachment removed to protect identity) what I assume is, you are having balanitis. You had phimosis. And you applied steroid cream for that. Now your foreskin is retractable beyond the corona glandis. That means you are not having phimosis as of now. The redness which you are referring to is due to balanitis. Please apply some coconut oil or some moisturizers over the glans penis. It will take care of the dryness. You can take Azithromycin 500 mg once daily for five days. You need clinical examination too. Hence you can contact your local urologist and get treated. I hope this helps." + }, + { + "id": 6929, + "tgt": "How to get relief from a tooth pain after biting something hard?", + "src": "Patient: Hi doctor, My son is 12 years old. He bit a cookie yesterday, and it has hit his tooth. Now, he has a pain in the tooth. What to do now? Doctor: Hi. If it is a permanent tooth then, wait for a day or two. If there is no sign of any visible fracture line, allow them to heal after sudden blunt trauma. On considering his age, if it is a milk tooth, then it has to be removed. If there is a pain, then consult a dentist soon and get an X-ray done to know whether there is a fracture in the root." + }, + { + "id": 14223, + "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": 316, + "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": 14524, + "tgt": "I have deranged triglycerides and HDL. Why?", + "src": "Patient: Hi doctor, My cholesterol is 170, triglycerides are 293, HDL 24 and LDL 107, non-HDL cholesterol 143. What measures should I take and when should I repeat my test? Doctor: Hello. I have gone through your report, and especially your triglycerides and HDL are deranged. These are not immediately life-threatening but may be harmful in long term. Firstly, I guess this was a fasting sample even without tea in the morning, if not then you should get it repeated with absolute fasting of at least eight hours as it can falsely elevate triglycerides. Next thing, you should have a period of 2 to 3 months with a healthy lifestyle before starting medicines as medicine may reduce triglycerides but it will again rise after you stop medicines. So maintenance is important with lifestyle changes. So, you should have a healthy lifestyle like avoiding fatty oily and a high-calorie diet. Avoid free sugar, cola drink, and other beverages. Plenty of green leafy vegetables. Reduce alcohol consumption and smoking, non-vegetarian especially meat and chicken, if any. Most important are the exercise to burn your lipids, so should have at least 30 minutes a day and at least five days a week of exercise like brisk walking or running according to your capacity. After 2 to 3 months of a healthy lifestyle, repeat lipid profile and see for the changes. If there is no response then you may take medicines like Fenofibrate." + }, + { + "id": 25587, + "tgt": "Why is there pain at the site of wisdom tooth extraction?", + "src": "Patient: Hello doctor, I had a wisdom tooth and an adjacent molar removed two days ago. Everything has healed nicely except a very painful white spot in the very back of my cheek next to the extraction site. What could this be? I have attached photographs for your reference. Doctor: Hello. I have gone through the attachment (attachment removed to protect patient identity) By looking at the picture, it looks like an oral ulcer to me. You need not worry, it sometimes takes more than a week to heal up completely. You can start with Hexidine (Chlorhexidine Gluconate) mouthwash like for at least three to four times a day for a week. You can discontinue it after a week. Along with this, you need to take Becosules Z (vitamin B complex) with zinc for 10 days one capsule a day. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. If the problem persists even after 10 days then you need to visit your dentist for further investigation. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3274, + "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": 14644, + "tgt": "I am having recurrent vaginal yeast infection. Please help", + "src": "Patient: Hello doctor, I have been having recurrent vaginal yeast infections for the last six months. I have taken medications earlier. The gynecologist prescribed Azithral 500 mg in the beginning. After that, the doctor gave me tablet Orni-O. The first time it got cured. When it came back again, she prescribed Vibact-DS for one month and Flucon 150 once in a week for three weeks. The infection came back again after two months and she gave me Candid V3 vaginal tablets. Now again, I am feeling the infection. I am also taking treatment for acne (Elvac-20 from last six months). Is Elvac 20, the reason for my recurrent infection? I am 31 years old unmarried woman, but in a relationship since last four years. This is the first time in my 31 years life that I am experiencing this repeated infection. Please help. Doctor: Hi. As you have repeated yeast infection, you require following investigations: And also your sexual partner should be simultaneously treated as these kinds of infections are transmitted through sexual intercourse. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28544, + "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": 5922, + "tgt": "I get a swelling on the temple after chewing hard food. Please help", + "src": "Patient: Hi doctor, I get a swelling on the temple after chewing on hard food, for example, steak or candy. The swelling goes down after I stop eating, but the area feels numb for a long time after that. What can cause this? I have chronic urticaria and MGUS. Doctor: Hello. I have carefully reviewed your health query and will answer your concerns. The issues you mentioned are related to mastication (chewing). It is a process where you have to put a lot of energy, and the muscles of mastication are widely used. It seems there is some neuropathy causing the muscles of mastication to get fatigued. Other symptoms like swelling and numbness can be a feeling due to the same muscles spasms. Local edema (fluid accumulation) can also be a reason behind the swelling. Regarding MGUS (monoclonal gammopathy of undetermined significance), I want to add that it can lead to multiple myeloma, so keep an eye on your health. Keep a timely follow-up with your treating physician. I suggest you try using anti-inflammatory medications like Acetaminophen, which can help you. Consult your specialist doctor, discuss with him or her and start using the medicine after there consent. Also, ask your physician to take care of urticaria, as this can be an additive factor. You have chronic urticaria, and that may also contribute to local swelling of tissues. Hope it helps. Please let me know if I can be of further help to you. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20574, + "tgt": "Why am I having high blood pressure for past 10 years in-spite of medicines?", + "src": "Patient: Hello doctor, I am suffering from high blood pressure since last 10 years. I take medicine every day twice but my BP remains same 150/100. I take Starpress XL 0 (at night), CTDT-0.25 (during day). Gender- female, age- 48 years. I have cholesterol little bit high. So I take Rosuvastatin, but ECG is normal. I have also my TSH level high. I daily take Eltroxin 50. Doctor: Hi. Your BP (blood pressure) is not controlled with beta-blocker (Starpress) and a diuretic (CTD). I advice you to do a renal function test and a renal doppler. The cause of your high BP can be from renal pathology. It should be ruled out. The second thing is that if both above things are normal, some changes in the medicine is needed. For now, you can add Amlodipine 5 mg OD. Secondary HTN (hypertension). RFT, renal color doppler, blood sugar (FBS, PPBS), electrolytes (Na,K). Essential vs secondary HTN. HTN, hypothyroidism, hypercholesterolemia. Same with drug optimization. Exercise, low salt diet, reduce stress if any." + }, + { + "id": 27304, + "tgt": "I have a severe pain in the lower back which is unbearable. Please help", + "src": "Patient: Hello doctor, I had lower back pain which was not bad at first. After a few weeks, it has gotten worse. I have a pain in the hip, buttocks, and thigh as well now. I recently joined work, and I cannot perform at work as the pain is unbearable. Doctor: Hello. You can revert back to me for further assistance. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12443, + "tgt": "I am having neck and back pain. What is causing it?", + "src": "Patient: Hello doctor, I have neck pain and back pain. Allopathy says I have disc prolapse and pinched nerve but Ayurvedic doctor said nothing. He has suggested Gorochanadi Guggulu tablet. I am afraid of taking this medicine. Please give me suggestions. Doctor: Hi. Neck and back pain mostly occurs due to disc prolapse, disc compression, etc. It happens due to injuries, sitting and laying in the wrong posture. In this condition needs Basti therapy along with oral medicines. Gorochanadi Gutika is mostly used in respiratory disorders. You can take Vatagajankusha Rasa one tablet with Vatavidhwansini Vati one tablet, Prawal Bhasma 500 mg, Bruhat Vata Chintamani Rasa one tablet twice a day with honey after meals. Along with these medicines, you should go for the basti therapy. It helps to resolve your issues. Avoid spicy and fried junk foods. Do regular Kapalbhati, Markatasana." + }, + { + "id": 14175, + "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": 26732, + "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": 12947, + "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": 14227, + "tgt": "How can I manage pain and numbness in hands and feet caused due to SPA?", + "src": "Patient: Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness. Doctor: Hello. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 500 morning evening for one week along with a PPI. The ideal thing would be to visit a rheumatologist for disease scoring to see how active is your disease." + }, + { + "id": 30777, + "tgt": "When I drive long, I am getting severe back pain. Why?", + "src": "Patient: Hi doctor, For the last few days, I have trouble to sleep after 4 to 5 AM in the morning as my upper back becomes some sort of frozen and it pains a lot. Even with slight movement, it pains a lot, but it vanishes away as soon as I get up. It does not turn up for the whole day. I am not sure, but I feel it occurs more the day I drive more that is approximately 2 to 3 hours a day. Another issue is owning to driving or posture my right shoulder is tilting down. Also, I feel pain near right ribs and center of the stomach near naval occasionally. Kindly suggest. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16970, + "tgt": "Please clarify if dry, cracked hand is a symptom of eczema", + "src": "Patient: Hi doctor, I have had severely dry, cracked hands for the last six months. Sometimes, I sleep with Aquaphor and gloves on my hands. There have been two occasions where I have noticed one or two tiny bumps or blisters on the side of one of my fingers. It was on a different finger each time and is towards the bottom of the finger. I was just wondering if it is a symptom of eczema or perhaps something more. Please explain. Doctor: Hi. It can be either eczema or palmar psoriasis. Please send images for further information. Revert back with photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18697, + "tgt": "I had fatty liver. Do I have chances of developing cirrhosis?", + "src": "Patient: Hello doctor, I had fatty liver (due to being overweight: BMI - 28.1) 3 years ago. I do not consume alcohol. At that time the enzymes were 3-4 times elevated and had signs of fat in liver. Then I lost weight and my liver enzyme levels improved. In this last one year all my liver enzymes are normal. I did an ultrasound and an ultrasound with doppler 6 months ago and they were normal. However, today when I went to a specialist in osteopathy for leg pain, he by chance pressed on my liver area and told me that I have a rigid liver. Do I have cirrhosis? Doctor: Hi. I have read through your query and attachments in detail. (attachments removed to protect patient identity) Please find my observations below. Having gone through your reports in detail, cirrhosis is unlikely as your most recent ultrasound done on 1st December 2014 shows normal liver and doppler. Your liver function tests are also in normal range in the last one year. Cirrhosis is an advanced condition in which the liver undergoes irreversible fibrosis and this occurs over a time period. Your results do not indicate cirrhosis in any way. Kidney function is assessed by doing serum creatinine and blood urea levels. I suppose your kidneys were also visualized in December 2014 ultrasound and were found to be normal. To know more accurately about the kidneys I recommended doing serum creatinine test and blood urea. However it is most likely that your kidneys should be working normally. The kidneys are located deep inside and cannot be felt from the front side of abdomen, therefore it is not possible that your kidneys were felt. It is possible that when he by chance pressed the liver area, your muscles in the anterior abdomen were contracted and mistaken for stiffness. With normal liver function tests and recent ultrasound scan being normal it is extremely rare for you to have cirrhosis. There is a way to measure the stiffness of liver by ultrasound and it is called liver stiffness measurement by transient elastography. Medical literature says that liver stiffness measurement has proved to be an useful and specific procedure to screen for cirrhosis in the general population and to detect undiagnosed chronic liver disease in apparently healthy subjects. The above ultrasound technique is a special ultrasound method and you can get it done to for a more accurate evaluation of liver stiffness and clear your doubt. Revert back to an internal medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7624, + "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": 19650, + "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": 3884, + "tgt": "Is it possible for lymphoma to spread to elbow?", + "src": "Patient: Hi doctor, I have just finished three rounds of R-CHOP for stage 1A diffuse large B-cell lymphoma and currently receiving radiation to my hip or groin. Recently I found another lump on my elbow bone, not inside crease but outside. Two weeks ago, my elbow was red and sore. Possibly bursitis but can feel a small lump underneath the fluid. Is it common for lymphoma to spread to these parts? Doctor: Hello. As per your history, you had stage 1A DLBCL (diffuse large B-cell lymphoma) and have already completed 3 R-CHOP. On radiation currently, which is standard therapy. Regarding the lump, I would like to know since when it is present, do you have any pain or tenderness, experienced any trauma, fever or involvement in sports. Mostly, it looks like bursitis. As it is very very unlikely for stage IA DLBCL to affect this site. And if consistency is suggestive of fluid underneath, then it becomes highly unlikely. I would advise symptomatic treatment and follow up." + }, + { + "id": 5444, + "tgt": "I have rheumatoid arthritis. How frequently do I need to consult my rheumatologist?", + "src": "Patient: Hello doctor, I have rheumatoid arthritis. There is a long waiting list to see a rheumatologist in my place. I am thinking of seeing a private doctor but I have limited funds. How often would I need to see a rheumatologist? I cannot afford it every week or maybe every few months. How often do you think I need a doctor visit? I am hoping to be prescribed a DMARD like Methotrexate. Then when my slot comes up with the NHS I will go there. I take Naproxen which is not enough and I had a cortisone injection in my knee a couple of months ago. The swelling did not go down completely but I walked better. It has worn off now, and I have pain in more joints and a feeling of lumps under my feet. I am on a special diet and my CRP, ESR and high rheumatoid factor have gone down by half. But lately, I feel unwell. I would like to know the frequency of visits needed. Doctor: Hello. I have gone through your history. The only part I did not get was, that how come there have been no DMARDs (disease-modifying anti-rheumatic drugs) for 10 years. It is a bit unusual. If you could throw some light on the history of arthritis, it would be helpful. If it was an intermittent one initially, or now it has become persistent? Well, as per the treatment, if it is confirmed rheumatoid arthritis, they will start you on Methotrexate straight away. The follow-up visits are usually within four to six weeks for the first time, and then after three months. But a lot depends on your treating rheumatologist. Most of them advise liver function tests after two weeks to see if the dose is not giving you side effects. But that can usually be followed up with rheumatology nurse. So once you are through with first visit and improvement comes, then a three months visit suffices. But if the disease keeps bouncing back, then a bit more frequent visits are needed. But hardly before six weeks as that much time, it takes for any new DMARD to act. So it is a bit tough to predict, but do not worry. No rheumatologist will call you back in a week or two. I hope this helps." + }, + { + "id": 4645, + "tgt": "During pregnancy, when will the gender of the baby be more accurate?", + "src": "Patient: Hi doctor, I am 30 years old. I am 26 weeks pregnant. My baby remained breech so far but a few days back got cephalic. My sonographer said baby is female, but she got mild enlarged clitoris. Then I went to my regular doctor and she rejected it. She said that at this level and in this situation gender appears the same. So, do not believe in it. Can you tell me whom should I believe? Doctor: Hello. I understand your concern. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 9206, + "tgt": "My hair is getting brittle and dry. Is this due to seborrheic dermatitis on my scalp?", + "src": "Patient: Hello doctor, My hair has been dry and brittle and falling out for the past year, but it seems that I have been losing my hair for longer. I do have seborrheic dermatitis on my scalp, but I have had it under control for the past two months. I am only 27, and I am a picky eater, so I know my diet is not high, I also get around four to five hours of sleep and average two glasses of water a day. Could this be affecting my hair, or is it MPB? Doctor: Hello. I have gone through your case. First you need to understand hair fall once started may take six months to one year for recovery. Moreover it is true that it is often aggravated due to stress or lack of sleep and due to male harmones and different products we use for hair styling. In your case in my opinion it is male pattern baldnes. Apply five percent Minoxidil lotion on your scalp twice daily for three months at least. Please take a good diet like milk egg and protein. Avoid stress. Take six to eight hours of sleep." + }, + { + "id": 20112, + "tgt": "Why are my periods heavy and painful after abortion?", + "src": "Patient: Hi doctor,I am having an issue. Now I had an abortion two months back when I was just a couple days past two months. Now since I did that, my periods have been heavy and very painful. Also, I keep having pelvic pain and sometimes stomach pain. Could I please get some advice on what might be the issue? I did visit a gynecologist in my area. However, he did not do much of a check-up. Just gave me some medicines for BV and that is it. Please help. Doctor: Hi. It would be better if you could send me your detailed gynecology, obstetrics, medical, and drug history. Have healthy habits like daily exercise, walk, yoga and a healthy nutritious diet with less salt, sugar, oil and spice. Have a soft diet and complete check-up and treatment of any health issue if you have. Try to quit recreational drugs if you have been taking and have nice recreational activities. Have folic acid daily 0.4 mg if not having any chronic disease like diabetes, epilepsy, etc. Have one consultation with a physiotherapist to have relief exercises for pain management. Warm water bath, swimming, yoga, physiotherapy, a walk can help many local symptoms. Try to have normal BMI and weight by exercise. For heavy periods check for its regularity as well. If irregular periods with weight gain, abnormal hair growth, and weight gain, you need a transvaginal scan and on the second day of periods, blood sex hormones investigations. For heavy periods, you can have tablet Postan 500 mg eight hourly and tablet Tranexamic acid 500 mg eight hourly for 3 to 5 days from day two of periods. These will not only reduce pain but also bleeding. Have iron supplements and iron filled diet to reduce the risk of anemia. For conception, have sex in the fertile period of the cycle. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19035, + "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": 26371, + "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": 19905, + "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": 15169, + "tgt": "Is it possible that the lesion on my genital during chicken pox is due to STD?", + "src": "Patient: Hello doctor, I saw these lesions on my scrotum and outer genitals yesterday. I am currently on day 6 of chicken pox. What could these lesions possibly be from? Is this an STD? Doctor: Hi. Your concern is folliculitis. There are many reasons for it like dehydration to reverse shaving or low immunity of any cause. Start Metronidazole gel in the morning and T-bact (Mupirocin) ointment in the evening on the affected areas. If they resolved, ignore but if they flare then have a physical examination by a dermatologist nearby you. It is not STD." + }, + { + "id": 20841, + "tgt": "Why is there no withdrawal bleeding after 10 days of taking Unwanted 72?", + "src": "Patient: Hello doctor, I had sex with my fiancee 10 days back but the condom got ruptured during the process. She had taken Unwanted 72 within 12 hours. She has not got her withdrawal bleeding yet. What should I do? Doctor: Hi. Withdrawal bleeding may be late or may not occur until next period. She took the pill within 12 hours. So, the chance of pregnancy is almost nil." + }, + { + "id": 9984, + "tgt": "I get a skin tear at the under side of my penis when it is erect. Is it due to circumcision?", + "src": "Patient: Hi doctor, I am a 38 year old male. When I was 19 years old, I had a circumcision due to a tight foreskin. This has never been a problem until of late. There are two issues that I am suffering with. The first is on the under side of my penis when I get an erection to have sex or masturbate, where my 'banjo string' uses to be, I have a scar or skin tear (only in this area), which is then taking a couple of weeks to heal. The other issue is now when I pee, it feels like my pee hole has closed slightly causing a back pressure. I have also noticed the difference when ejaculating, as I use to be able to ejaculate quite far, but now with the restrictions; I\u00a0cannot do this. I have looked at articles saying the closing of the hole does happen with circumcised men. But it is strange that it has only happened in the last six months, while I have been circumcised for 19 years.\u00a0Regards. Doctor: Hi. I read your query and understand your concerns. I hope this helps you to some extent.\u00a0Feel free to write back to me if you have more questions.\u00a0Thanks and regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 21178, + "tgt": "Had periods twice after sex but missing my regular one this month. Can I be pregnant?", + "src": "Patient: Hi doctor, I am 24 years old female. I had unprotected sexual intercourse before two months. After that, I got my periods regularly for two months. But this month, I have not got my periods. My usual period cycle is 28 to 30 days. But now it is 40 days. I have not got my periods. I am having menstrual pain and headache. I am more tired with back pain. Can I be pregnant? Doctor: Hi. As you already had two menstrual bleeding episodes after your last intercourse, so pregnancy due to that episode is unlikely to occur. If you have not been sexually active in this cycle, then pregnancy is unlikely to happen. The delay can be stress induced. The symptoms that you are experiencing are more likely of PMS (premenstrual syndrome) indicating that you are going to get your menses soon." + }, + { + "id": 30664, + "tgt": "Having midplane anteverted uterus. How to handle this?", + "src": "Patient: Hi doctor, My gynecologist told me that I have a midplane anteverted uterus. I recently became sexually active and it is uncomfortable with deep thrusting. My doctor said I do not have any other infections or problems. What is the best way to handle this? Which kinds of positions would suit better? This is becoming a bit frustrating for my partner and me. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6237, + "tgt": "My daughter is diagnosed with deviated nasal septum and sinusitis. What is the treatment?", + "src": "Patient: Hello doctor, My 23 years old daughter has been suffering from a blocked nose for the past three months. She took Sinarest and Cefixime antibiotics tablets, and Nasivion S drops. She has only temporary relief from nose block. So, we took a CT scan of PNS (paranasal sinuses) recently. Clinical findings are deviation of nasal septum and sinusitis.I would like to know the best treatment other than surgery. Doctor: Hello. Deviation of the nasal septum has only surgical treatment. Sinusitis is an infection of sinuses present in our facial bones. Once it occurs, it can be treated with antibiotics decongestants and anti-inflammatory drugs. The blockage of nasal sinus opening is the most common cause of sinusitis. You can try Jal nethi, which is a procedure in yoga under a trained master, which helps in revealing the blockage. Avoid allergens and taking a head bath with cold water. Dry the hair immediately after the head bath. Precautions during winter will help to prevent the infection." + }, + { + "id": 5525, + "tgt": "My 2-year-old baby has red itchy bumps all over the body. Please help", + "src": "Patient: Hello doctor, My 2-year-old baby developed small red pimple like bumps on her body about three weeks ago. The bumps were not itchy and were just on her stomach, back and limbs. We initially thought it was eczema, as we already know she suffers from this or measles, but she is up to date with her vaccinations. We took her to the doctor and they said it was a viral exanthem and it should clear up. Not but a few days later, she spent the day with the babysitter and they said they were out and forgot a diaper so it is possible that her urine was on her longer than normal. Later that night, she started saying her butt was sore and come to find out, she had a cluster of bumps in between her butt cheeks and a little on her labia, which her buttocks were the only part that was sore due to the acidity from her urine. Bumps also appeared on her face, most exclusively around her mouth (not on lips and not inside the mouth). But later on, she developed bumps on her nose and along her jaw up to her temple and some on her ears. We took her to the ER because it was clear that whatever she had, had progressed for the worst. She saw the doctor and as we were in the hospital room, she started saying she was itchy. She had never been itchy before, but now she was itchy all over and more and more bumps started to appear. Now on the tops and palms of her hands, tops, and soles of her feet and a lot more on her limbs. The only place that does not have bumps as of right now is her neck. We were confused because these bumps were never itchy before, but now she complained about how much it itched. It seemed to itch the most on her feet. The doctor diagnosed her with impetigo and prescribed us Mupirocin ointment and Amoxicillin and Clavulanic acid (Augmentin) to take orally. We were also told to give her Benadryl in conjunction with it. It is been a few days and it does not look like there is any progression in ridding her of this infection. Now she has some bumps that are inflamed and look white which kind of resembles a mosquito bite or something. Other bumps have a tiny black center to them. She ended up scratching her leg and within hours, it became inflamed in white and had tiny black dots in the center (not sure if dried blood or what it is). Then the surrounding area broke out even worse into tiny bumps like an actual rash. So much so, that her whole leg looks just red. Her other limbs started looking this way as well. It definitely looks worse than it ever did before and we are afraid that it is something more serious and the doctors we have been taking her to, keep misdiagnosing her. Please help. Doctor: Hello. Your description gives me two possibilities, one is skin infection which we term as pyoderma, which has a severity range of being mild to very severe. An antibiotic like Augmentin (Amoxycillin and Clavulanic acid), Mupirocin would definitely help. She also has an itching for which Benadryl is given. Did she have fever anytime? Second is an allergic rash for which might have gotten infected is another possibility. If there are no pus formation or oozing bumps, we can apply mild steroid creams, which takes care of both itch and rash. And the antibiotic covers the infection. So you can Tryptophan the cream which you were using for eczema before if you have it. I do not know if you can get it over the counter. It needs slightly longer duration of treatment as it has been there for three weeks. Some tests like a swab of the wound can be sent if lesions are not responding to Augmentin. A picture would have been more helpful. Continue Augmentin, Mupirocin, and Benadryl. Flutivate (Fluticasone) cream for local application for five days, to be applied as a thin application, but not on the face (only If lesions are not oozing or not having pus)." + }, + { + "id": 21876, + "tgt": "Do bleeding and brown discharge during pregnancy indicate it is ectopic?", + "src": "Patient: Hi doctor, I am six weeks pregnant, this will be my second baby, my first delivery was normal. Last week I had some pain in my lower abdomen. I also had slight bleeding and brown discharge as well. I also visited the doctor. She did an ultrasound and some blood test. The ultrasound report says that uterus is seen gravid with a single viable fetus with regular cardiac pulsations. CRL is 0.8 cm corresponding to six days. EDD according to fetal measures is six days. Average cervical canal length and internal OS caliber at the time of examination. I have read certain articles about ectopic pregnancy. I am scared if my symptoms are leading to this problem. Can you please help? Doctor: Hi. Congratulations on your pregnancy. As your ultrasound scan report is normal and showing intrauterine healthy and viable pregnancy, you should not worry about ectopic pregnancy. Sometimes during pregnancy, mild bleeding and spotting can occur. Take proper rest and Progesterone support after consulting with your treating doctor. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7104, + "tgt": "Back of my tongue is milky white in color. Should I be worried?", + "src": "Patient: Hello doctor, I have a milky like white color on my tongue that is more noticeable in the back my tongue should I be worried? I am a non-drinker and smoker. Doctor: Hello. The condition that you mentioned can arise due to a variety of causes. You have not suggested whether it is associated with pain, burning sensation or itching. Let me name a few conditions where the milky white appearance on the tongue is generally seen. 1. Candidiasis associated is with pain and burning sensation at times. Can be scraped off the tongue. Usually occurs in diabetics. 2. Leukoplakia is non-scrappable, painless but can progress to cancerous condition if not treated early. 3. Oral lichen planus is associated with a burning sensation, pain may or may not be present. People with a poor immune system are usually prone. These are the conditions. But be relaxed. It is completely curable. Make sure you see your doctor as early as possible and have the condition diagnosed. Early intervention and prompt treatment is the best solution." + }, + { + "id": 30388, + "tgt": "What is the chance of transmission of eye problem to next generation?", + "src": "Patient: Hi doctor, I am a 28 year old female. I have a low vision in my right eye with number -18. Can it be cured? What are the chances that it will come to my next generation? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20040, + "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": 15706, + "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": 6185, + "tgt": "My wife had bilateral condylar fracture and suffers from jaw pain. How to get rid of the pain?", + "src": "Patient: Hello doctor, My wife is suffering from jaw pain since last three years. She had an accident before two years. She suffered bilateral condyle fractures. Closed fixation and conservative approach was done but after four weeks, case went bad with open bite issue. So again she went for closed fixation for four weeks. After that occulusion was perfect and she can chew and there was no pain for six months. But after six months she is suffering from pain specially on the left condyle. Everyday she is suffering in pain. Only solution is gyming. If she goes for gyming (cardio exercise) for one hour then pain goes away otherwise she is suffering from pain. Can you help her? I can send you the detailed report if you want. Doctor: Hello. Send me your most recent OPG (orthopantomogram) x ray digital image for examination before I could give an opinion." + }, + { + "id": 19708, + "tgt": "Please suggest ayurveda treatment for hearing loss", + "src": "Patient: Hi doctor,I am a 46 year old man having diagnosed with a bilateral sensorineural hearing loss. I have been experiencing this for the last two months. Please suggest any ayurveda treatment for the same? Doctor: Hello. Revert after two weeks to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12891, + "tgt": "How can I stop getting big rashes every night which disappears in the morning?", + "src": "Patient: Hello doctor, I have been having big rashes every night and they disappear in the morning. Sometimes, I wake up with a swollen lip, I went to the hospital and they gave me an allergy injection and some drugs Promethazine and Prednisolone tablets. They stopped and I stopped taking the drugs. Now they are back. I am a female, age 21 years. Doctor: Hi. Yes, this is the condition called urticaria. That can be acute or may be chronic. There can be different reasons for urticaria-like infections, drugs or certain things in our foods like additives, etc., that can cause it. Most of the cases are idiopathic that is the reasons are not known. The most important thing in its treatment is to look for trigger factors that are causing it like what type of food do you eat? Certain foods like egg, meat, junk food, etc., can cause it, taking any drugs, etc. Oral antihistamine are the mainstay of treatment and we can increase the dosage of it if not cured. Topical application of steroid with Calamine lotion is done to have symptomatic relief. Urticaria?" + }, + { + "id": 9982, + "tgt": "Shall I take Aspirin with honey to induce period?", + "src": "Patient: Hi doctor, I am 20 years old. I had unprotected sex on the 10th day of my period and then took Unwanted 72 within an hour. Now my period has been delayed by 12 days. The pregnancy test done after 10 days of missing period is negative. But, I am getting pimples, bloated stomach and white vaginal discharge. I had Unwanted 72 before six months once and that time my period delayed 10 days. Which medicine will bring my period as soon as possible? Shall I use Aspirin with honey? Doctor: Hello. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10146, + "tgt": "Kindly suggest diet for my 18 months old son with beta thalassemia intermedia", + "src": "Patient: Hello doctor,My son is 1 and a half years old. A few months ago we came to know that his Hb is 4.3 and Hb F is 92 percent and that he has beta thalassemia intermedia. He was immediately transfused once. Now he is taking vitamin C, and Hydroxy and Folic acid and his Hb are 10.2. Please suggest some diet for him to maintain his health. Doctor: Hello. As your child is suffering from thalassemia intermedia, you should avoid giving iron rich food and food that leads to an increase in iron absorption.The foods which decrease its absorption are, (i) cereals and (ii) dairy products. The foods which increase the absorption are, (i) fruit and vegetables rich in vitamin C, (ii) meat, fish, shellfish and poultry and (iii) pickles, sauerkraut, soy sauce, vinegar, and alcohol. You can also supplement the child with folic acid 1 mg a day. Give nutritious diet and vegetarian protein sources, avoid meat and liver. Have a regular follow-up with your pediatrician for Hb level and iron overload." + }, + { + "id": 30345, + "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": 18428, + "tgt": "Please suggest a medicine for my baby's gas problem", + "src": "Patient: Hi doctor, My daughter is 28 days old. She is suffering from gas problem. I am not sure if it is colic pain as she does not cry a lot, but she is struggling to pass gas. She is squeezing her entire body to pass gas and due to this, she is not able to sleep properly. She will wake up in the middle of sleep to pass gas. She does cry sometimes while passing urine, motion and gas. After seeing this, we gave her gripe water for two days of about 0.25 mL when she was 15 days old. I consulted a pediatrician and he suggested Colpep\u00a0drops 8 drops day and night. We tried this for one week, but we did not see any improvement. So, our pediatrician advised Neopeptine 8 drops day and night along with Colpep in 10 minutes interval. Also, he told to use both drops after breastfeed. I gave this for two days and realized that both medicines looks similar. When I consulted another pediatrician, he said not to give both and only either one of that should be given. I am very confused now and worried as I have already given both drops together for two days. Will it cause any problem to my baby? Please suggest which medicine to give for gas trouble? How long it will take to cure? Can we give gripe water?\u00a0 I am really fed up with different opinions from everyone. Is it mandatory to give medicine for gas trouble? I heard it will gradually subside at around 4 to 5 months of age. I feel that we have given too many things to her like Colipep, Neopeptine and gripe water. I feel that she should not get affected by these medicines. Please help me out. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27429, + "tgt": "I hurt my little finger while playing, and the X-ray shows no fracture. Please help", + "src": "Patient: Hello doctor, I have been experiencing pain around the bone of the little finger.\u00a0It is just below the end of the finger, near the joint of the bone joining the palm. I did an X-ray and no crack was shown. I play cricket. So, I experienced this after taking a catch two months ago. It pains every time I take a catch, and me being an import and fielder, I cannot evade fielding. I took six\u00a0weeks\u00a0of rest, and still experienced the same pain. I took pain killers and even applied some gel, but nothing has helped so far. Doctor: Hello. This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20690, + "tgt": "What is the reason for abnormal weight gain in a 10-year-old kid?", + "src": "Patient: Hello doctor, My son is 10 years 5 months old and is gaining weight. I feel it is more than normal. Thyroid test has been done. He is fully healthy and has food normally. Doctor: Hi. I understand all your concerns. I have checked the attached report (attachment removed to protect patient identity). The values point to the state of hypothyroidism. Please revise with me if he has any symptoms like cold intolerance, constipation, low heartbeats or over sleepiness. In case of confirmed diagnosis of hypothyroidism, hormone replacement is required in order to control the symptoms. Wish him all well-being." + }, + { + "id": 18480, + "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": 23021, + "tgt": "Can you suggest an effective cure for my ear pain?", + "src": "Patient: Hello doctor, I am having a headache along with congestion and confusion as well as an ear pain like if there is some pressure on it. I am not sure if this is an allergy like sinusitis because I barely have any other symptoms than I mentioned above. Sometimes, I feel a dry throat, but I think that is due to taking less fluids. I had this a few weeks before and had a stuffy nose. I got well in the middle, but it came back. I will mention the environmental conditions that I am currently living in. The weather is really dry and cold air blows mostly. Since there have been barely any rain in the past weeks, as well as there is a high proportion of pollen and pollution in the area as well. I have been to the doctor during the initial days of this problem, she prescribed me an antihistamine (Loratadine).But, I just took it for a day as I felt anxious and had panic attacks, which I believed happened due to its adverse effects. Currently, I am relying on the home remedies like steam inhalation and use of warm cloth on ears to relieve the ear pain. I need an urgent help to cure this because it is killing my productivity and preventing me to think and work efficiently. I am a high school student who will be having mid-year examinations in a couple of weeks. Doctor: Hi. From what you describe, it sounds like you may have an ear infection. In the initial stages of an ear infection, there will be severe ear pain, a feeling of blocked sensation in the ear, decreased hearing, fever and this usually happens along with a severe cold or sinusitis. In case of rupture of the ear drum due to severe infection, there might be a slight blood or pus discharge from the ear along with a decrease in ear ache. In case of an ear infection, you will need antibiotics, which you can get after visiting an ENT surgeon for examination. I suggest the following medicines to help you. Consult your doctor, discuss with him or her and take the medicine with consent. Apart from these medicines you need to do steam inhalation thrice a day. Drink plenty of warm fluids. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 8561, + "tgt": "What can be done for allergic rhinitis?", + "src": "Patient: Hello doctor,I have allergic rhinitis. My eyes are itching, sneezing, I have runny nose, and hives. Kindly help. Doctor: Hello. I understand your concern. If possible kindly send photo of the wheals you are getting. Also, I would need to know how frequently you get them. Meanwhile, you can use the following medicine to help you with these symptoms. Levocetirizine 5mg, Montelukast 10 mg twice a day." + }, + { + "id": 25754, + "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": 23935, + "tgt": "What foods to avoid during ear problem?", + "src": "Patient: Hello doctor, I am 21. I have a problem of pus discharge from my right ear, right from childhood. I have been told that there is a perforation and it needs to be closed by a surgery. Recently, I had severe pain as well along with the pus. The usage of buds to clean was the reason for the pain which caused a earache (cartilage inflammation, I guess). I went to the doctor, have taken the medication. I do not have pain anymore. I am using tablets and eardrops to reduce the pus discharge right now. My major concern is about what foods I need to avoid to avoid any pus or ear problem. Is it right that I need to avoid eating ice creams, anything that is cold and sweets, cakes, especially can I have chocolate cake? Please do tell me clearly what all I need to avoid strictly and what all I can have. Doctor: Hello. The perforation has to be closed using tympanoplasty surgery. Otherwise, the perforation may become unsafe with loss of ossicles and more complex surgeries may be required for its correction. Chances are there for the development of cholesteatoma which can invade and destroy bone and spread to surrounding structures like brain. What you should be worried about is not what food you should eat or avoid but about the permanent solution to this problem. If, however, you want to know what food to avoid, avoid all those that can cause an upper respiratory tract infection, as the infection can trigger a ear infection and cause recurrent ear discharge. For more details on the surgery and how to go about it, do write back to us. If you have done any tests please attach all the reports and previous treatment records. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1404, + "tgt": "Before urine test, shall we start antibiotic for UTI?", + "src": "Patient: Hi doctor, My son is\u00a020 months old. He is\u00a0suffering from UTI. Since yesterday, he cries while urinating in the morning. He has fever for two days and\u00a0cough and running nose for five days. The general physician gave Cefpodoxime oral syrup, but urine test has to be done tomorrow morning only. Should we start the antibiotic? No pediatrician nearby and we have to drive six hours to another town for the pediatrician. Please suggest me? Doctor: Hi. Crying while voiding urine and fever might be due to urinary tract infection (UTI). Urine routine and microscopy needs to be done for screening and if it suggests infection, then urine sample for culture and sensitivity needs to be given and oral antibiotics has to be started. The culture report, which takes two to three days will guide the further use of antibiotics, if any infection positive. Antibiotics should be started only after giving off a sample for culture and sensitivity, if UTI is suspected. Giving urine sample for testing after taking antibiotics might alter the test report and delay the infection. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 17809, + "tgt": "Which medicines are used to treat parasitic infection?", + "src": "Patient: Hi Doctor, Which anthelmintic medicine would you recommend for a treatment for a possible parasitic infection (worm)? Is it Albendazole? If yes, for how many days? I do have some itchiness around my anus area and cannot get a doctor appointment here. Doctor: Hi, Thanks for writing to us. It is important to find out which type of worm infection you are suffering from. There are hundreds of worms which enter the body and the treatment varies depending on the type of the worm. So, ideally you should get a stool routine/microscopy done. It is a simple test and is available everywhere. If you want a broad spectrum drug which would cure mostly all types, then tablet Albendazole is good to start with. Take tablet Zentel 400mg once in night, then in morning check for worms coming out in stools. Repeat the same dose for 3 nights. Mostly all types of worms will be evacuated by this. For anal itching, please apply Quadriderm ointment to remove the ulceration and inflammation which the worms have caused. If you need any other clarification or if you get the report of the stool test, please feel free to write to us back --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 23330, + "tgt": "I am suffering from OCD. I can wash my body and hands all the time. Kindly advice", + "src": "Patient: Hello doctor, I am suffering from OCD. When my sisters and myself were going shopping on a street she touched a septic tank. After that, Inoticed that she touched shopping bags, dresses, and after reaching home she touched curtains, chairs, etc. I am noticing all this and then started washing all touched things by her six months back to today I can wash things. Please help me how to recover from this situation. And please say I am doing wrong or right. I can wash my hands and body all the time because that situation I irritate this but I cannot stop. Doctor: Hi. I think at this point, you need psychological support. So, I would suggest discussing with psychologist and run psychotherapy to help you out with this washing things and hands problem. Please take note that our body has its own mechanisms to clear all that is bad from inside, including germs or anything. Furthermore, each time we face any germ, then, our body starts to produce antibodies to keep this defense in the future. If our body is not functioning well, then, we can fall ill. Washing hands and things around is a type of protection. But not too exaggerated. If you cannot help yourself till now, then, you need psychological support from a specialist. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17602, + "tgt": "Can Risperidone cause breast cancer?", + "src": "Patient: Hi doctor, I took Risperidone 3 mg daily for 11 months. Can it cause breast cancer? Also, I took ayurveda medicine for irregular periods. When I developed loss of appetite and nausea I stopped it. I took it only for one and a half month. I did not inform my psychiatrist about this. Please help. Doctor: Hi. In any case, please get the following tests. Serum prolactin level, thyroid profile, hemogram, RBS (random blood sugar), KFT (kidney function tests) and LFT (liver function tests). Revert back with the reports and specific persisting symptoms to a psychotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 2460, + "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": 8134, + "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": 22001, + "tgt": "Does a cirrhosis patient require medicines to increase platelet count and Hb?", + "src": "Patient: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72,000 and hemoglobin is 10. Everything else including protein and albumin are normal. The doctor is giving Ricovir 300, Pantosec 40, Udliv 150, Vitamin A to Z daily and Lasilactone 50 mg on alternate days. But, he is not giving any medicine to increase platelet count and for reduced hemoglobin. Is it alright or is that required? Doctor: Hello. In liver cirrhosis, chronic fibrosis occurs and such fibrotic tissue obstructs portal blood flow and so, because of portal hypertension splenomegaly can occur. An enlarged spleen traps platelet count and so your platelet count is low. With an improvement of cirrhosis by medication and avoidance of alcohol and through a healthy lifestyle, your platelet count can increase with time. But if cirrhosis worsens, then the condition might reverse. You have been prescribed antiviral medication as well. So, hepatitis B or C might be associated. In hepatitis, bone marrow can be suppressed and there can be pancytopenia in which hemoglobin, WBC count, and platelet all three get reduced. So, check your WBC count as well. For low platelet, you need only monitoring and a healthy lifestyle. For low hemoglobin, check your serum ferritin and TIBC (total iron-binding capacity) level and peripheral smear examination to give more comment on that. If any unusual bleeding starts, then platelet needs to be transfused. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 414, + "tgt": "How bad will kidney get affected due to chronic alcoholism?", + "src": "Patient: Hello doctor, My serum creatinine is 1.17 and I am taking blood pressure and diabetes tablets. Do I need to worry about my kidneys as I drink alcohol on a daily basis? Doctor: Hi. Reviewing your presentation and details of your test attached (attachment removed to protect patient identity). History of hypertension and diabetes are important factors for chronic kidney disease which if not properly controlled can affect your kidney function in the long term. The BP and sugar levels are well controlled with your medications so it is really important to keep on regular medications. The second point of course the diet which adversely affects your kidney function are maintaining a healthy diet, low fat, low carb, and high fiber diet and a good state of hydration taking about 2.5 liters of water is must to keep your kidneys healthy. Reduce caffeinated and fizzy drinks. Drinking alcohol can badly affect your liver and kidney functions. I recommend you to reduce your intake of alcohol to occasionally and better to avoid it. Regular check on blood pressure and sugar on a weekly basis and give your feedback to your following doctor. And you can do a kidney function test to see creatinine level every six months. If you do regular exercise it will add benefit generally and to your kidneys. So far as you are doing well and keep the follow up there should be no issues. I hope this helps." + }, + { + "id": 19772, + "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": 28100, + "tgt": "What does blood in urine 1+ mean?", + "src": "Patient: Hi doctor, In my routine urine test, blood in urine is 1+ and RBC 6-8. What does it mean? I have attached my routine urine test report for your reference. Please help. Doctor: Hello. I had gone through your report (attachment removed to protect patient identity). Revert back with the investigation reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10707, + "tgt": "How can wrist pain with numbness in fingers be treated?", + "src": "Patient: Hello doctor, I have had pain in my right wrist for a week now. But these past three days, my fingers and hand have been numb and it is getting worse and worse. Please help. Doctor: Hello. The pain is in the palmar aspect of your wrist or on the dorsal aspect? Was there any history of fall ,fracture before this and was there a huge swelling? There is a possibility that swelling lead to compression of the nerves that passes through the wrist to supply your fingers leading to severe pain and subsequently numbness. This is most likely a compartment syndrome. Can you still move the fingers? You need to do an X-ray of the hand and then see an orthopedic surgeon let them check you thoroughly." + }, + { + "id": 10670, + "tgt": "I am suffering with sudden bouts of loose motion. Please help", + "src": "Patient: Hi doctor, I am a 62 year old male. I am suffering from multiple neurofibroma of spinal cord and acoustic neurofibroma. I had bypass surgery four years ago and since then I am under medication, which is given below.\u00a0My present problem is related to stomach. Since the operation, I started having sudden bouts of loose motion. Earlier, the interval between the bouts was about 15 to 20 days which gradually reduced now to about three days. I have consulted numerous doctors including gastro specialist. Sonography reveals all organs to be normal except grade one fatty liver. No blood, pus cells in stool. My hemoglobin is 16.1. I\u00a0have undergone deworming course by taking Rcifax 400 bd for five days, Noworm 400 and Nortryptomer od for three days, but there has been no effect.\u00a0The consulted doctors have different opinions, some say that it is due to neurofibroma and some say it is due to reaction of medicines which I am taking. But no remedy has been suggested yet.\u00a0If the loose motions become uncontrolled, I am forced to take Norflox TZ, which gives temporary relief. These loose motions are sudden, often soil clothes and have imprisoned me in the house. My current medication includes Nikoran 5 bd, Cardivas 3.125 bd, Cardace 2.5 od, Flavedon MR od, Lasix 40 half tablet od, Becosule od, Clopivas 150 od and Rosuvas 10 od. Please help me. Doctor: Hi. Such diarrhea is seen in Irritable bowel syndrome (IBS). IBS is of three types: You seem to be suffering from IBS diarrhea predominant. However, IBS is a diagnosis of exclusion. We investigate suspected cases of IBS with thyroid profile, fasting blood sugar and ultrasound abdomen. If all investigations are normal as you have mentioned blood and stool test (considering these investigations have been performed), then you are probably suffering from irritable bowel syndrome. In case you ever have had blood or mucous in stools, you require a colonoscopy to rule out any evidence of inflammatory bowel disease. I advice the following for treatment of IBS: Idiopathic. Routine. IBS. Stress free life." + }, + { + "id": 22477, + "tgt": "I get bad diarrhea attacks, especially in summer. Would you give me a solution?", + "src": "Patient: Hi doctor, I am an 18 year old female. I have been having problems with my digestion and intestines since two years. I get real bad diarrhea attacks and it usually happens in the summer, especially when there is a breeze or wind. So, I always have to cover up my belly and wear lots of clothes in the summer. Would you please give me a solution? Doctor: Hello. Most diarrhea are viral in origin and do not require any treatment except for ORS (oral rehydration solution). But, to rule out bacterial infection, get your stool tested for three consecutive days when you have diarrhea and send me the reports. Also, note any relation with a type of food that leads to diarrhea. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22592, + "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": 15836, + "tgt": "There is neck infection in a 4-month-old baby. Please help", + "src": "Patient: Hello doctor, My baby boy is 4 months old. He is suffering from neck infection. Doctor: Hi. I have gone through your query and reviewed the attached photograph (attachment removed to protect patient identity). Your child is having intertrigo which is inflammation of the body fold. I would recommend you to apply Clobetasone and Miconazole cream (Eumosone M cream) on the affected area twice daily for seven days. Also, keep the area dry and clean." + }, + { + "id": 30826, + "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": 11222, + "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": 16824, + "tgt": "Other than cochlear implant, is there any other way to treat hearing loss in a kid?", + "src": "Patient: Hi doctor, My niece is 4 years old now. A year back we realized that she was not catching up how to speak and consulted an ENT doctor. Doctor performed few tests like BERA, OAE and hearing assessment. Then he confirmed that my niece is suffering from profound hearing loss. Doctor suggested hearing aids could help her in listening temporarily but advised cochlear implant as permanent solution. Though my niece grabbed very few words to speak with the help of hearing aids, she could not completely mingle with us. We still neither could digest the news nor can imagine that she wearing external devices for her entire life. Also that none of us or our ancestors had such problem. We consulted few more doctors for further confirmation and I browsed over the internet but everyone says cochlear implant is the only solution. We would like to take a final opinion from the doctors around the world before she goes under the surgery and hence drafting this. Can we have a hope that the problem could be different and doctor identifies the actual problem (if any) while operating the ear for cochlear implant? I figured out from few blogs that research is going on few devices which do not require wearing external device. Can you please let me know if they are available outside? If not, how many yet more years to pass to get those devices into the world and save many children with this problem? I have attached the BERA, OAE and hearing assessment reports for your reference. Please have a look at them and advice. Thank you very much for your valuable time and your help is definitely admirable and cannot be unnoticed. Doctor: Hi. Reports (attachment removed to protect patient identity) clearly explains about the problems. I clearly understand your concern and worries. CT and MRI scan for cochlear implant. 1. Speech therapy after cochlear implant, minimum three days in a week, only by speech language pathologist. 2. Regular mapping by an audiologist. For further information consult an audiologist online.---> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 29848, + "tgt": "What are the treatment options for a cracked tooth?", + "src": "Patient: Hello doctor, While trying to disassemble a monitor, I accidentally hit myself in the face with the base of the monitor. Later, I noticed that my lateral incisor had a crack and the very top of the tooth had chipped off.\u00a0Based on the research it seems like it is just a craze line.\u00a0About half of the top 0.5 mm of the tooth seems to have fallen off, as half of the tooth is slightly taller. It feels\u00a0unfamiliar and I can feel the roughness on the top of the tooth with my tongue. At first, there was pain only from the\u00a0immediate impact.\u00a0It felt like a few of my teeth were moved around slightly.\u00a0The pain was not sharp or very noticeable.\u00a0However, about 3 to 5 hours later a sharper pain began to appear. An\u00a0hour after the pain began;\u00a0it is hurting even without touching it.\u00a0It also hurts if I drink refrigerated water.\u00a0The source of the pain is the very top of my tooth where it seems to have been chipped off. I will\u00a0attach a picture of the tooth in which you can see the thin crack and the chip off portion at the top of my tooth.\u00a0The chip seems like it came off like a long and thin rectangle. Since it is a holiday here, I have not been able to contact my dentist's office. Currently, I am using Vyvanse and Aleve for tooth pain, but does not seem to work. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21935, + "tgt": "I have anemia with low ferritin level. Can it be cured with diet and supplements?", + "src": "Patient: Hello doctor, My age is 27 years and I am a female. I have anemia with a very low ferritin level 2.1 and HB is 6.5. Can it be cleared by taking diet and iron supplements? Which is a good time to take Zincofer syrup, how much ml? Please advice. Doctor: Hello. Your symptoms are suggestive of iron deficiency anemia. I want to check your full CBC report. The investigations that are suggested in your case is peripheral smear examination, transferrin saturation, and serum TIBC (total iron binding capacity) also. You need to be given iron sucrose injections to replenish lost iron store and to improve hemoglobin level. Then maintenance with oral ferrous ascorbate tablet or iron syrup can be prescribed for three months. Provide your reports to guide you further. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 3324, + "tgt": "My pap is inflammatory with negative culture. Will it influence my chance of pregnancy?", + "src": "Patient: Hello doctor, I am a 34-year-old woman. I have a 3-year-old son and I have been trying to conceive my second child with no success during the past several months. During the pregnancy with my son, I had a cervical cerclage placed, which was not removed at the cesarean section (the doctor forgot). The cerclage got infected three months later after birth when resuming sexual activity. I went to a different doctor who removed the cerclage and gave me a course of Augmentin antibiotic. I had no more infection. However, during my period I would perceive a vague fishy smell of the blood. No other smell during any other time of the cycle. I had multiple cervical and vaginal cultures done (including mycoplasma, ureaplasma, gonorrhea, chlamydia) and everything is always negative. My PAP tests are also normal but show non-specific reactive inflammation. I was given Doxycycline and Metronidazole for 14 days and I also took Cephalexin for seven days during this month for a UTI. However, when repeating the pap and cultures last week, it is still inflammatory with negative cultures. I am also scheduled for a sonohisterosalpingography this week. Can this procedure be done when I have an inflammatory pap considering cultures are negative and the pap is still inflammatory despite antibiotic treatment? Is it safe? Can the inflammation be related to the cerclage somehow? Or can it show in fact some cervical cancer or dysplasia? And if there are precancerous changes in the cells of the cervix (although the pap did not say that) could the sono-HSG actually push them into the uterus and ovaries and possibly cause cancer there? Or am I over reacting? I need to mention my paps were always normal before the pregnancy and the cerclage situation. I am worried and do not know what to do. Doctor: Hi. Do not think much. If you have a negative culture and you had course of antibiotics after an inflammatory pap test then, mostly infection or active insects are removed from the cervix. Now in hysterosalpingography dye is pushed inside the uterus and two or three x-rays are taken for tubal patency. And along with that many times, doctor prescribes one antibiotics course as a precaution for prophylaxis against infection. Inflammation can be chronic, can be post-delivery, or age-related. But do not worry if you have taken antibiotics already. Secondly, hysterosalpingography is mostly prescribed to see the tubal patency to rule out any problem related to fallopian tubes. So it is a safe procedure do not worry. I hope this helps." + }, + { + "id": 17392, + "tgt": "Age 50years, 1. Fatty changes in Liver, 2. Bulky Uterus with Fibroid, 3. Blood sugar 201mg/dL", + "src": "Patient: Dear Doctor, My mother is 50 years old.\u00a0According to the report,\u00a0 She has got:\u00a0 Fatty changes in the liver. Bulky uterus with fibroid. Blood sugar 201.0mg/dL. Kindly interpret the report. Doctor: Hi. Diagnosis (according to available information):Fibroid Uterus, Type II Diabetes Mellitus. Further information required: With respect to the above diagnosis, the treatment plan is as follows, Consult a general surgeon online for further help --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 9102, + "tgt": "Are Betadine and Fourderm creams helpful in private area infection?", + "src": "Patient: Hi doctor, I am working at a steel industry. So, due to excess heat in the workplace I always have a lot of sweat in private areas. I consult a doctor for the infection. He prescribed me Betadine powder to use and Fourderm cream. Is it helpful? Doctor: Hi. My opinion is not to use Fourderm cream (combination of Chlorhexidine gluconate, Clobetasol, Miconazole and Neomycin). It has strong steroids and has a lot of side effects. I suggest Onabet cream (Sertaconazole) or Candid cream - Clotrimazole instead. I also suggest Abzorb powder (Clotrimazole). Consult your specialist doctor, discuss my opinion with him or her and take the medicine with consent. Please put up two or three clear pictures of the affected area so that oral medications may be added if needed. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28951, + "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": 3852, + "tgt": "I am suffering from hyperhidrosis. What to do?", + "src": "Patient: Hi doctor, I believe that I have extreme hyperhidrosis. My entire body sweats profusely when I experience even the slightest change in temperature, start exercising and even when I am simply resting. My back, armpits, forehead, and buttock sweat the worst and this affects my entire body. It has prevented me from going out in public on some occasions and doing anything social. About an hour into my day, my clothes are soaked with sweat no matter what I do. I have tried Drysol and over-the-counter antiperspirants, but they did not help either. I do not know what else to do. Do you have any advice? Doctor: Hi. I have read your query and can well understand your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21018, + "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": 13479, + "tgt": "How can I manage a painful boil like growth inside vagina?", + "src": "Patient: Hello doctor,I have a boil like growth on the inside of my vagina around the vulva. It is about 3 cm in length and approximately 2 cm wide. It is very painful especially when walking. Doctor: Hi. It looks like you have a cyst. These cysts are nothing but swellings filled with fluid or some other materials usually secretion of glands. By looking at the history it looks like you have a Bartholin's cyst which usually occurs inside the vagina where Bartholin glands are present. Usually, they are small and painless. When they grow bigger, in your case, it causes pain and discomfort while walking or during sex. If it is very painful, probably cyst is infected with pus collected inside it. Do not be shy. Visit your gynecologist at the earliest before it gets worse. Your gynecologist will suggest you the best treatment possible by local examination. Cysts which are so big warrant surgical removal." + }, + { + "id": 9232, + "tgt": "What could be the cause for strong and fast heartbeats with difficulty in breathing?", + "src": "Patient: Hello doctor, I am 31-years-old male and a heavy smoker. I usually have some problems with GERD, but when I take Nexium, I feel I am suffering recently from the following symptoms. During my day, around two times, I got episodes of the following while resting. 1. Strong heartbeats. 2. Accelerated heartbeats. 3. Feeling my stomach blow. 4. Difficulty in breathing. 5. Sweating. The episodes last for might be two minutes. I have visited a cardiologist, and I made the following analysis, 1. Thyroid hormones. 2. CBC. 3. Urine. 4. ECG and stress ECG. 5. Holter for 24 hours. 6. Chest X-ray. 7. Breathing test. All measures are normal except high cholesterol and LDL. Now the episodes come maybe once every couple of days. I do not know what is the reason could be? . Doctor: Hello. You should curtail your smoking which is the reason for the increase in cholesterol as well as increasing your heart rate your heart and must be going very high due to stimulation of the heart by the nicotine and hydrocarbons limited by smoke the possibility of infrequent supramental arrhythmias cannot be ruled out by the test you had done. You have to do ECG immediately once you have the episode or will need a loop recorder or event recorder for the diagnosis of arrhythmia if the incidents are recurrent." + }, + { + "id": 17614, + "tgt": "I have some burn like injury on my inner cheek. What is it?", + "src": "Patient: Hi doctor, I have a small section of skin starting from the bottom of my inner gum to halfway up the flappy skin piece on the lower part of the tongue. It is not very bad looking. It appears as if it is just a normal burn from some hot food or drink, though I do not recall ever burning myself. It occurred sometime between before two days, which also happens to be a period in which I had diarrhea and no appetite. It is not super red and seems normal in color, has dead white skin on the surface that I can easily rub off with my finger. My primary concern is that there is more pain than I usually have from a burn, especially while chewing. There has been minimal oral sex within the past month, and neither she or I have had any sexual relations with anyone else. Doctor: Hello. Sharp tooth, drinking alcohol and smoking. Biopsy if needed. 1. Chemical burn. 2. Aphthous ulcer. Aphthous ulcer. Smile gel. Quit smoking, drinking, spicy food and chewing from the particular side. Revert after three days to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21686, + "tgt": "How can I get up early in the morning?", + "src": "Patient: Hi doctor, I am struggling to get up early in the morning. I sleep for eight hours every day. I press the snooze button many times, but still, I cannot wake up early. I became irregular to the work which became a barrier to my career. Currently, I am taking tablet Fluvoxin 100 mg in the afternoon for OCD and depression, tablet Oxetol 450 mg in the evening for gelastic seizure, tablet Quetiapine 100 mg at night for delusions. Doctor: Hi. You have to be strict about your schedule. You are taking tablet Quetiapine at night. It is a standard medication which affects your sleep, mostly due to oversedation. But there is no other option if your delusions are under control with it or you may try another antipsychotic like Risperidone. You must sleep early at night if possible and take night medication soon at least at 9 PM if you are going to sleep at 10 PM. Fix your sleeping time from 10 PM to 6 AM. Do not snooze alarm. It is hard initially after that you will use to get up early. If you have depressive features, then treat your depression, because depression can also cause a problem in sleep (wake up issue). For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2326, + "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": 21337, + "tgt": "From the reports, kindly suggest whether my father has advanced lung cancer or not?", + "src": "Patient: Hi doctor, I took my dad to the hospital because of intense pain in his legs. After a lot of tests, the doctors suspected that he has advanced cancer. But they were unable to do a biopsy because of his heart disease and other problems. I received reports from hospitals about my father's condition. One report suggests that he has advanced cancer and it has spread to different parts of the body. They did a PET because of his health problems. After six weeks, again I took him to the hospital because of severe pain in the legs and the painkillers are given initially was not helpful. The other doctor did a biopsy of the lung and suggested possible stage 1 cancer. He had loss of weight and the pain in the legs increased. He has done open heart surgery before three years. He has heart disease, blood pressure, and diabetes. I am interested in getting a specialist look at the reports and images and say why there is such a difference of opinion by two cancer specialists. I would like to know what these reports mean: Does he have advanced lung cancer or only stage 1 cancer? If he has advanced cancer, should we consider palliative care? If it is not advanced cancer, should we go through therapy? If so, chemotherapy or radiation? Just give a second opinion after reading these reports and suggest how to proceed. We need an urgent response. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your father has advanced lung cancer, which has spread to his bones and other parts of the body. I do not know why someone has said it is a stage 1 cancer. It is a very aggressive stage 4 lung cancer. On considering his age, poor cardiac condition, incurable disease, he is not a candidate for any active oncology treatment. He needs only symptomatic treatment with pain medication. For pain, he should take Morphine. Take help of a good palliative care doctor. I am sorry, but he has a very short remaining life. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 23029, + "tgt": "Why the ear pain increased after using prescribed ear drops?", + "src": "Patient: Hello doctor,A few months back, I had ear pain and according to the doctor, I had a fungal infection and got my ear cleansed and prescribed some drops for my ear to be used. As I used those ear drops my ear pain got increased and it turned into a very severe pain that I start feeling that some fluid was dropping from my throat and felt like that was a fluid from my brain, also felt like my brain is drying from inside. And I could not sleep because it feels like something is frozen in my brain.I am feeling better now but I still feel tensions in muscles and do not see any further progress in my condition. I feel like I have head muscle weakness and got to have some X-rays or something. Please advice. Doctor: Hello. I understand your concerns. Regarding your ear pain, it is most likely what is called otitis externa which is an infection of the outer canal of the ear most likely fungal. Wet ear is the most common cause also called swimmer's ear. The most appropriate management: Regarding the brain fluid issue, it is not possible for the brain fluid to drain without being exposed to significant trauma. As for your muscle weakness and tension, I need more details: For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25096, + "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": 8659, + "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": 29147, + "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": 26769, + "tgt": "Am I feeling nervous and tired because of smoking?", + "src": "Patient: Hi doctor, I started smoking four\u00a0years ago, and now my smoking habit is continuous. Sometimes I feel very nervous and tired. I also have\u00a0a headache. Is my symptom because of smoking? Doctor: Hi. For further queries consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 30214, + "tgt": "I have a few lumps under the eyes. What are they?", + "src": "Patient: Hi doctor, I am 42 years old. I am having some plump type of small things under both the eyes. It started like pimples and gradually increased in two years. But, there is no pain. I wear spectacles and job profile is sales and marketing. I have to travel in hot and sunny weather. Please advise. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1388, + "tgt": "I have severe neck and shoulder pain with numbness and tingling. Please help", + "src": "Patient: Hello doctor, I have severe pain in the neck and shoulders often accompanied by numbness and tingling. I also have frequent migraines and some times dizziness as well with occasional fainting which is exacerbated by loud sounds and harsh lighting. I used to be a professional bass player (20 years) but no longer performing live for the past two years due to worsening conditions. I am currently taking OTC painkillers and homeopathy medicine for migraines. Doctor: Hello. It would have been better if you had included the MRI and X-ray films or at least the report as I believe it is your cervical spondylosis that may be the cause of your current symptoms. I will recommend you to do neck strengthening exercises, shoulder elevation exercise, and take Pregabalin tablets for nerve pain along with Duloxetine and take antiinflammatory tablets for a couple of weeks to see the response. As your are getting twitching and this may be viral in nature or may be myoclonus. I will not to ignore that and perhaps see a neurologist at the next opportunity." + }, + { + "id": 16508, + "tgt": "How to treat hypogonadotropic hypogonadism?", + "src": "Patient: Hi doctor, I have hypogonadotropic hypogonadism. My FSH, LH, and testosterone levels are low. My sperm count is zero. I am taking HCG 5000 and HMG 150 twice a week for the past three months. After taking it, my testis size got increased from 1.79 cm to 1.83 cm. Now after three months of treatment, my testosterone is 1.1 ng/dL. After three months of treatment, my sperm count remains zero. Please suggest. Please say whether I have primary or secondary hypogonadotropic hypogonadism. Doctor: Hi. There is no primary or secondary hypogonadotropic hypogonadism. But hypogonadism can be primary or secondary. In the primary, the defect is in testis with high levels of FSH (follicle stimulating hormone), LH (luteinizing hormone) and there is low testosterone. In secondary, there is a low level of FSH, LH, and testosterone. So you have secondary hypogonadism also called hypogonadotropic hypogonadism. Do a serum prolactin test. You are taking HMG (Menotropin) and HCG (Human chorionic gonadotrophin). It will gradually increase the testosterone level and testes size, which is small. Since you have zero sperm count, you must wait for at least six months as the testes size is small and the spermatogenic tubules will take time to develop." + }, + { + "id": 180, + "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": 11848, + "tgt": "What are the symptoms of bipolar disorder?", + "src": "Patient: Hello doctor, I am 18 years old and I do not know what is wrong with me. I think I have severe depression and anxiety, but obviously, that cannot be 100 % accurate. The thing is, I think I am depressed, but there are times where I feel on top of the world. Maybe I have bipolar disorder? I do not know. I have been researching a lot lately and I have watched videos of people experiencing a maniac episode and I feel like sometimes I act like that. I am not sure though. It would really help if I could talk to a professional, but I am scared of asking my parents to see one. I know they would probably say yes and accept me but I have just always been closed off. So, now I am here. Please help. Doctor: Hi. Ideally, you should collect the courage to tell your problem to parents because you are still very young. If not comfortable with parents some close relative or friend or free helpline. Making the diagnosis of depression, the symptoms must present for at least two weeks regularly. Sometimes we see someone close to us suffering from any disease and try to find or check yourself for these symptoms, remain anxious with their thought, later that thought can lead to depression. One more easy way to decide is to ask yourself whether normal functioning is hampered. If the answer is yes you should go to a psychiatrist as early as possible. Again saying that taking help from the parent is the best option in front of you. Do not be afraid of the treatment. It is very simple and easy to treat depression nowadays." + }, + { + "id": 15985, + "tgt": "What is the reason for delayed periods?", + "src": "Patient: Hello doctor, I have regular periods every month. I missed my period 10 months back and until now I have not received my period. I took two pregnancy tests a month later and both came out to be negative. I would sometimes get light cramps and discharge (clear). I want to know is this normal or is something wrong with my body? Could I still be pregnant? Please let me know I am desperate for help. Doctor: Hello. If your prime concern is pregnancy alone, then you can get a serum beta hCG test done which is the gold standard and conclusive. If the hCG levels are less than 5 mIY then you are surely not pregnant and the delay of menses could be stress induced as in most women. You can then opt for a withdrawal bleed with Progesterones. The other most common causes of oligomenorrhoea are PCOS, hypothyroidism, and hyperprolactinemia. So you may get a hormonal profile to get these levels checked as well and an ultrasound pelvis to rule out polycystic ovaries which are again very common in young women." + }, + { + "id": 8188, + "tgt": "What is the treatment for increasing streach marks?", + "src": "Patient: Hello doctor, I am suffering from severe stretch marks problem, which is increasing day by day. What can I do to get rid of it? And also I want to remove the old marks which are present near my belly, armpits and above shoulder. Please help. Doctor: Hello. Please do mention your age whenever you ask any query in the future. If your stretch marks are new, then it will be reddish. If it is old it will be whitish, the response to new stretch marks are good whereas old ones respond less to creams and ointments. Please try shea butter or cocoa buttercream in the day time and Retin-A (Tretinoin 0.025 %) cream at night for a month. If you do not find any response, then you have to visit a doctor to undergo laser therapy." + }, + { + "id": 26715, + "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": 27591, + "tgt": "How can I increase my concentration in studies?", + "src": "Patient: Hi doctor, I am a 20 year old\u00a0medical student.\u00a0I have a\u00a0big problem with my studying techniques, and I find it rare compared to others.\u00a0First things first, I am lazy to study, not because I\u00a0am lazy in general, but because I\u00a0do not understand a word. Even if I understand\u00a0something, it gets evaporated from my mind within minutes. I\u00a0am not able to pay attention during lectures, and I do not find it useful. Honestly, I\u00a0attend lectures just for the\u00a0attendance sake. But, just before the day of exams, I\u00a0understand whatever I\u00a0read, and I somehow manage to pass. I only fail if I could not finish reading due to any reason. My concentration power suddenly improves before exams. But once I am out of the exam hall, everything vanishes from my head. Is there any solution for this?\u00a0If I am ill on the day before the exam, then I definitely flunk. Honestly, whatever I\u00a0write in the\u00a0exam is the result of what I\u00a0read on the previous day. I know that this type of studying habit is not at all ideal for the profession I choose.\u00a0So, please help me. Please\u00a0provide useful information about the same.\u00a0Also, suggest a way to\u00a0approach and solve this problem. Doctor: Hello. I can understand your concern.\u00a0You have issues of poor focus and inability to maintain focus or concentration. Thanks and take care. For more information consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 25022, + "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": 27029, + "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": 26273, + "tgt": "What could be the reason for high BP in the evening?", + "src": "Patient: Hello doctor, My age is 43. My weight is 76 kg and height is 170 cm. I was an athlete and discontinued sports around 10 years back. I am an ecology and environment consultant by profession. I was diagnosed with hypertension six years back and was taking medicine last year. My BP reached a highest level of 140/100 mmHg. Thrice I had a complete cardio checkup and was normal all the times. My cholesterol levels were high. Initially, I was taking Olmezest 10 mg and Rozat 10 mg, later I was switched to Olmezest 40 mg and Rozat 10 mg. Last year, when my BP was normal within 120/85 mmHg and the doctor asked to stop the medicine for a month. As my BP was normal within 120/85 mmHg, I stopped taking medicine for almost one and half years. But, for the last three days, I have mild discomfort. When I checked, my BP was 140/100 mmHg. My BP was high in the evening hours and otherwise, it was 10 points less both in diastolic and systolic. I did not visit any doctor or took any test yet. Kindly advise me. Should I continue the medicine or change? What could be the reason for a rise in BP? What test should I perform? Doctor: Hi. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7690, + "tgt": "What is the reason for thinking the broken relationship for more than two or three years?", + "src": "Patient: Hello doctor, I am curious about why we go back to ex relation again and again even after two to three years of breakup and more than a year of total detachment? I know that relation did not work for me, and maybe I had nothing more to give to or get from that relation. I do not want to get back in that again and all the way I blocked myself. But still kind of thoughts follow me again and again, and I feel I cannot grow because of that, or maybe that is not the reason, but still, I think about and feel sad and old why I am feeling like still moving around old-time and searching though I do not want to get back that time. I know everything, and everyone has changed with time. Please advice. Doctor: Hello. There are two possible reasons, 1. Familiarity mind always tends to cling to familiar things which makes it comfortable. Fear of unknown makes the mind choose what is known, even if it is wrong. 2. Lack of a better opportunity, maybe you have not found someone better as of now, so because you crave the belongingness, it is like something is better than nothing. Have patience, think it through. If there is something, you can work on and mend the relationship, it is good, if there is no scope, keep yourself busy and occupied. Give your mind something better to think." + }, + { + "id": 16259, + "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": 12134, + "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": 15576, + "tgt": "I have light bleeding about 4-5 days after the unprotected sex. What could it be?", + "src": "Patient: Hello doctor, I was not supposed to start my period for about two more weeks but, for the past three or four days I have been having a very light bleeding (sometimes dark red and sometimes light red) that seems to be a period. I had unprotected sex on the 19th but, I am on birth control. It is not like my normal period and not as light as I would think spotting would be. It started about four to five days after the unprotected sex. Is there any explanation for this or is it just the birth control messing with my system? Doctor: Hi. This is what is typically called breakthrough bleeding (BTB). This is seen in cases of usage of birth control pills with high estrogen content of 30 micrograms of estradiol. The event is not related to unprotected sex as you had intercourse in your safe period, as you said you have two more weeks for periods. So, this bleeding started at the time of ovulation when estrogen is in excess and progesterone is limited. The thickened proliferative endometrium (uterine lining) starts breaking and causes spotting till the progesterone part of the pills become active and secretory phase ensues. My advice would be to be placed on low dose oral contraceptive pills for birth control rather than high dose pills. Then this breakthrough bleeding which is a common side effect of high dose pills can be avoided. Revert back to a gynaecologist online if there is persistent bleeding --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14527, + "tgt": "Took Addyzoa for five days during pregnancy. Will it harm me or baby?", + "src": "Patient: Hello doctor, I am 23 weeks pregnant and by mistake, I have taken a wrong medicine by the name of Addyzoa for five days. I am attaching its wrapper for the prescription. I am very very tensed. Please check. Please let me know if this could do any harm to me or baby. Doctor: Hi. As Addyzoa is an ayurvedic drug, there are no safety trials reported with it in pregnancy. However, the dose was taken at 23 weeks when organogenesis (formation of different organs) has already taken place, the chance of any birth defects due to this incident will be very low." + }, + { + "id": 14692, + "tgt": "What can be done to lower alkaline phosphatase level?", + "src": "Patient: Hello doctor, Can you please tell me how to treat high alkaline phosphatase in blood? Doctor: Hello. Alkaline phosphatase levels are measured to detect any kind of liver or bone disorder in the body. ALP raises with blockage of bile ducts which owing to conditions called cirrhosis, inflammation of the gallbladder, the presence of stones in the gallbladder or maybe due to hepatitis. Bone diseases presenting with high ALP include vitamin D or calcium deficiency. I need answers of a few questions before I can suggest treatment. What is your age? Are you on any medications or have you used any medicine in the past six months? Do you have a history of liver or bone disease? Do you have any symptoms of pain? Other than these, I want you to share your ALP report. Liver disease, drug intake. Complete LFTs, vitamin D levels, USG abdomen. Hepatitis, liver cirrhosis, vitamin D deficiency. Avoid food rich in zinc such as spinach and meat, increase fluid and dairy intake." + }, + { + "id": 17519, + "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": 30556, + "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": 24060, + "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": 2627, + "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": 18878, + "tgt": "Will salicylic acid face scrub be useful for acne in my T-Zone?", + "src": "Patient: Hello doctor, I am a 32-year-old male with somewhat oily and a very pale skin. I have an acne prone in the T-Zone. In the morning, I wash my face with lotion soap (non-antibacterial) followed by SPF 30 Face Lotion. At night, I use a 2% salicylic acid face scrub followed by 2% salicylic acid toner, and finally the face lotion. I have been doing this for about four years and it has eliminated my acne. Is it fine to continue this routine as I am in my\u00a030s? Am I doing any harm? Is there anything else I should add to my routine to keep my skin healthy? Doctor: Hello. If you had acne then the application of 2% salicylic acid face wash does help. But, using the same for four years is not advisable as it leads to constant peeling of the skin and makes the skin photosensitive. Continue using sunscreen in morning. Kindly send images and revert back so that medications can be advised. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13750, + "tgt": "Does Nicotex chewing gum help in quitting smoking?", + "src": "Patient: Hello doctor, I am a 28 year old male and a regular smoker. I do smoke 10-15 cigarettes a day and have been smoking like this for almost 10 years now. When I started, I used different brands, from ultra mild to regular bidis. But now, for almost 3 years I am stuck with regular gold flake.Now, I am desperate about quitting smoking. I tried not to smoke for a day. But the next day, I would return back to the same. Recently, I came to know about a chewing gum called nicotex. It comes in 2 mg and 4 mg form. But I am not sure about this product. So my question is, does cipla nicotex chewing gum help in quitting smoking? Also to buy this chewing gum, do I need a doctor's prescription? Doctor: Hello. As you have been a chronic smoker since last 10 years smoking 10-15 cigarettes per day, the body is presently addicted to nicotine and hence if you intend to leave it for a day, the nicotine withdrawal sets in. This may include: These Nicotex chewing gums have nicotine in them in varying concentrations which allow a sustained but minimal release of nicotine while chewing. This nicotine is absorbed through buccal mucosa thus not allowing the withdrawal symptoms to become evident, but the benefit is that you are free from most of the side effects of smoking per se, especially the smoke entering into lungs which may lead to lung diseases in future. This is a substitute to nicotine supplementation and is being prescribed for chronic smokers who wish to discontinue it slowly by following the principle of slow desensitization. These are available off the counter and no prescription is required for the same. You may try it and try to reduce your smoking urges. In the end, Nicotex can just help you in a way but you need to develop a will to quit smoking and that is very important. You may try and see how you respond to it as every person responds differently to its use. It has been seen to give successful outcomes, but again will power is still the most important thing behind quitting smoking." + }, + { + "id": 22104, + "tgt": "How to know if my throat infection is viral or bacterial?", + "src": "Patient: Hi doctor, I have a bad throat infection and fever. At present, I have a fever of 101 F. I took Meftal forte 45 minutes back, but the fever has still not come down.\u00a0Can I take Paracetamol? My doctor gave me Augmentin and Allegra-D. Doctor: Hi. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9064, + "tgt": "I experience tightness in my chest associated with loss of appetite, and nauseous the whole time. What does it indicate?", + "src": "Patient: Hello doctor, I have always had problems with my mental health and self-harm, but I never went to an actual professional. I left an appointment, but it is next month because I decided to go to my hometown, thinking it would make me feel better to be around people. But now I feel really sad, and I have this tightness in my chest, I have no appetite, and I feel nauseous the whole time. What might it be? Doctor: Hello. Since you have mentioned that you had problems regarding your mental health, though you did not clarify or shared any related symptoms that what kind of questions you experience. Also, self-harm is an extreme reaction of emotions that resulted due to either depressive state, anger, loss of control, or pleasure. In any case, it is not considered normal. Over some time, it might give you relaxation, but the underlying issues have left unexplored. Those emotions may come back as depressive state or behavioral disturbances which you are currently facing. Sometimes one is unable to understand his or her emotional experiences and needs help. So in your case, if nothing is so severe in your history than it might be hormonal issues which need to be addressed after proper assessment by a psychologist." + }, + { + "id": 12444, + "tgt": "Can hand job and body to body massage cause HIV?", + "src": "Patient: Hello doctor, Do hand job and body to body massage have some HIV risk where the lady was not fully naked? Only the top part was naked. Doctor: Hi. No, you will not get HIV because of body massage or hand job, unless, you have an ulcer or cut injury or she should be positive and she should contact your ulcer or cut with her saliva or vaginal secretion or other body secretion. You may get a bacterial infection if the person giving hand job did not wash hands. So, no need to worry." + }, + { + "id": 25190, + "tgt": "Tinnitus worsening mom's anxiety. What might help her?", + "src": "Patient: Hello doctor,My mother is in a care home and is experiencing very loud tinnitus. She is becoming very stressed and anxious as this has been going on for months. We have asked her GP to help but it does not seem that anything can be done. She has had her ears cleared but this has not helped either. She is 89, on beta blockers, and recently prescribed a water tablet in place of a blood pressure tablet that is known to cause tinnitus but the problem is still ongoing. My question is, would it be advisable to ask for something like Propranolol or similar to be prescribed as she is very distressed? Do you think this would help to keep her calm and perhaps help with tinnitus which I am sure is made worse by her anxious state? She is very deaf now and finds it difficult to wear her hearing aids as she has a perforated ear. Can you help as this is very distressing to see her in this state? Thank you. Doctor: Hello. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7874, + "tgt": "My period is one week late with positive HPT. I am bleeding now. Am I losing it?", + "src": "Patient: Hello doctor, My period was late for a week. LMP was 35 days back. Did HPT three days back with the result being a positive pink line. But, yesterday evening, started bleeding period like and continuing so. So, am I pregnant or do I lose it? I will be grateful if you can kindly address my concern. Doctor: Hello. If the previous home pregnancy test was faint positive then this leaves in a dilemma if you were into pregnancy or not. So you now need to get a serum beta hCG test done, which is a blood test. If the hCG levels are more than 5 mIU then you are surely pregnant and the bleeding occurring hence would be termed as threatened miscarriage. The next step would be to undergo a transvaginal ultrasound to check for location of pregnancy and any sub chorionic haemorrhage exists. If it does, then the best treatment shall be absolute bed rest with Progesterone support to allow support for placentation. If the hCG levels are less than 5 mIU then you are surely not pregnant and the previous test was a false positive and that the bleed is onset of your menses." + }, + { + "id": 25355, + "tgt": "AST and ALT levels are high since the 11th week of pregnancy. Is it alarming?", + "src": "Patient: Hello doctor, I am 21 weeks pregnant, and I have all my tests done. All of it seems well. The only concern is the baby is having an echogenic intracardiac focus in left ventricle which was found in anomaly scan following which my doctor prescribed a quad screen test and I did that as well. My doctor is very supportive and understanding, but with both my double marker and quad marker test my chances for Down's syndrome was 1:1071 and 1:1384 respectively, and she keeps saying, she would have been happy if it was 1:10000 and with finding of echogenic intracardiac focus, I am a bit anxious and worried about how to actually take it. I am looking for a strong opinion on your experience. Also, please note, there were two complications I faced. During my eighth week, I had a minor brownish spotting, which was subsided by extra dose of Progesterone and Duphaston and following which I had major itching issues, which when examined found out to be increase in AST and ALT level. All possible tests for hepatitis and ultrasound for liver were clear, and with Udiliv 300 it came back to normal. But my AST and ALT levels were high since the 11th week of pregnancy which according to any doctor is not heard of but it is in control with Udiliv. Other than that, I feel absolutely no physical discomfort or complications. Please tell me if there seems anything alarming. Doctor: Hello. How are you doing? Let me assure you that you and your baby are absolutely normal and will have no problems. Let me explain one by one. A single soft tissue marker like the echogenic cardiac focus is not at all to be worried about. We do not need to do any marker or even a fetal echocardiography. Forget the risk ratio. Even if noted anything above 1 in 250 is not to be worried about at all. Even echocardiography will be normal and post-delivery follow up will be normal. Brownish discharge in first three months of pregnancy is normal. When the embryo implants, the minimal blood which comes due to the burrowing embryo will clot and come out within first three months of pregnancy. Even without the progesterone, the clot will resolve. So do not consider it as a problem. Pregnancy is a cholestatic state and liver enzymes will raise. But that is quite early as you mentioned. Just have symptomatic management. In short, I feel both you and your baby are absolutely fine. Nothing needs to be done. 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": 1088, + "tgt": "I have diabetes with vertigo, RBBB, and constipation. Please help", + "src": "Patient: Hello doctor, Taking CTD-L 6.25/25 for hypertension and Amaryl MV-1 for diabetes for more than five years. My fasting sugar level is always above 200 on average. Besides this, I have vertigo syndrome, RBBB, severe constipation, and for the last three years itching in lower legs (right leg in winter and left leg in summer). Most of the time I am sitting for my job. My height is 181 cm and weight 110 kg (no change for the last five years). Doctor: Hello. After going through short the medical history I want to address some points for you. First important aspect of management of diabetes is diet. That will remain the primary objective for the management of type 2 diabetes across the globe. Please elaborate a little about your basic diet pattern. Second important aspect of management of diabetes is exercise. As you have mentioned your are an accountant and that will make you a less active person during a major time of the day. While on the job and presently in lockdown at home, take small 5-10 minutes of time and walk across the corridor. Start with little things. Then on the third part comes the medicines. You have not mentioned how many times a day you are taking Amaryl MV 1. Please do mention that. Your weight is also more compared to your height, Amaryl can cause a little weight gain also. You should opt for tablets that will not gain weight. There are certain medicines available now which controls blood sugars and also help in weight loss. Apart from this, I would like to know about your family history of diabetes and the stress levels you are facing on the scale of 1-10. Are you getting enough sleep? How many times you have to go for urine at night? Any pain, or burning sensation in legs? Obesity. Uncontrolled sugar levels. FBS (fasting blood sugar). PPBS (post prandial blood sugar). HbA1c (glycated hemoglobin). Lipid profile. Serum creatinine. Type 2 DM. Continue the same medicines until we work on detailed diabetic history. Take six to seven small frequent meals a day. More leafy vegetables, fruits, pulses. Take less grains, maida, and processed food. Once detailed history available and reports done." + }, + { + "id": 4344, + "tgt": "Will crowded optical disc lead to NAION?", + "src": "Patient: Hello doctor, The question I have is concerning the retina photographs that I have attached to this question. From those can you tell if I suffer from a condition known as \"disc at risk\" or \"crowded optical disc\"? I understand that it is possible for people with this condition to suffer from non-arteritic anterior ischemic optic neuropathy (NAION) when also taking ED medication. I have had an eye test done but the person who did the test could see no problem with my eyes but seemed unaware of crowded disc or NAION. I am 60 years old, not taking any medication and no previous history of eye problems or NAION. Doctor: Hello. I reviewed your history and the photos of the retina attached to the question. (attachment removed to protect patient identity). The fundus picture does not appear like disc at risk and hence no need to worry about it. In the fundus photo, the disc is showing is peripapillary atrophy surrounded by the tesselated background of the retina. These changes are commonly seen in myopia. People with a small disc with crowding of nerve fibers are at the risk of development of non-arteritic ischemic optic neuropathy, called NAION. The compression of the small capillaries at the optic disc because of overcrowding will result in ischemia resulting in NAION. In your case, the fundus picture the disc does not appear like a disc at risk. Hence no need to worry. Hope the information is helpful to you." + }, + { + "id": 6365, + "tgt": "I am having throat pain, cough and cold. What could be the reason?", + "src": "Patient: Hello doctor, I have sent a picture of my tonsils and back of the throat. Does it look normal? The red circled area concerns me a lot. Kindly advise. Doctor: Hello. The red patch seems to be slightly inflamed. Do you feel throat pain with or without swallowing? Do you have a fever?" + }, + { + "id": 3868, + "tgt": "What is the risk of thyroid cancer from the USG report?", + "src": "Patient: Hi doctor, My mom is 62 years old diabetic patient. The following details are her thyroid gland ultrasonography report. Thyroid gland is in the normal position. The size\u00a0of the thyroid gland is increased and extends to the substernal area.\u00a0In the right lobe of the thyroid gland, there is a cystic degeneration area of 32 x 26 mm and there is a heterogeneous hypoechoic solid nodule containing calcifications. Also, there is a 6 mm diameter solid hyperechoic nodule.\u00a0In the left lobe of the thyroid gland, there is a 5 x 10 mm hypoechoic solid nodule.\u00a0Both of the thyroid gland parenchyma structure is in homogenous appearance.\u00a0Neck soft tissue is in normal view.\u00a0No detection of pathologic lymph node.\u00a0The main vascular structures are in normal view. The results are substernal goiter and thyroid nodules identified. The thyroid test revealed\u00a0TSH 0. 607 mIU/L, normal 0.27 - 4.2 mIU/L;\u00a0FT4 1. 64 ng/dL, normal 0.9 - 1.7 and\u00a0FT3 3.72 pg/mL, normal 2 - 4.4 pg/mL. Based on the above,\u00a0what is the risk of thyroid cancer? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7078, + "tgt": "What is the outcome of the scan report taken during 37th week of pregnancy?", + "src": "Patient: Hello doctor, My first baby died after delivery due to CHD. Now my wife is in 37 weeks of pregnancy. Recently we have done one scan of our baby and the survey of the fetus are as given. Presentation- Cephalic, placenta- Left lateral wall and anterior. Liquor- normal, amniotic fluid index- 13.7. Umbilical cord- Two arteries and one vein. Fetal heart rate- 147 bpm, middle cerebral artery PSV:57.70 PI:2.17, umbilical artery PI:0.93, arteries PSV (cms./Sec) EDV (cms./Sec) RI PI middle cerebral artery 57.7 7.9 0.88 2.17, umbilical artery 48.4 20.2 0.59 0.93. Please advice me whether I have to do any kind of special arrangement with regard to my baby's delivery and how is my baby's condition. Doctor: Hi. I have read through your query in detail. Please find my observations below. The baby's head position is downwards and favorable for vaginal delivery (attachment removed to protect patient identity). The placenta position is along left lateral wall and acceptable. The amount of amniotic fluid is within normal limits. The umbilical cord is normal with three vessels one vein and two arteries. Heart rate is 147 beats per minute and is normal. Peak systolic velocity at 37 weeks showing 57.70 cm/sec is normal. Umbilical artery PI of 0.93 is also normal. In conclusion, your baby is developing normally and no special precautions are required for delivery." + }, + { + "id": 19643, + "tgt": "I have tonsillitis. What is the bump on back side of tongue?", + "src": "Patient: Hi doctor, I am a 31-year-old female, nonsmoking and non-drinking. I am currently taking antibiotics for a streptococcal throat infection. Originally, Amoxicillin eight days ago but yesterday switched to Azithromycin as strep symptoms had come back (extremely sore throat, white tonsil patches, tonsil swelling). I swabbed positive for strep at the original appointment but yesterday negative on the rapid strep swab (lab cultures pending). Last night I noticed a bump on the back side of my tongue, the same side where the current tonsil swelling or infection is. I only noticed the bump when looking in the mirror at my throat. It is about pea sized and does not hurt other than mild discomfort when I press on it. Can you please advise what this could be and if I should be concerned? Doctor: Hi. According to your history, we can consider this mass an inflammation. As it is red and slightly tender, and in the same side of your tonsillar inflammation, continue Azithromycin for three days. Add an anti-inflammatory as Ibuprofen 400 mg twice daily. Use a mouth gargle for the same three days too. The important question is when should you worry about it? If it continued to grow, transformed to an ulcer or changes its color, you should visit a surgeon or an otorhinolaryngologist to excise it and send it to be histologically examined." + }, + { + "id": 258, + "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": 30178, + "tgt": "Can a HBsAg positive woman get pregnant?", + "src": "Patient: Hi doctor,Can a\u00a0HBsAg positive person get pregnant and carry a baby? What is your opinion? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30980, + "tgt": "1. 8 years old is not crawling yet. What can be the reason?", + "src": "Patient: Hi doctor, My baby girl is 1.8 years old. All her activities are normal. But, she did not crawl yet.\u00a0She can sit in bed from a lying position and stand by holding something for 10 minutes. She is not stepping forward. Why? Doctor: Hello. 1. Normal variant. 2. Neuromuscular problem. Thyroid profile, calcium, vitamin D levels and CPK (creatine phosphokinase). Syrup Osteocalcium 5 mL two times a day for a month. Revert back with the answers to the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1689, + "tgt": "I have weakness in left arm, tingling in fingers with neck and back stiffness. Please suggest exercise", + "src": "Patient: Hello doctor, I am a 44-year-old male and I weigh about 85 kg. I have neck pain especially at the sides and arm for the last one year. My left arm feels weaker. Sometimes I feel tingling in random fingers. I have morning neck and back stiffness also. Please guide to a set of exercises that I can do regularly to free the nerves and start my earlier workouts. Currently, I am doing neck exercises including chin tucks, abd posture correction. However, nerve pain persists. I did my MRI last year. IMPRESSION: \u2022\tGeneralized posterior bulge of C3-C4 and C4-C5 intervertebral discs, however not causing any significant cervical cord or nerve root compression. \u2022\tGeneralized posterior bulge of C5-C6 intervertebral disc with indentation of bilateral exiting C6 nerve roots. \u2022\tGeneralized posterior bulge of C6-C7 intervertebral disc, however not causing any significant cervical cord or nerve root compression. Doctor: Hi. I have gone through your query. As you mentioned, you are suffering from neck pain which shows as nerve pain as per your experience. As your complaints are left arm feels weaker, sometimes tingling in random fingers with morning neck and back stiffness, I feel it is compression at spinal cord root levels as that is even confirmed by MRI scan which you have already undergone. So my provisional diagnosis with view of your age, gender, height, and weight is cervical spondylotic radiculopathy which can best to be treated with physiotherapy and lifestyle modification. I will suggest some exercises and lifestyle modification. Follow it for 15 days. Do not lift heavy weight more than 2 kg. Lessen the use of mobile and computer to only two hours a day. Go for daily walking for about 1 hour, if not jog inside the house. Our primary goal should be to relieve compression and strengthen the muscles around the neck and shoulder. Chin tuck exercise is good only, in addition, you can do neck and shoulder girdle exercise also. You can lie on the belly and do the neck and shoulder elevation exercise. Pendulum exercise also will give you much relief. You lie flat on the floor or use a very thin pillow. As this lockdown finishes you need to take cervical traction and IFT (interferential therapy) at a physiotherapy center nearby. Take only warm water regularly. Another important thing is change in lifestyle. Join art of living online happiness program where all exercises with yoga can be done online. I hope this helps." + }, + { + "id": 26174, + "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": 30839, + "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": 8785, + "tgt": "Please have a look on my ultrasound report and tell whether I am pregnant or not", + "src": "Patient: Hi doctor,I have my pictures and ultrasound results but can you help me to read it and say if I am pregnant or not? Doctor: Hi. Thanks for trusting us about your healthcare. I have gone through your history and understand your concern (attachment removed to protect patient identity). As your pelvic ultrasound showed some changes which are suggesting pregnancy, get your blood beta hCG levels to rule out the possibility of pregnancy." + }, + { + "id": 25045, + "tgt": "My anus is itchy. Do I have anything to worry about?", + "src": "Patient: Hello doctor,Yesterday, my anus started to become itchy. I think it maybe after a bowel movement. I have been eating more nuts than usual. It does not hurt, but gives me the urge to itch. Is this normal? Never had this problem before, not that I remember. Can I use this cream (external link removed) for repair and antiitch? Do I have anything to worry about? Doctor: Hello. Itching around the anus can be due to multiple reasons. Any parasitic infestation like pinworm is a common thing. Other possibilities are fungal infection or simply just perianal soiling. You can use the cream well. Keep the area dry and hygienic. If not settling I suggest a single tablet of Albendazole 400 mg once weekly for two weeks. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Clotrimazole based creams (for fungal) can be used if itching is persistent and you develop perianal skin excoriations. Nothing to worry much. Just keep on follow up. Any issues if unsettled let me know. Good luck. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1576, + "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": 4525, + "tgt": "I have blurred vision. Is it due to glaucoma?", + "src": "Patient: Hello doctor, I think I might have glaucoma. I have vomiting, loss of consciousness, and blurred vision 6/12 in the right eye and 6/6 in the left eye. All details are in the attached report. I can send photos. I am currently taking medicines for depression. Doctor: Hi. I have seen your attachments. (attachment removed to protect patient identity). It seems like you have posterior uveitis. There is a reaction in vitreous and also inflammation in the retina. However, vomiting and blackouts can be due to neurological deficits. Please get an MRI brain and also followup with a neurologist. In the meantime, start Timolol eye drop twice daily and Moxifloxacin and Dexamethasone eye drop four times a day." + }, + { + "id": 4325, + "tgt": "My son has growing red birth mark below his nose. Can it be removed by surgery?", + "src": "Patient: Hi doctor, This is about my 3.5-year-old son. Just after a couple of months of his birth, a light reddish spot appeared below his nose (please see pictures). Now it has grown as dark brownish, textured spot and appears to be growing with the body. Although it does not make any physical problem to him now he is quite conscious about it and tries to hide from everyone. Even after our counseling, it is a kind of social stigma for him. Hence we want to get it removed. Please answer my queries: Does it has any future health risk? Is it possible to get it removed surgically or by medication? If surgery is the only way, can a child of 3.5 years age will bear the process? Will this removal be permanent? Or any other solution? Doctor: Hi. I looked into the pictures of your son (attachment removed to protect patient identity) and can understand your concern. It is a simple nevus (common mole). Regarding future health risk, most of the common mole does not cause any problem except they may grow in size. But very very rarely they may get transformed into melanoma (skin cancer). Treatment: No medicines will clear it but yes, it can be removed surgically. The risk of it getting transformed into melanoma is not the indication to get it removed but it is a cosmetic indication in your son's case. Yes, he can withstand the surgery as it is done under local anesthesia with sedation. It will not recur at that site once it is removed. As mentioned, only surgery can correct it but right now it is not strongly indicated unless he can cope up with it. But as told there is a very small risk of it changing into melanoma. Actually, most doctors would advise to watch for those changes (sudden growth in size or changes in the color) and if these changes are happening then go for the surgery. But for him, it is in the area of mustache so he may try to hide it from the world once he starts growing mustache and hence any changes in color of the mole might not be noticed. So it is better you consider surgery now only. I hope this helps." + }, + { + "id": 11982, + "tgt": "What is the frequency to do HIV testing while taking PEP?", + "src": "Patient: Hi doctor, I am 32 years old. I am on PEP that has to be taken for 28 days. I got my first dose around 40 hours of being contracted to HIV. PEP is not 100 % secure. My question is if I am lucky and the result shows HIV negative after the therapy, how often do I need to get antibody tested if luck showers on me and each time the result says negative? And if PEP does not work properly and I am tested positive, how long can be my lifespan if I stay on medications? Doctor: Hi. The answers to your queries are: For PEP (post-exposure prophylaxis) efficacy, adherence to the medications prescribed for PEP is the most important thing. PEP is really efficacious, To the best of my clinical practice, I have not seen any case of a patient who has completed PEP with complete adherence and then turned positive. There are recommendations to test at four weeks, three months and then at six months of last exposure. You need not be tested in between and if negative, no further test is required." + }, + { + "id": 22886, + "tgt": "I had sex couple of days ago and now it hurts to pee. Is it herpes?", + "src": "Patient: Hello doctor,I need help. I think I might have herpes. I had sex couple of days ago and now it hurts to pee. Doctor: Hi. I am sorry to hear about your condition. But your lesions do not look like herpes (attachment removed to protect patient identity). They look more like folliculitis. That is bacterial infection of the hair follicles. It can occur due to improper hygiene, aggressive intercourse, and non-sterile shaving equipment. Usually, application of antibiotic ointments or creams help. Meanwhile also increase your water intake to prevent UTI (urinary tract infection) which can also occur along with this. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15788, + "tgt": "From the picture, kindly advise the treatment for my skin infection", + "src": "Patient: Hi doctor, I have some skin infection for quite some time now. I have tired a few medicines for the same and I got a laser treatment once. Can you tell me what the issue is based on the images and also the possible treatment that I should undergo? Doctor: Hello. You seem to have eczematous dermatitis. I suggest you use a potent topical steroid like Tenovate-Gn (Clobetasol propionate and Neomycin) cream or Halovate-F cream (Ulobetasol and Fusidic acid), twice daily. In addition, I suggest you take an oral antihistamine like Cetirizine 10 mg tablet once a day for a few days." + }, + { + "id": 9114, + "tgt": "What might be the reason for feet numbness while playing football?", + "src": "Patient: Hi doctor, My son is now 17 years old. He is a football soccer apprentice\u00a0in a professional football team. He is generally fit and healthy. He used to train with the team for five days a week and plays a match on Saturday. For a few years, he has been experiencing his feet going numb whilst playing the match. In training, throughout the week he does not feel any numbness in his feet. However, when he increases the intensity in game he experiences a numb feel where he describes his feet as blocks of wood. He seems to have become slower in his game because of this problem. Do you have any idea of what this might be?\u00a0Thanks. Doctor: Hi. 1. Chronic compartment syndrome. 2. Disc compression. 3. Psychological pain. 4. Tarsal tunnel syndrome. 5. Shoe size misfit. Revert back with a detailed history to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4187, + "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": 12227, + "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": 30380, + "tgt": "What could cause severe breathing problem and chest pain?", + "src": "Patient: Hi doctor, The patient is a 70 year old female. She has a severe breathing problem with mild chest pain. Also, there is some gastric problem, vomiting tendency, loss of appetite and weakness. Her current medication includes Dytor 5 mg, Tellzy, Nicorandil 5 mg, Rosave 0.5 mg, Clonotril 5 mg, Ivabrad 5 mg and Sompraz 40 mg. Last week she had an ECG, blood test, urine test and chest x-ray. Please advise. Doctor: Hi. We are here to help you. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19330, + "tgt": "My baby is 5 days old and is suffering from Pierre Robin syndrome. Kindly advice", + "src": "Patient: Hello doctor, My baby is 5 days old and is suffering from Pierre Robin syndrome. Kindly advice. Doctor: Hello. Pierre Robin syndrome consists of the following defects mostly:\u00a0 Kindly let us know what all defects your baby has at present and what all complications he has. Based on that he needs to be managed . Revert back with the details to a paediatrician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25653, + "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": 21965, + "tgt": "What is the cause for increased bilirubin level?", + "src": "Patient: Hi doctor, Recently, I had increased bilirubin level around 1.6 mg/dL. But now it is decreased to 1.2 mg/dL which is at the boundary level. Can I do an exercise like skipping, running? Doctor: Hi. Coming to the serum bilirubin, it is a breakdown product of hemoglobin. Any increase in bilirubin level is needed to be assessed for liver enzymes and HBsAg (hepatitis B virus surface antigen), to rule out the cause. Bilirubin can increase due to: So, to confirm the problem, we need to do full liver function tests. Yes, you can do exercise at this level of bilirubin. Normal bilirubin is total bilirubin ranging from 0.1 to 1.2 mg/dL with direct being less than 15 % of the total bilirubin. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25288, + "tgt": "My son has ROP in both eyes. What precautions should I take for his eyesight?", + "src": "Patient: Hi doctor, My son is 2 years old and has ROP issue in both eyes. The left eye is lasered and has -5 number. And the right eye has -1 number. I am very worried. Kindly suggest what I should do. And what precaution should I take to keep his eyes healthy? Doctor: Hello. Give your child glasses. Get his eyesight checked with glasses. If there is any amblyopia, start patching therapy. His power will increase with an increase in age. Power usually becomes stable at the age of 18 to 21 years. I am sorry, but there is no medicine or exercise to get rid of glasses. Lasik is a very good option for this but it is possible only after age of 18 years. 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": 5129, + "tgt": "Can Omega-3 fish oil capsules be given to a 4 year old kid?", + "src": "Patient: Hi doctor, Can Omega-3 fish oil capsules be given to a 4 year 2 months old boy? In what dosage should it be given? Does Omega-3 fish oil capsules and DHA control focal seizure? Please guide. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14856, + "tgt": "My period is delayed by two months. Is it advisable to do medical abortion myself at home?", + "src": "Patient: Hello doctor, I am 25 years old. The date of the first day of my last period was two months back. Am I pregnant? I want to abort. Can I do medical abortion myself at home at this time? Is it safe? Please help me and consult me. Doctor: Hello. You need to take a urine pregnancy test and confirm the pregnancy. Please visit a gynecologist for the further examination. You will also have to undergo an ultrasound done to rule out ectopic pregnancy which is dangerous. If your pregnancy if seven weeks or less, then you can be given medical management of abortion by pills by a registered gynecologist under supervision. If pregnancy is more than seven weeks which is more likely as your LMP (last menstrual period) was two months back, then you need to get a dilatation and curettage by a gynecologist which is the safest method. Any attempt of doing MTP by an unregistered person or unqualified person can be very dangerous and potentially life-threatening as bleeding or other complications can occur." + }, + { + "id": 27782, + "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": 12548, + "tgt": "What has caused redness and tenderness in nipple with a bump under skin?", + "src": "Patient: Hi doctor, I have a small area of redness and tenderness above and around the top of my left nipple. It is painful to touch and has a small bump under the skin (not a superficial, but a few layers under). The lump is quite hard. We were recently swimming in freshwater rivers and ocean, and hiking in rainforests. This began after we returned, about three days ago. Doctor: Hi. It looks like erysipelas, that is called the superficial skin infection. It would be helpful if you have had any recent laboratory investigations, complete blood count analysis ESR CRP that would be very helpful. I will advise you to apply Mupirocin ointment twice daily on the nipple so that will control the current infection from spreading anywhere. For pain, take Tylenol. If you need any further information, please write me back and at the same time I would also like to know about your medical history and surgical history. If you are a smoker or have a social history as well." + }, + { + "id": 21956, + "tgt": "Can hypothyroidism cause a decrease in platelet counts?", + "src": "Patient: Hi doctor, I had my TSH 7.59 mIU/L before one month. Now my TSH is 5.9 mIU/L. But my platelet count was reduced to 127,000 per microliter of blood. About two weeks ago, I got RPOC after abortion. Now again I have done a CBC. This time also, I had my platelet count 127,000 per microliter of blood and there are few giant platelets present. What is it? Is it normal to have low platelet count after abortion? Other parameters are in the safe range. I was taking Thyrodinum 3x (homeopathy) till last week. I always take homeopathy medicines. Can hypothyroidism cause any decrease in platelet counts? Doctor: Hi. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 8950, + "tgt": "What are the ways to concentrate in studies after marriage?", + "src": "Patient: Hi doctor, I am 28 years old, married. My problem is that I am unable to concentrate on studies as I want to appear for exams in the coming year. Every month is getting wasted. Please help me out. I will be very thankful to you as it is a do or die situation for me. Doctor: Hi. Thanks for your query. I understand that focusing on high-level studies is often difficult. Since you are married, you did not mention your routine activities. Because in order to suggest something it is important to manage your time.Time management is difficult to understand, for you, it is important to prioritize things. 1. By highlighting daily activities. 2. How much time you can give to your studies easily (two hours or more). 3. Try to find time for your studies when you have minimum distractions such as cooking, attending to someone, etc. 4. The best time can be when you are alone or can be alone. 5. Also, you need to learn some reading and learning strategies, that depends upon your subject and content which can be suggested later on if you need. 6. You also need to manage anxiety related to the exam. 7. Making a timeline of subjects would be also helpful." + }, + { + "id": 11739, + "tgt": "Kindly explain the MRI taken for back pain", + "src": "Patient: Hello doctor, I am having hot and cold sensations in lower extremities for about a month. Chronic back pain for many years but more recently tingling in legs. I had MRI done today and saw this spot within one of the vertebral bodies that looks to be a calcific and circular lesion. Doctor: Hello. There are two to three hyperintense (white) areas in the L1, L3, and L4 vertebrae. There are likely hemangiomas and are benign findings and not causing your problem. This is not a calcified area and is a common finding in many individuals. This is not of concern. The real issues are due to the degenerative disc changes at L1-L2 to L5-S1 disc levels. The discs are hypointense (black), and there are disc desiccation and mild posterior disc bulge. You can observe that there is neural foramina compromise in L2-L3, L3-L4, L4-L5, and L5-S1 disc levels. There is pressure on the nerves, and that is the reason for your abnormal hot and cold sensations and the chronic low backache. There are mild osteophytes in the lumbar vertebrae and mild endplate degenerative changes in the opposing end plates at the level of L5-L1 disc level. There are changes in the bone due to lumbar spondylosis." + }, + { + "id": 14550, + "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": 8412, + "tgt": "I feel pain in my right kidney area while coughing. Is it normal?", + "src": "Patient: Hello doctor, Five years ago, I had a kidney stone but it was small and went through the urine. Now, the problem is, I got common cold, fever, and cough. Common cold and fever were gone after taking medicine but the cough remains. I thought it will be alright after some time but it did not get better and I have cough until now. It is already two weeks. Now, I feel pain in my right kidney side while coughing. Is it normal? Please advice me. Doctor: Hello. After careful analysis of the history you have provided, I would like to let you know: Firstly, the pain that you experience in your right kidney area as mentioned, would be an outcome of the chronic cough. Chronic cough leads to muscle strains and tear. Secondly, there is also a chance for recurrence of kidney stone. Having said that, I would like to know: As of now, you do not need to worry as chronic cough is the most likely reason which is quite a common scenario. For now, you need to: Do follow up with details for the above queries. Stay healthy and positive. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25378, + "tgt": "What is causing my leg pain - dropped bladder or sciatica?", + "src": "Patient: Hello doctor,I have a dropped bladder that could be causing a lot of pain in my left leg but then I have sciatica as well. The lower parts of my legs have a stinging and pain feeling quite often. I have been to the gynecologist and was told that there is no connection to the two according to them. What exercise can I do immediately to relieve these feelings in the lower legs? I am 79 years old. Besides that, I am in excellent health. Doctor: Hello. I understand your concerns. I agree with your physician that your bladder issue has no relation to your pain in legs. Most likely it is due to sciatica. Management of sciatica includes weight reduction, local painkiller creams, vitamin b12, pregabalin tablets, and surgery if the pain is severe and there is motor function abnormality. Physiotherapy could be helpful. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19891, + "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": 24715, + "tgt": "I have difficulty in breathing. Is it due to my heart condition?", + "src": "Patient: Hello doctor, I am taking medicines for the heart. Now, I have difficulty in breathing. So, I decided to see cardiologists. Here are the findings: the study is done using standard transthoracic 2D echocardiographic views. Normal left ventricular internal diameter with left ventricular mass index (LVMI) of 93.9 gm/m2 and relative wall thickness (RWT) of 0.53. There is normal wall motion and contractility with normal left ventricular systolic function with ejection fraction of 59 % by Simpsons. Normal left atrial anteroposterior diameter with left atrial volume index of 20.60 ml/m2 without thrombosis. Normal right ventricular dimension with adequate contractility. Normal right atrium, main pulmonary artery, and aortic root dimensions. Structurally normal aortic, mitral, tricuspid, and pulmonic valves without restriction of valve opening. No pericardial effusion. The result of ECG is sinus tachycardia. I hope you can help me. Thank you. Doctor: Hello. By reviewing your clinical symptoms and medical records (attachment removed to protect patient identity), here are the salient findings with explanations. In your echo report, you are having concentric LVH (left ventricular hypertrophy), means you are hypertensive for a long time and your current antihypertensive medications are not controlling it well. You are having sinus tachycardia despite 1.5 dose of Coralan (Ivabradine) which is not normal. You are feeling breathless despite ARB medications. So, my suggestion for you is as follows: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24424, + "tgt": "Among medicines and insulin, which is best to control sugar?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I had diabetes during pregnancy, and it continues after childbirth. Now I am a diabetic patient for past three years. My average sugar levels are ranging from 100-245 mg/dl. My sugar levels are not stable at all, and I had consulted my first doctor, and the prescription was Metformin 850 mg and Amaryl 1 mg. The results after taking these medications are not stable. Therefore, I consulted my second doctor and he prescribed me insulin. However, I am confused whether I should keep taking medication or insulin. Kindly advise. Doctor: Hello. I just read your query, and from what you have mentioned it appears that you have diabetes. Your blood sugar is not that uncontrolled that you have to take insulin. You can do one thing, do HbA1c test and then get back to me so that I can put you on better treatment. Hope you find my advice beneficial. For more information consult an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 12932, + "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": 30895, + "tgt": "What is the risk of HIV in needle prick injury?", + "src": "Patient: Hi doctor, I am a medical professional. I injected a 5 year child in his buttock and while recapping the needle it pricked my finger. I applied pressure and allowed a few more drops of blood to ooze out and washed my hand with soap and water. Now, my question is that what are the chances of HIV transmission in this case, if the child is HIV positive? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 25579, + "tgt": "I am an 18 year old facing baldness problem. Could it be genetic?", + "src": "Patient: Hello doctor, I am an 18 year old boy and I am facing the problem of baldness. Two years ago, I used hair wax. Since then, dandruff stuck to my scalp and has not gone. I have used a lot of shampoos, but it recured due to which my hair started falling and did not regrow from the sides as well as from the front. And my parents also have thin hair. So, I am afraid it is genetic. Is there any solution to this problem? Please reply soon. I am tensed. Doctor: Hello. I understand your concern. I hope that helps. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 10118, + "tgt": "How can tight foreskin be managed?", + "src": "Patient: Hello doctor, I am 18 years old, boy and I have a very tight foreskin and I have not even pulled it back. I tried to do it once using oil but it was of no use. Doctor: Hello. The mentioned history is suggestive of phimosis in which foreskin cannot be retracted back over glans. Topical steroid cream can be beneficial in mild case. But, in severe case like in your case, if foreskin cannot be retracted, then circumcision like day care minor surgery can be done. So, I suggest you consult Urologist for your examination and operation." + }, + { + "id": 28808, + "tgt": "Is surgery mandatory for epididymo-orchitis?", + "src": "Patient: Hello doctor,I am a 32 year old male. Is surgery mandatory for epididymo-orchitis, with impression hydrocele and internal septations? Doctor: Hi. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3811, + "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": 3595, + "tgt": "My mother is suffering from platelet disorder. What to do further?", + "src": "Patient: Hi doctor, My mother is suffering from platelet disorder from the last one month. She had nearly about 58 units of platelet transfusion, but still her platelet count is not up to the mark. What to do further? Doctor: Hi. Based on your query, my opinion is as follows: Revert back with the detailed history to a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21846, + "tgt": "What tests to take for sore throat so I can get a proper diagnosis?", + "src": "Patient: Hello doctor, I am suffering from mild headache. I have a sore throat. What reports should I go for so the doctor can get a proper diagnosis for me? Doctor: Hi Here are few investigations that can be done for sore throat: For symptomatic relief, I suggest taking a decongestant like Levocetirizine 5 mg OD for five days and Vitamin C 500 mg for five days can be taken primarily. Consult a 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": 8428, + "tgt": "Should I take some medicine to stop heavy bleeding after an i-pill?", + "src": "Patient: Hello doctor, I had got my periods last week, which was a normal menstrual cycle. Suddenly, yesterday night (a week later) I woke up to a very heavy vaginal bleeding while last night I slept without any such problem. Last week I also had an i-pill. Please guide me to what exactly it is? Doctor: Hi. Consult an obstetrician and gynaecologist online for further follow up --> \u00a0https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 233, + "tgt": "Is it possible to spread allergy through coughing and sneezing?", + "src": "Patient: Hi doctor, I am sharing my bedroom with my father, he is 66 years old. He is in generally good health and has ulcerative colitis. I am just having an issue nowadays where he keeps sneezing and coughing without covering his face all over the room. I assume that it is due to an allergy. He does not like to wear mask and thinks it is funny when he coughs or sneezes around me. Nothing to do with Coronavirus. I just wanted to know your expert opinion if I could get something from him because I feel disgusted when I see him coughing and sneezing around me. Is this cough and sneeze harmlesss? Easily taken care of by our immune system or would I possibly get some illness from him and start coughing and sneezing myself? Doctor: Hello. In times of coronavirus, that is the first thing that comes to my mind. Cough and nasal congestion are some of the symptoms of coronavirus sadly. If that is the case, there is a very high likelyhood you can get it from him. However, if you have got him tested and it is negative, it is more likely to be allergic. If so, it is not possible to transfer the disease to you just by being in your proximity. If possible start him on antihistamines and nasal spray as soon as possible to relieve him of his symptoms. I will give you a prescription for the same. Tablet Levocetirizine every night 1/2 hour before sleeping, Flomist Nasal Spray twice daily in both nostrils, Diluted Povidone Iodine gargles 3 times daily, Syrup Macbery cough syrup 5 mL twice a day. All these for 5 days. 5 days" + }, + { + "id": 726, + "tgt": "Should I worry about my brother's urine culture report?", + "src": "Patient: Hi doctor, My brother had pain in the right side under the rib and feeling stomach fullness. We took him to the hospital and an ECG and a few blood tests were taken. Both are normal and he was discharged with some painkillers.\u00a0Next day morning, the same issue repeated. When we took him to the doctor, he advised to take a urine test. After seeing pus cells, he asked us to take urine culture. The urine culture report came as no growth. I have attached the above reports for your reference. Please\u00a0look into the reports and suggest the treatment. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7587, + "tgt": "My mother is suffering from severe eye pain. Kindly suggest some effective medicine", + "src": "Patient: Hello doctor, My mother is having severe pain in my eyes for two days. Swelling below eyes and headache also. She is not having eye problem but use specs for eyes sight. Please suggest effective medicine. Doctor: Hello. Pain, along with headache, suggest, increases eye pressure. I will tell medicines for relief for now, but tomorrow you have to see an ophthalmologist in person. Start with, 1. Moxifloxacin plus Loteprednol eye drop four times. 2. Tablet Acetazolamide 250 mg stat and one at bedtime (kindly rule out an allergy to the sulfa group if drugs). 3. Tablet Diclopara plus Serratiopeptidase once after meals. It can be angle closures glaucoma so please see an ophthalmologist as soon as possible." + }, + { + "id": 17171, + "tgt": "Through ayurveda, how to release tight foreskin?", + "src": "Patient: Hi doctor, I am a 32 year old married male. I am facing the foreskin tightness, but there are no cuts. Sometimes, it makes me\u00a0uncomfortable in intercourse. Please help with some ayurveda medicine. Doctor: Hello. The tightness of foreskin is called phimosis. According to ayurveda, you need oleation therapy both internally as well as externally. Oleation therapy will solve your problem. In case you have some infection, redness or swelling along with tightness, then you need to visit a nearby doctor for clinical examination. The treatment is only for tightness of foreskin and not for any other problem. Take Ashwagandhadi ghrita. Take one teaspoon with lukewarm water once a day in the morning empty stomach. It will help you in internal oleation. For external application, you can take Ksheerbaladi oil. If you cannot find this, then you can take coconut oil or sesame oil. Do gentle massage with oil for five minutes daily and then after some time take warm bath. Try both things regularly, and you will soon feel positive results. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22771, + "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": 18991, + "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": 27422, + "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": 17978, + "tgt": "Why am I having frequent eye infection with pus and blood discharge?", + "src": "Patient: Hello doctor, Since last 7 to 8 months I am having an eye infection, like a stye. It is getting frequent almost after every 3 to 4 weeks. I recollect having collided with somebody about one and half years back, hurt on my right eye with somebody's elbow and had a swollen eye, very painful and under the eye, it is red and swollen. After about 4 to 5 days, it started healing, and gradually I forgot about it. Now with this frequent infection in the same eye after every 3 to 4 weeks which lasts 3 to 5 days, sometimes pus and little blood come out and sometimes it heals without any pus coming out. This time it started with an itch and has gradually swollen and is very itchy and painful and red and swollen inside and outside the eye. Doctor: Hello. This is unrelated to that trauma with the elbow. This is suggestive of lid infection. Try warm compresses, apply an antibiotic ointment like Neosporin H (Bacitracin Zinc and Hydrocortisone acetate) ointment twice daily along lid margins. Once this episode is over then we need to evaluate your lids and lashes carefully as sometimes meibomitis or blepharitis cause recurrent lid infection." + }, + { + "id": 13680, + "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": 27134, + "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": 2218, + "tgt": "I got fungal infection between fingers and nails. Will steroid cream help?", + "src": "Patient: Hello doctor, I was diagnosed with fungal infection in hand fingers for more than six months. I was taking treatment with more than four different medicine for about a month long for each medicine but it was not cured. My physician said it was due to the winter season and also advised me to do not use detergent or any other cleaning products even if I maintained this and complete the treatment for a month after withdrawing the treatment with the doctor permission it would appear again. It was on the fingers near the nail and also between the fingers joints with water blisters it oozes out then dry and cracks. It hurts like burn some time especially when I use my finger to touch or peel onion or ginger or garlic it aggravates. Since it was lockdown I cannot go to the hospital and the doctor asked me to use the ointment until it looks normal then told me to stop using it. I followed him but after stopping it appear again but I do not know whether I could apply the same ointment which I used for treatment for two months because he said it will make the skin thinner. Doctor: Hello. I have read your query and understood your concern. As per history and pictures (attachment removed to protect patient identity), it seems to be allergic contact dermatitis to me. Such condition tends to recur very often. I would advise you to kindly use double-layered gloves always while doing household work using detergent or chemical. Since long term use of such creams make the skin thinner so it is advised to continue the creams containing steroids like Clobetasol, Halobetasol for a week followed by maintenance therapy meaning apply the creams over weekend like Saturday and Sunday. While active disease, you may use oral anti-allergics like Levocetirizine 5 mg once daily in the night time for a week. Use ample amount of moisturizer to keep the skin hydrated. I hope this helps." + }, + { + "id": 14073, + "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": 29996, + "tgt": "Can Kapalbhati pranayama cause hernia?", + "src": "Patient: Hello doctor, I have been doing Kapalbhati\u00a0pranayama for past one year. I do it for 30 minutes daily in the morning. I do it with medium force and at the rate of 30 to 50 exhalations per minute. I feel really vitalized after each 30 minutes session of Kapalbhati.\u00a0I do it at a comfortable pace and I am absolutely comfortable while doing Kapalbhati\u00a0for 30 minutes. But, I read on the\u00a0internet that Kapalbhati can cause\u00a0hernia.\u00a0Is Kapalbhati related to hernia in any way? I am a bit confused. What should I do? Should I continue or stop doing this exercise? I must say that so far I have experienced immense benefits from doing Kapalbhati daily. Doctor: Hi. For further information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 28262, + "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": 26307, + "tgt": "A few drops of Pentaxim vaccine leaked out during my daughter's vaccination. Please help", + "src": "Patient: Hi doctor,While giving Pentaxim vaccination, a few drops leaked out and only a couple of drops were injected to my baby. The nurse and doctor said it is fine. They said that only a drop is enough. Is it really enough? Doctor: Hi. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 13299, + "tgt": "What causes lump below the jaw with pain while swallowing in a child?", + "src": "Patient: Hello doctor,A 5-year-old boy has a neck mass or lump on his right side of the neck under the jaw. He feels pain while swallowing food and if he touches it. No fever, no cough, no cold, no complications. The lump is visible and was observed yesterday. We have visited a doctor and he advised to take antibiotics (Taxim-O Forte) with Paracetamol syrup for seven days. After seven days, if it does not go away, he suggested some additional tests. Could you please let me know if this is some major problem and any further diagnosis needs to be done immediately? Doctor: Hello. The mass or lump that is being felt may be inflammation of local gland due to infection or lymph node enlargement. Both of these will respond to the antibiotics given. In case that it does not resolve, then a further workup is recommended which include radiological, pathological as well as blood investigation. Followup clinical examination is necessary to delineate any kind of pathological condition. So followup visit to a pediatrician for clinical evaluation is necessary." + }, + { + "id": 5435, + "tgt": "What are the ways to treat dark spot under eye?", + "src": "Patient: Hello doctor, I have a dark spot (looks like a freckle) under my eye, and at times that eye looks like it has been bruised. Has been this way for about 3 to 6 years. I have tried skin whitening, and dark spot corrections, even skin tone creams, nothing is working. Anything you could suggest to help. Doctor: Hello. I am apprised of your concerns. I think that you are having a melanocytic nevus or mole under the eye. The redness that develops in the eye seems to be unrelated to the presence of mole. Moles can have varying depths which may involve only upper layers of skin or both the upper and lower layers of the skin. That is why, all of them do not respond to treatments that are meant only for skin lesions invading only the upper layers of the skin. The upper layers are called epidermis and the lower one is known as dermis. The best way out for such a condition in which dermis too is involved is to go for treatments that have the capability to go up to the dermis. For most of my patients, especially females and having facial lesions, I advise laser removal as lasers for this condition leaves negligible spot, are inexpensive as compared to other treatments, and have the capability to remove the whole lesion and heal fast too.Till that time that you decide to have it removed, you might like to use a concealer to mask the lesions. Certain other treatments like surgery end up with scarring. That is why, I am not in favor of that. I am sure, aided by this advice, now you are better educated about the options available and will get rid of the lesion soon." + }, + { + "id": 15026, + "tgt": "Having a blurry vision and itching in the eye. Give me advice", + "src": "Patient: Hello doctor, My vision gets blurry, especially when I look at green lights at night. I wake up with a blurry vision every day. And at times, my eyes pain and itch. Please help me. Doctor: Hi. Blurring of vision at night and morning may be because of refractive error. This requires evaluation by an ophthalmologist. The itching in the eye can be due to allergic conjunctivitis. I suggest you try using anti-allergic eye drops." + }, + { + "id": 26554, + "tgt": "I would like to know and understand the hair transplant procedures", + "src": "Patient: Hello doctor, I am considering hair transplant. I would like to know and understand the procedure. Please advise. Doctor: Hi.\u00a0The following are my observations, Some people\u00a0may experience further hair loss and after a few months the hair regrows.\u00a0 \u00a0For further questions consult a hair transplant surgeon online\u00a0-->\u00a0https://www.icliniq.com/ask-a-doctor-online/hair-transplant-surgeon" + }, + { + "id": 16691, + "tgt": "Does Methyltetrahydrofolate help in increasing penis length?", + "src": "Patient: Hi doctor, I am 26 years old. I am going to get married soon. But I am worried about my small penis. The length is only 2-2.3 inch in flaccid state and about 3.7-4 inch in erect state. I would like to increase the width and length of my penis. Is there any medicine to increase the penis length without any side effect?\u00a0In young age, I masturbate a lot. Is that the masturbation has affected the penis\u00a0size?\u00a0Will it affect my marriage life? Rather this, I am having nightfall problem. It occur minimum five times a month. Earlier, the occurrence was more than seven. I am suffering from premature ejaculation too. My sperm will come out within a minute of slight sexual stimulation. Please suggest me some medicine for premature ejaculation. I would like to get a permanent solution for nightfalls. One doctor suggested me to take some multivitamin like Methyltetrahydrofolate which can increase blood flow around genitals. It will act as antioxidants and can alleviate sexual performance as well.\u00a0Is the medicine Methyltetrahydrofolate helpful? Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29599, + "tgt": "My daughter has been disturbed by a glimpse of sex video. Kindly guide us", + "src": "Patient: Hi doctor, My daughter is 12 years old. She saw a glimpse of a sex video at the age of 7. She was inquisitive at that time. Somehow, we gave her a vague reply and the issue got settled. But now, since last week or so, she started to behave abnormally keeping to herself. After prodding her, we got a shock of our life. She replied that the video she saw is still lingering in her mind. She is getting sexual feelings and not getting proper sleep. We were at our wit's end and counseled her that it is a natural phase and she should concentrate more on studies. But, I feel that she is not able to divert her mind. Kindly guide us. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30690, + "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": 9190, + "tgt": "Is myopia a non curable disease?", + "src": "Patient: Hello doctor,Before two years, my eyesight was perfect. But during that time only because of me using phone late night it started declining and now its R= >-2.25, L = >-2.00. I used '>' because I am currently not able to see that clearly with my current glasses. Within the span of three year my eyesight is getting worst I have consulted earliet also.Doctors say myopia cannot be cured, but it will become stable after a certain age. My concern is within every four to five months my eyesight is getting worse, how should I make it permanent, if not cure it (which it cannot be cured) then how can I make it constant, please suggest through what food, exercise, etc. also I want a very honest answer, given my history as poor eyesight was not a genetic problem as I develop it, later on, tell me honestly is there any remotest possibility of me going blind. Doctor: Hello. Adolescent myopia is a condition that we come across in ophthalmology, and it is considered physiological, but specific approaches should be maintained and other pathologies to be excluded such as disorders in the macula that might be mimicking myopia. The first step would be to get an optical coherence tomography done to evaluate the thickness of the retina. Only once that is excluded, then can we think about putting up the diagnosis of myopia for a person who never used spectacles before. Hopefully, it will not be that and only myopia for which you need glasses or correction until it is stable. Every individual has a change rate in refraction differently so every six months you should visit the optometrist and evaluate your refraction and if it does not exceed 0.5D every six months, then there is no need to worry. As a surgical treatment, we as ophthalmologists have sclero strengthening procedures to stabilize the growth of myopia, and you can discuss them with your ophthalmologist. You will not go blind, do not worry." + }, + { + "id": 22409, + "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": 8092, + "tgt": "I feel always sleepy and have no idea of what has to be done. Please help", + "src": "Patient: Hello doctor,I have a rough life, and I am drained. Always sleeping and not eating, I still have sore heads and have been diagnosed with anxiety and depression. I have Crohn's disease and a colostomy bag, but I always have this emptiness feeling inside and sad and lonely all the time.I do not know what to do. I woke up two hours ago from sleeping. I slept for about 19 hours, and I am tired again. My eyes always hurt, and my head is still sore. I do not know what to do. I feel like I am going to break apart at sometimes, and right now, I feel low and lonely, and I do not know what you do? Doctor: Hello. I understand you are going through a difficult time. According to the problems you have described above, it seems like you are suffering from depression. Feeling low and lonely, not feeling fresh after adequate rest, poor appetite, negative thoughts, and the emptiness are all signs of depression. You can consider starting tablet Nexito 5 mg (Escitalopram) in the morning and gradually increase it to 10 mg after five days. This tablet will take care of your mood slowly. Also, take pill Lonazep Md 0.25 mg (Clonazepam) in the night around 8 to 9 pm. Along with medicines, you also require counseling and therapy sessions, which will help you deal with the negative thoughts and emptiness better. Please maintain good sleep hygiene, balanced diet, and get involved in yoga or meditation if feasible for you. I hope this helps." + }, + { + "id": 4397, + "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": 13876, + "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": 25642, + "tgt": "Why is there delay in healing of my wound?", + "src": "Patient: Hello doctor, I am 14 years old and I weigh 220 pounds. I am 5 feet in height. I have this wound on my belly for two months and I have been trying to heal it but I put a Band-Aid on it and then it became red and swollen. Please help. I have been on growth hormones in the past. Doctor: Hello. From what you have mentioned, you have an unhealed wound in the abdomen for two months. This is considered delayed healing as the wound should heal within one week. Causes of delayed healing could be due to an infected wound, presence of a foreign body and/or diabetes. Please provide me with a photo of the wound and it will be helpful. Your blood sugar level and CBC (complete blood count) are important. I feel a local antibiotic is required. Systemic antibiotic if fever is present. You need regular dressing change. Follow up is required. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28617, + "tgt": "My teeth has gradually becoming yellow. What can be done?", + "src": "Patient: Hi doctor, My teeth are yellow and do not get clean with brushing.\u00a0They were white before but gradually got yellow.\u00a0What can be done? Also, I have bleeding and painful gums. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13186, + "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": 30606, + "tgt": "What could be the reason for my constant throat irritation?", + "src": "Patient: Hi doctor, I have been suffering with some irritation in my throat for the past one and a half year. I am just fed up nowadays. Also, the fear of cancer destroying me. After taking different types of antibiotics from different doctors, lastly, I took Loratadine and Dexit (Flupentixol + Melitracen) from a reputed ENT specialist. But, the problem remains the same. Moreover, withdrawal syndrome of Dexit makes me more anxious like shortness of breath, increased heartbeat, tiredness, restlessness, etc.The nature of irritation differs each time. Sometime, I feel it as more worse. It is really very mysterious. I had tonsil pain for two or three times and then there is no pain or irritation. I had an endoscopy with my ENT doctor and it was normal.\u00a0There is no trouble in swallowing, even I feel comfort. But after eating, I feel as if the food stuck in my throat and I am trying to finish it by constant swallowing. Sometimes, I feel as if the food loaded up to my throat. During the start of the issue, there was no lump. But, after some five or six months, there were swollen lumps of lymphoid tissues seen. But, whenever I consult a doctor, I am getting the reply as no cancer and wait for it to resolve by itself. Please check the pictures of my throat. My doctor always used to say that there is no risk of cancer. Please check the pictures of my throat. I also had a\u00a0panic attack just before some days. My sister also has tinnitus. I am not satisfied with my career and environment. Recently, I got married. I am a chronic smoker and recently stopped. Please help me. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity) as well as read your complete history.\u00a0Do not worry. I will definitely help you. Revert back after two weeks to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20389, + "tgt": "How many days should it bleed after taking I-pill?", + "src": "Patient: Hello doctor, I had my first intercourse 10 days back and after that, I had taken I-pill within 24 hours and now it has been two weeks and I am still having some brown spots. Is it due to I-pill? How may days does it bleed? Is it normal or I should visit a doctor? Or should I wait for my next cycle? Doctor: Hello, Welcome to icliniq.ciom. The brownish spotting is due to withdrawal bleed following I-pill intake but the bleeding usually lasts only 4 to 5 days. If the bleeding is continuing, it would be best to rule out any chances of pregnancy with a serum beta hCG test first and if negative then you can opt for anti-fibrinolytic to control the bleeding." + }, + { + "id": 6081, + "tgt": "I am 29 years old, but I look like a 40 year old. How to look my age?", + "src": "Patient: Hi doctor, I am a 29 year old male, who looks like a 40 year old. I have aged very poorly. What caused this to happen? What can I do to look my proper age? Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24141, + "tgt": "There are small spots on the back. Please advise what it can be", + "src": "Patient: Hello doctor,I have fever since last night. These small spots on the back. I am sending the picture through email. Please advise what it can be. Doctor: Hello. I have gone through the images (attachment removed to protect patient identity). Are these distributed evenly on the back, also in the chest? If yes, it strongly raises the possibility of chickenpox, especially if not suffered from it in the past. If these lesions are distributed only in a small localized area then likely to be herpes infection. Please upload a few more pics from the distance. Also, check the other body parts for lesions. You will need Acyclovir based on body weight if it is chickenpox. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. You can apply Lactocalamine lotion locally for a soothing effect. Also, I suggest Paracetamol 500 mg for fever. Are there other symptoms like sore throat, cough, burning on urination? It is better if you can get yourself examined by a local doctor in person. 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": 13682, + "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": 29608, + "tgt": "What is this pink lump on the roof of my mouth?", + "src": "Patient: Hello doctor, I am a 29 year old female. I have a large pink lump on the roof of the\u00a0mouth that goes through my teeth. I have attached the photos for your reference. Please give your expert opinion regarding the same. Doctor: Hi. I\u00a0have\u00a0gone through your attached photograph (attachment removed to protect patient identity) and understand your concern\u00a0regarding your\u00a0dental health. Biopsy of the lump. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6939, + "tgt": "Are hearing loss and earache signs of ear infection?", + "src": "Patient: Hello doctor, I have earache and hearing loss in the right ear, jaw crackling sounds while speaking and swollen preauricular lymph nodes, what should I do? Do I have an ear infection? Doctor: Hello. As per the details you have provided, there seems to be an infection. The location of it is most probably the ear (especially the outer part called auricle and external auditory canal). To be sure you must consult an ENT specialist who will examine the ear, nose and throat and arrive at a diagnosis. He will thereafter prescribe the right medicines for you. However, I emphasize the need to show an ENT specialist as soon as you can. Secondarily it can also be arthralgia of the temporomandibular joint because of an infective cause. Also, severe nose and throat infection can cause such problems too. If left unattended, it can result in complications like ear discharge, further enlargement of the nodes and pain, the spread of infection to surrounding areas, etc. Hence please avail the services of an ENT specialist to avoid any unwanted complications. I hope you get better soon." + }, + { + "id": 21221, + "tgt": "84 year old feels pain in vagina on standing. Please advise", + "src": "Patient: Dear doctor, My mother is 84 years old and when she walks or stands, she feels severe burning pain in her vagina. Can you please suggest a medicine? Doctor: Hello. She may be suffering from atrophic vaginitis along with a possible uterine descent which can exert pressure over the perineum while standing or walking and combined together can cause discomfort. Please take her to a gynecologist for a local examination and a high vaginal swab culture to rule out any infection. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28472, + "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": 13762, + "tgt": "Am I getting irritation in the leg due to cervical region injury?", + "src": "Patient: Hello doctor, I got hit on the left side on cervical region almost two years from now. MRI does not show any injury or significant stenosis but the electromyography shows left moderate radiculopathy C5-C8 and recent results showed deterioration. Symptoms also still exist on left arm and trapezius but recently for the first time, I started feeling some irritations in the left leg too. My questions are the following: How this will progress you think? MRI shows nothing significant anatomically but radiculopathy deteriorates and emg results. Is this possible you think to start having the same problems in the leg too? This will constitute kind of myelopathy. Is it? Doctor: Hello. Regarding your concern, I would explain that as there are no signs of myelopathy or spinal canal compression on MRI, there is no reason to panic about myelopathy. The pain in this region is related to the nerve damage. Physiotherapy can help improve your situation. I would also recommend trying a cervical collar during pain exacerbation. I do not think that it will progress. It is also important avoiding heavy weight lifting and use an orthopedic pillow. Regarding the irritation on the leg, I would recommend performing a lumbar spine X-ray study in order to investigate for possible chronic degeneration or the lumbar vertebral column, which may mimic this clinical situation." + }, + { + "id": 6539, + "tgt": "I underwent tooth cleaning and having burning sensation in gums and palate. Why?", + "src": "Patient: Hello doctor, Two months ago, I underwent tooth cleaning by a dentist, and they have damaged my gums. Because of this teeth cleaning, I have further symptoms: I have a burning sensation on the palate and the gums. I am having pressure on my teeth whenever they come in contact with sugar, fruit sugar, and sweeteners. The gums on my front teeth turned a little brown. I took Diclofenac (anti-inflammatory) for several days, but there is no improvement. The gum has covered a little of my front teeth. There is constant formation of plaque. The front teeth have become stained. I have a gland under a tooth on one side. (I do not know if it is related to the rest of the symptoms). Two days ago, I noticed that the enamel has gone away from the front teeth and also had a mild sore throat and burning sensation. Also, for five days, I had a small fracture like on the front teeth. I tried solving my problems with the gum temporarily with the Curaprox Perio Plus mouthwash. For the enamel, I use elmex erosion protection toothpaste and Regenerate mouthwash and they helped a bit. Other products which I use are: 1. Curodont Protect toothpaste and 2. Curodont Repair. I went to the dentist to repair the enamel defects and to remineralize in-depth, but the changes are not visible. I am looking forward to your answer. Doctor: Hello. Sometimes taking too much medication also causes these burning, which you are describing. I went through all your attachments. (attachment removed to protect patient identity). For now, I would suggest stopping so many mouthwashes and toothpaste that you are taking regularly and continue with a single light fluoridated toothpaste and nothing in addition for now, no mouthwash and all. Additionally, drink plenty of water, maintain good oral hygiene. Do not take too much of hot and spicy food, instead increase the intake of fruits and green vegetables. After brushing and after every meal, clean your mouth with fingers smoothly and reach out to every corner of the mouth. Avoid carbonated and soda drinks. Follow up after four days." + }, + { + "id": 21645, + "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": 20798, + "tgt": "My smile looks so awful I smile with mouth closed. Any options to improve my smile?", + "src": "Patient: Hi doctor, When I try to smile showing my teeth, it looks awful and very unnatural. All there is is a tiny gap, but you do not really see teeth. So, I have always smiled with my mouth closed. I was wondering if you could help me figure out why my face is this way and if there are any options to help improve my smile. Doctor: Hello. I have gone through the image (attachment removed to protect patient identity). The teeth arrangement is natural. But, sometimes there are some factors which actually alter the smile like the habit of pushing teeth from tongue, nail biting, lip biting or sometimes soft tissue arrangement near teeth, etc. Your smile can be changed. And you can gain a beautiful smile. Just visit a dentist and ask to correct the gap between the teeth and to correct the whole smile. This treatment is mostly done by models, actors and now many people are asking for this. It is called smile designing. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20725, + "tgt": "I have a feeling that there is something in brain and abdomen. Are medicines necessary?", + "src": "Patient: Hello doctor,My problem is having a feeling all the time that there is something in my right side of the brain and in the abdomen. I also take medicines for the past two years but the problem did not go away. At present, I am taking Clonil 25 and ND Amisulpride. I also have taken Lamotrigine, Fluvoxamine, Risperidone, Olanzapine, and Sulprax OD but the problem does not go away. In the beginning, I had pain in the abdomen. I took medicine for stone then USG came normal. Then for an intestinal infection, the doctor said I have a psychiatric problem. No tests needed. Then I took too much stress that from where I will buy food or get water fee and electric fee. Then after abdomen, I felt the problem with my one side of the brain. I feel in my brain two wires are connecting, just like covers in my one side of the brain just like rounding something. Then I went to the psychiatrist. I took medicine for two years, rounding like covers like go away but today I feel something in my one side of the brain and in abdomen 24 hours though.Please give me suggestion if medicines are right for me and how long I have to take it. My father also took medicine for psychiatric issues, but his problem was different and he died 6 years ago. He used to talk lonely and also loudly and sometimes in anger. Aunt also takes medicines. She goes away from home, talks more and different. Grandmother also takes but for short time. Doctor: Hello. As you have described, no doubt your problem is psychiatric and family history related to psychiatric illness are also there. So, there is a possibility of that. Your mind is continuously sending a message to your body that you have a problem in the brain or in the abdomen. These continuous thought is causing troubles in your daily life. This is the body-mind relationship that helps us to understand our body. If you willtry to stop the wrong message sending by your mind, it will be helpful. You are young and if you do not take measure for it now, it will create a problem for you life-long. It is simple but takes time but it is good that you understand the problem so that you can easily handle the situation. To stop these thoughts, you have to try stop technique in which if your mind continuously sending these wrong messages, you have to stop them by telling that no, these are wrong. I do not have any problems and my brain and body are healthy. Continue Clomipramine as Clonil 50 and follow as advised. You will feel better. Preoccupied with the body. Somatoform disorder. It is useful to make urself busy and increase recreational activities. Start regular exercises." + }, + { + "id": 4902, + "tgt": "I had measles in childhood. Will I transmit the infection now?", + "src": "Patient: Hi doctor, One of my colleagues was diagnosed with measles. I had measles in my childhood. But my doubt is whether it can spread to my 2 months old granddaughter through me? Will I transmit the infection? Doctor: Hi. For further doubts consult a preventive medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician" + }, + { + "id": 2898, + "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": 24415, + "tgt": "Why do pus-filled lumps in underarm get bigger on eating red grams?", + "src": "Patient: Hello doctor, I am suffering from Hidradenitis supperativa (skin disease) for many years and taking antibiotics and Isotretinoin, but the issue is it is keeping on returning. Off lately, I discovered that the lump in my underarms gets exaggerated when I eat dal especially split red gram. I got my blood test for complete profile, but no issues were found. Since I am a vegetarian and have reduced protein intake, I have started feeling very low and tired. Probably this has decreased my strength and vitality also. I am stuck as if I take protein it affects my underarm pus-filled lumps and if I do not take it, it decreases the energy and strength of my body. Please suggest medicine or diet to overcome this. Doctor: Hello. You are suffering from furunculosis that means the infection of hair follicles. I hope your CBC (complete blood count) and blood sugar are normal. I would suggest take tablet Linezolid 600 mg morning and evening for five days and let me know after five days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4077, + "tgt": "Will diabetes during pregnancy affect the baby?", + "src": "Patient: Hi doctor, My sister is 21 years old with type 1 diabetes. When she was 35 weeks pregnant, she had a cesarean section delivery. The baby's heartbeat stopped and they could not get it started. The doctors are blaming it to be due to diabetes. They said that the baby's blood acid was 25, which is five times higher than normal. Her blood sugar was 25 at the time of delivery, because they gave her a glass of orange juice. This does not sound right. Please explain her condition to me. Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19663, + "tgt": "What are the reasons to get headache while talking?", + "src": "Patient: Hi doctor, I feel headache much often during interaction with anyone. Is this some illness and what is the reason? Doctor: Hello. Since you have not mentioned in detail about the headache, it is difficult to diagnose with limited case history. However, I will try to discuss the various causes and the treatment. Temperomandibular joint disorder : Common symptoms include pain in face, jaw joint area, neck and shoulders, in or around the ear when you chew, speak or open your mouth wide. Clicking, popping or grating sounds in the jaw joint when you open or close your mouth or chew. This may or may not be painful. Tension headache: Tension headache occurs because of stress. The headache is usually present in the forehead and temples due to any stressful trigger that vary from person-to-person. Migraine: Migraine pain is moderate to severe, often described as pounding, throbbing pain. Migraine headaches can last from four hours to three days and usually occur one to four times per month. Migraines are associated with symptoms such as sensitivity to light, noise or odor, nausea or vomiting, loss of appetite and stomach upset or abdominal pain. I would advise you to try the treatment that I have mentioned. However, if the symptoms persist please consult a doctor nearby for further physical evaluation and treat accordingly. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22217, + "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": 10065, + "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": 6189, + "tgt": "I feel low with suicidal thoughts and fear of death while driving. What can I do?", + "src": "Patient: Hello doctor, I am 21 years old. I am having suicidal thoughts and not able to get into a parking space. I am a new driver, and I am scared that I will die while driving. I also feel like I am low than other people. I am having this problem for a several years. I have OCD, depression, and generalized anxiety. I was taking Luvox, Prozac, Zoloft, Lexapro. I am currently taking Cymbalta 20 mg. What can I do? Please help. Doctor: Hello, Welcome to icliniq.com. You appear to be less confident and excessively worried about driving. Many young drivers feel the same, but you appear to be more affected by anxiety related to driving and parking. Always remember that you will get better with experience. Try to drive at a slow pace for the first one to two years and practice parking maneuvers untill your confidence is better. You can seek support from an experienced driver or take some pass-plus driving lessons. You are reporting a history of anxiety, OCD (obsessive-compulsive disorder), and depression. I note you have been tried on different antidepressants. In addition to the medication, you can try psychological therapy and CBT (cognitive behavioral therapy) which will be very effective to manage your excessive anxiety and build your confidence back. I hope this helps." + }, + { + "id": 28419, + "tgt": "I have a terrible upper back and shoulder pain, and I feel drowsy. What to do?", + "src": "Patient: Hi doctor, I am a 32 year old male, and I have a terrible upper back and left shoulder pain from past two years. The pain is radiating to the left side of the\u00a0chest also. Whenever I move my neck, I hear some sound. With this pain, I feel drowsy and light-headed full day. I am not able to do routine work or sit still for a long time. I feel as if I am going to fall, so I keep moving my legs and body in the\u00a0chair at the\u00a0office. Even when I am lying on the bed, I feel as if I am going to faint. Whenever I feel drowsy, I feel that my heartbeat has stopped. From the past five\u00a0days, the symptoms are becoming severe. I got an MRI of the neck two years back, which was normal. I have elevated cholesterol levels, and my triglycerides are around 400. My ECG was normal, but during an echocardiogram, the\u00a0doctor said that there\u00a0is a hole in the heart. Because of this extreme pain, I am not able to concentrate on my routine work, as I feel drowsy throughout the day. I do not have any pressure at home or work. Only because of this pain, I am very worried. I have consulted many doctors, but they give me some painkillers, which does not help relieve the pain. What should I do now? Doctor: Hello. Revert with more information to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 21431, + "tgt": "How can I have a better sex drive?", + "src": "Patient: Hi doctor, I am having issues while doing intercourse. Please help. Doctor: Hi. Explain your problem in detail so that I can understand the problem and can provide you with an effective solution for the same. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 950, + "tgt": "How to treat genital herpes?", + "src": "Patient: Hi doctor, I have recently contracted genital herpes. I am having an outbreak, which scared me. I have blisters (vesicles) on the penis. I had a blood test done last week and this confirmed it. Please help me. Doctor: Hi. I have thoroughly reviewed your health query and can well establish the sensitivity of issues you have.\u00a0Thanks for uploading the labs here for reference (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 31013, + "tgt": "Does psychotherapy help in trichotillomania?", + "src": "Patient: Hi doctor, I have been suffering from trichotillomania for about 10 years.\u00a0Usually, when I get stressed or annoyed, I start pulling my hair.\u00a0I used various home remedies and had ayurveda treatment too, but of no benefit. Currently, I am not on any sort of medication. I got to know that psychotherapy can help my condition. Is that a cost effective one? Please suggest. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25182, + "tgt": "I feel pain and bloating after eating anything. Please help me out", + "src": "Patient: Hello doctor,After eating my food or anything like dairy products, etc., my stomach bloats and there is pain below the breast on both the side, but mostly on the left side. On touching the ribs, I get pain. I feel something is swollen. It is from a very long time. Please help me out. Doctor: Hello. I would like to know if you had any weight loss in recent time or used painkillers excessively or had black colored stool or blood with vomit? Do you have vomiting? Or a family history of any stomach cancer? If all these are negative then you are suffering from functional dyspepsia. That can be managed by lifestyle and dietary modification and medications. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24844, + "tgt": "Why is my father having constatnt uneven movement of mouth?", + "src": "Patient: Hi doctor, My father is having constant uneven movement of the mouth for the past three months. He feels like he is chewing which is really irritating him. Kindly help me on that. Doctor: Hello. This can be the side effects of the pills he is having. So let me know the list of entire medicines he is having. If not, then he will need neurological evaluation. Also, let me know if he is having any other symptoms elsewhere in the body like weight loss or blood in stool, constipation, etc. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12323, + "tgt": "What are the ways to whiten my orange colored tooth?", + "src": "Patient: Hello doctor, My teeth are orange in color since I was born. What is the treatment to make them white? Doctor: Hi. I have gone through your question. I can understand your concern. In case, there is any sort of stains, plaque or calculus, you need to visit a periodontist and get oral prophylaxis done with post-bleaching. In case, there is thin enamel and the yellowish discoloration is because of dentin reflection, you may need crown replacement or composite build up. I will recommend you to upload some pictures of your teeth so that I can provide you better possible diagnosis and treatment plan." + }, + { + "id": 19416, + "tgt": "I use glasses but still have difficulty in reading. How to solve this?", + "src": "Patient: Dear doctor, I am 33 years old and I am using glasses for the last two years. My glasses numbers are right side is 3.5 and the left side is 1 but it is difficult to read books or newspaper. Can you help me? What can I do to solve the problem? Doctor: Hello. There could be two things that can cause a difficulty with your reading vision. Firstly, you could have developed premature presbyopia and although this is less likely given your young age, this condition is on the rise nowadays. In this condition, you will find it comfortable to read if you simply keep your books or mobile phones a bit farther than usual. In case you have this issue, kindly get your eyes re-examined by an ophthalmologist or optometrist to include near vision correction as well. Secondly, in case you have recently changed your glasses the problem could lie with: These can be rectified once again by examination by your ophthalmologist or optometrist. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15481, + "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": 17681, + "tgt": "What is the appropriate Diet for Diarrhea?", + "src": "Patient: Hi doctor, I am suffering from loose motions for last 2 days . Now loose motions are under control but too much of body pain and I am very weak. I am just eating curd rice for lunch and dinner and idly in the morning. Please give me some guidance for food. Thank you. Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 609, + "tgt": "I get recurrent painful boils on abdomen that leaves scars. Why?", + "src": "Patient: Hi doctor, I keep getting boils on my abdomen once every two to three weeks. They are painful and leave behind scars. I have been having this condition for the past two years. Earlier it was severe with new boils occurring every few days and now it has become less frequent. My local dermatologist diagnosed me with recurrent furunculosis and treated me with topical and oral antibiotics courses repeatedly. But after the course was complete the boils returned back in a few days. I was also made to do a two-week R-Cin course. Can this condition be something else? Also what is your recommendation for preventing recurrence? I am attaching a picture of the latest boil I got yesterday on my abdomen. Doctor: Hi. I have gone through your history and checked the pictures attached (attachment removed to protect patient identity). The lesions look classical for furunculosis. This is a common bacterial infection of the body hair. It is usually seen in people who sweat a lot, who prefer tight clothing, in diabetics, in people who visit the hospital frequently, and those who have a higher degree of body hair. There is nothing to worry as it is a common and easily treatable condition. FBS (fasting blood sugar), PLBS (post prandial glucose test), nasal swab for staphylococcal bacterial culture. Tablet Pan 40 mg (Pantoprazole) once daily before breakfast for one week. Capsule Doxt SL 100 mg (Doxycycline and Lactic acid bacillus) twice daily after food for one week, T Bact cream twice daily. Take bath twice daily, prefer loose fitting clothes, avoid nose pricking habit if u have, wash hands regularly, avoid high glycemic index foods." + }, + { + "id": 10973, + "tgt": "Having a red pimple on the inner thigh after having oral sex. Is this HIV?", + "src": "Patient: Hello doctor, I had sex with a sex worker a day before yesterday. But I told her not to remove her dress because I did not have a condom. Then I had a hug and allowed her to suck my penis for five minutes. While doing, she told me that my liquid is coming in her mouth, and so I stopped. After that, I sucked her breast some time. I do not know either milk is coming or not. Then finally I told her to do hands blow job after which I ejaculated. My question is the next day I got a red pimple in my inner thigh on both sides and is getting irritated. Why is it coming suddenly? I feel it may be an indication of HIV. It happened only after the incident. I was thinking in two ways. Could it be due to my liquid which went inside her mouth, if she has an infection? Or maybe due to that, I have sucked her breast I felt I might have drunk her milk. Is this an initial infection of HIV? Kindly look at my attachment. Please advice. Doctor: Hello. As per your exposure, you seem to be safe from HIV. The thigh lesions are not due to HIV (attachment removed to protect patient identity). It could be due to other causes. Do you have any symptoms like pain, itching, etc.?" + }, + { + "id": 22391, + "tgt": "I have a kidney stone just six months after a stone surgery. Can you suggest a cure?", + "src": "Patient: Hello doctor,I am a 27 year old male. Six months back, I underwent a urinary bladder stone surgery. Now everything is fine. Today, I have done a general checkup for follow-up. A USG abdomen scan was done (scan copy attached). The radiologist said there are small calculi in the left and right kidneys. So, kindly verify the scan report and give suitable suggestions for medicines and diet plan. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Once a kidney stone forms, there is a high risk for recurrent formation. But, a surgery will be required if the size becomes significant to prevent spontaneous passage. I suggest jogging daily morning and plenty of fluids orally forming more than 2 liters output. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 22942, + "tgt": "Troponin and ECG tests confirmed silent heart attack. Is hospitalization necessary?", + "src": "Patient: Hello doctor,This query is for my dad who is 75 years old. He has been seeing the same doctor who has recommended the same tests to be done for each follow-up since the past five years. Initially, he saw him once a year, recently it has become quarterly. I have uploaded a copy of the blood test reports and ECG was done for the follow-up on eighth of this month. Yesterday too he had to do a confirmatory blood test (Troponin) as well as ECG which confirmed he had a silent heart attack 10 days back. The admitting doctor after being informed of the test results recommended to stop Eliquis 2.5 mg 1-0-1 and take Ecosprin 150 mg 0-1-0 and tablet Plavix 75 mg 0-1-0. Also injection Clexane 80 mg SC twice a day for five days. He strongly advised getting admitted for a couple of days at least. My query is:Is hospitalization necessary now or can we wait for five days since injection Clexane 80 mg has been recommended? What is the function of the injection Clexane 80 mg recommended for five days? How does it work?What would be the purpose of hospitalization now?If we do go for hospitalization, what would be the likely tests to be done? Why has the doctor advised to get admitted along with recommending taking the injection Clexane 80 mg for five days? Doctor: Hello. So he did not have any symptoms, and this was detected on routine blood testing, right? His troponin is elevated here (attachment removed to protect patient identity), so it suggests he had a heart attack. So such patients are admitted for observation and administration of medications. We usually recommend admission immediately after a heart attack for 5 to 7 days, but since this time has already passed, admission is not absolutely necessary, but better to get admitted for observation, injectionClexane, and angiography. He should undergo echo and angiography, and for angiography, he has to be admitted. After angiography, he may need angioplasty or bypass. Also, if any warning signs like low bp or shortness of breath are there then he should be admitted. Also, Clexane is blood thinner which helps in the dissolution of an already formed clot which is the reason for heart attack. So it should be given after heart attack. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23040, + "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": 16445, + "tgt": "Is it difficult to treat subclinical hyperthyroidism?", + "src": "Patient: Hi doctor, I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood report showed me a result of subclinical hyperthyroidism. I have done breast surgery. Due to my health concern, I always have my blood tested for thyroid. Before eight months, I also had done a Holter monitor, which showed my heart palpitations. On my final blood test, my thyroid results came normal. But still, I have the symptoms. I am trying for a baby. But I heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy. Do I need to consult an endocrinologist soon? Do these fluctuations are common in hyperthyroidism? Doctor: Hi. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is necessary to have a constant follow-up with an endocrinologist before and during pregnancy. Yes, fluctuations in thyroid function test are common." + }, + { + "id": 7935, + "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": 29843, + "tgt": "My crossed eye treatment was not a success. Can I get the surgery done again?", + "src": "Patient: Hi doctor,I have crossed eyes since my birth. I got operated 4 years ago, but the problem was still there. I mean the operation was not 100% successful. Can I redo the procedure? Doctor: Hi. 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": 28272, + "tgt": "I injured my hip after a fall. Can you please explain the MRI of my hip?", + "src": "Patient: Hello doctor, I injured my\u00a0hip after a fall from a\u00a0trailer, where my leg and hip got twisted. I had an MRI of my right hip after the fall. The report said, diminutive or obliterated anterior labrum, with degenerative posterior labrum. The fluid adjacent to right greater trochanter is suggestive of trochanteric bursitis.\u00a0Can you please explain what that means?\u00a0Thank you. Doctor: Hello. I have seen your MRI report (attachment removed to protect patient identity). For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 2509, + "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": 7148, + "tgt": "How can we manage diabetes with proper drug and diet?", + "src": "Patient: Hi doctor, I am diabetic for past four years. I am taking Tablet Glynase MF for diabetes. My FBS is 200 mg/dL, PPBS is 300 mg/dL and Hba1c is 8 %. Kindly provide proper drug and diet for managing blood sugar. Doctor: Hi. Follow the diabetic diet and exercise daily for at least 30 minutes. Here is a sample diet to help you understand the diet. Continue your ongoing treatment and also take Tablet Volibo 0.2 mg (voglibose) twice a day before lunch and dinner for seven days. Follow up after seven days with your fasting and postprandial blood sugar levels. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 10291, + "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": 3793, + "tgt": "Which is the best regime to take Femilon, 21/7 or 21/5?", + "src": "Patient: Hello doctor, I am on birth control pill Femilon for the last three months and I have followed 21/7 regime from the last three months. I got my last two periods on the 6th and 7th pill-free days respectively. And now I have advised to follow 21/5 day regime by my gynecologist for proper efficacy of pill. I am still being confused, that I have to continue 21/7 regime or 21/5? My gynecologist said to me do not think about your menses just follow 21/5 regime whether menses come or not. So I want to ask is it normal to lost menses for two to three months, because I feel that if my menses came on 6th or 7th pill-free day on 21/7regime, then if follow 21/5 then I have to start my pack on the 6th day after five pill-free days. And if my menses will not come in these five days then after starting the new pack my menses will not start still a month, is it normal? What I have to do? Doctor: Hi. How are you doing? I would sincerely advise you to keep having pill in the 21 pills, 7 pill free cycles. This will avoid all the confusion. Hormone control will be the same if you take 7 pill-free or 5 pill-free cycle. We give the gap for proper hormone withdrawal so that the bleeding will be completed and the inner lining of the uterus is completely lost. So I would say you just follow the three weeks pills and one week pill-free cycle." + }, + { + "id": 15739, + "tgt": "Why is there severe pain even after anesthesia during tooth extraction?", + "src": "Patient: Hello doctor, I went to the dentist this morning for an extraction on a bottom molar on my left side. After being completely numbed he started the extraction and I had excruciating pain. He numbed me more but no matter how much he numbed, it hurt so bad. He eventually said he would refer me to a dental surgeon so I could be sedated. He was extremely nice about it the entire time but I could tell he just thought I was anxious and misinterpreting the pressure as pain. I was extremely nervous and anxious so I understand but I have had a tooth pulled before and I know the pressure, but this was an intense pain even though I was numbed. He said the dental surgeon would give me an IV that would relax me and make the procedure easier for me. I am worried that being sedated will not stop the pain. He said because I had a bad infection in the tooth that it could be causing the pain so he prescribed me some antibiotics to get rid of the infection. My questions are is this normal to have such terrible pain even while completely numb and will being sedated even help with this pain? Doctor: Hi. It is the best question I have got in my practice and the most frequent query is how and why. This is due to two reasons. Infected tooth with much inflammation or patient's anxious nature. So to tackle such cases it is better to prescribe antibiotics for five days then extract even if patient complaints, again it is better to give him or her tablet of Alprazolam before extraction one or two days to relieve anxiety. Moreover, before blocking the nerve, we can also give an injection of Dexamethasone which reduces inflammation." + }, + { + "id": 8755, + "tgt": "I was suggested to get coronary angiogram for inducible ischemia. What is your suggestion?", + "src": "Patient: Hello doctor, I am a 34-year-old male. I have recently done a master health check-up. One of the key observations of the checkup was TMT (stress test) is borderline positive for inducible ischemia. Upon consulting cardiologist and post-screening echo, he has suggested doing a coronary angiogram. Could you please assess the attached reports and provide a second opinion on the condition and the way forward. Kindly let me know if you need any further details on the same.Few pointers of the routine and habits 1. I do mild exercise. (Play badminton once in two weeks or one week). 2. I do booze (beer) once in two weeks or once in a week. 3. I do not smoke. But I used to smoke 10 years back. 4. I eat non-vegetarian, once or twice in a week. 5. No history of cardiac problems, nor in my family. 6. No abnormal pain in the chest during TMT nor any time during physical activity. 7. Mild gastric pain once or twice in a week. This started about one to two weeks ago, probably due to outside food. Doctor: Hello. Although you do not have any symptoms, but your ECG and TMT shows changes. Your echo is also normal. But we cannot neglect your ECG changes which are striking. So it is better to undergo angiography and get it clarified. Also, sometimes such changes may be seen in hypertensive individuals, but you do not thave such history. So, overall, in my opinion you should undergo coronary angiography to clear the picture. I hope this helps you and get back if you have any doubts." + }, + { + "id": 28903, + "tgt": "Can diverticulitis lead to colon cancer?", + "src": "Patient: Hello doctor, I have been having lower left pelvic pain, so I got a CT scan of the abdomen done. I was diagnosed with mild diverticulitis and diverticulosis. The doctor gave me Flagyl and Cipro. Is it serious? Can this lead to colon cancer? I am very scared. How can you tell that it is diverticulitis and not cancer? Also, I am on Metformin and had the CT with contrast, will this shut down my kidneys? Do I need to have my creatinine level rechecked? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16380, + "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": 16041, + "tgt": "Why is there low urine flow and pain in testicles after sex?", + "src": "Patient: Hello doctor, I am worried about my prostate. Urine stream is low. Often going to the toilet. Can feel pain in testicles after sex. Doctor: Hi. I have gone through your query. Can you please confirm how old you are? You have mentioned your age to be 41 years. I am asking because 41 years is pretty early to develop prostate enlargement, although not impossible, it is definitely very rare to develop significant enlargement to cause symptoms at your age. That said it is possible to have some low-grade prostate infection that can possibly cause your symptoms. To find out, a prostate examination and urine analysis are necessary to confirm. Also, an ultrasound scan to measure the size of the prostate gland and a uroflowmetry to ascertain the speed of the urinary flow will give a complete picture. If it is due to prostate enlargement, then simple daily medication should be effective if you have had symptoms only for a short duration." + }, + { + "id": 2208, + "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": 11980, + "tgt": "My beta hCG values are 5. 73 and 5. 26. Does it confirm pregnancy?", + "src": "Patient: Hi doctor,I am 38 years old. I did not get my last month period. After 15 days of missed period, my beta hCG value is 5.73. What is the chance of pregnancy? Do I have any issue? Please guide me. Doctor: Hi. Revert after two days with the report to an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18720, + "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": 11230, + "tgt": "When does pleural fluid collection occur?", + "src": "Patient: Hi doctor, My daughter has pleural infection in lungs. When she was 2 years,\u00a0decortication was done by open surgery. Now she is four years old. 3 days back she got fever. Though after taking antibiotic her fever subsided, x-ray report showed mild cardiomegaly with bilateral perihilar congestion. Is there again a chance for fluid to get gathered inside her lungs? What should we do for the same? Please advice. Doctor: Hi. I can understand your concerns. Pleural fluid collection occurs when infection persists for long time and is not responding to antibiotics. Pleural fluid collection in past does not increases the chances of collection at a later age. This time, x- ray (attachment removed to protect patient identity) shows mild cardiomegaly and perihilar congestion. This is not related in any way to lung infection and fluid collection. I suggest you to do an echocardiogram, to see what is the cause for cardiomegaly. Further treatment will depend on echocardiography report." + }, + { + "id": 25585, + "tgt": "Why is there a feeling of discomfort and numbness in my left arm?", + "src": "Patient: Hello doctor,I am a 25-year-old man. For the past few weeks, I have a feeling of discomfort and numbness in my left arm and heart. Also, I have discomfort and kind of a pain in my armpits. I can also feel tingling pain in bones from fingers to toes. Please help. Doctor: Hello. It is less likely for a young person without risk factors like diabetes, hypertension, and family history of smoking to have chest pain. I suggest that your pain is due to a musculoskeletal sprain. Chest pain is usually related to efforts and deep suffocating, compressing in nature. If you have these features please give me more details. If these symptoms are related to smoking any recreational drugs, it could be lethal. I suggest you take Paracetamol 1000 mg every eight hours and Voltaren gel (Diclofenac) three times per day on painful areas. Follow up in one week. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4690, + "tgt": "What is the treatment for cutaneous vasculitis?", + "src": "Patient: Hi doctor, My 18-year-old daughter has cutaneous vasculitis, mainly covers her lower legs, according to the ER doctor and family doctor as of 3 weeks ago. She is so miserable. I have had to keep her home from school and let her put her feet up. When she goes to school or is on her feet for any length of time, she ends up in pain. She cries and tells me her legs hurt and burn poorly. She feels nauseated and complains of stomach pain regularly and tired. Today, she became weak as she could harldly go from one room to the next. She seemed as if she was going to drop or pass out. As usual, I brought her to the ER (again) where she was told it was not an emergency and there is nothing they can do; she needs to wait until a Rheumatologist can see her which is still a week away. Is there anything I can do to make her more comfortable? Or is this normal for her to feel this way with vasculitis? Doctor: Hi. I have gone through your history. It seems a bit weird that no one is starting the treatment yet. Firstly, with vasculitis, one needs to see if it is limited only to the skin or the internal organs as well. We need to see her blood routine, urine routine, and a chest x-ray before concluding it is only limited to the skin. Secondly, if you can, then please get her tested for ANA (antinuclear antibody) and ANCA (anti-neutrophil cytoplasmic antibody). These are the mandatory test for vasculitis. Vasculitis will only respond to steroids. I am not sure if you can get your hands on it unless your GP suggests, but meanwhile, give her some anti-inflammatory like Naprosyn (Naproxen), only after making sure that her renal function tests are normal. I hope the information is useful. Do let me know for more queries." + }, + { + "id": 24811, + "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": 501, + "tgt": "I get infection in skin followed by ear and eye infection with whitish-yellow discharge. Please help", + "src": "Patient: Hello doctor, I have multiple conditions going on right now and fear that it could be a parasitic condition and need some expert advice. Started off with a terrible skin rash that has large and small lesions but no itch. Next a pretty substantial ear infection with swelling and discharge. Now the infection seems to be in my eye were small whitish-yellow things were coming out from under my eyelid from last evening. I have begun to inspect my mucus as it appears to have the same particles. I am very scared at this point and I appreciate anything you can offer. Doctor: Hi. I can understand your concern. According to your statement you have been suffering from skin rash without itching, ear infection with swelling and discharge, eye infection with coming out of something whitish-yellow under eyelid, and mucus with the same particles. All these sufferings may happen due to parasitic infestation that is your assumption. I have gone through your case several times and I think that all your sufferings may result from any infection due to any cause or allergies.Your skin rash may develop from any kind of allergies like food allergy, drug reaction or allergy, dust, or mite allergy. Then you developed an ear infection which may be due to bacterial cause. After that, you may suffer from conjunctivitis which is easy to catch through touching. You may get conjunctivitis by touching your infected hand that had touched your ear. In conjunctivitis, whitish-yellow discharge may come out under eyelid. You can use an antibacterial drop on your affected ear and eye with antihistamine along with or without broad-spectrum antibiotics orally. But in the case of viral infection, these medications do not work. Wash your eye with water regularly and before touching any part of the body wash your hands with soap or sanitizer. I hope this helps." + }, + { + "id": 18684, + "tgt": "What causes vague middle back pain?", + "src": "Patient: Hello doctor, I am 26 years old. I am working in bank for the last one year. I am having back pain on the right side thoracic region while sleeping on my back or sitting for the last six months.\u00a0I have antral gastritis. I have\u00a0done MRI of thorax which came normal. Ultrasonography of whole abdomen is also normal. X-ray of chest, blood test like LFT are also normal. My doctor said that it might be postural pain, but it is like a crawling pain just like an insect is crawling under skin sometimes. I have taken physiotherapy which has given some relief, but still there is pain in scapular region on the right side. Currently, I am taking Nucoxia MR, Caltrol and Pan 40. Is any other test required? I am attaching my scan reports for your reference. Please guide. Doctor: Hello. I have gone through your history. Kindly answer the following questions for better evaluation of your condition." + }, + { + "id": 22635, + "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": 13621, + "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": 6317, + "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": 19914, + "tgt": "Is HbA1c test more reliable than a blood sugar test taken at home?", + "src": "Patient: Hello doctor,I am a 35-year-old female. Is HbA1c test at a primary physician's lab reliable? I recently got my annual physical and lab tests done at a new primary physician's office (practicing since five years). The results show I have a glucose of 109 mg/dL and hemoglobin A1c of 6.8 %. My TSH is 5.85 uIU/mL and free T4 is 0.5 mg/dL. The doctor emailed me saying I am now diabetic and also hypothyroid. Three weeks ago, I had tested my blood sugar at home and it was 88 mg/dL. Should I see this doctor or another one? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17494, + "tgt": "I regret watching porn. How to come out of it?", + "src": "Patient: Hi doctor,I am 28 years old. I have a habit of watching porn. To me, I see it as real. I feel low and regret for my activity. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17795, + "tgt": "How to cure IBS?", + "src": "Patient: Hello doctor, I am a 38 year old male.\u00a0For the past few years, I have been dealing with diarrhea and I am just simply tired of it. Thankfully, I work from home and I do not have to leave the house in the morning hours. I have always been a healthy person and non-smoker. But, I have an average of two drinks a day which I am sure does not help. Otherwise, I eat quite well. I used to eat very little in restaurants and no junk food at all.\u00a0I thought it was only related to stress, but I have been able to shed a lot of that. This year I am pretty much stress free, but the IBS remains.\u00a0I usually used to go toilet twice per morning, once right after coffee and again about a couple hours later after breakfast.\u00a0Both the times, my stool is quite soft or liquid with little solids. It is obvious that the things are going through me really fast as I can often see greens from salad in the toilet.\u00a0I self-diagnosed that I was lactose intolerant a couple years ago and stay away from all dairy. However, it seems that all natural cheeses are fine, but if anything processed, then my body rejects it violently in the smallest amount.\u00a0Could I have any other food allergy that my body is rejecting? I went to a doctor locally and explained the issue. He prescribed me medicine to take. I want a cure and not a treatment. I would have expected he would ask me more questions and maybe a blood test, but nothing. So, I never took the medicines.\u00a0I went to another doctor after and had a blood test and found out that I had H.pylori infection. Only after taking Mastic gum, I was cured and tests after a few months showed that I killed it. So, it is not that anymore unless I got it again. I want this to be cured as if I live with this for years, it could be doing my body serious damage in other ways. If everything is moving too fast through my intestines, they will not be able to absorb the nutrients my body needs to stay healthy. I would hate that I am ignoring this could create a bigger problem down the line. It is like driving a car with only three cylinders running. It can run, but something bad will happen eventually.\u00a0Really hope you can help. I am so tired of the western paradigm of medicine. As a young, healthy person who grew up on an organic farm and raised all our own food (meat and veggies), I do not think this is an acceptable way to live or to be on medicines for the rest of my life. I am fine getting blood tests, but there are so many. I would like to know which one to take in order to determine the cause.\u00a0Thanks in advance for your consideration. Doctor: Hi. We are here to help you. For further information consult a medical gastroenterologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29349, + "tgt": "How to prevent blood clot in case of factor V clotting disorder?", + "src": "Patient: Hi doctor, I am a 37 year old male with factor V clotting disorder. How can I prevent blood clot? Doctor: Hello. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11322, + "tgt": "My cystocele repair surgery failed. Should I get it done again?", + "src": "Patient: Hello\u00a0doctor, I am a 61 year old female and a diabetic for the last ten years. I had a cystocele repair surgery along with hysterectomy and cervix and ovaries removal five months ago. There is a slight discharge on and off. I did a urine culture now and found that there was a colony of Enterococcus faecalis. Please let me know if this is serious and whether I have to take a course of antibiotics for it. I do not have any symptoms of UTI or abscess etc. Also, the cystocele repair was not a success as the bladder is still at the mouth of the vagina. Please also let me know if anything can be done to put the bladder back in place. If this is not done, what are the repercussions? Doctor: Hello. I have gone through your query and understand the concerns. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26766, + "tgt": "When should my daughter get a flu vaccine?", + "src": "Patient: Hi doctor, My daughter is 7\u00a0and a half months old and weighs around 8 kg. Overall, she is fine as per the latest check-up. After six months of breastfeed, she was started on solid foods as per the following schedule: 8 to 9 AM - cerelac wheat, 12 to 1 PM - rice, dhal, vegetable, 4 to 5 PM - fruit juice (orange or pomegranate) or smashed banana and biscuits \u00a07 to 8 PM - roti, dhal, vegetable. After a\u00a0month, she will start taking fish.\u00a0I request your help regarding a\u00a0couple of issues.\u00a0She is extremely reluctant to take any fruit juice or banana, although she is too comfortable with the biscuits. If we try to give her the juice, she cries to the extent that everybody at home gets afraid and finally gives up.\u00a0Is there a way to make her take juices? Although her gum was quite hard from the age of 6 months, no tooth has come out yet. If she does not develop a tooth even after completing 8 months, is this a matter of concern? Doctor: Hi. For further queries consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 21035, + "tgt": "SOL in gallbladder. How to treat this?", + "src": "Patient: Hi doctor, My grandmother is 72 years old. She is a diabetic patient. Her USG report showed SOL of a gallbladder. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). In the attached report, there is a space occupying lesion in the gallbladder. It has wall thickening. Usually, it is due to a large stone. But, no stone is seen in the ultrasonography images. Hence, it is advisable to investigate with a higher investigation that is CT (computed tomography) scan abdomen to rule out any tumor, if present. You can consult a surgeon for a physical examination." + }, + { + "id": 3445, + "tgt": "I get intermittent calf and chest pain. Are these signs of DVT or PE?", + "src": "Patient: Hi doctor, I am a 24-year-old female. I am 5'7\" and weigh approximately 280 lbs. I am overweight. My question is that I have had this calf pain intermittently ever since I went bowling over a month ago. It comes and goes and the pain is honestly very random when it appears. It does not hurt worse with walking or working out and I really notice the pain only if I am not focused on something (I work as a nurse and never notice at work). It is maybe a 3/10 pain. It is not a sharp pain, sometimes it feels like I need to stretch my leg and other times it feels like a burning pain. I am also having a chest pain intermittently. No short of breath. It changes with positioning. I basically want to know your opinion, do you feel it is a DVT with a PE or that I could have pulled a muscle? I should also note that I just started a new job which gives me a massive amount of anxiety and worry, which I realize does not help with any of this. I am currently taking Norvasc and Lisinopril for hypertension. Please suggest. Doctor: Hi. After reviewing your info, I think there are a couple of things I can tell you. I am assuming you have a B/ L (bilateral) pain and aching discomfort and not a sharp localized pain. Some of the causes for your pain are: 1) Most likely you have dehydration. 2) My second differential would be varicose veins. 3) Medication side effects of your anti-hypertensive drugs. 4) Psychosomatic pain because of stress. 5) If you have a history of coagulation disturbances, then I would suspect something on the lines of DVT (deep vein thrombosis). Take care of your hydration status in consultation with your cardiologist. Most likely this will help. Also, discuss the side effect of your medicines. Second, get a good sleep and watch out so OSA (sleep apnea). Third, if these do not help, then work up for varicose veins. I hope this helps." + }, + { + "id": 285, + "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": 12122, + "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": 30501, + "tgt": "Does nootropic drug come under addictive drugs?", + "src": "Patient: Hi doctor, My son is not so good in education and not showing active interest.\u00a0Does nootropic drug help to improve?\u00a0He is having asthma. He is not taking any drugs now and uses an inhaler.\u00a0He is 14 years old and studying grade 9. Does nootropic come under the category of addictive drugs? Can we use it form sometime and stop? I need your help on brain boosters. 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": 8449, + "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": 14653, + "tgt": "Is it advisable to get surgery done after radio and chemotherapy for adenocarcinoma?", + "src": "Patient: Hi doctor, My father got cancer and the treatment was done. According to the reports, some of the doctors said he must need the surgery right now, and some of his doctors said he is fine after radiotherapy and chemo as the tumor and cancer cells are unseen in his body right now. So what do you suggest after seeing all his reports on the file there? Please help me with your valuable opinion. Doctor: Hi. I have seen all your reports (attachment removed to protect patient identity), suggesting adenocarcinoma of text, which is 3 cm from anal verge with infiltrating surrounding lymph nodes. As I will tell you they did chemotherapy to reduce the extension of cancer cells surrounding the anal canal. As it is now very important to resection of that tumorpart, to prevent further extension. As good news is that this kind of cancer response is good for the surgery, so surgery must be done to treat this condition. So, your doctor has advised correctly." + }, + { + "id": 24462, + "tgt": "Can pulmonary fibrosis be cured with medications and exercise?", + "src": "Patient: Hello doctor, I had an X-ray last Thursday and I got the result today. It says I have fibrosis in my right upper lobe. I had a history of pulmonary tuberculosis two years back and I took a six months medication and I am done with it. I just want to ask if fibrosis can be cured if I take medication and do exercise daily and eat healthy foods? Doctor: Hello. Fibrosis is a feature of chronic inflammation and your lung fibrosis is because of that. Tuberculosis is a chronic granulomatous inflammation and can lead to fibrosis. Fibrosis is irreversible condition and cannot be revert back. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25236, + "tgt": "Why is MRI required even after a normal prostate biopsy?", + "src": "Patient: Hello doctor, I am 64 years old and I just had my first prostate biopsy. Out of 10 samples, only one contained cancer. Gleason 6 (3+3). DRE normal. PSA 4.4. PSA has gone up and down over four years with 4.5 the highest, 3.75 lowest. Recent 4K score 9%. Recent PCA3 17%. I was relieved with biopsy, but urologist wants to do a follow-up MRI to rule out any hidden cancers. Why did not he do this before biopsy? Is this insurance related? By the way, my prostate measured 60 grams. I am an active healthy guy. I take Simvastatin for cholesterol and Losartan 100 mg for blood pressure. I just want your advice on why MRI is indicated. Doctor: Hello. If no foci then you do not require anything at present just follow up with PSA (prostate-specific antigen). If there are other foci which are malignant then you may require surgery depending on the stage of disease and hence MRI. MRI can be done pre or post biopsy. If your biopsy had shown aggressive tumor then MRI could have been avoided and you would have required surgery directly. So, he did not do an MRI before. So it is better for you to undergo MRI as you require active surveillance. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11917, + "tgt": "I am pregnant after two miscarriages. Can I take Progestogen and Aspirin injections?", + "src": "Patient: Hello doctor, I had two miscarriages one was in the fourth week. While taking the scan, the sac was not found and two-week delay in growth. Another one for almost seven weeks and two-week growth delay. Now I am pregnant after six months of the second miscarriage. Now I am in my third week. My doctor advised to take injections for Progestogen and Aspirin, and one more substance was there, and I do not remember the name. I need to take the injection every day until the fifth month of pregnancy. In the second pregnancy till sixth-week heartbeat was everything was fine. After the second miscarriage, I had a delay in my periods and took a scan at 12 days of my period, and my dominant follicle was smaller when compared to regular size 11.58. I would like to here second opinion for this. So please advice. Doctor: Hello. Probably the name of the third injection would be Heparin (blood thinning agent). Your doctor is right as antiphospholipid antibody syndrome (the most common cause of early miscarriages) would have been suspected, and this is the right treatment for this problem to ensure a healthy pregnancy. And there is no harm in taking these medicine in accordance to doctor advice. And it will be helpful for your pregnancy. Hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 20125, + "tgt": "Having spotting after emergency contraceptive pill. Is there anything to worry?", + "src": "Patient: Hello doctor, I have been sexually active for the past four months. We initially did not use protection, in order to avoid pregnancy I have used emergency contraceptive pills for a few times now. My periods got delayed by a day or two but with no major changes in the cycle. Last month I found spotting around the time of ovulation and assumed that it was a sign for fertility. This month again I found spotting but it is a little severe. It is not much as during periods but still more than just spotting. Is there anything to worry? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 423, + "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": 10386, + "tgt": "My left nose makes a weird sound following a hit. Why?", + "src": "Patient: Hello doctor,One week ago and five days, I hit a school clock off the wall and on the left side of my nose. I went to the E.R., and they said it was not broken, and it was only swollen and bruised. The swelling went down, but it is still hurting, and it has been stuff since then. I used a flashlight to look into my nose, and in the left nostril, I saw to things like deep into that was red and kind of swollen, and when I looked into the right nostril, I saw the same thing, but they were pink and not swollen. But when I breathe in hard, my left nostril makes a weird nose like a motor that was not before the injury. Please help. Doctor: Hello. Nasal trauma and consequent inflammation can cause symptoms like you are complaining. Epistaxis and stuffiness can be present. Since you have been examined at ER and they did not find any signs of fracture, there is nothing much to worry. The swelling you saw deep into your nose is turbinate, and they need not be necessarily identical on two sides. Since there was trauma, it is likely to be congested. There is no reason to be worried too much. Use decongestant drops for a while, and it will be fine." + }, + { + "id": 21724, + "tgt": "Is it possible to transfer muscle to fill in the hand after ulnar nerve entrapment?", + "src": "Patient: Hello doctor,Earlier this year approximately five months ago, I was diagnosed with ulnar nerve entrapment at the right elbow. Sadly, I declined rapidly and lost all my hypotheaner and some of my lumbericals in a matter of six weeks. I was operated on exactly 14 weeks ago where I had a decompression of the ulnar nerve and an anterior interosseous nerve transfer to the motor component of the ulnar nerve so that the nerve axons would reach my hand quicker. I still have no improvement and I wanted to ask if it is possible to transfer muscle to fill in the hand? And will this protect my nerves in the hand? Would it be too soon to be considering this operation? Doctor: Hi. Your query is genuine and I am extremely sorry to learn about your problems. To answer, let me explain to you how a nerve grows. It takes one month of latency and later nerve grows at 1 mm per day. Even though the nerve might reach your muscle, for bulk to improve, it takes another few months. For one to determine if the nerve signals have improved, you can get an electromyography to see for any improvement. Decompression will improve sensation very fast and then power. But for muscle bulk, it usually takes a while for muscle transfer to be suitable. In case, you have any form of weakness and never to fill up a cosmetic defect such as hypothenar flatness, for that one can consider fat grafting. If the bulk does not improve after six months. I would advise you to wait as it usually takes longer than 14 weeks. If you want to see and have proof of progress go for EMG. No muscle transfer as per my advise for now if you are not having any weakness. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 8682, + "tgt": "I am suffering from redness and red spots on my face inspite of using ointments. What is the treatment?", + "src": "Patient: Hello doctor,I have strange redness and red spots on my face. I have photos to attach. It came up one day six months ago for no particular reason. Since then, it has been on and off in terms of severity but never completely disappeared. At first, I thought it was dry skin and tried some moisturizer and reduced the use of hot water on my face, but no change.It seems to be getting worse and get better for absolutely no reason. I am unable to pinpoint any cause for it. I have never had this before ever in my life, and as I said, it came up one day for no reason. I had not changed anything. I have used Proactiv for my whole life. But not that high on my face, so it is unrelated to that. Past history of the same issue. Never until six months ago out of the blue. Doctor: Hello. It looks like an eczematous rash only (attachment removed to protect patient identity). It could be due to dryness, or excess seborrhoea which is getting exacerbated by sunlight exposure. Use the following medicines they should help, 1. Fluticasone propionate 0.05% cream once a day at night. 2. Cetaphil gentle cleansing lotion twice a day for washing the face. 3. Cetaphil moisturizer twice a day. 4. A good sunscreen of SPF 30 at least at 9 am 12 pm, 3 pm, 15 to 20 mins before going out in the sun. 5. Tablet Levocetirizine 5 mg, if there is irritation or itching. Follow-up in two weeks to see whether this needs to be continued as such or if any changes are required." + }, + { + "id": 2305, + "tgt": "I have chronic pharyngitis and it is getting worse in spite of medications. Why?", + "src": "Patient: Hello doctor, I have chronic granular pharyngitis. I was having throat pain for the past eight weeks. Initially, I took homeo medicines and it did not cure. Then I took Azithromycin and Metronidazole for a few days and I stopped this. Currently, I take tablet Claribid 500 mg twice daily morning and night after food, Betadine gargle, tablet Nexpro-RD once daily on empty stomach, Acecloplus for pain if required (I do not have too much pain), Montek- LC at bedtime after food. I started these tablets for two days but it seems that my condition is worsening. Doctor: Hello. Please send photographs and report of your throat." + }, + { + "id": 7296, + "tgt": "How to differentiate borderline personality disorder and bipolar disorder?", + "src": "Patient: Hello doctor,Is there a definitive way to know if I have a borderline personality disorder or bipolar disorder? Two years ago, I was diagnosed with BPD, but I met with a psychiatrist who says I do not sound at all like I have BPD, but I instead sound bipolar. Is there a way to test which it is? Or is it ask me questions and I answer them? Doctor: Hello. You are reporting a commonly encountered situation since BPD, and bipolar disorder can present with similar symptoms. Sometimes both the conditions can be present together as well. There is no specific test or scan or investigation to distinguish these two conditions but a thorough history and mental state examination will help to identify the correct course. So it will involve your psychiatrist asking you lots of questions to elicit your mental state, questions about your life, personal and family history which will help with making a diagnosis. As you know, BPD is a personality disorder, and bipolar is a mood disorder. So detailed history and mental state examination can help to make the distinction. I will recommend you to keep a file of all your reports, including the previous reports related to diagnosing you with BPD and share it with your psychiatrist during your next follow-up appointment. I see that you have prescribed Lithium which is a very useful mood stabilizer. Discuss your medication response and any persistent concerns with your prescribing doctor so that he can review accordingly. I hope this helps." + }, + { + "id": 26303, + "tgt": "My left upper eyelid is bigger than the right. How to rectify this?", + "src": "Patient: Hello doctor,My left upper eyelid is bigger than the right. Doctor: Hello. I have seen the image uploaded by you (attachment removed to protect patient identity). Kindly give me a detailed history. Revert with more information to an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30409, + "tgt": "My heart rate is high while doing exercise. Please advise", + "src": "Patient: Hi doctor, My heart rate is 90 to 100 while doing exercise. Should I reduce my exercise and take more rest? Or do I need to do exercise such as jogging every day? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14813, + "tgt": "I took emergency contraceptive pills few days back. I am bleeding today. Am I pregnant?", + "src": "Patient: Hi doctor, I had my periods on the 15th of last month, and I had sex on 25th. I took emergency contraceptive pills on the 26th. I am bleeding today. Am I pregnant? Doctor: Hi. No, you are not pregnant. You had your emergency contraceptive pills on the 26th, so this bleeding must be withdrawal bleeding due to that drug. But if bleeding does not settle, get one ultrasound scan done and rest assured." + }, + { + "id": 17591, + "tgt": "What is this white spot that is painless and not itchy?", + "src": "Patient: Hello doctor, My penis is having a white pimple like spot on the corona. But, it is not painful or itchy.\u00a0There are also white spots on the neck of the glans.\u00a0What can be the problem?\u00a0I have been applying topical antifungal cream (Miconazole cream BP 2%).\u00a0But, it does not seem to be working. Please help. Doctor: Hi. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 26745, + "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": 13684, + "tgt": "Is CBT useful in treating schizophrenia?", + "src": "Patient: Hello doctor, I have a case that was assigned to me in school, and I want to seek help from doctors. My case is about a girl who has schizophrenia and was diagnosed very early. She shows all the symptoms, like hallucinations, hearing voices, hurting other people and talking to people who are not there. My question are as follows. How can this person get counseled? Is CBT useful? If she does not seek help, what would happen to her? How can I help her if I was a counselor? What approaches can I use during our sessions and why? And lastly, what is the possible outcome? Doctor: Hi. CBT is usually not useful in schizophrenia when the patient is having fulminant and active symptoms of schizophrenia such as delusions and hallucinations. The prerequisites for CBT (cognitive behavioral therapy) are, 1. The patient should be motivated for therapy.2. The patient should understand the therapeutic alliance between therapist and himself.3. The patient should have good frustration tolerance.4. The patient must realize that the symptoms are because of his/her maladaptive thoughts, feelings and behavior. So in your case, the treatment of choice is drug therapy along with supportive treatment. As far as the prognosis is concerned, it depends upon the following: 1. The response to treatment.2. Good family support.3. The age of onset, a very early start is a bad prognostic factor.4. Treatment compliance.5. Employment status.6. The family history of mental illnesses.7. Type of schizophrenia." + }, + { + "id": 12336, + "tgt": "What causes pressure in the body with headache while standing?", + "src": "Patient: Hi doctor, Over the last few days, I have a problem with standing without feeling dizzy. I feel that while I am standing or sitting on a hard surface, that I am in an elevator or a boat. Sometimes it happens when I lay down too. I also feel that there is like a pressure or a wave inside my body that directs the way I feel dizzy. Sometimes I feel it in my legs and sometimes I feel it goes up to my head. I can literally feel it and feel how it is dropping from my head to the body. Every time I feel I will faint, however that has not happened yet, probably because I lay down straight away as soon as it happens. I have panic disorder and sometimes when I feel this I get anxious as I am scared that it may be something serious. Occasionally, I have a slight headache but is not severe at all. A few days ago, I tried smelling lavender and chamomile oil, which is something new to me and I do not know if it has anything to do with this dizziness. I also have dry mouth most days recently too. It has started controlling me as I always need to hold the door or the wall in order not to fall down. I saw my GP. He asked me to close my eyes tight. I was going to fall down if he did not hold me while I was standing. Please note that I used to feel like the floor is moving up and down at night before I sleep. However, now it has increased to the stage where I feel it since I wake up till the moment I sleep even if I am lying down sometimes. The more I am awake, the more I feel it. Finally, when I come to sleep. As soon as I close my eyes, I imagine spinning even though I know the room is not moving as well as sometimes pain is in one side of the head. Your advice would be appreciated. Doctor: Hello. I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or thyroid gland dysfunction. Anxiety can mimic this clinical situation too. Coming to this point, I would recommend performing some tests: 1. Complete blood count for anemia. 2. Thyroid hormone levels for possible thyroid gland dysfunction. 3. Blood electrolytes for possible imbalances. 4. Vitamin B12 and vitamin D plasma levels for a possible deficiency. A head-up tilt test would help investigate for possible orthostatic hypotension. You should discuss with your doctor on the above tests. If all the above tests result normal you should consider anxiety as the main cause underlying your complaints." + }, + { + "id": 11368, + "tgt": "What could be the reason for pain in the middle of the chest?", + "src": "Patient: Hi doctor, I am getting pain in the middle of my chest when I put pressure on it such as while sleeping when I suddenly wake up or turn around. Why? Doctor: Hi. Costochondritis is the most common cause of sternum pain. It occurs when the cartilage between the sternum and ribs becomes inflamed and irritated. Try the following methods. 1. Ice pack to your chest. 2. You can take non-steroidal anti-inflammatory drugs, like Ibuprofen to reduce pain and inflammation. Limit your movement and avoid any heavy lifting. If still pain persists, then go for investigation." + }, + { + "id": 24409, + "tgt": "I get flashes or lightening in the eye. What could it be due to?", + "src": "Patient: Hello doctor,I am a 50 year old female. I get flashes or lightning in the eye. I am taking medicines for diabetes, blood pressure, and thyroid. Doctor: Hello. This is the age where you get posterior vitreous detachment. It is a naturally occurring age-related phenomenon where the vitreous jelly separates from one's retina and in this process, one might experience a ring-like floater and probably some flashes. Some warning signs you can watch out if there is something abnormal: If these occur, please consult a vitreoretinal expert ophthalmologist for a dilated fundus examination to rule out any areas of weakness in the retina. Till then, start Nepafenac eye drops once at bedtime to hasten the PVD process. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25794, + "tgt": "What diet can help me reduce my waist size?", + "src": "Patient: Hello doctor, I need to reduce my waist size by 2 inches. Can you recommend drugs, supplements, and a diet to achieve this? Doctor: Hello. Regarding the diet, you should take 1200 calories per day. The breakfast should be between 7 to 10 a.m. It should contain an egg, one whole grain bread. You need to have a snack at 12 p.m. It can consist of fruits, green tea or dark chocolate with coffee. Lunch can be had between 2 to 5 p.m. It can consist of four tablespoons rice or pasta plus grilled protein meat or chicken along with green salad and vegetables. Another snack to be between 6 to 8 p.m. This should be similar to the first except coffee. Dinner should be between 7 to 9. Yoghurt and lemon juice. Regarding medications, I do not want to recommend any medications. You need lifestyle measures like walking for 30 minutes every day. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2719, + "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": 14063, + "tgt": "Kindly suggest some remedies to increase my breast size without any side effects", + "src": "Patient: Hi doctor, I am 24 years old but my breast size is small. Could you please suggest any medicine to increase my breast size without side effects? Doctor: Hi. I have read and understood your problem. Small breasts may be due to hormonal imbalance, genetics, poor nutrition, thyroid hormone problem. Take diet containing fats and soy products. Massage breast from below upwards and from side inwards using some coconut oil. Change your posture by standing straight and pushing your chest forward will make your breasts look bigger. Exercising the muscles beneath your breasts will make them appear more rounded, it can be done by push-ups done daily for few times increasing gradually. You can also check for PCOS by ultrasound of pelvis and also hormonal imbalance by doing serum (blood) estradiol and testosterone. If there is hormone imbalance then medicine will help you, sometimes oral contraceptive pills increase the size to some extent." + }, + { + "id": 1774, + "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": 15301, + "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": 15645, + "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": 5815, + "tgt": "My son's one eye is slightly open and also has angel's kiss on that eyelid. Is that due to ptosis?", + "src": "Patient: Hello doctor, My son is 4 months old, and one eye is slightly more open than the other (ever since he was born). I feel like the eyelid of the eye that does not open as wide might be swollen and there is also an angel's kiss on that eyelid. It also has an extra crease on the outside of the eyelid. Is that ptosis or something else? It does not cover his pupil and does not seem to affect his vision. Doctor: Hello. I have seen the photos. (attachment removed to protect patient identity). From the photos, I can see a few variations from the normal anatomy in both upper lids. There is an extra fold of skin over the upper lid of the right eye, this is called epiblepharon in medical terminology. Now coming to your question of ptosis in the left eye, although there is a little bit of upper lid drooping in the left eye compared to the right, it would be hard to say that it is due to congenital ptosis. My advice to you is Regarding the left eye, wait and watch for another year. Congenital ptosis does require surgery to correct it, but the ideal time to operate would be when the patient is 3-4 years old. This is because we can get more accurate measurements for the surgery then, and the child will also be able to tolerate the procedure. Also, the upper eyelid dropping could be because of the haemangioma or the angel's kiss, which eventually would resolve on its own and the drooping may come down with it. Regarding the right eye, the epiblepharon although harmless on its own, sometimes may cause the inward turning of the eyelids. This may cause the eyelashes to rub against the black portion of his eye (cornea). This needs to be kept in your mind, in case he complains of something irritating his right eye. Kindly visit your doctor when this happens. The treatment for this cause is also surgical. I hope this helps. Observation." + }, + { + "id": 20019, + "tgt": "I am getting swelling over my face followed by toothache. Why?", + "src": "Patient: Hi doctor, I had toothache for the past 48 hours. It made the right side of my face to completely swell. The toothache has now gone, but the swelling is increasing and started affecting the eye area. I have applied heat and ice to the swollen area, but neither have worked. Please give me some advice to quickly reduce the swelling as I have an important event later today. Thank you. Doctor: Hi. Tooth infection or abscess spread to vital spaces in the face. Space infection due to tooth decay. 1. Abscess drainage. 2. Antibiotics. 3. Analgesics. 4. Serratiopeptidase or other proteolytic enzymes. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3017, + "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": 2920, + "tgt": "Increased dose for hyperthyroidism end up causing hypothyroidism. What to do?", + "src": "Patient: Hello doctor, I am a 52-year-old female. I have an underactive thyroid condition. I had nuclear medicine a few years ago and had been going for regular checkups but recently due to some reasons, my TSH level had increased. So I was given a dosage of 150 mcg of Thyronorm. My check-up was due four months but due to some circumstances I could not go and I went two months late. The doctor told me I had an overdose of it. So he asked me to continue only with 100 mcg. I was wondering if I would feel better if I skip the medicines for two days because it is making me feel tired a lot and weak, too. Doctor: Hello. I just read your query and from what you mentioned it appears you had hyperthyroidism which was treated with radioactive iodine and now you are hypothyroid. Well, it is perfectly normal phenomena, after radioactive iodine ablation of the thyroid gland we usually expect patients to be hypothyroid. In your case, it just took so long to develop. You should have gotten your thyroid function test done at that time but nonetheless your dose has been reduced so it is perfectly fine. You feel tired because of the excess 50 mcg which you had been taking until now. Anyways give it some time and it will settle down. No, it is not going to be dangerous. Just regularly do your thyroid function test every three months until it stabilizes. I hope this helps." + }, + { + "id": 20209, + "tgt": "Why do my eyes twitch after looking at a computer screen for more than 15 minutes?", + "src": "Patient: Hi doctor, I am a 66 year old male, who has a normal eyesight. Last week while I was watching a film on my laptop, suddenly both my eyelids started twitching (fluttering). After that, whenever I look at a\u00a0computer for more than 15 minutes, the burning sensation starts. The same is true while I read for more than 15 minutes. Even while I type this message, there is twitching in both eyes. I cannot concentrate. I use reading glass + 4.75, and I am not diabetic. However, I have mild tinnitus in both ears from last year. MRI and other tests are normal. At present, I am taking some homeopathic medicine for tinnitus, which is working well. Soon after the twitching started, I had mild watery discharge in both eyes. Now it has stopped. I do not have reddishness in eyes and no butterflies and no black spots. I am in a very remote area, where no medical facilities available. I called a doctor, who is known to us, and he advised to use Refresh tears, one drop in each eye five times a day. I am doing that since last three days, and the burning sensation is a bit eased, but the twitching is the same. While I wake up in the morning, I feel better, as the eyes had rest while I slept. I have no problem with the light, but the eyelid (upper) is vehement when I work on the\u00a0computer. Please advise. Regards. Doctor: Hello. I hope this helps. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14225, + "tgt": "As the baby had breathing difficulty, feeding was stopped and oxygen support was started. Is that right?", + "src": "Patient: Hello doctor, My baby is a preterm boy. His actual age is 7.5 months and corrected age is 4.5 months. Birth weight was 960 gm and his current weight is 5.60 kg, drinking man-pro around 100 ml, 5 to 6 times a day. Since last 10 days, he has also been started on semisolid food. He had breathing difficulty because of a cough. We had got him early morning in the emergency for complaints of a heavy cough. He was nebulized but there was a wheezing sound due to which they said he would need PICU for monitoring. Currently, he is admitted in PICU. His saturation levels were fine but the doctor started him on oxygen with mask support. He was drinking milk well but they stopped his feeds as well and started IV liquid which does not suffice his hunger. They did all reports- blood and chest X-ray and everything was normal. His heart rate was on the higher rate of 150 to 180. The first thing they did was that they stopped the feed, he cried and cried for more than half a day wanting food in which he lost a big amount of energy. Until the morning, I got him to PICU. He was playful but second half of the PICU admission day he was looking very tired. The wheezing had increased. At night they took a call to put him on HFNC due to increased wheezing. He was restless the whole night and till early morning his heart rate was 185 to 201. Now, it has come down to 150 to 165 but he is still on HFNC and feeds have not started yet. My concerns are as follows. He was given oxygen support at the initial stage as required when he was able to breathe and maintain the saturation levels without it. Was it necessary to stop his feeds as that has taken away all his energy and he is distressed with hunger? Doctor: Hi. I understand your concern. Your concern is whether oxygen was necessary. Whenever the baby is having wheezing and respiratory distress, giving Oxygen is necessary to avoid impending ventilation-perfusion mismatch. It is considered as supportive therapy even though the monitor might be showing 100 % saturation. Was it necessary to stop the feed? Only treating doctor can decide. Whenever there is respiratory distress, children have a high risk of aspiration, which can lead to aspiration pneumonia which is bad. But, whenever the baby is vitally stable, the baby can be started on the feed througha tube (RT feed). Treating doctor is best to decide about it. Still, if you have concerns. You are free to ask treating doctor. It is your right." + }, + { + "id": 12844, + "tgt": "My partner is ignoring me. What should I do?", + "src": "Patient: Hello doctor, What to do now? I was in love with a girl for five years when I was doing my college and then I told my parents and they did not agree. She also loved me back. In her home also they will not accept. Now both of us are not talking for the past one and half years. I am working now and she is studying now. I used to meet and send her texts when I got leave and miss her. Now she does not want to talk to me. This time I asked her if she is free to meet me. She told she is busy. Now, is she really over me or just protecting me? What should I do to get over her? Sometimes, I feel like everything is over between me and her but then suddenly I miss her a lot. Is this how it is going to be always? Doctor: Hi. The best answer is to ask yourself whether you wish to and looking forward to marrying her or not? If not, you need to move on. A girl, unlike man, cannot call and text you just for the sake of pleasing you. Girls are always under the radar of their family and society. They need 110 percent assurance from you. They just cannot be your time pass. In your case, it is difficult for you to persuade your and her family but not impossible. If you really love each other you may have a fighting chance. During the last one and a half year of non-communication, she has probably decided to move on with her life as she got no real assurance from you. So call her, and try to meet her if you really are interested in marrying her. Or else, let her be a part of your good memories and move on." + }, + { + "id": 19451, + "tgt": "Why am I having pain, numbness and bladder control issues?", + "src": "Patient: Hi doctor, I am a 27-year-old male and have pain, numbness and bladder control issues. Kindly guide me. Doctor: Hi. Pain numbness and bladder control issues point towards spine pathology. If you have done some MRI, then please upload the images else I would recommend a dorsolumbar spine MRI. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 1825, + "tgt": "I have severe heartburn with breathing difficulty, gas pain and burping. Why do I get this?", + "src": "Patient: Hello doctor, I have severe heartburn, difficulty in breathing, gas pain, and burping. Please suggest. Doctor: Hello. I can understand your troubles regarding heart burn and difficulty breathing. You are having GERD (gastric esophageal reflux disease), and indigestion. Obesity, smoking, drugs, pregnancy. CBC (complete blood couont). TSH (thyroid-stimulating hormones). EGD (esophagogastroduodenoscopy). H.Pylori infection. GERD. Dyspepsia. Capsule Esomeperazole 40 mg 1-0-1 before 30 minutes of meal for 10 days then follow me. Syrup Gaviscon 20 ml after every meal. Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. Stop smoking. Smoking decreases the lower esophageal sphincter's ability to function properly. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. If you cannot elevate your bed, you can insert a wedge between your mattress and box spring to elevate your body from the waist up. Raising your head with additional pillows is not effective. Do not lie down after a meal. Wait at least three hours after eating before lying down or going to bed. Eat food slowly and chew thoroughly. Put down your fork after every bite and pick it up again once you have chewed and swallowed that bite. Avoid foods and drinks that trigger reflux. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. Follow after seven days." + }, + { + "id": 13734, + "tgt": "Is it normal to have nausea and breast tenderness after changing birth control pill?", + "src": "Patient: Hello doctor, I recently had to get an emergency refill on my birth control because I was going out of town and realized I did not have enough to last the whole trip. The one I originally used was a generic version of Yaz and the one I got was a different generic version of Yaz (called Gianvi). Since taking Gianvi, I have experienced nausea and vomiting, breast tenderness, and fatigue. I did not experience any of this with the one I usually take. Is this normal or likely? Even though they should technically be the same? I last had sex around a month back, but I will not have access to a pregnancy test until I am back from my trip this month. I have read that birth control can mimic pregnancy symptoms, which is why I am wondering if this is the case. Doctor: Hi. Yes, you are correct. These symptoms like nausea, breast tenderness could be due to hormonal variations caused by the pill. Better to continue pill as per schedule. I hope you have not missed a single pill. If completed course without skipping the dose of the pill, no risk of pregnancy." + }, + { + "id": 25465, + "tgt": "Can machine-generated report of EKG be completely relied upon?", + "src": "Patient: Hello doctor, I am a 41-year-old male. I have been elected for an EKG because I am a pilot and need a medical certificate. I have hypertension that is controlled easily with 10 mg Propranolol a day and 10 mg Lisinopril a day. My BP is 117/70 with 66 BPM. There are no symptoms of chest pain or shortness of breath ever. Yesterday during a routine visit I asked physicians assistant for a 12 lead EKG as I have heard it is a good thing to do. Never had any symptoms, slightly overweight, BP great with 10 mg of Propanolol and 10 mg of Lisinopril. I had an abnormal EKG and asked if I have ever experienced the symptoms of a heart attack? I have a copy of my EKG which is machine printed that reads \"abnormal old anterior infarct.\" I have an appointment with a cardiologist but I am going crazy until next week. Should I be worried? Doctor: Hello. The interpretation you saw was a machine interpretation and they sometimes drive us crazy. Your ECG (electrocardiogram) is absolutely fine. However, get an ECG for a final confirmation. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22118, + "tgt": "Am I taking the right homeopathy medicine for PCOD?", + "src": "Patient: Hello doctor, I am taking Testosterone 30 to reduce testosterone as I am a PCOD patient but the pharmacist told me that it increases testosterone. Please reply. I have taken contraceptives, Metformin and ayurveda treatment for the same. I am undergoing laser treatment for facial hair. Doctor: Hello. The root cause of PCOS (polycystic ovary syndrome) is a hormonal disturbance. In homeopathy, the medicine corrects the disturbance without any side effect. No need to panic and get confused about what is the best treatment for PCOS. Testosterone is used for hypogonadism and delayed puberty. For your problem, I suggest Natrum Muriaticum 1M 10 pills once for five days and Ova Tosta 6X daily one tablet three times. Report after a month. Revert after a month to a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 18479, + "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": 13241, + "tgt": "Does poor posture cause irritation in the neck?", + "src": "Patient: Hi doctor, I am suffering from irritation on the back of my neck. Sometimes, it extends up to the throat. But, I do not have any problem in speaking or swallowing. Please help. Doctor: Hi,Welcome to icliniq.comI understand that you have some irritation at the back of your neck that extends to your throat sometimes. However, there is no difficulty in swallowing or speaking. As a first step, I would suggest you take a course of antibiotics and anti-inflammatory tablets. Amoxicillin-Clavulanic Acid (dosage based on age and weight) and trypsin-chymotrypsin combination can work if it is an infective origin for the irritation. If the same does not resolve, then we have to think of other causes. Malignancy can be a reason which may often be accompanied by loss of weight and appetite. Pain also will frequently present in such a case.Any problem with the vertebra, like TB, spondylolisthesis, etc., can also present similar symptom with minute variation along with additional symptoms. For diagnosing the same we require to do an MRI scan of the neck. Kindly give all the details as I have listed. I suggest you go ahead with a course of antibiotics and see if there is a resolution of symptoms." + }, + { + "id": 21692, + "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": 9294, + "tgt": "Which is the best peel for rosacea?", + "src": "Patient: Hi doctor, I am a 29 year old male. My height is 5'5\", and weight is 69 kg. I have been suffering from acne, redness and often small, red, pus-filled bumps on my face since I am 14. I visited a lot of dermatologists, but they never able to identify the reason. I have got prescriptions and that never really helped me. The conditions worsened a year ago, and I got them on my cheeks, forehead and nose.\u00a0I thought that it was a normal acne until I finally visited an experienced dermatologist,\u00a0who suggested that I had subtype 3 rosacea,\u00a0sensitive and oily skin. He prescribed me some medicines first, and it gave me huge relief. I got rid of all the acne within 10 days. Three months passed and as the winter season came nearer, they again started appearing all over my face and then gone after some time. I visited dermatologist again who suggested me to take regular peels. I started taking sittings of peeling and after one or two peeling my face started improving and got clear in\u00a0some time. Peeling worked like magic. It was superficial face peel, but do not know about the acid content and the type of acid he used to apply. He used to say that he was giving me mild peel. I stopped taking peeling as I had to leave my place and shift to the different location due to the job change. It was good for a\u00a0couple of months until the\u00a0temperature change. I started getting rosacea symptoms again though at this time rate of acne and bumps was low, still, it bothered a lot. Currently, I am on medication which my old dermatologist\u00a0suggested. It is Papulex face wash for summer, non-drying cleanser for winter,\u00a0Fisioativ cream for the night to moisturize the skin and Fix Derma UV protection, which I still apply daily thrice a day. The only thing I notice is that in my case rosacea comes back when there is a temperature change and also some stress. But, peeling is the only real magic for me. Please suggest the best possible peeling solution available. Can I use it at home probably once in 15 days? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28888, + "tgt": "Please suggest medicine for my laughing problem", + "src": "Patient: Hello doctor, I have a\u00a0problem with laughing. I laugh without any reason, and I cannot control the laugh. I laugh while speaking to\u00a0others or on the phone without reason. It is a problem to me and my career. I cannot do a\u00a0job with this laughing problem. I have seen on the internet that laughing without any reason is PBA. Please suggest me medicine to cure the problem. Doctor: Hi. Stroke, dementia and ALS. Brain MRI. Nuedexta. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2749, + "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": 61, + "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": 13541, + "tgt": "Is it advisable to take Flecainide for A-Fib?", + "src": "Patient: Hello doctor, I am 50 years with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and in the year end, I started a keto diet and went into A-Fib twice and converted on my own. Started keto again and went into A-fib twice again and converted on my own. My cardiologist has me on 50 mg Flecainide twice a day. I am also on Prozac 20 mg and Trazadone 400 mg. I am concerned about developing Prolonged QT, and I am not sure if Flecainide is really necessary? I am worried about what Flecainide will do to my heart. I have a healthy heart otherwise. 60 resting heart rate and 95/70 BP. Doctor: Hello. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose for arrhythmia. I would recommend stop continuing their concomitant use. Probably it would be better to start withdrawing them both. But if it is not possible for the moment, you should discuss with your attending doctor to keep the most indispensable drug which in your case seems to be Prozac. In addition, also Trazodone may potentiate the above pro-arrhythmic effect (increase QTc interval). Coming to this point, it would be wise to stop a keto diet for the moment, and also Flecainide. An adjustment of Prozac with Trazodone combination is recommended, for minimizing the potential adverse effects. You should check also thyroid hormone levels, just to be sure they do not influence the recent appearance of atrial fibrillation episodes." + }, + { + "id": 24915, + "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": 6776, + "tgt": "Is staying indoor a cause for social anxiety?", + "src": "Patient: Hello doctor,Does staying indoors excessively cause social anxiety? Doctor: Hello. Staying indoors excessively does not directly cause social anxiety. It is possible that having social anxiety will prevent you from going out more, which in turn makes anxiety more prominent. Talk to your parents and family about your anxiety so that they can understand and support you. Are you able to manage to go to school or college? Try going out regularly. Avoidance does not help. Regular exposure to anxiety-provoking situations will help to treat anxiety. Exercise regularly. It will lower stress and improve your confidence. Practice deep breathing techniques and progressive muscle relaxation exercises for about 20 to 30 minutes daily. If anxiety is more generalized and severe, consult a doctor for an assessment. Counseling can be beneficial." + }, + { + "id": 1302, + "tgt": "My one eye is small with nearsightedness. Will it progress to blindness?", + "src": "Patient: Hello doctor, I was wondering if anyone could tell me about my condition. I used to go to an eye doctor when I was little but I cannot remember when I last went. I was never pushed to go by my parents when I was younger, only when I needed a new pair of glasses. I was born with one eye small, the other normal. My vision is fine, I am very nearsighted but with glasses, I see quite well. My depth perception is normal too, I can see most things and when I tried to drive once, it went well. In my affected eye pupil is floating around. I cannot see much out of it, and it is not big enough. Other than that, no other health conditions. Could anyone tell me what this is? Is it something that progresses and will I go blind someday? Doctor: Hi. You have unilateral microphthalmos i.e. your one eye which in your case is right eye is not fully developed and has developed a squint. Other eyes appear normal but I will advise you to get a fundus in the left eye also to rule out any retinal anomaly. The condition in the right will always remain like this and this condition will not affect the left eye. If it is normal just do not engage in activities that can lead do an injury in the left eye also. So please consult a vitreoretinal specialist to rule out any retinal lesions in the left eye and get yourself rechecked for glasses every six months. Though your left eye appears very normal from outside but since you are nearsighted I will advise you to get retinal examination in your normal eye too, so that if there is any treatable lesion we can fix it at an early stage." + }, + { + "id": 6006, + "tgt": "I am having acne and pimples on my cheek and it leaves mark. What to do?", + "src": "Patient: Hello doctor, I am a 30-year-old male. I am having severe acne and pimples on my cheek. It started two weeks ago. I used aloe vera and the effect is some what reduced, but the marks are there and also new pimples are coming every day. Doctor: Hello. Kindly share your photos. Apply Deriva-CMS (Clindamycin phosphate) gel at night on pimples. Apply Dermadew aloe lotion on the whole face at 8 am and 8 pm. Apply Photostable gold sunscreen on the whole face at 9 am, 12 pm, and 3 pm. Use Cetaphil cleansing lotion for face wash. Do not scratch and break the pimples, it will cause dark spots and scar that are difficult to treat. Do not wash your face frequently and with soap. Use suitable face wash that suits your skin. Do not rub your face with towel, just do like sponging. After one month." + }, + { + "id": 7606, + "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": 26197, + "tgt": "Why is there a difference in the vaccine schedules given by my GP and at work?", + "src": "Patient: Hi doctor,I am a nursing student studying outside. I have just moved over from my hometown. Because I am doing nursing, the hepatitis B vaccine is required for occupational health. I received my first vaccine in January, followed by my second in February, by my own GP back home. He then told me that the next (third) vaccine would be due in August. However, when I started my nursing course (in February) we all had to meet with the occupational health team. I showed her my records for the hepatitis B, and she told me that the third vaccine was due in March, just a month after my second one. I was just wondering, why is there such a difference in the times given between my own GP and the occupational nurse? I looked it up online and going by that, my GP's time allocations for the vaccine seem right, but is the occupational health one correct as well? Thanks for the help. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14467, + "tgt": "I have increased the dose of Lexapro from 10 to 20 mg. When can I expect the effect?", + "src": "Patient: Hello doctor,Third time on Lexapro started again two months back. Taking 10 mg, after about 20 days, I felt good again. Then it stopped working after about two weeks. My GP raised the dose to 20 mg. Today is a full week without much improvement. How long should I wait to see if 20 mg will kick in for me? I am also taking Metoprolol. Doctor: Hi. First of all, try to stay calm because it is your third episode and medications take time to act. If you have come out of your illness twice before then this time too you will come out of your illness. Do not lose patience. As you have mentioned you are taking third time this medication. So this is your third episode. Lexapro is an antidepressant SSRI (Escitalopram). It generally takes 14 days to start the action. As you have mentioned you are taking it for the past two months and you started feeling good so you should wait for another one week for this medication to act before switching to another medication or adding a medication with it. Since it is working for you because you did feel good after taking the medication, so I would suggest you take the medication for one more week minimum to experience the effect. I would like to know more about your past episodes and which drugs were prescribed to you for it? Were you prescribed the same drug in all the episodes you had? Did you improve on the same drug? What symptoms are you experiencing right now? What is bothering you the most? Have you ever gone for psychotherapy in the past? I think along with drugs you should also go for psychotherapy- Cognitive behavioral therapy will be the best for you along with medication. It will hasten your recovery. Briefing about your previous episodes will let me know better about your past illness and medication and can give you a better outlook on your query." + }, + { + "id": 25439, + "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": 6656, + "tgt": "I found a red tissue growth in my extracted wisdom tooth socket. What is it?", + "src": "Patient: Hello doctor, I got my wisdom tooth extracted a few weeks ago, and I am concerned about a piece of red tissue growth in my socket. I am not sure if it is just a new forming tissue. Please clarify. Doctor: Hello. 1. It looks like a piece of surrounding gum or gingival tissue remaining after extraction. 2. I wanted to know when did you notice this for the first time? Was it not there right after extraction, or did you not notice? 3. From photograph/your attachment, it does not look like anything major. (attachment removed to protect patients identity). 4. If you feel pain or sensitivity in it, I would suggest you consult your dentist. He will remove it from the site, and it will not interfere any more. 5. Just keep a notice of whether it is increasing or decreasing in size or any color changes. 6. Avoid very hot and spicy food at least from that side for some time. 7. Report me if you notice any changes. Follow up after a week." + }, + { + "id": 729, + "tgt": "How to stop taking the drug Suboxone?", + "src": "Patient: Hi doctor, I have had about a six years dependency on the drug Suboxone. I do not abuse it, but I have tried several times to taper or wean. I have a white-collar high profile job and I really need to get this off to avoid problems in the future. Do you have any recommendations to get this off? I would really appreciate any help you could mention. Thank you for your time in advance. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22177, + "tgt": "Why does my face look bad when I walk into direct sunlight?", + "src": "Patient: Hello doctor, I have had mild acne for years and it seems to be under control now with an occasional break out here and there, mainly just trying to fix scarring. I am a 26-year-old male. Currently, I am using the Menscience brand facial wash, Mirco scrub, and rosewater toner. I lie to keep things simple. I just started the facial wash and scrub about a couple weeks ago, alternating between the two so that I do not over exfoliate, and it has been good to me. No breakouts or irritation and I can tell slightly that my complexion is better. I also try to do some organic and natural remedies on occasion, like turmeric powder face masks to lighten the dark areas. I was intrigued by the menscience products due to the glycolic ingredient in them as well as salicylic acid. I have researched that these are good ingredients to slough away dead skin cells so I can fade these scars. Now for the big issue, my face looks pretty decent in natural lighting or inside the house but as soon as I step into direct sunlight, I look horrible. It is a complete change from what I see in my mirror at home and I am wondering if I need to add more glycolic products to my regime or what. I see other's face and direct sunlight does not show imperfections like it does mine. It makes my face look 10 times worse and I do not know what to do. I do not want to just avoid sunlight to fix my paranoia, I want to fix the problem for good. I get regular microdermabrasion treatments monthly in conjunction with my current products that have the glycolic acid. Do I just need to give these new washes more time to slough away the scars and smooth it out or should I incorporate a glycolic pad to speed up the process? Doctor: Hi. I am glad you asked this. Could you also upload a photo of your face both indoors as well as in natural daylight? I need to have a close-up view to pinpoint the diagnosis and suggest a remedy. I appreciate your concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23306, + "tgt": "Can photon therapy be repeated for melanocytomas of meninges in cervical spine?", + "src": "Patient: Hello doctor, I have multiple melanocytomas of the meninges in the cervical spine. I had a single tumor removed in 14 years back and it has regrown, along with others. The tumor board where I am being treated recommends radiation. Photon therapy would expose my spinal cord to radiation so it cannot be repeated but I was wondering whether proton beam therapy could possibly be repeated if it was necessary down the road, or if it was possible I could have one type now and the other type down the road. Doctor: Hi. Multiple meningeal melanocytomas are usually benign lesion. Now it looks like they have recurred again. So now it is better to take a biopsy first to confirm the diagnosis pathologically and to rule out any other issue . Since your last surgical removal of melanocytoma, there is a gap of 13 years now. Once biopsy report is available they can plan the management. If technically feasible even surgical removal of these melanocytomas is also a good option. Since you have not attached any reports here, I would not be able to check the size location and appearance of these lesions and give my suggestion. Regarding Photon therapy, It is better to consult a radiation oncologist. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 24615, + "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": 4363, + "tgt": "Is it advisable to increase the dosage of Dapoxetine for better intercourse?", + "src": "Patient: Hello doctor, As per advise of doctor I have taken Dapoxetine (Duralast) 30 mg before 1 hour intercourse, it did not work? So can I take any other medicine or take higher composition of same medicine or two tablets before 1 hour? Doctor: Hello. Taking two tablets of Dapoxetine might cause dizziness, flushing of face, nausea, vomiting, etc., side effects. But you can take two tablets that is 60 mg prior to sex. But if problem persists then better to consult your doctor again. Regular use of SSRIs like Paroxetine daily will help to delay the ejaculation time. Continue to take Dapoxetine 30 on SOS basis. This will help in delaying the time." + }, + { + "id": 16270, + "tgt": "What is the reason for having frequent throat infection?", + "src": "Patient: Hi doctor, My partner gets throat infection for every 15 days. As soon as he gets the infection, he also gets running nose. As it progresses, there is ear pain, chest congestion, and chest pain. He is not taking antibiotics or any other medicines for this problem. Please suggest. Doctor: Hi. Collect the running fluids and do sugar estimation. Remember that the test has to be done soon after collecting the liquid. Otherwise, it will not be accurate. Next, get a sinus CT scan done to rule out the causative reason for having recurrent throat infections. Please send a picture of the throat to see whether there is any tonsillar hypertrophy. Meanwhile, start taking Septillin tablets to improve immunity. When there is no throat infection, give him amla (gooseberry) to eat. He can also have an allergy to pollens. So, he can develop an allergy. It can manifest as throat irritation, runny nose, and itching. You can do some tests to check allergy and follow some precautions to stay away from allergy. Revert me with more details so that I can guide you further." + }, + { + "id": 8163, + "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": 24643, + "tgt": "Why is my tooth infection not evident on X-ray?", + "src": "Patient: Hello doctor, Last Saturday I was feeling some discomfort with one of my teeth. It is a tooth that has a crown on it. I was chewing on a piece of steak, and it felt sore. It felt a little sore on Saturday, Sunday, Monday, and Tuesday. I saw my dentist on Tuesday and they did not see any thing wrong on the X-ray, but when she tapped the tooth with one of her instruments, it felt a little sore. So, she made me an appointment with an endodontist for a root canal on Friday. Well, now my tooth no longer feels sore or hurt. If there was a problem with the roots on my tooth would it not show up on an X-ray? I am not sure what to do now. Doctor: Hi. Sometimes, it takes time for an abscess to show on the X-ray, but pain starts as soon as it starts producing pus. When the quantity of pus increases and causes bone loss at the root apex, then it starts showing on the X-ray. If tapping causes pain, then the tooth do need root canal treatment. For more information consult an endodontist online --> https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 9438, + "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": 21357, + "tgt": "How do I stop flatulence, poor hair growth and acne?", + "src": "Patient: Hello doctor,How do I stop flatulence, poor hair growth (baldness) and acne (black spots) in my system entirely? Doctor: Hello. Your all three complaints are different. I will give my opinion one by one. Consult a physician for examination with keeping all these in mind. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30677, + "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": 6768, + "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": 1668, + "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": 5524, + "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": 21223, + "tgt": "I observe occasional blood and mucus in stool. Is it due to Pitta dosha?", + "src": "Patient: Hello doctor, I am a 23 year old male. I am having stomach problems since seven months. At first, I observed blood and mucus in my stool. The doctors detected it as an infection and first I took allopathic medicine and then homeopathic medicine. At present, I have to go to motion two to three times a day and there is never a feeling of satisfaction. Mostly, I feel like going to the bathroom just after having my breakfast which is the second time. I notice occasional blood and mucus now which is like once or twice in two months. I took antibiotics last year and also homeopathic medicines. Is it Pitta dosha? If yes what can I do for it? I have read three to four articles on Pitta dosha that match my conditions. Doctor: Hi. It seems like colitis. Its occurrence depends on food habits and lifestyle. It can be manage naturally through ayurvedic medicines. There is a need to take ayurvedic medicines for three months regularly under a controlled diet plan. I suggest taking Bilvavaleha one spoon twice a day before food, Dadimastaka Churna 3 g and Kutajaghana Vati two tablets twice a day with warm water after meals. Try these for a month and get back with improvement. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27052, + "tgt": "My constant jaw clicking is becoming a nuisance. Please help", + "src": "Patient: Hello doctor, I am an 18 year old female, and I have been experiencing a lot of jaw\u00a0clicking constantly throughout the day, for the past five months. It is only located on the right side of my face. It is not painful, but after consecutive months of constant jaw clicking, it has become a nuisance. Please help. Doctor: Hi. Take care.\u00a0Have a nice day. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4712, + "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": 18551, + "tgt": "What is the solution for stomach burning and constipation?", + "src": "Patient: Hello doctor, I am facing stomach burning since last one month and constipation problem also. I am passing stool once in a week only and have stomach pain too. I consulted a doctor. He has given some medicine but nothing has cured. I am facing around last two months, too much anal pain and burning stomach. Could you please suggest any solution for these? Mainly constipation. Doctor: Hello. Burning sensation in the chest and stomach is mainly due to acidity, that is, high amount of acid release in the stomach. For burning sensation, you should restrict any spicy or oily food. Also, can you tell me what medicines you are taking so that we can decide if the same medicine has to be continued or new medicine has to be prescribed? For constipation, you might consider talking green vegetables and salad and at least 10 glass of water per day. Also, for constipation, bulk laxatives can be taken. The pain around the anus is because you have hardened stool and that causes excessive friction to pass, for that rectal enema can be done in the hospital set up. Also, please tell if you have a history or any other disease so that we can go further for management of your problem. Constipation, flatulence. GERD, fecal impaction." + }, + { + "id": 18295, + "tgt": "Even though I am taking Insulin, my sugar levels are high. What shall I do?", + "src": "Patient: Hi doctor, I am a known diabetic for the past 15 years. 20 days ago, my HbA1c was 9.83. I am 54 years old and my weight is 87 kg.\u00a0My medications are Metformin 500 mg, Hcl 1500 mg, Istavel 100 mg and Glaritus Insulin 30 units. Even then the sugar levels are 246, 265 and 277 after every three hours today. My creatinine, SGOT, SGPT, T3 and TSH are normal. Doctor: Hello. I have a few questions for you as I would like to know more about your diabetes history. 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": 3998, + "tgt": "I need an opinion regarding my neck x-ray", + "src": "Patient: Hi doctor, I need an opinion regarding the x-rays of my neck. I met with two car accidents and have chronic neck pain and stiffness. What could be wrong? Doctor: Hi. I have gone through your x-ray (attachment removed to protect patient identity). Revert back with a detailed history to a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 17039, + "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": 18498, + "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": 17383, + "tgt": "Is memory loss a side effect of schizoaffective disorder treatment?", + "src": "Patient: Hi doctor, I was diagnosed with schizoaffective disorder and was treated with Zyprexa. After a while, it turned out that I have neutropenia as a side effect. So, I was given Lithium about half a year ago. Now, instead of Zyprexa, I am taking Ridazin for the last three weeks. What are the side effects of this new medicine? Because, I feel like I have some sort of memory loss. Does it have anything to do with it? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20355, + "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": 18256, + "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": 2329, + "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": 17211, + "tgt": "Can vitiligo occur in later stages of life?", + "src": "Patient: Hi doctor, My cousin sister is planning to get married to a guy, who has a family history of vitiligo. His parents and paternal aunt are suffering from the same problem and all are having white spots on their body. The boy is not having any white spots currently on his body.\u00a0Can this problem occur in later stages of his life? What is the chance of vitiligo in the next generation? I need some suggestion. Please suggest the possibility of this problem. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26454, + "tgt": "Kindly suggest treatment for the red patches in my throat?", + "src": "Patient: Hello doctor, I have red patches on the\u00a0inner wall of my\u00a0throat and have a stretch feeling of the throat while yawning. I am\u00a0having this for the last three weeks. I am\u00a0Raciper\u00a040 mg. I have attached some pictures for your reference. Kindly advise. Doctor: Hello. I have gone through the pictures\u00a0(attachment removed to protect patient identity). For more information consult an\u00a0ENT Otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29279, + "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": 23112, + "tgt": "Will IGF-1 go down to normal after stopping growth hormone replacement therapy?", + "src": "Patient: Hello doctor, I am a 20-year-old man who has used growth hormone replacement therapy, Somatropin, for a year to combat asthma. I made an error in my original dosing and now have learned I have been overdosing (approximately 20 mg per week). Three weeks ago, I started to feel fatigued. I could not concentrate at work. Stopped the medication. Yet three weeks after stopping RHGH my IGF-1 is still 2.2 SD above normal, at 500. My GH readings are basically zero (.2), indicating that the IGF-1 is suppressing my natural production. Three weeks ago I developed brain fog, a disconnected feeling, so I stopped the Somatropin. Currently, I am taking just asthma medication (Advair). But I still feel very fatigued and cannot work. I have cut back on proteins. I have three questions: Will the IGF-1 go down to normal, and how long? Is there a medication that can lower my IGF-1? Is the fatigue from constantly high IGF-1 or because I am not producing GH? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have used Somatropin without actually having any growth hormone deficiency. First of all please do not restart it at any cost. Secondly, visit a cardiologist for your symptoms as the major side effect could possibly have some effect on your heart. Thirdly if it turns out that your heart is good then have a checkup with the endocrinologist for finding any effects on your brain. I am sorry these are the side effects which can occur after prolonged usage of the said drug. If hopefully everything turns out to be normal with your brain and heart then you can just wait for some months for your pituitary to produce your own natural hormones. There has to be a proper assessment by an endocrinologist before any treatment could be given if at all to reverse it. Yes, your fatigue is due to it. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18477, + "tgt": "Which BP medicine is good for someone who had a kidney transplant?", + "src": "Patient: Hello doctor, I had a kidney transplant 17 years ago. My local doctor is on a trip overseas. So, I need some help. My\u00a0only problem now is an increase in the BP. It shows 170/110 and the creatinine level is 1.7. This is the\u00a0second time, I am getting such levels. Three years ago, I got the same. But, that is due to an infection. But, now, there are no other problems indicated in the\u00a0blood test and urine test. All are normal. Only creatinine\u00a0levels and BP are the problems. Now, I take Atan 50 mg twice a day. Can I take Amlodipine or Enalapril? How to reduce BP and creatinine level. I want an online consultation. Doctor: Hello. I hope it helps you. If you have any further query please ask me. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 17418, + "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": 985, + "tgt": "I had 3 nasal surgeries in the past. Is it safe for me to take nasal Coronavirus test?", + "src": "Patient: Hello doctor, I have had three nose and septum surgeries and my septum is deviated. My workplace wants me to do the nasal Coronavirus test as I recently came back from overseas. I am already on day 10 of Quarantine but they want to do the test. Is there any risk for me to do this test considering the previous surgeries? Can they force me to do the test? Do they need me to consent to the procedure? Can I request to finish my quarantine instead of testing? Or is there any other test that is less invasive? Doctor: Hi. I see that you are concerned about previous surgeries. Nasopharyngeal swab for Coronavirus is a very simple test just like how you use your ear buds. So n\u00e8ed not worry, it can be done even if you have deviated septum. At this pandemic season, it is recommended by world health officials and your employer can demand you to get tested before joining your work as you have traveled overseas and 14 days quarantine is also recommended by World Health Organization. No other tests is as less invasive and highly yielding than a nasopharyngeal swab test. I hope this helps." + }, + { + "id": 24340, + "tgt": "My CT shows multiple subcentimeter nodules in thyroid. Kindly help", + "src": "Patient: Hello doctor, I noticed a swelling on my neck a while back. It has been that swollen for a while now, more than six months. It is not going down and sometimes there is a pain when I am more active. Starting to get concerned with it as it is not going down. I had a CT scan about three months back that showed multiple subcentimeter nodules on the left lobe of my thyroid but this is on the right side. I have been to the doctor since then and they ordered blood work for my thyroid. I am worried as I feel tired all the time and dizziness is something more. I had this scan done the other day and was wanting to see if there were any abnormalities in them and what was swollen on the right side of my neck. Doctor: Hi. I can see that there is fullness on the right side of the neck in the picture. In the CT scan images (attachment removed to protect patient identity) I find there are few lymph nodes on the sides of your neck but probably because of the small size, your report does not mention it. The fullness is likely due to the lymph nodes in my opinion. There are subcentimeter nodules in the left lobe of thyroid. I would like to know if you have discussed any head and neck infection and the lymph nodes with your doctors. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 13797, + "tgt": "What is causing pimples on the back and shoulders?", + "src": "Patient: Hello doctor, I have been developing pimples on the back of shoulders and on shoulders as shown in the photos attached. What could be the reason for this and what are the medications? Doctor: Hi. Acne occurs not only on the face but also on the upper back and chest. It is usually due to the hormonal activity over the oil glands of the body. Your pictures (attachment removed to protect patient identity) are suggestive of a combination of truncal acne and Pityrosporum folliculitis. This could be due to your young age, tight clothing, excessive sweating, humid climate, foods with high glycemic index and improper hygiene. Truncal acne or Pityrosporum folliculitis. 1. Acnil soap for bath. 2. Ketoconazole lotion (Kevon stay on lotion or KZ lotion) in the morning after bath. 3. Benzoyl peroxide gel (Persol forte cream) at night. Decrease foods with high glycemic index, take bath daily, avoid tight-fitting clothes." + }, + { + "id": 27959, + "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": 29604, + "tgt": "What is the cure for priapism?", + "src": "Patient: Hello\u00a0doctor, I am a 29 year old male. I have a\u00a0problem of priapism or prolonged erection at night since more than a year. During the day I find many people staring at me directly or indirectly, and this creates tension or pressure on my mind. I try to be normal as much as possible, but due to intrusive thoughts, anxiety and physical appearance people react in such ways. This tension escalates in the form of priapism, especially during night times. When I wake up the pressure or the tension in my head is not there, but when I check my penis I find engorged veins on the surface. My anus is also loose and hips flattened, which I think is due to prolonged involuntary or forced erection. These causes depression and physical weakness. The sight of my penis becoming thinner and veins appearing on the surface itself is horrifying to me. Earlier, there was no pain or engorged veins on the surface. But, since one month, these symptoms have started. The veins make it difficult to walk freely. I cannot stop people around me from staring or passing offensive comments at me so easily, but the consequence that is involuntary erection during sleep is taking its toll on my health and career. I know my behavior might be too polite or I can say weird things which cause people to react in such ways, but this problem occurring every night does not enable me to improve my appearance and behavior. I have heard of the NPT, but the symptoms I see, and the tension that I feel in my mind is totally different from that. Please help. Doctor: Hi. Relax and do not worry. For further information consult an\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 10252, + "tgt": "I have pink rash on the side of my nose that gets worsened in sunlight. What could it be?", + "src": "Patient: Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is\u00a0on the bridge of my nose.\u00a0It gets better at times, but most of the time it is prominent.\u00a0It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight. I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months.\u00a0Does this sound like a reaction to the pill or is it something else? The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11\" and I weigh 160 lbs. I have tried everything to get rid of it. Please help. Doctor: Hi. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: Photoallergic dermatitis: I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face. Consult a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23575, + "tgt": "I have bipolar disorder. What are the lifestyle changes I can do to improve my mood?", + "src": "Patient: Hello doctor,I am a 35 year old male. I am suffering from a bipolar affective disorder. Currently, I take Magnesium Valproate 400 mg BD with Amisulpride 100 mg HS. My overall mental health remains stable with the\u00a0above-said dose of medicines. But, in spite of that, I have had anxiety in the\u00a0past. I always want to be in bed, talk as less as possible with my family, and remain busy with my gadgets. I do not get actual sexual pleasure despite having erotic thoughts all day. My motivation levels are low. I do\u00a0not spend quality time with wife any longer. I have been\u00a0taking medicines\u00a0for\u00a0the last six years. If this dose is changed, I have so many other problems. So, I stick to this, so that my sleep and appetite remain good. Please suggest me the needful. Doctor: Hello. I can understand your concern. You are suffering from bipolar disorder and are on Magnesium Valproate and Amisulpride. Thanks and take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 14984, + "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": 14282, + "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": 29614, + "tgt": "What treatment is available for a swollen and paining Achilles tendon?", + "src": "Patient: Hello doctor, About a week ago,\u00a0I got off the lounge chair and felt a sharp pain in the back of my left ankle.\u00a0The pain has not changed during the week. The whole ankle is still swollen. \u00a0The pain has not changed, and it radiates from inside the heels up to\u00a0my Achilles\u00a0and into the lower back part of my leg.\u00a0\u00a0I can hardly walk. Three days ago I went to the hospital, wherein a portable ultrasound scan of the Achilles' tendon was performed, which revealed that it was still intact, but the doctors said it could be torn.\u00a0About eight months back, I had an accident at the workplace and had torn my L5/S1 disc. And this had created a leaking disc and a bulge affecting the nerves in my legs.\u00a0I had a nerve conduction test done, and the results were\u00a0positive with nerve issues in my left leg, but I never had this pain before in this part of my foot.\u00a0I have attached a photo of the back of my ankle, and you can see the Achilles' tendon is badly swollen. When it is strapped, it is a little better, but still painful. When it is unstrapped it is worse, and I can hardly walk on it. What do\u00a0you think my injury is? Could it be related to my back and nerve injury? What treatment is available and what should I do now? Doctor: Hi. Firstly, there is no attachment and hence I could not see the clinical picture. Injury around a week ago. 1. MRI scan. 2. Blood investigations as advised. 3. Ultrasound report and images (if possible). 1. Hyperuricemia. 2. Infection. As advised. Revert back with clinical pictures and investigations reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19960, + "tgt": "I feel low during sex. Please advise", + "src": "Patient: Hi doctor, I am 35 years old. My height is 5'10\" and weight is 68 kg. A month before, I got married. Suddenly, I realized that my penis is not strong enough for sex. I used to masturbate for the past 15 years and have nightfalls too. My testosterone level is 5.54. I took Tadalafil 4 tablets, but I was not benefitted. Please advise. Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16720, + "tgt": "How to cure dry and flaky skin?", + "src": "Patient: Hi doctor, My hands are dry and flaky. How to cure it? Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28012, + "tgt": "My 2 year old son sleeps with a bottle in his mouth. Will it cause any problem?", + "src": "Patient: Hi\u00a0doctor, My 2 year old son wants a\u00a0bottle in his mouth to sleep in the afternoon and at night. I fill the bottle with water. He does not drink it, but he just keeps it in his mouth until he falls\u00a0asleep. Will this cause dental problems? Will it affect the shape of his teeth? Please guide me. Doctor: Hello. Wish your child good health and happiness. Keep me updated with the improvements. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20821, + "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": 5448, + "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": 14625, + "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": 5624, + "tgt": "Can emboli form as a result of chemotherapy?", + "src": "Patient: Hi doctor, The patient has stage 3 rectal cancer. He had brachytherapy radiation last summer. Through surgery, they removed the rectum, surrounding mesorectal fat and involved lymph nodes. Pathology declared radiation to be a complete response and no cancer found. FOLFOX chemo has begun before 14 months for every two weeks to prevent metastatic cancer. Patient also has an aneurysm in his ascending aorta of 5.3 cm which was initially found on a CT scan due to the cancer. Plan is for repair of the aorta. A chest CT scan with contrast was conducted last week in order to follow the growth of the aneurysm that left the following impression.\u00a0Multiple bilateral pulmonary emboli involving the left lower lobar pulmonary artery, multiple bilateral segmental and subsegmental pulmonary arteries.\u00a0Patient has no history of emboli. Multiple scans prior to surgery did not reveal such, so these seem to be the result of either the surgery or the chemotherapy itself or a combination.\u00a0Patient has since been put on 1 mL injections of Lovenox, morning and night. He has infusion of FOLFOX scheduled for this week. This will be round 11 of 12 in total. Patient has two upcoming surgeries planned for this summer. The ileostomy reversal and the repair of his 5.3 cm thoracic ascending aorta.\u00a0We were hoping to hear the recommendations in regards to proceeding with the infusion as a result of the most recent finding. Will further infusions slow the reabsorption of the emboli and thus delay necessary surgeries?\u00a0Thank you for your help, expertise and insight. Doctor: Hi. Based on your query, my opinion is as follows: Chemotherapy and bed rest. Can continue chemotherapy along with Lovenox. 1. Continuing Lovenox is essential. Watching for any bleeding is necessary. 2. Regularly evaluate respiratory function along with patients PTT (partial thromboplastin time) and APTT (activated partial thromboplastin time) or INR (international normalized ratio) to avoid risk of bleeding due to anticoagulant therapy. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 595, + "tgt": "I get abdominal distension and persistent diarrhea with high ALT and AST values. What is my problem?", + "src": "Patient: Hi doctor, I am 49 years old and I have been drinking approximately 350 ml of vodka every day for approximately 10-15 years. I also have smoked half pack a day for 30 years but just recently quit. For the past year and a half (maybe even two years) I have had diarrhea daily. I went to a doctor who prescribed IBS medicine and B12 shots, but nothing changed. My stomach is large, distended, and hard. When I eat half a sandwich or six bites of salad, I am so bloated I cannot move. I feel a dull bruise like pain (very dull) in my lower right quadrant from time to time maybe once every two weeks. My AST and ALT levels are high (112 and 113), glucose is 116, absolute eosinophils are 720H. I have attached my lab reports. My guess is, this is liver disease, pancreas disease, or diabetes. Any ideas? Do I have to quit drinking? Or can I cut back? I am currently taking Stelara for psoriasis. Doctor: Hello. I think there are multiple issues. You need proper workup. Your ALT (alanine transaminase) / AST (aspartate transaminase) are due to alcohol-related liver disease, better is to do USG (ultrasound) abdomen. Other issues are, I had gone through your blood reports (attachment removed to protect patient identity). Your hemoglobin and hematocrit are in range of polycythemia vera which is a blood coagulation disorder. So what is feel is you need a good doctor hematologist for polycythemia and related to your gastric issues. USG abdomen and endoscopy with biopsy can be done if possible, as this will tell us liver and pancreas status as alcohol affects both. Second thing, stop smoking which is a culprit for your high Hb so to get that worked up there are series of tests need to be done. My advice is to choose a good doctor to get everything thing done." + }, + { + "id": 4410, + "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": 2114, + "tgt": "I get reflux with swollen and itchy throat with cough. Please help", + "src": "Patient: Hi doctor, I have had a bit of silent reflux in the past, which I have been able to identify by some coughing in the night. However, this was usually associated with certain alcohol or foods and it has never been a problem. Then, I was a bit sick and I noticed I had developed an itchy throat and cough in the next few days which turned into quite a swollen feeling in my throat, right up inside my ears and also sometimes on the chest. It has stopped now. At first, I thought it was viral or bacterial and took apple cider vinegar, lots of vitamin C and was prescribed antibiotics, all of which made my stomach very sensitive and the acid reflux worse to the point I was also having a low-grade fever every day. I changed my diet to low acid foods, and have been using Gaviscon double and it feels somewhat better. But laryngitis has not healed. My voice is cracky and has been for a month. Another doctor has prescribed Lansoprazole. I took it one day and my tummy was quite sore. I am unsure if I should continue it? My stomach has been very sensitive since taking the antibiotics. I am at a bit of a loss of how to fix all this. Though I take soft foods and Gaviscon my throat is not healed yet. I am a 40-year-old female. The only other issue I have is the gallstone issue. Please help me. Doctor: Hello. Your symptoms are suggestive of reflux which can cause laryngitis leading to sore throat and changes in voice. I will recommend you continue Lansoprazole, but if it is causing a problem then it can be changed to Esomeprazole, this salt may help. I will recommend starting the below treatment and it will help out. May need endoscopy if no improvement after two weeks. Reflux associated laryngitis. Capsule Lansoprazole one in the morning before breakfast for four weeks, Domperidone 10 mg one tablet three times daily before meals for two weeks, syrup Gaviscon 10 ml three times daily after meals for two weeks. 1. Avoid late-night eating. 2. Increase height of head end of your bed by 5 inches. 3. Avoid coffee, tea, and chocolate." + }, + { + "id": 30014, + "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": 17938, + "tgt": "How to choose contact lenses for my power?", + "src": "Patient: Hello doctor, I want to buy contact lenses. I have a spectacle power on both my eyes. The power in my right eye is -2.75, cylinder - 0.50, and axis 20. In the\u00a0left eye - 2.75, cylinder - 0.75, and axis 20. Please recommend what lens I should opt for. I need a\u00a0recommendation for both regular wear and daily disposables. I am unable to find anything, especially for my right eye. Doctor: Hello. Hope I have answered your question and the information is helpful to you. For more information consult an eye care\u00a0ophthalmologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14053, + "tgt": "My brother has been having pain on the left side of the chest. Kindly interpret his reports", + "src": "Patient: Hello doctor, My brother has been having these following symptoms: Rapid heart beat. Severe headaches especially at nights. Pain on the left side of the chest. Occassional nausea. He went for a CT scan and part of the results is, ''A large filling defect is seen within the infrarenal inferior vena cava with no opacifications of the vessel. The vessel is enlarged measuring approximately 25mm in diameter. The visualized osseous structures and lung bases are unremarkable.'' What do these results mean? Please help. Doctor: Hi. The findings suggestive by his CT scan report goes in favor of Inferior Vena Cava (IVC) Thrombosis. Assessing the clotting and fibrinolytic systems are required. The investigations required are protein C, protein S, antithrombin III and anticardiolipin studies. The goals of treatment are to manage the primary impact of the deep vein thrombosis (DVT) and the impact of embolization. Medical management can include anticoagulation therapy and thrombolytic agents. He definitely needs further investigations and work up." + }, + { + "id": 14104, + "tgt": "I was diagnosed with Peripheral Artery Disease last week. Please advise", + "src": "Patient: Hello doctor, I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additional to the PAD, knowing that my left coronary artery is also 40 % blocked, just tripled my risk factor. What can be done and who do I need to go see to get preventive surgery before this disease of my arteries spreads throughout my entire body. All my doctors are stuck as to what to do and I refuse to live on statin drugs. Please advise. Doctor: Hi. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes respectively to control the progress of the disease. There are certain medicines which increase the flow of blood through the arteries by increasing the luminal diameter. They are Cilostazol and Pentoxifylline, and your doctors might have discussed it with you. Medicines to prevent clotting might also be given including Clopidogrel. You should consult a vascular surgeon and regularly follow up. Surgical options include angioplasty, bypass surgery, and thrombolytic procedures. Please consider medicine treatment first and then surgical procedures." + }, + { + "id": 963, + "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": 23941, + "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": 3221, + "tgt": "Does overweight rule out the possibility of celiac?", + "src": "Patient: Hello doctor, I have a concern about my cholesterol levels and the possibility of an underlying condition. I am a 37 year old female with uncharacteristically low cholesterol. I donate blood regularly which gives me the opportunity to have my total cholesterol level tested. About a year ago, I created an online account with my area's local blood bank, where I found they keep a record of your past health screenings. It was at that time that I realized how low my cholesterol was. The lowest being 118 mg which was several years ago when I was in my 20's but, most recently and over the past year, my levels have averaged in the 134-137 mg range. For my age, I have been overweight for close to 10 years. I had never dieted or limited my cholesterol intake. I began researching online for any information that might explain levels this low. While there is an abundance of information regarding high cholesterol, regarding its causes and risks; there is practically no information available regarding low cholesterol levels or causes outside of the obvious low cholesterol intake (vegetarian or vegan diet) or use of cholesterol reducing mediations such as statins. With one exception celiac. As I began to read through the signs and symptoms of this disease, I could not believe how many I had been experiencing. In fact, some of these were things I never even realized were symptoms of anything. One specific symptom however that each and every article I read seemed to use to define a celiac was weight loss or being severely under weight. Months later, I stumbled across an article about celiac disease going undiagnosed because of the misconception that with celiac you cannot be overweight. So, I decided to raise the question with my GP. Unfortunately, after giving the doctor a rundown of my symptoms and explaining my concerns, as soon as the word celiac came out of my mouth, he quickly dismissed this as a possibility stressing that because I am not underweight and it was absolutely out of the question that I could have the condition. He then dismissed all of my symptoms saying, they were nothing to worry about and added that the lower my cholesterol was, the better. In his words, I should be thrilled at how low my cholesterol was and I must have good genes and with that he sent me on my way. For close to a year after that appointment, I too dismissed all of these symptoms. Then, six months back, I was admitted into the hospital for an emergency cholecystectomy due to gallstones that caused me to have a severe gallbladder attack. At the time, I knew nothing about the gallbladder's function or its purpose so, there was no argument from me when the doctor explained that some people just get gallstones and the only way to treat gallbladder disease is to remove the gallbladder. Needless to say, my week at home following my surgery, I spent a lot of time learning about the gallbladder and almost immediately I found information describing the correlation between gallstones, gallbladder disease, low cholesterol, and yes, celiac. This past weekend I attempted to donate blood and for the first time in my life, I was turned away because my iron was too low. I went online thinking my iron counts for previous donations would be noted in my wellness chart and although they were not. My cholesterol result from my previous donation, just 2-3 weeks after my surgery, was down to 128 mg. Would the fact that I am overweight truly rule out any possibility of celiac? If it would, what other conditions might explain all of my symptoms? Are there any others conditions with the same or similar symptoms also present with weight loss or being underweight? If celiac should be ruled out due to being overweight, what can I do to convince a doctor to test me for it? Doctor: Hi. 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.\u00a0I have thoroughly gone through your case and can well understand your genuine health concerns. There are a lot of reasons for this to not being celiac disease. 1. Diarrhea in celiac is very prolonged and there are watery stool. Not only pale they are greasy and floating on the pan, they are foul smelling too. 2. Steatorrhea is the feature of celiac in which large amount of dietary fats pass undigested. 3. Yes, weight loss is a feature of celiac. I have made my patients get to the same weight or so while having celiac but with a lot of efforts and special diet charts to follow and giving them extra calories in diet and special high caloric diet. If a patient keeps the same diet all the time, she definitely will get a decrease in weight. 4. No chances of weight gain with celiac unless extra efforts put in for that. I do not think you took some more than 3000 kilocalories of diet to observe and that is too for years. 5. You had a gallbladder issue from long ago. Firstly there is only a smudge before the stones appearance. Before getting symptomatic (painful) stones remain silent may be for months to years and during that time the bladder function deranges without getting attention of the patient. Your cholesterol levels were also sue to this fact. 6. Cholesterol is good if it is low. Genes also play a role in maintaining a set range of blood lipid profile. So, do not just worry. 7. No one can remain unnoticed for so long if she has had celiac. Severe flatulence is also a feature related specifically to celiac. 8. Excessive blood donation leads to low lipid profile ranges; iron deficiency and even anemia sometimes. You also had the same and it is due to the same reason. 9. Bleeding diathesis occurs due to the vitamin K deficiency in celiac patients. 10. Other celiac symptoms may be dysmenorrhea, calcium and potassium levels in serum dramatically low, muscle weakness, nerve issues, skin disorders, tongue and gum diseases, peripheral nerve issues, etc. You may ask your PCP (primary care physician) to refer you to a gastroenterologist and you will not need to convince him. He himself will get you tested for any possibilities if needed. 1. You need a latest fasting lipid profile. 2. Check your fasting blood glucose levels, CBC (complete blood count) with ESR (erythrocyte sedimentation rate) and differentials. 3. Thyroid profile. 4. Get complete stool analysis. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14825, + "tgt": "I have eye dryness post LASIK. What to do?", + "src": "Patient: Hello doctor,I am 24 years old, male. I had LASIK one year before and now I feel dryness in my eyes. I use refresh tears but do not feel it effective. Please prescribe me any medicine so that my eyes does not remain dry. Doctor: Hi. Dry eye post LASIK is quiet bothersome, here are a few things you can try. Refresh liquigel- This has twice the concentration of the drug as in refresh tears. You can use it upto 6 to 8 times a day. Some patients do report transient blurring with this medication which goes away in a few minutes. Hot fomentation is quiet useful in a majority of cases- Wrap your hands around a hot coffee mug making your palms warm, close your eyelids and give this warmth to your eyelids by pressing your palm against your eyelids or the traditional way is to soak a clean cloth in water that is comfortably hot, squeezing out all the water from the cloth and then pressing the hot cloth to your closed eyelids atleast for 10 minutes, twice a day. Clean your eyelashes and eyelids with cotton buds soaked in baby shampoo. Try to keep the area around your eyes and your eyelids as clean as possible. I feel you should improve with these." + }, + { + "id": 13064, + "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": 3550, + "tgt": "My friend is under depression due to work stress. Please help", + "src": "Patient: Hello doctor, My friend is 40 years old. She was attacked by polio at the age of 3 and unable to walk. She is under depression\u00a0due to work stress. She is reacting like a mentally challenged sometimes. We do not know what is in her mind. Since two months, she has been reacting this way. Please help us understand what is going on in her mind. Doctor: Hello. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28751, + "tgt": "Does excessive masturbation cause white layer of penis?", + "src": "Patient: Hello doctor,Due to continuous masturbation, my penis head became red. Also, some whitish layer has formed on it as well. Sometimes, there is even inflammation in urinating. I am going to get married within a short period, I am worried about this. Can you please advise me some medication? Doctor: Hi. UTI (urinary tract infection). Urine routine examination and culture sensitivity. Antibiotics. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22092, + "tgt": "Is it possible to control sebopsoriasis?", + "src": "Patient: Hi doctor, I have flaky skin on my scalp. My doctor told me it is sebopsoriasis. The flaking is limited to the scalp, and my doctor has prescribed Folitrax 5 mg and Aprezo 30 mg. I am having this problem for about four to five years. I am able to control flaking in the scalp by washing with shampoo but, it reoccurs after a day with hair loss. Can it be controlled? Or can it spread to other parts of the body? Doctor: Hi. I have gone through the query. Yes, it can be controlled with medications. But, unfortunately, you may experience frequent exacerbations due to stress or steroids or specific medicine or due to a sore throat. Mix one part of Betamethasone lotion with two part of an olive oil and apply it on the night. Do it three times a week and wash it in the morning. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10187, + "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": 14259, + "tgt": "Why is there pain while opening mouth with pus discharge after wisdom tooth removal?", + "src": "Patient: Hello doctor, I had a third molar or a wisdom tooth removed which was impacted, a week back. I had three stitches after the procedure. I have swelling and pain when I open my mouth. The pain is reducing every day. Today I noticed pus formation and with slight pressure, it came out. It was orangish-yellowish color. Once this came out I felt better. My doctor has recommended only Ibuprofen 340 mg, Paracetamol, and Lysozyme HCl 30 mg. He also prescribed Clindamycin 300 mg but said not to eat it after my followup visit on the next day after tooth removal. Can you please suggest if I need to take any other medicine? I have started taking Clindamycin three times a day from today morning. Please suggest. Doctor: Hello. Well, this condition is known as dry socket. All you need to do is visit any nearby dentist if possible and get this cleaned or washed properly. Maybe after extraction, you spit something forcefully in 24 hours. This condition is normal. Drink a good amount of water, rinse mouth with salt water properly. Visit the dentist for further cleaning of that pus. Take medicines on time if you are still following any. Wish you good health and happiness. Keep me updated with the improvements. Improper packing of the socket after extraction. IOPA or RVG. Dry socket. Cleansing and proper care. Follow medications." + }, + { + "id": 14747, + "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": 1030, + "tgt": "Why do I get thigh muscle numbness?", + "src": "Patient: Hi doctor, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have\u00a0only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years.\u00a0Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well.\u00a0How to cure this numbness? Is this serious? Doctor: Hello. Revert back with more clinical details to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16333, + "tgt": "What is the relation between gut health and depression?", + "src": "Patient: Hello doctor, A lot has been said lately about the relationship between gut health and depression. How can I take care of gut in order to take care of my head? Doctor: Hello. There is definitely a positive relationship between the two and there is a medical explanation for that. Mental health issues like depression and anxiety tend to cause gut problems like hyperacidity, loss of appetite, nausea, constipation, and even mild diarrhea. Vice versa, gut problems like chronic diarrhea or loss of appetite with or without other symptoms may cause symptoms of anxiety depression, social anxiety, etc. In order to keep a healthy mind, the following measures can be taken to ensure a healthy gut. Drinking plenty of water, mainly warm water. Eating fibers and green vegetables to avoid constipation. Eating meat in measured amounts. Avoiding overeating and eating on time. All these measures and many more can give your gut and over whole body good shape which will, in turn, add to your self-confidence, stamina, feeling good about yourself, etc. Someone who has a happy healthy gut can prove to lead a productive life thus contributing to good self-esteem and confidence. Hence mental health symptoms like various types of anxiety or depression can be kept at bay." + }, + { + "id": 4068, + "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": 5224, + "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": 2839, + "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": 229, + "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": 22701, + "tgt": "I have not got period after a month of unprotected sex. Am I pregnant?", + "src": "Patient: Hello doctor,I had unprotected sex a month back. I took ECP the following day. Three pills every after 12 hours. I did this for two consecutive days. It is almost a month and I have not got my period yet and there is no withdrawal bleeding. What are the odds that I am pregnant? I do not have morning sickness and no pregnancy-related symptoms except for hyperacidity which almost happened every day. Doctor: Hello. If an emergency pill is taken within the time limit, that is within 72 hours of unprotected intercourse then it is very effective in preventing pregnancy. But if your next period is delayed then pregnancy has to be ruled out. For that, blood hCG estimation can be done three weeks after LMP (last menstrual period). If you want to do urine hCG card test then get investigated after one week of thedelayed period. Sometimes, high dose Progesterone in an emergency pill can delay period for a week. So, if your period is delayed for more than a week then urine hCG card test can be done to exclude pregnancy. Usually, an emergency pill is taken as two doses of poll or high dose Levonorgestrel 1.5 mg single dose. Thee poll not recommended in any regimen. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1058, + "tgt": "I have occasional fever with acid feel in chest and stomach pain. What could this be?", + "src": "Patient: Hello doctor, I have on and off fever since last Friday and been having chest and stomach pain since yesterday (pain somewhere in between the chest and the stomach). I have a loss of appetite and can feel acid coming out of my chest a few times. I also feel like I always need to poop but nothing is coming out when I try to. I already took Biogesic for my fever but did not took any medicine for the chest and stomach pain. Can you please advise me on what medicines to take and food to take or avoid? Doctor: Hi. How high was the fever? Any other symptoms such as cough, colds, body aches, sore throat, and pain during urination? How would you describe abdominal pain, burning, crampy, or stabbing? Does it radiate to the back? If yes, which side? Does it occur after food intake? Do you wake up in the middle of the night because of the pain? Any other symptoms such as yellowish discoloration of the eyes or skin, nausea, or vomiting? I suggest taking Omeprazole 20 mg, 1 capsule 30 minutes prior to breakfast but may take one dose today. Complete blood count. Omeprazole 20 mg one capsule 30 minutes prior to breakfast for seven days, Paracetamol 500 mg one tablet every four hours as needed for fever." + }, + { + "id": 28732, + "tgt": "While doing exercise, I felt sudden pain in my left lower back. How to identify the injury?", + "src": "Patient: Hi doctor,As I was about to straighten my back while holding the bar\u00a0to lift the weight (deadlifts), I felt a clunk sound in my left lower back. The same spot as I previously injured 20 months ago on the last rep of deadlift. I rounded my back, and it pulled me down. It got cured in four or five days. But now, I got this again, and my pelvis is tilted laterally. I can only lean towards to my right, and it is painful to straighten my back in the position. I went to a\u00a0chiropractor. They did a massage on the spot of injury and some alignment adjustments. After that, it was more painful and more lateral tilt occurred. Please help. Doctor: Hi. X-ray as soon as possible. Revert with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 618, + "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": 19536, + "tgt": "Please suggest some tips to stop feeling guilty about masturbation", + "src": "Patient: Hello doctor, I am very frustrated with my life, and I have lost every hope in life. I did excess masturbation in the past, and now I am suffering from many symptoms from the past four years. The symptoms are post-void dribbling, slow urine speed, and precum after urination. After urinating, I feel something moving inside my urethra, and I feel little tightness and contraction of the pelvic floor muscle. Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28442, + "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": 20129, + "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": 8336, + "tgt": "Do beta blockers cause hair thinning?", + "src": "Patient: Hello doctor, I am 44 years old and diagnosed with preliminary hypertension. All my tests including ECG, TMT, 2D echo, brain CT scan, pulmonary embolism (to rule out the cause for sinus tachycardia), 48 hours Holter monitor, chest X-ray, lipid profile, and kidney and liver function tests. TMT, 2D echo, CBP, and vitamins are normal. I was prescribed Metoprolol tartrate 50 mg twice a day, Hydralazine hydrochloride 25 mg twice a day and Amlodipine 5 mg twice a day. As I had slightly high total cholesterol I was also prescribed Atorvastatin 10 mg. Doctors suggested two changes to the above medicine regime as follows: Stop Hydralazine hydrochloride. Take Metoprolol succinate (extended release) instead of Metoprolol tartrate (immediate release). So, currently I am on Metoprolol succinate XL 50 twice a day, Amlodipine 5 mg twice a day and Atorvastatin 10 mg once a day. My BP is very much controlled (110/80 mmHg), and heart rate average is 70 to 80 beats per minute. At night time it drops to 60 to 70 range. My cholesterol is very much under control, the total is 140, LDL is 73, HDL is 43. My specific questions are as follows: Since I changed to Metoprolol succinate, I have identified that my hair is thinning. Does beta blockers cause hair thinning? Can I switch back to Metoprolol tartrate (immediate release) or is there any other beta blocker which is as effective and safe as Metoprolol and does not cause hair thinning? Metoprolol is also causing my HbA1c to go higher. It is now 5.4. Within one month of taking Atorvastatin, my cholesterol level has come down. I have been taking Atorvastatin for last one year. Can I stop it now? I do regular exercise. I walk 20 to 30 minutes on all days. Doctor: Hello. From the description it appears, you just have hypertension and no other problems. Firstly, just for hypertension, now beta blockers are not given as a first line medicine. It is given after calcium channel blockers (Amlodipine), ACE (angiotensin-converting enzyme) inhibitors (Telmisartan) and Hydrochlorothiazide fails. However, there is no harm in having it as a first line agent. Sometimes in less than one percent patients, Metoprolol can cause hair loss and also it does raise the HbA1c which does not require any treatment and it is acceptable. So considering these things, it is better to switch on other medicine like Telmisartan (Telma CTD 40/12.5 mg once a day). Also, if you want you may switch to Tartarate as well, but since its an immediate release formulation, blood pressure control may be inadequate at a later time period after medicine consumption. Also, the HbA1c issue will be there with all beta blockers. Another alternative beta blockers you may have Nebicard (Nebivolol) 5 mg once a day which we will increase gradually. So it is more like your personal preferences. But, seeing all these things, it is better to switch on to Telmisartan. If you are fine with hair loss thing then may be continued on Metoprolol. Succinate and Tartarate both can cause hair loss. You may stop Atorvastatin, continue to have healthy lifestyle including diet, regular exercises. Get lipid profile repeated after six to eight weeks to see for sustained control. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16424, + "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": 22835, + "tgt": "I took I-pill and my period is skipped. Will I be pregnant now?", + "src": "Patient: Hi doctor, I had an unprotected sex twice for which I took I-pill within six hours twice in last two months with a 20 days gap. My period ended naturally last month. Due to I-pill, it got early periods and I had it again ten days later. But now my period is skipped. I should have got my periods 24th of this month but it is already four days late. I had an unprotected sex again yesterday for which I did not take I-pill. My period is skipped. Will I be pregnant now? Doctor: Hi. Emergency contraceptive pills are hormones will cause not only withdrawal bleed but also can delay or irregulate periods. Near suspected menses least likely fertile period and fewer chances of pregnancy. For safe side, you do have serum beta hCG (blood pregnancy test) immediately and have confirmed pregnancy status. In case of negative pregnancy test and no menses in coming 1 to 2 days I wish you can have a menstrual induction (tablet Primolute N 10 mg twice daily for seven days and wait for bleeding for 1 to 2 weeks). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21315, + "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": 12625, + "tgt": "How long should I wait for a sports injury to heal?", + "src": "Patient: Hi doctor,Two years ago, I felt a pop while playing football. My physiotherapist said Ihave torn my cartilage and so, he advised me to take rest. It felt good. After 18 months, when I played football again for some half an hour, I felt the pain. So, I visited a different physiotherapist, and he advised me to go with some exercise for a 4-6 week every day. I am visiting him every week. While playing in the pool on Friday, it gave way again, and I could not straighten my legs. Doctor: Hello. Thank you for providing a brief history. As you had this injury persisting from 2 years now, I will advise getting a proper examination with the physiotherapist you been seeing for now and provide me the reports. Because the muscles must have got weaker and there will be a muscle imbalance due to which there is difficulty in straightening the leg now. I think an MRI of the knee will be helpful as in the beginning what I feel is it was left untreated and due to which it has become a chronic injury. Doing balance board training should help regain the correction of the muscle imbalance. Also, do reverse jogging and provide good core stability exercise. In my clinical practice of over 12 years, most sports injury cases take up to 12 weeks which has helped them to have a good outcome score." + }, + { + "id": 25201, + "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": 2714, + "tgt": "My 4-year-old kid has cold and nasal congestion with no fever. What should I do now?", + "src": "Patient: Hello doctor, A 4-year-old kid of 15 kg weight is having a general cold for almost three months. Sometimes cough, and nasal congestion. Otherwise, he is fine. He has no fever or weakness. Doctor: Hello, Welcome to icliniq.com. I understand your concern for your child. As you told me, this is happening for long. And there is no fever, it seems to be some allergic condition. Are you still bottle feeding the kid? Is there any difficulty in breathing? Any sounds or snoring while breathing or sleeping? Give syrup Maxtra (Chlorpheniramine) 5 ml thrice a day for five days. Nasal drop Xylomist P one drop in both nostrils twice a day for three days." + }, + { + "id": 20812, + "tgt": "I have got heavy periods after taking high dose of Vitex. Please help", + "src": "Patient: Hello doctor, I am a 30-year-old female with normal menstrual cycles. I began taking Vitex a month back and stopped after 20 days. I took way too much. The bottle said to take two pills a day but the pills are 400 mg a piece. I now realize that this is way too much. I am concerned because I got my period two days late and it is very heavy. I know this is a normal response to how much Vitex I took. I am just worried that my body will not be able to go back to normal on its own. I am worried that I will need to go on birth control pills to correct this issue. I am looking for guidance on what I should do. Should I wait to see how long my period is? Should I go get birth control pills? Is there anything natural I can do to fix this? Doctor: Hello. I just read your query. See two to four days late or early periods are considered normal if you get menstruation every month and do not skip any cycle. As far as heavy bleeding is concerned, it can be due to the herb. But wait for another cycle. I will not recommend you to take birth control pills right now. The herb contents will wash away from the body very soon as you have stopped taking it. So take your normal diet and drink plenty of water daily. Wait for your next menstrual cycle and watch for the bleeding and other things. Hopefully, it will be corrected automatically." + }, + { + "id": 18296, + "tgt": "Is lichen sclerosus a contagious disease?", + "src": "Patient: Hi doctor, I have been diagnosed with lichen sclerosus around my vulva a few months ago through biopsy. I am regularly using Dermol 500 lotion instead of soap to wash the area and applying Dermovate cream. However, I have developed a cut in the skin at the back of my vagina, which is not healing now. This is very painful to go to the toilet and also means that sex is definitely not possible. I have had this cut for about 10 days now. I have seen the GP who has simply given me Hydromol ointment and it still remains the same. In addition, my partner has also got a sore bit on his penis and we are wondering if the two could possibly be related. Could this be friction burns? My partner and I are 49 and 50. So, feel ridiculous to be having these issues and very frustrating. He is embarrassed to go to the doctors about his cut. I am unsure if it is my fault related to my condition or friction or something else. Is there any better medicated solution to aid healing rather than moisturizer based solutions? I have attached photos for your reference. Thanks in advance. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Thanks for taking time to upload latest pictures (attachment removed to protect patient identity) of the lesions on both partner's genitalia. Lichen sclerosus is a benign condition but it may also transform into squamous cell carcinoma if not treated properly. Yes, penile lesion may be related to the vulvar lesion. But, lichen sclerosus is not a contagious disease. Did you get the biopsy of the lesions shown in the pictures, both your's and your partner's? If not, please get them tested. You need not worry as all the symptoms are related to this disease. Sexual intercourse and urination problems are all due to this lesion and this is a real pain when a patient gets this kind of fissure along with itching of lichen. If not treated it may cause permanent scarring and that is very painful situation. Biopsy of the lesions on penis and vulva, highly recommended. Lichen sclerosus. 1. Patient education, it is a long-term disease and may relapse even after total relief. You need to be very calm and consistent in treatment. 2. Hydrocortisone ointment (topical Clobetasol propionate) is the treatment of choice to reduce scarring and to get relief from fissuring. It will reduce progression of the disease. 3. Avoid scratching and keep the vulva and penis clean and dry. 4. If ever topical corticosteroid fails we add intralesional corticosteroids, or I usually go for a second line therapy as calcineurin inhibitors. Stay away from sexual intercourse until you get symptom free. For further queries consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11965, + "tgt": "Kindly tell me about the common foods or ingredients that trigger migraine", + "src": "Patient: Hello doctor, What ingredients or products can trigger migraines, and why this is the case? Some common foods or ingredients I have heard of are alcohol, aged cheese, chocolate, nitrates, MSG, and artificial sweeteners. Is there any truth to these? Are there any substances in common household products (like cleaning products) that might trigger migraines? Doctor: Hello. Yes, it is true that all these types of food may trigger migraine headaches. It depends on individual properties because not all individuals are sensitive to these substances. The underlying mechanism is thought to be vessel constriction and dilation, which is part of the physiopathology of migraine headaches. Other substances contained in cleaning products or cooking can trigger migraine too, depending on individual sensitivity. Other triggering factors are bright lights, sunlight, cold weather, etc." + }, + { + "id": 24280, + "tgt": "Area above my belly button is sore after liposuction and muscle repair. Kindly help", + "src": "Patient: Hello doctor, I am six days post operative from a full tummy tuck with liposuction and muscle repair. I feel that I am recovering normally from what I was told and what I read. However, the area immediately above my belly button is extremely sore and appears to almost be bulging and is slightly elevated when touched. I did have my follow up and questioned this area and he cited the muscle repair and the liposuction but I wanted to get a second opinion on this and see if anyone has had similar experiences that are normal. Doctor: Hello. I have gone through your post, it is expected because some amount of hematoma is expected at the site of muscle repair and should not be a reason for worry. You need to keep watch on fever in case there is a fever that has to be treated because that may be due to infection of the site. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21404, + "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": 26865, + "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": 15009, + "tgt": "Is high intake of protein powder helpful or harmful to the health?", + "src": "Patient: Hello doctor, Is high intake of protein powder helpful or harmful to the health? And what is considered as too much protein? Doctor: Hi. The recommended dietary intake of protein is 30% of your total calorie or food intake, which means 30% of what you eat should be proteins. If it exceeds 45 or 50%, then it can cause problems, especially to your kidneys. High protein powders can be used if you have protein deficiency or if your normal diet does not supply adequate protein. If you are asking this for bodybuilding purpose, then taking a very limited quantity over a short period is considered to be fine." + }, + { + "id": 15741, + "tgt": "Will fingering during shower lead to pregnancy?", + "src": "Patient: Hello doctor, I had fingered (inserted my finger) my fiancee in the shower (hot water). I touched my penis twice but I did wash it too with bathing soap. There may be precum which I may have touched. But I washed it once as I said. It is her 14th day from the first day of her period. Is there any risk of her getting pregnant? Kindly suggest, do I need to panic? Doctor: Hello. There is no need to panic as the chances of pregnancy are minimal as you have already cleaned your penis with soap and water. Pre-cum sperms once they come in contact with the soap, they get denatured due to chemical reaction. However, as she is in her fertile period and to allay the chances and be safe, she can opt for an emergency contraceptive pill like an Ipill within next 72 hours to avoid any chances of pregnancy. She would get a withdrawal bleed in the next 4 to 5 days which shall indicate that she is pregnancy safe." + }, + { + "id": 22090, + "tgt": "HbA1c of 8. 8 in a 45-year-old male. What can be the treatment?", + "src": "Patient: Hello doctor, I am a 45-year-old male. I am 6 feet tall and I weigh 91 kg. I had taken excess BCAA supplement powder to enhance my gym performance and then stopped going to the gym for two Months but continued taking the BCAA powder. I feel bloated all the time after food intake and have high blood sugar, both fasting blood sugar and postprandial. I even felt breathless with an enlarged tummy hanging down. In the past, digestive Carmozyme helped a little. My HbA1c taken yesterday was 8.8. Is there a medication that I can take to reverse my insulin resistivity or am I permanently diabetic? I have never gone above normal blood sugar levels in my life. This is sudden and very high and I am very demoralized. Kindly advise. Doctor: Hello. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 25049, + "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": 10116, + "tgt": "3-year-old son has diarrhea for a week. Is this something serious?", + "src": "Patient: Hello doctor, My 3-year-old son had diarrhea for a week. He has thrown up a couple of times throughout the week as well. He was eating and drinking normally and has appetite. There does not seem to be any blood in the stool. And his belly ache goes away after each diarrhea episode which he has many each day. He is usually drinking as well. His doctors seem to believe that it is a viral infection and will go away in time. We just started a bland diet for him. Should I be overly worried? He is active and wants to eat and drink. So is this something more serious than we think or am I too worried? Doctor: Hello. If there is no blood in stools, it is mostly viral. It usually gets settle in five days. Important here is maintaining hydration. Make sure you give him plenty of fluid, ORS (oral rehydration solution). If he is vomiting, you can ask your doctor to prescribe Ondansetron. Give him probiotics and keep a watch on urine output. If he is passing adequate urine, then there is no point of worry." + }, + { + "id": 27283, + "tgt": "My mother in law is in a semi-conscious state due to sodium imbalance. Please help", + "src": "Patient: Hello doctor, This query concerns my mother in law. She has an imbalance of sodium due to which she becomes semi-conscious. Her condition has not improved since more than six months now.\u00a0When I enquired with her\u00a0doctor, he says that her health will remain this way throughout her life. She was operated for heart problems\u00a0and gangrene six months ago. Also, her TLC rise and fall erratically. She takes medicines for the heart and diabetes. Doctor: Hello. I read your query and understand your concern. I have seen the reports attached by you (attachment removed to protect patient identity). Feel free to follow up anytime. Revert with more information to an internal medicine physician\u00a0online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23532, + "tgt": "I have a mole on my belly which I worry could be a melanoma. Does it appear so?", + "src": "Patient: Hi doctor, I am a 33-year-old male. I have a mole on my belly which is darker than the others (almost black in the middle) and I wonder if it is still just a regular (or atypical) mole and nothing to worry about or if it could be something worse (melanoma). I am attaching three images in different lightings. Some additional information: I do not have too many moles, maybe less than 40, but the others look different (much lighter). I pretty much do not tan at all, and have very little to no exposure to the sun. No one in my family had skin cancer. The mole does not ache, itch or burn. It does not bleed either, it is just there. I have had it for quite a while, at least seven or more years, though I cannot remember when it popped up originally which brings me to the next point. I do not know if it got bigger or darker over time as I never really paid much attention to it. I think it is roughly the same size, though. As seen in the bottom picture, it is about 4 mm in diameter. It is very slightly protruding or elevated, but not much. I have heard about this whole ABCDE test to spot malignant moles and based on that, it should be fine. But still, the color is strangely dark. So, I would love to know if it is something I should worry about or just observe in the future or does it look like cancer to you? Doctor: Hello. I have reviewed the clinical photographs attached to the query (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 20922, + "tgt": "There is pain in the knee after a fall. Is there any ayurvedic treatment?", + "src": "Patient: Hi doctor,I have a history of fall two months back. Now, there is a pain in the medial aspect of the right knee with swelling. The pain increases with exertions and flexions of the knee. Doctor: Hi. There is a pain in the medial aspect of the knee, but you are able to walk. It indicates that there is no chance of fracture. If there is a fracture, your movement will be restricted. So, it might be a sprain in tendons or in ligaments. The healing of sprain will take two to three months. Take rest and wrap crepe bandage around the knee joint or wear a kneecap during movement. Take Lakshadi Guggulu two tablets twice a day with warm water after meals and apply lukewarm Nirgundi oil externally with a gentle hand. It will get healed soon. Revert back if you have any further queries. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4573, + "tgt": "What is the reason for new wound during chemotherapy?", + "src": "Patient: Hi doctor, My father had a surgery for cancer and subsequent chemoradiation on cheeks. After that he developed a wound on right cheek, which developed into a big hollow wound. Please help us. Doctor: Hi. For further information consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 14157, + "tgt": "My period become irregular after I gain weight. Why?", + "src": "Patient: Hi doctor,I missed my last month period. I have done all the tests, and I am not pregnant. I do not have any problem, but I gained weight in the past months. In the last six months, I am getting a period once in two months. I started facing this problem only after gaining weight. Please help. Doctor: Hi. I must say, you are a very conscious girl. It is not very late to combat this problem. You have the answer to your question that is weight gain. Obesity tends to gradually cause an issue of the polycystic ovarian syndrome, which at your age is more resilient. It may revert to normal if you focus on your lifestyle and diet modifications, while may become resistant with increasing age, then requiring medicines. This can heap up to infertility, more gravely to diabetes, cardiovascular risks, and unluckily endometrial cancer sometime in the long run. So, you need to choose the healthier options of life. USG abdomen to rule out PCOD and assess adrenals. 1. Tablet Primolut N 5 mg twice a day after food for five days. 2. A balanced diet with more fibers, citrus fruits, and leafy vegetables. 3. Daily physical exercise, which keeps the heart rate above 100 bpm for 30 minutes. Your periods may start after 5-14 days of finishing the medicine course. Have patience for two weeks." + }, + { + "id": 1151, + "tgt": "Should my son wear specs for cylindrical power of 1 and 1. 25?", + "src": "Patient: Hi doctor, My son is 5 years old. His doctor told that he has a\u00a0cylindrical power of 1 and 1.25. He also said that his muscle power is weak. Is it a must to wear eyeglasses? Doctor: Hello. I can understand your concern regarding your child. Revert back with the prescription to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8318, + "tgt": "Does a root canal failure cause light-headed, dizziness and blocked ear?", + "src": "Patient: Hello doctor, I have a failed root canal with an abscess. I have been feeling light-headed, dizzy with a blocked ear. I had MRI and blood tests to rule out other issues, and they are clear. Can the abscess cause these issues? If so, how long for lightheadedness to go once the tooth is removed? Doctor: Hello. I would suggest you get the affected tooth extracted as soon as possible because it is not merely extraction, your dentist will first subside the collected abscess, and as soon as the treatment gets started, you will begin feeling better. Your question about if other things are correlated then yes because the abscess is nothing other than infection and you must be knowing our bodies are working on blood vessels, lymph nodes, glands, etc., so it does not take much for a virus to spread. Follow-up with me after you have begun your treatment. Abscess collection and spread of infection. OPG. Abscess. Abscess drainage, extraction. Follow-up after having a word with your dentist" + }, + { + "id": 13088, + "tgt": "Please explain the exact diagnosis of my condition", + "src": "Patient: Hi doctor, Is diagnosis important? I have been diagnosed by many therapists and each one has had a different diagnosis. One doctor says it might be BPD and other says it might be a bipolar disorder or Asperger syndrome or cyclothymia. Why is it so? I am starting to feel like I am wasting my time trying to get diagnosed correctly. Doctor: Hi. BPD and bipolar disorder have similar symptoms. Cyclothymia is its minor form. Persons with BPD are said to be on the borderline between neurosis and psychosis, persons with bipolar disorder experience episodes of extreme mood swings ranging from depression to mania. Asperger syndrome is disorder of autism spectrum. PTSD is posttraumatic stress disorder. Depression like features after significant trauma. As you mentioned, your problem and medication (attachment removed to protect patient identity) along with your history seems that you are having severe depression with psychotic symptoms or bipolar disorder. Tell me your problem in detail, so I would be able to provide you a definite diagnosis." + }, + { + "id": 5668, + "tgt": "I have inner ear infection, sinusitis and vertigo. What to do?", + "src": "Patient: Hello doctor, I think I have an inner ear infection. I went to the doctor last year and he asked me about my symptoms. I told him and he said I had a viral thing in which he gave me antibiotics to take which I did not take. When I got my summary it is said that I had sinusitis. Now until this day my sinuses have been bothering me. The doctor said I had fluid in my left ear. I think the fluid in my left ear is causing me to feel bad. Last weekend I was laying on the couch on my right side and turned to my left fast over and saw the pictures on the wall go by when I turned fast. I tried in the night to lean back in the recliner part on the couch and had the same feeling almost, but I sat back up. I also have that feeling when I bend down but not a lot. I am worried and want to get relief for my left ear. What I just described to you is it a certain type of vertigo? Doctor: Hello. As I understand you have three issues. Sinusitis, for this, take steam inhalation daily for one month. Also, do send me pictures of CT (computed tomography) scan for sinuses. So that I can further suggest what is the treatment or surgery. Fluid in the ear, if it is significantly there, then this needs to be removed and a ventilation tube needs to be inserted. It is a small procedure. Vertigo, can be due to fluid in the ear or an independent episode too. Do take good rest. Avoid much neck movement. Take tablet Betahistine 16 mg three times a day and consult a local ENT doctor, or take a video consultation with me with reports." + }, + { + "id": 8742, + "tgt": "I am suffering from breathing problem. Please advice me on turbinate reduction", + "src": "Patient: Hello doctor, I am a 25-year-old female. I have been struggling with breathing through my nose my whole life. When I was a child, I did not know if others breathed like me or not. I would expand the skin on my cheekbones sideways to open my nasal airways and breathe better for a second. I started investigating the problem maybe four years ago. My health center performed a regular X-ray and reported that I do not have a deviated septum (which I suspected I had). They mentioned I had a slightly enlarged turbinate (do not remember which side). It was too vague, so I tried to ignore the problem for four years. (during these years I have had way too many sore throats and postnasal drip, and I have been tired and exhausted all the time). Now, I am a teacher, and my breathing problem is affecting the quality of my life more than ever.1. I get tired of doing exercise very quickly, so I quit cardio.2. I cannot indulge in mouth-kissing with my husband for more than a few seconds.3. I eat quickly and swallow my food.4. I am fatigued, and I am unable to focus on anything. I feel like I am stupid and simple (while I used to be very creative). I feel tired from inhaling, it feels too tight or clogged in my nasal airways when I inhale. It makes my chest tired because I do not feel like I get enough air in my lungs, sometimes I am so tired that I cry. The exhaling is fine, and it seems to my doctors and me that the air that comes out is more than the air that goes in. My doctor is a bit surprised that I have breathing problems because he used a piece of metal under my nostrils to measure the air that comes out of my nose, and to him, it seemed very normal. Also, it is essential to know that my nose is dry all the time. It is like I do not have mucus unless I eat spicy food or I catch the flu. Other times it just goes straight to my throat. I rarely blow my nose. I have never done any surgery in my life and never had an accident in which my nose was involved. I feel better when I use breathe right nasal strips. I use them during the day at work, and I do not feel embarrassed anymore because I am suffering. When I use Otrivin nasal spray, I got introduced to it by a doctor that I begged for relief. And I became addicted to it for more than two months. I used it almost every day. Then I was reading about it and found out that it is dangerous and addictive and might harm my nose even further so I quit it. Now I only use it once in a while when I have a long day ahead, and I need to be focused or physically active. My recent investigations and doctors. During the last couple of years, I have been to many doctors to arrive at the best diagnosis. At last, one doctor told me that I have a deviated septum and I need surgery to fix it. He also gave me two injections because he said I had an enlarged childhood adenoid, and the injections should shrink it. He did not do a CT scan. I went to two other specialists, and one agreed I had deviated septum and the other thought maybe I need plastic surgery to widen my nostrils. All these three doctors gave me similar medications like antihistamine pills, nasal sprays like Nasonex, both of which I am taking for about a year because of the prescriptions of several doctors. My last doctor had a different opinion. He said that I do not have a deviated septum and proved it with a CT scan. He said I have slightly enlarged turbinates on both sides. He is the one who put a metal under my nostrils to measure the air. He believes that I do not have a severe condition, but I insisted that I do not have a normal life because I cannot breathe. He also gave me antihistamine for one month, Avamys fluticasone furoate nasal spray for two months, saline solution for two months. He told me to wait for 2 to 3 months and see if I improve or prefer to have turbinate reduction surgery. I told him that if I choose the surgery, I would like to go with tonsillectomy with it because of my recurrent sore throats. I searched about the turbinate reduction, and empty nose syndrome scared me a lot as I do not want to worsen my breathing. So I am hesitant. Now I am still thinking, and I thought I would consult other specialists. I will attach samples of CT scan as well. I want to breathe and inhale like ordinary people because I feel it is killing me slowly. Doctor: Hello. I need to have a look at the CT to assess how much of a space you have inside the nasal cavities, whether the enlarged turbinates are causing airway compromise, whether there is any adenoid remnant in the nasopharynx, whether there is any polyp or mucosal thickening inside the sinuses. Continue with Avamys, antihistamine and the saline douches. Are you allergic to anything? Have you undergone a skin prick testing to determine what you are allergic to?" + }, + { + "id": 1100, + "tgt": "I am getting diarrhea after taking Kremil-S and Omeprazole. What to do?", + "src": "Patient: Hello doctor, It has been weeks since I have been feeling acid reflux with symptoms of heartburn and back pain. I have been taking Kremil-S and Omeprazole. Lately, I am experiencing diarrhea. I hope you can help me. Doctor: Hello. I have reviewed your history as well as the medication profile you just shared. (attachment removed to protect patient identity). So the part of the problem is secondary to the medicine you are taking such as diarrhea which tends to occur secondary to Kremil-S since this medicine contains aluminum and magnesium both could cause diarrhea. I want you to stop it now. In addition, Senokot also causes diarrhea. I am afraid that your initial physician has given you both these medicines for constipation or for stomach pain? You should stop it as well until your diarrhea gets better. Omepron (Omeprazole) is a generic medication but there are many which are now available with good effect. I recommend you to switch to capsule Esomeprazole 40 mg. Take similarly as you were taking Omepron before breakfast in the morning. If this dose does not help increase the dose to twice daily before the meals. Let me know in a few days if symptoms persist, I may consider adding other medicines for you if it does not work in your case. Gastroesophageal reflux disease. Dyspepsia Follow up in three to five days." + }, + { + "id": 25204, + "tgt": "My period is due in three days. Is there still a chance I can get pregnant?", + "src": "Patient: Hello doctor,Today I had unprotected sex with my partner. In just three days my period is due. He pulled out and I am sure he did not come inside me. Is there still a chance I can get pregnant? Please help. Doctor: Hello. Firstly, you need to know the safe period concept during which you can even have unprotected sex and it does not cause pregnancy, but it is for regular 28 days cycle. A menstrual cycle is calculated from the first day of your period to the first day of the next period (1). Safe period is from day-1 to 7 and day-21 to the rest of the cycle when you can have sex without worrying about getting pregnant. This period will not be the same for all women as it depends on the length of the menstrual cycle. The average menstrual cycle is 28 days or a little less, but if your cycle is longer than 28 days, the safe period is not reliable. It does not depend on the duration of intercourse, whether ejaculation was done at the time of the act or not.There is less chance of being pregnant but confirm that you have a regular 28-day menstruation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2625, + "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": 13815, + "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": 18272, + "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": 8199, + "tgt": "Can diabetes cause swollen lymph nodes?", + "src": "Patient: Hello doctor, I wanted to know what you thought of these symptoms: Weight fluctuation. I gained weight then lost weight then gained weight then lost it. It settled. Now my stomach had problems for a bit, diarrhea for a bit, and that stopped. Then thrush I think. The tongue is coated white but gets worse when I eat. When I brush and scrape the tongue, the white coat thins and gets better, also if I drink water after brushing. Dry mouth is a symptom and lymph nodes prolonged but no pain. My feet (my toes) have dull shooting pain. I play basketball. So, they begin to hurt after a while and I am only 19. That should not be happening. Some days after basketball, I begin to feel ill and throw up water. Also, after playing, I sometimes crave gummy worms or very sugary snacks. I used to get terrible cramps in my thighs front and back and calf muscles that would cause me to stop abruptly. Can diabetes cause swollen lymph nodes? And what are the chances that what is happening to me is diabetes? Doctor: Hello. I think you are worrying too much. You are just 19. Enjoy life. The fluctuations in your weight will be most probably because of your different habits of eating and playing. When your eating more than you play, you are bound to gain weight. Right? The cramps in your muscles can be caused by electrolyte imbalance. So, keep yourself hydrated when you play. You can add a pinch of salt to your water as well. Your symptoms are definitely not pointing towards diabetes as such. Still, if you suspect you are suffering from diabetes, you need to check your blood glucose levels in fasting and postprandial states. That is the only diagnostic method to label you as a diabetic. Symptoms are vague and non-specific even in cases of diabetes. Hope you are satisfied with my answer and explanation. Have a great day. Regards. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 20453, + "tgt": "Is it advisable to do capsule endoscopy in a polycythemia vera patient?", + "src": "Patient: Hello doctor, My uncle is suffering from bleeding through stool and has undergone colonoscopy and endoscopy. But the bleeding location has not been detected. We have been asked for doing capsule endoscopy. Should we go for CT abdomen with CT angio first for diagnosis? The patient has polycythemia vera. Also if at all the capsule endoscopy is required, where we can get it at a cheaper rate? Doctor: Hi. I have read through your query in detail. Please find my observations below. Bleeding through stool is a serious concern and must be evaluated in detail and treated early. Endoscopy reports (upper and lower GI) show no significant active bleeding in the areas visualized (attachment removed to protect patient identity). Keeping the above in mind, I would recommend an abdomen and pelvis plain and contrast CT scan with CT angiography study. The endoscopy done shows us that there is no bleeding point in the visualized portion of the esophagus, stomach, duodenum, and colon. We are unable to evaluate the extra luminal portion of the bowel and if there is any abnormality. The capsule endoscopy can be done later depending on the findings of CT angiography and CT scan contrast of the abdomen." + }, + { + "id": 3805, + "tgt": "Does the x-rays show signs of bronchopneumonia?", + "src": "Patient: Hello doctor, A 2.5-year-old young girl got X-ray diagnosis bronchopneumonia, but her blood tests are all fine, nor she has a temperature. Just cough. We would like to see a second opinion on X-ray images. Doctor: Hi. I have viewed the X-ray chest image sent by you (attachment removed to protect patient identity). There are mildly prominent lung markings in the bilateral lunes and this can suggest hyperactive airways or a mild lung infection. There is no focal lesion or patchy opacity visualized. There is no pleural effusion. Keeping in mind the above findings, there is a possibile mild respiratory infection. There is no obvious pneumonia patch visualized. It is important to keep track of the symptoms and report to your doctors if there is an increase in cough or persistent fever, which I guess is not there right now." + }, + { + "id": 14576, + "tgt": "What can be done to cure irregular periods naturally?", + "src": "Patient: Hi doctor, My age is 28 years, female, height 5 feet 4 inches, and current weight 79 kg. I have an issue of irregular periods. I am not sexually active, unmarried. I have started being physically active, do yoga, cardio and walking regularly. Two years ago when the same scenario of irregular periods for about four months happened, I consulted a gynecologist and did thyroid profile and ultrasound scan. TSH was 5.8, vitamin D 21, one 3 mm kidney stone and had one small cyst in ovary then. I was given Regestrone tablets for three days and after getting periods, asked to use Ovral pills two packs and one bottle of Eltroxin 25 mg for regularizing periods. I was also told that this is the treatment whenever periods go missing, I should repeat the same. That is why I do not wish to repeat everything again. This time I would wish to go as naturally as possible and cure myself of the roots. I have body pains all the time, I feel weakness, cannot focus on anything for a longer time, mood swings, anxiety. Also, please suggest vegetarian dietary changes, supplements related to this which solve the issue. Doctor: Hi. I have read your complaints carefully and understand your concern. All these symptoms that you are facing may be due to hormonal imbalances as you had previous PCOD history. It can be managed naturally through ayurvedic medicines and Yoga techniques. Hypothyroidism, PCOD, raised blood sugar or blood pressure, etc. Thyroid profile, lipid profile, blood sugar fasting and PP, blood pressure, USG abdomen. Inflammatory pelvic disease, irregular menstruation. Take the following medicines regularly for two months. In between medications you should provide your feedback. Rx, 1. Kuberakshadi Vati two tablets twice a day after meals. 2. Hyponidd one tablet thrice a day after meals. 3. Nityanand Rasa one tablet twice a day after meals. 4. Gokshuradi guggulu one tablet twice a day after meals. 5. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 1. Avoid spicy and fried junk foods. 2. Avoid cold drinks, soft drinks, ice-cream, etc. 3. Do regular Kapalbhati, Mandukasana, Ardhamatsyendrasana, Anuloma vilom, Nadi sodhan, and Bhramari." + }, + { + "id": 27590, + "tgt": "My husband always loses his tooth after a root canal. What should he do?", + "src": "Patient: Hello doctor, My husband has been told he needs a root canal on two of his teeth. He has had seven\u00a0root canals in his life and then crowns on those teeth. He is 49 and has now lost all of the teeth that he had root canals and crowns on. He has problems with the crowns. They tell him he has a small bite. He ends up with infections. So, I do not want the same thing to happen again. The crowns cost thousands and then he loses the teeth anyway. Is there any other option? Should he not get a crown? We have so much debt from his dentistry and no healthy teeth to show for it. Doctor: Hello. Hope this helps. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 94, + "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": 18870, + "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": 22398, + "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": 2893, + "tgt": "Does Progyluton contain correct level of hormones to treat POF?", + "src": "Patient: Hi doctor, I have POF with FSH 101. I am taking Progyluton from three months but I still feel hot flashes and breast pain after starting brown tablets and these become worse in pill-free days. Am I taking right dose of hormones? Doctor: Hello. I just read your query and from the reports (attachment removed to protect patient identity) you mentioned it is clear that you have premature ovarian failure and you have been prescribed the drug Progyluton as a hormone replacement therapy. You have mentioned that you experience some symptoms such as hot flashes and breast pain in spite of taking hormone replacement therapy and they get worse during the pill-free period. Well, the hot flashes are common in premature menopause as in your case and the breast pain occurs because of progesterone component in your Progyluton. It will decrease with time sometimes up to a year and a half. Your dose is right. All I suggest is that you need to take these pills to prevent other problems from occurring such as decrease in bone density, cardiac problems, endometrial problems so on and so forth and also to prevent overt symptoms of menopause. I hope this helps." + }, + { + "id": 9119, + "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": 25010, + "tgt": "I missed giving the pulse polio drops. Is it mandatory to get it done?", + "src": "Patient: Hello doctor, I missed the pulse polio drops campaign for my daughter 3 years old. I really wanted to know, is there any difference between these drops and the ones we give through the regular immunization schedule. We spend thousands to get the immunizations done. Considering this, does it become mandatory to get the drops in government campaigns done? Or, is it just customary? Hope this will educate many. Doctor: Hello. I understand your concern. Pulse polio dose is an extra dose other than the routine immunization. This dose (pulse polio) is given on specified dates in a calendar year through government agencies.This campaign aims towards eradication of polio. If your daughter missed this dose, you cannot give it now until further dates are declared. It is not customary. Rather, it is the responsibility of the citizen to give these extra doses to kids under 5 years anywhere in the country on the given dates. By doing so, we are helping our country and the world eradicate polio. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23085, + "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": 763, + "tgt": "I have severe abdominal pain with 9 mm gallstones. What should I do now?", + "src": "Patient: Hello doctor, I am 62 years old. A week back, I had severe abdomen pain so I took an ultrasound. The report says I have 9 mm size gallstone. I have also checked my lipid profile which are normal. I request you kindly suggest further action required. I am currently taking Lipicard. Doctor: Hello. I have to have more information about this pain before I can tell you what is the cause of this pain. Usually, the gall bladder stone of such size (less than 10 mm) in size does not cause pain, and if it does, then the pain has to be characteristic one like pain starts within half hour of meals and gradually increases in intensity within next 1 hour and then start declining for the next three to six hours. Vomiting can occur with increased severity of the pain. If you have any of symptoms as mentioned, then it is possible that pain is coming from gall bladder stones, and the definitive treatment is cholecystectomy i.e. removal of the gall bladder. Again, I want to emphasize that most of the stones of such size usually do not cause pain and remain asymptomatic doing no harm to the patient throughout their life. The other cause of sudden and severe abdominal pain are ulcers within the stomach, food pipe or small bowel, inflammation of the pancreas called pancreatitis, diabetes and its complications, lead poisoning, drugs such as pain killers, and few other causes. Your lipid profile is normal, and ultrasound is otherwise normal except that stones which are clearly visible. You can start capsule Esomeprazole 40 mg half an hour before meals, it will resolve the pain if coming from ulcers in the stomach. However, I highly recommend you to provide more information regarding your problem as I can be in a good position to diagnose and tell you what to do. Peptic ulcer disease. ? symptomatic gall bladder stone. Pancreatitis. Drug-related functional pain. Complete blood count. Serum amylase, lipase, calcium, BUN, creatinine, and electrolytes. Stool for H.pylori antigen. Pancreatitis. Drug related. Lead poisoing. Peptic ulcer disease. Asymptomatic gallstones. Capsule Esomeprazole 40 mg half an hour before meals once daily. Follow up to provide more information about the pain." + }, + { + "id": 27158, + "tgt": "My blood report shows some abnormalities. How can they be corrected?", + "src": "Patient: Hello doctor, I am a diabetic patient and I take Cetapin XR 1000 twice a day but, due to some irregularity and working stress my fasting sugar is now 140. In my test report, some other abnormalities were also present, which I have mentioned below: Triglyceride: 151 Cholesterol HDL direct: 35 Cholesterol VLDL: 30.2 SGOT: 62 Creatinine serum: 0.68 A:Gratio: 0.85 Iron: 49 TSH: 6.408 2 hydroxy Vitamin D: 6.8 ESR: 25 Kindly suggest me a treatment plan. Doctor: Hello. For further queries consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18051, + "tgt": "I am 18 weeks pregnant. I am tensed about low lying placenta. Kindly help", + "src": "Patient: Hello,I am 28 years old and 18 weeks pregnant.\u00a0Recently I have done Gravid Uterus - Obstetric Sonography and found the below result. Placenta is posterior, grade I, low lying - lower end is about 25 to 35 mm from internal OS. Left uterine artery shows high resistance flow. So, I wanted to know if there is any issue. What precautions should I take as I am doing routine work as housewife.\u00a0I have also attached my sonography report. Please have a look and let me know what need to be done and what should be taken care of, as I am tensed. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). This\u00a0level 2 anomaly scan is absolutely normal for the foetus pertaining to its growth and absence of any congenital anomalies.\u00a0 The concern regarding the low lying placenta at 18-19 weeks of gestation is not alarming as by 32 -36 weeks the placenta tends to go up once the lower segment formation takes place over uterus. Low lying or placenta previa shall be considered then at 32-36 weeks if the distance is less than 25 mm from internal os. High resistance flow in left uterine artery alone indicates a possible compression or hindrance in blood supply. There may be a subserosal fibroid or enlarged ovary probably which can cause external compression , but it is unlikely to affect the baby's growth as the other arterial flow is normal. At present this just needs to be followed up by a repeat uterine artery doppler after a month to check the same or increase in resistance flow. Revert back to an obstetrician and gynaecologist online after a month --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19621, + "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": 22757, + "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": 2731, + "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": 23023, + "tgt": "I have been detected with tuberculosis after pleural effusion. Is surgery needed?", + "src": "Patient: Hello doctor, I have been detected with tuberculosis after pleural effusion. It has been a month. I have been taking the TB medicine, but my X-ray is still not clear. I am being suggested that the pleural layer may need a surgery to be taken out and would not get dissolved with medication. I also have some pain in ribs in the front of the left chest. Doctor: Hi. Tuberculosis of the pleura is a common entity. In your case, it seems diagnosis must have been confirmed by thoracocentesis or a pleural tap and that fluid must have been sent for investigations. I would like to see those reports also. Pleural effusion needs to be drained early in the course of the disease if large else can cause pleural fibrosis. Pleural effusion itself can be a cause of pricky pain on inspiration and pleural fibrosis can cause continuous dull aching or pricky pain that if does not settle, may need surgery. The second thing that will require surgery is if the effusion is loculated or has multiple loculations or loculi containing pus. You should get an ultrasound thorax done which can tell if there is any residual effusion or not. If there is no effusion and still you have severe on going pain that means pleural fibrosis for which surgery is indicated. For now take ATT (anti-tubercular therapy), full course without gaps. Kindly upload pleural fluid and USG thorax reports so that I can guide you further. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15030, + "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": 10607, + "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": 29470, + "tgt": "Please advise the treatment for my mother's eye problem from the OCT report", + "src": "Patient: Hello doctor, My mother is 60 years old. She has diabetes and high blood pressure for the past 10 years. Recently, her vision in the right eye was deteriorated. Her doctor did retina OCT and fluorescein angiography. I consulted two other doctors. The first one said that she needs three doses of Lucentis, one each month. The second doctor suggested one Accentrix dose and then laser treatment. I am not sure which one to follow.\u00a0I am attaching the OCT report and the fluorescein angiography report. Doctor: Hello. I have reviewed the reports (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6280, + "tgt": "Pain in my hands and wrists. What does my blood work suggest?", + "src": "Patient: Hi doctor, I am having\u00a0pain in my hands and wrist\u00a0and\u00a0it started a few months ago. It is typically in the morning. I visited a doctor and she did blood tests. The result flagged in my blood tests was anti-Sm/RNP 2.8 and she has referred me to a rheumatologist, who cannot see me for the next two months due to busy schedule. Can you tell me what does it mean? Doctor: Hi. Revert back with the answers for the above questions to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 30665, + "tgt": "How to prevent seizure attack?", + "src": "Patient: Hi doctor,I am a seizure patient. Please give me some suggestion to recover from this seizure. Also, how to stop further seizure attacks? Doctor: Hi. I have gone through all your reports (attachment removed to protect patient identity) and your current prescription. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25608, + "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": 6266, + "tgt": "I want to gain muscle weight without any protein powders. Please help", + "src": "Patient: Hello doctor, I am 17 years old. My weight is 62 kg and my height is 5'9\". I workout daily and I want to gain some muscles without supplements like protein powders. I want a muscularity and not fat. Doctor: Hello. According to your height, you are slightly underweight. Your IBW (ideal body weight) should be 70 kg and you should consume 70 gm of protein daily. Protein supplements are for people who do not consume enough protein in their diet. 1. You can indulge yourself in weight training exercises, of course, under the supervision of a trainer. You can do a session of chest and shoulder followed by back and biceps on the following day and leg exercises on the third day. 2. Eat plenty of proteins if you are lifting heavy weights or you plan to do high impact workouts. Your 15% of total calories should be from proteins such as meat, eggs, dairy products, and soya protein. 3. Increase your intake of carbohydrates and proteins. Snack before and after your workout preferably protein shakes or granola bars (they are energy dense). I hope this helps." + }, + { + "id": 9451, + "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": 417, + "tgt": "Few days after breakage of condoms, I have sticky penis and inflammation of foreskin. Why?", + "src": "Patient: Hello doctor, I had a condom tear while having sex. Two weeks later, I developed symptoms of pain and slight swelling in my right testicle, lower abdominal pain, and foreskin inflammation. Thinking it to be chlamydia, I took 1g single dose of Azithromycin. It provided me some relief but two weeks later the same symptoms arose. Further, my foreskin and penile glans have now become sticky to touch, like a stick note, although it is not moist. I had also developed rashes on my inner thigh. I consulted a doctor who prescribed me T Bact for my sticky and slightly swollen foreskin, Betnovate N for my rashes in my inner thighs, and put me on a seven-day course of Amoxicillin 500 mg for three days. I am on day 5 of this course and my symptoms seem to have eased up significantly, but I fear a relapse could occur like last time. I have minimal abdominal pain now, and my testicles only feel a little uncomfortable from time to time. Further, the stickiness of my penile glans and foreskin has not subsided much, which worries me a lot. I would like to know what is causing this stickiness of foreskin and penis? The swelling of foreskin seems to have reduced somewhat. I am sending you the latest photos as well. Please advise me on what should be my next step. Doctor: Hi. I understand your worry about the swelling of the foreskin you covered with antibiotics with a single dose of Azithromycin and later with one week of Amoxicillin. If there is sexually transmitted disease it might come back for mainly two reasons. Firstly, incomplete treatment and insensitive antibiotics as you did not have a culture result, and secondly, not treating the sexual partner. Therefore, after completing the Amoxicillin no need for more antibiotics hopefully the foreskin swelling resolves. You will need STD (sexually transmitted disease) screening for you and your partner needs a vaginal swab. If you got pain like burning sensation while passing urine or swelling or urethral discharge then you will need to do urethral swab culture as well. The swelling of the foreskin and sticky discharge might have been caused by sexually transmitted disease as the condom was torn we do not have culture results as you started antibiotics before a culture of your urethra was sent. It is great that with Amoxicillin you are getting better. My suggestion is to complete the Amoxicillin course. Then to do the sexually transmitted diseases tests (STD screening) which is chlamydia testing by swab taken from urethra, gonorrhea testing, syphilis tests, trichomonas tests, human papillomavirus (HPV), herpes test, hepatitis B surface antigen test, hepatitis C test, HIV antibody and HIV antigen blood test for you and your partner. Those investigations will help diagnose and prevent future recurrence. No need for any more medications for now apart from the Amoxicillin you are currently on I would be pleased to follow you after tests result to inform for further treatment if required. Urethral swab for partner and STD screen for both and urethral swab of the patient in case symptomatic. STD (sexually transmitted disease)." + }, + { + "id": 18103, + "tgt": "Is Plaquenil beneficial in C. difficile colitis?", + "src": "Patient: Hello doctor, My mother was diagnosed with systemic sclerosis (CREST). Her main symptoms have been Raynaud's and esophageal issues. She also has Alzheimer's and a history of recurrent C.diff colitis. She took Plaquenil for several years and her CREST symptoms appeared stable. So, when her rheumatologist retired, we did not locate a new one. Her general doctor kept her on Plaquenil and she continued her routine testing with her eye doctor. She was hospitalized recently with C.diff and also developed pneumonia and a GI bleed, which was treated as an ulcer and got better. She did have an upper GI series, which showed no stricture, but esophageal dismotility with no peristalsis. She used to have her esophagus dilated often in the past years, but had a rupture before six years after a procedure. It healed on its own and since then. We have avoided having her scoped. The hospital doctor suggested discontinuing her Plaquenil and he said that it could make her more susceptible to infections. Prior to the hospitalization, she had declined in her physical health and lost 10 pounds in six months and the Alzheimer's is advancing. She has been discharged from the hospital and is in a long-term care facility. My question is, in general, does Plaquenil provide a benefit to the esophagus? Would it really be that much of an immunosuppressant for someone in her condition? In general terms, what are the benefits versus risks? We would like to start her back on it if there is a chance it would help. She is not physically able to be transported for a consultation with a new rheumatologist at this time. I am not asking for any information that would lead to me finding fault in her hospital doctor's recommendation. I believe her current doctor would put her back on it if we asked him to. I am just seeking information. Thank you. Doctor: Hi. I have gone through your mother's history and she has had a tough path. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 6454, + "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": 15149, + "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": 20649, + "tgt": "How to increase hemoglobin levels in my body?", + "src": "Patient: Hello doctor, I am anemic. How to increase hemoglobin levels in my body? Which fruits should I take? Doctor: Hello. If your hemoglobin is below 10g/dL, then iron supplements have to be taken once daily. Syrup Ferritin is a good choice. A healthy diet will definitely help in elevating your hemoglobin level very soon. Have three meals a day with adequate fruits and soups in between. You can have more corn, pomegranate, watermelon, sprouts, green leafy vegetables such as spinach, broccoli, etc. If you are a nonvegetarian, you can take more of lean meat (grilled chicken) and boiled eggs. Revert back with your hemoglobin reports after four weeks." + }, + { + "id": 15476, + "tgt": "Please tell me about the risk in recurrent stoma closure operation", + "src": "Patient: Hello doctor, I am 49 years old and suffering from adenocarcinoma in the rectum for the past five years. The doctor performed ileostomy, after that, I took radiotherapy and chemotherapy Pholfox 6. After that, I was declared free from cancer on the basis of PET scan report. Next year, I was admitted for stoma closure, but again opened it. A year later, again faced operation of stoma closure by same doctor's team, but was not successful and it is still open. I am facing so many trouble in my daily routine and now body weight is 48 to 49 kg. I had all treatment from renowned hospitals and doctors. My GI surgeon again advised me for closure operation since 18 months and assured me to operate in a different way to get success, but some other medical expert asked me to wait for 2 to 3 years for recovery and maintain stamina. Kindly advice me about risk in stoma closure operation. The problem that would be faced after operation (due to a narrow route of the rectum). Are my all procedures were in the right direction? and reasons behind continuos failure of closure operation. Is there any abnormality that would occur after the operation if a large part of the intestine is unused since a long time. Any further advice please. Doctor: Hi. Your treatment started and went on as per the standard guidelines. Your complications arose because of the stricture (narrowing) at the site of joining your intestine after removing cancer. (There can be many reasons for that, follow up if you are interested). Due to this blockage (most likely) your stoma closure failed repeatedly. Now also first of all sigmoidoscopy and/or fresh distal cologram (your last one was done last year) should be done (attachment removed to protect patient identity). Undergoing repeated surgeries does increase the risk of failure of surgery and other complications greatly. If a large part of the intestine is unused for a long time, it is not a problem and the intestine usually adapts well in around nine months to a year's time. 18 months is more than sufficient time to re-operate safely. Waiting for three years is not going to do any significant benefit over 1.5 years." + }, + { + "id": 28699, + "tgt": "I am pregnant, but heartbeat of fetus was not seen during the scan. Should I repeat the scan?", + "src": "Patient: Hi doctor,I am 7 weeks pregnant. Today, I had undergone an ultrasound to check whether everything is fine or not. But, the radiologist has not seen any heartbeat. I am also bleeding a little bit from the last two days. Please let me know what is going on with my pregnancy.\u00a0Is it normal? Should I still wait for a few days to get the heartbeat? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4862, + "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": 26621, + "tgt": "My wife and I have back pain. Is it because of a new mattress?", + "src": "Patient: Hi doctor, My wife and I just bought a new mattress, and both are experiencing lower back pain when bending forward. We used to sleep on a soft and firm (dual mattresses controlled by air) mattress. The new one is a memory foam which is considered soft but is firm under the very soft three to four inches. The fact that we both feel lumbar soreness, which makes me think that the mattress is not adjusting. Should we go for a firmer or softer mattress? Or stay away from foam altogether? Doctor: Hi. For further queries consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 23682, + "tgt": "Can I get advice in week 5 scan of IVF pregnancy ?", + "src": "Patient: Hello doctor,I need advice in week five ultrasound for IVF pregnancy. hCG has been doubling appropriately. Doctor: Hello. The scan (attachment removed to protect patient identity) shows a single intrauterine gestational sac of about four to five weeks. However, the sac is a bit irregular. It could indicate early failure. A follow up with transvaginal ultrasound is recommended in one week's interval. Yolk sac and fetal pole would be visualized in the follow-up scans. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 6439, + "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": 15864, + "tgt": "I have intense itching in my vagina. How to manage it?", + "src": "Patient: Hi doctor, I am a 20-year-old woman. Today morning, when I woke up, I had an intense itching inside my vagina. I was unable to resist it and scratched it with my fingers inside. Now I am having a burning sensation in my vagina. The burning got reduced after I took a bath. But it is still burning very intensely. I have got my periods a few days back. I do not have periods now. I have never faced this issue. Is it something serious? Doctor: Hi. The most common cause of vaginal itching is due to a fungal infection. It usually gets reddish and irritated in and around the vagina. Sometimes a little white fluid is present. Often, it does not present with a foul smell. For this, there are several treatment options available. You can use Clotrimazole 2 % cream over the affected area daily for three days. You can also use Miconazole 4 % cream daily for three days. For the pain due to scratching, you can take a painkiller such as Acetaminophen or Ibuprofen and EMLA (Lidocaine with Prilocaine) cream. Apply it to the affected area for every four to six hours. Be careful of the scratches for two to three days. Maintain good hygiene with soap and water. Avoid having sex as you have scratches. It can increase the infection rate." + }, + { + "id": 26184, + "tgt": "Can you go through my penile Doppler reports and tell me if there is a problem?", + "src": "Patient: Hello doctor, I want to know about the penile\u00a0color Doppler of the cavernosal arteries in erectile dysfunction. The color Doppler of cavernosal arteries was done after an intracavernosal injection of 0.8 ml of Papaverine (30 mg/ml) into the right corpus cavernosum. The initial diameter of the cavernosal artery prior to Papaverine injection was 0.5 mm, and after the injection, it became 0.9 mm. The erection started in three to five minutes and completed after 10 to 12 minutes. A grade-2 erection was noted. The peak systolic velocities reached up to 13 cm/s in 10 minutes. After 10 minutes, the diastolic pressure reduced. The flow was present continuously in the dorsal vein. The PSV in a\u00a0flaccid state was 0 and in the erect state at 5 minutes was 7.45 cm/sec, at 10 minutes was 12.65 cm/sec and at 15 minutes was 8.0 cm/sec. The EDV was 0 and RI was 1 at 5, 10, and 15 minutes. Are these reports good or is there a\u00a0problem? I am married since 13 months, but not sexually active. Is this the reason for my erectile dysfunction? Doctor: Hello. The causes can include the following: For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 14950, + "tgt": "I have got acne on face. Please help", + "src": "Patient: Hello doctor, I have recently developed acne on my cheeks. I use Cetaphil face wash twice daily and follow it with Biotique honey water toner, and Nivea moisturizer. Doctor: Hi. It seems to be mild to moderate acne, use acne soap bars containing Benzoyl peroxide. Wash face one time daily, not more than that. Avoid using antiseptic medicated soaps as they disturb natural face flora. Use Clindamycin 5 % cream, apply in the morning after face wash, and apply Adapalene cream 1 % at night time. You will see the effect in two weeks. I do not think at this stage you need any oral tablets. I just mentioned the generic names of drugs, kindly ask the pharmacy to get these medications as brand names are different in every country. Let me know if you have more questions. Also, do not get pregnant while using these medications as these are teratogenic, and may harm the baby. Discontinue two to three months before if you plan for pregnancy." + }, + { + "id": 3746, + "tgt": "Is it normal to have shoulder pain on movement after recovered from an accident?", + "src": "Patient: Hello doctor, Last night, I fell from my bike on my right side as it got slipped while driving. My right hand and right shoulder directly hit the road and cause severe pain on the right side of the abdomen. A local doctor prescribed some medicine and I got relieved from my side pain. I went for an x-ray of the right chest, it was normal. But after 36 hours I am having pain in the right shoulder (scapula) and while sitting, or arising out of bed, or moving hand on the upper side the pain increases a lot. Is it normal or need better medical assistance? Doctor: Hello. You should get yourself examined by an orthopedic surgeon and x-ray of the shoulder region is required. Any pain in the shoulder after trauma requires evaluation and any pain cannot be considered as normal? There are chances of soft tissue alone with no bony injury, but I would recommend a re-evaluation. Till then you can apply ice to the affected area and take analgesics for pain relief. Kindly follow up with your x-ray and feel free to discuss further." + }, + { + "id": 4571, + "tgt": "I had Mucoram pill along with Rhinocort spray. Do they interact?", + "src": "Patient: Hi doctor, I took a Mucoram pill along with Rhinocort spray. Then, I had hyperventilating difficulty. I could not swallow and I cannot balance myself and felt more tired and weak. I feel that my brain became numb for a month. After a month, I am good now. But, still I feel some pressure and continuous pulse in my head all day. My blood tests are all normal. Please help. Doctor: Hi. I read your question and I understand your concern. Allergies, recent sore throat, cold flu and seasonal variation. 1. Pulmonary functions test. 2. Allergen immunotherapy. 3. Allergen sensitivity test. 4. Peak flow meter. 5. FEV1 (forced expiratory volume in the first second) 1. Allergic bronchitis. 2. Sinusitis. 3. Laryngitis. 4. Pharyngitis. 5. Asthma. Sinusitis. Decongestants, mucolytics and home remedies. Avoid allergens, pollens, use humidifiers and avoid beverages, cold drinks and spices. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 757, + "tgt": "I have minor tingle in my right second toe with moderate to severe stenosis of spine. Please help", + "src": "Patient: Hello doctor, I am 58 years old. I have some very minor tingle in my right second toe. I am very healthy with no medicines and no other symptoms. It started with unilateral tinnitus. MRI of the spine showed moderate to severe stenosis spine. I do exercise, and running, and my neurologist says this might be normal. I had a concussion when I was 17 and spent a day in the hospital. My MRI brain is obviously abnormal with white matter. What is the likelihood of MS? I had an MRI in 2015 and said chronic microvascular changes. MRI of a couple of weeks ago said no tumor on auditory nerves. Please explain. Doctor: Hello. I understand your concern and would explain that your MRI findings (head and spine) fulfill the radiological criteria of MS (multiple sclerosis). There are many old lesions in the head and spine and there is a new lesion in the left parietal lobe, which explains the tingling in the right toes. Although you have no past medical history for paralysis or limb numbness and weakness, these brain lesions are compatible with MS. I recommend discussing with your neurologist about that. As there is a new lesion (with light contrast enhancement), steroids would help to relieve the tingling in the right toes. Regarding the mild spinal canal stenosis, it does not explain the spinal cord lesions in the upper levels which are probably related to MS. I recommend performing a spinal tap in order to examine your cerebrospinal fluid and visual evoked potentials. I hope this helps." + }, + { + "id": 2767, + "tgt": "After getting penile massage, it turned red with pain. Please help", + "src": "Patient: Hello doctor, I have been to a spa about a month ago and I had a small redness on my dick, hardly worrying. It went away after a couple of days and did not think about it, no pain, no itching, nothing. Two weeks later, I went for a lingam massage (dick massage with oil included for like an hour) and I fall asleep after it at home, did not take a shower. Well, I woke up to a complete nightmare, my dick looked horrible. I did not masturbate for two weeks and used Betadine, and it slowly went away. Then I masturbated and boom, red again. I went to a urologist who prescribed me a cream called Travocort and told me to use it for one week and if symptoms do not get better, go for a sperm test. Well, I used it for a week, stopped it when a week was over, and it is getting red again. Also, it started to have a little pain on urinating, and it was an absolute hell to masturbate. I would go for the sperm test to see if I have an STD which I believe is hardly possible because I have not had sexual intercourse with a woman since three months (no male either), but I really wanna ignore hospitals now that the Coronavirus is absolutely going ham. Doctor: Hi, Welcome to icliniq.com. Did you have oral sex? Is there any itching, burning in urine, difficulty in passing urine, or fever? Is there any history of allergies? This can be either an allergic reaction which gets aggravated due to some reason, or a fungal or chlamydial infection. I would suggest tablet Avil (Pheniramine maleate) two to three times a day for three days at least, capsule Doxycycline 100 mg twice daily for 14 days, Miconazole cream locally twice daily if the Avil does not improve things. Avoid applying Betadine locally as skin is very sensitive." + }, + { + "id": 16159, + "tgt": "Can one have sex after a heart attack?", + "src": "Patient: Hello doctor, Can you have sex after a heart attack? Doctor: Hello. This is a very common question among heart attack patients. I would explain that there is not a specific time to return to your sexual life after a heart attack. It depends on the individual basis of physical activity. It is usually recommended to start sexual intercourse when the patient is also able to perform a moderate physical activity (climbing a pair of stairs, walking 100 meters, etc.). An exercise cardiac stress test can be performed, just to be sure that the patient can afford to perform a moderate physical activity." + }, + { + "id": 15514, + "tgt": "Can Glycopyrrolate cure excess salivation?", + "src": "Patient: Hello doctor, I am 20 years old, male, 72 kg, 6 feet, suffering from excess salivation from a month. I took Glycopyrrolate 1 mg. Please give your advice on this drug or suggest a better drug. Doctor: Hi. Excessive salivation may be caused by certain conditions that need to be ruled out to solve it definitely. You may be suffering from acid reflux, sinusitis, or other upper respiratory tract infections which may give you hypersalivation. If you feel anything else except this concern, see your family doctor for an objective examination. If you have stomach pain or heartburn take Omeprazole to reduce acid producing. Continue Glycopyrrolate for some days if hypersalivation really disturbs you but if no improvement comes, see your doctor. Take care and best wishes." + }, + { + "id": 15791, + "tgt": "I have burning sensation and pain in my vulva. Please help", + "src": "Patient: Hi doctor, I have a burning sensation and pain in my vulva. I checked with a mirror and there is excess skin at the bottom and it is painful when I touch it. I am just wondering what could this be. What can be done to stop this irritation? Doctor: Hi. Vulval pain (vulvodynia) or irritation is very common. You need not be worried as it usually resolves with just proper hygienic precautions and minor treatment. The reasons for this could be due to a condition called friction-induced skin infection or skin tag or other skin conditions like lichen sclerosis. But proper physical examination is needed to find out the actual diagnosis and suggest an appropriate treatment plan according to the etiology. However, I would advise you the following suggestions for relief: If the symptoms persist more than a week or if the condition worsens, consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3038, + "tgt": "I have constant cramps and pain in both buttocks which get down to legs and calf. Please help", + "src": "Patient: Hello doctor, I have had permanent cramps and a constant ache in both buttocks. I have pain down the back of the legs in the calf and when I walk it feels like it is about to cramp and I get pain in front of the thigh. I have a constant aching feel. When I press my skin on both thighs it feels sore. I had it for over two months. I have pain on both sides of my thighs and legs regardless of if I am sitting or resting. I got admitted to the hospital for two weeks and they did an MRI scan on my spine and found nothing. They did a lumbar puncture and found nothing. They also did a nerve examination and nothing was found. I am currently on Gabapentin, Codeine, and Paracetamol. Doctor: Hi. It looks like a nerve compression to me. If all investigations are normal, it does not mean it cannot be nerve compression. It could be meralgia paresthesia or neuralgia. I would recommend you to take Vitamin B12 shots. Also, discuss with your doctor to prescribe you a combination of Pregabalin along With Nortryptilline in the night. This may take a few weeks to months to recover. I hope this helps." + }, + { + "id": 29567, + "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": 1405, + "tgt": "Is it risky to undergo surgery with low blood pressure?", + "src": "Patient: Hi doctor, My 19 year old daughter is having a benign tumor in the liver, predicted as FNH. It has been advised to be removed under surgery, since the tumor is growing in size although insignificantly. She is having a blood pressure reading of only 90/60 mmHg normally for months together. Can she go for surgery or is it risky? Her low blood pressure is the concern. Doctor: Hi. For further information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 14002, + "tgt": "What can be done to manage depression due to break-up?", + "src": "Patient: Hello doctor, I am a broken heart. I am not eating or sleeping. I cannot live without him. What should I do? Doctor: Hello. A heartbreak or a fall out of a relationship is a saddening experience. There is a feeling of loss coupled with damage to self-esteem. But lots of people experience it at least once in life. Here are a few tips to cope with it. Sitting or lying down all day at home will not help and in fact, worsen depression. It is time to interact with friends as much as possible. Treat yourself to a movie with friends, a dinner, a visit to nearby holiday spot. If these sound difficult, at least interact on phone. Indulge in your hobby which you enjoy. Share your thoughts with a close family member or friend. Get active physically. Join a gym, start cycling, or maybe dancing if you like. Realize that it is better that it happened now rather than farther late in the relationship when you would have been more emotionally invested. It has been a while that you are used to being in a relationship. Do not be scared of being single for some time. It is worth enjoying too. Do not rush into your next relationship right away. Remember that time heals all heart trauma in a way that you emerge stronger and emotionally healthier out of it. If you feel that it is difficult to begin these activities, see a psychologist or psychiatrist. Sometimes an initial help is needed to get out of this cycle. Take care." + }, + { + "id": 14854, + "tgt": "Please guide me about PNP immunodeficiency disease", + "src": "Patient: Hello doctor, My 5-year-old son was diagnosed with PNP immunodeficiency three years back. This was diagnosed after a battle of bailyacaris that he survived. He has recently been diagnosed with ME polyomavirus in his brain and LP fluids. He was the first case in history in my residential area. VZV was caused by chickenpox vaccine and getting shingles every six months after the initial break out which spread to his occula into his brain and spinal fluid.I am looking for any documentation or information I can educate myself with. His bone marrow transplant has been postponed until further testing. Please help. Currently, he is taking Gabapentin, Albendazole, ValAcyclovir, Phenobarbital, Fluconazole, Levetiracetam, Trimethoprim. Doctor: Hello. PNP deficiency is a very rare condition, in which the body is unable to produce certain immunity related cells called T cells, this happens due to some gene defects and is usually inherited. (But parents might not be affected). This causes the child to get frequent infections involving different body organs, especially the brain, lungs, etc., causing much sickness. Child would be prone to unusual infections also, as the body mechanism to take care of infection is not complete. Till today, the only curative option is hematopoietic stem cell transplant, which carries the risk of failure and side effects. Otherwise, the condition is life-threatening, and children might succumb in the first or second decades of life. He is being treated for his brain infection and its complications, presently. I am afraid the disease has little treatment options and is mostly symptomatic. Genetic." + }, + { + "id": 6487, + "tgt": "Kindly explain whether there is a problem with hairline of my newborn", + "src": "Patient: Hello doctor, I was wondering if you could shed some light on something for me. I recently had my newborn daughter and something looks off. The doctor at the hospital said it was her hairline and I wanted your input. In the middle of her head it is brown and normal looking but on each side of the brown it is definitely lighter in color and less hair. I have uploaded a picture for you to look at. My husband's hairline is also like that but where his hairline cuts back there is no hair whatsoever. The second picture is of my husband's hairline for a comparison. Doctor: Hi. You have got a beautiful daughter there. Please do not worry about the widows peak (attachment removed to protect pataient identity). It is too early to comment on it. It will be clearly noticed by the time the child becomes a year old. Frankly speaking even if there is a widows peak or for that matter any anomaly relating to the hair, there is nothing that can be done right now at this age group. So, please stop thinking about it and watch as the child grows. Whatever it is, it will be clearly distinguishable by the age of one year and by that age something can be done about it. Also, if you are very anxious I would advice a visit to the dermatologist who can examine the child thoroughly (as the examination in photo and person differs) and guide you on the issue." + }, + { + "id": 25963, + "tgt": "What can be done for irregular periods in a breastfeeding mother?", + "src": "Patient: Hello doctor, I am a 30-year-old breastfeeding mother. I have been having gas trouble for two months. I was taking allopathic medicines for this. I have almost normal periods that started in the third month. It was going almost fairly. The period falls between 27, 28, or 29th day. Two months back it started to become irregular. I was doing exercise regularly. This month I did not get my periods. I went to an ayurvedic doctor and she gave me Ashoka tablet (not exactly sure of the name) and Kumaryasava. I did not get my periods. Later, I started having pain in my chest, shoulders and left arm. She told me it may be due to rheumatism. I also have a sinus complaint. I am taking homeopathic medicine and Sinupret and for periods I take Mensokot, Mensofar, and another tablet the name of which I am not sure. She also had me Drakshadi Kashayam for two times a day. Today I noticed my stool color was dark brown almost black. I also have severe shoulder, chest, and arm pain. I went to an orthopedic doctor one day back. He gave me Celecon 200, Myonal 50 mg, Gastropan 40 mg. In the past, for this complaint, I have been on Sucrafex and Rolant DSR. Please help me as to what should I do? Doctor: Hello. In breastfeeding ladies, periods can be irregular up to some extent despite getting normal periods after delivery. This can be due to hormonal changes and due to breastfeeding. So, there is nothing to worry. But if you do not get your period the next month then you need to consult your gynecologist. Otherwise, you can continue with the medicine you have been prescribed. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. As far as color of the stool is concerned, it can be due to medications. You can stop the medicine for one to two days and then check the color. If it comes to normal then you can continue with the medicine. Again, consult your specialist doctor, discuss with him or her and with their consent make the following changes in medications. Also sometimes due to taking iron-rich foods, stool also become black. But if your doubt still persists, you can go for a routine stool examination which will rule out abnormality if there is any. To get rid of excessive gas formation chew some fennel seeds after taking your food. Regards. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29822, + "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": 27243, + "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": 9370, + "tgt": "How much time will it take for urine incontinence to be cured after vasectomy?", + "src": "Patient: Hello doctor, I have been experiencing urine incontinence following a vasectomy. While my urine tests came back negative, a semen sample came back positive for a staphylococcal infection. I have been taking Bactrim for about five days. My question is this. How long should I expect it to be before my symptoms are gone? If the infection is in the prostate, will it take longer to go away? Doctor: Hi. Urine incontinence occurs due to uninhibited contractions of urinary bladder and has nothing to do with vasectomy. These uninhibited contractions can occur due to urinary tract infections or neurological causes. In your case, no obvious infection is detected in urine. Staphylococcus aureus is a bacteria seen in skin and presence of this in urine or semen means contamination of sample with skin while giving sample for culture. Usually E-coli is the bacteria in urune or semen and shall take at least 14 days to clear. If the same is in the prostate, it takes 4 to 6 weeks. If your symptoms do not subside, you may need anticholinergics to inhibit uninhibited contractions of bladder. Please get back to me if you are relieved of symptoms in two weeks" + }, + { + "id": 25357, + "tgt": "Do people with OCD need to continue medicines throughout their life?", + "src": "Patient: Hello doctor, I need your help regarding OCD disease. It looks like my fiancee is having this problem and she has been suffering a lot since last month. I am seeing sudden changes in her behavior like getting sad, no feelings, and changes in the mood so frequently. She does not want to go outside as she has a feeling that she will become dirty and this feeling is getting stronger nowadays. She does not want to live, and is trying to end all her relationships and die. I asked her to consult with a doctor but she is not at all ready. I have tried so many ways to persuade her to see a doctor but she is getting upset because of this. If you can help me regarding treatment online and some medicine then it would be a great help for me. Doctor: Hello. In OCD (obsessive-compulsive disorder) drugs from SSRI (selective serotonin reuptake inhibitor) group such as Fluoxetine 20 mg to start then up to 80 mg or more or Fluvoxamine and psychotherapy are helpful. These drugs are prescription only drugs. Also, you have to confirm the diagnosis of OCD, that your fiancee is suffering from it or some other psychiatric disorder. Try to convince her that this is a treatable condition and her suffering can be stopped by drugs and psychotherapy. Hope it will help you. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14146, + "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": 27022, + "tgt": "Is it dangerous to have anesthesia in combination with my sleep medicine?", + "src": "Patient: Hello doctor, I am a 41 year old female. I have a question about anesthesia. I need to get a surgery on my foot to cut down a bump on a bone. The doctor said it is only going to be a twenty-minute procedure and I will be able to leave the hospital the same day. I take the medication Clozaril for a sleep problem (even though it is normally prescribed for schizophrenia), and I was just wondering if it is dangerous to have anesthesia in combination with this medication. Is it better to use a certain anesthetic than others when in combination with it? I was told by my doctor that I just should not take it on the morning of the operation, but I just wanted to get a second opinion because I have never had surgery before and I am a bit nervous about it. Clozaril 200 mg a day is the only medication I take. Thank you so much for your help. I really appreciate it. Doctor: Hello. So, just sit back and relax. Have a safe surgery. For more information consult an anesthesiologist online --> https://icliniq.com./ask-a-doctor-online/anesthesiologist" + }, + { + "id": 4067, + "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": 16432, + "tgt": "Can Kayakalp Kwath prevent wrinkles in a normal individual?", + "src": "Patient: Hello doctor, Can a normal mid-20's female with no skin disorder use Kayakalp Kwath or Mahamanjisthadi Kwath for better, healthy, glowing skin, and prevent wrinkles? Could it be an anti-aging solution? Or Will there be side effects? Doctor: Hello. I just read your query. See without any indication do not use Kwath on your own. However, you can take Aloe Vera juice 15 ml two times a day with water after food for two weeks. Take healthy and fresh food. Add more fruits and vegetables in your diet. Do walk daily at least for 30 to 60 minutes a day. Sleep adequately at least for 6 to 8 hours a day. Do not take excessive caffeinated drinks like tea, coffee, and cold drinks. Do pranayam and anulom vilom daily. These all things will help you in maintaining skin luster." + }, + { + "id": 5326, + "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": 19836, + "tgt": "Why am I having gum bleeding when hot or cold water hits my teeth?", + "src": "Patient: Hello doctor,I have bleeding from my gums when the cold, hot and sweet water hit my teeth. Two days before I had pain in my one molar tooth in the right jaw. Kindly give me advice and suggest me medicine for getting rid of pain and bleeding gums. Doctor: Hi. I have gone through your query. You have mentioned two situations and let me cover one by one. Firstly, bleeding gums. This is due to inflamed (simply, swollen) gums. The most probable cause is calculus (hard deposits) and plaque (soft deposits) irritating your gums. The treatment for this is to get a professional cleaning (scaling) done by a dentist. You can do lukewarm salt water gargling to give some relief to the gums. Mouthwash (preferably, Chlorhexidine) can be used but use it after diluting it with water and once or twice daily till the gum condition is very severe. After that, you can continue just lukewarm salt water gargling, as Chlorhexidine can cause teeth discoloration. Next, pain in the molar. This can be due to deep caries (cavity) or an impacted tooth, or simply because of the inflammation of the gums covering the partially erupted tooth (pericoronitis), or some other cause. This can be confirmed only after examination. Kindly send a picture of the affected tooth to guide you with a provisional diagnosis. X-ray (IOPA or OPG) and clinical examination will be required for final diagnosis. The treatment will depend upon the condition or diagnosis. It can either go for root canal treatment or filling or removal or just scaling might be enough. Do you have any difficulty in mouth opening, pain during sleep, any swelling, fever, pus discharge, lymphadenopathy (swollen lymph node below the angle of jaw), sinusitis, or any other symptoms or problems? Do you smoke or consume tobacco? If yes, try to avoid it slowly and get rid of it as these can also cause gum inflammation, destruction of tooth-supporting structures and bone loss, in turn leading to tooth mobility and tooth loss, and cavities too, and other mouth problems. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30667, + "tgt": "Why am I having red spots in my throat?", + "src": "Patient: Hi doctor, Please see the attached pictures of my mouth. The lump on top of my mouth is a torus. I have a red spot on the side of it though. What could it be? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26473, + "tgt": "Why do I feel sharp pain when anything cold touches my filled tooth?", + "src": "Patient: Hello doctor, I had my filling two years ago and it has been going well for a few months. I have had no problem with it but recently anything really cold touches it and I get a sharp pain. Hot foods cause no problem and sometimes it just hurts by itself. Doctor: Hello. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15385, + "tgt": "Experiencing involuntary urination after two days of femur bone surgery. Why?", + "src": "Patient: Hi doctor, My mother is 88 years old. She had undergone a surgery for the fractured femur thigh bone. Now, she is experiencing high involuntary urination for the past two days. She is on bed rest now, and any movement in the body or legs results in urine discharge. Currently, she is taking Thyronorm 75 mcg, Glycomet SR 500, Atorfit 10 mg, Ecospirin, and Calcirol. Her sugar levels are normal, and her BP is 140 by 70 mmHg. Please suggest. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). She has temporary urinary problems which are reasonably common at her age following any major surgery with immobilization. I would like to know whether she passes urine usually and whether she has any burning sensation during urination. It is essential to make sure that whether she has a urinary tract infection or any retention of urine in the bladder. If these are absent, then she will get better soon with time, when she starts to ambulate and when she gets back to her routine activities. In the meantime, she can be managed with diapers or a urinary catheter if the problem is very severe." + }, + { + "id": 7051, + "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": 25928, + "tgt": "What does my low AMH level indicate?", + "src": "Patient: Hi doctor, Last month on day 2 My TSH level was 4,9304 uIU/mL, free T4 was 102 ng/dL and prolactin was 30.63 ng/mL.\u00a0My last six months menstrual cycle length were 34 days, 28 days, 28 days, 28 days, 36 days and 19 days respectively. My cycle statistics are as follows. Average cycle length 29 days, shorter cycle length 19 days and longer cycle length 36 days.\u00a0Irregular cycles or cycles that are shorter than 21 days or longer than 35 make calendar prediction of ovulation unreliable?\u00a0What is the effect of thyroid dysfunction by inflammatory condition on reproductive endocrinology?\u00a0What is the effect of \u00a0thyroid dysfunction on anti-mullerian hormone concentration in a 44 year old? Do birth control pills suppress AMH levels? My anti-mullerian hormone (AMH) on day 4 was 0.01. Please explain. Doctor: Hello. You are suffering from hyperprolactinemia and borderline subclinical hypothyroidism. Both of which can cause delay in ovulation and hence irregularity in cycles. Ideally, menses between 23 to 35 days are considered normal as per definition. In your case, the concern is AMH levels (anti-mullerian hormone), which are indicators of ovarian reserve for ovums. It is not affected by day of the test or any other hormone like thyroid or prolactin. Also, an ultrasound pelvis by mid-cycle to check the endometrial thickness and if any follicles are developing in either ovaries or not. This irregularity may indicate towards an early onset of menopause if the FSH and LH levels are higher than 30 IU. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29049, + "tgt": "Can severe acid reflux turn my teeth translucent, and cause gums to recede?", + "src": "Patient: Hi doctor, Lately,\u00a0I noticed that my teeth are not the best looking. I had acid reflux. I looked up a lot of stuff about acid in the mouth, and looking at my teeth I think this is what is happening. My teeth started turning translucent two weeks ago. When I looked it up, it said that it could occur when too much of acid is introduced into the mouth. They start to go translucent means that enamel is lost and your teeth will start to decay. The earliest stage is white spots on the teeth, where cavities or decay would form and when your mouth is exposed to a lot of acids it can eat away your gums and loosen your teeth.\u00a0So, I think that, from throwing up in my mouth almost 40 times a day, my teeth are getting translucent\u00a0and I have four white spots on the front teeth. My gums have receded, and my teeth are loose. It is scaring me lately. Doctor: Hi. The symptoms that you have explained are right. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25856, + "tgt": "Kindly suggest treatment for someone who had TIA for two hours", + "src": "Patient: Hello doctor, My father had a TIA for two hours nearly four months ago where he could not understand what was going around him and had some difficulties with walking. He was released from the hospital after five days. Before this, he had a fever. His CRP level was also 2.328 and he was taking Atorvastatin, Aspirin, Clopidogrel, Vitamin C tablet, sugar and pressure medicines until now. He has also been given a sleep medicine and a tension-relieving medicine. What should be done now? Doctor: Hello. TIA (transient ischemic attack) for more than 60 minutes in a hypertensive and diabetic patient is a very serious sign that could lead to a stroke. I suggest you control your blood pressure and blood glucose with medications with regular followup. I suggest you take Clopidogrel 75 mg once per day. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You also need to be familiar with the signs and symptoms of stroke and seek immediate medical advice as some medications need to be given within a few hours. Please provide me with lab test results you have or a photograph of them in the follow-up query. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20894, + "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": 12320, + "tgt": "What is the role of undescended testis in fertility?", + "src": "Patient: Hello doctor, One of my testicles is not descended completely to the sac. I am 31 years old and not married yet. I have few queries regarding this. Do I need surgery? Does it affect fertility? Does it have any adverse effect on my sex life? Doctor: Hello. This condition is known as cryptorchidism (absence of one or both testes in the scrotum). If one of the testes has not descended as yet, then ideally it may have become dysfunctional already depending on the location of the testis, if it is still intra-abdominal or in the inguinal canal. There are high chances in such cases that the undescended testis may form a seminoma which is a tumor of the testis. If the other testis has descended, then it would be functional, and the chance of infertility is not there. Get an MRI pelvis done and most likely it would have to be removed. Also, get a semen culture done to check the sperm count and quality as well.Please meet your surgeon soon as undescended testis is not recommended to be kept to sit this long." + }, + { + "id": 5634, + "tgt": "Had brownish discharge after protected sex. Is it implantation bleeding?", + "src": "Patient: Hi doctor, I had protected sex. Two weeks later, I had light brownish to light red color discharge that lasted for a day and the next day there was light brownish discharge. Is this implantation bleeding? I am worried. If so, after how days of implantation bleeding can I do blood test or hCG to detect my pregnancy? Please guide. Doctor: Hello. Revert back after the test to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23774, + "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": 8035, + "tgt": "Will HIV RNA, QL TMA be accurate after 21 days of exposure?", + "src": "Patient: Hello doctor, Is HIV RNA, QL TMA accurate after 20 to 21 days of exposure? And also this came with my results. RNA is not detected. No laboratory evidence of HIV infection. The HIV-1 RNA qualitative TMA assay is recommended for use as part of a multi-test HIV-1/HIV-2 screening and diagnostic algorithm. This assay can also be used to resolve indeterminate HIV-1 antibody assay results, and to test for HIV-1 infection in patients less than 2 years old. When a fourth generation HIV multi-test screening and diagnostic algorithm is used, if the test results include a repeatedly reactive HIV-1/2 antigen/antibody (fourth generation) screen, followed by negative confirmatory tests for HIV-1 and 2 antibodies and HIV-1 RNA by TMA, the most likely interpretation is a non-specific (biological false positive) reaction in the fourth generation screening assay. There is no current laboratory evidence of HIV infection. Repeat testing on a second specimen is not generally indicated but may be appropriate if there are known risk factors for recent HIV exposure. If the recent HIV-2 infection is suspected, additional testing by HIV-2 DNA or RNA, qualitative, real-time PCR should also be considered. Can someone explain this to me? Doctor: Hi. HIV RNA PCR test is accurate after 9 to 13 days after the risk exposure. It can be used to detect early infection with HIV when most other screening tests are not yet reliable. However, it is not a confirmatory test and an early screening with RNA PCR should be followed by a more sensitive and specific screening test, this is the fourth generation antigen-antibody HIV screening test at four weeks and at 12 weeks. Therefore, RNA PCR is quite useful in the detection of early infection. Other times this test can be useful as a second test after an indeterminate fourth generation HIV screening test or when a positive HIV screening test is followed by a negative confirmatory test (usually a western blot). In the second scenario, if RNA PCR turns up as negative then it suggests that an earlier positive screening test was most likely a false positive." + }, + { + "id": 21036, + "tgt": "I have low levels of vitamin D and B12. Do I need any medicine?", + "src": "Patient: Hi doctor, I am 46 years old male. In my health check-up, I saw my vitamin D range was 25 ng/mL, and my vitamin B12 range was 181 pg/mL. Do I need any medicine? I am suffering from laziness. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Please answer my questions. What is your BP (blood pressure) usually? What is your daily routine? Do you have the habit of smoking and alcohol? From the above reports, I can find out a few abnormalities like insufficient vitamin D, low vitamin B12, prediabetic status, mildly increased cholesterol, mild renal dysfunction, slight hypothyroidism, and BMI (body mass index) in obesity range. These come under a broad category of metabolic syndrome. Now, it is not of immediate concern, and it will not cause an immediate problem. But if neglected, this can lead to a future cardiac and renal problem, diabetes and stroke. Most of these conditions are related to lifestyle. Lifestyle modification includes quitting the habit of smoking (if you are) and limiting the practice of alcohol intake. Do the daily exercise for half an hour. Follow a diet modification with low salt and high fiber with little fat. Have a high fruit intake. Also, take vitamin B12 and vitamin supplements. Try to do anti-TPO (antithyroid peroxidase) levels to see whether there is a need for thyroid medication or not. Try to do 24-hour urine protein levels. Depending on the above reports and blood pressure readings, you may need antihypertensive preferably ACE (angiotensin-converting enzyme) inhibitors. I would advise you, follow the diet and exercise plan for three months and then repeat the above tests. Depending on the report, start taking medications." + }, + { + "id": 3716, + "tgt": "How long will it take to show the effect of Desvenlafaxine?", + "src": "Patient: Hi doctor, I am a 42 years old male. I had low mood with anxiety problem around two years back. I was on Desvenlafaxine 50 mg ER tablet prescribed by GP. I took it for around eight months and felt better. Then I consulted my psychiatrist and told that I have only anxiety. So, he prescribed Clonazepam 1 mg and Alprazolam 0.5 mg in the morning and Nitrazepam 10 mg and Clonazepam 1 mg in the night and stopped Desvenlafaxine 50 mg ER tablet. I slowly tapered from first month itself to finally in around one year; I was on 0.25 mg Clonazepam in the morning and 2.5 mg Nitrazepam in the night, which I felt has same effect as I started. Later, I tried to come out of it without any medication, but I was feeling anxious. Actually, I felt better with Desvenlafaxine 50 mg ER tablet, compared to other anti-anxiety medicines. So, I asked my psychiatrist and he said start taking Desvenlafaxine 50 mg ER tablet. But, I do not have the same effect as I felt earlier. Now, it is almost seven weeks. I am taking 2.5 mg Nitrazepam in the night and occasionally, Clonazepam 0.5 mg or Alprazolam 0.25 mg or 0.50 mg when I feel more anxious. So, I want to be only on Desvenlafaxine 50 mg ER tablet as earlier. Should I wait for some more time? Or should I increase dose to 75 mg or 100 mg?\u00a0I really appreciate your help. By the way, I feel more anxious only at traffic signal or sometimes waiting in line at grocery store or sometime anticipatory fear in going far from my home.\u00a0Thank you very much for your help. Doctor: Hi. I can understand your concern. Desvenlafaxine is a good antidepressant and anti-anxiety drug. The drug should be continued for long time to see its full effects. Drugs like Benzodiazepines (Clonazepam, Alprazolam or Nitrazepam) can help to control anxiety symptoms immediately, but these drugs are not the definite treatment of anxiety. High risk of tolerance and increased abuse potential are the main reasons that these drugs should not be taken regularly for more than four weeks. It is good that you have started taking Desvenlafaxine again and the drug will help you to come out of the symptoms. Currently, you are on 50 mg dose and in my opinion the dose should be increased to 100 mg per day to see more effects and to get better control of symptoms. So, you can increase the dose of the drug without worries. Keep other drugs like Clonazepam and Alprazolam for use on SOS basis only (as and when necessary). You continue Nitrazepam for some days and then gradually reduce the dose and stop the drug completely. Wait for at least four more weeks to see the effect. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23811, + "tgt": "I had tightness in upper left chest area and numbness in throat. What is it?", + "src": "Patient: Hi doctor, Last night I started experiencing some tightness in my upper left chest area, just below my armpit. This extended up my left side through my throat, cheek and up to the top of my head. This was persistent throughout the night. This morning I woke up and it was a little better but my face and throat area feel numb and the inside of my cheek and tongue feel swollen. This tightness is starting up again today though not as bad as last night and it is mostly in my throat. I also have tinnitus and when this tightness comes my tinnitus gets much worse. My left arm also goes numb and cold from time to time, particularly my pinkie and ring fingers. I have had a history of neck pain and I have had pain in my upper left chest and back area and my left arm numbness has been around for many years. It started after a weightlifting injury. I am wondering what this might be and if I should go to the hospital. Doctor: Hello. This is most likely due to cervical pain, due to compression of nerves between spine. You should get X-ray cervical spine AP (anteroposterior or lateral view) and further may need MRI. You need to visit physiotherapist after X-ray and also an orthopedician. Till the time he can have tablet Neurobion Forte (Riboflavin, Pyridoxine, etc.) once a day which is a nerve vitamin. If this is not helpful, then you need to have tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer. However, it is better to visit a hospital and get EKG done in order to rule out cardiac cause although appears to be less likely. You can also upload EKG here if you can get it done somewhere. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18308, + "tgt": "What is the reason for inadequate breast milk secretion?", + "src": "Patient: Hi doctor, I am a 30 year old woman. I have a three months old baby. I am giving formula milk for my baby from the first month, because from the beginning I did not have adequate milk secretion. Also, I am breastfeeding three to four times a day in between. As I had cold and light fever I stopped breastfeeding for two days thinking it will also affect my baby. After that my milk secretion has almost stopped. Even my baby is also not sucking from me. Now, I have recovered from the flu, but still I did not get back to my normal secretion. Not even 10 mL of milk is getting secreted. I have tried eating fenugreek, garlic,\u00a0oats meal and lots of water. But, nothing has worked. I am really stressed because of this. I am not even able to breastfeed my baby for three months. I am worried. Please help me and advise accordingly. Thank you. Doctor: Hi. You really have a serious problem. For further information consult a lactation counselor online --> https://www.icliniq.com/ask-a-doctor-online/lactation-counselor" + }, + { + "id": 7829, + "tgt": "I burned myself with a curling iron. Will it leave a scar?", + "src": "Patient: Hello doctor,I burned myself with a curling iron. It did not appear bad at first but a scab is forming. Will the burn leave a scar? Doctor: Hello. I have gone through the clinical images (attachment removed to protect patient identity). It appears to be a superficial burn but there is a risk of a superficial scar. It will not be very prominent and can go with time as you grow. I suggest you apply some ointment like Polysporin (Polymixin and Bacitracin) twice a day for early healing, prevention of infection and subsequent prevention of scarring. Usually, burns which heal within 10 to 14 days hardly leave any scar. Do not apply any steroid-containing ointment. I suggest you get yourself examined by a local dermatologist for better care. 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": 18661, + "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": 26744, + "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": 14852, + "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": 4533, + "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": 1210, + "tgt": "Is it normal to have abdominal pain in hepatitis patient?", + "src": "Patient: Hello doctor, I have been diagnosed with chronic hepatitis B since last five years. I have been going for follow ups and routine check ups in NIMR.I went for some tests in March,which I have been unable to get the results because of COVID-19.They are totally unresponsive to me. I have persistent symptoms, sharp pains in my upper right abdomen, weakness and tiredness,joint pains and loss of apettite. I am very scared and do not know what to do. I have not been placed on any drug so far. Please help me. I do not want to develop cirrhosis or liver cancer. What can I do? The pain is so much. Doctor: Hello. The pain you describe may be due to variety of causes. May be simply be due to gas trouble not necessarily the liver complication of hepatitis B infection. The cirrhosis and tumor in liver is a long period process does not occur in span of 3 months. To clearly answer your question I need to know when did you get your last ultrasound of liver done? And what were the findings? Now as a rule all people with hepatitis B infection are supposed to take antiviral treatment. I do not know whether you have been given those. I highly recommend you to get all these questions answered when you now meet with your physician. Or you can upload investigations and I can figure out for you how to deal hepatitis B in your case. Follow with investigation 7 days" + }, + { + "id": 23771, + "tgt": "Are camera flashes bad for the eyes?", + "src": "Patient: Hello doctor,Does taking close selfies on your phone with the flash on, cause any damage to the eyes, if done occasionally? Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11547, + "tgt": "I have attached my sperm count analysis report. Are the values normal?", + "src": "Patient: Hello doctor, My sperm count is 64 M/mL, motility 60 %, rapid linear progressive 15 %, sluggish linear progressive 15 %, forward progressive 30 %, morphology normal 35 % and abnormal 65 %. Are these values normal? Doctor: Hello. Are there any pus cells or WBC's (white blood cells) in the sample report? Also, is the fructose test positive? Please share the complete report as an attachment." + }, + { + "id": 19411, + "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": 23237, + "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": 7066, + "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": 20508, + "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": 7410, + "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": 16129, + "tgt": "Can I take Cetirizine and Paracetamol for fever?", + "src": "Patient: Hi doctor, When I have the fever, can I take Cetirizine in the morning and then Paracetamol in the afternoon? Doctor: Hi. You mentioned that you have the fever. You can use Paracetamol. You can take it up to three times a day and can stop if your temperature comes down. Now, coming to Cetirizine, it is used for allergy, cold, etc. If you are having a flu type of fever, that is, fever with the cold or itchy throat, then yes you can use it along with the Paracetamol. I suggest you take both the medicines together. You can use Levocetirizine, which avoids sleepiness. Hence, you can be focused in your work. Consult your specialist doctor, discuss with him or her and take medicine with their consent. For further queries consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 9964, + "tgt": "I have a cold and flu after having sex. Could it be HIV?", + "src": "Patient: Hi doctor, I had sex with a girl I know. The condom broke while having sex. After 30 minutes, I started having the headache.\u00a0I was distraught. I took the antibiotics. After two days, I had a cold. Can HIV symptoms appear this fast? Or it was because I took the antibiotics? Or I am just panicking? Doctor: Hi. For further\u00a0queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 7994, + "tgt": "Is it possible for a mother with HbE trait to affect the children?", + "src": "Patient: Hello doctor, The last few days my wife says that she feels sick. After that, I took my wife to the doctor. She suggested a few tests named HB electrophoresis, ferritin, TSH, PPBS, USG lower abdomen, CBC, PBF and urine test. Result:Hb%: 10.2, platelet-266000, RBC-4.28, WBC-7300, MCV-74, HCT/PCV-32%, TSH: 4.39, normal urine, pus cell: 1-2, epithelial cell: 1-3, PPBS- 5.9, USG- normal, S. ferritin: 10.98 ng/ml, HB electerophoresis: Hb A- 71.3, Hb E-25.3, HbA2 - 3.4. Doctor comments: Blood disorder, Hemoglobin E trait. Kindly explain the report. As far as I know, HbE trait patient generally has higher ferritin level but in my wife, it is lower than normal. I am afraid about my 1-year-old baby boy and next baby and generation. Please suggest to me. Doctor: Hi. The serum ferritin level is not high in every case of hemolytic anemia. Your electrophoresis report is suggestive of HbE (attachment removed to protect patient identity). It is a case of a mild form of hemolytic anemia. In that case, the ferritin level might not be raised. Along with low ferritin, your red blood cells count is also low. Usually, in hemoglobinopathy, red blood cells count is high. So your wife's complete diagnosis is HbE trait with secondary iron deficiency anemia. So you can give your wife Iron tablets to raise the hemoglobin level and ferritin level. HbE is not a major hemolytic disease, so you need not worry about your child or future child although your child acquires HbE trait. HbE trait patient lives a normal life. I strongly recommend you to get investigated for hemoglobinopathy by electrophoresis because if you have trait then your child can acquire HbE disease. So revert back with your electrophoresis report as well." + }, + { + "id": 30348, + "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": 15362, + "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": 14839, + "tgt": "My problem is regular hair fall. How to control hair loss? Please help", + "src": "Patient: Hi doctor, I am a 24 year old male. My problem is regular hair fall. How to control hair loss? Also, I want to regrow it. Please help. Doctor: Hi. Before I can help you, please answer the following questions so I can be sure it is male pattern baldness or androgenetic alopecia. I suggest you try Biotin 10 mg orally and Minoxidil 5 % topically. Consult your specialist doctor, discuss with him or her and start the medicine after their consent." + }, + { + "id": 6731, + "tgt": "My 2 year old baby has cold with mucus discharge. Can Augmentin be used?", + "src": "Patient: Hello doctor, My baby is 2 years old, has cold with mild fever, consulted the doctor, he gave Maxtra syrup, and nothing else as chest and throat were clear. Then after four days of giving the medicine, the mucus changed to thick yellow color; the doctor said its fine and advised to give him steam. There is no improvement, so I gave him homeopathy medicine for five days. He was better but not fully recovered. Still had a running nose with thick discharge, then again my husband said to visit allopathy doctor, did so, he gave antibiotic Azilide Azithromycin 200 mg for five days. I have done the course, but no change. Again consulted another doctor, he said he has an infection in his nose; he prescribed Augmentin. I am tensed, now he is having vomiting, loose stools because of the previous antibiotic course. Augmentin yet to start. I do not know what to do as I read online that this running nose will take about three weeks to settle on its own. Please help. Doctor: Hello. I understood your concern. 1. I advise you to follow Pediatrician advise. 2. You can start Augmentin (Amoxicillin and Clavulanic acid). 3. Do blood test CBC (complete blood count), CRP (c-reactive protein), urine, and blood culture. 4. Keep the baby hydrated. Give him more liquids. 5. If he is cranky, not taking foods orally, or looking sick, then please visit the Pediatrician. 6. It may take time to resolve the symptoms. I would suggest you consult a Pediatrician and get him examined and do the necessary report if required. We need to find out the problem for better treatment. 7. Based on your history, I can say that cold may take one or two weeks to subside completely. Syrup Ondansetron 5 ml three times a day for three days, Syrup Rantac (Ranitidine) 3 ml two times a day for five days, Syrup Nutrolin B 5 ml two times a day for three days." + }, + { + "id": 26410, + "tgt": "Is Emeset-4 safe to take during pregnancy?", + "src": "Patient: Hi doctor, I am 15 weeks pregnant, and\u00a0I take Emeset-4 daily to control\u00a0vomiting and nausea. I am having Emeset-4 from almost a month, but my doctor told me to take it less often. I tried stopping\u00a0it, but my vomiting started again. What to do? I tried taking Doxinate-G, but it does not work. Please help. Is Emeset-4 not safe during pregnancy?\u00a0I have hypothyroidism. My TSH is 4.432 and hemoglobin\u00a0is\u00a07.8 g/dL.\u00a0I really need your help and advice. Doctor: Hello. It is not advisable to take Emeset-4 (Ondansetron) during pregnancy so frequently. 6 to 7 large quantity vomits per day is considered normal, also small quantity 10 to 15 vomits per day is also normal. No treatment is required in either case. These are pregnancy-induced vomiting and should not be stopped. Nature has done it in good faith to avoid baby to get unwanted infections. So, one should not stop them. Try to get adjusted. It is absolutely fine even if you do not eat anything in a day. If you lose weight in the first 4 months, it is normal. Try to eat dry things like puffed rice, biscuits, roti, etc. Avoid juices, liquids, coconut water, etc. These vomitings should stop by next month. If you want to take some medication, then I suggest trying tablet Pregnidoxin (combination of Caffeine and Meclizine), three times a day on an empty stomach. Firstly, try to consider these vomiting normal, then you will automatically get better. For hemoglobin of 7.8 g/dL, please get a hemoglobin electrophoresis done to rule hemoglobinopathies. Start with iron tablets as early as possible. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22400, + "tgt": "I have dull pain in my testicle. Can it be blue balls?", + "src": "Patient: Hi doctor, I have a dull pain in my testicle for the past three weeks. It is not very severe. I can ignore it. I have performed a TESE. I noticed no lump and no swelling. The testicles are normal to see. I am worried that it could be something serious. Can it be blue balls? Doctor: Hi. Pain in testicles can occur due to multiple reasons. Since it is mild, it could be due to prostate swelling, a urinary stone or dilated testicular veins. These can be ruled out by examination and ultrasound. Since no lump is palpable and there is no change in testicular size, a testicular tumor is unlikely to occur. You can wear tight underwear and take some analgesics. If it persists or worsens or there is any swelling, please consult your doctor. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7622, + "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": 20161, + "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": 9808, + "tgt": "Why am I getting recurrent bruising under the nail?", + "src": "Patient: Hello doctor,Three years ago, on a trip after walking around all day, my big toe on my left foot began to hurt. When I removed my shoe, I had bruising under the nail. I contributed it to the new balance shoes I was wearing. It got worse and I eventually I lost the nail on that toe. The nail grew back, and it was fine. A couple of months ago, the same toe became inflamed around the bottom of the nail bed. It was sore to the touch. It again went away, and the toe was fine. Last night I woke up with the same toe throbbing. The nail bed was once again inflamed, and this time, there was bruising under the nail. Any idea what may be going on? Doctor: Hello. Judging by your description, it looks like a subungual hematoma. Usually, it is resolved by a procedure known as decompression. It is an OPD procedure performed by a licensed physician. I would suggest you plan your visit to a local physician as soon as possible to avoid the possibility of complications in a hematoma. bruise. Subungual hematoma. Decompression. Cold compression." + }, + { + "id": 27998, + "tgt": "My daughter had an accidental overdose of her fever medicine. Please help", + "src": "Patient: Hello doctor, My daughter is 2 and a half years old, and due to a low-grade\u00a0fever, she was\u00a0prescribed 5 ml of\u00a0Opox 50. But accidentally, my wife gave her 5 ml of Opox 100 last night. My daughter started vomiting at 2.30 AM. She complained of a little headache too. Is this a serious issue? Please help me. Doctor: Hello. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 28733, + "tgt": "Kindly check my mother's report and reveal the reason for her abdomen pain", + "src": "Patient: Hi doctor,My mother, who is 61 years old, had a swollen abdomen. When we admitted her in the hospital doctors said fluid has built up in the\u00a0stomach. Her skin turned yellow, and she complained of pain in the abdomen. The doctor stated that she has gallbladder cancer and it is in stage 4. She was healthy, and she never had any issues before. Just 10 days before, the abdomen swelling was started. She had her uterus removed six years back. She still can walk, talk and recognize everyone. I am attaching the CT scan films. If required, I will give more details. Doctor: Hi. I went through all the reports of your mother (attachment removed to protect patient identity). For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 15076, + "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": 1760, + "tgt": "I have severe constipation with anal discharge for the past 10 days. Please help", + "src": "Patient: Hello doctor, I am suffering from severe constipation for the past 10 days. There is also discharge and itch from the anus. I am also feeling excessive weakness after passing stools. Doctor: Hello. From your history, it looks like severe constipation. But I would like to know a few more details so that I can confirm the diagnosis. Have you had similar episodes in the past? Do you have any abdominal distension or pain? How is your appetite? If you were to describe the stools, is it hard and dry or loose? When you say weakness, do you mean you feel tired or do you have other symptoms also like numbness over feet or hands? Do you have any fever or vomiting? Please get back with the above answers so that I can confirm the diagnosis and prescribe you the right medicine." + }, + { + "id": 19542, + "tgt": "I have a common cold from last three years. Please help", + "src": "Patient: Hello doctor,I have a common cold from last three years I have tried many doctors. They only give Montelukast tablets to me. At first, they worked on me but later on these tables stopped working on me. Please help. I want to get rid of this. Doctor: Hello. The common cold is a viral infection that lasts for days, not years. To treat the common cold, you need to take rest, good hydration, nasal decongestants, panadol cold and flu (Paracetamol, Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide), an antihistamine like Zicam (Zinc acetate and Zinc gluconate). Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have this symptom for a long time, consult a respiratory specialist to exclude asthma. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1959, + "tgt": "My left ear hurts, and sometimes it feels itchy. What to do?", + "src": "Patient: My left ear hurts. If i press the back of my ear, it would really hurt. Sometimes it feels itchy and throbbing. Also, it feels like it's clogged inside. Last month my other felt like this too, I had to take medication for it. Doctor: Hi! There are only 3 possibilities with the complaints you have mentioned. 1. Impacted wax in the left ear which is causing pain and a blocked feeling For this, you can use wax solvents which liquify the wax and resolve the issue 2. Infection involving your outer ear, which can be the cause of itching and pain 3. Eustachian tube catarrh which is associated with allergy and usually does present with only feeling of pain and blocked sensation The treatment you would have taken earlier using anti allergic would have been to treat the eustachian tube catarrh. You can consider taking a combination of paracetamol with fexofenadine / montelucast/levocetricine/ phenylephrine combination whichever is available in your country. In addition you can use ciplox ear drops 3 drops 3 times a day. If your having allergic issues, it has be effectively treated to prevent recurrence of such episodes. However, if the above treatment does not work , consider meeting an ent specialist to get your ear examined and get treated accordingly." + }, + { + "id": 26207, + "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": 27603, + "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": 15977, + "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": 9462, + "tgt": "I have constant twitching in my left arm. How to stop it?", + "src": "Patient: Hello doctor,\u00a0 Recently, I have been playing quite a lot of sport. However, my left bicep seems to be going into spasm or is twitching. There is no pain, but I cannot stop it. Please help. It is only on my left arm. Doctor: Hello. I have gone through the entire history of yours and my findings and suggestions are as follows: For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 1682, + "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": 9919, + "tgt": "How to correct vitamin deficiency?", + "src": "Patient: Hello doctor, I am 24 years old male. I have vitamin d deficiency 15.07 NG/Ml, testosterone 915.47 NG/Dl, bilirubin - total 1.7 MG/Dl, aspartate aminotransferase (Sgot) 42.6 u/L, and platelet count 120 x 10\u00b3 / \u039cl. How sick I am? Please suggest me good routine and medicines. Doctor: Hello, Welcome to the icliniq.com. I need to know your clinical complaint if present to comment further. For your low vitamin D level, Calci D like a tablet or cholecalciferol containing sachet with milk once a week for eight weeks, can be prescribed. The sachet contains 60000 IU in each pack. Your total bilirubin is slight high for which clinical correlation needed and repeat testing after week. In CBC (complete blood count) also there is high red blood cell count and high hemoglobin level for which dehydration history should be ruled out. Drink lots of water and repeat CBC especially. Hb and red blood cell count after a few days. Your elevated liver enzymes no need to worry as they have not raised two folds the upper limit. If SGPT increased more than 85 than it is significant. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 22862, + "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": 7798, + "tgt": "How can I get rid of round dark spots on the face?", + "src": "Patient: Hello doctor, I have got round dark spots on face. It was light initially and became darker later on. Give me advice on how to remove it. Doctor: Hi. It looks like seborrheic keratosis (attachment removed to protect patient identity). Is it raised above the skin surface? Since how long do you have it?" + }, + { + "id": 400, + "tgt": "I saw two white worms while cleaning my 7-month-old baby's umbilical cord. What should I do?", + "src": "Patient: Hi! I'm worried about my child. Yesterday i clean his umbilical cord and i got two white worms. There is no wound in his umbilical cord. He is 7 months old. What should i do? Please response. Thank you! Doctor: Hi, You will need to address this issue as soon as possible, because it might worsen and the child may develop new symptoms. First, please tell me if you have ever noticed urine, stools, pus or blood oozing out of the umbilicus, any time? For the worm infestation, Please ensure that pets and domestic animals are separated from the baby\u2019s surroundings. The baby will require an Ultrasound examination of the abdomen to see if there is any infestations of the internal organs. Watch out for fits, blank staring and unresponsive-ness in the baby. It will be advisable to take the baby to the pediatrician for a thorough evaluation. Please revert back to inform the progress of the baby\u2019s condition." + }, + { + "id": 27019, + "tgt": "I noticed an open wound on my arm that does not hurt. What could it be?", + "src": "Patient: Hello doctor,So, I was in the shower earlier and I found an\u00a0open wound in my arm. It was not a scab I picked. It is a hole with a black dot next to it. I recently had the Rhogam shot because I am 29 weeks pregnant. It does not hurt but my arm is still tender and I got the shot a week ago. I do not understand what it is. Doctor: Hello. Take care. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16419, + "tgt": "Is uncontrolled anger suggestive of bipolar or borderline personality disorder?", + "src": "Patient: Hi doctor, I always get angered at my mom and I always yell at her. I have also found some symptoms which indicate that I have either bipolar or borderline personality disorder and I cannot control my anger usually. No matter how much I try to stop, I always end up yelling and screaming like a maniac. Please help me. Doctor: Hello. I understand your problem. But I want to clarify what else apart from the anger you find in line with borderline personality or bipolar disorder. Mere getting angry cannot be a 100 percent indication of these disorders. Some people especially young ones have short temper, particularly during this hormonal surge phase. So learn anger management techniques first. If it does not work, consult a psychiatrist. Thyroid function test. Counseling, anger management techniques." + }, + { + "id": 9757, + "tgt": "Why am I having serious sleep paralysis with shortness of breath?", + "src": "Patient: Hello doctor, I am having serious sleep paralysis. In it I feel like I can move my muscle a bit like slightly moving my finger or speaking short words like \"maa\". But I think I am hallucinating that too. Plus I am having acute bronchitis in this case and have to breathe through the mouth. So I have difficulty in sleeping as my mouth shuts automatically and have to wake up instantly due to shortness of breath. Doctor: Hello. As far as your bronchitis is concerned, I advise my patients to avoid smoking and take steam inhalation twice a day. I also advise syrup Phensedyl BR (Ambroxol and Guaifenesin) 2.5 ml twice a day for five days and tablet Allegra M one tablet at night for five days. If on clinical check up a bacterial infection is suspected I add Amoxycillin 500 mg BD for five days. You can share my opinion with your doctor and take medications with consent. To diagnose a condition of sleep paralysis I would advise you to get sleep studies done first." + }, + { + "id": 22109, + "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": 15997, + "tgt": "What is the reason for weight loss and hair fall after craniotomy surgery?", + "src": "Patient: Hello doctor, My sister is having a craniotomy operation. MRI before surgery and post-surgery are attached. Biopsy report is also attached. So, kindly help me to understand the biopsy report. Current medications are Encorate Chrono 500 mg twice daily, Thyronorm 50 mg. Current problems are weight loss, severe hair fall, less appetite, weakness, not able to eat or smell non-veg items, no hunger. Doctor: Hi. The biopsy report and MRI findings are suggesting astrocytoma which is kind of cancerous brain tumor. Post operation MRI is showing that the tumor is not fully removed in surgery. That usually happens in these kinds of tumors because it is sometimes not possible to remove the whole tumor. Please consult with a good radiation oncologist to decide radiotherapy if not yet given. Hair loss is because of Encorate. Restoring the symptoms should be taken seriously and a repeat MRI should be considered after consulting with the neurosurgeon." + }, + { + "id": 23147, + "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": 20837, + "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": 3301, + "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": 17127, + "tgt": "What is the reason for nausea, chest pain and dizziness during periods?", + "src": "Patient: Hi doctor, I am 37 years old. My height is 5'4\" and weight is 250 lbs. I have 4 kids. I am having high blood pressure and also suffering from migraines. I am currently on my periods. I woke up this morning about 6:30 AM and was fine. I started feeling tired when I drove my daughter to work at almost 12 and when I got home I started feeling sick. I felt uncomfortable with my stomach, dizzy and like I had to vomit. Then, my heart felt like it hurt. I ended up vomiting, but I still feel sick and my chest hurts on and off. I am also getting like a hunger pain, but I am not hungry. I tried to vomit again, but nothing happened. I do not feel any shortness of breath, sweating or any other pain anywhere else. I am currently on Propranolol-ER 60 mg and Losartan HCT 12.5 mg. Doctor: Hello. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20278, + "tgt": "What is the line of white and black patches in gums?", + "src": "Patient: Hi doctor, I have a line of white and black patches in my lower gums. What could it be? Doctor: Hi. Your chief complaint and attachment show pigmentation which can be due to various reasons (attachment removed to protect patient identity). Physiological due to the activity of hormones MSH (melanocyte-stimulating hormone) or taking any kind of drugs like Minocycline, mouthwashes or endocrine issues or poor oral hygiene like calculus or deficiency of iron or anemia or jaundice. Your chief complaint is incomplete so it is difficult to arrive at a proper conclusion. If it is from birth, then no problem and if is a recent finding then you need to forward further history about drugs, diseases or any change in your health. Still, I suggest you go for a general oral examination and you may need scaling and root planing as well." + }, + { + "id": 6574, + "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": 17828, + "tgt": "What are the possible measures to control diabetes?", + "src": "Patient: Hi doctor, I am taking the following medicines for my diabetes, Amaryl 2 mg 1-0-1, Onglyza 5 mg 0-1-0, Losar A 1-0-0 and Hosit-L 0-0-1 I would like to know if\u00a0these medicines can control and regulate my diabetes? If not, please advise me some tablet to bring my sugar level down and\u00a0get better\u00a0control of my diabetes. Doctor: Hi. I saw your blood reports (attachment removed to protect patient identity) and medications as well. Revert back with the blood sugar report to a diabetologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 20681, + "tgt": "I had LASIK surgery and vision in right eye is blurry after stopping eye drops. Why?", + "src": "Patient: Hello doctor, I had LASIK eye surgery one week ago. After stopping my prescribed eye drops, I noticed my vision in my right eye is blurry. Doctor: Hello. I understand that you had LASIK done a week ago. The drops prescribed after the surgery usually include a tear supplement or lubricant along with antibiotics and steroids. The antibiotics and steroids help with the healing process. The tear supplements are to maintain the normal level of tear secretion found in the eye, this is because, during the surgery, the nerves helping natural tear production would have been severed resulting in dry eye. Hence, in most countries, the tear supplements are continued for around a month or two. The cornea also takes around 2 to 3 months for complete healing and remodeling after surgery, so do not worry about temporary changes in vision. My advice to you is please go through your post operative drugs chart again and see if you still need to continue your postoperative medication. Given that you have only around two days until the review, you can safely use your drops with the recommended dosage without the risk of any major side effects. You should consider meeting your ophthalmologist sooner in case of redness or severe foreign body sensation or discharge which makes your eye stick together in the morning or frank pain in the eye." + }, + { + "id": 30171, + "tgt": "I do not like to wear glasses. What is your opinion about contact lens?", + "src": "Patient: Hi doctor, My eye power is -5 on the left eye and -6 on the right eye. My doctor prescribed me glasses, but the glass is big. So, I avoided wearing glasses for a year. Will it cause any problem to the eyes? I do not like to wear glasses. I am thinking about contact lens. Please suggest me. What I want to do now? How to take care of my eyes while using a lens? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29607, + "tgt": "What should we do for our son's undescended testis?", + "src": "Patient: Hello doctor, My son is 11 years old. He had undescended testis. The doctors found it diminishing, and they removed it through surgery. The other testis is still undescended. It is very small in size, and as per doctor the cord attached to it is small and hence cannot be brought down. Kindly advise. Doctor: Hi. Orchidopexy on the right side. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23008, + "tgt": "I unhealthily lost weight. Will I gain it back if I start eating normally again?", + "src": "Patient: Hi doctor, I am an 18-year-old, 5'5\" girl. Over the course of a little over a month, I have gone from around 153 to 130. I have experimented with long fasting days, days of very low calories, and some exercise, also a plant-based diet. Of course, I know I unhealthily lost all this weight, but now I am scared that if I start eating normally again will I gain it back? This cannot happen. What do I do? I am an athlete as well and need to be ready for my soccer preseason in two months. I have been overweight my whole life, and I cannot be fat again. Doctor: Hi. Need not worry. You need to work on a perfect plan to maintain your health according to given data. Height 152.4 cm, weight 58 kg, BMI 25.3. Your required calories for your age is 1600 to 1700 kcal/day. Since you are an athlete, divide these in carbohydrate 300 g, protein 60 to 65 g, fat 20 g. Now with these, divide your meals into small portions of 6 to 7 meal pattern. Increase fiber and fluid intake. With these you will maintain and reduce weight depends on work out and you can maintain good stamina. All the best for soccer tournament. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 3758, + "tgt": "My creatinine level is 3. 11. What medicine should I take to lower it?", + "src": "Patient: Hi doctor, I have hypertension and diabetes for 25 years. I am taking 250 units of Insulin for six years. GFR 20 creatinine is 3.11. Should I take Cremaffin to reduce the creatinine? I am taking Aten 100, Telmisartan 80, Benina 8mg. I had edema in legs and started Lasix 120 mg and Zyloric 500 mg. My weight had gone up suddenly by 10 kg. I weigh about 100 kg. I had a kidney stone of 15 mm six years back and now it is 7 mm. Suddenly my weight increased and so the BP. I was taking Amlodipine but now changed to Benina 8 mg. Doctor: Hello. I have seen the reports sent by you. (attachment removed to protect patient identity). Your creatinine is 3.1 which is not very high. Also, your other blood reports are fairly fine. But your HbA1c (glycated hemoglobin) is high. It should be below 7. Your diabetes is not under adequate control. Other parameters like calcium, sodium, and potassium are fine. You are presently suffering from diabetes and hypertension-related chronic kidney disease. Your treatment should include: 1. Adequate control of diabetes and hypertension. 2. Proper exercise and lifestyle changes (no smoking and alcohol). 3. Fluid intake should be 500 ml more than the total urine output. 4. Diabetic renal diet is very important (can consult a dietician for proper diabetic renal diet). 5. Other antihypertensives, Lasix, and Insulin to be continued as it is. 6. Cremaffin will not help in reducing creatinine. As it is chronic kidney disease it is irreversible and your goal should be only to prevent progression by strict diet and medicines." + }, + { + "id": 27317, + "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": 9093, + "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": 7884, + "tgt": "Had sex after 11 days of abortion and had plan B pill. How likely is it that I am covered?", + "src": "Patient: Hi doctor, I am a 31-year-old female who just had a surgical abortion. It was my first and only pregnancy. I started taking the pill immediately (the same day as the procedure) and have taken it religiously at the same time daily ever since. I was put on Doxy as an antibiotic to make sure I did not get an infection after the procedure. I finished the full course of antibiotics. I had sex with my boyfriend 11 days after abortion and took the Plan B pill the next morning within 15 hours. Between my regular pill and the emergency contraceptive is taken so soon, how likely is it that I am covered? Doctor: Hello. Thanks for the query. Firstly as you had a surgical abortion, it was any way sure that you would not ovulate soon in this cycle and your menses would be delayed. But, you chose to be on the oral contraceptive, which was correct, but at the same time, Doxycycline as an antibiotic would have reduced the efficacy per se. So after 11 days of abortion when you had sex, it is unlikely that you would have ovulated for another four to five days. But, to cover up, you took a Plan B pill (emergency contraceptive pill) which is again protective towards pregnancy in your case. So, overall you are protected, and I suggest you should stop your daily contraceptive pill as of now and wait for a early withdrawal bleed and then can restart the pills from day 2 of bleeding. You are pregnancy safe. Relax." + }, + { + "id": 586, + "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": 17275, + "tgt": "I have poor digestion, bad appetite, and feel nauseous. Please help", + "src": "Patient: Hello doctor, I am a 35 year old male, and I am 155 cm tall and weigh 36 kg. I feel that my digestion is very slow from the past 13 years. I am often constipated, and my appetite is bad. I feel nauseous, burp a lot, and find it hard to digest sweet. I tried taking Rabeprazole and enzymes for this problem, but I have not tried taking any medication continuously. Doctor: Hi. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6864, + "tgt": "Does mild LVH cause sudden palpitation and dizziness?", + "src": "Patient: Hello doctor, I am a 26-year-old male. I am doing regular exercises, but one day at night I got sudden palpitations, dizziness feeling, high bp, so I went to the emergency room my ECG was regular, sinus tachycardia after that few tests were also done. Lipid profile was normal with no diabetes, and no cholesterol, TMT was negative, but in ECHO it was showing mild LVH, but my doctor said my heart is fine no problem with it. He said it was due to anxiety. So I want to ask is mild LVH a problem. I get anxious because of my heart health. Doctor: Hello. I believe by regular exercise, you mean that you are involved in some muscle-building activities and some aerobic exercises. The symptoms you described were sudden onset palpitations associated with dizziness continuously, and by the time you reached ER, the palpitations were settled. Is that correct? Next, you had a normal ECG (done when symptoms subsided) and normal TMT. Although this is reassuring but does not entirely rule out disease. Now, your Echo revealed mild LVH. My assessment will be following diagnoses based on some assumptions above in order of likelihood, 1. Normal - Although I have not seen the echo films or it the report but assuming it is mild concentric LVH, this can be found in athletes and is nothing to be worried about. This is the most likely possibility so you can rest assured. 2. Supraventricular tachycardia which subsided by the time you reached the ER and only fast heart rate was present due to anxiety. Less likely possibility but not a condition to be worried about now as this condition is usually intermittent and not at all dangerous. It is diagnosed often when ECG did while symptoms are happening. If you had symptoms when ECG was done, this is even less likely. 3. Ventricular tachycardia in a structurally normal heart, very less likely. This also is a benign condition in a normal heart. So, in a nutshell, your doctor was correct. Most likely this is nothing but regular sinus tachycardia. Kindly follow these things, 1. Rest assured. 2. Continue with your regular exercise. 3. Maintain a healthy lifestyle- no smoking, low carbohydrate diet, maintain body weight (BMI <25.5 kg/m2)." + }, + { + "id": 2771, + "tgt": "Ultrasound of thyroid suggests diffuse thyroid enlargement with small nodules. What does it mean?", + "src": "Patient: Hi doctor, I went for an ultrasound for my thyroid and the result is diffuse thyroid enlargement with small solid nodules consider adenomatous thyroid hyperplasia. My T3 result is 2.59, T4 135.4 and TSH 17.34, this result was taken before two months. After a month, I took T3, and T4 again resulting in T3 2.52 and T4 95.59. The last clinic gave me a food supplement black cumin seeds oil and vitamin D3. My question now is what does the ultrasound mean? Anyway, I am a male of 39 years old. Doctor: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you had enlarged thyroid gland due to hyperthyroidism and the ultrasound also meant that the thyroid gland was enlarged simply because it was hyperfunctioning. And now that you are on medications which can possibly help them with normalization of their function and they might as well likely reduce the size of the gland as well. I hope this helps." + }, + { + "id": 1027, + "tgt": "Is it true that baldness is hereditary?", + "src": "Patient: Hi doctor, I am 20 years old. My hair is getting thin. As my father is bald, \u00a0I fear that I will also get bald. Also, I want to improve my skin texture. Please help. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27753, + "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": 28082, + "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": 5656, + "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": 16764, + "tgt": "Can I eat avocado if I am taking blood thinners?", + "src": "Patient: Hi doctor, I am taking Sintrom, but I was wondering if I can eat avocado. Doctor: Hello. Hope it helps. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14627, + "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": 3809, + "tgt": "I had periods after intercourse. Will it be implantation bleeding?", + "src": "Patient: Hi doctor, I am a 24 year old unmarried lady. Now, I am in a very panic period of stress and in seek of your advice. I had intercourse with my fiance on the first day of my periods and again after 20 days that is on my most fertile day. I got my periods 13 days later and it lasted for around three days. First two days of the periods were little heavy compared to the third day. Usually my periods are a bit heavy and will last for at least five days. I am worried about pregnancy after reading articles on implantation bleeding. In order to get rid of this confusion I took two home pregnancy tests and both came up negative. Later on I underwent a beta-hCG test and the value was 8.33. As it was more than 5, I went for another test in two days and the value got down to 0.75. Now please tell me whether I am pregnant or not. Doctor: Hi. I understand your concern. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7095, + "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": 1972, + "tgt": "I get recurrent flashes in the right eye. At what point is this situation an emergency?", + "src": "Patient: Hi doctor, I am a 63-year-old female. I started getting flashes in the right eye a couple of days ago, and now have a floater in the shape of the flashes. I was not too worried. But today flashes have started up again in the same area. Given the pandemic, eye doctors are only open for emergency care, and I really do not want to get exposed. At what point is this situation an emergency? I am currently on estrogen patch, Sertraline, and Nexium. Doctor: Hello. Flashes can signify many conditions affecting the inner layers of the eye starting with the vitreous (the gel structure pressing down the retina - in high myopes it is usually dissociated) where floaters are usually located. If you have high blood pressure or diabetes, elements of blood can form in that space and start floating (floaters). The way to detect if it is in the vitreous is to look sideways and if the floater follows the motion of the eye (slowly in the same direction) then it is in the vitreous and does not require quick intervention. If the distortion is in the same position in whatever direction you look then we are talking about the retina and retinal detachment which should be urgently excluded. If you are seeing a halo around the source of light then your eye pressure might be increased and requires urgent attention." + }, + { + "id": 19401, + "tgt": "Can prostatitis cause the veins in my urethra to get darker and inflated?", + "src": "Patient: Hello doctor, I am a 29 year old male, who has prostatitis.\u00a0My prostatitis symptoms flared up four months ago, after eight months of partial remission. Last week, my pain got worse with\u00a0cramping over my pubic bone. Now, the discomfort and\u00a0cramping comes in multiple places simultaneously (perineum, penis, rectum, and over the pubic bone), they get me very tired and stressed, and I tend to feel cold. I also feel pressure at the base of the penis and some pressure and itching in the urethra and outside the penis. I had not experienced pain in so many places before. I am quite concerned about this and do not know what is causing this. What will be the next line of action? In the past four months, I also noticed that from time to time, the veins in my urethra get darker and inflate slightly, changing the color of my urethra especially, if I sit down for a long time on an uncomfortable seat, is this normal? What could cause this? Does my MRI of pelvis show any abnormalities? I have also attached two figures of the urethra, and the images may not show the true color of the veins. Prostatitis symptoms like penile pain, pain during and after ejaculation, pain while starting urination, perineum pain, rectal pain, and lower back pain, started more than three years ago. Few months after a sexual encounter, I had a sharp feeling in the tip of the penis. The medications that I took are Cipro, Doxycycline, and Septrin.\u00a0While taking these antibiotics, I only felt a slight improvement, and immediately symptoms returned after stopping the medication. I had to stop all antibiotics, due to adverse side effects (stomach related). Symptoms such as pain after ejaculation, pain in the perineum, and penile discomfort returned immediately after few days. But, after 3 to 4 weeks they became negligible. For next six months, my prostatitis related issues were minimal but it would flare up if I did any sports. During this time I had severe stomach issues (bloating, constipation, food sensitivities). As my stomach issues improved and as I got active, on one occasion while having sex I felt the same pinch in the tip of the penis, following this, in the course of two months all my symptoms were back. After this, I went through the discomfort for four months, during this time I realized that my semen's color has changed to yellow. Following this, I managed to reduce my discomfort by diet and avoiding sitting on normal chairs. Four months ago, my symptoms started again after a day of sitting on a normal chair for an hour followed by a sexual encounter, this time the symptoms did not leave. At this time, I started having pain after walking and also the sensation of an unemptied bladder a lot. I started undergoing internal pelvic floor therapy, which reduced some of my lower back pain; however, my pelvic floor became very sensitive, on two occasions some physical activities started horrible spasms in my pelvis for days. Four weeks ago, I sensed a pain over my pubic bone. However, last week after trying some Magnesium supplements, this pain increased. The next day after an ejaculation, my urethra was very sore, and at night the pain over the pubic bone came about, and it was awful. The day after, I was in a lot of pain, I could not stand up from the pain. Since then I feel multiple places spasm at the same time in my pelvis, pubic bone, the\u00a0base of the penis, and lower abdomen, which triggers horrible sensation in my body. Please help me. Doctor: Hi. I am really sorry to know about your problems.\u00a0I have gone through your MRI images and other reports (attachment removed to protect patient identity), and all reports are normal. I hope I have answered your queries and guided you. Please get back to me in case you need any further clarifications. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 4050, + "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": 2635, + "tgt": "I did not get periods, and I am a week late. What to do?", + "src": "Patient: My periods are not coming. It's one week more than the previous date. Nothing happened like this with me previous Doctor: Hi, Usually 28 plus minus 7days is considered a normal length of menstrual cycle. So if this is the first time you had skipped your periods , I would advise you to wait for another week, if you still do not get your periods you can take the following medication mentioned below for your withdrawal. Also keep a track of your menstrual cycles, if this gets repeated we need to evaluate it further. and please check your urine pregnancy test if you are a sexually active individual (or else you can ignore if there is no history of any contact). stress Thyroid Profile, Hemogram, Serum prolactin, Ultrasound Abdomen & Pelvis, thyroid abnormalities, PCOS FOR WITHDRAWAL BLEEDING --- To take Tab. Meprate or Deviry or primolut N or Regesterone 10mg twice daily for 5 days and then stop. -To wait for withdrawal bleed within next 7-10days. Regular excercises, avoid weight gain, to follow up with the blood tests & ultrasound as advised" + }, + { + "id": 6727, + "tgt": "My wife is using ipill. Please suggest best regular contraceptve pill with less side effects", + "src": "Patient: Hello doctor, I had unprotected intercourse a few days back, and my wife took ipill after 24 hours. We again had unprotected intercourse 7 hours after she took her ipill. Does she need to take another ipill, or the first will work? Please tell me the side effects of the regular contraceptive pills and suggest the best one. Doctor: Hello. Your wife need not take another ipill. Please remember it is not safe to use ipill in the manner that you have been doing. It is best to get on regular contraception, and condoms are quite effective in contraception if you have apprehensions towards using the pills. If your wife does not want to use pills, then I could suggest Yasmin or Yaz. It has to be taken according to the instructions given on the back of the pack, starting from the second day of the period. It has little to no side effects as compared to other contraceptive pills." + }, + { + "id": 16161, + "tgt": "Will my abdominal pain after cholecystectomy throw me into SVT?", + "src": "Patient: Hello doctor, I am 29 years old male, 5'7\", 235 lbs. I am suffering from SVT, degenerative disc L4 to S1, ulcerative colitis. Have undergone appendectomy (more than 10 years ago), tonsillectomy (more than 10 years ago), cholecystectomy (three years back). Medicines I am taking are Lopressor 50 mg twice daily, Norco 10 mg (as needed), Bentyl 20 mg. For the last three days, I have been having severe abdominal pain. Similar pain as when I had gallbladder attacks. Started out as come and go thing. But all day has been constant. I had also been vomiting. At least six times today. Not able to keep any medicines down or food or liquids. For the last few hours now I have been having episodes of SVT. Not lasting longer than 20 minutes and the maximum rate was 210. However, I have been able to vagal down each time. I am currently at the normal rate but my BP is high (176/110). Can my abdominal pain throw me into SVT? I have not had an episode like this in quite a while. Usually well controlled. Mostly my concern is with the abdominal pain as this is very painful and becoming intolerable. Doctor: Hi. Your symptoms are most likely a classic case of post cholesystectomy syndrome which occurs roughly after two years post cholecystectomy, like your case. This can be dealt with by dietary modification like fat-restricted diet and oral ursodeoxycholic acid if there are persisting stones. An abdominal ultrasound can identify it. Hepatitis could also be a possibility so do not take Aspirin or any NSAIDs. Antispasmodics can help with the pain. As for SVT (supraventricular tachycardia), anything can set off an attack like stress, exertion. So, in your case, the severity of the pain could be causing it. You need to get both your heart rate and blood pressure down as soon as possible. You might need injection Adenosine. Take an antispasmodic for the right quadrant pain. I understand all these medications require a prescription. Upper abdominal ultrasound. Acute hepatitis. Postcholecystectomy syndrome with supraventricular tachycardia. Prescription drugs like a beta blocker or Adenosine, antispasmodic for pain relief, Ursodeoxycholic acid if microlithiasis. Avoid fatty food." + }, + { + "id": 12234, + "tgt": "How can I cure stye with painful dry eyes?", + "src": "Patient: Hi doctor, I have recently developed something that looks like a stye but is not where most are positioned. The stye is on the center of the eyelid just above the pupil area when the eye is closed. I was wondering how to get rid of it as it is disturbing my vision every often. The eye is dry all the time and aches once in a while but the stye is not painful at all. If there is any help or advise you could give to attend this matter, that would be highly appreciated. Doctor: Hello. I have gone through your photo attachments (attachment removed to protect patient identity) and understand your concerns. Since the swelling is not at the eyelid margin, it could be an internal type of the stye called hordeolum internum. A stye is expected to have symptoms such as pain, redness and watering and frequently goes away with treatment in a few days. Suppose the swelling has been present since a few weeks and has no pain, it might have progressed from a stye to a chalazion, this stage needs surgical treatment. There also is the possibility that the swelling may not be a stye. It could a cystic or fibrous swelling. A simple eye examination will be able to diagnose these lesions. So, I advise you to continue with the eye ointment and give hot fomentation with a clean cloth or some cotton. This will help for both stye and chalazion. If the swelling shows no signs of reduction, I suggest that you meet with an ophthalmologist." + }, + { + "id": 1525, + "tgt": "My mother is on insulin with fever. Please help", + "src": "Patient: Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from fever right now. So my question is, Do this fever occur due to high amount of insulin even though she was within limits now? Now, what should we do? How much insulin should she take? Doctor: Hi. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will not cause fever, whatever dose you are taking. But uncontrolled diabetes can be a trigger for infections like urinary infections, chest infections, and even be more cautious about insulin site infections if you are not properly injecting. Please make sure you are rotating the sites of injection between the abdomen, thighs, and upper arm. ? Viral fever, ? UTI (urinary tract infection). Urine routine, HBA1c (glycated hemoglobin), serum creatinine, CBC (complete blood count) with ESR (erythrocyte sedimentation rate). Continue insulin in the prescribed dose. Rotate insulin site. Do regular exercise for 30 minutes per day. Follow strict diabetic diet. Review with the above reports. Please attach your old prescription" + }, + { + "id": 27737, + "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": 10654, + "tgt": "I used water bottle of a person who was diagnosed with Mono. Am I at risk?", + "src": "Patient: Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six per day. Doctor: Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt." + }, + { + "id": 14056, + "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": 28686, + "tgt": "I feel soreness in my thighs. Kindly suggest the diagnosis", + "src": "Patient: Hi doctor,I have soreness in my inner thigh that hurts when I touch. It just came on suddenly. I feel burning sensation occasionally. Please advise the diagnosis. Doctor: Hi. Revert with the photos to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18059, + "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": 25433, + "tgt": "For how long can probiotics be taken in abdominal problem?", + "src": "Patient: Hello doctor, I am suffering from health problems for the last 10 years, mainly abdominal problem (excessive gas) and mood swings. Actually, I had taken two terms of nine months Rifampicin. After that, the digestion problem and mood swings continued. A lot of tests were done in different big hospitals. All the reports were normal. I finally took PPI and antidepressants but no relief. These days, I am taking a probiotic - Darolac capsule two times a day for last 15 days. But I am feeling tremendous relief in mainly mood swing and normal stool color. Otherwise, it was changing continuously and my life was miserable. I want your suggestion. How long can probiotic be taken and what is the dosage? Is it safe? Doctor: Hello. I understand your concerns. From what you mentioned, you have irritable bowel syndrome. Darolac (Lactobacillus) is a good treatment which helps replace disturbed gut flora.It is safe OTC medication, with a maintenance dose of one capsule per day. You can increase it to two times per day if there are symptoms. IBS (irritable bowel syndrome) is not curable but controllable. There are some precautions if you take antibiotics along with Darolac, separate the two medications by at least two hours. There are many medications that can be taken for IBS, including Loperamide if there is diarrhea, Senna tablets if there is constipation, Librax (Chlordiazepoxide and Clidinium) if your symptoms are related to anxiety. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12873, + "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": 10586, + "tgt": "What does mild LA dilation in sonogrpahy indicate?", + "src": "Patient: Hello doctor,I am a 48-year-old male with 5\u201d8 height and 250 lbs in weight. No health problems. Blood pressure is 118/70. Total cholesterol is 165, LDL is 99, Hdl is 46 and Triglycerides 101. Had sonography of heart and said I had a mild LA dilation of 4.8 cm. Please help. Doctor: Hello. No major concern but it would be important to know why your left atrium is dilated. It may be because of higher blood pressure or problems with the heart valves or due to any heart muscle problem. I recommend you see a specialist as you might need some additional workup, perhaps a heart rhythm monitoring and or a stress test. High blood pressure, and valvular disease. Heart rhythm monitor." + }, + { + "id": 18254, + "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": 17654, + "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": 12951, + "tgt": "Why am I vomiting so many times a day during pregnancy?", + "src": "Patient: Hi doctor,I am 13 weeks pregnant. I vomit almost 10 times a day. I could not focus on regular works at home. Lost 6 kg in 20 days. Is that normal? Feel moody more at times. But will having sex affect my baby? Doctor: Hello. If you are vomiting frequently and has lost weight, you must see your local doctor as soon as possible for IV fluids and accurate management to control the vomiting. Excessive vomiting can adversely affect the baby as well as your health. And having sex does not affect the baby's health." + }, + { + "id": 7755, + "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": 27648, + "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": 26105, + "tgt": "Can being on your menstrual period raise the platelet count?", + "src": "Patient: Hello doctor, I am 40 years old.\u00a0I recently had a full panel of labs done and my platelet count was elevated as was my hs-CRP. All other labs were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated with low doses of T3 and T4. My thyroid is inflamed, and though a\u00a0formal diagnosis of Hashimoto's is not made, it is suspected. I have high-risk HPV but my pap six months ago indicated everything was fine. What could be going on? Doctor: Hello. The report provided is not alarming.\u00a0Take care. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 27185, + "tgt": "My dad fell unconscious and we did an echo. What do the reports say?", + "src": "Patient: Hello\u00a0doctor,Ten days ago, my dad\u00a0collapsed\u00a0on the street. We rushed him to the hospital\u00a0and made an echo. Also, he was suffering from high blood pressure but, nowadays his blood pressure is low. This was the first time it happened to him after he took Avodart and Tamsulin. His reports read as follows: LA PSL 4.1 cm, aortic root 3.8 cm, LVEDd 6.0 cm, LVESd 4.8 cm, IVSDd 1.2 cm, LVPWd 1.1 cm, FS 19%, EF 39 %, and RV 1.8 %.\u00a0I wish to know what these heart echo results mean. Doctor: Hello. He probably fell due to low blood pressure induced due to Tamsulosin. However, there are possibilities like heart rhythm abnormalities and rapid heart rate as his heart function is also low. The echo report indicates that his heart function is low and it is 39 percent. The normal functioning is around 55 to 60 percent. A low function is likely due to coronary artery disease and blockages leading to heart damage. So, I suggest he have ECG (electrocardiogram), Holter monitoring, and angiography followed by angioplasty if needed. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 2404, + "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": 5141, + "tgt": "I have a dark bump like spot in front of my tragus. What is it?", + "src": "Patient: Hi doctor, I have a dark bump like spot in front of tragus. Ever since I have noticed this small bump it has got flattened and less puffy. I have some other spots too. I guess it is not a keloid. I went to a facialist and she stated it as not a pimple. I just need a clarification of what they are? What should I do now? Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and I do understand your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2116, + "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": 10168, + "tgt": "Does vaginal itching after sex indicate STD?", + "src": "Patient: Hello doctor,I had sex with a prostitute last week. I used a condom, but I played her vagina with my hand. I came back home that night and had sex with my wife again. I also played her vagina with my hand. Next day, she had her periods and felt itchy at her vagina (I think genital herpes). So she scratched her vagina, and it became a damaged spot under the vagina. But it is better now and is about to heal. Is this STD or not? Doctor: Hello. It may be normal, but I cannot deny from STD (sexually transmitted disease), and it may be herpes and vaginitis too. 1. Apply Betnovate-N locally up to deep in the vagina, after proper wash two times a day till required. 2. Ciplox TZ (Ciprofloxacin, Tinidazole) two times a day after food for three days. 3. Candid veginal tablet at night for six nights.It will be fine. And it means you believe in polygamy, which is one day become dangerous. Be loyal, and you can use her ten times a day. So she will remain healthy so as you. If she has vaginitis, you also can get the infection." + }, + { + "id": 30097, + "tgt": "I am experiencing weight loss, stomach burn and throat pain. Why?", + "src": "Patient: Hi doctor, I feel nausea and painful throat. It is paining inside the throat and some coffee color blood came out from the throat while spitting. I am experiencing unexpected weight loss for the last four months. I also have nausea, chest pain and stomach burning. I had an endoscope and a blood test. My doctor prescribed me to take Montek-LC and Medrob 4 mg. Please help. Doctor: Hi. I have gone through your query and attached files (attachment removed to protect patient identity). For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12367, + "tgt": "After splinting tooth, is it normal to get toothache?", + "src": "Patient: Hello doctor,I have a question regarding my lower front tooth. It was luxated and I when I visited my dentist, he said he could save the tooth and he put a splint on my lower six front teeth. He said I should wear it for six months and that, in time, would heal. It has been four months now but I still cannot chew anything with my tooth because it hurts on pressure. Is this normal and how long do I need to wait for it to heal completely? Doctor: Hi. It would have become normal by the third month and in the next three months, it might become more firm. But, if you are still having pain and pressure then it indicates that it might not be saved and ultimately might go for extraction if luxation is grade 3. If luxation is minor grade 1 then you can get root canal treatment done of the tooth in question and get the bridge done in anterior teeth, then it might be covered under the bridge and will be saved in the arch. If mobility is greater then get it extracted. And yes, since the dentist has said for six months time period, do it. Meanwhile, keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day. It helps tooth to get firm in the gingiva. Keep doing it for the next two months. Miracle can definitely happen. If not, then I have told you already what should you opt for. Stay happy and blessed." + }, + { + "id": 25954, + "tgt": "Will nootropics and biohacks make me more productive at the workplace?", + "src": "Patient: Hello doctor, I am a 45-year-old male working at a mid-senior level in an IT company. I have palpitation problems and a high BP. I have been having this for more than eight years. I have come across many social websites where they talk about Nootropics and Biohacks and people mention that it really enhances their performance in their workplaces. They have also mentioned that it enhances focus, motivation, clarity, and gives improved memory and I would like to know whether it is good to take these medicines. If yes, please do prescribe medicines. Currently, I am on Feliz S Plus 0.5/5 mg once a day and Lonazep 0.5 once a day. If you need any further details about me, please do let me know. Doctor: Hello. I would not recommend taking such substances at your age because of their adverse effects of anxiety, insomnia, nausea, and etching. These adverse effects may lead to the contrary like lack of concentration and low performance in work. They are usually recommended for older ages. Instead, I would recommend taking a multivitamin supplement combined with Omega-3 DHA because they can improve your mental and physical performance in a more natural way without any adverse effects. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24873, + "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": 28089, + "tgt": "My son has nephrotic syndrome with focal segmental glomerulosclerosis. Please advice", + "src": "Patient: Hello doctor, My 12 year old\u00a0son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicarbonate and Cilnidipine. Please suggest the course of\u00a0action. Doctor: Hello. Please furnish the following medical information, so that I will be able to give you further advice. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14698, + "tgt": "Kindly explain the TRUS guided prostate biopsy report and further treatment", + "src": "Patient: Hi doctor, The patient is a 59-year-old male with whose weight is 52.3 kg and height is 166 cm. His PSA was 247.5. He had a TRUS guided biopsy, and the report is as follows. 1. Moderately differentiated adenocarcinoma.2. Gleason grade 4+4.3. Perineural invasion present. What does the biopsy report say? What will be the next step? What medicine should the patient take at the initial stage before any surgery? The patient is on Tamdura for the prostate issue and Diamicron MR 30 for diabetes. Doctor: Hi. I am sorry to know about the problem. The biopsy report says that prostate has a cancer disease. Since PSA is very high, it means that there is a chance that it has spread outside the prostate. The next step will be PSMA PET scan to find out the areas in the body affected by prostate cancer. If this scan is not available, you can get an MRI scan of the abdomen to check local involvement or lymph node involvement along with bone scan to find out bone metastasis. The treatment depends on the stage of disease. If it has spread to bones, then bilateral orchidectomy (removal of testes) is the standard treatment. If the patient does not want orchidectomy, then can get regular injections (once in 3 months) to suppress the testicular function. The patient should also take injection Zoledronic acid once in every 3-4 weeks to control bone spread. Other than these, there is a need for calcium supplements and iron supplements. Please consult the Urologist for regular follow up, since the treatment needs to be modified according to the response of PSA and clinical factors. PSMA PET scan or MRI abdomen with bone scan. Metastatic carcinoma prostate." + }, + { + "id": 2041, + "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": 4829, + "tgt": "Can Lasik or ICL implantation done by controlling the eye pressure?", + "src": "Patient: Hello doctor, I am having -9 spherical and -2 and -1.5 cylindrical power in my eyes. I have a border line eye pressure. Doctor said I cannot take laser or ICL surgery but can have ReLex Smile for that power. But it also needs some cornea tissues which is a risk factor for glaucoma. I do not know what to do now? Which treatment is better for me and the doctor just gave normal lubricant drops? Is there any treatment for me for refractive surgery by controlling eye pressure? Doctor: Hi. How much is your eye pressure? Did the doctor measure it with an instrument that puffs out air at you or was it a blue light instrument that he used to touch your eye with? From what you have told me, I understand that you are interested in refractive surgery. But the doctor refused to operate on you saying your pressures are high and that your power is too high for lasik. It is true that your power is on the higher end of the patients we usually consider for surgery so doing lasik and PRK (photorefractive keratectomy) is not possible on the eye with -9D but can be done on the eye with -2 and -1.5D. Putting an ICL (implantable contact lens) in your eye might increase your eye pressure. So I will not recommend that. ReLex SMILE can be tried in both your eyes if the surgeon is confident. I am guessing that he would have asked you to come for a follow up to re-check pressures. If the pressures were too high, he would have asked for visual fields and a few other tests for glaucoma. In either case, it all depends on the surgeon's experience and your eye pressures. If you can tell me about your eye pressure and your vision in each eye with -9D and -2/-1.5D, I could help you better." + }, + { + "id": 11470, + "tgt": "What is the treatment of receding hairline and hair fall?", + "src": "Patient: Hello doctor, I am 22 years old. My height is 165 cm and weight 67 kg. I have receding hairline and hair fall, for a year. I am not under any medication. Kindly advice. Doctor: Hello. I read your query and saw the attached files (attachment removed to protect patient identity). There can be many causes behind this kind of hair fall like genetic cause, nutritional deficiency or improper lifestyle, etc. If it is due to a genetic cause, then it will be hard to control with medicine. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Follow-up after two weeks. 1. Mahabhringraj oil for local application. Apply it on every alternate day and wash your hairs with mild herbal shampoo. 2. Take tablet Asthiposhak two tablets two times a day with water after food for two weeks. Take healthy and fresh food. I hope you understand my point. For more queries, you can consult me." + }, + { + "id": 22606, + "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": 19502, + "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": 17924, + "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": 5395, + "tgt": "I have pain and burning sensation while urinating with opaque white discharge. Why?", + "src": "Patient: Hello doctor, I am having an opaque, white discharge at the end of urination and it is painful and burning while urinating, and I feel a sharp pain on the tip of my urethra after urination. When I put pressure on my urethra (penis shaft) it hurts and I also have three inflamed lymph nodes in my right inguinal region, starting at the beginning of the crease. I went to my doctor and gave them a urine sample and tests shown no STI's but I am still waiting on my UTI test to be received. I did have unprotected sex but my partner had tested a week before and nothing came up, and also I was her only partner for awhile beforehand. I do have simplex 1 but no symptoms for years. No lesions, rashes or other abnormalities are seen in my genital area. This has been going on for about five days now, had unprotected sex exactly one week ago. Doctor: Hello. From the clinical description, I can say with confidence that the symptoms clearly indicate toward UTI (urinary tract infection) and particularly urethritis. There is no symptom that indicates toward STI (sexually transmitted infection) other than the history of unprotected sex one week back. That is also can be considered negative as your partner have no evidence of infection. Please visit your doctor and ask for an antibiotic prescription. I understand that reports are awaited but in my view, empirical prescription should be offered as you are having significant symptoms to compromise function and add unnecessary stress. Last but not least focus on treatment now but avoid taking the risk (unprotected sex) as far as possible. I hope this helps." + }, + { + "id": 3250, + "tgt": "I have burn-like mark which keeps increasing in size. What is it?", + "src": "Patient: Hi doctor, I have a small formation in my leg which developed approximately before three years. I have attached the images for your reference. It is brown in color, somewhat similar to a burn. It itches sometimes and it is very dry in nature. This formation was initially around 2 cm, but now has increased in size\u00a0to 7 cm, which is the reason of my concern. Whenever it itches I only use antiseptic lotions - Suthol. Besides, I have Parkinson's disease and I take sleeping pill every night. Please advice. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity) and well understand your concern. You are having lichen simplex chronicus (LSC). It arises because of repetitive scratching or rubbing. I could see thickening of the skin with variable flakes. Lichen simplex chronicus usually described as stable, itchy and thickened one or more areas. However, thickening of the skin occurs on any location that the patient can reach, like nape of neck, extensor forearms and elbows, scrotum, upper medial thighs, knees, lower legs and ankles. In your case it involves extensor aspects of ankles. Cause for LSC includes age related dryness, venous insufficiency like tortuous veins or pooling of bloods due to prolong standing or weakness of blood vessels wall due to aging and eczema in old age due to bath with hot water (asteatotic eczema) are common factors. 1. Age related dryness. 2. Venous insufficiency like tortuous veins. 3. Pooling of bloods due to prolong standing. 4. Weakness of blood vessels wall due to aging. 5. Eczema in old age due to bath with hot water (asteatotic eczema). Skin biopsy for histopathological examinations and serum immunoglobulin E. 1. Lichen simplex chronicus. 2. Neurodermatitis. Lichen simplex chronicus. 1. Apply Xerina cream (Glycolic acid) or Moisturex cream (combination of Urea, Liquid Paraffin, Propylene glycol and Lactic acid). Wait for 15 minutes and then apply topical steroids with Salicylic acid should be applied twice daily for two to four weeks and also take one tablet Levocetirizine once daily for similar duration. 2. Propysalic NF lotion (Clobetasol and Salicylic acid combination) occlusive dressing will be more helpful. The method of occlusion is after application of Propysalic lotion put flat polythene cover then cotton bandage and leave it for whole night for two to three days, occlusion is not need in day time. 3. You can also try injection Kenacort (Triamcinolone acetonide) 10 mg/ml 0.1 ml/cm^2 intralesional at the three weeks interval should be given by dermatologist. Try to avoid scratching. Whenever you feel itch apply moisturizer or dip wet cotton in normal tap water and put over it. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25978, + "tgt": "I will have sex for the first time. How can I prevent pregnancy?", + "src": "Patient: Hello doctor, I am going to have sex for the first time with my fiance. We have decided that he will be using a condom for protection. But to be 100% sure about not getting pregnant, I want to take pills. We will be together for a week so there are chances of having sex every day in that week. Which pill would work best and also not affect my regular period and hormonal health? My period cycle is almost accurate all these years and I do not want to disturb it. We will be meeting after seven days from now. Please guide me. I had my last periods seven days ago. Doctor: Hello. I have gone through your history and understand your concerns. As such if you are using a condom properly, there is no chance of pregnancy. But for extra precaution, you can use combined oral contraceptive pills. Usually, it should be started on the first day of your menses but you can start on the fifth day of your cycle on a daily basis. So you should start it from today itself. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3067, + "tgt": "I have removed my brackets wire because it was poking. Will it have any adverse effect?", + "src": "Patient: Hello doctor, My wire was poking out on one end and I attempted to put it back in place but it would not stay. I wanted to let it go until I could get it fixed by my orthodontist but it was scratching the inside of my cheek so I used tweezers and removed all the rubber bands from each individual bracket and then removed the wire. All of the orthodontist offices near me are closed for the weekend. Is it safe to wait until Monday? Doctor: Hello. As per your description, you have removed wire from all brackets and now no wire is there. Ideally you should not do this. This may hamper your treatment progress. When your wire was disturbing you then you should have contacted your Orthodontist atleast by telephone. For reducing discomfort other things are there like use of Orthodontic relief wax to reduce irritation from wire end or bracket projections or use of wet cotton pellets, instead of directly removing wire. As there are more 2-3 days that your brackets will not have wire or any force will not be there, so there are chances of getting your teeth malpositioned or loss of alignment. Again at what stage your treatment is going on is not mentioned. This step will hamper the progress. Now, I advise you to visit Orthodontist as early as possible. Again I would like to see images of your concern area." + }, + { + "id": 19627, + "tgt": "Why are my biceps so painful after gym workout?", + "src": "Patient: Hi doctor, I am 31 years old, weight 69 kg and height 5 feet 7 inches. I recently started a gym, and this is the first time that I have ever done gym. My instructor made me do bicep curls and hammer. Post that, I did not feel any pain. But after approximately 24 hours, I felt pain in my biceps. My biceps are so strained that I find it hard to straighten my hands. Pain is in the biceps only. But, I am finding it difficult to do simple activities like wearing a shirt or washing my face. Whenever I try to bend or stretch my hands, I feel a lot of pressure on my biceps. I have been feeling this way for 24 hours post workout till now. I did a workout last week. Kindly suggest a remedy. Do I need to see a doctor or is it one of the side effects of workout? Doctor: Hello. Do not worry about your current complaint as it seems to be normal muscle soreness. Absolutely nothing to worry. I suggest you do a lot of icing over both biceps, gentle stretching to be done for both biceps, gentle massage over the biceps muscles. If you have any anti-inflammatory medication, you can have them as per earlier prescription for two days. Have a warm water shower before you go to sleep. Next time when you hit the gym, I suggest you to kindly do proper warm up and cool down to avoid such issues in future. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 6389, + "tgt": "I need to tighten up my body. Is whey protein or fiber powders advisable?", + "src": "Patient: Hello doctor, I need to tighten up my body. Is it advisable to take Whey protein or fiber powders? If so, suggest a good brand. If not, help me with foods that tighten the lower abdomen. Doctor: Hello, Welcome to icliniq.com. You can definitely get a more toned body. However, you need to work out four to five times a week, maybe around 40 minutes a day, and also give adequate rest to your muscles. Have high protein foods such as eggs (whites), chicken, turkey, etc. For protein supplements, any supplement with pure whey isolate is preferable. Make sure you are adequately hydrated and follow the proper guidelines mentioned in the supplement box. Working out, along with a proper diet, should be able to give you a nice toned body in a couple of weeks. Please make sure you drink adequate water while using the supplement, otherwise it can cause renal stones in the future." + }, + { + "id": 28366, + "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": 25773, + "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": 17337, + "tgt": "Why am I waking up automatically during midnight? Is this common in asthma?", + "src": "Patient: Hi doctor, I have a body pain in the back left of my body, and I have pain on the backside of the head. Nowadays, I am waking up automatically during midnight, and I have a feeling of having reduced breathing. I am an asthma patient. I am using Budamate 200 inhaler. Is this due to my asthma problem or any other? Doctor: Hi. I can understand your concern and your symptoms could be related to a tension-type headache. You can have a wrong posture. Waking up in midnight can happen due to asthma or a panic attack. For this reason, it is essential to do a pulmonary function test and a cervical spine X-ray study." + }, + { + "id": 30335, + "tgt": "My baby is unable to sleep due to colic pain. Please help", + "src": "Patient: Hi doctor, My daughter is 26 days old and suffering from colic pain. She is unable to sleep properly due to this and she will wake up in between sleep and struggle a lot to release gas. She used to sleep peacefully for 5 to 6 hours at a stretch, but now could not sleep even for 1 hour properly. Our pediatrician advised to give Colpep 8 drops day and night, but we did not see any difference in one week. So, he said to give Neopeptine 8 drops day and night 10 minutes after giving Colpep. We are giving this for the 2 days. Still baby is suffering and I am very worried due to this. How long it will take for this to cure? Is it correct to give Colpep and Neopeptine together as both look similar? Also, our pediatrician told to give Neopeptine and Colpep after feeding the baby wherein on Colpep bottle it has written to give 15 minutes before feeding. I am very confused with this. We are also burping our baby after every breastfeed. Please advise if we are giving correct medicine. Also, should I give Colpep before or after a feed? Our pediatrician suggested to give Zincovit drops to baby, which contains vitamin D3. But, we have a separate Vitamin D3 drops. Should we give both or Zincovit is sufficient? Please help and advice to reduce the colic pain and gas trouble. My baby is suffering a lot and I am not able to see her suffering like this. Also, her motion comes in small quantities every time and she releases gas. Is this normal? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14694, + "tgt": "When can we expect consciousness after a surgery for FTP contusion and acute SDH?", + "src": "Patient: Hi doctor, My dad is 60 years old. Before 15 days, he met with an accident and was injured on the right side of the head. There was bleeding on both the ears and some cholesterol like thing was there in one ear. We have noticed that, but not sure what it was. We have admitted him in the hospital and he had a surgery for left FTP contusion and acute SDH. He looks like he has eyeball movement inside, but he did not open his eyes still. What is the reason? How many days will be taken to open his eyes? When we speak something to him there is no response from him. Can we expect that he will get conscious? When we give him a pain he is moving his hand and leg, but when we touch him simply, there is no response. What would be the reason? Can we expect him back as he was earlier? He is not speaking anything. The injury was on the right side head and the operation was done on the left side. Would like to know why the operation done on the opposite side? Otherwise, he is passing the urine and motion regularly. I will also attach the scan report. Please look at that and help me on my doubts and provide me the status of him. Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. He is in coma. The time to recovery will be longer and we cannot predict that now. As he is in coma, he can only feel the pain and not touch. Also, he will not be able to react much while in coma. While in coma, the patient will be unconscious ans so he cannot speak. Moreover, since the injury is on the left side, the speech areas in the brain may be affected. Some injuries like fracture and EDH (epidural hematoma) occur on the same side. Some like SDH (subdural hematoma) and contusion occur on the opposite side. Since you have mentioned it as SDH and contusion, it would have happened on the opposite side." + }, + { + "id": 18681, + "tgt": "The color of skin under my breast is weird. What might it be?", + "src": "Patient: Hi doctor, I am 19 years old. About three days ago, I could see that the color of skin under my breast was weird. It does not hurt or itch. It is only on my left breast and on my right breast there is only like five small spots. I am very scared what it might be. Doctor: Hello. There is a possibility of pityriasis versicolor. Pityriasis versicolor is a superficial fungal infection caused by Malassezia furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. Clinically, it presents as light brown colored patches with fine, brawny scaling and resolves with post-inflammatory hypopigmentation. A single oral dose of an oral antifungal like Fluconazole 400 mg is curative. Itraconazole 200 mg once daily for a week is an alternative. Also, apply 2 % Ketoconazole lotion over the whole affected area while showering, lather it well and leave it on for five minutes daily for five days. Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for five to 10 minutes. Repeated recurrences are common and the patches may seem to persist forever, with new patches appearing while older one resolve. Revert back with pictures of the lesion to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16552, + "tgt": "How to tell the difference between withdrawal bleed and implantation bleed?", + "src": "Patient: Hello doctor, I am a 19 year old\u00a0female. I had my menses two months ago. I then had unprotected sex with my fiance when I was in my\u00a0fertile period. I took an I-pill within four hours. The next day we again had unprotected sex and he came inside me. This was about 12 hours after having the first I-pill. After that, 60 hours later I again had an I-pill. Then 12 days ago, I started bleeding. And, it was lighter than the normal periods. It lasted for four days. Even now, I have minor stomach cramps, lower back pain, and headaches on and off during the day. Is this because of two doses of I-pill or am I pregnant? I searched on the internet and they seem to be early pregnancy symptoms. A detailed answer would be highly appreciated. Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30110, + "tgt": "Why is sleeping pill not working for my husband?", + "src": "Patient: Hi doctor, My husband has been voluntarily admitted into a mental health hospital for loss of reality, confusion and self-doubt. He has been diagnosed with schizophrenia and bipolar. However, his triggers and signs started eight days ago and they are working with the medication. However, he did not sleep for the last eight days and is deathly concerning me. Am I over reacting? Do I trust that he will be monitored? Even the sleeping pill they are giving him is not working. Doctor: Hi. If he has been diagnosed with schizophrenia and bipolar disorder, then his sleep disturbance is expected. There is reduced need for sleep in bipolar mania. As he is in the admission, I do not think there is a need to worry. They will treat him with proper guidelines and if needed, they can use injectable antipsychotics, which will help him in sleep. He is on Invega or Paliperidone and if the medicine is not resulting in proper improvement, then the best is to change the medicine. Risperidone, Olanzapine, etc., can be used, which are more potent and help in controlling the symptoms with improvement of sleep. You can talk with his doctor for these medicines. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5779, + "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": 14477, + "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": 16255, + "tgt": "HBV DNA level got lowered in seven months. Kindly help", + "src": "Patient: Hello doctor, My husband had his blood test taken six months back and his HPV DNA level was 777 IU/ml. We went back for another blood test seven months later and it went down to 267 IU/ml. Is this good or bad? He has no scarring or damage to his liver and is not on any medications. He only found out he had hepatitis B a year back. Doctor: Hi. I think you mean HBV DNA rather than HPV. I would want to know about the ALT level of the patient as well as HBeAg and anti-HBe. After that, the exact phase of hepatitis B could be identified." + }, + { + "id": 3143, + "tgt": "What is the solution for erectile dysfunction and premature ejaculation?", + "src": "Patient: Hi doctor, I am a 29 year old male. My height is 5'11\" and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. What I have analyzed is that I can stand only till foreplay or a maximum of two minutes during foreplay. I get erected very easily even a single thought can get me erected.\u00a0Please help me in this regard. Doctor: Hi. Anxiety and hyperexcitation. Serum testosterone and prolactin. Sildenafil and Dapoxetine combination. For further information consult a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17471, + "tgt": "Delayed conception or intrauterine pregnancy of uncertain viability", + "src": "Patient: Hi, I am 24 years. I did urine pregnancy test and got tested as positive. After 10 days, I visited doctor and I got it confirmed. After 17 days I got 3 drops of bleeding. Doctor scanned and told negative. Again in urine test another light line found. Doctor saw that strip and she gave some tablets to use. And she told embryo is not visible in scan and she told me to come after 1 month to scan again. Am I pregnant or not? Doctor: Hello. Please do not hesitate to send in further queries\u00a0to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23097, + "tgt": "My baby is 7 months but her weight looks like a 5 months baby. Kindly help", + "src": "Patient: Hi doctor,I have a girl baby. She has completed seven months. Actually, my baby problem is weight. She has 7 kg now but she looks like five months baby structure like weightless. If anyone of them take my baby they ask (why baby like weightless and look like five months) but she eats well and breastfeeding is also well and more very active girl but the main problem is she looks like weightless. So I need a reason for weightless structure. Doctor: Hello. A baby gains to be double the birth weight by six months of age and triple the birth weight by one year of age. The weight of your baby seems to be fine to me. Continue to breastfeed, give adequate complementary feed in the form of cereals, pulses, fruits, other protein sources palatable for a baby. No need to worry, let the baby grow naturally. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19245, + "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": 25598, + "tgt": "Am I on the right dose of Levothyroxine?", + "src": "Patient: Hello doctor,I am a 35-year-old female and I have a history of Grave's disease, treated with radioactive iodine 15 years ago and have been on Levothyroxine ever since. I have symptoms of hyperthyroidism and hypothyroidism and my medication has been increased several times in the past due to high TSH. I am having headaches in my temples, Raynaud's, chin acne and chin hair growth. I have elevated BUN, creatinine ratio of 23 and a history of slightly elevated AST. There are joint pains and Raynaud's with swelling ankles, red joints at rest, some finger swelling and dizziness on standing, possibly hypertensive and speeding sensation.I have burning pressure behind my eyes and sensitivity to daylight. My last TSH was elevated with low free T3 and borderline high free T4. What could possibly be the cause that I should talk to my doctor about? Doctor: Hello. One of the most common complications of radioactive iodine therapy is hypothyroidism. I suggest that you increase the dose to 150 mcg. Some patients may require up to 300 mcg so do not worry about the dose. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Also from what you have mentioned there is a high possibility that you have other autoimmune diseases like lupus or rheumatoid arthritis. So I suggest that you perform a full immune lab test profile like ANA (antinuclear antibody), anti-double-stranded DNA (deoxyribonucleic acid), RF (rheumatoid factor), anti-CCP (cyclic citrullinated peptides), Anti Ro, LA, anti-Jo, C-ANCA (cytoplasmic antineutrophil cytoplasmic antibody), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28352, + "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": 30873, + "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": 19025, + "tgt": "Why do I have deteriorating memory, paranoia and deja vu?", + "src": "Patient: Hello doctor, I have the following symptoms: Deteriorating memory. Depersonalization or dissociation. Unable to articulate well. Jumbled thoughts. Lack of appetite (despite hunger). Depression or unmotivated. Paranoia, like someone is watching me through my phone or how my friends are talking about me behind my back. Hard to express emotions. Seeing things, movement out of the corner of my eyes. Hearing things. Deja Vu or Jamais Vu. Odd thing is that I do not feel like there is anything wrong or it does not feel real to me. It is happening for approximately three to four months on-and-off. Doctor: Hello. The symptoms could be due to severe anxiety. Progressive loss of memory, dissociation feeling, difficulty in articulation, racing thoughts, depressed mood, paranoia, difficulty in expressing, etc., could be due to anxiety. But, if you are hearing voices which others cannot hear, and have a suspicion that someone is watching you, then that could be due to some underlying psychosis. This should be evaluated properly. Please visit a psychiatrist for an opinion. Try to remain relaxed and if possible ignore these symptoms. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20489, + "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": 6631, + "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": 30572, + "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": 4338, + "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": 2330, + "tgt": "I have ear pain on and off for months with drainage down the throat and fever. What to do?", + "src": "Patient: I have been having deep ear pain on and off for months now with the feeling of drainage going DOWN my throat from my ear. No drainage to the outside whatsoever. A few years ago I had eustacian tube Dysfunction with all of the pain, pressure, hearing loss, etc. this is NOT that. It\u2019s been going on on and off for the past few years after that time. Right now I\u2019ve had a low grade fever for 6 days, generally feeling unwell, have lost about 6 lbs, and this ear pain and TONS of drainage which is starting to drive me just crazy. I don\u2019t know what\u2019s wrong with me. Can you help? Doctor: Hello, I would consider a low grade otitis externa as a possible source of some of your symptoms...Consider clotrimazole 1% DROPS---this can be ordered online, as it is hard to find in pharmacies sometimes...use twice a day X 7 days. If this doesn't help, then get back with me. In the meantime, if you cannot \"pop\" your ears and relieve the pain/pressure, then you are probably right that it is NOT ET dysfunction---but if you can, start a nasal steroid spray twice a day C next few months. You could also have sinusitis causing the drainage...that would require a visit to an ENT. Finally, if you have poor sense of smell and fatigue with the low grade fever, there is a chance that you have COVID. If symptoms worsen, then get this checked out. In the meantime, follow strict social isolation." + }, + { + "id": 10671, + "tgt": "Is it safe to do extraction without wearing gloves?", + "src": "Patient: Hi doctor, I took my mother to a dentist. She hit the tooth hard with a hammer and chisel to remove the second molar of upper jaw. She has experience as a dentist for 30 years; still she does not wear gloves. I am wondering, is this practice safe? My mother cried during the procedure, but the dentist told it will not pain. My mother cried because of fear. I am looking forward to hear from you. Thank you. Doctor: Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist's responsibility to address the patient's concerns and make them feel comfortable. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure." + }, + { + "id": 13333, + "tgt": "I am back to depression and anxiety even after hiking Fluoxetine dose. Please help", + "src": "Patient: Hello doctor, I am currently on 40 mg of Fluoxetine. For the past four days, I was put up from 30 mg to 40 mg as my 20 mg stopped working after three years. While on the 30 mg, my symptoms got better for a couple weeks and then I went back down to where I was, in the beginning, feeling extremely depressed, anxious and completely awful. I was wondering why this happened? Doctor: Hello. Fluoxetine 20 mg OD is the usual dose prescribed in managing depression and anxiety. Sometimes Fluoxetine dose needs to be increased to 40 mg OD if the previous dose is no longer effective. You have been on 40 mg for the past four days. You may be aware that you need to wait for at least 2 to 4 weeks to see the maximum therapeutic response. In addition to medication, you will benefit from counseling, CBT to manage your emotional difficulties. Discuss with your GP, CMHT in case you have not had taking therapy before. Try to exercise daily. Even brisk walking outdoors for 30 minutes daily can help to improve your mood and lower anxiety. In case, if you do not get better even on Fluoxetine 40 mg OD. Kindly consult with your doctor. You may need a reassessment of your symptoms and sometimes alternative SSRI needs to be considered." + }, + { + "id": 26211, + "tgt": "Why am I not able to differentiate between smells after having had a septoplasty?", + "src": "Patient: Hello doctor, I had a septoplasty and turbinate removal two months ago. I have taken medicines only for three weeks after the\u00a0surgery.\u00a0Now, I am not taking any medications and I have a feeling of stuffy nose again. There is also swelling in the nose. I am breathing great but the\u00a0problem is with the smell. I am not able to differentiate between smells. Kindly suggest treatment. Doctor: Hello. For more information consult an\u00a0ENT Otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28742, + "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": 29609, + "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": 26945, + "tgt": "The part of the tooth usually inside the gum, is visible out. Is it normal during orthodontic treatment?", + "src": "Patient: Hi doctor, My son has been having orthodontic treatment (upper and lower braces) for approximately 2.5 years. He is almost 16 years old now. For the last year, at least one of his bottom incisors has been lifting up and has caused a bump, and a part of the tooth that is usually below the gum line is visible. This is on the inside of his gums under his tongue. Our dentist has been concerned, but the orthodontist is brushing it off. I have never seen this before. Is it normal? Is our orthodontist doing something wrong? Doctor: Hi. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 4477, + "tgt": "Can antipsychotics be taken as precaution?", + "src": "Patient: Hello doctor, I would really like to try LSD just as a matter of curiosity, I am aware of all the risks and side effects as well as having no known history of mental illness in my family and I am a happy person with no depression or anything like that. While I believe the risk for me personally to be very low I would still like to be safe hence my question. Do you think if I went to my GP and told them what I wanted to do, do you think there is a chance of even getting 1 pill of an antipsychotic to kill the effects in case things go downhill. Obviously I know the best thing is to not do it at all but if you had a patient come to you and ask you what would you say? Doctor: Hello. You have raised a very interesting query. Well done for seeking information on safety. I see that you are keen on experimenting with LSD and knowing the risks involved you want to make an informed decision. LSD trips/psychdelic experiences by using street drugs are unpredictable and difficult to speculate the outcome. Hence it is not advisable to try it. It is highly unlikely your GP or any other doctor will prescribe an antipsychotic prophylactically just incase you have a bad trip. Antipsychotics are powerful medication and can cause side effects on their own, so needs to be used with caution when necessary after appropriate examination. Moreover, if you develop any altered mental state that persists after using LSD you will need a proper medical evaluation." + }, + { + "id": 30148, + "tgt": "Though my hepatitis report came negative, my urine is still red. Why?", + "src": "Patient: Hi doctor, Two years ago, I got chicken pox. Later, I started taking lots of oil items. As a consequence, I got jaundice. Exactly a year ago, I took a few tests and everything was under control except direct bilirubin level 0.4. Seven months later, whenever I urinated in the morning the color of my urine was red. So, my doctor prescribed me to take all hepatitis tests (A to E) and all the reports came negative. After this, I started with homeopathy treatment, but no improvement. What to do? Also, I had Sinarest without prescription. Doctor: Hi. I can understand your frustration with non-diagnosis state. Let me first clarify a few myths. \u00a0Revert back with the reports to a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22736, + "tgt": "Can diabetic patients develop blue purple discoloration on their wounds?", + "src": "Patient: Hi doctor, My mom is diabetic for past 20 years. She got her foot hurt five days ago. A wooden partition fell on her foot. At first, she was unable to walk. Then, she tried to walk. But today, the wound has turned to blue and purple color. So, my brother has taken her to the ER. What could happen to her foot in the future? Doctor: Hi. I can understand your concerns. In case there is no fracture, there would be no problem at all. Just check that her sugars should be in the normal range. Injury is stress for her body, so it could lead to impaired sugars for a while. Keep a proper check on that. Also, wounds take time to heal, a little longer in diabetics. If there is an external wound, take proper care of the wound with regular clean dressings. Other than this you need not worry about anything. Let her rest. The blue purple discoloration is when venous blood exits into the skin. It would get absorbed on its own. Let her keep her feet elevated using a pillow. Hope this helps. Regards. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 12114, + "tgt": "My periods have been slightly irregular. What may be the reason?", + "src": "Patient: Hi doctor, I am 24 year old and I had an ultrasound for the first time today. My periods have been slightly irregular for last few months and hence I went for a checkup. I am attaching my scan reports for your reference. Kindly guide me. Thank you. Doctor: Hello. The ultrasound scan report (attachment removed to protect patient identity), which you have posted shows a single follicle dominant, may be in the right ovary. Also, please mention your details of menstrual cycles and dates for last three months to understand the pattern of bleeding. Revert back with the reports and detailed information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30639, + "tgt": "What is the recommended dose of Metformin for my sugar levels?", + "src": "Patient: Hi doctor, My age is 33 and weight is 80 kg. My glycosylated fasting sugar 106 and postprandial is 115. Will Metformin help me to lose weight? Which medicine is better, either Metformin or Metformin extended release? How much dosage should I take? Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 13403, + "tgt": "What is causing hiatal hernia with chest pain?", + "src": "Patient: Hi doctor, I just had an EGD with biopsy, polypectomy. It showed a hianal hernia 2 cm. I am attaching photos. The doctor took biopsies, said no cancer. I have had breast cancer in the past. I am having pain in the chest when I swallow, and sternum today. Will that subside? Is it from the bleeding? And, can you recommend the best pill to take for this pain, taking Pantoprazole now? And what should I take for this problem, what should I eat? (Can you assure there is no cancer)? Doctor: Hi. I have gone through the reports of your endoscopy (attachment removed to protect patient identity), as per the endoscopy you do not have any evidence of cancer. Have you received the reports of biopsy? If so, please forward it. The medications you have taken are appropriate. If symptoms persist, may consider doing a high-resolution manometry. Continue the same medications. May add Gaviscon tablet after major meals for one week. Refrain from lying down for at least for two hours after food. Elevate head end of the cot by six inches. Restrict citrus fruits. Restrict tea and coffee to two cups per day." + }, + { + "id": 29045, + "tgt": "What are the common reasons for nipple discharge?", + "src": "Patient: Hi\u00a0doctor,I had a cyst in my breast and it was removed before two years. For the last two months, some liquid is coming from the nipple while taking shower. What to do? Doctor: Hi. Revert with the reports to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 12455, + "tgt": "What is the treatment for frequent sneezing and running nose?", + "src": "Patient: Hello doctor, Most of the time, I have sneezing and running nose with water for the past 2 to 3 years. I took Cetirizine for it but sometimes I feel better but after that, I face the same problem. Presently, I am not taking medicine. My age is 25 years and I am a male. l am not having past history and report, during this period sometimes I am also facing inhalation problem. Doctor: Hello. This is a common problem these days with a lot of industrialization and pollution around. Check your eosinophil count by doing a routine blood examination. Check blood IgE level. Do a skin prick allergy test to find out the major cause that triggers this anaphylactic response. Some conservative measures that have proven helpful in my patients are: 1. Warm steam inhalations once at night during the entire spring and autumn months. 2. Warm foot bath every night before going to bed. 3. Breathing exercises. 4. Probiotics for three months." + }, + { + "id": 4275, + "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": 12972, + "tgt": "What can be done to treat knee pain with pressure on chest?", + "src": "Patient: Hello doctor, I helped my cousin move and I hurt my back now. My left leg hurts by the knee and I feel a pressure on my chest, those hurt more than my back does. Doctor: Hello. Can you be more precise about where exactly does it pain? And what is the nature of the pain? If this pain is dull aching in the knee then should be muscular. Because heavy work most of the muscle lands in DOMS and the pain arrives. Regarding pain in the chest, it should be muscle catch as many times muscles are not flexible at certain regions and so does the catch happen. Use hot water fermentation over the painful areas like the chest, knee, and lower back. After two days, you can try doing simple exercises. Like breathing exercises for the chest muscles, leg raise for the core muscles and knee press for knee muscle strengthening. Heavyweight lifting. Muscle spasm. Exercise." + }, + { + "id": 20162, + "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": 30224, + "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": 3923, + "tgt": "Is it possible for tension headache to be persistent even after medication?", + "src": "Patient: Hello doctor, I have been having constant moderate to severe headaches for the past four years, and I mean every single day, all day long, from the time I wake up to the time I fall asleep. Nothing OTC medicine has helped, nothing prescribed has helped. I have been told it is just a tension headache. I was prescribed a medicine but cant remember the name, it did not work. I had a CT scan done was told it came back clear. No one has been able to tell me why I have these headaches? It is getting me to where it is hard to function. I just cant take it anymore. I am waiting to see a specialist but not sure yet when that will be. The headache is not just on one spot, it is on my whole head, top of my head, the sides, my forehead, the back of my head, my neck, my eyes feel constantly strained, and my ears are always ringing. A doctor told me that my ears could be ringing if I take medicine on a daily basis. So far doctors could not figure out what it could be. Please help. Doctor: Hello. I would like to know some details about your headache. What is your age? Since when you started to have headaches? Is it four years only or even before that? Where do you feel that headache, in which areas of head? What kind of headache do you feel heavy, throbbing, stretching, bursting, shooting pain, electric current like pain, or some other kind? Is it severe, moderate or mild? Is your headache episodic or persistent? In episodic headache, how long time one episode of it lasts (from onset to complete relief without medication)? How frequent are these headache episodes before and now? Like how many times in a week? As you mentioned is it two times a week since beginning? Do you feel any vomiting or watering from eyes or redness in eyes or nasal congestion during headache? How is your day to day mood? How is your sleep and vision? Have you noticed any trigger factors for this headache? Do you have any ear discharge or hearing impairment? What medicines haveyou taken before and in what dosages? Are you taking any medicine now also?" + }, + { + "id": 12059, + "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": 14583, + "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": 6077, + "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": 20818, + "tgt": "My 3 year old is often getting puffy upper eyes. What is the problem?", + "src": "Patient: Hi doctor, I have a 3-year-old son. He has mild puffy upper eyes often. It seems to show variations in both the eyes, occurring in one or other day. On one day, it is not puffy. I can see his eyelids looking good. On the other day, it seems puffy involving one or both eyelids which are covered by the skin above them. He usually wakes up with puffy eyes, and it remains throughout the day. Then the next morning, when he wakes up, they will look good. It happens like this, again and again, a couple of times in a week. He does not have itching in his eyes. What could be the cause for it? Doctor: Hi. I have gone through your query (attachment removed to protect patient identity). I feel that your son is suffering from blepharochalasis. It is a recurrent swelling of the lids which subsides on its own. But in some cases, it may cause drooping of the eyelid along with another eyelid. However, there are no trusted tests to confirm the diagnosis or any other effective treatment for the disease. Consult an Ophthalmologist to be on the safer side. It can be done at your convenience, and it is not an emergency. My advice is to see an Ophthalmologist in case of drooping of his eyelids, any difference in appearance in between his two eyes, when swelling is not resolving on its own, and when he has similar episodes of swelling on other parts of his upper body or arms." + }, + { + "id": 19509, + "tgt": "My baby passes stools about five times a day. Is it diarrhea?", + "src": "Patient: Hello doctor, My son is 6 months old. He has frequent stools, about four to five times in a day. He passes the stools about an hour after his meal every time. It is semisolid. Please suggest some medicine. Doctor: Hello. Relax and watch your child grow. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23138, + "tgt": "I run out of breath while taking stairs. What is going on?", + "src": "Patient: Hello doctor,I have been diagnosed with hypertension and tachycardia. Every time I walk up the stairs or walk I feel like I am running out of breath. I could hear my heart throbbing in my right ear. It started four months back. I am obsessed also. Please let me know what is going on. Currently, I am taking Amlodipine and Metoprolol. Doctor: Hi. I suggest you some blood tests and free T4, T3, TSH (thyroid stimulating hormone), Hb % (hemoglobin), FBS (fasting blood sugar) and Holter monitoring to evaluate your maximum and minimum heart rate and to identify any other abnormalities. Control your BP adequately and continue Metoprolol and dose to adjust based on BP. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5575, + "tgt": "I have pain in the rigth root canal molar tooth on taking warm foods. Why?", + "src": "Patient: Hello doctor, I got a root canal and crown several years ago in two molars, one on each side of my jaw. The crowns are metal with light porcelain on the outside. The teeth have felt fine ever since, until a few days ago. Now I feel pain in the right molar tooth whenever some warm food touches it. The pain takes a second or two to come, it is not instant on contact. Cold food or drinks cause no pain, neither does chewing. The gums around the crowned teeth are irritated, and look like they are possibly pulling down away from the teeth as I can see the dark metal underpart at the gum line. The tooth on the left side does not hurt at all aside from the irritated look of the gums around it. After doing some reading, I think a possibility is that the root canal did not get all the pulp in the right side tooth, and that is now infected again. I do not currently have dental or medical insurance and it may be a few months later I can see a dentist. What can I do in the meantime to take care of the tooth? I also became aware that I grind and click my teeth a lot without realizing it, and possibly at night when I sleep. My front teeth all look worn down now. This is concerning me a lot. I looked into teeth guards for sleeping, but the ones I found in stores need to be heated and placed between teeth to shape them to my mouth, and with my current heat sensitivity I can not use them. Doctor: Hello. I have read your query and it is pretty much clear that the right molar with history of RCT (root canal treatment) is causing the pain. Now the causes of pain may be a re-infection or incomplete RCT, but there can be other causes as well. As you mentioned you have bruxism (teeth grinding), the tooth or in this case the RCT tooth is under continuous insult from the grinding habit. This may have also caused the injury to the surrounding tissues. A prosthetic crown or porcelain crown here if not in occlusion may also be another cause for the pain. Now as you mentioned that you are having pain only on taking warm foods and liquid diet and the gums around the crown is receding (recession), it looks like you might be having tooth sensitivity in the nearby tooth due to the dentin exposure caused by recession. An x-ray of the tooth will make the things more clear as if a new RCT is required or you just need proper cleaning and fluoride toothpaste. If it is possible, do upload a picture of the tooth and also x-ray of the tooth. Meanwhile, I would suggest you to use fluoride-containing toothpaste and ultrasoft toothbrush. Do not scrub, clean your teeth and gums gently. Maintain good oral health." + }, + { + "id": 16038, + "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": 809, + "tgt": "Is it normal to have a high-pitched sound when you move the jaw up and down?", + "src": "Patient: I have symptoms of a high-pitched sound when I move my jaw up and down while eating, yawning and even when I turn my head sideways to the affected side as well as grinding the teeth. I also have fullness/pressure in the ear when the jaw is motionless. I have now had these symptoms for more than 6 months. I went to see the doctor last week who thought it was due to the jaw joint although there is no pain or soreness and recommended that I see a stomatologist but she didn't think it was because the Eustachian tube is blocked. I also had an x-ray performed on the jaw a few months ago and it said that the left mandibular condyle is positioned very slightly in front of the most pronounced point of the temporal condyle. I went to see the stomatologist a couple of days ago who said that I have costen syndrome. He said the two sides of the mouth were uneven when I bite and therefore he chipped at three teeth on the right-hand side to balance it since the sounds were coming from the left ear. I will see him again in 3 weeks' time to see if the mouth is even and the symptoms from the ear have disappeared. He also mentioned that I would need a night guard temporarily. Will the symptoms of the high-pitched sound when I move the jaw up and down and the fullness/pressure in the ear eventually disappear? Doctor: Hi, yes your symptoms of TMJ clicking will disappear with a proper treatment plan so don't worry its great that you have seen stomatologist and got advised for night guard, go for it or I will suggest for acrylic repositioning splint. and after this if you don't get relief go for orthodontic treatment. For a precise treatment plan investigation required 1. pictures of the upper arch lower arch; front, Rt. and Lt. view while teeth in occlusion 2. OPG take medicine for 5 days twice a day tab Flexon MR premature occlusal contact investigation required 1. pictures of the upper arch, lower arch; front, Rt. and Lt. view while teeth in occlusion 2. OPG" + }, + { + "id": 15789, + "tgt": "By mistake, I gave expired vitazyme drops to my 11 months old daughter. What do I do?", + "src": "Patient: Hello doctor, My daughter is 11 months old. By mistake, I gave expired Vitazyme drops to her. After giving the dose she vomited immediately. Will this act of mine harm her? Doctor: Hi. As she vomited immediately, nothing would have gone inside. So, it is unlikely that it will cause any effect on her health. Advice: Review as per your requirements with a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6452, + "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": 30282, + "tgt": "Can you advise regarding food for a 6 months old?", + "src": "Patient: Hello doctor, My baby is 6 months old. I am a working mother and joining office soon. As a new mom, I am not sure about a healthy food and diet plan to be given to my baby at and after 6 months. Can you advise what all food can be given to a baby initially? Currently, she is having formula milk. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17574, + "tgt": "I have severe constipation and bloating problem, with slight vaginal bleeding. Please help", + "src": "Patient: Hello doctor, I am a 22 year old female, and I have been experiencing major constipation from the last month.\u00a0Every time I eat, I experience bloating, and I am unable to go to the toilet later on. Have tried taking Sennetabs,\u00a0Metamucil, increasing fiber, and water in the\u00a0diet. I have this problem approximately five days a week. I have also been getting abdominal pains, and four days ago I had a light vaginal blood discharge for two days. I am taking tablet Estelle from a very long time, I am still taking it, so this would not have been my periods. I do not have any weight issues. I also get quite a bit of walking done in my job, so I am not sitting down all day long. Doctor: Hello. I would need a little bit more history, Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29891, + "tgt": "Please help me to overcome my erection problem", + "src": "Patient: Hello doctor, I am a 25 year old male. I never had any sexual activities due to some personal and cultural reasons. Last night, I had sex with my girlfriend. I was fine during foreplay, but I lost my erection\u00a0on penetration. Hence, I was very much frustrated and depressed. Although, my girlfriend tried to help me by turning me on, but I lost erection every time when I started to penetrate. By the way, she did not shave her pubic hair and it was a turn off for me. Moreover, when I try to wear a condom, it makes me loss erection. I feel bad and afraid to have sex for the next time. Kindly help me. Doctor: Hi. Psychological stress. Use a good lubricant. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11745, + "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": 12156, + "tgt": "What are the ways to improve early ejaculation problem with thin semen?", + "src": "Patient: Hi doctor,I am 34 years facing early ejaculation problem as well as thin semen. I want stronger erection with maximum delay time. Please help me. Doctor: Hello. It is called premature ejaculation. The 3 to 7 minutes of intercourse with reaching up to climax can be considered normal duration. To increase duration and achieve climax you can practice Master and Johnson start and stop technique. You can take the help of a psychiatrist in learning this technique. Performance anxiety is a common cause of premature ejaculation. If the anxiety problem is present then Fluoxetine like medication can be prescribed. Behavioral counseling and yoga are helpful in such a situation. You can consult a psychiatrist for detailed evaluation." + }, + { + "id": 16190, + "tgt": "Can I take Paracetamol tablets for my severe tooth pain?", + "src": "Patient: Hello Doctor, Can I take two Amoxicillin 500 tablets for my first dose of medicines for a tooth infection? Is there anything at home that will take the pain away? Doctor: Hello. If you are taking Amoxicillin for your toothache, then let me educate you it is an antibiotic and not a painkiller. So, if you want to kill the pain, I suggest taking a tablet with acombination of Ibuprofen and Paracetamol after meals. The pain will be gone in just 10 minutes. In case the pain is still there, buy Lignocaine jelly and pour some jelly on a cotton roll and put it on the infected tooth. You will get relief within minutes. If none of these are available nearby, you can take simple Paracetamol 500 mg. Taking two Amoxicillin tablets will reduce your infection and not your pain. For pain, you have to go for an analgesic (the above-mentioned medication). For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13712, + "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": 13976, + "tgt": "Why have I not got my periods for 10 months?", + "src": "Patient: Hi doctor, I have recently started getting periods and I have not gotten my period for almost 10 months. I am not pregnant because I have never had sex, and I am also not on any contraceptives or medication. I am just wondering if I should be concerned? I read that this could be a hormonal issue thing that could lead to fertility issues in the future, but since irregular periods are common at this age, I just do not know what to do. Doctor: Hi. You are well informed. Adolescence does cause anovulation, that is, you are not ovulating every month. Hence, not getting regular periods. This is often due to an ever-changing hormonal axis in a girl's body. Give it some time to come into its own flow. You in the meanwhile have not got periods for the last 10 months, but need to get at least four periods in a year to prevent the risk of endometrial hyperplasia. Your BMI is on a lower range, so increase your protein intake to gain around 3 to 4 kg. Do you do very heavy exercise or have tubular vision or smell problems? That may add up to the issue. I would suggest you take the following medicines for now. Anovulatory cycles. USG abdomen pelvis to look for adrenals, ovaries, endometrial thickness. Tablet Medroxyprogesterone acetate 10 mg twice a day for five days. Periods shall start after 5 to 14 days of stopping the medicine. If the flow is heavy, as you did not have for long, take tablet Tranexamic acid 500 mg thrice a day for two days or as and when needed." + }, + { + "id": 21007, + "tgt": "Is it possible to diagnose pulmonary fibrosis using chest x-ray?", + "src": "Patient: Hi doctor, I have been coughing since three weeks. My cough has changed from a dry hacking cough to a more productive cough with wheezing. I went to the doctor for the third time. So, my doctor decided to do a chest x-ray. Now along with a chest x-ray, the doctor advised me to have a CT scan, and breathing treatment. The doctor said to me to have an appointment with a pulmonologist. After reviewing my x-rays, the doctors informed me that I have pulmonary fibrosis. Is this indeed something that can be diagnosed by x-ray? I am taking Topamax 200 mg, Ambien 10 mg one tablet at night, Pro-Air inhaler, and Medrol dosepak. Doctor: Hi. Pulmonary fibrosis is a chronic, and progressive disease of lungs with unknown etiology. Clinical, physiological and radiological criteria diagnose it. When there is a suspicion of pulmonary fibrosis, a chest x-ray is the first investigation. To confirm the diagnosis, a high-resolution CT scan is done, which can show the abnormalities found in the airways of the lungs. An open lung biopsy is one of the useful methods. However, there may be variations in the histology, and this can make it difficult to diagnose it. In your case, the history of illness, physical findings of late wheezing after a productive cough, combined with specific findings on x-ray and CT scan have pointed to the diagnosis of pulmonary fibrosis. Kindly consult the pulmonologist before the worsening of the condition." + }, + { + "id": 28418, + "tgt": "Please suggest some painkiller for my back pain", + "src": "Patient: Hi doctor, I am a 25 year old female, who is suffering from severe back pain. I am a teacher and have a 7 months old child. When I am at work, I have back pains at the end of the backbone, on the right side over the kidney. I got an ultrasound and an x-ray of the back. And I do not have any kidney stones, but they said that my pain is because of my job. The pain is aggravated when I sit or stand for a long time. The doctor gave me some medicines, which helped to relieve the pain. But, I lost the prescription, and I do not remember the name of the medicines. I stay far from the hospital, so it is not possible for me to get a new prescription. Please help me and advise some medicines to get rid of my pain. Please suggest a painkiller. Doctor: Hello. I have gone through your query and I can understand your concerns For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4911, + "tgt": "Can excess intake of water give false negative drug test?", + "src": "Patient: Hi doctor,I took a drug test and it came out negative, I am on Oxycodone 5 mL, Gabapentin, Methocarbamol and Lisinopril. How could it come out negative while taking these drugs? I drink a lot of water. Is this the cause? How does this happen? 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": 25756, + "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": 18846, + "tgt": "Are night sweats and chills symptoms of PMS?", + "src": "Patient: Hello doctor, My period typically lasts for 6-7 days and comes on time according to my period calculation for the past two years. It starts out with two to three days of somewhat heavy period then the rest of it is light spotting with no pain throughout the entire period. Maybe the first day might have minimal pain, but that rarely happens. I have never had irregular period or any odd menstruation issues. Three months back I got night sweat or chills for the first two nights of my period and it went away. Last month, during my periods again I had night sweats and chills for the first two nights. Before three months, I felt like my PMS body heat was increasingly hot. Three months ago my period was two days late and last month it was two days early. About myself: I am a single 27 year old, goes to the gym two to three times per week. I eat relatively healthy with minimal sugar intake and no soda or fast food. I get 6-7 hours of sleep per night. The only issue I have is mild lactose intolerance and acne where I have been using topical acne treatment (Aczone and Onexton gel). I used to take sleep aids over-the-counter for nights where I went to gym late. I normally have warm temperature. I was wondering if there is any concern for my night sweats and chills at night for the first two nights of my period for the past three months and increased PMS body heat. Please help. Doctor: Hello. Chills and night sweats are actually unusual symptoms of PMS (premenstrual syndrome). They have been seen in some women who experience a sudden Progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. Some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. So, the best treatment shall be to keep yourself well hydrated during these days. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27541, + "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": 30416, + "tgt": "Could you please suggest medicine for itching and rash?", + "src": "Patient: Hi doctor, I am\u00a0itching on my palms and fingers.\u00a0There is redness and small hives. It has been one week now. I have also developed a rash near elbow and wrist. The itching is more when I wake up in the morning. I have attached the images along. The rash is on both of my hands.\u00a0I am studying agriculture and I need to perform field work very often.\u00a0I am currently residing in a very small town and the medical facilities are not at all good. On top of that, I have my exams. For the past four days, I have been applying an ointment, which is antifungal and antibacterial. I have also been taking Cetirizine, but it does not seem to help. If you could suggest me any medicine, I would be really thankful to you. Doctor: Hi. The quality of your pictures was unfortunately not very good, but decent enough to allow me to make a provisional diagnosis (attachment removed to protect patient identity). It seems that you are suffering from a form of contact allergic eczema. It is an eczema in response to an allergy to some agricultural substance or vegetation product or chemical such as a pesticide or fertilizer or some other occupational exposure substance. It is also possible that you may have an intrinsic tendency of allergies in general and reacting to these purported substances, in an out of proportion way due to that tendency. I suggest applying a potent corticosteroid cream, preferably with an antifungal combination, such as Tenovate-M (Clobetasol propionate) cream or a plain potent steroid cream or ointment such as Halox or Halovate (Halobetasol propionate) ointment to be applied twice a day over the affected areas for a duration of 15 days. Additionally, I suggest tablet Allegra (Fexofenadine) 180 mg one tablet to be taken daily in the evening around 6 to 7 PM for 10 days. Try to visit a general practitioner or a family physician and take the above treatment with consent. Use only a mild soap, such as a baby soap or creamy soap for washing hands. Strictly avoid exposure to any detergents, medicated soaps, harsh soaps and hand sanitizer, as they may worsen the condition. This should provide you with instant relief from your current problem. However, after your examinations are over and the condition subsides, you shall need to consult a dermatologist in person. So, that further tests such as a patch test may be conducted to elucidate a suspected cause of this contact allergy. Patch test after subsidence of the acute allergic phase. Avoidance of exposure to medicated or harsh soaps, detergents and chemical sanitizer. Revert back after 10 days to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6161, + "tgt": "Is there any side effect of Emeset in pregnancy?", + "src": "Patient: Hello doctor,I am nine weeks pregnant. My problem is vomiting. I cannot drink even few sips of water. If I do, I vomit what I ate before. I cannot pass urine also. I am feeling too thirsty, but cannot drink. So, I started to take tablet Emeset 4 mg once a day for the last two days. Is there any side effects in pregnancy? Or any other solution? Doctor: Hello. Vomiting is a big problem in the first three months. Afterwards, it reduces completely. Tab Emeset (Ondansetron) is recommended in pregnancy. So, no problem. You can continue it. Although you have vomiting, you have to eat properly and drink a lot of water in the form of juices or whatever you like because if your water intake is less your body's water content will reduce and less urine is due to drinking less water. The only treatment is to have breakfast at 8.00 AM and then every three to four hours eat something. This will reduce your vomiting. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16571, + "tgt": "Please explain the abnormality in my routine blood test", + "src": "Patient: Hi doctor, I found some abnormality in a routine blood test. I want your advice on that. Presently, I do not have any problem and I had a routine checkup. I am currently on Olmezest 20 and Feburic 40. Doctor: Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Revert back after two months to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11719, + "tgt": "I had sex with my partner last month and missed periods. Am I pregnant?", + "src": "Patient: Hello doctor, I am 35 years old and I had sex with my partner last month. My expected period date was a week later. Still, I did not get my periods. I have tried testing pregnancy strips the result was negative. I consumed Regestrone tablets for the past four days. We do not want to have a baby because of the family situation. I want to know if I am pregnant or not. If pregnant, how to start the abortion procedure? Doctor: Hello. If the urine pregnancy test was done after eight days post missed menses was negative then you are not pregnant. However, to be double sure, you may opt for a serum beta hCG test, where if the hCG levels are less than 3 mIU, then you can be sure that you are not pregnant. As you have taken Regesterone for past four days now, so just continue for another day and then stop, if you intend to seek a withdrawal bleed. The bleed shall start in next 3 to 5 days post stoppage of Regesterone. Once the bleed starts, it will again indicate that you are pregnancy safe and you would be starting a fresh cycle. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28233, + "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": 1339, + "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": 9367, + "tgt": "Breast size increased after sexual intercourse. Is this a sign of pregnancy?", + "src": "Patient: Hello doctor, I had protected sex with my fiancee a month back. She had her periods till three days before the intercourse. We used protection but I still want to rule out any chance of her getting pregnant as I may have left a drop of semen inside her but chances are less. She complained about a little bit increased breast size four days earlier. But she has no pain or swelling. Are there any chances of her getting pregnant? She has a menstrual cycle of 28 days. Doctor: Hello. She is unlikely to be pregnant as she was in her safe period, day 7 of her cycle when ovulation has still not occurred, so no chances of pregnancy even if there would have been an ejaculation. You may conclusively rule out pregnancy as on date with a serum beta hCG test. If the hCG levels are less than 3 mIU, then she is not pregnant for sure." + }, + { + "id": 4949, + "tgt": "Is PRP treatment advisable for thinning of hair due to vitamin B12 deficiency?", + "src": "Patient: Hi doctor, I am a 22-year-old female and a working professional. I mostly work in night shifts and graveyard shifts (1 am - 12 pm). I have had thick hair in the past but since the past four years, my hair kept thinning and I now see little signs of baldness on the crown of my head. I have recently visited one of the doctor and she suggested few tests such as thyroid, HIV, hepatitis, etc. Everything seemed normal but she noticed that I had vitamin B12 deficiency and recommended PRP treatment for my hair where she would inject my own blood into the pores of my skull (crown) for about six months, so it would be six sessions and she said that would help. I am really scared to get that done as I want to know if there would be any complications or side effects in future after going for PRP, I also have to accept that my hair has thinned out drastically and I want to do anything that would definitely help me. Doctor: Hi. In addition to thyroid test also get a hemoglobin blood test done. If the hemoglobin is below normal you will have to take iron supplements. In addition to vitamin B12 supplements also take biotin and zinc supplements. Lifestyle changes are also required (which is difficult in your situation due to your job timings). Eat healthy foods like vegetables and fruits. Drink plenty of water. Have at least eight hours of sleep. You can use 5% Minoxidil lotion (1 ml) twice a day, applied over the scalp for a month. Then can increase the concentration to 10% minoxidil once a day for two more months. Check for any allergies though after applying." + }, + { + "id": 25303, + "tgt": "Report shows squamous cell carcinoma of the tongue. Please suggest what to do", + "src": "Patient: Hi doctor, My mom had gone through biopsy and the report came today. The report shows SCC - well-differentiated invasive on right lateral side of the tongue. Kindly suggest me what to do. Doctor: Hello. The biopsy (attachment removed to protect patient identity) is showing tongue cancer. So, now she has to undergo further investigations such as CT Scan/PET CT to rule out metastasis (cancer spread to any other part). After all these investigations, the oncologist will stage the cancer. (There are 4 stages). Once staging workup is completed, she may need surgery to remove the tongue lesion or radiotherapy with weekly chemotherapy depends on the stage. During treatment, she may experience side effects which may affect her daily activities. The common cause of tongue cancer is smoking, chewing tobacco, snuff, gutka, pan, etc. Early stage tongue cancer is usually curable. I wish her full recovery. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 18226, + "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": 4126, + "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": 2569, + "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": 7025, + "tgt": "I wish to have a curvy, feminine body without affecting my performance. Kindly help", + "src": "Patient: Hello doctor, I am a male, looking to have a curvy, feminine body without impacting my performance. I am curious about what options are available to me. Hormones seem either not to work, or work but significantly reduce a man's genitals and ability to function. And padded clothing only works for dressing up, and you still know it is not real. Please advice. Doctor: Hello. You want to have a curvy body. There are lots of procedure to get it. 1. Liposuction. 2. Abdominoplasty. 3. Liposuction and abdominoplasty. 4. Body contouring surgeries. It depends on what you want. Every surgery has its pros and cons. You may require multiple surgeries. You need to understand them. Get in touch with a plastic surgeon and discuss with him in details." + }, + { + "id": 20768, + "tgt": "I am 19 years old and all of my teeth are milk teeth. Will my permanent teeth grow?", + "src": "Patient: Hello doctor, I am 19 years old and all of my teeth are baby/milk teeth. Is there a chance that permanent teeth will grow for me? Doctor: Hello. Usually, milk teeth start shedding at 6 years of age, followed by permanent teeth eruption. Permanent teeth gradually replace milk teeth and the entire replacement occurs within 14 years of age. Persistence of the milk teeth at 19 years requires attention. The absence of permanent teeth might be due to:" + }, + { + "id": 15302, + "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": 15694, + "tgt": "My right eye is red, swollen and blurry. Do I have pink eye?", + "src": "Patient: Hi doctor, My right eye is stinging with blurry vision. It is red and a bit swollen. I am experiencing the above every day. Do I have pink eye? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It appears as conjunctivitis, and it is of two types. They are bacterial and viral. A slit lamp examination is required to differentiate them. As these symptoms are present for a few hours, then it can be bacterial conjunctivitis. I advise you take eye drops such as Gatflox (Gatifloxacin) one drop four times a day and eye drops HPMC (Hydroxyl propyl methyl cellulose) one drop four times a day." + }, + { + "id": 9042, + "tgt": "Why am I not able to have erection during sex?", + "src": "Patient: Hello doctor, I am masturbating since 14 years. I used to masturbate while watching porn videos. Recently I got married, I am unable to get an erection. It has been five months now. No complete erection. Few times occasionally partial erection with early ejaculation is happening. My wife is not getting satisfied. I am very depressed. Please advice me. Does this problem remain forever? Doctor: Hi. It appears you had a good erection while masturbating and also during few attempts at intercourse, wherein you could penetrate your wife's vagina, which itself suggests you are normal as far as erections are concerned. You appear to be having premature ejaculation as well as decreased erection due to loss of confidence as well as anxiety due to the prior inability of performing sex. Nothing to worry, you can take tablet Tazzle 20 mg three hours prior to intercourse and initiate sex. Along with this, please take tablet Tazzle 5 mg every night, on the days when you are not doing intercourse. On the day of intercourse, skip 5 mg tablet and take only 20 mg tablet. Please note, there will be some headache as well as body ache initially as a side effect, but disappears on regular use. Please let me know after one month." + }, + { + "id": 16949, + "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": 7934, + "tgt": "What are the ways to treat ptosis in a diabetic patient?", + "src": "Patient: Hello doctor, 55 years old male with complaint of ptosis on the right eye having diabetes for the past 10 to 12 years. FBS yesterday taken was 165 mg/dl. Ocular movement normal on left side but adduction limited in affected side. He is suspected to have third nerve palsy. What all medical intervention can be possible to get normal? Doctor: Hello. I recommend performing a brain MRI. If normal (which means that is a peripheral nerve damage) I would recommend starting low dose Steroids for 20 days, Vitamin B complex supplements, Alpha lipoic acid 1200 mg daily. In case of pain in the eye, Gabapentin or Pregabalin can be helpful." + }, + { + "id": 17639, + "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": 21833, + "tgt": "Can you please suggest any skin lightening cream?", + "src": "Patient: Hello doctor, Can you please suggest any good skin lightening cream not such that like magical whitening but I meant for healthy skin and color does not matter that much. I have heard about the Golite cream. How is it? Can it be used like other fairness creams? I want to use, Clin shine cream which is newly available in the market. Please suggest me. Doctor: Hi. Start using sunscreen twice daily morning and afternoon over the full face. You can use this cream Clinshine (Hydroquinone, Mometasone, Tretinoin) cream daily at night or else you can go for Rejuglow (Glycolic acid, Salicylic acid, etc.) cream. Take Limcee 500 mg (Vitamin C) twice daily for 2 to 3 months. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25403, + "tgt": "Is cough with chest congestion something to worry about?", + "src": "Patient: Hello doctor,My mom had cough and cold which continued for a week. We conducted X-ray which indicated too much cough congestion in the chest and TLC count was 18K. One day, due to too much cough she vomited, and she was injected with a medicine to stop it and it worked. Next day, we went abroad for a week and as soon as we came back, we reconducted the X-ray which still indicates congestion is there and TLC count is now 15K. But she is getting fever since two days reaching up to 103. Crocin is not reducing it. I am really worried. Is it a viral fever? Or is it because of congestion. I am attaching the prescription/ medicines which she is taking as well as the latest blood report. Doctor: Hello. It is not a viral infection but a bacterial infection as her TLC has increased. Also, diabetic patients are prone to such infection. Treatment is antibiotics, which she has been started by her physician. In most patients, this resolves with a week. Continue other medicines as prescribed. We should see a response in 24 to 48 hours. If there is no improvement in fever, cough, or increase in her symptoms like increased shortness of breath, visit a hospital as her antibiotics will need to be escalated and she may need higher IV antibiotics. If you have electronic BP apparatus, then monitor BP twice a day. Excessive fall in BP or decreased frequency of urination are some of the warning signs. Repeat TLC, urea and creatinine test to see antibiotics response. So overall, a majority of the patients recover well but some amount of risk is always there in such infections. 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": 11464, + "tgt": "Thyroid levels gets increased after delivery. Why?", + "src": "Patient: Hello doctor, We have started seeing thyroid in my wife after her delivery before three months. We can see a mild swelling in her throat. After thyroid test we came to know that values were not in range, all have exceeded too much. We are afraid and do not know what will happen. Please find attached test reports and please suggest how much she has impacted and how this can be treated. This is the second baby. Before five years after first baby birth, we saw the same in her throat, and it went away after the observation by a physician and some medicine, in around three months last time. Now we see again but with high range. Currently taking Calcium and Iron tables as suggested by doctor after baby birth. Doctor: Hello. I saw her reports, and it appears that she has postpartum thyroiditis. She can start tablet Carbimazole (Neo-Mercazole) 5 mg twice daily for four weeks and then repeat her thyroid function test to adjust her dose further. I hope you find my advice beneficial." + }, + { + "id": 20860, + "tgt": "I feel pain and burning sensation after intercourse. Is this UTI?", + "src": "Patient: Hi doctor, I am 26 years old. I got married recently. After having intercourse with my husband, I feel too much pain in my vagina and also burning sensation while urinating. I also feel frequent urination. Is this urinary tract infection? Please suggest some medicine. Doctor: Hi. You are right. You have symptoms of urinary tract infection (UTI). Please get a urine culture and sensitivity done. We can start the appropriate antibiotic then. Meanwhile, have plenty of water of about 10-15 glasses a day to flush out the toxins. Revert back with the urine culture report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6140, + "tgt": "Which medication can be used to treat Parkinson's disease?", + "src": "Patient: Hi doctor, My mother is having parkinson disease for the past 8 years. She is taking Syndopa 275 mg 3/4 five times a day, but still she is not feeling good. Any alternative? Doctor: Hello. I understand your concern. Based on what stage of her disease she is in, there are quite a few alternatives available for parkinsonism. The first line of management is obviously the one that the doctor has given to you, Syndopa (a combination of Levodopa and Carbidopa). If this combination is not very effective then, a combination of Levodopa and a Dopamine agonist such as Bromocriptine, or Ropinirole, or Pramiprexole can be given. Even Selegiline, another mode of treatment drug, has showed a lot of efficacy in recent times. Since they are all prescription drugs, kindly get in touch with your physician and discuss the possibilities of switching her over to the medicines I mentioned." + }, + { + "id": 6329, + "tgt": "My skin is dry and rough, and I have pimples. Please help", + "src": "Patient: Hello doctor, I am a 30-year-old female. My skin is dry, rough, and having pimples. I want to know the right cream for my skin. Currently, I am using Palmolive shower cream and all clear fade milk lotion for my skin. Doctor: Hello, Welcome to icliniq.com. Dry skin conditions are mainly encountered in those who are atopic. The skin has reduced water retention capacity, and thus, there is increased transepidermal water loss. Moreover, the skin of the outer thighs, buttocks, upper outer arms may also have keratosis pilaris, which appear as rough, conical papules or pimples and are due to keratin plugging of hair follicles. I would suggest you use a cream containing keratolytic and hygroscopic agents like ammonium lactate, urea, etc., as a moisturizer twice daily. Ammonium lactate is available as a cream by the name of Amylac cream 12%." + }, + { + "id": 12108, + "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": 5712, + "tgt": "In young age, I masturbated to amusing stories. Am I normal?", + "src": "Patient: Hi doctor, When I was little, I sometimes masturbated to amusing stories I heard like a thief being caught and tickled by kids. I do not do that now. However, I remember that. I just want to be a normal guy. Does this mean I am not normal? Did that turn me into an abnormal guy? Any reassurance would give me tremendous relief. Thank you. Doctor: Hello. 1. Obsessive compulsive disorder. 2. Generalized anxiety disorder. 3. Panic disorder. 4. Depression. Obsessive compulsive disorder. Cognitive behavioral therapy. 1. Managing stress by meditation. 2. Yoga. 3. Breathing exercises. 4. Healthy lifestyle. Revert back if you have any further disturbance in life to a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27098, + "tgt": "My depression medications are causing problems in achieving orgasm. Is this temporary?", + "src": "Patient: Hello doctor, I am a 51 year old\u00a0house wife married since 24 years. I am healthy and maintain a normal life and do my routine household work every day. I do yoga for one hour regularly under a trainer. Though I am yet to have my menopause, I have been experiencing the symptoms of menopause like hot flushes, casual anxiety, occasional depression, insecurity, etc., for the past four months. I am taking medicine Clonil 25 mg for treating anxiety and depression as per the advice of my doctor. Off late, since the last two months, I am experiencing orgasmic dysfunction. Though\u00a0there is no reduction in my sexual desire, I am not able to reach climax. I want to know if this is normal. Is this temporary? Is there any treatment that I should undergo to achieve orgasm during sex. Please advise. Doctor: Hello. I read your query and understand your concerns. I hope this answers you. Feel free to write back to me or book a consultation if you have more questions. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 3517, + "tgt": "What does mild mitral and tricuspid valve regurgitation mean?", + "src": "Patient: Hello doctor, Echo report shows: Physiologic pericardial effusion Eustachian valve remnant at right atrium Rvsp=30mmhg Inferior vena cava not dilated Mild mitral, tricuspid valve regurgitation. Does this report show a normal result? Doctor: Hi. 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 of all of your medical concerns. I will simplify the things for your understanding and will go through whole of the echocardiography report attached. (attachment removed to protect patient identity). There is no tumor seen inside heart chambers. No blood clots seen means your heart is pumping in such a normal way that there is no turbulence of blood and heart valves are not causing any thrombi formation. All the chambers of heart are seen normal inside. Pumping of blood to the lungs and to rest of the body by right and left ventricles respectively is all normal. Relaxation of heart chambers during beats is also normal. No abnormal connections between the heart chambers. Very mild mitral and tricuspid valve regurgitation of blood, and that is insignificant and considered normal. Nothing to worry right now but keep a follow up with a cardiologist in the future too. Right ventricular systolic pressure of 30 mmHg is a little in the higher figures (15-25 mmHg being normal range usually). They have suggested an eustachian valve remnant at right atrium. Eustachian valve is a fetal structure, and we usually see just a flap of the valve after the birth of the baby. After birth, it has no function and it is seen usually and normally on echocardiography. So it is normal for you too. Problem was if there was a giant eustachian valve that may have been dividing the right atrium into two chambers inferiorly due to rigid overgrowth of the eustachian valve. Another abnormality (you do not have) related here is cor triatriatum dexter and needs cardiac surgery to correct it. You are safe. Final Impression:- Normal Echocardiography report. I hope this helps." + }, + { + "id": 19476, + "tgt": "I have burning pain after going to the toilet. Is the edge of the anus torn?", + "src": "Patient: Hello doctor,I have pain after going to the toilet. For the past few days, I have been experiencing burning pain after finishing, when I try to wash. It feels like the tip of the anus is inflamed and I cannot even touch. I Feel like the edge of the anus is torn. I notice that there is no blood in the stool. I have been applying Lycor cream. Please help as I am even hesitating to go to the toilet because of this. Doctor: Hello. From what you mentioned, it seems you have an anal fissure, which is a linear injury to the anal opening. Although it is very painful, you do not have to worry. It is a very common condition that resolves over time in most cases. For the pain, GTN ointment local after each time you go to the toilet. Be aware of the headache, Panadol (Paracetamol) will improve it. For constipation, Movicol (Macrogol) three times a day plus Senna (laxative) tablet before bedtime. Also sitting in a warm bath for 15 minutes helps. If you felt a mass coming out from the anus, a surgical clinic visit will be required. Hope you get well soon. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27799, + "tgt": "When I talk to my girlfriend over phone sometimes I get sexually excited and I feel pain in my penis and testis", + "src": "Patient: Hello doctor, I am 22 years old. When I talk to my girlfriend over phone sometimes I get sexually excited and I feel\u00a0pain in my penis and testis. What do I do. Please help. Doctor: Hi. Consult a\u00a0sexologist online\u00a0for further clarifications -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18901, + "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": 20361, + "tgt": "Why am I frequently getting sputum without cough?", + "src": "Patient: Hello doctor, I have no cough but sputum comes out while getting up in the morning and also same comes out 5 to 10 times in a day. Cough color is white. No other problem. Doctor: Hello. I understand your concern. Sputum coming out while getting up in the morning could be related to any stomach issue especially if you are having acid reflux or other hyperacidity problems of the stomach. If you have been taking any antibiotic recently, candida infection of the mouth can also be the cause. I advise running a sputum culture and sensitivity testing to determine if the problem is an infection (bacterial or candida) or from acid reflux. If any sign of acid reflux, run upper endoscopy for determination, consult with a dentist to evaluate the status of your teeth and gums. Run complete blood count, measure blood electrolytes to rule out dehydration. For the moment, I advise to keep good oral hygiene, keep well hydrated, and eat healthily." + }, + { + "id": 16569, + "tgt": "I had a tetanus shot last year. I had a minor mishap. Do I need another tetanus shot now?", + "src": "Patient: Hello doctor, I had a tetanus shot last year around June. I had another minor mishap on the road with a small injury (cleaned with antiseptic). Do I need another tetanus shot now? Doctor: Hello. The last year's dose is not going to give you any protection now. If any one of the following has happened during the injury, you will need tetanus followup: I advise you to take the tetanus injection (tetanus toxoid vaccine) as soon as possible. Even though the application of antiseptic negates the chances of acquiring an infection to a large extent, it is better to have the shot for safety purpose. You should ideally take tetanus injection within 24 hours, as it will not have any protective effect when taken beyond that period." + }, + { + "id": 2574, + "tgt": "I am very lazy and want to change my way of living life. Please advise", + "src": "Patient: I am daily planning since 15 years to wake up early in the morning and do some exercise/yoga but till date I am unable to wake up early and no exercise in my life style. I daily put alarm but daily when alarm starts I very fastly switch it off. I'm unable to break my comfort zone. I am so lazy in my work that I can take whole day to write simple official letter's reply. I'm very slow in doing every work for example if I go to toilet and bathing I take almost one hour. If I go to wash my clothes I will do it almost in one hour. I want to change my way of living life and want to do everything with proper time and duration. I want to come out of my comfort zone and do things with proper timing. So please advise. Doctor: Hi Thanks for your query. I understand its difficult to keep your self motivated and win over to your own self. That's the hardest part in life. To start with please limit and write down goals first. Make sure your goals must be practical which you can do easily. Start with small steps e.g. If you want to start excercise dont limit yourseld to morning time with 1hr. Start with anytime in a day foe 15-20mins, also start with simple walk. Please remember intensity and duration also keep us motivated. Once you establish a routine than you can keep it moving. Also its better to do with some friend or partner. It also helps in motivation. Foe other activities, apply the similar rule." + }, + { + "id": 2190, + "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": 8796, + "tgt": "I have shoulder pain radiating to arms and hands. Kindly advise", + "src": "Patient: Hello doctor, There is shoulder pain going into arm and hands. It intensifies with moving the neck. Doctor: Hello. I have read your concern and below is my opinion for your case. It can be nerve compression pain due to a bulging disc in the cervical spine area. I suggest you get your detailed neurological evaluation. You should get investigated with cervical spine digital X-ray to check whether any bulging disc or spondylosis is present. According to the cause, specific treatment is given. You can consult a nearby orthopedic surgeon for detailed evaluation." + }, + { + "id": 8028, + "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": 15111, + "tgt": "What can be done for severe anxiety and major depressive disorder?", + "src": "Patient: Hello doctor, I am a female, 18 years of age, 5'1\", 160 lbs. I am currently on the medications Seroquel 50 mg and Remeron 45 mg. I have been diagnosed with the major depressive disorder (severe with psychotic features), and generalized anxiety disorder. I have been on multiple medications that have not helped me. These are Prozac, Zoloft, Clonidine, Buspar, Vistaril, Risperdal, Luvox, Remeron (currently on), Seroquel (currently on), and Cymbalta. I am reaching out because I am struggling a lot and I feel hopeless. I do not know what to do at this point. Some of my symptoms are crying multiple times a day every day, feeling extremely overwhelmed, no energy at all. I cannot stop my mind from racing and thinking about too much at once, and more. My anxiety is so severe that I cannot go anywhere alone, I sweat, my heart races, I panic. What should I do at this point? I have a 2-year-old little boy. I have had a very hard childhood and deal with a lot of those issues today. My father passed away from cancer and my mother abandoned my sisters and me for drugs. This has impacted me greatly. Doctor: Hi. The description given here about you and your symptoms are really thought-provoking for any psychologist. To know that you are already under treatment for MDD and GAD is depressive in itself because you are just 18. Over and above you went through an ordeal of negative life incidents and now you are with an infant whom you should take care of. I do understand. I would like to know that are you employed? How do you get the funds to live on and then for treatment? Do you have an own home to live? The first step in any psychological disorder is to accept the disorder as it is and understand, the treatment process will be long enough. Understanding this aspect will help you overcome the depression associated with the thoughts regarding your disorders. Once you understand it, you worry less about it. These disorders are like any other physical endocrine disorders like diabetes, thyroid, etc. These physical disorders have to be maintained life-long with the help of medicines and the more you worry about them, you will lose your sleep, but worrying is of no use there. The same is applicable to you too. I suggest cognitive behavior therapy, relaxation therapy, and progressive counseling. Take care." + }, + { + "id": 22877, + "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": 29654, + "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": 15465, + "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": 507, + "tgt": "My wife has Raynaud's with pale violet and gangrene fingers. Please help", + "src": "Patient: Hello doctor, My wife has arthritis and has become very weak over the last few months. Now she has a condition that is more or less like Raynaud's phenomenon. Her fingers are turning pale violet and one of the fingers had gangrene like occurrence. Not only hands but even the toes are experiencing the same. Please help. Doctor: Hello. You are right in saying that she has the symptoms of Raynaud's with digital gangrene which is on going. With arthritis, there are 50 variants of it and it is very important to distinguish which one she has it as the management will differ for every arthritis. I would like to ask a few more queries: Any history of oral ulcers? Hairfall? Any history of fever? Which joints are affected? Swelling in the joints? Any deformity? Any changes in skin color or skin becoming tightened? Any history of dry eyes or dry mouth? Any muscle weakness which you have observed? With the start of Raynaud's, it seems like a systemic involvement more, something like lupus, but we need to rule it out. Kindly let me know these queries and I am advising a few tests. If they have been done, please attach the reports as well. CBC (complete blood count). ESR (erythrocyte sedimentation rate). CRP (C-reactive protein). Rheumatoid factor. Anti CCP antibody. A NA(by immunofloroscence). Serum creatinine. Urine routine. Connective tissue disease." + }, + { + "id": 26641, + "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": 17114, + "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": 15640, + "tgt": "I feel like vomiting when I see dirty things or smell dirty things. Please help", + "src": "Patient: Hi doctor, I do not know how to explain my state. Since many years, I feel like vomiting when I see or smell dirty things. I cannot just sit with a drunken person. I cannot even resist when someone is vomiting or coughing or just clearing their throat. To get rid of this vomiting feeling, I started eating too much of mint flavored chewing gum. By too much, I mean nearly one every day or three in a week or so. Also, these days due to the unpleasant weather, I feel very uneasy all the time. I cannot eat properly because I am afraid that I might vomit. I am actually a very reserved person. Earlier, I used to live with my parents and so the three of us were living in one house. But, just 15 days back, my aunt passed away and so their family also joined us in the same house. I do not know why, but I am feeling very uneasy to adjust to this environment. One of my aunt's children is having the habit of spitting every time and that is the reason I am running away from him every time and if I am sitting with them, I always carry a mint. Can you please tell me the reason for this state of mine? Earlier this week, I had to go out of station for some office work but I stopped by with the fear of vomiting. I think I am oversensitive to things. Otherwise, I am a very friendly, happy person. I want to be happy always and want to see things in my own way. After a year or two, I will be getting married. So, I do not want to ruin any of my relationships with these habits. Please advise what I need to do to get rid of this problem. Doctor: Hi. Your statement of 'I feel like vomiting when I see or smell dirty things and I cannot just sit with a drunk person' are commonly found in normal individuals and does not signify any mental or psychological disorder. But, your statement that you canceled your official trip because of this issue signifies that you have attached too much significance to a trivial problem. At this moment, it seems that your thought process is dominated by ideas of vomiting and you are not able to get rid of this. It is also possible that you are aware that these are not rational ideas, but whenever you try to resist, you get rebound anxiety or increased anxiety or more vomiting feeling. If you are wasting more than one hour a day on these ideas and that is impairing you in your occupational, academic or social life, this can be due to obsessive compulsive disorder (OCD). In this disorder, people are very particular in regard to cleanliness and not able to stand slight dirt and have a tendency to wash their hands multiple times. I assure you that this is quite treatable and a lot can be done to improve your thought process. This disorder can be treated with medication or behavior therapy or a combination of both depending on the severity and response to a particular kind of therapy. At this moment, I suggest you consult a psychologist counsellor online. --->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 19326, + "tgt": "I bled after I-pill, but missed period on due date. Am I pregnant?", + "src": "Patient: Hi doctor, My periods got ended on the 12th of last month and I had protected sex on 15th. As I noticed some semen on me, I took an I-pill on the same day. Then, I got periods after 8 days of I-pill, which lasted for five days as usual. But, the period was not like the way I usually get. There was no heavy flow or continuous flow of blood. The color of the blood was brown. My actual due date is 7th of this month and I missed it now. I am worried whether I am pregnant. Please help me with this issue. Doctor: Hello. First of all relax. You are not pregnant. Your periods came early because of I-pill medicine (emergency contraceptive pill). Sometimes, it can make periods come early and sometimes, it can delay. In your case, it made your periods early. But, I want to caution you that you should not use I-pill medicine in daily routine as it is a very strong medicine and have side effects also. In your case, you did not even need to take I-pill because your periods finished on 12th and you had sex on 15th. You cannot become pregnant if you do sex in the first 10 days of your periods. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19389, + "tgt": "Can penile pump cause my penis to be numb?", + "src": "Patient: Hello doctor, I am using a penile pump under the direction of a urologist. Over a period of each of five days, I think I had overstretched the penis and now have a loss of sensitivity and soreness with no erection. Do you know if it will and how long it may take to recover sensation and remove the soreness? What are the treatment options? The numb penis is very distracting. I am not sure how much damage the penile pump could cause. I am worried waiting too long. Thank you for your help. Doctor: Hello. A penile pump is a form of physical or mechanical treatment. Have you tried oral PDE5 (phosphodiesterase type 5) inhibitors like Viagra (Sildenafil)? It is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. I discourage you to use a penile pump as it has started to cause physical damage. Maybe your technique is wrong. Numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. It may take four to six weeks. If you are interested, I can guide you in use of injection therapy in which you inject erection drugs with a small syringe in your penis before intercourse (you should not have any heart ailments for injection therapy).Injection therapy also has a few side effects. At present, you just discontinue using the pump and wait for it to heal. If you want you can continue using it provided you know the correct technique. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 14518, + "tgt": "What is the reason for pain in the back and body while standing for long hours?", + "src": "Patient: Hello doctor,I am in my late 40's and I feel weak and have been suffering from back pain, body pain, standing for long hours is also quite painful for me. What supplements should I take? Doctor: Hi. You could get Calcium supplements for a few weeks as calcium depletion at this age is common and women are more prone to a decreased bone density which can be symptoms like you have. However, it would be wise to get a thorough body check-up and get some blood work done for mineral levels and a full blood count. You can also get a serum electrolytes test done. Also, let me know if you have other symptoms like dizziness, low blood pressure, etc. You are dangerously underweight which explains your symptoms. Do you have an eating disorder or have you lost weight recently? Please let me know so that I can help you further." + }, + { + "id": 1448, + "tgt": "My penile head turned blackish with horizontal wrinkles in it. Do regular maturbation be the cause?", + "src": "Patient: Hello doctor, I am 21 years old. I have been worried because my penis head has turned blackish and I have horizontal wrinkles on it. I masturbate once a day for the past three years and often forget to clean the sperm after masturbating. Please suggest. Doctor: Hello. I read your query and understand your concerns. I have gone through the attached images (attachment removed to protect patient identity), and it is true that there is some black discoloration at the glans penis (penis head) but it does not look like symptom of any illness or disease. In other words, it can be stated that poor personal hygiene can be the cause and exercising proper care during bath and otherwise can be of much use. I must acknowledge that images attached to the query are of low resolution but can be considered of average quality for the initial assessment. In case there is no improvement after improving personal hygiene I recommend you to post high-resolution images on the follow-up query. I must also inform you that slight black pigmentation of the penis can be due to the overproduction of melanin which is responsible for the color of our skin. This generally represents injury to the penis because of some injury due to aggressive masturbation which may be applicable in your case. So it is important to remain gentle with yourself when you hold your penis next time. I recommend you to wash with a mild cleanser and rinsing thoroughly so that dead skin can be removed which will change the color to the original. It is also recommended to use antioxidants and mineral rich diet in your daily schedule to rejuvenate the skin of the body. I hope this helps." + }, + { + "id": 5158, + "tgt": "Is it normal to have muscle twitches all over my body?", + "src": "Patient: Hello doctor, I have been having muscle twitches all around my body for about two months. First I noticed it in the legs, around my calves, arms and even on my back. It has been fairly noticeable around my shoulders, and biceps. At one point I even noticed my right eye twitching whenever I blinked, though the eye twitch has not happened in a few weeks now, so maybe that was just due to a lack of sleep? My concern is that the muscle twitching is still felt pretty much all around my body, mostly my legs though sometimes in the arms and even in my stomach. I noticed that the leg twitching happens when I am at rest, with either my legs up on the recliner or in bed. If I am walking or standing I have yet to notice a thing. I have gone to see my GP doctor and she is attributing it to stress, anxiety or side effects of an anti-depressant drugs that she prescribed. (Though it has now been seven weeks since my last dose and I am still feeling the muscle twitches. During the span of these last two months, on three separate occasions, I have felt very weak for a day. Not to the point that I could not get out of bed, but definitely fatigued enough to do any daily activity, the feeling was like I was anemic. At times, I would feel like even my arm bones had some weakness. I would make myself walk around the neighborhood to let some fresh air, circulation. Do some self-evaluation tests like walking backward or one foot in front of the other, or even standing on one foot. The weird thing is that after a day, I would feel slightly better. After the second day, I would feel back to my normal self (but with the twitching). I started taking a Magnesium supplement because I had heard that it helped with calming down the mind and also helped with muscles. After two weeks it has not stopped the spasms. So, last week I went back to see my doctor and they had me run a magnesium blood test and I was just sent the results. Everything came back normal with the exception of vitamin D 25-OH being low at 26 ng/ml. Magnesium was at 2.3 and calcium was at 9.2. She did not order a B12 analysis so I am not sure if that is low as well. I have made an appointment with the GP to go over the results, but I am getting a little concerned because of the twitching that is not going away and now the low vitamin D result. Do you think this can all be attributed to the low vitamin D level? I fear that I may have an underlying condition such as ALS or MS since that is pretty much what you find when researching these symptoms. Doctor: Hello. I understand your concern and would explain that the muscle twitching could be related to low vitamin D levels. For this reason, it is important to take Vitamin D supplements. I would also recommend checking vitamin B12 plasma levels for possible deficiency and performing nerve conduction studies in order to examine your muscles and nerves. You should discuss with your doctor on the above tests. If all the above tests result normal, you should also consider benign fasciculations syndrome as a possible cause underlying your complaints. Anxiety could be playing an important role in all this clinical situation too. For this reason, I would recommend avoiding caffeine and trying Yoga." + }, + { + "id": 1830, + "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": 6179, + "tgt": "Do you suggest surgery for DNS?", + "src": "Patient: Hi doctor, I have allergic rhinitis problem for the last two years.\u00a0I have taken ayurveda and homeopathic treatment. It has improved, but not completely. I have DNS. Do I need surgery? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 27778, + "tgt": "My mother has NPH. Should she go for CSF drainage or shunt surgery?", + "src": "Patient: Hello doctor, My 76 year old\u00a0mother was recently diagnosed with normal pressure hydrocephalus. She is having trouble walking. She can walk only three to four steps at a time. She has been having this difficulty since a month now. She is currently not on any medication for this or for any other issues. We consulted two different neurosurgeons. One of them suggested going\u00a0for the shunting procedure directly, while the other has asked us to go for LP CSF drainage and look for clinical improvement. I am confused. Which one should she go for? How complicated is the shunting procedure? How suitable is it, considering her age? I have attached the MRI reports for your consideration. Doctor: Hello. I am sorry to hear about your mother. I have seen her MRI reports (attachment removed to protect patient identity). Wishing her a speedy recovery. Best wishes. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 16470, + "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": 16019, + "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": 22496, + "tgt": "Why do I have minor joint pain and back pain?", + "src": "Patient: Hi doctor, About six weeks ago, I started having pain in my right index finger. It was mainly when I used my mouse. A few days after, both of my hands started hurting. It was mainly in my right-hand joints, but also in other parts of the hand too. I got scared that I got rheumatoid arthritis. I read all about the symptoms and went to an orthopedic doctor. The doctor examined my hands and said it was not rheumatoid. I have no redness or swelling or pain when the doctor examined me. And then a few days ago, I started having slight pain in my knees and I also had pain in my back. But, now pain in my hand is almost gone. Doctor: Hi. You do not have rheumatoid arthritis. There is only pain and swelling in the joints along with morning stiffness. If you have pain, you can take Tylenol (Paracetamol). But if there is swelling, fatigue or morning stiffness you can consult a rheumatologist for evaluation. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 23728, + "tgt": "Is CT scan safe during pregnancy?", + "src": "Patient: Hi doctor, I am a 29 year old female, and I was hospitalized for a\u00a0week due to UTI. As a part of it, a CT scan was taken, which showed that I am completely cured. Then the next day, a blood test showed two weeks pregnancy.\u00a0I am worried that the CT scan would\u00a0have an adverse effect on the baby.\u00a0Could you please advise. Doctor: Hi. I have gone through your question, and I understood your concerns. Hope you found the answer helpful.\u00a0Do get back to me for further queries. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2045, + "tgt": "I have right-sided headaches, and I blacked out and urinated today morning unknowingly. Why?", + "src": "Patient: My head hurts, but only on the right side--specifically around the area of my temple. Sometimes, the headache spreads to my right eye. The pain in itself is tolerable but every time I lay down to sleep, it becomes more painful. Next to that, my stomach also hurts since the other day. I feel nauseous too. Earlier this morning, I experienced a weird thing. At breakfast, I was feeling nauseous. And then suddenly, my eyesight was blocked by this wall of black and white dots. My ears were ringing. I closed my eyes, thinking it was just an illusion, but when I opened my eyes the wall of black and white dots was still there. I felt really weird all over my body too. There was this tingling feeling on my limbs and when the wall of black and white dots finally cleared up a bit, I looked down and I was surprised when I felt the wetness between my legs. I urinated. I didn't even felt it until I saw the puddle below my feet. I felt like I blacked out. My blood pressure is 90/70. Temperature is 36.2. PR is 85 (resting). PI is 2.1 and blood oxygen saturation level is 97%. Doctor: Hello! Thank your for reaching out Your headache may be a of migraine type. I would recommend you take celecoxib 200 mg/tab, twice a day for pain and topimarate 25 mg/tab at bedtime for 1 week. I would then recommend further consult done after 1 week of taking topimarate. I would also recommend that you check your CBC to check for anemia and your serum electrolytes since you mentioned you blacked out. The results will help us understand your condition better. Is there anything else I can help you with?" + }, + { + "id": 17607, + "tgt": "My son vomits while coughing. Please help", + "src": "Patient: Hello doctor, My 3 year old son is suffering from cold and has regular cough. His temperature is normal and he did not have fever. But at times, he is throwing up whatever he eat or drink while coughing. Please suggest any medication and test if required.\u00a0Thank you. Doctor: Hi. I understand your concern. Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5703, + "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": 9502, + "tgt": "I am frequently stumbling over words. Could this be due to my stress or something more serious?", + "src": "Patient: Hello doctor, In general, I am in good health and a functional, if not happy, person. Recently, I have undergone emotional stress and strain which has brought on symptoms similar to ones I have had under similar circumstances in the past. This time, however, it is a lot worse. In the past, I have tended to hallucinate, owing to lack of sleep and food. Usually, this would be something like moving patterns or other visuals, and nothing too scary. However, then, as now, I become convinced of things, usually, the identities of people, walking, driving in a car next to me, and for a while, I totally believe that it is this person. Only after a short while will I snap out of it a bit. The worse my emotional and mental state, the more severe and frequent, events like this happen. Recently, I have been pushed into a suicidal mood, something that genuinely is outside of my personality. I give a\u00a0class at an institution and often times I find myself stumbling over words. It is nothing new, and people tend to do these types of things. However, it is happening more frequently, and twice now, I have heard myself losing the plot of my sentence but was unable to stop. I need to know if these are just the signs of severe emotional stress or maybe something darker. Any help is appreciated. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 27059, + "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": 22953, + "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": 122, + "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": 12853, + "tgt": "What can be done to get an erection while having sex?", + "src": "Patient: Hello doctor, Whenever I am thinking about sex or masturbating, I easily get a boner and it takes me a while to ejaculate, but when I am actually having sex it takes forever to get a boner. Then I ejaculate immediately. I do not know what it is or how to fix it. Doctor: Hi. The sexual act is mediated by mind. It has many phases like desire, excitement (erection), ejaculation and resolution. It can get affected due to various reasons like fear or phobia in the brain. If you have conflicts with your partner, if there is some performance stress or any other stress, sometimes conditions occur like you develop a fear associated with certain things. This fear work as an inhibitory factor. I would recommend you to have some therapy sessions in order to find out the cause in your case, after that, an intervention can be started." + }, + { + "id": 15393, + "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": 18606, + "tgt": "I have recurrent gas and acidity problem. Please help", + "src": "Patient: Hi doctor, I have recurring gas and acidity problem for last three months.\u00a0At present, I am taking liquid Sucral\u00a0and tablet Sompraz 40. I have already got an ultrasound of the\u00a0stomach, endoscopy, LFT, and jaundice test. All the tests were normal, except a small ulcer patch was seen in the stomach during the endoscopy. Doctor: Hi. Revert with the test reports. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16210, + "tgt": "I have a denture after bone graft. Can I take it out for cleaning?", + "src": "Patient: Hi doctor, I have done a bone graft on my front teeth for a dental implant. Now, I have a flipper (denture). Do I have to take the flipper out (denture) to clean it? For how many times do I have to clean it? Doctor: Hi. I have gone through your question, and I can understand your concern about your denture. You have to take it out after having meals, and you have to clean it properly or keep it in water till you wear it next time. If you feel that you have halitosis (bad breath), then you can take it out even after having meals too. Also, if you are at home, you do not need to put them on the mouth, you can keep it out at that time. You have to keep it out during the night. Please send a picture of your gum region as well as denture to guide you further because dentures may cause resorption of the ridge also." + }, + { + "id": 26128, + "tgt": "Is surgery needed for a labrum tear?", + "src": "Patient: Hello doctor, My wife has been diagnosed with a\u00a0labrum tear. She is 37 years old. She wants to get a second opinion on the treatment options. Is surgery the only option available? Will not the labrum heal on its\u00a0own? Currently, she is on ayurvedic treatment. I have attached a few files for your reference. Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18646, + "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": 27043, + "tgt": "I have anxiety and panic disorder. Can I drink occasionally?", + "src": "Patient: Hi doctor, I have anxiety and panic disorder for the past five years, for which I was taking antidepressants. I have stopped taking antidepressants for more than eight months as I started feeling well. I drink alcohol occasionally. Is there any chance of anxiety disorder relapsing? Can I drink occasionally? Doctor: Hi. It is good that you do not have any symptoms even after stopping the medicines eight months back. There is always a chance that panic disorder and anxiety relapse. So you have to be careful and watchful that if any previous symptoms reappear or any new symptoms arise, then you have to consult your psychiatrist as soon as possible. Alcohol per se does not cause these symptoms if used occasionally and in lower quantity (within safe limit). However, the chances are high if the intake is increased. If you become dependent on it or use more alcohol, then alcohol-related medical conditions can arise and may complicate the situation. Occasional social drinking usually does not cause much problem. Also, do regular follow-ups, so that early sign and symptoms are recognized and dealt accordingly. Thanks and regards. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4608, + "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": 15921, + "tgt": "Why am I having an increased urge to urinate after sexual intercourse?", + "src": "Patient: Hello doctor, I am an 18-year-old girl. Two weeks before I had an intercourse. From that day I started feeling pain when I urinate. I felt it is normal due to friction. But now the problem is getting worse. Now I realize I do not urinate as before. I felt my bladder getting full. I have an urge to pee. But when I urinate urine does not come out fully. I am feeling stomach pain due to that. I have to go to washroom frequently because drop by drop urine comes out and I feel severe pain. Can you mention what disease I have and possible treatment for that? Doctor: Hi. Seems like you have some vaginal or urinary infection which is causing the problem. Please get yourself checked by a gynecologist internally and get a vaginal swab test and complete urine examination. 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 you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 11889, + "tgt": "What are the ways to treat chronic telogen effluvium?", + "src": "Patient: Hello doctor,I have been diagnosed with CTE (chronic telogen effluvium), but my doctor did not provide me with any information basically what to do about this condition. Can you help me out? What should I do to get it under control? Doctor: Hello. 1. Chronic telogen effluvium occurs when your body has been under stress like any drugs, any disorders like thyroid, nutritional deficiencies, chronic mental stress or any other chronic illness. And rest of the times no cause can be appreciated. 2. So then you need to look for these and control. Take plenty of fresh fruits, and protein sources including eggs, meat, and dairy products. 3. Use a Ketoconazole 2 % shampoo once or twice a week to help scalp keeping free of dandruff. 4. Manage your stress, take good sleep and drink plenty of water. 5. And if you are using Minoxidil use it regularly and it might also in phases causes shedding as it rearranges hair cycle. Do not stop it again and again." + }, + { + "id": 3370, + "tgt": "Are these medicines the apt ones for keratitis?", + "src": "Patient: Hi doctor, I am suffering from stromal viral keratitis. My doctor mentioned in my report as stromal keratitis (herpes?). Is that herpes? Also I was prescribed Pred forte, Add Tears and Acivir ointment. Are these right medicines? This is the second episode after five years. Please help. Doctor: Hello. Let me share some facts about viral infection of eye. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27412, + "tgt": "My wife has conceived a baby from the act after I had used cocaine. Can this cause problems?", + "src": "Patient: Hi doctor,I stupidly used cocaine at a weekend out and it looks like I\u00a0conceived a baby with my wife the day after using it. Can this cause any serious harm to the baby? My wife is five months pregnant already and I have been worrying about something bad happening since then. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4283, + "tgt": "Benign cluster of cysts in my brain grows from 1. 2 cm to 2 cm over a long period. Is it dangerous?", + "src": "Patient: Hello doctor, I am looking for advice and maybe a consultation from a neurologist. I have a benign cluster of cysts at the back of my brain that was about 1.2 cm in size when diagnosed after an MRI. I received this info from my family doctor who read the radiologists report that indicated no further action was needed. I was not given a cause and prognosis was all good given the small size and benign appearance. After some unusual headaches, I had a follow up MRI that showed no change and was told nothing further was needed. Before few months, I started having almost daily headaches, tingling in my head, dizzy spells, memory issues and brain fog, occasional nausea and pressure sensations in my head. An MRI was ordered, and my appointment for that takes months in my place. The symptoms seemed to come and go so I and were not interfering with life so I just waited for the appointment which was last week. I had a third MRI and was told the cysts have grown to over 2 cm and the report shows that rather than a cluster of cysts as diagnosed before, it could actually be a slow growing tumor. In addition, there is now and second unusual spot on the front of my brain. Since it is unclear what is going on, my family doctor has requested to have another MRI. As well my doctor is requesting an MRA because my father had a massive brain aneurysm at age 48, so she has suggested looking at the vessels as well. Then my doctor will refer me to a neurologist. However, this process takes time in Canada so I have a long wait time based on the fact that I am stable and the initial tumor is slow growing. I likely would not have the repeat MRI or MRA tests for four to eight weeks with neurology consult in three to four months. I am looking for advice on what to do next. I am an otherwise healthy 49-year-old woman. However, now I am feeling some anxiety over this which has resulted in sleeplessness. I really want to get to the bottom of what is going on sooner than later. I am currently taking Lithium 600 mg and Lamictal 100 mg for bipolar depression. Doctor: Hello. I have reviewed your case. It is very much a benign tumor which grew 1.2 cm to 2 cm. So it is not an emergency at all. First thing, I want to know which area of the brain having cystic lesion? So can you send me the radiologist reports of MRI and preferably photos of important MRI images so I can see how many cysts or tumors in which part of the brain is located. As treatment and prognosis of any brain tumor depend on size, number, and location. Second thing, please describe your symptoms in detail so I can correlate that is it related to this or not. Waiting for your response." + }, + { + "id": 18916, + "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": 1107, + "tgt": "Is it safe to take Duphaston post abortion?", + "src": "Patient: Hello doctor, I had a medical abortion a month ago. My period came 29 days after the abortion. After the period I did an hCG test and it was positive. 37 days after abortion my hCG level is 18.21. After three days, the test showed 17.56. I also did an ultrasound and the doctor said I have 3 mm endometrial thickness on one spot. He prescribed me Duphaston to take from day 15th day to 25th day of my cycle. I am scared to take it and also I am scared that maybe I have some retained products but the doctor said I am fine. What should I do? Is it safe to take Duphaston in my condition? Doctor: Hello. First of all, there is no harm in taking Duphaston in your condition. It is just a progesterone hormonal analog, the same hormone is secreted from the ovaries once the egg is released after ovulation. So there is nothing to worry about taking it. I would like to know what was the indication for checking beta hCG (human chorionic gonadotropin) value at 37th-day post-abortion, when everything was fine, you even got your periods pretty much on time? Regarding your beta hCG value, I would like to tell you that beta hCG may be detected in maternal blood up to 4-6 weeks post first-trimester miscarriage or medical abortion. Did you had a missed miscarriage or was it an unwanted pregnancy that was terminated medically, and at how many weeks of gestation? This is important because sometimes missed miscarriage may harbor partial molar pregnancy which goes unnoticed, as biopsy or histopathological examination is not done for such cases. But yes, any persistence beyond 6 weeks of abortions should be monitored carefully as these may be a hint of development of gestational trophoblastic neoplasia (GTN). As your scan is normal, and also endometrial thickness of 3 mm is also a normal finding, so there is no chance of having any retained products. It would be helpful if you could share the ultrasound reports (pre and post-abortion), and the dates of the events along with the date of doing beta hCG levels to have a better idea of your situation. I would advise you to recheck your beta hCG value again after a week. Please revert back to me with the necessary details I requested you, so that I can guide you further. Serum beta hCG value after a week." + }, + { + "id": 7565, + "tgt": "I would like to gradually reduce the dose of Alprazolam. Is that possible?", + "src": "Patient: Hello doctor, I am taking tablet Alprazolam 5mg (three tablets, a total of 1.5mg) at bedtime. I do not take any Alprazolam or any other benzodiazepines during the day. Also, I started taking Alprazolam about 6-8 months ago. Originally this was for a short period of insomnia due to a life situation where I was so worried about life that I could not sleep. The situation has long passed, and everything is fine now. I would like to slowly wean completely off of the Alprazolam so that. I no longer will take it. I am also being treated for bipolar depression, and I no longer feel depressed at all. But somehow, other benzodiazepines with longer half-lives such as Diazepam, Clonazepam and Clorazepate make me feel quite depressed within an hour or so of taking them. Actually pretty much any benzodiazepine besides Alprazolam makes me feel depressed. So, it seems like I have to wean off of the Alparazolam without substituting longer-acting benzodiazepines. I will go from 1.5mg to 1.25mg for a couple of weeks, then down to 1mg, then 0.75mg, etc., until I am not taking any anymore. At any rate, I am not sure if I am having interdose withdrawal symptoms during the day. I do not think I feel \"anxious,\" though I am not sure exactly what \"anxious\" means, to be honest, even though it is such a common term. I know I do not really spend much time worrying. I generally feel calm and at ease in life and about life. There is really nothing to worry about life because everything is going well for me. But perhaps I *would* be feeling more interdose withdrawal-related anxiety were it not for the antipsychotics and antidepressants I am taking. Perhaps they're ameliorating the anxiety that would have been there during the day between my evening alprazolam doses. But I have noticed lately that I am somehow a bit emotionally labile, at least when it comes to dealing with situations with my girlfriend. It is like she does something little that upsets me, something which I would ordinarily perhaps feel a bit poorly about or get a bit emotionally stirred, and ordinarily we would potentially have a conversation about it to solve this issue, or perhaps we wouldd get into a small fight or something. But lately when something happens which upsets me, it really, really upsets me. I can get easily angered or have some other odd negative emotional reactions. I wonder if this is a problem of interdose withdrawal from Alprazolam? It is possible, too, that it is just a development in my psyche, some kind of psychological problem only manifesting recently. But I wonder if it is possible, too, that I am having this experience as a withdrawal symptom between bedtime doses of Alprazolam. I can be in a perfectly good mood, or in a great mood, or in a normal mood, and one little thing happens with my girlfriend and everything is terrible all of a sudden, I feel terrible and I end up making her feel terrible. Have you heard of anything like this in terms of emotional lability/reactivity or anger or irritability something like that as a result of benzodiazepine withdrawal? Also, if I wanted to test this idea out and divide my bedtime alprazolam dose into, for example, three doses of 0.5mg each, is it possible that I experience insomnia as a nighttime withdrawal symptom? What I mean is that I only had insomnia for a short period due to some anxiety in my life, but that anxiety is over. But now, if I forget to take my 1.5mg alprazolam at nighttime, while I do no start worrying about anything, I just cannot fall asleep. And oddly, if I do start to fall asleep, I am suddenly sort of shocked/jolted back into being awake. This is not the type of insomnia I was being treated for where I just could not sleep because of worrying. I no longer worry or have much to worry about, and I think if I were not dependent on the Alprazolam, I would be sleeping just fine without it. I might be having trouble making this subtle point: It is that while I cannot sleep without my 1.5mg bedtime dose, I do no think it is due to an underlying insomnia, but rather a result of my being dependent on the Alprazolam for sleep after all these months. Is this is possible because of 6-8 months of use? And especially is the feeling of the insomnia is super different than how it was before. Before I just worried and could not sleep, but now there is no worry, I just feel awake in an odd way and cannot sleep, or if not, then I half fall asleep and suddenly startlingly awaken before I am fully asleep. So, now I am thinking of spreading my dose out, and instead of 1.5mg at night, maybe I would take 0.5mg in the morning, 0.5mg sometime later in the day, and 0.5mg before bed. If it is the case that I am experiencing insomnia as a consequence of my dependence on the drug, then would it be probable that I experience the same \"rebound insomnia\" (or whatever it is called) when I spread out the drug? That is, when I spread it out throughout the day and night, should the level of the drug in my blood be enough at nighttime that I do not experience this rebound insomnia? So that if there is some kind of insomnia at nighttime (during this experiment), it is not because of my Alprazolam dependence but rather due to an underlying insomnia? I wonder because I would not want to try this if you think it is probable that I would still have this rebound insomnia. I would only do it if the idea of it makes some sense to you. That is because I am only prescribed enough for 1.5mg per day, and the doctor is not willing to give me some extra during this period, so I have to be careful not to waste any if at all possible so that I'm not missing nights of sleep. Of course, if there's no way to know unless I try it, then I'll try it. But I would only stay away from the experiment if you think it does not make sense. So, if my brain is used to having 1.5mg at bedtime, then even if I took 0.5mg in the morning and 0.5mg in the afternoon, would I still need a whole 1.5mg at bedtime even though I already took 0.5mg morning and 0.5mg afternoon? Would my brain expect the whole amount at night because that is what it is used to, or would it accept that I already had 2/3 the dose morning and afternoon, and so the other 1/3 could be taken before bed? And finally I just want to say that I would like to try this because I am concerned that: 1. This emotional instability is an interdose withdrawal symptom. 2. The longer I am on the drug, the stronger the dependence gets so that it becomes more likely that I develop more severe interdose withdrawal symptoms during the day like panic attacks or something. If either of these are possible, then it would seem like a good idea to spread the dose out in order to avoid these things. Please explain. Doctor: Hi. Thanks for your detailed query which is self explanatory about the problem. It was lengthy but it contained only relevant thoughts necessary to express your deep rooted concern. First of all feeling nervous or anxious is common term and if you do not know what it means, I am sure you have never had that feeling. If you had that feeling you will know it throughout your life. I must inform you that common terms are difficult to define but almost everybody experiences that. What you are calling as emotional lability/unstability is normal reaction. That happens to any human over the earth. Your calmness and composure with others (except girlfriend) indicates that you are not labile and this is not rebound anxiety. It is possible that you are not satisfied with her relationship to one or another reason. Other than that with partners, having disputes is a normal phenomenon. So, stop calling it emotional lability and set a dialogue with your girlfriend about her doings which upsets you. By doing this you will be identifying the cause and rectify the problem all together. Since it is not rebound insomnia doing experimentation is not advisable. Your question is that if you take 0.5 mg in morning and afternoon what dose will you need in the evening. Since you are doing well with other drugs gradual reduction of the dose of Alprazolam is possible and it can be accomplished successfully by you. Revert back to a psychiatrist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5967, + "tgt": "I have pinworms and took pinworm medicine. Will they take a while to go away?", + "src": "Patient: Hello doctor, I am a 31-year-old female. I think I have pinworms. My butt (perineal and anus area) kept vibrating like a cellphone, about once every two seconds, all day. I started taking probiotics and now it is not as constant, but happens many times a day still. I researched it, and some people say it could be worms. I took Reese's Pinworm medicine and there were a few small half to one-inch white worms. My anus itches every now and then. Two days in a row it was very itchy. But it is not extra itchy at night, which is supposed to be the main symptom. I do feel them especially at night and it disgusts me. Do you think the cellphone-like vibrating is because of the worms? I am very disgusted, upset, and terrified. I think I got it from eating kale and spinach that I did not wash. I do work in a school, too. I heard apple cider vinegar is supposed to create an uninviting atmosphere for them. Does that mean if I drink it they will start coming out of me in various places, and alive or will I just poop them out? And garlic and carrots, would I just poop them out dead after eating these? I want to take lots of things to be rid of them, but do not want to see anything come out except my anus, and must be dead. I took the medicine only for four days. Will they take a while to go away? Doctor: Hello. I understand your concern. I will advise not to use the apple cider vinegar, but garlic and carrots can be taken, and they will help in further elimination of the pinworms. It will come out only through your anus, and not through anywhere else. You have taken the pinworm solution, so that complete elimination may take around a week. Since there was almost immediate evacuation the next day, it is a good sign and it will keep coming out. I will also advise you to take Mebendazole 150 mg separately, and that will also help in the treatment. It can be taken as a single dose at bedtime. This excessive itching could be due to the concentration of the organisms in the tract and it will slowly get better. You have already taken medicine and a course of Mebendazole will further help in the treatment." + }, + { + "id": 6227, + "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": 7374, + "tgt": "I am anemic and suffering from recurrent fever. What to do now?", + "src": "Patient: Hi doctor, I am a 23 year old female. My present symptoms are feeling\u00a0weak and unable to walk or stand continuously for a few minutes. My Hb% is 9 and I am anemic. I also have fever for one week and taking Oritaxim-O 200. Please help. Doctor: Hi. Looking at your complaints, your weakness is due to anemia. Nutritional deficiency. Serum ferritin level. Malarial fever or UTI. Tablet Bizfer-XT for three months. For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14428, + "tgt": "I have pain in my abdomen and a bloated feeling. What do I do?", + "src": "Patient: Hello doctor, I have a light pain in my upper abdomen with a bloated feeling after eating, and occasional pain in my gut. I did experience some violent pain about a year back, while I was training with an exercise program to strengthen my abs. It felt like a tear in my gut while training. I do not know if this has something to do with what I am experiencing now. I also train with heavy weights. Can you please give me an idea as to what is going on, and what I should do about this situation? Doctor: Hello. If you can answer following questions, then it will help to reach a definitive diagnosis: In the meantime, I would suggest you try the following things for improvement: It would be advisable to have a proper examination by your family doctor, to determine whether or not this is a gastrointestinal problem related to digestion, or possibly a hernia from overexertion while exercising. A hernia occurs when the intestine protrudes or bulges out from the abdominal wall, which can cause abdominal pain." + }, + { + "id": 6406, + "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": 18569, + "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": 8573, + "tgt": "My daughter got a hit in forehead and complaining about headache and nausea. What to do?", + "src": "Patient: Hello doctor, My 2-year-old threw a book on my 10-year-old, and the corner of the book hit the 10-year-old in the head. It felt like there was a small hole, but there was no pain. This happened four months before. Now it feels like an opening or cracks is going down my 10-year old's forehead. It is as if the impact created a break that extends down towards her left eye. There has been no pain. In the past two days, she has been complaining about a headache and nausea, and I am now worried. I can take her to a chiropractor only after two weeks. Please assist because I am afraid. Not sure what to do? Should I treat this as an emergency or wait for two weeks. Doctor: Hello. Yes, this needs proper care and investigation and should be treated in an emergency. It seems to be a head injury, as the symptoms are increasing and pain killer is not much relieving, there is no sense of having nasogastric medicine as such without CT scan. Hit or injury. CT scan. First, go for a CT scan. Start medication as soon as possible to prevent further damage. Lie down with little raised head." + }, + { + "id": 29602, + "tgt": "Is it possible for me to be still pregnant after an abortion?", + "src": "Patient: Hello doctor, I had an aspiration abortion at five weeks of pregnancy about a month ago. The day after the procedure all my pregnancy symptoms went away. I started birth control two days later. I just ended my first period a week ago. I am currently on the birth control pill Aviane. I have not had sexual intercourse since the procedure. Yesterday I woke up in the middle of the night feeling nauseous, and today I am having some stomach aches and diarrhea. I am not nauseous anymore. I do not want to take a pregnancy test as I am scared that I might get a false positive result. I would just like a medical professional to advise that it is not possible for me to\u00a0be\u00a0still pregnant since I got my period. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15477, + "tgt": "Please advice regarding management of tooth pain in a child", + "src": "Patient: Hi doctor, My 5-year-old is complaining of tooth pain. It appears where the pain is, there is a missing part between two teeth and food gets stuck all the time. I need some advice. I can provide a picture if needed. About three weeks back, he complained about the same thing. We went to a dentist. He said four of his teeth have gone bad and need attention. I gave him Amoxicillin for five days and asked us to visit the main hospital for kids. But he was fine from day two after a good brush and saltwater solution until now. Doctor: Hi. The first molar of the lower jaw of both the left and right side are having cavities. Go for X-ray for both the tooth. In the X-ray, the dentist can see where infection (caries) has reached (to the pulp or not). If caries has reached the pulp, you have to go for pedodontic root canal treatment (pulpectomy). If not, then you have to go for a tooth filling. This will solve your problem." + }, + { + "id": 8228, + "tgt": "Is there any natural way to treat itchy skin in vaginal area?", + "src": "Patient: Hello doctor, I would like to know of a natural way to heal my skin on the outside of my vaginal area (it is not a fungus). I have been to the doctor, and all the test came back negative of STDs. She also prescribed me with steroids, and I did not get them because I need some time to heal my skin, not temporarily to burn and itching relief. Please help. Doctor: Hello. We will cure this naturally. I need further more details of your vaginal discharge. Dry your clothes, especially your inner wears in sunlight, use mild soaps for washing your clothes. Tight undergarments, detergents, lichen vaginosis, and contact dermatitis. 1. Apply coconut oil over the area. 2. Drink more lemon juices as they are immune boosters. 3. Put wet clothes over the vagina. 4. Avoid your panties during nighttime. Stop taking animal products and milk products for a week. Try this for a week and please tell me the results." + }, + { + "id": 22905, + "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": 23558, + "tgt": "Have to interact with people but my fear remains an obstacle. Will you suggest any solution?", + "src": "Patient: Hi doctor, I am 30 years old.\u00a0I do not like being in public.\u00a0I do not do anything fun. I have a thought that always people in my surroundings are looking at me. So I would rather be at home. I do not like using the phone.\u00a0I am taking Klonopin 2 mg 3 times a day. But I am not taking it now as I am travelling with my husband state to state for his job. With regards to anxiety my symptoms are extreme worry, classic panic attacks sometimes 5-6 times a day, feel hard to breath, stomach sick. I do not get motivated to do anything like shower, changing clothes, cleaning house, keep a job. My husband will do most of the shopping including grocery. I forgot any type of social get together with friends and family. I do not even visit my in-laws.\u00a0 I feel tiredness in my whole body, a tense feel and headache. When I take Klonopin these symptoms will disappear. I have been on this medication\u00a0since 13 years. Can anxiety be the cause for such issues or is it something else? I wish to spend some time outside with my family. Please explain what is wrong with me. Doctor: Hi. You are suffering from panic attacks with agoraphobia (fear to go to public place). You are taking Benzodiazepine (Klonopin-Clonazepam) of very high dose. Continue it but should take it occasionally only, as high chance of dependence is there. You should start an antidepressant, which is useful in panic attacks, for maintenance. Take tablet Pari CR (Paroxetine) 12.5 mg for 5 days, then shift on Pari CR 25 m and continue it in the morning.You can take psychotherapy sessions (CBT - Cognitive behavioural therapy) by therapist or psychiatrist. Thyroid Function Test. Review after 21 days, to adjust dose of medication. Revert back after 21 days to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2919, + "tgt": "Is it possible to get positive pregnancy test within five days of intercourse?", + "src": "Patient: Hello doctor, From your desk of concern, I want to ask some questions regarding my pregnancy. I have sex with my partner about five days ago. We did not use any precautions. Even though the penis is not properly ejected in my vagina but from how penetration was done and he discharge I feel some of the liquid go inside but as the penetration was not too much we have a doubt. We go by PT test on the fifth day in the evening and that was positive. But still we are confused. Kindly guide us on how to do further confirmation regarding pregnancy? But we do not want this fetus to develop in my uterus. Also, guide me about abortion. Doctor: Hi. With unprotected sex pregnancy can happen. Pregnancy test does not come positive after five days of intercourse. You need to do one ultrasound for confirmation about pregnancy and how much growth is there and where is it growing. According to that, we will decide how to abort. But if the baby is live then every country has its own laws about abortion. So you have to consult nearby gynecologist or abortion center. And follow the proper guidelines according to the doctor and local laws for effective and safe abortion. Do not go here and there and put you in trouble legally also. And if you bleed more than there may be problem to your health and or life also." + }, + { + "id": 5692, + "tgt": "I have severe pain in the left middle rib and is worsening. Should I worry about it?", + "src": "Patient: Hello doctor, I have been having severe left middle rib pain for about a month and now it is always hurting. I had an upper endoscopy, colonoscopy, left kidney CT scan, gallbladder ultrasound, blood work, and HIDA scan and found nothing, but I have a torturous colon. The pain gets pretty bad and I am worried it is something more serious, but I try reassuring myself that it is not since I have had so many tests. What could this be?! Should I be worrying so much? Doctor: Hello. From your history, it seems to be an inflammation of one or more of the cartilages that connect the ribs to the breastbone. It is a condition called Tietze syndrome (when there is a swelling over the painful area) or costochondritis (no swelling, only pain). This condition has no known cause although many theories do exist (none proved). The main features are local pain, with or without swelling. It generally resolves in 12 weeks. However, it would be best if you can get a chest x-ray and an ECG (electrocardiogram) to rule out a rib fracture and a heart condition (angina) respectively. Treatment:- 1. Take tablet Asprin 325 mg SOS (whenever you feel pain) up to a maximum of eight tablets a day. 2. Tablet Ranitidine 75 mg once a day. Whenever you take aspirin it reduces the stomach irritation caused by aspirin. 3. Locally apply Diclofenac gel thrice daily. Chest x-ray PA (posteroanterior) view, ECG (electrocardiogram). Angina, rib fracture. Tietze syndrome, costochondritis. Oral analgesics for two weeks, hot fomentation, local application of the analgesic gel. Avoid weight-bearing over shoulders or chest, chest exercises or external impact over the area involved. Review with a doctor after your ECG and chest x-ray is done." + }, + { + "id": 21149, + "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": 13529, + "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": 28603, + "tgt": "I am ejaculating within a few seconds. How to overcome this?", + "src": "Patient: Hi doctor, We are planning for a baby. For the last six months, during intercourse I feel highly excited and discharge within a few seconds. My sperm count is also less 25 million per mL. I am taking Addyzoa and Ubinext for infertility. Please suggest me some medicine to increase my time of pleasure. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14379, + "tgt": "Noticed some change in my skin color over my arm. Please help me", + "src": "Patient: Hello doctor, The last year my skin complexion changed on my hand and then it spread up to my elbow. I consulted the doctor and he advised for biopsy test. The result of which was fine. From this year my arm is paining because of this and the mark has spread up to my shoulder. Please help me in this regard. Doctor: Hi. Can you please attach the picture of your hand? And also the biopsy report? Is it on just one side? Or both the arms? What do you mean by complexion change? Is it becoming dark or light?" + }, + { + "id": 14147, + "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": 27315, + "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": 30587, + "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": 16438, + "tgt": "I have prolonged periods without pain for more than two weeks. Why?", + "src": "Patient: Hi doctor, I am 24 years old. I am married, and I am not taking any contraceptives. I have prolonged periods without pain for more than two weeks. My periods are not consistent for a few years. Sometimes, I get my periods once in two months. Last year, I started to have lactation. But I was not pregnant. What is happening in me? Please help me. Doctor: Hi. You are not ovulating regularly, and so you have irregular periods for years. If there is a lactation, then there is a deranged prolactin level. Check your serum prolactin hormone and thyroid profile. If there is an abnormality, correct it soon. If you are taking any antidepressants or antipsychotics or any other drugs to regulate periods now, it requires a change. Gaining weight deranges the hormone levels, and the ovulation process gets stopped. So try to reduce your weight. If you ovulate regularly, with a healthy hormonal balance, you can get pregnant. Do not worry. You will get fine soon." + }, + { + "id": 17656, + "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": 15130, + "tgt": "Kindly suggest me some good stool softeners to avoid constipation", + "src": "Patient: Hello doctor, I am 41 years old, male having severe constipation. The stool is very hard. Hence difficulty passing it. Please suggest some good stool softener. Tablet form would be preferred. Any other medicine? Doctor: Hello. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking if any, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Lifestyle modifications are advisable to maintain the response. Also, it is worthwhile to get a thyroid test done if not had recently. In medicines, we usually prescribe tablets like Bisacodyl 5 to 10 mg depending upon the response, bedtime once a day. Also in syrup, there are options like Cremaffin plus 15 to 30 ml bedtime to maintain your stool soft." + }, + { + "id": 19397, + "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": 5693, + "tgt": "Among spinal and epidural anesthesia, which is recommended for uterine polyp removal?", + "src": "Patient: Hello doctor, My gynecologist removed most of a polyp in her office with a local anesthetic and NSAID shot. However bits are still attached to the uterine wall because she was afraid of puncturing wall if I move. I had a colonoscopy with Propofol and had only had a bit of dizziness when I stood up, but it gone within a minute or two (I actually could have driven myself home). I had wanted to do without anesthetic, but the doctor said there was no way to get a local that far up. However, my gynecologist is afraid I could still move under Propofol and wants a general anesthetic. I only get to talk to an anesthesiologist at the hospital where once I schedule a surgery so I want to find out about perhaps using an epidural or spinal anesthetic. Basically, I want the least amount of anesthetic that will allow me to stay awake but keep my legs from moving. I have a high tolerance for pain. So, can I get some thoughts on this. I am currently taking Levothyroxine sodium 50 mcg and some vitamin supplements. Doctor: Hello. Regarding your query, your surgery can be done under spinal or epidural anesthesia. It is a much safer option than general anesthesia. You will be pain-free for hours after surgery. You will be absolutely awake during surgery and will not be able to move your legs even a bit. The only thing is you will not be discharged on the same day of surgery which is not a big issue. So in my opinion, unless spinal anesthesia is contraindicated for you, ask your anesthetist if spinal anesthesia is feasible. Do not worry everything will be fine." + }, + { + "id": 12923, + "tgt": "Kindly guide me about Hashimoto's disease", + "src": "Patient: Hello doctor, I am an 18-year-old girl. I have had thyroid problems since I was around 11. It used to be just considered hypothyroidism but now we have figured out that it is Hashimoto\u2019s disease. I rotate daily between 88 mcg and 100 mcg of my Levothyroxine to keep my TSH in check because that is the only thing that works. I get my blood drawn every six months but my doctor has not checked these antibodies lately even though last time, the number was around 5,000 when it was supposed to be 0 to 59. Some days I can barely move, and I am really limited to the activities that I am physically able to participate in. I am just scared. I do not know what is going to happen to me. If someone who is older could help or tell me what happens, I would really appreciate it. Doctor: Hi. Hashimoto disease also causes hypothyroidism and you are already taking medication for hypothyroidism. So do not worry. It is a type of autoimmune disease. So kindly go for detecting which autoimmune problem causes your Hashimoto disease means along with Levothyroxine you have to take some medication also for autoimmune diseases like a steroid or immunosuppressive drugs or Iodine, etc." + }, + { + "id": 14280, + "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": 26009, + "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": 28142, + "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": 25315, + "tgt": "I have minor factor 7 deficiency. Can I play hockey?", + "src": "Patient: Hi doctor, I am 18 years old and I have recently been diagnosed with a minor factor 7 deficiency. I was just wondering if it was still alright for me to play hockey. Doctor: Hello. Factor 7 deficiency, also known as Alexander's disease, is inherited in an autosomal recessive pattern. The levels of the clotting factor in the blood do not correspond to the symptoms exhibited by the individual. The severity of symptoms also vary greatly from individual to individual. Generally, it is advisable to avoid contact sports due to the risk of bleeding, either external or internal which can be fatal in some cases. I think that it would be better for you to avoid any contact sports. However, I do not know what symptoms led to your diagnosis. You said that you have a minor factor 7 deficiency, which I think should not cause much of a problem with bleeding. You can get a second opinion from your hematologist who is treating you regarding restrictions on your physical activity if any. Formation of clots is another risk factor for this condition, so that needs to be kept in mind as well. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 613, + "tgt": "Why am I not getting periods even with negative HPT?", + "src": "Patient: Hello doctor, My periods are late. Even though my home pregnancy test is negative, it is still late. I had bleeding for a couple of days after having intercourse before three weeks. What could possibly have gone wrong? Doctor: Hi, Welcome to iclinq.com. I saw your concern. It is unlikely to be a pregnancy. The cause for the delay could most probably be hormonal. The reason for bleeding could be uterine or ovulatory. Nothing to worry about it. Do you have bleeding every time after sex? If yes, then you need to have in-person gynecologist opinion to look at your cervix for the cause (post-coital bleeding). Anemia, weight gain hypothyroidism, stress, change in food and exersise pattern can affect the cycle length and pattern. I hope this helps. Hormonal. TVS (transvaginal scan) if the post-coital bleeding is recurrent. Delayed cycle (probably hormonal). Just wait for a week, if you do not get your cycles repeat UPT (urine pregnancy test) if negative, take tablet Medroxy progesterone acetate 10 mg (Meparate) once daily at bedtime after food for five days. Cycles revert by one week of last dose of progesterone." + }, + { + "id": 21565, + "tgt": "Other than alcohol, what is causing my AST to ALT ratio abnormal?", + "src": "Patient: Hi doctor, I am 33 years old male. I am 270 pounds. I have elevated liver enzymes (ALT 389 U/L and AST 194 U/L). I had a liver biopsy done before four months, and the doctor told that I have a healthy liver. I read that the AST to ALT ratio is 2:1 which usually indicates alcoholic liver disease. I do drink, but my AST to ALT ratio is opposite (1:2). Will I have any other cause other than alcohol? I take Keppra 2000 mg daily along with Oxcarbazepine 900 mg and Belviq. Doctor: Hi. Have you undergone a test for hepatitis B, hepatitis C, and any other infectious panel? Have you seen the ultrasound of liver? The first possibility is steatohepatitis or commonly called as fatty liver. Ultrasound and other enzymes like alkaline phosphatase, and GGT (gamma-glutamyl transferase) will help in diagnosis. Also, alcohol will indirectly contribute to the damage, by increasing fat. So, you should have a healthy lifestyle and try to achieve weight loss. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21054, + "tgt": "Is there anything abnormal on seeing my overall health checkup report?", + "src": "Patient: Hi doctor, I am 38 years old. I got my blood test done for an overall health checkup. I am attaching my reports. I can see my heart and cardiology reports are not good. Can you please tell me whether there is anything abnormal? Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). Your urine examination is normal. Your uric acid level is high, for that you are advised to take more vegetables and fruits and less meat (take low proteins in diet). Liver enzymes are high that can be due to certain medications or liver infection due to some viruses such as hepatitis B, or hepatitis C. Thyroid profile looks normal. The lipid profile is also high and deranged. It can be managed through lifestyle changes (more physical activity and weight loss). Persistently elevated lipid levels are harmful to the heart and blood vessels. Low iron levels may lead to anemia, and it is also harmful to the heart and its pumping function. Other markers look fine. I would suggest you go for lifestyle changes and that too on an urgent basis. Persistence is the key to success here. It may or may not be an overnight change, but it is mandatory." + }, + { + "id": 18586, + "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": 21227, + "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": 8840, + "tgt": "Kindly advice the necessary medication according to the coronary angiogram report", + "src": "Patient: Hello doctor,I am 45 years old. I had a coronary angiogram, and the first diagnosis showed proximal mild to moderate disease. LCX is a nondominant vessel, proximal mildly ecstatic, and it gives rise to three branches, only 3 OM has moderate proximal stenosis, OM 3 and OM 1 are normal. Please advice what kind of medicine in need and do you have an idea for a better solution. Doctor: Hello. I can well understand you are worried about your cardiac health. I have gone through the details and before getting to the personalized answer, I want you to please spare some time to add more information about, 1. Why did you felt a need for going to the cardiologist recently, what are your symptoms? 2. Before going to your cardiologist this time, what medications were you taking and how often? And what were your previous disease symptoms? 3. What medications are you taking right now? 4. Is there any activity or something that makes the symptoms of disease worst or better? 5. Is there any family history regarding heart? 6. Do you have any other known (or diagnosed) disease?I would also appreciate if you upload the picture of the coronary angiogram or other heart reports in the query. Please add your weight and height." + }, + { + "id": 14667, + "tgt": "I am having severe headache. I am having teeth clattering with cramps all over the body. Why is this happening?", + "src": "Patient: Hello doctor, I am having a severe headache on the right side and on the back side of the right ear. Also same time, I am having teeth clattering with cramps all over the body. Why is this happening? Doctor: Hi. Please get the following investigations done: There can be various causes which need to be ruled out. It can be a deficiency of vitamin B12 or calcium which is a very common cause for such a problem. Get CT head to rule out any brain-related problems. Follow these instructions as of now: Revert back with the reports to a general medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2838, + "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": 546, + "tgt": "Having some skin problem above my right ear. What is it?", + "src": "Patient: Hi doctor, I have some skin problem above my right ear. It is the place where a put my spectacles. It is neither itching nor painful.\u00a0Blood is not coming from that. But, still I feel some difficulty to wear spectacles. I have been taking treatment for 6 months. I am using Fusiwal-B and I put cotton there. But, there is no improvement. So, please help me. I am also attaching a photograph for your reference. 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 the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17443, + "tgt": "What can we do for faster recovery of diabetic foot ulcer?", + "src": "Patient: Hello doctor, My mother is 53 years old \u00a0and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can we do for faster recovery? I have sent a photograph of the wound. Kindly view it and advice. Doctor: Hello. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity)." + }, + { + "id": 22125, + "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": 22390, + "tgt": "What is the treatment for chiari malformation?", + "src": "Patient: Hi doctor, I had an MRI three weeks ago and they told there is Chiari malformation about 8 mm. I went to a neurologist but he did not listen to me. I have a constant headache, a pressure in my necks and shoulders, nausea with vomiting daily. I have a problem with swallowing, buzzing in the left ear. I have been going for pain management for the past two years with numerous injections. Currently, I am taking tablet Percoset 7.5 mg, Tizanidine 12 mg. I have dizziness, my hands, and arms tingle and there is numbness. Doctor: Hi. Tonsillar herniation of more than 5 mm in adults is significant and defined as Chiari type 1 malformation. The usual symptoms associated with this condition are imbalance while walking, cough induced headache, numbness over hands, nape of neck and weakness of hands. Many people are not symptomatic. In asymptomatic people with tonsillar descent more than 5 mm, we usually do CSF flow studies to look at the CSF circulation in the foramen magnum. If the CSF flow is altered, we recommend surgery. If the flow is normal, we observe the patient with periodic clinical exams and imaging. In the images that you have provided (attachment removed to protect patient identity) none of them shows the tonsils. So, I am not able to comment on whether there is Chiari malformation or not. For more information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 15873, + "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": 19333, + "tgt": "Please suggest medicine for amebiasis", + "src": "Patient: Hello doctor, I am a 21 year old male suffering from chronic amebiasis for the past two to three years. I had tried Flagyl (Metronidazole ), Fasigyn (Tinidazole ), Ciplox-TZ, Oflox-OZ, Bandy and many other ayurveda medicines. But, nothing seems improved. So, could you provide any other drug? Please suggest medicine to be used for amebiasis. I have taken the above medicines for the past one year. Doctor: Hello. Revert back with the answers to the above questions to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 167, + "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": 10184, + "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": 23046, + "tgt": "I feel panic to face people in public. Is it fine to take Inderal?", + "src": "Patient: Hi doctor, I am getting panic to face people. I want to overcome it as it makes me sad. I am a teacher and this frustrates me when I have to say something in front of pupils. When I am in class I do not have a problem. But for example, when all the students gathered in the yard I used to avoid speaking to them. I always felt embarrassed when I was with many people and when I had to say something I felt that I was shivering. When we prepared a presentation I assigned it to a student to present it and everybody were impressed but the reason I avoided speaking was the embarrassment I felt. This year however I became assistant principal. When I want to inform something to the students I am telling some other teachers to announce it. However, I am sure that nobody has understood anything because I am good as a teacher. The pupils as well their parents like me. They greet me cordially and show respect. I am 44 years old. I have never taken medication in the past. Now, I was prescribed Inderal. If I try Inderal, what dosage would you recommend? I know this medicine because my brother and my father take it. Is it something addictive? Does it cause drowsiness? I hope you will help me .Thank you. Doctor: HI. The symptoms and details you have mentioned clearly suggest social anxiety disorder. In social situations like speaking in front of a gathering, talking to someone of high reputation, speaking with opposite sex individuals develop anxiety symptoms like redness of face, tightness of body, feeling as if body will fall down, trembling, slurred voice, dryness of throat, etc. These are the symptoms of anxiety and should be treated properly. You have mentioned that you develop these symptoms especially when you have to speak on a large group like in assembly or yard. In such situation we can suggest you to take Propranolol (Inderal). If the situation is severe, then regular use of anti-anxiety drugs like SSRIs is advised (selective serotonin reuptake inhibitors). Regular intake will help to control the anxiety symptoms. Apart from conventional treatment I would advise you to try progressive muscle relaxation exercise. You can take help of internet source for that. Do yoga to keep yourself relaxed. Try to practice by speaking in front of mirror. This will boost your confidence. These methods will help to supplement the actions of the drugs. If your blood pressure and pulse rate are normal then the drug should be started with 10 mg dose and can be increased to 20 mg. The drug can be taken on SOS basis (as and when necessary) like about half to one hour before presentation. This will help to control the autonomic symptoms and you will feel better. No, the medicine is not addictive. It is very safe and does not cause abuse. No, the drug will not cause drowsiness. No need to worry. In some cases taking in evening the drug might cause disturbed sleep. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29108, + "tgt": "Can smoking cause red and black patches in the mouth?", + "src": "Patient: Hello doctor, I am a 22 year old male, who weighs 90 kg and 6 feet tall. I have pain in my chest and dyspnea from the past four months. For the last ten days, I noticed black and red patches in my mouth. I use tobacco,\u00a0so I am scared that I have cancer. The spots are present on both side in my mouth and are\u00a0paining. My cheek muscles pain and contract sometimes. I have increased appetite. My mouth feels dry, and I\u00a0have a bump on the back of my head. My exams are going on, so please help me.\u00a0I consulted a doctor for my chest pain and dyspnea,\u00a0four months back. Tests showed that my vitamin\u00a0B12 was 54 pg/mL. Doctor: Hi. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11440, + "tgt": "Can you please help me interpret my NT scan report?", + "src": "Patient: Hello doctor, I am a 44-year-old female. After my three miscarriages, I am 13 weeks pregnant now with IVF treatment. I have got my NT scan with double marker blood test. The results are as follows: Biochemical Trisomy 22 risk: 1:249, combined Trisomy 21 risk. Using NT & Other parameters: 1:946. Trisomy 18 risk using NT: 1:10000. PAPP-A: 4.97 mIU/mL and Fb- HCG: 30.9 ng/mL. Crown Rump length: 70.3 mm, Nuchal Translucency MoM : 0.99, Nasal Bone: Present, Nuchal Translucency: 1.74 mm Is my report fine? I am really worried. Doctor: Hello. The NT (nuchal translucency) scan levels of nuchal translucency are normal with NT < 2.5 mm. However biochemical trisomy 21 risk is high but the combined NT+ biochemical risk is low at 1:946. You may upload the picture of the cutoff graph for a convincing opinion regarding whether you would need amniocentesis for karyotyping confirmation or not. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8790, + "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": 30609, + "tgt": "What can we do for lumps in ovary?", + "src": "Patient: Hi doctor, My wife did not get her periods last month. The same happened exactly one year ago. At that time, we had consulted the doctor and she gave 21 day course of tablet and after that she got periods. At that time, she has a sonography. The doctor showed that there were small lumps on the right side of ovary and one big one on the left side. But, then as her periods were regular, we did not visit the doctor again. Her periods were regular for two to three days till last month. But this month, she did not get and we again consulted her doctor. This time, again, she had a sonography and the doctor stated that again the lumps are the reason. The big one has trapped her ovary and stopped the periods. She also stated that lumps are due to TB. She has a positive family history of TB. Can we get this permanently cured? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27754, + "tgt": "Can you please suggest changes to my son's food chart?", + "src": "Patient: Hi doctor, My son is 3 and a half years old and his weight is 14.5 kg. Since he started going to school recently, there is a change in his diet. He eats eggs from the age of one and he likes to eat non-vegetarian food. As my husband is on a paleo non-vegetarian diet, my son takes more meat now and I am a little concerned about his diet. He eats one egg every day and sometimes two. He eats meat in the form of mutton, chicken or fish thrice a week. His food chart is as follows:\u00a0 Morning: Light breakfast of either one dosa or roti or chocolate-flavoured cereal with milk. Snack: \u00a0 \u00a0Roti, paneer roll with cheese or egg dosa or bread omelet with cheese or french toast. Lunch: \u00a0 \u00a0One roti and rice with dal and one vegetable. Snack: \u00a0 \u00a0One banana and a glass of milk. Dinner: \u00a0 \u00a0Two roti with curry or two dosa. Apart from the above, he has potato chips or an other fried snack twice or thrice a week, but no sweets. He is active and there are no issues with his weight. But, we are concerned about his diet. Kindly suggest changes to be made, if any. Doctor: Hello. For further queries contact a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 25745, + "tgt": "What can I do to unblock my ear and resolve tinnitus?", + "src": "Patient: Hello doctor, I had an upper respiratory tract infection which is now resolved. It was in the acute phase. I had a very painful earache. I am fine now except for a blocked right ear with tinnitus (ringing) and muffled hearing. I can feel a crackling sensation in my outer ear. What can I do to unblock my ear and resolve the tinnitus and hearing problem? I am on Augmentin and Allegra. Doctor: Hello. According to your symptoms, it looks like you had an acute otitis media. It is common to have a blocked ear after the infection is resolved. You need to do a pure tone audiometry with impedance audiometry to know about your middle ear status and to know about tinnitus. Since you have taken antibiotics, I suggest you can just have antihistamines like Levocetirizine and decongestant nasal drops like Otrivin (Xylometazoline) along with steam inhalation for a week. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14182, + "tgt": "I twisted my knee and in pain with swelling. How to manage this?", + "src": "Patient: Hi doctor,Two days ago I twisted my knee. It has been paining ever since. I can bend it all the way back, but when I try to put pressure on it or fully extend it, I am in so much pain. There is a swelling. It looks like my right knee cap is out more than the left one. Doctor: Hello. You have a history of knee injury two days back, but you have been able to ambulate after the injury, even though it is painful to you. Initial management is to give rest to the affected joint and try to limit pain and hemarthrosis. In my opinion, since it is a twisting injury, if at all, there may be some soft tissue injury, and usually no immediate intervention is required. You can do the following things : 1. Intensive ice packs for local application over the injured joint to keep pain and swelling to a bare minimum. 2. Knee Brace can be used to hold the knee in extension and restrict movements initially. 3. You can start with anti-inflammatory medication according to your body's suitability. 4. Local analgesic spray can also be used after ice therapy. We will wait for next two weeks till acute pain and swelling have subsided, after that a thorough examination of your knee joint is required to understand what exact injury is there and maybe a MRI scan will be required." + }, + { + "id": 26598, + "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": 9322, + "tgt": "I am having receding hairline at 17 years of age. What does it indicate?", + "src": "Patient: Hello doctor, I am 17 years old, and my hairline is receding, but I have hair in my whole head. No one has gone bald in my family, so it is not from genetics. My hairline is far back, and I have a widow's peak. Will I go bald and is there any way I can grow my hair back? Doctor: Hello. You certainly have a \"M\" shaped anterior, and it is characteristic of androgenetic alopecia (attachment removed to protect patient identity). I suggest you to use topical Minoxidil 5 % solution, 1 ml, twice daily along with a tablet of Finasteride 1 mg daily (Propecia) to prevent it from receding further. You cannot expect the existing hair to go back to the original position with these. You may none the less explore hair transplant if you wish to get back your original hairline." + }, + { + "id": 23544, + "tgt": "How to lower lipase and amylase levels?", + "src": "Patient: Hi doctor, I have got my routine body check up done in which my lipase has come elevated at 71 and amylase at 146. There is no nausea or fever, just upset stomach. Though I am not an alcoholic per se, before the test I was abroad for two weeks and was drinking two beers every day. Since childhood, I have had acidity issues and upset stomach on and off. I am very anxious after my report. Please advise what to do to lower the levels. I have completely stopped taking alcohol for the last eight days. I am on Sompraz 40, Crestor 10, and vitamins. Doctor: Hello. I have studied your reports (attachment removed to protect patient identity). They signify that your lipase and amylase are raised due to alcohol consumption. Since there is no problem in the liver echotexture, this can be well controlled by stopping alcohol. I need to know: Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13833, + "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": 2243, + "tgt": "Every night when I am about to sleep, my hand itches a lot. Please help", + "src": "Patient: Hello Doc! Every night for almost 2weeks now, I experienced itchy hands. Like only every night when I\u2019m about to sleep. So itchy that I can\u2019t sleep. I don\u2019t notice any insect bites or red spots or rashes on my skin. I really can\u2019t sleep well every night because of this. I think the itchiness is coming from the inside of my hands. Help me please. I tried taking cetirizin because I thought it may ease the itchiness but nothing happens. Thank you. Doctor:" + }, + { + "id": 12507, + "tgt": "What are the chances of getting infection during wound healing in a diabetic?", + "src": "Patient: Hello doctor, I fell about a month ago on my knees pretty hard in a gravel parking lot. I am a diabetic. I am just concerned about infection. Can I send you pictures or how does this work? Doctor: Hello. As per pictures (attachment removed to protect patient identity), I noticed the fall was really bad. The wound seems infected. Taking into account your personal history of diabetes, it might take longer for the wound to heal. First, take good care of the wound. Wash with antiseptic soap or if you cannot find just use the soap as usual with warm water. Try to clean well to remove the hard parts. But do it gently. Might need more seances to get fully removed not at first time. Rinse well, pat dry well. Apply Betadine you find over-the-counter. Then apply triple antibiotic ointment two times a day for one week. Raise your leg. Apply cold compresses during the day away from the antibiotic ointment. If still, no improvement should consult with your caring doctor as might need prescription medicines." + }, + { + "id": 1244, + "tgt": "My mother has gallstones. Should we get it removed as an emergency?", + "src": "Patient: Hi doctor, My mother is 59 years old. She has gallstone and she was supposed to have cholecystectomy but was postponed due to quarantine. Last month was the supposed schedule and that time the size of the stone in her gall bladder was 3 cm. Now she is experiencing increased pain on her right shoulder. I would like to know if there is something she can do for the pain or should she have her gall bladder removed? Doctor: Hello. I will help you with your problem. Gall stone surgery is not emergency surgery. It should be done in an emergency if there is gall bladder perforation or malignancy. In your case, the stone size is large, and with the age of the patient malignancy is ruled out. I will advise to go for CT (computed tomography) scan if possible. If not at least USG (ultrasound) abdomen should be done. If everything is normal and only stones are there then you can wait for some time. Consult in an emergency if she developed jaundice any time. For pain, she may take any regular pain killers. Avoid fatty diet and get back to me after investigations." + }, + { + "id": 19639, + "tgt": "Is it possible to get infection from a person who is having sores in hand?", + "src": "Patient: Hi doctor, I ate a pineapple today from a street vendor. I saw him cutting the pineapple fresh, and so I ate it. When he was delivering it, I saw a black dry, flaky large sore on his hands. He was not wearing any gloves. Now I am worried about having an infection from this event. I am getting paranoid. Please advice. Doctor: Hi. Usually, gastric acid can kill almost all the microbe present in the GI (gastrointestinal) infections like dysentery, hepatitis, and viral gastroenteritis from eating contaminated food. But the route is feco-oral. If he has not washed his hands properly, then there is a chance of having fecal contamination of food. It is unlikely to have a skin infection or blood infection spreading this way." + }, + { + "id": 22903, + "tgt": "Why does my hemoglobin keeps dropping all the time?", + "src": "Patient: Hello doctor, Please can you interpret my recent lab report? Why my hemoglobin is kept dropping all the time? Why my blood report is abnormal? Do you think I have blood cancer? Or any other cancer? Do you want me to go to an oncologist? Doctor: Hello. Hereby, I am giving you my opinion regarding your reports (attachment removed to protect patient identity). Your CBC showing microcytic hypochromic anemia. Anemia means a low hemoglobin level oxygen-carrying carrying capacity of blood gets affected. Your reticulocyte is high and polychromasia present with high bilirubin. So you can have hemolytic anemia and iron deficiency anemia combined picture. I suggest following investigation for you: According to reports, a further management plan can be decided. You will need an iron tablet or injection to improve hemoglobin level but above reports have to be done to find the cause. In hemolytic anemia, RBC destruction occurs and the underlying cause is searched for that. Your report is not showing any cancer sign so do not worry. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 7652, + "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": 27500, + "tgt": "I was exposed to herpes zoster virus in the first month of pregnancy. Do I have to terminate?", + "src": "Patient: Hi doctor,I am being advised to terminate a desired pregnancy because of the medication I have been prescribed to tackle a virus that I got just after becoming pregnant. I am looking for a second medical opinion on whether termination is necessary. I would like to understand the risks to the fetus of being exposed to the herpes zoster virus in the\u00a0first month of pregnancy, and the risks of the medication (including steroids) that I am on at this stage in pregnancy. Here are the details of the timings and medications.I had my last period on the 26th two months back, and I ovulated on the 13th of last month.\u00a020th of last month, I had Ramsay Hunt Syndrome (inner ear pain and right side facial paralysis), and on 21st, I was diagnosed with Bell's palsy, for which I was prescribed Prednisolone. I took 30 mg, 25 mg, and 20 mg Prednisolone respectively on 22nd, 23rd, and 24th. The symptoms got worse, including outer ear pain and rash, and I was diagnosed with herpes zoster virus, and I was given Vitamin B12 injection. From 24th to 31st, I took Famciclovir (6x250 mg) tablets per day. From 25th to 27th, I took Dexamethasone injections 10 mg (2 ml) per day for three days.From\u00a028th to 31st, I took Prednisolone 30 mg per day. On 29th of last month, pregnancy was confirmed. On the\u00a0First to fourth of this month, I had Prednisolone 20 mg per day, and 10 mg for the next four days. From 26th of last month, I took daily injections of vitamin B1 and B12, and I used Acyclovir 3 % topical cream on the ear. Doctor: Hello. The increased exposure to corticosteroid can cross the placental barrier and cause adrenal suppression in the fetus. This can lead to salt wasting, electrolyte imbalances, and even poor development of the fetus. The organs can also have improper developed and anomalies can be possible. It can also lead to sexual organ development disorders in case of a male fetus. It would be safer to go in for a termination, as it is still in the early months of pregnancy. Also, exposure to herpes zoster can cause scarring of the face, limb, and organ deformities in the fetus. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21233, + "tgt": "Unable to conceive except once when I miscarried early. Why is this happening?", + "src": "Patient: Hello doctor, I am 25 years old. I am healthy, no medications, regular periods of 28 to 30 days. My partner and I have been together for seven years and we have been TTC for five years with no luck. I have given up hope for a long time. End last year, I started seeing a chiropractor because of lower back pain. Early this year, my period was a week late and I felt different. So, I decided to take a pregnancy test. I had two positive digital tests and another positive on the first response with two lines that appeared. I was definitely pregnant. I could not believe it! The only thing I had done differently was to see a chiropractor and it was instant that I conceived. Unfortunately, I had a very early miscarriage. Just two days after my positive tests, I began to bleed and confirmed with a doctor it had been miscarried. To this day, I still see a chiropractor and we keep on trying to get pregnant but it is not happening. I am back to feeling hopeless. I still cannot believe I saw three positive tests. I thought I would never see that for myself. I was so close. It gives me the slightest hope that maybe it will happen for me one day. Is there any information you can give me? Why is this happening to me? What might help me? Doctor: Hello. There are multiple factors which need to be evaluated in a secondary infertility case, the male and the female. Considering that you became pregnant, the male factor is healthy with motile and healthy sperms. It is now important to get your hormonal profile done along with an ultrasound pelvis to rule out PCOD (polycystic ovaries disease), hypothyroidism or hyperprolactinemia which can cause delayed follicular development or immature follicles which do not ovulate. You may be experiencing anovulatory cycles. Hence follicular monitoring should be done for a natural dummy cycle to check for follicular growth. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 17327, + "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": 30094, + "tgt": "I got addicted to masturbation and have lost interest in sex. Please guide me", + "src": "Patient: Hi doctor,I am 37 years old, married and having two kids. My daughter is 8 years old and son is 4.6 years. I got married 9 years before. For the last 2 to 3 years that is after my second baby I am facing issue in our sexual relationship. I have lost desire, lack of interest, low libido, erectile dysfunction and unable to have sex with my wife. Due to this problem, I am doing masturbation as a source of stress relief and got addicted to masturbation. I feel very guilty of all these things. I need your guidance. Please guide. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17224, + "tgt": "My husband is not interested in sex. What to do?", + "src": "Patient: Hi doctor,My husband is not interested in sex from the first day of our marriage? We had intercourse only twice in a month to the maximum. Also, he is very aggressive and argumentative in behavior. What to do? Doctor: Hi. Revert back with the answers to the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29747, + "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": 4394, + "tgt": "What causes lethargy and consistent cough in a child?", + "src": "Patient: Hello doctor, I was wanting some more information about my sons blood test that was done yesterday. There are a a few results that were in the red. The doctor called and left a voicemail today but only mentioned the chest X-ray that was done and not the bloodwork and were closed by the time I saw the missed call. These are the results; urobilinogen +1, bacteria ur (few), ALP 168 unit/L, creatinine 0.4 mg/dl, SED rate 12 mm/hr, wbc 3.7k/mcl. My son is 5 years old and the blood work was done because he has been sick for a month now and has had a consistent cough, was seen in er for difficulty breathing, and for the last two weeks has seemed somewhat lethargic. He normally goes to asleep at 0830 and now has been falling asleep every night on his own between 0530 and 0630 and just has been laying in bed when he gets home from school. Any suggestions or help would be appreciated. Doctor: Hi. As your child is lethargic and not not accepting well. Then child may be sick. Also regarding the reports. Urobilinogen may be seen in early phases of jaundice and bacteria simply me be due to urinary infection. The WBC count are low and which may also signify infection. Rest of the things are related to illness and may not pose any problem. Difficulty breathing with cough is a sign of infection or spams which may aggravate if not treated. visit a doctor visit and doctor and review" + }, + { + "id": 19287, + "tgt": "My mother has diarrhea, and her stomach is bloated and paining. Please help", + "src": "Patient: Hi doctor, My mom is not feeling well, and I am concerned about internal bleeding. This morning, she had a decreased appetite, foot swelling (right), and diarrhea. She has back pain along with pain and bloating in the abdomen. She just wants to go to bed. She also noticed some spotting in her underwear, although she had a hysterectomy over 10 years ago. She mentioned that yesterday she felt a strange tight feeling followed by a \"warm spreading\" sensation. I am very worried. Please help. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20722, + "tgt": "Are there any other alternative sedatives to opioids that interact less with Valium dose?", + "src": "Patient: Hi doctor, I am going to undergo a laparoscopic fundoplication surgery after a week for severe GERD. For the past two months, I am taking Valium 5 mg for severe anxiety (mainly related to my health) three times daily. I am also taking Omeprazole 80 mg daily for several months. I recently came across a study that stated the AUC and half-life of Valium are increased by 130 % with a dose of 40 mg Omeprazole. As I am taking double the dose of Omeprazole, I am afraid that it has raised my plasma level. I am concerned about the concurrent use of other drugs (opioids) that can help me. I need to talk to an anesthesiologist before my surgery. Is this dangerous, or are there any other alternative sedatives to opiates that would interact less with my Valium dose? Is there any increased concentration in my body? This is my first major surgery, and I am terrified. I am taking Aspirin 81 mg and Crestor 10 mg. My past medications are Lorazepam, Citalopram, Escitalopram, Zoloft, Propranolol, Esomeprazole, and Ranitidine. Doctor: Hi. Please convey your medical history to the anesthetist when you have a pre-anesthetic consultation. I am sure that they will be using Remifentanil infusion for the surgery. This drug is short-acting, and it does not interfere with Diazepam. I suggest you consult an anesthetist before surgery and stop taking Valium. There are better medications for controlling anxiety. I recommend a psychiatrist referral after the surgery. This will cure your stress and anxiety related gastritis." + }, + { + "id": 15620, + "tgt": "My 5 year old daughter was stung by a hornet. What do I do?", + "src": "Patient: Hi doctor, My 5 year old daughter was stung by a hornet about four hours ago. She was fine shortly after, but after her bath, the area is red, swollen and hard about the size of a softball (at least) around it. It hurts and it is right under her butt cheek. So it hurts when she tries to even lift her leg. I gave her Benadryl and Advil and put a cold compress on it. She is not running a fever and her breathing is fine. What do I do further? Doctor: Hi. Hornet bite may lead to swelling and pain, fever or infection. The redness and swelling which you have mentioned are due to the inflammation. In your case, swelling is large and it was not initially at the time of the bite and increased thereafter. This indicates an infection. So, we need to give antibiotics also along with analgesic and anti-inflammatory medications. If the swelling was at the beginning and had not increased later, then, only Paracetamol would do.I suggest: Revert back to a paediatrician online for any assistance --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23348, + "tgt": "What are the symptoms when you have blood clots in your body?", + "src": "Patient: Hello doctor,What are some of the symptoms when you have blood clots in your body? Doctor: Hi. Pain is the most important symptom of clogged vessels. As a physician, we see different cases of clogged vessels mostly due to atherosclerosis. Obstructed vessels of the heart cause chest pain, obstructed vessels of the legs cause leg pain, and so on. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18280, + "tgt": "I am in my 30s and I have PCOS and a high prolactin level. Can I get pregnant?", + "src": "Patient: Hello doctor, I am a 31-year-old female. I have PCOS, high prolactin level, my TSH is 4.26 for which I am taking medicine and for prolactin and my AMH is 17. I got pregnant with twins when I was taking 100 mg of Clomid but there was no heartbeat by week 10.\u00a0I had a few miscarriages\u00a0two years ago and I only got pregnant because I was taking Clomid. I cannot\u00a0get pregnant on my own because I am not ovulating. The next step is either IVF or IUI.\u00a0Also, when I had my miscarriages two years ago, the doctors never checked my TSH\u00a0and prolactin levels. So, I think that was the reason for my miscarriage but they did a lot of blood work for everything else and said everything was normal. I am on\u00a0Cabergoline 0.5 mg and Levothyroxine 0.05 mg. I am taking a medicine for prolactin too.\u00a0So my issues are high TSH\u00a0and prolactin and PCOS.\u00a0I get my periods every two months usually. My AMH is\u00a017 ng/mL,\u00a0prolactin is 47.23, rubella IgG at 394 IU/mL, free T4 at 1.39 ng/dL, TSH at 4.26, glucose 88 mg/dL, varicella zoster IgG 3.94, homocysteine 7.2 umol/L, and insulin at 9.6. Are there any\u00a0chances of me getting pregnant? Doctor: Hello. I do not see any reason for you to worry or panic. I feel you will not only conceive but also have a healthy baby soon. Let me explain it why I feel so one by one. Nowadays, ladies think of having a baby after the age of 30s. Of course, the age above 35 years is considered a risk factor as the quality of eggs left after 35 years is poor. The age of the oldest mother is 45 years. Many females conceive in their 30s. So, the age factor is ruled out. History of miscarriages - Had you not had any pregnancies till date? In your case, the prognosis is bad. As you have had a pregnancy, you can still surely get pregnant. Remaining are the tests of rubella and varicella etc. They can be forgotten as of now as they point out to only some minor infections. They will not affect the baby. So, if you are having a good ovulation induction with Clomid (Clomifene) and hMG, I suggest you go ahead with the IUI (intrauterine insemination). You will surely get pregnant. But, do not forget to have a good luteal phase with progesterone support. This will improve the implantation. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You also need a lot of positive thoughts, hormonal help and you will surely do great. Hope I have clarified your query. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 24892, + "tgt": "Why am I bleeding even after seven weeks of delivery?", + "src": "Patient: Hello doctor, My wife gave birth to twins two months back through cesarean section. She bled for about two and a half weeks, stopped for one week and has been bleeding continuously again (after it had stopped for one week). She is now in her seventh week after giving birth and still bleeding (it started off dark, but now it is somewhat medium light). We visited the hospital when the babies were 6 weeks, and she was prescribed Tranexamic acid (500 mg), which she was to take for three days. An ultrasound scan was done, and it mentioned possible hematoma or endometritis. Doctor: Hello, Welcome to iclinic.com. The bleeding after seven weeks of delivery is not good. The ultrasound scan is suggesting blood collection and infection in the uterus (attachment removed to protect patient identity), and it may have the right diagnosis because bleeding is unusual. I hope she is not a patient of any thyroid disorder. If not, then give her: Consult your specialist doctor, discuss with him or her and take medications with their consent. Watch for signs of improvement. If still no improvement, then you will have to go for hormone profile testing and if needed, surgical evacuation of the uterus. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11330, + "tgt": "What is the treatment for Fordyce's spots on private parts?", + "src": "Patient: Hi doctor,I have Fordyce spots on my private parts, could you please recommend some treatment for it? Tried Vitamin A but did not help. Doctor: Hi. Kindly send good quality image and revert back so that first diagnosis can be made. Fordyce spots are basically prominent sebaceous glands. There is no treatment required for same because they are natural glands. Few people have prominent glands others do not. But if one does not like its appearance then it can be treated with the help of procedure like electrocauterization. No topical medications would help. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 22530, + "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": 30333, + "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": 12538, + "tgt": "Is it advisable to use Methamphetamine by a cancer patient while on treatment?", + "src": "Patient: Hello doctor, What complications could arise from breast cancer treatment (surgery, chemo, radiation, hormone therapy) if the patient is secretly using Methamphetamine? Can and should a DR refuse treatment if they know of a patient\u2019s Meth use? Doctor: Hello. Methamphetamine is CNS stimulant, it can have a lot of own side effects, if the doctor is not aware of drug use, many of the side effects of drugs will be difficult to interpret for doctor, drug use can have interaction with chemo drugs and can increase toxicity of drug or under the effect of drug. It is a personal choice of doctor, he should refuse treatment or not." + }, + { + "id": 22055, + "tgt": "I believe I have chlamydia prostatitis. Please suggest a treatment", + "src": "Patient: Hello doctor, I believe I have chlamydia prostatitis. Six months ago, I started showing signs of prostatitis. I had a hard time urinating fully, I had pain and burning, fever, clear discharge. I was put on eight weeks Cipro. My body did not respond well to the Cipro. I stopped and had a chance to see another urologist. He did prostate check and urine and semen sample. Found nothing. No bacteria. He stuck a camera in my bladder and found no bacteria. I was given Flomax for two months and my symptoms went away. Recently, six weeks ago, I got chlamydia. I was given 1.5 grams Azithromycin taken over two days. Seven days after, I was re-tested and no more chlamydia. Then four weeks ago, I started to feel prostatitis symptoms show up again. Inflamed urethra and frequent urination with tenderness. I was given Pirinum by a doctor at my work to try to flush out any bacteria. The pain and inflammation went down but it is still constant. I believe after research I have chlamydia prostatitis and cannot go to a urologist at this time because of being in a remote country working. Doctor: Hi. I need to know a few more details to answer your query better: If your symptoms are similar to your previous attack of prostatitis then the treatment would be antibiotics for at least four weeks and Flomax. Ciplox would be the best choice but if you do not tolerate it, you can take Cephalosporin. Usually in prostatitis, we do not see bacteria in the urine, so that does not rule out prostatitis. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24282, + "tgt": "I get a white discharge. Does it indicate any problem?", + "src": "Patient: Hello doctor, I am 26 years old. I recently got engaged. When my partner speaks with me, I get some intimacy towards him. At that time, I feel closeness. At that time, I get a white discharge. Does it indicate any problem? Last month, I got my periods on the 12th. This month, I have not got my periods. Generally, I get my periods two to three days ahead. Doctor: Hello. It is normal to get excited when you talk to your fiance. White discharge is usually due to fungal infection which is very common in females. I suggest taking a single tablet of Fluconazole 150 mg. That will settle the issue. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have not had sex last month, then there is no worry about the delayed period. However, if you have done something last month, then you need to do a pregnancy test. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6380, + "tgt": "I drank hot soup and there is burning sensation from esophagus to stomach. What to do?", + "src": "Patient: Hello doctor, Yesterday I took a mouthful of soup which is extremely hot and I realized it only after swallowing it. It is so hot that I felt like it had been in the microwave for too long. I felt the heat going down my throat, burning from the esophagus into the stomach. I rushed in and drank water, but it felt like the damage was done. Today I am struggling with eating and drinking. The pain down the center of my body is excruciating when I swallow something. I am having constant pain in the middle of my chest and back, sort of under my ribs, and the back of my throat feels like I have the worse sore throat ever. I feel sick all the time. I have two questions. Can I take some Codine to numb the pain, or will this make my stomach worse? What medicine can I take to help my insides heal? Doctor: Hello. I understand your concern. When you consume hot drinks, it can irritate the lining of the throat and the esophageal mucosa. There may be small burns, as you know, that happens to our tongue when we have something very hot. There is nothing to worry about. I will advise you to stick to a bland diet for the next three to four days. Any spicy food will make it worse. Have more of cold milk, cereals, and curd. These being cold will soothe the lining while passing through the tract. You can take Paracetamol, for your pain, but only after the food. Also, take Sucralfate two tablespoons twice daily, after food for the next three to five days based on your symptoms. This syrup will form a protective coat around the area that has the lesion and help in healing. You should be feeling better in a couple of days. There is nothing to worry about. I hope this helps." + }, + { + "id": 2989, + "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": 13915, + "tgt": "Will dipping hand in water by HIV patient cause HIV to those who drink it?", + "src": "Patient: Hi doctor, I need help. Two weeks ago, I was at a friend's gathering or party. And we filled a barrel with glass bottle drinks and a lot of ice and a lot of water. Everyone picked up their drinks from the barrel. I had a cut on my finger and constantly dipped my hand in the barrel for a drink. I later got to know some colleagues at the party are HIV positive. But I did not see the water in the barrel bloody or anything of that sort. And I cannot tell if someone had cuts on their hands as well. A week after the incident, I got this mild cold. And I am worried. Please, is it possible for HIV to have survived in the water? Should it be the case that anyone had a cut on his or her hand? Is it possible to have gotten infected just like that? Please help me. Doctor: Hi. I have read your query carefully. You are tensed about your exposure to HIV. Now I am explaining you everything. HIV infection is usually acquired through sexual intercourse, exposure to infected blood, or perinatal transmission. In your case, you are exposed to HIV by blood mixing fluid to drink. You have to keep in mind that the HIV virus does not survive for a long time outside the body. You also keep in mind that exposure through oral route is extremely rare. So there is very very little chance to be infected by this mean. But if you are worried after that explanation, you can go for a test named ELISA for HIV. But it needs minimum 2 to 3 weeks to be positive in the fourth generation test. And 7 to 8 weeks in the first generation ELISA todetect the virus after exposure. So you should wait." + }, + { + "id": 24342, + "tgt": "Why is my elbow sore and swollen from five months?", + "src": "Patient: Hello doctor, My inside part of my right elbow has been sore and swollen for five months. Flexing my arm out and wrist up and turning my arm from side to side aggravates things quite badly. Pain is worse at night time. When I push my three fingers and thumb together I get radiating pain down my forearm into my inside part of my elbow. Ultrasound showed all is good, but something is going on. It is hard to use my arm for any strength activities. My GP and physiotherapist have told it is not tendinitis. I took Ibuprofen and Voltarin Samuel gel but made no difference to the pain. Doctor: Hi. Sorry to hear about your suffering. Swollen sore elbow could be due to many causes like: Please provide me with more details in order to identify the cause: Please provide me with a clear photo of the elbow. Send me X-ray of the elbow if already done. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1110, + "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": 14023, + "tgt": "How can anxiety attacks be managed?", + "src": "Patient: Hello doctor, I am wondering about my friend's case. I have just known that he has been suffering from panic attacks, fear, and anxiety for a long time. As a friend of his, I want to know more tips to do if I was there when he has them or I am not around, more tips about daily life and so on. He is 21 while I am 18. What can we do to make him feel better or to reduce his attacks? What to say and how to behave (we are not a couple), also sometimes he avoids talking to me for long periods. Is that a normal thing? Doctor: Hi. Your friend is suffering from anxiety disorder and panic attacks (an extreme form of anxiety). Anxiety occurs when our brain starts sensing danger without any external cause following which body and brain come to the activated level and physical and mental symptoms of anxiety occur. The things you need to know about anxiety and panic attacks are as follows: 1. Do not panic. It will increase the anxiety and panic of the person suffering from it. 2. Treatment is the mainstay, both pharmacological and nonpharmacological. Ask your friend to get the regular follow up of his psychiatrist. 3. Whenever your friend suffers from the panic attacks, tell positive motivating things like, ask him to take a deep breath, relax, offer him a glass of water, tell him that this will go off and he needs to stay little calm and everything will be alright. Yes, people with anxiety and depression often start withdrawing from social work but with the treatment, this thing will improve. Treatment should always be the first priority." + }, + { + "id": 2257, + "tgt": "I have severe pain in the filled molar tooth. Why?", + "src": "Patient: Hello doctor, I am experiencing severe pain in the first molar teeth. I did the filling one year back. I had three Combiflams to reduce the pain. Please advise. Doctor: Hello. As per your description, it seems that there is a reinfection in your treated tooth. Do you see any discoloration over that tooth? For permanent solution. you have to get it done in the dental clinic. As any reinfection can be confirmed only after x-ray of that tooth. But as per the current outside scenario of viral outbreak, one should not visit the dental clinic unless it is an emergency. So what you can do at home is take tablet Augmentin 625 mg (Amoxicillin and Clavulanic acid) twice daily for three days after food, Ultracet P (Tramadol) twice daily for three days after food, gargling with lukewarm water and add a pinch of salt in it for two to three times daily. If possible upload the image of your concern area. I need to know a few more details. Is there any swelling or pus associated with that tooth or gums? Is there is any reddish discoloration or are you having any fever? I want to know what kind of restoration you had?" + }, + { + "id": 7361, + "tgt": "I am diagnosed with cervical radiculopathy and have tingling sensation in my fingers. Why is it so?", + "src": "Patient: Hello doctor,A month ago I was diagnosed with cervical radiculopathy by an ER doctor. Since then, I have seen my PCP I have had X-rays and an MRI done. I have an appointment with the neurosurgeon on the after 10 ten days. I have been prescribed a Flexeril and Naproxen. I am still in pain. The tingling sensation does not stop in my fingers arm and feet and now I have that feeling in the back of my head and it travels to the top and on the left side of my face.I have also seemed to become clumsier than I have ever been before and I drop a lot of things my left side is what is being affected the most. I guess what I need to know is should I wait for 10 days or should I be more concerned? Doctor: Hello. The symptoms you describe could be consistent with a cervical disc problem but are not specific to how severe it might be. Numbness of the face is usually associated with disc problems in the neck, although I have seen patients complain about it in the past. The physical examination of your nerve function is essential. If you had signs of spinal cord compression, increased reflexes in the legs, weakness, or difficulty controlling bowel or bladder function, then there is urgency in seeing a neurosurgeon. If the MRI shows signs of spinal cord compression, then there is also some urgency in seeing a neurosurgeon. If only a nerve root is involved, then sometimes these problems can be treated conservatively first if you send the report of the MRI and perhaps a photo of it that would be more helpful." + }, + { + "id": 2085, + "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": 23234, + "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": 9496, + "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": 14231, + "tgt": "Is seeing lines and web like things after an accident serious?", + "src": "Patient: Hi doctor, I recently met an accident and I was wearing a helmet and it was ripped off in two meters and then for around five meters, I was without a helmet. Then after that moment I fell down and saw some lines and web like things. I consulted three doctors and every one is saying that there is no problem in my eyes. So, I even took a brain scan and the result is nothing and this is the third day. Even now I have not got any change. I am still seeing the lines and all. Can you please suggest anything for this? I am highly worried. Doctor: Hi. This condition is called eye floaters, this might be a benign condition but in your case, as it popped up just suddenly after eye trauma, I would be going to an eye specialist, as this might be a sign of vitreous or retinal detachment or inflammation in the posterior part of the eye. CT scan will not show anything but they need to do retinoscopy. Let me know if you have any other questions." + }, + { + "id": 10234, + "tgt": "Is the sharp pain that I experienced on my left armpit, a sign of heart attack?", + "src": "Patient: Hello doctor, I am a 27 year old female. My weight is 195 lbs and height is 5'8\". I have hypothyroidism and I am on Synthroid. I am taking Amoxicillin\u00a0for a lingering cold. Yesterday, I experienced a sharp pain on my left side, under my armpit, equal with my left breast. I had this episode of pain twice yesterday. On both the occasions, the pain lasted for about 5 to 10 minutes. When I\u00a0put my hand on the area it felt as though something was passing through my ribs and once it passed the pain subsided and I\u00a0was fine.\u00a0There was a bit of tenderness in the region of pain. I am wondering whether this is due to gas from all the holiday food and carbonated drinks. Or is this something serious that I should get looked at? I wanted to wait and see if it happened again, but was looking for a second opinion on that. Both my grandparents passed away because of heart attack and so, I am worried. I am a mother of two kids and do not want there to be an issue. Doctor: Hi. I understand your concern as your grandparents passed of a heart attack, the fear you have is genuine. But, just pain in your chest is not an indication of a heart attack. Since you gave a history of carbonated food and tablet Amoxicillin along with thyroid medication, these both can cause an acid reflux and that can cause heartburn and lead to such non-specific pain. However, if the pain was associated with sweating and stabbing character or constricting type with radiation to the left arm, then it is always better to get an ECG done to see if it is related to your heart. Heartburn. ECG. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27634, + "tgt": "My mom is under stress and crying a lot. Please help", + "src": "Patient: Hi doctor, My mom is under stress, and she is crying a lot. Suddenly, she started making some noise repeatedly, she was not able to open her eyes, and she had trouble breathing. Doctor: Hi. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21270, + "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": 10933, + "tgt": "Is it possible to get weird breakout around chin due to change in diet?", + "src": "Patient: Hi doctor, Just recently I have noticed some weird breakouts around my chin area. I am not sure when they started. While I do from time to time experience acne, I do not think what I am experiencing on my chin is not an acne breakout. Because there is no white head or black head present. They are not popable. The only change in my diet is I have been enjoying an occassional glasses of wine after dinner. I have also started eating mozzarella cheese, which I have not eaten before. Thinking that it was perhaps linked to hormones. I have restarted birth control three days ago after a 4 month hiatus. Please help. Doctor: Hi Welcome to icliniq.com. I have reviewed the attached photographs (attachment removed to protect patient identity) and according to me they are papular lesions of acne. They are not blackheads or whiteheads. I would recommend you to continue with the birth control pill besides applying Benzoyl peroxide 5 percent gel on the pimples twice daily. Follow some tips to avoid pimples such as keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of scalp, use cosmetics labelled as non-comedogenic and reduce the intake of sugary foods. 1. Hormonal disturbances. 2. Seborrhea. Acne vulgaris." + }, + { + "id": 28445, + "tgt": "I got periods on the same day of taking an emergency contraceptive pill. Am I pregnant?", + "src": "Patient: Hello doctor, I took an emergency contraceptive pill after seven hours of unprotected sex. And I got my periods the same day of taking the pill. But, my period lasted only for a day. Am I pregnant? Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18039, + "tgt": "For how long do I have to take Sporlac for IBS?", + "src": "Patient: Hi doctor, I am suffering from IBS for past one month. I have been taking Sporlac tablet from last 10 days. If I stop taking Sporlac I am suffering from heavy constipation. For how long I have to take Sporlac? Doctor: Hello. Sporlac contains lactobacillus and can be prescribed for 10 to 14 days. But duration is decided according to the need of it. Irritable bowel syndrome is functional bowel problem and stress is related to it. So, try to avoid stress if you are taking. Yoga, meditation are beneficial for that. Lubiprostone is a specific drug that is sometime used in irritable bowel syndrome. If you have constipation more, then fiber diet is recommended. Take high fiber diet like whole grain, wheat bran, green leafy vegetables, fruits, etc. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29090, + "tgt": "My son feels vomiting during car travel. How to deal this?", + "src": "Patient: Hi doctor, The patient is 9 years old. When he gets in a car, he will get hot flashes, shortness of breath, and vomit. His pediatrician says it is motion sickness, but we had traveled a lot before and had no issues. Even he likes amusement rides as well. He has complained of a spot on his head hurting, but there is no knot, and he occasionally gets headaches. Last night, he had a really bad nose bleed too. There has been no fever associated with this. This has happened two months ago while in my mother's car and again less than two weeks ago. He had a nose bleed last night. His headaches are more frequent. I do not have his current medicine list. He is on medication for ADHD, an inhaler for athletic asthma and chewable asthma medication. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30390, + "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": 12053, + "tgt": "I am suffering from recurrent vaginal thrush. What to do?", + "src": "Patient: Hello doctor, I had thrush a few weeks ago due to antibiotics. It subsided on taking cream and a pessary after which I stopped the cream in three to four days. After a few days, the thrush again appeared on my vagina (labia). Nurse in a walk said still there is thrush and advised to take Fluconazole and cream. So took one pill of Fluconazole and took cream for a week. However, the painful cuts are still there and itchy. I have got some pictures attached. Wiping hurts a lot because it is sensitive to the touch. I also have some similar cut near my butt hole. Doctor: Hello. These are definitely (attachment removed to protect patient identity) old thrush lesions which have become inflamed and red, due to possible frequent scratching following itching over the region. The scratching has possibly led to abrasions or knife-like cuts. They are likely to be painful and oozing increases if scratching continues. Instead of using Plan Canesten cream, use cream Canesten-s (which contains Clotrimazole 1 % with Beclomethasone 0.025 % w/v) and apply it overall knife cut lesions thrice a day for the next three days. Beclomethasone is a steroid which blocks the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and itchy (often following scratching- vicious cycle). Clotrimazole is an antifungal which stops the growth of fungi on the surface by preventing them from forming their protective covering. Keep the local area as dry as possible throughout the day, especially post micturition, use soft cotton towels to dry (clean sheets regularly and use a fresh one each time as tissues can cause further abrasions. So do not wipe, just pat and dry). After that, you may apply an antifungal dusting powder (Canesten dusting powder) after application of the cream, over both vulval and peri-anal region which shall help local moisture in check and allow lesions to heal. Please wear loose cotton undergarments to avoid any further frictional injury." + }, + { + "id": 719, + "tgt": "What is the risk of heart murmur in a 9 days old baby?", + "src": "Patient: Hi doctor, My baby is 9 days old. Heart murmur was identified during check with the pediatrician. He said that the cardiovascular system is abnormal with soft systolic grade 2/6 murmur at LSB. We have done the echocardiogram and the results are as follows: Ventricular septal defect (Q21.0) with stable condition and\u00a0atrial septal defect (Q21.1) with stable condition.\u00a0Moderate size secundum ASD, moderate size perimembranous VSD with PG of 55 mmHg.\u00a0I would like to know the risk factor on the identification of the murmur and the steps to cure this as early as possible. We need your support and guidance on this. Thank you. Doctor: Hi. I appreciate your trust in our services. I have carefully reviewed your query and can well establish the sensitivity of the health issues you described. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29459, + "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": 8569, + "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": 9255, + "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": 11839, + "tgt": "I have rashes since three years. Kindly advice", + "src": "Patient: Hello doctor, I have a rash for three years. It has started small but now it is really been bothering me. Doctor: Hello. 1. It looks like you have pityriasis versicolor, a superficial fungal infection (attachment removed to protect patient identity). Take the following medications: A. Tablet Fluconazole 400 mg one tablet today and then take another after a week. B. Use Ketoconazole 2 % shampoo as a body wash. Apply it on rash at the time of bath, leave it for five minutes and rinse. Do this every other day for a month. C. It might take 1 to 2 months for the rash to subside." + }, + { + "id": 14012, + "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": 29173, + "tgt": "Can essential tremor cause post-micturition dribble and a diminished sense of smell?", + "src": "Patient: Hi doctor, I am a 28 year old male who was diagnosed with essential tremor six years ago. Presently, I have tremors\u00a0only in my right hand and thumb, but it feels like my entire body wants to move. Before, I used to get\u00a0tremors on some movement, but nowadays, it is present even while at rest.\u00a0I am also getting muscle twitches in my left bicep on and off.\u00a0Occasionally my voice gets low and shaky, and I\u00a0struggle with words. I am currently taking Bisoprolol, Amlodipine and Ramipril. I have noticed my sense of smell is diminishing quite rapidly, though I do not\u00a0have a cold or flu.\u00a0I do not know if this is related, but I also have stiff upper back and neck, which gets worse in the mornings. I have nightmares which\u00a0are\u00a0affecting my sleep, although this could be due to my depression and anxiety. I also have post-micturition dribble, which\u00a0is embarrassing.\u00a0I seem to be choking on my saliva or when\u00a0I\u00a0have a drink on a daily basis now. Please help as my symptoms are getting worse. Doctor: Hi." + }, + { + "id": 1409, + "tgt": "What is the reason for discoloration of teeth in 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. Her food includes apple, rice, green gram, vegetables along with breast milk. But, I am not adding sugar or salt. I am giving her Ostocalcium, vitamin D and multivitamins as suggested by her pediatrician. She has got her four upper teeth and two lower teeth.\u00a0Last week, I noticed that half portion of the upper teeth not covered with white and looks like enamel loss. I have attached her teeth photos for your reference. Does it need any treatment or is it common? Is it because of the vitamin supplements?\u00a0Could you please suggest me the treatment and what needs to be taken care of further? Thank you. Doctor: Hi. For further information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 24182, + "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": 7593, + "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": 8907, + "tgt": "Why does my sperm not liquefy?", + "src": "Patient: Hello doctor, My sperm does not liquefy for two hours. What should I do? Doctor: Hi. It can be due to semen hyperviscosity (SHV). Common in 12 to 29 % of men and can lead to male infertility. Semen is composed of proteins essential to the coagulation and liquefaction of semen. Hypofunction of the prostate or seminal vesicles causes increased viscosity of seminal fluid- can be diagnosed by rectal examination of the prostate or doing an ultrasound pelvis and scrotum. Infection increasing leukocytes may also result in the development of SHV. Oxidative stress and biochemical and genetic factors also aggravate. Hyperviscosity semen does not have proper movement in the female reproductive tract and can lead to decreased sperm count. SHV is treated with a hypodermic needle, mucolytic enzymes, antibiotics and anti-inflammatory agents depending on the cause. Share more details- your ultrasound report, blood report or hormonal studies done." + }, + { + "id": 24372, + "tgt": "Slept with my contacts on. Now, there is a white cloud blocking my vision. Help", + "src": "Patient: Hello doctor,I slept with color contacts in my eyes and now I woke and took them out and there is a white cloud blocking my vision. Doctor: Hello. A photograph would have been very helpful for making a diagnosis. It is never advisable to sleep with your contacts. Here is the possibility of your situation: 1. Epithelial edema. In this case, remove and stop wearing your contacts for one month. Start Hypersol eye drops (Sodium chloride) four times a day, Vigamox (Moxifloxacin) eye drop four times a day and Refresh tears (Carboxymethylcellulose) eye drop six to eight times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. 2. Corneal infection. If a discharge is also coming, the diagnosis tilts in favor of infection. In that case, along with above add Polymyxin plus Chloramphenicol eye ointment at bedtime but since you have not sent a photograph. So, to confirm the diagnosis get a slit lamp examination done. Kindly visit an ophthalmologist or send a close-up picture without a flash in good lighting. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15097, + "tgt": "Suffering from nervousness, unknown fear, loss of concentration and sleep disturbance", + "src": "Patient: Dear doctor, My brother is suffering from nervousness, unknown fear, loss of concentration and no sleep during the whole night. He lost his wife four months ago due to sudden death. We have consulted a psychiatrist and he prescribed some medicines, but no relief yet. Give me suggestions. Doctor: Hi. Your brother is probably suffering from complicated grief reaction or depression. Generally, medicines take some time to have a proper effect. If he has started the medicine in the last one week, then it is better to wait for a few more days.If he has already taken the medicine for more than one week, then there is a possibility that the current medicine is not going to work for him within the current dose ranges. In such a case, we can either increase the dose of medication or change to another medicine which has better potential for your brother.I suggest you provide me the following details: With the above said details, either post a query or book a session for an online therapy for further consultation; so the needful can be done for him. Regarding loss of concentration, it is generally one of the symptoms of depression. So, I hope that with the treatment of depression, it will be corrected." + }, + { + "id": 4735, + "tgt": "Nose shape is deformed after septoplasty with turbinoplasty. What to do?", + "src": "Patient: Hello doctor, I had septoplasty and turbinoplasty 16 days ago. After the surgery, they asked me to come back after two days for packs removal. Then after two days, I went to the hospital, other doctor look after me and he just removed one pack, even I asked him to remove the packs on both sides but he refused it. I then came back home, after two days, I cannot able to eat or even drink anything as my mouth smells very foul and the whole nose got swelled. Then, after seven days I revisit a doctor, then the doctor who did the surgery on me looked inside my nose and pulled out the pack hardly. Then after this, my nose shape changed badly and I cannot breathe normally now, what I can do now? Doctor: Hello. I understand you underwent septoplasty and turbinoplasty and you have not completely recovered. After septoplasty post-operatively it takes about two to three months for complete healing and recovery. You must put Solspre nasal spray two puffs four times daily for about a month in either nostril. If there is excessive dryness you must also instill 0.5% menthol paraffin nasal drops three drops in each nostril thrice daily. The room where you stay must be adequately humidified and should have moisture. You must drink plenty of water and take healthy foods. You must go for weekly reviews with the ENT surgeon who can look into the nose and see if the healing is good. If not you may require suction clearance of the nasal cavities. Any clots or crusts may be causing the nasal blockage for you. If after two months also you are not feeling any improvement, kindly contact us. We can reassess the problem and get you the best treatment." + }, + { + "id": 27152, + "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": 25727, + "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": 19968, + "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": 20585, + "tgt": "Why is my period delayed after having protected sex on 14th day of cycle?", + "src": "Patient: Hi doctor, I have an average cycle length of 29 days with the longest being 31 days. I have never missed a period before and always got a brown discharge before my periods. I last had my periods 31 days back, then had protected sex once (with my partner wearing a condom) on the 14th day of the cycle. Today is my cycle and expected to have my periods but all I saw yesterday was a slight brown discharge on toilet paper in the morning and evening time with mild cramps (slight consistent backache from cycle day 30) with tender breasts, feeling a bit dizzy, bloated stomach, (pregnancy-related symptoms). I am on cycle day 31 and no periods yet. Could it be that I conceived after protected sex since it was my ovulation period or 14th day of the cycle? Can I go ahead and test for pregnancy? Kindly help me. I am currently 33 years old. Doctor: Hello. As you said that the sex was protected and that there was no condom misadventure, so chances of pregnancy are minimal and the symptoms are more of premenstrual rather than pregnancy. However, considering that both symptoms overlap, the best way to rule out any pregnancy would be to get a serum beta hCG test done as on date where if the hCG levels are less than 3mIU, then you are surely not pregnant and the symptoms are premenstrual." + }, + { + "id": 12987, + "tgt": "Is bent penis a normal variation?", + "src": "Patient: Hi doctor, I have a\u00a0bent penis that causes pain and dissatisfaction. Please suggest me a solution. Doctor: Hi. A downward bent of the penis is an absolutely normal variation and is present in 15% - 30% of men. It will be a problem only when it is extremely bent and difficult to penetrate. Pain in the penis can be because of anxiety. If it has been since a long time, then there are chances of it being a cause of urethritis or some scarring in the musculature of penis known as Peyronie's disease. You do not have to worry unless erection is normal. I would suggest you consult a urologist for physical evaluation to check whether the bent in the penis is a normal physiological variation or not. Stay calm and do not get tensed." + }, + { + "id": 3463, + "tgt": "My breathing problem due to dust allergy is not getting down with medicines nowadays. Why?", + "src": "Patient: Hello doctor, I am 29 years old. From birth, I am suffering from dust allergy, eosinophils. When the seasons change I get suffers from cold and cough. I live in a city full of tress and dust too. Due to cough, I get little breathing problems. Before three months, whenever I get these problems with the help of syrup or medicines I get rid out of it. But for the last three months, I am not getting any relief. One of my doctor friend prescribed me Levocetirizine which gave me relaxation for two to three days. Before 10 days I consulted with another doctor and he gave me Formoterol fumarate and Budesonide and Montelukast. He told me that I am suffering from little asthma. I do not have high problem of breathing but then also I am taking this medicine for the last 10days. Please help me to get rid of this. I also checked my allergies, the report shows 1100 + IgG. Doctor: Hello, Welcome to icliniq.com. From your query, it seems that you are allergic to dusts and pollen grains. And as the second doctor rightly said, you are suffering from asthma and allergic rhinitis. Currently, you are on right treatment. So continue Formoterol plus, and Fluticasone inhaler in prescribed doses and also tablet Montelukast 10 mg one at night. In case of emergency, you can take Asthalin or Levolin inhaler for relief from cough or breathlessness. Consult your doctor regularly to adjust the dose of the inhaler if you are not getting any benefit. Usually, you must continue inhalers as no other medicine will cure asthma permanently. There is no permanent cure for asthma. Once your allergy is well controlled, you can stop Montelukast but continue with inhaler." + }, + { + "id": 24595, + "tgt": "I am 6 feet tall with 95 kg. How can I lose weight?", + "src": "Patient: Hello doctor, My height is 6 feet 1 inch, and weight is 95 kg. My TSH level is 16 and T3, T4 levels are normal. I want to lose weight. Please tell me how much carbohydrates and protein I need to take. I just started exercise couple of days ago. Can I take Whey protein? Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have hypothyroidism, dyslipidemia and raised liver enzymes.Firstly, you must take tablet Thyronorm (Levothyroxine sodium) 75 mcg once daily early morning on waking up and then avoid eating anything for the next one hour. Repeat your thyroid function test after three months and then we will review again. Regarding your cholesterol levels, you must take tablet Simvastatin 20 mg at bedtime. Repeat your lipid profile after six months and then we will review again. You must multiply your weight by 0.36 for the recommended daily amount of protein (in grams) that you should be consuming. Then double that number. It turns out 68.4 grams per day protein and 65 to 100 grams of carbohydrates per day intake as per your weight. Avoid Whey protein as a source of your protein diet and include natural protein like eggs, pulses, lean meat like fish and chicken. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 11348, + "tgt": "I have fever and headache after mosquito bite. Please advise", + "src": "Patient: Hi doctor, I was playing football and I had got bitten by a black and white mosquito. After some time, I got shaking and had a fever, head pain, and a back muscle pain. Doctor: Hi. According to the history, you have to rule out dengue fever, chikungunya or malaria fever. So take Paracetamol 500 mg two tablets for six hours until the blood tests are done. Avoid mosquito breeding places like stagnant water near home, wear full sleeve clothes. Take an adequate amount of fluids. The probable cause could be due to Aedes mosquito. You can get a complete blood count, IgM test for dengue, IgG for malaria, microscopy, blood smear test done. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20174, + "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": 30775, + "tgt": "Do you have any idea regarding unconscious episodes of my father?", + "src": "Patient: Hi doctor, My father is 55 years old. He is good in terms of his health and weight. He recently had a large AVM rupture and he was flown to the nearest hospital. He had a craniotomy to remove AVM and the ICH caused a large stroke. He was left paralyzed on his right side with the capability to speak,\u00a0but limited. He says a few words here and there, but mostly mumbles or says things that do not fit the context of the present. He is in a rehabilitation where they are supposed to be helping him with this now. My concern is that recently he keeps having the episodes of losing consciousness. For a few times it happened for about 10 minutes and today for over an hour. He was calm and sitting up. He laid back down slowly (with my help, of course) and all of a sudden would not wake up. His vitals were fine though they had put him on oxygen this afternoon, because it was a little low (high 70's and low 80's). He was on it when this occurred. Is there any indication as to why this is happening? He has been sent to the emergency room for it a bunch of times, but each time they send him back after doing a CAT scan. By the time he would see the doctor, he would be awake. Recently, his medication was changed from Keppra to Lamictal. He has been experiencing a bit of tremors as well and I am not sure if it is the new medicine. They will be scheduling him for a neurologist appointment and an MRI in the upcoming week. Do you have an idea as to why these unconsciousness occurs? He communicates sometimes by saying yes or no, but it is inconsistent. He goes in little stages of being combative, calm, sleeping, aggressive and then basically aware. Could this unconsciousness be one of these? I seem to be the only one extremely concerned about them, but he has not seen a neurologist about it. Please help me. Doctor: Hi. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 25191, + "tgt": "Kid having cough and cold, now starting on fever. Should I go for tests?", + "src": "Patient: Hello doctor,My kid is 28 months old. He is having a cough and cold for past five days. Last night, fever started at 102 F. Until now, fever is on off. I am giving him Mefanac-P for fever from today. Can I go for blood and urine investigation? Doctor: Hello. I understand your concern. A child with a history of fever and cough-cold for five days definitely needs further investigation. Do blood test (CBC) to rule out bacterial infection. If he is having difficulty in breathing you must do X-ray as well. Do warm saline gargles three or four times a day so that throat inflammation can be controlled as it can also give fever and cough symptoms. Urine test as of now not required, if no burning sensation during the passing of urine. Meanwhile, you can continue fever medicine and cough syrup. Review with report. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13263, + "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": 29519, + "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": 2347, + "tgt": "I have irregular periods with unwanted hair growth and pimples. Please suggest", + "src": "Patient: Hello doctor, I am experiencing irregular periods, sometimes two times a month (latest before three months) and sometimes it will skip for two or three months. I also noticed that I suddenly have hair growing on my stomach and chest. Also, I do not have hair on my legs before but now I have a few hairs growing on some spots. I also noticed that there are suddenly pimples on my back which never happened before, this occurred last month. I have not done any tests on my thyroid or hormones. I used to also take pills (Diane) to regulate my menstruation but after two months I stopped. Doctor: Hello. I can understand your concern. According to your statement, now you are suffering from amenorrhea (absence of menstrual cycle), hirsutism (hair growth in women in the male pattern), acne (pimples-one type of acne on the back) and having no history of thyroid or hormonal test and issues cause you are on childbearing age suggests that it may be PCOS. Polycystic ovarian syndrome (PCOS) can be established by your clinical features with some investigations result. You should undergo abdominal ultrasound which can detect bilateral polycystic ovaries. You can undergo some blood tests too like blood for testosterone (increased), sex-hormone binding globulin (decreased), LH:FSH ratio (increased) and thyroid test to exclude hormonal diseases. You can start Metformin (Bigunide-therapeutic class) to restore your regular cycle and fertility and supportive management for your other complications and estrogens therapy." + }, + { + "id": 26071, + "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": 21958, + "tgt": "Can placenta percreta cause any difficulty during delivery?", + "src": "Patient: Hi doctor, I am pregnant with my first child. I was diagnosed with preeclampsia in the first trimester. My obstetrician told me that I have a placenta percreta, and I will require a C-section. Additionally, my dentist has told me to make sure that the anesthesiologist should know about your difficulty in airway breathing because of trismus. I am worried about my delivery and want to know how to proceed? Doctor: Hi. If you have preeclampsia alone, then the delivery can be done under spinal anesthesia. As you also have placenta percreta, the surgery may be very extensive with more blood loss and hemodynamic instability so that general anesthesia will be the best one. Since you have trismus and difficulty in airway breathing, the anesthesiologist should always be ready with all the aids for difficult intubation and ventilation. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 13323, + "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": 13998, + "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": 1803, + "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": 4856, + "tgt": "Why do I have neck and shoulder stiffness and pain only while lying?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I do not have any medical issues that could associate with my problem. About a month ago I woke up to pain and stiffness in my neck and shoulders. I figured I just slept wrong or something little like that. But every single night since then, I have been woken up by the pain during nights. I cannot lay in any position where I put pressure on them and it only happens at night or while resting or laying down for more than an hour. It started with just my neck and shoulders. But gradually it has turned into pain and stiffness in my neck, shoulders, elbows, hands (which includes swelling in my fingers), hips and now my knees. It only happens when I lay down for long periods and gradually disappears during the day with movement and activities. It is also disrupting my sleep every night in which I barely get for three to four hours altogether. I have tried taking Naproxen before laying down for the night and using a heating pad at night to avoid these issues, but it is not helping. My question is, what is wrong with me and how can I reduce or stop the pain and stiffness? Doctor: Hello. The symptoms you have explained points towards arthritis. It can be osteoarthritis or rheumatoid arthritis depending on the joints involved and the duration of morning stiffness. Usually, in rheumatoid arthritis, morning stiffness remains for more than 45 minutes and joints of the hands involved are middle joint and the joint which connects your finger with hand. Osteoarthritis morning stiffness relieves in less than 30 minutes in the morning and the joint involved are the distal joints of your fingers. The tests which you can go for to confirm are a rheumatoid factor, CRP (C-reactive protein), x-ray of the joints. The medications which can be used to relieve the symptoms are NSAIDs (non-steroidal antiinflammatory drugs), steroids to relieve the inflammation and DMARDs (disease-modifying antirheumatic drugs) like Methotrexate, Sulphasalazine, etc. Surgery is another option here which you can talk to your doctor after confirmation of the diagnosis. I hope this helps. X-ray of the joints, CRP, Rheumatoid factor. Osteoarthritis, gout." + }, + { + "id": 1854, + "tgt": "I have a penile skin bridge. Is surgical removal necessary?", + "src": "Patient: Hello doctor, I noticed that I have a penile skin bridge. I thought it was normal at first. But after searching on the internet I found that at the age of 24 it can only be removed by surgery. Is there any other method apart from surgery to remove the penile skin bridge? Please help. Doctor: Hello. If you are talking of phimosis (inability to retract the foreskin fully over your glans penis) then yes, it can be removed only by surgery. But do you actually have phimosis is the real question. Try to retract the skin and the point where it is not possible then click a picture and send it. As it is a clinical diagnosis, I will be in a better position to tell you what to do next." + }, + { + "id": 18899, + "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": 19302, + "tgt": "I have some mild acne and huge pores on cheeks. What can be done?", + "src": "Patient: Hello doctor, I have been using Isopropyl alcohol as a face wash (diluted with water) for the last eight years, and am exploring more healthier and effective skincare routines. I have a mild acne and huge pores on my cheeks. Currently, I have purchased a variety of products and would like to receive your input as to whether or not this is a terrible routine or one that will work to create healthy skin. Every day I take Beta-Carotene, Lycopene, and Astaxanthin supplements. Morning (every-other) I use moisturizer, then apply Niacinamide lotion, Moisturize, then apply Azelaic Acid cream. At night, moisturize, then apply Retinol cream. Doctor: Hi. Your skin routine is good, you can go on with it. Please choose a moisturizer that is not clogging, and is non-comedogenic, lotion form is better than cream since you have mild acne. Niacinamide and Azelaic acid are helpful for acne, they are mild, but a higher concentration of Azelaic acid can cause little irritation to the skin. If Azelaic acid is 4 % and less, it should be fine to use every day. Retinol works well for enlarged pores, also for acne. It helps to exfoliate the skin. Start retinol slow, use a thin layer on the face on alternate nights initially, then increase the frequency of application to nightly, Retinol is anti-aging too, it helps with wrinkles, pigmentation. Beta-carotene, Lycopene are antioxidants, they are considered as systemic or oral sunscreen. Only, addition to your routine is to use a moisturizer with sunscreen that is non-comedogenic, use this in the morning instead of your regular moisturizer. Sunscreen is the must in any skin routine, UV rays from sunlight are the reason for early wrinkles, pigmentation of skin as well as skin cancer (squamous cell carcinoma and basal cell carcinoma, melanomas). Keep your body hydrated with at least 2 to 3 liters of water per day, and consume fruits and vegetables which are rich in beta-carotene and vitamin A like carrot, papaya, watermelon, muskmelon, pomegranate." + }, + { + "id": 5581, + "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": 470, + "tgt": "I have sinusitis with polyp in right maxillary sinus. Please help", + "src": "Patient: Hi doctor, I am a 31-year-old male. I have sinusitis for almost five years. Also, there is polyp formation in the right maxillary sinus. When I inhale to get relief from nasal congestion and it starts irritating with inflammation. Any advice? Doctor: Hi. We have to first ascertain as to why sinusitis has occurred in the first place. Usually, in most cases, the primary cause is a seasonal or year around allergic problem that is there. Just to make you understand I have tried to explain things in a simple way below. Exposure to dust (or any irritative substance that your body is hypersensitive to) will initially initiate reflexes such as sneezing to remove the offending agent out but if this fails, mucosal cells in you nose start to hyperfunction producing loads of mucus to trap dust (owing to its sticky nature), this mucus has no where to go other than either being blown out of due to mucociliary activity gets pushed into the throat, thereby entering into a new zone. The throat initially reacts by activating cough impulses to push out the mucus, but if that fails, a local inflammation around the throat starts which often leads to symptoms such as feeling of a lump in the throat and repeated feeling to clear the throat. As far as your nose is concerned, due to long standing inflammation, the mucosa starts to get edematous and ends up forming a polyp. I know the problem is there since a long five years, but I am not sure if you have followed any specific treatment chart which is usually recommended before we consider any patient for surgery. This treatment chart is custom made according to your symptoms and does follow the guidelines to treat both allergy with sinusitis. The following things can be considered. 1. Wear an n95 mask at all times, do not allow any dust or irritative substance from entering into your nose. This is the most important thing you should be following failing which, no treatment will bring any relief. 2. Tablet Sinarest (Paracetamol + Phenylephrine hydrochloride + Chlorpheniramine maleate) one tablet twice daily after food 12 hours apart for 15 days. 3. Tablet Allegra M (Fexofenadine and Montelukast) one tablet twice daily after food 12 hours apart for 15 days. 4. Tablet Zerodol TH (Aceclofenac and Thiocolchicoside) 4mg (or its equivalent) one tablet twice daily after food for five days. 5. Tablet Clarithromycin 500 mg one tablet twice daily after food. 6. Duonase nasal spray (or its equivalent) two puffs two times a day in both nostrils for three months (do not inhale while you spray the drug). 7. Tablet Mucomix 600 mg (Acetylcysteine) one tablet twice daily for 1 week. 8. Tablet Wysolone (Prednisolone) 10 mg one tablet after breakfast for 10 days. 9. Steam inhalations 3 to 4 times a day. 10. Saltwater gargles at 8 to 10 times a day for one month. 11. Do not smoke or consume alcohol as it slows down mucociliary clearance mechanisms. All precautionary measures have to be followed strictly for maximum relief, otherwise, medications would not be useful on the long term. Surgery can be considered (if above medications and precautionary measures do not give any relief), but there is a catch to it. The symptoms might come back sometimes even on a higher scale after a brief relief following surgery if the precautionary measures post surgery are not followed. Ideally speaking in a nutshell, I again emphasis on preventing any irritative substance from entering the nose and throat, thereby triggering an allergic cascade of events and reproducing the symptoms you have mentioned above. As far as the polyp is concerned, in very few cases the polyp resolves on its own with medications and often the patient requires a surgery called functional endoscopic sinus surgery where the sinus openings are widened and the polyps are removed. You will have to get a CT scan done to see the extent of the polyp, current condition of the other sinuses and anatomical variations in the nose which could have been contributing to the polyp. I hope this helps." + }, + { + "id": 25177, + "tgt": "Was suggested kidney removal for tumor. Can the organ be saved?", + "src": "Patient: Dear doctor,This is about a tumor in the kidney case as follows.On the night of 14th, the patient found blood stain in the urine. No pain, no other symptoms.On 15th morning, after drinking two glasses of water, he developed pain in lower abdomen and back. Got an ultrasound done. Ultrasound showed a tumor in the left kidney (report attached).On 16th, we got a CT scan done and it showed a big mass arising from the lower pole of the left kidney of size 8.8(AP)*6.9(TR)*7.4(SI) cm and doctor suggested surgery which involves removal of the kidney to save from spreading. Let me know if kidney can be saved and disease eradicated and controlled from spreading further. Doctor: Hello. It looks a large tumor in the left kidney. The reports (attachment removed to protect patient identity) show that the disease is localized and not spread to other parts. The only curative treatment for this tumor is surgery (removal of affected kidney along with the whole tumor). It is difficult to save the kidney because of the large tumor size, but the surgeon will review the CT scan films with the radiologist to decide finally regarding any chance of saving the kidney. After surgery (removal of the tumor), the pathological report will be available which will show the type of tumor and pathological stage. That will guide us whether further treatment is needed or not. You have not attached kidney RFT/LFT, serum chemistry, LDH, alkaline phosphate blood test reports. So that I can tell you whether further tests are needed or not like isotope bone scan, etc. After surgery usually prognosis is good depending on the pathological report. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 9164, + "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": 16985, + "tgt": "There is itching and accumulated dirt in my foreskin. Why?", + "src": "Patient: Hi doctor, I am having itching and some accumulated\u00a0dirt in my penis foreskin. Please help. Doctor: Hello. Follow up with the pictures to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11429, + "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": 26975, + "tgt": "What can be the cause of pain in the upper back and neck?", + "src": "Patient: Hello doctor, I was advised to take Naproxen, Gabarich 300 mg and Pantop 40 mg for my upper back and neck pain. Can you please tell me if Gabarich is a painkiller and with what to substitute for Naproxen and Gabarich for pain in my upper back and neck? I must remind you that I am on antidepressants. Doctor: Hello. Addressing your pain would involve identifying the cause of the pain first. I hope this helps. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 12476, + "tgt": "What treatment can be done for cold with swollen nose?", + "src": "Patient: Hello doctor, I have a cold for more than one month. And have a swollen nose. What are the remedies to get relief? Doctor: Hello. It may be due to viral infection or bacterial infection or allergy. Use water vapor inhalation and salt water gargling thrice a day for five days. Avoid cool drinks and freeze water, avoid smoking and caffeine drinks. Use tablet Montelukast and Levocetirizine once a day for five days. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 9401, + "tgt": "I have a constant feeling that there is a hair at the back of my throat. Why?", + "src": "Patient: Hello doctor, I suffer from a bad health anxiety. For the past few months, I feel like there is a hair at the back of my throat and it gets worse at night. My ear also pains and I can feel three pea-sized lumps on the right side of my neck. I got cold twice a couple of months back and I am taking Omeprazole from two days for acidity. I am a heavy drinker and smoke weed for a few years. I went to the doctors because of my throat issue, and he checked the back of my throat with a flashlight and did a swab, it all came back clear. I have been referred to an ENT, but I have to wait a few weeks. I just checked my throat and saw that my tonsil is swollen, and it feels like one side is numb. But I do not feel it when I swallow. I am so scared that I have tonsil cancer. Can you see the pictures and tell me if both my tonsils are\u00a0swollen? Doctor: Hi. After seeing the pictures (attachment removed to protect patient identity), I can tell you the following. You have pharyngitis, and your tonsils are inflamed. The foreign body sensation in the throat is due to a post-nasal drip. Do you have any nasal congestion? I suggest you get an x-ray of the paranasal sinuses done, and a throat swab for culture sensitivity, to see the cause of infection. And avoid smoking. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13002, + "tgt": "What is the yellow powdery discharge from armpit area after waxing?", + "src": "Patient: Hi doctor, Actually, I want to know something about my skin. In my armpits area, there is some kind of infection like I do not really know what that is but it looks like an infection and my sweat and sweat odor is due to that particular infection. Now I am describing the infection I used to wax my armpits and there is something that grows over my armpit hair a yellowish something and if I try to remove whatever the thing is, it gets out of the hair in powdered form. At first, I thought it as a fungal infection. I used a serum to remove fungus but nothing happened. It does not hurt but only if I use hair removal cream in the area. Doctor: Hi. Yes, it is a condition in certain individuals that is called as trichomycosis axillaris. It is due to bacteria the coryneform bacteria and yellow color thing is their colonies. You need antibacterial not antifungal agents. And antiperspirant is the recommended treatment for this condition. Apply topical Aluminum chloride over it. Tricomycosis axillaris. Tablet Erythromycin 500 mg QID. Apply Aluminum chloride antiperspirant over the area. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 20070, + "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": 24253, + "tgt": "I am facing irregular periods from one year. Tell me some ayurvedic remedies", + "src": "Patient: Hello doctor, I am facing irregular periods problem from one year (since I took I-pill). I took I-pill in fear of getting pregnant although I did not have sex till now. I am still a virgin, but physically active with my boyfriend. I am putting on weight due to irregular periods and stomach disturbance. Also, my hair is also falling and I feel stressed every time. I am taking M2-tone, and Shatavari capsules from few days. I have no thyroid problem. Tell me some remedies or treatment regarding my problem. My current weight is 66 kg and my height is 5'4\". What can I do regarding weight loss? As I am a student, I cannot go to a gym. Doctor: Hello. I just read your query. You should not take I-pill if you did not have intercourse. Because, it is a hormonal pill and can cause hormonal imbalance. As far as current medicines are concerned, they are good. Keep on taking them. Along with that, take tablet Raja pravartini vati two tablets two times a day with water after food for one month. Stop taking it when you get your periods. If you get periods within a month then it is fine, otherwise, I advise you to visit a nearby gynecologist. As far as weight is concerned, it can be due to your hormonal disturbance or you may have PCOS (polycystic ovaries syndrome). To rule this out, you have to perform some investigations. I suggest: Consult me after one month regarding improvement and for further management or you can consult your nearby reputed ayurveda physician. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18869, + "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": 187, + "tgt": "Kindly comment on my nausea, dizziness and headache", + "src": "Patient: Hi doctor, I am a 25 year old married female. My weight is 66 kg and height is 161 cm. I am suffering from nausea, dizziness and light headache mainly around the eyes for nearly three weeks. I am a dentist. For the last one month, I am preparing for other exams. As I have a son of 2.5 years old, I used to study in dim light at night to avoid disturbance. I am on a diet for the past one month to reduce weight. Sometimes, I am on stress and depression to manage time at workplace, home and study. I doubt whether I have developed any eyesight issue. I feel more dizzy and nauseous in the evening and when I see a computer, laptop or mobile.\u00a0I am not trying for pregnancy. I need your guidance. 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": 2931, + "tgt": "What is the reason for my arm pain?", + "src": "Patient: Hello doctor, I had a blood test done around six days ago and my arm is paining now? It aches when I curl my arm and also when I stretch it out flat. This has never been an issue for me previously. What might be causing this pain on my arm? Please help. Doctor: Hello. For further doubts consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18896, + "tgt": "What does high hs-CRP indicate?", + "src": "Patient: Hi doctor, Eight months back my hs-CRP level was 3.86 mg/L and CRP was 0.24 mg/dl. One month later hs-CRP was tested again and it was 0.4 mg/dL. My\u00a0ESR also seems to be higher along with lipoprotein.\u00a0Please advise the treatment. Is there any further investigation for high hs-CRP. What high hs-CRP indicates? I have attached my complete blood test reports. Doctor: Hi. Revert back with the answers for the above questions to a cardiologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17601, + "tgt": "Can you look at my MRI and explain the reason for burning pain in feet?", + "src": "Patient: Hi doctor, I have had a problem with my feet now for four years. About four years ago, I had some burning pain in feet. I cannot stand for more than 15 minutes or the pain gets very bad. Four years ago, I also had really bad pain in my legs after standing all day. That has diminished and now I still have the pain in the bottom of my feet. I have seen a million doctors for this and no one has an answer for me. I have narcolepsy. My neurologist asked me to get an MRI of brain and lower back and said everything looks fine. Actually, she is a sleep specialist. So, I need a second opinion for my MRI report. My regular medication includes Xyrem, Zoloft and Nexium. I also think I have an issue with my upper spine as I am having pain in my neck. I think the pain is due to pinched nerve since moving my head in one direction hurt pretty bad and a few days later the pain would go away. This happened a lot in the past and I just ignored it as it goes away in a few days. Can you look at my MRI? Thank you. Doctor: Hi. I am sorry that you have had this pain for the past four years. From what you have written, I find that you have problem with feet for four years, burning pain on the bottom of feet and you cannot stand for more than 15 minutes. Your MRI report (attachment removed to protect patient identity) findings are as follows: Based on these, the pain in your feet can be due to two possibilities. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem) or compression of nerves in the spinal column. The diagnosis can be fixed by clinical examination of motor, power and sensory system and reflexes followed by nerve conduction study. This will tell whether the problem is in the nerves of your legs and feet or whether the problem is in the spinal cord. You may also need to do a glucose tolerance test to rule out diabetes. Even though, Oxybate can cause peripheral neuropathy, diabetes is a more common cause. I would suggest that you at least evaluate your blood glucose levels, so that we can start treatment for the pain. 1. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem). 2. Compression of nerves in the spinal column. 1. Clinical Examination of motor, power and sensory system and reflexes. 2. Nerve conduction study. 3. Glucose tolerance test. Revert back with the investigation tests to a neuro surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 13917, + "tgt": "Can hypothyroidism cause intermittent palpitations?", + "src": "Patient: Hello doctor, I am 28 years old. Experiencing intermittent palpitations from last three months. ECG, echo, TMT is normal. The lipid profile shows increased triglycerides in serum 189 mg/dl. Recently, I was diagnosed with subclinical hypothyroidism for which I am taking Levothyroxine from last one month. I feel my heart is beating fast and loud intermittently. Doctor: Hi. Please be advised that a normal ECG while you do not have the palpitation feeling, is not diagnostic of the palpitation. You need to have a cardiac monitor. If the palpitation happens every day, then a 24 hours cardiac monitor should pick them up. If they happen every 2 to 3 days, then you need a 72 hours monitor, then the cardiologist can look at the ECG at the time when the palpitation happened. It might be that you are just feeling the normal heart beats stronger. However, it still needs checking." + }, + { + "id": 4893, + "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": 19635, + "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": 12559, + "tgt": "What can be done to treat watery eyes with runny nose in one-year-old?", + "src": "Patient: Hello doctor,My son who is one-year-old is having watery right eye since yesterday morning. It is not watering continuously. It is like that yesterday morning after waking up today morning after waking up and today evening. Sometimes, along with watery eyes, runny nose is also there. Along with watering the eye is becoming red. Please suggest what to do. Doctor: Hello. Just follow advice. Clean eye from inside to outside with clean cotton or cloth. Instill Tobramycin eye drops one drop in each eye three times a day. Start syrup Cetirizine 5 ml once a day for five days. It may be due to some allergy or infection but it is still early to comment on a specific term. Wash eyes with clean water. Give follow up after two days." + }, + { + "id": 22198, + "tgt": "Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice", + "src": "Patient: Hi doctor, I am a 26 year old\u00a0male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice. Doctor: Hi. The tests you have mentioned are used to find a cause for significant hypertension. You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history. There can be a possibility of hyperthyroidism which would cause all these features in a normal looking adult. Also, you should get a psychological evaluation done. Alternating depression and anxiety shows that you are under severe stress and tension due to some cause. The BP being high might just be a sign of that stress. Please get a thyroid function test done and look for a more common cause. Medications will help a lot. Consult a cardiologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16721, + "tgt": "Is my back pain, a nerve problem?", + "src": "Patient: Hi doctor, I am having pain in my right side lower back only if I bend or try to wear my trouser. Also, it is there if I am standing and trying to raise my leg.\u00a0Even while walking I feel little pain.\u00a0If I lie in bed or stand straight, then there is no pain.\u00a0What is the reason and what medicine can I take? 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": 18768, + "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": 23687, + "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": 9097, + "tgt": "Can a morning-after pill cause a yeast infection?", + "src": "Patient: Hello\u00a0doctor, Can a morning-after pill cause a yeast infection? I took it two days ago and today I began to have an irritation and itch in my vagina. I bought a cream to help it, but I just want to know what could have happened that could have caused this? Doctor: Hello. I hope it helps you. If you have any further queries, please ask me. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8197, + "tgt": "Please suggest a treatment for acute lymphoblastic leukemia", + "src": "Patient: Hello doctor, A 39 year old\u00a0female patient is suffering from acute lymphoblastic leukemia. She is currently being treated at a hospital by an oncologist. I am attaching her reports. Please suggest a treatment. Doctor: Hello. I am sorry to hear about the patient's condition. I have gone through the reports (attachment removed to protect patient identity). For more information consult a hematologist online -->https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 21820, + "tgt": "We have been trying to conceive for 10 months and not successful. Please advise", + "src": "Patient: Hello doctor, I got a semen analysis done and the results are 2.5 ml volume, 57 million per ml (142.5 million total), 47 % total motility, 8 % morphology (Kruger/Strict), 93% viability, pH, viscosity, and liquefication all normal. What do you think of these results? My wife and I have been trying to conceive for 10 months and have not been successful yet. I am a 41-year-old male, non-smoker, 6 feet tall, 185 pounds. Doctor: Hi. I would like to know a few more details to answer your query better. The report of the semen analysis is normal according to the criteria at present, but this is just a structural test. It does not evaluate the function of the sperms which can be the cause of infertility. Since it has been only 10 months, I would suggest you keep trying as your results are normal and ask your wife to get evaluated as well. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 25104, + "tgt": "Heart disease runs in my family. How can I be proactive about it?", + "src": "Patient: Hello doctor,I am wondering if I should get checked or should worry about heart disease. It runs in my family. My grandma and uncle died of a massive heart attack at ages 58 and 37. Mom has issues and my cousin just had a quad done at 42. I would rather be proactive if I can. Advise? Doctor: Hello. There is a history of premature coronary artery disease in your family, as you told about a history of heart attack in grandmother and uncle. But, you did not mention what exact issue your mother has. It is better to get evaluated for coronary artery disease with tests like ECG, echocardiography and if needed TMT (treadmill test) after consulting your doctor. Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10309, + "tgt": "My brain tests came normal. Do I still need treatment for epilepsy?", + "src": "Patient: Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been diagnosed as B12 deficient and read that this can cause seizures and believe this may have been what caused mine. My aunt also had seizures all in the same day 20 years ago, all tests came back clear. They said it must have been viral. She refused to take medication when leaving hospital as they had told her it was viral, and never had a seizure since. She was then also diagnosed as B12 deficient. My neurologist still expects me to take epilepsy tablets. I am told that epilepsy is the working diagnosis. I never had any health problems in my life until I had these seizures. I took myself off the medication over two months ago due to side effects including that they were making me forgetful, not just forgetting to do something but my mind would be totally blank which really freaked me out as it is not like me at all. My memory is always 100 %. Since coming off them I feel so much better, and my only symptoms at the minute are from B12 deficiency and I am being treated for that with injections. I am 38 years old and female. Doctor: Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not." + }, + { + "id": 3021, + "tgt": "I have mild pneumonia with wheezing and chest congestion. How to get rid of it?", + "src": "Patient: Hello doctor, I am 49 years old. I am a non-smoker. My father was a chain smoker and I lived with him for 19 years. Before four months, I developed a mild case of pneumonia. As a part of this, I developed a wheeze on my lower right lung. Since that time, I have had varying degrees of mild to moderate wheezing, intermittently tied to a feeling of chest congestion as well. It seems to get worse whenever I catch any sort of respiratory cold, allergies, post nasal drip, etc. I went to a doctor last month and x-rays showed nothing. Breath volume test was somewhat inconclusive. The doctor prescribed Flonase to minimize any post nasal drip which does help for allergies but not when I catch colds. I am having a slight head cold right now and my lung issue is already flaring up again. I am really at a loss as to what this is or what to do next to get relief? Any advice you could offer would be appreciated. Doctor: Hello. Can you tell me how often do these symptoms come? Do you have any cough sputum production, shortness of breath, chest pain? Do you have palpitations? Do you have a fever? How long do the symptoms last? Are these persistent and are there any exacerbating factors? What is the severity of these symptoms?" + }, + { + "id": 8366, + "tgt": "I have painful skin colored bump in penis. Could it be syphilis?", + "src": "Patient: Hi doctor, I noticed a skin colored bump on the underside of my penis. It is round and a little less than one inch in diameter. It feels to be hard when pressed and pains a little when pinched. Could this be syphilis? Doctor: Hi. I saw your picture (attachment removed to protect patient identity). Your concern is furuncle. Start using T-bact ointment twice daily on the lesion and have plenty of water. This will help you. It is not syphilis." + }, + { + "id": 22951, + "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": 11272, + "tgt": "Kindly tell some ways to bring my partner out of depression", + "src": "Patient: Hello doctor, I am passing the worst time of my life for more than 1.5 years. Because my husband is getting frustrated and depressed day by day. I love him more than anything in the world, so I am too much worried about him. He works at home since he is a freelancer. We got married four years back and his problem started a year back. He became almost detached from all of his friends and family. So can you imagine his regular life? He wakes up at 12 PM. After that, he starts working on laptop till midnight. This lifestyle continued for almost one year. In the meantime, my mother-in-law and father-in-law both passed away suddenly within two months. My husband could not take this shock and he was going absolutely abnormal. Now he cannot feel any happiness, any rhythm or any charm. He acts just like a robot. As a wife, I am trying my best to make him normal and happy. But nothing can change him. Here is another difficult problem in our life. I tried to do freelancing job so that we can synch our life together. But I failed badly. Now I have no income and I am totally unemployed. This thing also a big reason of his disturbance. I am trying my best to do something, but what can I do in this sector? Except this one thing, I think I fulfill every responsibility to my husband as a wife, as a best friend. In this situation, I am also becoming frustrated. I am really afraid of our current situation. We love each other for more than 11 years and struggled so much to get together. We were a very happy couple and want to live some more time happily. Will you please help us to recover this situation? Doctor: Hello. From what you have described, your husband has not been his usual self for more than a year. Did his problems start after his parents passed away or was he feeling low and detached even before this? It looks like he has some features of depression which have been perpetuated by adverse life events. Do not worry, it will gradually get better with some support. It is highly positive that you are understanding his situation and taking steps to get better. It is quite natural to get frustrated but try to remember that this tough period will not last forever. Try following these self-help measures: 1. Encourage your husband to open up and talk about his difficult feelings. Do not get into arguments, just try to listen and look for constructive solutions. When someone is depressed, they can be more irritable and easily frustrated. So do not try not to take critical comments personally. 2. Encourage him to do some exercise daily. It will help to lift his mood. 3. Make sure he eats healthily and sleeps well. 4. Try to make him reconnect with his close friends and family. Avoid getting isolated. But do not force it too much, needs to be done gently. 5. Try to distract by going for cinemas once in a while. If the problems persist, it may be helpful to consult your doctor locally and have some counselling to manage the difficult life situation. Take care." + }, + { + "id": 19116, + "tgt": "Is an ER visit necessary for high creatinine and decreased urine output?", + "src": "Patient: Hello doctor, I had a blood workup done yesterday in preparation for a chemotherapy port removal. My creatinine level was 1.9 mg/dL at that time, and it has been within normal range before that. I had significantly decreased urination the day before\u00a0but had a lot of sweating the preceding day. I had to avoid food and water for eight hours before my port removal procedure. My urine output and fluid intake are back to normal since yesterday afternoon. I do have uncontrolled diabetes, history of high blood pressure and some edema in my ankles. I currently take Avapro, Imdur, Plavix, Metformin and Insulin for the heart problem and diabetes. A nurse called late today and suggested me to visit ER, because of the creatinine level and the decreased urine output for that one day. Is a trip to the ER necessary? Or can I wait for\u00a0two days and go to a doctor's office then? I am on a limited income so I would rather avoid the expense of the ER, if it is not necessary. Doctor: Hello. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8353, + "tgt": "What is the normal range of blood sugar in a newborn?", + "src": "Patient: Hi doctor, God has blessed me with a sweet angel today. She is 3.170 kg in weight, and all came up normal. The sugar level was 32, so doctor shifted her to NICU. Now, glucose supplement is going on along with mouth feed in an interval.\u00a0Her heart rate is 136 bpm, and SPO2 is 100. Do I need to worry on this anymore? Please advice. Are there any cases where the baby is born with less sugar in blood?\u00a0How to cope up with the same? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15116, + "tgt": "What should people with PCOS eat and not eat?", + "src": "Patient: Dear doctor, People with PCOS, can they drink apple juice? Does it help? What should people with PCOS eat and should not eat? Doctor: Hi. People with PCOS (polycystic ovaries syndrome) usually are obese or overweight. However, there are lean people with PCOS also. People with PCOS will usually have insulin resistance. So, try to avoid sugary foods and keep a check on your weight and follow a regular exercise routine. This will help to cure the disease also. Hope it helps. Consult an obstetrician and gynaecologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18120, + "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": 12083, + "tgt": "Will taking Atarax for itching during pregnancy cause any complication?", + "src": "Patient: Hello doctor,I am 8 months and 10 days pregnant. I am having itching in my whole body from the last eight days. I also tried Aloe Vera lotion for it. Is taking Atarax tablets safe for me at this time? Doctor: Hello. Do you have itching with rash or without rash? And do you have itching palms and soles as well? You may have obstetric cholestasis and you must see your obstetrician immediately and do not self treat the condition. You need liver function tests. Get checked to see if the liver is working properly because it is a serious condition in pregnant women and may have adverse effects on your baby as well if left untreated." + }, + { + "id": 29144, + "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": 23553, + "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": 16845, + "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": 18077, + "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": 20923, + "tgt": "Why do I get cold sores around my mouth?", + "src": "Patient: Hi doctor, I have genital herpes, and I also get cold sores around my mouth. It is not happening often. But it tends to come when I do not expect it. It came before a week, and now it has gone. The only thing present is the red scarring that remains after the wound healing. Now, I have a boyfriend who is still afraid of it, mainly because of me and about this cold sore. Doctor: Hi. Herpes simplex virus type 1 causes cold sores. It recurs often, but the frequency of recurrence decrease with time. The infection is transmitted through direct contacts like deep kissing and oral sex. It does not spread through dry kissing. The virus can pass through silent phases as it can shed from time to time. But the chances of transmission are very less when compared to the possibilities of an outbreak. So it is better to avoid any physical contact during an outbreak. At other times, there is a very low risk of transmission." + }, + { + "id": 25904, + "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": 15550, + "tgt": "Can Bandy dose be repeated in a child with worm infestation?", + "src": "Patient: Hello doctor, My baby is 2 years and 6 months old. She is having worms in her poo and also having new white patches on her hand. I consulted with her pediatrician. He advised giving syrup Bandy 10 ml, it is 400 mg HS and a repeat dose after a week. Is it safe to repeat the dose? Doctor: Hi. I understand your concern. Your baby is suffering from worm infestation, where deworming medication like Bandy (Albendazole) is to be given. It is safe to repeat the dose after a week if the baby is having an excessive worm. Make sure you deworm baby every six months till 5 years of age minimum. The baby should not have low hemoglobin, as worm infestation causes blood loss in the stool (in small quantity)." + }, + { + "id": 25114, + "tgt": "Why am I not able to see clearly from one eye?", + "src": "Patient: Hello doctor, I have been using only one eye since birth. This is a result of a medicine that my mother took when I was in her womb. My right eye is normal, but the left has a squint. I can see a little light in my left eye, but I cannot really use this eye for seeing. By this time, I got another problem with my one and only eye. I cannot clearly see things that are 10 meters away from me. I am afraid to lose my sight. I need your help. Doctor: Hello. You need to get your eyes tested for a refractive error i.e glasses/spectacles. You have become nearsighted so get this test by an ophthalmologist. Your left eye has turned inward that is esotropia. You need to consult a pediatric ophthalmologist i.e squint specialist. This eye can be straightened though it is difficult to get the sight in the left eye. If you undergo squint surgery, this can be centralized. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9331, + "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": 2969, + "tgt": "Got period after 8 months of Depo shot and bleeding for more than 17 days. Why?", + "src": "Patient: Hi doctor, I need some advice. I had a baby eight and a half months ago. One week after she was born I went and got the depo injection. I did not get a period at all until 17 days ago and still has not stopped. It is very heavy in the morning but light throughout the day. Please suggest. Doctor: Hi Do you mean you had only one shot of Depot, eight and a half months ago? In that case, its effect is gone. It lasts only for three to four months only. I hope you are breastfeeding. Now usually in the postnatal period, there is a long phase of no periods. Then gradually as you reduce breast milk and gradually increase the top feeds, the hormones gradually come back to normal. So you get periods. But still, it will not be fully balanced. So do not worry about the initial few periods after this long phase of no periods. You do not need any medication, it will get regularized. Your next period will be normal. If you want to reduce bleeding, have tablet Tranostat 500 mg three to four times a day depending on the severity of bleeding. It is not a hormone and has no side effects. I hope this helps." + }, + { + "id": 28882, + "tgt": "Can thyroid problem be the reason for stress and anxiety?", + "src": "Patient: Hi doctor, I have TSH 6.01. My T3 and T4 are normal. I\u00a0feel stressed with anxiety. I cannot sleep at night. Please help me. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15409, + "tgt": "I do not wish to take injections for vitamin B12 deficiency. Can you suggest some tablet?", + "src": "Patient: Hi doctor, I am 21 years old male. My weight is 105 kilograms, and my height is 6'3\". I have done a blood test recently, and I have a B12 of 156 pg/mL. My nail (light black with dark longitudinal lines) looks darker than usual. My doctor suggests me an injection therapy. But I am willing to have some tablets. Please say your kind opinion. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory report, you have a deficiency of vitamin B12. Vitamin B12 is an essential vitamin required for the normal functioning of the body organs especially the nervous system. You have a hemoglobin of 16 g/dL. In B12 deficiency, you can usually see anemia (low hemoglobin). Vitamin B12 is replaced either by oral supplements or through B12 injection. Injections will help you to replenish quickly, and oral supplements take a long time. If you have any symptoms due to B12 deficiency, it is better to have an injection or oral supplements. You should take oral supplements regularly and for a long time for at least a year. Finding the reasons for B12 deficiency is essential. Your doctor can tell you the reason through proper history and examination." + }, + { + "id": 2496, + "tgt": "I am suffering from major depressive illness, sleep deprivation, and anxiety attacks. I need help", + "src": "Patient: I am suffering from major depressive illness,sleep deprivation,anxiety attacks,heavy breathing ,fatigue and exhaustion.i am a doctor myself, and currently taking Petril 0.5mg. I need help. Doctor: Hello Welcome to icliniq - How long have you been experiencing features of depression , anxiety and related symptoms? - Is there any ongoing stressor in your life that is exacerbating your symptoms ? Being a doctor can itself be an exhausting and demanding job. - I note that you are taking Petril 0.5 mgs ( clonazepam). Petril is good for short term management of stress , anxiety and help you to calm down. As you know it is not recommended for long term use due to risk of dependence and tolerance. You can use petril occasionally as needed for upto 4 weeks - If depression and anxiety symptoms are severe and persistent, you will benefit by taking SSRIs ( like Fluoxetine, Sertraline or Escitalopram). - In addition to medication, make lifestyle changes to improve your mood. Regular exercise helps. Try walking for atleast 20-30 mins daily. Talk to a trusted family member /friend about any ongoing difficulties. If feasible, consider CBT which will be helpful to manage and prevent relapse of depression & anxiety Hope this helps. Take care." + }, + { + "id": 17296, + "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": 5866, + "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": 9349, + "tgt": "Is it safe to stop anticoagulants in a patient with pulmonary hypertension and atrial fibrillation?", + "src": "Patient: Hello doctor, My father is a 71-year-old male suffering from pulmonary hypertension and diabetic and varicose vein problem on both legs. I have attached the previous reports summary. Following medications are taken daily. 1. Tadalafil 1---0--0 2. Dytor 10 mg 1--0---0 3. Dytor plus 20 mg 0---1--0 4. Acetrom 2 mg and 3 mg on alternate days 1--0--0 5. Lanoxin 0.25mg 1/2--0---0 6. Becadexamin and Shelcal syrup once daily. 7. Sea cod liver capsule alternate days. He has severe pain in the feet while walking for some time. He skips taking Dytor and Dytor plus due to frequent urination. What is causing giant platelets in his blood and feet pain? When the leg feels cold, he starts getting pain. His leg has discolored to dark brown and swollen near joints of the feet due to varicose vein problem.Previously he used to snore a lot, and nowadays snoring had been reduced. Latest PT INR report states 18.3 seconds, can you suggest any medication for lowering pain in feet and to reduce swollen feet. Is there any medicine which can reduce blood clots in his blood more efficiently. Can pulmonary hypertension and atrial fibrillation on anticoagulants be stopped altogether? Is there any specific blood test to identify the cause of giant platelets? Doctor: Hello, Welcome to the icliniq.com. Sorry for your father suffering from atrial fibrillation and pulmonary hypertension. I have read your concern and below is the answer to your question. The leg swelling could be due to irregular use of a diuretic pill that is Dytor. So I suggest not to stop this water pill on your own and take it regularly. It will help in reducing leg swelling. The leg pain and aggravating factor for leg swelling is varicose vein. For varicose vein, sclerotherapy, or laser therapy like good options available. The medication will not help in treating the varicose vein. The prothrombin time elevation is due to oral anticoagulation intake. I suggest using Rivaroxaban or Apixaban or Dabigatran like an oral anticoagulant drug that does not need prothrombin time monitoring and less chance of bleeding. So in place of Acitrom (Acenocoumarol), this medication will be better to use. The giant platelet is seen due to platelet destruction. However, all other CBC (complete blood count) parameter is within range.So monitoring of platelet count should be done a few days interval. No specialized testing is needed for giant platelet just now. Some form of infection might be responsible for low platelet count. Platelet function analysis can be done additionally for further workup. For pulmonary hypertension, you can continue with Tadalafil. For atrial fibrillation Metoprolol like cardioselective medication useful in place of Digoxin. You need to follow cardiologist advise for your case and do not stop prescribed medication without doctor advise. You need to continue mentioned medication in my answer. I suggest you consult cardiologist or hematologist nearby for detailed evaluation and discuss all these for your father. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 12440, + "tgt": "Do you have any suggestion to reduce dark pigmentation around my mouth?", + "src": "Patient: Hello doctor, I have dry skin that usually becomes dull without constant care such as face masks and steaming. But my main problem is my dark under eye bags and the hyper pigmentation around my mouth area. Do you have any suggestion on what I can do to reduce the appearance of darkness around my mouth due to pigmentation? Also, please suggest a way to lighten under eye bags. Thanks. Doctor: Hi. Please apply fresh cucumber around the mouth area and under the eyes as it is very safe. Also, apply little Lactocalamine lotion in the same area. Apply fresh tomatoes peelings, take vitamin E capsule once daily for a month and vitamin B complex. Eat a lot of citrus fruits and drink lots of water. It would take little time, but the effects will start slowly appearing. Be patient and keep using these materials. Also, you can apply fresh aloe vera paste over this area." + }, + { + "id": 4960, + "tgt": "Is it possible to abort a child using pills?", + "src": "Patient: Hi doctor, I am married and have a child of two years. I am five weeks pregnant now and I want to abort. Is it possible with pills? Or should I go for surgical abortion? Doctor: Hello. I understand your concern here completely. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5021, + "tgt": "Can panic attack cause constant fight or flight feeling?", + "src": "Patient: Hi doctor, I have what I believe is a panic disorder. I have episodes where my stress gets too high something gets triggered and I felt stuck in constant fight or flight like a constant panic attack which lasts for atleast 2 months. Sometimes I can be calm in the evening but the next morning the panic starts again. In the past I have only got through this by using alcohol a lot to calm myself down. This time I have tried without alcohol and it has gone on for 7 months. What I would like to know is why I get stuck in severe fight or flight for so long and what can I do to help myself. It is like my thoughts are driving this too. Doctor: Hello. You are probably experiencing high levels of anxiety and panic symptoms which make you feel edgy and finding it difficult to relax. Physiological signs of sympathetic nervous system activation can happen in anxiety and panic disorders. Alcohol does not help and can make the situation worse. It is good that you are staying away from alcohol. Cut down on coffee, tea, caffeinated drinks. Regular exercise helps. Deep breathing techniques and progressive muscle relaxation can help to calm yourself. Have you had your general examination done to exclude physical health causes like thyroid problems? Sometimes blood tests may be needed. I note that you are on Venlafaxine and Mirtazapine (attachment removed to protect patient identity) which are both effective medication to treat depression and anxiety disorders. Dosage may need adjusting/optimising depending on your response and tolerability. Discuss with your doctor during your next review. Also discuss about CBT/psychological therapy to manage anxiety and panic symptoms. Hope this helps. Take care." + }, + { + "id": 18833, + "tgt": "Why is there a red line on my anal area?", + "src": "Patient: Hello doctor, I just have a question. I was looking at my anal and I was just curious why is there a red line on my anal and I took the pictures after I pooped. Does it look normal or like any STD? Doctor: Hi. I have gone through your case. Most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. No, it does not look like to be part of STD. However, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. For your current diagnosis: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4714, + "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": 29801, + "tgt": "How to stay mentally healthy without gaining weight?", + "src": "Patient: Hi doctor, I have been using Risperidone 2 mg, Escitalopram 10 mg for psychosis and Met XL 25 mg for hypertension. My weight is 103 kg and my height is 5'7\". How to stay mentally healthy without gaining weight? I walk for 5 km for five days a week. I am maintaining a diet with morning tiffin, oil-less curry with rice or roti, night only fruits and tea in the evening. Still, I could not control weight gain. I am doing shift duties. Please advise. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25253, + "tgt": "Why is there an inflamed area on my top lip?", + "src": "Patient: Hello doctor,I have a red and slightly inflamed area on my top lip. It has been there for three to four days and it does not seem to go away. I do not think it is a cold sore as I have never got one and has not gotten any bigger. Please, can I have some advice on what to put? I have attached a few pictures. Doctor: Hello. I have gone through the photos (attachment removed to protect patient identity) For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26158, + "tgt": "A hole has started to develop in one of my upper teeth. What are my options?", + "src": "Patient: Hello doctor, I am 27 years old and have not seen a dentist since I was 18. I have a hole that has started to develop in one of my top teeth (although I have not experienced pain from it) and believe it is due to a cavity or gum disease. I use spitting tobacco\u00a0and know I have other teeth issues. But, I am firstly concerned about the hole in the\u00a0tooth. The question is not whether I should see a dentist (I obviously should and will), but what I should specify as the reason for visiting the dentist. Should I specify cleaning checkup, broken tooth, or cavity? Doctor: Hello. I have gone through your clinical images (attachment removed to protect patient identity). Hope my answer will help you. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 11517, + "tgt": "My baby feels gassy and spits even after burping. Why?", + "src": "Patient: Hello doctor, My baby is 2 months old. He is on pumped milk and once a day formula milk (Enfamil). He is gassy and cries mostly from evening till midnight. Spits up even after burping for 30 minutes. I give exercise, and tummy time, but there is no change. He gets reflux which makes him uncomfortable. His spits are watery. My pediatrician suggested Colicaid and Yamoo which I am using four times a day. Still, he gets gas and spits up. And now he did not poop for the past two days and trying very hard and cries in between feeds by trying to poop. Is this an effect of enzymes? Please help. Doctor: Hello. Please note the following, 1. The clinical picture that you are giving is most suggestive of reflux. It is advisable first to get a reflux study done to find the grade of reflux. 2. The initial medications to be given in reflux are Zantac (Ranitidine) and Perinorm (Metoclopramide). In most cases, this works. The next step beyond this is Gaviscon (antacid) and feed thickening. 3. Also very important is to keep the child in a slightly upright position (30 degrees to ground) after feeding (and most of the time) to reduce the amount of discomfort the child may be facing due to reflux. This one method goes a long way in helping children. As the child grows bigger, the need for this reduces eventually. 4. As regards to the crying episodes during stools, if the stools are hard or if there is gas the child may cry. Both are less likely due to the enzymes. They are mostly physiological considering the clinical scenario of the child." + }, + { + "id": 14184, + "tgt": "What could be the reason for my hand tremor?", + "src": "Patient: Hi doctor,I am a female of 25 years old. Since last month, I am noticing slight hand tremors when I am inactive and when I am performing an important task like meeting an important person. Also, I am a smoker. Doctor: Hi. Heavy smoking can lead to tremors in hands and so can tea and coffee if consumed heaviely. Slight tremors, particularly in the hands and fingers, is a normal phenomenon called physiologic tremor. It can get aggravated by stress or anxiety. You should cut down on smoking. If tremors do not disappear after cessation of smoking consult a physician and undergo some laboratory tests like estimation of thyroid hormone levels and blood glucose levels that can also cause tremors if found deranged." + }, + { + "id": 12218, + "tgt": "Is it safe to have banana and coconut water when pregnant?", + "src": "Patient: Hello doctor, My wife is 24 weeks pregnant. I am having doubts regarding her daily diet during pregnancy. She is taking one banana early morning, coconut water daily once and milk thrice a day. My doubt is, is it safe to take banana and coconut when pregnant? And is it safe to take milk thrice a day? Four months back, her hemoglobin test was done in the laboratory report 8.0 g% is noted. What are the precautions to be taken to increase the hemoglobin? Doctor: Hi. I have read and understood your problem. If her blood pressure is normal, then there is no harm in taking one banana and coconut water once daily and milk thrice a day. Diet during pregnancy must contain green leafy vegetables in it. Her hemoglobin is low, she should take Iron and Folic acid tablets. Only food will not increase her hemoglobin. Also, do her TSH test, sometimes thyroid problem also causes low hemoglobin." + }, + { + "id": 26165, + "tgt": "I have lot of acne scars on my face that make me look ugly. Please suggest me treatment for the same", + "src": "Patient: Hello Doctor, I am 19 years old. I have lot of acne scars on my face and it looks ugly. Doctor advised me to use contractubexbut it is of no use. Please suggest some other treatment. Doctor: Hi. Contractubex gel is topically applied to reduce scars. It is very effective on various types of scars. Other modes of treating scars include: But the procedure is decided depending upon the type of scar. Consult a dermatologist online to find out the best treatment option for your acne scars. ---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8642, + "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": 12840, + "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": 19908, + "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": 28995, + "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": 20655, + "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": 15294, + "tgt": "What is the treatment followed for acyanotic heart disease in a six month baby?", + "src": "Patient: Hi doctor, My baby is six months old female. Recently, we did a 2D echo test, and the result came as acyanotic congenital heart disease. The report shows a small sized ostium secundum ASD with left to right shunt across the defect, approximately with a size of 8 mm. Why does it occur? What can I do now? Can medicine cure it? Does it require surgery? Please suggest. Doctor: Hi. I have gone through your child's report (attachment removed to protect patient identity). It is an atrial septal defect. Have a follow up till the age of one and a half to two years. There is 80 to 90 % chance for the defect to get closed by itself. If not, when the child attains a weight of 11 kilograms, a decision can be made to close it either by a device or by open surgery (rarely required). There is no specific cause for this to occur and in some cases, it may be genetic." + }, + { + "id": 10776, + "tgt": "Can I take Agathiyar Kuzhambu for kapha vata imbalance?", + "src": "Patient: Hello doctor, I have been told that I have a kapha vata imbalance and I have taken vasthi (Panchakarma) procedure. But I still have white coating on tongue and my digestion is weak and. And if I do not eat, I feel weak and nervous. If I eat, I get indigestion. Will Agathiyar Kuzhambu help me? Doctor: Hi. Vasthi reduces vatha imbalance. But, this is not the final treatment. After the purification (detoxifying) therapy, further, follow up with herbal drugs needs to be taken based on your current clinical feature and naadi. Agasthiyar Kuzambu is given once in four months for a normal individual to detoxify body. For any specific disease conditions, it is given more frequently with suitable Anupanam. It can be given to you after careful examination. Can you consult nearby Siddha doctor? After Agasthiyar Kuzhambu, further herbal medicines need to be continued for 2 to 3 months for better benefit. We need to see directly whether it is a fungal infection. In your case, I feel, you may take Nannaari Manappaagu (syrup) one spoon mixed with water (morning, afternoon, evening) before each meal. This will remove your tongue coating." + }, + { + "id": 22142, + "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": 6414, + "tgt": "Will keeping tracheostomy tube for long time in the neck cause any complication?", + "src": "Patient: Hello doctor, My brother is having the problem of not able to breathe properly. Now the doctor has planned to advise for tracheostomy. How long it should be in the neck? Will there be any complication? Doctor: Hi. See, tracheostomy is done if it is expected that the patient who is on ventilator may take more than 10 days to come out of ventilator. Now the duration till it will be there in neck depends on the cause for which tracheostomy has been done. If his primary disease improves, the doctors will do a trial of room air breathing by temporarily closing tracheostomy site but if primary disease is not improving then they will keep it as long as the disease does not improve. Complications include infections, bleeding, excessive secretion from airway may block the tracheostomy." + }, + { + "id": 17046, + "tgt": "What is leukocytosis with lymphocytosis? Is it some kind of a cancer?", + "src": "Patient: Hello doctor, My height is 5 feet 2 inches, and I weigh 90 kg. I got my thyroid tests done. I am already taking Eltroxin 50 mcg daily. Please check the reports and let me know what can be done. Doctor: Hello. I went through your post. Regards. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15497, + "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": 10673, + "tgt": "Is it possible to insert GPRS chip inside ear?", + "src": "Patient: Hi doctor, Recently, I had an operation in left external auditory canal under general anesthesia. I am having doubt that some GPRS tracking system has been inserted during operation. Is it possible to insert GPRS or something like that inside ear?\u00a0Please help me. Doctor: Hello. Yes, it is technically possible to implant a small GPRS (general packet radio service) chip in your post aural region. But, that type of device cost a lot. I do not think that anyone can access to that type of device as shown in most of spy movies. So, do not worry. Nobody is going to track you. If still you have any doubt then you can do an x-ray of mastoid region to clarify it." + }, + { + "id": 14080, + "tgt": "Is multiple sclerosis hereditary?", + "src": "Patient: Hello doctor, I am a 28 year old female, I would like to know if multiple sclerosis is hereditary? My dad has it, and I am very nervous to inherit this disease. I have had two brain MRI's that have been normal, except for an incidental finding of a pineal gland cyst. I continue to worry about inheriting multiple sclerosis. I am a medical coder. So, I spend a great deal of time in front of the computer. This affects my vision, and I experience back and thigh pain. I am hoping this is due to sitting down all day. I also have a slight hand tremor. However, I am a very anxious person, and I type fast all day long. I wonder if typing all day could cause a hand tremor? I am very active and energetic. I exercise 5 days a week for an hour doing treadmill and stair climbing. I spent a great deal of time this weekend hunched over painting. I am wondering if this is what is causing my current thigh and back pain? I am also due to start my periods anytime. I am still worrying about inheriting multiple sclerosis. What are your thoughts on the possibility of still having multiple sclerosis with two negative brain MRI's? Doctor: Hi. I understand your concern. It is clear that you are not having MS (Multiple sclerosis) as of date. None of your symptoms are typical of multiple sclerosis. Back and thigh pain is posture related and tremors are anxiety related. Repeated MRI's being normal further rules out this disease. Agreed that multiple sclerosis can be hereditary. If one of the parents is having multiple sclerosis, chances of the offspring having multiple sclerosis are 1 in 50. Since you are having no symptoms and your brain MRI is normal, you need not worry about it. Please be assured that you are fine." + }, + { + "id": 29867, + "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": 4189, + "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": 9353, + "tgt": "I am diabetic and suffering from rashes and cuts in my penis. Please advice", + "src": "Patient: Hello doctor, I am a diabetic for the last five years. Presently I am having rashes and cut on my penis covering skin. Sometimes there is itching. Please advice me with appropriate medicines. Doctor: Hello. It can be balanitis from your description. Apply Miconazole 2 % cream or Clotrimazole 1 % cream twice daily. Please send image and revert so that oral medications can be decided." + }, + { + "id": 26755, + "tgt": "From my reports can you tell me if I have IBS or any other major disease?", + "src": "Patient: Hello\u00a0doctor, From the past seven days, I feel that there is a change in my bowel habits. According to the Bristol chart, I think my stool structure may be a type 3 to 5. I pass my stool quite comfortably every morning. But, after this, when I pass stools during the day, I have to use some force. \u00a0I do not have any lower or upper abdominal pain or cramps. I do not see any blood in my stool with the\u00a0naked eye. I do not have any lump or pain around my anal area.\u00a0I do pass my stools once in the morning every day. But, after lunch or in the evening, I have to put some pressure. I do not have any painful symptoms. Please tell me if it is normal. Doctor: Hello. The symptoms you have raised do not seem abnormal. Be healthy and enjoy life. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 636, + "tgt": "My fiance is COVID positive. How can I protect myself?", + "src": "Patient: Hello doctor, I have a question. On Tuesday I went to go get tested with my fiance for COVID because we thought his dad may have had it since at his job there were so many infected. We showed no symptoms but to be safe we went. After then I have not seen him just in case. Today I got my results and I was negative but he was positive. Does that mean the virus can still get to me? I was supposed to go back to work tomorrow and I have showed no symptoms. Do I need to get tested again? Like I said since that day I have not seen him. Doctor: Hi. I understand you are worried about COVID infection. You need to understand that if COVID test result shows positive, then it is sure that the person has the infection, but if the result shows negative that does not prove that the person does not have the infection. The person can still be a asymptomatic carrier of COVID. So, at present scenario with huge number of population affected and you being in close proximity with COVID positive patients, I would suggest you to repeat the test after 7 days if you do not develop any symptoms or earlier itself if you develop any symptoms. And since your boyfriend has tested positive, you satisfy the criteria of COVID close contact. You need to isolate yourself at home for 2 weeks. And you also need to inform your health officials regarding this. COVID close contact" + }, + { + "id": 8975, + "tgt": "Will I be considered as a patient even after recovering from an psychotic episode?", + "src": "Patient: Hello doctor,Can you please tell me if there are examples of patients in the books of psychiatry that suffered only with one acute brief psychotic episode (F23) and were completely cured. And never relapsed during their lifetime or if there is a survey over that and a percentage. I had one back before four years. I stayed in the hospital for 27 days. I quit medication immediately after my hospitalization, and it has not relapsed, I feel healthy, very active, love my friends and family, love my job.The psychotic episode happened immediately after an extremely stressful week in which I experienced psychological abuse, no prodromal symptoms. It started and developed in a week. I got better quickly. Am I still considered a patient, or am I considered healthy? Because they told me that it had been categorized as chronic and this statement or stigma if you like to cause me bureaucratic difficulties, but I am completely healthy. Doctor: Hello. I understand your concern. You had acute transient psychosis versus acute stress reaction with psychotic symptoms. We all break down under unusual stresses. In all individuals, this threshold may be different. Some shows very profound breakdown like psychotic symptoms under pressure, which may be defined by their genetic vulnerability. If you take this stress of conversion into a chronic psychotic state then this may also add up into risk factor, so do not worry choose the preventive measures like, always get enough sleep, do not involve into stressful work, practice yoga meditation do regular physical activity of 30 minutes will increase your threshold." + }, + { + "id": 16663, + "tgt": "Why do I have bumps under my penis area?", + "src": "Patient: Hi doctor, I have HSV 1 orally. Recently, I got little bumps under my penis area. I can see them only when I erect or when I pull them hard on the skin. Please help me. Doctor: Hi. Without a clear photograph, we are not in a position to help you. So please send a good quality photograph taken in natural light." + }, + { + "id": 22773, + "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": 12546, + "tgt": "Why am I gaining weight steadily?", + "src": "Patient: Hi doctor, I am 53 years old and have been gaining weight steadily even though I eat fairly small portions and very healthy. I run 2 to 3 times a week and drink plenty of water. I do not have any health problems, however, I do not sleep very well. According to my doctor, my thyroid function is normal. What would you recommend? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity), they are completely perfect, no need to worry. Change your exercise at some days interval, as the body is habitat to the same exercise so you have to challenge your body strength by changing exercise. Yoga is good for weight loss and even for mental calmness. There are many asanas to perform for good sleep and to lose weight. Along with above lifestyle changes you can start Phytolacca berry two tablets in the morning, noon, and night. Passiflora mother tincture 10 drops in half cup of water in morning and night. To decide further medication and duration of treatment, I need to follow up and details. Have a good day." + }, + { + "id": 1758, + "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": 13492, + "tgt": "Is it normal to have knee pain after running on a treadmill?", + "src": "Patient: Hello doctor, I recently started running (treadmill), but after a week or so, I found that my knees were really hurting. I continued thinking it was muscular, but it got to the point at which I was in a lot of pain. I stopped running and it has taken three weeks for my knees to feel almost normal. I had extreme pain behind the outside of my right knee, making it difficult to bend, and pain on the inside of both knees, which still feel bruised to touch, as well as at the top of both the calf. I have long legs and my feet lean inwards. Could this be what caused the problems? My concern is that if I start running again, the same thing will happen. I do not want to train for two weeks and then have to take three weeks off due to being almost unable to walk. I wondered if perhaps some people just really really should not run, and that there is alternative cardio I should do? Just as a note, I have been doing resistance training for a year and so I assumed that my leg muscles were quite strong. Doctor: Hello. The pain what you described could be due to an iliotibial band (ITB) friction caused due to tight gluteus muscles. Because of running, no proper warming up or fatigue. Please do not worry, it is a commonly encountered situation in runners and is completely solvable. I would recommend you to do icing frequently over the painful area. Stretch your gluteus, calf, and hamstrings. Roll an iced bottle over the outer side of your thigh and over the butt, the outer part of your hamstrings, and calf. Kindly revert back after two days to let me know the status of the pain. Do proper warming up before running. Good footwear will help to reduce such issues." + }, + { + "id": 7504, + "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": 17305, + "tgt": "I'm having Fever with loose motions. Plz suggest medicines?", + "src": "Patient: Hello doctor, I have loose motions for three days. On the first day, I\u00a0went to the\u00a0washroom for eight times, but today it has come down to four times. Today, I also had a\u00a0fever. The first day I took Metrogyl 400 mg\u00a0thrice a day. What should I do? Doctor: Hello. The most common cause of an acute watery diarrhea in adults is a bacterial infection which is caused by various organisms. Metrogyl (Metronidazole) is an antiprotozoal which does not cause relief in your case as it is not an antibiotic. Hydrate yourself with plenty of ORS (Oral rehydration salts) powder and oral liquids. I suggest you start tablet Ofloxacin 200 mg twice a day, VSL#3 (probiotic) capsule once a day, and capsule Redotil (Racecadotril) 100 mg thrice a day. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You should go to a physician if the fever and diarrhea persist. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30828, + "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": 12811, + "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": 30354, + "tgt": "Is Isotretinoin a good tablet for acne?", + "src": "Patient: Hi doctor, I have deep acne on the face for more than 10 years and for which my doctor has prescribed Isotretinoin drug Isokon 20 mg. The medicine seems to show a lot of improvement for acne. However, I feel that it has some side effects as I feel tired with burning eyes. Is this normal? Is Isotretinoin a good tablet to take? Or will it cause any adverse effects to my health? I need a second opinion\u00a0about this drug. Also, my doctor took some medical tests before prescribing the drug such as CBC, LFT and lipid profile and all were normal. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24286, + "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": 2813, + "tgt": "I took Plan B pills more than recommended times. Will it cause damage to my reproductive system?", + "src": "Patient: Hello doctor, I am concerned about my reproductive health. Due to poor planning, I ended up taking the next choice (generic Plan B) pill three times within two weeks period. After the third time, I have had mild cramping and spotting every day for two weeks straight now. I am very concerned that I did some permanent damage by taking so much progesterone. I took a pregnancy test, so I know I am not pregnant. I have also been taking my normal birth control (progesterone-only Lyza pill) normally since taking the last dose of Plan B. Any suggestions on what is happening to me? Doctor: Hi. Plan B is emergency pills and there are only study about once in a month. There is no study about its effectiveness more than that. And three times in a week is high number. So you cannot say whether it is working or not. And you are taking progesterone-only pills after that. Now, these tablets you can take but have to start after the period. And these bleeding is actually not your period, it is breakthrough bleeding due to high progesterone. Drink more water. Cramps is one of the side effects of progesterone. Stop every medication and wait for your menses. And if you are still bleeding then consult a nearby gynecologist, she has to see the amount of bleeding. Do urine pregnancy test after four to five days. According to the bleeding amount, you may have to take combined pills for a month. Emergency pills can irregularize your period. Do not use this many tablets next time without any consultation. And consult a nearby gynecologist and do have one session about what to use and when to use contraception options available to you." + }, + { + "id": 24563, + "tgt": "Can Donep M forte and Rejunex CD3 be given together?", + "src": "Patient: Hello doctor, My father suffered a brain stroke before six months and following that, his body is partially paralyzed from the right side. We have shown him to two neurologists and got confused after both gave completely different diagnoses. He had diabetes for a very long time and had blood pressure issue. He currently has below symptoms: Body tremors. Swallowing problems. No saliva control. Speech difficulty. Unable to stand on one leg. Severe weakness. Looks skinny. Frequent urination (it seems fine now after medication). We are currently giving medications which are Roslay Gold, Solitral, Liofen-XL, Rejunex CD3, Urimax, Telpres + Aldactone, Glimsame MV, Cilidoc and Donep M forte. I would like your suggestion if any of the above drugs are optional or duplicate? I do not know but want to do my best for my father. So, I am checking online for many things. I got one doubt if Donep M forte and Rejunex CD3 can be given together? Will they cause any side effect if combined? I can show my father online if that is possible. You may ask for more details as I am not sure which data you may need to suggest me a better option. I do not see much improvement after four months of this treatment. Doctor: Hello. I reviewed all your father's therapy. I would explain that there is no interaction between these drugs and it is fine to take them concomitantly. Donep-M (Donepezil plus Memantine) is a drug used for dementia. While Rejunex CD3 is composed of vitamin B1 and alpha lipoic acid. It is fine to take these drugs. I would also recommend taking daily Aspirin 80 or 100 mg if no contraindications. It seems that your father has vascular dementia, urinary incontinence, diabetes, and arterial hypertension. Peripheral neuropathy cannot be excluded, considering the fact that he suffers from diabetes. Investigations to be done: Brain MRI, and nerve conduction study. Hope you will find this answer helpful. If you have any other questions feel free to ask me again. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23529, + "tgt": "Are my symptoms related to autism or bipolar disorder?", + "src": "Patient: Hello doctor,I am waiting for an assessment of autism spectrum disorder. In the past few years, I have been misdiagnosed with bipolar, and my current diagnosis is borderline personality disorder. But, I am not sure whats going on really. I am 100 % confident that I am ASD, as it covers my \"base personality\" and all my childhood. But, I still do not know if what I am about to describe fits in with ASD. Perhaps, there is co-morbidity that is not just anxiety n depression? I am not sure whether either of the two\u00a0psychiatric illnesses, that I have previously been diagnosed with, are quite right either. There is bipolar in my family on my mom's side, that is, manic depression was the diagnosis for my grandma. My uncle and aunt had bipolar disorder. This as well as autism and ADHD diagnosis across the family.So, that is why the doctors initially looked at bipolar, but they changed their minds because I did not fit the hypomania and good mood state. I think I need to start writing things down, so the doctors can get the full picture because I struggle to explain verbally and lots go unmentioned. Or they just do not ask the right questions and go on what they have. So anyway this is how I have been for about four weeks now, which is the longest I have been like for years.I will describe what I have been paying attention to, which is different to my usual most stable self. This happens numerous times a year, but usually just lasts a few days or could just be a day or two for so many hours in that day. I am more anxious about having to cope with kids on my own, and I am not getting out with them like I used to. I cannot cope with any difficulty right now, so I am snapping too easily. My mind is racing.\u00a0I am more productive and creative, and I am looking forward to hosting a party.\u00a0I rearrange the furniture again once the kids are in bed. My mind is crazy, and I get agitated.\u00a0I am more talkative, and my whole body starts to shake when I get interrupted. I get angry quickly.\u00a0I am playing kids games better, which I used to struggle with.I have to reach certain numbers of followers not out of vanity, but because some numbers look right and others do not. I like the number 750, but I do not like the number 723, so I keep trying to get followers just so the number looks right.\u00a0I am telling people personal stuff about my thoughts and feelings that I would not usually divulge. I have in-depth conversations with my sister-in-law, who I usually cannot tolerate. I have periods of high sex drive and sexual confidence with my partner.\u00a0My patience is so very thin that\u00a0I\u00a0am hitting myself and silently screaming in frustration behind my kids' backs, as they walk slowly up the stairs or just picking them up and\u00a0carrying them up in a huff.I am very irritable and easily becoming angry out of nowhere.\u00a0I have\u00a0taken up jogging suddenly. I am not anxious about people seeing. I am enjoying jogging because it lets me run away without me running away. I\u00a0keep feeling like I want to\u00a0run away. I keep seeing my kids as just some kids and\u00a0not feeling the\u00a0connection that\u00a0they are mine. It feels as if they are not my kids.\u00a0I feel like sometimes when the anger hits me, I lose touch with reality.I do not want to hurt my kids, but the other day, I grabbed my kid's hand so hard as if I am going to hit her, but I ended up hitting the wall. I am here now because\u00a0I\u00a0feel like whatever is going on with me is affecting my kids. I am\u00a0struggling more lately to keep awareness and control over my rage. I am shouting at them easily or speaking to them in a bitchy tone. The worse thing is that I take weeks to feel guilty of what I did. I am worried to tell this to my doctors, as they will want to take my kids away from me. Is this autism-related or does it seem like there is something else going on? If no, then what is it? Doctor: Hello. It does not appear to be related to autism spectrum disorder. It goes more in favor of bipolar disorder with a current episode of mania. A personality disorder can also be there. The differential diagnoses are: What you need is an urgent consult with a psychiatrist for detailed evaluation, so that a diagnosis can be established and treatment can be started accordingly. Medications need to be started. I suggest you get the following tests done: Yes, I know the previous experience was not good, but it does not mean it will be like that always. It is also for the safety of your family. Without treatment, the frequency and severity of episodes can increase. Remember every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8568, + "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": 8970, + "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": 24508, + "tgt": "Please interpret MRI taken for lower abdominal pain and gas problem", + "src": "Patient: Hello doctor,I have left side lower abdominal pain and gas problem. I need a radiologist to interpret my MRI scan results. The laboratory tests performed was blood test in which CA 125 was elevated to 59. Doctor: Hi. Your MRI (magnetic resonance imaging) pelvis reveals (attachment removed to protect patient identity) a well defined hypo-intense lesion in the right adnexa from which right ovary is seen separately, and is likely to be an endometrioma. It shows mild homogenous enhancement on postcontrast images. However, your CA 125 levels are slightly higher for endometriosis. The usual cut off value is 30, but in extensive endometriosis, the values may rise. It is not like a malignant lesion as no fat component, or large cystic area or invasion is seen. Also, CA 125 values go above 200 in malignant lesions. If possible can you please upload other investigations that you have done. Any ultrasound of pelvis, any surgical history, AFP (alpha-fetoprotein) levels, if done. And also any past reports which can be relevant. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 10870, + "tgt": "Sometimes, I get palpitations, low BP and low sugar blackouts. Please advise", + "src": "Patient: Dear doctor, Sometimes I get low BP, low sugar blackouts and palpitations. Please advise. Doctor: Hi. Low blood pressure may be due to genetic factors. Do you have a family history of low blood pressure? Hydration and correction of electrolytes might help you. Mix one teaspoon of Electral powder (essential electrolytes) in a glass of water and drink thrice a day for a month. Low blood sugar and blackouts can occur if you do not eat your meals on time. Make sure you eat more frequent smaller meals, once in two hours. Alternatively, you can carry Hypotab tablets that contain a fixed dose of glucose. Pop it in when you feel a blackout coming. Palpitation can occur if your hemoglobin level is low. Include green leafy vegetables in your diet. If your blood counts are not good, you might need a supplement. Get a complete blood count done and get back with the results to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30191, + "tgt": "I have food allergy. Will this allergy persist for the rest of my life?", + "src": "Patient: Hello doctor, I have food allergy and I want to learn more about my situation. I have a lot of allergies and I cannot eat almost everything. Is there any test I can take to check and find out if it will go off? Will this allergy persist for the rest of my life? Doctor's report says, 31 years old female known case of thalassemia trait, sinusitis presented a h/o allergy in the tongue wide, not related to anything, the tongue becomes enlarged and wide that covers the teeth. It is associated with pain and difficultly in swallowing. Patient's sleep improves with antibiotic. Please advice as soon as possible. Doctor: Hi. Wishing you good health. Revert back with the reports to an allergy specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 27705, + "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": 19437, + "tgt": "What does my daughter's blood report suggest?", + "src": "Patient: Hello doctor, Our daughter aged 3 years 3 months has been\u00a0frequently\u00a0sick in her life. She was even hospitalized thrice and was on drips for stomach related diseases. Most often, her illnesses are related to stomach issues with symptoms typically including repeated vomiting, diarrhea and sometimes fever. Here in our place, the\u00a0doctors are quick to prescribe a lot of medicine, often two antibiotics simultaneously. As I was concerned about all the medication that she has been on in the course of her life and about her general health and immunity, we decided to do a blood test the other day. Now, we would like to get some advice from a pediatrician on the results (attached), particularly in relation to her past consumption of medicine. Doctor: Hi. I have gone through your query and 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": 18513, + "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": 26516, + "tgt": "What ayurvedic medicine can be given to my little one to increase her alertness?", + "src": "Patient: Hello doctor, This is with regards to my daughter who is 2 years and eight months old. I have noticed that she is slow in activities. She is very laid back and relaxed. I have a feeling that she has an imbalance of vata, pitta, and kapha. I mean if she can be either low on pitta or vata as per my understanding. One ayurvedic doctor did give her a medication for one\u00a0month. She took it in the last year for one\u00a0month. She is otherwise healthy and normal. Could you suggest a safe medication\u00a0without side\u00a0effects\u00a0for this age group to increase her alertness and for balancing of the doshas?\u00a0Kindly suggest any\u00a0foodstuffs too. Doctor: Hello. Please provide me these details. Revert with more information to an\u00a0ayurveda specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12620, + "tgt": "How can damage to neurotransmitters be diagnosed after a stroke?", + "src": "Patient: Hello doctor, My question is hypothetical. If one has suffered brain edema as a result of a stroke, is there any way to determine whether or not the transmitters or neurotransmitters in the brain have sustained any type of damage? Is there any test available that can ascertain this information? Doctor: Hi. If someone has brain edema secondary to brain injury, there is definitely a disturbance in the neurotransmitters in the brain. The only way to identify this is by a procedure called microdialysis wherein a probe is inserted into the area of the brain under consideration and the biochemical parameters analyzed." + }, + { + "id": 11975, + "tgt": "Is it true that age affects fertility?", + "src": "Patient: Hello doctor, I am working on a story about fertility throughout 20s, 30s, and 40s. I would like to break down how age affects fertility, male fertility issues at various ages. How can you increase your chances of getting pregnant, treatment options recommended at each decade? Doctor: Hi. As age advances, there are hormonal changes which alter the chances of pregnancy. Stress, anxiety, work pressures, change of place, change in climate alter fertility. Smoking, alcohol, caffeine intake, inactive lifestyle add to it further. Improper hygiene, recurrent infection and inaccurate treatment also play a major role. Maintain personal hygiene and take plenty of fluids, fiber-rich diet, exercise, yoga, lifestyle modifications, dietary modifications, Multivitamin supplements will help you improve your fertility. Avoid alcohol, smoking, and addiction. Have a regular health check with your doctor or health worker." + }, + { + "id": 28072, + "tgt": "Are the medicines given to me for scabies correct?", + "src": "Patient: Hi doctor, I was diagnosed with scabies, and now I am worried my family also has it. The doctor has prescribed Permethrin cream 5%, Ketoconazole cream, Flutas 150 mg, and Levocetirizine. Are these tablets fine or should I add anything more? What should I do with the furniture and mobile phones?\u00a0I had protected sexual intercourse 60 days ago, and my HIV result (ELISA test) was negative after 60 days of exposure, and other STDs were also negative. Should I worry about HIV now? What are the probabilities to have HIV and scabies together? My lymphocyte and other blood count numbers were fine. Even if I have HIV, can I spread it to the whole family by skin contact or eating in the utensils used by them? Please explain. Doctor: Hi. Permethrin is fine, but Fluconazole and Ketoconazole have no role in scabies. Permethrin has to be applied two times, one week apart and every member of the family should apply it at the same time. Leave the furniture and mobile as it is, as transmission rarely occurs through these. Clothes are the main culprit. Scabies is common in advanced HIV (human immunodeficiency virus). No, touching and sharing will not transmit HIV, and if the sex was protected, then you are not at risk. Regards. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 23005, + "tgt": "Can I give Cyp L drops to baby for better sleep?", + "src": "Patient: Hello doctor, My daughter is 50 days old. Can I give her Cyp L drops to my baby? If yes, what is the dosage? My baby is not sleeping well, so please suggest. Doctor: Hello. Cyp L drops (Cyproheptadine, Tricholine Citrate, and Sorbitol) is used to increase appetite and has side-effect of sleepiness. It is not used for putting a child to sleep. And I would not recommend giving this drops to a 50-day old child. Children below the age of 6 months stay awake at night and sleep throughout the day which is why you feel the child is not sleeping well. But, it is normal. So, do not worry. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 29658, + "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": 29402, + "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": 5766, + "tgt": "I have high myopia and my power keeps on increasing. Why?", + "src": "Patient: Hello doctor, I am 23 years old. I am suffering from high myopia. The power in my glass is -7:00 in the left eye and -14:00 in the right eye. And the main problem is my power is still increasing. Why is it increasing? Is there any solution to make the power constant? If my power becomes constant, shall I go for Lasik surgery? Can it be done with both the eyes with the power I have? Please kindly give me some suggestions. Doctor: Hello. First of all, you need to get an indirect ophthalmoscopy done to rule out areas of weakness in your retina. Cause of your increasing number it can be pathological myopia in which your retina is getting increasingly weak. Now about lasik: your right eye is amblyopic which means your brain has started neglecting images from this eye and is focusing more on images from the left eye so even if lasik is done the best possible correction in the right would be 6/60. But the good news is if there is no contraindication to lasik you can get it done in the left eye and you can have good vision. There are various pre-operative tests before one considers doing lasik, for example. thickness of the cornea, any breaks in retina, etc. If you qualify for all these then you can go for lasik. During lasik there is an induced pressure rise in your eye up to 65 mmHg (our inherent pressure is 20 mmHg), so such pressure causes no problem for normal patients. But as far as you are concerned this can be harmful to you, so before lasik, try to do a laser to your weaker parts of the retina. Visit an experienced lasik surgeon and discuss all the pros and cons." + }, + { + "id": 18328, + "tgt": "Is the ability to sneeze, related to the brainstem?", + "src": "Patient: Hi doctor,Thank you for reading my question. Since last week, I have been entirely unable to sneeze. While I have gotten the urge to sneeze many times, I cannot complete the act. In other words, I experience the 'ah' but not the 'choo.' I am very concerned, as I have never had this before. I have read on the internet that it could involve the brain stem. I do not have any other symptom that stands out. Doctor: Hi. I read your query and understand your concerns. I hope this answers you.\u00a0Feel free to contact 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": 26840, + "tgt": "Why am I not able to urinate from today evening even after drinking lots of water?", + "src": "Patient: Hi doctor, I am a 28 year old woman, who weighs about 50 kg, and I am 5.6 feet tall. I did not urinate today from 4 PM, even after drinking plenty of water. My stomach is also paining. Can you please give me some tips for this? Doctor: Hi. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8772, + "tgt": "Even after giving up alcohol, my GGT levels are high. Why?", + "src": "Patient: Hello doctor, Serum GGT levels are elevated despite giving up alcohol. Even before, the frequency of drinking was maximum once in a week (90 ml). What does this imply? Please help. Doctor: Hello. There are a few questions regarding your health and lifestyle that would help in finding the answers to your query. 1. Have you had any jaundice recently or ever? 2. How long have you been taking alcohol? 3. Is there anyone in the family (siblings, parents) who has had liver problems? 4. Have you lost weight, how is your appetite? The reports are from last month, do you have any reports from before this (attachment removed to protect patient identity)? Have you done viral markers, like hepatitis C and B? The report shows raised GGT, but in your query, you had mentioned about gall bladder stones, but the report of ultrasound is KUB, which does not mention anything about liver, gall bladder or bile ducts. There are no reports of CBC (complete blood count) as well. Please do a repeat CBC, full ultrasound of abdomen (to look for gall stones and bile duct) and send." + }, + { + "id": 18766, + "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": 23646, + "tgt": "Could vaginal brown discharge be a sign of cervical cancer?", + "src": "Patient: Hi doctor, I am 22 years old and I am sexually active for about four years now. For some 2 to 2.5 years, I am getting an\u00a0occasional brown vaginal discharge, when I masturbate. Not a lot, just enough to cover my fingers. It does not happen all the time. There is no other pain or symptom associated with it. Could it be something serious? Doctor: Hello. The dark brown vaginal discharge that you are experiencing, especially after masturbation and usually in the second half of the cycle is often due to luteal phase defect which indicates progesterone deficiency. So, it is suggested that you should get your serum progesterone levels done on day 21 of your cycle. If they are less than 21 g/dL, then you may need to be placed on cyclical progesterones to avoid such episodes of intermenstrual bleeding. Also other causes can be endometrial polyp, fibroid or even sometimes ovulation mid-cycle bleeds, which is so often confused for abnormal uterine bleeding. If the test is normal, then the next step would be to get an ultrasound pelvis to rule the above causes. However, such bleeds if in excess can be acutely controlled with antifibrinolytics like Tranexamic acid tablets, which can control such episodes. But, if the cause is progesterone deficiency, then progesterone supplementation shall be required. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16625, + "tgt": "What medicines to take for chest pain while urinating?", + "src": "Patient: Hello doctor, My father aged 78 years is suffering from heart artery blockage with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he is taking the following medications for the last six months as per the doctor's advise. Nitrocontin 6.4 mg two times. Concor Cor 2.5 mg once. Nikoran 5 mg two times. Ranozex 500 mg three strips two times. Aerocort Rotacap three times. Amaryl 1 mg once early morning. Deplatt a 75 once at bedtime. Roseday 10 mg once at bedtime. Of late, my father is experiencing chest pain during urination, bathing, bedtime and took Sorbitrate 5 mg half. Please suggest if any further medication or increased dosage is to be given to avoid surgery. If a cardiac arrest happens what medicine should I give before taking to the hospital? Doctor: Hello. Medication wise, your father is on the maximum dosage. You could also try adding Flavedon MR (Trimetazidine) 35 twice a day. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. But, I strongly feel after going through the angiogram report (attachment removed to protect patient identity) that he needs early CABG (coronary artery bypass grafting)/ staged PTCA (percutaneous transluminal coronary angioplasty) as recommended by the treating cardiologist. The only treatment for sudden cardiac arrest would be immediate cardiopulmonary resuscitation and rushing him to a nearby hospital. Intravenous drugs should only be administered in that setting. Regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29644, + "tgt": "Why am I still having stabbing pain in chest and back after six months of gallbladder removal?", + "src": "Patient: Hello doctor, I had my gallbladder removed almost six months back. However, I am still having the same sharp stabbing pain in my chest and back. I also have fatigue and nausea. I went to the ER two nights ago. They advised me to undergo an EKG, stress test, liver and kidney function tests and other blood tests. The results of all the tests were normal. Initially, I thought I had a pancreatic problem, but the doctors said it was normal. So, I think it may be due to blocked bile ducts. Please give your expert opinion regarding the same. I am currently taking medicines for the heart problem and diabetes. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9783, + "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": 29136, + "tgt": "What will be your advice for excessive masturbation?", + "src": "Patient: Hi doctor, I am writing on behalf of my friend. He is having a\u00a0little bit of pain during urination. He also gets semen along with urine. He told me that it might be because of his excessive masturbation. So, he needs your help. Thanks in advance. Doctor: Hi. Revert with the report to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21947, + "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": 22377, + "tgt": "My daughter recently attained puberty and she is bleeding from 35 days. Can you please help?", + "src": "Patient: Hello doctor, My daughter is 12 years old. She is having prolonged menstruation for more than 35 days as on date. She just attained her reproductive maturity last month, and did not even complete her first cycle properly. I have consulted many doctors, and all the reports are normal. Only the hemoglobin levels are low, due to the current condition. I am very worried and not sure how long this will continue. A doctor has suggested Regestrone 5 mg tablet, and I believe it is a hormone-based tablet, that might have side effects. I need help on why my daughter is undergoing this and if this is curable naturally. Doctor: Hello. This condition is called puberty menorrhagia, which is quite common in young girls of this age group. Please relax and do not worry. It will settle down within six months duration. Ensure you give her an iron-rich diet and iron supplements. Keep her well hydrated. Ask her to take plenty of fluids, vegetables, and fruits. Regesterone is safe and effective. There is no harm in taking the medication, it will help control her bleeding. If you have any queries, feel free to ask me. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12186, + "tgt": "I have pseudotumor cerebri due to birth control pills. Kindly advice", + "src": "Patient: Hello doctor, About six weeks ago, I started to have vision problems, and I had a migraine. So I went to my pediatrician and got an MRI because they thought I had a tumor. I then went to an ophthalmologist, and he said I have pseudotumor cerebrai. I got a spinal tap done, and all the results came back negative. The doctor told me that it might be due to the birth control I use. Kindly advice. Doctor: Hello. Birth control pills with estrogen are an established cause of such a condition. In pseudotumor, all investigations are normal, just like in your case. Hence it is called as \"pseudo\" tumor. The next important step is to meet with your obstetrician and change the type of birth control pills you are on. Your ophthalmologist or physician may start you on oral medications to reduce the swelling of your optic nerves. The other important measure to reduce the severity of your condition is to get your body mass index (BMI) within the normal range. BMI is a simple but effective tool to monitor how healthy your body is in terms of fat content. I hope this helps you." + }, + { + "id": 19339, + "tgt": "How can typhoid be cured?", + "src": "Patient: Hello doctor, My wife is 70 years old and was diagnosed with typhoid and was given Ceftas 200 TDS for 21 days and Argex 500 OD for seven days. The Widal test showed typhi O: 1:160, typhi H: 1:160, typhi AH: 1:80 and typhi BH: 1:40 after 10 days of treatment. The treatment was continued as above and after 2 to 4 days the temperature came down to 98.0 to 98.8. Now five days after completing the medicine course we again got her Widal test and results are the same as were in firsts test. Now, I would like to be advised how to treat her weakness and is there any treatment to kill the bacteria causing the fever and should we go for vaccine inoculation once more now. Doctor: Hello. I guess, she is not having a fever now. If fever has settled down then it means all bacterias are killed. These test may remain positive for some time or may be lifelong, so, not to chase the reports. Weakness will be there for few weeks. She should have a healthy diet and may have multivitamin supplements like syrup Zincovit two tablespoon once a day for two weeks for early recovery. Vaccination is recommended to repeat every three to five years, so she may take another course of vaccine as she is getting typhoid frequently. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25160, + "tgt": "I have pain and stiffness in my neck and traps. How to recover quickly?", + "src": "Patient: Hi doctor, I am a 29 year old male. I was working out in a gym continuously a month back and turns out I overused my muscle. I had pain in my neck and traps and I can feel the stiffness in my neck and traps. I visited an urgent care and they diagnosed it to be a muscle pull and prescribed a muscle relaxer. I am still feeling the pain in my neck and traps and I can feel stiffness in my traps. I feel relaxed when I apply heat. Can you please suggest how I can recover from pain quickly? Doctor: Hello. I read your concern. I would suggest you to frequently do icing over the tight areas like 15 minutes once every two hours followed by gentle stretching. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25617, + "tgt": "What are the odds of survival in ovarian cancer?", + "src": "Patient: Hello doctor,My mother was just diagnosed with ovarian cancer. She underwent a hysterectomy and the pathology report, to my understanding, reads T3b NO MO. She is 72. What can you tell me about this and what are the survival odds? They said she will be treated with chemo for five to six months once a week. Doctor: Hello. It looks like FIGO stage III ovarian cancer. I need to know the histopathological type of this tumor. Does she have any co-morbidity like diabetes, hypertension, etc? Any family history of cancer? This tumor needs chemotherapy intravenous and maybe peritoneal chemotherapy depending upon the response and extension of peritoneal involvement. Overall, this tumor initially responds to chemotherapy. But, the recurrence rate is very high and also chemotherapy-induced toxicity mainly neuropathy is significant in this age group. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 12694, + "tgt": "I am doing better with my anti-anxiety drug. Do I need counseling?", + "src": "Patient: Hello doctor, I am 45 years old and working as a senior level finance professional in a multi-partner practice owned by all of us. After going through the high levels of anxiety for several years, I consulted a psychologist who is my friend. After few months of showing little improvement, he put me on Escitalopram 10 mg. For about 2 years I took this medicine and was generally fine. When my friend moved out of the country, I shifted to a new doctor and he is a more senior person. He changed the drug to Paroxetine 25 mg which I have been on for the last nine months. I would probably say I am doing better now than before. The issue is regarding further counseling. While my friend did not feel that there is a need to continue counseling once he put me on the medicine. But, the new one seems to feel that I should resume counseling. Based on his advise, I went back to the counselor I originally saw, but somehow she seems to feel that I do not need any structured counseling. I am generally a religious person and try to follow certain regular spiritual practices like visiting a temple almost every day, reading at least a little from any scripture and do some chanting. At the same time, I still have the little odd feelings of discomfort too at times, though it does not trouble me so much like earlier. Specific cause of worry now is mostly the side effect of the long-term medication I take for anxiety, BP (Telmesartan) and for GERD (Esomeprazole). The primary concern now is that on most days I have a general feeling of boredom as though there is not anything much to do. Generally, I try to avoid associating with any new demanding assignments because I do not feel comfortable about doing things unless I am fully sure about the work. On the other side, it is also my dream to be a successful writer of fiction novels. I have finished one book, but that has not found any worthy publisher so far, which is disappointing. So, even though I have been working on my second book, I do not have too much confidence that my writing will reach anywhere. I am not a social type person and like to spend time at home. I will also confess that by nature I am known as a negative thinker, both at work and in the house. But my relationship with people are generally very cordial, because I try to lighten issues and also try my best to avoid any sort of conflict. All this leaves me with a general sense of dissatisfaction, although I am very clear that I do not want to stick my neck any further out either. Though at times, I fantasize about career and location change. I do not dare to think anything seriously, because I am sure that I will not get such a comfortable position again. But, to conclude the issue which is confusing me right now is, do I need counseling again? I am far from clear, what can I hope to achieve from therapy which I cannot get from my religious and spiritual practices? I note that online therapy is also an option on this site. Is that as effective as direct counseling? Doctor: Hi. From your detailed information, I feel that you have responded to medication. All SSRI (selective serotonin reuptake inhibitor) medications tend to over time make the person who takes them more relaxed. This could be attributed to the main task of reducing anxiety. Thus maybe a lower dose for a few months may benefit. Importantly, the absence of anxiety or motivation is more troublesome. Also, I do not think that any counseling will help you. As you are already aware and attend to the problem of not pursuing tasks to completion CBT (cognitive behavioral therapy) or NLP (neuro-linguistic programming) or coach may help." + }, + { + "id": 23908, + "tgt": "Pox rashes are spreading all over the body. Please advise", + "src": "Patient: Hello doctor, My son is 1 and a half years old. He has pox from two days. Slowly, these are spreading all over the body. Doctor: Hello. Chickenpox is a very simple issue in children. Do not worry. I suggest giving him the following course: Give him warm water baths, not hot or else his skin will become dry and cause more itching. If the lesions are secreting pus in any form they might be infected. Please take him to a dermatologist immediately if that is the case. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16687, + "tgt": "Please explain the findings of my CT scan", + "src": "Patient: Hello doctor, I recently got my test results back, but was not able to get any feedback yet. I had periodontal disease and my CT scan showed maxillary and sphenoid sinusitis. Therefore, I went to an ENT specialist for imaging. My findings include mucosal thickening in the right sphenoid sinus, as well as mucus retention cyst or polyp in the left maxillary sinus. Mucus retention cyst or mucocele in the right inferior maxillary sinus causing the cortical scalloping with several foci of calcification within it. Additionally, the nasal septum is mildly deviated to the right. I have been trying to find information about cortical scalloping and calcification. To my understanding, is the sphenoid sinus issue somewhat rare? I would just like to know if this is something that probably is nothing much to worry about in or if it may seem to be more serious. What does cortical scalloping indicate? I understand that I will need to speak directly to my ENT doctor again. I also have migraines and on regular medicine. Thank you for your time and assistance. Doctor: Hi. First of all, let me tell you a few things. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3032, + "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": 8140, + "tgt": "My CT shows numerous pericecal enlarged lymph nodes. Can this be colon cancer?", + "src": "Patient: Hello doctor, I just want to start off by saying that I am a 24-year-old male. I have been diagnosed with IBS in the past, and for about a good seven months I have had stomach issues on and off. Nothing serious, no weight loss or any large amounts of blood in the stool. I had one CT scan the first time six months ago and my abdomen was fine. I did one about a month ago, and they found numerous pericecal enlarged lymph nodes measuring up to 12 mm that may represent mesenteric adenitis. I am afraid that this is stage 4 colon cancer. All my GI doctors think it is not necessary to do a colonoscopy, and that I am too young to have anything wrong with me and it is probably nothing. I did just find out that I had a grandfather who had a blockage in colon a very long time ago but received no cancer treatment for it. Should I consult a GI doctor? Are this grounds for concern? Doctor: Hi. See as such mesenteric lymphadenitis does not directly represent colon cancer. It is very commonly seen post infection. So what we do is that we give antibiotics for seven days and later repeat an ultrasound abdomen after one month to check for the size of lymph nodes. If size are decreasing in size we simply wait and watch. Actually, these lymph nodes if once increased in size may take weeks to months to come down to normal size. Even you do not have any symptoms of colon cancer. However, your suspected family history should make us little concern. So I would recommend you to take a Gastroenterologist consultation and simply get a stool for occult blood done. If this test comes out to be positive then you would need a colonoscopy." + }, + { + "id": 1333, + "tgt": "I have seasonal asthmatic attack with history of smoking. How could I control this?", + "src": "Patient: Hello doctor, I am 19 years old and asthmatic. I weigh around 56 kg. My asthma is not severe and it is seasonal asthma and only happens during season change. Lately, my asthma is not going away I did a myteka and fexet course along an antibiotic course. I do use Ventolin inhaler which gives me relief. Normally, these days when I wake up I feel short of breath, again it is not that severe it is like 20%. When I am not sick my asthma goes away it does not bother me at all during any physical activities. I am a chain-smoker and have been smoking for two years yet it never made a problem. Any suggestions? Doctor: Hi. I can see that you are worried about your asthma. Let us start from scratch. Firstly, let us confirm your diagnosis of asthma and because you are having symptoms now it is the best time to perform spirometry. Secondly, for asthma, you have to use inhalational medication for at least a year after diagnosis and then we can taper-off as you are relieved of symptoms. I totally understand this is a long duration, but we need the medication for controlling your future symptoms. Thirdly, the medicine (Ventorlin) will provide you immediate relief but it will not prevent further attacks, so you need to add inhalational corticosteroids to your medication. And last but not least, you need to quit smoking. You already know the health hazards of smoking and in your case, it is worsening your asthma symptoms. It will be a difficult job but I can help you with that, only if you want. I hope this helps. Poorly controlled asthma due to smoking, not taking medicine regularly and not taking inhalational corticosteroid as well. Spirometry with bronchodilator reversibility testing. Poorly controlled asthma. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer, two puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month. Tablet Fexofenadine 120 mg once a day for a month. Quit smoking. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigations." + }, + { + "id": 14865, + "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": 10810, + "tgt": "Kindly suggest the diet to improve my health", + "src": "Patient: Hello doctor,My height is 165 cm, and my body weight is 79 kg. I want to start doing exercise, and I want to become healthy. I want to know about what diet I must follow to improve my health. How many proteins, carbohydrates, vitamins, minerals, fats do I need to consume daily, and what diet I must take? Doctor: Hello. An average man needs 2500 calories to maintain, and 2000 to lose one pound of weight per week. At present, you are overweight BMI is 28.7. You have to reduce, but healthily. Choose whole foods instead of processed food, and avoid sugary drinks. Keep healthy food readily available. Fruits, vegetables, lean meats, fish, eggs, and nuts. Eat more fish than meat. Use whole grain flour in baking recipes and eat in smaller plates. Calculate 2000 calories. That means eating the equivalent of six ounces of grains each day, which includes 2.5 cups of veggies, two cups of fruit, three cups of dairy, and 5.5 ounces of protein-rich foods. Divide your food out over five meals like three slightly larger meals (breakfast, lunch and dinner) and two smaller snacks." + }, + { + "id": 3022, + "tgt": "Why do I get continuous bleeding on stopping birth control pills?", + "src": "Patient: Hi doctor, I am 22 years old. For the past year and a half, I have taken supplements containing some phytoestrogens. I have also taken the birth control pill. My throat has been feeling dry and sometimes I feel this burning sensation in one of my ears interchangeably, sometimes my eyes feel dry. When I try to come off birth control, I just bleed continuously so I just keep going back on the pills. I believe this combination has left my hormones unbalanced and causing me to have headaches, low energy, and low concentration. Whilst I can ignore most of the symptoms, the dry feeling in my throat that affects one side of my throat at a time along with sensation in my ear at the same side makes me wonder if there is anything wrong with my thyroid or if I have an STI that is not normally tested for at sexual health center? Doctor: Hello, Welcome to icliniq.com. I just read your query and from what you described it appears that you have withdrawal bleeding which usually takes place when you discontinue hormones. It takes sometime but it does stop in a week or so if not then you need to see a doctor for stopping your bleeding. As for the symptoms you mentioned regarding your throat and ear, it does not seem like it is from the thyroid gland although it does look like a respiratory tract infection. If you are worried about STI (sexually transmitted infection) then you can just have your throat swab test done to know what sort of infection you have. Also, have your complete blood count done to know if you have low hemoglobin to check why you have low energy and concentration levels. I hope this helps." + }, + { + "id": 5496, + "tgt": "Flea caused a scab which is itchy and oozing fluid. Is it cellulitis?", + "src": "Patient: Hello doctor, Usually, I let my cats go out and play in the backyard. They frequently bring in fleas and bugs in the house. So I get flea and bug bites. I usually get red bumps on the areas of my legs and lower legs. But recently I notice that there is a confined area that looks like a scab. This is how it happened? The area was really itchy so I started scratching it a lot. After this I noticed a fluid or watery stuff coming out of it. After this, I noticed a scab formed in that area. It is dark red and looked strange. So I took a picture of it and asked a doctor online. He said it was an early form of cellulitis, and suggested some antibiotics for it. I did another consultation with a doctor online, and he said it is a minor allergy like dermatitis from the flea bites and suggested some cream and antibiotics. I am confused. So, I went to my doctor today and she told me she does not think it is cellulitis. However, she can prescribe me antibiotics in case it is cellulitis. I heard most of the time if someone has cellulitis but there being treated with antibiotics the prognosis is very good and the infection leaves in about seven to ten days. If you do not take antibiotics it can be life-threatening. Is it true? The antibiotic I was prescribed was Cephalexin 500 mg one capsule four times a day for 10 days. Is taking four times a day means like in the morning, afternoon, evening, and night? I thought of takiing it twice a day. I am confused. I am going to take a picture of that area. Please let me know if it is cellulitis? It looks like a scab though. Can cellulitis or even minor cellulitis look like a scab? In your opinion should I take the antibiotics? Does it look like cellulitis to you, or just a flee allergy reaction that got itchy? I have attached a picture. Doctor: Hi. I have reviewed the attached photograph and can appreciate the scabbed area. (attachment removed to protect patient identity). It is not cellulitis at all. It is because of the intense itching the area has excoriated and then turned into a scab. No need to take oral antibiotics. You can simply apply topical antibiotics like Neosporin ointment on the affected areas twice daily for seven to ten days. This will resolve the scab. Do not scratch it and let it fall off on its own." + }, + { + "id": 19469, + "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": 27889, + "tgt": "Why is my 10 weeks old baby refusing to feed after vaccination?", + "src": "Patient: Hi doctor, My baby is 10 weeks old, and I had her vaccinated yesterday (Pentaxim and Hepatitis B).\u00a0Since the vaccination, she is refusing to breastfeed. She takes a suck and starts crying. Even when I pump and give her milk, she drinks hardly 15 ml and falls asleep.\u00a0Is it normal? What can I do? Doctor: Hi. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13007, + "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": 8156, + "tgt": "Why do I get pink and red itchy fluid filled spots all over my arm?", + "src": "Patient: Hello doctor,I am 22-year-old female with height 158 cm weight 65 kg. I am getting red and pink itchy spots filled with fluid all over my arm, especially elbows for five days now under my chin. Why? I do not take any medications and do not have any medical issues. Doctor: Hello. They seem like allergy rash depending on your exposure history to any new cosmetic on arms, or other. You have popped them out, (big mistake), that has caused them to spread more, and get infected with possible bacteria (white spots I can notice). Keep good local hygiene. Wash with warm water and soap, rinse with cold water. Then apply triple antibiotic ointment twice daily, anti-itching cream you find over the counter twice daily, and aloe vera several times during the day." + }, + { + "id": 20450, + "tgt": "How can I get rid of mood swings with OCD?", + "src": "Patient: Hello doctor, I am still unmarried. Except medical, I do not have any friend circle. For the last two years, I am suffering from mood swings and empty nest syndrome along with OCD. And abused OTC sedatives without consulting a neuropsychiatrist. It enhances my capabilities during surgery. Otherwise I feel a little bit uncomfortable in major clinical managements. As an instance while execution of pelvic floor repairing. Autosuggestion does not work for me. And even if I think sometimes to give up and stop practicing. Please give me some solutions to get rid of these symptoms. Doctor: Hello. Repetitive mood swings, OCD (obsessive-compulsive disorder) symptoms, etc., result in depressive symptoms. It is common in depression to see reduced focus, reduced concentration. This is the probable reason that you are seeing problems while doing surgeries. What kind of OCD do you have? Sometimes we relate such symptoms with psychiatric conditions but there are many medical causes that should be ruled out. First are vitamin B12 and D deficiency. Vitamin B12 deficiency increases the risk of anxiety and obsessive thoughts. This also results in poor focus and problems in sustaining focus. So please get B12 and D levels done and if the levels are low please start taking supplements. Also get thyroid function tests done. Hypothyroidism is one of the important cause of such symptoms. If the levels come normal, then no need to get worried." + }, + { + "id": 3768, + "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": 11335, + "tgt": "I can sleep only after taking Seroquel 800 mg. Do I need to take it for life?", + "src": "Patient: Hi doctor, About three years ago, I went seven days without sleeping. I was hospitalized, and they tried everything to get me to sleep, but nothing worked. Finally, after seven days, they put me on Seroquel, and it worked. Now, I must take 800 mg every night to sleep. I tried to wean myself down, but as soon as I went down to 600 mg, I could not sleep. Will I have to be on this medication all my life? Doctor: Hello. I read your query and understand your concerns. First of all, I want to inform you that you are having insomnia, which means sleeplessness, Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3178, + "tgt": "I get anxiety and panic attacks. Will Benzodiazepines help in this regard?", + "src": "Patient: Hello doctor, I currently suffer from anxiety attacks and panic attacks. It has been changing over the course of about four years, getting better and worse again. In everyday life it is manageable, but the attacks cause some unreasonable thoughts and ideas to form. I have heard about the use of Benzodiazepines for anxiety. Can they be taken to stop panic and anxiety attacks without needing consistent everyday dosages? During panic or anxiety attacks, I usually feel very worthless and in some cases try to or think about hurting myself. Generally, my anxiety tends to do with social situations where I feel like I am not liked or if I said something wrong. I have visited a counselor in the past, very briefly. Ironically my anxiety was worsened with the guilt of therapy being very expensive so I stopped seeing her. Doctor: Hello. Anxiety and panic attacks are extremely common and 15 to 20 percent of people suffer from this issue at some point in their lives. Standard treatment for anxiety is the use of SSRI (selective serotonin reuptake inhibitor) type of medicines. They are usually given for two or four months and then stopped slowly by tapering it off. They take two weeks to usually start taking the effect. Till then low dose Benzodiazepines can be used. I do not recommend the use of Benzodiazepines which you are considering since it just takes care of symptoms of anxiety and the intervals at which you will need to take it will reduce as you keep on using it and eventually it will lead to addiction. This is because withdrawal from Benzodiazepines will produce the same symptoms as that of anxiety. Also, consider doing deep breathing exercises or progressive muscle relaxation along with medicines." + }, + { + "id": 7914, + "tgt": "Does chronic constipation lead to prostatitis?", + "src": "Patient: Hi doctor, I am 27 years old. I have been suffering from bladder and lower back pain for about six months now. I have been to the doctor several times and each time the test was negative for infection. I used to get relief from symptoms once I take the antibiotics, but the pain will recur. I do not have frequent urgency to urinate. My urine is clear, and there is no burning sensation associated with urination. I suffer from chronic constipation, and my primary physician feels it might be from stool backed up in that area and prescribed me Linzess. I have been taking for two days and still have back pain. The pain never gets unbearable, usually a level 2-4 on pain scale. After all research, I feel it may be prostatitis. I am terrified to see a urologist in fear of rectal exam as I have a phobia of this. I had several blood panels done, kidney and liver function tests everything is perfect. My x-ray indicated lower back spasms and backed up stools. No kidney or bladder problems. I am becoming very upset because I read there is no effective way to treat non-bacterial prostatitis. Is there a way my urologist can test for this without a digital rectal exam? I also have some dull testicle pain from time to time. This is becoming such an annoyance and ruining my daily life. Any help will be thoroughly appreciated. Doctor: Hi. As you suspect the symptoms might be due to chronic prostatitis or a similar entity chronic prostatic pain syndrome. It needs a per rectal examination. Per rectal examination is not that painful as you suspect. Urine culture after a per rectal examination will turn to be positive if it is chronic prostatitis. It needs a 4-week course of Trimethoprim, alpha-blocker drugs, and anti-inflammatory drugs. It has to be treated with Trimethoprim or Levofloxacin. Secondary to UTI (urinary tract infection). Chronic prostatic pain syndrome." + }, + { + "id": 19786, + "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": 24165, + "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": 20328, + "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": 21600, + "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": 21745, + "tgt": "I have a sharp and cramping pain in the stomach and back. What is the cause?", + "src": "Patient: Hi doctor, I am suffering from diarrhea for about 28 hours now. The stomach is hurting into the bladder in both sides. The leg is in pain, so I am unable to walk. There is no fever. I am unable to eat and sleep. I have a sharp and cramping pain in the stomach and back. I never had this problem before. Doctor: Hello. You have an acute gastroenteritis problem. You can take Rabeprazole 20 mg once a day for a week. Avoid gastric irritants like excess tea or coffee, excess spicy foods, smoking, and stress. Cooked oatmeal can help soothing stomach. Take ORS (oral rehydration solution) powder with water. You can take a probiotic tablet. If there is no improvement, then, stool routine analysis can be done. Consult a physician for examination. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19522, + "tgt": "I have a few bumps on my penis. What to do?", + "src": "Patient: Hi doctor, I have three to four bumps on both the sides of my frenulum for the past ten years. I do not have itching. But they are hard. Doctor: Hi. Please send me some photographs covering the entire penis and the other areas of glans too." + }, + { + "id": 13155, + "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": 10722, + "tgt": "Chemotherapy sessions for breast cancer has been increased to 12. Why?", + "src": "Patient: Hello doctor,My mother is suffering from breast cancer, and her treatment is going on. We have already done four chemotherapy with a gap of 21 days, but now instead the surgery doctor advised us to take 12 chemotherapy weekly. Please let me know the treatment that is going on is right or wrong? Doctor: Hello. It is called neoadjuvant chemotherapy. So with chemotherapy, the size of the tumor is reduced significantly to make breast tumor operable. She has completed four cycles every 21 days, and now they will start the second phase of weekly chemotherapy (a new drug) for 12 weeks as per international recommendations. After completion of the second phase, chemotherapy she will be restaged before surgery. It would be better if you would have attached CT scan, pathology (biopsy) reports also." + }, + { + "id": 20188, + "tgt": "Pain and discomfort during sex. And have burning sensation in vagina due to forceful trying", + "src": "Patient: Hello Doctor,I got married a couple of days back. When I tried to have sex during first night after some foreplay, I found my wife's vagina was having a small hole and my erected penis was not able to penetrate. When I tried a little forcefully, the front skin of my penis rolled back exposing the inner soft skin of my penis. It was painful at that moment but uncomfortable now. It became a little dry and occasionally I get itching sensation. My wife is feeling a burning sensation in vagina due to forceful trying. Let me know how to prepare my penis and her vagina for sex. Our age is 29 years and 26 years respectively. Doctor: Hi, Welcome to icliniq.com. From the available description it appears to be that both of you are first timers. This kind of problem is commonly encountered because of lack of knowledge. I advice you the following things from your next love making session: For further follow up,consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17955, + "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": 19201, + "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": 28559, + "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": 26115, + "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": 9222, + "tgt": "My hip pain resembles piriformis syndrome. What should I do?", + "src": "Patient: Hello doctor,I am experiencing some pain in my left buttock that travels down my leg and cause a feeling of numbness and tingling in my left leg. I do not experience any pain in my lower back. It is only that after prolonged sitting, I start feeling pain in my left hip that travels down the left leg. I consulted a doctor, and he told that a disc in my lower spine is pinching a nerve that causes the pain to radiate from my hips towards my leg. I searched my symptoms and found that the pain resembled much of piriformis syndrome. What should I do? Doctor: Hello. As the doctor you consulted is right. These symptoms can be caused due to a slipped disc. To confirm this and we may need to take up an MRI of the lumbar spine. Also, the piriformis syndrome symptoms are similar, but they are not radiating in symptoms as piriformis muscle tightness may lead to compression over the nerve root and can misguide the diagnosis. Having an MRI scan will be of the right decision. Post which if there is no disc disease is noticed than another differential diagnosis has to be made and treated accordingly. Please take an MRI scan and let us know the reports. I will help you further with the therapeutic plan." + }, + { + "id": 17663, + "tgt": "Got a TT shot after a fall and having more muscle and body pain. Why?", + "src": "Patient: Hi doctor, I am a girl of 20. Three days back, I had a fall\u00a0from my motorbike on the road. I had some superficial bruises on my right leg and muscle pain on the right side of my body. I took a tetanus shot from my physician. I had Paracetamol 500 mg twice a day for two days to get relief from body pain.\u00a0But, from the minute I got my TT shot in my left hip, it pains a lot. Gradually, the pain increases and my whole lower limb started paining. My muscle pain in the right side was lowering gradually, but the pain due to the shot increased. The injection site shows redness, swelling and a lump like feeling. I feel very tired, feverish and could not sit and work. I thought this is the muscle pain and so continued with Paracetamol. Yesterday, the pain was severe. As I had severe joint pain and tiredness, my family doctor prescribed me to take Avil 25 mg and Paracetamol 650 mg twice a day. After taking that medicine too, my pain still did not get relieved. I gave an ice massage to the swelling. Today, my left lower limb has a few blood clots like feeling, which pains when I press. If I walk a little, then I feel restless, giddy and tired. But, my pain due to the fall is gradually decreasing.\u00a0Please give me a quality advice on the same. Thank you. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7674, + "tgt": "Why is there roughness in the back of my tooth?", + "src": "Patient: Hello doctor, About three weeks ago I noticed the backs of only one of my teeth was rough. It has not gotten worse but it has not gotten any less rough after I brush it. On my third tooth forward from my 13 years old molars. Doctor: Hi. The roughness of back teeth should not be a problem. It could be a reason of aggressive tooth brushing or using any aggressive toothpaste or any trauma. If the same tooth becomes sensitive to cold or hot or sweet food then it should be concerned. If you quickly rub through your tongue and the tooth feels rough, it can be fixed by easy chairside polishing when you visit your dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5264, + "tgt": "I am a Parkinson's patient with left arm, shoulder and leg pain, What to do?", + "src": "Patient: Hello doctor, I am 60 years old. I am a Parkinson's patient. For about the last six months I am having pain in the left arm, shoulder and right leg from thighs downward. Doctor: Hello. The pain could be just due to musculoskeletal pain which just requires some muscle relaxants like tablet Zerodol-MR (Aceclofenac and Tizanidine) two times a day for four to five days. But it could be also due to inadequate dose for Parkinson's and that inturn causing muscle stiffness. Kindly mention the drugs and dosage you are taking for Parkinson's disease. Until then you can take the above mentioned drug." + }, + { + "id": 17879, + "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": 13776, + "tgt": "My girlfriend did not get periods after taking Unwanted 72. Why?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend and she took the pill(Unwanted 72) within an hour. Two days later, after taking second pill accidentally we had unprotected sex. But, in both the cases I did not ejaculate in her vagina. Now, five days got over and she did not get her periods yet. What are the chances of pregnancy? Doctor: Hi. Firstly, I would like to inform you that taking an I-pill will not cause periods. The periods will come at its own time, maybe slightly late too. Delay in periods after I-pill is a common and expected side effect. Secondly, I would suggest you not to take more than one pill a month as one pill can cause serious hormonal changes. Also, it is best to take it only in emergency. Casual and frequent use can cause long-term problems. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11265, + "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": 17690, + "tgt": "I have some problem on my penis skin. Please help", + "src": "Patient: Hi doctor, I have some problem on my penis skin. My age is 23 and I do not have any other problem. Today, I got my blood test done. I have attached the photos of penis for your reference. Kindly help me. Doctor: Hi. I have seen the pictures (attachment removed to protect patient identity) and need some details about the problem. Revert back with the answers to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25783, + "tgt": "Why is there an unusual sense of something inside my urethra while urinating?", + "src": "Patient: Hello doctor, I am a 33-year-old male. I have problems in my private parts. Sometimes, I sense slight numbness, slight pain in testis with coldness. But all this sensation does not last long. There is mild fever with tiredness and fatigue. Sometimes, I sense something inside my urethra while urinating. It is not there always. So, I went to a doctor a month ago. He suggested me to get a urine culture and sensitivity test. I got the test report after four days. The report shows infection of E. coli. Currently, I am on Ciprofloxacin and disodium hydrogen citrate for the last seven days but to no avail. Kindly suggest the ways and means how to get rid of this E. coli infection. I have had an ultrasound twice, twice blood tests, twice urine tests, X-ray and done a urine culture and sensitivity test, physical examination of the private parts done. But lastly, the urine culture and sensitivity test had detected infection of E. coli. Please help. Doctor: Hello. Well, the treatment is apt according to the drug sensitivity report. The drug would have already started showing its effect by now that is within 48 hours after initiation if you have started. Kindly continue the medication. Drink lots and lots of water and liquids. Cranberry juice will help fight the UTI (urinary tract infection)Get back to me if you still have an increase in the frequency of urination, urgency, burning pain while passing urine, abdominal pain, and fever. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30167, + "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": 22493, + "tgt": "I am late on periods for three days this month. Could I be pregnant?", + "src": "Patient: Hello doctor,I have regular periods (27 to 28 days). But I am late for three days this month. I am trying to conceive, could I be pregnant? I did a test on the day my periods were due, it was negative. I repeated one today, it is negative (although I did not do it with the first pee). I do not have any symptoms of pregnancy, no implantation bleeding. Just a bitter taste in my mouth, frequent urination, and tiredness. Doctor: Hi. It is nice to hear that you are overdue and have been trying to conceive. Symptoms of pregnancy are different person to person. It is better to have serum beta hCG (blood pregnancy test) that will clearly describe your present status of pregnancy. Urine pregnancy test normally in early pregnancy is confusing as it is sometimes unable to detect pregnancy hormone in urine. The transvaginal scan will also be able to detect pregnancy clearly in 5 to 6 weeks. In case of bleeding pain, dizziness or fainting report immediately to tertiary care hospital. If pregnancy test of blood comes positive for your satisfaction you can have another similar test after 48 hours of previous. If next level shows increase in level more than 60 % it is a normal pregnancy. If it is less than 60 % it is ectopic (alarming condition outside uterus pregnancy need immediate intervention). Periods can be delayed in case of strict diet, strenuous exercise, hormonal imbalance, thyroid abnormalities, illness, anxiety, etc. If pregnancy test comes negative wait for periods for a week. Check for menstrual irregularities in future cycles as well if present might need investigations. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11883, + "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": 19915, + "tgt": "What would be the treatment for disc slip?", + "src": "Patient: Hello doctor, I have been diagnosed with L5-S1 16 mm disc slip. I have tried Hydrocortisone injection eight days ago which has done nothing. I have been passed between GP and orthopedic surgeon and now I have to try physio. I have lower back pain that radiates to both legs and also have a lot of leg spasms when I just shake. What would be your course of treatment? I have had a fall eight months back. I am currently taking Sertraline, Metoprolol, Diazepam and Amitriptyline. Please help. Doctor: Hello. Sorry to hear this. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10585, + "tgt": "My blood and urine pregnancy test are positive, but there is no visible sac in the scan. Is this ectopic?", + "src": "Patient: Hello doctor, My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help. Doctor: Hello. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency." + }, + { + "id": 3070, + "tgt": "Should I get jaw surgery done to treat open bite due to tongue thrusting?", + "src": "Patient: Hello doctor, I have an open bite due to a tongue thrust I have had since I was a baby (I am 22 now). It is affecting the way I talk, eat, and I sometimes find myself gasping for air when I sleep. I have been looking into ways to correct it and also close my bite. Will corrective jaw surgery help with my tongue placement as well as close my open bite? Doctor: Hello, Welcome to icliniq.com. As per your description, you having open bite and tongue thrust. For correction of open bite the exact cause must be ruled out. Tongue thrust is the cause and is also aggrevatinng factor. Also, if corrective jaw surgery works or not or whether any skeletal jaw problem is involved can be suggested only after clinical examination. If there is growth direction of Maxilla or mandible is altered or there posterior vertical maxillary excess and etc., is there then that have to be ruled out before planning for corrective jaw surgery option. First Tongue thrust should be taken care with help of habit breaking appliance and then malocclusion should be corrected with Orthodontic treatment,provided skeletal factor is not involved. Again I would like to see images of your concern area and teeth for detailed diagnosis and management of problem." + }, + { + "id": 16759, + "tgt": "Started PEP after 66 hours of unprotected sex. Will it be helpful?", + "src": "Patient: Hi doctor, I had unprotected sex and have consulted a doctor after that. He told me to go for PEP immediately. So, I started PEP after three days of exposure with one Tablet of Lamivudine and Zidovudine along with one Efavirenz tablet. I have taken PEP after 66 hours of exposure. Will it be helpful? Please let me know. Doctor: Hello. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10641, + "tgt": "I have some weird taste of the water as if my mouth is salty associated with excessive thirst. Kindly help", + "src": "Patient: Hello doctor,Since yesterday, I had excessive thirst. I am drinking a lot of water and still feel it. The same happened today, I drank over 500 ml and again feel thirsty. When I drink, I think some weird taste of the water as if my mouth is salty. I have anxiety (panic disorder), so this made me slightly worried about what could have happened to me. Can you help? Doctor: Hello. This condition called polydipsia, felling excessive thirsty. Tongue taste is due to dehydration. What about urination, passing more? Usually, this is a symptom of diabetes, are you are in a hot and humid place? For anxiety and panic disorder are you on any medication? Immediately go for investigation such as FBS (fasting blood sugar), PPBS (postprandial blood sugar), HbA1c and urine, sugar ketone RFT (renal function test), LFT (liver function test) and review. If sugar is high go for the treatment." + }, + { + "id": 24690, + "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": 4905, + "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": 24791, + "tgt": "What should I do to bring my reports to the normal range?", + "src": "Patient: Hello doctor, I did my body checkup. I found that some of the reports are not in the normal range. So, I just want to know if I need to check further for some diseases. What should I do to bring it to the normal range? Currently, I am very normal. The following are not in the normal range: Total RBC: 6.05 X 10^6 /\u03bcL Range: 4.5-5.5. Mean corpuscular volume (MCV) 81.2 fL Range: 83-101. Mean corpuscular hemoglobin (MCH) 26.8 pq Range: 27-32. Red cell distribution width - SD (RDW-SD) 37.1 fL Range: 39-46. Platelet distribution width (PDW) 15.3 fL Range: 9.6-15.2. You can even check the report file. Thanks. Doctor: Hello. I have just gone through your reports (attachment removed to protect patient identity). I do not think you have to worry much. The only thing that looks abnormal is vitamin D levels which are low, possibly due to sedentary lifestyle and less sun exposure and obesity/overweight which are common causes. That can be corrected with simple Vitamin D capsules of 60,000 IU given weekly for eight weeks. I would be happy to help you further if you have any questions. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15845, + "tgt": "There is tooth sensitivity even after getting a filling done. Please advise", + "src": "Patient: Hello doctor, I had a filling done last week on my distal lateral incisor. It was pretty sensitive for a few days but it dissipated. This morning, after I brushed and flossed, the sensitivity to cold air returned and was getting progressively worse with throbbing and a headache. I took four 200 mg Ibuprofen which is stopping the throbbing. Is sensitivity like this normal? No allergies, no medications, 5'3'' height, weight 115. Doctor: Hi. I have gone through your question. I can understand your concern. I think there is a breach or dislodging of filling. You need to visit the dentist again and get a dental X-ray (IOPAR) done. It is reversible pulpitis and you will feel pain and sensitivity. Use fluoridated toothpaste and take Aceclofenac 200 mg twice daily till you visit the dentist." + }, + { + "id": 22698, + "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": 16275, + "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": 18756, + "tgt": "Which is the confirmatory test for HIV?", + "src": "Patient: Hi doctor, I am a 29 year old male. I\u00a0had a very brief unprotected encounter with an escort. I do not know her HIV status. I did ask her afterward and she told me she was clean of STDs. I offered to pay her well just to get an HIV status and she has not responded. I do not know if this is because I annoyed her or because she is hiding something. I am not someone who participates in high risk sexual activities. I understand that this situation is low risk. I have spoken to an HIV specialist. I am on PEP because of nervousness. I cannot sleep or relax. I am in a constant state of panic. I would like to know your personal experience on this subject. How would it be possible to get HIV from a positive person performing oral sex for a man? Do you think I will be fine based on what I have told you? Will fourth generation Ag or Ab test immediately post PEP a good indicator of my status? In the past I did have anxiety and may be considered a hypochondriac.\u00a0Please help. Thank you. Doctor: Hello. For further clarifications consult a\u00a0HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5677, + "tgt": "What causes pain at sesamoid bone?", + "src": "Patient: Hi doctor, I am a triathlete. Before six months, I suffered from shin splint. I took rest for five months. I am underpronator runner. I consulted for gait analysis and then chose new running shoe Nike Pegasus 31. I feel comfortable and feel less shin pain using it.\u00a0But, when I run more than five miles, I feel pain at sesamoid bone.\u00a0How to cure and prevent it? Can I change the shoe? Will it help? Please suggest. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8864, + "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": 17199, + "tgt": "For breathing problem in flight, how much O2 should I use?", + "src": "Patient: Hello doctor, I have had chronic asthma and allergies in my whole life. I am currently taking four puffs of Qvar three times a day, Accolate twice a day, Xopenex as needed and DuoNeb as needed (nebulizer). I am in control almost all the time. I also have a hyperactive immune system where I end up with chronic pneumonia. The last time when I traveled in flight, I had breathing problems for about an hour and then on and off for the next three days. I discussed this with my primary care doctor and he suggested that the cabin pressure exasperated my asthma. Then, the altitude change continued to stress my lungs. He suggested using an oxygen concentrator in flight next time. I fly again in two weeks and as needed. I did not know how much I should use.\u00a0Is it reasonable to check my O2 blood levels and then use O2 based on these readings? How many liters per minute should I start with? How long would I expect it to take to recover or increase the amount? Or should I just use the concentrator for the last hour or two of my flight and see how it goes? If so, then how many liters per minute should I use? Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16217, + "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": 405, + "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": 29389, + "tgt": "Do you have any idea about the dry skin in my lower legs?", + "src": "Patient: Hi doctor,I have some dry skin in the front of my lower legs, but it is on both legs. It is red and looks like dry skin. It does not itch, and I have had it for a few months. Do you have any idea of what could it be? Doctor: Hello. I suggest you the following treatment for xerosis. Consult your specialist doctor, discuss with him or her and take treatment with consent. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8319, + "tgt": "I am suffering from Fordyce on lips, scrotum and penile shaft. Please help", + "src": "Patient: Hello doctor,I had HPV warts 25 years ago. A recent bout with Fordyce on lips and a large amount on the scrotum and penile shaft. What should I do? Doctor: Hello. I have gone through your case. In my opinion, Fordyce spots are non-infectious lesions and are not sexually transmitted diseases. These are painless spots which occur in the area of sebaceous glands. It has no corelation with your previous HPV infection. Usually, it does not require any treatment. If cosmetically unacceptable, then pulsed dye laser or cautery are options." + }, + { + "id": 29869, + "tgt": "Can OCD be cured?", + "src": "Patient: Hi doctor, My wife is suffering from OCD. She always washes and cleans everything, even electronic things. She will not touch anyone who come from outside. If in case she touches, then she does take bath immediately. If there is any fly at home, she will watch and wash all those things. Doctor: Hello. From what you have described, it seems to be a case of OCD (obsessive compulsion disorder) only. One thing I want to ask is whether it causes stress to your wife or does she consider her habits as alright. In case, we finally came to a diagnosis of OCD it requires proper treatment that is medications and psychotherapy. Pattern breathing exercises like Sudarshan Kriya will also help her. OCD can be cured if treatment is taken properly. 1. OCD. 2. OCPD (obsessive-compulsive personality disorder). OCD. Medications and behavior therapy. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8430, + "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": 1994, + "tgt": "I have chronic paronychia and painful swelling in the ring finger's nail fold. Kindly assist", + "src": "Patient: I have painful swelling of lateral nail fold of the ring finger (right hand). I also had chronic paronychia of index finger of Right hand. For the index finger, I used Onabet cream - twice a day - for three weeks on the nailfold (completed). Also, Loceryl nail lacquer once a week for 6 months. I cannot take oral antifungal due to previous allergic reaction so my doctor recommended Nadoxin cream twice a day on ring finger nailfold (for 1 week) along with Augmentin 625 mg (for 5 days). I followed the doctor's advice but there seems to be no improvement, rather the symptoms have aggravated. Kindly assist. Doctor: hi chronic paronychia is very resistant disease you have used almost all treatments which are actually recommended in this case. treatment also depend upon the incriminating factors of the disease, most of the time it is due to irritants which come in contact of your hand,, repeated washing also lead to increased fungal growth, sometimes on drugs also lead to this condition and some diseases also likes psoriasis, pemphigus, cancers at other sites of the body. so you can tell me if you are having any of these conditions but if not I will advise you following treatment plan according to the history that you are not able to take antifungals and antibiotics and topical has not worked on you. kindly follow this treatment for 4 weeks and then tell me with photo how much improvement you have. I must tell you at this moment that some cases medical treatment is not successful in such cases some surgical treatments has also been used like complete removal of the the nail folds. Rx tacrolimus 0.1%at night. hidrocortisone cream in morning both for 4 weeks. tab cefuroxime clavulinate 500mg twice daily for five days. avoid cold to body and hands. cover your hands with gloves to avoid contact with some allergens you may be exposed. review after 4 weeks." + }, + { + "id": 29940, + "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": 3016, + "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": 21475, + "tgt": "Can hepatitis C be transferred if the blood is in a dried state?", + "src": "Patient: Hello doctor, Can hepatitis C be transferred if the blood is in a dried state? For example, it dried on a surface and you touch it with another dry object or with dry hands. I understand if you wet the dry blood to clean it up it can transfer but I am talking in a strictly dry state. I was told it is not transferable once dried if it is touched or brushed against by other objects. I am wondering because if you touch it when it is wet with hands or another object and transfer the undried blood to other areas of the home without knowing it. I would be concerned about touching the blood after it has dried without knowing it is there. Doctor: Hello. No, once it has dried, virus is not transmitted and cannot spread the disease when it comes in contact with intact skin. Also, with drying, virus gets inactivated. Even in wet state, just contact of blood with intact skin (not mucosa), unlikely to transmit the virus as skin act as a barrier for transmission. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13994, + "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": 11643, + "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": 16053, + "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": 19592, + "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": 26225, + "tgt": "Are my hemoglobin and hematocrit values in the normal range?", + "src": "Patient: Hello doctor,I have 18.1 g/dL as my hemoglobin level and hematocrit is 50.8. Is it normal? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Thank you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 3501, + "tgt": "There is incomplete right bundle branch block with inferior infarct in ECG. Why?", + "src": "Patient: Hello doctor, Yesterday my wife on her annual checkup got an abnormal ECG. The report says: Normal Sinus Rhythm, Incomplete right bundle branch block, inferior infarct, age undetermined. She is 55, a little overweight, otherwise healthy. We are very worried. Doctor: Hello. I understand how worried you are about your wife's health, do not worry she will be fine soon. The ECG shows evidence that points to the fact that your wife has a injury to the right part of her heart. This can cause a disruption of electrical impulse traveling to that area which show cased as (right bundle branch block). I advise you see a cardiologist. She needs to do further investigations like Echo to ascertain how well her heart is working and to know the extent of damage. I wish her a speedy recovery. Best regards." + }, + { + "id": 3968, + "tgt": "Why do my heart rate rise immensely even with moderate exercises?", + "src": "Patient: Hello doctor, Is it bad if my heart rate jumps up to very high bpm very quickly during even moderate exercises? I am a 26-year-old male. My height is 5' 11\" and weighs about 190 lbs who has always been in good shape. I lift every day and usually during the summers, I run about two miles a day at around a six minutes pace. I have a resting heart rate of 58 bpm and no matter what I do my heart rate always jumps up during even the most minor activity. Two days ago, I went for a 20 minutes leisure walk with my wife and my heart rate averaged 120 bpm and got there in about 10 seconds. If I run at a pace any faster than 9 minutes a mile, my heart rate will jump to above 185 bpm in under 30 seconds and at my fastest, it stays around 200 bpm for as many miles as I run. Now, it has been like this for as long as I can remember and I never feel extra winded or take long to recover I just know it is not normal. Please help. Doctor: Hi. The problem you are having is called palpitations. Your baseline heart rate is 58 beats/minute and your maximum heart rate is around 200 beats per minute that is almost three times the baseline heart rate. Heart rate as high as 200 beats per minute can even lead to sudden cardiac death and cardiac arrest. This should be taken very seriously and some of the baseline tests of cardiology are to be done to rule out the cause. 24-hour Holter monitoring is most important for you as it will record the nature of your palpitations, whether they are arrhythmia or just simple supraventricular tachycardia. 2D echo and treadmill test to rule out cardiac functions as your arrhythmia is precipitated only during exercise." + }, + { + "id": 26031, + "tgt": "How can the cut on my little daughter's face be treated?", + "src": "Patient: Hello doctor, My 4-year-old daughter had a cut near her eye as she fell down. It is about 3 cm. The doctor asked me for stitches but stitches may leave mark on her face. The doctor suggested for a plastic surgery. Please advise. I have attached a photograph. Doctor: Hello. Regards. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30249, + "tgt": "I am having headache and my period is late. Could it be a hormonal headache?", + "src": "Patient: Hello doctor, I am 24 years old. I have a\u00a0headache for about a week. When I move, I have pulsating headache, especially on the left side of my head and around my eyes. I use pills like Gelofen 400, Acetaminophen and Codeine, but I do not feel better. I am not sensitive to light and sound like migraines. I should have got my periods before three days, but I have not gotten yet. I never had hormonal headache before. Could it be a hormonal headache? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30658, + "tgt": "What is your opinion about my husband's report?", + "src": "Patient: Hi doctor, My husband is 35 years old. He is suffering from abdominal pain since last four weeks. When he gets pain it lasts for an hour. His hands and feet get cold. He had an endoscopy and colonoscopy done. The report says body and antral type gastric mucosa with mild chronic active gastritis composed of scattered lymphocytes and plasma cells in the lamina propria. There were minor changes suggestive of a PPI effect on acid secreting tubes. H.pylori not detected. There is no intestinal metaplasia, dysplasia or malignancy. His blood test report says lipase level 82 U/L. What do you suggest from the reports? Doctor: Hello. H.pylori infection. Repeat upper GI endoscopy and urea breath test. 1. Pan gastritis. 2. GERD (gastroesophageal reflux disease). Antral gastritis. Continue treatment for gastritis and he might require treatment for H.pylori infection. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20897, + "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": 10477, + "tgt": "How to manage fatty liver?", + "src": "Patient: Hi doctor, I had diarrhea for about 20 days. After I got recovered, my doctor advised me to do an MRI of the abdomen. These were the results shown. There was a mild signal drop noted in the liver on the T2 fat sequence suggesting a fatty infiltration. My pancreatic head and uncinate appeared normal. Distal body and tail showed a fatty replacement. Kindly advise. Doctor: Hi. You have a fatty liver on MRI (magnetic resonance imaging). It is very common. Please say about the habits you have. Please mention your medical history. Please tell about your BMI (body mass index). Fatty liver can lead to liver damage and cirrhosis after a long period. I advise you check your liver function tests, sugar, and lipid profile. Follow a regular exercise and diet. Try to lose your weight. Have healthy food. Revert me with the blood reports. There is no need to take medicines for fatty liver. They will disappear after a lifestyle modification." + }, + { + "id": 14256, + "tgt": "Why is there spotting during pregnancy with absence of fetal heartbeat in USG?", + "src": "Patient: Hello doctor, I am eight weeks and three days pregnant. I have been spotting every day for almost two weeks. I have not been bleeding heavy or had any blood clots or tissues. I went for my USG three days back and they were unable to find any heartbeat. Kindly advise if we should still stay positive. I am worried. Doctor: Hi. I have read your concern. I know you are anxious but to be honest, the likelihood that this will be a miscarriage is very high. By at least six weeks, there should already be a heartbeat on the ultrasound. We usually give at least two more weeks to repeat the scan especially if it is from a spontaneous conception (not an IVF pregnancy) since the exact date of conception is not determined. If you have not had an ultrasound before this then I suggest you have another USG after two weeks. But if the age of gestation was already determined prior to this USG, then it is highly likely that this will result in what we call missed abortion." + }, + { + "id": 1632, + "tgt": "Injection for knee pain cause relief only for sometime. Kindly suggest treatment for permanent relief", + "src": "Patient: Hi doctor, I am writing this on behalf of my mother. She is 60 years old and weighs about 86 kg. Her complaint is very extreme pain on the knee (left leg). This issue started one year ago and we consulted orthopedics who applied an injection on her knee after verifying an x-ray report and prescribed a couple of tablets. Doctor said it is a kind of arthritis. There was some relief after that visit. My mother again started facing the same problem since last month. Pain is so extreme from inside the knee that she cannot even move her left leg. Her right leg is fine. Kindly prescribe some relief and treatment plan. Please find the written X-ray reports for your understanding: X-ray both knee joints: - Marginal osteophytes are seen. - Tibial spines are prominent. - Mild reduction of the medial tibiofemoral joint. - Patellar sour is seen. - No loose bodies are seen in the joint cavities. - No soft tissue swelling is seen around the joints. Impression: Osteoarthritis. Note: She is not taking any medicine for the above issue for the past one year. However, she is taking tablets for anxiety, blood pressure, and diabetics. Doctor: Hello. Your x-rays show (attachment removed to protect patient identity), grade 2-3 arthritis (4 is worst) in both knees, however, the x-ray picture does not always match with the clinical symptom as is in your case. I will recommend that you take a course of anti-inflammatory tablets like Diclofenac 100 mg SR once a day after meals, Pantoprazole 40 mg before meals, tablet Ultracet (Paracetamol and Tramadol combination) maximum twice daily for pain. Apply Dynapar gel (Linolenic acid and Paracetamol) locally four to five times a day. Ice the knee 10-15 minutes when the spray is not applied that is there had to be a gap of 45 minutes between the ice and spray and vice versa. If you have access to physiotherapy then Tens (transcutaneous electrical nerve stimulation) therapy will help too." + }, + { + "id": 5094, + "tgt": "What can be done for high BP and anxiety with low heart rate?", + "src": "Patient: Hello doctor, I am 34 years old. My weight is 84 kg. Since last six months I am in high blood pressure medication. I was taking Telmax 25 initially for two months. The blood pressure levels were 120/80. Then another doctor prescribed me Telsite 40 mg and asked me to stop Telmax 25. With the Telsite medicine my blood pressure were in the range of 140/80 to 160/90. So, I again started on Telmaxx 25. The blood pressure levels initially were 120/80 but now since last few readings the blood pressure reading is 150/90. The resting HBR is around 50 to 60. I am also taking Eltroxin 50 mcg daily. At times my heartbeat rates increases to more than 100 in the morning at around 9 am to 10 am due to anxiety. Recently, I have done a heart checkup and all the results were normal. I really get worried with the increase in heartbeat rate all of a sudden. Please let me know the following: 1. Am I on the right treatment for blood pressure? Is the blood pressure reading of 150/90 too high? Why is my blood pressure not controlled even after taking medication? 2. Resting HBR is 50 to 55. Is it fine? 3. Due to anxiety the HBR raises to more than 100, what is wrong? Do I need any medication for anxiety? Latest ECG reports showed no abnormality. But the resting heartbeat rate was 99. 4. Also a visit to the hospital raises my HBR and anxiety levels. 5. Latest blood test report showed Bilrubin of 1.2 and also diagnosed with fatty liver. 6. I do regular walking for 3 to 4 km and also do exercise but even though my blood pressure is not coming down. Doctor: Hi. This heart rate is low. You have to stop the medications. I would advise you to take a combination of Telmisartan 80 mg and Hydrochlorothiazide 12.5 mg once a day in morning. Commonly available as Telista-H 80. I am hopeful that your BP would get controlled by this. For fatty liver you just need to continue exercises and get Hepatitis B and C tested. Also do not consume alcohol in case you do. As far as anxiety and pulse rate are concerned, this variation is not acceptable. Heart rate going from 50 to 100 BPM is very unlikely just because of anxiety. Thyroid disorders play a role in it. Get your TSH repeated again and also get an ECG and fasting blood sugar. Review with the reports. Till then start on medication I have advised. I am hopeful your BP would start getting into control with normal pulse rate with in a week. Review with reports and BP and pulse rate readings after 1 week. Stay healthy." + }, + { + "id": 18914, + "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": 30103, + "tgt": "Despite taking medicine, I have cough and wheezing. What to do?", + "src": "Patient: Hi doctor, I was coughing up dark yellow mucus with blood streaks. So, I went to my doctor and she prescribed Keflex. After about two days, I broke out a rash from head to toe. So, I went back and she put me on Roxithromycin and three days of Prednisolone. I am on my second day of new antibiotics and Prednisolone. I also have asthma. I am still coughing up mucus with streaks of blood, but it is struggling to come out.\u00a0I am very wheezy despite taking Ventolin every 30 minutes. Should I go back to the doctor or just wait till I finish Prednisolone and antibiotics? Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14464, + "tgt": "Why am I having recurrent generalized itching that relieves on taking Cetirizine?", + "src": "Patient: Hi doctor, I have itching problem in the whole body since last six months. When I take the Cetirizine tablet for this then it is fine for 4 to 5 days after that it again occurs. Doctor: Hello. It seems you have chronic urticaria. In more than 50 % of cases, the cause is unknown. The rest of the patients it can be due to any infection anywhere in body or thyroid problems or diabetes, etc. I suggest you get the following tests done. CBC with ESR, S.TSH, S.T3, S.T4. Also, please note if it gets precipitated due to some stimuli such as sweat, exercise, cold, etc. Follow up with the above reports." + }, + { + "id": 24903, + "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": 12870, + "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": 16497, + "tgt": "How can constipation be cured in a child?", + "src": "Patient: Hello doctor, My daughter is 12 years old. She is constipated. Has not been able to have a bowel movement for about 10 days. She has been taking Metamucil, plus lots of prunes, pears, veggies, and generally healthy diet. Also drinking lots of water. Now she has been leaking grainy, liquid stool. This used to happen to her sometimes when she was younger and got constipated but has not happened for years. This morning I had her try a glycerin suppository but it did not help. She spoiled her underwear 5 or 6 times today. She will not be able to go to school tomorrow. I am wondering whether to try an enema or whether that could make things worse. She is incredibly frustrated and upset about missing school. Doctor: Hi. This is due to severe constipation. We need to find the cause of constipation in this kid. Common causes are functional (irregular bowel habits), less common causes are urinary tract infections-anatomic abnormalities. Patients who have anatomical abnormalities, present in early childhood, we need to do barium studies to rule out anatomical abnormalities. As we know that functional constipation is the most common cause. We need to clear her bowel with an adequate dose of laxatives (acute clearing and maintenance dose of laxatives) and modify the lifestyle to regularize the bowel habits. Most of the patients respond with our regimen. If does not she may need further evaluation in form of colonic motility studies. I will not recommend any investigation straight away. I want to see previous routine reports if already done. To follow. Polyethylene glycol (130 gm), one packet in two liters water over four hours, monitor stool consistency, it should be clear water at the end, if it is not clear, repeat same again on same day. Most of the children require 3 to 4 packers in two days duration. No need to worry about loose stools, that will stop after stopping of medicine. By the second day give Polyethylene glycol (17 gm sachet), three sachets at night time. Do not push with force while defecation, pass stool twice in a day, sit for 15 minutes (preferably after food intake). Continue high fiber diet and plenty of water. Local anesthetic gelly (Lignocaine gel) to apply locally (perianal region, before defecation), if she had pain. We need to see her blood hemoglobin profile, urine routine examination. According to that we may need to do tTGA, IgA. Follow up with the response details and previous reports if done." + }, + { + "id": 15595, + "tgt": "What is the painless sore developed over a healed sore on my tongue?", + "src": "Patient: Hi doctor, Before five weeks, I had a sore developed on my tongue. It was white and painless. I consulted an ENT specialist, and he gave me some medicines for cold sores. After that, it turned red and large with a slight crack on the tongue. Now, it has healed, and I have another sore developed over it. It is small and painless. It has white circles and a red center. What could it be? Please suggest. Doctor: Hi. Please send a picture of the lesion so that I can guide you further and I can provide you with a diagnosis." + }, + { + "id": 29415, + "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": 23481, + "tgt": "What to do if there are worms in your child's poop and urine?", + "src": "Patient: Respected doctor,My daughter is 4 years and 3 months old. Nowadays, we are seeing that she is wetting her bed. We checked urine RE. Everything shows normal. But we find that a tiny white worm is dancing in her stool and urine although after a regular checkup she has taken syrup Zentel (10 ml). Please advice what should she take at this moment? Otherwise, all activities are normal. Doctor: Hello. I can understand your concerns. These worms are due to worm infestation in the intestine and as a result, when they come from the anal region, they probably crawl to the vaginal area, and that is why you are seeing worms in the urine too. You need to give Bandy plus syrup (Albendazole and Ivermectin) 10 ml once at night before sleep today and repeat it after one week to treat the worm infestation. Kindly do stool routine microscopy and culture test also. For bedwetting, she is still small, you have to wait for some time. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 26339, + "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": 29150, + "tgt": "What would happen if sweat or water dropped into the blood used for HIV testing?", + "src": "Patient: Hi doctor, I took OraQuick Advance Rapid HIV 1/2 antibody test today at a nearby clinic after waiting the window period for exposure of more than 90 days. I was told that the result was negative.\u00a0My concern may be very paranoid and unnecessary; however, I am more curious than anything. I wanted to know what would happen if for instance a drop of sweat or alcohol or water or any substance landed in the vile that contained the blood sample used for HIV testing? Would that small amount of fluid be enough to affect the test?\u00a0 Subsequently, I had also handed the medical representative a cup of urine for gonorrhea and syphilis. My worry is that some of that urine could have found its way to the vile used for the HIV test. I know this is paranoid but nevertheless wanted to get answered. Thank you so much. Doctor: Hi. You are not paranoid, but genius. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 29753, + "tgt": "My grandmother had a brain hemorrhage and is in ICU. What are the options that we have now?", + "src": "Patient: Hello doctor, My grandmother is 90 years old. She had a brain hemorrhage two days back. She is in ICU. She is unconscious from the last two days. There is toe movement and sometimes, there are some leg movements. She has high blood pressure. The doctors in my place\u00a0are saying nothing can be done. What are the options that we have now? Doctor: Hi. External ventricular drainage. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3565, + "tgt": "Should my hemophiliac son receive coagulant for colonoscopy?", + "src": "Patient: Hi doctor, My son was exposed to warfare chemical in the navy. During his tonsil surgery, he was found to have bleeding disorder. He is suffering from hemophilia and is undergoing a colonoscopy tomorrow. Should he receive coagulant for this procedure? Doctor: Hi. Based on your query, my opinion is as follows: No extra coagulation factor necessary, if PT and APTT are normal. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24189, + "tgt": "Why is there weakness and back pain after delivery?", + "src": "Patient: Hi doctor, A few days back my wife felt weakness and back pain and today she felt too much pain in backbone while sitting and while laying down. This pain started after delivery. She cannot move fast. This time she is in pain and I am very upset about what to do. She is a child's mother so please help. Doctor: Hello. From her young age and recent childbirth, she might have suffered from a slipped disc in her back. Does she have any leg pain? Please note that if she suffers from any urine or bowel disturbance then she will need to see a specialist straight away. My recommendation for your wife is to rest, avoid lifting and have strong painkillers followed by physiotherapy. If symptoms persist then she will need to have MRI scan. For more information consult an orthopeadician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17762, + "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": 9954, + "tgt": "What could be the reason for the recurrent miscarriages?", + "src": "Patient: Hello doctor, I have a history of miscarriage at 18 weeks, and hysteroscopy and laparoscopy confirmed cervical incompetence and my polypoidal endometrium was removed. Recently I conceived again with follicle test procedure during which CG 10000 was injected into my blood, but unfortunately, I had to undergo D and C at eight weeks because of no sign of fetal pole (no yolk sac and heartbeat). My TSH value is 7.44. Please let me know the cause of my first miscarriage and lack of proper development and absence of fetal pole in a second pregnancy. Which is the exact specialty which would be best placed for resolving my problem? Doctor: Hello. It is evident by the history that you have cervical incompetence, and that is what the possible cause of your mid-second-trimester spontaneous abortion. Nextly your TSH (stimulating thyroid hormone) levels are high, qualifying you to be hypothyroid, which is the probable cause of anembryonic gestation, the second time. It is essential that your TSH levels should be rough between 2.8 to 3.2 by taking thyroxine supplementation to attain safe levels for conception and avoid future mishaps. Also, it has to be kept in mind that at 16 to 18 weeks of your next gestation, cervical McDonalds or shirodkar stitch has to be applied to the cervix to avoid spontaneous mid-second-trimester abortion. I hope I have answered your query." + }, + { + "id": 24480, + "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": 3048, + "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": 4499, + "tgt": "How to fix the crack sound in both my hands to get more efficiency in wrestling?", + "src": "Patient: Hello doctor, I have been arm wrestling for close to seven years and with time I have noticed a couple of things about my wrist that are hindering my ability to have healthy progress in this sport. The main issue is with wrist flexion. My problem is that while doing the flexing motion of the wrist with a decent load on it, it cracks in some positions and I lose all my power. In my right wrist, I feel the crack around the ulnar styloid region and in my left wrist, I can feel it around the scaphoid area. The thing is that the thicker the handle of the weight is the better it feels on the wrist, once it is past a certain thickness the cracking stops and I can train properly. Another thing that I notice is that if I try to flex my wrist with squeezed gripper (it is like a plier that you squeeze) then the motion is not smooth at all. I can feel all sorts of cracks and it hurts. The cracks are mainly around the scaphoid area in both wrists, and it is less on the right. Do you believe that a chiropractor could fix this? Do you have any idea of what the problem might be? Please help. Doctor: Hello. I read your concern. In my opinion, the issue is with an excessive sheer force that you create when you flex your wrist is causing bone on bone rubbing and leading to those crack sounds. Depends on the concentration and loading of weight you feel it at different areas between the right and left wrist. You can get a chiropractor consultation to mobilize the wrist and relieve muscle tension. And then do stability exercises and load your forearm, that should be safe. The position of your wrist is always important as wrong positions tend to increase issues, so be cautious. Do a lot of stretching exercises and icing to release tension as of now. I hope this helps." + }, + { + "id": 19516, + "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": 18844, + "tgt": "I contacted asbestos at work. Would it pose any health risk?", + "src": "Patient: Hello doctor, I had some concerns regarding asbestosis. Approximately 10-11 years ago, I worked on a building site. I was asked to remove some insulation off a water pipe in an attic. At that time, I asked the site manager if the insulation was asbestos and he said it was not. I also took a sample of it back to the office and asked the health and safety manager and he also said it was not. As time has gone on I have always wondered if it was asbestos that I removed from the pipe. This was not a task I carried out frequently in my work so cannot think of any other times I may have come into contact with the asbestos. I worked as a plumber for approximately 2 years but I did not really get involved with older buildings. My main problem is that I am a hypochondriac and I recently saw a show on television where it said if you think you may have come across asbestos, speak to your general practitioner. So, I went to my GP and he advised that it would be considered a low risk encounter and people who suffer from mesothelioma are people who work with it day in and day out over many years. He said there was not any concern and that asbestos is in the air in small doses. I said I did not want to end up with mesothelioma and he advised that it was very rare and in his 30 years as a GP only one patient he knew had mesothelioma who worked in a ship building industry day in and day out. He said that even in a worst case situation it would not show up until I was in my 70s (I am just 30 years old now). The average latency period is around 40 years for mesothelioma. My visit did put my mind at rest but I still went for a second opinion and the private doctor advised me the same. As I had paid for a 25 minutes consultation she did give me a physical examination and said everything was normal. After checking my peak flow test in which I scored 660 and my blood oxygen saturation which was 98%, she said it was really good. She said everything was normal and not to worry. But again I find myself still worrying. Please advice. Doctor: Hi Welcome to icliniq.com. I want to assure you not to worry as everything is looking normal to me. I have thoroughly gone through your case and can well understand your genuine concerns regarding asbestosis, mesothelioma and other risks you may be having being exposed to insulation a decade ago. You are 30 years old and there is no latent period for mesothelioma to come up like this. A person at very high continuous exposure of asbestos, may develop asbestosis after more than 20 years. Every asbestosis patient never gets malignant mesothelioma or lung carcinoma (it is same as not every hepatitis B patient gets hepatocellular carcinoma).\u00a0Mesothelioma never comes as a first sign of disease. It first appears as many lung issues that go on for many years and with chronic asbestosis it may sometimes affect the patient. You are all safe and negative for any kind of lung issues. In my view, you are never a candidate of asbestosis or mesothelioma as the pipe insulations you had removed has been confirmed having no asbestos by your safety manager.\u00a0Right now your lungs are all very fine and you did really great with the peak flow testing. Your blood oxygen saturation is very good being 98%.You were at a risk of less than 1% of developing asbestosis. If you were working in an industry like ship making or painting and you inhaled years and years of large amounts of asbestos on a continuous basis, you may develop asbestosis. Same is the case with other pneumoconiosis (occupational lung diseases) categories.If there had been any risks or damages done to the delicate parts of your lungs, you would have most probably been presented as:" + }, + { + "id": 3410, + "tgt": "Even after undergoing CBT and other therapies, I am loaded with emotional blocks. Why?", + "src": "Patient: Hello doctor, I have been going through a tough time for long. I have been looking for a job for about two years and it is very difficult to find one. Although on my previous job, I had several problems with the management taking me for granted. People I trusted dearly broke my trust, hurt me badly and I had still do ongoing problems with my parents as they were not understanding my issues and start arguments with me as the relationship is not good to speak and at work, they could not be fully supportive to me. Yesterday, on my way back from alcohol and drug testing on the train I felt sick nauseous, dizzy, and headaches. I have work tomorrow I do not know what to do. I sent an email to my manager that I cannot come tomorrow and explained the situation about my health. I would like advice and guidance tips for me especially on the therapies too after taking online CBT, talking psychodynamic and EMDR. My therapist told me I suffered a lot in my time here that I need a change, go to a different country and start a new life and job. It is difficult as I have been traumatized with memories, flashbacks, important dates and numbers relating has engrained on my mind unconsciously. Doctor: Hello. I am so sorry to hear about your situation. I can imagine how hard it is for you right now. I can understand that changing the place could be a big step to take and not always possible. I would suggest you continue the therapy. ISTDP (intensive short term dynamic psychotherapy) and CBT (cognitive behavioral therapy), can prove helpful in your case. For emotional blocks, only CBT is sometimes not enough you need to learn to not get stuck by the past memories and have control over your thoughts instead of your thoughts controlling you and your behavior. The physical signs are an expression of the psychological and emotional stress that you have been suffering from such a long time. So, on your own start with maintaining a mood journal and keeping a note of your thoughts and emotions which overwhelm you. Try to spend a few minutes a day practicing relaxation techniques such as box breathing, progressive muscle relaxation, otherwise hear light music that makes you feel calm. You will also require some life coaching to being yourself on track and become the best version of yourself. You need to learn to make yourself and your well-being a priority. I hope this gives you some idea of what you need to do again. So you can find a therapist locally or if you need it. We can start therapy sessions online via video consultation." + }, + { + "id": 23760, + "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": 6120, + "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": 905, + "tgt": "I have brown patches at the back of the neck with no harm for the past few years. Please help", + "src": "Patient: Hello doctor, I am a 26-year-old male. I have black/brown patches on my back below the neck. The whole of my upper back portion has turned black/brown. It has been around 10 years this discoloration started but is now constant (not spreading) for the past 4-5 years. Doctor: Hi. It is pigmented hairy epidermal nevus (Becker nevus or Beckers melanosis). The first appearance of this nevus is in adolescence. It presents as an irregular, hyperpigmented patch. Once present these nevi stabilize after several months or years. Becker nevus is a benign condition and malignant transformation is rare. No treatment is required, although lasers have been used for cosmetic benefits. Its cause is familial and occurs due to mutation. Genetic counseling should be tried." + }, + { + "id": 24231, + "tgt": "What are the medications for weight loss due to hypothyroidism?", + "src": "Patient: Hello doctor, My 78 years old mother is losing weight, and she got her thyroid test done. The report showed serum free T3: 1.97 pg/ml, serum free T4: 0.34 mg/dl, serum TSH (ultrasensitive): 58.97 uIU/ml. May I request you to please advise the future course of action and medication. Doctor: Hello. I just read your query about your mother and from what you have mentioned it appears that your mother has hypothyroidism. I suggest that you ask her to take tablet Thyronorm 25 mcg once daily early in the morning on waking up and then to avoid eating anything for the next one hour. In view of her age, we have to begin from a low dose to gradually proceed towards an appropriate dose. So for now, 25 mcg is perfect. Consult your specialist doctor, discuss with him or her and take medications with their consent. Repeat her thyroid function test after six weeks and then we will review again. Also, get her cholesterol checked as I suspect it to be high as well. I hope your mother is not having any other medical issues as well. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23754, + "tgt": "It hurts to bite. What can be the reason and what medication can be taken?", + "src": "Patient: Hello doctor, Yesterday, I got hit in my mouth and this has affected my front teeth. I hurt\u00a0when I bite down or touch it. I am seeing my dentist tomorrow. Do you have any idea what this is in the meantime? Doctor: Hello,\u00a0 Welcome back to icliniq.com. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10110, + "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": 20958, + "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": 9981, + "tgt": "I have severe itching inside my penis. While urinating it becomes more severe", + "src": "Patient: Hello, I am 30 years old male. For the last 1 week, I am having severe itching inside my penis head and bottom side. And while urinating it becomes very severe. When I wash it with hot water and soap, I could not take my hand out of my penis as the itching is heavy, so I had to massage my penis head a lot to control that. After using fourderm ointment outside the itching area, it is little bit in control. But the itching everytime starts again after I urinate. I do not see any visible difference outside the penis that is causing this itching and I do not see any discharge also. I had sex with a friend 2 weeks ago and used condoms.\u00a0After 2 years I used condoms this time. I am not sure whether this is caused by any infection due to the condom or any other infections such as STD from my partner. I do not know whom should I consult for this issue, an Urologist or a Sexologist? Kindly help me get rid of this itching. Doctor: Hi. First of all get one urine routine test and Fasting Blood Sugar test done.\u00a0Your problem could be either a fungal infection or a reaction to the condom. I advise you to take consultation with a\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9311, + "tgt": "Having problem with tooth filling. Would it be close to the nerve?", + "src": "Patient: Hi doctor, I recently broke a part of my back tooth besides an old filling. A week ago, my dentist removed the old filling and repaired everything with white filling. Since then, I have been getting a sharp pinch to the center of my tooth if I try to chew with it. There is no pain. It is a little sensitive to cold and hot. My bite seems fine and nothing feels off about it. So, I do not think it is a high filling. The filling inside my tooth is deep. There is a lot more depth than my other teeth. So my question is, is this something that requires a crown or root canal to fix the pinching problem when chewing or will it possibly go away? Could it be that the filling is too close to the nerve? Also, when he did the filling, he got some of the filling material on my top teeth and I cannot get it off by cleaning it. Is there any way to get that off of there? Or am I stuck with the rough texture? Thank you for your time. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19805, + "tgt": "I had vaginal itching and now I have soreness. Please help", + "src": "Patient: Hi doctor, I have been having vaginal itching, and it has become a sore. I am currently on Funbact A. I am 21 years old. My weight is 50 kg. I also had the same issue in the past. Doctor: Hello. Apply steroid with antibiotics with the antifungal ointment for local application. Follow the below advise once you consult your local doctor. Tablet Forcan 150 mg (Fluconazole) orally stat after meals, tablet Azithromycin 500 mg after lunch, tablet Tinidazole 500 mg two tablets a day in the morning and at night. Antacid Pan-D (Pantoprazole and Domperidone) one hour before breakfast and before dinner. Also keep Canesten vaginal pessary (Clotrimazole) once at night for seven days." + }, + { + "id": 30742, + "tgt": "What could cause constant pulsatile tooth pain?", + "src": "Patient: Hi doctor, I have constant pain in my front tooth (11). I have not had any trauma to it as of I aware and I take good care of my teeth. I do not have gum disease. There may be a tiny bit of gum recession due to over brushing. The ache is constant. I do not get any pain from cold or hot food or drinks. When I eat the pain seems to disappear, but it is present when I am not doing anything. I can feel it as pulsatile pain. Please help. Doctor: Hi. 1. Long term micro trauma or hypersensitivity. 2. Deep traumatic bite with lower teeth. 3. Tooth decay not visible to naked eye. 4. Sinusitis referred pain. IOPA and pulp vitality test. Pulpal inflammation. After investigations, depending on results treatment plan can be formed. You might require root canal treatment and capping. Revert back with the x-ray to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5133, + "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": 21981, + "tgt": "I have a lump of fat under my breast. What is it?", + "src": "Patient: Hello doctor,I have a roll or lump of fat under my left breast, on the top of the ribcage. It comes down from my chest, it kind of fills the gap from under the breast to the ribs. It is not hard, does not hurt nor is it sore. It is just squishy and soft like normal fat. Is it possible to get fat on just one side of the body like that? Doctor: Hi. The description you gave indicates likely two possibilities, it may be a simple lipoma, that is just accumulation of fat cells, and the other possibility is fibroadenoma that is relatively firm in consistency and freely mobile, both are non-painful and benign conditions. But I would advise you to get an appointment with either Gynecologist or general surgery doctor. Just get it examined, if they feel, they can order an ultrasound of breast or needle biopsy, (although I am pretty sure that is not needed). A mammogram is not a good option for you as due to age. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26581, + "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": 3075, + "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": 27095, + "tgt": "What is causing my brother's arachnoid cyst and epilepsy?", + "src": "Patient: Hello doctor,My 30 year old brother has an arachnoid cyst displacing his hypoglossal nerve. He has no tongue problems, but he has epilepsy since the last 10 years. If I send over his MRI report, can you tell me what causes his epilepsy? Thank you in advance for your time. Due to his new medicine Epilive, he has hallucinations and nightmares. He generally takes only sodium valproate. Doctor: Hello. I read your query and reviewed the attached MRI report. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards. For further queries consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 13306, + "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": 12791, + "tgt": "Kindly suggest me the ways to raise vitamin D level", + "src": "Patient: Hello doctor, I am 33 years old married woman with a kid, working. Recently, took a health check-up and found that my vitamin D levels are very low 5.24 ng/ml, vitamin B12 332 pg/ml. Every now and then I have stiffness in my neck and uneasiness in my knees. Can you please suggest me vitamin D supplements to overcome this deficiency, duration of intake and side effects, if any. I am a non-vegetarian and currently not taking any supplements and not under any medication. Should I be taking any other supplements apart from vitamin D considering my age is above 30. Apart from the vitamin D deficiency, I could see some abnormal values for lymphocyte percentage, lymphocytes absolute count, monocytes absolute count, total RBC, platelet distribution width (PDW) and platelet to large cell ratio (PLCR). Attaching my health report for your further reference. Please advise. Doctor: Hello. Your vitamin D and HDL are low, and iron levels are low normal. Rest all reports are fine (attachment removed to protect patient identity). So, for vitamin D, you should have tablet Uprise D3 (or Calcitriol sachets) 60,000 units with milk once a week for eight weeks and then once a month for the next six months. This will cure deficiency and also replenish your stores. May cause some gastritis, otherwise safe. For HDL, you do not need to have anything, but just have a healthy lifestyle like avoiding fatty oily food, regular exercises like brisk walking or running according to capacity. Also, for iron, have iron rich food like green leafy vegetables like spinach or jaggery, etc." + }, + { + "id": 12135, + "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": 29554, + "tgt": "There is a skin problem behind my ear where the specs rest. Why?", + "src": "Patient: Hi doctor, I have a problem with my specs. There was a skin problem behind my ear where the specs rest. The injury is reddish black in color. One month ago, I had the same type of problem on my nose, the point where the specs touch my left side of the nose. Now, I\u00a0am using contact lenses. After 20 days,\u00a0similar kind of signs are there on the right side of the nose. Though I am not using specs, I still have the same problem. My doctor referred Fusiwal M cream every time. There is no change with the treatment. Please help me. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9358, + "tgt": "Why is there enlarged node six months after unprotected sex even though HIV tests are negative?", + "src": "Patient: Hello doctor, After my risky exposure with CSW, day 10th HIV RNA PCR with Taqman method and four weeks and 12 weeks CMIA test at laboratory, all are non-reactive but symptoms appear after six weeks and still a node exists that is enlarged in front of the ear since three months, no change and no pain. Only one symptom, please clarify the node related to ARS. My tests are concluded? I have read that six months window period is used for ruling out HIV. Is it true? ARS symptom lymph node exists for how many days? Doctor: Hello. Lots of tests you have undergone and all have turned negative, so you cannot label as HIV positive. If the lymphnode is big enough, consult a general surgeon for FNAC needle biopsy and histopathological examination will give clear picture about what it is. So, you can be treated. Till then you can take tablet Signoflam three times a day after food for five days, tablet Augmentin 625 three times a day after food for five days. It may reduce or vanish. Sometimes, it is idiopathic, so remains dormated but you can go for removal of the lymphnode." + }, + { + "id": 21562, + "tgt": "How can I naturally get rid of molluscum contagiosum?", + "src": "Patient: Hello doctor,How can I naturally get rid of molluscum contagiosum? Are there any products, herbs, oils, etc., that I can use or ingest to help it heal? How long will it last? Doctor: Hello. I just read your query. See molluscum contagiosum is a viral infection and if it is not spreading then you do not require treatment. It is self-limiting and will stop on its own. If the lesions are spreading very fast then you may require contemporary treatment like cryotherapy or laser. If you only have some lesions, you can follow this management: Try all these things regularly and you will feel better results. In case of any problem, you should visit a nearby skin specialist. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9159, + "tgt": "What to do for friction blisters?", + "src": "Patient: Hi doctor, I am a mailman and I walk all day. About a month ago, I started developing these white blisters on my scrotum. It just feels like a rash. On my rest days, they disappear. But, once I am back to work and walking in the heat, they return. They appear in two spots on my sack. These are the spots that rub the most when I walk against my thighs. I am thinking some kind of friction blisters, but I cannot be sure. I am pretty sure it is not herpes due to the fact they go away when I am not walking in the heat and only come back when I do. Also, I always wear protection. Please help. Doctor: Hi. I have read your concern and examined your pictures (attachment removed to protect patient identity). It is a kind of frictional folliculitis only and nothing to worry. It is not a herpes. You just take precautions for not to walk too much in hot environment. I suggest you tablet Levocetirizine and apply Lacto Calamine lotion after cleaning your scrotum with normal cool tap water for five days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back after five days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23699, + "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": 23649, + "tgt": "The girl I am going to marry is 33. Is it alright to wait for two years to plan a baby?", + "src": "Patient: Hi doctor, I am 31 and I am going to marry a girl who is 33 years (two years elder to me). If we do not want to plan for a baby for one or two years after we get married, will she face any problems during pregnancy as she will be above 35 years? Also, will the baby have any problems growing up? Doctor: Hello. I went through your query and understand your anxiety. Actually, the chances of conception and having a healthy pregnancy decrease after the age of 30. After 35, the risk of having babies with Down's syndrome increases significantly. So it is best advised medically to conceive sooner. Both your health and medical parameters will be able to establish better on your chances of having a healthy pregnancy later on. Personally, I have had patients conceive naturally or with minimum medical help even at 35 and 40 and have had successful pregnancies and healthy babies. But, statistics do show that as the quality of sperm and ovum decline with age, so does the chance of conception and healthy pregnancy. I hope this information has been beneficial. Let me know if I can help you in any other way. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27266, + "tgt": "I have severe hair loss after hair straightening. What should I do?", + "src": "Patient: Hello\u00a0doctor,I had got my hair straightened twice this year. Now, I face severe hair loss. Even my scalp is visible on one side. What should I do now? Doctor: Hello. Continue these for a month and then you can consult me again. Good luck. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13668, + "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": 15547, + "tgt": "I recovered from left side paralysis. Why do I face difficulty in left leg while walking?", + "src": "Patient: Hi doctor, I am a 31-year-old male, and my weight is 52 kilograms. I am a brain stroke recovered patient. My left side got paralyzed before two years. Now, I am doing all my movements independently. My blood pressure remains low in 100 by 70 mmHg. I face a problem while walking on the left side, in the legs middle, forefinger and there is thumb pain. When I move from an average temperature to cold temperature, I started to have pain in my left leg fingers. Please help. Doctor: Hi. I suggest you wear well-cushioned footwear made of MCR (microcellular rubber) material. It will help you to reduce the impact on the bone while walking and it reduces the pain. Keep yourself warm by wearing socks and avoid exposure to cold. Pain in cold temperature occurs due to decreased blood flow to the foot. Do continuous exercise to maintain function, and this will also help you to come out from your current issues. Keep walking regularly." + }, + { + "id": 22510, + "tgt": "My nose is always blocked. What can I do to get relief?", + "src": "Patient: Hi doctor, My nose is always blocked. No matter, how many times I blow it, little comes out and I still have the feeling of blockage. What can I do? I am taking tablets for blood pressure. Doctor: Hello. From when do you have this problem? Are you taking any medicines for it at present? Do you have any headaches, heaviness or pain around the nose or face or there are any allergic symptoms? There is a possibility of having allergic rhinitis in you. For the short-term benefit, you can use a Nasoclear nasal drop (saline drops) and if it does not help, you can use Xylometazoline nasal drops. In long term, you can use a steroid or antihistamine nasal sprays like Fluticasone or Azelastine. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11030, + "tgt": "Is it safe to use IV Glutathione to get lighter skin?", + "src": "Patient: Hello doctor, I had very dark complexion in the past. But after consuming antioxidants like Vitamin C, E, Glutathione and Alpha Lipoic Acid my skin has lightened up about two to three shades. It has been very helpful but I still need to get lighter. Is it safe for me to get IV Glutathione? I have heard it absorbs quickly and gives results within one or two sessions. Other than that what can I do to lighten my skin? Doctor: Hello. Injectable Glutathione is not FDA approved. Still, it is used by many people to reduce the skin tone by two to three shades. It is a once-a-week injection for four weeks, then once in two weeks for four weeks. If there is no response after three to four sessions then further treatment should not be taken. I personally would not advise taking IV Glutathione as the results are not permanent. Skin color changes back to the normal tone after three to six months of stopping treatment. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 19355, + "tgt": "Is surgery needed for shoulder dislocation and fracture?", + "src": "Patient: Hello doctor, I wish to know if a surgery is needed for shoulder dislocation-cum-fracture. The patient is already undergoing treatment for arthritis and depression. So, will there be complications if put on anesthesia? Doctor: Hello. Revert with more information to an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30494, + "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": 5419, + "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": 13741, + "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": 8668, + "tgt": "I am worried about the bump at the tip of my nose. Please help", + "src": "Patient: Hi doctor, About 7 to 8 weeks ago, I woke up and noticed a tiny, pin-sized bump at the tip of the nose. Initially, I thought that it might be some sort of underskin or stuck blackhead. When I squeezed it, nothing came out. I poked the top layer of skin gently, and a bit of blood squeezed out. So, I figured that it must be a little pool of blood. When it did not go away for a\u00a0week and started to raise a bit, filling with fluid, I went in to see my esthetician, who cauterized it. It turned pink, went back to the original tiny purplish-black underskin dot and then started filling with fluid again. I went back to her, she applied a chemical peel, and it went away. Again it gave rise to a little blackish-purple under skin dot filled with fluid. It now looks a bit like a blister. It is tiny, but tender to touch,.I do not want to pop it because doing so has not helped. I made an appointment with a dermatologist, and I want him to be able to see this without prodding or poking. But, of course, I am incredibly worried and wondering if there is anything I can do. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1475, + "tgt": "What is the recommended course of action for LAD stenosis?", + "src": "Patient: Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segment eccentric calcification. Soft plaque in LAD causing 50% stenosis.\u00a0What is the recommended course of action? Doctor: Hi. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be severe. In case of single artery involvement in coronary artery disease (CAD) it is best to have an angioplasty of the vessel with stent placement. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4452, + "tgt": "Why do I have the feeling of insect moving on the skin?", + "src": "Patient: Hello doctor, Other than a psychiatric condition such as delusional parasitosis, are there any known real pathogens that can produce the sensation of loads of tiny insects residing and moving upon the skin\u00a0that can spread or move throughout the body and causing intense itch? If so please provide names. Doctor: Hi. For further doubts consult a microbiologist online --> https://www.icliniq.com/ask-a-doctor-online/microbiologist" + }, + { + "id": 2896, + "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": 25651, + "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": 20968, + "tgt": "How to maintain a healthy heart with normal BP?", + "src": "Patient: Hi doctor, My echocardiogram reveals borderline LVH. My cholesterol is 212 mg/dL and triglyceride is 283 mg/dL. I have been prescribed with Tazloc 40 mg, Nebicard 5 mg, and Rozucor F5. I am very much anxious about my heart. What can I do now? Doctor: Hi. You can have a healthy lifestyle by avoiding fatty, oily, and high-calorie diet. Have a low salt diet and monitor your blood pressure regularly thrice a day for one week. Follow them once or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then the medicines are needed to get hiked up. Do regular exercises like brisk walking, and jogging according to your capacity for at least 30 minutes a day and five days a week. Take lots of green leafy vegetables, fruits, and fish once or twice a week, and avoid taking meat. Avoid smoking and alcohol. Repeat your lipid profile after eight weeks of a healthy lifestyle and see the response of the healthy lifestyle or else get yourself started with medicines like Rosuvastatin and Fenofibrate combination." + }, + { + "id": 19894, + "tgt": "I am still worried about the vaginitis that I got due to NuvaRing, two years back. Please help", + "src": "Patient: Hello doctor, My problem has resolved, but I am still worried. Two years ago, I was on NuvaRing, and I was getting multiple yeast infections. I went to a couple of doctors, and they said it was yeast and also vaginitis. After months of itching and at times white curdy discharge, I was getting a red rash outside my vagina, which looked like jock itch. I was getting tears inside and outside the\u00a0vagina. I stopped using NuvaRing, and I got an IUD. After the IUD, my symptoms went away,\u00a0and I have not had any issues for years. I am worried now. Do you think it could be something else besides yeast? Doctor: Hi. Thanks. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13954, + "tgt": "Getting pain in my horizontally impacted wisdom tooth. What is the next step of treatment?", + "src": "Patient: Hello doctor, I have horizontally impacted wisdom tooth. I have an appointment to get them removed. But I started getting pain in the lower left base of my head. I think my tooth has got infected. I could see right into my lower left wisdom tooth, and I am keeping it as clean as possible with brushing and salt water gargle. Doctor: Hi. I can understand your concern regarding dental health. The occurrence of pain is very common in an impacted wisdom tooth. That is very good that you are keeping it clean as much as possible in multiple ways. But, if your pain is too much, then go for the dosage of antibiotics and analgesics under the prescription of your dentist only to relieve the pain and inflammation. Hope this information will be helpful to resolve your query, and further queries are always welcome. I will like to answer them." + }, + { + "id": 19528, + "tgt": "My friend has a throat infection. I was along with him while he had the infection. Could I have a throat infection?", + "src": "Patient: Hello doctor, I am 15 years old and my friend has a\u00a0throat infection. I was along with him while he had the infection and now the roof of my mouth and throat is kind of sore. It feels like there is mucus stuck there and I have a weird taste in my mouth. Could I have a throat infection? And if I do, is there anything I can do at home to get rid of this\u00a0sore throat? Doctor: Hi. I understand your concern.\u00a0There are chances of spread of throat infection\u00a0through: Thus, there are fair chances that you might have acquired infection from your friend.\u00a0You may now go for these investigations: If report shows any infection like staphylococcus then consult an\u00a0ENT otolaryngologiist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27584, + "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": 23208, + "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": 7820, + "tgt": "I have bothering bumps on my retromolar pad. Please help", + "src": "Patient: Hi doctor, I have two pea-sized bumps on my retromolar pad, and it is bothersome when I swallow. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29019, + "tgt": "What is the cause and treatment of muscular dystrophy?", + "src": "Patient: Hello doctor, I have been diagnosed with muscular dystrophy, and it said I show early features of this muscle disease. But my CPK-MB, ECG, echocardiogram, and chest x-ray all came back normal. I have been down with this serious weakness since I was five years old, but I was diagnosed this year. I used to breathe hard and fall frequently, but it has all stopped now. I still feel weak, stand with my legs crossed, have a waddling gait, and stand up with great difficulty.\u00a0What might be the cause? Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24786, + "tgt": "Would Zantac make allergy skin test false positive?", + "src": "Patient: Hi doctor, I have had a history of coughing\u00a0for a few weeks here and there in spring and fall. It will be fine after about three weeks. Then, my throat will\u00a0start to itch, and I will begin to have trouble talking. Later, I start coughing explosively. Once I get to the coughing phase, my eyes start watering. It looks like I am crying and I will either cough until I throw up mucus or fluid or vomit if I have just eaten, and then I can breathe again. It happens on the bus, at work, and sometimes at night. When I do not have these odd coughing spells, I feel fine. There are no sore throat, vomiting or GI symptoms. Sometimes I will have the sniffles. I hugged a friend at the dance, and I went from fine to immediate coughing in about 5 to 10 seconds. I will have a few weeks of this, and then it will clear up on its own. Last week, this happened about 10 times, and itchy throat spells where I worked on breathing through it. I am always sucking on throat lozenges during these weeks.My total IgE level taken during one of these symptoms filled weeks was 736 ug/L, where\u00a0reference range is less than 416 ug/L for adults. Medications I was on during testing include Zantac (Ranitidine) just in case it is acid reflux\u00a0and Ibuprofen for menstrual cramps. They did a skin test this week to try and start figuring things out, and two types of dust mite and something else came back positive. Spirometry is waiting on results. I have never been able to run a mile outside without stopping to catch my breath a few times. I got bronchitis a lot as a kid. It seemed like if I got a cold, it would inevitably move to my lungs before getting better.\u00a0My GP was hesitant to order the total IgE level because she said it was often falsely positive. Would Zantac make IgE or allergy skin tests falsely positive?\u00a0Is this likely to be allergic asthma? How best should I treat it? Doctor: Hi. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 596, + "tgt": "I have severe eye infection with increased WBC and neutrophil levels. Can this be due to stress?", + "src": "Patient: Hello doctor, I had a CBC (complete blood count) done yesterday and it came back with elevated WBC of 13500, with neutrophils 9000 (more or less), ESR 36, and close to normal lymphocytes. My urine sample was negative. I had a severe eye infection that lasted about 10 days and started clearing up really nicely yesterday. When I had the blood work done, I was crying for an hour due to unrelated massive stress factors. I have severe anxiety and I am going through a rough time, I am hardly ever at ease. I am mentioning this because I read stress can be a factor. I am worried because my levels are elevated and I show no signs of infection apart from the eye (which still has a little pus). I do not go out due to COVID-19 at all. Food is delivered and handled in a very safe way, packages are disinfected and I have no contact with anyone. I am puzzled as to where an infection could come from. My doctor thinks it is a bacterial infection and has put me on antibiotics. I am very worried about cancer. Should I be? Doctor: Hello. Following is my opinion for your asked question. Your total count and neutrophils are elevated. So it could be due to bacterial infection or stress as per provided history. You can complete the course of antibiotics. Meanwhile, try to reduce stress and anxiety by yoga, exercise, breathing exercises, etc. You can be prescribed anti-anxiety medication for stress. It does not seem to be cancer according to history provided. However, kindly attach your all reports so that I can check it and can give you detailed comments." + }, + { + "id": 17400, + "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": 16288, + "tgt": "My son is breathing through mouth and not nose. What can I do for it?", + "src": "Patient: Hi doctor, My son is eight years old. From birth to till now, my son is taking Penicillin for the ear and throat infections. He cannot breathe through the nose. He uses mouth for breathing for years. What can I do now? Please suggest. Doctor: Hi. You son is suffering from upper airway obstruction. It causes him to breathe through the mouth. It could be a result of allergies or inflammation of adenoids behind the nose. It can be cured by steroid sprays. It is just a part of the treatment. If there is some other form of inflammation of adenoids, then he needs removal of adenoids. If your son becomes unresponsive at any stage, then he needs surgery. Mouth breathing can also lead to a complex problem such as adenoid facies." + }, + { + "id": 804, + "tgt": "Is it necessary to get mobile teeth removed?", + "src": "Patient: Hello doctor, I think I have gum disease. My teeth are starting to move. Will my teeth have to be removed? I have no bleeding gums there, not red. Doctor: Hello. I went through your query , I would like to see an image of the area myself, kindly upload. Let me know if there is any history of diabetes. Mostly seems to be a periodontal problem." + }, + { + "id": 30592, + "tgt": "Have started my contraceptive pills on the third day. Would they be effective?", + "src": "Patient: Hi doctor, I have started taking Novelon birth control pills from the third day of my period. Will this contraception be enough? This is the first time I am using the pills. Please advise. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12646, + "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": 14756, + "tgt": "What can be done for fever with sore throat and reddish brown urine?", + "src": "Patient: Hello doctor, I am having high and low fever for the past few days and starting from yesterday, I have sore throat. I went to pee just now and saw the color is a bit reddish brown. And one week before fever, I had a few mosquito bites which are itchy on both the legs. Doctor: Hi. It could be a viral fever followed by acute glomerulonephritis if there is blood in urine, judging from the reddish brown urine you mentioned. Or it could be a urinary tract infection. In both cases, you must get a urine routine and microscopic examination plus a complete blood count test done initially. If you have other symptoms like abdominal pain, vomiting, etc, you must let me know. For now stay hydrated and get the tests done as soon as possible. If you continue to pass blood with urine, you need to go to the ER." + }, + { + "id": 10780, + "tgt": "I have a painless pimple like swelling above penis area. Why?", + "src": "Patient: Hello doctor, Yesterday onwards I could see one small swelling, seems to be a pimple like one appearing above my penis area. Could you please explain this? I do not have any pain but feeling afraid. Doctor: Hi. The pimple like small swelling you say is not painful and no other similar swelling anywhere else. Was there a history of sexual contact with an unknown woman unprotected prior to the appearance of the lesion, any swellings around your groin, the swelling, is it ulcerated? Is the color same as your normal penis colour or is it darker? Is there any pain on urination? Based on your presenting symptom, if there was a history of unprotected sex, it may be primary syphilis or penile wart because these do not come with pain. Do laboratory test such as VDRL, then you can get medications IM Procaine Penicillin 1.2 g daily for 10 days, tablet Doxycycline 100 mg BD for five days." + }, + { + "id": 1476, + "tgt": "Why do periods get delayed following an I-pill?", + "src": "Patient: Hi doctor, We had sex on her fourth day of the period. She took an I-pill within two hours. She got bleeding after five days. Today is the 27th day after sex, she got some nausea at noon, but no other symptoms. She got an I-pill previous month. Is it the temporary hormonal problem or she might be pregnant? Can she use pregnancy kit now? Please help. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29645, + "tgt": "Why did my libido reduce after wedding?", + "src": "Patient: Hi doctor, Before my marriage, my libido was very high. But, my libido has reduced after the wedding. It has been only one month since my wedding. Please suggest some medicines to overcome it. Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1273, + "tgt": "Is there a possibility for an abnormal baby if grandkids of own sisters marry?", + "src": "Patient: Hi doctor, I want to know if my two sister's grandson and granddaughter get married, will their baby become abnormal? Or will the marriage affect their kid in any other way? Please explain. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15108, + "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": 7159, + "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": 7333, + "tgt": "I am suffering from burning sensation all over my body. Kindly advice", + "src": "Patient: Hello doctor, I am feeling burning in my whole body, especially in ribs and sometimes shoulders. Why? Doctor: Hello, Welcome to the icliniq.com. The burning pain is usually due to nerve irritation by neuropathy. The cause for peripheral neuropathy could be due to diabetes, cervical spinal problem, etc. You need to investigate with random blood sugar estimation an X-ray of the cervical spine. I suggest you consult nearby physician for detailed evaluation also. Meanwhile, you can take because like multivitamin B complex tablets. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 29868, + "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": 25487, + "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": 9458, + "tgt": "I ejaculate too early. I feel embarrassed. Please help", + "src": "Patient: Hello doctor, I am a 21 year old male. At the age of 13 to 18, I was addicted to masturbation once daily, but from the last two years, I am not masturbating. Last year, I found a leakage in case of sexual excitement, from my penis, and pain in the testicles at the moment of excitement. I consulted a well-reputed Ayurvedic doctor for same. He checked my rating and said that I have ED and PE. He gave me medicines for three months approx. After the course, I tried to have sex. After I got completely excited, my penis was fully erected but I was feeling pain in my testicles again and I ejaculated within 5 seconds, which was really embarrassing. I again went to the doctor. He said that it might be due to a urine infection and asked me to do a urine test and penile Doppler test. I did the same, but no luck. I am attaching all the reports. Help me, please. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 3832, + "tgt": "What kind of mitochondrial poisoning can stay in body for longer period?", + "src": "Patient: Hello doctor, Do you know what kind of mitochondrial poison can stay in the body for more than five years?\u00a0I have a patient with symptoms which looks like a mild mitochondrial poisoning for the past five years. There are only few mitochondrial poisons. So, do you think any one of them can stay in the body for such a long period? Doctor: Hi. For further information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 26509, + "tgt": "How can someone with an avoidant personality overcome that and lead a normal life?", + "src": "Patient: Hello doctor, I am a 29 year old male. I recently took an online psychology test and found myself to be a dismissive-avoidant personality type. I took the test because everything is not fine in my life and I want some solution. I am single, and highly educated, managing my own business and live with my parents. These are the details about my life and problems happening. Personality: I am an introvert and do not like attending social or family gatherings. The last time I attended any marriage party was twelve years ago of my brother's. I do not have any friends now and had few friends during college. I do not like waiting in line, crowded place or traveling much. I like to spend time alone, reading, listening to music, etc. I work from home alone since my nature of work is online and have not taken a\u00a0break from work in the last five years. I am a kind of person who wants control, freedom, independence in life, very practical and live in the present. I hide many personal feelings and do not share them with others because for me it is a\u00a0private matter. I feel like I trapped myself in a self-imposed social isolation and do not know how to come out of that. Family: Mine is an upper-middle-class family. My elder sister and brother are married and stay outside. I am the youngest of the three and live with my parents. In childhood and adulthood, my relationship with my family members was good. As I got older and learned the\u00a0real meaning of life, it feels like all the relationships are transactional in nature. They care for you till you have resources and once your money is over none care for you. I know parents care for you if you care for them and same is the\u00a0case for siblings. Frankly speaking, I do not have a\u00a0good relationship with anyone in the\u00a0family. They do not like me due to my nature of living in own world and avoiding family gatherings. Relationships: I had many failed relationships in the last ten years and most of them were long-distance. I have not yet gotten over the pain of my past breakups and some pain is still inside. It feels my heart is broken, but I am smiling to make myself and others happy. Some relationships did not sustain due to my partner not agreeing, family not agreeing, incompatibility in choices, etc. I moved from one broken relationship to another just to forget the breakup pain. Now, I am cold to relationships, have commitment problems, and feel like running away from responsibilities. I have taken decisions in life thinking about my career or goal without thinking about my partner's feelings and the effect on the relationship. I am in another relationship now and thinking of marriage, but somehow my past breakups and personality issues are causing a\u00a0problem. These are some queries I need your help with. Is there any problem in my personality or life? What is the solution to problems in my personality or life? Am I having a dismissive-avoidant personality issue?\u00a0 What is the cure for dismissive-avoidant personality? What other suggestions would you like to give me? Looking forward your reply. Thank you. Doctor: Hello. I understand. I wish to have a video consultation with you for further assessment. Take care. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 3589, + "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": 28889, + "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": 15168, + "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": 13822, + "tgt": "I wake up after sleeping with high heart rate and breathing problems. Is it normal?", + "src": "Patient: Hello doctor, I nearly wake up every night two to three hours after I go to bed. Symptoms are high heart rate (150 to 170) and breathing problems. My heart has been diagnosed and today I got an X-ray of my lung. What I think is strange. I only wake up, when I lie on my right side. I never woke up with these symptoms, when I lay on the left body side. I got the X-ray CD, but the diagnosis I will get in a few days. Could you please diagnose the uploaded DICOM files? Doctor: Hi. I have viewed your X-ray images (attachment removed to protect patient identity). X-ray chest PA view and X-ray chest lateral view. The lung markings are mildly prominent and it can be a normal finding in many individuals and some people with hyperactive airways due to mild flu or if they are smokers. There is a small area of haziness in the left lower zone along the lower part of the left heart border in the PA view but no significant abnormality is visualized in the lateral view. Therefore this might be an artefactual appearance due to fat in the area. There is no pleural effusion (no fluid in the chest cavity) and is a normal finding. The cardia is normal in size. Both the domes of the diaphragm are normal. The bones of the thoracic cage are normal. There is no serious abnormality in your chest X-ray." + }, + { + "id": 7143, + "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": 26020, + "tgt": "There are recurrent cluster of bumps on the penis every three months. Why?", + "src": "Patient: Hello doctor,I have a cluster of bumps on the penis. This has been going on and off for two years. I have this recurrent cluster of bumps. They appear at the same spot about every three months. Doctor: Hello. Your concern may be condylomata accuminata. It is a type of viral infection due to human papillomavirus. Do you have any history of unprotected sexual exposure? If yes, go for an STD panel investigation which includes: Plan for cryotherapy for the existing lesions. You require episodic treatment whenever new lesions pop up. If you are married, get a Pap smear done for your spouse. This may help you. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 6147, + "tgt": "My 10 months old daughter has cross-eye with normal focus. Will it corrrect on its own?", + "src": "Patient: Hello doctor, My daughter is 10 months old and has a little cross-eyed. Her eyes movements are normal, and so focusing on objects and all behavior seems normal. I was told by our family pediatrician that it is minor and might go away as time passes. Please check the attached photo and let me know your opinion. Doctor: Hello. I reviewed the history and saw the photos. (attachment removed to protect patient identity). Squint or crossing of the eyes needs evaluation and treatment. In your daughter's case who is 10 months old, the first thing to be done is differentiating pseudosquint from the squint. Pseudosquint does not require any treatment. If it is true squint it requires evaluation by an eye doctor or preferably by a pediatric ophthalmologist. The tests required are: 1. Refraction to rule out accommodative squint. 2. Visual assessment to rule out amblyopia. The next treatment depends on the type of squint. In refractive or accommodative squint, only glasses are sufficient. In congenital squints, surgery may be required. I would like to advise you that all squints require evaluation by an eye doctor. If the squint is diagnosed, early treatment is very important for correction and proper visual development. Hence, I advise you to consult an eye doctor or pediatric ophthalmologist without any delay for confirmation of diagnosis and treatment accordingly." + }, + { + "id": 8392, + "tgt": "Are Ashwagandha and Shilajit good for boosting testosterone while body building?", + "src": "Patient: Hi doctor, I am 28 years old. 80 kg and 5 feet 7 inches. Regular to the gym. Instead of using any artificial testosterone or any type of supplement in the gym, I recently found out about Ashwagandha and Shilajit which are natural and provide a testosterone boost naturally. Is it safe to consume 600 mg of both everyday? And, if Ioccasionally drink alcohol during this course socially will that harm me or my body? I also take Liv-52 on a regular basis and follow a healthy diet when I am regular to the gym. My work consists a lot of traveling. So, when Ido not workout, I skip my vitamin and my supplement course and only continue it when I start again. Is this fine? Please assist. Doctor: Hello. You have selected good natural medicines to testosterone booster. We do prescribe these medicines to improve natural body strength and immunity, and not specifically for body-building. But, you can use it on regular basis for two months. If Ashwagandha is available in the form of powder, then take 3 g twice a day with warm milk after meals and if it is in the form of tablets or capsules take two tablets or capsules twice a day with warm milk after meals. Shilajit is available in the form of tablets and capsules. Take one tablet or capsule twice a day with warm milk after meals. Liv-52 is a combination of several natural herbs which has detoxifying and appetizer properties. You can take 10 ml syrup or one tablet twice a day after meals. In this period, you should avoid smoking and drinking. Avoid spicy and fried junk foods. Drink plenty of water after half an hour foods intake. Further, if you have any queries regarding this concern feel free to revert back. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10056, + "tgt": "Why do I have a wet feeling inside the anus?", + "src": "Patient: Hello doctor, I have a wet feeling inside the anus for the past one year. I did a colonoscopy and sigmoidoscopy, and the doctor said that everything is fine. They said probably the wet feeling is due to sweat. Swab culture and sensitivity report showed up Klebsiella pneumoniae. I took Augmentin 625 and applied ointments. But I feel it is some liquid discharge from the anus skin. Can you suggest some medication? Doctor: Hello. An anal leak is mostly due to underlying reasons, which need to be thoroughly investigated. Although we can together try reaching out on differential diagnosis. Regards. Revert with more information to a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 13151, + "tgt": "Why am I having green bump on penis with two black bumps on it?", + "src": "Patient: Hello doctor, Green bump on the penis that has two black bumps on it, along with another black bump to the left. What do I do and what can I do about it? Doctor: Hi. These are comedones (blackheads). They are formed from clogged follicle of a particular area. They are not to be afraid of. So do not worry about them. One thing to remember is to not squeeze or push them because it will make them worse. There are creams that can exfoliate them. Different home remedies are available that can exfoliate it. Infection of hair follicle, clogged follicle due to excessive sebum. Comedones. Comedones. Take baking soda and make its paste in 100 ml of water, apply a paste over blackheads three times a day and rinse with lukewarm water. Maintain hygiene of the area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 9804, + "tgt": "My fingers are twitching constantly. Is this panic attack?", + "src": "Patient: Hello doctor,I have been dealing with some issues lately regarding panic attacks. I am not sure what it is, but it is scary. I had three panic attacks in one day, or I think they are panic attacks. My fingers will twitch consistently then lock up and lose circulation, along with my whole arm, on both sides. My upper right lip will switch and my eye will too, then my cheek all while pulling my head back in the same motion.And all, while this is happening someone, will be trying to talk to me but I cannot speak, almost like being catatonic. I am a little skeptical about if they are panic attacks or not. Mainly because I usually have them when I am stressed, but I had two more again today, and I am not even stressing about anything. Doctor: Hello. The symptoms you are experiencing can be possibly due to hyperventilation during panic attacks. These can give rise to tetanic symptoms like tingling in limbs and face, muscle stiffness, trembling in hands, etc. It is advisable to consult your primary care doctor initially so that he can complete a necessary examination to rule out any physical causes that may cause similar symptoms. It will help to learn regular breathing and relaxation exercises. It will get better with practice. Also, learn strategies to manage stressful situations. I hope this helps. You can contact us again for any further advice." + }, + { + "id": 19726, + "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": 7472, + "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": 4727, + "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": 1799, + "tgt": "I have fluctuations in heart rate with chest tightness and fatigue. Please explain my EKG", + "src": "Patient: Hello doctor, Can my EKG be overread, please? My general practitioner read mine and I would feel better if a cardiologist looked at it. I have a lot of fluctuations in heart rate, shortness of breath, chest tightness, fatigue, and dizziness. Labs show a positive D Dimer, elevated SED rate, elevated platelets, Vitamin B 12, folate, and vitamin D deficiency. Ruled out clot in lungs with CT scan, no signs of fluid in lungs, no mono, and negative for COVID-19. Waiting for Holter monitor results. I started treatment for vitamin deficiencies. Doctor: Hello. Your ECG (electrocardiography) is normal. (attachment removed to protect patient identity). I think you are talking about a slight variation in heart rate in this ECG strip. Yes, it is there and it is called sinus arrhythmia. Sinus arrhythmia is a perfectly normal arrhythmia. It is one of the only two rhythm problems which are called good arrhythmias. Do not worry about this. This sinus arrhythmia means your heartbeats are perfect. If you are talking about some other type of heart rate variation, Holter will clarify it. If there is any rhythm problem you feel concerned for, you can ask anytime. Positive D dimer is very nonspecific, and diagnosis cannot be made on it alone. Keep taking Folate, vitamin B12, and D supplements. I hope this helps." + }, + { + "id": 14051, + "tgt": "What can cause pain in pinky finger while moving?", + "src": "Patient: Hello doctor, My pinky finger on my left hand (which is my writing hand) is hurting a lot. I have to keep moving it so it will not go numb and it is going red like in the photos from my pinky down to the knuckle on the side of my hand, it feels strained or dislocated every time. I run cold water on my hand doing dishes or washing my hands. Sometimes, it feels like it has a severe cold burning or numbness. But every time I am moving it, it still really hurts so much. Doctor: Hi. The cause of redness with or without numbness in your pinky finger could be from Raynaud's phenomenon, nerve disease, vasculitis or rheumatoid arthritis. Since you are complaining it to be related to cold exposures, it is more likely to be Raynaud's phenomenon. This process is due to cold injury to the blood vessels which are contracted because of the chilling effect of cold. This is also to conserve the heat inside leading to cyanotic spells in the peripheral vasculature. It is quite common in some persons after exposure to cold there is progressive redness and then bluish to purple discoloration of the skin accompanied with warmth and pins and needle sensation at the affected area. I advise you to protect yourself from cold. Use of vasodilator drugs is part of a conservative regime that is advised in mild cases after consultation with a doctor. If the problem persists, I would suggest you consult a rheumatologist." + }, + { + "id": 19695, + "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": 18288, + "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": 22537, + "tgt": "I have sharp pain in my ribs when I am breathing. How can I get relieved?", + "src": "Patient: Hi doctor, While working out today, I was doing a shoulder press. I was doing it too fast, and at one point, I got a sharp pain in my back, near where my ribs meet my spine. Since then, I am also having very sharp pain when inhaling and exhaling, as well as when rotating my torso or neck. Should I need to go for urgent care? Currently, I am taking Zyrtec, Amino acid supplements for energy and muscle recovery, hormonal IUD. Doctor: Hi. It looks like you have muscle spasm or strain. You can use over-the-counter Motrin 600 mg (Ibuprofen) twice or thrice a day with the meal for two to three days and there are topical analgesics available for the gentle massage. It will get better within two to three days. If it does not get relieved, you can see your doctor. Take rest from the shoulder exercise for a week. Get immediate help if you feel that this pain is significantly disturbing breathing activity. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18542, + "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": 18390, + "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": 1363, + "tgt": "Why do I have off and on neck and head pains?", + "src": "Patient: I have had off and on neck head pains kind of like a headache. My scalp in the back center is a little tender and when I cleaned my left ear I had pain deep inside. Started 3 days ago with killer headache coming from left side behind ear. Scalp tenderness towards the back of the head. Doctor: Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I understood that you are having an off and on headache, likely a chronic headache. for the last 3 days, you are having a new-onset headache, which is triggered by cleaning your left ear, associated with scalp tenderness and pain behind ear. There are several possible causes of a headache behind the ear. One of the most common causes of such type of headache is occipital neuralgia. in this condition, occipital nerves are injured or inflamed The nature of pain is piercing and sometimes throbbing or similar to the feeling of an electric shock. for such pain, you need evaluation, maybe a scan, medications that decrease nerve pain such as carbamazepine, pregabalin, etc. Another common cause is Mastoiditis. It is an infection of the mastoid bone, which is the bone directly behind the ear. It can cause a headache behind the ear It is mostly associated with fever, discharge from the ear. In your case, it is likely possible as you have a history of ear trauma while cleaning your ear. Simply taking anti-inflammatory medication and antibiotics will help. Other cause includes temporomandibular joints (TMJ) inflammation. These joints can become inflamed and painful. there is sense jaw tightness and pain in addition to a headache behind the ear. Lastly, migraines can present in a various manner. As your having chronic headache it is also a possibility. It is important to find out the specific cause, so it can be treated appropriately. New-onset headache we like to search for red flag symptoms. This are Sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness such systemic illness (fever, stiff neck, rash)as fever, focal neurologic signs or symptoms. If these red flags are present, it needs urgent medical evaluation. Some home remedy for symptomatic relief of pain are over-the-counter anti-inflammatory drugs, such as ibuprofen, paracetamol massage of neck muscles apply Heat packs, if swelling then apply a cold pack to take rest in a quiet room Hope this is helpful. Regards" + }, + { + "id": 4449, + "tgt": "What could be the black stains present in my baby's teeth?", + "src": "Patient: Hi doctor, I have noticed this black stain on my daughter's teeth recently. what could be the cause? she has got her lower two teeth in 8 months and upper at 10 months. I started brushing her teeth a week ago. Doctor: Hello. I have gone through your attachment (attachment removed to protect patient identity). After watching the photograph, there seems to be extrinsic stains. These may be because of improper brushing, food stains, etc. Proper cleaning of teeth and cleaning of teeth after taking food will remove them if they are extrinsic food stains. If not getting removed kindly visit a nearby dentist. There may be another reason also for black stains or stains. What kind of toothpaste do you use, fluoridated or non-fluoridated? For any catch regarding caries, it should be checked clinically. Drinking water fluoride levels also important to know." + }, + { + "id": 8925, + "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": 15439, + "tgt": "What can be done to reduce chest and abdominal pain due to stomach ulcer?", + "src": "Patient: Hi doctor, I am 29 years old male. I have chest pain, abdominal pain from the last two months. Recently, I visited a gastroenterologist. He tested endoscopy, RUT and vitamin D. I have a small ulcer in the stomach, RUT test is also positive because of H.Pylori bacterial infection and vitamin D is below 10. I am using antibiotics from 10 days but chest pain was not controlled. I have taken ECG also, it is normal. Please suggest me how to reduce pain in my chest. Doctor: Hello. An elaborate description of your chest pain would have helped much, but as you reported your ECG is fine. I do not think it is related to any cardiac cause. If the chest pain develops after some physical activity you must get yourself a TMT (treadmill test) done to rule out angina. As you told that you have got an upper GI endoscopy with rapid urease test done and an ulcer was found on UGIE. You must be on triple drug H.Pylori eradication therapy the duration of which is about 10 to 14 days. So do not worry, first finish off your HP kit. Your gastroenterologist will call you for a review endoscopy after four weeks to look out for ulcer healing. before that stop PPI (proton pump inhibitor) for at least seven days. and get a stool antigen for H.Pylori done or any other test to confirm eradication of H.Pylori. You can try the following lifestyle modifications. (Although they are of benefit in GERD only). Keep a few pillows while sleeping, to elevate your head end. Sleep on left-lateral position. Try reducing weight if you are overweight. Do regular exercise for about 30 to 45 minutes per day for at least five days a week. The following are of unproven benefit: Eat small evening meals, and avoid sleeping just after a heavy meal. Do not eat heavy late night. Reduce your tea or coffee intake. If it is pain due to GERD it will be reduced by the above measures. An ulcer pain, usually responds to the PPI therapy. Give some time for treatment to respond." + }, + { + "id": 16610, + "tgt": "Can you help interpret my endoscopy results?", + "src": "Patient: Hello doctor, My endoscopy shows microscopy A and B - Mucosa of the gastric body and antrum exhibiting mature typical glandular epithelium, areas of mild interstitial edema, focal hyperemia alongside rare inactivated lymphocytes in the lamina. An absence of intestinal metaplasia. An absence of bacilli from the Helicobacter pylori pattern by May-Grunwald Giemsa staining. Conclusion: A - Body light gastritis. Negative search for Helicobacter pylori. B - Antral mild gastritis. Negative search for Helicobacter pylori. I need to understand my endoscopy results of \"focal hyperemia\" along with rare inactivated lymphocytes in the lamina. Is this an infection with an inactive v\u00edrus? Is there a cure? How do I treat it? Doctor: Hello. This term simply indicates there is a little inflammation in your lamina that is part of your stomach. Hyperemia means there is an increase in the blood flow around the area in lieu of inflammation. As such, there is no infection based on your reports. Lymphocytes are normal cells of your body. This report does not signify any sort of infection. The most common infection found in the stomach is H. pylori (Helicobacter pylori) that is absent in your case. Now, to help you better in regard of treatment i need following details first: For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7459, + "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": 30464, + "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": 15871, + "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": 1706, + "tgt": "Is it normal to get prolonged bleeding after two weeks of medical abortion?", + "src": "Patient: Hello doctor, I had a medical abortion during my 7th week of pregnancy, and bleeding lasted for 10 days. A few days after, the bleeding stopped and I had pain in the right lower abdomen that lasted for 24 hours. Two weeks later bleeding started again which I thought was my first period. It was brown with clots later turned red. It has been three weeks now and it still has not stopped. It has been moderate throughout, and now for the last three days, it is brown and somewhat reduced. I do not have any abdominal pain or tenderness. No foul smelling discharge or fever either. I am worried why the bleeding is so prolonged? Is this normal? Do I need and C? Doctor: Hello, Welcome to icliniq. com. Having prolonged irregular bleeding after medical termination is not a normal phenomenon. It definitely indicates some problem. One of the most common causes for prolonged bleeding could be retained products of conception which need to be evacuated or sometimes a condition called gestational trophoblastic neoplasms can also cause prolonged bleeding. I would like to know two important things, do you had a scan prior to your medical termination? And if that was a normal intrauterine pregnancy or not (to rule out ectopic pregnancy)? Second thing is, did you got a check scan done after the bleeding stopped to check if the expulsion was complete? If retained products are present then evacuation would be required as they are a potential source for infections and can cause post abortal sepsis. Please revert back to me with the details I asked for so that I can guide you further. Ultrasound abdomen and pelvis. Serum beta HCG levels. Depending on the test results." + }, + { + "id": 28529, + "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": 21463, + "tgt": "How can I manage Chlamydia infection causing burning in penis?", + "src": "Patient: Hello doctor,A few months ago, I got Chlamydia infection. I did the treatment and it is gone. But not totally. I still feel the burning in my penis. Some days it is strong and some days I do not feel much. I do not have a visible secretion but some symptoms are still there. Doctor: Hi. Burning sensation while urinating could be due to many causes like urinary tract infection, urethral exposure to irritants like soap, the presence of salts like urate or oxalate salts in urine, exposure to trauma or local fungal infection in the urethra. In order to find out the exact cause please provide me with a photocopy of recent urinalysis. There are some measures that could be tried empirically like drinking plenty of water 4 to 5 liters per day. Plus using Bactrim (Trimethoprim, Sulfamethoxazole) 200 every 12 hours for five days as an antibiotic. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20899, + "tgt": "I missed my period after unprotected sex and I-pill consumption. Why?", + "src": "Patient: Hello doctor, I had my last period 1.5 months back which lasted for three days. I had unprotected sex two days after that. I took an I-pill on that day itself and started having bleeding in five days which again lasted for three days. It was more like a period only. I took a pregnancy test four days back and it came out negative but still, I have not got my periods. Please help. Doctor: Hi. You have already described that after unprotected sex you took a hormonal emergency contraceptive. Emergency contraceptive pills are hormones that interfere with regular cycles and act to prevent conception by interference in ovulation, fertilization or implantation and then causes withdrawal bleed. After the I-pill, the menstrual cycle gets disturbed and can show some irregular cycles. For your satisfaction, you did a pregnancy test that was negative. If this test is done with urine, then it is better to have serum beta hCG (blood pregnancy test) that will clearly state your pregnancy status. Beta hCG can be positive after a miscarriage but it will show gradual reduction that can be checked by another beta hCG after 48 hours of the previous test. In case of bleeding, pain, dizziness, report to a tertiary care emergency department." + }, + { + "id": 27638, + "tgt": "My voice sounds too low and girlish for an 18 year old boy. Please help", + "src": "Patient: Hello\u00a0doctor, I am an\u00a018 year\u00a0old male, who weighs 112 kg. But, my voice does not match my body. My voice sounds too low and on phone, it sounds like a\u00a0girl's voice.\u00a0When I am talking with someone, they cannot hear me, and I need to focus and\u00a0speak loudly. Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 4106, + "tgt": "I have bilateral monocular diplopia with rapidly deteriorating eyesight. Kindly suggest solution", + "src": "Patient: Hello doctor, I have bilateral monocular diplopia. This began five months ago along with unilateral tinnitus of the left ear. Tinnitus is constant. Eyesight is rapidly deteriorating. I had several new glasses prescriptions that help slightly with the double vision but are not completely resolved. I recently had an MRI of the pituitary without contrast. In the last year, I had to have two colonic polyps removed but I fear that cancer was missed. I believe I have secondary metastases in my brain. I also performed FBC, CRP, and CEA tests. Doctor: Hello, Welcome to icliniq.com. There is no need to panic about your brain. The double vision is not related to any neurological disorder. Anyway, I would recommend checking the thyroid hormone levels. Regarding the tinnitus, it seems to be related to an inner ear infection as there is a presence of inflammation in the left mastoid sinus right next to the left ear. For this reason, I recommend consulting with an ENT specialist. Regarding the double vision, I would also recommend performing repetitive nerve stimulation in order to investigate for possible Myasthenia gravis syndrome. I hope you will find this information helpful." + }, + { + "id": 5353, + "tgt": "Due to oil splash, my retina swells up and there is no proper vision. When will it get normal?", + "src": "Patient: Hello doctor, Some oil went into my retina around 20 days back. I consulted some doctor's, but different doctors gave different advice. While doing some work my retina swells up in the left eye and the vision is not proper. When will it be all right? Doctor: Hello, Welcome to icliniq.com. I have seen your medical notes and can assure you that you should be doing fine. I also read that you have had lasik surgery done in the past. First of all the oil did not effect your retina, which is the innermost portion of the eye, not exposed to the out side. The oil effected your cornea which is the outer layer in front of your eye. Because of the oil splashing on your cornea, there was a swelling on your cornea, which is called as corneal edema in medical language. Fortunately, your vision is 6/6 in both eyes, which is 100% normal vision. My advice is that please continue the current treatment and follow with your treating doctor. I can assure you that as the corneal edema subsides your vision will also improve." + }, + { + "id": 18650, + "tgt": "Why do I have breathlessness while walking?", + "src": "Patient: Hello doctor, I am a normal healthy individual with a sedentary lifestyle. I weigh 67 kg and my height is 165 cm. I am experiencing some breathlessness of late when I walk. Hence, I am trying to understand if there is something wrong in me. My annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. My vitamin D levels are also deficient over 3 years. I have a BP of 140/80 and my heart rate ranges between 65 and 78. Two years back, I had taken ayurveda medicine to reduce cholesterol levels.\u00a0My concern is that it looks like I may have trouble with cardiovascular related issues later if I do not take notice of these higher values showing up in my cholesterol and hemogram levels\u00a0and my vitamin D deficiency. I have attached my recent reports. I request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. Do I need to take any supplements for my vitamin D deficiency? For comparative purposes and for better diagnosis, I have also attached my test results of past three years that have a high value. Thank you. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Start with drugs and lifestyle modifications. 2. Have diet with low saturated and trans fats. 3. Begin with some physical activity daily. 4. Repeat lipid profile after 2 months. Revert back after two months to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23783, + "tgt": "Why am I having clear liquid from nose on tilting my head?", + "src": "Patient: Hello doctor, I tilt my head or bend over and I have a clear liquid that comes out my nose. I get dizzy if I bend down and get up. I have major headaches a lot lately, and I am scared. Doctor: Hello, Welcome to icliniq.cim. Collect the liquid in a clean container. Sit upright for an hour and then bend down, so that the liquid accumulates and comes down. Collect that. Considering your history we are worried the fluid could be brain fluid or CSF (cerebrospinal fluid) as we call it. If it indeed is, then you need urgent attention to plug the site of CSF leak. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17622, + "tgt": "Can noise exposure at a young age lead to delayed onset NIHL later in life?", + "src": "Patient: Hi doctor, I want\u00a0you to review a portion of a medical report and put it in layman's term. I am specifically hoping that this report confirms my suspicion that the effects of noise exposure at younger ages can lead to delayed onset of noise-induced hearing loss later in life. The document contains 476 words. Is this something that you can do? Doctor: Hi. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9749, + "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": 3012, + "tgt": "Please advise medication for fever, body pain, and burning eyes in diabetic", + "src": "Patient: Hello doctor, I am having slight fever at evening time, severe body pain, eye burn, restless feeling, head feels heavy and heavy stomach. I am a diabetic on Glyree MV 2, Jardiance 25, and Rozavel. Please advice suitable medicine. Doctor: Hello. It is probably a viral infection along with gastritis. I assume there is no burning while urinating, this is to rule out urinary tract infection. At this moment, you just have tablet Dolo 650 mg whenever needed up to three times a day. Also, if it does not respond in two days, then you should start on capsule Augmentin duo 1 gm (Amoxicillin and Clavulanic acid) two times a day for five days and also better to get complete hemogram and urine routine examination done. You should avoid fatty, oily and spicy diet. You should get prescribed tablet Pan DSR 40 mg (Pantoprazole) or Esomeprazole and Domperidone combination before breakfast once a day for a week. For immediate stomach heaviness relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscyamine 10 mg whenever needed up to three times a day. I hope this helps." + }, + { + "id": 30535, + "tgt": "Does my daughter's thyroid level warrant a follow up?", + "src": "Patient: Hi doctor, My daughter is 17 years now. We took her to ER for joint pain. Her joint pain started in the lower back three days ago and within a day, it was in all of her joints. But, there is no rash and fever. Two doctors saw her in the ER said that she needs further testing apart from laboratory tests. They ordered an ultrasound of her thyroid and suggest an MRI of thyroid depending on the ultrasound. They did not think she had a virus and referred us to a third doctor.\u00a0The third follow up doctor believes that she has Parvovirus B19 (it is going around in her school) and nothing to bother following up on her laboratory reports or with the thyroid.\u00a0Her TSH is 5.12 U/mL, and anti TPO is 19.15 IU/mL.\u00a0Parvovirus B19 blood work showed IgM antibodies are 5.0 (negative) and IgG antibodies are 138.8 (positive).\u00a0Other laboratory reports that are out of the normal range are red blood cells 5,520,000 per cubic mm, hemoglobin 15.6 g/dL, hematocrit 46.7% and CRP 0.76 mg/dL.\u00a0Do her thyroid tests warrant a follow up to check for hypothyroidism?\u00a0Does her Parvovirus blood work indicate an ongoing infection or does it indicate an immunity?\u00a0Many thanks for any advice on how to proceed. I have other laboratory reports, but I only included those outside the normal range. Thank you. Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 22781, + "tgt": "Can I use Ancool SF tonic daily for GERD and acid reflux?", + "src": "Patient: Hello doctor,I am asthmatic for four years and hypertensive. Two months back I had a breath issue in spite of using my inhaler. Later, it was diagnosed with GERD and acid reflux. I was suggested a medication for 15 days. Later, I was fine. But whenever I eat oily food I am having a heartburn sensation. I was suggested to take Ancool SF tonic whenever I have such symptoms. Can I use this tonic daily? Doctor: Hi. This Ancool SF contains sucralfate. This helps ulcers to heal if any (by coating over ulcer). If you take this, you need to take three times in a day for 1 to 2 weeks, not intermittent. Antacids you can take while burning. Endoscopy report (attachment removed to protect patient identity) says about evidence of fungal infection, I think it was treated with antifungal medication. Besides medication, life style modification is an important way to cure GERD (in form of food change, excercise, etc). For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1311, + "tgt": "I have scrotal pain with normal ultrasound results. Please help", + "src": "Patient: Hello doctor, I have scrotal pain for the past one year and my ultrasound is normal. Please help. Doctor: Hello. Do you have scrotal pain while standing? Or is it there while lying down also? Do your profession involve standing for long hours? Any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is the ultrasound you have done is an ultrasound abdomen or scrotum? Can you upload the report also? Have you got a scrotum Doppler scan also? Any history of diabetes or hypertension? Any visible dilated veins on the scrotum or lower limb (send pictures if any)." + }, + { + "id": 4171, + "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": 889, + "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": 2462, + "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": 22172, + "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": 26831, + "tgt": "I have severe back pain. What could be the reason?", + "src": "Patient: Hello doctor,It has been three months since my delivery, but I still have a severe back pain. The doctor told me there\u00a0could be an\u00a0infection in the\u00a0uterus. So, I took tablets for it, but I did not recover. Is there any other reason for having a back pain after delivery? Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7137, + "tgt": "Kindly help me to get rid of depression", + "src": "Patient: Hello doctor,I am suffering from depression. I overthink, overeat, I do not have a proper sleep at night, and I cannot wake up in the morning. And always get late to work, I cannot concentrate in meetings and even in movies. I tend to sleep and feel sleepy throughout the day, I have no interest in work, and I need help. Doctor: Hello. Yes, you are right in saying that you seem to be suffering from depression. It is a mood disorder causing a persistent feeling of sadness and loss of interest. The persistent sadness or loss of interest that characterizes major depression can lead to a range of emotional and physical conditions. These include the inability to sleep or concentrate on tasks. Changes in appetite decreased energy level, and thoughts of suicide are also seen. The mainstay of treatment is talk therapy with a trained psychologist or psychiatrist. Medications (for example, Citalopram and Paroxetine) that act on the chemical imbalance in the brain are also useful treatments for depression. Consult a psychiatrist immediately." + }, + { + "id": 11652, + "tgt": "Can a wart like lesion on foot be melanoma?", + "src": "Patient: Hello doctor, I am concerned about this lesion on my son's foot. It has been there for a couple months and it is not going away. Can this be some type of melanoma (acral)? Doctor: Hi. Single lesion or any other also present?" + }, + { + "id": 16197, + "tgt": "Why am I having pain in the penis for the past three months?", + "src": "Patient: Hello doctor, I am male, 43 years old, 6 feet height, and 115 kg weight. Pain in the penis for the past three months now. Have visited two urologists. Have taken a course Zocef 500 mg for five days and applied Candid B cream for one week and taken Forcan 150 mg one tablet and again visited the same doctor and was advised Levoflox 500 mg for two weeks about two months back. I have completed the course. The second urologist advised Azithral 500 mg for three days and Doxy for seven days. I have also completed the course about 1.5 months back. Have done self-medication of Candid B cream 10 days back for seven days along with Forcan two tablets. Some few days I have relief and some days it gets bad. There is no relief as now the pain keeps coming back. Presently, I am having pain again. Doctor: Hi. There is a possibility of non-gonococcal urethritis because the antibiotics you have taken should have cleared it if it was a routine infection. I would suggest Doxycycline 100 mg morning evening along with Veltam 0.4 bedtime for two weeks. You should start feeling better in 48 hours after starting medicine." + }, + { + "id": 9999, + "tgt": "Why do I have uncomfortable feeling between the middle of my spine and left shoulder blade?", + "src": "Patient: Hello doctor,I am having an uncomfortable feeling in between the middle of my spine and left shoulder blade. It seems to get stiff, and my bones pop a lot around there, and it is very uncomfortable to sit in specific ways feels like my bones shift, well the other night it seemed as if my shoulder would pop out of place causing more stiffness after a while of dealing with it. I ended up feeling a popping sensation, where the stiffness was an instant relief. It was so shocking it put my anxiety through the roof. I thought I was going to die because my whole body was shaking and tingling. What am I dealing with? Right now I have no pain or tender near that area still relief but curious on what happened and why I got this shock and that popping feeling so loud it scared me half to death. Doctor: Hello. The popping and discomfort what you felt is either because of improper scapulothoracic mobility or may be due to facet joint irritation in the neck with intervertebral hypermobility. Which could have caused due to stiffness in the chest muscles, shoulder stiffness, etc. I would recommend you to do a lot of icing in the chest and back muscles. Maintain your neck and upper back posture by doing some back retraction work. Gently stretch your neck and chest. Gently massage your chest and shoulders to relieve tension in the muscles. I hope this is helpful for now. Kindly revert in case you need any help in this regard." + }, + { + "id": 11916, + "tgt": "Will there be withdrawal bleeding if Unwanted 72 is taken for no reason?", + "src": "Patient: Hello doctor, What will happen if someone eats Unwanted 72 without any reason? Will there be any withdrawal bleeding or not?. And what will be the situation of menses? Doctor: Hello. Unwanted 72 results in delayed or earlier periods, and also may result in withdrawal bleeding and nothing harmful will happen if someone takes it for no reason. Hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 27091, + "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": 4604, + "tgt": "How to have safe sex?", + "src": "Patient: Hi doctor, I am a 23 year old male. I am currently in a relationship with a girl. I would like to have sexual affair with her but I am shy. I request some tips on how to have safe sex and how to approach the entire act. I have searched the internet but it is more confusing. Secondly, I want my partner to try out blowjob. Is it safe? What precaution should I take? And how\u00a0can I lubricate my penis?\u00a0Thank you in advance. Doctor: Hello. I appreciate your awareness regarding safe sex and seeking opinion for it. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3498, + "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": 2727, + "tgt": "Invisalign retainer has caused me jaw problem after stop wearing them. Why?", + "src": "Patient: Hello doctor, I think I have had an adverse reaction to Invisalign retainers over the past few years. I think they have caused me jaw issues (chronic facial tension radiating to all areas in my face and associated with droopy eyelids and jaw clicking and aberrant jaw positions, etc., and I can move this tension around with purposeful movements of facial muscles and pressure sensitivity on the face-tension is trapped, worsened, altered by glasses, pressure, and prescription and eye movements). I believe this began when I stopped wearing them 24/7 and particularly when I switched to wearing them every other night. I have noticed that my jaw is asymmetrical and perhaps small particularly on the RHS (may be a link to why I was initially getting tension symptoms on the RHS) so maybe Invisalign causes issues, stretches, small and asymmetric jaws excessively, or I have some random unexplained predisposition to my jaw getting confused by regularly changing bites or something (still think the latter may have something to do with the former). I just wanted to inform you of this as I have been told these symptoms are unique, functional and although Invisalign is known to sometimes cause TMJ problems it is not heard of causing issues like this. I am open to suggestions. Thanks. Doctor: Hello. The symptoms described by you are rarely caused by Invisalign, it may cause TMJ (temporomandibular joint) problems in some people but for a shorter duration as it is not permanent. Actually allergy means that you have redness in the area and if you wear for some time it cause some reactions in the local area and may also in the body. Do you have something like that? The symptoms are mostly related to TMJ, the reason may be that you can not bite on your teeth and you are now biting on Invisalign, and this can increase your bite where it normally was. The best in my opinion will be to consult your orthodontist if you can pause your treatment. Stop wearing Invisalign, rest your jaw for as long as you can like do not eat hard or crunchy or sticky food. Soft diet, no prolong talking, do not open wide too much especially yawning. Also, use over the counter pain killer for relief. I hope this helps." + }, + { + "id": 26103, + "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": 13401, + "tgt": "Kindly advise how can keratosis pilaris be cured?", + "src": "Patient: Hello doctor, I am suffering from keratosis pilaris. My upper arms are full of bumps. Please help. It is like rashes in my upper arm and thighs. Doctor: Hello. The keratosis pilaris is diagnosed by physical examination only. So you should confirm your diagnosis by dermatological consultation. For that you can be prescribed topical exfoliant, topical retinoids like treatment to improve your symptoms. There is no definitive treatment for keratosis pilaris. Usually, this condition precipitates in winter and resolve in summer. You can use warm water while taking bath. Use soap that contains glycerine and oil. Use moisturizing cream over the skin." + }, + { + "id": 25024, + "tgt": "Tricep twitching after electric shock. Could it be nerve damage?", + "src": "Patient: Hello doctor,I received an electrical shock last night. The shock did not hurt, just felt it go up my arm and across my chest. I dropped the probe right when I felt it. No burn marks. Afterward, I was having sharp pains in my chest. I went to the ER, docs did EKG, took blood and urine, said everything was good. Yesterday, my left tricep started twitching like crazy. The twitching comes and goes. Could it be possible nerve damage or just something else? They did have an IV in that arm for like four hours. Doctor: Hello. Your symptoms could be related to an irritated nerve or muscle. For this reason, if the problems persist, I would recommend consulting with a neurologist and performing a nerve conduction study to examine your nerves. Meanwhile, I suggest having some rest and taking painkillers (Acetaminophen or Ibuprofen) and a muscle relaxant like Flexeril (Cyclobenzaprine) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I remain at your disposal for any further questions whenever you need. Kind regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3006, + "tgt": "I feel energetic sometimes and down with no hope someday. Is it bipolar disorder?", + "src": "Patient: Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all I want is attention. I just want to know what the heck is up with my head. Doctor: Hello. It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic or hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder." + }, + { + "id": 9029, + "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": 26350, + "tgt": "My 4-month-old daughter has very little movement in her legs. What can be done?", + "src": "Patient: Hello doctor, My daughter is four months old. We observed that there was very little movement in her legs. We performed an EMG and an NCV along with vitamin D test. The report mentions generalized motor axonal polyneuropathy. I could only understand that there is an\u00a0issue with her nerves in several areas but nothing more. Can you please shed any light on this and whether she will fully recover and any expected timeline? Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14400, + "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": 26964, + "tgt": "Medicines I took for ear fullness are causing tinnitus since a month. Please help me", + "src": "Patient: Hello doctor, I was having a severe headache and ear disturbances (fullness). After consultation with an ENT doctor,\u00a0Augmentin antibiotic and Actifed cold were prescribed for me. In the process of taking the drugs, I started having tinnitus (ringing and buzzing in the ear), which has refused to stop for about a month and two weeks now. It is very disturbing, even more than the previous ear fullness. I find it difficult to concentrate. Since then, happiness has eluded me. I need a medical advice. So, please help me. Doctor: Hello. Please let me know the following: Please revert with these answers, so that I can help you better. Please attach your prescription as well. Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27003, + "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": 4907, + "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": 6772, + "tgt": "I am having vitamin D deficiency and liver enlargement. What to do?", + "src": "Patient: Hello doctor, As per the lab report, I have vitamin D deficiency. USG report says liver enlargement and PFT says moderate lung disease. Please help me to understand the reports. Doctor: Hello. I have gone through your reports. (attachments removed to protect patient's identity). Except for vitamin D, the rest is fine. I suggest you to take tablet Uprise D3 60,000 units (Cholecalciferol) once a week with milk for eight weeks." + }, + { + "id": 23942, + "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": 7295, + "tgt": "I feel itchy around my mouth during monsoon season. Please help", + "src": "Patient: Hello doctor,I live at high altitude 7000\u2019 with mostly dry climate except during the monsoon, before this monsoon kicked I felt itching around and near my lips and mouth and later that day the skin darkened. Please advice. Doctor: Hello. I have read through your query and here is my opinion. Itching and darkening of the skin around the mouth can be due to varied reasons like allergies, dermatitis, extremely dry, and cold weather. In your case, it is likely the last reason. I would advise you to use a good moisturizer, preferably containing hyaluronic acid. Natural remedies like pure Aloevera gel or coconut oil will also help. If this does not work, it is advisable to get yourself examined by a dermatologist. If you have any further queries, please feel free to ask." + }, + { + "id": 10442, + "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": 28119, + "tgt": "I have a patch on the inner side of my cheek. When will it heal?", + "src": "Patient: Hi doctor, I am a 30 year old male, and I have a patch on the inner side of my cheek from the past two weeks. It might be caused due to cheek bite, as I have a tendency to bite my cheek while eating. I have no pain and bleeding. I consulted a local dentist, and he said it does not look abnormal and has prescribed medicines. I have a history of smoking for eight years, and I gave it up two years back, I need your valuable advice on how can this patch be healed. I will attach the screenshot of the patch inside my mouth. Is it oral cancer? The medicines prescribed are\u00a0SM fibro\u00a0and Kenacort gel,\u00a0and I\u00a0have not used these medicines regularly.\u00a0Thanks. Doctor: Hello. I have gone through the snapshot of the patch you have sent me (attachment removed to\u00a0protect patient identity). I have few questions before I diagnose the same. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15143, + "tgt": "Ayurvedic medication for multidrug/antibiotic resistant bacterial infections", + "src": "Patient: Hello doctor, I am a 26 year old male. I was addicted to cold drinks which had been getting me sick (catching a cold) over the past nine years. Doctors treated me with antibiotics such as Amoxicillin, Cloxacillin, Moxifloxacin, Cefpodoxime, Azithromycin, andSporidex which worked very well many times. I have controlled this bad habit for quite a long time but carelessly consumed a cold drink a year back and have been ill since then. No antibiotic is working now and the doctor said infection has grown resistant to these antibiotics and gave up. Now I have sneezes, warm body and breath, headache and weakness and sometimes a running nose. I want an Ayurvedic medication if possible. Doctor: Hi. You can try the following ayurvedic medicines: Continue this for two weeks and review after two weeks with an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 113, + "tgt": "I have lower back pain, and I am unable to put pressure on my legs to walk. What to do?", + "src": "Patient: Lower back pain unable to put pressure on legs to walk. 3 weeks ago I was lifting my dog into the car. I got a sharp pain in my lower back..went away in about two days. Today I was lifting my two year old into an inflatable tube, While setting her down I had the same pain but on the mid right side of my back. This pain continued all day. Then while bending down to get a dish out of the dishwasher I got a horrible pain in my lower back. The pain knocked me to the ground. My husband had to help me off the ground to the bed . Since then I have not been able to put pressure on my legs to walk without horrible pain. Doctor: Hello, You need to be examined to determine if this is a back strain or a sciatica from a pinched nerve. Is there any numbness in the leg, does the leg feel weak apart from the pain you feel while trying to walk, can you control your bladder well ,does the pain worsen upon straining ? If the answer to the questions is yes then you have a disc prolapse and you will need to see a doctor and perhaps a MRI too. In three mentioned to need to take anti-inflammatory tablets and muscle relaxant top help with the muscle spasm and apply Ice to the sore area on the back, rest in bed but not absolute such that you walk as much as to feel comfortable" + }, + { + "id": 28078, + "tgt": "I was advised to get a Pap smear test done. Will it hurt?", + "src": "Patient: Hello doctor, I am a 24 year old female in a long-term relationship with a girl. We have both never been in a relationship with anyone else nor had any sexual activity with other people of either gender before. Do I need to get my Pap smear test done? I have recently been to my gynecologist\u00a0and was told that I could eventually get it done, but I was not given a date for it. I am scared because I have never had any penetrative sex and even tampons are uncomfortable to me. So, I think the test would be very painful. Doctor: Hello. How are you doing? Hope I have clarified your doubts. Do write back if there is anything else to ask. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27235, + "tgt": "Are derma rollers really effective for scars?", + "src": "Patient: Hello doctor, I have heard good things\u00a0and bad things about derma rollers. My question is, are they good for scars? Will they actually help? Also, can I use them myself? Or is it better to get it\u00a0done by a professional? Doctor: Hello. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21790, + "tgt": "My HIV tests are negative after two months of oral sex. Am I safe?", + "src": "Patient: Hello doctor, Two months back I met a girl and we ended up back in my room. Long story short, she performed oral on me for about 30 seconds and I performed oral on her for maybe about the same, less than a minute, no intercourse. About two weeks after my friend came down with a cold and so did my brother, that Sunday I felt a little weird too but had gone to the beach. At the beach, I ended up swallowing a lot of seawater accidentally. That entire week I had headaches, stomach felt weird every time I ate and a little sore throat. So my mind went back to the day I met that girl and started freaking out. Three weeks after my oral exposure, I did an HIV RNA test with a fourth generation duo combo test and came back negative. My headaches continued for a little over two weeks on and off. After 25 days of the exposure, she did RNA and fourth generation which also came back negative. During the fourth week, I did another fourth-generation myself and also negative again. On week five, I went to a clinic, did a rapid blood drawn test and a NAAT test, and all came back negative. Week six (42 days) did another fourth generation and was negative. 52 days little over seven weeks I went and did an HIV 2 RNA test, and today at 53 days did an HIV RNA test and fourth generation duo. After all, these tests, am I in the clear? If I had HIV symptoms for a few weeks already would I test positive by now? Does it matter if I got her tested to give me reassurance? Doctor: Hello. As you had enough sea water inside, it would have caused a sore throat. In all the tests you are found negative especially fourth generation which is very authentic and correct. So, no HIV infection is there. You have done a very good job to test the girl which is also negative. So, no HIV is possible. So, you are free from HIV. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23741, + "tgt": "Operated for cervical cancer. Explain about the current stage of the tumour ?", + "src": "Patient: Hello Doctor, My mother was operated on 18th July for\u00a0cervical cancer\u00a0(Wertheim's Hysterectomy). The operation was successful and she is\u00a0fine\u00a0and\u00a0recovering. After the surgical biopsy, they declared it as\u00a0stage 2B. Further we sent her slides to the laboratory for review and there they found the left parametrium free and right parametrium with few tumour cells that are non-reactive. The report states, \"right parametrium show few tumour cells, however no reaction is seen against these tumour cells, thereby interpreted as\u00a0floater\". Can you please throw some light as to what do the above statement means in the lab report? What impact does this statement make in relation to the staging of tumour? Doctor: Hello. I went through the reports and my opinion is as follows: Diagnosis is that of squamous cell carcinoma of cervix, moderately differentiated, non-keratinizing type. Your mother has undergone Wertheim's hysterectomy, also called radical hysterectomy. This is the surgical procedure of removal of the womb along with some of the surrounding structures. Tumour cells, at any location induce inflammation. They are foreign cells, so some amount of inflammation will be found around the tumour tissue. During the time of taking bits of tissue for histopathology reporting, some tumour sections stay back in the sectioning area. These can attach to other areas and can present as tumour tissue. These are called as floaters. Parametrium is the fibrous tissue that separates the cervix from the bladder. The above mentioned tissue is found in the right parametrium and hence interpreted as floaters. Also during sectioning times, tissue overlapping can occur. Here the tumour tissue is attached to the parametrium, thereby being interpreted as parametrium invasion and hence changing the stage of the tumour. Unless tumor cells with surrounding inflammation are present, they would be floaters. Here it is only an overlap. Lymph nodes are not involved. So further treatment will not be necessary. Consult a surgical oncologist online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 21216, + "tgt": "May I know the treatment options for squint eye other than surgery?", + "src": "Patient: Hi doctor, I am 18 years old. I am suffering from a squint eye. Can I have any solution for this problem without surgery? Doctor: Hi. I have gone through the query. I can tell you the options available to you. It mainly depends on the type of squint and your eye function. Is the squint involved in one eye or both? How do you see with the squinting eye? When you have double vision, how do you see? In case, if you see well, you are eligible for prisms. These are particular types of lenses which are embedded into glasses. They can be used, but this needs training to the people for straightening their eyes. In some instances, they produce useful singular vision. In case, if you are ineligible for prisms, you have to go for surgery. As soon as the surgery is done, the results will be better." + }, + { + "id": 24209, + "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": 24495, + "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": 30385, + "tgt": "Please suggest a treatment for my child's ADEM", + "src": "Patient: Hi doctor, My child was suffering from ADEM and CNS inflammatory demyelination disorder (CIDD) since last three months. Please suggest the treatment. Doctor: Hi, For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7489, + "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": 9067, + "tgt": "I have Asperger syndrome, OCD, anxiety, and depression. Kindly help", + "src": "Patient: Hello doctor, I am 30 years old male. Weight is 107 kg, and height is 5'9. Not under any medications. (Not been on any medication for over a year previous medications include numerous mental health medications, various SSRIs, Clomipramine, and several anti-psychotics, most recently Olanzapine). I tried Lymecycline a couple of years ago and multiple creams for acne in the past. I have a history of mental health problems. I have a diagnosis of Asperger syndrome, OCD, anxiety, and depression. My anxiety levels have been chronic for many years due to the severity of my obsessive thoughts and compulsions etc. I think that my poor mental state has impacted on my health. I have had severe skin problems since I was about 17 or so. I get huge cysts that often recur in the same place with large boils. I have some large permanent cysts. I seem to break out at certain times. I also have a condition known as a functional neurological disorder. I will be seeing a neurologist here in the at a movement disorders clinic to deal with this in the near future. I also developed eyelash ptosis, where my eyelash in my right eye keeps growing long. My Ophthalmologist told me that it needs to be trimmed regularly with scissors or that I have to use curlers, as it can impair my visual field. The neurological or psychological aspects may be affecting my other conditions. I have had athlete's foot for the past year. Due to my mental or neurological problems and depression, I have been housebound for most of the last year. I tend not to shower much or brush my teeth due to this (but I am trying to change my life with the help and change this). I walk around in my bare feet in the house most of the time, and when I do go out, I tend to wear crocs.The athlete's foot has become more itchy or burning recently. Also, for the past year or two, I have two fungal nails. My big toes on both feet are very yellow looking at the front of the pins (I have ingrown nails in the past). What I am concerned about is my fingernail. I do not know how I did this? About two weeks ago, I noticed that my middle finger on my right hand was very painful when I touched it. I cannot remember if I pulled the nail, and this has caused some infection, or if it is related in some way to the fungal nail infections on my toes or my athlete's foot.I will show you some pictures, and I would like your advice on what to do next. Due to my mental state, I have not taken good care of my body, but I am trying to address this. My athlete's foot is entirely wrong. If I start treating this with cream, I am likely to see an improvement. Also, what can I do about the fungal nails? I also have a pilonidal cyst on my tailbone. It was initially very painful to sit down (I am overweight, spend a lot of time sitting at my desk, etc.). This cyst is intermittent, but there are times when it can be very itchy. As you can see, I am not in the best shape, but I am trying to address both my mental health and my physical health by starting to take better care of myself, eat better, exercise, etc.The main concern is the fingernail. Do I have an infection? Can it be serious to blood flow/losing limbs, or is this my anxiety and the things I've read on Google. I am quite concerned. I cannot see a doctor for another week or two. I have had this fingernail problem for about two weeks, and it is very sore and very red. Doctor: Hello. I have gone through your case and all treatments which you have taken so far. It is good that you have explained all your medical history as every doctor should know it in detail. However, your finger infection is not related to history. It is a new event. Regarding your finger, you need nothing to worry as it is an infection of the skin, and your finger will not go away. In my opinion, this is not a fungal infection. It is a bacterial infection. I can very well understand that it must be very painful for you as it is entirely red. You need some oral medication for its treatment. 1. Take capsule Amoxil 500 mg three times a day for seven days. 2. Take tablet Ibuprofen 400 mg two times a day for seven days. 3. Apply Pyodine solution or Fucidin acid cream two times a day for seven days." + }, + { + "id": 2546, + "tgt": "My 2-year-old kid has dental caries with brown spots on front four teeth. What to do?", + "src": "Patient: Hi doctor, I think my 21-month-old kid might have dental caries. I think my daughter has an early childhood caries. She has brown spots in the front four teeth at the back and a hole on one front tooth. We brush her teeth twice daily so I have no idea how this has happened. Doctor: Hello. The picture you have sent is not clear (attachment removed to protect patient identity), but yes early childhood caries is common in infants. I understand your concern because you are taking good care by brushing twice. For now, I will suggest the following. 1. If she sleeps with a bottle in mouth, you must be careful to remove her bottle and get her mouth rinsed at least with plain water only. 2. Do rinse her mouth regularly with water after she has taken candies or any food, rinsing mouth thoroughly is a good habit, make her develop this habit. 3. Notice and inform me if she has comparatively has less saliva if her oral cavity is sticky in touch. 4. Rest all is fine and these are common in infants so nothing much to worry for caries, as soon as Corona effect are decreased get her cavity filled. Do send me a clear picture if possible." + }, + { + "id": 20830, + "tgt": "Why do I always have a low level of MCV, MCHC, MCH?", + "src": "Patient: Hi doctor, There is a low level of MCV, MCHC, MCH. I am curious that why it is always low? There is a high level of RDW and RBC. There is a headache, numbness in arms and legs, itchiness, my knees hurt, and there is chest pain. Currently, I am taking antibiotics. What doctor should I need to see and what tests can I do? Doctor: Hi. In acute infection, the headache and joint pain can occur as a constitutional symptom. Paracetamol 500 mg can be taken until you consult a doctor for examination. Serum TSH (thyroid stimulating hormone) estimation, SGPT (alanine aminotransferase), SGOT (aspartate transferase), calcium estimation, serum B12 estimation, random blood sugar, knee X-ray and EKG (electrocardiogram) like investigations can be done if there is no improvement after completing the antibiotic course. The investigations list can be shortened after the physical examination. I suggest you consult a physician for examination. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17559, + "tgt": "I would like to know the medicine to avoid pregnancy. Please guide", + "src": "Patient: Hello doctor, I would like to know the medicines to avoid pregnancy as we had unprotected sex five days back and she forgot to take pills.\u00a0Now, we want to get rid of this unwanted pregnancy. Please guide. Doctor: Hi. I understand your problem. Revert back with the asked details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5794, + "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": 3220, + "tgt": "How to identify IPF?", + "src": "Patient: Hello doctor, I was diagnosed with IPF last week. My two x-rays, two lung function tests and HRCT scan showing that I had scarring. But I am confused, because I feel better than I have felt in 10 years. I have always smoked and had cough for years. I have been on a diet and have lost one stone so far. I have been doing some tests at home such as at rest I can hold breath for 1 minute 25 seconds with relative ease. Breaths per minute sitting at rest are 15 and my blood oxygen levels at rest are between 95 to 99%.\u00a0Running up and down stairs three times my blood oxygen levels drop to around 91 to 92% and it rises to 95 to 96% in less than a minute. When I wake up in the morning my blood oxygen levels have been around 86% rising to 92 to 94% in around two to three minutes.\u00a0The other thing is that when I had my second lung function test five months ago I was at the end of a cold or flu. I did mention this to the consultant.\u00a0Do you think I could have been misdiagnosed? Is it worth me asking for a second opinion? Please guide. Doctor: Hi. For further information consult an general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28284, + "tgt": "I am always stressed and underestimating myself. Is it due to anxiety?", + "src": "Patient: Hi doctor,I feel like I am suffering from anxiety. I am not able to express myself, and I am always stressed. I am always silent and do not talk, which makes me serious and boring. I get negative thoughts and underestimate myself. Doctor: Hi. You can review with me for further follow-up. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 13314, + "tgt": "What are the methods available to cure cough and fever associated with low platelet count?", + "src": "Patient: Hello doctor, I am 27 years old, male. My problem started five months back. Due to viral fever, my platelets count is low. The report is attached. This time I took antibiotics. Then my digestion system got poor. After some days I started suffering from cold and cough and fever. This time I am not feeling well. Doctor: Hello. To me, the changes are due to viral infection you have been experiencing all this while. Now, we should not rely on the complete blood count report only. Sometimes, there is a destruction of platelets due to chemicals inside the sample carrier. I think you should repeat complete blood count and run a microscopical examination of the blood sample to count the actual number of thrombocytes (platelets) for better evaluation." + }, + { + "id": 2725, + "tgt": "My brother behaves harshly to all with murder thoughts. How to help him?", + "src": "Patient: Hello doctor, How do I help my 16-year-old teen brother who refuses to get help? I believe he needs help, but the last time we went to the doctor, they sent him to a counselor who did not do much. When talking to a counselor and other people, he does not show his true colors. At home, he has a very bad temper and tries to fight with everyone. The only one he gets along with is one of his brothers. He has threatened to kill himself because he does not have his laptop anymore, it broke. And he has also stated along the lines that he wants to kill our parents because it is their fault, he is like this. To be fair, our parents are very religious. I do not know how to help him because he does not want help. He says no one cares about him and we all want his life to be bad. What do I do to help? Doctor: Hello. It can be difficult to see your family going through challenging circumstances. From your report, it looks like your teenaged brother is struggling to regulate his behavior, blames others and is not able to take responsibility for his actions. As you may know already, there is no quick fix solution. Try to be supportive and available whenever your brother needs you. He is lucky to have an understanding sister like you. He needs to gently changed when he says no one cares about him. Why does he think so? Is he misinterpreting things? You said he gets on well with one of his brothers. Use it positively and involve this brother in getting help for your troubled sibling. Encourage him to enroll in some course, apprenticeship which will give some positive experience for him. Encourage him to join some sports clubs. Discuss with your parents about adopting a supportive, firm, boundaried relationship with your brother and avoid criticism and confrontational interactions. It may help to have a mentor to talk to him regularly and guide him to make the right choices. It can be any responsible adult whom your brother trusts and will talk to. Finally, encourage him to see a counselor or doctor again if problems persist." + }, + { + "id": 10577, + "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": 29046, + "tgt": "I feel low after stopping my depression medicine. What can I do to help myself?", + "src": "Patient: Hi doctor, When my father passed away, I was diagnosed with major depression and had been on medication Lexapro for about a year. My psychiatrist recently stopped my medications as I was feeling rather normal. Shortly, I came for holidays overseas hoping to become more relaxed and at ease. But, I am feeling more agitated, having sleep paralysis and constantly feeling down. I do not have any friends here to hang out. I am also stressed out because people call me thin and I am trying very hard to gain weight. I am now 43 kg, and my ideal weight should be 50 kg. I also feel down because of this. What can I do to help myself? Doctor: Hi. I can understand your situation. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21894, + "tgt": "My gums bleed and are painful in spite of brushing gently. Please help", + "src": "Patient: Hello doctor, When I brush, my gums bleed and are painful. However, I do not brush very hard. My gums have an indentation and feel rough. I brush twice a day, floss at night, and use Listerine mouthwash. I take Ibuprofen in the morning sometimes due to a bit of mouth pain. Doctor: Hi. I have seen the pictures attached along with your complaint (attachment removed to protect patient identity). It looks like trench mouth (in dental terms acute necrotizing ulcerative gingivitis). It is one of the common dental disease caused by bacterial infection. It is aggravated by stress, weak immune system, or habits such as smoking. It is usually painful and ulcerative. Instead of Ibuprofen and Listerine mouthwash, I suggest using warm salt water rinse thrice daily or Colgate Peroxyl rinses twice daily after meals. Just use 10 mL of the mouthwash to gargle for one minute and spit it out. This helps in pain relief and removing dead tissue on the ulcers. Please avoid smoking habit if you do and also avoid hot and spicy food. Brushing and flossing are to be continued, and never stop doing it. But, avoid vigorous brushing. The indentation and the white gums in between the teeth is the appearance of the ulceration and this disease usually presents in this form. It will heal as you do the rinse treatment along with good oral hygiene. Meanwhile, I also advise you visit your dentist to get a professional cleaning done along with a blood check up to confirm any underlying infection. You might also be prescribed an antibiotic medication for the same. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14077, + "tgt": "I workout regularly,but not able to lose weight. Please help", + "src": "Patient: Hello doctor, I eat healthy, I workout, but I am not able to lose weight. I am really worried about my health. What can I do? Doctor: Hello. I want you to understand how metabolism plays an important role in weight gain or weight reduction. An increased metabolism will lead to more energy burning which will help you to reduce weight. How to increase metabolism? Regarding exercise: Stay healthy." + }, + { + "id": 26023, + "tgt": "My husband has forgotten to carry his medicines during travel. Will he be fine?", + "src": "Patient: Hello doctor, My husband underwent a surgery for pituitary\u00a0macroadenoma. He is under medication. He is taking Histone tablet and the dosage is 10-5-5 (mg). He is advised to continue this for three months. But, he has gained a weight of 10 kg in the last month.\u00a0Also, he complains that he has severe and intolerable back pain just below the neck. After one month of leave, he has joined back work yesterday. I am very much concerned and worried. Please advise us. Doctor: Hello. I understand your concern. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 2267, + "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": 17773, + "tgt": "Is it necessary to worry about pregnancy even after taking I-pill?", + "src": "Patient: Hello doctor, I had protected sex with my wife. But, there was little semen outside the condom. To eliminate any chances of pregnancy, she took an I-pill after 36 hours of intercourse. Are there any chances of pregnancy and if not, are there any chances of her periods getting delayed? Doctor: Hello. You have done the right thing. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22710, + "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": 9296, + "tgt": "Can I use expired condoms?", + "src": "Patient: Hello Doctor, Can I use expired condoms? Is it dangerous? Will it affect my health? Doctor: Hi Use of expired condom will not cause any serious health issue.\u00a0The following can happen:\u00a0 \u00a0Even if the condom is expired, it is better to use it rather than not using one. Consult a sexologist online to know other modes of contraception --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8191, + "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": 23511, + "tgt": "What kind of treatment does my fiance need for bipolar disorder?", + "src": "Patient: Hi doctor, My fiance and I have been together for 5 years and she has been taking Lithium for bipolar disorder. We are living in an apartment and she accuses of me of being a cheater. She has no reasoning other than that I am communicating with people upstairs through the walls. There are men and women living upstairs and when you hear them walking or make any kind of noise, she says I am a cheater. When I type or click anything or cough or clear my throat or even breathe, she thinks that is a way of me communicating with women upstairs. They cannot even hear me. Also, she will not let me be around my family or let them over. I never cheated and when I asked her why she thinks so, she says because I communicate with women upstairs by breathing, clicking a mouse or typing. When this happens, she punches me, bites me, squeezes my nose, throws books hard at the ceiling at walls and breaks my belongings. Also, I have several cuts and bruises because of this. I cannot hang out with friends or go anywhere without her. She also calls me horrible names when I pay for everything and sweet to her. I feel so depressed and saddened. She screams extremely loud when she accuses me of cheating when I am with her all the time. I do not know what is going on here? What kind of treatment does she need? Please help. Doctor: Hi. I read your query and understand your concerns. From the available description, there are two possibilities regarding her illness. Either she was diagnosed wrongly with bipolar disorder as there are no symptoms in description which indicate bipolar disorder. If she truly had mood episode, then probably she is suffering with schizoaffective disorder, which have symptoms of bipolar disorder as well as psychosis. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15596, + "tgt": "Kindly review my CBC test results and tell whether I have blood cancer", + "src": "Patient: Hello doctor, I am 22 years old female, weight 52 kg, height 5'4\". I have randomly done my CBC, WBC is 11800 cells/cumm but my differential count is normal, hemoglobin is 13.8 g /dL. RBC is 4.64 mill/cumm (normocytic normochromic) platelets are 2.73 lakhs/cumm. Do I have blood cancer? I am in depression for two months, visited eight doctors regarding this and I feel I have symptoms of it after googling about leukemia. However, I used to do an excessive workout for one and a half hour and now, have stopped going to the gym. I feel I have knee pain and no health issues earlier. Doctor: Hello. No, it is not leukemia. Mild elevation of WBC is seen in infection, may be symptomatic or asymptomatic, or sometimes this is normal for some individuals. So, there is no indication of leukemia in this report (attachment removed to protect patient identity). In leukemia, the count is much higher say, 40 to 50 thousand. Also, other symptoms of leukemia should be present like fever, weight loss, lumps in axilla or groin (large). So, you should get it repeated once to look for normalization of the count." + }, + { + "id": 382, + "tgt": "Is colposcopy used to diagnose HPV?", + "src": "Patient: About a month ago I had a Pap smear that came back abnormal, and was told I have hpv. My dr then did a colposcopy two weeks ago. I got a call today saying that it came back normal. What does this mean? Do I still have hpv? Do I just have low risk hpv? I have never experienced warts. Doctor: Hello, Welcome to Icliniq. There is a difference between all the tests you underwent. To make it clear for you I will explain one at a time. 1) Pap smear - it's a test used to screen if a women can be harbouring cancerous or precancerous cells over the mouth of the uterus ( i.e. CERVIX) , so basically a screening test for cervical cancer and it's pre cancerous changes. And as it is just a screening tests, it can not always diagnose if you have any foci of cancer over the cervix. it just give characteristics of the cells which were studied on the smears. So unless they are overtly cancerous looking, we always try to rule that out by doing other tests, So next comes the HPV ( Human Papilloma Virus) testing. 2) HPV testing - It's a test to detect the causative agent of the cervical cancer, that is human Papilloma Virus, it's spread through sexual contact. Based on their genomic sequence, they can be categorised into various types. So warts are caused by the low risk type that is 6 & 11. where as there some 12 high risk types which can cause cervical cancer, so these are detected in the HPV testing ( Depending on your test done - as various tests have different sensitivity & specificity). Of these high risk majority are caused by Type 16 & 18. So once a women starts her sexual activity, almost 70- 80% women may have HPV infection but it gets cleared over 1-2years, so that is why we do not test it for women less than 30yrs ( I see you haven't mentioned your age).So as the HPV is a virus and it coming positive indicates higher risk of having precancerous changes or may be risk of cervical cancer in future, we need to see if any changes have already happened to substantiate the previous tests. So then comes the role of colposcopy. 3) Colposcopy - it's basically a test to visualise the cervix under huge magnification and to see for any deviation from normal, and to look for any changes over the cervix which can hint on being abnormal or precancerous, so that from that particular abnormal sites biopsies canbe taken and subjected to histopathological examination ( where a pathologist sees the tissue under microscope to look for any cancerous cell). So as your colposcopy finding are normal, your gynaec may call you repeat testing after 6-12months for repeat cytology & HPV testing. If the Repeat screening are negative twice then you can just follow the screening protocols routinely as other women. Please share the reports of your HPV & Pap smear so that I can go through & guide you through in case you any further doubts. Hope the information helps you. Have a nice day." + }, + { + "id": 17784, + "tgt": "My penile discharge shows Mycoplasma genitalium. Will I be infected forever?", + "src": "Patient: Hello doctor, I am a 27 year old\u00a0male, and I\u00a0had unprotected sex with a woman, four months back. I started having symptoms a couple of months back. The symptoms were penile discharge, it is transparent, and I feel tickling on the penis. This made me take some STI tests, and I was diagnosed with mycoplasma genitalium. PCR was carried out to check for the following STIs, Chlamydia trachomatis, Mycoplasma\u00a0hominis,\u00a0Neisseria gonorrhoeae, Trichomonas vaginalis, Treponema pallidum, Ureaplasma urealyticum, Ureaplasma\u00a0parvum, HSV 1 and 2, proviral HIV DNA, and all results were negative, except Mycoplasma genitalium, which was positive. Additionally, to the above PCR test, I did a blood test as well for\u00a0VDRL,\u00a0HBsAg, and anti-HCV, which were also negative. After visiting my doctor, I\u00a0started taking two antibiotics, that is, Zithromax, only the first day of the treatment, and then Ciproxin 500 mg for three weeks. At the beginning of last month, I\u00a0got tested by PCR method again and found positive for Mycoplasma\u00a0genitalium. The doctor after reviewing the results suggested taking another 2 g Zithromax. After getting the last dose of 1 g Zithromax three weeks later, \u00a0I\u00a0got tested again by PCR method and found positive for Mycoplasma genitalium. On the same day of the test, I got a\u00a0urine test, which showed 11000 WBC. So, the doctor suggested getting a urine culture, which showed 1000 CFU. Is this something I have to worry about? Will I be infected forever? If I\u00a0meet my wife in a\u00a0couple of years, will she be infected because of me? What is the next treatment? I still have penile discharge. This is something that stresses me a lot. Please advise. Doctor: Hello. Hope it helps.\u00a0If you have any other question, please do not hesitate to contact me.\u00a0Regards. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16767, + "tgt": "After tooth extraction, I feel exhausted with irregular bowel movements. Why?", + "src": "Patient: Hello doctor, I had my left lower wisdom teeth extracted before a week and stitches are still there and yet to be removed. I am on Paracetamol and other painkillers. The problem is I do not have any pain in my mouth. But, I feel exhausted, restless and I just cannot wake up from my bed. Also, my bowel movements are not\u00a0perfect. I feel like going to the\u00a0bathroom again and again like irritable bowel syndrome. Can you please tell me about my sickness? I am a 23 year old male. My height is 5'7\", and weight is 72 kg. Doctor: Hi. I have read your complaint and the relevant details. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17059, + "tgt": "How long will it take to heal ankle injury?", + "src": "Patient: Hi doctor, I have injured my ankle while playing basketball. I have a swollen ankle on the left side and slightly less minor swelling on the right side of my ankle. I have a splint and taking calcium medicine along with other medicine and painkiller to reduce swelling. X-ray initially suggested a minor hairline crack on the edge of the medial malleolus. However, a second opinion doctor said since there is not much swelling; it is less likely to be a fracture.\u00a0Can you advise on the degree of injury? How long will it take to heal? Doctor: Hi. Revert back after six weeks to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10790, + "tgt": "I become nervous and faint when I try to masturbate. Why does this happens?", + "src": "Patient: Hello doctor, When I try to masturbate or when I am thinking of it, I became very nervous, and a little fainted. I do not know why. Doctor: Hello. Well, in this case, the jerk you had in your first experience is called ejaculation. I am sure you did not take any libido-enhancing drug cause that may also amplify the symptoms. And usually, there is adrenalin surge during ejaculation, which can cause a sudden increase in your heart rate, nervousness and eventually tiredness during ejaculation. After the entire process is over, then eventually you will become calm. I guess your fear may be stemmed from your first experience. Those symptoms you felt are normal for every man who has sex when it is time to ejaculate. It is not a problem. It is a normal physiological respond during ejaculation. So relax, nothing to worry about you are fine. I believe your subsequent experience will make you understand that it is normal. Erotophobia, sexual anxiety." + }, + { + "id": 26126, + "tgt": "My infant has chest retractions due to severe cold. Should I be worried?", + "src": "Patient: Hello doctor, My 24 days old baby is suffering from cold which retracts her chest making noisy breathing sound\u00a0li\u0199e there is thick mucus in the chest. We are using Amoxicillin suspension but there is still no improvement. The doctor has now placed her on Cefixime suspension 2.5 mL twice a day. Do you have any suggestion? Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18925, + "tgt": "At what age can surgery be done for a branchial cyst?", + "src": "Patient: Hello doctor, My 20 months old son is diagnosed with a branchial cyst in the anterior aspect of his\u00a0neck, at the\u00a0right paramedian location at the level of the thyroid gland. It is anterior to the strap muscle with cranial extension up to the right submandibular gland. Is the only option surgery? If yes, is it life-threatening? Can the surgery be done at this age? I am attaching his ultrasound report. Doctor: Hi. I have reviewed your information and the ultrasonography report provided (attachment\u00a0removed to protect patient identity). I hope that helps. For further queries consult a paediatric surgeon online --> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 16827, + "tgt": "I have constant body pain and weakness. What could be the reason?", + "src": "Patient: Hi doctor, My arms and legs hurt every time I move around too much or stand too long or lift my hand up. I cannot even do exercises, because my muscles burn when I try to do some exercise. My knees also hurt when I stand too long or carry weight. My knees hurt and give a twig breaking sound when I bend them. I also have back pain. A few months ago, the area of tail bone started aching whenever I sit down. The pain has lessened now. I am 25 years old and have been with these problems since I was 21 and I feel like I am 125. I have met a general practitioner and had some scans. He said that my bone structure was fine and my spine was a little curvy at the end. He told me that it was probably a nerve caught in between my bones and had worn out over time. He advised me to meet an orthodontist. Could you advise me on what I should do further? Doctor: Hi. I have gone through your query in detail (attachment removed to protect patient identity) and understand your concern. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 8341, + "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": 13832, + "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": 21449, + "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": 29347, + "tgt": "If my period is on 9th, when will I ovulate?", + "src": "Patient: Hi doctor, If my period ends on the 9th of the month, \u00a0when do I ovulate for me to get pregnant? I think I am having unprotected sex at the wrong time. I do not know the right time. My period always skips two days each month. I am also taking prenatal vitamins to help me get pregnant Doctor: Hi. There are many important factors for a pregnancy to get established, like a favourable endometrium along with not only the proper timing of coitus. Also, prenatal vitamins will prevent any congenital disabilities in the baby and do not help to get pregnant. Do continue them. Alternatively, you can start taking LH (luteinizing hormone) kit test. Dip it in the urine to check for ovulation from day 12 to 16 of the cycle. Take the first day of periods into reference as day 1. For further information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17589, + "tgt": "What is the reason for no bleeding after I-pill?", + "src": "Patient: Hello doctor, I had unprotected sex on the 11th and the guy did not ejaculate. I was worried since it was the 20th day of my menstrual cycle and I have an average of a 32-day cycle. So, I took an I-pill within seven hours. My last period was on the 23rd of last month and the next period is due on the 24th of this month. I track my period using an app and it said that I have medium chances of pregnancy. It has been 10 days since I have taken the I-pill. I am worried that there is no bleeding yet. I took a pregnancy test and it came negative. Can you explain why my bleeding may not have started yet? Doctor: Hello. Ideally, the withdrawal bleeding following an I-pill should start in the next five to seven days but it can be delayed often due to increased stress on one hand and the other reason is I-pill failure and pregnancy. So, the best would be to get a serum beta hCG test done now. If the hCG levels are less than 5 mIU then you are surely not pregnant and can wait safely for a few more days to allow your withdrawal bleed to start. Regards. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 23183, + "tgt": "I had no sex after last cycle. Should I worry about unwanted pregnancy?", + "src": "Patient: Hello doctor,I had been put on Primolut N for 15 days for PCOD. I started the pills on last month and finished in 15 days. On the seventh day, I had sex with my husband. I got my period on the 21st day and had been asked to begin Diane 35 for 21 days on the fifth day of the cycle. I began taking Diane 35 on 25th of last month and the pack finished on 15th of next month. Today is the last day of the pill-free week but there is no bleeding yet. I had taken an emergency pill within an hour after the intercourse. There has been no sex after the last cycle. Should I worry about an unwanted pregnancy? Please help. Doctor: Hi. As you are on hormones externally induced as internal hormonal imbalance so having bleeding according to these hormones effects on the body. Post emergency pills and a Primolute withdrawal bleed you got already then you started another hormonal pill that also acts as combined oral contraceptives pills. After finishing these tablets cyclically you will have withdrawal bleed as now menses are controlled by externally induced hormones. Have a healthy diet, daily exercise, normal BMI, and recreational activities. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27251, + "tgt": "Will a dental work up worsen my hyperacusis?", + "src": "Patient: Hello\u00a0doctor,I suffer from hyperacusis. I need to have dental work done and I am scared to death that the sensitivity will get worse. I keep reading opposing opinions on wearing ear plugs and ear muffs. If I have an IV sedation, my ears are still getting the noise from the drill. I do not know what to do. Doctor: Hello. Revert with more information to an audiologist online --> https://icliniq.com./ask-a-doctor-online/audiologist" + }, + { + "id": 5048, + "tgt": "Are Trileptal and Keppra the recommended drug for febrile seizures in a 12-year-old boy?", + "src": "Patient: Hello doctor, I have a question about my soon to be 12-year-old son. Since he was 1 year old he has had febrile seizures about once a year. They only happen at night. When he is sick during the day I would give him Motrin or Tylenol. Through out the night and he would not have any symptoms. When he did not show signs of being sick that night his fever would spike. Two years ago we had his first video EEG and there were no abnormalities or no concerns. We did MRI, blood tests, and EKG all are normal. He had two seizures this year both while being sick. So the neurologist wanted another EEG. So we did a video EEG. The first night nothing looked wrong so she wanted to keep him another night. During the day he was getting sick he was running a little fever. So that night they choose not to give him Motrin to see if he would have a seizure and he did. It lasted a minute and was a full-body one. They looked over the tape and said there was no evidence of one coming on it came so quickly. They believe (but are not sure) that it came from the frontal lobe. They put him on Keppra for two weeks and then the doctor looked it over with her partners and they decide that Trileptal and Keppra would be what he needs. I happen to total disagree. He has never had a seizure during the day or one without a fever. I feel they so quickly diagnosed him with epilepsy without considering that all his tests are normal. That seizure they saw came on because we didn't give him medicine for his fever. Which to me seems like he has the rare case of febrile seizures lasting till the age of 12 years. He did not have any seizures last year but just two seizures this year. I personally want to try and build his immune system to stop him from getting sick to see if that will prevent his seizures. His father disagrees with me and agrees with the doctor. I believe the side effects of both these medicine out way the actual problem. I am just overwhelmed and stressed. Because I do not know what is the right thing to do? Can febrile seizures last to the age of 12? Is it rare for someone to have a seizure maybe once a year then not have any, then have one the next year? Does the medicine he is on sound too extreme? Please advise. Doctor: Hi. I understand your concern. I would say that both you and your doctor are correct. Your doctor diagnosed epilepsy because: 1. Primary epilepsy is more common in those adolescents who had febrile seizures. 2. Along with the fact, the EEG (electroencephalogram) was supportive of epilepsy, because, the febrile seizure would not start in a single region and spread over. Your concern is also justified because: 1. The child is a very classic case of febrile seizures. 2. The night when the child had a seizure, the child had a fever and the anti-pyretic was not given. I think what would have happened is, doctors would have thought that at 12 years it could not be a febrile seizure, along with that they found probable origin in the frontal lobe, so they prescribed AEDs (anti-epileptic drugs). Have patience, as of now continue the medicines. But three months down the line repeat an EEG when he does not have any fever (after taking off the medicines in a controlled environment, if we can do sleep-deprived EEG, would be better) if he has an epilepsy syndrome, the EEG would still be abnormal. This should be able to settle the whole issue." + }, + { + "id": 14855, + "tgt": "I am having pain in my breastbone radiating to breast and ribs. Why?", + "src": "Patient: Hello doctor, I have achy breastbone and ache towards the bottom of breastbone that goes across under my breasts and into my ribs on the right side. The ache comes and goes and seems to move around. It gets better with rest and laying certain ways. Taking no medicines. I am 29 years, 5'5\", 160 pounds, female. Doctor: Hello. Does this pain increase on applying pressure over the area, if yes it could be costochondritis and it is a musculoskeletal type of pain and needs prolonged NSAID therapy? You will need to check vitamin D level and need to be on NSAID therapy. Overload and overuse, as during weight lifting, or pushing heavy objects, may lead to muscle strain as well. If possible, any activity that causes or exacerbates the problem should be reduced and/or stopped, at least temporarily. You should get Diclofenac gel for topical application. Also, you will need tablet Naproxen 250 mg twice a day for 1 to 2 weeks or longer or Ibuprofen, along with antacid like Pantoprazole. So you can get this prescribed. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it suggests gastritis and acidity as a cause of pain?" + }, + { + "id": 7963, + "tgt": "Can exposing face to the sunlight maintain facial bone structure?", + "src": "Patient: Hi doctor, Is it true that you need to expose your face to the sunlight to maintain facial bone structure? Or is it enough to expose the body and the vitamin D distributes all over? Or does it work only in the specific areas where it is actually being produced? Doctor: Hello. For the prevention of vitamin D deficiency, you need to expose your body in sunlight early in the morning before 10 AM. The duration of exposure needed is ten minutes daily. It is not necessary to expose particular area of the skin." + }, + { + "id": 28922, + "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": 5221, + "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": 8649, + "tgt": "I had bleeding after I was fingered. Am I pregnant?", + "src": "Patient: Hello doctor, My fiance just fingered my private part for the first time and I am not sure that before fingering he touched his sperms or not. I was having pain at that part the day he did it which is just a day before and I had a bleeding patch along with my secretions yesterday. I am tensed whether this leads to any pregnancy or not. Please help me. Doctor: Hi. Although I would like to ask some questions before answering your query as many things are missing here like your menstrual history, medical and drug history and most importantly how long you have been sexually active. If you were not sexually active before then it could be hymen rupture. But if you have been sexually active there could be other reasons for bleeding like local minor trauma, laceration or very small tear that bleed. One sperm cannot be even seen by eye as in one ml of semen there could be millions of sperms and only one required to get pregnant. Better to have one local detailed examination by a gynecologist for any trauma, local tear or injury or any other pathology like a polyp, or any cyst (this can bleed as well if not hymen). If you have been treated for any disease better to have the full treatment. You would have had emergency contraceptives within 72 hours of the event. If you have been having irregular cycle then maybe this bleeding could be part of your cycle. Which phase of cycle event occurred it matters. If late phase near menses, fewer chances of pregnancy (less fertile period). In case of missed periods or even now as well you can have beta hCG ( human chorionic gonadotropin) that can clear situation. Have a healthy nutritious diet. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7481, + "tgt": "My phimosis is getting worse. Will this lead to lichen sclerosus?", + "src": "Patient: Hello doctor, I have phimosis as long as I can remember. Around my 20s, my phimosis started getting worse, and my foreskin kept getting tighter to the point where the opening is now about 4 mm, and I have ballooning of the foreskin. I am 40 now and would like to get it treated once and for all. Here are my questions and concerns, 1) Is the progressive tightening always a sign of BXO (lichen sclerosus). 2) If the opening is only about 4 mm and I went for an initial visit to a urologist, how would they visualize the glans for any suspect lesions? 3) If I wanted to confirm the health of my foreskin and glans (especially the presence of BXO or cancer), how can the urologist carry out his tests such as visualizations under the foreskin and taking biopsies without performing a circumcision? 4) While I know that BXO is a risk factor for penile cancer, I would like to get an idea of my risk in terms of numbers if possible. Is it possible that my BXO if present could have turned to penile cancer without me exhibiting symptoms? The only symptoms I usually feel are the foreskin tightening even in the absence of stretching it and occasional frenulum pain. 5) When I roll back my foreskin, the part behind the opening looks lighted (I have attached image). Could this be an indication of lichen sclerosus? Doctor: Hello. I have gone through your case, and the following are my pointwise answers. 1. The progressive tightening foreskin is not always suggestive of BXO. Instead, gradual tightening is an age-related process when a male does not retract foreskin often and clean the undersurface. 2. Proper inspection of the suspect lesion is only possible after adequate circumcision. Hence the first step in such cases is circumcision. 3. As I pointed out before, the histopathological examination of circumcised skin is the only evidence to prove or disprove BXO. Any other method is incomplete and inconclusive. 4. Though BXO is a risk factor for penile cancer, the occasional pain and tightening on its own does not amount to cancer. However, his to pathology is the only proof for definitive diagnosis. 5. As you have phimosis, you are unable to pull back foreskin completely. Hence, the undersurface of the foreskin is not visible. However, the discoloration and fissuring are indications of BXO, though it needs to be confirmed histopathologically. I hope I have answered all your queries." + }, + { + "id": 25481, + "tgt": "Please suggest medicines for cough in a 4 month old", + "src": "Patient: Hi doctor, My 4-month-old baby girl is coughing from the last five to six days. It enhances at night. Please suggest medicines. She is taking Visyneral-Z. Doctor: Hello. I understand your concern. The baby's age is 4 months. At this early age, cough medicine is not advisable. Usually, at this age, babies are breastfed and have nasal block which can lead to breathing difficulty including cough sensation. During feeding times, ensure the baby is held in the upright position and given proper burp. You can give Nasoclear drops (Saline) to be put in each nostril (nose) one or two drops, and this can be repeated three to four times a day especially at night. If fever is there, you need to show her to a doctor. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6667, + "tgt": "What is the reason for splenomegaly during pregnancy?", + "src": "Patient: Hi doctor, My wife is suffering from pain around the uterus. She is 16 weeks pregnant. Her doctor suggested for a urine test and ultrasound scan. Urine infection was detected and using medicines for it. But, the ultrasound scan report came as splenomegaly and low lying placenta. This is our second baby. She had a normal delivery previously without any issues. Her health condition was perfect. Now, there are no\u00a0health issues except uterus pain during this pregnancy. We really afraid after seeing her scan report. I have attached the report for your reference. What would be the next step?\u00a0What are all the risk factors? What precautions should we need to take? What is the reason for splenomegaly? Please help. Doctor: Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23212, + "tgt": "I am suffering from delayed ejaculation during sex. How can I fix it?", + "src": "Patient: Hello doctor,Since I was 16, I have been suffering from delayed ejaculation whenever having sex with a woman. I have not usually had trouble maintaining an erection, but I have never been able to ejaculate during sex, despite going for over 30 minutes at a time. Since I was 14, I have been on Zoloft, and recently switched to Paxil last fall. I believe the issue may have something to do with the fact that I masturbated frequently as a teenager, sometimes as frequently as once per day, and I feel this may have desensitized me to the feeling of sex. I masturbate by rubbing my penis against a bed or other surface and do not usually have trouble reaching ejaculation this way but do not find much pleasure from handjobs or blowjobs. I want to know if there is anything I can do to fix this. Doctor: Hi. I have gone through your query, I would like to know a few more details to answer your question better. How old are you presently? How long have you been on medication? Do you have a steady partner with whom you have this problem? Do you have any problems with arousal before or during sexual contact? Are you able to maintain the erection for the duration of the encounter? Based on your history, I feel that your problems are due to a combination of your vigorous masturbation style coupled with your anti-depressant medication which is known to cause delayed ejaculation. The amount of stimulation by vigorous masturbation cannot be provided by either oral or vaginal intercourse. In addition, it is also important to rule out if there are any reversible hormonal disorders that may cause this like hypothyroidism. Therapy for this will involve psychosexual therapy integrated with changes in your lifestyle, medication. Medications are under investigation but mostly are used off-label and are not approved for use in this condition as their effectiveness is limited. With combination therapy, there will be a definite improvement, but the magnitude will depend. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2614, + "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": 12523, + "tgt": "What causes blocked nose with hoarse voice?", + "src": "Patient: Hello doctor, My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril. As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable? Doctor: Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy?" + }, + { + "id": 9534, + "tgt": "I have a painful white bump on my foot. What is it?", + "src": "Patient: Hi doctor, I have a white bump on my right foot causing pain and stiffness. I am confused whether it is an abscess or ulcer. I have applied antibiotics ointment and taken some antibiotic tablets as well. Doctor: Hello. Biopsy. Plantar wart. Cauterization. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20498, + "tgt": "Does high TSH range mean any problem?", + "src": "Patient: Hello doctor, If TSH range is 18.64, does it mean any problem? Doctor: Hi. TSH (thyroid stimulating hormone) test is done to check for thyroid function of the body. The normal range that can be considered within limits is up to 5.5. Since your value is 18.64, it falls in the higher range. It means you are suffering from a condition known as hypothyroidism. You will need to start medications for the same. I would suggest you consult a physician who will treat any associated symptoms you are experiencing and also start you on medications." + }, + { + "id": 26649, + "tgt": "My report says there is blood in urine, but my doctor says I am fine. What should I do?", + "src": "Patient: Hi doctor, Recently, I had undergone chest X-ray, ECG, creatinine, fasting glucose, postprandial blood sugar, urea, uric acid, lipid profile, liver function test, thyroid stimulating hormone, TSH, urine complete analysis, complete blood count with ESR and ultrasound of abdomen and pelvis. All the reports came back normal except my urine report. My chemical examination of urine says there is blood in the urine and the microscopic examination says pus cells and RBCs are present. I contacted my\u00a0doctor immediately and he suggested to go for urine culture and sensitivity. The report came after three days and it looks normal as well. It says, no growth noticed at the end of 48 hours of incubation and microscopic examination says occasional pus cells and no microorganisms were seen. The doctor said not to worry and that everything is alright. He suggested taking more water. He also mentioned that the ultrasound report is also normal. I searched on the internet about RBCs in the blood and saw some very strange articles which scared me a lot. I request you to kindly help me out and suggest what I should\u00a0do. Doctor: Hello. According to your reports, it seems to be a urinary tract infection secondary to a kidney stone. Some kidney stones are not visible on the ultrasound. So, I suggest you do a CT scan of the abdomen and repeat urinalysis. If the same report persists, then we can think of nephrolithiasis. Such reports can be seen in acute kidney injury secondary to a urinary tract infection which usually subsides on its own. Do not worry. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29616, + "tgt": "Do you think that the stains next to the filling are cavities?", + "src": "Patient: Hi doctor, I have attached the photos of my teeth. The tooth, which is next to the tooth with a filling, has some small stains. What are these little stains? Are they cavities? This tooth often feels sensitive and at times hurts when I floss if I have food stuck between my teeth. I am on birth control pill. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25275, + "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": 18358, + "tgt": "I experience bouts of dry cough every winter. How can I prevent that?", + "src": "Patient: Hello doctor, I have a dry cough problem. While breathing, there is a difficulty. At night, it gets worse and I start to sweat. I have this problem every year during the winter. I got a blood test done and the result was 8 % eosinophilia. Please suggest. I am taking Banocide forte. Doctor: Hello. Wishing you good health. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 23204, + "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": 6134, + "tgt": "My baby is suffering from frequent cough and is allergic to cold. What medicine should be given?", + "src": "Patient: Hello doctor, My baby is 3.5 years old and weighs about 12 kg. She is suffering from frequent cough and she is allergic to cold. What medicine should be given? Doctor: Hello. Everyone has an allergy to cold, its severity varies between individuals. If she had recurrent episodes of cough, and it associated with wheezing then, it could be hyper-reactive airway disease. It is common but sometimes it may turn out to asthma, it is more common if there is a family history of similar illness. Anyways, the viral infection is common and some people may have 10-12 times in a year. No need to worry about this. Advice: Best is if you do not give any medicine except Paracetamol if associated with fever. If the cough is interactable then you can use these medicines. 1. Syrup Honitus 5 ml, four times a day. 2. Syrup Coriminic (Phenylephrine HCl and Chlorpheniramine maleate) one tea spoon three times a day. 3. If there is wheezing, then give syrup Asthalin (Salbutamol Sulfate) 5 ml three times a day. 4. If associated with fever, give syrup Paracetamol 5 ml whenever fever occurs. 5. Give fresh food, plenty of water, and tomato soup. Report back if needed, otherwise, it will take three to five days to resolve." + }, + { + "id": 13012, + "tgt": "Does rise in hepatic enzyme indicate liver disease?", + "src": "Patient: Hi doctor, I am a 30 year old male. My weight is 84 kg and height is 177 cm. My blood test results are leukocyte 10.94000, lymphocyte 14%, neutrophils 75000, MCHC 31.2% and RDW-SD and PDW are high. My SGOT and SGPT levels are high too. Please guide. Doctor: Hi. I want to assure you need not worry as everything is going to be fine, if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. You have low iron, but the deficiency can be covered by diet. 2. There is an increased white blood cell count which indicates an infection. 3. Deranged liver enzymes may be due to the hepatic disease, viral hepatitis or alcohol intake. Body weakness and fever along with raised hepatic enzymes gives suspicion for liver disease. 1. HBsAg (hepatitis B surface antigen). 2. Anti-HCV (anti-hepatitis C virus). 3. Vitamin B12 and D levels. 5. CBC (complete blood count) with ESR (erythrocyte sedimentation rate). 6. Complete urinalysis. 7. Complete abdominal ultrasound. 1. Take green leafy vegetables such as spinach, broccoli and cabbage. 2. Take the diet which includes carrot, cucumber, kiwi, avocado, fresh pineapple and fish. 3. Take plenty of coconut water, which is good for your condition. 4. Take almonds, walnuts, cashews, nuts and beans. 5. Add Citrucel (methylcellulose) dietary fiber supplement. Take plenty of fluids and keep away from spicy, fast and fried foods." + }, + { + "id": 23487, + "tgt": "Will IUI treatment work for me?", + "src": "Patient: Hello doctor, I am a 27 year old female. Please evaluate my HSG reports and let us know if there are any complications. Doctor: Hello. I have gone through your history and reports and understand your concerns (attachment removed to protect patient identity). In your report, the right side tube is patent and the left side tube is blocked. So, you have to get your treatment for the same. Please let me know why you have done this test. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1020, + "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": 27670, + "tgt": "How to get pregnant quickly and easily?", + "src": "Patient: Hello doctor, I want to get pregnant this year. I have a 28 day cycle. My last period was on the 12th of this month. So, can you tell me what I can do to get pregnant easily and quickly? Doctor: Hello. Pregnancy is a\u00a0natural process. So, do not get tensed about it. For more information consult an obstetrician and gynecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2079, + "tgt": "I am unable to sleep at night due to inactivity during COVID-19 lockdown. Please help", + "src": "Patient: Hello doctor, Due to lockdown, I have a bad schedule of sleep. I am not able to sleep at night and when I sleep in the morning I can sleep only for four to five hours and wake up with a bit of pain in my hands and feet. I am 20 years old. Doctor: Hi. Well, let me tell you that this is a very common problem for people these days during the lockdown. It is because our body is used to a certain amount of work that makes it and especially the mind tired which makes you sleep normally during your routine days. So you do not need to panic and just make a few changes to your lifestyle. First of all, keep yourself engaged in activities throughout the day. Workout a little. Try reading a book. Do not spend too much time on the bed all day and only use it when you want to relax. Do not drink any caffeinated beverages after 6 PM. Get your body and mind to constantly engage in something so that it is tired and it wants to relax during the night. Try this for seven days. Sleep pills usually work but I will advise you not to use them as the mind and the body get used to them easily and it is very hard not to use them later. I hope this helps." + }, + { + "id": 2664, + "tgt": "I have PKD and my BP spikes within 2-3 days. Why?", + "src": "Patient: Hello doctor, I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily. Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130. My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike? Doctor: Hello. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroidal anti-inflammatory drugs)? If none of this is true sometimes it could be just because of variation in weather with winters starting. My advice will be to continue with Lisinopril as advised. As HCTZ (hydrochlorothiazide) is causing hyponatremia I will stop that and can add Tolvaptan which has been approved specially for ADPKD (autosomal dominant polycystic kidney disease). This has to be done by your nephrologist though. For better control of BP add Amlodipine 5 mg once daily and monitor blood pressure. Please note that a common cause of hyponatremia in such a scenario is increased water intake, salt restriction, reduced protein intake and hydrochlorothiazide. Combination of these factors is common in ADPKD patients as doctors would be advising for all these." + }, + { + "id": 17597, + "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": 775, + "tgt": "Is it possible for a hypothyroid patient to develop diabetes?", + "src": "Patient: Hello doctor, I am hypothyroid. Thyroid gland destroyed by Radioactive Iodine 14 years ago. My fasting blood sugar level is always in the range of 6.1 to 6.5. I have tried intermittent fasting even after 22 hours it does not drop below 6.0. Postprandial is in the range of 9.5-10.4. I do not have any sugar or rice or bread in my diet. Only carbohydrates is brown chapatis. Am I Type 2 diabetic? I take 200 mcg Levothyroxine everyday. Doctor: Hi. From your history it is evident that you are on replacement therapy for hypothyroidism post-radioactive iodine,and also known diabetic since 6 months. From your history, age and other parameters it is type 2 diabetes mellitus. It is not only carbohydrates which contributes to the same. Insulin resistance is the main culprit. From the details above it is clear your blood sugars are not under good control (hbA1C 8.8). I would recommend to monitor your blood sugars at different point of time to know at which time it is increasing. (That is monitoring before and 2 hours after breakfast, lunch and dinner using a glucometer) and want to adjust your diabetic medications accordingly. lifestyle modification Diabetic diet regular aerobic exercises for about 30min a day avoid simple sugars, juices, fruit with high glycemic index modify oral antihypoglycemic agents according to blood sugars" + }, + { + "id": 24379, + "tgt": "Please see if the MMR report is fine", + "src": "Patient: Hi doctor, Recently, I had a blood test for MMR (measles, mumps, rubella) and the report that I got, am not able to interpret. Could you please see if the report is fine? Will I require a vaccination dose for the same (I had the vaccination in childhood)? Is it harmful to have the vaccination more than once? I had a rheumatic heart surgery four years ago (aortic valve replacement). Currently, I am on Betaloc 12.5 mg, Ecosprin 75 mg, and Warfarin 5 mg. Doctor: Hi. I have checked the attached reports (attachment removed to protect patient identity). The results for measles and mumps show high antibodies which mean immunity is either due to past infection or vaccination. As for rubella, the level of antibodies is low which means that you are prone to rubella infection. Rubella vaccine dose is required. There is no harm if you repeat the vaccine. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26070, + "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": 16948, + "tgt": "Will Isotretinoin affect my HIV and syphilis tests?", + "src": "Patient: Hi doctor, I was taking Isotretinoin tablet from four months, and I stopped taking it. I had dry mouth, sores, thick line inside cheeks, some rough patches inside cheeks and lips also. But even after stopping Isotretinoin, I still have these problems. I have a lot of hair loss, nearly 300 to 400 per day. I also have a bump in the vaginal region. Whenever I search these symptoms online, it shows HIV or herpes. I am very scared. But, I took an HIV and syphilis tests after one month of possible exposure, which was negative. I again took the test after three months, which was also negative. Last month, that is after four months of exposure, the test was negative. But, most experts say that chemotherapy can affect HIV test. So, I think Isotretinoin can affect my HIV test to show a false negative. I am very scared of HIV, syphilis, and herpes. I am just 24 years old and planning to get pregnant. Please clear my doubts. What can I do? Doctor: Hi. All the best.\u00a0Best wishes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26568, + "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": 16112, + "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": 7315, + "tgt": "My 2. 5 year old daughter had one tablet of Qutan 25 mg. What could be the side effect?", + "src": "Patient: Hello doctor, My 2.5-year-old daughter ate one tablet of Qutan 25 mg (Quetiapine). What should we do now? Doctor: Hello. This is an antipsychotic drug causing side effects after prolonged use or acute side effect due to consumption in a large amount. She took this drug in a small amount that is in range of normal dose. If she did not have any side effect, you need to do anything. Common side effects are headache, generalized weakness, drowsiness, restlessness, dizziness. Fatigue tremor, abnormal movements, dry mouth, constipation, increased heart rate, palpitations, postural and orthostatic hypotension, blurred vision, sweating, skin rash, eruption, fever, and flu-like symptoms. Unlikely, but if she developed symptoms, you need to report to your nearest pediatrician. Kindly keep these drug in a safe place out of reach to your kids. I hope this will help you." + }, + { + "id": 18301, + "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": 11954, + "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": 20625, + "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": 19526, + "tgt": "What is your suggestion for my stomach pain?", + "src": "Patient: Hi doctor, I am a 55 year old female. I am suffering from stomach pain. My ultrasound scan was reported as normal. The CT scan report is normal with an impression as minimal free fluid in the pelvis. Our physician told that I have some infection in the intestine and was advised to take antibiotic and pain killer. I got my uterus and ovaries removed 10 years ago. Actually, I have\u00a0pain in the right side of the abdomen and around the navel. General surgeons feel that it might be a muscle spasm or some gynecological symptom. Please give your valuable suggestion. Doctor: Hi. Inflammatory. Contrast-enhanced CT scan and urinary culture. 1. Inflammatory. 2. Infective. 3. Neoplastic. I suggest an antimuscarinic agent such as Buscopan (Hyoscine butylbromide) or Mebeverine for symptomatic relief of pain along with your current painkillers. Consult your doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a general surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 26795, + "tgt": "After a brain stroke, my dad's urine output has decreased. Please help", + "src": "Patient: Hello doctor,My 70 years old father had a brain stroke, and he has been operated thrice since then, including VP shunt. He is diabetic, and his condition has not improved yet. He is in the ICU, and his urine output has decreased to 10 ml per hour. They performed dialysis two days back, but there is still no improvement. Please help. Doctor: Hi. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4327, + "tgt": "How far will short term medication help in fixing my sleeping disorder?", + "src": "Patient: Hello doctor, I am a 27-year-old male with a sleeping disorder. I have difficulty in falling asleep in the night and has difficulty in getting back to sleep after waking up in the middle of the night. I need to masturbate in order to fall asleep. I suffer delayed sleep phase disorder. This has made it difficult for me to maintain a normal job. During college time, I did not use to sleep one night before exam because of fear of not getting up on time. What is light therapy and chronotherapy? How can they help? I have daytime fatigue. If there are any medicines which I can take for a short time, please suggest. I am facing this problem since last 10 years. Doctor: Hello, Welcome to icliniq.com. Sleep disorders are very common. Normally hygienic measures could be helpful to alleviate the symptoms. Also, it could be a symptom of other disorders, however, in your particular situation that does not seem to be the case. Melatonin is effective in regulating the synchronization of the circadian rhythms of physiological functions like sleep timing. Of course, the are pharmacological options that can be useful in acute cases or during a short-time course like Lorazepam 1-2 mg, Lormetazepam 2 mg. If that does not work please feel free to contact me again." + }, + { + "id": 5396, + "tgt": "Is there any siddha medicine for bout of sneezing which predominates in the morning?", + "src": "Patient: Hi doctor, I have a sneezing problem (more than a year) every morning when I woke up. I forced to sneeze vigorously at least 20 times in the morning. Please suggest any medicine in Siddha to cure this sneeze. I have been taking allopathy medicine for three months but it gives more side effects, drowsiness, and cough. And if I stop that medicine I get sneeze again. Please help. I took a test for eosinophilia and lung function tests, they are normal and I am currently taking Montec and Furamist nasal spray. Doctor: Hello. You are using nasal sprays of steroid and antiallergic drugs. They are not good for long term use due to side effects. According to Siddha Medicine, this condition can be treated as follows: 1) Avoid exposure or cold air (AC), dust, mist, etc. They can activate the immune system in the nostril, thus sneezing occurs. Sometimes, AC also makes dryness in the nostril. In order to maintain normal secretion, the act of sneezing could be initiated in the morning. 2) Avoid cold and sour tasted foods at night like curd, ice cream, and food kept in the fridge without heating. 3) Consume more rasam prepared using ginger (fresh or dried), pepper, tulsi leaf, or betel leaf. 4) The following drugs to be used. Poorna chandrodayam tablet one tablet in the morning and one tablet in the evening with one vethilai (betel leaf). Keep the tablet on the betel leaf and role it. Chew in the mouth using teeth. Then, swallow it. this can be done after food. This should be continued for 25 days. (you need 50 tablets). Swasa kudori tablet two tablets in the morning and night after food, swallow with water. This is for three months (you need 180 tablets). This can be continued for many days if required. Palagarai parpam tablet one tablet in the morning and one at evening after food. This is for three months. This can be continued for many days if required. Chukku thailam, this oil to be applied as a nasal drop before bed and in early morning. The same oil should be applied on the top of the head (scalp) in themorning. Do mild massage with your own hand. After one hour, take bath. This should be applied every day or at least every alternate day. All drugs are available in Siddha pharma. I hope this helps." + }, + { + "id": 1315, + "tgt": "Birth control pills taken for regularizing period causing sporadic periods. Why?", + "src": "Patient: Hello doctor, I have been having very irregular periods since I began getting them. I have been on birth control to help manage and track them, but as of recently, I have been having more sporadic periods. For instance, from the beginning of January through the end of February, the pill I was on was no longer helping and I was on my period for two weeks at a time with five days gap in between each period. And I have been experiencing more intense cramps during my period that start in my lower abdomen and extend through to my butt. If I had to describe it, it feels like a stabbing pain from my belly button straight through my body to butt if that makes sense. I am 19 years old and I have never been to a gynecologist. Please help. Doctor: Hello, Welcome to iclinq.com. I can understand your concern and what you are going through is a hormonal problem. The regularity gradually sets in with maturation of the HPO (hypothalamic-pituitary-ovarian) axis ( as you grow older), and the treatment of choice is hormonal pills. The possibilities of your problem despite pills maybe 1) Missing pills in between. 2) Taking pills not on time (these two are the most common causes for such a scenario). 3) Dose of the pill may not be enough. However, as you are complaining of severe pain, have an in-person gynecologist opinion. USG (ultrasound) abdomen is done to rule out uterine, and ovarian pathology. Nothing big to worry about and continue with hematinics. I hope this helps. Hormonal. USG abdomen and pelvis, Hb. Uterine/ Ovarian causes. Hormonal. OCP (oral contraceptive pills) after the scan. Excess weight gain can alter your cycle, so concentrate on weight reduction and iron-rich diet." + }, + { + "id": 30659, + "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": 11205, + "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": 9122, + "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": 8442, + "tgt": "Why I do get a continuous green vaginal discharge with fishy smell even after having medicines?", + "src": "Patient: Hello doctor, I find myself in front of a very uncomfortable situation. I do not know what is going on with me, but I would like to find a cure. When I was younger, I was sexually assaulted and abused for three years. I believe then I contracted an STD, but I never got it treated because I was too afraid to speak. Days go by, and I find my self in front of green like discharge with a very bad fishy smell. I cover it as I can with deodorant, showering more often and the problems seem to calm a little. But the truth is that after a while, these tentacle-like strings grew on my vaginal lips, causing very discomfort itchiness. After five years, I have been prescribed many different times the treatment for bacterial vaginosis, but the symptoms always come back. Every time I get sexually aroused this slimy clear discharge comes out of me making it super embarrassing. But the worse part is that my vagina is filled in the inside with these cottage cheese-like things that come out stuck on my finger when I put it in. These also come out during the day along with an acid like vaginal discharge that has no color, it is somewhat transparent, but it burns like acid is coming out of me. Kindly help. Doctor: Hello. You need not worry, as per your complaints and from your photos, you have bacterial and fungal infections. Do these investigations. 1) CBC (complete blood count). 2) Smear study from vaginal discharge. 3) Vaginal discharge culture and sensitivity. 4) Urine analysis and C/S. 5) Ultrasound abdomen. Wait for the results. In the meantime start the treatment with, 1. Tablet Raninitidine 150 mg before food. 2. Tablet Norflox TZ (Norfloxacin and Tinidazole) 1 bid (twice daily) after food. 3. Candid Vaginal tablet (Clotrimazole) insert in the vagina and keep two times daily. 4. Apply Candex BG cream (Clotrimazole, Beclomethasone, Neomycin) external use. 5. Wash the pelvic area with salt water daily. All for five days. You should not have any sexual contact until the treatment gets over. If possible, treat your sex partner. Otherwise will get reinfection." + }, + { + "id": 15525, + "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": 9433, + "tgt": "I have undergone ovarian cystectomy six times, and trying to conceive soon. Kindly advice", + "src": "Patient: Hello doctor, I am 36 years married since a year back, I had a history of six times laparoscopic ovarian cystectomy and my doctor did ovarian drilling twice, and I found AMH low and my period was normal every 30 days with the average amount, I used the ovulation kit for three months and there was no positive result (anovulatory). I want to get pregnant as soon as possible. Please advice for me. Doctor: Hello. If you had checked with ovulation kit in the cycle while taking OCP (oral contraceptive pills), they bound to be negative. If the period is regular every 30 days (as you mentioned) and still kit showed no ovulation, it might have given a false negative result which is familiar with ovulation kits, especially if monitoring is not done as advised on it). It is very rare for all cycles despite being regular to be anovulatory (it is ok if an irregular period is anovulatory). Still, considering your age, multiple surgeries, and low AMH, you can go for ovulation induction (initially at least with clomiphene citrate). You need to consult a doctor for a prescription and further ovulation monitoring. Controlled ovarian stimulation with injection FSH (follicle-stimulating hormone) and IUI (intrauterine device) will give a better chance of pregnancy than ovulation induction alone." + }, + { + "id": 852, + "tgt": "There is some redness along with ulceration near vagina in a baby. Kindly advise", + "src": "Patient: Hello doctor, My 4 years old daughter has redness around her vaginal wall. It looks as if it is an ulcer type or something. It hurts her a lot and frequent urination was there. We took her to pediatrician. He recommended us UTI course. Zocan and Trofan 2.5 mg was given. And Cadid V gel is given. It has been 10 days. But still she complains of leg pain and pain near urethra. Should we go fo sonography? Please let me know. Doctor: Hello. I need more detail history from you, whether there is fever or burning micturation, or itching around vagina or any discharge from it. How is her behavior after these symptoms? As you have mentioned that there is 1 cut on vagina, how did this cut happen? Pain, burning or stinging when passing urine. Suspect pain if a young child starts to cry while passing urine. The feeling of \"cannot wait\" to pass urine may occur. This is called urgency. Passing small amounts of urine at a time often. This is called frequency. New onset of day or night-time wetting. Pain in the lower tummy may also occur. If the kidney is infected, the pain is in the flank. The flank is the side right below the ribs. UTIs are a common cause of fevers without other symptoms in young children. The urine may be cloudy and have a bad odor. Sometimes, there is some blood in the urine. UTI on top of the list Interstitial Cystitis Vulvovaginitis Trauma Or Injury Child Abuse The vulva is the area outside the vagina. Soaps can cause this area to be red, sore and itchy. This can lead to UTIs. Stool that gets on the vulva is another big factor. This can happen with careless wiping. It can also happen with constipation. A rare cause is if the bladder is not emptied all the way. Reason: Urine that stays in the bladder too long can become infected. Cystitis is more common in girls than boys. This is due to the much shorter length of the urethra in girls. needs urine RE (A clean catch urine sample needs to be tested. A UTI is confirmed by finding white blood cells in the urine. A positive culture for bacteria is also needed.) Repeat Urine c/s USG abdomen UTI on top of the list Interstitial Cystitis Vulvovaginitis Trauma Or Injury Child Abuse UTI on top of the list vascicuuretric reflux or obstraction in urinary tract Interstitial Cystitis Vulvovaginitis Trauma Or Injury R/O Child Abuse ( AFTER PROPER EXAMINATION AND HISTORY ) Education (clean from front to back) after defecation plenty of oral fluids cranberries drinks Education (clean from front to back) after defecation plenty of oral fluids Follow up after reports urine and usg pelvis and abdomen" + }, + { + "id": 7797, + "tgt": "What could the lesions on the back of a 65-year-old man be?", + "src": "Patient: Hello doctor, My dad is 65 years old and has lesions on his back. I have attached images for your reference. What could these be? He has a normal liver function test although his abdominal ultrasound shows fatty liver grade 2. He also has a normal lipid profile. Doctor: Hello. I have viewed the images attached (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1728, + "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": 4487, + "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": 521, + "tgt": "I have problem while initiating urine with erectile dysfunction. Please help", + "src": "Patient: Hello doctor, I have a 30 -year-old male. I am 5 feet and 11 inches with 75 kg weight. I had difficulty initiating urination and also had a case of erectile dysfunction. The problem with starting urination was many years ago, which I ignored because I thought it would go away normally. I only recently found out about my ED (a few months ago). I have no problem while masturbating. After visiting a urologist, they asked me to take several tests (reports attached below). The report showed that I had a case of chronic prostatitis with a bacterial infection. I was asked to take medication for two weeks (antibiotics) and then supplements for three months. I have taken the antibiotics for another two weeks. I have not been able to go for another checkup due to lockdown. I took Jippo (Azithromycin), and Pantop (Pantoprazole). Supplements I took Revital Care, Neuro Care, Caldoz, Lovaza, and Cholecalciferol capsules (DV 60K). The doctor also suggested me to exercise, maintain nutritious diet and take vitamins for the ED. I have taken two doses of EDSave 10 mg tablets for two weeks. This helps with strong erections. I still feel that the medication has not fully worked because I need to wait for some time to start urinating. I have attached all my reports. Doctor: Hello. One thing you have not tried yet is tablet Alfuzosin 10 mg for two weeks. You can try this, I think your flow will become better." + }, + { + "id": 29241, + "tgt": "I am urinating less in the morning when compared to later hours. Why?", + "src": "Patient: Hi doctor, I am a 37 year old male.\u00a0I have urination problem for the last six months. There is no urine build up in the morning hours. I am voiding\u00a0only a small quantity of deep yellow colored\u00a0concentrated urine with no pressure in the morning. After 2 hours of taking tea and water, I urinate frequently. My sleep also gets disturbed due to frequent urination. My ultrasound, urine test and blood test were normal. Doctor: Hi. Revert after 14 days to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1055, + "tgt": "I am currently having obsessive thoughts and find it hard to control them. Please help", + "src": "Patient: Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i've been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me. I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven't checked up for this ear problems of mine. I am currently taking Propanolol. Doctor: hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it's a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further" + }, + { + "id": 333, + "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": 1739, + "tgt": "I broke a blister in my foot and it hurts when I walk. What to do?", + "src": "Patient: Hi doctor, I broke a foot blister with a pin and the skin appeared intact. I disinfected it and put a dressing. But it hurts when I walk. Is this normal? Doctor: Hello. You have broken the blister with the pin and I would recommend you not to do that in the future as it is a non-sterile method of doing so and can cause infections in that area. Having said that, I would like to ask you, is there redness around that area? Is there any discharge coming out from the wound? If yes, then you need to start some antibiotics and also take care of the wound. Make sure you clean it everyday and dress it up well. As foot is the dependent part of the body and all your body weight is on it so even a small blister will be painful during walking, standing, etc., for a few days until the blister heals. Blister. Foot blister- local trauma. Tablet Paracetamol one tablet twice daily, Betadine ointment for local application, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. Proper foot hygiene. Regular dressing. You might get a little diarrhea after taking the tablet Augmentin which will subside once you stop the drugs. Usually eating probiotics like yogurt will help with the diarrhea." + }, + { + "id": 2184, + "tgt": "I am depressed by thinking about my disease. How to come out of this?", + "src": "Patient: Hi doctor, Recently, I was diagnosed to have IBS with diarrhea. I also have chronic low back pain. I am now depressed by thinking so much about my diseases. Now, I have no interest in any work and also not happy. When my boss or other coworker say something about any work, I am getting tense. Also, my mood changes daily. What is my problem? My current medications are Rantac 150 twice daily, Rifagut 200 twice daily, Normaxin twice daily and Zincovit thrice daily. I have been taking all these for the past 10 days. Please help with my condition. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10800, + "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": 12060, + "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": 20179, + "tgt": "After a fall my child's cheek turned blue. What to do?", + "src": "Patient: Hi doctor, My child fell from a seesaw. He got hurt near his cheek and that area turned blue. There was no bleeding at all. It is there for over 2-3 days. Today, we saw the blue area extended near the eye. What should we do now? I have attached the photos for your reference. Please suggest. Doctor: Hi. I can understand your concerns and I have thoroughly gone through the photos (attachment removed to protect patient identity). For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 6177, + "tgt": "I got a lump in my anal hole. What to do?", + "src": "Patient: Hello doctor, I got a lump in my anal hole. One big popping out and it is painful. It has happened after 4 to 6 months. What to do? I have an exam tomorrow. Doctor: Hi. You have a pile mass with blood clot within (attachment removed to protect patient identity). The blood clot causes pain. You have to follow few simple measures. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26793, + "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": 26696, + "tgt": "I feel a burning sensation in my fingers if I touch anything. Please advise", + "src": "Patient: Hi doctor, I am diabetic and hypertensive. My problem is, if I touch anything with my fingers, I get a burning sensation and I drop it down. Please advise me on this. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9172, + "tgt": "Is it normal to have engorged penile vein?", + "src": "Patient: Hi doctor, I am 29 years old man, currently having issues with my penis. So it has been exactly one week where I was doing foreskin stretching while erection during taking a shower three days straight, due to a very tight foreskin. I noticed very dull pain the second day which went from the front left side of the penis head to back pelvic floor area. I also noticed the veins on my penis is inflamed swollen. How can I cure this soon? I was concerned and decided to masturbate to check my semen, which was good (no blood). The penis skin is good and no bruising showing, just the swollen veins. I was forcing the foreskin back and do not know if I hit the vein, or etc. Please help. Doctor: Hi. I can understand your concern about your symptoms. Since it is an acute one, it can be due to phimosis. Do you have any of the following issues: Itching, any discharge, pain, swelling, irritation, redness, disruption in the flow of urine, difficulty passing urine, irritation while passing urine, painful masturbation. Kindly send a picture for better understanding. At present, painkillers will help you. for further management, share more details." + }, + { + "id": 11239, + "tgt": "How will a doctor suggest treatment from the output of Holter heart monitor?", + "src": "Patient: Hi doctor, My mother has been on Holter heart monitor for the last 24 hours. If any abnormalities found on this, then what treatment can be suggested by doctors? Doctor: Hi. Thanks for the query. Holter monitoring is done to identify rhythm problems, to diagnose the type of arrhythmia, and its relation to daily activities, to detect heart blocks and to monitor treatment. Now depending upon sign and symptoms and rhythm identified, the treatment plan may be devised by a cardiologist. In general, for fast rhythms, medicines are given to slow down the heart rate and also reversion of rhythm to normal can be attempted via medicines or invasive intervention. For slower heart rates such as heart block and its symptoms such as loss of consciousness or dizziness, pacemaker (which is an electronic device than generates a pulse for the heart) may be implanted. Depending upon rhythm detected, further tests may be advised such as cardiac electrophysiology study. So, possibilities are many; if you provide some history of the patient, I can guide you properly. Just tell symptoms of the patient, any current illness and medicines she is taking, any previous ECG, echocardiography or other tests performed. If you can provide the above details, it will narrow down my answer and easy to understand for you. I am praying for your mother. Regards." + }, + { + "id": 1290, + "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": 15033, + "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": 26773, + "tgt": "I ate three oleander flowers without knowing they were toxic. Please help", + "src": "Patient: Hi doctor, I am a 60 year old male, who weighs 165 kg, and I am 172 cm tall. I have a bowel problem, and so I have recently become\u00a0a vegetarian.\u00a0I ate three oleander plant flowers 18 hours ago with\u00a0my evening meal, not knowing they were toxic, as I am not a gardener.\u00a0I found out that they were toxic this morning when I began to vomit.\u00a0I have been drinking plenty of water.\u00a0Even though the flowers were in my stomach for many hours,\u00a0I appear to have vomited most of the flowers. The vomiting ceased when it became practically clear water. I have not eaten since, and I feel a little lightheaded. My body temperature has been fluctuating a little. Otherwise, I am fine, and I do not see any urgency.\u00a0Regardless of this, medical services are not an option.\u00a0There is, however, a local chemist. Should I continue to drink plenty of water\u00a0and rest for a day or so? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17231, + "tgt": "My mother is suffering from acute leg pain. Filaria & femur fracture in right leg. Any suggestions for relief?", + "src": "Patient: Hello doctor, My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal.\u00a0Please advice. Doctor: Hi. What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4210, + "tgt": "Why has my abdomen pain not reduced even after taking antibiotics?", + "src": "Patient: Hello doctor, I am a 52 year old female. Two weeks back, I had severe abdomen pain and got a sonography done. I have been diagnosed with amebic liver abscess. It was identified 13 days back and I was admitted in hospital for three days and was given saline and Metronidazole dosages, but still not recovered. Doctor told it will take 15-20 days to recover, but even after 10 days there has been no change. My main symptoms are pain near abdomen, frequent fever, loss of appetite, feeling weak and dizzy. I am attaching the sonography details and prescription details.\u00a0Kindly check and let me know your view on this. Thank you. Doctor: Hi. Contrast enhances CT scan of liver triphasic. If abscess is present then aspirate the abscess. Follow up after CT scan to a general surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 25777, + "tgt": "How to care for someone with aggressive and abusive behavior?", + "src": "Patient: Hello doctor, This is regarding my 87-year-old father who is physically fine perfectly. But, the whole day and night, he curses my mother and will not let her sleep. In his mind, he thinks that everyone is trying to cheat him and because of that he is not able to sleep. Sometimes he becomes violent also. Currently, he is on Clonazepam 5 mg. Please help. Doctor: Hello. Your father is having features of psychosis. I would suggest starting him on Quetiapine 25 mg twice daily and increase after one week to 50 mg daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This should have a good impact on his behavior. However, if needed you can consult a psychiatrist also for proper evaluation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15432, + "tgt": "Why do I have hair fall and anxiety at the age of 19?", + "src": "Patient: Hi doctor, I am 19 years old male. I have hair fall for the past five years, and I have developed an M-shaped pattern on my frontline. I have anxiety, and my head feels very burdened. Sometimes, I feel dizzy, and sometimes, I have white spots coming from my eyes. I have anxiety even for simple tasks. When someone shouts at me, my head bursts out. I started to have anxiety from my puberty. I took Minoxidil topical solution before two years and discontinued it. Why do I have this problem of hair fall and anxiety? How can I check my levels of anxiety? Please help me. Doctor: Hi. M-shaped baldness occurs due to hormone dihydrotestosterone which is a metabolite of testosterone. In some people, there is a peripheral conversion of testosterone to dihydrotestosterone. It is more common in some persons, and it is usually genetically determined. This particular hormone is responsible for baldness. Regarding anxiety, it can be due to some hormonal imbalance like thyroid, or it can be due to genetics and heredity. To manage it, you can do yoga, meditation, deep breathing exercise and you can follow sleep hygiene. There is a need to assess the level of anxiety in detail. I would advise you consult a psychiatrist soon." + }, + { + "id": 1869, + "tgt": "What are the drugs of choice for social anxiety?", + "src": "Patient: Hi doctor, I am a 33 year old male. I have been suffering from social anxiety for the past one year. Although I was extremely shy as a child and up to about 25 years of age. After that, I overcame my social anxiety and became confident. I managed somehow not to care about other peoples opinion about me. I could convince with almost anybody because I ignored what the people think or say.\u00a0But, for the past one year I have lost my ability to ignore what other people think or say and I have started to value their opinions about me rather than my own opinion about me. I have become self conscious, shy and quiet. I am not feeling depressed or sad, but this feeling has made me extremely unproductive and I just think what others think about me.\u00a0My past medication is Olanex for the social anxiety.\u00a0Please recommend some other medications as this condition has been disturbing my social as well as professional life and my colleagues have started to make fun of me. Doctor: Hi. I have read your query and understand your concern. Social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy. Anxiety disorders occur in episodes and sometimes follow waxing and waning course. You had anxiety before 25 years of age and the anxiety relapsed since last one year. The feelings that people are judging you, ideas that what others will think or say, self-consciousness are typical symptoms of social anxiety. Feelings that you are good for nothing and unproductive are due to co-morbid depressive symptoms of social anxiety. Do you have anxiety during a presentation or in group discussions? Do you feel shy or stutter while talking to some person of big stature or any problems in talking to females? In severe social anxiety such type of anxiety situations is also seen. Medicines especially selective serotonin reuptake inhibitors (SSRIs) are drugs of choice for social anxiety. I suggest you to use Escitalopram drug. The drug is started with 5 mg dose for about 10 days and then can be increased to 10 mg. The drug should be taken in the morning after meals and should be used for about three to four months. After four to six weeks the dose can be reduced gradually. I suggest you to use Propranolol for anxiety provoking situations. The drug can be taken about half to one hour before some situations like presentations or group discussions. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. These medicines will definitely help in improvement. Breathing exercise and relaxation exercises will help you to control anxiety. Apart from this relaxation exercise, behavior therapy also helps in reducing the symptoms. Revert back with answers to the above questions to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15431, + "tgt": "Other than injection, what are the suggested supplements to improve vitamin B12 and D levels?", + "src": "Patient: Hello doctor, My vitamin B12 is borderline at 188 and vitamin D is low at 14. Please suggest suitable non-injection supplements to increase these quickly. Doctor: Hello. For vitamin D, you should have tablet Uprise D3 60,000 units once a week for eight weeks with water or milk and after eight weeks once a month for the next six months. Also, sit in morning sunlight for some time. For B12, you should have tablet ME 12 (Methylcobalamin) once a day for eight weeks in between the meals. Also, increase milk consumption." + }, + { + "id": 3978, + "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": 22453, + "tgt": "Are there any medicines to treat epididymal cysts?", + "src": "Patient: Hello doctor, I was operated for cryptorchidism when I was nine years. My left testicle is 3.5 by 2.5 cm. I feel this is too small. Please suggest tablets to increase its size. I have epididymal cysts 7 cm long in both testicles. I have burning sensation and numbness and pain. Suggest tablets for this as well. Some days ago I put Flexabenz or Chlorobenzene and Linseed oil cream for joint pain by mistake on my right testicle side, but I washed it immediately. Will it cause any damage or shrinkage of my right testicle? I am worried. Also, I have white spots called elevated Meissner's corpuscles on the left side of the urethral opening on the glans penis. I have elevated lunar and semilunar elevated papillae on inner foreskin. I have white spots on inner foreskin also. I have numbness, loss of sensation, itching and burning sensation on both glans and inner foreskin. Please suggest medicines for all these. Please do not suggest topical gels or creams. I am scared of those. Please suggest only tablets. Doctor: Hello. The normal size of an adult testis is 3 by 4 cm with an approximate volume of 12 to 19 cc. Patients with a history of cryptorchidism may have a slightly smaller size of the testis at adult stage. However, the size of the testis does not matter as long as the semen functional tests are normal. Moreover, there are no medicines available to increase the size of a small testis. In your case, the size is just borderline and nothing to worry. I would advise you get a semen analysis done to see the functioning of the testis. Also, the spots that you have mentioned are physiological and represent the oil glands on the genitalia. They do not warrant any treatment. With regards to the use of Chlorobenzene and other oils, they can at times lead to an allergic contact dermatitis. But otherwise, do not affect the testicular size. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 18618, + "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": 26611, + "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": 30262, + "tgt": "I am worried about my ANA report. Please guide me", + "src": "Patient: Hi doctor, I have had a positive ANA for at least 12 years with no other positive tests for autoimmune disease. My other symptoms are fatigue and some joint pain in hands and knees. Recently, I had a positive ANA of 1:640 speckled pattern with a note saying dense fine speckled pattern is noted. DNA antibody and smith are negative at that time. Slightly elevated C3 of 186 and normal C4. The only other thing that is out of range was CRP of 6.6. I am hypothyroid and on 75 mcg of Levoxyl with my TSH being in range. The latest test was 4.62 up from 2.95 (four months ago). The ANA cascading reflex result was negative. Does that result mean that the ANA itself was negative? Or the antibody subtlest that are carried out if ANA is positive. I am trying to determine if the subtlest were actually performed or if they were not. I find it hard to believe that my ANA would have been negative at this point. Doctor: Hi. Revert back after 10 days to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 28480, + "tgt": "Please help me understand my mom's MRI report of the lumbar spine", + "src": "Patient: Hello doctor, My 68 years old mother is having severe back pain since last few months. Whenever she stands up for some time, her back pain starts, and it goes down to the entire legs. It becomes so intolerable that she has to sit down somewhere immediately to avoid pain, and she gets relief after she lies down on the bed.\u00a0Recently, she did an MRI of the lumbar spine with the ischial region, and the findings and impression of the MRI are, mild scoliosis is seen with concavity to the left.\u00a0A mild forward shift of L4 over L5 is observed.\u00a0Small osteophytes are seen.\u00a0L4-L5 disc height is reduced.\u00a0Lower lumbar discs are desiccated.\u00a0Posterior protrusions of L4-L5 discs are observed compressing the thecal sac.\u00a0Encroachment of both L4-L5 and L5-S1 foramina is noted.\u00a0Ligamental and facet hypertrophy is also contributing to foraminal stenosis. The impression is grade I listhesis of L4 over L5 with mild scoliosis.\u00a0Early changes of lumbar spondylosis with desiccation of lower lumbar spine.\u00a0Posterior protrusions of L4-L5 and L5-S1 discs compressing the thecal sac.\u00a0Encroachment of both L4-L5 and L5-S1 foramina.\u00a0Screening of pelvis with both hips do not show any significant abnormality. She has diabetes since the last ten years. And hypertension since last 15 years, for which she takes antihypertensive medications. She has a history\u00a0of varicose veins, for which endovenous laser ablation was done. She underwent right knee replacement two years ago. She also has a history of anal fissures, which was surgically treated twice. I request you to please give me your opinion about this and best possible line of treatment to relieve back pain at the earliest, as it is intolerable now. I have attached her reports for your better understanding. Doctor: Hi. I have seen your mother's reports (attachment removed to protect patient identity). I hope it helps.\u00a0If you have any further query, please ask me. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 341, + "tgt": "My bilirubin level is 1. 7 with no symptoms of jaundice. Please help", + "src": "Patient: Hello doctor, My bilirubin level is 1.7, but I do not have any symptoms of jaundice. How can I bring the bilirubin level to normal? Doctor: Hello. Well, there are certain medications that can bring bilirubin down but your bilirubin is 1.7 which is within normal limits. It does not require any treatment. The possible cause of asymptomatic small raised bilirubin is Gilbert syndrome which is completely harmless. In case, you suppose that I should diagnose your problem then please share the complete report of liver function tests. Follow up with complete liver function tests." + }, + { + "id": 26572, + "tgt": "Can I be intimate on the first day of my new pack of contraceptives?", + "src": "Patient: Hello doctor, I have been on a contraceptive pill called Yasmin since the last two months. In the last pack, I missed the pill twice, but each time, I took two pills the next day. I take the pills roughly around the same time, approximately around one to two hours each day. I am currently on my 7-day break (today is the fifth day of break). If I plan to get sexually active on Thursday (the day I am due to start my third pack), would I need to take any additional precaution? Can I be intimate even if it is the first day of my third pack? Also, can I start my third pack a day in advance, that is, on Wednesday, as I am still on my period, so it will stop the period? 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. Thanks and regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 21902, + "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": 1477, + "tgt": "How to confirm pneumonia?", + "src": "Patient: Hello doctor, My daughter is suffering from cough for the past four weeks. She started it out very gently and it is getting worse. Last weekend she was coughing almost non-stop. I took her to a Walk-in clinic and they gave her a cough syrup and an antibiotic. I was told to start the antibiotic four days later if she does not get better. I have started the antibiotics after six days. But, she was getting weaker and coughing with choking. I took her back to the doctor. They told me that she might have whooping cough. I was not entirely surprised as she had hypoxia at birth and she did not get that one vaccine: the pertussis. She only got DT. From chest x-ray, we came to know that she had pneumonia too. But, not on both lungs and the x-ray was not entirely white, so it was a smaller pneumonia. By that time we were on day three of the antibiotics. They made a sample test from the nose for whooping cough. I was told that even if she has it the results might come back negative as she took Azithromycin.\u00a0We were told to wait and see after the antibiotic. The result came back negative. The same night her cough got so bad that she was not getting any air. She was coughing without being able to breathe. She was vomiting and a tone of white long, phlegm or mucus came out with the vomiting. It was white, sticky and lots of it. In the emergency room they turned out that she had bronchospasm. They treated her with Albuterol and steroids. She was put on Albuterol for two hours there, then we came home with an inhaler. She has been using that three to four times a day ever since then. She has been very weak. They checked her again for whooping cough and that too came back negative. She took the second dose of Prednisone three pills. She felt better and was so happy. But, the next day she did not feel that good. Today, she had more coughs and it is a second sound behind the usual cough sound. This second one is like the laryngitis cough, but not barking sound. It is just a deeper cough. I am totally lost. I do not\u00a0what to do anymore.\u00a0She had a different kind of cough sounds throughout for almost a period of four weeks. Intense, barking, whooping cough like, silent, more loud and now this strange one. She is allergic on Amoxicillin, Ceftin, Bactrim and Cefalosporins. I\u00a0gave her Mucinex to loosen the mucus. I would like to know what to do. Should I go and see a pulmonologist in person? Doctor: Hi. I have read your daughter's story in detail.\u00a0I also heard the quality of cough you provided in the sound clip (attachment removed to protect patient identity). Allergy. Spirometry (PFT). Pneumonia. Regular steroid inhalers and Albuterol inhaler (SOS). Avoid dusts and cold drinks For further information consult a pulmonologist online.---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 25638, + "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": 6275, + "tgt": "I have acute pharyngitis and suffer from throat pain even after taking medicines. Please help", + "src": "Patient: Hello doctor, I am suffering from acute pharyngitis for the past five years. I used the following medicines in these two weeks. Tablet Paracetamol, CPmaleate 4 mg, Clarithromycin 250 mg, Diclofenac sodium, Voveran, Cetrizine, and Cefuroxime sodium 250 mg. But still, I am suffering from throat pain and it is a very sharp pain that occurs whenever I swallow something. Please advise on what should I do now? I have attached my doctor prescription to you. I have used medicine for both the viral and, bacterial infection, and I am allergic to Ciprofloxacin. Please help. Doctor: Hello. I went through all your prescriptions. (attachment removed to protect patient identity). The antibiotics that you have taken are broad-spectrum (strong), and if it was bacterial you should have improved. The reason for your condition I feel is viral and reflux associated. I suggest 1) Get your throat swab sent for culture and sensitivity tests. 2) Take tablet Azithromycin 500 mg once daily for six days. 3) Tablet Febrex Plus (Paracetamol, Chlorpheniramine maleate, and Phenylephrine Hydrochloride) one tablet twice daily. 4) Tablet Neksium (Esomeprazole) 40 mg, once daily in an empty stomach. 5) Drink a lot of normal water (neither hot nor cold). 6) Multivitamin capsules (Zevit) once daily. Take all the above tablets for six days and let me know the progress." + }, + { + "id": 11231, + "tgt": "I am unable to sleep at night because of stress. Please help", + "src": "Patient: Hi doctor, My father and my grandmother died within 3 months. After they expired, I started to face many issues like LIC claim and others. Due to too much stress, I am unable to sleep at night properly and feel sleepy in the morning. Because of this reason, I am unable to concentrate on my work. I am working in software industry. Due to the issue I am facing, I am not able to complete the tasks on time and going through a lot of problems. I am also suffering from body pain. Presently, I am on Zincovit multivitamin tablet. Thank you. Doctor: Hello. I feel sorry for your loss. Your problems are stress, unable to sleep at night and body pain. So, basically it is your stress that is leading to other problems. Stress can be managed both by medication as well as by lifestyle modifications (behavior therapy). First, try lifestyle modifications which include: Also, proper sleep hygiene needs to be practiced daily, so as to help you to maintain good sleep in the long run. Sleep hygiene entails following important points. These lifestyle modifications will help in improvement of symptoms and you will feel better. If symptoms persist even after lifestyle changes, then visit a psychiatrist. Drugs like Modafinil or Armodafinil will help to maintain daytime alertness and will reduce fatigue. Visit a psychiatrist for proper prescription of this drug." + }, + { + "id": 25051, + "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": 30215, + "tgt": "Please explain whether neurological disorder affects ejaculation", + "src": "Patient: Hello doctor, I am struggling with severe PE with IELT of 10 seconds or less. I cannot control during masturbation too. I am a 35 year old unmarried male. My physical health is good. Also, I do not think that my problem is a psychological one. My question is, whether\u00a0neurological disorders affect ejaculation?\u00a0If yes, then what are the symptoms? Which specialist should I meet to diagnose my problem? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 806, + "tgt": "Can a sinus x-ray show if your eustachian tube are closed or not?", + "src": "Patient: Hello I have a couple of questions first can a sinus X-ray show if your Eustachian tube are closed or not. Or do the ent have to go up your nose to find out. I had a sinus infection and nasal drip my ears are clogged I went to my doctor he said I had fluid and an ear infection and sent me to a ent and he said I didn\u2019t have fluid then why is my ears still clogged after a month and have pressure. I have a septal deviations on my right side 1mm can that be the reason Doctor: Hi! Before I explain and answer your questions, I will take a little of your time to explain what has probably happend in your case. The eustachian tube basically ventilates the nose and the ear. In a situation where it does not function, a negative pressure develops in the side of the ear leading to feeling of vaccum, ringing sounds, feeling of fluid in the ear and sometimes decreased hearing as well. Most common causes out there would be allergy or underlying sinusitis which can block up the tubes and there by cause its effects. Now getting to your question. 1. A sinus x Ray cannot show if the eustachian tubes are closed or not. A sinus x Ray just gives information about the status of the sinuses, septum and other bony prominence. 2. Yes we do a nasal endoscopy to see what is the status of the nasal mucosa, Sinus drainage pathway, details of the nasopharyngeal area and definitely see if the tubal opening is anatomically patent or not. In most circumstances, we can pick up any functional eustachian tube block by 2 methods You mentioned about the confusion regarding fluid accumulation in the ear If you feel that your ears are still clogged, then you can consider the treatment mentioned below This might take around 15 to 20 days for things to completely come down but chiefly depends on how manage to follow the precautionary advice mentioned above. I hope I have answered your query in detail. Warm regards" + }, + { + "id": 20031, + "tgt": "My wife has a fever from three days. Does she require a blood test?", + "src": "Patient: Hello doctor,My wife aged 23 years, with body weight 55 kg, is suffering from fever from three days. Her temperature ranges from 98\u00b0 F to 102.5\u00b0 F. The other associated symptoms are sneezing, coughing, headache, mild pain in legs, and debility. Urination and defecation are normal. The medicines that she is taking are Azithromycin 250 mg BD, Paracetamol 500 mg SOS, Omez D OD in empty stomach, Digene gel BD PC, Zedex cough syrup BD. What should she take now? Is there any necessity for a blood test now? She has taken four tablets of Azithromycin 250 mg. Should the antibiotic be changed? Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8450, + "tgt": "My mother is suffering from severe back pain and upper foot pain. Please advice", + "src": "Patient: Hello doctor, My mother has pain in lower back joints, and upper foot, earlier she has felt current in the left arm. Pain is severe. Please suggest medicine. MRI reports show nerve root pressing. She used to take calcium 500 mg. Should she continue calcium? Doctor: Hello. After taking a look at the MRI reports that you have posted (attachment removed to protect patient identity) it looks like your mother has moderate arthritis in her cervical spine and lumbar spine, which is starting to cause nerve compression. Ibuprofen 600 mg and Baclofen 10 mg, once in the morning and once in the evening is the typical initial starting point to help with some of the symptoms. This will provide short-term management of her condition. Typically that is recommended for about four to six weeks. Once she starts that regiment, she should also start physiotherapy. That will begin to properly rehabilitate the spine and allow for proper motion to occur. Physiotherapy is typically recommended at a frequency of three times a week for six weeks. And it is then reducing the frequency for two times a week for another four weeks. Prognosis varies depending on other comorbidities and how well your mother tolerates treatment. If we are looking at a co-treatment, she should also do a low sugar and low carbohydrate diet. And a menu filled with good protein and vegetables. If she is overweight, she should lose some weight. All of what I have mentioned the need to be done with patience, consistency, and monitoring from a health professional. Proper rehabilitation can take up to six months and can vary from patient to patient." + }, + { + "id": 31008, + "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": 31037, + "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": 28642, + "tgt": "What should be the treatment for abdominal pain during periods?", + "src": "Patient: Hi doctor, I am a 23 year old, unmarried woman. I have been suffering from PMS. I am getting severe\u00a0abdomen pain during the menstrual cycle, and it is irregular also. What should be the treatment for my problem? Doctor: Hi. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11432, + "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": 30177, + "tgt": "My 1 month old baby is suffering from severe gas trouble. Please help", + "src": "Patient: Hi doctor, My baby girl is 1 month old. I am having a really tough time both physically and mentally. I hope you can help me out. At around 3 weeks, my baby started having gas trouble. I gave gripe water as per guidance from my parents. When I searched on the internet, I found that it is bad for baby. So, I stopped and consulted my pediatrician for gas problem. She just had gas trouble. She never used to cry and she used to sleep really well. One of my relatives said that this is colic pain and hence we told the same to the pediatrician. He suggested Colpep drops after breastfeed. One week we gave this, rather than improving the things only got worse. Again, he suggested Neopeptine along with Colpep. I gave both for two days, but still no improvement and now I stopped all medicines as I feel before giving medicines she was really fine and slept well. But, she is having lots of gas now and struggling to sleep properly. Most of the time she is awake and if we put her down, she will start crying. If we lift her and keep in hands or shoulder, then she is quiet. I feel bad if I am responsible for making her health worse. Nowadays, she is not at all sleeping during night and we have to try hard to put her to sleep. Please help me. We gave her gripe water, Colpep and Neopeptine. Is her health getting affected due to giving all these? She is making 10 to 12 wet clothes and some poop every time while releasing gas. Initially, she used to poop a lot and of good quantity. Now, it is considerably reduced. Also, I observed that while giving Neopeptine she had very watery foul smelling poop like foam. Now, she is having normal poop, but it is very foamy. Is foamy poop normal? Also, I breastfeed her every 2 hours and at night she sleeps 5 to 6 hours with in between feeding. I am not sure if she is fine and healthy as nowadays there are lots of change compared to before and I feel all this is because of medicines. Please\u00a0help me out. Doctor: Hello. You seem to be going through a lot of stress with your child.\u00a0Please calm down. All these phenomena are completely normal till the age of 6 months in every child. I believe this must be your first child and that is why all the confusion. Warning signs in a child are, Important things to take care in every child are as follows: So, your child is apparently normal as per your history and the torture you have gone through. Please take care of yourself as your stress will lead to lesser production of milk, which will eventually affect the child. Normal child. You can use the following medicines as required with the consent of your pediatrician. 1. Colicaid (Simethicone) for abdominal pain. 2. Nasoclear nasal drops (Sodium chloride) for nasal discharge. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5466, + "tgt": "I am suffering from abdominal pain and missed my period for two months. Is it due to appendicitis?", + "src": "Patient: Hello doctor, I am 15 years old. I am having abdominal pain for a month now. Sometimes localized on the right side or left side. Mostly, the pain is all over the abdomen and going to the back and pelvis as well slightly. It is recurring, sometimes serious, sometimes dull ache and sometimes mild. Also, I have not had my menstruation for two months. Doctor recommended ultrasound and ultrasound came with a report of mild appendicitis. I went to the ER, but the pain subsided by then and was recommended to go back home and come when it is severe. When pain gets severe, by the time we reach the hospital it subsides. I went to the doctor again, they gave me pills for irregular menstruation. I have a loss of appetite. I do not want a temporary solution for my pain as I have already visited three different doctors (one in the ER, one who gave Ultrasound, and one who gave hormonal pills). I am having a doubt if it could be pancreatic cancer or ovarian cancer? I am very scared. Also, I have not started the pills yet and it is three months now I did not get my menstruation. My menstruation started three years ago. I do not have diarrhea or constipation. No headaches and nausea. Doctor: Hello. The first thing to be ruled out in amenorrhea or not having menstruation is pregnancy, get a urine pregnancy test done. If there is no possibility of such a thing, then start your hormonal pills and get your menstruation. Amenorrhea could also be due to stress, yet times stay cool. Prolong amenorrhea causes lower abdominal discomfort. If once you get menstruation your symptoms may subside. It could not be ovarian or pancreatic cancer chances are very less. Regarding appendicitis, it is often associated with fever and vomitings and the pain does not subside until the appendix is removed. Sometimes in mild cases, it can be treated with antibiotics. If you are still suspicious get a repeat scan done." + }, + { + "id": 13048, + "tgt": "What can be done to cure pain in a tooth with crown?", + "src": "Patient: Hello doctor, My back upper left molar had a cavity deep enough to warrant a crown last month. Since then, I have been back to the dentist twice to get adjustments on the crown, under the suspicion that its slight misfit with my bite was causing the dull-to-sharp pain I experience when I use that molar. Despite the adjustments, no improvements have been made. During both adjustments, the dentist asked me questions regarding the pain type, sensitivity, etc. (I would presume to determine if a root canal or something else is necessary) and nothing raised flags- No passive pain, no sensitivity to hot or cold air. I have pain from use only, but it is significant enough that I have not used the left side of my mouth to chew since that time. Should I go to another dentist to get a second opinion? I feel strange repeatedly going back to basically say he or she must be wrong and that no improvements are being made. Any advice would be appreciated. Doctor: Hi. In your case, there are three possibilities. The first line of treatment is as done by your dentist. After crown placement, slight misfit issues occur that need to be adjusted by trimming of occlusal or biting surface. It gets better soon after trimming or relieving pressure. Otherwise, it gives continuous pain only at biting. So by symptoms, you are having pain on chewing and your dentist has not trimmed it to your comfort level I guess, or you might be having very deep bite that porcelain surface space would not be available and it needs to be trimmed now and dentist is avoiding it as metal will get exposed and it will not look good aesthetically. 90 % of crown issues and pain gets fine by trimming high spots. Now the second line of treatment: If still pain persists and you feel the pressure inside the tooth, you experience pain at night or on lying down, or slight infection in gums right above the crown tooth, then it is an indication of root canal treatment. As the cavity was already deep, it was filled and then tooth was trimmed down for crown preparation so that it is vital and it becomes sensitive and there are only 10 % chances that your pulp of root might have been exposed or silent infection of cavity might have got triggered up after deep cleaning. So now, root canal treatment is to be done in such case. Or before attempting root canal if antibiotics are given, then such infection subsides and you might feel absolutely okay with this tooth during medications. After the course is over you will start feeling pain again. And then it would be better to opt for a root canal. The third line of treatment: If you do not have any root canal issues and still pain persists on chewing, then there is 1 to 2% possibility of fracture of the tooth due to uneven biting pressure over the crown. In such worst case scenario, extraction is recommended, the root canal does not help it. I hope this is not the case. Hopefully, you have a better idea of treatment options in your case. If you have further queries let me know. My advice is to go to another dentist and ask him to trim the crown as much as he can to make it comfortable, leaving aesthetics aside. If it does not work, do an antibiotic regime course it will work." + }, + { + "id": 29531, + "tgt": "Why is there numbness along my fingertips?", + "src": "Patient: Hi doctor, My thumb, index and ring fingers are all super numb at the fingertips. This numbness has lasted for five days, and now I am getting horrible sharp pains in my index finger. Previously, I have carpal tunnel syndrome. Doctor: Hello. Revert with the details to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11189, + "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": 23533, + "tgt": "My lymphocyte count increased by 1000 in eight days. What is wrong with me?", + "src": "Patient: Hello doctor,My age is 27 years, my height is 5\u20194\" and my weight is 65. I have trigeminal neuralgia for which I take Lyrica 75 mg during flareups. I recently had a blood test which indicated low vitamin D (6 ng/ml) for which doctor advised me to take D-rise 60,000 IU/week for eight weeks and then 60,000 IU/month for a year. In my CBC done last week, my ALC and my WBC were high that I had a test again eight days later in which the lymphocyte was increased again by 1000. Apart from this, I have pain in lower abdomen and my body keeps having hot and cold flashes. I also have pain in legs and arms and I do not feel hungry like I used to for the past one month. Doctor: Hello. Your increased WBC and lymphocytes, I could certainly relate it to your trigeminal neuralgia as this is an inflammation of a nerve which would rise WBC levels even if you are in recovery period with no symptoms. But, what I am concerned about is your appetite and abdominal pain and hot and cold flashes as these symptoms correlate with endocrinal dysfunction. So, we can be certain by doing thyroid function tests to see how it is going. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7787, + "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": 2105, + "tgt": "My 9-month-old kid has increasing brown spots in skin. Are these birth marks?", + "src": "Patient: Hello doctor, We have a 9-month-old baby girl. She has five brown marks, two of them are 2 cm size and the other three of 0.5 cm. They are irregular in shape. Initial two marks appeared when she was 3 months old and now when she is 9 months three more for added that are comparatively light and 0.5 cm of size. Are these birthmarks? Will they fade with the time? Do we need to take any precautions so that they do not increase or get added further? Can we also provide any medication to cure them? Doctor: Hi. Please send me a photograph of the lesion. On the basis of history, it seems to be cafe lait macules, but to be sure I need photographs of the lesion. Presently, I will not suggest any medications as baby is small and I need to be sure. Kindly review with photographs." + }, + { + "id": 8330, + "tgt": "Kindly explain the test results of azoospermia", + "src": "Patient: Hello doctor, I am diagnosed with azoaspermia, I also went for FSH, LH, and testosterone test. The results are as follows FSH 20.290, LH 11.92, testosterone:2.55. I need you to explain these results to me. Doctor: Hello. This result means that you have undergone testicular insufficiecy, failure which means that testis in your body are not producing enough testosterone hormone to complete the process of sperm formation. Testicular insufficiency is being conformed by the elevated levels of FSH and LH which are being shown in your reports (attachment removed to protect patient identity)." + }, + { + "id": 7794, + "tgt": "Is Sulfa antibiotic an appropriate drug for forehead sore?", + "src": "Patient: Hello doctor, I went to my doctor yesterday for a sore on my forehead. I was concerned it would be skin cancer. He agreed that it looked strange, and suggested a Sulfa antibiotic to see if it is getting better. If not he told me to come back again. I am curious about it. Kindly give me an opinion on seeing the picture, is it right to try the Sulfa antibiotics first or should I need to see a specialist as soon as possible. Doctor: Hello. I can see it has formed scab now, (attachment removed to protect patient identity) and it could be, The dermoscopic examination will provide more information about the nature of the lesions. However, considering the acute onset, pain and similar spots on the scalp, I feel it is good to use Clindamycin lotion or any topical antibiotic for about five to seven days. If it is folliculitis, it resolves in a week. If it persists, then skin biopsy is necessary to rule out precancer or squamous cell cancer of the skin. If you have a family history of skin cancer like basal cell cancer or squamous cell cancer and if you have had more sun exposure in the past and you do not use sunscreen every day then it needs a biopsy as soon as possible." + }, + { + "id": 30736, + "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": 1481, + "tgt": "Observed few changes in a mole. Is it something alarming?", + "src": "Patient: Hi doctor,My relative, who is 55 years old, has a red color mole like thing in her forearm. She has been having this red color mole since so many years. Today only we noticed that there are small fresh red dots inside it. It looks new. What could it be? No other associated symptoms. We are worried if this might be something alarming. What should we do? Please explain in detail. She is hypothyroid and on medication for the past two years. She is also taking medication for more than 8 to 10 years for her cholesterol issue. Doctor: Hi. If there is a change in color, size, margin and shape in a pre-existing mole, especially in this age, then it is always an alarming sign. As you said it is changing its texture and color, then yes definitely. We should suspect about melanoma. In your case it is very difficult to say either it is a just normal change in a mole or precancerous change. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5965, + "tgt": "I get fever and headache every time after my fitness training. Why?", + "src": "Patient: Hello doctor, Every time I train fitness, my head is warm and I get fever and headcaches after training. Please help. Doctor: Hello, Welcome to icliniq.com. From your history it is obvious that you are suffering from exercise headache. During exercise your muscle heats up, this results in dilatation of blood vessels that causes increased blood flow to the brain, skin. This heat should be removed from the body so the skin produces sweat, as the sweat evaporates the body heat is removed with it. But in strenuous exercise, if the sweat is not evaporated, the body becomes more warmth. So always eat and drink before exercise. Exercise headache are of two types, primary and secondary. The primary headache is harmless that includes a throbbing headache, headache on both sides, but the secondary headache is dangerous which includes vomiting, loss of consciousness, and double vision. Whatever it is consult a doctor immediately to rule out any underlying cause of headache." + }, + { + "id": 31012, + "tgt": "After a fall, noticed blood in my dad's nose. Should I be worried?", + "src": "Patient: Hi doctor, My dad met with a fall in the bathroom today and bled from the right side of his nose. The bleeding stopped after 2 minutes, but I noticed that the nose contains a few drops of blood. I took him to the ER and had an x-ray. But, my doctor advised us to go home and have a review after a week. I am worried about the blood in the nose. My dad is a known diabetic and on Glucophage. Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6284, + "tgt": "Do ketones in urine mean kidney damage?", + "src": "Patient: Hello doctor,I am 5 feet and 5 inches, 112 lbs and eat a normal diet. I recently had a urine test with trace ketones, although negative for glucose. My test showed cloudy clarity and presence of crystals. All the other values on the urine test were normal. I also had normal blood tests. My doctor is referring me to a nephrologist. Do you think my doctor suspects a kidney disease? I researched ketones and what it means for kidney function. The more I read, the more confusing all this becomes. Thank you for any information as I wait to see a nephrologist. Doctor: Hello. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 8264, + "tgt": "My teeth are very yellow. How can I remove yellowness from teeth and make them white?", + "src": "Patient: Hello, My teeth are very yellow. How can I remove yellowness from teeth and make them white at home? If I go and do the cleaning with a dentist, how much would it cost? Doctor: Hi" + }, + { + "id": 19464, + "tgt": "We are undergoing infertility treatment. Please advice regarding the diet", + "src": "Patient: Hello doctor, Me and my wife are undergoing infertility treatment. I am 42 years old and my wife is 37 years old. We have had a failed IVF and a failed frozen embryo transfer. One month back we had an IVF procedure and it has turned positive. Now we are in the fourth week. We are much concerned about the foods to eat and to avoid. Since we failed a couple of times, we are much concerned that any of our lifestyle habits will cause negative changes. We are taking green tea with ginger, lemon and honey for the past 3 years regularly and we consume non vegetarian food more of seafood. I read in some articles that, taking ginger and honey is not advisable during early pregnancy and also should avoid heat producing foods. So, we are much confused. Please advise regarding this issue. Doctor: Hi. The psychological as well as lifestyle changes will definitely affect the fetus (baby within the uterus). Generally, heat producing foods or activities lead to production of prostaglandins. These prostaglandins can disturb the uterus. Thus, certain foods have to be avoided. For example: groundnut, seasame, chicken, pineapple, pasalai keerai etc. Avoid white/brown sugar (from sugarcane). Use only palm jaggery or pure honey as a sweetening agent. First trimester (first three months of pregnancy) is the crucial period. Thus, if you feel/doubt something is not good, avoid it during the first three months. After that, the fetus is strongly implanted in the uterus and there would be no problem. Daily walk in the evening is good during pregnancy. From the fourth month, you can perform yoga by consulting trained yoga teachers. Many more siddha drugs are available such as calcium and iron supplements. You can buy the following siddha drugs: Stay healthy. Revert back to an ayurveda specialist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3603, + "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": 11638, + "tgt": "Hearing damaged after hearing high sound. Would doing the same thing cause further damage?", + "src": "Patient: Hello doctor, I have a question about hearing. Firstly, I am aware that hearing loss takes place when the tiny hair cells within the inner ear are damaged. My question is, once a particular hair has been damaged, will the same sound level that previously damaged it, hurt it again? For example, if you listened to a sound at 90 dB for nine hours and your hearing was damaged, would doing the same thing another day further damage your hearing? Or would it not change anything, as your ears would not be registering the same level of sound as the previous time? Doctor: Hello. There is something called a temporary threshold shift and permanent hearing loss. Temporary loss is the loss which if a sudden burst of sound and you get hearing loss as hair cells are fatigued however hearing regains soon in some time. If it is a permanent loss that too at a severe level for all frequencies chances are the person will not notice the same loudness of the sound afterward however there are some pathologies where the sound amplifies itself, and it is called recruitment. So in that condition, the person may not even respond to a loud sound of 80 dB however they might complain abnormal loudness at 90 and feel the same discomfort as a person with normal hearing has. It all depends on the pathology and condition of the hearing loss." + }, + { + "id": 1064, + "tgt": "I feel pulsations in my upper stomach from yesterday. Why?", + "src": "Patient: Hello doctor, My upper stomach area is pulsing suddenly from yesterday after eating. What does that mean? Doctor: Hello, Welcome to icliniq.com. I want to know when did you last have Albuterol. It is is used in asthma for air pipe spasm. It has common side effects such as tachycardia (increased heart rate more than 90 minutes when the person is at rest) where people feel there heartbeat. I also notice your heart rate is 90, which seems to be secondary to Albuterol. Pounding of stomach however, is an unusual phenomenon, but can occur due to certain drugs and sometimes without any cause. The condition is called tachygastria. You can simply decrease the dose of Albuterol to see if it works in your case. I hope this helps. Tachycardia. GI motility disorder. Drug side effects and tachycardia. Reduce the dose of Albuterol." + }, + { + "id": 20573, + "tgt": "Kindly advise homeopathic remedy for acne, open pores, and blackheads", + "src": "Patient: Hello doctor, I am a 28-year-old girl, suffering from a bad type of acne and dark color acne scars, oily skin, open pores, and blackheads for the past five years. I have regular menses and need suggestion with a good homeopathic remedy. Doctor: Hello. I just read your query. Take neem leaves if available nearby you and make a paste of it after crushing them and add a pinch of turmeric powder in it and apply this paste on your face and wash with normal water after fifteen minutes. Use it regularly or on alternate days if there is dryness of skin. It will give you good results. For acne scar, apply aloe vera gel two times a day regularly. It will help in lightening them. For blackheads use an oatmeal scrub and clean them regularly. Do not use harsh soap on the face. Use a good face wash. Protect the skin from direct sunlight. Cover face while going outside. Drink plenty of water daily. Avoid excessive spicy, oily, junk food and caffeinated drinks." + }, + { + "id": 8930, + "tgt": "I am upset with the color change of my penis shaft skin. Please help", + "src": "Patient: Hello doctor, I am 27 years old. My weight is 87 kg and height is 184 cm. For the\u00a0last four to five days, I began to observe that my penis shaft skin is changing the color from black (actual color) to brown (near to my body skin color). Also, I observed that some flat black mole kind of dots appeared on the newly forming brown skin. I do not remember seeing them before. Sometimes, I feel the skin a bit dry.\u00a0I do not feel any kind of pain or scratching sensation. Currently, I am under medication of Itraconazole capsules 100 mg, Amorolfine cream and Clotrimazole topical solution for the last two weeks as advised by my doctor for some other fungal infection. When I went to my local doctor with the above issue, he prescribed Nilac (Clindamycin phosphate and Nicotinamide gel) and Benzoyl peroxide gel (Persol gel). I am really worried about this issue. Lately, I feel that the penis shaft skin color change is slowly increasing and the\u00a0black dots on the penis shaft is disturbing me mentally.\u00a0Is this a side effect of my current medication or my masturbation or all together?\u00a0Please provide your inputs on this. I am having a very difficult time with this. I am attaching some pictures. You can observe the black dots and skin color change on the shaft. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6498, + "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": 554, + "tgt": "What are the chances of pregnancy after taking an Ocp late?", + "src": "Patient: Hi doctor, I have been on birth control continuously for three years. About a month ago, I took a pill late instead of in the morning. My boyfriend has not ejaculated in me. But,\u00a0I noticed that I have gained weight.\u00a0What are the chances of me being pregnant\u00a0after taking a pill late? I do not have periods since I take the pills continuously. Doctor: Hello. This is a common mistake that you have faced. However, a single late pill intake is in no way could turn you fertile as well as pregnant. Even if you miss a single pill, the chance of pregnancy is very remote. Now, continuous pill intake could be the reason for absence of cycle. We advice this sort of continuous pill intake only if you have endometriosis, a disease produces painful menses. However, you need to take pills with a gap of 7 days pill free period or have to be on inert pills for 7 days. Then only, you will have cycles. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17606, + "tgt": "Can HSV positive cause abortion?", + "src": "Patient: Hi doctor, Myself and my wife got tested for chromosome test as my wife had failed premature delivery. The test result indicates that we are HSV IgG positive, CMV and rubella positive. Please suggest me. Doctor: Hi. Revert back with the test report to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2178, + "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": 13240, + "tgt": "Why do diabetics develop diabetic neuropathy?", + "src": "Patient: Hi doctor, Can you tell me, do all the diabetics develop diabetic neuropathy? My relative is 25 and just got diagnosed with type 2 diabetics. Will she definitely develop neuropathy. Can you also tell me the estimates of the number of diabetics developing it? She is diabetic but is not a BP patient. Doctor: Hello. Almost all the people having diabetes will sometime during the course of the disease will develop diabetic neuropathy. The reason is damage to microvasculature (small blood vessels supplying the nerves) get affected. Even with fairly well controlled diabetes this does happen. In case if the control is poor then severity increases rapidly. Hence it is very essential to achieve a strict glucose control all through out the course of the disease." + }, + { + "id": 29943, + "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": 15866, + "tgt": "Is it possible for me to get ICL or LASIK for eye power?", + "src": "Patient: Hello doctor, I am 24 years old and have been wearing glasses for myopia for six years. I have spectacle powers -9D and -11D in left and right eyes respectively with some small degrees of astigmatism. I had been consulting doctors for LASIK and ICL. I was found ineligible for LASIK but each doctor has a different opinion on ICL. Some say I am fit while some say I am not. I am really fed up. Please help. Doctor: Hi. ICl is a surgical procedure to implant an artificial lens on the natural lens. During the workup of taking up a case for ICL surgery, many parameters are considered as it has a high risk of secondary cataract formation later on. Some of them are endothelial cell count, anterior chamber depth, the angle of the anterior chamber, corneal topography, etc. Only if criteria are met, they proceed for surgery. I may be able to help you more if you can send me the reports of your eye exam." + }, + { + "id": 25685, + "tgt": "My newborn has a bilirubin level of 9. 1. Is it a cause for concern?", + "src": "Patient: Hello doctor,My baby is 48 hours old now. Her bilirubin level is 9.1. Is it a cause for concern? Doctor: Hello. I will need more details to analyze the report. What was birth weight? Full-term baby or preterm baby? Blood group of mother and baby?Usually, for a full-term baby with birth weight more than 3 kg, mother blood is not Rh negative or O Rh negative, it is considered normal. But, baby needs observation.Risks for bilirubin high or in increasing trend are: If these things are taken care, you should not worry. But yes, for sure needs observation by doing blood tests for bilirubin and SOS treatment like phototherapy.Let me know after 72 hours what the bilirubin count is. Meanwhile, continue breastfeeding. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28373, + "tgt": "My right hip pops loudly. What could be the reason?", + "src": "Patient: Hi doctor,I am a 27 year old female. My weight is 135 lbs and height is 5'7\". For the past two months, my right hip pops very loudly for at least once or twice a day\u00a0when I sit on my knees and lean to my right. It hurts badly for a second and then the pain goes away. Though if it does not pop, my hip feels stiff. I have not been injured lately or broken any bones before. I am wondering what it possibly could be. I am a waitress and most days I run 8 or more hours without a break. Could that be the problem? Doctor: Hello. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 16076, + "tgt": "I have irregular period due to PCOD. Please advise", + "src": "Patient: Hi doctor, I am 24 years old. From quite a long time my periods have been irregular. The pattern is oligo and hypomenorrhea. I got tested and found subclinical hypothyroidism taking 25 micrograms Thyroxin. Also, PCOD profile was done which was normal except LH was at the higher range. USG showed PCOD like picture but not proper. There were few cysts. Weight is normal. Progesterone withdrawal is normal. What next should I do? Kindly help. Doctor: Hi. PCOD (polycystic ovarian disease) may not always present with classic symptoms. Your condition is suggestive of PCOD. Just exercises daily. Do not gain weight. Cut down on carbohydrates. Also, daily Vitamin D 400 IU can be of some help. Otherwise, you have to take birth control pills which are basically hormones to regularize your cycles. Also, if you have long-standing PCOD or oligo or hypomenorrhea, you should be vigilant about the ill effects of excess estrogen in your body. Consult a doctor in person." + }, + { + "id": 2658, + "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": 9923, + "tgt": "I am suffering from runny nose and watery eyes for many years. Please help", + "src": "Patient: Hello doctor, I am a 24-year-old male. I have a runny nose and watery eyes. It is there for many years. It is like some allergy and I keep sneezing. When I take Montelukast tablets, it gets fine. But I do not like to take medicines every day. Doctor: Hello. I advise that you stop taking Montelukast tablets and take the following tablets for two weeks then stop, after that take one tablet per day only when really needed. Avoid triggering factors for your allergy Allergy. Claritine (Loratidine) tablets, one tablet per day before bedtime for two weeks. Avoid triggering factors for allergy." + }, + { + "id": 26232, + "tgt": "Please check my reports and tell me if it is cancer or not", + "src": "Patient: Hello\u00a0doctor, I am a 67 year old male patient. My report says 'neuroendocrine tumor\u00a0well-differentiated benign against a background of chronic duodenitis.' Kindly let me know whether it is cancer or not. I have no other health problems. Doctor: Hello. For more information consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist" + }, + { + "id": 19809, + "tgt": "Is there anything I can do to get out of insomnia?", + "src": "Patient: Hi doctor, I have insomnia for a couple of weeks. These weeks are being the worst where I have sleepless nights. Last night, I took Trazadone 150 mg which was prescribed and slept. Then again after that, I went back to Trazadone 100 mg tonight along with Melatonin, but I did not get any sleep. Is there anything I can do tonight to get some sleep? How long does insomnia typically last? Am I at risk for anything fatal? Also, I am planning to go back to my GP later on. Doctor: Hi. First, we need to know the reason for insomnia. It is just insomnia, or it is due to depression or due to psychotic or due to a mood disorder. If there is any other underlying condition, then it is important to treat that condition. You can also follow some nonpharmacological way to manage your sleep problem. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24551, + "tgt": "I have difficulty in approaching someone with more authority than me. How to overcome this?", + "src": "Patient: Hello doctor, I suppose I am suffering from anxiety. Also, I get scared of certain people or situations where I feel that I will be judged. Always, I think that people are judging me on whatever I do. So, I get anxious. This is a pattern since long. I understand that I can overcome it, as I find that there are few reference points in my memory where I have handled those situations well. I think I need help now as it interferes in my day to day life. Although I am able to manage it till now and am leading a good life, I think that I can do much better at work and relationships and will be able to enjoy life. Doctor: Hello. I can understand your problem. Feelings that people are judging you, becoming conscious when people are around you could be occurring due to anxiety, most likely social anxiety. This should be evaluated properly. Social anxiety can be treated easily with medicines and behavior therapy. This will help improve your productivity. Please provide me more details in follow up. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13560, + "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": 6690, + "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": 1587, + "tgt": "Is it normal to have irregular period, ovarian pain and brown spots with Depo shots?", + "src": "Patient: Hello doctor, I was wondering is it is normal to have an irregular period after stopping the Depo shot. My last shot was administered sometime befor three months (I do not remember the date). I had taken two shots but decided to stop because I kept bleeding and spotting while on the shot. I experienced bad cramping and heavy bleeding last month and it has been a month since then and now I have only experienced ovarian pain and brown discharge. I am not sure what this means. Doctor: Hello. As you mentioned, it is a known side effect of Depo shot to have irregular spotting or occasional bleeding too. And usually, the effect of the Depo Provera shot last maximum up to three months only (depending on the dose). The present experience of heavy bleeding and cramps may not be related to your Depo shots, it may be due to some underlying cause. So, I would like to know why was Depo shot advised for you? Was it only for contraception (birth control) or was it for any complaints like excessive bleeding and cramps during your periods (which may indicate a process called endometriosis)? Irregular bleeding may indicate some underlying hormonal disturbances which need to be evaluated. I would also like to know if you have any recent weight gain, excess unwanted facial hair, acne problems, scalp hair loss, headaches, visual disturbances, etc.? These may give some clue in finding a reason for this irregular pattern of bleeding. Also, if possible you could share some reports of your previous investigations like ultrasound to help me in guiding you for further evaluation." + }, + { + "id": 222, + "tgt": "I have been getting dry cough since the last one week. How to go about this?", + "src": "Patient: Hello Doctor, I am a 37 year old female. My height is 4.10 (in ft) & I weight around 51 kgs. I have been getting dry cough since the last one week (this is not throughout the day just intermittently). Also, very slight heaviness in the chest (not severe) while breathing. Request your suggestion on how to go about this. Awaiting your kind response. Thanks. Regards. Doctor:" + }, + { + "id": 14742, + "tgt": "I have a 5 months baby (cesarean) and got pregnant again. Please suggest the way to abort", + "src": "Patient: Hi doctor, I am 27 years old. I have a 5 months baby (cesarean). The baby and I are fine. From day one, he is fit. There is no health issues since his birth. And I did not have any health issues after delivery of our first baby. I got pregnant again, and it has been a month now. Please suggest a way to abort. Please help me if a pill can abort this time. Doctor: Hi. From the information you have provided, it looks like you have an unplanned pregnancy. I am not sure about the reason why you do not want to continue the pregnancy. Even though spacing pregnancies is advisable, it is not a hard and fast rule. You can continue this pregnancy safely if you have planned for two children. If you have a good support system, you can take care of your first kid and also take care of this pregnancy. In the event of not continuing the pregnancy, there are medical and surgical options to end the pregnancy. But you need to see a doctor, have a scan, and then the doctor will suggest the best method for you. Taking over the counter medication (OTC) from a medical store may not be safe for you. Please give a serious thought about following a reliable method of birth control to avoid this situation in the future. All the best, Hope I have cleared your doubts!" + }, + { + "id": 11918, + "tgt": "Is calcium supplement sufficient for osteoporosis at the age of 31?", + "src": "Patient: Hi doctor, I am a 31 year old female diagnosed with osteoporosis. Is Teriparatide treatment recommended? Or vitamin D supplements and Calcium tablets sufficient? Doctor: Hi. Teriparatide is an extreme treatment for osteoporosis and is always based on your DEXA scan (dual energy x-ray absorptiometry) report. Have you got your DEXA scan done? How have you been diagnosed with osteoporosis? Please specify. If DEXA scan has not been done, then just take Calcium and vitamin D supplement, it will suffice. If done then revert back to me with the blood reports and scan report so that I can advise accurately." + }, + { + "id": 17235, + "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": 4826, + "tgt": "I am having diarrhea, severe headaches, and fatigue after contraceptive pill withdrawal. Why?", + "src": "Patient: Hello doctor, Since I came off the pill 14 months ago, I have had lots of issues: black, brown, smelly spotting, irregular periods, severe pain, severe fatigue, been to the emergency department many times with different issues (stomach bleeding, severe stomach pains, lightheadedness, back and neck ache, etc.). I developed a headache about 6 months ago, MRI showed a pituitary microadenoma, have been to endocrinologist but he has ruled out hormonal reasons and sent me away saying another MRI will be done in 6 months and have referred me to a fertility specialist. I cannot live like this, severe stomach issues, cannot eat properly, diarrhea, severe headaches 2 weeks leading up to periods, have lost 5 kg within 5 months, severe fatigue, no energy for anything, palpitations, any exercise makes me very lightheaded. Someone please help. Doctor: Hi. In your description you have mentioned lots of issues that needs to be investigated and sorted out in detail individually. Microadenoma and hormonal imbalance are two separate issues actually those can cause different symptoms, need different investigations, precautions and treatments. It would be better if you could send me your detailed reports. Adenoma related issues need to be consulted with endocrinologist on regular basis. For rest of the medical issues need to be consult with consultant general physician to sort out for every symptom. Have some counseling sessions with pshychaitrist to help feel emotionally balanced. For irregular periods have transvaginal scan and blood tests on day 2 of periods (testosterone, progesterone, prolactin, insulin, FSH and LH , thyroid function tests), high vaginal swab, cervical smear. Collect all laboratory tests and discuss here. Have combined oral contraceptive pills for 3 cycles to have hormonal support and regulate periods. After collection of swab from vagina, have injection Ceftrioxone 500 mg intramuscular once. Azithromycin 1 gm per oral once. Tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg 8 hourly for 14 days. Have balanced diet , weight and BMI. Complete treatment of any health issue you have. Have daily walk, exercise and yoga. Have recreational activities and quit recreational drugs. Have cold milk at bed time and after waking up before breakfast." + }, + { + "id": 6336, + "tgt": "After taking Plan B pills for two weeks, I have dark brown discharge. Why?", + "src": "Patient: Hello doctor, I have a question about my menstrural cycle. Two to three weeks ago I took a few Plan B pills throughout two weeks. I was supposed to get my period around 15th and it came only two days ago, but it is a dark brown discharge. I took several home tests and they are all negative. I was wondering why is my discharge is in this color? There is no blood just brown discharge. Am I pregnant? Doctor: Hello. Plan B Pills are to be taken only once after unprotected intercourse and not continuously for two weeks. There are different drugs that can be taken for this long, and they do not protect you like this. The brown discharge which you are getting now is probably the withdrawal bleeding which you are getting after stopping the pill. This was bound to come. Your cycle date will be irregular this month. However, wait for few days or till 15th and if periods are delayed or abnormal spotting only then get a scan done. In future, I will advise you to use regular cyclical combined contraceptive pills rather than this practice." + }, + { + "id": 28128, + "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": 26290, + "tgt": "Is there a permanent cure for Sneezing?", + "src": "Patient: Hi doctor, I am 20 year old male suffering from sneezing problem since last 3-4 years. My height is 172 cm and I am 58 kg weight. Daily I am sneezing\u00a0in the morning\u00a0and following that if I do not take medicine then I will get high fever and cold along with it. The sneeze only\u00a0temporarily relieved with medication, but recurs when I stop the medicine. I had breathing problem in the past. The doctor said that in my blood, the eosinophil cell count are more.\u00a0\u00a0What should I do? Doctor: Hi.I have looked through your reports (attachment removed to protect patient identity). Also, I wish to know the following details to make a more decisive diagnosis. You appears to have allergic rhinitis. Also in the past, the breathing trouble could have been asthma. Asthma and allergic rhinitis are related and occur together in many patients. However, I cannot be sure of the diagnosis until I see your past reports. You should go for IgE antibody test. An elevated IgE antibody suggests allergic rhinitis. Your complete blood count and sputum reports are normal. The absolute eosinophil count and eosinophil percent are normal. The spirometry have mild abnormality. You have moderate lung restriction, but that is not the cause of your sneezing. This restriction most probably could be a resultant of the breathing trouble you suffered in the past. The medications given by your doctor are fine. Those will be the same that I would also give. Some suggestions I would like to make are as follows: Allergy is not curable. It points to some form of hypersensitivity by your body to some daily routine substances which do not produce allergy in other persons. However, with the right precautions and care you can avoid occurrences of allergic symptoms. Also with the right treatment you can prevent any severity of the symptoms. 1. Smoke, cold winds, pollen, dust mites. 2. Passive smoke and burning substances. 3. Food allergy can be due to milk, nuts, prawns, soy, etc. Take a diary and maintain your daily activities. Write down meticulously the food you eat also. Suppose you get allergy one day, you note down and see if there was anything suspicious you did because of which you might have developed the allergy. This will help in avoidance of the suspected allergen. Send me all reports regarding your past history. 1. Allergic rhinitis. 2. Non - Allergic rhinitis with eosinophilia syndrome. Follow the same treatment plan that your doctor has given in his prescription with the suggestions that I have made above. 1. No smoking or passive smoking. 2. Drink plenty of lukewarm water. Drink four to five liters of water daily. 3. Avoid cold drinks, alcohol and aerated cool drinks. Take meals hot rather than cold. 4. If working in dust atmosphere try changing your workplace. If not possible wear a mask that prevents inhalation of pathogens. 5. Maintain a diary and consciously note down any incident or food products that triggers allergy. 6. Dry your hair soon after hair wash. Do not apply oil for long duration. 7. Eat nutritious food rich with all vitamins and minerals. 8. For a month take multivitamin supplements such as Himalaya Septillin or AtoZ capsules are good brands. 9. Take plenty of green leafy vegetables, gooseberry every alternate day if not daily, very rich source of Vitamin C. Revert back with the reports to an allergy specialist online.---> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 1130, + "tgt": "I had an asthma attack. Please interpret my chest x-ray for abnormal findings", + "src": "Patient: Hello doctor, Today I had an asthma attack at work and they treated me and did a chest x-ray. I am an x-ray technician and I just do not think my chest x-ray looks right. Please suggest. I am currently on Concerta, Omeprazole, Cetirizine, Montelukast, Symbicort, Pro-air emergency pump, and Albuterol. Doctor: Hi. The chest x-rays (attachment removed to protect patient identity), PA and lateral views are showing mildly prominent bronchovascular markings in the bilateral perihilar and lower zones and might be of concern for hyperactive airways after the asthma attack. There are no focal lung lesions. There is no pleural effusion. The cardiac size is normal. The retrosternal space is normal. The domes of diaphragm are normal. Please discuss this in detail with your doctor." + }, + { + "id": 26363, + "tgt": "How can the little bump on my upper lip corner be treated?", + "src": "Patient: Hello doctor, I have a little bump on the upper lip corner which is like a\u00a0small pimple\u00a0for about eight to 10 months. It has been painless until over the past few days where there is a mild vague pain around the area. Please suggest if it is something that I need to be worried about? Doctor: Hello. Hope this helps.\u00a0Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15215, + "tgt": "Can I have dry socket even after placing bone graft in the extracted socket?", + "src": "Patient: Hi doctor, I had an extraction of a molar in the morning, and a bone graft was placed over it. My surgeon placed a collagen plug over it to make the graft to stay in place. Can I have a blood clot below it? I am afraid of getting a dry socket. Last time, I had a dry socket, when I had a wisdom tooth removal, and I am scared. Please help. Doctor: Hi. First, remove your fear present in your mind. A bone graft present with membrane prevents dry socket formation, and it makes a better environment to have socket healing. Bone graft is not fully utilized in the socket, as it a foreign material. Some amount of graft is rejected in the body. It is a routine procedure of a defense mechanism. In your case, you cannot see blood clots in the socket, as it is covered with a membrane. You have to wait for at least three to five days. Do not try to see it again and again. It can cause a disturbance in the normal healing process. Follow proper oral hygiene and follow all the instructions given by the surgeon. Take medications on time." + }, + { + "id": 909, + "tgt": "Yesterday, I noticed two abnormal clots on my pad. Are they something I should worry about?", + "src": "Patient: Hello! I am currently in my withdrawal bleeding week (placebo pill days, I am on birth control). Yesterday, I noticed two abnormal clots on my pad. I have experienced blood clots, but these were different. A little difficult to explain (I have a picture), but they were large and white, with visible blood vessels on the surface and a blood \"string\" at the end. Again, a little hard to explain in words. Because of my current circumstances, I have not taken birth control the \"normal\" way in the last two months. Early last month, I did not have more birth control at the end of my placebo week, and was only able to start a new cycle of it the following week. I did not know I should only start the pill at the beginning of my cycle. Once I found out, I skipped the placebo week the following month in order to reset the \"ovulation\"/placebo timings. I am sexually active and, knowing I had not used the pill correctly, I mostly used condoms as backup. I was wondering if these clots could be a result of messing up the pill or if they are something I should worry about. Thank you for your help! Doctor: Hello, Welcome to Icliniq. Based on your description, I understand that you skin using the pills in early last month, in the beginning of your menstrual cycles and later took it continuously to avoid the placebo pills. See, first thing you have to understand is that , if you didn't start the birth control in the first week of your menstrual cycles it's not effective as a birth control at all as the follicular development already sets in which contains the Ovum (egg). So there is a high chance of pregnancy in such cases even if you start it in the following week. The clots that you described could be possibly products of Conception ( only a possibility) if you had gotten pregnant and had a spontaneous miscarriage. So to confirm if this is the situation or not, please check your home pregancy test. If that is positive then this confirms the likely possibility of a pregnancy. Also if you could share a picture of the clot that you have I can have a look to check the other possibilities of your problem. Please feel free to revert back to me anytime with any further queries or doubts. Also please check your home pregancy test once and get back to me with the result. Have a nice day. - Home pregnancy test - Ultrasound Abdomen and Pelvis." + }, + { + "id": 28348, + "tgt": "When I walk, everything starts to spin, and I cannot walk straight. Is it due to high BP?", + "src": "Patient: Hi doctor,I am a 25 year old male, who weighs 245 lbs and 6 feet tall. I work at a prison, which is a state job. A month ago, I looked up casually after walking away from some of my coworkers to some other ones and everything was spinning, and I could not walk straight. They had to walk me down to the clinic and my blood pressure was 178/112 mmHg. High blood pressure runs on my dad's side of the family, my dad has it, some of his uncles have had it. Some of his uncles have even had heart attacks and other heart problems. I am also in the national guard, so though I may be obese to a scale, I am very active, especially, whenever I am at work. I work on the yard controlling inmate movement. Naturally, they had me do a stress test this past week. My doctor referred me to a cardiologist, whose assistant told me to redo my tests. What are the chances of them finding something? Also, I do not drink daily, but I have had moments of blacking out because of the amount. 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": 7451, + "tgt": "Ultrasound shows flushed out kidney stones. Why is burning still there?", + "src": "Patient: Hello doctor, I had UTI and kidney stones earlier. My ultrasound states that my pancreas are normal in size and echotexture and the kidney stones have been flushed out, but there is infrequent burning. Can you shed more light on the latter part (echotexture)? Currently, I am on ayurvedic medicines and earlier had Hinduja allopathic medicine. Doctor: Hello. This ultrasound is normal (pancreatitis, spleen and kidneys) (attachment removed to protect patient identity) besides, there are the following findings: For more information consult an internal medicine online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14681, + "tgt": "Can viral infection cause dilated cardiomyopathy in adult?", + "src": "Patient: Hi doctor, For the past 10 months, my wife (age 32 years) started developing symptoms of bronchitis (complaints of SOB and fatigue). Her feet and ankles started to swell and used to take Lasix (to treat edema) on SOS basis for the past seven months, which gave her temporary relief. Next month she underwent checkups (did chest X-ray, echo and ECG) and everything was normal with exception of sinus tachycardia (HR was 110+). and slight fatty changes in liver. The doctor also advised taking Hep-B vaccine (Engerix-B), for which she has taken two doses already and the next one is due in a month. Two months back, she traveled for a period of three weeks. There she suffered from acute breathlessness, stomach bloating, feet and ankle swelling, bloating of the stomach. She could barely lie down on her back. After visiting a gastroenterologist and a pulmonologist, she was advised to undergo USG-abdomen. The USG revealed ascites, bilateral pelural effusion. We saw a cardiologist and was advised to do echo, ECG and chest X-ray. The echo resulted in very poor LV EF (25 %) and dilated LV, LA. She is under medication (Cardivas 6.25, Vymada 100, Nexpro RD 40, Rivotril 0.25, Bevon]. She was also advised to undergo cardiac MRI. The MRI results were pretty much the same as echo (did not result in anything conclusive). Blood tests were also conducted (Na, K are normal, NT-PRO BNP is high 504 pg/ml, bilirubin is a little high 1.14). I want to get an opinion and advise on the below. The cause of dilated cardiomyopathy in such a young person. Is it viral infection? She did not have a fever. What is the treatment? Is the condition reversible? Will the dilation get back to normal? Doctor: Hi. Your wife has multiple issues including dilated cardiomyopathy and PCOS (attachment removed to protect patient identity). There are multiple causes of dilated cardiomyopathy including viral infections, pregnancy, familial and idiopathic, tachycardia, PVCs, amyloidosis in late stages, etc. Treatment is going well which you told. Carvedilol dose can be increased if heart failure condition allows, Vymada can also be increased upto 200 mg if BP allows, Lasix can be added and Spironolactone should also be started at 25 mg per day. Doses should slowly be uptitrated. Yes sometimes condition is reversible, but after one year chances of reversibility are rare. Then a device called ICD is implanted in the heart to prevent cardiac arrest or CRTd for heart failure symptoms and to prevent cardiac arrest. For PCOS, consult a gynecologist. Praying for your wife's health." + }, + { + "id": 5109, + "tgt": "Why is there pulmonary hypertension after ASD closure surgery?", + "src": "Patient: Hi doctor, My wife has pulmonary hypertension after ASD closure surgery. Kindly advice. Doctor: Hi. Did the pulmonary hypertension occur only after ASD closure? Before closure was there pulmonary hypertension? The treatment depends on the severity of hypertension. So, is her pulmonary hypertension mild moderate or severe? If you cannot tell about severity, kindly upload the reports so that I can go through and advise better." + }, + { + "id": 2768, + "tgt": "I have increased amount of ALT and AST. What possible damage it could cause?", + "src": "Patient: Hello doctor, I have had two blood tests conducted within the last two weeks. The results from both tests showed high amounts of ALT and AST (liver function). I am interested in knowing if there is anything I should do to lower these levels to normal. Doctor: Hi, Welcome to icliniq.com. See your liver enzymes, amylase, lipase, and creatinine is raised. (attachment removed to protect patient identity). To treat this we need to know the cause. I would like to know if you have been consuming alcohol? I would also like to know if you have diabetes, high blood pressure or any other chronic illness. Have you got your ultrasound done? Please mention the symptoms for which the test was conducted. I hope this helps." + }, + { + "id": 21039, + "tgt": "What precautions can be taken in a kid with high eye power?", + "src": "Patient: Hello doctor, My son aged 13 years has got his left eye -11 and right with -8. I am now very worried what good precautions should I take with him. Can you suggest me what should I do? Doctor: Hello. I have gone through what you have mentioned and understand your anxiety about your son's eyesight. - 11D and - 8D are high myopic powers and the chances are that the power may progress as your son is still young. My advice to you is: 1. Avoid reading or holding objects very near to the eye. This will cause myopia to progress faster and will worsen the condition. 2. Every six monthly visits or follow up visits as per doctors advise. Since the myopia is of a high degree, there will be excessive stretching and degeneration of the structures of the eyeball. This can cause problems such as retinal detachment. Regular follow-ups help us in picking up changes faster and in preventing such complications as retinal detachment. 3. Ask your son to regularly self-check his vision. This is done by closing each eye one at a time and observing how a particular object or letter looks. In case he is able to pick up any change or drop in vision, please bring it to the notice of your ophthalmologist. 4. Urgently visit your doctor in case of a sudden drop in vision or multiple raindrops like images in front of the eye or experiences of light flashes in front of the eye. The main concern now is to observe and ensure that his maximum vision potential with glasses is as close to 6/6 or 20/20 as possible. After his power has stabilized, there are multiple options to remain glasses-free. For example, he can undergo implantable contact lenses (ICL) procedure and be rid of glasses." + }, + { + "id": 5447, + "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": 30458, + "tgt": "Had alcohol a month ago and I am 5 weeks pregnant now. Should I worry?", + "src": "Patient: Hi doctor, I am currently 5 weeks and 2 days pregnant. Midwife worked out from the first day of my last menstrual cycle. In which\u00a0approximate date, could I have conceived? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14401, + "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": 20331, + "tgt": "I am unable to clear my tummy in the morning. Please help", + "src": "Patient: Hi doctor, I am unable to clear my tummy entirely in the morning. It is happening for a couple of weeks. I thought that I have an infection. So I did a CBC. But the reports came fine. I have hypothyroidism, and I am taking Thyronorm 12.5 mg. A friend told me that it could be a colon or rectal cancer. Can I have cancer? Please suggest. Doctor: Hi. On considering your age, the possibility of having cancer is unlikely. There is nothing to worry. Constipation is a widespread problem, and the chance of cancer is doubtful to occur in this age group. So do not think about this disease. Cancer usually occurs at elder age with alternate constipation and diarrhea. It happens with blood in stools, weight loss, and abdominal pain. Their profile would be entirely different. You can have hypothyroidism induced constipation. You should do a TSH to see the thyroid control. For that, you should eat a high fiber diet with fruits such as apple, banana, oranges, green leafy vegetables like spinach, and raw cucumber. Avoid taking refined food, fatty, and oily food. You should take plenty of fluids and do regular exercise. Take syrup lactulose 15 ml at bedtime to maintain your stool soft. Use it when there is a need." + }, + { + "id": 8443, + "tgt": "My STD report says I have antibodies for herpes type 1. Am I infected with herpes?", + "src": "Patient: Hello doctor, I made an STD test, and the doctor said that I have antibodies for herpes type 1 but not infected with the virus, exposed. Does this mean I am infected, and will these antibodies transferred to my partner or will disappear with time? I have attached the report. For mycoplasma, it is already treated. Doctor: Hello. The report says you have already infected with herpes. Did you have any unprotected sex with anyone? There are chances you can have an outbreak - symptoms of herpes. During the outbreak, if you have sexual contact, you can infect your partner. Once herpes is positive, it is always positive." + }, + { + "id": 13045, + "tgt": "What can be done to cure premature ejaculation?", + "src": "Patient: Hi doctor, My query is about premature ejaculation which is not letting me last longer and just wanted to know what could be done. Doctor: Hi. It usually occurs in the early days of becoming sexually active. Gradually the staying time gets better. Try diverting your attention during sex. More frequent sex or masturbation in between also helps. You can also try stop-and-squeeze technique just before ejaculation. Using a condom or applying anesthetic cream (small amount) to head of the penis just before intercourse may help. Finally, you can take medication for some time if all the above do not help (tablet Duralast 30 mg one hour prior to intercourse)." + }, + { + "id": 15324, + "tgt": "My nasal passages are swollen and I cannot breathe well. What has to be done?", + "src": "Patient: Hi doctor, I went to the allergist a week back and he said my nasal passages were swollen up. He prescribed QNASL. I am going to meet an ENT doctor in a day or so. I cannot breathe well or smell. What can an ENT doctor do for me? Doctor: Hi. The steroid nasal spray you are using has local steroid which helps in reducing the swelling. This spray you will have to use for around six weeks. Secondly, to treat nose block you may use local decongestant nose drops for five days. If you have excessive sneezing you should use antihistamines also. If your problem is chronic that is from a long time I would advise you to get CT scan of paranasal sinuses done to rule out sinusitis." + }, + { + "id": 1389, + "tgt": "I have diffculty in bowel movement without laxatives. Why?", + "src": "Patient: Hello doctor, I am 16 years old. My weight 87 kg and 1.73 cm tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it. Doctor: Hello, Welcome to icliniq.com. You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information. The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it. The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation. Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines. I hope this helps. Chronic idiopathic constipation. Defecatory disorder. Tablet Prucalopride 2 mg daily. Follow up in one week." + }, + { + "id": 30512, + "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": 12560, + "tgt": "Will taking I-pill cause delay in periods?", + "src": "Patient: Hi doctor, Actually I had my periods two months back. 15 days later, I had unprotected sex but I took the I-pill on the same day. I took a pregnancy homekit test after 10 days and it came negative. Then I got bleeding for a week which I considered my periods. So, I thought I was supposed to get my periods on the same date this month but did not have any sign of them. I took the homekit pregnancy test a week back and it was negative. Why are my periods late? Can I be pregnant? Should I be worried? Doctor: Hello. With I-pill, sometimes periods gets irregular for 2 to 3 cycles. If there is any history of sexual intercourse after last month periods, then you can do blood test serum hCG. If it is negative then no chance of pregnancy at all. You can simply wait for 1 to 2 weeks for periods. Even after 1 to 2 weeks you do not get periods, then medicine can be given for withdrawal bleeding. But if bhCG is positive then pregnancy is there. And treatment will be accordingly." + }, + { + "id": 27678, + "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": 26425, + "tgt": "I feel like a part of my gum is detached from the main gum. What should I do?", + "src": "Patient: Hello doctor, I am 18 years old. Today, I felt something around my last top teeth. My wisdom teeth are\u00a0about 10% out. But, I\u00a0saw meat hanging in front of it like a bit of my gum has detached from the main gum. Should I\u00a0apply force to remove it or leave it as it is? Doctor: Hello. I hope this helps you. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19139, + "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": 20292, + "tgt": "There is foul odor from toe nail. What to do?", + "src": "Patient: Hi doctor, My mother is 85 years old. She is diabetic and blind. She is complaining of foul odor from under her big toe nail. The nail looks like it is normal. What should we do? Doctor: Hello. Your mother seems to have paronychia. Paronychia is the infection of the finger or toenail along the edge. It might be a bacterial or fungal infection. Accordingly, she will require a topical antibiotic or antifungal application. If the infection is severe, she might have to take oral medications. Please get a complete blood count done and also check her diabetes status and revert with reports." + }, + { + "id": 24230, + "tgt": "My asthmatic mother's X-ray is negative for TB. What else this could be?", + "src": "Patient: Hello doctor, My mother has asthma as she used to smoke and live near roads. Her X-ray showed that trachea is in the midline, the cardiac shadow is not enlarged, pulmonary vasculatures are not prominent, hemidiaphragm is flattened, costophrenic sulci are blunted, right lower lung infiltrates present and pneumonia entertain. Please correlate clinically. Emphysematous changes are also considered. The last X-ray was negative for tuberculosis. She was using Ventolin as nebulizer three to four months back. Doctor: Hi. I have checked the attached report, along with the data you provided (attachment removed to protect patient identity). Your mother has COPD which is a chronic obstructive lung disease due to changes in the lung with age and due to smoking. In COPD the air is entrapped inside the lung with difficulty to get it out, so the oxygenation is impaired. Thus the patient becomes hypoxic with frequent exacerbations in winter with any infection of the lung. The infiltrates found in the right lung are due to pneumonia. The treatment includes inhalers regularly with antibiotics and long-term home oxygen therapy may be required if certain criteria are found. To identify the stage, I need to see her oxygen saturation in room air and arterial blood gas test. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24345, + "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": 2054, + "tgt": "I have episodes of headaches, nausea, and eye pain. Is it a nerve problem?", + "src": "Patient: Hi I am writing this because lately I have been having some issues lately related to my health and I was hoping to get some answers, advice and help because I want to stop the problem from getting worse and start getting better and i am a male and I\u2019m 22 years old. Now one of the symptoms I\u2019ve been having are headaches like they would happen imma say every couple days like it comes and goes like now I don't have a headache at the moment. Second symptom I had was nausea and I had it yesterday for a short period of time but I managed to eat something and I don\u2019t have it right now currently. Other symptoms I\u2019ve been experiencing to like eye pain to that comes and goes but mainly in my left eye like twitching and tingling to,Little loss of balance when I get up out the bed I guess from resting for a certain period of time like now my balance is fine now but I have this Cold feeling in forehead and lips now which is new to me I never had it before so it's happening right now but yea and Little tingling feeling in throat And Tingling in private area that comes and goes. I was wondering if a neurologist can help me out here because I\u2019m wondering if this is a nerve problem and how serious this is. Please Doctor: Hi , Welcome to Icliniq, I have analysed your complaints. You are suffering from Episodes of headache with nausea , which are not present every day. also having left eye pain and twisting with tingling, imbalance while getting up, tingling in throat and over genitals, coldness over forehead ... I would like to suggest to do some routine blood investigation tests and this symptoms seems like vitamin B12 deficiency or hypothyroidism. Are you Vegetarian? any history of weight gain, constipation? is there any addiction of alcohol or drugs ? please check your CBC Serum electrolytes(Na, K, Cl, Ca, Mg) S.Vitamin B12 level Thyroid profile" + }, + { + "id": 22796, + "tgt": "I experience intense pain during sex. Please advise on the problem", + "src": "Patient: Hello doctor, I need some advice on an ongoing problem that has my doctor stumped. I am experiencing intense pain during sex, to the point that it often entirely prevents intimacy. This has been going on for about 12 months. The pain is consistently in the same spot, just behind my hymen to the right. It is not cervical or abdominal, does not shift, and is not linked to any vaginal contraction. It is worst immediately upon penetration. I am a lady with a very high pain tolerance, but initial penetration has me screaming/throwing my partner off me at the moment. If I am able to battle through the first minute or two, it starts easing. I am not generally intensely sore (beyond the usual little ache) after sex, and the whatever-it-is does not usually make itself known outside of sex (even when I sit down hard/use the bathroom), although there have been perhaps four to five little twinges over the past 12 months when I have been walking around. I have had two doctor's appointments about this previously. On the first, I went through full STD testing to eliminate a disease or infection, but all tests came back clear, including BV. On the second appointment, I went in for a pap-smear and visual inspection of the spot. Pap smear was negative, and the doctor was only able to say that she could see a 'pink irritated area' in the location. I described the pain as being centered - no cysts/polyps/tumors/notable textural difference/cuts/scarring/injury to my hymen. I am self-lubricating relatively normally and using lubricant when I do not. I am not experiencing any contractions upon penetration. The painful spot is consistent whether I am with a partner/using a sexual aid/touching it with my fingers. It does seem to ease somewhat when it has been seven or more days since I have had a sexual encounter, but every time after the first time following a break it is as painful as ever. Doctor: Hello. What you seem to be suffering is from vaginismus where the pain is related only to the initial penetration and not due to any organic cause. The cause of vaginismus is either the vaginal muscles are too taut, or you are not sexually excited enough before the act. And also, the vaginal opening may be slightly small. So, I suggest using alternatives to widen the opening before penetration is practiced. This problem generally goes away after delivery when the vagina is stretched. So, the same can be mechanically applied in privacy and am sure you would be benefitted. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16491, + "tgt": "Why is there body pain five years after spinal cord surgery?", + "src": "Patient: Hello doctor, My sister got operated in her spinal cord five years back. Now she is not able to do her routine work like a household or any type of work. Whole body pains all the time. I have tried Ayurvedic treatment too but all doctors taking their hands out. She is just 41, has two daughters, aged 15 and 7 years. Please, we need your help. Doctor: Hi. It might be menopause symptoms. Calcium and vitamin D deficiency. Sometimes spinal nerve injury can also cause back pain as same as after cesarean section delivery. She can start with Hypericum 1M five pills twice in a week. Rhus Tox 200 pills morning, noon, and evening. Calcarea Phos 6X three tablets morning noon night. Take these medicines at least for one week and give me follow up a little bit in detail. I am sure she will be feeling good with these medicines." + }, + { + "id": 13533, + "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": 25828, + "tgt": "What medicine can treat acne scars on my upper back?", + "src": "Patient: Hello doctor, I am a 31-year-old male. For no reasons, my upper back has formed acne in the back of shoulders and in the mid-upper back. I tried Benzoyl wash, Vanoxide Topical, and Doxycycline. There was no success. I am now using Hibiclens foam wash, Clindamycin and Benzoyl foam, and a Sulfamethoxazole tablet two times per day. This second regimen has only been going on for five days. How long can I expect results? I also shave my shoulders which I know puts me at risk for folliculitis and other related conditions. However, I have never shaved my back and therefore do not understand how this occurred. Just when I think things look better, a trip to the gym and shower right afterward, it always makes things look worse. Am I wasting my time trying to fix this? Of note, I had a very severe acne on the upper back and face when I was a teenager. I was on Doxycycline in the past. Doctor: Hello. Perhaps it is Pityrosporum folliculitis. It is usually itchy and favors back and looks similar to acne. Do they itch in your case? Pityrosporum folliculitis would require oral antifungals. Anyways acne that is unresponsive to usual antiacne medications oral and topical usually respond to oral Isotretinoin. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23024, + "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": 8680, + "tgt": "My BMI is normal, but cholestrol is high. How to reduce it?", + "src": "Patient: Hello doctor,I am a 29 years old female with a proper BMI index, but I have high blood cholesterol. I do not have any other physical problem. I did not start any medicine. I do yoga. I want to decrease my cholesterol level. Doctor: Hello. If the cholesterol level is too high, like above 300 or so, then you will need to take medications. But if it is less than that, then you can control it with natural remedies, food, and exercise. You can continue doing yoga. Also, you can do vigorous exercises (only if your body permit, if you have any physical problem then do not do it) like a brisk walk, aerobics or swimming as these exercises will help to lower your fats and cholesterol. Also, eat raw garlic (1 to 2) every day, you can even mix it with food and eat. There is one homeopathic remedy called Allium Sativum made from garlic. You can take 10 drops of this liquid in half a cup of water once a day for 15 days. Try these methods for one month and then let me know how you feel. I hope you start feeling better." + }, + { + "id": 15603, + "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": 28703, + "tgt": "Is there any issue with my semen report?", + "src": "Patient: Hi doctor, My semen result is as follows. Volume 2 mL, pearly white in color and viscous, 30 minutes liquefaction time, 20 millions/mL sperm count, 20% motility, normal morphology 30% and abnormal morphology 15%. Is there any issue with my semen report? Is there any abnormality that will lead to problem in having a baby? How to increase sperm count? Currently, I am using COZY-Q10 tablet under doctor prescription. Previously, I had smoking habit. But, I quit smoking a year ago. Doctor: Hello. I can understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16245, + "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": 23686, + "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": 10555, + "tgt": "What can I do for weakness of the legs and numbness of the toes?", + "src": "Patient: Hello doctor, My right leg is weak and toes also numb. Last year I had the same problem in my left leg. I can no longer control and use my left hand. I had same problem with my right hand before two years. I am very concerned because I can feel my left leg getting weaker and numb and my right hand is going numb again. Kindly advice. Doctor: Hello. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including MRI brain, CT angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report too. Revert me with above mentioned information for better understanding and further judgement." + }, + { + "id": 19758, + "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": 14166, + "tgt": "I am a 24 year old female with a Jones fracture. What will happen if it is left untreated?", + "src": "Patient: Hi doctor, I am a 24 year old female with a Jones fracture. I broke it for the first time last year and again this year. At this stage, it is showing a nonunion, but I can easily bear weight and there is no pain or swelling. I have no plans to play sports or go running in the future. I was wondering if I can live without getting pinned. As of now, I cannot take leave from work. Also, what will happen if a nonunion is is left untreated? Doctor: Hello. I have gone through your question, and it seems that your fracture is not healing well. There are a few points which I want you to know: The first and the fifth metatarsal are actually the weight-bearing bones in the foot. So, proper union of any fracture involving these two bones is important. Jones fracture involves the fifth metatarsal of the foot and that too in an area with a slightly peculiar blood supply. So, if not managed well, can lead to nonunion. You are very young, and at this stage, it is not advisable to leave any fracture unsupervised in terms of treatment. If your concerned orthopedic doctor is telling to get it pinned or open reduction and internal fixation with a screw, then it makes quite a lot of sense to actually undergo that treatment. I can actually advise you in a better manner if I can see your fresh x-ray and also your clinical picture showing the involved foot. Also, you have not mentioned the total duration since the second injury, and what form of management is being done right now. If it goes into permanent nonunion, you will keep on having foot problems from time to time in the form of pain, swelling, and difficulty in ambulation." + }, + { + "id": 16622, + "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": 30475, + "tgt": "How to handle my husband with effective communication?", + "src": "Patient: Hi doctor, My husband is very broadminded and good hearted.\u00a0He is an all rounder in every arena, both at home and outside. He can manage anything and can do any task.\u00a0But, he quickly gets irritated when saw any flaw around. He expects me to be 100% perfectionist in any work at home. Due to the irritation, he was throwing nasty slangs. It does not mean anything serious. It is natural from his side and after two minutes he forgets everything.\u00a0But, I cannot cope up with listening these slangs. It is mentally affecting me. However, I did not blame him. I tried to analyze the cause of his irritation and I found that he has financial panic and stress. So, I pushed him to start giving tuition to IT professionals. As he is getting extra earning, he feels better with more confidence now. Also,\u00a0I pushed him slowly to join a spiritual community where they offer breathing exercise techniques for free and he said that he got benefited from it. Also, I observed that the frequency of his irritation reduced. Even though he has reduced his irritation, I really do not know to handle him when he shouts after me horribly and talks rubbish. He treats me very low for that moment. Otherwise, he is very fine with me and those are just a matter of moments.\u00a0I am very gentle, soft natured and hardly argue with others. But, this affects my emotional level certainly and nowadays, I simply repeat his words to him and then he stops. Apart from the above issue, he is a caring and responsible guy. I adjusted to him for the last six years and now I have a baby. What message will my baby get when my husband will shout over me with nasty and dirty slangs in dominating and highly irritating manner? Will it impact my baby or she will ignore?\u00a0How to handle my husband with effective and strong communication?\u00a0We both are working. I am managing my 11 months old baby and doing half a day office for baby. I have OCD and acute psychosis symptoms. If my stress gets trigger for any reason, I may get stress headache and can hear mild auditory hallucinations. All the above problems of mine started before two to three years. I am 90% fine after having a baby. Doctor: Hi. I completely understand that you are facing a hard time dealing with your husband at times he gets irritated and you feel concerned about your baby if she gets affected by this attitude. Here, I am telling you something related to psychological theories and research findings on how children form perceptions. Communication pattern may gets disturbed if one or both of the partners are going through some stress, psychological problems or any sort of personality patterns which clash with each other. Psychological assessment of both partners is necessary when there is a partner related problem. Together, you both can consult a psychologist (family therapist) for assessment, so that the communication patterns of both the partners can be assessed and guided towards positive growth. Because, in case of only one partner suffering from psychological illness, individual psychotherapy is suggested. But, if both are having some psychological issues, first of all they both need individual counseling or therapy and when they complete the individual treatment, their partner related issues are worked out in couple therapy. Do get your partner assessed psychologically and get confirmed your own diagnosis, so that you can get effective treatment before it affects your offspring. Partner relational problem. A research shows that the couple therapy or marital therapy is the best treatment for partner related problems or communication problems. Do take some couple therapy sessions to work on your communication patterns. As you have mentioned that you are dealing with your husband since long time, I appreciate; the way you are handling is very well. Keep handling it gently. Here, I am giving you some tips to develop effective communication skills. 1. What you feel is very important to communicate with your partner, whether you feel positive or negative, do communicate it. But, the key to effective communication is the way you communicate it to your partner. For example, you are giving a positive comment in a harsh or loud tone, definitely it will give a negative sense and the next person will never take it positively. 2. In contrast, you talk in a low and humble tone. You can talk to your partner that you feel very concerned that if our baby will be affected by our words. She may not learn what we are saying in front of her and she might not get fearful of our loud tone. You do not hit the person directly, but try to tell your real feelings and concerns and then definitely it will give a positive sense. 3. The next person will never ignore your concern if you give him the sense that you respect his personality and you like him, but this particular behavior is unacceptable for you and you want him to be more likable. 4. Always use positive affirmations in your language if you want others to listen you. For example, I respect what you are going through, I am always there for you, I want to see you happy, you are a very nice person and any other positive phrases. If you start your talk with positive things and then lightly come to the negative aspect, it will definitely give another person the sense that you really want him to improve, rather than trying to hit or hurt. 5. Take care of your verbal (the words you say) and nonverbal messages (body language). If both are congruent, you will be considered true and genuine. If you say that I am happy, but your body posture or facial expressions say that you are not happy inside and something is wrong, then the next person will definitely believe on your body language and not your words. I appreciate that you are concerned regarding your baby at this initial stage. Do take help to deal with the issues before it affects your child. Because, once the child's personality patterns are formed, then it is very difficult for the parents to reshape it. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 29993, + "tgt": "Should I worry about ear congestion?", + "src": "Patient: Hello doctor, I am a 40 year old male. I have been battling sinus problem, congestion and cough\u00a0for about three weeks. Three weeks ago, I visited a clinic and I was given 500 mg Amox. I completed the cycle, but still had cough and drainage. So, I visited the clinic again, wherein I was given Decadron shot and was prescribed Afrin to be taken as needed, but not more than three days and Motrin. After the treatment, the cough reduced and drainage slowed down. Now, I am having pressure in the left ear, which I am assuming is fluid draining. I do not have fever. I am not taking any other medications and I do not have any other medical conditions. Should I be worried about my ear problem or is this just a part of the junk moving out? I had a chest x-ray and it was negative. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns.\u00a0I want to assure you that, you do not have to worry as everything is going to be fine if proper care and treatment is opted. There is a passageway that is, a connection between our throat and the inner ear. That communication is named as eustachian tube. When throat infection lingers on, it may spread through the communication tube from the throat to the inner ear. The same has happened to you and you need not worry much. It is just an inflammation. If anti-inflammatory drugs do not work fine, then we may need to go to another course of antibiotics to get rid of ear infection. I suggest you Ibuprofen (do not take Motrin concomitantly) along with Loratadine continuously for five days for ear inflammation. Let me know after that how you are doing to proceed further. Also, hot fomentation will work great for you. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Avoid excessive coffee, beverages and energy drinks. 2. Avoid cigarette and alcohol. Revert back after five days to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21045, + "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": 15926, + "tgt": "I have a non-itchy red patch on the skin of penis. Please help", + "src": "Patient: Hello doctor, I have had a small red patch of skin on my penis for over a month. There is no itchiness, no irritation, no pain. Doctor: Hi. Please send few good quality photographs taken in a natural light." + }, + { + "id": 15216, + "tgt": "Is it possible to get chikungunya through cold?", + "src": "Patient: Hi doctor, My mother is 45 years old. She suffers from chikungunya. She got this problem due to cold. Please suggest. Doctor: Hi. Chikungunya is caused due to chikungunya virus, and it spreads through the mosquitoes. It is not caused due to cold. You can have better prevention by having a mosquito control. Mosquito control focusses on eliminating the standing water where mosquitoes lay eggs, and it develops as a larva. You can also have a mosquito control by using insecticides and insect repellants. Fever and joint pain are the main symptoms. It lasts for a week. NSAIDs (Nonsteroidal anti-inflammatory drugs), Naproxen can be taken, or you can take Paracetamol for fever and pain. Fluids can also be taken." + }, + { + "id": 6844, + "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": 26471, + "tgt": "What can be the diagnosis if granulomas are found on pancreas and lungs?", + "src": "Patient: Hello doctor, My husband is 31 years old and has severe anxiety. He was told that granulomas were found on his pancreas and possibly his lungs. They believe it is due to some sort of an\u00a0autoimmune disorder. Is there anything that can be done to prolong his life? Should we be worried? Doctor: Hello. Regards. For more information consult an internal medicine physician online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1438, + "tgt": "I have pain in my decayed tooth even after filling. Could this be an infection?", + "src": "Patient: Hello doctor, I had tooth decay and got it fixed at my dentist. After that, I started feeling pain and my dentist told me it is because of the sinus, I started using salt sprays. After a few days, I could still feel the pain. Yet he did an x-ray and could not figure out what is wrong but I am still in pain. Today, I have a fever, stomachache, and my molar still hurts me. I read it could be an infection or is this wrong? Doctor: Hello, Welcome to icliniq.com. Yes, you are certainly correct. Do warm saline gargle three to four times a day. Your dentist should have taken an x-ray before filling it. Please take tablet Sporidex (Cephalexin) 500 mg 1 tablet twice after meals for five days, Metrogyl ER 1 tablet twice after meal for five days, Zerodol SP (Acaclofenac and Serratiopeptidase) 1 tablet twice after meal for five days, Rantac D (Ranitidine) 1 tablet twice before meal for five days. Your doubts are certainly correct, later you might need a root canal or extraction to eliminate the cause completely. Please do not worry so much it is nothing serious and it will subside once you are on these medications and get proper treatment. I hope this helps. Periapical abscess. Root canal or Extraction. Warm saline gargle. Betadine mouth rinses twice or thrice a day. After seven days." + }, + { + "id": 15672, + "tgt": "Why is there continuous sneezing in a child?", + "src": "Patient: Hi doctor, My toddler was sneezing continuously yesterday and her nose was runny. However, it reduced to a large extent now. We had our room painted a day before yesterday. Could it be due to paint allergy? Will the allergy symptoms show up immediately or will take a day's time? My 2-year-old has never had a cold till now. I am just worried if she has ingested any foreign body as she has the habit of mouthing whatever she picks up. Would foreign body stuck in throat cause sneezing and runny nose? I am a paranoid mother and have subjected her to two unwanted X-rays to rule out battery ingestion so I do not want to go through another X-ray. I want to know what would be the symptoms of any foreign body like metal or plastic when stuck in the throat. She was having corn yesterday. If she had inhaled a corn granule through her nose would it pass beyond and would she be acting normally? Since today morning, she sneezed only thrice. If at all it was common cold can it get better in a day? How would I know if it was a foreign body ingestion or allergy or a viral? What would be the symptoms for each one? Doctor: Hi. I have gone through the query you posted. According to the history you have given, it is an allergy because of the paint smell. That is the reason he is getting sneezing and running nose. As you think, it is not because of some foreign body in the nose or in the throat. If the foreign body is in the throat, symptoms will be like a continuous cough, breathlessness. If the foreign body is in the nose, they will have a bad smell from nose and bleeding can happen with mucus secretions. So no need of any X-ray or investigations for the child. Differentiating between allergy and viral infection, you have to do some blood test and always viral infection will be associated with fever. So nothing major to worry. What is the weight of the child?" + }, + { + "id": 18996, + "tgt": "Kindly recommend an alternative for Zincofer-XT", + "src": "Patient: Hello\u00a0doctor, I have been advised to take Zincofer-XT tablet,\u00a0but this is not available anywhere. Actually, my total iron binding capacity (TIBC) was 450, transferrin saturation was 10.29 and MCHC was 36.8. However, this tablet is not available anywhere. Can you recommend an alternative with the details regarding the time and the duration for which it has to be taken? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3830, + "tgt": "What does my ultrasound reveal?", + "src": "Patient: Hi doctor, I have been sick for two years. I was diagnosed with HPV two years back, but no treatment was done. Recently, I was diagnosed with anemia. I have lower back pain, fatigue, tingling in legs, right and left pelvic pain. Currently, I am taking Effexor and Adderall. I had an ultrasound done. What does the ultrasound show? Doctor: Hi. The outcome of ultrasound (attachment removed to protect patient identity) is as follows: For further information consult a radiodiagnosis physician online --> https://www.icliniq.com/ask-a-doctor-online/radiodiagnosis-physician" + }, + { + "id": 27548, + "tgt": "Is something seriously wrong with my mother's echo report?", + "src": "Patient: Hello doctor, This is concerning my mother, who has been having pain in her left hand and leg at times. She also has pain in her chest and breathlessness. We were concerned about this and decided to take her to a doctor. An echo was done, and the doctor found some abnormalities in the report. However, as per doctors recommendation, he has not advised any medicine as of now, since he says it is in the initial stages. We would like to have few opinions if there is something seriously wrong with the reports or how we can manage it. She is also a chronic asthmatic.\u00a0I am attaching all the reports that I have of her. Request your kind help on advising what should we do next or if there is something to worry about.\u00a0Thanks. Doctor: Hello. Thanks for providing all the test reports (attachment removed to protect patient identity). I have gone through the test results. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 29659, + "tgt": "Why do antibiotics clear acne?", + "src": "Patient: Hi doctor, Why do antibiotics clear acne?\u00a0Is bacteria the cause of acne? Please explain. Doctor: Hi. I have read your query. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16289, + "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": 23488, + "tgt": "Can chlamydia infection cause permanent problems in male fertility?", + "src": "Patient: Hello doctor, I am a 35 year old male. Earlier this year, I had chlamydia for about four months. I have been clear of the injection since about seven months. Now, my partner and I are trying to conceive. I had a semen analysis and the results were not great. The worst part is the morphology. Only 2 % of my sperms are formed normally. The rest are abnormal. So my two questions are: is it possible that the chlamydia is the cause of this? Can chlamydia cause permanent problems for male fertility? Is there anything I can do to increase this percentage? I am taking vitamins and exercising. I am soon going to cut out sugars and watch my diet. Will this help? Are there other things we can do? Lastly, the evaluation said I have a 'poor prognosis' in terms of my morphology. And overall it said I have 'moderate male factor' circled on my sheet (I assume that means - moderate male factor infertility?). But the person who did the analysis said I am suitable for IUI's. How successful are these in my circumstance? I will attach a photo of the evaluation so you can see all my numbers. I have only blocked out personal information. Sorry for all the background. Again three questions: Did chlamydia play a role in my current situation? Anything I can do to improve my normal morphology? How successful is IUI in my circumstance after looking at my evaluation? Doctor: Hello. Chlamydia is one of the major reasons for this situation along with other factors like smoking, and alcohol. Complete the course of antibiotics given by your doctor to improve your semen. Also quit smoking, and alcohol consumption if you are taking. Yes, there are good chances of IUI (intrauterine insemination) in your case because only viable, motile sperms are inserted in the uterine cavity. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 19559, + "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": 29297, + "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": 24713, + "tgt": "What is the cause for pain and swelling after mouth injury?", + "src": "Patient: Hello doctor, I am 18 years old. I bit my mouth while eating and my jaw hurts since yesterday evening. It is swollen, and now it is whitish yellow in color. It is painful and it has become worse. Do you have any clue of what this might be? Doctor: Hi. There might be some infection in the affected area. At times, pain and swelling can be due to inflammation. So, my suggestion is to consult a dentist and get evaluated. For now, take some anti-inflammatory painkillers like Ibuprofen and do cool compresses over the swelling. Take soft diet. Suck ice to reduce inflammation. Hope this helps. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28714, + "tgt": "My creatinine level is high for my age. How to reduce it?", + "src": "Patient: Hi doctor, I had a creatinine test, and the result was 1.30 mg/dL.\u00a0Someone said that it should be less than 0.5 mg/dl for my age.\u00a0I am\u00a0tensed that my creatinine level is almost high for a 24 year old male, although the normal range is between 0.5 - 1.3 mg/dL. How can I\u00a0decrease my creatinine level? What is good for health, either less creatinine or high creatinine? While having the test, I was on empty stomach. I just had a small cake and 5 liters of\u00a0water. Will it influence the level of creatinine? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9124, + "tgt": "I am suffering from shiny slightly raised bump on the shaft of my penis. Kindly help", + "src": "Patient: Hello doctor, I have a shiny, slightly raised bump on the shaft of my penis. Doctor: Hello. I do not think it is a genital wart. It does not look like any STD except maybe genital molluscum contagiosum, but those are some shaped implicated papules. Is it itchy? And what is the duration? Do any other body parts have the same lesions?" + }, + { + "id": 2203, + "tgt": "TMJ problem has made it difficult for me to smile and open my jaw fully. Please help", + "src": "Patient: Hello doctor, I've been suffering from TMJ for a long time and I had left it untreated for long. Now the situation has gotten worse where it has become difficult for me to smile,open my jaw fully and also I feel extreme discomfort facially but I have consulted a dentist and he has blamed jaw clenching and improper alignment and for treatment he has asked me to use a night guard. This problem of TMJ has made me unhappy these past few days and I just wanted to know that will it get better now that I am getting treatment and also will I regain my happiness as I believe I'm a jolly person in general Doctor:" + }, + { + "id": 11207, + "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": 5924, + "tgt": "My CT says nasal septum deviates towards right. What does it mean?", + "src": "Patient: Hi doctor, Over six months I have had what was thought to be an epidermoid cyst at the end of the right side of my nose. I have taken antibiotics on a regular basis as there is redness, swelling and tenderness in the area when inflamed.\u00a0Approximately 2 weeks ago this cyst on my nose became very inflamed or infected. I was experiencing headache, sore neck, painful and uncomfortable nose and facial pressure (swelling), pressure in my ears and dry infected eye that too right side consequently. I visited GP and had CT scan of paranasal sinuses.\u00a0I hope you could provide me the explanation for the below sentence, which I am unable to understand. The nasal septum deviates towards the right associated with a large right sided bony spur which abuts the right middle turbinate. Pneumatization of the left middle turbinate (concha bullosa) noted.\u00a0In simple terms what does this mean?\u00a0What is the likely recommended action for this? Are these comments and findings consistent with the symptoms I have experienced? Doctor: Hi. It means there is obstruction to your sinus drainage because of a deviated nasal septum with spur and concha bullosa, leading to recurrent sinusitis. Due to retained secretions in the paranasal sinuses there is infection and headache. Nasal septum deviation to the right means that the central bone of your nose is not straight and is bent towards the right side. A surgical procedure called septoplasty is done to correct the deviated nasal septum. It is an intranasal operative procedure may be performed under local or general anesthesia. Turbinates are bony structures that project from the side of the nose that function to humidify and warm the air. Concha bullosa is presence of an air cell inside the turbinate. The middle turbinates have an inner core of thin, single-layered bone covered with the normal nasal membranes. Occasionally that bone can get pneumatized and results in a much bulkier structure. This will lead to blockage of breathing passages as well as obstruction of sinus drainage path leading to sinusitis. A prolonged course of intranasal steroid sprays with short course of oral steroids along with nasal decongestants is usually tried before planning for surgery. Persistent of symptoms post medical treatment is an indication for endoscopic surgery. 1. DNS (deviated nasal septum). 2. Concha bullosa. Sinusitis. 1. Septoplasty 2. Endoscopic surgery. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14298, + "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": 5399, + "tgt": "I want to look manly. Will a small dose of testosterone injection help?", + "src": "Patient: Hello doctor, I am 29-years-old male. I am 173 cm in height and weighs about 68 kg. I would like to know about testosterone injection if I took it in a small dosage weekly will that help my appearance to be more manly? Even that my appearance is manly but in general my physical built is small compared to other men, my face, hands, legs are small also my voice is feminine. My testosterone level is good. My body is too hairy and I did a testosterone test everything was normal. I know there is a lot of studies that say that testosterone can lead to depression but actually at the age of 21 I was suffering from depression and I took testosterone for a month (to gain muscles), my mood was very good and it actually helped my depression. Also, my sexual life and erection are very good, I do masturbate once or twice every two days and I get an erection easily. Kindly help me with these questions: Will testosterone injections help me be more manly? What is the recommended dose that I have to take monthly? What are testosterone injections made from, are they made from an animal source? Will testosterone affects my personality? Do I have to take it for life? What if after some period I decided to stop will I loose what I gained? Doctor: Hi. I have read and understood your problem. Testosterone injections have beneficial effects if only blood testosterone level is low. Otherwise, it may harm you in several ways. For a more manly look, the best solution is to do exercise. I have answered your question in the same order. Testosterone injections will not help to be manly unless your blood testosterone level is low. If the blood testosterone level is low, even then injections of HCG (human chorionic gonadotrophin) or oral Clomifene is a better choice. Mostly, testosterone injections are synthetic. It will not affect your personality if the blood level is normal. If the blood testosterone level is low then you may need longer treatment, but the effect is temporary. You may loose what you gained if you stop injections." + }, + { + "id": 11349, + "tgt": "Fever and chills in a child of age 3 years 6 months. What can be done?", + "src": "Patient: Hello doctor, Fever and chills in a child of age 3 years 6 months. A mild cough is also noticed. What can I do? Doctor: Hi. Shivering may be because of a highfever, or because of urine infection or malaria. As of now use the below medication. Syrup Crocin DS (Paracetamol) 5 ml/240 mg, 4 ml if fever greater than 100 F every sixth hourly. Sponging with lukewarm water until the fever decreases to 99 F. Give Syrup. Meftal P 5 ml if fever not decreasing after giving Paracetamol or Crocin DS or when shivering present. For a cough, give syrup Ascoril expectorant (Bromhexine HCl, Guaiphenesin, Terbutaline HCl) 3 ml three times a day for five days." + }, + { + "id": 24291, + "tgt": "I want to confirm whether I-pill is safe", + "src": "Patient: Hello doctor, I just want to confirm that whether I-pill is safe. Actually, my wife had taken I-pill a month back and two days back we had again unprotected sex. Is it fine to take I-pill now also? Please suggest. Doctor: Hello. It is important to learn if she had a withdrawal bleeding in next five to seven days of taking an I-pill or not. If she did, then at what date did she had her bleeding as that would be important to calculate whether she was in her safe period or unsafe period. If unsafe period then it would still be best to take the I-pill again in this cycle to be protective against pregnancy, but yes, her menses shall become irregular and her dates would stand changed completely. Also, there may be delayed menses for next two to three cycles. Moreover, she may have heavier than normal menses in next cycle, so she should be prepared. Nevertheless, please share her withdrawal bleed date. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13259, + "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": 16752, + "tgt": "What do sudden frequent urination and flank pain indicate?", + "src": "Patient: Hi doctor, I have been suffering from frequent urination for the last two days and slight pain in the left side abdomen. The urine test found 10-15 hpf RBC and the USG report came back normal. What does this mean? Doctor: Hi. I suggest the following treatment. Please consult your specialist doctor, discuss with him or her and take treatment with consent. 1. Tablet Tamsulosin 0.2 mg. 2. Tablet Tolterodine 2 mg at bed time. 3. Syrup Noculi B6 (Potassium citrate) two tablespoon with half glass water twice daily for seven days. Revert after 15 days to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5193, + "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": 22029, + "tgt": "I had oral sex with my partner. Can I have HIV or STD?", + "src": "Patient: Hi doctor, I had an oral sex with my partner. He ejected his semen in my mouth. The next day morning, I got a throat pain and there is a pain in my tonsils. I got a fever, cough and severe back pain. After that, I got my left knee pain and still, it is painful. Do you think I have HIV or STD? I have a little pimple on my neck. I have a feeling of vomiting and a fast heartbeat. There is no rashes or ulcers in my private part. Is this normal? Doctor: Hi. Transmission of HIV is impossible through oral sex. Saliva cannot cause the transmission of HIV. But, other STDs (sexually transmitted diseases) like herpes or HPV (human papillomavirus) or candida can spread through oral sex. But, a sore throat is not a presenting complaint in these STD's. A sore throat is due to infection. Take a proper antibiotic course and you will be alright. Warm saline gargles can also help in quick recovery. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24148, + "tgt": "I am having explosive diarrhea since three months. Please help", + "src": "Patient: Hello doctor,I am having diarrhea since three to four months. What actually is happening is I am getting large amount of water which is clear with small broken pieces of feces. Also, I can see tissue like (lace-like) mucus like things in my feces. I have abdominal discomfort when I do not defecate. My diarrhea is like expulsive and when I apply pressure at the coccyx, the water comes out explosively nevertheless, how many times I do this. After defecating, I have mild pain in my legs. I do not have obvious signs of dehydration but yes cheilosis is present and abdominal discomfort. I cannot have my meals properly. But, I feel hungry with gaps, I cannot finish my meal but then I feel hungry after an hour or so. I hope you help. Doctor: Hi. From your symptoms, you could have a chronic infection or inflammatory condition of the colon associated with malabsorption. It could be a number of things so we need to approach in a stepwise manner. If symptoms are associated with certain food intakes like dairy or gluten, it could be intolerance or allergy to these. Please get the following investigations done and let me know the results. That will help us narrow down the list and identify the cause. You have vitamin B deficiency which also suggests malabsorption. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5843, + "tgt": "I have epiretinal membrane and floaters and flashing in eye. Is surgery necessary?", + "src": "Patient: Hello doctor, I went in for a regular eye exam and told I have an epiretinal membrane. Last year I had floaters and flashing and went to a specialist who said all is fine. I went for new glasses and they told me I had an epiretinal membrane. I have an appointment next week with the specialist, but so worried I may need surgery. My husband passed away recently and a few weeks later my mother also passed away. I did the eye graph exam (from internet search and there is no distortion). Is this something I can live with or shall I have the surgery next year? I have no one to help me and may have help next year. Doctor: Hello. The epiretinal membrane will decrease you. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it. The surgery is only necessary if you have difficulty in seeing or retinal detachment or cataract. You can talk to your doctor about it and tell you are not comfortable going for surgery until next year. Next time you attach the reports given by your doctor it will be helpful for me." + }, + { + "id": 651, + "tgt": "My nose looks weird with a bent and one nostril being bigger than the other. How to correct it?", + "src": "Patient: Hello doctor, I have a large nose which I do not really mind. However, I have one nostril bigger than the other, and my nose looks bent at the top. It has been like this since around age 15. What could cause this? I cannot recall any trauma other than having large cysts or spots on my nose which I would squeeze. Doctor: Hi. The general appearance of the nose happens to change from the beginning until the age of 18 after which it more or less remains constant unless and until there has been an external source of injury to deform the nose. If you feel that your nose looks way too weird, and it is way bothering you too much, you might require a corrective surgery that we call as a rhinoplasty. Now, depending on whether the area in concern has to be reduced or augmented, it depends on what type of nose job you want to get done and the surgeon will operate accordingly. Rhinoplasty is preserved for patients who know what changes they really have in mind and understand that a near close picture can be attained through surgery. Most nose job surgeons these days do have software wherein you can assess whats the abnormality in the nasal appearance, what changes you want and how would it probably look after the surgery. All the abnormalities mentioned above can be effectively resolved through operative rhinoplasty and conservative techniques do not really fetch long term results." + }, + { + "id": 24969, + "tgt": "What ayurvedic medicine to take after stent placement?", + "src": "Patient: Hello doctor,My father is 58 and recently the doctors told us to go for the implantation of a stent on an emergency basis. We did accordingly. But, I want to rely completely on Ayurveda for him to recover from this heart disease. After the stent, what medicine should he take, and how to overcome heart attack? Doctor: Hello. I just read your query. See as he has a stent implanted, he has to take all his heart medications. Along with that, he can start capsule Arjun two capsules two times a day with water after food for one month. In case you face any problem after taking this medicine stop taking it immediately. You can start these capsules if three months have passed since stent implantation and his condition is stable. I suggest you consult a nearby reputed ayurveda physician for his complete clinical examination and take medicine accordingly. I hope you understand my point. Consult me after one month regarding improvement and for further management. Revert after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16137, + "tgt": "What causes IBS? How to manage it?", + "src": "Patient: Hi doctor, Please explain about the causes of the IBS. How can it be managed? Please advice. Doctor: Hi. The exact cause of irritable bowel syndrome (IBS) is not known. The other causes are stress, anxiety, hormone changes, genetic factors, and infections such as salmonella. Treatment depends on the cause. We can do a blood test, hormonal test, coproculture, thyroid function test, colonoscopy, and test for celiac disease to identify the cause. After seeing the results, proper treatment can be planned. Stop taking caffeine and alcohol. Avoid eating fatty foods. Eat a fiber diet. It helps to get relief from constipation." + }, + { + "id": 9070, + "tgt": "What should I do when my mouth is swollen due to wearing of dentures?", + "src": "Patient: Hello doctor, I had several teeth removed last week and was fitted with dentures. Woke up this morning and mouth was swollen and I could not talk with my dentures in. The mouth is still swollen four hours later. What should I do? Doctor: Hello. You can remove the dentures for now and use warm salt water gargle twice a day for a few days. Allow it to heal and then start wearing your dentures. You can take anti-inflammatory medication if your doctor has prescribed else take rest and it will heal soon." + }, + { + "id": 26791, + "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": 1906, + "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": 29479, + "tgt": "I am 19 weeks pregnant. Please suggest if my ultrasound findings are dangerous", + "src": "Patient: Hi doctor, I am 19 weeks\u00a0pregnant. I went for my second level ultrasound and found out a cyst of size 7.0 mm in right choroid plexus, intracardiac echogenic focus in right ventricle and bilateral mild pelviectasis right renal pelvis is 3.0 mm and left 4.3 mm. Please advise what should be done. Is this serious and harmful to my baby? Doctor: Hello. First of all understand clearly about the finding in your sonography and try to understand it. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 3489, + "tgt": "Is it recommended to take two I-pill tablets within a month's duration?", + "src": "Patient: Hi doctor, I had unprotected sex weeks before and I took i-pill the next day. My periods are due on 18th of every month but 14 days after taking i-pill, I had two to three drops of blood and did not get proper periods. Again after one and a half weeks, I thought I am having periods, but just two to three drops of blood. Last night, we had protected sex but when my partner ejected out, he ejaculated on his hand. The condom did not get torn though. I am really scared now. Should I eat the i-pill again? Doctor: Hello. I have gone through your history and understand your concern. I will try my best to help you. If no spillage of semen inside the vagina and no touching of the vagina with his semen in hand then no need of taking i-pill. And the menstrual irregularities through which you are going is the side effect of i-pill. But still to be on the safer side take a pregnancy test and if the test is negative no problem." + }, + { + "id": 3092, + "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": 5626, + "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": 1462, + "tgt": "Can oral sex result in STD?", + "src": "Patient: Hi doctor, Four days ago, I had oral sex with a lady, who I already know. Though no intercourse happened, I am worried about STDs. Please suggest if I have to undergo any test. I am very tensed for this and I want to clear my mind. I do not have any problem except stress. Also, please explain where should I get the test done. Doctor: Hi. Oral sex does not cause HIV (human immunodeficiency virus) to the recipient. It may cause genital herpes, gonorrhea, chlamydia, syphilis and warts if these infections are present in the partner. Your doctor may advise you to get HSV 1 and 2 (herpes simplex virus) and VDRL (venereal disease research laboratory) tests to detect sexually transmitted disease. Urine test for gonorrhea is done only if there is any burning or pain while micturition. These tests are usually free in government hospitals and private laboratory can also perform these tests. For further doubts consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4249, + "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": 17270, + "tgt": "Why am I losing more hair in the crown region?", + "src": "Patient: Hello doctor, I am a 37 year old woman. I weigh 70 kg and my height is 5 feet 4 inches. I am facing severe hairfall problem. I can see the roots coming out with the hair.\u00a0I am a working professional, had premature graying so I used to apply color to cover gray.\u00a0Last year I had Adgain capsules and used Anaphase shampoo for hairfall. But the problem of hairfall started again now. Should I go for any tests? Thank you. Doctor: Hi. I appreciate your question. Revert back with the reports to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14494, + "tgt": "Taking Losalex twice a day. Is it an excess dose for hypertension?", + "src": "Patient: Hi doctor, I know a patient who is having hypertension. The doctor has prescribed Losalife H in the morning and Losalex 50 in the night. Is this an excess dose or is it normal? Doctor: Hi. It depends entirely on the extent of BP (blood pressure) elevation. Usually, most of the patients become well on once-daily dosing. But in some patients, we need twice daily dosing. So often, once daily is enough. But if the BP is not getting controlled or there is too high elevation say more than 190 mmHg, then we can give twice daily dosing. So the best option, in this case, is monitoring the BP at home using electronic BP apparatus and have the dosing accordingly. Let me know the BP readings if available so that I can suggest the treatment. So overall, if it is a need, a twice-daily dose can be taken." + }, + { + "id": 7226, + "tgt": "What are the ways to cure Surfers eye?", + "src": "Patient: Hello doctor, I have surfers eye or something similar, my doctor claims it is a freckle at the surface of the eye but my insurance does not cover the removal since it is harmless. So, is there any other way I could get it removed? Doctor: Hi. Surfer's eye also called pterygium is a fleshy growth over the cornea. It is formed due to UV light. Small pterygium does not affect but large pterygium may cause astigmatism and blurring and may need surgical removal. I am not sure about your insurance policy but usually, cosmetic surgeries are not covered. So, if it is causing blurring or astigmatism, then you might claim that it is affecting your vision. You should discuss with your doctor and he might make a way out for you within legal limits of your insurance policy. Second is you get it done privately but that may cost you. So, discuss with your doctor and I hope he will suggest you the best." + }, + { + "id": 1633, + "tgt": "Can I get pregnant even on implant contraceptive while taking Carbamazepine?", + "src": "Patient: Hello doctor, I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking back, I have had unprotected sexual intercourse a day after taking Carbamazepine. I did get a period in January. I also took pregnancy tests in February and they all came back negative. I still feel anxious, though. Is there any chance that I am actually pregnant and I have been just having some bleeding? Also, has the effect of my implant been permanently affected due to Carbamazepine or not? Doctor: Hi. Why did you take Carbamezepine? Do you have epilepsy?" + }, + { + "id": 16929, + "tgt": "Should I worry about my nevus spilus turning cancerous?", + "src": "Patient: Hello\u00a0doctor, I have speckled lentiginous nevi, also known as nevus spilus. I have had it since I was a baby. I\u00a0do not know if it is congenital. Ever since I read online that they can transform dangerous, I\u00a0do not feel comfortable in my own skin. I know the nevus spilus is alright right now. Its border has not\u00a0changed at all. I am not worried about it right now. But, I am scared if it can happen in the future. Should I be worried? Some of my relatives have it too, but there is no family history of skin cancer. I know that if it changes in any way, I have to go for a skin biopsy. But, should I be worried about it is what I want to know. Doctor: Hello. I have seen your query and examined your picture (attachment removed to protect patient identity).\u00a0From your descriptions and given image, it does seem\u00a0you have nevus spilus. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 14054, + "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": 7677, + "tgt": "What is the best cure for dryness and itching in the ear?", + "src": "Patient: Hello doctor, I have\u00a0dryness in the ear and\u00a0ear itching problem. I\u00a0had consulted an ENT and he had said that it was a\u00a0genetic problem. He suggested not to use any ear drops instead advised\u00a0me to clean it using alcohol or spirit. Please give your expert opinion regarding the same. Doctor: Hi. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 268, + "tgt": "My mom met with two major falls. Is that due to Achilles tendon weakness?", + "src": "Patient: Hi doctor, I have a question for my mother.\u00a0My mother is 50 years old. She complains of episodic, sudden loss of weight bearing ability on the left Achilles tendon. This has resulted in two major falls, which resulted in trauma. These are present for past few months and have become more frequent in the last month. She also has pain in her knees bilaterally, which has been attributed to osteoarthritis. She also complains of hip pain associated with swelling and difficulty in standing, lying and changing sides while sleeping. There is episodic stiffness present in the shoulders, which causes some discomfort in raising arms above the shoulder level. She is taking Bisoprolol 5 mg and Amlodipine 5 mg for high BP and it is well-controlled. She has no history of any allergy. She has kidney stones and so occasional pain in the lumbar area. She used to get constipation frequently. She was hospitalized four times for\u00a0normal vaginal deliveries and once for abortion. She is monogamous with her husband. She has a positive family history of\u00a0hypertension in mother, CAD in father, mother and brother and uterine cancer in mother. She has a history of\u00a0menorrhagia and cycles have become more irregular now. Then, diagnostic D and C was performed last year, which was normal. She will not smoke or drink. She sleeps 4 to 6 hours daily and snores at night. Doctor: Hello. I have gone through your mother's elaborative history provided here, along with the reports attached (attachment removed to protect patient identity) with this query. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 25893, + "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": 16006, + "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": 15970, + "tgt": "Is it advisable to take Arjunarishta for high cholesterol?", + "src": "Patient: Hi docor, Can I take Arjunarishta? I have high cholesterol and am using Rozavel 5 mg. Doctor: Hello sir, I just read your query. Arjunarishta is advised in conditions like high cholesterol level. As you have this problem, you can take it along with your current medicine. But keep some gap between your allopathic medicine and Arjunarishta. Arjunarishta is not advised in diabetic patients. So, if your sugar levels are controlled you can take it in the following dose. Take 10 ml of Arjunarishta with an equal amount of water two times a day after food for one month. Consult me or a nearby Ayurveda physician after one month regarding improvement and for further management. Hopefully, you will feel better results within a month. Poor eating habits and improper lifestyle. Lipid profile test after one month." + }, + { + "id": 6355, + "tgt": "I get recurrent burning and discomfort after treatment of penile fungal infection. Please help", + "src": "Patient: Hello doctor, I get light burning and discomfort after I have been on antibiotics and sterioids. I had fungal penile infection a year and half back. Why does this keep happening? Doctor: Hi. Relax and do not worry. If it is very minor burning, then there is nothing to worry much. How is your urine stream? Good or bad. There might be subclinical infection in your urine which is causing this. I suggest you get below tests done if possible and take below medicines. Urine routine, culture and sensitivity, uroflowmetry. Take: 1. Syrup Cital 10 ml in glass of water in morning, afternoon and evening for one month. 2. Tablet Flavospas 1 tablet in morning, afternoon and evening for one month. Urine color might appear red with Flavospas. So, do not get tense or panic." + }, + { + "id": 14447, + "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": 4412, + "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": 28788, + "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": 17354, + "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": 1003, + "tgt": "How to calculate the number of days of pregnancy?", + "src": "Patient: Hi doctor, I am 18 weeks 2 days pregnant. My friend told me that I am supposed to add two weeks to those 18 weeks while counting. Is that true? Can I get pregnant if I had sex during period? My period was on the 28th and I had sex on the 5th. That time, my period was on, but not heavy. Could I have gotten pregnant that time?\u00a0How long do sperm stay in the body? Please explain. Doctor: Hi. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14132, + "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": 18395, + "tgt": "Why am I getting blood through nose and cough?", + "src": "Patient: Hi doctor, I am 18 years old. I had fever some 15 days back, which lasted for two days. Now, for the past few days, blood is coming out along with running nose. Also, I am getting blood through cough. I am not having fever now and feel normal. However, I feel that something oozing in the throat. Around seven months ago, I had a little bit of blood on spitting. I had an x-ray before seven months and it was normal. Doctor: Hi I have gone through your query and can understand your health concern. 1. Sinusitis. 2. Bronchitis. Complete blood count, x-ray paranasal sinuses and ESR. Revert back with the reports to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22087, + "tgt": "I am not able to get a full erection. What has to be done?", + "src": "Patient: Hello doctor,I am 29 years old and suddenly cannot get a full erection or keep one for very long. I am not on any medications. Doctor: Hello. Regarding your concern, I would explain that your symptoms could be related to an erectile dysfunction or psychological stress. Coming to this point, I would recommend consulting with a urologist for a physical exam and some tests like sex hormone levels, complete blood count, and blood electrolytes. If these tests result are normal, I would recommend consulting with a psychotherapist, who can help improve your situation. There are many drugs too (antidepressants) which can help with erectile dysfunction, but I recommend trying first psychotherapy. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13813, + "tgt": "Is Aripiprazole safe for my father who is 65 years old?", + "src": "Patient: Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not so active spell. He stopped lithium due to toxicity, as even low dose was toxic. He started 200 mg quetiapine at night. In manic spell, he used to take up to 30 mg aripiprazole for 2-3 months. Considering his age and other medical conditions, what should be the right combination of medicine? Is aripiprazole safe? (it is very effective in mania for him) Now he has stopped aripiprazole, and he is fine. But he is complaining of restlessness sometimes. He feels like not wanting to sit in a place. What should be given to him in this post mania phase? Please ask for any more details if you require. Doctor: Hi. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have stopped lithium due to toxicity. Quetiapine is an atypical antipsychotic medication and studies have shown that it is a safe and effective medication for the elderly. The side effects are less when the patient takes Quetiapine. Transient hypotension, dizziness, and somnolence are the only side effects in patients and is seen rarely. Long term use of Quetiapine has shown no serious side effects in the elderly. Aripiprazole is good medicine but might cause agitation and activation in about 8 percent of elderly people who take it. Studies show that in most patients Aripiprazole can be continued at a dose of 10 to 15 mg/day. Aripiprazole has less metabolic side effects than other medicines. Side effects of Aripiprazole include dizziness, weakness, lightheadedness, nausea, vomiting, stomach upset, tiredness, excess saliva or drooling, choking or trouble in swallowing, blurred vision, headache, anxiety, weight gain, drowsiness, sleep problems (insomnia) and constipation. There is a little increase in the risk of stroke in the elderly due to the intake of antipsychotic medicines, though this is very less. It is very important to go into details of patient problems when prescribing and changing doses of medicines. I hope your father is managing well with his diabetes and blood pressure. Considering the above, it is best to prescribe medicines based on benefit and risk. Some patients might do well without medicine without much bipolar symptoms and in the absence of frequent attacks, however many require medicines like your father. There is no fixed regimen over one medicine being better than the rest but medicine like Aripiprazole has fewer side effects. Can you please let us know the treatment he has undertaken in the last 2 years, including medicine name and duration for which it was taken, dose, symptoms, and improvements." + }, + { + "id": 10360, + "tgt": "I have bad faeces smell coming from my nose when I breathe. What could be the possible causes?", + "src": "Patient: Hello doctor, I have bad faeces smell coming from my nose when I breathe. What could be all possible causes? Nobody around me feels that smell and that is how I got to know that it is from my nose itself. Please advice. Doctor: Hello. Bad smell during breathing could be due to various reasons. Let us see those one by one. Malignancy: an intranasal (inside the nose) or intraoral (inside the mouth) malignancy can produce foul smell, that can be perceived as faeces smell by the nose. Malignancy can be painless and without any symptoms. Malignancies of paranasal air sinuses also produce foul odor. Dental infection: a tooth decay can produce bad smell. Dental infection usually produces significant pain. Food particles get collected inside the decayed tooth and hence cause the bad smell. Sinusitis: Chronic sinusitis can cause constant post nasal drip and purulent discharge (pus discharge). This results in foul odor. Maxillary sinusitis commonly produces foul odor. Sinusitis will have other symptoms like headache, facial pain, nasal blockage, post nasal drip, etc. Foreign body inside nose: A foreign body which has got stuck inside nose without being removed for many days will produce purulent discharge and smell. The discharge will be from one side of the nose. It is common among kids. Foreign body produces nasal block. Atrophic rhinitis: It is a disease where the normal space inside the nose gets increased due to destruction of the anatomy. Also the condition causes merciless anosmia (loss of sensation of smell). The sufferer cannot perceive any smell but the people around him can get the extreme foul odor emanating from the patients nose. Atrophic rhinitis also presents with crusting inside nose and nose block. Maggots in nose: Maggots are larval stage of fly (chrysomia). Maggots usually occur in association with atrophic rhinitis. Fly lays its eggs inside nose leading to maggots inside nose. They are attracted to the foul odor and they themselves aggravate the odor. Tonsillitis: Pus accumulated over the tonsil can cause bad smell. Tonsillar enlargement with infection and consequent foul breath is common in many children. Other symptoms of tonsillitis include fever, throat pain, enlarged lymph nodes of neck, difficulty and pain while swallowing. Nasal diphtheria can produce foul odor. Diphtheria produces a membrane over the affected mucosa. Rhinitis caseosa: it is a destructive disease producing foul odor. It was thought to be a fungal disease, exact etiology is still not clear. Tuberculosis: TB of nasal mucosa produces granulomatous inflammation and caseating necrosis, consequent death of tissues and foul smell. Hope I have cleared your query. Further evaluation and clinical examination is required. For further follow up, consult an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30506, + "tgt": "Can fungal infection cause low grade fever?", + "src": "Patient: Hi doctor, For around nine weeks now, I have had a low grade fever and that persists. Also, I feel a little upper throat fullness and mild sinus congestion. I have been in and out of primary care clinics many times looking for help. \u00a0I had two chest x-rays and they were clear. I also had blood tests for several times and all are within normal ranges. My thyroid is normal and there is no abnormal bowel activity. I do not have vomiting or nausea. There is no sinus problem. I am fatigued, pale and have periodic random strange symptoms like mild numbness or heaviness in legs and fluttering in stomach. \u00a0I have tried an antibiotic for a suspected sinus infection, but low grade fever and fatigue persists. I eat well and I am maintaining a good weight. How do I narrow down the possibilities of illness? Is it possibly a fungal infection? Doctor: Hi. This is a chronic fever, which is called as pyrexia of unknown origin when we are unable to ascertain a cause. As your blood tests and x-ray are normal, lung infection is ruled out. Conditions causing chronic fever are numerous. Also, certain infections like tuberculosis, HIV and malignancies can cause it. But, in your case it is unlikely as there is no weight loss or other risk factors, neither you have an x-ray abnormality. Now, we move to the lymph nodes. Do you have any lymph node swelling? If yes, then get it tested. Try to get an ultrasound of abdomen to rule out lymphadenopathy. Get a urine routine and culture as sometimes a mild urine infection can get unnoticed and cause fever. Get a blood glucose and renal function test too. If everything comes normal, then we should look for anemia. A low hemoglobin can cause low grade fever and fatigue. Fungal infections usually cause severe illness. To confirm if it is a fungal infection, a blood culture is required. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21307, + "tgt": "What is the abnormal mass grown on my vaginal wall?", + "src": "Patient: Hi doctor, I have something growing down on my vaginal wall for the past few years. It looks like a tumor. I am attaching my scan reports. It has become double the size within a week. I have pain after sex. I have developed bloating after I eat. I feel hungry, but I am unable to eat a lot. I have to pee often. I have intense pain often. I got my period at my eight years of age. In my past years, my periods have been weird which was very short and there is clotting. I had a miscarriage before five years. I lost a ton of tissue and blood. I had a Lymes disease at my 14 years of age, and the doctors prescribed antibiotics for a year. I had colitis at my 21 years of age, and the doctor prescribed medications for a year. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your CT scan shows diffuse infiltrative cervical mass which is extending to involve the anterior wall of the rectum. It is causing resultant stenosis of the cervical canal leading to a collection within the endometrial cavity. There is no visible involvement of the uterus is seen. In simple terms, your scan shows cervical mass. These features are highly concerning for malignancy involving the cervix, and it needs priority attention. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 14185, + "tgt": "There is a tumor-like soft pulpy growth in the shoulder. Is that cancerous?", + "src": "Patient: Hi doctor,My mother has a tumor-like thing in her shoulder. It is like a soft pulpy thing. Right now it is small and not causing much pain. When she works too much, she feels a weight on her shoulder and a mild pain like she has lifted a weight. Is that something cancerous? Doctor: Hi. Thank you for using this platform. It sounds like your mother has a soft pulpy growth on her shoulder, which is painless at rest but causes heaviness on exertion. Although this information gives us some idea, it is challenging for me to guess what precisely this growth is. It will be nice if your mom could have it evaluated by an orthopedic surgeon. He or she will assess whether this growth is arising from the subcutaneous fat (example - lipoma), underlying muscle or bone or joint. If there is a suspicion of bony or joint involvement, an x-ray may need to be taken. There is a rare possibility that this swelling might not be a growth, but just a manifestation of trauma or infection. I will be happy to review any pictures, x-rays or other imaging that you may have already done. Hope this helps." + }, + { + "id": 18503, + "tgt": "Is it normal to have pain and tightness post hemorrhoidectomy?", + "src": "Patient: Hi doctor, I had hemorrhoidectomy before six weeks. I still feel some pain and tightness while sitting. Is this normal after six weeks?\u00a0I think I have anal stenosis. Stool is difficult to pass even when soft. Always have to strain and never passes naturally. I know I have a hard scar tissue. Is it possible for this to lessen or soften over time? Can some of the tightness be a result of swelling? How do I know? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3401, + "tgt": "Why CPVT is not evident on EKGs?", + "src": "Patient: Hi doctor, I understand that a resting EKG cannot show catecholaminergic polymorphic ventricular tachycardia (CPVT). I had numerous EKGs and echoes and all were normal. I read that the stress test is the only way to diagnose CPVT. I have had major panic attacks during EKGs with heart rates up to 140 to 150 numerous times and they only showed sinus tachycardia. I also read that CPVT will show up during heart rates of 120 to 130 bpm. Why the CPVT is not evident on EKGs? Doctor: Hi. We are here to help you. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8212, + "tgt": "I am suffering from from abdominal pain during urination and sex. Why I am having this?", + "src": "Patient: Hello doctor, I have abdominal pain during urination for two days. And also having pain in abdomen lower part during sex. And after that only, I am having pain and burning sensation during urination. And also I have to go urgently for urination. I am frequently going. I already had this experience for two months. And it lasts up to four days. It gradually reduced. Why am I having this? In the future, what are the risks and causes because of getting like this. Is there any effect on pregnancy in the future? I want to cure this permanently. What should I have to do? What food I have to take? I do not want to visit the hospital for this problem. Please suggest a full solution to this problem. Please prescribe if any medicines are there. I want to get rid of this permanently. Please help. Doctor: Hello. This is most likely due to urinary tract infection. There is no risk of getting stressed due to that. UTI can occur in any female, but the risk increases after sex. But that does not mean that you should not visit a doctor. You can visit a doctor with complaints of burning micturition and for the pain in the abdomen. If you do not want to disclose your sexual history, that is your decision, urine analysis should be done to rule out infection. Antibiotic course with some precautions like avoiding sex during treatment, having plenty of water will help to improve the infection. This will not cause any risk or complications in the future if you take proper treatment. Remain relaxed. Antibiotics cannot be prescribed online due to legal problems." + }, + { + "id": 25222, + "tgt": "Can hepatitis B be transmitted by saliva?", + "src": "Patient: Hello doctor, Is hepatitis B transmitted by saliva? Hepatitis B virus is just detected in my body. My viral load is 1.5 * 10^5 count/mL. Is it possible for me to get totally cure for this disease? If it is possible how much time will it take to get totally cured? Doctor: Hello. Hepatitis B can be transmitted by sharing needles, the blood of infected persons, unprotected sexual activity, and saliva. Acute infection is not usually treated as body overcomes the virus but chronic infection may require treatment with the combination of medications for up to 12 months. The cure rate is high. The decision of treatment depends on the HBV (hepatitis B vaccine) markers as well as ALT (alanine transaminase) level. I suggest you do your labs and have your HBV markers and ALT done. Consult your physician. Does the right side of your stomach pain? Do you have yellowish eyes or dark-coloured urine? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5786, + "tgt": "How to treat the swelling caused by Restylane treatment?", + "src": "Patient: Hi doctor, Yesterday, I received Restylane treatment around my mouth, mostly between my nose and upper lip. Since yesterday my lip has blown up to a large size and I am much worried whether the injection was improperly placed into my lips, which I did not want. \u00a0Is this lip swelling normal? Will the area go down in size? If not, I have heard there is an injection to reverse and breakup the filler that was injected. Shall I go for it? The swelling feels slightly sore but no burning sensation or redness. I am taking Lomedia regularly for birth control. I have attached photos of my lips for your reference. The first one is immediately after injection and the second one is today morning. How long will it take to subside? Doctor: Hello. I have gone through your pictures (attachment removed to protect patient identity). For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5782, + "tgt": "Will cutting down BP medicines have withdrawal effects?", + "src": "Patient: Hi doctor, I am a 34 year old male and would like to state that, I have been drinking alcohol moderately from age 26 to 29. From age 29 to 32, I have been drinking almost daily. Three years back, one morning\u00a0I felt a very high anxiety and when approached the doctor the attendant there measured my blood pressure and told me that it is very high. He has not given me any medicine and advised me to visit the clinic at 4 PM, when the cardiologist would be there. I came back and after taking lunch felt absolutely normal. When I visited the cardiologist at 4 PM, he measured my BP and found it to be 135/85 mmHg, he also tested the ECG and sugar which were normal. He prescribed me Metoprolol 50 mg (daily) and Clonazepam 0.5 (daily) and strictly advised me to quit drinking completely. After few days, I drank Vodka heavily.\u00a0Following his advice, I left drinking completely and kept visiting him every two months and each time my BP was almost normal, say in the range 120-135/80-90 mmHg.\u00a0However, the doctor continued the medicine, though he tapered Clonazepam to 0.25 daily.\u00a0For one year I did not touch alcohol, but after one year I used to take it occasionally, say some cans of beer once or twice a month.\u00a0Still, I am on same medication, Metoprolol 0.5 mg (one tablet a day) and Clonazepam (0.25 every alternate day).\u00a0 My questions are is there any need for these medications? Can I quit taking such medicines? Will there be any withdrawal symptoms? What might be the cause of that sudden anxiety and high BP in morning and it got normal after taking lunch? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19765, + "tgt": "What treatment can be had for hair loss?", + "src": "Patient: Hello mam, I am 22 years old and I am experiencing hair loss for more than eight years. Every time, I shampoo my hair, I would lose 50 to 100 strands of hair. I have an oily, itchy scalp and to some point, my scalp is visible (not completely bald) and my hair density has also reduced. I wash my hair with warm to hot water. I have researched a lot about this on the internet and found that stress and poor diet can cause hair loss. I consulted a doctor and she prescribed Anaphase shampoo and some vitamin pills and Minoxidil which I did not use after studying about it. My hair fall has reduced to some point after those medications, but my question is can I regrow my hair back and if so, how much time it will take if I follow a healthy diet. Doctor: Hello. You should take Minoxidil at least for six months. If there is dandruff, it should be treated with antifungal shampoo. The normal shedding per day is 35 to 45 hairs. Of course, hair can grow again but healthy diet alone will not be enough. Send me a photo or visit a dermatologist in order to classify the stage and followup as well as to determine the appropriate therapy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14689, + "tgt": "Is it advisable to take Ksheerabala tablets for back pain in an angioplasty patient?", + "src": "Patient: Hello doctor, My husband is suffering from lower back pain. If he stands for more than five minutes, his legs start shaking and he has to sit. He also underwent an angioplasty six years back and is under medication. Can he take Ksheera bala tablets for his condition? Doctor: Hi. The low back pain is very common due to the strain of the muscles, ligaments or tendons connected to the backbones or vertebrae. Sometimes it is due to an intervertebral disc prolapse or compression of nerves. When muscles unable to hold weight they causes severing. This pain may be acute, subacute or chronic. Long-standing, long sitting, riding vehicles, trauma, tumor or obesity. There are several risk factors to causes back pain like smoking, drinking, obesity, age-related, etc. X-ray, MRI, CT scan, CBC. Diagnosis is based on symptoms and investigation reports. Oileation therapy is the best way to manage it. As per your complaints, he underwent angioplasty but you can give him Ksheerbala tablet or capsules. Do regular anuloma vilom for 15 minutes. Avoid to stand or sit for a long time, keep body weight in equal distribution, toes must be able to move freely, the bed must be firm and soft. Avoid to use the pillow or use a thin pillow." + }, + { + "id": 2996, + "tgt": "I have vitamin D deficiency with back pain that aggravates on sitting and standing. Please help", + "src": "Patient: Hello doctor, I am 36 years old and healthy. I had Vitamin D3 deficiency with back pain four years ago when I was abroad. I came back and, did physiotherapy and Ayurvedic treatment. Things got better in two years. But I still have the following symptoms. Back pain comes when sitting for a long time specifically in certain kinds of chairs. Sometimes twisting pain comes suddenly when I sit in certain chairs for long. Standing continuously in certain types of floors is an issue. Lifting weights is fine, but still, need to comfortably lift more than 6 kg. Standing is comfortable in roads, shops, etc., for a long time. Spine pain radiates to the back of the head and neck at times. When that happens I sometimes get lightheaded when seeing objects rotate. Pain comes when I sit and clean objects. If I do no fully sit pain does not come. Long scooter rides sometimes cause back pain the next day. Doctor: Hello. You have symptoms that are typical of core and back muscles weakness. I will advise you to take up some regular exercise schedule whether it is gym-based, or at home like yoga, or even at work where you do chair-based exercises that help you with core strength and back toning and flexibility exercise. You can see a good manual therapist or a physiotherapist who will be able to guide you. You should be mindful of poor posture and avoid sitting in position for any length of time." + }, + { + "id": 18840, + "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": 21058, + "tgt": "Is surgery necessary to treat kidney inflation?", + "src": "Patient: Hi doctor, My son is suffering from left kidney inflation. The doctor instructed us to have a follow up with abdomen and pelvic ultrasonography. When my son was 9 months old, his left kidney got enlarged measuring 6.8 cm. We visited another doctor who instructed us to keep following up with an abdomen and pelvis ultrasonography for six months. When my son was 1.5 years old, the report showed ballooned left renal pelvis with 30 mm in the maximum dimension, associated with mild calyceal dilatation and a 3.5 mm in the left lower calyceal stone was detected, an average caliber of the left ureter suggestive of left PUJ obstruction. But clinically, both the kidneys were of average size and shape. When my son was 1 year and 8 months old, we took a renal isotopic scan. I have attached the report. My son is not having pain. I do not think that this is a severe condition to undergo a surgical operation. Now my question is whether my son is still suffering from inflation of the left kidney or not? If yes, is it possible to get cured by medicine or it needs surgery? What is the calyceal stone, and is it harmful to my son? Is there any treatment by medicine or it must be cured by surgery? The doctor whom I follow told that my son needs to undergo a surgical operation to widen the ureter. Is it true? Should he need surgery? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your son has an obstruction in the left kidney which has led them to become inflated. It is a birth defect, and it usually does not show symptoms. It has been detected early in your son before it gets started affecting the functions of the kidney. I would suggest you consult your urologist. Your son needs surgery on the left kidney to widen the ureter. When it is done earlier, less will be the damage to the kidney. The calyceal stone is also a result of the obstructed urine flow and should be taken care of during surgery. There is no medical treatment for this condition. It has to be corrected by the operation only." + }, + { + "id": 6290, + "tgt": "Is there any treatment available for sunken eyes?", + "src": "Patient: Helo doctor, The area under my eyes has sunken over a period of time. It has caused a \u00a0dark circle to appear below my eyes. I read about 'enophthalmos', a possible cause of this. Is there any treatment available for it? Where should I start? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4362, + "tgt": "How does amelanotic melanoma look like?", + "src": "Patient: Hello doctor, Does this lesion in my lower back (pink) appear to be worrisome for amelanotic melanoma? It now appears flesh-colored. Pictures attached. Doctor: Hi, Welcome to icliniq.com. I have seen the pictures. (attachment removed to protect patient identity). Yes, they are looking like melanoma. Signs of vascularization in the previous nevus is suggestive of melanoma. Kindly consult a local dermatologist as dermoscopic and histological examinations are required to confirm the diagnosis." + }, + { + "id": 16124, + "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": 8595, + "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": 23986, + "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": 24472, + "tgt": "New moles are appearing in my palms. Is it melanoma?", + "src": "Patient: Hi doctor, I am a 24-year-old male. For the last six years, new black moles have been appearing in my palms. It is not creating issues like itching, pain, etc. I just want to know whether it a symptom of melanoma. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to prevent patient identity). These are benign nevi - acquired melanocytic nevi (AMNs). They are not a sign of melanoma. AMNs may increase in number during the first three decades and it is a normal phenomenon. Generally, people who have a higher sun exposure over the years have higher numbers of AMNs. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26229, + "tgt": "I had unprotected sex 15 hours after taking I-pill. Can I get pregnant in this scenario?", + "src": "Patient: Hello doctor, I had unprotected sex after 15 hours of I-pill. Can I get pregnant in this scenario? Also, my monthly periods have become irregular as I take one pill a month. Please advise. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12037, + "tgt": "Kindly explain how clitoris helps orgasm", + "src": "Patient: Hello doctor, I want to know a few things about the clitoris. 1. How does the clitoris work and how it helps women orgasm? 2. What kind of signals does it send to the brain? 3. What are the psychological effects it might have? 4. Why people tend to misunderstand the most about it? Doctor: Hello. The clitoris is a substitute for the male organ in the female. It has some tissues similar to that of male organ but not that much active. It has receptors that can be stimulated by touch on having sex, especially at foreplay. During foreplay, these receptors when get stimulated can initiate local lubrication and prepare the vagina for better sex by having secretions locally. In a few women, the clitoris is too sensitive while in some it is less. But it is sensitive to touch, increase lubrication in the process of orgasm to have penetrative sex. Some women feel this process like masturbation." + }, + { + "id": 19728, + "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": 12673, + "tgt": "How can difficulty in mouth opening be treated in a tobacco chewer?", + "src": "Patient: Hello doctor, I am suffering from mouth problem. My mouth does not open fully. I used to chew tobacco before. So how can I get rid of the disease? Doctor: Hi. As per your query and presentation of symptoms of reduced mouth opening can be due to most common reason that is oral submucous fibrosis in which there is a formation of thick fibrous bands below the mucosa of cheeks and lips leading to stiffening and difficulty in mouth opening. It is a precancerous condition (although not cancer) and should be taken care of. It is commonly seen in individuals with tobacco and areca nut chewing habit. You need to consult an oral physician or a dentist and get evaluated and he can advise applying a steroid ointment in combination with Hyaluronidase containing ointment to break fibers. Intralesional injections of Steroid and Hyaluronidase can be advised to be injected after every three to four days. Anti-oxidant like Lycopene is also advised. Physiotherapy, like blowing cheeks, trying to open the mouth under pressure etc., can be demonstrated and advised to be done daily. Complete cessation of the habit of tobacco if you have chewing is a must." + }, + { + "id": 13350, + "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": 20843, + "tgt": "Why am I able to maintain erection during masturbation but not sex?", + "src": "Patient: Hello doctor, I have been having trouble with my sex life recently. I am finding it very difficult to maintain an erection and reach completion during sexual intercourse, even though I am able to do so consistently during masturbation. I am worried that my masturbation and pornography habits are causing me to have these issues. I masturbate almost daily, often for long periods of time (typically to cure my boredom) with consistent use of pornography. I am concerned that I am training myself to only be able to ejaculate through masturbation. On top of this, my issue often makes me anxious about sexual intercourse which I feel can make it even more difficult to have sex. Ideally, I would love to hear if there are any suggestions that could help me overcome my issue. Doctor: Hello. Sex is completely different from masturbation where two partners with their mutual agreement start it. Sex and pleasure are also important. You get pleasure with masturbation and I think you never get pleasure during sexual intercourse. It is not because of your masturbatory habit, so many people masturbate daily even twice, thrice or more. Erection is related to excitement and it shows your interest in a particular area. So as your interest will develop in the partner, you will maintain the erection. Besides indulging in pornography and masturbation, start giving time to your partner. Her needs are what you desire. So many things are important. These all body mind game, it is difficult to understand but we can solve this." + }, + { + "id": 23832, + "tgt": "Do you recommend lens or contact lens for dry eyes and sticky eyelids?", + "src": "Patient: Hi doctor,I am a 32-year-old software engineer. My lens power in the right eye is -1.75 and left eye is -1.25. I use computer around 12 hours a day and all day I sit under a fan. From a couple of months, my eyes are dry. From past three months, daily I am taking one omega-3 tablet, which is making things little better. I am using Refresh Tears three times a day, but the effect stays for less time. Should I use any gel instead of Refresh tears which effect might stay longer? At the outer corner of my eyelid at nights, I can find something sticky which is making the eyes uncomfortable. These sticky things appear at the end of the day. The main issues are as follows:Dry eyes.Sticky at the outer end of eyelids.Eye irritation.Kindly let me know what needs to be done to overcome these three issues. I request suggestion on two of the following things:Thin fully loaded with blue-cut lens and features are protect eyes from blue rays from phones, premium anti-glare, UV 4000 protection. If I use this lens does it help my eyes?Moist Acuvue. Features are water content 58 %, the lens material is etafilcon A, extremely soft and comfortable and lacreon technology involved. If I use contact lens instead of the lens would it help the eyes in any way?Do you recommend lens or contact lens? Awaiting for your reply at the earliest. Doctor: Hi. Contact lenses are not advisable for people having dry eyes. I recommend you to use spectacle only. Antiglare, blue cut glasses help you on computer screen work to some extent. It will help to relieve from UV light from LED lights. If dryness of eyes is severe, you need to avoid direct AC air on eyes and need to take eye drop medications. Regarding your eye drops, If Refresh Tear is not adequate, you can use them more frequently, example hourly one drop. Refresh gel is also available which has longer action but it gives sticky sensation, so I recommend to use gel during night time. You can also apply cold water wipes on eyes when you are on the computer and have eye strain. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30988, + "tgt": "Besides liquid nitrogen freezing, what treatment can I get for molluscum?", + "src": "Patient: Hi doctor, I have recently been diagnosed with Molluscum contagiosum in the genital region and was sprayed with liquid nitrogen at the dermatologist's office to treat it. I first noticed the spots a few weeks before my visit to the dermatologist. I have been with my current girlfriend for about five months. But, I am pretty confident that I did not contract it from her. The last time I had sex with someone else was about six months ago.\u00a0Is it possible to spread Molluscum contagiosum while the virus in your body without any symptoms?\u00a0Can a person be tested for Molluscum contagiosum virus while no spots have presented? Will I pass it on to my girlfriend? Will it spread after recovery?\u00a0Is there anything I can do to speed my recovery beside the liquid nitrogen freezing?\u00a0Should I get tested for other STDs? Doctor: Hi. At times in females the lesions go unnoticed. No, there is no need to check for molluscum. But, you get tested for HIV because of recurrent genital molluscum contagiosum and HIV are associated. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7618, + "tgt": "The skin on the back of my hands is changing color. Why?", + "src": "Patient: Hello doctor, The skin on the back of my hands is changing color. My skin is dark in some places and lighter in others. My knuckles look darker like they have a black patch. What is this? Currently I am on Alyacen 1/35. I was taking Ferrous sulfate two pills per day. Doctor: Hello. If possible forward a few pictures of the affected area to guide you through precisely." + }, + { + "id": 25326, + "tgt": "What can I do to stop this severe throat pain?", + "src": "Patient: Hello doctor, I have been having throat pain since a few days which comes and goes. Today evening I had eaten some salted pistachio and salted and fried cashews and suddenly I have lot of pain in my throat. I cannot even swallow anything. I did betadine gargles, still no effect. What can I do to stop this pain? No fever or cough or runny nose. Doctor: Hello. I understand your concern. You may be suffering from: As there is no fever, the chance of pharyngitis is less.Before taking treatment it is necessary to do some investigations to establish the diagnosis. I suggest the following investigations: Till the report comes I suggest you take: Consult your specialist doctor discuss with him or her and start taking the medicines with their consent. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26633, + "tgt": "Does my chest x-ray show any nodules of concern?", + "src": "Patient: Hello doctor, I am looking for a second opinion regarding my chest x-ray. The chest x-ray showed no masses, nodules or pneumonia. I just have a very mild inflammation and an old rib injury. The doctor told me that I had heart deformities, but I already knew about those. Doctor: Hello. I have seen your x-ray reports (attachment removed to protect patient identity). Revert with more information to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 9054, + "tgt": "I am suffering from gallbladder mass and jaundice. Kindly help", + "src": "Patient: Hello doctor, I have gallbladder mass and jaundice. Please help. Doctor: Hello. I have gone through the above reports (attachment removed to protect patient identity). Before going further, I would like to know a few details, 1. What is the general condition of the patient? 2. Any other illness like diabetes, hypertension, and, kidney problems? As per reports, it looks like gall bladder cancer. It is locally advanced probably unresectable because of jaundice. I would like to see films and patient myself though. The first step, in this case, to bring down bilirubin by putting PTBD (percutaneous transhepatic biliary drainage), which I think must have been advised. If the general condition is good and bilirubin comes down to normal, we can start chemotherapy and also look for the possibility of surgery after four cycles of chemotherapy. Both surgeon and medical oncologist should see a patient decide a proper line of treatment. If the disease is metastatic, then there are no roles of surgery and only chemotherapy is advised. It helps in controlling the disease for the time being. If the condition of the patient is not good, then only palliative care is advised. If you have any further questions, I would be happy to help." + }, + { + "id": 29474, + "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": 15120, + "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": 8498, + "tgt": "I applied acid on wart and it is not healing. Please advise", + "src": "Patient: Hi doctor, I had a wart on my foot. I used highly acidic vinegar on it. It burnt and became worse. I used ancient oil on it and it swelled and now it looks like a big black-brown in color. It is not recovering. What should I do? Doctor: Hello. You have burnt the superficial skin over the foot by applying the acid. The wart can be simply treated by co2 laser or cryotherapy like good treatment option. Now over burnt skin, you can apply moisturizer. No other specific treatment needs to be done. I suggest you consult a dermatologist for detailed evaluation." + }, + { + "id": 23273, + "tgt": "Is it safe to change the dosage of heart medicines to once every two days?", + "src": "Patient: Hi doctor,I am a 49 year old male. Five years ago, I got two stents on the left. Actually, my heart was good only 30 % block. I take Vitoryn and Aspirin until now. I started having arrhythmia two years ago. AF comes out once every one and a half months for two to four hours. When AF attacks, I cannot stand up. I feel dizzy and like I am going to faint. I only took medicines for a month that time. THree and a half months back, I started taking Cordarone 200 mg. And Xarelto 15 mg. Until now, AF never came back. I already stopped Xarelto one month ago. Can I reduce Cordarone into half or take it every two days? Two weeks ago, suddenly my entire body felt itchy and swollen for two hours, then went away by itself. Please advice. Doctor: Hello. I have reviewed your health query and can well understand you are worried about your heart health. I would not say to stop Xarelto (Rivaroxaban) and/or Cordarone (Amiodarone) as these are very important medications and you need them. For stent patients, Xarelto reduces the risk of strokes, pulmonary embolism, and deep venous thrombosis, and clots initiating from the stents area. It is a blood thinning agent and keeps the blood running in veins and arteries without excessive clotting. Cordarone, on the other hand, keeps you away from heart rhythm problems like AF (atrial fibrillation). With the fact that you are having no arrhythmias while taking this medication, I do not think there is an obvious need to change the dosage. If your cardiologist gets some indication to reduce the dosage after examining you physically, that would be a different story. My final suggestion is to consult your treating physician before changing medications. Hope this helps. For more infiormation consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 6824, + "tgt": "I got toric lenses to correct astigmatism. Can I switch to regular lenses?", + "src": "Patient: Hello doctor, I got toric lenses to correct my astigmatism. Can I switch to regular eye lenses? I want to have colored eye lenses, but it is not available in toric lenses. And how long will it take to correct astigmatism? Doctor: Hello. You have not mentioned how much astigmatism you got. If it is negligible, then it will be fine with the spherical lens only. If it is significantly high, then you must need toric lenses. You can get a customized contact lens from some good optician or lens dispensing shop according to your refractive error and color of your choice. Usually, refractive error changes up to 20 to 22 years of age. Astigmatism or cylindrical number is less likely to correct automatically with age. But you can get laser treatment for refractive error correction after 20 to 22 years of age or when your refraction is stable for up to 6 to 12 months." + }, + { + "id": 24341, + "tgt": "How can gaps in front teeth be filled in a 21 year old female?", + "src": "Patient: Hello doctor,My daughter is 21 years old and has major gaps in front teeth. What is the best way to fill the gaps? Doctor: Hi. The best way would be the usage of braces for the gaps between the teeth. If the gaps are less and present between a few teeth only, you can go for veneers. Considering the age, going for braces would be a better option. Still, seeing the patient directly and reviewing with a radiograph would give the best treatment planning. Consult a dentist soon. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9239, + "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": 2364, + "tgt": "I have itchy vagina with no foul odor and discharge. Please help", + "src": "Patient: Hello doctor, I feel itchy but I do not see any weird symptoms like foul odor, yeast, etc. Doctor: Hello, Welcome to icliniq.com. If no unusual foul odor or curdy white discharge, therefore no sign of infection. Itchiness can be secondary to irritation whether chemical or mechanical. Chemical in the form of the soap used or feminine wash and mechanical in the form of panty liners, pads, or even underwear. For now, infection cannot be totally ruled out since it can be early infection wherein the discharge is still pooling inside the vaginal canal. I would suggest for you to use feminine wash with Chlorhexedine content once a day for three consecutive days like gyne pro feminine wash. For bath soap use only hypoallergenic soap or mild baby soaps. Do not use shavers in the feminine area. Use cotton underwear and no panty shields, please. Pat dry the area every after washing and change underwear as often as possible. Take also antihistamine tabs like Claritin, or Loratadine 10 mg once a day or any anti-allergy medicines once a day to decrease the feeling of itchiness. Irritation. If there will be discharge or foul-smelling discharge on the succeeding days, it needs follow up. Yeast infection. Chemical dermatitis. Hygiene, antihistamine and lifestyle modification. Hygiene. Follow up after three days." + }, + { + "id": 18482, + "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": 30751, + "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": 14582, + "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": 12111, + "tgt": "How can I prevent getting vaginal tear during sex?", + "src": "Patient: Hello doctor, Everytime I have sex I get a vaginal tear. I did not have sex or wear a tampon for 10 weeks to let it heal. I had sex again last night and it tore again. I do not have an issue with lubrication, so I am not sure what to do. Doctor: Hello. Vaginal tears after sex are mainly dependent on several causes like vaginal dryness, chronic skin conditions such as eczema, psoriasis or lichen planus, etc., and sometimes it may also be caused by the use of recreational medicine like Viagara by the partner. Vaginal tears could be superficial and deep. Superficial tears usually result after having sex and they usually heal by themselves in few hours to 1 to 2 days and then usually do not bleed heavily. Deeper cuts usually occur during childbirth. As you mentioned that it took 10 days to heal your previous tear then it sounds alarming. Was there any heavy bleeding or pus coming through it? And how long have you been facing this problem? Can I have a look at any picture of tear? I would suggest you that if you do not have any issues with lubrication (which is the most common cause of vaginal tear during sex) then you must get yourself assessed by the local doctor and get tear examined to determine the actual cause and appropriate treatment." + }, + { + "id": 16247, + "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": 29529, + "tgt": "Will squint surgery improve vision?", + "src": "Patient: Hi doctor, I am a 29 year old male. My left eye is not entirely blind, but if I watch a powerful light, I just see a low white light. This problem is about 23 years. Is it due to retinal detachment and it has become squint heavily. I repaired my detachment with scleral buckle nine months ago, and it is the same likely previous time.\u00a0If I want a strabismus surgery now, is it possible? What should be the minimum gap between these two surgeries?\u00a0Are there any risks of my squint surgery? I have got surgery in my eyes thrice previously. First time for cataract, second time retinal detachment repair with silicon oil and the third time for silicon oil removal. I also have rubber or scleral buckle inside of my eye. Will they get removed during the strabismus surgery? Will strabismus surgery affect my good vision that is, my right eye? If yes, then how long will it take to recover? If the answer no, then please explain me the real reason. I am asking all the above as a second opinion from you before heading to the operation. 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": 28152, + "tgt": "I brush twice a day and still have bad breath. Please advice", + "src": "Patient: Hello doctor, I am a 26 year old female. My question is about oral health. In spite of brushing my teeth twice a day, I have bad breath. Please tell me why. Doctor: Hello.\u00a0 For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29128, + "tgt": "I have a lump on the back of my head. What treatment should I get?", + "src": "Patient: Hi doctor, I am 26 years old. I am a student and under loads of stress. I smoke cigarettes and drink on occasion. I have a lump underneath the skin on the back of my head. Many years ago, I was in the\u00a0hospital for skull fracture on the back of my head. I have had serious migraines lately and get dizzy from abrupt standing occasionally. Please tell me how I should go about getting treatment. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17377, + "tgt": "The blisters on my penis look like herpetic lesions, then why did HSV test come back negative?", + "src": "Patient: Hi doctor, I am a 37 year old male, who weighs 195 lbs, and I am 5.10 feet tall. I had\u00a0blisters on my penis, so I went to a clinic. The doctor said that it appears to be herpes, but because I do not have pain, fever, or any other symptoms, he believed this was from friction. He told me to get HSV-1 and HSV-2 tests, which came back negative. However, I have read that this test may have been done too soon and my body might not have enough antibodies to detect the disease. Is this correct? If you have blisters from herpes, would not your body immediately have antibodies building up to fight the virus causing this, enough to register on the blood work? I am attaching a photo of the blisters. Doctor: Hi. Thank you for the query.\u00a0I have seen the attached photo (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 708, + "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": 10142, + "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": 10237, + "tgt": "What is the reason for period like cramps 12 days before period?", + "src": "Patient: Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after periods is normal. Please suggest what to do. Doctor: Hi. I do understand your concern and due respect for that. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19332, + "tgt": "Do I have pseudocholinesterase deficiency based on the blood results?", + "src": "Patient: Hello doctor, I am hoping someone can tell me if I have pseudocholinesterase deficiency based on the blood results below? My father has it and found out the hard way after surgery. His sister also has it. The results from my blood test were: Cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Cholinesterase W/DIB INH cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Dibucaine number Result: 81.3 L Reference range: 81.6-88.3 % Inhibit Doctor: Hello. You may have atypical pseudocholinesterase deficiency due to a heterozygous mutation which is hereditary. Pseudocholinesterase is an enzyme responsible for the metabolism of certain anesthetic drugs like succinylcholine and ester group of local anesthetics. Your Dibucaine number is 81 that is quite normal. But still, some drugs can be avoided if you require anesthesia. It is not like you cannot have a surgery. If you have a surgery in the future, please tell your anesthetist about this so he will be more careful in choosing drugs. I hope this lessens your worries to some extent. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 22674, + "tgt": "Is anti-rabies vaccine required for cut in finger by a baby mouse?", + "src": "Patient: Hello doctor,Yesterday night a baby mouse cut my wife in her index finger without any discharge of blood or any sign of cut except pain. Is anti-rabies vaccine required? Doctor: Hello. No, your wife does not need the anti-rabies vaccine. But you should see if your wife gets any of following symptoms within 10 days from the day of bite then she will need an antibiotic dose. Fever, vomiting, headache, any rash or swollen area or pain in the back or joints. Just keep the area where the mouse bite you clean. You should give her tetanus toxoid injection only and if it pains too much then you can give her tablet Diclofenac sodium 50 mg twice for three days. Take care. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30421, + "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": 16081, + "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": 26609, + "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": 28274, + "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": 19447, + "tgt": "How to judge a person wisely?", + "src": "Patient: Hi doctor, I am a 21 year old male. I am usually little under-confident in judging someone. Whether known or a stranger, objectively it is really difficult for me. \u00a0Please give me some tips regard this. I mean it to be as general as possible. Doctor: Hi. For further information consult a psychologist counsellor online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 11427, + "tgt": "What can be the reason for elevated RBC, Hb and Hct?", + "src": "Patient: Hi doctor, I am a 34 year old female. I have been itching all over for months and constantly covered with bruises, petechiae and livedo reticularis. I was diagnosed with erythromyalgia. I also have severe bone pain. My blood work came back with elevated\u00a0RBC, Hb, Hct, low alkaline phosphate, low BUN and creatinine. My vitamin B12 levels are in 1000s and not under 200. The neurologist says that I have fibromyalgia and changed my seizure medicines for juvenile myoclonic epilepsy. Do I think that I should visit a hematologist and figure out why my bones hurt so badly in my legs and why I am so itchy? My current medication includes Oxycodone and Lamotrigine for epilepsy. Doctor: Hi. Based on your query, my opinion is as follows: The elevated hemoglobin, red blood cell count and hematocrit signify polycythemia. Elevated Vitamin B12 level is one of the markers of myeloproliferative disorder. I would strongly think of polycythemia vera. Other values are within normal range (attachment removed to protect patient identity) suggest no renal or liver disorders. Increased hematocrit will slow down blood flow due to increased viscosity and this can cause few RBC to move out and lead to these symptoms. Even migraine, bone pain and increased itching can be attributed to sluggish blood flow. Polycythemia vera is a cancerous condition and requires evaluation. I would strongly urge you to meet hematologist. Hope there are no other causes of polycythemia like lung disorders or staying in hilly regions, etc. With high vitamin B12 and polycythemia, polycythemia vera needs to be seriously evaluated. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19460, + "tgt": "I am a 33 year old with high cholesterol. Do I need medicines to lower it?", + "src": "Patient: Hello doctor, I am a 33 year old with high cholesterol (reading attached). I had first deducted this high cholesterol in 2016. I have been doing some moderate walking (not regularly though). I have general weakness, lack of strength, stamina, and my hands tremble when I lift anything heavy, also if squat or do sit-ups there is slight tremble. I have a lot of red meat in my diet till last week and also eating out which I plan to reduce. I do not have BP. Family has a history of diabetes. But my fasting blood sugar is normal. I have reduced my fat intake and have included flak seeds, and almonds in my diet and reduced eating out. I am eating fish oil, shuddha guggulu (Himalaya medicine) to reduce cholesterol from last one month. Should I consult a doctor to take medicine to lower my cholesterol? What should I do to reduce my cholesterol/ LDL? Doctor: Hello. Firstly your reports are not attached. You should try it again or else contact the administrator. In this young age, we usually do not start medicine unless cholesterol is very high, say more than 250 or LDL more than 160 or so. So, you need to change your lifestyle first and have regular exercise for two to three months and repeat lipid profile after that. If it is controlled on that we will continue the same or else we will start medicine after eight to 10 weeks. You should have a healthy lifestyle like avoiding fatty, oily 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. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid yellow part of eggs as it is rich in cholesterol. Avoid smoking and alcohol if any. There should not be abdominal fat deposition or obesity. Try to achieve BMI under 23. I think your elevated cholesterol should respond to dietary modifications. Your other symptoms are due to general weakness and lack of regular exercises but once get yourself examined by a local doctor for muscle power and reflexes just to be extra sure. Hope this helps you and get back if you have any doubts and also upload the lipid profile report. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9068, + "tgt": "I am suffering from severe itching, redness, and inflammation of vulva for past 60 days. Kindly help", + "src": "Patient: Hello doctor, I am suffering from infection in vulva for the last 60 days. Having severe itching, redness, and inflammation on superficial skin like urticaria or hives, but I am not sure what type of infection I have. My doctor said that this is a fungal infection and gave me tablet Fluconazole 150 mg, capsule Becelac Pb for 15 days but symptoms not subsided. This medication should be repeated for the next seven days, but there is no relief. So after that, I take homeopathy treatment lasts five days homeopathy doctor said to me this is urticaria. But I am not satisfied with any treatment please help me. Doctor: Hello. Your history is suggestive of bacterial infection. And it should be also ruled out. But till then we can start a prophylaxis therapy. It is also to be evaluated for your sexual habits and any recent or past infection of your male partner. If possible follow-up with complete history, till then follow my advice. 1. Tablet Azithromycin 500 mg once a day for three days in an empty stomach. 2. Tablet Ceftas 200 mg 1-0-1 for five days after the meal. 3. V-wash solution for local application." + }, + { + "id": 18005, + "tgt": "Is it possible to halt or postpone my periods temporarily?", + "src": "Patient: Hello\u00a0doctor, I am a 21 year old female, and I have an upcoming event in which I have to perform. Unfortunately, my expected menstruations date is also on the same day. If I get my menstruation on the same day, I will not be able to perform at all. I have heard about\u00a0temporarily halting your period and postponing it. Is it safe to do so? If yes, what medicine do I need to take to stop my menstruation temporarily? Doctor: Hi. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9659, + "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": 9921, + "tgt": "What is the treatment for blocked nose?", + "src": "Patient: Hello doctor,I am 32 years female with 5'5\" in height and 60 kg weight. My nose is closed by cough for the past seven days. Kindly advice. Doctor: Hello. It appears that you may have a viral upper respiratory tract infection. The nasal congestion can be relieved by, 1. Saline nasal drops (Nasoclear) one drop in each nostril as often as needed. If the obstruction is severe, then try Nasivion or Otrovin (Oxymetazoline) nasal drops one drop in each nostril two times a day for three days only. Do not use continuously for more than three days, even if you still have congestion." + }, + { + "id": 27790, + "tgt": "I have abdominal pain, and I vomit as soon as I eat something. What to do?", + "src": "Patient: Hello doctor, I am a 51 year\u00a0old male, who has diabetes.\u00a0For my diabetic problem, I am using Insulin Human Actrapid daily 10 units. Therefore, I am getting weak and getting fits. So far, I have had five fits. I got CT scan of the brain, and there\u00a0was a small blood clot in the brain. I also have pain in the left side of the abdomen, and I vomit. I did not have a bowel movement for five days. Please help me get better.\u00a0I had two lumps on my back. One of the lumps was removed with surgery, but it is not healing. The other lump is near my shoulder, which is very painful. I have indigestion,\u00a0and I vomit as soon I eat food. I have attached all my reports. Doctor: Hi. I went through all your reports (attachment removed to protect patient identity). For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 25751, + "tgt": "What could be the reason for my irregular heart rhythms?", + "src": "Patient: Hello doctor, I am 68 years old with a weight of 76 kg and a height of 5 feet 9 inches. I had a bypass surgery seven years ago. I used to walk 45 minutes daily. I feel completely fit and fine. A week ago, I felt that my heart rhythm was irregular. After going through a Holter test, I found that my heart rate increases and slows down with a pause of 1.8 seconds. My minimal heart rate is 50 and the maximum is 144 BPM. My average heart rate is 89. Is there anything serious? More details about the presenting complaint include I rarely get a headache with no other symptoms. I am currently taking Razel Gold once a day. In the past, I have been on Concor 5 mg once a day and Razel Gold once a day. I have gone through TMT three to four months ago with a normal outcome. The doctor also did an echocardiogram and everything seemed normal. Please help. Doctor: Hello. I have gone through the first page of the Holter report (attachment removed to protect patient identity). You seem to have supraventricular tachycardia episodes likely atrial fibrillation or flutter. You have sinus pauses and sinus arrest suggesting sinus node dysfunction. You will need treatment for supraventricular tachycardia episodes like rate control medication and anticoagulation if it is atrial fibrillation. Your sinus node dysfunction currently does not require any treatment. Consult a cardiologist for starting treatment. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13222, + "tgt": "Can recurrent high fever in old people lead to any serious issue?", + "src": "Patient: Hi doctor, My father suffered from high fever over last week and he was alright. But today again he is feeling a mild rise in his temperature. Is this anything serious? Doctor: Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. Fever is just a symptom of other illnesses like infection, inflammation etc. So, we have to rule out some basic infections possible in him. Also some background of your father's overall health is needed. Please answer the following questions to assist him in the best possible way:- 1. Does he have or had any of the following symptoms in the last week, the symptoms include sore throat, neck glands enlargement or enlarged lymph nodes? 2. Did he experience any painful urination, frequent urination or urge to urinate even after coming from restroom, all time feeling of bladder fullness as if he needs to urinate? 3. Are there any symptoms of constipation, vomiting, nausea, diarrhea, abdominal pains, cough with/without sputum, nasal discharge, flu, eye redness, etc? 4. Does he have any skin condition/disease? 5. Is he diabetic or hypertensive? Whether he takes any regular medication? If yes, then please mention it. 6. Is there any allergic history for food or medication? 7. Is he a known hepatitis patient? 8. Does he have any gallbladder issues or history of kidney stones? Treatment will be decided with follow-up details." + }, + { + "id": 20422, + "tgt": "My newborn's left leg bent toward inside. What is the problem?", + "src": "Patient: Hi doctor, My one-day-old baby has his left leg bent towards inside (making L shaped formation). All the fingers of the affected leg moves and the child do not have any other problem. Delivery was normal. Kindly guide us. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It is known as CTEV (Congenital talipes equinovarus). The feet requires some straightening exercise which is done at regular intervals. This exercise will be explained to you by your pediatrician. At a later age, if the deformity is corrected by this method, then the child is given with specific shoes for the deformity with surgical correction. An orthopedic opinion is also required for the same." + }, + { + "id": 16086, + "tgt": "I am having sperm discharge while urinating. Is it normal?", + "src": "Patient: Hello doctor, I feel back pain on my left side and sometimes sperm discharging when I pee. I have taken many kinds of medicine like Jivan Porush. Now going to use Confido. Can you suggest me some good medicine? I am 24, 5'8\", weight 50 kg. Doctor: Hi. As you mentioned in your complaints that you have left side back pain. In this concern, I would like to say that it may be due to constipation, colitis, injuries in the backbone, renal stone, etc. It can be managed. Sperm discharge issue occurs while defecation or other times also. Are you married or unmarried? Because it is common in unmarried people. You can take Manasmitra Vati one tablet, Shilapravang one tablet, Ashwagandha capsules one capsule twice a day with warm milk after meals. Avoid spicy and fried junk foods, avoid cold drinks soft drinks ice-cream, etc. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruit as well as leafy greens vegetables. Do regular kapalbhati and suryanamaskara." + }, + { + "id": 27462, + "tgt": "All my HIV tests are negative. But, I feel like I am infected. Do I need more tests?", + "src": "Patient: Hello doctor, I had an unprotected encounter with a CSW four months ago. Since then I had diarrhea, malaise, and lost 4 kg in about two\u00a0months. Then, I had CBC with 13 % lymphocytes. And three days later, I developed thrush with large white patches on the\u00a0back of my tongue, and my stomach was bloating. My specialist said that I have a candida overgrowth. I had another CBC with lymphocytes at 18 %. I had an HIV test at 3, 4, 6, 8, 9, 13, 16, 17, and 18 weeks. All of them were negative. Also, I have gained few kilos back now. What I cannot understand is, the girl is also 15 weeks negative by RNA PCR as well as Western blot, but her CBC shows a WBC count of 12.5 and she had thalassemia minor. I feel like I am infected with HIV, as\u00a0my body is just not producing a detectable level of antibodies and a six month HIV test would be required as there is no other explanation whatsoever. I am Herpes-1 positive, CMV positive, and Hepatitis-A positive. Rest of the STDs are negative. Kindly advise. Doctor: Hello. Best wishes. For further queries consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4896, + "tgt": "Can vitamin D deficiency cause pain while closing hands?", + "src": "Patient: Hello doctor, I have vitamin D deficiency. My treatment and supplement is going on. I feel too much weakness and lethargy. I cannot\u00a0close my hands completely. My\u00a0hands pain while closing.\u00a0There is numbness and tingling in fingers all the time. It is more in the night and when I get up.\u00a0Light objects get dropped from my hands. I am having these problems since two months. Currently, I am having Uprise D3, Meganeuron OD plus, D1000CAL, Oxetol XR 150, Lupirtin, tablet Pregabalin.\u00a0Since, there was no effect with the treatment, I am advised to consult a neurologist. Please help. Doctor: Hello. Revert back after the investigations to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17789, + "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": 26451, + "tgt": "Can my wife be pregnant after having had sex on the seventh day after her menses?", + "src": "Patient: Hello doctor, I had sex with my wife on the seventh day after her menses cycle. Can she become pregnant? Kindly advise. Doctor: Hello. There is no chance of her getting pregnant. Usually, a lady has an ovulation around the 12th to the 16th day of her periods with the first day of bleeding being the day one of her periods. Hope I have clarified your query. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14833, + "tgt": "I have hypertension. Please suggest me some natural ways to treat this", + "src": "Patient: Hi doctor, I have hypertension. Please suggest some natural ways to treat it. Doctor: Hello. I understand that you are not interested in taking medications for hypertension for a long time. So I am suggesting you a natural way of dealing with hypertension. Take raisins. Soak it in rose water overnight. Chew and eat it in the morning. You have to follow this for 21 days with 1 raisin on the first day, 2 raisins on the second day, 3 raisins on the third day and so on till you have 21 raisins on the 21 st day. Then stop this and after a gap of 2 weeks, repeat this. Follow 4 to 5 cycles like this. Meanwhile, keep taking your allopathic medication during this period. Afterward, you can taper off the medication. Keep checking your blood pressure after every 21 days. This might work for you depending on your body condition. Also, try to do meditation and yoga." + }, + { + "id": 31029, + "tgt": "I am thinking about my stomach disease all the day. Kindly help", + "src": "Patient: Hi doctor, I have been suffering from stomach disease and I did not get it diagnosed for almost for 10 years. Sometime, my doctors say it as GERD and sometimes as irritable bowel syndrome. Now, they said that my stomach is not transferring food to my colon normally and that means my stomach muscle is weak.\u00a0I have also been suffering from severe vomiting.\u00a0All these things make me very anxious. I am spending my whole time thinking about the diseases and reading in online. I am not enjoying my life because of this.Last year, I had some unknown problem in my body, such as feeling more tired, etc. I went to my family doctor and he said that everything is normal. But, I continued going to the ER as I was scared of cancer. Most of the information I read about related to cancer. I visited ER every day until they admitted me in the hospital and diagnosed me with depression and anxiety. They gave me medications, which changed my thinking and let me focus on day-to-day events. I stopped them when I felt fine. Now, when I came for a vacation, my stomach started to be bad. I had diarrhea for several days and I got vomiting also. Last week, I ha severe vomiting with stomach pain. I went to the ER and they admitted me in the hospital to do an endoscopy, which was terrible as I vomited twice during it. My doctor diagnosed me with gastroparesis, which means weak stomach muscles. Now,\u00a0I am thinking about my life. I am not even able to eat like others. I spend my whole time in questioning and reading about the problem. I have no interest to talk or do anything else. I am just searching and thinking about it. I feel there is no solution to it like cancer. I feel\u00a0my life like the hell. Doctor: Dear. Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15057, + "tgt": "I had sex five days after finishing Norfloxacin. Will I get pregnant?", + "src": "Patient: Hello doctor, I had sex five days after finishing my antibiotic Norfloxacin. Is there a chance of getting pregnant? I am on the pill for more than a year and I take it religiously. Doctor: Hi. How are you doing? If you have been taking the contraceptive pills or birth control pills, then you are absolutely safe and no chance of pregnancy. When you have been taking the pills regularly, the hormone pills will completely suppress the hormones causing the follicles to grow and ovulation will not occur. So there would be no eggs released during the cycles. This change is not affected by the antibiotics. So rest assured, you will not get pregnant if your hormonal pills have not been missed." + }, + { + "id": 3719, + "tgt": "What are the symptoms of listeria?", + "src": "Patient: Hi doctor, I am 33 weeks pregnant now. I had slight fever and muscle aches recently. I am scared about listeria while pregnant. Could you please tell me the symptoms of listeria? Also if it is listeria, how long will it take to affect the baby? I need some advice about listeria please. Doctor: Hi. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9992, + "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": 756, + "tgt": "I am getting flare-ups of atopic dermatitis with change in weather. Please help", + "src": "Patient: Hi doctor, I have been experiencing flare-ups for weeks now. I do not know if this has something to do with the change of weather. I have been having trouble sleeping lately since I am very uncomfortable right now. I am using Cetaphil gentle wash and shampoo because my scalp gets itchy as well. I am using Elica ointment and somehow it helps me with some of the areas that are not really that worse, however, the uncomfortable feeling is still there. Sometimes I take antihistamines, however, I do not think that it helps me feel relieved with my atopic dermatitis. I am 28 years old and a project manager. My clients are in the US and I need to follow their timezone, my shift starts at 10 PM to 7 AM. I weigh around 190 lbs and I am 5'1\". I also have an irregular menstrual cycle, and I usually get my period every quarter. I have asthma and I am currently taking Seretide inhaler as prescribed by my doctor. Please help. Doctor: Hi. Atopic dermatitis is relatively more sort of relapsing with seasonal aggravation. It has a genetic and familial component as well. If you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like Prednisolone and or Azathioprine. Elica ointment i.e. Mometasone is good enough for skin lesions. But I would rather add on Tacrolimus gel 0.1% over the inflamed lesions. But you need to use moisturizers very frequently than previous. You need to take antihistamine on a daily basis. Reduce your stress. Avoid wool and strong soaps. Practice wet wrap therapy. I hope this helps." + }, + { + "id": 18021, + "tgt": "Can I get pregnant after taking Unwanted 72?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner. After a month, I had a delay in my periods. I want to know about pregnancy. Doctor: Hi. As you had unprotected sex, there is a chance of pregnancy in your case. It depends upon the day of your menstrual cycle it happened. Delayed menses is due to hormonal imbalance caused by sex. Get your home urine test if you miss your periods by seven days. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27313, + "tgt": "Is it safe to undergo a bypass surgery at 70 years of age?", + "src": "Patient: Hello\u00a0doctor, My dad who is 70 years old, recently had a severe chest pain which started three weeks ago. Since it was of a\u00a0recurring type, we visited a hospital for a\u00a0check-up. They initially conducted ECG and then, a 2D echo, after which they said there is a\u00a0problem but, a\u00a0minor one and that we need to do a coronary angiography to get a detailed picture. After doing that they suggested a bypass. I am apprehensive about the suggestion since minor problems do not require a bypass (CABG). I am attaching the reports. Can you please go through them and suggest the most suitable option? Doctor: Hello. I understand your concern. I have gone through all the test reports (attachment removed to protect patient identity). There is a significant evidence of blockage of multiple vessels, which are over 70 and 90 % blockages. In the case of a coronary artery disease that involves multiple vessels with over 70 % blockages, CABG (coronary artery bypass grafting) is indicated. I advise you to discuss further with your cardiologist. Wishing your dad a quick recovery. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12936, + "tgt": "Is it normal to have pain in a filled tooth?", + "src": "Patient: Hello doctor, I had an extraction and an implant placed for tooth \u200b13 about six weeks ago, and I am supposed to get a crown placed on the implant in about six more weeks. Sadly, apparently due to the change in my bite caused by having number 13 tooth, a bottom tooth broke through an old filling in the 14 tooth and cracked the tooth, and I was experiencing constant low-level pain in that tooth. My dentist drilled out the old filling and filled the tooth eight days ago, and he said I still have a crack he could see, but does not know how deep it goes. He wants to try to wait for six weeks and do the crown for the 13 implant and 14 at the same time. He said I may need a root canal for 14 or possibly extraction, and he would know more when he drills it for the crown, and he said I should contact him if the pain gets bad. I had a lot of pain for three days after he drilled and refilled the tooth, and then the pain got much better, but yesterday, day seven after he drilled and refilled, I had very intense pain, and it still hurts a lot today. Does the pain mean I need a root canal (or extraction). Or is there a good chance the tooth will still be fine with just a crown? Also, if the crack in 14 is really deep and extraction is recommended, can I add a second crown for 14 to the implant I already had placed for 13? I have read that you definitely can put two crowns on one implant, but I was not sure if that requires the implant to be centered between the crowns. In this case, the implant would be off center, directly under the 13 crown. Doctor: Hi. Thanks for giving all appropriate history. Tooth 14 that is having intense pain is indicating for root canal treatment (attachment removed to protect patient identity). If it would be a crack deep down to root you would be having sharp pain when you bite from it, otherwise pain would be mild. But in root canal case, you would be experiencing sharp lancenating pain and throbbing pain in continuous manner that increases when you lay down straight at bed. Moreover, your dentist will check clinically after opening the chamber of tooth that it is going for root canal or extraction. Again I would say from your given history I am suspecting it to be root canal case. Now, if it would be root canal of 14, then everything would be good as 13 will have cap on implant and 14 will have cap on root canal treated tooth. But ,in case of extraction you can surely have two crowns on support of 13. As a single implant is able to support atleast three crown in anterior segment of jaw and two definitely in posterior segment. Be easy with it. Hopefully, there will be no need of involving any third tooth in bridge cover. It would be best if you can provide me with clinical picture of both teeth and radiograph of the quadrant that is under procedure, so that I can suggest you more accurately." + }, + { + "id": 21952, + "tgt": "My skin was damaged after using cortisone cream. How to heal it?", + "src": "Patient: Hello doctor, I am 26 years old. I am trying to find a way to heal my skin after abuse of cortisone creams. Quite specifically, in between my eyebrows, my skin is seriously thin and looks damaged. I stopped using the cortisone creams before four years, and I was given them to use due to allergic reaction hives. I am skeptical\u00a0of using acids and any chemicals. I have hyperpigmentation on my forehead and do not want to worsen it. I have been reading vitamin C and vitamin E creams, but do not know which is the best. Thank you. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24780, + "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": 11042, + "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": 27743, + "tgt": "My wife had three miscarriages. What should we do to have a healthy baby?", + "src": "Patient: Hello doctor, I am writing on behalf of my wife. She is 28 years old. She has PCOD. We have been trying for a baby for the past three and a half years. My wife conceived thrice, but all the times, the pregnancy got aborted in the second month. We have checked with infertility specialists in my area. We both have conducted all the related tests, and my count is normal. I do not know how to proceed further. What should be done now? What are the precautions we must\u00a0take? Kindly advise. Doctor: Hello. I read your query and understand your concern regarding your wife's recurrent miscarriages.\u00a0 These are some measures to reduce the chances of repeated abortions. You must have tried some of these in the past, but you need to try it again for a\u00a0successful pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6502, + "tgt": "I have lumps in breast with sensitive nipple and vaginal itching. What to do?", + "src": "Patient: Hello doctor, I have two problems. One is with my breasts. I have lumps in my breasts, and the nipples curve inward sometimes. They are sensitive to touch. I need to know if this could be breast cancer or just a growth. My other problem is my vagina. I have been having problems for over a month. I am having severe cramps that feel like the cramps I used to get on my period. My birth control pills eliminate the pain during my cycle, in the lower abdomen. It is sensitive to the touch. About one and a half months ago, I got treatment for yeast infection and now taking probiotics. I still have the itch, so they gave me more yeast pills, that has gone away. I also notice a loss in my weight and appetite. I do not feel hungry most of the time and feel full. I am getting sick in the night or in the morning, where I feel like vomiting. My stomach hurts a lot. I am very tired a lot more than normal. Doctor: Hello. You said that your breast has a lump. If the lump is central and your areola is bulging out than a normal developing breast with a solid and hard lump, then you should consult a doctor. Increased sensitivity is also because of your age. Secondly, vaginal itching and discharge, if any, then you have to take treatment for that. It will be recurring if you are not maintaining proper hygiene. Drink more water so that your urine has very few bacteria and less chance of infection. Change your underwear more frequently during your periods. If possible, use cotton underwear, change more pads during your periods. Do not use an antiseptic solution near your vaginal area as it also cleans the normal bacteria which is required. Continue your medicines as per now and follow these measures, and you will have less chance of getting an infection. Thirdly as your age increases, you are going to have a wide variety of emotional changes. Some of them are good and some you may not like but will find a way as time passes. So do not worry." + }, + { + "id": 27854, + "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": 19678, + "tgt": "When will liver abscess get cured with Metronidazole?", + "src": "Patient: Hello doctor, I got reported as liver abscess and the size is 70 x 60 mm. The doctor's treatment is Metronidazole. How much time will it take to cure? Doctor: Hi. You have an amebic liver abscess, 6x7 cm is considered a large one. It is a protozoal infection that has spread from colon to liver. Medications treat the abscess in most cases, in a small number of cases surgery is required. Eradication of protozoal infection from the colon is required as 10 % experience recurrence after treatment. Metronidazole 800 mg thrice per day for 10 days is sufficient in most cases. Improvement is expected after three days of treatment. Please send me the ultrasound report in order to be reviewed." + }, + { + "id": 3416, + "tgt": "I have constant cold problem with phlegm passing down the throat. Why?", + "src": "Patient: Hi doctor, I am 29 years old. I am having constant cold problems, not a runny nose but I always can feel phlegm passing down in the back of the throat throughout the year. When certain conditions like prolonged exposure to cold temperatures, symptoms like dry cough, heaviness all over the face especially in cheeks, eyebrows, sneezing, congestion in nasal passages, snoring, etc, happen. After following remedies like steam inhaling, drinking warm water situations usually comes back to normal but the feeling of phlegm passing down in the back of the throat remains all the time. Is there any permanent solution to this? Or any effective ways to deal with it? Not using any medication regarding this, otherwise using Thyronorm 25 mcg for a thyroid issue. Please help. Doctor: Hello, Welcome to icliniq.com. Is there any throat pain? Any long term nose block? Any decreased sense of smell? 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": 21990, + "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": 11370, + "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": 28382, + "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": 12433, + "tgt": "Is it normal to get sweating with black spots in vision during pregnancy?", + "src": "Patient: Hello doctor, I am 22 weeks 5 days pregnant. Yesterday I started feeling hot, sweating and started getting black spots in my vision. Then I felt like I was gonna pass out. I was at work during this and went to sit down. I had water and I felt better. I have a slight lightheaded feeling today and I checked my blood pressure and it has been normal. Doctor: Hello. Getting dizzy in a second trimester (after 20 weeks) of pregnancy is a normal phenomenon as pregnancy hormones especially Progesterone results in vasodilation of blood vessels and pooling of blood in lower limbs after prolonged standing or sitting. So do not worry about that. The only thing you can do is to keep yourself well hydrated and keep your legs moving while long standing or sitting and do not stand up immediately if you are lying down in bed." + }, + { + "id": 30811, + "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": 16339, + "tgt": "I have liquid discharge coming from urethra. What is it?", + "src": "Patient: Hi doctor, I am a 22-year-old boy. I am single. I have a liquid discharge coming from the urethra. I do not have blood present in the discharge, and I do not have pain. But I have the discharge when I wear tight pant or trouser. It happens every day when I work or when I am sitting on a chair. Sometimes I have the discharge after urination. Do I need to take any medicine? Please help. Doctor: Hi. The discharge is semen. It happens commonly in young men who are not sexually active. The body keeps producing semen, and when there is pelvic pressure or pressure on the perineum or when there are erotic thoughts, there is a spontaneous discharge. It can also occur during sleep. It will not harm your body. There is no need to take medicines. Usually, it gets decreased when a person becomes sexually active." + }, + { + "id": 18795, + "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": 29471, + "tgt": "I have PCOD problem. How to find out the ovulation time?", + "src": "Patient: Hi doctor, I had a medical abortion before three months. I have PCOD problem. I took Ubiphene tablet in after three months from day 2 of my period. I took a follicular scan on day 10th, and I was found to have a cyst in my RO measuring 3.8 cm and two follicles in my LO measuring 1.0 cm and 0.8 cm. I had a scan on day 12th, and my cyst in RO reduced in size to 2.1 cm. And, I had one follicle on my RO measuring 0.8 cm and one follicle in my left ovary measuring 1.2 cm. What is my chance for ovulation? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16358, + "tgt": "How to have a healthy life without anxiety?", + "src": "Patient: Hi doctor, I am 21 years old. Last month, I was experiencing some ringing sounds in my ears, with dizziness. It triggered my health anxiety. I convinced myself that I have MS. Now after a month, my dizziness is gone. But I have new symptoms like joints making crackling sounds (especially in my hips and shoulders). My arms and calf muscles are tight sometimes, and they hurt a lot. My hips make a loud popping sound sometimes which I have never heard it before. If I swing my leg in a circular motion, it makes a loud pop. It causes my whole body to vibrate. I am panic, and I am afraid of going to the doctor. Currently, I am taking Magnesium 200 mg daily. Doctor: Hi. You are suffering from generalized anxiety disorder. Your joint symptoms may occur due to vitamin D deficiency. I suggest you do a blood vitamin D level and a complete blood count. Multiple sclerosis does not happen with joint symptoms. It is a disease though commonly seen in young females, often manifest with limb weakness and cramping in one of the limbs. Multiple sclerosis can present with vertigo in case of brainstem involvement. But, it seems to be a remote possibility in your case. I suggest you take an anxiolytic for your symptoms. If the vitamin D level is found to be low, you may need a vitamin D supplementation." + }, + { + "id": 6249, + "tgt": "I am experiencing lower back and left hip pain with spasm after chiropractic manipulation. Why?", + "src": "Patient: Hello doctor, I am currently experiencing severe lower back and left hip pain and spasms. I have a history of a slight disk herniation at L5-S1 with no nerve impingement. I believe this flare-up began two weeks ago when I attended my first chiropractic visit. The pain became so severe, I broke down and went to a different chiropractor for possible help. The pain was so severe that I got nausea, sweat, and almost passed out in the waiting area. The pain was better since yesterday. The new chiropractor thinks my right hip was tilted forward, causing the muscles on the left to get spasm and be in pain. Please help. Doctor: Hello. I understand your concern and suggest to do the following. Take analgesics, and muscle relaxants. Apply hot packs, and Diclofenac gel locally where you feel any tenderness. Either lie in bed or stand. Sit for short durations only, less than 20 minutes at a stretch and that too with your back supported. I would advise against any manipulation by your chiropractor till your spasms subside though, you can have massages of the muscles in spasm. If all this fails to help in the next couple of weeks get a repeat MRI (magnetic resonance imaging) if there are new leg symptoms like numbness, weakness, or shooting pain below the knee. I hope this helps." + }, + { + "id": 4333, + "tgt": "My upper incisor hurts only when I touch. Could it be due to sinus problem?", + "src": "Patient: Hi doctor, My upper incisor hurts whenever I touch it. This morning when I woke up I was not feeling this pain but after I drank a cold juice I notice that it hurts. I went into the bathroom and check if I see any hole but there is none. I gargle with some warm salt water but it still does not stop. I brushed my teeth but I cannot go up to where the gum is because it hurts. When I eat food I do not have a problem with it but only when I touch it I feel pain. I do not know what is causing this and I am wondering if it is my sinus. But, I know that I have tooth decay because when I eat certain food my molar and premolar hurts. I have an appointment to see the dentist but it is not in the recent upcoming days. Doctor: Hi. I have read through your complaint and the relevant details. Pain on pressure is a clear sign of an infection deep in the roots of your upper incisors. It could be mostly because of a forgotten trauma or assault you had in your childhood. It is not necessarily because of tooth decay. The vital part of the tooth is suffering pressure and causing the infection. I advise you to visit the dentist on an emergency appointment immediately and you got to check with an x-ray to proceed with a root canal treatment in my opinion. Your appointment would be too late and you cannot be on Paracetamol for so long. There are a lot of chances for a bigger swelling or discoloration of the tooth. It is not related to sinusitis as you think and the pain you get in premolar and molar region is the referred pain that you feel because of the upper incisors. Meanwhile, try not to bite any hard object or food and gently brush with a soft-bristle toothbrush. Thank you." + }, + { + "id": 10081, + "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": 4992, + "tgt": "Please suggest medication for red patches in the bottom of the foot", + "src": "Patient: Hi doctor, My mother is 57 years old. She has red patches and dark spots in the bottom of the foot. It itches most of the time. Many doctors we have consulted, but no positive result from their treatment.\u00a0Please suggest the best medication. Doctor: Hi. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13271, + "tgt": "What can be done for irregular heartbeat with chest and shoulder pain?", + "src": "Patient: Hello doctor, I am an 18-year-old female, no current medications, no known conditions, family history of many different heart problems on both maternal and paternal sides, seen by a cardiologist for bigeminy and irregular heartbeat over the summer, palpations still happen pretty often, chest and shoulder pain both on the left side still happening occasionally. Told by my cardiologist that I have nothing to worry about at all, have not talked to her since then. Yesterday, I got my paperwork and my test results from wearing the 24 hour Holter monitor and I am extremely worried. Doctor: Hi. What you have is called premature ventricular contractions (AKA PVCs), which are extra beats coming from the bottom chamber of the heart and in some occasions they present in every other beat (what is called ventricular bigeminy) (attachment removed to protect patient identity). These beats can be tolerated as normal in many individuals, However, there are two things that are the most important factors to consider: 1. What is the burden (amount or percentage of PVCs in 24 hours in your heart? While some people say that up to 6 PVCs per hour is normal, the number that cardiologist gets worried is more than 10,000 or more than 20,000 in 24 hours. The main reason we get worried with this number is because this is the limit when PVCs can be associated with impairment of the squeezing function of the heart. 2. What is the heart function, in particular, what is the ejection fraction (squeezing function) which in other words is the ability to pump the blood? If the ejection fraction is low, we have to explore the amount of PVCs (particularly if more than 10,000 in 24 hours) as a potential cause of this low pumping function. This is something that can be done with an ultrasound of the heart. If we do see that the pumping function is low and there are more than 10000 PVCs in 24 hours, we need to consider treating this with medications, a catheter-based procedure or both. Finally, it is important to determine if you have a lot of symptoms, in particular, palpitations, dizziness, fainting or chest pain, in a regular basis and if these symptoms are interfering with your life. PVCs. Echocardiogram, treadmill stress test, to assess if the PVCs get suppressed or not during exercise. PACs with aberrancy. PVCs. Echocardiogram, treadmill stress test. Low dose beta blocker (Metoprolol or Propanolol) can be used once we have a confirmatory burden in the Holter. Please verify if the Holter report has a percentage of PVCs in 24 hours. I did not see it in the attached picture." + }, + { + "id": 10532, + "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": 19721, + "tgt": "My doctor saw a dominant follicle about to rupture. Am I pregnant or ovulating?", + "src": "Patient: Hello doctor, I had sex the last four weeks before my period and after 25 hours, I drank ECP and bled after four days. Then, I have not gotten my period this month. I went to the gynecologist yesterday and she said that she saw a dominant follicle on the right side of my ovary which will almost rupture. So, here are my questions: What does this dominant follicle mean? Do pregnant women have a dominant follicle when they are actually pregnant? Am I only ovulating right now? Am I safe from pregnancy? After how many days from now should I expect my period to arrive? Doctor: Hello. Every woman, every month, produces an egg which matures and gets ready for fertilization. The mature ovum is called dominant follicle. No, pregnant women will not have a dominant follicle. Yes, you are ovulating now. Since your scan is clear, there is no chance of pregnancy. It usually takes 12 to 14 days from now to get your periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5544, + "tgt": "What causes blister with itchy pain at the tip of penis?", + "src": "Patient: Hello doctor, 5 or 6 days ago, I slept all through the night wearing only a boxer. The next day, I noticed a slight itchy pain closely at the tip of head of my penis. The next day, I saw a dotted blister at same spot where I noticed the slight itchy pain. At first, I thought it was the work of an electric ant, because presently at the area where I live, there are electric ants. So, I decided to use antibiotics. But the blister is now spreading, getting to my penis mouth hole. After a week I went for a medical checkup and when the result came out, I was tested negative for some STDs. The doctor told me it is an infection from bad toilet and water. He prescribed Aciclovir tablet 400 mg, Aciclovir cream and Piriton tablets. Now I am almost done with the drugs, yet injuries have not healed. Two days ago from now another small red blister came out. I am scared and worried. What could this be? STD? If not, what could it be? No painful urination, no serious itching scratch, no serious pain. Age: 21, gender: male. Doctor: Hello. Looking at the images (attachment removed to protect patient identity). I am of the opinion that it is genital herpes. I suggest you to retest for herpes after four weeks as testing too early after infection may yield a false negative result. I can see multiple erosions on glans penis in these images. That is how genital herpes usually presents. There is some bacterial superinfection as well as the floor of erosions looks dirty, yellowish. I suggest you to take oral Valacyclovir 500 mg, twice daily for 5 days. In addition I suggest you to use a topical antibacterial like 2 % Mupirocin ointment, twice daily." + }, + { + "id": 19677, + "tgt": "Is that grayish color of gum a form of gingivitis?", + "src": "Patient: Hi doctor, I have a grayish patch above my teeth. I have attached some pictures here. Initially, there was a pink spot just above the teeth, and then it turned gray. Under my upper lip, it is dark pink or red. Is this a form of gingivitis? In the morning, I am getting brown saliva. Also, I am getting brownish froth when I brush my teeth. Why? Doctor: Hi. I have seen the pictures (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17389, + "tgt": "Can balancing issue occur due to vestibular lesion or cervical myelopathy?", + "src": "Patient: Hi doctor, I am a 45 year old male. My weight is 96 kg and height is 184 cm. I have severe sleep apnea and minor CAD with hypertension.\u00a0I am facing problems of imbalance and lightheadedness. This started some six months back. Then, I was diagnosed with an uncompensated vestibular lesion. After a while, the symptoms improved. But now, again for the last two to three weeks the symptoms have become more pronounced. I feel unbalanced while standing and I cannot easily stand in a queue. Once I start walking it improves. I also feel lightheaded from time to time. The feeling is not of vertigo, but rather a feeling that I might faint, though I have not actually fainted. This feeling comes on at any time, even while sitting down. My doctor, a spine specialist, on examination noted Romberg positive, Hoffman positive and DTR ++ exaggerated reflexes. He advised me to have a cervical spine MRI. I have taken an MRI and the report is attached herewith.\u00a0What does the MRI reveal? It is mentioned as moderate cervical cord compression with myelopathic changes. How serious is this? What would be the treatment and prognosis?\u00a0Is this cord compression the cause of my imbalance and lightheadedness?\u00a0I also feel breathless on exertion like bending down. Can this be related to the above? I had an angiogram recently which shows only minor artery disease and I am currently on medication for the same. Thank you. Doctor: Hello. Upright neck x-rays, if not already done. Cerebellar and vestibular lesions. Cervical spondylotic myelopathy (CSM). Revert back with the report images to a neuro surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 3668, + "tgt": "What causes continuous dizziness with loss of balance?", + "src": "Patient: Hello doctor, Continuous dizziness. Losing balance could not sit or stand for more than few minutes. Age:65, Height:6'2'', Weight:220 lb. Doctor: Hi. Your MRI spine reports osteophytes at multiple spinal levels along with bilateral neural foraminal stenosis at C6-C7 level (attachment removed to protect patient identity). These cervical changes though can cause dizziness but persistent imbalance is not usually seen with these spondylotic changes. If you would have presented to me as an outpatient, I would have asked you the following questions to answer your query well- 1. Do you have history of double vision? 2. Do you have history of hearing loss or tinnitus? Please follow up with answers to these queries. Meanwhile,please start taking- Tablet Tryptomer 10 mg once a day at bedtime. Tablet Pregalin-m 75 mg twice a day. Tablet Calinept-d once a day. Please take medicines under a physician's guidance only." + }, + { + "id": 21336, + "tgt": "I have severe pain in a cavitated tooth. What can be done?", + "src": "Patient: Hello doctor,I got a cavity last year. I have left it untreated. It hurt really bad a year ago and stopped, but is not occurring again. I have not gone to the dentist because I do not want to make my parents spend the money. So, I have just been dealing with it. But it hurts really bad. Is there anything I can do? Doctor: Hi. I have gone through your question. I can understand your concern. For time being, you can get the pain relief from this infectious tooth. Take the following medication tablet Amoxicillin-clavulanic acid 625 twice daily for five days. Ketorol DT, only if the pain is there. But, your real problem is acute pulpitis because of an exposed cavity. It will be causing recurrent infections if you will not treat it. For treatment, get a root canal treatment done as soon as possible otherwise you may need to get it removed with a year or so. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7510, + "tgt": "I have developed hard lumps on Botox injection sites. Please help", + "src": "Patient: Hello doctor,I have been injecting Botox into my forehead for three years now and never had a reaction. Two days ago I visited a different dermatologist and right after the session, I developed hard lumps on every injection site. I returned to the same dermatologist and she told me this is nothing to be concerned with and should reside in two days. She also gave me Arnica oral tablets to use to speed up the recovery. This is my second day after the injection and there are no signs of healing. I am unable to go to work because my forehead looks like it has been attacked by a beehive. What can I do to speed the process? Doctor: Hi. Kindly send image and revert back. Without clinical photographs, it is difficult to comment. Is there a change in color of skin? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14892, + "tgt": "Is the color of my tongue normal?", + "src": "Patient: Hello doctor, I have a concern in my mouth. I am a 25-year-old woman. Is it normal for the underneath of my tongue to look like this? Doctor: Hi. I have seen the picture you have attached (attachment removed to protect patient identity). This is 100 % normal for the tongue to look like. The undersurface of the tongue looks in this color because of the artery and veins supplying the tongue is quite visible clearly. This is the same sort of thing seen in the inner surface of the elbow joints. And the string running through the tongue is the muscle attachment called frenulum which again is a normal feature. Do not panic for this. You have told you have never seen it in this color. But I think you have never probably seen this keenly. Moreover, it is the way we see things. You should be worrying only if your tongue turns red, purple or even matte white for that matter. The top surface of the tongue will still look whiter in most of the normal times because that is the part which carries the taste buds and oral bacteria all around. I mean you should not see white patches in your tongue. Good oral hygiene includes tongue cleanliness too. I advise you to use a plastic tongue cleaner or back of the toothbrush head to clean the tongue after every brushing." + }, + { + "id": 24352, + "tgt": "Why is there feeling of gas in upper GI tract making breathing difficult?", + "src": "Patient: Hello doctor,My daughter is 22 years old, studying abroad is complaining of feelings of gas in upper GI tract making breathing difficult at times. GERD and H.pylori are possible suspects. Can you tell me tests to confirm or reject these possibilities? Can you tell me the possible treatments if tests are not strictly necessary? Would there be any other possibilities? Doctor: Hi. Gas in the abdomen is due to food and lifestyle. GERD (gastroesophageal reflux disease) and H.pylori can be diagnosed by upper GI (gastrointestinal) endoscopy and biopsy. Need detail histroy to look for the exact symptoms and need clinical examinations also. Sometime gas may be due to intestinal bacterial overgrowth which can be diagnosed by lactulose breath test. Try to identify the food like milk which triggers the symptoms. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 17330, + "tgt": "Am I a candidate for circumcision?", + "src": "Patient: Hello doctor, I am an 18-year-old male. Do I have a potentiality for circumcision? I have maximum turgid retraction without pain depicted in the first image. Enquiring as to whether a circumcision would benefit and possible logistics of such. What would be involved in my particular instance? What \"type\" of excision would be most beneficial in terms of the amount of skin removed and the inner or outer prepuce and frenulum is retained. I have a history of frenulum tears and I am unresponsive to topical creams. Please help. Doctor: Hello. From your description, it is understood that you have had trauma and tears of the frenulum. I would suggest I consider circumcision. The standard procedure includes removal of the whole of the prepuce. There are some options like cosmetic circumcision where the foreskin on the glans alone is removed. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 18381, + "tgt": "I have pain in both feet while sitting. Why?", + "src": "Patient: Hello doctor,I am a computer operator. While sitting, there is a\u00a0pain in both the feet and in the lower part of the chest. 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": 9979, + "tgt": "What are some Ayurveda medicines to increase height?", + "src": "Patient: Hello doctor, I am a 22-year-old girl. I want to increase my height. My height is now 5.1 inches but I want to increase it to 5.5 inches. I tried ashwagandha with cow's milk but my BP has been low because of taking it. So please suggest a medication that will increase my height. Please help. Doctor: Hello. Growth and development of the body mostly depend on the growth hormone, which is secreted by the pituitary gland. The secretion is managed through some genetic code present in your chromosomes. Up to the age of 18, almost all development process is completed. So getting further growth is not possible. Some ayurvedic medicines and yoga techniques may be helpful to you. You can take the following medicines. Do regular yoga and pranayama. It helps to improve your metabolism. Do regular Tadasana, Kapalbhati and Anulom Vilom. Avoid spicy and fried foods. Eat fibrous foods and fruits as well as green leafy vegetables. Drink plenty of water. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22983, + "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": 8789, + "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": 1589, + "tgt": "Can you please suggest a plan to help bring my sugar levels to the normal range?", + "src": "Patient: Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards Doctor: Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it\u2019s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It\u2019s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don\u2019t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks" + }, + { + "id": 28661, + "tgt": "Are my hands becoming brownish due to sun tan?", + "src": "Patient: Hi doctor, My hands have become very brownish in the past few months, they\u00a0were not this dark before. I think it is because of sun tan, but I am not sure. I have not tried using any creams, as I am afraid of the side effects. Please see the images, and suggest some treatment to restore the natural color of my skin, without\u00a0any side effects. Doctor: Hello. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15538, + "tgt": "My daughter suffered from dengue. Is she fit to travel?", + "src": "Patient: Hello doctor, My 9 year old daughter suffered from dengue. Her platelet count is 1,95,000. We are going for a family function away from our home town. The journey is about nine hours by train. She does not have a fever or any other symptoms. Is she fit to travel? Doctor: Hello. Please get her examined thoroughly from the treating doctor before proceeding with the journey. Make sure you carry all the important and necessary medications with you while traveling. Do not give her any outside food. Protect and prevent her from cross infections/dust etc. Keep her mouth and nose covered with a face mask. Make her wear full sleeved protective clothing. Use mosquito repellant repeatedly to avoid contact with mosquitoes." + }, + { + "id": 10247, + "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": 9450, + "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": 20426, + "tgt": "Why do I get dizzy or disoriented when my brain expects something to happen?", + "src": "Patient: Hi doctor, Can you tell me why I get dizzy or disorientated when my brain expects something to happen but it does not happen? For example, if I try to click somewhere on my computer but my computer freezes before I notice so the click does nothing, it will disorientate me and make me dizzy. It will jolt my vision and make my head pound for a couple of minutes. It happens quite often, usually when I am not fully paying attention. I am 26 and male. I have had this problem for as long as I can remember. Currently, I am taking Thyroxine for Hashimoto's disease. Doctor: Hi. Do you have a headache associated with it? Do you have nausea, vomiting? Have you ever lost consciousness? Have you ever had any visual problems? If the answers to these questions are negative then, what you are describing is not a neurological problem in a strict sense. It is probably a mental issue. If you have any associated anxiety, mood disturbances, fearfulness, please talk to a psychiatrist." + }, + { + "id": 25908, + "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": 30696, + "tgt": "How many times a day should I brush my teeth?", + "src": "Patient: Hi doctor, How many times a day should I brush my teeth? I recently bought an electronic toothbrush with five modes. I am not new to electronic toothbrushes.\u00a0I brush my teeth in sensitive mode and I used to wash them three times a day after having food.\u00a0Sometimes, especially after I had my teeth cleaned professionally, I experience sensitivity. I do not want to get my enamel wear off.\u00a0Is it correct to wash my teeth three times a day? Or should I do it only two times a day? Should I use mouthwash at night? I am using a product without alcohol.\u00a0I read that it might upset the mouth's natural bacterial environment, although it helps preserve teeth. Is that correct? Doctor: Welcome to icliniq.com. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1586, + "tgt": "I have rectal bleeding without any external cuts. Is it hemorrhoid?", + "src": "Patient: Hello doctor, I have been experiencing rectal bleeding for the past 10 days. At first, it was light but today I noticed that the bleeding seems more severe. It dripped a lot and covered the majority of the toilet paper. The stool itself was not red, just light brown and regular as always. I do not think I have any external cuts or wounds because I do not feel any pain or stinging sensation as I wipe. If it were an external wound, it would have healed by now. I have been wiping gently or dabbing to stop the bleeding. Although I feel fine (no external or internal pain), I am anxious and nervous about this development. My rectum does bulge out when I pass stools, so the obvious is hemorrhoids. But the bleeding seems like something from inside. Doctor: Hello. Yes, I do agree, you are likely having bleeding from hemorrhoids. My recommendation for you will be: 1. Avoid constipation, take Ispaghol husk 2 tablespoons in a glass of water. Keep it for a good four hours and take it. 2. Take tablet Daflon (Flavonoid) 500 mg 1-0-1 for five days. Do not worry, it will settle. I hope this helps. Constipation, excessive straining, venous insufficiency, increased venous pressure. Hemorrhoids. Take plenty of water. Chew food well. Take a lot of vegetable and fruits." + }, + { + "id": 12566, + "tgt": "Will there be any side effect with long-term use of Clobazam?", + "src": "Patient: Hello doctor, My son is 3.5 years old; studying in kindergarten. He has been diagnosed with benign childhood epilepsy. There is an epileptic form discharge of 8 Hz spikes from his right occipital lobe. His MRI and CT scan reports came normal. He feels involuntary movements in his left leg when he is in a conscious state. At times when the epileptic form discharge gets severe, he loses balance and falls down. This tends to happen once in a week. With medication he is fine. We consulted a neurologist and epileptologist. Doctor has prescribed him tablet Topamac 50 mg to be taken twice a day and tablet Lobazam 10 mg for a period of three months. Will there be any side effects with long-term use of tablet Lobazam? I am very concerned. Please guide me. Doctor: Hi. It is good to know that your child's seizures are under control with medication. Tablet Clobazam is mainly used to control acute seizures and used for a short duration. The main drawback with long term use of Clobazam is physical dependence. It is observed that, if the drug is used for a long-term and suddenly withdrawn, it will cause withdrawal seizures along with other symptoms. Kindly discuss regarding this with your neurologist." + }, + { + "id": 15574, + "tgt": "My father has bone tuberculosis with compression. Is it good to have surgery now?", + "src": "Patient: Hi doctor, My father has bone tuberculosis. He has compression in D4-D5. He is bedridden now. Currently, he is taking medicine for TB. Is it necessary to do surgery or not? Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). This condition is known as pott's spine. There is a presence of tuberculosis in the spine. It is managed by taking ATT (antituberculosis medication). It is not good to have surgery during the active stage of the infection. A spine fixation surgery using rods and screws can be considered once when the infection settles down." + }, + { + "id": 23870, + "tgt": "Why am I having sharp pain just left of sternum?", + "src": "Patient: Hello doctor, Last night and today I have been experiencing a sharp pain just left of the sternum which is not deep, seemingly on top of the rib where it joins the sternum. It lasts a second or two but may repeat several times before stopping in five minutes or so. I went out in the garden today to dig a bit and wearing my HR monitor (I have got health anxiety, anxiety disorder as well as depression). As I was digging, the pain started hurting with each heartbeat. I looked at my monitor and it read 138 bpm. I am 70 years old and have been on medication (Benzodiazepines) for over 50 years for panic attacks and general anxiety. Two years ago I felt similar pain but not to this extent. I went to ER but nothing was found (the doctor said it could be costochondritis but definitely not my heart). I get bloodwork quarterly and everything was fine except cholesterol which was 235. I tried a statin but the muscle pain was too great. In my EKG I have RBBB or LAFB which 14 years back after a stress test I was told that I was probably born with it. I had gone to see the cardiologist then because of getting skipped beats and GERD he told me to ignore them. Last time I had an EKG was in the ER for six months when I had a weird pain in back and side. They checked out heart anyway and said it was fine. Probably just a colicky gallbladder. I have had stones for more than 20 years and had no surgery. So I hesitate to go to the ER again. My local doctor just closed. HR is still 88 while lying down right now. Usually, my resting heart rate is under 67. Currently, I am on Lorazepam 2 mg, Prevacid 15 mg and baby Aspirin. Doctor: Hello. I have gone through your history and it does not appear to be an ischemic pain. Ischemic pain will not be sharp and so short lasting. So the possibilities are costochondritis and pleuritic or pleuro-pericarditis. Do you get an increase in pain on application of pressure at the same site, if yes it supports the diagnosis of costochondritis? Also, do you have any history of recent upper respiratory tract infection like a cough, rhinitis, fever, etc., if yes it points to pleuro-pericarditis which is an infection of the lining of lungs and heart which is usually viral and self-resolving? The possibility is of gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning? These are the other symptoms and may be associated. Increase in heart rate is likely due to anxiety of pain or as a reflex to pain. So, get with some more details of the symptoms as I explained above. Meanwhile, you should get prescribed some NSAIDs (non-steroidal anti-inflammatory drugs) for this pain along with antacids like tablet Naproxen 250 mg two times a day or other like Ibuprofen along with tablet Pan DSR (Pantoprazole) or Esomeprazole Domperidone combination before breakfast once a day for five days. So overall, it does not appear to be a matter of worry. However, it is better to get yourself examined by a local doctor. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6882, + "tgt": "My diabetic father had heart block and underwent surgery, the wound has not healed. What to do?", + "src": "Patient: Hello doctor, My father is diabetic and had MI with a heart block. He underwent CABG surgery and sternal debridement before three years. The wound has not healed still now. He is on Meropenem 1000 mg medication, and Colistimethate Sodium is also being used. Please help. Doctor: Hello. As your father is diabetic, he has low immunity against infection. Wound healing may take some time. Deep sternal wounds are very common after CABG (Coronary artery bypass grafting). Both antibiotics he is using are very powerful. If they are not effective, then I would advise you to stop antibiotics for three days and do a wound culture and sensitivity test. This will show the type of microbes present and the antibiotic sensitive to it. Have the evidence and treat it accordingly. Take other general measures like: Keeping the wound clean and dry. Apply povidone iodine solution daily. Remove the cloth that rubs against the wound and keep the patient's environment clean." + }, + { + "id": 19042, + "tgt": "What could be the reason for giddiness and high BP?", + "src": "Patient: Hi doctor, I am 22 years old. My weight is 70 kg and height is 5'6\". I have some giddiness problem for the past two years. Doctors termed it as excessive stress, anxiety and tension. Before four months I had giddiness and high BP. Then at times I feel like taking long breaths and weakness in legs. More in left leg than the right. I cannot stand for long, but still walk regularly. Mentally I have become weak and now slowly improving on it. I had homeopathy medication before and stopper two weeks ago. For BP had medicine 10 days. Before three months, doctor advised for basic blood test such as CBC and ESR, which were normal. Doctor: Hello. I had gone through all the data you have posted.\u00a0Some things are important in what you said. Revert back with the reports to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13409, + "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": 19050, + "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": 24878, + "tgt": "What is the white lesion in my mouth?", + "src": "Patient: Hello doctor, I have one white lesion in my mouth. I do not know whether it is painful or not because it is very deep and also, how long it has been there. Kindly guide me and also tell me if there is any need to worry or it is just only aphthous ulcer. I am not sexually active since 1.5 years. I do not have any problem with this like bad breathing, sore throat, etc. Doctor: Hi. I have seen the pictures attached (attachment removed to protect patient identity). You are probably having a tonsillolith. It occurs in chronic tonsillitis. It is not an ulcerative lesion at all. There is nothing to be worried about. Use Hexidine gargles. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18382, + "tgt": "What does my endoscopic biopsy suggest?", + "src": "Patient: Hi doctor, I am working as a software professional. Recently, I\u00a0had discomfort in digestion, severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and\u00a0he made an endoscopy and an endoscopic biopsy.\u00a0The biopsy report is as below.\u00a0Nature of specimen: Received single grayish white mucosal tissue bit measuring 0.3 cm. The entire tissue was processed. Macroscopic examination: Section\u00a0shows single small gastric mucosal bit\u00a0with superficial erosion of surface epithelium in the\u00a0focal area. Foveolae and glands are\u00a0unremarkable. Lamina propria shows moderately\u00a0dense, diffuse infiltrate of lymphocytes, a few\u00a0plasma cells and a rare polymorph. Lymphoid\u00a0follicle formation is seen in one focus. Scant\u00a0muscularis mucosae included shows no significant\u00a0pathology. No definite H.pylori, intestinal\u00a0metaplasia, glandular atrophy or dysplasia or\u00a0malignancy noted in the section studied. Microscopic examination : Moderately dense, diffuse chronic inflammation in stomach (endoscopic) biopsy. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I am currently taking Razo-D in the morning and Razo 20 at night. Doctor: Hi. For further information consult a medical\u00a0gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25983, + "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": 1661, + "tgt": "What are the ways to treat prostate cancer?", + "src": "Patient: Hi doctor, My father who is 79 years of age has got prostate tumor. We have done all the medical tests and pet scan. The oncologist has confirmed us tumor. Now due to lockdown we are unable to reach doctor also we want second opinion too. The doctor has told us that the solution is surgery. But if there is another solution or remedy we would go for it. As my father is 79 years of age and also his health has deteriorated day by day. We do not want to go for surgery. Please let us know some solution. Due to lockdown we are unable to take him to the hospitals as hospitals are also in red zone. Kindly suggest. Doctor: Hi. Your father has apparently a stage I penile cancer. The ideal management is surgery which may only involve a wide local excision. This can be done by a general surgeon or even a dermatologist who can perform skin surgery. Should you however cannot have the surgery done, the other option you may consider is radiotherapy of the penis. Radiotherapy is not the optimal treatment but given your current situation, this is the option that maybe more feasible. The third option is laser therapy directed to the penile mass." + }, + { + "id": 3325, + "tgt": "My p-ANCA is 202. 55 U/ml and c-ANCA is 40. 74 U/ml. What does the report mean?", + "src": "Patient: Hello doctor, I am a 47-year-old female. I started to have severe joint pains and inflammation around three weeks back. Then one day as I was giving a presentation, my team members noticed that I was bleeding profusely from my nose. The in-house nurse was called and I was found with high pressure of 210/120 mmHg and was subsequently hospitalized for a day. After extensive blood tests, I was found that my ANCA-MPO (p-ANCA) is 202.55 U/ml and ANCA-Pr3 (c-ANCA) is 40.74 U/ml. What does this mean? I was prescribed Imuran 50 mg once a day. Doctor: Hi. I have gone through your query. I need to clear a few doubts before giving you the final answer. I understand you had some problem which started three weeks back with joint pains followed by high blood pressure causing a nose bleed. I would like to investigate why you had sudden blood pressure rise? Is it due to inflammation in the kidneys or some other reason if previously things were normal? Do you have any history of fever, recurrent nose blocks or hearing loss? Were the other blood tests done like CRP (C-reactive protein), urine routine, chest x-ray, ESR (erythrocyte sedimentation rate)? As per the results, these are the markers for vasculitis. So we need to be sure these are the ones that are causing your joint pains or high blood pressure. Because the management will change if there is renal involvement and Imuran alone would not be enough. 1. CRP. 2. ESR. 3. Urine routine. 4. X-ray chest PA (postero-anterior) view. 5. CBC (complete blood count), LFT (liver function test) and serum creatinine." + }, + { + "id": 3686, + "tgt": "What can I do to relieve knee pain?", + "src": "Patient: Hello doctor, I am having knee pain. How will I manage it? Doctor: Hi. Your knee pain could be due to many reasons but common ones are chondromalacia, pain due to knee instability, inflammation due to an underlying pathology or just degenerative joint disease, etc. What was the cause of onset of pain in your knees and what has been the total duration of your symptoms? Apart from pain, do you also have any associated swelling, skin redness or any other local inflammation like skin warmth, etc as well? What management and investigations have been done until now by you for the existing problem? If there is no history of any injury, and no inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: 1. Intensive physical therapy with a focus on strengthening of quadriceps and stretching of other groups of muscles. 2. Gentle anti-inflammatory medications like Etoshine or Paracetamol for five to seven days usually helps in such cases (take according to your body's suitability). 3. Adequate calcium and vitamin D supplementation as per requirement. 4. Ice packs at home three to four times a day and see how it goes for around two weeks time. If your condition does not improve, then we will have to get certain investigations done." + }, + { + "id": 11894, + "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": 21874, + "tgt": "How can I make the wound due to omphalectomy heal faster?", + "src": "Patient: Hi doctor, I have undergone omphalectomy six months back as I was having endometriosis. The stitch was removed four days later. But I have a raw wound which according to the doctor will heal gradually. I am cleaning the wound using Savlon and dressing the wound and applying T-Bact ointment. But the wound is still there though better than before. Can you kindly suggest if there is any other way to heal up the wound faster? Doctor: Hello. As you said the wound is there since last 20 days, it has reached a chronic stage. If it is healing it is well and good, but most of the wound at this stage will either: Savlon, we do not prefer as a cleansing agent, as it irritates the granulation more. Better use plain saline. If there is a biofilm layer, then silver based cream are preferred over the T-Bact ointment (Mupirocin). If healthy granulation tissue, then ask your doctor about grafting the wound. In any case, if possible you can send me a snap of the wound to understand it better and guide you, regarding which treatment will benefit the wound more. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 13632, + "tgt": "I get the feeling of emptying my bowel whenever I go out. Please help", + "src": "Patient: Hello doctor, I am 25 years old. My weight is 63 kg. I have masturbation habit for 6 years. My stomach gets bloated and there is gas formation. I also have tiredness and diarrhea. I have to apply pressure for passing urine and stools. I get the feeling of emptying my bowel whenever I got to go out for work. So, I have fear every time while going for work or going to meet someone. I do not get normal stools or my bladder does not get cleaned properly and I always have the fullness sensation. I have frequent urination problem. I have pain while I urinate and blood in stool like once in the last year. Report of gastroendoscopy says gastroduodenitis. I have checked for piles also but I do not have piles. Doctor's prescription and reports are attached. I had checked with the doctor about 4 months back. I have taken medicine also. But now I do not take any medicine. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). It is a common problem, most of the individuals have bad bowel habits in some forms. This kind of problem is called IBS (Irritable Bowel Syndrome). This disorder leads to bloating and frequent bowel movements. The treatment is simple.Most of the patients respond to simple measures with dietary therapy and Isabgol. We do not need to do further investigation. 1. Take high fibre diet. 2. Take plenty of water. 3. Take Isabgol 3 spoons twice a day in 200 ml water/milk. 4. Avoid fatty foods and fat in meals. 5. Avoid spices in the meal. 6. Do regular exercise, at least for one hour in a day. 7. Take tablet Pantoprazole 40 mg once in a day for 15 days and then we will decrease it and can stop it later on." + }, + { + "id": 17923, + "tgt": "I have read that tooth infection can spread to the brain. Is it true?", + "src": "Patient: Hi doctor, I have had some pain and sensitivity in the upper right back tooth for a while now. I am not sure when it started. I did not think much of it until a few days ago when my gums right around those teeth got very inflamed and tender. It looked like there were two black spots on the gums, which went away the next day. The gums are still a bit tender, but not painful like a few days ago. I noticed the lymph node under my chin was swollen, that went away, and now the lymph node on the right back of my head is swollen and causing me some pain, like a headache. I am scared it is an abscessed tooth, and I was reading online that tooth infections can quickly spread to the brain, making them potentially fatal. I have a dentist appointment at 9 AM tomorrow morning, but I am scared. Should I go to the ER now? Will not\u00a0I have a fever if it was really bad? Any help you can give is appreciated. Doctor: Hi. Thanks for the query. Hope this helps.\u00a0Regards. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15846, + "tgt": "I consumed food containing toxin. Please help", + "src": "Patient: Hello doctor, While I was having fast food in a restaurant, I found some material not familiar to me in the food. Two days later, I visited the same restaurant and had the same food. But there was no similar material that I found two days ago. After that event, I have been thinking if that substance is fatal to health. Of course, that seems very unrealistic since I am still alive. I am very confused. If I eat some toxic chemical substances which have toxins, is it possible for that substance to act later or very slowly (maybe two to five months later) ? I know that our body has the function of detoxifying the toxins. Even then I am scared our body might fail to detoxify. If I know what material it was, I do not need to worry. But, since I do not know the toxic material, I am very curious and scared. Please explain to me in detail. Sorry to ask such an odd question. Doctor: Hi. I would like to give a scientific explanation of food/chemical toxicity. The ingredients used to prepare fast food may not always be the same. The cook may use different brands, different batch of the same manufacturer, or different item itself. The procedure of cooking is also subjective. Hence the taste what we get once may be different from the second time. A difference in the taste or missing something second time compared to the previous time also happens due to consumer psychology (who eats the food), the level of hunger or mood or the environment. And you are healthy in other words alive after eating that food which means it is not fatal to you. There are many dangerous or toxic foodstuff which we use commonly. It includes vegetables exposed to pesticides, meat exposed to antibiotics/hormones during farming, preservatives, flavors, taste enhancers (including some chemicals which make you addicted to using it again). Our body can detoxify and excrete a few of these toxins. It is possible for a toxin to act in the body or show its bad effect for a maximum of one week. The washout period for any chemical is 14 days. It means after 14 days, any type of toxin gets excreted out of the body. Hence it cannot show its effect after one month. Consuming the same chemical daily through food or exposure to chemical hazards continuously can produce some amount of visible bad effects on the body organs such as liver or kidney. It will not happen with a single dose. If the single dose is high, then the side effects appear immediately and go off gradually after few days. The amount of toxins deposited within the body gets detoxified slowly and will be excreted over a period of time. Thus, the amount/volume of toxin in the body will be definitely lesser than earlier. One-time exposure will never cause late effects in the body. Either it shows its bad effect immediately or as early as possible. No later effect is possible. Long time exposure to chemicals will affect the liver or kidney, and they get altered in their microscopic structure. Because of this structural alteration, the function of that organ gets affected. This can be clinically seen with some symptoms. There are laboratory investigations to check the damage caused to any particular organ. This will tell you if the liver/kidney is affected or not. But, such a damage will never happen with single exposure to toxins in food." + }, + { + "id": 15226, + "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": 3290, + "tgt": "Is high eye pressure a typical sign of glaucoma?", + "src": "Patient: Hello doctor, I have high eye pressure of 30 and 24, visual field loss, and at times I go completely blind in both eyes. I have also gone blind in just one eye. I just went back to the eye doctor when I had the pressure of 24 and 30. I have been there three times and each time I had a high eye pressure. He at first told me everything looked good until I asked him what my pressure was again because he specifically said my pressure was good when I knew that it was high. He told me that it was fairly high when I asked for it but he says I do not have any optic nerve damage and that it is highly unlikely that I have glaucoma because I am 23 years old. But my research has told me differently that high eye pressure alone does not mean that that you have glaucoma but if you have visual field loss or optic nerve damage with your high eye pressure then you do. So I do not know what is going on? Can you please help me understand and is it possible that I do have glaucoma and should go to another doctor? Doctor: Hello. I reviewed your history. The presence of elevated intraocular pressure is called as ocular hypertension. If it is associated with visual field changes or optic disc changes it is called as glaucoma. However, ocular hypertension alone also requires treatment particularly in your case as intraocular pressure is high. Hence you need to consult glaucoma specialist for evaluation and advice accordingly. Increased intraocular pressure. Visual fields, OCT (optic coherence tomography). Glaucoma. Antiglaucoma drugs. Once in six months." + }, + { + "id": 30958, + "tgt": "What are the treatment options for increased uric acid?", + "src": "Patient: Hi doctor, Since yesterday morning, I have been having an acute pain and stiffness in the joint of the big toe\u00a0on the left foot. Also, there is a little amount of swelling. The symptoms are similar to elevated uric acid levels. Four years ago, I had a spike in uric acid levels. I have given my sample for a blood test. Can you suggest some medicine in the meanwhile? 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 general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25926, + "tgt": "What is causing numb spots and shock sensations on my legs?", + "src": "Patient: Hi doctor,I was diagnosed seven years ago with Hashimoto's thyroiditis. I gave up gluten, soy, and milk, and along with Levothyroxine, my health has been great. However, two years ago, I was diagnosed with vitamin D deficiency. After six months of treatment, I recovered. Then after having a second baby last year, I started having strange symptoms. My symptoms included:Numb spots on my legs.Electric shock sensations between my legs.Cramps in my calves and ankles.TirednessI was very tired but I was also up all night with a new baby. So, I do not know if that is a symptom or not. Then early this year, I went for my yearly physical. It showed that my TSH was high. Apparently, after my son was born they put my medication to low (normally I take 100 mcg but they put me down to 75 mcg a day. I took this amount for four months. I then started taking 100 mcg a day again.A few weeks later, I developed chronic pain all over. This included cramps, burning and stinging sensations, and electric shocks. The first doctor thought it was just hormonal and said it would go away. After about three months, I finally saw an endocrinologist. He did a thyroid panel and everything was normal. So, he referred me to an internal medicine doctor. The internal medicine doctor thought it might be \u2018active b12\u2019 deficiency. They do not have the 'active b12' test where I live. So my doctor decided to treat me as if I had a b12 deficiency.So after taking some oral supplements, I was started on weekly injections for four weeks. My startup symptoms were rough, basically, I felt much worse - more electric shock sensations, joints popping, etc. Then I began to feel better. Then after my fourth injection, I was pain-free and feeling great.However, this only lasted about four or five weeks. Then the pain came back. My doctor then recommended one shot every day for six days, then weekly shots for six weeks. The week I was having a shot every day, I began to feel better again (though not quite pain-free). Once that was finished and I started with weekly shots it was more up and down. I began to notice a pattern. After each shot (Friday), I would feel a little worse but then by Wednesday, I would feel better (but not pain-free). After six weeks, I was pain-free but only for about five days. Then the pain came back and now I feel worse.I was negative for intrinsic factor (although I have read false negatives happen 50 % of the time). And as I stated before all my serum levels are normal. But I responded to the b12 therapy really well initially. Can you help me? I feel like my doctor is close to giving up on me. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have hypothyroidism and you are on treatment with Levothyroxine. It is known that hypothyroidism causes vitamin B12 deficiency over time and if you are on a high dose of Levothyroxine, then you have a high chance of having decreased calcium levels as well which is compensated by your bone demineralization process. So, you have basically another deficiency which is calcium as well. I suggest you take tablet Neurobion forte (Vitamin B complex) twice a day for your b12 deficiency and tablet Calcium 500 mg once daily spacing it four to six hours from Levothyroxine. Also, restart your Vitamin D 5000 IU daily. Mind you, these are recommended daily allowance (RDA) for a person. So, if you wish for a test, you can go ahead but the treatment plan will still remain the same. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 21511, + "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": 18821, + "tgt": "My wife is suffering from belly bloating. Please help", + "src": "Patient: Hello doctor, My wife is suffering from belly bloating. As soon as she eats her lunch or dinner, her stomach will enlarge and she feels full. She does not feel like eating every day. She tried gelusil and other tablets, but no improvement. Also her urination is very low. Sometimes she feels intense urge for urination, but \u00a0she urinates a few drops only. We have taken scans and scan reports are normal, but the problem continues. Please help. Doctor: Hi. I need answers for the following questions so that I can help you better. Revert back with the answers to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12610, + "tgt": "My body is producing lot of male hormones. How do I rectify?", + "src": "Patient: Hi doctor, I have a sickle cell trait. I was diagnosed with pcos and pmdd. I got a colonoscopy done for chronic constipation. But, the report was inconclusive. My main concern is that, my body is producing lot of male hormones. Due to which, I have a lot of facial hair and have a deep voice. On a regular basis, I have low blood sugar as well as low blood pressure, chronic fatigue, and chronic lower left abdominal pain. My periods are regular, but they are very heavy. I do have shortness of breath, muscle ache, headache, nausea and weight gain issues. Also, I am dealing with depression, mood swings, trouble to concentrate and at times insomnia. I am taking tablet Metformin. I am attaching all my reports for your reference. Please check them and guide me accordingly. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). You have multiple issues with your hormonal levels. I will provide some guidelines which you can proceed with: Your TSH (thyroid-stimulating hormone) is very low. This means you are overproducing thyroid hormones and having hyperthyroidism. This causes anxiety, anger, palpitations, fatigue, muscle pain, intense bleeding during periods and depression and also leads to weight loss. Treatment is carried out by using antithyroid drugs such as Neo-Mercazole (Carbimazole). The dose can only be calculated by proper examination and evaluation of the patient. It is not safe to administer this drug just by seeing a report. Your HbA1c (glycated hemoglobin) is 6.5. Hence, you are considered to be mildly diabetic. It can be either due to excess cortisol production or due to frank pancreas failure. After thorough evaluation, if cortisol is the cause, then we can start steroid reducing drugs. This has to be adjusted as per your body type. If overdose administered, it is dangerous. If there is frank diabetes, then you can be take small amounts of OHA (oral hypoglycemic agents) such as tablet Glimepiride or Dipeptidyl peptidase- 4 inhibitor (DPP4I) or go with peroxisome proliferator-activated inhibitor (PPAR). To check why there is rise of A1C, I would suggest you to get your blood insulin levels checked. Intense bleeding and pain during your periods is mainly due to multiple fibroids. It can be treated with surgery. If you have grown up kids then you can go for removal of uterus which will give you complete relief. Else, you can go for myomectomy procedure which is cutting the fibroids. In second case, there will be relief to a large extent but cannot be cured completely. Use hormonal pills like Oral contraceptive pills (OCP) to give relief when done non surgically. But, it will not last long. The high testosterone levels, hair growth, weight gain, hoarse voice all are due to polycystic ovarian syndrome (PCOS). There is no permanent cure for this problem. Depending on your examination, generally start with tablet Metformin. But it has not worked in your case. Next option is to take hormonal injections to increase follicle stimulating hormone (FSH), luteinizing hormone (LH) and estrogen and reduce testosterone. We can do an ovarian drilling to increase egg release along with regular exercise. When all this fails, we go for intense treatment and do an ovary removal to reduce abnormal hormone production. Since multiple hormones are involved in your case, doctor will not be able to adjust the dosage without physically examining you. I would suggest you to consult a good physician and get them treated as soon as possible." + }, + { + "id": 21812, + "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": 28844, + "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": 9259, + "tgt": "I am having heaviness of head and neck stiffness. What is causing it?", + "src": "Patient: Hi doctor, I am a 31 year old female and yet to conceive. Since 9 months I have been facing heaviness of head and stiffness of neck. Sometimes the heaviness of head becomes extreme and I feel it is spinning even at the slightest movement of neck and it is accompanied with bowel movements. I feel that I may faint and the feeling subsides only after passing normal stool. Since 9 months these incidents used to happen on a daily basis especially during the office hours but now it is happening at the rate of one to two times per week. I did MRI brain, cervical spine and ECG of heart. Everything turned out to be normal except detection of mild scoliosis of neck. In the morning when I wake up I do not feel so bad but as the day progresses my stiffness of neck and heavy headedness increases. Orthopedist told me that I am having cervical vertigo, neurologist told me that I am having posture problems, GP told me that I am suffering from phobic disorder (assured). Now I have a few questions.\u00a0Am I suffering from any gastrointestinal disorder? (sometimes lower abdomen pains but there is no loss of appetite). Do I have cervical arthritis and can it cause gas problems?\u00a0Is it possible for intestinal gas to hit the brain? In such cases when bowel is not passed at right time can a patient die?\u00a0Am I suffering from any cervical spondylosis? Cracking sound is heard when I move my head too much and head spins too. And sometimes it seems as though I am losing balance from ground. When I get up after sound sleep of 6 hours, I do not feel bad but as the day progresses my tightness of head, stiffness of neck, spinning motion and losing of balance starts. Cervical spine MRI shows a convexity to the right where a small central posterior disc bulge at C5-C6 indenting the thecal sac is seen. There is no cord compression or central canal stenosis.\u00a0While at home I do not feel so bad but in confined space of office my head starts to spin, back of head feels tight, I feel my motion is restricted and the balance from ground seems to get lost.\u00a0Am I suffering from any life-threatening disease? Doctor: Hello. Thanks for your query on this platform. Relax! You are not suffering from any life-threatening disease. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30969, + "tgt": "Should I continue Banocide for a swelling on the testicle?", + "src": "Patient: Hi doctor, About a month ago, I suddenly noticed a grape size swelling on the top of my right testicle. It is not attached to the testis, but above it towards the top of the scrotal sack. I went to a urologist and he asked me to do an USG. The USG showed a thickened right spermatic cord with cystic areas for about 2 cm x 1 cm. The mass was quite hard and firm. The mass had no pain on pressing it. He gave me Banocide and another antibiotic on a trial basis. The mass did not reduce after two weeks of treatment. Then, he recommended me to do a FNAC. I consulted another doctor and he too was unsure of what it was and recommended immediate surgery to remove it rather than performing a FNAC by saying that it might infect the area. After that I was out of station for a week. When I came back, the hard swelling had miraculously shrunk to the size of less than a pea, but it was still hard. The doctor asked me to observe it for another three weeks and not to go for immediate surgery. Though for the last two weeks the mass does not seem to have reduced any further, I am looking for some advice. What is the possible cause of the problem? I am attaching my USG report as well as a doctor's prescription. I had also done a urine culture and CBC about two months back and the results were normal. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25242, + "tgt": "What is the cure for sore throat and swallowing problem?", + "src": "Patient: Hello doctor, I have a sore throat and trouble swallowing. I had Candida albicans in the throat and saw an ENT two days ago. He said it was almost gone but I have an inflamed papilla. Could that be the reason? I have trouble eating and drinking now. Doctor: Hello. An enlarged papilla can be due to infection and inflammation. Apply Candid Mouth Paint (Clotrimazole Topical) to the tongue and oral cavity four to five times a day for a week. I suggest you take an oral antifungal also. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Is there any history of diabetes? It would be better if you can send me a picture of your throat so that I can suggest you better and prescribe you accordingly. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4456, + "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": 28833, + "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": 1543, + "tgt": "Why is there delayed menstruation?", + "src": "Patient: Hi doctor, I am 30 years old. I am facing delayed menstruation cycles. It has been 15 years. At the beginning I consulted gynecologists. They did ultrasound and there was no cyst. Doctors said it was because of hormones. They prescribed Progesterone tablets for 5 days. My periods are not regular. It varies from 30-45 days. Sometimes 55 days. In last 15 years, around 4-5 times, it occurs after 60 days. This time it skipped two cycles. Sometimes I feel pain in legs or back, vaginal secretion without any odor. It has been 20 days or so that my face is full of pimples (even my face is not oily). There is no extra hair growth on my face. I am sexually inactive. Doctor: Hello, Welcome to icliniq.com. The irregular bleeding is also associated with acne and hair growth. There are symtomps of hyperandrogenism. Have you performed a hormonal examination?" + }, + { + "id": 24547, + "tgt": "I am depressed for past two years and getting suicidal thoughts. Kindly help", + "src": "Patient: Hello doctor, I am 30 years old female. I am depressed for the past two years and unable to forget my fiance who recently got married eight months back but still, I am suffering from the memories. I am severely depressed, do not sleep. I am getting suicidal thoughts for my rejection and was taking antidepressant for a month. I cry during the night thinking about the past and even during the day when I keep myself busy. Doctor: Hello. I have gone through your query in detail and have come to know that you have been going through a tough time since long. You have tried to take treatment and that has not worked. I understand that you are finding it difficult to get over your fiance and feel rejected to the extent of doing suicide. I have also come to know that you are not taking any medication currently. I know it is difficult to let go of someone you have loved with all your heart. I know it hurts a lot when they do not choose you. I understand that it feels worthless and you feel hopeless to live without him. But just for a second, think about this, after five years when you are successful in your career and having a happy life, how would you want to remember this time? A learning phase or a phase which helped you become stronger and wiser in relationships. A phase which helped you grow emotionally. Trust me, there are enough individuals in the world who are going through or have gone through breakup and rejection. But this is not end of life, your life has more experiences, more success and more happiness in it. Search for it instead of reading the same page of your book again and again. We get the chance of writing our future, write yours beautifully. You writing to us and asking for help is already half battle won. This was the first step and now it is all road to recovery. I request you to try and answer these questions and the answers will help you. If you have further questions or doubts, feel free to get in touch again. These questions will just give you insight, and then you need to make some more effort to work towards betterment. I wish you all the best and would like to hear your story which has more accomplishments. Be brave. You can do it. For more information consult a psychologist counselor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 311, + "tgt": "My 6 months old grandson has developed red spots in body after eating egg yolk. Please help", + "src": "Patient: Hello doctor, After introduction of solid foods to my 6 months old grandson, he was doing well. We introduced rice, dal, pumpkin, apple, and beans. Urine, stool, and the body temperature was normal and baby is also active. Next, we introduced egg yolk. Within 24 hours three rashes/red spot appeared on his left-hand palm. Within 48 hours another three red spots appeared in the mouth. Within 72 hours another two similar red spots appear on the left ear and it was there until today. Urine, stool, and body temperature is normal and the baby is a bit less active. We have stopped egg yolk but continue rice, dal, apple puree, banana. Baby is taking formula stage 2 at a normal rate. Please suggest what care we should take? Is there any suspected food allergy for him? Doctor: Hi. As you have mentioned, he is allergic to egg, you need to stop giving egg. Being allergic to one food, he might be allergic to other food or articles. Common food which are considered to be notorious are fish, peanuts, egg, and also take care of dust and pollen of flowers. Currently, just give those food which you have already introduced. Do not add any new food for at least two weeks. Introduce new food in a very small quantity one at a time and watch for any reaction. Presently as he is having rashes, give syrup Zyrtec (Cetirizine) 1.5 ml once daily for five days." + }, + { + "id": 27120, + "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": 1676, + "tgt": "My 25 months old daughter has disturbed sleep and loss of appetite. Please help", + "src": "Patient: Hi doctor, I have 25 months girl who feels discomfort at sleep for a couple of days. For the time she has also lost some of her appetite. I have checked her symptoms and signs. Her body temperature is normal, around 34 but sometimes her hands get hot. She has attended all her vaccines and currently, we are on lockdown. While in the home, during the daytime, she feels bored and sometimes cries for no reason or feel discomfort with her toys. I am asking this, in this pandemic we cannot get outside to see a pediatrician or a consultant. Clinics and hospitals might lead to carrying a virus or infection. Please advice me in this regard. Thank Doctor: Hello, thank you for the elaborate history. Hope you are safe. I appreciate your concern regarding your child. This behavior is normal because as the child grows he/she wants more attention becomes more aware of things." + }, + { + "id": 22200, + "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": 11256, + "tgt": "Can I start Unwanted 21 after my periods?", + "src": "Patient: Hello doctor, Can I start Unwanted 21 after my periods? Four days back was my last day of period. My period cycle is usually for five to six days. Please suggest as I want to start my oral contraceptive. Doctor: Hello. Oral contraceptive pills are normally taken cyclically from day-5 of menses to day-24. I suggest taking tablet Norethisterone 10 mg twice daily similarly in every cycle. Oral contraceptives are ideally started from the start of a cycle, but if you want to start, start now from today and then stick to it regularly. Take the 21 tablets and then the placebos or choose the pill-free period for withdrawal bleed. The body takes some time to get used to it. Side effects could be headache, breast tenderness, high BP, clot formation, on long-term use irregular bleeding, carcinoma of the breast and endometrial hyperplasia that can lead to endometrial cancer. Hormonal contraceptives are better not used for many years. Better to change the method to prevent long-term side effects like after taking it for a year, you can have injection Medroxyprogesterone (three monthly) for few months, etc. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 584, + "tgt": "I have deviated nasal septum with persistent nasal drip and throat irritation. How to get rid of it?", + "src": "Patient: Hello doctor, I had a sore throat and fever four months ago. I took some antibiotics (Cebosh) referred by an ENT and the sore throat went away. But I have a constant nasal dripping and throat clearing since then somedays it is more and some days it is normal. I can see mucus in my throat and it looks irritated. I have no fever, no body pain, and no shortness of breath. I have a severely deviated septum too. What can I do to get rid of it? Doctor: Hi. As per your description, you are having a deviated nasal septum (DNS). Your continuous presence of mucus in the nose and throat clearing is because of sinusitis which is a common consequence of your deviated septum. I have given some tablets try using those. If not relieved you should nasal sprays, but they contain steroids. Steroids are not advocated during this COVID season. So it is best to avoid the nasal spray at present. And regularly have steam inhalation. DNS with chronic sinusitis. Karvol plus capsule for steam inhalation, tablet Montelukast 10 mg twice daily for two weeks, Cetirizine 10 mg + Phenylephrine 10 mg twice daily for two weeks. Cover your nose while going out. Avoid dust exposure." + }, + { + "id": 27994, + "tgt": "I have small cysts in my ovaries. Is this a serious problem?", + "src": "Patient: Hello doctor, I am a 19 year old female. I have small cysts in my ovaries. Is this a serious problem? Can you tell me in detail about it? I have attached my sonography report for your consideration. Doctor: Hello. I read your query and went through your reports (attachment removed to protect patient identity). I hope this helps you. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 270, + "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": 4108, + "tgt": "Will medicines help in improving major depressive episodes?", + "src": "Patient: Hello doctor, I Just went to GP today for medication. I had to force myself. Only 30 and suffering major depressive episode. Had it before I feel I left it too long. I have tried some treatment medicines without success. I did not really want Seroquel but I just got 25 mg and 50 mg of pristiq. My depression is that bad I am basically stuck in my room. I know tablets cannot probably get me out of this cause this time it is really bad. If they can give me some boost to then be able to do things that could help. Is that combo possibly effective sometimes they say it might be by adding one. I know they have there nasty side effects though. Would you recommend taking it long term or one month until antidepressant takes effect or what, I am so confused. Doctor: Hello. I can imagine how hard it is for you to be in this situation. Depression takes a toll on us in the worst ways possible, you should appreciate yourself to be able to reach out to get help, because many people cannot even find the strength or awareness to reach this point. You are correct that only medications will not be able to pull you out from this. However, you need to continue medication atleast for 6-8 months even after you start feeling better because that's the minimum duration required for medication to balance the neurotransmitters involved and to be able to prevent the relapse. Secondly, I would suggest you to start counseling therapy session. What you can do is start therapy online. Most of my patients who are not yet willing to go out every week and travel to a therapist opt for therapy sessions online. Psychotherapy and cognitive behavioral therapy will help you with your thoughts and getting a control over the negative thought patterns which are keeping you in the loop of negativity and Depression. Medications when combined with therapy is going to show good and faster results." + }, + { + "id": 7018, + "tgt": "Is varicocele linked to infertility?", + "src": "Patient: Hello doctor, I have varicocele. It does not hurt or anything, and I never actively tried to impregnate a woman. So I do not have any idea if I am producing proper sperm but are varicoceles linked to infertility? I took a home sperm test, and I saw a faint line come back positive. Doctor:" + }, + { + "id": 16413, + "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": 10064, + "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": 803, + "tgt": "When the milk teeth are shaky, the permanent teeth are erupting slighty inward. Please help", + "src": "Patient: Hello doctor, My daughter is 6.5 years old. Two of her front teeth are shaky but not falling off but I see the new is growing because of space the old one occupying, new one growing is not aligned. It looks like it is growing little inward and cross. Doctor: Hello, Welcome to iclinq.com. I went through your query and also seen the image attached (attachment removed to protect patient identity). As a specialist it is quite fine, she is on the safer side as no such visible misalignment once the permanent tooth erupts fully. As you mentioned and also visible from the image upper left centra incisor (baby tooth) looks totally mobile, it is better to pull it out. You can get a numbing gel like Rexidine M Forte (Chlorhexidine, Metronidazole, and Lignocaine) gel. Apply over the gums on the mobile tooth. Hold the mobile tooth with a piece of cotton and pull it out if possible. Hold the area with a new cotton gauze to arrest the bleeding. If not possible let it be as placed it might fall off itself seeing the condition. She will be fine, it was better if the tooth was extracted earlier, then there would not be any chances of malalignment. But it very minute and would not be visible as such. Try feeding hard food, small pieces of hard fruits they might help. I hopethis helps. Palatal eruption of left upper incisor due to delayed shedding of the primary tooth. Seven days or anytime if you need any more help." + }, + { + "id": 16958, + "tgt": "Will it be wise to use Melbild lotion for vitiligo?", + "src": "Patient: Hi doctor, A white patch is seen on the lower lip of my daughter. The patch probably came into being during last three to four months. The doctors are saying it as vitiligo. She is also having acne on the\u00a0nose and both arms. The details of my daughter are as follows: Age 14 years, height 5\u20193\u201d (160 cm) and weight 52 kg.\u00a0I have consulted two doctors and the prescriptions of both doctors have been uploaded. I am following the first prescription. According to this advice, my daughter is taking\u00a0Aziok\u00a0one tablet daily for five days, applying Candid mouth paint lotion and using Aha glow face wash four times a day.\u00a0For acne on the nose and\u00a0arms, she is applying Retino AC gel on the nose and arms, using Nizoral Shampoo and Moyzen Plus Bar during bathing and Aveeno moisturizer lotion on the\u00a0whole body. The blood test report (uploaded herewith) of my daughter is showing high eosinophil. For this, she is using tablet once daily, tablet Xyzal once daily at night for a month and tablet Banocide forte twice daily for 14 days.\u00a0Now, I would request you to let me know if I have taken right decision by following the first prescription. I am too much worried about the white patch on the lower lip. Doctor: Hello. I have gone through your query (attachment removed to protect patient identity) and I have noted your concern. The patch on the lip is definitely vitiligo. As far as treatment for vitiligo is concerned, Dicaris (Levamisole) is one of the treatment options for vitiligo in addition to other options. Dicaris has to be taken on two consecutive days in a week that is, every Saturday and Sunday, at night. Dicaris may have to be continued for weeks. In addition, I suggest her Tacroz forte 0.1% lotion (Tacrolimus) for the white patch on the lip, twice daily. Tacrolimus may have to be continued for weeks. Please consult her specialist doctor, discuss with him or her and take medicine with consent. Her prescription for acne and high eosinophil count is excellent. She may continue with it. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4578, + "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": 2584, + "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": 19698, + "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": 7322, + "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": 15563, + "tgt": "I am feeling restlessness in my chest despite valve blockage treatment. Why?", + "src": "Patient: Hi doctor, I am 37 years old. Last year, when I was working, I had a restless feeling in my heart. So I left my work on that day and went back home. My pain got increased, and I immediately reached the hospital. After an hour, I got admitted to CCU, and I was there for five days. I had a blockage in one valve. I underwent angiography and PCI. Now, I am taking Plavix 75 mg, Ascard 150 mg, Concor 5 mg, and Treatan 8 mg. Now, I am getting improved, and I am taking diet food. But I still have restlessness in my chest, and when I move, my legs and hands hang up. Please help. Doctor: Hi. You had coronary heart disease at a young age, and PCI (percutaneous intervention) was done immediately. Now you have to be very careful in this regard because those with a coronary artery disease have a further risk. First of all, reduce your risk factors. Avoid smoking, or any other addiction if you have. Reduce taking salt in your diet, avoid taking fast food and junk food. Remain active, and do an exercise of moderate intensity. Check your fasting lipid profile and do renal function test soon with electrolytes. Never miss your medicines. Do echocardiography and have a follow-up. After all, that, consult a good cardiologist so that you may be guided accordingly to reduce future risk. Coming to your complaint of having chest discomfort, I advise you do an ECG. If it is normal, then ETT (exercise tolerance test) is done in which you have to walk on a graded ramp and simultaneously your ECG and BP is recorded. If your symptoms are due to heart, then you will have ECG changes." + }, + { + "id": 30090, + "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": 998, + "tgt": "I have nausea and belly gurgling if I do not eat for a couple of hours. What is the cause?", + "src": "Patient: I recently had a fasting blood sugar test which was 6.4 Mmol Because I have been experiencing nausea after a couple of hours of not eating now then did a Three month blood sugar test which they said was normal I don\u2019t know exactly what the results were however I am still experiencing nausea and My belly gurgling and trapped wind. What is causing this and due to coronavirus I can\u2019t get an appointment in the doctors. Doctor: Hello, It appears you have symptoms of gastritis as fasting increases nausea. I would like to know any pre-existing medical conditions that you may have. Also would like to know about any medications that you are taking. Reflux Liver function test Thyroid function test Gastritis Avoid being empty stomach for prolonged periods. Have small frequent meals. Drink adequate fluids/water. Have 7-8 hours of sleep daily If these measures do not provide significant help, an upper Gastrointestinal endoscopy may be needed. Avoid late night snacking" + }, + { + "id": 6746, + "tgt": "Is it necessary to take suppressive therapy for my herpes infection, when it is not active?", + "src": "Patient: Hello doctor, I am not sexually active, and a few months back, I tried boxer without washing it and got a pimple on the penis, took antibiotic cream, and it went off in three weeks. It did not hurt me. A few months later, I have got another pimple in penis, did herpes test, and the IgG was 3.80 positive and IgM was 0.935 equivocal, and the swab was positive. It did not hurt me but took a month to go. Two months later, I got a bunch of small blisters, and the doctor recommended to take antiviral pills for five days. My question is, as it never hurt me, will it in the future? Also, will it get worse or better? Does suppresive therapy work? How long will it take? Doctor: Hello. A most common symptom of herpes is the burning sensation. Sometimes this is masked too. There is a high possibility that if you get it again, you might have a burning sensation. But every patient has his resistance, and response is different. For acute reactions, antivirals are given for five to seven days depending upon clinical presentation. But for chronic cases in which patients have repeated infections, prophylactic treatment is given for six months to one year. In my opinion, it works to relieve your presentation. So it will help you and will not make the situation worse. It is important to take antiviral therapy even if you do not have any symptoms because vesicles are highly infectious and contain millions of viral particles, and you could transmit to others. So it is better to get treated." + }, + { + "id": 6719, + "tgt": "My fetal scan shows the presence of only one kidney. What is the chance of future problems?", + "src": "Patient: Hello doctor, I am 28 weeks pregnant. All my fetal scans taken so far shows, my baby has only one kidney, which is the left one, and it is working normally. I have attached the document. I doubt whether there is a left kidney somewhere down, not sure, but if it is there, it would be very small. But for now, let us say the baby has one normal kidney. After delivery, what is the process of ultrasound and blood tests? Will it be done immediately or after a couple of days? And throughout the pregnancy, if all scan result shows normal kidney, then what is the chance of problem to the kidney in future? Doctor: Hello. Many children with a single kidney will have a normal life without further complications. But still there is some risk of development of some problems later in life : 1. Development of high blood pressure. 2. Urinary tract infections. 3. Decreased kidney functions. The development of these problems is variable. This entails: 1. The baby should go for a scan after birth. 2. Need follow up with a Pediatric Nephrologist. 3. Regular checking of blood pressure and urine for infection and protein loss must be done. 4. The child should protect his kidney and reduce the risk of complications later in life by eating a healthy diet, doing plenty of exercise and not smoking. I hope this helps." + }, + { + "id": 19920, + "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": 9041, + "tgt": "I feel inferior than the one I am in love with and find it difficult to tell her. Kindly advice", + "src": "Patient: Hello doctor, I am in love with my relative. We both have each other in someplace in our mind and I know it. She is a high achiever in her career, and I work hard to achieve stuff and good at studies but not as high as her. I faced real kind of depression earlier and often get it. So, I find happiness in everything. What I find difficult is to commit to her in some way as I see she may get a better person who will be supportive to her achievement. I do not underestimate myself, but there is a dilemma which is hurting me in my mind. Please advice. Doctor: Hello. You are very considerate that you want the best for your relative even at the cost of your love. Your cousin should be lucky that you have her best interests in your mind. However, if she reciprocates your feelings, you better go ahead and commit yourself to the relationship. If both of you love each other, you can develop a supportive and robust bond. Always remember that academics, career, money, etc., are not the primary factors in a relationship. Of course, they are essential, but a successful marriage needs personal compatibility and care for each other. Do activities to improve your confidence. Try regular exercise, yoga, and have an open talk with a trusted family member or friend about your decision." + }, + { + "id": 21162, + "tgt": "Please suggest an antibiotic for recurrent urinary tract infection", + "src": "Patient: Hi doctor, I am suffering from urinary tract infection. I get these once in every couple of years. I need to get an antibiotic to get rid of it. Please help. Doctor: Hi. Recurrent urinary tract infections are common in post and perimenopausal women. You need to get a urine culture and routine investigation, so that culture guided antibiotics can be given. In these cases plenty of fluids and urine alkalizer syrups are also very helpful to alleviate symptoms. Application of an estrogen ointment around the urinary meatus can also be highly helpful. Tablets of Ciprofloxacin in a dose of 500 mg can be a good empirical therapy. Consult your specialist doctor, discuss with him or her, get the urine culture done and take the appropriate tablet. 1. UTI. 2. Hypoestrogenemia. Urine routine, microscopy and culture. Culture guided antibiotics. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19940, + "tgt": "Can my wife take Doxinate tablet throughout her pregnancy?", + "src": "Patient: Hello doctor, My wife is 13 weeks and 5 days pregnant at present. She vomits in the mornings, and she has continuous light stomach pain. Once or twice a day, she has intense stomach pain for 5 to 7 minutes. She takes\u00a0Doxinate tablet once a day. Is this type of pain common in pregnancy? Can she take Doxinate throughout her pregnancy? Will Digene help in these type of stomach pain and is it safe during pregnancy? Doctor: Hi. How are you doing? Hope I have clarified your query, and do write back. All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 12757, + "tgt": "Why is there a tiny nodule in cardia?", + "src": "Patient: Hi doctor, I had a gastroscopy a week back and when I asked the doctor if I had cancer she said no. On arriving home I saw on the report that there was a tiny nodule in the cardia which has been biopsied. My question is, why would she say emphatically that I do not have cancer if she has done a biopsy? Doctor: Hi. I have gone through your query in detail. The endoscopy has shown a healing ulcer and is showing healing as well as a small hiatus hernia. There is a very tiny nodule in cardia (proximal part of the stomach), which has been biopsied. These tiny nodules are usually innocuous, but as a routine approach, it is biopsied to rule out any kind of early changes, if any. The report is very clear that they have not found anything sinister (please read it as cancer). I am almost certain that the biopsy is going to come out as benign. Please continue with PPI and wait for the biopsy. Once you have the biopsy and have any further concerns, you could always get back in touch." + }, + { + "id": 22621, + "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": 25951, + "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": 20826, + "tgt": "I have an eye power of -4. Will my child also have similar eye problems?", + "src": "Patient: Hello doctor, I have an eye power of -4 in both the eyes since school days. We are expecting our first child. Are there chances of similar eye problem in our child? Doctor: Hello. You are having myopia of -4 dioptres in both the eyes since school days. The treatment for this condition includes: Refractive errors of more than -6 dioptres is called pathological myopia and are hereditary in nature. This can be seen in children if one or both the parents are affected with myopia. In your case, the refractive error is less than -6 dioptres. So, there are less chances of your child getting myopia. But it cannot be ruled out completely. Regular eye examination for the child is necessary after birth to rule out myopia." + }, + { + "id": 21687, + "tgt": "How can we manage OCD?", + "src": "Patient: Hi doctor, I am 25 years old. I have OCD. I have the habit of counting books for the past five to six years. I have disturbed sleep with many thoughts for one hour for at least seven to eight years. But, for the last two years, I am avoiding such rational things. I also experience mood changing behavior, sometimes I am very confident, excited, sometimes very depressed. I have started avoiding to have such thoughts. It affected my sleeping pattern entirely. I wake up every day with the confusion that I have not slept for the entire night. I have experienced child bullying in my school days. My classmate used to beat me every time in those days. My father is dominating, and my mother has experienced domestic violence. My home environment was tensed in my childhood days. In my school days, I had a better memory power to remember the page numbers. But now, I am having low memory power after I got OCD. I had no stage daring from early childhood. Now, I avoid public meetings, family functions because I am afraid of talking with a large group of people. Sometimes, I am scared of talking to a specific individual. All these things have affected my life entirely. I have missed a lot of opportunities due to these problems. I have a family history of issues in mental health. I have taken medication Fluvoxamine, SSRI, Olenz, Clonazepamine last year. But I felt tired and sleepy every day after taking pills for two to three months. So I stopped it. Now what to do, received treatment from four to five doctors. But I have not visited consistently due to sleepiness, tiredness due to medication. Still, the problem persists. Now, what to do? Doctor: Hi. I can understand your concern. You are having symptoms of OCD (obsessive-compulsive disorder), social anxiety and depression. You have controlled most of your OCD symptoms and have a problem of excessive sedation with the drug. Most of SSRI (selective serotonin reuptake inhibitor), Oleanz (Olanzapine) and Clonazepam can cause sedation. But Fluoxetine is one of the SSRI that usually does not cause sedation. If your doctor has not tried Fluoxetine, then you can ask him to give a trial of it as it has good efficacy for OCD and depression. Also, psychotherapy has good positive evidence in the management of OCD. If you have not received it, go for it, it is a type of therapy in which the therapist will lead you to behave in a better way. Forgetfulness can be due to many reasons including poor attention, depression and poor concentration. Do regular exercise and take adequate sleep. Avoid any substance use like alcohol, smoking. For more information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10219, + "tgt": "Can a rough foreplay be a cause for a bump inside my vagina?", + "src": "Patient: Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be? Doctor: Hello. Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me." + }, + { + "id": 13236, + "tgt": "Is it advisable to take Modafinil to enhance cognitive performance?", + "src": "Patient: Hello doctor, I have been diagnosed with chronic tension headache. Next, to the headache, I have observed a decline in my cognitive skills (learning, concentration). I can take care of the headache using meditation techniques, however, I am not able to deal with the decline, which is causing degradation of my private and work-related performance. Apparently, there is a medicine available that can enhance cognitive performance- Modafinil. I wanted to ask you for an opinion, how to take the medicine, what should I pay attention to (dosage, cycles). Doctor: Hello. I understand your concern and would explain that Modafinil is a drug used in other medical conditions, but I do not think that this drug is appropriate in your clinical condition. This drug is usually indicated in persons suffering from increased daily sleepiness or sleep apnea. I do not think that this is the case. You should know that chronic tension headache does not lead to cognitive decline, especially at your age. The cognitive decline in your case could be attributed to the lack of concentration due to accumulated psychological stress. When you cannot concentrate, you cannot learn, and this makes you think that you suffer from a cognitive decline, which is not true. The good news is that this is quite a reversible situation, with the proper therapy. That is also the main cause underlying tension-type headache. Coming to this point, I would recommend starting SSRI (Fluoxetine, Paroxetine, Sertraline, etc.), which can help reduce the tension-type headache and also improve your concentration and your cognitive skills. Yoga can also help improve your situation. Psychological stress. Troubles with concentration. Tension-type headache and troubles with concentration. SSRI." + }, + { + "id": 26036, + "tgt": "Can a double dose of Levothyroxine help until I get to see a doctor?", + "src": "Patient: Hello doctor, I got my lab results recently. I have an appointment with the thyroid doctor in a week. I am afraid of going to the ER plus I have muscle spasms, body jerks, and confusion. Two days ago, I took a double levothyroxine dose of 125 mcg. Yesterday, I added 5 mcg synthetic T3, maybe a second dose later today. So, is this okay until I can get to a doctor? Is it bad to do double levothyroxine? Of note, I am a no-thyroid. I had Grave's and was on RAI some 26 years ago. Hypothyroidism is apparently co-morbid with undiagnosed neuro but is a known trigger for tetany-like spasms, claw hand, grimacing, body jerks, startle but normocalcemic and no hyperventilation. The labs are TSH 11.47 high, total T3 55 low, free T3 1.99 low, free T4 0.85 borderline low, total T4 6.7 in range. T3U, RT3, TPO, Free Thyroxine Index (FTI), and antibody results are pending. Ferritin 53, Folate 5.75, Vitamin D 22. Strangely, cholesterol suddenly is very high when it is usually low (same diet/stress/exercise as usual). B12 at 1069 makes me wonder about the liver. Before seeing these lab results, I was going to check liver and kidneys for other reasons. Please help me with what to do for just a few days. Many thanks. Doctor: Hello. Hope you find my advice beneficial.Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 22384, + "tgt": "I have gained 10 kg in a short time. How can I reduce it?", + "src": "Patient: Hi doctor,I am a 5'2\" female, 21 years old and weigh 60 kg. I have gained 10 kg in the past eight months though I was exercising. I cannot follow strict diets due to my lifestyle. My eating habits include more liquid like milk, cold coffee, water, etc. I do not eat much bread or rice but more vegetables, curd, and fruits. I eat junk food almost daily and cannot control cravings for desserts and sweets. My diet and lifestyle have been the same for years but I have started gaining weight recently. I need to lose weight and improve metabolism. Also please suggest the BMI I should maintain. I am asthmatic and cannot exercise vigorously. Currently, taking Deryphilene, Wysolone, inhaler and other medicines for asthma. Doctor: Hello. I understand your concern. Since you have asthma, I understand that you cannot do rigorous exercises. In fact, to lose weight you do not need to do rigorous exercises. You can just do a brisk walk (brisk and fast are not the same). Just walk at a moderately brisk pace which you can do without gasping for breath. Do it for 30 to 45 minutes daily. As we grow older, our metabolism slows down. Your body may not be able to process all the junk food that you may be eating. As you have already mentioned that you eat junk food regularly, it is definitely a contributing factor to your weight gain. The drinks that you mentioned contain processed sugar. Include natural sugars like fruits in your diet, but try to cut down on processed sugar. Processed sugar is not good for anybody. Focus on a healthy lifestyle. Increase fluid intake, increase intake of fruits and vegetables, do moderate exercise regularly, sleep and wake up on time, and try to eat home cooked food as much as possible. At your age, I think you can achieve a healthy weight by just following these tips. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 29420, + "tgt": "My father is suffering from unknown blood loss. How to find the reason?", + "src": "Patient: Hi doctor, My father is 67 years old. He is suffering from loss of blood without knowing him. What will be the cause? They have consulted a local physician, and he said nothing to worry about it. But, he did not give any cause of it. Please help me to understand the cause and necessary treatment. Doctor: Hi. Revert with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1966, + "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": 3497, + "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": 7200, + "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": 28565, + "tgt": "Should I take my son to a doctor immediately for a nosebleed?", + "src": "Patient: Hello doctor, My 4 year old son bumped his nose on his cousin, while in a swimming pool. It bled a lot, but I pinched his nose for a couple of minutes while he was sitting on my lap. The bleeding stopped immediately. Now, he is calm and watching television. Should I take him to a doctor immediately? Doctor: Hi. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11452, + "tgt": "What is the cure for loose motions?", + "src": "Patient: Hello doctor, I am suffering from loose motions since last three days. I have visited a doctor. He advised me Oflox 200, Entroquinol and Deulac forte for three days. I have taken the medicines as prescribed until today but even then they have not reduced. I am traveling, so it is difficult for me. Kindly suggest the course of action. Doctor: Hello. Since there is no response, you need to change the medicines. You should have Oflox OZ (Ofloxacin and Ornidazole) 200 mg or 500 mg twice a day for five days along with tablet Pantoprazole 40 mg before breakfast for five days. Also, for symptomatic relief, you should have tablet Racecadotril (Redotil) 100 mg up to three times till stools stop. This will reduce stool frequency and output but need to continue above mentioned antibiotics for five days. More importantly, you need to have plenty of water and ORS (oral rehydration solution) 100 to 200 ml with each stool output. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 3859, + "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": 30144, + "tgt": "What is the time limit to do dilated eye exam?", + "src": "Patient: Hi doctor, My daughter, who is 9 years, went for an eye test. They put some drops for four times in an hour duration. Then, the doctor has told her to come the next day, but within the gap of 24 hours. Is that right?\u00a0Can you tell me the\u00a0time limit to do dilation test\u00a0for eye examination? Doctor: Hello. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12119, + "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": 9509, + "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": 29783, + "tgt": "What should I do to overcome hearing loss caused by Cialis?", + "src": "Patient: Hello doctor, I am a 27 year old male.\u00a0I have been taking 5 mg Cialis about once per week for the past three months to help with prostatitis.\u00a0After every tablet, I would usually notice some mild symptoms such as hearing things differently and sometimes some pressure in the ears. I assumed those were temporary and they did usually subside over time.\u00a0Two weeks ago I took a pill and had worse symptoms. I had pain and discomfort inside my ears. My hearing was a little affected until three days ago, where it started getting worse, and has gotten worse in the last three days. My hearing is about 80% of normal. I have some pain and feel fullness in my ears. It is very uncomfortable overall. I have started researching this two days ago and found out that Cialis can cause permanent hearing loss, which is very scary. I also read that two things could potentially prevent some of the permanent loss of hearing, Prednisone and hyperbaric oxygen. But, only if they are given within about a month of the problem occurring. Today I went to the hospital to get checked, the doctor checked my ears and said he could not see anything wrong. He gave me a referral to an ENT. I was however able to convince him to prescribe me Prednisone 60 mg a day due to the time-sensitivity of this issue.\u00a0Other than that, what should I do now? I have seen places that do hyperbaric oxygen where you go in a room for 2 hours, but I am not sure if those are legitimate and would work in my case. Is this also something that can be done in a hospital and would then be given differently?\u00a0Please let me know as I really want to avoid permanent hearing loss at my age. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 28451, + "tgt": "I am having memory and coordination problems from the past 17 years. What to do?", + "src": "Patient: Hello doctor, I am a 40 year old female, who weighs 146 lbs, and I am 5.5 feet tall. I am having memory problems from the past 17 years. I was told by\u00a0my doctor that I had low blood pressure. After taking iron tablets, my blood pressure came back to normal, but I realized that during and after the treatment for low blood pressure, I started experiencing memory problems. I would be talking to someone and totally forget what I was talking about, and it was as if I could not continue the conversation. I remember it affected my work so much, for example, I would tell my manager that I have completed a task, but when I recheck, the task was not done. I was worried. I even when to a spa and found it difficult to lie down without moving. It seemed as if my coordination was not intact because I could not follow an exercise video properly. My grades were good in school. But in college, I could only study one day before the exams, if I do it earlier, then I will not remember anything that I studied. Going to the college was a joke, I just could not remember what was said during the class. I am not on any medication for it. Please note that I am always on antibiotics for a\u00a0vaginal infection. Thanks. Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28353, + "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": 11535, + "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": 436, + "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": 31045, + "tgt": "What is the reason for my long term skin disease in the thigh joint?", + "src": "Patient: Hi doctor, I have been suffering from skin disease in the thigh joint for long. I am using Mometasone, Terbinafine and PBF gel. Also, I had Ofloxacin and Levocetirizine for more than two months, but the situation is the same. What is this disease? Please advise any medicine or test in order to get cured. Doctor: Hi. Revert back with the reports to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2250, + "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": 5173, + "tgt": "Can I give Cerelac for a 4. 5 months old baby?", + "src": "Patient: Hi doctor, My baby girl is 4.5 months old and she is exclusively breastfed. Her birth weight was 3.5 kg and she is currently weighing 5.5 kg. Is her weight gain normal? Do you suggest adding cerelac to her diet?\u00a0I could not see any sign of milk insufficiency, but had a concern on her weight gain. Also, she urinates nearly 20 times in a day, is this normal? Please guide. Doctor: Hello. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30091, + "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": 22671, + "tgt": "Is it safe to travel if I have been detected with a low lying placenta?", + "src": "Patient: Hi doctor, I have been detected with a low lying placenta. Distance is 1.3 cm from os. Can I travel in this condition? Doctor: Hi. You are 18 weeks pregnant now. A lot of women have a low lying placenta at this stage of pregnancy. The placenta, in most cases, usually migrates to the upper segment as the pregnancy grows. But you need to take another scan at 32 to 34 weeks to confirm it. In some women, it remains in the lower segment. If you are going to travel by flight, it is safe. But, if you are going to have hectic travel on a bumpy road or a lot of walking/trekking, please avoid it. Slow walking is fine. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5622, + "tgt": "I got periods with blood clots. Is it a sign of miscarriage?", + "src": "Patient: Hi doctor, I was due for my periods on 8th, but did not get till 16th. So, I went for pregnancy test which came out negative. On 17th, I got my periods with blood clots and crampy stomach pain which was not usual for me. Was it a miscarriage? If yes, what may be the reason? Doctor: Hi. I have gone through your query and can understand your health concern. As per your query, the pregnancy test was negative. So, no need to worry. It is not a miscarriage. To be on a safer side and to confirm that it is not miscarriage, I suggest you to check your serum beta-hCG (human chorionic gonadotropin) level. High levels confirm pregnancy. You can do this test if you are in doubt. Menstruation can be delayed due to many factors. Such as hormonal imbalance and stress can delay menses. Sometimes, delayed menses can cause heavy bleeding. I think your case too the same. If there is heavy bleeding and you feel sick and dizzy, then check your hemoglobin level. If the menses continues for more number of days, then consult a gynecologist. For more clarifications consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1602, + "tgt": "I took pregnancy test as soon as I missed period and it turned negative. Why?", + "src": "Patient: Hello doctor, I have missed my period for this month. Last month my date was 29th and my cycle is usually 28 to 30 days. I am married and I had tried for pregnancy during my ovulation days. Now, as soon as I missed my period I took the pregnancy test but it came out negative. I am having severe back pain, abdominal pain, leg pain, and constipation. Two days before there was some vaginal discharge of brownish color but there was no bleeding. I am not on any medications. I tried for pregnancy test today also but again it came out negative. Can you please tell me if it is or not pregnancy and why all these things are happening to me? Doctor: Hi, Welcome to iclinq.com. It is unlikely to be a pregnancy as the card is negative. However, if you do not get your regular cycles even after one more week. Do check serum beta HCG (human chorionic gonadotropin) blood test to rule out pregnancy, as some times false negatives can happen with urine tests. Such changes in the cycle pattern that you had mentioned can occur with hormonal imbalance, stress, weight gain, changes in diet and exercise pattern, anemia, hypothyroidism, etc. Hormonal. Serum beta HCG (if the normal cycle does not revert in a week). Hormonal. Reassurance, if the cycle pattern continues to be irregular in subsequent cycles, then you need to take TVS (transvaginal scan). Lifestyle modification." + }, + { + "id": 12388, + "tgt": "What is the treatment for primary premature ejaculation?", + "src": "Patient: Hello doctor, Tell me the treatment of primary premature ejaculation. I am suffering from many years, facing from the beginning of sexual life. I did not consult with a doctor and did not take any medicine for this problem yet now. I have no other health or physical problems without this. No erectile dysfunction. Doctor: Hello. Premature ejaculation in most individuals occurs because of anxiety and psychological reasons. Lack of experience, less foreplay, stress, etc., result in rapid ejaculation. Relaxed mind helps to improve the time. Distraction during sexual intercourse helps to increase time. Try to divert mind away during sex and this will help. Drugs like SSRIs are the mainstay treatment for premature ejaculation. Dapoxetine is used commonly. The drug can be used on SOS basis and help to improve the time. It is safe to use. Please talk with a psychiatrist for the prescription." + }, + { + "id": 1641, + "tgt": "My hymen hurts badly during intercourse. Do I need surgery for better sexual life?", + "src": "Patient: Hello doctor, I need to know about my hymen\u2019s type and whether it requires surgery to have sex? Please help. Doctor: Hello. I have seen the attachment. (attachment removed to protect patient identity). You have an anterior lunar, the opening of the hymen is more posterior, but it does not mean you have to undergo a surgery for defloration. For further information perform an examination by a gynecologist." + }, + { + "id": 5000, + "tgt": "I have thick skin pads, redness, and pain when out in sunlight. What is it?", + "src": "Patient: Hi doctor, I have thick skin pads on my cheeks and the symptoms have all the hall marks of rosacea, redness, itchiness and pain in sunlight, blushing, etc.\u00a0I am becoming very self-conscious of my face and wondered if there is anything I can do to reduce the symptoms. It started almost 10 to 15 years ago, but it become more aggressive now. I have not taken any medication for rosacea and it now seems to be getting worse. Please help. Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30817, + "tgt": "I am suffering from dizziness and low BP. Shall I continue Atenolol 50 mg?", + "src": "Patient: Hi doctor, I am on medication Atenolol 50 mg for the last 2 years. Nowadays, I am going through low blood pressure. Yesterday, my blood pressure was 115/65 mmHg. I am also having dizziness. I had gone through dizziness and low blood pressure of 110/65 mmHg last month and it remained for four to five days. Again, it is repeating, this month.\u00a0My fasting blood sugar level is 115 and triglyceride 240 mg/dL.\u00a0Kindly suggest. Doctor: Hi. I would like to ask a few questions. ECG and echo. Revert back with the answers to the above questions to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9704, + "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": 26930, + "tgt": "Is it safe to exercise if I do not have structural heart problems?", + "src": "Patient: Hello doctor, I have PVC\u00a0and bigeminy. I have had tests done and I do not have structural heart problems. Are\u00a0alcohol and exercise harmful in\u00a0case of PVC and bigeminy? Also, is it\u00a0absolutely\u00a0safe to exercise, if I have PVC and bigeminy during exercise and afterward as well? I take\u00a0Thyroxin, but my TSH levels are under control. Doctor: Hello. Hope this helps you. Get back if you have any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 14982, + "tgt": "Why is there excessive heat in my body with burning sensation in foot?", + "src": "Patient: Hello doctor, I am 55 years old male, weighing 58 kg at 160 cm. My query is that I have a problem of excess heat in my body. I experience severe burning in the foot, especially in the mornings. Please advise remedy. Doctor: Hi. Burning sensation in the feet may be because of nerve damage, also called neuropathy. In most people with neuropathy, the leg nerves get damaged first. Damaged nerve fibers are more likely to be overactive and misfire, thereby sending the pain signal to the brain even though there is no wound. This is often accompanied by numbness and tingling sensation on the feet as well. Diabetes is also the most common medical condition that can cause burning feet. Other conditions that can cause burning feet are alcohol abuse, chronic kidney disease, HIV, vitamin deficiency, low thyroid level, drug side effects, peripheral artery disease, infection, and inflammation. Treatment of the burning sensation on the feet is to treat the cause and also to prevent further nerve damage and pain. More information about your symptom is needed so that a proper diagnosis can be made. Information needed to include how long you had the symptoms, how often do you have them, how bad is it, your lifestyle, if you smoke or drink alcohol, the medication you take." + }, + { + "id": 17871, + "tgt": "How to find the reason for my mother-in-law's waist pain?", + "src": "Patient: Hi doctor, My mother-in-law is having difficulty in walking, climbing stairs and sitting. She is having pain in her waist for the last one month. She feels tired and helpless. She always wants to sleep. On some occasions, she becomes unconscious without any reason. When we checked her blood pressure, it was normal. We consulted many doctors and I have attached her reports here for your reference. She is currently on Myotop, Gudbie DSR, Nurokind More, Parnacal OS and Myolaxin. 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": 5110, + "tgt": "What causes tense pain in thighs with dizzy spells?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I have been experiencing some tense pains in my inner thighs (near groin area). It is not everyday but still lingering. Also, every couple of months I do feel a pain in the back of legs like muscle pain (I did an MRI for my lower spine and nothing was found). A doctor told me it could be stress and that the quads can at times tense up. Another symptom I have been experience are dizzy spells (like once a day) it last 15 seconds but it feels as though my head is light and my vision is not blurry but still light. I do see clearly, just weird. What do you think it may be? I am a teacher and I do stand a lot throughout the day. And I am hypoglycemic, I have been taking Proglycem 200 mg morning and 100 mg at night since I was born. I am becoming semi-hypochondriac with this stuff. Doctor: Hello. Get your blood sugar re-tested and this should be done once a month or at least once on three months and the dose adjusted accordingly. Drink plenty of water, fluids. Keep a candy/ lemon water with little salt and sugar handy and take sips often. Avoid, if you can, prolonged standing or take intermittent breaks and sit down. Get CT head done. Rule out any eye sight change. Get ophthalmic examination for vision. Lots of green vegetables, fresh fruit. Fresh juice, salad, soup, etc. Avoid excessive tea, coffee, fried, oily, fatty, alcohol, non-veg foods. Drink 2 glasses of water in the morning empty stomach after you get up. Avoid placing arm under head while sleeping, lie straight, use a low cotton pillow, avoid excessive stress strain, rigorous excercise. Walk and do yoga as health permits and start gradually." + }, + { + "id": 21530, + "tgt": "I have stopped diabetes medicines for six months but HbA1c is 7. 4 now. Please advise", + "src": "Patient: Hello doctor, My serum creatinine is 1.88 and triglycerides serum 454, I am diabetic my HbA1c is 7.4 but I have stopped the medicine for six months and following a strict diet and exercise. Please suggest. Doctor: Hello. How many years of diabetes? Any ongoing kidney issue? With creatinine 1.88, you need to revise your diabetic medicines and make sure that it does not lead to an advanced level of kidney issues like diabetic nephrology. If you are not on medicine than you need to restart as improving sugar and cholesterol will slow down the kidney damage process. For more information consult a diabetologist online---> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 2758, + "tgt": "I had root canal and received temporary crown. Can I do self-cementing of permanent crown?", + "src": "Patient: Hello doctor, Earlier this year, I proactively got a root canal and crown for one of my back molars. The procedure went fine, but the Coronavirus hit before I was able to get the permanent crown installed as a last-step. My temporary crown is still in and functioning fine, and I was able to acquire my permanent crown before entering quarantine (and thus have it with me). I have heard oral infections can be dangerous, and I am mostly navigating around avoiding danger, but obviously I am going into town to get dental work done is also dangerous nowadays. I would like to understand how much more likely I am to get an infection or some other serious complication if I end up going without a crown for a couple of months (especially given I have had an endodontic treatment of the relevant tooth). I have dental cement, and I am similarly curious whether doing an at-home cementing of the crown would be protective or dangerous? Doctor: Hello. I have gone through your query and understand your concern. Firstly, going without a permanent crown but with a temporary crown in place does not gonna cause any serious complications. To make this more clear, I would like to explain the need for a permanent crown after a root canal treatment. Once the tooth is root canal treated and the infected pulp tissues removed, the tooth becomes dehydrated and is more prone to fractures or chip offs and secondary infections if left uncovered. The tooth is ideally shaped and reduced to receive a crown. So going without a crown could actually lead to supra eruption of the opposing tooth. So a root canal tooth has to be covered with some sort of crown to prevent chip offs, secondary infections and supra eruption. Generally, a ceramic or a zirconia crown which can withstand our enormous biting force is installed to protect the underlying tooth. Since the fabrication of such a crown takes time, a temporary or a little less hard crown is installed meanwhile. This can withstand and stay in place for a couple of weeks (depends on the crown and cement material), But if on following certain instructions, you can expect it to come a little extra longer than that. Maybe a couple of months. 1. Avoid biting hard and chewy foods. Hard foods can cause the temporary crown to crack and chewy and sticky foods tend to dislodge the crown. (Fruit seeds, nuts, chewing gum, cheesy foods, burgers, etc.). 2. Brush gently and skip flossing for that tooth. 3. Keep your permanent crown safe. Probably after a couple of months, let us hope the situation gets fine and you can get it fixed safely. Please do follow these and let us expect it to come a little longer. Let this pandemic settle and you can get the permanent crown fixed right away. And it is not advisable to do an at-home permanent crown fixing procedure. Because permanent crowns are strong and are not malleable and adaptable. So if fixed in a very slightly different way could change your bite and cause jaw issues and tooth pain. Sometimes at the doctor's office, the permanent crowns will be adjusted and refinished a little before fixing to bring a proper and stable bite. So fixing at home is not a good idea. And just in case, if this temporary crown decements by accident, do not worry. This is not gonna cause serious trouble in the future. I hope this helps." + }, + { + "id": 11034, + "tgt": "I have increased twitching in the left thumb. Is that a sign of cervical disc herniation worsening?", + "src": "Patient: Hello doctor, I am a 32 year old female with asthma. I have cervical disc herniation for 10 years. Over the past 5 months, symptoms were back with tingling, weakness and shooting pain in arms. I tried medications like Celebrex, Lyrica and also massage, physiotherapy, chiropractor and acupuncture, but the symptoms are getting worse. I did an MRI neck around 3 weeks ago which showed straightening of cervical spine due to muscle spasm. MRI indicates cervical spondylosisdeformans C5-C6 - broad-based disc herniation with right paracentral disc protrusion causing anterior thecal sac indentation with bilateral neural foramen narrowing. Impingement of bilateral exiting nerve roots noted [LT > RT]. Posterior osteophytes were also mentioned. Now, for the past 2 weeks, I have increasing twitching in the thumb especially left which is becoming almost continuous. Is that a sign that the disc is worsening? Doctor: Hi. A herniated disc in the neck can cause three potential problems: As long as you do not have spinal cord dysfunction or significant weakness due to nerve compression, then you can try nonsurgical treatments like physical therapy, pain medication, or steroid injections. If you continue to have significant arm pain or neurological symptoms for more than 6 weeks or develop weakness then you may need surgery. An EMG/NCS (Electromyogram/Nerve Conduction Studies) test looks at the function of your nerves in the arm. It might be helpful if you get this test done to confirm that the MRI findings and pain you have correlate, before deciding whether to undergo surgery." + }, + { + "id": 19249, + "tgt": "Is my friend's beta thalassemia screening test normal?", + "src": "Patient: Hello doctor, My cousin of 30 years old got tested for beta thalassemia screening test. He got the result as hemoglobin A2 is 2.8 %, hemoglobin F is 0.2 %, hemoglobin C, D and S are not detected.\u00a0Is this normal or has any complication? Please guide. 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": 15715, + "tgt": "I have a consistent hike in my blood sugar. Please suggest", + "src": "Patient: Hi doctor, I am 46 years old. I am diabetic, and I have a high blood sugar level of 200 mg/dL. I also have a hernia problem. Currently, I am taking allopathic medicines, Glimepiride and Metformin. Please suggest. Doctor: Hi. If your blood sugar level is above 200 mg/dL, you may need a change in the dosage of your medication. You might need to increase the dosage of the existing medication, or you may require a new medication. You have not mentioned the exact dosage of Metformin and Glimepiride that you are currently taking. The medication and the dosage are decided by the doctor based on various factors like age, weight, previous medical history, duration of diabetes, other medical conditions, other medications and the condition of your vital organs. It may not be ideal to give you a prescription without doing a clinical examination and evaluation of laboratory parameters. Hence I suggest you meet your diabetologist for proper clinical assessment. For the hernia issue, it is essential to understand the stage of the disease. It helps to determine whether it needs conservative treatment or whether there is a need for surgery. It can be decided only by a qualified surgeon after a detailed clinical examination, and it involves various steps." + }, + { + "id": 2949, + "tgt": "Why do I get headache only when I am on computer or television?", + "src": "Patient: Hi doctor, For a while I have been extremely sensitive to light and sun. Whenever I am in bright light or sunlight, I get headaches or a migraine. Two weeks ago, I developed migraine. Ever since then I have not been able to get on the computer to work as I get pressure in my head and headache. I am fine when I am not on the computer or watching television. Now, seeing computer or reading something on paper also causes this pressure and then result in headache. My current medication is\u00a0Cloraz Dipot 3.75 mg once daily. Please help. Doctor: Hi. I have read your question with care and understand your concerns. Revert back with the detailed history to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9986, + "tgt": "2. 5 years old baby has problem in four teeth. Doctors suggesting for root canal treatment(RCT). Is it safe?", + "src": "Patient: Hello doctor, My\u00a02.5 years old\u00a0son has problem in four teeth (front, above)\u00a0and doctors are suggesting for RCT (Root Canal Treatment). I have attached the pictures with this query (attachment removed to protect the identity). Here are my questions: Can RCT (Root Canal Treatment) be done for a 2.5 year old child? Will it affect his next teeth (at around 7 years of age)? Is there any alternate for RCT as he is least cooperating? The doctors are saying that, GA (General Anaesthesia) will be needed for RCT. Is it safe? Doctor: Hi, Thanks for attaching\u00a0the pictures. Now I can answer your query in detail: This clinical picture represents a case of 'Nursing Bottle Caries'. That means, kids who take milk feed while sleeping or have the habit of keeping feeder in mouth for long and then sleep without brushing develop this type of caries in upper four anteriors; because of the bacterial colonization, which starts at that surface of tooth during night time. And we can see only those 4 teeth are affected where the feeder rests or cleaning is not done properly, and the rest are fine. This was the diagnosis. Now let me tell you about treatment options: 1. If cavities are not deep and kid has no history of severe pain or swelling then they can be simply restored through fillings. 2. If cavities are deep or tooth colour is changed to brown or black, kid is giving history of pain and tenderness over particular tooth then medicines regime is given as first line of defense. And in this case if the symptoms go away after 3 or 5 days course that is good and 70% chances are that infection has gone away and will not recur. Meanwhile you need to concentrate on brushing habits, not leaving feeder in mouth for long and brushing or rinsing before going to sleep. 3. If symptoms have become severe or even after following the medicines for a week symptoms of pain, swelling in gums or tenderness recur then we will proceed to RCT (i.e named as 'pulpotomy or pulpectomy' in pedodontics, after evaluating the x-ray of teeth) The answer to your questions: (Answer 1- Yes, Pulpotomy (Modified RCT for kids) can be done on 2.5 year old.) (Answer 2- Pulpotomy is a very delicate procedure and pedodontists do it very carefully keeping in mind that they do not hurt the buds of permanent teeth lying below these milk teeth. So do not worry if your dentist is good,the next permanent teeth will not get affected through this procedure).\u00a0 (Answer 3- No, there is no alternative for this treatment as you can see it is already the last stage or third line of defense to save the tooth.. I know very well kids of age 2-5 are least co-operative. So there are two options left for these conditions:Option 1) \u00a0GA(General Anaesthesia) - This is best, as less time will be consumed, work will be done properly without any chances of mishap. Option 2) In some cases where parents do not want to go through GA phase, they are recommended to follow the medicine course whenever symptoms occur. However this is NOT a permanent solution or treatment. (For eg: The kid is given medicines, symptoms get subsided for 2 months then recur, and again same medicine course is given then symptoms get subsided for next 3 months and so on till the kid reach the age 5). From 5 till 7 years of age permanent incisors are expected to erupt, so we want to keep these milk incisors till 5 in place for better alignment of permanent teeth. Typically the patients who cannot afford for GA facility usually go for the second option. (Answer 4- GA(General Anaesthesia) is safe. And no any big complication is reported ever for such cases so you do not need to worry. Be sure your anaesthetist is good and the procedure will go smooth.\u00a0 Before ending up I would like to share my diagnosis that can be considered as half as I need x-ray of all upper 4 incisors to give final word. Anyways, Just by seeing clinical picture, I think only front 2 incisors need RCT rest 2 does not look deeply infected, there is not much colour change. I do not know about pain symptoms that can be checked clinically. Ask your dentist to re-evaluate, or if you can show me picture of x-ray of your kid then I will confirm the diagnosis online --> https://www.icliniq.com/ask-a-doctor-online/dentistP.S: make your son brush teeth after taking feed and before sleeping :)" + }, + { + "id": 5231, + "tgt": "I am having menorrhagia and feeling tired with chest pain and indigestion problem. Why?", + "src": "Patient: Hello doctor, I was suffering from menorrhagia after the birth of my second daughter. I went for medication and presently it is almost under control. I have to take Tranexa two tablets three times daily for the first two days of the menstrual cycle. Suddenly I notice that my hemoglobin has fallen to 7.12 g/dL. I am physically feeling weak and having chest pain (while walking and climbing stairs), swelling of legs, itching and indigestion problem. I consulted a local doctor and they prescribed Autrin twice daily and ZES-30 once daily. Doctor: Hello. Since you are 40 years old now and this problem has not suddenly cropped up. You are having menorrhagia (heavy bleeding) from the last 5 years or so, for which you are having 1 gm of Trenaxa to temporarily stop bleeding. That is the reason for anemia, which is low hemoglobin and feeling very weak. But please do not ignore your chest pain and swelling on legs. You need to be thoroughly investigated for this including all routine investigations like CBC (complete blood count), coagulation profile, PTI (prothrombin time test), renal and liver function tests. Above all ECG (electrocardiogram), and ultrasound abdomen to see the cause. Visit a physician and the most worrying thing which I want to rule out is any evidence of thrombo-embolism and DVT (deep vein thrombosis) for which you may be advised Doppler study of vessels of lower limbs. Be in touch and inform the reports if you like." + }, + { + "id": 29315, + "tgt": "A hive spot in my thigh is consistent. What treatment would you recommend?", + "src": "Patient: Hi doctor, I have had hives for a month. They are recurring in my feet, left leg, underarms and face. The rash is in one or more of those places every day. My left thigh has remained inflamed and covered with hives. I have kept a photo diary. I have seen a local dermatologist who did a punch biopsy. I will attach\u00a0the report here for your reference. What follow-up would you recommend? Is that due to any allergy? I have a consultation in a few weeks with a different doctor.\u00a0What questions should I ask?\u00a0What are rare eosinophils? What is your overall impression of the findings? Is there anything that I should concern? Can you explain the histologic findings?\u00a0I do want you to know that the\u00a0report has an error. The punch biopsy was taken from my left hip. My abdomen has been completely free of any hives. They also did laboratory work, which was unremarkable. Also, I have a branch duct IPMN. I am 5'6\" tall and weight is approximately 150 lbs. I do not smoke or take any medications. Except for the rash, 50 mg Zyrtec\u00a0three times a day and 75 mg Hydroxyzine at night. I have not changed anything in my environment. Further, I travel extensively for my job and they appear regardless of where I am. Thank you. Doctor: Hi. Your history, clinical description and histopathology (attachment removed to protect patient identity) are most likely suggestive of urticaria. Urticaria is an immediate hypersensitivity reaction of the skin to various common triggers such as insect bites, infective focus elsewhere in the body, changes in the environment, certain painkillers, some foods such as seafood, peanuts and mushrooms, thyroid disorders, etc. Although immediate, the effect of each episode tends to last up to four weeks; wherein there will be a delayed release of inflammatory mediators, putting you at further risk for a new episode. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22720, + "tgt": "I have a strange rash on my back. Please have a look at the photos", + "src": "Patient: Hello doctor, I found a strange rash on my back. I have photos. I discovered this on my back two nights ago in the mirror when I lay down on this spot and felt uncomfortable so I checked. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28961, + "tgt": "I had Arjunarishta for high BP and my sugar level increased. Why?", + "src": "Patient: Hi doctor, I am a 37 year old male. I am suffering from diabetes. My recent was high at 105/95 mmHg with a pulse rate of 105. So, I started taking Arjunarishta. But, my sugar increased to 150. What to do? Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25211, + "tgt": "Fibroids causing painful menstrual period with clots. Please help", + "src": "Patient: Hello doctor, I am 38. I have fibroids. The last time I went to the hospital, I had a blood transfusion. Both the legs were swollen due to lack of protein in the blood. I am on my menstrual period right now. My abdomen feels very heavy. And I cant control the bleeding. I cannot user tampons because the pressure from clots pushes them out. I am in pain. I have been taking Tylenol two or three about every hour or two. I cannot stand up because clots come out uncontrollably. I am feeling weak. Doctor: Hello. I understand your concerns. Fibroids may cause excessive bleeding. So, a strict management is required. If fertility is not required, hysterectomy (removal of the uterus) is an option. If fertility is required, myomectomy (removal of fibroids) is a good option. Before surgery, a medication is given for three months in order to decrease the size of the fibroids. The other treatment is Mirena which is an intrauterine device with drug release. It decreases bleeding greatly. I suggest: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21534, + "tgt": "How can I control the habit of excessive masturbation?", + "src": "Patient: Hi doctor, I am 22 years old male. I am suffering from excessive masturbation problem for the past three years. I have the habit of masturbation for the past six years. I am worried. I think I need to undergo counseling sessions to control it. Now, I masturbate at least once daily. Without doing it, I am unable to sleep. I tried getting myself involved in other activities. But it does not help. Sometimes I masturbate three times a day. I am unable to concentrate properly on the other parts of my life. I understand that my habit has turned into an addiction. I want to get cured. I feel shy to visit doctor physically. Kindly help me. Doctor: Hi. Sex thoughts, sex addiction, masturbation addiction, and porn films addiction come under behavior addiction. Behavioral addiction is a form of addiction that involves a compulsion to engage in a rewarding non-drug-related behavior. Sometimes it is called as a natural reward as it does not cause any adverse consequences to the persons physical, mental, social or financial well-being. Behavior addiction needs to be cured or controlled using your self-willpower. Diverting your mind and body away from the circumstances with the help of physical exercises, games, and entertainment can help you. Never sleep alone. Be always with your family even at night are some other tips. Willpower is the key forever. Behavioral therapy also works well. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24582, + "tgt": "I have depression and I always forget to eat. Please help me", + "src": "Patient: Hello doctor, I have depression, social anxiety, anger issues, insomnia and from last month I do not feel very hungry. I always forget to eat and I do not even feel like eating. I do not know if this is important or not, but my hands and legs shake like crazy sometimes and it is happening for the last six years. Doctor: Hello. I completely understand that you are concerned about your symptoms of social anxiety, panic, and depression. All of the signs you mentioned are clearly indicative of a psychological disturbance which is affecting your current life functioning. Generally, there are past negative experiences related to social and academic functioning which create fear of humiliation if the person undergoes panic attack in social situations. Therefore, individuals with agoraphobia avoid social situations and might experience panic attacks. Cognitive behavior therapy is found to be the best treatment for agoraphobia and panic attacks. Do start your treatment at the earliest as those who complete treatment at early stages of their disorder are likely to recover faster. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15019, + "tgt": "Is it advisable to take Hydroxyurea for thrombocythemia?", + "src": "Patient: Hello doctor, I am 25 years old. I have been diagnosed with essential thrombocythemia. The reasons are elevated platelet count (about 700,000 to 900,000 platelets per microliter of blood), positive JAK2 V617F mutation analysis, etc. There are different opinions coming from doctors in my country. Avoiding details, some advice me to take Hydroxyurea, some say that Hydroxyurea is unacceptable for guys of my age because of hard side effects and advise me to take Interferon alpha. Some say that I should not take any medicines and exclude disaggregates and I should just monitor platelets count to be lower than 1,000,000 and some other indicators. Kindly advise. Doctor: Hello. I can understand your situation through which you are going. I have reviewed your query and below is my advice for your case. Usually, in case of essential thrombocythemia, there is no need to undergo treatment with Hydroxyurea in all case of ET. It is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. In young age group people usually there is no need for starting Hydroxyurea. You need to check your blood pressure, sugar level and cholesterol value to decide further regarding treatment. It is advisable to maintain a healthy lifestyle and take more green leafy vegetables. Regular exercise advisable in such case to prevent clot formation. The smoking should be avoided strictly. In such high platelet count to reduce clot formation in the blood, you may need to given Aspirin in a low dose which you are taking. You can continue Aspirin and maintain a healthylifestyle with active exercise." + }, + { + "id": 5520, + "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": 23516, + "tgt": "When it is cold outside, I wake up gasping for air. What is causing this?", + "src": "Patient: Hello doctor, When I am asleep in bed and it is cold outside, I wake up out of breath and unable to breathe. I gasp for breath. This happens few times a week, only in the fall and winter. I eventually fall back asleep. I just got an inhaler, Ventolin. Hope this helps me. I do not know what is causing this. Medications I am on are Lisinopril, Clozaril, fish oil, and Klonopin (as needed). Doctor: Hello. With your history, it seems you have airway obstruction probably due to seasonal change. Continue Ventolin (Salbutamol). Once your symptoms are settled, do a spirometry test, to assess the level of obstruction. Take care. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 13506, + "tgt": "What can be done for gum pain related to wisdom tooth?", + "src": "Patient: Hello doctor, The gums where my wisdom tooth is present is in pain. Doctor: Hi. What is your age? Wisdom tooth gets erupted in ages between 19 to 30. They put eruption pressure after every three weeks or so. If its position is not vertical or they are tilted or are impacted in bone, they start causing severe pain. For it the first line of treatment is taking medications. This will subside eruption pain. The second line of treatment is if it is not getting better with medicines you should get it extracted so that it may not bother surrounding tissues and tooth. Meanwhile, take tablet Brufen 400 mg eight hourly for three days. Give me followup after three days. If pain will persist, then you will be prescribed antibiotics. Stay happy and blessed." + }, + { + "id": 30225, + "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": 7962, + "tgt": "I am suffering twitching of eyelids. Kindly help", + "src": "Patient: Hello doctor, I am 16 years old, and I am very worried about the health of my eyes. I have been having two problems with my eyes recently. One of my ongoing problems is twitch with my eyelids. I cannot keep my eye open for too long without this happening. It bothers me and distracts me a lot at school. The other problem I have is a small black dot that seems to float around in my eye. I cannot look straight without it appearing. I have this problem for a couple of months now, and I am starting to get worried. It frustrates me very much and bothers me when trying to learn at school. I sometimes have to use one eye to be able to read or see some things. I am worried about telling my parents and do not know how to say to a doctor without making an appointment. Doctor: Hello. Twitching eyes are due mostly to dry eyes in your age because of exposure to the computer monitor and prolonged use of mobile phone, which can be taken care of by the use of artificial tears (lubricating eye drops). The important issue is your left eye redness and black spot, which could be either because of swelling in your eye or a foreign body in the eye. It is a severe problem and should not be ignored. It needs an expert opinion and proper treatment. Once you consult an eye doctor and know the diagnosis we can discuss other issues" + }, + { + "id": 5115, + "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": 30790, + "tgt": "What can be the reason for my preterm labor?", + "src": "Patient: Hi doctor, I had a premature pregnancy in the 6th month. That was my first pregnancy. Suddenly, I had a stomach pain in the lower side and no other symptoms were found. We visited our doctor and she said that the cervix started to open slightly. I got severe pain, some medicines were given that night and in the morning the cervix opened completely and the baby got delivered. The doctor said that it may be due to some infections. But, my vaginal and urine culture had no infections. After one week, we had a test for rubella and CMV. My rubella ICG value is more than 500 and CMV ICG value also more than 500. Rubella IGM is 0.243 and CMV IGM is 0.413. Are these viruses responsible for premature pregnancy? What can I do to avoid this in future? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 31011, + "tgt": "Please suggest some food to gain weight", + "src": "Patient: Hello doctor, I am a 23 year old male. My height is 5'11\" and weight is 58.5 kg. I would like to gain body weight. I am have a problem of pimples with pus on face for the past four years. I had never taken any artificial mass gainer or protein. I am a pure vegetarian. My lipid profile result is as follows: Total cholesterol 93 mg%, triglycerides 46 mg%, HDL direct 33 mg%, LDL direct 60 mg% and VLDL (calculated) 9 mg%. My thyroid test report showed T3 106 mg/dL, T4 7.2 ug/dL and TSH 1.25 uL/mL. Please suggest something to gain weight and to increase my appetite. Thank you. Doctor: Hi. I understand your concern. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 25304, + "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": 12490, + "tgt": "What is causing three seizures in a day after delivery?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I am looking for some help. I feel no doctor understands what is wrong with me. I have had epilepsy since around puberty around the age of 12 when I got my period. I had a lot of seizures until I was finally controlled on Tegratol 200 mg. Throughout my teenage years, they decreased. When I married and got pregnant, my doctor lowered my dose to one pill 200 mg only at night. This was because I had no seizures for at least six months. Then I had no seizures for five years. Now I am 24, suddenly I had three seizures in one day. I was taken to the hospital and given a Magnesium injection. This was two months after giving birth and not getting periods back due to breastfeeding. I made myself sick fearing to eat anything or stress myself as I never knew what triggered it. I visited a neurologist, he said my dose is too low. He said to take 200 mg at night and 300 mg at night because I mainly get seizures when I am awake. Anyways through all of this, I get symptoms of seizures throughout the afternoon and night and when I wake up. So I get a lot of auras but no seizures. I have had this problem since I have had epilepsy. How would I get rid of these auras? My doctor seems to be confused and says it is just anxiety but I know what I am feeling. And it is the same feeling before my seizures (electric shock feeling in my right thumb). He wanted to put me on Xanax. Do I need this much medication? When I used to have seizures I would have only one in a day but after having three in one day, I got worried. I have had multiple ECG and MRI and they never found anything. Please, if you can help me. I am sick of living life in fear. What would you advise me to do? Doctor: Hello. I read carefully your question and would explain that the aura that you explain (electric shock feeling in the thumb) are not typical of epilepsy. So, considering the fact that you have been on 200 mg of Tegretol (which is a really non-effective dose) with no seizures, I do not think that these auras are related to the seizures. Besides all your repeated EEG are normal (which would not result in case of frequent seizures). They seem to be just anxiety, especially after giving birth (depression and anxiety are quite common after giving birth). For this reason, I agree with your doctor on the recommendation of trying Alprazolam. It is fine to increase the Tegretol dose to 600 mg daily. It can help against anxiety too. I would also recommend checking Tegretol (Carbamazepine) plasma levels in order to make the proper adjustments to the dose based on its plasma levels. If Alprazolam helps, I would recommend adding low dose Sertraline or Fluvoxamine to your therapy." + }, + { + "id": 9365, + "tgt": "Can bariatric surgery be done for a type 2 uncontrolled diabetes?", + "src": "Patient: Hi doctor, I am having type 2 uncontrolled diabetes. My endocrinologist is asking me to undergo a bariatric surgery. Kindly advise. Can you explain if it is required and how is it going to help control my diabetes and hypertension? Doctor: Hi. Bariatric or metabolic surgeries help to achieve long term remission from type 2 diabetes. These are scientifically proven, very safe and highly effective. They result in long term weight loss in individuals suffering from an excess weight problem, and also lead to long term remission from co-morbid medical conditions such as high BP and sleep apnea. Bariatric or metabolic surgeries alter hormones which control body fat stores and reset set value for fat storage to a lower level. Same hormonal changes are responsible for remission from problems like diabetes. Depending upon your weight, presence or absence of other medical problems, I choose different surgeries. Sleeve with bypass combination surgeries is more powerful and durable." + }, + { + "id": 21545, + "tgt": "My 15 month old baby does not take anything except breastfeed. Please help", + "src": "Patient: Hello doctor, My 15 months old baby girl does not eat anything at all and does not take a bottle or sippy cup, only breastfeed. I have tried everything but all in vain. I am very much worried now because she is very weak. Doctor: Hello. It is a slow and painful process for weaning off milk. The best way is to keep trying. In some instances, you may withdraw the milk completely so that the child is made to feel that she will not get any milk now and only food. Try to find out which particular food the child likes and make that food only. It has to be a constant effort, the results of which you would get in a few months' time. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5560, + "tgt": "I am experiencing frequent bowel movement and hematuria. Is it due to low digestive enzymes?", + "src": "Patient: Hello doctor, I have been experiencing trouble with my bowels for the past one and a half weeks. I would normally have big stools, and go often daily, sometimes every other day, and rarely once every three days. I have been having more frequent bowel movements, but they have become much smaller and also have hematuria. My PCP first informed me of hematuria a week ago, and a urologist today confirmed it was still there but there was less blood than last time. I have been having urinary issues, which the urologist suggested is because of bowel problems, and directed me to speak with a naturopath. I had a prostate exam (which was fine), and a bladder scan to ensure it was emptying. I took Colace in the evening, and the next morning I had very thick, greasy creamy stool. After eating cheerios for breakfast I experienced discomfort and gas all day long. Today, I had minor gas and discomfort, and I am experiencing a decrease in appetite, and I have lost 4 lbs in the last week. In each of the stools, I noticed solid, reddish-orange chunks that I tried to break in my tissue, which almost felt like a gummy bear. I also had corn in my last few bowel movements, which I ate the before evening. Is it possible I am suffering from low digestive enzymes? I had a frequency in urination as well, and I am drinking 50 oz of water roughly ever day. Could I have hematuria due to intestinal bleeding? After each bowel movement, I still feel like I have more to release. I have an appointment with a naturopath and looking for relief sooner though. I have done CT scan, x-ray and blood tests. Doctor: Hello. I had gone through all the data you have posted. There is no such intestinal cause for hematuria. Hematuria may be microscopic or macroscopic.Microscopic can be known only through urine examination, as you told that you were told to have hematuria I suppose you have microscopic hematuria. The common cause for hematuria is calculus in the urinary system anywhere along kidneys down till the bladder and urethra, glomerulonephritis or pyelonephritis (infection in the kidney), or taking warfarin oral anticoagulation. Kindly repeat a complete urine examination after five days and ask to look for dysmorphic RBC (red blood cells) in the urine. Coming to your second problem stools, for passage of stools freely kindly increase dietary fiber content in your diet and stay yourself hydrated. Stool like chunks indicates low dietary fiber content and low water content. eat fruits like banana, orange, watermelon. You can try powder Lactihusk which contains dietary fiber. If it does not work then, you need to take laxatives like Cremaffin (Paraffin and milk of magnesia) syrup or Sodium picosulfate syrup. Avoid spicy foods, drink plenty of water, including fruits and vegetables in your diet. Intestinal enzyme deficiency is commonly seen in patients with pancreatitis. But in this condition stools will be large and are called steatorrhea which is not true in your case. I hope this helps. Kindly upload all the reports and repeat the urine routine." + }, + { + "id": 272, + "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": 28749, + "tgt": "Can I use fan or AC for my 3 days old baby?", + "src": "Patient: Hello doctor,I am a new mother delivered a 3.7 kg baby boy through C-section before three days. I stay abroad and came to my mom's place only for delivery. As it is getting hot now, I am feeling tough and dehydrated. People around me say that I should not put the baby in AC room, directly under the fan, etc. I am now worried. How to get along this summer? If I start using AC in my room what precautions and steps to be taken to ensure baby's health and safety? Your valuable pieces of advice are very much appreciated. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23591, + "tgt": "I have severe pain due to abscess in cracked tooth. What has to be done?", + "src": "Patient: Hello doctor, I had a cracked tooth that developed an abscess under it. It took two weeks to wait for the endodontist appointment, so I started taking an antibiotic when the abscess started to grow. Finally had my appointment today and the endodontist is keeping me on the antibiotic one more week, and injected something into the abscess but did not lance it. Now it is huge and the pressure is terrible and causing a lot of pain. I am unsure what to do and if it will now drain on its own. Is this normal, because I can only find information about lancing abscesses, not injecting them with medicine. Currently I am taking Clindamycin. Doctor: Hi. Antibiotics for the abscess is always not the first choice to do actually. Moreover, you had mentioned that it is a cracked tooth. I wonder how deep is the crack so that it fits the criteria for root canal treatment. With all these kept in mind, I guess your endodontist has opened up the tooth which is the first step of root canal treatment and packed the canals with medicated paste which will help to heal the abscess. Not all dental abscesses are meant to be lanced off as you think. The endodontic treatment itself is an intraoral approach to reducing the infection of the tooth. Since the tooth pulp chamber is opened up, the pus from the abscess would drain through it. As far as you are not in pain, it is definitely safe to do. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25979, + "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": 19994, + "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": 10214, + "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": 28385, + "tgt": "My 11 year old son has acute periumbilical abdominal pain. Is surgery necessary for gallstones?", + "src": "Patient: Hello doctor, My\u00a011 year old\u00a0son has\u00a0acute periumbilical abdominal pain after waking up\u00a0and vomited a couple of times. Before, he used to wake up with mild to moderate pain, but three days back he had severe pain. The pain got relieved half way to the ER, so we came back home. I noticed early the following week that his urine was coke colored, so I took him to our family practitioner. His urine test showed bilirubin. Lab test showed elevated amylase, lipase, and all liver enzymes. The pediatrician did a clean out with Miralax, and after one week the new labs showed all enzymes to be normal, ALT was 61. Ultrasound showed normal liver and pancreas, but gallbladder was showing echogenic foci in the gallbladder lumen, which may represent non-shadowing cholelithiasis or tumefactive sludge. GI specialist is not entirely confident if it is gallbladder stone but is setting him up for surgery. As a mother who had gallstones, this is exactly how I was. I am worried because they are not 100 % sure he passed a stone or has gallbladder problems. He has BMI of 31, and he lost\u00a025 lbs through diet and exercise over the last six months. I am attaching his reports, and I need some mental reassurance. Doctor: Hi. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20751, + "tgt": "What is the treatment available for gynecomastia?", + "src": "Patient: Hello doctor, I have puffy nipples on both sides since I was 15 and now I am 23. I think it is gynecomastia. I am male and 6'1\" and 82 kg. I need to know about the treatment and is there any risk factor? Doctor: Hi. Gynecomastia might happen due to an imbalance of hormones estrogen and testosterone in men. First, the condition should be confirmed by consulting the endocrinologist. Most cases resolve with time and few require treatment if there is any cause that is responsible for it. Some medicines to be taken under prescription for gynecomastia includes Tamoxifen and Raloxifene. These have side effects and should be taken only under the recommendation of an endocrinologist." + }, + { + "id": 2384, + "tgt": "My mom is suffering from breathlessness for a month with disturbed sleep. Please help", + "src": "Patient: Hello doctor, My mom is suddenly getting breathless for about a month. It never happened before. Now, the shortness of breath has increased a lot and she cannot even sleep all night. Please help. She is 46 years old. Doctor: Hello. I can understand ur concern. According to your statement, she has been suffering from breathlessness for one month and it becomes worsen while she is lying. Sudden breathlessness can occur in asthma, heart failure, COPD (chronic obstructive pulmonary disease), interstitial lung disease, pneumonia, psychogenic problems like anxiety, etc. At first, we should find out the cause for which she is suffering now. In case of nocturnal asthma, patient suffer from breathlessness, chest tightness, etc., more at night. But you do not mention if she had past history of asthma, allergic rhinitis or repeated respiratory tract infections. Again we do not know about her physical structure like lean and thin or healthy, her occupational history, environmental history like living status, cooking history, history of fever or sudden weight loss history or hypertension history or is there any added sound with her shortness of breath. You did not mention, is there any swelling in her ankle or face or any parts of the body? Her nature of breathlessness is constant or not, that means is she suffering more at night than day? Become weak or breathless after light exercise? Is her chest movement is restricted or not? If she is obese then she can be suffered from obstructive sleep apnea. She should undergo CXR, pulse oxymetry, ECG, monitoring blood pressure, etc. For her breathlessness, she should be placed on propped up position during her sleeping time along. By using nebulization with salbutamol solution (Saltolin) along with inhaler Azmasol (two puffs four times a day) and Inhaler Iprasol (two puffs two times a day) with weight reduction and BP monitoring she can get some relief." + }, + { + "id": 9780, + "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": 15647, + "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": 13372, + "tgt": "I have fever, rash, stomach pain and other symptoms. How to diagnose the problem?", + "src": "Patient: Hi doctor, I suffer from jaundice and typhoid. I have vomiting, high fever, rashes, drowsiness, and stomach pain. Whenever I consult the doctor, he gives me medicines. I do not understand, and I am confused whether he gives tablets for jaundice and typhoid or whether he provides tablets for cough, headache, and vomiting. Please suggest. Doctor: Hi. First of all, jaundice is a symptom, and typhoid fever is a diagnosis. Jaundice is a state in the human body in which there is an increase in bilirubin (produced in the liver) level causing yellowish discoloration of sclera and skin. I am not sure whether you have typhoid or not. These symptoms you have seem to be due to acute viral hepatitis. But the picture you have attached (attachment removed to protect patient identity) is of antibiotic combination which is used in the treatment of typhoid fever (Cefixime and Ofloxacin). We cannot diagnose typhoid just by symptoms, and we need to perform some blood tests for it. You should take a lot of fluids and glucose water. If it is acute viral hepatitis, the yellowish discoloration or jaundice takes a month to disappear. You should not worry much about it, but get a full liver function test done along with PT (prothrombin time) and INR (international normalized ratio). Also if interested, get a screen for IgM anti HAV (hepatitis A virus) and HEV (hepatitis E virus) serology. Acute viral hepatitis occurs mostly due to improper hand hygiene or contaminated water source. You will get well soon." + }, + { + "id": 28179, + "tgt": "I had a leg injury 20 days back, please explain my MRI reports", + "src": "Patient: Hello doctor, I am a 33 year old male, who presents with a Lisfranc injury. I had a leg injury\u00a020 days\u00a0back. I was told it was a minor sprain, and I tried to walk on my foot, but it is paining a lot.\u00a0I am currently using non-weight bearing boots, and would not be able to see\u00a0my surgeon for another six days. I got an MRI of the leg, can you please make me understand the findings? The MRI reads, both the dorsal and plantar bundles of Lisfranc ligaments are intact and normal in\u00a0appearance. The first and second TMT joints are normal. There has been a capsular injury involving the dorsal aspect of the fourth TMT joint. Edema overlies the dorsum of the foot in this region. There is no associated fracture demonstrated. Mild edema is also seen in the adjacent cuboid at its articulation with the fifth metatarsal. The third TMT joint is normal and the shafts of the metatarsals are normal. The navicular cuneiform joint complex is normal. The extensor tendons are well maintained and the flexor tendons are intact.\u00a0Capsular injury involving the dorsal aspect of the fourth TMT joint with adjacent bone contusions and intact Lisfranc ligament. I was wondering, after reading this, what\u00a0should I expect at my next appointment with the surgeon. Will I\u00a0require a cast? I also do not understand what any of this means. Thank you. Doctor: Hello doctor. Hope I have answered your questions and doubts.\u00a0Thanks and regards. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10036, + "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": 1057, + "tgt": "Please suggest a medicine to lower my husband's blood sugar level", + "src": "Patient: I am looking for my husband doxtor becuase he is a diabetic, asking for you what is the better medicine to lower his blood sugar at the same same time he has UTI . Doctor: Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history." + }, + { + "id": 16500, + "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": 8885, + "tgt": "Kindly explain about Coombs test used to diagnose cold-agglutinin-disease", + "src": "Patient: Hello doctor, I am trying to understand how a Coombs test would be used to diagnose me for cold-agglutinin-disease. Can you please help explain in understandable terms what that would do? I am confused between direct and indirect tests. Doctor: Hello. I am trying to explain to you about the Coombs test. Basically, this test detects antibody-coated red blood cells. The direct Coombs test detects antibody coated on red blood cells. In cold agglutinin disease, the IgM antibody coat the red blood cells. So direct Coombs test is for testing for cold agglutinin disease in which antibody-coated red blood cells can be detected. In this procedure, Coombs serum means AHG is used to detect the antibody. So if direct Coombs test is positive at low temperature (because antibody in this disease bind to red blood cells at low temperature) then it suggests cold agglutinin disease. However, clinical correlation in the form of liver and spleen palpation should be done along with peripheral smear examination report for further workup." + }, + { + "id": 13768, + "tgt": "My child had an outbreak of chickenpox one week ago. Can I still get infected?", + "src": "Patient: Hello doctor, My child had an outbreak of chickenpox one week ago. I would like to visit her and would like to know. Can I still get infected? If yes, would a vaccine help 2 days before meeting her? I have attached my height, weight and BMI details. Doctor: Hi. First of all, I want to tell you that based on the weight for your age and height, you are very severely underweight and the ideal weight you should have in my view is 68 kg to keep a good balance in life and keep your immunity up. With this BMI of 10.20, you are very susceptible to any kind of infection that normal BMI persons of your age are naturally immune to. So, have a good balanced healthy diet and keep your BMI in normal limits. If you will need any kind of help in this regard, feel free to contact me anytime. Let me explain you a little about chickenpox viral disease: Chickenpox is caused by the varicella-zoster virus (VZV). It can spread easily. You can get it from your infected child who sneezes, coughs or shares food or drinks with you. You can also get it if you touch the fluid from a chickenpox blister on the body of your child. Actually, a person who has chickenpox can spread the virus even before he or she has any symptoms. Chickenpox is most easily spread from 2 to 3 days before the rash appears until all the blisters have crusted over. So, if you have to touch the child, do it with gloves on. This is needed until all the blisters are crusted over. You are at the risk for chickenpox if you have never had the illness and if you have not had the chickenpox vaccine. Now I want to add some knowledge about the disease course and how will it progress in your child's case: Get vaccinated for chickenpox if you had not had this vaccine when you were a child or if you had not got the disease when you were a child. I usually recommend to get a chickenpox vaccination, for a healthy person who is not sure if he has had the vaccine or chickenpox at childhood. Get your child properly treated as chickenpox may lead to severe complications like pneumonia and encephalitis." + }, + { + "id": 7092, + "tgt": "What are the days after periods should I stay out of sex to avoid pregnancy?", + "src": "Patient: Hello doctor, After how many days of periods, sex should not happen to avoid pregnancy? Doctor: Hello. Your question actually pertains to a natural birth control method called rhythm method calendar method (you can search it on net). Let me tell you the safe days are the days you can actually have sex in order not to get pregnant but, this method is not full proof and there are failure rates too. Consider first day of your cycle (menstrual cycle) as the day from which you began to bleed. You keep a track of your cycles and determine your shortest and longest cycle but before that know it that your cycles must be regular. Substract 20 from your shortest cycle and 10 from your longest cycle and you get your safe days. Eg. Shortest is 26 Longest is 30. 26-20= 6 30-10= 20. Days 6 to 20 is unsafe for you. Rest all will be safe to have sex to avoid pregnancy. There are many other calculations for calendar which you yourself can search but my recommendations will be five days after the last day of your first cycle that is when the bleeding stops will be the safest (though not 100 percent)." + }, + { + "id": 13461, + "tgt": "Is it normal to get bumps in the ear after piercing?", + "src": "Patient: Hi doctor, I got my ears pierced\u00a0last week. I have small bumps on that site. In my left ear, the skin is peeling. What could it be? Doctor: Hi,Welcome to icliniq.com. The bumps signify there is some local inflammation. If there is associated pain, discharge, pus or fever then you need to take appropriate antibiotics as these are signs of infection. I suggest you to visit your doctor who performed the surgery for physical evaluation. Mild bumps without above-associated symptoms will get relieved by some anti-inflammatory drugs like Paracetamol or Chymotrypsin and hot fomentation. The peeling in the ear could be due to an allergy to the earring or whatever you are wearing in the ear.bIt could also be an allergic response to any cream or ointment you had applied. I suggest you to take tablet Paracetamol 500 mg twice a day and observe. If it worsens or develops any additional symptom it needs physical evaluation. Otherwise, it will subside. Please send me the photograph of the ears for further support. It will help me to understand the local condition better, so that I can give you decisive instructions." + }, + { + "id": 26430, + "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": 7433, + "tgt": "I have digestive issues after gallbladder was taken out. Is it a serious condition?", + "src": "Patient: Hello doctor, I am female, nonsmoker, 37 years old. I had my gallbladder out four years ago. I had a lot of digestive issues (rib pain, burning feeling in the tummy, etc). After several adjustments by a chiropractor and acupuncture specialist, the issues went away. They still come back occasionally and after a few adjustments, I feel fine. Last week, I was having a lot of pain in my back rib cage, upper left side. I started to notice a few signs of possible indigestion (lump in throat feeling mainly). Even after some adjustments, the issue was still there. It has persisted for about six days now. Now my upper right side ribs are doing the same thing but on the front side. I have been very gassy, a few odd bowel movements after having a crappy tummy. I am worried that I am having signs of pancreatic cancer or liver issues or something else really serious. Any ideas? Doctor: Hello. Do not worry. I do not think there is anything serious. Usually, throat lumps are associated with difficulty in swallowing or drinking. But if you feel a lump like feeling in the throat, it is better to consult an E.N.T doctor. He will examine your oral cavity and throat. Regarding liver and pancreatic cancers, they are usually associated with weight loss, abdominal pain, poor appetite, sometimes jaundice, etc. Also, both of these cancers are uncommon before the age of 50. After gallbladder removal, many people experience a gastrointestinal upset. You can also consult a gastroenterologist. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 24832, + "tgt": "Why am I having bright red blood dripping after motion?", + "src": "Patient: Hello doctor, I have bright red blood dripping after motion. The motion is smooth, regular and painless. There is no other symptom. I consume beer occasionally and eat spicy food most of the time. This has happened before as well but I do not know what is causing it. I drink about two liters of water at least everyday. I weigh 58 kg and am 25 years old. Doctor: Hello. After careful analysis of the history provided, I would like to give you a brief idea of the condition. Bleeding from rectum can be because of a number of conditions, but since it is bright red blood it suggests, Having said that, you do not have to worry by any means about the condition. I would suggest you get an opinion in person from a surgeon as this requires in-person inspection and other procedures needed for the diagnosis of the same. For now, cut down on coffee, tea, or any beverages. Stick to consuming enough water, cut down on spicy or hot food or food that are hard to digest, increase the intake of vegetables and fruits and have detox drinks. Do follow up in case of further query and consult a surgeon in-person as I have mentioned before. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10917, + "tgt": "I have excessive daytime sleepiness. Why and how to treat it?", + "src": "Patient: Hi doctor, I am a 16-year-old female. My weight is 85 kilograms, and I have a height of 5 feet 3 inch. I have excessive daytime sleepiness for the past three years. It got started in me before three years, and my parents took me to the local GP immediately. They did blood tests and told that I have iron and folic deficiency. But I am still suffering even after the deficiency is gone. I always get sleep during the daytime. I try myself to stay awake for daily activities. I struggle extremely. It is interfering me in my day to day life. When I go to GP, they keep recommending me blood tests. I need a solution for my problem. Please help. Doctor: Hi. You have obstructive sleep apnea. Please say about other symptoms whether you had snoring, interrupted sleep, unrefreshed sleep, and morning headaches. If you had these symptoms, it supports the diagnosis. It is a condition characterized by obstruction of upper airway especially during sleep due to narrowing of airway due to obesity. Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive, and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. You can do ENT examination if you have nasal stiffness, and recurrent tonsillitis to rule out the nasal causes of obstruction. You can also do a thyroid function test, lipid profile, sugar, Hba1c, vitamin D, and polysomnography. Polysomnography is a sleep study used to confirm the diagnosis and to know the extent of the disease. CPAP (continuous positive airway pressure) is needed. You have to reduce weight. It is the first line of treatment. You need to have low fat, and a low-calorie diet to lose weight. Secondly, CPAP is a mask and device, and the pressure during inspiration and expiration during sleep keeps your airways patent and avoid this from happening. Also, regular exercise is essential. Chest physiotherapy and yoga will be helpful. So you can follow these steps, or you can visit a nearby sleep specialist or pulmonologist." + }, + { + "id": 24191, + "tgt": "How can I manage constant pain in the right knee?", + "src": "Patient: Hello doctor, I am 38 years old male. I had a sudden onset pain in the right knee after a twist during cleaning the house. Initially, it was diagnosed as ligament tear but later no tear was detected on repeated MRI. The pain is not resolving with Methotrexate 20 mg, Prednisolone 10 mg, Etoricoxib 120 mg. I have seronegative spondyloarthropathy and on Methotrexate for the past 9 years. Kindly help. Doctor: Hi. Please send the MRI reports of the knee. May I know who diagnosed the tear on MRI? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15798, + "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": 11578, + "tgt": "Is Taro-Mupirocin a recommended for healing burns?", + "src": "Patient: Hello doctor, My friend got boiling water thrown on him. Will Taro-Mupirocin help the burns go away or help him in healing the burns? Doctor: Hello. I do not think Taro-Mupirocin will be much effective. Instead of this, you may use Silver Sulfadiazine ointment which helps to relieve the burns and give a cooling effect also to much extent. Also, apply a lot of ice over the burnt area. Ice application helps to heal much faster. Take some anti-inflammatory consisting of Ibugesic (Ibuprofen) and Serratiopeptidase combination to relieve the pain and inflammation." + }, + { + "id": 2173, + "tgt": "I cannot hear after using Q-tip. Why?", + "src": "Patient: Hi doctor, I cleaned my ear with a Q-tip and now I cannot hear. Please help. Doctor: Hello For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 21493, + "tgt": "Is it normal to feel pain on going gym after six months of appendicitis surgery?", + "src": "Patient: Hello doctor,I had a laparoscopic appendicitis surgery six months back. I started going to the gym two days back. There is a slight pain in the lower stomach now. Is it normal for a gym beginner or a problem? Doctor: Hi. I understand all your concerns. Your laparoscopic operation must have been healed completely and there are no contraindications to exercising in the gym. The pain is most likely due to muscle spasms due to the exercises you do, especially if related to movements. I recommend that you use local deep heat thrice daily for two weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16219, + "tgt": "How to cure my fibroadenomas present in breast and PCOD?", + "src": "Patient: Hi doctor, My sonomammography report showed fibroadenomas in the left breast in 2-1 and 3-4 clock positions measuring 8 x 2 mm and 6 x 3 mm. My USG reports showed polycystic ovaries, a cyst adjacent to left ovary, a hypoechoic lesion is seen between the uterus and the right ovary is found with broad ligament fibroid. Recently, I have increased hair fall, and I have gray hairs. Please advise. Doctor: Hi. For fibroadenomas, it is better to discuss with a breast specialist. Many things happen due to genetics or due to use of any specific product. Check your family history regarding gray hairs. Use natural products to color hairs like henna (Indian herbal product). For PCOD, have a strict healthy diet with less salt, sugar, oil, and spice. Do a walk daily to have a healthy BMI (body mass index) and weight. Try to have regular menstrual cycles, or you can take a cyclic combined oral contraceptive pill for three months. Please send your scan report to guide you further. If you have any fertility issue, try to remove the fibroid as it is large and then decide for conception. If you have heavy periods due to fibroids, then you can do a myomectomy. Use natural products to the hairs. Avoid using conditioners regularly. If you have irregular cycles, try to consult a gynecologist for a further examination. Try to do serum progesterone, serum testosterone, serum insulin, serum prolactin, follicle stimulating hormone and luteinizing hormone, and thyroid function test. Discuss the laboratory results and the scan reports with your gynecologist. Have a complete checking and complete treatment of the health issues you have. If you are trying for conception, have folic acid daily and have sex in a fertile period of your cycle." + }, + { + "id": 17187, + "tgt": "Please let me know some medicine to relieve burn injury pain", + "src": "Patient: Hello doctor, The patient is a 50 years old female. She had a burn injury\u00a0on the inner side of the hand three days back. I have attached the picture. Now, the skin over the area is darkened. The thin skin over it has started peeling this morning. She has pain, burning sensation and not able to sleep. What can be done about this? It is in the inner side of hand and it keeps hurting due to constant irritation. I would like to know some medication to relieve the pain and some topical application if needed. She is having gastritis and taking Pantocid 40 mg for three days. Doctor: Hi. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Dermocalm lotion (Calamine) in the morning and afternoon. 2. Silverex cream at night (Silver sulfadiazine and Chlorhexidine). 3. Tablet Dolo 650 mg (Acetaminophen) twice daily for three days after food. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25527, + "tgt": "I am not bleeding much during the period. Should I worry?", + "src": "Patient: Hello doctor,I am in my periods, but this is the first time I am facing this problem. It is my third and fourth day. I am not bleeding much, just a little. Is it a matter of concern? Doctor: Hello. How are you doing? From you short history, the only significant finding is your weight. A minimum of 14 kg/m2 of BMI is needed to have periods. The normal fat in the body is gradually converted to hormones and further support the growth of the follicles, the uterus and the inner lining of the uterus which later bleeds. But when this hormonal support is low, the periods may come, but the inner lining may not develop as required and the bleeding noted is very scanty or may not come at all. To substantiate my theory, the hormone I am mentioning is the estrogen (female hormone). It is needed for the female body shape, breast, waist size, and contour. With such a low BMI and hormones, these areas will be poorly developed. This is not a thing to worry about. Do get your thyroid profile and serum prolactin done any of these days on an empty stomach at 6 to 9 AM. If abnormal, get it corrected. Do not start eating too much to put on weight. Just have lots of nutritious, protein-rich, fruits and vegetables, and avoid fatty food. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6792, + "tgt": "My RDW-CV is 18. 2 and RDW-SD is 60. 5. Is there anything serious?", + "src": "Patient: Hi doctor, I am a thyroid patient. Some time ago I went for blood test and found my RDW-CV 18.2 and RDW-SD 60.5. Just wanted to know if there is anything serious. My ultrasound report saying border-line hepatomegaly and mildly enlarged liver. My liver test shows alkaline phosphate value is 114 and albumin protein value is 5.6. Currently, I am taking Thyroxine. Doctor: Hi. I understand your concerns. But there is nothing to worry about. RDW (red blood cell distribution width) is used to determine the type of anemia, it indicates the average size of the red blood cells. Your values are a little bit above average but nothing to worry about. Alkaline phosphatase is a substance that increases if there is an obstruction in the biliary system, your value is within normal. Level of albumin is also within normal. The hepatomegaly is most likely due to fatty changes that are most likely due to alcoholic liver disease or high blood cholesterol. I suggest that you perform complete lipid profile. Please tell me if you have any symptoms. In order to see how the thyroid condition is well controlled, please send me the last TSH (thyroid stimulating hormone) level. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14087, + "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": 15027, + "tgt": "My 5 year old kid has a lump on his neck. What to do?", + "src": "Patient: Hello doctor, My 5 year old son has a lump on his neck. He had a similar lump about two years back, but it disappeared. The size of the lump is a little bigger this time. What to do? Doctor: Hi. Lump in the neck is due to an enlarged lymph node caused by an infection. If the node is enlarged, then a course of antibiotic has to be given after consulting a pediatrician. If it responds to the antibiotics, then nothing more is required. But if the lump is increasing in spite of antibiotics, then the following tests need to be done to know the type of pathology:" + }, + { + "id": 8432, + "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": 18895, + "tgt": "My 6 weeks old daughter is suffering from loose motion. Kindly advise", + "src": "Patient: Hello doctor, My daughter is 6 weeks old and suffering from loose motion. Her stool is yellowish and watery. She is passing stools with a fart. She passed stools for more than 10 times in 4 hours now. She is completely on breastfeeding. She is not pale and her lips are not dry. Also, she has some rashes on the rectum. I am giving gripe water to her daily. Any of your advice will be appreciated. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25187, + "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": 21075, + "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": 19491, + "tgt": "My teeth are crooked after using retainers only at night. Should I get braces again?", + "src": "Patient: Hello doctor, One of my teeth started moving backward as soon as I started wearing my retainer just at night. It got painful to put the retainer back in, and so I stopped wearing it. I am terrified of orthodontists and dentists, and so did not let my orthodontist know. Now, two of my teeth has moved backwards and a couple are slightly crooked. Should I get braces again or is there another option for this? Doctor: Hello. To correct the relapse of orthodontic treatment, there are two options. It depends on how much tooth movement is required. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 15171, + "tgt": "My erection is not that stronger and I ejaculate quickly. Please help", + "src": "Patient: Hi doctor, My erection is not that stronger and I ejaculate quickly and my penis skin has to be handled softly to move down. What shall I do? Doctor: Hi. Let us deal with your problems one by one. If you are able to maintain an erection during sex, that is penis does not slip out of the vagina, it means the erection is strong enough. If it is loose and limpy and comes out of the vagina before orgasm then only you may say it is weak. If you think the erection is weak you may use a long-acting PDE like Tadalafil 20 mg twice a week. If a weak erection is accompanied by premature ejaculation, you may use a combination of Tadalafil plus Depoxitine 30 mg. If the foreskin is frequently causing pain and get injured during the sexual act, you may have partial or complete circumcision and get rid of the problem forever." + }, + { + "id": 10742, + "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": 1467, + "tgt": "What are the risk factors of chest pain?", + "src": "Patient: Hi doctor, I am a 35 year old female. I have on and off sharp pain in the left upper chest. Sometimes, it radiates to the neck and sometimes shoulder and upper arm. My ECG, bloods and chest x-ray were normal. With all these tests, is it likely to be the heart? Movement does not seem to influence the pain. Sometimes, I get a bit dizzy too. Pain seems to come randomly. Doctor prescribed Diclac 50 mg thrice a day and Clorom 500 mg twice a day. What else could it be? Colonoscopy has done recently due to family history of cancer and that was clear. Ultrasound of the abdomen was also clear. Doctor: Hi. I have carefully worked through your case and can well realize your health worries.\u00a0Thanks for uploading the details of some laboratory reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27085, + "tgt": "How can blood show HSV-1 IgG positive without any symptoms?", + "src": "Patient: Hello doctor, I am a 35 year old male. I weigh 68 Kg and my height 5'5\". I am in a healthy status. History: No episodes of herpes except chickenpox in childhood. No infection of HIV - clinically tested every 6 months since last 7 years. I am straight and only 1 relationship with spouse. Both me and my spouse are not having HIV - clinically tested. I had bacterial/fungal infection with pus and redness in the genital area and so blood test was done. I recently got tested and the report is as follows: HIV -ve. HSV-1 IgG 4.5 +ve. HSV-1 IgM 0.29 -ve. HSV-2 IgG 0.45 -ve. HSV-2 IgM 0.69 -ve. HSV-1 is mostly a non-genital infection.\u00a0I have not had any episode of HSV-1 type herpes in my life. I have never had HSV-1 type herpes anywhere in the body. How can blood show HSV-1 IgG positive without any symptoms? Doctor (dermatologist) says it is because of past infection and there is no present infection. Doctor told that I should take antiviral dose Acyclovir for 20days for HSV-1 IgG past infection.\u00a0 Is it useful to take antiviral dose for past HSV-1 type infection? Will it reduce the IgG level in blood?\u00a0 Is HSV-1 IgG showing a false positive result? Question 1 : Should I take Acyclovir medicine for HSV-1 IgG positive results? (Blood test done on 20th January 2015) Question 2 : Should I retest for HSV-1? Question 3 : Is HSV-1 transmitted via intercourse or sexual contacts? Question 4: Is HSV-1 a life threatening disease? Question 5 : Does HSV-1 positive at present means that I had infected with HSV-1 3 or 4 months back (but no symptoms at present)? Question 6 : Various herbs like monolaurin, a coconut ingredient are proven to flush out/kill HSV-1 virus from nerves, how far is this trustworthy? Please explain. Doctor: Hi. Thank you for providing all the details. I shall answer your questions one by one. 1. As you have mentioned that you do not have any symptoms at the moment, there is no need to take Acyclovir. 2. A repeat test can be done just for your reassurance. Chances of false positive result is there with every test due to technical errors. 3. HSV-1 is primarily not transmitted through sexual intercourse, but kissing or oral sex can cause transmission to partners. 4. Except encephalitis, HSV-1 causes no life threatening diseases. 5. A positive IgG means exposure to the virus anytime during your entire life.\u00a0IgM shows present infection. You\u00a0might have had a sub-clinical infection earlier, which is very common. 6. The herbs do not work and there is no data to support this. Hope this relieves your anxiety.\u00a0Take care. Revert back to a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26660, + "tgt": "Is there any vaccine for swine flu?", + "src": "Patient: Hi doctor, My baby is 1 year old. We are going to travel to our native place, and I heard that swine flu is epidemic there. So, I am very much scared about it. Kindly suggest some vaccination or a doctor who can provide a solution. How can we save our baby from this kind of disease? Doctor: Hi. For further queries consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 12665, + "tgt": "Can I take Cifran 500 for mild throat pain and voice hoarseness?", + "src": "Patient: Hello doctor, Is Cifran 500 good for mild throat pain and voice hoarseness? Doctor: Hi. It is good that you asked this question here because taking unnecessary antibiotics can be extremely risky and unhealthy for your body. This tablet is mainly used to treat pneumonia patients that have a severe cough, fever, and abnormal symptoms and blood reports. Hence I would advise you to avoid it at all costs for now, unless you have all of the above. Throat infection causes your symptoms and the right medication for you is TusQ (Paracetamol, Bromhexine, etc.) or Lozenges like Vicks, Honitus lozenges, whichever is available and suits you. You must understand that the main treatment for this is warm saline water gargles thrice a day and avoiding all oily food and cold foods and drinks. Take care and get well soon." + }, + { + "id": 14440, + "tgt": "Will you clarify the reason for my forehead rashes during headache?", + "src": "Patient: Hi doctor, I am suffering from headache for the last 20 years. Initially, I used to take Saridon tablets to get relief from headache and it has given results for some time. After a few years, one of the doctors advised me to do pranayama (breathing exercise) and it has given good results. My frequency of headache has come down drastically once in three months or so. Whenever this headache occurs, some red rashes will appear on my forehead, especially in the center of my forehead and will disappear after two or three days. I could not understand the reason for the rashes. When I touch the rash, I do feel some pain. Recently, I consulted a neurologist and he said that it is migraine headache and the tablet Dolo 650 has to be used whenever headache starts. If headache appears twice in a month, then I should use Sibelium 10 mg (Flunarizine). He also said that this headache will be there till the age of 55 years and I am 43 now. My mother also gets headache for the last 40 years. Please clarify the reason my rashes during headache. Also, can I Dolo 650 for headache? Doctor: Hi. I read your query and understand your concerns. First of all, I like to inform you that the rash over the forehead is a part of migraine headache and disappears within 72 hours. In other words, a typical migraine track never goes beyond 72 hours and the same is applicable for rashes associated with it. Although the exact pathology is not known, it has been speculated that the rashes appear due to immune system dysregulation. Yes, Dolo 650 mg (Acetaminophen) is able to treat the migraine. This is indicated that the frequency of migraine is very low for around one or two times in a month. In case there is more frequency, then you may need regular treatment. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12282, + "tgt": "What does coarsened echotexture and increased echogenicity in liver ultrasound indicate?", + "src": "Patient: Hello doctor, I had discomfort recently in my right upper rear torso. I recently had an ultrasound and a CAT scan. The results covered a variety of body parts. But I am interested in speaking to a liver specialist regarding what the results said about my liver. I would like a doctor to explain to me what these results mean. My recent ultrasound showed: Measures 12 cm. Liver shows coarsened echotexture and increased echogenicity. No liver masses identified. CAT scan showed: Liver: Diffuse hepatic steatosis. Indeterminant subcapsular posterior right hepatic lobe 13 x 9 mm hypoattenuation segment 7. Doctor: Hi. I read your US reports and I can say that: 1. You have fatty liver disease (steatosis). 2. With regards to second ultrasound indeterminant subcapsular posterior right hepatic lobe, 13x9 mm hypoattenuation means that ultrasound cannot identify the reason. Often it is related with no fatty tissues at this part of the liver. Otherwise, if I were your treating doctor I would suggest doing MRI of liver to better evaluate the parenchyma of the liver." + }, + { + "id": 26301, + "tgt": "I have pain during intercourse. How to solve this problem and get pregnant?", + "src": "Patient: Hello doctor, I am 25 and my\u00a0husband is\u00a031. We got married eight months ago. We are trying for a baby. I have pain during intercourse. Can you suggest the best time for trying? I am not getting aroused. Can you suggest how I can? What types of food do we have to eat in order to conceive? Doctor: Hello. You can have any type of food. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30092, + "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": 24950, + "tgt": "I have uneasiness in the left side of abdomen. What is the reason?", + "src": "Patient: Respected doctor, I am feeling that something is there in my left side abdomen until the left side back sometimes. It feels like heaviness or uneasiness. This problem is now from two years. There is no pain but there is a discomfort. It goes sometimes completely when I am at home but arises more when I come to my college hostel which is 600 km from home. I had four ultrasounds in between but nothing came on it. I also have dry piles (blood comes while stool) for sometimes. After that too, in the ultrasound there is nothing. Also, there is a blood test in which SGPT is 44. The doctor says it is because of very spicy foods which I take. So, I stopped from one month and my stool is fine. What is this basically? I do not have any physical problem but always thinking about this issue. The doctor says it is only gas. My gas release is not good. Also, I keep awake till 5 AM sometimes. When I think about it, it feels worse. So is it because of diet and my schedule or what? What are the suggestions? Doctor: Hello. It could be gastric irritation as you say it feels worse after eating. Since your ultrasonography is normal, and you do not have any other symptoms, it could be gastric discomfort. You could get an upper GI endoscopy done to see if all is normal. Also get Barium enema X-ray of the abdomen. However, if the heaviness is on the lower left abdomen, it could be diverticulosis as it is relieved after defecation. Please get the tests done and let me know the results. For now, no treatment as such is needed. We need to identify what is causing this. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22649, + "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": 10389, + "tgt": "What type of cap should I opt for RC treated tooth, single or joined?", + "src": "Patient: Hello doctor, I went for five root canals on front teeth. Which type of caps are advisable single or joined? Doctor: Hello. Yes, caps are advisable but single is best. Joined or bridge has a drawback. If any side of the joined cap is loose or any damage comes, then the whole bridge is removed. In single if one particular tooth or cap has any problem or any damage, then the single cap will be repaired and removed." + }, + { + "id": 12241, + "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": 9947, + "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": 21512, + "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": 19948, + "tgt": "I am not able to walk properly since a bus ran over my foot. Please help", + "src": "Patient: Hello doctor, I am not able to walk properly since a bus ran over my foot. Please help. I am attaching an x-ray of the foot. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18759, + "tgt": "How to rectify my husband's high GGT levels?", + "src": "Patient: Hello doctor,My husband is 45 years old. His GGT level is high at 87. How to rectify this? Doctor: Hello. For more information consult a homeopathic physician online --> https://icliniq.com./ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 492, + "tgt": "My mother is suffering from a mental disorder for 24 years. Can she recover?", + "src": "Patient: Respected sir/madam, My mother has been suffering from mental disorder since 24 years (from my birth) . My dad took her to the hospital and undergone treatment also but no use , after up to 2 years prescribed medicine also used . It had been 20 year of not using any medicine and treatment . Since my birth i hadn't my mother's love and care . Now I want to get her treatment . Her condition right now she is healthy , don't remember anyone ,quiet calm , sometimes do whatever we told. Is there any chance to recover ? Please give me some advice as I don't know what to do? Doctor: Hello , I am sorry to hear about your situation. I can imagine how hard it must be for you. In your query you have not mentioned the diagnosis so I can't suggest exactly what needs to be done but I will explain how it works .. The fact that you mentioned that she doesn't remember anyone could be a part of 1. Dementia for which you would require a neurologist , Medications can help to an extent . 2. Psychosis or Depression can have such reactions , you will require a Psychiatrist for this . A complete evaluation is required , the doctor might do a CT/ MRI depending on the symptoms and start treatment accordingly and yes Medications can help to an extent depending on severity of the issue. One way is to get her treated on OPD basis ie at home with followuos with doctor , or you can opt for residential treatment facilities which keep the patient in the facility and there is a holistic approach to treatment where doctor , nurses , therapist , etc works as a team in recovery . I would need more information about symptoms or need to talk to your mother to be able to understand exactly what she is going through . I hope this helps .. Feel free to contact me if you have any questions. take care ." + }, + { + "id": 14823, + "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": 6017, + "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": 15012, + "tgt": "What is the reason for swelling and pain in joints with disability to walk?", + "src": "Patient: Hello doctor, I am having severe joint pains for two days. Initially, I had a fever. but now it has subsided but unable to move or walk freely as all joints seemed swollen. Doctor: Hi. Acute generalized joint pain is an uncomfortable problem that needs attention as soon as possible especially because you are unable to move or walk freely. Diseases that can cause the kind of joint pain you are having include Gout where uric acid forms crystals that deposit in the joints causing inflammation and pain, arthritis-like septic arthritis and psoriatic arthritis, infection of the joints, joint injuries. Treatment of painful swollen joints depends on the problem or diagnosis. It can include non-steroidal anti-inflammatory drugs for pain and swelling, steroid medications are taken for a short period of time to reduce pain and swelling of the joints. The steroids block the inflammatory chemicals in the body. Acute gout can be treated with medication that reduces uric acid like Colchicine, antibiotics if the pain and swelling are caused by infectious causes to stop the infection, surgery if your pain is caused by injury. It will help if you are checked and assessment is done so that more history can be given and correct diagnosis can be made." + }, + { + "id": 26420, + "tgt": "My girlfriend had her periods after the sexual act. Can she still be pregnant?", + "src": "Patient: Hello doctor, My girlfriend and I\u00a0had sex. We only indulged in foreplay we didn't have any intercourse. I tried to penetrate her but it was getting painful for her. We only did fingering and rubbing of the genitals and I\u00a0did not put sperms inside her. I have no idea whether there has been precum inside her. Also, she has not had her period for two months. After this sexual activity, she took the i-pill Unwanted 72 for the first time and also she is not on birth control pills. She had her periods just three days prior. I am scared if she is safe or not. Please help. Doctor: Hello. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14522, + "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": 8780, + "tgt": "A person has white forelock with dark blue eyes. Does this indicate Waardenburg syndrome?", + "src": "Patient: Hello doctor, In the attached image, there can be seen as a reflection of light or white forelock. He looks to me to be between 18 and 21. His eyes are bright blue, and it cannot be seen in the picture. I am wondering if he can be diagnosed with Waardenburg syndrome 2. Doctor: Hello. It is difficult to differentiate between syndrome 1 and 2. But with the forelock of hair, he may have Waardenburg. But we must see if there is any hearing loss or defect in arms and other limbs. Can you provide more details? Any history of hearing loss? Congenital hearing loss is present in most cases. The syndrome affects 1 in 40k births. Any family history suggestive of the altered gene in the subject?" + }, + { + "id": 25599, + "tgt": "Why is there weird formation of characters in front of my eyes?", + "src": "Patient: Hello doctor, I am a 46-year-old woman. I have floaters in my eyes that mostly occur when I wake up in the morning but these floaters are not just wiggly lines, these are characters. They take the form of animals or a marching band or cartoon characters. They have been happening for approximately one to three years and my eye doctor told me to see a psychiatrist. Another told me that was impossible to be happening. I am a migraine sufferer on quite a few medications but it has been happening before this. Please can someone help me. I am currently on Tizanidine, Amitriptyline, and Sumatriptan. Doctor: Hello. You cannot call them floaters according to your description. Those are formed hallucinations. First, you have to know whether there is any organic abnormality like parietal lobe lesions in your brain affecting the visual pathway. I think you should undergo full visual assessments including visual acuity, visual field, color vision and also neuroimaging to look at the brain and visual pathway. Do you have other abnormal sensations like hearing voices and abnormal smell sensations? If there is no organic abnormality, some people have synesthesia where they can hear sounds and smells due to various functional brain abnormalities and you need functional MRI (magnetic resonance imaging). Further, when you cannot find out any neurological abnormally, psychiatric advice should be sorted. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4055, + "tgt": "I am taking Ibuprofen for pericoronitis. How long should I take the medicine to become normal?", + "src": "Patient: Hi doctor, I have Pericoronitis (swelling and pain behind the wisdom tooth). I went to the dentist yesterday and he cleaned my mouth and gave me antibiotics (Penicillin V) and Ibuprofen 600. I have been taking the antibiotics for two days now and I do not feel an improvement. Is this normal? How long does it normally take until it starts getting better? Should I go back to my dentist tomorrow? I take Ibuprofen but it only lasts for two to three hours. I am also using Chlorhexamed forte. Doctor: Hello, Welcome to icliniq.com. I understand your concern. The loosely attached swollen gums over the wisdom tooth is called as pericoronitis. The age of eruption of wisdom teeth is from 17 to 21 years. Beyond that, if the wisdom tooth has not erupted or half erupted gives out pain or swelling, it is highly likely to be locked inside the jaw. Since they are the last ones to erupt, most of them do not get enough space to erupt and tries anyways and this causes jaw pain, swelling and sometimes the surrounding structures like same side temple, ear and throat also gives out pain. This wisdom tooth is called an impacted tooth. During the first visit, antibiotics and painkillers will be prescribed. The swelling will come down eventually but if that is impacted, it may not come down. Please visit your dentist and get an x-ray of your wisdom tooth to check whether there is enough space for it to erupt and to check whether it is erupting in the right direction. Taking painkillers and antibiotics will help to control pain and swelling but if the tooth is impacted, this will not be a permanent solution. You may require wisdom tooth removal. I hope this helps." + }, + { + "id": 6219, + "tgt": "My urine report shows the presence of albumin and RBCs. What is your opinion?", + "src": "Patient: Hello doctor, I have problem in my urine reports. The report shows: Albumin: +++. Sugar: nill. Pus cells: plenty. Epithelial cells: plenty. RBC's: 4-6. Urine culture: No bacterial growth after 48hrs at 37c. Please give suggestions. Doctor: Hello. I can understand your concern. You have proteinuria and hematuria. It can be due to urinary tract infection, but that can be ruled out here since you have not passed any pus cells or epithelial cells. I will recommend you to immediately get a CT KUB (computerized tomography scan of the kidneys, ureters, and bladder) done because you seem to be having an underlying kidney ailment. You also have some hematuria since you are passing RBCs (red blood cells) in the urine. There are diseases such as nephritic syndrome, membranous glomerulonephritis, etc. It can also be due to some immunological disorders. However, we should rule out kidney ailments first. You should also seek a nephrologist opinion once your CT KUB reports are ready. You should also get your RBS (random blood sugar) levels checked and get an LFT (liver function test) done." + }, + { + "id": 14028, + "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": 15075, + "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": 29018, + "tgt": "My wife's blood test indicates increased thyroid and eosinophils. Please help", + "src": "Patient: Hello doctor, Recently my wife had a blood test. We found in the report that her thyroid and eosinophils increased. Recently she was sick because of throat infection. She always has throat infection\u00a0and fever and due to that she gets sick every time. Even after she was out from fever, sometimes she feels high temperature. I have uploaded two reports of hers. Please suggest what to do for thyroid and increased eosinophil count. If you find anything unstable in the\u00a0report, kindly help in analysing the report and suggest treatment. Thank you. Doctor: Hi. I have gone through her reports (attachment removed to protect patient identity). Her eosinophil count is high, also Mean Corpuscular Volume (MCV) is high. Her cholesterol levels are fine (though they are highlighted in the report). TSH (Thyroid Stimulating Hormone) is slightly elevated. Elevated eosinophil count could be either due to allergy (most likely cause in her case) or it could be due to parasite infestation. I recommend her to take tablet Wysolone (Prednisolone) 5mg once a day after breakfast for 10 days and repeat Eosinophil count. Her raised Mean Corpuscular Volume indicates vitamin B12 deficiency. Kindly get serum vitamin B12 test done and revert back. Elevated TSH level indicates subclinical hypothyroidism which does not require any medications as of now, but repeat TSH after 6 weeks. Hope this information helps you. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5745, + "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": 19667, + "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": 17655, + "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": 24886, + "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": 3175, + "tgt": "I have insomnia with weird emotional state and negative thoughts. How to deal with it?", + "src": "Patient: Hi doctor, I have insomnia and for the past two years. I have been experiencing a weird emotional state. I decided to seek online advice and then go to a doctor once I confirm what I am going through. I cry almost every day for no particular reason, I have anger issues and frequent headaches. Whenever I am walking on the road I feel a weird urge to go right in front of a vehicle, and for the past one month it has increased a lot and I have not inflicted any self-harm if that is one question which might arise in your mind, but a year back I did try to cut my wrist with the help of a blade but later realized that it is lame to do as my life is very important. But a sudden turn of events in my life has caused a very weird emotional situation for me. I completed my 12th last year and now I am in my first year of law. I try to avoid people as much as I can and avoid going to college as well and I do not know the reason why I cry so much. I hope you can help me. Doctor: Hello. You seem to have an anxiety type disorder mixed with depressive episodes. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitor) type of medicines which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. The medicines I have mentioned are usually prescribed by psychiatrists. Apart from those, you can take Melatonin 5 or 10 mg. It is available in any decent pharmacy over the counter and does not need a prescription. You can try taking that daily at night. Apart from that, you can try some sleep hygiene methods like 1. Maintain good temperature, no noise or light. 2. One hour prior to bed, wind down and try reading or music. 3. Do not use the laptop, TV or phone one hour prior to bed. 4. Avoid caffeine, alcohol or tobacco two hours prior to sleeping. 5. Avoid exercises three hours before sleeping. 6. Take warm milk at bedtime. 7. Go to bed only when sleepy and avoid other activities on bed. 8. Use the bed only for sleeping or sex. If you do not get sleep, do not toss and turn, get up, go to another room, walk about for 10 to 15 minutes and come and lie down. See for 10 minutes, if not sleepy go out again. Try deep breathing exercises, progressive muscle relaxation techniques, or yoga or meditation. It will also help." + }, + { + "id": 24211, + "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": 19073, + "tgt": "Is it true that rest will increase FL and HL of a fetus?", + "src": "Patient: Hi doctor, How to increase the FL and HL in a fetus, when lagging behind about two to three weeks in the third trimester? Is it a major problem? Please suggest the treatment? Doctor: Hi. I understand your concern. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 29855, + "tgt": "I am having spotting problem for more than a year. Please help me out", + "src": "Patient: Hello doctor, I am having occasional bleeding in the form of spotting. I had a three month course of Niftas for UTI. I am still using Amfy V vaginal cream and taking Satrogyl 300. This problem persists more than a year. Please help me out. I am worried. The bleeding drop is coming with water from the vagina. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6687, + "tgt": "What are the benefits of ginger for hair growth?", + "src": "Patient: Hi doctor, I have a few doubts regarding the herbal remedies of hair. What are the benefits of ginger\u00a0for hair that has gotten thinner? What exactly in ginger can\u00a0help boost hair growth and how does it work? What are the advantages of mixing olive oil with ginger for thinning hair? Is there anything you can add to\u00a0a scalp massage helping to\u00a0stimulate follicles and encourage hair growth? For an itchy\u00a0scalp, how aloe vera and fenugreek soothe an itchy scalp? Is there anything in\u00a0them precisely that help? Lastly, for dull, lifeless looks we are talking about honey and coconut oil. How do these\u00a0ingredients boost shine and condition strands? Do they seal the\u00a0cuticle? Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23106, + "tgt": "What is the 6 mm mole on the side of my head?", + "src": "Patient: Hello doctor,I recently discovered a mole on the side of my head which is less than 6 mm in diameter and looks irritated. I would appreciate having someone look at it to further determine if I should have it looked at in person. I have had the mole my whole life. However, I do not remember it appearing the way it does today (I feel that the color has changed). Doctor: Hi. The mole certainly looks irritated and red (attachment removed to protect patient identity). Perhaps it is due to trauma. Trauma is the most common cause of a mole becoming inflamed or irritated. I suggest you use an OTC (over-the-counter) topical antibiotic like Neosporin ointment or Mupirocin 2 % cream, twice daily for a week or 10 days. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 628, + "tgt": "I get stomach pain if I do not eat for 2 hours. Why?", + "src": "Patient: Hello doctor, I have regular pain in the stomach while not having food in 2 hours or so. I have constant reflux, air goes from both ways. While burping, I feel acid taste. Frequently, after defecation I feel itching in the sphincter. I am having a hard time if constipation occurs. I am diagnosed with chronic gastritis and pancreas three years ago and was on medication. I am seeking for a cure or for something that will get my health back in balance. Please help. Doctor: Hello, Welcome you to icliniq.com. I can imagine how upset you have been since the start of your symptoms. I will try to provide you the best options for your treatment. So far I understand that you have H.pylori induced gastritis. You have taken medications for it, but it turns positive every time you have an endoscopy, the last which was 1.5 years back. You tend to have stomach pain which is worse on fasting plus you feel burping and acidic taste in the mouth. Anal itching, and constipation worsen your itching. So H.pylori infection is common worldwide, with a prevalence of 50% of the world population is infected with this bacteria. H pylori can cause ulcers in stomach and small intestine which is called duodenum. H pylori responds to combination antibiotics for a duration of 10 to 14 days, however, due to excessive use of antibiotics in community, this bug is getting increasingly resistant to these first line antibiotics, hence, use of second line antibiotics are preferred. I will write down the treatment below in a while. Secondly, due to failure of first line antibiotic therapy, the H pylori will remain in the stomach and can cause ulcers, as well as damage to nerve cells within the wall of the stomach and cause slowing of the movement of the stomach, medically termed as gastroparesis or weakness of stomach in common words. So your symptoms may be partly defined by resistant H pylori infection causing ulcer formations particularly in duodenum plus the nerve damage within wall of stomach leading to gastroparesis causing bloating, belching, early fullness of stomach and abdominal discomfort and constipation. I want you to tell me whether your last test for H pylori was positive or negative? If positive then I recommend you to take the following therapy for 14 days. Capsule Pylera (Bismuth Subcit K-Metronidz-Tcn) three capsules daily with a glass of water three hours after meals and at bedtime, capsule Esomeprazole 40 mg once daily half an hour before meals for two weeks, Digestine 40 mg half an hour before meals daily for two weeks. If the test was negative, then I suggest you to test H pylori stool antigen to confirm if the infection is still present. If still negative then do not take capsule Pylera but continue with Esomeprazole and Digestine. The Digestine tablet will help you to improve your stomach movement. Secondly some precaution for gastroparesis try to avoid large volume meals, instead take small frequent meals. Avoid taking fatty meals such as burger, fried things, and large carbohydrate meals like potato and sweets, and soft drinks, which further slows your stomach. Avoid taking a large volume of water while having meals. Your stomach pain occurring when you are fasting for two hours is due to ulcers in duodenum, once your treatment with H pylori is completed plus acid suppressant medication such as Esomeprazole would help you to reduce your pain. I want you to upload your endoscopic reports and ultrasound reports which can help me to assess the extent of damage H pylori has caused to your stomach and duodenum. I hope this helps. Peptic ulcer disease secondary to resistant H pylori. Gastroparesis H pylori induced or idiopathic. Small intestinal bacterial overgrowth. Functional dyspepsia (post prandial distress syndrome). Stool for H pylori antigen to confirm if H pylori is still present. Gastroparesis H pylori induced or idiopathic. Small intestinal bacterial overgrowth. Functional dyspepsia (post prandial distress syndrome). Peptic ulcer disease secondary to resistant H pylori. Follow up in 2 weeks to update about symptoms, as I can reassess and guide you further treatment plan for long term." + }, + { + "id": 20753, + "tgt": "Why is there a throbbing recurrent headache with nausea and dizziness?", + "src": "Patient: Hello doctor, A throbbing and recurring headache, nausea, and dizziness. I am an 18-year-old female. Doctor: Hello. It can be a migraine headache as throbbing in nature and one side with nausea. You can be prescribed Naproxen or Ibuprofen for relief from an acute headache. If it cannot relieve a headache, then Rizatriptan can be prescribed. If a recurrent headache occurs, then prophylactic treatment with Amitryptiline might be needed. Avoid aggravating factors for a headache like stress, smoking, lack of sleep, hypoglycemia, loud noise, bright light, etc. It is advisable to check your blood pressure as well. I suggest you consult a physician for examination and get prescription accordingly." + }, + { + "id": 8979, + "tgt": "What can be the reason for the redness and tiny white dot in my eyes?", + "src": "Patient: Hello doctor,About a week ago, I started feeling like an eyelash was inside my eye, and I rubbed my eye all day until I reached home. I could see my eye was very red, and around the cornea, there was a tiny white dot, the discomfort did not stop. A week later now I have one more dot, and my eyes are still very red and the I feel that there is something is in it, what could this be? Doctor: Hello. It appears to be allergic conjunctivitis (attachment removed to protect patient identity). Start with, 1. Moxifloxacin plus Loteprednol eye drop four times a day for three days then taper it to two times a day for the next three days then decrease it to one time a day for the next three days then stop. 2. Olopatadine, 0.2 percent eye, drops two times a day continuously. 3. Refresh tears eye drop six times a day continuously. 4. Tobramycin eye drops four times a day for the next seven days." + }, + { + "id": 2293, + "tgt": "My 6-year-old kid is urinating frequently for about 30 times a day. How to stop it?", + "src": "Patient: Hello doctor, My child is 6 years old. Since one month he is repeatedly urinating for more than 30 times a day. We consulted a doctor and he prescribed for an antibiotic but it is not working. He went through urine culture and ultrasound, everything was normal. Is there any way to come out of it? Please help. He is currently taking Ofloxacin oral suspension IP 50 mg/5ml and also lactulose solution USP 10 g/15 ml. Doctor: Hi. See, your child is suffering from urinary tract infection (UTI) as per the symptoms. Can you please describe the other symptoms in more detail like any history of fever or chills rigor/pain abdomen/pus or blood in the urine or any stool abnormality? Any history of burning urination or any history of local inflammation in the genital area? Any previous significant history? Any history of similar complaints in the past? How is the hygiene of the genital area? Also, birth history of child? Is there any other chronic illness in child? Along with the above history kindly upload urine culture and sensitivity reports along with all other investigations done along with the date of investigation. If not done then get one complete blood profile, urine culture sensitivity, blood pressure, serum urea, creatinine, and electrolytes and follow up with reports. Till then continue with same antibiotics and lots of fluid intake. Give more vegetables and maintain proper hygiene. See, maybe antibiotics are resistant for the infection that is why it might not be working. So we need to change the antibiotics as per the reports. So kindly attach the reports in the same follow up." + }, + { + "id": 27328, + "tgt": "I have a pain on the inside of my calf muscle after playing a sport. What do I do?", + "src": "Patient: Hi doctor,I think I have a posterior tibial stress fracture. I am a long-distance runner. I play many sports but after playing frisbee, I have a pain on the inside of my calf muscle. I was advised by friends and family to take rest and do strength training. I did both but, neither worked. This pain is triggered only after playing frisbee. What do I do? Doctor: Hello. Firstly, we need to make the right diagnosis. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 10640, + "tgt": "I am 18 years old and my gums have receded because of improper brushing. Kindly help", + "src": "Patient: Hello doctor,I am 18 years old, and I am worried because I feel that my gums have receded. It is because of my improper brushing routine, they are yellow, not wobbly, and gums are becoming a darker version of red, gums have receded from the front teeth. Doctor: Hello, Welcome to ilciniq.com. Your teeth are stained with yellow plaques, and the condition is called gingivitis. Try this home remedy, 1) Take one tablespoon of baking soda with two tablespoons of hydrogen peroxide to make a paste. 2) Rinse your mouth thoroughly with water after brushing with this paste. 3) Use an antibacterial mouth wash and rinse. 4) Eat lots of vegetable and fruits. 5) Use a soft-edged toothbrush." + }, + { + "id": 8426, + "tgt": "Had taken Meprate for delayed period. Still, is there any chance of pregnancy?", + "src": "Patient: Hi doctor, My girlfriend is a virgin and we were intimate on two consecutive days last month. During that time, her periods were delayed by two weeks. I was careful not to ejaculate anywhere near her vagina nor was it knowingly in contact with my penis. She waited for another 10 days and since she did not get her periods. She had Meprate tablet twice a day for five days. Then, she got her periods after another five days. The blood discharge was more in the first day and the bleeding diminished subsequently and it lasted only till the fourth day, though usually it lasts for five days. Her periods is due now for this month and still she does not have any menstrual symptoms. Will she be pregnant? Please advise. Doctor: Hello. Ideally, Meprate - Medroxyprogesterone should be taken only after confirming the absence of pregnancy as Meprate has a tendency of causing incomplete abortion. So, it would be wise to get a serum beta hCG done (human chorionic gonadotropin). It is a blood test that detects minutest pregnancies. As per the timeline, if the value comes less than 5, then the test is negative. Review with the value of the beta hCG report, so that I can suggest medication safe for her. When you review make sure you mention the following. The value of beta hCG, starting date of last periods (before intercourse), date of intercourse and intake of Meprate and if she has associated thyroid or prolactin disorder. Revert back with the reports to a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 29175, + "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": 9065, + "tgt": "My nrbc is 0. 5 in my blood work. What does it indicate?", + "src": "Patient: Hello doctor, I am 24 years old. 4\u201911\" in height and 121 pounds. I have extreme fatigue, random bruising, and very painful joint pain. It is gotten so much worse over the last two months it is unbearable. In my blood work, I had nrbc 0.5 the doctor do anything about it when I should be getting a bone marrow biopsy. He says it is nothing to worry about but everyone else says that is not normal and could eventually explain my symptoms. I wanted your opinion about nrbc being in my blood. Doctor: Hello, Welcome to the icliniq.com. I have read your concern, and below is my opinion. The 0.5 normoblasts cannot be considered high. However, if you can attach your report than I can check it. In hemolytic anemia, NRBC (nucleated red blood cell) can be raised. So you need to investigate with full CBC, peripheral smear examination report, serum LDH, and reticulocyte count for primary workup. For joint pain serum ANA, RA factor, and local joint x-ray needed. As you have bruise complaint as well you need to investigate with PT, APTT, the liver profile also reports for further workup. You can apply vitamin K containing ceram over bruise for getting relief. Oral vitamin C tablet 500 mg BD also will be beneficial for that. I hope I have answered your questions.Let me know if I can assist you further in solving your doubts." + }, + { + "id": 3233, + "tgt": "Why do I have pain inside my anus?", + "src": "Patient: Hi doctor, I am 27 years old. I have pain inside my anus. My anus outside is normal with no pain and injury. Along the same line of my anus right inside I feel the pain. No blood and passing stool also easy. When I sit on the toilet I used to sit with legs spread out a bit. Otherwise when I walk or before I sit down or when I intend to change my sitting or lying position, I feel pain. No other sign of sickness present. I do not have fever. Please note that sneezing, coughing or even spitting out increases the pain. Also in the morning, the pain seems to reduce but as the day progress, the pain increases.\u00a0I am out of town for a project. So, I cannot go for any test.\u00a0There is also some loss of appetite. The same thing occurred before two years also. Currently, I am taking O2 (Ofloxacin and Ornidazole), Prowel and Cremaffin.\u00a0I just started taking them this morning but no effect as of now. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4318, + "tgt": "What is periodontitis and how can it be treated?", + "src": "Patient: Hello doctor, Kindly explain the treatment of periodontitis. Doctor: Hello. Any history of previous braces treatment? Smoking history? Any systemic diseases? Under any long term medication usage? I have gone through your OPG (attachment removed to protect patient identity). Looks like you have a moderate form of generalized periodontitis. Periodontitis is the infalmmatory condition of the underlying bone and the associated structures. It could be either because of local factors or due to systemic conditions. A complete oral examination should be done to determine what is causing your generalized bone loss in oral cavity. The most common local factors are calculus (hardened yellow food deposits), habits history and unstable bite. This unstable bite could also be due to your wisdom teeth. Some of the systemic factors include, nutritional deficiencies, systemic diseases like diabetes mellitus, genetic factors, blood disorders, immunocompromised diseases or if under any long term medication. Treatment depends on the cause. Treating the cause, stops the progression of the disease. If it's due to local factors, scaling and polishing followed by LANAP (LASER Assisted New Attachment Procedure) will help. Long term maintanance including review appointments and oral prophylaxis should be done in periodical intervals. Please visit a periodontist/dentist to identify the cause and to start with your treatment." + }, + { + "id": 30974, + "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": 22613, + "tgt": "Do you see signs of ischemia in my ECG reports?", + "src": "Patient: Hello doctor, Abnormal t-wave. High QRS Voltage. Abnormal Qtc. Pulse 60. Two readings were taken. Marfan syndrome present. Male 33 years old, 180 lbs, 6.1 feet tall. Chest tightness, heart palpitations, fast heartbeat, fluttering, fatigue, inverted sternum since birth (abdominal area protrudes, not due to fat but possibly due to chest deformity, sunken in). Do you see signs of ischemia, what could be wrong based on these readings? Doctor: Hi. I have gone through the ECG and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity and thus the heart being closer to the chest wall than usual. Hence, the recording electrodes recording higher voltages from the heart muscle. The QT also seems normal. I think the palpitations could be due to underlying mitral valve prolapse which is common in Marfan's syndrome as also aortic root disease. You need to get an echo done to diagnose these conditions. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18940, + "tgt": "How long should my mother stay on a ventilator?", + "src": "Patient: Hello doctor,My 98 year old mother is on a ventilator. Yesterday, they did a T-piece trial and for an hour everything looked good. But, the blood gases showed 61% Co2 and her last blood gas was 51% while on CPAP. They are going to do another test in a few days. The head RT said because of that Co2 she will never be weaned off. Is it true? Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 8629, + "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": 19615, + "tgt": "Kindly suggest a permanent cure for piles", + "src": "Patient: Hello doctor, I am a 30-year-old female suffering from piles. First, it was on and off but now since around a month or so whenever I pass stools it starts paining me and then the pain stays for half a day or so. Then, if I pass stools again the next day, the same thing continues. This is causing discomfort. There is no bleeding seen in the stools or anywhere around the rectum. No visible signs of anything. Please, suggest me what medicines should I take? I am also taking syrup Duphalac for loosening stools but it still hurts a bit. Please suggest a permanent cure for this trouble. Doctor: Hello. You will have to follow a few steps for a few weeks. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28364, + "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": 4212, + "tgt": "Why do I have nausea, cramping in upper groin area and burping?", + "src": "Patient: Hello doctor, I had nausea a year and a half ago. At that time, I could not eat and was given IV therapy along with antacid. Immediately felt better and I left the ER.\u00a0I had a colonoscopy about a year ago and it was fine. Doctor did not do any other test and said I had gastritis from alcohol. He gave me some nausea medicine.\u00a0Recently,\u00a0I went to my doctor with symptoms of bloating gas, belching, lower abdominal cramping and nausea. I had been drinking pretty heavily for the past five months. I have not been vomiting nor had any blood in my stools. It has been two weeks since I consulted him and I am still belching, having cramps in upper groin area, and burping. My appetite is fine. I have not drunk for17 days now. I am taking Zoloft. What is your suggestion? Please help. Doctor: Hi. 1. Complete blood count (CBC). 2. Liver function test (LFT). 3. Upper gastrointestinal (UGI) endoscopies and amylase and lipase test. Dyspepsia (impaired digestion). 1. Take tablet Pantocid DSR (combination of Pantoprazole sodium and Domperidone) one tablet once daily before food for a month. 2. Tablet Normaxin (Chlordiazepoxide and Clidinium bromide) one tablet twice daily after food for a month. 3. Tablet Rifagut (Rifaximin) 200 mg one tablet twice daily after food for 15 days. 1. Avoid alcohol, fasting and spicy food. 2. Take small and frequent meals. 3. Avoid cabbage, cauliflower, milk and tea. Revert back after the investigation to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 834, + "tgt": "Is hair fall common after a surgery?", + "src": "Patient: Hi doctor, Last year, I noticed hair fall. Then, I had a surgery for appendix and post surgery my hair fall increased severely. I have checked vitamin D, B12 and ferritin levels. Everything is normal. Since, I am a vegetarian my doctor put me on some multivitamin tablets. I am also taking biotin tablets for two months. It has been a year, but nothing helped. My hair has reduced to a sleek pony. My family history does not have any hair fall issues.\u00a0Three weeks back I started taking Minoxidil 2% on a dermatologist recommendation. Till now, I did not observe any change. Also, it has started making my hair dry and brittle. Please tell me what to do further? Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4072, + "tgt": "Why do I hear my heartbeat only in right ear while bending down?", + "src": "Patient: Hello doctor, I am a 35 year old male. I can hear my heartbeat in my right ear when I bend towards my knee. In any other position like standing or lying down I do not hear this heartbeat sound. My hearing test is normal. Is it normal to hear this heartbeat sound when a person bends his head towards his knee?\u00a0Also, I am hearing it only in my right ear. Is it normal? Doctor: Hi. We are here to help you. Most commonly such feeling of heartbeat known as palpitations is absolutely normal. However, this could be due to anxiety issues. I would recommend you to get your electrocardiogram (ECG) and thyroid profile done and write back to me with reports. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26434, + "tgt": "Herpes 1 and 2 IgG are on the higher side. Is it a matter of concern?", + "src": "Patient: Hello doctor, I accidentally touched the vaginal fluid of a sex worker two and a half months ago. I had a cracked skin on my finger. It was a deep crack, but not a bleeding crack. So, I consulted a local doctor there. He gave me PEP medicines for 30 days. It was Teno-EM (Tenofovir Disoproxil Fumarate and Emtricitabine 300 mg/200 mg) and Lamivir (Lamivudine 300 mg). Five weeks later, I did an HIV 1, 2 and P24 combo test. It was negative. I repeated the\u00a0same test on the ninth week. It was also negative. Please advise how conclusive these tests are. Should I go for any other conclusive test? I am in the 10th week after exposure. 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": 23126, + "tgt": "The shine and glow has disappeared from my face due to tension. What to do?", + "src": "Patient: Hello doctor, There is darkness around my mouth and forehead also. And my total shining of the face is gone. But before five months, I was alright. But due to continuous crying and tension, shining disappeared. Please tell me what should I eat. Doctor: Hello. It seems you are going through some stress, which is causing this problem. That stress needs to be addressed. Based on whatever limited information you have provided, I will suggest you following - Kindly let me know if you have any questions. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 29036, + "tgt": "My father has a constant pain in head after eye surgery. Please give your expert advice", + "src": "Patient: Hi doctor, My father, who is 53 years old, is suffering from diabetic retinopathy and has undergone vitreoretinal surgery. After the surgery, his eye (right) responded well. But now, there is a constant pain in his head. The doctors said that there is some pressure in the eye, which increases and results in pain in his head.\u00a0Please give your expert advice on this issue and the best-suited medication. 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": 18176, + "tgt": "I am ejaculating while sleeping. Kindly suggest a medicine?", + "src": "Patient: Hi doctor, I am a 28 year old male. I am frequently ejaculating semen unknowingly while sleeping. It occurs at least twice in a month. I had siddha medicine a year before and it showed some improvement too. But, I discontinued. Now, I am not getting proper sleep. My left hand is trembling some time. Kindly suggest a medicine. Doctor: Hi. Revert back with the answers for the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24788, + "tgt": "I touched a used needle. Is there any chance of me getting HIV infection?", + "src": "Patient: Hello doctor, I work for a company where there is one person who is a\u00a0diabetic. He uses regular insulin injections. Well I was not paying attention when I picked up the trash can because it fell over, and\u00a0I touched a used needle. I know I did not get pricked because it did not pierce my skin. I also applied pressure to where it touched and no blood came out. Two days after it happened, I got sick.\u00a0I have cold and I am scared if this is related to the incident.\u00a0I want to make sure that there is no chance of any viruses (like\u00a0HIV)\u00a0in my body.\u00a0I just need reassurance Doctor: Hi. The risk of infection from\u00a0needlestick injuries\u00a0depends on: Diabetics use fine gauge needle and that too for injecting insulin into the skin rather than into a blood vessel. Moreover, the needlestick injury you have mentioned here actually did not prick deep enough, you just touched the needle and I think your chances are minimal if at all.Are you unsure about the HIV status of the patient? If you are sure that the used needle belongs to him and no one else, and if you know the person very well, you may straight away go and tell him/her about the incident and your reason to be anxious and inquire about the person's HIV status. That would be the easiest way. You may get a HIV combo test (antigen and antibody based test) done after 1 month of exposure, for your own peace of mind. Consult a HIV AIDS specialist online for further help --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16346, + "tgt": "I have sharp pain in my vagina when I pee. Why?", + "src": "Patient: Hi doctor, I am 16 years old female. I urge to pee quite often. I have a sharp pain in my vagina when I pee. I have the urge to pee frequently. But when I go to the toilet, I do not have the urge to pee. Is this due to UTI or STD? Doctor: Hi. These symptoms are common in both STD (sexually transmitted diseases) and UTI (urinary tract infections). If you do not have vaginal discharge or any history of unprotected sex, then UTI is the cause. You can confirm the diagnosis with the following tests. You can do urine microscopy and routine examination soon. You can do a vaginal swab for microscopy and culture. Drink plenty of water and keep the area dry and clean. If there is an infection, you can take antibiotics." + }, + { + "id": 30631, + "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": 28949, + "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": 28205, + "tgt": "Are there any natural ways to treat open pores and melasma?", + "src": "Patient: Hello doctor,I had flawless skin until I got pregnant with my fourth child. I now have enlarged pores on my cheeks and top of my lips. I have tried exfoliating and other procedures, but nothing seems to help. I also developed melasma, and I have to wear makeup to cover it. It is making my pores look terrible. Are there any natural ways to improve this? Doctor: Hi. Melasma and pores develop due to hormonal changes after pregnancy. It can also be due to consumption of oily and spicy fried junk foods. Sometimes, oral contraceptive pills and corticosteroids also cause those symptoms. Anxiety and stress can also cause melasma. But do not worry, it can be managed through ayurvedic medicines and yoga. All these medicines are ayurvedic and have very good results. Along with the medicines, I suggest you do the following: For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23072, + "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": 6440, + "tgt": "Will there be any long-term effect of slow weight gain pattern in babies?", + "src": "Patient: Hello doctor, I am worried about the weight gain of my baby. She was born three years back and had weight: 3.36 kg, length 51 cm and head circumference 35 cm. We started exclusively breastfeeding. On the 30th day appointment she had weight 4 kg, length 56 cm, and head circumference 38 cm. 60th day appointment: weight 4.75 kg, length: 57 cm, and head circumference 40 cm. 90th day appointment, weight 5.58 kg, length 61 cm, head circumference 41 cm. Since then she did not gain any weight for two weeks, so we started giving also Formula, without much success, she barely drinks 120 ml for one meal. Her weight gain has not been good since, on the 120th day appointment, she was 5.91 kg. How can I make her drink more at each meal? Would my baby be described as failure to thrive? What are the long-term effects of this slow weight gain pattern? Doctor: Hello. The weight of your baby is slightly less. See it is not about the quantity, it is about the frequency of the feeds and the calorie content of each feed. 1. Feeding should be done every two hourly. Even at night. 2. Fortification of the milk can be done by using Simyl MCT oil and HMF sachet in each feed. In food fortification, the quantity of each feed remains same but the calorie content increases. I hope this helps your baby gain weight. Weight should double birth weight by 6 months, triple by 1 year, and be 4 times by 2 years." + }, + { + "id": 29849, + "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": 2651, + "tgt": "I got injury in the white portion of left eye with red spot and pain. Please suggest treatment", + "src": "Patient: Hello doctor, A week ago, I slightly injured the white area of the left eye. A small red spot developed on the eye with some pain. Now that red spot gets pale but the pain is still there. Please suggest. Doctor: Hi. Mostly it is sub conjunctival bleed that is not harmful. It will take a week more to settle down. Start Nepafenac eye drop twice daily for three days then taper it to one time a day for the next three days then stop." + }, + { + "id": 9536, + "tgt": "I have itching and burning sensation on penis after sex. What could be the reason?", + "src": "Patient: Hi doctor,Twelve days ago I had protected sex with a girl I did not know after a night out. I showered that night maybe an hour afterward and used a perfume smelling body wash or shampoo. Whether it was in my head or actual, the next day I noticed an itchiness or rather a need to readjust my penis which persisted on and off for about a week with no other symptoms, visual or pain or burning. A week after the incident, the itch progressed to something between an itch and an occasional burn on the underside of the head of my penis where the ridge of the glans meets, but in total very mild, and I did not think much of it at the time. In the weeks prior and the week subsequent I was traveling with a lot of daily exercises and occasionally limited ability to shower or use shampoo. Eight days after the night out I noticed a small patch of red bumps that looked somewhat rash like in the same small area. To be specific, they do not look like pimples nor are they very raised and do not look to contain any liquid or if they do a minuscule and clear amount. The weird thing is that when these first came about, the itching also stopped, and I have no other symptoms such as discharge, burning while urinating, or other health issues. In days 10 to 12, I have had no such symptoms as well but the ridge of my glans penis around the front side of the head now appears to have symptoms similar to what balanitis may look like from other research, with a slightly swollen and red penis head and a rashy or bumpy looking appearance to the edges of the head. The itching has stopped, and from online research I figured it may be something like jock itch, a male yeast infection or another fungal situation so I began using an antifungal cream yesterday. The original red bumps on the back of the head have faded somewhat and have not blistered or scabbed or popped or shed any skin which I have been vigilant about from reading online. I am wondering if you can shed any light on my situation as I am worried just like any person experiencing STD scares. Doctor: Hi. I have gone through your case in detail. Well, you need not worry about any STD or fungal infection or jock itch or even about herpes as your lesions are not active right now. There is only mild redness which could be remnant of balanitis or friction. At the moment no signs of any sexually transmitted disease. All you have to do is to maintain a good hygiene. Avoid sweating and friction as much as you can. Wash it daily. Apply antifungal cream for a week so that it smoothe out your lesion in addition to antifungal effect. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24880, + "tgt": "Why has the automatic blinking stopped in my child?", + "src": "Patient: Hello doctor, My son is 16 years old. He is myopic with the approximate power in left eye being -5.5 spherical and cylindrical - 0.5, right eye being -6 spherical and cylindrical - 0.75. Since the last few days (4 to 5 days) he is facing a problem in his eyes. He feels his automatic blinking has stopped and has to blink consciously. He has also been complaining of eye irritation, itching and watering in the eye which happens as he is not blinking. He is reminded of blinking when the itching or watering starts. He is disturbed because of this and not able to concentrate on his studies. What has caused this reduced or no blinking? It is really worrying. Doctor: Hi. First of all, we have to take care of itching and watering, and for that, you have to start Moxifloxacin eye drop four times a day for five days and Refresh Liquigel eye drop (Carboxymethylcellulose sodium) six to eight times a day. It can be continued for a long time as it has no side effects. Now coming to the blinking part, blinking is a response that is to be carried out by both conscious and unconscious mind. You are saying that unconscious blinking has reduced. For diagnosing the problem, we have to conduct a cotton wisp test by an ophthalmologist by which we can check the child's corneal sensation because if the corneal sensation is reduced, it can lead to reduced blinking. Also, while you are at the doctor's, you can have him rechecked for glasses to see whether the prescription for glasses has changed or not because that can lead to watering. Spending more time on mobiles and laptop can cause reduced blinking. So, please look into it. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10571, + "tgt": "Will Zoloft cause muscle pain, cramps or tingling?", + "src": "Patient: Hello doctor, Do Zoloft cause muscle pain and cramps or tingling? Doctor: Hello. Yes, Zoloft (Sertraline) may cause muscle cramps, tingling by disturbing blood sodium chloride levels. Zoloft is an SSRI (selective serotonin reuptake inhibitor), which may cause a disturbance in these ions (sodium and chloride) hence may cause it. Get the blood test done serum sodium and serum chloride, or you may try increasing salt intake in your diet. Which if improves your problem then it is undoubtedly due to low sodium and chloride." + }, + { + "id": 19503, + "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": 27054, + "tgt": "Lately, I feel tired after my morning walks. Why?", + "src": "Patient: Hi doctor,I am a 50 year old\u00a0male. I am taking BP medicine Cilaheart 10 twice a day for the past seven years. I do morning walks of about 5 km average for six days a week since the past three years. I normally have a sound sleep for six to seven hours every day. I normally getup twice for urination.I consume 4 liters of water everyday. I consume 120 ml of scotch whiskey everyday for the past 15 years. Twice a week, the intake of whiskey might go up to 180 ml. I have a sitting job. I do consume Amla-Karela juice 20 ml twice a day since two years. I also take Giloy Juice 20 ml plus Aloe Vera 30 ml twice a day for the past two months. My sugar levels are on borderline since the last two years. My HbA1C levels in the past have been as follows:\u00a0Dec - 6.10, Mar - 5.70,\u00a0Aug - 6.30,\u00a0Jan - 6.80,\u00a0July - 6.90,\u00a0Aug - 6.60. I have attached my latest lab reports for your ready reference. From the past few months, I am feeing tired after my morning walks. I feel a loss of stamina the whole day, which was not the case about a year back. I have developed a frozen shoulder on my left side (left hand) since the past three months and have been having trouble wearing or removing my T-shirt, removing wallet from back pocket, sleeping on the left side and many other related problems. Since the past 30 days, I have developed a pain the in upper side of the heel of my right leg. That troubles me when I get up and start walking, if I continue for 50 meters then I do not feel a pain and can walk. I visited an orthopedic and he recommended some exercise with some meds which I am doing for the past one month. The prescription is also attached for your reference. I have been recently prescribed Glycomet SR - 500 Mg - one time after dinner, but I am hesitant to start the same, worrying about the side effects. I request you to please go through all my reports and advise me correctly. Doctor: Hello. Sorry to say that, yes, you are diabetic. Take care. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 4450, + "tgt": "My urine is bright yellow in color. Could it be due to any kidney problem?", + "src": "Patient: Hi doctor, I am 76 years old. I do not feel thirsty thus I drink very little water for a long time. I was advised to take more water but I am unable to take as I need to force myself to do so. My urine used to be yellow three or four times a day whereas for the past 20 days it is always yellow in color and after urination when I flush the commode bright yellow color is appearing in the water. I felt like checking up and got a kidney function test done. I have the reports but there is no option to attach file. However my urea is 27.6, blood urea nitrogen is 12.6, creatine is 0.9, and uric acid is 7.1. I am on medication for my diabetes and hypertension. Can you suggest what I need to do further on my condition? What is the present state of my kidneys? Best regards. Doctor: Hi. I went through the case history and the reports (attachment removed to protect patient identity). I would like to know what kind of medication you are taking for hypertension and diabetics. Do you get a burning sensation while passing urine or fever? Kindly get back with the details. Thanks." + }, + { + "id": 29152, + "tgt": "My eyes are paining as I slept with contact lenses. What to do?", + "src": "Patient: Hi doctor,I am using\u00a0contact lenses daily. But yesterday, I slept with it in my eyes. When I woke up, my eyes were red and itching. It is painful, and water is coming out continuously from my eyes. Please help. Doctor: Hi. Revert with more details to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 28916, + "tgt": "Why has not the milk tooth erupted in my 15 months old baby?", + "src": "Patient: Hi doctor, My baby is 15 months old. Her first milk tooth has not yet erupted till now. Why? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24035, + "tgt": "I have a burning feeling in the lower back. Please check my MRI", + "src": "Patient: Hello doctor, I have a burning feeling in the lower back, down the legs, and in the shoulders down to hands. Hips burning and near the rib cage. I have not seen the chiro for lower back for three weeks. Doctor: Hello. I have gone through your history and the images attached here (attachment removed to protect patient identity). The history is usually suggestive of spinal etiology but the MRI images attached here do not show any gross abnormality. Mild indentation of the spinal column is seen, which appears to be an incidental finding rather than a pathological one. I wish to ask a few more questions about your condition and health. Kindly follow up with your answers and feel free to discuss further. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20510, + "tgt": "Why am I having back pain and no control over bladder and bowel?", + "src": "Patient: Hello doctor, I am 51 years old. I have had six low back surgeries including a fusion with hardware and screws. Today at work I lifted something heavy and had a very sharp pain that brought me to my knees. Now I am losing control of my bladder and bowels, and the pain is very bad. What could this be? Doctor: Hi. If you are developing radicular pain and losing your bladder and bowel, then it is an emergency and you need to quickly consult your spine surgeon. It could be due to some problem in the fusion segment or above that segment which is called adjacent segment degeneration. You need urgent surgery to decompress your spinal cord. I know it would be extremely mentally traumatic for you to get yourself again cut after six surgeries but the situation demands that and you need to fight it. Get yourself evaluated from a good spine surgeon and decide accordingly. Are you feeling numbness at your anal region?" + }, + { + "id": 26085, + "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": 16522, + "tgt": "Kindly suggest some medicine to get rid of ringworm infection", + "src": "Patient: Hello doctor, My problem started four years back. It started up as a small ringworm infection and now it has taken a terrible position.\u00a0I am facing lot of trouble on my hips.\u00a0I feel lot of itching and when I itch hard some watery kind of thing comes out. When I take medicine it is fine. When I stop taking medicine, it relapses.\u00a0I am facing lot of irritation during periods. I took Terbicip, but it did not get adjusted with my body. Now, I am taking Ebast 10 mg and feeling better with it.\u00a0Kindly suggest me some medicine so that I can get rid of it permanently. Thank you. Doctor: Hi. I understand your concern. From my professional opinion, it looks like tinea with secondary eczematization or in simple words fungal infection with skin damage due to rubbing. One advice is please do not rub. I understand it can be difficult but try. Continue the medicines for the time period. Follow up with me after three weeks for a change in cream. Since this is a chronic condition, it needs to be removed completely to prevent further recurrences. Even if you feel any reduction in symptoms, complete the medicines for the given time period. This is very important. Hope this solves your query. Revert back after three weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22050, + "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": 23415, + "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": 1769, + "tgt": "Is this fetal ultrasound report of my wife a normal one?", + "src": "Patient: Hello doctor, My wife is 25 weeks pregnant. She is 27 years old. Her weight is 64 kg and height is 5'2\". This is our first pregnancy. Now,\u00a0doctor found one problem in level two ultrasound report. Fetal head mildly dilated lateral ventricle 9.6 mm. I consulted with doctors. They are saying that it will be fine in the next four weeks automatically without any medicine. But, I am not satisfied. Please explain. Doctor: Hi. I read your query and understand your concern. For further doubts consult a fetal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 24465, + "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": 17971, + "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": 20572, + "tgt": "How to manage the rash that appeared on my penis?", + "src": "Patient: Hi doctor, A rash appeared on the crown of my penis before three weeks. A reddish mark appeared on the head of my penis. It does not hurt during urination. I had done an HIV test, and the result came as nonreactive. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). There is a rash, but it is minor. It usually happens after sexual intercourse. I recommend you apply Mupirocin ointment twice daily for two weeks. It will get cleared soon. Do not use soap over it and avoid having sex for some days." + }, + { + "id": 30370, + "tgt": "Will fibroid affect fertility?", + "src": "Patient: Hi doctor, I am a 32 year old married female. I have retention cyst and seedling fibroid. I have this for the past eight months. Can you please let me know if there will be a\u00a0problem in having a baby? Is this a pcod cyst?\u00a0Is any treatment required? Or will it go off without treatment? Please clear my doubts. Thank you. Doctor: Hi. Fibroids can cause fertility problems if they are too large in size or in the wrong location. If you have seedling fibroids, then they are unlikely to cause problems in conception. They may grow a bit during pregnancy, but will decrease in size after delivery. If you are married, then I would suggest you get another ultrasound done to check the status of the fibroids and if still seedling please try to plan your family and conceive. Fibroids grow over time, albeit slowly. If you delay by a few years, then they may cause fertility issues. Retention cyst is different from a polycystic ovary. PCOS is a syndrome of several factors and not just diagnosed by ultrasound. There are multiple small cysts in the ovaries. If you have a single retention cyst, then it may be physiological. The cyst may resolve on its own. You will need to get another ultrasound on the second day of your next period to find out the status of the cyst. If it is more than 3 to 4 cm and of a dubious nature, then it may need laparoscopy and removal. This does not cause infertility. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8074, + "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": 22489, + "tgt": "My pregnant wife passed a little blood. Is it a sign of miscarriage?", + "src": "Patient: Hello doctor, My wife tested positive\u00a0for\u00a0pregnancy four weeks ago. Three days later, she was passing a little blood. Is that normal or is there a chance of miscarriage? Is Progesterone 200 mg a\u00a0good tablet or is it because of this tablet that she is passing blood? Please advice. Doctor: Hello. How are you doing ? 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": 8846, + "tgt": "What can be done for decreasing memory and learning capabilities?", + "src": "Patient: Hello doctor, I am facing memory problem. Day by day I am feeling like I am getting down like forgetting most of the previous things specially related to my academic life. I am losing my learning capabilities. I am finding hard to memorize things now. Doctor: Hello. At your age usually the problem is due to loss of concentration resulting in decreased memory power. Practice relaxation techniques like breath relaxation excercises daily as it will help you relax and focus and eases your anxiety. Study in small shifts of half an hour followed by a rest of five minutes. Set small targets and try to achieve them. Foods rich in antioxidants and omega fatty acids also helps. If still problem persists, then consult a psychiatrist in person for evaluation." + }, + { + "id": 21455, + "tgt": "I have heel pain after running too fast. Does X-ray show signs of fracture?", + "src": "Patient: Hello doctor, I would like an opinion on my X-ray if it shows any signs of a stress fracture in the heel. I took up running and increased it too fast. It hurts to walk on the sides of the heel. Pressing on either side of the heel hurts a lot. There is swelling but no bruising. The swelling is decreasing now but the pain is not. I want to know what I am dealing with. I cannot see the GP for another week or so. Doctor: Hi. I have viewed your X-rays (attachment removed to protect patient identity) and there is no feature to suggest a stress fracture in the calcaneum bone and bones in the heel area. It is possible that you have a soft tissue or tendon abnormality which can cause you the pain in the heel area. If there is no significant improvement in the pain over the coming week, then you can discuss an MRI ankle joint scan to know about the soft tissues or any subtle bone edema in the calcaneum. This information is not available in the X-ray picture. Since your doctor is not available for a week, I suggest you decrease your running and apply a muscle relaxant spray or ointment over the hurting area. You can also apply an ice pack to decrease any inflammation in the area. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 21836, + "tgt": "I have shoulder, arm, breast and neck pain. Is it musculoskeletal pain?", + "src": "Patient: Hello doctor,Since last few days, I am having left sided pain in the shoulder, upper arm, the front area near the shoulder, breast, both outer sides of the neck and collarbone area. Sometimes, it pains on the back side as well. I can feel the pain when I press the body part where the pain originates. The pain aggravates when I press. There is no accompanied shortness of breath or sweating at all. Please note that pain may not be there in all the areas at the same time. Like for now, at this point in time, I only have very mild discomfort in front area near the shoulder and breast.Some of the points to consider for diagnosis:I am hypertensive. However, my BP is very well controlled (110/80) with Metoprolol and Amlodipine. I also take Atorvastatin 10 mg for cholesterol. I am now asked to stop Atorvastatin. I am on these medications since last one year. All my below tests (one year old) are normal. EKG.Chest X-ray.Brain CT scan.Pulmonary embolism.All blood works.48 hours Holter monitor.No murmur or gallop noticed.Arterial oxygen levels.Troponin levels.All my recent blood works (two months old) like lipid profiles, kidney function test, CBP, liver function test, HbA1c, vitamin profiles (vitamin D, B12, calcium, iron), sodium, potassium, urine exam are normal. I walk daily for 20 to 30 minutes. Occasionally, I run too and do not experience any pain. Sometimes, I take stairs and do not experience any shortness of breath or pain. I had a different variant of chest pain last year. I did EKG, TMT and 2D echo and results are normal findings. It was diagnosed with non-cardiac pain. I have some mild to moderate irrational anxiety (GAD) and I am not sure if the pain I am experiencing is of psychosomatic origin. I had my left shoulder dislocated some 20 years back. In last 20 years it dislocated almost 7 to 8 times of which four times, I had to go to the hospital and get it fixed non-surgically. All other times it got fixed on its own. Last time it dislocated was I am not sure if the pain is causing because of that. I was very poor in following the instructions about wearing a sling and all. I used to be sling free immediately after shoulder is replaced back. Although I never had any problem with my left shoulder or arm, I intermittently used to get some mild pain in shoulder and upper arm. My left hand is fully functional. Although, I am careful in not rotating it 360 with a fear that it might get dislocated.Currently, I do not have acidity so I think the pain does not seem to be related to GERD. 2D echo and TMT were done just one year back and returned normal, do I need to re-do these tests? Since then I believe things should have only been improved as I made a lot of lifestyle and dietary changes. BP is very much controlled. It is always 110/80, Resting heart rate is good too. 70 to 80 BPM. Lipid profile is normal. LDL (73), HDL (46), Total (145). If it is musculoskeletal pain, could you please suggest some medicine? I am looking for something that does not disturb my BP and heart rate. Is (Tramadol + Acetaminophen) good? Please suggest some potent and safe medicine that can relieve the pain and relax the muscles. One of the DMs I contacted in person is of the opinion that it may be psychosomatic in nature and prescribed a combination of Flupentixol and Escitalopram. But I am scared of the listed possible side effects like thrombosis, QT prolongation, etc. So I did not start it yet. What is your view on this combination drug? Is it safe to give it a try for four months and then wean off over next two months? Can you suggest any other anti-anxiety which is having a safest cardio-metabolic profile? Doctor: Hello. Firstly, it is not at all related to the heart. Cardiac pain usually increases on exertion and relieves with rest. It will never increase on pressing or arm movement. You do not need to repeat any test. Coming to possibilities, psychosomatic is certainly a possibility, but considering the site of pain, there is also a possibility of a cervical spine problem. Do you have any tingling, numbness in arm, neck stiffness, increase in pain on neck movements, neck trauma in the past, etc,? If yes, it suggests the possibility of cervical spondylosis. So I think, it is worthwhile to get X-ray cervical spine done anteroposterior or lateral view. Just check, sometimes during CT head, they may include neck region as well. If yes, then no need of X-ray. Regarding medicines, Tramadol is the safest as far as BP is concerned. However, it may not be that effective. You may try tablet Naproxen 250 mg two times a day after meals. Only problem is with this, in some (minor) patients, it may slightly raise BP which will come back to normal after it has stopped. So I think, it is worthwhile to try it. Also, you should try muscle relaxant tablet Myoril 4 mg whenever needed upto three times a day and look for a response. If gets a positive response then we can complete the course of five days. This should not cause any significant cardiac issues in you. Regarding, antianxiety medicine, I think there is no need to have Flupentixol, and better to avoid it. However, Escitalopram, we use very frequently and it is quite safe. Side effects like QT and all are very rare so you may have it. It comes in combination with Etizolam as Etizola plus which is a good antianxiety medicine to have during bedtime for a week or so. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9996, + "tgt": "A patient has hydrocephalus associated with many other problems. Kindly advice", + "src": "Patient: Hello doctor,I am an occupational therapist, and my client's mother would not let me talk to her neurologist even though I need to script some equipment. So I wanted to ask general questions, the client is 12 years old and has hydrocephalus and had many many surgeries as her shunts keep becoming blocked. She now has the most significant possible VP shunt in her brain, and recently (a couple of weeks ago) had a bleed after surgery, but that has been treated now, and she is going well.The client also has uncontrollable absence seizures, a chromosomal disorder, intellectual disability, connective tissue issues, hand deformity, and recently diagnosed tuberous sclerosis (skin and possibly in the brain). The client's mother would like me to complete a funding application for them to get a hospital bed at home, as the daughter (client) is currently sleeping upright with pillows.She said sleeping upright helps the shunt drain. I have not been able to find any research around this, and have also read about something that says over drainage can be an issue. Did you have any thoughts about this issue? Or if it is really client specific and I do need to contact her neurologist or neurosurgeon. Doctor: Hello. I read your question carefully and would explain the upright position (head of the bed 45 degrees) can help reduce the intracranial pressure. So, I agree with the patient that she feels better in this position. Regarding the medication, I would recommend Diamox and Furosemide to help reduce intracranial pressure. An anti-epilepsy drug is also needed for her seizures. I would suggest Valproate or Levetiracetam. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 11529, + "tgt": "What causes delay in periods after unprotected sex?", + "src": "Patient: Hello doctor, My period was due on 22nd this month. Last period was on 22nd of last month. Usually I have a 28 to 30 days cycle. I was on antibiotics for cold and cough infection. I had unprotected sex on 24th of this month and took an Ipill within four hours. I am yet to get my period. Do you think there is anything to worry? Please advice. Doctor: Hello. No, there is probably no chance of pregnancy as you were near to your due date and you have taken Ipill as well so nothing to worry about. Ipill usually makes periods delayed." + }, + { + "id": 23946, + "tgt": "What should be the daily routine for healthy skin?", + "src": "Patient: Hello doctor,What should be the daily routine for healthy skin as I am having tiny pimples on my face mostly in summer? Doctor: Hi. For healthy skin do the following: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5504, + "tgt": "I have dust allergy and asthma. Will airpurifier or room heater help?", + "src": "Patient: Hello doctor, I have a dust allergy. Recently I a had wheezing problem for few days that even Asthalin could not help which I used mildly a few times in a year. After a few days of Doxolin and other tabs, I got relieved. My city AQI is around 80 to 100 in a week, I traveled to two cities where AQI ranges from 100 to 170 and stayed for three weeks. What precautions should I take? Now that it is winter as well, my colleague suggests bringing down humidity using room heaters could help. Is that true? Should I buy a room heater or travel air purifier? Are they effective at all? I have to be choosy as they all add weight to luggage. I have attached two prescriptions that I had taken in the last two months. Doctor: Hello. I can understand your concern. I have gone through the attachments you have provided. (attachment removed to protect patient identity). The possibility of asthma and allergic rhinitis is more likely. So it is better to consult pulmonologist in person and get done the clinical examination and PFT (pulmonary function test). Treatment of asthma is based on severity which is determined by PFT. The best treatment is inhaled corticosteroid (ICS). And heater and humidifier both are useful in your case. Actually the purposes of both are different. If pollution is high then, the purifier will be more beneficial. And for winters, the heater is beneficial. I hope this helps." + }, + { + "id": 14472, + "tgt": "I missed a pill. I have spotting. Could I be pregnant?", + "src": "Patient: Hello doctor, I am going to be really specific so that you can best help me. Six months back, I went to the doctor, and I was prescribed Ciprofloxacin HCl (Hydrochloride) for a UTI (Urinary Tract Infection). I took the antibiotic for 7 days. I am taking an oral contraceptive, and I am sexually active. During the week I was taking the antibiotic, I had unprotected sex once. The following week, I started my period as usual. I started a new pack of my birth control pills on after my periods. I forgot to take the pill on the eight-day, so I took two on the next day. I have not missed a pill or taken it late since then. There has been an increase in vaginal discharge for about 3 days. At first, there was no color to it, but yesterday, I noticed that there was a pink tint to it, and it is still present today. Everything that I have looked at online says it could be a sign of early pregnancy. What is your opinion? Doctor: Hello. In my opinion, if you have had your period this month on time, and you have been on oral contraceptive (birth control) pills, then you are not pregnant at all. Sometimes, spotting continues longer with discharge in the initial days of the cycle because, during the previous proliferative phase, there can be left over endometrium, which is shed after that when you have your period. By \"proliferative\" I am referring to growth. During the second part of your menstrual cycle, hormones which your body produce naturally cause growth to occur in the lining of the uterus also called the endometrium. Oral contraceptive pills usually cause a reduction in bleeding and some cases, may cause spotting. So, please do not worry; it is not pregnancy. This spotting should stop. Continue the pills you are taking, as prescribed. One missed pill is not the cause, as you correctly took two the next day." + }, + { + "id": 3116, + "tgt": "Does painless pea-size lymph nodes under jawline points HIV inspite of negative HIV tests?", + "src": "Patient: Hello doctor, I had oral sex before months. I did the following tests. 1. HIV combo 4th generation (CMIA) during 2nd, 3rd, 4th and 5th month after exposure. All results are negative. 2. HIV combo 4th generation and ELISA during 7th month. All results are negative. 3. HIV test from ICTC center in general medical college hospital in the ninth month with a negative result. 4. STD tests are also done. 5. HCV on ninth month by ELISA method. Now 11 months have passed and I have lymph node under the jawline on both sides. Both lymph nodes are equal in size as that of green peas. It is moving but I do not have any pain. Is it lymph node? Do in normal body is there such type of lymph nodes present? Or is this symptom of HIV? Is this a serious condition? I am 32 years old with good health. I have attached all my reports. Please provide information on what is my status? Should I need to test more or not? What is the size of the lymph node in the normal body under the jaw line? Some say that HIV test may take nine months in some cases, what are they? Sometimes I feel muscle pain and some mouth infection, is ti sign of HIV? As per NACO, there may be very rare chance of some persons to show positive after nine months. Who are they? Doctor: Hi. I have gone through the details and reports. (attachment removed to protect patient identity). The chances of transmission of HIV by unprotected intercourse with an HIV positive person is very low (1/200 to 1/1000). If protected it is nil. Chances of transmission by oral sex are almost nil unless there are bleeding wounds in both. The risk is nil. If HIV antibodies tests are negative \u200bafter three months and are repeatedly negative until nine months. It is conclusive that you are free from HIV. You can allay fears of HIV totally. There is no need for further HIV tests. Other STDs too are negative. The symptoms are nonspecific and do not suggest HIV. The lymph nodes swellings may be due to simple respiratory infection or tonsillitis. Antibodies are formed by two to six weeks latest by three months. In the very rarest of rare cases who has immunosuppressive disease it may be positive by six months. They have severe symptoms and signs of immunosuppression since childhood. You need not worry about such issues. Forget the episode and lead a normal life." + }, + { + "id": 24675, + "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": 5968, + "tgt": "I am married for about one year. Kindly suggest on my semen analysis report", + "src": "Patient: Hello doctor, I am a 35-year-old male. I have married about one year ago, but till now I have no hope of a child. Below is my semen analysis report. Please check it and tell me if there is any problem and suggest to me about the cure if any. Semen analysis report: Gross: Duration of abstinence: 05 days Appearance: Creamy white Liquefaction time (minutes): 30 minutes Consistency: Thin Volume; 3.2 ml pH: 8.0. Sperm motility (%) (100 Spermatozoa): a) Rapid progression: 40%, b) Non-progressive motility: 10%, c) Slow progression: 20%, d) Immotile: 30%. Agglutination: count/ml: 30 million, vitality: 70%. Morphology (%): Normal: 60%, Abnormal: 40%, Head defects: 30%, Tail defects: 03%, Neck and mid piece defects: 03%, Cytoplasmicdroplets: 02%, Headless 'Pinhead' : 02%. Pus cells: 4-6 Red blood cells: Nil Epithelial Cells: 1-2 Miscellaneous: Nil. Note: This specimen is taken at the lab. Doctor: Hello. I have seen your semen analysis report and the following is my opinion: Pus cell count (units not given) appears to be high. If the unit is 4-6 cells/hpf counted in the semen analysis chamber, it comes to 1-1.5 million cells/mL. High pus cells in semen may indicate infection. The simplest way to check infection is to do one semen culture test. If any offending organism is found, you need to take antibiotics (according to sensitivity report) for three to six weeks. Kindly do not take antibiotics if streptococcus or staphylococcus are found, as these are mostly contaminants and rarely cause semen infection. The volume of semen is a little high. High volume increases chances of all semen coming out after intercourse, but should not be a cause of concern. Coming to your problem of infertility: For pregnancy to occur, apart from normal semen, your wife's regular ovulation and open tubes are required. Has your wife undergone any evaluation? If yes, you can get back to me with reports for further advice." + }, + { + "id": 7423, + "tgt": "I am advised to take Novastat while on insulin. Is it safe?", + "src": "Patient: Hello doctor,I have been prescribed Novastat by a GP (no diabetes specialist was available. Level of triglyceride 183 and HDL 36. Fasting blood sugar yesterday was 450. Postprandial was 500. Today random sugar is 300. I am on insulin since yesterday. Urine glucose is 4+. Is it fine to wait for a day and consult an endocrinologist and then start this medication? Doctor: Hello. I have seen reports (attachment removed to protect patient identity), suggestive of newly detected type 2 diabetes mellitus. The good thing is that the urine ketone body is negative, so complications are not much. You need to control sugar. Doctor prescribed your long acting insulin and anti diabetic medication. Follow the instructions, 1. Put her on short acting insulin, 2. Check GRBs (general random blood sugar) three times then fix dose followed by converting it into an oral drug. 3. Get HbA1c, TSH (thyroid-stimulating hormone) done. Do ECG if any other complaints connect me. Endocrinologist not required, you only need a sugar control." + }, + { + "id": 5216, + "tgt": "I am having anxiety and my blood report shows some changes. What should I do?", + "src": "Patient: Hello doctor, I am a 30-year-old female. My main problem in life seems to be way too much anxiety. That is the main reason I went to the doctor to get a blood test. I got my blood and urine tests reports and these are the things that I think should be noted. Good LDL cholesterol: 106 mg/dl (should be under 130). Good HDL cholesterol: 77 (should be over 40). Low triglycerides 33 mg/dl (should be between 35-149). Normal HbA1C 5.3 % (should be between 4.5-6.2). A bit high average blood glucose 105 mg/dL (should be between 70-100). For my urine test, there was a trace of leukocytes and many bacteria. My blood urea nitrogen (BUN) was a bit low 6 (should be between 7-22). Everything else came out in normal ranges. My question is, could I possibly have adrenal fatigue from my high anxiety and stress levels all the time? With the research I have done so far, my body seems to have been in some sort of infection, but I have not been sick, but I have felt like I was about to get sick about three times in the last month. So I am not sure, but my kidneys may not be working properly, and could not this also be caused by too much anxiety? I may have a thyroid problem because of the low triglycerides. It is either hyperthyroidism or malnutrition, my body is not able to absorb or process nutrients properly. I do not eat a low-fat diet. If I have hyperthyroidism, I do not want to treat the thyroid to mask the symptoms, I want to get rid of the cause. So if the cause of my thyroid problem is anxiety (and all the other health problems I have), would not it be better to treat the actual cause, rather than the symptoms? It also looks like my body is not able to process sugar properly (I have semi-high blood glucose, but basically perfect cholesterol levels). Could this all be a result of my high anxiety, causing physical problems in my body? I prefer to go a natural route to solve my problems. I have heard that taking GABA supplements could lower anxiety levels. However, at this point, I am also open to a prescription form of anti-anxiety medication if necessary. I do not want to take anything to mask my problems. If I take any medicine, I want it to solve my problem. What I could do about it? Doctor: Hello. First of all, your reports are all normal except for some infection in the urine. For that, I advise a test called urine culture sensitivity and revert back with the report. Your triglyceride is slightly low. That does not mean anything. It does not mean you have a problem in absorption or malnutrition or hyperthyroidism.Even your HbA1c (glycated hemoglobin) is within the normal limits. So there is no problem in sugar metabolism. Now coming to your query adrenal fatigue, no it does not happen due to excess stress or anxiety. Our body is capable of handing 1000 times the normal stress level. So just relax. I feel there is no problem in your body but there are some psychological issues that might be the cause of your stress and anxiety which need to be addressed. I advise you to consult a psychiatrist for that. I do not think any dietary supplement can help in stress. I advise you to learn yoga and meditation. That will help you a lot. You can also start taking tablet Nexito (Escitalopram) 5 mg every night until you meet your psychiatrist." + }, + { + "id": 6800, + "tgt": "Can bacteria spread to the bloodstream after having had dental cleaning?", + "src": "Patient: Hello doctor, I am on Amoxicillin 500 mg twice a day for an abscess in my gum and I have just had teeth cleaning at the dentist's office. I read on the internet that the cleaning can cause the bacteria to spread to my bloodstream. Is this true? Doctor: Hello. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29185, + "tgt": "I got married to my relative. Should I worry about having the second baby?", + "src": "Patient: Hi doctor, I got married to my relative and\u00a0we have the same blood group. My first baby is quite healthy and fine without any problem. Now, we are planning for the\u00a0second baby. We did not check about Rh factor yet and we afraid that any problem might come in the\u00a0second pregnancy. Should I worry about having the\u00a0second baby? Is there any test to confirm the same? Please guide us. Doctor: Hi. For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 8622, + "tgt": "Kindly tell the foods to be taken while suffering from stomach flu", + "src": "Patient: Hello doctor, What are some foods or liquids that you can eat when you have or are recovering from the stomach flu? Kindly tell the foods that are easy to digest and give a nice boost of energy or nutrients. Doctor: Hi. Whenever one suffers from gastroenteritis or stomach flu, there is fluid and electrolyte deficit because of frequent loose motions and vomitings. So main aim of treatment is to restore the lost fluid and electrolyte plus to treat the infecting germs causing the disease. So, the stool should be sent for routine, culture and hanging drop preparations, urine for ketone bodies to assess dehydration. Serum electrolytes and monitor of urine output. Now coming to diet, a soft diet like rice and pulse combination, porridge, with curd, fat-free yogurt, rice water, lemon drink, coconut water, oral rehydrating solutions as recommended by W.H.O. Banana should be given as it is a binding agent. Puffed rice mixed wid curd can be given. After every vomiting and lose morions, ORS should be given. Avoid juices and artificial sweeteners, fruits, raw vegetables because the lining of the intestine villi is damaged during stomach infection, so these things are not absorbed but instead increase frequent passage of stool. Fatty foods should be avoided, if the infection is diagnosed then antibiotic along with probiotics should be given for three days." + }, + { + "id": 8314, + "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": 2095, + "tgt": "Some of my yellow and green tattoos are itchy, bumpy, and hard. What should I do?", + "src": "Patient: Good day doctors. I have a concern with my tattoo that I got 2 months back. I have five tattoos with different colors (blue, yellow, red, green and purple). I've been experiencing itching on my yellow and green tattoos from time to time, that lasts for about 2 weeks. It subsides eventually for 5 -8 days then itching comes back again. The itching tattoos are bumpy and hard. What should I do? Thank you. Doctor:" + }, + { + "id": 22792, + "tgt": "Having some discoloration on the back of the scalp. Could it be folliculitis?", + "src": "Patient: Hi doctor, I shave my head with a razor blade once in a few days as if shaving my face. I have been doing this for seven years now. Four years ago, my doctor noticed that I had a discoloration on the back of my scalp. He said it was nothing to worry about and had probably always been there like a birthmark. Now, a few years later, it has never actually gone away. It has become bigger, more pronounced and red all the time. It does not itch ever, but it does stay red and feels rougher than the normal skin to touch. It just looks like a bright red rash that never goes away. It does not turn scaly or white and also does not flake off to my knowledge. I do not have a lot of anxiety over it, but it is extremely embarrassing to the point where I do not show my full head a lot in the public. Could it be folliculitis? Could that last for years? Please help. Doctor: Hi. I have seen your query and concern. I have examined your pictures (attachment removed to protect patient identity). It seems that you are having non-involuting congenital hemangioma (NICH). NICH present at birth and usually flatter, presented as well defined round to oval, slightly indurated mass with overlying visualized deeper blood vessels (telangiectasias) and a rim of pallor. You can get ultrasonography with color Doppler to rule out arteriovascular malformation. NICH do not go away, often asymptomatic and may require excision. But, must weigh the risks and benefits of the proposed treatment. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3044, + "tgt": "Is it possible for a magnet to get stuck in nasal passage and cause breathing problem?", + "src": "Patient: Hi doctor, I am a 26-year-old female. This might sound odd but when I was 11 I was playing with two small round magnets pretending to have a nose piercing in the septum. The magnets stuck together and went up either side of the nose clamping the septum. I panicked and did not tell anyone. About a week later I remember getting tweezers and pulling one out and it smelt bad and looked disgusting. I do not ever remember pulling the other out but I may have because I kind of never really thought about it again until later when I seem to have issues breathing through my nose and always have recurring extremely painful sore throats and swollen tonsils. This makes me panic and remember what happens and if I ever did remove the other magnet and if I did not, would it cause a lot of damage being there for so long? It sounds ridiculous but I do not feel comfortable telling my doctor. Please suggest. Doctor: Hello, Welcome to icliniq.com. Well, firstly, I would like to assure you, that as doctors we come across much stranger things and hence, it is important to get yourself checked whether the other magnet is still stuck in your nostrils or not. The doctor might do an x-ray of your sinuses, after he thoroughly checks you up, to see if it has dislodged further up. The symptoms you are experiencing are classic of an infected sinus, leading to the spread of that infection to other parts of your upper respiratory tract. It can be possible that the magnet, is compressing one of the sinus openings, leading to secondary infection and hence the symptoms. Please, do not delay any further. Meet your nearest physician as soon as possible, for proper examination and treatment. I know you are embarrassed, but it can be dangerous if this infection is not controlled and spreads to other sites." + }, + { + "id": 9488, + "tgt": "What is Lp-PLA2?", + "src": "Patient: Hi doctor, I am a 47 year old female. My height is 5'4\" and weight is 120 pounds. I have slightly elevated cholesterol level and so I had a blood test done before three months for Lp-PLA2, which came back high. I had it repeated this week, exactly three months later and it came back double high. I am so scared and need some assistance. Please help. Doctor: Hi. We are here to help you. Revert back with the answers for the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4348, + "tgt": "My height is 141 cm and I wish to gain 3-4 inches. Please suggest", + "src": "Patient: Hello doctor, My father's height is 161 cm, mother's height is 152 cm, and my height is 141 cm. My birth weight 2.1 kg although I was born full-term. I had delayed growth since childhood and I attained puberty at the age of 15. No long term medication was taken. No illnesses since childhood, but crowded teeth and dental complications. I sometimes have headaches also. I just started hanging exercise since two months for 30 seconds twice a day. I want to grow at least 3 inches and most 5 inches. I started the magnetic kit of acupressure three months ago but no difference yet. I will continue for a year at least. I do not have facial growth. I live in Central Africa. Is there any hope for three to four inches of height gain. I would appreciate any advice. Doctor: Hi. I have read through your query in detail. Please find my observations below. If the general adult height in your race is lesser than the world average then it is difficult to expect a normal height. Also, your growth is delayed and therefore it might be slightly difficult for you. Anyways, you can still try natural methods. However, you will continue to grow until you attain 21 years of age. The bones stop growing at this age. Please continue taking a healthy and nutritious meal of 1800 kcal daily and also take vitamin supplements. Include rich sources of protein like fruits, vegetables, and boiled eggs to give you required daily vitamins and minerals. Physical exercises help many people and you can extend your hanging exercises to about two to five minutes. You can play basketball and do jumping exercises with skipping rope. If you are still not 21 years then you can consult an endocrinologist and get examined and take medical treatment for increasing growth." + }, + { + "id": 8693, + "tgt": "What should be followed when a medicine is recalled?", + "src": "Patient: Hello doctor, What people should do when their medicine is recalled? Doctor: Hello, Welcome to the icliniq.com. Whenever a particular drug is recalled, it can be due to it is hazardous side effects. When such recall occurs, it is advisable to stop the medication. You can take alternate medicines for that. In such situation decisions regarding changing the drug taken only after your doctor consultation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 30760, + "tgt": "I have been suffering from intermittent low back pain. Is it sciatica?", + "src": "Patient: Hi doctor, I am having severe pain in the lower back, more on the right side. I am not able to bend front and my right leg is aching continuously. I\u00a0am suffering from back pain for last 6 to 7 years and sometimes, it is severe. I had to take bed rest for a week, but I had never taken any medicine. A few months ago, I had the same kind of pain because of lifting a bucket full of water and that time I had taken medicines.\u00a0Ultracet twice in a day, Dolonex Rapid 20 mg once a day and Myoril 8 mg once a day. Now, I am facing the same problem for the last few days and since yesterday I am taking the same medicines. But, the pain has not relieved completely.\u00a0Please tell me the appropriate medicine and any test if needed. One more thing I want to know is can this be a neurological case? Is it sciatica? Doctor: Hello. MRI scan lumbosacral spine. 1. Mechanical backache. 2. Lumbar intervertebral disc herniation with paravertebral muscle spasm. 1. Tablet Myoril 4 mg twice a day. 2. Tablet Ultracet twice a day. 3. Local application of analgesic gel over the affected region and heat therapy for low back pain. 1. Avoid bending forward, lifting weights and any exercise at present. 2. Avoid sexual activity till resolution of pain. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7285, + "tgt": "I am on Apixaban for the prevention of DVT. Can I practice judo still?", + "src": "Patient: Hello doctor, I am 32-years-old male. Currently on Apixaban for the prevention of DVT. My does 2.5 mg tablets to take one twice daily from last year. Now the questions I would like to ask are as follows, 1. Can I still do Judo while taking this medication? 2. If the risk of excessive bleeding is too high to do contact sports like Judo, then what other alternatives are there, so I can still do Judo as well as have medication for the prevention of DVT? Are there any private routes I can follow within my own country to find out exactly if I have an inherited condition that was responsible for my DVT in the first place? Other possibly relevant info includes, 1. Fluoxetine, one capsule of 20 mg twice a day for OCD and anxiety. 2. Omeprazole, one capsule of 20 mg once a day for acid reflux. Doctor: Hello, Welcome to the icliniq.com. The cause for deep vein thrombosis should be searched. The genetic cause includes prothrombin gene mutation, factor V Leiden mutation, protein C and S deficiency, etc. It can be tested in a nearby laboratory in your place. In your area, mostly doctor prescription needed for a carried out investigation. So you can contact hematologist nearby if required. So investigate with full coagulation profile. You can play judo if there is not any bleeding in the last few months. Apixaban does not increase the risk of bleeding like that of Warfarin. I hope I have answered your question. Let me know if I can assist you further. Do not stop the medicine without your doctor advise." + }, + { + "id": 21884, + "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": 19155, + "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": 25741, + "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": 5273, + "tgt": "My CT abdomen shows TB and few cortical cyst in kidneys. What is the treatment?", + "src": "Patient: Hello doctor, My father had a sudden weight loss. CT abdomen was done. It shows likely TB etiology and few cortical cysts in the bilateral kidney. The previous infection was found in the urine culture report. Doctor: Hello. Weight loss can definitely be explained by TB (tuberculosis) abdomen but before starting TB medicines it requires confirmation of TB for which you may require a biopsy test. If you can kindly upload the CT (computed tomography) abdomen report I can tell you which part have to be biopsied? The renal cortical cyst is not of significance if your serum creatinine (blood test) is in normal limits. You said that previous infection was found in urine culture report, when exactly it was done? Were you treated for that, if not kindly upload the report?" + }, + { + "id": 19756, + "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": 8765, + "tgt": "I have missed my periods after sexual intercourse. Please help", + "src": "Patient: Hello doctor,My last date of the period was last month. Usually, I have an improper cycle (one month miss). We had intercourse after almost a month and I took Ipill on the third evening. Please help. Doctor: Hello. I read your message. Actually, chances of pregnancy are negligible as you have irregular cycles. As you said you took Ipill on the third evening, so in the next 3 to 4 days you should expect your periods. If in case of periods does not occur, then do a blood test (serum BhCG ) around 11th to 12th day." + }, + { + "id": 11438, + "tgt": "ALT and AST are out of range. What does it mean?", + "src": "Patient: Hi doctor, I had a blood work on my liver. The results came back saying that my ALT and AST are very high and out of range. So, I would like to know what that exactly means. When I received my laboratory test report they said that I should seek medical advice. My AST is 75 and ALT is 35. My MCV 116 and MCH 39.2. Also, I am a heavy drinker. Please explain the report. Doctor: Hi. Based on your query, my opinion is as follows: Alcohol induced liver damage has caused increased enzyme levels. Possibly early stages, as no jaundice is seen. MCV high (mean corpuscular volume) is due to associated vitamin B12 and folic acid deficiency. Malnutrition due to alcohol abuse has caused this. Need to abstain from alcohol on an immediate basis as liver would take another six months to possibly recover. Repeat the test after three months. Also start Vitamin B12 and Folic acid supplements. Nothing major for now. If it progresses then may require liver transplant in next few years. For further information consult a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6895, + "tgt": "My mammogram result shows dense breast tissue. Please suggest your opinion about my mammogram results?", + "src": "Patient: Hello doctor, My first mammogram result shows that I have dense breast tissue, and that was all. My doctor, who referred me for two small lumps in my breast, does not even look at the images. I have sent you the report that the radiologist sent me. Can you please take a second look and suggest your opinion about the results? Doctor: Hello. Based on the mammogram report (attachment removed to protect patient identity), you have heterogeneously dense breasts (Category C). There is no visualization of obvious breast lesions. However, I would surely suggest you do an ultrasound of the breasts for interpreting the mammogram findings. As you have not mentioned the side, I find markers in some images over the left breast, and I guess that there are lumps in the left breast. Please correct me if I am wrong. You have small axillary lymph nodes on both sides (more on left than right) and though they are small and not significant, getting it reviewed on an ultrasound scan is suggested." + }, + { + "id": 27869, + "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": 19557, + "tgt": "My anxiety disorder relapsed after I drank beer. What should I do?", + "src": "Patient: Hello doctor, I have anxiety and panic since five years. My GP had given Nexito forte and Veniz XR 37.5. And, I felt better and asked him to reduce the dosage two years ago. He stopped both and gave Nextio plus from then till date. I felt better. I did not smoke or drink while on treatment. 10 days back, I stopped taking the tablet. I drank half a beer at a party, and the anxiety disorder relapsed. I will not drink any longer. Now, my questions are as follows. I am on Nexito plus. Suppose there is a relapse, should I take Veniz XR 37.5? When I completely stop all the medications, and there is a future relapse, should I take Nexito forte, Nexito plus or Veniz XR? Doctor: Hello. It seems to be an anxiety disorder. You need to avoid the triggering factors that cause the relapse. Be it alcohol or something like smoking, family issues or financial problems. It is better to be on Nexito forte (Escitalopram and Clonazepam) during the episode of anxiety. If your symptoms were not controlled then, add on Veniz (Venlafaxine) to your medications. Meditation and yoga will help control the problem. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13655, + "tgt": "Is HER2 injection required after chemo and radiotherapy in breast cancer patient?", + "src": "Patient: Hello doctor,For a person who has completed six chemotherapy sessions and month-long radiation for breast cancer treatment, how many HER2 injections are required after the above? ERPR/HER2 parameters are negative. Doctor: Hello. Can you give information regarding a few details? What was the stage? What was the histopathology report? What chemotherapy was received? If ER/PR and HER 2 was negative, then was FISH (fluorescence in-situ hybridization) done? If HER 2 is negative by FISH and histopathology, then HER 2 injection is not required. If HER 2 is positive, then if the disease is not metastatic then every three weekly injections for one year. If the disease is metastatic, then HER 2 injections are continued indefinitely till disease remains under control. I would be happy to help you if you have any further queries." + }, + { + "id": 5103, + "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": 16938, + "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": 1645, + "tgt": "I have pain in the epigastric region for three months. What should I do?", + "src": "Patient: Hello sir i am having pain in apegastric region since 3 months. But today very high I had taken acidity tablet and Antacid syrap whenever i take medicine i feel better for short period of time after that it as usually paining me . What should i do ? Doctor: Hello. It has been very difficulty to seel medical advise in this time. I appreciate you of using this platform for your medical queries. From your history it seems the pain secondary to hypersecretion of acid. However, there are many other reasons of upper abdominal pain that may not be related with just high acid secretion. It is of utmost importance to get some blood and stool test before jumping to treat with medicines. Also the duration of pain you describe is somewhat worrisome. for now I want you take Cap Esomprazole 40 mg before breakfast once daily Syp Gaviscon /mylanta or any available antacid syp. but make sure you increase the dose. You should take 15 ml four times daily just 30 min. after meals. It is important that you should take capsule before meals and antacid syp. after meals. I also want if you can get these test before your second visit. Since we need to rule out any serious thing if present. Serum Amylase and Serum Lipase, liver function tests, Tsh, serum lactic acid, and stool for H pylori antigen univestigated dyspepsia FUNCTIONAL DYSPEPSIA PEPTIC ULCER DISEASE PANCREATIC CAUSE GB PATHOLOGY I would like to see you in 1 week time" + }, + { + "id": 1798, + "tgt": "My teeth are wobbling due to gum recession. What to do?", + "src": "Patient: Hello doctor, I have worn braces for four years and finished my orthodontic treatment before five years. I am 20 years old. Since then my teeth have been healthy but I have been suffering from an eating disorder for three years and I am still in recovery. Two months ago one of my top central incisors started feeling slightly wobbly and after looking at it in the mirror I noticed the gums had receded by 2 mm compared to the pictures I had from last year. I saw my dentist who told me everything was fine but since then my tooth has become even more wobbly and my other top central incisor has started to wobble too. I had a look at all of my teeth today and realized that all of the gums had receded by 2-3 mm. I brush my teeth with a soft toothbrush and floss twice a day, and I use mouthwash every two days. I am very scared that my teeth are going to fall out because I can feel the roots being unstable when I chew food and I cannot bite into a sandwich or any other harder texture without feeling discomfort. Due to COVID-19, I am unable to see a dentist right now unless it is an urgent case causing a lot of pain. What should I do? Doctor: Hi. Nothing to panic as such. Your gums need complete scaling (cleaning) but due to COVID-19, you cannot have now. If the gums are swollen, you will definitely have a wobble feel. Do enforce brushing twice daily with normal paste and medium toothbrush. Use Betadine gargle thrice daily, Take tablet Oflox OZ 10 twice for five days and Becosules capsules once daily for five days. If you have an eating disorder you can try with probiotic sachets for five days preferably in the nights. Visit the dentist once the pandemic is over. Do salt water gargling twice daily." + }, + { + "id": 25498, + "tgt": "Can Montral and Levolin syrup be given to children to treat wet cough?", + "src": "Patient: Hello doctor, My son has a wet cough with blocked nose having no fever. The doctor has prescribed medicines like Montral syrup and Levolin syrup and Metaspray nasal spray but no relief until date. I also medicate him with nasal drops of Otrivin. Please advise me whether can he continue with the same medicines. Please advise accordingly. Doctor: Hello. Your son's symptoms are most probably due to viral upper respiratory infection which is not a serious condition. The medications prescribed are sufficient but you have to watch for fever and the color and amount of excreted phlegm. I suggest you add an expectorant like Ambroxol Syrup 5 mL three times per day which will help him to excrete the formed phlegm. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Follow up within one week. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5019, + "tgt": "I feel weak, stress and dizzy due to excess masturbation. Please suggest diet and medicine", + "src": "Patient: Hello doctor, I am 26 years old. I am going to get married in another four months. I started masturbating six years back to give it a try. Later, I got addicted to it. So much so that some days I even masturbated for seven to eight times. Along with this, I am not having proper diet like skipping breakfast and dinner, sometimes skipping lunch also. This happens daily. Now I am facing weakness in my body, severe stresses, lack of concentration, dizziness. I tried hard to stop it. From morning till night I kept thinking healthy, but at night I masturbate. I will stop this for sure, but I want to make my mindset more strong. I request you to help me in this regard. I am a vegetarian. Please help me with proper medication and proper diet. Due to stress, I am unable to work at my work place. Else I had worked very efficiently in the past. Now I cannot do small things which are very easy at my work place. Please help me. What all the foods I need to take? I have heard Shilajit, as a medicine for this, but do not know. Also, please help me with early ejaculation and making the private part strong. Doctor: Hi. I understand your symptoms well. The only problem with you is you have been anxious about the whole issue. Believe me, there are no other problems with you. Physiologically or hormonally there are no problems with you. Anxiety is a vicious cycle. You become anxious, you disrupt your normal habits, then it makes even more anxious. Well, you need to start with a schedule. Either in the morning or in the evening you have to workout for at least 45 minutes. You start with this, the rest of it will follow. Because when you workout well, your physiology would be stabilized, you will get more sleep and by default, you would take enough diet. Once you are focused on other things to do definitely you will not feel like masturbating the whole day. For premature ejaculation you can take tablet Tramadol roughly three hours before sex, it delays ejaculation. But beware, this medicine causes nausea in many patients." + }, + { + "id": 1685, + "tgt": "Is it safe to take tablet Januvia to control blood sugar levels?", + "src": "Patient: Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change . Has been difficult. Weight up sugar levels 299. Dr put me on januvia last week. Scared cuz of reviews n side effects of the medication I read online. Already feeling like neck swollen n pain in chest sometimes. Cant go to hospital now because of covid. Dont want to get infected. Is Januvia ok. What do you suggest Doctor: Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more. Modification of lifestyle is the main stay of diabetes treatment. U need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices. If can\u2019t stop u have to 70% reduce bread rice pasta and potatoes. Eat fruits only as a sweet dish. Mango grapes and banana especially can increase sugar quickly. U have tried many medications and I\u2019m not sure which are those medications. I will advise u to take Glyxambi 25/5 one tablet daily Check ur fasting sugars for few days and let me know to modify dose accordingly Ur fasting should be 100-130 Thanks" + }, + { + "id": 20336, + "tgt": "I missed my period for a month. Can I be pregnant?", + "src": "Patient: Hi doctor, I have missed my period for a month, and he inserted his penis tip into me. But he did not do an ejaculation. Please solve my doubt. Doctor: Hi. If the ejaculation is not done in the vagina, then there is no chance of getting pregnant. The delay could be because of hormonal changes. Get a urine pregnancy test done with an early morning urine sample to confirm pregnancy." + }, + { + "id": 22669, + "tgt": "Can you give me medical advise about the effects of vaping?", + "src": "Patient: Hello doctor, I am worried about the effects of vaping. Doctor: Hello. I have reviewed your query and can understand how worried you are about your health. I understand you want an expert suggestion on vaping and how it affects our health. It looks like you are using e-cigarettes that may be a closed system which means they use their own refill systems. If you never smoked regular tobacco products or e-cigarettes, I would recommend never start vaping e-cig. It is not for beginners of any age, pregnant women, youth and young adults. If there is nicotine too, it is almost the same as the conventional tobacco cigarettes. The chemicals that help in making vapors (in the aerosol) are also not good for lungs. Diacetyl is a flavoring agent used in e-cig that is a culprit now known as a cause of lots of lung diseases. Cancer-causing chemicals are also found in the aerosol that is inhaled deep in lungs. Volatile organic compounds are lethal to the human body and can cause lung diseases and other bodily issues. Nickel, tin, and lead are frequently found in the inhaled aerosol. These are heavy metals known to be hazardous to our body. US center for disease control and prevention states clearly that many e-vaping liquid containers print that there is zero nicotine in them but they actually contain nicotine. Otherwise, the users would not use their products. It is a dangerous situation. Battery system explosion while charging the e-cig systems is not a rare phenomenon and a large number of cases have been reported. Using e-cig system at high voltage produces dangerous chemicals that sit deep in our lungs and can be harmful. If you were a regular smoker (conventional cigarette smoker) and are trying to quit smoking and have chosen e-cig as an alternative by yourself, I would suggest you consult a local physician about it instead. There are better options available. Hope this helps. Please feel free to ask more if you need further assistance. I would be happy to help. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18056, + "tgt": "What is a jerky septum? Is it normal to have it?", + "src": "Patient: Hello doctor, I had a pain in the left shoulder blade as well as in the chest. After taking medicines, the left chest pain is gone but, the left shoulder blade pain has increased a lot. My ECG is normal. My echo is normal as well but, shows a jerky septum.\u00a0The doctor told me that a jerky septum is a\u00a0normal finding. Should I consult another doctor or go by his word? I am attaching my reports. Kindly have a look. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Best regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 5275, + "tgt": "I have cystic fibrosis and pulmonary shunt. How to titre my oxygen levels?", + "src": "Patient: Hello doctor, I feel that I am a complicated case and I am trying to figure out the best way to titrate my oxygen treatment. I have late-stage cystic fibrosis, and I am experiencing a few months of exacerbation that has led to me needing oxygen full time. A few weeks ago I began, for the first time, to titrate my O2 saturation vigilantly to between 90-95%, to combat Co2 retention. Previously, even when sick and using O2 full time, I had not retained Co2. But on my recent ER visit when I was in pulmonary distress (very short of breath) my pCo2 was 65. I was advised to titrate it. I had been advised before, but I had not always done so rigorously, because frankly it just felt uncomfortable. This time I stuck to it, however, because I was very nervous about increased Co2 retention. My pCo2 has wavered around, from 65-62-57-62-58, in about three weeks. The thing that has significantly changed, however, is that I am no longer sensitive to low oxygen saturation. My breathing is much more shallow, and I can sit comfortably at 90% and not even feel bad. It is scary because I can also be walking around and desaturating to 85% without even feeling it. I used to be able to know my oxygen saturation just by feel and how short of breath I was. My breathing, as I said, is very shallow even as I desaturate. It is only when I exercise to a certain point, at high levels of O2, that I am able to inhale and exhale involuntarily and deeply. I have some different issues that make me wonder if the protocol for titrating oxygen at low saturations for Co2 retention is the right treatment for me, and I am going in circles trying to figure it out. My doctors do not seem too concerned about my Co2 retention in general, given my late-stage CF and that I am about to be listed for a transplant, but I always want to figure out what is the best thing to be doing. I have a right to left pulmonary shunt. It is demonstrated when I lie down. My O2 saturation actually rises while lying down, and rises higher if I lie on my left side vs right. So I believe that this would be a component in that venous blood is being recycled into arterial blood but I do not have a grasp of how that could effect Co2 retention (only that it can lower my O2 saturation). Secondly, I am very anemic. My hemoglobin has dropped from 9-7 g/dL in the recent three weeks. I have always been anemic, but I have become even more so in the past three weeks, despite having been sick with exacerbations for months. The last three weeks have been different. (For example, I am also experiencing low magnesium for the first time, and we keep supplementing, but I cannot get my levels up). Lastly, my lungs have improved and infection has cleared somewhat, but I have not been able to come closer at all to being off oxygen. I know I do need to accept that maybe this is not a reality. But regardless, my O2 needs are lower, yet as soon as I exercise or move around even a little, they drop rapidly. Before three weeks, it was much less extreme. Now, I can sit resting on 1 liter and have a saturation of 97, yet as soon as I get up and move for 15 seconds, it drops quickly to the 80's. There are all these components, lungs (shot), anemia (no red blood cells to carry), and pulmonary shunt (diversion of oxygenated blood), that I am trying to piece together to figure out if titrating my oxygen to lower numbers is actually helping me or hurting me? Doctor: Hello. Well, that was a wonderful and well-detailed query. I will answer your query in parts. Regarding your insensitivity to low O2 saturation: Well, this is an expected development in long-standing lung problems. Continuous exposure to low oxygen levels over long time will decrease the brain's sensitivity for low oxygen and hence that is the reason you breathe shallow in spite of desaturation. So the body's next line of defense for low oxygen is CO2. When the brain's sensitivity to oxygen is reduced then the brain uses CO2 level to trigger breathing. But because of your advanced cystic fibrosis exchange of Co2 and O2 is not happening adequately at the lung level and hence your body is retaining Co2 because it is not able to remove it out. My advice at this point is to do breathing exercises, take long inhalation and long exhalation. Also, do incentive spirometry exercise. Coming to your hypothesis of right to left shunt you are absolutely right. But shunting could be at the lung level or at the heart level. In your case, the chances of shunt being at lung are more likely but still, tests should be done so that there is no shunting at the heart. For that, I advise you get echo with contrast with positional change maneuver. If your venous blood is being recycled into arterial blood then the total Co2 content of the blood increase (as venous blood contains more CO2 than arterial) and thus the Co2 gradient (the difference between arterial Co2 and alveolar or in simple terms lung Co2) decrease and Co2 elimination is directly dependent on Co2 gradient. Higher the gradient more the elimination and less retention and vice versa. Anemia contributing to O2 desaturation and Co2 retention: If you are anemic then your blood carries less O2 so at rest your O2 demands would be less but on exercise your O2 demands increase a lot which cannot be met due to low O2 carrying capacity of your blood, thus leading to profound O2 desaturation. But what is not know is why are you suffering from anemia? What is the cause? Because if we can correct your anemia your O2 requirement even on exercise can come down. I advise if any evaluation from your anemia point of view has been done kindly upload so that I can help further. Until your cardiac evaluation for intra cardiac shunt and anemia evaluation are completed, I advise you to keep titrating your O2 to maintain spo2 > =95% both at rest and on mild exercise. Till correction of any shunt (if possible) and correction of anemia is done you will desaturate on exercise and hence increase O2 during exercise." + }, + { + "id": 18011, + "tgt": "The inner side of my penis has redness and itching. How do I cure it?", + "src": "Patient: Hello doctor, I have redness and white creamy substance on the inner side of my penis, which is sometimes itchy. I\u00a0had taken Fluka 150 mg one time and the redness reduced, but it has not gone completely. What could it be? Please suggest treatment. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10277, + "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": 14604, + "tgt": "What are the methods to quit smoking without using medicine or nicotine gums?", + "src": "Patient: Hello doctor, I want to quit smoking. Everyday something happens which makes me smoke another stick. I am sick of smoking but nothing is helping me out. I have already tried meditation to do some exercise and all but in the end, I cannot control and again I start smoking. I am not willing to have any medicine or nicotine gums as a solution, if something else you can recommend that would be helpful. Doctor: Hi. See smoking comes under the addiction to nicotine. Addiction has multifactorial etiology, for example, peer pressure, family history, personality factor, maladaptive way to deal with stressors, underlying anxiety, and depression. As far as treatment is concerned which is dependent on patients motivation, motivation should be strong enough to quit because treatment would only facilitate you for this action. You strongly require medication and counseling for motivation and to understand your psychological condition. Smoking. All baseline investors. Depression. Tablet Bupropion 75 mg three times a day." + }, + { + "id": 18437, + "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": 5163, + "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": 23287, + "tgt": "What would be the management of hepatitis infection?", + "src": "Patient: Dear doctor, I want to know the interpretation of my lab test for hepatitis. These are: HBsAg 5638.62 reactive, anti HBs 0.00 nonreactive, anti HAV IgG (reverse) 1.06 reactive, anti HCV 0.520 nonreactive, SGPT 19 (ref value is less than or equal to 41 U/L). The liver ultrasound: right mid hepatic length 6.10 cm, left mid hepatic length 7.2 cm, sonographically normal sized liver. Note: I have a schedule for other tests which are HBV DNA-PCR (viral load) and fibroscan for chronic HBV, normal SGPT. Hoping for your prompt reply. Doctor: Hello. You have hepatitis B infection. You need to get your HBV DNA quantitative level and depending on that, start antiviral treatment from your treating physician. Nothing to worry. If well treated, you can have a good control of the liver disease. Hope your queries have been cleared. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9298, + "tgt": "What can be the causes of pain below Adam's apple?", + "src": "Patient: Hello doctor, I am a 32 year old male with a history of some tonsil problem. About seven years ago, I had both a peritonsillar abscess\u00a0and mononucleosis around the same time. After that, I began seeing an ENT for some fatigue and for lymph nodes on my neck that were both large and painless. After a few months, the fatigue went away. The ENT sent me twice for fine need aspiration biopsy of the lymph nodes, but it found nothing. He said that my symptoms are due to my body being exhausted from the infections. Years have passed, the lymph nodes never went down, but I am doing fine. Now all of a sudden, I have developed a sore throat. I do not\u00a0have redness, inflammation or white spots, and it is further down from my Adam's apple and a little to the right. It feels a little tight or sore when I swallow sometimes, and it becomes more pronounced if I turn my head to certain angles and swallow. It really is not all that bad, but considering everything that I have been through in the neck and throat area, I get concerned quickly. I have had this discomfort for about five or six days. Now I know I have to see a doctor and I will. But given this information, how concerned would you be that I might have a tumor in my neck causing this feeling? I am growing very concerned about that. What else could it be? It definitely is not a normal sore throat. Doctor: Hi. Kindly send pictures of your throat to be surer of the diagnosis. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12389, + "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": 18293, + "tgt": "What are the side effects of Mezol eye drops?", + "src": "Patient: Hello doctor, My eyes normally are very dry and get red too often. The doctor once gave me Mezol eye drop and it becomes white instantly. So, can I use it regularly whenever eyes are red or not? What can be the side effects of Mezol eye drops? Doctor: Hi. Mezol (Chlorpheniramine maleate, Methylcellulose, and Nafazoline) has no long-term side effects, but as it contains preservatives, I advise you to use it only when your eyes are red and not on a regular basis. Refresh Liquigel is a lubricant which is preservative free and can be used on a daily basis four times a day. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15387, + "tgt": "Should I worry about low platelet count with fever if dengue test is negative?", + "src": "Patient: Hi doctor, My son is five years old, and he was suffering from fever, headache and body pain. He also had some rashes on his face and in some parts of the hands and legs. His fever was ranging from 101 to 102.5 degrees. After a couple of days, on medication, his temperature became normal between 97.5 to 99.5, degrees and he is fresh now. His platelet count went down to 160000 from 280000 in two days. His lymphocyte count is high, and neutrophils counts are low. He did not have stools for the past two days, but he passed out stools three times in normal consistency and one time with a loose stool this morning. He is feeling fresh now. We have done NS1 test for Dengue before two days, and it came out negative. Does he require any particular attention to control platelet count or is it normal? Please suggest. Doctor: Hi. The report suggests some form of viral infection (attachment removed to protect patient identity). You have ruled out dengue. He has platelets of 160000 platelets per microliter of blood, and it is in a normal range. There is no medicine available to increase platelet count. I advise you repeat CBC (complete blood count) after two to three days to see the platelet count. I am pretty sure that the platelet count will get increased." + }, + { + "id": 4261, + "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": 29781, + "tgt": "Does my blood report confirm an autoimmune disease?", + "src": "Patient: Hello doctor, I am experiencing back pain, knee pain and aching joints. I have severe burning sensation across my entire mid abdomen. Autoimmune disease runs in my family. Previously, I used to get red rashes all over my body from time to time over the years. My doctor is testing for Lupus. I have had some strange things going on for the past five years and I just had extensive blood work done last week. I am not scheduled to see the specialist for another three weeks, but I have some questions about some of the results and what they mean. Please help me. Doctor: Hi. 1. Systemic lupus erythematosus (SLE). 2. Mixed connective tissue disease. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2389, + "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": 12895, + "tgt": "Is the red patch on the chin due to rosacea?", + "src": "Patient: Hello doctor, Three months back, I started to have a small red dry patch on the skin developed on my chin. I tried to keep it moisturized but it seemed to get very dry so I put some Hydrocortisone cream on it for a few days, it seemed like it was gone so I stopped using the cream but within a week it was back but bigger now. I used Hydrocortisone cream for a few more days then stopped for a few days and the same thing happened, only it was spreading by the corners of my mouth now. I tried putting Zinc diaper cream on it and my skin got very inflamed. At this point, I went to walk in clinic as I do not have a family doctor, he was not sure but thought it could be rosacea and gave me Metro gel prescription. I have been using it for about three weeks and the bumps have gone down, but not as much from the Metro gel and the fact that I stopped putting anything on my face, I only wash with Cetaphil and use Cerave moisturizer. I wear makeup for even one day the bumps start coming back all over my chin and around my mouth. I did not use any new products just the same old makeup face wash and moisturizer I had been using for years. The only thing I did differently was my skin was getting really dry so I used a microdermabrasion device just before the red patch developed. Doctor: Hi. From your picture (attachment removed to protect patient identity), it is steroid induced rosacea or acneform eruption. Whatever was the original disease, you used steroid over it that altered the picture and now you have developed problem due to steroid (Hydrocortisone). First advice for you is that never apply steroid on the face and that without prescription. Now, regarding its management, you have to use a sunscreen of SPF 60, Metronidazole gel 0.75 % is correct treatment but mix it with cold cream and then apply, take non-sedating antihistamine tablet, once bumps will disappear then we will manage redness but in a step-wise manner. Wash your face with mild soap and water. Avoid Dettol and other irritants. Do not scratch or rub the lesion. Steroid induced rosacea, contact dermatitis, steroid induced acneform eruption. Sunscreen of SPF 60 from morning till evening. Apply Metronidazole gel 0.75 % plus cold cream at night. Take antihistamine tablet OD. Wash face with mild soap and water. Avoid using Dettol and other irritants." + }, + { + "id": 18726, + "tgt": "Is surgery required for a fibroid in the uterus?", + "src": "Patient: Hello doctor, My cousin's report reads as follows. 'There is an evidence of a large posterior myoserosal fibroid measuring 7.6 cm by 6.1 cm in the upper body region.' Does this need surgical intervention? Can you give some advice? She is yet to conceive. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22135, + "tgt": "What is the cause for bleeding, swelling, and pain in the gums?", + "src": "Patient: Hi doctor, I have bleeding, swelling, and pain in the gums. Please suggest tablets for getting relief. Doctor: Hi. Bleeding gums are due to inflamed (simply, swollen) gums. The most probable cause is calculus (hard deposits) and plaque (soft deposits) irritating the gums. The treatment is to get a professional cleaning (scaling) done by a dentist. You can do lukewarm salt water gargling to give some relief to the gums. Mouthwash (Chlorhexidine) can be used but, use it after diluting it with water once or twice daily till the gums get normal. After that, you can continue just lukewarm salt water, as Chlorhexidine can cause tooth discoloration. Kindly, follow the correct brushing method (modified Bass sulcular method). Medicines are not required compulsorily in this case. The other cause could be of swelling (sinus opening) due to chronic infection of a tooth. In this case, antibiotics are prescribed. I would like to see the image of the tooth to guide you with the provisional diagnosis. Kindly visit your nearby dentist for a further clinical examination, X-ray, and treatment. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11737, + "tgt": "Can a PCOS patient get pregnant?", + "src": "Patient: Hello doctor, My vagina has cysts and a cut on the inside. I have PCOS and the cysts never hurt until now. I also never have a regular period. And I want to know how I can increase my chance of getting pregnant. Doctor: Hello. If you are planning to get pregnant at this time, you would need assistance from Ob-Gyn. She can give you pills like Progesterone to regulate your menses and have you bleed regularly. By doing this, timing interval when to appropriately have an intercourse would lead to better chance of conception. Once she has established your bleeding pattern, for a month or two, she can give you fertility pills. This are Clomiphene pils which will stimulate your ovaries to actually produce an egg or help you ovulate. Because you have to understand that PCOS patients have difficulty getting pregnant because they do not have regular periods and they do not ovulate." + }, + { + "id": 30072, + "tgt": "My father is not realizing his psychological problem. How to treat him?", + "src": "Patient: Hi doctor, My dad is 59 years old and had angioplasty three years back. After angioplasty, he was on high medication. Also, he started to develop psychological problems. He is having illusions that my mom is having affair with whosoever comes to our house. He started troubling my mom a lot. Now, he thinks my mom is having affair with his elder brother. He is not talking properly to my mom, me and my uncle. Rest in front of others, he behaves normally. My dad is still working and outside home, he is normal. He is a chain smoker and drink alcohol. I tried to take him for counseling, but he is not ready to understand that he is undergoing some problem. We have not discussed this problem with our extended family as he is normal in front of others. He used to care about us so much. But, right now I am 7 months pregnant and he least bothered about it. I did not want my mom to suffer more as already for the last three years we were ignoring this problem. Please help us. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9794, + "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": 4822, + "tgt": "Why am I having frequent flatulence with irregular bowel movements?", + "src": "Patient: Hello doctor, I am 30 years old. I was diagnosed with non-ulcer dyspepsia seven years back. Was treated with probiotics and it helped a little bit. Now my complaint is frequent flatulence (foul smelling) and irregular bowel movements (sit 3 to 4 times daily with only 1 episode of almost complete defecation and others scant and incomplete). History of frequent flatulence for 5-6years, acute gastritis after heavy alcohol intake 3-4 times by last year managed with antacids. My dietary habits are irregular (timings) with missed diets 3/4 times a week. I smoke occasionally. History of alcohol intake 180 ml hard liquor, 3 days a week for 5 years, 5-6 days a week for an year, 300 ml 5-6 days a week for an year. I have no other medical co-morbidities or past surgeries. OCD for 4-5years being treated with SSRIs- Fluvoxamine for 3 years and Escitalopram for the past 10 months. PPIs for 10 days 5 times in 6 years. Family history: nothing significant. Did a fibroscan-liver, LFT and USG-abdomen 10 mnths back and were normal. LFT every three months since then were normal. Now may I please know what will be the solution for my current complaints? Doctor: Hi. It looks like IBS symptoms. You need medicine along with some lifestyle changes. Continue Escitalopram and Isabgol. Take tablet Rifagut 550 mg twice daily, tablet Normaxin twice daily, tablet Esomac 40 mg once daily before breakfast, tablet Folvite 5 mg once daily." + }, + { + "id": 2875, + "tgt": "Audiometry shows right side hearing loss with ringing and headache. Please help", + "src": "Patient: Hello doctor, I am currently undergoing medication for vertigo and ear infection as per the doctor. My symptoms were head spinning at regular intervals (when heads start spinning I am unable to sit also), nausea, dizziness, and headaches. I went to an ENT and did an MRI and audiometry test. MRI is normal but my audiometry shows a significant hearing loss. As per the latest findings, my right ear has hearing loss with continuous ear ringing and headache on the right side behind the ear. Also, the doctor said that this is happening due to weak nerves of hearing and balancing. Please suggest. I am currently on Vertidiz, and Diligan 25. Doctor: Hello. Please upload the reports of audiometry and MRI (magnetic resonance imaging). How much of significant hearing loss is there? Is it nerve-related or conductive loss? Did you have any ear discharge before the problem started?" + }, + { + "id": 22263, + "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": 29179, + "tgt": "Why is my mom's health deteriorating even after undergoing treatment for anaplastic astrocytoma?", + "src": "Patient: Hi doctor, Four years ago, my mom was diagnosed with an anaplastic astrocytoma in the right parieto-occipital region. She underwent radiotherapy and chemotherapy with Temozolomide, which shrunk the lesion. Over the years her mobility has declined significantly. She can only walk a few steps with support. Her recent MRI, which she got last week, showed that her lesion is stable. However, for the past one month, she\u00a0has been sleeping a lot. Her cognitive function and memory have deteriorated sharply. She has had episodes of being disoriented and is silent mostly, almost dazed. She was in the ICU after her last episode of confusion, drowsiness, right hand and leg jerking. The neurologist said she was probably in a postictal state. Yesterday, after being discharged from the hospital, she was very sleepy again, her head slumped, and she took about five minutes to regain consciousness. Today morning she started dazing again. She is on Keppra 2 g, Lamotrigine 150 mg twice daily, Lacosamide 100 mg twice daily, Frisium 10 mg once daily and Clobazam 10 mg twice a day. She had three episodes of seizures in the last year. The neurologist is confused as MRI has shown chemotherapy-induced changes, but still, her condition is not improving.\u00a0Please help. Doctor: Hi. I understand your mom's case. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7413, + "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": 18705, + "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": 29322, + "tgt": "How to stop my daughter's persistent dry cough?", + "src": "Patient: Hi doctor, My daughter\u00a0is 12 years old. She has a\u00a0dry cough since 10 days. The doctor says that it is rhinitis. Her URT is congested and getting continuous dry coughing. The\u00a0prescription given is tablet Telekast, spray Nasonex,\u00a0syrup Chericof and also tab Dompan SR. But, the medicines are not working. I want\u00a0to stop her from coughing. Please help. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24813, + "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": 8255, + "tgt": "Why does Fluoxetine cause insignificant insomnia?", + "src": "Patient: Hello doctor, I am a medical graduate having trouble in sleeping. My psychiatrist told it is a panic disorder. First she gave me Escitalopram 10 mg for which I got akathisia, severe irritability and sleeplessness got aggravated. She later changed it to Fludac 20 mg in the morning at 8 AM. I did not have much inner restlessness or anxiety. As my final exams are approaching I felt this might be the cause. At night she put me on Clonazepam 0.25 mg and sleep was better. She tapered and this is the fourth week on Fluoxetine without Clonazepam. I do not have inner restlessness, but clouding of my consciousness and feel somewhat anxious because of lack of sleep. Can you please let me know why this Fluoxetine even though taken in the morning can cause insomnia at night? Shall I stop using this medication or can I switch to other medication? I guess that as I take Fluoxetine, I did not get sleep at night. I am a 28 year old male. My height is 5'10\" and weight is 80 kg. Doctor: Hello. Fluoxetine induced insomnia. Follow up if you have any queries to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18721, + "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": 4598, + "tgt": "What causes chest cold with weight loss, nausea, and dry heaves?", + "src": "Patient: Hi doctor, My symptoms include a chest cold for approximately one month, 12 pound weight loss, nausea, dry heaves. Excessive bowel movements. Shortness of breath. Muscle aches. Left side rib pain. Fatigue. I had normal labs except mildly elevated alkaline phosphate. My doctor is now running a ALP isoenzyme test. Do I have multiple myeloma? Am I too young? What are my chances? What else besides my liver could make that test elevated? Doctor: Hi. After reviewing your complaints and your blood investigation (attachment removed to protect patient identity), I can draw the following conclusions: 1. It is highly unlikely that you have multiple myeloma, as your globulins (in blood report) are normal. Though it is a rare scenario before 40 years, it can happen to people. Your case seems something else. 2. There is however abnormally low carbon dioxide level in your report. This occurs because of hyperventilation, anxiety, some lung pathology. 3 . More importantly your medication are the most likely reason for your anxiety. Sometimes these can cause diarrhea as well. 4. Raised ALP can be from many causes. Liver (uncommon if you do not have jaundice), bone, intestine and placenta being most common. Isoenzyme assay that your doctor is doing will help isolate the source to some extent. 5. Given your age and your month old respiratory problem I would suspect a lung infection including Tuberculosis (TB). TB can also cause the left sided chest, fatigue and weight loss. Pain itself can lead to hyperventilation. 6. Moreover your your ALP is only mildly raised which is against the diagnosis of multiple myeloma (where it can be in thousands). Mildly raised ALP can be due to vitamin D deficiency as well, given you live in Montana (low sunlight). Please discuss with your doctor regarding need for a chest X-ray and possibility of TB and Vitamin D supplementation. Do not worry. The reason you might feel anxious is most probably your medications. Take a healthy balanced diet. Try some meditation as well." + }, + { + "id": 25136, + "tgt": "I have a unicornuate uterus. What is my chance of getting pregnant?", + "src": "Patient: Hello doctor,I have had four follicles ruptured from my left ovary and one from the right. I have had IUI back to back for two consecutive days. But my major concern is I have a unicornate uterus with a left rudimentary horn. I recently had lap because I had a cyst on my right ovary. The doctor says I have been ovulating perfectly every time. I am depressed abt the fact that left tube is absent but four follicles ruptured on the same side. Please give me some hope of getting pregnant. The endometrium lining is 9 mm which the doctor said is very good. And, this is my first IUI after lap. Doctor: Hello. How are you doing? I do not see any reason for you to worry. The movement of egg into the fallopian tube is chemically controlled or attracted. So, no matter which tube is open or blocked, the egg falls into the peritoneal cavity or the space around the uterus. Then, it will be obviously sucked into the open tube. So, you have definitely a chance of pregnancy. Your doctor will have more job to do only after you get pregnant, with lots of close monitoring and medications. Your chances of getting pregnant are on par with any other lady. So, just hope for the best and pray well. All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 3785, + "tgt": "What could be a slight bulge on the tonsillar wall with no color change?", + "src": "Patient: Hi doctor, I have a slight bulge on my tonsillar wall which is different compared to the other side. Should I be worried? It is not a different color. Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). You are having chronic tonsillitis. There is an enlargement of tonsils. No other abnormality is there. So you can relax. Please tell me what symptoms are you having and what medicines have you been taking so far? So that I can suggest you better. Follow up with the required information." + }, + { + "id": 6771, + "tgt": "I am having open wound on the right breast and it grows. What could it be?", + "src": "Patient: Hello doctor, I am having an open wound on the underside of the right breast. I noticed it a few days back and is continuing to grow. I would like to know what it looks like and why I get an open wound in this location. I would also like to know if skin cancer can ever display in this way. I am using antibiotic cream for the same. Obviously, I know that a diagnosis can not be given online without testing, but would just like to know by the looks of it. Doctor: Hello. I have viewed the image. (attachment removed to protect patients identity). It seems like a furuncle which is a skin and soft tissue infection (SSTI) and which has now burst open. I suggest you take an oral antibiotic, Amoxicillin, or Cephalexin for a week. Also, I suggest you use a topical antibiotic Neosporin ointment or Mupirocin 2% ointment twice daily." + }, + { + "id": 22025, + "tgt": "Can I take digestive enzyme for frequent bloating?", + "src": "Patient: Hello doctor,When I wake up by 8 AM I immediately go to clear the bowel. After that, I feel somewhat relaxed but after few minutes I start feeling bloated and then I take a cup of tea and after 15 minutes again I rush to the bathroom. Then I feel completely relaxed but after breakfast, after few hours, it starts getting bloated but when I go to the bathroom I am not able to poop but I feel very upset in the stomach and bloated. So after my afternoon lunch, by evening 6 to 7, I eat some light food and after a few minutes, I need to rush to the bathroom to poop. I went to the doctor many times but nothing worked for me. I am plannig to take the digestive enzyme. Can I take it? Please suggest. Doctor: Hi. I have gone through your query. Your symptoms could be due to hyperactivity or any stomach infection. I advise you to take care of your diet because most of the symptoms arises because of unhealthy dietary practices. Avoid tea, coffee for few days. Avoid junk food, spicy, and fatty food. Do not remain empty stomach for a long time. Include more salads and fibrous food stuffs in your diet. Avoid taking more protein in your diet. If you have not tried any antacid drug like proton pump inhibitors in the past, then I suggest you take tablet Pantoprazole Domperidone (40/10mg) for 14 days. This tablet you have to take one in the morning and one in the evening before meals. Drink plenty of water. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18070, + "tgt": "Is my chest pain due to vitamin D3 deficiency?", + "src": "Patient: Hello doctor,Four months ago, I consulted you on this platform for premature complexes which I was having without any other symptoms. Below is my query and your answer - I am a male of 48 years of\u00a0age. I have a lean build and do regular exercise. Since childhood, I had a tendency for heart palpitations and premature beats. After a few tests, anxiety was found to be the main cause. \u00a0You had said that most probably these premature complexes are originating from ventricles which are leading to the symptoms. These are usually benign and not life threatening. The only concern remains is that of coronary artery disease, which is also less likely as these are occurring from a long time and you are not having any other symptoms. Lack of sleep, stress, alcohol, smoking, caffeinated beverages are known triggering factors for these due to sympathetic overactivity. You should also get thyroid test done. I think, just be on a safer side, you should get one treadmill test done to rule out coronary artery disease and echo should be repeated. Afterwards, I met a cardiologist and got an ECG and echo tests done. The tests were normal. The cardiologist said that there is no need for TMT test since I do running and other exercises daily and there is no known risk factor for CAD. But the VPCs continued for a month.Then, I realized that I was taking a weight gainer supplement from the last one year which contained creatinine. Two months back, I was not doing any exercise due to a small fracture in my elbow but continued to take this supplement. The doctor advised me to stop the supplement immediately since this could be the cause of missed beats. Then I read in the internet and found out that there have been cases of irregular heart beats due to creatinine supplementation. I stopped taking the supplement although it was from a reputed firm and did not contain any steroids. The missed beats reduced after stopping the supplement and from the last two months, it has come to a normal level of one or two in a day. But somehow my mind started getting preoccupied with the thoughts of heart disease and I started reading about it from the internet and even textbooks.I have been thin and slim since my childhood, have been quite active physically, no family history of heart disease, no diabetes, no hypertension, non-smoker, rarely eat fried foods. My lipid profile is normal with HDL being about 55 whenever tested, CRP is around 0.5. But in spite of this, I was not able to free my mind from worries of CAD. A month back, I did quite a lot of pushups after a gap of four to five months. After three to four days, I started having pain in my chest here and there mostly at rest. After a week I got an ECG done which was normal. The pain subsided slowly but whenever I did some exercise which put a strain on the chest muscle I started having pain and with pain, more worries.Then I met a psychiatrist. He said that I have got into an obsessive loop, which is part of health anxiety disorder which is causing these psychosomatic symptoms of chest pain. He advised me to take some antidepressants for three months, do Yoga and meditation and take some sessions of cognitive behavior therapy. I am reluctant to take antidepressants but have already started doing some meditation and Yoga. He also prescribed Alprazolam .25 mg on SOS basis. Now the pain is subsiding slowly and obsessive thoughts are also reducing. I have stopped doing any exercise that would put a strain on the chest. I do not know how long it will take to resume it. In a recent blood test, two months back my vitamin D3 was at 28. Could it be the cause of the chest pain? Secondly, I stopped the supplement but continued some strenuous exercises without taking a proper diet. Could it be the cause of it? Please guide me. How to get rid of this unwanted health anxiety which I have got into? Doctor: Hello. Looking at the\u00a0overall picture, the\u00a0problem appears to be a minor one and not worrisome. All the best. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 9507, + "tgt": "Should I be concerned about serotonin syndrome if I take Trazodone?", + "src": "Patient: Hello doctor, I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribed Ativan (0.5 mg) for sleep, and it sometimes helps, but not always. Even if I take a bit more (I have taken up to .75 total), it does not always help me sleep. My psychiatrist prescribed Trazodone (she suggested I start at 25 mg and if I feel no effect, to take another 25 mg/ go up to 50 mg in one night (but I am concerned about serotonin syndrome from taking another medication that messes with Serotonin). Can you advise if I should be concerned about serotonin syndrome if I take the 25 (or 50) mg of Trazodone? Additionally, should I be concerned about anything else in terms of taking these three medications together? Doctor: Hello. Serotonin syndrome is an acute emergency case, rarely seen in common practice. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my knowledge, in fact, these two drugs are given together in depression/ anxiety with insomnia. Yes, Fluoxetine is an SSRI (selective serotonin reuptake inhibitor) known to cause sleep disturbances. So, be careful with it and avoid taking it in the evening or at night at all. Let me know if I can help you more. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26012, + "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": 22176, + "tgt": "My mother is suffering from chronic kidney disease. Can she avoid dialysis?", + "src": "Patient: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level is 9.8 mg/dL. She has a history of diabetes for the past 25 years. She is taking Insulin from the beginning. She has hypertension for the past 35 years. Her hemoglobin is about 11.0 gm/dL. Her eyesight has been damaged before four years now. Her urine output is seven to eight times (volume is 1 to 1.5 liters within 24 hours). Can she avoid dialysis and reduced creatinine level? Please help. Doctor: Hello. I have reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of appetite, uremic heart problems and accumulation of fluid in body parts like feet causing edema and lungs causing shortness of breath. Even if your mother is not experiencing any of the above symptoms, depending on her history of chronic diabetes and levels of creatinine clearance, (I could not calculate exact creatinine clearance for your mother as you have not mentioned her weight, but taking an average female weight of 60 kilograms, your mother's creatinine clearance is very low), she might be considered for dialysis, which can be confirmed by a few other tests and examination done by your physician. Postponing the dialysis when she needs, it will make her worse. Though she is producing a decent amount of urine per day, she might still be at risk of various uremic complications based on her creatinine values. Get checked with your physician, and it is better to go on for dialysis if your physician advice to do it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20932, + "tgt": "How can I investigate the reason for an increase in eosinophils?", + "src": "Patient: Hello doctor,I had a severe cough seven months back and lasted for a long time. During that period a severe pain started in my left shoulder and neck and still, it is persisting. The doctor used to give me a painkiller and it subsided for some period and then again it started. I stopped taking any tablet further carrying the pain daily. I read some article stating due to viral infection such problems can occur. So I did a blood test on my own and there we observed eosinophils count 11 (range is 0.0 to 6.0) and absolute count 0.83X10^3/uL (0 to 0.5), MCHC 30.8, RDW-SD 49.3, RDWCV 14.6, PDW 8.3, PLCR 12.8. How do I investigate further the reason for an increase in eosinophils? Please note I had continuous sneezing and mucous formation in the nose. I had been operated for polyps as well but even today I cannot smell. I am unable to understand what to do and how should I get rid of these health issues and what corrective measures I should take. Currently, I am taking Hetrazan100, Neurokind and Vitamin D3 tablet once a week. Doctor: Hello. I had seen attached reports here (attachment removed to protect patient identity). An eosinophil count is high in your case and history of a cough with the mucous present. Hence allergic rhinitis or a bronchitis-like case has to be ruled out. For that allergic testing should be done. By allergy testing, we can find causative allergen. Apart from allergic respiratory infection, skin eczema, parasite infection are some other causes. For symptomatic relief, Levocetirizine plus Montelukast combination drug can be prescribed for ten days for high eosinophil count. Your calcium level is also low, for that take Cholecalciferol sachet of milk taken once a week for eight weeks. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1756, + "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": 6570, + "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": 18052, + "tgt": "What does my TMT report suggest?", + "src": "Patient: Hi doctor, During a routine medical checkup, I had something wrong with my ECG (resting) and was recommended to go with echo 2D and TMT. I do not have any chest pain. My 2D echo report is fine. However, TMT was done and the report is as follows. Significant ST depression of 0.1 mm in leads V4 - V6 at peak exercise not persisting in recovery. TMT mildly positive for RMI. Bruce test parameters were\u00a0Bruce stage 3, exercise time 8.09 minutes, METS-10.2 and THR attained -173 bpm. BP 120/80 mmHg during resting and recovery. Maximum BP during exercise was 140/80 mmHg. I did not have any problems during my TMT.\u00a0I went to a doctor to understand the implications. He told me that TMT result is incorrect and it should not be mildly positive as it does not match with the parameters given above with the report. Rather, it should be negative for TMT.\u00a0As a result, I was advised to undergo TMT again for my satisfaction which I took after six days of the first test.\u00a0I am enclosing the copy of the report. As per analysis of this report, the doctor has said that it is negative for RMI. However, one more doctor has told me that this analysis is incorrect and even this report reflects mildly positive for RMI. As a result, I am confused about the authenticity of the report and its interpretation by doctors.\u00a0I would request you to go through the 11 pages of report which I am enclosing and please let me know whether the report can be declared as negative for TMT. Please let me know if I need to provide any other information. Also, please advise further action that I should take. Thanks. Is there any test which can confirm or deny the possibilities of a heart related problem? Doctor: Hi. Thanks for providing a detailed case history. I have reviewed every bit of the case aids provided here (attachment removed to protect patient identity) and can realize your issues. Based on these reports, we cannot say you have a coronary artery disease that may have been occlusion 75% or more of the heart's arteries. As you do not have chest pain, neither at rest nor at exertion, I do not think you need an angiography at the moment. You do not need an angiography right away. If ever in future, you feel pain in chest that is confirmed to be the cardiac pain in origin, then your cardiologist may need straight to go for an angiography to see the cause of this pain. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10216, + "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": 700, + "tgt": "When I try to walk, the lower part of the scrotum becomes dark, and I have pain. Please help", + "src": "Patient: Hello!one day when I masturbated my right testicle went up and at the same time I felt a burning in the perineal area. After ejaculation I felt an intense pain in that area and from that time I always have problems walking or ejaculating. The thing that scares me is that the penis veins have increased in volume and have a dark color.initially I thought of a nerve injury but now I don't understand why this veins and pains along the legs. the doctor said that I have a prostatitis and vesiculitis but he didn't tell me about the veins.if I try to walk the lower part of the scrotum becomes dark like a hematoma and I have pain.it seems to me that there was damage to the veins and nerves because I always have pains that start from the perineum and branch towards the legs... Doctor: Hi Let me tell you that the symptoms described by you suggest that you have vasculitis(inflammation of the blood vessels) can cause Peyronie's disease. More over it may be due to epididymo orchitis. In this situation I suggest you non steroidal anti inflammatory madication like ibuprofen 400mg and antibiotics medication. I recommend you lignocaine ointment apply locally. Use ice packs for good blood supply. Avoid alcohol and smoking. Avoid stress and anxiety. More details you may consult with me. Hope I have answered your query." + }, + { + "id": 2926, + "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": 12004, + "tgt": "How to cure bad odor caused due to stomach problem?", + "src": "Patient: Hi doctor, I am a regular alcoholic. The problem is that I have bad smell due to stomach problem. Suggest me how to cure bad smell. Thank you. Doctor: Hello. With little changes in diet and lifestyle, it is possible to remove the bad smell." + }, + { + "id": 2792, + "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": 14204, + "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": 23866, + "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": 4838, + "tgt": "Baby's neck muscle got damaged during delivery. How long will it take to recover?", + "src": "Patient: Hello doctor, We are a bit concerned about our 6-week daughter. The labor was a very traumatic experience with having to be induced and trying natural labor which failed due to her turning on her back at the last minute so we had to go to the theatre to have a forceps delivery which also failed and we ended up having an emergency C section. We know due to the birth trauma she has suffered damage to her neck muscles and can only look to her right and finds it very difficult and painful to turn her head. We are currently visiting the physiotherapist to help her neck, which we have been told it can take a long time to repair. But the other things we are concerned about are the way she looks at objects i.e. curtains and light fittings and bursts out screaming also. She will be sleeping peacefully and all of a sudden jump out of her arms and legs in the air and screams and cries until she is blue in the face. Also, while she is sleeping or napping she grunts and makes very strange noises. Could there be anything in the hospital doctors or midwives have missed as it is very stressful watching her like this? Doctor: Hello, Welcome to icliniq.com. I got your concern. Well, based on your history, I can say that due to birth trauma and subsequent consequences she may have airway obstruction. Due to secretions, reflux or abnormal neck position can cause these symptoms. I advise you to monitor her pulse-oximeter saturation 24 hours and not how many times it goes less than 90%. Due to abnormal neck position and pain, she may find it difficult to see around. Please continue physiotherapy and follow her and if the pain is more you can give Paracetamol for pain relief. Make symptoms diary and take videos of the event which may help the pediatrician to look for any problem. The way she is screaming suddenly it is possible that it is startle reflex. But please take video and show it to the pediatrician." + }, + { + "id": 11174, + "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": 9130, + "tgt": "I am suffering from dandruff even after having medicated shampoos. Why?", + "src": "Patient: Hello doctor,I have severe powdery dandruff for the past two years, I tried a lot of natural remedies, but nothing worked. I cannot figure out my scalp is dry or oily dandruff. Last month I went to a dermatologist, and he prescribed1. Dankare plus scalp solution.2. Sermon capsules. I have been using them for three weeks, and my scalp remains the same. I use the shampoo three times a week. Still, I get dandruff I do not wash the next day. Kindly let me know what to do should I continue this medication. Should I follow some routine like oiling etc.? Should I change the shampoo or frequency? Doctor: Hello. The condition you are having might be seborrhoeic dermatitis. As there are no clinical images of the scalp, I cannot say conclusively. Clinical examination is required to confirm the diagnosis. If it is seborrhoeic dermatitis, you must understand that it is a chronic problem. It can be controlled with lotions and shampoo but not cured. You can use the following medicines for relief. 1. Diprobate plus lotion (Betamethasone, zinc sulfate) apply at night on scalp leave overnight wash next day with shampoo given. 2. Keraglo AD shampoo thrice a week apply on scalp leave for 10 minutes and wash off. Avoid application of hair oil." + }, + { + "id": 1823, + "tgt": "I have increased ringing in both ears after diagnosed with post nasal drip. Why?", + "src": "Patient: Hello doctor, I have increased ringing in both ears. I have been diagnosed with post nasal drip. The left ear feels blocked and the left side of the throat feels clogged as well. I had taken antibiotics on the prescription but that is not working. My ear testing results were normal. Doctor: Hello. Your problem seems to be due to sinusitis. Sinusitis itself can cause clogged feelings in the throat or sinusitis can cause secondary pharyngitis which can cause throat problems. Do you have a headache or nose block or excessive sneezing? I will want you to send me a clear picture of your throat where I can see your tonsils and posterior pharyngeal wall. Also, please let me know the name of the medicines you have been taking and also the duration. I am enabling free follow up. Please revert back." + }, + { + "id": 3699, + "tgt": "My thigh muscle is injured and givng a weird feel when I stretch the leg muscles. Please help", + "src": "Patient: Hello doctor, I am a 22-year-old male. I played soccer throughout my teens competitively. Five years ago, I injured the muscle in my thigh, what I presume was a tear of which I sat out from sports for a week or two, however, was rushed back into playing by my mother who thought I was faking the injury. I injured the muscle again, and these proceeded to happen again once more, leading me to quit sports and focus on going to studies the following year. Currently now, whenever I stretch my thigh muscle by pulling my leg up behind me, I get a slight uncomfortable feel in my thigh muscle which I know is not normal, however, it is not painful enough to tell me to stop doing it. Furthermore, I have been in the gym and jogging where my muscle seems to be fine, but when I decide to sprint there is a 50 percent chance that I will get into discomfort again. However, it does not feel like a tear, but it will become numb for a few days and finally, if I go to kick a ball it is almost certain that the same result from sprinting will happen. I have recently started to stretch the muscle to try and see if I can regain its strength to allow me to do these few things again without worrying about hurting my muscles again. I am not sure what other things I can do to help this, such as different types of stretches, etc? Doctor: Hello. I read your concern. In my opinion, you had a tear of your quadriceps muscle which has not healed properly and got reinjured again within less time. So there is a possibility that a scar formed on the tear area of the muscle leading to stiffness and numbness is due to any neural stiffness around the scar area. Possibly there will be nerve entrapment. Do not worry. All you have to do is: 1. Get a deep friction massage to relieve the tension in the muscle. 2. Slowly release the scar by massaging the scar frequently. 3. Gently stretch the muscle and hold it. 4. Keep icing that area frequently. Before attempting any running or any strenuous activity, I advise you to properly activate and then strengthen that muscle. Progressively increase the load on the muscle. I hope this helps." + }, + { + "id": 5744, + "tgt": "What causes pain in the chest when sneezing and deeply breathing?", + "src": "Patient: Hello doctor, My 8-year-old daughter went out of town. She went for a month. Last night her and my 10-year-old son were saying their lungs hurt to breathe deep. Today both have pain in the chest when sneezing or coughing and deeply breathing. I believe they inhaled into their lungs salt water mixed with strong chlorine. Please advise. Tonight my son says he is fine now but my daughter is still having the problems. Doctor: Hello. As you correctly said after returning, your kids are suffering from reactions to excess chlorine in swimming pool water. Usually it manifests as difficulty in breathing, hyperventilation and irritation in the upper airways. Usually, it is self-limiting but if it is not resolving you may need medical help. You can try following steps at home and if no relief go to the hospital. Further decontamination and adequate hydration is must. You can give milk or fruit juices to your kids. Steam inhalation will help in breathing and ease edema. Avoiding further exposure is must. Keeping room temperature warm and humid will fasten recovery. At any time if you feel no relief please get medical help at the earliest." + }, + { + "id": 4033, + "tgt": "What causes white and black spot with foul smell in genital area?", + "src": "Patient: Hello doctor, What is this black mark and white spot? I am 20 years old virgin and really worried about this. It is not itchy or painful but whatever it takes I want to get rid of it. Also my penis and scrotum has turned very dark, want to get back the original color. And the whole area has too much foul smell so need to get that cleared too. Please help. Doctor: Hi, Welocme to icliniq.com. I have gone through the available photographs and your description (attachment removed to protect patient identity). From the available details it feels the problem is due to poor hygiene. I have commonly observed that people while taking bath forget their private parts to clean that leads to infection and related complications. Presence of foul smeling is clear indication that there is abnormal bacterial growth which is giving bad smells. I mean to say that while bathing clean the private area with use of soap/dettol to stop the foul smell and to regain original color as well as get rid from black mark. Regarding white patch it seems as a birth mark and I do not think it can be removed. I must acknowledge that if it appeared every recently there is good chance of removing it." + }, + { + "id": 1338, + "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": 8654, + "tgt": "I have a dull pain in my testis after lifting something heavy. What do you advise?", + "src": "Patient: Hello doctor,I am a\u00a028 year old male. I have a dull pain in my right testicle leading to my abdomen. I believe it started when I lifted something heavy. At the moment, it is a dull pain but, if I feel it, then it is worse. I am currently out of my home country on work and do not want to go to a local hospital as I am concerned about the hospitals here. If you could advise, I would be grateful. Doctor: Hello. I understand your concern regarding a pain in the right testicle after lifting a heavy object. Avoid lifting heavy things for now.\u00a0Best wishes. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 21101, + "tgt": "I have some skin problem on my stomach for past two months. What is it?", + "src": "Patient: Hello doctor, I have had this on my stomach for about two months now. I am wondering what it is. Doctor: Hi. Please send the picture of the lesion to make the diagnosis. Are there any GI (gastrointestinal) complaints in the form of altered bowel movement or constipation or diarrhea. Is there any fever or weight loss? How is the appetite?" + }, + { + "id": 19600, + "tgt": "Why do a lot of thoughts prevent me from falling asleep?", + "src": "Patient: Hi doctor, I cannot sleep early at night and cannot wake up early in the morning. I normally sleep at around 2 AM and wake up at 10 AM in the morning. I am also very tensed when I try to sleep, lots of thoughts come\u00a0to my mind regarding my life, my past, and my future. I think unnecessary things.\u00a0I also watch TV and use my\u00a0mobile before sleeping sometimes, but even if I do not use them, I cannot sleep early.\u00a0Please suggest any exercise or some other method to solve this problem. I do not want to take any medicines. Doctor: Hello. I completely understand that you are concerned about your sleep timing and have difficulty in initiating sleep due to excessive thoughts. I hope this information is helpful.\u00a0Do follow-up if you feel the need. Best regards. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 340, + "tgt": "I am suffering from anal fissure and warts with HIV. Please suggest solution", + "src": "Patient: Hello doctor, I am 25 years old. I am suffering from fissure for the past one year but it is not healing properly. I am using Lox-2%, Osil and stool softener Softovac now regularly. Last time when I consulted a doctor he told me that I am having piles too with warts. Warts are now disappearing as I used Imiquimod for more than a month but it caused the skin around my anus red, little itchy, and inflamed. Please help. I am an HIV positive person. Can I use Candid around the anus? Doctor: Hello, Welcome to cliniq.com. I see you have taken all the necessary medications for the fissure in anus. What I would like to tell you is you need to do two more important things. Firstly, since you have fissure and piles I can guess you might have constipation quite commonly hence you must be straining to pass the stools so I suggest you stop straining while passing stools. Next, add fiber to your diet. Consuming one cucumber and carrot a day will help you a lot to avoid constipation. Also, drink plenty of water throughout the day. Secondly, how you use the medication is also important. I advise you to do a sitz bath twice a day (add Betadine 5 ml in lukewarm water in a tub and sit on it for 5 to 10 minutes). Next apply the Lox-2% (Lignocaine hydrochloride) cream (opaque) and not gel, as gel does not get absorbed and the cream crosses the skin. Apply it before passing stools and immediately after cleaning yourself after passing the stools. You can apply it whenever you have severe pain also. You can also take syrup Lactulose 15 ml at night time after food for 10 days. For the piles, if you have third or fourth-degree piles then surgery is the only choice. For first and second degrees you can treat by tablet Daflon 500 mg one tablet a day for 14 days. Apply Pilex ointment or Hemoproct ointment before sleep in the anal region. Avoid anal sex if any until the fissure heals. Lastly, all acute fissure can be treated by the methods I have mentioned here and more than any medication follow the dietary advice and you can keep the fissure occurrence under control. However, if the fissure is persistent for more than two to three months it is better to get operated. Suggested operations are lateral internal sphincterotomy for the fissure and hemorrhoidectomy for piles. Also, keep a check on your viral load and Cd4 counts. I hope this helps." + }, + { + "id": 23238, + "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": 15990, + "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": 27102, + "tgt": "My NT scan report showed a thickness of 3 to 5 mm. Is this a case of high-risk pregnancy?", + "src": "Patient: Hello doctor, I am a 33 year old female, who has a 5 year old\u00a0baby girl. I had two miscarriages, one two years back at 11 weeks, and one last year at nine weeks.\u00a0Now, I am three months pregnant, and I had a\u00a0NT scan, which showed a thickness of 3 to 5 mm. Is this a case of high-risk pregnancy? Does it show any abnormality? Please let me know. Doctor: Hi. How are you doing? Let me put forth few facts. Your age is in normal limits and not in high-risk for anomalies or genetic problem. Only after 37 to 40 years it is high-risk. You do not seem to have any medical complications. You have one 5 year old child, so the chance of next healthy pregnancy is very high, both of you have proved your capability to have children. I know you had two bad incidents, but accidents do occur. Let me explain about NT (nuchal translucency), it shows the thickness behind the neck of the baby, which indirectly increases when baby has a genetic problem, we use it to screen for Down's syndrome, also called Mongolism or Trisomy 21. It can also diagnose problems like cardiac problems, musculoskeletal and lymphatic abnormalities in the baby. Since the baby's growth is matching with gestational age, only Down's syndrome has to be thought. Hopefully, with God's grace, I am sure the reading will be normal and your pregnancy will proceed normally. 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": 27846, + "tgt": "Is it normal for a newborn baby to sleep for more than 18 hours?", + "src": "Patient: Hello doctor, My newborn baby is sleeping the whole day. He sleeps more than 18 hours. Is this normal? Doctor: Hello. Thank you and have a nice day. For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 27333, + "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": 11245, + "tgt": "BCG spot has turned red after a long time with cold and cough. Kindly advise", + "src": "Patient: Hi doctor, My son is 11 months old. He is suffering from cough and cold, and his BCG spot has also turned red. He received his vaccination long back. Then why did it turn red now? He is currently on Levolin. Please help. Doctor: Hi. There is no issue with the BCG spot turning red at 11 months of age. It is alright. As long as it is not swelling up and ulcerating completely, it is fine. Sometimes, some children may scratch it making it red. In this regard, I would advise you to get the BCG scar evaluated physically by a pediatrician. As regarding cough and cold, you can give syrup Levolin 2 ml twice a day along with syrup Montair LC 2.5 ml once a day for 5 to 7 days. SOS, you can use nebulization with Duolin if the cough is very severe." + }, + { + "id": 6130, + "tgt": "I started to lose weight after stopping the intake of protein powder. Please help", + "src": "Patient: Hello doctor, I had some weight gaining powder for gaining weight. After I stopped consuming those powders I started losing weight. Kindly suggest on how to maintain my weight. Doctor: Hello. You need to understand a few basic points regarding weight gain or weight loss. 1) Weight gain or weight loss is actually a result of fine balance between calorie intake and calorie consumption. So, if calorie intake is more than your daily needs then you will gain weight and vice versa. 2) Calorie intake should be adjusted according to your requirements which depend upon your daily routine, physical and mental activity level, and also on your physique. 3) The requirement of calories also changes with associated ailments. 4) This all is in accordance with Ayurveda principal of samanya-visesha which in simple language means similar things when added will result in an increase of that particular thing. 5) Protein diet is especially associated with an increase in muscle mass and hence faster increase in weight. 6) Please try to understand what actually that powder is. You have not mentioned the name of the powder. But the most important thing to be taken care of is that sometimes these powders may contain steroids and result in an increase in weight immediately. These are definitely to be avoided because of associated side effects. 7) Generally, these powders are protein powders. And if we talk in terms of Ayurveda, this preparations of Aswagandha, or Satavari, etc., and are good and safe to use. 8) Besides you need to rule out the possibility of any other ailment which can be resulting in weight loss. If that is the scenario, no treatment will give you benefit, unless and until you treat that particular disorder." + }, + { + "id": 9792, + "tgt": "Can male menopause cause propensity towards sexual adventures outside marriage?", + "src": "Patient: Hello doctor, I am a 57-year-old male. Happily married since the last 26 years to a very loving and caring lady. We have an equally loving daughter. We are a religious family, well settled, financially, socially and professionally, and by the grace of God, have no significant issues in life. My wife and I enjoy normal sexual activity, with the usual ups and downs, due to age and mood. I can confidently say that I am a one women man, and till date have not had any extra marital encounters. I am heterosexual and do not have any sexual deviations. Personality wise, I am an introvert and have a minor speech defect. I am well respected at my workplace, where I interact with female coworkers. I do occasionally indulge in sexually explicit clips, which I receive on social media, but I am not overly obsessed with them. However, lately, I have noticed a propensity towards sexual (mis)adventures, outside marriage, which is a cause of concern for my wife, who is also aware of this and we are very upset. I am very much aware and realize the devastating effect this can have on my life, and especially on my family, which I treasure more than anything in this world. Hence I am taking all possible measures to understand and counter this urge. My question is, whether this is progressive? Is this a manifestation of male menopause? I also feel, that, being an introvert, I have this huge desire to become an extrovert, and hence end up doing something illogical. I gave smoking three years ago, do not drink. But sometimes I drink, because, I feel, it helps me become an extrovert. In your expert opinion, what remedial measures should I take to control these urges? And do I need medications, to help me control these urges? Doctor: Hello. I can understand your concern about your symptoms. It is not the male menopause, you are suffering from boredom (the state of feeling bored). you have everything in you. Everything seems normal in your life. You should have had your hard hassle in your earlier life, now your brain is in need of adventure in life. Two things you need to do. 1. You need an adventure in life, take a trip, soul searching, yoga, meditation, fulfill your mental craving. 2. The other option is sexing up your life. Talk to your partner about your feeling. There are like other things in life two people can do rather than just normal sex. You can try role-playing, introduce sex toys, try different sex position, try difficult sex position, and so on. I Hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 5750, + "tgt": "What does my vaginal swab culture show?", + "src": "Patient: Hi doctor, I recently did a scan and do not know what it means. Please can you break it down word by word what the scan means so that I can get a better understanding to what it means. I will be looking forward from hearing from you. Thank you. Doctor: Hello. The scan reports show that there is no fluid or collection inside the uterus (cyesis) (attachment removed to protect patient identity), no adnexal mass that is no cyst be it endometriotic or ovarian or any fibroids (being tumors) from uterus. But, there is collection of fluid in the pouch of douglas which is also called the cup de sac which indicates that there is an infection in the pelvis (PID) which needs a course of antibiotics for treatment. Secondly, the vaginal swab culture shows infection with streptococcus species and should be treated with sensitive antibiotic like Zinnat. These two can easily cause infertility and tubal blockages as well or salpingitis so treatment is must and then HSG should be done to check for tubal potency." + }, + { + "id": 4281, + "tgt": "If Xanax is withdrawn, will it lead to anxiety symptoms?", + "src": "Patient: Hello doctor, My brother who is 25 years old has been suffering from anxiety for the past four years. His doctor put him on Effexor and Elavil. Both the medicine has to be taken daily in addition to Xanax. Lately, the anxiety has developed into full blown panic attacks, two of which resulted in a seizure and passing out briefly. In addition, we just discovered through a DNA test that he has two MTHFR mutated genes. He seems to be\u00a0rely more on the Xanax now as a safety net or crutch when he feels a spell coming on. I am very concerned that he has become too dependent on the Xanax and now that he is taking a prescribed vitamin supplement to counter the MTHFR. It is likely making all the drugs on board more potent than before. I have read that the cause of anxiety for some people is the MTHFR gene mutation. Therefore, I wonder if he even needs any of the drugs he is on, but I realize that he cannot just quit cold turkey. He needs opinion. He is in a real tough cycle right now where he can hardly function, which is not good as he is in final semester of law school. Please help. Doctor: Hello. I can understand your concerns. From your description, it seems that your brother might have become dependent on Xanax (Alprazolam). Xanax belongs to Benzodiazepine group of drugs and is quite notorious for causing dependence if used for a longer period. Hence when not taken, it leads to anxiety like symptoms which can mimic a panic attack. These are actually the withdrawal symptoms of Xanax. Hence, I would suggest you to stop your brother from taking Xanax as soon as possible. Substitute Xanax with some other drug with less abusive profile like Clonazepam and then gradually taper and stop it. Besides this, Effexor (Venlafaxine) is an effective drug for anxiety disorder. But, we need to adjust the dosage to increase the efficacy. You need not give him Elavil (Amitriptyline) with Effexor. However, he can continue with the supplements. I would also suggest you to take a neurology opinion in view of seizure like episodes that happened previously. For further clarification consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28911, + "tgt": "Should I be concerned about my slightly high free T4 level?", + "src": "Patient: Hi doctor, I am a 59 year old male in generally excellent health. I am 5'10\" tall and weighs 170 pounds. I am very fit for my age. I just had an annual physical and laboratory work, and it was generally excellent. I had a complete thyroidectomy before nine years due to several large but benign cysts in my thyroid gland. I am on 200 mcg of Levothyroxine daily. My blood work showed a TSH of 1.04 and free T4 of 1.93. My laboratory considers normal free T4 to be 0.7 to 1.76. Should I be concerned about this slight high value? I feel great, and all other blood tests were excellent. Doctor: Hi. For further doubts consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19517, + "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": 12418, + "tgt": "Is it normal to get tachycardia after pacemaker implantation for bradycardia?", + "src": "Patient: Hello doctor, My father's heart rate was low and fainting, syncope occurs twice. The doctor suggested a permanent pacemaker for bradycardia. After pacemaker implantation, he was fine for 45 days but now his pulse rate increases and fluctuate from 70 to 100 rapidly and some chest pain for 1 or 2 minutes. The doctor has given Ivabradine and said he has some tachycardia. What could be the reason for these complications? Doctor: Hello. This is likely a part of the syndrome called as a tachy-brady syndrome. Here, patients sometimes develop slow heart rate while sometimes a fast heart rate. Slow heart rate is taken care of by pacemaker and for high heart rate needs medicines like Ivabradine. So, usually not a worrisome issue, but needs to be on medications. If he is having these frequently then should have Holter monitoring or ECG during high heart rate so as to optimize medicines. Also, considering his age and chest pain, it is better to take some test to look for blockages as well like stress thallium or CT coronary angiography." + }, + { + "id": 2263, + "tgt": "Will testing beta hCG after 12 days of missed period give accurate pregnancy results?", + "src": "Patient: Hello doctor, Is beta blood hCG test (quantitative) done post 12 days of missed periods considered as accurate? My hCG level came less than 2. Does it mean that I am not pregnant. Doctor: Hello. Based on the present hCG levels, it suggests that you are not pregnant at present (or today), as beta hCG level is quite low. But if you frequently have irregular periods and there had been history of sexual contact, (and if you had delayed ovulation then there may be chances of pregnancy, or in other words chances of beta hcg increasing in next few days , depending on the time of ovulation and sexual intercourse). And if your cycles have been previously regular, and if this is the first time it got delayed, then you need to evaluate for the causes of it. Please get back to me if you have further queries with the exact timeline of events and your suspicions based on the event. Meanwhile you can take medication for withdrawal periods as already 12 days have lapsed from your expected date, or you could wait for another 3-4 days, and if still not getting periods you can start taking it and evaluate yourself for the cause for delayed periods. Ultrasound abdomen and pelvis, complete hemogram, thyroid profile, serum prolactin level. Tablet Meprate or Deviry 10 mg twice daily for 5 days and then stop. (This medication is not harmful even in case you turn out to be pregnant later). To wait for withdrawal bleed within next 7-10 days. To get blood tests done on 2nd or 3rd day of periods." + }, + { + "id": 14271, + "tgt": "Why am I getting recurrent abscess in a filled tooth?", + "src": "Patient: Hi doctor, I had an infection in my tooth and it was treated with a filling after a course of antibiotics. After the filling, an abscess reoccurred twice which was treated with antibiotics. It seemed to settle for a while and then I could feel a pain and pressure inside the tooth. Now a small pimple like spot has developed on the inner side of my gum at the top of the tooth and it drains pus. Is this another abscess? Doctor: Hi. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having recurrent apical periodontitis. If the filling is still there, it needs to be removed. The recurrent apical abscess is because of this infectious tooth. Either it needs root canal treatment or extraction. Root canal treatment is the treatment of choice according to my opinion. If you have any X-ray or you can upload a picture too to get a proper treatment plan from my side. If you have this pimple like abscess you may need an antibiotic course too." + }, + { + "id": 20072, + "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": 7046, + "tgt": "Why is my vagina smelling like rotten eggs?", + "src": "Patient: Hi doctor, I have noticed the past couple of days my vagina smells like rotten eggs. I have never been sexually active, but I use tampons. I do not have any other symptoms, like burning, itching, discharge, etc. What could this be? Doctor: Hi. How are you doing?\u00a0The possible causes are: Hope I have clarified your queries, 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": 17951, + "tgt": "I am being emotionally abused. Please help", + "src": "Patient: Hi doctor, I am 20 years old. I am an engineering college student. I have an younger brother.\u00a0My parents have always been distant for as long as I remember and the beating, fighting and emotional abuse started around five years back. Now they started to fight with us too.\u00a0My father always try to threaten us to do what he wants.\u00a0\u00a0When I was very young, I had a passion for reading and I lost myself in books which made me\u00a0absent minded to the world around me.\u00a0As time passed on and a few horrific incidents in my life, I suppressed my memories even more and my emotions too. Now,\u00a0I have emotions but I cannot recognize them or maybe I am confused with my emotions.\u00a0I feel like there is something heavy in my heart. I do not know whether it is grief or depression.\u00a0I became very suicidal and rushed to a doctor. He was not able to help me. My parents found out and I was punished. My father hit me and verbally abused me. I saw another doctor and she diagnosed me as having anxiety disorder and she gave me some medicines. I used them for about a week and felt better. But the moment I stopped using those, I started to feel depressed again. My studies have been badly affected. Right now, I just want a proper diagnosis of my condition. I do not have any friends. All my friends left me because of my bad mood and sadness. When I express my issue they are thinking I am just bluffing. I do not know how to go on. Please help. Doctor: Hi. Review after 21 days to a psychiatrist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21341, + "tgt": "Can I take Valium along with Deanxit to manage anxiety?", + "src": "Patient: Hi doctor, I have lots of anxiety issues. I have taken Deanxit in the past. Then I stopped it for a year. I started taking it back again six months ago. I have a long flight to take soon. I have a fear of flying. Can I take one pill of Valium 5 mg while taking the Deanxit? So, that I can sleep on the plane. I am taking Femostan Conti, Concor 2.5 for heart palpitations. Doctor: Hi. According to your history, it seems that you are having generalized anxiety. Yes, you can take Valium (Diazepam) for symptomatic relief. It will help you to get proper sleep in long duration. Deanxit (Melitracen with Flupenthixol) is a good tablet to deal with anxiety symptoms. I would also advise you take a few psychotherapy sessions later to deal with your problem without medications. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15283, + "tgt": "What could be the cause for reduction in milk secretion in a healthy mom?", + "src": "Patient: Hi doctor, I gave birth to my child before four weeks. I am providing breastfeeding to my child from her birth. My breastfeeding was fine before three days. But now, my milk supply has got dropped. My baby seems to have a loss of weight, and she is not peeing often. Yesterday, she pooped a light green colored poop. She is not sucking as long as she was before. But she sleeps up to two to three hours. I am well hydrated, eating well and resting well. I am not taking medication. What is the cause of having a reduction in milk production in me? I am worried. Please help. Doctor: Hi. Start giving top feeds to the child for some time and take some days off from breastfeeding. Weight loss and a reduced urine output of the child is because of low milk intake. Low milk production may occur due to many reasons, the most common one being stress. So take rest for some time and start giving top feeds to the baby. It will provide benefits to both of you." + }, + { + "id": 10131, + "tgt": "What are the tests I have to undergo after having unprotected oral sex?", + "src": "Patient: Hello doctor,I had an oral sex with a girl without protection, and I licked her vagina too, later I came to know she has PSV which she had undergone treatment and she was cured, I came to know risks of the STD's via oral sex and I was suggested to have test after four weeks, but they did not tell what test I have to go through in detail. My query is, what is the list of a test I have to go through? Please give me the names of the test in detail, so that I can approach a lab for testing. Doctor: Hello. There are many tests, but the below mentioned are usually done to rule out the infection. These are a screening test. 1. Test for HIV. Tridot test. 2.Test for gonorrhea (urine or oral swab) and chlamydia. 3. Test for Hepatitis B (HBsAg) and C virus. 4. Test for syphilis such as VDRL (venereal disease research laboratory test) and if required RPR (rapid plasma reagin) test. 5. Test for HPV (human papilloma virus). Herpes virus test is usually not required if no symptoms are present or there is no outbreak of it. I hope this clarifies your concern. Ask again if anything unanswered," + }, + { + "id": 29573, + "tgt": "Can you guide us regarding my husband's frequent headache?", + "src": "Patient: Hello doctor,My husband is having very frequent headache problem for at least twice or thrice in a week. We have consulted eye specialist as well as an ENT specialist, but in the test everything is good. Now, we are worried about his problem. Can you suggest or guide us about the reason? Doctor: Hi. I want to ask a few questions related to your husband's headache. MRI brain. 1. Migraine headache. 2. Tension type headache. Revert with the report to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11279, + "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": 20898, + "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": 26380, + "tgt": "Which of my twins have a better chance of surviving?", + "src": "Patient: Hello doctor, I have recently delivered twins, both weighing 2.2 kg. One of them was preterm and the other had IUGR. Now, I am concerned. Which of them have a better chance to survive? Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15850, + "tgt": "Please suggest some tips to lose my weight", + "src": "Patient: Hi doctor, My weight is 80 kilograms. As per my height, my weight should be around 60 to 65 kilograms. Please suggest some tips to lose my weight. Doctor: Hi. Start your day with a half liter of warm water followed by eight to ten soaked almonds and raisins. Never start your day with tea or coffee. Then try to do simple exercises like walking or light aerobics. You have to do simple exercise for at least 45 minutes for five days a week. Eat all your meals at a set time. Eat a healthy snack in between your major meals. Choose any one among the following such as a handful of peanuts or any other raw nuts or dry fruits, a bowl of sprouts, or any fruit. Drink at least three liters of water daily. Sleep and wake up at the same time every day. Reduce taking oily foods and sweets. Avoid drinking sugary drinks. Finish your last meal at least two hours before you go to bed. Follow these tips, and you will see a change within a month." + }, + { + "id": 5781, + "tgt": "What is the solution for pain during intercourse?", + "src": "Patient: Hi doctor, My wife is having pain during sexual intercourse from initial days. First time she had some bleeding. The bleeding stopped within a few days. Initially it was very difficult. Then we started to have it full fledge. After a month, there is no pain, but still insertion hurts her every time. For about two weeks she had a terrible UTI and followed by yeast infection. She is fine now, but the pain during insertion is still there. Can you please give me some advice on what to do? Or which tests to go for? Thanks in advance. Doctor: Hello. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22814, + "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": 28992, + "tgt": "Kindly review my blood report and explain the type of thalassemia", + "src": "Patient: Hi doctor,I have attached a report. I just want to know if this hemoglobin electrophoresis result is beta thalassemia minor or beta thalassemia intermedia or beta thalassemia major. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 29655, + "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": 12661, + "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": 14097, + "tgt": "Why is there heavy bleeding with clots five days after sex?", + "src": "Patient: Hello doctor, From the 16th of this month, I started having sex with my fiance a lot. Five days later, I started having really bad stomach pain and the next day, I started bleeding. It was light. So I thought it could be implantation bleeding, and Iwent and got a test. I am not supposed to have my period again until the beginning of next month. The home pregnancy test I took came back negative but I am not sure if it is because I took it too early before my missed period, but my bleeding has gotten worse. It is really dark and heavy and has a lot of clots, and the stomach pain is still bad. I am worried it is a miscarriage chemical pregnancy. Is it too soon to take my second home pregnancy test? Doctor: Hi. The pregnancy test will not show a real result if done before expected next date of menses. Chemical pregnancy bleed or abortion happens only after you miss your period, so do not worry about that. With the kind of bleeding you have (heavy and continuous), implantation bleeding is ruled out. The most probable thing can be an early occurrence of menses or bleeding from the cervical lesion. If it continues beyond a week, you can consult your doctor for examination. If it stops, you can do a home pregnancy test next month if period does not start on the scheduled date to decide further management." + }, + { + "id": 10471, + "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": 2348, + "tgt": "What could cause sudden sneezing with nose bleed?", + "src": "Patient: Hello doctor, I was going on a regular day without fever or feeling anything bad with my body. Then I suddenly started sneezing every ten to fifteen seconds. My eyes became a bit watery. I went home and suddenly started to have a nosebleed. It happened once only this afternoon but now I feel a bit of weakness and headache. I would like to know what possibly caused the nosebleed? I cannot get into a hospital to consult because the roads here are still blocked by the military because of the Covid-19 situation. By the way, I am a 24-year-old female. I am not taking any kind of medication as of this moment. Doctor: Hello. I can understand your concern. Is this the first time you have noticed that bleeding from your nose? Since you do not have other symptoms that can qualify to suspect for Covid-19, you do not have to worry for time being. However, you must follow the WHO (World Health Organization) guideline and keep yourself safe and isolated at least for two to three weeks and wash your hand with soap and running water with an adequate amount of time before and after touching any things, place which might be contaminated also avoid touching your face mouth as much as possible. As for now, you do not have any symptoms and sign so you do not have to worry about Covid-19. For bleeding from the nose, kindly press that area using your clean hand for a couple of minutes and it will be stoped normally. Keep yourself hydrated with having enough fluid (water, juice, etc). I hope this helps." + }, + { + "id": 13113, + "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": 23412, + "tgt": "Why is there severe pain below breast and surrounding backside?", + "src": "Patient: Hello doctor,My mother is 60 years old. Admitted to a nursing home for the past six days having severe pain just below the breast and surrounding the backside. Have done all tests like echo, TMT, USG, CT scan, and mammogram. Everything is fine. But still the pain persists. Without pushing injection no other option is left now. The doctor has discharged recommending no bad symptoms. But pain is beyond control. Please suggest what sort of tests further we should do. She has a neurological disorder. Doctor: Hello. Regarding your concern, I would explain that her symptoms could be related to pancreatitis or a nerve pain. For this reason, I would recommend performing a cervicothoracic spine MRI and some blood lab tests as follows: A fibrogastroscopy is necessary if she has not performed it yet. Does she have any skin lesions? Shingles could mimic this clinical situation. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29581, + "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": 7372, + "tgt": "Why is my wife not having her periods though there is white discharge?", + "src": "Patient: Hello doctor, We had unprotected intercourse 13 days back. Her menses has been delayed for six days now. There is some white discharge from the vagina since 12 days and she is not having her periods still. We have checked for pregnancy yesterday through a strip test and it showed negative. Also, she is experiencing pain time to time in hip, stomach and vagina. Should Unwanted pill has be taken now? Or what else should be done? We are planning to go for urine test tomorrow in a laboratory too. We do not want to get pregnant now. Thank you. Doctor: Hello. Revert back after the tests to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28406, + "tgt": "Can copper deficiency cause short-term memory loss and paresthesia of the face?", + "src": "Patient: Hello\u00a0doctor, I am a 27 year old female, and\u00a0I have severe short-term memory loss (8/30 MMSE). I have paresthesia bilaterally on my face, which has spread from the upper part to around my mouth. I also have startle\u00a0myoclonus and muscle stiffness. My walking speed has slowed, and the muscles in my face are not working properly. My expression is massively reduced. Last year, I had lots of tests including a brain MRI. The only abnormality that was found was that I had a copper deficiency. Since then my memory has deteriorated, and my walking has slowed massively. I saw a doctor when the sensations on my face began to spread, and he advised to consult a neurologist urgently. But my GP will not order it, and I have nowhere to turn. I am hoping someone can give me some objective or an independent advice. Current medications that I take are Cyclizine IM, Pregabalin 50, Baclofen 10 mg, Co-codamol, and Quetiapine 150 mg at night for severe insomnia. Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3149, + "tgt": "Why am I having low BP and severe intolerance to stress?", + "src": "Patient: Hi doctor, I have severe intolerance to stress, low blood pressure, dehydration, hyperpigmentation and a lot of other troublesome symptoms. When I eat my face flushes and my heart rate goes up and my body sweats. I have carbohydrate intolerance as well. My skin is brown in color with a lot of freckles, which is not normal for me. I was recently diagnosed with reactive hypoglycemia and it is getting worse.\u00a0My diurnal saliva cortisol are as follows.\u00a0At\u00a08 AM - 1.37, 1 PM - 0.11, 5 PM - 0.33 and at midnight 1.65. I have a high 5-HIAA test too and the value was 7.2. My biggest symptom is the intolerance to stress and\u00a0low blood pressure with severe weakness. Doctor: Hello. Revert back with the answers and reports to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16536, + "tgt": "Is it possible to cure inguinal hernia without surgery?", + "src": "Patient: Hi doctor, I am a 29 year old male.\u00a0I am suffering from right inguinal hernia for the past two months. I have consulted a doctor and he asked me to go for surgery. Is it possible to cure inguinal hernia without surgery? Currently I have consulted a homeopathy doctor and I am on medicine given by him. Doctor: Hello. If the hernia is in first or second degree then there is a treatment. For third degree hernia, surgery is the only treatment option. At the time of pain and swelling you can take the following medicine. Try to avoid things which give excess pressure on abdomen such as coughing, laughing loudly and lifting heavy things. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19347, + "tgt": "Please diagnose and interpret the eye test findings", + "src": "Patient: Hello doctor,I have a case file and I would like you to diagnose it and do the interpretation for each test and case history. I have uploaded a PDF file with all the tests and the questions that I want you to answer. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). I will now sequentially explain the results of each test to you. The stereoscopic images of the right eye fundus and optic disc show an area of darkening inferiorly, suggestive of a retinal nerve fiber layer defect indicative of early damage. (This is better seen in the red-free images.) The same area of damage is seen again in the OCT (optical coherence tomography) reports, both in the disc scan and the ganglion cell analysis. Finally, this area of damage is confirmed on the visual field report. The darkened spots seen are suggestive of an early visual field loss called a nasal step that is commonly seen in glaucoma. (This will need to be confirmed in a second visual field report repeated two weeks to one month after the first test. These investigations confirm the diagnosis of glaucoma in the right eye. However, since the recorded intraocular pressure is 18 mmHg, that is, within the normal limits, my main differentials, in this case, would be: The left eye appears normal as of now, but this condition can be asymmetric in its incidence. Hence, a regular clinical exam schedule supplemented with investigations is advised. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10995, + "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": 24335, + "tgt": "Is it necessary to be on epilepsy medication when it is ruining one's life?", + "src": "Patient: Hi doctor, My partner was diagnosed with epilepsy seven years ago. Since then, she has had three convulsive seizures but has not had any in the past five years. She is 21 and currently on 100 mg of Epilim day and night. She had an EEG three months ago which resulted in abnormal brain activity but no current epilepsy. This medication is affecting her emotionally and physically to the point she has now got anxiety and on the verge of depression. She was on Lamictal for two years but that did the same thing. Is there really a need for her to be on the medication anymore as it is ruining her life? Doctor: Hello. I have gone through your query with diligence and would like you to know that I am here to help you. Regarding your question, is there really a need for her to be on the medication anymore as it is ruining her life, we need to do MRI Brain (plain and contrast) with MRA, MRV, MRS and whole spine screening and EEG. If both are normal, the drugs can be tapered and withdrawn. If there is an abnormality, then we need drugs till these are normal. Best wishes for a speedy recovery. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11880, + "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": 10042, + "tgt": "Shall I take Raw Bovine Ovary pills to increase breast size?", + "src": "Patient: Hello doctor, I am a 25 year old female. I am wondering whether Raw Bovine Ovary pills are safe to take. I am looking to gain weight in my thighs and breast. My thighs and boobs are skinny. Kindly explain. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26944, + "tgt": "I have a stiff neck and back pain. Could it be a heart attack?", + "src": "Patient: Hello, doctor, I am anxious about my heart. I cannot tell what is causing me to feel like this. I have a stiffness in the side of my neck with some pain in the upper left part of the back. I am able to pin point it. The chest feels weird on the left side. The ECG, chest X-ray and CBC were normal. How can I make sure I am not having a heart attack? Doctor: Hello. In all probabilities, it is not a heart attack. Neither your symptoms nor the investigations are compatible with a heart attack. I think you should stop worrying about a heart attack. From your description, it sounds like a cervical spine problem like spondylosis or disc problem. In which case, there will be stiffness, pain, and tingling due to compression of the nerves between the spine. You will need to check your vitamin D levels. If it is inadequate, you will need to take supplements. Get an X-ray of the cervical spine in anterior-posterior and lateral view. You may further need an MRI if the X-rays are not informative. The treatment possibilities are as follows: For the time being, you can have tablet Neurobion forte once a day, which is a nerve vitamin and Diclofenac gel for local application. For pain relief, you can have tablet Ibuprofen 400 mg whenever needed up to three times a day or Diclofenac 50 mg whenever needed up to two times a day. You can visit an orthopedician for these investigations. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 16698, + "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": 19236, + "tgt": "What is the permanent solution for testicular pain?", + "src": "Patient: Hi doctor, I have a mild pain in the right testis since two months. The USG report showed slight thickening of the spermatic cord. Now, after 10 days of antibiotic courses referred by the physician, then the condition is better.\u00a0But when I lift some weight or drive a car, then the pain starts again. What is the permanent solution? I have attached my report and prescription here for your reference. Doctor: Hi. Continue antibiotics for 10 days. It takes time to resolve the pain of epididymitis, may be four weeks. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12302, + "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": 15272, + "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": 23824, + "tgt": "Diabetic patient with retina problem, what treatment would be suggested?", + "src": "Patient: Hello doctor, I am 54 years old. I am a diabetic patient since 24 years. I have a retina problem in both the eyes. I had a laser surgery in both my eyes two years ago. It was repeated last year with three injections of Avastin and this year, the laser surgery was done only in the right eye. But, I\u00a0cannot see very well.\u00a0I see something like a black point. So, I got checked for ischemic eye stroke. I checked with two doctors in my city. The first said that there is a\u00a0cataract in the\u00a0right eye and that three\u00a0injections Eylea, Ozurdex,\u00a0and Accentrix\u00a0had to be given, while the left eye is well. The second said that the cataract was in the beginning stage and no removal is required. Only an injection of Accentrix and two laser treatments would suffice. So, now I am confused. Please help me. I have attached few pictures. Doctor: Hello. I have gone through your query and seen the pictures (attachment removed to protect patient identity). You have diabetic edema and diabetic retinopathy in the eye. From what I have seen, the left eye is fine but, the right eye is still swollen. The laser treatment was done because of the presence of ischemic areas. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30785, + "tgt": "Is there a possibility to save my molar tooth?", + "src": "Patient: Hi doctor, I am 18 years old.\u00a0A few days ago, I had a toothache on my molar teeth\u00a0and have mobility when touched.\u00a0I have a big hole\u00a0in that tooth from my childhood. I guess the black circle is the vein of the tooth. I could not afford to get an implant tooth. I had pain in that tooth a year back and then now. Is it possible to cure with rebuilding this tooth instead of removing it? Here is the picture for your reference. Doctor: Hi. Long term curious untreated decay. 1. IOPA. 2. Check for the amount of mobility, whether it is sideways or up and down. Chronic pulpitis with periodontitis. 1. Root canal treatment. 2. Periodontal treatment. 3. Scaling. Follow up with the x-ray to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24527, + "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": 29892, + "tgt": "Will it be risky if I donate my eggs?", + "src": "Patient: Hello doctor, I am 32 years old and unmarried. I am a patient of PCOD. I also have a\u00a0family history of breast cancer. My father's sister had breast cancer recently. I am in a very big financial crisis. So, one of my friends suggested me to donate eggs. Will it be risky if I donate my eggs only once? As I am a patient of PCOD, will I be able to conceive in the future? Will I be given some hormonal treatment to conceive later? Please advise me whether I should proceed with the idea of egg donation.\u00a0Is there any chance of developing\u00a0breast or ovarian cancer if I donate eggs?\u00a0Please guide me. I just want to know about its long term consequences as I\u00a0am afraid of breast and ovarian cancer. Doctor: Hi. A single cycle of ovulation induction for egg donation and then, possibly in the future for yourself would not increase your chance of breast or ovarian cancer. The heredity for a woman is decided from her maternal background and not from the father's side. So, if your paternal aunt had it and your mother or maternal grandmother did not have it, then there are very minimal chances that you should get it in future. You can safely go ahead with an ova donation if you wish to without fear. PCOS - polycystic ovary syndrome is a disease, which can be controlled and many women had a natural conception without hormones. So, whenever you decide to get pregnant, conservative management of treatment can always be considered. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28864, + "tgt": "I have very thin and short hair. Please help", + "src": "Patient: Hello doctor, I am 20 years old,\u00a0and I have very thin and short hair. I want to grow hair to cover my forehead. I am not able to make any hairstyle because of less hair. Please help. Doctor: Hello. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23945, + "tgt": "I am having little veins and yellow color due to pterygium. Please advise", + "src": "Patient: Hello doctor,This query about pterygium. The redness has subsided since this morning and first noticed this, and just left with little veins and a little yellow color. My GP has advised to leave it a couple of weeks for it to disappear. Please advise if this may be the case. Doctor: Hi. From what you have described, I feel that you may have had an inflamed pterygium whose inflammation is now reducing with treatment. Pterygium tissue will not dissolve on its own and needs surgery to remove. Although it is possible to slow its growth by lubricants and avoiding sunlight exposure to some extent. The decision to operate on a pterygium depends on a variety of factors including the type of pterygium (progressive or not), the size of the tissue and your vision along with the condition of both your eyes. All operating surgeons also know that there is a small chance of the pterygium recurring after surgery. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2106, + "tgt": "I missed my last month period and the pregnancy test shows positive. Could this be false positive result?", + "src": "Patient: Hello doctor, I have taken a pregnancy test a few days ago and it turned out to be positive. I took two tests, just to make sure and they both were positive. I was supposed to have my period on March 29, but conception happened on March 14 and the first day of my last period was February 29. I do not feel any changes at all, is it possible that that may not be true at all? Or the tests I took were not accurate? If I got my period this April 29, what does it even mean since I already missed my supposedly period on March 29? I am currently taking Myra e and Poten cee. Doctor: Hello. As you checked twice for urine pregnancy test and it turned out positive, it implies you have been pregnant. It is not necessary that everyone experiences nausea and vomitings or early signs of pregnancy similarly, some may not feel any symptoms, or some have mild symptoms. The urine HCG (human chorionic gonadotropin) tests are definitely an accurate way for testing pregnancy, rather than just relying on symptoms and they cannot be wrong as you had missed your periods too, and it tested positive twice. And if you are pregnant, you would not be even getting your periods again this April too. It would be advisable to get an ultrasound to confirm the pregnancy if in doubt, the site (intra or extra uterine), the gestational age, and the fetal viability. Also, you can start using Folic acid tablets. Routine antenatal investigation. Tablet Folic Acid 5 mg daily. Avoid sexual intercourse in the first three months." + }, + { + "id": 17266, + "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": 22475, + "tgt": "I have PCOS and did not get my periods for past one year. Please help", + "src": "Patient: Hello doctor, I am a 21-year-old married female. PMH of PCOS, diagnosed at age 14. Last PAP was three months ago, all results within range. No change in color, smells, or discharge. Negative pregnancy test one month ago. I stopped taking birth control pills a year back and I have not had a period since. So it has been almost a year with no pregnancy or period. I did not even have a withdrawal bleed after stopping birth control. No form of contraception, such as pills or condoms, have been used since a year back. Should I get this checked out? Doctor: Hi. Things should be sorted out without delay actually. Have menstrual induction immediately (tablet Primolute N 10 mg twice daily for seven days, then wait for menstrual bleed for 1 to 2 weeks). On day second of periods, have blood tests (serum testosterone, progesterone, insulin, prolactin, FSH and LH, thyroid function test). Transvaginal scan outside periods days. Have tablet Norethisterone 10 mg twice daily from day four to day 25 of periods for three months. To have regular periods. Collect all laboratory reports and discuss here or with local gynecologist doctor. Have a daily walk, yoga, and exercise to reduce weight and normal BMI. Have a healthy diet with low salt, sugar, oil, and spice. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24333, + "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": 25130, + "tgt": "I have general weakness with sudden weight loss. What is the reason?", + "src": "Patient: Hello doctor, I have frequent fatigue with recent weight loss. In the past one year, I have been facing quite a few health issues. It all started late last year when I first experienced frequent chest pain, followed by an episode of sinus tachycardia. My 2D echo, stress test, troponin-I (1.5 ng/L) and CP-MB (14) levels were normal at the time. The doctor put me on Nebicard SM 2.5 mg just to keep my palpitations under control. This year mid, I was diagnosed with GERD with ulcers in the esophagus and a small sliding hiatus hernia. I followed a strict diet which reduced the acid reflux substantially. But, last month, I was diagnosed with mild appendicitis. The doctor put me on antibiotics and probiotics when they found out giardiasis in blood tests. The appendicitis seems to have improved as I do not have any symptoms now. But during investigations, my ECG showed ST-T changes. The doctor said these are nonspecific changes and the ECG is normal. I still went ahead and asked a cardiologist. He asked me to do troponin-I and CP-MB. The results were again normal [Troponin-I 1.5ng/L and CP-MB 5]. My concern is, despite all the tests showing normal outcomes, I do not feel healthy. I feel fatigued most of the times. My brain becomes foggy. I have become a lot more forgetful. I have lost five kg in the last three to four months. The chest pain still exists. I go through a lot of mood swings. I cannot concentrate well. There is regular muscle pain in my neck, shoulders, upper/middle back, breast bones, etc. I need to know why such drastic change in health has occurred. Doctor: Hello. I understand your concerns. I have checked all the reports you attached (attachment removed to protect patient identity) and all are within the normal range except a hiatus hernia and GERD II, but you should not worry, as you can improve with the medications. From what you mentioned, I suggest that you need psychiatric evaluation as you may have generalized anxiety disorder, chronic fatigue syndrome, mid-life crisis or atypical depression. Moreover, we have to exclude hyperactive thyroid by testing for TSH (thyroid-stimulating hormone), free T3, T4 (cause palpitations). All these conditions may cause fatigue, muscle pains and/ or weight loss. You have to answer these questions in order to reach an appropriate diagnosis: I suggest the following: Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29334, + "tgt": "I am concerned about the palpitations episode. Please help", + "src": "Patient: Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other for around four times. It\u00a0went on for about 30 seconds and had me pretty concerned that I had some attack. Any of your help would be appreciated. Thank you. Doctor: Hello. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so you should get one ECG done. If ECG is not informative, then you will need a 24-hour Holter monitoring if symptoms are occurring on a daily basis. So, visit a nearby cardiologist for these investigations. Also, get one thyroid test done. Is there any stress or anxiety associated, as it can be related to it as well? Until the time your evaluation is complete, you can ask your local doctor for tablet Ciplar LA 20 mg Propranolol or other beta blockers once a day. You should avoid smoking, alcohol or drug if doing. Revert with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30456, + "tgt": "How to convince my husband about my gluten-free diet?", + "src": "Patient: Hi doctor, I have been having abdominal and thoracic pain for the past 16 years. I do like to describe the pain as irritation, burning, feeling like eating sandpaper; constant pulse to puff and burp, acid reflux and fire in my breast and stomach. I used tons of medications for years, such as proton pump inhibitors, antacids, etc. It is a constant and continuous problem. I tried every natural supplement for stomach, acid reflux, gut health and healing. I raised my bed, but nothing really worked. Around seven years ago, I was tested for Celiac disease, but all tests came back negative. I never considered gluten as being a problem for me. Until, out of desperation and pain, a year ago I tried anyway to go off gluten. After a week, I had my life back. I could not believe it. All the symptoms were completely gone. After some time, the symptoms came back and then by recalling the events, I realized that I had made a mistake. On\u00a0some evenings my pains were back. Finally, when analyzing what I did, I realized I started taking a nutritional supplement in a powder form. I checked the label and it said that manufactured in a facility that also processes gluten. Also,\u00a0I had a beer. I forgot about the barley in that moment and got sick again. When I started buying the whole roasted chicken, my symptoms were back. There was no gluten containing ingredients on the label, so I did not pay much of attention. Finally, I got to know that the spices have traces of gluten.\u00a0It is relevant to know that I did not like the taste and I had no time to cook or to heat it, so I used to remove the skin completely, and rinse the chicken pieces thoroughly under the hot running tap water using a strainer until the flesh was completely white and then, I eat.\u00a0I ate some cashews and was sick again. The label stated that the facility also processes wheat.I got graduated in Food Science Technology with honors last year. I am a quality assurance manager in a food industry.\u00a0I have an academic education, training, and work experience in both the fields involved in the topic of gluten and allergens in general. Also, I aware of the topic from the point of view of the human body, health, nutrition, immune system and antigen interaction, nutritional sciences, nutritional related gastroenterology, clinical nutrition, from the point of view of the food itself, its substrates, components, chemistry, etc.\u00a0In spite of all these things, when I eat together with my husband, it is often an argument and absurd things happen.\u00a0For example, that it is my invention that I should not share the same tools, especially if they are made of wood, etc.\u00a0When I say it is my background they answer that I think I know everything. It is not everything, but it is my job. I have no words and I am speechless that how can someone with a business background tell to a dietitian and food technician that you are totally wrong or what you say has no chemical basis. He is expressing a sure judgement in a subject totally different from his job and that is totally related to mine. I am\u00a0astonished.\u00a0Please, I would really appreciate it if you could say something; I hope he will at least believe to what you say.\u00a0I would be grateful if you could help me to clarify a misunderstanding that is going on at home. Because, many times a kind of tension develops when we eat together. Doctor: Hello. Thank you for the excellent history and sharing your background as a dietitian really helped. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13074, + "tgt": "How long will it take for the palpitations to go away after taking Levothyroxine?", + "src": "Patient: Hello doctor, I was diagnosed with hypothyroidism two months back and started on Armour 15 mg. Four weeks later, upon recheck, my TSH dropped four numbers which were good but I had some palpitations for a short time each day. I just switched to Levothyroxine 50 mg and the palpitations are maybe one hour a day. Any suggestions or is it just going to take more time to adjust to a thyroid hormone? Doctor: Hello. Have you checked your heart rate during the episodes of palpitations? Nonetheless, the palpitations will get better when you take Levothyroxine dose gradually. So no need to worry about it. Just continue taking the thyroid medicine and your symptoms will improve with time." + }, + { + "id": 30196, + "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": 24351, + "tgt": "Kindly explain nasal CT scan taken for rebound congestion in nostril", + "src": "Patient: Hi doctor, My nasal CT Scan reports say: Deviation of the nasal septum to the left side with a septal spur on the left side impinging left interior turbinate visualized. Inferior turbinate hypertrophy visualized on both sides. Mild middle turbinate hypertrophy visualized on both sides. Mild bilateral ethmoid and maxillary sinusitis. Small mucous retention polyp visualized in the bilateral maxillary sinus. I have rebound congestion in my left nostril. I do not understand my report. Please say a note about this. I am currently on antihistamines and nasal spray (stopped due to rebound congestion) using steam. The left nostril is blocked. Doctor: Hi. Let me help you understand your report point by point. The CT (computed tomography) scan findings suggest you have a deviated nasal septum (which may be causing the nose block) and mild sinus infection. Nasal drops like Xylometazoline should not be used continuously for more than seven days as it causes rebound congestion. We substitute that with normal saline nasal drops that can be used over a long time. Antihistaminics and steam do help. If optimum medical treatment fails to relieve symptoms, patients are advised surgery (called septoplasty) involving straightening the midline partition. Your ENT specialist can help you in making an informed decision regarding the same. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13658, + "tgt": "I have a sudden sore at the tip of my lips. What could it be?", + "src": "Patient: Hi doctor, I have this sudden sore at the tip of my lips. I am wondering what could it be. I used to have frequent fat sacks, but this seems very different. I am attaching a close-up photo of it. Please advice. Doctor: Hi. I have gone through your complaint and have seen the attached photograph (attachment removed to protect patient identity). You are having herpes infection which is a viral infection. You should try taking a course of antiviral like tablet Acyclovir 400 mg thrice in a day for 5 days and apply a topical antibiotic like Mupirocin on the affected area twice daily. This will resolve the lesion within 4-5 days. This disease has a tendency to recur as the virus lives in the nerves of the host. Stress, ultraviolet radiation, surgery and infections can cause recurrence of the infection. This viral infection is caused by herpes virus. Herpes labialis The recurrence of herpes infection can be prevented or reduced in intensity by the use of a sunscreen lotion on the lips. So once the lesion heals, start applying sunscreen on your lips." + }, + { + "id": 19567, + "tgt": "My grandfather is suffering from the side effects of his medicines. Please help", + "src": "Patient: Hello doctor, My grandfather has been a heart patient and diabetic for the last eight years. He has been taking Capoten 25 mg,\u00a0Sofvasc 5 mg,\u00a0Daonil\u00a05 mg, and\u00a0Loprin\u00a075 mg.\u00a0But due to these medications, he has recently started to suffer from its side effects. He has a\u00a0throat infection and a choking sensation.\u00a0Could you please guide me? Doctor: Hello. For more queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28785, + "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": 22495, + "tgt": "Can a single genital wart exist unchanged for over 10 years?", + "src": "Patient: Hello\u00a0doctor, I am not sure why I never bothered to ask these questions before now, but I suppose it is better late than never. I have what appears to be a single genital wart just below the head. I have had it since I was 16 years old. I went through five years in the military with this without any problems. I passed all the medical screenings and received all the vaccinations that were standard at the time. I have been out of the military for two years and still in relatively good condition. I do not have high blood pressure or any genetic propensity for any large health risks. I also can confirm that I do not have diabetes. Partner wise, I did not have sex for the first five to six years of having one, nor did I have any sexual contact to include oral. I did not notice any change once I started having sexual partners after. I was always careful to wear a condom though. I only am bringing it up now because I was asked today by my doctor (during a routine yearly visit) when the last time I had an HPV vaccine was and if I had one in the military. When I could not tell him he made me another appointment to see him to get a sample and a few other things.This single wart has never grown in size, become sensitive, multiplied, or shown any sign of life for lack of another way to put it. It is small enough that if I did not look for it at the\u00a0underside of the head, I would not see it at all. Surely, a wart cannot just exist for a decade? Doctor: Hello. A single wart cannot exist for such a long time. There has to be an increase in the number. Are you sure it is a genital wart? Were you diagnosed by a dermatologist? Clinical photographs would have helped. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 25798, + "tgt": "How do I treat the inflammation on the tip of my penis?", + "src": "Patient: Hello doctor, I got inflammation on tip of my penis. It is itchy and burning. I used Quadriderm cream at first and thought it was a normal infection. It got better but now it came back again. What should I do? They have also appeared in the testes but it seems like they started appearing inside the skin on the penis too. I have attached pictures for your reference. Doctor: Hello. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your description and the given picture, it seems you have scabies. Scabies is an intensely itchy skin infestation caused by mites. The diagnosis of scabies can often be made clinically with a pruritic rash where itching occurs predominantly at night and characteristic linear burrows over limbs. Other family members can also be affected. Regarding treatment, on day 1 you can you use single below neck application all over the body of 5% Permethrin cream during the night. Leave it for 10 to 12 hours and then take a bath. You need to use HH Mite (Permethrin Topical) soap for bathing daily for seven days. Also, take tablet Ivermectin 12 mg single dose same day, wash your used clothes thoroughly and use fresh clothes after the bath. On day 2, apply Fluticasone 0.05% cream twice daily for five to seven days and tablet Levocetirizine once daily for the same duration and get a review after one week. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4814, + "tgt": "Is there any possibility for long sight along with myopic astigmatism?", + "src": "Patient: Hello doctor, I am trying to understand my recent prescription I received and no longer can contact the doctor. OD +0.75 -0.50 x070 OS +0.75 -0.50 x010. These are computer reading glasses. Is it normal, if things are blurry at a distance (even three feet starts to look weird)? On reading online, I read this as slightly farsighted with slight nearsighted astigmatism in both eyes. How is that possible? Doctor: Hello, Welcome to icliniq.com. In the prescription you have mentioned, there are two components, the spherical (+0.75) and the cylindrical (-0.5 at axes 70 & 10 respectively). The important thing to note here is that reading glasses per se are given to people above 40 years of age. In your case, I feel that this power is probably your distance correction. The doctor might have felt that they may be a bit cumbersome to wear all the time, and would have given a small magnitude of power and probably have told you only to put them on during intense visual activities like watching computers, reading books, etc. An accurate way to say whether these were meant for distance or for reading is to recall how you were tested at the doctor's office in the first place. Suppose they made you sit at a distance and asked you to read out the letters on a screen then these are distance vision glasses. If they had tested the power by giving you a book in your hand and asked you to read it, then these would be reading glasses. So, coming back to your question, firstly, reading glasses are meant only for distances around 33 cm from you for the books and around 100 cm for the computers and you would not be able to see beyond this. Second, the far-sighted power of +0.75 is determined by the length of your eyeball. In case of far sightedness, the eyeballs are shorter compared to normal and in near sightedness, they are longer. The astigmatic power is determined by the curvature of your cornea. In your case (myopic astigmatism) the corneas are steeper at axes of 70 and 10 degrees respectively compared to the rest of the cornea. In Hypermetropic astigmatism, they are flatter in that particular meridian compared to the rest of the cornea. I hope this helps." + }, + { + "id": 519, + "tgt": "I have seronegative arthritis with unbearable joint pain in the night. Please help", + "src": "Patient: Hello doctor, I have seronegative inflammatory arthritis with ana positive. Joint pain especially at right knee shoulder joints MTP IP joints. Unbearable in the night for the last three months relieved with NSAID (non-steroidal anti-inflammatory drugs) patient cannot walk chairbound with in situ catheters for more than four years. I am taking Ultracet if pain unbearable, few days back I have taken Injection Kenacort 60 mg IM on the advice of rheumatologist with some relief, but again pain resurfaced. Apart from that patient is on Apixaben 2.5 daily, Mirabeg 50, Soliton 20 and Donezepil 5, Vitamin C 1 gm daily. No BP, and DM issue. I am taking inhaler Laba with corticosteroid for long. Doctor: Hello. I have gone through your reports and history (attachment removed to protect patient identity). There seems to be some inflammation going on in the blood reports and with a diagnosis of previous arthritis, it looks like it is coming back again. Does rheumatologist did not want to start on Methotrexate or any other DMARD? Are you not on any medications for the CA prostate? Any other symptoms of oral ulcers, dry eyes, or dry mouth? Do let me know these queries and I would advise you further." + }, + { + "id": 21488, + "tgt": "Why is my lymphocyte level always increased?", + "src": "Patient: Hi doctor, I got my CBC report. It was normal, but lymphocytes were 3.04. Then again I tested after two days, everything was normal, and the lymphocytes were 2.57. I asked a general physician. He said, they would fluctuate every hour, and the doctor saw my latest reports and told everything is normal and healthy. I am a fearsome person. So I tested for blood smear. I read that the blood smear will show abnormal cells. If you have any blood disorders, the report will show you. The reports came in which RBC, platelets are adequate, and there is no hemoparasite found but, it says mild lymphocytosis. My general physician says there are no abnormal cells like blast cells or anything found. So it is normal. Can you tell is this normal? I am getting feared and worried. I tested because of my fear of getting cancer. Please help. Doctor: Hi. I have reviewed your query, and I will surely help you to remove your fear. The mentioned history does not suggest any abnormality, and you have lymphocytosis only. As per the reports you have attached (attachment removed to protect patient identity) abnormal cells like blast cells, prolymphocytes are not seen. So, leukemia is not present. In leukemia, the total count will be high, which is not present in your case. So do not get worried. You can attach your reports so that I can also check it. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13106, + "tgt": "Kindly suggest pill to get periods as it is delayed by five days", + "src": "Patient: Hello doctor, I am 27 years old. My periods are delayed by five days. Please suggest any pills to get back my periods or any natural remedy. Doctor: Hi. Definitely, I would like to help you. There are several causes for an irregular period. Hypothyroidism and PCOD are most common of them. It may cause infertility. Once you should go to investigate your thyroid profile and USG abdomen to rule out hypothyroidism and PCOD. After exact diagnosis treatment would be helpful. Hypothyroidism, pelvic inflammatory disorders, PCOD, infection. CBC, thyroid profile, USG abdomen. Now you can take M2tone syrup 10 ml twice a day before food and Ashokaristam 15 ml twice after meals. After above mentioned investigation reports medications may be changed. So you should must revert back after investigation reports. Avoid spicy and fried junk foods. Drink plenty of lukewarm water. Avoid cold drinks soft drinks ice-cream, etc. Do regular kapalbhati Mandukasana and Ardhamatsyendrasana as well as pranayama like anuloma vilom, Nadi sodhan and bhramari." + }, + { + "id": 7937, + "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": 11742, + "tgt": "Why do I get hives and swellings on eating mangoes?", + "src": "Patient: Hello doctor, I have mango allergy, and I am wondering if mango concentrate can cause an allergic reaction. I had mango juice, and I did not break out at all, but last year I had an allergic reaction that was from mangoes or peal, that were hives and swelling. Before I turned 18, I was eating mangoes, but after I turned 18, I broke into an allergic reaction that consist of hives and swelling and my chest was tight. Doctor: Hello. You need to identify which part of the mango are you allergic to and avoid it. Is it the juice or for the peal? Also, any particular variety of mango needs to be identified like banganapalli, alphonso, etc. If recurring with all the variety of mangoes then try to avoid all mango varieties. Keep antihistamines tablet ready if you get an attack of the hive while having mangoes again. Also, the age-dependent development of allergy is difficult to explain. It might be you have become symptomatic after the period." + }, + { + "id": 18062, + "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": 22570, + "tgt": "My penis is not erecting during sex but I masturbate thrice a day. Please advise", + "src": "Patient: Hello doctor, For the last seven to eight months, my penis is not erecting properly. Last month, I tried having sex with my partner. Even after taking Viagra 25 mg, it lasted only for five minutes. Then, I again took Viagra 100 mg immediately but it did not erect properly. I cannot control the thought of sex. Usually, I masturbate three to four times a day. I know it is harmful but cannot control it. Please advise me how to control these thoughts and increase sexual stamina and hardness in the penis. I am also worried about penis size and penile papules and a sebaceous cyst on the scrotum. Doctor: Hello. It seems from your question that you might be having a psychological difficulty in performing a sexual act with your partner, as you do not have any difficulty in masturbation which you can do three to four times a day. Masturbation is not harmful, however at the rate you masturbate, it might affect your sexual performance. As after each sexual act (either coitus or masturbation), there is a recovery phase during which the body reconciles back to its normal state and prepares itself for the next session. This recovery phase can vary from person to person, but on an average can be between 30 to 60 minutes. As mentioned by you, you have difficulty in having sex with your partner, as a result of which you do not get the sexual gratification hence resulting in preoccupation with sexual thoughts. I would advise you to calm yourself, let your body relax and rejuvenate. Do not force yourself into sex without any feelings for it, gradually you will regain your sexual strength and stamina. Eat clean, refrain yourself from using any kind of drug to increase your erection as these will result in rebound in the form of result erections. For papules/nodules in and around your genitals, you should seek a consultation from a venereologist and seek proper treatment for the same. For penile length, until you are able to penetrate and can have penetrative sex with your partner, you need not be worried about its size. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29697, + "tgt": "My stomach hurts every time after I eat. Does it sound like gallbladder disease?", + "src": "Patient: Hi doctor, I think I have a gallbladder disease. My stomach hurts every time after I eat. The pain is in the middle of my stomach and my back. Does it sound like gallbladder disease? Is it something I should go to my doctor or ER? My mother and grandmother had their gallbladder removed, so it may be hereditary. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30748, + "tgt": "Had a broken glass injury eight months ago and it is still paining. Why?", + "src": "Patient: Hi doctor, Around 7 to 8 months ago, I dropped a glass on the floor and got a fairly bad cut\u00a0on my hand. In the local A and E, I had an x-ray and the doctor said that the nurse will have a look to make sure that there is no glass. Then, the nurse came in and patched me up. She said that she has been told to bandage it up as the doctor has thought it was fine. Quite often, I am getting pain where the cut is located and it feels as if there is something sharp. I do not know whether it is healed or there is something still in there. But, it does not hurt to touch or press down on the wound. It has scarred over now. Doctor: Hi. Revert back with the photo to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19429, + "tgt": "I have a throbbing headache on the left side. Kindly help", + "src": "Patient: Hi doctor, I have been having a throbbing pressure pain on the left side of my head for three days now. It is between my upper ear and temple and going about an inch up my head. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19145, + "tgt": "Is there any ayurvedic treatment for quadriplegia?", + "src": "Patient: Hello doctor, My 66 year\u00a0old dad\u00a0got traumatic quadriplegia after a road traffic accident. He underwent cervical decompression and laminectomy. There is a little improvement in his hands, neck, and shoulder movements. But, his legs are not moving at all. Will he ever be able to move his legs again? Will physiotherapy help? I am attaching his MRI report. Doctor: Hello. I just read your query and saw the MRI report (attachment removed to protect patient identity). 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": 27586, + "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": 24367, + "tgt": "I have had a pain in left side of chest for years. Can it be something serious?", + "src": "Patient: Hello doctor,I am a male. I have had a long-term chest pain. It has been there for years, sometimes it is worse sometimes it is not. I am pretty scared of it when I think about it. I can feel the pain when I press against my upper left side of the chest (breast area). I cannot exactly pinpoint where the pain comes from but it is the upper left side of the chest where my nipple is. It has been like this for about two or more years. I cannot say it has gotten worse, it has stayed the same, just on and off in pain's intensity, but always there, uncomfortable. Please note that my work has me in the seated position in front of my computer all the time. I do not know if it is the posture or something. I have not gotten it checked, my family has always been in a bad financial situation. So, I never bothered with it. Thank you. Doctor: Hello. About your query, I need to determine what type of chest pain it could be. I advise you to do chest X-ray and ECG. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17904, + "tgt": "My resting heart rate is increased. Am I at the risk for a heart attack?", + "src": "Patient: Hello doctor, I am a 23 year old\u00a0male, who is fit and active. I do not drink alcohol or take illegal drugs. I smoke about 15 cigarettes a day and drink some coffee and tea, about two or three cups a day. I do not like energy drinks, so I never take them.\u00a0I\u00a0am not on any medication. About three weeks ago, I started a new job. As one of the requirements of the job is to get a medical\u00a0test done, I failed in it as my heart rate was 140 bpm at rest. My doctor checked it thrice to ensure it was right. He checked my heart rate again over the next week and looked at my blood test results too. The lowest my heart went to was 85 bpm but mostly it stayed at 100 to 95 bpm. He said he could hear a heart murmur. I did not have this previously. I\u00a0do not know if this is related, but I was told\u00a0I sometimes wake up at night gasping for air, in a sudden manner. I do not have any nightmares as much as I can remember. Other than that I feel sick often. I do get stomach cramps about two to three times a week. My doctor sent a letter to the hospital for more tests. He does not know the reason for high heart rate.\u00a0I might have to wait for a long time to get the tests done.\u00a0Is there anything I could do while I wait? Also, my father had a heart attack when he was 45. Could this be a sign that a heart attack is waiting in later years? Should I even be worried or is this just normal routine checks? Would love to hear from you. Thank you for reading this. Doctor: Hello. Your main concern seems to be an increase in resting heart rate and the presence of heart murmurs. Tea, tobacco, and caffeine together increase the heart rate. The fact that your father suffered a heart attack seems to be troubling your mind, causing persistent stress and anxiety. What I do suggest as a precautionary measure is, to stop all the four risk factors. This will bring your heart rate to normal. You can get the following tests done: It is also important to make some lifestyle modifications such as: For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22855, + "tgt": "I feel chest burns and abnormal heartbeat after smoking. Is it a heart disease?", + "src": "Patient: Hi doctor, I am a heavy drinker and also smoke seven to eight cigarettes a day. I started feeling chest discomfort from last 10 days like I feel chest burns, nausea, abnormal heartbeat, cold sweat after I smoke and today I felt like very uneasy so I had one Ecosprin 75 mg and now I feel a little better. Do I need to consult like do I have any heart disease? My weight is 91 kg, height is 5'7\", and BMI is 39. Doctor: Hello. Yes, you should get one ECG done from the local doctor and you may upload here as well if you need it. Regarding your current symptoms, likely possibility is of gastritis and reflux disease. 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. Lots of green leafy vegetables, fruits. Avoid smoking and gradually cut down your alcohol intake as well and both are known to cause gastritis. You should get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg or Esomeprazole Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate and Oxetacaine) or Gelusil two teaspoons three times a day for a week. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24419, + "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": 19548, + "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": 15039, + "tgt": "My puppy nipped me and it is not vaccinated yet. Should I get anti-rabies vaccine?", + "src": "Patient: Hello doctor, Do I need an anti-rabies vaccine, because my 2 and a half-month-old puppy nipped me? It is barely a bite but I cleaned it and no symptoms seem to show up, my puppy is not vaccinated yet because it is too young. I am 18 years old. Doctor: Hi. If the bite was unprovoked and if it caused bleeding then you should get a course of anti-rabies vaccine plus a shot of tetanus immunoglobulin, to be on the safe side. Even though it is a pet, it is not immunized so the standard protocol is to get vaccinated if the above-mentioned factors are present. Also, wash the wound with soap and water thoroughly. If the skin was not broken and if the attack was provoked, then it is not necessary to get vaccinated. However, given the nil immunization status of your pet, you may want to be on the safe side and get the shots." + }, + { + "id": 5175, + "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": 23928, + "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": 13195, + "tgt": "Is the double red line in pregnancy test kit, a confirmation of pregnancy?", + "src": "Patient: Hi doctor, I am 32 years now and my wife is 31. Today in pregnancy test kit, result came as double red line (a red line for C and a red line for T). Is this positive for pregnancy? Actually yesterday is her date for periods, but this has also not occurred yet. What precautions should we take? We were planning to travel by car (nano) to native by tomorrow for about 8 hours journey. Is it advisable now to travel by car or should we cancel it? Also kindly advise her what to eat and what to avoid? Also how to take care of herself? Doctor: Hi. The (UPT Kit) urine pregnancy test kit with two red lines indicates a positive result and that she is at present pregnant. The confirmation for an intrauterine pregnancy can be further done with a transvaginal ultrasound scan. She should be placed on tablet Folic Acid hence and may be started on tablet Micronized Progesterone daily for pregnancy support. Travel by nano for eight hours in this early pregnancy is not advised at all. As the pregnancy is way too small and the bumps on roads and breaks while driving may cause an increased pressure intra-abdominally and may cause threatened abortion. So, traveling by car is completely not advisable till at least 14-16 weeks of pregnancy." + }, + { + "id": 9160, + "tgt": "Does x-ray show pregnancy?", + "src": "Patient: Hi doctor, My wife is 24 years old and her period was regular of 30 days. Before two months, we had intercourse after seven days of her periods. She had her period after some 15 days. It was normal for the first two days, but after that it was very heavy. She had abdominal cramps for approximately a month. Our local doctor gave some medications with iron tablets. Then, she did not have her periods yet. From the beginning of this month, she is having nausea and vomiting. We are not sure whether she is pregnant. Pregnancy test has not been done. Now, she had an accident and fell down from a terrace of 10 feet height. Her x-ray was normal and no bone injuries. But, she is unable to move because of pain. Does x-ray show pregnancy? Since she is unable to bear child at this stage, please suggest some medicine to terminate the pregnancy. Doctor: Hi. Without doing a urine pregnancy test it is very difficult for me to tell whether she is pregnant or not. Moreover, early pregnancy cannot be detected in x-ray. You will have to do a urine pregnancy test at home first. She need not go anywhere for this test. Once the pregnancy is proved, then we can go ahead and think of termination. So, please do the test and get back to me with the results. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8124, + "tgt": "I have severe pain after a deep cavity filling. What is wrong?", + "src": "Patient: Hello\u00a0doctor,I had a deep cavity filled about five weeks ago. I had extreme sensitivity to cold since it was filled. I had no other pain associated with the tooth. Biting down was completely fine. Two nights ago, I started to get extreme pain on the right side of my face and jaw (the same side the cavity was filled). It was keeping me up all night. The next morning, the cold sensitivity was completely gone, but the extreme pain on the right side of my face and jaw would come and go. Later in the day, I flossed, and the tooth associated with the cavity started bleeding. Now, it hurts extremely bad to bite down on that tooth (where the filling took place and where I flossed). The throbbing pain on the right side of my face is occurring more frequently but still, comes and goes. I have a root canal scheduled for next week on that tooth, but is that what is wrong? Why did the pain change from cold sensitivity to this completely different type of pain over night? I do not think I can deal with this pain for another week. Any help would be greatly appreciated. Doctor: Hello. Hopefully, this helps you. Regards. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 22212, + "tgt": "Why am I having infection after a month of getting treated for yeast infection?", + "src": "Patient: Hi doctor,I have been treated with for a yeast infection and given antibiotics last month end and then last week had another infection (milky like discharge no smell). Is it advisable to wait for one month to be seen by my gynecologist or go to an urgent care right away? Doctor: Hi. If you had a yeast infection, you would have been treated with antifungals and not antibiotics. Since you have a recurrence after being cured with the first treatment, you should be examined to see if it is similar or different infection now and treated accordingly. 1.Vulvovaginal candidiasis. 2.Urinary tract infection. 1.You should get urine routine and microscopy test with midstream sample to see if you have associated urinary tract infection. 2.You may require a pap smear. 3.Fasting and postprandial blood sugars. 1.Capsule Clotrimazole vaginal pessary at night daily for one week. 2.Syrup Citralka one teaspoon with one glass of water thrice daily for one week. 1.Control sugars if you are diabetic. 2.Drink plenty of water. 3.Keep your private parts dry. For more information consult an obstetrician and gynaecologist online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7542, + "tgt": "Is it safe for the baby if we remove Bartholin cyst during pregnancy?", + "src": "Patient: Hello doctor,I am 19 weeks pregnant, since one week I had swelling on the vagina, yesterday I have consulted doctor, she told that is Bartholin cyst. She told me to clear it we have to give anesthesia for treatment and that will not affect the baby. My family is very confused, whether is it safe for baby or not? Doctor: Hello. Bartholin cyst requires excision or marsupialization. It is a short term procedure and does not take much time. Usually, the medications used does not affect the baby. Do not worry, get it done." + }, + { + "id": 22810, + "tgt": "Why is there minor heart pain and palpitations in a 17-year-old?", + "src": "Patient: Hello doctor, I am 17 years old and I am having a minor pain in my heart. I also have heart palpitations regularly. I exercise regularly and eat healthy. I do not know if something is wrong with me. Doctor: Hello. I can understand your concern and will try to help you sort out your problems. What does heart pain mean? Where is it present? Usually, heart pain does not come where the heart is located. Heart pain causes pain in the inner border of the arm and also radiating to shoulders and jaws. So I do not think your description of heart pain matches it. If you are having left side pain may be due to lungs also. Is the pain varies with breath? If no then it will be musculoskeletal pain only. Kindly take any analgesic if necessary. Any OTC drugs can be used. Palpitations are common due to anxiety and especially if you feel these pains thinking could be due to heart. Also in your age group palpitations are more common. So I hope you should not worry about it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13184, + "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": 1249, + "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": 25855, + "tgt": "I had a blood clot after taking Cytotec. Was the abortion successful?", + "src": "Patient: Hello doctor, I am a 20-year-old female with a weight of 55 kg. I had an abortion of one month with Cytotec and what I experienced was a blood clot with no bleeding. The second day, there was a blood clot. Until now, there is no bleeding. I have pain in my belly. Was the abortion successful? Doctor: Hello. With Cytotec (Misoprostol) alone the success rate of abortion is around 75% to 85%. How much of the dose have you taken? The bleeding will last for four to five days. If you feel you have not bled properly and if you are having more bleeding than usual then get a gynecological ultrasound to look for retained products of conception.and the Cytotec tablet. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29905, + "tgt": "Is it possible that I could be pregnant when on birth control pills?", + "src": "Patient: Hello doctor, I have been on birth control for quite a while now. Just from yesterday, I started spotting and had the worst cramps I have ever had. Today, I continued with the spotting and cramps and I\u00a0started throwing up everything I ate. Is it possible that I could be pregnant? Doctor: Hi. I presume the birth control that you mentioned is about oral contraceptives pills. Sometimes, it is not uncommon to have spotting while you are on pills, especially if you miss a few of your pills and again start taking the rest. At times, it is possible to have some breakthrough bleeding even if you have not missed your pills. It is very unlikely to get pregnant if you are taking your pills regularly. But, if you do fall into the unfortunate group, who do get pregnant even after taking their pills regularly, I am afraid it is a concern as the incidences of pregnancy in abnormal sites (ectopic pregnancy) are common. So, I suggest you visit a gynecologist at the earliest to rule out the same. It might be a trivial cause of tummy upset like an infection, but we must rule out other serious conditions to be on the safe side. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1442, + "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": 16793, + "tgt": "Why would I be BCR-ABL positive and Philadelphia chromosome negative?", + "src": "Patient: Hello doctor, Can you please explain why I would have the gene and not the chromosome? Ph-negative, BCR-ABL-positive CML. The labs pointed to this. I had bone marrow aspiration and biopsy. I saw the doctor again. From all the labs, it looks like there is CD4 and CD8 elevated ratio 16.5, 8 % NK, lymphocytes 4 %, 1 % polyclonal B cells, 90 % mature T cells, no CD 34. Granulocytosis. PBS shows increased granulocytes. Flow the differential diagnosis includes a reactive granulocytosis or a myeloproliferative IE CML. BCR/ABL translocation in 18 % of the cells on FISH 36/200.My report is attached. Doctor: Hello. Chronic myeloid leukemia (CML) is a hematopoietic disorder, almost always characterized by the presence of the Philadelphia chromosome (Ph), usually due to t(9;22)(q34;q11) or its variants. The Ph results in the formation of the BCR/ABL1 fusion gene, which is a constitutively activated tyrosine kinase. Around 1 % of CML patients appear to have a Ph-negative karyotype but carry a cryptic BCR/ABL1 fusion that can be located by fluorescence in situ hybridization (FISH) at chromosome 22q11, 9q34 or a third chromosome. Hence, the cytogenetic profile is normal by karyotyping in Ph-negative patients but they have the BCR/ABL fusion gene which is detected by molecular methods like FISH and PCR. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5742, + "tgt": "Kindly explain about the tests required to check hypermobility and flat feet", + "src": "Patient: Hello doctor, I have flat feet and need insole and boots to help me but also think I have hypermobility in ankles as I read they are linked. Is this true and what test can I do to find out? Doctor: Hello. Flat feet are not always symptomatic and neither do they need treatment as a rule. Issues such as pain, callosities, progression of dropped arch, etc., are reasons for seeking treatment. I am not getting enought information from your description to take this further. People with hypermobility are more likely to have flat feet and some may develop painful flat foot too. You may need correction through boots that will support the ankle as well as arch supports and a deep heel cup to control the heel valgus. First of all, you need a full assesment as the exact cause of your flat feet, you will need physiotherapy to strengthen the intrinsic muscles, attentions to the tibialis posterior as well as the tendoachilles is needed. Shoe inserts or custom shoes may be needed. You will need X-rays to assess the deformity and this may act as a base line to assess further progression. If you need further info then please send a detailed description and perhaps a clinical note from your podiatrist or physiotherapist A clinical picture of your feet while standing picture taken from the sides and back will help more." + }, + { + "id": 10238, + "tgt": "What are the possible causes for heart trembling?", + "src": "Patient: Hello doctor, I am 56 years old.\u00a0I have a feeling of trembling at heart since a month. Sometimes, I feel this trembling even while sleeping and hence, the sleep gets disturbed. During daytime, I also get uneasiness and shivering for hours after an episode of heart trembling.\u00a0My BP after this feeling was a\u00a0little bit high at 180/85 mmHg and then it came down to 135/85 mmHg.\u00a0I went to a\u00a0neurologist and took CT scan and Doppler of the neck to find for any blocks.\u00a0Both the scans were normal. The doctor\u00a0prescribed Rancil, a beta blocker 50 mg, Aspirin, sleeping pill 0.25 mg and Vertin.\u00a0I hear some sounds in ears. I also had ear pain and giddiness due to ear fluid. The doctor told that such trembling feeling may be due to ear fluid imbalance or may be due to little blocks in blood vessels, which may not be seen in the CT scan. After I took the medicine for six to seven days, there was no such feeling. For the last three days, I stopped medicine, which was prescribed for 15 days.\u00a0Yesterday night, I felt the same trembling at heart and the sleep was disturbed.\u00a0Then, I took only beta blocker 25 mg (half of the original prescription), Aspirin and sleep pill and I had a good sleep.\u00a0I am not a diabetic and have no BP so far. The\u00a0BP in the last three to four days was normal at 125/80 mmHg even though\u00a0I did not take the medicines.\u00a0I walk for one hour on a daily basis regularly. I am also experiencing fainting like feeling, lack of concentration, losing of a sharp and normal vision sometimes. It takes about two to three hours to recover from these symptoms. When\u00a0I take a\u00a0beta blocker, Aspirin\u00a0and\u00a0sleep pills I find myself feeling better, but the BP gets lowered to about 95/60 mmHg. For the last two decades, I had vertigo. I used to get it once in every 12 to 15 months and I\u00a0had got used to it. It normally go away in 15 to 20 days.\u00a0But this time, in the last one month I doubt this is vertigo though I hear some ear sounds and have a\u00a0little pain in the ears. Though I drive car and two-wheeler slowly, the feeling and unsteadiness makes me very uneasy. During night, sometimes I suddenly wake up after some vibration from the stomach and the chest portion and hence, sleep will be disturbed. I experienced trembling, three times in one month during daytime and felt uneasy in the hands and legs for five hours after that. In the morning, unsteadiness starts to occur and it has happened five times in one month. I am not able to concentrate and there is a fearful sensation\u00a0in the body. This problem needs to be treated. I doubt whether taking Metoprolol and Rancil will lower the blood pressure. For the past 10 days, I am taking Metoprolol 50 mg, Rancil\u00a020 mg at night, Aspirin at night, Vertin at night, sleep pill 0.25 mg at night and Pan 40 in the morning. Earlier, I was taking Vertin. Please help me. Doctor: Hi. I read your query and understand your concerns. For further information consult your neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9831, + "tgt": "Can a couple with same blood group get married?", + "src": "Patient: Hello doctor, Blood group of the\u00a0male is A positive and blood group of the female is A with Rh positive. Can they get married? Will they face any problem in getting pregnant? Doctor: Hi. There is no harm in marrying the partner of same blood group. Every individual has unique own blood group and ABO and Rh system used most commonly. If you want to do preconception counseling then investigate with CBC (complete blood count) and if needed HPLC (high-performance liquid chromatography) can be done to rule out hemoglobinopathy if present. If any report is done, then acknowledge me with that. As far as same blood group is concerned do not worry regarding that. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19022, + "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": 10420, + "tgt": "I am finding it difficult to have intercourse. Why?", + "src": "Patient: Hello doctor, I recently got married and I knew my partner for long before marriage. My query is I am finding it hard to have intercourse. I am very active while doing foreplay, but when I am about to insert somehow I end up ejaculating outside. We as a couple are planning for pregnancy at the earliest. Please guide us. Thank you. Doctor: Hello. As per your history, you seem to be suffering from erectile dysfunction (difficulty in sustaining erection) after marriage. The commonest cause of erectile dysfunction after marriage is performance anxiety. If you are worried about erection and your performance during sexual intercourse, it could cause problems with erection. To overcome this, you can try the following techniques. You can take these tablets on alternate days if needed as the effect of these medicines will last for 2 days. If you are taking any other medicine for blood pressure or cardiac condition, ask your doctor if it is fine to take these medicines along with the other medicines. You will not need these medicines for more than 15 to 20 days because you will develop confidence when you have sex successfully for a few times. As you are recently married, do not worry about pregnancy so soon. You will have plenty of time and opportunity for planning a baby. This added pressure of getting pregnant could also adversely affect your erection. Performance anxiety. Erectile dysfunction. 1. Relaxation techniques. 2. Tablet Forzest and Rivotril." + }, + { + "id": 17331, + "tgt": "How to prevent the recurrence of PUNLMP?", + "src": "Patient: Hi doctor, I had PUNLMP a year ago. I consulted a physician, and he did a TURBT. Now, I just have my follow up cystoscopy every three months. I am 25 years old. I am afraid of what to do and what to avoid. I have never smoked. But yes, I\u00a0have been with smokers. I just wanted to know what would my life like and how to prevent recurrence. What should I do that it never happens again? What are my chances that I can complete an average human life age? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8756, + "tgt": "I am suffering from scalp, finger and nail psoriasis. What is the treatment?", + "src": "Patient: Hello doctor. I am a 35-year-old male with moderate obesity. I do not have any chronic ailments like diabetes, BP, etc. The skin on my inner groins (slightly close to the gluteal folds) has become dark over the years and due to constant friction between the inner thighs has developed dryness and cracked or scaly like (appear to be fissured) and is causing a lot of discomforts. I have tried applying lubricant creams and anti-fungal ointments, but they do not seem to help. Since about a year ago I developed scalp psoriasis and fingers or nails psoriasis, I thought it could be the same on these areas of friction too. And tried applying Tacrolimus. Again it is not helping. Please advise. Doctor: Hello. I have gone through your case. Yes, it could be flexural psoriasis as you have psoriasis on two other body parts. Please apply clobetasol propionate ointment mix it with petroleum jelly or vaseline and use two times a day for 14 days. And apply Tacrolimus ointment at night for 14 days. Your treatment is more or less correct. But you need to know psoriasis plays hide and seek with patients. It often gets aggravated, particularly with stress and needs a repeated course with ointments. Try to avoid stress as much as you can." + }, + { + "id": 13739, + "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": 29499, + "tgt": "I am pregnant and I am feeling dull and upset since a few days. Why?", + "src": "Patient: Hi doctor, I am 22 weeks pregnant. Since last two to three days I am feeling so much dull and upset. My nights are quite long, and I am unable to sleep. During this time, I keep recalling my past and all the people who have hurt me knowingly or unknowingly. Kindly help me, please. My thyroid level is 7.2, and I am on Thyroxine 100. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22759, + "tgt": "I have a lump in my tonsil area. Is that a cancer?", + "src": "Patient: Hi doctor, I have one white lump around the tonsil area in my throat. It has been there a good few months now and the area is swollen. Is this cancer? Doctor: Hi. Cancer cannot be diagnosed by inspection only. To exclude tonsillar stone you have to perform lateral neck X-ray and show me it later on. I advise you to use a mouthwash and gargle your pharynx then expectorate it many times during the day for a week. Then if the white spot still exists you may have to undergo tonsillectomy. Then examine the tonsillar tissue histologically to detect its nature. For more information consult an ENT-otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22240, + "tgt": "I had an abortion seven months back. Why do I still have black colored periods?", + "src": "Patient: Hello doctor, I had an abortion seven months back. I have been having black colored\u00a0periods bleeding from the last three months. The bleeding is black on all the days of the periods. Doctor: Hi. How are you doing? That is quite a short history. Having black or altered blood in the first few months after abortion is common. We have to rule out the following possibilities. Get a pelvic scan to rule out any endometrial polyps or any uterine masses or any endometrial pathology. This polyp may be from the cervix projecting into the vagina causing such symptoms. Rule out a possibility of a second pregnancy, so get a home urine pregnancy test done. It may be early pregnancy bleeding. Hope you are not using any other hormonal pills. If you have a lot of vaginal discharge, itching, foul smell, then it might be a vaginal infection. In such a case, I suggest a course of antibiotics. Vaginal infection can cause a lot of spotting or altered blood loss. If your periods are associated with severe abdominal pain, then it could be endometriosis, which will be corrected only with hormone pills or by getting pregnant. It can be diagnosed with physical examination and using pelvic scans. During the examination, the cervix can be evaluated, and Pap smear can also be taken. 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": 5306, + "tgt": "I am having hemoglobin D trait. How to prevent passing it to my child?", + "src": "Patient: Hello doctor, I have haemoglobin D traits. What can I do, so that my child does not have that problem? I have done abnormal stuudies of HPCL. Doctor: Hello, Welcome to the icliniq.com. I have checked the attached report. (attachment removed to protect patient identity). It is suggestive of Hb D (hemoglobin D) trait. It can get transmitted in your future child if you have that problem. You cannot prevent trait transmission. In fact HB D trait is not the major hemolytic anemia and you may need not worry about that. However, if your wife having Hb D trait then the child can have Hb D homozygous disease form. So you can investigate your wife for hemoglobinopathy. So, do not worry about Hb D trait. The patient usually does not have much symptoms and does not need a regular blood transfusion. I hope this helps." + }, + { + "id": 1508, + "tgt": "Pain increasing gradually even after using a heel pad for plantar fasciitis. Please help", + "src": "Patient: Hi I have been diagnosed with plantar fascitis. Doctor said to use heel pad. Using it but no relief. Pain is increasing gradually. Please help. Doctor: hi, welcome to icliniq. Sorry to hear about you being troubled with plantar fascitis. it's a fairly common problem. heel pad is indeed helpful but apart from it you need to stop walking bare foot as much as possible. don't use any accupuncture type of footwear, use soft footwear. contrast bath is helpful- alternative warm and cold water fomentation one after other for period of 10 mins atleast twice a day is beneficial. if there is no relief after this conservative treatment along with some pain killers, local steroid injection (methylprednisolone) injection at the site of maximum pain can give you immense relief in those symptoms. please get the injection only from orthopedic surgeon. i hope you get cured of your ailment. feel free to ask any other querry. Thanks" + }, + { + "id": 9253, + "tgt": "What is the difference between sedation and general anesthesia?", + "src": "Patient: Hello doctor, I am having a revision rhinoplasty and it is going to be under sedation and local anestheia but I am very scared. I asked the doctor about it since I read that during sedation you are awake but he said under sedation, patients are asleep and they feel nothing. However I never tried it and I am really scared, I want to know what i.v sedation is exactly and is the patient put to sleep if the patient is actually asleep then what is the difference between sedation and general anestheia? Doctor: Hello. During general, anesthesia patients put in a deep sleep like state. Even respiration of the patient also under control of the machine. The patient cannot remember about surgery during the procedure. It may associate with little complications. Local anesthesia is blocking the area the part undergoing surgery. The patient may be awake. He may feel the movement of the body procedure. But if they use intravenous sedative or ketamine patient may go for a short sleep during the procedure. I think I answered your question if you have more questions feel free to ask." + }, + { + "id": 17304, + "tgt": "Should I take an antibiotic if there is water in the fallopian tube?", + "src": "Patient: Hello doctor,Two days back, I had my laparoscopy. My right tube was found to be dilated and the ports were open. The left one was completely closed and after forceful attempts, it was opened but only a slow progression was there. Now, under the current circumstances, is there any antibiotic for water in the right tube? Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 10935, + "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": 29504, + "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": 18168, + "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": 26914, + "tgt": "I have a white spot on my tongue. Could it be a developing cancer?", + "src": "Patient: Hi doctor, I have a white spot on the tongue. It feels raised and rough. Please see the attached picture.\u00a0What could it be? Doctor: Hi. I have seen the picture (attachment removed to protect patient's identity). Thank you. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 6822, + "tgt": "I am depressed, and my parents are not supporting me to overcome it. Please help", + "src": "Patient: Hello doctor, I am depressed. What can I do? My parents are not supporting for a surgery which is important for my self-confidence and self-esteem. My father is not taking care of my health or well-being. Please help. Doctor: Hello. Any related incident or cause for having depression is unclear in this query. Details of surgery and symptoms which are not mentioned are appreciated to know the complete picture. Depressive feelings are generally linked with some loss, self-related issues, stress, or environmental or biological factors. It can be managed by: 1. Medicines. 2. Psychotherapy to identify the causing agents and try resolving the issue. 3. Modifying thoughts related to concerns. 4. Physical exercises like walking, jogging, and workout. 5. Diet changes - Reduce the intake of too much salt and junk food and reduce sugar intake. Consume healthy foods and fruits having serotonin and omega-3 can reduce depression." + }, + { + "id": 1754, + "tgt": "I have blood in stools with pain and suffering. Why?", + "src": "Patient: Hello doctor, I am suffering from pain while passing stools and there are some blood spots on the stool. The pain is unbearable but there is no swelling as such. I am unable to go out due to the lockdown situation. Please guide me on what to do. Is this normal? I am a diabetic. Doctor: Hello. I understand your condition. You say you are having bloodstained stools and there is no swelling in the anal region which is a good sign. Now based on your history, I suspect you must have had constipation a couple of times. Constipation ultimately will lead to hard stools which can cause a tear at the anal region. I also guess that you are having a fissure in the anal region i.e. a tear at the anal verge. And since it is painful and recent, it is of acute nature. I suggest you consume a high fiber diet. Regarding treatment, you have to sit in a tub filled warm water twice daily for five to ten minutes for ten days. It is advisable to put in 5-10 ml of Betadine solution, but if you are not able to go out due to lockdown you can use it as plain warm water. This process is called as sitz bath. If you can get to a pharmacy get an ointment Lidocaine 5%. Apply it thrice a day at the anal verge better to apply before and after defecation. Avoid straining and avoid constipation by including green leafy veggies in your diet and drink plenty of water. Kindly keep your sugar levels under control." + }, + { + "id": 18932, + "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": 19223, + "tgt": "The skin on my left foot feels raw after standing for a long time. Why?", + "src": "Patient: Hi doctor, My work requires me to be on my feet. After working for 14 hours on two consecutive days, the skin on my left foot feels like it is raw. What could be causing it to feel like this? Doctor: Hi. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 12360, + "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": 20232, + "tgt": "When I stand from my bed suddenly, I feel dizzy for a minute. What causes it?", + "src": "Patient: Hi doctor, When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg. Doctor: Hello. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should rule out the autonomic neuropathy. You should get your BP checked by the local doctor or yourself if having BP apparatus at home. For that, you have to check BP while lying down and then recheck it after you stand whenever you started feeling dizzy, and see the difference between the two readings. You should get your thyroid, sugar levels done if not done recently. Next if you are consuming too much alcohol then needs to reduce the consumption. Please let me the know the content of the first medicine you mentioned and if you are taking any other medicines. Is there any response to Vertin (Betahistine)? In treatment, firstly you should avoid sudden changes in posture, and you should do it more gradually like sitting for a while in bed and then standing. Next thing, you should avoid dehydration, have plenty of water and fluids and increase salt intake if BP is on the lower side. Later we might need to add medicines if needed. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14723, + "tgt": "I believe my yellow color skin pigmentation is from eating excess fennel seeds. What to do?", + "src": "Patient: Hi doctor, A few months ago, I ate lots of fennel seed. Due to which my skin becomes yellow and show extreme pigmentation of yellow color in sunlight.Please suggest me the treatment. Thanks. Doctor: Hello. I just read your query. As you have mentioned that you ate a lot of fennel seeds a few months ago, then if it had any side effects, it should be at that time not after so many months. The yellow colored pigmentation you are currently talking about may be due low hemoglobin or jaundice. For that, you need to get your blood tests done. For hemoglobin, you can check your Hb, and for jaundice, you can go for a serum bilirubin test. But I advice you to visit a nearby general physician as he will do the clinical examination. In clinical examination, he would check you and will tell you whether you need these test or not, or maybe there is some other reason behind yellow pigmentation. So, visit a doctor at least once so that a clinical examination is performed and you will come to know about the proper cause. Once the cause is known, it would be easier for you to take treatment rather than receiving a generalized treatment. Thank you. After two weeks." + }, + { + "id": 17444, + "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": 19108, + "tgt": "Is there any permanent cure for my unwanted thoughts?", + "src": "Patient: Hi doctor, I am keep on getting unwanted thoughts and feelings related to the environment around in the vicinity. I am getting images of god, food items, fecal matter, song lyrics, animal skin feeling sensation, etc. There are countless examples. I am getting some racing feeling while resisting my thought. These thoughts and feeling are being like quite instantaneous, mild and unavoidable. They go in the background as a part of mental chatter. These things had been there for a long time. But, I am getting trapped in them now. I afraid that I am the only one who is experiencing them. I get confused with the way I should deal with them. I am affecting myself everywhere because of it. I get in competition with my mind as not to think or have those feelings while doing a particular task, but I end up having those thoughts and feelings. I searched on the internet and found that it was related to some white bear syndrome.\u00a0I fear that this problem would spread and make my life miserable. Please help. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17669, + "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": 3093, + "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": 29137, + "tgt": "From the medical report, share your opinion about my father's heart attack", + "src": "Patient: Hi doctor, My father has got a heart attack and was admitted to the hospital. He had chest pain, shortness of breath and no palpitations. He also has diabetes. I will post the picture of the medical report. Please share your opinion. Doctor: Hi. He has got heart attack and also had old asymptomatic heart attacks which were painless due to diabetes (attachment removed to protect patient identity). At present, his heart function is weak at around 30%. Normally, it is more than 55% and due to which his blood pressure was low and fluid accumulation in lungs leading to shortness of breath. From now onwards, he should be very regular in his medicine which is prescribed. The prescription is good and contains all necessary medication. He should have a strict restriction of salt and liquids intake like water, tea, and coffee. Otherwise, there may be an increase in shortness of breath. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10920, + "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": 243, + "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": 4507, + "tgt": "Will low testosterone level contribute to ED and PE?", + "src": "Patient: Hello doctor, I am 32 years old. I am currently facing ED and PE, and reduced muscles and increase waist. Doctor advised for a total testosterone test and the result was 220 and he said it is really low for this age. He advised for injections but is there any natural way to treat it? Doctor: Hello. Androgen (testosterone) injection for the purpose of treating ED (erectile dysfunction) is acceptable. But, how long one can take the injection is the question. If someone use it for years together, then there will be some side effects. But, this is the definite therapy. In Siddha, you can take Agasthyar kuzhampu 100 mg in the morning at 6 AM mixed with three Arasam tree tender leaves ground with buttermilk. This will cause diarrhea in some patients. This is to be taken for continuous three days. This drug can be taken every month for three months. Within the third month, this Siddha drug should give the result. If not, the drug to be changed. But, the Agasthyar kuzhampu should be taken strictly from under a Siddha doctor's supervision. For the remaining days, Oorithal thaamarai chooranam, lotus pollen (thamarai magarantham), Poonaikkaali seed powder, drumstick seed, cashew nut are the best herbals to improve ED. All these drugs together come in a single capsule as \"Rathina purush\". So, you can try Agasthyar kuzhampu and Rathina purush. Please continue for three months. You will get a better improvement." + }, + { + "id": 17397, + "tgt": "I have severe throat pain. Please help", + "src": "Patient: Hi doctor, I feel as though I may have Streptococcus infection or tonsillitis. I have been fine healthwise. All of a sudden this morning I woke up with severe throat pain. I am Type A Streptococcus. When I had Streptococcus infection, my lymph nodes never hurt too much and they were never too swollen or hurt by touch. This time, it hurts to put any amount of pressure on my throat, even to move my neck. I cannot even swallow my own saliva unless I force it. I have no appetite either. Please help. Doctor: Hi. The condition you have is URTI (upper respiratory tract infection) with odynophagia (pain on swallow). It includes GAS (group A Streptococcus) causing tonsillitis and tonsillopharyngitis. It is an infectious disease and usually a childhood disease. Recurrent streptococcal infections are usually of concern and lead to many suppurative and non- suppurative complications. You need to probe and ascertain the probable source of infection. It is a communicable illness and can spread through salivary droplets. I would hence recommend you to refrain from any intimate relationship and maintain good oral hygiene. Throat swab and culture or RADT (rapid antigen detection test). 1. Tonsillitis. 2. Tonsillopharyngitis. 3. Quinsy (peritonsillar abscess). 4. Viral pharyngitis. 5. Coryza (rhinitis). URTI and GAS tonsillopharyngitis. 1. After investigation, I suggest you to take Z-pak (Azithromycin). 2. If it is not responsive as in your previous history then you may have tablet Amoxicillin 500 mg thrice daily for 10 days. 3. If you are allergic to Penicillin then tablet Clarithromycin 250 mg twice daily for 10 days. 4. Tablet PCM 500 mg (Paracetamol) if any fever. 1. Spread by droplets of saliva. So maintain best oral hygiene with mouth wash. 2. Do salt water gargling repeatedly with lukewarm water. 3. Have more water liquid and bland diet not to hurt your oral mucosa. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25325, + "tgt": "Which is an effective contraceptive that is safe for long-term use?", + "src": "Patient: Hi doctor,My partner and I are living together and wanted to take monthly contraceptive pills. I am a 29-year-old male, she is 26 years old with no major health conditions. She has taken \"Descon 21\" tablets earlier and we have found it very effective. Therefore can we continue the same for long periods? (one to two years). Also, please let us know if any risk factor is present. Also, let us know if any other medicine is required. Doctor: Hello. Kindly mention your future plans for pregnancy. Personally, I am not in favor of hormonal contraception especially for long-term use as they harm the liver and suppress ovulation and decidualize endometrium. If you use it for two years, then immediate pregnancy might be difficult. Bones also get demineralized. Better to use condoms and Today vaginal tablets or spermicidal jellies. You can use nonhormonal contraception Saheli (Ormeloxifene) which has very less side effects. Consider the side effects. No need to bombard the body with synthetic hormones. Make clear choices weighing pros and cons. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1202, + "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": 9131, + "tgt": "I am suffering from sweaty and dark underarms for long time. Please advice", + "src": "Patient: Hello doctor,I have dark underarms for a long time. I have tried everything possible when it comes to home remedies nothing has worked. I have used Retin-A cream in the past, skin peels, but it becomes red. I have very sweaty underarms. Suggest any treatment and aftercare. No hormonal issues. Doctor: Hello. I have reviewed clinical photographs attached it is acanthosis nigricans. Stop application of Retin- A cream it can lead to irritation in the intertriginous area. You may consider the application of Grazia up cream one daily but only in the armpit and not in the groin area. Consider weight reduction. It takes time for this pigmentation to subside." + }, + { + "id": 15677, + "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": 29463, + "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": 25768, + "tgt": "I am feeling dizzy after being affected by traveler's diarrhea. What to do?", + "src": "Patient: Hello doctor, I am traveling internationally. I am affected by traveler's diarrhea and vomiting from three days. Day-1: Vomited four times, diarrhea five times. I could not eat anything. Day-2: I took Loperamide. The nurse at the hotel gave me some electrolytes. Took my BP - 100 (usually I am around 110). My body temperature was normal. I slowly started eating solid food. Diarrhea stopped, vomited once. Day-3: I was able to eat solid meals well. I took some electrolytes as well. Diarrhea and vomiting have stopped. However, I am feeling dizzy after basic day-to-day activities. Also, I went to the hotel downstairs to eat and I felt dizzy while eating the meal. Doctor: Hello. Traveller's diarrhea is caused by either contaminated food or water and is generally self-limiting with complete recovery in five to seven days. If you are feeling dizzy that possibly is because of weakness and electrolyte imbalances that occur with vomiting and loose motions and sometimes fever which is associated with it. You will need to take enough fluids and juice to replace potassium and get your blood pressure checked. If all is well, you are recovering normally. Otherwise, you may need antibiotics preferably a combination of Ciprofloxacin and Tinidazole for five days. Regards. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4678, + "tgt": "I get intense palpitations and panic attacks. Should I worry about my heart?", + "src": "Patient: Hello doctor, I am a 23-year-old male. Two years ago, I had intense palpitations, and I was diagnosed with anxiety disorder. I had panic attacks, but then I was able to recover by myself. From a few days, I had two panic attacks. And I am afraid if this is anxiety, or if my diagnosis was wrong as if I had some serious health issues.I worry that I have a heart problem. Even if someone touches my chest I feel uncomfortable. I do not think a lot. I try to calm myself, but somehow I am not able to calm myself no matter what I try. The main problem now is my anger. I suddenlt feel so much angry, on very stupid things like I am walking on a road and a car blows horn continuously I feel very irritated and angry, if my girlfriend does not pick my call I get so much angry and it is not normal.If I try to control my anger I feel numbness, and hand shakes, I even have palpitations. This is very worrying for me as I think this is very serious this time. My heart palpitations go away only when I am in deep sleep or when I am doing something so deeply without noticing anything. I had palpitations two days before my exams, I tried calming technique but it did not went away. But when I was in the examination center, when I started writing my answers I was so deeply busy in writing, that my palpitations go away. And then after the exam I was fine. But anger is ruining my life. I want to change the way I am. Please help. I am currently taking Sertraline, and Beta-blockers. Doctor: Hello. Panic attacks often mimic a heart attack. In fact one of the common differential diagnosis for panic attack is cardiac arrest. If it is happening often it is advisable to get an ECG (electrocardiogram) done. Please tell me from last how many days are you taking anti-anxiety medications? Secondly, I would advise you to start cognitive behavior therapy. Anxiety is caused by negative thoughts called cognitive distortions these can be improved with various techniques used in the therapy. Once you learn how to cope up with these negative thoughts you will be able to control your anxiety. Find a local therapist or you can opt for online therapy via video consultation. The relaxation techniques such as box breathing and progressive muscle relaxation help in long-term efficacy. I hope this helps." + }, + { + "id": 645, + "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": 2918, + "tgt": "Can a flu shot be given to 3-year-old kid as a preventive act from coronavirus?", + "src": "Patient: Hello doctor, I am asking question on behalf of my niece. My niece is 2.8 years old. Considering the present situation regarding corona virus, can we give a flu shot to her irrespective from her normal vaccination schedule. Also, I want to ask you for a suggestion regarding a travel to do and also meeting a person who came from US. One of her aunt came from US recently, so my sister and my niece were actually planned to meet her but we came to know that she got fever and vomting after she came to India but she told that she is doing fine now but we were in dilemma to send my sister and niece to her in this little confusion kind of period where we do not know what decision to make. So please suggest which you feel good option. Doctor: Hello I understand your concern. Yes, definitely you should give a shot of flu vaccine which will protect from getting infected. It gives protection for a year. Regarding meeting someone having a fever with international travel history, my opinion is you should avoid the meeting and wait at least 2 weeks till no fever and other symptoms." + }, + { + "id": 11356, + "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": 30093, + "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": 29079, + "tgt": "Should I take medicine for BP after a single high reading?", + "src": "Patient: Hi doctor,I have digital BP monitor, and it always shows my BP\u00a0normal. When I\u00a0visit two RMP doctors, they also said that my BP was fine. But, an MBBS doctor of 30 years experience says that my BP is 160/100 mmHg. I am very confused. Shall I take medicine to control BP? Doctor: Hi. I have gone through your query. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20218, + "tgt": "My brain CT shows hypodensities under the putamen. Does this warrant a brain MRI?", + "src": "Patient: Hello doctor, I am a 32 years old male. I have been having sudden dizzy spells from the last month. I had a normal eye and heart tests, which were also reassuring, I have moderately high blood pressure.\u00a0The doctor told me to get a brain CT scan, and the reports came back normal.\u00a0However, the description notes read, hypodensities bilaterally under the putamen, which aspects indicate Virchow-Robin spaces.\u00a0I had a previous CT scan five years ago, which did not find this.\u00a0How is the conclusion note in the report normal?\u00a0I read on the internet that these spaces can actually be ischemic lacunes and symptom of an ischemic attack.\u00a0Does this warrant an MRI scan?\u00a0Thank you in advance. Doctor: Hello. I would like to know some details about your symptoms: For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11978, + "tgt": "Am I getting spotting after periods because of Moringa leaf extract?", + "src": "Patient: Hello doctor, I had my period from the 31st of last month to 6th of this month. However, when the bleeding stopped on the 6th I continued to spot from then until now (10th). I started using Moringa leaf extract for the first time three weeks ago and was drinking the tea almost every day. Also, I was partially fasting (I consumed water, fruits, vegetables) no solid foods for the past three weeks. Doctor: Hello. Moringa leaf extract does not contain any hormonal active ingredients that I can see from my research, just very high in vitamins and nutrients. This particular compound is not well studied as far as its effect on the menstrual cycle, so it is difficult to relate the changes in your cycle and bleeding pattern to that alone. The most likely cause of the spotting is that you did not ovulate this cycle and the lining of the uterus did not stabilize like it does after ovulation, which is why you are having light spotting. The partial three week fast likely put some stress on your body and may have contributed to the change in your cycle. If you are sexually active and not using birth control, a pregnancy test would be prudent." + }, + { + "id": 27689, + "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": 826, + "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": 5846, + "tgt": "I have irregular heartbeat and palpitations. Is it due to sinus tachycardia or stress?", + "src": "Patient: Hello doctor, I have consulted two different cardiologists now and they both have gave me a different opinion and prescription. I have been told I have an irregular heartbeat and a high heart rate. The 24 hours Holter test concluded that I have ventricluar extrasystoles 1000/24 hour, but the day after and today I felt more palpitations. He said I have also sinus tachycardia. The walking, running, and stress test came back fine as did my majority EKG and ECG's. The first doctor said I need to take Flecainide and will need a catheter abulation soon. The second doctor said it was from stress and prescribed me Concor 5 beta blocker. I am unsure who is correct? I am currently taking Yasmin pill. Doctor: Hello, Welcome to icliniq.com. I understand your worry, but no need for you to worry. What you are having is palpitations. They often are due to benign causes. I advise you to continue with Concor and also make sure to get six to seven hours sleep at night. Stop smoking, alcohol or coffee if you take because these are things that can worsen it. Lastly, make sure to do cardio exercises at least three times a week. You will be fine." + }, + { + "id": 11459, + "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": 21246, + "tgt": "Why am I unable to pull my foreskin back while erect?", + "src": "Patient: Hello doctor, I am an 18-year-old boy and cannot pull my foreskin back while erect. I am uncircumcised. One time I had a bath, and I opened my penis, left it for too long and could not get it back to its normal state. I had to go to the urologist to get it back to normal. Doctor: Hi. I have gone through your query. You most likely have a condition called phimosis, though it would be necessary for me to do a clinical examination to confirm. It is not serious, though it would be necessary for you to visit your local urologist for getting a circumcision done to help solve the problem." + }, + { + "id": 15692, + "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": 12663, + "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": 29898, + "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": 22653, + "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": 24625, + "tgt": "I have bumps all over my legs. Is there any treatment?", + "src": "Patient: Hi doctor, I have these bumps all over my legs, arms and in the back of my legs. I have these bumps all the time and no scrubs work. So, I was wondering if there is any treatment? Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity). You have follicle oriented keratotic papules (bumps) on thighs and it is called keratosis pilaris. It is a condition where there will be the accumulation of blackish keratotic material at the opening of hair follicles. Bumps are seen over the arms, thighs, legs and sometimes in the face. It is a harmless condition, common in adolescent age group and tends to be associated with eczema. Treatment options include, These treatment modalities help smoothen the skin and you should expect around 30 to 40 % improvement. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11769, + "tgt": "What foods can my wife take to improve fertility?", + "src": "Patient: Hello doctor, My wife is 24 years old and her height is 4'10\" and weight is 61 kg. She is a\u00a0bit overweight and also has PCOD\u00a0problem. We got married 2 years back and she cannot get pregnant. Please send the diet chart to reduce her weight. What are all the foods that she can take to improve fertility? Thank you and looking forward for your reply. Doctor: Hello, Welcome back to icliniq.com. Thanks for your query. From your information, I got to know that she is obese. She needs to reduce approximately 6 kg. It is too much weight for her height but no worry she can reduce it by diet and some exercises. She needs very low calorie diet of about 1200 kilocalories a day. Rice intake has to be as low as 50 g as well as 50 g whole wheat. Carbohydrate group not more than 150 g. Only brown rice, brown breads, and more fiber containing products like whole grains to be taken. Take more vegetables from gourd family and 300 g fruits have to be taken. Reduce sugar intake to minimum 1 teaspoon per day or have less sweets. Avoid the following food items: She can take the following foods to reduce her weight: Should not sleep at daytime, maximum keep working and follow dynamic lifestyle. Yoga or mild home based exercises are very helpful. If she is not serious about her diet, activities and lifestyle then she would face more complications. Improper food habits and improper meal planning. 1. PCOD (polycystic ovarian disease). 2. Food habits. 1. Junk foods. 2. Foods containing high carbohydrate. 3. Wrong foodings. Very low cholesterol and a bland diet. Proper small but frequent balanced diet to be followed." + }, + { + "id": 29998, + "tgt": "Could you explain the exact reason for my continuous leg pain?", + "src": "Patient: Hi doctor, I have continuous lower leg pain for more than four years. The pain is between knee to ankle. I feel weak legs and bones and also having a burning sensation and numbness. I am taking D3 and B12 supplement for around two years and still it is low in my body. Please find the attached health checkup report. Is it something related to shin splints? When I touch the leg I can feel the shin bone detached from the muscle. Could you let me know the exact problem and the treatment for the same? I am currently taking medicine for generalized anxiety disorder and migraine. Doctor: Hello. I had gone through all the data posted (attachment removed to protect patient identity). Kindly tell me more details about your problem. Revert back with the answers to the above questions to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16808, + "tgt": "Why am I not able to hold my urine lately?", + "src": "Patient: Hi doctor, I am 20 years old, so this is embarrassing. Lately, I have not been able to hold my urine. Sometimes I pee on the way to the toilet or even at night. There\u00a0are instances where I will be in the grocery store and all of the sudden I\u00a0would have to run across the\u00a0store, but still not make it in time. Please help. Doctor: Hi. No need to be embarrassed. Discussing your problem with a\u00a0doctor will be helpful in solving it, so please be free while communicating. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6246, + "tgt": "I am having brown spotting with clots during periods and I bleed after sex. Why?", + "src": "Patient: Hello doctor, I am having brown spotting with blood clots, and there is no pain or cramps. I had my periods in the first week of June. I had unprotected intercourse in the first week of October, but my partner did not ejaculate inside me. I again had intercourse (protected) and I had slight bleeding after that. Whenever I have the orgasm I bleed, this never happened before. I have an irregular cycle for one year. My periods come in about three or four months duration. Now it is four months already, and I am experiencing this dark brown spotting instead of my periods. Why is this happening? Please help. Doctor: Hello. Considering the fact that your periods have been irregular since long and the interval is three to four months, then for sure, you should be evaluated for causes of oligomenorrhea like PCOD (polycystic ovary disease), hypothyroidism, and hyperprolactinemia. Also important is to rule out the pregnancy as you have been sexually active. Once ruled out then a per speculum examination can be conducted to rule out cervicitis, or erosions which can cause post-coital bleeding. So a gynecologist examination would be recommended." + }, + { + "id": 23048, + "tgt": "I have lost confidence to talk with people. Please help", + "src": "Patient: Hello doctor,I am 25 years old female. I have some problem due to some failures. I have lost confidence and whenever I write any exam my heartbeat and pulse increases and I start shivering despite I knew all the things. And when I meet any person I do not have enough confidence to talk with him freely and I think what he will think of me. I do not know what is this problem and this is ruining my life. Please help me. This problem is there for past three years. Doctor: Hello. The problem is occurring due to poor confidence most likely due to social anxiety. Please visit a psychiatrist for help. SSRI (selective serotonin reuptake inhibitor) drugs like Escitalopram or Fluoxetine can be used to reduce the symptoms and will surely help you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8992, + "tgt": "How to manage stress and focus on studies?", + "src": "Patient: Hello doctor, How to manage stress? It has been tough to focus on studies and having sleepless nights. Please suggest me with some good tips and medicine. Doctor: Hello. Stress has two forms, 1. Eustress, which is normal in which performance increases like in exams, tasks, and future plannings. 2. The distress which is not normal when performance decreases because we expect a lot, and we regret a lot for past and worry a lot about the future. All are not under our control so accept the things as they are and now try to figure out what are the triggering factors of your stress and understand them can you control them if not so stop worrying and start living in the moment. Say stop to these worrying thoughts and do not expect the results of your actions and give your best in all actives, and have good daily living habits, like good sleep (search sleep hygiene tips), healthy diet, daily walk, socialize and do not regret, do not react on other's opinions, and do not worry about others." + }, + { + "id": 27435, + "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": 4451, + "tgt": "What causes bump in the gums?", + "src": "Patient: Hello doctor, For the past week I had gotten a small round bump on my lower gum. It is just in the corner at the lowest part of the gum so I have to pull my mouth open with my fingers just to see it. It does not hurt or bleed. But it has not gone away and it has gotten a whitish color to it. I also got the soreness on the tip of the tongue this morning. I am quite careful with my teeth and brush or rinse regularly every day so I am confused to what may have caused this. This morning I woke up with a redness on the tip of my tongue too. I wonder if it is because I have poked the bump with it just to feel wether it is still there. I have switched to Peroxyl mouthwash to see if this may solve it. Can you advise me on what this maybe? I am a little worried. Doctor: Hello. It could be a common aphthous ulcer (canker sore). It has various causative factors. It could be because of vitamin deficiencies, hormonal changes, psychological stress, allergies, accidental trauma or bacterial infection. A clear clinical picture of the ulcer or bump will help to determine what is it and what caused it. If that is an aphthous ulcer, it may take a couple of weeks for it to resolve. Redness on the tip of the tongue could be due to constant rubbing of the bump or ulcerated area. White tissue over that area could be healing tissues. Please do not disturb them. Meanwhile, 1. Avoid hot and spicy foods. 2. Do warm saline mouth rinses thrice daily. 3. Rinse mouth after every meal. 4. Drink lots of water and keep yourself hydrated at all times. Maintaining good oral hygiene and following the above said instructions will prevent further infection of the ulcer and promotes faster healing. If required, if it hurts, a topical anesthetic like Orajel can be applied over the ulcer with a clean finger. I hope this helps. Good day." + }, + { + "id": 22416, + "tgt": "I have white substance in foreskin with itchy sensation. Please advise", + "src": "Patient: Hello doctor, I am a 32 year old male. For the past one month, I have been feeling an itchy sensation in my penis occasionally. Today, I checked and found some white substance inside the foreskin and the glans area on that side is red. The foreskin inside there is also red. The white substance cleared when washed but after one hour when I checked again, it was back there. I washed again and it cleared mostly but some still remained. There is no lump or fluid discharge except the white substance. There is no pain or unusual feeling while urinating or any unusual smell. But there is slight itchiness at times as I said. I did not have any sexual contact with anybody in the past seven months. Please advise what this could be and how to deal with it. Doctor: Hello. It would be better if you can take a picture of it and upload it. There are two possibilities. Is this whitish substance present at the base of glans where foreskin meets the glans? If yes, this is a normal thing. This is called as smegma. These are normal secretions and nothing needs to be done about it. Daily morning, you may just pull your prepuce back and wash it. No need to wash it frequently. If location is just on the glans, but not at the base then there is a possibility of fungal infection called as candida infection and you need to apply antifungal like cream Clotrimazole two times a day for two weeks. So overall, it is likely a possibility of smegma and nothing to worry about it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10582, + "tgt": "Should I continue the Olanzapine as I had a blackout episode when I was drunken?", + "src": "Patient: Hello doctor, Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more. Doctor: Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to drink heavily. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure." + }, + { + "id": 8190, + "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": 29383, + "tgt": "I am little worried about the swollen lump in the neck. Please help", + "src": "Patient: Hi doctor, I have a swollen lump in my left neck under the chin. Sometimes, I feel pain on the left side neck. I visited a few doctors, and they told that I have an infection. They gave me antibiotic, but the swelling is still present. I am a little worried. Doctor: Hello. If you could send a picture of the swelling, then it will be more helpful. Revert with the photos to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 23588, + "tgt": "Will sensitiveness to Tryptophan and Vitamin D3 pass with time?", + "src": "Patient: Hello doctor, I have serotonin syndrome or toxicity from a tricyclic antidepressant. I stopped taking it seven weeks ago. Most of my neurological symptoms have gone. I stick to a low tryptophan diet but if I eat something higher in tryptophan or get stressed, I feel nauseous, depressed, agitated and I cannot sleep. This happens every few days. I cannot take supplements such as Vitamin D3. I am post menopausal and need calcium but I cannot eat dairy or drink milk without severe effects. My question is, will my sensitivities pass in time and will my serotonin rebalance? I am so frightened that I have permanent endocrine or brain damage. Currently, I am taking Propranolol mini pill. Doctor: Hi, Welcome to icliniq.com. Since your serotonin syndrome is drug induced, it must be normalized within a wash out period. I mean normalized gradually once you stop it. You may take another antidepressant that is safe for you. Eating tryptophan rich foods or stress inducing some symptoms to you, I feel which may not be related to serotonin syndrome. That looks like your depression related issues only. It needs another better drugs. Please discuss with your clinician about current symptoms. Your brain and endocrine systems are normal (attachment removed to protect patient identity). Only thing you must take better antidepressants and psychological counselling. Vitamin D dosage need to be adjusted if it is causing trouble. This may not be related to serotonin syndrome. For more information consult a toxicologist online --> https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 19686, + "tgt": "Why do I feel tired to do any work? Why do I sleep for more time?", + "src": "Patient: Hi doctor, I am suffering from the heavy headedness and weakness. I sleep for more time. When I\u00a0wake up in the morning, I feel heaviness, especially in the back and side region. Because of this, I feel tried to do any work. I do not feel active the whole day. I also feel pain in the legs, below the knee level for the past three\u00a0months. Some doctors suggested that it was because of indigestion. I have the habit of smoking. What could be my problem? Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7763, + "tgt": "How to get rid of constant headache and dizziness?", + "src": "Patient: Hello doctor, I have been suffering from constant headaches and dizziness. I have gone to the eye doctor multiple times, for eye dilation exam which came back normal, and then told I need to see a neurologist, which my eye doctor would not refer me to. My primary care physician has put me on antibiotics, which have made me sick and have done nothing for me, and now wants to put me on anti-seizure medication because she will not take the time to figure out what is causing the headaches and does not think I need an MRI. The headaches are all one-sided (the right), as well as the dizziness - all within the same spot. It gets worse with movement, and I have a job where I am constantly bending. Sometimes when I turn and then stand back up, I will be so dizzy I will stumble and then have to stand still and wait for the dizziness to go away. I have nearly fallen seven times within a week and almost got into a car accident because I was so dizzy. I was also at the hair salon getting my hair washed, and when leaning my head back into the deep sinks, there was so much pressure on that one spot of my head. On the ride home, I got my ophthalmic migraine, which I am sure was from that (I will see little black wisps like smoke that pulsate in front of my eye. Sometimes it is so severe it will nearly cloud my whole vision, and there have been almost three times. I have lost my sight twice entirely. Once when we were digging and once when I was walking around the zoo. The other time I came close, I was working at a nursing home, merely walking down the hall, and my vision started to go. I am not sure if the first two times were from heat, but I cannot stand the heat, and I will get very grouchy if I get too hot, even if others are not). Also, on the same night, that side of the head was so dizzy that I could not even walk and I could barely hear because my ears were so muffled. I also notice that at my job when one of the trucks go behind me and beep their horn, that side of the head will hurt. Also, if one of the big fans blowing on my face, I will make that side hurt as well. I should say I work in a plastics manufacturing plant working. There are loud grinders, but we all have eye protection and ear protection. I worked there for six months the first time, but I had to quit because I was feeling too horrible. I kept bumping into things. I have only lasted a month this time, and yet I still get dizzy. The nearly falling spells have only happened there. At my previous job in the nursing home, I was standing in a residents room waiting for them to finish in the restroom when, without warning, I nearly collapsed and had to stumble over to their bed. I need any advice because I have no support from either my family (who have told me straight out that I am simply making this up, so I do not have to work when I have never given them a reason to mistrust me) or from either of my doctors. Doctor: Hello. I read your question carefully and would explain that your symptoms are suggestive of migraine. Thank you for the detailed information, which can undoubtedly help direct me as a doctor toward the right diagnosis. As the headache is always in the same part of the head, it is advisable performing a brain MRI. It is also advisable consulting with an ENT specialist to exclude an inner ear disorder as a possible cause underlying the dizziness (as head movements trigger it). In the meantime, I would suggest treatment with Verapamil or Propranolol for the headache. Anti-epilepsy therapy like Topiramate can be a treatment option if Verapamil does not help (this is a commonly used drug in migraine). If the dizziness persists, while headaches subside with the above treatment options, I would recommend starting Meclizine or Dimenhydrinate for the dizziness (these drugs are usually used to treat vertigo). I hope to have been helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 23064, + "tgt": "What is the cause of my upper back pain?", + "src": "Patient: Hello doctor,I have been experiencing discomfort and pain in the\u00a0upper right side of my back leading to my neck for about a week. Ice, heat, cream, and Ibuprofen do not seem to work. Now, the discomfort and the pain has circulated off and on from my back to my abdominal area and my torso. Could this be related to stress, or could this be related to having gas in your body or is it ulcer related? Doctor: Hello. Your symptoms are suggestive of GERD (gastroesophageal reflux disease). I advise you do an upper GI (gastrointestinal) endoscopy to know the cause. I suggest you take tablet Pantop (Pantoprazole) 40 mg once daily for 14 days. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24966, + "tgt": "Can Pp26 and CC74 tablets prevent cleft lip and palate in fetus?", + "src": "Patient: Hello doctor, I had an abortion before 10 days due to a major cleft lip and palate to the child. When can I start planning to conceive again? Can I take a Pp26 tablet and CC74 tablet before three months of pregnancy to prevent this defect? I have attached my report. Doctor: Hello. Yes, it is important to take the above folic acid supplement to prevent cleft palate and lip and also neurological defects in the fetus. Take three months before conception and continue throughout pregnancy. Good luck. For more information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 26543, + "tgt": "I feel a pressure on my gum if I press the area. Why?", + "src": "Patient: Hello doctor,When I press the area on my face under my right nostril, I get a pressure on my upper gum inside my mouth which hurts real bad. When I do not press on it, my right front tooth hurts, like a toothache or pressure. Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 17774, + "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": 12446, + "tgt": "Why am I having red patch below the neck?", + "src": "Patient: Hello doctor, I have a red color patch just below my neck. It just appeared a few weeks back. It comes and goes away. This time it looks a little prominent. It does not itch or bother me. I have attached photos for your reference. Gender: Female, age: 26, height: 160 cm, weight: 63 kg. Doctor: Hello. It is pityriasis versicolor (a type of fungal infection). Kindly follow the prescription. 1. Apply Clotrimazole lotion over the area BD for two weeks. 2. Maintain hygiene of the area. 3. Wash with mild soap and water. 4. Avoid Dettol and other irritants. You will get better." + }, + { + "id": 4828, + "tgt": "Do red spots on penis and white foreskin discharge signifies STD?", + "src": "Patient: Hello doctor, I am a 30-year-old male. A few days ago, I had safe sex with a condom. Now, I have two red dots on my penis. It also hurts when I urinate. When I pull down the foreskin, there is a whitish discharge. I am pretty sure I have caught some type of STD. I am freaking out and do not know what to do. Can anyone help me? I want to know what this is? I have attached the pictures. Doctor: Hello. I understand that you are worried. This looks like herpes but to be sure I will need a few more details. After how many days of the event did you notice these spots? Do you have any burning sensation? Are there any spots on the scrotum, lips, etc? Are you allergic to any medicine? Is there any swelling in the groin area? Have you used any medication? Till you send these answers apply T-bact (Mupirocin) cream twice a day. Once you send the details we can prescribe you oral medication." + }, + { + "id": 4950, + "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": 14483, + "tgt": "I inhaled enamel paint residual fumes. How will the health be affected?", + "src": "Patient: Hello doctor, I (66 years, 145 lbs) am using a can of enamel paint in my basement. Total of 1 to 2 minutes. Had a mask on then took it off while I cleaned up 5 to 10 inhaling residual fumes. However, the mask was old. I know I should not have done it inside. Can this cause any health issues? Ran an air cleaner that helped take care of the smell. Now, most importantly my 15 months old granddaughter came to stay four days later. She never went to the basement. We try to keep the basement door closed. Could she have any health issues near or long term? It is really worrying me. Doctor: Hi. The paints usually have toxic chemicals, which on long-term continuous inhalation (more than one month) definitely can accumulate sufficiently in lung and body, to produce the toxic effect. This can happen for the painting professionals without proper precautions. In your case, it is the single time (few hours) exposure. This can produce local irritation on eyes, nose, lungs, and skin. The symptoms are skin itching, burning sensation of eyes, headache, increased secretions from eyes and nose, cough, sometimes wheezing in susceptible cases. There are no possibilities for any other bad effects. That too these effects usually start within 30 minutes to one hour of exposure and last only for one day. Once we breath normal air, there is proper ventilation in the lungs, these paint chemicals from lungs would be washed out. After one day, you will be safe and can forget about this. My suggestion is to open windows and run exhauster fans to expel the smell (indicates the chemicals) of paint from the room. More ventilation, more washout. Three days it may take to completely remove the smell from the room. After that, you can allow the kid in the room. If the paint smell is there, do not allow the child to smell it. It will produce the above mentioned bad effects for her also. In case, if the kid is exposed into the room before complete washing out, no issues. Bring the child out, wash the face, eyes and nose with water. Keep baby in an open air space for 30 minutes. In a few new fresh breathing, the toxic chemicals from the lung get washed away. Usually, after painting, we need to pass new air to wash out the chemicals in the air. For a few days. If not, some other when we enter the room, we will be the victim." + }, + { + "id": 20443, + "tgt": "I have puffy face and throbbing jaw pain. Why?", + "src": "Patient: Hello doctor, I have had a cold for a week and it now feels like a toothache but it is not just one area, it is both top and bottom on the left side of the jaw and it is like radiating from my sinus. My face feels puffy and the pain is throbbing. Doctor: Hi. After going through your chief complaint, it seems a case of acute pulpitis due to a carious tooth. Initially,sensitivity was due to the weakening of enamel and dentin and with time it started pinching pulp. Acute pulpitis is characterized by throbbing pain, pain on eating, night pain, and it can radiate to jaws, head, neck, and shoulders. You are advised to take up following medications. Tablet Amoxicillin-clavulanic acid 625 mg TDS for three days. Tablet Zerodol SP BD for three days, tablet Rabeprazole 10 mg OD for one week. Sensitivity tooth paste for one month. Do not worry, it will subside in one or two days by taking medication. Remember it is only for symptomatic relief. After taking medication, do IOPAR X-ray and send it for further course of action. Preventive measures include usage of salt gargles twice, avoid food to accumulate in the mouth by rinsing after taking food, avoid taking hot liquids andsugar-rich drinks." + }, + { + "id": 29087, + "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": 9512, + "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": 27026, + "tgt": "I am a cross dresser who is attracted to men. Does that make me a trans woman?", + "src": "Patient: Hello doctor, I am 30 years old. I cross dress from the age of 15. I have erections and ejaculations only while sleeping upside down on the bed. Unlike other guys, it does not happen when standing. I also have a significant breast growth as they are quite visible. I suspect that I am a transwoman, though not a transgender. How to know if I am a transwoman? I have an\u00a0attraction towards men and my erections only happen imagining men. I have not had sex with a man anytime though. I tried it once with a woman, but in vain. During oral sex with a woman, I had natural erections though. Please advise. Doctor: Hello. I read your query and understand your concerns. I will be glad to help you further if required. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 14070, + "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": 9689, + "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": 5372, + "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": 18497, + "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": 11805, + "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": 5493, + "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": 15998, + "tgt": "Is it fine to have a bit higher bilirubin level?", + "src": "Patient: Hello doctor, I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes? Doctor: Hi. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syndrome and reticulocyte counts with smear examination and G6PD level in blood. Rest of the workup you have already done. You may provide the complete reports of the investigation, including the previous investigation. So it will be good for us and help to interpret. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Do fibroscan and repeat ultrasound for fatty liver. TATA box mutation for Gilbert syndrome, reticulocyte counts with smear examination and G6PD level in blood, liver function tests, fasting blood glucose, HbA1c. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Provide the reports. Do regular exercise, at least 1 to 2 hours a day. A low-fat diet. Target weight is 75 to 80 kg, lose 5 kg in the next three months. Stop alcohol, if you are addicted to that. Capsule Vitamin E, 400 mg once in a day." + }, + { + "id": 13142, + "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": 18763, + "tgt": "Can meningitis spread through sharing food and drinks?", + "src": "Patient: Hello doctor, I am a first year engineering student. I share my food with my friends at college every day. I had a stiff neck today. So I researched online and my search leads me to read about bacterial meningitis. I freaked out because I had never heard about meningitis. About its prevention, the article said to avoid sharing foods. Now, what are my odds of getting meningitis? I was severely dehydrated today because in college I forgot to drink water all day and my urine was bright yellow which is a sign of dehydration. Is this causing my stiff neck? And, what are my chances of getting meningitis? 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": 24155, + "tgt": "What can be done for unbearable knee pain in elderly woman?", + "src": "Patient: Hello doctor,My mother started having knee pain and recently it is unbearable. We did an X-ray and the doctor gave her medicines but there was no relief for her. She is also taking medicine for hyperthyroidism. Please advise. Doctor: Hi Welcome to icliniq.com. Your mother appears to have severe osteoarthritis which is wear and tear of the knee joint due to age. I hope she does not get recurrent fever and is not suffering from any other joint conditions. Considering the severity of involvement, she may need total knee replacement after an initial assessment. In the meanwhile, avoid squatting, climbing stairs or sitting on the floor. Using a walking stick also will improve her pain. Hope that helps. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15541, + "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": 5684, + "tgt": "Does a typical febrile convulsion cause any harm?", + "src": "Patient: Hi doctor, My daughter is\u00a02 years 8 months old.\u00a0We observed high temperature yesterday night. She vomited and after cleaning her mouth we gave 5 mL Panadol. Thereafter, she has lay down on bed and after roughly 15 minutes of her sleep we observed a strange physical movement and that lasted approximately 5 to 10 minutes with the following typical observations. Her arms began to twitch, no noise or liquid from her mouth and eyes are not rolling as usual.\u00a0We immediately rushed to hospital. The laboratory data showed temperature 38.5 degree Celsius. Initial blood test results were\u00a0WBC count 27230 cells per cubic mm, polymorphs 82%, procalcitonin 0.8 ng/mL. In chest x-ray there are some right mid zone opacities seen. She stayed there as an inpatient for three days with liquid\u00a0(Nacl 0.45% and Dextrose 5%) and antibiotics. Except procalcitonin all above values are dropped. Procalcitonin increased to 8.5 in between and on final discharge day it was 2 ng/mL. She had EEG test and the\u00a016 channel sedated pediatric record channel done according to the 10:20 system of electrode placement, which is attached for your reference. She was prescribed with the following medications.\u00a0Augmentin 228 mg/5 mL - 70 mL suspension in powder form,\u00a0Mucosolvan,\u00a0Biogaia Probiotic drops,\u00a0Vitane liquid 200 mL,\u00a0Nebulizer (Combivent 2.5 ml + Pulmicort 0.25 mg/mL) and\u00a0Depakine 200 mg/mL.My concerns are\u00a0can it be classified as a typical febrile convulsions with the present EEG report?\u00a0Though the physical symptoms and a family run that is myself and her father had some sort of shivering in childhood observations show it as a normal febrile convulsions.\u00a0Does a typical febrile convulsion cause any harm? With my limited knowledge and web reading, it never causes harm and also no medicine can stop the re-occurrence. But, still I am worried. What is the benefit of\u00a0Depakine oral solution?\u00a0Shall my daughter stop taking Depakine medicine? Please clear my doubts. Doctor: Hi. I have read your query thoroughly, seen the reports (attachment removed to protect patient identity) and understood your concern. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6724, + "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": 28988, + "tgt": "I am suffering from cloudy urine. Is there any health issue?", + "src": "Patient: Hi doctor, For the last one month, I have been suffering from cloudy urine. It is intermittent and does not happen every day. But,\u00a0when I am urinating I can visually see my urine changing color to milky white. It happens nearly always at the end of my urine stream. Why? Doctor: Hi. Revert with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13546, + "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": 18760, + "tgt": "Fetus revealed with mild hydrocephalus. Is it a serious condition?", + "src": "Patient: Hi doctor, Mild hydrocephalus shown with breech presentation in 36 weeks ultrasound scan. None of the previous report showed any abnormality. Genetic test done earlier in 2nd trimester was also normal. I want to understand what should be the next step for a healthy and sound mother and baby. I had already consulted a pediatric surgeon who suggested me to take a fetal medicine specialist opinion. Hence, I am posting this query here. Thank you. Doctor: Hello. Kindly revert back with the reports to a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 22804, + "tgt": "What is the cause of a white patch on my baby's scrotum?", + "src": "Patient: Hi doctor, My son is three months old and he recently got a white patch on his scrotum. Is it normal or do I have a reason to be worried? Doctor: Hello. Since the baby is three months, it could be a birthmark that has developed. Some birthmarks come early in life and some later on such as white spots, dark blackish spots, moles and so on. Another condition is called jock itch caused by infection due to tinea which is a result of sweating imposed fungal infection. Since the baby is small, this could not be the cause but I cannot rule it out with the inspection. My suggestion would be that I can help you better if a picture would have been included or take him to a pediatric dermatologist. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7305, + "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": 20088, + "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": 13769, + "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": 29987, + "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": 18206, + "tgt": "Is brisk reflex a sign of PPMS?", + "src": "Patient: Hi doctor, I am getting brisk reflexes. I am scared of primary progressive multiple sclerosis. Please help. 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": 1006, + "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": 686, + "tgt": "I have uncomfortable feel in throat even after taking Beclate and Montek LC regularly. Why?", + "src": "Patient: Hello doctor, I am a 42-year-old female. I have allergic bronchitis since childhood. I take Asthalin and Beclate 200 rotacap and now in this COVID circumstances doctor suggested to take tablet Montek LC. I took those tablets regularly in the first week and now I take on alternate days. But then also I feel heaviness in my throat. I feel uncomfortable with my throat feel. I take inhaler also when needed and not regularly. I have pain in my body from neck to whole body and feel like ants walking from the right side down the body. Please guide me. Doctor: Hi. I see you are more disturbed by your throat problem at present. I would advise you to continue Asthalin rotacap and stop Beclate rotacap at present COVID situation because steroids increase the chances of acquiring infection and Montek LC can be continued on a daily basis. Are you suffering from a fever? If any fever present, you need to get checked yourself for COVID 19. Follow the medicines as advised below and review them with investigation reports. CBC (complete blood count). URI (upper respiratory tract infection). Tablet Azithromycin 500 mg once daily for five days before food, Betadine throat gargle twice daily, tablet Aceclofenac and Serratiopeptidase twice daily after food for three days, Mucaine gel 1 tablespoon thrice daily before food. Review with investigations." + }, + { + "id": 16836, + "tgt": "Does absence of fetal heartbeat on ultrasound confirm abortion?", + "src": "Patient: Hello doctor, My wife is six weeks and five days pregnant. In the fourth week, she got pain in the stomach and back. So, there were two ultrasound reports. The first was taken in five weeks and six days where the gestational sac was 2.33 cm with no heartbeats found. The second ultrasound was six weeks and five days. In this ultrasound, the doctor said there was no heartbeat. He said for abortion. What should I do? Shall I send you the ultrasound reports? Please help. Doctor: Hello. This looks mostly look like a missed abortion. Usually by six weeks or later, the heartbeat appears on the scan provided. You seem to have regular periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13398, + "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": 23831, + "tgt": "Why do I have heart palpitations with anxiety?", + "src": "Patient: Hello doctor, I am 26 years old male. My weight is 240 lb and height is 5'9\" tall. I have anxiety disorder for about six years now. Mostly all the time with anxiety, I have heart palpitations like I feel my heart missed a beat or it is working very slow and it starts working very fast. During this I get dizzy all the time. Palpitations happen mostly when I am laying down. For six months I was good. There were no heart palpitations. One week ago, I was sleeping and I heard someone trying to open my apartment door and I was scared. My heart stopped and I told myself that now I am going to have heart palpitations again and yes now for one week I am having heart palpitations. I feel dizzy and tired. I had ECG done couple times and nothing was found. Is this something dangerous? Will I die from it? Can I work out even if I have heart palpitations? I am very scared that whether I have heart disease. One of my reports says sinus tachycardia, possible left atrial enlargement, nonspecific T-wave abnormality, and abnormal ECG. The other one done two months after says no abnormality. Please help. Doctor: Hi. I can understand you are worried about your heart investigations. At-large there is nothing they found on later EKG (electrocardiography) report. And in both the reports (attachment removed to protect patient identity) heart markers troponin-I is normal and in range meaning, there was nothing abnormal found in the heart. In such a situation, cardiac investigation results are correlated by a cardiologist with the physical examination of the patient. This gives the whole picture of the heart. Sinus tachycardia means the heart is pumping at the normal pattern but at a fast pace. If there is increased heart rate due to some structural abnormality or conduction defects in the heart, it does not cause sinus tachycardia. In the later tests where you mentioned, they found nothing wrong, means there was no correlation between the symptoms you felt with the heart's health and there was all fine to go with. Otherwise, they must have gone for some medications or therapy for the heart to correct any defects. Possible left atrial enlargement, but they could not confirm that or at least it looks like from the data provided here in this query. Nonspecific T wave abnormality, they could not specify if there was the T-wave abnormality and that was linked to your health issues. If suspicious they may have gone for more investigations to rule out any issues. But they did not mean there was not much to explore and in the later evaluation, they found all fine. In such a situation and also because the reports are from long time ago, it is better to go back for a thorough heart evaluation. Your cardiologist may go for extensive heart studies including but not limited to physical examination, EKG, echocardiography, exercise stress test, cardiac markers, if needed, etc. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23955, + "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": 1943, + "tgt": "What causes ringing sensation in ear?", + "src": "Patient: Hello doctor, I have experienced ringing in my right ear 3 days ago and it has not stopped since then. It is not that loud and I do not hear it when the environment is noisy. It is really bothering and stressing me out and I do not know what to do. I wanted to have this checked but it is just so hard to get an appointment and go out right now given the covid situation. Please help me understand this. Thank you. Doctor: Hi. Taking your age into account I would like to recommend you not to use earphones or listen to very loud music, avoid caffeinated drinks like tea, coffee, alcohol, if any. Sleep completely, do not take stress. Please mention which type of sound you are perceiving, tone type or noise type. Use resound relief app (android/iOS) on speaker with moderate sound during silence, because the inside sound must be bothering you during silence and sleep. This is called tinnitus that you are suffering from, most probably with these practice it will go away, please after this situation goes normal go for puretone audiometry test and immitance audiometry test along with otoscopy." + }, + { + "id": 22787, + "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": 20721, + "tgt": "What can be done for itchy scars and acne-prone oily skin?", + "src": "Patient: Hello doctor, I have itching, red scars, acne-prone, oily skin. Please help. Doctor: Hello. I have read your query. I have seen the attached photograph also (attachment removed to protect patient identity). As per details, it seems that you are having grade 2 to 3 acne. In such cases, I prefer to advise topical Clindamycin in the morning and Benzoyl peroxide alternatively with topical Retinoids in the night time. Oral antibiotics are also given as Azithromycin, Doxycycline, Minocycline. Avoid hair oil and oily food in the diet." + }, + { + "id": 28886, + "tgt": "I am 12 weeks pregnant and feeling dizzy with racing heart rate. Why?", + "src": "Patient: Hi doctor,I am 24 years old. It is my very first pregnancy, and I am about 12 weeks pregnant. I have been experiencing extreme dizzy spells, rapid heart rate, and the chills. I will be completely fine, and suddenly, I feel dizzy with racing heart rate. My face gets cold, and I will\u00a0take slow breathe in and out to keep myself calm. I hate this feeling that comes and goes or sometimes feel continuous. I have a loss of appetite, and I struggle to drink water I need throughout the day. I wish I feel better, but\u00a0this has been nonstop for the last four days. I have been laying down a lot because it keeps me from falling or freaking out. I am doing my best to stay positive and not worry. I honestly wish there was some solution or way to feel better. But, nothing seems to be working. I even drank 1 liter of Pedialyte yesterday and felt better momentarily. Doctor: Hi. Let me start on a reassuring note that you and your baby are fine. For the initial 12 weeks of pregnancy, there is no placenta (the connection between mother and baby). The embryo is just lying deep within the layers of the uterus. At 12 weeks, the first trophoblastic wave occurs. It is a wave of cells opening up the small vessels so that the narrow blood vessels which existed till then will be converted to wide loose vessels. So, the net effect is that blood flow to the baby is significantly increased. It is a welcome sign, and it means you will not develop hypertension in pregnancy. Had the vessels not given way so, your body will have to force more blood to keep the baby's growth adequate, which can be done only by increasing BP. You will have a similar wave at 20 weeks. These two phases have effects like BP falls, a sudden improvement in baby blood volume and growth. So, your blood sugar reduces. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15680, + "tgt": "What has to be done for stage 2 glioblastoma?", + "src": "Patient: Hello doctor, One of my very close relatives has been diagnosed with glioblastoma, stage 2. We need immediate consultation and guidance. Doctor: Hello. According to the MRI report, it looks like high-grade glioma and more likely glioblastoma. Just to correct you, glioblastoma is a grade 4 (highest grade) tumor and it is synonymous with brain cancer. But it needs to be operated. Then only we will get a definite diagnosis and after debulking the tumor, he can undergo radiotherapy and chemotherapy if it is a glioblastoma only. Overall prognosis is bad if it is glioblastoma. Surgery with chemo or radiotherapy will only prolong survival by a few months but definite diagnosis can only be done after surgery and biopsy of the tumor." + }, + { + "id": 24076, + "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": 11687, + "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": 6849, + "tgt": "I am having multiple clots in leg. Will it migrate to the heart and cause a heart attack?", + "src": "Patient: Hello doctor, I am a heart patient, and I am on Plavix and Aspirin. I have multiple blockages in my legs. Is it possible for a clot to form in legs, and then it moves to the heart, causing a heart attack when I soak my legs in hot water to relieve my restless leg syndrome? Similarly, can multiple clots in the heart be a cause for my restless leg syndrome that occurs in my right leg alone? Doctor: Hello. I assume that you have blockages in arteries, and if blockages are in arteries, then they will not migrate to the heart. Instead, there will be a pain while walking, and if it is severe, it may lead to gangrene. If blockages are in veins, then they will migrate to the heart and lungs. As you have multiple clots, then we can suspect that there might be some damage to your nerves, causing the symptoms. I suggest taking a tablet, Neurobion (vitamin B complex supplements), and Pregabalin." + }, + { + "id": 28523, + "tgt": "I am 26 years old, female who has PTSD, bipolar and major depression. I also suffer from migraines, anxiety, and insomnia", + "src": "Patient: Hello doctor, I am 26 years old, female who has PTSD, bipolar and major depression. I also suffer from migraines, anxiety and insomnia. I am on topamax 100 mg twice a day, clonapin 0.5 thrice a day as needed, Paxil 10 mg in the morning (recently started) also for the insomnia I was started on elavil 25 mg on friday but I have not taken it yet because I noticed one of the side effects could cause QT prolongation which I do not know, but I am wondering if it is the same or very similar to the side effect of seroquel (arrthythmia as a side effect). I used to take seroquel for bipolar and insomnia, it worked well for about 6 months but then I started having instances every night where I went extremely tachycardic, could not breathe, turned blue and had to be rushed to the hospital. They were calling it a panic attack for several days before they figured out if it was the seroquel and my EKG was abnormal and it was too dangerous for me to be on and I could have died. Anyhow, I do not respond to any of the sleeping pills (the benzo ones) nor the highly sedating ones like the antipsychotics or even trazadone or benadryl or vistoryl or such. I am working on getting a sleep study, so this is my last option till then. Also, I cannot see my doctor until Thursday, and I feel like part of my insomnia is because my body has become dependent on the clonapin. I am trying not to take it at all, but my chest is starting to hurt, I am getting more anxiety and more headaches. How can I start to taper down before Thursday? What is the best way? I need to get better sleep. I am starting to really suffer. It has been 3 weeks of about 10 hours\u00a0of sleep\u00a0each week. Also, could Paxil give me more headaches? Sorry about all the questions. I notice I have more headaches now and the topamax was recently increased to 200/day. I feel so angry, I just need a break. Please help me with some answers if you could. Doctor: Hi. I read your concerns. I feel that Topamax 200mg which works well for migraine has a little role in bipolar disorders. Studies show that monotherapy with topamax is not recommended but instead of taking topamax, you can try sodium valproate (Depakote xr 750mg at night) which will be helpful to you in both your migraine and bipolarity. Divalpoex sodium (depakote) has sedative property as a side effect. So it will be helpful to you in your insomnia. If you take 750 mg of Dep. at night then you can reduce the night dosage of clonapin and gradually increase the dosage of depakote to 1000 mg and reduce the clonapin. You can also take 500mg in morning and 1000mg at night. And I feel that if you are feeling depressed then only you should take paxil, otherwise there is no role of it in bipolar disorder. If your migraine is severe then you should take propranolol 10mg twice a day. But you have to take care about your heart, because you complained about side effects of seroquel. Propranolol is beta blocker, It is used in prophylaxis for migraine. And I feel that if you use it you finally will get relief from your migraine. I do not know whether you have ever tried non benzos like zolpidem, zopiclone, eszopiclone. You should try that also for your sleep. I feel that, these will satisfy some of your concerns. You can book for an online therapy at icliniq for further consultation with me either via video session or on phone." + }, + { + "id": 20809, + "tgt": "How can I manage soreness and darkness of skin due to jock itch?", + "src": "Patient: Hi doctor, I had jock itch one year back and it got cured and then the skin started turning black and rough and it is spreading slowly. I used Onabet cream but to cure. Scrotum and upper thighs are rough and sore and dark. Please advise me to get cured. Doctor: Hello. This is again a fungal infection. You should use Terbinafine ointment twice a day for 2 to 3 weeks. Apply well to the involved area. Also, have Fluconazole 150 mg bedtime once and repeat after one week, if symptoms persist." + }, + { + "id": 9318, + "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": 1509, + "tgt": "Will positive Toxoplasma IgG result in miscarriage?", + "src": "Patient: Hello doctor, My wife has a history of two earlier miscarriages which occurred during the first trimester in the first month. We consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was IgG 82. She received Rovamycin Forte for three months along with other supplements like Folinext and Ecospirin for six months. Now my wife is pregnant. Again we visited the doctor and she advised to perform toxoplasma IgG which again came back positive with IgG 78. Her first day of the last menses was 27th feburary. She has been receiving Rovamycin Forte once again and Duphaston, Folxt, Ecospirin and Doxinate. But now the problem is, she is unwell and been vomiting nearly every day during evening hours. There is a little brown discharge seen. In this situation, I am very much concerned about what will happen next? Will it be a miscarriage for the third time? Please help. Doctor: Hello. We consider toxoplasmosis when IgM are positive, it meas the person has an active infection. When IgG are positive, it means you are protected from future infection. Your wife is in her first week of pregnancy, so spotting is a common finding due to implantation. Vomiting is also common until 12 weeks. She does not have to worry about it. She can try small frequent meals, baked bread, etc. I recommend an ultrasound at five or six weeks to evaluate the well-being of pregnancy. The symptoms that you prescribe does not mean that it will be a future miscarriage. It is common in every pregnancy. If this pregnancy terminate spontaneously, then after that you have to perform several examinations. But I recommend you to be positive. Ultrasound scan." + }, + { + "id": 27012, + "tgt": "Three weeks after a concussion, I still get headaches. Is it something bad?", + "src": "Patient: Hi doctor, I am a 27 year old female. I am currently taking Protonix for GERD caused by a low-functioning gallbladder that needs surgery for removal. However, three weeks ago, I had sustained a concussion. This is my second concussion. My first one came two years ago when I had a small brain hemorrhage from a car accident. I was able to avoid surgery because the bleed was found late and had mostly dissolved itself by the time it was discovered, and is completely gone now. I have two questions for you. What am I to expect with this second concussion? I am very nervous it is going to end up being a hemorrhage again or something worse because it is three weeks later, and I am still getting headaches. There is some pressure in my ears, and just waves of pain throughout part of my head ever so often. Also, my second question is regarding me needing a clearance from my neurologist to have the gallbladder surgery under general anesthesia. He claims he cannot clear me for four weeks. Is this true? When will I be able to get this surgery done safely? I mean, this is causing me a lot of pain and problems such as eating issues. I barely can eat and I know none of this is helping my physical condition or my anxiety. The anxiety has me through the roof. I get knots in my stomach that I do not know are from my gallbladder or my nerves. They cause me to almost feel faint. Please do help. Doctor: Hello. I am sorry for the accident and the health problem you are suffering from. Hope I have answered all your questions. Please feel free to ask for further information. Wish you all the best. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 24216, + "tgt": "Is irritable bowel syndrome related to HIV?", + "src": "Patient: Hello doctor, I had unprotected sex with a sex worker 16 years ago. Two years after that I got sick with IBS and loss of appetite. I got tested for HIV by ELISA, combo test, tri-dot, RNA PCR all from different labs. My wife also got HIV tests done. I am very depressed. My question is HIV is not showing in my blood. What do I do? Doctor: Hello. Firstly, the tests which you had undergone for HIV diagnosis are highly sensitive and specific and gives accurate results. It is really good that your test result is negative, which had been done under varying time periods. The p24 combo is a highly sensitive and specific test and can detect both antigen and antibodies against HIV. If you have had no further exposure other than the one you mentioned, you do not require any more tests for HIV. You are HIV negative.The test will be negative, as you are not infected with HIV. No other test is required. Relax. Hope your query is answered, but if you have any questions please do not hesitate to ask or call anytime. You can also book an appointment with me. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6558, + "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": 26344, + "tgt": "What can be the reason for extreme lethargy in an Addison's disease patient?", + "src": "Patient: Hello doctor, I have Addison's disease and I am taking Hydrocortisone twice daily and Fludrocortisone one daily. I am taking vitamin D supplement.\u00a0The last endocrinologist appointment showed higher levels of antibodies in the\u00a0thyroid;\u00a0however, the thyroid levels remain good and the scan reveals a\u00a0normal appearance of the thyroid.\u00a0Over the last week, I have felt extremely lethargic and experience dizzy spells along with brain fog, which makes me feel very anxious. Doubling up my medication when in need has not\u00a0always had the normal effect as normally would in terms of improving the symptoms.\u00a0I had a\u00a0blood test taken recently, but I do not think they tested my antibodies. All other levels were normal although my vitamin D level was low. I just want to find out what is causing me to feel this way as every day is a struggle at the moment and nobody can tell me why. Doctor: Hello. For more information consult an\u00a0endocrinologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 88, + "tgt": "How will Melatonin interact with the effect of birth control pills?", + "src": "Patient: Hello doctor, I have read that Melatonin could possibly lessen the effectiveness of birth control pills. My understanding is that there is little to no peer-reviewed scientific studies to support this claim, but I am still worried, as I am sexually active and take 3 mg of Melatonin each night (and I am on the progestin-only pill). I am looking for a doctor to weigh in on this issue. Doctor: Hello. I understand your concern here and you are right that there are not many or in fact hardly any articles or peer-reviewed papers on Melatonin and birth control interactions. But I would like to keep it simple for you to understand. Melatonin is produced during the night to ease the sleep pattern in humans post-sunset with maximum levels at 9 PM and by morning 9 AM, the levels found are almost negligible. So, it is produced by the pineal gland in the dark cycle and metabolized at night by the liver. Now liver also is known to metabolize the birth control pills be it progesterone-only or combinations pills. Hence, if taken together then there is a likelihood of slower metabolism of either compound and thereby prolonged residual effect may be seen on concurrent use of pills and Melatonin together. The effects could be prolonged sleepiness and also Melatonin induced increased progesterone levels in the body causing bloating and noticeable progestogenic side effects. However, the efficacy or effectiveness of the pill is not compromised but metabolism is delayed as Melatonin competes with the pill with the liver. So ideally the better way would be to switch the POP in the morning hours and the Melatonin pill at night 12 hours apart. This would prevent any interference with either action on the body or cause any interaction." + }, + { + "id": 9403, + "tgt": "Will having allergy to Fraxinud make one allergic to olive trees too?", + "src": "Patient: Hello doctor, Would you please explain if this means I have allergy from olive trees (trees that produces olives), if I have allergies from (ash- fraxinud excel) or are they different? Doctor: Hello. Fraxinus excel is the common ash plant. It belongs to the olive family. Plants in same family have shared antigens. If you are sensitive to one plant in the family, you are likely to be sensitive to others also. Hence, the result means that you are sensitive to olive as well in addition to fraxinus excel plant. Being sensitive does not mean you are allergic. Sensitivity does not always result in allergy. Sensitivity means you have circulating antibodies against that particular allergen. However, it may or may not result in allergy to that particular antigen. Only when you are exposed to it in a particular format and quantity, you will develop allergy to it. Skin prick test only measures sensitivity to specific allergens. We need to infer the results based on your symptoms. What do you suffer from? Was the test done to check for aeroallergens or food allergens? The two are different with different symptoms. Kindly elaborate your problems to us." + }, + { + "id": 25742, + "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": 20667, + "tgt": "Can new combination of drugs rebound the virus in HIV?", + "src": "Patient: Hello doctor, After 21 months since my HIV diagnosis and have been undetectable for 15 of those months, two months back I was switched from the effective Truvada or Tivicay regimen to Triumeq. The sole explanation was that STR was more convenient. I am yet to do labs with Triumeq, but I have three concerns at this point: 1. Was there any possibility of a viral rebound or a significant blip, 5 to 6 weeks into Triumeq use, due to a new combination of drugs? (I have 100 % adherence and take medicines always at the same time, +/- 2 hours) 2. Due to some intensive driving trips, on a few days in the last two months while already on Triumeq, I had a can or two of energy drink shortly (certainly less than two hours) after taking my medicines and without realizing it contained some magnesium (about 7 mg per can). Is this a significant enough amount to interfere with DTG absorption and thus efficacy? (The Triumeq guide instructs avoiding calcium or magnesium-containing antacids, but their quantities usually are much higher. In my case, this was less than in a medium size banana fruit). 3. While maintaining my UD status, how risky to my negative partner was the following episode during a sexual intercourse with me being in the receptive role? He briefly inserted his penis rather deep into my rectum without condom and instantly had a tear at the top of the penis where it connects with foreskin. He pulled out right away, but his wound was already bleeding rather profusely. Was he at high risk of HIV infection, despite my UD status? Doctor: Hi. 1. It is not at all advised to substitute regimen with another drug on your own choice based on convenience. The reason is group resistance. The substitute you made are used in vice versa condition, that is used in case of failure to switch to second-line medication. 2. Dolutegravir has interaction with antacids which contain calcium and magnesium salts and these interfere with absorption, but nothing harm in occasional use, as drug remains above therapeutic levels for more than 5 to 7 days. 3. Anal activity has a significantly high risk, as there will be no active defense cells and there is increased chances of mucosal tears which increases chances of HIV transmission. So, he is at risk of transmission." + }, + { + "id": 24748, + "tgt": "I got my periods after sex. Should I take an I-pill now?", + "src": "Patient: Hello doctor,I had sex with my fiance last week but with precaution. Two days later, I got my periods. Is there any chance of getting pregnant? Also, please suggest can I take I-pill now as it is just 72 hours post-sex? Doctor: Hello. If your due periods have come on time then there are no chances of getting pregnant. So, there is no need for I-pill. Basically, with a regular menstrual cycle, your unsafe period starts from day-8 to day-18 of your cycle. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8865, + "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": 20629, + "tgt": "What is the reason for repeated mouth ulcer in a child?", + "src": "Patient: Hi doctor, My son is 4 years 9 months old. He is a healthy kid with normal weight (17 to 18 kg). But, he often gets a mouth ulcer. It is quite often like once in two months mainly in his buccal mucosa and inner corner of the lip which touches the primary canine. This hurts him and so he avoids food. I used to apply Dentogel on his ulcers. My question is, what is the reason for this repeated mouth ulcer? Is he deficient of any vitamin? Initially, I thought it could be a traumatic ulcer. But, it gets repeated once in two months. Sometimes, he gets three or four ulcers together. I am really worried. Please suggest what to do to avoid these ulcers. Doctor: Hello. Mouth ulcers in children of this age group are mainly due to vitamin and mineral deficiency. Sometimes worm infestation is also implicated in mouth ulcers. We will need to supplement the child with proper vitamin and minerals. Also, deworming should be done. CBC (complete blood count). 1.Syrup A to Z (multivitamin) 5 ml once daily for one month. 2.Tablet Limcee (chewable) (Vitamin C) one tablet daily for 15 days. 3.Syrup Bandy plus (Albendazole, Ivermectin) 10 ml single stat dose. Give home based nutritious diet. Avoid refined marketed products like the biscuit, chips, chocolates, cakes, etc." + }, + { + "id": 14392, + "tgt": "I have sharpness in tooth after composite restoration bonding. Please help", + "src": "Patient: Hello doctor, I am not satisfied with dental bonding done on the front left tooth. Enamel was removed to make room for the composite resin and the enamel is now too thin and feels sharp to the tongue's touch because of this. Shape and feel is not consistent with the natural front right tooth. Is there any way to fix this? Want to be as conservative as possible to avoid further damage. Doctor: Hi. According to your query, I believe it will be easy to solve that problem you have, just a little bit of enamel sharpness or roughness can usually come from a previous bonded composite filling done especially at anterior teeth. So at that time, you should go to a cosmetic dentist or expert. He will do for you abrasive smoothness by composite finishing burs to get the same consistency and then you will feel comfortable or he will go for changing the old filling to get a new one. Do not be afraid about further damage of your teeth. A doctor can do what is must to do for you to restore the aesthetics and function of your tooth. It would be good if you could attach an image of your tooth here to get further details of your question." + }, + { + "id": 2721, + "tgt": "DRVVT test shows 52. 2 seconds. Do I need further testing for clotting?", + "src": "Patient: Hello doctor, I was recently diagnosed with a blood clot in my left jugular vein and put on Eliquis (10 mg twice daily for a week, now 5 mg twice daily). I was also recently diagnosed with some sort of autoimmune disorder, but it is not clear yet which one. After being diagnosed with the blood clot, my rheumatologist performed a lupus anticoagulant panel to see if I am taking the correct blood thinners. Everything came back normal except the dRVVT which was prolonged with 52.2 seconds. The dRVVT mix was 45 seconds and I was told that it is negative. I have read a lot about dRVVT testing online now and I am concerned that I am still LA positive because the mix can show false negatives. I have also read that converting the results into a ratio is preferred. Also, my aPTT was slightly elevated (37seconds). I have no risk factors for blood clots (normal weight, no hormonal birth control). What is your opinion? Do I need further testing? How likely is it that I should be taking different blood thinners? Doctor: Hi. If you have antiphospholipid antibody syndrome(APS) then your anti-cardiolipin antibody or lupus anticoagulant should be positive. Additionally in APS, the raised RVT (renal vein thrombosis) is not corrected by adding normal plasma. So lupus or APS chance seems to be less in your case. I suggest you investigate with full coagulation profile workup including coagulation factor assay and factor V estimation as well. You have been given Apixiban which is a very good drug in thrombosis patients. Kindly continue its intake as suggested by your doctor. Follow your hematologist advise and discuss all these." + }, + { + "id": 20907, + "tgt": "I am suffering from acidity and uneasiness when I take spicy food. Please help", + "src": "Patient: Hello doctor, I eat out a lot and take junk food very frequently. I am suffering from acidity now. If I take spicy food, I feel uneasiness in my stomach. I am a 25 year old male. Please help. Doctor: Hi. Please consider the following suggestions to get rid of your acidity: If you have further questions consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 5971, + "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": 14137, + "tgt": "I have done hemoglobin variant analysis. Please let me know what does it indicate", + "src": "Patient: Hello doctor, I am a 38 year old male. My height is 5'3\", and I weigh 69 kg. Recently, I had a health checkup. Please check the attached reports and advise me if any treatment is required. The hemoglobin variant analysis test is showing hemoglobin A 68.6 and hemoglobin S 29.6. Please let me know what does this indicate. Doctor: Hi. Based on your query and attached reports, my opinion is as follows: (attachment removed to protect patient identity) Increased HbS with reduced HbA at this age suggests possible sickle cell trait disease. Most important evaluation is the possibility of the transfer of this to the next generation, to your kids. Hence, evaluation is necessary. As a complete workup has been done, no anomaly is detected and there is no organ damage at present. Nutritional anemia is additionally present. Iron supplements, vitamin B12, and folic acid supplements are necessary. Anemia correction is necessary. If there are any complications in future, hydroxyurea therapy may need to be started. Vaccination against Streptococcus pneumoniae, Haemophilus influenzae, and hepatitis B is necessary." + }, + { + "id": 6234, + "tgt": "What are the white spots on the side of my mouth?", + "src": "Patient: Hello doctor, I have these white spots on the side of my mouth. What can this be and how do I treat it? I just found out this week I have vitiligo in my groin area for which the doctor just gave me Protopic and Triamcinolone. Would I be able to use this on the side of my mouth? Doctor: Hi. Well, if you have confirmed vitiligo in your groin area (assuming it has been seen and confirmed by a dermatologist), there is a high likelihood that your light colored lesions over the face are representing early stage of vitiligo, called \"pre-vitiligo\" to be able to diagnose your condition better, I request you to provide me with the following details: 1. What was the time gap between noticing the white patch over the groins and the patches on the face? 2. What is the level of pigmentation of the facial patches, compared to the groin patches? It would be ideal if you send us a nicely focussed picture of groin as well as facial patch or opt for a video consultation where I could see your lesions in real time and be able to diagnose it with much more confidence. 3. Are the facial patches itchy or become red sometimes? 4. Do you suffer from dandruff - moderate or excessive? 5. Do you have history of atopy which means tendency of developing skin and respiratory allergies to dust, breathing problems or frank asthma, recurring cold and cough, sinusitis, etc.? The above questions are relevant for the following reasons: If the facial patches are only slightly light-colored, they may be due to either pityriasis alba (a benign condition often seen in people with atopy that is tendency of allergies) or due to seborrheic dermatitis (dandruff induced) which may or may not be itchy. Both these conditions will respond to application of Protopic ointment alone - used twice a day for 2 to 3 weeks. If it is confirmed to be previtiligo, then these facial patches may evolve into full blown vitiligo patches over the next few days. In that case it is advisable to use both Triamcinolone and Protopic for the facial lesions. The protocol for face will be little different from groin. You should use Triamcinolone on face only once a day and that too for 2 to 3 weeks at most, as it is a Steroidal cream and may cause thinning of facial skin on prolonged use. Protopic may need to be continued over your face as well as groin for at least three months. Additionally, expose your light patches to sun-light, 5 minutes everyday. Sun-exposure expedited repigmentation of vitiligo lesions." + }, + { + "id": 19553, + "tgt": "What can be done to reduce pain during urination in a child?", + "src": "Patient: Hello doctor, My son is crying at the end of urination from yesterday afternoon. The doctor prescribed Ziminic dry syrup 50 mg/5 ml 7.5 ml two times a day. For pain, Cyclopam 3 ml syrup has been given two times till now. He is afraid to pass urine saying it will pain. When he passes urine towards the end, he is crying with pain and stops the urination suddenly. And he goes to pass urine again. The same thing continues again. What can be done to reduce pain? Urine test result shows pus cells: plenty, epithelial cells: occasional, RBC: 6 to 8, bacteria: +, Alb: trace. Doctor: Hello. It seems to be urinary tract infection from the case history provided by you. You are already being treated with antibiotics and painkiller. You may also give syrup Crocin (Paracetamol) DS 5 ml SOS for pain relief. Urinary tract infection takes time on antibiotics to respond. If the pain is severe, the child may be admitted to start IV antibiotics for early response. Urinary tract Infection. CBC, urine routine microscopy and culture, ultrasound KUB. UTI. UTI. Continue oral antibiotics and painkiller, increase water intake. If the pain is severe and there is difficulty in urination, the child must be admitted for IV antibiotics and further investigating other causes. Drink more water." + }, + { + "id": 28327, + "tgt": "Should I see a doctor for a constant headache?", + "src": "Patient: Hello doctor, I am 26 years old male, for the last month and a half, I feel a pressure on the back of my head. It sometimes causes mild pain in different parts of my head, like the sides of my head. It makes me feel hot sometimes as well. I also have some neck pain, but it is not much. This headache is not very painful, but it is just an annoying pressure that has not gone away in six weeks. When I wake up in the morning, I do not feel anything, and then around 11 AM, the pressure is, there, and it will get worse until I lay down in the evening. And it pains a lot at night. I think about it all the time, so I am sure that does not help with the feeling. I think that I have a brain tumor. Should I see a doctor? I do not want to waste my time and have them say do this or try this without doing an MRI. I have only taken Ibuprofen a few times to help with the pain, and that seems to work. Doctor: Hello. I would like to know some details about your problem.\u00a0 Revert with investigations mentioned above and response to this medication. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23573, + "tgt": "I cannot understand my semen analysis report. Please explain", + "src": "Patient: Hello doctor,The semen analysis report is in my hand, but I cannot understand it.Liquefaction time- 30 minutes.Duration of abstinence- four days.Appearance- creamy white.Volume 4.0 ml.Ph 8Fructose- Present.Motility- 100.Spermatozoa- rapid 20%, slow 10%, non-progressive motility 5%, immotile 83%.Vitality count- 15 million.Morphology- normal 20%, abnormal 80%. Doctor: Hello. I read your query and understand your concerns about the semen analysis report. As per the available semen analysis report, you have very low sperm count and most of the available sperms are defective. As you can see that almost 80 % of your sperms are defective and of no use. In addition, the count is just 15 million per ml, which is again very low. Considering this report, there is a low chance of natural pregnancy to your partner as the sperms are low and available ones are defective. I request you to see your doctor as you need treatment for improvement of the health of your sperms. I hope this helps you. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 5501, + "tgt": "Please help to overcome intrusive, blasphemous thoughts after porn addiction withdrawal", + "src": "Patient: Hello doctor, I have intrusive thoughts, blasphemous thoughts that keeps returning to my head. In the past I had porn addiction, and the day I forced myself to stop, I began having those thoughts. I already had OCD symptoms when younger but more subtle. I suspect I have some low serotonine so I am taking St John\u2019s Wort and some Magnesium which are helping in my porn withdrawal and thoughts. I had these thoughts for around 2 to 3 years and sometimes I do compulsions especially digital compulsions. My work is mainly on the computer, so even deleting or renaming files create some thoughts in my head. I hear about exposure prevention therapy and I was reading that we can record the thoughts and listen to them till they reduce the anxiety, but I cannot in record the thoughts which are blasphemous. What do you think is the best therapy in my case? As I already have anxiety issues which led me to go to the emergency room (because of panic attacks, probably because of my past addiction post acute withdrawal symptoms), do you think those thoughts would go away along with the anxiety itself? Or should I treat them separately? Doctor: Hi. I have gone through your query with interest. As you had OCD in childhood and anxiety disorder and taking St John's wort, Omega 3 , Magnesium and Vitamins (attachment removed to protect patient identity). You need to start SSRI group of drug (Fluvoxamine or Fluoxetine or Escitalpram or Sertraline) as St John's wort is not sufficient to manage your all the symptoms. SSRI will take care of OCD and panic attacks and anxiety disorder. The therapy for OCD or blasphemous thoughts are exposure and response prevention and / or cognitive therapy. You need to visit your therapist to do these therapy as you alone might not be able to do these. You need not to take different drug for OCD, anxiety, panic attacks. Only SSRI group of drug will help you for these. But you can do different therapy for your problem like for OCD and anxiety." + }, + { + "id": 10835, + "tgt": "Does the CBC report of elevated WBC and platelets mean leukemia?", + "src": "Patient: Hello doctor, About a month ago, I did a CBC for a regular check up. It came back as elevated WBC and platelets. It was 16.3. Neutrophils absolute 11.8, lymph\u2019s absolute 3.5, platelets 402. Everything else was in normal range. I have had it done twice and it stayed about the same. I recently did an abdominal CT scan and it was normal. My doctor is going to do another CBC and if it is still elevated, she is going to send me to a specialist. I am extremely upset and worried. I have no symptoms. Does this mean I more than likely to have leukemia? I am a single mother and I am terrified. Could I please get a response? Doctor: Hello. Your platelet count is within normal limit. So do not worry about that. Your total count and neutrophils count is high. But your total count is not high enough to be labelled as leukemia. Usually such high count up to 20000 can be due to infection or any inflammation. So in such case, antibiotic course can be prescribed and repeated CBC after 10 days. However, if you can attach your reports then further comment can be given. Do not directly think about leukemia.In leukemia, total count is very high up to 1 lakh." + }, + { + "id": 24158, + "tgt": "What can be done for fever and hoarseness of voice in 60 year old female?", + "src": "Patient: Hello doctor,This query is regarding my 60-year-old mother. She has fever and hoarseness of voice since three days. We did her CBC. Kindly suggest next steps. Doctor: Hi. Since you have not mentioned anything about any other symptoms or other associated illnesses let me assume there is nothing like that for her. Here your mother's CBC (complete blood count) is fine (attachment removed to protect patient identity). Nothing abnormal in that. This may be a mild throat infection or upper respiratory tract infection. So, I would suggest an oral antibiotic, maybe tablet Cefixime 200 mg morning and afternoon for three days, with tablet Rantac (Ranitidine) twice daily, Paracetamol SOS, and tablet Levocet (Levocetirizine dihydrochloride) 5 mg twice daily for three days.Also, gargle with Betadine (Povidone-iodine) solution twice a day advised with rest and fluids. This will be enough. I will review as necessary. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22636, + "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": 23305, + "tgt": "What can be done for epiretinal membrane in the eye?", + "src": "Patient: Hello doctor, My mother is a patient of macular degeneration since last four years. She was being given eye injections by the ophthalmologist in the left eye eight times and six times in the right eye, but the new doctor stopped giving her injections in the left eye for the past six months, now the doctor has told me that my mom is suffering from epiretinal membrane in the left eye and that if they perform the surgery to remove the layer, the vision will not become any better than one percent. Whose mistake is this? Is it true that stopping the injections have made her condition worse or the surgery is too risky? She is driving with one good eye and one bad which is itself a big risk, please advise on what steps should have been taken or should be taken now for her cure? Her right eye is 6/9 but she cannot even see two fingers from a distance of one meter with the left eye. Kindly let me know what I can do for her? She takes Penicillin only after injections. Doctor: Hello. Did you ask your doctor the reason for stopping injection? It must be because the lesion has minimal or no fluid or not showing up any sign of improvement even with injections or healing must have already occurred. In such case giving the injection is a personal choice. However much improvement is not expected with or without injections. Now epiretinal membrane may develop due to many reasons. An uncontrolled systemic condition is one of the reason. But this membrane development will not result in such low vision. That is why much improvement will not occur with any surgery. Her vision must have been around this only even without a membrane. It is no one's fault. It is the disease course you need to understand. So need not worry about the left eye. Take care of the right eye. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1815, + "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": 10735, + "tgt": "Can PCOS cause vaginal dryness?", + "src": "Patient: Hello doctor, I am a 30 year old female. I have history of PCOS and hypothyroid from last year. I also have a history of swollen pituitary gland, but it is normal now. I am only taking a 100 mcg pill for thyroid. My problem is that whenever I indulge in sex with my boyfriend, we are able to have intercourse very rarely as I am unable to produce sufficient lubrication in my vagina for intercourse. I get excited when we spend a lot of time on foreplay and I am not scared of intercourse. I actually love to have intercourse with him, but mostly I do not feel myself sufficiently wet to have intercourse and feel pain while having intercourse. What should I do? Doctor: Hi. Although there are multiple reasons for vaginal dryness, the most common among them is deficiency of estrogen, a female hormone. This is possible in your case due to presence of polycystic ovary syndrome (PCOS) which alters the hormonal profile. I will recommend two things which may help you. Firstly, use the topical Estrogen. It is available in the form of gel, ring or cream. As per your convenience you can use either cream or gel and the use of ring requires assistance of doctor. The second thing is stress management. Stress is one of the common reasons for causing decreased vaginal lubrication. Although, there is long list of do's and donot's; principally speaking healthy diet, regular exercise, avoidance of substance abuse, plenty of fluid intake helps most individuals. For further clarifications consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4762, + "tgt": "What are the expected skin changes seen through aging?", + "src": "Patient: Hello doctor, I would like to know how does our skin change through the decades? How our skin changes in our 20s, 30s, 40s, and beyond? Also, looking for tips on how to care for our skin. What products we should be used for certain problems? When should we start acid-toning? How about retinol products? Doctor: Hi. Our skin undergoes aging process continuously. There are two types of aging going on in an individual. Intrinsic aging that is inherited (in our genes) and the other is extrinsic aging (that is due to environmental factors most importantly the sunlight). With aging, the following things happen across the decades: 1. Collagen in our skin becomes less resulting in wrinkles. The process of degeneration of collagen gets aggravated by the exposure to sunlight due to the formation of reactive oxygen species. 2. Natural moisturizing factor and hydration of skin get low and skin becomes more dry and scaly. 3. Hair follicles in our skin and sebaceous glands also become less with time resulting in few hairs on the body. 4. Elastic tissue becomes less in the skin resulting in crows feet, fine lines, and sagging of skin. 5. Sunlight exposure and extrinsic aging lead to melanin synthesis and freckles, lentigines formation on exposed areas. Skincare: Protection from sunlight is advised. A good sunblock of SPF 60 (sun protection factor) should be used. Vitamin C cream can be used. Plenty of water should be taken. Consuming fresh fruits and vegetables with antioxidant properties are very important. Acid toning can be started around 30 years of age when skin requires rejuvenation. Topical retinoids are very important in skin rejuvenation. They decrease wrinkles, they increase collagen synthesis and give glow and decrease fine lines from the skin." + }, + { + "id": 22733, + "tgt": "Is there a possibility of being pregnant despite having one cycle of normal periods?", + "src": "Patient: Hello doctor, My last periods were 12 days late. I did yoga, exercise and all and then got it after 12 days of my usual date. This has happened for the first time. I have never experienced any issue with my periods. Now the following month, again my periods are delayed by three days. I have been having abdominal cramps and tenderness. Still no signs of menses. Please help. Is there a possibility of being pregnant despite having one cycle of normal periods? Doctor: Hello. Sometimes, stress, excessive or newly started exercise, overload of work, anxiety, sleeping and eating wrong habits also cause a delay in periods. I suggest you do serum beta hCG test. That can give you a clear picture of the pregnancy status as you are feeling cramps and tenderness and overdue for only three days. Urine pregnancy test might create confusion and at this stage. Ultrasound also could not detect very clearly unless expertise hands. Repeating second-time beta hCG after 48 hours will clear. Either the hormone will increase normally for healthy pregnancy or have suboptimal increase and need intervention. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16818, + "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": 5138, + "tgt": "Why do I have acute pain in my whole body?", + "src": "Patient: Hi doctor, I am a 42 year old male. Two months back, one fine day, when I woke up I had acute pain in my whole body. I was unable to stand up, walk or pull anything. I had pain in and around the knees, elbow and wrist.\u00a0I consulted a general physician and got uric acid test done. My uric acid was 8.3 mg/dL. My physician advised me to take certain medicine, but it did not give any relief even after 15 days and then physician advised me to consult an orthopedic doctor.\u00a0Orthopedic doctor said me that the pain may be due to winter season and advised me to take certain medicine, but it did not give any relief even after 15 days. Then, I consulted a neurologist who advised me to take many tests (Hb, TC, DC, ESR, RA factor, platelet count, uric acid and LTF) and an MRI test (MRI of lumbosacral spine). In these tests everything was fine, except ESR, which was 70 mm in the first hour. Even my uric acid was under control. Again his medication did not give any result and my ankle started swelling. Then my neurologist suggested me to consult a rheumatologist. 12 days back, I consulted a rheumatologist who diagnosed my problem as acute polyarthritis and advised the following medicines.\u00a0Injection Folitrax (once in a week), Zofer (one pill before injection), Folvite 5 mg (two tablets on weekends), Pantocid DSR (one pill daily) and Zycolchin (one pill daily). I also got the following tests done such as calcium, C-reactive protein, Anti-CCP, ANA, vitamin B12 and 25-hydroxyvitamin D.\u00a0Everything was fine except C-reactive protein (3.6 mg/dL) and 25-hydroxyvitamin D (3.87 ng/mL). A week back, doctor further added these medicines. HCQS 200 (one pill daily), Arachitol injection 6 L (only once) and Uprise D3 (one pill once in a week) and told me to continue these medicines for two months. He said that this type of disease takes at least two months to cure. However, I had no relief. Only pain killer tablet gave me relief. Please advise me whether my present treatment is right or not. Thank you. Doctor: Hi. Welcome to icliniq.com. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 29491, + "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": 29846, + "tgt": "There is some uncomfortable feeling in my right foot. Please help", + "src": "Patient: Hi doctor,On my right leg, I am unable to pull my foot back and stretch my calf. This creates an uncomfortable feeling quite often as it always feels like I need to stretch it. I am not sure if this would have anything to do with my ankle being rolled on the same leg (right) earlier in the year? However, on the same leg again, very recently the bone on the front of my foot connecting the ankle has started to feel unusual. When pointing my foot inwards the bone itself stick out a lot, which never happened before. This position is uncomfortable. Could these two things be due to spraining my ankle and stretching the insides of my foot? My ankle is unable to crack, which is annoying and my ankle and foot crunches. Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 8741, + "tgt": "My fingernails are not normal. What could it be?", + "src": "Patient: Hello doctor, There is something wrong with my right fingernails, but my left nails are fine. What to do with it? Doctor: Hello. I understand your concern but there is 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 you the appropriate diagnosis and treatment. Please send the picture of the affected area." + }, + { + "id": 18361, + "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": 12985, + "tgt": "Should I declare my medical condition to my fiance before marriage?", + "src": "Patient: Hi doctor, I am a 36 year old male. I am suffering with OCD and I stammer for past 15 years along with laziness and tiredness all the time. My appetite is not good and so my weight is approximately 53 to 55 kg only. I have changed many psychiatrists in last 15 years. I had Nexito 20 mg, Ciplar 40 mg and Lonazep 25 mg twice a day and a capsule Performax for libido under doctor supervision. Few days back I went to a physician and I told him about my issues. He prescribed me Fluoxetine 20 mg to take in the morning and Nexito 10 mg at night that is 2 SSRIs together. After which my libido was totally reduced. I am single now. So, what should I tell to my partner about my issues? First of all, should I tell or not? Because medications can be life-long and I do not like either my partner or in-laws questioning me for that after marriage. My parents and friends advised me not to tell anything now. Second thing, as I told you, in the past I was having good libido but now it become less. Earlier I used to masturbate regularly but now once in two weeks. Should I get this issue solved before marriage? I had an affair in the past. After break up, sometimes I feel like does not want to mingle with anyone. I faced a lot of negativity in my life and still not able to prepare myself completely for marriage. Please give a genuine marriage. Doctor: Hi. I have read the query, and I can understand your concern. You have OCD (obsessive-compulsive disorder) and co-morbid anxiety. The combination of Fluoxetine 20 mg and 10 mg Escitalopram (Nexito) was totally irrational. It is not advisable to take two SSRIs (Selective serotonin reuptake inhibitor) at the same time. Both drugs have the same mechanism of action so using two drugs together increase the risk of side effects only. This was the probable reason that you suffered a loss of libido. In my opinion, there is no need to tell your future partner about the issues related to libido. You can tell your future partner about issues only related to OCD. Anxiety disorders are not the contraindication for marriage. Your libido was normal, and I do not think there should be any problem in the marriage. One broken affair should not cause any hurdle in marriage. One should move away from any past. You are young and have a whole life ahead. Getting married will improve your mood and anxiety. So do not afraid of marriage. Try to look for good examples and avoid thinking about negativity. Ignore anything that causes negative effects on you. It is common in OCD patients to have ambivalence about anything. Try to remain relaxed, these thoughts will reduce with time. Continue to take medicine regularly. Spend at least an hour for exercise, and you will see improvement in mood. The negative thoughts are due to OCD symptoms and depression. With treatment, these symptoms will decrease." + }, + { + "id": 9476, + "tgt": "Can cabbage juice be used for gastritis without affecting thyroid?", + "src": "Patient: Hello doctor, I wanted to try cabbage juice for my gastritis. Should I be worried about the effects of cabbage on thyroid? Doctor: Hi. Cabbage juice is very effective in gastritis and peptic ulcer. It contains several micronutrients, phytochemical and antioxidants. Sulforaphane is an antioxidant found in cabbage juice which helps to reduce Helicobacter pylori. So you can take it. It does not affect thyroid profile." + }, + { + "id": 2660, + "tgt": "What do right bundle branch block and mild mitral regurgitation mean?", + "src": "Patient: Hello doctor, My 18-year-old son got an ECG and blood tests last month as a requirement for medical screening. He jogs every night for 30 minutes. He looks healthy. We consulted our cardiologist early this month and he requested for 2D Echo and treadmill stress test. Unfortunately, we were scheduled for a consult but now we have lockdown for Covid-19. I hope you can help me understand the condition of my son. Thank you. Doctor: Hi. Could you upload his ECG (electrocardiogram) if it has been taken and also his echo and treadmill results?" + }, + { + "id": 27794, + "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": 27228, + "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": 18124, + "tgt": "I have a hard lump in my mouth. Do I require biopsy?", + "src": "Patient: Hello doctor, I have a\u00a0hard lump in my mouth since yesterday. There is very little pain, but I am freaking out about this because I used to chew tobacco and smoke for three years but clean since last one year. So, please, can you confirm if I require a biopsy? Doctor: Hello. I understand your concern since it is a hard lump. If you are worried, you can visit your nearest dentist for a thorough checkup, before going for a\u00a0biopsy. As of now, a biopsy is not advisable as it looks like an acute case. Revert with more information to a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 8115, + "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": 2979, + "tgt": "MRI shows left mesial temporal sclerosis. Please help", + "src": "Patient: Hello doctor, My son fell down at school recently due to fits. He is 12 years old, boy .We consulted a neurologist. He adviced to take MRI. We took MRI and it disclosed as left mesial temporal sclerosis. Hence I request you to give me an advice. Doctor: Hello. I understand your concern and would explain that there is no reason to panic. There is no correlation between EEG and the MRI findings, as these MRI findings are suggestive of a birth defect in the brain which causes epilepsy seizures. His blood laboratory tests and cardiac ultrasound are unremarkable. He has had no seizures. So there is no need for medication or surgery. In my opinion this is an incidental finding, and all you can do is to repeat the MRI and EEG after a year." + }, + { + "id": 20294, + "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": 17345, + "tgt": "Are sunken eyes reversible?", + "src": "Patient: Hello doctor, I delivered my baby three years back. After a year, I started suffering from sunken eyes due to lack of sleep, high stress and improper nutrition. For the last six months, I am taking good care of myself and my eyes have slightly improved. I want to know if sunken eyes are reversible. If yes, then how long will it take? I am 31 years old. Please help. Doctor: Hi. You have explained your problem well. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3260, + "tgt": "I am on Seasonique and got some red stuff during intercourse. Should I stop this?", + "src": "Patient: Hello doctor, I am on the generic form of Seasonique and I am starting the third month. For the past two weeks when I go to the bathroom and I wipe there is this brownish stuff on the toilet paper. Then when I had sex the other night this big glob of red stuff came out of me when I got off of my partner. Is this normal? Is there a way to stop this? Doctor: Hi. I have read your complaints. Seasonique is an extended-cycle birth control pill where period occurs once every third month. The pills are active pills and remainder pills. Periods will occur when you are taking the remander pills. It seems likely that you are taking reminder pills which lead to periods. Periods could be of longer duration when on Seasonique. Breakthrough bleeding is also common in the first three months of usage. The body takes time to adapt and it could also be because of that. Please consult your doctor if bleeding is persistent or heavy. The big blob that you have mentioned, it would have been better had you mentioned the size. Nevertheless, I hope that you did not miss any dose in between. Missing dose increases the chance of pregnancy. If you did miss a dose, please get an ultrasound done to rule out if an abortion occured. You could also get your hemoglobin level tested as this could cause persistent bleeding. If your hemoglobin is low you need to get that corrected first. If all investigations are normal, and still the bleeding is causing discomfort you could stop using Seasonique and choose some other method of birth control. I hope this helps." + }, + { + "id": 18784, + "tgt": "Had an i-pill before sex. Is it necessary to take one more now?", + "src": "Patient: Hi doctor, Is it necessary to take second i-pill within the time span of 24 hours\u00a0after having sexual intercourse? I have already taken one and had sexual intercourse.\u00a0Kindly reply. Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26990, + "tgt": "My CBC shows an iron deficiency. I am really nervous. Please help", + "src": "Patient: Hello\u00a0doctor, I had an iron deficiency in the past. So, my doctor ordered a CBC.\u00a0My CBC came and it really worried me.The reports showed that I also had low B12 and Vitamin D. I have attached those reports. I lose a\u00a0lot of blood during menstruation. I am really nervous until my next CBC. Right now my physician told me to take\u00a0iron supplements and Vitamin D. I had low iron in the past and it improved with iron supplementation. Is there anything seriously wrong with the results below?\u00a0I will feel better if you answer me. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Take care. Consult a physician keeping my answer in mind. Hope your concern is solved. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 103, + "tgt": "I get throbbing headache in the morning after long working hours and late night sleep. Please help", + "src": "Patient: Hello doctor, I woke up with a throbbing headache. Previously I was alright before going to sleep which was around 2 AM. Lately, I have been sleeping very late due to working at home for long hours. Please help. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from throbbing headaches during waking up. Headache which is throbbing in nature may result from the dilation of blood vessels from increased blood flow. Headache is very common in everyone life. Strenuous work, stressful life, dehydration, anxieties, tension, common cold, allergies, low glucose sugar level, etc., can cause headaches. Throbbing headaches may result from some health conditions such as migraines. Throbbing headache occurs at the top of head, Cluster headache occurs as throbbing headache behind the eyes, Occipital neuralgia presents as throbbing headache at the back of headache, Temporal arteritis occurs as throbbing headache in temples, Hemicrania continua occurs as throbbing headache on one side. Treatment depends on the causes. You should undergo some investigations like CBC (complete blood count), x-ray PNS (paranasal sinus) can detect the cause which is responsible for your sufferings and then treat them accordingly. You can take for your headache as follows. Tablet Inderal (Propronolol) (40mg) 0+0+1 for 15 days, Naprosyn (Naproxen) (500 mg) 1+0+1 for 10 days, Prevacid (Lansoprazole) (30 mg) 1+0+0 for 15 days. In case of allergy or cold take tablet Allegra (Fexofenadine) (120 mg) 0+0+1 for 10 days. In case of any other query knock me." + }, + { + "id": 20659, + "tgt": "Is it normal to not feel orgasm during masturbation?", + "src": "Patient: Hi doctor, I am a 19-year-old girl. I have been sexually active since I was 15 and been masturbating also. I enjoy masturbation due to the feel of it. However, I have never orgasmed. I feel like I have tried everything and nothing works. If I simply play or use a toy on my clit I do not feel good but if I grind on a thing and tense up, it does but sometimes gets too intense or the feel goes. I often finish with my clit pulsating and it feels very uncomfortable. Is this normal? What can I do to solve this? Doctor: Hello. I understand what you are going through. It is seen in females orgasm through the clitoris is much higher than through vaginal penetration because clitoris (clit) has a number of nerve endings which are very much sensitive just like a penis. There is nothing abnormal if you feel better with masturbation that too with clit rubbing. The lack of proper orgasm at times through clit rubbing may be due to your stress, your apprehension about the act, and your doubts in mind if you will be able to enjoy or not. I would advise you to relax your mind before act or masturbation. Take a few deep breaths. You can also start deep breathing exercises daily. It will definitely help you. If it does not, let me know again." + }, + { + "id": 14441, + "tgt": "Can folic acid supplements be started after completing chemotherapy?", + "src": "Patient: Hello doctor, I have just finished six rounds of chemotherapy for breast cancer treatment. Before starting, I was diagnosed with folate deficiency and prescribed six months of folic acid tablets. However, my oncologist was not happy with me taking it during chemotherapy so I had to stop after one month. I have now finished chemotherapy and I still have a very sore red tongue and no texture to my tongue or roof of the mouth. I cannot use any toothpaste or eat anything with any strong flavor without an extremely sore tongue. I also have fatigue, shortness of breath, resting heart rate of 90 to 100 and also have angular cheilitis. I asked my general physician to re-test my hematinics. Now I have finished chemotherapy three weeks ago as I am keen to start taking supplements to help my body recover and because I am symptomatic of a deficiency of folate and/or B12? Bizarrely, my results say my folate is now 6, hemoglobin is pretty good at 11 but my B12 is 2000. How can this be? It was 500 when they tested me some months ago and told me I had low folate level. I was symptomatic with sore red tongue and loss of texture with tongue sensation. My GP does not understand and is going to ask my oncologist. I am not sure it is his area and I do not want to be fobbed off without it being properly investigated. Do you have any idea what might cause this? I have started FEC chemo four months back and had four rounds of Docetaxel. I was on Fragmin, Rivaroxaban until for PE prevention of recurrence but had to go on to Fragmin during chemo. Doctor: Hello. The folic acid tablets that you had taken for a month helped to raise your folate levels from 4 to 6. The high level of vitamin B12 can only be explained if you were given a single megadose of vitamin as an intramuscular injection during your chemotherapy. Folate levels of 6 are still low and are responsible for angular stomatitis and sore tongue. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5065, + "tgt": "Is there a chance to get nose or brain infection from nostril hair?", + "src": "Patient: Hello doctor, I am a 17-year-old male. For the past six to seven days I am having a cold. My mucus has turned green and also my mucus become hard and stays just at the end of my nose. Three days ago I cleared the hard mucus with my fingers and get out along with some hairs. I get some hairs out even when I use my hand kerchief to clean it. I was good until today. But today in the morning I have coved my finger with a cloth to clean it I just got only one hair out from my nose. After I came home today I washed my nose with water and got some wet mucus. When I tried to clean with cloth I got only one small hair. Later when I forcefully blew my nose I got four to five hairs along with the mucus. I fear that some hair would have gone inside during my action of cleaning. Now I am worried about brain infection, nose infection.ear infections and what not I read online. What to do now? I am totally confused and depressed. Please guide me. From then on I have not blowed, not picked nor put the cloth inside. Doctor: Hello, Welcome to icliniq.com. Our internal nose has two parts one part which is known as vestibule contains a large number of hair follicles and another part is more inside part of the nose which contains simple mucosa which produces mucus. You seem to be suffering from an acute infection of the nose known as acute rhinosinusitis which is a very common type of nose infection. You have tried cleaning your nose using fingers and cloth which lead to injury to the hair follicles in your vestibule and caused shedding of the hair which is almost normal with many patients suffering from acute rhinosinusitis. You really need not worry those hairs will grow back. For acute rhinosinusitis, you need to take antibiotics, decongestant nasal drops and antihistamine tablets. Take Taxim-O (Cefixime) 200 mg two times daily after food for five days, tablet Sinarest (Paracetamol and Chlorpheniramine maleate) three times daily for three days after food. Use Otrivin nasal drops, three times daily for three days. Relax you have a common type of nose Infection and falling of nasal hair is not really abnormal." + }, + { + "id": 5391, + "tgt": "What does my ultrasound report of suspected lymphoma show?", + "src": "Patient: Hello doctor, I had a CT scan done for suspected lymphoma because of high CRP, ESR, WBC, night sweats, and intermittent fever. It was found that there was a mass next to my trachea apart from the thyroid gland and they recommended that I have an ultrasound. Can you please review my ultrasound? Doctor: Hi. I have reviewed the ultrasound images of neck provided by you (attachment removed to protect patient identity). There is a well defined hypoechoic nodule of size 1.8x1.4x0.6cm in left lateral neck with preserved central hilum- highly likely to be an enlarged cervical lymph node. No vascularity noted in it on color doppler. Rest of the left lateral neck is normal. Right lateral neck appears normal. Both lobes of thyroid appear normal. Neck vessels in 2D appear normal. Color doppler of vessels not provided. Isthmus is normal. P.S. Ultrasound is not the modality of choice to comment on trachea and lesions associated with it. This nodule is oval in shape, has a preserved central hilum and does not show any hilar or peripheral vascularity on color doppler. These features point towards its benign nature. However, in light of the disease being investigated, FNAC of the nodule is suggested." + }, + { + "id": 12570, + "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": 22174, + "tgt": "What can be done for hyperpigmentation due to steroid ointment?", + "src": "Patient: Hi doctor, I have eczema and over the years doctors have provided me a steroid ointment which I have been using. The side effects were darkening of the skin. Wondering if there is a solution since now my skin has become really dark on my face and neck. Also, I have hyper-pigmentation all over my cheeks and nose that makes me look like I have freckles and over the years I have noticed them turn darker especially when going to hot places. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You seem to have acne along with post-inflammatory hyperpigmentation (PIH) from previously healed acne. Acne is a well-known side effect of steroid creams. So perhaps your acne and resultant dark spots are the side effects of the indiscriminate use of topical steroids. Therefore I suggest you to first discontinue the steroid cream. For your dark spots, you may use a skin lightening cream like a Kojic acid-based cream (Kojic cream). Use it twice daily over the dark spots and hyperpigmentation. For your acne, I suggest you use Clindamycin gel for daytime and Benzoyl peroxide gel for night application. In addition, I would also suggest you take an oral Tetracycline or Doxycycline 100 mg capsule, twice daily. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3164, + "tgt": "My penis erects only on the left side and refrains to stay erect. Why?", + "src": "Patient: Hello doctor, I think I have a certain level of erectile dysfunction. My penis becomes hard but only from the left side and refrains from staying erect. What is the remedy for this situation? Doctor: Hello. I can understand your concern. If there is poor erection on one side then this cannot be ignored. This could be due to some vascular issues. Have you got any injury during sexual intercourse in the recent past? Or sudden bending during masturbation? Is there any history of hypertension or diabetes? Please provide the details in the followup." + }, + { + "id": 7301, + "tgt": "Can IVF/ICSI cycle be done with AMH value 1. 1 ng/ml?", + "src": "Patient: Hello doctor, I am 38 years old and got married 12 years ago. Underwent 3 fresh IVF cycles and 3 FET cycles during the last four years. Underwent tubal pregnancy four years back. For the past two years with medium endometriosis. My present AMH value is 1.1 ng/ml. A blood test was taken last week. Shall I still proceed for a fresh IVF/ICSI cycle? Doctor: Hi. How are you doing? Definitely, IVF would be the best option. Let me start by mentioning the risk factors, one is your age, AMH is lower limit and endometriosis. As you cross 35 years, most of the good eggs get exhausted. So it is very good to keep getting lots of egg and embryos for transfer. The best part of your history is that you did get pregnant twice, unfortunately, the final result was not good. Hope semen report is normal. Options, if I may suggest: 1. Have IVF again, but let the doctor try different hormones and altering the doses. 2. Have IVF from a different center. The grading you are mentioning is what the doctor suggested. I had a patient. Husband had testis FNAC, they had mentioned of getting 8 blasts and 3 morulae. They told her that two blasts are being transferred every cycle, but negative results. It is impossible to get so many blasts from TEFNA sample as sperms are so unhealthy. 3. Repeat AMH within 14 days of period again from a different laboratory. 4. If AMH is below 1 ng/ ml think about a donor egg. Main advantages are endometriosis and your age would not affect the quality of eggs. Do not lose hope, you have lost two pregnancies between cup and lip, if you will not retry now, your good age and remaining eggs will be exhausted. So do try IVF again." + }, + { + "id": 21648, + "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": 30179, + "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": 30578, + "tgt": "I was on Eptoin before 8 years. Will I face any fertility problem now?", + "src": "Patient: Hi doctor, I have taken Eptoin medicine 8 years before. Now, I am fine and not taking any medicines. I got married before three months. Now, I am planning to have a baby. Will I face any fertility problem due to Eptoin? Can I get pregnant? Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8933, + "tgt": "What causes intense, sharp pain on the right side of my head?", + "src": "Patient: Hi doctor, I am a 24 year old male. I started having intense, sharp, constant pain behind my right eye, right temple area and backside of the right side of my head. It started before three months for once a week for the first three weeks. Then, I started having the sharp pain the every other day. And now, it happens every day. It is a very intense, sharp, constant and persistent pain. It gets very painful during the night-time. I went to get it checked out when it started occurring every other day. I do not have any other symptoms like vomiting, light sensitivity, etc. I just have pain in my head. Initially, my doctor prescribed me Fioricet. She asked me to get a CT scan, which ended up showing nothing. After that, she prescribed Sumatriptan and it had little effect. Then, I had an MRI done. The MRI showed that I had a little bit of sinus on the left side of my head that is near my eyebrow. She said that it was probably unrelated to my head pain and she prescribed me two weeks of antibiotics (Amoxicillin and Clavulanate potassium 875 mg) for the sinus and decided to refer me to a neurologist for my head pain. Once I started taking the antibiotics, my head pain basically went away. 12 out of the 14 days I took the antibiotics and I was pain-free. Two days of the 14 days, I still had pain. When I ran out of the antibiotics, the miserable intense, sharp pains came back.\u00a0So, I made another appointment to see if I could get some more of the antibiotics. I told her that the antibiotics had a huge effect in leaving me pain-free on 12 out of the 14 days when I took them. She said that was really good and that I probably just needed to be on the antibiotic longer to completely eliminate my symptoms. So, she prescribed me the same antibiotic with the same dosage for the next three weeks. I started taking them for the past two days, but the antibiotics are having no effect on me whatsoever now. My head pain is still very intense. I do not understand the reason. I originally thought I had cluster headaches. Then, I thought the sinuses that showed up on my MRI scan were linked to my head pain since the pain went away when I took the antibiotics. But now, the antibiotics are not working.\u00a0What is wrong with me?\u00a0What causes intense, sharp never ending pain on the right side of my head? When it hurts the most, it is always on the back right side of my head. The pain is literally always in the same exact spot. This is the most pain I have faced ever in my life. I have had this for almost three months now. I am only 24 years old. It is so agonizing and exhausting. I have been taking Tylenol every 6 hours every day for three months. I know that is not good for my liver. This head pain is affecting my daily life. I hope my\u00a0neurologist can make a clear diagnosis when I go and see him in two days. My life has been a living hell in the last three months. I am worried if it is something chronic or something wrong with a nerve or blood vessel.\u00a0I just want the pain to stop. Doctor: Hi. I understand your symptoms well. Actually, what you have is cluster headache only. Your symptom profile fits into the classic description of cluster headache. The relief with antibiotics was a mere coincidence. The pain of sinusitis has totally different pattern than what you have. The treatment is Triptan group of medicines as acute treatment. I mean the treatment when the episode of headache starts. Sumatriptan is more effective when given IV (intravenous). Zolmitriptan 2.5 mg is effective as intranasal spray. It delivers 2.5 mg per spray maximum allowed dose in a day is 10 mg. I think when you have headache Zomig spray would be better than oral Sumatriptan. The second treatment is prophylaxis. It can be taken even when you do not have a headache. I suggest tablet Topiramate 50 mg twice a day after food. This is to prevent episodes of cluster. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28383, + "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": 12973, + "tgt": "I have got red rashes after taking bath in public pool. Why?", + "src": "Patient: Hi doctor, I have a red rash since I was in the public pool and spa. It is like a round shape, but comparing with the pictures of fungal infection, it is not like that. Last night I put garlic juice on it but till the morning I had terrible itching and growing in double size. Can you please help me what can that be? Doctor: Hi. It can be swimmer itch or dermatitis or may be an insect bite reaction (contact dermatitis) (attachment removed to protect patient identity). Apply potent steroid for some time along with an oral antihistamine. You will get better. Nothing to worry about and yes it is not a fungal infection. Swimmer itch, insect bite reaction. Contact dermatitis to an insect. Apply Betamethasone propionate ointment BD over the lesion for one week. Take an oral antihistamine tablet. Maintain hygiene of the area. Wash with soap and water. Avoid using Dettol and other irritants. Do not use garlic, etc." + }, + { + "id": 9061, + "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": 30853, + "tgt": "Should I worry about the skin colored papules on my son's nose?", + "src": "Patient: Hi doctor, My 2.8 year old son has got two tiny skin color papules on the dorsum of the nose. It will not attract one's attention on a casual look. He has the same for more than a month I guess. First, I thought it might be due to sweat. Because, it looks like sweat dots over the nose. It is not itchy and there is no redness or dark circle around. It is not a fluid-filled one. There is no other rash or papule anywhere in his body. He started his Montessori a few months back. In the last three months, he got severe cold, cough and fever thrice. Now, he is normal. I am currently giving him Zincovit and Calcium supplement daily. Please suggest me some advice. Doctor: Hi. Revert back with photos to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6972, + "tgt": "I am pregnant and have an impacted wisdom tooth. Is it safe to go for an extraction?", + "src": "Patient: Hi doctor,I have an impacted wisdom tooth, which is horizontal and I\u00a0just saw that it had been severely decayed. I have been reading about it lately. Is it safe to go for an extraction? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8363, + "tgt": "I have testicle pain after unprotected sex. Could it be epididymitis?", + "src": "Patient: Hello doctor, I am a 28 year old male. I had unprotected sex last week. It was a three-hour long session and I was a little sore afterward\u00a0but felt totally fine the next few days. Then, three days ago, I noticed a slight pain in my balls and the discomfort has continued until today. It is most painful when sleeping or sitting. It is not very severe but it does not feel great either. I was checked for all STD's on the next day and the results came in today, all being negative, which was a relief. However, I am still wondering why my balls are aching. They are not red, there are no lumps, and there are no other symptoms going on. From what I read, it seems like I have epididymitis. But, that seems to have too many other symptoms listed that I do not have. What do you think is the issue? I am very healthy and active. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 5710, + "tgt": "Please advise treatment for persistent right lower back pain", + "src": "Patient: Hi doctor, I had an injury in the left SI joint two years ago. Because of it, I am lying, walking and sitting only on my right side. Now left side is fine, but I have developed tingling and burning pain in the right lower back. My MRI, x-ray of spine and SI joints are normal. Blood tests for ankylosing spondylitis, RA factor, hemogram, LFT, KFT are normal. Pain in the right lower back continues. Pain is like pins and needles and also like burning. I had a bone scan done which showed some abnormalities. I have enclosed my bone scan report for your reference. Please advise the treatment for persistent pain in right lower back area. Doctor: Hi. I also need from you few clinical details: 1. Mechanical back pain. 2. Inflammatory polyarthropathy or spondyloarthropathy. Follow up with the investigations reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7012, + "tgt": "It is hard to swallow and breathe due to swollen throat. What should be done?", + "src": "Patient: Hello doctor,My throat is extremely swollen, and it is hard to breathe and swallow, I am in a lot of pain because my lymph nodes are swollen and it is making my ears hurts, my neck is swollen. I believe my tonsils are swollen, but it is hard to tell as my neck is so swollen and I cannot open my mouth that wide with it being too painful, and I am getting migraines due to this pain. Should I consult a doctor? Doctor: Hello. According to the symptoms you have mentioned in the query, you are having a severe acute exacerbation of chronic tonsillitis. 1) Pain in throat, difficulty in breathing and swallowing point towards an acute follicular tonsillitis. 2) Enlarged lymph nodes indicate this is not the first episode, but you might be facing this problem at regular intervals. This means this is a chronic condition. 3) Ear pain is a referred pain in your case. This means there is no local ear pathology or ear problem. The glossopharyngeal nerve (9th nerve) gives out branches to both ear and throat, so sometimes a pathology of the throat can lead to earache. My advice will be to visit an otolaryngologist in your town and have your throat examined. 1. Start on antibiotics, Amoxycillin plus Clavulanic acid combination tablet (625 mg) or you can try Cefuroxime plus Clavulanic acid (500 mg) to be taken twice daily for five days. 2. Analgesics are important to relieve pain and swelling. Diclofenac or Aceclofenac tablets with Paracetamol twice daily after meals is a good option. 3. An antacid should be taken along with analgesics since Analgesics can lead to gastric irritation. 4. Warm saline gargles with Betadine three to four times a day provide a soothing effect. If you are suffering from such episodes more than three to four times per year, it is advisable to get your tonsils removed by surgery, ie tonsillectomy done. If the disease is not responding to the above treatment, I will advise you to get an investigation called throat swab done by your doctor." + }, + { + "id": 16080, + "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": 8322, + "tgt": "Kindly view my immunization report and advice on it", + "src": "Patient: Hello doctor, I got immunization check as it is a university requirement and the following were the results. I have not been on medication for the following and also am not on any medication right now. Please interpret these results. 1. HAV-IgG to Hep A - 11.48 (reactive). 2. Mumps - 47 (positive). 3. Rubella - 46.2 (reactive). 4. Measles - >300 (positive). Doctor: Hello. No need to worry despite the results turning positive. For instance, for hepatitis, the virus that is considered to be dangerous is hepatitis B, all the same, you need to take hepatitis immunization, which I believe is a requirement when joining the school. For the MMR (measles, mumps, and rubella) mostly a large number of people that are tested tend to have traits of it not unless you are symptomatic, there is no need for alarm, but again I would highly recommend you take the vaccine for the same." + }, + { + "id": 19372, + "tgt": "I am fatigued and have extreme mood swings. Is it due to my thyroid levels?", + "src": "Patient: Hello doctor, For the past six months, I was severely fatigued and had unstable mood swings. At my\u00a0regular check up, I found out my T4 levels are borderline.\u00a0I\u00a0think T3 is normal, but not optimal. Here are the levels: TSH 1.73 (0.45 to 4.5) T3 2.7 (1.4 to 4.4) T4 0.83 (0.8 to 1.8) My general physician asked me to take Eltroxin 25 mg whereas my endocrinologist feels that my reports are normal. Since we are planning for a baby this year, I am worried as the physician said it might affect the pregnancy, if I do not take the medicines. And, my cholesterol levels are a little elevated too. Vitamin D is at 19 which is on the lower side. My weight has increased by four to five kg. Are these correlated? Should I take the medicine or not? Please help. Doctor: Hello. I just read your query and understand your concerns. 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": 10505, + "tgt": "What does positive strep test mean?", + "src": "Patient: Hi doctor, I am 24 years old. I have had a sore throat every day for almost a month. I had antibiotics already, but it did not work. What could be wrong with me? It is chronic and I have been more tired with this. Sometimes, I am getting a fever and belly pain. My laboratory test showed strep test positive. What to do now? Please help. Doctor: Hello. I understand that you have done strep test, which is a rapid test to find out whether the pharyngitis has bacterial origin. The strep test is positive and this means most probably the Streptococcus pyogenes detected in your throat is the causative organism for the pharyngitis. The strep throat infection has to be treated with appropriate antibiotics. I suggest you take a course of Amoxicillin and Clavulanic acid (625 mg) twice daily after food. Take supportive treatment in the form of salt water gargling of the throat, anti-inflammatory and pain killer tablets. Also avoid spicy, oily and masala-rich foods, which aggravate the throat irritation. As a painkiller, I suggest tablet Paracetamol 650 mg twice a day. Anti-inflammatory tablets are combinations of trypsin-chymotrypsin enzymes. If you do not get relieved with this antibiotic, then I suggest you go ahead with a throat swab culture and sensitivity. That will tell us about the details of the antibiotics to which the organism is susceptible and resistant. With your blood pressure values, I see that they are towards the higher side. However, if it was measured using a digital BP apparatus, it is bound to be erroneous. Kindly visit your GP and get your BP checked. Manual measurement of BP is the preferred method. At your age, it is unlikely that you have this high BP. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17834, + "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": 18017, + "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": 18559, + "tgt": "Please explain the procedure of cystoscopy", + "src": "Patient: Hi doctor, My urologist wants me to have a cystoscopy done and he said the preparation for this procedure is a numbing solution. I am trying to find whether the procedure can be done through general or local anesthesia. Do you have any suggestions? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13242, + "tgt": "Is facial an effective treatment for anti-aging?", + "src": "Patient: Hi doctor, I am a 31 year old female. Height is 5'3\" and weight 71 kg. I have normal skin. I have started developing fine lines on my face. Just recently I have developed a slight depression in the form of a line starting from under the inner side of the eye running down the cheek (photo attached). I think this is the beginning of cheek sagging. Is this premature aging? Can this be reverted with non-invasive techniques like topical anti-aging serums, facials, massages or exercises? Someone suggested me to use Retinol-A, which I have started using and is suiting me well. I have read a lot about the benefits of topical retinoid, vitamin E and C serum. Please suggest the best ones as I have heard that most of the available vitamin C serums in the market are useless as they oxidize easily and do not penetrate the skin. I have seen some videos of facial exercises online. Do you think they are effective? Also let me know how often should I get facials and which one is for anti-aging? I am also trying to put down weight. In this process I will naturally lose some fat from my face as well, but I do not want my facial skin to become loose. What should I do for this? Doctor: Hi,Welcome to icliniq.com.I have read your details and examined your picture (attachment removed to protect patient identity) carefully. I have the following suggestions for you which I am sure will specifically help you significantly in the long run." + }, + { + "id": 3985, + "tgt": "Please suggest an Ayurvedic medicine to cure hemorrhoids and bleeding", + "src": "Patient: Hello doctor, For the past two weeks, I am having pain and bleeding on defecation. It started with straining on hard stool. I am not constipated. On touching, I can feel two external hemorrhoids and maybe a fissure (not sure). I have increased the fruit intake and I am applying Sunarin cream to not much relief. Can you suggest any Ayurvedic tablets? I am a 39-year old male weighing about 70 kg. I am currently taking multivitamins. Doctor: Hello. Sometimes external piles do not create problems, but due to some reason like constipation and others it causes health issue. Just you should take care of constipation. I am suggesting you some Ayurvedic medicines. You should continue these medicines for at least two to three months. Please let me know about any other medications you are taking for any other health problems as it is necessary to know for proper treatment. Take fiber rich diet like fruits and veggies to avoid constipation. The treatment plan is as follows: 1. Arshhar vati one tablet twice a day after meal. 2. Abhayarishta two teaspoons twice after meal. 3. Pilex ointment for external application. 4. Isabgol powder at night before going to bed. Please give information about any other medications if you are taking right now or any other health problems if you have. Follow up after seven days." + }, + { + "id": 6295, + "tgt": "Why is my sister eating slate pencils and raw rice?", + "src": "Patient: Hello doctor,My sister eats slate pencils of two boxes a day and she also eats raw rice too much. So can you give some medicines which taste like a slate pencil? Doctor: Hi. First, child eating slate pencils and rice is an indication of severe anemia. Tell your parents to get tested for hemoglobin and start on the iron supplement which increases iron levels and blood levels and reduces craving for these rice and slate pencils. Second, the iron supplement should be taken for three months, as the first one and a half month is needed for restoring reserves and the next one and a half month for restoring hb levels. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29490, + "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": 10702, + "tgt": "Please explain my chest x-ray report", + "src": "Patient: Hi doctor, I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication. Doctor: Hi. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking." + }, + { + "id": 30226, + "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": 19442, + "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": 332, + "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": 6756, + "tgt": "How should be the quality of embryo used for IVF?", + "src": "Patient: Hello doctor, I had a failed IVF cycle. None of my embryos made it to day 6. On day 5, one embryo was transfered. I am not getting proper answers from my clinic regarding the quality and growth of embryo that was transfered. Is the quality of the embryo good? Is this how it is supposed to look on day 5? Doctor: Hello. It is a poor embryo with irregular cell walls and nuclei (attachment removed to protecct patient identity). It is unlikely that it would reach towards a successful pregnancy however if it has been implanted then just follow up with scans." + }, + { + "id": 22871, + "tgt": "I got two wisdom teeth pulled two days back and still have pain. Please advice", + "src": "Patient: Hi doctor, I got my two bottom wisdom teeth pulled two days back. I have some photos of them. I was wondering if you could tell me if everything looks fine. I am still in pain and find it hard to eat solid foods. Doctor: Hi. I have seen the pictures you attached with your query (attachment removed to protect patient identity). Both the extracted regions looks perfectly good. I see that the sutures have been placed for helping those gums to heal quickly. Also, there is the food debris or remnants stuck on the sutures. This is absolutely normal. What you should be doing is rinse your mouth after every meal with warm salt water to get rid of that food. No vigorous gargling, please. Try to avoid hot and spicy food as you should have been already advised. Any cold food such as fresh fruit juices or yogurt soothens the gums than getting irritated with spices. You will have to revisit the dentist probably this weekend to get the sutures removed. And do not forget your medications if prescribed any. You will be completely alright. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2238, + "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": 21594, + "tgt": "How can we treat deep burns?", + "src": "Patient: Hi doctor, My eight-year-old daughter has got metal burn on her cheek left side less than 1 inch above the mouth left side and nose top. The doctor advised Silverex ointment, tablet Taxim-O, and Flexon. But it was so dry and turned black when we applied the cream. Is it normal? How long will it take to heal? Doctor: Hi. I have gone through the pictures (attachment removed to protect patient identity). It looks like a profound third-degree burn with black eschar present. I would recommend you see a plastic surgeon. Deep burns take more than 21 days to heal, and they will improve with scarring and contractures. It is recommended to remove the eschar and cover the wound if it is a deep burn. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 21666, + "tgt": "I have chromosome aberration. Will IUI with donor sperm be the ideal treatment?", + "src": "Patient: Dear doctor, I am 36 years old and my wife is 29 years of age. We were married four years back. Wife had three abortions in the first, second and third year of marriage. Now, we have undergone detailed treatment and understood that I have a chromosome aberration. The result shown in the report is 46, XY, t(11:22)(q24:q12),16qh+, balanced reciprocal translocation. The doctor said my chance of having a baby is only 30 %. That too, the chances of a disabled baby is high. I want an advice. Will the hospital give treatment by doing IUI taking sperm from a sperm bank or from sperm donors? Are there any other treatment modes? Doctor: Hi. I can think of two options for your difficulty: For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 15659, + "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": 25397, + "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": 18915, + "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": 21585, + "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": 30020, + "tgt": "Can I get circumcision done at the age of 37?", + "src": "Patient: Hello doctor,I am 37 years old. I am unable to retract my foreskin. It is very tight. Kindly advise if circumcision is safe at this age.\u00a0What are the care and precautions that need to be taken during and after circumcision? Doctor: Hello. Relax and do not worry. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16296, + "tgt": "I had a serious breakup with my girlfriend. I feel lonely. What do I do?", + "src": "Patient: Hi doctor, One year ago, I had a serious breakup with my girlfriend. It was a relationship of five years. Even today, I am not able to forget her. I keep thinking about her. I am not able to concentrate on anything. I feel lonely. What do I do? Doctor: Hi. Relationship issues need to be settled down before it starts disturbing you. You have to fully understand what it will lead to and how it will affect your life in the long run. When you get into any relationship for more than a year, you start associating and sharing your feelings with that person, which is quite obvious. In any breakup, the reason for the breakup is very important to deal with. You have not mentioned it here. If you had mentioned, it would have been even more helpful in suggestions. Suggestions: Consult a psychiatrist online --> https://www.icliniq.com/online-psychiatrist-psychotherapy-counseling" + }, + { + "id": 16978, + "tgt": "Should I worry for albumin in urine?", + "src": "Patient: Hi doctor, There is no specific complaint, but albumin is noticed in urine. Is it something to worry? I am currently on Liv 52. Doctor: Hi. We are here to help you. Revert back with the answers to the above questions to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 1945, + "tgt": "I am obese and hypertensive. Please suggest tips to prevent contracting COVID-19", + "src": "Patient: Hi doctor, My question is about COVID-19. I am very worried about this virus. I am 29 years old and my job is essential so I am still out in the field. I am overweight and take medications for high blood pressure including Lisinopril and Metoprolol. Everything I read said this puts me at way more of a risk for severe complications or death if I catch it. I am also worried about my children who are both under the age of two. Is there anything I should know or to help in preventing this virus or help not take a turn for the worse if I contract it due do being overweight and taking high blood pressure medications? Doctor: Hi. Certain important points that can be put to good use by you: 1. Wear a surgical mask or an N95 mask (it is a little suffocating) when you go out to work. 2. Make sure to not touch any part of your face, ears, or head after touching any object outside your house. If you have the urge to touch or scratch your face, please wash your hands with soap and water and then and only touch your face. 3. Push buttons and open doors and handles with the elbow or with the forearm or arm and not with the hand. That way your hand surface will not be contaminated for a long time. 4. Maintain social distancing (3 feet between two people) and no gathering of four people or more in a place for more than 15 minutes. 5. As soon as you reach home from outside, prevent your kids from touching you. Head straight to the bathroom, have a warm bath with soap, and keep all your clothes that you were wearing for washing. 6. Continue taking your medication on time as going on. Also, maintain a healthy diet. I hope the above points help." + }, + { + "id": 19538, + "tgt": "How to get rid of bloating and constipation from taking Venlafaxine?", + "src": "Patient: Hello doctor, I suffer from anxiety disorder. I am currently on Venlafaxine. I have issues with bloating and constipation. I am physically active as I go to the gym. However, stomach bloating has been a frustration. There are days it soothes and days it gets worse. From previous screenings, the doctors told me there is gas in my stomach. But, I have no known condition to date. Without laxatives, I get constipated and I have no bowel movements for up to four to five days. High-fiber foods such as avocado and mushrooms cause a lot of flatulence. I am currently experiencing a lot of excessive sweating. I have a file with detailed examinations and I will attach it with the query. How to get rid of the bloating? How to soothe constipation? Is there any diagnosis based on this evidence? Your assistance would be greatly appreciated. Doctor: Hello. Both your symptoms of constipation and sweating are likely as a result of Venlafaxine. It is a known and relatively common side effect. So, you should request your doctor to change it to a different medicine like Ciplar LA (Propranolol) or Alprax (Alprazolam). Bloating may also occur secondary to constipation. Your reports are fine (attachment removed to protect patient identity), but cholesterol is a bit elevated and you should get a complete lipid panel done and continue a healthy lifestyle. You should avoid fatty, oily and spicy diet. Have a walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables and fruits. Avoid smoking and alcohol if any. I suggest tablet Pan DSR (Pantoprazole-Domeperidone combination) 40 mg or Esomeprazole-Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should try adding syrup Sucral-O (Sucralfate-Oxethazaine combination) or Gelusil (Aluminium hydroxide and Magnesium hydroxide) two teaspoons three times a day for a week. For immediate pain relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27555, + "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": 14167, + "tgt": "I am having PCOD. Please advise", + "src": "Patient: Hello doctor, I am having PCOD. Please advise. Doctor: Hello. PCOD (Polycystic Ovarian Disease) is a very common condition nowadays. It is a treatable condition and will not affect your life much if the cysts are small in size. A lot depends on your lifestyle. Stress is a major factor. Eating healthy home cooked food and doing regular exercise will make a big positive difference to your condition. If you are overweight, reducing your excess weight will work wonders for you. So do not worry. As your question does not have details, I would like to ask you a few questions that would help me answer better: 1. How old are you? 2. Are you married? If yes, do you have kids? 3. Are your periods regular? 4. Is your weight in the normal range? 5. Do you have excess hair on your body or face? 6. Are you on any medication for PCOD or any other condition? 7. Can you explain your food habits? (veg/nonveg, what times of the day you eat, and in what quantity) 8. Do you indulge in any kind of physical exercise daily? 9. How is your sleep pattern? 10. If you have a scan report, what is the size of the cyst? (please do attach the report)" + }, + { + "id": 10298, + "tgt": "How can I get rid of major depressive disorder?", + "src": "Patient: Hello doctor,I am a 19-year-old female with 170 Ibs, currently on 30 mg of Cymbalta. I have been diagnosed with major depressive disorder, generalized anxiety disorder, and insomnia. I have had three major depressive episodes in the past two years, and I feel like I am on the verge of another one. I had an appendectomy eight days ago and was prescribed Hydrocodone to manage the pain. I am still taking all of my regular medications, but I stopped the Hydrocodone four days ago. I feel hollow, incredibly sad, and very lonely (even though I am not alone). I am also having disturbing and very vivid dreams, which only increase the feelings of isolation and sadness. I eat healthily, exercise lightly, and manage my stress well. What can I do to fight off this impending depressive episode? Doctor: Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you." + }, + { + "id": 29692, + "tgt": "Could you help with my terrible periods pain?", + "src": "Patient: Hi doctor, I am 18 years old. I usually have quite regular periods, but every month I get absolutely terrible pains to the point I am sick and shaking. I have tried taking the contraceptive pill to help my periods, but it made them worse. So, I stopped. It is not just a cramp. A really bad sickness on the first day and it is for all of the days that I am on. I take up to three painkillers to help the pain and they do not work. It is usually on the right side of my ovary that hurt to the most and sometimes, on the left side. Could you help? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17014, + "tgt": "I had solar retinopathy in the past. Should I get my eyes checked frequently?", + "src": "Patient: Hello\u00a0doctor, I had been diagnosed with solar retinopathy. I went for an eye exam and the\u00a0OCT results came up great. However, I am worried about the\u00a0prevalence of it popping up when I least expect it. The retina looks fine. Should I take heart in knowing that I am fine or be vigilant and continue to go back and get the exams and OCTs completed? Also, my eyes are crazy dry and I need to use drops. But, that may be from staying up all night researching this consistently. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8243, + "tgt": "I am suffering from severe pain even after a week of wisdom tooth extraction. Why?", + "src": "Patient: Hello doctor,I had my lower wisdom tooth extraction last week. I had bone cutting and stitches. Today is the sixth day of surgery, but I have severe pain even after taking pain killers. But there is no adequate response. I had five days of antibiotics too. Please suggest me what I should do? Doctor: Hello. Your medications are fine, are you taking Cataflam still or stopped? Did you follow all the do's and dont's your dentist had suggested you after extraction? As wisdom tooth extraction is in itself a complex one and any manhandling makes the patient suffer a lot. For now, do warm water and salt rinse slowly not so harshly, and water should not be hot, only warm, be careful about that. Secondly, you need to visit your dentist who did the extraction as soon as possible, to look for any bony spicules remaining or if stitches are healing correctly or not. Clot rupture, delayed healing. Oral examination. Dry socket. Stitch removal, check for bony spicules, and irrigation. Avoid eating especially hot on the affected side. Follow-up after having word with your dentist." + }, + { + "id": 23688, + "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": 3756, + "tgt": "My palms and soles are red with burning sensation and occasional swelling. Why?", + "src": "Patient: Hello doctor, I was diagnosed with MGUS (IGA) when I was seeing a neurologist for some burning in my palms of my hands and soles of my feet which is awful at night and prohibits me from sleeping. This has been going on for six months but has gotten worse so I went back to the neurologist. Neurologist ordered an MRI for next week to see if the six white matter brain lesions I had were changed. Since the MGUS, I followed up with hematologist three times and he said my numbers are so low they do not show up on M spike. All other labs were normal. I saw a dermatologist to see if burning was skin related. She said no maybe vascular so I saw a cardiovascular doctor who is also running tests. I also saw a rheumatologist so does not believe it is rheumatology based on blood work. My question is if my numbers at hematology were so low they do not show M spike could they be causing the random burning in the palms of my hands and soles of my feet. Just want answers and as of right now I get the neuro saying it is MGUS and hematologist saying it neuro. I am scared and exhausted. Please help. My Primary complaint is burning red palms of my hands and red soles of my feet, not fire engine red just slightly red. My hands tend to get a little swollen on the top and my veins are swollen and then it goes away and my hands are looking normal and are cold sometimes. Well, it happens all day regardless of what I am doing with the activity is it randomly pops up definitely when I am moving around or running the vacuum or doing something like that but it is really bad at night. So far I have done myeloma profile, CBC, ANA, and CRP tests. Doctor: Hi, Welcome to ciliniq.com. I am sorry to hear with regards to your complaints and how much you are going through. I have seen your hand pictures. (attachment removed to protect patient identity). To be frank, it is really a tough case. There can be a few things that can be looked for: 1. Chronic inflammatory demyelinating disorder. 2. Rarely, MGUS (monoclonal gammopathy of undefined significance) can be associated with neuropathy. 3. It can be Raynaud's phenomenon. 4. ? Any heavy metal related. I have a few suggestions which you can ask your neurologists or hematologists if they have thought about them. Did anyone think of getting a nerve conduction study? Later on, can a nerve biopsy give an answer if we are thinking CIDP (chronic inflammatory demyelinating neuropathy)? Sometimes, can any heavy metal can cause this kind of symptoms. Lab work for Raynaud's phenomenon if your symptoms fit into that criteria, looks less likely though. Any remote chance of amyloidosis. There is a test for that as well known as fat pad biopsy.Please ask the doctors to consider these points. To your question, MGUS has been shown to have an association with neuropathy related pain, though less likely. I am here always if you need further guidance. I hope this helps." + }, + { + "id": 18872, + "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": 24927, + "tgt": "Is the treatment prescribed for chronic ischemic heart disease correct?", + "src": "Patient: Hello doctor,I would like to ask you for a second opinion on the treatment prescribed for my 53-year-old mother by a cardiologist. She was diagnosed with chronic ischemic heart disease following a routine ECG which I would like to send you, and the blood tests indicated a cholesterol of 280. The symptoms are not too obvious, she says she had two to three bruises in the heart area in the last few years. The treatment is Pentaerithrityli tetranitrate (two per day), Aspenter (one per day), Rosuvastatin (one per day), Plavix (one per day), Metoprolol succinate 47.5 (two per day). Doppler ultrasound was normal and only EKG had abnormalities. Thank you in advance. Doctor: Hello. I reviewed the therapy prescribed by the doctor and I agree with it. It contains: I would just recommend reducing the dose of Metoprolol in case of a very low heart rate (below 60 BPM), or if she is experiencing chronic fatigue. Hope you will find this answer helpful. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27870, + "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": 13711, + "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": 10548, + "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": 21343, + "tgt": "What is hysteria? Can you explain it from my medical records?", + "src": "Patient: Hello doctor, My doctor has put on my medical records a diagnosis of hysteria and I do not know what that means? The other conditions I have are hypothyroidism, celiac disease, anxiety or depression. The medications I take are Wellbutrin XL 300, Clonazepam 0.5, and Levothyroxine 100 mcgs. Doctor: Hi. First, coming to hysteria, it is a probable diagnosis which is deducted by your answers to attending physician. It simply indicates that your answers are ungoverned and uncontrolled and in conditions when some answers given by you are unintentional and no relationship to current aspects. This is a controllable situation. Simple anxiolytic will do work. So, Clonazepam was given. Secondly, hypothyroidism. It is deducted by your presenting complaints and blood work done based on complaints for thyroid profile. Treatment is Levothyroxine. Third, anxiety or depression represents mood swings or mood disorders having some varied swings in short span. These are deducted based on your answer to attending physician. Treatment is a short course and a physician prescription for Wellbutrin XL (Bupropion). For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 15686, + "tgt": "I get bouncing or rocking sensation while walking. Why?", + "src": "Patient: Hello doctor, For the past three weeks, I have been feeling a strange sensation which seems to be a form of vertigo. When walking, it feels as if the ground is bouncing or rocking (as if on a boat). I seem to not have this sensation right away after waking. However, after an hour or so, it comes back. I have also experienced what may be migraine aura symptoms (seeing black spots occasionally) which is sometimes also accompanied by a headache or head pressure or fullness. This bouncing or rocking sensation is really starting to worry me. I am not sure if it is due to an inner ear issue or neurological. I have started taking Meclizine and Ibuprofen which do not seem to help entirely. If possible, please advise on some potential causes, I would greatly appreciate it. Doctor: Hello. I have gone carefully through your question and would explain that your symptoms could be related to an inner ear disorder. Anyway as your symptoms are not improved by Meclizine, I would recommend consulting with a neurologist and performing a brain MRI study. It is also important checking thyroid hormone levels for thyroid dysfunction." + }, + { + "id": 16366, + "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": 4310, + "tgt": "Why is there a sudden drop in blood sugar and BP in a diabetic patient?", + "src": "Patient: Hello doctor, My father is a heart patient and also has a problem with high sugar. But two weeks before his BP level and sugar level dropped a lot and he started feeling very low with some kind of palpitation. After some prescription his BP level and sugar are normal, but the problem of palpitation is still there. To whom should I consult for him? Doctor: Hello. Sorry to hear about your father. When you say heart patient I assume he has had a blockage to the artery supplying the heart (coronary artery disease) or has had a heart attack (myocardial infarction). In diabetes management, the duration of diabetes and the level of control in the past is very important for present management as well. Heart patients will be generally prescribed BP (blood pressure) reduction tablets (Amlodipine, Losartan, Telmisartan), cholesterol lowering tablets (Simvastatin, Atorvastatin), blood thinner tablet (Aspirin, Clopidogrel), and heart rate reduction tablet (Beta-blockers - Atenolol, Nebivolol, Bisoprolol). The cause of your father's symptoms has to be found out. Low BP can be caused by high heart rates and palpitation (arrhythmia). In such a scenario, your father has to be reviewed by his cardiologist, to see if there is a trigger like decreased blood supply (ischemia) or salt imbalance (electrolyte abnormality) and adjust the medications (both BP and heart rate medication). A low sugar will usually raise heart rate and BP, but here the BP had fallen so low sugar (hypoglycemia) may not be the cause of these symptoms. One thing you might like to keep in mind is that if someone is on B-blocker, his heart rate will not go up during hypoglycemia. So the cause of low sugar remains unexplained. A review of his diabetic management viz. timing of diet intake, dosage of insulin, medications, timing of medicines, type of insulin have to be reviewed to find the cause. A simple and common reason would be that he could have reduced his food intake or avoided it altogether due to his heart symptoms on that day, resulting in low blood sugar. Now coming to his present symptom of palpitation, as his sugar level is normal range (as per your information), it seems unlikely that his diabetes could be the cause of his palpitations. So my advice is to recheck his blood sugar both fasting and post-food two to three times to confirm the absence of low sugar, and to review the heart condition and medication with his cardiologist. A point of note is that if your father is quite elderly, has been a long-term diabetic, has other co-existing medical conditions like kidney dysfunction, mobility issues it is better to go for a medium control of diabetes rather than very tight control of blood sugar levels. I hope this helps." + }, + { + "id": 16906, + "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": 13662, + "tgt": "Is it normal to have an immediate raise in heart beat after stopping walking in obese patient?", + "src": "Patient: Hello doctor, I am 41, female, and sedentary. I am 100 lbs or more overweight 248 lbs at 5'4\". I started the gym today and I walked slowly for 15 minutes. My heart rate stayed around 120 bpm. Then I stopped moving to see how fast my heart rate would go down. It went up 10 beats to 130. I checked again a minute later, it had started going down again. Why did it jump up 10 beats after I stopped moving? I have had a phisicap less than a year ago. I was told I had a good pulse, great blood pressure. I also have panic attacks so once I thought I was having a heart attack and went to the ER. They did that tripolin test two times, EKG or ECG. They took an X-ray too. I had not had a heart attack and they said my heart did not look enlarged and no signs of a blockage. So I am still paranoid though. I just have never noticed heart rate going up briskly after stopping the activity. Doctor: Hi. Heart rate rises because of the unconditioning due to long term sedentary lifestyle. Do regular exercise, heart rate will slowly come down. The more one is fit, more heart rate will come down immediately after stopping exercise. A decrease of 20 or more in the first minute is normal, less than 12 is abnormal due to less fit heart. You need to lose weight, eat healthily, avoid addiction to be fit. Other causes are anxiety and dehydration. Do regular exercise to be fit and to lower heart rate after exercise. If you need more information, or guidance regarding weight loss, exercise, healthy food, etc., you can always ask anytime." + }, + { + "id": 27388, + "tgt": "What are the chances of contracting HIV through unprotected anal sex?", + "src": "Patient: Hi doctor, My fiancee and I are not known HIV positive. But we have had unprotected anal sex ten times so far. Can we be\u00a0infected with\u00a0HIV? Doctor: Hi. If you both do not have HIV (human immunodeficiency virus), then from where can HIV come? Hope your query is answered, but if you still have any other query, please revert. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19652, + "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": 29506, + "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": 30307, + "tgt": "Had Deviry and Krimson without knowing that I am pregnant. What to do?", + "src": "Patient: Hi doctor, I missed my periods for the last four months. So, I had Deviry 10 mg two tablets a day for five days, but I did not get periods. Then, I started taking Krimson 35 for 21 days. Still, I did not get periods. Then I had a pregnancy test and unfortunately, it turned to be positive. Now, I am worried about the side effect of medicines I took. Will the medicines cause any mental or physical disorder to the baby? 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": 10936, + "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": 23338, + "tgt": "I have itching and painful irritation around scrotum. Please advice", + "src": "Patient: Hello doctor, I have an itching and painful irritation around scrotum since two days. I applied Caladryl two times, it caused more pain for a while. It seems like the scrotum has slightly become red and there are some rashes on it. The rashes or pimples or pimples whatever, they are small in size and cause pain when they get in contact with anything. Due to this problem, I am not able to walk. I had fever some days before, so I did not maintain proper hygiene. Maybe this is the main reason for my problem. Please, suggest me a home remedy. I am a 22-year-old college student. Doctor: Hi. It could be folliculitis of the scrotum, a very common complaint in this season. Kindly upload appropriate images of the lesions so that we can suggest you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17300, + "tgt": "How to overcome low sex drive?", + "src": "Patient: Hi doctor, I am 31 years old and I am regular with exercise. My height is 5'8\" and weight is 73 kg. My body fat percentage is 17. I used to do weight lifting. Over the last two months, I am having problem with my erection and sex drive. I am not getting that urge as I used to get before and I am not getting erections too. Occasionally when I get erection, I lose them very soon. I do not know the cause for it. I was on Omnacortil 20 for lichen planus, but stopped taking it. I am taking whey protein along with high protein diet. I have started multivitamins and Seacod tablets a month back and still having the issues. I did blood tests sometime back and everything came back normal including blood sugar. My testosterone level is around 300. Please suggest some medication. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16975, + "tgt": "Do my cardiac issues put me at risk for sudden cardiac death?", + "src": "Patient: Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focus causing the NSVT. I have had a normal CT angiogram with no luminal narrowing and no signs of any blockages or atherosclerotic changes, and a negative stress echo. I\u00a0have had a normal echo after the NSVT with everything normal and a cardiac MRI. The MRI showed a very mild dilation of left and right ventricle (the cardiologist looked up studies and said mine is not dilated and it falls within the normal range\u00a0for my age). I had a normal echo just taken yesterday, which showed no dilation ventricle with normal wall thickness, size, and normal function with 66 % EF. The only finding at all on the echo was a mild\u00a0tri-leaflet aortic valve, normal cusp excursion, and no regurgitation.\u00a0I also noticed that every time I am stressed or anxious, my T waves in leads III and AVF on ECG\u00a0flip. As my other echo\u00a0did not mention this sclerosis of the aortic valve, has this always been here and because of my NSVT does this put me at risk of an SCD? Also, is it likely for me to have blockages in my arteries now even after a clear CT angiogram less than a year ago? Since the one episode of NSVT, it has not happened again although I have had on Holter, premature atrial, junctional ectopics, and ventricular trigeminy, all of which are very infrequent. One episode of trigeminy with emotional stress on three-day Holter. Total ectopic beats in 24 hour period less than 30. I am a 31 year old male, who does not smoke and. All the best. Doctor: Hi. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2471, + "tgt": "Rash on my forearm is purple and increasing. Is this due to my previous iron infusion?", + "src": "Patient: Hello doctor, I have a rash on my forearms. About 4 or 5 days ago, I noticed two dark reddish almost purple spots on my right forearm when I woke up. I think they are under the skin, not raised, non-itchy. My skin is extremely dry and I neglect that so I started putting Jergen's ultra healing lotion. I thought maybe I had scratched my arms while sleeping that is what it looked like. But each day much smaller spots have appeared. The only medication I take is 1 mg Xanax twice a day for anxiety. I was diagnosed with cirrhosis before three months and spent three days in the hospital. I had a blood transfusion and treated for swelling in my feet and legs. Post-hospital stay, I was given two iron infusions. Since then I was supposed to follow up with a gastro and the hematologist for a blood draw recheck but with the Coronavirus that has not been possible for me to go in. So I do not know if this rash has anything to do with that but I would like to know what it is. Doctor: Hi. Sorry to hear about the problem you are having. As you have cirrhosis and iron infusion I suspect there is some blood clotting defect which is very common in this condition. These lesions are actually small hemorrhages or bleedings into the skin. They do heal with time if the clotting defect is improved or no more new bledding occur. I hope you are not having dark colored stools or nose bleeds or blood in cough of vomiting or any small injury taking more time for the blood to stop. If any of these condition persists you need to see an emergency service and get you your blood coagulation profile done. Skin is dry in your condition, use emollients do not use harsh cleansing soaps. Use only mild ones that too on alternate days. As you say new lesions are coming I am afraid you should get your coagulation profile done. If it is normal, use emollient like aloe vera on these they do subside gradually." + }, + { + "id": 16871, + "tgt": "Please guide me with a homeopathy treatment for dull skin", + "src": "Patient: Hi doctor, The days when I use moisturizer or face wash, my facial skin use to glow. But, if I did not use it for five to six days then my skin would become very dull even without skin exposure. And so, I used them daily. Now for about two months I just stopped applying anything on my face, so my facial skin stopped responding to them. I have tried scrubbing many times and chemical peel too nearly twice. But no results are seen. Now, my face is much darker than body. Could it be some kind of allergy or something else?\u00a0Please guide me through homeopathy to get my skin fair. Doctor: Hi. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 16826, + "tgt": "I am not an alcoholic, but my liver is fatty. Is it NAFLD?", + "src": "Patient: Hi doctor, I am a 39 year old male. My height is 5'2\"and weight is 62 kg. Today through USG I came to know that my liver is fatty (grade 1 diffuse fatty liver). I am very much worried and I do not drink alcohol. I have been taking Omega-3, protein powder and multivitamin supplements for the last one and half a year.\u00a0Is it NAFLD?\u00a0Please suggest me to cure the disease. Doctor: Hi. Revert back with the test reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18608, + "tgt": "How to confirm the reason for my tummy pain?", + "src": "Patient: Hi doctor, I have pain in my tummy like cramps and I am suffering from constipation. I also have symptoms of pregnancy. Today morning my stools were with blood. They were light purple in color and strange. Please help. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27024, + "tgt": "Can you go through my echo reports and tell me if I can go for CrossFit training?", + "src": "Patient: Hello doctor, I am a mitral valve prolapse patient. I have done an echo test last year, and as per the doctor, it is not a serious one. Can I go for CrossFit training? Doctor: Hello. Hope it helps. Of course, you may ask me more queries anytime. I would be happy to assist. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 22634, + "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": 17162, + "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": 3748, + "tgt": "How to confirm the integrity of breast implant?", + "src": "Patient: Hello doctor, I have silicone mentor gel smooth round moderate profile breast implants that were placed befor years. I have reason to believe I have what the community is calling breast implant illness. I am curious if the integrity of the implant is intact and if there are any lesions that could be free-floating silicone The right breast is a 350 cc implant and the left is 400 cc. Doctor: Hi. Breast implant illness is a term associated with symptoms of health concerns in women having breast implant surgery done. It includes a wide spectrum of physical symptoms and commonly involves fatigue, chest pain, headaches, anxiety, vision problems, nerve, and hormone problems. This is not officially a confirmed medical term in use and is a more general expression of symptoms. However, one should not ignore if there is a likely possibility of implant rupture. MRI (magnetic resonance imaging) scan is useful to search for any areas of rupture in silicone implants if there is a clinical indication. You can get an MRI breast scan done and it will confirm the integrity of the implant." + }, + { + "id": 19032, + "tgt": "Allergy on the head part of my penis and inner skin of my penis", + "src": "Patient: Hi, I am a 26 year old male. I am having some allergy on the head part of my penis and the inner skin of my penis. Consulted a local doctor. The doctors are saying that, it is just an\u00a0allergy and giving some tablets and ointments. But it is not recovering. Give me your advice. Doctor: Hi, Thanks for writing to us. There could be many causes for such lesions like fungal infection (candidal balanoposthitis),\u00a0lichen planus, irritant dermatitis, and etc.\u00a0Candidal BP is the most common cause amongst all. So right now, I would advise you\u00a0that,\u00a0wash the area with lukewarm water twice in a day and apply candid B cream two times in a day. To reduce the itchy, take oral cetrizine and avoid using soap over the affected area. Also take tablet fluconazole 150mg once in a week for two weeks. If the lesion does not resolve in two weeks, either consult a dermatologist online\u00a0with a photo of the lesion or meet a qualified dermatologist in your area for diagnosis based treatment. Take care." + }, + { + "id": 15379, + "tgt": "Please suggest ways to wean child from breastfeeding to bottle feeding", + "src": "Patient: Hello doctor, My 7-month-old baby does not want to feed on the bottle. I am currently breastfeeding and I want to feed her Enfamil. What can I do about it? She is not gaining weight. Her weight is consistent at 7.5 kg since she was 4 months old. But she is good. No illness. But my main complaint is that she does not want to drink from her bottle and I do not want to breastfeed anymore. Doctor: Hi. I understand your concern. Bottle feeding is not recommended to any child for long term. You can try spoon feeding. Yes, it will not be easy to shift from breastfeeding to top feed. Should try gradually. As per WHO, the baby should be continued on breastfeeding for a minimum of 1 year of age. It is good for overall long-term growth of the baby." + }, + { + "id": 27407, + "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": 12934, + "tgt": "Is it normal to have nausea and stomach pain after taking Panadol?", + "src": "Patient: Hello doctor, I am a female, 27 years old, 50 kg, 162 cm. Just before sleeping at 11:30 AM, I took two Panadol advance pills and one Muscerol 3 pill altogether. I have not eaten for the last five hours earlier. Later that night, I woke up around 2 AM feeling nausea which lasted for a few minutes. Since then, it has been three days feeling upper stomach pain, especially in the morning. This pain vanishes once I am eating but returns mildly afterward. Other important information. It was the first time I am taking Muscerol 3. I am not a person who takes heavy medication regularly. I take Panadol pills when I am feeling very sick only. I do not have a previous diagnosis of ulcers. Doctor: Hello. The drugs that you mentioned all contain NSAIDs. These drugs are known to damage stomach mucosal lining and cause gastritis. I would suggest to minimise these drugs. You can use some over-the-counter antacids like Pantoprazole or Ranitidine available at stores along with syrup Gaviscon for a couple of days. If symptoms persist, you should get yourself examined by a gastroenterologist locally." + }, + { + "id": 23991, + "tgt": "Please explain this histopathology report of diffuse astrocytoma", + "src": "Patient: Hello doctor, I need a proper understanding of this histopathology report - Sections studied show a tumor composed of diffusely proliferating glial cells which show round to oval nuclei in a loose fibrillary background. In focal areas, the cells show moderate nuclear pleomorphism with an increase in nuclear size. Mitotic activity is inconspicuous. Microcystic degeneration noted. No vascular proliferation or necrosis is seen. Fragments of normal brain parenchyma also noted. Ki-67 proliferation index is 3 %. Overall features are consistent with diffuse astrocytoma, WHO grade II. Doctor: Hello. I have thoroughly reviewed your query and can well understand your concerns. There is a brain tumor named diffuse astrocytoma that is consistent with the features described in your question. If we take a chunk of the tumor out and examine it under special microscopes and with specialized techniques (as in this case there was seen a temporal lobe of the brain involved in a tumorous growth), it gives us the behavior of cells in the specimen under review. This is a method of diagnosing a disease process. Diffuse astrocytoma is a tumor of the brain that has a specific slow-growing nature and is diagnosed based on its signs and symptoms, tests and sometimes biopsy that is sent for histopathological studies to be sure. In this case, the tumor was found to fall under WHO-II of WHO brain tumor grading. It is a grading to classify tumors of the brain to get help in diagnosis and treatment. Surgical excision, radiotherapy or chemotherapy may be used to treat it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12593, + "tgt": "What is causing muscle pain with tiredness?", + "src": "Patient: Hello doctor,I feel very tired all the time. My muscles are always sore that makes me sleepy. I feel very lethargic and tired even after a small bit of physical activity. I am a case of hypothyroidism using Thyronorm 50. Doctor: Hello. Hypothyroidism itself causes generalized weakness or other possibilities like anemia or electrolyte imbalance or infection or chronic fatigue syndrome, etc., may present like this. Until examination is done it is difficult to say what it is. Take green leafy vegetables and fruits. Use tablet Evion LC twice a day for five days. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. Take care." + }, + { + "id": 16870, + "tgt": "I am pregnant and my Hb is 8. 7. Should I receive blood to improve it?", + "src": "Patient: Hi doctor, I am 32 weeks pregnant. This is my second pregnancy and I delivered\u00a0my first child\u00a0through C-section.\u00a0I have\u00a0low Hb content. As per my blood report done before a month, my Hb was 5.2 g/dL. After a couple of days, I was given two bottles of blood through an IV and started to have\u00a0iron enriched foods and vitamin C added\u00a0fruits.\u00a0A week later, I had my blood test done. My Hb was 7.4 g/dL\u00a0and electrophoresis was normal. Now, after a month, my Hb level is increased to 8.7\u00a0g/dL. Should I receive another bottle of blood to increase my hemoglobin further? Doctor: Hi. Hemoglobin (Hb) less than 10 g/dL during pregnancy is unfavorable. Blood transfusion should be done when Hb levels are less than 7 g/dL, so you do not need a blood transfusion now. You have to check your Hb till it reaches at least 10. The rate of increase in Hb is same either iron orally taken or through blood transfusion if provided iron gets absorbed from gut properly. Your rate of increase in Hb level is also good. I suggest you investigate the cause of anemia. You must get a serum vitamin B12 level done along with the stool examination for ova cyst as these may also be causing anemia along with iron deficiency. I advise you to have a high protein diet, iron enriched food and oral Iron supplements. 1. Iron deficiency anemia. 2. Macrocytic anemia. 3. Worm infestation. Hb levels every two weeks, serum B12 levels and stool examination for ova cyst and iron studies. Gestational anemia. Oral Iron and vitamin C supplementation. Mebendazole and vitamin B12 supplementation if required. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with reports after 15 days to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18934, + "tgt": "My 1. 1 years old baby often gets cold and cough. Why?", + "src": "Patient: Hi doctor, My daughter is 1.1 years old and she weights around 8.5 kg. For the last couple of months she gets\u00a0cold and cough for every 10 days. We are not using any medication. Let us know if we have to get her tested. Is this is really a concern.\u00a0Apart from this, she is very active and has no other issues. Please suggest any medication if needed. Doctor: Hi. Seasonal. Viral. Rhinitis and bronchiolitis. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16304, + "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": 2020, + "tgt": "Please evaluate my prostate PSA biomarker test for any abnormality", + "src": "Patient: Hello doctor, I need a urologist to look at my labs. I also have prostate PSA biomarkers like total PSA, free PSA, and prostate-specific antigen free ratio. Doctor: Hi. Let me tell you, your reports are absolutely fine (attachment removed to protect patient identity). This ratio has got significance only when your total PSA (prostate-specific antigen) level is out of normal range. You can repeat this test annually. No intervention is required right now. Some of my questions are why did you get PSA done as it is not indicated at 31 years of age? Do you have any urinary complaints (frequency, urgency, poor stream, nocturia, dribbling, etc)? Do you have any previous episodes of UTI (urinary tract infection)? Are you diabetic or hypertensive or on any medications?" + }, + { + "id": 13013, + "tgt": "Am I having hairfall due to excessive use of laptop?", + "src": "Patient: Hello doctor, I am a student. Due to extensive use of the laptop for thesis writing and book readings, I am suffering from hair loss and hair whiteness, both problems are increasing day by day. Some people say that it might be due to the extensive use of laptop. Kindly suggest me some multivitamins to prevent hair fall and whitening. Doctor: Hi. There is no link of hair loss and hair whitening and laptop usage, however, it can be due to stress which a student has. There is as such no treatment for reversing the hair whiteness. However, to stop that take Biotin supplements and use Vitamin-rich shampoo. Diffuse hair loss, premature canities. Tablet Priorin BD for three months, Photonic max shampoo three times per week." + }, + { + "id": 23095, + "tgt": "Is bleeding after 10 days of periods normal in a 17-year-old?", + "src": "Patient: Hello doctor,My 17 years old daughter had her periods last month as normal for six days. After 10 days, she suddenly got bleeding again. Apparently, it looks like periods. Is it normal? She had this problem of having her periods occurring quite frequently twice a month, but since last year it was going fine. Once a month, just that first two days are very painful with vomiting. I am worried if I need to take her to the hospital for a checkup. Doctor: Hi. These are teenager menstrual cycles. They can have frequent cycles and anovulatory cycles with premenstrual syndrome (having multiple cyclic symptoms near and around periods like abdominal cramps, mood variations, vomitings, nausea, etc. Yes, you should have a check-up as well but have some precautions also. When she is having periods have simple tablet Ponstan (Mefenamic acid) 500 mg from day two to day five or if symptomatic, can have for total five days eight hourly it will not only reduce pain but also blood flow. For vomitings as well she can have antiemetic like tablet Cyclizine 50 mg eight hourly half an hour before meals. There are many hormonal medications to prevent symptoms as you described but along with Ponstan in menses day you can give her tablet Primolute N (Norethisterone) 10 mg twice daily from day five to day 24 for total three cycles to regulate cycles. She should have it on supplements to prevent anemia as having recurrent bleeding. She should have complete blood count, thyroid function test to check any abnormality in thyroid and any clotting disorder or anemia. Better to have one abdominal scan if not sexually active with a full bladder. I have considered her virgin. For patient sexually active have different investigations (like transvaginal scan, cervical smear, high vaginal swab, etc). Have healthy nutritious diet with less salt, sugar, oil, and spice. Have daily exercise, yoga or walk. Have recreational activities to have nice emotional health. Collect laboratory reports and discuss with gynecologist here or local. For more information consult an obstetrician and gynecologist --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15287, + "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": 3725, + "tgt": "What are the tiny black dots that came up after gallbladder surgery?", + "src": "Patient: Hello doctor, Recently, I had acute pancreatitis, which resulted in gallbladder surgery. Two weeks post operation; I have noticed\u00a0tiny black dots appearing on my body. Now it has spread, some are raised and some are flat. Should I be concerned? What are they? I have attached the picture of my stomach area. Currently, I am taking Ondansetron, Hydrocodone, Singulair and Dulera. Doctor: Hello. Revert back with the asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14510, + "tgt": "My urethra and labia got suddenly sore and itchy with yellow-green discharge. Please help", + "src": "Patient: Hello doctor, My urethra and labia were suddenly sore and itchy. Now it has a yellow-green discharge from the urethra. What medication should I use? Doctor: Hi. It could be a pelvic infection, sexually transmitted infection with or without urine infection. Have urinalysis, urine culture, high vaginal swab, strict hygiene. Soft comfortable undergarments. Sitz bath to relieve irritation (sit in warm water recurrently). Drink plenty of water. Avoid condoms to reduce sexually transmitted infection. After HVS (high vaginal swab) collection have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg 8 hourly for 14 days. Follow HVS report and discuss here for any more treatment. Have a complete check-up and regular treatment of any health issue you have. Sexually transmitted infection, UTI, PID. HVS, urine culture, and urinalysis. Antibiotics after tests, follow reports, discuss here. Strict hygiene, soft comfortable undergarments, sitz bath, use condoms to avoid transmission of infection, plenty of water." + }, + { + "id": 1665, + "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": 313, + "tgt": "How can parasitic infection of GIT be treated?", + "src": "Patient: Hello doctor, I have had GI issues which do not go away. There severity is cyclical. I have reason to believe that I may have a parasitic infection. Doctor: Hello. Yes, it looks like some parasite kind of thing but difficult to say from picture (attachment removed to protect patient identity). It is better to get proper stool test with special stains that will tell kind of parasite. Other thing I want to know is what kind of GI issues you have. Exact nature, duration and also pain is there or not, constipation or diarrhea? For parasite, I recommend tablet Nitazoxanide 500 mg two times a day for 5 days will elimate most of parasite from your body. GI issue related to parasite is not so common so I think it is better you describe your exact history of GI issue and what medications they had given to you." + }, + { + "id": 27478, + "tgt": "I have relationship issues, and I smoke weed. Please help", + "src": "Patient: Hi doctor, I do not trust girls. I have had relationship issues, as I was betrayed by the girl I love. I also have a weed problem, and I am a dropout from college. Doctor: Hi. Revert with more information to a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 18698, + "tgt": "Kindly advise regarding my chest pain as the test results are normal", + "src": "Patient: Hi doctor, I am a 29 year old female. I have been experiencing chest discomfort like an achiness for the past couple of months. It comes and goes. I cannot tell if it gets worse with certain foods or after I eat. Sometimes I think it does, but then I tell myself that I might just be making that up. It feels better when I get ready for bed. I do not feel it in my sleep, but it seems as soon as I start to think about it, I start to feel it. My EKG, chest x-ray, echo and blood work came back normal. I do have a heart murmur that is 3/6 and I also had a positive bubble study that suggests a PFO. However, I am getting a CT to rule out lung issues being the cause of the positive bubble study. I am also getting the CT to look at the vessels more closely. There are no associated symptoms. Also, this happened almost two years before. Doctor: Hi. Cardiac origin of chest pain is highly unlikely in a 29 year old female. Female has a cardioprotective hormone called estrogen, which usually delays the onset of coronary artery disease till 65 years. The pain you get is most likely because of high levels of your anxiety or overthinking. Once shunt reversal in PFO (patent foramen ovale) is ruled out, then you can ask your cardiologist to start you with a low dose of SSRI (selective serotonin reuptake inhibitor) like Paroxetine along with low doses of anti-anxiety medicine benzodiazepine like Clonazepam for two to three months. As echo and blood profile is normal, it is not cardiac. However, you have not mentioned if you are a smoker or alcoholic. A thorough history is a must before giving a cardiac clearance. Please answer the above. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22791, + "tgt": "13 year old girl suffers with painful periods. What is wrong with her?", + "src": "Patient: Hi doctor, My daughter is 13 years old. She has been developing some symptoms that worries me. I think she may have endometriosis. She got her first periods in her fifth grade and the symptoms started when she began her sixth grade. She is having extremely heavy periods with painful cramping, nausea and diarrhea. Also, she has occasional spotting. I have researched it a lot. It gets worse every time and it is getting to the point where she sometimes has pain at all times of the month. What is wrong with her? Doctor: Hello. As she is just 13 there are menses which are anovulatory in the initial two years and the hormones are not matured at all. Endometriosis in adolescents is fairly uncommon unless they have been sexually active. An endometriosis pain is typically only during menses and not in mid cycle or throughout the cycle. That is likely due to progesterone or estrogen imbalances. So, if she is bleeding really heavy and the menses and premenstrual symptoms are painful, then you may opt for depot injections to fairly stop her menses and allow natural maturation of hormones. It shall serve as a contraceptive as well. If not, then I suggest her tablet Meftal Spas (Mefenamic acid) twice a day for three days from the start of pain to relieve pain along with hot fomentation to soothe yourself. Hormonal pills as of now are not advised though an ultrasound pelvis can be undertaken to look for any adnexal abnormalities. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21441, + "tgt": "Why am I having swelling in throat with chills and hot flashes?", + "src": "Patient: Hi doctor,I have swelling on one side of the throat. It hurts to swallow and I get chills and sometimes hot flashes. My body aches. I am a 19-year-old female. Doctor: Hello. As it is associated with hot flashes, and body aches, it seems to be due to an acute viral infection. My advice is to: If the symptoms persist, please consult with a doctor as soon as possible and run an ENT examination to rule out bacterial tonsillitis. If confirmed, antibiotics might be needed. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13476, + "tgt": "What has caused a painful blister in the inner thigh?", + "src": "Patient: Hello doctor,I have got a small blister on the inner thigh of the right leg. I had got a similar blister at the same spot last year. The new blister is just adjacent to it. This, as per my understanding is due to body heat. When I take B-complex tablets during the night, the pain subsides the next day but reemerges if I miss the tablet. Please advise proper medicine (tablet and ointment) as this reoccurs every year. Doctor: Hello. This is probably folliculitis and occurs due to unhygienic and sweaty local area. You need to keep it clean and dry especially in hot seasons. You should use powder like Nycil daily so as to keep it dry. Now, you should have capsule Augmentin duo 1 g two times a day after food along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. You should also apply Neosporin powder or ointment Mupirocin two times a day, and after resolution, you should use Nycil powder to keep the area dry and twice daily bathing especially on sweaty days." + }, + { + "id": 5012, + "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": 13538, + "tgt": "Is it safe to take thyroid tablet during breastfeeding?", + "src": "Patient: Hi doctor, One and a half year back, I was diagnosed with thyroid with the TSH value of around 7.24. I was advised to take Thyronorm 25 mcg daily. I had delivered a baby before two months. I did TSH at that time and the reading was 0.08. Then I stopped the medication as per doctor's advice. On repeating the test in a month interval, the report came out to be 4.5, and I am still not advised to take any medicine. Should I stay off forever or only till I breastfeed the baby? Please suggest. Doctor: Hi. My advice is, as of now stop the medication. After six weeks, do a TSH (thyroid stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) test on an empty stomach. If anti-TPO is positive, you may require treatment later." + }, + { + "id": 7675, + "tgt": "Is laser hair removal safe for someone with acne?", + "src": "Patient: Hello doctor, I am a 21-year-old man. I would like to ask your opinion about laser hair removal. I have read a lot in the last days and almost everywhere it is said that it is not bad for your health and body and one of the best ways to deal with hair. I am thinking about doing laser removal of hairs in private parts and under shoulders. I had a problem with acne when I was teen on my face and back (not normal acne but a big one). Now I am almost healed but some years ago when I tried wax hair removal under shoulders and on the chest, I started having acne there also. So now I am a little scared to try it. What is your opinion and is it actually harmless? Doctor: Hello. The laser is a safe, painless and permanent method to get rid of unwanted hairs. It is called laser hair reduction to be more precise. Let me explain to you how this laser works: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8811, + "tgt": "I have increased ASO and joint pain. What could be the cause?", + "src": "Patient: Hello\u00a0doctor,My ASO is 203, and creatinine is 0.80. I am having a joint pain and stomach upset problem from the last four years. The RA factor is nil and hemoglobin is 11. I am sending my LFT and ASO reports. Please suggest. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7298, + "tgt": "My daughter is under treatment for depression and having hallucination. What is the treatment?", + "src": "Patient: Hello doctor, My adult child, 25 years old, was admitted to a psychiatric hospital for depression and suicidal thoughts. She had therapy for several years. However, when visiting tonight, she mentioned voices and hallucinations. I was taken back bc she never mentioned that before. The nurse said it was possible 1st breakthrough. My question is would not I have noticed those symptoms before now? It left me uneasy and skeptical, and I do not know what to think. Also wondering would they start medicating her for that if she had not had the test or diagnosed? Doctor: Hello. I can certainly understand your concern. I have worked through your attached query in detail. Hallucinations like hearing voices can be a feature of severe depression. They can occur if depression progresses through higher grades. It does not imply that you have missed making a note of them. Severe depression with hallucinations is termed as psychotic depression. It requires intensive care in a hospital setting. Antipsychotics, along with antidepressants, are the mainstay of treatment." + }, + { + "id": 23442, + "tgt": "TLC is elevated and I am worried. Is there anything concerning?", + "src": "Patient: Hello doctor, I have submitted the reports of HPLC USG and latest CBC. I am worried this time TLC was elevated. In last four or five CBC in two months, it has never crossed the 7 to 9 range. Also, sending you CT and USG reports of two years back. Doctor: Hello. I saw your reports (attachment removed to protect patient identity). Your concern for high TLC (total leukocyte count) is not bothering me. We do see DLC (differential count) also, which tells the character of cells whether they are cancerous or not). There is nothing like that in your report. So, you need not worry. HPLC (high-performance liquid chromatography) report is normal, means at present we do not have anything conclusive as almost all investigations have been done in your case except for your bone marrow examination. As you are completely fine and symptom-free and your JAK test was also negative, you are most likely NOT suffering from any cancer, etc. Hematocrit/PCV if crosses 55 to 60, then only we give some symptomatic drug. From my side, I would advise you to just follow dietary advice and get blood levels checked only after three months. Getting it checked every month will only make you more stressed, which I certainly do not want. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19902, + "tgt": "Is pain in the knee an HIV symptom?", + "src": "Patient: Hi doctor, I had sex with a CSW. During sex, she rubbed her vagina against my penis.\u00a0I felt like the penis entered in her\u00a0vagina for a moment. Then, I immediately asked to wear a\u00a0condom. Six weeks after this incident, I had a pain in my right knee. There was no swelling or redness. It resolved in a day. I\u00a0did not have any fever or tiredness during this episode. Then again, after two weeks, the pain came back but resolved within a day. Can a pain in a single knee be an acute HIV symptom? I want to know whether the joint pain in acute HIV will be localized to one joint or it will affect all the joints. Doctor: Hello. Take care. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16176, + "tgt": "Is redness in foreskin and glans normal?", + "src": "Patient: Hello doctor, I have redness in the foreskin and glans which becomes bright red when subjected to friction and becomes normal or very light red. This redness comes and goes often. It has been there for a year and above. I took all viral tests and it is negative for all. I used Candid B ointment with no results. It is still the same light red in glans as seen in the picture. Sometimes, foreskin becomes red then and there and disappears without any clue. 1.5 years before I had oral sex and got sharp teeth scratch in glans for which I doubted and took tests but it is negative for all the parameters and sugar is also normal. Kindly advise in this regard and what should be done for the redness to disappear. Doctor: Hi. There are no active lesions in the photos. There will be some amount of redness with friction. Do not worry about it much. It appears there are no symptoms like itching. Avoid friction or irritation. Do not do forceful masturbation. Avoid using harsh soap or cleanser. Do not wash too frequently. Wash the area twice daily with warm water. You can apply the Candid (Clotrimazole) cream twice daily if too itchy or redness." + }, + { + "id": 14973, + "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": 1401, + "tgt": "Can childhood head injuries cause bad coordination later in life?", + "src": "Patient: Hi doctor, For four years I have the really bad coordination. I fumble things a lot. I am very clumsy, weak, tired and I pee all the time. I drag my feet along the ground while walking and my legs do not work when I try to stand, but that is a rare thing for me. I have memory issues, moderate vertigo, blurry and double vision and often trouble using my hands. Severe anxiety and depression, but I do not have any emotions. My mood changes rapidly.\u00a0Sometimes, while talking I slur my words and I often have jumbled speech. When I was 15, I was kicked and punched in the head while I was sitting down and I was unconscious for about 10 minutes. Also, when I was around 8 to 10 years old, I fell off from the roof and twisted my vertebrae. I have done my brain scan and spine scan. Please help me. Doctor: Hello. I read your query and understand your concerns.\u00a0From the available description there are two possibilities which need proper evaluation. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16678, + "tgt": "Is Pantoprazole allergy something to be concerned about?", + "src": "Patient: Hello doctor, I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days back, I again had got indigestion problems after a week of having junk food outside. This time I had Pan D tablet, but this time after an hour I developed rashes, itching, and the whole body turned red. I again went to the 24/7 hospital and the doctor again injected Avil after which the redness and itching subsided. The doctor also told me never to take Pantoprazole tablets as I am allergic and reacting very badly. Now, I have been given Rantac and I have no problems now. So, here are my questions: As my doctor told PAN tablets will be regularly prescribed for other illness too to avoid acidity and other stomach ailments, do I have to tell that I have Pantoprazole allergy whenever I visit a doctor? Is Pantoprazole allergy something I need to be concerned about? Should I have to do anything? Doctor: Hello. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you avoid taking Pantoprazole but can get very serious and even fatal if you take it again. I hope you find this helpful. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24843, + "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": 9142, + "tgt": "Is it true that moles in soles of feet are cancerous ones?", + "src": "Patient: Hi doctor, I have a small freckle about 3-4 mm on the side of my foot. It is not different from my skin in appearance. It just seems to be a brown blemish. I think, I have it for a number of years and now I am a bit anxious about what it could be. Thank you. Doctor: Hi. The brown spot on your foot could be a mole or lentigine (attachment removed to protect patient identity) as it has been there for long. They are just harmless. You need not worry unless you have a change in its size and color or a family history of skin cancer. You may consult your dermatologist to magnify the spot and look for undesirable changes. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2012, + "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": 26011, + "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": 23420, + "tgt": "Kindly suggest an effective treatment for bad cold", + "src": "Patient: Hello doctor,My wife is 28 years old. She is having a bad cold since last few days and having throat pain and discomfort. She has an ear pain because of continuously coughing and sneezing. Kindly let us know any further precautions and medications so that it can subside soon. She is currently having steam inhalation with Zandu Balm. Doctor: Hello. This sounds like a viral infection. I would suggest the following: I suggest testing a CBC (complete blood count). For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8350, + "tgt": "Can I get pregnant after having sex on the 4th day of periods?", + "src": "Patient: Hi doctor, I had sex on the 4th day of periods and took i-pill after 69th hour. Is there any chance to get pregnant? Doctor: Hello. There are no chances of pregnancy as you had sex on the 4th day of your cycle and you were in your safe period when ovulation would not have taken place and hence no chances of conception or fertilization. Moreover you have taken an i-pill as well within 72 hours so it is like double protection. You may experience some spotting and bleeding as withdrawal within 5-7 days of i-pill intake and that shall further reassure that you are not pregnant. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19003, + "tgt": "My 2 year old child has knock knees. Is there any treatment for this other than surgery?", + "src": "Patient: Hello doctor, My 2 year old child has knock knees. Is there any treatment for this condition without surgery? Doctor: Hello, Welcome to iIcliniq.com. So, I would advise the following: Once you get these tests done, I can correlate them and let you know what will be the correct management for your child.Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8119, + "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": 4704, + "tgt": "Kindly explain about the mammogram results taken for red line on breast", + "src": "Patient: Hello doctor, I woke up this morning to see a small red line or vein on the top of my left breast. I had a breast check up and mammogram 6 months ago which was clear. Is this normal? What is it? Doctor: Hello. This does not appear worrisome to me (attachment removed to protect patient identity). This appears like erythematous lesion due to inflammation. This has probably occurred due to some trauma like due to pressure of folds in clothing or bed sheet or lying over the chest. Also, rule out possibility of some bite or nail scratching. If this is generalized and also present on the other body parts then may be related to some infection. So, usually such single visible vein is not significant. It should settle in a day or two. But if continues to persist or increase in number or any other symptoms like swelling, pain, fever appears then will need examination or investigations. At present, does not appear significant or serious issue. Hope this helps you and get back if you have any doubts." + }, + { + "id": 15901, + "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": 12155, + "tgt": "What can cause itchiness after taking bath and while sweating?", + "src": "Patient: Hello doctor, My body is getting severe itching after taking a bath or while sweating. Initially, it used to happen only in winter 4 to 5 years back and then gradually started in rainy days also. Now in summer also while sweating. It is so irritating like that I am going to be mad. I have stopped using soap and also took Clonafit 0.25 mg and Betonix- 10 prescribed by a dermatologist but there is no improvement. Please help me out of this. Doctor: Hello. 1. It looks like you are suffering from aquagenic pruritus. 2. Take the tablet I am prescribing and show me again after 15 days. 3. Get the investigation mentioned below done. Aquagenic pruritus. CBC. Aquagenic pruritus. Aquagenic pruritus. 1. Tablet Teczine-M (Monteleukast and Levocetirizine) 10 mg bd for 15 days." + }, + { + "id": 11818, + "tgt": "How to reduce TG/HDL ratio?", + "src": "Patient: Hi doctor, I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. Please advice. My echo, ECG, and stress test were all normal. Doctor: Hi. Most of the population has low HDL (high density lipoprotein). More than 50 is a good thing which rarely people have. Triglyceride range is up to 150. Can be more if no fasting done prior test or seen in diabetics. Overall your test is good. You do not need cholesterol medicine. Exercise can increase your HDL. So, please check your FBS (fasting blood sugar) and post prandial blood sugar too." + }, + { + "id": 27801, + "tgt": "My daughter has hair fall and lice. Please help", + "src": "Patient: Hello doctor, My daughter is 6 years old. All of a sudden, she has hair fall. I then noticed that she has lice eggs on her scalp. How to avoid the lice and hair fall? Please give me some suggestions. 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": 20712, + "tgt": "I get swelling on penis after masturbation. Does this have any long term effect?", + "src": "Patient: Hello doctor, For the last six months, I am facing this problem and need to clear the doubt. After masturbation, I get swelling in the penis gland in a ring shape. I am not experiencing any pain and swelling goes away in 1 to 2 hours. Does this have any long term effect? I need your advise if any treatment is required or not. Doctor: Hi. I have gone through your problem and understand your concern. It seems that it is because of masturbation and not associated with any other complaints. Most probably it is not going to have long term consequences. However, it becomes more clear if you have pictures of this at time of swelling or consult a doctor in person at the time of swelling, so that doctors can see it, check it and can give you a clear answer. At this point, it seems that either it is due to friction or some blood collections in tissue that get cleared after a few hours. You can send me a picture of the swollen area." + }, + { + "id": 25031, + "tgt": "Is my dad's heart weakening after having a stuttering stroke?", + "src": "Patient: Hello doctor, I have a question about my father. He is a healthy 75 years old, eats healthy, drinks at least two liters water a day. He has since five years atrial fibrillation and gets for that Xarelto 15 mg and Amlodipine accord 5 mg, takes them in the morning and that was always good. Unfortunately, he had a brain stroke on the left part. He walked to the ambulance. On the next day, he had lesser movement on the left side (mouth, arm, leg, and difficulties with swallowing). Yesterday, it was worse and the doctors say he has a stuttering stroke because the situation is going worse. Because of a little fever and the cholesterol too high he gets something for cholesterol and an antibiotic called Ceftriaxone. The doctors think the worse is now over but still little risk next 48 hours. My question is that we see on the monitor every day fewer peaks in his heartbeat. Please see the pictures, the doctors say that is an extra heartbeat and does not matter, his regular heartbeat is around sixty, and now it is around 80. Could it be his heart is weakening? Doctor: Hello. In atrial fibrillation, the heart beats can vary in frequency and height (amplitude). What is more important in these patients is that the rate needs to be controlled and not above 100 beats per minute. Also, one must make sure that no clot forms in the heart due to the abnormal heartbeats. I have seen the monitor pictures (attachment removed to protect patient identity) and they do not look concerning. One must make sure that there is no clot forming in the heart which can give rise to the stuttering nature of the stroke as in his case. I would recommend a transesophageal echocardiogram to detect the presence of thrombus in the left atrium. If the thrombus is present, he requires anticoagulation with heparin. If the thrombus is absent, oral anticoagulants are enough. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 29544, + "tgt": "After mastectomy, why is there tightness around the arm?", + "src": "Patient: Hi doctor,Before seven months, I had a mastectomy.\u00a0During which,\u00a0I had my lymph nodes taken out of my armpit. I had exercises to do, which helped ease the tightness in my arm. Only in the last two weeks or so, I have noticed a tightness in my hand on the same side of the operation. It feels a bit tight and swollen. I have attached a photo. What could this be? Doctor: Hello. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12660, + "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": 383, + "tgt": "My wife gets acute abdominal pain for the past three years. Please help", + "src": "Patient: Hello doctor, For the last three years, my wife had an acute abdominal pain due to gastritis. All the blood reports, sonography reports, x-ray are normal. Please help. Doctor: Hi. If it is due to gastritis, you should go for endoscopy, until that time you can start tablet Pantakind DSR (Pantoprazole)." + }, + { + "id": 8557, + "tgt": "My lab results are worrisome and is it mandatory to consult a rheumatologist?", + "src": "Patient: Hello doctor, I am worried about my blood work lab results. My RNP antibodies are at 2.3, speckled pattern 1:80, antinuclear antibodies, IFA is positive. I know I should not be diagnosing myself, but my findings is worrisome. Most of my symptoms match up with what I am seeing. I guess my question is, should I worry all weekend or go ahead and make an appointment with a rheumatologist given the results that I have seen in my labs? Doctor: Hello. Based on the details available, it looks that you have lupus. Possibility of mixed connective tissue disorder (MCTD) is also there. You need furthest tests that include Anti-ds DNA, rheumatoid factor. At this point, you should not get worried unnecessarily. Wait for your doctors call.He would call you and post you for further tests. I hope it helps you. If you have any further query, please ask me." + }, + { + "id": 21727, + "tgt": "Is there any advanced test for HIV?", + "src": "Patient: Hi doctor, I had sex with a sex worker before 42 days. We used a condom, but the condom broke during the sex. From that day, my tension has started. I am a psychiatry patient taking medicine for anxiety and stress for a long time. I have attached the test reports. Please see my attached report and advise. Am I 100 % risk-free from HIV? The first report was done after 25 days of exposure and the second report was done after 37 days of exposure. Doctor: Hi. HIV infection usually has a window period of one to three months. Until that time, your test results will be a false negative. Although your reports are negative now (attachment removed to protect patient identity) which is an assuring thing, we advise you retest at 12 weeks to confirm the same. Also, kindly check HBsAg (hepatitis B virus surface antigen), VDRL (venereal disease research laboratory), and anti-HCV (antibodies against hepatitis C virus). For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19324, + "tgt": "What medicine can control itching after being bitten by a hairy caterpillar?", + "src": "Patient: Hello doctor, I was itching all of a sudden today while eating dinner. I thought it would be a normal itch, so resisted itching. After around 70 minutes, when I itched on my groin and thigh area, it started itching too much and when I saw under my shorts, it was full of mosquito bite like appearance. Then, I saw one small hairy caterpillar on the outer edge of my trouser. So, this itching was because of that. I have included the picture of that insect. It is not the exact picture, but it is for your reference. I applied some salt and turmeric and washed with facewash since it was neem and soap two to three times and took a full bath. I consumed one allergy tablet as well. Now itching is under control. I want to know what should I do now and is there anything that I did wrong or should have done which I did not? No injections, as the hospital is very far. Also, I do not know if it crawled in my bedsheet as well. I will sleep on it. Should I change my bedsheet? Actually, due to some problem I cannot change it, so is there any way to wipe if it is absolutely required. I have one additional query. Should I always use an antibacterial soap if I have recurrent boils or folliculitis on my body? Can I use normal soap and shampoo? Can you recommend any antibacterial hair shampoo which can be applied to hair and one antibacterial body wash if there is any? Doctor: Hello. I have seen the photograph (attachment removed to protect patient identity). The insect could possibly be a kind of caterpillar commonly called as blanket worms. One may get reactions to its sting with rashes and urticaria. Apply Calosoft AF (Calamine, Aloe vera, and liquid paraffin) and could take a Levocetirizine 5 mg tablet to control itching. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. You may require injections and antibiotics if there are sores due to its sting and if the rash is bad, you may need medications for a couple of weeks. Definitely, the blanket sheets and clothes need to be checked and changed. Please see a doctor to confirm the insect bite. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25867, + "tgt": "I have painless brown spots on the skin that grow. What is the treatment?", + "src": "Patient: Hello doctor, I have these brown spots since the last 20 years. It grew from a small spot to this big in all these years and it is still spreading slowly. It does not itch, neither does it pain but when I get out in the sun, I feel a burning sensation all over the area. I once used Skinlite cream and the spots were visibly lightened but they reappeared. I want to know what medication I should take and what precautions to take so that it does not spread anymore. Is there any way I can get rid of these spots? I have attached the pictures. Doctor: Hello. I have seen the images (attachment removed to protect patient identity). The triggers include sunlight or any harsh irritant chemicals. Skinlite has Hydroquinone which is more than sufficient to mask any pigmentation, but not cure it completely. From the symptoms, I strongly feel it is lichen planus pigmentosus or ashy dermatosis of Ramirez. Both of them can exhibit similar features. In my opinion, you should get a skin biopsy to confirm the activity status of the problem and also the severity. We can then decide the best treatment based on the reports. I strongly recommend applying sunscreen and covering the area. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 21847, + "tgt": "I have tingling sensation in face and arms. Is it MS?", + "src": "Patient: Hello doctor,I have had miscellaneous tingling sensations in my face and left arm and leg. A couple times right leg but that is very infrequent. I have gone to the doctor and they did brain MRI which was negative. Neuro exam was fine. Carotids were fine too. I am worried about MS. They are not doing anymore. I am scared. I am currently taking medicines for reflux and blood pressure. Doctor: Hello. I read carefully your question and would explain that your symptoms do not seem to be related to MS (multiple sclerosis). TIA (transient ischemic attack) or epilepsy seizures may cause such clinical scenario. Other possible causes could be vitamin B12 deficiency and thyroid gland dysfunction. For this reason, it is important performing further tests to investigate the possible causes: You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9009, + "tgt": "I am diagnosed with ADHD and was under Concerta, but I feel sleepy on having it. Please help", + "src": "Patient: Hello doctor, I was diagnosed with ADHD two years ago, and I have tried different medications at different dosages. And each has not felt optimal. I have attempted to (in order) Concerta 18 mg (Methylphenidate Hcl), Vyvanse 10 mg (Lisdexamfetamine), Adderall IR 10 mg ( Dextroamphetamine-Amphetamine), Adderal XR 15 mg. The Amphetamine ones felt as I would expect, but even at the lowest starting dosages, it felt like too much and made my pre-existing anxiety worse. The Concerta, which I was prescribed first, I quit after three days of taking it, as it made me feel sleepy like I had taken a Benadryl. I have gone unmedicated for over a year now, and find myself wondering if I should have explored more brands or doses of Methylphenidate? If Concerta made me sleepy, is Methylphenidate just not for me? Or could it just possibly be the dosage and or brand that was the issue? Doctor: Hello. If ADHD symptoms continue to affect your daily functioning negatively, it will be worthwhile to try other options. It looks like you were tried only on small doses of different stimulant medication but were discontinued as you did not tolerate it well. There are non-stimulant options like Atomoxetine (which can help when there is associated anxiety) and Guanfacine (Intuniv). All these medications have benefits and potential side effects which can be managed by your doctor. Also, try behavioral techniques to manage inattention and improve your work performance. You can use a Pomodoro technique for time management, etc. I hope this helps." + }, + { + "id": 7344, + "tgt": "I have red sunburn marks along my shoulders, arms, and chest like sunburns. Could this be vitiligo?", + "src": "Patient: Hello doctor, After I spent a day at the beach, I noticed red marks along my shoulders, arms, and chest that looked like sunburns. After a couple of days, though those spots turned brown, and the rest of my body looked like it had not tanned. I was wondering if this could be vitiligo or something else. Kindly advice. Doctor: Hello. You seem to have got Berloque dermatitis (those reddish-brown patches) (attachment removed to protect patient identity) due to sun exposure after some perfume or fragrance or plant contact on the skin (phytophotodermatitis) which typically causes these irregular and odd-looking patches. The whiter skin is your normal skin rather than vitiligo. Did you use any perfume or was in contact with plants before sun exposure?" + }, + { + "id": 2873, + "tgt": "I have headache, weight gain, and altered taste with menstrual changes. Please help", + "src": "Patient: Hello doctor, I am a 25-year-old female. I have been experiencing worsening symptoms over the past three months. I was thinking pregnancy but that was tested negative with a gynecologist and PC, two blood labs for HCG and one CBC, as well as a thyroid and hormone test. My symptoms are: frequent headaches and shock-like pain below the right temple, migraines that last for days, dizziness even when resting in bed, weight gain, fatigue and sleep for 14 hours straight, change in taste i.e. toothpaste taste like hairspray and Kombucha tastes like hairspray, smelling burning plastic and no one else can smell it, losing balance when trying to do yoga and work, seeing shiny flex of light, pain in back, stiffness in shoulders and neck, numbness in the foot for a week, tingling in arms and fingers, painful electric shocks in the leg, mood changes crying and laughing for no reason. Menstrual changes show shorter cycles and never before pregnant but nipples have left yellow streaks in the bra, fumbling with tools at work. My current medications are Effexor 37.5 mg, Smarty Pants multivitamin, Vitamin B complex. I also consume daily probiotics. Doctor: Hi. Your symptoms apart from migraines are due to nerve involvement causing parosmia (altered taste sensation) most probably due to Vitamin B12 deficiency. Methylcobalamine (or vitamin B12) supplement 1500 mcg per day for a few weeks is usually advised and you are already taking it. For migraines you can try, Aspirin, Ibuprofen 400 mg to 800 mg every six to eight hours, Naproxen initially 500 mg then 250 mg every six hours, Ketoprofen 25 to 50 mg every six to eight hours. One of these can be tried, should be available over the counter. If one of these is not effective then you may need one of the prescription medications mentioned below specific for migraines e.g. Sumatriptan, Zolmitriptan, Eletriptan, Naratriptan." + }, + { + "id": 11562, + "tgt": "I have hard skin patches in hands and feet for more than 10 years. Kindly help", + "src": "Patient: Hello doctor, I am a 20-year-old female. I have many hard skin patches majorly in exposed areas like hands and feet. They started around when I was 10 years old. I have consulted many doctors in the past, and all of them have different opinions like some would say it is an allergic reaction or it is a mosquito bite allergy and also deficiency of vitamin E. After any mosquito bites, it really urges to scratch, and I tend to scratch a lot and due to some reason I do also pluck my skin. Also, I have sensitive skin. I can also send you a photo of these patches. I am looking forward to your reply. Currently, I apply Mometasone furoate cream on the affected area. Doctor: Hello. It indeed looks like an insect bite hypersensitivity reaction, also known as papular urticaria (attachment removed to protect patient identity). The best way to manage this is protection from insect and mosquito bite. Use repellents, or liquid mosquito vaporizers, or full sleeve clothes and mosquito nets, etc. As this is not always possible, you need to take medications also. Continue using Mometasone furoate cream and take these tablets. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Dapsone 100 mg once a day. 2. Tablet Teczine M 10 mg (Levocetirizine, Montelukast) once at night. Get G6PD test (glucose-6-phosphate dehydrogenase) done before starting Dapsone once." + }, + { + "id": 12785, + "tgt": "Full penis penetration causes pain in vagina. Why?", + "src": "Patient: Hello doctor,I am 24 years old. I am married. I have a bit problem in my sexual life. Whenever I insert my penis in her vagina she told me that when I insert full penis in her she feels pain. Is it normal or not? Doctor: Hi. Painful penetration in women may be caused by any injury or lacerations in vaginal walls, infection of the genital tract, forceful or violent sex, lack of lubrication in the vagina. I think you should do a lot of foreplay before penetration so that her vagina may get lubricated naturally. Also, it is highly recommended to use a water-based lubricant like KY jelly. Always be gentle to your partner while having sex. That is the key." + }, + { + "id": 9948, + "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": 3200, + "tgt": "What causes frequent urination in a child?", + "src": "Patient: Hi doctor, My question is for a child: 6 years, female, 22 kg. Symptoms: has frequent urination during day 5 minutes- 1 hour starting from about a month ago, if she wakes up at night she will go pee; she is diagnosed with pollakiuria and cystitis. The symptoms started with gradually more and more frequent urination. She has no pain when urinating or during a medical examination of the lower/higher abdomen. Stool is normal consistency with a frequency of 1-3 days. Other medical condition: General condition is okay, she has constant small pain around the belly button since she was little, unconnected to what she eats, time of the day or stool/pee; she is used to ignore it; she has a light form of vulvitis meaning it gets red and starts scratching so in order to fix this we use a dermatologic creme recommended by a dermatologist: Cicalfate; before bed each day, we wash her and use the creme; and the skin returns to a normal aspect if we keep using the creme; we tried other cremes as well, mostly they work but if we stop the treatment it starts inflammation again. There is no kind of liquid or secretion from vagina. Doctor: Hi. The child has only day time frequency. If she wakes up, then she voids. This is very significant history. This means there is no organic disease. A diseased bladder will lead to frequency day and night. No constipation, normal urine examination, normal ultrasound findings. Such frequency is transient behavioural issue. Do not pay attention to her demand to pass urine. Neither positive nor negative response. Stool habits are important, avoid constipation. During this transient period of symptoms: may give tablet Oxybutynin 5 mg extended release after breakfast. If persistent symptoms repeat urine analysis (no need of culture if no significant pus cells/ leukocytes)." + }, + { + "id": 20661, + "tgt": "What to do for nose block and throat infection?", + "src": "Patient: Hi doctor, I am 36 years old male. My weight is approximately 80 kg. My nose has been blocked and I am feeling tired. My throat is becoming sore. My chest is restless. What to do? Doctor: Hi. It seems that you are suffering from viral infection that could be the cause of your symptoms. I would suggest you to take I would also suggest you to take salt water gargling three to four times a day. Also try to have steam inhalation three to four times a day and drink plenty of fluids. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30011, + "tgt": "Kindly guide me with the medicine to control diabetes", + "src": "Patient: Hi doctor, I am 56 years old. My height is 167 cm and weight 100 kg. 11 years ago, I was diagnosed to have diabetes. The maximum score of my sugar was around 280 occasionally due to uncontrolled eating even with pills (DPP 4 and Metformin). Sometimes,\u00a0I have overeating problem.\u00a0My HbA1c is 6.5. My cardiac MRI showed inflammatory cardiomyopathy borderline with associated VPC. It is under control by Metoprolol 50 mg twice daily. Now, I would like to change my medicines. But, sulfonylurea medicines can increase weight. Acarbose and Voglibose do not work properly. The new medicine offered by my doctor was sodium glucose transporter, but I afraid of kidney damage. Another offer was a slow release Insulin injection, but this can also increase weight. Kindly guide me. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 14098, + "tgt": "Why do I feel something in throat and vomit after eating any food?", + "src": "Patient: Hello doctor, I seem to have something caught in my throat. When I try to swallow, my throat closes up and I vomit whatever I was trying to eat or drink. If I sit for a time, the excess saliva in my mouth will not even go down. Doctor: Hi. I have read your query. It looks like you either have a neuromuscular disorder of esophagus or esophageal motility disorder. There are several types of it. 1. Zenker's diverticulum. Do you vomit foul smelling, newly digested food? Zenker's is associated with intermittent difficulty in swallowing and regurgitation of old undigested food. There is excess salivation and also a nagging cough is present sometimes. 2. Diffuse esophageal spasm. It causes difficulty in swallowing and is associated with chest pain. There is drooling of saliva too. Do you have chest pain associated with esophagus? If yes, then DES is a possibility. 3. Achalasia cardia. The classical symptoms are difficulty in swallowing, regurgitation of food and weight loss. Have you noticed any weight loss in you? Difficulty in swallowing is initially for liquid food and then as the disease progresses it is also associated with solid foods. 4. Nutcracker esophagus. The complaints are similar to DES, like chest pain and difficulty in swallowing. 5. Gastroesophageal reflux disease. There is regurgitation of newly digested food and also burning sensation in heart. 6. Tumor in esophagus. The difficulty in swallowing shows a progressive increase in symptom. And the difficulty is more for solid foods than liquid. I feel your symptoms are suggestive of Zenker's most likely. However, for a confirmatory diagnosis you will need further evaluation. Please get a barium swallow esophagography done. You will also need an upper GI endoscopy to evaluate further. In case of Nutcracker's, manometry test is diagnostic. Please visit your nearest hospital to get yourself evaluated further." + }, + { + "id": 9198, + "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": 22222, + "tgt": "Why is my hair thinning and losing volume after delivery?", + "src": "Patient: Hello doctor, After delivery, my hair is thinning in the front part and lost my volume. Could you please suggest any tablets to regain density? Doctor: Hello. This happens due to hormonal changes occurring in the body. If you have any other symptoms like cold intolerance, constipation, hoarseness of voice or any other symptoms then kindly check thyroid functions. In homeopathy, we require detailed case history. You need to take at least six months of treatment to see significant changes. For a month you can take Natrum muriaticum 6X, four tablets three times a day. Lycopodium 30, one powder every week for a month and report. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 14243, + "tgt": "How much dosage of Sildenafil is advisable for erectile dysfunction in a diabetic?", + "src": "Patient: Hello doctor, I am 54 years male, having erectile dysfunction and diabetic for the last three years with HbA1c value 8. Can you please prescribe the dose of Sildenafil? Doctor: Hi. Erectile dysfunction can be due to many conditions including psychological and underlying like diabetes, hypertension, thyroid dysfunction, atherosclerotic disease and some medicine such as antipsychotic, some antihypertensives. So you need to be evaluated to find the cause of erectile dysfunction. Drug therapy includes Sildenafil, Tadalafil, Vardenafil, and injection Alprostadil can be used. These are prescription only drugs, so you need a prescription for the same. Sildenafil and related drug are contraindicated in a person taking nitrates. The starting dose of Sildenafil is 50 mg in most cases and depending upon the response the doses can be decreased or increased. It comes in 25, 50 and 100 mg dose. I would like to inform you that diabetes is one of the leading cause of erectile dysfunction and taking Sildenafil alone will offer temporary relief so you need to have good control of your diabetes." + }, + { + "id": 21137, + "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": 27575, + "tgt": "I developed flat pink dots on my chest. Is it due to a weekend of heavy drinking?", + "src": "Patient: Hello doctor, I have recently developed flat pink dots on my chest that do not hurt nor itch. I have attached a photo of the same. They came after a heavy weekend of drinking, and probably the worst hangover I have ever had. The night before the hangover, I had my shirt off for some good time and was outside for a bit. I do not recall ever having something like this before, and I am very curious as to what it might be. I also had a few cigarettes, and I never smoke. I am a 20 year old male, who is 6.3 feet tall, and I weigh 185 lbs. I am in good health, and I am not on any current medication. Doctor: Hello. I went through your post and image (attachment removed to protect patient identity), which you have posted. Regards. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28129, + "tgt": "I have amyopathic dermatomyositis, and I have two liver lesions. Is an MRI necessary?", + "src": "Patient: Hi doctor, I was just diagnosed with amyopathic dermatomyositis, and I have been put through a lot of cancer screenings as this does not run in my family. All tests are normal, except regular ultrasound of the abdomen showed two non-specific liver lesions up to 3.2 cm. The previous CT scan of the\u00a0abdomen for diverticulitis showed liver as normal without contrast. Can these lesions form in a year and be benign? I am stressed out. The report said hyperechogenic and likely hemangioma. I am scared to have an MRI. Doctor: Hello. I hope I have answered your question. Please let me know if you have any further questions or concerns.\u00a0Kind regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28492, + "tgt": "Why do I feel like water and liquid food get diffused outside my digestive tract?", + "src": "Patient: Hello doctor, I feel irritation and pain in the\u00a0abdomen, particularly below my right rib cage for almost two years now. I feel like water and liquid food gets diffused outside the digestive tract, into the outer parts and skin. It causes allergic irritation, inflammation, discomfort, and pain in that area, especially while I sleep or sit. Doctor: Hi. Revert with more information to a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 19988, + "tgt": "Why do I always get blocked nose once I come home?", + "src": "Patient: Hi doctor, For around six months, I am suffering with my nose allergy. When I go outside for a drive or something, I am fine without any problem with my nose. But, once I come home from outside, it is difficult for me to break by nose. I get blocked nose sometime one side nose and sometime both sides. There is no cold or fever, but blocked nose with sneeze. My local doctor said this is due to allergy. Also, he prescribed me some medicines. When I take that medicine, my problem goes away after and once the course gets over the problem will come back. I had medicines for a month and got tonsil stone. Now, even after three months, I still have something on the base of the tongue and tonsil. I have attached the photos of my mouth and throat. I am\u00a0really afraid to see this kind of problem in my mouth. Please give me some advice about the medicine to get rid of this problem. Doctor: Hello. We are happy to help you. Looking at the photos (attachment removed to protect patient identity) and with the description you have given I can understand how agonizing it is for you with these problems. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28754, + "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": 29577, + "tgt": "Is this a nipple infection or just part of pregnancy?", + "src": "Patient: Hello doctor, I am about 23 weeks pregnant. About five years ago, I had my nipples pierced and had got an infection in the right one. Due to infection, I took them out. The doctor told me to clean\u00a0them due to build up. So, every other day or whenever I feel, I used to clean them. Well, from the last two days my left nipple seems like it has the build up, but nothing has come out. It hurts, and on one side it is hard like. I was just wondering if this could be an infection or just due to pregnancy. Please, advice. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18600, + "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": 6304, + "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": 10914, + "tgt": "Why do I have tinnitus and how can this be treated?", + "src": "Patient: Hi doctor, I am 21 and suffering from tinnitus from last four months. The sound in the ears is not constant. It is changing. Sometimes, it is loud enough that I can hear it even in a crowded place and sometimes so low I cannot detect in a normal environment and the most important of all with a loud noise like train horn it is taking a peak and when the sound goes off it comes back to normal. My doctor told me this is due to cold and prescribed some antibiotics. But it did not work. So he told me to visit an ENT specialist. After visiting an ENT specialist, he told me my ears are fine but I should do an audiogram. And also given me some antibiotics. There was no hearing loss in the audiogram. And the medicines also did not work. Then I again visited the doctor. This time he told me there is nothing to worry about and sent me back home. What I want to ask is, if there are any other tests that could detect why this is happening and how this could be treated? Doctor: Hello. You are suffering from fluctuating tinnitus for four months as you have said. Tinnitus (ringing sensation in the ear) may be due to problems of the ear or problems not related to the ear. Ear problems causing tinnitus are generally associated with hearing loss. But that is ruled out in your case as your audiogram is normal. Some investigations need to be carried out: I would suggest you go for the investigations as suggested. If no cause is found, you should go for tinnitus retraining therapy. An audiologist may help. Avoid loud sounds, have a diet comprising of green vegetables and fruits containing beta-carotene (mango, papaya, etc.). For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7756, + "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": 17729, + "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": 27492, + "tgt": "From a year, why is my penis not getting hard like before?", + "src": "Patient: Hi doctor, I am a 50 year old male, and I am diabetic. From the last year, my penis when erect is not as hard as it used to be. Please help. 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": 15898, + "tgt": "Is it possible to get gum and cheek swelling due to tooth infection?", + "src": "Patient: Hi doctor, I have an infection in my tooth and my gum and cheek are swollen and I woke up this morning with a black eye. Doctor: Hi. I have gone through your question and I can understand your concern. It looks you are having acute apical periodontitis with buccal space and other spaces related infection. This condition needs antibiotics treatment and it is necessary. Take following medicines if you are not allergic to any of it and if your weight is more than 50 kg. Tablet Augmentin 625 thrice daily, after every eight hours for five days, tablet Aceclofenac 200 mg twice daily for five days. In case you feel stomach upset take Pantoprazole 40 mg, empty stomach in the morning for one week." + }, + { + "id": 21518, + "tgt": "I have unrelenting back pain between my shoulder blades. What could be the reason?", + "src": "Patient: Hello doctor, I am a 30 year old female. For the past few weeks, I have had an unrelenting back pain between my shoulder blades. I also have a sharp, tearing chest pain above my left breast area or along my sternum on my right side. The sharp pain will last a few minutes, then stop. At times, it radiates to my shoulder. When it happens, my pulse and blood pressure increase for a few minutes and I feel short of breath. What could this be? I had PE ten years ago but the pain was not quite the same. Doctor: Hello. After reviewing your health query, I want to add that there may be anything from a list of possibilities. So, as the next best step, you need to consult your PCP (primary care physician) and get referrals to consultations for a pulmonologist, a cardiologist and/or a gastroenterologist. Your PCP is capable of ruling out at the preliminary level on his own. He would refer you either to all of the aforementioned specialists or only one of them as he feels comfortable with. Once ruled out, we can better assist you and this hopefully will all be managed accordingly. Hope this helps. Please feel free to ask me more if you need further assistance. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 28649, + "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": 734, + "tgt": "How to affirm that my husband suffers from sex issue?", + "src": "Patient: Hi doctor, This is regarding the personal health of my husband. I am suffering from a very bad sex life due to very low sex interest of my husband.\u00a0To tell about the past, we had a long courtship period of 1-1/2 years in which I was able to understand from his conversations that he has very low interest in sex. I ignored that and got married to him.\u00a0Right after our marriage, we had sex daily and then it started reducing gradually. The frequency fell drastically from having sex once in a week to once in 15 days.\u00a0Whenever I tried to initiate or have a word with him about it, he said that a man needs to be very free to have sex and busy people generally have low sexual engagements. I know that it is not true and I believe that he gives some excuse to his own weakness. Now, at the end of one year of our marriage, the sex has reduced to once in a month. So, you can understand the level of frustration I have landed into, which is severely affecting my own personal health and interest in staying with him. He hardly gets aroused once in many days and does not react sexually even after I make advancements. He does not react, does not understand and most importantly, not able to enter me without putting a condom. He says he gets support with the condom. So, the second issue you can understand is that with that condom I cannot conceive also. He has very low interest in anything related to sex and he is not able to enter me properly as he says it hurts him. Otherwise, he is such a loving husband and its tough for me to believe that he does not want to make love to his wife for any other reason.\u00a0I would like to tell you that he does not have a separate skin from the shaft, it rather covers the shaft and that pretty much indicates he even masturbates very less. Could you please help me? Could you please tell me if this is normal with some men? Does the case of my husband look abnormal? What are the tests that he must get done to affirm that he suffers from sex issues or low testosterone? What line of treatment should I take him to?\u00a0Thanks in advance. Please help me as this is ruining my personal health and would probably push our marriage to the end of divorce as my family knows about it now and does not want me to stay in a marriage with a man who cannot keep me physically happy and still not accept he has some issues.\u00a0Thank you so much. Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26508, + "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": 9917, + "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": 421, + "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": 25563, + "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": 17221, + "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": 23120, + "tgt": "I have a mark on my toe. Can this be melanoma?", + "src": "Patient: Hello doctor, I have a mark on my toe that has been there a few years and although my GP was not concerned, I am very scared it could be melanoma. It has not changed dramatically but it could have changed subtly as in some photos it looks a little darker and others a little bigger, although it is hard to tell due to changes in lighting. Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). It seems a benign nevus, well-defined, regular, and uniformly colored. Moreover, it has not changed over the years. However, dermoscopy is the best way to be sure about that, as benign nevi have pigment along the furrows rather than the ridges of plantar dermatoglyphics (parallel furrow pattern) whereas melanoma also has pigment along the ridges (parallel ridge pattern) on dermoscopy. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29773, + "tgt": "Is there any side effect in taking Atomoxetine?", + "src": "Patient: Hi doctor, I was suspected to have adult ADHD. I am continuing Atomoxetine HCL for almost a year and my current dosage 60 mg/day. I observed significant improvement in concentration and reduced distraction. Is there any long term side effect of this drug? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2746, + "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": 24823, + "tgt": "What does stress have to do with Crohn's disease?", + "src": "Patient: Hello doctor, I have Crohn's disease. Two years back, I was fine. I had gone through extreme stress early that year and after that, I had a flare-up. I lost 9 kg in a month. Then, the doctors detected ulcers in my ileum I was diagnosed with Crohn's. I was out of work for 14 months. Assuming that it is a genetic or immune system-related disease, I have a couple of questions. Does it initiate due to stress? Does Crohn's get worse due to stress because now I need to take Humira every alternate week? Does the ulcers/flare-up happen due to stress? I am currently on Humira (Adalimumab), Azathioprine, and Omeprazole. Doctor: Hi. You have a very good treatment response to Adalimumab. You are on top-down therapy. Usually, flares are due to non-compliance with medications, secondary infections or malignant transformation. Usually, stress does not cause flare-ups. You may be switched back to Pentasa granules (Mesalazine) and Azoran (Azathioprine) as your terminal ileum has normalized endoscopically. You need to comply with medications. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1410, + "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": 22045, + "tgt": "Outer layer of penis is attached to the head of penis. Is it phimosis?", + "src": "Patient: Hi doctor, When I do intercourse I am not able to go deep up to the length of my penis. My outer layer of penis is attached to the head. I feel to ejaculate due to excitement. While having sex using condom I am able to insert whole of my penis and enjoy good sex. But without condom, I ejaculate in few minutes and not able to insert inside properly. As my wife is more supportive I feel bad for her now. I am afraid whether it is phimosis. Please suggest some remedy. Doctor: Hi. I have read and understood your problem. Yes, it may be Phimosis, the symptoms like difficulty during intercourse, hard to urinate will occur. You should use some lubricant or soap and try to pull the foreskin back by holding your penis in one hand and pulling back with another. Do not apply force and over few days it will be pulled back gradually. If skin remains stuck, then you may need a simple surgical procedure called Circumcision. As you are enjoying good sex with condom? You can apply Lignocaine gel to the head of penis 10 minutes before sex and wipe it off. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24201, + "tgt": "I have mild irritation around the navel. What medicines to take?", + "src": "Patient: Hello doctor, I have a mild irritation type around the navel area. What medicines to take? Please suggest medicine. Doctor: Hello. The irritation around the navel area is most likely due to fungal infection, especially if associated with itchiness and redness. So, please provide me with a clear photo and tell me if there is itchiness or redness. A local antifungal cream will be suitable after confirming the diagnosis. The other (less likely) diagnosis is scabies. Is there any irritation in other places of the body? Any other family members with same problem? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1547, + "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": 15679, + "tgt": "Why did I get blood in mucus while spitting?", + "src": "Patient: Hi doctor, Today I was in a fully airconditioned room with low temperature and when I returned to my room and when I spit the mucus, a pinch of blood came from my mouth. What would be the reason? One year and five months back, the same happened. Please help me. I stopped smoking one month back. I am 26 years old, and male. Doctor: Hi. The bleeding you had from your nose can be because of sneezing (forceful). There might be a small injury inside the nose that might have lead to the bleeding. I will advise you to avoid nose picking and keep your nostrils moist so as to allow the wound to heal. Regarding your acid reflux, I would like to know about your lifestyle and dietary patterns. What do you eat and your occupation, your sleeping time? Liquid Paraffin two drops per nostril for seven days. Avoid forceful sneezing." + }, + { + "id": 26010, + "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": 19295, + "tgt": "Something like tartar broke off from my teeth. What has to be done?", + "src": "Patient: Hello doctor, Something broke off from one of my teeth, and I would like to know what was it that broke and what I should do about it (if anything). I think it might have been tartar or cementum, but I do not know. They are hard and off whitish (a little yellowing). They are the same as that material that appears roughly along the bottom edges of my lower incisors. I think they are either tartar or cementum, but I do not know. Please let me know what you think they are and what my options are. Doctor: Hello. I have been through your query and I can understand your concern. It seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. From the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. During orthodontic treatment, the accumulation of tartar is common. You need to take extra care while brushing and cleaning the teeth. I would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. Moreover, I would like to advise you to maintain good oral hygiene and use mouthwashes. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10341, + "tgt": "I have depression and severe insomnia. Please help me", + "src": "Patient: Hi doctor, I am 79 years old. I have depression for over ten years. I usually take 10 ml alcohol every evening. I had been taking Prozac 20 mg for many years. I suffer from insomnia. I am taking Mirtazapine 15 mg, Valium 5 mg, and Phenergan 25 mg. These give me sleep for 12 hours. Before three days, I increased the dosage of Prozac to 30 mg as I was more depressed and extremely fatigued for many months. After taking it, it worsened my insomnia. I had no improvement in fatigue. A few months back, I took Mirtazapine 30 mg. It also worsened my insomnia. Then I reverted to 15 mg. Please help me. Doctor: Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence." + }, + { + "id": 10851, + "tgt": "What is the treatment when TSH is normal but T3 and T4 level are high?", + "src": "Patient: Hello doctor, According to the lab report which was taken a week before TSH level is normal but T3 and T4 level is mildly increased. Please suggest will I be cured with medicine or without medicine. Currently, I am under medication for a chocolate cyst (Dienogest 2 mg). Doctor: Hello. I have just read your query, and from what you have mentioned, it appears that you have a normal thyroid function test results. The slightly high T3 and T4 are not a thing to worry because they can be caused by other hormonal medicine that you are taking for your chocolate cyst.You can keep checking your thyroid function test every three months. I hope you find my advice beneficial." + }, + { + "id": 12858, + "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": 21743, + "tgt": "Why is there soreness and non-healing scab in my arm?", + "src": "Patient: Hello doctor, I have soreness on arm and scabs but when the scab falls off, it does not heal. An original sore was small rounded with a crust. Sore is over a year old. I am using aloe vera cream and steroid cream for a month. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I can see a crusted plaque. This could be either in situ carcinoma (Bowen's disease) or a squamous cell carcinoma. I can see signs of photodamage in the background, lots of sunspots. I suggest a skin biopsy. Do you have any symptoms like pain or itching? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26084, + "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": 12557, + "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": 15341, + "tgt": "Which type of surgery is better for hysterectomy for a patient with menorrhagia, open surgery or laparoscopy?", + "src": "Patient: Hello doctor, Which type of surgery is better for hysterectomy for a 45 year old patient with menorrhagia, open surgery or laparoscopy? Doctor: Hi. Laparoscopic hysterectomy is better due to: Consult an obstetrician and gynaecologist online for a detailed discussion --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8141, + "tgt": "What can be done for engorged vein in the penis?", + "src": "Patient: Hello doctor, I am a 31-year-old physically active male and I have been worried about the size of my superficial dorsal vein of the penis. It has slowly increased in thickness over the past few years. It looks extremely engorged in both erect and flaccid state. I am not experiencing any pain or erection problems so far. I had one varicocele surgery on the left side and two inguinal hernias repair seven years ago. I am not sure if there is any correlation. Is this a cause for concern? Should I consider any treatment? Doctor: Hi. The dorsal veins of the penis (superficial and deep) drain most of the penile blood back towards the heart. They have to be tortuous so that when the penis becomes erect, they do not stretch too much. The superficial vein is prominent because it is just below the skin. I would not worry about it. This is normal. Any lumpiness or ballooning or skin changes are abnormal and will require medical attention. Take care." + }, + { + "id": 15350, + "tgt": "Can I have proper erection after taking ayurvedic medicines?", + "src": "Patient: Hi doctor, I am 32 years old. I have the habit of masturbation for about ten years. I masturbate three to four times a day. Now, I am not getting a proper erection while doing sex, and my penis size has got reduced. Please suggest me an ayurvedic medicine without side effects. Doctor: Hi. Erectile dysfunction occurs as a psychogenic issue when you do not have medical conditions like diabetes, high blood pressure, and injuries. Excessive masturbation also causes erectile dysfunction and premature ejaculation. It also leads to a curved penis. It can be managed naturally through ayurvedic medicines. Take Ashwagandha powder three grams with Shiva Gutika (Shilajatu with Triphala kashaya) one tablet and Dhatupaushtik Vati (Shatavari with Gokhru) one tablet twice a day with warm milk after meals for two months regularly. Quit the habit of masturbation as soon as possible. Having it three to four times a month is enough. Having it three to four times a day is harmful to you. Avoid eating spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Do regular kapalbhati, Mandukasana, and pranayamas like anuloma vilom, Nadi shodan, and bhramari. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 1768, + "tgt": "What is the treatment for vaginal fungal infection?", + "src": "Patient: Hi doctor, I am 20 years old. I am sexually inactive for a year now. I am having some issues with my body parts. I had a film around my clitoris that came back often after washing it. In the past few days, I have been experiencing yeast infection symptoms. So today I got an over-the-counter medication for it. I inserted the tablet and it is being only for 12 hours. When I went to the washroom white fluid came pouring out. I have never got treated for yeast infection before. So, I was just wondering if that was normal. My current medication is only birth control pill. Please explain me. Doctor: Hello. For further information consult an\u00a0obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16874, + "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": 21617, + "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": 22887, + "tgt": "I have persistently high anti-TPO antibodies and get ill very frequently. Please help", + "src": "Patient: Hello doctor,I have long time thyroid issues with persistently high anti-TPO antibodies. I have done a full test panel. Thyroid seems to be in normal range but many other parameters are off the mark. Vitamin A is on the very low end of normal, same with iron. I get ill very frequently and get tired very easily. Numbness, muscular issues also happen sometimes. Kindly advise. Doctor: Hello. I have gone through your post. However, your investigations are not uploaded. Anyway, you are suffering from autoimmune thyroiditis and low serum iron which is common in females due to loss during menstruation. You should start iron supplements, tablet Levogen Z (Ferrous fumerate, Folic acid, etc.) morning and evening and Vitamin D supplements as capsule Lumia 60K (Cholecalciferol) weekly for six weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7693, + "tgt": "Why does a 10-year-old behaves as a 16-year-old?", + "src": "Patient: Hello doctor,I am asking about a 10-year-old girl. She is acting like she is much older than her age (in the wrong way). She is exhibiting behaviors of a 16-year-old, and it is very concerning. She is wearing heavy makeup, making lip-syncing videos using songs that have explicit language and talk about topics like sex, drugs, and alcohol. She is also trying to dress like she is 16 as well. She has a sister who is 21, and I think that she is trying to act like her, but her sister does not make these types of videos or work in this sort of way. Kindly advice on what to do. Doctor: Hello, Welcome to icliniq.com. From your description, it appears that the 10-year old girl in your family is modeling her behavior and trying to emulate some women around her. There may be a socio-cultural element that is driving this behavior, but the young girl's safety needs to be prioritized. Developmentally she is very young to be indulging in these type of practice and will not be mature enough to handle the unwanted attention. She may be putting herself in a vulnerable position by posting age-inappropriate videos. How is she doing in other aspects of life generally? How is she managing at school? How is she getting on with her friends? She needs more support and supervision from her parents or responsible adults in the family. Are you directly related to this young girl? 1) Try to discuss your concerns with the girl's parents or responsible adults in the family. Make sure there no safeguarding issues. 2) Try to be friendly and supportive of the girl. She should not be handled punitively but offered support and encourage her to talk. 3) Try to limit access to the internet and social media without supervision. 4) Encourage her to participate in healthy sports and play activities. 5) If there are any other emotional or behavioral problems, try to get her seen by a counselor or school counselor who can explore further and support accordingly." + }, + { + "id": 12742, + "tgt": "Please give me some premarital advice", + "src": "Patient: Hi doctor, I am 27 years old and soon I am going to get married. My doubts are, what are the birth control methods I can follow. What precaution should I follow for short-term and long-term birth control? May I know the difficulties which a girl face during her periods? I have no idea about that. She might be shy to express her difficulty. If I have prior knowledge, then I can trigger an indirect manner and communicate with her smoothly. During which period can I have intercourse for fertility? And when it can be avoided? Doctor: Hi. I have read and understood your problem. Regarding birth control, you can use a condom or your wife can use oral contraceptive pill OCP. There are several brands having no major difference so use easily available one. These are the two best suitable for newlyweds. It can be used for both short-term and long-term. Other methods like intrauterine device and long-acting injections are more suitable after first childbirth. Regarding periods, you have the wrong ideas that it is a difficult time for them. Periods are just a normal thing. Some of them may get pain or more bleeding which is controllable by medicine. You can have premarital counseling to know everything in detail. The so-called safe period is not 100% foolproof to avoid pregnancy. Pregnancy can take place at any time except during periods. But is less probable during first and last week of the monthly cycle. If you want to avoid pregnancy, then use a contraceptive. If you want to get pregnancy, then try the whole month except for the bleeding phase. There is no need to restrict your pleasure and limit your chance." + }, + { + "id": 24017, + "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": 12567, + "tgt": "What can cause pain and an associated red colored patch?", + "src": "Patient: Hi doctor, It is about two months that I have pain in the L5/S1 region. I also have a red patch at this region. The picture of which I have attached. It is a localized pain. When I bend forward or sit down it increases. But, when I bend backward I do not have any problem. The red patch does not itch. I have frequent urination, burning sensation before or after urination and occasional pelvic pain. I do not know whether the two problems are related or not. Currently, I focused on my back pain problem. I am waiting for an MRI which will be one month later. I have some questions to you as an expert in the field. What is the red patch at L5/S1 region? What can be the cause? What could be the source of pain at L5/S1 region? I am pleased for your advice. Doctor: Hi. I have read your query. I have seen the attached photographs (attachment removed to protect patient identity) also. I understand your concern. The possibilities for the red patch on your back are lichen simplex chronicus and tinea corporis. Lichen simplex chronicus is characterized by hyperpigmented patch with roughened skin. Tinea corporis is a fungal infection of skin and characterized by red colored scaly rash. Treatment depends on the diagnosis: For back pain you visit an internal medicine specialist in person for physical evaluation." + }, + { + "id": 17966, + "tgt": "Kindly explain me about antirabies vaccine", + "src": "Patient: Hello doctor, I was bitten by a dog 10 days ago and got my first antirabies vaccine the next day. Also I got the second and third dose with a gap of three days, respectively. The wound was quite deep and the dog was unknown and untraceable. Everyone guiding me to take complete course of antirabies vaccine. My doctor said that three antirabies vaccine shots are enough. He said that these are different from the antirabies vaccine available in private. Do I need to take another two shots of antirabies vaccine in private? Please suggest Thanks. Doctor: Hi. I am sorry for the dog bite. But, I am glad that you have taken the correct schedule of vaccines till now. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4434, + "tgt": "Is PET scan a must to identify the stage of cancer?", + "src": "Patient: Hi doctor, My query is regarding my relative who is suffering from carcinoma of cervix. I would kindly request you to advise us regarding the stage of cancer based on the biopsy, MRI and CT scan report which I have attached here for your reference. In her MRI report, there is a feature suggestive of carcinoma of the cervix with parametrial extension. In CT scan it gives an impression of bulky cervix with parametrial fat stranding along with a few subcentimeter sized parenchymal and subpleural nodes in the bilateral lower lobes. I would like to know whether the above mentioned reports are sufficient to identify the stage of cancer? She even advised to get vaginal examination done. Is a PET scan necessary in this case in order to get a clear view than CT scan? Kindly guide us. Doctor: Hi. I would like to assure you that everything is going to be fine soon. I have thoroughly gone through your case and the reports (attachment removed to protect patient identity) and can well understand your genuine concerns. 1. She has got cervical carcinoma. 2. It is a well differentiated type of adenocarcinoma that is an invasive cancer. This is a less common type of cancer compared to the squamous carcinoma. 3. According to the staging systems devised for cervical cancers (AJCC-American Joint Committee on Cancer, TNM- tumor, lymph node and metastasis and FIGO - International Federation of Gynecology and Obstetrics), the tumor in this patient had spread to the distant organs. Thus it shows the lung metastasis. 4. It falls into stage IV of the cervical cancer. 5. Consult her treating physician for clinical correlation as it is very important, since I do not have the complete case in front of me. 1. No need of PET scan in this case. 2. Vagina is normal on MRI of pelvis, so no need to worry for vaginal examination. For further queries consult an internal medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19208, + "tgt": "How to prevent bleeding on brushing?", + "src": "Patient: Hi doctor, I noticed light bleeding while brushing. I feel minor discomfort in the gums at the centre, top and back of the teeth. I do not have much pain. Can I apply anything externally on the gums to prevent bleeding? Please advice. Doctor: Hi. For further information consult a dentist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7009, + "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": 28478, + "tgt": "I was diagnosed with IBS many years back. How to get rid of its symptoms?", + "src": "Patient: Hi\u00a0doctor, I am a 42 year old\u00a0male, who weighs 210 lbs, and I am 5.11 feet tall. I have been having severe digestive and related symptoms for quite some time. I was diagnosed with IBS many years ago, but I would like a second opinion. My symptoms include severe nausea, vomiting, diarrhea, fatigue, dizziness, headache, loud digestive noises, cramping, bloating, and food intolerances. I have been gluten-free and dairy-free for many years. I eat very healthy food with lots of fresh vegetables and meats, not a lot of processed foods, very\u00a0little sugar, rarely coffee or tea, and drink mostly water. These symptoms would come and go throughout my life. The older I get, the worse the symptoms become. Now I am sick all the time and can barely function. All I want to do is sleep. I went to the ER last night and explained the symptoms and medical history, so the doctor did some tests, the reports of which I am attaching. I received IV fluids and was discharged. The doctor stated that my lab results were \"benign.\" I went over my results, and they do not appear \"benign\" to me, so I would like a second opinion. Thank you. Doctor: Hello. 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": 27332, + "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": 19571, + "tgt": "Do I need to visit a doctor for ear block issue?", + "src": "Patient: Hi doctor,I just tried an ear wax cleaner and it just completely blocked my ears. I am having an\u00a0ear block issue even after swimming. Is there anything I can do at home? Or do I need to visit a doctor? Doctor: Hello. The wax has absorbed the cleaning fluid and got swollen blocking the ear canal. It is common. The block is transient and you keep putting the drops as advised by the ENT doctor. Usually we put drops for 4 to 5 times daily for five to six days and then go back to the clinic for wax removal. Wax drops are advised to make the wax softer and help remove the ear wax without pain and also to remove completely. If you have not been advised by a doctor to use wax drops and you have self-medicated yourself, then it is better to consult an ENT doctor immediately as we do not know what exactly has caused the ear block. Wax drops should not be used in the ears with otitis media (middle ear infection) or otitis externa (infection of the ear canal). For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17579, + "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": 25680, + "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": 18492, + "tgt": "My father's report states 'hypoechoic areas in the testis'. What does that mean?", + "src": "Patient: Hello doctor, My 63 year old father is a diabetic\u00a0patient. He suffered from a urinary tract infection of E.coli bacteria. He was treated and cured in a\u00a0month. After this, he suffered from a scrotum pain and we got two ultrasounds done. In the first one, the report states 'Epididymo-orchitis'. Now, he is relieved of pain and the swelling is reduced, but not completely. The second ultrasound report states 'Enlarged left testis and epididymis altered echotexture, multiple hypoechoic areas are noted in the left testes measuring 16.1 by 9.5mm.' Can you please explain the second ultrasound report? What does it imply? What should we do next? Doctor: Hello. Diabetic patients are always prone to infection like urinary tract infections and orchitis. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 8530, + "tgt": "Why does my daughter sneeze excessively after swimming?", + "src": "Patient: Hello doctor,My daughter is coughing, sneezing, no fever, and wheezing when breathing. She was at the pool. Usually, she excessively sneezes after swimming. What can I do? Doctor: Hello. I have gone through your daughter\u2019s problem. Her complaints might be due to an allergic reaction to the chlorine in the swimming pools (particularly due to chloramines release) to which some people are more especially prone. This can also be due to the development of a chronic sinusitis. These are some things you must follow: Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26108, + "tgt": "Can we take Nano Leo and Tazzle before intercourse for Erection Problem?", + "src": "Patient: Hi doctor, I have erectile dysfunction problem. My doctor prescribed me to take Nano Leo sachet twice daily and Tazzle tablet 2 hours before intercourse. Is it fine to take those? Doctor: Hi. Please provide me details about your medical history, age, weight, marital status and reasons for this. Medicines should be taken after proper evaluation. Please give me more details to help you." + }, + { + "id": 24313, + "tgt": "Is it true that dairy products are not good for us? Are the alternatives healthy?", + "src": "Patient: Hello doctor,Should we buy into the idea that dairy is not so great for us? Are the alternatives as healthy as we are led to believe? What about the option of just giving up milk and not trying to replace it with anything, is that a good idea? Do you have advice on choosing the best milk alternative? Doctor: Hello. The idea of quitting dairy is quite controversial. There is a lot of debate on this topic. If you are giving up milk products, you might have to replace it with some other form of protein like sprouts, nuts, etc. The alternatives to milk these days are soy milk, almond milk, oat milk, coconut milk and rice milk. While these are easily available in supermarkets, it is very important to 'read the labels' of any food item you buy. This rule applies to these alternatives for milk too. I personally have read labels on packs of almond milk, soy milk, etc., and found a lot of chemical additives in it. Follow a basic rule - if you do not understand an ingredient or if it sounds like a chemical name, it probably is not good for you. You may be better off drinking real milk than these alternatives that are loaded with chemicals. If you buy milk, try to buy organic milk which is free of antibiotics or hormones. If you really want to give up milk and move to other alternatives of milk, then it is a good idea to make it in your kitchen. Almond milk, coconut milk, and oats milk can easily be made at home. You can check online video resources for this. I hope that helps. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 5814, + "tgt": "I am diagnosed with hepatitis B. Do I need medication or monitoring the condition?", + "src": "Patient: Hello doctor, I have been diagnosed with hepatitis B and have attached my test results. But I am not sure how severe my case is. Do I need medication, or do I just have to monitor my condition? Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). As I can see from the reports, you are positive for Hepatitis B. The indication for the treatment as per American guidelines is dependent on liver function test and the presence or absence of cirrhosis. So you will need further testing in the form of a liver function test, a thorough clinical examination and an ultrasound of the liver to ascertain whether you will need a treatment or just follow up. I hope this helps." + }, + { + "id": 5725, + "tgt": "Will the UA be negative when heroin-positive menses blood is mixed with clear urine?", + "src": "Patient: Hello doctor, My daughter is currently in recovery from heroin and my husband and I\u00a0believe she is using it again. We check her UA's\u00a0at home and mail the findings to a lab. We suspect that she is giving us her friend\u2019s urine. However, I\u00a0know that today she began her menses and the urine she gave us is blood tinged slightly. Our question is\u00a0if the urine is clean for heroin and if the blood is not, will the urine drug screen come back negative? Doctor: Hello. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6613, + "tgt": "What are the dos and don'ts in cervical incompetence?", + "src": "Patient: Hi doctor, I am 110 days pregnant. When we took scan in the 13th week, the report showed that the uterus is open. They said it as cervical incompetence and immediately advised operation for cervical suturing treatment. I need a second opinion regarding this. Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24531, + "tgt": "I have severe anxiety due to fear of HIV. Please help me", + "src": "Patient: Hello doctor, I had sex with a sex worker with a condom on but at that time, I had itching problem in my hip joints. I had sex for four to five minutes. That was my first time having sex. I am in too much fear of HIV. I tested tri-dot on the 31st day and it was negative. Before the test, I had a skin rash which was cleared by Levocetirizine? What should I do? How much percent cases were found to be positive after three months being negative on the first month? I have too much anxiety. I am unable to eat food too due to fear. Please help me. Doctor: Hello. The chances of transmission of HIV by protected intercourse is nil if used in a right way. Tri-dot being negative after one month is good. The chances of HIV tests coming positive later is almost nil. It would be better to go for HIV antibodies tests or tri-dot after three months to be relieved of anxiety totally. The rashes are not related to HIV. It may be due to fungal infection. For further queries consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 27992, + "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": 22286, + "tgt": "What decides production of breast milk?", + "src": "Patient: Hello doctor, I am a 29-year-old female. I have a 9 years old daughter. After two months of my delivery, my one breast produced more milk than other. But now I am planning for second child. My query is whether there will be normal or same production of milk after second delivery? Doctor: Hello. This cannot be told. Breast milk production depends on many things like how much baby suck from it, how much development of breast tissue occurs under the hormonal influence during pregnancy, the nature of cell, how much these cells are sensitive to milk production signals after delivery and what are the glandular tissue. So, try to breastfeed equally on both sides, and it should end your problem. There is some chance of less milk production on the same side. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25398, + "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": 21528, + "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": 14909, + "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": 6710, + "tgt": "My uncle has fluid in the left lung with a lump in it. Is it necessary to do a biopsy for the lump?", + "src": "Patient: Hello doctor, My uncle is suffering from breathing problems for ten days. Now the condition is that he cannot even inhale oxygen through the nose. He is inhaling through his mouth. And he is so weak that he cannot use the restroom by himself. Doctor adviced him to do echocardiography. The report shows the presence of fluid in the left lungs. We admitted him to the hospital immediately. Doctor removed the fluid of about 1.5 liters out of 5 liters, and the fluid is reddish. Again they did a CT scan, and they are telling that a lump is seen in the upper side of the left lung. They want to do a biopsy. But we do not want to do so because, if it is a malignancy, then we do not want to operate that. Please suggest what to do. Doctor: Hello. As you said, your uncle is suffering from left pleural effusion with left lung cancer. According to your history, he is very symptomatic and needs draining of fluid frequently to relieve dyspnea. Also, your doctor has rightly said that we must do a biopsy of the lump, to find out the exact type of cancer to start appropriate chemotherapy or radiotherapy as per the report. It is not necessary to do surgery all the time. But if he is having a recurrent collection of pleural fluid, then he might need a procedure called Pleurodesis to close the space around the lungs to prevent the recurrent filling of fluid. So it is up to the wish of the patient and relatives to start chemotherapy or not after the diagnosis of cancer is done. Otherwise, you can continue with only symptomatic (palliative) treatment and frequent tapping of fluid to relieve dyspnea. I hope this helps." + }, + { + "id": 12748, + "tgt": "What is causing constant eye floaters, low back and hip pain?", + "src": "Patient: Hello doctor, I am having constant eye floaters, low back and hip pain, also my rib cage hurts. I feel depressed and anxious like never before. I cannot sleep at night. MRI of brain shows tiny flair. Radiologists are saying that it is nothing to worry about. What should I do? Doctor: Hi. Eye floaters are commonly associated with some issues with the visual field. So I would recommend consulting with an ophthalmologist to rule out any issues with your eyes. It can also be associated with migraine headaches. Low back pain and hip pain are common symptoms as well but I do not feel it is related to your eye floaters. I would recommend getting a few blood tests such as vitamin D, calcium levels, thyroid and vitamin B12. If above is negative then investigating into rheumatological causes depends on your clinical exam findings. MRI brain showing flair changes is non-specific." + }, + { + "id": 6024, + "tgt": "My herpeSelect Elisa IgG score is 3. 3. Could it be false positive?", + "src": "Patient: Hello doctor, I met with a girl a few months back. She had been rubbing her vagina and then put her finger in my backside. She said she was clean but hard to know. After about three months, I got tested for STD panel and came up negative with everything including HSV 2 except for HSV 1, which came up positive. However, the test used was herpeSelect Elisa IgG, which I read is known to have false positives. My score was 3.3. I read if the score is less than 3.5 then it could be a false positive. A week later, I retested using herpeSelect immunoblot, which is supposed to be more accurate and tested negative for HSV 1 and 2. However, for the past three months, I am having itching in my backside, which could be due to sweat and anxiety. Do I have anything to worry about or trust the latest results that I have no herpes and put this to rest? Doctor: Hello. 1. The manifestation which you are saying are not of herpes, they normally present as grouped vesicles on an erythematous base. 2. Herpes has an incubation period of five days, it means symptoms would have to develop within five days of infection. 3. Your test are absolutely normal and you do not have to worry about it. 4. If you would have any vesicular eruption which is extremely painful, then you would have chances of herpes, so go for Tzanck smear and DFA (direct fluorescent antibody) test for it. 5. Always indulge yourself in safe sex practice because herpes genitalis caused by HSV 2 (herpes simplex virus) is an incurable condition." + }, + { + "id": 6033, + "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": 8731, + "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": 15303, + "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": 7951, + "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": 10375, + "tgt": "Is there any treatment for frequent urination in ayurveda?", + "src": "Patient: Hi doctor, My sister is 20 years old. She does not feel bladder emptying and she was diagnosed to have a\u00a0weak bladder.\u00a0She has frequent urination problem and undergoing allopathy treatment for the past one year.\u00a0Still, there is no significant improvement. Is there any treatment for frequent urination in ayurveda? Doctor: Hello. Urodynamics if needed. Revert back after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26855, + "tgt": "Lately, I am unable to think and talk clearly. What could be the reason?", + "src": "Patient: Hello doctor, I am a 20 year old male. I have had speech difficulties since I was a kid. Now, it has progressed, and it is hard to say what I am thinking. I tend to have slow speech and thinking. Of late,\u00a0it has been getting worse. I have to carefully think of what to say\u00a0when I talk. I feel like my mouth cannot connect to my brain. I know exactly what I want to say, but when I actually try\u00a0to say it, it comes out slow and unclear. My relationship with my dad is deteriorating due to this. I seem distant and absent. When he tries to talk to me, I find it hard to pay attention and it has caused me to be completely quiet. I find isolation to be relaxing. I hate this personality\u00a0of mine because it can cause an anger outburst as I cannot express myself clearly.\u00a0All this terrifies me. I am not sure if it is Asperger syndrome or because\u00a0of head trauma. Please help me. I am not sure who I am anymore. I do not have a defined personality. I\u00a0weigh 260 pounds. I work 50 plus hours a week. I am a very hard worker. I recently got health insurance at work. I played football for four years.\u00a0I believe that I have a mental disorder and would appreciate help in identifying what it could be. Doctor: Hello. I can understand your concern. So please talk to a psychiatrist for treatment of the symptoms. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14255, + "tgt": "Can a breathing treatment given before a chest x-ray hide lung cancer?", + "src": "Patient: Hello doctor, I am a 55 year old female. Can a breathing treatment given before a chest x-ray, hide lung cancer? Doctor: Hi. I have read through your query. Please find my observations below. Breathing treatments like nebulizers will not hide any suspected lung cancer when given before taking a chest x-ray. Chest x-ray is a basic investigation used to screen the lungs field and heart and usually done as a routine investigation. A routine chest x-ray usually picks up any nodules or mass in the lung fields that might represent lung cancer and is not affected by the patient taking nebulization therapy. If there are strong reasons to suspect a lung cancer, then a CT scan chest is the best investigation and gives a complete detailed overview of the lungs. In conclusion, breathing treatment will not hide lung cancer when given before taking a chest x-ray." + }, + { + "id": 8957, + "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": 14345, + "tgt": "What are the reasons for bleeding gums?", + "src": "Patient: Hi doctor, I have bleeding gums over only one tooth. The gums are neither swollen nor painful. But, I have bright red lining just above that tooth when I finish brushing. I would like to stress that it is the only area that bleeds. Also, the next to that tooth I had a root canal treatment before two and a half years. It seems that I may need another one soon since they never put a cap over it. What could be wrong with the gum around that tooth? I really do not believe it as an abscess. Doctor: Hello. Revert back with the photos to a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16234, + "tgt": "I had irritation around the anal area. Why?", + "src": "Patient: Hi doctor, I am a 39-year-old male. I had irritation around the anal area before a week. Please suggest. Doctor: Hi. It will be easy for me to help you if you upload a picture of it." + }, + { + "id": 27334, + "tgt": "I ejaculate too fast. How can I delay this?", + "src": "Patient: Hello\u00a0doctor, I am a 20 year old. I think that I ejaculate very early during sex and this dissatisfies me often. It takes me hardly three to four minutes. Please suggest some treatment that would help me last longer without ejaculating very soon during sex. Please help. Doctor: Hello. Premature ejaculation is not a disease, and it is seen in almost all men at some point in their lives. It occurs because of stress and anxiety about performing during sex or a previous bad sexual experience. Medicines can be taken initially to reduce your anxiety if you are married or have sex regularly. Practicing exercises to strengthen the muscles which help in ejaculation and retraining the penis to ejaculate late, would be a more permanent solution rather than taking medicines. There is no permanent cure by any system of medicine. You can read in detail about these exercises online: All medicines are for temporary relief. The safest drug prescribed world over by qualified doctors is Duralast (Dapoxetine). A combination of the above-mentioned exercises and Duralast will be a permanent solution. After mastering these exercises, gradually you can stop Duralast. This tablet should not be taken every day, only during sex. Take the tablet one to two hours before intercourse. A mild dryness of the mouth, giddiness, and nausea can occur in few patients. It gradually decreases after few days. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21872, + "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": 11392, + "tgt": "Does changing the formula milk cause vomiting and diarrhea in a 4 weeks old baby?", + "src": "Patient: Hello doctor, I changed my four weeks old baby\u2019s formula milk, and it caused him to vomit after feeds and he had diarrhea. Should I change it to thick formula milk because he has reflux? Is this a normal side effect? Doctor: Hello. From the reflux point of view, the first thing that is to be done is to keep the baby at an angle of 35 degrees to the ground level after feeding. This will reduce the chances of reflux more than any medication. The next thing to be done before feed thickening is to start the child on Perinorm (Metoclopramide) and Rantac (Ranitidine). If all these do not work, food thickening is to be done. Also, I would recommend you to get a reflux study of the child done for a better knowledge of what grade of reflux the child is suffering from." + }, + { + "id": 21190, + "tgt": "How to recover fast from chickenpox?", + "src": "Patient: Hi doctor, I am suffering from chickenpox for the past five days. Now, the blisters have become blackish. What shall I do for a fast recovery? Doctor: Hi. Chickenpox is a self-resolvable condition. Make sure to decontaminate the bedding and clothing as falling of blisters results in virus dissemination. For itching, apply antihistamine lotions like Caladryl (Calamine with Diphenhydramine). If you have children at home, make sure that they get a vaccination for chickenpox. For future references, remember that persons more than 12 years old, pregnant, or less than one year old should receive an antiviral medication Acyclovir within 24 hours when the rash appears. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23075, + "tgt": "I am getting erectile dysfunction as a side effect of Dutasteride. How to get out of this?", + "src": "Patient: Hi doctor, I have been using Dutasteride tablets\u00a0for the past one month for hair loss treatment. I have been facing erectile dysfunction for the past one month. Now, I have come to know that this is the side effect of Dutasteride. How to get out of this? Doctor: Hi. Drugs like Dutasteride acts by inhibition of conversion of testosterone to its more active and potent form of dihydrotestosterone. Thus the side effects may include loss of libido, erectile dysfunction, low mood, irritability and depression. Although, the frequency of such adverse effects is not very high, but they are potentially frustrating. Sometimes, reduced libido may not be due to a direct side effect of Dutasteride, but is purely psychological. But still, if you have noted significant reduction in sexual desire and erection, I suggest you stop the medication. With prolonged use the condition may be irreversible and no doubt that would be more troublesome than loss of hair. Let me give you two tips for both the problems. Onion juice contains sulfur, which increases production of keratin. Garlic on the other hand cleanses fat and cholesterol deposition from smaller blood vessels, thus improving erections by supplying more blood to the penile tissues. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26182, + "tgt": "I often end up saying things which I do not mean to. How do I avoid this?", + "src": "Patient: Hi doctor, I often end up saying things which I do not want to, especially with my friends, Later it takes a toll on me. I am fine with the regrets, but I am not able to learn from my regrets. Each time, I decide not to say certain things before I meet or speak to my friend, but eventually, end up saying exactly that. I do not like what I am doing. It happens only with my close friends because I am myself with them. But now, I do not want to be this way with anyone. I do not hate them. Can you help me? Doctor: Hello. I understand how you feel about it. I hope I was able to help you start with the process. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 19179, + "tgt": "CKD patient with high phosphorus content. Is dialysis required now?", + "src": "Patient: Hello doctor, My father is suffering from\u00a0CKD\u00a0for the\u00a0past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right way of treatment? He is on Insulin, but his\u00a0fasting\u00a0sugar is 59 and hemoglobin is 8.90 at the moment.\u00a0Urine output is equal to input.\u00a0His current medicines are these Minipress 0.25 mg, Moxovas, Zyloric and Arkamin. He is having constipation problem. I have attached his reports for your reference. Please help. Doctor: Hi. After seeing all the details and your father's reports (attachment removed to protect patient identity).\u00a0I would like to ask few questions. Iron profile, ferritin and iPTH. Chronic kidney disease (CKD) or end-stage renal disease (ESRD) due to possible diabetic nephropathy. 1. Continue your previous medications along with the tablet Revlamer 400 mg one tablet twice daily with meals. 2. Take Lactifiber two scoops at night. Avoid all sorts of painkillers and alternative medicines containing heavy metals. Revert back after the investigations to a nephrologist online.---> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 12975, + "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": 19776, + "tgt": "I missed period for the first time in life. What could be the reason?", + "src": "Patient: Hi doctor, I miss my period. It is about a week late and I am having lower back pain, headache almost every day and cramps like I am having a period. I took a test yesterday at the doctor's office but it was negative. The doctor mentioned something about hCG because I never missed a period in my life. Doctor: Hello. The fact that you have missed your menses by 7 days and the urine pregnancy test is negative, indicates that you are not pregnant. But considering the fact that this is the first time, the doctor must have ordered blood-based serum beta hCG test which is again a more specific test for detecting pregnancy. If the hcg levels are less than 1 ng/dl then it ensures that you are not pregnant at all. The delay or absence of period at your age group can be due to stress-induced hormonal imbalances most likely, but nevertheless, a hormonal profile should be done to look for any hypothyroidism or hyperprolactinemia. The abdominal cramps and headache though indicate PMS (premenstrual symptoms), shows that your menses shall ensue in the next few days." + }, + { + "id": 21588, + "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": 11928, + "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": 13431, + "tgt": "Could Omeprazole cause changes in ECG and increase the heart rate?", + "src": "Patient: Hi doctor, Please read my query and give me your best opinion. I am currently under a cardiologist due to fears that I have had a heart attack in the past and chronic chest discomfort. My cardiologist asked me to take a Holter monitor for 24-hours and the reports he gave me last week were normal. He said that everything was normal. He stated that my maximum pulse was 134 (while working hard), minimum 55 (while sleeping) and average 87. He did capture palpitations but said these were normal increases in pulse associated with activity. He stated that my ECG\u00a0shows Q wave. Though he said, that is not a pathological and I do not have right BBB,\u00a0(last week) he did, however,\u00a0referred me for an echocardiogram to reassure me. He also said that it would be very unlikely for it to be abnormal considering everything else normal. I have had lots of ECGs for the\u00a0last few months and all normal aside from the Q waves. I have also had my troponin levels monitored, and these too were normal. All doctors say that it is due to anxiety. Before four days, I was taken to A and E due to a sudden increase in pulse from 81 to 135. It then settled within 2 minutes, however as it had panicked me I attended A and E. In A and E, they checked my oxygen (99%), BP (153/92 mmHg) and my pulse (118). The ECG\u00a0showed normal, sinus tachycardia; however, I was concerned over what looked like ST elevation in AVR. When I asked for the second opinion, I was told that it is fine as it was only in one lead in AVR\u00a0and not an acute heart attack. I then requested a second ECG\u00a0as my pulse had gone down to 90s. It again showed normal sinus rhythm and no issues and was sent home from A and E. I have since been in a state of worry over my ECG,\u00a0which I have attached here. I would like to ask you if the ECG show\u00a0any issues aside from my usual Q waves. Also, my QRS is long on the new ECG and on this day I started a new course of medication called Omeprazole, which can allegedly cause changes to heart rhythm. Could this have caused my long QRS\u00a0and heart rate spike? I am a non-smoker, do not drink and have no family history of heart disease. Doctor: Hi. Anxiety and panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be present, are indicative of heart damage in case of heart attack. But, your echo is normal and so no need to worry at all. There is also T-wave insertion in lead 3 and non-significant elevation in AVR. So, given these changes, I would advise for some stress test like treadmill test or stress thallium, which you did not mention anything about. If you have not undergone it, then you can have it to rule out the possibility of inducible ischemia. The QRS prolonging of such mild degree is not significant, and this much variation may normally occur with different ECG. It is not very common with Omeprazole. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8389, + "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": 12906, + "tgt": "What causes burning and redness in eye with blurred vision?", + "src": "Patient: Hi doctor, About every year, I have this problem but this year it is there for a long time. I am a girl that have these eye problems. Burning eyes and redness of the eye, puffing around the eyes with pain, tears from the involuntary eye, blurred vision, and the doctor did not diagnose my problem. So, my age is 18 and not going to school because of this problem. Please help me. Doctor: Hello. Since you mentioned that you get this problem every year, this suggests the cause as seasonal allergic conjunctivitis. This problem frequently causes dry eyes, which causes a feeling of burning sensation. So all these problems go hand in hand. To be honest, there is no permanent cure. But, this problem can be lessened and avoided by following the steps given below: Avoid rubbing the eyes (is most important). Use over-the-counter anti-allergic drops like Olopatadine 0.1/0.2 % along with lubricants like Carboxymethylcellulose Acetate 0.5 % (these are mostly free of side-effects, so it can be used over prolonged periods). Close your eyes and apply ice cubes over them. Visit your ophthalmologists in case of the following. Pain, sticking together of eyelids, drop in vision, non-resolution of symptoms despite treatment for around 10 days." + }, + { + "id": 8873, + "tgt": "How severe is the damage in my MRI report?", + "src": "Patient: Hello doctor,I have an MRI report for my right shoulder. I had a car accident and would like to know if the car accident could have caused the injuries that are in the MRI report. I would also like to know how severe the damage is. I had a steroid injection done a week before the MRI was taken. There is only an image file, not dicom files. I made a mistake while loading the MRI report. Doctor: Hello. The three main findings highlighted in the MRI are, 1) Rotator cuff- there appears to be little evidence of a recent trauma with only an intra substance delamination but no tear. And some bursal fraying as adjacent fluid again degenerative is not traumatic. 2) Acromion and subacromial space findings are degenerative and not traumatic. 3) SLAP lesion mentioned could be traumatic and ideally needs to be confirmed arthroscopically as sometimes anatomical variation may mimic the findings. The symptoms that you have mentioned in the arm do not primarily appear to be coming from the shoulder except for the clicking sensation. Is the click painful or only perceived annoyance. Finally, what was the response been to the injection to the shoulder? Was it given intra articularly or subacromial? Have you had an MRI of the neck and has there been any improvement of the sensory symptoms in general. Have you tried Pregabalin?" + }, + { + "id": 15151, + "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": 23152, + "tgt": "I have severe pain in the right buttock. Why?", + "src": "Patient: Hello doctor, I am having pain in the right buttock\u00a0and also pain below upper leg and below knee. I feel uncomfortable while sitting, standing as well as walking. First I met a general surgeon; he examined me and advised me to go to an orthopedician. Orthopedician took x-ray and blood test. He informed me that my blood sugar is in brim level (margin) and started treating me with Celecoxib two times daily for one month. He did not ask me to visit further. I want to know about my disease. Please help. Doctor: Hello. Follow up with answers to these questions and then I will be in a better position to answer your query. Revert back with the asked details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6145, + "tgt": "What causes racing heartbeat and numbness in left hand?", + "src": "Patient: Hi doctor, Three months ago, I started feeling racing heartbeat and numbness in left hand and felt like I am losing control on my body. I contacted a doctor and he gave me some anxiety pills but after five days I got a strong panic attack which lasted for three hours until I take a pill name Placida. Then I contacted a psychiatrist. He gave a pill for six weeks. Now I am not taking any pill but I am feeling strange feeling in my body like I feel head is heavy and sometimes I feel a strange sensation and weakness in my chest, hand, and back area, and shortness of breath. Sometimes, I feel my heart is heavy and sometimes I feel strange weakness in my chest and muscles of hand and suffering from heavy head. Should I again consult a psychiatrist or I should consult a heart specialist? Kindly tell me what should I do. Doctor: Hello. Racing heart beat (palpitations) can be due to different causes. Excessive anxiety, panic attacks is a common cause of palpitations. If you had no prior history of anxiety and suddenly developed palpitations, it is advisable to consult a heart specialist (cardiologist) so that any heart related issues can be ruled out. If you have never consulted a cardiologist before, it will also be reassuring for you to see the specialist and take his opinion. If there are no physical health problems, then your symptoms are probably related to excessive anxiety or health anxiety and you can follow up with your psychiatrist for further treatment." + }, + { + "id": 18566, + "tgt": "I was treated for UTI, but mild irritation is still present. Kindly help me", + "src": "Patient: Hello doctor, I am a 39 year old healthy male. Around two months back, I had slight inflammation and itching in my penis. It compelled me to urinate throughout the night. When I have seen the doctor, he tested my sugar, which came normal. So, he gave UTI medicines for five days. The burning sensation gone, but I realize mild irritation in the top of the urethra for more than a month. When I visited my doctor after a month he suggested me to visit a urologist. The urologist physically verified the penis and said nothing is wrong and there is an\u00a0infection in the urethra. He asked me for CUE, which was normal again. He gave me medicines for five days and Cranberry tablets for 10 days. But, I feel the mild irritation still present. Kindly help me in this. Doctor: Hi. Revert back with the report to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20606, + "tgt": "What treatment can be had for fungal infection in the inner thighs?", + "src": "Patient: Hello doctor, I have been suffering from a fungal infection in the inner thighs for more than a month now. I used Terbinaforce tablets. For a month now, I am using only Sebifin cream. But I cannot see much improvement. Can you please suggest me any better treatment or medicine? Doctor: Hello. Fungal infections usually take two months to resolve completely provided you take proper dose of medicine for the prescribed duration. Terbinaforce (Terbinafine) is a good antifungal. Both tablets Terbinaforce and Sebifin (Terbinafine) cream have the same drug inside them. I suggest if you have taken Terbinaforce for one month then it is sufficient. I would suggest you switch to Seriva cream (Sertaconazole Topical), a newer antifungal. Apply this cream twice a day, in the morning after taking bath and in the night before going to bed. You also can use KZ soap (Ketoconazole). Use only for thigh area while taking bath. Use your regular soap for rest of the body. You can also use Abzorb Dusting Powder. Apply it to the thigh area after you apply Seriva cream. This will reduce sweating and friction. Along with that, I need you to follow few do's and don'ts. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8180, + "tgt": "I am having severe pain for several days following tooth extraction. How to get rid of it?", + "src": "Patient: Hello doctor, I had a molar extracted 10 days ago, and I am now having severe pain. It was a simple extraction that did not even require stitches. I was prescribed Penicillin VK q.i.d for a week and a few tabs of TYL3, which did next to nothing. I had all four wisdom teeth out about 20 years ago with no complications, but I am now older, unemployed and have dealt unsuccessfully with a severe dental phobia that I have had since I was a small child. Please help. Doctor: Hello doctor, I read your history, almost everything you have attempted. Still, I would recommend the following things. 1. Take Ibuprofen 600 mg three times, (8 hourly) a day, or if having severe pain, you can take it six hourly for three days. 2. Do salt gargles, i.e. take a cup of lukewarm water to add 1/4th teaspoon of salt in it and do rinses six to eight times a day for next 10 days. It is mandatory. The best way for healing of the socket. 3. You need a Zinc oxide Eugenol dressing for a week at the socket. Find out if you can get this zinc oxide eugenol material over the counter then you can put a pinch of it at socket your self at home. This is not cement it is another material. If it is not possible then go ask your dentist to give these dressings and fix up your problem. 4. Retake an X-ray to make sure if any broken down root is not left under the socket. Or any hairline fracture is caused that is causing severe pain. Provide me with post-op X-ray if possible so that I can diagnose accurately. Clove oil may also help in reducing pain as well. If you have it, you can put some in the socket that may relieve pain." + }, + { + "id": 24181, + "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": 23713, + "tgt": "My semen volume has reduced during masturbation. What medication to take?", + "src": "Patient: Hello doctor, I am a 48 year old male. Past one year, I noticed that my semen volume has reduced during masturbation to nearly 1.5 ml. Though I feel erection is good but not so strong as in the age of 40. I usually masturbate on alternate days. But to heal, I stopped masturbation nearly seven days at a time. But observed no changes. Also, the force of ejaculation is extremely low just dripping out. What medication do you suggest? Doctor: Hello. I went through your post. It is expected that the volume of ejaculate will decrease after the age of 40 years progressively and ideally should be measured after three days of abstinence. A volume of more than 2.5 ml is normal and your volume of about 2 ml at this age is normal. I suggest taking vitamin E supplements for healthy ejaculation (capsule Evion 400). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12375, + "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": 8226, + "tgt": "Is it possible to whiten teeth using toothpaste?", + "src": "Patient: Hello doctor, I want to change my yellowish teeth to white. So which paste should I use? Doctor: Hi. First, see if the yellow shade is because of the calculus or your teeth shade is yellow. If it is plaque or calculus then you need to go to a dentist and get oral prophylaxis done. If the shade of your enamel is as such then do not bother much because there will be so many shades in enamel and do not try to change that to white. Glizer toothpaste might help you before occasions. But do not use it regularly as this whitening toothpaste contains abrasive agents also which might cause wear of enamel." + }, + { + "id": 28308, + "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": 14902, + "tgt": "2 months old baby girl is getting a thick milky white vaginal discharge. Please help", + "src": "Patient: Hello doctor, My 2 months old baby girl is getting a thick milky white vaginal discharge from last week. We see it once or twice a day in her diaper and some stuck in the vagina. What may cause this? What treatment we should do? The baby was born prematurely. Doctor: Hi. Please maintain a good hygiene for the child. Avoid diapers for a while till the discharge is gone. You can place the baby in a tub of clean water with some vinegar or baking soda for 10 to 15 minutes every day for 2 to 3 days. Dry the vaginal area thoroughly by patting and keep it dry. Usually, this should take care of the issue. Sometimes this secretion can be seen in newborn kids due to the withdrawal of the hormones from the mother. If no resolution in three days, a vaginal swab routine microscopy plus culture followed by topical antibiotics like Metronidazole or Clindamycin is advisable based on the culture reports." + }, + { + "id": 21989, + "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": 12093, + "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": 27788, + "tgt": "Is HIV antibody test conclusive at 53rd-day post-exposure?", + "src": "Patient: Hi doctor, I got a complete panel and RNA PCR tests after 53 days of unprotected vaginal sex. The results were negative, except HSV-1 was reactive. So, I went to meet my doctor with the reports, who told me to get an HIV-1 and HIV-2 antibody fourth generation test. The results were negative again. But, I feel my body hot, burning, testicular pain, and I have red dots on my\u00a0tongue. Are my results conclusive? Please answer my question. I am very anxious. Doctor: Hi. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime.\u00a0Best wishes. Revert with more information to an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5775, + "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": 6981, + "tgt": "I feel derealization and depersonalization after taking some drugs. Why?", + "src": "Patient: Hello doctor, I am a 18-year-old male. I recently believe in having been suffering, and possibly still do, derealization and depersonalization from drug usage (tetrahydrocannabinol, psilocybin or psilocin), and I am currently recovering. Would future usage of these drugs under a better mindset create the same symptoms for me? Doctor: Hello. Depersonalization and derealisation symptoms can occur more in people experiencing anxiety. Using cannabis and Psychedelics like Psilocybin can trigger depersonalization or derealisation symptoms. It can persist for varying periods, sometimes lasting for weeks and months. It is difficult to predict how you will react if you use these drugs again. As you have already experienced, your mental health and wellbeing can be adversely affected by using these drugs. Worsening of anxiety, panic attacks can happen. I will advise avoiding self -medication, and experimentation with these street drugs or Psychedelics.If anxiety is persistent and affecting your normal functioning, it is advisable to consult your doctor for an assessment and seek appropriate treatment. CBT +/- medication may be needed. I hope this helps." + }, + { + "id": 19767, + "tgt": "Please help my husband to come out of alcohol addiction", + "src": "Patient: Hi doctor, My husband has been addicted to alcohol. He gives many reasons like he wished to become an IAS officer, but failed without support. He is good at work. He feels bored when there is no work. He is allergic to Insulin. He does not take any medicine. He needs help. Doctor: Hi doctor. Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14895, + "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": 10359, + "tgt": "How to prevent pregnancy without using a condom?", + "src": "Patient: Hello doctor, How to avoid pregnancy after sex without condom? Doctor: Hi. I am afraid the answer is not so simple. However you can avoid sex in the unsafe period. The unsafe period is the period roughly between 10th to 20th day in a woman having a 30 days menstrual cycle. This period roughly corresponds to the most fertile period in a woman's menstrual cycle. You can also try the withdrawal method where you need to withdraw just before ejaculation, but it needs lots of mental strength on your part. Your partner can also use certain female condom or spermicides also. Use emergency contraceptive methods to prevent pregnancy after having an unprotected sex. But please keep in mind that, all these are never 100% to prevent a pregnancy. Revert back to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16671, + "tgt": "I have a pain behind my left eye and a headache in the base of the skull. What could it be?", + "src": "Patient: Hello\u00a0doctor, I do not know if you would be able to help. I just want to be pointed in the right direction. I am 25 years old. My height is 5 feet and 2 inches. I weigh about 127 kg. I have underactive thyroids, but they are not treatable by NHS standards. I have a mixed connective tissue disorder. Currently, I have a contraceptive implant and constant vitamin D deficiency. I am fairly active, as I have to run around for my disabled mother, as well as lift a 55 kg mobility scooter in and out of a car\u00a0daily. Also, my TSH was 3.25 and my T4 was 13.5.But, for the last two to three years, I have been getting a lot of pain behind my left eye, to the point that I feel like taking it out would be the only release of pain. However, putting pressure on it helps a little. I also tend to get a dull pain or a headache in the base of my skull, at the top of my neck. But that may be due to a bad bed and pillows. I have had it tested by two opticians. One of them said that I should get checked for MS, which my doctors and neurologist scoffed at, and the other said he could not see any symptoms of a tumor. The only thing that seems to take the edge off the pain is strong co-codamol 30/500. I have also noticed recently that sometimes I do lose grip in my dominant hand, and sometimes struggle to put sentences in the right order, or just lose my balance. I also struggle to eat and sometimes feel sick after eating, even more so if I\u00a0eat in the morning. But, my doctors do not seem to care about my eye at this point. And, I am worried it might be something serious. I would just like some advice. Doctor: Hello. I would like to know further details about your symptoms: Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4636, + "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": 27749, + "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": 10696, + "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": 31039, + "tgt": "My sister lost her vision due to TB. Is it possible to get the vision back?", + "src": "Patient: Hi doctor,My sister is 33 years old. She has been suffering from vision loss for five years. At the time of treatment, it was diagnosed as TB. Since from then, she has been taking all the medicines for the disease till it cures completely. Now, she has undergone the MRI of the brain. I am attaching the report and please provide us the analysis of the attached report. Also, please let us know whether she can get her vision back. If yes, then please let us know in which that is possible? Either surgical or non-surgical? Doctor: Hi. Sorry to hear this. For further doubts consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 26602, + "tgt": "Is the morning-after pill still effective when I am ovulating?", + "src": "Patient: Hi doctor, I had unprotected sex yesterday and he pulled out of me. When we finished, I looked at my period tracker app and noticed that my period should come in four days and that I was ovulating. I took the morning-after pill immediately afterward. Will the pill work? What are the chances of me getting pregnant? I am going out of my mind.\u00a0Please help me. Doctor: Hello. Thank you. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29149, + "tgt": "My baby is taking significantly less milk than before. Should I change the formula?", + "src": "Patient: Hello doctor, My son is 14 weeks old. His weight is 7 kg and length is 65 cm. He is formula fed since birth.\u00a0I noticed that in the last month he began to take significantly less milk than before and I cannot understand why. Between 1 to 2 months of age, he used t drink around 1000 mL per day.\u00a0However, between 2 to 3 months of age, he went from 1000 mL to around 850 mL. He seems agitated when he drinks, flails legs and arms; sometimes he will not suck well and just bite. Then, he will drink around 90 to 130 mL and rejects the bottle, but he will continue to suck on his hands and moan. He will grimace at the bottle and even vomit if I insist on giving the bottle. His bowel movements are regular to around once or twice a day, yellow and soft. Sometimes, he has a bit of reflux after eating (some milk coming out), but less than before. How to fix this problem? Am I doing anything wrong? Should I change the formula? He has gained 1 kg in the last one month, but I am concerned that he seems to drink less milk as the daily quantity keeps going down. He drinks around six times per day around 140 mL each time. Doctor: Hi. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 3322, + "tgt": "I am getting recurrent corneal abrasion. What should I do to prevent it?", + "src": "Patient: Hello doctor, I am 26 years old. I got scratch in my cornea (eye) due to nail, basically corneal abrasion. I have got this a month ago and got treated. Now it occurs again. What I should do? Doctor: Hi, Welcome to icliniq.com. Corneal abrasion usually occurs due to a trivial or serious injury to the cornea. It should be treated immediately to avoid a more serious sight threatening complication like corneal ulcer. Injury to the eye. Test for dry eyes should also be performed for recurrent corneal abrasions. Corneal abrasion can be best treated by administration of Vigamox (Moxifloxacin hydrochloride) eye drop one drop every two hourly and Systane eye drops every two hourly (difference between the two eye drops is approximately five minutes). Application of Panthegel eye ointment (Dexpanthenol) along with Zymar (Gatifloxacin) eye ointment at bedtime. It is a good idea to patch the eye for the whole day with a sterilized eye pad to avoid any dust and minimize the blinking rate for an effective and speedy recovery of the abrasion. Avoid cleaning the eye with water, or any unsterilized cloth or whatsoever. If the condition is associated with pain and redness Homide (Homatropine hydrobromide) eye drop once daily along with anti-inflammatory tablets like Combiflam, etc., can be taken twice daily for three days. If the condition does not improve in three days you should consult an ophthalmic consultant for proper examination and treatment of the pathology. Use of contact lenses to be avoided at all times. Avoid use of water. Patching of the eye with sterilized eye pad for the whole day. Avoid use of contact lenses and eye cosmetics. Use of topical steroids should be avoided at all times. If the problem does not improve in three days proper slit lamp examination of the eye should be done by a trained ophthalmic surgeon." + }, + { + "id": 3941, + "tgt": "Can high TSH level contribute to depression and psychiatric disorder?", + "src": "Patient: Hello doctor, My sister is going through psychiatric treatment for depression. She had a miscarriage 10 years back and childless after that. Since the last six years, she is in depression and unable to mingle with society. Doctor asked for routine blood tests and her TSH level are above normal. She advised her to visit an endocrinologist. She is lacking energy in her day to day work and always complains of body aches like in waist area and in back. She is very silent and only responds to any query after knocking her two to three times. She cannot walk for more than 500 meters at a stretch and feels tired always. She also complains about constipation and less sleep. She is 41 years old and her weight is 44 kg with a height of 161 cm. Blood pressure is normal 110 / 80 mmHg. I have uploaded her reports and her medications are tablet Arpizol 15 mg, Nexito 5 mg, Neuro D3 60K, and Optineuron. Please advise for her TSH levels and vitamin D levels (it is low). Iron and calcium levels are low as well. I would request you to upload a prescription if possible so that I can buy the medicines from local shops or online. Doctor: Hello. I just read your query and the detailed reports about your sister (attachment removed to protect patient identity). Well, the TSH (thyroid-stimulating hormone) is not that high as to require a treatment currently. Usually, it so happens when the patient is already under some physical ailment and this is often temporary. I suggest no treatment for her subclinical hypothyroidism at this stage. Although, I would advise to repeat just her TSH, T3 and T4 after three months and then regularly at six months twice and then once yearly to rule out any future thyroid disorder. Regarding her vitamin D levels, I saw the prescription which said it does contain 60,000 IU of vitamin D so no need for anything from that aspect from me as well. Although it is better to give her sun exposure regularly early in the morning daily for 30 minutes both for vitamin D deficiency and her depression as it helps for both conditions. Rest all her symptoms are due to her psychological disorder and not due to thyroid as of now. I hope this helps. Thyroid function test after three months." + }, + { + "id": 17238, + "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": 14917, + "tgt": "What is the management of erectile dysfunction and premature ejaculation?", + "src": "Patient: Hello doctor, My problem is erectile dysfunction and premature ejaculation. I am 29 years old, 78 kg, 5'7\" height. Doctor: Hi. For providing you the proper treatment I need to know the answers to the following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Is the condition constant with other sexual partners, if any? Smoking? Alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, a headache, forgetfulness, excessive sweating, shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment." + }, + { + "id": 5741, + "tgt": "Can a bump after injury be due to MRSA?", + "src": "Patient: Hello doctor, I thought I got bit by something three days ago. I went to the hospital yesterday morning at 5 and was told it was MRSA. I had MRSA a couple of times in the past 8 years. This is the worse case I ever had. The hospital gave me two antibiotics Cephalexin 500 mg 4 times a day and Bactim DS tablets two times a day. It has been 22 hours on antibiotics. It is getting worse and I started running a fever of 100.4 tonight. The pain is increasing and I can barely walk because of the pain. I called the on call doctor and he was concerned that I was running a fever but said there is nothing we can do now. Make an appointment tomorrow and we will have to come up with a new plan to treat this. I cannot get in till tomorrow afternoon. It started with a bit looking like bump. Now it has spread out to be as round as a baseball or a little bigger. Earlier it had a black dot in the middle and now it is turning a black color around the black dot. They gave me no cream to put on it, no steroids to help with the inflammation. Just two antibiotics. I was in and out of the emergency room yesterday within 15 minutes. What should I do? Doctor: Hi, Welcome to icliniq.com. I have read your query and seen the attached pictures and can well understand your concern (attachment removed to protect patient identity). As you have developed fever, it is advisable to get a blood culture sensitivity test done. Though the report will come in 48 hours, it will help in a better choice of antibiotics. Though antibiotics can be changed to Linezolid or Vancomycin, but it is best that it should be done with the consultation of your examining doctor. Till that time you can continue with the same antibiotics you are already on. Take tablet Paracetamol 650 mg twice a day. A combination of Aceclofenac and Seratiopeptidase twice a day will help in decreasing pain and swelling associated with the disease. Apply Mupirocin cream (T-bact) over the lesion twice a day. Hot fomentation compresses will help with the inflammation." + }, + { + "id": 7362, + "tgt": "I am suffering from eyelid swelling. Kindly suggest treatment", + "src": "Patient: Hello doctor,My left lower eyelid is swelled for more than two months, and recently a few days back, I noticed, my left upper eyelid also got swelled. I do not know why is it happening, and I need to treat this as soon as possible. I am worried. I am using contact lenses for six years, and nothing like this ever happened with me before. Doctor: Hello. This all sounds like an allergy. Have you started using some new cosmetics? You can start by not using them anymore if you are. To relieve yourself from the swelling, please use Lotemax (Loteprednol Etabonate) eye drops one drop three times daily for 10 days. You cannot use it when you are wearing your lenses and should shake the bottle well before using it. Also and since you are contact lens user, you might want to lubricate the eyes with artificial tears, one drop four times daily even when you are using the lenses. If the symptoms do not subside within five days, please upload some good quality photos of your eyes or visit the ophthalmologist." + }, + { + "id": 14239, + "tgt": "Kindly suggest remedies to raise RBC count in anemic", + "src": "Patient: Hello doctor, My mother is suffering from anemia. She was hospitalized with hemoglobin 4.6. After two units of blood transfusion, it came up to 6.8 and gone back to 6.3 after 10 days, then another unit was transfused. Endoscopy, colonoscopy, CT-scan have been done but no concrete reason was found. Then serum iron and ferritin test showed ferrozine, cobas / 6000 at 396 micro-gm/dl and ELFA, mini vidas 10.6 ng/ml. She is currently taking Astier XT one tablet per day. Doctor: Hello. Her RBC count is very low with low serum ferritin and high serum iron (attachment removed to protect patient identity). Also, her anemia is normocytic normochromic which is generally seen in bleeding due to chronic blood loss or in chronic disease. Other causes can be chronic kidney disease or liver disease, both of which are unlike since the renal and liver function tests are normal. Since occult blood is present in stool, a gastrointestinal bleed is the most likely cause. But that has been ruled out by endoscopic tests. However, occult blood in the stool may be falsely positive in the following instances if it is a chemical occult blood test, like Iron medication (which is the most likely cause in your mother's), certain fruits and vegetables, Vitamin C, meat. It is better to get the stool tested for occult blood by the immunologic test as it is not affected by these things. A bone marrow biopsy can be done to rule out aplastic anemia. Other causes of anemia of chronic disease should be ruled out like an autoimmune disease. Blood transfusions will not cure the anemia unless the underlying cause is treated." + }, + { + "id": 15870, + "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": 7871, + "tgt": "I got a rash-like bump in my ring finger after wearing a silver ring. Is that a fungal infection?", + "src": "Patient: Hi doctor, I have a rash or bumpy area on the base of my ring finger on the side where it touches my middle finger. That occur several days ago while I was wearing a silver ring on that finger. I have taken off the ring but the area is getting painful with irritation and it seems to be getting worse. I have used an antifungal cream on it for one day so far, but I am not sure how to tell if it is actually fungal or not. Doctor: Hi. From the picture provided (attachment removed to protect patient identity), it is most likely to be a viral infection like herpes or a contact dermatitis. These lesions are usually tiny grouped blisters and cause pain. They last for about 7-10 days and resolve spontaneously. However, they may get infected secondarily oozing pus and spreading to surrounding area. You can apply Mupirocin cream to prevent further infection. I would also suggest you to see your dermatologist as you may require oral medications to prevent complications. Herpes infection, contact dermatitis, and fungal infection is the rare possibility. Tzanck smear or pus culture can help. Herpes infection. May require oral antiviral and analgesic medications." + }, + { + "id": 25935, + "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": 27487, + "tgt": "I have red and itchy bumps on the tip of my penis. What are they?", + "src": "Patient: Hello doctor,There are red and itchy tiny bumps all over the tip of the penis and inside the foreskin. What could it be?\u00a0About three weeks ago, I had the same problem, which disappeared on its own, in about three days. Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 257, + "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": 19143, + "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": 28797, + "tgt": "How is LVEDP of 4 mmHg concordant with diastolic dysfunction?", + "src": "Patient: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent.\u00a0EKG showed slight ST depression, an\u00a0echocardiogram showed WMA (wall motion abnormalities), and the\u00a0angiogram showed moderate coronary artery disease (CAD) in LAD, about 50% at first septal branch. LVEDP is 4 mmHg, no aortic pullback, and no mitral gradient. The diagnosis is nonobstructive coronary artery disease, and when I pressed for the etiology of symptoms, I was told it was due to a mild developmental disorder. After six months of weight loss, diet changes, exercise, etc., my symptoms have improved, but are still evident. How is LVEDP of 4 mmHg\u00a0concordant with diastolic dysfunction? What else could be causing the symptoms, since CAD is nonhemodynamic? Doctor: Hello. Thanks for providing a detailed explanation. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17763, + "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": 8493, + "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": 2202, + "tgt": "When I try to focus in class, my pupil moves to the corner of the eyes involuntarily. Why?", + "src": "Patient: When I sit in class and try to focus in class , my pupils moves at corner of eyes involuntary my eyes . If try to focus to the blackboard i feel strain in my brain and feel difficulty in breathing. I am having this problem from last year. This arise when anybody is sitting around me. I used watch video more than 9 hours per day. I also had stress last year but this year I don't have any stress. I had checked my eyes but theese are normal ( -3 eye number)and also checked my thyroid test it also normal . I have already asked this question many times but I did not get satisfactory answer. Please give suggestions . Doctor:" + }, + { + "id": 17183, + "tgt": "How to recover fast from NAFLD?", + "src": "Patient: Hi doctor, I am 30 years old. I have been\u00a0suffering from NAFLD for the past five months. Now, I am having RUQ heaviness, back pain, flatulence and tiredness for the last two months. I had several tests and I am giving the details with the findings.\u00a0USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa median value, upper GI endoscopy - GERD grade A and small hiatus hernia, hepatitis B non-reactive, hepatitis C non-reactive,\u00a0FBS - 94 mg/100 mL, lipid profile - completely normal, liver function test - indirect bilirubin elevated 1.3 mg/100 mL and the others are normal. My doctor advised me to avoid oily and spicy food. Also, he prescribed a medicine named Sompraz D 40.\u00a0I lost 9 kg weight in the last four months and now, my weight is 75 kg and height is 175 cm.\u00a0I am having a constant RUQ discomfort and back pain for the last two weeks. Previously, it was there and again it came back.\u00a0All the reports I shared are the current ones, which I had four days back.\u00a0Will you please let me know, how to recover faster from this situation? Is it dangerous? Please advise. Doctor: Hi. We are here to help you. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11676, + "tgt": "I am getting blackout when I turn my head to the right. Why?", + "src": "Patient: Hello doctor, I am a 34-year-old male with height 5'10\" and weight 170 lb. Last week, when I turned my head to the right, I started to blackout. I have been doing neck stretches, pinched nerve exercises, etc. Ever since with no improvement to the condition, this may be due to golf, or light weight lifting related, but I am not sure as I did not do anything abnormal and there was no pop or any pain afterward. One key piece of information may be that if someone else turns my neck to the right for me, there are no symptoms. It only occurs when I do it. I was hoping this piece of information narrows it down. It has been one week and a half with this issue. I try to avoid turning my head to the right. I can go 45 degrees without symptoms, but when I approach 90 degrees, the symptoms start. There is no pain and numbness. Doctor: Hello. Do you mean blackout as the sudden loss of consciousness? May I know what is the extent of the episode? If you feel blackout when looking up or turning your head, this may be due to pinching of the arteries that are present alongside the spine, called vertebral arteries. This can sometimes happen as a result of changes in the vertebrae. Pinching of these vertebral arteries can occasionally cause blackouts as the blood flow is temporarily reduced. One condition called cervical rib, here extra rib in the neck area may compress the artery. Some time any lesion in brain clot or ischemia may cause transient ischemic attack (TIA). Better go through investigations such as CT brain, x-ray cervical spine AP or lateral view, FBS (fasting blood sugar), PPBS (postprandial blood sugar test), lipid profile and CBC (complete blood count)." + }, + { + "id": 6413, + "tgt": "Can missing rota vaccine cause loose motions in babies?", + "src": "Patient: Hello doctor, My child is suffering from loose motion and he is 1.5 years old. We have not given rota vaccination due to unawareness. So, can any other vaccination be given? He always suffers from dysentry. Doctor: Hi. I used to attend these kind of patients daily, I have an adequate experience to manage them. You have not given vaccine is not the topic of discussion, no need to worry about this, diarrhea is common due to various causes. I need more information. Dysentary means blood in stool, if blood is there or not? Since what age he had diarrhea? What is the frequency? It is watery? Growth retardation? Worm in the stool? Let's discuss about one by one. 1. If it is associated with blood in the stool, it could be infective diarrhea or IBD, for infection antibiotics are required, Ofloxacin 10mg/kg/dose BD for 10 days. IBD is required with detailed evaluation. 2. If it does not contain blood and started after age of 6 to 10 months, then it could be a disease known as celiac disease, it needs further simple investigation for conformation. 3. If worm is present in the stool, then it can cause diarrhea. No need to worry due to vaccination, there is something else that is causing diarrhea. It needs detailed evaluation. Investigation. 1. Complete blood hemogram. 2. If diarrhea is longer, then get done serum tTGA. 3. Stool routine examination for 3 days. Treatment: 1. If diarrhea is recent onset then, maintain hydration by giving ORS 100 ml/loose stool, monitor urine output. If it is more then 15 days then no need to give ORS. 2.Syrup Zinc-20 5 ml once a day for 30 days. These are the mainstay of treatment of acute diarrhea. 3. If blood is present, then give him Ofloxacin (5 ml=100 mg) 5 ml BD. 4. If worm is present then give him Syrup Nitazoxanide (5 ml=100 mg) 5 ml BD for 6 days. Report back to me with available possible reports and answer my queries, because your child needs evaluation otherwise his growth may be affected." + }, + { + "id": 12467, + "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": 8683, + "tgt": "Kindly suggest vitamin B12 and vitamin D supplements as they are low in my blood report", + "src": "Patient: Hello doctor, I am a 45 years old male. Vitamin B12 and Vitamin D levels are low in my blood report so, please suggest doses for Vitamin B12 and Vitamin D. Doctor: Hello. Vitamin B12 and D deficiency is very common now. I recommend the following to my patients for the treatment, 1. Capsule Uprise D3 60K once a week for three months. 2. Capsule Nurokind Gold once daily for three months. Get the levels repeated after three months and write back to me. Increase milk products in the diet. If you have any further query, please ask me." + }, + { + "id": 14602, + "tgt": "How can seizure and anxiety occured after surgery for brain hemorrhage be stopped?", + "src": "Patient: Hello doctor, His age is 66 years (father). He had a brain hemorrhage two months back and an operation was held the next day itself. His left side upper and lower limbs are weak so physiotherapy is going on and improving day by day but on three weeks back he got fits and again twice this month. The intensity was high and lasted for five minutes. His medicines are phenytoin 100 mg Xarelto 10 mg for DVT in left leg Amlodipine 2.5 mg and yesterday Clobazam 10 mg at night started. What can we do to stop seizure and anxiety? Doctor: Hi. Seizures can occur following a brain hemorrhage. His current medications Phenytoin and Clobazam are anti-seizure medications. He needs to take these medications regularly without missing any doses. Sometimes two or more anti-seizure medications are required to prevent seizures. Wishing him a speedy recovery." + }, + { + "id": 17641, + "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": 19513, + "tgt": "Is Prozac a better alternative for Paroxetine?", + "src": "Patient: Hi doctor, I have been suffering from severe anxiety disorder for the past two years. It all started with a severe panic attack then I was diagnosed with acute hypochondriac. I have been always worrying about my heart health and fearing that any time I may get an attack. This has reduced my quality of life considerably. I am on Paroxetine CR 12.5 mg one tablet a day for the past one year and it does helped me to cope up with my fear. I feel normal now but could not stop Paroxetine. I am getting withdrawal symptoms like dizziness, racing heart beat and high BP. I would like to gradually taper Paroxetine. Is Prozac a better option? Please help me. Doctor: Hello. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12909, + "tgt": "Is there any way to cure reflux esophagitis?", + "src": "Patient: Hello doctor,I have reflux esophagitis as determined by endoscopy last month. They found grade M tear in GE junction and also mucosal atrophy reported. H-pylori was found in rapid urease test. I am on Clarithromycin, Amoxicillin and Esomeprazole medication for 14 days and I have three days of course left. I do not seem to be healing well and reflux is getting worse than before and I need to be able to control the inflammation as I am scared it will get worse. I am 40 years old otherwise fit male. Any suggestions? Doctor: Hi. I have gone through your query in detail. Usually, reflux esophagitis is reported based on the Los Angeles classification, which does not have a grade called M, but going through the report it is mentioned minimal changes of reflux esophagitis with the lax sphincter. Your treatment for H. Pylori is appropriate based on the rapid urease test result. Usually, when a person has H. Pylori infection, the acid production is suppressed by the infection (chronic gastritis, mucosal atrophy is a sign of that). Once it starts getting cleared from the mucous membrane, it is quite common to find the reflux symptoms, especially heartburn worsening, because that acid production is improving due to clearance of infection from the mucosa, hence even though you may be on acid-suppressing agents you might have heartburn. It is a temporary phenomenon and would improve over the next couple of weeks. Kindly continue with the treatment and you may add 10 ml of Gaviscon syrup (if you are abroad you can get Gaviscon tablets too) to be taken three times after major meals for a week." + }, + { + "id": 28159, + "tgt": "I have a pulling sensation in my vagina. Is this a side effect of the morning-after pills?", + "src": "Patient: Hi doctor, I am a\u00a030 year old female. I have a minor issue. About a month and a half ago, there was an incident where the condom broke. About 36 hours later, my husband got me four of the morning-after pills, and I took them all at once. Three days later, I started experiencing nausea, soreness of the breasts, lower back as well as\u00a0abdominal pain, frequent urination, and tiredness. This carried on for almost a week. I\u00a0then noticed a light brown discharge. And, from the next day, I bled for six days. I usually bleed for seven days.\u00a0After my periods, I\u00a0still had the symptoms. Nearly a month later, I\u00a0got my periods again, but on the first day I had severe cramps and used a tampon. On the\u00a0third day, there was a slight discharge which was brown in color.\u00a0On the fourth day, there was some bleeding,\u00a0but not at night. Today would be day five, and I\u00a0still do not see blood. My\u00a0main concern is that my vagina feels different. It is more firm than usual and feels tight. I sometimes feel a pulling sensation. Could it\u00a0be due\u00a0to\u00a0the morning-after pills? I did home pregnancy tests, and it came back negative. It has\u00a0been a month and 18 days now, since the intercourse. Doctor: Hello. Please let me know if you were previously pregnant. Since you took the emergency contraception pill within 36 hours, and you got your period after the intercourse, you are not pregnant. The emergency contraception pills are progesterone tablets. It is a hormone normally present in the body, which is secreted in the second half of your menstrual cycle. It gradually decreases in concentration due to which you get your menses. This gradual drop is the reason for the breast soreness before the menses. When you take progesterone orally in a higher dose to prevent pregnancy, some females experience the side effects of the tablets. Although your menses were on time, some patients may experience irregular menses for two to three months. Hope this helps. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9016, + "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": 10699, + "tgt": "Kindly suggest the management for extreme hair fall", + "src": "Patient: Hello doctor,I am 24 years old and having extreme hair fall. My center of the scalp has already started showing up. Please help. Doctor: Hello. Use Trichospire hair kit and Qilib men lotion twice daily. I hope it helps. If you have any other question, please do not hesitate to contact us." + }, + { + "id": 8233, + "tgt": "What does my ECG indicate?", + "src": "Patient: Hello doctor, I have attached two ECGs, one from recently and the other from last year. Please discuss at length with no holding back on technospeak as to whether the latest test shows any improvement. Any information is appreciated like the severity of infarction, estimated time ago it happened, etc. It would interest me greatly to know whether the infarction occurred 55 years ago with a diagnosed rheumatic fever. Is it possible it was not rheumatic fever? I suffered a fall a few hours before the symptoms. No streptococcus involved condition. I was 11 and am now 66 years old. Doctor: Hi. ECG does not show any sign of infarction, rheumatic heart disease. It only has right bundle branch block that is a normal finding. Rheumatic heart disease is best diagnosed on echocardiography. ECG fails in that purpose." + }, + { + "id": 8390, + "tgt": "Do I have to stop taking ashwagandha before a surgery?Will it interact with anesthesia?", + "src": "Patient: Hello doctor, I am scheduled for sinus surgery day after tomorrow. I have been given a list of medications which should not be taken and I have followed that. However, I have been taking ashwagandha (herb supplement 470 mg once a day) to help with anxiety. I read online that this may interfere with anesthesia. I will be sure to mention this to the anesthesiologist on the day of surgery when I arrive, but I am curious if this is a cause for concern beyond just letting them know, or should I postpone surgery. I last took it yesterday night and will not take it again prior to surgery. Please advice. Doctor: Hi. I have read through your query in detail. Please find my observations below. 1. Ashwagandha or Indian ginseng is a well known ayurvedic herbal medicine. 2. The following constitute its important effects on the human body: 3. Taking ashwagandha before surgery might predispose the patient to perioperative bleeding. It may be a concern for complications during anesthesia. In conclusion, it is suggested that ashwagandha has to be stopped for a week before a planned surgery, unless such a surgery is very urgent to be performed or when the benefits outweigh the risks involved. Please have a discussion with your doctor and reschedule your surgery by a week if recommended. Revert back to an anesthesiologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 21400, + "tgt": "My 5 month old baby missed his polio vaccination. What should I do now?", + "src": "Patient: Hi doctor, My son is five months old. He has not received polio drop vaccinations as I was unaware. What should I do now? Doctor: Hi. Polio vaccination is generally done with the scheduled vaccination. If you have visited your doctor at six weeks, 10 weeks, and 14 weeks of vaccination, he must have vaccinated the child for polio as well. Still, if you feel it has not been done, visit a Paediatrician for polio immunization. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21881, + "tgt": "Why does my eye occasionally gets swollen?", + "src": "Patient: Hello doctor, My right eye occasionally gets swollen. I do not have any pain, itchiness or watery eyes. But this comes like once in every three months or four months. It would be there only for one day and gets better later. I initially assumed it to be because of body heat since I get this only for one day. It was very difficult to get an appointment with a doctor on that day to show my eyes. However, I continue to have this problem. I researched on the internet (because it is highly impossible to meet a medical practitioner here) and I understood that the cause might be because my right eye tear duct is getting blocked, although it is my assumption as the place between my nose and right eye corner gets swollen. A day or two before the swelling starts my right eye gets a bit teary and I feel like rubbing the right eye often. It would be nice if you could advise what could be the reason for this and whether I should immediately consult a practitioner here. Doctor: Hi. From what you have told about your condition and the photos of yours, I suspect you may be having a benign disease called blepharochalasis. It is quite frequent in your age group and follows the same pattern of on and off swelling of eyelids just like you have told. There are as of now no good tests to confirm this condition nor any proven treatment measures for this. However, I would advise you to avoid stress and being too emotional at times as these are known to cause attacks of blepharochalasis. Apart from blepharochalasis, a few other conditions can cause a similar swelling, these are as follows: I would advise you to see the doctor if: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30383, + "tgt": "Why does paresthesia progress in post-polio syndrome?", + "src": "Patient: Hi doctor, The patient is a 50 year old woman with a history of polio in childhood and complains of paresthesia since a year. It started suddenly from the toes on both sides and it progressed to upper back (T4) in 20 days. She was hospitalized with post-polio syndrome and treated with IV Ig. She complained of bilateral tinnitus and seeing some flash of light in central vision after IV Ig therapy. She had paresthesia of fingers and both hands after two months. She was hospitalized again and treated. She lost left leg movement during hospitalization, which progressed to hemiplegia.\u00a0She denies any trauma, fever or incontinence. Her medication includes\u00a0Gabapentin, Vitamin D and B1, Duloxetine and Chlordiazepoxide. Past medical history includes polio and migraine. Family history includes father with Alzheimer's, mother with HTN and heart failure. She is married, monogamous with husband and adopted one child. On physical examination, pupil was normal and no nystagmus. Laboratory tests showed CBC and differential nil, ESR 40, CRP 25. Also, I have attached her MRI report. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3549, + "tgt": "Are acidity and constipation the withdrawal symptoms of quitting smoking?", + "src": "Patient: Hello doctor, I am 30 year old male and had been smoking for the last 10 years. I smoke four to five cigarettes a day. I stopped it completely for the last 36 days. Now, I am suffering with severe acidity and constipation. I am taking Sompraz 40 in the morning for the last 10 days, but no great improvement felt. I want to know whether there can be some kind of withdrawal symptom or do I need to consult my physician again?\u00a0My SGPT and SGOT are 44 and 99 respectively. Total cholesterol is 216 (LDL-157, HDL-36 and VLDL-22.3). I do not have any diabetic background. Please let me know whether this is the reason for lasting GERD. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26659, + "tgt": "How to overcome my extreme fear of vomiting?", + "src": "Patient: Hello doctor, I have emetophobia, and I hate falling asleep\u00a0because I always think I will throw up. Doctor: Hello. The fear of vomiting should be tackled step by step. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8093, + "tgt": "Are fatty hump on back, red cheeks, purple stretch marks signs of Cushing's syndrome?", + "src": "Patient: Hello doctor,Do I need to be tested for Cushing's? I was diagnosed seven years ago as being insulin resistant, and since them, symptoms keep appearing. I have the fatty hump on my upper back, but when asking my doctor, she blamed weight. I ended up looking more in-depth and found a picture from my smallest weight, (125) and the hump was still present.I have the rounded face, and my cheeks are always red as well as purple stretch marks that appear out of nowhere even when my weight stays slightly consistent. I was also in therapy for my hips around the time of insulin resistance diagnosis. My doctor will not test me, because she says there is nothing wrong with me other than weight. (185 lbs), and I cannot lose weight for the life of me, nothing works. My recent lab results showed elevated Alkaline Phosphatase, total protein, cholesterol, anion gap, white blood count, and platelets. As well as deficient vitamin D. All of which she explained as fine. Please help. Doctor: Hello. Considering the symptoms which you have described, the test should be done. You should undergo two of the following criteria since you have a high index of suspicion, 1. The overnight 1 mg Dexamethasone suppression test (DST) which involves taking one mg Dexamethasone tablets at 11.30 pm and doing serum cortisol at 8 am the next morning. Get this test done initially then we ll see about next step. 2. Late-night salivary cortisol. 24-hour urinary free cortisol (UFC) excretion. However continue with a healthy lifestyle like avoiding fatty, oily, and high-calorie diet. Have a low salt diet and monitor blood pressure regularly. 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. Try to lose weight by dietary restrictions and exercise." + }, + { + "id": 6327, + "tgt": "I cannot concentrate and go blank while studying french. How to get rid of it?", + "src": "Patient: Hello doctor, I am studying french, and every time I conjugate, I get a brain fog. It is the feeling you get when you stare at something. It is very annoying. What can I do to get rid of it? I am trying very hard to concentrate on the spells, but it is not helping me. Doctor: Hello. Being a school counselor, I feel that you are having concentration issues while analyzing or solving any query in your academic work. Learning the second language whether it be French or any other, requires much effort in the beginning. Especially when you are at the written or spoken level. Conjugation itself requires much effort and it is alright if you feel like brain fog, because it does happen as I said. Follow these steps: 1. You need to improve your study skills and learn better strategies for this class. 2. Read the class material beforehand and mark your questions. 3. Ask your questions to re-explain things to you, if you have any confusion. 4. Practice helps in skill-building. Learning a language is another skill. Keep practicing and learn verbs and grammar in a gradual manner. 5. French grammar is quite different from the English language. Do not compare it with your previous skill and learn it as a different and new skill. 6. Audio and video aid will be helpful. Search online video aids for better pronunciation and grammar rules for french. 7. For improving concentration, try different language games. 8. Try to study when you have an active mind and make it a daily routine. I hope this helps." + }, + { + "id": 4721, + "tgt": "What advise would a chiropractor give for lipoma?", + "src": "Patient: Hi doctor, I am a 20 year old male, healthy and active all my life. I have multiple lipomas that do not bother me except for their appearance and having to explain to people what these bumps on my body are whenever I take my shirt off. Doctors say all I can do is have them surgically removed, but that would lead to many scars. Frankly it does not bother me that much to undergo an elective surgery. What advice would a chiropractor give for my condition? Doctor: Hi. For further information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 3214, + "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": 12439, + "tgt": "Why are there hard yellow deposits in lower teeth?", + "src": "Patient: Hello doctor, I am having a hard yellow thing accumulated in lower four teeth near gums. I do not know what it is? It just happened a few days ago. Doctor: Hello. The hard yellow deposit is calculus (mineral deposits) on lower teeth which are receding your gum (attachment removed to protect patient identity). It can be apical periodontitis and/or apical periodontitis with abfraction. Please share a good picture just focusing on lower teeth. As per treatment, if you have calculus then get ultrasonic scaling done. Oral hygiene. Abfraction. Apical periodontitis. Maintain your oral hygiene and get ultrasonic scaling done every six months." + }, + { + "id": 29968, + "tgt": "After my extraction, My doctor said that I might get dry socket. Why?", + "src": "Patient: Hi doctor,It has been five days since I got my wisdom tooth pulled out. The extraction took around 45 minutes for that one tooth and they had to break it into three pieces. The wisdom tooth was impacted. My dentist packed the socket, but said that I might have dry socket. The pain with the packing was worse and I was bleeding by the time I got done with the gauze. Is this normal? The pain is better now. I did see a hole in my mouth before they packed it today. I feel there is increasing bad breath. I am currently taking Tylenol, Aspirin and Amoxicillin. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10626, + "tgt": "Delayed periods even after taking Gestin. What is the reason?", + "src": "Patient: Hi doctor, I am suffering with delayed periods. Consulted a gynecologist and started Gestin since 1 week. But still have not got my periods. Home pregnancy tests done and turned out to be negative thrice. Please help. Doctor: Hello. Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. If you are still in that period, then you should wait for your period to commence. If you are over that, then I suggest you to do certain tests like transvaginal sonography, TSH (thyroid stimulating hormone) and AMH (anti-mullerian hormone testing). Considering your age, you could be in your perimenopause (stage nearing menopause) where menstrual irregularities are common. Revert back after the tests to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4460, + "tgt": "Does prolonged cough indicate cancer?", + "src": "Patient: Hello doctor, I have a query and need your guidance and help. I am 26 years old, male. As winters are very cold in my area, I cought cold as I was riding my bike with no proper protection from winter. I started coughing that night but I did not care it how ever increased I ate curd and smoked cigarette. This made my cough worse. So I took medication for it and my cough was gone in three days but not totally. I started coughing thrice a day. But as due to my business I had to travel. I have not taken proper rest and given up smoking. I smoked for 5 years (3rd and 4th, 5th year i smoked 5 cigarettes a day.) Average. Now I have given up totally. My weight is stable. I feel hungry a lot. Never smoked weed or reverse smoked. I am non-alcoholic. No shortness of breath. Only cough is my issue and its dry and no mucus. My cough is increased from day before yesterday as I was in AC couch of train and every single person near me was coughing very badly. So I am taking Montec LC twice a day and Ascoril D thrice 10 ml started from last night. And it made it worse without medicine I was coughing twice or thrice aday but now it is increased. Is it lung or throat cancer cause if I check on internet it makes me really sad and I really regret smoking. So, please help me and suggest me something. What should I do. I am in tears right now do not know what to do I just do not want to die now. Doctor: Hello. I would like to change the medicines you are on slightly. First, instead of Montek LC take Allergra M in the morning. Take it once a day only. Take Alex lozenges whenever you feel cough sensation. The lozenges have to be sucked and not swallowed. Take Cherikoff LS syrup thrice daily, 1 TSP. Drink plenty of warm water. Abstain from smoking. Take tablet Pantacid 40 mg 1 tablet twice daily before meals. Avoid dust and smoke. If going in dust areas wear a mask. Most probably it will not be cancer. Take the above treatment and write to us after 2 or 3 days. You will make good progress. If within 2 or 3 days you do not find any progress then I suggest you take a course of Clarithromycin 250 mg 1 tablet twice daily for 5 days. When you write to us next, please take a picture of open throat and send us so that we can see the posterior pharyngeal wall for any nodule or congestion or hypertrophy. Also palpate your neck yourself and check for any swelling or lump. Do not worry and you will be fine soon. Have a peaceful and healthy mind. Do not smoke." + }, + { + "id": 3588, + "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": 29209, + "tgt": "I feel some shifting sensation in my chest. Is that due to pneumothorax?", + "src": "Patient: Hi doctor, Before five years, I had surgery for a spontaneous pneumothorax. I am having the same sensation in my chest again where it feels like when I bend down my lung is shifting. It does not hurt, but it is very uncomfortable. I had the same feeling two years ago and went to the ER. They said there was nothing wrong. Is it possible to have air in my chest cavity without lung collapse? I had lateral chest x-ray (both views) done two days ago, and the results came back normal. Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21129, + "tgt": "I have not got my periods even after taking Medroxyprogesterone. Is it PCOS?", + "src": "Patient: Hello doctor, I was given Medroxyprogesterone. Today is my last day but I have not got my period. My doctor suggested PCOS. What shall I do next? Doctor: Hi. I have read and understood your problem. After taking Medroxyprogesterone, it may take up to 7 to 10 days for the period to occur after stopping it. So, you wait for a week. Oral contraceptives are a good choice for PCOS (polycystic ovarian syndrome) if you are not trying to conceive." + }, + { + "id": 11607, + "tgt": "Are Hashimoto\u2019s, and ankylosing spondylitis the reason for severe hair loss?", + "src": "Patient: Hello doctor, I have had a lot of hair loss in the past year. Mostly on top of my head. Lost half my hair. My regular doctor did not find anything wrong with my blood test and said hair loss affects a lot of women and accept it. My new Naturopath thought my numbers seemed low and suggested iron and thyroid supplements. I need another opinion. I have tested positive for Hashimoto\u2019s, and I have ankylosing spondylitis. The dermatologist did scalp bio negative for inflammation. My TSH is 3.71, T4 is 99, T3 is 110, and FSH is 8.1. The values of zinc is 82, ferritin 36, Iron 93 and TIBC 315. Please help me know what I should do? Doctor: Hello. Hair loss in females can be due to many causes, most common being 1. Telogen effluvium stress-induced, due to illness, a diet with low protein intake, surgery, post-pregnancy, and mental stress. 2. Female pattern alopecia is genetic and hormone-mediated, runs in the family. 3. Diffuse alopecia areata is autoimmune condition usually associated with other autoimmune disorders like diabetes, thyroid disorders, and ulcerative colitis. 4. Drugs such as Isotretinoin, and Chemotherapy drugs induce hair fall. 5. Lupus, scarring alopecia. With your description, it seems like diffuse hair loss, but I cannot confirm unless I see the pictures. In your situation, I feel it is autoimmune condition most probably diffuse alopecia areata, because you have been diagnosed with Hashimoto's and ankylosing spondylitis. I do not know if you have taken an injection of corticosteroids (Triamcinolone) for the scalp. This is very helpful in an autoimmune condition. I am considering the most probable cause, and it could even be female pattern alopecia. Do you have a family history of baldness, history of surgery, illness, stressful events before you noticed hair loss? Please send the pictures of the scalp." + }, + { + "id": 21253, + "tgt": "How can I manage the swelling on my ankle after jogging?", + "src": "Patient: Hi doctor, I am a 21-year-old male. Before a month, I started jogging. But before three days ago, I saw my ankles with swelling. During the usual time, it does not hurt. But when I sit for a long time and after that when I start to walk, I have the pain. What can I do now for swelling? Doctor: Hi. I think you need to look at the shoes that you are wearing. You also need to look at the jogging track where you run. Take a break from jogging. Let the pain and swelling subside. Ice the area, and take anti-inflammatory tablets. Restart jogging and note any recurrence. If the swelling comes back, then you should consult a doctor and need to do an x-ray. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 865, + "tgt": "I have breathing difficulty with constant burping and dizziness. Why?", + "src": "Patient: Hello doctor, I cannot breathe properly and I burp every few minutes. And I am always dizzy and pale. Please help. Doctor: Hello. You might be suffering from low hemoglobin. The causes are many, but to start I want you to get some tests to help diagnose the problem. The possibilities are celiac disease, H pylori infections, food allergies, giardiasis, and autoimmune enteropathy. You also look low for your body weight in this age. I want to know how much blood you lose on monthly cycles? If it is a large amount, then it is one of the possibilities of you having low hemoglobin. Please check yourself. Anemia with anemic symptoms. Complete blood count. Iron profile. Vitamin B12 and folate. Anti TTG, IgA, IgG. Stools for H pylori TSH, FT4, FT3. Excessive menstrual loss. H pylori. Giardiasis. Malnutrition. Follow up to discuss the management plan." + }, + { + "id": 25072, + "tgt": "Itchy anus after unprotected oral sex. Why?", + "src": "Patient: Hello doctor, I received unprotected oral sex 13 days ago. No symptoms of genital herpes except for today, I have an itchy anus. No visible bumps, blisters or pain. Is it possible this is the beginning of an outbreak? Or perhaps caused by severe anxiety and prolonged sitting? Doctor: Hello. Itching over the anal region can be due to many causes: In genital herpes, there will be burning/tingling sensation before the blisters appear. Another possibility is gonorrhea if there is any history of unprotected anal sex. Please watch out for rashes, blisters, or discharge. Sitz bath will be of help for itch relief. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 23189, + "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": 7732, + "tgt": "I have black spots on my face and upper back due to the popping of pimples. What can be done?", + "src": "Patient: Hello doctor, I have a lot of black spots on my face and upper back due to the popping of pimples. To where it is darkening my skin making me uncomfortable with myself. I have been clueless about the medication I should use that would help my situation. Doctor: Hi. I have gone through your case. The pigmentation which you are having will take at least 2 to 3 months to recover (attachment removed to protect patient identity). Please mix Azelaic acid and Vitamin C cream in equal amount and apply on lesion at night for two hours only. Do not rub on your whole face. Take both creams in a small amount. Each one about the size of a pea will be enough for the whole face." + }, + { + "id": 8030, + "tgt": "I have itchy pimples on the surface of my scrotum. What can it be?", + "src": "Patient: Hi doctor, I am a 29 year old male. I am having\u00a0pimples on the surface of the scrotum since last 7 years. Sometimes there is itching and irritation.\u00a0My father also have the same problem, but still not taken any treatment. A sample picture is attached here with this query for your reference. Could you please help to solve the same. Doctor: Hello. From the photograph (attachment removed to protect patient identity) and symptoms my diagnosis is folliculitis of scrotum which is nothing but infection of the hair follicle. First we should rule out whether you are a diabetic or not. For that get a blood sugar test done. Avoid synthetic underwear. Treatment would be a course of antibiotics preferably Ampiclox (mixture of Ampicillin and Cloxacillin). Revert back after the blood sugar test to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28212, + "tgt": "How much can I walk daily?", + "src": "Patient: Hi doctor, I am a 52 year old, and I do not have any health problems yet. How much can I walk daily? Doctor: Hi. Regards. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18930, + "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": 19898, + "tgt": "My daughter finds it difficult to fall asleep. Why?", + "src": "Patient: Hi doctor, My 6 year old girl is showing unusual behavior from the last few weeks. She has a\u00a0problem in sleeping. She says that she could not sleep. Sometimes, she wakes up after 2 hours of sleep and starts crying. It\u00a0will last for at least 2 hours, and then she again goes to sleep. She says her throat is dry and takes water again and again. Also, she snores. What is the reason? Doctor: Hi. I understand that you along with your child are going through tough time. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10848, + "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": 16291, + "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": 8534, + "tgt": "What medicines can help regain loss of sensation in penis?", + "src": "Patient: Hello doctor, I am suffering from the loss of sensitivity in my penis. I am not happy while doing sex. Previously my foreskin got removed freely at that time I did not get any sensitivity to my penis. At the time of my first sex, the foreskin got cut and it bled. So, I used a cream. My scrotum is very tight. There is no loose skin around at all at any time. Sometimes, I feel there is something in my urethral nerve. So please suggest methods to gain back sensation in the penis. Doctor: Hello. Do you have any other medical disorders? Do you masturbate too much? Since when have you felt the loss of sensitivity? Do you have any problem with the erection? For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7746, + "tgt": "Is it normal to have pain around the belly button after eating food?", + "src": "Patient: Hello doctor, I feel pain after eating some food around the belly button. Sometimes, it feels warm also around belly button and itching as well and tastes come from mouth what I ate. So, I want to know what is happeing with me. Doctor: Hello. You may be suffering from acute gastritis with acid reflux. Pain around the belly button may be due to small bowel infection or belly button pain. Until examination is done it is difficult to say what it is. Use tablet Nexium 40 mg before breakfast for one week. Avoid spicy food and alcohol consumption. If symptoms are not improved please consult your doctor he will examine and treat you accordingly. Take care." + }, + { + "id": 28538, + "tgt": "I have pain in my back, abdomen, and testicles. Do I have some major problem?", + "src": "Patient: Hi doctor, I am a 39 years old male, and I have pain in my back, the right side of the abdomen, and testicles. My hair is falling rapidly, and I have developed gastritis. My eGFR value is 69, serum creatinine is 1.3, chloride is 106.9, bilirubin total is 1.81, bilirubin direct is 0.52, bilirubin indirect is 1.28, hemoglobin 17.5 g/dL, serum iron is 39, transferrin saturation is 10.58 %, and vitamin D is 20.42. Everything apart from this is fine. I am taking medicine for hypertension from when I was 30 years old. Do I have some major problem? Doctor: Hi. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28290, + "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": 21403, + "tgt": "Please suggest pills to stop alcoholism without the person knowing", + "src": "Patient: Respected doctor, I would like to know about the remedies or medicines for alcoholism for my husband who drinks a lot almost daily and has a bad habit of eating pan and ghutka. After all this, he abuses me and my daughter and family. I am fed up with his behavior. I request you to suggest any good medicine that can be given to him without him knowing. Doctor: Hello. The two main medications that can be used are Disulfiram (antabuse) 500 mg tablet once daily, and the other medication is used to reduce the craving (he must stop drinking first) which is Acamprosate 666 mg three times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. The second issue, regarding the violence that you and your daughter encounter, you should seek support from the relatives or the responsible authorities. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10325, + "tgt": "How can I grow a full beard?", + "src": "Patient: Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help. Doctor: Hello, Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem." + }, + { + "id": 30743, + "tgt": "As I am gaining weight with Paroxetine and Mirtazapine, shall I opt Zoloft?", + "src": "Patient: Hi doctor, I have OCD and bipolar depression. I am taking Paroxetine and Mirtazapine for OCD and sleep respectively. I am gaining too much weight. Can I switch to Zoloft? Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13162, + "tgt": "What can be done to treat high WBC and RBC with bile sludge?", + "src": "Patient: Hello doctor, My blood work is showing high WBC and RBC. WBC is 11.3 (normal should be 11), and RBC is 5.14 (normal should be 5.0). Neutrophils are 7.6 (normal should be 7.5). Erythrocytes are at 2 not showing the normal number it should be at. However, it is flagged as high. My alkaline phosphatase is at 121 (normal should be 120), and alanine aminotransferase is showing at 75 (normal should be at 36). I also had an ultrasound done and showing 3.5 cm of bile sludge. Would these results indicate to you that I require gall bladder surgery? I do have pain under my right side rib cage into my right side upper back- tolerant pain. So my surgeon said to think about gall bladder surgery. Do my blood results and sludge showing in ultrasound reflect that I should have this surgery? Doctor: Hello. The concept of when to get the surgery depends upon how much pain you have, how bad is the underlying disease and how long you have the inflammation. Given the history of pain, a slightly elevated white count, abnormal liver function test and biliary sludge. It would be a good idea to consider laparoscopic gallbladder surgery. The timing of the surgery whether to do it during an acute attack of pain or as an elective procedure depends upon the surgeon you are seeing." + }, + { + "id": 7253, + "tgt": "Can wearing of tight pants cause pain in the testicle?", + "src": "Patient: Hello doctor, I am 20 years old. Two to three months ago, I started to have pain on my left testicle whenever I go out as I am usually at home. I speculate that I have varicocele as upon doing a self-examination, I found that the veins were bigger than the other testicle. There were no lumps found, but the left testicle feels bigger than the right one. I would say it is around 5 mm bigger in diameter. I do not have urinary problems like burning sensation. Although when it pains, my left lower abdomen and the pelvic area also hurt sometimes which could be due to lack of exercise as I am on my computer most of the time. The pain or ache on my left testicle usually appears when I am wearing tight pants. But I did not have this problem three months ago. I consulted a general practitioner, and he did a physical check and said it was likely due to congestion of the blood at the testicle. Do you think it could be an infection like epididymitis? I only had sex once in my life with my partner, but I do not have any other symptoms of STD. And do you think that there is something serious? Or is it probably due to congestion or tight pants? Doctor: Hello. Testicular pain with no obvious pathology on physical examination is common in young boys. As the testes descend through the lower abdominal wall, they carry spiral muscle which keeps them suspended in a dynamic position. Contraction of these muscles gives rise to pain. Tight pants press on the inguinal canal and may hinder venous return causing congestion. Wearing Langot (cotton strip worn by wrestlers to support testicles in India) will prevent their hanging, so there will be no muscle contraction. Get a USG scrotum (ultrasound). Wear scrotal support (langot). Kindly consult your doctor to discuss the suggestion and take the treatment with concern. Tablet Pregabalin 75 mg with Mecobalamin (Methylcobalamin) at bedtime for 10 days." + }, + { + "id": 28154, + "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": 10866, + "tgt": "What should I do for facial warts?", + "src": "Patient: Hi doctor, I am getting\u00a0facial warts again and again at the same place. I go for swimming every day. Is it because of that? I have undergone laser treatment twice and it went away with it. Now, again I have the same problem. What should I do? Is there anything that I can apply\u00a0as I do not want to get laser treatment again and again? I have enclosed my picture. Please help me. Doctor: Hi. Facial warts occur due to HPV (human papilloma virus) and some people are more susceptible to it due to some complex immunological parameters. They are too notorious to recur and avoid shaving for some time. Also, the probable treatment is electrocautery. Going to the swimming pool will not affect their behavior as you are already infected. But, you should use separate towels to prevent other susceptible person getting infected. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11284, + "tgt": "Can Fluoxetine cause disturbed sleep?", + "src": "Patient: Hi doctor, I am very sad, and I am surrounded by negative thoughts and anxiety. I have taken Fluoxetine (Fludac 20) for 6 weeks. Now I am fine, but I wake up early in the morning around 3.30 AM. Hence having disturbed sleep in the morning. My doctor changed medicine to Flunil 40. I think this dose is not required. Kindly advice me to avoid sexual side effects from this medicine. Thank you. Doctor: Hello. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Being an selective serotonin reuptake inhibitor (SSRI) Fluoxetine causes sexual dysfunction. Both these side effects can be treated by taking tablet Trazodone (brand name Trazaril) 25 mg at night time. It antagonizes the side effects of Fluoxetine. After two weeks, if needed, the dose can be increased to 50 mg. Fluoxetine induced sexual dysfunction or insomnia. SSRI induced sexual dysfunction. Tablet Trazodone 25 mg at night time." + }, + { + "id": 17461, + "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": 19564, + "tgt": "My 2 month old baby is crying a lot. What to do?", + "src": "Patient: Hello doctor, My 2 months old baby is crying a lot. She is crying most of the day and is refusing mother's milk. What to do? Doctor: Hello. I can understand your concerns. I hope this will help you. For more information consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 29774, + "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": 6096, + "tgt": "Does vomiting cause bruising of eyelids?", + "src": "Patient: Hello doctor, My friend started vomiting last night and I noticed that his eyelids were red and bruised. Is there something else besides the vomiting that could have caused the bruised eyelids? Doctor: Hello. From the history provided, it seems that your friend is having red and bruised eyes following vomiting. This is probably because of rupture of very small blood vessels in the eyelids during vomiting. This will not require any treatment and it will subside in one or two weeks, as the blood gets reabsorbed. Hence, you need not have to worry about this. Applying cold compression over the eyelids will provide symptomatic relief. Attach a photo of the affected eye and consult an ophthalmologist online for appropriate treatment --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11302, + "tgt": "I am facing premature ejaculation. How do I overcome it?", + "src": "Patient: Hi doctor, I am 28 years old. My height is 5'11'' and I weigh 91 kg. I plan to get married this year. I am currently on no medication. I currently have the following problems for which I desire to seek some solution for premature ejaculation. I think so, there is some kind of problem on the forehead of the penis because of which my foreskin cannot get retracted. Some sort of skin attachment is present at one end of the foreskin and the head of the penis due to which the foreskin is getting hurt at times when I tried to push back. I apologize that I am not able to make myself clear enough at this point in words. I request you to provide some remedy to the problems that I am facing. Thank you. Doctor: Hi. I completely empathize with you. The problem of premature ejaculation is quite common and is distressing to a young man but is seldom discussed. See most of the time the problem is secondary to the anxiety attached to your expectations in the bed. It has been wrongly projected by unscientific magazine articles and porn that a man can last for 30 minutes or more. Honestly, most of the male ejaculate before 5 minutes. When you are anxious about not lasting long in bed, you actually do not enjoy the act of intercourse and keep on thinking about prolonging the act without enjoying it. The preoccupation and anxiety about not lasting enough, in fact, cause hyperarousal and lead to premature ejaculation. Moreover, when the male start to thrust himself into the partner the moment he undresses leads to early termination of the coital act (the sexual union that takes place between male and female during insertion of the penis into the vagina). There are also lots of young men who are suffering from premature ejaculation without any associated anxiety or apprehension. Such men as well as you may benefit by taking oral medication like tablet Dapoxetine or Paroxetine before the sexual act. But in your case, I would like to suggest relaxation techniques like breathing exercises and progressive muscular relaxation. Regarding your problem pertaining to the non-retractable foreskin, my opinion is that you must consult a surgeon. It is always better to remove foreskin if it is causing inflammation or itchiness. Non-retractable foreskin is often associated with problems of genital hygiene that may subsequently lead to chronic infections. So make an appointment with a general surgeon." + }, + { + "id": 16589, + "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": 22048, + "tgt": "Why do I always procrastinate and daydream?", + "src": "Patient: Hi doctor, Basically, I am unable to do things I want. I just impulsively do things for instant gratification and have no perseverance.\u00a0I have a severe chronic procrastination and maladaptive daydreaming. They are sought of related. My mind gets super stressed and while I am procrastinating the task I start daydreaming and talking to myself. Because of this, over the last few years my self-confidence and self-belief has dwindled completely. I also suffered from moderate depression. I think it came up because of stress only. I cannot focus and cannot do anything I want to. I would like to change that. Please help. Doctor: Hi. Revert back after two weeks to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3652, + "tgt": "I have a pimple like red bump above the mustache with lymph node enlargement. Is this HSV?", + "src": "Patient: Hi doctor, After shaving my face six days ago, I saw a big red bump on the right side of my nose above the mustache. At first, I thought it might be a pimple. Last week, I felt something wrong on my throat and visited a doctor. Doctor said lymph node inflammation and prescribed me Penicillin. Doctor did not ask me anything about that red bump in my mustache area at that time. I have been suffering from mild fever as well after my lymph inflammation. Right now I am worried again since the red bump on my mustache becomes large, and from two or three openings drains watery liquid when I tried to squeeze it. It is really painful and irritates a lot. I am worried about HSV 1 since it is near my mouth. I am having mild fever and lymph infection. I am not in sexual contact for the last seven years. What is your suggestion? What might cause this problem? Doctor: Hello, Welcome to icliniq.com. Two broad differential diagnoses are folliculitis or HSV 1 (herpes simplex virus) infection (most likely). I would want you to know that we all are exposed to HSV-1 and it could spread without sexual contact. It stays in the ganglion (nerve endings) and pops up when your immunity goes down. It is also known as fever blister. My feeling is that since you were about to come down with the sore throat, which seems like strep throat, you had a reactivation of the HSV-1 and got these lesions. As you feel better they will subside, you may use Acyclovir if you want but usually, we treat the underlying cause and you are receiving the antibiotics for sore throat. Please do not squeeze it. You can use any anti-inflammatory agent for pain and fever like Acetaminophen. You can also try topical steroids like Desonide. I hope this helps." + }, + { + "id": 19702, + "tgt": "What is the exact problem with my mother's back pain?", + "src": "Patient: Hi doctor, My mother, who is 60 years old, was having back pain for approximately 5 to 6 years. Now, she is having severe back pain while standing and the pain is not receding. We went for an MRI scan and I have attached the report with this query. I want to know the exact problem and the possible treatment for this condition. Thank you in advance. Doctor: Hello. Thanks for your query.\u00a0You have mentioned pain in your mother's back region since 5 to 6 years for which she has been managed conservatively till now. I have also gone through the MRI reports (attachment removed to protect patient identity), which have been attached by you. Spinal degeneration. MRI LS spine images, x-ray LS spine - AP and lateral views. Revert back with the investigation reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11988, + "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": 14903, + "tgt": "What can be done to get rid of swimmer's ear?", + "src": "Patient: Hello doctor, I have swimmers ear and I do not know how to get rid of it and now my ears hurt extremely bad. Doctor: Hi If you have diffuse otitis externa then you must rule out malignant otitis externa. If you are immunocompromised or a diabetic you need to worry about the same. It will be prudent to get a culture sensitivity swab of the discharge from the ear whenever you have the condition. A permanent solution would require you to avoid water entry into the ears. Anti-inflammatory medicines like Trypsin-Chymotrypsin will be contributory to remove the edema and swelling inside. Appropriate antibiotic drops will lessen the bacterial flora. Acetic acid drops are available which restore the pH inside the ear canal and prevent bacterial growth. An otoscopic examination can rule out otomycosis which requires anti-fungal drops. Do revert back if you require any further support." + }, + { + "id": 25256, + "tgt": "I have a flat white cluster inside my penis. Is this normal or an STD?", + "src": "Patient: Hello doctor,I had protected sex 17 days ago with a questionable character. I have been fine but tonight noticed what looks like a flat white cluster that are tiny inside my urethra (penis). I do not have a burning sensation when I pee or ejaculate, nor do I have any symptoms of traditional STDs. I will be getting tested this week, however, I wanted to know if this is in any way normal or in your experience points to an STD or other conditions? Doctor: Hello. I have gone through your query and the photo you have sent (attachment removed to protect patient identity). I am unable to get a clear picture from the photo sent by you. From what I can see, it appears to be a normal urethral opening. However, it is unlikely that you have any usual bacterial STD's as they are generally symptomatic within two to three weeks. I would suggest you schedule a visit with a urologist or dermatologist who will give you a confirmation. I would urge you to get tested for viral STD's now and again after three months to confirm. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27155, + "tgt": "Does urinating and washing the vagina after sex reduce the chance of pregnancy?", + "src": "Patient: Hi doctor, I am a 33 year old married woman. Within two months of my marriage, we often had sexual intercourse, but I do not know if he ever ejaculated inside me. Yesterday, I think he ejaculated inside me, but I am not sure. After sex, I washed my vagina and urinated. Is there any chance of pregnancy? This is my third week of the menstrual cycle. Please help me as soon as possible. I do not want to take Unwanted 72. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16237, + "tgt": "How to manage a discolored tooth after a dental trauma?", + "src": "Patient: Hi doctor, Around a month ago, I had a dental trauma on my lower three incisors. The teeth have moved slightly from their original position. My dentist has advised me for a root canal for all the three teeth. Now before two days, he started the process, and one of my teeth has turned black. What can I do now? Doctor: Hi. I can understand your concern. I feel that the dentist has to stabilize your teeth first if they are mobile. It can be done by splinting. RCT (root canal treatment) is usually done to the teeth if the trauma has involved the pulp. Discoloration or pink teeth usually occurs in injury. If the RCT is done, place a crown over the treated tooth, and the discoloration will go off definitely. I can guide you better if you send the photograph of the teeth with an X-ray." + }, + { + "id": 6210, + "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": 13157, + "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": 12236, + "tgt": "How should I manage the low back pain after wrestling?", + "src": "Patient: Hello doctor, I have had excruciating lower back pain for over two weeks. I am a 38-year-old slightly overweight male. Got this while wrestling with brother. I am fine when sitting down but cannot put any weight on left leg and have sciatic to left knee. Ibuprofen, muscle relaxants, and steroids have not touched the pain. I have not slept for a few days because of constant pain while laying down. I was told that there may possibilities of SI joint injury. Do you know how long this typically lasts? what can I do to help with the pain? Doctor: Hello. I would like to know some further details about your pain: 1. Do you also have any paresthesias (pins and needle sensations or tingling in left foot or leg)? 2. Do you have any difficulty in holding slippers in left foot or weakness in the left leg? 3. Does your pain also increase while coughing or sneezing or defecating? What medications and in what doses you tried already? Have you any other medical illness? Or taking medications of some other problem? Radicular pain. MRI lumbosacral spine, serum vitamin B12. PIVD. Tablet Pregabalin 75mg HS, Tablet Duloxetine 20 mg BD, Tablet Tolperisone 150mg TDS, Use Lumbar belt or corset in daytime. Avoid weight lifting, Avoid forward bending, Sleep in hard bed or mattress. Review with further details (as asked above) and MRI results." + }, + { + "id": 14109, + "tgt": "I delivered my first child two months ago,with C-section. When can I plan my next child?", + "src": "Patient: Hello doctor, I delivered my first child two months ago, with C-section. I got my first period after delivery, yesterday. My child is only on breastfeeding. I want to know when can I start exercising, light as well as proper gym in order to get back to shape. I want to know till when do we need to be on sexual abstinence. Also, when can I plan my next child? Doctor: Hello. As it has been more than 9 weeks post delivery already, you can start your light abdominal toning exercises if your pain has completely subsided. Generally, we tell the mother to avoid exercising for 6 weeks till strength is achieved over the c-section scar. Do not lift weights for at least 6 months. As your menses have resumed, even though you have been breastfeeding, you may get pregnant as ovulation may start if sexual activity is resumed now. You can safely resume sexual activity now if there has been no pain over the scar. Next child should ideally be planned after an interval of 3 years. So it is suggested that you should be practicing contraception, be it barrier or hormonal to avoid unwanted conception hence. Wishing you good health." + }, + { + "id": 15468, + "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": 15420, + "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": 18240, + "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": 26252, + "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": 18267, + "tgt": "What are the causes of my iron-deficiency anemia?", + "src": "Patient: Hello doctor, I am a 50 year old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin had been dropping over the past year. After more testing, I was diagnosed with iron-deficiency anemia. I underwent eight weekly infusions, which finally got my hemoglobin close to the normal range. However, while my iron is low, my unsaturated iron binding capacity is high at 421, total TIBC is high at 471, and my transferrin saturation is low at 11. Prior to starting the infusions, my platelets had been high and climbing. After the eight infusions, my platelets were only normal for a week. They have begun rising again and are a little high at 502. My RDW has always been out of range and is now high at 17.9. Also, a month ago, my CRP was 1.29, it is now 2.2. I have had an ANA screening for autoimmune, and it came back negative. My stool has been tested twice and it has no blood. My homocysteine and PSA are normal. I am still lethargic and getting worse, and I am constantly short of breath. My short-term memory is not good. I now have a constant pain in my lower back in the kidney area, but all tests for kidney function have been normal. My current hematologist has ordered a CT scan of my abdomen with barium contrast, but my insurance has not approved it yet. I understand that anemia is a symptom of something else, then what is the CT with contrast going to look for? Should I be concerned about the pain in my lower right side of my back? If you were in my shoes, would you see your doctor again or wait a couple of weeks until the CT is complete? What does your gut tell you is the most likely cause based on the limited information listed above. I have attached all my test reports. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Hope it helps. Any further queries are welcome. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10856, + "tgt": "I had frenuloplasty a few days back and my erections are painful. When will it be rectified?", + "src": "Patient: Hello doctor,I am 28 years and 6'1\" tall with weight 85 kg. I had frenuloplasty a few days back and feeling normal about it. Sometimes I get erections, and it hurts a lot as the stitches may be the reason. I want to admit that I had a premature ejaculation issue as well before the surgery. Was it because of this short frenulum, and will it be better now? Also, I was unable to penetrate the vagina easily. Will it be rectified? If no what else should I do?Please suggest. Doctor: Hello. I can understand your concern about your symptoms. Yes, for a few weeks you will be having pain. The premature ejaculation could be because of the short frenulum, now after the procedure we will know it for sure. If your premature ejaculation persists, we can think of the other causes. Yes, you will be better after surgery with proper foreplay and appropriate lubrication you can easily penetrate since you just had the procedure. We need to wait for the recovery to to think about other cause of your issue and work on it. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 13298, + "tgt": "Is there a way to quit Zoloft without getting withdrawal symptoms?", + "src": "Patient: Hi doctor, I am using 75 mg Zoloft for the past seven months for anxiety disorder. I have started with 25 mg and my doctor increased the dosage slowly for my panic attacks. But for the past two months, I do not have any strong panic attacks and when I have the small ones, I am capable of handling it. I want to stop to taking medication. Could you please advise me how to do it in order to avoid withdrawal syndromes of Zoloft. How should I quit? How much I should reduce the dosage and how long should I continue? Doctor: Hello. Zoloft (Sertraline) is a good medication for anxiety disorder. You are on a low moderate dose of 75 mg once daily (dose range is 50 mg to 200 mg once daily). It is good that you are feeling better for the past two months. It is recommended to continue Sertraline for at least six months after you are feeling better. So it is advisable to continue for at least another four months. During this period also develop psychological strategies to manage anxiety (talking therapy or CBT will help you to achieve this). If stable after four months, discuss with your prescribing doctor about gradually tapering down the dosage gradually. You can try cutting down to 50 mg once daily and see whether you continue to be stable. After a month, you can consider cutting down further to 25 mg once daily. Continue for another month then stop completely. Remember, if symptoms reappear at any time during tapering down, you have to go back on the higher dose. To sum up, continue Zoloft at least for another four months. Get CBT if not done already. Then if stable after four months, taper down gradually under medical supervision." + }, + { + "id": 23801, + "tgt": "Can you please suggest medicines for PCOS?", + "src": "Patient: Hello doctor,I am a 28 year old female. I am diagnosed with PCOS. I have irregular periods since seven months, excess unwanted facial and body hair, hair loss from the scalp and weight gain. Can I take homeopathy medicine for PCOS and its symptoms? If yes, then what medicine do I need to take? I want weight loss medicine also. Can you please suggest medicines? Doctor: Hello. I understand your concerns. Also, you should know that PCOS (polycystic ovarian syndrome) cannot be cured completely. Medications and homeopathy control the symptoms only and increase the chance of fertility if required. I suggest: 1. Oral contraceptive pills such as Gynera (Gestodene and Ethinylestradiol) once daily for 21 days, then seven days off and repeated every month. 2. Metformin 500 mg twice after lunch. 3. Spironolactone 50 mg once before sleeping as antiandrogenic. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. 4. Please send me a copy of your sonography report as well as any performed lab tests such as fasting blood sugar, and postprandial glucose level. 5. Send me a photo of the acne or facial hair as it may require laser removal. 6. Follow-up is required. Important note: If you desire to be pregnant, seek medical advice as some of these medications must be changed. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4469, + "tgt": "Is Colchicine for oral lichen planus safe during breast feeding?", + "src": "Patient: Hello doctor, Is Colchicine safe for breastfeeding mothers? I have been prescribed Colchicine for the treatment of my oral lichen planus condition. However, I am still nursing and breastfeeding my one-year-old child. I am wondering if the medication is safe to consume given that I am still nursing my child? If not, is there any alternative treatment or medication that I can suggest to my oral medicine specialist? Also, can I practice \u201cpump and dump\u201d if I want to continue nursing and yet continue with the medication? Assuming the dosage frequency is once a day, I will nurse my child in the morning first before I consume Colchicine, then I express my milk and dump them through the day, and only continue nursing my child six to eight hours after the last dosage in the morning. Is this do-able? Doctor: Hello. Regarding your treatment for oral lichen planus, you need to take a topical corticosteroid and Colchicine is an appropriate treatment for it. I am posting here a study regarding the use of Colchicine by a group of lactating mothers and you can see the results yourself. The National Transplantation Pregnancy registry reports that 124 women with transplants have taken corticosteroid while breastfeeding 169 infants for periods as long as 48 months, with no apparent infant harm. So the gap you are giving in between the morning and day feeding is the best. You need to give a gap of four hours maximum after the intake of the drug." + }, + { + "id": 29596, + "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": 21237, + "tgt": "I have a heavy neck and lifting head when lying is difficult. Please advise", + "src": "Patient: Hello doctor, I am a 22 year old male. I have a very heavy neck from the last seven months. When lying in the supine position, lifting the head up is very difficult (as if something is pulling from behind). While standing and looking up at the ceiling, I get a cracking sound which is quite loud and is prominent at the left mastoid process and at occiput. There is no pain in the neck. Only heaviness. Neck has total range of motion. No radiating pain in hands and no tingling and numbness in hands. MRI neck shows disc herniation from C2 to C6 with no cord involvement. Doctor: Hello. In my opinion, the disc prolapse is a finding on the MRI. Not to worry about it as it is not causing any compression on the spine or on neural structures. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 13542, + "tgt": "Why am I having painful irregular periods with heavy bleeding?", + "src": "Patient: Hello doctor,My doctor prescribed me ZOVIA 1/50E\u201328 for my birth control. I have very heavy bleeding during my menstrual cycle with irregular periods and really bad cramps. I am 23 years old and I am pretty much flat chested with 32AA breast with a 28 in the waist and 30 inches hips. I did not know if having smaller hips could cause a more painful menstrual cycle and if a higher dose would help with this. Doctor: Hi. Zovia 1/50E is a high dose of an Estrogen-containing birth pill, though commonly lower dosage of 30/35 is used. Please ensure you do not have high blood pressure, migraine, history of thrombosis, liver disease, undiagnosed vaginal bleeding, etc., when using these. Painful periods have multiple reasons like endometriosis, distorted uterine anatomy, big clots passage due to heavy bleeding. Hips are no reason. A higher dose might increase the problems. As per your weight, you can work out with a lower dosage to prevent your problem of irregular, heavy painful periods. Birth control pills have a good effect on all of your problems. By the way, did your doctor specify, why your menarche was so late?" + }, + { + "id": 1757, + "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": 18222, + "tgt": "Can you suggest some home remedies for face tan?", + "src": "Patient: Hello doctor, I have been experiencing a very bad tan on my sun affecting regions over my body. I have been experiencing this since I got my chickenpox before six years. My skin has started to get darker every day since then. I have consulted a dermatologist and he suggested me to apply ointments like Lanalite and Golite, but nothing has given me any effective results. I think the lotion and ointments did not seem to work. In fact, the tan has only gotten darker. Please suggest me the necessary steps to be taken. My nose has lesser tan compared to other regions of my face. I am taking vitamin B12 along with Golite and Lanalite creams. Doctor: Hi. I have read your query in detail and do understand your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15065, + "tgt": "Why did I get bleeding after taking morning after pill?", + "src": "Patient: Hello doctor, I took a morning after pill about eight hours after my fiance's condom broke. It has been a week and I started bleeding today. It was a heavy flow at first (blood-red) but it stopped after 24 hours (became light pink towards the end). I just want to know, am I pregnant or is there a possibility that I am? Doctor: Hello. You have taken I-pill (an emergency contraceptive pill that is hormonal medicine) that interferes normal cycle and prevent conception by preventing ovulation, fertilization, implantation. In return within 1 to 2 weeks, there should be withdrawal bleed that you have got. So it is normal. There are least chances of pregnancy. Next cycle could be irregular but as the body gets rid of the effect of medication, cycles will get back to normal." + }, + { + "id": 17713, + "tgt": "Without medicine or gel, how to get a permanent solution for acne?", + "src": "Patient: Hello doctor, I am a 23 year old male. My problem is acne. I am getting red whitehead with pus. I was taking Isotretinoin 20 mg for 1.6 years. When I was on Isotretinoin, I did not get even a single acne. After two weeks of stopping Isotretinoin, I had a sudden breakout. My skin is very oily, and I do not apply any moisturizer or any makeup. I am using Neutrogena face wash and taking healthy diet. I do not eat any junk food too. I am also applying Zinderm\u00a0BPO gel for acne. I want a permanent solution for my acne without medicine or gel. Please help me. Doctor: Hello. Revert after a month to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 30108, + "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": 12198, + "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": 1829, + "tgt": "After removing tonsil stones, I get uncomfortable feel while swallowing with a bump in throat. Please help", + "src": "Patient: Hi doctor, I had a tonsil stone removed a few days ago thinking that is what I was feeling in my throat but it was not. There is something else I feel when I swallow. It does not hurt but just uncomfortable. It looks black maybe like a pimple or some kind of a bump. Doctor: Hello. I went through the picture you sent. (attachment removed to protect patient identity). The throat, especially the posterior pharyngeal wall and palatine pillars appear a bit congested. Now, this could be due to a few reasons either allergy and repeated throat itch, infection, flu, and acid reflux. There also seems to be minimal post nasal drip. We of course can see the blood clot. It could be due to the removal of the stone and the area could have had mild bleeding which eventually formed the clot. Will you please provide us more details. Is there any allergy symptom runny nose, itch, watering of eyes, sneezing, breathing difficulty, etc? Do you smoke or drink? How many times are you gargling? How are your eating habits? Do you have a fever or weakness? I would suggest if it were just minimal allergy or flu to take an antihistaminic tablet, decongestant or saline nasal spray and a proton pump inhibitor. I would go with Zyrtec and Protonix for a few days. Zyrtec in the evenings and Protonix before breakfast for a week. Avoid spicy and oily diet. Desist from smoking and drinking temporarily. But it would be ideal if you provide us the details sought so that we can make a more decisive diagnosis and get you the right advice." + }, + { + "id": 3999, + "tgt": "Why do I have pale stools and bloated stomach?", + "src": "Patient: Hi doctor,I am a 28 year old male. I am suffering from fatigue, loss of appetite, nausea, pale stools and upper abdominal bloating. I am addicted to Benadryl for the past one and a half years to get sleep. I stopped taking it over last three days. Doctor: Hi. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11201, + "tgt": "Will taking Progestin frequently to delay periods cause any problem?", + "src": "Patient: Hello doctor, I am getting married three weeks from tomorrow. I am taking the Progestin only birth control pill as I cannot take the combination pill due to my migraines with aura. I talked to my gynecologist a couple of weeks ago to see if there is a way to adjust my period date so that I do not get it during my honeymoon. She told me to go off of my pill this week so that I will get it this week (which I did) and my period would not come for my honeymoon. However, I am certain that she told me the wrong dates as now I am right on schedule to get it again for my honeymoon. I am just wondering if there is anything I can do now. Would it work to go back in the pill for the next week and then go off again and get my period again so that I can push it back and I do not get it in my honeymoon? Or will that probably mess with my system too much? Doctor: Hi. How are you doing? As you have already stopped the pill, you should be getting the periods any day next week. In that case, it was a right advise. Once you get the periods start the same pills again, without any break, till the date you want to postpone the periods. This will be a good cycle controller and a contraception. But, if you feel the periods are going to be delayed to the end of this month, then better start the same pill till the date you want to postpone the periods. Do not forget any pill in between or you will have periods in between. Just for an information, migraine can be cured by clearing the cause. Noone has found the etiology of migraine. Predisposing factors are lack of good sleep, sleeping too late, using the screens with bright blue light at close distance for long (tab, mobile, laptops, TV, etc.), missing timely meals, sweating a lot, taking too much of physical or mental strain, etc. So trying to make few changes will relieve you of this migraine. You can even start on combined pills, which are more effective than these Progestin pills." + }, + { + "id": 20381, + "tgt": "Can wearing glasses cause nose, head, and eye pain?", + "src": "Patient: Hello doctor, I have severe nose pain due to wearing glasses and it makes my head and eye pain. I do not know what is the problem with the nose bridge because it pains so much while wearing glasses as I have a high power. I need to wear at all time. Is the problem with my glasses? Doctor: Hi. As you told, that your nose bridge starts paining after using high power glasses, there are a few measures that you can take. Use high index glasses, they are thinner and lighter. Try smaller frames, the weight of glasses will be less. If you have high minus power or high myopia, get your retinal examination done to rule out any lattices or weak spot. You can try contact lenses. Go for glasses removal procedures like LASIK or SMILE or ICL (implantable Collamer lens surgery) as appropriate." + }, + { + "id": 4419, + "tgt": "I have twitches occasionally. Do I need to worry?", + "src": "Patient: Hello doctor, Almost a year ago, when I was on holiday, I had twitching\u00a0in my right upper arm. It appeared as a kind of jolt rapidly. It came and went for over a week and finally went. When I was on sunbed and it suddenly started.\u00a0Five months later it appeared exactly in the same place for about two weeks. Some days it was not there and few days it used to be present. But, it is very annoying. I visited a doctor and after assessment he said not to worry. It would go in time and it is not a\u00a0nasty disease. And then it use to come and go in an interval of three or four months.\u00a0Now, for all this time I think I have been having an occasional twitch here and there which just seems to go like in my elbows or around my knee, etc. But, I did have five or six jolts in the exact muscle on the other arm the other day.\u00a0Now, I do not have any weakness or atrophy. I am sure my anxiety is making it worse when I look into internet. I just want to know whether this is common. Should I worry about this? I do not have any twitching at the moment. Please help. 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": 19161, + "tgt": "I have diabetes in spite of taking Amaryl and Janumet. Please suggest", + "src": "Patient: Hello doctor, I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. Doctor: Hello. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin can be increased to 1000 thrice daily but then you have to take Sitagliptin 50 twice separately. Amaryl 2 can be made twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If even after making this change, your blood sugar levels are not controlled within one month, you may have to take Insulin. With this, strict diet restrictions and weight reduction have to be followed. If you have any further questions, please feel free to write. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22641, + "tgt": "Master health check up found some abnormality in liver function. Please advise", + "src": "Patient: Dear doctor, I am 47, 5 feet 6 inch, 78 kg. I had gone through master health check up on the 29th. Found some abnormality in liver function. A:G ratio 1.83, SGPT/ALT 121, SGOT/AST 62, triglyceride 336, total cholesterol 195, TC/HDL 5.42. Please advise me suitable medicine/treatment. Doctor: Hi. The attached reports (attachment removed to protect patient identity) show mild variation in liver enzymes. This looks like a fatty liver disease. To complete the evaluation, you need to get an ultrasound scan of the abdomen to assess the liver. Regarding approach, it includes diet modification, regular physical activity, and medicines. Do you have any other illness? Any other treatments previously? For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7079, + "tgt": "I am diagnosed with varicocele grade 2. What has to be done?", + "src": "Patient: Hello doctor,Diagnosed with varicocele grade 2. I have a lot of queries. Can it be treated? Will varicocele affect my sexual life? Will it lead to infertility (what are the percentages of chances) or is it controversial? Will sexual activity complicate my varicocele? Should I avoid sexual intercourse? Can I go to the gym? Doctor: Hello. Varicocele needs operation is two cases only. If it causes too much discomfort or pain or as a treatment of infertility. Not every varicocele causes infertility or problem in sexual life. Only if infertility occurs then varicocele treatment is needed. There is no fixed percent cases but chances are low. You can go to the gym, no problem in that. You should do repeat sonography after three months to check for the status of varicocele. You should also do a semen analysis to get an idea of your fertility status." + }, + { + "id": 17577, + "tgt": "I am not pregnant, then why is my prolactin elevated?", + "src": "Patient: Hi doctor, My periods were two weeks late, so I went to the doctor a couple of days ago, and the pregnancy came back negative. So, I went to have my blood drawn yesterday, and they said I had elevated prolactin. I started my period the day after I went to the doctor (or so I think), and I am bleeding now but no cramping, which is weird for me. Anyway, I have been reading up on prolactin, and it says that it will not release any eggs and you could become infertile. Now I am confused if that is true then how am I on my period?\u00a0 I am scared that I could be pregnant and just be reeving negative tests. Why would my body be producing milk? I have never been late on my prior periods, so I thought I was pregnant, but I clearly am not. I am just so confused. I did not get to talk to my doctor today about my results because I could not get them on the phone and they are closed now. I tend to be a worrier, and this is killing me. My doctor wants me to get re-tested for prolactin, which is what I heard in the message they left. How can you all of a sudden have issues with prolactin if you are not pregnant? This has never happened to me before. I am not sure if it is my period or implantation bleeding? Doctor: Hi. How are you doing?\u00a0Just relax, those are too many questions. Let me say even this anxiety can cause a rise in prolactin. Let me tell you about ovulation and then about prolactin. Hope I have been able to clarify your query, do write back.\u00a0All the best. For more information consult an\u00a0obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 224, + "tgt": "I have sprained back at the same spot three to four times a week. What am I to do?", + "src": "Patient: I sprained my back 8 years ago - now i get sprained in the same spot every 3/4 times a week - besides these days I get sprained very easily when I do simple exercises like my ankle, shoulder, neck, back, etc --- I have done physiotherapy and do stretching every day but none is helping -- what am I to do ? please help Doctor: Hello, welcome to icliniq. Its not about taking medicines or treatment, every problematic symptoms, pain and disease needs to be treated with a treatment plan and course to be implemented. Sprained muscles can easily be reduced and healed with Ultrasound therapy for 10-15 days and also applying hot water fermentation using Diclofenac ointment at home is also an added advantage to reducing sprain. After reducing the sprain and getting relaxed muscles then need to stretch the muscles step by step slowly increasing the exercise day by day or weekly once changing according to improvement. Here i will suggest you simple exercises for lower back need to be strengthen for a period of 15-20 days. Apply diclofenac ointment for a week twice a day will reduce anybtype of severe pain. if possible take IFT ( inferential therapy ) and ultrasound for 10 -15 days. Follow up after a week. thank you." + }, + { + "id": 29309, + "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": 25720, + "tgt": "What is the possibility of pregnancy if we had sex during periods?", + "src": "Patient: Hello doctor,I had sex with my partner during her menstrual cycle and she abruptly stopped bleeding few hours after intercourse. Though I did not use a condom and did not ejaculate inside but, to be on the safer side I convinced her to take an I-pill after 48 hours of intercourse. What is intriguing is that her period has not started yet and she is late by three days. What is the possibility of her getting pregnant in this scenario? Doctor: Hello. I understand your concern. Although sex during menstruation is not advisable due to hygienic purposes, it is considered a safe period during which pregnancy cannot happen. My advice would be to check using a preganacy test and practice safe sex (you can use condoms). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13901, + "tgt": "How can I avoid getting withdrawal bleeding during weekend while taking Larin Fe?", + "src": "Patient: Hi doctor, I am taking Larin Fe as a birth control pill. It is a combined monophasic pill with three weeks of active pills and one week of inactive pills. I currently started pill packs a week back but wanted to change it to a weekend to avoid weekend withdrawal bleeding. How can I do so without losing the effectiveness of the pill? My idea was to wait until my placebo week which starts on a weekday and then to take the placebos only up until weekend and start a new pack then. Would this work without changing the effectiveness of my pill? Doctor: Hi. You can stop the active pill on Wednesday instead. Take placebo pill on Thursday, Friday, Saturday and start a new pack from Sunday. The plan of preponding periods is bewildering to the body. It might take you a few (2 to 3) cycles to tune your periods in a new cycle. Repeat the same thing in the next cycle by stopping the active pills one day prior, that is, 20th day, while starting the new pack on Sundays every time. So in four cycles, your dates will be as per your schedule with stable efficacy of the pills too. I hope, I could help you with your query. Please revert back, if want a shorter alternative." + }, + { + "id": 30492, + "tgt": "What could be the reason for my chest trembling?", + "src": "Patient: Hi doctor, Occasionally, I feel the random trembling feel on the right side of the left breast nipple. It may occur once a day, but not on every day. There is no pain and it started a week ago. I do also feel pain in stomach and heartburn. I am currently on Pan 40 at night and Ecosprin once a week. I am a 91 year old male. My weight is 78 kg and height is 5'5\". I had an ECG and USG done. Is there any serious heart problem? Doctor: Hi. I understand that you are having palpitations. At your age, disturbances in heart rhythm are very common. About 1 out of 5 people in their 90's have this condition known as atrial fibrillation. Hence, we need to rule that out. If the condition does not resolve by itself, what I would do is to get an echocardiogram done in addition to a 24-hour monitoring of ECG (electrocardiogram). The 24-hour ECG monitoring is called Holter test and can be done easily at most of the local hospitals. These two tests will tell us if there is anything wrong with the structure and electric rhythm of your heart. Your ECG shows slow conduction (attachment removed to protect patient identity), so you definitely need a Holter test. Revert back with the answers to the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13125, + "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": 14437, + "tgt": "Kindly suggest a medicine for quick relief of stomach pain and vomiting in a child", + "src": "Patient: Hello doctor, My daughter is 6.5 years old complaining of stomach pain. She vomited once. What medicine should I give for the quick relief? Doctor: Hi. I understand your concern. Most common abdominal pain in children at this age is due to worm infestation and indigestion. If deworming is not done, do it with Bandy plus syrup (5 ml is equal to 400 mg Albendazole and Ivermectin 2.5 mg). Give 5 ml once in the night. If indigestion is there, symptomatic treatment is required. Syrus Emset (Ondansetron) 5 ml twice a day to be given. Any history of fever? If the pain is persistent, you need to do USG to rule out other causes and can give Cyclopam 2.5 ml once." + }, + { + "id": 9059, + "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": 28211, + "tgt": "I am depressed because a relative keeps touching my private parts. What to do?", + "src": "Patient: Hello doctor, I am an 18 year old\u00a0female, and I have had instances where a relative peeped into my room while I was changing, or touching me at private places. As a result,\u00a0I do not trust anyone, and I never share things with anyone.\u00a0I feel immensely depressed. It has been going on since I was 9 years old. I tried telling my mother, but at first, she did not believe me, then she tried to tell my relative that what he was doing was wrong, but he continued doing it. The next time it happened, I did not tell anyone, as it would really upset my mother. At the same time, my mother, due to some family problems, was talking about suicide with my father at night in bed. I was not supposed to hear that, but I did. Now and then, it crushes me, and I am depressed most of the time. Please help. Doctor: Hello. I can understand your concern. Thanks and take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3518, + "tgt": "Will chemical in cardboard cause tingling and numbness in fingers?", + "src": "Patient: Hello doctor, I was wondering if I have a reaction to cardboard and/or the chemicals in them. About eight months ago, I started working in a warehouse working with cardboard boxes, after about a week my fingers started to tingle and bother me. Best way to describe it if you fall asleep on your hand the only thing that would help was to ice them. After I stopped working there within a week or two everything was back to normal. I recently started working with boxes again and the same exact thing is happening to my fingers. So is there something in the cardboard that I have a reaction to? I wear work gloves. OTC pain pills did not help, bio freeze help a little. Is there anything I need to do for this to go away? Doctor: Hi. Well, the sort of complaints you are saying looks more of a nerve compression than an allergic reaction. Allergies are common at workplace where you deal with new stuffs. But in allergy, you get more of skin eruptions and peeling (contact dermatitis). Since you have more symptoms of tingling and numbness, it fits in more with nerve compression. Probably due to fine motor movements you have to do, which compresses the nerve. Something like carpal tunnel syndrome. To confirm this, we need to do NCV (nerve conduction velocity) studies. Meanwhile, I would suggest you wear a wrist band while working to prevent the nerve from getting pressed. You can read up on the internet about it and let me know if your symptoms match this." + }, + { + "id": 3956, + "tgt": "Is low monocyte level a contributing factor of AIDS?", + "src": "Patient: Hello doctor, I underwent a regular blood test recently. It shows my monocytes level is low which is 0.11 where the normal rate should be 0.2-1. I just googled what could be cause for the same. It says it could be because of viral infections including HIV/AIDS. I am worried now. I am scared to consult a doctor at the moment. Please advise. Doctor: Hello. Monocytes may increase or decrease, it hardly matters. One of the cause is viral disease. Not only HIV virus may cause this, but there are also many other viruses like cytomegala virus which can cause this. Flu is also caused by virus. Nowadays, fever is also called as viral fever, which takes a prolonged time to recover. If you are suffering from a common cold, or sneezing it is also viral. Nowadays in any disease one of the causes is viral. Monocytes are not so important except for in leukemia (blood cancer) which can be detected by peripheral blood film in which monocytes are highly increased. But in your case, the values are a little bit deranged. Have you noticed any symptoms? In the case of HIV infection, various types of symptoms appears even joint pain, sore throat, ulcers in oral cavity, rashes, and itching are common. Advise:- Take a healthy homemade diet (both vegetarian and nonvegetarian). Maintain proper oral hygiene of oral cavity and genitalia. Undergarments should be washed properly and soaked with Dettol or Savlon. Add citrus fruits like lemon, orange, kiwi, and blueberry in your diet. It increases immunity and overall physical fitness. Treatment: Take anti-oxidant like Revital for male one at night with milk, and Seven seas cod liver oil pearls one at night. Both can be continued for a long time. They help in general body maintenance and blood picture. I hope this helps." + }, + { + "id": 29292, + "tgt": "Should I seek further treatment for my septic joint?", + "src": "Patient: Hi doctor, Before 10 days, I got a cut on my knee. Two days later, I swam in the contaminated water. Then, I realized that my knee was extremely red, inflamed, tender and spreading outward from the site of the cut (first image). I cleaned the wound with alcohol and did not seek treatment. The following morning, the redness had gone down, and there was less tenderness. Three days later, I started on antibiotics (Cephalexin) four times a day for 10 days. The doctor who prescribed the antibiotics said he was concerned it may be a septic joint. The second image was taken last night. Should I seek further medical treatment for the septic joint? I can walk, run and bend my knee. However, it is a bit stiff. I am not sure if this is just the scab. I do not want to leave this and allow the condition to progress. I also have seven more days of antibiotics to complete, so I do not want to jump to conclusions. Please advise. Doctor: Hi. I have gone through your history and the images (attachment removed to protect patient identity). Ultrasound knee. For further information consult a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 30521, + "tgt": "Kindly give your expert advice for my father's eye problem", + "src": "Patient: Hi doctor, My father, who is 53 years old, has been\u00a0diabetic for the last 20 years and takes Insulin. His eye\u00a0problem started before a year.\u00a0Due to which there is blurred vision and everything he sees seems red. According to physicians, there is a\u00a0blood clot on the retina and for which they have injected Accentrix. He was advised to follow up after a week.\u00a0Kindly give your expert advice on the treatment being done. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 971, + "tgt": "What are the chances of side effects of tablets given for GAD?", + "src": "Patient: Hi doctor, I am suffering from unsteadiness, muscle tension, mild fatigue, anxiety and depression. I have been diagnosed with GAD. My doctor prescribed my Clonazapem 5 mg and Escitalopran 10 mg. Is it fine to take half of each tablet? Will it cause any intolerable side effects? I do not\u00a0want to take medicines. My doctor said that it is mandatory. She said CBT will not work for me. Please help. Doctor: Hi. I think for a 71 Kg young male the chance of side effects with recommended dose is very minimal, but at the same time I do not think this could be the final dose. Your doctor is right in saying take 5 mg of Escitalopram and this is the minimal effective dose for first time anxiety problem. Since you are already taking Xanax (Alprazolam) I assume that you have this problem for a longtime and it is possible that there will be required to increase the dose in the near future. You also mentioned heart arrhythmia. In that situation we need to be very slow. First, start with 5 mg than 7.5 mg or 10 mg as there are problems encountered by those who has a heart problem. I do not mean there is a serious risk, but caution is warranted. In case if you develop side effects, then there is some possibility of headache, gastrointestinal disturbance and giddiness, which are most common. Regarding the suitability of treatment, I do not find any fault with prescribed treatment as Escitaopram a SSRI (selective serotonin reuptake inhibitor), is used for definite treatment of GAD (generalized anxiety disorder) while Clonazepam helps in initial management of anxiety till Escitalopram takes over. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26573, + "tgt": "My kids have missed several days of school due to head lice. Please help", + "src": "Patient: Hello doctor,My kids have missed several days of school due to head lice. We have been fighting it for a while, and I\u00a0do not want to get into trouble for the kids missing school. How can I get rid of the head lice once and for all? I have done the shampoos and the cleaning routine. What else can I do? Doctor: Hello. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 11887, + "tgt": "What are the chances for TB to recur after completion of medicine?", + "src": "Patient: Hello doctor, I had pulmonary TB and undergone six months of continuous medication as suggested by the doctor. There was blood in sputum few times and sputum test showed negative but based on CT scan doctor suspected pulmonary TB. I was recommended medicine for six months. I gained 3 kg weight and there was no blood in sputum during this period. The medicine was completed last week and I visited the doctor. This time again CT scan was done and the report is attached. The doctor says there are a significant improvement but still some suspicious nodules that may be active in a rare case of 1 to 2 percent. He suggests extending medicine for another three months. I consulted another doctor based on same CT scan and he says there is no need to extend medicine. There will always be 1 to 2 percent chance of TB recurring even after taking medicine for another three months. He says that since TB is detected early and sputum was negative, hence there is no need to extend medicine. I have attached the first and last CT scan report for your reference. These are some queries in this regard. 1) What does the current CT scan report say about TB? 2) Whether should I take TB medicine for another three months? 3) Is there always 1 to 2 percent chance of TB recurring even after completion of medicine? 4) Is there any chance of TB getting drug resistance if it happens again? 5) Can I be sure that I do not have drug resistance TB right now? Doctor: Hello. I have gone through both the CT scans and reports (attachment removed to protect patient identity). It is good that you have completed six months of TB treatment in spite of the sputum test being negative. Even though the sputum test for AFB was negative, the symptoms and CT scan were suggestive of active TB before six months. Now, the CT scan is showing signs of healed fibronodular shadows but we cannot decide whether this is active TB at present or not just on the basis of CT scan report. For that, we have to consider, if there are any symptoms at present or not, second now what is the status of sputum AFB test whether positive or negative and if sputum test is negative then we should do induced sputum test after nebulization with saline or perform bronchoscopy test, a kind of endoscopy of lungs and collect sputum sample through the scope. Regarding extension of treatment, it is always the decision of treating doctor to extend the medicines for extra three months, based on sputum report or if any active symptoms as there is always a chance of some residual infection or reinfection with TB bacteria. Also, we can do Bactec test of sputum to find out whether it is drug-resistant TB or not and decide the appropriate medicines based on the Bactec test report. So it is advisable to discuss all these things with the treating doctor and based on the fresh reports, to decide whether to extend the same medicines for three months more or to start new medicines. I hope all your queries are clear now. Simultaneously you should concentrate on the high protein diet and avoid junk food. All the best and take care. Sputum AFB test, bronchoscopy to collect sputum directly from the lungs. It should be based upon the results of fresh sputum test." + }, + { + "id": 18327, + "tgt": "Can a 21 year old take contraceptive pill?", + "src": "Patient: Hello doctor, Can a contraceptive pill be taken at 21 years of age? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25002, + "tgt": "How likely am I to infect people with C. difficle while at work?", + "src": "Patient: Hello doctor, How likely is it that I might unwittingly cause people to be infected/ colonized with some harmful microbe (for example, C. difficile) while at work? I have been having some serious anxiety issues from thinking and worrying about this. I have been working in a restaurant for the past one month and been using a backpack to hold my work clothes. The inside of the backpack did not appear or smell dirty, but it has been used for various purposes before. For example, on a few occasions I had used the backpack to go to the gym. I put my workout clothes in a plastic bag first, so I never had dirty clothes touching the inside of the backpack, but I had sometimes put the plastic bag on the changing room floor while changing before putting the plastic bag back in the backpack. I am now really worried that the inside of the backpack was contaminated with some dangerous pathogen, meaning that my work clothes became contaminated, and hence, when I occasionally touched my clothes, I transferred some of those pathogens to my hands. I have become increasingly worried that I might have ultimately infected other people (or caused colonization), especially customers, but I do not know whether it is true or not. How likely is it to be true? And what mitigating steps should I take now, if necessary? Doctor: Hi. Clostridium difficile infection is of two types: 1. Symptomatic (causing diarrhea mainly): which is either due to transmission through infected food and contaminated hands or after antibiotic therapy. 2. Asymptomatic carrier (like your case). You have to perform clostridium difficile tests like EIA (enzyme immunoassay) toxin test to confirm that you are a carrier. If the result came positive and you are working in a restaurant, then I suggest you take eradication therapy (Metronidazole 500 mg twice for seven days). Consult your specialist doctor, discuss with him or her and take the medications with their consent. In case you are not working in the restaurant, no treatment is required as long as you are asymptomatic. Regarding hepatitis A virus, there is a vaccine that you must take if you are working in a restaurant. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15499, + "tgt": "Why is there a fall in platelet count after dengue fever?", + "src": "Patient: Hi doctor, I am 32 years old, and my weight is 53 kilograms. I am affected by C type of dengue. Last week, my platelet count was 204,000 platelets per microliter of blood. Now, I have a mild fever at night and mild abdominal pain in the right side. I am feeling weak, and I am taking good food and drink. Please help me. Doctor: Hi. In dengue, platelet count usually falls after having a fever. So keep on monitoring the platelet count, and if it goes below 1 lakh, then it requires an admission. Never take any painkillers other than Paracetamol. Take antacid like Pantoprazole to avoid having a gastrointestinal bleed. Avoid doing heavy activities, and do not strain during passing stools and micturition. If the platelet count becomes low, then avoid doing brushing as well as using mouthwash. Drink plenty of water up to three to four liters. Go to the hospital immediately if there is shortness of breath, and bleeding because even normal platelet count causes a bleed due to platelet dysfunction." + }, + { + "id": 22, + "tgt": "I get mild left-sided chest pain with low Hb and vitamin B12 levels. Please help", + "src": "Patient: Hello doctor, I am a 39-year-old woman. I have mild pain in the left side of the chest (below the neck and above the breast) and then sensation in the upper back from four days. It comes and goes. Sometimes it goes to the right side of the chest also. I have done my ECG and blood test 6 months ago. ECG and blood sugar were normal. No hypertension but hemoglobin was 10 and Vitamin B 12 was below average. What can I do as in lockdown it is not possible to see the doctor as a person. Please help. Doctor: Hello. I would like to ask you some more questions, do you have symptoms of acid peptic disease or GERD? Or any burning sensation in the epigastric region, the center of your chest (heartburn). If you do, it could also present as chest pain so I will guide you accordingly. I would also like to rule out any muscular pain, for which I will encourage you to take a muscle relaxant and see if it helps. Take tablet Muscoril (Thiocholchicoside 4 mg) one tablet once a day when you experience pain and let me know in the follow up in a couple of days to see if it relieves the pain. Like you said your Vitamin B12 levels are below normal, it could also be neuropathic pain for which I will only advise vitamin B12 supplements (tablet Methycolbalmine once a day for three months) or B complex supplements. You can also improve these levels with diet. Take diet enriched with beef, liver, and chicken. Fish and shellfish such as trout, salmon, tuna fish, and clams. Fortified breakfast cereal. Low-fat milk, yogurt, cheese, and eggs. Since your Hb is also below the ideal levels, take iron-rich foods which are usually Vitamin B12 rich as well. So I will advise diet modification to incorporate these in your everyday routine or take supplements with iron and Vitamin B12 as well. Because anemia can also present with the said symptoms. Lastly, I will encourage you to reduce weight with exercise and changing your diet and switching to a low-fat diet with the addition of more fruits and vegetables to your diet. Try to start with atleast 30-40 minutes of cardio workout every day and work it up from there according to your stamina and you will see the visible change that you feel. You will feel more active and fresh. Try to bring your BMI (body mass index) as close to the normal range as you can. Because obesity itself can cause countless problems as well. I hope this helps. ECG (electrocardiography). Do not lift heavyweights. Take low fat, high fiber diet. After two days." + }, + { + "id": 30375, + "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": 12435, + "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": 14046, + "tgt": "I have severe gum recession in a single tooth. Why?", + "src": "Patient: Hi doctor, This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forward) because of that. Is this an urgent issue for a dentist or can it wait, and if so, is there anything I can do to help the issue? Doctor: Hi. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressure stroke, gums in that particular area goes down, causing sensitivity of tooth. Another cause could be plaque or tartar around that particular tooth causing gums infection that results in receding gums. But still, I think it is your brushing technique that is the main cause of receding gum. Tell me about it. You just have to change your brushing technique, do not do harsh brushing in that area. Take a soft bristle tooth brush. Avoid severe hot or cold food stuff till you visit your dentist. Rest treatment will be done later by the dentist and that could be scaling or filling of abrasion. Stay happy and blessed. Take care." + }, + { + "id": 28846, + "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": 23949, + "tgt": "Why am I having frequent urination and lightheadedness?", + "src": "Patient: Hello doctor,I am an 18-year-old female. I have two problems that I need help with. Firstly, I have been using the bathroom more frequently for around a month and a half and whenever I need to pee it is almost always urgent. I have to get to the toilet right away. My next problem is that I quit smoking and am now experiencing lightheadedness in the mornings. Does that have anything to do with smoking withdrawals? I have eaten sugary food, drank water and soda. It is not making me feel any less dizzy. I am not on any medications. I weigh 141 pounds. Doctor: Hello. For frequent urination rule out diabetes by random blood sugar estimation. Second, urine routine microscopic examination can be done to check urinary tract infection. Stress history should be taken that can lead to urination and headache as well. Pre void and post void USG (ultrasound) pelvis also should be done. If no cause found then urodynamic flow study can be done. Smoking withdrawal can lead to a headache. Be firm in not doing smoking again as your age is very less and smoking habit can lead to many consequences in future life. Avoid stress. Yoga, meditation will be beneficial. Consult urologist regarding the reports. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22933, + "tgt": "I am not getting periods and brown spots are visible. Am I pregnant?", + "src": "Patient: Hello doctor,I had my period a month back. And I had unprotected sex ten days back. I have a 26 days cycle. I took I-pill on the same day after five hours. My due date was six days back but still, I am not getting periods and brown spots are visible. Am I pregnant? Doctor: Hi. Kindly get blood hCG done. If it is negative, you need not worry. Most probably this delay and spotting are due to emergency contraceptive pills you have taken. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6707, + "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": 25486, + "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": 4175, + "tgt": "What does my MRI report for hamstring pain indicate?", + "src": "Patient: Hello doctor, I have had high hamstring pain a few years ago, now it is back again. More pronounced on my right side though the left is now starting to match the right. I am really active so I want someone to look at my MRI and be honest (did I tear or strain my hamstring) about if I have to stop my active lifestyle if it needs to heal. Doctor: Hi. You have findings suggestive of a hamstring injury involving the left side hamstring muscles from the level of the isccial tuberosity attachment (in the pelvis area) and continuing to the biceps femoris proximal tendon and in to the upper and mid thigh areas and the myotendinous part along the posterior medial part of the thigh. I have sent few images, please check. The first image is the upper part of the left hamstring tendon (attachment removed to protect patient identity). The second image is in the left mid thigh area. There are minimal findings in the right ischial tuberosity area and otherwise the right side is showing signs of likely resolution. As you have MRI findings showing left hamstring injury, you do need to recover and avoid stressful physical activity to your left hamstrings. However the exact nature of active lifestyle is best commented upon after a detailed clinical evaluation." + }, + { + "id": 9301, + "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": 5407, + "tgt": "Creatinine level is 5. 7 with small kidneys. Is it possible to get normal kidney function?", + "src": "Patient: Hello doctor, My aunt's creatinine level is 5.7 and her kidney size of 8*3.4 cm (right and left). Currently she, is under treatment. Looking forward to know if it can be brought to normal kidney functioning? What time does it take to become normal? Her BP is 150/95 mmHg. She is under medication for TB. Doctor: Hi, Welcome to icliniq.com. To help you better I need further details. Since how long is she suffering from this? How are her blood pressure and blood sugar? How is her urine output? Where is she located? Revert with the asked details for better help." + }, + { + "id": 19966, + "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": 12487, + "tgt": "What can be done for midgut malrotation in a newborn?", + "src": "Patient: Hello doctor, My 24 days newborn son is suffering from midgut malrotation. Is this a problem? Doctor: Hi. Abnormal relationship of the vessels can cause intestinal obstruction or volvulus. It may be asymptomatic as well. If it is symptomatic in the form of pain that is related to malrotation, then this baby may need corrective surgery. You should show to a pediatric surgeon." + }, + { + "id": 21787, + "tgt": "What is the homeopathic medication for someone who fears change?", + "src": "Patient: Hello doctor,I am forgetting what I read a week before. The brain does not listen if other person speaks, or anything that requires moderate attention like a difficult lesson or an English movie or very new issues and tries to skip it. Due to this problem, I need to read the books, again and again, to get familiar to talk in public or practice it. Even if I practice many times, after some weeks, I cannot recollect what I read exactly. Due to this problem, I am unable to crack PG entrance. I feel ashamed. Even though I am a student of English medium, I fear to talk and search for words while talking. I tried to learn good fluent English, but I am unsuccessful. Is this dyslexia with combined neurasthenia too? I used to score 95 % but after this problem started, I am just able to stick to 60 % and I am unable to digest very low academic growth. There seems to be no treatment in allopathy for this.I feel back muscles ache and when I do some physical work, I feel full body ache. Even without any work, I feel back muscles ache. I sleep more. I am able to work more at night times than early in the morning. I wake up at around 8 to 8.30 AM whether I sleep at 9 PM or 2 AM. I try a lot. One should be able to wake up after six to eight hours of sleep and feel satisfied, but for me, it is not true. My polysomnogram was normal. More the mental work, I sleep more. For example, if I study for a few hours, I may need to sleep for 12 to 16 hours. While studying, I go to sleep. But while doing other works, I do not sleep automatically. Due to sleep, I have lesser time than others. In this time, I am facing difficulty to manage myself, wife, home, job, next level studies, business issues, outside problems, etc. I am very easily tired with mental work than physical work. I am ruled out for depression as my problems or most of the symptoms are starting only if I start reading (memory) or physical activity. Else, I feel somewhat alright. I got these three problems when I was 18 years old and these symptoms were not given attention by my parents. Later, I went to hospitals but no proper treatment was given and I am trying to cope with them. But these dominate my self-confidence regularly.I have taken just one dose of Lycopodium 200, Baryta Carbonica 200 with one week gap. After taking Baryta, I have some discomfort and hence stopped. I tried Kaliphos few years ago and felt the symptoms aggravated and stopped using it. I have shown to doctors (psychiatry also) and they are unable to come to a specific diagnosis and said I am normal. My hemogram, CT, MRI, thyroid profile, and polysomnogram are normal. No alcohol or smoking or any other habits.Below, I am mentioning a summary of my mind and behavior to conclude what type of homeopathy medication personality I am:I fear to take change. For example, if I am doing a job, when any better job opportunity comes by, I fear to apply for change or travel. Hence, I am losing ways to improve in my field.I fear to talk in public.I fear when I see from the second or third floor of the building to down.I fear to tell lies. Many people easily tell lies and survive. For me even if it is mandatory, I feel difficult to lie. I am afraid of money matters. I will leave my money due to modest/bashful/hesitation problem. In this way, I am losing money.I cannot defend myself even though I know I am correct or right. I cannot convince others to accept what and why I did something. I just stand silently before them as if I did a mistake.I cannot convey properly what is in my mind and it comes out in a different way. Hence, even if I do better work than others, I am not focused enough to sell the idea.I hide my sad feelings inside.I cannot praise myself in front of others even if I did a good job where many people praise themselves even for a small work.Tears come while watching sentimental scenes in TV shows or movies. But I do not cry in real life easily. May be in childhood I cried, and later learned not to cry. I think more about other's feelings and care about them. I compromise myself. If my wife asks me for a huge sum of money, I give the money, even if I do not want to. But, when it comes spending even a small amount on myself I just let go even if it is something important.I change easily to other's feelings or moods or other's mentality. I lose my identity in the process sometimes and think later that I am changing and try to come back.I feel that I am having a struggle with my mind to keep it in track. An example is, I trained my mind not to eat rice (carbs) at night times. But, if I see people eating at night, I start eating (I adoptto their behavior).I am not rigid with my character or feelings.I think about money, but when I get money, I feel I do not care about it. This might make some people around me feel that I am stingy and a miser but the fact is I am not.People think differently and talk outside as if everything is normal. I tried to follow it but I am unsuccessful. Because to please somebody or to be happy, one should pretend or change to talking situations. Also, I put on weight easily. I stopped eating rice at night times. Just eating half of what other people eat for my age. My father is obese and may be I got those genes. Due to strict food control, I now weigh 68 kg which is near normal to my height. I cannot utilize the situation due to my above-mentioned symptoms like fear of change, afraid in money matters, cannot defend, convey my message well, etc.I sweat more. I feel intolerant to heat. I cannot sleep without a blanket.I feel irritable if work does not happen in time. I get normal if someone consoles me (with jokes) or by myself after some time. But never fire easily on others. I hide my true self.I do not get headache, vomiting or have indigestion problem.I might be polite if in someone's mind I am less than them. But when I reach to the feeling of a good person in their mind, I try to not be polite or good but will be polite only but think that way.I curse myself if somebody undergoes some suffering due to my mistakes. I have gone to that road (accident situation) or been late, etc. If someone accidentally hits my bike, I am afraid to ask them why they came in the wrong direction and ask for compensation. I am not interested to go outside for evening walks. No strong feelings for a particular activity. I do for a few days and stop. Not maintaining daily habit.I am a workaholic and I do not like postponing. I get angry if someone postpones the work.I have some child-like mentality. Helping nature.In my feeling revenge on any issue/problem is to give answer with success. But due to these above behavioral problems and symptoms, I am having low academic, personal, professional and social functioning. I strongly believe that homeopathy can treat mental and emotional symptoms better than any medicine and hence I mentioned the three symptoms due to which I am unable to lead a peaceful life. According to my mentality, what medicines suit me? According to my disease/symptoms, what medicines will help? Kindly help me out. Doctor: Hello. According to your narration, you have only fear and lack of self-confidence and self-motivation. Actually, you have no symptoms of dyslexia and you have only stage fear. According to your narration, you are very sensitive and you always feel that you are making mistakes. You have a feeling like you were circumspect by others. But no one has time to observe you. Everyone will be busy with their own work. You get tears while watching sentimental scenes - it is quite common. Actually, you are a very talented person, you can do anything, only if you can delete all these negative thoughts from your mind. One suggestion for you. If you try to proceed with your next step in your career, there might be a 50 % chance of failure. But if you do not even try, there will be a 100 % failure. So try and try until you reach your goal. I have gone through all the symptoms you have mentioned in the query and came to a conclusion to select a homeopathic medicine which suits your symptoms - Gelsemium 1M (10 pills once in 5 days for 15 days) and after 15 days take Anacardium 1M one dose (10 pills) only. Report back to me after 20 days. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 7381, + "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": 5165, + "tgt": "Would excess of Amphetamine cause burning sensation of penis?", + "src": "Patient: Hi doctor, Around 15 years ago, I used to take a lot of Amphetamine and used to masturbate a lot. As a result, I caused a huge amount of damage to the penis and it constantly leaked urine. 3 years ago, I plucked up the courage finally to see a urologist, who said that my urethra was red and angry. But, I have never had any pain. Now, for the last few days, I am having constant pain in my penis. I went to the doctors and gave a urine sample. The result was negative without any infection. But, my doctor gave me antibiotics. I am worried that this could now be my urethra that is hurting me, but why would it start hurting now after all these years. My penis is very weak and I have to wear tracksuit bottoms as I keep leaking urine and it will be visible even through jeans. Would urethra hurt like this? If not, then what else could it be? The pain is all over the penis and a little more at the tip than anywhere else. Doctor: Hi. Please relax and do not worry. Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8838, + "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": 15567, + "tgt": "I was prescribed with Lonazep and Sove for anxiety and sleep problem. Is the prescription correct?", + "src": "Patient: Hi doctor, I have noticed two problems in me. I have these problems for three months. I have disturbed sleep on several days and erectile issues (sustaining erection during intercourse). I am a hypothyroid patient for two years (I take thyroxine Sodium 100 mcg). I have high myopia (-10 power in both eyes) and severe dry eyes (Schirmer score of 2 mm in each eye). I take Restasis, Systane ultra and Eyemist eye gel for the dryness. I have tight schedules throughout the day. I consulted a psychiatrist last month. The doctor told me that the issues are due to anxiety and she advised me to take Vilano 20 mg in the afternoon, and Clomipramine 10 mg at night time. I have attached the prescription. After five days of taking medicines, I felt my mood to be better. But I faced several side effects with dry mouth, chest spasms, total erectile dysfunction, and a sore throat. I consulted an ENT specialist for a sore throat, and he advised me to stop the anxiety medicines as throat issues can also occur due to the medication. I quitted it, and I faced several withdrawal symptoms on the next day. I was getting brain zaps while going to sleep (electric currents running through my brain) and I was unable to sleep for two days. Hence, I consulted a neurologist. He suggested me Lonazep 0.5 mg, Sove 5 mg and advised me to do a psychological assessment. Based on the evaluation, he informed me to continue taking Lonazep 0.5 mg, Sove 5 mg for 60 days and also advised me to do cognitive therapy, relaxation therapy, and yoga. I have the following questions. Am I following the right direction? I think taking Lonazep 0.5 mg and Sove 5 mg will not be an easy one to stop. Can I have withdrawal symptoms after taking it? Is it right to take anxiety medicines? I still have brain zaps, and I always take alcohol for once a week. Will I have any impact due to the medication? If yes, please suggest. Doctor: Hi. You are not following the right direction regarding medicines. There are two types of treatment such as primary medicine like SSRI (e.g., Vilazodone) and supportive medicines like Sove and Benzodiazepines like Lonazep. We can take an example. If you have malaria or dengue, you will have a fever and Paracetamol is taken. But it will not cover the whole illness to cure it, and so we will take specific medicine for malaria such as Quinine. Yes, Benzodiazepines have withdrawal symptoms when quitted suddenly. It is better to take proper medication. The side effects such as dryness of mouth and dryness of eyes, you had were due to Clonil. Vilazodone does not show such side effects so you can start retaking it. There are other options also, but we can try taking Vilazodone first. The worsening of anxiety does not occur due to medicines. It is a natural course of illness which got unmasked when you quit the medication. Taking alcohol occasionally is fine. But in anxiety and depression, usually, people perceive that alcohol can cure the problem, and they can make them relax. But there is a need to understand that it may lead to alcohol addiction, worsening of anxiety and depression. Gradually taper off and stop taking Lonazep (Clonazepam) and Sove (Zolpidem) and build the dose of Vilano in future." + }, + { + "id": 14893, + "tgt": "What can be done to lower my hairline to hide the big forehead?", + "src": "Patient: Hello doctor, I am an 18-year-old male and I am trying to find out if there is any way to lower my hairline. I had a big forehead since birth and I am wondering if there is any way to change that. Doctor: Hello. There are two ways we can use to achieve a lower hairline or a smaller forehead. The first is a surgical approach to remove a portion of the forehead skin and effectively lower the hairline. The second is to make the forehead appear smaller by grafting hair to the front of the hairline. Occasionally, these two procedures can be combined but as it is a very expensive method the only way which you can do is undergo a hair transplant by FUE (follicular unit extraction) method to create a new hairline to hide your big forehead." + }, + { + "id": 9506, + "tgt": "Please explain my MRI report in layman's term", + "src": "Patient: Hi\u00a0doctor, I would just like to have my MRI reports in layman's term.\u00a0At C3-C4 there is mild bulging of the annulus fibrosis. The facet joints and uncovertebral joints appear normal. At C4-C5 there is degenerative disc disease with disc space narrowing. There is a broad-based focal disc protrusion extending from the right to the left lateral recess with associated bilateral uncovertebral joint hypertrophy right greater than left causing predominantly right-sided foraminal stenosis. At C5-C6, there is diffuse bulging of the annulus fibrosis. Also, there appears to be a superimposed focal disc protrusion within the intervertebral foramina on the right associated with right-sided uncovertebral joint hypertrophy and to a lesser extent facet arthropathy causing on axial image severe right-sided foraminal stenosis. The patient is status post cervical fusion at C6-C7. The facet joints and uncovertebral joints appear normal and there is an\u00a0obliteration of the intervertebral disc space. At C7-T1 the intervertebral disc seems normal. Sagittal images of the conus medullaris appear normal. The impression is reported as degenerative changes and focal disc protrusion at C4-C5 and C5-C6. Doctor: Hi. For further information consult a neuro surgeon online -->https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 20576, + "tgt": "Please explain the MRI done for knee injury", + "src": "Patient: Hello doctor, I just recently suffered a knee injury and had an MRI done I was just hoping the results could be translated to me. An acute anterior cruciate ligament injury is present with lateral compartment bone contusions. A full thickness tear is favored. A high-grade partial tear is possible but felt to be less likely. A very small subtle linear tear is suggested within the posterior horn of the medial meniscus with inferior articular surface extension. Extensive soft tissue swelling and edema from the patient\u2019s injury. Grade II sprain of the fibular collateral ligament, biceps femoris and conjoint tendon portions of the lateral collateral ligament complex. There is grade I to II strain of the distal aspect of the vastus lateralis muscle. Doctor: Hi. Sir, all the findings which you have written shows that there is some injury to your knee and in turn body reactions. Usually, it is difficult to assess about ligaments in MRI of fresh trauma because of too much edema. So, basically, we rely on patients symptomatology and our clinical findings. It is advisable to get an MRI after six weeks of injury. As far as your MRI findings are concerned, everything is fine. Only thing is your ACL (anterior cruciate ligament), which needs to be evaluated clinically. As of now, nothing to be done and take some painkillers and mobilize as per your pain. It would be helpful to me if you could tell about your symptoms like how long back you had an injury, are you able to walk, if yes then is there any instability or giving away sensation of the knee. Also, if you could describe the way you had injuries like twisting injury or direct hit." + }, + { + "id": 11023, + "tgt": "Does a hematocrit of 49. 2 indicate polycythemia?", + "src": "Patient: Hello doctor,My Hb is 15.8 but HCT is 49.2 and total RBC count is 5.63. What is the reason? I fear about polycythemia. Is it possible to reduce HCT? Doctor: Hello. If you are a smoker, then stop smoking. At this stage, secondary polycythemia is more common than primary and smoking is the most common reason for secondary. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5887, + "tgt": "What medicines can be taken to cure stuffy nose and cough in an infant?", + "src": "Patient: Hello doctor, My infant daughter who is 8 weeks old is having stuffy nose and cough since yesterday. Kindly advise us how to take care of her and prescribe medicines necessary for her to take. We are worrying especially of her cough. Doctor: Hi. The child will have to be evaluated for reflux disease. It is a very common illness in this age group. Do not worry. The best way to control the coughing and the stuffy nose is to keep the baby at an angle of 30 to 40 degrees from ground level after feeding. You may also consider the use of reflux pillow for the same. From the medication point of view you can start drops Perinorm 0.5 ml thrice a day for 5 to 7 days and observe. Observe for one week. If there is no improvement investigations like X-ray test and a reflux study may need to be done after a physical evaluation by a pediatrician." + }, + { + "id": 12196, + "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": 26396, + "tgt": "What are the chances of pregnancy when periods are gotten in three days after sex?", + "src": "Patient: Hello doctor, My girlfriend and I had sex recently and the condom broke. She immediately took Unwanted 72. Her period came three days later. What are the chances of her getting pregnant? Can we abort the child in case she gets pregnant? Doctor: Hello. Regards. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26052, + "tgt": "I have ear clicking and discharge. What could be the reason?", + "src": "Patient: Hello\u00a0doctor,I hear a clicking sound in my ears since the last three to four months. When I put my fingers inside my ears, a brown sticky substance comes out. The clicking sound does not come\u00a0on its own, but it comes when I focus on it too much, although I have no earache. Doctor: Hello. Hope that helps you. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17853, + "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": 14430, + "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": 20955, + "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": 20568, + "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": 2150, + "tgt": "My urine pregnancy test is positive with slight bleeding. Is this a matter of concern?", + "src": "Patient: Hi doctor, I missed my period then I took a pregnancy test two days before and it is positive. I got two lines, the first line is dark second line is light pink. But today morning I got abdominal pain then light bleeding also. It is anything wrong I am really scared now. Doctor: Hello. I saw that the urinary test pregnancy is positive. (attachment removed to protect patient identity). Congratulations on your pregnancy. It will be better if you have written the first date of your last menstruation. So I can calculate the gestational age. In the first week of pregnancy at 5-6 weeks, woman can experience dark brown spotting, it quite normal due to the implantation of trophoblast. But there are also other causes as hematoma. If the bleeding becomes heavier, red with clots or lasts for several days you should discuss it with a specialist. At 6-7 weeks of gestation, you should consult with an obstetric specialist because you should undergo several lab analysis and an ultrasound to ensure an intrauterine pregnancy and to detect the heart activity of the embryo. Trophoblast implantation. Ultasound. The first lab examination IgG IgM for CMV (cytomegalovirus), rubeolla ,toxoplasma, blood and group blood analysis, TSH (thyroid-stimulating hormone), etc. Hematoma Folic acid." + }, + { + "id": 24897, + "tgt": "I got a sore on my lips after sex. Is it related to HIV virus?", + "src": "Patient: Hello doctor,I had sex with my fiancee 14 days back without protection and it was her third day of period. Three days after having sex, I got a sore on my lips. I am confused that it happened because of cold or is it something else and from that time continuously, I have a sludge kind of cold. Please find the attached sore image and suggest. Doctor: Hello. I have gone through the image (attachment removed to protect patient identity). The lip outer layer is slightly red. It does not seem to be due to cold. It may be due to allergy. For the allergy, you can apply lip balm. I suggest taking tablet Recofast plus (Paracetamol, Pseudoephedrine, and Triprolidine) two times a day after food for three to five days and tablet Montek 10 (Montelukast) one at night for five to seven days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1899, + "tgt": "Am I suffering from schizophrenia?", + "src": "Patient: Hi doctor, I am 25 years old. One night, when I tried to go off to sleep, I had racing thoughts that I had no control over. I did not hear any voices, just thoughts. I could not track them or process them. I was really scared as a result. This phenomenon has been happening whenever I try to go off to sleep or wake up from sleep.\u00a0Now, very recently I moved abroad. I felt extremely depressed and stressed about this. I started having sleep problems all of a sudden. Being a hypochondriac, I thought this must be something fatal. This led me to be stressed, anxious and depressed. I have been searching on the internet obsessively for five months and I came across schizophrenia. I was terrified. Ever since then, I started searching for schizophrenia obsessively and my symptoms worsened. I thought I started to hear voices after reading about them. But actually at most, they are silent thoughts that occasionally mock me.\u00a0I have random words pop into my mind at odd occasions.\u00a0After reading about paranoias, I seem to be developing them too. I get scared or threatened by people for no reason. I am more concerned about the fact that why am I getting scared of people, rather than actually scared of them.\u00a0I feel extremely detached from reality like I am just going through the motions. I am extremely tired and sleepy throughout the day.\u00a0My appetite has declined completely. I cannot do anything. I\u00a0visited four doctors and all told me that I have extreme anxiety and depression. Can anxiety and depression cause these symptoms? Can being a hypochondriac lead to this? When I talk to a friend on the phone, I have an engaging conversation, laugh and cheer up. And then I think, should I feel threatened by him? Am I losing control?\u00a0I speak fluently and I go about my activities fine.\u00a0Most of the symptoms that I have developed have been after I got to know about the symptoms on the internet and obsessed over them.\u00a0I constantly cry about what has happened to my life and why did this happen to me. So,\u00a0what is happening to me?\u00a0Moreover, these symptoms come and go in 7-10 days. Doctor: Hi. I read your query with keen interest and understand your concerns. First of all, I must assure you that there is no evidence of disease called schizophrenia in your case. Schizophrenia is often presented with different kind of prodromal symptoms and they do not match to your current symptoms. Having said this, the symptoms are more indicative of anxiety disorder with added obsessive and compulsive behavior. This is more likely as you are already suffering with hypochondriasis, which is again a disorder from same spectrum of psychiatric disorders like obsessive compulsive disorder. I also like to inform you that stress, anxiety and depression can present with symptoms mentioned in the query and there is no doubt about that. For your clarification worsening of symptoms and spontaneous remission of symptoms are indicative of obsession rather than psychosis such as schizophrenia. In my opinion, it is time for you to engage in therapeutic process rather than moving from one doctor to another as constant approach will bring out the positive outcomes. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10514, + "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": 6221, + "tgt": "I got my abortion done by using Cytotec and now there is delay in my period. Is it due to its side effect?", + "src": "Patient: Hello doctor, I got pregnant in march this year and got it aborted through medicines (Cytotec). I took two doses as the first dose failed to work. Till this month, my monthly period cycle was absolutely fine. I was supposed to have periods on the 21st of june. Still I have not got my periods. I did a my pregnancy test onthe 26th or 27th of june and it was negative. I took an ECP on 28th to get my periods. I have realized that after this, I am not going to affect my cycle anymore and no more unprotected intercourse. I used to have periods always on time. Can you please guide me on health repercussions because of abortion pills and ECP? Have I done something terrible to my health and what to do if I am pregnant again? Can I get it aborted through medicines again? I will never affect my cycle hereafter. Doctor: Hello. Health issues because of abortion pills are that you may continue to bleed for 16 days or so, and also there may be incomplete abortion or some times no effect at all (failure) as you have already experienced. So it is not possible to continue pregnancy also after taking the pills (abortion or ECP) as there will be congenital malformations in the baby. Yes, of course, the cycle date will change every time. ECP is meant for emergencies only and not to be taken after every unprotected sex. If you are pregnant again, I will advise you to get a scan done and rule out any chances of ectopic pregnancy before taking abortion pills at any time. You can take it again if required, but then consult and follow up with the doctor is a must. After you are clear with all issues, I will advise you to take contraceptive pills regularly to avoid all this, and this will regularize your cycles also and nothing to worry." + }, + { + "id": 7660, + "tgt": "Can mold exposure cause an ear infection?", + "src": "Patient: Hello doctor, Last year, I noticed that my 3 year old's tonsils were very large. I contacted his doctor. But, he could not find anything wrong. I later noticed him yelling or talking loudly and asking me to repeat a lot. So, I had a\u00a0hearing test done and he failed. They explained that he had a fluid buildup behind both the ear drums and that his ears needed a cleaning. So, I scheduled that. Early this year, his right ear drum burst and he had a yellowish-green discharge. A month before that, we had hired a mold inspector because I was falling sick more often than usual. I found the mold and had it tested and it was\u00a0a Chaetomium mold. It was growing right above the intake vent for my heat and air. Now, he is scheduled for surgery. Could the mold have caused this? And who do I contact to have a testing done? Doctor: Hello. Any further questions are always welcome. Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2764, + "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": 29353, + "tgt": "Kindly advise me if my test is suggestive of TB infection", + "src": "Patient: Hi doctor, During fitness examination I got know that I have bilateral apical pleural thickening in the chest x-ray, but neither in the past or current, I have any health complaints. So, the further investigation I did was PPD skin test and QuantiFERON TB gold test, which is positive 20 mm and 3.42 IU respectively. Kindly advised me if that is suggestive of TB infection. Do I need take anti-tubercular\u00a0medicine? I am working right now in abroad. Can I prevent this from becoming active? Doctor: Hi. I have gone through your case, and I am of the following opinion. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27082, + "tgt": "I have a plum-sized swelling on my face. How do I make it go down?", + "src": "Patient: Hello doctor, I have an abscess on the right side of my face that has swollen up as big as a plum. The reason for the abscess, I guess, is because I have two missing teeth on the side of my mouth. But since there are\u00a0no teeth there, I want to know what can be done about this abscess? How do I get rid of it? How do I get the swelling to go down? Can you give me any suggestions? Doctor: Hello. Hope my answer will help you. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 26582, + "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": 275, + "tgt": "I am coughing up green phlegm. Why?", + "src": "Patient: Hi doctor, I have been coughing up green phlegm for a few days. Now, it started to hurt my chest. Please help. Doctor: Hi. I understand very well the symptoms you describe above in your query. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15495, + "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": 14941, + "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": 13520, + "tgt": "How to confirm positive TB from skin test?", + "src": "Patient: Hi doctor, I had a TB test done at 9:30 AM yesterday and it is now 7:30 PM. The area is itchy, swollen with a red ring around it. Should I be worried? Doctor: Hi. I believe that you have undertaken the Mantoux skin test. There is likely to be an initial inflammatory reaction to the tuberculous killed bacillus which can form the ring and itch slightly. You may apply an emollient over it. This test is to be studied after 48 hours for results where if the induration is more than 10 mm in diameter then the test is positive and the patient is said to be susceptible to tuberculosis. Then is followed by ADA (Adenosine deaminase) and/or MTB-PCR (Mycobacterium tuberculosis-polymerase chain reaction) test to confirm the diagnosis further." + }, + { + "id": 24597, + "tgt": "How can the presence of toxoplasmosis be checked in pregnant woman and fetus?", + "src": "Patient: Hello doctor, My wife is 28 years old, and her weight is 49 kg. She is on Thyronorm 75 for past one year. We did some blood tests a year back as per our gynecologist's advice in view of positive ANA two years back which came normal in the same year. According to that, her IgG for antiphospholipid was normal, and IgM was positive. Also, IgG and IgM for toxoplasmosis were positive. Our doctor started tablet Rovamycin Forte and Ecosprin 75. She took Rovamycin Forte for two months. Eight months back we again checked for toxoplasmosis which was found negative, i.e., IgG and IgM for toxoplasmosis were negative. Hence, the doctor stopped Rovamycin but continued Ecosprin 75. Two months later, my wife became pregnant, and her LMP was at the end of the same month. Two months later, the doctor again advised for antiphospholipid and toxoplasmosis. IgG and IgM for antiphospholipid were negative, but IgG and IgM for toxoplasmosis were dramatically high. Hence, the doctor started Rovamycin Forte again. Now, we are taking Rovamycin Forte for past six months again. Please guide me on the below queries: Is there any other way to check the presence of toxoplasmosis in view of dramatic results of tests found? Is it necessary to take Rovamycin? If yes, for how long it should be taken? Will Rovamycin prevent infection to the fetus? Will Rovamycin affect baby\u2019s growth? (double marker test was done five months back and was normal). Is there any way to check the presence of infection of toxoplasmosis in the baby? Doctor: Hello. Yes, to rule out acute infection or re-infection there is a role of IgM avidity testing and once the toxoplasmosis IgM is negative and IgG titers are high, then IgG titer is repeated every four weeks.The rising titers are suggestive of active infection, and amniocentesis is done to detect congenital toxoplasmosis infection in placenta and baby. If an active infection is there, then to prevent the transmission of infection to the baby, Rovamycin (Spiramycin) in a dose of 1 to 2 gm daily for three weeks and then one week off for three to four months is given. It is the infection which affects the baby's growth and not the drug itself so much. Yes, the answer to the question is amniocentesis to detect PCR (polymerase chain reaction) in the placenta and baby. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2146, + "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": 19069, + "tgt": "My red blood cell level is high. Please advise", + "src": "Patient: Hello doctor, My CBC test showed RBC level as 7.1. Doctors told me that this value is high. The MCV is 56.8 and MCH is 15.4 which are low. I used to smoke when I did the first test. When I went for the test again after 2 months, I had quit smoking. Even then the result was the same. Please advise. Doctor: Hi. I have gone through your CBC (Complete Blood\u00a0Count) reports (attachment removed to protect patient identity) Based on your query, my opinion is as follows: For further queries, consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28095, + "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": 2982, + "tgt": "Will hypothyroidism cause low milk production in a new mother?", + "src": "Patient: Hi doctor, I am breastfeeding mother with TSH level 4.83 in the last trimester which is I suppose hypothyroidism. My milk supply is low. I want to know if TSH value can affect milk supply. I am on 50 mcg Eltroixin dosage now. If it does affect, I want to know what should be the normal values for TSH, free T3, free T4 value for breastfeeding mother. And if I increase the dosage, does it affect my baby through breast milk. Please help. Doctor: Hello. I just read your query and from what you mentioned it appears that you are being treated for hypothyroidism since the last trimester of your pregnancy although the TSH (thyroid-stimulating hormone) you mentioned was not that high as to begin therapy but still I am not aware as to what were your T3 and T4 levels at that time as well. I understand that you are breastfeeding and that your milk is not enough for the baby, well that is not related to hypothyroidism but related to your diet and fluid intake. The levels for a lactating mother is the same as a non-pregnant woman. I would still advise you to repeat your thyroid function test after delivery to know what are your levels now. Please do not increase the dose without any tests and no, it does not affect the baby adversely. I hope this helps." + }, + { + "id": 20873, + "tgt": "What is the treatment for mood swings and obsession?", + "src": "Patient: Hello doctor, One of my relatives is facing some psychological problems for quite some time and she is under treatment as well. She has the following symptoms: Mood swings. Everything available she wants to eat even though she is not hungry. Every time if anyone goes to washroom she also goes even without any feeling of nature's call. Sometimes she displays an obsession with her husband and daughter. She otherwise remains normal in front of strangers but in presence of her husband and daughter she shows obsessive behavior and becomes furious over petty issues as well. She is undergoing treatment but not much improvement is seen. Following is the list of medication: Procyclidine, Clobazam, Risdon LS, Amisulpride, and Theophylline. Doctor: Hello. Her symptoms suggest some psychotic behavior but this should be evaluated in detail. Mood swings with episodes of irritation, anger outbursts could be part of some mood disorder. She eats a lot, she goes to the washroom without any need and this might be due to abnormal behavior resulted due to some psychosis. What kind of obsession she has? Please describe in details. Does she show behaviors like overspending, not listening to others, feelings that only she is right and others are wrong, argumentativeness, reduced sleep, over religious behavior, etc? These behaviors are seen in mood disorders. If she has symptoms like hearing voices which other cannot hear, suspiciousness, ideas that others are talking bad for her, etc? Her symptoms and medicines given to her suggest some psychosis. Though more evaluation is needed. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7394, + "tgt": "Suddenly, my left ring finger is leaning towards index finger. Will it get better?", + "src": "Patient: Hi doctor, Yesterday, I noticed that my left hand fingers look different that is some sort of out of place. The left ring finger is no longer straight and is leaning towards my index finger. I am not sure if the other fingers look normal or not. But, it is annoying me. The ring finger being bent, leaning on my middle finger like they are stuck together and it feels weird. There is less movement of the fingers. I have no idea what has caused this, but it definitely started yesterday and I did not injure myself. It makes no sense, but is annoying me. What is it? Can I get rid of it? Please look at the pictures I have attached. Doctor: Hello. I have gone through your history as well as the images attached to the query (attachment removed to protect patient identity). Spontaneous subluxation MCP Joint. X-ray left hand - anteroposterior view and oblique view. Revert back with the x-ray to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12349, + "tgt": "Kindly guide me about the treatment for tingling sensation in arms and face", + "src": "Patient: Hello doctor, I am a female, 32. For the past several months I have had tingling that comes and goes in my left arm. My left leg followed some time after and in the past few days also on the left side of my face. Relevant information: 1. I have a slipped disc in the lower back but it always affected my right leg. 2. I have had a baby last year and I carry him on my left arm and hip. 3. I suffer from anxiety. No medication. 4. I have very low B12 and vitamin D. Doctor: Hi. Such tingling sensation is very common to see in people with vitamin B12 deficiency. Anxiety is also one of the reasons for such tingling. I would need to know if you have any thyroid related disorder? What all medicines in total you take, please name them." + }, + { + "id": 27486, + "tgt": "Proteins were detected in my urine. Is it fatal?", + "src": "Patient: Hi doctor, I took tablet Solifenacin 5 mg for increased\u00a0frequency of urine along with tablet Cifran 500 mg. After 10 days, proteins were detected in my urine. Is it fatal? What should I do? Please suggest. I do not urinate frequently now, but I have right flank pain. What is happening to me? Doctor: Hi. You seem to be suffering from urinary tract infection, and it could be secondary to kidney stones. In such case, I would recommend you to get an ultrasound of the abdomen and a urine culture done. Also, get your blood sugar tested if not done recently. You should drink plenty of fluids, and further treatment is based on the reports. I hope it helps you. If you have any further query, please ask me. For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 22169, + "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": 30417, + "tgt": "How frequent should I have sex to conceive?", + "src": "Patient: Hi doctor, I am 29 years old. I am trying to conceive, but circumstances are not favored. My husband's odd work timings makes him too tired. We are hardly trying twice a month. Sugar and lipid profile are normal. Also, pap smear done, which is normal. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25264, + "tgt": "What are the causes of vitamin B12 deficiency in a non-vegetarian?", + "src": "Patient: Hi doctor, I have vitamin B12 deficiency, even though I eat a lot of non-vegetarian food. A doctor prescribed me New Nervijen plus capsule. Is it safe to use? Doctor: Hello. Revert with more information to a general medicine physician --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19063, + "tgt": "There are red dots in my penis. Could it be an allergy?", + "src": "Patient: Hi doctor, I am a 23 year old\u00a0non-diabetic male. I suddenly felt a burning sensation on the tip of my penis a few days back. I thought it was a general burning sensation, due to lack of drinking water. I do accept that I am a little unhygienic. After a day or two, the burning sensation increased. When I checked properly, there was a small white dot, like a skin peeling. Now dots have grown red, and the number of the red dots\u00a0have increased to\u00a0four or five. It does not trouble me much when I am on the move, but whenever I go to the washroom, it burns a lot the entire time I urinate and post-urination, the burn subsides in 15 to 20 seconds. I was having a fever as well for these past two days and within these past two days, the number of dots has increased. Is this an allergy or balanitis or something else? I have attached pictures. Kindly suggest what to do. Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). From your description, it seems you have chancroid or herpes genitalis. Chancroid is a bacterial sexually transmitted disease (STD) caused by Haemophilus ducreyi, whereas herpes is a viral infection. On checking the Gram stain of the ulcer exudates, short, plump, gram-negative rods in the classic school of fish appearance, if revealed indicates a chancroid. Get your HSV (herpes simplex virus), IgG and IgM (herpes simplex virus immunoglobulin G and M) level tested to confirm herpes. Treatment for chancroid includes tablet Azithromycin 1 g orally as a single dose or Injection Ceftriaxone 250 mg intramuscularly as a single dose given by a dermatologist. Treatment for herpes includes tablet Acyclovir 400 mg thrice daily for five days. Try to follow the ABC of sex to prevent STDs. Abstain from sex till marriage. Be faithful to your partner. Condom use, correctly and consistently. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 23365, + "tgt": "Rh was given as 'weak D positive'. Does that affect mother or baby?", + "src": "Patient: Hi doctor, My wife is pregnant for the first time and it is her 12th week. We did a blood grouping and urine culture testing last week. It is found that the blood group is 'O' but the Rh was given as 'weak D positive'. We did a second opinion testing in a different lab and the result was the same. Doctors are confused and they say that we need to check what is the blood group of the baby. We are a little bit worried and following are our queries. What type of blood group does she belong to (O+ or O-)? Does that affect my wife and baby for the first pregnancy? Do we need to take any preventive measures to make sure everything is normal or post pregnancy? Please help us. Doctor: Hello. Weak D in itself is a specific category of blood group. Weak D expression primarily results from single point mutations in RhD which encode amino acid changes predicted to be intracellular or in the transmembrane regions of RhD. Molecular RhD blood group typing is very efficient for managing donors and patients carrying any of the various molecular types of weak D and partial D. Weak D people belonging to weak type 1, 2, 3, 4.0, 4.1, and 5 can be treated as Rh-positive and be transfused by Rh-positive red blood cells, while subjects with weak type 4.2\u201311 and 15 should be treated as Rh-negative and transfused with Rh-negative red blood cells. Ideally, it is important to know the status of the blood group of the mother if she is Rh negative so that anti D injections can be given to prevent complications in subsequent pregnancies if the baby is Rh positive. A weak D positive is generally considered as Rh positive and usually, the anti D injections are not required in such patients. It should not affect either your wife or baby during her first pregnancy and subsequent pregnancies as well. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 3707, + "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": 26267, + "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": 13754, + "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": 3742, + "tgt": "My son's behavior has become worst due to Strattera. What to do?", + "src": "Patient: Hi doctor, My son is 6 years old and has been diagnosed with ADHD, ODD and sensory integration disorder. He had Adderall XR 5 mg for a while and recently was changed to Strattera 27 mg. My son has been experiencing major insomnia, high aggressive behaviors which involved throwing objects at people, hitting, punching people, kicking and biting especially adults. As his mother I do not believe that he has ADHD. Although he has ODD, it is a normal thing in a 6 year old. However, the behavior is not becoming better and it has actually become worst to the point where he is on the verge of being kicked out of everything. I want to take him away from all medications, because I do not want my 6 year old on them to begin with. However, I am out of ideas and it scares me because my son could be really wonderful, but currently he is not at all. Can you help me with any suggestions? Doctor: Hello. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27484, + "tgt": "Can you review my EMG, and reassure me that it is not ALS?", + "src": "Patient: Hi doctor, I want a review of EMG analysis to reassure it to be unlikely ALS onset. My knee and arm reflexes were normal, as were the strength tests.\u00a0Does \"good recruitment\" in the presence of atrial fibrillation and occasional positive waves point away from ALS or MND? In those cases, would not the recruitment be reduced? The interpretation was mild S1 radiculopathy. 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": 28288, + "tgt": "I get red pimples around my mouth, chin, forehead, and nose. How to get rid of them?", + "src": "Patient: Hello doctor, Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same.\u00a0I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face. Thanks. Doctor: Hi. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your\u00a0face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27230, + "tgt": "Though I have a good job, I am not happy with my life. Kindly guide me", + "src": "Patient: Hello\u00a0doctor, I am not able to overcome the past experiences I have faced due to an orthodox family background. I am trying to compete in this big IT sector in a rat race but even after trying my best, I am not content, happy and satisfied. I have quite literally fought a battle with my family to get out and have an independent life and career. I am still fighting for many things but they seem to find ways to\u00a0pressurize\u00a0me into one thing or other, and the issue is that even after staying out, I bother and think over all this. I try and compete with everyone but due to my anger and aggression, I fail to make a place in people's heart. Kindly guide me on this and let me know if I can come for a session or consultation to your clinic. Doctor: Hello. Remember, every problem has a solution you just need to try solving it and help is just a step away. 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": 29696, + "tgt": "I have mandibular tori. How to get a painless x-ray?", + "src": "Patient: Hi doctor, I have relatively large mandibular tori, which are nearly touching. They have always been rather sensitive, like when I am eating chips, a sharp piece pokes them. I just went to the dentist and got those new digital bitewing x-rays, which hurt my tori as there is less room in my mouth. I have a large dark red bruise along my lingual frenulum and redness or soreness on both tori. Neither the x-ray technician nor the dentist seemed to care that I was in pain. I was told that tori are regular and that they did that kind of x-ray for all patients. So, my question for you is this what I am supposed to deal with for the rest of my life when I go to the dentist? Are there dentists who spare their tori patients from having to go through this? I am perfectly happy to get the old fashioned type of x-rays. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28452, + "tgt": "My brother became paraplegic after he met with an accident. Can it be cured?", + "src": "Patient: Hi doctor, My brother met with an accident while riding his bike. His D4 and D5 vertebra got fractured and he is not able to move due to loss of sensation from the\u00a0upper part of the\u00a0abdomen. The doctor said that\u00a0he is suffering from paraplegia due to complete damage to the main spinal cord nerve, which is concerned with sensation to the lower body. So, there is almost no chance for him to stand and walk. Can this be cured with any treatment? If yes, then kindly suggest what needs to be done. Doctor: Hi. For further queries consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 14120, + "tgt": "Do my symptoms suggest celiac disease?", + "src": "Patient: Hello doctor, I have always had weird symptoms and I think I have celiac disease. I also think that the combination of all my symptoms may mean something. I was tested once for thyroid problems and once for Lyme disease because I had a big, dangerous tick-bite rash. I am 19 years old and according to my growth curve (height of father and mother) my height should be 1.80 meters. I started puberty later than everyone else my age. I have always been too short, I am 1.68 meters now and I do not think that I will grow any longer. I am also feeling tired and sleepy all day long. I thought it was because of school and other stuffs and I just need some rest. But now during my holidays, though I have slept around 8-10 hours every day, I feel tired and sleepy. My black circles also did not disappear. My symptoms are as follows. I have signs of anemia, such as rapid heartbeat, headache, dizziness, pale skin through which veins can be seen and had little cracks at the corners of the mouth some years ago. I use to get sudden muscle spasms once per day or so. Since birth, I have been suffering from asthma and acid reflux. I have small individual red spots on torso, joint, bone and muscle pain for a few times a day and it does not hurt too badly. I have pop elbows for a year or so. I am getting pale sores in the mouth and bad teeth. I brush twice a day with an electric brush, but still many problems when I go to the dentist. I feel bloated and constipation. My stools are of bad smell and oily. I am also getting diarrhea a few times per week. I got hereditary hair loss and bald temples. I have a history of migraine including temporary blind spots in sight. Occasionally, I get strange things in eyesight, not only normal floaters, but sometimes also hundreds of very fast moving transparent balls. Sometimes, I suddenly see a very flashy thing in my eyesight for a few seconds. It takes long for me to fall in sleep after going to bed. I had intestinal problems all my life, but I just thought that they were normal. When I was very young, I did not really have so many issues like I have now. When I was around 14 years old, many of the problems started. I actually ended up in the hospital, because I had an unbearable pain under my ribs (right lower quadrant). They thought that I had a perforated cecum, but luckily that was not the case. They did not really know what it was, but I had high fever and I threw up 20 times or so. Around 17 years old, I started balding. Strangely the migraine has gone, but instead I have more signs of anemia. I eat a decent and good amount of vegetables and fruits. What do you guys think? Is it celiac disease or something else? Doctor: Hello. Thank you for sharing your detailed history with us. 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": 4688, + "tgt": "Can fluctuating blood pressure cause elevated WBC?", + "src": "Patient: Hi doctor,Can fluctuate blood pressure cause elevated WBC? I got sick with chronic idiopathic urticaria and started MTX. My Rheumatologist diagnosed me with seronegative RA and stopped MTX. Did Vectra DA test, and scored 42/moderate for RA disease. I was supposed to start Remicade this Thursday, but my blood pressure started fluctuating as high as 189/108 mmHg to 138/83 mmHg with low HR as low as 43 at rest. In ER, they checked heart, lungs, and kidneys. They referred me to a Cardiologist, and she added a new medicine Edarbi 40 mg, but said WBC is 20.11, with polys 93.1 and lymph 3.5.I was referred to a Hematologist. He said that it looks to be some bone marrow abnormalities and suggested more extensive blood tests to see if reactive effect to inflammation or blood disease or cancer. The other symptoms are weakness, fatigue, and intermittent slight shortness of breath, but I suspected all was due to pressure or heart rate issue. Fever, chills and body ache lasted for one day. I was fine after I took 500 mg Naproxen. There is no cold symptom with fever. I saw my Rheumatologist, and she said it is not RA related based on high polys. CRP ranged from 7.2 to 17.6 earlier that is before two years, and now almost at its lowest at 8. Does this look like a body reacting to inflammation or pressure or heart rate? Also, I have intermittent pain in lower left abdominal area. I do not see my Hematologist for follow up until next month and cannot start Remicade until I get it figured out. Doctor: Hi. Thank you for providing a detailed history. To answer your first query, there is no direct correlation between fluctuating BP and the increase in cell counts. CRP is usually elevated in RA (rheumatoid arthritis) disease, which is a common finding reflecting the body's reaction to inflammatory or autoimmune disorders like RA. Though your BP is now controlled to some extent, the low pulse rate could be because of Bystolic 5 mg (Nebivolol). You need a review with your Cardiologist for the same. Also, looking at your non-specific symptoms like weakness, fatigue, intermittent shortness of breath, fever, chills along with elevated differential white cell counts, it is advisable to have bone marrow examination done to rule out hematological malignancy. I am not convinced with your RR of 98. Have you checked it correctly? Please update. Thank you. Bone marrow aspiration. Review with Cardiologist and Hematologist." + }, + { + "id": 15051, + "tgt": "Why is there foot pain while moving feet to left, upward and back?", + "src": "Patient: Hello doctor, I have foot pain while moving feet to left and upwards or back since last night. The similar uncomfortable feeling started to happen to me before some time (like sudden feet muscle or vein cramp or pain while standing up from sitting). Before, when I was awake and just when it started I used to straight and stretch my feet and fingers and there was no pain or it was gone within five seconds before to start. If this is the same thing, this time it happened when I was sleeping. I was not able to stretch my feet and fingers so woke up with pain and then it started getting more painful. I started to feel pain in every step while moving feet to left and upwards or back. This foot is now bit puffy or swollen than the other. Any suggestion about medication, rest, exercise? Doctor: Hi. I want to ask some questions regarding your condition. What work do you do? Do you stand a lot of time? Is there any recent history of bedrest? What medicines are you taking nowadays? Do you smoke? Swelling in foot or leg, pain on movement and pressure may be due to a condition called deep vein thrombosis. This condition occurs in those people who stand a lot of time, or who recently had surgery and are on bedrest or those patients who have some type of cancer or taking cancer treatment, and in those people who have a genetic disease in which blood clots easily. Otherwise, this condition is rare. This condition requires Doppler ultrasound of the leg to be diagnosed. Moreover, the leg pain or foot pain requires examination of pulses, which of course is not possible here. I would recommend to consulting a rheumatologist regarding this condition, as I do not think it is due to vascular cause. CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), S. uric acid. Take simple muscle relaxant and painkiller. Tablet Paracetamol or Orphenadrine citrate 2 to 3 times a day or at time of pain. Tablet Tizanidine 4 mg twice a day." + }, + { + "id": 11431, + "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": 14205, + "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": 23416, + "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": 13400, + "tgt": "Is it advisable to stop antidepressants on own?", + "src": "Patient: Hello doctor, I was diagnosed with anxiety and depression because of work-related issues before two years. Then I was prescribed with Deanxit 10 mg one every day till last month. Now I am trying to withdraw by reducing the dose over a month time, taking one tablet for every two days for two weeks, then half medicine every two days for two weeks. Before this, I tried to withdraw two times under the doctor's supervision. But both times I failed to be able to withdraw as both times, more likely my withdrawal symptoms got severe in three weeks and it was difficult to manage, so put back again on medication. Now I am in a stress-free environment and I hope withdrawal symptoms should be less severe and I might be able to withdraw. If in case, it is going to happen like the previous times causing severe symptoms, what should I do in that case? Is it fine that my method of withdrawal reducing the dose as mentioned above is good enough? Doctor: Hi. If psychologically you are feeling stable for at least six months to a year, then you can try to cut down medication gradually. You can try tapering off the medication over a longer period of time to minimize the chances of withdrawal symptoms. For example, try taking half the dose for one day and full the next day alternately for two weeks. If you are not experiencing any withdrawal symptoms, then reduce the drug to half and take it daily for the next two weeks. If you are not experiencing any withdrawal symptoms, then take half-tablet on alternate days for further two weeks. You may stop the medication provided you are comfortable. This is a rough guide. At any stage, if you develop withdrawal symptoms, step up to the previous dose for a longer period and then try again. Sometimes it may take a few months to completely withdraw the medication. I have to say that Deanxit is not the first line medication indicated for anxiety and depression. It is no longer used in many countries due to difficulties in withdrawal and side effects. I will recommend visiting a doctor locally as well to monitor and support you during the withdrawal period. Also, use psychological strategies to prevent any relapse in mood and anxiety symptoms." + }, + { + "id": 22294, + "tgt": "How do I overcome porn addiction?", + "src": "Patient: Hello doctor, I am watching porn videos for the past two years. I used to watch it once in a week and now it has become addiction. My mind wants to see it. I masturbate along watching porn videos. My reading concentration is now weak . I want to get rid of watching porn videos . Friends also watch, so my mind says let us watch . I want some help to get rid of this and my mind always thinks about sexual things. Please guide me how to get my life back and study well. Thank you. Doctor: Hello. 1. Major depressive disorder. 2. Generalised anxiety disorder(GAD) Hypersexual disorder (porn addiction). Revert back for further information to a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 24984, + "tgt": "My gum bleeding stopped with Metrogyl and Tan X ointment. Will it recur?", + "src": "Patient: Hi doctor, I have been getting bleeding from the gums for the past one month. It is generalized. In the morning when I get up, it is maximum blood coming out from my mouth. It is better rest of the day. I did salt water rinse and applied Tan X ointment, but nothing helped. I started taking Metrogyl 400 mg twice a day for two days, and the bleeding stopped. Still, little inflammation is there. My only worry is its recurrence. As of now, I am fine. Doctor: Hello. Inflammation of gums is called as gingivitis and bleeding gums being one of the symptoms of the gingivitis. Gingivitis is a microbial disease with many causes that cause the microbial flora to flourish in the mouth. I would advise you to have a visit to your dentist and do a cleaning i.e., scaling of your teeth. If I were your dentist, I would further prescribe you with the oral rinses. Moreover, maintain oral hygiene and use proper brushing technique. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5505, + "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": 210, + "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": 25664, + "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": 30056, + "tgt": "Please suggest a cure for dark skin around pubic region", + "src": "Patient: Hello doctor, I am a 20\u00a0year old male. I have type 1 diabetes for the past seven years. I am using Insulin pump with Novo Rapid insulin for 4 years now. From the past six months, the skin around my pubic region is becoming dark. It is not itchy,\u00a0but it is dark compared to the whole body complexion. I fear this is because of my diabetes. Is there a way to cure this? Doctor: Hi. 1. Frictional. 2. Acanthosis nigricans. 3. Intertrigo groin. 1. Onabet cream (Sertaconazole) twice daily for two weeks to treat coexistent intertrigo. Regular exercise for 20 to 30 minutes per day and weight loss. Revert back with the photos to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 92, + "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": 26299, + "tgt": "What is post-vasectomy pain syndrome and how is it treated?", + "src": "Patient: Hello doctor, I had a vasectomy nine weeks ago. The first few days were fine but on the 6th or the 7th day, I started to\u00a0feel a sense of fullness in my left testicle and I then experienced swelling.\u00a0I rang my doctor and he prescribed me Difene which brought the swelling down but I still had tenderness in my testicle.\u00a0He brought me in for an examination and told me that I had epididymitis and that I had a special granuloma on the right and a developing one on the left.\u00a0He prescribed me steroids Deltacortril 5 mg for 13 days as follows. This was started at 30 mg a day for five days then 20 mg a day for five days, and 15 mg, 10 mg, and 5 mg respectively.\u00a0This seemed to get\u00a0me rid of any tenderness in my left testicle although I was experiencing throbbing pain at the vasectomy site.\u00a0A couple of days after the steroids\u00a0were over, I started to experience pain again this time at the vasectomy site and it was very much a burning and\u00a0stabbing pain. I left it for a week taking the Ibuprofen which frankly I did not find it great. But, I could not take the pain anymore as it was extremely uncomfortable. So, I went home hoping that having a bath would give me relief. I rang the doctor and he told me to keep going with hot baths for some days. It did\u00a0give me relief for an hour or so. So, he decided to put me back on the steroids for four weeks. I was again on 40 mg a day for the first week, 30 mg a day for the second week, 20 mg a day for the third week, and then tapered to 10 mg a day for the fourth week.\u00a0I am at the end of the first week and I am definitely feeling much better. But, today and yesterday I felt a little burning stabbing feeling at the vasectomy site. There is nothing major. I have not had any erection or ejaculation issues and my sex life is pretty good but I am concerned as to why I am still not 100 % alright after nine weeks. Also, I want to know if I am off of steroids, will this pain return? I am just terrified of this PVPS and\u00a0I am reading about it. Should I worry? My doctor has mentioned that if this does not work, he may have to inject the area with steroids. I am wondering if this will work. Please advise. Doctor: Hello. Relax and do not worry. I\u00a0am extremely concerned about your problem. Thanks. For more information consult a\u00a0urologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24344, + "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": 10449, + "tgt": "Are my symptoms suggestive of schizophrenia or OCD?", + "src": "Patient: Hello doctor, I am looking for an appointment with you firstly for reassurance I suppose and then CBT rather than waiting for the NHS. I have had OCD since I was a teen (intrusive thoughts and having to touch wood, say prayers, etc.). This seemed to subside until I had my daughter but then flared up again after and I was misdiagnosed with postnatal and placed on Citalopram. After a couple of years, I came off the tablets and was extremely stressed. Then suffered what I now see as an OCD relapse. I was petrified. I was losing my mind. Researched schizophrenia and almost gave myself all symptoms, suffered depersonalization on the commute home from work and spiraled into an anxious mess. I took myself to a doctor and was adamant I was psychotic. I was screened and told that I had bad anxiety and OCD. From here, I was put on Fluoxetine and things got a lot better. Five years later, I am going through a lot of stress and I stupidly did not take the tablets every day for a period of time. I am now again riddled with OCD thoughts and feelings around schizophrenia. I am my own worst enemy as I know if I had schizophrenia I would not query it. I would believe irrational things. So in turn, my OCD tried to confuse me and I do believe the thoughts. I do not want to carry on like this please help. I am a working mother. Doctor: Hi. I understand you must be going through a tough time. First of all, please do not stress yourself so much with whether it is OCD or schizophrenia or what not. You are much more than a diagnosis. It is important you are at peace and have some relief from the distress. Coming to your symptoms, you have said you have intrusive thoughts but what kind of intrusive thoughts do you have? And apart from saying prayers and touching wood is there anything else that you do? From your history, it does seem that you are having severe OCD which is causing a lot of anxiety. If Prozac has helped you in the past, you can reconsider the same medication but you will have to take it for longer duration like two years or more and at a higher dose like 60 mg. Consider tablet Clomipramine 20 mg along with Prozac for an augmentation effect. For acute anxiety, you can consider tablet Etizolam on SOS basis. As for psychotherapy, rather than CBT, exposure and response prevention seems to be a more helpful option for you but we can explore more on that only when we know the exact nature of your intrusive thoughts. Please look up progressive muscle relaxation techniques. These will help you gain some control over your anxiety symptoms." + }, + { + "id": 25730, + "tgt": "I have a deep wound around the anus. What could it be and how to dry this?", + "src": "Patient: Hello doctor,I am 35 years old and I have a deep wound around the anus. I have been taking Cefixime dispersible tablets 200 mg for last two weeks. However the wound is not getting dry, please advise me. Doctor: Hello. I understand your concerns. From what you mentioned, there are many differentials like for example anal fissure, piles, and perianal fistula. So, I need to know more details like: Is there any pain during defecation? Is there any blood on paper? Any constipation or hard stool? And since when did it start? Please send me the details in the follow-up query. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11405, + "tgt": "I have chronic sinusitis and unbearable pain above the molars. What can be done?", + "src": "Patient: Hello doctor, A few months ago I had a right side upper molar issue. I went to a clinic and was given an antibiotic, but it did not help. I went to the clinic after some days, and I asked for Clindamycin and still there was no result. The dentist tapped on the tooth, and there was no pain. He surmised it as chronic sinusitis. I purchased a lavage apparatus and all kinds of nasal sprays. The pain was really bad because I thought it might be a viral infection. I used Tylenol after reading how to deal with the pain. Though I know that Tylenol is not the correct drug for my pain, it worked for some time. Now I get unbearable pain (burning sensation) above the molar on both sides. I started using Tylenol many times a day. I am not addicted to it but thought of getting relieved from pain for at least six hours. Kindly advice. Doctor: Hello. You need to get a professional evaluation because your symptoms may lead to septal perforation, nasal bleeding and permanent loss of sense of smell. I would advise going for nasal endoscopy if you were to do that then follow it up if needed with a CT scan of nose and sinuses. If there is any sign of infection go for a sample culture sensitivity and take the most appropriate antibiotic after the culture sensitivity report comes from the microbiology lab which usually takes three days. If there are no signs of infection, you can have some nasal saline douching with steroid nasal sprays and nasal anti-inflammatory steroidal sprays." + }, + { + "id": 25534, + "tgt": "There is no urine build up during the day. Is there anything to worry?", + "src": "Patient: Hello doctor, I have urination problem from six months. There is no urine build up during the day. But while taking bed rest in the day, I have started to urinate more frequently. There was no problem in the morning. I got a checkup done. The ultrasound, urine test, and blood test were normal. Now, I have no urine in the morning. A very small quantity of deep yellow colored (very concentrated) urine with no pressure in the morning. After two hours of taking tea and water, I urinate frequently. There is normal urination during the day. I am under deep stress and anxiety. Sometimes, I feel puffiness on my face and sometimes mild swelling on my legs after sitting for a long time in one place. There is no swelling in the legs while moving. I am sending my latest report. Please suggest me is there anything to worry. I am on Alfuzosin, Clonazepam, Alprax, and Sertraline. Doctor: Hello. Relax and do not worry. Your problem is not big. I have seen all the reports sent by you (attachment removed to protect patient identity). It is perfectly fine. Regarding urinary complaints, it looks like the side effect of Clonazepam and Sertraline tablets. These tablets cause decreased urine production and hence your symptoms. I suggest you maintain a bladder diary for three days. Also, drink water up to three liters a day. I suggest taking tablet Dytor (Torasemide) 10 mg at bedtime. This will improve your symptoms. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 722, + "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": 10085, + "tgt": "During orthodontic treatment, when will they remove the blue fillings?", + "src": "Patient: Hello doctor, Today is my fourth day of braces, so I was just wondering when my blue fillings will be removed. The blue fillings purpose is to prevent me from biting down on the braces, but when will they get removed? Also, when will I feel comfortable biting down on my fillings, since my teeth are sore and it hurts, or when will I get actually to chew since I can only swallow? Doctor: Hello. Blue fillings or bites are removed when your teeth are better aligned, and deep bite (if present) is improved or corrected enough to prevent interference of upper teeth to lower braces. It takes a while to get used to the blue bites, usually 7 to 14 days. However, chewing continues to be less effective for longer. It is advisable to eat soft foods and supplement with nutritious juices and smoothies." + }, + { + "id": 28594, + "tgt": "Please see my echocardiogram report, and tell me if I need immediate medical attention", + "src": "Patient: Hello doctor, I was wondering if I could get a detailed review regarding the attached echocardiogram report.\u00a0I wish to know whether there is any issue which requires immediate medical attention.\u00a0Moreover, I would also like to know about the non-pharmacological management of the abnormality, like exercises and any change in diet. I am already taking Losartan 50 mg, Bisoprolol 2.5 mg, and Atorvastatin 10 mg. Doctor: Hi. I have gone through your echocardiography report (attachment removed to protect patient identity). For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23539, + "tgt": "I have increased urgency to urinate. Do you think this is OAB?", + "src": "Patient: Hi doctor, I am a 23 year old male, a third-year medical student. For the past seven days, I have had an increased urgency and frequency to urinate. I can go even more than 30 times a day - majority of these times, I feel an increased urgency. However, when I go, only a small amount or drops come out. For the past two to three days, the urgency kind of feels to be getting worse, I feel as if I will not be able to hold it. However, I am still able to as there is no leaking. There is no burning or irritation or any discharge. No recent sexual encounters and no other associated symptoms. I take Coveram 10/10 for essential hypertension and Valdoxan 25 because I also do suffer from anxiety. I have been under stress lately as I was doing my exams this past week and finished today. I have done a few tests at my family doctor: Last week I did a dipstick which was normal apart from +1 protein. Voiding bladder US was normal (450 mL pre voiding, 45 mL post voiding). An initial urine culture was normal according to my doctor. Yesterday, I performed another dipstick and urine culture. The dipstick was normal, and early urine microscopy showed 10 to 100 white cell count. We are waiting for the cultures to return. Due to the result of the white cell count, my doctor said it would be worth a try to undergo a 5-day course of antibiotics (Keflex). Today is my third day of antibiotic treatment, symptoms are largely the same. Today, I attempted to hold my bladder. It felt fine in the morning but as the day went on, my symptoms returned and I am finding it harder to hold my bladder. Also, for the first time, I tried going for a run. The entire time I felt a heaviness in my bladder and felt a strong urge to urinate, even though I went before my run began. What do you think could be going on? My doctor believes that it is either a UTI, or most likely, a hypersensitive bladder due to exam stress. However, there have been days where I have not felt stress at all yet symptoms have continued. I am really worried as I want to go back to work in five days and I do not think I will be able to manage the way things are at the moment. My family doctor does think this will settle down now that I have finished exams. Do you think there is a chance it could? I have mentioned this query to another doctor online, and he believed it may be due to an overactive bladder. However, since I am relatively young to receive this diagnosis, I wanted a second opinion, if that is alright. Do you think this could be OAB? I am worried that it could be something serious, like multiple sclerosis. One and a half years ago, I had an episode of sudden onset numbness in one arm and fearing the same thing, I ended up having an MRI of my brain and lumbar spine which both came back negative. Do you think this could be MS? Doctor: Hello. Relax and do not worry. As per your symptoms, it looks like overactive bladder only. Do you have any problem with the flow of urine? Or hesitation? Anyhow, as you are taking antibiotics better finish the course. I would like you to: Here are the answer to your questions. It is better if you consult a urologist so that, he can explain you in detail. Anyhow, I will be ready to help anytime. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 2755, + "tgt": "Did my GP prescribe the right medicines for my social and performance anxiety?", + "src": "Patient: Age: 30 Gender: Male Medications: Started Lyrica (pregabalin) yesterday 25mg (moving to 50mg tomorrow). Issues: Generalized Anxiety (Social and Performance anxiety). Query: Did my GP prescribe the right meds? I mainly suffer with social and performance anxiety (talking to people, talking in groups, meetings at work etc) for the past 10 years. My voice breaks when I talk and I have a chronic dry mouth from stress/anxiety every day (even when off meds). I worry and overthink alot about what others think of me. I've tried amitriptyline (tricyclic antidepressant) when I was in my early 20's (im 30 now) and also tried Lexapro and Zoloft in more recent years but they didn't do much for me and gave me alot of annoying side effects. I have tried beta blockers too. For the past 2 years I've been medication free but every day becomes tougher and tougher to get through due to symptoms of anxiety. I wouldn't say I have low mood or depression. I have tried benzos also and I did abuse them for a few months and had to go through a horrible withdrawal. I haven't touched them in over 2 years. My new GP recommended I try Lyrica (Pregabalin) and wants to see how it goes for a couple of weeks in battling my anxiety. Im starting on 25mg once daily and moving to 50mg tomorrow or next week which is a low dose. Does this make sense to try with my history? I have a chronic dry mouth from chronic stress and anxiety and most drugs make my mouth way worse. The doc also mentioned possibly trying amitriptyline again too if Lyrica doesn't work. Of course i'm very anxious about the side effects. Any advice would be appreciated. Doctor:" + }, + { + "id": 933, + "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": 3339, + "tgt": "Will indulging in excessive masturbation lead to premature ejaculation?", + "src": "Patient: Hello doctor, I am 24 years old. I am having a problem with premature ejaculation. And I am afraid as I have all symptoms of premature ejaculation due to excessive masturbation. I need your help. Doctor: Hello. I am sorry to hear that you are facing premature ejaculation problem. Before we proceed we need to identify the cause of the problem. In some case, it occurs from initial time and known as primary. In few others, it occurs after a normal sexual period and known as secondary premature ejaculation. I hope you read my article at icliniq regarding premature ejaculation. If not, first of all, I request you to read it completely to know the basic information. Once you read it revert back to me with the following details. Your duration of problem. How the problem started whether it was on-off or continuous from the beginning? Frequency of the problem in a week or in a month out of what number of sexual interactions were a failure in a month? What are the factors that increase the problem? Factors that relieve the problem thoughts, situations, partner, place, etc? Your marital status and partner details, is she very critical, demands sex more than what can you think, does she feel superior to you? Effect on your relationship so far? Details of medical illness, if any? Medications you are receiving currently if any? Your description of the problem. Once you post these details I will try to analyze the cause of it and will suggest you accordingly." + }, + { + "id": 29387, + "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": 10562, + "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": 3812, + "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": 19292, + "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": 12681, + "tgt": "Is there a way to control sun-induced headaches while driving?", + "src": "Patient: Hello doctor, I get really bad sun-induced headaches (chronic migraine). I cannot go anywhere without sunglasses. Unfortunately when I am driving it is worst. I wanted to get tinted windows but that is illegal in my area without a doctors note. Is there anyway to get one online through a doctor or would I have to find a local doctor to go in and see? Doctor: Hello. I understand that you are suffering from chronic migraine and your headaches are triggered by light. Unfortunately, I will not be able to give you a valid prescription. You will have to visit a local doctor for that. But using tinted glass can only offer so much protection, there is no way it can block all the light coming through. Another important issue is that it can never stop sunlight coming through the windshields, or stop light from oncoming traffic and other bright lights. I feel that you will do much better with migraine medication than the tinted glasses." + }, + { + "id": 19459, + "tgt": "Any advice on going off low dosage bipolar medications?", + "src": "Patient: Hello doctor,I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much sooner, the dosage was increased. I followed up with counseling, which was very helpful and lowered the dosage down to what my psychiatrist said was not really clinically high enough to do any good (100 mg and 25 mg), but he felt I should have something in my system in case I needed it and could build up to a higher dose quicker. I continued at this low dosage for several years and recently sought a second opinion and another psychiatrist said I should try going off the medication since the dosage was so low and my lab results showed very low levels of the Carbamazepine. I am willing to give it a try, what do you think? I workout often, have a stable job, a stable relationship, family in the area, etc. Doctor: Hello. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. However, I feel prevention is better than cure and I will prefer to take on one medication at a time and that too slowly. I mean four weeks for a single medication and eight weeks total to stop both the medications. To conclude I like to state that I will prefer to support the opinion of the second psychiatrist for the following reasons. I hope this helps you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23750, + "tgt": "I am an extremely emotional person. Is there something I can take to balance it out?", + "src": "Patient: Hello doctor,I suffer from high anxiety and mild depression. I am currently on Wellbutrin XL and Ativan for days that are really tough. I have always been an extremely emotional person. I have enough emotions to go around for multiple people. This severely impacts my life. What does this mean? Is there something I can take to help balance me out? Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 7261, + "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": 7182, + "tgt": "I am suffering from backache due to prolonged standing. What could be the cause?", + "src": "Patient: Hello doctor, I have backache for the last three years. I am a pilot by profession. I am suffering from pain in both upper and lower back. On prolonging standing, I feel pain in the lower back and also under my feet, and while sitting without back support, I feel pain in the upper back. I feel pain in the upper back even if I lower my neck , My MRI reports are, 1. Disc desiccatory changes are noted at CV2-CV3 and CV3-CV4 levels. 2. Circumferential disc bulges are noted at CV3-CV4, CV4-CV5 and CV5-CV6 levels causing compression of the thecal sac, narrowing of bilateral lateral recesses and compression of bilateral exiting nerve roots. 3. Circumferential disc bulges are noted at LV4-LV5 and LV5-SV1 levels causing indentation of thecal sac without significant nerve root compression. Can you please suggest me some solution and what sort of disease I have. Doctor: Hello. The problems you are facing are due to excessive strain on back and neck muscles. As you said, the reason is the prolonged standing, bad posture of the back and neck. All I can advise, irrespective of what the MRI says is, 1. Avoid bad postures like during reading or watching TV or relaxing or bending to lift weights so on. 2. Avoid pillows. 3. Never sleep in a sitting position with head stooping forward. Avoid neck cracking. Most important is to build the paraspinal muscles. Do lots of exercises bending back. You can get it on the net. Do not plan for any surgical procedures. Till you build the muscles and till conscious about the back, you can use back support belts throughout the day and neck support collars for the night. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 27234, + "tgt": "Can you look at my RCT X-ray and tell me if an infection is still present?", + "src": "Patient: Hello doctor,Two months ago, I had a root canal done on a lower molar by a general dentist. I have put off getting a crown on it for now to evaluate its healing. Last week, I noticed hot food causes a sensitive feeling coming from that area whereas the week before, I had pain in my jaw area. I am not sure if it was caused by the wisdom tooth, root canal or me grinding my teeth at night as they are all on the same side. I have X-rays of when the root canal was done and the more recent one that was taken after. I am not sure if the\u00a0infection is still visible from the X-ray. Do I need another re-root treatment? Any thoughts on the X-ray? I have noticed that the darkness around that tooth is still visible. Does that mean the\u00a0infection is still present? Doctor: Hello. I have seen the files and gone through them (attachment removed to protect patient identity). For more information consult an endodontist online --> https://icliniq.com./ask-a-doctor-online/endodontist" + }, + { + "id": 2588, + "tgt": "I am on low carb, high-fat diet to lose weight. How much calorie intake is ideal?", + "src": "Patient: Hi doctor, I am currently on a low carb, high-fat diet to lose weight. How much of a calorie deficit do I need to accomplish weight loss, decrease body fat percentage more than muscle mass? Doctor: Hi. Your BMI is 23 which is near normal, it might be with muscle mass or fat content. I need to evaluate still and need details for proper nutritional assessment to provide a correct advice. According to WHO (world health organization), you need 2000 kcal /day. For most people, a calorie deficit of 500 calories per day is sufficient for weight loss and unlikely to significantly affect your hunger or energy levels. To create this calorie deficit, you need to know what your maintenance calories are." + }, + { + "id": 582, + "tgt": "Why do l feel fatigue, sluggish and difficult to concentrate with elevated D-dimer and positive ANA?", + "src": "Patient: Hello doctor, I am a 39-year-old female fatigue, sluggish, difficulty concentrating, and migraines. I have difficulty regulating temperature with periodic tightness in the chest and fluttering sensation. My EKG, chest CT and chest x ray are normal with negative COVID test. My Vitamin B12, folate, and D levels were low and I started supplements last month and the levels are in normal range now but I am still having symptoms. I have borderline low white cell count and ABS lymphocyte count, and slightly high platelets. I was diagnosed with lupus as a teenager but then in early 20s, I was told that I do not have it. Father died at 59 of a sudden catastrophic event- possibly a heart attack. Also, my D dimer was slightly elevated and so was my SED rate. Please help. I am currently on Lamictal, Lexapro, and birth control pills. Doctor: Hi. Following is my opinion for your asked question. Your attached CBC (complete blood count) report is within the limit (attachment removed to protect patient identity). Platelets count and ABL are also in borderline and you might need not to worry about that. For your fatigue, and sluggishness investigate with SGPT (serum glutamic pyruvic transaminase), serum urea, creatinine estimation, serum TSH (thyroid-stimulating hormone) estimation, etc., to rule out the liver, kidney disease, and thyroid problem as a cause of fatigue. ANA (antinuclear antibody) estimation also should be done to do workup for autoimmune disease. If no cause found than EMG (electromyography) or NCV (nerve conduction velocity) like investigation done to do workup for fatigue. Kindly consult a nearby physician for a detailed physical examination." + }, + { + "id": 1347, + "tgt": "I have urination problem with less urine output and leakage. Please help", + "src": "Patient: Hello doctor, Patient is a 50-year-old female. She had a history of early menopause (periods stopped after 35 yrs). Her gall bladder removed last year and she has hypothyroidism and taking Thyronorm .25 mg for the past three years. Her present complaint is problem in urination, urine flow is low and she has to go to the toilet several times for urination but the urine is very scanty even after applying force. Sometimes there is urine leakage. She was prescribed Urimax 0.2. But she discarded its use as it induced constipation, flatus, and obesity. Sometimes there is a pain in the pelvic region, joint pain, and easily fatigued. Doctor: Hello. Do you have leakage when you feel to urinate? Do you have urine leakage when you cough or sneeze? When you hold urine at that time did you feel burning or pain? For what maximum time you are able to hold urine? Any history of diabetes or hypertension or any medications?" + }, + { + "id": 23470, + "tgt": "My penis looks bent after using a tight supporter. Please help me", + "src": "Patient: Hello doctor,I am a 26 year old male, unmarried. While playing cricket, I used to wear tight supporter. One day, while removing supporter, I noticed some vessel is obtained suddenly on my private part due to which it is looking like bending towards the right. That vessel is not painful. At the time of erection it disappears somewhat but at the normal condition, it is visible again. So, please help me. Doctor: Hello. A tight supporter on a relaxed flaccid penis does not cause any bending. Your bend is a developmental curvature. Please share a picture to see how severe it is and to plan what can be done. The picture should be of the erect penis from two angles and one image of the vein in a flaccid state. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11071, + "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": 4369, + "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": 17868, + "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": 28106, + "tgt": "How to overcome my mood swings and change my behavior?", + "src": "Patient: Hi doctor, I often feel very low, anxious, and stressed. I try diverting myself, but I still get into a\u00a0trance,\u00a0where I feel sad. I am afraid of losing people, and keep thinking about what they think and how they feel. Even though they are not worthy of my sorry at times, I still apologize out of fear. Sometimes, I feel like I have got multiple personalities. I feel sad for a period, and then later feel exhausted, dull, drowsy and feel my mind go numb. I always feel that something is missing, and I feel uncomfortable. I do not know how to be normal with people. I had the same problem earlier in my life. I feel lonely, and I am not confident. I feel like being alone, but I cannot bear the silence. Doctor: Hello. I can understand your concern. So, please talk to a psychiatrist for evaluation and prescription of the drugs.\u00a0Thanks and take care. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5920, + "tgt": "I have not stopped bleeding since I gave birth and I feel tired and dizzy. Why?", + "src": "Patient: Hello doctor, I had a baby last February, and since then, I have not stopped bleeding. I have done ultrasounds (internal and external), blood tests, and they still do not know what is wrong, and I cannot afford to see a specialist. Now, when I stand after sitting, leaning, or laying down, I am dizzy and feel faint. I would like your opinion on this matter. Since I have had my child, I have roughly not been bleeding for about a month, but that is not consistent. Doctor: Hello. You must have become anemic now as you have been bleeding for so long. I suggest if there was no cause found on ultrasound and the uterus is well involuted and clean, then the likely cause is progesterone imbalance. If you are not planning for another child for the next one year, then I would suggest you take a Progestin-only pill or Minipill continuously for six months at least to stop your menses and also build up your hemoglobin levels. These pills would serve as contraception as well as they would stop your ovulation and menses. It has to be taken continuously without a break of packs for six months, the moment you miss or defaulter, your withdrawal bleed shall occur. It is available with the name of Cerazette and a highly safe pill. This is the best for you and you would be indeed benefited. It would not cause any harm to ovulation in the future after discontinuation rather it would regularise your cycle." + }, + { + "id": 22350, + "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": 4076, + "tgt": "I have been thinking about death quite often. Please help", + "src": "Patient: Hello doctor, I am currently going through depression. I have been having suicidal thoughts. I have been thinking about death quite often. Last time when I felt depressed, I tried to cut my veins, but got caught. For example the other day at school, I imagined a way of killing a girl. I do not know what to think. I just hope I am not crazy. Please help. Doctor: Hi. Firstly, I reckon that you are going through a very difficult time right now. However, you are dealing with it courageously, and I commend your effort to reach out for help here. 1. Depression. 2. Anxiety. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15093, + "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": 4182, + "tgt": "How is Ehlers-danlos syndrome diagnosed?", + "src": "Patient: Hello doctor, So frustrating, so a geneticist made a statement that I might have a mild form of hypermobility EDS. So I went to a rheumy who told me my Brighton score was 9/9 and that he knows I have hypermobility syndrome and would have to see a geneticist to see about the possibility of a mild form of EDS. It is like I just came from there all I know is I have joint pain, clicking, and back pain. In my white smooth skin, you can see most veins. I have such bad stretch marks he even questions saying you just had one baby? My hair is thin and falls out. I have a sensitive tummy and get on and off chest pain. I have a skin condition with little red dots everywhere as well as hay fever and cat allergies. I know I have not had any dislocation but I have had a couple sprained wrist and ankles. As well as a few times my knees gave out. It would be lovely if I just got somewhere with my DX as my pains get worst with age and I am only 21 this year. Doctor: Hi. Joint hypermobility can be due to Ehlers-Danlos syndrome, which is characterized by weakness of the connective tissues of the body. It is also seen in Down syndrome and in people with Marfan's syndrome. I do not find a picture of Marfan syndrome seeing your images. (attachment removed to protect patient identity). However, the fact is that it is very rare to get a classical picture of any syndrome. Usually, we get the mixed picture. There is no point in finding your problem this way through photographs and reading about the disease on the internet. I would advise you to get the following investigations: 1. Genetic karyotyping 2. Echo 3. Thyroid Profile 4. X-ray of long bones. These investigations will give an idea of what you actually have. On the basis of available information and attachments, my first diagnosis would be EDS. I hope this helps." + }, + { + "id": 18413, + "tgt": "Please recommend some treatment for the prickly and itchy rashes on my abdomen", + "src": "Patient: Hello doctor, I have a rash on my abdomen or the lower chest area and also in the mid back. It is being there from the past three\u00a0weeks. This is the second time that I am getting the rash within these six months. About four to six months back, I first got this type of rash. The rash appears flat with no bumps and it is pink in color. The rash is prickly and itchy at times, mostly the ones present on my back. Sometimes, the rash becomes red, especially if I start itching. Sometimes the rash appears blotchy. The rash looks like a versicolor rash. I am fair skinned.\u00a0I have tried antifungal creams, shampoo and pills, but it has not disappeared. It seems to flare up when it is hot, sweaty and also after a\u00a0hot shower. I recently tried applying a mixture of coconut oil and apple cider vinegar and the rash intensely flared up and appeared very red in the affected area. Please recommend some treatment for this. Doctor: Hi. I have read your concerns and examined your pictures (attachment removed to protect patient identity). Revert back after seven days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13057, + "tgt": "What is the treatment available for throat ulcer?", + "src": "Patient: Hi doctor, I had a bad throat recently and I took Doxcef 200 for five days from a previous prescription thinking it would help. However, now I have a throat ulcer I guess as my throat hurts when I gulp. It is predominantly on the right side. It happened once last year and based on that prescription, I am doing Betadine gargle and taking Bevon capsule once a day. I am not taking Rebagen although doctor prescribed. There is no improvement and moreover, I feel that my stomach is gassy all the time with belching. Please let me know how I can take care of this. Doctor: Hello. I would say that you did a mistake by taking the medicines from the previous prescription. Most likely you have caused unnecessary gastritis due to proper dosage of antibiotic pertaining to the current problem. Most of the throat problems like soreness and cold are due to viral causes and seasonal changes. On top of those weather changes and allergy and pollution add to the soreness. One does not need a strong antibiotic like Doxcef 200 every time this occurs. If you had consulted one of us we would have guided you on how to go about. Now that is you have taken a course of strong antibiotic, it is likely that the friendly bacteria in your stomach have got destroyed and resistant bacteria have colonized causing vitamin deficiencies. These cause the current problems you face. You need to stop the gargles. If possible take a picture of your throat with open mouth showing details of the back of the throat with tonsils and send to me. Would like to check if there is post nasal drip, granular pharyngitis, allergic mucin, tonsillitis, etc. Nextly, you need to follow some dietary changes until you get better. You would need a proton pump inhibitor taken in empty stomach for appropriate dosage as per your weight. Depending on the symptoms you may need a prokinetic drug like Domperidone. To help you better I want more details about your problems and habits. 1. Gas formation occurs after diet or its when your stomach is empty, that is, between meals? 2. Smoking, drinking or tobacco chewing or pan paraag? 3. Alcohol intake? 4. Type of food: spicy, oily? 5. Vegetables and fruits in the diet? 6. Bowel habits - normal, loose or constipated? 7. Burning sensation in the mouth? Do revert back with more details so that we can guide you appropriately." + }, + { + "id": 20207, + "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": 9824, + "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": 13164, + "tgt": "Having intercourse during fertile period but failing to get pregnant. Why?", + "src": "Patient: Hello doctor, We are married for three months, and my wife has not got pregnant yet. We are continuously tracking the cycle and ovulation days since the first month to have effective intercourse. We barely skipped a day during the fertile window for the last two cycles. My wife also gets early pregnancy symptoms to some extent every now and then but conception is not getting through. Any precautions to take care or any advice to increase the chances. Doctor: Hi. There are a few precautions that can be helpful. Three months time is just start so not to worry actually if she has regular cycles. I will advise some healthy lifestyle habits, some precautions. Have a balanced weight and BMI by having a daily walk and exercise. It reduces the risk of medical issues and hormonal imbalance. Have recreational activities to have better emotional and mental health. For males, better to quit smoking as it reduces fertility and can show some effects on the fetus. Have complete treatment of any health issue you have. A woman should take Folic acid daily if normal BMI and no chronic health issue, then 0.4 mg and if high BMI and health issues then 5 mg daily. Have a balanced diet with less salt, sugar, oil and spice, more fish, dry fruits, vegetables, and fruits. Have sex in the fertile period of the cycle, check positioning during sex to have better penetration and female better to stay asleep after sex to move semen gradually to the destination rather than move and wash away in the toilet. Actually, investigations and treatment need to be taken after complete one year of unprotected sex without conception." + }, + { + "id": 8395, + "tgt": "What causes pain and bleeding during sex after partial hysterectomy?", + "src": "Patient: Hello doctor, I had a partial hysterectomy six years back while in prison. I spent 7 and a half years in prison and I had sexual intercourse for the first time one week ago, I had pain and bleeding and it was very painful. So, after three days I attempted to have sex again, this time it was a lot of bleeding with cramping painful orgasm, still have some pain. Current medications: Lamotrigine 200 mg for mood disorders. Doctor: Hi. What was the indication for the partial hysterectomy? By the term partial hysterectomy, it means the uterus was removed but the cervix was left behind. If your cervix is still intact the reason you are bleeding now could be from several causes including infection, cervical dysplasia, fibroids or the bleeding could come from your vagina. You will need a pelvic examination to look for the site of bleeding. The bleeding could be from your bladder or hemorrhoid as well. Cervicitis, vaginitis, fibroid, cervical dysplasia or cancer. Gene probe, vaginitis panel (Affirm), Pap smear if indicated, UA, urine culture. Need pelvic examination, then some additional tests accordingly." + }, + { + "id": 26601, + "tgt": "My 2-day-old baby is not urinating. Why?", + "src": "Patient: Hi doctor, My daughter is 2 days old. She is not urinating and vomiting the milk she drinks. The doctors say that the baby had some amniotic fluid intake during labor. During labor, my wife tried for six hours for a normal delivery. But the head was stuck. So, she\u00a0opted for a\u00a0cesarean. Now, the mom is doing good and the milk is not secreted yet. As there was no intake for baby due to vomiting, she is on drips currently to avoid dehydration. How long will it take for the fluid to come out of the\u00a0baby? How long will it take generally for the baby to urinate? How long does it take\u00a0for the\u00a0mother to secrete milk? Looking forward to your opinion. Doctor: Hello. For more information consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8272, + "tgt": "I developed a rash after getting a massage. What to do?", + "src": "Patient: Hi doctor, I developed a rash after receiving a massage at a local massage center. What can I do about this? Doctor: Hello. Do revert if you have any further query. For further queries consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 24485, + "tgt": "What would happen if I did not consult a physiotherapist after a shoulder surgery?", + "src": "Patient: Hello doctor, After my right shoulder surgery, do I need a physiotherapist? What would happen if I do not consult a physiotherapist? Doctor: Hello. I recommend you consult a physiotherapist for rehabilitation post surgery as it is very important that you gain strength and mobility. Otherwise, there would be some imbalance remaining within the muscle group and may give rise to minor nagging issues after a while. So, it is just a matter of few weeks of strengthening that keeps you away from many issues that might arise afterward. By saying this, I am not frightening you that you will definitely have, but there could be a possibility which may be avoided completely. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 8150, + "tgt": "What can cause left-sided chest pain while breathing?", + "src": "Patient: Hi doctor, Every time when I breathe, my left side hurts. It also hurts when I take a deep breath too. I do not smoke. What could be the problem? Doctor: Hi. I would like to know the following details before proceeding into diagnosis and management of your illness. Revert back with the answers to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12520, + "tgt": "Is there a way to effectively reduce elevated cortisol?", + "src": "Patient: Hi doctor, I am a 25 year old female. Is there any way to effectively reduce elevated cortisol and aldosterone? But, it is not Cushing's. I just have too high cortisol for the last few years and weight loss problem. Doctor: Hi. There are medicines for that, but it would be a temporary solution. We need to find the cause of elevated cortisol and aldosterone. In that regard, kindly upload the tests reports. Also, let me know, are you on any birth control pills?" + }, + { + "id": 21750, + "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": 8994, + "tgt": "Diagnosed to have PCOS and had unprotected sex on the day of expected period, but there is no period yet. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, I was diagnosed with PCOS last year. My doctor told me to take Diane 35 for four months. I stopped the pill two months ago, so my last period was on the very next month of stoppage of the drug. The periods was shorter and had no periods the next month. However, I had brown spotting or bleeding from day 27 up to day 34. I had unprotected sex on the day I was supposed to get my period. What are my chances for pregnancy? I consulted another gynecologist and told her my condition. I did an ultrasound, and my uterus already appears normal (according to the doctor, less visibility of my PCOS condition). I consulted last week, and she prescribed me Provera 10 mg for five days, twice a day. She said the cause of missed period is because of hormonal imbalance or adjustment. She advised me to retake Diane 35 for next 12 months once I get my period. By mistake, I had Provera in the morning and night instead of taking the two tablets before bedtime. She said the Provera is supposed to make my period come. It has been seven days since I started using Provera but no signs of period. I was on medicine for cough and cold for five days. I am also going through emotional stress as of now mainly because of missed period. Could that be a factor for late period? I took a pregnancy test, but the result was negative. I tried two different tests and both came out negative. Please help. Doctor: Hello. PCOS (polycystic ovarian syndrome) is a condition which has multiple problems. When a woman at younger age group is having menstrual problems so most probably it has been considered due to PCOS, which is a biochemical abnormality existing in the body. You have to take Diane 35 regularly to keep your cycle regularized, and also you must keep an eye over your weight and diet as it also plays a significant role in worsening this condition. You must take a healthy low carbohydrate low fat, high fiber and protein diet and maintain a regular exercise. Stay away from stress as much as possible. Now, if you have not started periods with 10 mg of Provera (Medroxyprogesterone), you can wait a little longer, and if still, they do not come then you can increase the dose of Provera 15 mg (5 mg three times a day) for five days and your periods will ensue or you can start Diane 35 straightaway to regularize the cycle. You do not need to worry about pregnancy as tests are negative. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 27695, + "tgt": "The backs of both my knees are swollen after a hike. Please help", + "src": "Patient: Hello doctor, The backs of both my knees are swollen after a hike. When I first noticed this, I thought I got bitten by a mosquito or a bug. So, I applied After Bite to the area a little bit. The redness was reduced the next day but, it is still swollen. I see a lump right behind the knees. I can comfortably walk but, the area is very slightly itchy. It has been for four days. I have never experienced something like this. So, I am worried. Should I just wait for a couple of days to see if the lump disappears? Is there any treatment you could recommend? If I need to go see a doctor, which specialist's office will I have to visit? Please help. Doctor: Hello. Revert with more information to an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15738, + "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": 5714, + "tgt": "Can I get HIV from having blood drawn from a vacutainer needle?", + "src": "Patient: Hello doctor,I went for a routine blood test at a private clinic. The person in the lab used a vacutainer needle to draw blood. After three weeks of that incident, I had an incident of headache and neck and body pain. Also, I had mouth ulcer and rash which I never had before. I do not know if they resemble ARS or my anxiety. I was in terrible fear of contracting HIV virus from the blood draw. I know it may sound irrational but can I get HIV from drawing blood if the needle was reused. It also took him some time to take my blood. I had done a test at four and six weeks after the incident which was negative but I am still in fear. I never had sex nor do I use drugs. Please release my anxiety. Can I get HIV from having my blood draw from vacutainer needle? Please give a detailed reply. Doctor: Hi. Is the needle used by any other patient? Or only for urself? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9295, + "tgt": "Why do I have abdomen and left arm pain after eating outside food?", + "src": "Patient: Hello doctor, I have some pain in the left arm if I have any food from outside like hotel or bakery, sweets or marriage food. It results in\u00a0vomiting, abdominal pain and my left eye gets blurred. I had taken some antacids previously. Eight years back, I had got endoscopy done, but did not find any ulcers. Please help. Doctor: Hi. I have gone through your case and can well understand your genuine health concerns. Consumption of any food stuff is not related to left arm pain or discomfort. Contaminated food can cause food poisoning and acidity which can result in vomiting, abdominal pain, but it will not cause left arm pain. Some heart related problem can cause left arm pain and vomiting. The pain due to heart problem is mostly exertional pain and it radiates to back, left shoulder, jaw and neck. So, in my opinion you should consult a physician as early as possible and get your ECG done. You can take antacid drugs like Pantoprazole and Domperidone combination (tablet Pan-D) for the time being. You need proper checkup and ECG. Avoid physical exertion, exposure to cold, heavy meals and stress. I advise you to take rest and consult a physician. Acidity or heart related problem. ECG. Gastroesophageal reflux disease. Acute coronary syndrome." + }, + { + "id": 24986, + "tgt": "Can microdermabrasion and glycolic acid peel make my skin look darker?", + "src": "Patient: Hello doctor, I am very much worried about my skin color. I have taken two sittings of microdermabrasion and two sittings of glycolic acid peel. But, I am not able to see any change and that too my skin looks darker. Would it be a chemical peel side effect? Now I am using branded face wash and sunscreen in the morning and skin whitening cream during bedtime. Doctor: Hi. Microdermabrasion and chemical peel are the procedures to improve skin texture. They exfoliate the damaged superficial layer of skin, there by lightening the hyperpigmentation on the skin. This removes the dead cells in the skin, facilitating the new layer of cells to grow. After the procedure, the key is to use sunscreen round the clock, every four hours. This is because skin needs to be protected from UV rays when it is recovering. UV rays are not only from sun but also from tube lights, TV screen and computer monitor. Once applied, sunscreen protects skin for four hours, hence should be applied every four hours for optimal protection. Now talking about expectations from these cosmetic procedures. They do help to lighten the skin a bit, but, the main purpose of these procedures is to improve the texture, remove the dark pigmentation. This will take minimum four to five sittings to see improvement in skin texture provided proper after care measures are followed like protection from UV rays. I personally explain my patients that it is not skin whitening treatment, because the colour of an individual is genetically programmed. I do not want you to get disheartened. I can totally sense your concern dear, but this is the fact. You will get back your original colour after the procedure, which may be one or two shades lighter than your pre-procedure skin colour. The procedure per say can't make your skin darker, if you have used sunscreen properly as advised by your Dermatologist. Eat healthy, exercise regularly and keep your body hydrated to have a healthy skin. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29158, + "tgt": "My son punched on the wall and is complaining of severe pain. Will it be a fracture?", + "src": "Patient: Hi doctor, My 14 year old son punched a wall with his fist, and it resulted in an immediate swelling of a knuckle. I applied an ice pack immediately for 20 minutes, which decreased the swelling to some extent. The\u00a0color of the skin has also slightly changed. He is complaining of severe throbbing pain in that area. Will it be a fracture? Doctor: Hi. Sorry to hear about your son's injury. X-rays. 1. Metacarpal hematoma. 2. Metacarpal or carpal fracture. 1. X-rays. 2. Elevation plus icepack. Revert with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2480, + "tgt": "I forget things quickly though I study several times. Please suggest to increase my memory power", + "src": "Patient: Hello doctor, I am 29 years old and six feet tall. My IQ is very good. I can easily understand even difficult concepts of science but tend to forget quickly. My memory has continuously decreased over the last four or five years. I am preparing for a competitive exam. I forget things very quickly. I find it difficult to concentrate while studying. I have to read things several times to remember. It takes a lot of time. It is quite depressing and demoralizing. It has now started affecting my professional life. Please suggest any medicine or other way to improve my memory power. Doctor: Hi, Welcome to icliniq.com. I can understand your problems. Your memory issues are due to lack of concentration and lack of concentration is due to your stressful preparation of competitive exam. I will suggest you to take vitamin B12 injection which will boost your memory. Tell me something about your sleep, food, and stress. Any problems with those? Do mind relaxation exercise and yog nidra (sleep meditation) which will improve your memory. Take tablet Rejunex CD3 once daily for two months." + }, + { + "id": 1532, + "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": 25482, + "tgt": "When I start walking, the portion below the knee is numb. Why?", + "src": "Patient: Hello doctor, I am 44 years old. From the last one month, I have problems with my legs, especially my left leg, when I get out of my bed or chair and start walking, the portion below the knee is sleeping (numb), sometimes it happens in the right leg as well, but most of the time in my left leg. I want to know the reason behind it and how to solve this issue. Doctor: Hello. It can happen due to nerve compression in the spine or below that. Also can be due to vitamin B12 and calcium deficiency. So you need to get investigated properly, with vitamin testing and MRI scan. Regards, 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 an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7941, + "tgt": "Is it advisable to induce labor with 7 cm AFI?", + "src": "Patient: Hello doctor, I have completed 38 weeks of pregnancy. My baby's heartbeat is 143, cephalic presentation. Myf AFI is 7 cm. Can I be induced for labor? Doctor: Hello. At 38 weeks of pregnancy when the head is a cephalic presentation but not yet fixed in the pelvis and there are no decelerations or fetal distress on CTG monitoring and if you do not have any high-risk factor-like IHCP or gestational hypertension with pre-eclampsia then there is actually no need to be induced before the labor starts naturally. There are certain set criteria for induction at 38 weeks or before as mentioned above, else at 39 weeks gestational diabetes, and at 40 weeks plus three days, if post diatoms and no labor initiated naturally, then induction should be done. I do not see any reason why you should be induced at present with AFI normal and heart rate acceptable. At this stage more than heart rate, CTG tracing is more important to assess the fetal well being. So please review with reports and ultrasound and CTG tracing or please furnish details of this being a high-risk pregnancy." + }, + { + "id": 26312, + "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": 28932, + "tgt": "My mother does not complain of chest pain, but her ECG is abnormal. How?", + "src": "Patient: Hi doctor, My mother is 65 years old and diabetic for the last 15 to 20 years. During her last blood and urine test, there were some issues with lipid profile test apart from sugar fasting and PP. When doctor performed ECG, there was some problem with that also. Now the doctor had recommended CAG. My point of concern is as follows. Does the report clearly reflect the\u00a0issue\u00a0in the heart? She does not complain of pain in chest? Should we get either an echo or TMT before CAG? Which angiography is appropriate by keeping the age factor and diabetes in mind? That is, either CT angiography or normal angiography. Is there anything to get panic in this situation? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15074, + "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": 8500, + "tgt": "What are the red round itching patches in arm?", + "src": "Patient: Hello doctor, From the past one week, I have itching problem in my arm area. It itches more and more and red round patches have become prominent. It is very humid here. Please suggest me. Doctor: Hello. I have seen your images (attachment removed to protect patient identity). The diagnosis is polymorphous light eruption (PMLE). It is UV rays induced skin allergy. So, main precaution is sun protection. The treatment involves tablet Wysolone 10 mg once daily after breakfast for 15 days, tablet Levocetirizine twice a day, Sunhalt or Sunheal or Photoban or Photostable locally apply three times a day on all exposed areas, Momate cream once daily on spots only at night. This is for 15 days. If it improves, continue sunscreen for long. If it develops again, you can use Momate on and off." + }, + { + "id": 271, + "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": 24082, + "tgt": "Does my kid need rabies vaccine if a stray dog licked his hand?", + "src": "Patient: Hello doctor, A stray dog came near my 3 years and eight months old toddler. Its mouth was very near his hand. I do not know if it licked his hand or not but I just got worried. He has no open bleeding wound but yes mosquito bite sites and many minute abrasions because of playing. In the last two years, he has been given a tetanus shot also. I do not know what to do. I did not see the dog licking his hand but was very close to his hand, maybe for sniffing it came near. The dog looked fine, not overactive or underactive. It was a stray dog, so cannot watch it also. Please suggest what to do. Such incidents wherein a dog comes near or sniffs might happen in the future also and with kids, you cannot be sure if they were licked or not. Doctor: Hello. Just licking on unbroken skin comes under category-1 exposure. Here no vaccination is needed. But if licking was on abraded skin then better to get vaccinated. If you are not sure about licking on the abraded skin and if dog not traceable than better to get vaccinated for rabies. Once the child is vaccinated, it protects the child for many years. But still, after completion of five doses, a booster after one year can be taken. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4632, + "tgt": "I have a bump in my scrotum after safe sex. Will it be a genital wart?", + "src": "Patient: Hi doctor, I had a protected sex with escort 15 days ago. We did not kiss or do anything without a condom. Today, I noticed a bump next to my scrotum that looks like a wart. I cannot remember whether it was there before. I just noticed it today and it seems to burn. It terrifies me that it may be a genital wart. But, it is tucked away behind the scrotum where there was never any contact. So, I am hopeful that it is something else. No tests are performed yet. My last STD was nearly 4 years ago and came back negative. Please help me. Doctor: Hello. I went through your query and picture (attachment removed to protect patient identity) and honestly it does not seem to be anything related to sexually transmittable disease. It is not a wart too. You did not mention whether it is painful or exhibiting any other symptoms and the consistency of lesion. So, it is impossible to make a diagnosis only with the picture of a raised nodule without close inspection and palpation. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6168, + "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": 20766, + "tgt": "What is the procedure done to remove a fish bone embedded in the throat?", + "src": "Patient: Hi doctor, My daughter got a fishbone embedded in her throat. It was shown in the x-ray. But the doctor was unable to view it when he went through the throat with an endoscope last night, and it was close to an artery. What can be done? Doctor: Hi. Kindly provide me the x-ray films and the endoscopic picture (if you have). Where was the fishbone stuck exactly? Does the doctor said about the level? What are the present complaints? When did it happen?" + }, + { + "id": 17286, + "tgt": "Is it safe to take Carbamazepine while breastfeeding?", + "src": "Patient: Hi doctor, I am a mother of 1 month old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot.\u00a0I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consulted my neurologist, he said that they are safe as long as your baby is healthy and developing normally. But, I am worried about his sleep patterns. Should I think about switching to formula milk? Doctor: Hi. For further information consult a lactation counselor online --> https://www.icliniq.com/ask-a-doctor-online/lactation-counselor" + }, + { + "id": 18478, + "tgt": "I hurt my back while dancing. Could that be a muscle pull or something serious?", + "src": "Patient: Hello doctor,I hurt my lower back maybe a year or two ago, and I was in a lot of pain. I am a dancer and was lifting up my dance partner into the air without stretching and hurt my lower back severely. I could not\u00a0even walk at that time. I was in agony. I never saw a doctor for this pain as I was scared to be stopped from dancing although I had to stop due to the pain.\u00a0\u00a0I could not even bend as my back would not let me as well as the pain.\u00a0After about two weeks, I could walk and slowly bend even though it hurt a lot. It took many months for the pain to go away although often when it is cold outside or if I do any activity the pain comes back, bu it is not as severe. I am just wondering about the injury. Could that be a muscle pull or something more serious? Doctor: Hi. X-ray and MRI of the back as soon as possible. Revert with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 11901, + "tgt": "Among gum, Bupron and Varenicline which is better to quit smoking?", + "src": "Patient: Hi doctor, Among Nicotine gum, Bupron and Varenicline, which is better for quit smoking? Please suggest. Doctor: Hi. All three have different indications. Still Varenicline is best to control smoking. They are known to reduce craving. Bupropion is preferred, if associated depressive symptoms present. Nicotine gum or patch preferred, if person is not able to control desire by above these. It is a replacement therapy." + }, + { + "id": 27303, + "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": 11337, + "tgt": "Why is the site of tooth extraction looking like a mold?", + "src": "Patient: Hi doctor, I need help. I had my molar extracted last week. The area where the tooth was removed is looking very weird. Green, white, blue, yellow, with a tint of blood? It looks like a mold. I am taking Mefenamic acid thrice a day, I put ice on it, and I am on a soft diet. It is sometimes painful, throbbing. Doctor: Hi. I have gone through your question. I can understand your concern. As per your history and sent photos (attachment removed to protect patient identity), it looks like the wound is healing and the color changes occur during the healing period. If you have bad breath and burning type of pain, it could have been dry socket which it does not look like. If you feel continuous pain and throbbing, you may need a course of antibiotics like Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. If the pain is an intermittent and only boring type, wait for three to four days." + }, + { + "id": 6758, + "tgt": "I am having a chalazion. What should be done to cure it?", + "src": "Patient: Hello doctor, A few days before, when I woke up, my eyes are swollen and painful. The swelling started to settle down after a few days by using warm compression, but there is a lump on my left eye. I do have a history of a chalazion in the left eye before two months. I underwent surgery in the past for both eyes. I wash my eyes with baby shampoo and have used ocusoft products; nothing seems to be helpful. Doctor: Hello. A chalazion is caused when glands (meibomian glands) in eyelids are blocked. Chalazion sometimes reduces with anti-inflammatory drops but very less. There are two options left now since it has not reduced, intralesional steroid injection or surgery (Incision and Curettage). I suggest you get it surgically removed. It is a minor surgery in which just a small incision is made in the inner part of the eyelid, and the contents are scooped out. Since chalazion is recurring, you have to get your blood sugar tested along with complete blood count (CBC)." + }, + { + "id": 2403, + "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": 27511, + "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": 27592, + "tgt": "I am restless as my parents are separating. I need help", + "src": "Patient: Hello doctor, I have weird restlessness these days, and I do not feel like smiling. Whenever I close my eyes, I feel like smashing something to let out my anger. I do not even know if I should be angry about things that I am worried about. I do not know if they are worth it, but it affects me, and I cannot help it. All my life I wanted to get away from my family, and when it was finally happening, I am not happy. I am back to things that I have been dealing since I was a kid.\u00a0My parents are going through separation, and my mother is going to live with me. I am dealing with all this domestic nonsense since I can remember.\u00a0I need help. Doctor: Hi. Revert with more information to a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 19653, + "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": 28165, + "tgt": "Can you suggest a treatment for body lice?", + "src": "Patient: Hello doctor, I am a 21 year old male. I got infested by body lice in my hostel. Now, it is getting worse. Please suggest some treatment to get rid of\u00a0it. Doctor: Hello. Body lice can be extremely distressing, and I suggest you follow these steps: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15346, + "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": 2310, + "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": 25785, + "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": 13883, + "tgt": "Will Kalarchikai choornam help in curing irregular periods?", + "src": "Patient: Hello doctor, I am having irregular periods. Shall I take kalarchikai choornam? Doctor: Hi. There are several causes for irregular menstruation. PCOD is one of them. If you do have this issue then you can take kalarchikai choornam 3 gm twice a day with warm water after meals for three months regularly. To rule out this issue, once you should go for USG abdomen. PCOD, hypothyroidism, taking contraceptive or emergency pills, inflammatory pelvic diseases, climatic changes, food changes, etc. USG abdomen, thyroid profile. If you have an irregular period due to PCOD, then you can go through Kalarchikai choornam as the above-mentioned dose. Avoid spicy and fried junk foods, do regular kapalbhati, mandukasana and ardhamatsyendrasana." + }, + { + "id": 20243, + "tgt": "I did not go for the follow-up appointment after an abortion. Will it cause any problem?", + "src": "Patient: Hello doctor, I had an abortion by a\u00a0gynecologist few months back. She gave me some tablets and inserted something in my vagina. I had heavy thick bleeding, which reduced after two days. But, I did not go to meet the gynecologist after seven days. Will that cause any problems? I am having regular periods after that. We are planning to have a baby now. Should I be worried about anything? Doctor: Hi. How are you doing? If you have had regular periods after that episode, it only means the abortion has been completely expelled. The inner part of the uterus is empty, so it is a good sign. It is better to leave a gap of three months after abortion for next pregnancy. I hope some investigations were done to find the cause of abortion. I suggest you get the following tests done: If you have had a pregnancy, no matter what the result was, your chances of a second successful pregnancy is 97 %. So, you have a good chance. 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": 5984, + "tgt": "I have stomach pain and my stool occult blood test is positive. Is it suspective of STD?", + "src": "Patient: Hello doctor, I had intercourse last year, and I got sick like stomach pain and I lost eight to nine kilograms. I got scared. So I got HIV 1 and 2 tested for five times including hepatitis B and C, all came negative with duration time then, I got stool blood occult test because I got motion and stomach pain for more than eight months. I am feeling better but my stool occult blood test came positive three times, and my throat is a little sore and red for more seven months. I do not have any issues but it is a bit red. Doctor said may be it is due to allergy, but I am tensed, it may be herpes, syphilis or gonorrhea. Is it related to std? Please suggest. Doctor: Hello. I can understand your concern regarding your symptoms. Due to having a history of three positive FOBTs (fecal occult blood test), I strongly recommend undergoing an upper GI (gastrointestinal) endoscopy and then colonoscopy to investigate the cause. Your medical history of weight loss and stomach pain could be indicators for a possible underlying pathology such as duodenal ulcer, gastric ulcer, colonic polyps, or colitis. STD (sexually transmitted disease) infections such as herpes, syphilis or gonorrhea are commonly associated with genital lesions and do not result in positive FOBT or stomach symptoms. Please proceed with your endoscopic and colonoscopic evaluation as early as possible. Endoscopy, Colonoscopy. Colitis, Colonic vascular insufficiency, Gastroduodenal ulcers, Colonic polyps." + }, + { + "id": 8380, + "tgt": "My sleep is very disturbed. Is this anxiety-related?", + "src": "Patient: Hello\u00a0doctor,This all began about two and a half months ago when I went through an extremely stressful period. I started having trouble sleeping. The stressful period has long passed but my sleep still is not back to normal. For the past six to eight weeks, I can easily fall asleep, but wake up every two hours or so. I wake up and get back to sleep within five to 10 minutes at the most. But it is very annoying. I wake up in the morning not feeling refreshed due to the fact that I have woken up four or so times throughout the night. I have no trouble getting back to sleep. So, I do not believe this is stress or anxiety related. Any ideas? Doctor: Hello. Warm regards. For more information consult a sleep medicine physician online --> https://icliniq.com./ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 7446, + "tgt": "Is it normal to have clot discharge after taking birth control pills?", + "src": "Patient: Hello doctor, I just started birth control a few weeks ago, so this is my first week of my period. I had brown discharge a few days before I started the sugar pill. My period started kind of light but is kind of thicker blood. I just had horrible cramps this afternoon, probably the worst ever. I took a nap and when I got up there was a large clot that looked like some sort of tissue. It was slightly smaller than an egg and was pink with dark spots. I am sexually active but my partner always wears a condom and has never finished inside me so there is no possibility of a pregnancy. Is this something I should be concerned about? Doctor: Hi. According to your description, the possibilities are: During the first months of Contraceptive pills, you can have some amount of menstrual irregularity like intermenstrual spotting. It may take a few months for regularization of the flow. And missing the time or pill can lead to spots. Regarding the tissue you mentioned could be endometrial tissue with blood spots. Anyhow better to check with a urine pregnancy test to be on the safe side. If the test gives a negative result, you can continue with your pills." + }, + { + "id": 3206, + "tgt": "After a hit, four of my front teeth and gum become numb. Please help", + "src": "Patient: Hello doctor, I fell last Sunday and hit my face including my front teeth. Four teeth and top gum become numb for the past eight days. I can bite my teeth though I feel numb. Please help. Doctor: Hello. I understand your concern. Do you find any changes in the way your teeth rest? Do you find any tooth that hits when you bite on? Any tooth sensitivity? Any fractured or chipped tooth? This is not normal and you need to visit a dentist straight away and get your jaw and front teeth x-rayed. The dentist may check for the vitality of those teeth. If the teeth are vital (has sensation) and is disturbed, you will require a splinting procedure that will hold your front four teeth in position for the next two weeks. If the teeth had lost its vitality (no sensation), you may require a root canal procedure to remove the clotted blood from inside the teeth. This procedure prevents a future color change of your front teeth due to clotted blood. The injured front teeth get discolored in the future if left untreated. Please visit as soon as possible and get it checked because if there was clotted blood inside the injured teeth or if the teeth are slightly disturbed, this could cause complications like cysts or jaw issues in the future. I hope this helps." + }, + { + "id": 15147, + "tgt": "I have pain in the chest and left arm. Please explain my ECG report and lipid profile", + "src": "Patient: Hi doctor, I have pain in the heart and left arm. Please explain my ECG report and lipid profile. I am attaching it. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your ECG is normal, but lipid profile is deranged. Considering your age, a likelihood of heart as a cause of pain is less. However, it cannot be ruled out thoroughly, as you have a risk factor of hyperlipidemia. I do not know about the smoking habit or your family history. The next thing is, you should undergo a treadmill test. If it is negative, then it reliably rules out the cardiac cause. For hyperlipidemia, you should be on aggressive lifestyle modification by taking low fat, oily and sweet diet. Do regular exercise every day and avoid drinking alcohol. Also, get your blood pressure checked once. It can be acidity and gastritis especially if you have upper abdominal pain, nausea, bloating, burping, increase in pain on taking food, sour water feeling in throat or chest burning. Please say whether you have neck pain, tingling numbness in an arm or any trauma to the neck. If yes, it raises the possibility of a cervical spine problem as a cause of pain." + }, + { + "id": 8671, + "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": 10512, + "tgt": "I have enlarged bumps on the back of my tongue. Is that due to fungal infection?", + "src": "Patient: Hi doctor, I am a 29 year old male. I have some enlarged bumps and white lesion on the back of my tongue. I thought that I had a gum problem because my saliva was often brownish and I had a funny taste in my mouth. Now, I believe that I have some fungus infection.\u00a0It looks exactly like on the\u00a0picture\u00a0I have attached, but only in the back of my tongue.\u00a0What kind of treatment should I need? Doctor: Hello. I had 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": 13000, + "tgt": "What are the medicines available for tricuspid regurgitation and aortic stenosis?", + "src": "Patient: Hello doctor,My wife aged 72, weight 65 kg, is a diabetic type 2 for the past six years, hypertensive for the past two years, is suffering from moderate tricuspid regurgitation, aortic valve sclerosis, and pulmonary hypertension for the past two years. Her systolic function is good and there is no diastolic dysfunction.No drugs are prescribed for AS or TR. For hypertension, she was prescribed Telmisartan 40 one tablet per day with which her BP is about 145-150/90-85. Diabetes is under control. Other parameters are normal. Whether the present medication is adequate or she needs further medication such as Tadalafil to treat PAH. Any medication for TR? Please advise. Doctor: Hi. On the face of diabetes and hypertension with raised cholesterol and LDL, I suggest you add tablet Rosuvas (Rosuvastatin) one tablet daily after dinner. Consult your doctor. I think the dose of anti-diabetes medicine could be adjusted to reduce his blood sugar level to reduce further to near the desired level along with BP medicine dose to adjust to achieve BP around 130/80. Regarding PAH and other valvular diseases, your Cardiologists will decide after going through different parameters." + }, + { + "id": 844, + "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": 22699, + "tgt": "A vaccinated puppy has bitten me. Do I need rabies injection?", + "src": "Patient: Hello doctor, Yesterday, my puppy has bitten on my finger. It is vaccinated, should I take injections? Doctor: Hello. If your dog has been vaccinated, your dog is immune against rabies. So, you do not need to take rabies vaccination if your dog is immune against rabies. Take tetanus toxoid (TT) injection if not taken. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4991, + "tgt": "After a fall, I have pain in my right lower back. What shall I do?", + "src": "Patient: Hi doctor, I fell on a wooden set of stairs last night and landed mostly on my right lower back. From the morning, I feel like someone is squeezing my kidney every time I move. The pain is even more severe when I move my right leg. I do not see any blood in my urine and I do not want to go all the way to the ER for them to tell me nothing is wrong. What shall I do? My leg does not hurt, but I can still feel the pain when I am not moving my leg. But, it increases dramatically when I do. My pain is only on my lower right back. Please help. Doctor: Hi. I feel sorry to hear this. 1. Muscle injury. 2. Bone injury - ileal tuberosity or coccyx injury. X-ray pelvis anteroposterior view. Take painkillers and muscle relaxants like a combination of Diclofenac, Paracetamol and Chlorzoxazone along with Pantoprazole. Do not take these medications if you are in early pregnancy. Consult your doctor, discuss with him/her and take the medicine with consent. Revert back after three days to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2274, + "tgt": "What causes tightness in knee and groin with pain?", + "src": "Patient: Hello doctor, Overall tightness in right side of the body. Especially tightness in the right knee, above knee cap leading to pain front and top of knee. Also tightness in the groin both sides. Unable to feel the groin stretch on inside of the leg, more of a locking feeling at the upper inner groin and outer hip. Tight hamstring only on right side. I do not feel a stretch when stretching right quad but do feel a stretch on the left. Right shoulder/ discomfort and tightness. Tightness in the back lower right side and right hip looks to be slightly lower when standing. Doctor: Hi. It may be due to weak muscles, apply Diclofenac ointment on the pain above knee and shoulder, cover it up for 10 minutes, give it hot water therapy, try to slowly strech your thigh muscles untill you feel pain more and relax yourself, repeat it for twice a day. Take Aceclofenac tablet for a day if you have more pain and for shoulder do shoulder excercises at home. After trying these if you still feel the pain after three days, you can go for ultrasound therapy following IFT. This will surely help you get rid of the problem. Jerk while running or walking, sleep distress X-ray for shoulder IFT, ultrasound Avoid lifting heavy objects, do not bend." + }, + { + "id": 17136, + "tgt": "Please provide a diet plan for NAFLD", + "src": "Patient: Hi doctor, Before three months, I was diagnosed to have NAFLD\u00a0(Non-alcoholic Fatty Liver Disease). I have lost my weight from 62 to 53 within about three months by way of morning walk for about 1 hour and yoga and pranayama for another 80 minutes and by taking low fat diet and less calories. As a result my health and face is totally broken. I am a little bit worried by thinking whether it is normal or not. Even I cannot go out anywhere due to the questions from people about my broken health and lost weight. Please advise me and prescribe some medicines and supplements for restoration of my broken face. Please provide a complete diet plan which is helpful for curing NAFLD. Doctor: Hi. I understand your concern. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 6636, + "tgt": "How can both testes be made of the same size?", + "src": "Patient: Hello doctor, I had cryptorchidism surgery at the age of 9. Now, I am 24. My left testicle is 2.4 x 3.4 cm. My right testicle is 4.5 x 5.6 cm. I have been prescribed best tablets to increase the size of testis on the left side. Both my epididymides are out of testicles thus making them long. I am feeling very uneasy. Kindly prescribe me best tablets to recoil both my epididymides back into my testicles making them round and spherical. Also, prescribe best tablets to increase the strength of my penis and both the testicles. Doctor: Hello. You seem to have unequal testes. First of all, I would like to inform you that the most parable reason for the unequal size of testes is due to the very illness known as cryptorchidism. Unfortunately, there is no other treatment modality which can make the size of testis equal in the real sense. The only treatment modality available for this purpose is already carried out 15 years back in your case. I also like to make it clear that other than the unequal appearance there is no harm with an unequal size of the testis. Fortunately, men produce millions of sperms and that can be produced by single testis itself. Now regarding second part, I feel you want to improve your sexual health. Provided there are normal erections and proper intercourse nothing more is required. However, if there is a sexual weakness, I will recommend tablet Fertisure M (Astaxanthin, Lycopene, Zinc, Selenium, L-arginine, Ferrous Gluconate) to be taken once a day for three months. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 8169, + "tgt": "What has been used in the vaporizer that helps in cleaning the deposits from lungs?", + "src": "Patient: Hello doctor,I had a staphylococcus infection for about six months it is a nerve bacteria. I lost long hydration it is only returned to about the five-minute level one reason I believe was I was on Soviclor tablets. I went off the pills after they were outgassing medication through my lungs, and there may have been some breathing problems possibly gagging. It still feels like there is something in my lungs.I have been off the medication now for about a little over a month. I have heard you can breathe mist from a vaporizer to help clean the deposits out of your lungs. What do you put in the vaporizer? I have heard soda water and regular water might work. How often do you breathe from it and how long and is the vapor supposed to be light and not directly inhaled from the vaporizer? I believe I was told that I should use my oxygen whenever my eyes water this promotes hydration is this true? How many times should I do this a day and how long? Does it hurt to be on alcohol when you use the oxygen? How do I build up my hydration, so I get more time up after six months? I think I am only getting about five minutes up. Doctor: Hello. I went through your post, staphylococcus is not a nerve bacteria but can affect the brain which possibly you are having had and is treated for a maximum of six weeks followed by prophylaxis (prevention ) in some patients who have chances of getting infectious again. Soviclor (Acyclovir) is an antiviral used for infection caused virus and not for rehydration or cleaning your lungs. The vaporizer you have heard is called nebulizer and is used to relax bronchioles in the lungs in patients with bronchial asthma and COPD (chronic obstructive pulmonary disorder). If you have wheezing then you a use nebulization of Salbutamol to get relief from breathlessness." + }, + { + "id": 22446, + "tgt": "I have missed my period for two months. Can I take Regestrone again?", + "src": "Patient: Hi doctor, My age is 27 years, female, height 5 feet 4 inches and current weight is 76.9 kg. I got my last period two months back, increased 4 kg of weight in last two months. I am not sexually active, unmarried. I have been physically active, do yoga and walking regularly. Two years ago when the same scenario of irregular periods for about four months happened, I consulted a gynecologist and did thyroid profile and ultrasound scan. TSH was 5.8, Vit D 21, one 3 mm kidney stone and had one small cyst in ovary then. I was given Regestrone tablets for three days and after getting periods, asked to use Ovral pills two packs and one bottle of Eltroxin 25 mg for regularizing periods. I was also told that this is the treatment whenever periods go missing, I should repeat the same. So this time with the same situation, I would like to confirm if I can take the Regestrone again? Also, please suggest vegetarian dietary changes, supplements related to this which solve the issue. Doctor: Hello. After going through your health history it is evident that you are having hypothyroidism and more likely clinical polycystic ovarian syndrome. In this scenario, irregular menses are very common and in some people also weight gain can occur. In my opinion, first, you need to regulate your thyroid levels to the optimum level. Second try to do as much as exercise as you can. It will not only reduce your weight but also regularize your periods. If you are very much sure that you are not pregnant as you mentioned that you are not sexually active, then take a course of tablet Deviry (Medroxyprogesterone acetate) 10 mg twice a day for five days. It will bring your period. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 432, + "tgt": "Does my mom need a surgery for mitral valve leak?", + "src": "Patient: Hi doctor, My mom is 46 years old. She recently had her routine physical examinations and they found out her mitral valve could not close fully, but very light degree. The doctor there thinks that she does not need a surgery and he did not mention anything else. So, I really want a second opinion on this. Does she need a surgery? What should she do now to improve her health? Doctor: Hi. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28946, + "tgt": "I am depressed due to relationship conflict with my mother-in-law. What to do?", + "src": "Patient: Hi doctor, I am depressed and have relationship conflict. I am unable to understand my issues with mother-in-law over things that I could easily ignore and move on. I am over sensitive and tend to get heart breaks every while. I fight with my husband because of weird situations with my mother-in-law and then I regret fighting with him as he is my only support. I feel I am over-dependent on him emotionally. What to do? Please help. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6748, + "tgt": "I am having androgenetic alopecia. Can minoxidil 5 % used to treat it?", + "src": "Patient: Hello doctor, I have female pattern hair loss (androgenetic alopecia) for the past 25 years. Now I started Minoxidil 5 %, but there is no regrowth. Can this be reversed by combining Minoxidil and hair laser? Is there any cure for this type of hair loss? Please give suggestion. Doctor: Hello. Female pattern androgenetic alopecia is tough to improve. However, the regular use of Minoxidil does help to make it better. You have to use Minoxidil 5% 1 ml twice daily for at least three to six months to expect a response. Hair growth is a slow process, and the initial hairs produced are fine vellus hairs, which cannot be appreciated with a naked eye. It will take at least three months to note an increase in hair density and six months to find a satisfactory response. Also, kindly rule out underlying hormonal etiology. 1) Thyroid profile. 2) FH (Follicle-stimulating harmone), LSH (Luteinizing harmone). 3) Serum free testing. 4) USG (ultrasound) pelvis. 5% Minoxidil 1 ml twice daily for at least three months." + }, + { + "id": 16075, + "tgt": "Why am I feeling depressed and tired with low self-esteem?", + "src": "Patient: Hello doctor, I am very depressed. I am so tired of being tired and fatigue all the time. I have low self-esteem because I am over-weight but I love life. I love my family, my kids, my husband. They love me. I cannot get a job to help pay bills. No one is calling me back. I am so depressed and down every day all day. Doctor: Hi. As you are suffering from depression, you need the help of a psychiatrist. In such condition, SSRI such as Fluoxetine and psychotherapy are helpful. Also, regular exercise is very important as it helps in both hypertension and depression. Also, ask your physician to review anti-hypertensive drug (attachment removed to protect patient identity) as it may be a side effect of these drugs. Thyroid function test, blood sugar. Depression. SSRI. Regular exercise." + }, + { + "id": 23951, + "tgt": "Can Meftal be continued irrespective of fever level in a 5 year old?", + "src": "Patient: Hello doctor, My daughter is 5 years 9 months old. She had a heavy cold and cough last week due to which she got a temperature of 99.8. So I gave her Calpol 250 next day morning similar range so I again continued the medicine and visited the doctor. He said continue fever doses irrespective of whether there is or not for three days post which the same day and next day she had no fever but again suddenly she got 99.5 and till night it went to 102.8 and did not reduce at all till we visited the doctor next day. He asked us to take blood urine reports are prescribed antibiotic Augmentin and continued to Calpol and SOS Meftal syrup as he sighted bacterial infection. Now she is taking antibiotic four doses plus Paracetomol but fever keeps coming back. So, by yesterday night gave her Meftal post which her fever came down. Should I continue Meftal syrup irrespective of fever level along with Calpol and antibiotic as to control the fever levels? I am worried why the fever keeps coming back the same level even though now four doses of antibiotic are completed. Doctor: Hi. The symptoms seem secondary to upper respiratory tract infection. Fever sometimes takes time to settle and may take up to a week. If cough and fever continue beyond 10 days then get a chest X-ray done to rule out pneumonia. Meftal (Mefenamic acid) needs to be given only if fever is not controlled with Paracetamol. If there is no fever or mild fever no need to give Meftal. I would suggest waiting for one day and then getting a chest X-ray done. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22767, + "tgt": "Baby has white patch on cheeks though pimples are gone. Is it seborrheic dermatitis?", + "src": "Patient: Hello doctor, My 1 and a half month old baby is having mild cradle cap and cluster of red pimples on his face. The area is quite dry even though the pimples are gone. This has left a white patch or discoloration on his cheeks. Is this atopic dermatitis or seborrheic dermatitis? How long will it last and when will the white patch disappear? This is my first baby and I am really heartbroken seeing his face like this. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). The baby has post-inflammatory hypopigmentation due to seborrheic dermatitis. It is nothing serious and will go with time. I suggest you apply Desowen lotion (Desonide) twice daily on the affected area for two weeks. For his cradle cap, I suggest you use Cetrilak (Cetrimide) 5 % shampoo. You may also use Desowen lotion on the scalp as well. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19760, + "tgt": "What could be the reason for right-sided anterior pelvic tilt?", + "src": "Patient: Hello doctor, My husband is suffering from an anterior pelvic tilt in the right. He is a bodybuilder and currently not able to do workouts since he has pain and numbness in both upper and lower sides of the body in the right region. He also has muscle imbalance because of that. We have consulted several doctors but we are not able to get a proper solution for the same. He recently had SI joint injection but the pain has not reduced yet. What can we do to cure the anterior pelvic tilt? Doctor: Hello. It is common for this anterior pelvic tilt position to drastically affect your posture even up into the upper back and neck. The tight muscles are hip flexors, tensor fascia lata, and quadriceps and weak muscles are the gluteal groups and hamstring, abdominals. Stretch psoas & hip flexor and stretch exercise that relieves the overactive muscles. Pain is probably due to the compression of nerves that causes severe numbness and sometimes tingling sensation. Pain management procedures include exercise, physical therapy, occupational therapy, and pain management medications. Medicines range from simple anti-inflammatory medications to opioids based on the pain scale and treatment. It is better to have an appointment at pain clinics, especially for pain management. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29112, + "tgt": "Should I visit my GP for impacted wisdom tooth?", + "src": "Patient: Hi doctor, I have an impacted wisdom tooth. It is half grown on my gum and half on my cheek. I also have a hole next to it. I went to the dentist, and they gave my higher dosage of antibiotic. The dentist sent a letter last year to the hospital for surgery.\u00a0This time he resent it and said it would take time to get it scheduled. I am feeling pain. Also, my ears and throat are in pain, and I do not hear well on the right side. Should I visit my GP? Can they help in any way to speed up the surgery? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14924, + "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": 25379, + "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": 16285, + "tgt": "My semen analysis shows sperm agglutination. How to correct my fertility issue?", + "src": "Patient: Hi doctor, I got married before two years. We are planning for a baby now. I smoke five to seven cigarettes in a day. I did sperm analysis before preparing for a baby and found that my sperm agglutination is positive (head to head). My sperm count is 42 million. I have more sluggish progressive sperm than active sperm. My doctor told me that the condition is incurable. Please tell me whether it is curable or not. Please help me. Doctor: Hi. Treating male infertility is difficult. But I would not diagnose you as infertile as there should be a consistent attempt for having conception. Quit the habit of smoking and drinking alcohol. Avoid wearing underwears all the time as heat can also cause infertility. Losing weight can also be helpful. Have natural intercourse with your partner. Try to have sex between 10th to 20th day of the cycle. It is the best period to have conception. Take vitamin E tablet 400 mg once daily for two to three months." + }, + { + "id": 1666, + "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": 29924, + "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": 17398, + "tgt": "What homeopathy medicines can help atherosclerosis?", + "src": "Patient: Hello doctor, My calcium coronary score is very high around 1800. Can you prescribe me homeopathic medicines which can effectively treat the plaque and atherosclerosis? I would prefer preparations from established medical companies. Have you heard of R12 from Dr Reckeweg? Please opine on the same too. Doctor: Hello. Calcium coronary score (CCS) increase causes the development of coronary artery disease. It causes fatty plaque formation in the coronary artery leading to narrowing of the artery. It is also called as cardiac calcium scoring. For men, CCS has 15-year mortality ranging from 3.5% for CCS of 0 and 18% for a CCS more than and equal to 400 (P<0.001). There is a cumulative 15-year mortality rate among women and men with low-intermediate Framingham risk scores based on coronary artery calcium (CAC) scores. Here we need to control lipid profile, hypertension, and diabetes. So, I need other investigations like lipid profile, diabetic profile. For homeopathy, we need a thorough case history to practice medicine. I suggest you take Calcarea Carbonica Carb 200 potency and Allium Sativum Q. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 3103, + "tgt": "My dad has adenocarcinoma of prostate with no bone metastasis. How to treat him?", + "src": "Patient: Hello doctor, I want to know about my dad's PSA prostate biopsy report. The report is in french language and I will translate it in English. Doctor advised him to take hormone therapy and radiation therapy. Will that work? Biopsy report shows: Adenocarcinoma of prostate Gleason score 6 (3+3) associated with ultra ductal carcinoma with extra prostate. Presence of numerous enlarged nerves. I want to know its treatment and side effects. My dad is 78 years old and he has high blood pressure. He did bone metastasis and it came back negative. What is the best treatment for my dad? Doctor: Hi. It looks your father has been diagnosed with prostate cancer. The good thing is that his bone scan is free of metastasis (spread). I will suggest them to do an MRI (magnetic resonance imaging) pelvis and x-ray chest plus abdominal ultrasound for staging. These investigations will show the extension of the prostatic tumor if the tumor is confined to the prostate only. He needs a surgical assessment for the possible radical removal of the prostate along with the tumor. If they found him unfit for surgery or inoperable tumor, then the next step is radiotherapy and hormonal therapy. In general, prostatic cancer is usually a slow-growing tumor. It takes years to spread to other parts. From stage 1 to stage 3 prostate cancer five years of survival is almost 100 %." + }, + { + "id": 13531, + "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": 1635, + "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": 4540, + "tgt": "I am stressed due to marriage talks and financial debt. What can be done?", + "src": "Patient: Hello doctor, My father has debt. I am upset severely by that and I am 26 years now, all are asking marriage questions. Believe me my ambition is to get into the politics or to do social service, the relatives laugh if I tell this. And I do not want to get into relationship. I hate marriage and commitments. Because of all this I feel like dying and stressed out so much. Kindly help. Doctor: Hi. I can see that you are under a lot of stress. To start with the debt, I do not know the financial details and your social economic position so cannot comment on how you can come out of it but to start with you have to understand that this is your reality. Instead of getting upset about it try to sit and practically think of what you can possibly do to start with to help your father in this situation. Getting married does not mean that you cannot help your father or you have to abandon the responsibilities you feel you have regarding your family. As a female I can understand your feelings, it does happen in many cases that after marriage the in-laws expect the female to just look after their family and not have involvement in her own family, but times have changed now. Even I am a female and I do support my family even after marriage as much as I want. The good things to do would be to communicate with your potential partner about how you expect your life to be. Be clear with your partner that after marriage you will be taking care of your own family and not abandon them. The relatives and society are just chatter. Do not get bothered with that. Getting married is not a bad thing, everybody needs someone in their life as a partner. Make sure you find the right partner and you will realise that it is a good thing. Regarding social service, I can see that you are altruist tech and you strive for higher good, it is a very good thing, but remember whenever you will try to do something which is not normal for the people around you, they are going to laugh. It is your choice whether you listen to it and get stressed or you ignore it and do what you want. To work in politics or to do social work you do not need to postpone or ignore marriage. You can start small, do as much as you can in your position and then increase with time. If you are not able to handle the stress I would suggest you to talk to a counselor." + }, + { + "id": 7453, + "tgt": "Developed muscle twitching and shaking all over the body. Could it be something serious?", + "src": "Patient: Hi doctor, I hope you are well and hopefully will be able to answer some of my concerns. For the past three months, I have been experiencing some unusual symptoms which have given me cause for concern. First of all, I am a 28-year-old female. Before three months, I started to experience a sort of internal vibration or shaking feeling all over my body. I still have this symptom today, there have been only a few days where it has disappeared completely. It also seems to get worse at night when trying to sleep. I have also developed random muscle twitching across my whole body; it comes on randomly and sporadically anywhere on my body. My final symptom which can vary on and off is muscle pain in all my limbs particularly my forearms and a sort of burning tingling sensation in my hands and feet. I have been searched online; it has given me the possibility of ALS. I am now absolutely terrified that I have this disease. My GP has done some muscle blood tests, and the only thing that showed up was a severe vitamin D sufficiency for which I am now on tablets. I do not think I have any muscle weakness, atrophy, etc. Do you think it could be a severe disorder or hopefully something treatable? I am a relatively healthy person I have diagnosed hypertension for which I take Ramipril. I am now taking prescribed vitamin D. Thanks for taking the time to read my concerns your opinion would be most appreciated. Many thanks Doctor: Hello. I passed carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnosis at this age. Also, vitamin D deficiency can mimic this clinical situation. Another possible cause to consider would be vitamin B12 deficiency or thyroid gland dysfunction. For this reason, I would recommend checking your thyroid hormone levels and vitamin B12 levels to investigate for a possible deficiency. As you are taking Lisinopril, I would recommend checking potassium plasma levels too as it can increase potassium plasma levels. Nerve conduction studies would help exclude ALS or peripheral neuropathy and put your mind to peace about ALS." + }, + { + "id": 14897, + "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": 21640, + "tgt": "All my pregnancies ended preterm. What could be the reason?", + "src": "Patient: Hello doctor,I gave birth to three babies at 27, 28 and 29 weeks. What is causing me to repeat giving birth to premature babies? Doctor: Hi. Are you pregnant now, if so how many weeks? There are various reasons for preterm delivery. Recurrent preterm delivery can be seen in uterine anomalies, intrauterine infection, cervical incompetence, and tobacco use. Being underweight and young maternal age is important factors for recurrent preterm birth. Do you have any preexisting medical conditions or did your babies have any fetal anomalies? For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12606, + "tgt": "What is causing muscle pain with frequent urination?", + "src": "Patient: Hello doctor, My mother-in-law is suffering from muscle pain (no joint pains) with frequent urination. CBC, HbA1C and complete urine analysis were done and no alarming indications were there in the reports. Urine culture test reports are yet to come. Antibiotics and painkillers are not helping. Due to severe pain, she is not able to sleep as well. Doctor: Hello. Since when she is suffering? How old is your mother-in-law? Any morning stiffness? Since when is she suffering from diabetes? The possibility of fibromyalgia or rheumatoid arthritis or chronic fatigue syndrome or infection or menopausal symptoms, etc. Please get it done FSH, LH levels. Get it done ESR, RA factor. Use tablet Paracetamol thrice a day if necessary. Drink plenty of water. Please review with reports. Take care." + }, + { + "id": 8471, + "tgt": "I am having a particle on my eye and could not predict it. What would it be?", + "src": "Patient: Hello doctor, I have a particle on my eye and cannot tell if it is a scratch or something else. What could it be? Doctor: Hello. Unfortunately, the image is taken at too close a distance and is not so informative (attachment removed to protect patient identity). If before the incident you were working with wood or metal and without protective goggles then you should visit an ophthalmologist or ER doctor to have the eye examined correctly and in case of the foreign body remove it. If not, then start irrigating the eye thoroughly with clean water. You can place the eye under the tap if you do not have a syringe or a device to flush out any foreign body. If the foreign body sensation stops, then you were successful in flushing it out, if not, then please visit the doctor as mentioned above." + }, + { + "id": 746, + "tgt": "I have symptoms of urinary infection, but no bacteria found in the urine culture. Why?", + "src": "Patient: I am 22 yr old girl. I was suffering from Urinary infrction. I comleted my medication nd have urine culture but no bacteria found there but I still have high symptoms that is urge to pee and sensation in genital feels like I hv to pee all the time. I am getting depressed this is now 3 4 months I am experiencing these things. One year back these type of symptoms I have experienced but I didn't paid attention and I dont know when they goes away by own. Doctor: Hello, Welcome to Icliniq. I understand how distressing it must be for you. Please go for thorough evaluation of the cause for recurrent Urinary Infection. First of improve your water intake. Make sure you drink at least 3-4litres of water. Excessive urine while drinking plenty of water will flush out the infection from the body. Regarding your urine culture, it would be advisable to check if you had given the sample prior to starting the antibiotics course, as once you start the antibiotics and then submit the sample it may not show any bacterial growth on culture , plus you are likely to develop Antibiotics resistance infection because of inappropriate antibiotics. Please get an ultrasound KUB ( Kidney, Urinary Blaader) to look for any kidney or ureteric stone which can cause repeated infections. Please feel free to revert back with your queries anytime. Would be happy to help. - Urine routine and microscopy - Urine culture and sensitivity, - Ultrasound whole abdomen and pelvis. - Haemogram. - Syrup Citralka 2tsp thrice daily in half glass water when there is burning. - Tablet Urispas twice daily after food for 5 days. - Antibiotic after urine culture sensitivity report. - Drink plenty of water or fluids at least 3-4litres per day. - Review with reports as advised, or if there are any doubts or queries." + }, + { + "id": 16416, + "tgt": "Can Levothyroxine intake be harmful to liver and kidney?", + "src": "Patient: Hello doctor, Will without thyroid gland reduce lifespan? Is Levothyroxine harmful to liver and kidney? Is synthetic Levothyroxine mechanism different from the original? How T4 converts to T3? What is the side effect? Can I marry someone? I am a lady. Will I conceive? I have no cancer after nodule operation. I have a suspicious follicular adenoma. Doctor: Hello. I just read your query and I would like to answer your questions one by one. No, being without thyroid gland will not reduce lifespan. No, Levothyroxine is not harmful to liver and kidney. Synthetic Levothyroxine mechanism is not different from the original. T4 converts to T3 by an enzyme present in the body. There ae no side effects. And of course, you can marry someone and conceive if you are on correct treatment." + }, + { + "id": 18957, + "tgt": "How to get someone out of manic state?", + "src": "Patient: Hi doctor, How would you calm someone out of a manic state? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6902, + "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": 22579, + "tgt": "Is fibrous dysplasia a life-threatening disease or a cosmetic problem?", + "src": "Patient: Hi doctor, Is fibrous dysplasia a life-threatening disease or just a cosmetic problem in the upper mouth? Can CT scan show the overgrowth of bone in the upper mouth? Doctor: Hi. I had gone through your question. I can understand your concern. It is not a life-threatening disease but, it is a cosmetic problem and may sometimes be a physiological burden that it may cause difficulty in certain functions like chewing or speech. You need to be in follow up with the dentist. Also, take a histopathology to rule out any unwanted lesion as early as possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28869, + "tgt": "What is the reason for difficulty in mouth opening after wisdom tooth removal?", + "src": "Patient: Hi doctor, Eight days ago, my top right wisdom tooth was removed. Now, I am struggling to open my mouth or jaw. I can talk, but eating is difficult. When I went back to the dentist, he said there was a little hole in the extraction site and filled it with a paste. He also gave me antibiotics. The paste fell out within about 4 hours. Will it still be fine? Will this be the reason for my difficulty in opening mouth? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11824, + "tgt": "What does my chest x-ray reveal?", + "src": "Patient: Hi doctor, I have undergone chest x-ray. Report says that heart size, lungs vascular marking, soft tissue and bony cage appears normal. My doubt is am I free from TB? What is the outcome of the chest x-ray? Doctor: Hi. I have read your query and gone through the x-ray (attachment removed to protect patient identity). If a person has TB (tuberculosis), certain changes appear in the lungs which are detected by x-ray. The commonly seen changes are opacification of airspaces within the lung parenchyma. Any cavity in the lung lesion. Calcification can exist around a cavity and nodule with poorly defined margins. Pleural effusion - presence of a significant amount of fluid within the lung space. Hilar or mediastinal lymphadenopathy (bilateral hilar lymphadenopathy) - enlargement of lymph nodes in the lungs. Your chest x-ray has been described as normal which means that there is no evidence of any disease according to the x-ray." + }, + { + "id": 12828, + "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": 6910, + "tgt": "What causes pain and discomfort during sex?", + "src": "Patient: Hello doctor, I am 18 years old and I have been having sex with my fiance for three years. He is the one who took my virginity but almost every time we have sex there is this pain and discomfort feeling. And after it hurts to pee like a discomfort feeling and it gets easier throughout the day but the process starts over the next day and this lasts a couple of days but I also get shocking pains down there sometimes. I took 2 cranberry pills about an hour and a half ago. Could you help me? Doctor: Hello. Your symptoms point towards UTI or vaginitis. To differentiate, you must undergo urine routine/microscopy, urine culture, and swab culture of vaginal secretion. For symptomatic relief, you need to drink lots of water (additional 3 to 4 litres/day) along with cranberry juice. Also, use a condom during sex and use a good lubricating jelly in abundance. Review with reports to help us prescribe with antibiotic best suited for you. Urine routine/microscopy, urine culture, HVS. Uti, vaginitis. According to the reports." + }, + { + "id": 22858, + "tgt": "Do I have to take any emergency contraceptives after taking Femilon regularly?", + "src": "Patient: Hello doctor, I have been taking Femilon for the past six months as a regular contraception. I finished the 21 days of tablet and the last tablet was four days back and had unprotected intercourse two days back. Do I need to take any emergency contraceptives or Femilon will protect? Kindly guide me. Usually will get periods after five days on finishing the pack and I will start the new pack on the fourth day of my period. Doctor: Hi. This combined birth control pills are a very effective form of contraception and if you take them regularly, you are almost 100 % protected. The point is, you are not only protected throughout the cycle but also even in those pill-free days. So, as you can see, there is no need to take any extra precaution if you have sex during those pill-free days. Do not take any I-pill. Now, there is a recommendation how to take these birth control pills like Femilon (Desogestrel and Ethinyl Estradiol). The guideline says to start a new pack from the first day of the cycle (new user) and continue the subsequent packs after a gap of five days irrespective of next cycle status. So, I recommend you to start the next pack of Femilon after a gap of five days irrespective of your cycle status. So, no fourth day or fifth day start for the next packs. Do not bother for the cycle date or flow amount. Just start the next pack after five days of finishing the previous one ignoring the cycle status. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15224, + "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": 10676, + "tgt": "Is it normal to have palpitations with high blood pressure?", + "src": "Patient: Hi doctor, I am 18 years old and I have started to struggle with palpitations. When I was around 12 I started having high blood pressure and since then it has not stopped. I have gotten many tests done for my heart and all have turned out normal, but I am still concerned. I do have a poor diet and I am not very active. Could this be causing my heart problem or could it be something more worse? Doctor: Hi. You have done many tests with cardiac point of view? First of all, raised blood pressure in very young age, 12 years in your case, should be investigated. It must be secondary to some other disease. One of which is called pheochromocytoma. This condition causes both high BP and high pulse rate, along with sweating, fever. These symptoms are sudden and episodic. Pheochromocytoma is basically a tumor of adrenal glands. Other cause of high pulse rate may be hyperthyroidism in which thyroid gland is overfunctioning. Other symptoms include warm hands, sweaty hands, heat intolerance, weight loss despite good appetite, fine tremors, diarrhea, reduced sleep, thyroid gland may also be enlarged, some changes in eyes, etc. As you said your diet is not good, so it may have caused anemia. Anemia leads to fast heart rate. Another cause may be your sedentary lifestyle. As you said you are not active, it causes fast heart rate on slight activity. These are some non-cardiac causes of fast heart rate. Cardiac causes may be atrial fibrillation, inappropriate sinus tachycardia, atrial tachycardia, etc. Detection and differentiation of these requires ECG. If one of these is diagnosed, then next step is to detect the cause of it. Then treatment is done for the cause. So, possibilities of your condition are many. There is a huge list of differentials both cardiac and non-cardiac. Proper diagnosis requires focused investigations. Please provide your previous tests (ECG, holter, etc.) so that I may devise a plan for diagnosis of your condition which may require some other tests as well. Also send a record of daily BP and pulse rate of one week at least. Remember, if pheochromocytoma is the cause, then high BP and fast pulse may be present only during episodes and normal between episodes. Beta blocker is good to control heart rate. So please follow-up with your medical record and BP, pulse rate record." + }, + { + "id": 23606, + "tgt": "Suffering from seemingly indefinable symptoms. Could it be caused by anxiety disorder?", + "src": "Patient: Hello Doctor,For the past one year I have been suffering from seemingly unexplainable symptoms, which have been getting progressively worse. I have been through a series of medical examinations which did not find anything. My doctors are clueless and I am desperate. I hope you may have some suggestions.Symptoms: Persistent unbearable fatigue which is worst in the morning and afternoon, worsens after eating a meal, after standing up and after drinking coffee. It gets better after lying down with legs raised and after stretching the neck and after drinking alcohol. Otherwise the fatigue prevents me from doing most normal daily activities. I can barely sit and watch videos, eat and use the toilet. I am not able to do any other work. While sitting I fall asleep during the daytime. Resting and intention tremor (while rotating the wrists). Sluggish memory, fairly frequent memory lapses (forgetting my friends names).\u00a0 Clumsiness - when pressing buttons on the computer or microwave I often miss the button and while opening drawers or doors I grasp air instead of the handle, etc. Eye coordination problems - while reading my eyes jump over words thereby making me misread words for something else or just omit words. Cognitive difficulty - with mental arithmetics and planning and I often mispronounce words or use different words than the appropriate one in a sentence during speech. Post-void urinary dribbling and frequent defecation. Flashes of past memory like dreams while awake, euphoria turning into nausea and extreme tiredness afterwards. Pain in the neck, muscle cramps and stiffness in the neck and TMJ area. (I have had orthodontic treatment for the past 2.5 years for correcting underbite). Slightly dislocated coccyx. Pain and pressure behind the eyes, urge to blink often. Tests done and reports: MRI scan of the brain: normal. Thyroid function tests, Liver Function Tests (LFT), serum electrolytes, vitamin B12, kidney function tests: normal. Glucose blood test: normal. Lyme disease: no abnormalities. Gluten intolerance:\u00a0no abnormalities. Complete Blood Count:\u00a0no abnormalities. Urine microscopy:\u00a0no abnormalities. Psychiatrist:\u00a0no abnormalities,\u00a0except worry about my health. No hypotension or orthostatic hypotension. Sleep study: no hypoxia or sleep apnea. No papilledema and nystagmus. Plantar reflex - flexion, negative Romberg's sign. Symmetrical reflexes. No family history of any disease, no childhood history, no epilepsy, no drugs ever taken. Serum C-reactive protein level,\u00a0serum vitamin B12, serum ACE level, serum folate, complement C3, complement C4, ESR (Erythrocyte Sedimentation Rate) are within normal range. Could all of these be caused by anxiety disorder/ depression?What all tests would you recommend to rule out all possible underlying neurological conditions?\u00a0What is the most probable condition I am suffering from? Doctor: Hi. All the symptoms which you have mentioned cannot be explained on the basis of anxiety disorder or depression. The points against anxiety and depression are resting and action tremors, problems with eye coordination and the memory lapses that you are experiencing. You have already undergone almost all required tests in neurology. But a few more tests are necessary: Complete neurological examination by a neurologist - this is the most important test. Screening for heavy metals. At this stage, I am not able to make a provisional diagnosis for you but there is a possibility of Synucleinopathy (group of disorders associated with abnormal deposition of synuclein), if your age is beyond 50 years.Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29984, + "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": 578, + "tgt": "How many hair follicles do I need in the donor site to go for hair transplant?", + "src": "Patient: Hello doctor, I recently had a meeting with a hair transplant clinic and they told me I needed 3000-3500 follicular units (8000 follicles). Attached is a photo of my hair loss, is this overkill? I am afraid of running out of the donor area. Doctor: Hello. It is androgenic alopecia (male pattern baldness). It is a genetic, sex hormone imbalance disorder. There is a shortening of hair growth cycle and delay in new hair growth (increase in dihydrotestosterone-DHT). Causes in our case can be hormonal imbalance, insufficient protein intake, iron deficiency, hair procedures, rough handling, stress, and drug-related. Treatment: Minoxidil 5 percent lotion 1 ml at night for 30 days (on hair thinning area). It slows hair loss and grows new hair. Nizoral Shampoo twice weekly for six weeks. Laser therapy (low-level laser therapy) to stimulate the growth of follicle. Hair transplant last modality of treatment. Eat oranges, avocado, carrot, yogurt, sweet potato, salmon, spinach (vitamin A, folate, iron), green leafy vegetables, eggs, chicken. Drink lot of water. Drink green tea. No caffeine, tea, soda. Eliminate stress. Stop smoking. Scalp massage, aloe vera gel, onion juice extract as a home remedy. Try this before thinking of hair transplant." + }, + { + "id": 16609, + "tgt": "Can Olanzapine and Dicorate be continued in pregnant woman with bipolar disorder?", + "src": "Patient: Hello doctor,My sister is suffering from bipolar disorder for the last 10 years and is presently in stable condition with Olanzapine 2.5 mg and Dicorate 250 mg one tablet each per day during night. However, recently she came to know about her pregnancy and her doctor asked her to check with a psychiatrist if she can continue her bipolar medication or not. If not, what is the alternative treatment? Doctor: Hi. First of all, I would like to inform you that Dicorate (Divalproex sodium) should be avoided as far as possible during pregnancy. This is because of neural tube defects caused in offspring during pregnancy. The above statement is very important during the first trimester of pregnancy. I would also like to inform you that Olanzapine is largely safe during pregnancy and there is no data supporting any adverse effect of Olanzapine during pregnancy. Considering the above facts, I feel increasing the dose of Olanzapine and stopping of Dicorate is the possible strategy for your sister. Since the increase or decrease in dose depends on multiple factors (body weight, previous episodes, response to medications, the severity of episodes, number of episodes, family history), it is not possible for anyone (including me) to speculate effective dose for an individual patient without examining all relevant factors. I request you to see her psychiatrist along with your sister for a final opinion. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23280, + "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": 18015, + "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": 20054, + "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": 9276, + "tgt": "Will I be fine after taking 875 mg Amoxicillin and Acetaminophen together?", + "src": "Patient: Hello doctor,I took 875 mg of Amoxicillin in six hours. I did not realize it was supposed to be over 12 hours until I was searching until now. It only said two times a day on the bottle. I also had 500 mg of Acetaminophen with it. Will I be fine? Doctor: Hello. A dose of Amoxycillin at 20 years of age is around 1500 mg per day. This total of 1500 mg can be divided into two of approximately 750 mg or three doses of about 500 mg. You have taken the drug recommended in a whole day in six hours, and this will not cause any harm or side effect because when you take medicine for the first time the drug levels in the body are not maintained fully so if you take the drug in six hours, it will not cause any harm. Acetaminophen (Paracetamol) is a drug for fever, which is usually given with Amoxicillin, and it has no drug reaction with Amoxicillin, so this will also have no effect on your body. In all, I think that you should not worry about this. Do not take any more Amoxicillin today. I hope this will help you." + }, + { + "id": 23636, + "tgt": "I have severe redness in vagina along with itching. Why is it?", + "src": "Patient: Hi doctor, I am a 25 year old unmarried female. My height is 5'2\" and I weigh 58 kg. I am suffering from urine inflammation\u00a0over\u00a0last three months.\u00a0My symptoms are heavy inflammation at the time of urination, red skin at vagina and itching problem.\u00a0I visited the doctor five months back and taken medicine, after that it got cured. But again the problem has started over last 3-4 days.\u00a0I want to consult a gynecologist, so that she can suggest me medicine. I have attached my urine test reports for your reference. Doctor: Hello. Thanks for the query on this platform. I have had a look at the reports (attachment removed to protect patient identity). Revert back with the investigation report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2233, + "tgt": "I missed my period with negative pregnancy test. Shall I continue my OCP?", + "src": "Patient: Hi doctor, I am a 30-year-old woman. I was diagnosed with PCOS last year and according to the doctor's prescription, I have been taking contraceptive pills since then. Now I and my partner want to have a baby for which I stopped taking the pills last month and we had unprotected sex during my ovulation time. For this month I was supposed to get my periods on 6th but until now I have not got my periods and today is 12th. I also did the pregnancy check which came as negative. Now I am not sure whether to take contraceptives to have periods or to wait until sometime. Doctor: Hello. I recommend to wait some more days because there are false negative result from a urinary pregnancy test. Or you can exclude a pregnancy with a b-HCG (beta-human chorionic gonadotropin) blood test." + }, + { + "id": 2550, + "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": 11294, + "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": 23419, + "tgt": "I have my penis foreskin tip tight and rigid. Please help", + "src": "Patient: Hello doctor,I have my penis foreskin tip tight and rigid and is not moving back for past one month. Doctor: Hi. I have gone through your query. From your description and photo (attachment removed to protect patient identity), it looks like you have a condition described as phimosis. It is a fairly common condition and can be easily treated by a simple surgical procedure called circumcision. I would suggest you visit your local urologist who can perform the surgery. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22525, + "tgt": "I have type 2 diabetes since six years. How is my diabetes control?", + "src": "Patient: Dear doctor, I am a 75 year old male. I had type 2 diabetes since six years. Since then, I am taking Glycomet 500 mg twice a day. My fasting and PP levels (lab results) are as attached. Kindly go through my case and enlighten me on the following: How is my control of diabetes? What are latest blood glucose levels for diabetics prescribed by ADA for diabetics? Can I reduce my Glycomet dosage to half, that is, 250 mg twice a day and check my glucose levels at home to know whether there is an improvement? I have yet to go for three months glucose level test. I am also associated with subclinical hypothyroidism since five years for which I am taking Thyronorm 88 mcg. I observed over this period of six years, I lost much of my fat content and muscle though I did not lose weight. My TSH level is 4.8. My weight 63 kg, BMI 21.7. I never felt any weakness or fatigue. I walk 4 km every day. I am not sedentary. I wish to know that this loss of fat and muscle, is it due to hypothyroidism or Glycomet intake. Please be kind enough to advise me clearly. Doctor: Hello. I have gone through the details (attachment removed to protect patient identity). Your sugar control is excellent. As far as target levels are concerned, HbA1c of less than 7 indicates excellent control. So, the target is less than 7. However, since you are elder, slightly higher HbA1c is also acceptable. You may reduce the dose to Glycomet SR 500 mg once a day. Fat loss is due to diabetes itself due to insulin resistance. TSH (thyroid-stimulating hormone) is fine and you should continue the same dose of Thyroxine. Rest, you should continue diet control and exercises. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15981, + "tgt": "How to treat patients having destructive behaviour and anger?", + "src": "Patient: Hi doctor, I have destructive behavior. I break things, and I kick them when I am in anger. Please suggest. Doctor: Hi. You seem to have some severe anger issues. These type of problems are due to various psychiatric issues. It can also be due to depression, anxiety, and schizophrenia. We need to have a complete assessment of your symptoms, and the provoking factors. You can manage anger by following these techniques. Have control over yourself. Start to count from one to hundred when you are in anger. Try to do relaxation exercise and deep breathing exercise. You can have counseling with your psychiatrist. You may need to take medicines depending upon the severity." + }, + { + "id": 4538, + "tgt": "Is Epilex chrono recommended for partial seizure in an 8-year-old kid?", + "src": "Patient: Hello doctor, My daughter is 8 years old and got a stroke for the first time that lasted for 25 minutes. After EEG, we came to know that she had a partial seizure. Doctor prescribed her Epilex chrono 200. Is it fine? She is complaining of occasional headaches for the past two years. Doctor: Hi. Surely, I would like to answer this with my best concerns but for that what actually happened during the event? Did she have involuntary movements like head turning, uprolling of eyeballs, frothing from the mouth, and loss of consciousness? Seizure and stroke are entirely different things and their treatment is different. Please do not just mention stroke. Please tell what happened to her? I shall interpret myself if it was a stroke or a seizure. I hope you got it. Please ask a follow-up question with the required information." + }, + { + "id": 27284, + "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": 25596, + "tgt": "How can inflammation of skin behind last tooth be treated?", + "src": "Patient: Hello doctor, My 16-year-old daughter is having inflammation of skin behind her inner tooth, the last one may be wisdom tooth. She has intense pain and is not able to move her jaw properly while eating food. This started two days ago. She had vomiting and stomach pain three days back. She was having allopathy medicines for that which she has now completed. She now has acidity problems. Kindly advice medicines. I have attached photos for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Yes, it looks like inflammation of the gum flap.over the wisdom tooth. This condition is known as pericoronitis.The wisdom tooth, however, looks misaligned and impacted but for confirmation, an X-ray should be done.I can also see an abscess over the mucosa. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16822, + "tgt": "Kindly suggest an ointment for pain around the anus", + "src": "Patient: Hi doctor, I am an obese person.\u00a0I have hemorrhoids, which is slightly between outer and inner anus. I have pain around the anus occasionally during passing stool.\u00a0Can you suggest any ointment?\u00a0I am also suffering with constipation. Please help. Doctor: Hello. 1. Constipation. 2. Hemorrhoids. Proctoscopy. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12716, + "tgt": "What causes frequent wheezing without any allergy in a baby?", + "src": "Patient: Hello doctor, My son is 5 years old. He has a wheezing problem from one and a half years. Recently, a pediatric pulmonologist diagnosed his condition as reactive airway disease. Currently, my son is taking Foracort 200 one puff in the morning and one puff at night. My husband and his brother both had a wheezing problem when they were children. However, wheezing disappeared after they reached eight years. The allergy test was done and the doctor said my son does not have an allergy. Primary complex test (Mantoux test) proved positive but the doctor also looked at the chest X-ray and enquired about family history (no smokers, vegetarians, non-alcoholic). So she asked us to wait. No medicines were given. Did my son inherit this from his dad side? Will his wheezing also subside after a particular age? He gets wheezing problem once a month or once in two months which settles only after nebulization even when he is on Foracort. As of now, I successfully identified one trigger that causes wheezing which is acid reflux that happens when he skips breakfast or eats late breakfast. Also, he does not pant for breath during wheeze but coughs a lot. Is this condition curable? He also gets wheezing whenever he has a throat infection. Why does he get frequent wheezing even when he has no allergy? Does he have asthma? Doctor: Hi. Yes, your son may have inherited it from the father. Considering that the wheezing may have been inherited from the father, it should follow the same course and should go away by the age of 8 years. Even if it has not been inherited, usually this issue disappears by the age of 8 years to a maximum of 10 to 12 years. The issue and its frequency of occurrence goes on reducing with age and it eventually disappears. In a very few cases (1 % cases) the issue may persist into adulthood. The condition is not curable but it is controllable with medications till the time it goes away with age. I would advise you to use an Asthalin inhaler during such severe episodes along with the Foracort inhaler. Asthalin inhaler is to be used as Asthalin 100 mcg one puff four times a day for 3 to 5 days following a severe attack. After that you can continue the Foracort and stop the Asthalin. You can obviously use a nebulizer along with it on an SOS basis. As far as the reflux is concerned I would advise you to get it diagnosed by imaging and as per the grade, we can start medications like Lanzol 30 mg once a day before food to reduce such episodes. Please do not be depressed about this condition. It happens to 20 to 30 percent kids out there out of which most of them get rid of the condition by 5 to 6 years. So do not worry. Be happy." + }, + { + "id": 3636, + "tgt": "What are the ways to cure balanitis?", + "src": "Patient: Hello doctor, I am a male, 51 years old, height 5 feet 6 inches, balanitis problem- An unpleasant smell, redness around the glans, inflammation, soreness, itchiness, or irritation of the glans. Doctor: Hello. If the symptoms have been present since a week, did you take any medicines or cream for those? Did you start any antibiotic? How is your personal hygiene? Can you take a picture of the affected area with retracted foreskin and send to me? Are you circumcised? You need a course of Ciprofloxacin, Tinidazole or Ofloxacin Ornidazole with some anti-inflammatory medicines, local application creams and lukewarm water rinses of the penis twice daily. You may refrain from sexual activities till you get better. Please provide us more details so that we can help you better. Are you a diabetic? Is there any medical condition for which you take medicines regularly?" + }, + { + "id": 15280, + "tgt": "I have difficulty in taking a deep breath. What can I do to normalize it?", + "src": "Patient: Hi doctor, I have difficulty in taking a deep breath. I feel uncomfortable. My uric acid and cholesterol levels are at a higher range than normal. What can I do to normalize my breathing? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an LDL (low-density lipoprotein) cholesterol of 161 mg/dL. You can manage it by taking tablet Atorvastatin or tablet Rosuvastatin 20 mg at night for a month and see for improvement. Also, have a walk for half an hour a day. It helps you. You can have difficulty in having deep breathing due to thickened pleura. You can take a painkiller for a week. Please consider taking these drugs after consulting your local physician." + }, + { + "id": 11354, + "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": 18306, + "tgt": "Are three negatives of IgM test conclusive of not having herpes?", + "src": "Patient: Hi doctor,I had a brief interaction with a woman who is very likely to have STD, specifically herpes, and I have a few questions about herpes testing. The full story is that about three weeks ago, after a bad breakup, I went to a massage parlor. The parlor was the type that is sort of seedy and known for extras and the masseuse assumed I wanted sex and was immediately ready to go. I sort of talked her down to a handjob and the masseuse took off her clothes, straddled my legs, and did her thing while I lay on my back. For about 10 seconds during the hand-job, her genital area was pressed against my scrotal area, and she also kissed the shaft of my penis twice. There was no intercourse, and I did not see any herpes lesions on her, but I also was not able to look inside her or get more than a few brief looks between her legs before she was on top of me.After the experience, I was very worried about having contracted herpes from the genital contact, so I got some tests done. An IgM plus a full STD screen at three days after the incident, and an IgG and a second IgM at 10 days after the incident. Everything was negative. I have had no symptoms other than a bump on the inside of my thigh, and I have had bumps before in the same spot due to thigh chafing when I walk. I actually had one on the other thigh before the incident. Currently, it is about 22 days after the incident, and I am planning on getting a third IgM done to be extra sure there has been no change. What worries me is that I have read online that the IgM test is unreliable and that 50 % give false negative results. So basically, my questions are, with no symptoms, three negative IgM for HSV 1 and 2, and a negative IgG, is it safe to assume I do not have herpes? Is the IgM completely unreliable or are three negatives taken at different times conclusive? And is it fine to continue with dating and sexual activity given my current circumstances? Or should I abstain from sex completely for another nine weeks and wait till I can take a more accurate IgG? I started a new relationship a couple weeks after the incident, and I do not want to risk infecting her, but I also do not want to ruin the relationship if I do not need to. I also suffer from generalized anxiety disorder. So, any concrete information you have would be helpful. Lately, I have been having especially bad panic attacks and hot flashes. Currently, I am taking Effexor 75 mg. Doctor: Hi. I have gone through your case in detail. And after detailed analysis of your contact, it is concluded that you basically are not sure whether the woman actually had any herpes or not. Moreover, all your test results till now are negative. So, in absence of any symptoms of herpes and negative tests both for IgM and IgG, it means you are not having any herpes. So just stay relax. A false negative is said when you have a clinical lesion of herpes and clinician is quite sure of that but your tests turn out to be negative.In addition to this, if herpes had to appear it would have been evident within 10 to 14 days of your contact. As long as you are herpes free, both clinically and pathologically, you are free to go ahead. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25846, + "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": 9293, + "tgt": "What does SOL in USG mean?", + "src": "Patient: Hi doctor, My father is 63 years old. He is a diabetic patient and currently under diabetic medication. Now, he found blood in urine. His USG showed SOL\u00a0in a urinary bag and it was measured about 44 mm x 22 mm. Please help me to understand what it is. Doctor: Hi. SOL in bladder (space-occupying lesion) means a bladder growth. Most of the times, the bladder growth will be malignant. So, your father needs early evaluation and treatment for his bladder growth. Based on CT scan and bladder biopsy, further treatment can be decided. For small and simple growths, endoscopic removal is possible. For growths which extend into the bladder wall, surgery to remove bladder or radiotherapy is needed. For growths already spread beyond the bladder, chemotherapy may be needed. No point in delaying the treatment. Also, there is no need to panic. Consult a urologist in person who deals with urological cancers and get your father evaluated. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22665, + "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": 848, + "tgt": "Could stomach bug cause frequent bowel movements?", + "src": "Patient: Hi doctor, For the past 10 days, I have been having frequent bowel movements. At first, it started with lots of pain, but the pain got subside after relieving my bowels. The stools were softer and of large quantity. No blood in stool, but a little bit of red color on my toilet paper. I have hemorrhoids, which I know and I have been impacted by all of this. I went to my regular doctor and had an abdominal CT scan last week. I have not received my results yet. I am getting pain to the right of my belly button a few times. After about five or six days when the frequency of going to the bathroom slowed down, I seemed to strain a bit more to go and the stools were coated in white. This would only occur with the harder stools. The other stools seem to be softer and more yellowish in color. After the CT scan, I am of course going to the bathroom frequently, but no white in stool at that time. So, my concern is the mucus which I have never had before. What is causing the diarrhea? Ironically, I had seen my gastro doctor when all of this began. So, I have scheduled another appointment. I had a colonoscopy two years back, all normal except for hemorrhoids and an upper GI at the same time. Gastritis was the only thing found. Since then, I had an abdominal ultrasound and pelvic ultrasound, in which all were fine. Could colon cancer develop quickly? I am a worrying and I am driving everyone around me nuts. My current medication includes Effexor, Allegra, probiotics and Xanax for anxiety. Thanks for your help in advance. Doctor: Hi. We are here to help you. Revert back with the answers to the above questions to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 291, + "tgt": "Having PCOS, should I opt IVF to get pregnant?", + "src": "Patient: Hi doctor, I am 27 years old. I have PCOS and have been trying to conceive for four months. My gynecologist put me on 500 mg of Metformin thrice a day and 10 day cycle of Medroxyprogesterone at the beginning of each month to force ovulation. The medication is working exactly as it should. I get my period every month and I have lost weight with the Metformin. I went in for a follow up today and my doctor recommended that I sign up for an infertility study that she is doing. It requires hormone shots, extensive testing and in vitro fertilization every month for a period of four months. I have been going to the same gynecologist for many years and I know her pretty well. Let me just say that she has never seemed like she puts much thought into diagnosing and treating me. I had to practically beg her to test me for PCOS even though I have had very irregular periods and other symptoms for years. Now, she jumped straight to IVF treatment. I have heard of women staying on this course of treatment much longer and being able to conceive. In vitro is incredibly expensive. I am just worried that the only reason she recommended this is because she wants another participant in her study. Your advice on this subject would be appreciated. Thank you. Doctor: Hi. I can understand your situation. Please, do not be so hard on her. I am sure it is not that she is not interested in diagnosing or treating you. However, you can wait for some more time before straight away jumping for IVF (in vitro fertilization). I have given you the information, but participating or not in the trial is totally your decision. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30351, + "tgt": "How to solve my sister's behavior issue?", + "src": "Patient: Hi doctor, My sister, who is 21, never obeys my mom and dad. Neither, she will do any work if not pointed at. My parents are frustrated and always scream and shout at her. Even then, she does not do any work. I do not live with my parents, but whenever I visit them it is always like an invasion of me in an ongoing civil war. I am the moderator trying to calm things. Please give a solution. She will not listen to me neither to my parents. But, my parents would listen to your advice. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15626, + "tgt": "Why am I having fatigue, increased saliva and throat pain after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex with a sex worker three and a half months ago. Two months later, I started having ARS symptoms, fatigue, diarrhea, dizziness, sore throat, mouth ulcers. Just a day before that I had protected sex with a sex worker but my penis was not fully erect and did not insert deeply. So I think contact with the vagina may have occurred, but I do not remember, not sure. But I got an unprotected blow job or oral sex from her. Two days later, I got a p24 antibody combo test which was negative. A few days later I got DNA PCR which was negative. 11 weeks after first exposure, I got western blot which is negative. 12 weeks after first exposure, I got CMIA rapid which is negative. Two days later, I got RNA PCR for HIV 1 and 2 which were negative. This was 30 days after second exposure. Six weeks later, I got an antibody p24 combo CMIA which was negative. I still have symptoms of fatigue, increased saliva highly, throat pain. I am very worried. Please tell if my tests are conclusive. I read about people seroconverting late and I am worried. Also, one another person whose status I do not know also had daily dizziness, diarrhea, mouth ulcers and leg pain like me. Please help. Doctor: Hi. First, HIV symptoms are non-specific and are common to most infection and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress related due to over activity of hormones (vagal stimulation) causing diarrhoea, running nose, sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negetive after 28 days, then nothing to worry. You are free of infection." + }, + { + "id": 14613, + "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": 25058, + "tgt": "My child has pain over the eyebrow which gets better after a nap. Why?", + "src": "Patient: Hello doctor,My child is 6 years old. He is complaining of pain over the left eyebrow since a month, on and off, thrice a week. He also has on/off nose block. The pain comes around afternoon, 2 to 3 PM and after his routine sleep time of two hours, he is alright. What is the cause of his pain over the left eyebrow? Doctor: Hello. It could be sinusitis with allergic rhinitis. Keep the child warm. You may use a vaporizer. Place the vaporizer about a foot away and lie beside your baby. Cover yourself and your baby with a blanket to ensure the vapors stay inside. You may do this for about 30 to 45 minutes or give indirect steam. Indirect steam is given by holding the baby away from the steamer in a closed room or in a closed bathroom you can sit with the baby on your lap at a distance from the shower and keep a hot shower turned on.Keep the child hydrated, give warm liquids like dals, soups, semiliquid khichdi dalia. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20077, + "tgt": "I have cramps and back pain after I-pill. Is it a sign of pregnancy?", + "src": "Patient: Hello doctor,My partner and I were intimate on the 10th of this month. I used I-pill on the next day. Due to that, I got bleeding on the 22nd which is my period date for four days. Now, I have cramps and back pain but not getting periods. Is it a sign of pregnancy? Doctor: Hello. Calm down. You already got your menses, but still, have cramps. It can be a side effect of the pill. Were your menses regular and was the bleeding normal bleeding as you have in your menses? Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19845, + "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": 22482, + "tgt": "Can drinking too much soda cause gastritis?", + "src": "Patient: Hi doctor, I have been drinking soda four times a day instead of drinking water. I did not drink water for a month. I eat a lot of junk food and lots of dairy milk. After a couple of weeks, I noticed a mild stomach discomfort accompanied by excessive belching and passing gas, constipation, pain in the left upper quadrant that sometimes radiates to the chest. There is bloating, pain below the center of the diaphragm, dizziness whenever there is a feeling of pressure in the abdomen and there is back pain. Whenever I squeeze the center of my back I feel the pressure in front of my abdomen, my left side of the ribcage and whenever I press on it I can feel the air bubbles moving in my intestines and there is belching. Doctor: Hello. Your symptoms of pain in the left upper quadrant, pain in the diaphragm are all suggestive of gastritis, which is due to over-consumption of junk foods and soda. Drink as much water as you can but not immediately after meals. Try to eat small frequent meals. Eat a lot of fruits and vegetables, it will relieve the problem of constipation. Avoid or consume minimal oily and spicy foods. Avoid smoking and drinking. Do some physical activity daily for at least 30 minutes. For a few days, you can take capsule Pantoprazole 40 mg half an hour before breakfast once a day to relieve your acute signs of gastritis. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27516, + "tgt": "The pregnancy test was negative, then why did not I get my periods still?", + "src": "Patient: Hi doctor, I am a 24 years old married woman. My last period was 18th of last month, but I did not get my periods till now. I got a pregnancy test, but it was negative. My hemoglobin is 12. Why did I not get my periods still? Doctor: Hi. Take care. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6242, + "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": 21142, + "tgt": "I had heavy bleeding and passed a grey muscle like mass. What is it?", + "src": "Patient: Hello doctor, I was having spotting most of the month, then heavy bleeding for two days. I then passed what looked like grey muscle and suddenly no more blood. What does that mean or what could it be? Doctor: Hello. It is suggested that you may get a urine pregnancy test done as this fleshy mass passed could be an abortus, considering that you have been spotting throughout. If negative then, you shall need an ultrasound pelvis to check for endometrial thickness to rule out proliferative phase disorder." + }, + { + "id": 6842, + "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": 5913, + "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": 3423, + "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": 11150, + "tgt": "My fasting and PP sugar levels are 87 and 61, respectively. Why?", + "src": "Patient: Hello doctor, My fasting sugar result was 87, and postprandial was 61. Why is it so? I had a usual breakfast, including carbs with some amount of protein. What could be the possible reason? Also, I struggle a lot with weight loss. Doctor: Hello. A slight variation in fasting and PP (postprandial) glucose levels can occur. It is not unusual. Please tell me with the value 61 with food, did you have any symptoms of hypoglycemia? This looks like reactive hypoglycemia, which tends to happen in persons with excess weight plus when one takes too much of sugary foods or drinks like aerated drinks, juices, etc. With a BMI (body mass index) of 33.57 you are already close to grade 2 obesity. Your ideal body weight should be 65 kgs, which means there is an excess of almost 30 kgs. This is one of the reasons for reactive hypoglycemia. It is also an indicator of future development of diabetes. So avoid sugary foods, juices, and sweets. Take a healthy diet, plus make serious efforts to reduce weight. Also please check your thyroid functions." + }, + { + "id": 4958, + "tgt": "Premature baby is having pasty stools. Is it advisable to give Neogain?", + "src": "Patient: Hello doctor, My son is 5 months old. His weight is now 5.3 kg. He is premature with birthweight 2.3 kg. I could not breastfeed him. He was on Silmilac. After every feed he used to poop. On his second vaccination, he started getting loose motions. He had almost for 2 weeks. He was then shifted to Isomil and Neogain. After that his motion frequency reduced but it was pasty. In between he had blood in motions, they looked like pepper and 2 episodes of spots of blood. From next month, he became constipated. Using Neopeptine drops three times a day and Colic aid, he went motion once a day. Last week he did not go motion at all for 2 days and had to use Enema to remove. The doctor suggested to use Nan lo lac. Very next day he got high fever, white watery stools and dehydrated and was admitted to hospital. He was given Neusobee in the hospital. He started going green watery motions, flushed face and rash all over body. FM was stopped and Nestum was given. He started going pasty yellow stools. Can Neogain be given? How will he have enough calcium since he does not take milk? Amino acid FM is not available in market here. The doctor advised him to give rice and bread. I am afraid to give him any feed since his gut is damaged. What to be given? He is also anemic and he came out of hospital with a sore throat. He was on antibiotics Montox, Zn 20 for 5 days and Probiotics and Z and D drops to be continued for 10 days. Doctor: Hello. I have gone through the elaborate history you have given. You did not mention how you were feeding the baby meaning whether it was bottle feeding or spoon feeding, generally if a baby is bottle fed there are high chances of infection due to contamination, good hygiene should be maintained. It is very unfortunate that the baby did not have breastfeeding, the reason for frequent GI infection could be contamination and lactose intolerance, you have changed formula feeds very frequently which should not have been done, either you should go with a lactose formula like Nan or Lactogen or a Lactose free formula like Nusobee or Zero lac. Continue the one which the baby is compatible with, as far as complimentary feeding is concerned that is rice, you need to start it once baby is 6 months old, do not worry that the baby gut is damaged, it repairs itself and adapts to the food or diet we give. But takes some time, start with liquids or soups, later increase the consistency." + }, + { + "id": 3079, + "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": 10625, + "tgt": "Will I lose my virginity if I finger myself?", + "src": "Patient: Hi doctor, I am an 18 year old female, and I masturbate very often. I just rub my vagina, but I do not finger myself. I get really tempted to finger it. Whenever I try to do so, I get nervous and just finish it off by rubbing my vagina. Is it safe to finger my vagina? If yes, how do I do it? What are the safest ways to do it and how often should I do it? Is my hymen going to break if I do so? Will I lose my virginity? Also, is it weird that my vagina becomes wet when I am aroused? Doctor: Hi. Get back if you have doubt.\u00a0Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5323, + "tgt": "I had a toe injury and getting pain in the toe nail. Is it due to gangrene or bruise?", + "src": "Patient: Hello doctor, I am 46 years old and diabetic. Two weeks ago I dropped a heavy thing on my toe and now my nail looks weird and now I am having pain in my foot. I want to know whether this is gangrene or a bruise under the toenail? I am currently on Novolog. Doctor: Hello. I have seen the photographs. (attachment removed to protect patient identity). The photograph sent by you shows some ecchymosis over the nail base and the adjoining skin. This is due to the weight that fell on the toe. Many patients come with similar complaints to me and most of them heal without much interventions except in those cases, where there is any fracture of toe bones (phalanges). In your case, the diabetes is what we should be careful, as it can result in infection of the ecchymosis and resultant pain in the toe as well as the foot. I suggest the following medications for you: 1. A course of antibiotics, Cefixime 200 mg twice a day after food for five days to take care of infection if it has risen. 2. Tablet Chymotrypsin-Trypsin, anti-inflammatory to reduce inflammation, edema, and swelling, take twice a day before food for three days and there after depending on the swelling take once a day. 3. Tablet Paracetamol 650 mg twice a day for pain. However, if the pain is very severe take a combination of Aceclofenac 100 mg and Paracetamol 325 mg. In the latter case, take the combination after food and an antacid Ranitidine hydrochloride 150 mg before food. 4. Do not put any tight dressing on the toe or foot and keep it elevated while on the bed. Please observe for two days following my suggestions and if you feel better then it is good. However, if the pain does not relieve or is worsening, we need to get an x-ray toe and foot done to check for any phalanx fracture. Also, we must do your complete blood count to check for any rise in the cell counts due to infection. Do take your insulin and other medications for diabetes without fail. If sugars are kept in control then it is less likely that infection will complicate. I hope this helps." + }, + { + "id": 24558, + "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": 7438, + "tgt": "I have a pinching pain in my arm, shoulder, palms and fingers. Why?", + "src": "Patient: Hello doctor, From the last two months, I have a\u00a0pinching and wound-like pain in my left upper arm and shoulder. I also feel pain in my palm and fingers while bending, stretching or gripping. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10962, + "tgt": "I have depression, suicidal thoughts and low self-esteem. Please help", + "src": "Patient: Hello doctor, I am suffering from depression. I am having feelings of mild depression, but I do not know if I am actually depressed, but here is a bit of my life since I was a boy. I lost my mother when I was very young and did not have any memories of her. I grew up with my dad and my siblings, but I have always felt different, alone, cursed, and forgotten as nothing seems to work for me. Never felt loved, my dad was addicted to alcohol and, and most of my family members abandoned me till date. I struggled with the feelings of worthlessness daily as I grew up. I have little or no friends as I grew up, I had a lot of suicidal thoughts. My self-esteem was too low, had a dislike for myself, not able to express myself. I am short-tempered and a little caring same time. When I was 20, my feelings got worst, and I cried every day at night. I have extreme mood swings because when I am around people, it seems I am happy, but when I leave, I return to my hole. Kindly help. Doctor: Hello. You have described facing several adverse childhood experiences like losing your mother, and indifferent father addicted to alcohol and lack of loving support while growing up. These adverse life events could have potentially affected your feelings like, making you feel low, affect your self-esteem, and cause suicidal thoughts. Anyone in your situation would have probably felt the same. It is good to know that you had some support from a friend before. It is important not to isolate yourself when you are feeling like this. Try to meet supportive people regularly. If you are in education or doing a job, try to speak to a senior person and see whether they can be a mentor to support and guide you. If you are spiritual, try visiting holy places regularly if you find it helpful. You have said that you feel happy when you are around the people and low again when lonely, this is understandable. People feel better in practical social situations. You will also benefit by consulting a doctor who can do a full assessment of the nature and severity of your symptoms, and it will clarify whether you have clinical depression. Try to speak to your friend and family and make sure you get help. You may need some counseling support or therapy to help you move forward in life. Equally important is self-help measures like eating healthily, sleeping well, exercise regularly, keeping yourself gainfully occupied, and having positive social relationships." + }, + { + "id": 11723, + "tgt": "Will I-pill tablet work if taken two hours after the act?", + "src": "Patient: Hello doctor, My wife is 25 years old and she had her period on the 14th of last month. On the 1st of this month, while having intercourse, unfortunately, the condom broke. She had taken I-pill within two hours. Can you please advise if the tablet will work or not? Doctor: Hello. I have gone through your history and understand your concerns. As you had I-pill, the chances of pregnancy are not there in your case. Delayed menses, if any, are due to hormonal imbalance caused by I-pill. Just wait and watch for your menses. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27139, + "tgt": "Even after consuming fewer calories and exercising, I am not losing weight. Why?", + "src": "Patient: Hi doctor, I am a female, who weighs 155 lbs, and I am 5.7 feet tall. I cut off the muscle weight because I have a lot of muscle, including the muscle, my weight is 160 lbs.\u00a0I have been trying to lose weight for the past two months, but nothing has seemed to work. I go to the gym almost every day, and I do\u00a0elliptical and treadmill. I also only eat about 1,350 calories a day. I do not know what to do because all my fat goes to my belly and it will not go away. Why am I not been losing weight when I go to the gym and only eat 1,300 calories a day? Please, I need advice as soon as possible. I just want to feel comfortable in my body, but it hard to do that when all your fat is in your stomach.\u00a0Thank you. Doctor: Hello. Losing weight sometimes is tricky, especially, if you are trying to body sculpt. Be patient, as you are on the right track. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 24153, + "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": 30644, + "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": 25269, + "tgt": "Do cashewnuts contain cholesterol?", + "src": "Patient: Hello doctor,I want to know if all types of nuts like cashew nuts, pistachio, and pine nuts have fat in them or cholesterol. I mean, are they good for health? Doctor: Hello. Nuts do not contain cholesterol. Cholesterol is only found in animal foods like meat, poultry, fish, milk and milk products. Nuts have unsaturated essential fats which the body cannot make on its own. Hence consumption of all types of nuts in moderation provides healthy fats like omega-3 and fat-soluble vitamin E (which works as an antioxidant). Nuts do not cause weight gain. For more information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 28393, + "tgt": "My urine has a lot of bubbles, it is smelly and yellow in color. Please help", + "src": "Patient: Hello doctor,I am suffering from UTI from last six months. All my tests are normal, but the symptoms are not going away. Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15090, + "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": 6425, + "tgt": "My left upper wisdom tooth is infected. Is it likely to cause Ludwig's syndrome?", + "src": "Patient: Hello doctor, I heard that Pericoronitis could cause Ludwig syndrome, which can interfere with breathing. I heard this happens when the lower wisdom tooth is infected. Can this still happen if the upper wisdom tooth is infected? My upper left wisdom tooth is infected. However, I am treating it with antibiotics and warm saltwater. Doctor: Hello. I can understand your concern regarding dental health. First of all, I would like to tell you that Ludwig's angina is not associated with the infection of the upper wisdom tooth. It is associated with infection or pericoronitis of lower partially erupted wisdom tooth. So, if you are having pain in partially erupted lower tooth, then consult an oral surgeon for according advice. And it is good that you are taking care of your upper infected teeth by taking antibiotics and warm saltwater. But, this is not enough for this type of infection. You must consult your dentist to check the condition of the present infection and an x-ray investigation of the same tooth to rule out the spread of infection to the end of the root and for the needful treatment and also for antibiotics dosage. I hope this helps. X-ray of upper infected wisdom tooth." + }, + { + "id": 9025, + "tgt": "I have a strange sensation in my upper chest and throat. Should I be worried?", + "src": "Patient: Hi doctor, I am a 28 year old male. I do not smoke or drink. My weight is 185 lbs and height is 6'2\". For the past few days, I have been experiencing something new. All of a sudden while lying down, I have experienced a sensation in my upper chest and throat that can only be described as a menthol cooling sensation. It is not painful, but rather a very strange sensation. I thought immediately it was some acid reflux or heartburn (never had either before). So, I tried liquid Gaviscon, fast acting liquid and it did nothing to alleviate it. As the night went on it was not as intense. Again this morning as the time passed, the feeling started to intensify back to how it was yesterday. It is located in my upper chest and lower throat. I have a history of really severe chronic constipation, bloating and gas problem. My diet lacks fiber. But, I have never had an issue with heartburn. I have experienced chronic back pain for several months and the urologist ruled out kidney issues, thinking it was constipation related. Could this all be related? Is there any remedy for this feeling? Should I be worried? Please help. Doctor: Hi. Revert back with the answers for the above questions to a medical gastroenterologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26294, + "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": 10954, + "tgt": "Having painful sex six weeks postpartum and cervix closed too soon. Please help", + "src": "Patient: Hello doctor, Having painful sex six weeks postpartum and five weeks after my obgyn had to suction blood out of my uterus because my cervix closed too soon. Wondering if this is normal or if I should set up an appointment to be checked out. I am female, 23 years old. I am 5 feet 9 inches tall and weigh 300 lbs. Doctor: Hello. Yes, it is normal, sometimes body takes a little longer time to heal especially if there was instrumentation being done with the uterus. If you do not have any pain otherwise or any never, discharge or excessive bleeding then you do not have to worry. It is just that your body is not ready yet to bear sex. I would suggest you to wait for one more week or so and see how the condition stays and even then it is the same then please do not forget to book an appointment with your local doctor." + }, + { + "id": 25844, + "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": 24561, + "tgt": "I have tinnitus and sleep problems. What medicines will help me?", + "src": "Patient: Hello doctor, I am a 66 year old healthy male. I have tinnitus since two years. MRI is normal except for age-related gray area. But of late, any outside sound like flushing toilet increases the volume of tinnitus. Left ear 6/10 and right ear 4/10. The sound is the insect cricket sound. Moreover, since two weeks, I have serious sleep problems. It happened after my exposure to music played by a bus in which I traveled for five hours. That night, the sleeping problems started. Further, as I complained stiff calf muscle and a bit of pins and needle in the legs, especially after sitting in the bathroom, a nerve conduction study was taken. Before that, a VEMP test was done. Please give your opinion on those test results. Some local doctor yesterday suggested to take Niterest 0.5 mg tablet for sleeping and a relative who is a doctor suggested Melatonin 0.3 mg without any combination can be taken as it is also good for both sleep and tinnitus. Please kindly forward your opinion. Doctor: Hello. I would like to know some details about your problem: Regarding sleep disturbance: As you mentioned that your MRI brain was normal, there may be a possibility that tinnitus could be related to some ear pathology. For tinnitus, I suggest you consult an ENT specialist. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11809, + "tgt": "Is there any way to treat pinworm infestation permanently?", + "src": "Patient: Hello doctor, I have had an infestation of pinworms, threadworms for a year now. I am a hygiene clean, single moral person. I have no idea how I got them. Have seen a number of doctors and Reese's, Ivermectin, Mebendazole and now Albenza once a week for five months have not helped. They made a reservoir of my female cavity and now have moved into my ears and occasionally nose. I am at my wits end. Afraid they will get in my brain and kill me. Can they do that? I see them every day, as I zap them during night with a lint roller and use a jewelers lens to examine them in morning. Sometimes they are still moving. Some look like long thread, some are black and some red, depending on what color of pjs I wear. That is weird, guessing chameleon. Take wormwood, cloves, garlic, black walnuts hulls, eat parasitic diet. Fasted 40 days with pineapple juice only and it did not kill them. I pray daily, asking God to help me. I pray that an infectious disease doctor is an answer. Doctor: Hi. Best is Ivermectin. If resistant, use 5 % Permethrin ointment in whole body. If possible, send me a picture for better advise." + }, + { + "id": 11024, + "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": 11366, + "tgt": "I have severe pain in my xiphoid process. Please help", + "src": "Patient: Hi doctor,I think it is weird, but my xiphoid process has come out. It is paining a lot. I am 18 years old. Please help. Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25221, + "tgt": "Is multiple sclerosis the right diagnosis for him?", + "src": "Patient: Hello doctor, My 66-year-old father who is a retired school teacher was having a cold and cough for 10 days. One month back, he developed slurred speech and blurred vision, double vision, giddiness, imbalance, nasal intonation of voice, hypertension. Blood pressure was fluctuating. As per him, symptoms were more in the morning and improved gradually as the day passed by. There was no headache, vomiting, seizure, loss of control, bowel or bladder incontinences. CT of the brain done at first was reported as a left external capsular infarct. An MRI done revealed prominent right cavernous sinus to correlate for significance there is age-related cerebral atrophy with white matter changes. Doctors first doubted MG then MS. Neostigmine test came negative. He was started on an antibiotic, a course of IV methylprednisolone, lipid-lowering agent, PPI and supportive. Blood parameters showed raised TC, RFT, uric acid, SGOT, SGPT. CSF analysis showed raised protein and TC. With treatment, a bit of improvement was seen but not substantial. Ten years ago, he was diagnosed with retrobulbar neuritis. Doctors are more or less supposing it to be MS and gave a further course of prednisolone of 20 mg and Atorvastatin 20 mg tablets along with those for hypertension, cough and acidity and advised to take care about the blood pressure. There are no definitive answers or assurances. What should we do? Please help. Doctor: Hello. Your father's symptoms are not typical of MG (myasthenia gravis). I would exclude MS (multiple sclerosis) due to his age and MRI (magnetic resonance imaging) findings although his past history of optic neuritis. A stroke cannot be excluded although I would directly review his MRI for a more professional opinion. Are white matter changes enhanced by gadolinium? Lambert-Eaton syndrome could mimic this clinical situation too. I would recommend also checking any malignancies. For this reason, it is necessary performing a chest X-ray study and an abdominal ultrasound coupled with tumoral antigens like CEA (carcinoembryonic antigen), CA (cancer antigen) 19.9 and PSA (prostate-specific antigen) levels. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20147, + "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": 27473, + "tgt": "Please suggest medicines for redness and pain on the glans", + "src": "Patient: Hello doctor, I have redness and pain on the glans with whitish skin layer peeling off after a\u00a0bath. I have been using Candid ointment for about 10 days without much relief. Should I change over to Candid B instead? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14088, + "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": 13384, + "tgt": "Is it normal to have upset stomach with semi-solid stool and frequent urination?", + "src": "Patient: Hello doctor, Just two days back I suddenly experienced an upset stomach with just a semi-solid consistency of stool. However a day later, I found that I had the urge to pee more often than usual immediately after emptying my bladder. I am 40 years old and my last period was a month back. I am 5'3\" and weigh 70 kg. I have no pain at all while urinating. However, this sudden new symptom has caused me to be very anxious. I also have some PMS symptoms like muscle ache and so on. Could you please advise doctor? Doctor: Hi. Sometimes urine symptoms can happen whenever there is altered stool pattern. If there is any problem in stool passage, it may reflect as a burning sensation or frequency of urine as the nerve supply to both areas is same. In case there is no fever, and stomach is still upset, you can start with a probiotic like Econorm sachet twice a day for three days. If symptoms persist beyond 2 to 3 days, then get urine routine test and an ultrasound KUB and revert. A short course of antibiotic like Nitrofurantoin 100 mg twice a day for three days and Solifenacin 5 mg once a day for five days can be started after consultation with your GP." + }, + { + "id": 2072, + "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": 14858, + "tgt": "I want to decrease sweating and look fresh. What can I use?", + "src": "Patient: Hello doctor, I am sweating too much I guess. I am not sure if it is because of the heat here but I sweat. Pleae sugget me something which I can apply to my body. So it does not sweat much and I look fresh and I do not smell. Doctor: Hello. It is likely because of weather only and body sweats in order to keep body temperature down. So naturally if you try to stay in cold environment as much as possible this will automatically reduce. However, for reducing perspiration, you should ask for Aluminum chloride hexahydrate containing powder 6.25 percent to be applied over heavily sweating area like axilla, groin and back. You should use this powder in the morning. So you may request chemist for this. This should help you." + }, + { + "id": 15862, + "tgt": "Is it necessary to do a surgery for inflamed eye carbuncle?", + "src": "Patient: Hello doctor, I have a small ball in the corner of my left eye, (on my nose side). I have looked it up and apparently, it is an inflamed eye carbuncle. The surrounding area inside my eye is becoming increasingly red. Please what is the regular treatment for this? Do I need surgery? I am taking antibiotic eye drops, prescribed yesterday by a general doctor. The drops are named Ofloxacin. Doctor: Hi. Good that you are taking antibiotics, in addition to it, take anti-inflammatory drops like Flurbiprofen eye drops. If still severe pain or redness, you may need oral anti-inflammatory drugs like Serratiopeptidase. Do apply hot compresses. No surgery required for now. See an eye doctor nearby. Take care." + }, + { + "id": 8678, + "tgt": "Are depression, overthinking, excessive or less sleep, and headache symptoms of pyscho?", + "src": "Patient: Hello doctor, I am a 21-year-old female. I am undergoing deep depression and overthinking. Excessive sleep or sleepless nights. Severe headache and spinal cord pain and knots in various body parts. Am I becoming a pyscho? Doctor: Hello. You appear to be stressed, which can be affecting your mood and cause bodily symptoms. You are not becoming a psycho. Speak to your family or parents about your problems. Do not struggle by keeping things to yourself. Speak to a trusted person. Try to address any ongoing issues that may be causing more stress. Try deep breathing techniques and progressive muscle relaxation exercises to manage stress. Sometimes counseling or therapy may be needed. Medication can be used as well if symptoms are severe." + }, + { + "id": 23033, + "tgt": "Why is my 7 year old having severe hair fall after fever?", + "src": "Patient: Hello doctor, My daughter is 7 years old. One month back, she had fever and after that, she has got severe hair fall. It is almost one month, still, hair fall is there. It is not at all decreasing. Even when washing her hair, lots of hair loss is seen. I am worried about it. What could be the reason? Any remedies? Doctor: Hello. Perhaps her hair fall is due to telogen effluvium. Telogen is the shedding phase of hair cycle. Usually, after an illness like high-grade fever, typhoid, malaria jaundice, etc., hair gets shifted from growing phase (anagen) to shedding phase (telogen) which is manifested as precipitous hair fall. Telogen starts one to three months after one recovers from the illness. This is self-limiting and recovers in a few months. I would like to know what was the cause of her fever. Was it high-grade fever? How long did it last? Did she lose weight during her illness? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9079, + "tgt": "What can be done for hair loss, graying hair, dandruff, and baldness?", + "src": "Patient: Hello doctor, I am suffering from hair loss, graying hair, dandruff, baldness since last five years. I am also suffering from constipation and gas problem. Doctor: Hi. There are several causes for hair loss and premature graying of hair. Changed food habits and life styles, excessive use of different kinds of shampoo and conditioner, hereditary are the major causes. You can prevent them somewhat after changing your food habits and lifestyles. You should apply Keral Neelibhhringadi oil to hair root and do gentle massage with the fingertip for 10 minutes daily at night and wash it with fresh water or Shikakai powder in the morning. It helps to resolve your issues. For constipation, take Panchasakara Churna 3 gm twice a day with warm water after meals. Avoid spicy and fried junk foods. Quit smoking and drinking, if you have these habits. Drink plenty of water. Do regular kapalbhati, Mandukasana and Ardhamatsyendrasana as well as pranayana like anuloma vilom, nadi sodhan and bhramari." + }, + { + "id": 30331, + "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": 21063, + "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": 21084, + "tgt": "How can I manage shoulder pain?", + "src": "Patient: Hi doctor, I am experiencing pain on my right shoulder for a couple of weeks. I have the pain only when I move. When I raise my hands up and throwing anything overhead, I have the pain. The pain is at the front of my shoulder, and I can put the finger on the spot that is sore. I am taking Paracetamol for the shoulder pain. Doctor: Hi. Keep icing the painful area frequently. The pain in the shoulder could be a muscle strain or a spasm after a prolonged period of compression possibly due to lying over that shoulder. It can be an AC joint (acromioclavicular joint) strain. Massage the area gently. Gentle stretching of the shoulder will help you feel comfortable." + }, + { + "id": 17314, + "tgt": "Can urinary infection be treated through ayurveda?", + "src": "Patient: Hi doctor, I had two episodes of UTI that led to kidney infection which had been treated with strong antibiotic injections this year and last. I am currently taking Niftran, Silodosin 8 mg along with Ayurvedic medicines like Bangshil, Chandraprabha Vati, Punarnavasa, Sukumaram Kashayam along with Brihatyadi Kashayam and Gokharu Kadha as well as Sudarshan Prostate Plus. I am also taking phytonutrients like Quercetin, Saw Palmetto, Cranberry extract, D-Mannose, Prostaquil, Swedish Pollen Flower Extract, etc. I have also done acupuncture without success. My urologist did an X-ray of the urethra and says that there is a mild bladder neck obstruction and a mildly enlarged prostate because of which I am not able to pass urine fully. My urine flow is also weak (peak flow of 17 ml) and it takes some time for urination to begin. I have a history of chronic testicular pain in the left testis for the last ten years and burning sensation at the tip of the penis (since five years). It was suspected as TB of epididymitis and I was given anti-TB drugs for nine months. But, there was only a mild improvement in pain. I consulted two other urologists and they told me that I do not have TB but chronic non-bacterial prostatitis for which there is no effective treatment in allopathy. I am taking painkillers like Tapentadol along with Duzela for the last five years from a pain specialist. There is an improvement in pain on taking these medicines. I have Grade 2 varicocele in left testicle and the pain is confined to the epididymis and spermatic cord. The pain gets worse after exertion. I also take Daflon on and off. My urologist says a permanent solution is bladder neck incision along with varicocelectomy and spermatic cord denervation. I would like to look at Ayurveda for a few more years because the narrowing of the urethra/bladder neck is mild and the prostate enlargement has been reduced after taking ayurvedic medicines. My biggest concern is that I do not want to get UTI again which may lead to kidney infection. I am able to empty my bladder although the urine flow is weak at times. My libido is low and testosterone level is borderline. I am taking Mildfil 5 mg along with Silodosin. My right testis had atrophied after a hernia surgery about thirty-five years back. My LFT and kidney function tests are all normal. I have slight cholesterol. I do not have any other major complaints apart from GERD. I seek your advice on improving my health condition. Please let me know if you need any other information or details. Doctor: Hi. You are loaded with many medicines. From my view, I suggest you can take the following medicines. Since you are taking medicines for a long time, you may do a KFT (kidney function test) and report it soon. If you are satisfied with your sexual power then it is fine. Take Salam panja 100 g plus Ashwagandha powder 100 g - mix together in a mixer and consume 5 g before breakfast and before bed with warm milk and little sugar. Do not use hot water on the scrotum. Pour cold water while bathing. Continue all for three months and revert back later. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 733, + "tgt": "Please help with my pain under my rib cage", + "src": "Patient: Hi doctor, I am 25 years old. My weight is 53 kg and height is 5.3. From yesterday afternoon, I have some pain under my rib cage. Please check the reference image.\u00a0I can breathe easily, but it is paining\u00a0when I am breathing heavy. It has also pained when I laugh, cough and puke. Please help me with this. Recently, I took a thyroid test. I do not know of it is useful, but I am attaching it. Thank you. 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": 19740, + "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": 20285, + "tgt": "Can I take medicines for urinary stone or will it resolve by itself?", + "src": "Patient: Hi doctor, I am suffering from a 3.4 mm urinary stone. I have been having continuous pain in my lower right abdomen. The doctor suggested me tablets Pantocid, Nurokind, and Hifenac SR. Can I take these medications? Doctor: Hello. You have a renal calculus (urinary stone) which is of very small size. Your doctor has advised you good medicines. So, continue the same. Hifenac SR (Aceclofenac) is a painkiller used to relieve the pain due to the stone. Pantocid (Pantoprazole) is to prevent gastric side effects. Nurokind is a multivitamin to make you feel better overall. The stone is quite small and hence if you keep drinking a lot of water, and stay hydrated, it will come out automatically while urinating. If the pain resolves after taking the medicines, in about a couple of week's time, then the stone would have definitely come out. If the pain persists even after two weeks, consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13244, + "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": 31050, + "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": 30536, + "tgt": "May I know if I am receiving the right treatment for my headache?", + "src": "Patient: Hi doctor, I am a male of 31 years. I have suffered from migraines or headaches ever since I was a child. Recently, I was told that I have enlarged blood vessels in my brain and my neurologist has said they are tortuous vessels.\u00a0I suffered a brain injury before eight months. I collapsed at home and I suffered a bleed on the outside of the brain and a skull fracture. I was hospitalized for five days. They did not need to evacuate the blood and they let it drain on its own. However, now, for the last one month I have a headache. It is on the same spot where I had an injury. My wife took me to the hospital last week and I was given a shot without a CT scan or any other testing. After a shot, I was sent home. I feel sick always and I vomit when I have a headache. I used to take Tylenol or Advil 600 for headache. This is ruining my life. Please help. Doctor: Hi. I read your query and understand your concerns. Revert back with the details requested to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15458, + "tgt": "Am I at risk of getting HIV from vaginal sex with two condoms?", + "src": "Patient: Hi doctor, I had vaginal sex with two condoms without a breakage before two weeks. I do not know the person whom I had sex and do not know whether she has HIV or not. Am I at risk of getting HIV infection from vaginal sex with two condoms? Does the partner's fluid that touches the shaft cause HIV transmission? Doctor: Hi. Never use two condoms, and there are higher chances of having a slippage. Protected sexual activity shows a reduced chance to have HIV. The rates of transmission stand at 1 in 10000 sexual activity. So, you have a less probability of acquiring the infection. It is always better to get tested for your contact which clears your most doubts. You have negligible chances of getting an infection." + }, + { + "id": 17752, + "tgt": "I am having chest pain with low BP. Do I need any heart checkup?", + "src": "Patient: Hi doctor, I am 70 years old. I have intermittent chest pain. For the past three months, I could not walk fast and climb stairs. But, I was doing it before normally. I suffer from shortness of breath with palpation and when the chest pain persist the breathing problem is severe. I underwent ECG and echo test last month, in which the results are normal. In the CBC test, it showed an elevated WBC (21800). I was asked to take an x-ray chest PA view. The result was normal. I have low BP (80/60 mmHg) due to which I got numbness in hands and legs. I was unable to respond back due to dry mouth or tongue with severe chest pain and giddiness last month. I was also asked to take brain MRI and EEG test. The results were normal. The only thing it showed was that I have sinus in MRI report. My general physician prescribed me Inderal 10 mg for palpation, Razo 20 mg, Bifilac, Mont and C-tax O 200 mg. Now, the chest pain started again, and it lasts three days. The pain is like stabbing and as such a rock is kept. Kindly advise me what can I do further. Do I need to take any further checkup for the heart? I was advised for Holter monitoring, which is yet to be done. I am waiting for your reply. Many thanks in advance. Doctor: Hi. I have noted all your details. Your symptoms can be most likely because of congestive cardiac failure. Cardiac failure is not an indicative of a defect in the heart, but it is a situation when the heart pumps weaker than what is deemed as natural. Therefore, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. In an attempt to hold more blood, the heart stretches the chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This condition in medical terminology is referred to as congestive heart failure. The most common cause of CHF at the age of 70 is coronary artery disease. I would suggest you some of the baseline tests of cardiology to rule out any element of coronary artery disease apart from 2D echocardiography. Stress test as any ischemia to cardiac muscles will be reflected in the stress test. Along with 2D echo, they have a sensitivity rate of more than 85% to rule out coronary artery disease. Other tests advised are as follows: As per your query, the medicines you are on have nothing to do with your symptoms. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27618, + "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": 21808, + "tgt": "What can be done for high BP followed by nausea and vomiting?", + "src": "Patient: Hi doctor,My father complained of high BP followed by vomiting and nausea. He took some medicines after consulting a doctor but no tests were conducted. I am attaching the blood report. Please suggest on following points:Diet.Oil to be used.Test to be conducted.Morning walk, etc. Doctor: Hello. Your father is having high blood pressure problem. I have gone through reports attached herewith (attachment removed to protect patient identity). His total cholesterol level is also high. So, the lifestyle changes are needed in your case. Daily half to one-hour brisk walking-running or swimming is advisable. In cooking, use less salt and potassium salt can be used instead of the sodium salt. Sunflower oil can be used in cooking. Use less oil in cooking. Fruits and green leafy vegetables can be taken more. You can investigate further with serum random blood sugar estimation, EKG, serum urea, creatinine, SGOT (aspartate transaminase), SGPT (alanine transaminase), serum sodium and potassium estimation, renal doppler USG, urine protein estimation for further work up. Antihypertensive medication has to be taken if dietary measures do not help in reducing blood pressure. For high cholesterol, Rosuvastatin 5 mg OD (once daily) can be prescribed. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11617, + "tgt": "I want my eyebrows and eyelashes to be thicker. Help me", + "src": "Patient: Hello Doctor, I have very thin and short eyelashes and eyebrows. I want thicker and longer eyebrows and eyelashes. Please help me. Doctor: Hi Thickness and size of eyelashes and eyebrows depend on your genetic inheritance. If your genetic makeup indicates your eyelashes to be thin then they will not grow bigger than your genes allow. In case your genetic material indicates your eyelashes to be thick and beautiful and because of some disease they do not grow well, the following steps will help: Consult an ayurveda specialist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10356, + "tgt": "Can you explain the reason behind burning sensation of gums?", + "src": "Patient: Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums.\u00a0I do not have any cavity in my teeth. I got scaling done 2 years back.\u00a0Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well. Doctor: Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11173, + "tgt": "How can an epididymal cyst in testis be treated?", + "src": "Patient: Hello doctor,I am suffering from an epididymal cyst in my left testis. Large anechoic cystic lesion of size measuring 1.61*2.05*4.41 cm, vol 7.62 cc in the head of left epididymis. And my right epididymis is thickened and inflamed. Is it possible to cure both without surgery? Doctor: Hello. I can understand your concern. There is a possibility to remove anechoic cyst naturally. You can take the following medicines. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Vridhivadhika Vati 1tablet, Kanchanara Guggulu 1tablet, Gokshuradi Guggulu 1 tablet, and Chandraprabha Vati 1 tablet twice a day after meals. 2. Varanadi Kashayam 15 ml twice a with an equal amount of water before meals. Avoid spicy and fried junk foods. Drink plenty of water. Take these medicines regularly for one month." + }, + { + "id": 9434, + "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": 18046, + "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": 22213, + "tgt": "My daughter's central incisor is protruded. How can I get this corrected?", + "src": "Patient: Hi doctor, My daughter is 10 years old. She has one central incisor protruded and the other is inside and one lateral that has not come out fully and another lateral is normal. How can I get this corrected? Doctor: Hi. Till one year, do not do anything, that means until she crosses 11 years of age. Most of the times, this ugly duckling stage (we call it in medical terms) is corrected by the fully erupted canines. At this stage, if you do anything or start any treatment, it may hamper the development of her jaw. So, wait for a year and a half and decide after that too. You can also upload her bite photos, both in open mouth and closed so that I may provide you a better opinion. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20350, + "tgt": "Loss of vision due to left brain damage in a child. What can be done?", + "src": "Patient: Hello doctor, I want to ask for my baby. She is 1 year old. Four months back, we met (me with my family) with a road accident. My baby's left brain got damaged and a little blood clot is there. The doctor has done one surgery. After the surgery, she lost her vision. Now she cannot see. The doctors said maybe she will get vision within one or two years. But not sure. What can we do? Any specialty hospital or medicine available? Doctor: Hi. Your baby is suffering from damage to optic nerve resulting from trauma to head. The remaining potential in the optic nerve can be determined by a test called VER, visual evoked response, in which light stimulus is provided and corresponding electrical response in the brain is measured. You can get back to us with the test results for further discussion." + }, + { + "id": 17887, + "tgt": "IgG value is high during pregnancy. What does it indicate?", + "src": "Patient: Hi doctor, My sister-in-law is in 20 weeks of gestation. She is 29 years old. She has not had any recent mononucleosis like symptoms. She was recently flagged with high IgG titers for toxoplasmosis.\u00a0We are presently waiting to speak with a high risk obstetrician and gynaecologist.\u00a0We are looking for a second opinion. Please help. Doctor: Hi. I have read and understood your problem.\u00a0However I would like you to answer few questions, so that I can help you better. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 9926, + "tgt": "My 1. 8 year old son is just swallowing the food instead of munching it. Kindly advice", + "src": "Patient: Hello doctor,My son is 1.8 years old. He is not munching the food. He is just swallowing food very difficultly. Food will not touch his teeth too. When he was eight months, I started to give all foods in pure form. I will grind all the vegetables and rice to give him. I feel like there I started my mistake. When he was one year, I began to give in solid form.But he is not munching just swallowing it. I have to mash all the solids foods with hand and give. Kindly help me. I am very worried about him. He fears too much, even for the biscuit. He will try to eat a cookie, but he will put it down then. Kindly let me know what should I do. He is not eating any snacks and chappathi. Always this is going in my mind. Please help. Doctor: Hello. This is typical behavior in this age group, which will change as you teach your kid. But we need to rule out is there any problem with the dentition and tongue. 1. Meet your family doctor to check for any dental problems or tongue tie or oral problems. 2. Continue the same type of food. Gradually give one item at a time for a week then the next item gives semisolid food, then solid foods, reduce the number of liquid food items continuously. 3. Do not worry, he will learn." + }, + { + "id": 6884, + "tgt": "What should be done when a root canal treatment material has fallen out?", + "src": "Patient: Hello doctor,I am a 25-year-old woman. Three years ago, I had a root canal, and it fell out today now. It is a hole, and the tooth around the gums do I need to get it looked at also is there anything I can do at home to make sure nothing gets infected inside of the hole. Doctor: Hello. Yes, you need to get that remaining part called root stump extracted. There must be a hole in which chances of food lodgement are there. Till you get it removed, you have to take care to avoid food lodgement there and protect the area from infections. After you get it extracted, you will have two options after wound healing, and you can either go for an implant or a prosthodontic bridge. So no point keeping the root only. Do revert back for more queries." + }, + { + "id": 7910, + "tgt": "I have a swollen lymph node due to canker sore. Is it normal?", + "src": "Patient: Hi doctor, I am a 30 year old male. I have a canker sore. I was wondering if it is common to have a swollen right lymph node with tenderness, body pain, and tiredness along with the sore. Please explain. Doctor: Hi. Spicy foods or other irritating foods. Avoid spicy foods. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29600, + "tgt": "Can you tell me what is that white ulcer under my tongue?", + "src": "Patient: Hi doctor,I had a minor accident when I was around 11 and that led part of the crown of the front tooth chipped off. The abscess started forming under the tooth in my 20s. But, it was occasional and did not hurt. I would just put some pressure on my gums and it will come out. I had undergone root canal treatment around two years ago, but that did not stop abscess from forming. I had been lazy going to the dentist again. At last, my front tooth got removed a couple of days ago. During the procedure, the abscess was removed, bone grafting added and the gum stitched. But, there is a large white ulcer being formed under the tongue after the removal. My dentist said that it is just dead skin and will heal in a\u00a0couple of days. But, I do not see any improvement and it hurts. I am on antibiotics for five days. Can you check what that white ulcer under my tongue is? When will it heal? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20370, + "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": 25516, + "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": 26681, + "tgt": "I have a heaving cough that does not go away. What can I do about it?", + "src": "Patient: Hello doctor, I am 22 years old. I have a heaving cough and throat infection, and also heavy breathing and weakness. It has been a month, but it does not go away. Doctor: Hello. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 19220, + "tgt": "Is my 8 months old baby suffering from Hirschsprung's disease or severe constipation?", + "src": "Patient: Hi doctor, I have gotten two different opinions from two pediatricians about my 8 months old boy. One says my boy has Hirschsprung's disease, and the other says it is just constipation. The first doctor did a\u00a0rectal exam, yielding no explosive stools, and he wants my son to get a barium enema. The second doctor did not do a rectal exam and just felt my boy's stomach, and said it is not hard and has good bowel sounds. She told me to up his apple juice or water to 8 oz per day with probiotics. KUB was done and shows lots of stool in the large intestine, so the doctor told me to give Miralax and liquid suppository. My son did have suppository a week before the visits with hard poop smear in each diaper ever since. During that time, I had been reporting to my first doctor about my son's constipation.\u00a0My son started with gentle solids at six months. He is today exactly 8 months old, weighs 21 lbs, and has over 90 % growth in the growth chart. He does not have weight issues. He never had a fever, no blood in stools, has passed his meconium, and had a few projectile vomiting in his lifetime. My son does not fit the HD diagnosis, but my doctor says because of the rectal exam yielding no explosive stool it means it is stuck in the large GI. Is there harm in performing barium enema? My son already had an x-ray, which shows lots of stool in the large intestine. I also just gave him Pedia-Lax, and he had a good bowel movement for the first time since two weeks. I am attaching a picture. I will give him Miralax this weekend with 8 oz liquid a day with probiotics and no solids for now. Is barium enema an old school method? I am so torn because the first doctor in a specialist and has 50 years of experience, and he is adamant that my son has HD even after consulting with his colleagues. Could this just be a\u00a0bad case of constipation? Maybe, I did not insert the first suppository correctly, and maybe my son did not get enough liquid this whole time, this second liquid suppository really helped. The second doctor has eight years experience, and she is so conservative. She does not want to give a rectal exam or even suppository. She says my son is at a low risk and does not have HD. Should I see a gastroenterologist or my son before we proceed with the barium enema or should we just get it done at this point and see the results? I just did not read anything about a barium enema after online research. Doctor: Hi. There seems to be a lot of confusion that has been created. See here are my valid points: You will need to get evaluated by a pediatric surgeon, who will be able to shed light on this matter. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14674, + "tgt": "Is it advisable to take Kalarchikai choornam for irregular periods?", + "src": "Patient: Hi doctor, I got Kalarchikai chooranam for irregular periods. I have to take with pepper powder or with honey. I am planning to take by my own. Is it suitable for all body type? Doctor: Hi. Kalarchikai is a herb to manage PCOD (polycystic ovarian disease). Its botanical name is Caesalpinia bonducela. Its seed is used for medicinal purposes. You can prepare at home by Kalachikai seeds or churnam. Before starting medicine once you should check out your USG abdomen to rule out PCOD and thyroid profile to rule out hypothyroidism. Take 2 to 3 grams of Kalarchikai choornam twice a day after meals with warm water. You can also take it as ayurvedic preparations available like Kokilakshakam kashayam or Vati." + }, + { + "id": 11548, + "tgt": "Having cluster of bumps on either side of the penis. What could it be?", + "src": "Patient: Hello doctor, I have a cluster of bumps nearly identical on either side of the penis (frenulum), about five each side. They are yellow in color. Are these fordyce spots or genital warts? I previously had a couple of warts on the shaft, but they looked different from what I am having now. Kindly help. Doctor: Hello. I understand your concern. Yes, these are fordyce spots, (attachment removed to protect patient identity) that is ectopic sebaceous glands, when present at this site they are known as Tyson's glands. They are completely harmless, and no treatment is required unless you want to get them removed for cosmetic purpose. In that case, they can be removed by cautery." + }, + { + "id": 11947, + "tgt": "What causes smelly penis with erection problem and lack of interest in sex?", + "src": "Patient: Hello doctor, I have a smelly penis issue, and erection problems, no interest in sex, and that happened two years back. The doctors just checked for all UTIs but found nothing. I wonder if the issue is related to fungus infection. All checks are done even bladder and MRI nothing is showing, but the smell is there like the inside of bicycle tires rubber 24*7. It never goes away. And the doctors are beginning to think I am hypochondriac. Which is not the case. I have had a strong depression two years back due to difficult master program, from that time, my sex drive dropped in half and I do not find that I need sex anymore, it is more planned, I started to use Viagra, and I feel sex is more duty towards my wife and not something I really want. Please help. Doctor: Hi. Every male has a typical pheromone causing smell characteristic of each male. Are you circumcised? Any urinary symptoms except occasional dysuria. How many times do you get up at night to void? Microscopic hematuria on how many occasions? Kindly share the urine R/M report. Can you achieve an erection on sexual stimulation or early morning?" + }, + { + "id": 4755, + "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": 10908, + "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": 2533, + "tgt": "Being a non-alcoholic, is it possible to get liver issue?", + "src": "Patient: Hello doctor, I am a 22 year old female with the history of bronchitis. I was diagnosed with bronchitis at the age of 17 approximately. For five months, I had been facing breathing problem and now I have continuous pain in the right abdomen and occasionally on the left. I also have a type of sting like pain around my left breast. I referred a doctor and he diagnosed me of sinusitis and hence the breathing issue. Recently, the doctor said that my liver is becoming inactive or something. I weigh 41 kg and my height is 5'1\". My weight is constant even after having a lot of food daily as the doctor recommended me. I want to know if there can be any other reason, because I cannot understand the liver issue as I am a non-alcoholic person. And also in my ultrasound there were some small nodes found near my stomach and they were less than 1 cm in size. Should I be worried? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29976, + "tgt": "I had Primolut-N and I-pill and still there is a delay in period. Why?", + "src": "Patient: Hi doctor,I took Primolut-N for six days as I was going out for the vacation. My boyfriend fingered me and before that he touched his penis. So, we got tensed regarding pregnant. I took an I-pill also within 72 hours. But, I did not get my regular period this time. Am I pregnant? Doctor: Hello, Welcome back to icliniq.com. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5260, + "tgt": "My scan report says cord around the baby's neck. Please help", + "src": "Patient: Hello doctor, I had an ultrasound scan of the uterus done in 32nd week of my pregnancy, and the report says the cord is around the neck (type A). Please help. Doctor: Hi. Cord around the baby's neck is common in pregnancy. There are two types of this condition, type A and type B. Type B may form a true knot around the baby's neck and can be an emergency situation causing reduced blood supply to the fetus (ischemia) and reduced oxygen supply to the fetus (hypoxia). Consult a gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6492, + "tgt": "I have severe pain in right lower abdomen. Could it be appendicitis?", + "src": "Patient: Hello doctor, I suddenly started having severe pain all over my stomach yesterday. I took injections for pain, vomiting, and gas from the nearby clinic. But the pain did not stop, and it continued till the evening. Then I went to a hospital, where I was told it might be an appendix and to ensure that an ultrasound scan should be taken. But after a while, I felt completely normal and returned without doing any tests. I did request for a prescription, in case if the pain comes back. I did a urine test, and it is normal. Now there is only a dull pain at the right bottom side of my abdomen, and it hurts a bit when I touch there. Could it be an appendix, and should I rush for medical assistance? As I am having my exams, I have to wait for two weeks to approach the doctor. Doctor: Hello. I can understand your unavoidable necessity to delay the treatment. 1) Based on the description of your stomach pain, it might be due to an appendicitis. 2) Another possibility for similar pain is kidney stones, but this was excluded from the normal urine report. 3) You must do the USG (ultrasound) abdomen and also continue treatment for pain and inflammation. 4) If the USG abdomen shows appendicitis, then you must undergo surgery, as medical management of appendicitis might cause repeated episodes in the future. 5) Recovery after this operation is quick and probably you would be able to appear in the exam also. USG abdomen, CBC (complete blood count). Right ureteric calculi. Appendicitis. antibiotics, analgesics, laparoscopic surgery. Follow up with the general surgeon." + }, + { + "id": 3512, + "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": 6992, + "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": 24348, + "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": 18137, + "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": 12633, + "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": 10934, + "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": 27414, + "tgt": "Why are my lips dry and black at the edges?", + "src": "Patient: Hi doctor, My lips are dry and black at the edges. Please help. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7391, + "tgt": "I have a hard lump on my palate. What could that be?", + "src": "Patient: Hello doctor, I have had this lump on my hard palate for about three months now. It is located near the middle line and a few millimeters to the left. It is about 2 x 2 mm in size, pretty round and it does not hurt. I thought this might be torus palatinus. But, I heard that this torus is mostly symmetrical and my lump is only on one side of the palate. In the picture, it looks a little red because I scratched it with my finger nail. It was just a little bit more red than the other side of my palate as I scratched it. So, what could this be? I am scared that it might be some kind of cancer. Doctor: Hi. Torus palatinus. If torus palatinus, then it is completely harmless and require no further investigations. Revert back with the answers to the above questions to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13651, + "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": 14842, + "tgt": "I had a surgery three months ago. Now taking Novelon. Shall I try for baby now?", + "src": "Patient: Dear doctor, My age is 29 years. I had a surgery three months ago, open myomectomy (posterior wall 4x4 cm subserosal 8x7 cm) with right endometriotic cyst (4x4 cm). Now taking Novelon. Shall I try for a baby now? Doctor: Hi. As it is close to three months from the time you had surgery, you can start trying for a pregnancy now. Please take Folic acid 5 mg daily. Also, please meet the doctor who did the surgery for you to check whether healing is complete. Consult an obstetrician and gynaecologist online for queries regarding conception --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29080, + "tgt": "My wife gave birth to a dead baby. Is that because we both are cousins?", + "src": "Patient: Hi doctor, I am married to my cousin, blood relatives. My blood group is B positive, and my wife is A positive.\u00a0She gave birth to a dead baby, and it was the first pregnancy. I am deeply concerned if this because of our relationship. Please guide me. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22944, + "tgt": "Will scar revision work give me a virtually invisible scar?", + "src": "Patient: Hi doctor,I have been bitten by a dog three months ago. I have multiple scars but the worst one is above the upper lip. Unfortunately, I went to a dermatologist recommended by family and he insisted to apply Yag Laser at 55 days post-bite. I asked if it was not too soon but he said it was harmless and would only be targeting the vessels that were giving the scar the red color. I trusted and it hurt a lot. Immediately after it was horrible looking but the doctor said it was normal and not to worry. The next day I had blisters that resolved two weeks later. One month and a half later my scar that was a red line is now horrible and has local indentations. Seems that I have lost tissue on the blisters site. 15 days ago the dermatologist said it would resolve and I would not be worst than before the laser. Now I returned to his office and he tells me that it may pass but it will take two years. I am devastated and so depressed. It has been psychological hell.Can the sunken areas really fill with time and become a line scar again? I am more than a month and a half now. I have red people burned by YAG laser and never recovered. I have been applying Cica Care (silicone sheet) but I do not see any improvement. The doctor wants me to apply Hydroquinone but I stopped to trust him really. Also in a few months, if the skin does not return to normal level, will scar revision work on this site to give me a virtually invisible scar? I am so scared because the burn area with the scar is now wide. Can the revision be made without lengthening the scar? Do I have hope? What techniques of revision should be approached? Would it require multiple stages? Please help me. Doctor: Hello. First of all, sorry for the unfortunate events you are going through. I have seen your pictures (attachment removed to protect patient identity). The first scar was definitely a small linear one which could have been corrected by few non-interventional methods than the lasers as you said it was just 55 days old. However, the YAG laser is known for its potential to decrease the increased vascularity in such scars and help improve the outcome. So I do not think your dermatologist is wrong in suggesting you this. The post-laser picture shows that it second-degree burns, which is a common side effect of YAG, which had to be explained to you by your dermatologist beforehand, and you could have taken a better decision. Right now the scar is having two main problems, that is the depression and the pigmentation which is making it look worse. My suggestion would be to ask for micro-needling with PRP (platelet-rich plasma) or fat nano grafting underneath the scar will give you the elevation in the scar. And as suggested, the Hydroquinone with an Isotretinoin based cream will help in depigmenting it. Both these methods has to done in a proper protocol. Do discuss these things with your dermatologist, or a new skin specialist and let him or her come to the best decision after personal examination of the scar. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 2611, + "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": 22984, + "tgt": "I used water from used bottle for neti pot. Am I in any type of danger?", + "src": "Patient: Hello doctor,I have a bad sinus problem. So, I use a neti pot. Yesterday, my boyfriend was drinking out of a water bottle and I used it for my neti pot because I ran out of the water, unopened bottles. Am I in any type of danger? Doctor: Hello. Not to worry much, although there is a risk of upper respiratory tract infection with such water usage. But, the body usually takes care of it, and even if you develop an infection, then it is manageable. So do not worry about it. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1575, + "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": 10304, + "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": 8536, + "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": 24156, + "tgt": "After food, I get a gagging cough and reflux. Please suggest", + "src": "Patient: Hello doctor,Sometimes, after I eat, I get this cough that causes me to gag and sometimes I will regurgitate a little food. I also sometimes have this tickle in my throat. I am also constantly clearing my throat because of the drainage from the sinus down the back of my throat. The phlegm is usually clear and thick. Doctor: Hi. From the complaints, it seems to be some nasal pathology causing a post nasal drip and repeated throat clearing. Please send me the picture of your throat and get an X-ray of the paranasal sinuses and send me the picture. Also, tell me what medicines you have been taking so far so that I can suggest you accordingly. Take care. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24377, + "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": 26204, + "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": 25205, + "tgt": "Why have my blemishes not improved even after extended use of Roaccutane?", + "src": "Patient: Hello doctor, I am in my seventh month of taking Roaccutane. My weight is 57 kg and I am taking 40 mg daily. I am still getting acne and blemishes. I have one large blemish that is getting small in some days. I find it getting bigger once I wake up in the morning. I always tell my doctor about this blemish. She is saying it is going to take time to clear. Now she wants to stop the course for two months and start again later as all my blood tests results are good. What do you suggest? What is the solution? I have attached photographs. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). It is looking like acne cyst for me. The probable diagnosis is acne grade 4 with scars Is the blemish raised and painful? Can you feel that with your finger or is it just flat red blemish? If it is raised, as I am seeing in that picture, then you will need an intralesional injection of Triamcinolone into to affected area. This will help to clear it faster compared to Roaccutane (Isotretinoin). If it is flat red and blemishes then I would suggest you use Brimonidine gel to the affected area twice a day for one week and massage a little. This clears up the redness. I feel seven months of Isotretinoin is quite long treatment duration, but the treatment regimen varies from country to country. I usually see good results with three months of Roaccutane (Isotretinoin) 20 mg. It also depends on skin type and body response. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. I suggest you also take an intralesional injection of triamcinolone. I am sorry I really cannot comment on Isotretinoin therapy from your dermatologist. But you can discuss with your dermatologist regarding the intralesional injection of triamcinolone. Please attach the clinical picture with good visibility of skin lesion. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7430, + "tgt": "Should I consult a specialist regarding my gallbladder issues?", + "src": "Patient: Hello doctor, I had got an abdomen ultrasound done for other\u00a0reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post void residual 71 cc. Please explain. Doctor: Hello. How old are you? Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13704, + "tgt": "Is it normal to have frequent urge to urinate with burning sensation in cervix after sex?", + "src": "Patient: Hello doctor, I and my fiancee had sex with condoms on the third of this month. When we ran out of condoms, I inserted my clean penis into her vagina for hardly 5 to 10 seconds. But as soon as I felt I am going to ejaculate, I withdraw it and I ejaculated on her stomach immediately after taking my penis out. She took Plan B pill after 16 hours just to be sure. We had sex again the next day but it was all with condoms. She noticed white vaginal discharge along with foul smell and pain inside the vagina near the cervical area and burning sensation in the vagina on 5th evening. She is having an urge to pee frequently but little is coming out and it hurts while peeing. What could be the cause? Please help. Doctor: Hi. I think she is having a urinary infection plus a vaginal infection. We might need to change antibiotic after culture report. Urine routine and culture. UTI with vaginitis. Plenty of fluids. Start tablet Niftran 100 mg bd for three days till awaiting culture report, support analyzer 2 teaspoons in one cup of water 2 to 3 times a day, tablet Clingen Forte vaginal pessary one tablet to be inserted in the vagina at night for seven days, tablet for Forcan 150 mg just one tablet two hours after meal. Pass urine before and after intercourse." + }, + { + "id": 18144, + "tgt": "Can we identify dengue fever without lab tests?", + "src": "Patient: Hi, My son is a 5 year old boy. He had high fever two days back and the temperature touched 104.9. We have been giving Meftal and Paracetamol for the last two days with water bath to bring the fever down. We have also been giving Zifi 100 twice a day as prescribed by our physician. This has helped to keep the fever down over the last 18 hours. But four hours back, our paediatrician said that this is dengue. But there is nothing to be alarmed about and asked us to continue the same treatment.\u00a0But this made us jittery. Our question is, How do we know that the treatment is going in a right path as we\u00a0are not tracking anything apart from temperature? I have read that the platelet count should get checked during dengue. Should we need to do any blood test for that? I am much worried about pricking a small child for blood test and what else should we do for tracking? Doctor: Hi. Dengue needs a confirmation of laboratory diagnosis. Unless you do a laboratory test you cannot label any disease as dengue. Dengue is a form of viral illness which is frequently associated with thrombocytopenia. If at all it is dengue following danger signs need to be monitored, Use of Meftal P (Mefenamic acid and Paracetamol) is not recommended for fever in pediatric age group. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27264, + "tgt": "What is microcytic normochromic anemia?", + "src": "Patient: Hi doctor, I had a full blood count done and the report mentioned that there were microcytic normochromic cells noted. What does the report mean? Am I anemic or vitamin deficient? What do I do to get better? What are the concerning signs from this report? I do usually feel fatigued and lazy. How can I\u00a0improve? Doctor: Hello. Microcytic RBC (red blood cell) means that the size of the RBC is decreased. Hope this helps you.\u00a0Take care. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 1065, + "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": 90, + "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": 13245, + "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": 831, + "tgt": "Got pregnant while on copper-T. Shall I continue the pregnancy?", + "src": "Patient: Hi doctor, I got pregnant with an IUD (copper-T). It was confirmed after blood test and the copper-T was removed. My last menstruation was 40 days before. Shall I continue the pregnancy? How will be the growth of the baby? Do I need any precaution? This is my second pregnancy. I delivered my first child before six years through C-section and he is healthy. Please advice. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24864, + "tgt": "My kid has itching in her anus and difficulty passing stools. Can I apply Sucral Ano cream?", + "src": "Patient: Hello doctor,I noticed my daughter of 4 years and 5 months is itching in her ano. She told it was getting hard when she wanted to pass stools. I noticed a mild inflammation in her ano and a mild crack. Please suggest a cream or medicine for her. I have Sucral Ano Cream. Can I apply? Please help us. Doctor: Hello. I can understand your concerns. I have seen the picture that you have attached (attachment removed to protect patient identity). There appears to be a cut over perianal region due to hard stools. In my opinion, I suggest the child should be given: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Give more water to the child so that constipation and hard stools do not occur. For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8788, + "tgt": "Kindly check my colonoscopy and USG abdomen report and tell if I need piles operation", + "src": "Patient: Hello doctor, I am sending a colonoscopy and USG abdomen report. After studying, kindly give your opinion whether piles operation is required, give the interpretation of findings of colonoscopy and USG report in simple language which disease I am suffering from the report. Doctor: Hi. No piles operation is required. USG abdomen shows nothing serious (attachment removed to protect patient identity). There is mild fat in the liver, mild increase in the size of prostate and spleen. Small gallbladder polyp that needs follow up USG for an increase in size. Colonoscopy is suggestive of some infection. Tuberculosis but biopsy does not suggest about it. Further plan CECT abdomen to make the diagnosis." + }, + { + "id": 24202, + "tgt": "Do I really need cystoscopy with dilation for 20 % urethral stricture?", + "src": "Patient: Hello doctor, I was diagnosed with an anterior bulbar urethral stricture that is 20 % closed. I had two episodes of prostatitis, post-void dribbling and frequent urination with occasional mild burning and some mild spraying at the end of my stream. The urologist is recommending a repeat cystoscopy with dilation, but my urinary symptoms are fairly mild. I was on antibiotics previously. Urine analysis was bland with no infection. So, I am wondering if this dilation is even necessary or just to leave it alone? Doctor: Hello. When were you diagnosed with stricture? Where were you treated at that time and what treatment was given? Yes, I also feel that you should repeat cystoscopy and get it dilated as it invariably recurs. So, better to undergo cystoscopy and get it dilated as without that it may recur with more narrowing. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28780, + "tgt": "Please check my mother's annual health report", + "src": "Patient: Hi doctor, My mother had her annual health checkup. She is currently taking regular medicines for cholesterol and TSH. Please find the attached annual test reports and advise if everything is fine. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11990, + "tgt": "I got a wisdom tooth extracted five days back, why is it still bleeding?", + "src": "Patient: Hi doctor, I had a wisdom tooth removed five days back. It was bleeding heavily until two days ago, but now the bleeding has mostly gone. But, it bleeds when I brush my teeth. Is there anything to do other than to put padded pressure on the void of the tooth? Doctor: Hi. I read your query and can understand your concern. Hope it helps. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14523, + "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": 6709, + "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": 18815, + "tgt": "What is the use of Loponin injection?", + "src": "Patient: Hi doctor, I had PCOS. We have been trying to conceive for the past two years. I have had one biochemical pregnancy before 10 months and one missed miscarriage before six months. After this we tried on our own for the next four months, but no success. We again went to see the doctor and she asked us to try naturally. We have been trying naturally, since then. She gave us the following medicines: Duphaston twice daily, All 9D (vitamin B), Fertiplus (Myoinositol and vitamin D) and Ecosprin 75 mg once daily. She also gave me an injection Fertigyn on day 10 of my cycle. My question is why has not she prescribed me Estradiol valerate? I hope it will support pregnancy? Can I take it with the above medicines? Along with all medicines prescribed by her, I also take Vitex 200 mg daily as my friend suggested me to take it. Please help me as I do not want to let this chance go. Today is day 13 of my cycle. Is there anything else you would want to suggest? Because next month she has asked us to go for IUI. My husband's report is absolutely fine and even I have overcome the PCOS problems and ovulate properly. Doctor: Hi. PCOS - polycystic ovarian syndrome women are inherently at higher risk of abortion (due to reasons at molecular levels). The risk can be reduced by healthy lifestyle, proper weight and regular exercise and not by medicines. Please remember, more medicines do not equate to increased chance of achieving or continuing pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5104, + "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": 24720, + "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": 24762, + "tgt": "I am struggling with fatigue for the last two months. How can I be treated?", + "src": "Patient: Hello doctor, I am a 38-year-old male. I have been struggling with fatigue for two months. I have never been like this before. I am a very active person. But, of late, there has been a lot of stress. I had started some multivitamins.\u00a0After ruling out lots of possibilities, the doctor suggested it could possibly be adrenal fatigue. The symptoms seemed to fit the diagnosis. I did a few tests and got the results today.\u00a0Saliva cortisol:\u00a08 a.m. 0.97 (normal being between 0.61 and 1.31), 12 p.m. 0.50 (normal being between\u00a00.26 and 0.75),\u00a04 p.m. 0.16 (normal being between\u00a00.13 and 0.51),\u00a08 p.m. 0.14 (normal being between 0.08 to 0.40),\u00a0DHEA 916 l (normal being between\u00a0436 and 1014), and\u00a0TSH 3.69 (normal being between 0.60 and 2.49), mildly elevated.\u00a0Please let me know your thoughts. Doctor: Hello. I understand your concern. I can assist you in this regard. But, before coming to any diagnosis, I would like to know the following. Let me know the details as early as possible. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 21016, + "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": 1786, + "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": 12452, + "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": 30267, + "tgt": "After abortion, my wife is bleeding from anus. How to manage?", + "src": "Patient: Hi doctor, My wife was admitted to hospital due to incomplete abortion and dengue fever NS1 reactive. She had 6 weeks pregnancy. Doctor has done surgical abortion and it was found dengue fever after blood test. She was admitted for three days. Her initial platelet count was 150000 and later 180000, 210000 and 216000 (yesterday). Dengue fever lasted for seven days and no fever present today. But, she has sharp abdominal pain and dark brown colored bleeding. Her anus also bleeding due to constipation and it seems like fissure. She is currently taking tablet Traxol-O 200, tablet Caripaya, tablet Methergine, tablet Panorita 40, tablet Parasafe 650 and syrup Shelovic. I am very worried under this situation. 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": 26090, + "tgt": "My 10 month old son has a fever one and a half hours after giving Meftal-P. Please help", + "src": "Patient: Hello doctor,My 10 month old son had a fever of 101.3 one and a half hours after giving him 5 ml of Meftal P. Doctor: Hello. I hope you understood the above. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 23361, + "tgt": "My WBC count is slightly low. Should I be worried about cancer?", + "src": "Patient: Hello doctor, I am a 41-year-old, healthy female, average height and weight. I recently had a CBC which was concerning to me. The WBC count was slightly low at 3.78 (reference range starts at 4.16) and the ANC was 1.08 x 103/uL. All the rest of the CBC was entirely normal. No immature granulocytes, etc., and lymphocyte count normal (although obviously percentage was higher at 55 %). I recently completed a short course of Ciprofloxacin for a tooth issue (about 3 to 4 days prior to blood draw). Also had a mild stomach flu about two weeks ago. Only other medication is Wellbutrin. Should I be very concerned about cancer, etc? I have been feeling hotter at night recently, but I have also been under a tremendous amount of stress. I recently was laid off and I am having trouble finding a job. Doctor: Hi, Welcome to the icliniq.com. I have seen your attached report here (attachment removed to protect patient identity). It is not suggestive of any cancer. Your Hb (hemoglobin), HCT (hematocrit), RBC (red blood cells) and platelet count all within range. You had mentioned the history of flu which can lead a temporary decrease in WBC count may be by bone marrow suppression or relative decrease because of increased lymphocytes. Immature cells are not present so I do not think you have to worry about that. Repeat CBC (complete blood count) after few days. It will be normal if not then will investigate further. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12262, + "tgt": "Is it advisable to use Keto soap to recover my skin after stopping Melacare cream?", + "src": "Patient: Hello doctor,I use Melacare cream for the past four years. Now I want to stop using it. But when I try to stop, it produces irritation and turns my skin into very black. Can I use Keto soap to recover my skin? Doctor: Hello. 1. Your condition is known as topical steroid dependent face (TSDF). 2. Melacare has steroids and it is not advised to use it for more than six weeks and you are using it for the past four years. 3. Use the medicines I am prescribing. 4. No, Keto soap does not have any benefit in this condition. TSDF. 1. Tacvido Forte 0.1 cream once at night. 2. Metrogyl 2 % cream once in the morning. 3. Suncros lotion all over face before going in the sun. 4. Tablet Allegra 180 mg once at night. For one month." + }, + { + "id": 17276, + "tgt": "Why is my platelet count high and Hb percentage low?", + "src": "Patient: Hello doctor, My platelet count is higher 5,01,000 and my Hb is 9.2 gm %. I am very sick. What is the reason and is there any big problem in future? My age is 33 years and I am a female. Doctor: Hello. It does not appear to be a matter of worry. You may have symptoms like easy fatigue, shortness of breath and palpitations, due to low hemoglobin. Do you have any symptoms other than what I mentioned above? Do you have a fever, weight loss, etc? Likely cause for the changes in blood parameters is iron deficiency. You may get it confirmed by doing iron profile test. Alternatively, you get started yourself on iron supplements as in all probabilities it is iron deficiency only. So, you should be started on tablet Fericip XT (Iron and Folic acid) twice a day after breakfast and dinner. This has to be continued till hemoglobin is corrected. So get it started and repeat hemoglobin and platelets after four weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5649, + "tgt": "I have ankle sprain followed by swelling and tingling in toes. What could it be?", + "src": "Patient: Hello doctor, I sprang my ankle four days ago and went to the ER and they did an x-ray and of course, they could only tell me if there were any major fractures or breaks because of the swelling. Now the swelling has gone down a lot but just a little remain. Hardly there is any bruising, but it is still sore, and when I run the top of my foot (when I take the walking boot off to shower) my two middle toes tingle. I am supposed to go back in a week for a checkup. Could there be something else wrong with my ankle that would cause the tingling and still a little bit of swelling too? Doctor: Hello, Welcome to icliniq.com. Yes, you should go to the clinic and see an orthopedic surgeon because after the swelling and pain reduces they can evaluate you better to find a cause. That is if there is any major ligament injury or no, or if it has sprained. The tingling can be due to small nerves getting pinched due to the swelling. So do not worry about that it will reduce. What you need is to wear an ankle stirrup brace, which is light and it will protect your ankle in the healing phase so that the sprained ligaments heal faster. Also, if you have sprained your ankle so many times then you need to do is to strengthen the muscles of your leg, i.e. extensors and flexors of the leg so that it does not happen again. Once you strengthen these muscles it will protect your ankle joint. Also, use an elastocrepe bandage of six inches width from the toes to just below the knee to reduce the swelling. Follow up sos." + }, + { + "id": 18610, + "tgt": "Can you go through my dengue test results and explain them to me?", + "src": "Patient: Hi doctor, I have a\u00a0fever (100 to 103 F) from the last two days with chills and aches on the knees and hands. I went to a\u00a0general physician. She prescribed me Mefkind forte and said that if the fever stays for more than a day, I should go for CBC and dengue antigen. But, I have done my CBC and dengue along with the\u00a0others. I have a doubt with the report. I am sharing with you. Please go through my report. Doctor: Hello. Hope you recover fast and completely from this infection. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7835, + "tgt": "I am allergic to Flagyl. Is there any alternative?", + "src": "Patient: Hi doctor, I have a dental abscess from an impacted wisdom tooth. The abscess has occurred on three occasions before. The x-ray showed an impacted bottom wisdom tooth that is, partial bony horizontal impacted third molar. The pain is sharp and radiating towards the front teeth and some pain behind the ear. Currently, I am on a regimen of Augmentin 625 mg twice daily for five days and Ibuprofen 400 mg. My dentist recommended Flagyl, but I am allergic to it. I am getting nausea and hives throughout treatment. Is there an alternative for it? Doctor: Hi. Wisdom tooth. Pericoronitis. Extraction of the offending tooth after infection subside. Keep the wisdom tooth area clean. Do warm saline rinses as much you can. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11153, + "tgt": "How to confirm right lower abdominal pain as appendix pain?", + "src": "Patient: Hi doctor,My 8 year old daughter has had quite severe stomach pain since three days. It started in her naval and now in her lower abdomen on the right hand side. She has had on and off low grade temperature and nausea. She has pain in her legs and some pain in her back. Also she has lost her appetite. We have been to our GP who sent us to our local hospital and they discharged us after blood tests were normal. She did have white cells in urine, and told us to come back if she was in agony. She is still having pain and has temperature. My dad is a retired GP and thinks that the pain is where her appendix are. Should I go to another hospital to scan her to make sure? I do not want to leave this to get it worse. I would appreciate your advice. Thank you. Doctor: Hi. I can understand your concerns. Revert back with the report to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8001, + "tgt": "The change in the size of the mole is due to the hormonal changes that occur during pregnancy", + "src": "Patient: Hello doctor, I have raised mole on my right armpit. I have it in my entire life. Currently, I am pregnant I have six weeks left. I noticed less than a week ago after it started hurting. It not only completely changed the shape, but it grew twice in size and went from brown to a pinkish color with dark spots. As of today, the mole has turned entirely black. The swelling went away, but it is pure black. The skin underneath the mole is red, extending about half an inch on the surrounding area. Can I pull this mole off? Is it melanoma? Please help. Doctor: Hello. I have noted your history and concerns. What you currently are experiencing is activity in the form of an increase in size, and inflammation of a nevus or mole. The reason for this is pregnancy. As you must be aware, there are hormonal changes in pregnancy, especially near term that affects the skin in various ways, and this includes a difference in the appearance of any moles. Rest assured, the problem in all likelihood would recede once you deliver. However, there might be some element of infection playing in part in the swelling. To control that, one needs to apply Mupirocin ointment twice a day, and that helps most cases. I am sure you do not have to worry as the investigation to establish the nature of mole can be considered at a later date. Kindly do not try to pull off the lesion as that might be risky." + }, + { + "id": 1934, + "tgt": "I have skin problem in joints with vitamin D deficiency. Please help", + "src": "Patient: Hi doctor, I am a 35-year-old male. I have a problem in my skin, especially, on joints. I have had already consulted a dermatologist and she suggested consulting a rheumatologist based on the symptoms. Due to COVID-19, I could not consult but now it is spreading very fast. Could you please help? I also have vitamin D deficiency and taking D-rise and Lobate S ointment. Doctor: Hi. I have gone through your query and reports. (attachment removed to protect patient identity). Your vitamin D is significantly low for which you are already on the supplement. I want to ask you about skin problem and joint pains. Since the prescription was not fully loaded, I could not figure out the exact diagnosis of what the dermatologist has said. Did they mention about psoriasis? As psoriasis and joint pains can be related. If you could attach a picture of the skin lesion, it may be helpful. Is there any early morning stiffness in the joints? Any backpain or neck pain? Any one in the family with a history of skin problem? Do let me know these answers and picture of your skin lesion to guide you further." + }, + { + "id": 19978, + "tgt": "I always fantasize that my wife has an extramarital affair. How to overcome this?", + "src": "Patient: Hello doctor, I am suffering from a mental disease in which I always think that my wife will be in an extramarital affair and get back with her boyfriend. How can I overcome this situation? I masturbate when I think about it. In the past, I used to suffer from thoughts that all the girls cheat and use boys for their benefit. Doctor: Hello. I completely understand that you feel concerned about negative thoughts coming in your mind related to your wife and girls in general. There might be negative experiences related to opposite gender which might have a negative influence on your mind and you have developed such beliefs which cause interpersonal difficulties with your wife in current situations. The first thing you can do to change your beliefs is to go in depth to your past experiences that are affecting your present relationship. We relive past experiences and deal according to unhealthy copings we had developed in the past to deal with traumatic experiences in the present. This always has a negative influence on our present. You are suggested to base your perceptions according to your current life circumstances, avoid comparisons with past life because it will make your present and future worse. Secondly, as you experience negative thoughts such as 'my wife will be in an extramarital affair and get back with her boyfriend', you need to understand that these thoughts are just the product of your mind and might not be the reality. As you do not find proofs, your mind will be ready to change these thoughts. Just change them with positive/neutral thoughts such as \"she is with me and has no reason to be with anyone. She is married to me, as she is getting along with me, and she loves me\". This is just an example. You can suggest your own positive thoughts in your own wordings. Just practice these thoughts whenever the negative thoughts pop-up in your mind. Gradually your mind will start believing and you will develop healthy beliefs and thoughts which will positively influence your relationship with wife. I hope this is helpful for you. Do take follow-up if you feel the need. Best Regards. For more information consult a psychologist counselor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 18033, + "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": 10312, + "tgt": "Is my lower abdominal pain pointing towards Crohn's disease?", + "src": "Patient: Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then recently, last week I had more investigations and as per investigations, the doctor says that I have Crohn's disease. Is it really Crohn's or could be something else? Doctor: Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17611, + "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": 23070, + "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": 1574, + "tgt": "I notice lot of brown patches below my left armpit with stinky sweat. What could it be?", + "src": "Patient: Hello doctor, I am a 42-year-old male, non-smoker and non-alcoholic. For the last two months, I am noticing lots of brown patches below my armpits of the left hand and nothing much on the right hand. And off late I could sense I am sweating (armpits) which I never had before. Will you please consult on this issue? Doctor: Hi. What I can make out from your history is that you are having brown patches over the left armpit for two months. I want to know no other symptoms in this lesion like if they pain or burn? Are they increasing in size or same since their start? Any other family member having such lesions? Please send a clear photo. Send history as asked and photo." + }, + { + "id": 4738, + "tgt": "Other than autoimmune disease, what can cause chronic joint pain?", + "src": "Patient: Hello doctor, I have had many years of health problems including severe joint pain, inability to lose weight, chronic fatigue, transient pains, and abdominal pains that seem to come and go in cycles sometimes lasting for days or even months. I have a medical phobia, so have not been to the doctor unless it was an emergency. But over 20 years ago I ended up going to the ER and had several tests. I was told I had lupus, osteoarthritis, PCOS, and thyroid issues. I have tried to treat myself and pain naturally over the years with a healthy lifestyle and natural aids, but the pain finally became so bad over the last couple of years that I have gone to some appointments. I was referred to a rhuematologist that did blood work and said I was fine except low vitamin D. I told the new doctor about the early diagnosis and she said it was probably wrong but she would run blood test anyway. When the test results came back, she said I did not have an autoimmune problem and I was fine except that I had low Vitamin D. I have a copy of the test results that look like there are some problems to me and based on her reviews and my personal experience with my health, I would very much like a second opinion. I am taking Xanax when needed. Some tests are attached. I have also had an MRI that showed osteitis pubis, fatty liver, and mild bladder inflammation. Doctor: Hello. I have gone through your history and blood reports. (attachment removed to protect patient identity). I found a few abnormalities which I would like to ask a few more details on and also some more questions pertaining to your problem which would help us reach a conclusive diagnosis. Do you experience any dry eyes or dry mouth? When the pain comes, is it more in the nights or day? Do you experience fatigue in the morning hours as well? Any recent mood changes with irritability? Any history of forgetfulness? As for the blood test, major abnormalities I found were low vitamin D, positive ANA (but the titer is very low and further ENA is negative) which excludes an autoimmune cause. But your CRP (C-reactive protein) is a bit high at the last report. So there was an infection going on that time or any other symptom as your last CRP was mostly normal. As of now I do not think you have lupus. My diagnosis is going towards fibromyalgia but would like to confirm after knowing these further queries only." + }, + { + "id": 8306, + "tgt": "Can diabetes effect my HIV DUO test results?", + "src": "Patient: Hello doctor, Some 20 months ago, while\u00a0having tea outside the office, I felt a slight pinch in my hands. I thought it would have been a mosquito bite as it was itching. But, I also had a thought that someone might have inserted a needle. Recently, a month ago, I read in a leading newspaper that a husband tried to insert a\u00a0needle loaded with HIV blood to his wife. Then, I got a bit worried and was anxious. So, the next day, I\u00a0went and did a test. I have attached the test reports for your reference. I would like to mention that I have diabetes from past five years and I am currently\u00a0on\u00a0Istamet 50/1000 mg.\u00a0I have a few questions.\u00a0Kindly check the report and please let me know if everything is fine.\u00a0What\u00a0should be the duration of the\u00a0exposure to needles and the test?\u00a0As I am a diabetic and take a diabetes medicine, will this have an effect on the test results?\u00a0Is it conclusive that I am HIV negative, as after that episode I did not have any other\u00a0exposure?\u00a0Please advice. Doctor: Hello. I have gone through the report (attachment removed to protect patient identity). Regards. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 17860, + "tgt": "I am suffering from sexual disorder due to excess masturbation. What should I do?", + "src": "Patient: Hi doctor, I often read health articles and queries related to male sexual disorder on the internet which makes me depressed.\u00a0The reason behind reading such article is that I have done excess masturbation in the past and I think that I am suffering from a sexual disorder like leakage of precum after urination. We trust the doctor that he can treat our disorder, but I see most people mention in their post that doctor had no clue about their disease. It increases my stress.\u00a0I understand how people are frustrated with their sexual health like excess precum, overactive Cowper's gland, etc. I think I am one of them.\u00a0When I think about avoid reading the health article, I feel that I am doing something wrong because the\u00a0problem is not solved just by ignoring it. What should I do? Please help me. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16104, + "tgt": "What is the reason for itching between thighs and genital organ?", + "src": "Patient: Hello doctor, I have high itching between thighs and genital organ. Doctor: Hello. I have gone through your query and I have noted your concern. You seem to have a fungal infection, that is tinea cruris. I suggest oral Fluconazole 150 mg tablet, once a week for four weeks. Topically, you may use Luliconazole 1 % cream, twice daily. I also suggest you take a tablet of Cetirizine for symptomatic relief from itching." + }, + { + "id": 3195, + "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": 22768, + "tgt": "Can you explain how do I go about taking the abortion pills?", + "src": "Patient: Hello doctor, I am 6 weeks pregnant and I need to terminate the pregnancy. I have gone through an ultrasound to confirm that it is an intrauterine pregnancy. I need to know how I can terminate it through abortion pills and what other precautions I need to take. Also, are there any other antibiotics or pain killers I need to keep handy during the procedure? Doctor: Hello. You need to take an MTP kit a medical termination of pregnancy which will be sold only at the prescription of a registered medical practitioner and is no longer available as an OTC (over the counter) drug. It contains two medications namely Mifepristone and Misoprostol. Take one tablet of Mifepristone 200 mg on day 1 and 48 hours later, take the rest of the four tablets of Misoprostol. If there is excess bleeding with giddiness, you need to report to your gynecologist immediately. Please get your blood group checked earlier because if it is Rh negative type, you will have to take an anti-D injection to prevent your blood from getting sensitized. If your husband is also Rh negative, it is not needed. Please consult your gynecologist for the prescription and have a safe abortion. You can take tablet Meftal spas for pain. Go for a scan two weeks later to confirm abortion and revert with the scan reports. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11526, + "tgt": "Is it mandatory to stop MAO inhibitor before spine surgery?", + "src": "Patient: Hello doctor, I am 79 years old. I am having spinal surgery on L4 and L3 next month. I have been on 90 mg of Nardil,an MAOI, for the last 32 years. Is there any general anesthesia that can be used so that I do not have to come off this medication, or do I have to be off it two weeks before surgery? Doctor: Hello. The anesthetic drugs and their dose are carefully chosen after considering patients age, general health, condition of vital organs, previous history of diseases, concomitant medications, and duration of surgical procedure, etc. Hence, before any elective surgery, the anesthesia specialist will do a thorough examination and necessary investigations to fix the anesthetic drugs. Rarely in some case, it becomes very difficult to fix safe anesthetic drugs. Only in such cases, the anesthetist may deny the surgery. In your case, many good safe anesthetic drugs will not interact with your MAOI (monoamine oxidase inhibitor) drugs so that you can continue the current medication. If your anesthetist feels that those safe anesthetic drugs are not suitable for you (based on your body condition and duration of surgery), then he may use anesthetic drugs that may interact with MAOI. In such a case, alternative to MAOI will be started with the help of a psychiatrist. The anesthesiologist will coordinate all these. Hence, you do not worry about this part. With the current details given by you and without doing a personal examination, I am not in a position to discuss further drug details. But, I can assure you that your concern will be solved when an anesthetist examines you." + }, + { + "id": 25652, + "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": 234, + "tgt": "What are the ways to overcome the feeling of love?", + "src": "Patient: Hello doctor, I am in love with a girl who alredy got married four years back. She was in my relation, so, we have some common realtives and nowadays we are meeting frequenty and I am feeling the same thing about her in my heart which was there 4 years back. Doctor: Hi, Welocme to icliniq.com. First of all, we need to understand that this not something which is is unusual. We all come across with past experiences and associate with them on certain occasions. If those past experiences were pleasurable one that there is innate wish to re-experience them and same is applicable for you. It can be said that this is normal to have fantasy to love and loved by someone who was very close to you. However, we need to keep track of society and changes that took place over the last four years. Since she is married it will be completely wrong for her to get associated with you in any romantic relationship. Since you love her, there is a good chance you will not push her in trouble. In case you push her in some different way that too create problems for her as well as you. At this stage it is important to do following. 1. Minimise the interaction with her through common friends and relatives. If possible avoid meeting her completely. 2. Engage yourself with productive work. Do not allow your brain to wander here and there. 3. Get married or in relationship if still single. This is most important part as other romantic relationship will distract you to the core needs of life and will also allow you to understand her situation. 4. Acknowledge that this is common emotion and you will try your level best to overcome it. 5. Discuss with your best friends about the situation and moral dilemmas, if possible." + }, + { + "id": 6009, + "tgt": "I am suffering from extreme stress and depression due to relationship issues. How to deal with it?", + "src": "Patient: Hello doctor, I am suffering from extreme stress and depression. I had a relationship for six years which was extremely deep, and it broke all of a sudden, and it leads to extreme depression and suicide attempts. After two years, I got recovered and then I started another relationship in which I was very happy. But I was still afraid to love again. I was doubtful whether this guy too will cheat me or I may lose him. I was very happy with him, but now he is always fighting with me and makes reasons for the fight. This literally kills my mental health. I cry a lot and it literally breaks me. So I cannot even talk well to my parents. We are in a long-distance relationship and I love him very much and miss him a lot. As I cannot bear this distance, I cannot tolerate this sadness when he fights. Now I am worried whether he too will leave me. Besides this, another reason for my stress is unemployment. So how can I deal with this? Doctor: Hello. I can imagine how difficult it might be. You are having adjustment issues, trust issues on the surface. Secondly, there also might be cognitive distortions that are making you feel vulnerable and having frequent fights. There also might be self-esteem issues that are making you continue the relationships which you are not comfortable in. I would suggest you start counseling therapy session. It is important that you spend some time understanding yourself. To be a part of a happy relationship, first, you have to be happy with yourself. I hope this helps." + }, + { + "id": 15482, + "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": 19480, + "tgt": "I have gap in front teeth. Is frenectomy enough or are braces necessary to close it?", + "src": "Patient: Hello doctor, I am scheduled to receive a frenectomy to close the gap in my two front teeth, but I have done some research and it has all told me I need to get braces following the procedure but my dentist told me it was not necessary although my gap is quite large. I was wondering if you could help me understand the process more. Thank you. Doctor: Hello. The frenectomy procedure as such does not close the gap. It involves the removal of fibrous tissue that is present. Then, closure of the gap can be achieved. The minimal movement to close the gap is with the help of removable appliances like retainers. More movement to close the gap, if required, can only be achieved with braces. Clinical pictures and radiographic evidence will be necessary to predict the treatment plan and the outcome. Just discuss all your doubts with your dentist and take a good decision. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17901, + "tgt": "What can be the reason for cramps during pregnancy?", + "src": "Patient: Hi doctor, I received a couple of faint positive pregnancy tests two weeks ago. Then, I went to my primary physician for another urine test, which came out as negative. Later, I felt some cramping on and off all day on my left side. The cramps were similar to premenstrual cramps along with sore nipples, increased saliva, and sense of taste, absent-mindedness, forgetfulness, very noticeable fatigue, occasional backache and headache, indigestion, burps and frequent urination. I was anxious and read about ectopic pregnancies and decided to test that night. It was a darker line than the previous tests and the result was pretty fast. When I tested the next morning, it was even darker and the result came very quickly. Then, two digital tests a couple of days after being positive. What can be the reason for my pain? Can it occur from a corpus luteum cyst and pregnancy? Is it safe to say that I am pregnant because of the tests becoming darker? Or were they possibly all false positives? I feel like the cramps are a bit more spaced out and less frequent now. Also, there has been no bleeding. I have my first OB/GYN appointment scheduled 15 days from now, but I am hoping for a little insight. I am currently on Vitex capsules 400 mg, GNC prenatal vitamins and Fish oil pills. Thank you. Doctor: Hello. Serum beta hCG and USG early pregnancy to rule out ectopic and confirm cardiac activity. 1. Intrauterine pregnancy. 2. Ectopic pregnancy. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7837, + "tgt": "Will smoking after 24 hours of extraction lead to a dry socket?", + "src": "Patient: Hello doctor, I had my lower back tooth pulled out three days back. It took a lot of effort to pull it out, as it was not loose. I have a little pain in that area and in my jaw, and I am terrified that I have or I am getting a dry socket. I am a smoker, and I waited for 24 hours before I smoked after the extraction. I also slightly rinsed my mouth with salt water after I smoked. I have been taking 600 mg of Ibuprofen, which I bought after a neck injury, and it seems to help with this pain also. Would I know if I have dry socket? Would the pain be unbearable? Doctor: Hello. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9242, + "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": 6597, + "tgt": "Can vitamin deficiency cause muscle twitching?", + "src": "Patient: Hi doctor, For about 10 days, I have muscle twitching in my calf, thighs and also in my eyes. I am worried about it. I got my blood test done. It showed that I have a severe vitamin B12 and vitamin D deficiency. My vitamin B12 was around 50 ng/L. Can these deficiencies be the cause for having muscle twitching? Is it something more severe as ALS? I am suffering from stress. Please help. Doctor: Hi. The duration is too short for any serious ailment. It is generally related to stress, coffee intake, and vitamin B12 deficiency. There is nothing to worry. It will go off." + }, + { + "id": 4820, + "tgt": "Why do I get sensitivity after tooth filling fell out?", + "src": "Patient: Hello doctor, I take Sompraz D20 on an empty stomach every day. I also take Libotryp at night for stomach TB for the last one year. I have pain in my lower teeth while eating anything. One year ago a small cavity was also detected for which I underwent airbrushing and filling. I suspect that the filling came out from my lower teeth yesterday. I have this tooth sensitivity for the last 15 days. It pains a lot when I eat otherwise it is fine. I also take Duonase nasal spray two times. Also for dry eyes, I take I-Dew DS eye drops. My recent vitamin D is 25.48 ng/ml. Suggest me any gel or cream to cure this cavity. Also, I am highly sensitive and allergic to smell. So please prescribe me gel or cream accordingly. Doctor: Hi, Welcome to icliniq.com. See, the first thing that I need to know is that, is whether the pain is present in a single tooth or multiple teeth? As you mentioned in your question that the filling has come out, so please make it clear that is the tooth that has lost filling is painful alone or more teeth also? Also, please click the picture of your teeth that are painful and upload. Please revert back with the answer." + }, + { + "id": 21379, + "tgt": "Is my creatinine level 1. 06 mg/dL normal?", + "src": "Patient: Hi doctor, I am a 29-year-old male. I did a kidney function test today. My creatinine level is 1.06 mg/dL. Is it normal? I gave the blood sample in the morning after I had breakfast. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). On considering your weight, it is normal. Do a urine routine and a urine protein creatinine ratio. Do you have any symptoms? Why are you checking your creatinine level? For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 11309, + "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": 10073, + "tgt": "How to diagnose celiac disease from deamidated gliadin IgG level?", + "src": "Patient: Hi doctor, My friend had his deamidated gliadin IgG antibody test done recently. The test result is 152. Does it mean that the person is having celiac disease? Doctor: Hi. Deamidated gliadin IgG antibody level of more than 30 is diagnostic of celiac disease. Since the number mentioned by you is 152, it indicates that the person is having celiac disease." + }, + { + "id": 21610, + "tgt": "Should I take Udiliv for grade one fatty liver as advised by my doctor?", + "src": "Patient: Hello doctor, My homocysteine level is 54, BP 80/135, LDL 144, HDL 46, GGT 55, SGOT 37, average three months blood sugar 105 and other findings normal, ECG normal. USG finding normal except grade one fatty liver. So, the doctor has given Udiliv 300 two times daily and cholesterol medicine 10 mg daily. Should I take it? I walk for an hour daily. Doctor: Hello. Your homocysteine is elevated. So is your MCV which suggests the possibility of vitamin B12 and folic acid deficiency. So, you need to get these tested and treating the deficient one will cure your homocysteine levels and risk of heart disease. Next, you may try having a healthy lifestyle as well. So, you need to have low salt, fatty, and oily diet, and regular exercises at least 30 minutes a day and need to repeat lipid profile after eight weeks to see the response. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15250, + "tgt": "I have pain and sensitivity in my tooth due to cavity. Is it normal?", + "src": "Patient: Hi doctor, I am 14 years old. I have pain in my canine tooth due to a cavity. I have a sensitivity problem when I brush my teeth and when I eat ice cream. Is it normal? Doctor: Hi. If you have not filled the tooth and if there is sensitivity in the tooth, then it will not have a long term. It takes a month to have a formation of secondary dentine. So for one month, you must not eat too hot or too cold foods. Please mention about the treatment taken for the tooth. If you have filled the tooth, then there is no need to worry. It subsides with time. Kindly fill your teeth soon. If it is not filled, then you can have continuous pain in the tooth. You can also try using a desensitizing toothpaste." + }, + { + "id": 13, + "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": 28622, + "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": 1009, + "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": 4725, + "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": 17732, + "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": 26702, + "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": 16088, + "tgt": "I am having itching and white discharge from eye. Please help", + "src": "Patient: Hello doctor, I have an eye problem, eye itching, irritating eye, white thread discharge, and facing these problems for the past one year. Doctor: Hi. As per your symptoms, I could understand that you are suffering from allergic conjunctivitis. It is a common problem in people with allergies of nose and lungs. I would prescribe Olopatadine eye drops, one drop four times a day. Artificial eye drops one drop four times a day for two weeks to my patients. If the symptoms do not resolve, I would prescribe Loteprednol eye drops under close monitoring of intraocular pressure. I advise frequent follow-ups if Loteprednol is prescribed because it has some side effects. Also, consultation with ENT specialist is recommended to rule out allergies of nose and sinuses." + }, + { + "id": 376, + "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": 28260, + "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": 26592, + "tgt": "I have a curvature in my penis. Should I be worried?", + "src": "Patient: Hello doctor, I have a curvature towards left in my penis. As far as I can remember, I have it from the beginning. I just want to know if this curvature is normal. Since six months, I have mild pain in the head of the\u00a0penis. The pain is not constant.\u00a0It pains now and goes away in some time and then for 10 to 15 days it does not pain and then again I feel the pain. Doctor: Hello. I\u00a0have seen the images sent by you (attachment removed to protect patient identity). Thanks. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 18855, + "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": 21236, + "tgt": "I took I-pill after unprotected sex a month ago. Why are my periods delayed?", + "src": "Patient: Hello doctor, I am late by 10 days for my periods and the pregnancy test is showing a blue line on T-part. I took an emergency contraceptive after an unprotected sex one month ago. Please help me. Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. Also, you say that you have a negative pregnancy test. So relax and do not worry. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 30242, + "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": 16309, + "tgt": "Kindly advise treatment for constipation", + "src": "Patient: Hello doctor, I am suffering from constipation. I cannot get fresh at one time. It may take around 2 or 3 times. Doctor: Hello. Please follow like this. Increase your fiber intake. Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. Slowly begin to eat more fresh fruits and vegetables each day. Choose whole-grain bread and cereals. Do exercise most days of the week. Physical activity increases muscle activity in your intestines. Try to fit in exercise most days of the week. Do not ignore the urge to have a bowel movement. Take your time in the bathroom, allowing yourself enough time to have a bowel movement without distractions and without feeling rushed. Do take one laxative at bedtime (Cremaffin Plus) 15 ml with one cup of milk and drink plenty of fluids (greater than 3 liters per day)." + }, + { + "id": 15730, + "tgt": "I have lower abdominal discomfort and food digestion issues. Please help", + "src": "Patient: Hello doctor,I think I suffer from liver and a gastric problem for the past two years. Food is not digested properly. Lower abdomen left side some burning sensation, swelling, and pain were there. Sometimes, I feel the hardness in the lower left abdomen. Bilirubin total is high and bilirubin direct and indirect are also high. Doctor: Hello. Your liver tests are normal. The small increase in indirect billirubin alone (as the one you have) most commonly corresponds to Gilbert syndrome, which is totally harmless. This syndrome is hereditary but has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting (as the one you need for the laboratory tests), and infections. About your gastric problem, what do you mean by food is not digested properly? Do you mean you have rests of food in your stool? Do you mean you have bloating, nausea, vomiting? Chronic pain in the left abdomen especially after eating and with changes in your stool may be colitis or irritable bowel syndrome. For this, you may take over-the-counter medicines that contain Pinaverium bromide or/and Cinitapride. This should be taken every 12 hours for two weeks. This medication is to cease the swelling and irritation in this problem. About your thyroid tests. You have subclinical hypothyroidism (which is you have increased thyroid stimulating hormone and normal thyroid hormones). If you have other symptoms like intolerance to cold weather, increase in weight without another reason, constipation, then you may need thyroid replacing hormones. If you do not have these symptoms you may repeat this laboratory test in 4 to 6 months." + }, + { + "id": 23587, + "tgt": "MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?", + "src": "Patient: Hello doctor, I had an MRI of the thoracic spine and it showed an intramedullar mass at level T4. I was told it is likely to be a cyst and is not malignant. However, everything I have read online says that intramedullar lesions are almost always malignant and cysts are rare or maybe evidence of MS, which my uncle had, so now I am worried. The reports says it is a fusiform mass with hypersignal intensity at T2W1 and hyposignal intensity at T1W1. Doctor: Hello. Can you attach the MRI images and upload it so that I can see it? For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 16052, + "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": 13177, + "tgt": "Is it normal for a chiropractor to crack bones to give relief?", + "src": "Patient: Hello doctor, Most often, I have heard from doctors that there is a liquid between every joint which is similar to an oil or grease to gears in the vehicle. They say, when we crack our bone, an element of that liquid gives the cracking sound and if we do it often, then the liquid declines and we can have severe joint pain. Now the question is that chiropractic doctor most often cracks the bones which may relax for time being but would give severe pain after 50 years of age, is this fact? Doctor: Hello. Cracking of joints is not advisable as there is a release of nitrogen molecule which in later stages can give trouble to joints more. In chiropractic practice, there is just unlocking of the joint so that the sensory system which is located over the joint gets released of the pressure and pain comes down. Now to make it more principle way, when there is pressure on the joint this might be due to the weakness of the muscle. As the muscular system acts as a support system to maintain the gap between the joints so that the proprioceptive system of the joint do not get pressure and also joint friction is avoided. I would advise you that you focus on strengthening the muscular system so that the pressure on the joint can be relieved and also the joint proprioception do not get trouble. Please feel free to contact me if you have any questions. Reduced joint space. X-ray. Ligament injury. Knee injury. Exercise." + }, + { + "id": 30768, + "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": 18818, + "tgt": "My skin is lifeless after using Retinol cream for a year. Will it ever become normal?", + "src": "Patient: Hello doctor, I am a 26 year old\u00a0female. My skin is in a terrible condition, and I do not understand what is going on. I am extremely scared. When I was 24, I took Accutane to clear up cystic acne. This was my second round of Accutane. I had also taken it when I was 16, but the acne came back. This left my skin very dry. But, this is what I regret more than anything: I started using Retinol (OTC) and exfoliating my skin with microbeads because it was dry and flaky. Because I liked the effect of Retinol, I switched to Retin-A Micro (0.1 %) while exfoliating every single day. I did this for about a year. But, I started to become concerned I was using such powerful medicine on my face. So, I stopped using Retin-A and stopped exfoliating. It has now been three months since I stopped using Retin-A or any type of exfoliant. My skin has rapidly deteriorated since, becoming gray and my pores opening up. My skin is losing any glow and becoming dull and bone-dry. My skin is so sensitive to the sun that if I expose it to any sunlight, I get awful sunspots. So, I am bone-pale and look awful. My skin looks dehydrated, crepey, spotted yet pale, and is tough and dehydrated, porous and saggy. I could not regret what I did more. I do not look like I have real skin anymore. Please tell me, is there any possibility that my skin will return to normal if I leave it alone for a year or so? Will I ever be normal again? Will my skin ever be able to tolerate the sun again without sun-spotting like crazy? I used a broad-spectrum sunscreen every single day for the last three years or so. Doctor: Hello. You are right. You should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. It will take time for the skin to heal. Along with the broad-spectrum sunscreen which you are using, consider applying a moisturizer such as Epitheliale AH cream. It will help hydrate the skin. Also, it will not cause acne. Stop all other applications and scrubs. Use Cetaphil cleansing lotion to wash the face. There is a procedure called as Oxypeel where a jet of water is sprayed on the face followed by a mask. It helps hydrate the skin. You can consider visiting a dermatologist for the same. Clinical photographs would have helped to know the present situation better. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 17513, + "tgt": "How to get rid of piles and constipation through ayurveda?", + "src": "Patient: Hi doctor, I am a 55 year old male. I am 5'8\" tall and my weight is 69 kg. I am suffering from piles over three years but there is no bleeding. I constantly have some sensation in anus which troubles me while walking. I am noticing my right wrist and feet with swelling almost daily morning. My BP was high around 160-200 over three to four years but now it is normal. My blood sugar is normal. In urine test, sugar and albumin are absent, pus cells 1/2 hpf and epithelial cell occ. Serum glucose was 110 mg. Currently, I am using Pilorute cream and capsule Hamdoroid. But, it is not so beneficial. My doctor suggested surgery but I am not ready for it.\u00a0Please suggest a remedy. 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": 8130, + "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": 21310, + "tgt": "What is the cause for the infection and irritation of my penis foreskin when I urinate?", + "src": "Patient: Hi doctor, I have an infection on my penis. There is irritation on my penis foreskin which burns when I go urine and whenever I pull back the skin. The same condition happened before two years. I am not taking any medicine till now. It looks like balanitis. What is your suggestion? Doctor: Hi. Balanitis is a common one among uncircumcised men. Causes include skin disorders, infection, poor hygiene, uncontrolled diabetes and harsh soaps. Symptoms include pain, redness and a foul-smelling discharge from the foreskin. Treatment depends on the cause. But it may require antibiotics, steroid creams or antifungal creams. In extreme cases, the foreskin is needed to be removed (circumcision). I suggest you consult a skin specialist for treatment. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17041, + "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": 665, + "tgt": "How accurate is STD test done within 5-6 days after unprotected sex?", + "src": "Patient: Hello doctor, I had an STD test done five or six days after unprotected sex with a new partner. The tests came back negative, but I have learned that you should wait for different windows of time before getting tested for certain STDs. This was about seven months ago. Today, I went to my gynecologist to get tested again (for chlamydia and gonorrhea) to ease my mind. She said that the original tests were likely accurate given that just barely enough time had passed to be tested, but suggested to get another test for peace of mind. I did not think, until after my appointment, to ask if the Doxycycline I am currently taking for my acne (100 mg, twice daily) would alter the results? I am wondering if the results I get in a week's time will be accurate? And if you think the original test was likely accurate in the first place? Doctor: Hello. I have gone through your history and understood your concern. As the incubation period of organism are different in every infection usually first test should be done after 10-15 days of exposure as your is done little early. But as you are not having any other symptoms along with this we can rely on your test results. But Doxycycline may affect the test results." + }, + { + "id": 7303, + "tgt": "How can speech difficulty in 6 years old be treated?", + "src": "Patient: Hello doctor, My daughter is 6 years old having trouble in speech. While taking she cannot clearly pronounce word R and L. She always speaks L instead of R. Doctor: Hi. This means her neurological development is normal, memory and intelligence intact. This kind of giggling or word pronunciation is common up to 8 to 10 years, with age it will improve. Then no need to worry, just she needs speech therapy. I will tell you tomorrow what you have to do and whom you have to meet for speech therapy." + }, + { + "id": 18669, + "tgt": "Does high prolactin hamper conception?", + "src": "Patient: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37.34 of prolactin. I am experiencing breast pain. Which food should I avoid? What should I do to get this under control? Doctor: Hi. Revert back with the answer for the above question to an infertility specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 10801, + "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": 26053, + "tgt": "Is my husband normal, pre-diabetic or diabetic?", + "src": "Patient: Hello doctor,I am very concerned with my husbands latest lab report, mainly due to his doctor's reaction and strong family history. His morning fasting came back at a 105 and his A1c test came back at a 5.5. His doctor recommends a 5 % reduction in his A1c but from what I have read these numbers are still in the normal range. Is he in danger of developing diabetes? Is he already pre-diabetic or diabetic? Where do you think his A1c should be? Doctor: Hello. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7023, + "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": 28466, + "tgt": "Is alcohol bad for hypothyroidism?", + "src": "Patient: Hi doctor, I noticed that, after drinking alcohol, I feel exhausted and weak, after a week. I also have pain behind my eyes\u00a0and a constant headache. I am curious if it is related to the thyroid or something else. Does alcohol affect patients with hypothyroidism? Doctor: Hello. I just read your query. Hope my advice is of some help to you.\u00a0 For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 20620, + "tgt": "What are the reasons for nightfall?", + "src": "Patient: Hi doctor,I am a married 33 year old male. I have been suffering from weakness during sex. In the last months, I had nightfall for about two times. I want to know the reason and remedy as well. Doctor: Hi. Thank you for sharing your concern. There are a number of causes for your sexual and general weakness. First of all, you need to get your blood sugar levels checked because diabetes mellitus is one of the most important causes of weakness and impotence. Besides this, there are some other causes like endocrine issues such as Addison's disease, hypogonadism (testosterone deficiency), etc. You need to have an appointment with a good physician for thorough physical examination and extensive work up for evaluation. Diabetes mellitus. Blood sugar and serum ACTH (adrenocorticotropic hormone). Addison's disease Revert with the reports to a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23969, + "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": 662, + "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": 9924, + "tgt": "Had unprotected oral sex following a hard lip suck. Will it cause HIV?", + "src": "Patient: Hello doctor,I have engaged in protected sex with a woman whose HIV status is unknown. However, during the encounter, I involved in brief oral sex for one minute (the tongue touched only the clitoris, and there was no fluid exchange as it was dry and my lips or mouth never touched the vagina). Also, she sucked my lower lip very hard, which caused inflammation with an ooze of pre-blood fluid. Does this put me at risk of HIV? Doctor: Hello. I can understand your worries and always wish the best of your health. With the unknown status of the sex partner, it is always advised to be careful and observe all the precautionary measures to avoid STDs transmission. I can see you are taking Trioday (Tenofovir, Lamivudine, and Efavirenz) and that is useful in preventing HIV from multiplying in the human body. If she was HIV positive, it might pose a risk of transmission in a situation like this. To be on the safe side, HIV screening is a good idea. Hopefully, your prescribing physician must have done that screening too. Please keep future follow-ups also to tackle the situation better." + }, + { + "id": 19815, + "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": 1887, + "tgt": "Please give a second opinion on the diagnosis of OCD", + "src": "Patient: Hi doctor, My son is 20 years old. He is tired,\u00a0fatigued and unmotivated for two years. Since from the childhood he has been troublesome and different from his siblings, but he was friendly and loving at that time. He had the habit of bedwetting till the age of 7 to 8. It seems that he has ADHD as I go through the symptoms on the internet. But, a psychiatrist said that he has OCD. My son has been disinterested, sleepy, unmotivated, tired, moody, frequently emotional and angry. He quit the college and lost two jobs due to inefficiency. He loses interest very quickly and generally lacks enthusiasm. He would like to sleep and watch movies all day. He goes out to play some days and does not seem to have any close friends. We have been trying to get him to see a doctor for over a year. Finally, he came to us and said that he knew he has ADHD. He read some stuff online. I took him to a psychiatrist the same day and doctor saw him for privately for 10 minutes and said it as OCD. He prescribed Solotik 50 mg and Xanax. Also doctor prescribed vitamin D tablets. He is not a dwarf, but of shorter stature compared to me and his brother. Also for this, he had thyroid test when he was very young, but when he agitated about this we left him. Should he continue the same medicine? Please suggest me. Doctor: Hello. Please describe his symptoms in more detail to help in making diagnosis of OCD (obsessive compulsive disorder). In general, patients with ADD have high energy and they tend to be impulsive. For further informatoin consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6602, + "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": 4280, + "tgt": "What is the treatment for venereal warts?", + "src": "Patient: Hello doctor, I have developed venereal warts under my penis foreskin. They are not painful and are non-itchy as well. As it is a matter of concern that how I developed it, my doctor on seeing it directly asked to go for a laser surgery. Kindly look over the matter and seek necessary help. Doctor: Hi. Genital warts are usually acquired by sexual contact. If the lesions are small, you can apply Imiquimod ointment on them for few days and they will clear. If they are extensive, then you should undergo laser cauterization or cryocautery. If they are confined to prepuce, then you can get them removed by circumcision. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15924, + "tgt": "Can Vitcofol be given along with syrup Zincovit to 1-year-old baby?", + "src": "Patient: Hello doctor,Is there any problem if syrup Vitcofol is given along with syrup Zincovit to 1-year-old baby? Doctor: Hello. There is no harm in giving these both medications because both of them have a different mode of action but the important point to consider is that try to give one medicine at lunchtime and another one at dinner. Do not give them at the same time. These two medicines will effect this way properly when you give them with a time difference. One medicine is an iron supplement, and the other one is Vitamin B complex. For more information consult a paediatrician onilne --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22902, + "tgt": "Does masturbation cause acne each time?", + "src": "Patient: Hello doctor,Does masturbation cause acne each time? I masturbate and I get 2 to 3 pimples within two days. Is there any relation between masturbation and acne? Doctor: Hi. In my opinion, yes it can cause. As hormonal changes at the time of mastrubation can precipitate it. Other precipitation factors could be: Apply Clindamycin gel on your pimples. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18179, + "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": 24077, + "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": 28679, + "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": 15358, + "tgt": "I am not able to pass stool entirely. Please help", + "src": "Patient: Hello doctor, I am 32 years old, overweight (105 kg, height 5'7\"). For the past week or so, I feel like I am not able to pass stool entirely. I always feel pressure like I want to pass stool, but when I sit on the pot, I cannot. It is not like I cannot pass stool. Usually, I feel there could be more. Additionally, when I burp I feel a little uncomfortable in the stomach and there was a very very slight pain on the left side of the stomach. Not everytime that I burped, but sometimes. There is a lot of gas and I keep burping. I took Zantac and Unienzyme, as well as a liquid laxative Cremaffin. Also took Digene for 3 to 4 days. Things are better and now when I burp I do not feel pain, most of the times, maybe once or twice a day. Also, the constant pressure that I have felt has decreased. I have looked after each stool and I never noticed any blood or anything like that in the shit. I have also not lost any weight off late and if anything, perhaps have gained a kilo in the last 2 to 3 weeks. However, even though things have slowly improved, I am not fully normal. Additionally, I am one big hypochondriac and this digestive issue is now starting to drive me nuts. Please advice. Doctor: Hi. Worrying about your GI tract will create stress which increases your cortisol levels and create further problems with your sugars, sleep, bowel movements in the future, so try not to worry. I advise you do not take any over the counter laxatives, especially if your bowels are returning to normal. You can also create further problems by taking all those things. I want you to increase your water intake to 6 to 8 glasses a day and do some type of exercising at least 3 to 4 times a week. This is the best way to make your bowels regular. This is why after surgery, doctors make sure patients are passing gas and getting up and walking. Lack of physical activity, diet, lack of water intake. If not improved with lifestyle changes, H.pylori, TSH, CMP, CBC can be done. Constipation. Increase physical activity 3 to 4 times a week, increase water intake 6 to 8 glasses a day. Increase fiber intake, salads, green leafy vegetables, fruits. Avoid mint, caffeine, over the counter laxatives and stool softeners." + }, + { + "id": 23495, + "tgt": "Can homeopathy medicines still be continued when taking Siddha medicines?", + "src": "Patient: Hello doctor,I am a 39 year old married female and have two kids. One and a half years ago, I was diagnosed with bulky left ovary and shows an irregular cystic lesion of 34 by 25 mm with low-level internal echoes. The right ovary is normal in echo anatomy. I then started taking homeopathy and now the endovaginal report records the left ovary to have an endometriotic cyst of 28 by 22 mm. The right ovary is adherent to the uterus and shows a hypoechoic SOL of 21 by 15 mm endometrioma. A fibroid 5 mm seedling is seen on the posterior wall. Somebody recommended that the cyst can be cured by kalachi kai consumption. Please suggest the cure for cyst and fibroid. Doctor: Hello. You can take the following Siddha medications: Continue for three months. Then repeat the tests. You can also consume Kalarchikai churnam additionally. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10813, + "tgt": "My swelling that has occurred after tooth removal has not subsided. Is it due to dry socket?", + "src": "Patient: Hello doctor,I had my wisdom teeth removed before four days. Even after two days, my swelling has not gone down. I also have mild to moderate pain coming from the site of extraction, that also seems to affect my jaw. My jaw is stiff, and it hurts when I talk too much or move (look down, left, and right). I seem to have bad breath coming from my mouth, but I use salt water rinse every two hours which helps a little, but that odor is still there and seems to be stronger at night when I sleep. Have I formed a dry socket or an infection of some sort? If it helps, I also suffer from a preexisting condition regarding bleeding gums. Doctor: Hello. It is due to traumatic extraction and lack of proper precautions taken during tooth removal. It happens either due to wrong injection technique, lack of appropriate stabilization from the jaws, particularly lower jaw. Moreover, the probability of dry socket cannot be ruled. The bad odor is due to infection of the socket. Can you please send further information like a photograph of the tooth or socket or any radiograph? Do you feel numbness in lip or tongue? Are you able to open your mouth correctly? Your inputs will help to address it properly." + }, + { + "id": 8013, + "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": 6623, + "tgt": "My cuticles have developed blood specks. Is it scleroderma?", + "src": "Patient: Hi doctor,I am contacting you because I have Raynaud's, and the past few months my cuticles have developed blood specks. I know these symptoms point to scleroderma. It has me very worried. I need to visit a doctor for tests but I have to wait a few days and I would really like to get some clarification on a few things. I get the impression that once you show these signs of specks in cuticles it definitely indicates scleroderma or some other autoimmune issue. Is it possible that I am wrong? I stopped getting manicures and the cuticles started getting very overgrown. Is it possible the specks in my cuticles are just because of this? Or maybe because my hands are dry and I have many hangnails? Another question I have is if I do ultimately have limited scleroderma CREST, is it common for these CREST patients to develop full-blown diffuse scleroderma? I am very stressed out about this. I am 26 years old female. Currently, I am taking Adderall and Citalopram. Doctor: Hello. I went through your post. The diagnosis of scleroderma is based on clinical and some laboratory parameters neither raynauds nor the cuticle blood spots are specific for scleroderma. It is skin thickness that has maximum value and blood tests like anticentromere antibody and anti-Scl 70 which has significance the blood vessels involvement is microscopic and is seen only with NFC (near-field communication) not by the naked eye and only ulcers if present can be seen by naked eye. So do not panic get tested and examined before you give your self a diagnosis. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 12205, + "tgt": "Is it normal not to see the fetus but the gestational sac in early pregnancy?", + "src": "Patient: Hello doctor, Two weeks ago I had 10 positive home urine pregnancy tests. I consulted with my obstetrician and they sent me for two blood tests 48 hours apart. The blood test showed my hCG level more than doubled within 48 hours which the obstetrician said was great. Well because I have irregular periods I did not know the date of my last period, so my obstetrician scheduled me for a vaginal ultrasound today and the ultrasound showed a gestational sac but no fetus in it. My obstetrician asked me to get another blood drawn in which results came out good and normal. she has asked me to come and do another ultrasound in two weeks to see if they can see the baby. Is it normal to not see the fetus and just the gestational sac in early pregnancy? I have been so nervous and going nuts since my obstetrician did an ultrasound this morning. It is driving me insane. Please send me any information if you can. Thanks so much. Doctor: Hello. In early pregnancy, by six weeks of gestation, the gestational sac is often not seen and only decidual reaction can be appreciated in the uterus, but as the hCG levels are doubling, there is definitely a viable ongoing pregnancy either inside or outside uterus, so a repeat ultrasound after two weeks shall establish the location and presence of a sac, considering that it would grow to a recognizable size in next two weeks. My concern with you is that you have been on the Adderall tablet, which is a pregnancy category C drug and not to be used before or during pregnancy as it has been known to cause congenital defects in fetuses." + }, + { + "id": 30079, + "tgt": "Can I get my perineal incision correction done after a long gap?", + "src": "Patient: Hi doctor, 24 years ago, while giving birth, I had a perineal incision. Though one stitch tore after a few days, it was not repaired. For the last 10 years, I have been riding horses with no issues. But, slowly over time, my perineal tissue has continued to deteriorate. Until now, I have no perineal tissue between my vagina and anus. This is causing problems of irritation, soreness and swelling of the area. I am sure that I need this repaired. But, can this be done after such a long time? And, what would be involved? Would the recovery time be some months? Could I ride again? I am scared if I do not get it done there will be serious consequences later. Doctor: Hello. Yes, you are right. It has to be repaired. If you do not have a problem in defecation, then you can wait for some time. But, after repair, you have to take rest for at least three months and you cannot ride horses until then. Healing will complete by three months time and you have to wait for three months or more according to your age and other blood status. If the problem is increasing over time, then you have to get perineal repair done as early as possible. After repair also there is a minor chance of forming fistulous track. Depending on the anal sphincter involvement, the repair will be decided. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18741, + "tgt": "Can I get squint correction at the age of 26?", + "src": "Patient: Hi doctor,I have a squint in my right eye and it has moved outwards. I do not have a proper vision in my right. I cannot see clearly through my right eye; even I recognize thing pretty hard. I want to know whether it can be corrected, so that both my eyes work together. I am confused as I am now 26 years old. Is the correction going to be difficult at this age? I am looking up for a second opinion from you. Thank you. Doctor: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert with reports to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16203, + "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": 21789, + "tgt": "How to properly use Unwanted 21 days tablet?", + "src": "Patient: Hello doctor, I am a 30-year-old female and a mother of a six-month-old baby. My husband and I are having unprotected sex every alternate day and I am taking emergency pills on alternate days. I want some permanent solution. Can I take oral pills like Unwanted 21 pill every day after having unprotected sex? Today is the fifth day of my period and we had sex today. Can I take Unwanted 21 tablet from today onwards? Doctor: Hi. Oral contraceptives like unwanted 21 are to be started on the first day of your menstrual cycle also called D1. Then you need to take one tablet daily almost at the same time to get better results. As the pack contains 21 tablets, take it for 21 days. Then wait for seven days and then start a new package again. During this seven day break, you will get your periods. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25691, + "tgt": "Are my eye pressure values normal?", + "src": "Patient: Hello doctor, I went to see my optician and my left eye had an IOP of 22 and the right had 20. These seem to be the average numbers going back six years at two-year intervals. He dilated the eyes and inspected and took photos of the optic nerves. He said everything looked healthy and said to come back in two years. Is this a normal procedure? Of note, I also had the visual field test upon request two years ago which was good as well. Should I be seeing him sooner than two years or just sit and trust that everything is good? I sometimes take Lorazepam for anxiety. Please help. Doctor: Hello. The pressure readings you told me are within normal limits. Since the ophthalmologist you saw did a detailed fundus examination and told you everything was fine and also your fields are fine. So, I think you do not have anything to worry about. Also if nobody has any history of glaucoma in your family, it would be another point that you should not worry. Get your IOP (Intraocular Pressure) checked every six months or so and a yearly fields test. I think it would be enough to keep your anxiety away. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20617, + "tgt": "I am worried about the effects of radiation from a CT scan. Please help", + "src": "Patient: Hello doctor, I am a 26 year old female. I am worried after reading about the effects of radiation from a CT scan. I had two separate scans within a month. Both the scans were for the chest, abdomen, and pelvis. The doctors were looking for a potential lymphoma, but nothing conclusive was found. I am worried about the future cancer risk. Please help. Doctor: Hi. This kind of exposure to CT scan is not harmful, though you must avoid as much as possible. A continuous, long-term exposure daily may cause harmful radiation hazards and ill health. So, do not worry about the exposure. This very minimal exposure does not pose any future cancer risk. Consult a radiologist online to know about the risk levels of radiation exposure --> https://www.icliniq.com/search/online-doctors-directory/radiologist" + }, + { + "id": 25709, + "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": 25757, + "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": 18014, + "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": 7834, + "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": 547, + "tgt": "I am spitting phlegm with some red blood. What is your suggestion?", + "src": "Patient: Hi doctor, I am 24 years old. Recently, I got an endoscopy. The report shows that I have erosive gastropathy. I have been using medicines for one month. Now, for a few days, while spitting phlegm a small amount of light red blood comes out from my mouth. I also have some throat and chest pain. But, I do not have a cough. I have joined the night shift job and had sudden weight loss. Please give your suggestion. Doctor: Hi. Revert back with the details to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27405, + "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": 12939, + "tgt": "Can sinusitis, dry nose and shivering during winters be prevented?", + "src": "Patient: Hello doctor, I have a recurring ailment that I usually get once or twice per winter. It starts with extreme shivering and overheating, but no fever. Day two usually involves a very dry nose, very low energy, and heightened sensitivity to touch or light. Days 3 to 5 usually involve more traditional sinusitis symptoms of a headache and sore throat, in addition to the dry nose. Days 3 to 5 also cause an orange or white cobblestoning pattern in my throat due to my lymph nodes. I would like to know whether you think this is bacterial or viral, whether or not it is contagious, and whether or not it can be prevented. Doctor: Hi. Most of these attacks start as a viral infection and then become complicated by bacterial infection. These attacks are hard to be prevented completely but the use of seasonal influenza vaccines are helpful and can decrease the number of the attacks. Flu vaccines are taken before the winter season by 2 to 3 months." + }, + { + "id": 24467, + "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": 12769, + "tgt": "What can be done to treat pain in both upper and lower teeth?", + "src": "Patient: Hello doctor, I have pain in the tooth, both upper and lower and it is fluctuating for the last five days. Doctor: Hi. Your right upper last wisdom tooth is erupting in a bit of horizontal pattern and hitting the second last tooth and has caused infection in it (attachment removed to protect patient identity). You might need extraction of upper right wisdom and root canal treatment of upper second last tooth. Moreover, there is some gum disease also called periodontitis. It is causing bone loss in the anterior segment of your teeth and this could be healed up to some extent through scaling treatment. Get an appointment for it as soon as possible. Once treatment gets started, do one course of antibiotics as well, that will help along with treatment. Keep doing salt rinses and take painkiller three times a day at every eight hours for three days. Good luck with the treatment. Stay happy and blessed." + }, + { + "id": 8684, + "tgt": "Please advice me on my liver biopsy report", + "src": "Patient: Hello doctor, Kindly tell me what is going on in my liver with my biopsy report. Doctor: Hello, Welcome to the icliniq.com. I have read your biopsy histopathology report (attachment removed to protect patient identity) and following is my explanation of the report. The human liver consist of portal tract, central vein and hepatocytes. Your biopsy report shows mild portal tract inflammation and inflammation around portal tract as well called periportal inflammation. So you are having inflammation in your liver to mild degree. The inflammation in anywhere in body occurs due to reaction to some foreign body, virus, bacteria or immunological reaction.You are having a history of a liver transplant. So your inflammation might be due to the late-stage reaction as well. Your GGT high suggestive of cholestasis correlated in histopathology report as well. So you should discuss regarding inflammation and possible rejection to your gastro surgeon for further management. There is no presence of any cancer in the liver, so cancer is not present. I hope I have explained to you your report in an understandable way. Let me know if I can assist you further." + }, + { + "id": 29937, + "tgt": "What is the treatment for thrombosed piles?", + "src": "Patient: Hi doctor, I have been suffering from thrombosed piles since two years. Initially, it took a week to subside. I showed it to doctor, who has conducted a physical examination and he had diagnosed it as thrombosed piles. Before 11 months, when I was exercising in gym, I again suffered from thrombosed piles. It was very painful. I could hardly walk. It took about a week to heal. I have stopped exercising. The moment I start surya namaskar or lift weights in gym, I have bled. There is no external fistula. I have shown it to a gastroenterologist before six months. He said, let it recur and then we will see what is to do and now it appears fine.\u00a0What is the treatment for this? Can I lead a normal, active life again? Why cannot I start exercise? I tried homeopathy treatment, but it was of no use. Is it thrombosed piles or something else? 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": 17719, + "tgt": "What is the reason for fever along with skin rash and lip swelling?", + "src": "Patient: Hi doctor, My 2 year old baby is suffering from fever, skin rashes, cough and vomiting after meal. What is the problem? What shall I do now? Her lips have got swollen. Please help. Doctor: Hi. I can understand your concerns. Revert back with the investigation reports to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18641, + "tgt": "Shall I opt flap surgery and bone graft for my loose tooth?", + "src": "Patient: Hi doctor, I am having severe toothache and loose teeth. I used to chew tobacco for the past 10 years. I am getting severe tooth pain often and some blister in the gums. My upper sixth tooth got loose and was removed three years ago. I have been to a local dentist and they advised deep scaling, root canal therapy for two teeth and flap surgery followed by bone grafting. This treatment is being too expensive; kindly suggest if there is anything else that can be done. Are all these treatments required in my case? I have attached my prescription and x-rays for your reference. Doctor: Hi. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 625, + "tgt": "My 6-year-old son complains of shin pain in left foot. Why does he get such pain?", + "src": "Patient: Hello doctor, I have a 6-year-old son who complains of shin pain in the left foot once in every month before going to sleep. He is generally hyperactive. The next day when he wakes up he tells me that it does not hurt anymore. We did x-rays and blood tests all are fine. Please help. Doctor: Hello, Welcome to iclinq.com. Lower limb pains in growing children are usually benign. Normal blood tests and normal x-ray reports also point towards the benign nature of pain. Most probably your child is having growing pains. Can you please recall anything that is common before the pain starts like excessive physical activity or specific footwear? Please share the x-ray image and blood test reports. Start calcium supplements and regularly massage the legs before bedtime." + }, + { + "id": 6350, + "tgt": "I heard that Manforce 100 mg is good for better intercourse. Can I use this tablet?", + "src": "Patient: Hello doctor, I am 21 years old. I want to know about Manforce 100 mg tablet because my friends are saying this is an excellent tablet for better intercourse. Can I use this tablet? Doctor: Hello doctor. Everyone goes through this phase in their sexual life when they doubt their performance naturally and start using tablets or supplements for a better sexual life. If you are a strong, healthy male, without any medical problem, then you will be able to enjoy intercourse naturally, and there is no need for any tablets. Tablets such as Manforce 100 (Sildenafil Citrate) or Viagra can cause a lot of side effects, like headache, delay in ejaculation, priapism, etc. Kindly refrain from using such tablets and also advise your friends not to use it. These tablets are meant for people who can not achieve an erection naturally, secondary to some medical disorder. I hope this helps." + }, + { + "id": 6328, + "tgt": "I am 6 weeks pergnant and I took 2500 mg of vitamin C. Will it harm my baby?", + "src": "Patient: Hello doctor, I am 35 years old, and 6 weeks pregnant. I forgot to take my vitamin C supplement this morning and now I took about 2500 mg. I am worried about the baby because I do not want this to cause any damage to my baby. Doctor: Hello. Usually, prenatal vitamins contain vitamin C and you do not need to take any extra supplement. It is better to take it in your diet in the form of citrus fruits and vegetables. However, there are different studies and some recommend a higher dose in pregnancy but the maximum dose is 2000 mg in a day. Take care in the future. It is important to take folic acid at this stage and rather starting it from pre conceptional time. What is more important is to consult your doctor regularly. Considering your age (35 years), you may get a double marker test at 9-11 weeks to see the safety and any chromosomal anomaly in the baby followed by the level 1 scan." + }, + { + "id": 18466, + "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": 11051, + "tgt": "Could balanitis causes inflammation and red bumps on penis after sex and masturbation?", + "src": "Patient: Hello doctor,I have inflammation of the penis head and small red bumps on the outer edge of the penis after sex and masturbation. The bumps occur and disappear after a few days. I have been using antifungal cream for about a month and also took antibiotics. It looks like it has vanished but occurs back very irritated after masturbation. I believe it could be balanitis, but that is a self-diagnosis. Doctor: Hello. I understand your concern, but there are no attached photographs in your message. I need to see the picture of the affected area to make an appropriate diagnosis and to suggest the proper treatment. Kindly send the images." + }, + { + "id": 30050, + "tgt": "Could BPA overexposure lead to erection problem?", + "src": "Patient: Hi doctor, I am 20 years old and have recently been having problem with erection and loss of sexual energy. These symptoms started about two months ago and have been slowly getting worse. There are several factors that I believe are contributing to this, but one in particular is exposure to BPA. I recently started a business in which I spray epoxy paints. I believe that my problems could stem from a BPA overexposure. Doctor: Hi. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25175, + "tgt": "How to manage early ejaculation?", + "src": "Patient: Hi doctor, I am an 18 year old male. I am\u00a05 feet 5 inches tall and\u00a0weigh 46 kg.\u00a0I have been masturbating for the past 6 years and now I am sick.\u00a0If I masturbate now for 5 to 6 times per month then I get jaundice. I have this problem since 3 years.\u00a0I am suffering from night fall. Sometimes, it happens 3 times a week sometime 2 and 1.\u00a0I cannot control my ejaculation. It happens within 30 second or less than a minute. I ejaculate 3 times in a day. Sometimes, semen also comes out in urine.\u00a0Before I used to masturbate 4 times a week, but now for past two years I masturbate 2 times sometimes 3 times. These days I had little pain in my penis. I use both hand and pillow to masturbate. I also watch porn videos. Before I used to watch a lot, but from now I had minimized it. Nearly five months, I have been facing lots of health issues like jaundice, loss of appetite, weight loss, stomach problem, pneumonia and weakness. I have taken treatment for these, but jaundice is not getting cured. Now, I am suffering from pneumonia and under treatment. Before 6 years or before masturbation I had no history of health issues. But after masturbation life is like a hell. Before I was addicted to masturbation, but now I am trying to control. When I masturbate then the day after pimples comes out in my face but from 1 year it has started to come on my chest and back. I search in the internet that masturbation do not cause any harm and it is completely natural and safe. But, this is not working on me. So, please help me to get rid of these problems.\u00a0I want to masturbate and do not want to quit. So, please give me a way so that I can masturbate and stay healthy. My penis size is 5 inch long and foreskin is completely out.\u00a0I get easily erected.\u00a0I have attached the pictures of my penis. I am not very comfortable in sharing this, hence not discussed with anyone. Doctor: Hello. Thanks for using this platform.\u00a0I read your query and understand your concerns. Revert back with the investigation reports to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29819, + "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": 28937, + "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": 26069, + "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": 30607, + "tgt": "What is the treatment for chronic gastritis?", + "src": "Patient: Hi doctor, I am asking for my dad. He is 65 years old. He has chronic gastritis, gout and now an itchy rash. Also, he says that he is having a feeling of cold. I am not sure what is going on. His gluten test came back negative. Please suggest something. Doctor: Hello. I had gone through all the data posted.\u00a0Kindly tell me more details about his present problem. Revert back with the details to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1865, + "tgt": "I have two red spots at the site of pilonidal surgery. What are they?", + "src": "Patient: Hello, I had a pilonidal surgery with the cleft lift procedure done an year ago. A week or two back I had a slight pain the same region on my lower back and it was a pimple, not a big one but just a small one, it looked the same! I felt like it was filled with pus. So i found some home remedies (a paste made of Baking Soda, Aloe vera, Turmeric and Apple Cider vinegar). I applied it for on the area and left it to sit for like 1-2 hrs everyday. It worked wonders and the pimple almost dissapeared. Today after like 5 days after it had healed i saw that the area was red and a bit too red on two spots! Im not sure what it is so im concerned. Im guessing it might be infected or something. Im not a Doctor so i dont know! Hope you can help me out here bcoz i dont want another surgery!!! Doctor: hello, don't worry I will help you regarding your problem. you underwent surgery for pilonidal sinus 1 year back now now you have 1 or 2 pimple at the same site. that may be due to infection of that local area. I will prescribe you some medicine. please maintain local hygiene shave your hair of that area. get back to me after two days. I will add some more medicine and local remedies pilonidal sinus Sitz bath in luke water with betadine 2 times in a day Tab augmentin 625mg TDS for 5 days tab Chymoral Forte TDS for 5 days tab serradic P BD for 3 days Cap A To Z OD for 10 days" + }, + { + "id": 6182, + "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": 17609, + "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": 8114, + "tgt": "I have rash on penis weeks after handjob. Is it genital herpes?", + "src": "Patient: Hello doctor, I think I have herpes. About eight weeks ago I had a handjob in a massage parlor. There was no intercourse nor kissing. She was only wearing her pants. She climbed on top of me and rubbed her whole body against me (although her pants were on). That was it. She did not do anything else. After few weeks I had swollen armpit with some fluid coming out of it. I have a little rash on my penis. Do I have genital herpes? I am really really worried. I am also feeling a little feverish and sore throat. Doctor: Hello. Your mentioned symptoms are not consistent with herpes. You please upload the picture of penile rash. The typical symptoms of herpes include fluid-filled vesicles over the penis or nearby area which are painful. A just simple rash may be a fungal infection like candida. You may apply Candid (Clotrimazole and Betamethasone) ointment to it two times a day. Genital herpes usually does not cause armpit swelling. It can be a folliculitis. If arm swelling is still present, upload its picture as well. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11246, + "tgt": "What causes pain and red rashes on glans penis?", + "src": "Patient: Hi doctor, I am having red rashes on the glands of the penis. I used Candid Total and it disappeared completely. Again after seven days it again appeared and it seems red patches on right and left side of the penis. I continued using it and then got an advise form one of my friend for using Surfaz SN along with Doxt SL 100 which I am using it since last 15 days. It was improving slowly. I was using very hot water for cleaning the penis but suddenly day before yesterday, the color of the penis became red and the patches have also become red. I am having pain on the glands of the penis and seeing some white discharge. I do not know why it has happened suddenly, due to usage of hot water or for some other causes. I consulted local doctor and he advised to take LNZ 600 one tablet twice daily for five days and T-Bact ointment twice daily for 10 days. Please advise. Doctor: Hi. You have erosions on the glans penis that is more consistent with candidal balanitis, other possibilities are chancroid, herpes. Please stop using Surfaz SN, it has steroid in it. Steroid helps to bring down the inflammation, itching will get better but it will not cure the fungal infection further makes the fungal infection worse. I believe that is what happened for you now. Can you please answer these questions so that I can rule out other possible conditions and suggest you appropriate medications. When did it start? Do you have similar red rash on foreskin as well? Any history of unprotected sexual intercourse? Any history of white discharge in the female partner? Did you have fluid filled blisters when it started? Is this the first time you are experiencing this kind of lesion? Do you have any allergies to medications? Do you have any other medical conditions? Diabetes? Do not use hot water for genitals. Always use lukewarm water." + }, + { + "id": 7091, + "tgt": "I doubt I have squint eye. Is it hereditary?", + "src": "Patient: Hello doctor, I doubt squint eye. Whether squint eye is hereditary, and is there any treatment for these? Doctor: Hello. Squint eyes are the eyes which are not appropriately aligned, each eye focus on a different object and send signals to the brain leading to confusion. Thus the child starts ignoring signs coming from squint eye (deviated eye) resulting in amblyopia or lazy eye. It has to be aggressively treated in childhood or else cannot be processed once development occurs. Treatment is surgical, in some minor cases, prism spectacles. The exact cause is not known either developmental or hereditary. The treatment has to be done as soon as possible." + }, + { + "id": 8068, + "tgt": "Does spreading rash in a 1-year-old indicate measles?", + "src": "Patient: Hello doctor, My 1-year-old son has a rash. It started where his diaper was and began to appear between his legs, in arms, neck back and stomach. He had the vaccine for chickenpox, so I think it is measles. I need help. Doctor: Hello. I have read your query. I have seen the attached photographs also (attachment removed to protect patient identity). I understand your concern. As per details, it seems that your baby is having a condition called atopic dermatitis. It is characterized by generalized dryness of skin associated with itching. Such kids have recurrent rashes on the skin, especially involving cheeks, diaper area, and body folds.Most often, a history of recurrent cold and cough or asthma in the family is found. It is more of a clinical diagnosis. As such, no investigation is required. In atopic, I advise my patients to apply lots of moisturizers, mainly containing squalene, Vitamin E, Aloe Vera as the main component over the whole body, preferably after bath. On the affected area, mild potency steroid like Hydrocortisone cream helps. Antihistaminics like Cetirizine is also given for control of allergy. You should visit your doctor so that he can examine your baby clinically and provide you with a prescription. You can share my opinion with him. I hope it helps." + }, + { + "id": 29901, + "tgt": "What may be the possible cause for pain in testicles?", + "src": "Patient: Hello doctor, I am 18 years old. About a week ago, as I lifted some heavy plates, both my hands started shaking and I dropped them. When I returned home, I felt some\u00a0pain in my testicles. But, that was not a constant pain. So, after three days of pain, I went to see a urologist. He did a physical examination of my testicles and said that there was no swelling and everything was normal. The doctor mentioned that it was just a minor injury\u00a0to\u00a0the testicle, which would heal by itself. He prescribed me Diclofenac sodium 50 g and Papase tablets. The doctor told me to take Diclofenac whenever I feel pain and the Papase\u00a0two tablets to be taken thrice a day. I followed his instruction and after two days the pain eased. I was relieved as everything felt normal and there was no pain at all. Yesterday, I had a dream, which woke me up. When I woke up, I got excited and my penis got hard and the pain in the left testicle started again. The testicle got bigger than the usual size. My left testicle is smaller than the right one, but at that time both were of the same size. There was pain and my left testicle started getting big and small like breathing effect. After an hour, the pain disappeared and everything was normal once again. The pain also\u00a0spread to my leg and when I got on the bed it eased. My testicle looks normal with no enlarged veins or anything. It is normal physically and there is no pain while passing urine as well. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12604, + "tgt": "How can chipped tooth be treated?", + "src": "Patient: Hello doctor, I chipped my front tooth two days ago. I saved the broken tooth piece in a cup of milk in the refrigerator. The piece is fairly small (bottom corner chipped off). What are my options to get my tooth fixed? It does not hurt but it is a little sharp to the touch. Doctor: Hi. That is good that you saved the part of the tooth. But actually little chipped off part of the tooth cannot be reattached to the tooth by any means. But if whole tooth and its root somehow got knocked out of socket while you fell down or so and that tooth is kept immediately under your saliva or milk and then re-implanted at the same place within one hour then this tooth definitely gets saved. But, unfortunately, its broken part is hard to re-attach. You should get filling of it done as soon as possible and get sharp edges trimmed else it will hurt your tongue or lips. Stay happy and blessed. Take care." + }, + { + "id": 6751, + "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": 19956, + "tgt": "Can fibroids shrink with ayurvedic medication in a perimenopausal woman?", + "src": "Patient: Hello doctor, I am 42 years old and have been diagnosed with multiple uterine fibroids. Two of them are a little more than 3 cm at different places in the uterus. In the past, I have been operated for endometriosis level 4. As usual, the gynecologist is suggesting a hysterectomy. But since I am in my perimenopausal phase, can the fibroids shrink with medication? I have been suggested Fibroease. Doctor: Hello. The medicine you are taking is good for your condition. If you want to try shrinking it with medicine alone, you can continue that. Along with that, I advise you to visit a nearby Ayurveda physician or a panchakarma center and ask for the procedure related to fibroids. Usually, Virechana which is a purgation therapy which is done and also medicine is given. It helps some patients in getting relief." + }, + { + "id": 27359, + "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": 27560, + "tgt": "I am not able to sleep well due to financial stress. Please help", + "src": "Patient: Hi doctor,I am in financial distress, so I am not able to concentrate on work or family. I am not able to sleep well. Please help. Doctor: Hello. If you feel like, you can consult directly for further assistance.\u00a0Thank you. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 29963, + "tgt": "Is there any herbal medicine that can cure sore eyes?", + "src": "Patient: Hi doctor, What is a\u00a0sore eye? Is there any herbal medicine that can cure sore eyes? Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6116, + "tgt": "I took plan B and had dark brown spotting with cramping and bloating. Is it due to Plan B?", + "src": "Patient: Hello doctor, I took Plan B pills 34 hours after intercourse and one week later I had dark brown spotting. Then, I started having a red bleed during the week of my period, but it was not heavy. Now towards the end of my period, it is very light. I have period cramping and bloating. Is this because of Plan B or could I be pregnant? Doctor: Hello. You have experienced a very normal behavior of bleeding patterns after Plan B usage. The bleeding ideally starts after one week and starts with scanty, then the flow increases and then decreases again. This is a normal endometrium shedding pattern after Plan B. You are unlikely to be pregnant now after your periods and bleeding. Just likely that your next menses may be delayed or earlier and maybe heavy, this would be because of Plan B, so just maintain a menstrual calendar for the next three months. Cramping and bloating shall subside after your period as well." + }, + { + "id": 27871, + "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": 14688, + "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": 23465, + "tgt": "I had a blood sugar reading of 125. Am I diabetic?", + "src": "Patient: Hello doctor,I had a blood sugar reading of 125 this morning. I had last eaten at 11 PM. Am I diabetic? Doctor: Hi. Take a high-fiber, low-fat diet with enough proteins. Drink lot of water everyday. Take small meals at regular intervals of two to three hours. Avoid outside food completely. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 8958, + "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": 27752, + "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": 19748, + "tgt": "Why is my baby not feeding properly after a major heart surgery?", + "src": "Patient: Hi doctor, My baby, who is 1 month old, had a major heart surgery d-TGA on the 6th day of his birth. He was discharged on the 29th day. Now, he is 2.4 kg and at the time of his birth, he was 2.45 Kg. He cries too much and sleeps too much, but in both the occasion he takes very less feeding. We are much worried as he is becoming thinner. He also has\u00a0fever in between and it was 99.5 Fahrenheit. After sponge bath, the fever got reduced. Please help. Doctor: Hi. For further information consult to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17830, + "tgt": "I had intercourse on the 5th day after my periods. Can I get pregnant?", + "src": "Patient: Hello doctor, I stopped the Zoely Pill two months back since I was experiencing heart and respiratory problems. I got my menses last month and the following month. I had sexual intercourse twice on the fifth day once my period had stopped. According to my calculations I am in fertility period. Is there any chance to get pregnant? Thanks. Doctor: Hello. Yes, you are very much in your fertile period (know safe and unsafe days in your period). There are high chances that you may get pregnant if you have not taken the emergency contraceptive already within 72 hours of intercourse. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13964, + "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": 29970, + "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": 18613, + "tgt": "I have a small vaginal opening. What can I do to stop it from being so painful during intercourse?", + "src": "Patient: Hi doctor, I am a 20 year old girl and have a small vaginal opening. My husband and I hardly have sex because it hurts me so badly. What can I do to stop it from being so painful? Doctor: Hi. A small vaginal opening can lead to a painful sexual intercourse. I would suggest you use a good vaginal lubricant every time before the act. It would help in smoother penetration of the penis thereby reducing the pain. If this does not help you, dilators can be used to expand the vaginal orifice, which does help in many cases." + }, + { + "id": 19199, + "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": 14215, + "tgt": "There are some itchy painful foul smelling bumps on penis. Is that STD?", + "src": "Patient: Hello doctor, I have something on my penis. It started a couple days ago after I had unprotected sex. I am uncircumcised. It is not the first time I have noticed something like this happen and I always get concerned. It feels very itchy, and also hurts. It does not feel painful when I urinate. There is also a foul smell. It started as feeling sore and irritation, and then little bumps came out, and after that, it seems like the bumps look like sores. I have gotten tested for STD but HSV 1 and 2 were not in that panel. I have also been looked at and the doctor said balanitis. But there are two different examples of when it happens and the one I am concerned with today does not appear to look like the balanitis. Doctor: Hi. Presently the clinical photographs are not suggestive of herpes genitalis. Looks more like balanitis. In herpes genitalis there will be clean looks ulcers without slough, also there will be a pain. Herpes genitalis should subside with 5 to 7 days. Consider application of Mupirocin 2 % cream twice daily with Clotrimazole 1 % cream twice daily. Also, an oral antihistamine can be taken to relieve itching. I would advise you to visit dermatologist personally and if this is a recurrent problem, clinical examination is important. Protected sexual intercourse is advisable." + }, + { + "id": 23011, + "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": 27767, + "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": 12555, + "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": 27387, + "tgt": "I am not happy with my new dentures. Can the dentist correct it?", + "src": "Patient: Hello doctor, I just received my permanent dentures. The midline is off and it catches my eye every time I look in the mirror. The dentures are pretty loose as well. The dentist did have me do a try-in step with wax, but I thought because they were loose, the dentures appeared crooked. Can permanent dentures be adjusted to correct this? Doctor: Hello. Hope this helps. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26194, + "tgt": "Are these symptoms connected with Brainstem Lesions?", + "src": "Patient: Hi Doctor, Around eight months back, I had a strange numb feeling in my nose. I ignored it because I had three abscessed tooth on my left side and I thought the numbness was due to that. It gradually went away and I forgot about it. Last month, my daughter fell sick and I was going through some extreme stress. I started getting the numb feeling again and now it is up to my left temple. There is a pressure from my nose to the left temple with numbness and sometimes tingling. Then suddenly a tinnitus set in my left ear, a loud high pitch. Also, I had a strange burning tongue symptom. I got scared and went to an ENT. He took a hearing test and told me that I did not have any hearing loss. He blamed it all on my abscessed tooth and said to go to the dentist. I have got all the three teeth pulled out. I was given intravenous and local anesthesia as well during the process. After recovery the tinnitus has not gone away and the sensations are becoming worse and weird day by day. My problems are as follows: Numb sensation in my nose to my left temple, tenderness of the scalp, burning on the left side of my mouth and tongue, dull pain on my face, very sensitive to touch and the same in both ears, jaw seems still a bit inflamed, strange itching sensation on my face, eyes, legs, arms, etc., strange pressure in the ears, shakiness, chilly feeling and weak legs and arms at times, especially at night and the pain in my neck and shoulders. Tooth healing has gone well. These symptoms are weird and appear on and off. I am confused. My doctor says that I got anxiety, but I am feeling these physical symptoms. My neurologist has told that my MRI is normal. He also ran a test to rule out carpal tunnel and nerve function in my hands and legs. One of my legs has reduced sensitivity. He has prescribed me some medicines and I am not happy with his approach. I am really scared of these symptoms. Please help. Doctor: Hi. I have read your question with care and understand your problems. All your symptoms can occur in brainstem lesions. Many lesions in the early stages may not be identified by routine MRI sequences. You have to do the following tests: The symptoms you have narrated can also occur if there is reduced blood flow to the brainstem. This condition is called as vertebrobasilar insufficiency. This may be detected by CT angiography of brain, MRI angiography of brain and DSA (digital subtraction angiography). Also, the symptoms you have told can occur as a part of a systemic problem like low blood pressure and anemia. Low blood pressure (hypotension) can be checked by measuring your BP and anemia can be confirmed by checking your blood hemoglobin levels. 1. Brainstem lesions. 2. Vertebrobasilar insufficiency. 3. Low blood pressure. 4. Anemia. 1. BP check. 2. Blood hemoglobin. 3. CT angiography of brain. 4. MRI - Diffusion and ADC. 5. MR tractography. 6. MRI angiography of brain. 7. PET scan to find the metabolism of the brainstem . 8. DSA. Revert back with the reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18131, + "tgt": "How to get my acne scars removed?", + "src": "Patient: Hi doctor, I am a 24 year old female. My height is 158 cm and my weight is 50 kg. I have severe acne scars on my face, back, lower back and below the neck. I have pimples on my face. I am using Benzoyl peroxide for the same. I have attached my photos here. My problems also include hair fall, thinning of hair in scalp and dandruff. When I oil\u00a0my hair for dryness I get more pimples. What else can I do for my\u00a0dry hair? How to get my acne scars removed? I applied lemon juice and even baking soda on my face, but I am in vain. I drink milk twice a day with Amul Pro Whey protein powder.\u00a0Does dairy product cause acne?\u00a0At times, I get burning sensation at the back of my neck when my hair touches it. Is that due to severe back acne scar?\u00a0Can u suggest me a good sunscreen? I am using nasal spray and Allegra tablet for allergy. I used to have breast pain often and also my breast size and color varies slightly.\u00a0Is it just premenstrual pain or something to be concerned? I used to get severe menstrual pain and I am using Meftal spas for it.\u00a0Occasionally, I get a lump below the right lower abdomen. My doctor made me cough and tested but the lump was not formed. But, he said with my symptoms it would be hernia. Does my abdomen pain occur as a symptom of pcos or endometriosis or any hormonal imbalance or hernia? Please help. Doctor: Hi. For further information consult a dermatologist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 458, + "tgt": "What treatment would you suggest for my father's shoulder condition?", + "src": "Patient: Hi doctor, I am enclosing an MRI report of my father who is 70 years old. I want to know whether an operation is the only available option for his shoulder condition according to the report. If we go for the operation, then what is the success rate? Without an operation, how long will it take to get cure? He takes Telma 40 and Ecosprin 150 V regularly because four years back, he had a paralysis attack. Doctor: Hello. I have gone through the MRI report enclosed by you (attachment removed to protect patient identity). Degenerative condition or post injury. As per clinical examination. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10588, + "tgt": "My lipid test report shows quite high values. Kindly advice", + "src": "Patient: Hello doctor, I am 35-years-old. My cholesterol level is 222, triglycerides 87, HDL (cholesterol) 60, LDL (cholesterol) 156 and non-HDL (cholesterol) 162. Kindly advice. Doctor: Hello. Do you have diabetes, hypertension, family history of a heart attack in young age? Do you have deranged kidney function? Answers to these questions if not, it is critical to decide medicine. If these are not present, then medication is not required at this stage. Only lifestyle and dietary modification are necessary. Reduce saturated fats and trans fats (ghee, butter) in diet, reduce red meat, consume more dry fruits, and vegetables. Avoid more than one egg yolk per day. Do regular exercise, such as jogging, cycling, brisk walk, etc. Avoid a sedentary lifestyle after three months repeat fasting lipid profile." + }, + { + "id": 21489, + "tgt": "Suffering from PCOD and had unprotected sex on 36th day. What to do for delayed periods?", + "src": "Patient: Hello doctor,This query is regarding my fiancee's periods. Her last period cycle was of 29 days and after that, till the 35th day we did not have sex but on the 36th day, we had unprotected sex. So we were worried that is this a case of pregnancy and she did a pregnancy test with the kit (I-pill kit) in the home after five days with the first urine in the morning. The test was negative. She is also suffering from PCOD. What should we do? Doctor: Hello. Did she have irregular periods previously as well? The delayed period is unlikely due to pregnancy because you did not have sex before the 36th day. So, there is no chance of pregnancy. However, for the sex which was unprotected, we cannot predict regarding the chances of pregnancy especially if I-pill was not taken. However, in this case as well chances of pregnancy are less as sex occurred in delayed phase near the expected period date. Now, the cause for her period is likely a PCOD (polycystic ovarian disease) which can very well cause delayed and irregular periods. Before going ahead, are you sure that there was absolutely no sexual contact before that? If yes, then she was unlikely to be pregnant before. Now, in that case, we can wait and watch for periods to come for another week. Usually one will get a period within 6 to 7 weeks. If you are not sure regarding sexual contact before that then you should get her urine pregnancy test repeated now and if negative then blood pregnancy test to be sure. Next thing, she will need hormonal pills and other medicines for period regulation for PCOD. So for this, she will need an in-person visit to the gynecologist. So overall from your side, you should get her urine pregnancy test repeated and get her blood pregnancy test (serum hCG) from any private laboratory and wait for another week for periods to come if both tests are negative. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7375, + "tgt": "Are pressure headaches symptom of taking different doses of Seroquel?", + "src": "Patient: Hello doctor, I have ADHD, for which I take Seroquel 200 mg and Remeron 15 mg at 11 PM, every night. Last week, my doctor added Clonidine, which has to be taken at 4 PM. I felt fine after taking Clonidine, but four hours later, I decided to take a smaller amount of Seroquel 50 to100 mg, with the intention of taking the rest later on at night. Within an hour of taking the lower dose of Seroquel, I have had these severe pressure headaches. I am unsure what is causing it. I have been getting recurrent headaches the last month. The pressure still persists today. My blood pressure is normal, and CT scan is clear. I stopped taking my medications after the headache. I am unsure if I should continue the medication.\u00a0I have taken Clonidine and Seroquel before, but I never had this interval. However, I have never tried it with Remeron. Are pressure headaches a symptom of taking different doses of Seroquel? 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.\u00a0Thanks and regards. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7212, + "tgt": "How to overcome my low confidence, and poor concentration?", + "src": "Patient: Hello doctor, I am a 26-year-old male. I have shyness in public, low confidence, and poor concentration in studies with anxiety, escaping attitude. I am afraid of driving alone and have a fear of giving interviews. Doctor: Hello. The symptoms you have mentioned are low confidence, shyness in public, escaping attitude, fear of interviews. These symptoms point towards a diagnosis of social phobia. The most studied and most effective treatment for phobias is behavior therapy. A variety of behavioral treatment techniques have been used, the most common being systematic desensitization. In this method, the client is exposed serially to a predetermined list of anxiety-provoking stimuli graded in a hierarchy from the least to the most frightening. Through the use of anti-anxiety drugs and instruction in muscle relaxation, clients are taught how to induce in themselves both mental and physical relaxation. Once they have mastered the techniques, clients are taught to use them to induce relaxation in the face of each anxiety-provoking stimulus. As they become desensitized to each stimulus in the scale, the patients move up to the next stimulus until, ultimately, what previously produced the most anxiety no longer elicits the painful effect. Effective drugs for the treatment of social phobia include (1) Selective serotonin reuptake inhibitors (SSRIs) like Paroxetine or Escitalopram. (2) The Benzodiazepines like Ativan or Rivotril. Another option is to take tablet Beta cap 20 mg 30 minutes before you are going to face an anxiety-provoking situation. Please visit your nearest psychiatrist for proper evaluation and treatment." + }, + { + "id": 16401, + "tgt": "I have dry scaly red patches around mouth. Can this be perioral dermatitis?", + "src": "Patient: Hello doctor, I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse. Doctor: Hi. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hydrocortisone cream two times a day for 10 days. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of drugs shows photosensitivity and cross-reactivity to another agent as well. Apply sunblock regularly. Maintain good oral hygiene." + }, + { + "id": 4938, + "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": 15999, + "tgt": "How to treat skin itching and scratching problem in a diabetic individual?", + "src": "Patient: Hi doctor, My mother has itching and scratching for the past three months. She is 85 years old with a controlled diabetic. For now, she is applying Polysporin ointment and Benadryl 25 mg. She gets better for a while, and she gets it again. I am attaching the picture. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like prurigo simplex. Apply Mometasone cream. Mix it with coconut oil in equal ratio and apply over the affected area twice daily for two weeks. Take tablet Levocetirizine 5 mg twice daily. Please say whether your mother had any skin lesion in the fingers, abdomen, thighs, and private parts. Please mention whether the itching got increased at night. Please say whether any family member had similar complaints. If these are present, then the treatment varies or else go ahead with the above treatment for two weeks." + }, + { + "id": 26931, + "tgt": "Are there abnormalities in my blood reports?", + "src": "Patient: Hello doctor,I got a blood test done this week. The investigations are as follows: Red cell distribution width is 11.4 %, platelets count is 130 thou/UI, mean platelet volume is 13.3 fL. Morphology remarks: Gaint platelets are\u00a0seen, and small clumps of platelets are seen. Doctor: Hello. Take care. Hope your concern solved. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 14933, + "tgt": "Is applying MMC in LASEK surgery safe enough?", + "src": "Patient: Hi doctor, Is applying MMC in LASEK surgery safe enough? Concerning risk with corneal opacity from LASEK vs corneal 370 \u00b5m left after LASIK, which is greater? Doctor: Hello. Applying MMC (Mitomycin-C) in LASEK is safer and in many studies, it has not caused any problems. So, you need not worry. Coming to your second question, LASIK with 370 \u00b5m left, is very safe as we take the safety level as 250 \u00b5m. Hence I feel LASIK risk is lower. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18908, + "tgt": "What is your suggestion about bilirubin level 15. 36 in a 9 days old baby?", + "src": "Patient: Hello doctor, Our baby boy was born 9 days ago. Mom and the infant, both have B plus blood group. His weight at the time of birth was 3.03 kg. After five days, his bilirubin level was 13.06. Today, the bilirubin level was 15.36. Our doctor advised vitamin D3 oral dose for one year. What is your suggestion? Doctor: Hi. I can understand your concerns. Revert back with the report to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20992, + "tgt": "What is the dosage of Yasmin in a first time user after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex about 12 hours ago. No ejaculation occurred but I knew there was still a risk of getting pregnant. I am thinking of using the Yasmin pills as a form of emergency contraception. Note that I have never taken the pill before and this would be the first time. I have read that I should take four tablets of Yasmin at a time and another four tablets after 12 hours. Would this still be the same if I had never taken the pill before? What will be the possible side effects of the high amount of dosage for the first time? Please advice. Doctor: Hello. Yes, as you have read, Yasmin (Drospirenone) can be used as an emergency pill. Even if he has not ejaculated, you still stand 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. This regimen is called yuzpe regimen where it is suggested to take 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. You shall 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. Some women who use this method experience mild nausea and maybe even some vomiting. If you throw up within one hour of taking your pills (either the first dose or the second dose), you have got to call your health care provider. There is a chance you could have thrown up the pills which would make this method ineffective. If that happens, you may need another dose and/or some anti-nausea medicine. To help prevent you from feeling nauseous, take your pills with food. It also helps if you time your second pill so that you take it just before bed. That way, you will sleep through nausea. There is also the potential for spotting, breast tenderness, and headaches. This is true with birth control pills in general and it is usually nothing to worry about. That said, if you experience more severe side effects, please call your doctor. It is always better to follow up with a health care professional when you have a reaction that concerns you." + }, + { + "id": 8590, + "tgt": "Our baby was born with esophageal atresia. Is this a complicated situation?", + "src": "Patient: Hello doctor, We have a baby born with esophageal atresia without fistula-type A. After two days of birth, and she has a surgical intervention, but, it was unsuccessful because the gut of stomach was not developed enough or it was very short to connect. Then, the doctors have installed a gastric catheter for feeding baby for 3 to 4 months and then to treat or surgical intervention this again. My question is, is this any complicated situation and how standards treat it of medicine? Is it possible to have another anomaly with other organs or bodies? Doctor: Hello. Generally, for esophageal atresia, two to three procedures (in parts) are done for correcting the anomaly because it is almost impossible to stretch the tube so far as to reach the stomach. As far as I know, we put in a gastrostomy tube wherein food is directly poured into the stomach via a tube. Theoretically speaking if we find such an anomaly, it is essential to check for other physical anomalies in the vital organs like brain, heart, lungs, kidney, stomach, liver, etc. Generally, in such cases with proper intervention at the appropriate time, there should not be any issues." + }, + { + "id": 19394, + "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": 13484, + "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": 11869, + "tgt": "Can high protein levels indicate cancer in ANA patient?", + "src": "Patient: Hello doctor, Positive ANA, weak positive Smith through childhood or teens. Monitored for lupus by pediatric rheumatologist but never really exhibited symptoms. I have abnormal beta 2 glycoprotein that puts me at risk for blood clots. Was told in high school to take Baby Aspirin every day. I am now 28. Recently had full lab tests done for the first time in many years. Platelet count: 402 (had physical labs done three years ago and it was 432), protein: 8.9, ABS lymphocytes: 3.2. I went back to look through all my labs from my teenage years from a rheumatologist. I saw and I never had high protein. Also, my platelets were usually normal so I think the elevated thing is more recent? But it has gone down from 423 three years ago. I show no active signs and lupus and never truly did. I was always just monitored. I have a copper IUD and occasionally take my Aspirin. When I take it often, I bruise super easily. Just concerned mainly about the protein level. I have read about leukemia and other blood cancers. I was fasting for more than 12 hours and drank no water (I hardly ever do). All other labs are normal in the metabolic panel and CBC with auto diff. Doctor: Hello. The elevated high total protein does not indicate malignancy only. It could be due to some temporary infective etiology as well. Your all other parameters do not indicate any blood cancer. If you have a history of positive beta 2 glycoproteins as mentioned in the above description then you have to repeat your beta 2 glycoprotein estimation again after 12 weeks. If two repeated tests for beta 2 glycoprotein are positive and any history of thrombosis, then anti-phospholipid lipid syndrome can be possible or else not. The positive Smith antigen points towards lupus. If asymptomatic, then no need for treatment and only monitoring can be done. However, you can repeat your Smith antibody estimation again to exclude the possibility of lupus. You can investigate with anti-ds DNA estimation as well to exclude SLE. If beta 2 glycoprotein result comes negative in the repeat test, then no need to take Aspirin. The occasional Aspirin ingestion has no value and not indicated. You can consult nearby hematologist for detailed evaluation." + }, + { + "id": 25877, + "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": 12964, + "tgt": "How to confirm HIV?", + "src": "Patient: Hi doctor, I had unprotected anal and oral sex with a guy. This makes me very stressful. The symptoms I encounter after the incident are as follows. I am feeling very tired from day 10, and I think it as stress. From day 12, I am having some sort of difficulty in breathing and numbness all over the body. On day 14, I have experienced itch inside the penis with clear watery discharge like urine, and it lasted only for a few days. On day 17, I had fever and headache which was cured in a day with treatment. I got an itchy rash on the chest, back, face and scalp on the 19th day. It lasted for about five days and got reduced, but still remains some. Then other symptoms persist till date which occurred gradually are sore throat, lower back pain, abdominal pain, joint pain, coating on tongue, bumps on back of tongue, red spot on tongue with irritation, itchy legs and hands without rash, blurred vision, painful itchy and sore armpit, thigh, genital area and buttock areas. I have attached the photos, please have a look. Do these symptoms suggest acute HIV infection? Or can it be other STDs? I have undergone the following tests to check HIV. Rapid blood test on day 19 and the result was negative, and I repeated the same test on day 35 and that too negative. My partner tested in front of me one day before sex, and it was negative. He claimed that he is clear and safe. But, he said that he had one partner three or four months ago and also many partners before. If my partner is truly clear and safe and I am HIV negative, then what cause all these symptoms? My doctor said I have very similar symptoms of acute HIV which makes me freaked out and nervous. I made mistake to have unprotected sex with him. I am going to get married soon. I will decide my marriage according to my HIV test result only. Please answer my questions and give advice. Thank you. Doctor: Hi. Thanks for providing the clinical pictures (attachment removed to protect patient identity). I would try to provide you with the best possible answers to your questions. The symptoms you have mentioned for example fever, general feeling of not being well, vague body aches may be a hint of acute HIV (human immunodeficiency virus) syndrome. They may also, in reality, be hypochondriacal that is due to stress and you are giving a lot of importance to them. The skin eruption that you mentioned and the pictures are suggestive of urticaria or hives. This may also see even as a response to mild fever or medicines that you may have taken or may even erupt in absolutely healthy people. Itchiness without any lesions in the groin area may be due to sweat, exacerbated by stress levels. The prominence of tongue swelling is nothing abnormal. They are the normal lingual papillae which mean that normal texture of the tongue present in all. When a person is psychologically stressed, often these normal tongue markings are interpreted as being abnormal. So, do not worry about this. Genital discharge you mentioned may or may not be normal. You must attend an STD (sexually transmitted disease) or STI (sexually transmitted infection) specialist to get yourself checked for the discharge, which may be a sign of urethritis - infection of the urethra. For this, a urethral swab or swab dipped in the discharge will be taken to rule out. Having said that, the possibility of acute HIV syndrome cannot be ruled out with 100% certainty based on these symptoms, although apparently, the chances are too low. Yes, you can contract HIV even from a single exposure. The risk is moderate, from being the passive partner and allowing unprotected intercourse and passage of your partner's seminal fluid into your anorectal mucosa. Further, your partner agreed to have been promiscuous himself. A rapid HIV test is just a modification of the standard ELISA (enzyme-linked immunosorbent assay) test. The only difference between rapid and standard HIV test is that the results are given out within 20-30 minutes of having given the blood sample in rapid test module whereas have to wait for a period of a week for the results in the standard test protocol. The more confirmatory test would be a western blot or p24 antigen assay or HIV RNA PCR. These tests can confirm or rule out HIV within a maximum of 12 days of the last suspected exposure. So, get them done to put your mind at peace. My final advice does not panic. Visit an STD-HIV specialist as soon as possible for evaluation of the genital discharge and request to get the fourth generation test done. Also, the additional blood tests mentioned below. Get back to us with the report of these tests and take treatment for urethritis, if it is confirmed. No need to panic even if your fourth generation test comes out positive for HIV. It takes an average of 10 years for HIV positivity to convert into AIDS syndrome. And with a healthy lifestyle, positive thinking and available anti-HIV drugs, most patients who have full-blown AIDS, are also able to live healthy in the present medical era. Have you been vaccinated for hepatitis B? You must get tested for hep B and C and VDRL (venereal disease research laboratory) syphilis. If you have not been vaccinated for hep B, get vaccinated as soon as possible. Maintain good oral hygiene. Your tongue seems to be coated due to lack of oral hygiene. Use a mild cleansing mouth wash and also get your tongue swab tested for fungus. 1. Fourth generation HIV testing assay. 2. Western blot test. 3. Urethral discharge or urethral swab evaluation for gonococcal and non-gonococcal infections. 4. Additional blood tests - serology for hepatitis B (HBsAg -hepatitis B surface antigen test) and hepatitis C (Anti-HCV - hepatitis C virus antibodies), VDRL. 5. Tongue swab for fungus. Always use protection in the form of condom for any sexual activity. Never trust any sexual partner about his/her promiscuous nature or HIV status." + }, + { + "id": 16184, + "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": 29320, + "tgt": "I am getting severe and consistent pain in the abdomen. What could be wrong?", + "src": "Patient: Hi doctor, I am 18 years old. My height is 5'9\", and weight is 130 lbs. I am not due my period anytime soon, and I am on birth control. For the past few days, I have been getting severe pains in the bottom of my abdomen. It started a few days ago with sharp pains on the right side just up a bit. By yesterday night, it moved down to where period cramps usually are. They are not cramps, but they do feel like cramps. It is present consistently and sore to press on my stomach on the both sides. I do not have a fever, vomiting, diarrhea or constipation. What could be wrong? Doctor: Hi. There could be ureteric calculus if the pain is sharp and shooting or a renal stone dislodged from the place. You need to get an ultrasound done to rule out any pathology. It needs further physical examination as it could just even be a muscular spasm, which happens if there is a muscle pull during day-to-day activity or exercise. There could be an ovarian cyst as the site you specified looks near to the ovaries, but less likely as you are on a birth control pill. More likely there could just be a gas problem as it is the commonest reason for pain there. I presume passing urine is not an issue. Please visit a doctor for a prescription of an antispasmodic tablet. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5713, + "tgt": "I have white patches in the throat, but my strep test was negative. Please help", + "src": "Patient: Hi doctor, Two weeks ago, I developed white patches in the throat. I do not feel a sore throat, but there is slight discomfort, runny nose, and cough. I think it is due to cold. Also, I feel body pain for the past three days. I was tested for strep, and the rapid strep test was negative. The white patches looked like they started to go away, but now they are getting bigger again. Please help. Doctor: Hi. By looking at the history and symptoms, a few things come to my list of differential diagnosis. Before that, I would like to know a few things like whether it is associated with difficulty in swallowing, headache, neck stiffness, etc. As you mentioned you have already taken antibiotics, the streptococcal cause is less likely but cannot be ruled out completely even though titers are nil. It could be acute on chronic tonsillitis as you also have fever, throat discomfort and body ache. It can be a fungal infection as well especially if your asthmatic and on steroid inhalers. It could be infectious mononucleosis, a kind of viral infection associated with all your symptoms. The possibility is high if there are accompanying swellings in the neck. It usually spreads by kissing. The general mode of management for this would be to gargle salt water at least four to five times daily and drink cold fluids or have ice creams to ease throat pain. Avoid irritating, spicy foods and smoking if you are a smoker. You can take a combination of Ibuprofen and Paracetamol (Combiflam) thrice daily for five days along with antibiotics. For me, it looks more like chronic tonsillitis. The appropriate antibiotic would be Amoxicillin 500 mg thrice daily for five days. You can also take Rabeprazole 20 mg once daily for seven days in case you feel stomach discomfort because of these medications. If frequent recurrences of tonsillitis are happening, then it is better to go for surgical removal of tonsils. Your physician will help you with suitable antibiotics after ascertaining the diagnosis. Take care. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5036, + "tgt": "What causes irregular periods with pain in a 52-year-old female?", + "src": "Patient: Hello doctor, My mother is facing pain at periodical time since 6 months and period facing two times in a month and it remains for 4 to 6 days. Although she never faced this situation before. My mother's age is 52 years now. What should she do now. Already visited two gynecologist and they advised us to prepare for operation. As per their instruction checked the ultrasonography test, acknowledged us about the ovarian tumor and advised us for immediate operation. And we also checked the blood pressure, ECG , chest X-ray, thyroid, HIV test. Everything is fine except blood sugar and blood pressure. Now blood sugar and blood pressure are under control, physician also prescribed tablet Astyfer (400) for pressure and Insulin for blood sugar applying for 4-6-4 units (BB-BL-BD) per day, it is running since 10 days. The first gynecologist prescribed Trapic 650 for 5 days (1 per day), Protera 40 for 14 days (1 per day), and syrup Inozyme for 7 days (2 times per day). Next time, he also prescribed the Trapic 650 for 5 days and Protera 40 for 5 days and Metformin SR (1000) for 14 days (1 per day) also, and advised us to visit after 2 months for next checking. But we decided to check up another gynecologist after 45 days later of the last gynecologist visit. The second doctor advised us for operation and also prescribed for test of blood sugar, thyroid, ECG, chest X-ray, HIV, reports also attached. He prescribed tablet Stamlo (5), Zentel (400) 1 tablet, Astyfer XT for 20 days (one tablet per day). Astyfer is running now. I request you to kindly check the attached report and advise me what to do now. Doctor: Hello. From your history, it is obvious that your mother definitely have to go through the operation and remove the uterus. But one thing is that there is nothing I found like ovarian tumor or something like that in USG (attachment removed to protect patient identity). I have seen all the reports except first which is not loading. Because menses normally ceases at around 40 to 45 years of age or sometime it may extent up to 48 to 50 years of age. So if your mother is menstruating up till 52 years of age with USG suggestive of fibroid uterus with adenomyotic changes, your mother must have remove her uterus and send for examination that whether there is carcinoma or not. And if not then nothing to worry. And if positive then may need another operation or chemotherapy. In your mother's case if carcinoma is there, there is more chance that it would be endometrial carcinoma or adenocarcinoma of uterine muscles. I do not know how there is a doubt about ovarian carcinoma. And if there is chance or good reason for suspecting than than your mother must have to do CT scan of abdo pelvis and some other blood test also. Rest of the test which are done is prerequisite for operation. Mostly they will remove ovaries also along with the operation at the same time. Because there is a chance of ovarian carcinoma in future. And during past life and at 52 years of age there is also no role of ovaries remain. Before operation your sugar level and blood pressure should be under control so what they are giving you. And physician fitness and/or anesthetic fitness will required before operation. So better to get it done as early as possible. It is because if there is endometrial carcinoma also than why to give it a chance to grow. It is better that you remove it on first place." + }, + { + "id": 21813, + "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": 27049, + "tgt": "Is my angiography report normal?", + "src": "Patient: Hi doctor, One year ago, I had chest pain. I thought that it is may be due to some excessive spicy food I took the last night and also I did not sleep till late due to some work. So, I just ignored it and left for my work. That day, I had to go somewhere driving myself and I thought it as just a minor chest pain and will go away eventually. Hence, I left with my car driving myself.\u00a0That pain did not go away rather stayed with me the whole day and by afternoon, it became worse. That day I was so busy and I was almost with empty stomach. So, I had some food and thought it would go away. I felt a little better for some time, but the pain was still there.\u00a0At evening, I had to admit to a hospital and they gave me medication like Sorbitrate, etc., but the pain was there. I was not fainted, but I felt that I am going to be. The hospital suggested for ICU and when they were taking me there, I suddenly felt fine. The pain went away out of the blue; I sat up on my bed from lying down and was feeling that I can go running now, just like nothing happened to me.\u00a0Still, doctors suggested an ICU and I got admitted. They did all tests in the next two days and discharged me with a suggestion of an angiogram. I got angiogram within a week and the report came normal.\u00a0Now, my problem is, sometimes I feel very little chest pain, which is usually sharp. But, it is sometimes vague in various areas of my upper body. I do not know what my problem is. Can you please check my reports? That incident occurred one year back and I just recently did some usual basic tests. Please tell me your suggestion. Thank you. Doctor: Hi. I 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, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. You have got a normal coronary angiography report. Nothing found abnormal in it. 2. There is nothing serious seen in echocardiogram attached here. 3. Your blood work done recently has been totally unremarkable and there is no harm seen. No lipid profile derangement to pose a cardiac risk. 4. But, you had supraventricular tachycardia of unknown origin with chest pain one year back. Such a pain is usually seen in young adults who remain busy in their daily life routine. This is the disease of the modern era. 5. People have more stress at work, take very less rest, take little quality sleep, do not exercise, take a junk diet and take less nutritious diets. Fluid and electrolyte imbalances and nutrient deficiency leads to muscular weakness and the ache. 6. Undefined painful chest areas are also a problem with smokers and alcoholics. If you take alcohol, smoke or use any other illicit drug, please try to leave that. I want to run a battery of some tests that are necessary to be done right now. Once you get the reports, upload in a follow up. HBSAg (hepatitis B surface antigen), Anti-HCV (hepatitis C virus), vitamin D levels, vitamin B12 levels, LFTs (liver function tests) and RFTs (renal function tests). 1. I suggest Excedrin (combination of Acetaminophen, Aspirin and Caffeine) daily after breakfast for three days. Then, take it only at the time you feel pain. Try to avoid as much as you can but if unbearable, then it is fine to take. 2. Citrucel (Methylcellulose) dietary fiber supplement. 3. Tablet Surbex-Z - multivitamin once daily and continue for a month. 4. Start jogging; 10,000 steps daily at a healthy pace is your goal. It gives endurance, muscular power and many more benefits. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6157, + "tgt": "Is premature ejaculation related to small penis size?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation and also my partner complains that I have a small penis. Is this related to premature ejaculation? Also, I have a small pimple on the tip of the penis. Kindly request you to advise me on the same. Doctor: Hello. Small penis is not at all related to PME (premature ejaculation). What is the timing, as you mentioned that you are suffering from PME? Then only, I will be able to suggest a treatment. Small pimples over the tip of penis is normal. Also, send details like color, consistency of these pimples, are they painful or causing itching. Kindly answer all these questions, so I will be able to help you better. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24942, + "tgt": "Should we treat high creatinine and low GFR as medical emergency?", + "src": "Patient: Hello doctor, My father has a creatinine level of 286 umol/l and a GFR of 19. Should this be treated as a medical emergency? His symptoms are tiredness, loss of appetite, shaky inside (similar to the feeling of anxiety). He has a history of cancer and radiotherapy. GFR has continued to decline from past five months. Doctor: Hi. Yes, this should be treated as a medical emergency and he should be given admission as per my belief. How are his urine output and blood pressure? Any hiccups or vomitings? For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 24154, + "tgt": "I have reddish brown dots on my ankles. What can they be?", + "src": "Patient: Hello doctor,I am a 26 year old male, very active. I have these reddish brown dots on my ankles. I have had for at least four years now. They are only reddish when they are fresh and then they fade to like a dark brown like color. I also noticed that my ankles were becoming a bit swollen too. I started to take a liver detox pill and that has seemed to stop the swelling of my ankles but the dots on my ankles are still there. Doctor: Hello. This appears to be a pigmented purpuric dermatoses. This is not a life-threatening or problematic condition. Only concern is of cosmetic appearance. We usually do not give any treatment for this. Are you receiving any medicines, or have any allergies, because it can occur due to this as well. In investigations, you should get venous Doppler done to look for venous insufficiency as you are having some edema as well. So we can give stockings if there is any evidence of venous stasis. I suggest applying Betamethasone ointment two times a day for four weeks, which helps in the majority of patients. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. 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": 7900, + "tgt": "I have cold and fever for the past three days. How to get cured?", + "src": "Patient: Hi doctor, I have a fever and cold for the past three days. I am taking Calpol and Combiflam. How can I get cured? Doctor: Hi. You have a viral or allergic upper respiratory tract infection. Calpol and Combiflam (Ibuprofen with Paracetamol) both should not be used at a time. Use only one drug among these two as they are anti-inflammatory and analgesic. You can also take Vitamin C 500 mg twice a day for five days. Do saltwater gargle with warm water three times a day. A decongestant like Levocetirizine can be taken additionally. Avoid excess spicy foods and drink more water. You can investigate your complete blood count (CBC) for further work up." + }, + { + "id": 13107, + "tgt": "What causes swollen and painful lymph node in the throat?", + "src": "Patient: Hello doctor, My right lymph node on my throat is swollen and my throat hurts on the right side but is not scratchy. I have had this for four days with no other symptoms. I was recently on multiple antibiotics for a bacterial infection but am no longer on them. I am female, 19 years old, 115 lbs. Only current medication is a new Mirena IUD. Doctor: Hi. The condition you are describing can be right side lymphadenitis. It most commonly presents with infection of the throat or upper respiratory tract infection. It subsided with minimal antibiotics, salt water gargling, antihistamines, and antacids. But the swelling can be salivary gland swellings too which may present in that region. Kindly send a picture of it so that it will be useful in diagnosing and suggesting you the further treatment." + }, + { + "id": 22260, + "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": 22590, + "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": 31041, + "tgt": "When I eat chicken, egg and banana, why am I vomiting blood?", + "src": "Patient: Hi doctor, I am a female and my age is 19 years. The following are the symptoms I have faced regularly. Vomiting blood, chest pain (middle to back from the right side when I exercise), nausea, dizziness, changes in breathing and rapid heartbeat. If I walk under the sun for 10 to 15 minutes, the chest feels heavy and vomiting starts. The same thing happens when I eat eggs, chicken and banana. I am currently on Avekast-L, Simcobal and Pantakind. Doctor: Hello. I had gone through all the information posted by you. I am sorry that you are going through all these at this age.\u00a0Coming to the question, I will try to help you in a possible manner by giving some differential diagnosis, \u00a0which might be the cause of your symptoms.\u00a0 For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24730, + "tgt": "My fiancee was bleeding after I-pill. Is it periods or due to pregnancy?", + "src": "Patient: Hello doctor,My fiancee and I had sex on the 16th. After two hours, she took an I-pill for the first time. She is not on any birth control pills and she told she got her period on the 25th. I am scared whether it is periods or anything regarding pregnancy because she has a problem of irregular periods. The last period she got was on the 5th two months ago. Please help. I need a good consultation on this. Doctor: Hello. As her period was irregular and the last one was two months ago, it is a bit difficult to predict the chances of pregnancy quite surely. However, I-pill is a very effective medicine to prevent pregnancy. So, considering her irregular period and bleeding, do a pregnancy test first after 14 days of intercourse. And, if negative then repeat weekly for two more weeks. If all three are negative, no pregnancy. Moreover, the chances of her getting pregnant is very less. It is all precautionary to be on safer side. Relax and take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30702, + "tgt": "How to get relief from dandruff?", + "src": "Patient: Hi doctor, I have a problem of dandruff. I have taken treatment and it never worked. I have used Selenium sulfide shampoo as well as Ketoconazole shampoo. After using these shampoos, I used to get relief for a day. But, on the next day, the dandruff again starts falling from my hair. Please help me out. I would be very thankful to you. Doctor: Hi. The causes of dandruff are any of the following. Not enough hair brushing and shampooing, dry skin, chronic seborrheic dermatitis, diet without proper nutrition, mental stress and allergic reaction to any hair or skin care products. The dandruff treatment includes taking care of the above things to not happen. Medical agents such as Pyrithione zinc (fungistatic and bacteriostatic property), Salicylic acid and Sulfur, plain Salicylic acid, Selenium sulfide and Ketoconazole are used to dandruff. Proper water intake and healthy routine to bed prevent generation of extra heat in the body and dryness of the scalp. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12529, + "tgt": "What causes eye redness and swollen cornea?", + "src": "Patient: Hello doctor, Half part of my left eye became red and slightly swollen near the cornea. I tried Ciplox and Ceflox and Festive D, but these are not working. There is no pain or no blurred vision, I have itchiness and allergy. Please suggest some eye drop for red-eye and itchiness. I shall be highly thankful to you. Doctor: Hello. The main symptoms of allergy include itching and redness as you mentioned. Festive D drops will be more than enough to treat any eye allergy. Festive D can be used four times a day for 4 to 5 days. On the other hand, if you are having lots of sticky discharge from your eye, especially if your eyes stick together when you wake up after sleep, it suggests that there is an infection. In the latter case, seeing an ophthalmologist is best." + }, + { + "id": 8528, + "tgt": "Is it normal to pass a fist-sized clot while on birth control pills?", + "src": "Patient: Hi doctor, I have been cycling on birth control pills for about four months. My gynecologist told me that if I experience spotting, I should stop taking the pills for three or four days to let everything come out, and then start back again. I experienced some pretty heavy spotting. So, I decided to do this. I am on my third day of not taking the pill and for the past couple of days, I have experienced what seems to be a period. There was some brownish-red discharge and little cramps. But, today my cramps were unbearable and, I just passed a clot the size of my fist. Is this normal for someone who has not had a period in four months? What should I do to fix this? I planned on taking the pill again tomorrow as it is the fourth day. I had always had a heavy period previous to taking the pill but, never experienced too bad a cramps nor passed a clot that big. Please let me know if you can help. Thank you. Doctor: Hello. How are you doing? Do not worry. What you are having is the expulsion of the thick endometrium lining of the uterus. As days have passed without the shedding of the lining, the thickness of the endometrium has been increasing, which has to fall off one day. When you take the birth control pills, this thickness will not only slowly increase but, it also loses the water content in it. This makes the lining dark red or brown colored, fleshy, and it will come out in the shape of the uterine cavity en mass. As your cervix is still narrow (it dilates only after a vaginal delivery), the expulsion will be painful. It will not trouble you anymore as the thickness would have come out completely.You can take any of the painkillers, and that would be more than enough. I would always advise you to have a period, once a month and never delay it by more than 45 days. In that case, the thickness will be lesser, and so will the bleeding and the pain. So, I suggest you have the birth control pills cyclically, I mean, without break for 21 days. Then depending on which birth pill you are using, either stop the pills for seven days or continue with the dummy or inactive pills. During these seven days, you will have your periods. But, irrespective of whether you have periods or not, start the next packet from the eighth day. Keep taking it cyclically this way and your periods will never be a problem. Until the age of 21 years, the hormonal axis between your brain, pituitary, and ovary is not mature. So, your cycles will not be perfect. Once this axis is matured, you will have no problems. 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": 17387, + "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": 15382, + "tgt": "Can I have a fast recovery in MS if I use steroids?", + "src": "Patient: Hi doctor, I was diagnosed with MS last month. I had severe dizziness before three months, and I got bed bound. The next day, my head became heavy, and I was unable to move it off from the pillow. I had an unsteady feeling on my foot. I was able to sit, and I got pulled back with a sensation on my head. I have enclosed my latest MRI report. Please help me. Doctor: Hi. I have gone through your MRI report (attachment removed to protect patient identity). It indicates a new exacerbation of MS (also called relapse). As there are new plaques on your MRI which are enhanced by Gadolinium, I would recommend hospitalization and short-term treatment with a high dose of intravenous steroids. It is also essential to have a modifying therapy (Interferon, Copaxone, Fingolimod) to stop the progression of the disease and to prevent further relapse. Regarding your actual clinical condition, you should be patient, and this is a temporary condition. I am sure that your situation will improve in the next few weeks (this is the normal evolution of the disease). There is no reason to get panic for the moment. You should be optimistic, as your humor has a strong implication on your clinical situation too. In the meantime, I would also recommend trying Dimenhydrinate or Meclizine to improve vertigo and the dizziness. Physiotherapy performed by a specialist also helps." + }, + { + "id": 15025, + "tgt": "What can be done to remove excess iron from heart and liver in a thalessemia patient?", + "src": "Patient: Hello doctor, My brother is a Thalassemia major patient. He goes through regular bi-weekly blood transfusions. He has been also taking one Desferal injection on daily basis. Recently T2 MRI scan was done for him which shows a severe amount of iron in heart and liver. I need your expert advice on chelating iron from heart and liver. Please suggest. Doctor: Hello. Sorry to hear about your brother condition. To treat chronic iron overload in the body due to thalassemia major, he can be given an intravenous injection or subcutaneous infusion of Desferal. Usually, in such case, 1 to 2 gm daily dose of Desferal might be needed. The only thing can be done for such iron overload due to thalassemia is Desferal injection or subcutaneous infusion. There is no other specific treatment for such iron overload apart from Desferal. You need to visit hematologist or trained pediatrician nearby for Desferal therapy. Unfortunately, no other treatment option apart from Iron chelators is available." + }, + { + "id": 4904, + "tgt": "What does my mother's medical report reveal?", + "src": "Patient: Hello doctor, I want a medical opinion for my mother who is diabetic for the last 26 years. Please guide. Doctor: Hi. Revert back with the reports and details asked to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27265, + "tgt": "Can you give me a custom meal plan for weight gain?", + "src": "Patient: Hello doctor, I am a 23 year old\u00a0male, slightly underweight for my height. I believe I eat enough to satiate my appetite but, I still do not gain weight. The quality of my food is good too but, I am just worried about the distribution of nutrients, that is if I am taking a balanced diet or not. I am taking anti-hypertensives. Doctor: Hello. For more information consult a nutritionist online --> https://icliniq.com./ask-a-doctor-online/nutritionist" + }, + { + "id": 29424, + "tgt": "What could be the reason for increased heart rate of my pregnant wife?", + "src": "Patient: Hi doctor, My wife is 34 weeks pregnant. She has known tachycardia and had an unsuccessful ablation at 11 years old. Around six weeks ago, using pulse oximeter I have at home, I noticed her resting heart rate had dramatically increased. It went from an average of around 100 to around 130 and 140, sometimes 123. She has just had a 48-hour tape fitted today, and amazingly her heart rate has now dropped to an average of 95. She has not been stressed about her heart, so it cannot be that reason why all of a sudden it has dropped. What could be the cause of this? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3730, + "tgt": "My Bilirubin total - 2. 2, Bilirubin Direct - 1. 5, SGPT - 4548, SGOT - 4153", + "src": "Patient: Dear doctor, Here is my lab report: Bilirubin total: 2.2 Bilirubin Direct: 1.5 SGPT: 4548 SGOT: 4153 I have taken drip and injection for nausea.\u00a0Now nausea has been cured.\u00a0I have only abdomen pain now, and my fever has been cured before three days.\u00a0Color of urine is yellow and color of stools is white. Also my constipation is still remaining. What shall I do now? Please give your opinion. Doctor: Hi. For further queries consult a gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12431, + "tgt": "Will consuming lemon frequently corrode my teeth?", + "src": "Patient: Hello doctor, I have eaten lemons all my life and now have no enamel on my front two teeth. It is not painful but it looks awful and feels bumpy and I am scared they will eventually corrode. Doctor: Hi. Please quit your habit of eating lemon to prevent further erosion of enamel in other teeth. Rinse your mouth after taking an acidic beverage. Get IOPAR of 11, 12, 21, 22 (if upper jaw teeth are involved) or 31, 32, 41, 42 (if lower jaw front teeth are involved). Treatment for eroded teeth will be composite veneer or RCT followed with capping. Habit of taking citrus food. IOPAR of 11, 12, 21, 22 (if upper jaw tooth involved) or 31, 32, 41, 42 (if lower jaw front tooth involved). Abrasion, chemical erosion. Erosion. Treatment for an eroded tooth will be composite veneer or RCT followed with capping. After taking an acidic beverage, please rinse your mouth." + }, + { + "id": 2157, + "tgt": "Please suggest the best remedy for back pain", + "src": "Patient: Hi doctor, I have been battling with back pain since a year. I associated this pain with a kidney stone which\u00a0I had for a couple of years. I had a ureteroscopy, crushing and removal of the stone a month ago, but however\u00a0the back pain still persists. An x-ray done today is attached. I had some back pain before two years due to herniated disc.\u00a0I have undergone bariatric surgery for weight loss. My weight today is 113 kg. Five months before, during the gastric bypass surgery my weight was 145 kg.\u00a0My worry is that I cannot exercise or walk long distances. As soon as I walk for 5-10 minutes the back pain is terrible and I need to either sit and rest the spine or press and stretch my back to get some temporary relief. The pain is quite unbearable. I current taking Ultracet and Myoril 8.\u00a0Please do suggest the best remedy to enable me to become pain free at the earliest. Doctor: Hello. I have gone through the investigation reports (attachment removed to protect patient identity). 1. MRI of dorso-lumbar spine with extension to LS junction. 2. X-ray LS spine (lateral flexion and extension views) to look for the amount of instability at L4 - L5 level. Revert back with the investigation reports to a spine health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 10329, + "tgt": "Does itchy red pink rashes mean candidal balanitis?", + "src": "Patient: Hello doctor, I was diagnosed with candidal balanitis and wanted a second opinion. I have itchy red and pink rash. No open sores or lesions. I had this a month ago and after Diflucan for 14 days it went away but came back this weekend. Doctor: Hello. I understand your concern. 1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care." + }, + { + "id": 2713, + "tgt": "My partner gets white jelly-like substance with blood clots during period. What could it be?", + "src": "Patient: Hi doctor, My partner is on her periods and yesterday was her third day and she notices some white jelly kind of thing coming out with blood clots and today also this happens. I have pictures but I do not know where to attach it. I am trying to sign up also, but I am not getting the option. Please let me know how I can send the picture or how can we communicate further? Doctor: Hi. White discharge can be normally also. And it can be after intercourse also. If there is no burning, itching or foul -melling of discharge than no need to worry. Vaginal infection can happen routinely if you do not follow some precautions. If the discharge is increasing or have urinary burning than have to do some investigation and antibiotics accordingly. Do drink more water so that urine should be clear. Keep the vaginal area as dry as possible. Change pads more frequently during menstruation. Eat healthy and less oily and less spicy food. Do urinate and clean the vaginal area immediately after having intercourse. Do follow these precautions and discharge should go down. Normal white discharge can be due to stress also. In the photo the discharge looks like normal (attachment removed to protect patient identity). But if foul smelling then tell. If you have more doubt and thinking of bacterial vaginosis then you can take Metronidazole 400 mg tablet twice daily for seven days. But I think if no other symptoms then it is not required. Do drink more and more water to clear the minor infection." + }, + { + "id": 14960, + "tgt": "Kindly explain the tests and precautions to be taken for HIV after unprotected sex", + "src": "Patient: Hi doctor, Yesterday night I had sex with some unknown person. While doing sex my condom got tear and I had removed my penis at the same time and I had lip lock kiss too. I am scared of HIV, could you please guide me what all the precautions I have to take and what all tests I have to take to get to confirm that I have not got infected with any virus. Doctor: Hi. As I can see that the episode is recent in time, I would suggest you use post-exposure prophylaxis (PEP) as early as possible within 72 hours of exposure. The chances of HIV transmission are related to the status of your partner and viral load of partner (if she is positive). In general, transmission is very low that is 1 in 10000 contacts with protection, as I can see that there is a break in the condom, it is wise to start PEP. You need to wait at least two weeks for the tests and you can get fourth generation HIV test and DNA PCR test for confirmation." + }, + { + "id": 13709, + "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": 13036, + "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": 22044, + "tgt": "My embryo line has increased from 5. 2 to 5. 9. Am I pregnant?", + "src": "Patient: Hi doctor,I am a 34-year-old lady. Trying to conceive. I had a follicular study. On ninth day, my right ovary size was 7 mm and left was not developed and on 11th day scan, it is showing the same values. But my embryo line has increased from 5.2 to 5.9. What does it mean? Am I pregnant or not? Please tell me. Doctor: Hi. Since the size of endometrial thickness has increased and the size of the ovary follicle has increased, there are chances of pregnancy. Try during your fertile period which is between 12 to 24 days of your periods. Get started with Folic acid supplements. 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": 19131, + "tgt": "Can HPV be transmitted by kissing?", + "src": "Patient: Hi doctor, I have a few warts on my leg and a barely noticeable wart on my penis. My doctor said that they look\u00a0like HPV. He advised me to apply antifungal\u00a0and\u00a0steroid cream and\u00a0wear condoms. The cream\u00a0was not very effective even after four days. Can it be something other than HPV?\u00a0Will condoms prevent it from spreading it to a partner?\u00a0Will it get transmitted by kissing? Doctor: Hello. For further query consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 646, + "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": 25414, + "tgt": "What diet can be followed to help lower cholesterol?", + "src": "Patient: Hello doctor, I am having a high borderline cholesterol. Can you suggest me a diet chart? I have attached reports herewith. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Your weight is on the higher side that is one of the reasons for high cholesterol. Here are a few nutritional tips: Please feel free to contact again for any further help. For more information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 26422, + "tgt": "How can dental plaque and sore gums be treated?", + "src": "Patient: Hello doctor, My gums are feeling sore. There is also a very bad building of plaque.\u00a0Basically, I have a\u00a0phobia of the dentists and I have a\u00a0very bad plaque on the bottom of my back teeth.\u00a0Previously I have had fillings on the back of my teeth.\u00a0I now can feel a part that is about to fall and I am scared that I may lose my teeth. Please help. Doctor: Hello. Wish you good health and happiness. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21992, + "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": 19964, + "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": 26365, + "tgt": "What medicines can be taken for excessive sweating and light headache?", + "src": "Patient: Hello doctor, I am a 27-year-old male. I have been having light headache, weakness, excessive sweating, and internal heat for a month now. I went to do a Widal test and my result was typhi 160++. I was given a pill at the hospital called Ciprobay which I completed the dosage but I am still feeling the symptoms. So, I took Ceftriaxone and an antimalaria injection and I am still feeling the same thing. I also took\u00a0drips of Flagyl, Ciprofloxacin, and glucose infusion with which I feel somehow different for those days. I am finishing the Ceftriaxone but I am still having the symptoms now. Doctor: Hello. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2520, + "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": 4977, + "tgt": "How to cure vocal folds swelling?", + "src": "Patient: Hello doctor, I am suffering from vocal folds swelling. I feel my voice is too low. Local ENT specialist advised me to take steam through mouth. Please help me out. Doctor: Hi. 1. Take plenty of fluid intake orally. 2. Take absolute voice rest. 3. Have steam inhalation. 4. Take capsule Rabeprazole 20 mg once a day. 1. Avoid spicy and fried foods. 2. Avoid frequent throat cleaning. 3. Avoid shouting, screaming, whispering and lengthy conversation. For further information consult an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29704, + "tgt": "I am going on losing weight after shifting to hostel. Shall I take some supplement?", + "src": "Patient: Hi doctor, I am doing my college first year now and living in a hostel. While in my home, my health was good and I had even joined a gym for bodybuilding. After going to hostel, I only ate food given in the mess and sometimes, snacks from outside. After two months, I returned home and everyone was shocked as my weight has reduced and even my face had shrunken. Now it is five months after joining college that I am back home and my condition, according to family is worse than before. I cannot expect my hostel mess to serve me rich food to gain weight neither I will have the money to buy eggs, fruits and milk from outside every day. So, I was thinking to go for some mass gainer or protein powder supplements as I also wanted to resume my workout, which I have not started here because of my deteriorating health. So, I wanted to consult whether I should buy some supplement. Also, advise me the product as I am really worried about my weight. Doctor: Hi. For further information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 14475, + "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": 23637, + "tgt": "What is the relationship between TAPSE and S' velocity?", + "src": "Patient: Hello doctor,I recently had an echo and my TAPSE was only 1.8 cm. My RV S' velocity was 16 cm. They said the right ventricle was normal in systolic function and size. I read online that a TAPSE of less than 2 cm is abnormal. I am concerned about the value. Doctor: Hello. Different sources give different values. But a value of 18 is definitely normal. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20610, + "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": 27146, + "tgt": "Can the axial length of the eye be decreased by 0. 2 mm?", + "src": "Patient: Hello doctor, For a military medical\u00a0test, I want to\u00a0decrease the\u00a0axial length of my eye by 0.2 mm.\u00a0Can the\u00a0axial length of the eye be decreased by 0.2 mm temporarily just for an eye checkup? I had myopia, but I got a LASIK done, so now I have a perfect vision. Doctor: Hi. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9874, + "tgt": "How can I manage anxiety with stress?", + "src": "Patient: Hello doctor, I have anxiety disorder for 12 months and all day I feel stressful. Please suggest some medicine to help me. Doctor: Hello. For anxiety disorder, best long term therapy is regular pranayama practice and yoga practice. Please join for yoga and pranayama to nearby place. Second, in diet, reduce spicy salt and sour taste foods, all these foods will increase pitha (anxiety). Consume jeera water or jeera powder four times in a day. Further you can visit nearby ayurvedic or siddha physician for further evaluation. The root cause has to be identified for psychological councelling and medication. If required you can take help from allopathic psychiatrist too. Changing the lifestyle and diet along with minimal medication will solve your problem." + }, + { + "id": 12522, + "tgt": "What are the symptoms of Zoon's balanitis?", + "src": "Patient: Hello doctor, I have a severe infection on my penis head which I suspect (also confirmed by a doctor) to be Zoons balanitis. The infection has been for a year now. I am circumcised and this infection has been recurring for the past six years in the same area. The infection has eaten off whole skin on my penis head and also blocked my urinary opeing. It is so painful and burns when I pee. I have been applying a Fucibet cream for seven days now and also taking antibiotics prescribed by a Dermatologist but no improvement. I do not know what to do. I have been to various doctors including Urologists. They have done biopsy and results came back negative on cancer cells. I have tested positive for herpes and MRSA. Please help. Doctor: Hello. Can you send a picture of your lesion for proper diagnosis and treatment? Please avoid application of steroids over the area. It is good that you are circumcised." + }, + { + "id": 30800, + "tgt": "Kindly clarify my CT scan reports of lung nodule", + "src": "Patient: Hi doctor, For lung nodules, in the last three years, I had three scans with different radiologists.\u00a0I would like to get it checked by one radiologist for any actual growth\u00a0or changes that would indicate cancer. Does the lung nodule getting bigger? Due to my low platelet count, a lung biopsy is more dangerous for me than for a normal person. Kindly help. Doctor: Hi,\u00a0 Welcome to icliniq.com. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 3446, + "tgt": "Why does my penis hurt though all STD tests are negative?", + "src": "Patient: Hello doctor, I had sex with a lady and after three days my penis gets pain a lot in the night. I cannot sleep much in pain. After one week I checked with the hospital, they give me antibiotic medicine but there is no relief. I have done my HSV 1, HSV 2, VDRL, and HIV test. All test are negative. Now one year has gone, still, I have pain little inside the urine pipe when I go for urine and on the tip of my penis a red dot appears. On applying Candid cream the red dot goes away but when I stop applying the cream again that red dot appears. I am also taking AF-150. I am sending you my picture. Please help. Doctor: Hi. I have gone through your history and reviewed the attached photograph. (attachment removed to protect patient identity). According to me, there are two possibilities, one is candidal balanoposthitis and the other is herpes genitalis. Since you have mentioned that your HSV 1 and 2 tests (herpes simplex virus) were negative then chances of candida infection is more. But I would recommend you to repeat HSV 1 and 2 tests again to rule out herpes infection. As far as treatment is concerned, wash the affected area with water only and keep it as dry as possible. Apply Sertaconazole cream on the affected area twice daily for at least two weeks and take tablet Fluconazole 200 mg twice weekly for two weeks. You can revert back to me after two weeks. Candida infection, Herpes infection. ELISA for HSV 1 and 2. Candidal balanoposthitis. As mentioned above. As mentioned above." + }, + { + "id": 22917, + "tgt": "I am suffering from penile infection with pain and burning. Please suggest medicines", + "src": "Patient: Hello doctor, I am suffering from penile infection/balanitis for almost three months. This is occurring every week once or twice but it is disappearing after two to three days and coming back again. Initially, my symptoms were: Itching. Redness around the head of the penis. Swelling under the foreskin, and around the penile head. Small red tips on the head of the penis. Burning sensation. White/thick fluid discharge. Little discomfort during urination. But now, along with these, I am experiencing pain and more burning sensation. Please suggest some medication to get rid of this disease. Doctor: Hi. From your description, you are suffering from balanitis. It can be due to irritation from soap or other products that you are using to wash that area, or it can be due to a fungal infection. I would like you to check your blood sugar. Discontinue the use of soap and other perfumed products, wash the area with warm water and keep dry. I suggest using Clotrimazole solution every night daily at bedtime. Follow up in two weeks. Revert after two weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3607, + "tgt": "Will aposthia condition naturally mimics circumcision?", + "src": "Patient: Hello doctor, I was born 14 weeks premature and was told that do not circumcise that young. I believe I have a condition called aposthia, but I need help in identifying what it is? Doctor: Hello. I have seen images sent by you. (attachment removed to protect patient identity). Aposthia is the absence of skin covering glans. In the flaccid state, there is definitely a skin covering your glans. In erected state definitely glans skin gets pulled behind the coronal sulcus. So I do not think you have any abnormalities." + }, + { + "id": 12534, + "tgt": "What does hyperintense focus subcortical white matter of right frontal lobe in MRI mean?", + "src": "Patient: Hello doctor,MRI results say small hyperintense focus subcortical white matter of right frontal lobe is seen, right parasagittal in position, this measures no more than 3 mm and is found in isolation. A gliotic focus is favored. I have an appointment with a neurologist but in three months. Please help me understand what this means and what are the possible diagnoses. Doctor: Hi. See this report needs clinical co-relation (attachment removed to protect patient identity). So, I would need to know that for what basic symptoms were this MRI performed?" + }, + { + "id": 3705, + "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": 4091, + "tgt": "Can taking I-pill on 3 alternate days cause vomiting?", + "src": "Patient: Hello doctor, My friend had an\u00a0intercourse\u00a0and after which she took an I-pill. After 10 days, she had her period.\u00a0It started yesterday and stopped. Now, again it started and she is vomiting whatever she eats.\u00a0She is feeling dizzy and weak. Please suggest some way to overcome this. Thank you. Doctor: Hello. You have not mentioned after how many hours of intercourse your friend has taken I-pill. And secondly, she had bleeding after 10 days of I-pill. To come to a conclusion we should know on what date of her cycle she had sex and when I-pill was taken. Revert back with the asked details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20892, + "tgt": "Are my spirometry results showing asthma or COPD?", + "src": "Patient: Hello doctor,Do my spirometry results tell you anything? Are they below normal? I am a male 175 cm, 83 kg, 39 years old. I sometimes have shortness of breath. Doctor: Hello. Post-bronchodilator FEV1/FVC is less than 70. FEV 1 is more than 80 (attachment removed to protect patient identity). No reversibility indicative of asthma in the post-study. It seems to suggest mild COPD (chronic obstructive pulmonary disease). It also correlates with your symptoms. Were you or are you a smoker? It would be better if I could have the image of the actual spirometry report." + }, + { + "id": 23538, + "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": 30396, + "tgt": "Could stress cause post-hysterectomy bleeding?", + "src": "Patient: Hi doctor, Five weeks ago, I had a hysterectomy along with uterus, cervix and fallopian tubes. I am experiencing light pink to red vaginal bleeding after dealing with high stress at work. I just had my second follow up with my doctor. She said that my stitches are intact and everything appears normal. I have been working from home, but have an extremely high stress in career. Could stress be the cause for my bleeding? My hysterectomy was due to excessive bleeding, which they attributed to fibroids. Can this high stress career actually continue to make me bleed? I also have cramping, which is very similar to the cramps I had during regular menstruation. My doctor also had no explanation about the bleeding. Please help me. Thank you in advance for your time. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23789, + "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": 22037, + "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": 11591, + "tgt": "How to go about the treatment in a patient with chronic cough?", + "src": "Patient: Hi doctor, My mother underwent gallbladder surgery 10 months ago. From past 3 months she started having chronic cough. She tried many home remedies. She did not recover completely. I took my mother recently for a health checkup. As I suspected the chest report was not absolutely fine. But, the doctor was not at all concerned about her cough and said everything is normal. Why is it so? I want to know what is the meaning of this x- ray report and what should be our next step? Presently she is under medication for thyroid as well as diabetes. I have attached her reports. Kindly have a look at them and suggest how to go about the treatment. Thank you. Doctor: Hello. Thanks for choosing this platform. As you said your mother is having chronic cough 4 months after surgery. It can be just coincidental finding as her x-ray (attachment removed to protect patient identity) is showing prominent basal vascular markings and cough can be aggravated by surgery. The x-ray findings are suggestive of interstitial lung disease called lung fibrosis which can be confirmed only after HRCT (high-resolution computed tomography) scan of chest. So at the earliest, I advise you to do HRCT scan of chest to rule out IPF (idiopathic pulmonary fibrosis). Once the diagnosis is made, treatment can be started accordingly. IPF or lung fibrosis is a chronic and progressive condition. So, diagnosis should be made as early as possible.Talk to your pulmonologist regarding further investigations and treatment. He will guide you better as frequent follow-up visits are required for monitoring the disease. Autoimmunity. HRCT chest to rule out IPF. Interstitial pneumonia. IPF (idiopathic pulmonary fibrosis). 1. Steroids 2. Immunosuppressants. Strict control of BP and blood sugar is a must." + }, + { + "id": 11497, + "tgt": "What can I take for bacterial infection in my gums?", + "src": "Patient: Hello doctor, I have a bacterial infection in my gums because of my wisdom teeth coming in. I have taken Clindamycin and Motrin but it does not work. Doctor: Hello. Gum infection can be due to a number of reasons like tooth infection or cavity, abscess, etc. If Clindamycin is not working, I suggest taking Amoxicillin 500 mg twice daily for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Along with this, start with some warm saline gargles at least five to six times a day for a week. Hope this helps you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24113, + "tgt": "My Agatston score is 34. Please suggest what has to be done", + "src": "Patient: Hello doctor, I am 39 years old male. I weigh 185 pounds, height is 5.7 feet, and BMI 29. Recently my primary care doctor had a calcium score and stress test done on me and the calcium score (Agatston method) came out 34 and he said I am in the 96th percentile. My stress test was normal. He suggested I should take a statin and Aspirin daily. I am worried about the situation. Please, can you suggest? Doctor: Hi. Since your stress test is normal, and the calcium score is only 34, one thing is certain that at present there is no significant blockage in your coronary arteries. I was wondering what is the need for a statin, you have not shared your lipid profile report with me. Is your cholesterol high? If it is normal, then I would not advise statin. As far as Aspirin is concerned, so there is no harm in taking it as a primary prevention. For more information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1276, + "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": 26150, + "tgt": "I feel like all my teeth are loose and going to fall out. Can this issue be reversed?", + "src": "Patient: Hi doctor, I used to have bruxism (now I do not because I wear a mouth guard) and now my gums are receding. It feels loose and worn out and I cannot even eat soft foods without it feeling wobbly. I cannot even speak properly because I feel like my teeth are going to fall out. Are all my teeth going to drop out? I have booked a dental appointment for next week but I am afraid it is too late. I am so anxious and worried.\u00a0This is causing a major problem for my everyday life and I cannot speak, eat or function properly anymore. Are there any ways to reverse this issue or any instant cure so that I can go back to living a normal life? Please help me. My current medications are Magnesium vitamins and Corsodyl mouthwash. Doctor: Hello. I have been through your query. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 22939, + "tgt": "I felt someone prick me with a needle. Do I need tests for HIV?", + "src": "Patient: Hi doctor, On the 8th, I felt someone prick me with a needle. Later, I was confused whether it was a needle or his nails. I am so worried from that time, that I may have HIV infection due to this. I have done rapid antibody test on the 60th day and it was negative. Next, I went for CMI (Chemiluminescence) duo (Ag/Ab) test on the 78th day and it was nonreactive. Then, I had some symptoms. So, I was more worried and again on the 92nd day, I went for CMI duo (Ag/Ab) test and it was nonreactive. Please suggest if any further test is required as I am confused. Doctor: Hello. An HIV screening test is considered conclusive at 12 weeks from a possible exposure. So, if your test is negative at 92 days after a risky exposure, it is conclusive. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15281, + "tgt": "How to gain weight through ayurvedic treatment?", + "src": "Patient: Hi doctor, I fell sick seriously before 13 years. I have lost my weight after that. It was due to sunstroke, and I am facing digestive issues after having it. I have a heaviness in my chest. I consulted a doctor and checked it. There was no infection. I find difficult to gain weight after having digestive problems. Please suggest me a permanent cure. Doctor: Hi. I can understand your concern. You are thinking in the right way. Indigestion may affect weight gain. Your lifestyle, food habits and lack of physical activity may cause indigestion, and it leads to acidity. Take the following ayurvedic medicines and follow these instructions. Take Chitrakadi Vati (Chitraka with Vida Lavana) two tablets and chew it before food. Take Avipattikar Churna (Trikatu with Haritaki) three grams with Kamadugha Rasa (Amrutha satwa with Svarna Gairika) one tablet twice a day after meals. Take Drakshasava 15 ml (Draksha with Lavanga) twice a day with an equal amount of water half an hour after meals. Take these medicines regularly for one month. Avoid eating spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Do regular kapalbhati, Mandukasana, and pranayamas like anuloma vilom and Nadi shodan. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 17615, + "tgt": "Is there any cure for hearing loss?", + "src": "Patient: Hello doctor, I am 27 years old. My weight is 45 kg. I have lost my hearing ability in both the ears. My problem first started before seven years. I showed this case to some ENT doctors. Finally, my condition is declared as SNHL. However, let me express the actual descriptions or symptoms of my problem here now so that I can get possible help and advice from experts here. There is always a loud sound mixed with ringing in the ears. The pitch of sound does not remain the same. Sometimes, increases (high pitch) or decreases (low pitch). However, it is continuous and that continuous sound hinders me from understanding the speech. Consonants become blurred to me due to such irritating sounding or ringing. I cannot distinguish sounds regularly. It is irritating and disturbing. The right ear is more affected and the problem is increasing gradually. I had observed one fact that on inserting drips through my veins in hand (when I was hospitalized) that continuous sounding had stopped for a while and so I felt normal. What inference can be made from the incident? Please\u00a0help. Doctor: Hello. You seem to be suffering from sensorineural hearing loss and associated tinnitus. Whereas the SNHL is permanent, if it were addressed itself initially, then it could have been reversed. Now, the issue seems to be of tinnitus that is bothering you the most. For the management of tinnitus, we have some medicines. These treatment options are worth considering. Many patients have obtained variable results and improvements using these measures. A 100% improvement is hard to achieve, though, but reasonable development giving significant relief from tinnitus can be achieved. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 5927, + "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": 18195, + "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": 29520, + "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": 6093, + "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": 572, + "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": 7139, + "tgt": "Kindly advice homeopathic treatment for urticaria", + "src": "Patient: Hello doctor, I have urticaria problem for the last 20 years. Initially, it started from the foot for two years then hands, now the whole body. I take Cetzine on SOS. I feel allergic once in a week, sometimes twice a week. I have digestion related problems and take antibiotic medicines when feeling diarrhea or pain. Please prescribe homeopathic medicines for urticaria treatment. Presently, I am undergoing bilateral kidney stones RIRS treatment. So please advise medications accordingly. Doctor: Hello. I will suggest you medicines soon. Your complaints are chronic, so it will take time to get cured completely. I need the following details. 1. When your complaint increase and decrease? 2. Is there any itching or burning sensation? 3. Any pictures of rashes or redness? 4. Does any food or weather cause it? 5. Do you have any other health issues? 6. Respiratory or joints related? 7. Do you have perspiration? 8. Is your sleep normal? 9. Are there any gastric issues? 10. Do you have excessive thirst? For a complete cure, I need details and follow-up." + }, + { + "id": 5464, + "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": 11662, + "tgt": "Can eye power be reversed by eating carrots and vitamins?", + "src": "Patient: Hello doctor, My son is 8.11 years old. He had an eye injury one week before, which caused left eye corneal epithelial defect (3 mm, no infiltrate). He was adviced for constant use of single vision white glass. His reports are, Right eye (SPH=+0.00), (CYL=+0.75), (AXIS=95), (VISION=6/6). Left eye (SPH=+0.00), (CYL=+0.25), (AXIS=90), (VISION=6/6). Does he need to wear glasses? Or eating a carrot, beetroot will help him to be normal? Doctor: Hello. I understand your concerns and have gone through your son's eye records. I can confirm that the power given cannot be reversed by eating carrots and vitamins. This type of power is called a cylindrical power, and if he does not wear the glasses, he can develop weakness of his optic nerve in the long run, along with short term effects like blurred vision and headache. A drug called Low-dose Atropine in a way can be used to control eye power in children and halt progression but it is only tested in minus powers and not in plus powers. My suggestion is to advise him to wear glasses regularly and follow-up with the ophthalmologist every six months. I hope this helps you." + }, + { + "id": 9904, + "tgt": "I had miscarriage and ectopic pregnancy in the last six months. Is it endometriosis?", + "src": "Patient: Hi doctor, I am recently trying to get pregnant and in the past six months, have had a miscarriage and an ectopic pregnancy. I am wondering if there is a chance I have endometriosis. I am wondering this because I have no other risks/causes that could have caused the ectopic. There is no chance I could have an STD because my husband and I both waited until after we were married. I am young, just 29. I have never smoked, had an abortion, had fertility treatments, or have had surgery. I also do not have an IUD. Do you think the chance I may have it is big enough that it should be brought up with my gynecologist? I forgot to mention I have had one successful pregnancy two years ago. Also, I recently had a Pap smear two months ago and everything was normal. I have never had a bad result from a Pap smear. When it comes to symptoms, it is tricky because I feel they are very similar to menstrual cycle symptoms. I do have painful cramps on the heaviest day of my period. The cramps last for a couple of days. I have bad mood swings and bloating. I do have painful intercourse more recently. It always hurt occasionally in the past, but recently it is much worse. I also have spotting right before my period and right after. Doctor: Hi. How are you doing? From your history, the only problem I feel is the problem which could happen to the tube. Your history of having a tubal pregnancy and severe pain during sex, that is dyspareunia, means that there is some problem which is happening around the uterus and the tubes. So, it could be endometriosis or could be a pelvic inflammatory disease. It need not always be an STD (sexually transmitted disease), it can be common pelvic inflammatory diseases (PID) too. You definitely have a good chance to get pregnant, keeping in mind your previous pregnancy and history of tubal pregnancy. If I may suggest: I would give more chances for infection. Infection can cause the embryo to get stuck in the tube (ectopic), unhealthy implementation in uterus and miscarriage and also severe pain during sex. Also, it is associated with vaginal discharge and itching after sex and around periods. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2086, + "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": 249, + "tgt": "I think I have tinnitus and I am scared to visit a doctor. What to do?", + "src": "Patient: i have a problem in my ears that always used to sound at night and i get distracted i think i have a tinnitus problem and still now i didn't visited to a doctor because I'm afraid to get mri and CT scan because of these reasons i didn't tell to my parents please help me doctor... Doctor: Dear icliniq user, First of all Stop worrying ,start acting today. Relax yourself . Tinnitus can be due to many reasons. simple ear wax deposition to chance of tumor. So don't predict of any severe underlying cause behind the tinnitus that you are suffering from. Are you listening to loud music through earphones for long time? Do you feel pressure in ears ? Few tips will reduce your problem for sure. 1. Avoid noisy situation, don't use earphones, take the calls on speaker mode. 2. Divert your mind from the sound and start concentrating on other environmental sounds. To simplify it use resound relief app (install it from play store) ,there are many collection of natural sounds ,use it in moderate intensity level on speaker mode at night ,put the mobile little distant to the bed. 3 .Stop taking caffeinated drinks( tea,coffee,alcohol )smoking if at all you are taking 4 . Bhramari pranayam (see the video in youtube) start doing in the same way , bee like sound production by closing your eyes ear with hands . Excellent results were observed. 5. steam inhalation and sipping lukewarm water frequently is what you can also try. When you get a time just go for immitance audiometry and puretone audiometry test( Consult with Audiologist) . Share the reports with me.Your valuable Feedback is expected if at all my recommendations helps you in some way." + }, + { + "id": 27159, + "tgt": "There is no ovulation in spite of raising the dosage of Clomid. What to do?", + "src": "Patient: Hello doctor, I have been taking Clomid since early this year. I started with 50 mg and there was no ovulation. So, then I took 100 mg and again no ovulation. Now, I am on 150 mg and according to the OPK,\u00a0I ovulated on the 17th. I know this sounds crazy, but I feel different. I have a pulling pain in my groin, cramps in my back, and boobs are sore. I am not the kind of person to look for signs because I live by 'it is what it is' I have never been pregnant. I am supposed to go on this weekend to get lab work done to see if I truly ovulated but I know I did this time. I know it is too early to test. And I have read that some people just know they are pregnant. I have thought about going to get a\u00a0blood test. I do not know what to do. Doctor: Hello. How are you doing? Hope I have been of help to you. Do write back if 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": 6729, + "tgt": "I am suffering from anxiety and taking Xanax for longer period. Will it cause withdrawal effect?", + "src": "Patient: Hello doctor, I am 51 years old female and suffering from anxiety for decades. Recently it became debilitating, and I ended up in the ER and had an EKG because of heart palpitations. My doctor prescribed me 10 mg of Escitalopram and 1.5 mg of Xanax. The Xanax was supposed to be taken as needed, but I misunderstood and have been taking it three times a day (5 mg every eight hours). After six weeks, the SSRI is not helping much. My doctor has increased the dosage to 15 mg. I took the new dose at night and felt awful nauseous, depressed, and lethargic in the morning. Is this the wrong drug for me, or should I go through the side effects? My goal is to feel well enough to start weaning myself off the Xanax. I have not been able to eat solid food for weeks. Doctor: Hello. Escitalopram is an effective medication for managing anxiety disorder. The usual dose is between 10 to 20 mg daily. You are currently on 15 mg. Side effects can occur commonly in the first two weeks of starting the medication or increasing the dose, and then it tends to settle. Take your medicine after food to minimize nausea. Depression and lethargy can take up to two to four weeks to get better. Taking Xanax (Alprazolam) regularly for more than a month can lead to dependence, and it will cause a withdrawal effect. Consult your doctor and discuss the earliest to gradually taper off Xanax in a safe manner. Do breathing exercises and muscle relaxation exercises." + }, + { + "id": 6166, + "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": 22790, + "tgt": "Please suggest treatment for fever with cold in a baby", + "src": "Patient: Hi doctor,My baby has a fever for five days with between 101 to 103. She is 10 month old. Doctor prescribe Paracetamol, Azithral, and Meftal P. But there is no impact now. She has a fever with a cold. Please suggest. Doctor: Hello. Antipyretics like Paracetamol and Meftal P (Mefenamic acid) are to be given in adequate doses to act effectively. Generally, a viral fever can last for 4 to 5 days and it can present with high-grade fever. Please let me know the weight of the child so that I can advise you exact dose. Do cold sponging of the whole body to decrease the temperature. 1.CBC. 2.CRP (C-reactive protein). 3.Malaria antigen test. For more information consult a paediatrician online.--->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25779, + "tgt": "Why am I having this one-sided head to toe nerve pain?", + "src": "Patient: Hello doctor, I had protected sex with an unknown person. Since then, I feel unhealthy. I feel like one-sided nerve pain and for the first two months felt weakness and now the fifth year is going on. I tested four times for HIV and it is negative. I have also been checked for also herpes 1, 2 and syphilis, VRDL tests and all are negative. What tests should I do for my one-sided nerve pain which is there from head to toe? Kindly help me. Of note, my eosinophils are quite low. Doctor: Hello. I can understand your fear. If you have used a condom while having intercourse then it is less likely to acquire a sexually transmitted infection. You can either have an ulcer over your genitals or pus from your urethra in case of sexually transmitted infections. Since it has been five years now, the chances of you having any infection with no symptoms are very remote. Moreover, you have tested yourself for HIV (human immunodeficiency virus), syphilis, and herpes. All are negative. The only thing which can remain silent and lead to a problem is syphilis. It is called neurosyphilis. Again it should have been picked up in VDRL (venereal disease research laboratory) test. With your history, I do not see any reason to worry about sexually transmitted infection or HIV. But thorough physical examination is necessary to declare you are infection free. I would suggest you visit a venereologist for a physical examination. Regarding your nerve pain, if it is pain restricted to one half of your body, you need to see a neurologist. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 4616, + "tgt": "Is bleeding gum a sign of leukemia?", + "src": "Patient: Hello doctor, I have extreme fear of leukemia after hearing about it through my friend. I read on the internet that leukemia causes bleeding gums. The next day I noticed blood from my gums and was extremely scared. After a lot of tension, I showed elevated WBC of 11800. I was sure that I had leukemia, however, I waited for two and a half months and repeated the CBC. It is 10400. Why is my WBC not getting low? The only symptom I have is my gingivitis. I do not understand what is wrong with me? I also read that cancer causes gingivitis. I am attaching my two CBC reports. Please help to get rid of this tension. Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). Can you tell a few things like do you have any fever or night sweats? Any bleeding from anywhere else? Yes, leukemias cause gum bleeds, but it is not the most common cause. Usually, the cause of gum bleeds is gingivitis, or poor dental hygiene, or vigorous brushing. As the reports are generated by an automatic counter, there is a chance of variation in CBC (complete blood count). If it is not abnormal there is no need to worry. I would advise you to repeat CBC along with peripheral smear. If it is normal no need worry. Usually, in leukemias, you will have low platelets and very high WBC count. As per the above reports, it is not suggesting any serious problem. I would be happy to help if you have any further questions." + }, + { + "id": 17772, + "tgt": "Can I get Naegleria fowleri infection from washing my nose with tap water?", + "src": "Patient: Hello\u00a0doctor, I am in a subtropical state. As I was washing my face a few days ago, I accidentally got some tap water up my nose. Vaguely aware that there might be concerns about the Naegleria fowleri ameba down here, I panicked and then took some bottled mineral water and tried to rinse my nose with it, thinking that that might be more thoroughly purified and wash away anything from the tap water. However, the bottled water ended up going much further up my nose, and it felt the way it used to feel when getting water up my nose in a swimming pool as a kid. That happened a few days ago. I am worried whether either of these water sources (tap and/or bottled water) could have contained the ameba. I have been having some issues with mucus dripping from the back of my nose into my throat, occasionally mild pressure when I swallow, and for the past couple of days I have had a vague headache all day, but nothing intensely painful (it seems to have diminished somewhat today, though perhaps not fully gone away). I am not sure if I should go to an ER for evaluation, or if I should just wait and see if any more characteristic symptoms develop. I have not observed any changes in smelling ability, nor any neck pain; just a mild, vague headache. I know that if one gets the Naegleria fowleri infection time is of the essence, but I do not want to go spend a lot of money and time at the ER just to have them say that they do not see anything yet and to come back if anything changes. Is there a test they could do at this point to determine if an ameba is present, or is that only practicable if an infection reaches a more serious stage? Should I go to an emergency room now or just wait and see what happens? Doctor: Hello.\u00a0 Firstly, do not worry at all.\u00a0Please let me know exactly how many days have passed after the exposure. Also, know these facts: Revert to me when you feel like. Thanks. Have a great day. For further doubts kindly consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25500, + "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": 10931, + "tgt": "Would the surgery to correct undescended testicle cause any side effect?", + "src": "Patient: Hi doctor, My son who is 11 years old now has a undescended right testicle. Ultrasound determined that it was in the inguinal canal when he was 8 years old. We have been waiting for it to come down, but it has not. Does the surgery to correct the testicle improve fertility? Or does it lessen the chance of malignancy? I would like to monitor through ultrasound. I am wondering what your thoughts are on this course of action. Doctor: Hi. I suggest that surgical correction should be done to bring it down as low as possible. Reason being, it permits self palpation of testis for early detection of any tumor. Frequent ultrasound is not feasible or practical to think of. Self palpation can be done every day. Ultrasound cannot be done every day. Surgery is a minor one. If it is already shrunken, in my opinion the surgeon may suggest removal of it. Do not be afraid and go ahead." + }, + { + "id": 27773, + "tgt": "My daughter gets bruises on her legs without any injury. Why?", + "src": "Patient: Hi doctor, This query is regarding my 8 year old daughter.\u00a0She has been constantly getting bruises on her legs.\u00a0We think this bruise occurs automatically and may not be due to injury.\u00a0We have been noticing these bruises for the past 6 to 7 years. It fades away automatically after few days.\u00a0We\u00a0consulted a\u00a0pediatrician, a physician, and a dermatologist. All of them did not\u00a0have a diagnosis. The dermatologist just gave vitamin C tablets.\u00a0We took a blood test during the last time we saw such a bruise mark, on the request of a\u00a0pediatrician. I have attached this\u00a0blood report. I have also attached a\u00a0photograph of the bruise. Doctor: Hello. I have seen the attached reports (attachment removed to protect patient identity). Your description of the symptoms of your child seems to be significant, as the bruises are spontaneous. I would be interested to know the following points. I would be interested in ruling out bleeding disorder, and for that, I need your answers for the above questions. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26114, + "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": 12, + "tgt": "I am 16 years old and having 3 degree scoliosis. Will it stop progressing when I grow further?", + "src": "Patient: Hi doctor, I am 16 years old. I just recently discovered that I have scoliosis. I do not know much about it but I will tell you what I know. My scoliosis currently has only a 3-degree curve and I am pretty confident it is a C shaped curve, although I am not sure. What do you think are the chances that my scoliosis will develop into adulthood? Do you think it will stop progressing once I am fully grown? Doctor: Hello. Before going into the progress of scoliosis, I would like to make you some clarity about the facts on it. 1) The Cobb angle is a measure of the curvature of the spine in degrees. This helps to determine what type of treatment is necessary. A Cobb angle of 10 degrees is regarded as a minimum angulation to define scoliosis. 2) A scoliosis curve of 10 to 15 degrees normally does not require any treatment except for regular check-ups. 3) If the scoliosis curve is 20 to 40 degrees, the orthopedic doctor will prescribe a back brace help to keep the spine from developing more of a curve. 4) More than 45 degrees need correction surgery keeping many pedicle screw and osteotomy to correct the curve. I hope you go for x ray done of your spine and it will be easy to measure properly about the curvature." + }, + { + "id": 20604, + "tgt": "What are the symptoms of sexually transmitted disease?", + "src": "Patient: Hello doctor, Do you know about STD symptoms? I have a few very small pink spots on the head of my penis, and I also have a poison ivy like rash on my arms. I am afraid I might have some kind of STD, even though I have never had any form of sex besides masturbation of myself. Doctor: Hello. I have read your query. I understand your concern. Symptoms of STD depends on the disease a person is suffering from. Most common symptoms with which patients of STD present are: urethral discharge or vaginal discharge, genital ulcer, burning micturition, lymphadenopathy, blisters on the genital area or lips, rash on the skin. These are most commonly encountered symptoms. In case of suspicion, investigations are done depending on the presentation and tentative diagnosis." + }, + { + "id": 15100, + "tgt": "Is the dosage of Advil taken by me adequate for toothache?", + "src": "Patient: Hello doctor, Recently I have been experiencing severe tooth pain and cannot reach a dentist at the moment. Due to the pain, I have been taking Advil. Yesterday I took three Advil, two at once and then waited eight hours to take one more. Today I have taken two Advil every eight hours for a total of six all together. Each Advil is 200 mg, so I was just wondering if I will be okay? I take Albuterol (asthma pump) before a workout or when needed. Doctor: Hello. In an emergency, if you have severe pain and take some painkiller then it is fine for temporary relief. But you should not take it as you have taken. If there is an infection causing your dental pain then your painkiller gives only symptomatic relief, but your dental infection will still be present. Excess intake of any medication (such as painkiller) may be harmful. Many dental pain needs treatment as well as medication. Only medication gives you symptomatic relief. So I recommend you to see your dentist to find out root cause and treatment. Do not take any medication without the advice of a registered practitioner." + }, + { + "id": 21506, + "tgt": "Had Co-Amoxiclav during pregnancy. Will it cause any birth defect?", + "src": "Patient: Hi doctor, I am 20 years old female with a petite body. I am 14 weeks pregnant, and I am worried if my baby can have any anomaly or defect because I did not know that I am pregnant when I took tablet Co-Amoxiclav for my throat infection. It took about seven days to get healed. I was consuming that medicine once a day for a week. This condition happened before two months. Based on my ultrasound, I got to know I am pregnant. What should I do? Is there a possibility for my baby to have any defect when I give birth? Please help me. I am worried. Doctor: Hi. You need to be aware of your last menstrual period date either on a contraceptive or trying for a baby. It is better to share your conditions with your doctor while receiving medications. Tablet Co-Amoxiclav (Amoxicillin with Clavulanic acid) is not very harmful in early pregnancy. It is very uncommon to cause side effects to the baby when used by the pregnant mothers. So do not get worried. You can have Folic acid 0.4 mg daily if you do not have any chronic health issue (like epilepsy). It should be started in preconception to reduce congenital anomaly in babies. Have a scan around 12+ weeks and try to have nuchal translucency to be on a safer side. Similarly, your baby will be checked at 20 weeks for the total body anomalies as usual. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9328, + "tgt": "Why do I have heavy bleeding after sex?", + "src": "Patient: Hello doctor,I am 26 years old. I have seen my period in the second month of last year and miss it up for a further two months. I have seen it again after three months and stopped at the end of that month. But anytime I have sexual intercourse, I will bleed and past lots of blood clots for at least three days and then stop, and I waited for four days. I was good until I had sex again the same bleeding occurs, and there was lots of blood clot. Please help. Doctor: Hello. As there is oligomenorrhoea and your menses have returned after a long time, eight months now, it is essential that the cause needs to be investigated. The likely reasons are PCOS (polycystic ovarian syndrome), Hypothyroidism), or Hyperprolactinemia. You need to get a complete hormonal profile with serum estradiol and serum testosterone levels with ultrasound pelvis to look for ovarian cysts (PCOS). The bleeding post intercourse is likely due to cervical erosions, which can cause bleeding and hence, a per speculum exam with a Pap smear is necessary as well. The ultrasound can deduce the endometrial thickness and if thick then an endometrial biopsy may also be taken for histopathological examination and learning the phase of the endometrium. In the meantime, you should be placed on antifibrinolytics like Tranexamic acid for controlling heavy bleeding. Obesity itself is a part of insulin resistance in PCOS, which can cause ovulation and hence delayed menses often. Please review with reports for further discussion and advice." + }, + { + "id": 8437, + "tgt": "What could be the reason for progressive dark patches in soles of feet?", + "src": "Patient: Hello doctor, My mother has dark patches on the sides and soles of her feet. When her feet are dry, they feel hard to the touch, and when her feet become wet, the skin on them starts to peel. And they seem to be increasing. What could it be? Doctor: Hello. From your description, it seems that the black patches in your mother's leg are due to dry foot. Moisturizing is essential as it helps the skin to become soft, smooth and less likely to crack. Use a moisturizing cream with urea or lactic acid. It will help to exfoliate the dark thickened skin. Also, soak the foot in warm water for about 10 minutes and then scrub with a pumice stone. Fungal infections can also occur on foot, but usually, that occur in one foot. It slowly spreads, and it is associated with itching. Keep the foot dry and clean always. If you have further queries, feel free to contact for more information. It may be dyshidrotic eczema." + }, + { + "id": 26669, + "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": 19864, + "tgt": "How can I increase the length of my penis?", + "src": "Patient: Hello doctor, The length of my penis is 5 and 1/2 inches and I am 38 years old.\u00a0How can I increase my penis length? Is there any medicine, cream, lotion, oil or gel? Doctor: Hi. I would like to give you some information regarding our normal reproductive system: Male sexual organs: Female sex organs: So, the main crux of the above discussion is, \"To sexually satisfy a woman, size/length of the penis does not matter\". There are no exercises, pills or ointments that are safe to increase the penis size as they may create problems in your future sexual life. What matters is proper erection and proper ejaculation (at proper timings). Consult a sexologist online for further queries --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 13267, + "tgt": "Can orthodontic treatment be done without extracting teeth?", + "src": "Patient: Hello doctor, I am 18 and currently have all teeth (except wisdom teeth) and braces for 10 months. My teeth are straight at this point but a few very small misalignments that will easily be fixed soon. I have an impacted tooth above my right-side second pre molar on my top row of teeth that is facing the wrong direction and needs to be removed. The problem is that my orthodontist wants to take out the tooth below it, the parallel second premolar on the left side of my top row and the two teeth on my bottom row matching where the top two are to balance out my mouth so it is not asymmetrical. (After these, the removed the braces would continue to close the gaps). Do I really need to get four teeth taken out (five including the impacted one) in order to fix this issue? Not only does it seem like such a large amount of teeth to lose at a young age but I have also heard many scary stories about how this will change the permanent shape of my face and jawline. Do you agree with this decision? My orthodontist does seem knowledgable but I have never heard of someone personally who has had to get five teeth on all sides of their mouth removed for one impact. I am just really scared that my face will look terrible. Doctor: Hi. Actually, by book, this is the only way the Orthodontist can make your face look symmetrical. Ideally, only four teeth are extracted as described by your dentist on each side of the jaw in crowded teeth but unfortunately, your fifth one is impacted so it has to go too. He is absolutely right according to his treatment plan. But now looking up to a broader aspect, I want to offer you a second treatment option too that many patients go for because they do not want to prolong ortho treatment too much and want to avoid many extractions. This second treatment plan has an extraction of 2 or 1 tooth only. If the maxillofacial surgeon is able to remove the impacted tooth only without touching or removing the tooth below it, it is best. Then you do not have to go for any extractions. Your case will simply end up as it is. But if the below tooth and impacted tooth both are removed, there will be space left for one socket. In this socket, implant screw can be placed and once it gets firmer with bone in 4 to 6 months then a cap will be placed on it. First, get ortho done and keep this space of socket intact through space maintainer, you do not need orthodontist to move teeth here to close the gap. End up treatment and then place the implant in this socket. That is simple, no more extractions will be needed then. The third treatment plan is that get extracted both impacted and the below tooth. Keep space of socket intact till your braces get off, then get a bridge of three units done here. Two teeth of support and one missing tooth will be covered. That is the most economical option to go for. Implant and prolonged ortho treatment both look costly and time taking as compared to it. The only cons of this is that slight 2 mm grinding of natural teeth is done that is not harmful at all. I would suggest you personally for the third option. Rest you can decide well. Hopefully, you would have got a clear idea of all treatment plans. If you can afford, then for you, the second treatment plan will be best as no adjacent natural teeth will be involved, only a single implant will be placed in bone directly." + }, + { + "id": 1384, + "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": 24277, + "tgt": "My iron is 4. 2 and saturation is 5%. Are my lab values normal?", + "src": "Patient: Hello doctor, My current iron is 4.2 and saturation is 5%. Are there any medications that can help me correct my lab values? Doctor: Hello. Turbidity due to proteins, lipids and cellular matter is a potential problem with spectrophotometric estimation of any blood constituent including hemoglobin. The large dilution (1:251) of sample largely eliminates the problem, but falsely raised ctHb (concentration of total hemoglobin) results can occur in patients whose plasma protein concentration is particularly high. Heavy lipemic samples and those containing very high numbers of white cells (leucocytes) can also artefactually raise ctHb by a similar mechanism. Regards. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 25665, + "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": 6938, + "tgt": "What are the ways to reduce dosage of Ativan?", + "src": "Patient: Hi doctor, I have taken Ativan for the past three years and really feel like I am addicted to it. I currently take 1.5 mg daily but used to (last year) take 2 mg daily. I usually wake up with anxiety, headache, neck pain, back pain, nose numbness and some eye pressure. I take .75 mg around 8:30 AM and by 9 AM most of my symptoms are gone. I take my second dose of .75 mg at around 3 PM and usually feel like my symptoms from the morning are coming back. That is what usually reminds me that it is time to take my afternoon dose. I have a very stressful life and have been told that stress can eventually lead to experiencing real pain as a result. Ativan seems to help me with this pain, but now I feel I am addicted to it and I do not know what my next step should be. I have tried tapering, but perhaps I am doing it incorrectly. Doctor: Hello. It is good that you are trying taper off Ativan (Lorazepam) as long term use is not advisable due to physical and psychological dependence. You have already managed to cut down from 2 mg daily to 1.5 mg daily which is a positive step forward. Did you have any withdrawal symptoms at that time? You can try to taper very gradually to minimize withdrawal symptoms. For example, try taking 0.75 mg in the morning and 0.5 mg in the afternoon for about a month. If there are any significant withdrawal symptoms at any stage, go back to the original dose. If you are able to tolerate, then cut down to 0.5 mg twice daily for a month. Then cut down to 0.5 mg in the morning and 0.25 mg in the afternoon for a month and so on. In this manner you should be able to wean off completely by 5 to 6 months. If it is not possible to taper down safely, you may need rehabilitation therapy and medically assisted detox. Practise relaxation techniques like progressive muscle relaxation for atleast 15 minutes daily to manage stress. Consult your doctor for review of your mental health. If there are significant anxiety symptoms, other medication like SSRIs can be considered which will be safer for long term use." + }, + { + "id": 30365, + "tgt": "How to lower triglycerides and cholesterol levels?", + "src": "Patient: Hi doctor, I am a 36 year old male with borderline cholesterol. Total cholesterol 200 and triglyceride 200 to 350 mg/dL. I\u00a0had TMT test and heart echo last year, which were normal. This year, I checked homocysteine, troponin-I and myoglobulin, which were also found to be normal. My three months old ECG also normal. My BP is 120/85 mmHg. I do not have any bad habits. Sometime, I will drink 30 mL alcohol and that is maybe once or twice a year. My blood sugar is 90 to 95. I\u00a0want you to suggest some additional blood test, which can give alert for any tumor or blockage and\u00a0indication for brain stroke or heart attack. How to lower my triglyceride and total cholesterol? I have tried all the conventional methods. Kindly advice. Doctor: Hi. I have seen all your reports in detail (attachment removed to protect patient identity). CBC (complete blood count), KFT (kidney function test), LFT (liver function test), TMT, 2D echocardiogram yearly and lipid profile every third month. 1. Tablet Atorlip F 10/160 mg. 2. Exercise for 45 minutes every day. 3. Follow lifestyle modification, yoga or swimming, low fat diet using three types of oil for cooking by altering them every month. Revert back after three months to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15007, + "tgt": "Can I use Kojivit gel to improve my skin tone along with clearmin soap?", + "src": "Patient: Hi doctor, I am a 26 year old female. My face tone looks uneven and very dull. Can I use Kojivit gel to improve my skin tone along with clearmin soap? Is clearmin soap good? Or please suggest any other soap. Doctor: Hi. You may continue the use of Kojivit gel, which has Kojic acid. However, I would recommend you to replace Kojivit gel with Vitamin-C based creams. The soap you have mentioned is fine, but make sure you are following a good facial routine, which means cleansing, toning, and moisturizing. Also, I hope the soap you are using does not make your skin over dry, as this could be one of the reasons for dullness. I would better recommend a face wash which is more gentle and hygienic than soap. You may try Cetaphil face wash and moisturizer depending upon your skin type, and you can also tone your skin with rose water sprays regularly. As per recent research, Vitamin-K based creams work much better for skin moisturizing along with improving the blood supply and regenerating the broken capillaries, which are responsible for dullness over some time." + }, + { + "id": 13003, + "tgt": "What is RAEB? What can it lead to?", + "src": "Patient: Hi doctor, I am writing to you regarding the health status of an elderly person. She is 85 years old and still in pretty good condition. Her current cardiological status rated to be very well with no diabetes or any other medical issues. But from last year she shows a myelodysplastic syndrome. A bone marrow biopsy was attempted a couple of weeks ago. Unfortunately, the material made available to the laboratory was of not adequate in quality and no result could be given. However, I read in the report that the material was of fibrino-leukocytic consistency and assuming that there is refractory anemia with excess blasts. Is the material of fibrino leucocytic nature possibly proving the suspected condition? Doctor: Hi.I have carefully worked through your case and want to assure you that proper care and expert opinion will be extended. Actually, when there is a hematology report which questions the quality of the biopsy specimen, we cannot just comment on the outcome of the test or to what should have had been there it was like that or the other way. The fibrino-leukocytic consistency just means that there were just a few leukocyte cells in the background matrix of fibers. I preferably suggest that this is a mistake in taking the proper specimen, or if the technique was fine then due to the replacement of the bone marrow with fibrous tissue to some extent causing anemia. My final suggestion is to repeat the diagnostic test and expert hands needed." + }, + { + "id": 17816, + "tgt": "What does the presence of starch in the stool indicate?", + "src": "Patient: Hi doctor, We had a stool test for my 2.5 year old daughter. The result reported presence of starch granules in the stool and the stool pH is acidic 6. What does it mean? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7866, + "tgt": "My daughter, 9 years old, complaining about abdominal cramps. Is this a sign of puberty?", + "src": "Patient: Hello doctor, My daughter just turned 9. She has been complaining about lower abdomen cramps, and I have noticed a few things changing. Is it possible that she is getting ready to start something and should we be prepared? She is only 9, but I have heard of other little girls starting puberty earlier, and with myself, I did not begin that wonderful stage until I was 14. Doctor: Hi. I can well understand your concern. It is not too young for her to get started with the signs of puberty. Usually, girls start puberty between 9 and 14 years. And she has started at 9; this is fine and in range. I will instead ask you to confirm about her pubic hair and breast development. I am sorry to ask, but we have to take the scenario as a whole. It is because pelvic inflammatory disease alone may cause such pains, and in that case, pubic hair and breasts will say no we are not ready to be mature yet. 1. Start of puberty. 2. Pelvic inflammatory disease. 3. Gastrointestinal problems. Puberty. PID. GIT issues." + }, + { + "id": 25428, + "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": 26170, + "tgt": "What to do for recurrent UTI?", + "src": "Patient: Hi doctor, I am in menopause and have had bad issues with my hormones and my bladder. I am 51 years old. Is this something you can help? Doctor: Hi. Revert back with a detailed history to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 3533, + "tgt": "What can cause sudden ankle swelling and pain?", + "src": "Patient: Hello doctor, Patient's left leg is swollen at ankle with severe pain at the joint for the past 10 days. He is unable to walk regularly as before. He has taken antibiotic and still the pain remains the same. Patient has done x-ray and blood test and everything seems to be fine.\u00a0There is no accident or any hit there. He used to go for evening walk daily for around 3 to 5 km. These symptoms started 10 days ago.\u00a0Patient is 61 years old, having gastric issue and has undergone stomach surgery twice.\u00a0Please advise me how to deal with his health issue. Doctor: Hi. I guess you are talking about your father here in this query. To arrive at a provisional diagnosis kindly answer these questions. Follow up with answers to the above questions for better evaluation of his condition to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10972, + "tgt": "How can the problem of tearing frenulum during intercourse in a diabetic be cured?", + "src": "Patient: Hello doctor, I am aged 46 years. I am having a HbA1c of 7 (recently tested a few days back) and has a problem of tearing my frenulum during intercourse with my partner. I have consulted two urology doctors. The first one says I need a circumcision as there are frequent infections in glans due to sugar levels. Whereas second doctor recommends a frenuloplasty. I am confused. The first doctor says since I have frequent infections due to frequent raised sugar levels, I get smegma quite often in my glans. Please advise me if I need to go for the frenuloplasty or circumcision. Doctor: Hi. First of all, I appreciate you for providing elaborate history which will help in making diagnosis and advising treatment plan. Now, coming to your health query, I can understand your concern and will try to help you. Your diabetes is quite well controlled as per your HbA1c. However, the cause of tear in frenulum occurs due to short frenulum and not always due to infection. Though chances of infection are high in diabetes, usually it causes balanoposthitis and difficulty in retraction of foreskin, which is not the case with you. Smegma is normal secretion under the foreskin and is not a cause for concern, as long as you keep cleaning it. As far as proposed surgery is concerned, though frenuloplasty is sufficient surgery for short frenulum, circumcision can get rid of both short frenulum as well as smegmatic collection under foreskin. Hence, my advise is circumcision." + }, + { + "id": 20714, + "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": 24118, + "tgt": "I have lost all the zeal, nothing makes me happy. Please help", + "src": "Patient: Hello doctor,I have lost all the zeal, nothing makes me happy. I am always in a mood to cry and being around friends does not make me feel better anymore. I have started eating less, sleeping more, and though I try to concentrate on my studies, it is of no use. I cry whenever I am alone. I have become a silent person. Please help. No inspiration works. Doctor: Hello. These symptoms point towards depression. So, get an appointment with a psychiatrist and get yourself evaluated for the same. Get thyroid function test, routine blood investigation, and blood sugar done. Also, do maintain sleep hygiene. Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21853, + "tgt": "What is the optimum temperature that could be felt on upper thighs?", + "src": "Patient: Hi doctor, I do wanna know what is the optimum temperature that could be felt on upper thighs and near testicles. My bike heats up abnormally and when I tested for the heat levels the heat reaches a maximum of 45.6 degrees C near upper thigh which in turn also provides heat towards testicles. I could not concentrate on work and I do not get proper sleep. I also have undertaken medications and the abnormal feeling near testicles is gone. But whenever I ride the bike I could feel the same issue for the next two days.Kindly provide me your suggestion regarding what is the optimum temperature that could be felt on upper thighs and I want to know whether 45 degree C near upper thighs will cause any issues because I will be driving the bike at this temperature for at least one hour a day. May I continue using this bike for my daily usage? Doctor: Hi. I have gone through your query. The purpose of the testicles being outside the body is to keep them cooler than the rest of the body by about two degrees which is essential for optimal function of the testes. Prolonged increase in temperature in the region of the scrotum will definitely affect testicular function in the long run. This happens over a period of several years and not in few weeks or months and the extent of damage also cannot be predicted as the body has excellent defense mechanisms to maintain a scrotal temperature in spite of external environment. If it is possible for you to avoid driving your motorcycle it would certainly benefit you, however, it is the scrotal temperature and not that of your thighs that matter. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 883, + "tgt": "How can painful swollen gums be treated in a baby?", + "src": "Patient: Hello doctor, My baby daughter is 2 years 5 months old. Weight is 12 kg. Her molar teeth is coming on both left and right side. She is have swollen gum. She is suffering from pain. She always show her finger towards teeth. Also her mouth is also giving very bad smell. Please suggest some medicine doctor. Doctor: Hi. Kindly answer the following questions for a better understanding. Is she having fever as well, if yes how severe because it may probably be infected and may need an antibiotic course. This usually happens in children during tooth eruption, you can continue with PCM drops every 6 hourly for pain and swelling. If severe pain in gums, you can use a pinch of Mucopain gel for local application. Also start a calcium syrup if giving syrup Calcimax P 5 ml twice a day, it would help in tooth eruption." + }, + { + "id": 28641, + "tgt": "What are the possible options available to treat erectile dysfunction?", + "src": "Patient: Hi doctor, I have been having erectile dysfunction problem. My age is 50. I am currently taking regular high blood pressure medicine. Also, I had angioplasty last year. What are the possible treatment options available for erectile dysfunction? Doctor: Hi. The following treatment options are available for erectile dysfunction. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 767, + "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": 2068, + "tgt": "What could cause frequent irregular periods resulting in anemia and weight loss?", + "src": "Patient: Hello doctor, I am a teenager and I got periods five and a half years back. In the start they were irregular. I took medicines for 21 days and I got my periods after a month but as soon as I left them after three months my periods became irregular. Then for some time I did not take any medicine, but still, my periods were irregular. I used to get two to three menses in a month. I got very sick and anemic. I stayed in the hospital for three days where I was given intravenous iron treatment, three bottles. I had regular periods after that for a year or less. But my doctor told me to consult a specialist. After that, they were again irregular and then I had them for five months without stopping. I have taken many medicines but all in vain. It has been five years and my periods are irregular. Still, I have got two menses in this month. I have become so skinny and my weight has not increased for the last five years. I will be very grateful if you suggest me something to get better. My ultrasound results do not have any problem. Doctor: Hello. I understand you are deeply troubled by your menstrual cycles. Heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated. On the other hand, if periods are infrequent and less flow, you can treat it without medications too. In your case, your BMI (body mass index) is very low which is not healthy at all. First, you need to eat healthily. Include lots of proteins and lots of iron-rich foods in your diet. Secondly, the cause of this bleeding is a hormonal imbalance which usually gets better as you move on to your 20s. Meanwhile, you will have to take hormonal tablets regularly for at least one to two years at a go without changing the medications. I hope this helps." + }, + { + "id": 861, + "tgt": "My mom has liver disease with nausea, vomiting and oversleeping. Could it be hepatic encephalopathy?", + "src": "Patient: Hello doctor, This is regarding my mother. She is 55 years old. Last year she was diagnosed with chronic liver disease. She had ascites, which was cured. She has taken proper medication since then. But recently, since the last three weeks to be precised, she was having tremors and difficulty in sleeping. We consulted gastroenterologist here who gave medicines but did not help much with these symptoms. She also has hypothyroid and type 2 diabetes. Since the last two days, she suddenly developed nausea and vomiting and we had to hospitalize her. For now, vomiting and nausea have stopped but she is oversleeping and she still has tremors. Her sodium, potassium, and creatinine levels are normal. And looking at her liver function test the doctor said she has swelling on her liver and nothing more. But I read somewhere about the symptoms of hepatic encephalopathy like oversleeping, drowsiness, flapping tremors, etc and she has all those at present. Am I right regarding this? Please help me. Doctor: Hello. I can understand you must be very upset about your mother's health. The answer to your query is you are 100% right. It can be hepatic encephalopathy (HE). It often presents as altered sleep patterns which means day time sleeping and nighttime awakening. Tremors are characteristically called flapping tremors and sometimes overt neuropsychiatric manifestations such as elevated mood, hallucinations, and illusions. The treatment of HE is simple i.e. to avoid constipation, and use of lactulose a special laxative agent that help to decrease ammonia gas that causes HE. Plus she should be given tablet Rifxamin 550 mg twice daily to prevent her from recurrent episodes of HE. The recent use of painkillers could have caused kidney damage which got recovered and may be a precipitating factor for the underlying development of hepatic encephalopathy. I hope this will help you in understanding her problem. I want that you should discuss this information with her treating physician. Can follow up to discuss more about the long term management of chronic liver disease." + }, + { + "id": 762, + "tgt": "I have tightness and pain in both calves. How to get rid of this pain?", + "src": "Patient: Hi doctor, For the past two weeks, I have been having calf tightness in both legs. I am 22 years old and I weigh around 230 pounds. Nothing I do seems to make it go away. Three weeks ago, I went to the hospital for chest pain and they did a D-dimer and it came back negative. I feel the tightness in my lower calf and upper back of the thigh. It is in both legs but I mainly feel it in the left. It is not unbearable more of an annoyance. I have tried Epsom salt baths, Ibuprofen, etc. Doctor: Hi. I see you are suffering from calf tightness and pain for the past two weeks. One reason could be due to your overweight. Other, could be blood clot formation in the veins as you are at high risk for it. Or, it could be because of salt imbalance in your body if you are not taking adequate nutrition and water. I would like to know, do you exercise regularly or go to the gym for weight reduction? Do you take any medicines as a part of weight-reduction plan? Are you in any regular medicines for any issues like high cholesterol, diabetes, or thyroid problems? What is your job? Do you stand for long hours in a day? CBC (complete blood count). Free T4, TSH (thyroid-stimulating hormone). RBS (random blood sugar). Serum lipid profile. Serum potassium. Both lower limb venous Doppler. Tablet Aceclofenac and Tizanidine 1 tablet twice daily after food for five days. Electral powder one sachet mixed with 1 liter of water to be taken frequently. Adequately hydrate yourself. Avoid long time standing." + }, + { + "id": 29216, + "tgt": "How to understand the reason for my giddiness which happened some time back?", + "src": "Patient: Hi doctor, I was admitted to ICU in a hospital with below conditions at night 4 AM. BP 90/60 mmHg, temperature afebrile, PR 80/min, CVS, R and PA NAD, giddiness, started generalized itching and nausea. There is no history of headache, visual disturbance, weakness of limbs and bowel and bladder disturbances. There is no history of DM, HTN, epilepsy, drug allergy and thyroid illness.\u00a0There was blood and urine analysis, brain CT and abdominal ultrasound done. There is no problem found. The diagnoses were\u00a0VBI and BBPV.\u00a0Please let me know if I was diagnosed right. Doctor: Hello. MRI brain with MR angiogram intracranial vessels. Vertigo. Revert with further details to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30637, + "tgt": "My baby is fussy while passing stool. Is it due to anal fissure?", + "src": "Patient: Hello doctor, I saw a\u00a0red color wound inside the anus of my 3 month old baby. He is fussy while passing stool. Is it anal fissure? Do we need to consult our pediatrician immediately? I am expecting your valuable advice. Thanks in advance. Doctor: Hello. Yes, it can be anal fissures. Also, you can look for a skin tag around perianal area, which occurs in anal fissure. Does the child have constipation or tight stools? Because, if it is an anal fissure, then we will have to see the cause of hard stools as the difficulty to pass stool can cause fissures. He should also be checked for hypothyroidism. Is there any blood in stools? Most likely, it is anal fissure. The rest all can be said on examination for which you should see a pediatrician. For further doubts consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10248, + "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": 9620, + "tgt": "Is smoking during bipolar treatment dangerous?", + "src": "Patient: Hello doctor, My fiance is suffering from bipolar disorder, and he is in treatment for the same for the past six months. He had the habit of smoking and drinking. In between, he had taken some drugs also. He was in the hospital for 45 days. Now he has medicine, but he started smoking again. Is this dangerous? Doctor: Hello. Bipolar disorder and drug abuse are very closely related and are often present together. The reason is that in the phase of mania, patients are involved in pleasure seeking activities and using drugs is one of them. On the other hand, in the depressive phase, patients use the substance to deal with their loneliness and sad mood. The use of substance and drug should be discouraged. 1. The medicines of bipolar disorder should be continued until the doctor advises it to stop. 2. Use of smoking or any other drug use is dangerous in the sense that it decreases the potency of the medicines. As a result, higher doses of drugs will be needed, or its also possible that the patient will not get well easily." + }, + { + "id": 28923, + "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": 21632, + "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": 20520, + "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": 15156, + "tgt": "Can taking pre-exposure prophylaxis and rabies boosters after eight months of exposure help?", + "src": "Patient: Hi doctor, Eight months bank a street dog scratched my hand. I was dumb and stupid enough then. I did not take any vaccines. Now I am very worried and highly panicked. If I take pre-exposure prophylaxis and rabies boosters now, will it save my life? Rabies symptoms have still not appeared in me but I fear that it will appear in future. Please guide me. I do not wanna die. Doctor: Hi. Well, rabies virus starts showing its signs in your body between a time frame of 1 to 3 months to one year (depends on type and location of exposure). Now, if you were scratched and there was no bleeding we consider it as category 2 dog bite. Initial symptoms of rabies can be fever with pain and unusual or unexplained tingling, pricking, or burning sensation at the bite site and other signs related to the nervous system. If you do not have the above then relax and yeah next time you are bitten seek immediate medical help and get vaccinated. Well, do keep in mind the above things and do follow the animal behavior next time for any furiousness or abnormality in case of delay of vaccine from your side." + }, + { + "id": 26233, + "tgt": "Though my husband pulled out of me in time are there chances of pregnancy?", + "src": "Patient: Hello doctor,I had sex on the 1st and my period due date is 5th. Though my husband did not cum in me and he pulled out in time still are\u00a0there chances of pregnancy? My cycle is a regular one otherwise. I am just getting tensed. Please advice. Doctor: Hello. It is your safe period. So, the chance of pregnancy is very remote. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7152, + "tgt": "What is the treatment for knee pain, loose joints, repetitive sprained ankles and hip tightness?", + "src": "Patient: Hello doctor,What can I do for knee pain and lose joints and repetitive sprained ankles and hip tightness? I am a 15-year-old girl, and I have major knee pain that comes and goes. It is always swollen. Doctor: Hello. I would advise you to start strengthening your muscles by doing simple stability exercises and slowly progress to weight training. Have an adequately supervised session for a while to avoid any compensation of movements. Once muscles get stronger, you will get good support for the joints and may prevent pain and inflammation. Kindly get checked if you have any other parameter that causes joint issues like raised uric acid levels calcium levels. You may take medications if there is anything of that sort, by consulting a general physician. I hope this is helpful to you." + }, + { + "id": 24039, + "tgt": "I accidentally took too much Vicodin for back pain and it has caused reactions. Kindly help", + "src": "Patient: Hello doctor, I am a 72-year-old woman and having back pain for more than three days across the lower back and sides. It feels like inflammation. How can I tell if this is simple back pain or kidney problems? I take Lithium twice a day (bipolar) and Levothyroxine. Also Vitamins, Fiber gel tablet and occasionally Melatonin and Ativan for sleep. I have been on Lithium for over 30 years. I understand it can impact the kidneys. My liver and kidneys tested normal two months ago. I usually take Aleve for pain but yesterday, I accidentally took too much Vicodin for pain and had reactions (hot flash, nausea, and vomiting). Today I am off from all painkillers and using hot or cold compresses and rest. Kindly advice. Doctor: Hi. If your pain is aggravated by movements and improved by rest, then it is probably due to musculoskeletal rather than kidney problems. One of the tests to find out is to do a urine test to find out if there are signs of infection or blood. You mentioned that you have fatigue. And in this case, I would recommend that you visit your doctor to have blood tests and MRI (magnetic resonance imaging) scan of your back as soon as possible. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8817, + "tgt": "My hands are rough and dry. There are many lines on my palm. Suggest me some treatment", + "src": "Patient: Hi, My hands are extremely rough since childhood. I am 17 years old now. I have tried almost everything to get rid of this problem. I also have so many lines on my palm and fingers. Suggest me some treatment. Doctor: Hello. Hyperlinearity (lines in the palm and fingers) of palms is a feature of a condition called atopic dermatitis. These patients, in general have dry skin in their palms, soles and elsewhere as well. I would suggest you to use a moisturizer twice daily upon the dry areas. Especially those moisturizers which contain Urea or Ammonium lactate or Glycolic acid. Consult a dermatologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28632, + "tgt": "How to treat recurrent ringworm infections?", + "src": "Patient: Hi doctor, I had\u00a0ringworm infection and itching from many days.\u00a0When I used Terbinafine cream and tablet along with Cefadroxil tablet for 20 to 30 days,\u00a0the ringworm and itching totally disappeared. But after a month, it started automatically. What to do? Doctor: Hello. I can see your ringworm infection has reoccurred. There might be some sources from which you are acquiring the infection.There are few minor precautions which you need to take as follows. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 7294, + "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": 11656, + "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": 10656, + "tgt": "I have burning feet, warm palms and slightly warm penis after treating STD. What can I do?", + "src": "Patient: Hello doctor,I am 29 years old, and I have burning sensation underneath my feet since last year, after treating an STD. It was occurring mostly at nights, but these days it appears to be there from morning till night. Then I had a series of a sore throat last year, for which I was treated with antibiotics. Some months ago, I started having this pain in my left chest, which sometimes crosses over to the center. The pain has subsided, but I still feel slight pain just after and below my left chest and an occasional sharp one on my right breast. Underneath my feet is still burning, my palm feels warm, and my penis has this slight warm sensation. Are they all connected? What can I do? Doctor: Hello. You have given a history of STD treated, What type of STD it is? If it is syphilis, is it cured completely? If it is not healed completely may lead to a complication called tabes dorsalis. When syphilis is untreated, the bacteria damage the spinal cord and peripheral nervous tissue. This leads to the symptoms of tabes dorsalis (neurosyphilis). Tabes dorsalis is now very rare because syphilis is usually treated early in the disease. Do CFS (chronic fatigue syndrome), CT brain, and spine. Repeat VDRL (venereal disease research laboratory test), FBS (fasting blood sugar), and PPBS (post-prandial blood sugar)." + }, + { + "id": 17128, + "tgt": "Following RCT and crown, my gums are swollen. Why?", + "src": "Patient: Hello doctor, I had a root canal performed before four months and a gold crown was fitted before two months. The tooth number is 14. The tooth had a crack in it a few years ago and finally became irreversibly inflamed and required a root canal. My tooth is still sensitive to pressure while chewing and the gums between tooth 14 and 13 continues to be painful while flossing. Sometimes, the gums between those two teeth will bleed slightly while flossing. I also have occasional gum inflammation on the side that is towards the inside of my mouth. There are no open contacts visible on the crown and the dentist has taken x-rays to make sure that there is no cement stuck in the gums. The pain went away once after he did some scaling and cleaning, but returned in a few days. Could the current pain be caused by food getting stuck? I am keeping the tooth very clean with daily brushing and flossing. Occasionally, I will brush the tooth with some Listerine to keep it infection free. I am wondering whether the crown fitted badly. I am currently taking Cefadroxil. Thanks for any advice. Doctor: Hi. I have gone through your query and understand it. X-ray of the root canal treated tooth. For further doubts consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23430, + "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": 1066, + "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": 26746, + "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": 9426, + "tgt": "What are the advantages and disadvantages of veneers?", + "src": "Patient: Hello doctor, I would like to know the cost of veneers and if it is possible to only cover a few teeth or the whole top or bottom would have to be done. What are the effects of veneers and what are the advantages and disadvantages? Doctor: Hello. Veneers can be given on all front upper and lower teeth to get uniform whiteness on all teeth. Else it can also be used for a specific tooth if it is discolored. Veneers offer excellent aesthetic appearances as they cover the visible part of the teeth. They can sometimes get dislodged if improper biting force is applied to them. The other option is to give full crowns over the teeth which over white teeth, not just the labial surface. The cost may vary according to material quality and different clinics." + }, + { + "id": 23803, + "tgt": "How can fasting blood sugar be more than postprandial in pregnancy?", + "src": "Patient: Hi doctor, My wife is with height 159 cm and having weight 72 kg. We checked her BSL in lab for fasting and BP a year back and both results were normal. Yesterday we again checked the reports and her reports are like fasting BSL 172 , urine: no sugar detected. After two hours of lunch FBL was 173 and urine: no sugar detected and HbA1c comes as 9.1 %. Before eight months there was no sugar detected in the reports and now it is like this. Need your advice for this. Fasting seems to be big value. How fasting is more impacted than PP? How severe is this? Can it be controlled only via diet and exercise?First pregnancy we had stillbirth. There was no sugar detected till ninth month of pregnancy. Till start of ninth month, sugar reports were fine but still we had stillbirth. She was detected with gestational diabetes which came to normal within 15 days after delivery. After one and half year we again had pregnancy and we have little girl of 3.6 years old now. During second pregnancy she does not show symbol of sugar but to avoid risk we opted for C-section at the start of ninth month itself. Doctor: Hello. This is very possible. Ladies who develop gestational diabetes are more prone to develop diabetes in the near future. It is like a warning sign to start healthy lifestyle measures so that you can avoid developing diabetes. Currently your wife is having diabetes and she will require medications. She will need to exercise and follow a strict diabetic diet along with the medicines. If she manages her diet and exercising well, she can get off the medications. But for now, she will need both. So when the fasting sugar is high, that means the glucose produced by the liver for our organs (especially brain) during our sleep even when we do not eat, is uncontrolled. While the post food rise in blood sugar indicates that the body is not producing enough insulin in response to the food eaten. I have tried to answer to your query in a simplified manner. Kindly meet with your local physician for start of medications or you can consult me as well. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 20694, + "tgt": "How can I manage depression and anxiety?", + "src": "Patient: Hello doctor, I have been having depression. I suddenly get sad and cry myself to sleep. I cannot face people as I feel anxious and tensed. I vomit whenever I feel tensed and anxious which is effecting my health. I cannot eat properly or mingle with people as I am always in a fear that something bad might happen to me. I have not gone through any treatment nor consulted any doctors about this problem. Doctor: Hello. The symptoms like sad mood, crying spells could be due to some mood disturbance. Anxiety, fear, and anticipation that something bad will happen, poor social interaction, etc., are part of anxiety and mood disturbance. If these symptoms are resulting in distress and are impairing your functioning, then please visit a psychiatrist for help. A behavior therapy and relaxation exercises can help to treat the symptoms. If the relaxation exercises do not help then drugs like SSRIs can be used to reduce the anxiety. Sertraline, Fluoxetine, Escitalopram, etc., can be used to come out of anxiety. Take care." + }, + { + "id": 30770, + "tgt": "How to get rid of inner ear fluid?", + "src": "Patient: Hi doctor, I was told by my primary care physician that I have some fluid in my inner ear. I have also had dizziness, nausea and feeling like the room is spinning. I also think that I have vertigo, but I am not sure. The episodes happen at night and sometimes during the day. My current medication includes Lisinopril, Gabapentin and Mecklezine. Is there something that I could do to get rid of this feel? Doctor: Hi. Do your symptoms increase on changing position? Do you have fullness in the ear, ringing sensation in ear or reduced hearing? There can be two possible diagnoses in your case, but I need to know if you have any of the above symptoms. Either it can be benign paroxysmal positional vertigo or Meniere's disease. I would advise you to take complete bed rest for about three days (minimum) and restrict salt. I suggest any one of the following tablets for a week. Betahistine, Cinnarizine or Prochlorperazine maleate. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12729, + "tgt": "What is the treatment for tooth sensitivity and gum recession?", + "src": "Patient: Hello doctor, I am 21 years old. I have a tongue side gum recession in lower front six teeth. I am feeling sensitivity and my teeth are slightly mobile. I have gum receding near about 6 mm. Can gum be again gained to its original position? What should I do? Doctor: Hi. Your gum recession is not very severe. You just have to get scaling done at every 8 to 10 months time period. And for sensitivity, use Protect (Potassium Nitrate) mouthwash for sensitivity for one month twice a day. And do saltwater mouthrinses before sleeping for two weeks with lukewarm water. Sensitivity will get better then. You should also use sensitivity relieving toothpaste like Sensodyne sensitive or Colgate sensitive and put the toothpaste like cream in these six teeth and leave as it is for two minutes and then after it, do brushing. Doing all these will definitely lower down sensitivity and will promote the growth of healthy gums in this area in three weeks, provided you follow it all consistently. Give me a follow-up after two weeks. Stay happy and blessed." + }, + { + "id": 8369, + "tgt": "Kindly tell the management of dry lips with itchiness and redness", + "src": "Patient: Hi doctor, I have been experiencing dry lips and around my mouth which is itchy and gets red. I have used all sorts of lip balm but nothing seems to be working. I drink lots of water throughout the day as well. This is getting me really worried now. Can you help, please? Doctor: Hi. I have gone through your case. Immediately stop using all different types of lip balms and lipsticks. Apply 1 percent of Hydrocortisone ointment and apply two times a day for seven days. After that, apply only Petroleum jelly or Vaseline twice daily for the next seven days. Avoid spicy food. Maintain good oral hygiene. Avoid lip rubbing and if you are habitual of rubbing your tongue, then please avoid it as saliva also irritates the skin. Use only white-colored toothpaste. Cross-reactivity between different cosmetics." + }, + { + "id": 21096, + "tgt": "Why is there a foot swelling in a psoriasis patient for past two months?", + "src": "Patient: Hello doctor, The patient is my mother, age 58, with chronic psoriasis which is under control. She has been having right foot swelling for the past two months. Her left feet is normal. Initial diagnosis at local clinics was an infection and severe arthritis. She was put on anti-inflammatory, antibiotics and antifungal cream. There was some symptomatic relief but the swelling did not resolve. X-ray of her feet was reported mild bone degeneration. Otherwise no other significant pathology. She was admitted to the hospital two weeks ago. FBS, ESR and uric acid were reported as normal. She was put on cryotherapy and physiotherapy. She has been discharged to home now. Her condition is slightly better but the pain and swelling did not resolve completely. She has a few more cycles of physiotherapy to follow. She remembers spraining her right feet two weeks before the entire episode of the swelling started. As she did not feel any pain or discomfort immediately after the incident, she just ignored the sprain incident. She also had a hysterectomy done two years ago due to calcified fibroids which caused occasional leg swelling at that time. Please advise what has to be done. Doctor: Hi. I have reviewed your health query and can understand how worried you are about your mother. This seems to be due to the foot sprain she inflicted in the recent past (attachment removed to protect patient identity). She might have caused a damage to the soft tissues of the right foot. She has got swelling of the foot due to local inflammation of the soft tissues of the foot. She should keep up with the physical therapy and cryotherapy as this would assist her to relieve this inflammation. She should also keep taking medications as these medications not only relieve the pain but also inflammation. She should keep the right leg up while laying down and should not hang the leg down while sitting. This change in leg position would help a lot as this avoids pooling of blood down due to gravity. Pooling of blood leads to more swelling in feet. There is nothing more you need to do in this situation. Just keep up with the cryotherapy and physical therapy. It would take her back to normal life very soon." + }, + { + "id": 10711, + "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": 3581, + "tgt": "Why does my daughter behave like a new born after brain tumor surgery?", + "src": "Patient: Hi doctor, My kid is 12 years. She had grade 4 medulloblastoma. After brain tumor surgery, she is behaving like a new born baby. She is not walking or talking. Every minute she is screaming. Her neck is not balanced. It is around three weeks now after surgery. After physiotherapy slight change in her walk.\u00a0Please advice. Doctor: Hi. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6889, + "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": 19325, + "tgt": "Can we conclude breast cancer with FNAC report?", + "src": "Patient: Hi doctor, My wife, who is 41 years old, developed lumps in her breast a few months back. She consulted a doctor and was suggested to take Vitamin E tablets and asked to undergo mammogram and FNAC. The test results are enclosed. The doctor told us nothing to worry since the lumps are benign and the lumps have now completely disappeared. But, the report says further tests may be done. My wife does not want to undergo any more tests. Can we conclude that it is safe based on the reports? She had a similar problem about eight to nine years back and at that time also another doctor gave her Vitamin E tablets and the lumps disappeared. No tests were conducted that time. Please advise. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). Revert back with the answer to the above question to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 15884, + "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": 13543, + "tgt": "What can be done to cure recurrent acid reflux?", + "src": "Patient: Hello doctor, I have been taking Prevacid (Lansoprazole) 30 mg once daily in the morning since the early 90's for what at that time was diagnosed as acid reflux. Recently, I have been experiencing some reflux after eating supper at night. Why would this start up again after being free of it after all these years taking Prevacid. The only change in my diet is I am reducing my daily coffee intake in an effort to stop drinking it all together. Doctor: Hello. 1. Are you taking the sustained released form (DR)? If yes, then make that pharmacy give you the correct medication. 2. The other possibility would be that you are developing tolerance. So, the medication may need to be switched to another medication in the same group giving you the benefit. The other possibility would be that you will have to stop Donovan and may need to switch to another medication in the same group giving you the benefits of cross-tolerance. 3. I would also suggest a good duster for H and R infection and try to avoid late night dinner. The last meal of the day should be two hours before going to bed." + }, + { + "id": 4414, + "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": 3796, + "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": 13093, + "tgt": "Will CPAM type 3 lesion with ratio 0. 6 cause any serious problem to the baby?", + "src": "Patient: Hello doctor, CPAM type 3 lesions, but ratio is 0.6. Will it cause a serious problem after birth for my baby? Doctor: Hi. I have gone through your history and understand your concern. As there is no chromosomal abnormalities in your baby, there is most likely no problem in future but continuous monitoring is important in your case." + }, + { + "id": 26042, + "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": 27750, + "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": 4959, + "tgt": "My wife is HIV positive. Will it affect my kid?", + "src": "Patient: Hi doctor, I am in sexual relationship with my wife since marriage for the past 100 days. Yesterday we both tested and identified that she is HIV positive and I am negative.\u00a0Is there a high chance that the unprotected vaginal sex with HIV positive woman will result in HIV? Will it get cured in HIV\u00a0window period? Am I safe?\u00a0If I am negative, what I will do for pregnancy and kids? In future if I become positive what I will do for the same above? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 14000, + "tgt": "What measures can be taken to control stress?", + "src": "Patient: Hello doctor, I am taking too much stress and I know it is not correct. How can I control my stress? Please give me some solution to control my mind. Doctor: Hi. Stress is part of everybody's life today, but if you really want to enjoy your healthy life, you have to know how to deal with the stress. Note down all the things in your life which make you stressed. Try to solve them, so that they do not come in the way of your happy life. If there are certain things which you cannot change or not in your control, accept the reality and move on. After all, why to worry about things we cannot change. Similarly, make a list of things which makes you happy. Try to do these things whenever you get time, in fact, you have to take time out for these things. No medicine will work, believe me, it is you and only you responsible for your happiness. The key is with you. The door to happiness is not outside, it is inside us. It is our choice." + }, + { + "id": 6420, + "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": 18268, + "tgt": "Does the consumption of raw garlic change the HIV test results in any way?", + "src": "Patient: Hello doctor,I have a skin allergy, rashes, hives and weight loss. Doctor: Hello. I have noted your concern. Regards. Revert with more information to an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7035, + "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": 26905, + "tgt": "Is my daughter's ear problem neurological?", + "src": "Patient: Hi doctor, My daughter has nerve hearing loss of around 50 % in left ear along with tinnitus since 10 years. She is 22 now. On the second of this month, she had put a drop of oil in the left ear. In finding herself uncomfortable, she visited an ENT, who put her on antibiotics for middle ear infection. Audiometry at that day was normal of the right ear. Next day, there was a slight discharge from the left ear. Two three days later, she had heaviness, which was fine after 2 to 3 days. During the time, she visited home, and on 12th, the heaviness of the head appeared again. So, we visited the ENT again, who extended the treatment for five\u00a0more days. On 16th, she felt buzzing sound in the right ear also, and we visited another ENT. The doctor found a\u00a0mild hearing loss in right ear, and immediately put her on Omnacortil 20 mg on the\u00a0first day\u00a0and 60 mg on the second. After that, 30 mg for three days and 20 mg for the next four days.\u00a0On 17th, that is, the very next day of starting Omnacortil, audiometry was repeated, and this time, it was normal for the right ear. The doctors' observation was that probably yesterday she might not have responded properly or the medicine has covered the mild loss, but precautionary she continued with Omnacortil. The treatment is on, but she still has heaviness and slight pressure in the\u00a0ear. We have consulted another ENT, who did an endoscopy and suggested that she has inflammation in the nose and Eustachian tube blockage. He started treatment for the same in addition to Omnacortil, which is on reducing dose. However, despite all, she is still feeling heaviness in the\u00a0head and slight pressure in the\u00a0ear. She had undergone complete blood test also, which came back normal, including thyroid, except she has a\u00a0severe deficiency of vitamin D3 and B12. They were 7.93 and 173 respectively.\u00a0In view of this, kindly suggest if this is a neurological problem. Should I consult a neurologist?\u00a0She is depressed and scared. Thanks. Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8481, + "tgt": "What could be the reason for having a pale spot on my upper lip?", + "src": "Patient: Hello doctor, Why do I have a pale spot on my upper lip? Doctor: Hello. In my opinion, there are two main causes for this pale spot. 1. Post-inflammatory depigmentation. It means that it is normal skin response to any trauma like a previous burn or vesicle or itching to heal either with hyperpigmentation or hypopigmentation. In your case, it is hypopigmentation. This does not require any treatment. It could be permanent. 2. Vitiligo. It could be spontaneous or autoimmune. Please apply Hydrocortisone cream two times a day for seven days." + }, + { + "id": 17493, + "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": 23530, + "tgt": "My flu symptoms seem to be getting worse. What should I do to feel better?", + "src": "Patient: Hello doctor, I became sick yesterday and it just seems to be getting worse, I can barely stay awake. I have flu symptoms: severe aches in muscles and joints, pain and tiredness around the eyes, weakness or extreme fatigue, warm, flushed skin and red, watery eyes, a headache, sore throat, runny nose and feverish. Plus I have been exposed to the flu by people at work. I am currently on Dayquil and Excedrin. Doctor: Hello. I can well realize you are worried about your health. This is a flu season actually and winter started out of nowhere this time. This kind of sudden change in weather leads to more flu cases than a cold weather that kicks in gradually. People are not acclimatized yet, that is why it is highly suggested to observe all precautionary measure at the workplace where close contact with coworkers is inevitable. Now, as you have got the flu, it can be either due to viral attack or bacterial. Symptoms in both cases overlap but treatment options differ much. We prescribe antibiotics only in case of bacterial infection and to be sure we go for a throat swab test to rule it out. If on physical examination, the primary care physician feels it is more like a bacterial infection of the throat, he/she may start antibiotics like Amoxicillin or Penicillin, and meanwhile send a throat swab for culture to pathology laboratory. As the results are in hand your doctor may call and let you know if this was a true bacterial infection or not. Medications are adjusted accordingly. You are taking DayQuil (Acetaminophen, Dextromethorphan, and Pseudoephedrine) and Excedrin (Aspirin, Paracetamol, and Caffeine), that is alright and good to go. I would recommend you to visit your PCP as soon as possible for proper evaluation as discussed above. Meanwhile, keep taking theses medications to keep the symptoms in check, to some extent. Take proper rest and plenty of fluids along with a balanced and healthy diet. Avoid spices, fried and fast foods, sodas, cigarette and excess alcohol. Keep yourself well hydrated. Hope it helps. Please feel free to ask more if you have further queries or any unanswered point. I would be more than happy to assist you right away. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23502, + "tgt": "What is MTB? Can it cause infertility?", + "src": "Patient: Hi doctor, It has been 5 years since I got married, but my wife is not getting pregnant. For past 3 years she is having irregular periods. Currently, she is having AKT tablets. Doctor report is normal. Her HSG and laparoscopy are normal. In MTC test, MTB got detected. What is MTB? I am attaching all the reports for your reference. Please guide. Doctor: Hello. MTB (Mycobacterium tuberculosis) detection indicates that your wife has tuberculosis bacteria detected. The attachment (attachment removed to protect patient identity) you have sent is a prescription and not the original reports. So, it is difficult to say for sure. Also TB (tuberculosis) is of many types like lung, fallopian tubes, etc. As such TB itself can cause infertility. But, TB of fallopian tubes is the worst kind for infertility. Also I can see that your wife has irregular periods, which indicates a hormonal imbalance. That too can be a cause of infertility. Infertility is a very complex problem and needs detailed examination and evaluation. I would be able to guide you better if you send me all her reports. All the best. Revert back with the complete reports to an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26782, + "tgt": "I was diagnosed with an unknown neurological condition. What does that mean?", + "src": "Patient: Hello doctor, I am a 60 year old female, who is 5.4 feet, and I weighs 157 lbs. I am looking for a name for my condition. The only medication I take is Imipramine hydrochloride\u00a040 mg tablets each day. I have been told that I have a neurological condition, but the symptoms do not follow any diagnosis. When I was 26 years old, I had an operation, a day later it was hard for me to move my right leg and arm. Within a few days, my speech was slurred, and it was more difficult to use my right arm and leg. I had to use crutches to walk. My doctor gave me high doses of Prednisone, and I did tests for MS, which were negative. My symptoms went into remission, and I had periodic symptoms during times of high stress. When I was 56 years old, I had a case of shingles on my face, left lip, and nose area. When the blistering and ooze was finally gone, the MS like symptoms returned. I had slurred speech, and my legs were weak and unable to stand or walk without assistance. My hands shook when I tried using them to eat, turning a page in a book, and handing something as small as an envelope to someone. When I hold out my arm to hand someone something, my arm slowly starts to drop. I recently had an MRI that showed no myelin scaring for MS. My neurologist said I have an unknown neurological condition. I would like more information than an unknown neurological condition that the doctors are giving me, but I do not know where or what kind of doctor that can give me more information. What can I do to have a better quality of life for myself and my family? Doctor: Hi. Sorry to hear about your prolonged symptoms, I can understand your frustration. A neurologist would be able to help you discuss or exclude some of the above.\u00a0Kind regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6466, + "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": 14084, + "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": 10038, + "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": 6377, + "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": 8582, + "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": 9031, + "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": 3647, + "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": 15581, + "tgt": "I have not got my periods post surgical abortion even after taking Cytomis. Why?", + "src": "Patient: Hi doctor, I am 21 years old and I had a surgical abortion when I was two months pregnant. I bled for about two weeks. On the third week, my doctor prescribed me Cytomis 200 mg to induce my period. Still no sign of period. Also, I had unprotected sex three days back but I used an emergency contraceptive. Doctor: Hello. It is a very short history for too many events and drugs you have taken and a very short time period. Second, you have not mentioned your detailed medical, drug, menstrual, gynecological, and obstetric history. First of all, you had a miscarriage (surgical) and bled only for two weeks and only in the third week took tablets to induce periods. After a miscarriage and two weeks bleeding, how and why stress on normal periods immediately as body and hormonal cycle need time to develop and to start all over. After that post unprotected intercourse, you took another hormone as an emergency contraceptive that can have further side effects on your body. My suggestion now is to use no more hormones as already lots of natural and induced hormonal events took place and body has had enough to bear lots of inductions. So, now just wait to have a natural cycle to start itself as these emergency contraceptives only can delay, irregulate cycles and can show mood variations, spotting, etc. Have healthy nutritious diet as dieting can also delay period. Have walk daily. Again reminding you, try to avoid lots of hormones as the body also needs time to respond and regulate itself. Otherwise, you can notice more long-term side effects like breast and endometrial cancer, stroke, hypertension, etc." + }, + { + "id": 639, + "tgt": "I get tinnitus in my right ear after self irrigating the ear for wax. Did I damage my ear?", + "src": "Patient: Hello doctor, Since about a week and a half ago, I have had tinnitus in my right ear. This was after self irrigating the ear with one of those squeezy syringes that come with the Otex ear drops. Before doing this, I was putting in oil drops for about a week prior. Quite a bit of wax came out, but now I have this hissing noise in my ear which gets worse when listening to podcasts and music at low-medium levels. It also seems to become more pronounced when I chew. I have had a subtle amount of ear pain over the past week but that seems to have gone now, but the hissing sound has not improved at all. I am worried I may have applied too much pressure when squeezing the ear syringe and have damaged my eardrum. I was wondering if this will heal over time and the tinnitus will go away? I cannot go see a GP due to Corona, so an opinion would be much appreciated. Doctor: Hi. It is always dangerous to predict and take action in case of their own health. The tinnitus in your case is not due to earwax, it may be due to the blockage of the eustachian tube (tube connecting middle ear and back of the nasal cavity, its primary work is to equalize pressure between environment and middle ear). This is also a prediction. The real cause can be found after an ear examination, as you have already mentioned nowadays it is a little hard to go for treatment. What you can do is practice some no side effect formulas. Steam inhalation, start sipping lukewarm water. For tinnitus, use resound relief app which has so many natural sound combos. Use that in speaker mode, never use earphones. Do not put oil and do not do the treatment on your own unknowingly you are worsening the conditions." + }, + { + "id": 22949, + "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": 15949, + "tgt": "How can I cure painful vascular outgrowth on forehead?", + "src": "Patient: Hello doctor,I have a red vascular outgrowth on the left side of forehead for many years. It is causing pain and burning sensation. Please advice best creams to erase it totally. Doctor: Hi. It is pyogenic granuloma and it needs removal by radiofrequency or electrocautery procedure (attachment removed to protect patient identity). It cannot be eradicated by creams or lotions." + }, + { + "id": 10836, + "tgt": "I experience on and off acid reflux as well as mild dysphagia. Does it indicate esophageal cancer?", + "src": "Patient: Hello doctor,I am a 26-year-old male. I have been experiencing on and off acid reflux for a few weeks as well as mild dysphagia (strangely only at breakfast). I am afraid of esophageal cancer. I do not smoke and drink. I exercise regularly, and I am not overweight. I have no family history of any cancer. I do suffer from anxiety issues, though, and I have pollen allergies. Doctor: Hello. First, I would like to reassure you that dysphagia and reflux symptoms are very common and more common than esophageal cancer. I want to reassure you that this is very unlikely to be esophageal cancer. Esophageal cancer is more common in older patients who have a history of smoking and or alcohol abuse. In patients with reflux symptoms, those symptoms are usually longstanding, and progress to Barrett's esophagus before any cancer develops. I think that you have gastroesophageal reflux and I think your symptoms can be easily managed. 1. Start an over-the-counter reflux medication. I recommend Ranitidine 150 mg every 12 hours. It takes about 30 minutes to start working, and you can take this as soon as you get up in the morning. 2. Make sure to not eat for two to three hours before going to bed. 3. Avoid spicy or acidic foods, especially for breakfast when you complain you have the most symptoms. This would include avoiding ketchup, citric fruit juices, coffee, and tea. Try to eat a very bland diet for the next two to four weeks and see if that improves. Eggs and toast, for example, caffeine can cause acid, and so I recommend avoiding coffee and tea. If you must have it (as I can understand), try to wait until later in the morning and make sure that you have any coffee or tea with food (even just a dry piece of toast). If your symptoms have not improved in one month, you may need to see a gastroenterologist to be evaluated for esophagitis or an ulcer." + }, + { + "id": 10300, + "tgt": "How can I overcome the loneliness when my partner ignores me?", + "src": "Patient: Hi doctor, I am having trouble in my relationship, my partner has not been contacting me for the past one month and it is affecting me a lot. I am talking to myself considering that I am talking to him, I am making up stories of why he is doing this, sometimes the story is against him and somtimes it is supporting him. I am scared of waking up in the morning thinking that I have to now go throught one more day suffoctaing and crying for the same reason. I am even scared to lock my doors because I feel totally all alone like if there is noone for me, even though I stay with my parents and dog. Please help me to get out of this situation. I seriously need your help. Doctor: Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength." + }, + { + "id": 5350, + "tgt": "Should I worry when my pimple bursts with yellow colored discharge?", + "src": "Patient: Hello doctor, I had a pimple that bursts. There was a yellow discharge for a few hours but it soon dried out forming a yellow layer around the pimple. Now this yellow layer fell off today, but I can see a thick black layer and no discharge. I do not have any pain around the area. Is this a concern? I have chicken pox as well from the past three days. I am currently taking Acivir 400. Doctor: Hello. I have gone through your history and reviewed the attached photograph. (attachment removed to protect patient identity). You have developed pyoderma that is a bacterial infection of the skin. I would suggest you apply topical antibiotic like Mupirocin on this area twice daily and take a short course of Cefixime 200 mg twice daily for five days. Besides this continue with Acivir tablets for chickenpox. Bacterial infection. Secondary infection in varicella. Pyoderma. As mentioned above. After five days." + }, + { + "id": 28021, + "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": 877, + "tgt": "I have gastritis and GERD. Please advise proper food management", + "src": "Patient: Hello doctor, I have GERD and gastritis. I eat three times daily and timely but I am not able to meet enough nutrition gain. I want you to help me in the proper management of food. Doctor: Hi. For how long have you been suffering from this problem? Are you taking any medications for GERD? Is your weight is too low for your height? Do you smoke? If yes, please stop immediately. What about consumption of coffee/ tea? It should not be more than 3 cups daily (120 ml each) with a half teaspoon sugar. Please get back with all details to give proper diet advice. Small frequent meals are advisable. In between snacks, you can take buttermilk which is not sour. All fruits and vegetables are allowed. If you are sensitive to citrus fruits, avoid it. Do not eat any kind of fermented foods. If idly and dosa are sour, avoid it. Better if the batter is made at home, first day of both are allowed. Avoid all kinds of junk stuff, processed, bakery products, rich sweets, fatty foods, etc. Have light dinner by 8-8:30 PM, so that you have ample time before bed. Whenever you are eating high protein foods, followed by a light meal later. Include ghee two to three tablespoons daily in your diet. I hope this helps. Follow up with all the details for better understanding." + }, + { + "id": 17821, + "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": 27808, + "tgt": "My fiancee had period like bleeding after first-time sex. Can you explain why?", + "src": "Patient: Hello\u00a0doctor, About eight months back I got intimate with my fiancee. As it was her first time having intercourse, I penetrated her very slowly. Afterward, I noticed small spots of blood on the head of my penis.\u00a0\u00a0After she went home, she rang me to say she was bleeding so much, she had to use a\u00a0sanitary napkin. She said there was quite a lot of bleeding, just like her period. Can you please explain this phenomenon in detail? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2653, + "tgt": "I have a lot of white spots on the back of palate. Could this be cancer?", + "src": "Patient: Hi doctor, I discovered a lot of white spots in the back of the palate and I am super afraid that this could be cancer. I do not know if it is possible to upload a picture. I am 29 years old, non-smoker but I do drink alcohol sometimes. I am currently on L-Thyrox 75 mg. Doctor: Hello. Since how many days have you noticed these spots? Is there irritation while eating hot or spicy food? It might be just starting of a throat infection and definitely not cancer. Are you taking any medicines? Did you take any specific food items or very hot drinks, etc? Use warm salt water gargle twice a day for a week." + }, + { + "id": 27018, + "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": 14569, + "tgt": "I have pain in the stomach below rib cage with burning sensation. What is the reason?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I have discomfort, pain in my left side of the stomach below the rib cage for the last one year. It is there for 24 hours. Sometimes increases after eating rich food although I am not a heavy drinker, sometimes pain increases after five pegs. I did the following tests, USG: normal of all organs, endoscopy: normal of all parts, Colonoscopy test was normal. Stool test- Mucus +, starch +, vegetable +, pus 1-25. CT scan upper abdomen- Liver enlarged 165 mm and tiny cyst 3.7 mm. Conclusion: hepatomegaly with a small hepatic cyst. SGPT/SGOT normal. Amylase is normal. These are the test and reading. I have not been given any medicine. My question is what is the problem? Sometimes, I get burning sensation below the abdomen in the right side too. Please advise. Doctor: Hi. We are here to help you. You are suffering from irritable bowel syndrome (IBS). I would highly recommend you to stop alcohol, as it will otherwise harm you. I would advise following in such scenario. To take a proton pump inhibitor like Pantoprazole and Rabeprazole. To avoid fat, pepper in the diet. To take smooth muscle relaxant like Mebeverine for stomach pain. Drugs like Chlordiazepoxide and Clidinium bromide are used in refractory cases. These medicines will surely help you. I have lots of my patients who improved on these medicines. Share my opinion with your doctor before you act upon it." + }, + { + "id": 9083, + "tgt": "Getting pain in the lower abdomen after masturbation. Why?", + "src": "Patient: Hello doctor, I am a 21 year old male. My problem is that I am having pain in the lower abdomen region after masturbation or doing anything related to sex. I have this issue for the past 15 days.\u00a0I used to masturbate often in the past, but I quit that a week ago. But, the pain is still on and off.\u00a0Please help me out in knowing my problem. Also, what is the solution? Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11659, + "tgt": "I have an unilateral tonsil enlargement. Why is it so?", + "src": "Patient: Hello doctor, I am a 33-year-old male with no significant medical history aside from essential tremors treated with Inderal 120 mg, and anxiety treated with Venlafaxine 75 mg. Three months before, I consulted an ENT doctor because of an unilateral (right) tonsil enlargement. I am attaching a photo of what it looked like at that moment. Upon clinical examination, my doctor was not worried and suggested to monitor the volume of the tonsil in the upcoming year. I had underwent adenoidectomy during childhood. In the last few months, I have noticed that the same tonsil has gained in volume and now appears round, red and more swollen than before. It is not painful when I swallow, but I have the sensation that something is stuck in my throat (most probably a collateral effect of edema). I am attaching another photo of what it looks like today. I do not feel any lumps in my neck. I have an appointment to see my ENT again, but it is only in one month from now. Being a big fan of catching things early I am a bit worried about waiting another month. Could you please give me your opinion? Doctor: Hello. The two tonsils are unevenly enlarged. Whereas it is usually not any abnormal growth, we can say conclusively only after biopsy. I suggest you discuss with the doctor about the option of tonsillectomy and histopathological examination of the sample. Meanwhile you should get some Benzydamine gargles and check if the symptoms resolve." + }, + { + "id": 7401, + "tgt": "I have tooth pain when I eat but X-ray shows nothing. Is RCT required?", + "src": "Patient: Hello doctor, I have been having tooth pain for about six weeks. It is only when pressure is applied when I eat. No sensitivity to cold or hot. I went to the dentist and he took X-rays and compared them to routine X-rays taken a couple of months prior. He said the two sets were the same and saw no reason for the pain. He tested my bite with that blue paper and thought the issue might be related to my bite. So, he filed down one of my teeth ever so slightly and thought that would do the trick. Two weeks later, the pain had not subsided, I went back and this time he performed a CT scan. He thought maybe there was a crack or something that was not picked up by the X-ray. The scan was also normal, and he could find no reason for the pain. He said he thinks the best option at this point would be to perform a root canal. Is this the best course of action? Doctor: Hi. As per your history, there is no pulp cavity exposure or even if there is a crack that will not cause the pain. The reason I think is the filling, which may be high (high point). The second reason may be a periodontal problem. I do not think RCT (root canal treatment) is the best possible cause. If you would have any sort of sensitivity, root canal could have been the option. I think it is purely pressure-related. For that get your filling trimmed a little bit. Wait for two to three weeks, I think it will be over. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28993, + "tgt": "I am using Mirena and have been spotting every day. Is this normal?", + "src": "Patient: Hi doctor,I had a Mirena IUD inserted before 18 months. I used to spot for a day or so in every few months. But, for the last two weeks, I have been spotting every day. Is this normal? Doctor: Hi. It is one of the complications of LNG-IUD (Levonorgestrel-releasing intrauterine device) or Mirena. The Levonorgestrel being released by the IUD makes the inner lining of the uterus or the endometrium so thin that it will just give way. Let me give you a few facts. By 50 or 52 every lady reaches menopause. After this age, there is no significant healthy follicle in the ovary, and so the estrogen level is extremely low. It will not allow the inner lining of the uterus to increase. To add on to this, the progesterone or LNG makes the lining even thinner, and it will spontaneously tear causing fresh spots every day or intermittently. I wonder what the indication was to have Mirena at age of 54 years. I hope they had ruled out any surprises by taking PAP smear or liquid base cytology, the ultrasound scan of the pelvis and necessary blood tests. If all the above mentioned tests were normal, then spotting is due to hormone deficiency. Reconsider whether the IUD has to be continued. Once removed you may enter menopause and will not have periods anymore. Otherwise, meet your gynecologist, and you will be started on the hormone estrogen cyclically to improve the thickness and bleeding, so the spotting will not occur. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8621, + "tgt": "Is it normal to feel tired even after taking a nap?", + "src": "Patient: Hello doctor, Why are some people still tired after taking a nap? Does the length of the nap matter? Is there a cutoff time where it reaches a diminishing return? Are some people's bodies just not suitable for naps? How do you plan the perfect nap? Doctor: Hi. The short nap is not hazardous at all. It cannot lead to tiredness. Even a short nap can help in relieving tiredness. So do not worry regarding taking a nap. In the afternoon, 30 minutes to one hour nap is best one to relieve your fatigue. If you feel tired more easily then it cannot be due to nap but it can be due to some other cause like thyroid, electrolyte disturbance, low calcium, stress, etc." + }, + { + "id": 6686, + "tgt": "I have habit-tic deformity. How to get rid of this problem?", + "src": "Patient: Hello doctor,I am a 33 year old male. My weight is 64 kg and height is 5'5\".\u00a0I am having a peculiar problem, and upon a\u00a0lot of research on the internet, I found out that it is a habit-tic deformity. I am having horizontal ripples on my right thumb since closely three years. I recently started observing the same in another\u00a0finger. I had a bad habit of picking skin on fingers, biting and clipping off nails, but now I have stopped all those. Still, nail deformation is a problem for me. I have attached the photos of mine for clarity.\u00a0Could you please help me on how can I get rid of this problem?\u00a0I am taking general multivitamin supplements and Biotin 5000 mcg vegetarian softgel. Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16271, + "tgt": "Can I breast feed during chickenpox? Is that safe for the baby?", + "src": "Patient: Hi doctor, I am 22 years old, and I am a mother of four months old baby. Recently, I have got infected with chicken pox. Does breast milk transfer chicken pox to the baby? Do I need to take special care of my baby? Can I do breastfeeding now? Does it affect my child? Please help. Doctor: Hi. A mother who contracts chickenpox can do breastfeeding. Any vesicles present on the breast should be covered to minimize the risk of transmission. There is no evidence shown the presence of the varicella-zoster virus (Chickenpox) in breastmilk. Hence breastfeeding is safe. Breast milk does not transfer chickenpox to the baby. The doctor may prescribe Acyclovir 800 mg five times a day if you are seen within 24 hours of rash onset. It reduces the time to have full crusting of lesions and reduces the number of lesions. Acyclovir can be taken during breastfeeding. It is safe to take. Keep your nails short to minimize the damage from scratching." + }, + { + "id": 6125, + "tgt": "I am a chronic smoker. What is my chest CT scan showing?", + "src": "Patient: Hi doctor, I am a smoker for 29 years, about half-pack a day. I just went through a chest CT scan yesterday. Can you help me to review the Dicom image files to see if everything is fine? Doctor: Hi. Review of given CT chest scan images (attachment removed to protect patient identity): There is no obvious focal lesion in the lungs. There is mild hyperinflated lungs with concerns for early changes due to emphysema. This is not a serious problem. However, you might like to alter your smoking habits and decrease the chances of further lung changes." + }, + { + "id": 7211, + "tgt": "How to control the dripping of a few drops of urine after urination?", + "src": "Patient: Hello doctor, After urination a few drops are coming through my penis, I cannot control. Please advice. Doctor: Hello. I can understand your problem, but you have provided very less information to solve the problem. Kindly provide the following information about yourself, 1. Age. 2.Occupation and religion. And since how long you are having this problem? 3. A number of drops that are coming through your penis after urination. 4. Is it associated with any other complaints? 5. For how long the drops of urine keep coming out of penis after urination? First, I would like to tell you that a few drops (four to five) of urine may come out through the penis after urination which is normal for all males. The reason for this is the long urethra (penis shaft) in males as compared to females. So, after urination, you should slightly jerk your penis to remove the extra drops of urine remaining in the penis, or, you can also use a tissue paper for the same purpose. With increasing age, there may occur urinary incontinence and other problems, that is why I would first like to know your age. Then, several drops are important because usually also few drops may come out. But if the number of drops is more than usual, then only we can say that you are having a disease and should be treated or not. So do not worry because things can be normal also. So now the first thing you should do is to give all the information which I have asked for, then only I can find out what is the problem. Further queries are welcome." + }, + { + "id": 5903, + "tgt": "My daughter gets febrile convulsion whenever she gets fever. Is there any homeopathic medicine?", + "src": "Patient: Hello doctor, My daughter has her first febrile convulsion after Penta 3 vaccination at night with a very high temperature and she was having an infection of cold also. After five months she again gets a cold and runny nose with fever and she got convulsion for less than a minute. In the next month also the same follows. Doctor: Hello. She will be fine with homeopathy medicines and I will reply to you in detail soon." + }, + { + "id": 19098, + "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": 960, + "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": 9347, + "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": 18071, + "tgt": "Is my pap smear report worrisome?", + "src": "Patient: Hi doctor, My pap smear report showed intermediate and fewer superficial squamous cells with dense neutrophilic infiltrate, lacto and coccobacilli. It also reported cellular changes associated with inflammation. What does it mean? Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 12907, + "tgt": "When will a patient with paranoid schizophrenia have delusion?", + "src": "Patient: Hello doctor, I have a few doubts about schizophrenia. Will a patient with paranoid schizophrenia have delusion 24/7? Or they occur at a particular time or under situations like when they are alone doing nothing? If a schizophrenic patient is committing crimes will there be any pattern? Doctor: Hi. Delusions are fixed firm unshakable beliefs that are not in keeping with a person's cultural, social and educational background. If a person is deluded about something he has it 24x7. But that does not mean that all of his functionality will be gone. Except for the domain of the delusion, he may function well. For example, if a person is deluded about being followed and spied upon, he may still be good at his work. Speaking of criminal responsibility. Well, it is a tough thing to prove or disprove but theoretically, if a person is deluded about his wife but hunts down a deer because he wants its skin or horns, he will be responsible for his crime because, at that time, he was not having a delusion about that deer." + }, + { + "id": 20244, + "tgt": "What exercise precautions are needed for someone who is not on blood thinners?", + "src": "Patient: Hello doctor, I am an accredited exercise physiologist currently working with a client who is taking blood thinners. Recently, the client will be going for oral surgery and has to stop taking the blood thinners five days in advance. \u00a0The client will be completing one last exercise session with me on Friday. I would like to know if there are any precautions and concerns for exercise whilst my client is not on blood thinners. Please advice. Doctor: Hello. Please do not hesitate to contact me if you have any further questions. For more information consult a\u00a0hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15804, + "tgt": "Please tell me in detail about psychopath", + "src": "Patient: Hello doctor, We are both 18 years old and we were wondering if you could answer some of our questions for school. We are required to consult with a psychiatrist, but we do not have money to consult with any. Our topic is psychopathy and how psychopaths are developed. The questions are as follows. How do you diagnose someone as a psychopath? What kind of therapy is needed to aid the brain condition of a psychopath? Is psychopathy a genetic condition? Are sociopaths and psychopaths developed the same way? What kind of environment is the most likely to form psychopaths? Are psychopaths more self-sufficient compared to an average person? If psychopaths are unable to feel strong emotions, what are their goals or aspirations in life? What are the signs of a psychopath targeting you? Do psychopaths lack the concept of sexuality since they are unable to form deep emotional connections? If a psychopath is able to form a family, what would be the effect on his or her children? Doctor: Hi. I would be happy to help you. What you are referring to as a psychopath is known as antisocial personality disorder in psychiatry. It is diagnosed using certain standard guidelines and criteria. These people show a persistent disregard for laws and the rights of others. Such people do not generally seek professional help unless it is for comorbid problems like substance use or mood disorder or they are in prison and brought by the police. These people have impulsive traits and extreme irritability which can be reduced with the help of psychiatric medication. Therapy may be helpful but more often than not. There is no permanent treatment because many of them do not follow up and majority do not feel there is anything wrong with them. People who have first degree relatives with psychopathy have higher chances of the same but social, economic and cultural factors also play a role. Sociopaths can be best described as a milder form of antisocial personality disorder. Psychopaths are highly intelligent but they lack empathy. So they do not generally have long lasting relationships or gain satisfaction from interpersonal relations." + }, + { + "id": 29219, + "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": 10721, + "tgt": "My partner came all over me on top of my vagina without protection. What are the chances of conceiving?", + "src": "Patient: Hello doctor,My baby is 3 months old. Last night my husband and I did not have intercourse, but he came all over me on top of my vagina without any protection. Any chances that it will make me pregnant? I am very scared. Please advice. Doctor: Hello, Welcome to the icliniq.com. Full penetrative intercourse has a high chance of pregnancy, but nonpenetrative contact of genital with vagina also has some risk of pregnancy because of contact of precum fluid from the penis to vagina. So you have less chance of pregnancy but wait for the next period. If the next period delayed for a week than rule out pregnancy by urine hCG (human chorionic gonadotropin) card test. If you want to exclude early than after three weeks of last menstrual period (LMP) investigate with blood hCG test. Get back with more query if you still have doubt. I hope this will help you." + }, + { + "id": 18753, + "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": 18117, + "tgt": "Does a fall cause brain and IQ damage in a baby?", + "src": "Patient: Hi doctor, My daughter of 6 months old had a fall yesterday\u00a0from 20 inches height. She had a hit on the backside of her head. She cried loudly and I immediately applied lot of water on the backside of her head. She became fine within a minute and she is totally fine now. Will it affect her intelligence or IQ level? My mother says that if head of the baby gets hit at early stage it can cause brain damage or may affect intelligence level. Please explain. Should I check her IQ once she is little grown up like 5 or 6 years of age? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23624, + "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": 8142, + "tgt": "I have black spots near my foreskin. What are they?", + "src": "Patient: Hello doctor, I am a 27 years old man, who had swelling and burning on my penis two\u00a0months back. That time, I applied an antifungal cream, so it became\u00a0normal, but\u00a0after\u00a0a few days, it started again. I applied the same cream again, and the swelling and burning went away. But now, I feel that my penis has become loose, and the thickness also reduced. I have black spots near the penis foreskin. What should I do? I am scared that\u00a0I am suffering from a major problem. Please help. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2641, + "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": 8596, + "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": 30431, + "tgt": "I believe that oscillation and alpha waves of brain always coincide. Is it true?", + "src": "Patient: Hi doctor, This is a tough question to ask. I believe that oscillations or brain oscillations can be associated with rhythmic variations and vibrations, which coincide with alpha waves or gamma waves. When an outside stimulus is introduced such as a metronome and we perform a specific motor skill in direct relation to a beat or rhythm, can that create an actual memory engram? The question I am asking is with an outside stimulus such as the above mentioned metronome and performing a psychical motor skill corresponding to the beat would that be considered as a brain oscillation? Doctor: Hi. I have read your question with care and understand your line of thought. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22839, + "tgt": "How can I cure my day-to-day anxiety?", + "src": "Patient: Hello doctor, I am 29 years old male. I was suffering from rumination, anxiety, depression, hopelessness and had a panic attack 10 months back due to problems in my career, loneliness and some problems at home all at the same time. I consulted a psychiatrist who diagnosed me with mild depression and OCD 10 months back. He started with Sertraline, but it did not suit me. So, he shifted me to Paroxetine, beginning with 12.5 mg and gradually to 50 mg. As of now, I am on 50 mg Paroxetine and 7.5 mg Tetrafol for four months. Almost 90% of my symptoms are cured and I am no longer feeling depressed. The only problem is that I am still suffering from anxiety which is seriously hampering my studies and concentration. I have borderline high TSH. I also suffer from mood swings, e.g., sometimes I feel very good and confident, but at other times I feel very low and full of anxiety. I want my anxiety to be cured, and the drug should be such that it does not induce sleep as I have to study for long hours. Here I must tell you that I eat healthy food, fruits, nuts and regularly do exercise so such suggestions will not solve my problem. My major concern is the day-to-day anxiety which is hampering my studies, and I want that to be cured. Doctor: Hi. Now your main concern is anxiety. There are few options available such as increasing the dose of Paroxetine CR to 75 mg or adding Propranolol or Buspirone. You can try any of the options. Consult your specialist doctor, discuss with him or her and take medications with their consent. Another thing is that you need to do regular exercise, progressive muscle relaxation techniques or yoga, as these things improve your mood as well as induces relaxation thus decreasing anxiety. Also, try to feel the anxiety and do not react to that, live in present moment. By doing this, you will be better able to tolerate anxiety. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6029, + "tgt": "I have ulcerative colitis and got bloody stool due to constipation. Please suggest a medicine", + "src": "Patient: Hello doctor, I have been diagnosed with ulcerative colitis about a year back with 30-40 cm from the anal area by colonoscopy. I started taking Asacol (Mesalazine delayed-release tablets) about two tablets twice a day and now it has reduced to two tablets a day. I am also taking Ayurvedic medicine Mochras one tablet twice a day, Bilva compound one tablet twice a day, Jatamansi two tablets at night, Manasamitra vatakam one tablet at night. Again since last week or so, I had a bloody stool due to severe constipation. I am still having an urge to go to the toilet often four to five times a day. Could you suggest the best possible medication and exercises to put my UC into remission for years? Doctor: Hello. Diet and pranayama are the ones which shall be given key importance here. I shall suggest you to have good quantity of fruits and fiber rich diet for the next one week. You can have oats meal for both breakfast and dinner. Consume rice soup with a pinch of salt as lunch. Have fruits in the midway when you feel hungry. This along with medications, will help to reduce both inflammation in ulcerative colitis and bleeding stool. Medicines you are consuming right now is perfectly fine and no change is needed in it. Adapt to the change in diet as mentioned for the next week and follow up. Here it will be helpful to you if you practice pranayama for 10 minutes daily as well. Kindly keep a gap of 30 minutes between allopathic and ayurvedic medicines." + }, + { + "id": 3437, + "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": 5046, + "tgt": "I get acute pain in left lower back with extreme pain while sitting. What to do?", + "src": "Patient: Hello doctor, I am experiencing acute pain on the left side of the lower back since last night. Suddenly, I was unable to bend forward at all and started feeling extreme pain while sitting. The pain is radiating from the lower back to the left hip. Even after 12 hours, the pain has not reduced a bit. Doctor: Hi. I have gone through your complaints and understand your concern. I generally have seen many cases like this at my clinic. I advise them rest, analgesics, anti-inflammatory tablets, and ice pack till the symptoms reduce to some extent. Then I get an x-ray and if necessary an MRI (magnetic resonance imaging) done to find out the exact reason. In your case, there are three possibilities: 1. Soft tissue inflammation, there may be no bony involvement, only the soft tissues around the region might be inflamed that may be causing the pain. 2. Neuropathy, there may be a partial or complete inflammation of the nerves in that region that may be the root cause of such a kind of pain. 3. Disc prolapse- there may be a compressed nerve in the spine somewhere that might be causing radiating pain in those regions. The possibility of a disc prolapse should be kept in mind. I suggest you get an x-ray as well as an MRI done to find out the exact cause. Physiotherapy, analgesics, and anti-inflammatory drugs should help until then. Do get back to me after your reports are ready. But I assure one thing, even if it is either of the above three possibilities, all have a good prognosis and you should eventually get back to normal in the coming few days. Nothing to worry about." + }, + { + "id": 24507, + "tgt": "Is it normal to have pain while taking AKT-4 kit and Benadon 40 for TB?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I got effusion in my right chest and was detected with pulmonary TB. I have been prescribed with AKT-4 kit and Benadon 40 mg for one month. I am taking this medication for the last five days and am feeling pain in my chest and rib area during breathing for past two days. Is it normal to have such pain during this medication or shall I visit the doctor? Doctor: Hello. I would like to ask a few questions. I am asking this because, though in more than 90 % cases effusion is due to TB, there can be other causes also. Anyway, for TB pleural effusion, you will need to take AKT-4 (Ethambutol, Isoniazid, Pyrazinamide, Rifampicin) for two months followed by AKT-3 (Rifampicin, Ethambutol, Isoniazid) for four months. In some cases, treatment might be extended to nine months. Now, regarding pain while breathing, it is a usual sign of pleural inflammation. While breathing two layers of pleura rub if they are inflamed and it causes pain. It is expected in case of pleural effusion. If you are having symptoms, you can take analgesic for a few days to relieve pain. But you will have to continue ATT (antitubercular treatment). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3934, + "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": 15060, + "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": 21863, + "tgt": "What could be the reason for recurrent fever with high ESR and CRP levels?", + "src": "Patient: Hi doctor, I am getting a fever every day. But, every day the fever occurs and goes to a maximum of 100 degrees, and it gets back to the body temperature without any medications. It is repetitive. I have done a few blood tests and am attaching the reports. I have found out that my CRP and ESR is very high (I have a history of aortic valve replacement surgery). I am worried. I am taking Betaloc 12.5 mg, Ecospirin 75 mg, Warfarin 5 mg, Fibator 5 mg. Last week, I went out of the station, and I had a significant amount of traveling. Doctor: Hi. It is likely a viral fever only as it settles within four to five days. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) are usually elevated due to viral fever or any other fever. As it gets recovered within four to five days without any antibiotics, then it is likely a viral fever, and the possibility of other infection goes down like infective endocarditis, typhoid, malaria. So there is no need to get worried. One may get repeated viral fever with travel, change in environment or change in food and the body clears it successfully. So there is nothing to worry about it. Since you have an aortic valve replacement, then we have to be vigilant regarding the possibility of infective endocarditis. So you should get your ESR and CRP done after two weeks, and if they are still elevated, then you should get an echocardiogram done to rule out infective endocarditis. For more information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7846, + "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": 27518, + "tgt": "Is it normal for morning sickness to ease at nine weeks?", + "src": "Patient: Hello doctor, I am a 24 year old female and my weight is 133 lbs. I will be nine weeks pregnant tomorrow and my nausea, hunger, and discharge has pretty much stopped. This is my first pregnancy. Doctor: Hello. I can understand you are worried about your health at this point of pregnancy. Hope it helps. Please feel free to revert.\u00a0I would be happy to assist. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18977, + "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": 23616, + "tgt": "I need some advise on how to make myself more pretty. Please help", + "src": "Patient: Hello doctor, I do not really know what I need done, but I notice there is something slightly off with my face. I noticed that one side of my nose is more straight than the other. That is more curved and I am thinking that might be the problem, but you are the professional. So, I pretty much just need some honest opinions on how to make myself more prettier. Doctor: Hello. I have seen the pictures shared by you (attachment removed to protect patient identity). You have a beautiful face there. A little makeover will make it more gorgeous. As you already mentioned, your nose has a bit bulbous tip deformity which is correctable. Apart from that, your eyes look tired due to long hanging upper eyelids and sunken lower eyelid area. These can be treated by blepharoplasty and fat grafting. Lastly, the lower face looks long due to ill-defined jawline, excess buccal pad of fat, and larger lower lips. All these are correctable deformities which you can discuss efficiently if you are planning for correction. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 1011, + "tgt": "What can be the reason for my erection problem?", + "src": "Patient: Hi doctor, I have experienced a problem in erection since last three months. I am a smoker. The testosterone level in my last routine medical checkup was 134. Please help. Doctor: Hello. Revert back with the answers to the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3146, + "tgt": "My skin has become dark after applying TCA peel. Why?", + "src": "Patient: Hi doctor, I applied 35 % TCA peel before two days and then I got some burning and redness on the area. It is all black now and also getting darker day by day. How can it heal faster? Is there a chance of leaving out scar? Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8376, + "tgt": "There is prominent column of Bertin in kidney with abdominal pain. Why?", + "src": "Patient: Hello doctor, I have abdominal pain, USG shows prominent column of Bertin noted at left kidney. Doctor: Hello. I want to reassure you that this finding is not significant and most likely not related to your abdominal pain. Further assessment including detailed history and proper examination should be done to diagnose the possible reason." + }, + { + "id": 14484, + "tgt": "Kindly explain whether MRI brain and CSF studies show any relation to NPH", + "src": "Patient: Hello doctor,Can you please give the diagnosis of the uploaded MRI brain and CSF studies with a detailed report? Please advise on the action plan as to how to get the CSF findings treated. The MRI report is enclosed. Does the enclosed report co-relate with your findings? The MRI report CSF studies report shows CSF hyperdynamic flow of absolute stroke volume of 110 microliters per second against the normal of 50 microliters per sec per cardiac cycle. Also, my treating neurologist wanted an opinion on the following. Are there signs of NPH? But do the findings of brain atrophy, ventriculomegaly, hyperdynamic CSF flows suggest of idiopathic hydrocephalus and are some intervention required? Doctor: Hi, Welcome back to icliniq.com. The findings in the report and the images are matching and acceptable (attachment removed to protect patient identity). The term NPH is usually applied in cases where there is abnormal CSF hyperdynamic circulation with gait problems or without gait problems if incontinence is there. Confirming NPH without typical features is difficult in your case. There are controversies regarding NPH and CSF hyperdynamic values and different researchers have come to variable conclusions. Since gait problems are most common in NPH, therefore, most researches have mentioned the importance of gait problems when confirming NPH or incontinence if gait problem is not there. Treatment with shunting might help only when NPH is confirmed. If there is no NPH then the diagnosis is likely due to neurodegenerative disorders and the symptoms can be treated by medicines. There are many different and complicated types of neurodegenerative disorders and a clinical emphasis is more important than only MRI findings when confirming a condition." + }, + { + "id": 9364, + "tgt": "Can numbness in foot and arm mean ALS?", + "src": "Patient: Hi doctor, I am a 26-year-old male. I am feeling numbness in my left foot and left arm (especially near fingers and hand area) for the last six weeks. Firstly, I just ignored it and thought it will go away with time but now I am getting confused about it and want your opinion on this. Got your medical questions answered three minutes ago. Also, my mother is an ALS patient. I have started taking Methylcobal tablet since last week and still not felt any significant betterment. I had some problems in my family due to which I had some stress but now I am totally okay and have no stress presently. My diet is healthy and I have no back pain or not any pain on the chest side. I am just worried about my numbness in the left foot and left arm and the arm and foot sometimes start paining though it is bearable I am worried about it. Kindly suggest. Doctor: Hi. I have read your question carefully and I understand your concern. Before we say it is stress related (because it might be), initially we have to rule out other causes. I think that a face to face neurological assessment is warranted. A complete neurological exam will show what kind of numbness do you have. Is it also associated with weaknesses or not. Are there spastic or flaccid signs. Are there any other signs that could be elicited during the exam and not felt by you. Depending on the objective signs, your neurologist might order additional examination (MRI, nerve conduction studies, laboratory studies, etc). Regarding the fact that your mother is diagnosed with ALS, I do not think you should be worried. First, ALS are sporadic in 90 to 95 % of cases, which means not inhereted. Also, you have one-sided signs, that also speak against ALS. I hope my answer is helpful. Feel free to contact me again if you have further questions or uncertainties." + }, + { + "id": 15209, + "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": 12199, + "tgt": "What can be the reason for my frequent hunger and weight loss?", + "src": "Patient: Hi doctor, I am 63 years old. My height is 6 feet, and I weigh 165 lbs. Overall I have maintained good health with stable CAD, chronic sinusitis and very fit. My recent stress echo shows excellent exercise tolerance and no blood flow blockage in coronary arteries. I have been taking these medications Crestor, Amlodipine, Benazepril, Bystolic, and Zetia for many years. I have symptoms such as frequent hunger, and still, there is weight loss. Perhaps have lost 2 kg over past 3 months. I have constant body aches, constant low-grade headache, overall fatigue, feeling some sensation in both groin and armpits. Bowels work fine. This has been going on for several weeks. Consulted my physician who said the lymph nodes that he could palpate were fine. Did ultrasound of neck and axilla and chest x-ray both were unremarkable. I fear that I may have liquid cancer. Can you look at these two laboratory results and tell me if these results could indicate the presence of lymphoma or leukemia. If it is not cardiac arrest, then I am sure it will be figured out in time. There is no history of CA in my family. Please help. Doctor: Hi. Based on your query and attached reports (attachments removed to protect patient identity) my opinion is as follows: Based on your reports, there is no abnormality. No signs of any lymphoma or leukemia. Weight loss of 2 kg over 3 months is normal. Dehydration can cause up to 1-2 kg weight loss within a week and 2 kg should not be worrisome. Thyroid profile is good and there is no anemia. Regular moderate activity, protein-rich diet, good hydration (5-6 liters of water per day) should be helpful. Night sweats are usually a sign of cancer. However, the weight loss will be in the range of more than 10% within 2-3 months and additionally, for lymphoma, multiple groups of lymph nodes would be enlarged or in case of leukemia WBC (white blood cell), the differential would show a high number of blasts or immature cells. None of which are found. Additionally, there are no frequent new infections, indicating good bone marrow and immune function. There is no presence of any cancer of blood-forming cells. 1. Regular moderate activity. 2. Have good protein rich diet. 3. Keep yourself hydrated. Drink at least 5-6 liters of water per day." + }, + { + "id": 20084, + "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": 4671, + "tgt": "What do the echo reports of an 18 days old baby suggest?", + "src": "Patient: Hi doctor, Please find the attached\u00a0echo reports of my 18 days old baby boy. Please review and give your feedback. Thank you. Doctor: Hi. I have gone through the echocardiogram reports (attachment removed to protect patient identity). 1. Normal breastfeeding and monitoring of symptoms. 2. Keep close contact with pediatricians. For further clarifications consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25830, + "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": 17393, + "tgt": "Is injectable Botox safe for a patient with Sjogren's syndrome?", + "src": "Patient: Hi doctor, I am suffering from Sjogren's syndrome.\u00a0I have a few questions about safety of cosmetic procedures. Is botox injectable safe? Is ultherapy or laser safe for a patient with Sjogren's? Kindly advice. Doctor: Hi. Revert back with detailed information to a dermatologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27764, + "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": 20793, + "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": 28256, + "tgt": "Is there a permanent solution for bad breath?", + "src": "Patient: Hello doctor, I am suffering from bad breath. Bad smell prevails after I brush my teeth or clean my tongue. I want to get rid of it.\u00a0Is there any permanent solution? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23854, + "tgt": "Is the black patch on the abdomen age spot or mole?", + "src": "Patient: Hello doctor, I have noticed a black spot or patch on the abdomen while taking bath. I want to take your opinion on this. What kind of spot is it? Is it age spot or mole or something else? I am a 39-year-old male and I take medicines for BP and thyroid as well for quite long. I am attaching pictures. Please have a close look at it and suggest me what to do in your opinion. Doctor: Hi. I saw your picture (attachment removed to protect patient identity), need some more clear pictures. By the picture, it is a simple melanocytic naevus. No need to worry. Keep it under observation for every six months by taking a photograph and comparing it. It is very very rare for your skin type for a mole to convert into dysplastic (cancerous) mole. If you notice any changes in the mole then we can plan a biopsy for visualizing internal changes. Otherwise, no further treatment is required as of now. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25083, + "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": 24722, + "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": 15392, + "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": 8456, + "tgt": "Why am I not able to last long during sex?", + "src": "Patient: Hello doctor, I am 22 years old with a weight of 96 kg. I have been participating in sex from the last year. It is happening frequently and when I am alone, I am now masturbating almost daily even for once and I finish so early. I cannot last long. Is that anything to do with masturbating or frequent participation in sex? Doctor: Hello. The excess masturbation has shown relation to premature ejaculation. So it is advisable to restrict masturbation frequency two to three times a week. It is also important to learn when to slow down stimulation by distraction technique to prevent early ejaculation. Master and Johnson's techniques are also beneficial. Topical Lignocaine jelly can be applied after erection to prevent early ejaculation. A pelvic exercise called Kegel exercise is also beneficial. However, if you do not have an improvement in early ejaculation with all these methods then consult nearby sexologist or psychiatrist for detailed evaluation." + }, + { + "id": 24110, + "tgt": "Will our blood group combination create a problem at the time of conceiving?", + "src": "Patient: Hello doctor,I am going to marry next month. Actually, problem is, I have A +ve blood group and she has B -ve blood group. So, I want to know, will this blood group combination create a problem at a time of conceiving to the mother and the fetus in the future? Doctor: Hello. You are having a positive group and your wife is having a negative group. So, in the first pregnancy, it will not create any problem in the mother or child. But, sensitization to Rh antigen can occur and mother forms antibody against Rh D antigen. If she conceives for the second time, then the fetus can have severe hemolytic transfusion reaction by preformed Rh antibody. But, to avoid this complication, you have to take care that in the first pregnancy, she should be given anti Rh D immunoglobulin injection. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12777, + "tgt": "Can redness on cheeks be due to something serious?", + "src": "Patient: Hello doctor, I have redness on my cheeks that is not acne. I have used Sodium Sulfacetamide as a wash and Benzoyl Peroxide gel which just seem to worsen the condition. I have struggled with this issue and cannot seem to find a solution. Doctor: Hello. From the photo, it seems like rosacea (attachment removed to protect patient identity). It is a common skin disease characterized by a tendency to blush or flush more easily than other people. Treatment consists of preventing the aggravation of symptoms. This is possible through finding and avoiding triggering factors like foods, weather temperatures, or any cosmetic. Do put always sunscreen with SPF 30 or higher. Avoid rubbing your face skin, avoid skin irritants. To ease the redness, you should apply Azelaic acid cream locally twice daily. Plus, should apply Aloe vera gel throughout the day." + }, + { + "id": 7076, + "tgt": "What should I do to father a child when being diagnosed with a low semen morphology?", + "src": "Patient: Hello doctor, I was diagnosed to have low morphology. What can I do to father a child? Doctor: Hello. I went through your report, and a few points need to be clarified. 1. The volume of semen is more than usual. We advise abstinence of three to four days before this test. I hope you had that. 2. Do you have any medical problems like uncontrolled diabetes, use of anti-epileptic, bronchial asthma, thyroid hormone abnormalities? Some of the few issues that can affect sperms morphology. 3. Any addictions like smoking, drugs, etc. 4. Any STD, these can affect morphology. Any occupation exposure to chemical like petroleum products, pesticides, paint, etc. 5. On examination hope the volume of the testis is fine. You can have a good course of antibiotics and repeat semen analysis after a month. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 24812, + "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": 9542, + "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": 27707, + "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": 15931, + "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": 14612, + "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": 4910, + "tgt": "I am having severe vaginal itching in the night. Why?", + "src": "Patient: Hi doctor, For the past few weeks, I have had severe vaginal itching. It goes on all night and sometimes during the day. I have not slept properly for the past few weeks. I have not experienced this level of itching before and for such a long time. Once this started, I used Lactacyd to alleviate the itch, but that has not worked. Please help me before I go out of my mind. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15083, + "tgt": "Why is there bad breath in spite of flossing and using mouthwash?", + "src": "Patient: Hello doctor, Majority of times after I floss and then brush my teeth afterward I use cool mint Listerine mouthwash. I do not understand what is going on but my fiance says I have an unpleasant smell in my mouth. I do not have to be so close to him talking. After I had a wash with the Listerine, I do not eat anything or drink until after we meet up. I do not understand what is going on. I do all that I can to have fresh breath why am I not getting no benefits out of it? I am so frustrated. This issue is there for the past one month. Doctor: Hello. You do not need to be frustrated. It is very common. There are various factors affecting your bad breath. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry. Brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces. Floss at least once a day. Rinse with a mouthwash twice a day. If you do not like the odor of your mouthwash you could change its flavor. Sometimes when we are empty stomach for a long time, bad breath still comes out of the mouth. Our digestive system also affects our breath, so take care of your digestion. Have a great time." + }, + { + "id": 25346, + "tgt": "Can you interpret my semen analysis reports in layman terms?", + "src": "Patient: Hello doctor,Good day. My wife and I are trying to conceive and one of the tests done was a semen analysis test for me. I picked the results up from the lab, but I would not be able to see my doctor till a couple of days because of work. I am anxious and I would love an interpretation. I have attached the results.Thanks Doctor: Hello. The attached report (attachment removed to protect patient identity) suggests that it has normal liquefaction time, total sperm count is in the normal range and active mobile is low, volume adequate, and normal morphology is low and also has puss cell which indicates that you are suffering from an infection. So, it is advisable that you take a course of antibiotics according to the culture and sensitivity test after consulting with your treating doctor. Hope this clarifies your concern. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6268, + "tgt": "My scalp is itchy, sore and painful with hair fall. Please help", + "src": "Patient: Hello doctor, I am a 20-year-old male. I am having an itchy, red sore, painful scalp with hair loss. Doctor prescribed me Minoxidil, Multivitamins, and shampoo. I am not using minoxidil because of its side effects. Please help. Doctor: Hello. I have seen your attached photograph. (attachment removed to protect patient identity). I hope the following suggestions are able to help you: 1) As of now do not restart Minoxidil as it may end up irritating the scalp further. Of course, you may restart it once the primary issue has settled. Similarly, make sure what kind of shampoo has been suggested to you. I prefer to use a shampoo that has an anti-bacterial, anti-fungal and inflammation-reducing properties. e.g. a shampoo containing Betadine (BETADINE-AD Shampoo). Apply the shampoo gently over the scalp with gentle massage and leave on for three to five minutes, then rinse off with cool water. Do this every day for five days, then alternate days for a week. Then you may resume your normal shampoo. 2) The strongest possibility of your scalp sore is that of a scalp Furuncle, which is a bacterial infection of the scalp roots. For this, take the following medicines (I have mentioned few common trade names of the medicines for your benefit). a) Antibiotic containing Amoxycillin 500 mg and Clavulanic acid 125 mg (625 mg) dose capsules. You need to take one capsule two times a day for five days. Trade names: Capsule Augmentin or Amoclan or Amoxiclav or Clavor. b) Since any antibiotic may cause a little stomach upset, take a probiotic capsule containing Lactobacilli (yogurt bacteria) once a day or you may also take yogurt twice a day. c) Anti-inflammatory medicine to reduce pain and swelling. Take a tablet containing Diclofenac Sodium 50 mg twice a day for three days. Take this tablet after breakfast and after dinner. Trade names: Cataflam or Diclofen or Dicloced or Diclogesic or Volfenac. 3) If symptoms persist, it may be a pointer towards a possible fungal infection, for which you will need a hair root test for KOH (Potassium Hydroxide) 10% to detect the fungus. I hope this helps." + }, + { + "id": 4278, + "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": 11446, + "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": 10627, + "tgt": "I have a painless, small, white dot on my gums. What could it be?", + "src": "Patient: Hi doctor,I have a small white dot on my gums. It looks like a whitehead. I noticed it a couple of days ago. It is painless. It is just above my left canine. I do not know what it is. It is towards the top of the gum. I have attached the photo. Can you suggest what it could be? I am scared of the dentist, so any option avoiding that would be nice. Doctor: Hi. It looks like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or problems. Oral ulcers are small round or ovoid ulcers of 2 - 4 mm in diameter. They are round or ovoid in most situations but are often more linear in common site. They have an ulcer floor that is initially yellowish white and surrounded by an erythematous halo or redness. They are found mainly on the mobile mucosa of the lips, cheeks, the floor of the mouth, sulci or below the tongue. Yours is in between the junction of gums and sulcus of the cheek, so it is a soft mucosa looks like to be. They occur in groups of only a few ulcers that is, one to six at a time. In your case, you have one only. They heal in 7 to 10 days, and they may recur at intervals of one to four months. They leave little or no evidence of scarring. If it pains, then you can apply pain relieving gel. If it does not subside in a week or 10 days, then do visit your dentist. Aphthous ulcer. Do not eat spicy food. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19065, + "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": 8940, + "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": 15962, + "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": 7541, + "tgt": "I am going to get married in some months and suffering from premature ejaculation. Please give some advice", + "src": "Patient: Hello doctor,I am 27 years old and going to get married after three months. I am facing premature ejaculation. I have a bad dream after two or three days regular basis. So fearing about marriage as I have this problem. Semen maybe not thick enough and ejaculate after only 12 to 15 strokes. Need valuable suggestions from your end. Doctor: Hello. 1. Getting sex dreams is not a bad thing. It is a part of normal sexual life. It is nature's way. You will not get any sexual problems on account of this. You can happily get married. 2. Semen thickness varies from time to time, depending on many factors. It does not have to be thick. It should become thin soon after coming out of your body. Otherwise, you may have difficulty in conceiving. So, do not worry about semen is not thick. 3. You can overcome premature ejaculation by using proper medicines and following techniques such as start-stop technique." + }, + { + "id": 25249, + "tgt": "Biopsy report shows carcinoma of urinary bladder. Please suggest a treatment", + "src": "Patient: Hello doctor, This is the biopsy test report of my father which we received today. Please suggest what treatment should be done. Clinical findings: Multiple papillary tumors in the bladder. Clinical diagnosis: T.C.C urinary bladder. Tissue forwarded: TURBT. Macroscopy: Gray white tissue bit together (M)2 .5CM(AE). Microscopy: The sections show neoplasm arising from the transitional cells and still recognizable of transitional origin. The number of cell layers are increased, more than ten mitosis present. Loss of polarity seen variable in cell size, shape, and chromaticity seen. Diagnosis: Grade II , Transitional cell carcinoma, urinary bladder. Doctor: Hello. The report is showing transitional cell carcinoma (TCC) of the urinary bladder (cancer of urinary bladder). In biopsy report, there is no comment on muscle involvement. That means we need to know whether the tumor is superficial or deep (involving muscle) also. They need to comment on the biopsy report on muscle involvement, whether involved or not or maybe the surgeon did not take muscle biopsy. In that case, they have to do cystoscopy again. Because treatment and diagnostic workup is different for superficial and deep (muscle invasive tumor). If superficial only, then simple surgery through cystoscopy to remove superficial tumors called TURBT surgery. After that, they may give weekly intrabladder BCG or chemo to prevent recurrence. Superficial urinary bladder tumor (TCC) is highly curable. But if the muscle is involved, then he must undergo further investigations like CT scan chest and abdomen, isotope bone scan and MRI pelvis to rule out the distant and local spread. After staging workup he will be planned for management, that is, surgical removal of bladder plus chemotherapy. If you have it, upload cystoscopy report also. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 2407, + "tgt": "Fine needle aspiration shows benign mass on thyroid, but I have throat pain. What to do?", + "src": "Patient: Dry cough and tickle in throat pain occasionally from right side of neck to my ear. MRI showed a mass on right side of thyroid had a fine needle aspiration done on it, they poked it 9 times to try and get enough for the screen. The results came back saying: This needle core was done in the possibility that may not be enough epithelium in the cytology specimen. The core; however, does only shows benign soft tissue and skeletal muscle and is noncontributory. And said it is benign. That was 3 months ago and I now have a cough and a tickle in the throat. Also occasionally with a pain in my ear. Should I get another doctor to look at it? FREE T4. 1.29 Thyroid stimulating hormone .95 Doctor: Hello. Good to hear from you. I understand your situation. Firstly, regarding the neck swelling that concerns you, since there is no evidence of malignancy in any of the investigations do not worry about it. As your blood thyroid levels are also normal without any medication, do not be concerned about it. Secondly, about the cough n throat pain that you have, it has nothing to do with your neck swelling. Do/did you have any cold.? The cough might be because of a mild infection or an allergy or a reflux. So if u can get treated for this you\u2019ll be fine. I suggest you to try the following medication. 1. Tab amoxicillin 500 mg twice daily after food for 5 days. 2. Tab levicetrizine 5 mg once daily before sleep for 7 days. 3. Tab pantaprazole 40mg once daily before breakfast for 7 days 4. Syrup gunaphesin 10 ml thrice daily Infection/allergy Chest x Ray URTI medical Avoid cold food. After completing medication." + }, + { + "id": 22069, + "tgt": "The area around my vagina is itchy and swollen. What has to be done?", + "src": "Patient: Hello doctor,The area around my vagina is itchy and sometimes gets a little swollen. I have noticed little bumps around that area and I am not sure what to do. Doctor: Hi. Are you sexually active? If yes, then let both partners be treated simultaneously. In case of frequent infection, get your fasting blood sugar, urine routine and culture and high vaginal swab culture and let your partner be tested for urine and semen culture. At present, you apply antibiotics with steroids and antifungal cream for local application and apply pessary containing Clotrimazole 100 mg daily for one week. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24021, + "tgt": "I have tears in penis with milky discharge. What is the reason?", + "src": "Patient: Hello doctor, I have tears in my penis and I have sugar 390 after fasting. Milky discharge occurs frequently. The skin around the penis is reddish, thinner and peeling. Doctor: Hello. Firstly, you should upload the picture of your penis, where it is getting torn and reddened. Also, since when are you having the sugar problem? Is it detected for the first time, any medicines you are having for it? Usually, it is a fungal infection of the penis which causes these problems. I suggest Clotrimazole ointment three times a day for two weeks. Also, tablet Fluconazole 150 mg bedtime once only. Apply Abzorb (Clotrimazole) powder two times a day on the skin around your penis for two weeks. Your sugar level is very high and you should consult a doctor for that. You need to be started on the medicines as soon as possible. You should get your post-lunch sugar done as well. Also, get your HbA1C levels, renal function test done. Avoid sweet food, rice, potatoes and other high-calorie foods like oily, fatty foods. Do daily exercises in order to achieve weight loss. Repeat blood sugar after a week of medications and lifestyle changes. Have plenty of water. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21680, + "tgt": "Can HIV symptoms occur within a month of exposure?", + "src": "Patient: Hello doctor,I fear I may have contracted HIV. A month back, I had oral sex and regular sex from an unknown girl. Three days later, I started to feel very sick, headache, cold in warm weather, tired, diarrhea, sweating in bed (I thought this could be food poisoning). A week later I felt better but had breakouts on my whole back (thought maybe from sweating in bed and training in severe heat the past week). A week back, I felt fine most of the day but once 4 PM hit, my throat started to hurt, I had a severe headache, cold sweats, very tired, fever at 102 F. Felt better by the next night except for the throat which still hurts when swallowing. My neck feel kind of stiff as well. I wondered how much stress can play a factor in producing symptoms, because the first time I was extremely stressed for a couple hours about something and the second time the same thing. And I mean extremely stressed out and anxious, thinking alot, heart racing, etc. I of course will get a test but fear it is too early to show a positive result if it happens to be. Doctor: Hello. I have noted your concern. Unprotected oral is not much of a risk. The only risk factor involved here is regular sex. The breakout on your back looks like acne (attachment removed to protect patient identity). Your throat symptoms and other systemic symptoms could be just part of throat infection. I suggest you take a fourth generation HIV screening test at four weeks from your risk exposure with the girl of unknown HIV status. That would be conclusive. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 17492, + "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": 9274, + "tgt": "Why is there soreness in hip while standing after sitting position?", + "src": "Patient: Hi doctor, I am a 49-year-old female weighing 75 kg, 170 cms height. For a few months, I have experienced soreness in my left hip. It really only occurs when I get out of a car and go to stand. It is quite a dull pain. Not sure if there is any connection but I injured my lower back and a few times, to relieve the pain, found straightening and straining my left leg helped. The soreness has only occurred since then. Sometimes I have felt this when getting off a sofa, but less commonly. Occasionally, when I have taken Nurofen for a headache or period pain, the soreness disappears. I am wondering if there is anything I should be doing. Doctor: Hello. You have a history which is classic of tendinitis depending upon the site of pain it may be due to piriformis, gluteius medius, or iliopsoas or ischial tuberosity related. You need to mention which is the exact site of your hip pain. Is it side of the hip, groin, front of the hip or deep hip pain on the back. Secondly, do you have have pain that radiates from back to leg? Do you have any tingling or numbness in your lower limbs? Can you sit cross-legged? Do you play any sports regularly or does your occupation involve a lot of physical activity? Have you undergone any clinical examination or investigation like X-ray or MRI? Follow up with your answers to the questions and feel free to discuss further." + }, + { + "id": 24129, + "tgt": "Am I having subdural hematoma or recovery from head trauma?", + "src": "Patient: Hello doctor, I fell to the side of car four months back and have symptoms of memory problems. Also, some mental confusion, lights, and difficulty reading. No headaches. I did have an odd spell of paraesthesia that lasted five minutes a week or so after head injury. I inched better. Then next month I fell onto stomach in the parking lot. There were no additional symptoms. Then four weeks ago bumped head on the headboard of bed bending over to get something that fell behind it. No marks but I do have head pain at top of the head but mainly a burning type. This did start until a couple days later perhaps I have nausea but this also started later about two weeks. Seems to be better if I do not think about the head and leave an hour after eating before reclining. I had symptoms of pain all around the edge of chest pain and into center rib pain when breathing a month back. I had earlier in the week slight sore throat. Later, I coughed a bunch of green stuff out. I also found that I was running a high blood pressure even for about 10 days after the end of the symptoms. I stayed in bed in order to keep the blood pressure down. Still some discomfort even this week. I had electrocardiogram last week that showed no problem. I have sleep apnea. Then 10 days ago I was taking my sleep apnea mask off and was walking to the bathroom and slipped and fell backward into a chair semi-padded lightly bonking my head.I am 62 years old and blood pressure normal. Eyes are normal. Like I said intermittent nausea. Reading skills up to 90 %. I did a voice change. I am talking about hire registry. This seems to happen about four weeks ago. Also, my sense of smell has improved recently. I have continual dry mouth possibly because of stress. I do not have vomiting. No slurred speech, occasional word misplacement, no unusual weakness. Have to spend half my time in bed as I felt it was best to protect my head not able to drive all around with it so basically for the last month 75 % of the time I have been in bed which I hate. I do also have an ear infection. This has been going on for two years off and on. And in this time frame, it has been mainly a burning pain in the right ear which is also the same side of my head which I bumped originally four months back. I get tense. I have tried drops in the few homeopathic remedies Natrum sulphuricum. I have also lost some weight not a lot but 5 lbs and a lot of it seems to be disconcertingly around my face. So my question would be do you think a subdural hematoma would be involved or perhaps just a continuing recovery of the original head trauma? Doctor: Hello. I read carefully your question and would explain that your symptoms are not typical of a dural hematoma. You should know that this disorder, usually causes progressive worsening symptoms like a headache, nausea, gait imbalances, limb numbness or weakness, somnolence and even seizures. So, as your symptoms are fluctuating in time, a subdural hematoma is less possible. Dizziness is quite common due to a possible inner disorder or after a head concussion. You should know that head trauma can lead to an inner ear disorder which is called benign positional paroxysmal vertigo, which causes dizziness and falling. Anyway, I would recommend avoiding any repeated trauma and having some rest. If your situation does not improve or even worsens, I would recommend going to the ER (emergency room) for a brain CT (computed tomography) scan to exclude a subdural hematoma (considering the fact that you have had repeated head trauma in the last months). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2153, + "tgt": "I have heartburn while eating spicy foods with increased thirst during night. Please suggest", + "src": "Patient: Hello doctor, I had pain and irritation and also heartburn while eating (spicy foods I guess) for the past three days. Today morning, I had severe hunger and more thirsty feel. After I drink plenty of water now I am feeling fine. But still while eating I am feeling some pain on the upper stomach or under the chest. Please suggest. I use Gelusil antacid. Doctor: Hi. The symptoms which you have described are suggestive of too many problems related to the gastrointestinal system. To come to any specific diagnosis, I will need a few more details. Do you have these symptoms only while eating? Is it relieved after eating? What is your regular dietary routine? Do you sit for long hours? Did Gelusil give you any relief? Do you have pain in the lower abdomen? Kindly let me know these details in follow up. I shall plan your treatment accordingly." + }, + { + "id": 18205, + "tgt": "Can Gorochanadi Gulika be taken by a diabetic patient with allopathic medicines?", + "src": "Patient: Hello doctor, I am 70 years old and diabetic. The doctor advised me to take Gorochanadi Gulika one tablet each in the morning and evening. I started taking the same. In between for one and half months I stopped taking it. Now I want to start taking it. Before that, I wish to have your advice. I take insulin and other tablets as prescribed by my allopathic doctor. Doctor: Hi. I can understand your concern. You can continue Gorochanadi Gutika as they advised. You can also take some home remedies along with your previous medications. Take five Bilva leave and five Hibiscus flowers, five Tulasi leaves and make its juice and drink empty stomach morning and evening half an hour before food. After 4 to 5 days, monitor your blood sugar levels. It will be in normal range. Do these things and provide your valuable feedback. 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking if you have these habits. 3.Avoid cold drinks, soft drinks, ice-cream, etc. 4.Do regular kapalbhati mandukasana and ardhamatsyendrasana and pranayama like anuloma vilom nadi sodhan, and bhramari." + }, + { + "id": 30134, + "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": 30744, + "tgt": "Why am I getting pins and needles sensation in face?", + "src": "Patient: Hi doctor, A month ago, when I woke up in the morning, I felt pins and needles above\u00a0my eyebrows and nose. I had an MRI and no tumors were detected. I think the nerve may have been attacked by a virus. It cleared up completely within six weeks, except the nose and it still tingles at bridge when I touch it. If I touch it two times in a row, then it only tingles for the first touch. Is it due to nerve damage? Is this a sensory issue? Should I be concerned? Doctor: Hi. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20723, + "tgt": "I have undergone pilonidal cyst surgery. The surgical area has started bleeding. What do I do?", + "src": "Patient: Hello doctor, I had a pilonidal cyst surgery done almost two months ago. I rubbed the area and it has started bleeding. What do I do? Doctor: Hi. Pilonidal cystectomy is the surgical removal of the pilonidal cyst. Some surgeons while operating on the pilonidal sinus, keep the surgical area open in order to heal with granulation tissue. Some surgeons decide to close the wound. In your case, it seems like the wound has been left open. If there has been mild bleeding, you can just clean the area with Betadine solution two to three times daily, and apply T-Bact ointment. This will help in faster healing. If there has been severe bleeding you can take tablet Tranostat (Tranexamic acid) twice daily for three days. This will control the bleeding. If there has been intermittent bleeding, you will need a dressing to avoid soiling." + }, + { + "id": 10138, + "tgt": "I am suffering from angiomas on the back. Kindly help", + "src": "Patient: Hello doctor, I have angiomas on the back. Kindly help. Doctor: Hello. Yes, these are cherry angioma. What do you want to know specifically about these? These are harmless and will require electrocautery if you want them to get removed. No creams or oral medications are effective." + }, + { + "id": 7447, + "tgt": "I am pregnant and I already have two kids. How to get a safe abortion?", + "src": "Patient: Hello doctor, I am a 34-year-old, and I have two kids one is three years and second is one year I recently tested positive for pregnancy, and I want to abort it. Currently I am six days above from the periods I missed and fifth week what is medication to abort this pregnancy. I want to use it at home or any method at home to abort it. I want to abort it safely with medicine. No previous issues regarding pregnancy or periods. Doctor: Hello. It is not recommended to take tablets without confirming the intrauterine pregnancy and ruling out an ectopic pregnancy. So, please consult your nearby gynecologist and undergo an ultrasound. After confirming the intrauterine pregnancy and gestational age, with your doctor's advice, you can plan for the termination of pregnancy. Up to eight weeks of pregnancy, medical termination with tablets is possible. I hope I have answered your query, and I will be happy to answer any further follow-up queries." + }, + { + "id": 12414, + "tgt": "Does bloating indicate pregnancy?", + "src": "Patient: Hello doctor, I am having a bloating for the past three days, I never had one. I had my period around this month beginning. Is there any possibility that I am pregnant? Is it any sign of pregnancy? I am having Sibelium 10 mg for migraine. Doctor: Hi. Bloating sensation can be related to any sort of diet changes. Check if you incorporated anything new in your food habits. Any increased coffee or tea intake, sometimes physical or emotional stress can lead to acidity and bloating. Rule out all such things. Morning sickness is commonly associated with pregnancy, but it is too early to say about pregnancy. If you had an episode of unprotected intercourse, you can perform pregnancy test two weeks following that specific date. For now, you can take tablet Pan D (Pantoprazole with Domperidone) twice a day before meals for three days to relieve the bloating sensation." + }, + { + "id": 7809, + "tgt": "Which ayurvedic medicine can be used to treat frequent urination?", + "src": "Patient: Hello doctor, I am having frequent urination problem (urine every 30 to 40 minutes and not satisfied post-void) since a month. My Kidney function tests, blood sugar level, prostrate size everything is normal. My pelvic ultrasound showed mild urine post-void retention of 25 ml and muscosal prominence was noted measuring 3 to 4 mm in thickness. Kindly advice me an ayurvedic medicine. I read about Chandraprabha vati and Bangshil. Let me know what is to be recommended. And Gogshuradi Guggulu is a diuretic so I will not prefer that. Doctor: Hi. I have read your case history. You have mentioned kidney function test, blood sugar level and prostrate size is normal (attachment removed to protect patient identity), even then you get frequent urination. See, only above mentioned causes are not responsible for frequent urination. Incomplete void due to any reasons like thickness of bladder sphincters or nerve conduction defects, infection, inflammation in urinary tract are also responsible for such conditions. Excess consumption of alcohol, using air-condition are also causes of frequent urination. As you mentioned some Ayurvedic medicines name like Chandraprabha Vati, Bangshil and Gokshuradi guggulu are very potent and effective medicines in urinary system disorders. Gokshuradi guggulu works as diuretic but it also helps to remove the cause of retention of urine. So as per your present case history and investigation reports you should go through following medications. 1. Chandraprabha Vati 1 tablet + Shweta Parpati 500 mg + Kanchanara guggulu 1 tablet thrice a day with honey after meals. 2. Varunadi Kasayam 20 ml twice a day with equal amount of water after meals. 3. Neeri syrup 10 ml twice a day before food. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Avoid cold drinks, soft drinks, ice-cream, etc. Avoid to use air conditioner. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 28536, + "tgt": "From yesterday I have a problem while peeing. Please help", + "src": "Patient: Hello doctor, I am an\u00a018 year old\u00a0male, and I have a problem while peeing from yesterday. It feels heavy under my stomach, just below my penis. Every time I try to pee, I cannot, and I have to push in order to do so. I drank an entire bottle of water today. Normally, I would be able to pee after an hour or two, but not today. Doctor: Hello. Please reply if possible. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6699, + "tgt": "My wife is on Pradaxa for antiphospholipid antibody syndrome. What is the effect of stopping it?", + "src": "Patient: Hello doctor, My wife just started on Pradaxa (blood thinner) a week back. She has an antiphospholipid antibody, but she has not had any clot before. We started seeing a couple of small bruises today in her hand without any injury. I want to know if we need to stop it. We consulted a doctor in the next couple of days but needed a second opinion on it. What would be the effect if we stop taking Pradaxa? What is the other alternative? Does she need to be on the blood thinner, even though she has not developed any clot yet? She was allergic to aspirin, so she could not take that. Lab test report says that her antiphospholipid antibodies were high and as per the hematologist, she is at high risk for a clot. Doctor: Hello, Welcome to icliniq.com. How was she diagnosed with APS (antiphospholipid antibody syndrome)? She most likely has an incidental APS, and I doubt if there are any recommendations to use anticoagulation in this particular group (positive antibodies with no clots). Now coming to your question, Pradaxa (Dabigatran), as you know, is a blood thinner, and it will predispose her to have bruises, which are mostly harmless. What you need to look for is a huge hematoma (collection of blood beneath the skin), blood in stools, and urine. If you have discussed with your doctor to continue the Pradaxa for prophylaxis of DVT (deep vein thrombosis) and PE (pulmonary embolism), then do not discontinue it, although, as I mentioned earlier it is controversial." + }, + { + "id": 7191, + "tgt": "I take a shower every day but I get a musty smell in vagina even. Please help", + "src": "Patient: Hello doctor,I am in the eighth grade I take a shower every day I rinse with apple cider vinegar once a week, but whenever I start moving around a lot, this musty smell starts coming from down there I am also a majorette the smell is not so bad the whole room can smell it. Please help. Doctor: Hello. Probably you got an infection in your vagina because of using of vinegar. It might have resulted in removing healthy bugs from there which usually fight against infection and germs. So I would suggest you to stop using vinegar at first place and then take tablet Metronidazole three times a day for seven days. It will relieve the smell and wash the area only with plain water as many times as possible and use only and only loose cotton underwear and do not use any other cosmetic products over there." + }, + { + "id": 21883, + "tgt": "I have stomach pain and darker stool. What could be the reason?", + "src": "Patient: Hello doctor, I am a 29-year-old male, and have stomach pain for around a week (mostly after eating). The pain starts in epigastric regions, and then to lower abdomen. I started noticing changing stool color to more darker stool. There is no diarrhea or vomiting, no fever. I am taking Omeprazole for two days without a relief. What could be the reasons? And what should I do? Doctor: Hello. Darker color stools are not a good sign. Kindly do a stool examination and visit your family physician for a thorough check-up, so that he can determine the exact cause for your discomfort. There are many reasons like peptic ulcer, a bacterial infection of the stomach, inflammation of the stomach or intestines, amebic or parasitic infestation and many other causes which could be diagnosed only after a check-up and investigations. I have named just a few common ones. Kindly do not ignore and meet up with your family physician at the earliest. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1125, + "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": 15192, + "tgt": "What can be done for pain due to impacted wisdom teeth?", + "src": "Patient: Hello doctor,I am a female, 18 years old, 5 feet. I weigh 50 kg. I am having a problem with my wisdom teeth. They are impacted and causing me a lot of pain. Doctor: Hi. I understand the pain you are experiencing due to impacted wisdom teeth. These teeth should be removed to alleviate the pain. They are removed by surgical procedure mostly under local anesthesia. Sometimes they are done under conscious sedation also. It would be great if you could send me the X-rays pictures. I could diagnose and let you know the difficulty in removal. For pain reduction, you can continue the same medication. Kindly rinse your mouth using salt in lukewarm water frequently around 4 to 5 times daily till the wisdom teeth are extracted." + }, + { + "id": 24858, + "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": 20560, + "tgt": "I am getting treated for acne. Is it safe during pregnancy?", + "src": "Patient: Hi doctor, I am 29 weeks pregnant and I have started taking a supplement to help with my acne. I wanted to know if the ingredients are safe during pregnancy. It contains burdock root, dandelion leaves, milk thistle, red clover, and cellulose. Please let me know if I can take this. Doctor: Hello. The ingredients which you have mentioned are safe during pregnancy. They will not cause any harm to your baby. At the same time, you can also apply topical antibiotic ointments containing Clindamycin to fight your acne. For further clarifications consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29366, + "tgt": "My daughter is on Phenytoin, but still, she gets seizure. What to do?", + "src": "Patient: Hi doctor, My daughter is suffering from cerebral palsy of right side since birth. It is also called seizure, hemiplegic type. Now she is 24 years old. Her right side of the body, right leg and right hand are not working properly. She walks with staggers with raised heel part of the right leg and right-hand palm part is totally twisted. She is very peevish and quick angry girl. Sometimes, convulsion occurs during sleep followed by clenched fist of both hands, jammed jaws, twisted and perked body. I treated her well, but no result. Since two months she is complaining severe pain in her right thigh. Presently, I am giving her Eptoin 100 mg three times a day to stop convulsions. Please suggest me some way to get her out of the thigh pain. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5592, + "tgt": "I have a lump on the right anterior triangle of my neck for 9 weeks. Is it lymphoma?", + "src": "Patient: Hello doctor, I am a 21-year-old female. I have a lump in my neck for about nine weeks now. It is between my hyoid bone and sternocleidomastoid muscle on the right anterior triangle of my neck. It is palpable when I tilt my head back. It is probably as big as a penny but not as round as a penny. It is oval shaped and non-tender. when I first noticed it, it was the size of a kidney bean but then two weeks later it shrunk down to the size of a baked bean and has stayed this size for seven weeks now. It never went back to kidney bean size and it is been two months I noticed the lump. It will move left and right, but not up and down. It feels firm when I tilt my head back but soft when I have my head upright normally. When my head is tilted back and I put my fingers on it, I can feel a pulse. But when I put my fingers on the other side of the neck I can feel a pulse in the same spot, where there is no lump. Just curious as to what this could be? I do not feel any other lumps or bumps that are larger than a pea size, and I am not sick and I was not sick when I first spotted the lump either. Does this sound like lymphoma to you, considering the location, and shape and what it is doing? From what I read, hodgkins lymphoma is common in my age group but rare overall. I do not have any other symptoms (fever, night sweats, weight loss, loss of appetite) other than just a random lump in the middle of my neck. Doctor: Hello. I understand your concern regarding this lump. I also understand that you have gone through the internet trying to get an approximate diagnosis for the same. As per your history and description, it appears that this lump is arising from superficial structures of the neck, as it is mobile. It could be muscle. The pulsation which you are feeling are probably due to carotid artery beneath it and is quite normal to feel its pulsation. At this time to relieve your anxiety, it will be best to get a radiological evaluation. In my opinion, MRI (magnetic resonance imaging) or CT (computed tomography) neck will be a good option. Also, I will suggest getting a thyroid function test. In case, getting an appointment for CT or MRI is difficult for some reason, then even an ultrasound neck can give you a clue regarding the origin. Meeting a surgeon will be helpful at this moment." + }, + { + "id": 3025, + "tgt": "Will serum iron value be accurate while taking iron supplements?", + "src": "Patient: Hello doctor, I was diagnosed with anemia last month. My serum iron level was 12. I was put on Ferrous sulfate 325 mg twice a day. My doctor suspected a GI bleed because I have acid reflux that is under control with medications, but I wanted to try supplements first. I am not having any crazy GI symptoms though. They said to try the iron for a month and then go back for another test. I just went for a blood test last week and my serum level came back at 102. I am feeling much better and yesterday I had a follow-up appointment at which my doctor said to stop taking the iron supplements and to retest in three months. That seems like a long time to stop taking iron supplements after having only taken them for one month. I also wonder about the validity of the recent test because I am now reading that supplements can falsely elevate your actual iron level. I was not told to stop taking the supplements before the test. Was the iron serum blood test accurate if I did not stop taking iron for a short period beforehand? Also, is it safe to stop taking iron for three months? I am currently taking Omeprazole, Prozac, and Klopin. Doctor: Hello. Yes, the test is still valid. The results would show the effect of increased iron intake for the past weeks that you have been taking it and a few days of not taking it will not have much effect. Not taking it for three months is still fine. I believe your doctor has already concluded that you do not have GI bleed as of now, so most likely your body can replenish the iron through diet without any need for supplements. But if you have symptoms of dizziness, fatigue, and lightheadedness, seek further consult with your doctor. In the meantime, I recommend stick with a high iron diet such as meat and green leafy vegetables. I also recommend you take food and drinks high in vitamin C to better absorb the iron in the gut. Is there anything else I can help you with?" + }, + { + "id": 15881, + "tgt": "My fiance rubbed his penis on vagina on fifth day of period. Can I be pregnant?", + "src": "Patient: Hello doctor, My fiance fingered and rubbed his dick on my vagina. There was no intercourse, no clue if there was semen or not on dick and fingers. I was on the fifth day of my periods. Bleeding stopped on the second day. I have a regular period cycle. Four days later I experienced white sticky mucus high quantity in the evening. When is my ovulation day? Can I still get pregnant? There was no intercourse. Experiencing lower back and abdomen pain, high heartbeat, gastric issues. I am worried. Doctor: Hello. Overall chances of pregnancy are less because it is considered safe period for 2 to 3 days after the period to have sex, but if ovulation occurred four days later, then there are some but again fewer chances of pregnancy. Usually, ovulation occurs on the 14th day of the cycle. Also, since there was no intercourse, chances are less, but it also depends on whether there was any semen on his fingers or penis. So overall, chances appear to be less and do not worry about it at present. This will be cleared within two weeks. If you do not get period then get urine pregnancy test done." + }, + { + "id": 20425, + "tgt": "Why is there urine urgency after sexual intercourse?", + "src": "Patient: Hi doctor, I am an 18-year-old female. I recently had sex that was a bit more rough than normal. Everything seems fine, I have not had cramping, and my IUD seems to still be in place, and the strings are still fine. The IUD is not poking out of my cervix, and, again, it does not hurt or cramp. Though, I have noticed that I have been experiencing urinary urgency for the past week (intercourse happened about a week ago). I have not experienced any burning sensation when I urinate, at all. It is just that I have to urinate more often than normal, and it is much harder to hold it than before. Will this subside, or should I see my gynecologist soon? Doctor: Hi. I feel that you are experiencing an early stage of urinary infection. When you have sex, some penile secretions and semen may enter the bladder. It is a good practice to pass urine after sex. This may not need medication. Have lots of water, milk, juice, barley water or cranberry juice. Keep drinking water every now and then even when not thirsty. Keep passing urine even before you have sensation. This will wash out the infection. If you feel that infection is not getting relieved have antibiotics like tablet Norfloxacin 400 mg twice a day for five days." + }, + { + "id": 13153, + "tgt": "Which ayurvedic oil can be used for atopic dermatitis?", + "src": "Patient: Hello doctor, My daughter is suffering from atopic dermatitis from the past five years. She is going to be 6 years old in a few months. We have taken her to multiple doctors including allopathy, ayurveda, homeopathy, etc. Could you please suggest any effective ayurvedic oils for giving relief to her? Doctor: Hi. Atopic dermatitis is very common in children. It may cause itchy, red and dry skin. Sometimes it happens due to allergies. Chronic dermatitis or eczema needs regular medications for long time to get better results. Allergical condition, multivitamin deficiencies, fungal or viral infection, reduced immunity, etc. CBC, vitamins deficiency. Eczema, ringworm, contact dermatitis, sunburn. It can be managed naturally through ayurvedic medicines but need to take medicines at least two months with regular follow up. Rx, 1. Purim syrup 5 ml thrice a day after meals. 2. Himalaya haridra one capsule with Himalaya Neem one tablet and Baidyanath Gandhaka Rasayana one tablet. Make powder of these tablets and mix it with a few drops of honey and make its three parts. Give it to child one part morning, one part afternoon and one part night. 3. Apply Vasu Cutisora oil externally thrice a day. Keep affected area clean. Avoid spicy and fried junk foods. Clothes should be proper clean and dry." + }, + { + "id": 26606, + "tgt": "Can I take any medicine to lose weight fast?", + "src": "Patient: Hello doctor,I am 37 years old.\u00a0I have gained a lot of weight of late and my weight is 101 kg at 5 feet and 7 inches. I got all the tests done and I\u00a0have a fatty liver and am\u00a0pre-diabetic. Can I take Metformin for weight loss and diabetes? Can it help me in reducing the fatty liver? Please help. Doctor: Hello. I understand you are worried about your weight gain and being prediabetic. Hope it helps. If you need further assistance, feel free to ask. I would be glad to answer. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4945, + "tgt": "What can be done for improving eyesight?", + "src": "Patient: Hello doctor, My eyesight is decreasing every year and now it is -7 in both eyes. How can I cure it and will it be sign of blind soon? Doctor: Hi, Welome to icliniq.com. I have gone through what you have mentioned in your query. It is quite a common sight here to see people as young as you with a power of -7 to -8. So, there is nothing serious in this. You have mentioned that your power is -7 but you have not mentioned how much you are able to see with it, it is usually mentioned as a fraction of 6 (example 6/6, 6/9,6/12 and so on). 6/6 by is considered as normal, and for most practical purpose 6/9 is also fine. Solutions you have: Although there are no treatments to cure your power, you can get LASIK/ PRK/ SMILE surgery done to get rid of glasses. We usually recommend a period of stable of power for atleast 6 months before you can make this move. Else you can opt for contact lenses. Though they do not treat your power, they offer cosmetic benefit. Complications that you may get: Now coming to the problems that people with high powers face - 1. Retinal detachment. 2. Amblyopia. 3. Retinal problems including bleeding. The only way to avoid these is to see your ophthalmologist atleast once a year where we will be putting in drops to check your retina. The problem that you are facing is a challenging one but with proper follow up you will be able to avoid most of the problems that I have mentioned and be able to lead a productive life." + }, + { + "id": 23483, + "tgt": "No pregnancy nor periods after taking Ferpill. What to do?", + "src": "Patient: Hi doctor,I have taken Ferpill last month. I have not got pregnant or got my periods. Six days passed since my due date. I am not sure what to make out of it. I need help. Doctor: Hello. How are you doing? Ferpill is Clomifene citrate which increases the ovulation chances. So thereby, improving the chances of the egg meeting sperms. You can wait for a max of seven to 10 days. One of the side effects of this pill is that it may slightly reduce the thickness of endometrial lining in some. So, the next period may be late or lesser. If you do not get periods even after 10 days, then have a home urine pregnancy test. If still negative, have tablet Novelon or Ovral-G or Dear 21 or Duoluton-L or Intimacy plus 3 one tablet twice a day for 10 days. Throw away the 21st pill. No matter what the cause, you will get periods within seven to 10 days. Next time when you take pills of Clomifene citrate, have tablet Progynova (Estradiol) 2 mg once daily from day-7 of periods for the days. This will counter this side effect. Only if there is a good thickness, can an embryo get a grip into the uterus. One more reason for altered periods, could be your low weight. Your expected body weight is 52 to 57 kg. So, this pill could have tilted the balance of hormones. Do have some nutritious food and improve your health and weight a bit. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24170, + "tgt": "My 13 year old pulled out a tooth that was hurting. Please advise", + "src": "Patient: Hello doctor,My 13 year old said this tooth was hurting him when he bit down in class. So, he just painfully pulled it out. He is really concerned because the tooth has a root on it. It is the second one from the back on the top right side. Doctor: Hi. I have read through the complaint and the relevant details. Considering the age of your son, I am pretty sure it is the milk tooth that he has forcefully pulled out. Ask him if the tooth was loose and that he was not able to chew food properly on that side. Do not worry because it is a milk tooth which will otherwise shed on its own around this age if he had not pulled out himself. That empty space will be occupied by a permanent molar tooth eventually. You must have noticed that the pulled out tooth has uneven roots. It is a normal thing to be. Now my advice is that, please visit a nearby dentist to ensure there are no tooth remnants left behind in the socket which if present might hinder the eruption of the subsequent permanent tooth. Also, make sure there is no bleeding in that region and ask your son not to play and touch that region with his tongue. These are the ways one could help the socket heal properly. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26801, + "tgt": "Why do I feel my entire body and the head shake from inside?", + "src": "Patient: Hi doctor, I am suffering from a head shake. I feel exhausted most of the time, and my legs even start to feel weak. My whole body feels vibrating from inside, and I can also feel my hands are getting weak. I have never consulted a doctor before. I am not on any medication. My height is about 1.36 m, and my weight is 68 kg. Please help. Is this serious?. Thanks. Doctor: Hi. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29148, + "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": 21550, + "tgt": "Can not wearing glasses cause headaches and blurry vision?", + "src": "Patient: Hello doctor, I have an astigmatism of O.D. -0.75, -1.25 90 OS: -1.0 -0.75 85. The last week I have had constant headaches and periodic blurry vision. I am wondering if this could be a result of not wearing my glasses. How often should I be wearing my glasses? The periodic blurry vision started two weeks ago and one week ago the constant headache started (4 to 6 out of 10). I have seen a few different doctors about it but they are not sure. Doctor: Hello. Firstly, since how long time you put your glasses? However, there are many points I would like to explain to you: For this, my answer is yes, your problem which you complain maybe caused because you do not put your glasses. I advise you to use them as I told you and then if the problem is still there it is another speech. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5429, + "tgt": "What are the ways to manage snoring?", + "src": "Patient: Hi doctor, I am suffering from snoring since last five years. Please help. Doctor: Hi. Snoring can be a serious concern to the sufferer as well as the spouse or partner due to the disturbance. It causes a lot of agony and affects one's mental peace. Snoring is due to some obstruction in the upper pathways of breathing, the upper respiratory tract. The levels can be: 1. Nose : nasal polyp, deviated nasal septum. 2. Nasopharynx : nasopharyngeal growth, cyst, mass. 3. Oropharynx : thick tongue, tonsillar enlargement, thick palate. 4. Lower down : lingual tonsils. The mode of treatment for snoring depends on the level of obstruction. Also, snoring without obstructive sleep apnea is a harmless condition except for the disturbance it causes. Obstructive sleep apnea on the other hand causes changes in the circulatory system and causes increased effort by the heart to pump blood. It can result in hypertension and can be aggravated by lifestyle diseases also. It is important to find out if you suffer from obstructive sleep apnea. We need more details as to your quality of sleep, disturbances, lifestyle, occupation, body weight, habits, etc., to arrive at a more decisive diagnosis and give you the right advice. Mode of treatment include medical, surgical measures. A machine called C-pap is very effective to remove the obstruction. Various lifestyle modifications and dietary changes are also necessary in the management of snoring." + }, + { + "id": 27673, + "tgt": "My mom was recommended a uterus removal surgery. What do you suggest?", + "src": "Patient: Hello doctor, My mom is 47 years old. Her periods lasted 15 days. So, she consulted a doctor, who asked her to get a scan done. The scan showed bulky uterus, a mildly thickened endometrium, and a\u00a0right simple ovarian cyst. She was advised a uterus removal surgery to avoid further discomfort. Kindly suggest. I am attaching her reports. Doctor: Hello. I have gone through your query and understand your concerns. I have reviewed the report (attachment removed to protect patient identity). Bulky uterus with a cyst in the anterior wall and thickened endometrium is most likely due to a dysfunctional uterine bleeding. This pathology occurs due to ovulation irregularities and changes in the endometrium and can be treated by medical or surgical means. A simple ovarian cyst of less than 6 cm, is considered physiological and resolves on its own. You can discuss with your doctor regarding the options for a medical management of this condition. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24717, + "tgt": "How can severe radiating back pain be treated?", + "src": "Patient: Hello doctor, My 65-year-old grandmother has been suffering from chondrosis and she has had the treatment her doctor recommended her. However, the pain has returned. Her doctor told her to do some injections. Also, before that, she had a treatment where she did massages, ultrasound procedures but those did not help either. Her pain starts from the back and continues to the legs. In the back, she has an acute pain and in the legs, she has a dull pain. Recently, her shoulders have started to hurt too. Even painkillers do not help to reduce the pain and she cannot sleep at night. I am really concerned about her. What advise can you give? Anything would be helpful. Sometimes she would receive pain in the back and legs if she walked a lot but now as her doctor advised her to stay home and do minimum activities, she does not walk a lot. In order to stop the pain, the doctor gave her prescriptions. She had 8 mL of IV Xefocam, L-lysine, and 5 mL of injections: Artrocal Hampton and Cocarnit. Please help. Doctor: Hello. From what you have mentioned, most probably your mother has sciatica which means that there is a compression of the nerves of her legs. Sciatica causes back pain that moves to one of the legs sometimes both (electric like). It is diagnosed with some physical examination tests and may require MRI (magnetic resonance imaging) to the back. It is treated conservatively in most cases but if failed or very severe, limits her movements and surgery is required. I request you to take Xefocam (Lornoxicam) rapid tablets 8 mg once to twice daily plus vitamin B12 ampule every three days intramuscularly plus Pregabalin 100 mg before bedtime for three weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Physiotherapy consultation is required. Reducing weight will help a lot. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8258, + "tgt": "I have a slight pain on the left side of my penis. What could it be?", + "src": "Patient: Hello doctor, I have a slight pain on the left side of my penis near the base and a little on the left side of my testicles as well since last Thursday. Everything else is fine. It is just a strange pain. My fiancee was a little rough with me on Wednesday night and I thought maybe it was because of that, but it has persisted until today. What could be the cause? Is it serious? Erections are normal and I\u00a0am able to have sex, but there is a slight pain sometimes. 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": 25945, + "tgt": "How to overcome the feeling of hopelessness?", + "src": "Patient: Hello doctor, I am a 55-year-old man. I have been suffering from depression for the last five months. I have been feeling tired and hopeless. I want your help for recovery. I am currently on Fluvoxin 50 mg BD. Doctor: Hello. I understand your concern. Depressive disorder or depression is a neurochemical disorder. A suicidal tendency is one main symptom of depression. You should be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder and not a mental disease. These mental disorders are usually treated with a combination of medicines and other modalities like awareness, meditation, psychotherapy techniques, lifestyle changes, etc. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6138, + "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": 29058, + "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": 4783, + "tgt": "Is inferiority complex a mental disorder?", + "src": "Patient: Hello doctor, What are the signs of having an inferiority complex? What is it? Why do some people have it? What are some signs someone may have an inferiority complex? Doctor: Hello. Inferiority or superiority complex is a term derived from a psychoanalytic perspective in psychology. It is an underlying feeling in a person that one is inferior to others and is inadequate to flourish in life areas. Inferiority complex is developed in people who have negative past experiences such as those who faced criticisms during their childhood from immediate family members, from peers, friends, or other people around in their social circle. Another factor could be the negative thinking style such as those having a personality trait of neuroticism may extract negativity from their environment which may lead to an inferiority complex. There are some signs that indicate someone might have an inferiority complex which includes extremely submissive behavior, lack of self-confidence, people-pleasing behaviors, arrogant attitude, show off regarding their possessions, authoritative behavior at inappropriate places where an individual is not expected to behave in such a way. Such individuals communication and behavior let you feel that they think negatively about people around them for instance other people always try to make one inferior." + }, + { + "id": 30525, + "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": 23032, + "tgt": "I am unable to sit crossed and straight legs. Can physiotherapy help?", + "src": "Patient: Hi doctor,I am 27 years old male. I am unable to sit crossed legs, also unable to sit with straight legs. While trying to sit crossed legs, I am unable to keep my back straight and also left knee does not touch the ground completely and I tend to fall backward. Similarly while sitting with straight legs I need a support on my back else I have to bend my knee. If I try to sit without support, again I tend to fall backward. Please help. Can this issue be resolved by physiotherapy? Any specific treatment or advice? Doctor: Hi. The problem you are suffering from is because of excessive use of chairs while sitting. The reason you are not able to sit with your knees close to the floor maybe because of the tightness of the muscles on the inner side of your thigh which needs stretching. It may also be because of the structure of your hip joint. The reason you are in need of a back support when you sit with your legs straight is because of hamstring muscle tightness. If you stretch your hamstring muscles you will be able to sit with your legs straight without any back support. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 9908, + "tgt": "I am seeing glare or haze and rainbow around light sources. Kindly help", + "src": "Patient: Hello doctor, I am 24-year-old male, and for about two years, I experience seeing haze or glare and rainbow around light sources. It all began in about two years ago, and it gradually gets bigger over time. The intensity of those symptoms does not fluctuate. It is the same throughout the whole day and is constant. I do not experience any eye pain. I have been to the ophthalmologist, and I had a lot of eye exams, everything is fine with my cornea. I do not have any dystrophies or keratoconus. My eye pressure is also normal 16 and 19 mm Hg, and everything is fine with my retina. So could you suggest what it could be? My ophthalmologist thinks that it may be glaucoma, but I am not sure about that, because symptoms are constant (they gradually gets more intensive over months, but throughout days or weeks it is the same). Doctor: Hello. Seeing colors around lights signifies following things, 1. Glaucoma though your eye pressures are normal but have you undergone a gonioscopy and automated fields test. These two are essential to establish a diagnosis. 2. Early onset cataract. But since you have been to an ophthalmologist, I do not think he would have missed it. 3. Optic nerve involvement. To rule out this, you will need V.E.P (visual evoked potentials) and an MRI of orbit and brain. Please do get these tests are done and follow-up." + }, + { + "id": 28384, + "tgt": "What are the causes of constipation and blood in stools?", + "src": "Patient: Hello doctor, I had diarrhea two years back, and since then I had gastrointestinal problems. But, I never had mucous or blood in the stools, so I thought it is because of IBS and did not take any medication. My stool test reports showed no signs of parasites or any other organisms in the stools. Later, I had alternate constipation and diarrhea, and sometimes the stools come hard and later soft. I have been straining to defecate, and I saw bright red blood along with the stool yesterday. I had a little bleeding before also, but yesterday I lost almost 30 ml of blood. I do not have any pain, fever, or any other associated symptoms. Doctor: Hi. Thanks a lot for the detailed description of your problem. I\u00a0think you have the following issues. I hope that helps in addressing your concerns. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 14717, + "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": 11702, + "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": 4059, + "tgt": "What to do for painful loose gum flap between incisors?", + "src": "Patient: Hello doctor, I have a small loose gum flap between my top Incisor teeth. It has been there for a few months now. I thought it would go away in time, but it is still there. When I accidentally bite on it while eating it hurts. The only medication I have taken so far is vitamin C chewable tablets, but I do not think that will fix it. What can I do about this problem? Doctor: Hi. I have read through your complaint and the relevant details. The loose gummy flap should be caused by any trauma and in my opinion, it is getting injured every time you bite by the lower front teeth. That could be the reason for not healing. Instead of plain Vitamin C, I advise you to take multivitamin tablets available in the store as it helps in better healing. Also, I advise you to apply ointment Dentogel 20 mg thrice daily on the sore area. Do not rinse it off with water immediately, but leave it in place for 15 minutes at least. Since you said it has been there for four months, I reckon you visit the dentist straight to check if there is any particular sharp tooth that hurts that part of your gums. If that is the case, the sharp portion of the tooth causing injury could be easily smoothened and polished in two minutes. If it is possible, you could also send me a picture attached with the complaint for better diagnosis." + }, + { + "id": 25808, + "tgt": "What best can be done for left-sided chest pain due to pneumonia?", + "src": "Patient: Hello doctor, Suddenly, chest pain occurred on the left-hand side three weeks ago. The doctor diagnosed with lung infection and pneumonia. The pain spreads on the right-hand side, but it is mostly on the left-hand side. Now recovery is very slow though I am having a lot of medicines and water. I have attached the prescription list herewith. I have had a blood test and an X-ray. Doctor: Hello. I have seen all the reports (attachment removed to protect patient identity). If you have completed the antibiotic course then continue the follow-up medicines. The blood tests are normal. Comparing both the X-rays, the recent one has a lot of improvement. Definitely, you will have a severe cough because pneumonia usually causes a lot of phlegm during the recovery phase. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 26260, + "tgt": "I am a swimmer and my rashes just got better with a steroid cream. Can I hit the pool?", + "src": "Patient: Hello doctor, I have been using Betamethasone valerate (0.12 %) for three weeks (with occlusion) on my left and right knee to treat an allergic contact dermatitis.Now that the rash is gone, I was advised to stop applying the topical cortisone.\u00a0My question is, since I am a professional swimmer, is it safe for me to hit the pool? Or, should I wait for some time because of the increased risk of infection (I am especially worried about ringworm)? 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": 24081, + "tgt": "Why does my kid have a bump on her finger that looks like a blood blister?", + "src": "Patient: Hello doctor,My daughter has a bump on her finger that looks like a blood blister but if it was, I would have heard her cry when it happened. I am hoping you can rule out spider bite or even better, tell me what is going on. Doctor: Hello. As per the picture you sent me (attachment removed to protect patient identity), it looks like an insect bite that has got infected. I cannot be sure as to which bug. Mosquito, spider, bedbug, it could be anything. If it is not painful or any pus formation or fever, you can wait for a few days for it to go away by itself. But, if any pain, pus, or fever arise, she will need topical as well as oral antibiotic. Please feel free to contact for any further queries. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5469, + "tgt": "My ECG report shows 800 sinus rhythm. What is my status?", + "src": "Patient: Hello doctor, My ECG report shows: 800 normal sinus rhythm. 331 negative PV1. Left atrial enlargement. 500 RSR pattern in V1/V2. What is my status? Doctor: Hello. The limited details provided in the query suggest that your heart is racing at the normal rhythm that is known medically as sinus rhythm. There is enlargement of the left-sided upper chamber of the heart named atrium that receives blood from the lungs after the lungs have mixed all the oxygen in that blood. Probable causes may be stenosed mitral valve of heart or some abnormality with the musculature of the heart chambers. The rSr pattern on an EKG (electrocardiogram) V1 and V2 can be due to benign non-pathologic variant of the rSr pattern (may be seen in an asymptomatic and healthy person). Sometimes this is normal variant of the rSr pattern on EKG leads. But if the patient gets a heart attack, syncope or cardiac arrest meanwhile, this rSr pattern is misleading then and is taken as a pathological one. In severe heart diseases that may be even life-threatening such as Brugada syndrome and arrhythmogenic right ventricular dysplasia. There is a negative P wave in lead V1 and may be normal physiologic variant as seen in less than 10% of individuals (notching of the P wave on EKG). Sometimes this negative P wave is due to real abnormality in case of a left atrial enlargement or right atrial disease. Final suggestion: It is always difficult to explain EKG without actually seeing it, along with all the case scenarios in front of you and also needs a physical examination of the heart with a stethoscope. So, please consult a cardiologist for an in-office complete evaluation of the heart along with signs, symptoms, diagnostic tests and all case history." + }, + { + "id": 10031, + "tgt": "Is stretching exercise helpful for tight foreskin?", + "src": "Patient: Hello doctor, I am a 22 year old male. I\u00a0have problem of tight penis skin.\u00a0Whenever I pull my penis skin back during erection it will be very hard to do. Then, my penis skin gets stuck behind the penis forehead and it is very painful to retract back.\u00a0I generally use oil for this problem.\u00a0Please suggest me what to do. Doctor: Hi. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1873, + "tgt": "Why am I getting body pain?", + "src": "Patient: Hi doctor, My vitamin D level is good and all my blood reports are fine. But, why am I\u00a0getting body pain? Even I sleep for seven to eight hours and still I do not feel fresh. I always get the feel to sleep more. I took Ibuprofen, but it does not work. It disturbs me in sleeping. Most of the time, pain in lower legs, hands and shoulder does not go away.\u00a0Do I have cancer in my body and it spread to my bone marrow and result in body pain?\u00a0Do I have any cancer in my stomach or pancreas?\u00a0Do I have any blood disorder or autoimmune disease or any cancer like leukemia, lymphoma or non-Hodgkin's lymphoma in my body? Also, I do not have a fever or cough. I do not experience any weight loss; I feel tired all the time and feel vomiting after eating. Please explain my problem and the treatment. Doctor: Hi. Based on your query, my opinion is as follows: Thyroid function tests and serum calcium. If they are normal, then lifestyle modifications. Lifestyle modifications. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4551, + "tgt": "Is it safe to fly with eustachian tube dysfunction?", + "src": "Patient: Hello doctor, I have a metal taste in the mouth, hoarse voice, and scratchy throat. I am not on any medicines or vitamin supplements. I have not changed my diet in any way, and my dental hygiene is very good. I am allergic to Aspirin and have no health issues at all.I also have two inner ear conditions. Both are somewhat rare. In the right, semicircular canal dehiscence and in the left patulous eustachian tube dysfunction. What I want to know is whether I can fly, take an airplane without getting ill and sustain further inner ear damage? Doctor: Hello. Though the history you have given is insufficient to come to any conclusion about the possible causes, I will give information about the common conditions which can have such symptoms. The most common cause for scratchy throat with hoarse voice is routine throat infections such as acute pharyngotonsillitis or acute laryngitis which usually resolves with simple antibiotics and mouth gargles. The next common cause which can present similarly is reflux laryngopharyngitis which is a type of acidity related disorder. In this condition, constant reflux of digestive acid into the throat causes injury to taste buds, vocal cords, and throat which leads to symptoms such as change of voice, and change in taste. In general people with reflux, laryngopharyngitis will have symptoms such as burning sensation in chest, repeated burping, chest tightness, dryness of throat, etc. Regarding your inner ear conditions, super semicircular canal dehiscence is a rare inner ear condition. In this condition, there will be giddiness and imbalance when exposed to loud noise and echoing of once own voice, etc. This condition usually does not get worsened by the change in environmental pressure. So air travel would not be an issue in this condition. In any case, keep anti-vertigo medications such as Stemetil handy when you fly. Patulous eustachian tube is a condition involving the middle ear and nose. My guess is because of the similarity in symptoms you have given in both the diagnoses, I can say that if there is vertigo then it is superior canal dehiscence. If there is no vertigo chances of patulous eustachian tube are high. In any case, people with patulous eustachian tube will have a certain degree of pressure symptoms in ear when they fly, but most of the time it would not be very severe. You can use simple saline nasal spray before boarding the flight and every two hours in the air to reduce symptoms." + }, + { + "id": 2997, + "tgt": "Do I need medications for grade 1 fatty liver?", + "src": "Patient: Hello doctor, I got my annual health check-up done last weekend. From the report, the values show I have Blood readings variations \u2013 (Page 3 and 4 of 26). Do I need to take any medication? Variation of CYSTATIN C - 1.07 against max of 1.03. Any medication required if so please suggest tables? Vitamin D deficiency (page 8 of 26). Any medication needed or just sunlight is enough? Page 21 and 25 variation. Any medication needed if so suggest tablets? High cholesterol. Please let me know if I need to take any medicine, if so please suggest tablets? High creatinine shows 1.25 the report reference is 0.6 to 1.1 whereas on the internet it shows it can go up to 1.3. Let me know if any medication is required? Scan report: 1. Did PSA test based on ultrasound. It looks clean. 2. Grade 1 fatty liver. Any medication needed, if so please suggest medicine. 3.TMT looks clean. Please suggest. Doctor: Hello. I have seen the attachment. (attachment removed to protect patient identity). The USG (ultrasound) abdomen and the TMT (treadmill test) are not cause for concern. The prostatomegaly (i.e prostate enlargement seen on the USG has been correlated with a normal PSA level). The high hemoglobin 17 gm% may cause symptoms due to clotting and blood sludging like headaches, chest pain and sometimes stroke. So that you should need to be evaluated by a hematologist. If you are a smoker, you should quit smoking as that too could cause high hemoglobin levels. Low vitamin D levels are seen very commonly in India. You can do some running, getting at least half an hour exposure to sunlight, and take D-rise 60,000 Units per week for six weeks to improve these levels. Do not worry about cystatin C as your GFR (glomerular filtration rate) is normal. The cholesterol especially the LDL (low-density lipoprotein) is worrisome. I would advocate daily aerobics for half an hour, stop fried foods and bakery foods, more nuts and green leafy vegetables. If you want to take a medicine to lower cholesterol then Rosuvastatin 10 mg would be good. The creatinine is again a value and eGFR being normal I would not advise anything, but if you wish further information you could consult a nephrologist." + }, + { + "id": 8624, + "tgt": "Is it safe to take Prozac along with Ashwagandha?", + "src": "Patient: Hello doctor, I am taking 500 mg of Ashwagandha a day and would like to also take Prozac 20 mg with it to help. Are they ok to take together or should I avoid it? Doctor: Hello. First of all, take Ashwagandha 500 mg two times a day with water after food for anxiety for one month regularly. As you are advised to take Prozac 20 mg (Fluoxetine), you can take it as prescribed by your physician. But keep some time gap between Ashwagandha and Prozac at least one to two hours. Because sometimes they can interfere with each other's mechanism. So take them separately. Also, take one glass of lukewarm dairy milk in the evening and add some almond powder and green cardamom powder in it. It will also help you. I hope you understand my point. Consult a nearby Ayurveda physician or me after one month regarding improvement and for further management." + }, + { + "id": 19792, + "tgt": "Why have I been prescribed Ovares plus, Letrozole and Duphaston?", + "src": "Patient: Hello doctor,I have had three miscarriages. The doctor prescribed me to take Ovares plus before going to bed at night. Also, prescribed Letrozole 2.5 mg to take from the third day of period and Duphaston to take from the sixteenth day of the period. Why did the doctor prescribe me all these medicines? Am I pregnant? Doctor: Hi. These medications are given to support reproductive system to work normally and provide better response to get pregnant. Ovares plus (Coenzyme Q10, Melatonin, Dehydroepiandrosterone) act by increasing thiamine level inside the cell to get better working of immune and reproductive systems and boost bones, skin, female body physiology and metabolism. Letrozole is aromatase inhibitor normally used in breast cancer to reduce estrogen. Here as you have not mentioned your complete history like menstrual, drug, medicine and related to hormonal imbalance and all laboratory tests related to it, I cannot say why exactly it was given but in case of heavy abnormal hair growth, the polycystic ovary that is disturbing normal menstrual cycle and ovulation, it might help. Duphaston (Dydrogesterone) is to protect conception, if it is there and help to promote fertilization if possible. It would be nicer if I would have your detailed history. Have nutritious diet with low spice, salt, and sugar. Do yoga, walk and do light exercise daily. Take Folic acid 0.4 mg daily if you are not having any chronic disease like epilepsy or diabetes (need 5 mg daily dose). Try to have a full treatment of any disease or problem you have diagnosed with you and your husband. Have sex activity in the fertile period of the cycle. Quit alcohol, ketamine, cocaine both of you and have recreational activities like swimming, painting, etc. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26072, + "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": 17111, + "tgt": "Why is there dark brown discharge after taking I-pill?", + "src": "Patient: Hi doctor, I got my last period in the mid of the last month. I had sex on the last day of the month, and the next day I took an I-pill. After three days, I have got a dark brown discharge sometimes it is pale yellow. I have it for the past four days. I am having a pain in my stomach like periods. My period is expected to be in the mid of the month, and my average length is 31 days. I am not pregnant because he did not discharge inside me. Is I-pill safe? When should I expect my periods? Doctor: Hi. I-Pill is a high dose of Progesterone hormone. It is the same hormone which is produced in the body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. As it is a single dose, it has no strength to stand on, so it falls off, and you will get periods or bleeding of increased thickness within seven to ten days of taking the I-pill. This bleeding will be thick, fleshy pieces, dark red or brown, with slight lower abdominal pain until there is a reduction in bleeding. You have taken I-pill very close to the date of ovulation. As he did not ejaculate inside you, the chances of pregnancy are low. But the I-pill will disturb your hormonal balance, which causes the thick white discharge, and this thickness is coming out, which cause the pain. I-pill is very effective. Just wait and within a few days, you will have the periods. So periods may be mostly at the expected date. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11047, + "tgt": "Please explain the accuracy of HIV Ag/Ab test at 40th day after exposure", + "src": "Patient: Hello doctor,How accurate is the HIV Ag/Ab test at 40th day after exposure? I know I should retest after three months, but could the symptoms show up, and the antibody is still hidden? Please give me an explanation. Doctor: Hello. The window period of the Ag/Ab test varies from 18 to 45 days. Therefore a negative test at six weeks (42 days) would be considered conclusive in 98-99 % individuals. However, a negative test at 12 weeks is still considered the golden standard (conclusive in 99.9 % of individuals). CDC (centers for disease control) recommends that a negative Ag/Ab test at six weeks is good enough to rule out HIV. Take care." + }, + { + "id": 19000, + "tgt": "How to get rid of alcohol addiction?", + "src": "Patient: Hi doctor, I am just 22 years old. But, I have a\u00a0severe alcohol addiction along with depression and anxiety. I am slowly recovering from the alcohol now and I am under a local addiction unit. However, due to past overdoses the psychiatrist is reluctant to prescribe me Baclofen, which is apparently very helpful with cravings. I have been on both Antabuse and Acamprosate in the past and these are now ruled unsuitable. Is there any other way that I can go down? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3596, + "tgt": "I think I have a wound in my urethra. Kindly advice", + "src": "Patient: Hi doctor, I have some problem in my penis. I have attached the photos for your reference. It is round always remain dark purple and the tip remains red. It is like this since many years. Sometimes, I can feel some irritation.\u00a0Kindly advice. Doctor: Hi. For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11409, + "tgt": "Can high lipoprotein and hs-CRP cause cardiac problems?", + "src": "Patient: Hi doctor, I had high hs-CRP of 3.86 around 8 months back. I have got it rechecked and it has gone even higher to 5.36. I have attached the reports of blood test done a couple of days back. This blood test report includes other tests too apart from hs-CRP. I have previously been advised that high lipoprotein and hs-CRP can cause cardio related issues. How do I get the hs-CRP back into range? And do I need to go for further checkup to find the actual cause of inflammation? I have no other medical condition except lower back pain. Please suggest. Doctor: Hello. I understand your concern regarding the raised hs-CRP (high-sensitivity C-reactive protein) and lipoprotein levels (attachment removed to protect patient identity). These biomarkers are predictors of future events. They tell you that there is an inflammatory state that is going on and that will contribute to your blood vessels to the heart and brain possibly getting blocked. So, you need to take steps to prevent a heart attack in the future. They have done a study called JUPITER (Justification for the Use of Statins in Prevention : an Intervention Trial Evaluating Rosuvastatin) where they used an anti-cholesterol medicine called Rosuvastatin 20 mg for patients like you with a raised CRP and normal cholesterol levels. They have found it causes a 50% reduction in future heart attacks. You may benefit by taking tablet Rosuvas (Rosuvastatin) or Rozat 10 mg once daily for at least 2 years. This will prevent heart attacks, stroke and bring down your hs-CRP levels. But you need to also know that there is a very small risk of new onset diabetes for patients taking this drug. Second you need to change your lifestyle. You need to lose weight. Just going on medications is not the answer to these diseases. You need to get yourself a personal trainer in a gym and work with him to lose weight. You may also consult a dietitian to reduce your calories. Is there any family history of heart disease? If you smoke, you need to quit smoking at the earliest." + }, + { + "id": 4900, + "tgt": "Is surgery the right decision for a fistula in the anal sphincter?", + "src": "Patient: Hello doctor, I have attached the blood reports, medical reports and doctor's prescription of the patient. Doctor advised for the operation. I would require you to please review the attached document and provide your feedback.\u00a0Thank you. Doctor: Hi. I have thoroughly gone through your case, attached reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. You have normal thyroid profile means gland is working normal and no issue with it. 2. Your complete blood count is fine meaning there is no issue with your blood. 3. Kidneys are working normal. 4. MRI is not normal. It shows a fistula and needs proper management as directed by your doctor. 1. Your physician is right on a decision for surgery as there is a fistula in the sphincter of anus and is causing issues right now. 2. If left untreated then it can damage the sphincter of the anus and that may lead to permanent loss of control on stools. 3. It is very miserable condition that needs to be corrected in the first place right now. Please follow the instructions of your physician. For further clarifications consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16680, + "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": 2423, + "tgt": "Does my CT report show a blood clot?", + "src": "Patient: Hi doctor,Post spine surgery My CT says evidence of pre and paravertebral soft tissue and differentiation of hematoma may be considered. Does this mean there is a blood clot? Doctor: Hi. I have read your question with care and understand that you want to know about a CT report (attachment removed to protect patient identity). For further information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 20158, + "tgt": "I need a psychiatric opinion for my friend who has been treated for catatonic schizophrenia", + "src": "Patient: Hello doctor, I need a psychiatric opinion for my good friend who\u00a0has been treated for catatonic schizophrenia. She is a 27 year old European woman. She had in total three episodes of catatonia that required hospitalization. But I suspect it may have been depression instead, since she volunteered hospitalization. She has been given Solian (amisulpride) from 2011 to 2013 and then in 2014. Then she had problems of too high prolactin and they changed\u00a0it to Abilify (aripiprazole). She also gained a lot of fat (about 40kg in 5 years) and seems to keep getting slowly bigger, since she is often hungry, probably as a side effect of the medicines. She is not taking other medications and she is otherwise healthy. She declared that she is not afraid any more, after switching from Solian to Abilify, but she feels unhappy. She appears much less talkative and lively than she used to be years ago. She\u00a0is less confident too. I suspect that she may have depression rather than schizophrenia and I noticed that she has significant anxiety, victim mentality (quite important) and some sleeping problems. She is insecure and she dropped out of several educations in the last couple of years. She has abusive parents and she went back living with them. She has recently received cognitive therapy but she felt insulted and not helped. She and I wish to find a solution for her. Thank you. Doctor: Hello. I can understand your concern. I have read the query and after reading the history of hers I can tell you that these symptoms suggest more towards some neurotic illness specifically depression rather than catatonic schizophrenia. In catatonic schizophrenia patients show symptoms like negativism, echolalia (automatic repetition of words spoken by other persons), echopraxia (involuntary or automatic repetition of the movements of other persons), waxy flexibility etc. She has developed illness in episodes and not continuously, which also points more towards depression because psychotic illnesses run a continuous course. Her symptoms like lack of confidence, anxiety, poor sleep, feelings of insecurity, feeling of unhappiness, less talkative etc., suggest depression. There is no history of any suspiciousness, no history suggestive of hallucinations which weakens diagnosis of a psychotic disorder. So, in my opinion from available history her diagnosis is more likely to be depression rather than catatonic schizophrenia. Even in severe depression individuals may present with depressive stupor which can mimic a catatonia. Please visit her doctor again and ask for reevaluation of diagnosis. She responded to amisulpride (drug used both in psychosis and depression) but later developed side effects. Aripiprazole can help in psychosis but in depression its use is limited. In my opinion there is need to add some good antidepressant. Drugs like Sertraline can prove useful for her symptoms. Please discuss with her psychiatrist for these medicines. Do not be distressed, provide her good loving support and she should improve from her symptoms. Hope this helps you. Do not hesitate to consult a psychiatrist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12423, + "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": 1434, + "tgt": "I have severe pain in spine and lower back with history of fibromyalgia. Please help", + "src": "Patient: Hello doctor, For the last month, I have been suffering with pain on my spine and lower back. When I touch a specific point on my spine the pain is severe. It hurts when I bend or sit it feels very sore. I visited a GP and she said that she thinks it is a muscle insertion that causes the pain but she is not sure. She did a neurological examination and all was normal. I wanted your opinion as my ankles and shin bone now started being painful too. I was diagnosed with fibromyalgia four months ago and wanted to know if it is this that causes bone pain. My posture is quite bad too so I am not sure what it could be. I am very worried in case it is something very serious. What I should do now? Doctor: Hello. From your history and being unable to examine you I can only speculate on the cause. Yes, fibromyalgia can lead to trigger spots like tender areas which can be over the muscle belly or their attachment on the bone. The good thing was that the neurological exam was normal. Now coming to your concern that the shin and ankles had become painful. I will recommend that you get your ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), complete blood count (CBC), urine routine, Vitamin D levels, and blood sugar tested. This will generally show indication about any inflammatory process and bars on that you can be started on antiinflammatory medication including steroids and possibly vitamin D too. Please let me know your investigation results." + }, + { + "id": 23399, + "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": 10739, + "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": 14347, + "tgt": "What are the possible ways to manage morning sickness during pregnancy?", + "src": "Patient: Hello doctor, I am around 8 to 9 weeks pregnant and really struggling with morning sickness. I have not been able to keep anything down for nearly a week now. I constantly feel queasy. I have tried just plain foods and every old wives tale known to man. Nothing seems to be helping and it is really starting to affect my work now too. Doctor: Hi, Welcome back to icliniq.com. Take your prenatal and Folic acid tablet. Get a thyroid profile done and other blood tests like a complete blood count and sugar levels. You should eat only what you feel like and what you can sustain like fruits, a dry toast with butter or jam bread. You can have cornflakes with cold milk as the hyperacidity reduces with that. You can have a semolina porridge or a sandwich. It is alright. Everyone goes through it. Some have bad phases but eventually, it will be over or at least decreased considerably by 12 to 13 weeks. Get an ultrasound to check if there is twin gestation as in twins the throwing up episodes is exceptionally high. Reassurance to self and stay with family. Consult a doctor personally." + }, + { + "id": 10397, + "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": 27993, + "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": 21704, + "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": 2856, + "tgt": "What can cause severe tiredness?", + "src": "Patient: Hi doctor, I have been concerned about my tiredness. Before, I could stay up all night, but now I cannot. I have no idea what it is. Sometimes, when I get home I get really tired and take a nap. When I take a nap in the afternoon I sometimes wake up feeling shaky and feel horrible. Even after the nap I still feel tired. Then when it is time to go to bed I fall asleep so quickly. I do not know if it is just me getting older or some disorder. Can you give some answer on what it could be? Doctor: Hello. I have gone through all the data you have posted. Revert back with the reports to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11225, + "tgt": "My period is irregular as I skipped placebo pills before a month. Kindly advice", + "src": "Patient: Hello doctor, I usually would get my period on placebo pills on the third day, and I skipped my period by not taking placebo pills for a couple of months. I started to take them again and had my period last month, and this month I am on the third day, but it has not come. Could my body just be changing? Is it normal to get my period farther into the placebo pills? Doctor: Hello. Yes, what you are experiencing is very common, especially if you have been on the pills for a while. The birth control pill will actually thin the lining of the uterus over time, and many women barely have any bleeding during the placebo week, we sometimes call these pill periods as it is often just some very light spotting or brown discharge. It is ok if you do not have bleeding during the placebo week, as long as you have been taking your pills every day and you are sure you are not pregnant." + }, + { + "id": 19449, + "tgt": "Can I have sex after 13 days of hernia surgery?", + "src": "Patient: Hi doctor,I had hiatal hernia\u00a0surgery and Nissen fundoplication 13 days ago. I did not have sex with my girlfriend for the past 13 days. Would it be fine to make love now? I know\u00a0that having orgasm put some muscle tension over the abdomen. Will it cause any damage to the stitch? Doctor: Hi. We are here to help you.\u00a0I understand your concern. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1383, + "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": 9339, + "tgt": "Why am I having erection problem during intercourse?", + "src": "Patient: Hello doctor,I am unable to get an erection for a longer time. I have erection problem during intercourse. Very low feeling to have intercourse. Doctor: Hi. Since how long are you having these issues? Did the erection problem occur first or the lack of interest in sex occur first? Are you married or in a relationship? Do you masturbate? Does erection during masturbation last longer? Are you having any medical disease or are you on any medications? Any history of recent weight gain? What is the frequency of intercourse (in a week)? You can send me answers to the above questions. In the meantime, you can start tablet DuraPlus once daily at bedtime for about 10 days and see how things improve. Take care." + }, + { + "id": 17517, + "tgt": "I am having back pain, but nothing wrong with my bones. Kindly help me", + "src": "Patient: Hi doctor,I am having serious back pain\u00a0in the upper left area of my back. I had x-ray and found nothing wrong with my bones. My doctor advised me to take various painkillers, but they did not work. I have been having the pain for several months now. I do not know what to do. Please help. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10177, + "tgt": "How to get rid of the rashes which exist even after medications?", + "src": "Patient: Hello doctor,I have these rashes appearing in my inner thigh and body, and they started small and now has spread across 60 % of my body. I went to my local general physician and was given antibiotics, but that did not help. I was also given Dermol 500 lotion, Betnovate RD cream and Lyclear dermal cream to no avail. It is probably more comfortable if I send you the picture as it is very annoying. It is not painful, but it is spreading to my buttocks, inner thighs near my penis, both arms and body rib. What could it be? Doctor: Hello. I understand your concern. I would have appreciated a bit clearer pictures with good light (attachment removed to protect patient identity). The distribution and morphology point towards a superficial fungal infection, which has been modified by topical steroids use? Has it been itchy at any point, any redness? Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Capsule Itraconazole 100 mg twice a day. 2. Tablet Levocetirizine 5 mg once at night. 3. Terbinafine cream apply twice a day. Do this for a week." + }, + { + "id": 8227, + "tgt": "My hemoglobin and hematocrit values are consistently low. Why?", + "src": "Patient: Hello doctor,My primary care physician and his PA overlooked at least 10 years of consistently low hemoglobin and hematocrit levels. When recently had flu-like symptoms without any upper respiratory symptoms, I went to a new PCP who ordered the blood test. That PCP noted the low hemoglobin and hematocrit and had me repeat the tests six weeks later. Still small, she referred me to a gastroenterologist to check for bleeding. He had access to all of my blood tests for the last 12 years and was the one who pointed out that the levels had been low.He concluded that there was no blood loss. The PCP then referred me to a hematologist. I am waiting to be seen by him. Of note, I have been consistently exhausted with low energy and motivation. I also have a multiple-decade history of recurrent aphthous stomatitis that is worsening. My blood results also showed a Vitamin B-12 level in excess of 1000 and a healthy iron level. I am wondering what could be going on. Any thoughts or recommendations you may have would be much appreciated. Doctor: Hello, Welcome to the icliniq.com. If hemoglobin level and hematocrit low than iron deficiency anemia could be possible, I need to know how much is your hemoglobin value. So kindly attach your CBC (complete blood count) report to give a further comment regarding that. The B12 can be high due to supplement intake, liver disease or kidney disease or myeloproliferative blood disorder. So apart from CBC, you can investigate with liver and kidney profile reports as well to exclude liver and kidney disease. If all comes clear than no need to worry because B12 is water-soluble vitamin readily excreted through kidney. Kindly attach your reports. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 26921, + "tgt": "I am always sad and have started doing weird things. Please help me", + "src": "Patient: Hello doctor,I am an 18 year old female. I have no idea what is wrong with me. I am sad all the time, cry for no reason, smile for no reason and hate myself. I behave oddly and do things like spilling water and even self-harm when angry. I cannot concentrate. I am unable to sleep most of the times. Please help me. I have started doing weird things. When someone scolds me, I start scratching my left hand\u00a0until it becomes red. Doctor: Hello. I can understand. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 20594, + "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": 1707, + "tgt": "I am a male with thick, wavy, and frizzy hair. How to make it smooth and frizz-free?", + "src": "Patient: Hi doctor, I am a male with wavy, thick coarse Asian hair that frizzes, and I wanted to ask you how I could get my hair thick, long, silky, smooth, and frizz-free. I could send pictures of what hair I want. Please help. Doctor: Hello. Given your natural type of hair described and what you would like it to look, there are some things you can consider. Wash your hair with shampoos that are intended to reduce frizz and will say so on the bottle. Also, use a conditioner that is intended to reduce frizz. There are hair styling products for thick wavy hair that also reduce frizz and will say so on the product description. A more permanent solution would involve using either a blow dryer with a stunning attachment that will temporarily straighten your hair and give it a silkier appearance. Be sure you use a product intended to minimize heat damage to the hair that you apply to the hair before you blow-dry. If these measures are not satisfactory to you then you may wish to consider applying a chemical relaxer to your hair that will make it straighter and smoother but you will have to redo the roots about every two to three months to maintain the look. If you decide to chemically straighten your hair, you should only wash it once a week to maintain a smooth frizz-free appearance. Chemically straightened hair requires a little more care and a little more attention to keeping it well-conditioned for maximum results." + }, + { + "id": 24654, + "tgt": "What is the treatment for mitral stenosis?", + "src": "Patient: Hello doctor, I am a male and I am 30-years-old male. I have a mitral valve problem, and it is moderate mitral stenosis. What remedy do you advise? If I did the valvoplasty surgery will there be any other problem? If there is a problem, is there a possibility to do the valvoplasty again? I am afraid. Please relieve my tension. The left atrium is 46 mm. I am currently on Spiromide 20 mg and Tinormin 50 mg daily once. Please help me. Doctor: Hello. There are specific criteria for surgery in case of mitral valve stenosis. Surgery does not resolve the problem and you may have to stay on anticoagulation therapy for your entire life. It can help improve your physical performance and avoid pulmonary edema (shortness of breath during physical exertion). Anyway, as you have mild mitral valve stenosis, I would recommend anticoagulation therapy and follow up with your cardiologist with a cardiac ultrasound every six months. Hope this would be helpful for you. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22666, + "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": 29234, + "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": 24869, + "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": 23258, + "tgt": "Why is hives caused when consuming certain foods?", + "src": "Patient: Hi doctor, I am a 29 year old male. I am suffering from food allergy. I consulted a dermatologist doctor two months back and he prescribed Fexofenadine and Levocetirizine plus Montelukast Sodium tablets. He advised me not to take tomatoes, onions, potatoes, and lemon. The medications are over. Still, I find some hives in my body. How long should I take the medicines? Is it curable? Can I recover fully even if I take tomatoes, onions, and potatoes? Can you suggest me? Doctor: Hi. If you have an allergy to certain foods, you must be getting hives when you consume them. You might get hives within an hour of consuming those above-mentioned foods. Are you getting hives when you take these foods? If yes, then you have to completely avoid them in the future. Once your body develops an allergy to something, it remembers it forever. Whenever you take those foods, you will have hives. This is like, if you have an allergy to a wristwatch, you should stop using it. That is the only remedy for that. Similarly, if you have found out that you are getting hives after having these foods, then you should stop eating them. I am afraid that allergy is not curable, but it can be controlled with medications. Your dermatologist has given you the right anti-allergic pills. Are you on any other oral medications? Have you done any blood test? How often do you get hives? Do you get swelling of lips, eyes, breathing difficulty or any joint pain? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30782, + "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": 21523, + "tgt": "I am unable to decide my career whether to do my PG or business. Please help", + "src": "Patient: Hi doctor, I cannot decide on my career. I am tensed and crying. I have given cancellation of my PG course. For that, I passed out the bank loan, and everything is done. For the past few days, I think that I can do business well because I have got an experience of three years and I can get profit from it a lot. I was so happy when I told this to my parents. They told me to do a PG course. But I do not feel well here. I do not know what to do in PG course due to an overload of work, and I am scared of it. I think about dying. If I go to business, everyone will ask a question why you left your course? If I fail in business, what will I do? I am worried. Doctor: Hi. First, you need to relax. Just calm down. Take deep breaths. Do not get panic. Ask yourself what you want to do. Do not think about what others will think. If you think about what others will think about you, then you are allowing them to do their work of thinking. People will point out even though you do good or bad. Also, people are not happy with god. So stop thinking about others. You need to be confident in yourself. It does not matter whatever you do either business or PG course. So stay relaxed. Write down what you can do. Go with your profession and concentrate on it. Face each consequence except what others will think. Be firm in your decision. Take help from your close one or parents. Talk to them. Do not be afraid. Take advice from seniors if you do further studies or even you want to drop it, talk with them. Do not panic. Suicide is not a solution. Fight with your situation. You will find some better solution. Do not lose hope. Be brave. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8612, + "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": 17280, + "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": 5482, + "tgt": "My nose is partially blocked for a long time and I sneeze a lot. Is it due to allergic rhinitis or nasal polyp?", + "src": "Patient: Hello doctor, My nose is blocked partly, one side is opened and the other side is blocked. It has been a long time like more than 10 years. When I consulted a doctor before they concluded that it is allergic rhinitis. I sneeze multiple times in one shot, like three to four times. When I consulted another doctor, they asked to get an x-ray of my nose and concluded that bones of the nose are not straight, so it needs an operation. Some doctors said it is polyp that needs to be removed. I did not do any operation, because I heard that it is better to treat without any operation. Now it is still blocked with itching and I sneeze several times. What is your advise? What I should do? Doctor: Hello. Let us look at your problems in a systematic way. Nose block on and off and on different sides each time sounds more like a rhinitis problem. If it were deviated nasal septum then the block will be predominantly on one side. Such a block will not be that easily relieved. Deviated nasal septum if diagnosed and causes a severe block, snoring, mouth breathing and difficulties can be surgically corrected and placed in the center. Allergic rhinitis can cause multiple sneezing, itching of nose and eyes, watering of eyes and nose block. The rhinitis can cause itching in the back of the throat and palate also. Allergic rhinitis is a genetic condition that does not have a complete cure. We advise allergen avoidance, taking antihistaminics and steroid nasal sprays. Last, nasal polyposis can be associated with allergy and sinusitis. They cause constant nose block and nasal discharge. They cause post nasal drip. Occasional or frequent headaches, especially in the facial region or brow region, are associated with polyps. Polyps if found to be of higher grades require surgical correction. Coming to the diagnosis of each problem, we need to do the following on you. 1. A thorough clinical examination with anterior rhinoscopy. 2. Nasal endoscopy in OPD (out patient department), which will clearly show deviation or polyposis. Nasal endoscopy is done after adequate local anesthesia and decongestion. It typically is painless most of the time. 3. Non-contrast CT (computed tomography) scan of para nasal sinuses (coronal, axial and sagittal views). The CT is a superior investigation to x-rays and clearly shows the involvement of sinuses, the existence of polyps or sinonasal pathology, deviation of the nasal septum, condition of the lateral wall of the nose, mass in the nasopharynx, etc. 4. Serum IgE (immunoglobulin E), elevated levels signify atopy or allergy. 5. Complete blood count inclusive of but not restricted to absolute eosinophil count. I trust you understand that there are clear treatment protocols for various conditions. Not all conditions can be cured by medicines alone and not all can be done by surgeries alone. Some nasal pathologies will require medical and surgical methods for adequate relief. If there are any reports from previous ENT doctor visits please attach those in the next query. This will help us unnecessarily repeat investigations and help us diagnose faster. Do attach the x-ray film as well as report in the next query. We do obtain some relevant information from x-rays which we can use here. Until we come out with a clear diagnosis and treatment plan, I would suggest you start on Mometasone spray two puff twice daily and tablet Allegra M once daily. If I were to get a patient in my OPD with these complaints I would give these medicines that I mentioned above. Do revert back so that we can help you." + }, + { + "id": 12872, + "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": 19882, + "tgt": "I have increased RBC along with decreased MCV and MCH. What could be the reason?", + "src": "Patient: Hi doctor, If my complete blood count has high RBC value and low MCV and MCH values, what is the possible diagnosis for me? Doctor: Hi. Hope this will help you.\u00a0Take care. For further queries consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 30133, + "tgt": "I have some reddish thing on the top of my molar. Is that a cavity?", + "src": "Patient: Hi doctor, I was wondering if my back teeth have a cavity. When I was examining my molars, I came across a strange reddish color on top. I did some research on the internet and read that\u00a0a cavity will be either brown or black in color. I am very confused. I do not want it to spread and I am asking you just to make sure whether it is a cavity. Also, it hurts a little when I poke it. Doctor: Hi. Revert back with the photos to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23875, + "tgt": "How to overcome my anger and gain self-confidence?", + "src": "Patient: Hi doctor, I do not feel happy. Even if I am with someone, I am not able to connect with them. It feels like there is a burden over me. I feel anxious, short tempered and not able to concentrate in any work. I do not have confidence for doing anything. I would like to work hard and want myself to be confident. Please help. Doctor: Hi. For further clarification consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 23952, + "tgt": "My son has periods of dizziness and fainting since one month. Please advise", + "src": "Patient: Hello doctor, My 13 year old son has periods of dizziness (around one minute or less) and fainting since one month. He also has wheezing and coughing since seven months. Doctor: Hello. Firstly, I would like to let you know that the dizziness your son is undergoing could be due to a number of reasons. I would like to brief on the concern. For now, I suggest: Do not worry, your son will be fine. Do not take stress, it is nothing dangerous. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22990, + "tgt": "Is jaundice in a newborn dangerous? What has to be done?", + "src": "Patient: Hello doctor, My cousin gave birth to a baby boy yesterday at 38 weeks and baby is 2.8 kg in weight. Yesterday evening the doctor told us that the baby has jaundice at 3.3 and now it is 5.3 What should we do for this? Is it dangerous? Hospital people said yesterday it was mild and does not need treatment, still, it increased? Doctor: Hello. Jaundice developing in a baby after 24 hours of life is physiological jaundice and does not require any treatment unless it crosses a limit assigned. Various factors are taken into account like: At present, I can assure you that no treatment is required. In your case treatment will generally be required once her bilirubin crosses 15. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21892, + "tgt": "I had protected sex with sex worker. Am I at risk of contracting HIV?", + "src": "Patient: Hello doctor,Two months ago I had sex with a female sex worker. It was oral and vaginal, both condom protected. The condom did not break or slip off, I withdrew from her right after ejaculation. The girl was clean and young. The intercourse took place in her apartment. Am I at risk of contracting HIV? I cannot live normally and keep thinking of it all the time. Doctor: Hi. First, protective sexual activity will keep you safe and any STD will increase chances of infection (an ulcer on genital has highest chances). In the above scenario, you are mostly protected from infection. As it happened two months ago, you can get tested with the western blot or fourth generation HIV tests to confirm the status and it remains conclusive up to 95 %. You are unlikely to get an infection as oral sex caries very less transmission and vaginal sex is protected one and I assume you are free from STD. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 772, + "tgt": "Skin tag post healing of anal fissure appears as wound near my anus. Please help", + "src": "Patient: Hello doctor, I am 32 years old and weigh about 65 kg with a height of 5.5 feet. I have a problem in my anus, Actually, I had anal fissure before and when it is gone there is a skin tag and warts develop. But the crucial thing is an unexplained thing that looks like a wound near in my anus. I hope someone could tell me and answer my problem. Doctor: Hello. I will definitely help you with your query. Skin tags are formed in long-standing anal fissure. These are nothing but accumulated skin due to fissure usually nothing to do for that but if you have any problem because of it like pain, bleeding, or pus discharge, you can opt for surgery. It is a very minor surgery. No side effects or any problem after removing them by an experienced surgeon. A raw area will form that will heal on its own. It can reappear if you have another formation of anal fissure. So avoid the conditions that will cause it again like spicy food and constipation. I will advise you to start a sitz bath in which you have to sit in lukewarm water for 15 minutes twice a day, 10 ml Betadine can be added to it. You will get a better result in some time. I hope this helps." + }, + { + "id": 26266, + "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": 22813, + "tgt": "My baby's eyes are red and pupils are whitish. Can you help me?", + "src": "Patient: Hello doctor, My 9 month old baby boy is having some issue in the left eye. Before a week, suddenly one day, I saw his left eye half red and then it slowly subsided. But now, there is some little part of his left eye seems to be permanently reddish and some part of his eye pupil edge looks whitish. I am worried about that whitish grey part of the eye pupil edge. I am attaching an eye close up photo of him that is continuous for the last one week. Could you please help me know if there is anything serious or underlying disease or it can be treated easily? Doctor: Hello. I have gone through the image (attachment removed to protect patient identity). It looks like an allergic reaction. I suggest the following: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16688, + "tgt": "What is the reason for anal bleeding?", + "src": "Patient: Hi doctor, I am very much worried about my girlfriend, who is 31 years old now. She tends to bleed when she urinates and also when she goes for toilet.\u00a0She is having this bleeding problem for about two to three years, usually on and off.\u00a0Previously, she did not have a good diet, usually eats only one meal a day and it consists of fast food. She does not drink water or eat fruits as well. The bleeding can happen up to once a week or daily, if serious. Recently, we moved in together and I am trying to improve her diet. Now, she eats at least two to three proper meals a day consisting of nourishing soup, vegetables and meat. According to her, she bled only twice in the last three months.\u00a0However, today, she told me she is bleeding again after pooping and it was quite a lot. I am quite worried and hence decided to ask your help. She also told me that she did go to a specialist before and the specialist told her that there was a wound, probably due to constipation in the past. Also, she prescribed a cream and asked her to visit back after a month. She did apply and got it better, but unfortunately it was too expensive for her to go back to see the specialist. Can you tell me what is the reason for bleeding, as the wound should have healed since it has been a few years? Is this a totally new illness aside from the wound? Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 634, + "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": 23917, + "tgt": "I have high BP while sitting. Is this a cause of concern?", + "src": "Patient: Hi doctor,I am 35 years old male having weight around 82 kg. Last year I was diagnosed with hypertension as my reading in the clinic was 170/120 and when the doctor asked me to monitor my BP and wrote some blood test. I monitored at home for 15 days then it was around 145/100 and report for all the blood test was normal but the doctor prescribed me Met XL 25 so I am taking it at night. I have started the exercise in the morning like jumping rope, spiking and yoga as well. I play TT for one hour in the noon around 4 PM to 5 PM. Now in the morning after exercise, my BP is around 130/85 but in the evening when I measure while sitting, it is around 150/110 and when lying it is around 138/93. Is this a cause of concern having high BP in the evening or it is normal? Doctor: Hello. The medication you are taking is right, but I would like to know that whether you are skipping your medicine in between? And along with medication, stop over the counter salt. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14126, + "tgt": "My urine sample showed blood. My doctor thinks that I have bruised kidney. Can I exercise?", + "src": "Patient: Hello doctor, I got injured in a car crash. I have abdominal pain. My urine sample showed blood. My doctor thinks that I have bruised kidney. Can I do pool walking and light exercise? Doctor: Hi. We are here to help you. Regarding your query, I need a few more details to help you." + }, + { + "id": 3931, + "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": 14807, + "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": 16772, + "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": 10526, + "tgt": "What can cause itchy scalp and tiny white balls all over the head?", + "src": "Patient: Hi doctor, I am a 28 year old male. I have itchy scalp and hair fall with tiny white ball all over the head and also in shoulder.\u00a0The balls are attached to the skin and coming out in nails with pressure. I have attached the photos along with this query.\u00a0I am using anti-dandruff shampoo,\u00a0which cures the itch for one or two days.\u00a0But, the white balls are still coming out. I am facing this problem over a year. Now, my hair fall has seriously increased. I have oily skin. Advice me some medicine which is easily available and some technique to care my hair. Doctor: Hi. According to your history and from the photos (attachment removed to protect patient identity), you are suffering from acute dandruff with folliculitis. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11380, + "tgt": "My root canal treated tooth has broken off. What should I do now?", + "src": "Patient: Hi doctor, I had a root canal done some years ago. Now, the tooth has broken off. I can still feel some screw in the gum. I am now getting some constant puffiness and bleeding. Doctor: Hi. I have read your complaint. Firstly I would like to say that you do not have any screws unless you have done an implant. It is the broken tooth root which you might feel sharp. That is again the reason for bleeding as it irritates the gums around. The root canal treated tooth when not protected with a cap or crown always break eventually and that is what has happened in your case. Now the treatment would be to pull out the remaining tooth remnants. Meanwhile, some painkillers like Panadol (Paracetamol) would help you. I reckon you to visit a dentist and get it treated as soon as possible. Kind regards." + }, + { + "id": 2804, + "tgt": "How does Lamictal interfere with Carbamazepine for migraine pain?", + "src": "Patient: Hello doctor, I have complicated migraines, simple partial seizures and are controlled by Lamictal. I have a long time pain from sound intake and it has worsened into my face. Other sensory triggers the pain. It has become just way too much to handle. I sought advice from friends and groups and nurses, that have trigeminal neuralgia and they suggest Carbamazepine. I learned it lowers Lamictal. I contacted pharmacy that said many will test blood serum of Lamictal and then add Carbamazepine and adjust Lamictal to therapeutic levels. My doctor is a bit concerned. She is not a pain doctor or neurologist. I am waiting to see one. But my condition makes it hard to travel in a car. My doctor asked I seek advice. Do you agree that checking the serum and adjusting is fine to do, in order to take Carbamazepine? The second option is Oxcarbazepine. In your experience is it a good pain drug for TN and does it mess up Lamictal? I found a study that said it did not. I was thinking I could start it now while I wait on Lamictal levels. And see if it helps. Just really struggling. Pain cream not helping much in certain places. My old neurologist wanted me to lower Glutamate as much as I could and suggested Namenda at one point. I know many people are on two and three drugs. I hope to try injections for the pain soon. Do you have any suggestions? Doctor: Hello. Firstly, we need to be sure if your pain is really Trigeminal neuralgia (TN) as there can be other causes of facial pain like idiopathic facial pain, Post-herpetic neuralgia. Sometimes dental causes of facial pain can mimic TN. Trigeminal neuralgia has sharp, shooting episodes of pain in any distribution of the trigeminal nerve. Pain is mostly along one side of pain and lasts for a few seconds. Pain can be triggered by brushing teeth, cold air, chewing of food. Mostly there is no baseline pain. For TN medications, Carbamazepine is the first line FDA (food and drug administration) approved drug. Second line drugs are Lamotrigine (Lamictal), Baclofen, Oxcarbamazepine, Phenytoin, and Gabapentin. You are already on Lamotrigine which is effective for TN. As add on medication you can do any of the following: 1. Take Carbamazepine and monitor serum levels of Lamotrigine. Both combined will give good relief for TN. 2. You can take Oxcarbamazepine. It does not interact with Lamotrigine. Its effects are like Carbamazepine. I would suggest you to take Oxcarbamazepine to avoid hassles of blood monitoring. I have seen patients getting good relief with Oxcarbamazepine. Remember that these medications take two to three weeks to show results and reach blood equilibrium. Most important is to confirm the diagnosis and then start the treatment. You may require an MRI brain to rule out any vascular loop pressing on Trigeminal nerve. Ultimately for TN, you can go for radiofrequency of affected division of Trigeminal nerve. Surgery is considered if there is a vascular loop. I hope this helps. Avoid exposure of face and ear to cold air. Wrap a scarf around neck and face when exposed to environmental temperature. Avoid your trigger. Practice deep breathing. Sleep for seven to eight hours. Avoid swimming. Avoid smoking and alcohol." + }, + { + "id": 17233, + "tgt": "Will diastolic dysfunction lead to heart failure?", + "src": "Patient: Hi doctor,I am a 46 year old male. My height is 184 cm and weight is 98 kg. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest discomfort last year. I had a positive TMT and had an angiogram. The result was minor plaques. Since then, I was given Ecosprin 75, Monotrate 10, Dilzem 30 and Atorva 10. Again,\u00a0I have breathlessness. Also, my chest pain is on and off. I feel fatigued and tired. Again, I had an ECG and Echo. The ECG was similar to the last time with T-wave inversion. Last year Echo showed mild concentric LVH and mild diastolic dysfunction. My latest echo reported mild concentric LVH, moderate diastolic dysfunction with increased LVEDP, dilated LA, sclerosed aortic valve and mild PAH (PASP=40mmHg).\u00a0I have enclosed the above reports for your reference.\u00a0Are my symptoms of breathlessness and fatigue due to diastolic dysfunction? Or due to my sleep apnea? I am not able to use CPAP due to body jerks and discomfort with CPAP. Is this diastolic dysfunction serious? Will it lead to heart failure? My BP is usually 140-150/80 mmHg. Is there a chance for minor blocks in arteries having become bigger? What course of action should I follow now? Doctor: Hello. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to control your hypertension more. Reduction of weight along with medication will help to decrease diastolic dysfunction and mostly your symptoms. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1715, + "tgt": "Are all saturated fats including coconut oil harmful for heart patients with plaque build up in arteries?", + "src": "Patient: Hello doctor, My husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal. He had to have a stent put in his heart and will be medicated for the rest of his life. He has been told that it is vital he eats low fat and low cholesterol diet. I cook for him and I am worried whether I feed him the wrong things. I know that meat is not good for the heart, so we limit it and always go for lean cuts, but I am confused about the difference between animal-based saturated fats and plant-based saturated fats. For example, everyone raves about the health benefits of coconut oil and coconut milk, but both are extremely high in saturated fat. I googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly, but I do not know if this is true. For someone like my husband, is all saturated fat bad? Also, is chicken really healthier meat than beef? It seems to have a high cholesterol content so I do not know if he should be eating it. Any advice would be much appreciated. He is currently Rosuvastatin, Bystolic, and Aspirin. Doctor: Hi. I understand your concern on the high-fat diet and follow the mentioned points below. Just to make it easy, we need some fat which is good and HDL (high-density lipoprotein) like almonds and walnuts are good as these are rich in omega 3 and 6 fatty acids. Similarly, the fat we have in coconut oil is different. The fat in the chicken can be removed by removing the skin, where as beef has inbuilt fat which cannot be removed easily hence we suggest to include fish and chicken avoiding beef. Considering fat, we miss out on other nutrients too, so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within 1 liter of oil only. Coconut oil is having saturated fat but it burns easily in high humidity areas. If we live in high humidity area it is better to include coconut oil to protect our joints and skin. If we leave apart from high humidity area it is better to use refined oil." + }, + { + "id": 28389, + "tgt": "There are small red and white painless dots on my foreskin. What to do?", + "src": "Patient: Hello doctor, I have a personal question regarding my foreskin. There are\u00a0small round red and white painless spots\u00a0there, and it does not cause any pain whatsoever. I wanted to know is it something I should be worried about? Doctor: Hi. Revert with more information to a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 144, + "tgt": "My 6-year-old daughter has visible blood vessels on tonsils with no symptoms. Is it a matter of concern?", + "src": "Patient: Hello doctor, We noticed our 6-year-old daughter has a visible blood vessel on one of her tonsils. She feels fine and says her throat feels fine. Is this a cause of concern? We have never noticed it before? It has been three months since she was at the dentist and I know they check her tonsils. This is very weird, please advise if this is very serious. Doctor: Hi. I have had a look at the pictures you have sent (attachment removed to protect patient identity). The tonsils are definitely enlarged in this case, there is no doubt about it. The tonsils have a very rich blood supply and are relatively avascular structure. It is normal to encounter leash of blood vessels over the tonsil or its adjacent areas like the anterior and posterior pillars (these are two walls in between which the tonsils reside). Unless and until the tonsils are inflamed and the child is symptomatic, we do not need to give any sort of antibiotics as it is not indicated. At the same point of time, enlarged tonsil indicates possible previous episodes of recurrent tonsillitis as a result of which the tonsillar tissues get hypertrophied and attains a larger size. It is always better to maintain strict oral hygiene, do saltwater gargles five to six times a day at regular intervals. Avoid anything cold, spicy, and oily food/beverages. Maintaining precautionary measures definitely goes a long way in preventing recurrent sore throats or streptococcal infections. However, in a situation where the child is having recurrent sore throats with associated fever, significant leaves from school, it is always better to get the tonsils removed. There are criteria given by aao-hns (American association of otorhinolaryngologists and head and neck surgeons) who have laid down criteria for a patient to undergo tonsillectomy. In nutshell, visible blood vessels over the tonsils or related adjacent structures is not a worry as it is very common and seen in health and have not pathology related to it. Sticking of the uvula to the right tonsil is due to surface tension of the saliva and enlarged size of the tonsil. This again has no clinical significance. There is absolutely nothing that you need to worry or get stressed about. Make sure you advise the child to follow the instructions that I have given above to prevent recurrent sore throats. In addition, she can also use crushed ginger with manuka honey (you can add crushed ginger and honey in a cup and give it together one tablespoon three times a day). Honey has excellent antioxidant, antiviral, antibacterial properties and so does ginger. I hope this helps." + }, + { + "id": 14753, + "tgt": "What are the emergency symptoms of SVT?", + "src": "Patient: Hi doctor, When I was 13 or 14 years old, I was diagnosed with SVT (supraventricular tachycardia). During initial days, it would last several minutes, and by the age 15, it was down to a few seconds (10-15). I saw a cardiologist, and he said that for the age 15 the SVT was so irregular. Also, he stated that I do not have to go for checkups anymore unless something happened again. I am now 17 (female). I have never taken any medications. I have only had palpitations, recently. When I stand up, my heart rate seems to go straight up causing me to get lightheaded for a few seconds, and make me feel a bit out of breath. Recently while playing skirmish outdoors, I was running around for about 30 to 40 minutes. We decided to have a short break, and as I was walking, I noticed my heart was going so fast I could not even count and could not catch my breath at all. I tried deep breaths and still could not breathe. Then, suddenly everything started turning black, and I could barely see. I had to hold onto a bin, and I was sure I was going to faint any second. My heart still racing and I barely walked to a chair. It took about 20 minutes for my heart to slow down. For the rest of the day and the following two days, I felt weak. I felt as if my heart rate was higher than usual, and thumping in my chest. Should I have gotten help at the time? What are SVT emergency symptoms? When should I seek medical advice? Doctor: Hello. The episode that you described is probably an SVT episode. The warning signs are the same which you had such as sudden palpitations, dizziness, shortness of breath and chest pain, and lastly, it can lead to syncope. However, these are not directly life-threatening. This can be an SVT like PSV (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, sometimes syncope. Usually, ECG is normal as it is generally done in between the events. ECG done during episodes will show abnormality. You will need 24-hour Holter monitoring which will correlate your symptoms with heart rate and rhythm. To abort such incidents, you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tablet Metoprolol or Ciplar LA 20 mg (Propranolol) once a day. Another option is of electrophysiological study which is an invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts." + }, + { + "id": 8767, + "tgt": "Is it normal to have strange dreams during sleep paralysis?", + "src": "Patient: Hello doctor,I have started having sleep paralysis four years back. Back then, I was able to open my eyes and was not able to move my body and speak. Whenever I used to have sleep paralysis, I used to see people torturing me. As if they are trying to harm and kill me. When I first had sleep paralysis for every single day, I changed my room, my bed, my sleeping schedule.After that, I used to have sleep paralysis only after some months of gap. But recently I started having it daily. And I always see people harming me and trying to kill me when I have sleep paralysis. I am not able to sleep. I feel like what is going on in my dreams is a reality. I feel like I am in pain. After I try to wake up from that dream. I am unable to sleep. Even if I try to sleep, I again face the same thing. So is it normal to have these types of dreams while you have sleep paralysis at the same time? This is what going on. I cannot figure out. Please help me with this. Doctor: Hello. It can be frightening to experience sleep paralysis but generally it is not harmful and can occur in otherwise healthy people. It is common to have hallucinatory experiences like seeing people who wish to harm you when you have sleep paralysis. Do you have any other symptoms? Is there a family history of sleep paralysis? Usually sleep paralysis gets better gradually over time. Follow these simple suggestions as wel 1) Try to get adequate sleep (approximately six to eight hours). 2) Try to have a good sleep routine 3) Avoid heavy meals just before bed time. 4) Have regular exercises. 5) Try yoga, mediation, and relaxation exercises. Since you are reporting regular episodes of sleep paralysis, you need to consult a sleep specialist or a neurologist who can examine you, to rule out conditions like narcolepsy and offer further advice. Sometimes medication may be needed in severe cases. I hope this helps" + }, + { + "id": 24560, + "tgt": "Does one receive a higher RF exposure if they weigh more?", + "src": "Patient: Hello doctor, I was directed to you in the hopes you could answer a technical question for me regarding MRI soft tissue neck SAR limits and RF exposure. Does one receive a higher SAR limit and RF exposure if they weigh more? For example, if a patient weighs 225 lbs would his or her SAR limits and subsequent RF exposure be higher or lower than someone who is 250 pounds? Thank you in advance. Doctor: Hello. The SAR (specific absorption rate) is directly dependant on the patient's weight and would definitely be more for a 250 lb person than a 225 lb. The second issue is that radiation heat is more at the surface than the deeper layers of the tissue. So, to conclude, chances of burns are more in patients with more weight than lean patients. However, there are FDA guidelines to prevent such incidences. In case you are suspecting burns, please inform the respective MRI unit regarding management and also to prevent such incidents in the future. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 18771, + "tgt": "Why am I feeling lazy with low energy and daytime sleepiness?", + "src": "Patient: Hi doctor, I am a 27 year old male. From last six months, I am suffering from poor quality of sleep. I am not able to wake up early in the morning whether I go to bed early or late.\u00a0My body feels heavy and lazy. I also have muscle aches, especially the muscle of palm and feet. Low energy, fatigue, daytime sleepiness and laziness are the symptoms that are present every day.\u00a0I am here to understand this and get treated for the same. Please help. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9686, + "tgt": "My WBC value is 11. 88. Is it high?", + "src": "Patient: Hello doctor, I had a right sided sore throat and sinus drainage on and off for the last two months. It was chalked up to allergies, but no allergy pill completely took the sore throat away. My doctor put me on a Medrol (pak) 5/3 before two days, and my last dose was 5/8. I also have been weaning off Lexapro 10 mg, and yesterday I had a lot of dizziness and racing heart. I ended up going to the ER, and they did a CBC. The physical assistant said all lab reports looked great, but in the reports my WBC was 11.88 and their reference range was 4.5 to 13. Is this too high? It concerns me. In my last CBC before three months WBC was 8.5 and their ranges were 3.5 to 10.5. So it seems my WBC would be high or out of range now. Please advice. Doctor: Hello, Welcome to the icliniq.com. Your total WBC (white blood cell) count is only mildly elevated, and it is not raised to an alarming level. You have been prescribed a steroid course for sore throat. It is a strong anti-inflammatory drug if no improvement until yet than throat swab can be done for culture to find any bacteria if present that causes sore throat. For that antibiotic course can be prescribed. You can do salt water gargles and take Vitamin C 500 mg BD (twice daily) for a week. You are also using Citalopram for depression. So stress-induced anxiety also can be responsible for dizziness and increased heartbeat as a result of a panic attack. For a total WBC count, no need to worry as per my opinion. I hope I have answered your question and it will help you in the approach of your case. Let me know if I can assist you further." + }, + { + "id": 16273, + "tgt": "My eyes and the entire area around my pupil have become red. Why?", + "src": "Patient: Hi doctor, I am a 48-year-old male. My eyes and the entire area around my pupil have become red. They are hurting me a lot. I went to a doctor, and I was diagnosed with conjunctivitis. I was given Erythromycin ointment to get relief, and I am not feeling better. The area around my eyes is swollen. I am sensitive to light, and it hurts me a lot when I strain them. I do not have this problem before. I am not hypertensive, and I am not diabetic. Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). You have infective conjunctivitis. Erythromycin eye ointment is an antibiotic ointment that helps to get relief from this condition. But it will take some time. I cannot say whether it is viral or bacterial. If it is viral, the disease will get relieved in 10 to 15 days. You should do cold compresses three to four times a day in both the eyes. You should not touch household items too much as it can spread to other members of the family." + }, + { + "id": 18251, + "tgt": "I got conjunctivitis 7 days back. I had red eye with eyelid swelling. Now redness is gone but blurring is present. What do I do?", + "src": "Patient: Hello doctor, I got\u00a0conjunctivitis\u00a07 days back. I had\u00a0red eye with eyelid swelling.\u00a0 I used\u00a0Moxifloxacin hydrochloride\u00a0from the very first day, every 2 hours. Then I started\u00a0Fluorometholone\u00a04 times a day and\u00a0Cyclosporine\u00a03 times a day. And now from 2 days I got blurred eye. Redness is gone but\u00a0blurring\u00a0is present. Please help. Doctor: Hi. Hope this is helpful to you. Revert back to an\u00a0eyecare ophthalmologist online\u00a0for further queries --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16073, + "tgt": "Even though my heart reports are normal, I have chest pain along with GERD. Please advice", + "src": "Patient: Hi doctor, I have chest pain for the past 15 days. I also have upper back pain along with it. My ECG and echocardiogram reports are usual. My troponin tests are normal. I had a negative result for the treadmill test. Before three years, my CT angiography was negative. I have GERD. But I do not have chest burn. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your reports related to heart problem are normal. The symptoms you have now can be due to GERD (gastroesophageal reflux disease). You can take Pan IT (Itopride with Pantoprazole) one capsule before breakfast for four weeks. You can take a rest after lunch and dinner. Avoid taking spicy and fried fatty foods. Take foods in small quantity frequently. Revert me after four weeks. If your BMI (body mass index) is 32, then try to achieve it around 25 within six months. You can get some relief." + }, + { + "id": 23736, + "tgt": "Fetal ultrasound failed to detect heartbeat. Has the child been aborted?", + "src": "Patient: Hello doctor, My wife's last period date was two months ago. After one month, we came to know through blood tests that she is pregnant. She had her first ultrasound 10 days ago and the baby is fine at five weeks and five days with a heartbeat of 114. But for the last three to four days, she saw some blood in her urine. Today, there was some flow like a period and we consulted the doctor. We did an ultrasound today. They could not find the baby's heartbeat. So, we did blood tests. My wife is under a lot of stress because of bleeding and no heartbeat. Does this mean, she has got a miscarriage? Do we still have a hope to revive her pregnancy? Doctor: Hello. If a repeat ultrasound shows no heartbeat then she has experienced a missed abortion. This means that after the arrival of the heartbeat, the heart has stopped and the fetus is no more alive and not growing. The bleeding is nature's way of aborting the non-developing fetus. This can happen because of possible congenital abnormalities or chromosomal abnormalities in the conceptual, which was deemed naturally unfit for further survival. The initial heartbeat of 114 BPM (beats per minute) was itself low. Ideally, it should have been more than 130 in a real fetus. The bleeding may continue for a week until she aborts completely. You may repeat the ultrasound again after a week to check for completion of miscarriage if the bleeding does not stop. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11744, + "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": 13743, + "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": 9550, + "tgt": "I am suffering from calf pain for past six months. Kindly advice", + "src": "Patient: Hello doctor, I used to run about five km and do cycling about 6 km. I got a calf pain six months ago, though it would get normal in a few days, the pain persists, the MRI shows nothing. The doctors tell everything is fine, but the pain is too much, could not even walk for a few mins continuously. The pain is exactly on the outer part of the left calf muscle where I could feel it in a particular position like a small line. But the sickness spreads over the entire calf. Doctor: Hello. It would be nice if you can share the MRI reports with us so we can comment accurately. In general, without the MRI, I suspect this to be a muscle injury, which is healing slowly. As MRI too have limitations, we have to follow the clinical signs and symptoms and treat according to the clinical symptoms. This sounds to me as a muscle injury, due to which there is a muscle imbalance. I will advise undergoing muscle re-education, and muscle balance board training, which can help correct the actual action of the muscle and a proper torque can be applied with the contraction of the muscles. Later a graded practice of the lower limb will be good. If the nature of the pain is burning, tingling, radiating, and numbing, etc., that we may have to look out for any nerve root entrapment and treat accordingly. Please share the MRI reports if possible." + }, + { + "id": 2720, + "tgt": "I get recurrent sores in lips which stays for 10 to 20 days. Please help", + "src": "Patient: Hello doctor, I am suffering from a cold sore type infection in my mouth especially at lips. Same was occurred last year and again it repeated this year. And as on today it is the third time it is coming and curing within a period of 10 to 20 days. I want to add photographs but do not know how. Further, currently it is on my lips and additional sores are there inside the upper part of my mouth. There is no pain. Please advise so that this can be permanently cured. I am currently taking Acivir 800. Doctor: Hello. I understand your concern. I have gone through your query, attached pictures, and your previous prescription. (attachment removed to protect patient identity). These cold sores are of viral origin and it is called herpetic stomatitis. This has a high recurrence rate meaning as long as the immune system is little underperforming, it can come again and again. Also, taking antiviral drugs could put your immune system down. You should compensate by eating healthy foods and drinking adequate water. There are certain instructions you can follow to reduce its recurrence: 1. Taking antiviral medicines on time without skipping or forgetting the dose. (The antiviral drug which your previous doctor had prescribed will suffice). Please take the same set of medicines for another course. This time without skipping doses and take them at the correct time. 2. Avoid hot, spicy, salty foods, citrus fruits and its juices, carbonated drinks, etc. 3. Drink lots of water. These treatments can make your body dehydrated. 4. Eat healthily. Take a balanced and nutritious diet. Increase fruits and vegetable intake. 5. You can place ice cubes intermittently over those sores for faster relief. 6. Maintain good oral hygiene. Rinse your mouth after every meal. Brush twice daily. This will prevent any bacterial or other infections over those sores and promotes faster healing. It is highly contagious and hence limit personal contact with others and children. I hope this helps." + }, + { + "id": 2848, + "tgt": "Can HIV cause throat inflammation as a presenting symptom?", + "src": "Patient: Hello doctor, I had severe throat inflammation and went to an ENT doctor. At that time, he was with a HIV patient who has sore throat and ulcers. He used a spoon like equipment to check the throat of the HIV patient. The spoon like equipment is contaminated. Unfortunately, the doctor used the same spoon like equipment on me without sterilizing the equipment. I already have severe throat inflammation. I am worried whether I will get HIV. Please help me. Doctor: Hi. For further doubts consult a HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 31020, + "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": 25086, + "tgt": "I have not brushed as regularly as you should. How to stop tooth from hurting?", + "src": "Patient: Hello doctor,I am 18 years old and due to many personal reasons, I have not brushed my teeth regularly as you should, I might have brushed 10 times in the last two years. I cannot see a dentist due to my situation but I want to change my life now that I am older. My top left molar hurts a little when I apply pressure, and same with a few others, I am going to start brushing three times a day but is there any way I can stop my tooth pain? There are no visible holes or anything, and no food stuck in or near them, my gums bleed a bit when I brush. So, I know something is wrong with them, but I need help. Please do not judge me. Doctor: Hello. We will not judge. It is alright. You can still have your teeth in good condition but you have to keep brushing twice every day. Just follow this. Wish you good health and happiness. Keep me updated with the improvements. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11874, + "tgt": "I am HLA-B27 patient. Is there any side effects on taking Adalimumab injections?", + "src": "Patient: Hello doctor, I am a 26-year-old male. I am HLA-B27 positive (hereditary issue). I am suffering from joint pains since the last 16 years, I generally use Ultracet to suppress the pain. I have undergone a resurfacing surgery before nine years. Since then I have not taken any treatment. I have visited a rheumatologist recently due to back pain, he had advised me to take Adalimumab injection for six months (once in 15 days). However, I am a little worried about the side effects, as my immunity is not so great. TB test is done, and the results are favorable. Both my father and his brother had joint pains and both of them passed away due to kidney issues, so I always test myself for high creatinine frequently, fortunately so far everything is under control. So, 1. Is there any chance that Adalimumab injection might trigger a kidney ailment. 2. Can I go ahead to take the treatment ignoring the side effects? Please advice. Doctor: Hello. You need to understand that every medicine has its side effects and it is not that everyone gets it. Important is treatment. Since your disease may get worse with the passing years, Adalimumab injections would help you in controlling your disease. It rarely affects the kidneys and that too in people with already worsening kidney functions. Since you have been checked for tuberculosis and it is not there, so that part is also clear. I hope it helps you. If you have any further queries, please ask me." + }, + { + "id": 24317, + "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": 5540, + "tgt": "What causes constant headaches with fatigue and eye strain?", + "src": "Patient: Hi doctor, For about four months I have had painful facial, sinus headaches, fullness and fluid in both ears and bouts of vertigo and blurred vision. I have no mucus from the nose and had no recent colds or URI. My doctor prescribed antibiotics for ear infection and Flonase and Cetirizine for allergies and inflammation. Symptoms improved for a short time but then came right back. My GP ordered a CT scan of the sinus and no fluid or sinus infection was seen, but I have mucosal retention cyst in the left sphenoid sinus and a nasal septal spur, deviation to the left. The headaches are almost constant and causes fatigue and eye strain. I have tried neti pots, steam, Ibuprofen and I only get minimal relief. I am not sure what to try next. Doctor: Hi. The problem you are suggesting is facial headaches which may be due to many reasons: 1. Is this headache on one side of the face or on both the sides of face? Usually, sinusitis is presented on both sides and migraine presents on one side. 2. Please upload the scan to see the disease, sphenoidal retention cyst may not always present with headaches and if it is fungal ball in sphenoid, it can definitively cause headaches and has to be approached immidiately. 3. How often do you have symptoms of allergy like sneezing, nasal discharge, watering of eyes? The above answers will help us to come to a conclusion and also will let me give you a permanent closure to the problem." + }, + { + "id": 26594, + "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": 14398, + "tgt": "Is bleeding during pregnancy related to miscarriage?", + "src": "Patient: Hello doctor, I am female, 20 years old, 5'2\" and 45.3 kg. I am pregnant but during my ultrasound, there is no embryo and yolk sac. My uterus is seven weeks and three days having 3.1 mm. Seven days after the ultrasound I had bleeding but it was light, the color was dark red, brown or black and it was like an intestine like a tube. I went to my doctor two days after I noticed the bleeding. My doctor said that it was a uterine tissue. She did an ultrasound on me again and its size was 3.3 mm, eight weeks pregnant. Still no yolk sack and embryo. I still have bleeding after my ultrasound and it has been three days. Now my blood is reddish and I have some blood clot that colors black or dark red. What to do? Do I have a miscarriage? Doctor: Hi. It is anembryonic pregnancy, and at 8 weeks still, there is no embryo, no sac and have clots or bleeding. So it is more likely going to abort. There could be conservative, medical and surgical management. In conservative, you can wait for nature to take a step for miscarriage and can have a natural process of miscarriage but might need medical or surgical management. Medical management needs to treat with medicine that stimulates cleaning of the uterus but might need surgery. In surgical management, evacuation is done actually but might need medical treatment for that. In case of severe bleeding or pain, you need to report to the tertiary care center. Have a healthy diet, daily walk." + }, + { + "id": 26044, + "tgt": "I am not able to focus on studies because of my thoughts. What should I do?", + "src": "Patient: Hello doctor, I am a student and I like to watch cartoons a lot and read comics. I want to study but I am not able to focus and put my mind to study. Whenever I plan on studying, my thoughts are filled with events of comics. How can I put these thoughts out of my mind? Doctor: Hello. I hope this is helpful for you. Do follow up if you feel the need. Best Regards. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10550, + "tgt": "Does sharp pain in lower left abdomen in pregnant woman mean labor?", + "src": "Patient: Hello doctor, I am 37 weeks pregnant. I have sharp pain in lower left side that is coming every couple minutes but does not last long. Is this the start of labor? I am also possibly leaking amniotic fluid but I am not entirely sure since there is not a lot. Doctor: Hi. How are you doing today? As you said most probably it is the beginning of labor pain. Usually cervix, the mouth of uterus is slightly to the left. Pain usually lasts for a few seconds only, but reappears. Do not worry. Minimal vaginal discharge with this pain indicates that cervix is gradually opening. To confirm about the pain, just feel the top of uterus, trying to indent your fingers. When no pain, you can feel the baby parts. When you get the pain, uterus contracts and becomes stony hard, you will not feel baby parts. Just having pain is not an emergency. Just note four points: 1. Movement- you should have atleast four movements after each meal. 2. Pain- if it is frequent and lasts longer. 3. Leak- you will feel thick water just wetting your clothes. Not minimal discharge. 4. Bleeding- obvious red colour. You will need medical help in all these situations. Do not panic, if this is your first pregnancy, it takes about 12 hours for baby to come out after true labor pain and 6 to 8 hours, if second. All the best." + }, + { + "id": 7317, + "tgt": "How to stay relax and overcome my negative thoughts?", + "src": "Patient: Hello doctor, I am asking for help to identify what is the things happen on me. I wonder If I am normal or have any mental illness or something else. It has been along time that I start being very negative person. I am so negative about myself, my future and everything almost every single day. I hate myself a lot because I think I am so lack of everything. I always overthinking, worrying about my future even it is a small thing but I took seriously. I think people annoying about how serious I am over small things. I think I think I made people annoy about me, I am very clumsy person. I am also very talkative person. I do not know if I talk too fast is a normal thing like what my friends said. I am not a relaxed person. I am very tired being myself and always negative about everything. I cannot be positive like others. I trauma with my friend that I met years ago because she keeps body shaming that make me even hate myself and also been traumatic with my roommate because she keep bringing her friends and that why I hate noises because of that until now. I am using earphone all the time. My parent said I do not have lots of friends. I hope I can see the result soon and I ask for keeping this as my privacy. Doctor: Hello. I appreciate your courage to share and seek for help. It seems that you are experiencing self-esteem issues due to being body-shamed and other stressors and challenges of life. That is why gradually you are becoming withdrawal from your friends and social activities. It seems you try to be a part of them, but at some moment you feel empty and cannot share things in a better way that makes you feel sad and lonely. I would recommend you to go for regular therapy to boost your self-esteem and learn about your personality more. Meanwhile following may help: 1. Do physical exercises. 2. Reduce junk food and increase water intake. 3. Write a diary and express your thoughts. 4. Talk to a friend. 5. Go to a counselor for help in therapy." + }, + { + "id": 4695, + "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": 14715, + "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": 447, + "tgt": "How to control continuous abnormal vaginal bleeding?", + "src": "Patient: Hi doctor, My wife is 45 years old. Since last month, she has had\u00a0continuous abnormal vaginal bleeding. She has been prescribed by doctor Deviry 10 mg twice a day. Even after one week of medication, no improvement has been seen. Please help. Doctor: Hi. I totally understand your situation. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7464, + "tgt": "Why does my wife have a swelling around her left clavicular area?", + "src": "Patient: Hello doctor, My 37 year old wife was infected by some virus a month ago. She ran a fever of around 100 to 102 F for four days. She was treated for the flu, so the fever went away on the fifth day, but she had a very noticeable swelling around the left clavicular area. Her blood work showed normal WBC, but with a differential lymphocytes of 7.4 %. She was sent for a CT scan of the chest where the swelling was, which showed possible injury or trauma. She had not been injured or struck, but she did have a chair massage the day before her fever started. After the CT scan, she had a chest MRI with contrast, and the area showed chest muscle infection and no indication of swollen lymph nodes. Since then, she has had no fever, however very limited mobility in left arm making it difficult even to dress. The swelling is still there, and you can see it spasm or tighten upon performing any activity with the left arm. What is this? She currently takes Topamax, Prednisone, and Bactrim medicines. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9676, + "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": 19006, + "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": 22840, + "tgt": "I cannot sleep well and I have ankle pain at night. Why?", + "src": "Patient: Hello doctor,I am 25 years old, have a job and study besides. I cannot sleep well when I come home. I wake up every one hour. I also have terrible pain in my ankle at night and in the morning but disappears during the day. Moreover, I have a high temper and worry a lot about everything. Doctor: Hello. From the given symptoms, it is not possible to zero in on the exact cause of your present condition. But because you have mentioned you work as well as study and have a tight schedule, the sleeplessness could be due to the stress you are experiencing. We cannot yet say it is stress disorder. But it has to be stress-related. Regarding the ankle pain, when the muscles relax, it pains and when it is stretched there is no pain. It has to be arthritic kind of pain. For that, I suggest you consult an orthopedic. For stress, you should try to reduce the stress you are taking now. Learn relaxation techniques. Start physical exercises and be calm. I suggest you consult a psychologist online or in person. There is no need to worry. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29717, + "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": 5801, + "tgt": "I have rashes that appear only in the evening. What can it be?", + "src": "Patient: Hi doctor, I am getting rashes on my skin regularly that keeps itching too much. It gets cured after every 6-8 hours. Again the rashes appear in the evening. Please help. Doctor: Hello. I have checked your picture (attachment removed to protect patient identity). You are having hives and this is acute urticaria. Take tablet Dazit M (Desloratadine) once at bedtime for 10 days in a row. In the daytime take tablet Allegra 180 mg (Fexofenadine) once after breakfast. Avoid sour foods, milk, curd and nuts. Consider intramuscular injection of Kenacort-40 (Triamcinolone acetonide) and repeat it every 25 days for the next three months. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14456, + "tgt": "I have anxiety and panic attack. How long should I use Nexito Forte?", + "src": "Patient: Hello doctor, I have been suffering from anxiety for the last 10 years. I was able to live a normal life and working happily. I was on Nexitoplus (do not know if I had depression). Two months back because of family problems (father health issue), financial stress, work pressure, and continuous thoughts. The panic attack was on Nexito 20 and Etizola but with no greater relief. After that, our family doctor changed to Nexito forte. Now I am feeling physically well. Looking for motivation to get on with life and go to the job. Prior to use of Nexito forte, I was not able to concentrate. I was feeling less interested. Can you suggest how long should these medications be used? Also, how can I be mentally strong? Doctor: Hi. It is quite common for anxiety to get elevated when faced with stressful situations in life. The good thing is with appropriate support your anxiety will come down eventually and you can function normally. Nexito (Escitalopram) is a good medication for your condition. It is positive that you are feeling better now. I see that you are prescribed Nexito Forte (which contains Clonazepam in addition to Escitalopram). I will recommend discussing with your family doctor and switch from Nexito Forte to Nexito (Clonazepam is not recommended for long-term use). Nexito 10 mg once daily can be continued at least for a year after your anxiety comes down and you are feeling better. Then it can be gradually cut down. I will recommend having some psychological therapy or counseling to deal with factors contributing to your anxiety and help manage family problems and stress at work. Exercise regularly, try yoga or meditation whichever you find comfortable. Cut down on drinking excessive coffee or tea or caffeinated drinks. It can worsen your anxiety." + }, + { + "id": 5747, + "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": 9920, + "tgt": "Why it is very hard to obtain and maintain erection?", + "src": "Patient: Hello doctor,I have struggled with anxiety and depression my whole life and have finally gotten myself into a relationship. But at the moment, I have found it very hard to keep and obtain an erection. I have stopped masturbating, but still, I feel no desire to have sex or masturbate (and when I try to get erect the erections are rubbish). I have stopped watching porn and looking at soft porn, but it is hard. Kindly advice. Doctor: Hello, Welcome to the icliniq.com. The most common cause of erectile dysfunction is psychological. The anxiety and depression can affect your erection as brain control the erection. So you have to treat your anxiety by counseling and medication. Yoga and meditation are also beneficial. With six to eight month of medication intake, and by counseling, your depression can be treated. For that, you need to consult a psychiatrist for counseling. Moreover, you have to rule out hyperlipidemia, prostate problem, hypertension, spinal problem, etc., by history and physical examination. It is advisable to check your testosterone and prolactin as well. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 26563, + "tgt": "What does fever, headache and generalized body pain indicate?", + "src": "Patient: Hi doctor, I am having fever, headache and generalized body pain since yesterday. I consulted a physician. He prescribed me medicines and advised for a blood test. My blood test report is attached here for your reference. Still headache and fever is high sometimes. Kindly give your opinion. Doctor: Hello. I have checked your blood reports (attachments removed to protect patient identity). For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29269, + "tgt": "What is your opinion about the lump that I have on my soft palate?", + "src": "Patient: Hi doctor, I am a 52 year old male. I have a lump just on top of my soft palate next to uvula. The lump was pink or red, medium and painless without bleeding. Three weeks ago, I found it, and I did not notice anything before. There is no such history in my family. I visited my GP, and he referred me to an oral surgeon. Is the lump, a dangerous one? What would you recommend for it to subside? I have uploaded my lump photos. It is not painful even if I touch the lump with my tongue. After doing warm salt water gargle, the lump reduced a bit. I am not a smoker. I am a known diabetic and hypertensive. I do not have a cough or throat problem now or before. Doctor: Hi. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: Excision biopsy of the lesion. Squamous papilloma. Revert with the results to a geriatrician online.---> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 12708, + "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": 4493, + "tgt": "Why is there recurrent pinworm infection even after two doses of Mebendazole?", + "src": "Patient: Hello doctor, I am struggling with pinworm infection. I took one dose of Mebendazole (100 mg) and it helped. Two weeks later, I took the recommended second dose and about three days after I started exhibiting symptoms again. It is now a week after taking the second dose, symptoms are not improving. Doctor: Hello. I have gone through your problem. Reinfection with pinworm is quite frequent. Mebendazole two doses are the standard way of treatment. But in your case, reinfection may have occurred because of remnant eggs. 1) Please change your sheets on the bed and wash them thoroughly. 2) Thoroughly wash the undergarments as they are the major source of remnant eggs of pinworm. 3) Wash your hands properly. 4) Avoid scratching in the anal region which you may be doing because of itching. 5) If there is a school going kid at your home, please do inform the class teacher regarding this as other untreated kids may be another source. Another major thing to consider is whether you are definitely having pinworm infection or not? In pinworm infection usually, the eggs which are laid in the perinatal region and worms are not commonly released in stools. The presence of eggs can be diagnosed with a simple tape test at your physician's office. If this is due to any other worm infection, the required dose of Mebendazole is different and what is taken by you will not be sufficient. I suggest you get this clarified because what requires is a simple tape test and a stool examination for other ova or cysts." + }, + { + "id": 1639, + "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": 17247, + "tgt": "I took three I-pills within two weeks. Will it have any side effects?", + "src": "Patient: Hi doctor, I am a 22 year old woman. I took three\u00a0I-pill tablets within two weeks. Will it have any side effects? Are my chances of pregnancy low? Also, I have polycystic ovaries. Waiting for your answer. Doctor: Hi. I-pill should not be taken more than once in a cycle. If you need to take it three times within two weeks, then it is better to take regular contraceptive pills for three weeks and repeat after a week gap. It will treat your polycystic disease and prevent pregnancy. Chances of pregnancy are low, but many I-pills may disturb the menstrual cycle. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25655, + "tgt": "What ayurvedic medicine can help relieve abdominal pain and constipation?", + "src": "Patient: Hello doctor, Please mention the remedy for the abdominal pain which started after taking one spoon of Nilavarai powder after taking milk in the night for constipation. The next morning, I got loose motions and then the gas trouble started and then there was a pain in the whole abdomen for the past one day. We suspect milk and Nilavarai as the cause?. Please suggest relief from the pain. Of note, the constipation problem has been there for the past three years. I take castor oil one tablespoon when the issue arises. Doctor: Hello. I suggest you stop taking this combination if you suspect it for pain in the abdomen. For pain in the abdomen, I suggest you take one glass of water and add a half teaspoon of carom seeds in it, half teaspoon of fennel seeds, half teaspoon grated ginger and some leaves of peppermint and boil this on medium flame until it becomes half a glass and then take it for pain. This will help you in relieving the pain. I suggest you also take some Asafoetida powder and mix some lukewarm water in it and make a paste and apply it on your abdomen. This will also reduce your pain. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Take light diet until pain persists. In case the pain increases or any other problem occurs then consult a general physician as soon as you can. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 31036, + "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": 15657, + "tgt": "What is polyclonal hypergammaglobulinemia? Is it related to leukemia?", + "src": "Patient: Hi doctor, What is polyclonal hypergammaglobulinemia? Can it be related to leukemia? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Polyclonal hypergammaglobulinemia is an increase in antibody level in the blood in response to infection. If you have lymphoma or leukemia then, the result can be in monoclonal nature. Monoclonal means the same type of antibody forms. But the result does not show a monoclonal nature. So there is no need to worry. Here the result is in polyclonal nature. It suggests towards infective etiology more." + }, + { + "id": 17916, + "tgt": "Can I take Madhulai manapagu as I plan to conceive?", + "src": "Patient: Hi doctor, I am newly married. Can I take madhulai manapagu if I am trying to convince? Regarding supplements, what can be taken? Doctor: Hello. I just read your query. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22676, + "tgt": "Why is the resting heart rate low in spite of pacemaker?", + "src": "Patient: Hello doctor, My 78 year old father has had a pacemaker for five years. The pacemaker is working. But his heart is becoming weaker and more dependent on the pacemaker. He now has a low resting heart rate. What causes this? What is the treatment? Doctor: Hello. You can send me the reports. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16224, + "tgt": "Please share your opinion about my back pain from the reports", + "src": "Patient: Hi doctor, I suffer from back pain. Please give me a second opinion. I am attaching my reports. Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Few small multilevel osteophytes are seen. The L3-4 and L4-5 discs are desiccated. A mild posterior-central disc bulge is noted at L3-4 level indenting the posterior thecal sac without causing any nerve root compression. A mild posterior and right paracentral disc bulge is noted at L4-5 level indenting the posterior thecal sac, narrowing the right neural foramina touching the right exiting nerve roots. The facet joints are healthy. Please say about the nature of the pain you have. Say whether it is a radiating pain or tingling sensation. If you have the pain, then it could be due to disc bulge." + }, + { + "id": 13823, + "tgt": "Why are there painful swellings near anus and vagina?", + "src": "Patient: Hello doctor, There are swellings near anus and vagina with pain. I guess the wall was ruptured during the process of cleaning as the pressure from the pump was too high. Doctor: Hi. I need to know more details regarding the swelling. A picture of the swelling gives better information regarding its nature. When was it noticed? Any pus? Please revert with details so that I can give specific comments." + }, + { + "id": 25289, + "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": 22113, + "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": 30260, + "tgt": "I am suffering from dry and scaly scalp. Is that scalp psoriasis?", + "src": "Patient: Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I have severe dandruff, mild itching and hair fall. I consulted two doctors. First one said that it may by scalp psoriasis and the other told that it looks like some fungal infection. I am using Salisia KT shampoo. I do not have scales on any other parts of my body. I am worried by thinking it may be scalp psoriasis. I can easily remove the scales present on the hairline. Please suggest. Thank you in advance Doctor: Hello. Yes, the symptoms can be of both seborrheic dermatitis and scalp psoriasis. Please follow up with the photos as it will help me to arrive a final diagnosis. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14172, + "tgt": "How can I remove the acne spots on my face, back and chest?", + "src": "Patient: Hi doctor, My acne is getting worse. The spots are on my face, back and chest. I have had the spots for about two years now. How can I remove the spots from my face? Doctor: Hi. I can understand your concern. Use a salicylic acid facewash twice daily and apply Benzoyl peroxide 2.5 percent gel on the pimples on the face twice daily and Benzoyl peroxide 10 percent gel on the pimples present on the chest and back twice daily. Along with this take a course of tablet Azithromycin 500 mg daily for three consecutive days in a week for six weeks. Besides this keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of the scalp, use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue this for six weeks and revert back. Seborrhea and hormonal imbalance. Acne vulgaris. After six weeks." + }, + { + "id": 27246, + "tgt": "What is the main symptom of swine flu and how is it detected?", + "src": "Patient: Hello doctor, My 26 month old son had a 100-degree fever yesterday morning. So, I gave him Combiflam and he was fine the entire day. The next morning, he got a fever of 103-degree. So, we took him to the doctor, who said that it is a throat infection. Besides a fever and mild cough, he did not have any other\u00a0symptoms. I have given him the medicines again now and he is fine. I am worried about swine flu. Should we get tested for it? Doctor: Hello. For further queries consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 25807, + "tgt": "I have difficulty in swallowing and a sore throat. What should I do?", + "src": "Patient: Hello doctor, I have a fever for almost three days. The first day it was not a high temperature. I had difficulty swallowing and I had a sore throat. Today, the fever is 39.3 Celsius. I had tonsillitis three times before and I have been prescribed Co-amoxiclav, Dequadin, and Strepsils. Please help. Doctor: Hello. I went through your post. You are already on antibiotics. It would be better to get a throat swab done and a CBC (complete blood count). I suggest you change the antibiotic to Levofloxacin 500 mg once a day. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13029, + "tgt": "Is the height of a child affected due to adenoids?", + "src": "Patient: Hello doctor, My daughter is 6.5 years old. When she was 1, she had a seizure for a couple of times in two years, for which she took medicine and now she is off from medicine for the last three years. Now recently she was diagnosed with adenoids for which we are going homeopathy. My concern is she is right now 112 cm tall and 21 kg weight. I find her too short compared to her friends, my wife is only 5 feet tall and I myself is 5'7\". Is this the reason she is not growing, since last 4 to 5 months her height is the same, or due to adenoids or medication which she took in the past? What should we do regarding her height? I want her to be at least 5'4\", up to what age girls height can grow? She takes Pediasure, two eggs in terms of protein every day and four days a week swimming, is there anything special I can do? Kindly advise. Doctor: Hi. Here are certain points of advise I would like to give you. Weight is absolutely normal for her age as per growth charts. As per the height mentioned (112 cm), the child is shorter as per other children in the growth chart but considering the parent's height, the child seems fine. If the child's height had to be affected by adenoids the weight also would be effected but it is not. Girls grow in height up to the age of 14 to 16 years. The final height of the child should be close to 5 feet, 2 inches considering the parent's height. The current age of the child is 6 years so you have a time period of 8 to 9 years for height growth. There is no exercise or supplement specifically for height. However, it has been noted that children who are very active and have a good diet end up with good heights and weights (with respect to the parent's height). Both of these are well-taken care by you as your child seems to be active and feeding well (as per history). So, I would not worry much. As related to adenoids, I would suggest taking the opinion of an ENT doctor for the same. If they do not cause many issues, they can be left alone. An X-ray neck lateral can be taken to see if they are enlarged." + }, + { + "id": 30769, + "tgt": "Should I get Invisalign or retainer to correct space between my teeth?", + "src": "Patient: Hi doctor, I got braces off five years ago and hardly wore my retainer. I have a permanent retainer on two of my front teeth. Now, I have horrible overjet, spacing between canines and two front teeth and crowding on the bottom. Will I need braces? Or can I get Invisalign or even a better retainer? The reason I say a retainer is because before I got my braces, they put me on a retainer to see if that would fix my problem. However, I never wore it as I was in middle school. So, permanent braces were the alternative. Doctor: Hi. Advised retreatment with Invisalign or braces. For further information consult an orthodontist online.---> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 465, + "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": 30520, + "tgt": "Why am I getting pain at the back of my calcaneus bone?", + "src": "Patient: Hi doctor, I feel some pain at the back of my calcaneus bone. The pain is especially after the first step in the morning when I wake up from bed. But, there is no\u00a0redness or swelling. What is the reason for my pain? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8943, + "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": 15701, + "tgt": "What does the chest X-ray of a UTI patient show?", + "src": "Patient: Hello doctor, My mother was admitted to hospital nine months back with a catheter-related UTI. She was also hypothermic. Tests revealed that the UTI had become urinary sepsis. She was given IV antibiotics for this. Her legs were swollen with edema, as was her lower abdomen, but her chest was clear. She had three chest X-rays taken while she was in the hospital. I have attached these radiographs for your analysis. She developed sudden hypoxemia (SpO2 dropped to 70) and was given supplemental oxygen to saturate her blood. A stethoscope detected bilateral crepitations in her lungs. She had no cough, no tachycardia and no fever (she remained hypothermic throughout her stay in the hospital). Her leg edema remained during her time in hospital. The comments that accompanied her radiographs consisted of just a few ambiguous words. They included question marks and failed to make definitive diagnoses. This is why I am sending the radiographs to you. I need to know specifically what was happening in her lungs. Doctor: Hi. The chest X-ray done shows mildly increased bilateral lung markings and a mildly enlarged cardiac shadow (attachment removed to protect patient identity). There are no serious concerns about this X-ray. In the chest X-ray done a few days later, there is a generalised haziness in the left lung in addition to the prominent lung markings and the mildly enlarged cardiac shadow. Depending on the clinical signs, the possibilities can be a unilateral pneumonia or pulmonary edema. However, in literature, pulmonary edema is usually unilateral on the right side and without cardiac enlargement. In the chest X-ray done four days later, there are randomly distributed peri hilar opacities in the bilateral lungs and on seeing carefully there are air bronchograms and this is likely a picture of disseminated pneumonia. The other possibility being a diffuse pulmonary edema." + }, + { + "id": 16404, + "tgt": "I want a flat belly. Please help", + "src": "Patient: Hello doctor, I am a 24 year old female. I am 5'6\" tall and I weigh 62 kg. For the past one year, my abdomen and belly size has been increasing. Kindly give tips for a flat belly. Doctor: Hi. There are no medications that help in reducing weight. Check your random blood sugar (RBS), thyroid levels and do an ultrasound scan of the abdomen. Revert back with the reports to consult a fitness expert online --->https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 140, + "tgt": "My gums are numb and are receding behind the two front teeth. Why?", + "src": "Patient: Gender: Female Age: 19 Weight: 320 Problem: Gum/Mouth problems Symptoms: Numbness behind my two front teeth, aches, receding. I had this problem for 2 or 3 days. my gums are numb and I'm not sure what I'm supposed to do. I have tried using Hydrogen peroxide and Mouthwash and scrubbed inside my teeth. I think this mostly has to do with my poor dental hygiene. I haven't brushed my teeth enough as I should have and I'm starting to feel the effects of it but i'm not sure how else I should treat the problem at home and I'm worried to go to the doctor due to the current outbreak. is there anything I could do? Doctor: Hello, Welcome to ICLINIQ. This is your Dentist - I went through your query . As a Specialist I would like to help . But for that reason I would like to see whats actually causing you the inconvenience . I can understand how painful and uncomfortable its been . Donot worry I will help it ease. For now: Rest when I see the image ,so kindly Upload. I will be waiting ,so kindly upload the image (back portion of lower tooth) as soon as convenient. Tartar and stain Gingivitis with localised periodontitis with respect to lower tooth. First I would need tla confirmation first . Avoid sticky or sweet or chilled food items. Feel free, let me know if any further query . Follow up after 3 days . But first - Upload the image to confirm the diagnosis. Hope to ease our discomfort soon . Kindly follow the advice . You will be fine . Am confident . Have a Good day Ma'am. Thanks for choosing ICLINIQ." + }, + { + "id": 13135, + "tgt": "My face is burnt after using bleach. Please suggest some cream", + "src": "Patient: Hi doctor, I used bleach on my face two months back, and my face is burnt due to this. My skin is peeling now, and I cannot use any cream or soap, as it starts burning. I had been to the dermatologist, and he gave me Emolene and Eumosone. I have been using it from past 1.5 months, but the results are slow.\u00a0Please suggest some cream or ointment, which will heal my skin fast, as I have a family function this week. Doctor: Hi. Use of strong cosmetics and bleaches does affect the natural look of the skin. In a few people with sensitive skin, it does lead to irritant dermatitis. The essential step in the management of such a situation is adequate sun protection. Sun exposure only further worsens the situation by leading to burns, redness, and pigmentation. I would advise you try using a good sunscreen with an SPF of at least 30, daily in the mornings immediately after a bath. Also, preferably avoid sun exposure between 11 AM to 3 PM. Kindly upload appropriate images of your current skin condition, so that I can suggest what other creams you would need based on present situation. I suggest you try using the following after consulting your specialist doctor. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8872, + "tgt": "Other than CT, which is better to scan heart?", + "src": "Patient: Hello doctor, I am a 33-year-old female. I am generally fit and not obese. My doctor suggested a CT scan for my heart. I am worried about the amount of radiation and contrast dye I will be exposed to. Are there any other tests I can do? And is this test too critical with my other findings? Symptoms started with lower back and pelvic pain, then after a few weeks of abdominal pain, and at the end of my shoulder, sometimes my arms both right and left. I have difficulty in breathing. Pulsating pain in the left side of the body, which moves around. Tinnitus and hemorrhoids on the left side, too. Two episodes of blood in sputum, which lasted for one day each, with one week gap between events back before three months. It did not recur since then. Occasional ketones and blood in urine at the onset of symptoms. Test results: 1. ECG shows incomplete RBBB. 2. ETT shows depression up-sloping. 3. Echo (taken before seven years) shows mild tricuspid regurgitation. 4. Total cholesterol fasting 183 mg/dL. 5. Triglycerides 70 mg/ dL. 6. HDL-Cholesterol 73 mg/dL. 7. LDL-Cholesterol 96 mg/dL. Doctor: Hello, Welcome on icliniq.com. I passed carefully through your medical history and would like to explain that your symptoms (migrating and pulsating pain) seems nonspecific for any cardiac issue. Also, you have no apparent coronary risk factors (your lipid profile is fine with no known hypertension, you should check your blood glucose level) and your already performed cardiac tests are almost normal. There may be a cardiac CT with a high probability would result healthy without providing any decision making information (you are not in an intermediate pretest probability). Another reasonable and safer diagnostic alternative is cardiac magnetic resonance imaging test (CMR), it utilizes gadolinium-based contrast, which is more benign. You should discuss with your doctor about the issues mentioned above. I hope to have been helpful to you." + }, + { + "id": 18083, + "tgt": "Is there any risk of radiation if HSG test is done twice?", + "src": "Patient: Hi doctor, Three years back, I conceived for the first time without any medicine but unfortunately the pregnancy ended up in miscarriage. Since 8 months I am trying to conceive now. The following year I got a HSG test and was informed that both my fallopian tubes were blocked. Doctor said laparoscopy is needed. We planned to HSG test done again now. Is there any risk, if I do HSG test for the second time? Or any risk of radiation exposure? Please suggest. Thank you. Doctor: Hi. I can understand your problem. Hope this information answers your questions. All the best. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29218, + "tgt": "If I take medicine for erection, will it damage the quality of sperms?", + "src": "Patient: Hello doctor, I am 30 years old, and my wife too is 30 years old. We are trying for a\u00a0baby for two to three months now with no success.\u00a0I have erection problem if I try to do intercourse every day.\u00a0In short, in between her 11th to 21st day of the period, I able to make intercourse for around four to five times. That is, I can get firm erection and ejaculation only once in two to three days interval. It is not working for us.\u00a0Can you please tell any medicine to improve my erection?\u00a0Will it harm the quality of sperm? Shall I use conceive plus fertility lubrication\u00a0as my wife often face lubrication problem? Will it work for me? Do you like to suggest any sperm friendly lubricant? During her fertile\u00a0period, how many times should we try to have intercourse? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5884, + "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": 22008, + "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": 3778, + "tgt": "I stopped Prevacid due to the risk of dementia. Is the damage already done reversible?", + "src": "Patient: Hello doctor, I am a 49-year-old male. I took Prevacid for 17 years. One or two pills a day. I stopped five months ago after I read about that it increases the risk of dementia. If I do not have dementia now, and I have stopped the medication do my risks of dementia remain elevated for the rest of my life? Is the effect reversible? Does stopping the medication mean I am no longer at higher risk for dementia? Is the damage already done even if it is not noticeable at present? I asked my GP, and she said nobody knows. That even if I took an extensive test from a neuropsychologist, it would only mean I do not have dementia today, but it does not mean that my past Prevacid use would not cause dementia in the future. That leaves a life of uncertainty ahead. Is that the answer we just do not know? I wanted to ask a neurologist before I accept that answer. Doctor: Hello. After careful review, I understand you are worried about the side effects of Lansoprazole (Prevacid). Now as you have stopped taking it, the risk of side effects do not remain the same as with taking the drug. The reversibility of effects is based on the extent and the nature of damages done by any drug. For example, if a drug causes scarring (fibrosis) of the liver tissues, it usually does not come back and is an irreversible side effect. Dementia does not come so early and usually decades are needed for its development and not every patient on Lansoprazole ends up with dementia. To give you good news, the link between dementia and Lanoprazole is not certain. It is still under research and is not an established fact as of today. Also, we have to see that Lansoprazole prevents the patient from serious bleeding and ulcers of the stomach. So it outweighs the risks of dementia if any. For better understanding, you have the option to consult a neurologist. He will be able to articulate this fact in a better way based on your clinical evaluation. Yes, your GP is right in saying that. But based on the facts in pharmacological post-marketing research, there are the least chances, if any of dementia. I hope this helps." + }, + { + "id": 21155, + "tgt": "Why have I not got my periods for the past two months?", + "src": "Patient: Hello doctor, I am 18 years old. My problem is that I have not got my periods for the past two months. This is the first time my periods are irregular. Please recommend me something. Doctor: Hi. I understand your concern. To tackle your problem, I have to ask you some questions: 1. Are you having any thyroid problem? 2. Are you overweight or have any facial hair? 3. Any history of unprotected intercourse? If the answer is no to these questions, then I would advise you to keep a menstrual record. Take withdrawal bleeding with help of tablet Deviry 10 mg (Progestin) BD for five days. Wait for seven days till bleeding happens. Please revert after these tests." + }, + { + "id": 17019, + "tgt": "Can drug abuse cause memory blackouts?", + "src": "Patient: Hello doctor, I have a 23 year old son. He admits to current marijuana use once or twice a week. He admits to a variety of drugs including cocaine, meth, heroin, LSD in the past year. His ex-mother in law says he currently uses cocaine and meth. He denies current drug use beyond pot. He says he has not done cocaine for a few months. He swears he is only currently using pot occasionally now and no other drugs. I realize he may be lying.\u00a0In the last month, he has had several extended blackouts where he was fully functioning, walking around town, having conversations with people, damaging property, etc. Sometimes friends cannot wake him, and they think he is having a seizure. He does not remember drinking any alcohol on that day. In fact, he has no memory of that day, until waking up at home. Everyone told him about the events the next day.\u00a0He has no memory of these events. Some are as short as an hour. Some are as long as 48 hours or more. I live 6,000 miles away from him and flew in this week to see him. I only have a few days with him to try to convince him to see a doctor, and I am trying to see if this is just drug use, him lying, being in denial or if there is a severe neurological condition that is not being treated because everyone is assuming he is on drugs. He has a history of serious sleepwalking when he was a child. He would rush out of his room, frantically searching for something but unable to describe it. He would carry on whole conversations, very agitated, would go outside, walk around the house and come to the back door crying and try to get in but be unable to turn the knob. It was like a walking nightmare or dream. We would get him back to bed and back to sleep. The next day he would have no memory of it. This current behavior sounds similar to me but on a much more extreme level. His sister had night terrors similar to this when she was a child. I, as their biological father, have a history of talking in my sleep, and some sleepwalking when I was a child but never this extreme. So, there seems to be some family history as a possible explanation outside of drug use being the probable cause. He sleeps very little. His current girlfriend says he is extremely sleep deprived. He lived with me until a few months ago and was extremely sleep deprived then. I realize you cannot give a definitive answer without personal examination and tests and such. What I am looking for right now is the answer to these three questions. Can cocaine and meth use actually result in these kinds of fully functional blackouts? Can just marijuana, (without any other drugs) or just alcohol or just marijuana and alcohol, combined with sleep deprivation and extreme stress cause these kinds of blackouts? Are there any other possible explanations for this kind of blackouts that are not drug related, for example, sleep deprivation and stress, a tumor, or other neurological or medical conditions? What might some of those possibilities be? Thank you for your help. I am distraught and confused. Doctor: Hello. I understand your concern. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 10055, + "tgt": "Is talking to myself in front of the mirror a symptom of schizophrenia?", + "src": "Patient: Hi doctor, I am a 24 year old female.\u00a0I am a healthy and happy person. I eat well and exercise well. I have a lot of friends, cool hobbies, etc. But, I have a weird habit. Whenever I am alone I talk to myself standing in front of the mirror. I imagine a lot. I think so many things like I am in an interview and I try to venture out the best answers and framing smart answers. When I am practicing on my guitar, I imagine lots of people are watching me and appreciating me for playing so well. I imagine futuristic conversations with people where I ask a question and answer them. When I am alone, I keep imagining some stuff. Also, I pick up some topic and start talking to myself in front of the mirror. I personally feel this habit has improved my communication skills, confidence and vocabulary. I am not shy and I do not have stage fear. When I meet my friends or when I am giving presentations at college, I am the one who used to stay very confident. However, some days back, when I was talking to myself in front of the mirror, my mom questioned me. Until now I did not pay much attention to what I was doing. But, ever since my mom saw me doing that I have become conscious. I have stopped talking to myself for two to three days. But, I do not feel like I have been missing out on anything. I am still friendly and confident. But, I am just wondering if I have crossed the line of sanity. I searched about this on the internet and came across something called as schizophrenia. Is this disorder setting with my habit? Do I have schizophrenia or any other disorder? To be honest, after reading about this schizophrenia I am very scared. It sounds like a very serious disorder to me. Please help. Doctor: Hi. I read your query with keen interest and understand your concerns. From the available description, I do not think you have crossed the limit of sanity or you developed schizophrenia. Schizophrenia is altogether very different disorder where people have abnormal perceptions such as hearing voices when no one is present and seeing objects when nothing is there. I do not see any of them with you. In my view, you need to put your worries at rest and do what your mind and heart considers right. It may be abnormal for your mother, but there is no pathology with this. If you feel more assistance is required or my answer to your query is far from setting down the worries, then it is better to see a psychiatrist in person. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10637, + "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": 27509, + "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": 12686, + "tgt": "What are my chances of being affected by Barrett's esophagus?", + "src": "Patient: Hi doctor, I am a 27 year old female. I was going through a lot of stress and started consuming alcohol at least 3 drinks a day. For the past 5 years, I have been suffering from acid reflux along with severe regurgitation and taking tablet Prilosec. I fell sick a month ago and taught it to be a respiratory infection and avoided my medicine. Within a matter of a few weeks, I could feel that my esophagus had burnt. I started regurgitating huge amounts of partially digested food. Some of the symptoms associated along with them are, my voice has become mildly hoarse. There is pain when I tend to shout or speak loudly. Generally, I have difficulty in swallowing. When I swallow, I get a feeling that my food gets stuck halfway itself for a few hours and often I have a dry throat. The regurgitation gets worse when talking or shouting. The regurgitation consistency is not the same always. Sometimes, it is acidic, sometimes it is clear or foamy and sometimes with the presence of mucus or food in it. For about three weeks I am taking tablet Prilosec 40 mg a day. Initially, I felt better with the medicine. But still, have pain while speaking as well as swallowing. It has not shown any improvement even with medicine. I do have constipation at times because of the medicine. I would like to know, will this medicine work for a longer duration and reduce my symptoms and make me feel better? Can you let me know, what are the chances of getting affected by Barrett's esophagus or cancer? Is the difficulty of swallowing due to stricture or esophageal spasm? Please suggest ways to manage constipation associated with medicine. Thank you. Doctor: Hi. There are many causes of reflux. Hiatus hernia is one of the conditions. It is a major concern causing lifestyle limitation. I would like to know if you are suffering from any respiratory problem. Continuous reflux can cause stricture formation and dysphasia (difficulty in speech). After a few years, it can cause Barrett's esophagus followed by esophageal cancer which can be a serious problem. Follow these guidelines to get a better result. Yes, constipation is associated with this problem. Once constipation is treated, reflux can disappear. Hoarseness of voice is due to reflux of the acid causing reflux laryngitis. It will disappear once reflux is treated. 1. Barium study of esophagus. 2. Upper gastro-intestinal endoscopy. 3. Complete blood count (CBC), erythrocyte sedimentation rate (ESR) and Liver function test (LFT). 1. Take tablet Lansoprazole 40 mg twice a day before meal. 2. Take clear Lax 2 spoons twice a day for constipation. 1. Have semisolid and solid diet. 2. Sleep in semi- inclined position and elevate head end. 3. Avoid alcohol and liquids. 4. Do regular excercise." + }, + { + "id": 14942, + "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": 4010, + "tgt": "Is it advisable to take Montelukast and Cetirizine for a long time to manage allergy?", + "src": "Patient: Hi doctor, I am 33 years. I am facing sneezing and itchy throat. Due to this problem, I am avoiding a few foods like chicken, brinjal, pumpkin. I face this problem in the early morning after I wake up from bad. Also, I start sneezing when I pass through the dusty environment. Also, I start sneezing when I was around any unnatural smell like paint, wooden polish, etc. One doctor prescribed me Montelukast and Cetirizine last year and I am using the medicine whenever I face this issue. It gives temporary relief to me. Is this medicine good for my health? Can I use this continuously for a long time? Please advise. Thank you. Doctor: Hello. You seem to be having vasomotor or allergic rhinitis. We need to diagnose it so that the treatment will address the cause. However, temporarily the symptomatic treatment would entail the use of steroid nasal sprays with antihistaminic and Montelukast. The choice of nasal spray and the antihistaminic can be done based on your work and response. Allergy to dust particles, local flora and pollens can be overcome by finding out the offending agent and avoiding it entirely. Such a diagnosis can be made using blood ELISA testing or skin prick testing. Sometimes the offending agent can be food allergen also. Regarding the choice of antihistaminics, there are second-generation antihistaminics with less sleep as a side effect. Some medicines like Cetirizine can produce sleep and dryness of the mouth. Fexofenadine is slightly better that way. Steroidal nasal sprays are generally safe and can be used for a long term. Fluticasone and Mometasone are popular. For further support do revert back to me. In that case please attach your previous consultation papers, any blood investigation reports. If you can click a picture of the throat with open mouth showing the posterior pharyngeal wall, it will be helpful for us to check for any postnasal drip, congestion, follicles, nodes, etc. Hope to see you in good health soon." + }, + { + "id": 28096, + "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": 25261, + "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": 4914, + "tgt": "How to identify the cause of allergy?", + "src": "Patient: Hi doctor, I am getting allergy once in three to four days, which causes rashes and swelling on the body.\u00a0I take Cetirizine to control the allergy. The allergy is mostly due to unknown factors.\u00a0Although, it could be because of cloth material I am wearing or bed sheets.\u00a0Is there anything I can do to understand the cause of allergy to avoid its recurrence?\u00a0I have been taking Cetirizine for years. Does that have any notable side effect? Doctor: Hi. I have read your query in detail and do understand your concern. It is very difficult to narrow down to one or more causative factors. There are many tests available like patch testing or immunoassays to point out the allergy causing antigens, but practically they are not much useful. However, if there is any family history of autoimmune disorders like thyroid, you may get a thyroid profile done. Chronic idiopathic urticaria. 1. You can continue with Cetirizine. 2. Alternatively, you may take Loratadine 10 mg or Hydroxyzine 25 mg (at night). The side effects are quite rare especially if the dose is taken after a variable gap of few days. You may apply Calamine lotion as a soothing agent. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8088, + "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": 24292, + "tgt": "How many days after HIV do rashes appear?", + "src": "Patient: Hello doctor, 15 days back, I met a girl and we got talking and I was really into her. During the course of sex (I had a condom but before I could use it), she started rubbing my penis on her vagina and clitoris. There was a definite presence of vaginal fluid on the head of the penis. I freaked out but was assured by her that she is not HIV positive and I have nothing to worry about. I later looked up symptoms of HIV on the net and one of the symptoms mentioned was rashes. About a week later I found red bumps on the arm. I started to apply a normal cream on the spots (the ones you apply in the winters to keep your lips and cheeks from cracking) and the redness of the bumps went away after two to three days and the bumps also started to fall. The bumps are all much smaller than when started and have started to merge back into the skin. I have had no fever in this period. So I was really freaked out and want to post some questions as follows: How many days after HIV do rashes appear? How many days do they last? Can the rashes appear without other symptoms such as fever? Can the rashes go away without specific treatment, and by applying just any winter cream? Currently, I am on medications for blood pressure. Doctor: Hello. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 10236, + "tgt": "Can long-time earphone usage cause pain in ears?", + "src": "Patient: Hi doctor, Yesterday I used earphones which fit directly into ears for a very long-time. Today I am having extreme unbearable pain in back of head and ears. I have stopped using earphones now. Is there a fast fix for this unbearable back head pain? Can I take Disprin (I never take painkillers)? I use earphones on a daily basis under the prescribed volume limits. Though I have little pain sometime but not to this extent. Please suggest any medication. Doctor: Hi. My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear. Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures. To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now. Muscle ache. Bad posture. Rigorous exercise. Pure tone audiometry (this investigation is usually present in speech centers and otolaryngology clinics). For further information consult an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15304, + "tgt": "I have itchy and pus filled bumps on my head. What are they?", + "src": "Patient: Hi doctor, I have itchy and painful pus-filled bumps on my head. I think, it as folliculitis. I consulted two doctors. The first doctor told me to take Levocetirizine tablet 5 mg once a day and also suggested to use Nadoxin gel on the affected spots. I did this for a month. But my problem remained the same. I had flare-ups once in four days. The second doctor told me to use Betadine on the spots and suggested me to use Azithromycin 250 mg for four days. It got reduced, and then, it restarted again after four days. My condition got worsened for the past one week, and my scalp is hurting a lot. For shampooing, I use Biotique bio neem and Ketoconazole Keraglo on alternate days. Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is folliculitis. I suggest you take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) thrice daily, for a week. Also, I recommend you apply a topical antibacterial such as Mupirocin 2 % ointment, T Bact 2 % ointment (Mupirocin) twice daily." + }, + { + "id": 22458, + "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": 9277, + "tgt": "What are the ways to get rid of tartar in teeth?", + "src": "Patient: Hello doctor, I am 18 and I rarely brush. Just a handful of months ago, I got plaque at the insides of my bottom teeth and now it has become worse with tartar and plaque. How can I get rid of it? Doctor: Hi. Irregular maintenance of good oral hygiene (like tooth brushing) can lead to tartar or plaque deposits around the teeth and on the gums. This weakens the jaw bones and mobilizes teeth in the long run. Bad breath can also be seldom avoided. However, prevention is better than cure and let me show you how to prevent it: 1. Get scaling and root planing done by your dentist. 2. Maintain good oral hygiene by brushing at least twice a day, along with using a good mouthwash. 3. Follow-up with your doctor at every 3 to 4 months to see how the treatment is working for you. All these procedures are painless and you will have no difficulty or problem during or after the treatment." + }, + { + "id": 9022, + "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": 30528, + "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": 17988, + "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": 1024, + "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": 25512, + "tgt": "Can one be color blind if one has 20/20 vision?", + "src": "Patient: Hello doctor,Can one be color blind if one has 20/20 vision? Doctor: Hello. Well, for your knowledge color blindness and color deficiency are two different things. You gain color vision due to cone cells in your retina. True color blinds see only black and white. They have no cones or have only blue cones. This is rare and they do not have 20/20 vision they nearly have 20/200. Most others are color deficient people; however, it is erroneously used as a color blind. They have either two types of cones including the blue and all three types of cones. They see the world colored but they have issues with color discrimination. They can have 20/20 vision. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26472, + "tgt": "My brother stopped talking to the family after an argument. How to approach him?", + "src": "Patient: Hello doctor,My brother refuses to talk to any of the family members after a difference of opinion about a car that he wants. He has gone so far as to say that the family refuses to let him grow as a person whereas that is not the case. I, as his sister, have tried to get him to share his feelings but he just refuses to talk. How can I get him to at least talk about how he feels because I think he may be depressed? All this was triggered by an argument in the family. However, he has been showing symptoms such as lethargy and sudden mood swings since the last few months. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 9223, + "tgt": "I got dry gray spots after sunbath and it is quite uncomfortable. What to do?", + "src": "Patient: Hello doctor,I have dry gray spots. After sunbath I got this and is uncomfortable while reading. Doctor: Hello. I understand that you are concerned. But the picture attached is quite blurry. Kindly send a clear and well-focused photograph to help you better." + }, + { + "id": 26347, + "tgt": "What medicines can be taken for acute conjunctivitis?", + "src": "Patient: Hello doctor, Last week my eyes got red. So, I consulted an\u00a0eye doctor. The doctor diagnosed it as acute conjunctivitis and prescribed me Vigamox eye drops and Refresh Tears for two weeks. My left eye cured in three to four days and the right eye cured only half. I am not able to understand what to do whether to continue or to consult again? Please suggest how to proceed further. Doctor: Hello. You will be just fine. Regards. For more information consult an\u00a0eye care ophthalmologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11863, + "tgt": "Is gum disease causing bleeding in mouth?", + "src": "Patient: Hello doctor, I woke this morning and cleared my throat and there was blood in my saliva and then later some in the saliva in my mouth. I have gum disease and my top back teeth, gums are tender. Could that have caused the bleeding? Doctor: Hello. Yes, gum disease can cause such oral bleeding. You should first get your teeth and gums cleaned by a dentist. Apply an oral antibiotic gel over gums. Use warm salt water gargle twice a day for a week. Sometimes gum surgeries may be needed to remove infections and heal the gums in severe cases." + }, + { + "id": 17953, + "tgt": "I spilt hot tea on my thighs. What should I apply for rapid healing?", + "src": "Patient: Hello doctor, Tea spilled on my thighs last night and I can see swelling filled with water now. I have already applied silverex ointment yesterday night.\u00a0What should I apply for rapid healing? Doctor: Hello. Scald After complete healing, we can think about removal of scar. There are special ointments for that too. For further follow up, consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24392, + "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": 10068, + "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": 8861, + "tgt": "Please explain my health checkup report", + "src": "Patient: Hello doctor, I need to consult latest health checkup report and get recommended guidance and medication. Doctor: Hello. Good to inform, your sugars are very good and you do not have any evidence of diabetes (attachment removed to protect patient identity). After thoroughly going through the list of investigations, that signify increased LDL, cholesterol, low calcium and insufficient vitamin D, I would like to enquire any history of chest pain, breathlessness, dizziness, brief loss of consciousness, palpitations. History of cardiac disease in your family? History of hypertension, asthma, hypothyroidism in you, your medication history, if any. Any significant information that had urged you to consult a doctor in the recent past? I would prescribe you tablet Rosuvastatin 20 mg once at bed time, Arachitol 60K oral solution once a week for eight weeks, tablet Rozycal or any calcium preparation once a day two hours before or after food, tablet Folvite 5 mg once a day. Green leafy vegetables, milk and its products especially curd. Repeat lipid profile and vitamin D after 12 weeks. Get back to me with a detailed history." + }, + { + "id": 11689, + "tgt": "What are the symptoms of DVT?", + "src": "Patient: Hello doctor, I have some pain in my lower left leg. It is more focused behind and around the knee, in my upper calf, and in the arch of my foot. It is not discolored or swollen or warm or colder than the other side. It is just uncomfortable. I have been pretty stationery due to an infection, but I do get up quite often to use the bathroom, and I often stretch. This pain started before four days. It has not gotten worse but at the same time has not reached better. Does it sound like a pinched nerve maybe or DVT? Should I go to the ER or make an appointment to see my primary care doctor? I am currently under Macrobid. I have done blood tests, hormone levels, CBC, and electrolytes test many times and all seems to be normal. Doctor: Hello. Leg pain behind the knees which is localized, non radiating in nature with no swelling, no history of prolonged bed rest and no fracture of a limb. Hence, this is not deep vein thromboembolism. DVT occurs when there is a prolonged history of immobilization with sudden onset of swelling. This also does not look like cellulitis where is a superficial subcutaneous infection, which is most common cause of swelling and pain. If this is more on walking, then we have to rule out claudication first and second is knee joint pathology. Kindly tell me if there is any history of trauma or fall, or any associated disease." + }, + { + "id": 5572, + "tgt": "There is severe crowding of teeth. Can removal of wisdom teeth correct it?", + "src": "Patient: Hello doctor, Our child is 12 with small face, mouth. She lost all but one milk teeth. She has severe crowding and overbite. Our orthodontist recommended removing lower jaw wisdom teeth which have not yet erupted. They are at an angle to the back teeth. Doctor: Hello. As per your history, OPG and photograph (attachment removed to protect patient identity) I can see mesially titlted last or third molars. So, there is indication for its extraction. One deciduous tooth is unexfoliated. According to me, that lower unerupted tooth should be first taken into consideration. Extraction of wisdom teeth is one of the consideration but it is not an emergency. It is fine to extract third molar after completion of treatment also. For proper detailed treatment planning and management,send me the following: Intraoral photographs, image of upper teeth after opening of jaw and clicking from down, image of lower teeth after opening of jaw and clicking from up, image of teeth from either side after occlusion." + }, + { + "id": 19644, + "tgt": "Is bleeding around anus typical in outside hemorrhoids?", + "src": "Patient: Hello doctor, I have bleeding around the anus when whipping caused by hemorrhoids. Is this typical for outside hemorrhoids? I have hemorrhoid for five days now, just started bleeding last night. I take hot baths every night with Epsom salts. Doctor: Hello. So, hemorrhoids are two types. External will be painful and internal will be painless. Both will have fresh red colored bleeding. Yes, you are right to take laxatives. But I think as you are symptomatic, you need a definitive treatment like band ligation, sclerotherapy or surgical intervention. Also, I recommend you to take high fiber diet. Complete blood count is also required to see if you are anemic or not due to bleeding. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 687, + "tgt": "Is a rise in lymphocyte along with a bitter taste, upset stomach, and dizziness, normal?", + "src": "Patient: I have been having a bitter taste,upset stomach, dizziness for about a month. A month ago i got labs everything was within normal ranges. My lymphocyte percentage was at 54% a week ago i have the same symptoms and Lymphocyte is at 56%. I am told its anxiety. Is that rise in lymphocyte normal? Doctor: Hi, Your lymphocyte percentage is not that significant to worry about. Still, it will be more informative if you can upload the full CBC panel for better analysis.. Your symptoms could be acid reflux induced gastritis or due to a stone in the gall bladder We need to investigate more before labelling it as anxiety.. Kindly do the investigations mentioned below and review acid reflux CBC, RBS LFT USG ABDOMEN GERD CHOLELITHIASIS T. Pantoprazole + Levosulpiride 1tab twice daily before food for 2weeks avoid spicy and heavy meals avoid high fatty meal" + }, + { + "id": 21281, + "tgt": "How can I get constipation cured?", + "src": "Patient: Hello doctor,I am suffering from constipation for three years. Even after trying a lot of medicines I am not getting it fixed. Please give me the solution. Doctor: Hello. I have seen all your reports (attachment removed to protect patient identity), USG reports, blood reports, serum vitamin D reports. All reports are suggestive to be normal. Vitamin D level is also normal. Most probably you are suffering from irritable bowel syndrome. Kindly follow the following advice: For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24874, + "tgt": "I still have lot of pain and back stiffness weeks after a fracture. What to do?", + "src": "Patient: Hi doctor, I am a 30 year old female. I fractured my pelvis in a car accident on the 7th. I was on crutches for six weeks and am now walking the past few weeks without. The fracture was a tiny hairline fracture of the sacrum and another two hairline fractures on the side towards the hip. No fractures were in the joints and I was able to heal with no surgery. The problem is that I am still getting a lot of pain which alternates from the front round to the lower back, with the back pain being the worst as it is so stiff I am finding it very hard to walk. I also get numbness and tingling in my right lower leg and foot specifically at night which sometimes stops me sleeping. I am very worried this pain and stiffness are going to stay with me now specifically the back pain and stiffness. I was told I would make a full recovery although I do remember one of the many doctors briefly saying I could get lasting back pain in the sacrum even though it was so fine it could not be seen on the X-ray. I have been taking up swimming twice a week. I am not back at work yet. Doctor: Hello. The pain what you have could be due to SI (sacroiliac) joint which in turn may inhibit butt muscles and develop spasm. I suggest you do a lot of icing on the sacrum and on the butt muscles frequently, for 15 minutes every two hours once possibly. Since there is a fracture, I am not recommending any massage or stretches for now. Do not worry. Everything will be alright as the tingling sensation and pain is due to spasm compressing the neural structures running below the muscle and will get settled down. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 15904, + "tgt": "Why is my platelet count constantly reducing?", + "src": "Patient: Hello doctor, My weight is 58 kg, height 5'3\". Female, age 43. My platelet count five months back was 165, next month it was 140 and now it is 120. My liver function is normal and having thyroid. Taking Eltroxin 50 mg. Please advise. Doctor: Hi. I have reviewed your reports (attachment removed to protect patient identity) and here is my advise. Your platelet count is constantly reducing according to provided history. Kindly mention if you are having any clinical infection history like dengue, malaria, etc. because in such infection platelet count can be reduced. Aspirin, Ibuprofen like drug intake also can lead to reduced platelet count. So history regarding intake of this drug should be taken. Your urea, creatinine is within range, so uremia is not the cause. I suggest you investigate with serum ANA estimation to rule out any autoimmune disorder if present. If still, no cause is evident, then platelet function analysis study can be done. If still needed than your doctor might suggest you bone marrow aspiration examination study to rule out ITP (idiopathic thrombocytopenic purpura). I suggest you consult a nearby hematologist for examination and discuss all these. Meanwhile, take the following precautions. Avoid intake of Aspirin and Ibuprofen without doctor advice. Do not use razor blade over any part of the body. Be careful while using a knife like sharps." + }, + { + "id": 16810, + "tgt": "How can I cure syphilis through medication?", + "src": "Patient: Hi doctor, I have the first stage of syphilis. I came to know about this last month. From the past three weeks, I am under treatment and taking Doxycycline 100 mg capsule twice a day. I took this medication for 15 days. Yesterday, I had a blood test done for VDRL and my value is reactive (1:4). Also, the ulcer on my penis head has not yet healed. I was asked to apply povidone-iodine 10 % ointment on the ulcer. Should I go for Penicillin treatment? I got tested for HIV 1 and 2 tests and CMIA a month back with a value of 0.15 and before ten days, the value was 0.13. Currently, I am consulting a dermatologist. Should I switch to sexologist for syphilis treatment? Also, please suggest what diet should I follow to overcome this disease? Doctor: Hi. Please continue treatment with a dermatologist only. There is no medical degree which qualifies one to be a sexologist. Penicillin is the most definitive treatment for syphilis but get the allergy test done before taking the full treatment. Apply Mupirocin ointment twice a day on the ulcer. Continue your doctor's treatment as he or she is examining you in-person so is the best judge for the line of management. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15198, + "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": 11836, + "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": 17818, + "tgt": "Tip of my foreskin is pinkish white in color. Please suggest a cream", + "src": "Patient: Hi doctor, I am a 29 year old unmarried male. I have phimosis from the age of 13. After constant stretching for three months, it cured. Now, I can easily pull back my foreskin in both flaccid and erect condition, but my tip of the foreskin is pinkish white in color. If I pull back my foreskin, that pinkish white color comes to the middle of the shaft. It will not irritate or itch. Please suggest a cream for getting the original color of my penis in that area. Doctor: Hi. I have seen the images sent by you (attachment removed to protect patient identity). The thing you are talking about is actually fibrosis ring, which was causing your phimosis. It is like scar tissue. It will not cause any problem as skin is getting retracted completely. The ointment will not make it like normal skin as it is scar tissue. As it is harmless, there is no need to worry. If you want to remove it for cosmetic purpose, then you need to undergo circumcision, but it is not advisable. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13685, + "tgt": "What should I do if I have taken seven 500mg crocin(paracetamol) tablets together?", + "src": "Patient: Hi, What should I do if I have taken seven 500 mg crocin tablets together? Doctor: Hi. If you indeed took 7 x 500mg crocin tablets which on the GSK website are paracetamol tablets, your total dose is 7X500mg = 3500mg of Paracetamol. The answer would depend on how heavy you are. Most of the time, the toxic dose is 200mg per kilogram. For example, if you are 70kg, the toxic dose or dangerous dose is 200X70=14000mg. So if you indeed only took 3500mg paracetamol and your calculated dose is less than the toxic dose, then it should not be a problem. However, if you have liver problems or have taken an overdose of paracetamol before, or you took paracetamol recently as well in other forms/shapes/sizes or you take other medications then this is not the case and answer. Also, if you developed pain on your stomach on the right, started vomiting, or feel unwell then you should see your doctor. If you are still worried, you should see your doctor or go to the emergency department with your tablets or tablet boxes so that the doctors know what you have been taking. Overdoses of Paracetamol are dangerous and can cause death if taken over the recommended doses.Ultimately, you should not take so much paracetamol so often and in large amounts. An adult can only take a maximum of 1g of paracetamol every 6 hours." + }, + { + "id": 2030, + "tgt": "I have sore throat with mild fever and I am breastfeeding. What medication should I take?", + "src": "Patient: Hi doctor, I am 25 years old. I am a breastfeeding mother for 6 months baby. I have a sore throat from yesterday and feel difficulty in swallowing with light fever but not continuous. Today my right eye is slightly reddish and I had a cough again but not continuous. Currently, I am taking Azithrol, Rantac, and Montec. These medicines were given to me while I had a cold before 1 month. Doctor said to continue it if I had further cold. I am frightened to go to doctor in this pandemic time. Please help. Doctor: Hi. Thanks for sharing your medical info with us. I totally understand your concern and I will try to recommend the best you can take to help you relieve your symptoms. Please do not take Montac and Rantac since they are not the best options for your current situation. You are dealing with an upper respiratory tract infection so you need relevant medications. Take Azithromycin tablet (two tablets on the first day then one for the next five days). Loratadine tablet is recommended, if not available go for Fexofenadine, both are perfect antihistamines with minimal to zero side effects (they are non-sedative unlike others). Tylenol is alright, it helps with the fever, and generalized symptoms, also safe while breastfeeding. Try an herbal cough depressant (the ones with ginger and honey). Take lots of fluids and I also recommend a bit of isolation at home, for a tiny chance of having the virus. I hope this helps." + }, + { + "id": 3163, + "tgt": "I am pregnant and hypothyroid. Please comment on my thyroid function test report", + "src": "Patient: Hello doctor, I am 16 weeks pregnant and hypothyroid. I am currently taking 75 mg per day of Eutirox (Synthroid) during weekdays and 100 mg per day on the weekends. About a month ago, I got my TSH and FT4 levels tested and the results are: TSH 1.65 mU/L FT4 16.6 pmol/L Reference values: 1st trimester 12.1-19.6, 2nd trimester 9.6-17.0, 3rd trimester 8.4-15.6. Today I got my TSH and FT4 levels tested again, these are my results: TSH 2.91 mU/L FT4 15.9 pmol/L Reference values: 1st trimester 12.1-19.6, 2nd trimester 9.6-17.0, 3rd trimester 8.4-15.6. Antibodies: HTG. Doctor: Hello. I just read your query and from what you have mentioned it appears that your requirement is increased during pregnancy. You have not mentioned what was the dose that you were taking before getting pregnant. However, you can increase the dose from the current twice per week 100 mcg that you are taking to thrice per week 100 mcg and 75 mcg for the rest of the four remaining days of the week. Repeat your thyroid function test after six weeks and then we will review again. You need to repeat your thyroid function test throughout the pregnancy every six weeks. I hope this helps." + }, + { + "id": 17311, + "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": 24960, + "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": 8195, + "tgt": "Will varicocele in testicle cause male infertility?", + "src": "Patient: Hello doctor,I have pain in left testicle. So, my doctor sent me for an ultrasound and varicocele was observed. He said everything is fine and it will go with medications. The medications he gave me are Zenflox Oz, NAC-SR 100 and Pantogen 40. When I reached home, I started researching online about varicocele. I was scared to find out it links to male infertility. Since my left testicle pains I am more scared. Doctor: Hello. I went through your post. Well, there is about 4 % possibility of infertility in people with varicocele, but usually, it is seen in people with bilateral varicocele. So, I do not think you should worry. Just take meds. If you are still concerned, do a semen analysis. That will relieve your anxiety. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22870, + "tgt": "I have a dry cough which gets worse at night. Please suggest a cure", + "src": "Patient: Hi doctor,I am\u00a010 weeks pregnant and have developed a chesty dry cough. It is particularly bad when I lie down to sleep at night. Is there anything I\u00a0can do\u00a0to get rid of it? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9481, + "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": 19623, + "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": 25568, + "tgt": "Please access my reports and provide me a proper diagnosis", + "src": "Patient: Hello doctor, Please access my report to provide me a\u00a0proper diagnosis. I have similar lab values from the past two years, but no stomach complaints or any discomfort. I am not taking any medication. I just want to bring down my cholesterol, creatinine and amylase levels. Doctor: Hello. I went through your post and investigations (attachment removed to protect patient identity).\u00a0I would try to address each significant point separately. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9317, + "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": 20930, + "tgt": "Is taking 350 mg of Unisom safe or lethal?", + "src": "Patient: Hello doctor, My friend took a little more sleeping aid than usual (not suicidal) and I was wondering whether 350 mg of Unisom (Doxylamine succinate) is safe or lethal. He is showing signs of being super sleepy. He has a history of depression and drug addiction. Doctor: Hello. The usual dose of Doxylamine succinate as an antihistamine will not exceed greater than 60 mg per day. Excessive dose may cause CNS (central nervous system) depression, palpitations, tachycardia, disorientation, dizziness, drowsiness, headache, paradoxical central nervous system stimulation, vertigo, anorexia, constipation, diarrhea, dry mucous membranes, epigastric pain, xerostomia, dysuria, urinary retention, blurred vision and diplopia. So, there is no specific antidote treatment and symptomatic support may be required. If it is severe CNS depression, it can lead to coma. So, please consult your doctor immediately. He will examine and treat him accordingly. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14358, + "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": 19156, + "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": 15607, + "tgt": "What is the reason for numbness below my knee and toe?", + "src": "Patient: Hi doctor, I have lower back pain on and off from last two years. Two weeks before I got severe pain in my right leg. I was unable to move my leg. Physiotherapist suggested taking bed rest for four days. My trauma and orthopedic doctor asked me to do surgery if I was unable to tolerate pain. After four days, the pain in the leg and lower back pain were gone and I got mild numbness below my knee (back side of my right leg) and thumb finger of my toe. Physiotherapist asked me to do some exercise regularly and it will be cured automatically. Please advice. Do I need to consult a neurologist for numbness? Doctor: Hello. Basically, it is a nerve pain due to compression at your lumbar spine. Usually, 90 to 95 % of patients respond to conservative management. Only 5 % of patients require surgery. The ailment basically you have has waxing and waning course. A few days back you had pain and now no pain. The treatment of this has two parts. First is the treatment of your current pain or numbness and the second part is to prevent pain to appear again. Kindly answer these questions for me to decide the management. How much is your back pain now? How much distance you are able to walk comfortably? Is there any problem in urination like increased frequency or straining while urination? Are you able to walk on your toes and heels? Is there any numbness in the perineal region?" + }, + { + "id": 22559, + "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": 17061, + "tgt": "Will increased TSH level harm the baby's brain growth?", + "src": "Patient: Hi doctor, I am 26 years old. My height is 5'1\" and weight is 52.4. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosage of medicine. But, in my recent serum test, total T4 level is 10.5 mcg/dL and TSH has shooted to 14.37 mIU/L.\u00a0The anomaly scan shows the baby is healthy with heartbeat of 153. But, I am worried about the TSH level which could harm the baby's brain growth. Doctor has prescribed 125 mcg of Thyronorm tablet for a month. Is it must to undergo an emergency thyroid check with an endocrinologist to avoid any complications? Doctor: Hi Revert back with the answers for the above questions to an endocrinologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 13757, + "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": 18496, + "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": 7259, + "tgt": "How to heal dry and cracked soles through ayurveda?", + "src": "Patient: Hi doctor,Both my soles are dry and cracked including the center.\u00a0It is giving more pain, and I am unable to walk. At times, the pain is very severe. Please help. Doctor: Hello. I just read your query. Dry atmosphere or some skin disease or thyroid disorder. Revert after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15711, + "tgt": "I have a non-healing recurring spot on my back. Why?", + "src": "Patient: Hi doctor, I seem to have a recurring spot on my back. Feels like a bite but it never heals and never goes away. It also has a brownish dark area on the skin around it. No pain. Doctor: Hi. Exactly how long it has been there? Please send few more close up photographs? Any family history? Any history of diabetes mellitus or hypertension or any other medical illness?" + }, + { + "id": 20374, + "tgt": "Kindly have a look on the report regarding glomus jugulare and advise", + "src": "Patient: Hello doctor, Kindly have a look on my mother's report regarding glomus jugulare and advise. Doctor: Hello. This is a slow-growing benign noncancerous tumor of the base of the skull extending to the neck with a close relationship to the important vein, artery, and nerves of the brain. The scan reports indicate that this is a fairly large tumor and this will require a team of neurosurgeon and head-neck surgeon (ENT surgeon) for the surgery. She needs to be evaluated for control of BP and diabetes before surgery can be planned. Wishing her a speedy recovery." + }, + { + "id": 17837, + "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": 18167, + "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": 30152, + "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": 22854, + "tgt": "I am using Refresh eye drops for five years. Will it be a problem?", + "src": "Patient: Hello doctor, I am a 66-year-old male with no hypertension and non-diabetic. Since many years I have the dry eye problems and have been using Refresh tears drops or Refresh Liquigel. Last year, I developed frequent twitching of eyes and eye specialist prescribed the same eye drops and fish oil 1200 mg that contains 360 mg of omega 3. Since then, the dry syndrome improved a lot. I am continuing to take the fish oil one gel a day soon after lunch. My eye pressure is normal (L 14 R 17) and no glaucoma. I have mild cataract formation in my right eye and I am advised to wait for another year for its removal. I use only reading glasses. However, one and a half years ago, one eye doctor who checked me for the change of eyeglasses suspected that I may have an open-angle problem and graded it as grade II. But in later check up with another doctor, it was ruled out. My cornea is fine and nerves are fine too. My height is 172 cm and weight 68 to 70 Kg. Current problem and symptoms are as follows: I have again twitching (not as frequent as it was during last year). Dryness in both eyes. Burning sensation especially during or after computer work. Mild pain on eyebrow area (occasionally). No discharge in both eye and no redness except one mild blast in the right eye extreme left the bottom corner. Normal Vision. No problem in eye rotation. Concerns: I am using the refresh eye drops for more than five years. Will it be a problem? Using GenTeal gel continuously for past two months. Will this be of any problem? Taking one capsule a day of fish oil (1200 mg of which 360 mg are omega 3). Will that be good as I am taking it for more than seven months now? Can I continue to take this? Seeking advise for improvement of my present condition or symptoms as mentioned above. Doctor: Hi. You seem to be suffering from what we call myokymia. It is a benign twitching of the eyelids. It has been known to be associated with dry eye and other ocular surface disorders. The other know factors which cause and aggravate it are drinking coffee or tea, working outdoor or exposure to pollution, and less sleep. So my advice to you: I would recommend seeing a doctor in case: I hope you get well soon. Dry eyes. Tear film analysis, slit lamp exam, CT scan for facial nerve compression. Blepharospasm, facial nerve compression. Benign myokymia. Treatment of dry eye. Avoid outdoor exposure to wind and dust. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2187, + "tgt": "What could be the cause of headache after nine months of head injury?", + "src": "Patient: Hi doctor, My mother, who had a stroke from a blow injury (heavy fall and hit the back of her head) to the lower back of her head before nine months, is still having\u00a0headaches on physical exertion, especially at work. She is a nurse and occasionally has to help move or lift patients, which always causes her headaches. After resting a few days, she feels fine again. She had done all the required head scans such as CT and MRI, which are normal. Her neurologist does not seem too concerned. She has booked another appointment with her neurologist in a month. She is currently on Aspirin. What could be the cause of her headache after nine months? She also needs a hysterectomy done for her uterine fibroid, which is enlarging. Is it safe for her to go under general anesthesia, considering she still has these headaches? Doctor: Hi. I have read your question with care and understood your concern. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19936, + "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": 17716, + "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": 24220, + "tgt": "Will consuming liquor affect HIV test result?", + "src": "Patient: Hi doctor, I want to ask that I drank some liquor (two bottles of beer) 11 hours before taking HIV test. My result was negative. It was ELISA test. Can I be conclusive of my result? Should I test again? Will consuming liquor affect HIV test result? Please help me. Doctor: Hi. Consumption of alcohol will not affect the test result for HIV. However, HIV has a window period of one to three months during which the test result can be a false negative. The result can be considered conclusive if done after 12 weeks of the last suspected exposure. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 28750, + "tgt": "My son is suffering from asthma. He is using asthalin inhaler. Do you suggest any other medicines?", + "src": "Patient: Hello doctor,My son is 13 years old. We are based in Greater Noida which is in the outskirts of Delhi.Since he was five years old he as been suffering from asthma whenever there is season change during March/April and October during which he generally starts getting allergic cold.\u00a0I used to earlier give him Asthalin inhaler but since last 4-5 years he is using Levolin inhaler to resolve the attack.\u00a0 Lately I have started nebulizing him at home using 0.63mg Levolin respule morning and evening and inhaler several times during the day. I have also started giving 0.5mg Budecort respule along with that recently, as his asthma is not coming under control for the last almost 1.5 weeks now. He wakes up in the middle of the night after 2 hours of nebulization and complains of feeling breathless and needs to take multiple puffs using the inhaler, sometimes much more than the prescibed dose as mentioned in the medicine leaflet. I have being trying to get him to inhale steam as well as that gives him temporary relief. He is really breathless when he wakes up at 6:00 in the morning and even had to miss school 2 days last week. I need your help to advice me on the right dosage of inhaler and nebulization to get the asthma attack under control. Do you suggest any other medicines? I definitely would want to avoid oral steroids or any strong medicines. Doctor: Hello. It seems your son is suffering from bronchial asthma. It is known to aggravate with seasonal changes. You need to understand that by nebulizing him regularly, he will get dependent on nebulizers. In my opinion, he should be nebulized with the doses you are already doing only in case of acute attack. Once the acute attack settles, which usually takes 5-7 days, he should be weaned off nebulizers. Revert back to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20187, + "tgt": "My symptoms resemble cardiac pain. I am confused and need help", + "src": "Patient: Hello doctor,I have been having intermittent chest pain since two years. The first time I went to the cardiologist, he totally dismissed it as muscular pain due to bad posture and mild bronchitis. I had an episode of sinus tachycardia last year following which I visited the same cardiologist. He did my ECG, 2D echo, troponin, CP-MB and stress test. All tests were normal (Troponin was 1.5 ng/L and CP-MB was 14). I was however referred to a senior cardiologist for further assurance. He did not feel the need to investigate any further but put me on Nebicard SM 5 mg (now reduced to 2.5 mg/day). He attributed the problem to anxiety and described the chest pain as non-specific.Mid last year, I was diagnosed with grade II GERD. The gastroenterologist who did my endoscopy said the chest pain is entirely because of GERD and it is not cardiac. I experienced major chest discomfort two months ago. The doctor repeated my ECG, troponin and CP-MB. Troponin was unchanged at 1.5ng/L and CP-MB was 5.Despite all these investigations seeming to rule out a cardiac problem, my symptoms are extremely discomforting, and sometimes seem to resemble cardiac pain. I have to explain the symptoms in detail so kindly bear with me.The chest pain mostly starts in the upper breastbone (left side or right side of the chest), then it radiates downwards and towards the side of the chest (below underarms). Sometimes it radiates to my left or right arm (not both arms at a time) and back. I have a stiff neck as well. When I press my neck on the sides, the pain radiates like a shock wave through my arm and breastbone. Chest pain lasts for minutes to hours. There are times when I do not feel any pain even after walking three to four kilometres and there are times when walking a few meters or climbing a few stairs worsens pain. Sometimes the pain goes away with rest sometimes it does not.Sometimes it is stabbing pain, other times it is dull in nature. Many times the pain is triggered by eating. I recently checked my thyroid profile. TSH was low at 0.24 but T3 and T4 were within normal range. I have been experiencing clammy palms and increased sweating in underarms. I have lost 5 kg in the last three months. There is increased fatigue, brain fog, confusion, stress. I am really confused about my symptoms. Need help. Thanks. Doctor: Hello. I have gone through your history and reports (attachment removed to protect patient identity). You have not uploaded the report of stress test here but you mentioned that it is done. So anyway, firstly I do not think this has any relation to the heart because your age is less, symptoms are not compatible with heart disease and also all your evaluation is also negative. So, I think you should not worry regarding a cardiac cause. Just for the sake of completion of evaluation (not absolutely necessary), you can get stress test (treadmill test or stress thallium) done if not done already. The possibilities in you are certainly you have reflux disease and hiatus hernia and it is leading to pain. This is a very common mimicker of cardiac disease. In addition to reflux, another contributing factor could be cervical spine problem as you mentioned some of the symptoms. So, these two causes in combination giving you trouble. You are already taking treatment for reflux. For cervical pain, which occurs due to compression of nerves between spine, you should get X-ray cervical spine AP/Lat view and further may need MRI. You need to visit physiotherapist after X-ray and also an orthopedician. Meanwhile, I suggest tablet Neurobion forte once a day which is a nerve vitamin. If this is not helpful then you need to request your doctor for tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer, relieves pain and tablet Myoril 4 mg two to three times a day whenever for neck stiffness. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. 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": 19167, + "tgt": "I am bleeding after 17 days of IUI. Why?", + "src": "Patient: Hi doctor, I had gone through IUI on 17 days before that is on the 14th day of menstrual cycle. Yesterday onwards I am getting thick brown bleeding with less flow. Now, I am near my period date. I am also having slight pain and cramping near my lower abdomen and back pain. I am confused whether I am pregnant or not. What should I do now? I am on Susten\u00a0300 and Real fol-D. Shall I continue my medicines in the\u00a0current situation? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29081, + "tgt": "I see some shadows at the end of my bed at night. Please help", + "src": "Patient: Hi doctor, I am a 28 year old female. My height is 1.68 m and weight is 82 kg. I\u00a0see things that other people do not see. Always at night, I\u00a0see shadows at the end of my bed as someone noticing me. When I look at the shadow, either it will disappear or just walk away. I am not on any medication. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 1245, + "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": 5302, + "tgt": "My routine urine examination shows blood in urine. Please review it", + "src": "Patient: Hello doctor, My routine urine examination shows: Trans-hazy. Reaction - 6.0pH. blood - ++. RBC - 15-20 hpf. Pus cell - 2-5 hpf. Epithelial cells - 4-6 hpf. Please review my report. Doctor: Hello. First of all what problems you were having when you got your urine test? There is blood in your urine. Causes are many like bleeding disorder, kidney stones, inflammation in the kidney (nephritis). So I need to know what problems you are experiencing to make a diagnosis. Also, please mention whether you were menstruating at the time of giving the urine sample?" + }, + { + "id": 902, + "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": 3293, + "tgt": "Why do I get stool smell in my anus always?", + "src": "Patient: Hi doctor, I have an issue that really needs taken care of. I am not sure which type of medical professional I should be seeing? I have gone to a gastroenterologist and got a colon exam. They said they did not see anything wrong. But I have had this issue for a few years now and it is not getting any better. I seem to constantly have a fecal odor. My rectum area always feels moist and smells constantly like poop. I will be in the shower scrubbing and soaping up my butt and by the time I get out my anus already smells like poop. Every time, I have a bowel movement, I have to either shower or use soap and water to clean off as best I can, even though minutes later it starts smelling again. I clean myself much more thoroughly than I feel most people do but it does no good. I am also really gassy if that might be related. Always feeling like I have to fart or like I need to poop. It never feels like I am able to fully evacuate my bowels on the toilet. I am also very sweaty in my groin butt area. It probably does not help any. What should I do now? Doctor: Hi. I read your query. You have feeling of incomplete evacuation, smell of stool persistently and also gas problem. I would like to know what is your daily bowel frequency. I would suggest you to check with gastroenterologist regarding finding of your rectal examination which should be done by finger. If it was not done it should be done to check the synchronization of your rectal muscle contraction and anal sphincter contraction as you have mentioned you have incomplete evacuation. A special test called manometry can also help to check the muscle coordination. Regarding gas problems, you can modify your diet e.g. if you are lactose intolerant reduce milk and milk products. If you are taking too much protein in your diet you can reduce it. You can give me feedback once you try this suggestion." + }, + { + "id": 23283, + "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": 6372, + "tgt": "What can be done to improve libido?", + "src": "Patient: Hello doctor, I am 36 years old, male. Recently I am not feeling as much libido as it used to be. My penis does erect but not to its fullest all the time. The erection does not last longer and I have frequent difficulty in penetration during intercourse. I ejaculate very early (typically after two minutes of penetration) and after ejaculation I do not feel like having next sex for many hours. I have some performance anxiety prior to intercourse which also affects my erection. My BP is sometimes slightly high, but most of the time it is normal. My blood sugar is normal and I have no other health issues and not on any medicine. But I have some work and family related stress currently. I am not statisfied with my sexual health. Kindly suggest me a way for immediate result. Doctor: Hi. I read your query and understand your concerns. Before I can answer you, I request you to provide the following details. This is important because without proper information the suggested intervention is unlikely to help you completely. 1. Your age? 2. Duration of problem? 3. How it started? 4. Do you have early morning erections? If yes, how frequent and strong they are? 5. What effect it caused to your relationship? 6. Do you have any medical illness? If yes, details. 7. What treatment you received so far and its effects? 8. Partner details? Whether she is very critical or demanding? 9. Tests undergone till date and results?" + }, + { + "id": 24105, + "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": 14421, + "tgt": "What are the causes of bad breath even after brushing?", + "src": "Patient: Hello doctor, I have issues with my breath even after washing my teeth. Doctor: Hello. There are a number of things that can cause bad breath. It is usually the result of poor oral hygiene. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry, brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces, floss at least once a day, rinse with mouthwash twice a day. Take care of your digestion. Be sure to see your dentist at least twice a year for regular checkups and professional cleaning. Regular checkups allow your dentist to detect any problems such as gum disease or dry mouth." + }, + { + "id": 7003, + "tgt": "Is there any possibilities to acquire sexually transmitted disease after three years of unprotected intercourse?", + "src": "Patient: Hello doctor, I had unprotected anal sex with the neighbor lady before three years, and after a week I got jaundice, and it suffered around one month, and I got treatment with some ayurvedic medicines and got relief. Then around three months later I tested for hepatitis B and C both, but the result was negative, but in LFT test my bilirubin was a little high, and I got a fatty liver grade one by the doctor. So I have the following questions that, 1. Can I get infected with hepatitis B and C in the future? 2. How can I overcome with high bilirubin? 3. My digestive system is also not as good as previous. 4. Will I suffer from any sexual infection in the future. Doctor: Hello doctor, A negative test for hepatitis B and C, three months after that unprotected anal sex rules these out as a cause for your hepatitis. Perhaps it was another cause for hepatitis, may be hepatitis A which is transmitted through contaminated food rather than by sex. Hepatitis B and C are transmitted through unprotected sex or blood, e.g. transfusion or sharing needles. So, these scenarios can pose a risk of hepatitis. For raised bilirubin, I suggest you consult a physician kindly. I also suggest you screen for hepatitis A. STDs can happen if you indulge in unprotected sex or sex with partners with high-risk behavior." + }, + { + "id": 4894, + "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": 1272, + "tgt": "Does operating the lymph node prevent spread of the cancer?", + "src": "Patient: Hi doctor, Before two years, my father was diagnosed with prostate cancer and has been undergoing treatment using Eligard and Xgeva.\u00a0Early this year, he got diagnosed with vallecula carcinoma and for which he underwent chemo (Erbitux) six sittings and radiation therapy for 27 days.\u00a0While vallecula seems to have subsided, he is now detected with tumor in some of the lymph nodes and for which operation has been recommended by the doctor.\u00a0Also, as observed in PET scan cancer seems to be spreading to other parts as there are some areas highlighted in the lower part of the lungs. Doctor has not given clear guidance about that.\u00a0We have been exploring the other options to retard spread of his cancer. We need your guidance on therapies that can be considered to extend his healthy life span. He is 73 years old.\u00a0Wanted to check around immunotherapy for treatment and its availability. Thank you. Doctor: Hi. I went through the details of your father's illness and I will concentrate on the present problem. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 14592, + "tgt": "I am unable to penetrate during sex. Please help", + "src": "Patient: Hello doctor, I am a 32-year-old male. My height is 5'10\" and I weigh 82 kg. I got married two years back. We both are working professionals and love each other a lot. Since our marriage, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried about the situation. Also, we tried penetration a lot of times but the moment I come close to her I lose the erection. I am very uncomfortable with my foreskin rolled down and she is very uncomfortable when I touch her vagina as the sense of pain takes down the momentum and she feels stressed. She also feels dryness at her vagina. As we both are working hence at the end of the day we feel tired and have less sexual desire. You are requested to help us in our healthy sexual life and family planning too. Doctor: Hello. As you have explained, you never achieved intercourse? You both have fear about sex and you have fear for rolling of your foreskin and she also feels pain and uncomfortable. You both need therapy. You want to plan a baby but first, you achieve a successful intercourse, it is important. You have to do a simple exercise like try to uncover your foreskin when you urinate. Does that hurt? During masturbation try to uncover. And for your partner, you should visit a gynecologist for dryness of the vagina. There is vaginal cream that contains estrogen that will be helpful in dryness problem. If she has a fear that intercourse will be painful than there is vaginal dilator that will give her relief. In starting, you should enjoy foreplay. Forget about intercourse. When you both are at peak, then start sex but if you became already preoccupied with that thought that we cannot do then you cannot proceed further. The main problem is that you both are very sensitive and do not want to hurt each other but start playing with each other's genital part that will replace your hesitation to pleasure." + }, + { + "id": 15933, + "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": 27204, + "tgt": "I have a frequent urge to urinate but cannot. Why?", + "src": "Patient: Hello doctor,I have a pain in the lower part of my stomach. I also have an urge to urinate but, feel that the urine is not coming through. It happened to me quite a few times now. Can you\u00a0explain\u00a0what is causing this and also suggest a medicine. I am on regular medications for thyroid, migraine, and high blood pressure. Doctor: Hello. This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on the inputs provided to me. It should be correlated with clinical findings. Revert with more information to a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 12865, + "tgt": "Kindly tell me the management for toothache associated with decay", + "src": "Patient: Hello doctor, I have tooth decay for the past five weeks and it is causing a lot of pain. Please help. Doctor: Hi. Your tooth enamel chipped off, exposing dentin and inner layers of the tooth. This might have opened root nerves too and that is why you are having pain. Start taking tablet Brufen 400 mg twice a day for three days. If the pain gets relieved by it, it means there is no deep infection and tooth may be restored by filling. But if pain persists after leaving medication it means root is exposed and now root canal treatment is the only option you are left with. I can tell exactly if you can provide me with a radiograph. Stay happy and blessed. Take care." + }, + { + "id": 12194, + "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": 22111, + "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": 26259, + "tgt": "How can jaundice be treated in a 4-year-old?", + "src": "Patient: Hello doctor, My 4-year-old daughter with a weight of 12 kg has jaundice for the last 10 days. She is on\u00a0HepaMerz\u00a0Syrup and Mosegor-V Syrup. What should be done more to cure her? Doctor: Hello. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5044, + "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": 4028, + "tgt": "Why are my facial hairs turning golden brown?", + "src": "Patient: Hello doctor, I am 19 years old. Some of my facial hair change into light brown color from black. It looks golden color in sunshine and I have also one or two white hairs in my head. When I was 16, all my hair was dark black. What should I do now to get their natural hair color back? Doctor: Hello. I just read your query. See the color of hairs and skin is determined by a pigment called melanin. The variation of this pigment varies from person to person due to their genetics or due to some environmental reasons. One to two white hairs are not a problem but you must be aware because your beard starts losing its pigmentation. There might be many reasons for this problem like lack of nutrients, paternal effects as if your father or grandfather had been gone through the same problem, stress, lack of proper sleep, or unhealthy lifestyle. As you are young, you can prevent this problem further by adopting all these simple remedies: 1. The formation of coloring pigment named melanin is based on many nutrients, so start taking a healthy diet. Add fresh fruits, vegetables, pulses, eggs, etc., to your diet. Avoid excessive tea, coffee, cold drinks, junk food, spicy food, etc. 2. Sleep adequately at least for six to eight hours and make sure you go to bed before midnight. 3. Avoid taking excessive stress. 4. Start taking tablet Kesha kuntal (vyas pharma) two tablets two times a day for four weeks with water. It is very effective in premature greying of hair. 5. Take tablet Hairbac two tablets bd for four weeks with water. It will prevent premature greying of hair. 6. Take some curry leaves and put them into coconut oil, boil this oil. After boiling when this oil becomes lukewarm apply this oil on your beard and scalp. You can do this twice or thrice a week. 7. Wash your hairs with mild herbal shampoo. Try all these regularly and it will prevent further greying of your hair and you will soon feel positive results. In case you want to use a dye for your beard or hair or you are facing excessive greying of hairs then do consult a nearby dermatologist, otherwise, try all these regularly. I hope this helps. Genetic or lack of nutrients or stress or unhealthy lifestyle. After four weeks." + }, + { + "id": 18151, + "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": 7437, + "tgt": "I have a great deal of pain due to L5-S1 disc hernia. How to get over it?", + "src": "Patient: Hello doctor,I suffer from an L5-S1 disc hernia, with pressure on the S1 root. I also have a partial tear in the right hip labrum. My surgeon is not sure which one is the cause of leg pain which starts at the low back and ends at the back of my feet. I suffer from a great deal of pain and would really like to get it over with. Doctor: Hello. I understand your concerns. Disc herniation causes considerable pain that needs step-wise management. I suggest: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12953, + "tgt": "What does Staphylococcus aureus seen in throat swab of URTI patient indicate?", + "src": "Patient: Hello doctor, I had symptoms of cold, cough and severe throat pain since five days and I was diagnosed with URTI and I underwent a throat swab for CS and report was identified as Staphylococcus aureus grown in culture. Is it anything to worry or normal? Please can I know. Doctor: Hello. Staphylococcus aureus is a normal flora bacteria, if sensitive. Can you please tell me exactly if it is sensitive or resistant? Now, if you are taking any medications, continue with those medications. Like Paracetamol, Brufen (Ibuprofen), warm saline gargles, steam. If still, you are having symptoms like body ache, headache and fever then we can start antibiotics. If you have performed another laboratory test. Kindly send me reports. Viral flu. CBC. Acute pharyngitis? URTI. Supportive care for now. Have green tea, Joshanda, Panadol tablet orally thrice daily for five days, tablet Brufen 400 mg oral thrice daily for two days. Wear a mask, steam inhalation." + }, + { + "id": 21279, + "tgt": "How to get some relief from throat congestion and irritation?", + "src": "Patient: Hi doctor,I am suffering from cough, irritation in throat and mild pain. I feel feverish, but do not have a real fever. Temperature variation is a problem where I live and I travel around 50 km daily by bus. I am also a smoker. During season change, I usually get into this trouble at least twice a year. Earlier, I have been prescribed to take Azithromycin, Levocet and Paracetamol 650. Should I follow the same prescription? I cannot afford to be resting for a few days. I teach at a college and we have examinations going on. A cough is not severe but would be good to have some relief. Is there any cough candy? I am already making some plans to quit smoking. Apart from quitting smoking, what lifestyle changes or long-term medication I can use to avoid these troubles? Doctor: Hello. It is again an episode of upper respiratory tract infection. The prescription would be the same. You try first Azithromycin once a day for five days. If it does not respond, then I suggest Amoxicillin. Along with this, I suggest Betadine gargles and syrup Alex (Dextromethorphan, Guaifenesin and Phenylephrine) two tablespoons whenever on needed basis. Consult your doctor, discuss with him or her and take the medicine with consent. You need to be careful regarding cold weather and food items, because whenever one consumes cold item or cold air goes inside there is multiplication or growth of microorganisms leading to infection and symptoms. So, avoid this thing. Also, smoking hampers local immunity so that must be stopped. You must be getting some symptoms like throat congestion and irritation. At this stage, you should do Betadine gargles to kill those excess microorganisms in the throat before setting infection. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23389, + "tgt": "I have back pain due to sitting in front of computer for long hours. Kindly advise", + "src": "Patient: Hello doctor, I am 27 years old male. I was sitting in front of the computer for more than 10 hours per day for past one month. I have mild pain in my lower back, not a constant pain. the pain either left side or right side but the right side is more time the pain always shift its position. and while walking my right side bottom thigh got pulling pain at a step in and sometimes my lower limb feel pain. and I feel some weakness in the right leg and while I sit for Iong feel some numbness in my left bud and left bottom thigh.I have taken MRI and consulted the doctor, the doctor says lumbar spine looking normal. I consulted a radiology specialist and she said the hip and sacroiliac joint MRI essentially looks normal. The lumbar spine mild disc bulges causing radiating pain and numbness in the legs and feet described in detail as below:At L4/L5 level: Mild posterior-central disc bulge is seen indenting the thecal sac and encroaching bilateral neural foramina (right more than left) compressing right exiting nerve roots and abutting left exiting nerve roots. The annular tear is noted at this level. At L5/S1 level: Mild posterior-central disc bulge is seen indenting the thecal sac without any nerve roots compression. So, I consult another ortho specialist and he suggested to do physiotherapy and exercise for 10 days now. I completed 14 days but I did not feel any improvement. Previously two months ago I have taken treatment for erectile dysfunction and the doctor suggests taking medicine for one month, but I took for two weeks and stopped the medicine. I do not know any side effects from the tablets. So please advise me to take proper treatment. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). According to your complaints, I will suggest you few things. Do not sit in front of the computer for a long time not more than one hour after that at least walk for 2 to 3 minutes and you can get back to your work. Because of long-standing sitting in front of the computer, your shoulder muscles must be weakened. So, to strengthen your muscles you need to start exercises for that. Coming to your disc prolapse. You have symptoms for that if you have weakness in your legs then it requires surgery. Before that, I will prescribe nerve related tablets. Tablet Pregabalin 75 mg daily once after food for one month. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6672, + "tgt": "I have depression and low concentration after taking Ventab plus. Please help", + "src": "Patient: Hello doctor,I was on Nexito forte for some months as it created sexual erectile issues, it was changed to Ventab plus 50 which worked too good but for a month only. Now, I have depression, very low concentration, and low motivation. Initially, it was good but now again facing the issues. I am 34 years old male. Doctor: Hi. You can taper and stop Ventab plus (Desvenlafaxine and Clonazepam) over a period of one week. We can try you on Bupropion-SR (Bupropion) 150 mg once in the morning for one week followed by 150 mg 1-0-1 (that is one dose in the morning and one dose at night). It does not have sexual side effects and is given to undo sexual side effects. Ventab plus is known to cause sexual side effects in some individuals. From today, take half tablet of Ventab plus once in the morning and stop it after one week. Simultaneously, start tablet Bupron-SR 150 mg in the morning for one week. After that increase it to 300 mg (once in the morning and once at night). For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21595, + "tgt": "I experience extreme sensitivity in my clitoris. Please advise", + "src": "Patient: Hello doctor, I am experiencing extreme sensitivity in my clitoris. Just my pants/underwear touching it is bothering me right now. I would not describe this as an itch, it is just sensitive. Also, it may appear that it is swollen, and when I pinch it I feel a ball inside of it. Perhaps it was always there and I am just noticing it or perhaps it has to do with the sensitivity? There is no burning when urinating or anything like that. I have been sexually active with the same partner for five years, so I really do not think it is an STD. I do not take medications besides some fat burning pill for the last four months. Doctor: Hello. It would be better if you could send me a picture of the lesion. It could be some pelvic infection or a sign of a sexually transmitted infection or local inflammation such as abscess as you feel some ball appearance. After swab, I suggest tablet Ponstan (Mefenamic acid) 500 mg eighth hourly as per need. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg thrice daily for seven days. If you feel the lesion is still there but reduced in size you can have a 10 to 14-day course. But if no difference on the seventh day, then it would be better to have a local examination with a specialist or pelvic infections control doctor. You might need local drainage or abscess removal. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1141, + "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": 16746, + "tgt": "Please suggest the treatment for chlamydia trachomatis infection", + "src": "Patient: Hi doctor, I got tested for Chlamydia trachomatis and got my report. It gives out the value as 2.2411 and the safety zone is 0.08. I would like you to suggest me the treatment. Thank you. Doctor: Hi. Please upload your test results for my reference. Thank you. Revert back with the reports to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30783, + "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": 25625, + "tgt": "Can ayurvedic treatment help cure my frequent urination problem?", + "src": "Patient: Hello doctor, I am a 23-year-old male with a weight of 65 kg and a height of 166 cm. I am having a problem with frequent urination. Sometimes, it gets to such a level where I have to go to the washroom every five minutes or so and it gets actuated before going to sleep. Also, I have noticed that whenever I do not masturbate for a few days, this problem gets subsidized to a normal level. Normally, I masturbate at least once a day and sometimes twice also. I also consulted a urologist and went for urine culture and whole abdomen ultrasonography but nothing unusual appeared. My blood sugar level is also normal, 89 to be precise. Doctor: Hello. This problem can be due to weak bladder muscles. I suggest you practice Kegal exercises. These will strengthen your bladder muscles. Walk daily at least for 30 minutes and it will increase pelvic blood flow. Practice Trikonasana and Malasana as these yoga postures are good for your problem. Try to train your bladder to pass urine on regular time meaning you can void bladder after two hours and try to control the urge of urine till the time you can hold. Do not take too many liquids after 6 p.m. Avoid alcoholic beverages and caffeinated drinks. Intake of sesame seeds with jaggery thrice a day controls frequent urination. I suggest you take tablet Amla (emblica officinalis) two tablets two times a day with water after food for one month. Tablet Sukumaram Kashayam two tablets two times a day with water before food for one month. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Follow up in one month. Try to take some pumpkin seeds daily. All these things will help you a lot in improving your condition. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15180, + "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": 10105, + "tgt": "I have sour burps and motions. Please help", + "src": "Patient: Hello doctor, I am suffering from sour burps and motions. Kindly help. Doctor: Hello, Welcome to the icliniq.com. Kindly answer the following questions to guide you further. 1. Do you have a fever, abdominal pain, nausea complaint? 2. What is the frequency of your motion? 3. Is there any blood in stool? 4. What is the duration of your symptoms? 5. Have you taken any treatment so far? You can revert with answers. Meanwhile, you can be prescribed antacid like Pantoprazole and Dimethicone (Polydimethylsiloxane) containing acid MPS syrup. I hope this will help you." + }, + { + "id": 28403, + "tgt": "Why do I think too hard to pronounce people's names in my mind?", + "src": "Patient: Hi doctor, I suffer from derealization and Asperger's syndrome, and I accidentally think too hard about how to pronounce people's names. I know that sounds ridiculous, but I really want to fix whatever it is I just accidentally did. But there is nothing I can do. Every possible solution interferes with other important things that my brain needs to do in ways I cannot explain. But it seems like it is also the one problem that absolutely needs to be solved immediately. Can I take Prozac? If yes, then how much? Doctor: Hi. Regards. For more information consult a psychotherapist online --> https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 19527, + "tgt": "Why is my 8 months old baby vomiting whenever she eats anything?", + "src": "Patient: Hello doctor,My baby girl is 8 months old. I started semi-solid food after six months but now from a couple of days, she vomits food whether she eats apple or pulses. She is teething at the same time. She is not vomiting every time but once or twice in 3 to 4 days. What is the reason of this vomiting and what can I do to stop it? Doctor: Hello. Sometimes, a baby of this age may vomit out the food, which they do not like or if they are overfed. Try to burp her after the feed. Try to give food in a decreased quantity. Give syrup Ondem (Ondansetron) 2.5 ml SOS for controlling vomiting. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23146, + "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": 25452, + "tgt": "I weaned off Klonopin over six months, now have withdrawal. What can I do?", + "src": "Patient: Hello doctor, I stopped Klonopin after weaning off over six months at 1/16 mg once a day. Now, I am having extreme withdrawal dizziness, imbalance, head and face pressure, neck tightness. I only take blood pressure med and Vescepa 1 g capsules for triglycerides. I lost 12 lb in the last month. I am confused and not sure what to do. Doctor: Hello. If you weaned over six months, you should not get withdrawal symptoms. However, your anxiety symptoms could be resurfacing. But at first, we need to see if it is your blood pressure medication that is causing all these symptoms. Most blood pressure medications tend to cause dizziness or postural hypotension or other symptoms of imbalance. Did you get your blood pressure monitored recently? It would be helpful in identifying the cause if I knew your blood pressure meds. If all that is fine, you may need to be reevaluated for anxiety. However, Klonopin is not an ideal drug for your symptoms. You should consider other safer medications given your existing other health conditions. For now, we need to see if your blood pressure is within the normal range for you, or if your blood pressure medication dosage needs to be readjusted or not. After that, we need to see if it is your anxiety acting up again. Hopefully, this will help with your situation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27880, + "tgt": "What is the cut-off value for ELISA test?", + "src": "Patient: Hello doctor, I have some queries about HIV, ELISA/ECLIA TEST. What is the cut-off for this test? In some lab reports, they do not mention the cut off rate. They just mention if it is reactive or non-reactive. In some labs, 0.9 is the cut off while in others, it is different. Why is it so? Doctor: Hello. For more information consult a microbiologist online --> https://www.icliniq.com/ask-a-doctor-online/microbiologist" + }, + { + "id": 5970, + "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": 16293, + "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": 23081, + "tgt": "What are the options for hepatoma other than chemotherapy?", + "src": "Patient: Hello doctor, I want to ask about my father. He is too ill. His doctor told us about a hepatoma in his liver and the liver is enlarged. Now, kindly tell me the treatment. The doctor said about chemotherapy but we did not agree for it. Doctor: Hello. Hepatoma can be benign (noncancerous) or malignant (cancerous called HCC). If cancerous, there are many types. You have not attached any reports of your respected father. If the doctor is talking about chemotherapy, that means, it is malignant or cancerous. The common type of liver cancer is called hepatocellular carcinoma. Usually, it has a poor prognosis. The only cure for it is radical surgery. But surgery cannot be done for every case. It depends on the stage of cancer plus liver function tests and many other factors. So, without the reports, it is difficult to give some valuable suggestions. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 20419, + "tgt": "How to reduce the discharge coming from my left eye?", + "src": "Patient: Hi doctor, I have an eye discharge from my left eye for a week. I thought I have the discharge because of my contact lens (first-time user). I used it for a few days. But I stopped using it now because of the eye discharge. I have eye discharge only from my left eye when I wake up in the morning. Sometimes, my left eye feels heavy when compared to my right eye. Please help. Doctor: Hi. You have discharge from the left eye. This is a severe problem, and it occurs due to an infection. You can have one of these two things. They can occur due to viral or bacterial conjunctivitis. It has symptoms of eyelids sticking together when waking up in the morning, less pain with more irritation and very mild blurring of vision. Another reason is a corneal ulcer which shows symptoms of eyelids sticking together, more pain and the patient may also experience a sharp pricking pain whenever they blink. There can also be a more severe blurred vision, like seeing through a fog. My advice is clean the discharge away from your eye as soon as you wake up in the morning with warm water. Keep your hands always clean and nails short. Do not rub your eye. This will worsen your condition. Use Refresh tears (Carboxymethylcellulose 0.5 %) eye drops four times a day for two weeks in both the eyes. Use Tobrex (Tobramycin 0.3 %) eye drops for a week. Both these medicines are quite safe to use (unless you have an allergy to either of them previously). Do not apply them over contact lenses. Stop using your contact lens. But preserve the contact lenses and their case. It can be needed for testing in the future. You may be asked to provide them for testing the infections. Please visit your ophthalmologists in case of discharge or irritation or watering or redness when it does not resolve within two days, and when your vision becomes blurred or when you develop pain." + }, + { + "id": 25520, + "tgt": "What treatment can be had for external ear lobe swelling?", + "src": "Patient: Hello doctor, My 18-year-old brother-in-law who weighs 30 kg is bedridden since birth. He is a disabled child and he cannot do anything on his own. He cannot even talk and he only takes liquid food. He is generally healthy apart from his disability. Today, his external ear lobe suddenly swell in the upper part. Kindly advise as to what can be done in this case. Doctor: Hello. His pinna has developed perichondritis that is an infection of the ear pinna cartilage. Is the swelling painful? This swelling needs drainage from an ENT (ear, nose, and throat) specialist. I suggest you can start him on anti-inflammatory enzymes and antibiotics now. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Meet an ENT specialist personally. Without draining, the swelling will not subside and it will cause necrosis of the cartilage. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 897, + "tgt": "My anus is red with unpleasant odor and I have a history of pilonidal sinus and abscess. Please help", + "src": "Patient: Hello doctor, I have had an issue with my anus area for a while now. The area is always red, and there is always an unpleasant smell (fish). I do not notice any drainage. I have a history of Pilonidal sinus and abscess. I was tested for a few STD's but not all. I think it may have something to do with the pilonidal sinus, as the two issues were consecutive. I will attach an image that will hopefully help. Doctor: Hi. If possible provide me photographs of affected areas that will help me for a better understanding of your skin problem and proper treatment plan. Photographs required for more accurate diagnosis purpose because treatment given without proper diagnosis can be less helpful." + }, + { + "id": 11450, + "tgt": "I miss my best friend and feel depressed. What to do?", + "src": "Patient: Hi doctor, I am an 18 year old boy. Last year, I made a very best friend. He was like my second half. He used to share each and everything with me. A few months back, I saw him with his ex-girlfriend, and they were in a relationship now. He never told me that. She lives near my home, and my friend always drops her to her home, but whenever I asked him to come to my place he used to tell that it is too far away. Then we had a major fight without any violence, and we both stopped talking. Then I started realizing that I like him so much. I miss him as he used to hold my hand in public places always. I started remaining sad the whole day. I was depressed, and I tried to commit suicide. After that, it is like at sometimes during the night I express all my warm feelings with anyone on chat, and after a few minutes, I regret it. I feel like there are two persons inside me. First I thought that it is split personality, but I do not have memory loss. Please help me. What should I do? I hate his girlfriend. But, I am not sure whether I love my friend or not. Sometimes, I feel like I love him and after a few minutes, it is like just friendship. Am I gay? But, but I have a crush on girls also. I think I am attracted to both boys and girls. I am totally confused. Please help me. Doctor: Hi. I can understand your problem. This is completely normal at the age of 18 years. You like your friend as a friend and not as a partner. He was very close to you, but it does not mean you are gay. This is a very common feeling at your age. At this age, we can get attracted towards both the sexes, but this feeling is temporary. As your friend is in a relationship with a girl, it is evident that he will less interact with you. So do not get hurt. You should respect your friendship and his decision. Presently you are irritable because of depression, and you miss your relationship. You have suicidal ideation. To avoid this situation get involved yourself in some outdoor games and other hobbies. Make new friends, interact socially and stop negative thinking. If this thought sustains, then you can visit a local psychiatrist for treatment with medicines. But, do not worry. You will be fine. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17535, + "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": 26, + "tgt": "Should I continue the medicines for PCOS even after my periods get regular?", + "src": "Patient: Hello doctor, I was diagnosed with PCOS in January so my gynecologist prescribed me Ginette 35 for six months and Bonemac D3 for one month. But from March my periods are regular without taking medicines but there is sometimes slight pain in my lower abdomen and side abdomen. Should I continue medicines despite having normal and regular periods? Doctor: Hello. If you are having regular periods in terms of flow, duration and regularities and if you have already stopped taking Ginette since March, there is no need to resume its intake immediately unless you need contraception also at the same time or not wanting a pregnancy now. In that case, you need to use an alternative mode of contraception to avoid your pregnancy. Please attach your previous prescriptions blood test and ultrasound scan reports based upon which PCOS was diagnosed. Also, inform your height weight and whether there is excessive hair in the chin, upper lip, chest, and abdomen Follow up with reports again. Also, follow the lifestyle modifications described below. Blood for serum fasting insulin levels. Blood for serum vitamin D3 levels. USG (ultrasound) TVS (transvaginal scan) if not done in the past three months. Continue vitamin D. Avoid junk food spicy and dip fried foods. Low carbohydrates, fat restricted, gluten-free diet is recommended. Regular brisk cardio excercise like walking jogging cycling swimming for at least 30 minutes a day is a must. Take frequent small meals." + }, + { + "id": 25166, + "tgt": "What is the risk of HIV when vaginal fluid comes in contact with the base of penis?", + "src": "Patient: Dear doctor,I had protected vaginal sex (with little lube) with a prostitute. Although the condom did not break or tear, I feel there could have been some vaginal secretions from her. Since it was my first time, I did not last long and released early, but there was no leakage from the condom, which is how I confirmed there is no tear. But, the entire condom does not cover my penis, which worried me if some tiny secretion could have entered into the condom. There are no cuts or sores around my penis area. Forgive my frankness, but does moist nipple mean anything related to HIV? Also, what are the chances for, if there were any vaginal secretions near the penis base, on wiping (using a tissue) is it possible for the virus to enter through the penis? I am sorry for asking such a long question, but this was my first experience, and what happens next will decide my fate. I am willing to take the test, but I think I need to wait for the three-month window period right? Please advise doctor. Doctor: Hello. I have noted your concern. If the condom was of a proper size and well-fitted, there is no chance of vaginal fluids going inside from the base. Therefore, a protected vaginal sex is safe as far as risk of HIV is concerned. Yes, a rapid HIV screening test is considered reliable and conclusive after a window period of three months. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17642, + "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": 26895, + "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": 25597, + "tgt": "What medicines can effectively treat cough and sneezing?", + "src": "Patient: Hello doctor, I am having cough and sneezing from yesterday. I went out in the night in cold weather. I am having sneezing and cough now. Please suggest me medicines. Doctor: Hello. This looks like a viral rhinitis. I suggest you consider taking tab Sinarest (Caffeine, Chlorpheniramine, Paracetamol, and Phenylephrine) twice a day for three to five days. Take salt water gargles with warm water. Also, I would suggest you take three days of oral antibiotic. Azithromycin 500 mg once a day for three days would suffice. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5362, + "tgt": "I feel pain and irritation in eyes after wearing contact lens for 14 hours. What shall I do?", + "src": "Patient: Hello doctor, I am out on a business trip. Yesterday, after 14 hours flight in which I wore my contacts (which are 30 days disposable Air Optix ) for about 20 straight hours, I took them out. After that, the vision in my right eye became cloudy and blurry but no pain. No issues with my left eye. It was difficult to get the contact out of my right eye. It was somewhat stuck to it. I just woke up and the vision is a little better in my right eye, not quite as cloudy and blurry (but still not normal). But now there is some pain and irritation. This is after about six hours of sleep. Is this something that warrants me getting immediately back to my place to see my eye doctor or can I wait to see him when I get back (early next week)? I do have some Prednisolone pills with me that I have been taking for a sinus infection. Presumably, those would help with the eye swelling if that is an interim option? Doctor: Hello. This might be due to dry eyes. The contact lens should be worn maximum for 8 to 12 hours only. The contact lens wear for a long time also cuts down the oxygen supply to cornea, which gets oxygen from the atmosphere. If the eyes are not red, discharge, watering you can continue wearing contact lens. If there are redness wear spectacles. You can use Teardrops four times a day. You can continue your treatment for sinus infection. Do as told above and let me know." + }, + { + "id": 9484, + "tgt": "Are my headaches and dizziness suggestive of a brain tumor?", + "src": "Patient: Hi doctor, I have been having headaches and dizziness for five days. The headache is around my forehead and behind my eyes. I am 30 years old. My aunt has a\u00a0brain tumor. I am wondering if my headache can be a tumor as well. Doctor: Hi. 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.\u00a0Thanks and regards. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 23073, + "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": 13575, + "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": 10744, + "tgt": "Why is there a discomfort in my gums where the wisdom tooth is piercing them?", + "src": "Patient: Hi doctor, My wisdom tooth is coming in. I have discomfort in my gums where the tooth is piercing them. I am having pain when I open my jaw and swallow. My throat is a bit red. I have swollen glands under my neck on the side where the tooth is coming in. Do I need medical attention? Doctor: Hi. It is a case of pericoronitis and due to that, you have all those symptoms. Yes, you need medical attention. Right now take these medicines: Amoxycillin Clavulanic acid 625 mg three times daily for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg and Serratidopeptidase 15 mg or Zerodol SP twice daily for five days but in case you relieve from pain you can stop its use after third day. Capsule Pantoprazole 40 mg once daily for five days. You also try salt gargles thrice in a day and maintain good oral hygiene. In a few days, you will relieve, however in case there is no relief then let me know, you may require radiograph and other surgical procedures." + }, + { + "id": 18630, + "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": 10947, + "tgt": "I am worried about perforated uterus after my abortion. Can I conceive again?", + "src": "Patient: Hello doctor, I did an abortion seven years before, and I have not got any complications since then. But I was reading about the perforated uterus, and now I am worried. I do not have any medical issues, and my concern is that I am getting scared I might not be able to conceive again. Doctor: Hello. Thanks for sharing your concern, and it is quite understandable. Uterine perforation usually occurs if abortion is being performed by the use of sharp instruments and vigorous curettage. If the abortion was undertaken with medicines only then, there is no such chance of perforation. Secondly, if perforation was being there, it might have caused your symptoms like pain, fever, bleeding, etc., if it was of considerable size. So if there was not any problem after the abortion at that time, it means that there were no complications associated with it. So you need to relax now as there is nothing to worry about your fertility. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 8869, + "tgt": "What causes running nose with occasional nose block in a child?", + "src": "Patient: Hello doctor, My son is 7 years old, has a flowing nose. Sometimes, nose block for 7 to 8 days, light fever from today morning, cough at night especially. Doctor: Hello. The nose block feeling could be due to enlarged nasal turbinate or excess nasal secretion. He can be prescribed decongestant syrup for congestive symptoms. The Paracetamol syrup SOS can be prescribed for fever. His CBC should be done for further workup. You should consult him to a nearby pediatrician for detailed evaluation." + }, + { + "id": 14594, + "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": 14003, + "tgt": "What can cause pain in legs while walking and fatty lumps?", + "src": "Patient: Hello doctor, I have pain in both legs when I walk fast. There is a fatty lump in both legs, not painful when pressed. Doctor: Hi. I would suggest getting a test called the ankle-brachial index (ABI). This is not done at laboratory but some doctor or especially a surgeon can do in his office. Those test will test if you have any vascular insufficiency. If positive, you might need to be started on some medication to help in pain. Also get blood lipid profile, vitamin D levels stat on capsule Vitamin D 50,000 units, one capsule every week for six weeks, then tablet Vitamin D 400 units daily." + }, + { + "id": 8174, + "tgt": "How could I confirm my allergy for dairy products?", + "src": "Patient: Hello doctor,I was told recently by an energy channeler that I have an allergy to dairy because he sensed that my general anxiety goes up when being exposed to dairy after performing some tests. I told him that I do not experience any physical symptoms, and he said that I do not have to experience them to have an allergy. I have never been told that I have an allergy to dairy, and I would like to get a second opinion possibly. Doctor: Hello. Please let me know which objective tests did he perform? Now since you do not have any symptoms on exposure to dairy products, the possibility of such thing is unlikely. If he had shown some objective tests like skin test for allergy or blood tests, then we may have some evidence that the body is allergic to dairy products. Even in such a scenario where you are not getting any symptoms, there is no need to withhold dairy products as tests can be falsely positive as well. So overall, I do not think this is significant and does not warrant stoppage of milk products. I hope this helps you and get back if you have any doubts." + }, + { + "id": 5598, + "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": 3612, + "tgt": "I have fluctuating sugar levels with shrunken penis skin and muscle spasm. Please suggest", + "src": "Patient: Hello doctor, I have a few problems with my body. Since last year I was under work pressure. I could see my blood sugar gone up to 289 mg/dL on post prandial (PP) last month and reduced to 175 on PP and 109 on fasting last week. In the meantime, for the past two weeks, I suffer from fissure. I am a case of vitiligo and epilepsy for 20 years and under medication with Valproic acid 500 mg (reduced to 250 mg for the last 10 months) and Clonazepam 0.5 mg. I have been noticing that my penis skin is shrinking for the last eight months and now narrowed down to 8 mm opening on the penis forehead skin. For the last three months, I am suffering from back muscle spasm. After consulting MD medicine, I am taking a sitz bath for fissure, continuing Valproic acid 500 mg for epilepsy and back pain, following a strict diet for blood sugar, and no medication for vitiligo. He suggests circumcision as the only option for penis skin problem. I request your second opinion. Doctor: Hello. I understand your concerns. I have checked all the attached reports thoroughly (attachments removed to protect patient identity), and here are my notes: 1. Repeated high post prandial sugar above 200 means that you are diabetic and need to start therapy. Do you have polyuria (frequent urination)? do you drink water more than usual? 2. Repeated cholesterol level above 200 along with fatty liver grade 2 means dyslipidemia that requires management. 3. Stress ECG shows some changes that could mean some cardiac ischemia. Do you feel any chest pain especially with efforts? if yes, could you describe it? 4. All other investigations are within normal limits. Advice: 1. Healthy life style that includes daily 30 minutes walk, a healthy diet with low sugar, starch, and oily foods. 2. Metformin 500 mg after meals plus Glimepiride (Amaryl) 2 mg before breakfast (for diabetes). 3. Rosuvastatin 10 mg once per day (for high cholesterol). 4. A retinal fundoscopy and urine analysis for microproteinuria are required. Continue other medications you have. Follow up after one week. Regarding the penis problem, I agree with circumcision. I hope this helps." + }, + { + "id": 9523, + "tgt": "I feel like my gums are burning and it hurts a lot. Why?", + "src": "Patient: Hello doctor, I do not have gingivitis or that sort of thing my gums are not bleeding, but they hurt and feel like I burnt them at times. My tounge tingles at times. My gums look a little inflamed, but they hurt, and some teeth hurt, but X-rays look fine. Also, behind my wisdom teeth, it burns but has not had dental work on them. I also have tingling lips and chin. What could it be? Doctor: Hello. The situation you mention is very close (and likely to be) burning mouth syndrome (BMS). However, some more details would confirm the diagnosis. It is often aggravated by pericoronitis, a soft tissue inflammation surrounding an erupting wisdom tooth. In BMS, it is better to avoid hot and spicy stuff and use gum astringent, and topical antibiotic with chlorhexidine. Also, look out for any ulcer that may be present. Use Betadine mouthwash and maintain good oral hygiene. See a dentist, and he will formulate a definite treatment plan for you. I hope it helps you." + }, + { + "id": 20970, + "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": 17234, + "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": 24177, + "tgt": "How to stop itching, redness and weals on the body?", + "src": "Patient: Hi doctor, Our family member is having severe itching, redness, and weals. Previously it was only on arms and groin area. Now it has spread to the chest and abdominal area. He is currently on tablet Zempred, Ebast and Oriel M. Doctor: Hi. I have reviewed the attached photograph (attachment removed to protect patient identity) and need to ask you few questions: Kindly revert with the answers. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11948, + "tgt": "What can be done for severe brain fog with a feeling of derealization?", + "src": "Patient: Hi doctor, I am suffering from severe brain fog to the point where I cannot leave the house or go to work. I also have a dull, numb feeling on the top of my head. It almost feels like not enough blood is going to my brain. I have a feeling of derealization constantly. I have suffered from a feeling of derealization since I was about 15 years old but only in the last two years has it become debilitating. I have tried adding Potassium, Magnesium, Sea salt, B vitamins to my diet but nothing has worked. I am now trying the gluten diet and I am on day one. When I was 18 I took Ecstasy tablets most weekends for one year. But I have not taken them since then. I am 32 years old, 83 kg in weight, 5 feet 10 inches in height. Doctor: Hi. To help you better I need the following details: 1. Have you got your thyroid checked ever? 2. How is your sleep? 3. Do you dream a lot in the night? 4. Do you feel tired the whole day? 5. Any anxiety related issues? Revert with the asked details for a better help." + }, + { + "id": 3194, + "tgt": "What is the outcome of the tests taken for breast cancer?", + "src": "Patient: Hello doctor, Hope you are fine and doing well. My mother has been diagnosed grade 4 breast cancer last month. She had abscess drainage last month on left breast. So now she is taking Femara 2.5 every day and took Zometa 4.0 mg recently as per doctor's advise. So the next day she felt sick like fever, the next day she was felling weakness and then lost consciousness temporarily for 30 seconds. Then we took her to the emergency. They did some tests which they found the sugar level was 331, PO2 level was 18.4, PCO2 was 26.8, and now she is fine and under treatment. So doctor, I selected you as our second opinion and I will keep following up with you concerning her treatment. I am attaching all the reports and doctor's advise which we received here. Please check the reports and doctor's note and advise in detail. Doctor: Hello. I have gone through all the reports (attachment removed to protect patient identity). It looks like she is having a metastatic inflammatory breast cancer with lung and bony metastasis. My recommendations: She needs to control her diabetes with diet, exercise and medication. Consult a diabetic clinic or endocrinologist. Replace zometa to Denosumab if possible, as her kidney may be suffering from diabetic nephropathy. Denosumab is more effective and comparatively safe for kidneys After denosumab she needs calcium and vitamin D supplements. Breast abscess once drained can recur, so doctor should examine it at every visit. Also in case of fever. One possibility may be reaccumulation of abscess. As She had an episode of temporary loss of consciousness. It can be related to sudden drop of Calcium after Zometa or can be related to some brain pathology, if she will develop same symptoms one more time, she should do an MRI brain with contrast. She has a multilevel disc disease with thecal compression, need a neurosurgical review urgently. Regarding treatment of Breast Cancer. She should continue with Letrozole, but alone it is not enough. So need to add Palbocicib or go for Letrozole plus Fulvestrant. Continue for 2 to 3 months followed by CT scan workup, etc., for reassessment before further decesion." + }, + { + "id": 20758, + "tgt": "Can I fix hole in bottom tooth without going to the dentist?", + "src": "Patient: Hello doctor,My bottom tooth has a kind of a hole at the gum line. I do not know. When I breathe in, it feels cold like the air went in my tooth. It just does not seem or feel normal. Also, on my upper front tooth, I have some kind of deep line. Example like when you make a line in the sand and it flows into the line but it still stays. It is hard to explain. Is there any way I can fix this without going to the dentist? And yes, I do brush my teeth daily. Doctor: Hi. As per your history, you are having class 5 dental cavity in the lower tooth. You need to do filling (restoration) of the tooth as soon as possible. If you do not take measures at this time you may need RCT (root canal treatment) which will be 10 to 20 expensive and not as successful as filling. On your upper tooth, the line I understand is the gingival recession with abrasion, if you are right handed it must be on the left side or the side you keep your teeth brushing continuously. For this, you only need to use an ultrasoft toothbrush and check the video for modified Bass technique for tooth brushing. Also brush your teeth twice daily and keep the brush time of two to three minutes only. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7119, + "tgt": "I had irregular periods before five years and facing the same problem again. Why?", + "src": "Patient: Hello doctor,I am 30 years old and married, I had regular periods, every 26 to 30 days, till five years back. After that, it became irregular and continued up to two months, from spotting to excessive bleeding. I consulted the doctor, and she prescribed me Sysron-N, which controlled the bleeding. After one month, I became normal, but I did not have periods for almost two months, then the same problem started again starting with spotting to excessive bleeding. I am taking the same medicine whenever there is excessive bleeding, but the problem is still there. I do not take any birth control pill, and also pregnancy chances are less as we take precautions. Kindly advice. Doctor: Hello. If your menses had been regular before five years, and then they became irregular presenting with intermenstrual bleed starting with spotting and then increasing to increased flow, which was controlled by Sysron-N tablet which is progesterone, (Norethisterone). The pattern of bleeding indicates that there is progesterone deficiency during the midcycle and that causes irregular shedding of the endometrium as the secretory phase of the endometrium is not achieved in progesterone deficiency so, and there is a presence of disordered proliferative endometrial lining which is unstable and hence keeps breaking causing bleeding. It is advised that you undergo an endometrial biopsy between day 18 to 22 and send for histopathological examination, which if turns out to be disordered proliferative endometrium, then you would have to be placed on progesterone from day 15-day 25 for 10 days each cycle for six months at least to restabilize the hormonal concentration and hence making the periods regular with stoppage of bleeding completely. You may discuss the option with your gynecologist and take an informed decision." + }, + { + "id": 6904, + "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": 17067, + "tgt": "I have multiple skin lumps on the elbow. What could they be?", + "src": "Patient: Hi doctor, I have had these multiple skin lumps on the very tip of my elbow for a couple of years now. I have attached the photos for your reference. They look like a wart but are clustered together. Every medication I have used on them has done absolutely nothing. Recently, they have begun to grow and become sensitive. My elbow feels tender right above them. What could they be? I am currently on 75 mg Zoloft, 50 mg Seroquel and 1 mg Ativan (only when required). Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25649, + "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": 6956, + "tgt": "I have space between teeth even after treatment with wire braces. What do I do?", + "src": "Patient: Hello, About 5 years ago I had wire braces for my teeth. And to have the braces on, I had 4 teeth extracted because my teeth were overcrowded. As far as I know, a lot of orthodontists take out premolars to create space. But for some reason my orthodontist took out 2 premolars, 1 molar on my bottom left and 1 molar on my top left. I got my wisdom teeth removed on the bottom right. So, I have only first molar and partly seen third molar on my bottom left side. I was only 14 years at that time, so I really did not think much of it. This has caused many jaw problems for me. I have not chewed on my left side for the past five years. I heard jaw problems can make my face look weird, as of now I have not noticed anything. But I am worried that it might affect in the future. Is there any way I could put a second molar in the bottom left? I still have space where my bottom premolars were, could I move the molar with braces to fill in that space so that I will have space at the back to put on a an implant? I just really want to fix the problem. Please help. Doctor: Hi. Sometimes orthodontists do extract molars if there is very severe crowding of the teeth. In your case, as you said there was severe crowding. Now you have space present where the molars where previously present and hence you are unable to chew properly. Is your second molar on the left side tilted or upright? I assume that your second molar is upright. There are 3 treatment plans for you: For the best treatment option, attach\u00a0an intraoral photograph of the upper and lower jaw and consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 28146, + "tgt": "My brother gets jaundice every 3 to 4 months. Why?", + "src": "Patient: Hello doctor, My brother has jaundice, which comes after every three to four months. He feels very low and lazy, and his body becomes yellow. He also has a\u00a0fever. We do not know why he gets sick every three months. The doctors say\u00a0that the number of cells in his body that are getting destroyed are more than the cells that are created. This according to him, is the reason of recurring jaundice. We are really confused. Can you tell me what is actually happening? Doctor: Hi. Thanks for your query. If you have any further query, please feel free to ask. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5662, + "tgt": "What causes sore throat with cough, sneezing, joint pain, and runny nose?", + "src": "Patient: Hi doctor, For the past two weeks I have had the following symptoms: Sore throat that feel inflammed and slightly swollen, a cough, sneezing, and runny nose constantly, severe aches in my joints especially my right shoulder and wrist, my temperature keeps jumping from really high to low, constant headache, dizziness, fatigue, it hurts to swallow and no matter what I drink or how much I drink I feel constantly dehydrated and today I have come out in a rash, it is like red and purple pin pricks all over my body. Doctor: Hi. Bodyaches, petechiae (rashes), fatigue and dehydration points towards the diagnosis of dengue fever which may be associated with your other symptoms of sore throat and cough. To confirm that you need to undergo some tests like total blood count (platelet count), DLC, Hb, LFT, KFT. Platelet count generally decreases in dengue fever. You need to hydrate yourself as much as you can and complete bed rest. Prevent yourself from mosquitoes as they are the carriers of this fever. It is a viral fever so no specific medicines needed. You may take analgesics for aches like Paracetamol, avoid Aspirin containing drugs. You might have a fever in the beginning which you must have ignored. If symptoms get worse you may need to see your family physician and may need hospitalization. Get your tests done and follow up as quickly as possible. TLC, DLC, Hb, LFT, KFT. Viral fever, Argentinian hemorrhagic fever, Hantavirus, Relapsing fever, Weil's syndrome. Prevention from mosquitoes." + }, + { + "id": 3172, + "tgt": "My 4-month-old daughter passes stool 4-8 times a day which is not her usual. What to do?", + "src": "Patient: Hello doctor, My daughter is four months old now. She breastfeeds only. She used to defecate once or twice daily. Sometimes she defecated once in two to three days. Recently she has started defecating four to eight times a day (generally very small amount though) and her feces have become more liquidy. We went to a doctor who suggested some probiotics and told not to worry. She is otherwise healthy and shows no symptoms of any illness. However, we thought to have a second opinion. We did a stool test and I am attaching the recent one. Please suggest if there is anything to be worried about? She is on usual vitamin and Iron supplements. Doctor: Hi. It is normal for babies to have variable stool frequency. Sometimes they pass once or two times in a day, sometimes more. Some babies have exaggerated gastrocolic reflex, it means they pass stool after almost every feed. No need to worry if the stool is not watery and small amount, baby is passing urine, activities are normal, no fever, and gaining weight. No need to give probiotics or other medication. Continue breastfeeding. Maintain hygiene. ? gastrocolic reflex, ? normal variations of stool frequency. none Continue breastfeeding. Maintain hygiene. As per your requirement." + }, + { + "id": 26552, + "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": 22162, + "tgt": "My breasts are paining. What to do?", + "src": "Patient: Hi doctor, My breasts are paining after my husband pressed them for the first time. Is this pain harmful? How to get rid of this pain? Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9289, + "tgt": "I have a hard lump under my tongue. Will it be cancer?", + "src": "Patient: Hi doctor, I have developed a large, hard lump on the underside of my tongue. It is grayish white in color and does not hurt at all. It feels like a hard ball in my tongue. Also, I have other small red bumps. I do not know how long they have been there and I just noticed it before two days. These are weird and seem to be growing. I have never noticed it before. I have suddenly started getting acne all over my face and I never had it before in my life. Could this be related somehow? I am 25 now. I used to smoke but stopped some months ago. I drank a lot for a couple years. Do not know if that is relevant. Please help. Doctor: Hi. The hard lump under your tongue is mostly inflammation which usually gets very hard due to the structure of tongue. The bumps are formed when the inflamed tongue presses against the teeth causing that particular pattern.The inflammation of tongue usually becomes very hard to touch and grayish in color, it will take at least a week or two to return to normal. The acne problem might be due to increased hormonal activity in your body mostly and is not related to the other. I would suggest you to wait for 10 days for the tongue to return to normal. If you could take medicines over-the-counter, I would suggest you to take anti-inflammatory medication twice for five days. Kindly answer me, so that I can diagnose any other possible condition if necessary. Revert back with the answers for the above questions to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4954, + "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": 17666, + "tgt": "After a brain tumor removal, I still have some persistent symptoms. Should I be worried?", + "src": "Patient: Hello doctor,I had a hemangioblastoma tumor removed from the back right cerebellum last year. The\u00a0operation was successful and the tumor was 100 % removed. Before my surgery, I felt some twitching, night sweats, and headaches. I no longer have headaches, but I am having some night sweats and my twitching is back, but only in the\u00a0eyes and calves. My recent MRI was three months ago. There were no findings, just hematoma from the surgery. I will have another one soon for follow up. Is there anything to worry about with the twitching and night sweats? They seem to be very persistent. Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 27361, + "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": 2646, + "tgt": "Is there any treatment for chronic back pain with normal x-ray?", + "src": "Patient: Hello doctor, My husband aged 31 is suffering from chronic back pain near the lower part extending till the upper part for the past eight months. Please help with the diagnosis. He has a bad habit of sitting with a laptop for hours together. He barely does walking or exercises. He has taken an x-ray and ultrasound. Report looks to be normal but his pain has not reduced. Everyone says it is a muscle spasm. Is there any treatment for it? Doctor: Hello. I cannot see the film of the x-ray but the report is on mild straightening of the lumbar spine. (attachment removed to protect patient identity). Vertebra and disc spaces are normal. USG is normal except for mild fatty liver. It seems that there are two issues here lack of exercise and long hours of sitting. Not lead to weak core muscles and as a result the structure of the back is feeling the strain. Usually the muscle help to take the load of the upper body but if they are weak the disc and facet joints start sharing more load and hence the back pain. The best option is to start physiotherapy, do core exercises, planks, bridges, superman position cat camel, clamshell, etc. You will get videos on the internet if you cannot go to a physiotherapist. Avoid sitting for more than 20 minutes at stretch. Preferably use a standing desk. Take a course of anti-inflammatory tablets and apply ice and pain gels though not together. Come back after three weeks." + }, + { + "id": 23049, + "tgt": "I am anxious after protected sex with unknown partner. What tests are to be done?", + "src": "Patient: Hi doctor, I had protected sex with an unknown partner 10 days before. I would like to know if I would have contracted HIV and want to take the tests. I did not do any oral sex but kissed her a couple of times on her lips and it was not so deep and she did blow job to me a couple of times. Kindly suggest what can be done here to test, I am really anxious on what to do next to come out of this anxiety. I am having migraine now and used to have arthritis and it continues to be the same. I do not have any fever or sore throat or anything. Doctor: Hello. As you had oral kiss, a risk of HSV (herpes simplex virus) maybe there. Chances of HIV is least to nil as you had protected sex. If no other symptoms except persisting migraine and gastritis, you can wait. I do not think you have any risk of HIV. Still, if you want, in 7 to 10 days ELISA, on 15th day RNA PCR, on 28th day fourth generation CMIA kit test which is most authentic and 99.9 % accurate. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17001, + "tgt": "I have a terrible jock itch. How can I be treated?", + "src": "Patient: Hello doctor, I am a 30-year-old unmarried male. I am sexually active and I have been using commercial sex workers for the past few years. However, from last year, I started myself getting tested regularly for different STD infections etc. and all my reports have come negative. I have got HIV 1 and 2, hepatitis B, syphilis (VDRL) and HSV 1 and 2 tests done. The point of attention is the recent test result that I just got today. My HIV, hepatitis B, VDRL are all negative as usual. My HSV 1 IgG, HSV 1 IgM, HSV 2 IgM are all negative but my HSV 2 IgG is positive with a value of 3.61. Also, another problem is this specific jock itch type of infection that I am facing for the past two months. It itches terribly. I have tried all creams like itch guard, ring guard etc. but I get relief only by applying Betadine ointment on it two times a day. Betadine is helping me to ooze off my terrible itch in that area but the condition of the skin and symptom of the infection is continuously going on. I have clicked snaps of all my test reports and also I have clicked about three pictures of my infection in my thighs close to my penis. I am sending all these pictures in a hope that you would treat me only to have let me get a kind true genuine consultation. Please go through these pictures of my infection and all my test reports and then please answer my queries. Do I have active herpes? Can I transmit herpes to my future wife? Can this infection go to my child when I impregnate my wife? Can this herpes IgG count of 3.61 be forced to roll back to below 1.20 so that I can become normal using some medicines? What is this infection in my thigh area? Can it be cured permanently? What medicines and ointments etc. will I have to take to solve my problem? Please go through my questions, reports, and snaps nicely and then let me have your expert opinion. Doctor: Hello. I have gone through your reports and clinical photographs (attachment removed to protect patient identity). Best regards. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 6232, + "tgt": "As I am diabetic and hypertensive, I am concerned about my albumin-creatinine ratio. Please help", + "src": "Patient: Hello doctor, I am a 30-year-old male. I have diabetes and hypertension. I am taking the following medicines. Telpres 40 twice a day, Zomelis 50 mg/1000 mg twice a day, and Etilaam S- 10 once in the night. Yesterday I did a microalbumin-creatinine ratio test which is 67:93. Is this ratio high? I am worried about it. Please help. Doctor: Hello. ACR (albumin to creatinine ratio) of 30-300 equals what is called microalbuminuria. It is an effect of diabetes on the kidney. Telmisartan is a good treatment for it. Good control of diabetes, and also good control of blood pressure (below 130/80 mmHg) are mandatory to avoid deterioration. Follow up of this test is recommended every three months as long as it is 30-300." + }, + { + "id": 3921, + "tgt": "I feel some grain like sensation in throat. Is it neurological issue or GERD?", + "src": "Patient: Hello doctor, I have a feeling of mucus or something in my throat for the last three weeks. For a week I had a feeling of swallowing issues, where I felt not all of it was sticking to my throat. Now that sensation has more or less gone away, I still do feel like grain in my throat after finishing the meal. I have a lot of dry coughs and my throat feels like irritated constantly. I am not sure if its due to GERD or LPR. I am taking Prevacid 30 mg since last week. I am not sure if that is the reason for my swallowing getting better, but the sensation is still there. Now I am worried that this could be some neurological issue. I am going to see an ENT, but that is a month from now. My question is how is muscle weakness of the throat diagnosed? Is my issue more of an indication of some neurological issues or anxiety and GERD? I also feel like the mucus or the foreign object sometimes interferes with my breathing. When I am tensed or anxious it feels like a ball, when I am calm I do seldom feel it. But when I take a big swallow I feel something in the middle of my throat. I have done an endoscopy, pH and manometry test which does not show much. My doctor diagnosed me with IBS. Doctor: Hello, Welcome to icliniq.com. The symptoms you are experiencing classically fit into globus pharyngeus. Manometric studies, endoscopy being normal, organic causes are ruled out. Hypo or hypomotility disorders would present in a typical manner and manometric studies would have shown something. Neurological or neuromuscular afflictions would have other symptoms. Globus sensation can be a headache to deal with. Nervous dyspepsia, IBS (irritable bowel disease) globus sensation are all parts of a spectrum of conditions involving gut-brain axis. Cutting down on anxiety is of prime importance." + }, + { + "id": 27918, + "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": 25412, + "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": 2411, + "tgt": "After getting hot water flush, my ear pain worsen. Is this ear infection?", + "src": "Patient: Hello doctor, I had an aorta aneurysm removed four weeks ago. While in the hospital and rehabilitation, I complained of my ear hurting. I often collect ear wax, so I thought that was the problem. Now that I am home and have a CNA and therapist helping me get stronger, the ear pain is the only pain I have. She put Debrox and Hyland\u2019s earache drops in my ear. She flushed the ear with warm water for two days. The pain is so bad that I can hardly eat because chewing hurts. It hurts in my mouth too. I have been putting saltwater in, but it does not seem to help. Might I have an ear infection? I am not well enough to go to an ENT\u2019s office, and I am not sure if they are open. Any advice you can give would be greatly appreciated. Doctor: Hello. It is likely that you have developed otitis externa following wax removal. Syringing often leaves some moisture in the ear and this provides an ideal medium for fungi to grow in. Do you have pain while touching your tragus or moving your pinna? If you have severe pain then you may need analgesics. It would be better to use Paracetamol 500 tablet as and when required. You can also use ear drops containing (Clotrimazole, Neomycin or Ofloxacin, Beclomethasone, and Lidocaine) eg. Candibiotic ear drops. If there is visible swelling or redness of the ear canal you can also use a topical ointment like Mupirocin cream with a q tip twice or thrice a day. Hot fomentation around pinna also helps in reducing pain and inflammation." + }, + { + "id": 13980, + "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": 18200, + "tgt": "Mantoux test is positive. Am I suffering from tuberculosis?", + "src": "Patient: Hi doctor, I had pulmonary tuberculosis in my teen age. After a full course of ATT, I was recovered and no findings on sputum and x-ray. Now, I am 30 years old. I have left lower abdomen pain since two to three years. But, it is not severe. The pain is intermittent and often relieved by passing stool. My gynecologist advised me for Mantoux, which came out as positive. I am planning for a baby for three months. My menstrual cycle is fairly regular with an interval of 21 days and I have dysmenorrhea since my menarche. Am I suffering from genital tuberculosis? Doctor: Hi. Mantoux positive is showing sensitivity to tuberculin antigen. It is a screening test and not a confirmatory test. If it comes positive, then do TB PCR (tuberculosis polymerase chain reaction) for confirmation. If that too comes positive, then it means there is a chance of genital TB and you have to take treatment for it for around four to six months accordingly. If TB PCR is negative, then you do not have to worry. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11398, + "tgt": "As I have gallstones, is it mandatory to undergo cholecystectomy before planning pregnancy?", + "src": "Patient: Hello doctor, I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years which were not typical of gallbladder pain because the pain was more located in the center and lower abdomen. But the intensity of the pain was severe and was associated with nausea, and vomiting which relieved only after taking intramuscular painkillers. Doctor: Hello. I have gone through your case and reports (attachment removed to protect patient identity). This looks like a symptomatic uncomplicated gallbladder stones. Even though you say that the symptoms have not been typical of biliary colic but the repeated episodes of pain, need for parenteral analgesics, and no other attributable cause leads to consider gallbladder stones as the cause for your pain. Without surgery, there is 50 % chance of recurrent pain episodes per year, 2 % chance of biliary complications per year, and 30 % will have no further pain if there was only one episode of biliary pain previously. The best option in this situation is laparoscopic cholecystectomy especially if you are planning a pregnancy. Since during pregnancy, the risk of recurrent pain and complications are higher. The other issue is that risk of surgery in the first and third trimester is significantly higher with the preferable period for surgery in pregnancy being the second trimester. You can consider medical dissolution therapy of gallstones but the efficacy is 30 to 49 %. And this is mainly based on the unimpaired motor activity of gallbladder, which has to be assessed before therapy (only with good motor activity of gallbladder the efficacy of 30 to 49 % can be predicted). The best option in your case is laparoscopic cholecystectomy." + }, + { + "id": 30552, + "tgt": "How to correct PIVD and nerve compression?", + "src": "Patient: Hi doctor, I am an army man. I am having PIVD L4-L5 and neural compression at L5-S1. I have a little numbness in my left leg and I do not have any control on my left big toe.\u00a0As of now, my doctor has recommended for surgery. I need your opinion on this case. Doctor: Hello. For further information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 3176, + "tgt": "After I stopped smoking, my throat is quite sore. Why?", + "src": "Patient: Hi doctor, I am an 18-year old male and recently I had stopped smoking and now my throat is sore. Is it something serious? I have been smoking for four months. Doctor: Hello. With the conversation, I understand you are an 18-year-old male who started smoking four months back and now quit it recently. However, you are suffering from throat pain now. My assessment is that the sore throat is just a throat infection. It has got nothing to do with any cancer if that is what you are worrying about. The throat pain may have got aggravated by the smoke and the agents in it. Kindly follow these suggestions. 1. Hot salt water gargles daily thrice. 2. Steam inhalation. 3. Take plenty of hot fluids like soup, rice water, etc. 4. Take all the foods hot and warm. 5. Avoid cold drinks, alcohol, cold foods, outside foods or drinks. 7. Do not smoke again. If after the precautions told above still you have no improvement kindly consult an ENT surgeon who will look into your throat and check if there is anything wrong. He will arrive at a decisive diagnosis and institute the right treatment that will help you get rid of the problem. A note on smoking: Now that you have quit it kindly hold on to it. It is easy to get back to smoking due to peer pressure and friends. However, once you become addict to it there is no going back. Also, it takes a few years for the damage to the lungs and throat to become severe enough to cause cancer. However, only if you have a strong will power will you be able to quit it completely once you restart your habit. I hope this helps." + }, + { + "id": 1859, + "tgt": "I have a small palpable swelling under the right side of my jaw. Please help", + "src": "Patient: Ten days ago, I was eating some soup when some got under my tongue and I felt a sudden sour twang through the right side of my mouth and jaw. It gradually subsided in intensity and I examined the inside of my mouth for any tender areas or asymmetries under my tongue. There was a very slight swelling of my submandibular duct on the right side, but no tenderness or anything strange palpable. Later that night, I was eating some chips when I noticed rapidly increasing discomfort in my right jaw, earache, and pain when swallowing. I felt my throat and discovered a golfball-sized swelling under my right jaw. On the advice of my father (who said it sounded like a blocked salivary gland, and said he recently had one as well), I used warm salt rinses and external warm compresses. Within a short period of time, the swelling reduced by about half, and with repeated rinses, gradually reduced over the next day until it was minimal. Since then, I have still had a palpable asymmetry when feeling both sides of my jaw, and my submandibular gland has not returned to its ordinary size. Last night, I felt discomfort in that area and realized on examination that it was beginning to swell again. I quickly used more salt rinses and a compress, and the swelling stopped, but it remains a bit more enlarged than it has been over the past few days. This morning, it seems to be fluctuating slightly in size, but I hit it with more salt rinses and compresses and it appears to be stable for now, though with a slight referred earache. The submandibular duct has not seemed particularly swollen since shortly after the first day of symptoms, when I noticed a small white spot forming at the head of the duct, which disappeared shortly after using salt rinses. I infer that this may have been a very small salivary stone pushing its way out. I have been eating and drinking somewhat infrequently for the past few weeks due to a major housing disruption that has only recently been resolved, so it's my hope that, due to a combination of dehydration and infrequent stimulation of the salivary glands, I may simply have developed some small salivary stones that could resolve on their own if I am diligent with salt rinses and compresses. At no point have I had any sort of fever or foul taste in the mouth, nor any symptoms in any other salivary gland besides my right submandibular gland. I also recall eating some hard, sharp food 10-11 days ago that had cut my gums here and there through miscalculated bites, so it also seems possible that I traumatized the duct at that time, although it's strange to me that swelling would be recurring now after relative reduction of symptoms for over a week (though as I noted, the gland has never fully returned to a non-palpable size even at its best). I suppose it must sound like I've self-assessed the situation reasonably well, but due to the recent resurgence of symptoms (which I confess may be due to getting lax with salt rinses or proper hydration), I just wanted to seek some qualified medical advice as to whether I'm doing the right things so far, and at what point I should seek treatment if it doesn't completely subside. The only local ENT is not available by referral for 6-10 months, so my only alternative would be to go to the ER for assessment or attempt to find a general practitioner in the area (we just moved here, so we had to leave our old GP behind). Both options are bad for exposure, given the current pandemic, and my wife is a very high risk individual, so I'm doing my best to limit exposure unless I can't help it. Thank you for listening, and for any advice you can lend! Doctor: Hi! You have assessed the condition in the best manner any patient could do! So considering the problem out there, like you have rightly put it , looks like we are dealing with an infected gland/ sialolith or a traumatised duct. In all three cases, I suggest you to follow the advice mentioned below 1. Hydration is the key, keep drinking 5 to 6 litres of boiled warm water every day whether your thirsty or not. 2. Salt water gargles @8 to 10 times a day for 1 month will definetly go a long way 3. You can consider antibiotic clindamycin 300 MG three times a day for 5 days. This antibiotic has the property of getting excreted majorly through the salive and majorly reaches the salivary glands a shade more than other antibiotics. 4. Please eat on time, spicy, oily and junk food have to be avoided at all times for the next one month. 5. An ultrasound of the glands is definitely mandatory to see if there is any Impacted stone, parenchymal issue etc, but to be done only once the pandemic subsides. (Considering that you shouldn't be going to hospital for risk of acquiring an infection) 6. This will take a while for it to subside, but chiefly depends on how much you happen to follow the above advice! Hope this helps, get well soon!" + }, + { + "id": 5618, + "tgt": "How to find the root cause of extreme fatigue?", + "src": "Patient: Hi doctor, I am a 31 year old male. I am managing an IT company. I have suffered from periods of extreme fatigue for the past one and a half year.\u00a0The first period of fatigue was one and a half year back and it lasted for around 18 days. Then I felt fine for the next five months. From then till today I have had one to two weeks of fatigue followed by one to two weeks of fine feeling.\u00a0During these fatigue periods, I sleep an average of one extra hour each night. I get very little work done. I do not have the energy to exercise (which I have always enjoyed). I have no physical or mental energy and brain fog. This is something I have never experienced before.\u00a0I have attached the blood test results. Abdominal ultrasound and chest x-ray are also done with normal results. My weight is normal and I eat a healthy varied diet. I supplement with fish oils. I do not work very much and I do not feel stressed. My blood pressure is normal. Physical examination was done at doctor\u2019s office. The two doctors I have seen cannot find any problem, but something is clearly wrong with me. What do you suggest me to do next to find the root cause? Doctor: Hi. Revert back with the answers for the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29632, + "tgt": "The IgG values on TORCH test are high. When can we plan pregnancy?", + "src": "Patient: Hi doctor, My wife was pregnant last year, but we had to drop.\u00a0After dropping pregnancy, we consulted our gynecologist and he suggested us to have TORCH test. The result of TORCH before eight months was\u00a0rubella IgG 40.62 and IgM\u00a00.62, CMV IgG 8.89 and IgM 0.28 and herpes IgG 2.97 and IgM\u00a00.56. We had some medicines and had the TORCH test\u00a0again after three months. The results were rubella IgG 59.95, CMV IgG 7.46 and herpes IgG 5.09. We continued the medications and recently had a test. The results are rubella IgG 40.62 and IgM\u00a00.6, CMV IgG 9.46 and IgM 0.82 and herpes IgG 3.97 and IgM normal. We are now unable to understand the report. Please suggest whether we can plan a pregnancy or not? I am only taking multivitamins and Folic acid. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12944, + "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": 9884, + "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": 21642, + "tgt": "I have developed multiple cavities in eight months though I brush well. Please advise", + "src": "Patient: Hello doctor, I am convinced that I have a lot of cavities. I was inspecting my teeth the other day and I have multiple points of concern and I am now afraid to get to the dentist. I have my six-month cleaning in days and I am anxious. I have two small smooth dots on two teeth on the side. Is this a cavity or is it possible for it to be treated with fluoride and dental cleaning? On another tooth, I am pretty sure it is a cavity because it is a tiny hole on the smooth surface on the side of the tooth. I try to take care of my teeth and when people look at them they are not bad. Besides, my front bottom teeth are a little shifted but my teeth look fine to others. I am also disappointed because I thought I have been doing a lot better brushing my teeth since my last appointment. I had one cavity during my last appointment. And diet wise nothing has changed much since then. I just do not understand how I could have multiple cavities now considering my diet has not changed and I feel like I have been brushing better. Doctor: Hi. The black dots would be the carious lesions. It does not matter if you take much care and do regular brushing, with time the carious lesions increase in the dental arch. You need to get it filled by a dentist as soon as possible. The multiple carious teeth happen because of many conditions, for example, dryness of the mouth. The brushing of teeth before sleep is the most important one. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29404, + "tgt": "Is there any correlation between my blood report and hair loss?", + "src": "Patient: Hi doctor, I have substantial focal hair loss. Three blood tests have been taken, and the results are high in SHBG, but normal levels of testosterone. I am not on the contraceptive pill or any other medicine aside from DHEA, which was recently prescribed. DHEA low and proteins are also low. Is there any correlation between these results and my hair loss? Hair loss is entirely on the back of the scalp. Doctor: Hello. Revert with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29566, + "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": 27140, + "tgt": "Is it safe to breastfeed two weeks after chicken pox?", + "src": "Patient: Hello doctor,It has been 16 days since my sister was diagnosed with chicken pox. All the scabs have vanished. She had temporarily stopped breastfeeding her 6 month old baby. Can she start feeding the baby again? Doctor: Hello. for more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15761, + "tgt": "I suffer from sports hernia or Gilmore's groin. Please suggest some medicine to cure it", + "src": "Patient: Hi doctor, I suffer from sports hernia or Gilmore's groin. I have severe pain at the sphincter of the inguinal canal and scrotum. Please suggest some medicine to cure it. Doctor: Hi. Gilmore's groin needs surgical treatment, or it is best to restore the torn ligaments of the inguinal canal. Medications reduce pain temporarily. You should consult a surgeon soon for treating the condition. Other conditions like cord swelling and orchalgia have to be ruled out." + }, + { + "id": 17995, + "tgt": "A swollen bottom jaw is preventing the denture from release. What should I do?", + "src": "Patient: Hello doctor, I am three days postop from a full mouth extraction with immediate dentures. My upper dentures are wonderful. But my bottom jaw has swollen very badly and I cannot get my bottom denture off. It is stuck due to swelling. I am so afraid of infection. What can I do other than ice and heat to get swelling down so that I can clean my denture and suture? Bottom jaw has swollen and is preventing bottom denture from release. I am currently on Percocet, Ibuprofen, and Amoxicillan. Please help. Doctor: Hello. Generally, after insertion of an immediate denture, the patient feels numb and somewhat swollen from the local anesthetic and not really able to tell much about the comfort of the denture base and the fit of the denture teeth against the opposing jaw and teeth. Expect several appointments with the dentist during the healing period as the swelling goes down and the denture base settles. Your bite will change and need to be readjusted. The more teeth removed at the time the immediate denture is delivered, the longer it will take to heal and the more sore spots you will have. An immediate denture generally helps in the healing of extraction socket uneventfully. Generally, after extraction, some swelling do arise and because of that, you are not able to remove the denture. Just let me know if there any pain in the attempt to remove the denture or is it stuck as you are not able to remove it? If there is pain and if you feel redness and swelling in gums area, there are chances the area is a little infected. You can use over-the-counter surface antiseptics like Dologel (Choline Salicylate and Lidocaine Topical) or Metrogyl (Metronidazole) to apply locally and do warm saline gargles or rinses as frequently. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You can do to get rid of the infection and keep the area clean. If after this also the infection is not coming down, I would recommend you to visit your dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9692, + "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": 18864, + "tgt": "Why do I have sleep problems when not on melatonin supplements?", + "src": "Patient: Hello doctor, I am a 32-year-old female and overall in good health. Starting last month quite suddenly, I started having insomnia issues. The symptoms were difficulty to fall asleep, sensations of adrenaline, waking up scared when falling asleep, a sensation of weakness or numbness in both arms, mental agitation, restless legs syndrome, falling asleep late, waking up several times per night, unable to get back to sleep and having very vivid dreams. I just felt very weird altogether. I had this pretty bad for about a week last month then starting feeling a bit better with just one to two wakes during the night usually around 4 to 5 a.m. At the end of last month, I started taking melatonin supplements before going to bed, around 1.5 mg before going to bed and it made me sleep very well. I fell asleep within 40 minutes of taking it and then sleeping well throughout the night. Yesterday, I stopped the melatonin since I did not think I was supposed to take it for a long time and I had a horrible night. I woke up six to seven times, staying awake between 10 to 40 minutes each time, dreaming very vividly, being aware that I am dreaming while asleep, did not feel like I managed any deep sleep at all. I do not know what exactly is the matter with me. I am now fearing sporadic fatal insomnia and that is not helping things at all. I feel very distressed now.A bit about my context. I am a mother of a 1-year-old who sleeps in the same room with me, but he sleeps well throughout the night. I do check him whenever I wake up from sleep. I have done that since he was born but only had insomnia in the last one to two months. I am a bit stressed with all the work involving staying at home with the small child but nothing extreme. Last summer, I started having migraine with an aura all of a sudden during the stresses of starting solids and having to employ my non-existing cooking skills. I had an MRI and an angiogram and it was clear. I was diagnosed with migraines with aura and had a few of them for a few months and then they seemed to have stopped two months later. In the last three to four months, I also started having occasional hypnagogic and hypnopompic hallucinations with visual patterns appearing, pulsating with my own pulse and.or rotating my vision. I can only see them when there is dark and they disappear in about 5 to 20 minutes.I also have autoimmune hyperthyroidism, which only occasionally acts up. I have had this for 13 years. I only take medications when my thyroid acts up. I never had insomnia with this condition and I do not feel like being hyperthyroid at the moment with normal pulse, not a lot of anxiety, no panic attacks, not losing weight but I will check it tomorrow just in case. However, even if I am hyper, I would still not be sure the insomnia is related to that since I never had insomnia as a result of my thyroid condition. I have no one in my family with fatal insomnia, but my mother did have insomnia as a result of her anxiety and depression. This started when she was over 40. I do not have depression and have only mild anxiety related mainly to this new onset insomnia. First of all, can this be sporadic fatal insomnia because this scares me a lot during the night? Also, can this be some sort of psychosis or whatever? Something neurological? During the day, I feel and function normally. Today I do feel especially shaken up and feel unusual. What else can this be? Is the melatonin working well for me? What should I do? Any advice? Doctor: Hello. If you are suspecting something like sporadic familial insomnia, it is wise to see a neurologist with your specific complaints. This is because it is very difficult to diagnose on the basis of symptoms only. It needs investigations like genetic analysis and sleep studies to confirm. My advice would be to not get overly anxious but to see a neurologist and get investigated properly. Also, melatonin is completely natural and safe and if you were feeling so relieved with it, it is wise to continue it for now. Consult your specialist doctor, discuss with him or her and with their consent take it. For more information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 27520, + "tgt": "I have a skin tag near the anus and it is painful to excrete. Please help", + "src": "Patient: Hello doctor, I have recently got a skin tag near the\u00a0anus. It is painful to excrete. There is a pain the whole day and there\u00a0were even blood stains once. I am really scared and embarrassed too. Excretion has become a\u00a0scary thing for me now. Please tell me how to solve this problem. Doctor: Hello. From your description, it could either be an acrochordon (skin tag) or a filiform wart. It can be confirmed only after examining. For skin tags, no creams or tablet will help resolve the issue because a skin tag is an extension of the normal skin. The treatment option would be an excision by a dermatologist under local anesthesia. No down time is required to recover after the session. Ensure you do not pick it, as that can induce a secondary damage around the fragile skin of the anus. It is curable. So do not worry. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 15618, + "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": 27164, + "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": 13100, + "tgt": "Can Xanax cause depression, insomnia, and anxiety?", + "src": "Patient: Hello doctor, I have been taking 0.5 mg Xanax for sleeping most nights for the past 2 to 3 months. I bought it myself and took it to help me sleep. I have started trying to stop, or take less, and have noticed feelings of depression, insomnia, feeling anxious, and an aching neck and jaw and feeling tense. I went to see my GP but did not mention the Xanax. He prescribed 50 mg of Sertraline. Should I take the Sertraline? Do my symptoms sound like Xanax withdrawal? And how can I come off the Xanax more easily? Previous history of the same issue: I have taken Zoloft before, 50 mg, for about a year, three years ago for mild depression. Doctor: Hi. Yes, during withdrawal from Benzodiazepines, people do feel the problems you are facing currently. Yes, they are withdrawal symptoms. Sertraline was prescribed because your GP suspected depression. If you already took this medicine in past, you can again start it now. To come off of Xanax, it would be better if you tell your GP truth about it. He would taper it off gradually and stop it." + }, + { + "id": 4227, + "tgt": "What is the outcome of my mother's MRI report?", + "src": "Patient: Hi doctor, My mom is 55 years old. We met with a car accident. She got hit near eyebrows and so far she is on the safer side. She does not have any symptoms such as headache, paralysis, etc.\u00a0Our doctor suggested a CT scan of her head. In the report they found some white matter which is not clear with CT scan report. So, again doctor suggested for MRI with contrast. In the report they have mentioned that bilateral asymmetrical T2 or FLAIR hyperintensities in subcortical frontoparietal and deep white matter suggesting of small vessel ischemic more than expected for the patient's stated age. Please explain the above. Doctor: Hi. We are here to help you. Revert back with the investigation report to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9455, + "tgt": "How does a cystic structure differ from a cyst?", + "src": "Patient: Hi doctor, I had a CT scan of the abdomen and pelvis with IV contrast. The radiologist report is as follows. The findings are as follows.\u00a0There is a 0.9 cm cystic structure in the uncinate process, which is new since the comparative examination with the last year scan report. This should be further evaluated with endoscopic ultrasound. Cavernous hemangioma in the right hepatic lobe. Cholecystectomy. Left renal cyst and angiomyolipoma. There is no adenopathy. Mild degenerative changes in the spine and hips. The impression is new cystic structure in the uncinate process of the pancreas, maybe an IPMN. Endoscopic ultrasound is recommended for further evaluation.\u00a0My doctor just scheduled an endoscopy for me.\u00a0I would like to get an explanation of IPMN and the percentage that it can turn malignant. I also want to understand how a cystic structure differs from a cyst. I am 55 years old. My father died of pancreatic cancer when he was 73. My mother had a pancreatic insulinoma. Are there any specific questions that I should ask my doctor during the follow-up visit after the endoscope? 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": 2682, + "tgt": "Will tetanus vaccine act against Coronavirus?", + "src": "Patient: Hello doctor, Is there possible of tetanus vaccination as a prevention of Covid-19? I know that tetanus is caused by bactrim but Covid-19 is caused by Coronavirus. Doctor: Hello. You must not use tetanus for Covid 19 (Coronavirus) prevention. However, you can wash your hand after touching anything which might be infected. It is advisable to stay inside the home or keep yourself isolate at least for three weeks. The vaccine is always prepared from the disease bacteria with carefully removing the virulence factor (toxin) removing that normally helps to get from that particular bacteria or virus which was used. Our researchers are trying their best to find out the possible treatment and vaccination for current illness (Covid-19), until then please keep yourself isolate and stay away from the crowd and wash your hand appropriately, avoid touching your face, nose, and mouth without washing at least one minute with running tap water (use soap for better result)." + }, + { + "id": 30316, + "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": 10632, + "tgt": "What could be the cause for the burning sensation on my waist?", + "src": "Patient: Hello doctor,I have a burning sensation on my waist. Please tell me what could be the cause? Doctor: Hello. Your HVS (high vaginal swab) was negative, so I presume it did not have discharge. Have you done a pelvic scan because if there are infection and collection at the pouch of Douglas, you may not see a visible discharge. Do you have a regular menstrual cycle, like a predictable cycle? The pain you get around be the time of your ovulation could be a sign of an ovarian cyst, pains of the cyst come towards ovulation. Try to do a scan and get back to me through this platform. I may prescribe some antibiotics and analgesics for the pain you can get Ciprofloxacin, Flagyl (Metronidazole) and Doxycycline and take them for seven days, Ibuprofen 400 mg b.d (twice daily) for four days." + }, + { + "id": 30063, + "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": 330, + "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": 4998, + "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": 152, + "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": 20166, + "tgt": "Can herpes cause feet neuropathy?", + "src": "Patient: Hello doctor, I have developed feet neuropathy, primarily the right foot from the past one year. The symptoms went away six months back but returned a month back (burning, tingling, etc). I suffer from high blood pressure and anxiety. The neurologists could not find the cause after all tests. I tested negative for HIV but tested positive for herpes 1 and 2. Can herpes cause this? It has been so long since I had these symptoms. Doctor: Hello. It is less likely that your symptoms are related to herpes. Herpes infection does not usually lead to such a clinical situation. Besides, a positive test does not always indicate an active infection. The fact that your tests resulted in positive means that you have gone through this infection in the past. In fact, herpes 1 is a very common infection (almost everyone has gone through it). So, I do not think that your symptoms are related to these types of infections. In many cases, no cause of peripheral neuropathy is found (idiopathic peripheral neuropathy). Regarding the pain and burning sensation, I would recommend starting treatment with Pregabalin or Gabapentin. Another possible treatment option would be Duloxetine. I would also advise you to be active. Physical therapy can help improve your clinical situation. You should discuss with your doctor about the above treatment options. For more information consult a neurologist online.--> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10544, + "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": 2961, + "tgt": "Will Lamotrigine taken for tonic-clonic seizures cause repetitive strange thoughts?", + "src": "Patient: Hi doctor, I have been diagnosed with temporal lobe epilepsy following a Tonic-Clonic seizure before nine years. From then before two years I was seizure-free having been put on Lamotrigine. Before two years I had another TC seizure and my dosage was raised (cannot remember the dose precisely), and I was seizure-free for almost a year when I had another TC seizure. At this point, my dosage was raised again to 125 mg twice a day. Despite this, I have had a number of absence seizures. This seizure was followed by a 24-36 hour period of not just extreme tiredness but very strange mental sensations, including what felt like a rush of intelligence as well as frequently repeating thoughts and unexplainable strange thoughts (not distressing - more like feelings of another time as well as what I guess are best defined as nonsense, thought trains about advanced concepts such as genetics or psychology). Following this, I had an MRI which reported nothing abnormal, say for a small number of tiny foci of T2 hyper-intensity within the all white matter of both hemispheres, non-specific. The areas of the left frontal lobe where there has been previous EEG evidence of epileptogenic focus were normal. All of the above paragraphs is directly quoted from the radiologist's letter to my GP. Since then, I have had two absence seizures with similar post-seizure symptoms. My Lamotrigine dosage has increased to 200 mg twice a day. Now I am having regular nocturnal seizures (two to four weeks), which leave me similarly confused and with the same weird thought patterns. I had one about three days ago where these symptoms were particularly acute, and have worried me greatly. In all cases, I recovered quickly and found sleep to be a major contributing factor to my recovery. Now, just over 48 hours since my last seizure, these symptoms have again subsided. They have occasionally appeared prior to seizures, making me think they are auras, but they do not seem to be anything like the aura descriptions I have read about. During a recent appointment with a clinical nurse, I was put on a new prescription of Brivaracetam (2x 25 mg) alongside the current Lamotrigine dose. I have yet to begin this. The fact that there is a little reference online to these symptoms is quite distressing to me, particularly given how bizarre they are. Are these potentially a result of the point of epileptogenic focus? Might they be a reaction to the Lamotrigine? My current medications are Fluoxetine 40 mg per day, Atorvastatin 40 mg per day, Metformin 2 x 1000 mg, 10 units insulin Glargine, Lamotrigine 2x 200 mg, Brivaracetam 2x 25 mg (yet to commence). Doctor: Hi. As per the given information, I can understand that these symptoms are the effects of seizure, and unlikely to be due to Lamotrigine. The primary goal of the therapy is to control seizure episodes for which you have been prescribed Brivaracetam, you must start the new medicine along with the old one, with which the symptoms must go. MRI (magnetic resonance imaging) scan may not reveal epileptogenic focus other than hippocampal sclerosis and some volume loss. The best way to find epileptogenic focus would be EEG (electroencephalogram), if possible can be done later if seizures are not controlled with the prescribed medicines." + }, + { + "id": 27349, + "tgt": "I have pain and redness of penis. Please help", + "src": "Patient: Hello doctor, The outer skin of my penis looks reddish. I also have pain at the point where the penis is attached underneath the foreskin. I do not have a problem with erection. Please\u00a0suggest medicines. Thank you. Doctor: Hello. Regards. Revert with more information to a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 14065, + "tgt": "Kindly explain the reason for dull pain and pressure in lower right abdomen", + "src": "Patient: Hello doctor, I have dull pain and pressure in my lower right abdomen for about six months which worsens while sitting. There is kidney pain while running. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. As you mentioned that you are having abdominal pain from a long time, I suggest you get evaluated properly. Chronic abdominal pain that too on right lower has many causes. It may be related to some disease of the gastrointestinal tract or urinary tract or some muscular problem. Disease of small intestine involving ileocaecal junction like ileitis, typhoid ulcers, inflammatory bowel diseases, a disease of large intestine like colitis, IBD, a disease of the kidney and urinary tract like stones in the kidney, ureter, etc., can cause pain in the right lower abdomen. The pain related to the kidney is generally dull aching and present in the lumbar area and it can increase with activity. Sometimes, a muscle spasm can also cause severe pain which increases with activity. In my opinion, you need an ultrasound of the abdomen and pelvis to confirm the diagnosis. As your problem is a chronic one you need to consult a surgeon and get your ultrasound done." + }, + { + "id": 12300, + "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": 21118, + "tgt": "Please suggest tablet without any complication to prevent pregnancy after sex", + "src": "Patient: Hello doctor, We are a newly married couple and had sex two days back without any prevention from pregnancy. Could you please suggest any prevention tablet which can prevent the pregnancy after sex without any side effects? Doctor: Hello. If you wish for emergency contraception then you can opt for an emergency contraceptive pill like I-pill or Unwanted 72 (single dose), which is to be taken within 72 hours post intercourse to prevent any unplanned pregnancy. Post intake, the withdrawal bleeding usually starts in next 5 to 7 days and it indicates that she is pregnancy safe. The most common side effect which this pill has is delayed next 1 to 2 cycles and often mild headache and lower abdominal pain due to its progesterone effects. However, this can be controlled by increasing water intake. Also, until withdrawal bleed is seen, please follow barrier contraception." + }, + { + "id": 10748, + "tgt": "My penis is paining on retraction with some red dots on the tip. What to do?", + "src": "Patient: Hello doctor, I had been suffering from this problem from last one week, as I retract my penis outer wall, it is paining and slightly swollen, also the tip of the penis has red small colour dots on it and it is scratchy and painful. So please recommend for necessary action. Doctor: Hi. It is looking like candidal balanitis. Please take the following medications and revert back to me in seven days. Tablet Intawin 200 mg daily for 10 days, Canestan lotion, apply twice daily, tablet Teczin M once daily." + }, + { + "id": 16785, + "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": 6691, + "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": 13861, + "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": 13368, + "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": 29840, + "tgt": "Is there any permanent cure for recurring skin infections?", + "src": "Patient: Hello doctor, I have a chronic problem for the past six to seven years. I have the problem\u00a0itching in all the skin folds and the pressed areas like under the belt including genital areas and anus. I showed the same to a\u00a0doctor and he diagnosed this as eczema and fungal infection.\u00a0The doctor prescribed some Tablet AF-300 or AF-150 for a few days and also the creams like\u00a0Ebernet\u00a0for the night usage and Sofradex-F for morning application on the affected areas. I continued the same for around a month, which cured the problem at that moment. But, this problem is recurring again and again and not getting cured permanently. Whenever I face the issue I use the above topical creams for a few days and it cures the problem temporarily to recur again after a few days. I also have a morning cough issue for many years. Can you please guide me for a permanent cure of these problems? I am currently using\u00a0Onabet cream for the last seven days both in the morning and in the evening. Doctor: Hi. Fasting and postprandial blood sugar. 1. Intertrigo. 2. Tinea (ringworm infection). Consult your specialist doctor, discuss with him or her and follow the treatment with consent. 1. Continue Onabet cream for two more weeks. 2. Tablet Levocetirizine 5 mg once daily after dinner. 3. Novale soap (Ketoconazole) for the bath. 4. Abzorb dusting powder (Clotrimazole) daily at night in all the body folds. 1. Avoid tight clothing. 2. Avoid activities with excessive sweating. 3. Weight reduction measures if overweight. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12614, + "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": 19888, + "tgt": "My son is having fever,chest pain,diarrhea and loss of appetite. Is there any solution for that?", + "src": "Patient: Hello, I want to confirm about some health issues of my son. He is a 19 year old \u00a0boy, his weight is 46 kg and his height is 5 feet 5 inches. He is having \u00a0fever, chest pain, back pain, diarrhea, weakness, complete loss of appetite, sore throat and bloating for the past 7 days. So, I took him to a doctor, he had prescribed some medicines and given some tests to do. You can see the attached pictures here. In that, some values of the tests are on border levels and some are on extreme levels. Please take a closer look at these test reports and\u00a0tell me if there is anything serious to worry about. And now, the fever has gone completely, but he is having sore throat and diarrhea again from yesterday.\u00a0Is there any solution for that? Kindly give me a detailed answer about my son's health. Doctor: Hi. I have read through your query in detail\u00a0(attachments removed to protect patient identity)\u00a0and my observations are: Following are the medication details: Hope my answers done with your questions. Kindly follow up with a general practioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11127, + "tgt": "Should I discontinue the products containing coco-glucoside if I am allergic to coconut?", + "src": "Patient: Hello doctor,I always have dry, sensitive, and irritated skin. My entire life, I have been severely allergic to all nuts and tree nuts. I also have a small allergy to coconut. I notice that all of the skincare products and shampoos I have contains Cocamidopropyl betaine or coco-glucoside in them, which are derived from coconut. Should I discontinue using these products? Doctor: Hello. Allergies are the condition in which your immune system becomes hypersensitive to foreign particles or substances like pollens, dust particles, mites, pet dander, some foods, and medicines, etc. Your immune system is a protective barrier to allergens, which causes harmful effects to your body. So you should be aware of this and try to know elaborately about those factors or allergens which causes itching, trouble, irritation, and red patches, etc. In this situation, you should avoid or protect yourself from those allergens which aggravate the symptoms mentioned above. As well as there is a need to improve your immunity. To do this, you should take Haridrakhand 3 gm with warm milk before the meal and do regular pranayamas like Anuloma Viloma, Nadi Shodhana, and Bhramari." + }, + { + "id": 5567, + "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": 10712, + "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": 19457, + "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": 7582, + "tgt": "Is it dangerous to smoke marijuana while on Vyvanse, and Escitalopram?", + "src": "Patient: Hello doctor,Nearly every day, I take Vyvanse for my ADD and Escitalopram for my anxiety and depression. I do not take Vyvanse when I am not in school. Between, I am sixteen, turning seventeen soon. This summer, I began smoking marijuana nearly every single day. I want to say it was not a coping mechanism, and in many ways, it was not, but I felt (and still feel) like I was smoking to avoid feeling lonely, anxious, and depressed.I am very aware of the dangers of marijuana and the effects of using it every day. My main concern is the way my body will react on being on a combo of an Amphetamine, an SSRI, and a psychoactive drug. I highly doubt the outcome is positive. Is it a very dangerous (life-threatening) combination? Will it have significant effects on my well-being or my physical health? Doctor: Hello. 1. You are right in recognizing that smoking marijuana may not be safe when you are taking Escitalopram and Vyvanse (Lisdexamfetamine) description. Occasional smoking is relatively common but to smoke marijuana daily is harmful at your age. 2. Try to reflect what made you experiment with marijuana this summer. Are you still feeling depressed and anxious despite Escitalopram? You can consider a review with your prescribing doctor to check your emotional wellbeing and optimize medication if needed. Have you had CBT to manage anxiety or depression and develop healthy coping strategies? 3. Marijuana may have a dulling effect on your feelings and emotions. It will increase the risk of developing a psychotic illness. It can aggravate mood swings and make you more restless. Marijuana is known to cause tachycardia (fast heartbeat) and high BP when you are taking an antidepressant and stimulant, and it can make you more susceptible to developing these problems. 4. Also, there are concerns about long term adverse effects of marijuana on the growing adolescent brain. There are many more unanswered concerns about the long-time adverse impacts of marijuana use. So I will advise to refrain from smoking marijuana at this age and seek additional support to manage any emotional needs. Keep yourself active, engage in sports or martial arts." + }, + { + "id": 26199, + "tgt": "I did cocaine two days ago. When can I safely start trying for a baby?", + "src": "Patient: Hello doctor,I took a small amount of cocaine two days ago. I do not take it regularly and the last time I used it was two and a half months ago. My fianc\u00e9e and I are about to start trying for a baby. I thought that the cocaine would be out of my system in a week, but after research, it looks like it can stay in the sperm for longer. When is it safe to start trying to conceive so that the cocaine is not going to affect my sperm? Or will the small amount of cocaine I took have no impact? I used less than one line. Thanks. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries.\u00a0All the best. For further queries consult an\u00a0obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21364, + "tgt": "How can I treat the bumps on my genital area?", + "src": "Patient: Hi doctor, I am 22 years old. I have bumps recently appeared on my genital area about two weeks ago. I am not taking any medication till now, and there are black spots in that area. But I am not sure. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). These white bumps are molluscum contagiosum. It is a viral infection. It is contagious and spreads from person to person through contact. It is treated with various modalities like electrocautery destruction, cryotherapy, topical KOH (Potassium hydroxide) application, and chemical cautery. You must meet your Dermatologist for treatment. Please get it treated as early as possible. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17892, + "tgt": "Should I wear zero power glasses while using laptop?", + "src": "Patient: Hi doctor, My eyes are 20/20. I am a coder and have to sit 16 hours in front of the laptop. Should I wear glasses of zero number while using laptop? Please suggest. Doctor: Hello. Welcome to icliniq.com. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27655, + "tgt": "My skin is getting patchy and discolored. What is the best treatment for this?", + "src": "Patient: Hi doctor, What is the best option for skin discoloration? I have had a few laser treatments, but it does not seem to be working. I am not sure if it is sun damage or melasma, but it definitely got much worse after having a baby last year. I had a total skin rejuvenation laser treatment three times. It seems to be helping with my fine lines, but it\u00a0has not touched the skin discoloration. I am getting frustrated and running out of money.\u00a0Please help. Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23724, + "tgt": "Blood pressure seems unusually high in 4 year old. Is there a problem?", + "src": "Patient: Hello doctor, I have a nephew who is 4 and a half years old. He is quite active as a child with a normal height and weight according to his age. Two days back we happened to measure his blood pressure at home normally. We were quite taken aback as it was 144/100 and later also it was around 130/96 even while sleeping it is around 120/80. He is otherwise not sick, but he sweats a lot while sleeping since the time he was born. Is there any problem with his BP, we are quite worried. Doctor: Hi. A blood pressure of 120/80 is definitely very high for a child of 4 years and 6 months. There are various causes for increased blood pressure at this age like renal parenchymal disease, COA (coarctation of the aorta), renal artery stenosis, endocrine causes like hyperthyroidism, Cushing\u2019s endocrine syndrome, pheochromocytoma, congenital adrenal hyperplasia, and hyperaldosteronism. Since there is a history of sweating, chances of hyperthyroidism are high. I suggest you to get the child examined by a pediatrician so that appropriate tests can be advised. Based on the reports, drugs for hypertension needs to be started. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 12908, + "tgt": "Is it normal to have abnormal bite for some time soon after waking up in a bruxism patient?", + "src": "Patient: Hello doctor, I have bruxism and TMJ, and I just started using a mouth guard that I got from my dentist. I am concerned because when I wake up in the morning, I feel that my bite is different. My back teeth do not touch. However, after 1 or 2 hours my bite goes back to normal. Is this normal? Doctor: Hi. Do you wear your nightguard properly at night? If yes, then it is normal that you feel the gap between teeth. As it is the prime function of giving you nightguard that it does not let your teeth overlap firmly and deeply. This tray does not allow teeth of both arches to meet another and creates a gap of about 0.5 mm to 1 mm while you are wearing it. When you keep wearing it for a long time like 4 or 6 months it eventually creates this 0.5 mm gap in your TMJ that is the real achievement, now even when you do not wear the tray your teeth will not overlap deeply and will maintain some space in between. That is a good sign. Stay happy and blessed. Take care." + }, + { + "id": 3226, + "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": 7288, + "tgt": "1 year old baby has rashes on her chest and back. What could it be?", + "src": "Patient: Hello doctor, My daughter woke up with a rash on her chest and back and has gotten worse. She was put into an antibiotic a couple of days ago Amoxicillin, so I do not thinks she is allergic since it has been days, no other known allergies. I think it might be roseola any opinion? She is 13 months, it is very spotted all over, no fever and she is acting normal, had a fever a couple of days ago of 102, 103. Doctor: Hello. It appears to be a case of viral rash, and the details available and neither can not diagnose the specific viral type is it of much significance. As your daughter does not have any significant symptoms besides the rash, she does not need any active intervention for the moment. Hopefully, the rash shall subside in next four to five days. If the rash does not subside in next five to six days or she develops any new significant symptoms (fever, cough, low appetite, vomitings, etc.) then it is advisable to have a check-up by a doctor." + }, + { + "id": 4051, + "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": 5137, + "tgt": "I got an odd mark in my stomach. Please help", + "src": "Patient: Hi doctor, I have got some odd mark in my stomach and it has changed its appearance in two weeks. My doctor does not know what it is. Please help. Doctor: Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30559, + "tgt": "How to make my son active and more energetic?", + "src": "Patient: Hi doctor, My son is 15 years old. He has an allergy problem and once had an episode of severe congestion. He was hospitalized and given inhalation nebulizer. Now, he is on inhaler Aerocort. He feels tired, panting on playing and often tends to sit while playing. He feels very hot on his ears, limbs and face. He has nosebleeds, acid reflux and complaints some problem with swallowing coconut. He is underweight. His height is 5'4\". His sleep is not good and he wakes up on slight disturbance. He does not feel refreshed\u00a0in the morning. He is not happy, fresh and energetic for his age. Please guide me. Doctor: Hi. I would like to know the symptoms in much more detail. Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17831, + "tgt": "My husband watched a strip show and is feeling guilty. How to get him out of this?", + "src": "Patient: Dear doctor, My husband recently watched a strip show. It affected him a lot. After asking a lot of questions, he revealed that he could not come out of it. He is always straying on other women, and he is thinking of going back and booking a prostitute. Also, he is worried that he could not come out of it. He is fantasizing them while having sex with me. He is feeling guilty and wants to stop thinking like this. Please kindly advise what should I do to get it out of him. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7608, + "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": 4058, + "tgt": "What is the risk in transferring the embryo with large ovary size?", + "src": "Patient: Hello doctor, I am under the treatment of infertility. And I have started my first cycle of IVF. Before the start of the cycle my ovary size is: Right: 81 mm and left: 79 mm. Treatment plan: For 12days I took Recagone. Total dose 1700 IU. After 12 days in the hospital, they took my embryo and sample from my husband and we choose blastocyst for embryo transfer. It was planned after five days of sample collection. Hospital did the sonography before one day of embryo transfer and they told, at this point transfer is not possible due to your ovary size is big. We asked for the report and they told its volume is around 385. Now they are telling, we have to free my sample and need to wait until my ovary size becomes normal. After that we have to start for the next cycle with the new cycle cost. We asked for the reason if we transfer with the present condition then what will be the risk? They explained that it might be dangerous to the mother if I get pregnant. I am a little bit confused now. What should I do? I have done all the precautions which they explained. I took leave for 20 days to complete this cycle with success. But at last the hospital is telling we have to wait and need to start a new cycle. IVF cycle cost is really high. So please guide me what should I do? Should I take the risk of waiting until my ovary becomes normal? Doctor: Hello. With what I understand, you have now suffered from ovarian hyperstimulation syndrome where ovarian size and volume has increased to 385cc, which is a lot and can cause sudden rupture and collapse in a patient. This is a known side effect of Follitropin injections if not related. Now that embryos have formed this cycle, they can be freezed for utilizing them in the next normal cycle. Presently they cannot be used as hyperstimulation syndrome can often be life threatening. I hope you have been admitted in the hospital and not at home. Please report to the hospital or IVF center and stay under medical supervision until the crisp is tided over. No embryo transfer with ovarian hyperstimulation." + }, + { + "id": 9733, + "tgt": "What can be done for hemorrhoids with bleeding and loss of appetite?", + "src": "Patient: Hello doctor, Over the last year, I had been having a lot of rectal issues, hemorrhoids about every 2 to 3 months, last about 2 to 5 days with use of over-the-counter cream. I have had spotting blood after going and the blood has been getting worse over time, yesterday there was more blood then any other time, also a mucus looking stuff. And again today a lot of blood. The last week had been pretty rough. No solid stool in 10 days and complete loss of appetite. I have been having to force myself to eat. Doctor: Hi. I understand your concerns. Hemorrhoids is classified into four stages according to the lump protruded from the anal opening. The first two are medically treated, the third conservative treatment is tried first then surgical, the fourth stage is surgical. So can you describe the lump protruded from the anal opening? Can you feel it? Is it protruded all the time or disappear after defecation? Constipation and hard stools exacerbate the condition. So I suggest that you take Laxative and stool softener. Preparation H ointment three times per day will be helpful regarding the pain and decrease the size and inflammation of the lump. I recommend that you follow up in order to identify the stage and appropriate management. Wish you all well-being." + }, + { + "id": 22257, + "tgt": "I am having premature ejaculation and no second erection. Please help", + "src": "Patient: Hi doctor,I am a 24-year-old male with no health problem except for my problem with premature ejaculation and no second erection. It is very frustrating to last 2 to 3 minutes in the preliminary and then my desire goes down. I had a problem with internet porn where I can have as many erections as I want. I am one month free now but premature ejaculation has always been there. I also cannot hold my pee for a long time. If this can be associated with the problem, I am begging for help beacause it is ruining me and my relationship. I am taking corticosteroids for autoimmune disease. Doctor: Hi. Premature ejaculation is usually unable to hold ejaculation for more than one minute after vaginal penetration. So 2 to 3 minutes is not premature ejaculation. An average time is five minutes. Peeing after ejaculation is not abnormal. You can do meditation, or Kegel exercise, that will benefit you after 12 weeks. If you want to take medication then Fluoxetine with Sildenafil 1 to 2 hours prior to sexual activity will certainly help you. For more information consult a family physician online.----> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2686, + "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": 10714, + "tgt": "Advice some supplements for hair thinning and hair fall", + "src": "Patient: Hello doctor,I am a PCOS patient. I have regular periods, but heavy bleeding, overweight, high sugar levels, and the egg size is 15 with using the medicine. But I could not conceive, and extreme hair thinning and hair fall. I am on metformin twice a day from last week. I want you to suggest any supplement for my hair loss. I am very upset. Kindly help. Doctor: Hello. PCOS (polycystic ovary syndrome) clearly has an effect on hair growth on patients. Dietary carbohydrate causes more insulin release in women than men. This stimulates production of testosterone from ovaries in women. First try restrict carbohydrate from diet for few months before starting antiandrogen as a treatment. To avoid food rich in carbohydrates such as rice, milk, yogurt, ice-cream, potatoes, etc." + }, + { + "id": 9871, + "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": 1725, + "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": 27692, + "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": 17419, + "tgt": "Can I use health supplement for fatigue?", + "src": "Patient: Hi doctor, I have fatigue issues. Can you suggest a health supplement. I was thinking of using Amway Nutrilite Siberian Ginseng With Ginkgo Biloba.\u00a0Further I am currently having vitamin B12 and Vitamin D deficiency for which I am using specific supplement as suggested by my physician which includes Mecobalamin 1500 mcg and Cholecalciferol granules in addition to spending some time in sun.\u00a0I further wanted to know whether Amway Nutrilite Siberian Ginseng With Ginkgo Biloba will react with any of the current medication.\u00a0Also, I have attached my latest blood test reports. Doctor: Hi. I appreciate your efforts for uploading the laboratory reports (attachment removed to protect patient identity). 1. You are suffering from fatigue syndrome and the reason for that is you have low vitamin and nutrient levels, deranged liver functions (although little one), high cholesterol and deranged lipid profile. 2. Yes, you may use the Amway product. It is a good brand for dermatological and dietary supplements. But there is little to no research available from third party or independent unbiased researchers. So, the safety of dietary products and other drug interactions with your other medications are not much documented. 3. Your supplements are good for vitamins. 4. You have to lower your weight, increase physical activity and have to keep a check on your cholesterol levels to keep in normal range. 5. Try diet modifications too. If these things do not work I will suggest then to start some lipid lowering medicine like statin. 6. Avoid alcohol and smoking if you do. It is hazardous for your liver which already is not working good. 1. HbSAg (hepatitis B surface antigen) and Anti-HCV (human papillomavirus) both by ELISA (enzyme-linked immunosorbent assay). 2. Ultrasound abdomen complete. 1. Take capsule SeaMega for fatigue and your cholesterol. 2. Take Salmon fish in food. Revert back with the laboratory reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18010, + "tgt": "Do high eosinophil count and low Hb level indicate allergic reaction?", + "src": "Patient: Hi doctor, The patient is\u00a0a 27 year old female who has been suffered from hay fever for some years. Now, she has now been referred to the Chest Clinic with breathing difficulties. She has commented that her condition appears to worsen when she visits her friend, who is a cat owner. On examination, she has wheezing sounds in her lungs and inflamed sinuses. Her Hb is low, and eosinophil count is high, but other WBC differential counts, platelets and MCV are normal. I was unsure if the hemoglobin being low is seen with allergies or this could be a wholly separate matter. Are the high level of eosinophil and low\u00a0Hb\u00a0related to visit of the cat or indicate something else? Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 8026, + "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": 6749, + "tgt": "Please have a look on the blood report of a diabetic patient and explain", + "src": "Patient: Hello doctor, I am writing this for my brother. He is a diabetic and taking medicine from the last three years. He recently came to home for a short vacation and undergone health check-ups. After studying the reports, our family doctor pointed out certain elevated values like Hb, etc., and suggested him to consult a Hematologist. Soon, we consulted a Hematologist and he advised him to do certain lab tests. The reports are ready except one that is JAK 2 ARMS PCR. We are little bit worried over him. Kindly go through the attachment and advise us with your valuable opinion. Does he have any serious health related issues? Your prompt reply will be much appreciated. Doctor: Hello. I have read the attached report of your brother (attachment removed to protect patient identity). The main abnormal finding in CBC report is elevated red blood cells count and PCV. The hemoglobin level is also raised slightly. So, it is suggestive of polycythemia. It can be secondary which is more common or primary. The primary type include problem in bone marrow for which your brother have been instructed to investigate with JAK2 study. It will help in ruling out primary polycythemia. The secondary cause includes respiratory disease, cardiac disease, chronic smoking, dehydration, etc. So, if any of such history is present or if smoking history is present, then kindly mention it to guide you further. I suggest you drink lots of water at least 2 to 3 liters per day. He needs to stop smoking if he is having habit of it. Additionally I suggest you investigate with chest X-ray, EKG, serum EPO estimation for further work up. Kindly revet back with reports once done including JAK2. He has to repeat CBC after 15 days to check red blood cells and PCV value again. Do not worry. Most of such cases are secondary polycythemia. You can discuss all these with your treating hematologist. Additionally, I want to point you that your brother 's diabetes is not controlled. He need to be given combination of two drugs and life style need to be changed to control sugar." + }, + { + "id": 3470, + "tgt": "I have itchy nose, throat, and eyes with constant sneezing. Please suggest medication", + "src": "Patient: Hello doctor, I have an allergic itchy nose and throat and sneezing all the time, itchy eyes and coughing with a different sound. And also sometimes I have difficulties with breathing and I keep having itching throat. I went to the doctors they always give me medication that does not stop the allergy. I do not know what to do? Doctor: Hello. Nasal congestion, running nose, itching of the nose, watering of eyes, sneezing, etc are classic symptoms of allergic rhinitis. Added to this breathing trouble, wheezing, mucus production in lower airways are signs of asthma which signifies allergies of deeper air tracts. These two constitute the presentations of the hyper-reactive airway. It is also termed airway hyper responsiveness. The best way to treat allergy is to find the offending agent or what we call the allergen. Once that is done we can give small subclinical doses of allergen into your body to make you immune to the allergen. This is called immunotherapy. Before we subject you to immunotherapy we first want you to take a skin prick test. Various common allergens of your area are injected in small doses in skin intra serially and response noted. Positive response to allergens noted. Specific immunoglobulin E produced against these allergens are measured in the blood by tests. After quantifying immunotherapy is started. Any other form of treatment is only symptomatic. Only immunotherapy can give you lasting relief from allergy. If however, you require immediate temporary relief from allergy, you may take the symptomatic treatment which usually consists of a short course of steroids, intra nasal steroid sprays, antihistaminic and leukotriene inhibitors. These drugs are prescribed by the medical practitioner and if you require those kindly revert back to me. I will be happy to help you with the drugs and their correct dosage and how to take them. I must also say avoidance of allergen plays a great role in keeping allergy at bay." + }, + { + "id": 10723, + "tgt": "I have a bump on my jaws and my teeth seem to be shifting. Do I require a surgery?", + "src": "Patient: Hello doctor,Back of my jaw has a bump, and my teeth seem to be shifting. Do I need jaw surgery to fix my open bite? Kindly advice. Doctor: Hello doctor, The bump developed seems to be on your cheeks from the photo you shared (attachment removed to protect patient identity). Also, your lower second molars are erupting now, so the pain can be due to the eruption of that tooth. Even due to new tooth eruption, you may bite your cheek while talking or chewing. Please be cautious not to bite your cheeks and automatically the bump will vanish. From your BMI (body mass index) and weight, I suggest the bump may be your buccal pad of fat gets like bump due to some trauma. Once your tooth erupts, your problem will be fine. Follow rinsing your mouth with salt water twice daily. Your inflammation will subside. Let us wait and watch for 10 days. If the problem continues after 10 days, write to us again or consult your nearest dentist." + }, + { + "id": 30529, + "tgt": "How to overcome sex addiction?", + "src": "Patient: Hi doctor, I am a sex addict. How to overcome this? I do lots of sexual activities on a daily basis, which gives me pleasure and I get tired soon because of that. Please help. Doctor: Hello. Revert back with the answers to the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8433, + "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": 5022, + "tgt": "What can be done for fatigue due to obstructive sleep apnea?", + "src": "Patient: Hello doctor, I am a 22-year-old man. I have suffered for two years with chronic, nearly debilitating fatigue. Doctors initially suspected a vitamin deficiency or autoimmune illnesses as the cause, but all tests came back negative or normal. However, when I started this summer to notice myself waking up and gasping in the night, my doctors decided to evaluate me for a sleep breathing disorder. I underwent a home test and then an in-lab test. My in-lab test results were as follows: my AHI was normal, but my Respiratory Disturbance Index was 11.3/hour. My lowest oxygen level was 82%, and my REM sleep accounted for just 10 % of total sleep time. Based on these results, my doctor diagnosed me with mild obstructive sleep apnea. My doctor has recommended an oral appliance as the first step for treating this condition, but I know that CPAP is a more common solution. I am really not sure what the best course of action is. All I want is to reduce my fatigue levels and get my life back. What is the best option at this point? Doctor: Hi. As per your medical history it looks like sleep apnea with obstruction. We all can agree that it is a disorder which takes away the quality of life and it is very frustrating at times. Good news is that you have been diagnosed so early. Current treatment with CPAP is the best treatment for medical conditions and things will improve over a period of time. Other things to be seen are overweight, sleeping position, stress mangement and any surgical cause of this obstruction which would require a operative correction. Check your blood pressure regularly." + }, + { + "id": 13771, + "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": 348, + "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": 23282, + "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": 9363, + "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": 24466, + "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": 13916, + "tgt": "Will fasting and lack of sleep cause delirium?", + "src": "Patient: Hello doctor, Can delirium be caused by fasting and lack of sleep? My 25-year-old daughter is delirious. She does not know who she is, thinks she was in a coma, etc. Hospital ran blood and urine test and a cat scan, all were normal. No new medications. I thought it has to be something physical because it came on so quick, but nothing was found. How do we help her return to herself? Hospital advised Benedryl to help sleep and to encourage food and drink. Doctor: Hi. The answer to your query is yes. Prolonged fasting and no sleep can cause mental and physical symptoms similar to mania or delirium or coma. It would have been helpful if serum electrolytes, catecholamine levels, and urea levels were recorded or mentioned because BP is on higher side. The advice for adequate rest and a proper diet is also correct. It may be beneficial to visit a counselor to prevent such episodes in the future." + }, + { + "id": 17764, + "tgt": "Please check my lipid profile and provide detailed interpretation", + "src": "Patient: Hi doctor, Over the last four months, I am on a high fat, high protein and low carbohydrate diet where I am taking 250 g of protein, 200 g of fat (mostly saturated) and very low carbohydrates target is less than 50 g per day. Cholesterol is one of the major problems in my family, so I got a lipid profile test done. I am doing intense workout and focusing on building muscle.\u00a0Please check my lipid profile and provide me detailed interpretation of it. If my HDL is good and LDL is bad, does this still lower the chance of heart or cholesterol problems? What is the difference between non-HDL and cholesterol ratio. Which is important? What is my case? What do you think of saturated fat and cholesterol? Are they linked or not? Recent studies say that saturated fat increases HDL. I have attached my reports for your reference. Thank you. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13611, + "tgt": "There is a hazy region near lung nodule in a CT-scan. Why?", + "src": "Patient: Hello doctor, My mother is a 68-year-old female, non-smoker. She had a severe cold and cough two months ago. After a course of Azithromycin, her symptoms improved except she just has a dry cough at night. Last week she had a cough with blood. I took her to urgent care, they prescribed antibiotics (Doxycycline) and cough syrup Promethazine. Also, they asked for a chest X-ray to rule out any other serious condition. The X-ray came back with a 2.3 cm lung nodule or scar tissue in left upper lung and recommended a follow-up X-ray after 3 to 4 months or a chest CT scan. CT scan came back with scar tissue in the upper left lung but has a 4 mm nodule in lower left lung. The nodule is visible clearly on the HRCT CT-scan slide (96-97-98) (1.25 mm lung). But slide 99-100 looks like hazy or patchy region posterior to the nodule (the report does not mention that but it is what I think I saw). Does this mean it is a ground glass opacity nodule or nodule is clear and this hazy region is some kind of infection? CT-scan does not mention ground glass opacity where I am worried about but it does mention patchy ground-glass opacity in lingula region and attribute it to infection or aspiration. Only aspiration I can think of is could be my mother lost two chewing tooth in the back and has trouble chewing food. She has been trying a partial denture but it is a task for her and I am not a doctor to make judgment. It has been stressful for me and everyone in my family. I would like some feedback on this. By the way, cough in blood reduced on the very second day and after the third day, there was no more blood in a cough. I want a radiologist to look at the report which mentions mild to moderate bronchiectasis and has Fitchner society guideline for nodule below 6 mm. More details about the presenting complaint: My mother had a severe chest or throat infection two months ago. A course of Azithromycin cleared most of the symptoms except a cough at night time. She had bloody cough (very dark red like cough with clots) that was on the 12th of this month. It subsided after the doctor prescribed Doxycycline. Besides, there is no weight loss. She was taking Repaglinide to control blood sugar. Otherwise, normally she is taking Metformin 250-500-500. Previous history of the same issue: None- my mother remembers a severe episode of a cough for a month around 40+ years. No history of tuberculosis. Current medications: Doxycycline 100 mg twice for 14 days. She has been taking since last week. Metformin 250-500-500 total 1250 in a day for blood sugar, Rosuvastatin 10/Clopidogrel 75, (TMT was done last month- No findings). Lab tests performed: Chest X-ray and CT scan. Doctor: Hi. I have read through the 10 images uploaded, 8 CT images and two report images (attachment removed to protect patient identity). You are right about the haziness posterior to the nodule in images 97-99/ 241. So what we see is a nodule with hazy margins. Concerning this appearance, it can be reactive changes surrounding the nodule that is slowly healing (as you mentioned a course of Doxycycline is completed and she is feeling better) or it can still mean some residual active infection in the area. Therefore we need to address the issue from a more clinical perspective than an isolated nodule. Fleishner society recommendations are followed to know if a certain nodule is of potential neoplastic etiology. It is true that you are having a stressful situation at the moment but there is no obvious finding in the report that can cause any chronic blood in the cough. The ground glass opacities are a subjective finding and many radiologists mention it where the opacities are prominent. However, I have noted that she is on Clopidogrel 75 mg and if she had a violent cough before the bleeding then it might be possible that she had a small mucosal injury in the aerodigestive tract." + }, + { + "id": 20682, + "tgt": "Is there any interaction between Wellbutrin XL and Lexotanil?", + "src": "Patient: Hi doctor,I am a 31-year-old male (165 cm height and 101 kg weight). I had panic attacks and permanent tension headache for the past six years (pressure on the head), unbalance, dizziness, anxiety, worrying about the future, mood swings, and chest pressure. Then my psychiatrist diagnosed me with OCD and panic attack. So, he put me on Seroxat and Lexotanil for seven years which made a huge positive impact (all the symptoms were gone approximately, but the only side effects were that I became less energetic and gained weight). Now my new doctor is telling me it is too much to take high doses (Lexotanil 3 mg three times a day) and Seroxat (20 mg three times a day) and it has been too long on them. So he wants to cut off Seroxat and Lexotanil and put me on Wellbutrin XL.So I have decreased the dosage of Seroxat gradually for 10 mg a day which caused withdrawal symptoms but now (after two weeks), it is better but I did not decrease the Lexotanil because I felt I cannot. But now the doctor said to start with Wellbutrin. He wants me to take Wellbutrin XL 150 mg the first day without Seroxat, the next day Seroxat 10 mg without Wellbutrin, (a day on day off) like that for two weeks. Then to stop Seroxat permanently and stay on Wellbutrin 150 mg daily. He preferred to decrease Lexotanil as much as I can but he wrote on the prescription 1.5 mg three times a day with the Wellbutrin XL.My questions are is there any interaction or any problem between Wellbutrin XL and Lexotanil if I take 3 mg Lexotanil three times a day with the Wellbutrin XL 150 mg? Is there any interaction between Seroxat and Wellbutrin if I took them a day on day off (as I described before)? Is the Wellbutrin XL effective for my case as my previous medication (Seroxat and Lexotanil) or not? I have started the first day of Wellbutrin XL 150 mg and I took with it, in the morning, 3 mg Lexotanil, then at the noon and night I took 1.5 mg Lexotanil, but I was surprised before sleeping at night I had a laughter attack with no reason. Is it normal? Doctor: Hello. You only want to change the drug because of feeling less energetic and for weight gain. The more important thing is that if your symptoms are under control with Seroxat (Paroxetine) 20 mg thrice daily and you have no problem other than these two symptoms as you have described, then you can continue Seroxat. For weight gain, you should start physical activity and lifestyle modification. Seroxat increases the toxicity of Wellbutrin XL (Bupropion) and can precipitate the seizure. So, if you want to switch, discontinue the drug or one day drug free method is also useful. Laxotanil is a drug of sedative category so you feel lethargic. If you stop abruptly, it creates rebound anxiety symptoms and withdrawal effects. So, reduce the dose gradually to discontinue it or set onto minimum dose. It has no as such interaction with Wellbutrin XL. Wellbutrin XL also has an effect on panic disorder but data is less than Seroxat and it also has good anti anxiety property. And for your laughter attacks, Benzodiazepines like Laxotanil may be responsible because they produce a euphoric effect." + }, + { + "id": 14382, + "tgt": "I want a jaw setback surgery as I find my face structure very unappealing. What are the risks involved?", + "src": "Patient: Hello doctor, I am a 18 year old female. I was 13 years old when I got my braces. My orthodontist made it in such a way that the lower set of teeth were slanting inwards so that my upper row could be in front. I do not have trouble chewing. I want a jaw setback surgery as I find my face structure very unappealing. I do experience stiffness when I open my jaw, even while yawning. I wanted to ask what the surgery actually does, take out bone segments or just push the whole lower jaw back? And what is the risk involved? I have heard that it can damage nerves and cause permanent loss of sensation. Also, is it possible to do nose plastic surgery along with the jaw surgery? I want both the surgeries in one go. Please advice. Doctor: Hi. Yes, you can undergo surgery to reduce the lower jaw, i.e., mandible by around 5 mm or so if needed. It is only a slight difference. The advantage is a slight increase in aesthetics later on probably. Some disadvantage is always present like you said, i.e., nerve damage like permanent anesthesia of partial parts of cheek, teeth, and lips or sometimes disfigurement. But the surgery can be done without much external scarring. The surgical procedure includes removing around 2 to 3 mm of bone from mandible on both left and right sides and push the mandible slightly back. It is done by an oral and maxillofacial surgeon involving plastic surgeons too. You can do rhinoplasty or nasal bone correction to straighten the surface and give a sharper look. This procedure is done by plastic surgeons mostly. The main thing is to decide whether correcting the aesthetics would provide you with the perfect look which you desire. Ask your doctor to show a photo of yours with the modified look, so that you can decide on your own whether it is worth to undergo surgery. After seeing the attached photos of your facial profile, according to my personal opinion, I would say that your profile is acceptable as it is. (attachment removed to protect patient identity) Also get an opinion from a plastic surgeon whether the surgery would be fruitful to you." + }, + { + "id": 10029, + "tgt": "When should I stop Clexane and Ecosprin should before delivery?", + "src": "Patient: Hello doctor, Presently I am on my 34 th weeks of pregnancy. LMP was before eight months. I had an IUD of more than 37 weeks before two years. Present medications are Clexane 20, and Ecosprin 75 daily. As per my doctor's planning, I should go for C-section between 36 to 37 weeks. Now when I should stop my Claxene and Ecospirin? This medication is given by my gynecologist after analyzing my boh panel report which states lupus anticoagulant by DRVTT is 45.50. No lupus-like anticoagulant present, APTT is 31.30 and PTT-LA is 98.80. Kindly advice. Doctor: Hello. I feel that it would be the best if you do not stop these medicines without the advice of your doctor who recommended these and made a plan for your pregnancy because self-treatment strategy will lead to no benefits. And both of these drugs are safe to use, so you do not have to worry. Furthermore, for your knowledge, aspirin is usually stopped at 35 to 36 weeks of pregnancy, and Clexane (Enoxaparin sodium) is being continued until delivery, and even after that. So I would again say that please take advice from your particular doctor before stopping any of these medications as your pregnancy is very precious. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 2576, + "tgt": "My platelet count is abnormally low after a week of fever. Could it be something serious?", + "src": "Patient: Hello, I am writing to ask about some symptoms I have been experiencing. I am 57 years old. For almost a week I havehad persistent low grade fever (never more than 100.5). After the end of the week, today I no longer has a fever. We did a blood test and found abnormally low amount of platelets: 127 Thousand/ microliter. When we did the blood test six months ago, it was at normal level of 166 thousand/ microliter. During the fever I had no other symptoms,: no cough, no throat pain, no runny nose, no breathing issue, etc. Even though the fever seems to be gone since today I am very worried as to what may have caused it, if it could be linked to a serious disease. So far the platelet count is the only abnormal thing showing up in the blood test. Thank you. Doctor: Hello, Keeping into the current circumstances , your fear is completely justified. Good thing is your fever has subsided Excellent is not having any Upper respiratory tract symptoms during the febrile episode Now coming to low platelet count medically known as Thrombocytopenia , your count that is 1,27,000 /mm3 falls in mild range [1,00,000/mm3---1,50,000/mm3] which can happen due to multiple reasons 1]Lab Error 2]Pseudothrombocytopenia due to the anticoagulant used [EDTA ] Low platelet count is considered , when associated with Bleeding symptoms like spontaneous or easy bruising , petechial rash ,bleeding , gum bleeding etc You have none , hence i foresee it to be a lab error /EDTA induced Further , if you are worried , you can get that rechecked by going for reanalysis of platelet count in Heparin or Sodium Citrate based collection or Peripheral smear I can assure you [with the history of your current illness provided ]that your health is safe and sound and all is well Eat well, Sleep well , Stay safe Take care" + }, + { + "id": 5342, + "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": 15471, + "tgt": "Kindly tell me the treatment for neck pain due to working on computer", + "src": "Patient: Hello doctor, I work on computers for the past three years. I have constant pain in the neck. I consulted with a neurologist, he suggested for MRI scan. He gave treatment and said within 10 days I will get normal. I asked the doctor for any big issue he said there is no critical condition. 16 months later, I got pain in legs, lower back, upper back, hands, arms and weakness in hands and legs. I got consulted with a general doctor for this issue, he suggested for pelvic X-ray for me. It was normal and blood test was also normal and suggested some medicines for pain. So, please tell me what is this. Doctor: Hi. It is likely a spondylosis both cervical and lumbar. It is a spine problem where you get pain and other symptoms due to compression of nerves between spine. So it will cause symptoms along the course of nerves. It is probably due to prolonged sitting. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, numbness, needles and pins sensation, if yes then it further supports the diagnosis. You will need MRI of the whole spine as X-rays are not informative. Repeat X-ray will not be helpful. The X-ray will show only if the problem is severe. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin and diclofenac gel for local application. Also, you should get nerve stabilizer prescribed like tablet Pregabalin 75 mg which will stabilize the nerve and reduce pain, etc. You need to visit nearby orthopedician or neurologist for all these investigations." + }, + { + "id": 21389, + "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": 5161, + "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": 1516, + "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": 30858, + "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": 15815, + "tgt": "Which tablet can be used to ease stomach pain and gas trouble?", + "src": "Patient: Hello doctor, I am suffering from IBS (irritable bowel syndrome). Sometimes I feel like I am having stomach pain and when I go to pass stool, I feel incomplete. There is a bit of gas trouble as well. Can you suggest me a tablet that can ease the symptoms? Doctor: Hi. I will definitely help you with the medicines and IBS treatment. But before that, I need to know your ultrasound and endoscopy findings." + }, + { + "id": 919, + "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": 24355, + "tgt": "Pregnancy test shows negative, shall I take medicine to induce periods?", + "src": "Patient: Hi doctor,I got my last period before three months.\u00a0I have not gotten my periods ever since.\u00a0I had protected intercourse twice before two months.\u00a0However, I have no symptom and all the pregnancy tests are negative. Also, I have missed my period the same way, even before once and my cycle is generally longer than 35 days. I am taking homeopathy to induce periods along with some natural home remedies. I was on birth control pills for about three to four months last year. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17649, + "tgt": "Is my DHT level causing mild hair fall and flaky scalp?", + "src": "Patient: Hi doctor, I am 19 years old. For the past three months, I have mild hair fall.\u00a0I lose around 2 to 10 hair after every shower. I have never had hair fall in the past. I also did a background check with my family history; none had any baldness even in the\u00a070s. I fear this would be the result of masturbation habit, which could have boosted DHT. So far I have lost about five percent of my hair. Though there are no visible bald spots, I can say my density has reduced a lot. I also have a flaky scalp, 1 to 2 cm sized flakes\u00a0and that would cause snowfall like scenario. When I touch my hair, my scalp is shedding like a tree in fall. Would that be the reason for my hair fall or the DHT? I have been using Noskurf lotion and Aminexil shampoo from the past 15 days, which reduced the flaking a bit. It is like my head is flakes-free for a couple of days and again it reappears. But it did nothing to stop my hair fall. I saw that most of the hair that fall are either too thin and smudged irregularly or are tiny new hair. I also feel pain and heat over the scalp which is succeeded by the localized hair loss after a couple of days. Since I joined MBBS course, I am not on a proper diet. Could this hair loss be due to biotin? Doctor: Hello. Flaky scalp not responding to Noskurf (combination of Climbazole, Piroctone Olamine, Aminodermine, and almond oil) lotion may be scalp psoriasis and need steroid plus Salicylic acid 6 % combination lotion. The pain is due to hair root inflammation, which is commonly seen in male pattern baldness. I would suggest you get the following test done. If DHT is high, then we have a specific treatment for that. Both psoriasis and hair fall may increase due to stress. It is good that you are taking preventive steps. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23252, + "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": 19144, + "tgt": "Why do I get sharp stabbing pain inside the bone?", + "src": "Patient: Hi doctor, I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advice. The x-ray and MRI reports are normal. Doctor: Hello. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. Previous injury. 1. X-rays (digital) of the affected ankle - anteroposterior and lateral views. 2. MRI of the affected ankle which you have already done. 3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). 4. A clinical picture of your affected ankle. Will decide after relevant investigations. Follow up with investigations to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 13910, + "tgt": "I have a tooth growing out of gums in abnormal position and causes pain. Why?", + "src": "Patient: Hello doctor, My teeth are all over the place and I have wanted a brace for years but the dentists keep telling me I need to wait till my teeth fall out as they will not put me to sleep to take them all out but they have not even noticed that I have a tooth which grows out of the gum to separate ways and it causes me a lot of pain. Currently, I am taking Quetiapine, Fluoxetine. Doctor: Hi. Usually, by 13 years of age, all milk teeth should have fallen out. If not, then you can ask them to be removed. Also, as the permanent canines are growing out from sideways you can ask your dentist to remove the milk tooth directly below it as soon as possible to allow it space to grow. If your dentist is not doing it, then go find another one. Braces can be put after all milk teeth are removed." + }, + { + "id": 18028, + "tgt": "We are undergoing infertility treatment. Will this treatment cause birth defects in our child?", + "src": "Patient: Hello doctor, My wife is 24 years old and she has PCOD.\u00a0We have been trying to conceive for the past 2 years, but no result.\u00a0We went to infertility specialist\u00a0six months ago.\u00a0He started the treatment through medicines and one IUI.\u00a0But, all the treatments failed.\u00a0Then, he decided to go for IVF.\u00a0Our doctor said that my semen sample is normal.\u00a0In this IVF cycle 15 eggs were retrieved.\u00a0Out of the 15 eggs they decided 8 eggs for IVF and 7 eggs for ICSI. Later, the doctor said that all 8 IVF eggs failed to be fertile because egg layer was very strong and\u00a0And all the 5 eggs with ICSI\u00a0are fertile.\u00a0He transferred two embryos\u00a0today and said that the embryo quality is good. Is ICSI a safe process? Will it affect the IQ of the baby or cause any birth defect?\u00a0What about the fertility status during their adulthood?\u00a0And finally, why is egg layer so thick? Doctor: Hi. I can understand your concerns. Revert back to an infertility specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 24338, + "tgt": "I have hair fall of 10 to 20 strands a day. Is there anything to worry?", + "src": "Patient: Hello doctor, I am 14 years old. My problem is that when I brush my hair, I found my hair on it. My hair fall is 10 to 20 hairs a day. Is there anything to worry? Doctor: Hi. Hair is one the fastest growing cells in the body. Hair has different growth cycles like anagen (growing phase), telogen (resting phase), and catagen. Losing 50 to 100 hairs per day is considered normal. Old hairs are replaced by new hairs. If you are losing hairs on the front of the scalp and sides, leading to the receding of the hairline, then it is worrisome. It is called androgenetic alopecia. If it is so, 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 suggestions. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10148, + "tgt": "Do I need surgery for removal of gallstone?", + "src": "Patient: Hi doctor, I have a 7 mm gallstone as seen in my ultrasound. They gave me Ranitidine, and I tried apple cider vinegar with fresh apples. Do I\u00a0need surgery? Doctor: Hi. Thanks for sharing your concern. Obesity. Cholelithiasis. Gallbladder surgery. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27514, + "tgt": "Is shock therapy a safe treatment for depression?", + "src": "Patient: Hello doctor, My\u00a048 year old mother is probably suffering from a recurrent unipolar depression as per the treatment that the local psychiatrist is giving. It seems that the medicines\u00a0are not working this time. She is not able to get up from the bed and does not feel like doing anything, even her daily routine work. She is taking Tritin 20 to 60 mg from the last five years. The doctor now recommends ECT after trying different medicine combinations from the last four months. She got into a similar situation five years ago but recovered with medicines. I want a second opinion regarding the same. Doctor: Hello. So, you should not hesitate, because it is a good modality for treatment-resistant depression. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 40, + "tgt": "I had wine and took Corticosteroid during early days of pregnany. Will it harm my baby?", + "src": "Patient: Hi doctor, I am in week 6 of my pregnancy and I am worried about some things that happened very early in the pregnancy before I knew I was pregnant. I had a few glasses of wine from day 0 to day 20. A total of six maybe and one glass and a half on day 20. I also took corticosteroids (Betamethasone) a single dose of 3 mg due to an allergic reaction on day 20. And as if this was not enough, I was also on antibiotics (Flucloxacillin) which I finished on day 24 of pregnancy. I am so afraid all of this might have had an impact on the baby. Is there a risk my baby might have been affected? Doctor: Hello. As you have not mentioned the date of your last menstrual period, I am assuming by day 0 you mean the starting date of last menstrual cycle. Because we calculate the pregnancy age from that date. So yes, the early pregnancy time is very important because the embryo is developing in that time period. So as per your query, as you mentioned the consumption of wine in the early three weeks, I do not think it is gonna have any effect on the embryo because it is in the preovulatory phase when even the egg is being formed and released. And yes, corticosteroid in high doses when used for chronic medical conditions can have a risk of cleft lip and palate, but a single shot taken for an allergic reaction should not be affecting the baby. Also, the Flucloxacillin is a penicillin group of drug which is usually safe in pregnancy. So be calm and stop worrying about the risks. It will just increase your stress levels. Moreover in early pregnancy, if any embryo is grossly affected by any insult, it either usually aborts early if the exposure has been hazardous, but if the exposure is nonhazardous, it makes through and the baby will be fine. This is called all or none phenomenon in pregnancy. So your exposure to the medications was not that is something very dangerous, so rest assured. And more over your pregnancy has reached until 6 weeks, that is a good sign that the embryo has not been affected by the exposure to the drugs you have been worrying about. Please consult your gynecologist for your antenatal checkup and investigations required to be taken as per your local protocols. USG (ultrasound) for dating and viability. NT (nuchal) scan with dual marker test between 11-13 weeks. Routine antenatal investigations as per your local protocols. Tablet Folic Acid 5 mg daily once after food until 13-14 weeks. Avoid sexual intercourse until 14 weeks. Consult your gynecologist before any medications intake or to review the medications already taking for chronic medical conditions." + }, + { + "id": 11939, + "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": 6153, + "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": 2006, + "tgt": "I feel something is stuck in my throat, and I have a history of GERD. Please help", + "src": "Patient: Hi, I have a problem in throat for the last one month, Initially, i have a stomach problem, so i Just start Stomach relief medicine, like Rebicid and Gavascone Syrup. I feel better after some days and now my stomach is good, but i have a problem in the throat, i feels like some thing stuck in my throat and it irritate me a lot and i am feeling this for the last one months, i was feeling good after 10 days and 10 days of the middle of month was good and i was not feeling something stuck feeling, but after 10 days again i am feeling that something stuck in my throat, and it irritate me a lot and sometimes i lose body energy and i feel weakness and also a little fever. I have a history of Depression and Anxiety, i was taking anxiety and depression medication for 5-6 years approximately 10 years ago. For the last 10 years i am not taking any anxiety and depression medication. i have a stomach problem GERD but i was okay for the last 2-3 years. Now again i have a GERD problem, i think due to this i have a throat problem that i am feeling that something struck in my throat. Please advise me what should i do, due to COVID 19 i have no facility to check the ENT specialist, i will be very thankful Doctor: Hi, Your prediction is almost as right as what I am also considering. The most common reason of having this irritation in throat with a feeling of lump or something obstructing while swallowing can definelty be a feature of chronic GERD. Eve though you might asymptomatic in between, the inflammation in the throat often exists in the hidden form and can resurface when adequate care is not taken. What can be done? (these precautionary measures have to followed for life since your chronically have gastric issues) 1. Maintain a strict diet, eating on time 2. avoid spicy oily and cold food/drinks 3. Keep a gap of 2 hrs between meals and going to bed 4. Don't over eat, rather keep your stomach half empty and have regular intermittent light food like fresh cut fruits in between major meals. 5. Salt water gargling 8 to 10 times a day for 15 days 6. Follow the prescription as adviced and you can come for a follow up consultation after 2 weeks Tab pan d 40 MG once in the morning before bfast for 14 days Syp mucaine gel 1 tsp three times a day 20mins before meals for 14 days" + }, + { + "id": 30278, + "tgt": "I am having hearing problem only in the left ear. Why?", + "src": "Patient: Hi doctor, For the past few days, I am not able to hear properly through my left ear and it is almost down to 50%. I have consulted an ENT specialist and they suggested for a CT scan. Everything is fine in the scan. Sugar and BP levels are normal and they injected some steroids for two days. Still, I am not able to hear and the same situation continues till now. Will it lead to permanent hearing loss? Do you have any suggestion of what could be done? I am 28 years old and the problem is only with my left ear. Audiometry is also done where the right ear is fine and 50% reduction in the left ear compared to right. Currently, the doctor is advising some medicines for vitamin improvements. Please help. Doctor: Hi. I understand your concern and you have developed sudden hearing loss in your left ear for the last few days. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10704, + "tgt": "Can I completely get rid of HBV in six months?", + "src": "Patient: Hello doctor,I am 28 years old. I had my blood test done last month. HBV was negative. When tested again 53 days later, it came out to be positive. Do I have acute or chronic? Are all HBV acute for the first six months? What are the chances that I will completely get rid of it within six months? Doctor: Hello. If your HBsAg was positive on the second occasion, but negative 53 days before that, you have acute Hepatitis B infection. Most of the time, HBsAg is discovered incidentally. It is not common for Hepatitis B to be diagnosed in the acute phase. More than 90 % of patients with acute hepatitis B recover completely and do not progress to chronic hepatitis B. Less than 10 % develop chronic Hepatitis B. I suggest you consult a medical gastroenterologist or hepatologist or an infectious diseases specialist." + }, + { + "id": 21832, + "tgt": "What is the remedy for anorexia and loss of appetite?", + "src": "Patient: Hello doctor, My elder brother is recently suffering from anorexia and loss of appetite. His blood sugar level is normal and BP is normal too. Grade 1 fatty changes in liver, renal calculi 3.1 mm in size in right calyx, 216 mg of cholesterol and serum TG is high. What will be the remedy for this? Doctor: Hello. Fatty liver associated with high cholesterol in case of your brother. Can you tell me how much triglycerides level is increased? Lifestyle modification is needed for fatty change. Udiliv (Ursodeoxycholic acid) tablet can be prescribed. Take low fatty foods, fruits juices more, green leafy vegetables more, saturated fatty meals, pizza, burger, fast foods, etc., should be restricted. Do not worry about fatty liver. It is a common condition. Bring your cholesterol level low by diet modification. With more water, calculi will mostly be excreted in urine. If not then further workup has to be planned. As anorexia is present, check thyroid problem by serum TSH (thyroid stimulating hormone) estimation. If any other inflammation present in the body then should be evaluated. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 56, + "tgt": "I am almost three months late for my period and weight reduction did not help. Why?", + "src": "Patient: Hello doctor, I am 19 years old. I am almost three months late for my period and do not know what to do. I read some articles and found out that weight loss triggers periods and I have lost around 50 pounds in the last year, bringing my weight down to 122 pounds. I am super scared about my periods. Also, this morning I had white discharge, can that be a sign of my period may be coming? Doctor: Hello. Yes, excess weight does cause a hormonal disturbance that can lead to delayed periods. But there can be other hormonal changes like thyroid and prolactin that need to be evaluated to look for the cause of the delayed periods. Sometimes stress also can cause a delay. And yes, the consistency of the discharge can be a little thicker during the premenstrual phase if ovulation happens, but we cannot predict just based on that if you would be getting your periods or not. If already three months have lapsed, and if there is no chance for a pregnancy, then it would be advisable to take medication for withdrawal and get yourself evaluated for the irregular menstrual cycle issues. I hope this helps." + }, + { + "id": 19314, + "tgt": "Can mucosal polyp in maxillary sinus cause headache?", + "src": "Patient: Hi doctor, I am a 19 year old second year MBBS student. I have been suffering from central headaches\u00a0for the past two years. It is progressing in frequency and intensity. It increases on bending, sneezing and straining. It is mild to moderate in intensity and occurs almost four days a week. My doctor advised a CT scan and it is normal except for a mucosal polyp in the left maxillary sinus. What could be the diagnosis? Doctor: Hi. For further doubts consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18035, + "tgt": "Other than masturbation, how to collect sperm for semen analysis?", + "src": "Patient: Hi doctor, I am in a need to\u00a0provide a sample for sperm analysis. I could ejaculate during sex. But, when I try to provide sperm for analysis by masturbation, I failed. Can I provide home sample? Is there any other way available for this like vibrator? Please suggest. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13131, + "tgt": "How is the best Insulin treatment selected for a diabetes patient?", + "src": "Patient: Hi doctor, I have few questions which I would like to ask a professional. As I am not able to find the answers by myself, I would love to hear from a practicing professional. How is the best Insulin treatment (syringe, pen, pump and pod) selected for a type 1 diabetes patient? Generally, how long the patients need to learn the injecting technique? Why does injecting Insulin into the same location cause a hard bump in that area? Is this reaction the reason ports are not used to deliver Insulin? How common is the use of the new inhaled Insulin? Does it have to be supplemented by another method of injection? When would an islet cell transplant be recommended? When would a patient be given an entire pancreas transplant operation rather than an islet cell transplant? In both situations, what keeps the beta cells from being tagged by autoantibodies and destroyed again? Doctor: Hi. Rather than the best way, we consider more convenient and economical ways for the patient. The best is always an Insulin pump, but it is costly and requires continued patient education. Injecting Insulin into the same site will cause damage to the fat tissue which results in necrosis (cell death). Because of the fat damage, hard bump forms. New inhalation Insulin is not yet come into usage in full fledges. Also, I have not put any of my patients yet on inhaled Insulin, so cannot comment. But yes, initially it has to be supplemented with subcutaneous Insulin as dosing and efficacy is not completely established for Inhaled Insulin. Islet cell transplant is recommended for patients of type 1 diabetes who are difficult to control on Insulin (by any method). If the transplant is considered for only diabetes purpose then only islet cell transplant is sufficient. The pancreas has other functions like digestion. If the digestion system gets impaired in a patient who is requiring islet cell transplant, in such a patient'sentire pancreas transplant would be helpful. Well, if no immunosuppressant is used post-transplant, these autoantibodies can destroy the newly transplanted pancreas also." + }, + { + "id": 26271, + "tgt": "I have mild pain on erection. Can I be developing Peyronie's disease?", + "src": "Patient: Hello doctor, I am a 22-year-old male. I over masturbate sometimes. Generally, I\u00a0masturbate twice a day. Recently, I noticed mild pain when I\u00a0had an erection. The pain was in the mid part of my penis. The pain went away as the erection subsided. I masturbated in the prone method that is lying down and rubbing my penis on the mattress. My penis is slightly bent upwards. I have noticed that it has been like that for a long time. I am currently on Warfarin. My question is am I developing Peyronie's disease? Or is it due to over masturbation? Kindly help as I am really concerned. Doctor: Hello. For more information consult a\u00a0urologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15656, + "tgt": "I get weird thoughts. Do I have paranoia?", + "src": "Patient: Hello doctor, Everyone gets those little paranoid thoughts but mine have gotten a lot worse and a lot more frequent over the past four months. I constantly feel like people I know are talking about me or someone is trying to kill me/hurt me. I also get other weird thoughts like, what if the bus tips up, what if there is a bomb in here? This stops me from going out, and I cry a lot over it. Nobody I know has ever experienced it and they do not know about it, so I do not like talking about it because they may think I am just weird. When I am home alone or not, doors and windows have to be locked and shut so nobody can see inside the house. If I want to go out, I have to be with an older person (parent) or a group of friends. I went out for the first time past 8 o' clock at night the other day and it really frightened me. I have woken up in the middle of a panic attack twice. Please help. Doctor: Hi. The symptoms you have described are indicative of obsessional nature and the behavior is compulsive because of fearfulness. From the brief description, it is not possible for me to decide the category of disorder. But I can tell you that it is not normal and unlikely to go away without the help of a mental health specialist. You are right in saying that you are suffering fromparanoia but to me, it seems it is secondary to this fearfulness. Having said this, I can assure you that this condition can be treated with the help of antidepressants and antipsychotics or psychotherapy or both. Most of the individuals respond slowly to the prescribed treatment. At the same time, I would like to inform you that you are not responsible for these symptoms. They just can happen to anybody. You need to talk and discuss your issue in detail to a psychiatrist online after which we can decide the exact diagnosis and a plan of treatment." + }, + { + "id": 2264, + "tgt": "I had no symptoms, then why did my blood test show antibodies for HSV-1 and 2?", + "src": "Patient: Hello. 7 yrs ago I had chicken pox. Last year, I did a herpes test and they said I had antibodies to HSV1 n 2. With a range of 0.6 and 2.2. I did another test after 2 months with a range of 0.6 and 2.3. I have never had any of the symptoms I read about I am concerned. So what do you think? Doctor:" + }, + { + "id": 8606, + "tgt": "What are the ways in which technology is changing the way we sleep?", + "src": "Patient: Hello doctor, How is technology changing the way we sleep? How are people sleeping better and/or more aware of their sleep patterns, thanks to technological advancements and trends? Doctor: Hello. Sleep is a very complicated process and it is a way of healing and relaxing the body. Four steps are there for the sleep process to complete. Every person has their own patterns but largely we can say good sleeping habits change life patterns. A normal individual should sleep 8 to 9 hours with different posture change. Obese should prefer right and the left lateral position as oxygenation improve which is compromised in supine sleep. BIPAP and CPAP are the machines which are the treatment if sleep apnea and also snoring patient, the patient only has to out nasal mask and they can sleep well with improved oxygenation and also enhance quality and standards of life. During sleep, there is a good temperature for body but this is according to age. Music and light also affect but it differs person to person." + }, + { + "id": 23414, + "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": 23650, + "tgt": "I think few images from my recent scan have not been looked at. Can you have a look?", + "src": "Patient: Hello doctor, I have been struggling for approximately two years with symptoms such as pulsatile tinnitus, dizziness, vertigo, orthostatic headaches and general fatigue. I had an MRI that showed empty Sella with some herniation of CSF into the pituitary gland area. I have a set of images from a CT angiogram as at the time I was under investigation for some sort of arteriovenous malformation (suspected) but was given the all-clear. The reason for the second opinion is I believe the cause of my symptoms has been missed as the coronal and sagittal images from my recent scan I do not think have been looked at. In my opinion, there seems to be a defect in the left cribriform plate adjacent to an opacified ethmoid air cell. I think this may be causing a CSF flow problem and hence all my symptoms. I have attached a snapshot of the area but please could you look at the coronal and sagittal images? Doctor: Hello. The MRI findings are suggestive of benign intracranial hypertension and these also correlate well with your symptoms. In the scan provided, no obvious defect is seen in either of the cribriform plates. The CT angiogram is within normal limits. But still, if you have rhinorrhea (a runny nose) then the possibility of CSF leak needs to be ruled out accurately using CT cisternography scan. Please upload the coronal images so that I can evaluate the complete scan. 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 radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 20870, + "tgt": "What foods and vegetables can be taken for decreasing the bilirubin level?", + "src": "Patient: Hi doctor, My total bilirubin is 1.5 mg/dL. What foods and vegetables are taken for lowering the bilirubin level? I am taking tablet Pantop, Mecobalamin 1500 mcg, and Calcium tablets. Doctor: Hi. Your bilirubin level is high. You can take fruit juice like sugar cane juice and apple juice. For a few days, fatty foods should be avoided. Strictly avoid junk foods like pizza and burger. You are advised to take rest. Take a light meal with a frequent interval is advisable. I suggest you investigate with USG (ultrasonogram) abdomen scan, SGPT (alanine aminotransferase), and SGOT (aspartate aminotransferase) for further work up. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6980, + "tgt": "One tonsil is bigger than the other. Is it of concern?", + "src": "Patient: Hello doctor, My 12 year old has one tonsil larger than the other, but no other symptoms. Doctor: Hello. For more information consult an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1016, + "tgt": "Please recommend some treatment for jock itch", + "src": "Patient: Hi doctor, I am having an abscess on my balls. It is reddish and painful, but not much. I have jock itch right now. I saw terrific images on the internet, but it is not like that. Please help. Doctor: Hi. Please put up two to three clear photos of the affected area for proper evaluation and guidance. Revert back with the photos to a\u00a0dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3106, + "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": 22737, + "tgt": "I experience very severe pain. Is it due to diverticulitis?", + "src": "Patient: Hi doctor, I have been prescribed Mirtazapine 15 mg for reducing my depression associated with my condition. In most of my adult life, I suffered from IBS symptoms. I rarely drink alcohol. I eat fish and seafood. But no other meat is taken in my diet now. In the past five years, my problems have markedly increased. Around four years back, I underwent a colonoscopy and was diagnosed with diverticulitis. They advised me to avoid taking nuts and seeds in my diet. Around two years ago, my situation again became worse and I have been prescribed with several courses of antibiotics. At the end of last year, I had an episode of diarrhea which lasted for a week. I was prescribed several courses of antibiotics with limited success. I still experience pain somewhat different from diverticulitis and bouts of diarrhea. I was referred to a gastroenterologist. I underwent gastroscopy and colonoscopy after consulting him. I have attached the report for your review. One of the recommendations given by the doctor is to see a Nutritionist, who first put me on the FODMAP diet. This had a small benefit regarding pain reduction. This time, the Nutritionist recommended me to increase fiber in my diet to improve gut motility and function. So, I introduced some oats into my breakfast. After few weeks, I saw Nutritionist, who recommended me to increase more of fiber in my diet and finally advised me to go on with RPAH diet. I am not feeling confident about taking this strict diet. I would really appreciate if you could review my current treatment plan and provide advice or recommendations. I had a very severe pain several nights back and my partner was so worried and called an ambulance. The severe pain finally receded after several loose bowel movements. All of this made me feel depressed. Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). They are related to IBS (irritable bowel syndrome) Mixed type. IBS is of three types:1. Diarrhea-predominant.2. Constipation-predominant.3. Mixed variety. IBS is treated as follows: 1. Proton pump inhibitor like Pantoprazole and Rabeprazole, which will help in neutralizing any acid present in the stomach. 2. Avoid fat and pepper in diet and take soft diet. 3. You can take smooth muscle relaxant like Mebeverine SR 200 mg twice daily for stomach pain. 4. A combination of Chlordiazepoxide and Clidinium bromide is also beneficial. 5. Mirtazapine, as you have been taking, also help in controlling symptoms of IBS. 6. If you feel constipated, you can take Syrup Lactulose in the night. I hope this will help you. Revert if you have further queries. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9221, + "tgt": "I had an MRI and what does the white line on C4 and T1 indicate?", + "src": "Patient: Hello doctor, I have neck and shoulder pain after a car accident. I had an MRI scan done and would like to know what the white lines on the C4 and T1 of the vertebra are and if I have any damages in my neck? Doctor: Hello. I have gone through the images (attachment removed to protect patient identity). The scan seems to be normal to me except for mild kyphosis of the cervical spine. This could be due to ligament injury or due to muscular spasm. I suggest we do dynamic flexion and extension X-rays of the cervical spine after a month of the damage. In the meantime, one should take care that one Sishir put excess pressure on the neck in the form of carrying heavyweights in hands or bending forward. The pain is most likely related to muscular spam and should subside in two to four weeks." + }, + { + "id": 11141, + "tgt": "Is there any non-surgical management for kidney stone?", + "src": "Patient: Hello doctor, I am a diabetic taking Glimepiride and Metformin. I have developed a kidney stone measuring 1.6 mm and the doctor has advised for a surgery. Is there any non-surgical management? Doctor: Hello. I have seen your report (attachment removed to protect patient identity). It is unlikely that 1.6 mm Kidney stone will come out on its own. You require surgery. There are many options like URSL and PCNL. Which option does your doctor prefer? For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21265, + "tgt": "How to save a tooth with gum abscess in a 3 year old?", + "src": "Patient: Hi doctor, I have a child who is three years old. He has an abscess on his gums above his front tooth. X-rays are taken, and the dentist wants to pull out the tooth. He says that the roots are gone. So there is no need to keep it. The tooth appears perfect when you look. Is it possible to give him antibiotics to save this tooth? Because I know, as it will be around three years for his permanent tooth to come. Doctor: Hi. Since your child is only three years old, so the chances of root resorption are low which means that his roots must be intact. If the root is intact, then you can go for the procedure called pulpectomy, which can save the tooth. Even the antibiotics can help him for the time being as it is going to take three more years for him to get his new tooth. So you can consult another dentist to get the second opinion about saving his tooth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18384, + "tgt": "My face has broken out worse than before. Please help", + "src": "Patient: Hello\u00a0doctor, I am an 18 year old female. My face is heavily broken out worse than ever before with patches of flaking and peeling of skin over the oily areas. I have had acne since the age of 9, and have had psoriasis since I was 7 which tends to appear on my face during winter and on the rest of my body year round. I wash my face twice a day and drink the right amount of water. My skin has never been this bad and I was wondering what may have set it off. Doctor: Hello. I have gone through your query and I have viewed the image (attachment removed to protect patient identity). You have inflammatory acne (moderate to severe grade). The flakiness over the oily skin zone is perhaps due to associated seborrheic dermatitis or sebopsoriasis. You would require oral antibiotics like Doxycycline or Minocycline. In addition, I suggest you try using topical Clindamycin and Benzoyl peroxide gel. I would also like to rule out a hormonal etiology such as PCOD (polycystic ovarian disease) as the reason for your acne. If found, you may have to be on monthly hormonal pills. For flakiness over the oily skin zones, you may use cortisone cream twice daily. Consult your specialist doctor, discuss with him or her, and start taking the medicines with their consent. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30830, + "tgt": "Kindly suggest some medicine to improve breast milk", + "src": "Patient: Hi doctor, I am a 28 year old married female. My baby is 40 days old. I am unable to breastfeed her. Please suggest me some medicine to improve my breast milk. Doctor: Hi. For further information consult a lactation counselor online --> https://www.icliniq.com/ask-a-doctor-online/lactation-counselor" + }, + { + "id": 30955, + "tgt": "Is surgery the only treatment available for adenomyosis?", + "src": "Patient: Hi doctor, My wife has been diagnosed with adenomyosis. What should we do next? Doctor: Hi. The best treatment for adenomyosis and endometriosis, is hormonal therapy or a hormonal IUD (intrauterine device). Also, if you are planning for pregnancy, then plan for it immediately. As time passes by the problem may increase and interfere with the fertility. So, it is better you take up pregnancy in the first hand. However, if you are not planning for pregnancy, then you can go ahead and get a hormonal IUD. If you have any further doubts, then do get back to me with her age, periods, obstetric history and any other details, which you would like to share. Revert back with the detailed history to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13192, + "tgt": "What does my MRI taken for dizziness and headaches indicate?", + "src": "Patient: Hi doctor, I am 33 years old female smoker 170 cm, 72 kg and recently have my MRI scan on the brain. My reason for MRI was dizziness, headaches, and pain in joints, legs. Can you please tell me your opinion about the result? This the impression: T2 FLAIR hyperintensity foci within the white matter in the centrum semi ovale and near the vertex which are more than expected given patient's age. The distribution is non-specific. Most of these are atypical for demyelination. Doctor: Hi. I understand the issue. In my opinion, the finding in your MRI suggests that some of the nerve coverings (neuronal coverings) in your brain have weakened. The changes are subtle, not to that extent when we can call it a disease. Giddiness you have is very less likely to be directly related to these changes but we can relate it to the probably associated weakness in the coverings of the balance nerves. Please let me know in detail about the pattern of your giddiness. Is it present all the time? Or episodic? Is it more when you are in stress? Is it associated with hearing problems? Do you hear any extra sounds from your ear? Please let me know so that we can discuss further." + }, + { + "id": 29482, + "tgt": "Can multiple myeloma be misdiagnosed over chronic alcoholism?", + "src": "Patient: Hi doctor, I am a 63 year old male.\u00a0I have been recently diagnosed with multiple myeloma. My doctor, who is listed as a hematologist or oncologist, said that I must undergo chemotherapy asap. His diagnosis was based solely on bloodwork and a full skeletal x-ray. There was no MRI or PET scan or bone marrow biopsy or urinalysis. The x-ray revealed some tiny pinholes in my jaw and skull but was too small to be definitive. I should mention that I was an alcoholic and drink 24 to 30 regular beers per week. I have done some research and found that the bloodwork of a chronic alcoholic is similar to the bloodwork of someone with myeloma. Among other things, alcohol can cause damage to bone marrow and cause bone loss.\u00a0I have since completely stopped drinking and have been off the alcohol for four weeks. I am now feeling well with no physical symptoms of myeloma such as no fatigue or weakness, appetite is good, no significant weight loss, no skin lesions\u00a0and\u00a0no bone or back pain. No bloodwork has been done since I stopped drinking. Can multiple myeloma be misdiagnosed over chronic alcoholism? Could I have been misdiagnosed? Can a definite diagnosis of myeloma be made from only blood tests and an x-ray? Doctor: Hi. Revert with the report to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12491, + "tgt": "I am 16 weeks pregnant with low lying placenta. Can I travel for work?", + "src": "Patient: Hi doctor,I am 16 weeks pregnant and 4.3 internal OS closed but diagnosed with a low lying placenta. Can I travel on a two-wheeler? Do the household work and go for a job? Please suggest me. Can I fly on a plane? Doctor: Hi. It would be better if you would send me a detailed history and scan report. The placenta is still in developing stage that will grow and might change its position. For now, till it is low lying if within 2 cm of an internal OS then better to have rest and precautions. Avoid taking risky two-wheeler ride, over-exertion, weight lifting, stairs, sex or any other bleeding stimulating factor. Recheck placental location after a month and discuss with your obstetrician. Have regular antenatal follow-ups and scans. Have complete treatment of any health issue you have. Have a balanced diet. Report symptoms like spotting and bleeding immediately to treating obstetrician. Make sure your blood group is already checked. If negative, better to have the husband's blood group also checked. Better send scan report to have particular guidance." + }, + { + "id": 7905, + "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": 201, + "tgt": "I have an itchy bump around the second toe nail. What is it?", + "src": "Patient: Hello doctor, I have an itchy bump around the nail of one of my toes, the second one. It has happened in the past years, usually when the season gets warmer. It started about a month ago and grew into a quite itchy, sensitive and swollen area. It is now turning to purple. I tried antifungals before, but it was hard to know whether they made a difference. Please help. Doctor: Hi. I have read your concern and examine your pictures (attachment removed to protect patient identity). Ingrowing nail. 1. Gram staining and culture. 2. Potassium hydroxide (KOH) 5% smears. 1. Acute paronychia without obvious abscess can be treated nonsurgically like in your case. 2. I suggest tablet Augmentin 625 mg thrice daily (combination of Amoxicillin and Clavulanic acid) for 5 days and 1% Clotrimazole plus Fusidic acid cream twice daily for one week. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Cut the nail from the side as it grows from the side and cause recurrent problem. Also, do not use tight foot wear. Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 515, + "tgt": "Please suggest ways to prevent the symptoms of piles from recurring", + "src": "Patient: I m having prblm of piles (without any lump) only mild bleeding at the the time of defecation which is seen on the toilet paper only while wiping ...there is no bleeding seen in the stool...sometimes constipation is there ...but motions r not hard ...facing this prblm from last 6 months i mean it happens 3 to 4 times in last 6 months ..sharp pain only at the time of defecation after that no pain....but the prblm is that it reoccurs in 1-2 months... rgt now i m taking arshkalp vati one tablet twice in a day and abhyarishta..... along with amla juice in the mrng empty stomach from last 20 days and feeling relief no pain ...no bleeding after one day of taking these medicines but i m afraid it comes back when i stop taking them ...r these medicines safe for long term use????How much time does it take to get rid of this prblm from these ayurvedic medicines? And the duration of these medicines plz guide? Doctor:" + }, + { + "id": 23564, + "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": 26844, + "tgt": "Nothing seems to help my prolonged throat irritation. Please advise", + "src": "Patient: Hello doctor, I am a 42 year old male. I had a seizure episode about 15 years ago\u00a0and skin tuberculosis, for which I was hospitalized and treated.\u00a0I was not on any kind of medications until a year later.\u00a0But during that\u00a0period, I was unable to concentrate on my sales job. I could not speak fluently at times. I would be so tired when I got home from work that, all I could do was sleep. I then visited a psychiatrist, who gave me a Phenergan injection. But that did not solve my problem permanently. I then met my friend's cousin, who was a psychiatrist from abroad. He prescribed Oxetol 150 mg and Rivotril 5 mg, both twice a day. Then I got better at work. I used to walk for 4 km every day, but eventually, I had to discontinue my walking because of my job schedule.\u00a0I also started taking Quetiapine 25 mg, half tablet, every night for the last two years to help quit my smoking habit. I have a throat irritation for the past three years. I went to the best hospitals in my city and consulted ENT physicians there, who told me that my throat was alright. But I was diagnosed with\u00a0GERD, and I was put on Rabicer.\u00a0I got breathing problems often, and nothing gave me relief.\u00a0I was referred\u00a0to an allergy specialist who gave me Doxcid, Fexofenadine, Ambroxol, and Montelukast. He also prescribed me an Airtec inhaler 250 mcg, which I use five times a week.\u00a0 About 15 years ago, I tried\u00a0to discontinue Quetiapine\u00a0for five days, which improved my breathing trouble, but my anxiety increased and I restarted the Quetiapine 25 mg at night.\u00a0Can you please help me? I have to fly next month for an official trip. Can I travel with these medicines? My IgE in the blood tests is 740, and eosinophil count\u00a0is 13 %. I am also pills, which contain\u00a0vitamins, minerals, and Inositol. I am attaching my latest lab reports for your reference. I recently started using Nicotex, and I am not smoking for the past two weeks. My problem now is, I still have the throat irritation. I am unable to wear a neck tie since it is not comfortable. Sometimes, I still get breathing difficulty, and I feel tired in the morning. Can I stop taking Quetiapine? Doctor: Hello. Well, I can understand your concern. Here are the facts and the solution for your queries: Do not self-medicate. It could be harmful to your health. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7853, + "tgt": "My WBC, MCV, MCH and MCHC values are slightly low. What can be done to increase the levels?", + "src": "Patient: Hi doctor, I had a master health checkup and found the following abnormalities. A few values are out of range and they are as follows. Hemoglobin 12.7, total RBC count 5.62, MCV 62.4, MCH 19.2, MCHC 30.8, WBC count 3400, and platelet count 1.62. What medication should I take to increase the levels of MCV, MCH, MCHC, and WBC count. Please advise. Doctor: Hi, Welcome to the icliniq.com. I have read your attached report (attachment removed to protect patient identity), and the following is my opinion for your case. Your total WBC count is borderline low. It can be decreased temporarily due to some inflammation. You have to repeat CBC (complete blood count) after ten days to recheck total WBC count. Your low MCV, high red blood cell count and borderline low hemoglobin could be due to some hemoglobinopathy. For that, I suggest you investigate further with Hb electrophoresis by HPLC method (high-performance liquid chromatography) and serum iron profile study. You can revert with reports once done to guide you further. Meanwhile, you can take Ferrous ascorbate tablet for one month to raise hemoglobin." + }, + { + "id": 30806, + "tgt": "Why did not the glucose monitor value and HbA1c coincide?", + "src": "Patient: Hi doctor, My father has been suffering from diabetes for the past 20 years. He is using Apidra (20 units in the morning and 14 units in the evening), Lantus (20 units in the morning) Insulin injections and Cyblex MV 40.2 mg twice a day. He regularly checks his blood sugar level using glucose monitor. It usually reads within 90 to 130 mg/dL, which is considered normal for a diabetic. Recently, he got his HbA1c test done in the laboratory and it showed 8.7%. He is worried whether there is a mistake in the monitor reading or in the laboratory report. I want to know whether the test is to be repeated in another laboratory. Or Should I consult his diabetologist for further investigations and treatment? Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 20127, + "tgt": "Temporary crown came out. Is there any substance that will hold it in for now?", + "src": "Patient: Hello doctor, I am having a crown installed, and last night at dinner, the temporary crown came out. Is there some kind of substance that will hold the temporary crown in until I can reach my dentist? Doctor: Hi. You can leave it as such without placing the temporary crown. But make sure you do not bite onto anything until the crown is placed. Another option is that you can dip the temporary crown in water and then place it on your tooth and hold on for a few minutes. The temporary crown usually holds on and will remain intact for a few days. The last option is for you to visit your dentist and get it re-cemented right away. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16647, + "tgt": "I procrastinate a lot. Is it psychological? Can it be rectified?", + "src": "Patient: Dear doctor,I am 34 years old and am married with two kids, the youngest of the two is 5 months. I have three queries.I procrastinate a lot. Is it psychological? Can it be rectified?I have low self-esteem. Things which happened in my past keep coming to my mind and it hurts me. My mum has told me that I am a good for nothing and I cannot do anything. Is there a way out from feeling so worthless?My husband is an awesome guy. He is very caring and kind. He is the perfect match for me except the fact that he is not interested in sex. Right from when we got married, he never was interested in sex. He has sex when I force him too much and for having kids. Is it due to a low amount of testosterone in him? Can it be rectified via a testosterone injection? If that is the case, will he be interested in sex only or will his whole personality change? He is very emotional and helps out with everything. I do not want that to be changed.Thanks for your time. Doctor: Hello. I can understand your concern. 1 & 2. A lot of individuals have the habit of procrastinating. If there are no other associated symptoms, we cannot label this as psychological. You have mentioned that you have low self-esteem and you think a lot about past. Sometimes, you feel worthless and these symptoms might be associated symptoms. Delaying anything without any reason could be due to lack of motivation, initiative or judgment. This should be properly evaluated. This might be due to underlying mood disturbance. Mild depression can cause similar presentation. If there are no such symptoms and you just have the issue of procrastination, then this is not an alarming thing. Try to remain relaxed, make a proper routine of your day to day activities and follow that routine. This will help improve the functioning. Once you are engaged in your routine, the problem of feeling worthless will also go. Try to get pleasure by finishing the work on time and this will motivate you to do more and ultimately the worthlessness symptoms will go. 3. You have mentioned that your husband is an awesome guy and is emotionally very supportive. But, one issue is that he is not very interested in sex. If he has low interest in sex but during sex, if he is getting good erections, then I do not think there is a problem of low testosterone. I hope he is not overweight and has mesomorphic build. In obese individuals, low testosterone could cause problems. Still, to get a clear picture, you can talk with him and get his serum testosterone and prolactin levels done. This will rule out any hormonal cause. Testosterone injections are given for hypogonadism and this will improve the libido and erection of individual. You can give him herbal medicines containing supplements like L-arginine and yohimbine. Both these supplements will increase his libido and erection. You can find these in supplements stores. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20971, + "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": 21256, + "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": 5681, + "tgt": "Why does running nose, sneezing and blocked nose happen?", + "src": "Patient: Hi doctor, I have bad\u00a0running nose, sneezing and blocked nose in the morning for the last ten days. I have taken Augmentin 375 for five days. It improved a bit but again relapsed today. Please help. Doctor: Hi. I have gone through your query and can understand your health concern. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7722, + "tgt": "How is psychotherapy used in the treatment for Obsessive Compulsive Disorder(OCD)?", + "src": "Patient: Hi doctor, I am suffering from OCD (Obsessive\u2013compulsive disorder). How can it be treated by psychotherapy? Doctor: Hi. As you might be aware, OCD is a chronic, relapsing, and debilitating disorder. It has four themes of manifestation that decides the nature of treatment likely to be effective. So, to determine which form of therapy is more suitable for you, a psychiatrist can guide you after having a complete assessment. Regarding psychotherapy, the most commonly used technique in the psychological treatment of OCD is exposure and response prevention (ERP). This is a psychological method which involves exposing a patient to an anxiety-provoking situation and then stopping them engaging in their usual safety behavior. This helps them confront their anxiety, and the habituation leads to the eventual extinction of the response. So, if you are interested in the treatment of your problem, kindly contact any efficient local psychiatrist or book for an online therapy cum counseling at icliniq. Hope it helps." + }, + { + "id": 17548, + "tgt": "What is the best treatment to remove accident scars on the face?", + "src": "Patient: Hello doctor, I have a\u00a0hypertrophic scar on the left side of my face due to a road traffic accident from five years ago. I had undergone a scar revision surgery four years back but, no improvement was\u00a0seen. So, I had a Z-plasty surgery two years back with a 40 % improvement. But, it is still visible and I am very conscious about it. Can this be improved further? Doctor: Hello. For more information consult a plastic surgeon online --> https://icliniq.com./ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 23770, + "tgt": "Please suggest a medicine for fungal infection of the toe", + "src": "Patient: Hello doctor, There is a fungal infection between my toes. My doctor advised me to apply a Bifonazole cream. But, it is not showing any result. My wife having the same problem last month, applied Salactin paint and it got cured in just four days. So, can I apply the\u00a0same cream too? Doctor: Hello. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 19250, + "tgt": "Is it necessary to be in sling always for an arm fracture?", + "src": "Patient: Hi doctor, My 4 year old son fell down in play area and got his left arm fractured in the region of ulna and radius. We went to the emergency room immediately and the doctors did alignment and put him on cast and sling.\u00a0Can you please check the x-ray and confirm the alignment? Since he is 4 years old, he is not keeping the sling all time. While playing with toys inside home, the sling is getting loosened. My worry is that, will it delay the healing process? Does the kid always need to be in sling while cast? I am attaching all the x-rays of my son. After looking into the x-ray, I had asked about the second bone not realigned properly. They told that it is fine if the alignment is greater than 20% or something like that. We are again going for a follow up in two days time. Please suggest if we need to ask them anything else during our follow up visit. Is whatever the doctor said appropriate in his case? Kindly guide us. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23065, + "tgt": "Is it possible to put simple filling instead of crown after a root canal?", + "src": "Patient: Hello doctor, I had a root canal on my 31 molar. Only a corner of my tooth was removed, not even half. I am concerned about the cost of the crown which I know could be very expensive even with insurance. Is it possible this can be filled with a simple filling instead of a crown? Doctor: Hi. I have read through your complaint and the relevant details. Crown placement after root canal treatment will happen once the tooth is particularly shaped and prepared for it. It is also followed by an impression making of that shaped tooth. If this step has been done, then you are definitely going to have a crown. If not, it is the root canal treatment which has just got completed (I am saying this because you had mentioned only a little portion of the tooth is removed). Answering the last part of your question, yes a simple filling can be done instead of a crown for a root canal treated tooth, but there are few conditions for it. It depends on how far the tooth is opened up for the root canal treatment, that is, the depth of the cavity and the extension. Since it is a molar tooth, we do not want to risk your tooth undergoing a fracture in the later days. So, a crown is always advisable. I request you to always ask your dentist which part of the treatment plan is going on and what is next. It is your right to question.You should not be signing the consent just like that but know what is happening actually. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19689, + "tgt": "What is the treatment for Zoon's balanitis?", + "src": "Patient: Hi doctor, I was diagnosed to have Zoon's balanitis and recommended Imiquimod, Takfa and Hh Derm. Even after 30 days of application, the problem still persists. Should I continue with the same ointment? Kindly guide me. Doctor: Hi. I have seen your query and concern. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14819, + "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": 7476, + "tgt": "Being a PCOD patient, I missed my period and my pregnancy test is negative. Why?", + "src": "Patient: Hello doctor, I am 23-years-old. I have irregular periods from five years. I have PCOD problem (hormonal imbalance, delay periods) three months before I consulted a doctor and gave me Ovacet and Regestrone (day16 today 25) for two months. In these two months periods are regular. Last month I used only Ovacet tablets I missed period in this month I have white discharge and back pain. The pregnancy test was negative. I am married since two years. Please help. Doctor: Hello. Patients with PCOD (polycystic ovarian disease) are advised low dose hormones for regularisation of cycles. In your case, you were given estrogen (Ovacet) and progesterone (Regestron) to be eaten separately. Ovacet forms endometrium and progesterone matures it into secretory phase so that on stoppage on 25 th day, the next five days you may have your menses. Now, this cycle you took only ovacet so only proliferative endometrium is formed, and if you are continuing ovacet even presently then in a few days, you may have some breakthrough bleeding but not what you can say menses. This missed period is because of not taking Regestron. A pregnancy test is negative, so not to worry. Start your Regestron from today for the next 10 days and wait for periods after that in the next seven days. Another advice instead of using the hormones separately, please use tablet Ginette one od (once a day for 28 days). For six months in toto for PCOD. Maintain a menstrual calendar as well for these six months. Lose some weight. Drink plenty of water. Ginette offers better compliance and better cycle control. So rest assured you are not pregnant. For any further query, you may contact me." + }, + { + "id": 10222, + "tgt": "A white patch has been formed at the tip of the penis associated with skin tightness. Why?", + "src": "Patient: Hello doctor, I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue? Doctor: Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please address the issue of hygiene better. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by addressing the hygiene properly. Let me reassure you again, and you need not worry much, go for circumcision." + }, + { + "id": 22784, + "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": 18085, + "tgt": "What are the pimple-like rashes on the penis head?", + "src": "Patient: Hi doctor, My skin around the scrotum is flaking and senseless on touch. Also, the same on penis head. There are a lot of rashes like pimples on the bottom of the penis head. It gives a bad odor. I am 23 years old and I have been in this condition for more than seven years now. My past medication was Candid B cream for a week and I stopped it as there was no improvement. Thank you. Doctor: Hi. Revert back with the photographs to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7753, + "tgt": "Can urethral play cause premature ejacultaion?", + "src": "Patient: Hello doctor, About 6 years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpus spongiosum and corpus cavernosa what feels like an enlarged muscle and seem to run the entire length of the urethra, maybe compression damage done to something there. As a result, I have slight difficulty urinating and very very bad premature ejaculation which did not ever happen. I also have nocturnal emissions frequently on a full bladder. I know I may need to have an MRI, but if the muscles are damaged here, what are the surgical options? Can anything be done? I also tried Priligy and it made no difference (10 to 20 seconds). Doctor: Hi. First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will cause difficulty in urination. Also, nocturnal emissions are natural, although frequency might vary. If you still have doubts, you can proceed with ultrasound Doppler study of penis and cystoscopy. That would reveal whether you have suffered any injury in the past." + }, + { + "id": 24112, + "tgt": "I have sore throat from two years. Please advise", + "src": "Patient: Hello doctor,I have a bad case of sore throat. It has been two years since I have a sore throat. I regularly gargle with hot water or diluted Betadine gargles (Povidone-iodine solution ), but there is no effect. Rather, it has gotten worse. Doctor: Hi. As you are a chronic patient of pharyngeal infection, we have to rule out all possible causes one by one with a thorough examination and necessary investigations. You should go for the following investigations. Considering the findings of clinical examination and investigation one may plan for treatment. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10736, + "tgt": "Kindly suggest the management of acne breakouts on my cheeks, neck and ear", + "src": "Patient: Hello doctor,I am 40 years old. I have major adult acne breakouts mainly on my cheeks, neck, and under my ear. I am dark complexioned, so when it does clear, it leaves scarring and dark spots. The last dermatologist I consulted suggested birth control. Could please give some suggestions? Doctor: Hello. I saw your pictures (attachment removed to protect patient identity). I can see pus-filled acne along with post acne pigmentation. Start using Azithromycin 500mg of any brand for six consecutive days after breakfast. Apply Epiduo gel once daily bedtime for a short contact period of 30 minutes then rinses off with cool water. Start biluma cream once daily in the morning on the spots. Avoid all sorts of dairy products bedtime and prefer carrots and spinach along with few soaked almonds. Have reviews about salicylic acid peeling and plan for three sessions accordingly. I hope this will help you." + }, + { + "id": 18243, + "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": 9155, + "tgt": "Vaseline cannot be used in conjunction with condom. Is that correct?", + "src": "Patient: Hi doctor, My dermatologist recommended Vaseline for any abrasions in glans penis. The area is dry, and often I get chafing there, so began to use daily. However, that becomes concerned that when using a condom, the residue of the Vaseline cause condom latex to weaken. My penis is uncircumcised. I also had fungal infections before so do not want my penis to be too moist. At times I use Nystatin powder for fungal infection. I have had bacterial and viral cultures to be sure, and these are negative. First, is there a good way to completely wash off the Vaseline? Even with soap, there is often a mild resident. Second, is there a safe alternative to Vaseline for this purpose which will not affect condoms? Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. Small abrasions on the glans penis that usually come across during sexual intercourse are healed up at their own. Problem occurs when they get combined with fungal, bacterial or viral attacks. 2. I preferably suggest you to apply K-Y jelly or gel before sex to get lubricated. It is a water based lubricant and has no chemical interaction with the latex of condoms. 3. For fungal infection you need to apply Hydrocortisone or Clotrimazole ointment on the chaffed skin of glans. This ointment will give you ease from abrasions too. You do not need to apply Vaseline especially the days when you will be having a fungal attack too. 4. Using Nystatin powder will make the surface more rough and dries up. That is not good in your case as it may cause more abrasions being dry. 5. Please avoid rigorous sexual intercourse especially in the days when you have fungal growth. 6. To completely wash off the Vaseline you do not need to use anything else. Soap wash with a mild soap like dove is the best option for you. 7. The residual Vaseline you are talking about has nothing to do with latex. It is totally safe and never renders the latex weak. 8. You do not need anything else other than Vaseline to apply on chapped skin (abrasions) when there is no fungal attack. It is a good option and I think it is working well for you. 9. In many of my patients with these issues, I opted in for circumcision and referred them to a general surgeon with very encouraging results. You can also go for the same to get rid of abrasions and fungal infections." + }, + { + "id": 6741, + "tgt": "I am experiencing symptoms like irregular periods, fatigue, anxiety, etc. What could be the cause?", + "src": "Patient: Hello doctor, I am a 20 year old female. I suspect that I may have a hormonal condition, such as PCOS or hypothyroidism, and wanted to get an opinion based on my symptoms. I have compiled a list of symptoms that I have been experiencing so far; 1) Excess hair growth: \u201cBeard\u201d area, bikini line, legs, underarms, nipples. Shaving and waxing cause painful ingrown hairs, despite correct shaving technique. 2) Bloating and constipation: Sometimes, without a bowel movement for around a week. Distended abdomen, made worse after particular meals. 3) Irregular periods: Often skipping a month or coming twice in the same month. It can be very long (several weeks), short (a day or two), heavy (bleeding though tampon in less than an hour), or light (just spotting). Occasional gushes of watery, pinkish blood discharge. Minimal cramping, no unusual pain. 4) Sleep problems: Trouble falling asleep and waking up refreshed. Often tired during the day, even after a full night of sleep. 5) Fatigue: Almost always sluggish. \u201csick\u201d feeling. Lightheadedness in the shower. 6) Anxiety: Feels irritation and becoming overwhelmed and emotional. Often a sudden onset. 7) Skin problems: Dyshidrotic eczema on hands. Mild to moderate acne on the face, shoulders, back, stomach, bikini line, butt, and legs, leaving marks for long periods. Recurring pink, irritating rash-causing discharge inside the belly button. 8) Small amount of weight gain: Around 10 lbs. Very visible around the midrib area. A few stretch marks on back and legs. 9) Overly visible veins, especially in legs. 10) Irregular headaches, sometimes accompanied by bloating and constipation. 11) Scoliosis: Occasional back pain after long periods of standing, sitting, or physical activity, which does not cause significant problems. 12) Mild thinning of hair on the head. I need advice based on these symptoms. Is it likely either of these conditions or something different? Doctor: Hello. Your symptoms are suggestive of PCOS (polycystic ovary syndrome). However, there are certain conditions that mimic PCOS, like thyroid, adrenal problem, and hyperprolactinemia, etc. You need to visit a gynecologist or endocrinologist as certain details like testosterone levels, ultrasound abdomen, and pelvis, thyroid, and cortisol; etc., are needed If you are overweight or obese, losing weight can improve many of your symptoms. Losing just 5 % of your body weight can help a lot. The most common treatment is to take birth control pills. The pills do not cure PCOS, but they can improve many of its symptoms, like irregular periods, acne, and facial hair. Birth control pills also protect women from cancer of the uterus. Women with PCOS can live normal lives. But it is important to consult a doctor and treat accordingly. Treatments will help your symptoms and protect you from other possible diseases." + }, + { + "id": 25438, + "tgt": "Is my heart racing due to a drug interaction?", + "src": "Patient: Hi doctor, Five days ago, I had a drug interaction. I was cleaning my wood pellet stove, running up and down the stairs to get tools from my workshop and during the process, I noticed I was sweating and my heart was racing. I sat down in front of my clock and checked my heart rate, it was 162 BPM. I had a doctor's appointment that day anyway, so I took a shower and got dressed to go to my orthopedic. I felt a little off while I was in the office and spent like I ran a marathon. When the nurse put the finger heart rate monitor on I noticed my heart was still running between 115 and 120. My BP was 140/110 also high. I think something I put into my body yesterday interacted with my prescription meds.I said something to the nurse when I saw my heart rate, she said to speak to the doctor about it. I started using Minoxidil 5 % a week ago to help thicken one side of my beard and assumed that maybe it was interacting with my meds because it was only my second day taking it. I checked for drug interactions and did not see any between it and my meds when I started using it. The doctor told me that Minoxidil should not cause this condition. The Minoxidil box says Minoxidil can cause your heart to race. I checked Minoxidil interactions and found several people who claim they had interactions immediately after using it. I went home, alerted my psychiatric nurse and then took to the internet to try to find some answers.My heart rate and BP came back down last evening. I found several things that could have caused a problem and was hoping someone might be able to shed some light on the issue. I take three prescription drugs daily: 10 mg Ritalin three times daily for ADHD (just started taking eight months ago). 100 mg Zoloft once daily for PTSD. 100 mg Seroquel once daily for insomnia. I went untreated for years and began to suffer extreme anxiety and depression. So, I saw a doctor over a year ago. Ultimately, I was diagnosed as ADHD and PTSD. I have had sleeping problems since I hit puberty, it is genetic on my mother's side of the family so I addressed that too.I also have SIBO, small intestine bacteria over-production. I am on a low FODMAP diet, and mostly use aloe vera gel and occasionally use calcium pills to control heartburn. When I started taking these meds I was 20 pounds lighter. My resting blood pressure was 107/70 and my resting heart rate was about 55 to 60.I started smoking again last year, then I injured my right forearm so I stopped working out on top of it all. My blood pressure has steadily climbed. At my last visit to my psychiatric nurse this week my BP was 128/80 and my heart rate was 60 BPM. I asked my nurse if she thought the Ritalin was causing my BP to rise, she said it is the smoking and lack of exercise. I quit smoking tobacco a month ago, and switched to an e-cig, I am down to 3 mg of nicotine, next step is 0. So I am dealing with that. As soon as my arm is 100 %, I will return to the gym too. For the holidays, my wife made a beautiful spread of food I should not have eaten, but I did anyway. On top of that, I did some drinking, vodka, club soda and OJ over the weekend and my heartburn was out of control. It is just starting to subside right now so I have been taking more calcium pills to help control the heartburn. I found an article that said Calcium pills can raise the pH level in your stomach which can cause Ritalin to absorb more into your bloodstream. I found another article that said Minoxidil can cause a racing heart rate because of a sudden decrease in blood pressure. The article said that your heart will race to bring your blood pressure back up, but no data to confirm that hypothesis.I have also got a cold, I have been taking a generic Sudafed 12 hour for a week or so too. I found that the Sudafed I was taking can interact with Ritalin, but again no data to confirm. By the way, it is real Sudafed, not the PE. And for the record, I took some Sudafed this spring and did not notice any problems, but I was 20 lbs lighter and in better shape. There is also a laundry list of problems and drug interactions associated with Seroquel. Did I mix a dangerous concoction of Ritalin, Sudafed, and Calcium pills? I did not take Ritalin, Minoxidil or Sudafed today. I am gonna just deal with the cold and would love someone to weigh in on what could have caused this issue.That is all I have got. Thanks in advance. Doctor: Hello. Thanks for the detailed history. Your three prescription drugs Ritalin, Zoloft, and Seroquel would not have caused the tachycardia and high blood pressure. There can be two causes of the increased heart rate. One could be due to Minoxidil as you said but there is very less chance that it will cause such serious side effect. The most likely cause can be severe gastritis that could have happened because of faulty eating and alcohol aggravated it. Severe gastritis causes distress in the body which can cause a rise in blood pressure and tachycardia. I hope that answers your questions. If you have any further questions please feel free to write. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7733, + "tgt": "Can ADHD make an 8-year-old angry at home and use threatening words?", + "src": "Patient: Hello doctor,My son is 8 years old. In school, mostly he is good for everything. At home, he gets angry with parents and his 2 years old sister. We cannot shout at him for anything. Mostly he will not listen to us. He will be making loud sounds, taking a knife, telling he wants to die like that things. He is ADHD child. So, please help us. Doctor: Hello. Yes, your child does have some behavioral problem which can be tackled through parental counseling. Children's behavior develops in response to elder's behaviors because they gradually experience things and grow and learn. So, the way you tackle with your child is the most important thingparental counseling is needed. Regarding the diagnosis of ADHD, children need to be assessed in detail before labeling this diagnosis to them. Do not assume things just because your child is more naughty, it does not mean he has ADHD. Things need to be assessed in detail." + }, + { + "id": 6566, + "tgt": "My mother had piles with bleeding and pain. Why there is reccurence even after surgery?", + "src": "Patient: Hello doctor,My mother is 50 years old and had piles for six years. It turned severe, with heavy bleeding and pain. We did surgery to cure it. Now two months completed still, she is having the piles problem with bleeding and pain whenever she uses her restroom and also has pain on urination. Please suggest us what to do. Doctor: Hello. For piles, the first and most important thing is to avoid constipation and spicy meal. Take a high fiber diet. Drink plenty of fluids, about three liters per day. Take Isabgol (psyllium) powder three tablespoons with milk twice a day. Take Dobesil (Calcium Dobisilate Monohydrate) 500 mg twice a day for seven days. Follow a strict and soft diet, which helps in passing soft stool. If she has constipation, then she can take syrup Lactulose three tablespoons at night for five days. For urine, she might have developed a urinary infection. Give her lots of water to drink for one week. If it does not work, then get her urine routine and urine culture done and let me know." + }, + { + "id": 5826, + "tgt": "I am taking Concerta XL for ADHD, but it is not working inspite of increasing the dosage. Why?", + "src": "Patient: Hello doctor, I have been taking Concerta XL for ADHD for 10 days now. I have started taking 18 mg per day and after seven days I increased it to 36 mg. However, I do not feel the effects anymore, initially, when I was taking 18 mg it was working, but it no longer works. Can you develop a tolerance to Concerta XL? Please help. Doctor: Hello. Concerta XL needs to be gradually titrated up according to your age, body weight and clinical response, i.e improvement in symptoms and any side effects. I note that it is still early days since you commenced on Concerta. XL. You will not be developing tolerance in this timeframe. For your weight (92 kg), perhaps you may need a higher dose provided there are no contraindications. Discuss with your psychiatrist or treating team about titrating up to 45 mg a day or 54 mg a day. You will need to be regularly followed up, during the initial period of starting stimulants. Also, try to follow cognitive behavioral techniques alongside medication for optimal management of ADHD (attention deficit hyperactive disorder) symptoms." + }, + { + "id": 15639, + "tgt": "What are the natural ways followed to remove tan from forehead and neck?", + "src": "Patient: Hi doctor, What are the natural ways followed to remove tan from forehead and neck? Doctor: Hi. Use aloe vera gel two times a day. Take Multani mitti and add a half teaspoon of turmeric powder and sandalwood powder in it. Then make it a paste by adding rose water. Apply it on your face and neck for 10 to 15 minutes and then wash it off using water. Try all these things regularly, and you will have good results soon." + }, + { + "id": 7574, + "tgt": "Is joint pain a symptom of gout?", + "src": "Patient: Hi doctor, Over the last few weeks, my wife is suffering from joint pain in foot and right knee. When I search for this problem online, I found it as a symptom of gout. Can you please explain me about gout? Doctor: Hi.I have gone through your query and also looked at the pictures (attachment removed to protect patient identity). Initially, I would like to throw some information about gout. It is a condition of altered purine metabolism in the body in which crystals of monosodium urate deposit in the joints leading to inflammation comprising of severe pain, redness, local warmth, etc. In the foot, the great toe is usually affected although conventional gout does not easily involve the knees. There are ways to keep uric acid value low in your body. General recommendations are: Nowadays there is a medication by the name of Febuxostat which helps in lowering uric acid levels in the body. But, kindly check out that it suits your body. Although I have provided information about gout in detail, it may not be necessary that she is suffering from gout as the whole foot appears to be swollen. Anyway, kindly get some blood tests done immediately from a good pathology laboratory and send reports across to me. Tests are preferable to be done in an empty stomach. Kindly start with an anti-inflammatory medication which suits her body. Give intensive ice packs and keep the limb elevated at night while sleeping to manage gout. Also, can you kindly tell me whether she is having any systemic symptoms like fever? Can you send me a picture pointing to the exact site of pain in the foot and also the knee? Does she normally take medications for any other pathology? What has been her past medical history? Does she suffer from any significant allergic history? Metabolic causes. Infection. 1. CBC (complete blood count). 2. ESR (erythrocyte sedimentation rate). 3. CRP (C-reactive protein). 4. Serum uric acid. 5. KFT (kidney function test). 6. Thyroid profile. 7. RBS (random blood sugar). 1 .Gout. 2. Cellulitis foot." + }, + { + "id": 223, + "tgt": "I have bad breath, and my tongue has a white coating. Why?", + "src": "Patient: I have very bad breath and my tongue be white unless I brush really hard and for a long time. Same issue for years. Been to the doctor about it and the dentist. Nothing has helped. Doctor: Hello,Welcome to ICLINIQ This is your personal Dentist - I went through query , as a Specialist am ready to help you . Issue of foul breath always related to food accumulation . As you mentioned white tongue that depicts food layer deposition . So I would recommend :- Get a Scaling done once in 6 month that will prevent any Tartar deposition . I will be happy to answer all your queries feel free, kindly do-not hazitate. Other causes of foul breath includes:- These criteia's should also be ruled out inorder to avoid for a foul breath and achieve a healthier oral life. Let me know if any further query . These steps will surely help you deal with foul breath issue . You can always post me a query whenever you need . I will be happy to asist you further .\"Your smile matters\"Good Day .Take Care." + }, + { + "id": 22611, + "tgt": "I have lower back pain and inward curvature of spine. Please help", + "src": "Patient: Hello doctor, For the past two years, I have experienced lower back pain coupled with what I think to be an abnormal inward curvature of my spine. I recently went to a pediatrician and the doctor brushed it off saying there is nothing wrong with my spine. No one believes me even though I have showed them and complained about the pain. I have looked online and found what I think to be the problem (lumbar lordosis or anterior pelvic tilt). My back causes me a great deal of pain and embarrass me by making my butt stick out. Please help. Doctor: Hi. The cause of your back pain is overactive erector spine muscles. These muscles support the back in all the activities. Due to a reduction in their flexibility, they are not able to take up high impact activities like running or jumping, while the low impact activities like daily chores are pain-free. During high impact activities the stress which should have been taken up by the muscles now falls on the inner structures that are not made for it, and so there is a sharp shooting pain felt. Treatment is as follows: Things to remember: Do the Cobra Stretch as mentioned above before and after workout and also as the last thing in the night, just before going to bed. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 13966, + "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": 621, + "tgt": "I am taking 25 mcg Thyronorm and it is difficult to reduce my weight. Shall I increase the dose?", + "src": "Patient: Hello doctor, I am a 28-year-old female. My T3 is 5.8. I am obese at 76 kg with 153 cm. I take 25 mg Thyronorm tablet every day. Weight loss becomes very difficult as thyroid levels have not decreased in the past five years post-pregnancy. Can I increase my Thyronorm dosage to 100 mg? Doctor: Hi. I find you are having hypothyroidism and consulting for Thyronorm dose adjustment. Dose adjustment will be made on free T4 and TSH (thyroid-stimulating hormone) levels and not based on T3 levels. So, I request you to upload the full thyroid profile results then we can decide upon the dosing. Hypothyroidism." + }, + { + "id": 29304, + "tgt": "My wife is having pain on the belly button. What course of action has to be taken?", + "src": "Patient: Hi doctor, My wife is having pain on the\u00a0belly button. She feels this pain for the last five to seven days. The pain is sharp when she put her finger and touch the belly button. I need your opinion on the following. What could be the problem? What course of action has to be taken? Which speciality\u00a0doctor to be consulted for this pain? My wife's age is 36. She has delivered two babies under normal delivery and had family planning operation five years before. Her health status and period dates are normal as per cycle. Doctor: Hi. Thank you for explaining the entire history. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29037, + "tgt": "My son has been having severe vomiting since 1 year of age. How to treat this?", + "src": "Patient: Hi doctor, My son is 5 years old. He has been having severe vomiting after meals since he was an infant. At about 1 year of age, the vomiting slowed to about three times a week, which is how frequent he vomits now. He is in the third percentile for height 39 inches at 5 years and weighs 27 lbs. He has been seen by an endocrinologist, and all blood work came back fine. GI did a stool sample, and that was normal. But, he is always vomiting when he tries to eat a reasonable portion of food.\u00a0He often refuses to eat with the fear of vomiting. His doctor recommended rice on bottle and it did not help. The doctor just wants to do bone scans of his hand repeatedly, but I think it is a GI issue causing the vomiting and slowed growth. He has no other health problems outside of the delayed growth and vomiting.\u00a0Please help. I have three other kids that are at the 97th percentile height and at least 50 percentile weight. Doctor: Hi. It is very sad to see your child in such a situation. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9377, + "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": 18089, + "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": 5918, + "tgt": "I am type 1 diabetic and on 40 units of insulin. How to decrease the insulin units?", + "src": "Patient: Hello doctor, I am 42 years old with type 1 diabetes for the last 21 years. I am also on dialysis thrice a week, and my insulin requirement increasing day by day. I was taking 8 units per meal four years ago, but now I am having 40 units per meal. Kindly guide how to decrease the insulin units. Doctor: Hello. The fact remains that you are probably having insulin-dependent diabetes. In this case, your sugars will rise. This is because the pancreas produces a lesser and lesser amount of insulin on their own. As that happens, the need for insulin will keep climbing. There are two chief things you can do to decrease the insulin need. One is to reduce your diet and calory intake. The second is to maintain your weight. I will need your exact height and weight to be able to calculate the calory intake. Also, you are on dialysis. I would suggest you talk to your nephrologist regarding the type of cleansing fluid used in the machine. This is the fluid that collects your body wastes in it. Make sure that this fluid is sugar restricted. I hope this helps." + }, + { + "id": 7044, + "tgt": "I got my horizontally impacted tooth extracted. How long will it take to heal?", + "src": "Patient: Hello doctor, I am 29 years old and had my lower wisdom tooth removed eight days ago. They were horizontally impacted. My question is why am I still in pain? I do not have pain in my extraction site. The pain is in the hinges of my jaw and down in my jaw bone. My extraction site looks fine, pink healthy gums and it is not swollen nor do I have a fever, so it is not an infection. I was also on antibiotic for the first handful of days anyway. I got dry socket on one side three days in and still have packing in that spot (getting it out tomorrow), but the discomfort I am experiencing is on both sides of my mouth and since I had dry socket I know it is not dry socket pain. So, what exactly is going on here? How long recovery takes? Mine were difficult to extract and more invasive due to the fact they were horizontally impacted? Please help. Doctor: Hello. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7544, + "tgt": "Kindly help me to get rid of thinning of hair and male pattern baldness", + "src": "Patient: Hello doctor,I am suffering from thinning of hair and seeing male pattern baldness which has been passed genetically. It has been quite a few years from where I do not see any growth of hair on the frontal section and crown area of the scalp. Doctor: Hello. Please send me pictures of your scalp to advice proper treatment." + }, + { + "id": 18993, + "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": 13767, + "tgt": "Does low level of testosterone cause weight gain issues?", + "src": "Patient: Hello doctor, My current weight is 92 kg, and my height is 5 feet 8 inches. I have a regular weight gain problem. In the past, I have got done tests like thyroid, testosterone, and cortisol. Please advise if any other test can be done to diagnose a problem. I have a very strict diet and exercise. I do not have cold drinks and fried food. But still, I am gaining weight. Also is the testosterone in the attached report less enough to cause any weight gain issues? Doctor: Hi.I have read through your query in detail. Please find my observations below. If obesity runs in your family, then that might have influenced your weight gain. Such weight gain is genetic and therefore if your parents and relatives have a tendency of obesity then it is genetic and no other test is required. In males, stress-related anxiety plays an important role in weight gain. Many men gain weight due to increased mental stress. If you have any such stressful factors causing your weight gain, then please do mind relaxation exercises and being happy and cheerful will help in weight management. Eating also influences weight gain. Even if you are strict with the food you eat, please eat multiple small meals instead of a few large meals. This will distribute the calories evenly and you will not over eat. You might have daily 2200 kcal diet with small meals every 3 - 4 hours. As per your reports (attachment removed to protect patient identity), your testosterone level is near the lower limit and this is also related to obesity. It should be at mid-level. If you balance your stress levels and have a good healthy diet then your testosterone might get back to the mid-range. However, please avoid taking testosterone supplement because it can be harmful and have long term side effects like hair loss. Please do exercises for 30 minutes everyday and yoga for 30 minutes. Please get detailed evaluation done for diabetes. This should include fasting blood glucose, post prandial blood glucose and HbA1c blood test. Genetic, stress, over eating or diabetes related weight gain. Life style changes, confirmation of any medical condition like diabetes and intake of low fat diet." + }, + { + "id": 11478, + "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": 29160, + "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": 1981, + "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": 518, + "tgt": "My precum is four times excess than the normal. Is there any medication to reduce it?", + "src": "Patient: Hello doctor, I am a 35-year-old male. I am concerned about the amount of precum when aroused. From my understanding, a teaspoon full would be normal. I have probably four times more. It is disturbing and I would like to reduce it via medication. Doctor: Hi, Welcome to icliniq.com. Precum is the fluid coming naturally out before ejaculation, its function mainly is to lubricate during intercourse. It man contain sperms as well. This fluid comes naturally and it is good for us actually. And the amount will vary with age and sexual desire. There are medications to reduce it but I do not advise you to take it as those medications are also reducing sexual drive. Other way if it really disturbs you during sexual intercourse then you can masturbate before intercourse. To remind you this precum can contain sperms so if you intend for pregnancy then you have to do protected intercourse. I hope this helps." + }, + { + "id": 1929, + "tgt": "How likely is IVF successful during menopause?", + "src": "Patient: Hello doctor, I am 46 years old. I no longer get my periods. What are my chances of conception? Doctors say I am at menopause. Can I have a successful IVF? Doctor: Hi. The best age for a lady to get pregnant is 19-35 years. The principle behind this is, every day your eggs are growing and out of the cohort of eggs, the best egg is selected, and remaining growing eggs go for atrophy. So by 35 years most of the good eggs are gone. After that age too, you have the chance of pregnancy, but lesser than the age of 35 years. After 40 years of age, the chance of pregnancy further reduce. As the age of lady increases the eggs left behind are not as healthy as the previous month. So even if you get pregnant, the baby is at risk of developing anomalies. But if your period has stopped, then you need to know if there are any eggs in ovaries. You can have any of the birth control pills (packet of 21 pills) twice daily for 10 days. No matter what the cause is, you will have periods within 7-10 days. On day 3 or 4 of the period do serum FSH (follicle-stimulating hormone) and AMH (anti-mullerian hormone). FSH >7 Miu/ml and AMH < 1.1 ng/ ml means egg count is below normal. The only option for pregnancy is IVF using donor eggs. This can definitely be the best option to get pregnant. I hope this helps." + }, + { + "id": 19704, + "tgt": "Should I worry about my deteriorating 2D Echocardiogram?", + "src": "Patient: Hello doctor, For the past three years, my 2D Echo seems to be deteriorating. My TMT is positive and CAG is recommended.\u00a0Early stage cervical spondylosis too has been reported. I have attached my test reports for your reference. Currently I am taking Losar- H 25 mg. Please go through the reports and let me know if I have to be worried about something. It would be of help if you could suggest any medication for betterment. Thank you in advance. Doctor: Hi. I have gone through your case and can understand your genuine health concerns. I would like to assure you not to worry as everything is going to be fine.\u00a0Proper care and treatment is what you require. According to the reports (attachment removed to protect patient identity) attached I will need few clarifications that are significant: 1. Slight increase in RBC (red blood cell) count will not cause much problem. 2. Regarding heart chambers, there are no clots seen and no problem with the resting (filling phase) of the heart. 3. There are no issues with the lungs as there is no pulmonary arterial hypertension or clots. 4. Raised ESR (erythrocyte sedimentation rate) value is due to the raised RBC counts. 5. Liver function is normal and no hepatitis B or C. 6. Lipid profile is deranged. Only medications will not help. You need to modify your lifestyle, change your diet and start exercising. 7. Fatty liver may be due to alcohol intake or due to age related deranged lipids. 8. Early changes are observed in the cervical spine. 9. Age related osteoporosis of the bones is seen on chest x-ray and heart seems to be enlarged. 1. Angiography is recommended to see the exact problem with the coronary blood vessels of the heart and also to see if there is a need for CABG (coronary artery bypass grafting) or only a stent placement (angioplasty) is enough right now. 2. Let me know if any assistance is required during the course of treatment. 1. Tablet Losartan is a good drug that you are taking. 2. It lowers blood pressure and decreases the risk of stroke in patients with high BP. 1. Avoid having heavy meals containing carbohydrates. 2. Fried fatty foods, junk foods and beverages should be avoided. 3. No added salts. 4. Take plenty of vegetables, salads, fruits and use Canola oil for cooking. 5. Deranged lipid profile is directly related to the heart's blood vessels resulting in bad health. 6. Walk for ten minutes in direct sunlight by applying sunscreen lotion and use sunglasses. So that you will get enough of vitamin D required for your body. Revert back with the investigation report to an internal medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11304, + "tgt": "What could the white cloudy area around the rim of my cornea be?", + "src": "Patient: Hello doctor, I noticed a white cloudy area around the rim of my cornea a couple of days ago with no pain. After a couple of days, I used a rigid gas permeable contact wear. I have now woken up with pain in the same eye and it is now bloodshot around that one side. I decided not to wear the contacts today and I have worn the glasses only. I visited my optometrist and he has prescribed a steroid drop. I am looking for a second opinion. Of note, I have worn glasses for 25 years. I have used the RGP lenses for 12 years. Had a white patch on the edge of the cornea approximately five years back. This was attributed to contact irritation and healed after a few weeks of not wearing RGPs. Please advice. Doctor: Hello. This is a corneal ulcer. The probable cause is trauma due to lenses or infected contact lens solution. Please do not use the steroid drop. You can have devastating consequences. The steroid drops will give you very mild relief but it will stop healing and promote the growth of the ulcer. Investigations to be done include cultures of lenses and its solution. You should refrain from wearing the contacts in future. I suggest you use spectacles only. I suggest you take the following. Consult your specialist doctor, discuss with him or her and with their consent take the following medicines. Have this treatment until the ulcer heals completely. Visit an ophthalmologist. Follow up every week. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8300, + "tgt": "The broken hand x-ray shows unhealed bones. Kindly help", + "src": "Patient: Hello doctor, My distal phalanx of the left-hand middle finger is broken (complete and open fracture) along with nail bed injury five months ago. As of now, I was feeling some abnormal activities at the fracture site. So I went for an X-ray, and it shows half of the bone is healed from the lower side, and the upper side of the bone is still unhealed. Doctor: Hello. Well, we have to treat the patient and not X-ray. Kindly describe the abnormal activity you are feeling. Secondly, anything which you are not able to do with this hand?" + }, + { + "id": 12301, + "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": 22154, + "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": 9731, + "tgt": "Can we opt growth hormone to increase the height?", + "src": "Patient: Hello doctor, My son is 5'6 in height. He is 17 years old and wants to be taller. We want to try growth hormone. Is this possible? Kindly suggest the treatment. Doctor: Hello. I read your query, and from what information you have given me, it appears that your son has short constitutional stature and not growth hormone deficiency. Well, but it depends on many factors such as the mid-parental height, ethnicity, nutritional status, etc. Since he is below the third percentile for age for boys for height, I would suggest a proper work-up to rule out hormonal deficiencies such as, 1. Thyroid function test. 2. IGF-1 (insluin-growth fractor) and IGFBP-3 (insulin-like growth fractor binding protein). 3. LH (leutinizing hormone) and FSH (follicle stimulating hormone) routine tests like CBC (complete blood count), ESR (erythrocyte sedimentation arte). 4. Liver function test. 5. Renal function test.6. Urinalysis, and X-ray of left hand and wrist. If the hormone analysis comes out abnormal or in other words, there is a deficiency of any of the above hormones, and then I would suggest MRI pituitary gland. Because short constitutional stature is not a disorder but a variation in normal growth, therefore, medical treatment is not usually necessary.So I would not suggest any hormonal treatment as it will not benefit him at this age as his bones have matured by now. Although some studies do suggest the use of testosterone injections or patches to achieve growth and sexual maturation if necessary. Growth hormone is not recommended if any of the above tests turn out to be normal as it is associated with a lot of adverse effects. I hope my advice is of some benefit to you." + }, + { + "id": 27988, + "tgt": "I have pimple-like bumps in my pubic area. Could this be an STD?", + "src": "Patient: Hello doctor, I am a 25 year old male. Over the past two\u00a0weeks, I have been having pimple like bumps in my pubic area. When I noticed the first one, I tried popping it, and it did not disappear, in fact, it got worse. Two more bumps appeared, less than a week after I tried popping the first one. Then I accidentally scratched those, and they started to bleed. I am wondering the cause of this. I am worried that it could be an STD. I hope it is only an ingrown hair, but I do not understand how they appeared altogether. I have not been sexually active for the past three months. One of them is on my penis shaft skin, but none of it is on my penis. I have attached a picture for your clarity. I have been masturbating a lot these past few weeks. Could it be due to that? Doctor: Hello. From your description and pictures (attachment removed to protect patient identity), you seem to be having folliculitis. It is a bacterial infection of the hair follicle. I suggest taking a course of an antibiotic, Cephalexin 500 mg, twice daily for five days. You could also use Mupirocin ointment over the lesions, twice a day. In addition, you could add betadine solution to your bathing water for three days. Avoid shaving the region till the lesions heal. Hope this helps. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3045, + "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": 6105, + "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": 7218, + "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": 14733, + "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": 26523, + "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": 3145, + "tgt": "Why do I have irritation at the base of head of penis after intercourse?", + "src": "Patient: Hi doctor,I am a 28 year old male. I got married before two years. For the past three to four months, I have a condition of irritation at the base of the head of penis head, tight foreskin and redness especially where the foreskin is connected to the head. It happens after intercourse and it takes about four to five days to become normal. This happens after each intercourse for the past three to four months. Please advice. Doctor: Hi. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 1937, + "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": 27517, + "tgt": "I have pain and swelling in my right testicle. Please help", + "src": "Patient: Hi doctor, I have pain in my right testicle, and it is swollen. I took Nobel tablet 100 mg, and I had relief from pain for 3 to 4 days. But from the fifth day, I again had mild pain. Please suggest any medical treatment for it. I also have kidney stones. Doctor: Hi. If it does not improve, then consult a urologist. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29583, + "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": 15313, + "tgt": "What treatment is advised for post-ejaculation muscle spasms and nerve irritation?", + "src": "Patient: Hi doctor, I have been struggling with chronic prostatitis or CPPS for the past five months. A big issue I have been having is the post-ejaculation muscle spasms or nerve irritation. I am currently in physical therapy to work out the muscle tension or spasms and hoping that helps with the nerve irritation. Unfortunately, a new and frightening issue has emerged, which is what my question to you here is related to. A month back, I masturbated to ejaculation. The ejaculation was very painful, specifically in the perineum area. After that, from the next day to the month end, I had no erection whatsoever at any point. The whole pelvic or penis area felt kind of just dead or numb. It is very unusual for me to go that long without ejaculating and especially without so much as an erection. When I woke up the next day, I had an extremely weak erection and it was a little bit painful. It was at this time I noticed a bend curve to the left near the top. This was extremely alarming and scary for me to see. I decided to masturbate that night. The whole time the penis was very numb and had very little sensation. It was erect, but there was no pleasurable sensation, and the curve to the left was still very alarming (pictures are attached). When I ejaculated (first time in two weeks), the ejaculate fluid had some trouble coming out. It made it out, but it kind of just leaked out (as opposed to shooting out) and there was absolutely no pleasure or sensation with it. It was less sensational than urinating. I still had a feeling. I could feel something was happening but it was very dead or numb feeling. Another piece just to throw in here, whenever I get aroused, but do not get an erection (so pretty much always), I have a very uncomfortable tingling in what feels like my perineum (although it is a radiating type of tingling, so it is possible it is coming from somewhere else in the same area). This tingling is relieved if or when an erection occurs. So my point is that I am very concerned about this leftward bend near the top of the penis. I have never had this before. I have read about Peyronie's disease. It looks to me from a visual standpoint that that could be it. However, I have to say that I am having a difficult time feeling or identifying any plaques or bumps or anything of that nature. The only thing of interest, which I believe you can see in the pictures, is that there is a big visible vein in pretty much the exact spot where the curve occurs. So my question is that, based on everything I have told you, what could this be? Could it be Peyronie's disease? Could it not be that, but rather a blood flow issue (vein in the exact spot of the curve). A nerve irritation issue? A muscle dysfunction issue? Again I am certainly not a doctor, but my intuition is telling me it is a blood flow issue. At the same time, the curve looks significant to me, so I do not know if poor blood flow could cause a curve of this nature? One more thing I almost forgot. I have been on Alfuzosin ER 10 mg tablets once per day every day for the past three months. I have also been taking Methocarbamol 500 mg post masturbation to help with muscle spasms and nerve pain. Could any of those have caused this? I did some research and came across an alpha-blocker called Flomax that can cause symptoms that mimic Peyronie'sdisease but could not find any specific evidence on Alfuzosin. If Alfuzosin could have caused this, what would the outlook be? If this is Peyronie's disease, what is the outlook on that? What should I feel to confirm Peyronie's? What can I do to help this? Of course, I will be seeing a urologist as soon as possible, but with my insurance and urologist availability, it could be up to a week before my next appointment. Doctor: Hi. I have gone through your query and the images that you have sent (attachment removed to protect patient identity). There is definitely a curvature that is appreciated on the images, but I cannot confirm whether it is Peyronie's disease without actually examining you myself. It is however among the few possibilities that can cause your present condition. I would like to know a few more details about the last time you masturbated. Did you find any sudden loss of erection or swelling of the penis after ejaculation? Did you feel a popping sensation in your penis at that time? Immediately after did you have any partial erections, and were these erections painful? The usual cause of this type of problem is a tiny injury to the layers covering the penis which give it stiffness. This could also explain why you did not have erections for sometime immediately after. The important thing is to rule out Peyronie's disease which can be progressive, the others are not. If it is just a curvature, without Peyronie's, it is necessary to check whether you are able to have normal erections, from the images it does appear that your erections are normal (needs to be confirmed during an examination). If it does not interfere with penetration, then usually we do not intervene unless the patient specifically requests for cosmetic purposes. So, to summarize, it is not likely to be Peyronie's, but I would definitely want to rule out with an examination and maybe an ultrasound if necessary. Such a slight curvature would usually not require any further treatment unless it interferes with penetrative intercourse." + }, + { + "id": 21213, + "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": 5387, + "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": 7502, + "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": 25939, + "tgt": "I have itching on the testicles and white rashes on the top end of my penis. What it could be?", + "src": "Patient: Hello doctor, I have itching on the left side of my testicle and also two white rashes on the top end of my penis. What are they? Doctor: Hello. Well, attach some photo of the area where you are having itching so that it is easy to diagnose the condition and provide an effective treatment. From your description, it could be either scrotal dermatitis or a fungal infection. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10439, + "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": 8744, + "tgt": "I had grommets when was young, and now there is ringing and hearing loss. Could it be due to grommets?", + "src": "Patient: Hello doctor,I had grommets as a baby, and my old ENT believed that I still had one in my left ear. I have had ringing in my ears, and it is getting to the point where I cannot hear myself think sometimes. Should I see someone new about it? Doctor: Hello. Grommet or ventilation tube insertion is done when there is a fluid accumulation behind the eardrum. The reason you would have had this as a child is probably due to adenoid hypertrophy causing eustachian tube dysfunction. Grommets depending on the type usually fall off, and it goes unnoticed unless a long term grommet has been inserted and you are getting yourself checked regularly from an ENT specialist. Your problem is ringing sensation in the ear associated with deafness can be a result of the same issue for which grommet was primarily inserted. Other causes have to be certainly ruled out. A genuine suggestion would be to get your self examined by an ENT specialist and thereby get to know. What exactly is the issue currently?" + }, + { + "id": 21555, + "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": 995, + "tgt": "My 13-month-old baby's report shows lymphocytes 73 and hemoglobin 8. 9. Is there any problem?", + "src": "Patient: Hello doctor, My 13-month-old baby has neutrophils 23, lymphocytes 73, WBC 6100, and hemoglobin level is 8.9. Is there any worry? Doctor: Hello, Welcome to the icliniq.com. Following is my opinion for your asked question regarding CBC (complete blood count) of your child. The lymphocyte count are usually high in children. So you may need not to worry about lymphocytes count. But the hemoglobin level of your child is definitely low suggestive of anemia. It could be nutritional anemia or hemolytic anemia like cause. I suggest you do further work up for anemia with serum ferritin, serum iron, peripheral smear examination, and USG abdomen. You can consult a nearby pediatrician once for physical examination. His PCV (packed cell volume) and MCV (mean corpuscular volume) is low, so most probably he is having iron deficiency anemia. According to the cause specific treatment is guided. I hope this helps." + }, + { + "id": 3269, + "tgt": "CT impression reveals malignant wall thickening of pyloric antrum. What does it mean?", + "src": "Patient: Hello doctor, My scan report reveals: The study reveals circumferential asymmetrical wall thickening of pyloric antrum of stomach extending upto first part of duodenum. The wall thickening is for a length of about 12 cm. Maximum wall thickness is about 1.8 cms in the posterior wall. There is a luminal narrowing with proximal gastric dilation. There is anterior gastrojejunostomy. The thickening is extending along the greater curvature up to the anastomotic site. There is perigastic and omental gat stranding. Adjacent peritoneal thickening is seen. There is a loss of fat plane between the lesion and gall bladder. There is infiltrations with abnormal mucosal enhancement of gall bladder. Impression: Malignant wall thickening of the pyloric antrum of the stomach extending along the greater curvature of body to the anastomotic site of anterior gastrojejunostomy. Omental and perigastric fat plane thickening suggestive of infiltration. When compared to the last CT study the extent of wall thickening has mildly increased. Doctor: Hi. The report suggests that there is malignant (cancerous) growth in the stomach that has metastasized to gallbladder as well as spread to anastomotic (joining) site of stomach and jejunum. Omentum (fatty tissue around the stomach) is also involved. As compared to previous CT (computed tomography) scan report the growth has increased and infiltrated deeper layers of the stomach wall. You had done surgery treatment for cancer and also round of radiation therapy and chemotherapy. Radiation therapy uses high energy rays to destroy cancer cells. The symptoms in stomach cancer may include blood in stools, abdominal pain, nausea, vomiting, loss of appetite and weight and excessive fatigue. In the last stages, depending on the part of the body to which cancer has metastasized (spread), symptoms other than these may appear. It may metastasize to the brain, liver, bones or lungs and may produce associated symptoms. You strictly follow the advice of your doctor or seek a consultation with a surgical oncologist." + }, + { + "id": 25750, + "tgt": "Why do I have mood swings, hot flushes and low mood around my periods?", + "src": "Patient: Hello doctor, I am a 29 year old female. I have a diagnosis of autism. I have mood swings, feeling low/ depressed, which I do not know if it is related to my periods. People tend to notice more just before and during my periods (but also I do not know if it is partly frustration due to my living circumstances. I am currently living with my mum and her husband, while I wait to move into supported living, but I do not have a date. I am sad and depressed about my weight, but do not have the motivation to get out and do things. If I am exercising, I am constantly thinking it is for weight loss and so not enjoying it, because my head wants instant results. I feel I have always got spots on my face, especially near my mouth, chin, and forehead. Also, I suffer from stress and urge incontinence and need advice on how to manage it when flying as it makes me anxious. And, I am getting hot flushes. Doctor: Hello. I read your query and understood your concern. Early on you got diagnosed with autism. It is caused by different combinations of genetic and environmental influences. Then thinking about that does not make any sense. If it is because of environmental conditions that makes you disinterested about yourself, then it better to work up regarding change of environment that you grew up. It is better to start initially with mediation and yoga which makes you feel fresh and making up some things new every day or try to learn something every day makes you interested in yourself. My advice was initially to rule out any organic diseases like thyroid disorder which even present with similar symptoms and few other common diseases that patient have but being neglected or get unnoticed will lead to health issues. So, get a blood investigation and thyroid profile. Later on, we will proceed accordingly. Kindly attach your reports so that I can help you better. As per lesion over your mouth and face, it may be due to a vitamin deficiency which is quite common due to poor eating habits. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27373, + "tgt": "I had an eye injury three days ago, but have no vision changes. What should I look out for?", + "src": "Patient: Hello\u00a0doctor, I was hit by a rock while using a lawn mower. The rock hit my eyelid\u00a0and thumped my eye pretty hard. I always wear eye protection but had removed them as the sun was going down. I have no vision changes and was actually seen by my optometrist after the incident. My question is, is it normal for my eye to feel sore where it was hit, just like a bruise is sore anywhere else on the body. It has been three days. Is there anything else to look out for? Doctor: Hello. I hope this helps. For more information consult an ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9655, + "tgt": "What do you think about drinking water from copper vessels?", + "src": "Patient: Hello doctor, I read about the ancient practice of drinking water from copper vessels. Is it really good for health? My 3 year old son has wheezing and respiratory problems. Also, once he was admitted to hospital for sepsis. He is using the Foracort inhaler twice a day and Zincovit syrup once a day. Can I boil a few tulsi leaves in water and store that water in a copper thermos flask for my son? Kindly reply. Doctor: Hello. I just read your query. Our elders and seers advise us to take water stored in a copper vessel, and scientifically it has been proven too. Copper has antibacterial, anti-viral and anti-inflammatory properties. So, you can take water stored in a copper vessel and give it to your little one. After storing water at least for 8 hours, you can consume it. According to ayurveda, this water is known as Tamra Jal, and it helps in balancing all three doshas and has many benefits. Remember one more thing that the copper is not innately utilized by our body, so too much of copper intake can be detrimental. So have some precautions like buying a copper vessel which is made of pure copper and consuming this water twice or thrice a day is sufficient. Now coming to your kid's current respiratory tract problem, rather than storing tulsi based water I would advise you another decoction which is more effective for your baby. Take two to three tulsi leaves, some ginger, a pinch of black pepper, cardamom and some amount of fennel. Boil it in water and when half water remains give it to your baby with honey twice a day. Make fresh decoction every time you use it. All these will help in curing respiratory problem soon. You can also make a fine powder of all these and can give it with honey twice a day. Give him half teaspoon of this powder, as far as decoction is concerned 5 to 10 mL is sufficient. If Tulsi leaves are fresh, then add their juice to the powder. Use this regularly for one to two weeks, and you will soon see positive results. Along with this, I suggest syrup Septilin (Himalaya) half teaspoon twice a day with lukewarm water for two weeks. It will build more immunity in your baby and help to get relief from the infection he previously had. Take some precautionary measures like if you feed him with a bottle, boil the nipple and bottle every time before use. Try to change the nipple every week or after 10 days. Try to change his bottle after one or one and a half month. I am telling you all this because he got sepsis. Try to train your little one for having liquids with the help of sipper and glasses. As frequent bottle use also leads to infections rapidly. As he is having foracort inhaler two times, give him plain water steam twice a day. No need to cover your baby. Just take him in your lap and give him steam for 5 to 10 minutes as long as he is comfortable. Steam will help him a lot. Give him healthy and homemade food. Soon he will be completely fine. Revert after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28920, + "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": 2992, + "tgt": "When will HIV antibodies develop in a body after exposure?", + "src": "Patient: Hello doctor, After how many days a normal person (22 years) suffering from all symptoms and just have tested HIV 1 and 2, and tridot test with negative result at 120 days develop antibodies? I have symptoms from day 10. Is my test at 120 days conclusive? I tested that six months back and I am very worried about HIV. Will I die with it? Or is it a normal virus that can be controlled? Is the result of 120 days test accurate? Please provide information as I am suffering from lots of tensions. I gained weight in the last two months. I have stretch marks on my body with pimples and headaches. There is a blood vessel break in my eyes and it is like a red dot. Should I get a test for HIV again? Or else should I relax? Doctor: Hi. Antibodies are the proteins produced by the body in response to fight the foreign substance (antigen, virus, infectious agent) it enters the body. When antigen enters the body, it stimulates the immune system to produce antibodies. It is very difficult to tell that how much time a particular person takes to develop antibodies. Your negative HIV antibody test at 120 days means that 99.9% of your body has not been exposed to HIV. The test kits used these days are highly sensitive and specific and give accurate results.120 days HIV negative test is highly conclusive of your negative HIV status. But, I think that you are not letting it go. The symptoms are more likely due to stress. There are very rare cases reported in the literature where the person has been exposed to antigen but the time taken by the body to produce detectable antibodies was longer, up to six months. There are recommendations and I also suggest to my patients to repeat the test at six months and if that will be negative you need not repeat it further. I hope this helps." + }, + { + "id": 15349, + "tgt": "My anxiety disorder disturbs my daily life. How to overcome it?", + "src": "Patient: Hi doctor, I am 14 years old. I usually experience these symptoms in my daily life. I have a habit of worrying more about things that ordinary people will not worry about it. I easily get traumatized. There was a minor earthquake in the midnight a couple of weeks ago. Now, whenever I sit, my mind starts to think about the shaking. I also find some loud rumbling noise always triggering me. I usually get a panic attack when I am doing something and when everyone does their work and leaving me. It gives me massive anxiety. I feel uncomfortable to express my feelings, even to my parents. I am feeling down constantly for no reason. I have an uncontrollable temper. I also have a feeling that I am a hypocrite person. I have mood swings, and I am oversensitive. I get criticized, and I think of the person who criticizes me will hate me forever. When I feel depressed, I start to cry. Please help. Doctor: Hi. You seem to be suffering from anxiety disorder (may be a generalized anxiety disorder or panic disorder or both, a specific diagnosis can be made after detailed discussion). Some anxious personality traits are developing in you. The people with this type of problems are oversensitive, and they are unable to handle criticism. They are afraid to express their emotions due to their insecurities, and they always have apprehensive expectations regarding the future. Try to do deep breathing exercise for 10 minutes daily in the morning and evening. Do a regular physical activity for 20 to 30 minutes. Always follow sleep hygiene. Eat a healthy nutritious diet. You have to consult a psychiatrist soon." + }, + { + "id": 1355, + "tgt": "My mom has ear pain and itching in inner ear due to cold. What should be done?", + "src": "Patient: Hello doctor, My mom has an ear infection for more than one month now. She had a cold which led to her ear pain. Then she took Aplosyn for two weeks and now she is taking Nasoflo. The back of her ear until her neck has pain now. What can we do? Doctor: Hello. Is there any swelling around her ears or neck? Is she a diabetic? Any throat complaints? If yes, send me a clear picture of her throat." + }, + { + "id": 14267, + "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": 29562, + "tgt": "How long can I wait for my second step of root canal treatment?", + "src": "Patient: Hi doctor, I recently had an extirpation of pulp as an\u00a0emergency on one of my teeth. On my treatment plan, it says my next phase to be done is root canal preparation. How long can I wait to get that done? If I wait any longer, will I lose the tooth? It has been roughly six weeks now since the emergency extirpation of pulp. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12393, + "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": 22563, + "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": 11303, + "tgt": "What medicines can treat my left-sided groin pain?", + "src": "Patient: Hello doctor, I have left-sided pain in waist and groin region. I was already consulting a urologist and was told that I have an inguinal hernia. But, symptoms of groin pain are due to pancreatic irritation. I have noticed that pain sometimes occurs in different regions and there is bloating in my lower abdomen past few days. All other tests are normal and the urologist tells that there is no other problem but prostate irritation. I have a problem sitting properly and it pains in the groin. Also, bloating is very uncomfortable. Should I again consult a urologist? I feel there are gastric problems and there is also a pain in the groin during bowel movements. I am currently on Alfoo. Please help. Doctor: Hello. Your symptoms of groin pain while sitting or during bowel movements is likely due to an inguinal hernia. The pancreatic irritation is unlikely to cause such a pain. It causes periumbilical pain and also there is no cause for it. Now, next is there a hernia or not is unsure. If it is present then you need to visit a general surgeon, confirm it and get operated as it can cause complications. In patients with hernia, they have groin swelling, sometimes only seen on standing and coughing. Just check if it is present for you or not. For your bloating problem, you should avoid fatty, oily and spicy diet. You need to have some walk after having food instead of taking rest. You need to have regular sleep habits and avoid stress. Have lots of green leafy vegetables, fruits and avoid smoking and alcohol if any. Try to achieve some weight loss through diet and regular exercise. I suggest you take tablet Pantodac DSR (Domperidone and Pantoprazole) 40 mg before breakfast once a day for two weeks. Also, you should get dewormed yourself with tablet Bandy-Plus (Albendazole and Ivermectin) at bedtime once and another dose should be repeated after two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27527, + "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": 20999, + "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": 28982, + "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": 18886, + "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": 16261, + "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": 9972, + "tgt": "In case of low-lying placenta, is it safe to fly?", + "src": "Patient: Hi doctor, Last week, on my second scan\u00a0(20 week\u00a0pregnancy),\u00a0I was diagnosed with the low-lying placenta.\u00a0I did not have any bleeding or pain so far. I am going for my holiday in five days, and I am wondering if I can fly. Is it safe? Doctor: Hello. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30704, + "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": 4173, + "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": 19362, + "tgt": "I have pain in ribs and breathing problems. Is it a sign of lung cancer?", + "src": "Patient: Hi doctor, For past four weeks, I have pain in my ribs. Also, I am experiencing breathing problems. It feels like something has stuck in the heart. For, a few days pain has been decreased. But breathing problem persists. I am also experiencing pain in my lower back. The pain is massive at night times. There is no sign of a cough. Will it be a sign of lung cancer? Doctor: Hi. Such symptoms are seen in the following conditions: 1. Heart diseases. 2. Pneumonia or Pleural Effusion. 3. Acidity or muscular pain. Now to be on the safer side, I would recommend you to get a Chest x-ray and ECG done. Based on the reports, we would discuss the treatment apart. I hope it helps you. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 369, + "tgt": "What is causing raised blood pressure on going to hospital?", + "src": "Patient: Hi doctor, I would like to consult regarding my situation, my blood pressure is normal but everytime I go to clinic or hospital I feel nervous so my blood pressure becomes high. Any recommendations or medication on this? Is it safe to go back to work while the COVID-19 pandemic is still on going? Doctor: Hello. I have gone through your query and can understand your concern. I would like to know some more details about your present problem. How many times have you checked your blood pressure in clinic and what was the range of BP? I mean how much it rises? Do you have any cardiac symtoms like chest pain, breathing difficulty on exertion or walking, palpitations, fatigue, giddiness? Family history of hypertension? I would suggest you to get a digital BP apparatus at home and monitor your BP at home. If it is high at home also then you may definitely have hypertension and will have to be treated. Decision to work in COVID 19 pandemic depends on the place you stay, the number of cases you have around, the safety environment of your office and so on. But definitely has to be very careful and follow all safety measures. Kindly get back with above details for further discussion and management." + }, + { + "id": 8261, + "tgt": "I have noted a lump at the top of my uvula. What could it be?", + "src": "Patient: Hi doctor, I have a small, flesh-colored and raised lump at the top of my uvula. There is another smaller one next to it. It is 2 to 3 mm in size. I look as if it is soft and there is no issue with swallowing. It is not painful and I have been aware of it for more than a month. I am a 19 year old male. Doctor: Hi. I have read through your complaint and the relevant details. Fine needle aspiration or incisional biopsy. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1851, + "tgt": "My husband has several gastric symptoms with family history of colon cancer. Please help", + "src": "Patient: Hello doctor, My husband has been having a lot of issues in the past year. He does have a history of colon cancer in his family and I am more concerned. He gets excessively bloated (looks like a pregnant lady) very often. He gets bad gas that causes pressure on his chest. Sometimes he will have problems of belching or passing any kind of gas. He will have numbness and tingling in his hands sometimes. He gets lower back pain, stomach upset, and abdominal pain that he describes as feeling like his stomach is being shredded. He has trouble with bowel movements often and there is usually a lot of blood. He does have hemorrhoids but it is still a lot of blood even with that. And I do not know if it is related, he is having pain in his testicles (not with urinating or ejaculation). He has an appointment with a gastroenterologist but it has been pushed back due to the pandemic. Please help. He is currently on Cymbalta, Xanax, and Adderall. Doctor: Hello. It is good that you are concerned regarding your husband with a positive family history. We should be alert for any conditions if they are running in the family. As per you, your husband has multiple gastric problems with back pain and numbness. These problems may be due to indigestion and less physical work up. It is very common in these lockdown days. The alarming issue is he has blood in stool that cannot be ignored. It may be due to hemorrhoids but complete checkup is necessary. I will advise you some medicines and blood investigation that should be done as early as possible. Avoid spicy and fatty diet and water intake should be adequate. Start some physical workup like cardio on treadmill if not possible to go outside. Regular habit of walking after ever meal will help. Get back to me any time after investigation. Gastric upset with bleeding PR (rectal bleeding). Colonoscopy with biopsy. Ultrasound whole abdomen abdomen and pelvis. Complete hemogram with LFT (liver function test), KFT (kidney function test), and blood sugar. Syrup Cremaffin four teaspoons at bedtime for seven days. Tablet Rifagut (Rifaximin) 400 mg twice daily for seven days, Pan DSR (Pantoprazole) once daily on empty stomach for seven days, Normaxin (Clidinium bromide, Chlordiazepoxide, Dicyclomine) twice daily for seven days." + }, + { + "id": 24330, + "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": 25423, + "tgt": "I do not feel like eating and I have vomiting sensation. Can you help me?", + "src": "Patient: Hello doctor, I am not feeling good from few days. I do not want to eat anything. If I do, I feel like vomiting. If I do some push-ups, I get pain in my whole body. When I go up the stairs or run, I cannot breathe properly. Sometimes even when sitting, I start taking fast breaths. I have a cold from a week. I use Otrivin but do not have relief. I have a bad habit of eating slate pencils. I am trying to get over it but cannot. Can you help me? Doctor: Hello. I understand your concern. You are still going through gastroenteritis due to virus explaining you not eating and vomiting sensation. Pregnancy should be ruled out by a simple home testing. Take probiotics to stabilize intestinal flora. Get plenty of fluids and rest. If still no improvement, consult further with your doctor and run further diagnostic tests. Wish fast recovery. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16742, + "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": 15467, + "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": 16547, + "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": 17781, + "tgt": "When I urinate standing up, I notice foamy bubbles. Does it indicate a high protein content?", + "src": "Patient: Hi doctor,I am a\u00a029 year\u00a0old male. When I urinate standing up, I notice\u00a0foamy bubbles. If I do it sitting, there are no bubbles. I read in the internet sources, that it might be due to a high protein content in the urine, which may\u00a0be due to a\u00a0kidney problem. I got really worried and opted for a check up. All the reports came back good, but uric acid levels were high at 8.69. Since I was in doubt, I tested at two different labs. But, the readings were almost the same.\u00a0From the last few days, I observed frequent urination, due to which I stopped drinking water. Now, it is causing a slight burning sensation after urination. Please tell me if something is wrong with me or is\u00a0it due to my anxiety? Should I undergo any tests? Doctor: Hello. I hope it helps you. If you have any further query please ask me. For further queries consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 19691, + "tgt": "My career is ruined because of a chronic illness. I am losing faith. Help", + "src": "Patient: Hello doctor, I am a 27 year old female TB patient. Since the last three to four years, I have been unwell. Earlier, I consulted doctors in my town. But, they were unable to treat me. I ultimately went to a bigger city for my treatment. For the last one year, they have been treating me. There is a very slow improvement. There is an almost complete blockage in my nose. I am bed ridden. My career is ruined. My dad has a small business. I am fed up with my blockage. Only weight gain is there. How can a person live happily with such a disease? I even worshipped and had faith in God. But, now I have started losing faith in God. I am feeling totally hopeless. Doctor: Hello doctor. I read your query and understand your concerns. I am sorry to know that you are suffering from years with little success till date. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 11315, + "tgt": "Does a large mole like discoloration indicate something?", + "src": "Patient: Hello doctor, I have a large mole like discoloration, flat, that is larger than an eraser head, and getting bigger, from practically a year ago to its current size. I am wondering if it is not a mole and is just pigment. Doctor: Hi. I have gone through your case. In my opinion it is a rapid growing mole. As you have decribed, it was not there almost a year ago but now it has grown to this much size. I am not making you tensed but any mole which grows rapidly is a matter of great concern. You need to get a biopsy report as early as possible. The great concern is to see if any melanoma is developing in it. Any mole which has any of the following sign must need an urgent biopsy. 1. A: asymmetry. 2. B: borders irregular. 3. C: color change. 4. D: diameter greater than 5 mm. 5. E: evolving. My advice to you is to see your local dermatogist as early as possible. Do not take it easy until unless melanoma is ruled out. Skin biopsy." + }, + { + "id": 21717, + "tgt": "I have tanned spots on the lower left leg. Is it cancerous?", + "src": "Patient: Hi doctor, I have flat brown or tanned spots on the lower left leg for the past two years. It itches very rarely. It is much flat. It was due to rubbing or scratching. Currently, I am taking tablet Amlodipine, tablet Benazepril, tablet Satin 10 mg for cholesterol and acid reflux medications. My last dermatologist visit was before six years ago. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). I can see a scaly, red patch. It seems like a chronic eczematous dermatitis patch perhaps psoriasis. I suggest you use a moisturizer over that area. In addition, I suggest you apply a potent topical steroid ointment Clobetasol propionate 0.05 % (Clobestol topical) ointment or Halobetasol propionate 0.05 % ointment, twice daily. Do you have scaly patches elsewhere like scalp, knee, elbow or back? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15359, + "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": 104, + "tgt": "I get bloody semen with clots and pain in my right testicle. What is my problem?", + "src": "Patient: Hello doctor, I am a 33-year-old male. I have not had any previous health problems, non-smoker, and non-drinker. Generally, I am feeling fine. For the past six months, I have produced bloody semen with blood clots and producing more recently. I have also recently started feeling mild pain behind my right testicle. Occasionally, my left testicles seem to change in size slightly and seem to almost disappear and the right testicle becomes quite tender and firm. I had an ultrasound scan about six years ago and there was found some cyst but little concern. About a week ago, I sensed a small lump rising above my right testicle to my lower abdomen, it was uncomfortable but I slept and the discomfort eventually went away. I see little blood-colored spots appearing on my arms and torso perhaps resembling perhaps petechiae and have an area of this rash on my torso that I am not sure may be related to my concern? I have been taking Azithromycin since yesterday incase it may be a virus or something bacterial but it does not seem to be helping the problem. I had a blood test in January 2020, but have not been able to make a follow-up blood test yet. Not sure why it might be necessary. What does the problem sound like to you? Doctor: Hello. Hematospermia (blood in semen), is fairly common. Generally it is not considered as a sinister sign. There are whole list of possibilities for this theoretically, but once we ensure it is not due to sinister cause and rule out treatable causes say like infections we do not beyond that as it will not affect the management. Sinister causes mainly prostate and testicular cancers. At your age prostate cancer is extremely unlikely but need to ensure no testicular problem. With your symptoms with testes, you need another scan to be on safe side as the scope for examination to be conclusive. I suspect you have epidydimal cysts which are very common and can cause pain, etc. So if the scan does not show anything other than this, I would not worry about it at all. I think the rash is completely unrelated to this or any of your urological problems. Nor the rash or hematospermia is related to old history of chlamydia. Since you have not had any other urinary symptom, I would not worry much about other tests related to urinary tract. However, I would also recommend sending semen for culture to see any infection in it. Lastly about prostate cancer virtually unheard in your age. Finger examination of prostate, PSA blood test and MRI scans of prostate are the screening tests in general. But not something I would recommend if testes scan comes back normal and if you are still worried an MRI then will be helpful as last resort. Idiopathic. Testicular pathology. Ultrasound scan of testes. Ideally an examination of genitals including prostate by a clinician. Semen culture. Idiopathic. Hematospermia. With reports." + }, + { + "id": 21466, + "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": 20334, + "tgt": "I lost my hair after using conditioners on the scalp. Please help", + "src": "Patient: Hi doctor, I am a 16-year-old boy. I had thick hair. Recently, I started applying conditioner on my hair. I have lost my hair after using conditioner on the scalp. My mother has thick hair. My father has a bald head. I want to get my thick hair again. I am living in depression. I am unable to concentrate on my studies. I do not know whether the hair loss is temporary or not. I also have small patches between my hairs. What can it be? What can I do to get a thick hair again? Is it right to use Minoxidil now? Please help me. Doctor: Hi. It can be a side effect of a conditioner. Sometimes, the chemicals present in the conditioners are quite strong, and they lead to a negative impact on the hair, causing hair loss. As a first step, stop using conditioners. Secondly, you have told about the small patches present between the hairs. It can be a fungal infection causing hair loss. Wash your hair twice a week with a mild shampoo. Use Ketaconazole based shampoo for every 15 days. It can be a medicated anti-dandruff or anti-fungal shampoo. You can take vitamin supplements for a month. Take vitamin biotin and other vitamin B complex foods. Also, take vitamin C. Eat healthy food and lots of green leafy vegetables. Also, add dry fruits to your diet. Take almonds, walnuts, resins, and cashews. You do not need to use Minoxidil now. Your hair fall can stop by following these steps. Do not worry. Reduce your stress. If the hair fall persists, please consult a nearby doctor to check whether there is an infection of hair or not. If there is an infection, specific management can be done. If you do not have an infection, the use of Minoxidil can be evaluated." + }, + { + "id": 19489, + "tgt": "How can I lead a healthy life by losing my weight?", + "src": "Patient: Hi doctor, I am 19 years old, and I am taking Duromine for two months. I have lost 16 kilograms. I am eating about 700 to 900 calories per day. My usual food consists of breakfast with a small piece of fruit. My lunch contains fruits and vegetables. I take my dinner with a salad and steamed vegetables. I drink two liters of water per day. I go to the gym for five days a week, and I am doing exercise for 90 minutes. I am doing exercise for 10 to 15 minutes on the stationary bike. I am also doing 20 to 30 minutes of leg and butt workouts. I will finish my practice with light stretching. I started attending fitness classes. My whole perception of food has changed. My weight was 127 kilograms when I started, and now it is 111.2 kilograms. I am aware that there is a significant loss. But I feel upset as I cannot see a difference in my body and my clothes are not fitting well. I am losing motivation, and I want to pursue a healthy life. I want to lose my weight. But I am struggling to lose it. Is it right to take Duromine for losing weight? Doctor: Hi. You are taking an appetite suppressant and a low-calorie diet. You have hit the weight loss plateau. Suppressing the appetite is not good for health. Taking drugs can cause plenty of side effects. Hitting a weight loss plateau is quite excellent. It happens to almost everyone who tries to do it. Eating a very low-calorie diet is not healthy. One should not eat food less than their BMR (basal metabolic rate). Weight loss is not just about eating less. It is about eating the right quantity of food, without bothering too much about the calorie count. Try having intermittent fasting. Have 16 hours of gap between dinner and the next day breakfast. Eat a heavy meal in the morning (up to 600 grams). It can comprise three to four different types of fruits. Have a snack in the evening, which can be coconut water or lemon water, with 25 grams of nuts. For dinner, have green and starchy vegetables. Do not restrict the quantity. Eat until you feel full. Try to reduce taking Duromine (Phentermine) gradually." + }, + { + "id": 16058, + "tgt": "Why are there inflamed nasal swellings and ear plugs?", + "src": "Patient: Hello doctor, I apologize for the long message, but I am a concerned mom. I have two sons (ages 3 and 5) and both of them and I have been experiencing chronic sinus or ear issues for the past several months. Their pediatrician has referred us to ENT since she does not know what it is. Both boys (and myself) have inflamed nasal swellings that block the nasal passages. We all have deviated septums. My 3-year-old has dog and cat allergy and is prescribed Nasocort and Zyrtec daily which are ineffective. The 5-year-old tested negative for all allergies. We use top line air purifiers throughout the house but are still experiencing severe symptoms. The boys had tonsillectomies, adenoidectomies tubes last year due to scale 4 with obstructive tonsils or adenoids. Nightly I have extracted sticky, firm clumps from behind the nasal swellings that only appear after massaging sinuses. They do not drain out on their own. Both boys ears are totally blocked. And my 5-year-old had dark brown fluid with strong foul odor leak out of one ear the other night. Both have recently been on Azithromycin (3 day doses of 5 ml per day) but symptoms have not improved. Not sure if any of the following are related, but all occured around the time symptoms began. My dad was at our house with a severe bronchial and sinus related illness and and also diagnosed with candida. We had also just been swimming in a lake. We live directly across from a large scale construction project that produces lots of dust that began around same time. My youngest had a recent staphylococcal infection on his arm treated topically with muciprocin. Any clues about what this could be and if it requires more immediate action vs. wait for ENT appointment? Doctor: Hi. Do not stop Zyrtec (Cetirizine) and nasal corticosteroid spray. The polluted environment around you can harm your children badly. I think that the black plug inside your son's ear is a fungal infection. You need a topical antifungal drop for five days, then the ENT specialist will wash it off, vacuum it. There is a great possibility that all of you have caught an infection from the old grandfather. I recommend immunotherapy for your children if the medical treatment does not help. I also advise you to send nasal smears for laboratory investigation (culture and sensitivity)." + }, + { + "id": 16615, + "tgt": "Mirap and Clonazepam prescribed for anxiety and depression, Is it fine to take?", + "src": "Patient: Hello Doctor, I am suffering from anxiety and depression. My doctor prescribed 15mg of Mirap at night and 0.50mg of Clonazepam twice daily. And Clonazepam has to be halved after every 10 days. Is it fine? Need a second opinion. Doctor: Hi. Mirap is a Mirtazapine which is indicated for depression. In my professional experience, it is not as efficacious as the SSRIs such as Fluoxetine or Paroxetine or Citalopram. Mirap at the dosage of 15mg does help the patient to sleep better but it is also known for significant weight gain upto 10lbs in 2 weeks. Clonazepam is indeed an useful adjunct and helps with the anxiety component. But I only prefer to use it as an \"as needed adjunct\" and no standing doses. I can help you better, if you are fine with booking a session for an online therapy for a detailed evaluation." + }, + { + "id": 5126, + "tgt": "What is wrong with my health?", + "src": "Patient: Hi doctor, I am a 25 year old female. In childhood, I had malaria and double typhoid. Everything was normal until few years back. Things started all over again since the last five to six years. I have been putting on weight continuously, suffering from weakness, horrible fatigue and body pain all the time. So, I was done with blood and thyroid tests. My TSH level was at 5.4 then. Doctor told it is at border level. Walking and good food would be enough to make it normal. Two years later of it, also nothing much changed instead symptoms worsened. Apart from the symptoms stated above, muscle cramps, low energy levels and irregular periods got started. This time, I was tested with whole body health checkup package. Results are stated below.\u00a0T3 138, T4 7.53 and TSH 6.89.\u00a0Through ultrasound scan peripherally placed small follicles got revealed in both ovaries, might be PCOD.\u00a0Creatinine serum/plasma 1.0, HDL cholesterol serum/plasma 36, LDL cholesterol serum/plasma 103, ALT (SGPT) serum/plasma 20, calcium serum 9.4, urine routine and specific gravity 1.005. These tests were done two years back. I have mentioned only the values which were not in the normal range specified. So, it was confirmed as the hypothyroid condition and I went on with homeopathy treatment. When I was done with thyroid profile test again in a year's time during the treatment, my results were\u00a0T3 112, T4 8.26 and TSH 4.15.\u00a0During the first month of the treatment, I felt slightly better. But, after that nothing changed. Doctors affirmed that there was an improvement, but I kept suffering from symptoms horribly. I had a test again a year back and the\u00a0results were\u00a0T3 140, T4 8.68 and TSH 4.92.\u00a0Though I learned from reports, that I am fine, nothing was actually changed. My quality of life has been ruined completely. Doctor suggested using vitamin D supplement Must D3 60K for three months. After using it also I did not get required energy to bring life on track again. Since the start of the treatment, I have joined in the gym and later did things like walking, exercise at home, proper diet but nothing had still changed. Seeing the symptoms persist, I lost motive in doing any of them. My treatment period was completed one year ago and I have given up on homeopathy.\u00a0Now I had done all tests once again, and would like to consult a physician. Please check the latest reports, which I have attached.\u00a0Before taking treatment again, I would wish to know the answers and have some knowledge from my few questions. So, it would be really helpful if you suggest solutions to them. My present and persistent symptoms and issues are as follows. I have hair dryness, hair fall and dandruff. I am getting dry cough while waking up from sleep sometimes in one-sided position sleep. It is like I wake up because of cough. I am unable to bear the weight of the head on the neck often. I was done with x-rays of neck for neck and shoulder pain. A numb ache persists all over neck and shoulders. Everything was normal there with x-rays. I have cold intolerance. I am getting joint pains too quickly. I am affected with cold easily. It always present each day around the year. I am\u00a0unable to lose weight how much ever I exercise. With or without exercise it remains the same. I was on 75 kg when I did the tests. After three months of exercise, I came to 71 kg, but again it went up to 74 kg. Now too it is the same. My height is 5'4\". I have shoulder sockets, neck and upper back area ache almost constantly. I use a heat pad and ice bag for relief, but it aches numbly again. Massaging muscles there gives relief for some time. Ribs, lower back, hips, thighs, calves and wrists ache badly during nights and late afternoons. I am getting some\u00a0electric spark like sensation, itch in fingers, palms and arms mostly on midnights, sometimes during the daytime as well. The main symptom of all is fatigue. This is the worst problem I face. It ruins my day, energy and focus. I sleep seven to eight hours daily. Morning, I cannot wake up due to the coldness and body stiffness. After breakfast and lunch, fatigue takes over me at any cost. In the evenings, I am active and energetic compared to rest of the day. I usually stay up to 11 or 12 to cover up afternoon\u2019s work. Even after some days of good deep sleep also I end up sleeping easily all the day.\u00a0It is more of like an unreasonable, unknown nervousness, hesitation and fear that I may not memorize things and concentrate well on an issue than the actual point is. I lose focus on things easily due to internal disturbance.\u00a0I am getting irritated easily these days. Even after sensing not to shout, I lash out at others and stay fuming for a long time. I am suffering from high mood swings and unpredictable moods. I feel happy and positive in one hour and suddenly nothing seems to change how much ever I try, getting sad in next hour. Again, I will end up boosting myself to keep going in next hour. The same goes on.\u00a0I am naturally ambitious since childhood. As my state affected my studies and made me unemployed, I get depressed few times. But, I still feel I am an optimistic person and do hard work with what I have. I am taking a lot of time to digest and accept change and decisions in life. I just lost\u00a0self-confidence completely to take any initiative in everything.\u00a0Cravings over specifically on ice creams, chocolates, sweets and samosas. It gets high during midnights. I had irregular menstrual pain.\u00a0They got corrected, but there is PMS pain, giddiness, irritability, etc. During periods, my back pain is very high. Now my periods has been delayed for 10 days.\u00a0I tried hard to push myself to walk half an hour daily. Then I tried exercises at home for an hour. Failing to push further, joined in the gym and did aerobics, strength training for about five to six months. I did breathing exercises regularly. And tried my best to make myself mentally strong.\u00a0I used B-complex and vitamin C supplements often for pains.\u00a0Now, I stopped everything and looking for proper medication and advice. I would like to start everything again with confidence.What is my exact condition? How worse it is? Is it only hypothyroidism or any other condition? If it is only hypothyroidism, why it did not show any improvement on the physical symptoms level?\u00a0I want to present all new present condition reports before the doctor. So which tests should I undergo?\u00a0Which specialty doctor should I consult who can treat these above conditions well?\u00a0Apart from doctors and treatment, what personal measures should I take? Which supplements can I take? Which foods can I take for energy boosting and to remain healthy? Which exercises can I do?\u00a0I am desperate for a proper solution for this, as it is affecting my career and personal life. Doctor: Hi. For further information consult an endocrinologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 10942, + "tgt": "5 month old baby looks only in one direction while sitting. Is this indicative of torticollis?", + "src": "Patient: Hello doctor,My son is 5 months old. He can hold his head during tummy time and turn his head in both directions. But when we make him sit, he usually looks in one direction. He has a flat head on one side. Does this mean he has torticollis? Doctor: Hello. A child with torticollis will not be able to make much neck movements at all, in any direction or position. The very fact that the child can look in both directions during tummy time is suggestive of the child not having torticollis. As regards to the flat head, some kids have it but do not worry. Also, with regards to the child looking in one direction only while sitting means that the child requires a little bit more strength to turn his neck (which should develop with time)." + }, + { + "id": 6209, + "tgt": "Why does my grandmother have dizziness, headache, and vomiting frequently?", + "src": "Patient: Hello doctor, My grandmother is having dizziness, vomiting and headache. These problems occur constantly with a gap of five to six months. Doctor: Hello. From the symptoms that you mentioned it seems your grand mother has migraine which reccurs when she is either exposed to the allergen, which triggers her migraine, or it can also manifest as a seasonal change. How long has she has been having this problem? During her migraine episodes, how long does it last? I will recommend the following medicines :- 1) Tablet Crocin pain relief one tablet twice daily after food. 2) Tablet Ondem (Ondansetron) 4 mg, if there is severe nausea two tablets can be taken at once. Make sure her BP (blood pressure) is under control. If possible get it monitored. Ask her to avoid caffeine. I hope this helps." + }, + { + "id": 17333, + "tgt": "What can cause on and off tingling in arms and legs?", + "src": "Patient: Hi doctor, About two and a half months ago, I was at work with one leg tucked under the other in a computer chair. When I got up to use the restroom, I noticed tingling in my lower leg and developed drop foot as a result. My first visit was to a podiatrist and he suggested me to visit a neurologist. The neurologist did not run any scientific test and determined I likely crushed my peroneal nerve and said to return in four to six weeks for physical therapy. About two weeks later, while lying in bed on my side, I noticed my arm tingle a bit and when I got up to shake it out the tingling eventually subsided. But, I have experienced weakness in that arm. Last night while sitting upright on my bed, my left leg began to experience a similar sensation. The limbs are still functional and the tingling does not persist, but it feels weak. The uncertainty due to the lack of scientific testing is weighing very heavily on me and the troubling issue is the onset of additional symptoms which are causing occasional unsettling stomach feelings due to the mental anguish I have been experiencing. Mainly the fact that all of my limbs feel weak are making me very concerned. Doctor: Hi. I have read your complaints and first of all I should compliment you for having patiently written a thorough history of events. Let us analyze your problems You have tingling in all four limbs and weakness in all four limbs. That is upper limbs and lower limbs on both sides, but onset on various days. The next important point which you have told is the mode of onset and the tingling eventually subsided. The following parameters can be found out only by a clinical examination and they are most important to fix the diagnosis. In the same way, need to get at least two investigations, nerve conduction studies and MRI spine. It can be either a peripheral vascular disease leading to low perfusion or a peripheral neuropathy. I would strongly recommend as well as request you to consult your neurologist immediately and treat these symptoms as top priority. 1. Nerve conduction studies. 2. MRI spine. The symptoms suggest either it could be peripheral neuropathy or peripheral vascular disease. Revert back with the investigation report to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16087, + "tgt": "I have severe pain in legs and hips. Kindly advise", + "src": "Patient: Hello doctor, I have been having strong aches in my legs and hips for some time now (probably a few years, on and off) not just when exercising but also when standing. Sometimes, this becomes so painful that I cannot stand. The pain feels like a constant ache in the inner of my legs. When this pain happens I often also have swelling and poor circulation in my legs. I live a healthy lifestyle (exercise 5 to 7 times a week, normal cholesterol, healthy weight). So, I do not know what could be causing this. I am an 18-year-old female, and I weigh around 55 kg. Leg issues also run in my family, with my mother and grandparents having lots of varicose veins and edema. Does anyone know what this could potentially be and any sort of treatment that may help me? Doctor: Hi. This might be growing pains which all kids have until 18 to 20 years as bones unite by 20 years. Also, we are up and about every day on our legs so the pain might increase. You can keep your legs in a tub of warm water for 2 to 3 minutes for two sessions per day. This might be a temporary treatment as this kind of pain will vanish slowly by 20 years. Let me know if you find any result in seven days. Coming to your mom and grandparents issue of varicose veins, there is no known treatment medically. Laser surgery is the only option. Use of varicose stockings while standing would help." + }, + { + "id": 30318, + "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": 528, + "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": 18718, + "tgt": "I have mixed the order of birth control pills. Should I take Plan B to prevent pregnancy?", + "src": "Patient: Hi doctor, I am 18 years old. Currently, I am taking Viorele 28 day birth control. I mixed up my third week's pills. I had the Saturday's pill on Friday and Friday's pill on Saturday. I had unprotected sex last night, and I was wondering if I should take Plan B today. The pill which I had earlier was white G pill, and the other one was white C1 pill. Please help. Doctor: Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22313, + "tgt": "My daughter has deteriorated coordination after cerebral malaria. Please help", + "src": "Patient: Hello doctor,My daughter was attacked with cerebral malaria at five months and experienced several convulsions in the process. After her treatment her coordination has deteriorated. She can no longer hold anything like she used to do. Her fingers are always clenched. She cannot sit down. When she sits, it is like the backbone is too weak to support her so she either falls sideways or on the front side. I have been taking her for therapy but still cannot see any change. Any advice? Doctor: Hi. I have understood your concern about the difficulty in sitting. See due to convulsions and fever of malaria, the brain has gotten some injury due to which she got weakness in the muscles of the body. I advise you to take physiotherapy treatment in the form of exercises in various ways like on physioball, and with toys training related to strengthen muscles and stretch tight muscles. This you need to continue for a couple of years. Do not get disappointed, and depressed, slowly she will get the strength and she will achieve all the position. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 10596, + "tgt": "I have red, itchy and scaly spots on my arm. Are these signs of skin cancer?", + "src": "Patient: Hello doctor, I am a 19-year-old female. I woke up this morning with two medium sized red, itchy and scaly spots on my upper arms, I searched, and it seemed to me that this resembles an early stage of skin cancer (squamous cell carcinoma). What should I do? Doctor: Hello. First I would like to reaasure you that squamous cell carcinoma can not appear all of a sudden (over night). Second, from the pics you attached it looks like fungal infection (attachment removed to protect patient identity), something called tinea corporis, which comes with the same look and other looks as well, in addition to the symptoms that you mentioned (specially itchiness). Please follow the treatment that I will provide you and kindly follow up with photos for the skin lesion in five to seven days. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Lamisil cream (Terbinafine), apply three times a day for 7 to 14 days or Daktacort cream (Miconazole, Hydrocortisone), apply three times a day for 7 to 14 days. Wash your own clothes and bed linens separately as it is infectious." + }, + { + "id": 3467, + "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": 18829, + "tgt": "Suffering from floating stool and stomach pain. How can I help myself to get better?", + "src": "Patient: Hi doctor,I am a diabetic patient (type 1) for the past 12 years. I\u00a0have never suffered from floating stool for such a\u00a0prolonged time. I am suffering from this problem for the past six months. I am suffering from excessive gas and frequently get stomach aches. Can you please let me know the problem? How can I help myself to get better? I am just trying natural remedies at home like garlic, ginger, honey, apple cider vinegar, etc. Doctor: Hello. I can understand your concern for your symptoms. Autoimmune pancreatitis. CT scan abdomen with contrast, lipase, amylase and upper GI endoscopy (to rule out gastritis). Severe gastritis. Autoimmune pancreatitis. Continue treatment for diabetes, pancreatic digestive enzyme supplementation, and treatment for acidity. Avoid oily and spicy food. Take fat-free and high protein diet. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29542, + "tgt": "I had allergic reaction for an antibiotic. Is it normal for it to keep spreading?", + "src": "Patient: Hi doctor, I recently had the flu that is going round. During it, my GP prescribed me Erythromycin because she thought that I had a bacterial infection in my throat. Whether or not she was right, I suffered an extreme allergic reaction to the antibiotic, which I had used before without side effects. Another GP yesterday told me to stop taking those pills. She has prescribed me a strong antihistamine, Fexofenadine hydrochloride 120 mg, one to be taken once a day for a week or until the hives have cleared up. The rash started on my neck and spread across my body. It takes the form of tiny red dots like pimples, but not pimples. It does not itch. I took one Cetirizine three days ago and now I have taken two of the other antihistamines as of this morning. I am applying Hydrocortisone topically. It is now four days since I stopped taking the antibiotic and overall I had 17 pills. It is now two days into the stronger antihistamine. This morning, I notice the rash has spread down to my lower legs and feet. It is noticeably better in my neck and upper part of the chest. Is this normal for it to keep spreading as a result of an overproduction of histamine by the body in shock? How long will it take to clear? Will it clear completely? Are there better private medications or topical treatments to take if I want a 100% clearance of it? Please advise. Doctor: Hi. Complete blood picture and absolute eosinophil count to check for eosinophilia, which is a manifestation in drug rashes. Revert with the reports to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19193, + "tgt": "What is the cause for frequent urination issue?", + "src": "Patient: Hello doctor,Three years back, I had\u00a0frequent urination problem. I underwent several tests, scans, TRUS and also underwent cystoscopy twice. They found classification in prostate and termed it as prostatitis. I had consulted close to 5 doctors and some of them said it is not prostatitis. So, still I am not sure what condition do I suffer from. But, my symptoms remain the same. I\u00a0urinate even when my bladder is not full.\u00a0After urination, there is irritation, itching, burning sensation as well as slight dribbling. During urination, I do not feel any burning. But, it is a weak stream after bowel movement and the irritation in the penile area is high. 6 months back, when I did a urine culture, it showed infection. But, doctors discarded it and linked it to prostatitis. I hope, I can find a proper diagnosis and treatment and also get rid off these symptoms, that I am suffering with since 2 years. Thank you. Doctor: Hello. I am sorry to know about your persistent problem. There is no point in changing the urologists.\u00a0I would suggest you to read and understand about prostatitis. I would suggest the following treatment plan: Meanwhile, do not worry about your problems and keep your focus on your work and family life.\u00a0I suggest you to visit an endourologist and discuss about these drugs.\u00a0Wish you a speedy recovery. Revert back after the investigations to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24276, + "tgt": "There is a cavity on my tooth which pains if tongue touches it. Please help", + "src": "Patient: Hello doctor,There is a cavity on my left molar tooth and it pains a lot even when the tongue touches it. Doctor: Hi. You need to visit a dentist as soon as possible. If it is not treated soon, you may either need a root canal treatment or extraction of the tooth. For the meantime, I suggest taking the following medicine: Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1570, + "tgt": "Please suggest medication for my high cholesterol levels", + "src": "Patient: Hello doctor, I did my blood test yesterday and the cholesterol levels were high. The results are as below. Complete lipid profile test. S. cholesterol - 244 mg. Triglycerides - 252 mg. LDL direct - 174 (direct). HDL cholesterol - 34 mg/dL. In the cholesterol tests conducted earlier, the triglyceride value only was high. No medicines were taken, started exercises after that. Again a test was done about a month ago, the result was 233 for cholesterol. No medicines were taken. Kindly suggest me if I have to start medication as the value is only going high. Doctor: Hello, Welcome to icliniq.com. It is definitely deranged. I assume that the test was done after fasting of 8 hours, if not then worthwhile to repeat. Now since you are young, it is important to determine whether you will need long term medications or not. So, you may give a try of healthy lifestyle for 6-8 weeks. If you think, you already having a good lifestyle and there is no scope for further improvement or due to unavoidable factors you would not be able to modify lifestyle more, then better to be on medications. So you should have tablet Rosuvastatin 10 mg once daily bedtime for 8 weeks and repeat the lipid profile after that. Let me know the values after 8 weeks. If you want to try a healthy lifestyle which is also an option then you may try for eight weeks. Have low oily fatty and fried foods. Have less of fast food, low-calorie foods, low butter/ghee, and low-fat milk. Avoid meat and egg yellow. Avoid sweets as much as possible. Try to achieve some weight loss. Have regular exercises like brisk walking or running according to the capacity. Repeat the lipid profile after eight weeks of healthy lifestyle to see the response, and if there is no response then you need to be on medications. If there is a good response then medications are not necessary. I hope this helps." + }, + { + "id": 6763, + "tgt": "I am having abdominal pain and passing stools frequently. What is the cause?", + "src": "Patient: Hello doctor, I am suffering from abdominal pain for the past few years. My stomach is not clean, and I use my restroom four to six times daily. I feel nervous and have consulted many doctors and took many drugs. But my problem remains the same. Doctor: Hello. 1) Other than the increased frequency of stool, what other symptoms you have? do you have abdominal pain, mucus in stool, nausea or vomiting? What about your appetite? 2) There might be three possibilities for loose stool; either intestinal infection, irritable bowel syndrome (diarrhea type), or inflammatory bowel disease (Crohn's disease). 3) Intestinal infection occurs after the ingestion of unhygienic, uncooked food. Diarrhea improves with treatment as infection resolve. 4) Diarrhea in irritable bowel syndrome occurs due to the intake of a specific food. Avoiding such food might reduce diarrhea. 5) Diarrhea in inflammatory bowel disease contains more mucus than stool and also associated with crampy abdominal pain. CBC (complete blood count), USG abdomen (ultrasound abdomen), stool routine and culture examination and colonoscopy (if required). Inflammatory bowel disease, Intestinal infection. Irritable bowel syndrome (diarrhea type). Take a diet containing less gluten and less starch. Follow up with a gastroenterologist." + }, + { + "id": 30676, + "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": 5242, + "tgt": "I have numbness all over the body inspite of normal blood tests. Why?", + "src": "Patient: Hello doctor, I am a 28-year-old male. For the past two months, I am having episodes of undermentioned symptoms: My arms start getting numb, then this numbness spreads to the scalp, face, then chest, abdomen and so on to legs and feet. I have had such episodes for 25-30 minutes about seven to eight times in the last two months. Thrice during these episodes fingers of my both hands curl inwards and get stiff. Extreme weakness starts during these episodes and this weakness continues for the next two to three days. There is no previous history of any such symptoms and also there is no family history. Blood tests, ABGs, electrolytes, cortisol level, thyroid, ECG, everything is normal. A medical specialist also referred me to a psychiatrist for panic Attacks. However, after the investigation psychiatrist said there is no such issue. I consulted another medical specialist and he said that if everything was normal then these might be the signs of stress. However, I do not have any stress related issues. Doctor: Hello. Your symptoms seem to be more psychological related as these kinds of episode of widespread numbness not seems to be associated with any other medical condition. Moreover, all your medical reports are normal nor did you suffer from any kind of medical problem. So you are advised, Do not worry and do not take it seriously. More you think or get panic with these kinds of attacks more intense will they become, so just try to ignore and think they cannot harm you. Keep your self busy. Take Multivitamins preparations for 15 days. Do morning walk and increase the physical activity. Consume plenty of water and fruits. If you have further questions, do a follow-up." + }, + { + "id": 2392, + "tgt": "I have two brown spots in foreskin with no itch, bleed or size change. What could it be?", + "src": "Patient: Hello doctor, I would like to get a second opinion and ask a few more questions regarding the condition that I have on my foreskin. I am 43 years old and I have two brown spots on my foreskin. They are there for about one to two years, possibly longer. They do not itch, or bleed, or change in size. Only the one is closer to the glans is possibly getting a bit lighter. Can you please have a look at the photos and opinion of a dermatologist. They suggest that it could be condyloma, bowenoid papulosis, or seborrheic keratosis. As I mentioned, when I was younger I went to visit a urologist and they told me that I have a mild case of phimosis. I do not have any issues in maintaining hygiene, or having sex, except sometimes if my foreskin stretches and it is dry, I feel a bit of pain and discomfort. What I would like to add is that I am straight and married for the past eight years and in those eight years I only had sex with my wife, not sure how long is the maximum incubation of condyloma, or papulosis and does it exclude it. Also, it mentions that condyloma is cauliflower shape, which I am not sure about these spots, one closer to glans is totally flat and the other one that has a shape of a mole is slightly above the skin, but I cannot say it is cauliflower shaped. Could you please let me know do you agree with your colleagues opinion? I am very cancerophobic (if that is even a word for a person who is generally scared of cancers, so my main concern is to rule out that option). I am currently away from home and cannot go visit urologist in person for at least two months. Doctor: Hello. I have gone through your queries and attachment. (attachment removed to protect patient identity). You are having viral warts on your preputial skin. You need to contact your local dermatologist. There are several methods of managing viral warts. That may be electrocautery or simple local application of antiviral or keratolytic ointments. That will be decided by your dermatologist. If you are having phimosis, then contact your local urologist as you may need circumcision. If you undergo circumcision, the skin with these lesions will automatically be excised out and biopsy report will tell the final story." + }, + { + "id": 10907, + "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": 14946, + "tgt": "Getting heavy pain in the backbone and the surroundings. What could it be?", + "src": "Patient: Hi doctor, I am a 26 year old male, and I get severe pain in the backbone and the surrounding area. What could it be? Doctor: Hi. I need to know the following things: Revert to an orthopaedician online with the details, the pain can be a 'Mechanical Pain,' or it can be 'Neuropathic PIVD (prolapsed intervertebral disc).'" + }, + { + "id": 21829, + "tgt": "What can be done for scars and blemishes left by acne?", + "src": "Patient: Hello doctor, I have been dealing with acne since I was 18 and now I am 19. And it is pretty bad or noticeable. So I have tried Proactiv and all it did was smooth out my skin and keep a check with new flare-ups and breakouts but what I am struggling with is the scars and blemishes that the acne left. So my question is what would you recommend? So help my skin to have at least 80 % improvement because I just do not know what else to do to help get my skin back to normal. Doctor: Hi. I have gone through your case. Acne is common in your age and you may experience frequent exacerbations due to stress or hormones. You are having active lesions. Take tablet Doxycycline 100 mg once daily for 21 days. Apply skin cream only in a very little amount on your lesions at night. Do not take too much or you will have burning. Well, acne scar requires CO2 (carbon dioxide) laser and may require multiple session. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13402, + "tgt": "I am 15 weeks pregnant. Can I take collagen?", + "src": "Patient: Hello doctor, I am 15 weeks pregnant, 34 years old and am wondering if taking collagen is safe during pregnancy. I have purchased a multi-collagen protein but do not want to start taking it until I am assured it is fine. Doctor: Hi. Collagen is a natural protein present in your different parts of the body like hair, skin, joints, bones, blood vessels, though different types. Taking collagen supplements is totally safe but dosage should be nearly 20 to 30 gm daily. It has seen to provide lots of benefits to mothers like prevention of stretch marks, hair loss, dryness of skin, etc. So, definitely give it a go and tell me the difference." + }, + { + "id": 20819, + "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": 1352, + "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": 17230, + "tgt": "Kindly suggest a cream or medicine for dark circle", + "src": "Patient: Hi doctor, I am 23 years old. I have had these dark circles under eyes and also my forehead is little darker. Kindly let me know if I should use any cream or medicine. Doctor: Hi. I have seen your query and concern. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26466, + "tgt": "What are the chances of having shingles again when I am older?", + "src": "Patient: Hello doctor,I went to a doctor for a pain in the abdomen. After a few days, pimple-like blisters appeared on the center left stomach and center lower back. I went to the doctor again on day-2 of blisters and it was already fluid-filled. The doctor prescribed Acyclovir 800 mg five per\u00a0day for seven days. I stopped Acyclovir on day-4 because of severe dizziness, but the blisters are\u00a0already pus-filled, and bruise-colored. I am on day-5 of shingles now. Is it alright to stop the medication? Also, what are the chances of having shingles again as I get older? Doctor: Hello. Completing the prescribed course of medication during an active infection will reduce the chances and increases the gap between the episodes. As the age goes on, and when there is low immunity, there are chances of reactivation of shingles again. It entirely depends on your immunity. Shingles can occur anywhere in the body. There is nothing to worry regarding the site of occurrence. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 297, + "tgt": "What blood tests should I get for overly oily skin, burning lips, a painful throat, and thrush?", + "src": "Patient: Hello. Does having low (and high) blood levels have anything to do with overly oily skin, burning lips, a painful throat and thrush? I've been feeling these symptoms for 3 months and I can't take it anymore. I'm getting a blood test done this week; which levels should I particularly make sure are tested? I'm looking forward to your reply. Thank you very much. Doctor: Hi! There could be multiple factors involved over here as a result of which these symptoms are occurring. I would recommend you to perform the following tests mentioned below All these tests have a purpose and can detect any underlying abnormality that's there in the body. On the whole there few things that you can follow the symptoms you have Most of the times it's the faulty diet and hydration which is reason behind such constant issues. In addition, please do get the above mentioned tests done so that we can treat you in a specific and precise manner. There is nothing that you need to worry as things will fall in place once we treat the etiology of the problem in concern. I hope I have answered your query in detail. If there is anything more you want to ask or enquire, please do let us know and we will get back you ASAP. Warm regards." + }, + { + "id": 9819, + "tgt": "Why am I having pain and swelling under breast after injury?", + "src": "Patient: Hi doctor, I was kicked under my right breast six days ago. I thought the pain I felt was just muscle so I used rapid relief spray but still the pain is there. The area is slightly swollen and I feel pain when I bend, or when I put pressure on the right side. Also I cannot carry things that I used to carry using my right hand. Can it be that my rib is broken or is it a muscle strain? What can I use to ease the pain? Doctor: Hello. Thank you for providing the brief history. I will advice to take up an X-ray. Any muscular injury will heal within a day or three maximum. If the pain is persisting, then better to take an X-ray to rule out any hairline fracture of the rib. Post X-ray, you may need to use taping for the area to avoid excessive pressure over the tender area. Breathing exercises while placing hand over the tender area will help muscle to improve and bone will heal, if fractured. Kindly avoid any lifting of heavy objects and bending. Do slow breathing and avoid pressure over the tender area. You should be fine in 3 to 4 weeks of time as the healing process of the fracture takes place, if present. Please revert back with the chest AP view X-ray report." + }, + { + "id": 25317, + "tgt": "There is dryness and cracks on nipple. How to get relief?", + "src": "Patient: Hello doctor,I am a mother of two - 1.7 months and 4 months old. I am currently breastfeeding the younger one. I have a problem with my right breast which makes me doubt if it is something related to cancer. Nowadays it is getting really dry and there appear cracks on my nipple. I used Avalon nipple cream. But from yesterday my breast has shrunk and my nipples too. There are a few lumps on my nipple as well. Even though I apply cream it is not getting relieved. It is getting worse day by day. Doctor: Hello. I do not think it is related to anything serious issue. During breastfeeding, it is common to have nipple infection which causes cracks, pain, dryness, etc. So, it is better to avoid feeding the baby from the affected breast for three or four days and keep it clean all the time. If it did not improve, then better to consult your GP. They may prescribe antibiotics. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 1914, + "tgt": "I have recurrent pressure and burning sensation in food pipe. What should I do?", + "src": "Patient: Hello doctor, I am a 35-year-old male. I feel pressure and a sort of burning sensation in my food pipe. My very first symptom occurred in the form of trapped burp in the chest last month. I had a bit of bulgum alongside which I keep throwing out. I took Pan 40 for two weeks and stopped thereafter as it was not doing much wonder. I consulted one doctor online he suggested me a five-day course of medicines Rifagut 550, Librax, and Rabium DSR. I started feeling better in the due course. Now it has been two days there have been mild symptoms like burning and pressure feeling in the food pipe post taking meals. Kindly suggest what to do? Doctor: Hello. Your symptoms sound more of a problem known as gastroesophageal reflux disorder which is due to reflux of contents into your esophagus from your stomach. Have short frequent meals. Do not overload yourself. Have a walk after meals and do not directly lie down. Cut down your intake of coffee, and alcohol. I would suggest you to continue a couple of medicines that will make you feel better." + }, + { + "id": 28736, + "tgt": "How will miscarriage reflect on dental health?", + "src": "Patient: Hi doctor, I heard something yesterday, and I wanted to know if it is possible. Can having a miscarriage cause your teeth to fall out? What effects will it cause on your body? And how will it reflect on dental health?\u00a0Thank you for your time. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17068, + "tgt": "Can subdural hematoma be cured by medicines alone?", + "src": "Patient: Hello doctor, Please go through and advise. 'Acute on chronic subdural hemorrhage in bilateral cerebral convexities measuring 2 cm in the right side and 1.3 cm in the left side. The mass effect is noted in the form of effacement of adjacent sulcal spaces and compression of ventricles. Thin rim of subdural hematoma is seen along the lateral convexity of the left cerebellar hemisphere with maximal thickness measuring about 4 mm. The C.P. Angeles and posterior fossa contents are normal. The basal cisterns and Sylvian fissures are normal. The sella, parasellar and suprasellar regions are normal.'Immediate surgery was recommended by the doctors. The cause suspected is the use of Ecosprin 150 for the last three months. It was prescribed when last admitted for high sugar level which caused stroke symptoms. But, the brain CT was normal at that time. The patient has been diabetic for the last 35 years on insulin. Please advise if surgery is needed or it can be cured with medications. How critical is this condition and is it risky to delay? Is this a major or minor surgery? How will it be done? Doctor: Hello. Surgery is absolutely indicated in this case. This hematoma cannot be cured with medications. Surgery should not be delayed as there is a possibility of permanent brain damage if the mass effect is not relieved. This is usually a minor surgery. Burr holes and drainage is the usual operation in most cases. In some cases, when there are membranes in the hematoma, craniotomy may be required to prevent recurrence.In addition to the surgery, Ecosprin (Aspirin) should be stopped immediately. It can be restarted at a later date depending upon its need. For more information consult a neuro surgeon online --> https://icliniq.com./ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 16747, + "tgt": "Is shortness of breath related to thyroid issues?", + "src": "Patient: Hi doctor, I had little shortness of breath with thick neck gland for a month. As I was on Thyronorm 50 mcg, I underwent a blood test for thyroid and here are my results: Free T3 2.50 pg/mL ( 1.4-4.4).Free T4 1.18 ng/dL (0.8-1.8).TSH (Ultrasensitive) 8.31 \u03bcIU/mL (0.45-4.5). I had increased the dosage from 50 mcg to 100 mcg for a month and now, I have nasal congestion and dizziness. When I breathe through my mouth, I do not have that much wheezing. Only nose breathing is an issue. Could you please tell me if the dose was high. What are the next steps I need to do? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism. From your tests, I would suggest that you decrease the dose of Thyronorm to 75 mcg once daily. Consult your specialist doctor, discuss with him or her and change the dosage with their consent. Repeat your thyroid function test after six weeks of any dose change and then we will review again. Regarding your congested nose, you can take Fluticasone nasal spray once at night till you feel better. Also, this nasal issue is unrelated to thyroid. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 3159, + "tgt": "What can be the reason for sudden transient loss of vision?", + "src": "Patient: Hello doctor, Early this morning I lost vision in one of my eyes for about two minutes. My vision then came back gradually over a period of couple of minutes. I could not see any light at all. It was not painful and I have not experienced this before. I experienced an allergic reaction to a Progesterone cream when I applied to my face the same day. It burned my face and turned it red. Symptoms subsided after washing it off. I am traveling and cannot get in to see a doctor until I return home in two weeks. Is it fine if I wait to see a doctor? Please help. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14362, + "tgt": "Please help with my delayed conception", + "src": "Patient: Hi doctor, My age is 34 and I have regular period. I am trying to conceive for the last four months. My period bleeding is only for three or four days. Please help me. Doctor: Hi. I suggest you Folic acid supplements and Iron supplements. Consult your specialist doctor, discuss with him or her and take the medicine with consent.Send me details of your cycle, so that I can guide you with fertile period. Get your complete blood count and thyroid profile done. Also get a pelvic scan done. If required, we will get your husband's semen analysis done later once your test reports are satisfactory. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17228, + "tgt": "Can pencil push-ups treat my exotropia?", + "src": "Patient: Hi doctor, I have mild exotropia. I went for a squint check-up, and the specialist said there is no squint based on the cover test and light reflex test results. But I have exotropia, and I can see it. Can my exotropia be treated with\u00a0pencil push-ups? Please give your\u00a0opinion. Thank you. Doctor: Hi. Regards. For further queries consult an eye care ophthalmologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9174, + "tgt": "My family has been suffering from an invisible bug bite. Please help us", + "src": "Patient: Hi doctor, We are in a horrible situation for the last four months, due to an invisible bug bite. It is crawling and biting up from head to toe and become more aggressive in the night time till morning. It is invisible to the naked eye. I was going through many researches on the internet. The symptoms are similar to the bugs such as fungus gnat, mite, etc. It is not bed bug that we are 100% sure. Initially, it was not disturbing others in the family, but now they are also getting the bites. It has\u00a0become more aggressive in the night after 8 PM. I was unable to sleep for the last four months. The entire night I keep on killing them by using the mosquito swatter and I am sleeping from 6.30 AM to 8.30 AM. This is the cycle going on for the past four months. I consulted many dermatologists, spent a lot of money and efforts to prevent this evil bug, But, it is getting resistance to everything that I used. There are ample number of chemical repellents and herbal products including the essential oil. Even, I took support from four different pest control team and nothing resulted. The DEET mixed products and neem oil given me little relief for a moment, but still it disturbs me entire night. I bought one bottle of 40% DEET product. The spray was not sufficient and it is very expensive. How to\u00a0make this evil bug leave the premises? What attracts them? Why only we are facing this issue in the apartment? How do I make the itch go away? Please help me. Kindly help us come out of this issue; else we need to shift from the place. It will be a great support if you can facilitate an effective solution. I was thinking about fumigation, but do not know about the result. 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": 14057, + "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": 16588, + "tgt": "What are the treatment options for dental cysts?", + "src": "Patient: Hello doctor, I have two cysts in relation to upper right canine and premolar. Since I did not know anything about it, I ignored it. But last year I got an OPG, and I saw the cysts in it. I do not have pain or swelling, but whenever I touch the root of the upper teeth on the gums, I feel a sensation. Can an oral and maxillofacial surgeon extract the two concerned teeth and then remove the cysts? I am scared of an enucleation surgery. I am attaching the OPG. Doctor: Hello. The OPG (attachment removed to protect patient identity) shows a cystic lesion extending from your upper right canine to the last molar. Maxillary sinus floor is also involved. Enucleation is a surgical procedure to remove the cystic lesion, depending on the cyst size and location. It can be done under local anesthesia or general anesthesia. The treatment of a cyst involves following steps. Teeth in the cystic area will be checked for tooth vitality and mobility. If the teeth are not grossly decayed, then root canal treatment will be done for the concerned teeth. If multiple teeth are involved (in your case canine to molar is in the cystic area), splinting will be done to stabilize your teeth during surgery. Then cyst enucleation is done. There are different methods available now for filling the bone cavity after cyst enucleation to improve and accelerate healing. OPG is not conclusive for a maxillary posterior region pathology. CBCT of maxilla gives the best picture regarding the size, location, association with adjacent structures, bone quality, and tooth prognosis. Due to the thickness and curvature of the lower jaw, OPG will not give a clear picture. For that, you have to take an intraoral periapical radiograph (IOPA). For further queries consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist" + }, + { + "id": 4104, + "tgt": "Is it possible to replace sensitive dental bridge with an implant?", + "src": "Patient: Hi doctor, I had a tooth extraction in the past to replace that I had opted for a bridge. As a result, the tooth beside my missing tooth was drilled to some extent. After having that just in a span of one month a part of the bridge is chipped out. I could not chew hard food from that canine and also if I eat some sweet that bridge part gives me sensitivity and there is also one thing which I feel is the side of my face (right profile) where my bridge is present is saggy. There have been so many problems because of the bridge. Now when I look back I wish I had opted for the inbuilt one. So my question is, Is it possible to replace the bridge by an inbuilt? I am wondering how would the side teeth which have been carved be fixed? Please let me know. Doctor: Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Yes, it is possible to replace your faulty bridge with an inbuilt type of replacement (Implants). The nearby tooth which was reduced for support needs root canal treatment. During bridge replacement, the nearby tooth is reduced or shaped to some extent for supporting the missing tooth crown. While shaping, most of the tooth enamel goes away and this causes tooth sensitivity. Ideally, a root canal treatment should be done prior to bridge placement to avoid such sensitivity issues. Underlying bone availability and quality should be studied prior to implant placement to avoid sagging issues. You will require a full mouth x-ray (OPG) for this. Please visit an Implantologist with your x-ray and get to know which implant type best suits your bone quality. I hope this helps." + }, + { + "id": 24266, + "tgt": "Can low iodine and selenium in urine cause thyroid problems?", + "src": "Patient: Hello doctor, My son has developed anxiety symptoms about four years ago. They came completely out of the blue. He was with someone who now has heart palpitations, sweaty palms and feet, and lightheadedness sitting in the living room. We ran a battery of tests when it first happened including TSH, EKG, lung scans, blood panels, etc. and everything was normal. So we went down the path of anxiety. Four years later, the symptoms continued. As my son now has a terrible fear of doctors, we tried a home blood test to get a full thyroid panel. I have attached the results. The blood work came back normal. Low normal TSH, but low normal T4 and lower normal free T4 and free T3. There is nothing that shows an abnormality. However, his urine test showed moderately low iodine and slightly low selenium. I have read that abnormalities in these measures could cause thyroid problems. What am I wondering is if these two indicators are worth further exploration with an endocrinologist knowing that going to the doctor will cause my son a severe panic. Also, is it possible that low iodine could have been a temporary diet thing and it is masking the signs of hyperthyroidism in the blood work? He has all of the symptoms of someone with hyperthyroidism. On a side note, I am hypothyroid, my sister is hypothyroid and my two nieces had Hashimoto's with my younger niece having thyroid cancer and got her thyroid removed at age of 22. So everyone on my side of the family has thyroid issues. We were wondering if you could please give us some guidance. Looking to see if we need to eliminate thyroid as a possible cause of his symptoms or if it is worth further pursuit. Doctor: Hello. Based on the details and the labs attached (attachment removed to protect patient identity), it seems very unlikely that the symptoms are coming from a thyroid issue. Urine iodine is really not helpful clinically in this case. Given the family history, I would ask you to monitor TSH (thyroid-stimulating hormone) once a year but that does not explain the severity of the symptoms at all. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 19038, + "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": 4944, + "tgt": "What causes frequent jerks in the body?", + "src": "Patient: Hello doctor, I recently met a neurologist as I was experiencing jerks (for atleast 5-6 times) during sleep and also during day time when I used to feel as if I have received a current shock. With family history of epilepsy, he wanted me to take EEG and an MRI. In the MRI, he noticed white patch like matter in the brain and wanted to repeat the MRI with contrast. The area did not enhance post contrast. Hence, he suspected it to be either demyelination or low grade glioma. Since the terms scared us, we took a second consultation with the family neurologist who was again doubtful of what it is finally suspects it to be either focal vasogenic edema in cerebellar hemisphere. The report has also has these statements- non enhancing medusa like branching magnetic susceptibility effects within this area and thrombosed developmental venous anomaly. They have asked me to wait for three months and repeat the MRI to see the growth and then come to a conclusion of what exactly it is. I get severe headaches and it reduces only after I vomit. I feel week in my hands also. My parents are ignoring the symptoms I tell them as they think it is my imagination, so they are not letting me to get a consultation again. Please advice. Doctor: Hi. If you are getting frequent headaches and vomitings please consult a neurologist/neurosurgeon at the earliest. Watch for visual symptoms like blurring or double vision. We might be dealing with two different problems here like epilepsy and an incidental finding of DVA. If you could have provided films I could have had a look. Somebody has to see your eyes to look of you have any raised pressure in the brain. Right now you can start on tablet Amitryptilln 10 mg at night, one tablet, tablet Diamox 250 mg thrice a day (you may experience paresthesias as a sideeffect, do not worry, they will go off. Take plenty of coconut water), if raised intracranial tension is detected." + }, + { + "id": 21792, + "tgt": "Wet dreams and masturbation have made me weak. What can be done?", + "src": "Patient: Hello doctor,My age is 22 years now and it started about six years ago. Since then I am having wet dreams and also became an addict to masturbation. Excessive loss of sperm throughout this whole process left me with an affected and poor health, weak bones and joints, and weak nerves as well. My body and physique have also gotten weaker and weaker, and dark circles around my eyes and pale and weak face as well. I am depressed with all this situation. I am ultimately unable to do well at my job and studies and badly need to get rid of this as soon as possible. And get start to be good at health. Doctor: Hello. Wet dreams and masturbation both are a normal phenomenon. They do not cause any weakness or sexual dysfunction contrary to popular belief. Actually, it is the associated guilt and anxiety due to social myths that cause problems instead. There is no fixed store of sperms that will last neither they provide any energy to the body. So relax. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8485, + "tgt": "I have bipolar 2, OCD and social anxiety disorder. What is the treatment?", + "src": "Patient: Hello doctor, I suffer from bipolar 2 disorder as well as OCD and social anxiety disorder. I have tried almost all SSRIs, and SNRIs and neither of them have worked for me (for the last 2 1/2 years). I believe that I have treatment-resistant depression because all the medicines are not working. Currently, I am taking 20 mg of Paroxetine (although I already took 40 mg a few months ago, so I already increased the dose as well), 900 mg of Lithium and 1.5 mg of Risperidone. What should I do? Doctor: Hello. I can understand that it can be frustrating if the medicines you have tried so far have not been effective. Have you been on the maximum doses of each medicine before trying another? There are medication options like add-on Bupropion, which can be considered by your psychiatrist if the low mood is a significant issue. Any medication changes have to be done carefully under monitoring as you are already on a different psychotropic medication. More importantly, have you received any psychological therapy like CBT along with your medication? Combination of CBT and medication is likely to be more effective than medication alone. Especially for OCD and anxiety, CBT has a strong response rate. Also make sure that you follow the necessary lifestyle modifications like eating healthy, have a sleep routine, and exercise regularly. I hope this helps." + }, + { + "id": 11920, + "tgt": "Why does nevus recur?", + "src": "Patient: Hi doctor, About a year ago, I had nevus excision. Neither shaving nor laser, it was total excision. But two days ago I have realized that the nevus has come back there along the edges of the scar, the same shape of the scar. The biopsy report of the first one is compound nevus and there is nothing abnormal. There is no note as dysplastic or something like that. I visited my dermatologist today and he said we will follow it for the next 3 months. I have been becoming paranoiac. I need some advice. You please see the pictures of old and new ones. Thanks in advance. Doctor: Hi. I understand your complaint and gone through the photos (attachment removed to protect patient identity). Any nevus is a collection of melanocytes that are able to multiply violently. Hence, even if a small section is left it can potentially regrow. You can go for elliptical excision with at least 5 mm margin and then laser sessions to blow out the reminder." + }, + { + "id": 25451, + "tgt": "Why do I have excess mucus in throat?", + "src": "Patient: Hi doctor, I am a 49 year old male. I have a constant problem of excess mucus in throat. I feel as my food pipe is inflamed. I cannot eat anything. Whenever I eat something this mucus problem gets aggravated. What disease is this? And how to get it treated? Thank you. Doctor: Hi. I am trying to understand your problem with the limited symptoms you have provided. Excess mucus in throat can be due to constant irritation in oral pharynx or mucus of nose coming in throat called as post-nasal drip. Now a days laryngopharyngeal reflux disease (LPRD) is a condition where there is feeling of lump or mucus in throat and the main cause is little acid reflux from stomach. If you do not have any pain on swallowing, any nose block or sinus infection there is high chance that you have LPRD. I would suggest you start on tablet Esomeprazole 20 mg twice a day for 15 days. Meanwhile get CT scan of nose to rule out sinusitis. Revert back after 15 days to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18171, + "tgt": "My brother is on OCD treatment for 15 years without improvement. What is your opinion?", + "src": "Patient: Hi doctor, My brother, who is 32 years old, is undergoing treatment for OCD for the last 15 years without much improvement. In fact, his condition has only worsened since the start of the treatment. For the last several days, he has been complaining of erectile dysfunction, urinary hesitancy, drooping of the lip to one side during smiling, occasional numbness in extremities, etc. He has significant loss of memory (only short term) and behavioral problems. He asked me if he should be further investigated to rule out organic disease if any. So, I advised him am MRI (myself an MBBS doctor). MRI showed multiple hyperintense lesions in bilateral frontal lobes, parietal lobes and these changes were attributed to chronic ischemia by the radiologist. Now, I am concerned if his condition is merely a psychiatric disorder or a result of some organic disease. He was never investigated earlier, and all this time he was put on SSRIs and benzodiazepines for OCD. Kindly do help me regarding the same and guide me for the next step in his workup. His current medicines are tablet Fludac twice daily and tablet Clonafit\u00a00.5 mg thrice daily. Doctor: Hi. First of all what you mentioned over in the MRI report could be coincidental finding, and there is less to do with these changes if OCD (obsessive-compulsive disorder) is considered provided there is no family history of OCD or related psychiatric disorder. Now regarding the changes before searching anything, there is a definite need to see the reason behind the chronic ischemic changes. Although the most common causes are diabetes and high blood pressure, consistent hypotension (low blood pressure) can be another reason for ischemic changes. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 19942, + "tgt": "What might help my increased urge to urinate?", + "src": "Patient: Hello doctor, I am a 33-year-old male with no medical conditions. I am on Propecia\u00a01 mg\u00a0for hair loss, and I have been on it for the past three years. Six\u00a0months ago, I\u00a0started getting an\u00a0urge to urinate more frequently. I had a feeling of my bladder getting full.\u00a0The urge was not that\u00a0strong, and I\u00a0could easily hold my urine for hours if I\u00a0had to.\u00a0The symptoms lasted for two weeks and then went away on its own.\u00a0A month ago, I started having the same symptoms. The feeling of my bladder getting\u00a0full has returned. There are no issues with the stream. Everything is normal. But, this odd\u00a0feeling is just annoying.\u00a0I find it hard to sleep with this strange feeling. It just feels weird around the groin area. I do not\u00a0urinate more than once at night. I have found it hard to sleep ever since this started. The doctor gave me Valium to help me sleep. I have taken 2.5 mg of it the last two nights. This has not\u00a0helped me sleep, but I find the primary symptoms slowly disappearing. The doctor\u00a0told me I have an irritable bladder.\u00a0Has the Valium relaxed my bladder or was it all in my head? I have had multiple urine analysis and STD tests that were all negative. A full blood test and liver and kidney function\u00a0test\u00a0were also normal. My prostate exam was normal. A KUB done was normal too. Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4897, + "tgt": "Is it possible to have a safe pregnancy with a fibroid uterus?", + "src": "Patient: Hello doctor, I am married for ten months. I had a miscarriage of 10 weeks baby. Now again, I expect five weeks of pregnancy. At my first miscarriage checkup, the doctor said that I have a fibroid of 3.2 cm within the uterus at the intermural side. Also, at that time, my TORCH test was positive. T and R were positive, and I took medicines. Will I have a safe pregnancy this time? What can I do? Please suggest. Doctor: Hello. There are two things, one is to have a pregnancy, and the second is the growth of the pregnancy. Both are different and require different approaches in the treatment point of view. As you said, there were T and R positive. If it was IgG (Immunoglobulin G) positive, then you need not worry. It suggests the past infection. But as you have taken tablets and completed the course, no need to worry. You said that you have a fibroid around 3.2 cm intramural. It is true that fibroid can increase the chance of abortion. But it is also true many pregnancies with fibroid goes up to the term without any complications and have delivered the baby normally. So, continue the treatment prescribed by your doctor. Take maximum rest. Avoid heavy weight lifting, intercourse, jerky work, and work while bending. And hopefully you will have a normal pregnancy." + }, + { + "id": 27229, + "tgt": "I often have palpitations at bedtime. Please help", + "src": "Patient: Hello doctor, I am 19 and in good health.\u00a0For about a year, I have had some strange heart palpitations. They tend to happen at night when I lie down. They are very strong beats and irregular. It lasts only a couple of minutes but is quite scary as it feels like my heart is beating out of control and out of rhythm. During this, my chest also feels quite tight and uncomfortable. At the University recently, I had a physical examination, and the nurse noted that my pulse was a bit irregular. No one in my family has any heart problems. I do have anxiety, and I am taking anti-depressants. Doctor: Hello. Palpitations are very common and usually, they are not serious until there are accompanying symptoms like lightheadedness, dizziness, fainting or drop attacks, etc. One of the most common causes of palpitations is anxiety, but it can also be due to heart rhythm problems. So, these must be excluded first. I advise you to get an electrocardiogram (ECG) done at the time of palpitations. If that is not possible, then get a baseline ECG at any time of day or night, and another test called 24 to 48 hours ambulatory ECG. It will record your ECG continuously for 24 to 48 hours, and any palpitation episodes will be recorded. No need to worry, palpitations are not life threatening. I suggest the following: Follow-up is advised within seven days with these reports. Regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20405, + "tgt": "I feel pain while trying to open my foreskin. Please help", + "src": "Patient: Hello doctor, My penis foreskin does not open softly. If I try opening, I feel pain. Please help. Doctor: Hi. You are suffering from paraphimosis. This is a condition in which the foreskin gets trapped behind the glans penis (head of the penis) and does not return back to its original position when pulled. This induces pain. You need a surgical correction and release. Otherwise, you may have to face problems in your sexual life." + }, + { + "id": 27569, + "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": 23133, + "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": 7367, + "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": 21209, + "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": 19575, + "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": 26123, + "tgt": "My little child has ataxia, hypotonia, seizures, and dysphagia. What could it be?", + "src": "Patient: Hello doctor, My\u00a016-month-old presents with intermittent limb weakness, hemiplegia, gait disorder, dysphagia, intermittent ataxia, brisk reflexes, seizures, and intermittent hypotonia. There are sudden bouts of alternating limb paralysis. There is sudden difficulty with balance and walking with falls every few steps. The baby is seemingly dizzy. There is dysphagia with no etiology. There is a paroxysmal tonic upgaze.\u00a0The doctor has prescribed Diamox for ataxia today. The baby has a normal CBC, CMP, and CSF.\u00a0I also have attached the spinal and brain MRI images here. I need a second opinion. Doctor: Hello. \u00a0I have gone through the images which you have sent\u00a0(attachment removed to protect patient identity). Regards. For more information consult a\u00a0radiologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 2453, + "tgt": "I have sticky saliva with acidic feel in throat. Is this a symptom of Covid-19?", + "src": "Patient: Hello doctor, I am a 45-year-old female. I feel nervous sometimes that I cannot sleep and have sticky saliva in the throat that feels like acidic stock in my throat. Every time I feel worried about the Covid19 situation, I am having had time to relax myself and these symptoms start to happen again. I take some probiotics and Moringa capsule. Doctor: Hello. Do you have a history of anxiety or acid reflux disease? What have you tried so far to make yourself feel better?" + }, + { + "id": 28420, + "tgt": "Can recurrent UTI be caused by holding urine in for long?", + "src": "Patient: Hello doctor, I am a 35 year old male. I did a urine test today, there is no UTI or any infection,\u00a0but the RBC count was 0 to 1. I did a test six weeks back, which showed the RBC count to be 4 to 6. I still feel there is a block to the urine flow, and I have\u00a0to go every 15 minutes or every one hour, and this is going on since last year. I have a very strong history of UTI by staying in long meetings and not going to toilets and holding the urine in for a long time during long drives.\u00a0 It all started when I was 19 years old, and I used to hold it during work and one day I was in pain after holding it from 8 PM to 3 AM.\u00a0Since then, I\u00a0have been suffering. My health started deteriorating from the past three years, since then I get frequent UTI every 3 to 5 months. And from last year, the urine flow has been affected. I am in pain, and I do not know what to do. I did an\u00a0ultrasound and many tests, which always says I have UTI. After taking a lot of fluids and Cystone, it gets cured and then in few days comes back. And when I do not have UTI, I have to go to the toilet frequently like once in every two hours.\u00a0 As I am getting older, it worries me that some ultrasound showed that I have a distended gallbladder and my prostate size as 27.\u00a0I do take Saw Palmetto, but I stopped since the prostate size is normal according to some urologist. The urologist said that the prostate could be infected. I feel like the bladder is not empty, every single time I go to the toilet, only a little pee comes out. I do not\u00a0want to do a cystoscopy, as the thought of it is agonizing. I have read that the size of the wire is as thick as a pencil.\u00a0I am looking for an alternative solution. Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29180, + "tgt": "I have nodules in the right lung. Am I suffering from cancer?", + "src": "Patient: Hi doctor, I have a persistent cough with phlegm, chest pain, exhaustion after a\u00a0short duration and nodules in the right lung. The x-ray revealed that signs of atelectasis are present. After using three different types of medicine and steroid inhaler, the symptoms are still present. The most recent prescription includes Ciprofloxacin for 10 days. I had antibiotics for two weeks before the recent medications. Am I suffering from lunch cancer? Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8342, + "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": 8635, + "tgt": "Kindly advice the health mistakes that people should not make especially as they age?", + "src": "Patient: Hello doctor, What are some of the most significant health mistakes that people need to stop making, especially as they age? Doctor: Hello,Welcome to icliniq.com. 1. Drinking excessive alcohol. It can adversely affect liver and pancreas health. It may lead to problems like liver cirrhosis, diabetes, etc. in the future. 2. Smoking, it not only affects the lungs severely but also harms oral health, gut health, and also affects sexual health. 3. Eating excessive deep-fried food and processed food. It can lead to weight gain and other health issues. 4. Do not take proper sleep. Sleep deprivation may lead to many health issues in the future. 5. Not doing exercise. Exercise is the key healthy to the body. Skipping exercise can cause physical issues and also psychological issues. 6. Avoid mental health issues. Mental health should be given equal importance, like physical health issues. I hope it helps." + }, + { + "id": 22962, + "tgt": "My 2 months old baby is extremely agitated and not sleeping. Why?", + "src": "Patient: Hello doctor, My son is 2 months old. He is a normal healthy baby. I did not have any trouble with him so far. Sometimes, he will grunt and raise his knees to his chest when he has gas but has always been able to get a normal amount of sleep.Today, though he has been very agitated and alert, the whole day he has been kicking with his legs and flailing his hands like crazy. Extremely agitated I would say. He was hungry and ate a reasonable amount (he is bottle-fed), but the rest of the time he keeps squirming and kicking. He did not get almost any sleep for 12 hours so far. He falls asleep and wakes up every 5 minutes, with startling reflex, throws hands in the air and then starts to squirm and kick. Then cries and weeps and this keeps going. Sometimes, he just stares super alert and kicks his legs and arms for a long time. This is not a usual behavior.\u00a0He occasionally has been like that, but not as much as today, and it never stopped him from sleeping.His temperature is normal (rectal 99.1 F). His food intake normal.There is no vomiting or diarrhea or constipation. He never had colic. He usually sleeps 12 to 14 hours per day (7 to 9 hours per night). I am\u00a0not sure about his problem. Can you help me? Does this sound serious? Should I go to an ER or is it likely something I can wait? Doctor: Hi. From your explanation, a few things are evident. This is probably your first child. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24283, + "tgt": "I have red and white boils on the head of penis. Please suggest good medicines", + "src": "Patient: Hello doctor,I have small boils (red and white) on the head of my penis and also inside the skin and itching also. I regularly clean with warm water and sometimes, put some vaseline gel but nowadays, it increases very much. I think it is a fungal infection. Please suggest a good medicine and precautions to be taken to clear this infection. ASAP. This happened for the first time. Doctor: Hello. From your history, it appears to be a fungal infection. Could you please send me pictures for an appropriate diagnosis and treatment? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11353, + "tgt": "What to do for loneliness, stress, and negative thoughts?", + "src": "Patient: Hi doctor, I am always feeling depressed and lonely. I am now least interested in doing activities which I used to love doing. I cannot even concentrate on my studies. I am feeling dull every minute with stress, negative thinking, and overthinking. What to do? Doctor: Hi. I can understand your problem. You are suffering from depressive episode. Your issues like being negative, sad, tensed, tiredness, decreased interest, weakness, decreased emotional control, sleepness, the eating problem are the core symptoms of a depressive episode. I have a few questions for you. Is there any family history of any such kind of illness? Is there any history of thyroid problem? Do you have any recent psychological trauma like breakup, examination results, or financial problem? Are you taking any medicine for any other issue? Do you have a history of self-harm? Can you reveal if there is any past medical history, the effect on you, and taken full treatment or not? I assure you that all your symptoms will disappear after treatment of depression with antidepressants and psychotherapy, CBT - cognitive behavioral therapy. The investigations to rule out a medical cause of depression are CBC (complete blood count), TSH (thyroid-stimulating hormone), blood sugar, serum calcium, and serum B12. Take a healthy diet, avoid junk food, do moderate exercise and relaxation technique (yoga, meditation, etc.,) which may help you. Thanks." + }, + { + "id": 17066, + "tgt": "Can my back pain be due to the tethered spinal cord?", + "src": "Patient: Hello doctor, It is about nine months since I have had L4 hemilaminectomy, L5 foraminotomy and drilling of bone fracture at L4-L5 level. I had an MRI two months later due to severe pain. The MRI report presented inflammation and edema of the back muscles, inflammation of nerve roots, compression of nerve roots at L4-L5, suspicion for radiculitis/arachnoiditis and low-lying conus at L3-L4 with tethered cord and thickened filum. Following the report, I was treated with Dexamethasone for a tapering 10-day course. During the last eight months, I have had many symptoms including severe back pain with a constant heart rate of 130 and up varying blood pressure. The results change constantly from 100/40 to 200/140 inflammation and wounds on my back with a weakness of the bladder and bowel issues. I had an EMG that showed acute neurogenic lesion annular distribution at L4-5 and L5-S1. I also had an echocardiogram that stated: Rest HR to be 130, in effort - 3:36 HR 90% effort level - 5.3. I am scheduled for a cardio examination next week. My question is whether these symptoms can be related to the low-lying conus with a tethered cord? Before the surgery, I only had a CT so I do not know if the tethered cord was there or not? Can it be that the inflation and edema caused the tethered cord issues and symptoms? Can it just go away on its own? I would appreciate any ideas and recommendations that you might have on this issue or any other finding that you come up with. Please help. I have attached the reports for your reference. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). The tethered cord is a result of fibrosis and inflammation. Your symptoms of back pain and weakened bowel and bladder movements could be explained with the tethered cord. The changes in heart rate could be related to a cardiac disorder or inflammation, but they are not related to the spinal cord damage in this region. Painkillers and steroids can lead to high blood pressure and changes in the heart rate. The pain can also activate the sympathetic nervous system leading to such changes in the heart rhythm. Coming to this point, I would recommend continuing physiotherapy. An antidepressant or Pregabalin would help as a long-term therapy for the pain. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 74, + "tgt": "What are the ways to treat recurring UTI?", + "src": "Patient: Hello doctor, I have recurring UTI. Last time,a few months back, after taking medicines for the recurring UTI, results were normal. I took Cital syrup and antibiotics. After experiencing pain recently I again went for urine test, and it shows RBC, epithelial cells and bacteria. I have attached the reports. I was consulting a gynecologist prior to this, but she told me to consult a urologist. I have attached my last ultrasound and kidney function test along with today's urine test. Doctor: Hi. After reviewing your complains and your blood and urine test with ultrasound reports (attachment removed to protect patient identity), kidney functions are normal, your ultrasound is normal, your urine analysis showed pus cells and few red cells and white blood cells. My question is do you have symptoms like difficulty in passing urine? Or pain while passing urine? If not then did you have urine culture result before your antibiotics treatment? If you have documented UTI before and you got treated then you have pus cells and white cells in urine, your test might have been performed soon after antibiotics. The possibilities are incomplete treatment or chronic inflammation of the urinary bladder as sending infections are also common in postmenopausal period. You will need to follow up with urine culture test, if it is negative and you have no symptoms then no need to treat. If it is negative and you are still having symptoms (pain while passing urine), we need to do more tests. I hope to follow up you after urine culture results. As preventive measure, you need proper hydration, cranberry juice, yogurt and proper hygiene. Cystitis, incomplete treatment. Urine culture. Cystitis bacterial, TB. Cystitis. Observation and hydration. Hydration cranberry juice, yogurt. 4 days after urine culture." + }, + { + "id": 17396, + "tgt": "Why do I have disturbed bowel movements after having curd?", + "src": "Patient: Hello doctor, I am 32 years old. I feel like I have some digestion issue with curd. Whenever I have curd, I had to visit bathroom frequently.\u00a0Yesterday afternoon I had curd rice along with boiled chicken after having mutton. Since then I using bathroom frequently, but had a kind of constipation effect and gas problem.\u00a0Today, I had roti and vegetable kurma for breakfast. After that it worsened with liquid form and seems like diarrhea. Also stomach feels little bloated,\u00a0slightly diffused pain, some slight rumbling inside and frequent urge to use toilet.\u00a0What tablet should I take? Am I allergic to curd? I do not have similar problem with milk or buttermilk. Now what food should I eat and what to avoid? Is there a way to keep me energetic with some juice or fruit? Should I visit a doctor? Please guide. Doctor: Hello. For further clarifications consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1782, + "tgt": "Are aggressive and destroying behavior, symptoms of bipolar disorder?", + "src": "Patient: Hi doctor, My father abuses me a lot and eats a lot.\u00a0He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder.\u00a0What should I do? Doctor: Hi. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Revert back with the answers to the above questions to a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 25495, + "tgt": "Why is the finger shrinking post replantation surgery?", + "src": "Patient: Hello doctor, My 9-year-old son underwent a finger replantation surgery two days ago. Yesterday, the finger was quite normal but today it is becoming little dry and shrinking. How can the finger be saved? Please help. I have attached few photographs. Doctor: Hello. The replanted finger usually cannot be commented upon until 48 to 72 hours of the procedure. The finger may seem to be normal until then. The common cause of failure includes venous congestion where the finger turns bluish and edematous. As you have mentioned, the finger is having wrinkles and in the photo you sent (attachment removed to protect patient identity), the color also looks good, so more likely it will survive. Few other tests like tip bleeding and sugar level will help determine the status. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 4053, + "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": 9180, + "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": 8806, + "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": 6619, + "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": 12318, + "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": 25666, + "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": 14027, + "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": 20582, + "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": 5796, + "tgt": "My 1. 5 year old baby has low neutrophils and high lymphocytes. Why?", + "src": "Patient: Hi doctor,My 1.5 year old boy has low neutrophils (17%) and high lymphocytes (74%). He has normal hemoglobin and total WBC.\u00a0We did this blood test one week after vaccinations. There is no actual complaint, and we did the blood test to check if there is iron deficiency. I have attached the blood report for your reference. Please check. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28774, + "tgt": "Why is the color of my urine consistently yellow from a year?", + "src": "Patient: Hi doctor, I used to get mouth ulcers and throat infections frequently for one and half month, then\u00a0my chest, back, and palm started itching. After which, I started getting blood in urine, and burning sensation during urination. My urine color changed to yellow, and it started to smell a lot. I have done all the STD test except HPV and gonorrhea, and all were negative, even urine routine and culture were normal. So, I started taking antibiotics for UTI, as prescribed by my doctor. Three months back I started having severe itching and rashes in my thigh.\u00a0I am using B Bact and Candid B for the rashes, but it is\u00a0not getting cured completely\u00a0and is also spreading. It gets cured at one place with the ointment\u00a0and comes in some nearby place again. I stopped the antibiotics from past 2.5 months\u00a0and then found white discharge from the penis, from past three weeks. Even after urinating, I have the urge to urinate again. Sometimes, my left knee pains as if it has dislocated. I am not able to walk for few minutes, but the pain goes after few stretching and rest. I also get right lower abdominal pain abdomen at night. It has been one and a half years since this started. I am unable to find a proper diagnosis or cure it. My urine color is constantly yellow from the past year. The yellowness goes with drinking lots of water. But every morning the urine color is yellow, no matter how much water I had the\u00a0previous night. Doctor: Hi. Your history and complaints are suggestive of UTI (urinary tract infection), either resolved or partially treated. The color of urine is not a factor in deciding the status of the infection. Most people have an inherent tendency for yellow colored urine, which has nothing to do with the amount of water intake. Also, you seem to have generalized myalgia, and your pains could be related to your lifestyle. With regards to the white discharge, kindly mention if you are sexually active and if so, is there a history of change of partners? I suggest you get the following tests done. Revert with more information to a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 18565, + "tgt": "Does my baby have squint eyes?", + "src": "Patient: Hello doctor, The query is regarding my 6.5 months old baby girl. She has been seen by two pediatric ophthalmologists. The first one examined her eyes using a Plusoptix vision screener and assured us that everything was normal based on the testing results. He assured us that there was no strabismus. He said that she has +2 hyperopia in both eyes, but said that is normal considering her age and it will go away on its own. The second ophthalmologist diagnosed her with accommodative esotropia after a retinoscopy exam. After dilating her pupils, he said that she has hyperopia of +5 in both eyes. I am so lost as to why she got two completely different results within two weeks apart. I need a third opinion in regard to this matter. Doctor: Hi, Welcome back to icliniq.com. Hyperopia. Revert back with the details to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23845, + "tgt": "Have been getting recurrent redness in the eyes. What will be the reason ?", + "src": "Patient: Hi doctor, For about four years now, I have been getting recurrent redness in the eyes. It starts in one eye at this time of every year. There is no discharge, but stay as a painful red eye. It will go away for a week and then recur for a couple of days before clearing up again. It usually last on and off for a month or so before going away. This is the beginning of dry weather in my place. Also, now we begin using our wood stove for heat. I do have on and off rosacea. I have tried many eye drops, but they do not seem to work. 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": 25729, + "tgt": "What are the side effects of antiepileptic drugs?", + "src": "Patient: Hi doctor, I am a 20 year old girl and it has been almost four years that I have been suffering from\u00a0epilepsy. The medicines I take are Levipil 500 mg, Rivotril 0.5 mg and\u00a0Cetadom for headache.\u00a0Recently, I am feeling that my memory power and concentration are falling down. I have also been facing horrible hair fall since 4-5 years and I am also gaining weight in spite of regular workout. I am obese by 7-8 kg. Are the above the side effects of any of these tablets? Doctor: Hi. For further information consult a neurologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5182, + "tgt": "I get chest pain that goes up to throat. Should I be concerned?", + "src": "Patient: Hello doctor, I get heavy chest pains and sometimes it is unbearable. It goes up to my throat, upper jaw and sometimes to my back. Should I be worried? Doctor: Hi. Revert back with the asked details to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7001, + "tgt": "What is the treatment for chronic cough in a 4-year-old asthmatic patient?", + "src": "Patient: Hello doctor, My 4-year-old, son, has asthma, and he is coughing so much. He is continuously vomiting, but inhaler and nebulizer are not helping in this case. What should I do? Doctor: Hello. Asthma can be exacerbated with a lot of external factors, the external factor like dust, cold, hot climate, pollen's causes irritation and eventual inflammation in small airway resulting in obstruction of airways, as a result, difficult breathing and lot of expectorating. Kindly limit his contact with the allergen. Keep him well, hydrated. He needs to take bronchodilator or corticosteroid inhaler will help decrease inflammation, improve coughing aswell. Salbutamol cough syrup. Ondansetron will help to stop his vomiting. Also, there is so much advancement has been made in homeopathy treatment, and the medicine shows good response in patients. However, ideally, an X-ray should also be done to see if there is any superimposed chest infection if he has had a fever. I think the best will be to see a pediatrician if the condition is not improved. But the points mentioned above should help your son." + }, + { + "id": 17018, + "tgt": "I have a swelling on gums and it bleeds when I touch. Please help", + "src": "Patient: Hi doctor, I woke up this morning with this dried up blood in between my upper front teeth and blood comes out when I touch it. It does not hurt, and when I brush my teeth, I can see it move. I have not noticed any changes in my gums or teeth. My gums usually bleed when the bristles of my toothbrush scrape against them. I am going to make an appointment with a dentist. But, I am a little freaked out about this as I am only 20. When I ate something earlier, it inflated a little bit, popped and bled\u00a0without any pain. Doctor: Hi. I have viewed the images attached (attachment removed to protect patient identity). Periodontitis. Deep gum infection. Use a soft toothbrush to brush your teeth. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8044, + "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": 6726, + "tgt": "I feel pressure and pain in the head, back and neck. What does my MRI indicate?", + "src": "Patient: Hello doctor, I am having pressure pain in the head, sometimes back and neck pain. MRI findings says right maxillary sinus retention cyst, also, mild chronic sinus inflammatory changes are noted. What does that mean? Doctor: Hello. It means that you had mild sinusitis (sinus infection) for a long time. The changes are prominent at the maxillary sinus. The maxillary sinus is an air-filled bony space below the eye and front part of the cheek. Retention cyst means that due to the long-standing infection, the secretions from the mucosal lining of air-filled bone space have been collected and formed a fluid-filled bubble-like structure. If you have some symptoms, it needs to be treated. If you do not have any symptoms, you can forget this findings." + }, + { + "id": 23334, + "tgt": "Is labiaplasty under conscious sedation safe with alcohol consumption?", + "src": "Patient: Hi doctor,I am having a labiaplasty under conscious sedation. It is a simple procedure with minimal risk but I need a second opinion on the anesthesia used because I have a history of alcohol abuse (nothing major). I am 26 years old, and over the past year, I have drunk every other day (six drinks on average). I stopped a couple of days ago because of my surgery. I just want to know if using anesthetics is safe on me. I am already on a benzodiazepine (Clonazepam) daily and I am not feeling any withdrawal from alcohol. I am just a little anxious about the fact that I had been drinking for a while. My blood work came out fine and my liver function is good. What is your professional opinion? Doctor: Hello. You can continue your Clonazepam tablet. As you are chronic alcoholic get your liver function tests done and there is nothing to worry about the procedural anesthesia. Tell your alcoholic and medication history to your anesthesiologist. The analgesic dosage requirement may be slightly higher but nothing to worry as that may be already taken care by your anesthetist. Keep your hydration adequate by intake of fluids. Six hours fasting for both liquids and solids is mandatory before anesthesia. Do not worry and have a safe anesthesia. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 27322, + "tgt": "Is it safe for my child to use an inhaler?", + "src": "Patient: Hello doctor, My 7 year\u00a0old daughter has wheezing. Her doctor advised me\u00a0to use\u00a0an\u00a0inhaler. But, I am afraid of using it. Is inhaler the only solution for wheezing? Can I stop using it after she recovers or is it to be continued for life long? Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 9491, + "tgt": "I have severe itching and redness in the groin area. Please suggest a solution", + "src": "Patient: Hi doctor, I am a 26 year old male. I have severe itching and redness in the groin area. I have used over-the-counter creams, besides, I have also used some home remedies over the affected area. The skin is flaky. Please suggest a solution. Doctor: Hi. I have gone through your query, and I have noted your concern. Regards. Revert with an image to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 486, + "tgt": "My 40-day-old son has undescended left testis. Will it come down on its own or surgery required?", + "src": "Patient: Hello doctor, My 40-day-old son's left testis is undescended. Sonography shows his testis on the upper end of the inguinal canal. Please suggest whether it will come down naturally. Doctor: Hi. According to the report you have sent (attachment removed to protect patient identity), the child has left-sided undescended testis. It is a common practice to wait until the baby is six months old before operating. There is a small chance that the testis might descend on its own by six months. They usually do not descend after six months and also the risk of that testis becoming nonfunctional if waited beyond six months is high. Another thing is, there is a small risk of that testis becoming cancerous if it is not operated within one year. So, your child will need a surgery orchidopexy by about six months of age if it does not descend spontaneously. Follow up at 6 months of age." + }, + { + "id": 22947, + "tgt": "Is it mandatory to get tongue tie removed?", + "src": "Patient: Hello doctor,My daughter was recently told by her dentist she has tongue tie (ankyloglossia). She has never felt discomfort from it and it has never caused her to have any issues. Is it mandatory she gets it removed? Doctor: Hi. I have gone through your question. I can understand your concern about your daughter. Tongue tie is an anatomical defect that means if it hinders in speech, eating, swallowing or there are many carious teeth in the mouth it has to be corrected. In case there is no problem, there is no need to relieve it. Also, there is nothing to remove, a small cut is enough to relieve it. If you face a further problem or need more accurate suggestions, upload certain photos, from different angles. I will provide you a better opinion. According to your description, I think she does not need. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9465, + "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": 9493, + "tgt": "Is it safe to take Chymoral Forte once daily for three days in pregnancy?", + "src": "Patient: Hello doctor, Is it safe to take Chymoral Forte once daily for three days in pregnancy? Doctor: Hi. Chymorol forte (Trypsin-Chymotrypsin) does not have very much research data in pregnancy but it should be avoided in pregnancy as it could be fibrinolytic. It is an anti-inflammatory used to treat pain and inflammation and to have a speedy recovery. It can give side effects as well as vomiting, stomach ache, eye bloating, eye swelling, nausea, allergic reactions, loss of appetite, etc. In normal ladies without pregnancy, long-term use is not recommended. In pregnancy, it is better to avoid actually as its side effects could be different in person to person. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20942, + "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": 18147, + "tgt": "I am on ortho treatment and my cheeks have become sunken. What to do?", + "src": "Patient: Hi doctor, Four months before, I put tooth braces. My doctor extracted four of my teeth for putting teeth braces. They are two upper premolars and two lower premolars. My cheeks were chubby before tooth extraction and now it looks very sunken and hollow. Will I get the beauty of my cheek once this treatment gets over? The gap is not filled yet and was advised only once in the last four months to get tightening done. Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 2438, + "tgt": "One side of my tooth is missing. What to do?", + "src": "Patient: Hi doctor, I have a tooth that is missing one side of it. The tooth next to it grew crooked and become impacted. I had pain last week while drinking water. I did not discover the side missing till today. I am in a lot of pain now and nothing is helping. My wisdom tooth got removed four years ago. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26997, + "tgt": "I have dryness of eyes and mouth after taking antibiotics. Is it Sjogren's syndrome?", + "src": "Patient: Hello doctor,After a course of antibiotics, I have developed severe dry eyes, dry mouth, and photosensitivity. No tears are coming from my eyes. I think I have developed Sjogren's syndrome. Is there any treatment for Sjogren's? I am wating for the test. The antibiotics are long gone, but all the things I mentioned above are still present.\u00a0Please answer. Doctor: Hello. I went through your\u00a0query.\u00a0You have not mentioned which antibiotics you have taken. I do not think that you have Sjogren's. Regards. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 16549, + "tgt": "Should I try steroid medicines for my rheumatoid arthritis?", + "src": "Patient: Hello doctor, I was diagnosed with rheumatoid arthritis two years back. I am on Ayurveda treatment and have taken Panchakarma treatment as well. There is a slight improvement,\u00a0but still, my swelling on the left knee is not coming down, and recently a pain in the left wrist has\u00a0begun. My ESR and CCP are very high, and the cartilage in the\u00a0left knee is\u00a0torn. I\u00a0cannot walk fast or climb the stairs. I also started Methotrexate 7.5 mg and Vitamin\u00a0D recently. Please give me the best advice to deal with RA. Should I\u00a0continue with Ayurvedic medicines or should I try steroids? Doctor: Hello, Welcome\u00a0to iclniq.com. I just read your query and saw all the reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. Revert after four weeks to an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27550, + "tgt": "Why do I get automatic negative thoughts regularly?", + "src": "Patient: Hello doctor, I am getting ANT (automatic negative thoughts) regularly. It is causing sleeplessness and stress.\u00a0The problem started three months back. Everything looks negative, and everything I encounter seems wrong. Every time I do something, or I see something, negative images appear in my mind. Please help. Doctor: Hi. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19284, + "tgt": "Why are my heels turning green with cracks?", + "src": "Patient: Hello doctor, I have a big problem with my feet. They are turning green on the heels and the skin is very dead and cracking really bad. Can you tell me what to do about this and what it is? Doctor: Hi. I have gone through your case. You are having keratoderma. And most of the time it is due to dryness. Soak your feet in lukewarrm water for 30 to 40 minutes and then rub with file or pumice to remove dead skin and then apply vaseline or petroleum jelly two times a day. Take care." + }, + { + "id": 22501, + "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": 26433, + "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": 29259, + "tgt": "Is balanitis treatable?", + "src": "Patient: Hi doctor, My urologist and dermatologist are saying that I have balanitis.\u00a0I was given different creams, but the red sports appear again once I stop applying the cream. Coconut oil also seems like working.\u00a0Is balanitis treatable? I am a known type 2 diabetic, and my current fasting blood sugar is 113 to 125. One month back, when I did not have medicine, it was 165, and my HbA1c was 7.7.\u00a0I have done HSV 1 and 2 tests thrice, and they were negative.\u00a0I am observing some mild allergy in my fingers, knees and eyes.\u00a0I have a few medicines for chest rib hit injury. I am on\u00a0Glycomet 1 g twice daily. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30297, + "tgt": "What can be the reason for IUFD?", + "src": "Patient: Hi doctor, This is about my wife, who had unfortunate IUFD, cardiomyopathy and DIC. She had an absolute normal pregnancy till 9th month.\u00a0She had no BP, diabetes or other issues throughout and even today. Only issue, she has is migraine and for which she takes Diclogesic. So, it happened on a day of routine checkup when Doppler scan released little less fluid (7.3) around baby and placental calcification that doctor advised C-section. She was empty stomach after breakfast from morning till evening and developed a migraine, which is normal as she had this condition before as well. Gradually, she became breathless, tachycardia and her pulse rate shoot up to 170 or 180 while saturation was around 99%. While doctors were trying to stabilize her, they could not track the baby's heartbeat and then she had other above specified conditions. So, I am looking back what could have gone wrong. Below are the few things that I need your help in understanding. We have a son already who is O negative and my wife is A negative. Anti-D was given only in the 28th week of pregnancy and not after CS delivery, which is fine I guess. But, she was not given an Anti-D this time, but stillbirth (boy) was O positive. Hence, wondering if this was one factor if not for IUFD (as all scans till 9th month were normal) at least for DIC afterward? Secondly, to stabilize her migraine when she was posted for C-section she was given Dynapar 75 mg, which looks like another factor that could have caused ductus arteriosus to close before time and IUFD. Please clarify. Doctor: Hi. First of all I feel really sorry knowing what happened to you. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 599, + "tgt": "Excessive masturbation is resulting in nightfall and early ejection. Why?", + "src": "Patient: Hello doctor, I am a 25-year old male. My problem is excess night fall as I am masturbating since around the age of 13-14. Now I ejaculate within 30 seconds and I am scared of marrying now thinking of failure on the bed. So please tell me what to do? And the physical health of my penis is not as I expect and the reason behind it is masturbation? Doctor: Hi. As per your history, you are suffering from chronic masturbation. Nowadays, masturbation is very common in the younger generation. If you masturbate two times a week it is normal. But if you do frequently it is bad for your health. How to stop the addiction of masturbation? Stay busy and less alone, find another outlet for your time and energy. Fill your life with engaging activities. The excitement of doing something different can help replace the urge to masturbate, and you will have a go-to distraction next time when you are tempted. Stop punishing oneself and do not be despondent. Remove triggers that tempt one to masturbate. Be persistent and patient. You should be busy with your daily routine. Do regular exercise and join the gym. I hope this helps." + }, + { + "id": 22848, + "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": 5001, + "tgt": "Is there any chance for malaligned fractured humerus bone to heal on its own?", + "src": "Patient: Hello doctor, Three and a half months ago, I fractured my humerus in a car accident. When I went to the hospital I had my arm put into a sling. Since then I have been going back to the hospital every three to four weeks for x-rays, what concerns me is that my doctors seem extremely unsure what to do because my arm has healed in an awkward way. They keep saying I should leave it for a few months but I cannot see how it will ever mend properly. I insisted strongly that they put me on the waiting list to have the bone replaced and have pins put in it, but they said it might not be worth the risk. I want to know what other professional opinions so I can make a more informed decision. I have posted a picture of the x-ray. Doctor: Hello doctor, Sorry to hear about your accident. From what I see on the Xrays attached, you sustained a humeral shaft fracture. (attachment removed to protect patient identity). These fractures tend to be very forgiving, that is, they do well in spite of a great deal of malalignment. Humerus has a thick muscle cover all around it, so healing is usually quick and predictable. The shoulder joint has an enormous range of movement. This helps in retaining the excellent function of the arm even with minor amounts of malalignment. In fact, up to 20 degrees of anterior (front to back) angulation, and up to 30 degrees of varus, valgus (side to side) angulation is acceptable. Also, unlike the legs, shortening is not much of a concern in upper limbs, and upto 3 cm of shortening is acceptable in a humeral shaft fracture. Your x-ray show exuberant callus (healing bone), and you are likely to achieve good union in due course of time. I would not worry about the x-ray appearance of your humerus. Even if it heals in a malaligned position, so long as the malalignment is within the acceptable limits, and the bony union is strong, I would consider this an excellent outcome. It is, however, advisable to continue following up with your orthopedic surgeon for repeat x-rays to make sure that the malalignment does not worsen and the healing progresses. You can try to make the x-rays look better by operating, but the function and appearance of your arm externally will remain the same, and you will be left with a surgical scar. In your case, since it has started healing, a long incision will have to be taken to open the entire bone, remove the healing callus, and realign the bone fragments. This will not only expose you to operative complications like blood loss (which will be very high because you cannot use a tourniquet for a fracture that are high in the arm) but also a risk of non-union of the fracture, as you will be stripping off the blood supply to the fracture surfaces. I hope this helps. Healing humeral shaft fracture. Healing humeral shaft fracture. Observation." + }, + { + "id": 27413, + "tgt": "I was bleeding for 10 days after a medical abortion. Is it normal?", + "src": "Patient: Hello doctor, I had a medical abortion ten days ago. I had a\u00a0bleeding until yesterday, which was brown in color. So, I took a USG today, which showed the endometrium thickness to be 12 mm. Is this normal? Is D and C really required in my case? Is there any other treatment option? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9949, + "tgt": "I have fatty liver and taking medicines. When will I get cured?", + "src": "Patient: Hello doctor, I am suffering with fatty liver grade 2. My age is 28 years and weight is 72 kg. I am taking a medicine called Heptagon for the last two months which was given by my local doctor. I just want to know how much day it will take to cure my disease? And also any advice for me for fast recovery? Doctor: Hello. The fatty liver cannot be treated by medications alone. You are taking Multivitamin tablet according to history. Kindly post photo of your medication to check its content. For fatty liver, Udiliv 300 mg daily can be useful. I suggest you take low fat diet and regular exercise. You have to control your weight and BMI should be within 25. Take Vitamin C rich fruits mainly in more amount. With all these efforts, you can control your fatty liver and can treat it as well." + }, + { + "id": 27394, + "tgt": "I am a young mother constantly having tiredness, body pain and headache. Please guide me", + "src": "Patient: Hi doctor, I am a\u00a026 year old female. I am a mother of a 3 year old boy. I have been feeling tiredness, body pain and headache for the last one month. My pre-pregnancy weight was 58 kg. Now I weigh 66 kg. Am I facing these issues due to my weight? Also, I went for a blood test recently. Most of the values seem normal, except for a slight variation in RBC, PDW, MCHC, monocyte, and basophil absolute count. Please find the attachment and guide me. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25287, + "tgt": "How can knee pain be prevented?", + "src": "Patient: Hello doctor, There is dull knee pain while standing and walking for one month. What can be the cause of this? Doctor: Hello. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, ACL (anterior cruciate ligament) injury, knee bursitis, torn meniscus, gout, and infection.Some easy remedies for your pain If the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20137, + "tgt": "What dose of Thyronorm can control my current TSH level of 13. 3?", + "src": "Patient: Hello doctor, I have hypothyroidism and my current TSH is 13.3. I am regularly taking Thyronorm 50 mcg one tablet daily morning before food. Kindly let me know what should be the dose to control the level now. My cholesterol levels are a bit high too. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism and dyslipidemia. I suggest that you take tablet Thyronorm (Thyroxine sodium) 75 mcg once daily. Repeat your thyroid function test after three months and then we will review again. Take tablet Simvastatin 20 mg at bedtime for high cholesterol. Repeat your lipid profile after six months. Take a low-fat diet. Drink eight to ten glasses of water in view of high uric acid. Take a low protein diet for the same. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 29992, + "tgt": "My tooth pain continues even after three weeks of RCT. Kindly help", + "src": "Patient: Hi doctor, Three weeks ago, I had a root canal done. But, the pain is still present. I cannot bite anything as the pressure gives pain. Kindly help. Doctor: Hello. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29451, + "tgt": "I am concerned about my abdominal pain. Kindly help me to get some relief", + "src": "Patient: Hi doctor, I am a 35 year old male. My height is 5'9\", and weight is 220 lbs. I am a smoker and not on any medication.\u00a0Over the past seven months or so, I have been experiencing on and off severe upper abdominal pain (center), and that radiates through to my back. At times, the pain may just be some discomfort, and at other\u00a0time it is completely unbearable whereas I cannot sit still, lie down or do anything even to get brief relief of pain. It feels almost like a gas bubble one receives before they belch. I would try to belch and rarely will get success. When I can belch, it seems like a struggle to come out, and other times I am caught off guard and regurgitate stomach acids or bile. This issue would come on progressively from discomfort to unbearable burning or knot feeling in my upper abdomen within an hour and last 6 to 8 hours and suddenly go away. As of currently, I have had these issues from the moment I awake till I fall asleep. I can feel something wrong with a range of pain levels. I have been avoiding food for almost three days now and only consuming water. Antacids do not seem to work, and change of food\u00a0does not appear to make a difference on the pain level. I am extremely concerned. My research has lead me to three possibilities such as ulcer, pancreatitis and H. pylori infection. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21641, + "tgt": "Is there any medicine for treating yeast infection?", + "src": "Patient: Hello doctor, How can I treat a yeast infection? Is there over-the-counter medicine for that? Doctor: Hello. Try to have a full treatment for any health issue that is reducing your immunity and causing you recurrent yeast infection like diabetes, immunocompromised diseases like AIDS, etc. Try to have a high vaginal swab to confirm that recurrently you are getting an infection. Sometimes, normal vaginal secretions increase due to excitement, at ovulation or fertilization, genetically, near menses or at implantation, etc. So, try to recognize, differentiate and confirm via a vaginal swab test. Overtreatment can harm normal vaginal flora that regulates local pH and can result in a dry vagina, reduced libido, recurrent infections from different organisms and disproportion of normal and abnormal vaginal flora ratio. You can have Canesten (Clotrimazole) pessary per vaginal at bedtime on two alternate nights. If an infection is confirmed and gives symptoms as well. this will clear out infection. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15837, + "tgt": "What does the blood test taken for sudden hearing loss indicate?", + "src": "Patient: Hello doctor, I had a sudden hearing loss twice and because it happened twice, I was sent for a plethora of blood tests. My ANA was negative but I noticed two markers out of range. I was wondering if you could give any insight into these blood test results? Doctor: Hello. I went through your post and investigations (attachment removed to protect patient identity), there are two things which I presume you think are abnormal. CK (creatine kinase), it is an enzyme produced by heart muscle and skeletal muscle. So, is elevated in people with muscle or heart disease but low levels have no significance and are common in people with a sedentary lifestyle who do not exert much. Anti-histone antibodies are seen in people with drug-induced lupus so if one does not have other features of lupus as in your case the hearing loss is not a criterion for lupus (ACR criteria for SLE). It has little or no importance. I think there is a possibility of Meniere's disease for which you should get investigated that can cause sudden temporary hearing loss." + }, + { + "id": 3246, + "tgt": "Which medicine can I take for itchiness in eyes?", + "src": "Patient: Hi doctor, I am a 25 year old male. There is a lot of itchiness in eyes for the past three to four days. Please tell me what to do. Which medicine can I take? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4425, + "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": 860, + "tgt": "I feel slight pain when a part of my leg skin is lightly touched by clothes or hand. Is it allodynia?", + "src": "Patient: Hi. A portion of my skin in my right leg feels sensitive or i feel a little pain when it is lightly touch by clothes or hand. I've started to feel the pain i think 3-5days now and it doesn't go away. I searched online to find what it is and i think it is similar to allodynia. Btw, i am not sure if my previous condition was related to my current condition, I have always an issue with my right shoulder and right arm and the doctor said it is a muscle spasm. At first, my right shoulder hurt then the pain expand up to my right arm. I've experiencing this concern for i think 2-3years now. The pain goes on and off. Also, i had an eardrum reconstruction surgery last year in my right ear. I am not sure if it is related. Doctor: Hello.... The hypersensitivity is caused by effect on the nerve due to any reason.... it may be from spinal cord to the region in leg ... problem anywhere can cause this kind of an issue... u need to get yourself evaluated clinically by a neurologist.... As the MRI is quite old you can not rely on that... further evaluation with MRI only if required and nerve conduction study might be required... as a symptomatic treatment pregabalin or gabapentin can be used but only after clinical evaluation and if considered by the treating doctor.... thank you..." + }, + { + "id": 2372, + "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": 7945, + "tgt": "What causes reddish brown discharge with irregular periods?", + "src": "Patient: Hello doctor, I am concerned about my health, I have not had a regular period in almost three months. I have been having brown, reddish discharge but I am most certain that I am not pregnant because I have not had intercourse since two years ago, my stomach has been hurting and I have gained weight as well, I did go to a gynecologist and they gave me medicine to reset my period which helped but then it stopped again. Doctor: Hi. Most of the time, irregular periods are part of the normal changes that can happen when you are a teen. Sometimes, irregular periods can be caused by some medicines, exercising too much, having a very low or high body weight, or not eating enough calories. Hormone imbalances can also cause irregular periods. Included in these, more serious causes are ovarian cysts, thyroid problems, exogenous hormones. In view of you gaining weight and experiencing stomach pains I would suggest that you visit a gynecologist to have blood tests done and a pelvic ultrasound. FBC, thyroid function, hormone profile, B-hCG, pelvic ultrasound. Visit your gynecologist before doing anything." + }, + { + "id": 29726, + "tgt": "Could this bleeding be a sign of miscarriage or is it my normal period?", + "src": "Patient: Hello doctor, My periods were late by six days. I had taken five pregnancy tests and all were negative. I have a dull ache in my lower back and cramps on my right side. Now, I am bleeding bright red and the flow is mild. Could this be a miscarriage or is it my normal period? I had a few pregnancy symptoms before this, but they are gone now. I still have sore breasts. My period is never late. Currently, I am taking Suboxone. Doctor: Hi. Since the five tests were negative and you have started bleeding you are not pregnant. Because, urine pregnancy test can be positive for a variable period. It can be positive from the 10th day to two months, even after an abortion. So, you are not pregnant. Symptoms may be due to hormonal changes. As the periods were delayed, you had the excitement of getting pregnant and the symptoms may be due to this also. It was just a delayed menses. There are many reasons for delayed menses. Do not take much stress. Revert back with the sonography report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4157, + "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": 29414, + "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": 27168, + "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": 10394, + "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": 26251, + "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": 21376, + "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": 4107, + "tgt": "What does high level of ACTH and cortisol indicate?", + "src": "Patient: Hello doctor, My ACTH level is 43 and my cortisol level is 23.9. I am 25 years old and my weight is 237 lbs with a height of 5'4\". What could be the problem? I am currently under Nuva ring 0.3 mg and vitamin D 50,000 units once a week. Doctor: Hi, Welcome to icliniq.com. I have gone through your lab reports. (attachment removed to protect patient identity). I need to know what was the reason and why these tests were done in the first place? What were your symptoms and complaints? And also why Nuva ring was started? Kindly get back with the answers so that I can make the best possible diagnosis for you." + }, + { + "id": 8086, + "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": 29253, + "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": 17447, + "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": 16425, + "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": 10564, + "tgt": "I vomited two combined pills after 12 and 14 hours respectively. Am I still protected?", + "src": "Patient: Hello doctor,I started the combined pill 12 days ago. I vomited on the 6th day after 14 hours of taking medicine. I also vomited on the 9th day after 12 hours of taking the pill. Am I still protected? Doctor: Hello. Yes, still you are protected, 1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours." + }, + { + "id": 2724, + "tgt": "Few months after open bite surgery, my gums shows white spot with discoloration. Why?", + "src": "Patient: Hi doctor, I have a question about my gums. I had a jaw surgery for an open bite a few years ago and the gums were all pink and normal looking a few months ago. Now they have a lot of white on the upper gums with the area slightly above the gum line being the non-whitened and discolored part. I have a picture. The discoloration showed up more recently and never in the past if I recall. I am currently on Vistaril Prozac Zyprexa Junel (birth control). Doctor: Hello. The gums looked blanched or whitish due to lesser blood circulation and less inflammation than before. There is no need to worry as it occurs as the gums are completely healed and also could happen due to decreased blood pressure and complete healing of inflammation post-surgery. Even medications like anti-depressants can cause some drying or blanching of soft mucosa tissue of gums." + }, + { + "id": 8404, + "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": 26094, + "tgt": "My skin is irritated after using a new face wash. How to get it back to normal?", + "src": "Patient: Hello doctor, I am a 29 year old male. From the past few days, after washing my face with a skin-clearing face wash, my skin got irritated but I thought it was natural. Last night, just after washing my face with the face-wash, my skin had\u00a0red patches in the morning and there was a burning sensation as well. Please help me. I am getting married next month. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 15225, + "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": 3982, + "tgt": "Will having intercourse during pregnancy cause any problem?", + "src": "Patient: Hello doctor, The gynecologist told me not to have an intercourse because I was having some brown spotting but it stopped and I had a little bit of intercourse but now I am scared something happened, should I be worried? Doctor: Hi. Brown spotting may be due to vaginal or cervical infection. And infection can be from your partner or you can transmit to your partner. So that is the reason doctor told not to have intercourse. Continue the medicines given to you and drink more water." + }, + { + "id": 12054, + "tgt": "Can mixed feeding be given to a new born?", + "src": "Patient: Hello doctor, My cousin, a newborn baby, was born four days before, male, 51 cm and 3.1 kg. He is crying, and we think that he cannot poop. He drinks breast milk. And every time he farts he cries and, we thought he has a hard time getting it out. I would also like to ask if he is allowed to drink water and if we can do mixed feeding (alternate drinking of breast milk and formula milk). Doctor: Hello. Please note that a child may cry either because he is hungry, has passed urine or stool, or wants to seek attention. Take note of the same. Other than that whatever you have described is normal and it persists till the age of six months. Hence do not worry. Giving water is not required as milk already contains water. However, giving boiled and cooled clean water is harmless. You can mix feeds and give. It is not an issue." + }, + { + "id": 22112, + "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": 22468, + "tgt": "What can be the cause of bleeding on fifth day after intercourse?", + "src": "Patient: Hello doctor,I have had my last menstruation a month back. And it lasted for seven days as usual. My cycle is 38 days and my period always comes on time. I have had intercourse five days ago and did bleed a bit that day. It stopped and yesterday I started to bleed again but this time it feels like at the beginning of my period. I should get my period after a week. What can be the cause of the bleeding? I am 19 years old. Just started to be sexually active. I am 154 cm in height and 48 kg weight. Doctor: Hello. If you have mild blood spotting than rule out pregnancy by blood hCG test after three weeks of LMP (last menstrual period). For moderate to heavy bleeding your detail evaluation should be done. Sometime during few initial intercourses, vaginal tear can lead to bleeding. So per speculum examination should be done for that. Check serum TSH (thyroid stimulating hormone) and serum random blood sugar estimation to rule out thyroid and diabetes problem. Pelvic examination should be done and if needed USG scan done to check ovarian cyst, polyp, fibroid, etc. like problems. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21046, + "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": 17748, + "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": 16550, + "tgt": "What is serum creatinine and why do we measure it?", + "src": "Patient: Hello Doctor, What is serum creatinine and why do we measure it? Doctor: Hello. We normally measure serum creatinine values in a few medical conditions. Serum creatinine is a very important determinant, since it is a waste product. Its elevation in the serum points some kidney disorder such as glomerulonephritis, pyelonephritis, UTI (Urinary Tract Infection), acute renal failure, dehydration, shock or acidosis. Normally the range is between 0.7-1.3 mg/dL. Even a minimal increase is considered to be significant. There are few treatment options available to lower the creatinine values such as Diet modifications, Through Medications, Dialysis and Hemodialysis. For more details consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22203, + "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": 20091, + "tgt": "After performing receptive fellatio on a guy I have white tongue. What is it?", + "src": "Patient: Hello doctor, I performed receptive fellatio on a guy 55 days back. I took RNA PCR TEST after 11 days and then again at 35 days and both were negative. I also took a fourth generation combo test (antibody and p24) on 38th day and it was negative as well. The problem is, for the last 8-10 days I have had diarrhea. It was not frequent, but the stool is loose and watery. I also have a white tongue. In the last three to four days, I have developed an ulcer inside my mouth, which is slightly painful. For the past 10 days, I have been feeling tired, weak and sometimes getting a temperature of 99 to 99.3 degrees. Since, I have tested negative for all these HIV tests, I cannot understand if I could still have HIV. The net has conflicting information. I also feel I have a slightly sore throat. I also have a pimple break out on my nose and under my eye. I am really scared and terrified. Please help. I am attaching the pictures of my tongue, is it candidiasis? Or is it just a white tongue? Are the tests I have taken conclusive for HIV being negative? Please help. Doctor: Hi. Revert back after a week to a\u00a0HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13829, + "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": 12354, + "tgt": "What are the best ways to control acne?", + "src": "Patient: Hi doctor, Nothing seems to work for my acne. I have used Clindamycin and Surfaz but it did not work for long. How can you help? Doctor: Hi. I have gone through your case. You need to understand acne is an ongoing process and you may experience frequent exacerbation due to stress or hormones. Clindamycin is fine. In the picture (attachment removed to protect patient identity), you are having closed comedones and open comedones and hyperpigmentation. Apply any sunblock regulary in serum form like those available in body shop product. Do not use any creams or lotion as it can aggravate your acne. Apply Adapalene gel only at night in very little amount (about the size of a pea) for two hours. If you take excessive you may have burning." + }, + { + "id": 14152, + "tgt": "Is it possible to cure nasal polyps and inflammed sinus that are affecting smell?", + "src": "Patient: Hello doctor, After a severe cold including heavy sneezing, runny nose that lasted 3 to 4 weeks, I seem to have gradually lost my sense of smell. To clear this severe cold I had to take Avamys. A couple of doctors I consulted said my nose and sinus seem to be inflammed, and there are some polyps in the nose. Now and then I seem to have the sense of smell. But almost always, it does not seem to exist. I am very worried about this. I was wondering if this kind of condition can be reversed, and if so what kind of procedure or medication usually is needed. I take asthma medication (Seretide 250/25) twice a day. I have no other medical problem. Blood tests are all fine. I seem to catch colds easily (or perhaps it is an allergy). Any guidance as to the type of tests I need to do redo and procedures that could be done. Doctor: Hi. It seems that you have allergic rhinitis with polyposis. The loss of smell sensation with you can be because of the polyps which prevent the air to reach the olfactory mucosa in the roof of your nose or because of a viral attack. I advise you to take antiviral medicine as Acyclovir tablets. Its dose is five tablets all over one day only. Continue your Avamyse spray till polyps disappear. If the Avamays spray does not end the polyposis you have to perform a surgery to remove polyps. When the smell nerves are injured, it cannot be healed completely again. We just save the remaining part of the sensation. In your case, I think it is smarter of time that you can smell again but not in a normal way as before. Just treat polyps first then we will see." + }, + { + "id": 4198, + "tgt": "I have Sjogren's syndrome with shortness of breath and increased heart rate. What should I do?", + "src": "Patient: Hello doctor, According to my doctor, I have Sjorgen's syndrome. My big issue is that at times I have shortness of breath and it comes and goes. It used to happen not too often years ago, but now it happens every other month. Last year, I had to be hospitalized due to my racing heart which went to the 180 bpm and no one knew the cause of it. My pulmonologist prescribed me Qvar and I take it daily. My symptoms are starting again where I get so tired even to eat while sitting (at rest). What should I do? Doctor: Hello. From your description, it is clear that you have confirmed Sjogren's syndrome. Unfortunately, it is a chronic autoimmune disorder and treatment options are very limited. The treatment is only symptomatic and supportive in the sense that whatever symptoms you have we intend to alleviate those symptoms. But no definitive treatment is effective in the long run. As you said, you experience shortness of breath on exertion it suggests that your airways and lungs are probably affected by the disease. So it is our first aim to detect up to what extent is the lung involvement by doing various tests. The characteristics of the disease is dryness of various mucous membranes and dryness of airways, which leads to further symptoms like cough, bronchitis or bronchiolitis and bronchial hyperresponsiveness. Pulmonary Hypertension can set in in the long run. So keep watch on it by regular 2D echo test of heart for PAH (pulmonary hypertension). Also, keep watch on various complications of the disease. Corticosteroids and immunosuppressive treatment have shown some promise but it is not void of side effects. Qvar (Beclomethasone dipropionate) inhaler will alleviate your cough and breathlessness. But it is better if you take Fluticasone plus Formoterol inhaler twice daily along with spacer. Also, taking Levosalbutamol and Ipratropium inhaler for emergency use is also advised. Immunosupressive tablets like Cyclosporine can be taken under your physician observation. Overall total treatment is symptomatic. I hope this helps." + }, + { + "id": 7772, + "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": 780, + "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": 4354, + "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": 11383, + "tgt": "I am having hairfall even after PRP treatment. Why is it so?", + "src": "Patient: Hello doctor, I am 24 years old. My crown area is almost bald, and I want to regain my hair. I had PRP treatment for hair, but there is no result. Hairfall still persists. Why? I am currently on vitamin C tablet. Doctor: Hello. As your hair loss is quite severe, I suggest you go for 5 % Minoxidil with Aminexil solution (brand name - HAIR 4U solution). Aminexil helps regrowth in fibrosed hair follicles. Apply it daily twice over the area and see that it is undisturbed for at least four hours which means you should not apply oil or any other cream over it, and you should not sweat much in that time because those things will dilute the medicine. Also, take a hair strengthening tablet like Follihair twice daily. Take a lot of Vitamin A, iron and protein in your diet. Tell me after thirty days on the response. We will decide on how to proceed after that." + }, + { + "id": 18093, + "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": 6717, + "tgt": "I developed small bumps on my penis after excessive masturbation and sex. Could you help me to recover ?", + "src": "Patient: Hello doctor, I am a 35 year old male, who is in good health. So, here is the story. It first started two weeks ago. My girlfriend thought it would be fun to remove my pubic hair one night. She started the waxing process, but after the first removal strips had been off, I decided I was never going to do that again. It was very painful. I agreed that using a razor to shave everything would be fine for now. I had never shaved my pubic region, and later it became a bit irritated and sensitive, but nothing I could not survive. About a day later, I started running a high fever (around 102.5 F) for a day or two, then ended up going to the ER after I found that my lower leg was red and swollen as well. They diagnosed me with cellulitis. As soon as they started running IV antibiotics, my fever broke, and things looked good. They sent me home with Doxycycline, and I was good. I am only mentioning the cellulitis as there was no evidence of cuts or scrapes, so we do not know here the infection came from, but now I think it could be from the waxing or shaving torture that I had been though. My penis had been sore after the shaving, and I recently have been masturbating dry (no lubricant) quite a lot, four times a day was common. My penis was a darker color from the excessive masturbation and sex. Even though it was uncomfortable, I still did it. So a few days ago after having 3 or 4 sex sessions and previous masturbation before that, I noticed a couple of small bumps on my middle shaft that morning. There is no pain, no itching, and no redness. I have never had anything like this before, and I am very observant with my body. They have been there for 2 to 3 days, and have not changed at all. I stopped sex and masturbation after noticing them. I have no other symptoms. I was worried about herpes, but they do not seem to match any of the pictures I see online. I do not have redness, tingling, pain, or itching. They are at the same spot where I was feeling the friction burns earlier. My girlfriend just so happen to have a full Pap smear a week ago, and they did STD testing, and everything was normal. My last partner was over six months, and we had protected sex. I always ask about sexual health and everything to try to be safe. I understand that the majority of herpes happens within a week of exposure and that the first outbreak is the worst, but they can hide dormant for long periods. It feels like this is a dumb choice to shave and irritate my pubic region and also do excessive masturbation and sex while ignoring the friction pain, and I possibly ended up with a friction blister type of situation. If I start getting other side effects, I will stop by my doctor. I just wanted a professional to chime in. Doctor: Hello. I can understand your concern. First of all, I would like to tell you that you only have small bumps over the shaft of the penis. There is no discharge, redness, itching or tingling. Most of STDs (sexually transmitted diseases) results in discharge, mild fever, and redness. While in herpes, severe painful blisters are seen over the penis. So based on the description you provided, these small bumps are not due to any STD. This could be due to excessive masturbation resulting in bumps, but for exact diagnosis detailed examination is needed. But yes, these are not due to any STD. Also, most of STDs have small incubation period and your partner is tested negative for any STD, so these also prove that they are not due to any STD. Abstain from masturbation for few days and avoid any hard frictional rubs and you will be alright. You can upload a picture of lesions for confirmation too. Thanks and take care. Revert with more information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1848, + "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": 10283, + "tgt": "Do I have osteoarthritis?", + "src": "Patient: Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance.\u00a0I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10\", it is regular.\u00a0I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance. Doctor: Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.--->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12281, + "tgt": "My right eye is smaller and looking down after exotropia surgery. Why?", + "src": "Patient: Hello doctor, I had an exotropia surgery before. It was a strabismus kind of thing. But my eye, the one with the condition, is small and the pupil is like looking down. When I take pictures is very noticeable. I need to flip them to make them look normal. Is it normal that my eye is smaller and is looking down? Is my right eye fine? The left one is fine. This is really bringing me down. Please help. Doctor: Hello. I understand your concerns. From the image you sent (attachment removed to protect patient identity), I can see that your right eye is a bit red. Has your right eye always been a little red? How long back did you get the squint surgery? If you have had surgery long ago, then I can tell you that your images show a hypotropia in the right. This is once again treatable with surgery. I do not feel that flipping the images has made the defect any less apparent. Nonetheless, such a condition is not an emergency unless you feel that the vision in your eyes has dropped. If it helps you, some people can get their eyes straighter for photos by first closing the normal eye, then looking at an object with the squinting eye then opening to see with the normal eye. In case you need any further information, kindly send me a scanned copy of your surgery report. I will do my best to help you." + }, + { + "id": 979, + "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": 21809, + "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": 15995, + "tgt": "Can you recommend some supplements to reduce HbA1c?", + "src": "Patient: Hi doctor, My HbA1c is around 6.0 %. Several years ago, it was used to be at 5.2 %. Can you recommend some supplements to reduce HbA1c? Doctor: Hi. HbA1c level (glycated hemoglobin) goes up when your body is unable to control glucose accurately and when the insulin sensitivity is low. You have not mentioned the treatment taken for diabetes. I assume that you are prediabetic and I am giving the following instructions. You have to change your lifestyle and diet. Or else you will become prone to diabetic. Please follow these instructions to increase the sensitivity to insulin and to decrease your HbA1c. Daily exercise improves your glycemic control and insulin resistance. You should do both strength training exercise and aerobic exercise. It helps you to reduce body fat and improves the skeletal muscle mass and strength. You should have a low GI (glycemic index) diet. You should focus on eating foods with a GI less than 55 and take fiber-rich foods such as apples, grapefruit, legumes, onions and garlic, dense, grainy bread and wholegrain cereals such as whole oats. Try to reduce taking sugary foods, processed foods, and concentrated carbohydrates. Take a fiber-rich diet. Consume soluble fiber at least 40 grams per day. Take good sources of soluble fibers such as vegetables, oats, whole grain rice and legumes. Dietary fibers are also beneficial. Reduce taking saturated fat and increase the consumption of omega 3 rich foods and monounsaturated foods. Eat antioxidant-rich foods containing vitamin B, vitamin C, and vitamin E. Eat foods that contain low GI, bioflavonoid and anthocyanin-rich foods such as blueberry, raspberry, strawberry, blackberry, citrus fruits, and onion. Take cinnamon regularly in the diet. It helps to lower the postprandial glucose. Take 50 to 100 ml bitter melon juice containing 100-gram fruit in 100 ml. It reduces the fasting and postprandial glucose levels. Reduce taking tea and coffee. Instead, drink plenty of water. Tea and coffee inhibit the absorption of essential nutrients especially when consumed close to the meals. Take Chromium 200 microgram per day. It helps us to have glucose control. Take Magnesium 400 mg per day. Magnesium deficiency aggravates insulin resistance. Taking a good quantity of vitamins, minerals and antioxidant supplement provide essential micronutrients. Take omega 3 fish oil 1000 mg three times a day. Take vitamin E 500 IU daily. Take Alpha-lipoic acid 600 micrograms in divided doses." + }, + { + "id": 28902, + "tgt": "My brother has palpitations and shortness of breath. Should he go and see a doctor?", + "src": "Patient: Hi doctor, My brother is 15 years old. His height is 5'3\" and weight is 115 lbs.\u00a0For the past one\u00a0week, he has had occasional heart palpations and shortness of breath about once a day. Originally it started with a headache complaint. We are concerned whether it will just pass or there are remedies we can give him. Should he go in to see a doctor? He is using over-the-counter medicines for cold. Doctor: Hi. Please make sure that the cold medicines you use have any of the following agents like Theophylline or Salbutamol or any beta agonists in them. One of the adverse effects of the medications above is palpitations. If the medicine you used has none of the above things, then you should suspect an underlying disease. Shortness of breath and palpitations are significant cardiac symptoms. The other symptoms being chest pain and syncope. So, it is better to get evaluated for cardiac disease if any with an ECG, chest x-ray and an echocardiogram of the heart. This sort of symptoms can also be secondary to anemia or hyperthyroidism. So, also get a CBP (complete blood profile) and thyroid profile. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26445, + "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": 20607, + "tgt": "Please suggest some medicine for testicular pain?", + "src": "Patient: Hi doctor, I feel pain on my right testicle when I touch it. I have consulted a doctor and he asked me to do some tests. I have all the reports and I am attaching those here. Please give some medication. Doctor: Hello, Welcome back to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). All reports are normal except you have two small stones in kidney but nothing to worry about stones. Regarding testis pain, you should avoid wearing tight jeans and clothes. Use proper undergarments which give support to testes. Testes should not be hanging without any support." + }, + { + "id": 4358, + "tgt": "I experience cold hands, constipation and lethargy. Kindly interpret my thyroid function test", + "src": "Patient: Hello doctor, I got blood tested for my thyroid and I need help understanding the results. Do I have hypothyroidism or hyperthyroidism? I have cold hands and feet, eczema, psoriasis on my nail, sensitive eyes, constipation, gas, bloating, extreme lethargy, depression, and anxiety. My blood test results: Free triiodothyronine 6.5 3.5 - 6.5 pmol/L. Thyrotropin (sensitive TSH) 7.48 HI 0.30 - 4.00 mIU/L. Free thyroxine (free T4) 18.9 - 23 pmol/L. Doctor: Hi. Your results can be interpreted as follows: Your TSH (thyroid-stimulating hormone) is surely high and the T3 and T4 levels are in the normal range. There are two possibilities of such a report. 1. Primary hypothyroidism - In this the TSH is high and the others go low. This is the most common type. In this, the thyroid gland is under-functioning. The symptoms are usually as described by you. Now why is your T3, T4 are normal ? It might be the case that you are in a very initial stage of dysfunction and might become frank with time. If we treat it now, the levels will come back to normal and you might not need further treatment. 2. Secondary hyperthyroidism - In this case, all the three readings go up (which I see in your report.) The problem here is with the pituitary gland in the brain which stimulates the thyroid gland to produce more. So the fault is not with thyroid gland at a primary level. For this to confirm, you will need a TRH (thyrotropin-releasing hormone) hormone level, which is the stimulant of the thyroid. I would suggest you meet your endocrinologist and get the secondary aspect evaluated. After that, we can give you the right treatment and everything can be cured easily." + }, + { + "id": 20532, + "tgt": "I have tinnitus in ear. Is there anything I can do?", + "src": "Patient: Hello doctor, I had an otitis media with effusion a year back. Meaning, a bit more than a year ago. My ears never cleared properly. If I move my jaw or even slightly yawn, I hear dramatic crackling sounds from my ears. They do not feel very blocked, and my hearing is fine. However, I do still have tinnitus in my left ear. Is there anything I can do? Doctor: Hi. For more information consult an ENT otolaryngologist --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29873, + "tgt": "Kindly explain whether my disease is delusion disorder or paranoid schizophrenia", + "src": "Patient: Hi doctor, I would like to know whether my disease is delusion disorder or paranoid schizophrenia. I have been taking Risperidone 2 mg for 16 years, Escitalopram 10 mg for 7 years and for hypertension Met XL 25 mg for 5 years. My cholesterol levels are normal. I am a pure vegetarian. I do not smoke. I am not even an occasional drinker. My thyroid hormone levels are normal. I am not a diabetic, but my weight is 103 kg and my height is 5'7\". I walk around 5 km for five days a week. I have been working in shift for the past 15 years. I am working as a senior engineer with full competence, but with little nervousness. I experienced delusions alone and not hallucinations when I was broken down for first time before 16 years when I was studying post graduation. Earlier than that, I used to suffer from severe anxiety. Before 8 years, with a doctor's prescription, I reduced Risperidone 1 mg to 0.5 mg and Escitalopram 10 mg. It proved fatal and relapse of delusion occurred. From then onwards, Risperidone 2 mg and Cita S 10 mg followed. I am a bit anxious, but mentally fine. Except the two above events, I never experienced delusions. Except obese, I have no other problems. There is no one to remind me for tablets as I am living alone. I am married, but my wife is working in another location. I am having one daughter, who is healthy and active. As there is a family history, from your answer only I do will decide about my daughter's higher study. Doctor: Hi. I am sorry to hear about your mental state, but at the same time I do appreciate you for being on regular medicines. However, even though your question is very direct, I am sorry to say that I cannot give you a straight forward answer or diagnosis. First and most importantly, I implore you not to go chasing after a specific diagnosis as the DSM (Diagnostic and Statistical Manual) and other books that are used for diagnosing psychiatric conditions. They keep changing some criteria every decade or so. Hence, as long as you have understood that you have delusions which get better with regular treatment, that it is more insight than most people with your condition. Secondly, I cannot figure out why you want to link your daughter's career with your diagnosis. Please do let her live her own life. Though there is a genetic risk of schizophrenia in her, it is in no way a certainty. Now, coming to your actual question, if the delusions that you had were deemed bizarre by your treating psychiatrist, he would be right in fitting you into a diagnosis of paranoid schizophrenia even if you have not had any sort of hallucination. So, it would depend on the content of your delusions too. Apart from delusions and hallucinations, there are a variety of other criteria too, like disorganized speech or behavior or negative symptoms, which could give you a diagnosis of schizophrenia. So, once again, I would like to end my response saying that it would be best if you discuss the reason for your diagnosis with your treating psychiatrist. But, please do not let it affect your daughter's future in any manner. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist To rule out any congenital syndromes. CBC (complete blood count), LFT (liver function test), RFT (renal function test), electrolytes, FBS (fasting blood sugar), PPBS (postprandial blood sugar), FLP (fasting lipid profile), TFT (thyroid function test) and CT brain, preferably MRI brain. 1. Delusional disorder. 2. Schizophrenia. 3. Unspecified psychotic disorder. 4. Anxiety disorder. 1. Continue antipsychotics and SSRI (selective serotonin reuptake inhibitor) if you feel better. 2. Reevaluate the diagnosis if no improvement and optimize the drugs. 3. Get examined for extrapyramidal symptoms. 4. Consider drugs for obesity and investigations, including metabolic profile to assess obesity. Regular exercise, balanced diet, regular sleep, regular medication and regular follow up with a psychiatrist. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28295, + "tgt": "What are the causes of vaginal bleeding, five years after menopause?", + "src": "Patient: Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again. In these five years, she has not even bled for a single day. Why is she bleeding all of a sudden? What can be the cause? Doctor: Hello. Five years no menstruation and now bleeding needs some detailed examination and investigations. Consult a nearby gynecologist, and let him or her see the source of the bleeding. Get an ultrasonography done. If bleeding is from the uterus, then your mom might need to get a D and C (dilatation and curettage). It is a minor operation, and the tissues are sent for testing. Basically, we have to rule out whether there any cancer cells or not. She may even require a CT scan. If nothing is found and every report comes normal, then she will be given some medicines accordingly. And no need to worry. If something is found in the reports, then it may require major operations, but it will all depend on the reports. So first, consult a nearby gynecologist. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24574, + "tgt": "I have a repeated rash behind my ear. How to make it go away?", + "src": "Patient: Hello doctor, I have a repeated rash behind my ear. I am pretty poor. So, doctors are not easy to come by. It just pops up sometimes. Doctor: Hello. I saw the picture (attachment removed to protect patient identity). You have erythematous (red) papules (bumps) behind the ear. I can list a few possibilities: I would like to know: Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2412, + "tgt": "I have pain in testicles on touch. Please help", + "src": "Patient: Hi doctor, I feel pain in testicles when I touch them. Can you please help me with this issue? Doctor: Hi. You can have two things, epididymo-orchitis or testicular torsion. Treatment for both are totally different. Can you please tell me if you lift your testis then pain decreases or increases? And how much is the pain (is it excruciating or mild)? History of masturbation or intercourse just before pain?" + }, + { + "id": 16473, + "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": 30315, + "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": 19382, + "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": 22440, + "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": 23396, + "tgt": "My skin breaks out often. What can I do to have a clear skin naturally?", + "src": "Patient: Hello doctor,My skin tends to break out often and it often breaks out on my chin, jawline and lip area. I have tried several things to get rid of my acne and over all the rest of my skin does not look too bad, just breaking out in those specific areas I have mentioned. I eat pretty healthy, drink lots of water and tea. I take vitamins. I know those breakouts are mostly due to hormones, but what can I do to finally have clear skin? Doctor: Hi. I appreciate you seeking help. The root cause of acne usually lies with dietary and lifestyle irregularities including excessive physical or mental stress. I would advise the following for relief: Hope the above-mentioned shall help take care of your issues. Take care and all the very best. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 26050, + "tgt": "I am unable to open my mouth fully. What should I do?", + "src": "Patient: Hello doctor, I had a jaw lock on the right side of my face but yesterday I\u00a0fell and my left jaw is in pain. \u00a0I cannot eat or open my mouth all the way. Also, my tooth has been pushed down. So, I\u00a0do not know what to do. I am really upset and I am crying now. Doctor: Hello. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4294, + "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": 30999, + "tgt": "Shall I repeat GCT to confirm diabetes during pregnancy?", + "src": "Patient: Hi doctor, I am 16 weeks pregnant with high GCT results. I would like to reconfirm the results. The value found today was 232 mg/dL. Can I redo the test in different laboratory to confirm the same? Is there any challenge in taking glucose again? Doctor: Hi. Revert back with the reports to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 23711, + "tgt": "Do we need to remove the uterus for a clot in it?", + "src": "Patient: Hi doctor, My mother is 45 years old. Two years before she had pain in her lower abdomen. We went to the doctor, and they said that there are many sores in the uterus, took a biopsy test and said there is nothing serious. After one year when she again had periods problem and pain in lower abdomen, the doctor said that there is 8 mm clot in the uterus and we can manage that with medicines and prescribed medicine. Within one month the pain subsided, and she was fine. Now she has slight bleeding continuously, discomfort in the lower abdomen feels very tired and is unable to do household chores. So again she met a doctor yesterday. Now they are saying that the clot has grown to 17 mm and we need to remove the uterus and no other options are available. Also, they said that if we leave it as such, it will change into a cancerous tumor. We are very much confused. Is it so serious? Do we need to remove uterus for this? Can this not be cured using medicines? Please give us clarity and possible options to cure this problem. Doctor: Hi. I do not see any reason for you to worry and there is no need for any interference. Let me explain. Fibroid and adenomyosis, the two conditions mentioned in the report, never become malignant or cancerous (attachment removed to protect patient identity). What she has is not a clot, it is thickening of the muscles in the uterus. Every month when a lady has periods, her blood flows out. But a small amount of this also flows into the muscles of the uterus, which is called adenomyosis. This can never become cancerous. Fibroids are very common and formed by the thickening of the muscle layer of the uterus. These both conditions keep growing till the time lady has periods, which means, as long as the hormone estrogen is produced by ovaries. But these never become cancerous. Both these conditions have a common presentation. They cause pain in the abdomen during periods, excessive bleeding, weakness, and back pain. Anyway medications are the best treatment option. Surgery is never the first option. There are medications which can stop the hormones and periods, with no side effects and the symptoms will fully disappear. The best option I can suggest is tablet Novex-DS or Sevista 60 mg (Ormeloxifene) twice weekly on Monday and Thursday or Tuesday and Friday or Wednesday and Saturday. Over a few months, the periods will stop, these problems will disappear, she will have periods once in three to four months. Do not worry; periods are not necessary for health. Over some time, the adenomyosis and fibroids will shrink. She can have it for five to six years. By then, her periods will stop on its own, and then the two conditions will not trouble anymore. Other option is using Mirena or Emily (intrauterine devices), both are Copper T like devices which contain the progesterone hormone. They stop periods and also have a suppression of hormones and the symptoms disappear. This can be kept into uterus for five years and will gradually reduce size of fibroids. Anyway, surgery is never the best option. Better try these medications, and I am sure she will be relieved of the problems. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 20379, + "tgt": "I have gastric problem and passes gas frequently. Please help", + "src": "Patient: Hello doctor, I am 36 years old male with 167 cm height. Weight is 73 kg. I am in good health. Practicing yoga four days a week. Two days walking or jogging like 8000 steps. Daily walking for office and routine is 4000 steps. Sitting job. I have a gastric problem for last six months. Release gas from stomach 10 times a day average (fart). Very difficult to manage in meeting time. No smelling but it sounds. No stomach pain. No problem in toilets. My diet is the same as the previous. Nothing has changed. I am a vegetarian. I drink water 3 liters a day. Wake up in the morning 6 to 6.30 AM and have a breakfast by 8, lunch by 1 o'clock and evening snacks by 5 (light food) and dinner 9 to 9.30. Sleep by 10.30 to 10.45. Yoga 7.20 PM to 8.30 PM. Please guide me. Doctor: Hi. Passing fart up to 10 times a day is normal. However, constipation, gastrointestinal infection, irritable bowel syndrome may worsen this. For you, I suggest you take a good amount of water and dietary fibers. Hopefully, that should improve your symptoms. If you are having constipation, treating it may improve your problem." + }, + { + "id": 13205, + "tgt": "Kindly tell me the ayurvedic medicine to cure hemorrhoids and constipation", + "src": "Patient: Hi doctor, Kindly tell me the ayurvedic medicines for hemorrhoids third grade and constipation. Which is safe and what dietary control should be taken for this till it gets healed without any allopathic processes. Doctor: Hi. Mostly piles generate after changing food habits and lifestyles. Frequently constipated bowel, sedentary lifestyle, smoking, and drinking may cause piles. Third-grade piles need Ksharasutra ligation treatment along with ayurvedic medications. Now it can be managed naturally through ayurvedic medicines. Constipation, irregular food habits, reduced physical activities, frequently smoking and drinking. Fissure in ano, fistula in ano, sentinel tags. Take the following medicines regularly for one month. Rx, 1. Panchasakar Churna 3 gm with Arshoghni Vati two tablets and Arogyavardhini Vati one tablet twice a day with warm water after meals. 2. Abhayaristam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Drink plenty of lukewarm water. Quit smoking and drinking if you have these habits. Do regular kapalbhati, mandukasana, and ardhamatsyendrasana regularly as well as pranayamas like anuloma vilom, nadi sodhan, and bhramari." + }, + { + "id": 610, + "tgt": "I have chest tightness with shortness of breath and throat irritation. What is the problem?", + "src": "Patient: Hello doctor, I am suffering from chest tightness and at times turns into pain. I feel like I am breathing into a tight chest with constricted chest wall muscles along with shortness of breath and throat tightness. The doctor said I have mild asthma and nothing he is giving me is working (Albuterol, Dulera, Oral Prednisone). I even tried Gerd therapy to see if it will help and it is not. I am suffering a lot. Please help. I have been tested for Coronavirus three times and it came back negative. My chest x-ray and echocardiogram has been normal as well. Doctor: Hello. Since when your suffering from chest tightness? Is it aggravating at night or early morning? Possible causes are like: 1. Episodic asthma in which you may feel repeated episodes of chest tightness and breathing difficulty. 2. GERD (gastroesophageal reflux disease) in which lower esophageal sphincter lead to acid reflux which may enter into to larynx cause asthmatic episode. 3. Diffuse esophageal spasm: This is esophageal motility disorder that lead to painful spasm of esophageal musculature. On barium swallow it appears as a string of beads. 4. Panic attacks lead to chest wall muscle tightness regarding this attack. 5. Postnasal discharge. 6. Neuromuscular disorders, etc. Until examination is done it is difficult to say what it is. So please get it done spirometry, 24-hour pH monitoring, esophageal manometry may useful, serum IgE levels, barium swallow chest x-ray, and absolute eosinophil count. Avoid spicy food at night, elevate the head end of the bed. In case of allergic asthma use tablet Montelukast and Levocetirizine once a day (night) may be useful. Use tablet Deriphylline twice a day for five days. Avoid allergens that trigger the episode. Common allergens like household dust, molds, mites, and pollen. If no improvement please consult with your physician or pulmonologist he will examine and treat you accordingly." + }, + { + "id": 28887, + "tgt": "I am having a condition of dry skin all over my body. What could it be?", + "src": "Patient: Hi doctor,I am having dry skin patches on my skin. They started about four weeks ago, and I first noticed them in my groin area. They are just dry, and they do not hurt or itch. Two weeks ago, I went to a pharmacy, and they suggested it could either be Pityriasis rosea, Pityriasis versicolor or psoriasiform eczema; and they prescribed Fluconazole tablets, Travocort cream, and Advantan ointment. I have been using them ever since, but the condition has spread all over my body especially on my hands, groin, thighs, and upper back areas. Doctor: Hi. Pityriasis rosea. I suggest you the following treatment for two weeks. Consult your specialist doctor, discuss with him or her and take treatment with consent. 1. Use a moisturizer containing Aloe vera and soft paraffin, in the morning and evening. 2. Mometasone cream for local application once at night. 3. Tablet Levocetirizine 5 mg once daily at night. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1820, + "tgt": "Will urinary output increase with BP medicine?", + "src": "Patient: Hi doctor, Before two months, I had one stent put in the complete blocked artery. Scans showed heart muscle damage from an old heart attack this was caused by me not taking my BP drugs. So for the first time in my life I have stuck to taking all my prescribed drugs, these were Aspirin 75 mg, Amlodipine 10 mg, Atorvastatin 80 mg, Bisoprolol 1.25 mg, Ticagrelor 90 mg. It has been eight weeks I felt a great minus few chest niggles presumed this was stent settling and I am still smoking 20 a day. Now for the last one week I have a severe dry mouth all the time despite drinking and my urine output is 5 liters to my input of 1 liter. At night I am going after every two to three minutes. My doctor is thinking I have a UTI despite being negative for it. Now they are testing me for gonorrhea and chlamydia. My suspicions are that the drugs I am taking causing this? I feel like stopping them all together or halving the dosage I cannot see my cardiologist until next year. Is there a link between my drugs and these symptoms? And am I safe to temporarily stop a few of them to rule them out? If so which ones are crucial and which are not? I am eternally grateful for your help. Doctor: Hello. All the medicines you are taking are essential medicines and should not be stopped except in case of severe allergy. None of these medicines cause increased urination. Amlodipine is a blood pressure lowering medicine, it can be changed to some other medicine. This medicine may cause fluid retention and swelling of feet in some patients. Regarding increased urination possibilities include maybe you are taking medicines called water pills or diuretics which are sometimes given in heart patients, these increase urine output. Please review your medicines. UTI (urinary tract infection) may cause increased urination. Raised BP itself may cause increased urination. Keep BP (blood pressure) in control. Please reduce weight. Take Mediterranean diet, do regular exercise, and have a proper sleep. Never stop or switch to any medicine without consulting a cardiologist." + }, + { + "id": 16260, + "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": 5546, + "tgt": "I have a blister on my vagina which is itchy and burning. What could it be?", + "src": "Patient: Hello doctor, I did have one sore on my vagina, a blister appears from no were was sore, itchy and burning a bit and there are lots of white stuff around my vagina clit, it was fine then this appears from no where and I cannot pop or scrap it. What is this white spot thing? I do suffer from BV and PID, and been treated. Now my vagina smells and it is not fishy. I cannot describe it, it is like asparagus and I do not eat it. It is a dirty smell. Also, my lips get dry, my arms and legs get pricks, and my top lip tingles. Doctor: Hello. The lesion appears to be a follicular infection or folliculitis and unlike any STD (sexually transmitted disease) especially herpes which has a confluent multiple blister growth. The pain and inflammation seem classical to folliculitis and it is likely to be after you have shaved. I would suggest the application of ointment Soframycin (Framycetin) thrice a day over it for three days and can take antibiotics short course for three days with Amoxycillin. However, the foul smell per vaginum indicates an infection again and itching accompanied indicates a mixed vaginosis recurrence. So please get a high vaginal swab culture to establish the cause and then further treatment can be offered by your gynecologist." + }, + { + "id": 4766, + "tgt": "Can color blindness be rectified with medicines?", + "src": "Patient: Hello doctor, Six years ago, I noticed that I have\u00a0color blindness. Can this be corrected? Or will it remain forever? If correction is possible then how can it be? Doctor: Hello. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26098, + "tgt": "Is cough medicine safe while breastfeeding?", + "src": "Patient: Hi doctor, My wife is a lactating mother of 2 months old baby. Since one week she is suffering with bad dry cough. For past 2 days she is unable to sleep. For every 5 to 10 minutes she gets cough. We consulted a doctor and had medicine. But, still there is no relief. I attached the\u00a0medicines that we have followed. Also had Ascoril-D syrup and Relent tablet.\u00a0How long does it take to cure the dry cough? Will the prescribed medicine dry up the breast milk? Can cough medicine affect baby?\u00a0We tried home remedies like\u00a0honey, ginger and black pepper.\u00a0After delivery my wife used to drink hot water only.\u00a0None of the above remedies worked. None of them reduced the cough.\u00a0Please advise us. Doctor: Hi. I went through your query and the prescription (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": 21676, + "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": 18470, + "tgt": "How long will it take to recover from ACL injury?", + "src": "Patient: Hello doctor, I had ACL injury. What will be the time for recovery like normal walking and bike riding? I would like to know after how many days I will be able to do normal walking and bike riding. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4088, + "tgt": "Is it safe to assume that I am HIV negative following a negative HIV test?", + "src": "Patient: Hi doctor, I took my fourth generation ELISA antibody and p24 test at 38 days and it was negative. I also did my RNA PCR test at 35 days and it is undetectable at 20 copies/1000 mL. Am I conclusively HIV negative? Because, I continue to have a pimple or rash breakout on my face and chest. Also, I have diarrhea and feel generally weak with 99 degrees temperature. Could this be due to some other disease? Or still I have chance of having HIV? Doctor: Hi. For further clarification consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23967, + "tgt": "I have a thin whitish film on my left eye. Any opinion?", + "src": "Patient: Hello doctor,I was having a very good day working. But as the evening came by, I gradually felt an irritation in my left eye. I thought I am going to have an eyesore. But the next day, I was shocked after seeing a thin whitish film on my left eye. This stuff did not even make a little appearance the previous days. The sensation is very comparable to an eyesore though my eye does not produce any discharge. Any opinion? My sister had been diagnosed with pterygium and undergone surgery. I wonder if it is the same issue. Doctor: Hi. The photo attached (attachment removed to protect patient identity) is not very clear and has a lot of shadows, but I can tell you that the white thing is an inflammation of your cornea, most probably an ulcer. It needs a visit to your ophthalmologist as soon as possible and can be diagnosed only by a slit lamp. Measures you can take to lessen the irrigation: Hope you get well soon. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24545, + "tgt": "I have itching in my under legs. Please advise", + "src": "Patient: Hello doctor,I have itching in my under legs and skin around the area is getting darker and itches so much. Doctor: Hello. You seem to be having a fungal infection of the area. I have seen both the photos you sent me (attachment removed to protect patient identity). If you were to come to me for a consult, I would give you the following advice. Do revert back for more details. Do send me a picture with the next query so that I can assess how much of an improvement you have had. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 5580, + "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": 11699, + "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": 25946, + "tgt": "Seizures in a young female. Is it catamenial epilepsy?", + "src": "Patient: Hello doctor, My 26-year-old wife got her first seizure one year ago and she gets the seizure once every month or two although all her checkups are fine with no sign of epilepsy. The doctor put her on Keppra 500 mg and she still gets her seizures and complains a lot of side effects. I am wondering is it catamenial epilepsy or PNES. Please advise. Of note, we are planning for a baby too. Doctor: Hello. Regarding your concern, I would explain that the catamenial epilepsy is a very specific type of epilepsy where a seizure occur every month at the same time closely related to the menstrual cycle. This type of epilepsy is usually refractory to many epileptic drugs. Anyway, the dose of Levetiracetam that your wife is taking is low. If she does not tolerate this drug, it is not possible to raise the doses. Coming to this point, considering the fact that you are planning to have a baby, I would recommend switching to Lamotrigine starting with very low doses and increasing gradually up to 100 mg per day. Further increase in the dose may be done later up to 200 mg daily if her seizures persist. Another possible treatment would be Acetazolamide taken usually for some days every month before the time when seizures usually occur. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Meanwhile, I would recommend checking her thyroid hormone levels to exclude the possibility of thyroid dysfunction which may trigger seizures. I would also recommend to video register her seizures if possible in order to have a more professional opinion on the type of her seizures. It is not rare to have a normal EEG (electroencephalography) during seizures. That is why video registering is necessary. A prolonged EEG study for a week with video monitoring EEG or a sleep deprivation EEG would give more information on her seizures. Hope you find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1469, + "tgt": "What is the reason for double vision following an accident?", + "src": "Patient: Hi doctor, My daughter is 16 years old. She met with an accident and got an\u00a0injury on her face. It was operated by a maxillofacial surgeon. The upper portion of the right eye is red. She can open her eye, but she is having double vision. What to do? Doctor: Hi. Revert back with the medical records and photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21890, + "tgt": "Why does my semen become thin and watery after masturbation?", + "src": "Patient: Hello doctor,I do masturbation in a week and my semen becomes thin and in liquid shape. Please tell me. Doctor: Hi. Do not worry. Masturbation is normal and there is no harm associated with it. You should reduce the frequency to thrice per week. The watery semen is due to frequent masturbation and that is common. There is nothing to be worried. Take care. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15717, + "tgt": "I have cold, headache, sinus problem and breathing difficulty. Please help", + "src": "Patient: Hello doctor, I am suffering from sinus problem since birth. Currently, I am suffering from a cold, headache and unable to breathe properly due to nose blockage intermittently. Kindly advise which medicines I should take. I am 44 years old and currently working in a call center where I have to sit in AC for at least eight hours. Doctor: Hello. It seems this is your chronic problem as you have been suffering for the two years. For the best result, I would advise you to seek consultation from a good homeopathy doctor who can prescribe the correct remedy based on the detailed case history. For the meantime, based on the above short description, I would advise you to take Kali Bichromicum 30c four pills twice a day for five days. Do not eat or drink 30 minutes before or after taking this remedy. Avoid taking a lemon, strong coffee, raw onion, and raw garlic until you take this remedy. Kindly report back in 10 days." + }, + { + "id": 1949, + "tgt": "After diabetes, I get recurrent vaginal yeast infection with itching in groin area. Why?", + "src": "Patient: Hi doctor, I am 38 years old. I am diabetic for the past three years and sugars are not always in control. I am taking medicine Euclide 80 mg and Galvus met 50/500 and Novomix 30 injection 10 units (injection only for few days). My issue is, post diabetes I am experiencing severe recurring yeast infection in vagina and itching in groin area and near anal area. Due to scratch the area has become sensitive and scars and cuts are there. There is burning sensation when the area comes in contact with water. I have tried all Clotrimazole creams (Dres V, Surfaz B, Candid, etc.), but no relief. Itching is severe at night and very uncomfortable. Please help which medicine or cream to apply to stop this infection everytime. I am unsure if that is eczema. Are there any tests which show what kind of infection is that? Doctor: Hi. Diabetes is comorbidity that makes patients prone to fungal infections and some times there is a secondary bacterial infection too. I advise you to follow certain steps. 1. First step, proper sugar control. 2. Anti-diabetic diet and exercise. 3. Proper genital hygiene. 4. Use of clean cotton underwear. 5. Keeping the area clean and as dry and aerated as possible. 6. No tight clothing. 7. No talcum powder application. 8. Do not use regular soap and hot water to clean genital areas. Take Itraconazole 100 mg two times a day for two weeks, Luliconazole cream to be applied three to four times daily on area of infection after proper cleaning and drying. Combinorm wash to clean the genital area. I hope this helps. Tinea cruris. Tinea cruris. Tablet Itraconazole 100 mg two times a day for two weeks, Luliconazole cream to be applied three to four times daily on the area of infection after proper cleaning and drying, Combinorm wash to clean genital area. Please follow up after completion of the above course and sos if need be." + }, + { + "id": 10396, + "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": 13367, + "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": 4287, + "tgt": "I get intermittent abdominal pain before bowel movement. Why?", + "src": "Patient: Hello doctor, I have had intermittent pain in my lower left abdomen for seven months now. I had a colonoscopy as soon as the pain started in the summer, but there were no abnormalities seen. There might have been something as the doctor muttered \"there is this sort of a thing here\" during the colonoscopy, but the doctor who did the colonoscopy would not comment it further because the diagnosis lies in the biopsy samples. The case was dismissed after the biopsies came back normal. However, the pain has continued. I think that it now mostly comes before bowel movements unlike before which was more random, suggesting a colonic cause but I am not sure. I also have soft stools but they could be related to a high-fiber diet. Attached are some PET-CT pictures were taken five and a half months after the symptoms began. The radiologist claimed that there were no nodular findings seen in the colon, but I can see some mildly elevated nodular activity as well as a possible thickening in the lower left abdomen where the symptoms are. The axial view is mirrored. Is the structure highlighted a part of the colon wall or a lymph node? What are the black areas that surround the node? Should I opt for another colonoscopy, a needle biopsy or just forget about this? Doctor: Hello, Welcome to icliniq.com. As I read your question, I just remembered how distressed my sister becomes when she gets similar pains, which enables me to realize your anxieties well. However, her pains have been determined to be of uterine origin. Please note that, as a radiologist, I always feel confident when I can view the full set of the scan that I am asked to review. However, as you and the reporting radiologist are well convinced about the rest of the imagery, my opinion about the selected images that you've attached (attachment removed to protect patient identity) is as follows: The black areas represent the gas in your bowels. About the encircled area: Please note that PET-CT is based on the principle that many pathological lesions accumulated much higher amounts of FDG (fluorodeoxy glucose) than the normal tissue. Because of this basic principle, positive findings on PET are always vividly visible. This is unlike other imaging such as CT, MRI or x-ray where we often have to look for subtle findings. Look at the urinary bladder where the excreted FDG has accumulated (this is excreted FDG, not a lesion in the bladder). If there were any PET positive lesion in your abdomen, it would show up as bright as the bladder. Now, look at the area you have encircled. It has some brightness, and although it looks more prominent than the surroundings, its appearance still does not match what we expect a lesion to look like. Please also note that the main image of these types of studies is the axial image, and the others are reconstructed by software. Also, the PET image is superimposed on the CT image by software. Such manipulations often result in the creation of image artifacts. In my opinion, the brightness in the encircled area and its surroundings is artefactual. The mild elevations that you fell you can see are likely due to the folding of the bowel loops. Yes, there are some lesions that are PET negative. And there are the causes of lower abdominal pain (LAP) that do not create a change in imaging studies. Therefore, your next step should be to discuss with your gastroenterologist about these types of possibilities. Truly, LAP is caused not only by cancers (seen on PET) but also due to vascular, inflammatory, infective and other pathologies, exploring which may lead to the proper diagnosis and appropriate treatment. I hope this helps." + }, + { + "id": 26280, + "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": 14564, + "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": 11867, + "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": 19832, + "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": 4144, + "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": 26147, + "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": 1872, + "tgt": "Why do I have joint pain and low back pain?", + "src": "Patient: Hi doctor, I am a 45 year old male. I had an accident\u00a0before 10 years. At that time, my knee x-ray was done and I was reported to have\u00a0osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures. Doctor: Hi. Vitamin D deficiency and autoimmune cause. Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus). Seronegative spondyloarthropathy. 1. Rheumatoid arthritis. 2. Seronegative spondyloarthropathy. Calcirol sachets (vitamin D) 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain. 1. Avoid alcohol and excessive weight lifting. 2. Also, try to avoid painkillers as your liver functions are abnormal. For further information consult a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 3879, + "tgt": "What are the reasons for wrist pain?", + "src": "Patient: Hi doctor, Three years ago, my right hand was accidentally ran over. X-ray showed no broken bones, but throughout the year I had extreme pain on the right hand side of my wrist next to the bone. I never know when the pain on the right hand side of my wrist is going to happen or how long the intense pain will last. It does not hurt to bend my wrist down, but I cannot raise my hand up or turn my wrist in anyway. Sometimes, the severe pain has lasted for 24 hours. This happens twice in a month and my right hand is useless to do anything. Even simple stuff is impossible. It keeps me up all night. I felt severe pain yesterday while reaching for my wallet with my right hand set. Please help me to set of\u00a0this debilitating pain. I am desperate. Doctor: Hi. I have gone through your history. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7630, + "tgt": "Can lymph node enlargement in mouth, legs and neck mean lymphoma?", + "src": "Patient: Hello doctor, I was in a car accident four years back. After one week while I was having bath, I felt one small lymph node in my left neck. I did not feel it before. It was little bigger that time. By the time it is getting smaller but not going to its original size. I cannot see it now but I can feel it. So, I am worried and popping it all the time. Recently, I found one gland in floor of the mouth in left side and it is very small and not growing in size. Sometimes I feel swelling in left side of mouth and left leg. I got no night sweat, no fever and no weight loss at all. I got five small petechiae (red blood spots) in right chest. I have attached my complete blood test history for three months. Symptoms: Constant left shoulder pain, bone pain, hand pain. extreme fatigue, and tiredness. I feel something struck in throat. Bowel habit change. Medications: Doxycycline Hyclate 100 mg for two weeks. Amoxycillin 500 mg for one week. My questions to you are as follows: 1. Do I have lymphoma or leukemia? 2. If your answer of no. 1. is no, then why the lymph nodes are not going back to their original size after completing whole antibiotic dosage? 3. Why my WBC and lymph % are fluctuating too much? 4. Can lymphoma be ruled out from CBC test? 5. What is your opinion about my blood report? Doctor: Hi. Based on your query, my opinion is as follows: No, it is neither lymphoma nor leukemia. There is no cell predominance (either neutrophil or lymphocyte or any immature cells) or the counts are also not high enough to think of leukemia. Lymphoma lymph nodes are usually multiple and do not regress in size. Lymph nodes usually take longer to regress and sometimes, mild infection in the location could be making it to be active. It could also be chronic lymphadenitis, with variable amount of fibrosis inside it, due to which, it may not regress back to its original size. If it was lymphoma, it would be increasing and multiple sites and multiple nodes together would be enlarged. WBC are cells related to fighting infections and inflammations. As the body is fighting some infection or other in everything (food, water, air, etc.), it will vary. Also, stress and hormonal variations can affect it too. If the count is not shooting excessively over the normal range, not to worry. No, usually lymphoma cannot be ruled out from CBC test. Fine needle aspiration cytology of lymph node or biopsy of lymph node is essential. However, at present, it will not be essential looking at small lymph nodes. Blood report, overall is good. Mild neutrophil increase, indicating possible mild infection or stress. Stress could be responsible for all the symptoms at present. Nothing in the blood report, can explain the symptoms you have. Check calcium level once. As the platelet count is normal and you do not have any bleeding, petechiae could be due to small pressure spots. It will disappear. Not to worry about it. If it starts occurring at multiple spots, then prothrombin and activated partial thromboplastin time evaluation may be necessary." + }, + { + "id": 16714, + "tgt": "Does high E/A ratio suggest diastolic dysfunction?", + "src": "Patient: Hello doctor, I want to show my echocardiogram, to know if I have diastolic dysfunction or not. I can see that the velocity is high, but the report says normal. I am not an expert, but I have read that, if E/A ratio is higher than 1.5, then it is a problem. Please help, I am worried. Doctor: Hello. In order to diagnose a person to have diastolic dysfunction, there are factors that have to be met. Like ejection fraction more than 45%, the presence of diastolic stiffness, and heart failure symptoms, with changes in some laboratory test indexes. E/A ratio greater than 1.5, is not a criterion for diastolic dysfunction, it is not a gold standard. E/A ratio up to 2.33 is considered normal for people below 23 years. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17545, + "tgt": "Is it safe to use Minoxidil continuously for male pattern baldness?", + "src": "Patient: Hi doctor, I am suffering from male pattern baldness along with dandruff. Because of dandruff, I keep on itching my scalp. I consulted a doctor, and she recommended me to use Betamethasone dipropionate and Zinc sulphate lotion along with Adgain capsule and a mild medicated shampoo. I used these products for a period of three months. Initially, I was very happy with its response. \u00a0As my hair seemed perfect I quit the product for six months. Once I quit the product, again I had hair fall. Now, since one month I am using Minoxidil and have same feeling that once I stop this product again I will have same problem. Now, I would like to know, is it fine to use Betamethasone dipropionate and Zinc sulphate lotion for some time to regain the lost hair and then continue with Minoxidil? Can I start using Minoxidil continuously? Please suggest me, if any other alternative is present. Thank you in advance. Doctor: Hello. Welcome to icliniq.com. I have read your query in detail and understood your concern. As far as Betamethasone dipropionate and Zinc sulphate lotion is concerned, it is mainly given for dandruff or seborrheic dermatitis and hair fall due to it. It has no effect on androgenetic hair loss. Since, you had dandruff this lotion would have helped to reduce hair fall because of it. Minoxidil is approved for androgenetic alopecia. It should be used in 5% concentration. During the initial part of therapy with Minoxidil, patients might interpret increased hair shedding. But it is temporary and it is due to new hair growth that pushes telogen hair (shedding of hair during the resting phase of hair follicle) out of hair follicle. In addition to Minoxidil I would also suggest you to take a tablet of Finasteride 1 mg once daily. Revert back after 2 weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20855, + "tgt": "Is an implant really necessary after extraction of second molar?", + "src": "Patient: Hi doctor, My second molar in the left side of upper jaw was extracted two months back. I thought of placing an implant. So, bone grafting was done. Now, I got few opinions that implant is not required in that region. Are there any future implications due to gap being there like displacement of adjacent teeth, etc.? Doctor: Hi. Because you have done a bone graft, that means there would have been bone loss. The prognosis of the tooth will be poor after implant in that region. If your adjacent teeth are not having or showing any bone loss, you may opt for a fixed partial denture (bridge). Yes, there are chances of tooth displacement or tooth migration in this region. If the implant is not possible because of underlying bone resorption or too much vertical or horizontal bone loss, you must not opt for a bridge too. In case you have any IOPAR, X-Ray or OPG you can upload here for proper treatment plan and prognosis. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19843, + "tgt": "My creatinine is 3. 05 mg/dL. How bad is it?", + "src": "Patient: Hello doctor, My blood report came today surprise me that my creatinine is 3.05 mg/dL. How bad is it? I am very concerned. Is there any way I can avid dialysis and treat with medication, diet and excursive. Please guide me if possible. I am taking Verapamil ER 180 mg and Atorvastatin 20 mg for high blood pressure for last 15 years. Doctor: Hi. As I understand, you are having hypertension for past 15 years, apparently under control at present. Many a time, hypertension can remain undetected, without symptoms for long. So we may not know the exact duration of the disease in many patients. You have hypertension for a minimum of 15 years. It is not mentioned about the status of control in initial years. I hope that it was controlled. Looking at your results, this is most likely to be hypertensive kidney disease. However, we have to rule out precipitating or complicating factors like recent intake of painkillers, obstruction of urinary tract like prostate enlargement (normal PSA- prostate-specific antigen need not rule it out), recent infection, etc., many of these factors, if treated, may to some extent reverse kidney failure which you have. I suggest you have an ultrasound abdomen and urine routine. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 23203, + "tgt": "I took CMIA test 100 days after unprotected sex. Is it conclusive for HIV?", + "src": "Patient: Hello doctor,I had unprotected sex with a sex worker five months back. After that every month I have taken CMIA fourth generation test. After almost 100 days, I took WB test. Then today I took again CMIA test. It is all negative but every month the index values are getting increased from 0.10 to now 0.24. since today it is 110 days over after post exposure. Now I did not do any sexual activity to date. So please confirm me whether I need to wait for six months or it is conclusive of HIV negative? Nowadays I am getting headaches and dry lips. I have also had sinusitis issue. Doctor: Hi. The HIV tests are repeatedly negative and after three months exposure. It is conclusive. You are free from HIV. There is no need for further HIV tests.The symptoms are non-specific and are not related to HIV. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 13578, + "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": 1460, + "tgt": "Can pine tree pollen cause swollen throat?", + "src": "Patient: Hello doctor, The symptoms I have are\u00a0bad cold or strep throat,\u00a0itchy eyes and throat\u00a0but no cough.\u00a0I do not have tonsils, but seems like there is a whitish puffiness on one side of my throat.\u00a0It started five days ago and it has been getting mildly worse since then.\u00a0I have been loading up on fruits, vegetables, preventative vitamins, raw garlic and even tried a saline sinus rinse.\u00a0I just moved to a place where it is very dry and I am used to very humid climate.\u00a0I have never had hay fever or sinus issues or been affected by pollen.\u00a0Am I sick? Or is this a severe reaction to the blanket of green pine pollen all over the town?\u00a0Can pine tree pollen cause swollen throat, earache and headache only on one side of my face? Doctor: Hello. Revert back to an allergy specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 12465, + "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": 20388, + "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": 11856, + "tgt": "I have a swelling on penis that does not hurt. What is it?", + "src": "Patient: Hi doctor, I have problem with penis head and shaft. Meatus seems to be red and puffy and itches at times. Also the penis head seems to be very irritated.\u00a0There is a ring puffed kind of swelling that goes around my shaft. It does not hurt but it came up around 3-5 weeks ago. Please help. Doctor: Hello. I read your query and understand your concerns. From the available pictures (attachments removed to protect patient identity) there is ample evidence of balanitis (inflammation of prepuce) and urethritis (inflammation of urethra). Since both condition can be caused by multiple bacteriological agents there is a need to get antibiotic treatment. The best thing is to get local swab and send it to microbiology for culture and sensitivity. In case that is not possible get empirical antibiotic treatment." + }, + { + "id": 6222, + "tgt": "I am having bad headaches for about six months. What it could be?", + "src": "Patient: Hello doctor, I am a 19-year-old female. I have been having bad headaches for about six months now. They happen in very specific areas (top right of my head, top left of the neck). I could probably trace a quarter-sized circle around the area of pain. The pain radiates down the side of my face and even into my neck and sometimes affects my vision. They hurt terribly. I thought I was having an aneurysm. I get the pain only once in a week or two. They usually were gone within the hour, and I am better with Excedrin Migraine, but sometimes the pain comes back. I do not drink alcohol, caffeine, smoke, or take any medication regularly. The pain does not seem to happen at a particular time of day or during my menstrual cycle. Please help. Doctor: Hello. From your symptoms, I feel that you are suffering from Migraine. A migraine is a form of headache which most commonly affects young females. It gets worse when you have stress, lack of sleep, or gets triggered by some particular food or smell. But the problem is, there is no test to confirm Migraine, it is a clinical diagnosis. Also, diagnosis can be confirmed if you respond to Migraine treatment very well. My suggestion is to start your Migraine treatment. You observe for two weeks, if you are finding a good relief, then you shall continue the same medications, and it would confirm Migraine as your diagnosis. But in these two weeks, if there is no improvement, then we shall evaluate for certain other causes like cervical radiculopathy, trigeminal Neuralgia, etc. So start tablet Sibelium (Flunarizine) 10 mg every night after dinner for one month. You can continue tablet Excedrin migraine (Acetaminophen, Asprin, and caffeine) whenever you get an attack. I hope this helps." + }, + { + "id": 17491, + "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": 16458, + "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": 14957, + "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": 17972, + "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": 8905, + "tgt": "I find something strange with my dreams. Please help", + "src": "Patient: Hello doctor, Today, I felt something strange\u00a0which I cannot understand. Normally, I sleep in the late morning. But, today while I was sleeping, suddenly I came out of my dream. But, I found that I am still dreaming. I was at a place that is not where I was supposed to be that time. I was not in my bed. I was into another space and time. After that, suddenly my dream got disturbed and I found that I am not awake yet. That was into another dream because still my surroundings were unfamiliar to me. I never knew or experienced such kind of things before. I checked on internet and found dreaming into a dream called false dream. But, is it possible that you dream in multiple states in your dream? I mean, you sleep and dream then you find out you were into another dream.\u00a0Now, I am really feeling confused. Is it possible that I am still dreaming? What should I do? What is the thing that I experienced? Please help me. Doctor: Hello. Therefore, following are the suggestions which may help: Lack of sleep, dietary habits and workload. 1. Dream analysis. 2. Sleep assessment. 3. Work-life balance. 1. Anxiety. 2. Lack of sleep. Anxiousness, lack of sleep and over-thinking. 1. Awareness and counseling. 2. Sleep hygiene. Sleep earlier. Revert back after the investigations to a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10918, + "tgt": "Why am I feeling excessively fatigue or sleepy with low heart rate?", + "src": "Patient: Hi doctor, I am wondering about the connection seen between my excessive fatigue or sleeping issue with cardiac insufficiency. I have excessive sleepiness due to mild sleep apnea. But I have a strange disconnect regarding exertion. Even, a slight anaerobic activity reduces my breath and it takes time to have a standard respiration rate. When I use an elliptical machine, I have trouble in getting my heart rate up to 110 beats per minute. However, when I take Vyvanse, I can easily hit a heart rate of 125 beats per minute. I recover immediately after stopping it. I have a blood pressure of 130 by 88 mmHg. Currently, I am taking Enalapril, HCTZ, Amlodipine, Levothyroxine, and Prozac. These problems preceded my daily alcohol intake and minor cannabis use. Please suggest. Doctor: Hi. Yes, daytime sleepiness occurs due to sleep apnea. If it is present in its severe obstructive form, it can cause a host of cardiac diseases like atrial fibrillation, coronary artery disease, and heart failure. The exercise intolerance initially develops the consequence of early heart failure. Also at your age, you may be suffering from chronotropic incompetence, that is, the inability to increase heart rate with exercise, and regular graded exercise will help you. Stay off from alcohol and cannabis." + }, + { + "id": 16602, + "tgt": "Is Laparoscopic hysterectomy test necessary for uterine fibroid?", + "src": "Patient: Hi doctor, My spouse aged 47 years has been advised laparoscopic\u00a0hysterectomy as a fibroid of 80 x 70 mm is observed in USG of the\u00a0uterus. She is having irregular periods from the last 9 to 10 months. Her hemoglobin has reduced to 9.5 g/dL. Is this a sufficient and strong ground for a hysterectomy? If not, what is the alternative treatment? Doctor: Hello. Yes, this is sufficient ground for hysterectomy, and I think you should go ahead. Since she has a symptomatic fibroid, she will need definitive treatment. There are medicines available, but they are not very effective. They may just keep symptoms under control, and it needs to be taken lifelong. Secondly, removing the uterus treats the problem forever, eliminates the risk of future malignancies like cervical cancer and other associated problem. Also, she has completed her childbearing age, so removing uterus will not affect her adversely. 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": 1617, + "tgt": "I have redness in eyes with dryness and itch. What medicine can I take?", + "src": "Patient: Hi doctor, I have had redness in my eyes. I began using Tetryzoline but it had no effect. The redness has increased in the past two weeks. It feels dry, itchy, and occasionally gritty on my eyes. I recently began to experience pain around my eyes on the left side. I use to work on the computer for 8 hours a day. What medicine can I use that will cure the redness? Doctor: Hi, Welcome to icliniq.com. I will tell the medicines as well as ways to tackle the screen time. Start Moxifloxacin plus Loteprednol eye drops four times a day for next five days then taper it to two times for the next five days then stop. Olopatadine 0.2 percent eye drops two times a day regularly. Refresh tears eye drops six times a day regularly. Now coming to the screen time. Work in a well lit room. The main light should come from behind your head. Every 20 minutes remove your eyes from the screen and focus on a far object for 20 seconds. Every 45 minutes take a five minutes break from the computer screen. Make a rule to blink eyes when ever you press space or enter on the keyboard." + }, + { + "id": 17886, + "tgt": "What should I do if I am bitten by a stray cat?", + "src": "Patient: Hello doctor, I have just got bitten by a stray cat and\u00a0accidentally it scratched.\u00a0It is a\u00a0very light scratch and a dot-like blood clot has occurred on my palm. I have already washed it and have applied Dettol on it. Is there any kind of risk? What should I do? Have I got any chances of infection? Doctor: Hello. For more information consult a\u00a0general medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20033, + "tgt": "I took I-pill after unprotected sex on the 7th day of my periods. Any chance of getting pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex on the seventh day of my periods, and I have five days bleeding. I took an I-pill on the 58th hour. I had bleeding on the seventh day after taking the\u00a0pill.\u00a0But, I\u00a0am 10 days late for my periods, from the last month's date. I am worried. Please help. Is there any chance of pregnancy? Doctor: Hi. Sexual contact on the seventh day of periods will not make you pregnant, as they are the safe period. You should not have taken I-pill. I-pills are meant for emergency contraception and not for routine use. These are hormonal medicines and can disturb and disrupt your cycles, and can cause abnormal bleeding. I think that is why your periods are late. But still, you can get beta hCG done to rule out pregnancy. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 120, + "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": 6773, + "tgt": "My friend is extremely stressed and using Olanzapine tablets. How to overcome the side effects?", + "src": "Patient: Hello doctor, My friend was extremely stressed at work and started telling things that never happened and was very delusional. We took her to a psychologist, who referred her to a psychiatrist. He told us she was in a state of psychosis due to stress and prescribed Oleanz 5 mg tablet for two days. But after taking medicine, she used to scream and cry sometimes and try to run out of the house; we were very worried. After two days doctor decreased the dosage to 2.5 mg, and she became calm but did not talk much and says she cant see properly and can not hear she is scared and her speech is also not clear like she is forming the words with difficulty. Are these symptoms normal, or has the dose been too much? Doctor: Hello. From your description, it looks like your friend has developed stress induced acute psychotic episodes. Olanzapine is an effective medication in this situation. 2.5 mg daily is a small dose only; it is not too much ( usual dose can go up to 10 to 20 mg daily). Encourage and support your friend to take her medication daily. Since she is reporting some symptoms like not able to see properly, can not hear, unclear speech, it is advisable to get her reviewed by a psychiatrist to assess whether they are part of her illness thoughts or whether she is experiencing any side effects to her medication. Following an assessment, psychiatrist can adjust the dose accordingly. Your friend will need support from her family & friends until she gets recovers from this stressful episode. She will start responding to medicine soon but it may take a few weeks before she feels well enough. Encourage her to take adequate rest and sleep well." + }, + { + "id": 24672, + "tgt": "What is the best medicine for penis enlargement in size and strength?", + "src": "Patient: Hello doctor,I am 26 years old unmarried male. Please tell me what is the best medicine for penis enlargement in size and strength? Doctor: Hello. I read your query and understand your concerns. First of all, I like to inform you that there are no medications available for penis enlargement. This is only the marketing of bogus products and till date, there is no product discovered which can increase the penis size. The only approved option for enlargement of the penis is a surgical procedure. The surgical procedure is indicated when there is a condition called micropenis (less than 2 inches). With surgical correction, the size of the penis can be increased to the required size with little complications. I also take this opportunity to inform you that size of the penis have little relevance when it comes to sexual pleasure. As per the anatomical details of female, any penis which is larger than 3 inches can give required sexual pleasure. This is because only outer three inches of female have sensation and remaining part of the female vagina is insensitive. 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://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24162, + "tgt": "How can I mange pain in uvula and soft palate due to laryngeal mask?", + "src": "Patient: Hello doctor, I had laryngeal mask during IVF egg collection, and when I woke up, I could not bear the pain in the uvula and soft palate. Now its day four and I am crying. I had an embryo transfer, but I cannot take antibiotics now as it hurts and burns during swallowing. I am worried that my immune system is working over the normal because of this and might reject my embryo. Doctor: Hello. I saw the picture (attachment removed to protect patient identity). The tonsils, uvula, soft palate and posterior pharyngeal wall look congested. To relieve the pain you may take Paracetamol 650 mg 1 tablet SOS. If you cannot take that you can chew Lidocam (Benzoxonium chloride and Lidocaine) tablets. These are Lignocaine local anesthetic tablets. They can be rubbed over the palate using the tongue and will instantly relieve you from pain. Keep taking plenty of lukewarm fluids. Avoid spicy, oily and masala foods. Do revert back to us if you need any further support. I do not think you require any antibiotics for now. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15273, + "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": 19900, + "tgt": "There is blood stain while clearing throat in morning. Do I need endoscopy?", + "src": "Patient: Hello doctor, I have a sinus problem and very frequently, I have sneezing and coughing problem with phlegm. Recently, I suffered from a cold and since then I am getting a blood stain in the morning while sneezing and while clearing the throat in the morning. One month back, I got a chest X-ray and it was perfectly normal. Can you please specify what should I do? What could be the problem? Should I go for throat and nose endoscopy as the doctor suggested? Doctor: Hello. Was the blood while coughing bright red or altered maroon color? If it was bright red, then it could be from upper respiratory tract only. It can be due to just trauma. So, do not worry about it at all if it repeats also. Suppose you are getting maroon-colored blood then you should be cautious. Get endoscopy done that time. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27083, + "tgt": "I have persistent thoughts of having committed a sexual assault. Please help me", + "src": "Patient: Hello doctor,I was in a strip club. I had a stripper perform a lap dance. She allowed me to touch her private parts. But, she pushed my hand away when I tried to finger her and continued with the dance as if this was not a problem. I have talked with a number of mental health specialists who have told me it was not sexual assault. But, I feel like it was. Doctor: Hello. Feel free to ask your doubts with more details. Revert with more information to a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 524, + "tgt": "I have redness on the penis foreskin with burning sensation. Please help", + "src": "Patient: Hello doctor, I am a male 43-year-old. I have redness on the inside of the penis foreskin and burning sensation on a small part of the penis prepuce. I had a similar condition about four years back and consulted a skin specialist and got cured. I was recommended some medicine and Pyrimon eye drops for the problem. Again, I think a similar condition. I want to consult for treatment. Of late, I see some redness remains at a particular spot on the inside of the penis foreskin. Doctor: Hi. If possible provide me photographs of the affected areas which will help me for a better understanding of your skin problem and proper treatment plan." + }, + { + "id": 26836, + "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": 1326, + "tgt": "Will I get any relief at all from this constant heartburn and all the other symptoms?", + "src": "Patient: A couple of weeks before I got severe heartburn, I often felt really bloated and nauseous especially after meals but I kept ignoring it as the symptoms would go away. A month back, I had a faint heartburn throughout the day, and woke up in the middle of the night with severe heartburn all over my chest . Mid week it was so bad that it went in my throat and everything. I went to the hospital and was immediately prescribed ranitidine 150mg for 14days. As it came to week 2, I got only worse, with no sleep whatsoever, lump in my throat, extreme fatigue where my leg was involuntarily fluttering and my lip was voluntarily twitching. By third week I started omeprazole 40mg with the ranitidine and the heartburn intensity reduced but I experienced lots of other symptoms like bloatedness, stomach making noises all the time, nausea, breathlessness was the main one, heart palpitations which were never ending and this constant pressure on my nose and head. I\u2019m now in week 5 and unfortunately the heartburn is still very much there, it comes and goes. The lump in My throat has improved from the second week but it still feels very heavy, I can almost press it and feel something clicking. Doc has said to double my dose of omeprazole so to take 80mg plus ranitidine. Will I get any relief at all from this constant heartburn and all the other symptoms? Am I in some sort of serious trouble? I\u2019ve lost quite a bit of weight, I\u2019m on bland food, elevated at night and all the lot but yet my quality of life is so heavily impacted as I can\u2019t do anything throughout the day because of the constant palpitations, heartburn or pressure in my nose and head or the bloatedness and nausea. The heartburn gets worse after i eat. Please help! I\u2019m only 28 and don\u2019t understand why this happened to me as i was never obese or had any health conditions except hypothyroidism. Last thing to mention, my stools since having acid reflux issue has been a pale yellow and has only recently started to be brown again, what could this mean as well? Any help would be appreciated, as docs are just putting it down to anxiety and stress all the time. Doctor: Hello. I welcome you to icliniq. I can understand that must very much frustrated for your ongoing non resolving symptoms. I want you to understand why this symptoms of heartburn occurs in reality. Hear burn is a common symptoms, that can occur in normal subjects as well but does remain long. In some people heart burn occur secondary to acid reflux in food pipe (esophagus)- which usually settles with one dose acid suppressant medication or twice daily capsule. However, there is a third group of individuals where by the maximum does acid suppressant does not effect very much-as in your case. We call this condition as refractory Gastroesophageal reflux disease (GERD). So why I started emphasizing on all this, because management is different. The work up of refractory GERD start with an endoscopy-a procedure where by a gastroenterologist puts a tube with camera in to your esophagus and see what is inside. Also there are other battery of test which could confirm what is exactly a problem- may be straightforward i..e. reflux, but it can be some thing which is mimicking GERD. The GERD mimickers are many. The one of most common are esophageal motility disorders-which are another set of disorders in itself. So to cut the story short, I want you to first of all optimize the acid suppressant treatment. I know you taking omeprazole 40 mg twice daily, but it is important you take these medication 30 minutes or sometime 45 min. before meal. It is very important, since at times it is timing which is important than the drug itself. But, if you are doing it already in that manner, I would recommend you to think about endoscopy now. But it would help us to determine some other more information not necessarily the acid reflux. Keep taking gaviscon, but increase the dose. Take 15 to 20 ml at one time, 4 to 5 times daily and half hour after meals. The rest of your symptoms such as feeling lump in throat is common if someone has reflux. It is called as globus sensation. Dont worry about that. It will go away once your acid controlled adequately. The stress and anxiety sometime create a vicious cycles, where the disorder is perpetuated and influenced by it. But I think this is not the only explanation of your problem. The stress is obvious thing in one with non resolving symptoms. For example if do not reach to a particular diagnosis by endoscopy, I would consider testing for esophageal motility disorders, and some more allergic and hyperalgesic problems of esophagus. But for now, let the above treatment plan work. Meanwhile get some blood test done as advised below. I hope this would be helpful for you Let me know if you need any future consultations. Have a good day Refractory GERD complete blood count Check your thyroid status. TSH, FT4, FT3 GERD Motility disorders Esinophilic esophagitis After 1 week" + }, + { + "id": 16396, + "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": 15953, + "tgt": "Is testosterone level of 485 considered low?", + "src": "Patient: Hello doctor, I am 33 years of age, 165 lbs. I have had anxiety, fatigue, gynecomastia, low libido, no morning hardness, and muscle loss. My lab results came back with my free testosterone level of 9.2 and testosterone level of 485, is this considered low T? Doctor: Hi. I have reviewed your query and can well understand your worries. Normal levels of testosterone range from 300 to 1200 mg/dL and can vary a bit with different laboratories. Yours is not that low but is on lower side for sure. Keeping in view all the symptoms you described, low-T can be suspected if not otherwise ruled out. Just for general knowledge, signs, and symptoms of low testosterone include a change in sleep patterns that may be insomnia or sleep pattern disturbances. Physical changes like increased body fat and reduced muscle mass or bulk. Sexual changes like reduced sexual desire, sexual dysfunction, or infertility. Emotional changes like decreased motivation, depression, lethargic. Worsening of sleep apnea if a patient already has it or if there are risk factors the patient will get sleep apnea possibly. Worsening of congestive heart failure in cardiac patients. Many of your symptoms overlap with low-T. You need further probing in this matter. Your treating physician would help you in this regard. Sometimes diabetes, infections, obesity or other factors may contribute to ending up with low-T. Your physician would rule them out for you." + }, + { + "id": 2335, + "tgt": "What type of infection would cause bright green stools?", + "src": "Patient: Hello doctor, For the past two and a half months, my son 2 years old has had total bright green poop. Sometimes pasty. He is in daycare. For the past two months, I have also started to have total bright green stool inside and out with bright green mucus. 80% of the time without eating anything green significantly enough to cause consecutive green BM\u2019s consistently in and throughout even while missing meals due to lack of appetite. I had lost 15 lbs in a month and a half. I have to force myself to eat. Due to all the complications I had been facing (I am a particularly healthy individual. Eat fairly healthy, have healthy habits. Never been to the hospital except to have pregnancy and delivery. But have been four times in the past two months for feelings of passing out, fast, and high heart rates. From out of no where very scary, feelings of extreme exhaustion, low energy, and tired quickly. Feeling dizzy with feeling off balance). I forgot about the bright green BM of my son that had been ongoing and decided to tell his doctor. She said it could be an infection. I have had test on my heart from cardiology they ruled out everything cardio, test for vector like illness from my travel and ID ruled out those things like dengue fever. (I did not stress the BM at that time). And for the virus going around presently. All negative. I am feeling defeated. My job has started to suffer and I am a very hard worker? What type of infection causes bright green BM? And could this be the culprit of my all of the sudden odd symptoms? Doctor: Hello. I am very much concerned with all the problems you are facing. As both of you have the same problem and at the same time you are losing weight and also developing some vitamin deficiencies due to which you are feeling exhausted and having problems with your memory. You are also having some travel history. To me it looks like to be chronic giardiasis but needs to rule out other causes as well. I will like to suggest some tests and will advise some initial treatment. Hope that it will help out in your and your baby problem. If you still remain symptomatic get back to me early. Try to use multivitamins and a lot of fluid intake. This you dont have to worry alot, it all will settle with treatment. And I think that all your symptoms are associated with these loose stools which are leading to nutritional deficiencies. I will advise you to take multivitamins containing Folic acid and Vitamin B Complex. Complete blood count, electrolytes, stool for ova and cyst. Giardiasis. Tablet Tinidazole (Tindamax) 2 gram once as a single dose for you and 50 mg as a single dose for your child. Use boiled water. Get back to me with these lab workup." + }, + { + "id": 9443, + "tgt": "What will be the reason for constant blinking of eyes in a 2. 8 year old child?", + "src": "Patient: Hello doctor, My son is 2.8 years old, sometimes he is blinking eyes often, the first incident occurred two weeks back, and today he is doing that, what might be the reason? Doctor: Hello. I understand the situation you are facing with your child. Most of the times, it is normal for this age group children to have such habits or mannerisms. If your child also has any other associated symptoms like not attentive while playing or in playschool, losing awareness of the surroundings, then it could be one of the types of fits. In such a situation, consult a nearby pediatrician neurologist for further evaluation and management." + }, + { + "id": 1982, + "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": 7269, + "tgt": "Is ALS the only reason for continuous twitching?", + "src": "Patient: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do not know if it was always there, but I am just noticing it now. I have not noticed any weakness as such. There is no family history of ALS. Please help. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16423, + "tgt": "Why am I having fever even after taking medicines for wisdom tooth pain?", + "src": "Patient: Hello doctor, I am a 33-year-old male, Hispanic, non-smoker, exercise regularly. No significant health issues. I am 1.76 m and 68 kg. For three days, I had really bad pain on a wisdom tooth (lower right) that has erupted years ago but never really gave any problems. But this was bad, really bad. I was waking up with fever and heartbeat rate of 90 to 95 whereas I am usually 55 to 60. I went to the dentist, he cleaned the area, took an X-ray and gave me Amoxicillin and Clavulanate Potassium tablets (875 mg and 125 mg, respectively) twice a day for five days plus Paracetamol or Ibuprofen for the pain. I think he referred to this as pericoronitis. This is my fourth day of treatment and the area is a lot less swollen and tooth pain has pretty much gone. However, the part that has me worried is that I am still waking up with fever and a very fast heartbeat plus throbbing headaches. Is this normal? Doctor: Hi. I have gone through your question. I can understand your concern. Yes, as per your signs and symptoms it looks like pericoronitis. I think the treatment he or she has started is not the ideal one. After five days of treatment, I think it should have been gone. If you can upload a picture of your X-ray and teeth involved in the mouth, I can provide you with a better treatment plan. Because periodontitis is infected by anaerobic bacteria and will not respond to Amoxiclav (Amoxicillin and Clavulanic acid) that effectively. You also need to use mouthwash H2O2 (Hydrogen Peroxide) two percent three times daily and antibiotics too. For that, I need to know if you have any drug, allergic or medical history associated." + }, + { + "id": 14778, + "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": 819, + "tgt": "What is retinal detachment?", + "src": "Patient: Hi doctor, While blinking my eyes, some round shaped image is appearing in my left eyelid. I seek doctor\u2019s advice and he said that I have a retinal detachment. Please help. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7273, + "tgt": "My daughter experienced shortness of breath, and dizziness during gymnastics. Why?", + "src": "Patient: Hello doctor, My teen daughter is 15-year-old, 5'5\" tall with 115 Ibs, a healthy gymnast, she has done gymnastics from her two years of age. She eats well, does not drink soda except every great once in a while. She has been experiencing shortness of breath, leading to some dizziness while at practice. Last night after completing a floor routine (that she has done hundreds of times before), she became short of breath, she says her leg or ankle completely gave out, and her sides both hurt a great deal. What could be the cause? I am not sure if it is a make an appointment immediately type thing. Or if I should schedule it for later asthma has crossed my mind. I do not know what questions to be asking? She is not under any medications takes Tylenol for occasional headaches. Doctor: Hello. After going through your history mostly, it is a due weakness, but if she experiences breathlessness at rest, then you need to consult. Right now, you should give her multivitamin supplements like iron, Folic acid, and Vitamin B complex. Do not let her practice empty stomach, always give her something to boost up her energy level. Follow-up again if she experiences shortness of breath at rest. Weakness. An acute attack of asthma. Multivitamins." + }, + { + "id": 20622, + "tgt": "My son has nightfall problem. I do not know what to do. Please guide me", + "src": "Patient: Hello,My 15 year\u00a0old\u00a0son has nightfall once a month and the quantity is very less, may be three to four drops. Is this normal at this age? Please suggest. Doctor: Hello. Having a nightfall is normal. At this age, adoloscents often engage in masturbation which could have caused it. But even if this is true, you should not be worried as there is no defined frequency or semen quantity, especially during adolescent years. I hope this answers your query. Feel free to contact me in case you require further clarification. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 14173, + "tgt": "I am in excruciating butt pain when I sit, walk or stand. Is this due to a cyst?", + "src": "Patient: Hi doctor, I am in excruciating pain and can hardly sit down, walk, stand, or lay without being in severe pain. The pain is coming from my left butt cheek, inwards, and more on top than where the hole is. However, I do not see anything on the skin. I do feel like something is growing underneath the surface. It hurts to pee, and I definitely cannot wipe back there. Is this a cyst or something worse? Please help. Doctor: Hi. I have gone through your query and can understand your health concern. It seems you are having pain in the coccyx region. The coccyx is a small bone present between the anus and lower end of the spine(sacrum). There are many causes of pain in this region like a pilonidal cyst, fractured bone, sciatica, infection and inflammation of the coccyx. Avoid sitting at one place for a long time and prefer to sit on cushion, pillows or padded seats. You can apply ice packs over the painful area and can take analgesic medicines for pain relief. Rarely, when patients have severe pain, surgical resection of the bone can be done." + }, + { + "id": 23462, + "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": 29564, + "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": 8354, + "tgt": "I have enlarged right testicle. Please guide", + "src": "Patient: Hi doctor, I am a 44 year old male. I have enlarged right testicle, which is three to four times the left one. There is no pain or discomfort. I have noticed it today only. It may be there for some time. Please help. Doctor: Hi. We are here to help you. Ultrasound Doppler of scrotum. Revert back with the investigation report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7597, + "tgt": "What could be the black dot I see that does not move on rubbing?", + "src": "Patient: Hello doctor, I see a black dot that has not gone away since yesterday does not move when I rub my eye or blink. It is more significant than floaters I usually see. It seems to move when I jiggle my eye a lot and moves slowly down after I shake my eye. Doctor: Hello. The fact that it is moving confirms that is also a floater but maybe newly acquired. Your age does not seem to put you in any danger of systemic diseases unless there is a family history of some genetic diseases. Marijuana does not seem to be the cause either. However, there is an increasing number of articles waiving about some side effects of CBD (Cannabidiol) products. I would suggest you visit the ophthalmologist for a more detailed evaluation to be on the safe side." + }, + { + "id": 11365, + "tgt": "Shall I continue kitchari mono-diet?", + "src": "Patient: Hi doctor, I am having a white coating on my tongue. Also, since my childhood, I have had a problem with\u00a0frequent urination. I have a slightly enlarged prostate of 21.9 whereas less than 20 is normal. My skin has\u00a0always been very dry. For about 1 or 2 years, I am losing hair and suffering from dandruff.\u00a0Now I am doing daily tongue scraping, oil pulling for 3 minutes, asanas and some pranayama. My diet is\u00a0mainly vegetarian.\u00a0I am on my 8th day of a kitchari mono-diet. I have taken 30 to 60 mL of ghee per day for one week.\u00a0I am eating twice per day (breakfast and lunch). However, the coating on the tongue remains the\u00a0same with no improvement. Should I continue the mono-diet? If so, then for how long?\u00a0As for the urination problem and enlarged prostate, what is your opinion on Himplasia tablets?\u00a0Would they be beneficial? Doctor: Hi. I have gone through your details and found that you are following certain kind of diet, which is not really beneficial in this condition. Instead of sticking with a mono-diet (ayurveda diet for detoxification) you can make the following practices. Aama (toxins formed in the body) and diminished digestive fire. Revert back after two weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27969, + "tgt": "Can I drink alcohol if I am breastfeeding?", + "src": "Patient: Hello doctor, I am a 21 year old female. What is the risk of drinking alcoholic beverages while breastfeeding, if I pump and dump a few hours after? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23035, + "tgt": "I hit my head while fainting and turned pale and rigid. Is it normal?", + "src": "Patient: Hello doctor,I felt dizzy yesterday so I sat down. After that, I fainted. I do not know what happened. I thought that I am sleeping and someone is trying to wake me up. I know from my friends that while fainting I hit my head. My body was rigid with tilted head back, my eyes rolled back, I was pale and had blue lips. Is that normal? I have fainted twice during my life but never like that. I am taking no medications. I am a female, 26 years old. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to epilepsy seizures. For this reason, it is important consulting with a neurologist and performing an EEG (electroencephalography) and a brain MRI study. Some blood laboratory tests are necessary too as follows: In the meantime, I would recommend measuring your blood pressure frequently (in order to exclude low blood pressure or orthostatic hypotension). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 455, + "tgt": "Please give some advise to regain the strength of my knees", + "src": "Patient: Hi doctor, I am 18 years old. I have a little problem that effects my daily hobbies. I play basketball and play in such a way that I am constantly running and jumping at maximum effort each time. When I was a little bit younger, I had a pretty bad case of Osgood-Schlatter disease. It was from constant running and jumping because I have always wanted to jump high ever since I was like 8. Now the problem is, I cannot jump and run without starting to hurt or mainly feeling very low on explosiveness. I stretch very well and I exercise my legs very often. I just wanted to know if there was any advice to regaining the strength back in my knees. Doctor: Hello. Strenuous activities. X-ray would be helpful if not improved with conservative management. Infrapatellar bursitis. Avoid jumping and running when acute pain is present. Revert back after two weeks to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23427, + "tgt": "Please suggest a permanent treatment for asthma in a 6-year-old kid", + "src": "Patient: Hello doctor, My son is this time more than 6 years of age who is an allergy, asthma, and chest infection patient from six years of age. We have continued the treatment with different medicines just like liquid, power and tablet forms. Please help me and suggest an idea for permanent treatment. Doctor: Hi. Please upload previous blood reports of your son if you have done. If not get a complete blood count done along with serum IgE values. We must find out what he is allergic to. If the IgE values are raised you will have to do a skin prick testing. For allergy and asthma first and foremost treatment is allergen avoidance. This combined with pharmacotherapy yields good results in most of the individuals. In a few, we may have to progress to immunotherapy. Please upload relevant investigation reports. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 26490, + "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": 11194, + "tgt": "Is pneumonia causing weight loss in my child?", + "src": "Patient: Hello doctor, My younger daughter was diagnosed with pneumonia when she was 8 months old. She is better now (11.7 months now). Her birth weight was 3.5 kg. And by 7 months, she was 6.9 kg. But due to this pneumonia attack she lost her weight and is now weighing 6.9 kg. Is it okay? Or is she underweight? What can be done? I am worried that she is very tiny. Does pneumonia cause weight loss? Doctor: Hi. The weight is quite less for an approximately 12 months old child. Please start the child on Multivitamins like Calcimax P 5 ml twice a day and syrup Visyneral Z 5 ml once a day each for three months. Also, start the child on complementary feeds if not yet started. Get the child physically evaluated and probably basic blood tests have to be done to find out if currently there is any infection because of which she is loosing weight." + }, + { + "id": 777, + "tgt": "What causes burning sensation in lower abdomen with nausea?", + "src": "Patient: Hello doctor, I have a burning sensation in the left side lower abdomen (a bit underneath the navel) and nausea for 2 weeks. Doctor: Hello. Well to be very honest I am not convinced with the diagnosis of IBS. IBS does cause a significant pain which is obvious in nature and show characteristic spasm like pain, not the burning you you described. Pain of IBS however, do occur over lower part of the abdomen. The burning nature of the pain suggest may be ongoing urinary tract infection, or a nerve pain within the wall of abdomen not necessarily within the bowel itself. This may be the reason pain is not responding to colofac which is an effective medication to control pain of IBS in among every patient. I suggest you test urine detail report and ultrasound abdomen with kidney ureter and bladder to exclude if there is underling kidney or ureter stone or infections involving these organs. Take plenty of water making sure you have adequate amount of urine daily. You can continue with Omeprazole if you think this helps in this condition, otherwise you can stop these medications for now. First confirm then I can suggest you some treatment. Meanwhile for burning you can take capsule Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain. Nerve entrapment pain KUB stones, infections urine detail report and Ultrasound abdomen with kidney ureter and bladder Cap Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain. You can follow up after investigations" + }, + { + "id": 28810, + "tgt": "Why do I have persistently high Hb and HCT?", + "src": "Patient: Hi doctor, I am a 31 year old female. I have a history of celiac disease and a past medical history of Hodgkin's lymphoma, a stage 2 cervical lymph node and tumors in my chest. I had a blood test last week which showed B12 and folic acid deficiency, raised hemoglobin of 161 and raised hematocrit of 0.465. I have had a persistently elevated hemoglobin for three years but has never been as high as 161. It varied between the levels of 144 to 157. My doctor is concerned about my current reading of 161, as I have celiac disease. Can you offer me any advice? I am concerned about Hodgkin's disease occurrence or that I\u00a0may have polycythemia vera. Thank you. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6689, + "tgt": "Why do I have tingling scrotum and frequent urination after unprotected sex?", + "src": "Patient: Hello doctor, I have had some urinary issues in the past from a slightly enlarged prostate (37-year-old male). Two months back I had some testicle discomfort. The doctor gave me 10 days Ciprofloxacin. Last month I had unprotected sex. About six days later I had a sudden strong tingling in my scrotum that stopped me in my tracks. I had a chlamydia and gonorrhea urine test a few days later but was urinating so frequently that I could not hold my urine at least an hour before the test, and the test was negative. Frequent urination continues till today. I also had Keflex last month, a full panel STD test this month, and everything was negative. But wondering if the antibiotic mixed with me filling up the cup way more than 30 ml could skew the test? I did contract genital warts, most likely from this encounter (showed up three weeks after). I started 28 days of Bactrim about a week ago and symptoms have not cleared. Frequent urination and tingling scrotum are still there. Also, my lower back by my spine hurts, but does not feel like a kidney thing. It hurts for a bit. Wondering if a spine injury could affect my urinary system. I guess even though I took two chlamydia and gonorrhea test, I am paranoid that the two negatives may have been skewed from urinating too soon before on test one and being on antibiotics or providing a large volume of urine on test two. And the partner is of medium risk. She has no symptoms. The urine test was done with the Aptiva Combo 2 RNA/TMA test. There is no discharge, just this persistent urination and unable to empty bladder. Doctor: Hi. I have noted your concern. I do not think that the tests for gonorrhea or chlamydia would have been affected due to a higher volume of urine or oral antibiotics as the urine test relies on the detection of the nucleic acid material of gonorrhea or chlamydia which would have been present. Your symptoms could either be due to urinary tract infection or they could be those of prostatism. I suggest a urine routine microscopy, urine culture sensitivity, PSA (prostate-specific antigen) levels, uroflowmetry and pelvic ultrasound to estimate the size and volume of the prostate. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1487, + "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": 21008, + "tgt": "I am suffering from acne for about six years and it got worse now. How to get relief from it?", + "src": "Patient: Hi doctor, I am 21 years old. Before two years, I went to a dermatologist for my acne problem. He prescribed me Ziana. It helped for about three to four months. I used it for a year. I still have acne. But it got worse. I use PanOxyl at night with acne free toner and a cleanser in the morning. I want to have good results. I am having acne problem for about six years. Recently, it has got worse now. I have large multiple white and blackheads on the cheek, chin, and jawline. Please help. Doctor: Hi. It can be acne vulgaris, seborrhea, or it can be due to hormonal imbalance. You should use Benzoyl peroxide 2.5 percent gel in the morning over the affected areas and continue with Ziana (Clindamycin and Tretinoin) at night. Since your acne is not getting controlled by the topical application, I recommend you go for oral treatment. You can start with a course of tablet Azithromycin 500 mg on three consecutive days in a week for four to six weeks. It will help you by keeping your face dry. Avoid applying cream or moisturizer. Avoid oiling the scalp and reduce taking sugary foods. I hope these measures will help you. Revert me after six weeks." + }, + { + "id": 19854, + "tgt": "Does radiation therapy increase the risk of melanoma?", + "src": "Patient: Hi doctor, 21 years ago, my friend had radiation therapy for a very small breast cancer. In the recent years, breast areola becomes dry. Biopsies revealed no cancer. She was followed closely by an oncologist and a dermatologist with number of tests. Recently, a mole appeared in the areola region. The dermatologist decided to take a biopsy after three months and the result is inconclusive. Her doctor said that it could be nothing or it could be some cancer named squamous skin cancer. She is afraid of melanoma, but the doctor said melanoma is extremely unlikely. She is very nervous and scared. I could not send pictures because my friend does not want to. What do you think? Please advice. Doctor: Hi. Post radiation therapy, the skin does suffer a burnt both immediate as well as on a long term. Dryness, itching leading to oozing and crusting are very common complaints after radiotherapy and can start as late as 15 to 20 years too after the treatment. Radiation therapy does not increase the risk of melanoma. There are chances for basal cell carcinoma, which is much easier to treat and not life threatening. Squamous cell cancer also can occur, however, simple eczema needs to be ruled out even before thinking of the same. A negative biopsy is quite sensitive if chosen from the appropriate site. I would advise not to panic for the fear of a melanoma and instead keep up with close follow up to note the course of the problem. 1. Nipple eczema, post radiation. 2. Paget's disease (bone remodeling disorder). 3. Simple fungal infection. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20006, + "tgt": "After the diagnosis of hydronephrosis, what is the next step of treatment?", + "src": "Patient: Hi doctor, I am an 18 year old girl. My height is 5 feet and weight is 42 kg. I have been suffering from frequent stomach ache for the past two to three months. I do not have any\u00a0problem in urination. I thought that the pain was due to some food infection. Later, I was diagnosed to have moderate left hydronephrosis. What are the treatment options? Please explain whether surgery is must or laparoscopic procedure can be done. Do I need immediate treatment? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26899, + "tgt": "Why do I feel weak and anemic even though my RBC count is high?", + "src": "Patient: Hello doctor, Please find the attachment of my blood report. I am concerned that I may be suffering from anemia. I have fatigue and weakness from many months. I also have a tingling feeling in my legs and hands. Doctor: Hello. Hope this will help you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 3108, + "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": 19862, + "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": 7556, + "tgt": "I suspect myself to have parathyroid disorder. Please help", + "src": "Patient: Hello doctor, I am a female, with 5'4\" in height and 155 in weight. I suspect I may have a parathyroid disorder. About two years ago, I was diagnosed with Fibromyalgia. Doctor did blood work and also told me Vitamin D was very low. He prescribed high dose Vitamin D. I suffered from my first battle with kidney stone about a month after the Vitamin D was started. I have terrible pain that feels like my bones in my thighs and behind my shins. My joints in my hands hurt so bad I cannot grip things. I had gastric bypass before six years and since have lost 135 lbs. My symptoms have only gotten worse since then. I always thought I had fibromyalgia, but the medication has never helped me. I suffer from chronic migraines which my neurologist has me on Botox every quarter. I am deeply depressed because I was always in terrible pain. The ER is starting to think I am a drug addict and need to see if it is something else other than fibro that is causing my pain. Doctor: Hello. Welcome to icliniq.com. Your symptoms of fibromyalgia can be explained by Vitamin D deficiency. Now why vitamin D deficiency is there has to be evaluated. There are many causes of Vitamin D deficiency, and yes, hyperparathyroidism is one of the reason. But the prevalence of hyperparathyroidism is less. The other causes of Vitamin deficiency are the low intake of Vitamin D rich food, less exposure to sunlight. Also, your Roux-en-Y gastric bypass decreases Vitamin D absorption from food. So presently, I do not consider parathyroid as the cause of your problem. Coming to your kidney stones was any urine analysis done to find out what kind of stone you had? Because the intake of Vitamin D increases absorption of calcium from the gut and high calcium can cause kidney stones. Also, because of your Roux-en-Y gastric bypass, there can happen increased absorption of oxalates which can cause kidney stones. So it is essential to know what tests were done for kidney stones. Till then continue your Vitamin D supplementation, get serum uric acid, serum PTH, 24-hour urinary calcium, and oxalate tests done and revert. You can start Gabapentin for your pains. Any clarifications feel free to ask." + }, + { + "id": 2583, + "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": 16297, + "tgt": "Kindly explain MRI taken for abnormal prolactin level", + "src": "Patient: Hello doctor, I had abnormal prolactin level and I did MRI. They found enlarged heterogeneous pituitary gland with two areas of heterogeneity. One measuring 5 mm on the left and one on the right measuring almost 8 mm. They are indeterminate but certainly could represent the microadenomas given clinical symptoms. Known postsurgical changes with encephalomalacia and volume loss in the right temporal lobe are also there. Doctor: Hello. Indeed you are having a pituitary microadenoma as the size is less than 10 mm. And recurrence rate is 10 to 50 % after surgical removal. So, medical therapy is preferred such as Dopamine agonist Bromocriptine. The patients resistant to Bromocriptine are given Cabergoline. A transsphenoidal approach is considered as a surgical approach but the medical approach is preferred as it has been recurrent. Consider surgically only if the tumor grows and shows pressure symptoms. A continuous endocrinological follow up should be considered. Diet and daily activity changes are normally not needed or related to microadenoma patients but as your BMI is 26, it is considered as overweight. So you should lose your weight to avoid other health problems." + }, + { + "id": 6216, + "tgt": "I am having yeast infection, gluten and lactose intolerance. What is the cause?", + "src": "Patient: Hello doctor, I am a 30- years-old female. I have yeast infection and intolerance to gluten, lactose nuts, and other few things. I can not eat anything as everything hurts me. If I consume tea, some times I will have diarrhea, the other time I will become tired and have a high heart rate. Doctor: Hello. I need more information. Yeast infection of which site? What are the symptoms of infection? How do you know about the infection? Kindly provide answers for quality consultation. Regarding gluten intolerance. How do you know? If you have any investigation? What is the duration of your symptoms? Regarding your problems. 1. Yeast infection: may be a routine infection or due to some underlying immunodeficiency. 2. Gluten intolerance: If it is present then we need to remove wheat and related products from your diet after that only your symptoms will subside. Lactose intolerance may be a part of this gluten intolerance. 3. High heart rate and tiredness are due to anemia, it will be cured after a gluten-free diet if you have an intolerance. We need to know about your hemoglobin status. Advice: Please provide answers to the above questions and get the following tests done. 1. Complete blood count with hemoglobin level. 2. tTGA (tissue transglutaminase) test. 3. HIV test (do not afraid about this investigation). 4. Thyroid function test. If you have firm evidence of gluten intolerance, then avoid wheat, barley, and related products completely otherwise symptoms will not improve. Please report back along with a scan copy of the investigations." + }, + { + "id": 5717, + "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": 11258, + "tgt": "Baby is 1-year-old and has not started talking. Could it be a sign of autism?", + "src": "Patient: Hello doctor, My 1-year-old son has not started saying any word like mama or dada yet and I am worried. It could be sign of autism, though he turns when his name is mentioned, plays with his siblings, etc. Doctor: Hi. Even though the child turns when his name is mentioned I would advise you to first get a hearing screening done to rule out hearing issues. Next, about the autism. Generally autism cannot be diagnosed in children below the age of 3 years. So it would be very harsh to label this child as autistic. Not just that, an autistic child generally does not play well with others. If the hearing is normal and other developmental milestones are normal, you need to wait for another 3 to 6 months. Some children are slow. Also, another thing that needs to be evaluated is a tongue tie. Kids with a tongue tie (depending on the extent) have difficulty in creating speech." + }, + { + "id": 22867, + "tgt": "I married my first cousin. Will my child be affected genetically?", + "src": "Patient: Hi doctor, I have married my first cousin, daughter of my maternal uncle. I would like to know, will there be any genetic issue\u00a0with our future kid. What are the things we need to take care off? Do we need to take any test? Could you please give some guidance on this. Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13528, + "tgt": "Can braces correct malaligned upper teeth with gaps?", + "src": "Patient: Hi doctor,My upper teeth are slightly malaligned and have gaps in them. I visited the dentist. After X-ray, he said braces will be used by the jaws and will be visible after that up to 3 mm. Doctor: Hi. Your age is ideal for orthodontic treatment. If you will delay further then treatment will take more time for completion so it is better to start with it sooner. If you will be having a gummy smile and 3 mm of gum line will be visible after treatment, that is fine too. People look younger with a gummy smile, but you have to properly maintain your oral hygiene then. Stay happy and blessed dear." + }, + { + "id": 15296, + "tgt": "Can second-hand smoking cause any lung or heart problem?", + "src": "Patient: Hello doctor,I am a male, 23 years old, 5'7\". In a recent incident due to work purpose, I had to be present at an open sky place where 5 to 6 persons were smoking cigarette and hookah around me and I was present there for one hour. The place was spacious but when I felt smoke was coming at me I left the place. I do not use cigarette, alcohol, etc. So has it damaged my lung, heart or other body parts because I felt a headache (mild)? Doctor: Hi. Second-hand smoking is problematic sometimes but the amount of time you inhaled will probably not have any effect on the lungs. But it can affect if you have to stay with them every day for a couple of hours. Even then a significantly longer period of time is needed like months or years actually to damage in long-term. But yes, short-term side effects like a cough and a headache can happen, temporarily and goes away once you are off the site." + }, + { + "id": 21710, + "tgt": "What can I feed my wife to increase hemoglobin levels?", + "src": "Patient: Hello doctor, My wife's hemoglobin is only 6.7. Why is it so? What should I feed her to increase Hb level? Doctor: Hi. Low hemoglobin is either due to blood loss or the body not being able to form enough blood due to various causes including bone marrow disorders. So, it is better to get her PBS (peripheral blood smear) done. Meanwhile, in diet and supplements, give her apples, pomegranate, beetroot, green leafy vegetables, and Autrin tablet (Iron, Folic acid, Vitamin B12) once daily. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7632, + "tgt": "What can be done for painful bowel movement with weight loss?", + "src": "Patient: Hello doctor, I have been sick for a month, lost weight, cannot eat, no energy. Left side is killing me when I have bowel movement. Yesterday, it looked like spiders, I am serious. I have no energy to get out of bed. Can you help me, please? Doctor: Hi. You mean you have noticed weight loss because you have lack of appetite. You cannot concentrate, you are feeling weak, cannot even get out of your bed. Your left side of body pains when you defecate, your abdomen pains. You have been having lose stool. If I got you right then you might have infectious diarrhea. Gastroenteritis or infectious diarrhea is a medical condition characterized by inflammation and infection caused by bacteria specially. The key treatment is get enough fluids (for mild to moderate case). Typically oral rehydration solution is best. More serious cases need patients to be admitted and get IV fluids. The other posibilty could be of celiac disease, but proper diagnosis need investigation and third reason could be giardiasis. Again stool culture can give us diagnosis. Listening to you it looks like you are feeling very much sick. I will advice you to go to hospital and get examined. In between keep yourself very well hydrated. And visit hospital as soon as possible." + }, + { + "id": 16408, + "tgt": "I am a diabetic and sweat excessively while eating. Why?", + "src": "Patient: Hello doctor, Why am I sweating without a reason all the time especially when eating? Does that mean I need B12 as I already take pills but do not get any better? Will I get better or B12 is just to prevent from getting worse for the polyneuritis? Doctor: Hello. I understand your concern. Sweating while eating is a phenomenon called gustatory sweating. It is a common symptom that occurs due to a neuronal trigger. It is very common in people with diabetes. With your medication listed, I can see that you are under treatment for diabetes. I understand that sweating can be a very annoying and embarrassing symptom. You are already taking B12 supplements for helping neuropathic symptoms. A better control of your blood sugar levels may help you to get relieved to some extent. If you are overweight, reduce your weight to see an improvement in symptoms. Try eating slowly and avoid spicy food. Other than this, there are other modes of treatment like anti-muscarinic injections, but I recommend that you try natural remedies first, because these injections have their side effects." + }, + { + "id": 13034, + "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": 13170, + "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": 594, + "tgt": "My father is a diabetic with high creatinine levels. Please recommend diet plan for him", + "src": "Patient: Hello doctor, My father is recently diagnosed with diabetes along with high creatinine level. I need a therapeutic diet plan for a week according to the condition. Doctor: Hi. Please let me know the current weight and height of your father, also his present age, his blood sugar levels, and any other lab reports. Also, please do let me know whether you are vegetarian or nonvegetarian and his daily meal pattern with timings." + }, + { + "id": 21817, + "tgt": "I performed oral sex right after getting scaling done. What is my risk of HIV?", + "src": "Patient: Hi doctor, A few weeks ago, I had oral sex with a female sex worker. I did oral sex initially after I came from scaling. I had bleeding from my gums. The bleeding was purely from the clean instruments used. I performed oral sex on her only around the clitoris region on the outside. She wiped herself with a wet wipe before I did oral sex around the clitoris. I used my tip of the tongue. Can I get contracted with HIV infection? What is the risk of performing oral sex for 20 to 30 minutes after the bleeding from the gums? I performed oral sex only on the outside of the vagina which was very dry, and there is no vaginal fluid present. Doctor: Hi. Are you aware of the HIV status of your partner? A raw wound (gums after cleaning) can contract an infection. Even though the vaginal area is dry, there is always some fluid discharge from that place. You can get a blood test for STD (sexually transmitted disease) panel to be on the safer side and avoid unprotected sexual intercourse with an unknown partner. CMIA (chemiluminescence microparticle immunoassay) is the fourth generation test. It can detect both HIV antibody and p24 antigen simultaneously due to a coating of microtiter plates with both antigen and antibody for HIV simultaneously. The p24 antigen is the first one to be detected. Antibodies come in response to antigen. So, when there is no antigen, there is no formation of an antibody. The window period is three months. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 1284, + "tgt": "Is possessiveness a disease?", + "src": "Patient: Hi doctor, I am too much possessive to all the one who I love. Because of that, I stressed a lot. Is possessiveness a disease? Please help me. \u00a0Do I need any treatment for this? Thank you. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27515, + "tgt": "Can you suggest ayurvedic medicines to improve my immunity?", + "src": "Patient: Hi doctor, I got malaria and typhoid last month when I was in a foreign country. Due to this, I underwent mental stress because I was staying alone there. Due to the mental stress, it took two months to regain my health.\u00a0I came back to my country and did all the tests. According to the doctor, I do not have typhoid and malaria. I took heavy doses of antibiotics, as a result, I suffered from constipation and developed symptoms of piles. The doctors say that there is no more treatment required. Now, I am not having constipation anymore, but I can see a very mild piles symptom. I also have a mild breathing problem and mild nose block. I have Giloy Ghan Vati, Neem capsules, Pilex capsules and cream, and LIv.52. I am perfectly all right according to doctors, and I also regained the lost 6 kg.\u00a0I want to improve my immunity. I request you to recommend how to consume these tablets for a shorter duration, which will take care of my immunity and malaria. I never consulted any doctor for this.\u00a0Please note that I am consuming half a cup of milk morning and evening with have teaspoon Ashwagandha and Shatavari.\u00a0The medical reports are attached along with this message. Doctor: Hello. I just read your query and saw all your reports (attachment removed to protect patient identity). All laboratory investigations are within normal limits, and now you do not have any problem according to investigations. Consult me after four weeks regarding improvement, or you can consult any other nearby physician if you want to.\u00a0I hope you are satisfied with my answer.\u00a0Thank you. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13715, + "tgt": "Is it advisable to take Duphaston during pregnancy?", + "src": "Patient: Hello doctor, My wife is pregnant for about five weeks. So the doctor suggested Duphastone three times, JC Folate one time, Myocyst two times a day. My wife has got miscarriage two times before that and she was also treated for PCOD last one year. I am scared about Duphastone. Doctor: Hello. I have gone through the case summary. As she has had PCOD, in such patient, there is a deficiency of pregnancy hormone Progesterone. So we have to give from outside to support pregnancies. There is a history of two miscarriages. Can you tell me where did they occur and at what time of gestation was the heartbeat present? When the ultrasound was done? I think we should start tablet Ecosprin 75 mg once a day if not yet started. There is no fear about Duphaston as it is safe during pregnancy. Many studies have been done to know about the safety of Duphaston. So you should not worry." + }, + { + "id": 19094, + "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": 9183, + "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": 25932, + "tgt": "Is it safe to have anal sex?", + "src": "Patient: Hello doctor,There is slight bleeding after anal sex. I had a drop-by-drop bleeding the next morning after passing stool. Doctor: Hello. You have had mild trauma due to penetration in the anal sphincter which is causing bleeding. You will need to follow few steps: It will settle in a few days. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7723, + "tgt": "Pregnant wife is having itching on her belly, hands and feet. Should it be something to worry?", + "src": "Patient: Hello doctor, My wife is 37 weeks pregnant. She has itching on her belly, hands, and feet. I read on the internet that, it may be PUPPP or cholestasis or neither both of them. Is it something to worry? Doctor: Hi. If the itching is present with rashes, it can be PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy). But you need to see a gynecologist or a dermatologist before we can come to a conclusion. Itching alone without any skin rashes can be cholestasis in pregnancy. But few tests need to be done before we can reach the diagnosis. More important is to keep an eye on the baby's movements. If it is PUPPP, then usually there is nothing to worry. If it is obstetric cholestasis, we will deliver the baby as soon as possible, as the benefits of continuing pregnancy after 37 weeks are less compared with the unpredictable risks to the baby due to cholestasis." + }, + { + "id": 26901, + "tgt": "My son has fever and allergy symptoms. Please help", + "src": "Patient: Hello doctor, My 5 years old son got sick 2 and a half weeks ago.\u00a0For 1 week he had high fever (up to 39 degrees Celsius) which we reduced with fever reducing syrup (Noraphen).\u00a0Blood test showed that there is a chance for parvovirus (borderline result).\u00a0 After a week the fever stopped, and for a week everything was fine (except our son feeling weak).\u00a0After that symptoms of allergy and red stains on his arms and legs appeared, which matched the definition of parvovirus indeed, as his treating physician confirmed.\u00a0These symptoms disappeared after 2 days, but now his fever is back to 38.1 degrees Celsius, which worries us. Let me sum it up: 1-7 days - fever up to 39\u00a0degrees Celsius which\u00a0reduced by Noraphen. 8-14 days - no fever. 15-16 days - allergic response. 17th day - fever is back. I have attached the entire report. Kindly advice. Doctor: Hello. I have gone through your son's history and the report (attachment removed to protect patient's identity), and would like to make my suggestions and comments about him as follows:As per your description, the clinical picture very much matches that of a viral infection, borderline report of IgM parvovirus and itchy rash increase the possibility that it may be actually parvovirus infection.So far I would reasonably agree with the treatment that your son has received. Treatment of most viral infections is treatment of symptoms only, \u00a0Paracetamol for fever, antihistamines for cough and cold and other conservative measures. There is no specific treatment for many viral infections and most of the viral infections recover by themselves if the child's immunity is normal.The pattern of fever that you have described is known as \"biphasic fever\" pattern. This is commonly seen in many viral infections, where initial high fever is followed by a period with no fever which is followed by a second period of fever. It is important to note that fever during the second period is lower than that in the first period and also the second period is short lasting when compared to the first period.Considering this pattern, I would suggest you not to worry too much. But of course be cautious and monitor temperature of your son. As current fever (38.1) is lower than that in the first week (39), it could be a pattern of the viral infection. However, if the fever rises to the same or high (39 or more than 39) or \u00a0if it lasts longer or\u00a0if your son develops any new symptom, I would suggest you to get your son examined by his paediatrician again. In that case, his doctor would examine him again and may think of a complication or alternative diagnosis. Currently, I would suggest him Paracetamol for control of fever along with adequate fluids to maintain hydration as well as adequate rest. I would like to mention here that rest and hydration are the most important aspects of treatment of any viral infection." + }, + { + "id": 28535, + "tgt": "I fell down while holding my 13 months old daughter. What are the chances that she had a TBI?", + "src": "Patient: Hi doctor, The other night, my 13 months old daughter started screaming like crazy, I ran and picked her up and tried to walk around the room to soothe her, and I accidentally slipped while holding her and she fell on the floor.\u00a0As I was slipping, I fell knee first, and at that point in that microsecond, I realized I do not want to fall on my daughter, so I let her go and put my arms in front of me.\u00a0So I do not think she fell from two meters, but I did hear a bang as if a tiny head touched the floor (wooden floor without a\u00a0rug).\u00a0She started crying a lot after this for about 3 to 4 minutes, and then she went back to sleep.\u00a0The next day I looked for visible signs, no vomiting, no cross eyes, but she did feel just a bit less playful and more lethargic than usual.\u00a0I know that this is not an easy answer, and I am not just looking for reassurance. But my question basically is, what are the chances that the trauma she had to her head was a TBI (traumatic brain injury)?\u00a0Is it possible that this will have long-lasting effects on her learning skills or abilities? Doctor: Hi. I understand your question. I hope my answer helps. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 27035, + "tgt": "Multiple sore like protrusions around an eye is spreading to the other. Will it cause blindness?", + "src": "Patient: Hi doctor, My 4 year old nephew with autism had a swollen right eye four days ago, which turned into infection with multiple sore like protrusions around the eye. It is now spreading to the left eye. The doctors at the children's hospital have no idea what it is, but they have not ruled out herpes. Test results on\u00a0discharge were either inconclusive or not ready, even though it has been more than 48 hours. A doctor even said that he feared that the condition might cause blindness. He is on\u00a0three different types of IV antibiotics, but it looks like his condition is spreading to the other side of his face now. Due to his autism, we cannot\u00a0rely if he is in pain or discomfort. It kills us to see him suffer. We would appreciate if you\u00a0could provide us any information. Doctor: Hi. Regards. For further queries consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7547, + "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": 8294, + "tgt": "What causes irregular period with heavy bleeding?", + "src": "Patient: Hello doctor, I am 18 years old, girl, who went without her period for over six months. Thankfully it came back, as previously stated. But the thing is that it has not gone away ever since. I am quite honestly just wondering what it might possibly be. Doctor: Hi. It is very common not to have a monthly period after starting to have a period for the first time. In order to produce period, your pituitary, ovaries, and uterus have to work harmoniously and it takes over 3 to 4 years for them to work together well. It is called anovulatory bleeding which is bleeding after you have not ovulated for several months. The bleeding tends to be heavy and prolonged due to estrogen effects that build up endometrial cells. You can imagine that your endometrial layer is very thick so it takes a longer time to shed and bleed. You can prevent this by taking combined birth control pills that would imitate your normal menstrual cycles and will prevent prolonged bleeding in the future." + }, + { + "id": 8709, + "tgt": "I got some bleach splash into my eye. Please help", + "src": "Patient: Hi doctor, I got some bleach splash into my eye after dropping it on the floor. I have already rinsed it for 30 minutes and it is red. But I do not have pain. It feels dry, and it\u00a0is not lubricating after all the rinsing. Doctor: Hi. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30718, + "tgt": "What is heavy menstrual bleeding?", + "src": "Patient: Hello doctor, Recently, I was diagnosed to have iron deficiency anemia. My primary doctor thinks this is due to heavy menstrual bleeding. Therefore, he advised me to see the gynecologist. I never thought I had heavy periods. What is the actual definition of heavy menstrual bleeding? My\u00a0period always last for seven 7 days and the first 2 or\u00a03 days will be heavier with some clots. I have to get up during the night once to change the pad only in the first two nights. I usually use about 25 to 30 pads during my periods. Can this be considered as heavy bleeding? For me, this is normal. I have always been this way. My laboratory report showed hemoglobin 8.5, hematocrit 29.7, MCV 66, MCH 19, MCHC 28.6, RDW 18.9, UIBC 430, serum iron 15 and iron saturation and ferritin 3. In addition, I am not sexually active and I am still a virgin. I have never been to the gynecologist and really do not know what to expect. What kind of examination the doctor will perform? How should I prepare for the visit? Please visit. Doctor: Hello. 1. Serum TSH and PRL. 2. Ultrasound lower abdomen. Menorrhagia with anemia. Tranexamic acid with Iron supplements. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20474, + "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": 28408, + "tgt": "My mother was diagnosed with triple personality disorder. How did she get it?", + "src": "Patient: Hello doctor, I am a 21 year old female, and I have seen a lot while growing up. Since I was 6 years old, I started crying every day. Fear grew within me. I started having bad grades since I was 11. I was bullied twice by my friends when I was 7 and second time when I was 13. My parents had no time to love me and indulged in verbal abuse all the time. It made me feel even more depressed till today. I find pleasure in other ways that keep\u00a0me alive. It is just a living and not a life. I am so very tired deep down. I have no one to talk to wholeheartedly. I feel lost and all by myself. I just want some affection and a person who understands me and lives through me. I feel incomplete. I have not consulted any therapist or not under any medication. Thank you. Please provide me with some peace. Doctor: Hello. Thanks for this query. You have mentioned everything about your history in details.\u00a0I can understand your concern regarding your low mood. Hope my answer helped you.\u00a0Regards. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3270, + "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": 2331, + "tgt": "I am diabetic, feel weak, and proteins in urine are high. Should I change my tablets?", + "src": "Patient: Recent blood tests revealed that proteins in urine is 486 against 130 in the 24 hour unit test. I am diabetic, however it is under control. Fasting sugar is 106 and after break fast it 120. I am using Diapride M 0.5 for Blood Sugar and Citanil T 40 for BP. I consulted nephrologist and he told me that for my age of 62 and being diabetic, the said protein loss is not unusual and the tablet Citanil T 40 will take care of the problem of protein loss. My present problem is I am feeling terribly weak . Should I need to change the tablet or take medicines for weakness. Doctor: Dear, Thanks for the query As per the records you have diabetes, hypertension and related complications such as retinopathy, nephropathy Your blood sugar control is good and other investigations also look fair Your doctor has rightly prescribed you Cetanil-T which contains Telmisartan which is used to treat proteinuria The proteinuria can not explain the weakness Two main reasons for weakness in your case may be low blood pressure or low blood sugar- so monitor thess. Check your blood pressure in lying down position and after that stand up and after 3 minutes check it again. if there is a fall of more than 20 mm Hg in systolic blood pressure or > 10 mm Hg in diastolic blood pressure then we need to reduce your antihypertensive medications. Diabetes related complications Monitor BP as advised Postural hypotension to rule out May require antihypertensive reduction after checking BP" + }, + { + "id": 27715, + "tgt": "I feel my heart beat hard against my sternum. What to do?", + "src": "Patient: Hi doctor, I am a 46 year old female, and I am obese. I do not drink caffeinated drinks, smoke, or do drugs. I took myself off Lisinopril because it was causing more symptoms than helping. I have high blood pressure, but it got too high, so I am back on it. I was born with a small heart murmur, and it never bothered me. About 4 to 5 years ago while training in mixed martial arts, my heart started beating too fast and then pausing. At this point, I was still about 280 to 290 lbs, eating healthy, working out 6 to 7 days a week in training, but it would not last long. Last year or so, it acted up, and my heart will pump hard against my sternum. In the last episode I had, it actually hurt a little when it would hit the wall of my sternum. This time, it has been a week now, and it has not stopped. It happens every day. The first cardiologist I saw did not find anything after I wore a Holter monitor for two days and did an ultrasound and a few other things. I went to the ER last week, and nothing showed up, but when I got into my car to leave, it started up again. I am beside myself and scared. Can you please help me somehow? Which direction do I need to go? I do not workout anymore because I have a reverse curve in my cervical spine and some curve loss in my lumbar. It has caused the lower thoracic to straighten a bit, and I see improvements in my posture. I was wondering if this could be a cause because I know the innervation to the heart comes from the cervical and thoracic spine. But if not, what would you suggest? By the way, I am improving my food quality, drinking about 2 liters of water a day. Sometimes, I take magnesium. Thank you. Doctor: Hi. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9004, + "tgt": "I am suffering from swollen feet and unbearble pain due to RA. Kindly help", + "src": "Patient: Hello doctor, I have RA and have been on prednisone for 15 years or more. I was tapered off with the last dose taken five months before. I now can barely walk, my pain is unbearable, and my right leg and foot are swollen. I have tried every OVC pain medication possible, and nothing is working. What is going on? Should I go to ER? Doctor: Hello. I think you need more DMARDs (disease-modifying antirheumatic drugs), preferably a combination of Leflunomide, and Methotrexate should be tried. And Prednisolone will be required until the Dmards combo works. It does not help in reducing the steroids dose in three to the fourth month, and then biological therapy should be planned. I hope it helps." + }, + { + "id": 8262, + "tgt": "How to overcome premature ejaculation using ayurvedic medicines?", + "src": "Patient: Hello doctor, How to overcome premature ejaculation? Can I use any kind of ayurvedic spray during intercourse? Doctor: Hello. The best medicine for premature ejaculation is regular intercourse with a shortened period of foreplay. Also, avoid long gaps between coitus (sexual intercourse). We never suggest any type of spray, lotion or oil application during intercourse because it might harm your genital organ. But, ayurvedic oral medicines may be taken. Capsule Stresscom, two capsules to be taken twice daily with milk in the initial phase. For severe and chronic cases, other medicines are added depending upon the condition." + }, + { + "id": 30150, + "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": 19430, + "tgt": "What are the consequences of water breaking at 31 weeks of pregnancy?", + "src": "Patient: Hello doctor, I am 31 weeks pregnant. I have a\u00a0history of previous C-section. Now, the\u00a0water broke out and\u00a0I have been administered with steroids, Tocolytics and IV antibiotics. \u00a0Then, my MFM admitted me to the hospital. However, the doctor has not decided to perform C-section even with period like bleeding and contractions every three minutes for almost four hours straight. I am curious as to know why they are not performing a C-section. I am very concerned that the risk of staying pregnant is outweighing the benefit. Kindly give your opinion. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2080, + "tgt": "My teeth or gums are bleeding and paining for more than a month now. What to do?", + "src": "Patient: Hi, I'm 14. I really never cared much about brushing my teeth, and it's been awhile since I haven't brushed them. I woke up one day and it felt like the right side of my gum was hurting, and I went to go brush my teeth, cause I figured maybe it was a tooth growing in or something, and to my surprise, when I went to go brush them, my teeth or my gums started bleeding, as I noticed on the toothbrush. I kept brushing because I figured I got something. This gum or tooth pain, I don't know which one, has been going on since a month. Doctor: Hi! Greetings for the day! As you said you are 14 years old and at this age it is very common to have bleeding gums. There could be two reasons as you are getting new teeth and another one you are attaining puberty. When you attain puberty there will be harmonal imbalance which is happening inside body which leads to swelling in gums and further bleeding whenever you touch it. If it is painful you can take paracetamol tablet whenever it pains otherwise just use mouthwash and keep ice on the area where there is swelling. It would be of help if you would send me a picture of the area concerned. Don't worry it happens during this age and you will fine. Follow up after a week if the problem doesn't resolve will prescribe other medicines. Regards Icliniq.com" + }, + { + "id": 25076, + "tgt": "Can you suggest a medicine to lower blood sugar?", + "src": "Patient: Hi doctor,I am worried about my husband's type-2 diabetes. Today evening before dinne\u0155 the sugar was 317. He is taking Januvia along with Diamicon XR 60 and in night Razel along with Dimicron XR 60. The medicine is also not working very well on him. He would not able to visit a doctor for another one week due to a tight schedule. Please suggest is it right to wait for one more week. Can you suggest some medicine which can lower down his sugar? Doctor: Hello. I just read your query about your husband and from what you have mentioned it appears that your husband has uncontrolled blood sugar. I suggest that you add tablet Metformin 1000 mg twice a day in addition to all the drugs that you have mentioned. This is only if you know that his kidney function test was normal previously. Consult your specialist doctor, discuss with him or her and start taking them medicines with their consent. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2109, + "tgt": "Is there a risk of becoming addicted to 60 mg of Prednisolone, if taken once a day for a month?", + "src": "Patient: Is there a risk of becoming addicted to 60mg of prednisolone (prescribed to anti-inflammatory purposes) once a day for a month? - I've already been prescribed this medicine, I'm not asking for a prescription. My doctor hasn't mentioned anything about becoming addicted and I didn't ask when I was in hospital. However, because of the pandemic, I can't go and ask my doctor if there is a risk and I wanted to make sure that I don't suffer from craving steroids after I've come off my prescription. Doctor: Hello. Welcome to icliniq. The dosage of prednisolone prescribed to you must be according to your body weight which is usually 1 Mg per kg or in same cases the physician may prescribe an even higher dosage depending on the underlying disease. The body definitely gets used to (addicted) long term steroids like prednisolone and therefore we cannot stop these drugs suddenly and abruptly. So your doctor will slowly taper down the drugs depending upon the disease response like he will bring down the 60 to 50 mg followed by 40 mg and so on. I\u2019d gradually decreased to low doses the body gets used to it. Although steroids have short and long term side effects they are usually helpful for the disease they have been prescribed for as your doctor would have explained it to you before starting them." + }, + { + "id": 5397, + "tgt": "Burning sensation during urination worsens after stopping the medicine. What test will urologist suggest?", + "src": "Patient: Hello doctor, Recently I have been having burning with urination and just burning in my urethra in general, sometimes even when I am not urinating. A month ago I went to the doctor's office with UTI symptoms and blood in my urine and was told I did in fact have a bladder infection and was given Ciprofloxacin. A couple of weeks after being off the Ciprofloxacin I began having the burning that I am now. The burning got worse after intercourse and even worse once I started my menstrual cycle. I went back to the doctor's office for a urine test, assuming it might be the same infection that just did not go away but was told my urine was perfectly healthy and there was no sign of infection. The doctor recommended seeing a urologist. I am concerned as to what sorts of tests the urologist will perform and what possible conditions I might be suffering from? What can I expect from my first visit to a urologist and what are some of the possible conditions that I might have? Doctor: Hello, Welcome to icliniq.com. From the symptoms, I feel you have a urinary tract infection. Since a course of antibiotics is given already you need a urine culture test and ultrasound abdomen. Culture-specific antibiotic has to be given. If a culture shows no growth it may be due to a condition called interstitial cystitis. More than three urinary infections a year need continuous drug prophylaxis. One or two UTIs per year are common and need no worry. UTI. Urine culture and USG (ultra sound) abdomen. Interstitial cystitis. Ureteric stones. UTI. Another course of antibiotic. Drink plenty of water, genital hygiene following intercourse." + }, + { + "id": 9354, + "tgt": "I have missed my period after having Meprate. Is there a chance for me to be pregnant?", + "src": "Patient: Hello doctor,I have missed my period even after taking Meprate. It has been eight days now, what are the chances that I might be pregnant although I have not done penetration tests? Doctor: Hello. Firstly, did you have had emergency pill post intercourse? Was there any menstrual irregularities before this like delayed menses and all. If you have had an emergency pill, then the likelihood is very less as these are highly effective. In this situation, since you have missed the period, pregnancy cannot be ruled out and need to do a urine pregnancy test. So get this done on an urgent basis. I hope this helps you and get back if you have any doubts or more information to share." + }, + { + "id": 1511, + "tgt": "What could be the reason for recurrent blood in stool and right-sided stomach pain?", + "src": "Patient: Hello doctor, I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days. Doctor: Hello. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps." + }, + { + "id": 12802, + "tgt": "Is Mitomycin C necessary for urinary bladder cancer?", + "src": "Patient: Hi doctor, My elder brother has undergone removal of low grade papillary carcinoma of urinary bladder without any local lymphatic involvement. He was advised to take Mitomycin C after six weeks of surgical intervention TURBT. Is it necessary to go for the drug? Is it prophylactic or therapeutic? I need your valuable opinion at the earliest. Doctor: Hi. Superficial bladder cancer or nonmuscle invasive bladder cancer includes carcinoma in situ (CIS or Tis), Ta tumors, and T1 tumors. These are all cancers that have been found very early in their development. The cancer cells are only in the lining of the innermost layer of the bladder. These type of tumors have more than five-year survival rate, but the recurrence is an issue. Multiple trials have shown intravesical instillation of BCG (Bacillus Calmette-Guerin) or Mitomycin C (MMC). This has shown progression in 7.67% of the BCG subjects and 9.44% of MMC subjects. I would suggest you go for it. I have seen patients surviving for two decades after such therapy." + }, + { + "id": 20220, + "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": 1345, + "tgt": "What causes boils in the ear of a diabetic and hypertensive patient?", + "src": "Patient: Hello doctor, My wife is 70 years old. She is diabetic and hypertensive, she has dry and itchy skin. For that she is taking head bath and applying oil on scalp. She is prone to sinus problems. Now for a couple of days there are boils inside and outside left ear. It is troubling her very much. Please suggest some medication or remedy for immediate relief. Doctor: Hello. With the picture it appears like a hair follicle infection of the small hair in the ear canal (attachment removed to protect patient identity). Considering her age and that she suffers from diabates and hypertension (diabetic people have slightly less immunity compared to normal people) I am suggesting antibiotics for her. Tablet Augmentin 625, 1 tablet thrice daily after meals x 5 days, tablet Chymoral Forte 1 tab thrice daily before meals x 3 days, tablet DOLO 650, 1 tablet SOS for pain, can take upto three tablets per day in divided doses. T-BACT ointment use clean little finger and apply the ointment thrice daily over the area. If using ear buds take particular care that it does not go deep and injure the ear drum. Do not let water enter while taking bath. Keep a cotton plug (spread with some T-Bact ointment or vaseline) inside the affected ear and throw it off after bath. This condition is called acute localised otitis externa (furuncle of external ear). It appears that there is a single boil with a lot of redness in the picture you showed. It is quite painful. Please continue your diabetic and hypertension medicines as before. I hope you are taking those regularly and the sugars are controlled. For a few days avoid applying oil in hairs. Once she gets better, she can put oil over scalp. Do revert back if there is any worsening. Please wait for 3 days for the antibiotics and medicines to act. Please let us know promptly if there is any fever or some other form of worsening. Happy to help you." + }, + { + "id": 28340, + "tgt": "Does my blood report indicate the reason for severe pain and inflammation of my legs?", + "src": "Patient: Hello doctor, From the past few weeks, I have had severe pain and inflammation in both the legs, from my knees to the foot. I limp while walking, and have no injuries or accident. Also, I feel very lazy, weak, and sometimes feel feverish in the evenings. My concentration at work is also going down. I recently got a blood test done, and I am concerned about a few things.\u00a0I need professional guidance. Can you please help me in understanding the report and to take corrective measures? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). There is nothing serious, no need to worry. Hope this helps you and get back if you have any doubts. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8558, + "tgt": "Are nervousness, anxiety and strange thought side effects of Levothyroxine?", + "src": "Patient: Hello doctor,I recently had a complete thyroidectomy, and the lymph nodes around the thyroid removed because I was diagnosed with medullary carcinoma of the left nodule of my thyroid. I am now on Levothyroxine 135 mg, and it is driving me nuts. I have experiencing nervousness, anxiety, no sleep, strange thoughts, etc., for two weeks. I had like five hours of sleep.I am going insane, and I feel like I am going to have a heart attack. Can a naturopathic doctor assist with this problem and take me off of Levothyroxine and balance my thyroid hormone levels using natural medicine with no side effects? Doctor: Hello. I read your query. You need to take Levothyroxine for the rest of your life regularly because our body daily needs this hormone for various functions like metabolism etc. However, along with that you can use some herbal products which can help you up to some extent and your dose of Levothyroxine may decrease and you will also feel relieved from other symptoms. 1. Take capsule Giloy two capsules two times a day with water after food for one month. 2. Take tablet Kanchanar Guggulu one tablet two times a day with water after food for one month. 3. Walk daily at least for 30 to 60 minutes. Consult a nearby Ayurveda physician or me after one month regarding improvement and for further management." + }, + { + "id": 20312, + "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": 27458, + "tgt": "I did not get my periods after taking Unwanted 72, but why do I have white discharge?", + "src": "Patient: Hi doctor, I had my last period last month, and after that, I had unprotected sex. Last month, I had sex so many times, and I took Unwanted 72 two times. I had sex in the second week of last month, after which I had my periods. And next, I\u00a0had sex after my periods were over, and I took the pill. I did not get my periods this month. I did a pregnancy test, but it is not showing clear results. These days, some white substance is coming out from my private parts. What is the possibility of getting pregnant? Doctor: Hi. Take care. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24529, + "tgt": "Why is there a persistent low-grade fever in a 54-year-old female?", + "src": "Patient: Hello doctor, My mother is 54 years old and is facing persistent low-grade fever. She had it for almost a year and nothing was diagnosed from the tests and then suddenly it got fine. Now again she got a fever from some stomach infection and it has been 15 days that the fever is there between 99 to 100 degrees. What could be the possible reason? Doctor: Hello. Did your mother undergo urine culture sensitivity? Because many of the postmenopausal or perimenopausal women suffer from urinary tract infection that is chronic and drug-resistant due to urinary leak and urinary urgency. Low-grade fever can also be there due to chronic infections like tuberculosis. So, if a chest X-ray is not done, I suggest you do so. Lymphoma or lymphoid malignancy can often be missed as a differential diagnosis of low-grade fever. At last, some autoimmune diseases can present with a similar type of low-grade fever and diffuse musculoskeletal pain. If there is pain associated, get a blood test done for ANA (anti-nuclear antibody). For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23440, + "tgt": "Kindly explain about the AST and ALT levels in blood report", + "src": "Patient: Hello doctor,I am 55 years old male, height 168 cm, and weight 74 kg. I do not drink or smoke. Presently, I am not under any medications. Previously, I took medicines for suspected acid reflux symptoms for six months but stopped since one year. I used to undergo comprehensive blood tests on a yearly basis. The query is about results of lab reports taken from two different labs. I am worried about the values of SGOT (AST) and SGPT (ALT). Does it indicate the damage to the liver? (The level of AGST and SGPT were normal up to last year). You are requested to advise me regarding the future course of action on this query. Doctor: Hi. I note that your query is related to abnormal LFTs (blood liver function tests) SGOT (AST- aspartate transaminase) and SGPT (ALT- alanine transaminase). From the information you provided (attachment removed to protect patient identity), I understand that: There are many possible causes of transaminitis (raised ALT/AST) and identification of the underlying cause in you requires a detailed medical history and a series of blood tests. The most important usual cause of hepatitis (inflammation in the liver cells) are: 1. Viral hepatitis. 2. Drug (medication) induced, including allopathic or herbal medicines or supplements. 3. Fatty liver (NASH or Non-alcoholic steato-hepatitis). 4. Alcoholic hepatitis. 5. Auto-immune hepatitis, etc. I will recommend that you see a hepatologist or medical gastroenterologist. The initial steps to be taken are as follows: 1. Repeat blood tests for LFTs (liver function tests) in a standard laboratory. 2. Ultrasound abdomen. If the blood tests LFTs are still abnormal, a further blood test to evaluate the cause for this will include: 1. Hepatitis A IgM to check for hepatitis A infection. 2. HBsAg, HBcAg (IgM) for hepatitis B infection. 3. HCV Antibodies to check for hepatitis C infection. 4. Liver autoantibodies (ANA anti-nuclear antibody, ASMA anti-smooth muscle antibody, AMA anti-mitochondrial antibody), etc. Based on the above results, further evaluation may be required like a liver fibroscan or a liver biopsy. 1. Viral hepatitis. 2. Drug induced hepatitis. Make a note of all the medicines you could have taken in the last few months including allopathic drugs, eg., statins (cholesterol medication), painkillers (Paracetamol, NSAIDs- non-steroidal anti-inflammatory drugs), herbal remedies or any other supplements. Discuss this with your doctor or write back to me if you have any further queries. For more information consult a medical gastroenterologist online.--->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9220, + "tgt": "Other than surgery, is there any treatment for coronary artery disease?", + "src": "Patient: Hello doctor,My father has coronary artery disease. He has a blockage in three arteries, one artery is cured by putting stunt, but some other doctors tell to do bypass surgery, but my father is afraid of surgery. Is there any treatment without surgery? Doctor: Hello. I have gone through the reports. There are two best available options for CAD (coronary artery disease) at present, one is a bypass, and the other is stenting. Other available options are not high and are only adopted is either is two is not possible. Considering multiple blockages, bypass remains the treatment of choice, however, if not willing for bypass then stenting is another reasonable good option. Sometimes we may not be able to open 100 percent blockages, but in those cases, we can keep him on medications for that as a blockage in the less critical vessel. He may undergo stenting as well, but stenting for such complicated lesions is tried in the higher center like PGIMER, etc. So, overall, if not willing to undergo bypass, then stenting may be a reasonable option and should be tried. I hope this helps you and get back if you have any doubts." + }, + { + "id": 10741, + "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": 29171, + "tgt": "Is there any treatment for a black hairy tongue?", + "src": "Patient: Hi doctor, A few weeks ago I noticed that my tongue had patchy green areas. However, it has now turned into more of a yellow color, more so in the back than the front. Brushing the tongue seems to remove the yellow, but then it comes back.\u00a0I am very scared of the black hairy tongue, and I read that yellow precedes\u00a0before the black and hairy part. I have attached a photo of my tongue. What can I do to remove and prevent this? Can the black hairy tongue be treated? Doctor: Hi. I have gone through the attached photo (attachment removed to protect patient identity), and I understand your concern. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23452, + "tgt": "Kindly explain the result of thyroid profile test related to pregnancy", + "src": "Patient: Hello doctor,I just wanted to know the result of my thyroid profile test because it is saying something about pregnancy and I am scared of that. Currently, I am taking Thyronorm 75 mg and Inderal 20 mg. Doctor: Hello. I just read your query and from what you have mentioned it appears that your TSH (thyroid stimulating hormone) is high and therefore you must increase the dose of Thyronorm to 100 mcg once daily. Repeat your thyroid function test after three months and then we will review again. Regarding the pregnancy aspect which is mentioned in the report (attachment removed to protect patient identity), it means the range in which the TSH should be maintained if the patient is pregnant in the respective trimesters. If you are not currently pregnant then you should not worry about it. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2420, + "tgt": "Due to globus pharyngeus, I get pain in throat and ear while swallowing. Please help", + "src": "Patient: Hello doctor, I had globus pharyngeus for about 10 days and today it has evolved to a pain in the back of my throat which when I swallow causes pain in my left ear for a second too. Doctor: Hello. I understand your condition. Do not worry. It is a quite common scenario. Very manageable. Firstly, it is caused by one or few of the conditions like severe gastric reflux, infection in the throat, postnasal drip due to conditions like a sustained common cold, smoking, and rarely a foreign body in the throat. So you should analyze what is causing this condition in you. I would suggest you to first start yourself on the following medication and make some lifestyle changes. Tablet Amoxicillin 500 mg thrice daily after food for five days, Ibuprofen twice daily after food for five days, Pantaprazole 40 mg once daily before breakfast for 10 days, Povidone gargle 10bml in 150 ml lukewarm water to be gargled thrice daily. If there is a persistent cold take Xylometazoline nasal drops thrice daily. Along with the medication take the following precautions: 1. Avoid cold food. 2. Stop smoking if you do. 3. Take food on time. 4. Do not take spicy food. 5. Do not eat for at least three hours before you sleep. Infection or reflux. Direct laryngoscopy. GERD (gastric esophageal reflux disease). Acute pharyngitis. Medical. After the medication." + }, + { + "id": 27907, + "tgt": "I have discomfort and pain during ejaculation. Could it be due to prostatitis?", + "src": "Patient: Hello doctor, I am having a discomfort and mild pain during ejaculation. I was diagnosed as having chronic prostatitis with seminal vesiculitis, and I was put on Quinolones for three months and an alpha-blocker (Alfuzosin) for five months. The urinary symptoms completely resolved, but discomfort and pain in the right inguinal region during ejaculation still persisted. My semen analysis, semen culture, trans rectal ultrasound are normal. Kindly opine. Doctor: Hello. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18651, + "tgt": "What is the reason for having double vision and is it preventable?", + "src": "Patient: Hi doctor, I experienced double vision in a 100-mile trail run around 18 hours into the race. The double vision cleared after 20 minutes of closing my eyes in the medical tent. After a week, I saw an ophthalmologist who did a few tests and concluded that it was eye fatigue. I experienced double vision in a triathlon just after the swimming portion (30 minutes into the race). What is the reason for having double vision and is it preventable? Is there any reason other than fatigue that causes double vision? It never happened in my regular day to day activities. Doctor: Hi. It seems that you have phoria (not strabismus) and the fatigue in eye muscle cause double vision. I advise you to decrease the effort. Take good time to rest and use vitamin B (1,6,12) and keep your vision good (always about 20/20) by glasses or without any problem in your vision. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11339, + "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": 11801, + "tgt": "Can kidney get affected in a diabetic patient?", + "src": "Patient: Hi doctor, This is about my elder sister who is 37 years old. She is diabetic since 4 years. I have attached the report and prescription of the same. Please check and give suggestion. Now she is suffering from swollen face. Is there any problem in kidney due to high sugar level? Doctor: Hello. Thanks for the query to this platform. Your sister is a known case of hypothyroidism with uncontrolled type 2 diabetes mellitus. Her sugar is constantly raised throughout the last 5-6 months as shown in the reports. She is on oral diabetic drugs and her blood sugar is not controlled. According to me, she needs to be started on insulin. Insulin is just the replacement for the insulin in the body which our body is unable to make.She is overweight which needs to be looked into. She needs to reduce her weight gradually by going for walk, avoiding lifts, avoid fatty foods, rice and chicken or mutton. As far as her kidneys are concerned, her creatinine and urea are within normal range. Her urine microalbumin is raised which points towards heart and kidney function. She needs to be started on statins after consulting her physician. Kidneys get affected in diabetic patients. Keep repeating her creatinine regularly which will show her kidney function. For now she is on diuretics which will subside her swelling in face. Diabetes. 1. High density lipoprotein (HDL). 2. Low -density lipoprotein (LDL). 3. Very low density lipoprotein (VLDL). 4. Cholesterol. 5. Fundus examination. 6. Two-dimensional echocardiogram (2D echo). Diabetes mellitus with hypothyroidism. Start on insulin with statins. 1. Avoid fatty foods, rice, chicken and mutton. 2. Start regular walking and avoid lifts." + }, + { + "id": 18636, + "tgt": "What are the reasons for back pain following C-section?", + "src": "Patient: Hi doctor, I am a 31 year old female. I had a cesarean delivery before eight years. Since then, I have been having some light to medium pain in the lower back. In the last few months, the pain has increased and is regular every day now. It pains clearly when it is pressed. Also, in the last few weeks, the bone of neck pointed bone between both the shoulders also giving pain. Also, I have pain in both the knees and backside muscles, some itching or irritation type of pain happens throughout the day. It becomes worse at night before sleeping.These problems get worse during monthly periods. Currently, I am using copper-T and this also gives abdominal pain. I have attached all my blood tests and x-ray report for reference. Thank you. Doctor: Hi. I have gone through your query and can understand your health concern. After cesarean section every woman experiences back pain for a few months, which is related to the surgery and spinal anesthesia. During surgery some of the nerves get cut while giving incision and this can give pain. The other reason for pain is uterine contractions. But, eventually this pain gets subsided over a period of a few months. One more cause for post cesarean pain is a deficiency of calcium in the body. Most of the calcium gets dissolved and secreted in breast milk and it causes weakness of bones and back pain. When this deficiency increases patient develops generalized body pain. I would suggest you to check your serum calcium and vitamin D level. Also, you can do a bone mineral density test to know the condition of your bones. You can take calcium and vitamin D supplements. For copper-T, consult your gynecologist and get it checked. As you have mentioned that the pain increases during periods, this pain is due to uterine contractions which is exaggerated during periods. I suggest tablet Meftal spas (Mefenamic acid) during periods, if you get severe pain. Consult your doctor, discuss with him or her and take the medicine with consent. Calcium deficiency. Serum calcium, vitamin D and bone mineral density. Revert back with the report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18149, + "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": 23443, + "tgt": "Suffering from generalized anxiety disorder and low self esteem. Is there any solutions?", + "src": "Patient: Hello\u00a0doctor,I am 23 years old. I am suffering from a generalized anxiety disorder since childhood. One of the reasons for it is a physical defect I have, which makes me self-conscious. I got to know very early that something is wrong with me. I have consulted many psychiatrists and tried many medicines. Nothing helps except sleeping. I am now addicted to\u00a0masturbation. I am unable to concentrate on anything I do. I have consistent negative thoughts. I have low self-esteem. Recently, I completed an MBA and did not get placed due to my issues. I need to build my career soon. It is getting worse. I am losing interest in life. Doctor: Hello. A lot of individuals have generalized anxiety disorder and this often causes significant comorbidity and depression. What kind of physical defect do you have? Regarding masturbation, it is a safe and healthy habit. It does not affect physical, mental or reproductive health. So, do not worry. Do take treatment for generalized anxiety and depression. SSRI (selective serotonin reuptake inhibitor) drugs like Fluoxetine or Escitalopram can be used for treatment. Both are activating and will not cause sleepiness or drowsiness. These drugs are non-addictive and safe to use. For episodes of severe anxiety, Propranolol can be used. So please consult a psychiatrist for evaluation and treatment. With regular treatment in optimum doses, you will be alright. Take care. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17467, + "tgt": "I had sex in the 5th week of pregnancy and saw vaginal bleeding. Why?", + "src": "Patient: Hi doctor, I am in the fifth week of pregnancy. I am worried because after intercourse, I saw some vaginal bleeding with feeble cramps on the left side of abdomen and in lower back. Please suggest what should I do? I am traveling tomorrow by flight. Do I need to take any extra precaution? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29368, + "tgt": "Being a male, why am I always getting an image of kissing a boy in my mind?", + "src": "Patient: Hi doctor,I am a 26 year old male. When I am with my friends (male), an image of kissing that friend pops into my head sometimes. Though I am not attracted to boys, what could be the reason for this? Please help. Doctor: Hello. Your symptoms are suggestive of OCD (obsessive compulsive disorder). The popping of an image is called an obsession, if it is repetitive, automatic, intrusive and senseless. It induces significant uneasiness or anxiety. The first thing is to understand that you are not turning gay, and do not worry that your orientation may change. Consult a psychiatrist for detailed evaluation and proper treatment. Take care. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20724, + "tgt": "I feel sad and depressed. I get a lot of negative thoughts. Please help me", + "src": "Patient: Dear doctor, I am a 21 year old male. I feel quite sad and depressed. I do not even want to perform daily routine. My life is monotonous. I get a lot of negative thoughts. I am so lazy and feel like I do not want to live. I am weak and I lack concentration. I do not feel like going out of my house. Suggest treatment for the same. Doctor: Hi. Symptoms that are commonly present in a depressed patient are: You are having almost all the symptoms of depression. Depression is the main problem for you. You need more focus on raising the mood and concentration with the help of medication. Antidepressants are very effective in such kind of symptoms and patients show improvement within a period of two weeks after starting the adequate dose of prescribed medication. If other than these symptoms you are having additional symptoms like hearing voices that others are not able to hear, seeing objects that are not visible to others and feeling suspicious out of proportion, then there is a possibility of depression with psychotic features of schizophrenia. You need immediate treatment before irreparable damage occurs to the brain. At this stage do the following:" + }, + { + "id": 25410, + "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": 14297, + "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": 6499, + "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": 17058, + "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": 27403, + "tgt": "I was just informed that I have a personality disorder NOS. What does it mean?", + "src": "Patient: Hello doctor, I am feeling extremely distressed, as I have just discovered through my physician, that in the past I have been given two diagnoses and not been told about one of them. One is bipolar disorder, which I am aware of, but the other is personality disorder NOS, and I have no idea what this is or what it means. I am currently taking Dosulepin and Mirtazapine. Doctor: Hello. In my opinion, do not get distressed by a diagnosis which you were unaware of till now, as an improvement in your symptoms is the most important. What matters is that, with treatment, were your symptoms under control. The categorical diagnosis should not affect you otherwise. Speaking about personality disorder NOS, personality disorder means chronic deviation from the normal way of reacting to a situation or expressing yourself, and NOS means not otherwise specified, that is, when you cannot exactly classify the type of personality disorder, it is put under this category. I suggest the following: Hope this solves your query. Remember every problem has a solution. You need to try to solve it. Help is only a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8220, + "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": 23494, + "tgt": "What is the treatment for sigmoid volvulus?", + "src": "Patient: Hi doctor,My father recently had sigmoid volvulus. His colon was untwisted during a sigmoidoscopy. However, we understand that without surgery there is a high recurrence rate which we are concerned about. We have been told the two treatment options are A) Securing the bowel to the mesentery. B) Removing the short section of the bowel that is prone to twisting. My questions are if a short section of bowel is removed is a colostomy bag always fitted, or can it be done without one? When a colostomy is later reversed and the two sections of the colon are connected back together, does not this present the same problem of feces passing through a section of the bowel which has been operated on before it has had time to heal? So, what is the point of fitting the colostomy bag in the first place? Doctor: Hello. The treatment of sigmoid volvulus depends on the general health of the patient and the nature of presentation. In an elderly patient, with multiple comorbid illnesses or who are unfit for anesthesia, the preferred modality is endoscopic (colonoscopic). The recurrence rate of this has to be accepted. If the patient is fit for surgery, it can be either suture fixed or resected (The redundant segment). In an unstable patient, especially in an emergency, the chances of healing will be less. Then a stoma is opted for temporary diversion, in order to facilitate a safe anastomosis of intestine later. In relatively stable patient, an upfront primary joining of intestine ends can be done. The proper healing of the same will allow smooth passage of contents. A stoma is not always needed. It is used only when a primary anastomosis is unsafe. The present scenario: endoscopy is the safest option considering age and comorbid. Avoid constipation at any cost, as it predisposes to volvulus. Hope your queries have been cleared. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13905, + "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": 26916, + "tgt": "Should I inform the doctor if I have meth in my system when going for a surgery?", + "src": "Patient: Hello doctor, I am a male, 6 feet and 150 lbs. I am not on any medication. I have a surgery in five hours and I have meth in my system taken about five hours earlier. Should I cancel the surgery or go to the surgery and tell the doctor? Doctor: Hello. For more information consult\u00a0an anesthesiologist online --> https://icliniq.com./ask-a-doctor-online/anesthesiologist" + }, + { + "id": 663, + "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": 2299, + "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": 17510, + "tgt": "What are the watery bubbles present on either side of my penis?", + "src": "Patient: Hi doctor, I have small watery bubbles on either side of my penis and they seem to have grown in number in the last few weeks. First they appeared around three months back, but very less in number. They do not cause any irritation, but increased in number and looks ugly. I have not used any medication for this. If it is not cleaned every day then some wax like white layer is formed around the head and the area covering foreskin. Please help me with this. Doctor: Hi. I have read your query and can well understand your concern. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16454, + "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": 1312, + "tgt": "Why am I not able to hear clearly without hearing aid though my hearing is within range?", + "src": "Patient: Hello doctor, I am a man in my early twenties that started using hearing aids about a year ago. I am very happy with this, it has really changed my life. Just recently I started reading up a bit more and now I feel very confused and weird about it all. The thing is, I was told I had a mild mid-frequency hearing loss. When I actually look at my audiometry test it shows that as well, but my hearing is barely within the range of being considered a hearing loss. Reading around I found out that most people with such a mild loss can mostly hear fine and do not need hearing aids. When I read about what my hearing loss is supposed to be like, I do not relate. I relate way more to the explanations of what moderate hearing loss sounds and feel like. And hearing aids help me a lot. When I do not wear my hearing aids it sounds to me like listening to people talking through a door. I rely a lot on lip-reading if I cannot wear my hearing aids, phone conversations were almost impossible before I got them. I just cannot make my hearing loss make sense with my actual experience with hearing. So I have been wondering what causes me to feel like I hear so bad when my hearing is just slightly below the normal range? I should say that I have tinnitus as well, sometimes quite a lot, so that maybe factors into it too. Recently I began to wonder whether the reason I hear so much worse compared to other people with my level of hearing loss? Is that I have ADHD and PTSD which makes it so hard to focus? Do you think this is a possibility? Or could it simply be that I handle my hearing loss worse than others? I just do not understand why I experience hearing speech as so difficult and why I am so dependent on hearing aids when my hearing loss is technically very mild? Doctor: Hi. Let me tell you a statement which explains it perfectly. The ear receives the sound but interpretation of sound happens at the brain. So many a times with mild hearing loss speech perception is low moreover you have tinnitus too. I hope you have fitted with digital programmable (computerized programmable) hearing aids. If yes, it amplifies exactly the same as required in each frequency. No need to worry about it. By the way avoid caffeinated drinks (tea, coffee, alcohol) and avoid noisy situations as much as possible. Puretone is used in the test in which you got the result mild mid-frequency hearing loss (pure tone audiometry). But in day to day life you are not listening to pure tones right? It is speech so pure tone audiometry and speech audiometry should be done and correlated, if that would have been done then you must have a clear picture of your problem. My honest suggestion is to use the hearing aids, so as not to worsen the condition. If you stop using it that may cause further deterioration." + }, + { + "id": 22609, + "tgt": "Why do I feel lethargic and tired?", + "src": "Patient: Hi doctor, I feel lethargic, tired and lost a few kilograms of weight. I had an HCP test done. I want you to see it and help me. Doctor: Hi. I have read your message. From the report (attachment removed to protect patient identity), I feel significant are as follows. Revert back with the reports to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 26414, + "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": 24090, + "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": 17959, + "tgt": "Can I undergo surgery for Basal Cell Carcinoma under local anesthesia?", + "src": "Patient: Hello Doctor, I am 60 year old healthy female with\u00a0medically controlled\u00a0hypertension. I have\u00a0Behcet\u2019s disease, though mostly under control. I have had various tropical diseases. I also had\u00a0hepatitis A\u00a0at childhood, and\u00a0TB meningitis. I also have\u00a0scoliosis.\u00a0 I have been diagnosed BCC (Basal Cell Carcinoma) half way down and in the middle of my back. It is about 2cm in diameter and raised about 1cm high. Having had many skin cancers removed previously I expected the same procedure i.e, administration of\u00a0local anesthesia\u00a0and\u00a0excision. However, the general surgeon at the local hospital wants me to have\u00a0general anesthesia\u00a0for the surgical removal of BCC. I cannot understand the necessity for a general anesthesia for removal of a BCC (I have had many removed previously without any problem). As I have had adverse reactions to anesthesia before,I am very nervous about this.\u00a0\u00a0 Once I had\u00a0respiratory depression\u00a0during moderate sedation. Of five previous surgeries, I have had blood transfusions with two. My recent blood work showed low PTT.\u00a0 Is it necessary that I should undergo surgery under general anesthesia? Doctor: Hi, Welcome to icliniq.com. You should ask your surgeon the reason behind giving general anaesthesia in your case. Basal cell carcinoma is a locally invasive tumour with very rare chances of malignancy. The need for general anesthesia can arise when on clinical examination it was found that the tumour also involves underlying subcutaneous tissue, nerves and surrounding structures. In such cases we cannot rely upon the local anesthesia as we may have to extend the surgery. During surgery we have to remove one extra centimetre of the healthy margin to prevent recurrence of the tumour. This margin will be sent for histopathological examination later, to determine whether margins are free from tumour. If margins are involved resurgery has to be done. The size of your tumour is 2cm and may be your surgeon on examination found it to be a deep tumour. Hence to prevent resurgery, he might have advised surgery under general anesthesia. As in case of local anesthesia, sometimes it is difficult to extend the surgery especially when underlying nerves are involved. Do not worry about the general anesthesia as there are few anesthetic compounds which do not cause respiratory depression. So, inform your surgeon regarding the previous respiratory depression and get treated accordingly. For further follow up, consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 5958, + "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": 20484, + "tgt": "What can be done for loss of appetite and gas problems in a CKD patient?", + "src": "Patient: Hello doctor, My mother is CKD. Creatinine 3.88, Hb 5.6, Bun 72. She is diabetic and has high BP. She is taking allopathic and Ayurveda both. Creatinine reduced from 4.6 to 3.88. But others are increased. She is not feeling hungry and has gas problems. She is taking night pills. Doctor: Hello. I just read your query. Take half teaspoon of carrom seeds and a half teaspoon of cumin seeds in half glass of water and boil it in water, when half water remains, remove it from gas. After cooling down it little, she can take it one to two times a day for five days. It will help her in gas and low appetite. Consult me or a nearby Ayurveda physician after five days regarding improvement and for further management." + }, + { + "id": 27512, + "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": 29589, + "tgt": "Is there any rule that fruits cannot be eaten on an empty stomach?", + "src": "Patient: Hi doctor, I want to improve my eating habit. Please suggest based on the following information. We follow staple food in the family.\u00a0Rice for lunch and dinner and roti,\u00a0oats, etc., for breakfast. Predominant side dish for lunch or dinner is fish, vegetables and dal. Occasionally, chicken, mutton and egg. At present, I do not have any restriction on food. I am on regular blood pressure medicine Stamlo 2.5. I leave home by 7 AM on weekdays and reach workplace at around 9 AM and will stay in office until 4.30 PM. In work place, I have limited options for breakfast and lunch. I cannot eat a complete breakfast before leaving home. I do not intend to carry my lunch from home.\u00a0Given the constraints, please suggest a healthy diet for me. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 12946, + "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": 28676, + "tgt": "My 7 year old son has a desire to get married. How to deal with this?", + "src": "Patient: Hi doctor, My 7 year old son says that he wants to marry when he see girls. He has a desire to get married. Please tell me how to deal with him. I am worried about him as he is too young. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6288, + "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": 24188, + "tgt": "Why is there random chest pain in a heart patient?", + "src": "Patient: Hello doctor, My mother randomly gets chest pain that comes for one minute and goes, but this sequence sometimes occurs for half an hour. There is no jaw pain or pain radiating to the left hand, and no vomiting. Is there anything serious or this incident is common with heart patient? Her weight is 95 kg. The doctor prescribed her Nebicart 5 mg. Her blood pressure is 106/55 mmHg (lower side). Now another doctor has reduced the doses to 2 mg. Kindly suggest what has to be done. Now her blood pressure is 106/65 mmHg. The doctor also referred Caat 20 and Matilda forte in an earlier report. Her cholesterol is also on the lower side. What should I do? Kindly guide regarding medicine. Doctor: Hello. I have gone through the echocardiogram (attachment removed to protect patient identity), it is fine. You mentioned her to be a heart patient. Did she suffer an attack in the past or anything to suggest heart disease? I guess she just has blood pressure problem but no heart disease at present. The kind of pain you are describing is not angina pectoris, and likely it is not related to heart. This is likely a pain related to gastritis and reflux disease. Also, the possibility of muscular pain is there. Does she also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning? These are the other symptoms and may be associated. If these symptoms are also there, then it raises the possibility of gastritis, and she should get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg before breakfast once a day for two weeks. Have you got her ECG (electrocardiography) done? Is it normal? It is better to get treadmill test done as a part of routine screening in older patients. If she is not able to perform it, then she can have stress Thallium or CT (computed tomography) coronary angiography. These are not absolutely necessary but helps to detect underlying minor disease if it is there. Next, if Nebicard (Nebivolol) is given just for blood pressure, then the reading you have mentioned is low and needs dose reduction. You buy electronic BP (blood pressure) apparatus and monitor BP frequently at home. Next, regarding Caat (Atorvastatin), you can reduce the dose to 10 mg once a day bedtime if cholesterol is well controlled. It is better to continue it as it has multiple beneficial effects other than just cholesterol control. Matilda forte (folic acid, Vitamin B6, Mecobalamin) is a multivitamin and frequently given if neuropathy is there like tingling, numbness sensation, etc. Is she diabetic? For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21093, + "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": 16294, + "tgt": "My 6 year old daughter has two skin tag like bumps on her skin. What could it be?", + "src": "Patient: Hello doctor, My 6 year old daughter has two skin tag like bumps on her skin near the underwear line. She has had them for several months now and not getting bigger in size. It has been of the same size since it appeared. She does not have any pain or itching. She does not complain about them. But, I noticed another small one starting to appear. I think it is high time I should get her treated for this problem. Please help. Doctor: Hello. I read through your child's problem. This may be due to molluscum contagiosum, if central umbilication (a depression similar to that of navel present at the center of any lesion) is present in each lesion and a white body is present inside the bump or these might be warts (if soft, pinkish, irregular, fleshy and without any umbilication). Both these conditions are viral infections. Both of them can spread and form new lesions. In both the conditions, new lesions keep appearing. These lesions can be removed by different options like cauterization and cryotherapy. Warts can also be treated with topical lotion like Podowart (Podophyllum resin, Benzoin, and Aloes solution) under the supervision of the doctor. Molluscum can be treated by enucleating the white body from inside. Consult a dermatologist online for further follow up and treatment --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 335, + "tgt": "I have itchy bumps and pus-filled blisters in breast. Please help", + "src": "Patient: Hello doctor, I have itchy bumps located on right breast with blisters filled with pus. Doctor: Hello. Could you attach picture of it? Are those painful? Are you sexually active or do have close contacts with other individuals or do you share any clothes? If those are multiple small vesicles aligned or grouped together, with clear fluid inside rather than pus, then those are likely a herpes infection. Then you would antiviral like Acyclovir or Valacyclovir. Now since it is less than 72 hours, it is better to get antiviral prescribed, which gives better result with early treatment. Herpes is usually painful to begin with or may get painful later. If there is single swollen area with clear pus demonstrable or there is drainage then it is a bacterial infection which would need antibiotics like Augmentin. This would be associated redness or tenderness. So, be it either ways, you will need medications. So get it prescribed after examination." + }, + { + "id": 1838, + "tgt": "My chest feels tight and burns for a few days now. Is it due to COVID-19?", + "src": "Patient: Is it possible to overexert yourself and then not be able to breathe afterwards for days? like chest feels really tight and burns and feels like ive got asthma or something from lifting something heavy? Been feeling like this a few days now. Was feeling sick with suspected covid19 for a few weeks. Felt like I was starting to get better, then overexherted myself carrying heavy bags and immediately experienced intense tightness in chest and shortness of breath worse than before.Went to the ER they didnt see anything wrong with heart or lungs. Got an appointment with a doc but its not until later. Whats going on? ER said it could be stress or anxiety and gave ativan which helps some. But is it ever going to go away? Doctor: Hello. the situation you are going through i can understand. its a pandemic that people of the world are suffering. your condition is quite similar to Covid19 cases, but do not worry, symptoms like FEVER, LOOSE NOSE, DIFFICULT IN BREATHING, COUGH, COLD AND THROAT PAIN are for covid positive persons. you have just breathing problem. here i will tell you something important which will help you in keeping yourself stress free. use the tab prescribed by the dr., also from today start DEEP BREATHING EXCERCISE. at first you wont be able to do breath deep but try to do slowly at first 10 secs. increase the count of breathing every minute. afyer few minutes take a deep breath hold for 3-4 secs and then release. increase holding of breath for upto 20secs. i know you can do it and you have to do this. you are so tired and got over stressed by yourself. never get panicked. aoart from DEEP BREATHING EXCERCISE do regular walk, little bit of muscle strengthening excercise as well. all this will help you in gaining your confidence, health and heart beat to normal. SLEEP FULL, EAT HEALTHY, AVOID ALCOHOL IF CONSUMES, NEVER GET STRESSED. always stay safe thank you." + }, + { + "id": 3491, + "tgt": "Will Okra help in reducing kidney damage?", + "src": "Patient: Hello doctor, How does the consumption of okra promote a healthy pregnancy? How does vitamin C content in okra help to reduce respiratory illnesses like asthma? What is the relationship between okra and kidney disease? How can eating okra daily help reduce kidney damage? How can okra help reduce the absorption of glucose in diabetics? Why is it beneficial to add okra to your diet to lower bad cholesterol levels? How does okra aid your immune system? Doctor: Hello. Okra is a vegetable with amazing health benefits. It aids bowel movements in constipation, lowers cholesterol and reduces the risk of colorectal cancer. Research shows that this vegetable has natural anti-diabetic properties. Remember that the benefits of okra are due to its fiber and its mucilage (that unpleasant slippery inside). So if you cook the veggie in such a way that you leave the fiber and the mucilage intact you can enjoy its immense health benefits. Chop off the ends, cut them into a few pieces and soak them in a cup of water overnight. The next day remove okra and drink the water. Naturopaths maintain that this medicine also works great for joint pains due to the viscosity of okra which aids joint movement. It is wise to consume okra like other vegetables. But okra alone cannot do miracles like getting pregnant in a woman with some gynecological problem or it cannot cure kidney stone." + }, + { + "id": 9836, + "tgt": "After wisdom tooth removal, stitches are gone but there is a big hole. Is that normal?", + "src": "Patient: Hello doctor, I had my wisdom tooth removed about two weeks ago and they had put dissolvable stitches. When I looked into my mouth today, the stitches are gone and there is a big hole there. Is that normal? Doctor: Hi. Wisdom tooth removal is a surgical procedure that requires suturing. Suturing can be done with resorbable (dissolvable) or non-resorbable materials. Yours is the dissolvable type as you have mentioned. The advantages of this type of suturing are: So, you do not have to worry that your stitches are missing. It is very normal. Regarding the big hole that you have mentioned: So, you need not have to worry. Until then follow these steps: Kindly follow up for further clarifications with a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9417, + "tgt": "I am lean. Please help me to gain weight", + "src": "Patient: Hello doctor, I have a lean body. I tried many times to gain weight but failed. Should I take protein shakes or diet only? I am very upset about my body. Please help me. Doctor: Hello. Very few people ask us how to gain weight. It depends on bodies basal metabolic rate. Many people who eat too much but still will not gain weight because they have a high basal metabolic rate, which we call it as BMR in medical terminology. Some people eat very little but are fat or obese. The BMR of an individual depends on his or her genetic makeup. You can try having a high protein diet or protein supplements. I suggest you visit a nutritionist or a dietitian who can help you with proper food requirements based on your body requirements as every individual has different BMR. I hope this information helps." + }, + { + "id": 18866, + "tgt": "Is my kidney deteriorating?", + "src": "Patient: Hi doctor, I am a 34 year old male. 18 months ago, my serum creatinine and blood urea were 0.9 mg/dL and 15 mg/dL respectively. Around a year back, it was 1.2 mg/dL and 25 mg/dL and now, 1.2 mg/dL and 38 mg/dL respectively. I do not have diabetes. It is 94 mg/dL at fasting. The blood pressure is 110/70 mmHg. My total cholesterol is 209 mg/dL, LDL is 118 mg/dl, HDL is 42 mg/dl and triglycerides is 130 mg/dl. My liver function test shows mildly elevated SGPT, 75. All other parameters are normal. I have gone through five Amoxicillin-Clavulanic acid courses during last one year for sinus and ear infection that is in total 60 tablets during the last year. I am currently taking Urso 300 to lower SGPT, Naturolax for constipation, Ecosprin 150 and EPA-DHA Omega-3 for lowering cholesterol. My doctor has stopped statin drug due to elevated SGPT. Is my kidney deteriorating? Doctor: Hi. Revert with the reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 926, + "tgt": "My lower wisdom tooth is erupting with swollen gums and pain. Please suggest solution", + "src": "Patient: Hello doctor, I am facing this below for more than 15 days. My lower and upper wisdom teeth are erupting. The lower teeth are erupting and gum got swelling and pain. There is swelling nearby the last molar teeth and feeling pain. I have a feeling of throat infection and sometimes pain in the throat, neck and Jaw. I have no fever but inside the tongue I found red blisters. I need your advice. Already I am taking Loxoprofen sodium 60 mg for one week, and Azithromycin for about three days. Doctor: Hello, Welcome to icliniq.com. First of all please do not worry. I went through your query and I am a specialist dealing with third molars. I can understand what kind of pain and discomfort you have been through. I will guide you to relieve all your pain. These teeth are impacted and they will not come out normally and will cause discomfort repeatedly. I will prescribe better medicines kindly get them you will be fine. Visit your dentists office once the lockdown gets over to extraction. For now, I need you to do Warm saline gargle two to three times a day (if hypertensive avoid salt, use Betadine gargle). Avoid sticky or sweet food. Maintain oral hygiene. Avoid direct heat (warm cloths from outside). Take the medications as prescribed. Impacted third molars. Pericoronitis. Follow up after seven days." + }, + { + "id": 6261, + "tgt": "Is it normal to have sharp pains in lower abdomen and sometimes in sides during pregnancy?", + "src": "Patient: Hello doctor, I am currently 12 weeks pregnant. I had my first ultrasound at 9 weeks. Everything went fine. The past few days I have been experiencing sharp pains in my lower abdomen and sometimes in my sides. This pain is just uncomfortable, I would not say it is severe. I have not had any bleeding but I have had white milky discharge. All I have been taking is a parentral Vitamin once a day. Doctor: Hi. How are you doing? Hope this is your first pregnancy. From your history, I feel this is just the pain due to streching of uterus. Uterus is just a 7 cm muscular organ, till you reach 40 weeks, baby weight is gradually increasing, thereby streching the uterine muscles which will be painful. This also stretches the muscular and ligaments support to uterus, attached to the bones around. Vaginal white thin discharge is normal due to the progesterone hormones. As long as you have no bleeding, no other obstetric and medical problems, this is fine. To relax uterus, you can have tablet Duphastone twice daily for a month. This is Progesterone which supports the pregnancy." + }, + { + "id": 10566, + "tgt": "I never had an orgasm even after masturbating to porn. Why?", + "src": "Patient: Hello doctor, I am a 20-year-old female. I got used to masturbating to porn for seven years now, and I never had an orgasm by myself only, maybe twice my whole life before my relationship. And now I am in a lesbian relationship, and we are living together. The whole six months, I have never had an orgasm with her except when we masturbate together. I have started to worry, sometimes I almost reach but never totally reached, and sometimes I return without an orgasm. Is it because of my porn history? I do not know where the problem is? Doctor: Hello. Orgasm is not traceable to your masturbation or porn history. Some people experience it a few times in their sex life. Even in a heterosexual relationship, most times the man cums even when the lady is yet to cum. On many occasion, she never cums. So it is body differences. Has nothing to do with your masturbation experience. Some ladies cum faster when oral sex is done on them. So there is nothing wrong with you. You are fine." + }, + { + "id": 6766, + "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": 23522, + "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": 29628, + "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": 9099, + "tgt": "My eyes are watering while using mobile. Can you suggest me glasses?", + "src": "Patient: Hello doctor, Water is coming from my eyes when I use mobile. Can you suggest me glasses? Doctor: Hi. You should try to minimize mobile screen time. Secondly, try to make habit of eye blinking at the regular interval because while seeing screen we stare and do not blink that much. That is why the eye gets dry and to compensate that, your eyes start producing excessive tears in the form of watering. So, reduce screen time and use artificial tear (Tears Naturale drops). I hope you will be okay." + }, + { + "id": 20029, + "tgt": "Should the HIV medicines be changed after taking them for 11 years?", + "src": "Patient: Hello doctor, My uncle aged 54 and aunt aged 47 are using Lamivudine, Nevirapine, and Zidovudine tablets for the last 11 years. Can they continue to use or do they need a change in their medicines? My aunt has few health issues like a\u00a0sore throat and loss of voice\u00a0and has been\u00a0suffering from\u00a0a slight pain on\u00a0both sides of rib area for a few years. Is this because of the above medicines? Or is to due to less work? There are no issues with my uncle. Other than the ones stated above, they have no health complications. Should they continue taking the medications? Are\u00a0any tests required? Someone has told them that after 11 years of being on the above medications, they need to change them. Is that true? Do they need to change the medicines? Please provide the Information which will help them a lot. Doctor: Hello. For more information consult an\u00a0HIV AIDS specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30647, + "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": 10413, + "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": 13897, + "tgt": "Are the white bumps near vaginal opening due to yeast infection?", + "src": "Patient: Hello doctor, I thought I had a yeast infection. So, used Monistat injectable and cream. Itching and discharge have gone but I just noticed raised bumps near vagina opening. I am terrified. Doctor: Hi. The lesions appear to be genital herpes. But, do not worry, they are not here to stay. These bumps will gradually fade away within a week. If you are in pain, sit in a saltwater bath, apply ice packs, take Paracetamol. Most of the time, it can be confirmed with a swab test. How old are the bumps? You may take the following medicine. If less than 72 hours, they will prevent the spread. If more than that, do not worry, your body will make antibodies itself and heal you. Since it is a sexually transmitted disease, my suggestion is to avoid any kind of sexual activity while the lesions are active. Swab test from lesions for HSV 1 and 2. Genital herpes. Tablet Acyclovir 200 mg five times a day for five days. Regular use of condom, avoid multiple sexual partners. If recurrent lesions occur, other STDs may be needed to be ruled out." + }, + { + "id": 5878, + "tgt": "How can frequent unconsciousness be treated?", + "src": "Patient: Hello doctor, My wife, 26 years old, is facing some problem of senselessness. When she is feeling tension, become senseless near about one hour. Before few months, she became senseless 7 to 8 times in her life. But then, she fell down from staircase, became senseless for 1.50 hours. She gets pain at back side of head. CT scan and EEG report normal. Pressure low. Hemoglobin lower. In these two to three months she became senseless 20 times. Even twice a day. What should I do now? Doctor: Hello. She loses sense (consciousness) for 1 to 1.5 hours, and same thing happened for more than 20 times in the past few months. Probably she is suffering from some tension, it does not seem to be seizure or convulsion as it lasts for 1 to 1.5 hours and CT brain and EEG are normal (attachment removed to protect aptient identity). But still seizure cannot be ruled out as she fell down and became unconscious. Tell me more about her senselessness. Is she moving or shaking her hand and legs during that episode? Is she having frothing from mouth? Tongue bite? Urine and stool incontinence? Does she remain confused after waking up from that event? If no to all, then it is less likely to be a seizure or convulsion or mirgi. Now can you tell me any issues or tension or family quarrel in home? If yes, then try to clear it out give her some relaxation if possible, give her warmth and family support. Correct her hemoglobin with proper Iron medications. Encourage her to take proper diet on time and adequate sleep. Tell her to take enough water and salt as needed. Regular exercises. Check her BP and sugar if not done. If possible, do one MRI brain as CT scan is not a good test to see everything. If possible, take opinion of psychiatrist for tension relieving medicines or directly she can take tablet Nexito Plus 1/2 tablet at night." + }, + { + "id": 29758, + "tgt": "Why did my doctor recommend endocrinologist opinion for weight gain?", + "src": "Patient: Hi doctor, My mom is complaining about headaches and burning sensation in the eyes. She has put on weight as well and recently she started complaining about pain in the right leg heel. So, I took her to an orthopedic doctor. He asked her about her menstrual cycle and when she replied that it has stopped, he recommended me to consult an endocrinologist. Why? She is 55 years now. Doctor: Hi. It could be due to her stopping of periods called menopause. During this period there occur hormonal changes, which causes these symptoms. I recommend her to get the following tests done and revert back. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 30308, + "tgt": "I am 18 years old. Is my testosterone level normal?", + "src": "Patient: Hi doctor, I have not grown to the expected height. I am 173 cm. My mother is 173 cm and father is 189 cm.\u00a0I had a blood test to determine my HGH levels. The doctor asked me for a testosterone and GH test. The result came back a week later and it said that I had a low HGH level and a 21/42 level testosterone. Is this normal for an 18 year old male? I was devastated that my growth plates were closed, because I also had an x-ray of left hand. My doctor asked me whether I am sexually active. I answered him no. But, I got a doubt regarding erectile dysfunction. Am I suffering from erectile dysfunction?\u00a0Should I be worried? Is my testosterone too low? How can I increase testosterone? I had torsion three years back and nothing back happened. But, this could be a factor. Another factor may be that I used to hold my mobile phone in my pocket all the time. I am a sprint athlete and\u00a0have defined leg muscles, but this could be due to my short stature.\u00a0I have gone for another blood test for GH, just as a follow up and that time I was advised to fast for 14 hours. But, I did not fast during my first blood test. Please help me. Doctor: Hello. Please relax and do not worry. 1. Free and total testosterone. 2. Serum FSH and LH levels. 3. Ultrasound examination of your scrotum to look for the status of your testes. Revert back with the reports to an andrologist online.---> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 2342, + "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": 25295, + "tgt": "What is the rationale behind lymph node enlargement in my baby?", + "src": "Patient: Hello doctor, My 2-year 8-month-old son has a single lymph node enlargement which is movable around 1.5 cm. There are no other signs or symptoms. There is no sign of any infections. Should I be worried? Doctor: Hello. Single lymph node has no significance if there are no associated infections. Maybe your child had some cold or minor infection around that area due to which the lymph nodes got enlarged. You should show a doctor when lymph node increases in size as it is becoming very painful for the child, more numbers come Else, it is absolutely safe and will disappear within a week or two. But if you are so concerned, they will suggest an ultrasound to rule out that it\u2019s not infected or not a lymphadenitis. For more information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23707, + "tgt": "Diagnosed with gestation diabetes. Was the test done right?", + "src": "Patient: Hi doctor, I am 9 weeks 3 days pregnant. My doctor has diagnosed me with gestational diabetes. At my 1 hour test, my levels were at 170, which was high, but they told me it was low. I was scheduled for 3 hours test and was told to eat sugar treats and sugar drinks three days before my test and then to fast on the day of the\u00a0test. I failed all the three tests. I have been told that I was obviously going to have sugar in my system, so that is why it came out high. Was the test done right? Doctor: Hi. Let me make a few corrections in the methods done. I have not heard of the methods done. Gestational diabetes is caused by the hormones of the pregnancy, which appears in pregnancy only after 26 to 28 weeks, the time when pregnancy hormones are at the highest level. So, any diabetes occurring before 28 weeks is called pregestational diabetes. It is important to know because in gestational diabetes mellitus (GDM) by 28 weeks the baby is fully formed and abnormal sugars cannot lead to any abnormalities in babies other than an increase in birth weight and amniotic fluid. But, if the sugar rises early as in your case (before 28 weeks) this can affect the normal growth of baby's tissue. You will need to be put on Insulin to correct sugar before any damage is done. We do not need to give such challenges in pregnancy to know that your sugar level is high. I would suggest you undergo HbA1c (glycated hemoglobin) as this checks your blood sugar level of last three months. Your level should be less than 6.5 %. If it is more than this, then you need to be treated with Insulin. Have fasting blood sugar at the morning after the overnight fast of 8 hours and postprandial sugar after 2 hours of food. These two blood levels will help you decide the doses of Insulin. Also, you can take a second opinion from another doctor. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21439, + "tgt": "Is it normal for period cycle to change while taking Dronis?", + "src": "Patient: Hi doctor, I am 27 years old female. I am taking Dronis 30 mg from the last month. My period cycle is 27 to 28 days. But, I was getting my period from 30 to 32 days. Is it normal? This time, I got my periods after 37 days. Is this normal after taking Dronis or is it irregular? I am also trying for pregnancy. Doctor: Hi. Dronis is a contraceptive used to prevent pregnancy. You will not become pregnant if you take it. You should stop it if you want to become pregnant. The cycle is normal when it is from 21 to 35 days. Nothing to worry. If you have irregular periods, do serum TSH (thyroid stimulating hormone) and serum prolactin on empty stomach tomorrow morning and let me know your report. If you have any hormonal imbalance, it can be corrected with medicine and your periods will be regular and you will become pregnant. Also, do USG pelvis by transvaginal scan to see if you have PCOS (polycystic ovarian syndrome). Take tablet Folic Acid 5 mg once daily after food since you are planning a pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23016, + "tgt": "I have stomach ache and bloating. Should I take a laxative?", + "src": "Patient: Hello doctor, Starting Friday morning, I started to get stomach pain and a headache and my body felt week. I went home and slept for a couple hours and this seemed to help at first. That night I was up until 4 AM with terrible stomach pain and extreme bloating. I took Mylanta and was able to at least fall asleep. I felt alright the next day until about midday and then started feeling the same symptoms with the addition of a sore throat. I have also been feeling a lot of neck and back pain. My symptoms have included: Sore throat. Headache. Stomachache/ cramps in the abdomen. Bloating. Back and neck pain. Heartburn. Nauseous. Belching. Doctor: Hi. Your symptoms cannot be specifically correlated to a single condition. However, it looks more like gastritis with acid reflux on the first note. You can take acid-suppressing medicines like Pantoprazole 40 mg tablets once daily before food for one week. Can add tablet Ondansetron 4 mg twice daily before food. Consider soft foods and more liquids for another three days. If symptoms are persisting, can consider getting basic blood tests and an ultrasound scan of the abdomen. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11697, + "tgt": "What can be the reason for lack of libido after discontinuing Risperdal?", + "src": "Patient: Hello doctor, I am a 33-year-old male with height 180 cm, and weight 85 kg. I always been healthy. I do not have symptoms of depressions. I took Risperdal to treat minor vocal tics, and I have OCD. Now I have been off Risperdal for five months and still no libido, no sex drive. I searched for post-SSRI sexual dysfunction (PSSD). Why do no doctors recognize this? What is the solution now? I took Risperdal three times for three months each time for the past two and a half years (on and off). I took Risperdal three months before. Symptoms are no libido, no sex drive, and no feelings for sex. I am not taking any other medication (never took any). Why is everyone ignoring PSSD? What is the treatment? Doctor: Hello. The drug you used Risperdal contains Risperidone an atypical antipsychotics and it has an effect on libido, but it will wear off when you stop taking medicine. So we need to find other reason causing low libido such as, 1. Decreased sensation in your penis. 2. Fear of failure. 3. Low self-esteem (chronic masturbation). 4. Homosexuality. 5. Religious constraints. 6. Long term illness. 7. Negative attitude towards your partner. 8. Hormonal issue. 9. Diabetes and hypertension. These are other issues causing low libido. If you can share details regarding the above reason, we can work on your cause." + }, + { + "id": 17427, + "tgt": "How to know the reason for low testosterone?", + "src": "Patient: Hi doctor, I am 34 years old. My weight is 84 kg. I am married for four years. I am unable to make a relationship with my wife. The erection problem is there for the past two years. I checked my testosterone level, which is 183. Why is it low? Please advise me the ways to increase the testosterone level. I am currently taking Tadalafil 10 mg. For your information, I am a\u00a0vegetarian. Doctor: Hi. Revert with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 20731, + "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": 27891, + "tgt": "My wife has pregnancy symptoms along with heavy bleeding. What does it mean?", + "src": "Patient: Hello doctor, My wife and I had sex one and a half months ago. We used the withdrawal method for contraception. After\u00a0four weeks, she showed all the pregnancy symptoms including delayed period. Five weeks after the intercourse, she had heavy bleeding and it continued for four days. I think it was a miscarriage due to her daily walking and excessive work. Then, she took a home pregnancy test, and it shows negative. A week later, she again showed pregnancy symptoms like nausea and abdominal cramps. What does this mean? Is she pregnant? Was the heavy bleeding due to a miscarriage? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17321, + "tgt": "How to prevent the spread of HSV-1 virus to new outbreak sites?", + "src": "Patient: Hello doctor, I am a 46-year-old male. I have recurring HSV-1 around the base (and inside) the nose. I have an outbreak now and my last outbreak was about 52 days ago. In childhood, I began with blisters on the lips; in the past five to 10 years, it seems it has migrated to the nose. Also, in the past, I could take Acyclovir or Valacyclovir successfully for treatment. And for a period of some years, I was able to take 500 mg Valacyclovir daily as a prophylaxis. But now those drugs (and also Famciclovir, which I have tried recently) each cause dose-dependent unpleasant side effects of CNS stimulation and muscle tension. So, my upcoming question is regarding treatment strategy and options. My inclination when outbreaks recur is to take Famciclovir at a low dose (250 mg initially and 125 mg every 12 hours for three days). It is not clear how much this may actually help, but it is what I feel comfortable presently doing and the side effects are at least tolerable at this dose. I would not want to take it daily at this dose though. There tends to be a crash after finishing it from the drop/lapse in stimulation. With this background, on to my questions: Does the frequency of outbreaks increase the likelihood of spreading the virus to new locations? Again, I am seeing a frequency of about every two months. I am particularly concerned about ocular herpes. What I am driving at is, can I feel safe in avoiding taking a daily, preventive dosing of an antiviral? And when I get an outbreak, do I need to treat it at a high dose of antiviral (or treat it at all, really) to prevent the spread to new outbreak sites (such as to the eye, or even other parts of the face)? I worry that I need to try to endure the side effects of the antivirals in order to prevent the virus from spreading to new locations (again, such as the eye). Perhaps you can help assuage me of this fear.\u00a0My current medications are Synthroid 75 mcg daily, Lansoprazole 30 mg daily AM, Omeprazole 40 mg daily PM and Prozac 35 mg daily. Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17246, + "tgt": "If I stop Isotretinoin, will my acne come back?", + "src": "Patient: Hi doctor, I have been\u00a0taking a course of Isotretinoin for the past 20 days and I am really happy to have a clear skin. I do not want acne anymore. Just I am thinking if acne will come back after I finish the course of treatment. I am 25 years and suffering from acne for the past four years. I have taken many medicines, but nothing work permanently. My acne comes back as soon as I finish my antibiotic course. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2962, + "tgt": "My kid developed papular urticaria post insect bite and not subsided on medication. Why?", + "src": "Patient: Hello doctor, This query is regarding my baby boy\u2019s health. He is 18 months old and recently had his varicella shot last month. Last week, he suddenly started shouting in the middle of his sleep and kept scratching his forehead and neck region. When checked two mosquitoes were near him and had bitten him. Generally, he gets papular urticaria after any insect bite. But after three days, he got lesions all over his face, arms, and legs. Checked with my doctor and initially, it was ruled out as chickenpox along with insect bite allergy. But even after a week he still did not show improvement. The older ones are very slowly recovering. But everyday new lesions are coming up and he scratches like anything despite a lot of medications. Please help. His current medications are Aciclovir 2.5 ml thrice (completed the 5-day course), Azithral 5 ml (night only) for seven days, Xyzal 2 ml thrice daily. Now the doctor has started him on Omnacortil steroid medication and Kid pred 3.5 ml twice daily. Please suggest if we are treating him the right way. He weighs 10.5 kg. No fever, cold or body pain symptoms. Doctor: Hi. As per the history and pictures shown (attachment removed to protect patient identity), I would recommend to get the child evaluated for scabies if the above treatment does not work. Until then continue the treatment as going on. It appears to be fine as per my knowledge as I have not evaluated the child physically. If the treating doctor feels that it is scabies after examination, it would be advisable to use one dose only of Permethrin 5% on the body and 1% on the scalp. I hope this helps." + }, + { + "id": 19075, + "tgt": "My sister has swelling, cushingoid facies and proximal myopathy. Why?", + "src": "Patient: Hi doctor, My sister is 37 years old with previous 2 LSCS. She has symptoms such as swelling over whole body and face. Along with these complaints she has weakness, tiredness, cushingoid facies, proximal myopathy, palpitation, trembling of hands and amenorrhea or slight on and off spotting. She is suffering with recurrent nephrotic syndrome since 3 years. Currently she is on Tacrolimus 2.5 mg in the morning, 2 mg in the evening, Omnacortil 30 mg and Telmisartan 40 mg each once a day, Atorvastatin once at night and Calciferol twice a day weekly. I am attaching all her reports for your reference. Kindly check them and help us out. Thank you. Doctor: Hello. I checked your sister's complete details (attachments removed to protect patient identity). For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 825, + "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": 11624, + "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": 22180, + "tgt": "Please advise on nasopharyngeal carcinoma in a 17 year old male", + "src": "Patient: Hello doctor, This query is regarding nasopharyngeal carcinoma non-keratinizing. The patient is a male 17 years. His symptoms are epistaxis, lump on the right side of the neck, and weight loss. Blood tests, CT scan, FNAC cervical lymph node right side of the neck, EBV testing, and biopsy of nasopharyngeal mass is done. Doctor: Hello. I have seen the attachment (attachment removed to protect patient identity). It looks like a nasopharyngeal carcinoma (a head and neck tumor). But still, the staging workup is incomplete. So, you need to do a CT scan of the chest and isotope bone scan or a PET/CT scan to complete the staging workup. As this tumor is not common in this age group, it is advised to review the pathology specimen again with the use of immunohistochemical markers in a different lab or take a new biopsy as FNAC is sometimes insufficient to confirm the diagnosis. After staging workup is completed and pathology (second opinion) report will reconfirm the diagnosis, the patient may need and benefit from chemoradiation (radiation therapy and chemotherapy). This tumor usually responds well to chemoradiation and can be cured completely. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 7479, + "tgt": "Could increase in WBC count could be a reason for reoccurrence of stye?", + "src": "Patient: Hello doctor, I have a stye, and it is reoccurring from 15 days. As my CBC report, hemoglobin is 11.8, and RBC is 4.02, and WBC is 10200. So is it because of the increase in WBC? Doctor: Hello. I reviewed your history. A stye is because of bacterial infection of glands if eyelids. Since this is infection WBC count is expected yo increase. WBC count in your cade is within normal limits, up to 11,000 is normal, no need to worry. The recurrence is because if recurrence of infection and recurrences occur in people with risk factors like blepharitis, exposure to dust. Hence consult your eye doctor to find out the underlying cause and treatment accordingly. As of now, you need to use antibiotic eye ointment and hot compression." + }, + { + "id": 12632, + "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": 4634, + "tgt": "I have watery eyes, eyelid swelling and redness. Why is it so?", + "src": "Patient: Hi doctor, When I wake up in the morning, I have\u00a0watery eyes,\u00a0eyelid swelling and\u00a0redness. The symptoms get clear in some half an hour to a maximum of 2 hours and then it remains fine the entire day. Please help with this. Doctor: Hi. Revert back with the photographs to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18499, + "tgt": "Why is my brother weak after stopping alcohol?", + "src": "Patient: Hi doctor, My brother is suffering from extreme numbness and pain in soles and palms. He also experiences constipation, weight loss, dizziness and lack of appetite. Please help. Doctor: Hello. I had gone through the data you have posted. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16083, + "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": 20197, + "tgt": "Am I having gut flora imbalance or IBS?", + "src": "Patient: Hello doctor,I was diagnosed with IBS-D by a gastroenterologist. My CBC, abdominal ultrasound and FOBT were all normal. I was put on one-month medication consisting of Rifagut 550 (twice per day), Colospa Retard (twice per day) and Librax. My only problem was aggressive BM, not diarrhea but a lot of gas after getting up in morning followed by first BM and then another BM in a span of two hours. I weighed 79 kg seven months back and did drop to 72 kg weighed last month. The doctor says this weight loss is clinically not scary. I did consult another doctor who says this to be gut flora imbalance and not IBS as I have not had any relief from IBS medication and he believes my symptoms does not correlate with typical IBS. At present, I have a frequent passing of gas, especially after eating food or dinner. In the morning BM is smooth however I do feel the gas and pressure again in three hours time and this trend is regular. The stomach gets settled after second BM. I do hear stomach growling and if I press my stomach hard I do feel pain like tenderness but only if I press hard otherwise there is not any pain, cramp or anything. I was advised to take Nexium 40 mg empty stomach for three weeks and I am still continuing with my third week. I was asked to quit smoking, alcohol and all non-vegetarian items which I have done from past one week. I am also taking one capsule of 64 billion probiotic daily along with 100 ml Kefir. My breakfast includes probiotic yogurt along with oats. I also have suspected migraine or occipital neuralgia owing to which I have had a lot of Voltaren 50 mg tablets at least 10 to 15 days in a month from past four years.I really want to understand what is this gas, morning episode BM and stomach growling all about? And how can I get rid of this once for all if it is an issue? Is this gut flora imbalance or IBS? How can I live an effective and healthy life? Doctor: Hi. Going through your history and reports, I do not feel anything so scary with you. Your reports are absolutely fine. It is very difficult to say whether you have IBS (irritable bowel syndrome) or gut flora imbalance. The diagnosis of IBS is reached when we exclude all other possible common problems, which was done in your case too. Now the basic issues need to be addressed. This includes gut microbe modification too. So have your probiotics for a month. Maintain the modified diet for long periods. Avoid excess gas forming foodstuffs. Have two to three liters of water daily. Limit your Voltaren (Diclofenac) use. Colospa Regard (Mebeverine) can be used if you have severe symptoms. Make a habit to spend some time in the toilet rather than rushing after the first BM (bowel movement). The initial BM is the already collected ones in the rectal pouch and the later one is all which comes slowly from above. So it may not be pathologic. Reflux BM can also happen in some after having food which is called exaggerated gastrocolic reflux. All these are normal variants. Avoid excess stress in life if you have any. Avoid over attention to this problem too. These also will definitely help. If even after 2 to 3 months you are not getting a response, further evaluation includes a contrast CT scan of abdomen and colonoscopy, which you need not think of now. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 29926, + "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": 27025, + "tgt": "How to reverse the ill effects of excessive masturbation?", + "src": "Patient: Hello doctor, I feel tired and unenergetic after masturbation. And due to masturbation, I feel I am losing essential nutrients. Now,\u00a0what should I do to reverse the ill effects of masturbation? Is there any medicine or supplement? Do you recommend taking Ashwagandha? Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17160, + "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": 301, + "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": 29138, + "tgt": "Do I need to wear glasses when my eyes are 6/6?", + "src": "Patient: Hi doctor,As per last week eye checkup my eyes are 6/6, but doctor advised me\u00a0to use 0.5 power glass for far distance while working on a\u00a0computer or watching television. I am an IT professional. He told that sometimes my right eye did not match with the\u00a0left so it is creating eyestrain. But, for second thought I went for another doctor he told to use 1.5 glasses for the same. So, what should I do now?\u00a0As I went to first doctor in morning and second in evening so my eyes are very tired in the\u00a0evening. Can tiredness be\u00a0the reason for this difference. I do not want to make any wrong decision in this matter as I\u00a0know if Istart using 1.5 then eyes will be in habit of that and then I\u00a0have to use it for every time. If I do not use any, then power will increase. Currently, I am using Hyfresh eyedrop. Please help. Doctor: Hi. I have gone through the pictures of your old prescription (attachment removed to protect patient identity).\u00a0 For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11565, + "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": 3271, + "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": 5086, + "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": 29142, + "tgt": "What are the treatments available for my husband's eye problem?", + "src": "Patient: Hi doctor, My husband is a contact lens wearer for more than 15 years. He changed the contact lens brand as per optometrist advise. Within a week, he started rubbing the eyes and got a point of laceration and then infection in the right eye. The infection also has spread to the other eye. Six months later, he has lost all feeling in the right eye. There is a large nonhealing ulcer in the right eye. Both eyes become hazy. He described it as looking through a wax paper. Most doctors he has seen will not dilate his eyes as they say they will not be able to see in. He says his vision is worse when he first wakes up. He has halos, light sensitivity, headaches and eye pain. Glasses do not help and contact lens has not been used since the beginning of this issue. He was diagnosed to have dry eyes, by a cornea specialist, but he did not perform a tear production test. Another cornea specialists without doing a tear test said that his eyes have only slightly less tear production. But, retina specialist said that everything is normal and it is a cornea problem. With six months of Restasis, Besivance and Lotemax, there is no improvement. He cannot drive, cook, read, watch television, work, play with our son or pour himself a glass of soda. He has tried pressure patches. The doctors advised to get an AMG on his left eye under a new BCL. Currently, there is no active infection in the left eye. The right eye is much worse with a large visible ulcer and looks very whitish and yellowish. Dry eyes seem absurd at this point. What other treatments are available? What are the other possible diagnosis? I know you cannot say for sure, but an idea would be great. He feel taking the trash out tonight as he could not see. He lacerated his nose, lips, both his shins and has a bruise on his entire inside arm. He is depressed and I am at a loss. He needs help walking down the street as he cannot see. He is just 39 years old. His health is generally good. The most worrisome part is that his left eye is catching up with the right. I believe that the vision test was 500/20 and 300/20 last week. Doctor: Hi. Revert back with the culture reports to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18960, + "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": 6343, + "tgt": "I have cramps, noise in stomach and gassy feeling before periods. Why?", + "src": "Patient: Hello doctor, I am a 15-year-old female. The day before my period I got bad cramps and they stopped before I go to bed. On the day of my periods, my stomach is making weird noises and I feel that it is filled with gas and getting little cramps. What is my problem? Doctor: Hello. There is autonomic nervous dysfunction before the period comes, and this period can stretch as long as 14 days before your period. You may experience bloating due to excess gas discomfort in your back and pelvis. Weird sound in your tummy, constipation, diarrhea, and general ill-being are collectively called PMS (premenstrual syndrome). It usually subsides within a few days of you getting your period. So, in my opinion, you are probably facing PMS, be assured to take lots of water. Try to keep your bowel motions regular. Avoid oily junk foods around that period, and you will be good in no time. I hope this helps." + }, + { + "id": 3237, + "tgt": "Is it normal to have spotting while on emergency contraceptive pill?", + "src": "Patient: Hello doctor, I have been sexually active since four months. We initially did not use protection. In order to avoid pregnancy I have used emergency contraceptive pills for a few times now. My periods got delayed by a day or two but with no major changes in the cycle. Last month I found spotting around the time of ovulation and assumed that it was a sign for fertility. This month again I found spotting but it is a little severe, not much as during periods but still more than just spotting. Is there anything to worry? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29281, + "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": 14466, + "tgt": "Is it possible to prepone periods?", + "src": "Patient: Hello doctor, Is it possible to prepone my periods by a few days? Doctor: Hi. I do understand that when we want our periods to be earlier rather than later. But unfortunately delaying cycles is usually better. If you have 28 days cycles then this month your cycles will start on the expected date. But, if you have 30 or more days cycles I will suggest starting tablet Meprate (Progestin) 10 mg twice daily from two days before the expected date till the day you do not want your periods. After stopping tablet, the cycles will start in 2 or 3 days. They might be heavier than usual but no worries." + }, + { + "id": 11902, + "tgt": "Which medicine should we give for cough in a kidney transplant patient?", + "src": "Patient: Hi doctor, My father is a kidney transplant patient. He had his transplant a year ago. Right now he is having wet cough and cold. It started yesterday. He is taking Pangraf 1.5 mg, Cellcept 500 mg, Septran and Wysolone daily. Which medicines should we give him for cough and cold? Doctor: Hello. First of all, most of the cough and common cold are upper respiratory tract infection (URTI) issues, which are self-limiting and respond without antibiotics. But since he is on immunosupressants, he would be considered for antibiotics if he develops any high grade fever or severe coughing. For URTI, I advise to take an antibiotic like Azithromycin only in case he has persisting fever. Otherwise in most cases of URTI, it is due to viral infection and it gets better within 5 days. He can take an antiallergic like Levocetirizine which is available as OTC (over-the-counter) drug. He should do warm saline gargles at least 3-4 times a day and do steam inhalation. He should also take Paracetamol on as or when required basis for fever and body pains.Please share my opinion with your doctor, before acting upon it." + }, + { + "id": 15364, + "tgt": "I am getting wheezing and cough on sleeping in AC room. Please help", + "src": "Patient: Hello doctor, I am experiencing this for the past four months. I have installed an AC at home and started wheezing in the middle of the night, chest tightness, etc. It is still there with wheezing at random times especially while sleeping with or without AC. A cough sometimes with minimal phlegm. The doctor gave me a cough and cold medicine for tonsils but did not work. I am afraid to sleep in the AC now. Please help. Symptoms include wheezing while lying down, clearing throat, coughing but the doctor said no presence phlegm in the lungs. Is it something serious like cancer or edema? Doctor: Hello. The symptoms you are experiencing can occur in a myriad of conditions. But we have to exclude two systems respiratory and cardiac. Is your breathlessness precipitated or worsened by exposure to cold or any dust, any foodstuff or during emotional stress? Does it worsen on walking or climbing upstairs? Do you have to sit up and go to a window during the night and open windows? Is there any sputum production and chest pain or any palpitations? Did you have any fever? Have you done an ECG and a chest X-ray?" + }, + { + "id": 15128, + "tgt": "Does blood phosphorus level of 4. 58 mean kidney failure?", + "src": "Patient: Hello doctor, My reports are as follows. My blood phosphorous level is 4.58 mg, and it was always 3.2 mg. Rest kidney test is fine. Seeing my report, can you please tell me if my kidney is failing? I am too much worried. I am having Metformin 1000 mg as I am prediabetic and Voveron painkiller last week? Doctor: Hi. As such increase in phosphorus is not a marker of kidney disease. It can happen due to an increase in the daily products intake, pain-killer intake, and dehydration. I do not find any reason to worry." + }, + { + "id": 633, + "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": 11166, + "tgt": "Is paleo diet recommended for PCOD?", + "src": "Patient: Hi doctor, Today I am in the 48th day of my cycle. I have PCOS. Still I did not get my periods. I took HPT on 45th day. It was negative. Tomorrow I am planning to take blood test. Currently I am taking Glycomet 500 mg. Is there any chance for positive blood test? Is HPT accurate? Suppose if I get my periods I am planning to follow paleo diet. Is paleo diet recommended for PCOD weight loss? Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 11212, + "tgt": "Why does blood pressure change inspite of having drugs?", + "src": "Patient: Hello doctor, For three years, I have been taking 12.5 mg of Atenolol and 80 mg of Diovan to control blood pressure. Readings over the years have been good and average. 120/60 was the blood pressure 55 to 60 was the pulse rate. I have a good blood pressure monitor, and I take readings three to four times a day. Last month while taking a regular reading, we noticed a reading of 136/60 blood pressure and pulse 32. A few minutes later, the bp was 141/68 and pulse 32. We went to the emergency room at the local hospital during a trip that took about 25 minutes. The readings had gone up to 60 bpm, and the blood pressure readings were satisfactory. I was in the emergency room for about 12 hours, where they did several blood tests an ECG and a chest X-ray. I was discharged the next day because they said my condition was fine and they recommended dropping the 12.5 mg of Atenolol completely. (I am attaching a 24 hour Holter monitor report that was done two or three days later). I took 0.4 mg of Flomax for 18 days for BPH. The readings were normal from the last month till the mid of this month. Then suddenly on a fine day, the readings of pulse rate and blood pressure were high, so the family doctor recommended resuming the Atenolol at 12.5 mg. After four days, we then found that the pulse rate was going down into the 30 bpm again, so the family doctor recommended cutting the Atenolol in half to 6.25 mg after which the readings of the pulse rate were high 30\u2019s and blood pressure going up to 191/85. So the family doctor recommended taking 6.25 Atenolol in needed basis if the pulse rate and blood pressure started to spike. So we monitor blood pressure and pulse rate each morning before we go out to see if it is necessary to take the Atenolol and it is very stressful. Doctor: Hello. So the problem you mentioned are two 1. High blood pressure and 2. Heart rate 1. For BP, continue Diovan (Valsartan) 80 mg. Regarding Atenolol, it does not has many effects on BP, but has an effect of lowering heart rate. If your BP remains elevated, you may increase the dose of Diovan to 120 mg. 2. Take Atenolol 6.25 mg, if heart rate without it remains more than 80 to 90. If the heart rate is below 90, no need to take Atenolol. Moreover, count heart rate manually by counting beats or pulse. Do not rely on what the BP measuring device tells. Remember one thing, sudden stopping of Atenolol increases heart rate beyond normal for a few days, but later it settles to normal. So, be patient." + }, + { + "id": 24145, + "tgt": "My son has to blink consciously as he feels it is not automatic. Kindly help", + "src": "Patient: Hello doctor, This is regarding my 16 years old son. He is currently in class 10 and giving his board exams. He is academically oriented, has been always good in studies and wants to maintain his good image in front of his peers and teachers. Since last two months, he is having a few problems as follows: He is having problems in his eyes and feels that his attention is drawn to his blinking and he has to blink consciously as he feels his automatic blinking does not happen. If he does not consciously blink his eyes start watering and irritating. He feels this is affecting his concentration in studies. I had shown him to an eye doctor a month back and he said it could be due to dry eyes and prescribed teardrops which he is using regularly since then, but there has been no improvement. Moreover, my son feels it is a problem with his mind and he is not able to get his attention off the blinking of his eyes. Not sure if there is a connection, around two months back he was reading the chapter of involuntary and voluntary actions of the human body in his biology book and that some actions are both voluntary and involuntary. He says his problem started around the same time. He also says that he feels suffocated and often needs to breathe voluntarily. He read about it in the same chapter. He also says that he has to swallow his saliva consciously or voluntarily, something he read about too in the same chapter. Overall he complains more about his eye problem and little less about the above two problems. He is an only child. He does not open up easily but once he does he talks a lot. At home with us and with his few friends at school, he talks a lot. He loves to follow sports. He is not very active but has a normal height (5 feet 8 inches) and weight (65 Kg approximately) for his age. He is myopic since the age of 9 and has the following approximate power: Left eye: -5.5 spherical and -0.5 cylindrical, right eye: -6 spherical and -0.75 cylindrical. We give him nutritious food at home and he is not fussy about food. He has a regular sleep schedule of around 7.5 hours at night. He is worried before going to sleep that he will not be able to sleep due to conscious breathing problem but he does fall asleep and sleeps well after that. Also, he is afraid of lizards and feels that he suffers from the phobia of lizards. He does get scared of insects very easily. Please advise. Doctor: Hi. I read your query and understand your concerns. From the available description I do not think it is serious problem and diverting attention from the areas of concern should be the prime strategy. In case the simple measures of diverting attention do not help him I feel seeking opinion from psychiatrist should not be delayed. The description clearly indicates that there is anxiety problem, the child is more conscious about his body, have a neurotic pattern of thinking. The problem can be managed with counseling and psychotherapy in most children. However few of them may need medication for a certain duration depending upon the severity and response. I hope this helps you. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 13136, + "tgt": "I have dark vision soon after I wake up. What is causing it?", + "src": "Patient: Hello doctor, Sometimes when I wake up, the eye that I was sleeping on, the vision will be dark as if I pressed on it too hard, and the vision comes back within seconds of sitting up or moving my head around. What is this? Doctor: Hi. Any phenomenon like this where the vision comes back and happens on a regular basis is due to a transient break in the tear film over the eyes. It is not something to worry about. In case you think you might have pressed your eyes, you will definitely experience pain which you said you did not experience. So that is likely not the case. Also, would like to know if you are having any other disease or are you on any medication? Take care." + }, + { + "id": 2098, + "tgt": "I have a little, red, and sensitive bump on my labia minora. What could it be?", + "src": "Patient: Hi doctor, I noticed a little red bump on the top of my labia minora (right underneath the clitoris). It looks a bit swollen and it is sensitive to touch. I did notice a small bump on the outer side of that labia minora too but I cannot be certain that was not there before. I have had Bartholin's cysts in the past, so I know it is not that and I do have genital herpes and it does not seem like it is an outbreak either. I really do not know what it could be? Please help. If need be I will even attach a picture. Doctor: Hi. Your text mentions the lump to be below the clitoris, so is it just above the opening where you pass urine (urethra)? In that case, it could be a urethral caruncle? You can search for the images of the urethral caruncle and see if it matches your problem. If not send me the pictures, so we can make a diagnosis." + }, + { + "id": 25354, + "tgt": "I have nasal problems since I used cocaine. Will damaged tissues repair by itself?", + "src": "Patient: Hello doctor,Apologies for the detailed post but I want to make sure I cover everything. I have been having nasal problems since I used cocaine two weeks ago. I am not a regular user of any drug but have used cocaine three times in the past year, about 1 g per time. I have been concerned about a perforated septum. My GP has had a look and has said there is no evidence of such but there was soreness/ inflammation. I have also checked and cannot see a hole but I am not sure what I am looking for. I have booked in to see an ENT specialist but there is a two-week waiting list and I am growing increasingly concerned. My symptoms are/were:Blood in mucus when blowing my nose. This reduced across a 10-day period and has now stopped (I was prescribed an anti-inflammatory cream and I have also been using saline spray).Stuffy and dry nose which is still present.Slight nasal pain across the bridge of the nose.Bit of an odd one but if I massage where my sinus is my nose clicks/pops as if there is a cartilage damage.I get occasional whistling noise when congested and breathing in.My questions are:If my doctor sees no evidence of perforation and I abstain from any further usage, will this mean perforation will not occur.Does the initial vasoconstriction caused by cocaine cease after use or does it continue?Will any damaged mucosa/tissue repair itself over time?What could the weird popping be?In your experience would minor usage (as described above) lead to irreparable damage?Would the whistling I am experiencing be more constant if there was a hole in the septum?Is there anything I should ask/state at my ENT appointment?I will not be using again but would really appreciate your guidance. Thank you. Doctor: Hello. Yes, if you stop using cocaine, perforation will not occur if your nose is healthy. It stops gradually. But you may need a course of steroid and nasal wash. It will repair but it depends on the severity of damage. Popping in the nose can be due to infection or drying. I can confirm after examining. No. A small hole will heal but larger one needs to be repaired by surgery. In your case examination is most important. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5553, + "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": 9178, + "tgt": "Why do I feel urge to urinate after masturbation?", + "src": "Patient: Hi doctor, I am a 21 year old male. Sometimes, after masturbation I feel urge to urinate regularly after every minute even though there is very less urine. Also I feel pain, some pricking and irritation feel while urinating. Sometimes, even without masturbation same problem occurs. Please advise me to get rid of this problem. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15239, + "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": 227, + "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": 8476, + "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": 12069, + "tgt": "What causes rashes with hard and dry red bumps in scrotum area?", + "src": "Patient: Hello doctor, I have severe rashes in my scrotum area. It has become hard and dry with red bumps all over the scrotum area and the penis too. I usually use Dettol soap and also I have shaved my groin area. Is that the reason for this? Please tell any medicines. I have chronic urticaria since last year. Doctor: Hello. Yes, Dettol is an irritant. It can make skin dry and cause bumps over it. Dettol should not be used. Kindly follow this prescription. 1. Apply Hydrocortisone plus Gentamicin combination cream. 2. Apply Vaseline (Petroleum Jelly) 4 to 5 times a day. 3. Take Loratidine 10 mg OD. 4. Wash with mild soap and water. 5. Avoid Dettol and other irritants. Follow up at three weeks." + }, + { + "id": 19305, + "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": 28863, + "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": 27330, + "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": 30964, + "tgt": "Could you look at my report and explain the reason for weakness?", + "src": "Patient: Hi doctor, I have been suffering from asthma and allergy for the past 10 years. Now, I feel lethargic, weak and some pain in the hands and toes. My past medication includes Deriphyllin and Cetirizine. I have had blood tests and have attached the reports for reference. Please help. Doctor: Hi. I have read your reports (attachment removed to protect patient identity). For further information consult a family physician online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23758, + "tgt": "My BP is well under control. Can I decrease the dosage of my medicines?", + "src": "Patient: Hello\u00a0doctor, I am a patient of\u00a0hypertension and anxiety, taking treatment for the last two years. Presently, my BP is well under control (average BP 115/70) and pulse varies between 75 to 95 BPM. Presently, I am taking Telma CT (80 + 12.5) and Embeta-XR 50 daily & Esnax Plus (Escitalopram + Clonazepam) for anxiety. I want some advice whether I can reduce or decrease the\u00a0dosage of my current medication. Doctor: Hello. Hope this helps. Please feel free to ask more queries if you have questions. I would be happy to assist. For more inforamtion consult a cardiologist online.--->https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 7662, + "tgt": "What is the solution for short neck?", + "src": "Patient: Hello doctor,I am having short neck since birth. I am attaching my recent x-ray report with this post. Kindly help me out in understanding my condition. What particular solution would you suggest for the same? I also came across cervical traction devices. Will they help in my case? Please explain. Doctor: Hi. I have gone through the x-ray (attachment removed to protect patient identity). For further information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 7858, + "tgt": "Why am I having sharp and shooting pain in finger?", + "src": "Patient: Hello doctor, I am having a sharp, shooting pain in my middle finger. It is uninjured and there is no swelling, bruising, or discoloration. The pain is not constant. It comes when I press on something with that finger (it is my right middle finger), when I grip something at an uneven angle, and when pressure is applied to that finger. The pain is from the middle part of the finger to the tip. When the pain comes, its 10/10 on the pain scale- horrific. It takes 10 minutes to subside. Doctor: Hello. There are a few possibilities based on your symptoms. 1. Sensory neuralgia- Due to diabetes. This is weakening of nerves due to diabetic neuropathy. 2. Sensory neuralgia due to cervical spondylosis- The nerves (electrical wires) to hand start from the spinal cord in the back side of the neck. If you have some neck problem, it may lead to this type of pain. To confirm it please tilt your head upwards and keep still for 30 seconds, if you feel pain in the back side of your neck or head, then you may have a neck disc problem. 3. Peripheral vascular disease due to diabetes- Diabetes can affect arteries (blood vessels carrying pure blood to hands). The arteries may be constricted leading to these symptoms What to do? 1. Please check whether you have neck pain on bending your neck backward, if you get pain in the neck, then you may have a cervical disc problem. Various exercises for cervical spondylosis are available online. Please do that for 10 days. If symptoms are not relieved, consult an orthopedician. 2. If no pain in the neck, it may be due to diabetic neuropathy. See whether your blood sugar is under control. Start Multivitamin like Methylcobalamin containing tablets one in the morning along with other tablets. If the pain gets relieved, then you can continue to take that tablet regularly. 3. If the symptoms do not subside even after taking this tablet then please visit a radiologist for upper limb arterial doppler to check the arteries." + }, + { + "id": 3309, + "tgt": "Once we start dialysis is it a must to get that all through the life?", + "src": "Patient: Hello doctor, My father is 59 years old and suffering from diabetes for the last 15 years within control limit of sugar. Recently, he got attach with a brain hemorrhage on the right side, and he stopped to talk and his right side hand and leg become inactive. Slowly with medication and physiotherapy exercise, he recovered somewhat and able to speak. He can walk with rod support and his hand is still inactive. His creatine level in blood keeps on the higher side from 5.0 to up to 8.0. In the last few days, he started vomiting and unable to digest any foods. Doctor advised for immediate dialysis and is undergoing the procedure. Within a week's time, this is the second time he is going with the procedure. The first time it lasts for one and a half hours, and for the second time it lasts for three hours. While discussing with the fellow patient taking the procedure, they said this is a regular procedure and may require on a daily basis also. My query regarding dialysis is if once we opted is it a regular procedure? Please clarify the doubt. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. No, this is not a permanent procedure for every patient. It depends on the status of kidney functions and roughly we can predict from creatinine levels (just to make it clear to you). If he gets creatinine levels of 0.2-1.2 mg/dL and the kidneys will be doing normal functions, then we can stop doing dialysis as kidneys are now doing their job by themselves. Dialysis is alternative kidneys actually. The job which kidneys do normally, dialysis does the same for the time being until the patient gets normal kidney functions back. I hope this helps." + }, + { + "id": 7109, + "tgt": "I am under chemotherapy and CEA values are increasing. What could be the cause?", + "src": "Patient: Hello doctor,On chemotherapy, CEA is rising. The patient had colon cancer surgery last year and was in the third stage. A PET scan showed one metastasis in the liver of 16 mm and one distant node. The chemotheraphy was started last year. CEA is rising instead of decreasing. The CEA values were 9.8, 8, 9, 10 in the consecutive months. What happens if chemotherpay does not work? Doctor: Hello. Stage III colon cancer will have elevated CEA (carcinoembryonic antigen) levels. However, following surgery and on chemotherapy, it should gradually come down. 10 is not very high. Still, post-surgery the standards should have been around six. Now since it is increasing, some other causes of rising CEA such as hepatitis, and peptic ulcer disease, or diverticulitis needs to be ruled out. If all these causes are ruled out, then in all probability there is a recurrence of cancer. So once again, MRI needs to be done to check for recurrence. It can happen in the failure of chemotherapy. Feel free to discuss further," + }, + { + "id": 30422, + "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": 1868, + "tgt": "In which conditions does one have low serum iron?", + "src": "Patient: Hi doctor, I had my hemoglobin, CBC and iron test. The result indicates that I have low hemoglobin.\u00a0However, my iron level is normal (122). I am confused to take the next step. I have been eating spinach, beans and red meat. Also, I am taking iron supplements. What to do further? Please suggest me. Doctor: Hello. Revert back with your blood report to a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 3273, + "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": 26955, + "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": 15036, + "tgt": "Transilluminated my scrotum, but my testicle does not glow. Why?", + "src": "Patient: Hello doctor,I am 23 years old and just learned about transillumination of the scrotum. I did the exam on myself and my right testicle does not glow when the light is shinned under. I cannot feel any lumps on palpation. Should I get additional examination? Doctor: Hi. It is very nice to know the effect of health education imparted to you. On self-examination, if there is a normal smooth contour of testes, uniform consistency, no lump or heavy mass felt, then no need for further evaluation. Transillumination is usefull only when there is a testicular swelling and to differentiate a fluid filled sac (hydrocele-transilluminate) Vs solid mass (tumor- no transillumination glow)." + }, + { + "id": 24868, + "tgt": "I have a 2 mm solitary pulmonary nodule. Is this serious?", + "src": "Patient: Hello doctor, I am a 74-year-old male, weighing 142 lbs, height 5'10\" and a non-smoker. I worked in an auto body shop for two years and painting cars for 18 to 19 years. Had minimal exposure to asbestos and quit grain farming at the age of 44 years. When I was 56 years old, I had a severe panic disorder and MVP. Around three months ago, I had a very small amount of blood in my phlegm when clearing my throat about six times. The doctor said that it was due to a blood vessel breakage, but ordered a pulmonary function test and chest CT to be sure. Pulmonary function test done two months back was normal. Chest CT findings showed no bronchiectasis or interstitial lung disease, no pneumothorax or pleural effusion. There is very minimal atelectasis in the left and right lower lobes. There is a 2 mm pleural based RT, lower lobe pulmonary nodule and no additional nodule or mass. My pulmonary doctor talked like nothing is seriously wrong. What is your opinion? Should I have follow-ups on the 2 mm nodule? What did minimal atelectasis mean and what caused it? I take no medicines except Ativan PRN. Doctor: Hi. See, solitary pulmonary nodule which is asymptomatic does not require any further investigations. However, any persisting fever, cough and cold warrants bronchoscopy and biopsy of the lesion to rule out any possible causes. Atelectasis is the collapse of alveoli of the lung. So, that needs an evaluation from my side. I would suggest bronchoscopy for you based on your current scenario. For more information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 20895, + "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": 10362, + "tgt": "How many times can I masturbate a day?", + "src": "Patient: Hello doctor, How many times can I masturbate a day? I am\u00a0a 14 year old boy\u00a0going through puberty and hence such doubts. Doctor: Hello. It is one of its kind and the most interesting question that I have come across. It is good to see that how an adolescent can be so inquisitive about his sexual development. For any other sexual health related queries, feel free to consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2189, + "tgt": "Should I have ablation for atrial flutter?", + "src": "Patient: Hi doctor, I have been diagnosed with atrial flutter. I have been in this condition three times in the last two years.\u00a0This is flutter and not fibrillation. Two years ago, I was stuck in atrial flutter, for three weeks. After being on an anticoagulant for three weeks, I went through a successful electrical cardioversion, and was free for two years.\u00a0I am 73 years old, thin built and vegetarian for several years. I walk 4 miles a day. No other heart or health issues, other than some PVC, which I have had since youth. Six\u00a0weeks ago, I had a flutter return for about 5 minutes. I went through a 24 hour monitor and was completely clear. I can tell when I get into flutter. It is clear and uncomfortable, but tolerable. Then, about a month ago, it returned and this time for about 8 hours. During that time, I had an EKG to confirm and my doctor transferred me to a cardiologist who can perform an ablation, on the right atrium. This new doctor was not too interested, in details, I felt and I am scheduled for this procedure in a few days.\u00a0I am very statistical. I understand the flutter may return at any minute and it may not return ever, or for years.\u00a0What is the subjective probability of returning flutter, each year, for my condition?\u00a0Would you have a recommendation? Should I have this procedure? I am currently taking 5 mg ACE inhibitor and my BP is good with this. Doctor: Hi. Thanks for the detailed query and I have reviewed every aspect of it to come to a point of decision that may be better for you in the long run. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1319, + "tgt": "Though I achieve erection, I could not maintain it longer. Why?", + "src": "Patient: Hi doctor, I was not sexually active for the last one year, but recently I resumed my sexual life. I am not able to maintain my erection during sex (although I am able to achieve it, but it is not that hard). I never faced this issue before and was not sure what is causing this problem. I am 30 years old. Please help. Doctor: Hello. Before moving directly to any treatment follow the advice as given below. You are indeed developing the signs of ED (erectile dysfunction) and PME (premature ejaculation). We may need the reports of the following tests to rule out physical causes of erectile dysfunction and premature ejaculation. 1. CBC (complete blood count). 2. T3, T4, TSH (thyroid-stimulating hormone). 3. HbA1c (glycated hemoglobin). 4. Serum testosterone. 5. Serum prolactin. To rule out psychological causes please answer my questions. How is your mood? How are your energy levels? How is your appetite? Do you have any sleep disturbances or do you oversleep? Any past history of anxiety or depression? Any family members suffering from anxiety or depression? Describe in detail about any use of cigarettes, tobacco, alcohol, cannabis or any other substances of abuse. Please respond to the above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME, and masturbation guilt or compulsive masturbation. All that you may require is proper consultation and treatment about your sexual problems." + }, + { + "id": 7730, + "tgt": "I am scheduled for a joint block injection in my right foot due to arthritis pain. Will it pain a lot?", + "src": "Patient: Hello doctor, I am scheduled for a joint block injection in my right foot due to arthritis pain. Will I be able to drive home myself from my appointment or do I need to take someone with me? Doctor: Hi. The injection given for the joint block for arthritis contains some local anesthetic. So, you may not feel pain at least for half an hour to one hour. You will be able to drive the car. But as soon as you reach home, keep your leg elevated and apply some ice packs as it may bother you that evening. Hope it helps. For further clarifications consult an orthopaedician online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29118, + "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": 14608, + "tgt": "How do I get stamina for running race?", + "src": "Patient: Hello doctor, I am 20 years old. I have a sports day at my college coming up. How do I get stamina for a running race? Doctor: Hi. To increase your stamina, you should include the following in your diet: Wish you all the best." + }, + { + "id": 10580, + "tgt": "The nevus on my lacrimal caruncle shows some difference. Is it melanoma?", + "src": "Patient: Hello doctor, I have a nevus on my lacrimal caruncle which has been there for almost 10 years. Recently I have noticed a slight change in it. Could it be melanoma? Doctor: Hello. I understand your concern, but I would not advise you to jump into any hasty conclusions. First of all, birthmarks, moles are very common even with the localization that you mentioned. However, to advise you better, it is preferable to compare this lesion on photos taken during these last few years as a marker, keeping in mind that humans undergo many changes as they age. Second of all, it is more advisable to get digital images of this lesion captured by an optometrist or an ophthalmologist through a slit lamp and under magnification for better evaluation. Thirdly, if an ophthalmologist has confirmed your suspicion, a biopsy can be taken from it and sent to histopathology in the assessment at a cellular level, which will clear all doubts completely." + }, + { + "id": 14648, + "tgt": "What is the reason for OCD and fear of something bad happening?", + "src": "Patient: Hello doctor, For the past one year without my knowledge, I have been suffering from OCD thoughts and am not able to do even small things like watching a particular movie, read a book, wear a particular shirt, etc., because of the fear of something bad might happen. For example, a few months back I wanted to watch a tv series and started, the next day morning something disappointing thing happened. Then I stopped it. Even though I wanted to start to watch, I was having this thought of fear that something bad might happen again. This happens for even small things. So I wanted to come out of these thoughts and lead a normal life. Please help me with your valuable suggestions. Doctor: Hi. Yes, you have an obsessive thought, especially obsessional phobias. You are relating these thoughts to something worse which might happen, during this period tray to say stop to these thoughts every time they come into your mind and ask yourself that is there anything which happened in a way the way your mind thinks or for which you are feared of. It means you are so stuck to your thoughts and developed a fear that worse might happen so better to say stop these thoughts and get yourself busy in daily activities and go for walk daily at least for 30 to 45 minutes in a day, see the response in next week. If you cannot control, then medication can be started." + }, + { + "id": 2983, + "tgt": "I struggle between my self-confidence and low-esteem. How to handle it?", + "src": "Patient: Hello doctor, I am not sure what I am feeling. I struggle with self-confidence and low self-esteem. I am in a management position at my work place, yet this has been my struggle for a long time now. I am a single mom and my previous partner was a narcissist. I think it pushed me further into fear of relationships. I am scared of failing. Even as a parent. I hate socializing yet I need friends. I just do not know how to break from this. When a guy shows interest in me, I get so overwhelmed and clingy and never works. I have isolated myself from my family and friends. I do not know how to build relationships and I have to fake my friendship. I cannot sleep at night fully and I wake up every two hours, losing at least two to three hours of sleep a night or more. My boss in the office has already noticed and given me feedback. I need help. I feel like I am losing it. Doctor: Hello. You seem to have an anxiety type disorder mixed with depressive episodes. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitor) type of medicines which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. The medicines I have mentioned are usually prescribed by psychiatrists. Apart from those, you can take Melatonin 5 or 10 mg. It is available in any decent pharmacy over the counter and does not need a prescription. You can try taking that daily at night. Apart from that, you can try some sleep hygiene methods like 1. Maintain good temperature, no noise or light. 2. One hour prior to bed, wind down and try reading or music. 3. Do not use the laptop, TV, or phone one hour prior to sleeping. 4. Avoid caffeine, alcohol or tobacco two hours prior to sleeping. 5. Avoid exercises three hours before sleeping and take warm milk at bedtime. 6. Go to bed only when sleepy and avoid other activities on bed. 7. Use bed only for sleeping or sex. 8. If you do not get sleep, do not toss and turn, get up, go to another room, walk about for 10-15 minutes and come and lie down. See for 10 minutes, if not sleepy go out again. 9. Try deep breathing exercises, progressive muscle relaxation techniques, or yoga or meditation. It will also help." + }, + { + "id": 12956, + "tgt": "Can local anesthesia under sedation be used to decrease pain while suturing?", + "src": "Patient: Hi doctor,My surgeon is recommending local anesthesia with sedation for an umbilical hernia. It is a small hernia as per the surgeon, and a small incision and perhaps 1 or 2 stitches on the abdomen will be needed to repair it and perhaps a small mesh on top if needed. I have had a terrible experience in the past with only the use of local anesthesia for a pilonidal cyst excision. I am on no medication and in great shape with no medical issues except perhaps PTSD from the pilonidal experience. Is any pain from injections to stitching felt if my umbilical hernia is done with local anesthesia with sedation? Doctor: Hello. I hope you are doing fine. Coming to your query, the efficacy of local anesthesia depends on various factors like the expertise of anesthetist, drugs used, adjuvants, the amount of drug used, etc. For a small and uncomplicated hernia, local anesthesia with sedation is a preferred technique and you can be discharged at the earliest. If you still feel pain or discomfort during the surgery, it can be converted into general anesthesia. So, you do not have to worry, just have faith in your anesthesiologist." + }, + { + "id": 8688, + "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": 26718, + "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": 19363, + "tgt": "My father's ENT found a small lesion at his vocal fold. Is this something serious?", + "src": "Patient: Hi doctor, This is regarding the health of my 57 year old father. He is a\u00a0non-smoker, vegetarian, and a non-drinker. He had a complaint of a low voice since the last 10 days.\u00a0Yesterday, he had to visit an\u00a0ENT for a\u00a0check up. They did a video laryngoscopy and found a small lesion\u00a0at the vocal junction. I am attaching the photos for your understanding. The\u00a0doctor suggested\u00a0medication. He told that there is a 90 % chance, it will be normal in a week. If not, we have to plan for a minor surgery.\u00a0Could you please let me know how serious it is?\u00a0Is surgery required? If yes, how painful will it be? Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13595, + "tgt": "What are the benefits of consuming guava?", + "src": "Patient: Hello doctor, How does guava help boost weight loss? Can guava\u00a0extract help in prostate cancer prevention? How does\u00a0guava work as a\u00a0remedy\u00a0for cold? Why is guava recommended for\u00a0better brain health? What can guava's high vitamin A content\u00a0do for our eyesight? What are the other benefits of\u00a0consuming guava (if any)? Doctor: Hi. Guava helps in weight loss as it contains roughage or fibers. Fibers include both soluble and insoluble fiber. Fibers are the part of plant foods. Not all fibers are completely digested by the human body, hence they will not add to your calories, but they add bulk to the food. After consuming it fills our stomach and makes us reduce the quantity intake of other caloric foods like rice, bread, etc. Guava contains vitamin C, hence it acts as a remedy for cold. Guava contains vitamin E and C which are very much needed for good memory. Hence, it is helpful for good brain health. Guava is rich in vitamin C, A, antioxidants and lycopene which help in the prevention of prostate and other types of cancers. Other benefits of guava are: Rather than consuming an extract, it is always advisable to eat the complete fruit to get the complete benefits." + }, + { + "id": 5526, + "tgt": "My friend is diagnosed with first stage of conversion reaction disease. What to do?", + "src": "Patient: Hello doctor, My friend is 20 years old, female. Before some days ago she was sense less on a train and then this again happened with her. She consulted a doctor and he says that she is suffering from the first stage of conversion reaction disease. But the doctor could not suggest any medicines but he says that the last stage of this disease is paralysis. Doctor says to my friend that do not take any tension and to keep her mind free all the time. She was feeling weak what will she do? Doctor: Hello. I have read and completely understand that you feel quite concerned for your friend. As you have mentioned that she has been diagnosed by the doctor as having conversion disorder, it is quite probable that she may undergo these conversion attacks at any time. There are purely psychological reasons behind this disorder, no medical cause lead to this condition. Therefore, generally, no medical treatment could be found a cure for these attacks. If the doctor has suggested this diagnosis after complete assessment then there may be no further need for the tests. If complete testing has not been administered yet then you may go to a psychologist for confirming the diagnosis after keenly observing her medical test reports. Needs to be differentiated for the types of conversion disorder according to the DSM-5 (diagnostic and statistical manual of mental disorder) criteria. Conversion disorder. Generally, no particular medication is prescribed for conversion disorder. However, some doctors may suggest medication after observing the patient's current condition (beware these medications would reduce anxiety or tension but would not cure the conversion disorder). The effective treatment for conversion disorder is found to be psychotherapy. Consult any psychologist or psychiatrist specialized in conducting psychotherapy sessions. Or you can suggest some online consultation sessions. Treatment mode can be cognitive behavioral therapy plus psycho-education. Must take expert guidance on how to deal with the patient behaviorally. Family members, closed ones of such patients also need guidance because their mishandling can increase the frequency of conversion attacks. Do take follow-up if you feel the need." + }, + { + "id": 7861, + "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": 15838, + "tgt": "What can be done for neck pain due to prolonged sitting?", + "src": "Patient: Hello doctor, I have to sit nine hours per day at work. Due to long time sitting, there is a pain in my neck. What should I do to get rid of this pain? Doctor: Hello. A very common issue with people working on the desk. Long hours at a stretch spent in poor posture and bad ergonomic position leads to the symptoms you describe. I will recommend reading about the correct office or desk posture and making changes to your laptop screen height, chair height and distance from the screen, etc., online. Isometric neck exercises to strengthen the neck muscles and a stint of physiotherapy will help in the long run. Also, to note that at a stretch do not spend time on the desk for more than 25 to 30 minutes. Finally, posture applies to the use of smartphones, watching TV, reading books in bed, etc." + }, + { + "id": 19716, + "tgt": "Being a lactating mother, How can I manage PIH through ayurveda?", + "src": "Patient: Hi doctor, I am a lactating mother. I have PIH. My kid is just 16 days over. Now, I am taking VilwadiLehyam 5 gram, Jirakadyarishtam 15 ml, and Dasamoolarishtam 15 ml before food without medical advice. Can I continue this? Currently, I am taking tablet Labebet 100 mg, Shelcal 500 mg. Doctor: Hi. After delivery a mother needs care. She feels pain and tiredness. Also, an increase in metabolism help in the production of milk. To restore strength and stamina, you should take Jeevaneeya and Balya ayurvedic medicines. You need to do a regular massage. You are consuming the right medication. But Jirakadyarishtam and Dasamularishtam should be taken twice a day after meals. Do a whole body massage with warm Bala oil. To produce sufficient milk for your child, you should take Shatavari granules 4 grams twice a day with warm milk after meals. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18786, + "tgt": "How can I get this inflamed vein along my penis shaft treated?", + "src": "Patient: Hello doctor, I have had a large inflamed vein along the shaft of my penis for about 10 years now. It causes no pain at all and no symptoms. I just really dislike the look of this and I need to get rid of it now as it is becoming more of a problem as I get older. I have looked up for symptoms and treatment online and it sounds like it could be an inflamed lymph instead of a vein. The pain starts at the base and goes to under the head of penis and curls into a circle then stops. It has been there since I was about 12 and I think it has got worse but cannot really remember. The only treatment advice I have read is to stop masturbating and it will resolve itself but I also have people saying they have stopped for months and it does not help. I know people say it is normal but I never used to have it and I do not want it anymore so just want to know if no masturbation is the answer. What is the timeline for healing? Also is there anything for speed recovery? Doctor: Hello. If possible, kindly send me the images so that I can see and suggest you properly. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14352, + "tgt": "What does the growth hormone test report of a child with short stature indicate?", + "src": "Patient: Hi doctor, Following is the growth hormone test report of my son aged 11 years and 7 months and his height is about 129 cm and weight is 32 kg. I am very concerned about his growth. Please comment in detail about the possible treatment and their side effects, if any? Doctor: Hello. I just read your report about your son and I am sorry to say that he has a growth hormone deficiency (attachment removed to protect patient identity). He needs to take growth hormone injections for it. These are to be taken on a proper prescription from a pediatric endocrinologist in your place. These are to be taken daily. The side effects are listed here like peripheral edema, edema, arthralgia, paresthesia, skeletal pain, flu-like symptoms, rhinitis, pain, hypertension, gastrointestinal side effects." + }, + { + "id": 10554, + "tgt": "I am experiencing tender muscles all over the body. Why?", + "src": "Patient: Hi doctor, I am a 41-year-old male. My blood and urine tests are normal. I am experiencing tender muscles all over the body. I have pain in legs and arms, and I have tried various treatments to treat them. I have done physical therapy, chiropractic, and massage. I am concerned that it can be an overall systemic issue. I am having this problem for about ten years. I have sensitive spots all over the arms and legs. More recently, I had joint pain. I have moderate anxiety (OCD) and mild sadness or depression. I also have dust allergies. Please help me. Doctor: Hi. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm it. Please say whether you had any history of mouth ulcer or excessive hair fall, history of difficulty in combing hair or had a problem in getting up from a toilet seat or had any mood changes when you got angry, any recent history of forgetfulness, any history of frequent headaches or bowel upset. Please explain your condition in detail." + }, + { + "id": 9975, + "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": 30869, + "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": 18688, + "tgt": "How to get rid of itchy, small bumps in face?", + "src": "Patient: Hi doctor, I am in my teenage now. I have these small bumps all over my face and I think it is an allergic reaction. What is the fastest way to treat and get rid of this? I believe that it is from the cleanser, which I used recently. The bumps are small, but I have a lot of them on my chin, cheeks and under my eyes. They are itchy and I do not like the way they look and it makes me self-conscious. I am currently using Claritin. Please help. Doctor: Hi. I have seen your concern in the given video (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6180, + "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": 22500, + "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": 14408, + "tgt": "How can fear be managed in a patient with depression and anxiety?", + "src": "Patient: Hello doctor,First of all, thanks for this site and that you help people. Last year I had depression with anxiety episodes (diagnosed by the psychiatrist). I did not get any pills. I get well with some kind of psychological therapy. But this year I had several panic attack episodes and neurologist prescribed me Valium to get sublingual during the attack. Now I have some kind of fears, I am afraid when my heartbreaking arises, I am afraid of eating different foods (fear of intoxication), I am afraid of staying alone, etc. Too many fears in my life. I cannot live like this. Can you give me any advice, please? Doctor: Hi. We are happy to help. From what you have described of your problem, it seems anxiety is a greater problem for you. It is good that you have improved only on psychological therapy but then whatever has been taught in psychological therapy, you need to continuously practice it at home. Please look up Jacobson's progressive muscular relaxation and practice it 3 to 4 times a day. This exercise will significantly help you gain some control over the somatic symptoms of your anxiety. As far as medicines are concerned, Valium is a medicine which will relieve anxiety to some extent but will make you feel sleepy. If you have been experiencing anxiety episodes every single day or at least 3 to 4 times a week, I would advise you to take Paxil 12.5 mg in the morning and gradually consult a psychiatrist to alter the dosages. But if you have been experiencing anxiety only in specific social situations and require medication only to suppress the anxiety for the time being without feeling sleepy, I would advise you to take tablet Etizola SOS." + }, + { + "id": 20772, + "tgt": "Why am I having bleeding gums constantly for two years?", + "src": "Patient: Hello doctor, I have constant bleeding gums for the past two years. My dentist seems unable to help, as he advises me to continue brushing my teeth and the problem will come to an end. This problem seems to be creating new health problems for me. I really need help and I do not know who to turn to. Doctor: Hi. The cause for your bleeding gums can be local like calculus, for that you need to get a dental scaling done (oral prophylaxis). Brush your teeth twice daily using an ultrasoft toothbrush. You also need to get your blood pressure checked twice daily for three days. Most of the times the bleeding is because of blood pressure or diabetes which dentists miss some time. If it is intermittent and occurs every three to four months, it can be infection related. But most probably it is because of plaque and calculus related. You can upload a picture of your gums for proper diagnosis. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14666, + "tgt": "I am losing weight rapidly. I have been taking supplements. But they are of no help", + "src": "Patient: Hello doctor, I am losing weight rapidly. I have been taking supplements. But they are of no help. What do I do? Doctor: Hi. You are losing weight and you are taking supplements and even then you are not gaining weight. Your history is incomplete. I need to know a detailed history before I can suggest you any remedy. I would like to tell you that, if you are losing weight rapidly, then there is some underlying issue to be taken care of. Few common causes of rapid weight loss are: hyperthyroidism, tuberculosis, diabetes mellitus, and acute disease. Symptoms related to the above-mentioned diseases are: I would request you to kindly share your detailed history so that I can reach a differential diagnosis and suggest you measures to gain weight.Other than this, eat well and eat on time. Banana promotes weight gain and also drink adequate water. Revert back with the details to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22192, + "tgt": "What is the treatment for atrial fibrillation?", + "src": "Patient: Hi doctor, I have good health with occasional atrial fibrillation. Last night, I had a flare up of atrial fibrillation and my resting heart rate was 130 beats per minute which happened a few hours ago. My normal resting heart rate is 70 beats per minute. I am taking Magnesium and Potassium. Doctor: Hi. Atrial fibrillation occurring in this age group needs evaluation like an echocardiogram, cardiac stress test, coronary angiography to rule out coronary artery disease. Next, I guess you do not have any other diseases like diabetes, hypertension, or stroke. If not, then you do not have to take blood thinners. Usually, atrial fibrillation is not a life-threatening disease, but it can cause troubles. Regarding management, you should be treated with beta blockers like Metoprolol to keep your heart rate under control. Alternatively, you can take tablet Flecainide, whenever your atrial fibrillation recurs, as a pocket pill. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5757, + "tgt": "I had unprotected sex 5 weeks after delivery and took morning-after pill. Am I safe?", + "src": "Patient: Hello doctor, I gave birth to my baby six weeks ago, and on the fifth week, I and my partner had unprotected sex. I took the morning-after pill, but because I did not get my period I was worried whether it worked or not. It is been a week and today my first period has started. Does that mean that I am safe and I am not pregnant? Or could there still be a possibility? Doctor: Hello, Welcome to icliniq.com. After the delivery, it takes around six weeks for the body physically, hormonally to get back to non-pregnant level. I mean to say that the hormones which were very high during pregnancy will not allow ovulation to occur, that is why you do not get periods during pregnancy. After delivery, if you regularly breastfeed the baby, those hormones do not come back to normal till you stop breastfeeding. Indirectly you do not get pregnant. It is always advised to exclusively breastfeed the baby until four months. A gap between pregnancy will allow you to regain a lot of lost energy and reserves. It is time for this baby to get full care and energy as milk. The next baby will also have good reserves from the mother. But this is not an absolute method of contraception. Many get pregnant even without any periods. But as you had periods it means you are not pregnant. During this period you will need additional contraception like Cu-IUD (copper-T intrauterine devices), or injectable medications, etc., as per your doctors advice. In your case, if you had good bleeding, pregnancy is ruled out." + }, + { + "id": 7368, + "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": 27272, + "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": 23746, + "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": 4177, + "tgt": "My HSV index value for type 1 is 0. 70 and type 2 is 0. 23. Do I want to repeat the test?", + "src": "Patient: Hello doctor, I had protected sexual intercourse five months back. Now tested for STD and everything came back negative. I have a question around HSV. HSV index value for type 1 is 0.70 and type 2 is 0.23. It was a type specific IgG antibody test. Is this result conclusive? Or do I need to retake at any point of time in the future? Your response is most appreciated. Doctor: Hello. For that above limited information as you have not mentioned your age and sex here which is very very important for any clinician and if the question is specific about some sexually transmitted disease, because pH of male and female genital organs are different, so all bacterial and viral flora growth can be different according to sex. As you have told that you have had protected intercourse five months back, so it always decreases the chances of STDs (sexually transmitted disease) in any partner and you also mentioned that all reports of your related to STD are negative so I think no need to worry now as you have crossed the incubation period of almost all sexually transmitted diseases (five months is a big time). For your query about the HSV index, I think it is negative (I could not comment on the specificity of IgG, however even if it is nonspecific no matters, cause your index values are negative). So do not worry, results are conclusive definitely (officially, index value greater than 1.1 is considered positive and index value below 0.9 indicates a negative result). If the IgG test is negative, and at least six months have passed from the time of possible infection, you do not have herpes. Number between 0.9 and 1.1 is equivocal. Antibody to HSV-2 may or may not be present. Do not worry. Eat healthy and stay healthy." + }, + { + "id": 10367, + "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": 10297, + "tgt": "I stopped taking Adderall for some days and it is not effective now. Why?", + "src": "Patient: Hello doctor, I have recently been diagnosed with adult ADD. My psychiatrist prescribed 20 mg Adderall every morning. I took it for a few days (it worked) and then took a break of two days as I found I was not able to sleep on it. I thought I would get a good night sleep and then resume the meds to see if they were active. After the break, I have been taking them consistently every day and find they do not have any effect on me anymore. My psychiatrist now prescribed 75 mg of Wellbutrin. I also told him that I was having crashes in the evenings when I was taking Adderall. Why would the Adderall stop working so soon? What effect will the Wellbutrin have? Doctor: Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect." + }, + { + "id": 39, + "tgt": "I get watery eyes, blocked nose and sneezing during particular season. Please help", + "src": "Patient: Hello doctor, My symptoms are watery eyes, blocked nose, sneezing, and runny nose with transparent fluid coming out of my nose. It gets worse when I have something from the refrigerator but I am sure it is not common cold. What other doctors diagnosed was that I have got allergic rhinitis. I feel fine sometimes when I take Montelukast FX but sometimes even Montelukast does not help. This allergy starts from starting June to about September but it is hard to live with a runny nose and sneezing. Doctor: Hi, Welcome to icliniq.com. The symptoms you have mentioned are of allergic rhinitis. But it is just not sneezing and watering of eyes. It causes major complications in your body starting from sinusitis to asthma which becomes permanent to your life. We have to curb it in its initial stages. First complete cleaning of fans in your room and also the pillow covers and bed sheet. Use the mask as much as possible to prevent yourself from dust exposure. Montek FX (Montelukast and Fexofenadine) just gives you symptomatic relief on that day. You have to advance to nasal sprays and nasal washes as a permanent solution. Advance anti-allergic drugs have to be started. I need to know the details of allergies possible and have to remove the source." + }, + { + "id": 4185, + "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": 17213, + "tgt": "I am suffering from severe cold and cough. Please help me recover", + "src": "Patient: Hello doctor, I am suffering from severe cold and cough problem. I feel there is a blockage in my chest and throat. I have taken several antibiotics from different doctors, but it is not helping. Because of this, I get fever, body ache, headache and ear pain as well. I had a blood test and chest X-ray as well but everything seems normal. I am not able to recover. Doctor: Hello. Do you face difficulty in taking breath sometimes? Because chest tightness and other symptoms you are telling may be due to reactive airway disease like asthma. I suggest you do a pulmonary function test with bronchodilator reversibility for the diagnosis of asthma. I suggest you take a combination of Montelukast 10 plus Levocetirizine 5 for the time being. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You can take Duolin (combination of Salbutamol and Ipratropium bromide) inhaler two puffs twice daily which will relieve your symptoms of chest tightness. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14169, + "tgt": "I have extreme anxiety and unable to sleep. I also have IBS. Please help", + "src": "Patient: Hi doctor, I have extreme anxiety. I have not been sleeping. I feel too anxious to sleep. I feel scared and worried all the time. I have panic attacks and cannot leave my house. I know I need help but I do not know how serious it is. Doctor: Hi. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. The condition is so disabling that many patients with this disease get significant difficulty in doing day to day activities. As I can see your symptoms are quite distressing, it is clear that you need help to cope with these symptoms. Untreated anxiety disorder lowers the quality of life, and over time it becomes difficult to treat when compared to new onset disorder. Regarding treatment, it can be treated by either medications or psychotherapy. Among the medications, SSRI (Selective Serotonin Reuptake Inhibitors) are generally effective in this condition. Examples of SSRI include Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, and Sertraline. They show improvement after using these medications for at least 4-6 weeks. Among psychotherapy, Cognitive Behavior Therapy (CBT) is most commonly used and it takes about 8-12 sessions of one session per week lasting for one hour. Although definite treatment is required from a psychiatrist, before you could make an appointment with a psychiatrist, I recommend the following things for better management of anxiety symptoms and stress arising from them. These are simple measures which will help you a long way when practiced regularly." + }, + { + "id": 28298, + "tgt": "I am trying to conceive after my baby died soon after birth, 10 months back. Please help", + "src": "Patient: Hello doctor, Last year, I gave birth to a baby boy, who died soon after birth. I am trying to conceive again, and I realized that my menstrual cycle has changed from being 28 days. Every month I tried to track my ovulation, but nothing happens. I do not know if you can help, but when I press my breast, I see little water getting collected. I do not know if it is the milk of the baby that he was supposed to suck. It has already been 10 months since I lost my baby. Doctor: Hi. How are you doing?\u00a0Sorry to hear about your previous loss. Hope I have clarified your doubt, do write back. All the best. For further queries consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 25189, + "tgt": "What is the chance of catching HIV from a blowjob without condom?", + "src": "Patient: Hello doctor,I received a blowjob (without a condom) from a lady who\u2019s HIV status is unknown. It was about 30 seconds long before I ended it. We did also deep kiss for several minutes. I came down with a fever about two weeks later. The fever lasted almost a week. Since then, I have had muscle aches, light headaches, and unexplained fatigue. This too went on for another two or three weeks. I have not felt 100 % since and have a general sense of malaise. I also currently have a dry cough, and it has been about six weeks since the event. Finally, I am noticing red veins in the corners of my eyes, my eyes are also watery and have discharge and crusting. I do not know what her oral hygiene or health was. I cannot say that I do not believe I had any open wounds on my penis, and I did not notice any blood on in her mouth. I have read lots of mixed messages on the possibility of getting HIV.Everything from no risk, low risk, to risk dependent on viral load. What STDs have I likely been exposed to? Does this include HIV? What are the chances of catching the HIV virus from insertive fellatio? Do I have symptoms of HIV ARS, or symptoms from something else? Maybe this is all just from stress. Doctor: Hello. I have noted your concern. Unprotected receptive sex from an HIV positive female (insertive fellatio) carries a very low risk of passing the virus and perhaps it is impossible to get HIV that way unless of course, she had oral sores or bleeding gums. The symptoms that you have are non-specific and may be experienced by someone with the seasonal flu. Since it has already been six weeks since the event, you may get screened by a 4th generation HIV (antigen/antibody) screening test which would be conclusive. Other STDs that you may have been exposed during fellatio are herpes simplex virus, syphilis, and gonorrhea. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23838, + "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": 10338, + "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": 5749, + "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": 28182, + "tgt": "Will bronchoscopy help to treat my uncle's collapsed lungs?", + "src": "Patient: Hi doctor, My uncle has been admitted to a hospital, after a week of high-grade fever along with a cough, which gradually increased. They took a chest x-ray and blood tests and confirmed that it is pneumonia, and my uncle was on O2. He was also suspected for swine flu, and we waited for the reports, but gradually his lungs functioning started diminishing. He showed pO2 levels of 60 in ABG at this time. But the CT scan of\u00a0the lungs depicted bilateral infection. But, the doctor treating him took it reluctantly and was waiting for the swine flu report. H1N1 was negative, yet his breathing became a major problem. All this happened in two days, on the night of the\u00a0second day, he was almost closing his eyes with a\u00a0fever of 101 F and pO2 levels of 54 in ABG. He was shifted to ICU and was put on NIV. The next morning he did not improve, and his pO2 levels were 45. So, we shifted him to a better hospital, who again put him in an isolated ward, suspecting H1N1, but diagnosed it typical pneumonitis. All other parameters of his were normal, but he was put on a ventilator. Here also H1N1 report was negative, but the pulmonologist said that the pictures depict\u00a0swine flu. The team said that he his struggling in the\u00a0ventilator too, but since all other vitals are stable they promised us that he would recover slowly. On the\u00a0ventilator, he showed pO2 levels of 90, but the respiratory element in the monitor showed 25 to 35. He was on the ventilator for seven days, in between they tried weaning, but he could not tolerate.\u00a0On the eighth day, he was extubated and put on NIV fearing for VAP, he sustained for 24 hours in NIV with great difficulty with diminishing pO2 levels, and the respiratory element in monitor rose to 40. During this 24 hours, he was extremely drowsy, and he did not respond to us. He was restless and breathed with so much of difficulty, but then neurologist concluded that he is psychologically dull. After this tracheostomy was done and he was intubated again. Now it is the third day he is on the stoma. But yet he is in full artificial support now and not breathing naturally. A CT\u00a0scan was taken yesterday, and I am attaching it. Again the doctors are suspecting swine flu, although the reports are negative. He is on high antibiotics, so the infection did not spread. But the lungs are full of scars, but he does not have a fever. We do not know where to go, please help. He has not been on natural nutrition for nearly three weeks, so he is very tired. His muscles need to be mobilized, and so they thought of keeping him on the\u00a0chair, but he could not. And today again he is on ventilation. Today the pulmonologist told us that they are going to do an\u00a0endoscopy to remove some mucus. What is his condition? I am attaching all the reports that are available to me.\u00a0Can I know if the CT reports taken two weeks back and now show any improvement?\u00a0Will the endoscopy procedure help?\u00a0Is there any other better treatment for the same?\u00a0Will this infection of viral pneumonia decrease?\u00a0The doctors tell us that he is psychologically dull and so he hesitates to fight with breathing. What other things need to be done to make his atmosphere good? Doctor: Hi. I have seen all the reports (attachment removed to protect patient identity) For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 26929, + "tgt": "Can an acoustic neuroma cause headaches?", + "src": "Patient: Hello,I am a 52 year old female with a 2 mm acoustic neuroma on the right side. There is no hearing loss, but I do have dizziness, imbalance, pulsatile tinnitus. Also, an essential tremor developed seven years ago. I get migraines with aura occasionally. Ten months ago, I developed a coccyx pain which got worse upon sitting. My colonoscopy was clear. Three months ago, I developed bilateral diplopia, lateral and horizontal, but no nystagmus. I have also been getting headaches upon waking and in the evening. I consulted a neuro-ophthalmologist who suspected cranial nerve palsy and ordered blood and MRI tests. I will go over the results with him at the next appointment. I want to be sure to ask the right questions. There are two areas that I saw on the MRI that are obviously strange: The left lateral ventricle has a bright spot and looks larger with a different imaging, not at the\u00a0foramen of Monro, but above. Also, the right clivus looks off. I would like your opinion and also want to know specifically what questions I should ask my neuro. I will submit a few of the scans. Doctor: Hello. I read your query and understand your concerns.\u00a0You need to ask your neuro-ophthalmologist the following questions: I hope this helps you. If you have more questions feel free to write back to me. Thanks and regards. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 3561, + "tgt": "What is the best treatment for papillary thyroid carcinoma?", + "src": "Patient: Hello doctor, My mom has\u00a0thyroid papillary carcinoma. Five months back she got a surgery in both sides of her thyroid gland. What is the best treatment for this? Please guide. Doctor: Hi. Sorry to hear about your mother's state. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13199, + "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": 12145, + "tgt": "How can I cure 5 mm internal stye?", + "src": "Patient: Hello doctor, I have has an internal stye in my bottom eyelid for over a year. It is about 5 mm in diameter and it is not painful but it is very noticeable. Can my GP drain it, or do I have to wait for a hospital appointment? I have done the warm compresses several times daily (not for the whole duration but for a week and nothing has happened) but it is not going away. Doctor: Hello. I understand your concern and have seen your photo attachments (attachment removed to protect patient identity). I feel that you may be suffering from a chalazion than a stye, given that the swelling has been there for a year. Chalazia (plural of chalazion), are painless and stony hard in consistency. They usually do not disappear with warm compresses and need surgery to treat. Most GPs have the equipment to drain such swelling, but it is always best to inquire before setting up an appointment. I suggest that you continue giving warm compresses and see your GP or an ophthalmologist." + }, + { + "id": 23286, + "tgt": "How to stop a blister on the waist from itching?", + "src": "Patient: Hello doctor,I have developed small boil-sort of a blister on my waist. It is red and always itches. I have a burning sensation. It started last week and never before. I have no medical issues except a migraine. I have tried Quadriderm and Candid B ointment but no gain. Please help. Doctor: Hello In the picture (attachment removed to protect patient identity), they seem like smooth white patches, without any boil or blister. Please put up another clear picture if there is a boil or blister. Take the photo in natural light or check them for clarity before sending, as these pictures are not very clear. Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13571, + "tgt": "What is the best treatment option for keratoconus?", + "src": "Patient: Hi doctor, I am diagnosed with keratoconus. My recent report showed K value 49.90, I-S 2.16 D, KISA 244%, and Pachymetry 461.465. My doctor advised me to go for C3R. I would like to know is there any other treatment option for keratoconus? Doctor: Hi. C3R (Corneal Collagen Cross-linking with Riboflavin) will help to check further deterioration of corneal thickness. May I know what is your vision with spectacles or contact lenses?" + }, + { + "id": 29489, + "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": 25967, + "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": 7127, + "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": 20726, + "tgt": "Why am I having severe ear pain, three days after cold and cough?", + "src": "Patient: Hi doctor, I am a 21 year old male, and I have pain in the ear from today afternoon. I do not have any liquid discharge from the ear, but the pain is increasing with passing time. At night, the pain is very intense.I can hear all voices clearly, but my ear is paining a lot. I do not understand the reason for the pain, as I have never experienced such a pain in my life. What is the reason behind this tremendous pain? Is it an emergency? Please answer as soon as possible. I have already taken steam inhalation for this, but I did not get any relief. Doctor: Hi. Your ear pain is probably due to a middle ear infection with Eustachian tube blockage. Did you suffer from any nasal congestion or throat infection in the recent past? I suggest taking Paracetamol for pain and follow-up with the required information, so that I can suggest accordingly. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23031, + "tgt": "I am suffering from erection problem and lack of desire for sex. Please help", + "src": "Patient: Hi doctor,I am married for last four years and now 34 years old. My height is 5 feet 11 inches and weight is 78 kg. I am suffering from erection problem and lack of desire for sex. Just after marriage, these problems were not so severe, so I did not bother about it. We used to have sex successfully but with lesser frequency earlier. Although, on some days I failed to do intercourse due to loss of erection in the middle of it. Before marriage, I was addicted to pornography and do masturbate weekly 1 to 2 times. My personal feeling is that due to these habits I am not aroused sexually in real life with full potential with my wife.However, with age, these problems have gradually increased although I have abandoned pornography and masturbation after marriage. Now, I am only able to have sex after a long period gap of intercourse. Even after a gap, after 2 to 3 days of sex again I lose the desire and erection problem continues. I use sexual thoughts during sex and masturbate for some time to get some erection and complete the task somehow. But this is very uncomfortable for my wife. I have to do this because we are planning for a child now. At present, my primary concern is to be able to have sex at least for 10 to 12 days period per month (every alternate day) during her ovulation time. Kindly advice.My blood pressure is normal. I do not have sugar, thyroid or any major diseases at present. I do not have the habit of smoking and drinking. My semen analysis was done. The report shows slightly less sperm count. The only thing that from childhood my health and working power is below average. I get tired after small work. During worst situations, I took 50 mg Viagra only 4 to 5 times in the last three months. This worked very well for me without noticeable side effects. But I am scared to have this drug too often without medical advice. From last 20 days I am taking Himalaya Confido regularly and Tentex Royal on the day we want to have sex. I have found little improvement. Please help and suggest how can I overcome these problems. Doctor: Hello. I can understand your concern. The history you have mentioned clearly ruling out any serious organic problem for erection. Just to reassure you I would like to tell you that masturbation is a safe habit and it is not a cause for poor erection or loss of libido. But yes if an individual watches excess porn then that can affect his mind adversely. The expectation for sex increases after watching porn. Sex is shown in the dramatic and appealing manner in a porn video. By watching excess porn expectations increases. Once the individual is with his partner then this affects the mind psychologically and due to this unconscious stress, the libido or even erection decreases sometimes. So to overcome this first step is to stop watching porn completely. This you have done already. Try to spend more time in foreplay and both of you can play role play games. This will make sex interesting. Spend more time talking about sex too and this will also help a lot. Do not think that you will not get a proper erection or you might lose the erection. Try to distract yourself from these thoughts. Since you are getting good erections during masturbation or after stimulation with hands so this rules out any physical issue. The problem is in the head and this is resulting in stress during sex and consequent loss of erection. You have to suppress unwanted thoughts that you might not get a strong erection and also try to reduce the stress. You can continue to use Confido and Tentex Royal, these are herbal medicines and will surely help you. You can take two tablets twice a day for best results. Even if you take Sildenafil or Tadalafil on SOS basis even then no need to get worried. For some time you can use the medicines as per prescription and this will help in improving the confidence and you will get a good erection without tablets too. Though your weight is in normal range according to your height even then I would advise you to get serum testosterone levels done. This could be one of the reasons for low libido. If the levels are in mid to high range then no need to get worried. Try to have sex daily during 12 to 16th days of a menstrual cycle of your wife (day one is the first day of bleeding). Sex during this period will result in maximum chances of conceiving. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16551, + "tgt": "Does my gastroscopy reports show ulcer in the stomach?", + "src": "Patient: Hi doctor,In recent days, food is making me sick. I feel a lot of air and soreness in the stomach. I am often belching. When I consulted a doctor, he said that my stomach was fine.\u00a0I have attached the\u00a0reports of gastroscopy of the stomach and duodenum. Could the area that I have marked blue, be an ulcer? Kindly give your opinion on the reports. Also, I had antral gastritis\u00a0two years ago. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity) For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16768, + "tgt": "Would it be dangerous to take Cardarine while on Nardil?", + "src": "Patient: Hello doctor, I am currently on 90 mg of Nardil (Phenelzine), which has proven to be a miracle drug for me. I have found over the years that many drugs you are supposed to avoid while on MAOIs are really acceptable. For instance, in order to counteract the daytime sleepiness side effect, I am actually on a small dose of Wellbutrin (Bupropion), which is supposedly contraindicated with Nardil. But, I take it just fine with no impact on blood pressure. In fact, I have never had a hypertensive response. Over the years, my weight has increased due to the Nardil and I am looking to do something drastic about this and very soon. Specifically, I want to do a short run cycle of Cardarine (GW501516) in order to lose weight, while preserving muscle. Would it be dangerous to take this while on Nardil? By all accounts my levels of MAOI are pretty low. Doctor: Hello. I understand your concern. For further information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 16811, + "tgt": "What can be the reason for my penis pain?", + "src": "Patient: Hi doctor, I have some\u00a0pain in the right side of my penis for the past six years. I never injured it during sex, but I have squeezed it too hard after urination. I can get an erection, but it is uncomfortable. The discomfort extends from the tip of the penis to the testicles, but only on the right side. I have never had any bruising or discharge. I visited my GP and he referred me to a hospital. They made an artificial erection and filled my penis with dye to check blood circulation and said everything was normal. So, what can be the reason for the pain? Doctor: Hi. For further information consult a\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26597, + "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": 26500, + "tgt": "Please suggest some ayurveda remedy for blurred vision", + "src": "Patient: Hi doctor, I am a 30 year old male. I am suffering from blurred vision. I could not focus properly. Also, I have dizziness and stiffness in the neck, which sometimes continues for the whole day. An MRI brain was done and it was normal. The blood tests including thyroid profile, LFT, KFT, vitamin D and B are also normal. My doctor told me that it could be anxiety. I was under Allopathy treatment for three to four months and homeopathy treatment for four months, but I did not get much benefit. Now, I am not taking any medicine. Please help. Doctor: Hi. Below advice may be helpful to you. So, you can follow the below medical advice and will get relief. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24973, + "tgt": "Why is there increasing amounts of mucus in the feces?", + "src": "Patient: Hi doctor, My 77-year-old wife has had constipation issues all her life. This coupled with IBS that generally results in at best small balls of feces. This is day five of no real bowel movement. She had a total knee replacement nine months ago and para-esophageal hiatal hernia repair. Early on use of MiraLax (Polyethylene Glycol) produced nothing followed by two days of Magnesium citrate and still nothing. Finally today, a fleet enema producing small group of balls with mucus. She is currently on Crestor, Tofranil, Fioricet and Lorazepam. Can you share your thoughts regarding this continued bowel movements producing ever-increasing amounts of mucus? Doctor: Hi. The mucus usually results from prolonged constipation and has nothing to worry. She needs to take measures to avoid constipation. Have a high fiber diet. Avoid constipating foods. Take 2 to 3 liters of water daily. You can have low dose laxatives like Cremaffin (Liquid paraffin, Magnesium hydroxide and Sodium picosulfate), Dulcolax (Bisacodyl) and Lactifibre (Lactitol and Isabgol husk) in ascending order as needed. Consult your specialist doctor, discuss with him or her and take medications with their consent. When was a colonoscopy done? If not within a year, you need to consider one. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19409, + "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": 4662, + "tgt": "Do I need to take Insulin with FBS 271 and PPBS level 475?", + "src": "Patient: Hi doctor, I am a 70 year old female. My weight is 60 kg.\u00a0I am a known case of NIDDM. I am on Glimepiride 4 mg bid and Repaglinide bid. But, my FBS is 271 and PPBS is 457. Is there any solution to lower my sugar without Insulin? For me Insulin was already prescribed, but still I have not started. Doctor: Hello. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 12741, + "tgt": "How to conclude Down's syndrome other than ultrasound scan?", + "src": "Patient: Hi doctor, I am 26 weeks pregnant. Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies. Other than hypoplasia of nasal bone, everything is normal. I need an expert opinion regarding advanced tests of ultrasound or amniocentesis, karyotyping or any ultrasound scan to conclude markers of Down's syndrome (DS). In case of Down's syndrome, is termination of pregnancy is a must? Is it safe to terminate at this term? What if we keep baby after conclusion of DS? Kindly help us. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity) in toto. At 26 weeks period of gestation, the overall growth of the fetus is fine. But the concern here is hypoplastic nasal bone seen in the second trimester TIFFA (targeted imaging for fetal anomalies) scan. One has to understand that nasal bone hypoplasia (underdevelopment of nasal bone) have been designated as a single marker for Down's syndrome with a likelihood ratio of 81. There are other soft markers for Down's syndrome which indicate towards the likelihood namely:- Also what can be done in second-trimester screening for Down's syndrome is the quadruple screening, which is ideally done between 11-14 weeks of the period of gestation. It involves serological markers MSS2. In your case now there is only one marker present on TIFFA, but a strong marker indeed. So, amniocentesis (amniotic fluid test) is indicated under expert hands. As 26 weeks, the chances of initiating preterm labor are fairly high as the baby is already 900+ g weight. But, considering that the AFI (amniotic fluid index) is high at 20, it can be attempted. Following amniocentesis, the fetal cells so obtained can be subjected to karyotyping studies (to check chromosome count), which would be conclusive if it shows Trisomy 21 pattern on chromosomal studies. Now, presuming that the result is positive for DS, there is a legal hassle where pregnancy cannot be terminated beyond 20 weeks period of gestation as per MTP ACT (Medical Termination of Pregnancy Act). Only under special conditions where the child is either going to be harmful to the mother's health or affecting the mental status of the mother psychologically, with a legal intervention the termination can be undertaken with the opinion of two doctors plus one legal counselor. The termination would be a vaginal route and chances of the post part hemorrhage at this period of gestation are very high and can be dangerous for the mother. So ideally, we do not advise at all. Hence, we prefer regular ANC (antenatal care) visits so that any anomalies are caught early in the antenatal period. If you plan to deliver the child, it will take the course of normal pregnancy. One has to accept the fact that post birth, the child would have delayed milestones and maximum life expectancy is 17-18 years as recorded in literature. The scan undertaken has good resolution indeed, and they have undertaken a 4D scan for TIFFA. However, you may choose any diagnostic center or hospital for a scan to reconfirm the report. You may consult your gynecologist for the same. I would suggest an amniocentesis and karyotyping at the earliest." + }, + { + "id": 14530, + "tgt": "Kindly suggest methods to quit smoking", + "src": "Patient: Hi doctor, My husband smokes a lot. How can I make him quit the smoke? Please help me with the answer. Doctor: Hello. Nicotex gum is may be useful in his case. The 4 mg dose of gum is recommended if he smokes 25 or more cigarettes per day, whereas the 2 mg dose if less. He should chew the gum whenever he has an urge to smoke. He can chew one piece of gum every one to two hours for six weeks, with a gradual reduction over a second six weeks, for a total duration of three months. Acidic beverages (like coffee, beverages) should be avoided before and during gum use." + }, + { + "id": 14663, + "tgt": "My baby will be 6 months old in another 3 weeks time. I have never given her solid foods so far. Please advise", + "src": "Patient: Hello doctor, My baby will be 6 months old in another three weeks time. I have never given her solid foods so far. I have to get back to my office after three weeks. My working time is from 10 AM to 5 PM. Please advise me on how to manage this situation. Doctor: Hi. You can start weaning (gradually reduce mother's milk and start giving solids). Start giving semisolid food after she is 6 months. If you are breastfeeding your baby then, you can express breast milk and store it for rest of the day before you go to work. Breast milk can be stored for 24 hours in a refrigerator. Regarding solid foods, homemade rice with dal water is a good food to start with. Start with the rice variant which is least allergic. Partially grind the cooked rice and make it easy for the baby to swallow. Banana is another solid food which you can give during the evenings. Start with one banana a day and then make it twice a day. Introduce one new food to your baby at a time with a gap of one week at least, so that you know which food your baby is able to digest easily and which she is allergic to. You can continue with boiled potato, carrot, beetroot one by one. Readymade preparations like cerelac, nestum or farex are also an alternative. Consult a paediatrician online for further clarifications -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20801, + "tgt": "Which bacteria can cause diarrhea? How to identify them?", + "src": "Patient: Hi doctor, I am suffering from loose stools and diarrhea for a long time. Can you tell me what bacteria are present in the human fecal sample? Doctor: Hi. There are lots of bacteria present in the stool such as staphylococcus, E.coli, Vibrio, Campylobacter, Shigella, and clostridia. To identify the causative bacteria, a stool culture can be done. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 21027, + "tgt": "Can smoking aggravate OCD?", + "src": "Patient: Hello doctor, I was suffering from OCD for four years. I had taken medication Fluoxetine and Clomipramine for it. I had recently started smoking one year back and now want to quit. I just want to know that does smoking further harm OCD. Doctor: Hello. Smoking can affect your OCD (obsessive-compulsive disorder). First, it can exacerbate the associated anxiety thus worsening OC symptoms. Second, it can affect the blood levels of medicines you are taking for treatment thus affecting their efficacy. The other harms of smoking are well known. So I would suggest you quit smoking." + }, + { + "id": 5207, + "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": 25947, + "tgt": "Kindly suggest suitable exercises for waist pain in a 60-year-old", + "src": "Patient: Hello doctor, My 60-year-old mother weighs 67 kg and is with a height of 5.2 feet. She is taking Eltroxin 50 mcg for hypothyroidism, Olmezest 20 mg for hypertension, Gemcal D3 and Kondro OD for osteoarthritis of the knee joints and Folvite for mild anemia with a hemoglobin of 10.6. Since the past one month, she reported mild to moderate pain in the middle portion of her waist joint. She had taken three to four Ultracet tablets, applied ointment, and a hot bag. Although the pain is reduced, the waist joint is not that flexible as one month before. When we spoke this to our orthopedic doctor, he advised starting the spinal exercise in addition to her daily quadriceps and hamstring exercises. I request you to share some details on what exact exercise is suitable for her waist pain, some video or image link on how to do that and the number of times she needs to do it. She currently does 30 times of quadriceps exercise twice daily and five times of hamstring exercises twice daily. Please help. Doctor: Hello. Well, quadriceps and hamstring exercises alone will not help in getting the waist pain corrected. She needs to do trunk rotation exercises, slow and rhythmic rotation to each side of the body left and right. Repeat them twice a day for a count of 15 times each. She needs to do cat and camel exercise. Ask your mother to come to a quadruped position with her hands and knees like a cat and now try to inhale and lift her spine up and remain for 10 seconds and exhale moving the spine downwards and head up. Repeat this for 15 times each twice a day. Bridging exercises could be done. The patient has to lie on the bed with knees bent and feet flat on the floor. Now slowly lift up the waist and the pelvic area upwards keeping the feet flat on the floor. Do this thrice a day with 10 counts in each session. Remember every exercise should be performed slowly and do not exert pressure. Continue for one month and follow up after that. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 5736, + "tgt": "I have itching, rashes and burning sensation in my groin area. Please help", + "src": "Patient: Hello doctor, I am a 36-year-old male. I am having an issue in my groin area. My symptoms are itching, rashes, and burning sensation on inner thighs. I used Itch guard. Please suggest. Doctor: Hello, Welcome to iclinq.com. I have read your query. In my opinion, you are suffering from Tinea cruris, which is a fungal infection of the skin. I advise you to keep the area dry because moisture can aggravate the fungal infection. You can apply Luliconazole cream twice daily on the lesion, and also on the normal skin of around 2 cm around the lesion for three weeks. After applying the cream, you should apply Clotrimazole dusting powder for three weeks. This powder helps in absorbing the moisture and reducing the friction of the area. You also take tablet Levocetirizine 5 mg one tablet after dinner for ten days. This is for the management of itching. You can continue it beyond ten days if you have severe itching. I hope this helps. Fungal infection Tinea cruris. Topical antifungal cream and dusting powder along with oral antihistamines. Please avoid tight fitting clothes. Avoid applying over the counter creams. These creams may contain steroid which can damage the skin. Also, completely dry the inner wear before wearing. Follow up after three weeks." + }, + { + "id": 29242, + "tgt": "To what extent will marriage counseling help the couple?", + "src": "Patient: Hi doctor, We applied for a divorce, and we are going to a psychiatrist for counseling as advised. The reason for divorce is that my wife is not willing to have sex, but complaining that I have some problem.\u00a0I hope she loves\u00a0someone and still having contact with him. My friend informed that during counseling they will apply a lotion on the\u00a0forehead and will give a tablet before counseling. May I\u00a0know the use of tablet and lotion. Is it possible to get the real fact in her mind?\u00a0Please advise. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21599, + "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": 23674, + "tgt": "How can my wife avoid passing on her eye infection to our child?", + "src": "Patient: Hello doctor, My wife is having a red eye. We are thinking that it is spreading to the other eye too. We visited an ophthalmologist and she said that it is viral conjunctivitis. She has prescribed Gatifloxacin eye drops four to five times a day and Moxicip ointment at night. This was three days back. How can we prevent the spread of this infection to my 4-year old daughter? My wife takes care of her at home. Doctor: Hello. Here are a few tips to avoid transmitting eye infections to those around you: I know some of the steps are hard, but one has to follow them. For more information consult an ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7913, + "tgt": "Can AHA Revitalizing Lotion be used along with Isotretinoin to cure body acne?", + "src": "Patient: Hello doctor,I am 25 years old and I weigh 75 kg. To cure my persistent moderate body acne and KP of past 10 years which was not responding well with topical treatment, the dermatologist put me on Isotretinoin course starting with a dose of 5 mg. Along with this, he has also prescribed AHA Revitalizing Lotion 20% (Glycolic Acid) to help with the acne scars and the KP bumps, Salyzap body spray and Spongy-Sal for washing. Is it okay to use this AHA Lotion while on Isotretinoin? I ask this because it said in the pamphlet that no cosmetic procedures can be had on the skin while on this medication. Please help. Doctor: Hello. Regarding the dose of Isotretinoin, it can go up to 20 mg easily. There is no serious side effect except for dry and cracked lips. With regards to Glycolic Acid 20% lotion, I will suggest you use it for short period first then increase it slowly. Concomitant use of Isotretinoin and Glycolic Acid 20% will be ideal although there is a relative contraindication for use of both simultaneously. But we perform Peels with even Glycolic acid 35% to 50% with Isotretinoin and we do not have any side effects. Because we give Isotretinoin in lower doses and you are taking just 5 mg which is very low. So, I do not see any problem. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17208, + "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": 12952, + "tgt": "How can strain and pain below the knee after doing exercise be cured?", + "src": "Patient: Hello doctor, I used to play sports. Now after a gap, I started walking and later doing some fitness workouts daily. During walking my muscle below the knee is getting more strained and paining (issue only for right leg). Please give me a right solution. Doctor: Hello. I read your concern. I feel you should do proper warming up and stretch before doing the activity. This will definitely reduce your tightness, pain, and discomfort. Do some basic stretch and strengthening and use good footwear. Apply ice on the painful area frequently. Get an iced bottle and roll your leg on top of it for a while say for 10 minutes." + }, + { + "id": 30761, + "tgt": "I am spotting for the first time. Does it mean I am pregnant?", + "src": "Patient: Hi doctor, I am on the pill Lo Loestrin, but I have not been consistently taking it. My last period was on the 25th of last month and my average cycle is around 28 days. My husband and I had unprotected sex on 5th and 6th. I noticed some dark brown discharge on my underwear. When I wiped, it was mixed dark brown and red strands of blood. It has been more than 24 hours and very light when I wipe. I also have been experiencing soreness and light cramps as I would feel in the beginning of my period. However, the discomfort in my abdomen is located on one side and it comes and goes. I have soreness in my legs, lower back and breasts. I also have been experiencing some aching sensation in my vagina. I have also experienced sudden feelings of nausea, but it has not lasted very long. When I began spotting, I was very surprised. I have never spotted between periods before. I am not sure if this is because I have missed taking my pills or if it is implantation bleeding. I have been driving myself crazy by thinking that I could actually be pregnant. The thought of having a baby makes me so excited. But, I do not want to get my hopes up. Please clarify. Doctor: Hi. The spotting that you are experiencing is probably you have not taken the pill regularly and withdrawal due to that. You had unprotected sex on day 11 and spotting on day 16. I do not think it is implantation bleeding. However, if you are keen to know whether you are pregnant or not, then you can get a blood test beta hCG (human chorionic gonadotropin) and see the value. Wait for your normal cycle and if you do not get periods, then get a TVS (transvaginal scan) done. If you are keen to get pregnant then you should not take tablet Lo Loestrin (birth control pill) since it is a contraceptive. If you are taking it without fail, then you need not take any other precaution. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28638, + "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": 1660, + "tgt": "My nose is swollen and tender after septoplasty. Kindly help", + "src": "Patient: Hello doctor, Nine weeks post septoplasty/turbinate reduction. My nose feels swollen and tender on the inside. It feels like there is dry and ice cold air going up my nose. How long does it take to completely heal? I have used nasal rinses, sprays, etc. Doctor: Hello. Septoplasty is corrective procedure. The wound on your nose will heal fairly quickly, and your breathing is likely to improve shortly after the procedure. However, the overall healing process can be slow. Cartilage and other nasal tissues can take up to a year to fully settle into their new shape. Tips for a quicker recovery include: elevating your head at night to keep the swelling down, not blowing your nose forcefully after surgery, wearing shirts that button up in the front so you will not have to pull clothing over your head. Also, remember to avoid hot, cold and dry air. Slow nasal breathing exercises (after permission from your surgeon) can help recovery faster. Nasal rinses, if advised should be continued. Wishing you speedy recovery." + }, + { + "id": 13178, + "tgt": "What can be done to cure coughing up of yellow colored mucus with post-nasal drip?", + "src": "Patient: Hello doctor, I am coughing yellow colored mucus or sputum for almost a week now with post-nasal drip. Does this mean I have a bacterial infection and I need antibiotic? Please look at the attached image. Doctor: Hi. I read your complaints. You have been having yellow colored sputum which means that you have an infection for sure but then does not mean that it has to be a viral or bacterial infection. If you have a fever and you have a productive cough like this then you will have to have an antibiotic for now. Then, when you do not have fever and just only this cough and sputum I would advise you to take medicine called Fexopen 120 milligram at night for five days and then you try steam inhalation for about five days everyday once. At this point in time, do not advise any antibiotic. I would also want you to get a basic blood investigations CBC and a chest X-ray as well to look for what kind of infection. If you have been smoking I would advise you to strongly quit smoking at present and also forever. I do not think that you will require an antibiotic if you do not have any fever. But if you do have a fever please let me know." + }, + { + "id": 20832, + "tgt": "Does viral infection cause swelling and discomfort in testicle and sperm canal?", + "src": "Patient: Hi doctor, I am a 60-year-old male. I have swelling and discomfort in the testicle and sperm canal. I have wandering aches and pain around the groin area including buttocks and inner thigh. I am having these symptoms for the past four to five months. I am not taking medications. I have tried Neurontin with a low dose of 100 mg taken twice daily for two weeks. But I stopped it because of its side effects, and it does not relieve my symptoms. I had shaking episodes of anxiety and worried that I might have contracted herpes 2. I have tested for all the common STDs which showed a negative result except herpes simplex showing a positive outcome. I am also experiencing impotence. I had undergone a hernia operation with a net before 11 years. Also, I had undergone a small hernia surgery on my right side which is not very visible. I do a lot of swimming about 10 kilometers per week. I have overstrained myself. I had a sexual encounter with someone whom I do not know a lot. I have wandering pain around my lower abdomen and groin. Often it is hard to distinguish where the pain gets originated. Sometimes, it involves both upper and inner thigh in the vicinity of the testes sack. I have tenderness and minor swelling in my testis and epididymis. I have difficulty in erection. Doctor: Hi. I understand all your concerns. I have checked the provided information thoroughly. I need to know more details. Do you have any redness, swelling or ulcers in the genital or groin area? Have you performed urinalysis? Please send me some photos if possible." + }, + { + "id": 16781, + "tgt": "One of the twins got miscarried. Are my reports worrying?", + "src": "Patient: Hello doctor, I am 29 years old. 19 weeks and four days pregnant. My LMP was four months ago. Two months back, I had slight bleeding and passing of some brown tissue. I had a scan and the report showed an empty sac with bleeding and no cardiac activity. Another sac was also present with cardiac activity. And the doctor said one of the twins got miscarried. To survive the other, I took Prolactin injection and was given Susten tablets. Had one shot of hCG too. I had my NT scan which showed everything normal, nasal bone was present and NT was 1.5 mm. Though the doctor did not suggest any test, I chose to do the double marker test. In the result, my trisomy 21 risk was 1: 438. hCG level was 167. 793 ng/ml (3.44 MoM) and Papp-a was 0.53 MoM. This is really worrying me. In my anomaly scan this week everything was normal except the femur length (26 mm) which is exactly the fifth percentile. The doctor advised for follow up scans. I am 5' 2\" and my husband is 5' 4\". I did not go for any other test for reassurance as I am really worried about my chances of trisomy. My doubt is am I at risk for trisomy? And I read short femur length is connected with trisomy. I am worried about taking any further test. Would you please clarify my doubts on this, doctor? Doctor: Hello. How are you doing? What you had, in the beginning, was a vanishing twin syndrome. The healthier of the twin survived. The baby which disappeared mostly had some genetic problem, which was not compatible with life. The brown discharge you had was implantation blood. Altered blood is passed without any pain. As your NT scan was normal with normal appearing NT and nasal bone, this nearly rules out chances of Down's syndrome. Single soft tissue marker at this time is not significant. This could just be an error of measurement of the sonologist. Your age is also of low risk. If I may suggest do have a 3D scan to rule out the anomaly of the baby. There is really no need to worry, with everything in low risk, why are you worried about one factor, which could just be an error? Do have a second opinion 3D scan. It will be normal. 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": 22292, + "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": 21502, + "tgt": "Does pain in soles while walking or standing mean plantar fasciitis?", + "src": "Patient: Hello doctor,From the last few months, I am having pain in both the soles. It gets worse when I walk or stand for a long time. Also, it gets worse when I sleep. I suspect it is plantar fasciitis. What remedy do you suggest? Doctor: Hi. 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. You need to do the following exercise: Doing all these things will help reduce this pain. For more information consult an orthpaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16488, + "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": 5630, + "tgt": "My boyfriend is paranoid that I may cheat him. How to mend the relationship?", + "src": "Patient: Hi doctor, I have completed my MBA and currently searching for a job. I am in a relationship for nearly eight years. At one point\u00a0we were even living together . My mom does not approve the relationship and wants me to get married to a groom inside our caste. My father is no more. My boyfriend is paranoid that I will cheat him. This doubting and controlling have become too much for me. I could not handle it. But I do not want anyone else too. Because of the stress I have gained 15 kg in one year and also got lots of acne on my face. Please help me. Doctor: Hi. I can understand your emotions. For further clarification consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist {{data.answer_ext.pb_cause}} {{data.answer_ext.lab_t}} {{data.answer_ext.ddx}} {{data.answer_ext.pdx}} {{data.answer_ext.treatment_plan}} {{data.answer_ext.p_tips}} {{data.answer_ext.followup}}" + }, + { + "id": 1225, + "tgt": "Soreness in eyes with paranoid nature refrains my sleep with fear of becoming blind. Please help", + "src": "Patient: Hello doctor, I am a very paranoid person. The smallest thing that happens to me ends up searching it up on the internet and stressing over it. One of my main problems is freaking out about going to sleep and waking up worse. For example, yesterday I got an eyelash in my eye and it was so close to my cornea, but it did not touch it. After that, I would constantly go to the bathroom to check if there was something in my eye. The constant touching led to my eye being sore and I was afraid to fall asleep and wake up blind. I ended up sleeping at 5 AM. I was wondering if you had any tips to help me not be afraid to sleep at night. Doctor: Hi. Try sleep hygiene. Avoid excessive caffeine intake, do not sleep at day time. Maintain a regular schedule for sleeping and waking time. Do not use mobile phone or watch TV when you are in bed. Go to bed when you fall asleep. If you do not feel sleepy in the bed wake up and engage in some activities until you feel sleepy. Try this first as well as regular exercise or meditation and engage in your regular activity. If this does not help try Zolpidem 10 mg at night time for 10 days, eat this medicine and immediately go to sleep. Along with this take Fluoxetine 20 mg in the morning after meal." + }, + { + "id": 17569, + "tgt": "I am not getting proper erection. Please advise some ayurveda medicine", + "src": "Patient: Hi doctor, I am 53 years old male. I am taking hypertensive medications for the past 19 years. I am taking Telma 20 mg and Prolomet 15 mg in the morning. I am taking Aztor 5 mg during the night before bed. I am not getting a proper erection for the past two months. I want to reduce my obesity. Please advise ayurvedically. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your blood glucose level is in a higher range. Try to control your sugar servings in the meal. Your vitamin B12 is in a lower range, so add fish, egg, milk and fortified products for it. You can also start a supplement after discussing with your physician. Your vitamin D level is slightly low. So spend some time in sunlight in the morning. Add fortified cereals, orange juice, soy milk, dairy products, egg yolks in your diet. There are mild changes in lipid profile and blood urea. But it is not of concern now. Now, coming to your current query about improper erection. The leading cause is the age. Just like females, men also face the problem of male menopause where every year some amount of testosterone falls. However, it is the rate of falling which may vary from person to person. Also, health conditions like high BP (blood pressure), increased blood glucose level, nutritional deficiency, lifestyle also play a role in decreasing erection. You can not get the same erection as you used to get during young. But these Ayurvedic medicines may help you to some extent. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21611, + "tgt": "Will drug test be positive with just inhaling marijuana smoked by someone?", + "src": "Patient: Hi doctor, When crossing a bar, I come across people smoking marijuana. Would a person test will be positive on hair or urine drug test in any situation? I am not a drug user. Doctor: Hi. While crossing a bar, when someone smokes marijuana (Cannabis) out, there is a possibility of inhalation through the nose. Chronic exposure occurs for people who work in the bar. Sufficient amount can enter into the lung and blood, which can be tested in hair or blood. So, just crossing the marijuana smoke never makes the hair to accumulate marijuana or to make positive. There is a small chance for deposition of smoke on the hair. But, it would go off if washed while bathing. If the hair sample is collected after the exposure of smoke without a bath, then there is a chance for the test to be positive in the hair. If the sufficient amount of smoke enters into the lungs, definitely it goes to blood. Once it reaches the blood, it needs to get excreted through urine. Hence, within 12 hours of smoke exposure, the urine may show a positive result. For more information consult a toxicologist online --> https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 1070, + "tgt": "Will penis extender cause shortening of size instead of enlarging?", + "src": "Patient: Hi doctor, I have been using high quality, highly rated penis extender for two days for 8 hours a day and no for the past three weeks now. Do these things really work? Is it possible to experience penis shortening instead of enlarging? A month ago, I was 7\u201d but now I am almost at 7\u201d. Doctor: Hello. I want to know the reason for which you are using a penile extender. Do you have a very decent size why you want to increase it further? It is like your height is 6 feet but you want it to be 6.3. Everything you do has got side effects. If not done properly can lead to trauma and hence shortening. Are you diabetic or hypertensive? Any other chronic illness?" + }, + { + "id": 4054, + "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": 19844, + "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": 27908, + "tgt": "Kindly help me interpret my father-in-law's MRI reports taken following an accident", + "src": "Patient: Hello doctor,My father-in-law had a motorcycle accident two days ago and has injuries all over his body. He had his CT done today. I am attaching his report with this query. Kindly help me interpret it. Doctor: Hello. Revert with the above-mentioned information for a better understanding and judgment. Meanwhile, I suggest consulting a surgeon for wound care on the right side of the head. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22780, + "tgt": "Why am I having bad breath problem even after scaling?", + "src": "Patient: Hello doctor, I went to the dentist because I am having bad breath problem whole day from last eight years. This bad breath is also there after brushing. The doctor did scaling and polishing and gave me a mouthwash (Chlorhexidine gluconate solution) but it did not work. I am still having bad breath. One of the dentist suggested me to go for ENT. When I wake up in the morning my mouth smells very very bad, then after brushing also my mouth start smelling after few minutes, brushing two times a day did not make any effect on my bad breath. My friends say you have unusual smell in your mouth because of which I am not able to talk with anyone. This unpleasant smell is not for some time, it is the whole day. Do not know why. Please help me. X-ray paranasal sinuses were done and ENT specialist said everything is fine. Doctor: Hello. The patient is suffering from halitosis or GERD (gastro-esophageal reflux disease). Practice good oral hygiene. Brush twice a day with fluoride toothpaste to remove food debris and plaque. See your dentist regularly, at least twice a year. Stop smoking and chewing tobacco-based products. Cut down on coffee, drink plenty of water to help prevent your mouth from becoming dry, chew sugar-free gum after eating to stimulate the flow of saliva which will help clean away any remaining food particles. Keep a log of the foods you eat. I suggest taking capsule Rabelet (Rabeprazole) BD empty stomach seven days, tablet Anxit (Alprazolam) 0.25 mg HS for seven days. Also, take opinion from gastroenterologist and ENT laryngoscopic examination. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20825, + "tgt": "I am getting white vaginal discharge. Is it due to ovulation or infection?", + "src": "Patient: Hi doctor, My vaginal opening is white, and I have so much of discharge coming out. I am sexually active. I feel like my vagina is really large. I looked at my underwear and it was just filled with a paste-like discharge. I know I am ovulating. But I am worried when I look down there as I see a white discharge in my hole. When I wiped it by myself, it does not have any smell. It smelled regular. Is this a regular ovulation discharge or an infection? I have no itching, and there is no pain. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The white discharge is thick curdy. Candida infection causes the same. However, in the absence of itching or foul smell, it is recommended that you get a high vaginal swab culture test done to check for any possible infection first. If it is negative, it is likely a cervical mucus discharge during ovulation, and it can be controlled by using alkaline vaginal washes twice a day. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16239, + "tgt": "Why am I having itchy throat and stuffy nose after allogenic bone marrow transplant?", + "src": "Patient: Hello doctor, I am an 18-year-old girl. I have been a patient of beta thalassemia major. Recently allogenic bone marrow transplant was conducted (70 days since transplant). Before this, I had no history of any allergy or rash or another disease other than thalassemia. Recently, I have felt itchy throat-stuffy nose only on one side of the nose that is open and closes when I lie down. Moreover, due to an itch, there is a cough. No nasal drippings. Doctor: Hi. Your symptoms are suggestive of upper respiratory tract infection, possibly allergic inflammation. I suggest you investigate with CBC for primary work up. Meanwhile, a decongestant can be prescribed for your symptoms. You can drink warm water that helps in the soothing throat. Salt added lukewarm water gargle can be beneficial. Avoid the intake of excess spicy foods." + }, + { + "id": 20987, + "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": 20342, + "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": 20283, + "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": 6949, + "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": 22892, + "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": 11721, + "tgt": "Can Kalarchi choornam be taken for fallopian tube blocks?", + "src": "Patient: Hello doctor, I am having Kalarchi choornam for cysts in my ovary. Is it effective for a fimbrial block in fallopian tube as well? Is it possible for me to get pregnant going on this choornam? Doctor: Hello. Kalarchi choornam is a Siddha medicine used to treat ovarian cysts. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Fimbrial blockage of fallopian tube mostly occurs due to ovarian cysts because of multiple large-sized ovarian cyst plugs in the fimbrial opening of the fallopian tube. Due to continuous use of this Kalarchi choornam, it reduces the size of the ovarian cyst and helps to remove blockage as well. So there is a hope to get conceived in future. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1237, + "tgt": "My regular menstrual cycle is disturbed for the past 2 months. What should I do to regularize it?", + "src": "Patient: Hi doctor, I am 43 years old. I am having three children. Up to February, my menses cycles were at routine (monthly normally at 10-12 th of every month). My Hbp level is at 7+, but for the first time in the March I had no cycle, and in April I just had spotting. Now from the 1st May, I am having full bleeding, till today. The same case happens with my sister at the age of 41. She faced the same issue and on consulting the doctor, she was advised Progyluton tablet 2 mg / 0.5 mg for 21 days +TriHemic 600 tablet. Due to lockdown, I cannot contact my doctor, can you please guide me? Can I follow the prescription of my sister? Doctor: Hi. I understand your concern. Normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes. So in your case, you might be transiting into menopause. However, if you have excessive bleeding during menses then take tablet Pause MF (Tranexamic acid and Mefenamic acid) three times daily if bleeding is heavy. Also, women must take calcium supplement after 30 years. Please take tablet Calcimax once daily after food. If your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes." + }, + { + "id": 7248, + "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": 16214, + "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": 23938, + "tgt": "Is it possible to have hairy leukoplakia three months after risky sexual activity?", + "src": "Patient: Hello doctor, I am a 28 year old male who discovered this lesion on my tongue by accident while brushing my teeth. It does not come off easily with the toothbrush. Actually, it does not, unless I apply significant force to remove it. It has been a month since I first discovered it and no other symptoms associated, no pain, no discomfort when eating. Two weeks ago, I could scrape it off with my toothbrush but it came back. I am worried, I am not a smoker, I do not drink alcohol very frequently. Basically, I do not have risk factors for oral cancer. I have read many things on the internet and saw some lesions like hairy leukoplakia which is almost pathognomonic for HIV/AIDS patients. How likely is it that it could be hairy leukoplakia by seeing the picture? I am HIV negative as of nine months ago (I always keep a track of my status). But I did not engage in a risky sexual activity until three months ago when I started dating my current boyfriend whom I live with. We stopped using condoms and I have had anal receptive intercourse with him. He said he does not have any health issues but he has had a weird dry cough for a long time and he does not want to go to the doctor. I am scared. If he does have HIV, and given the case that he infected me, is it possible that I can have hairy leukoplakia three months after having sex? I have read it usually occurs in the last stages before AIDS develops. I need help, I am so scared. Doctor: Hello. It does not appear to be hairy cell leukoplakia. It appears like a normal ulceration or papule only. I suggest applying Triamcinolone ointment over it twice daily and observe if it goes down. Eat a healthy diet rich in folic acid and all other vitamins. Take plenty of green leafy vegetables and fruits and have an active lifestyle. Meanwhile, it is advisable to get your boyfriend tested for HIV. If there are multiple partners involved then it is better both of you get tested regularly. It is always safer to use protection while having an anal intercourse. The receptive partner has more chances of getting the virus from the dominant one during an anal intercourse as the anorectal mucosa is very soft and can easily tear. Do write back to us for any further support. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 191, + "tgt": "Please suggest a treatment for the swelling in my lower eyelid", + "src": "Patient: Hi doctor, I got a swelling in the left lower eyelid as can be seen in the picture before four days. It is painful and the eye turned red. Since yesterday, I have been using Ciprofloxacin eye drops, but there is no relief. I got similar problem in my right lower eyelid a year back. Since, two months I am staying in hot climate. Also, I have mild dandruff. What is the diagnosis and treatment? Doctor: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert back after a week to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21821, + "tgt": "Will marrying a girl of same blood group create any problems in having children?", + "src": "Patient: Hi doctor, I have A+ blood group. But, will marrying a girl of the same blood group (A+) create any problems in having children or they lead to a diseased child? Doctor: Hello. The same blood group people can marry and can produce a normal child. Check your both thalassemia minor report before marriage by HB electrophoresis, by HPLC (high-performance liquid chromatography) method that is necessary. If you both are relative, then genetic counseling is needed. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16988, + "tgt": "Why does my heartburn go away when I lay down in the bed and increases when I sit upright?", + "src": "Patient: Hi, Why does my heartburn go away when I lay down in the bed and increases when I sit upright? This seems to contradict the advice of raising the head while sleeping. Doctor: Hi. Consult a surgical gatroenterologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 4016, + "tgt": "Is tap water advisable for the usage in netipot steam inhalation?", + "src": "Patient: Hello doctor, First of all, I have an anxiety disorder so I got shaken up by bad news a lot and I just want to ask you about this. I am afraid of this and please can you give me an answer that does not scare me more. I have had sensitive nasal passages and mild ETD for about 12 years. I get very dry sinuses when the temperature is low and it can sometimes clog up my ears and nose. I keep it in check by using nasal rinse with Neilmed purified salt and alkalol all natural products. These work great. We live in a small island country where we get water from mountains straight into a commercial cleaning station with filters and laser. I have always used this clean tap water in a netipot and then pour a little bit of boiled water into the netipot to get the temperature perfect. But now, this morning, when my sinus feel dry and just by accident I googled what is the best water is to use in netipot, and all kinds of warnings pop put that you should never use tap water for netipot. A google report says that: Tap water is not safe for use as a nasal rinse because it is not adequately filtered or treated. Some tap water contains low levels of organisms such as bacteria and protozoa, including amoebas that may be safe to swallow because stomach acid kills them. But in your nose, these organisms can stay alive in nasal passages and cause potentially serious infections. They can even be fatal in some rare cases. Very well I can very fast shift to distilled water and sterile water in the future, but I just want to ask you if I make these changes now? Can I be safe that these dangerous bacterias are not living inside my nose already and get problems in the future? Or would I feel sick right away if I get this after using clean tap water for years without problems? Can I be safe that I did not get any of these dangerous bacteria? Will distilled water even improve my nasal rinse? Doctor: Hello. Thanks for the detailed history. First of all, netipot nasal washes are a great way to keep your nose and sinuses clean, this method is used in India from ancient times it is a part of yoga practice. Now you can understand that neti pot washes what was used centuries back were always from tap water and there are no complications written anywhere in the older textbooks and even in yoga literature. It is the duty of health department of the country to warn the citizens regarding the use of regular tap water because in some places it may be impure. It should not be generalized. Our body and nose in particular, have tremendous local defense mechanisms against bacteria and they can very well take care of small amounts of bacteria if at all they are present in normal water. Since you have not developed any significant signs and symptoms of infection there is no need to worry, tap water has not caused any problems. In future, you can use boiled and cooled tap water for nasal washes that could take care of bacteria and any remote chance of infection." + }, + { + "id": 6695, + "tgt": "I used to masturbate a lot. Has it caused decrease in penis size?", + "src": "Patient: Hello doctor, Due to excess of masturbation in my teenage time, I feel my penis size has become short and thin. Now I am 22 years old. So, is it possible to get back that previous size if I follow any instructions advised by you? I do not drink or smoke. Doctor: Hello. Masturbation is a safe habit and it does not cause any serious effects on health. Masturbation is not a cause for the reduced size of the penis. Size of penis remains constant and it never decreases. If you are seeing any reduction in size, then that is due to psychological reasons. If you have a normal erection then no need to get worried. Size has no roles in sexual intercourse. Jelqing is an exercise that can help in improving the size. You can think of trying this. This involves milking like repetitive action in a semi-erected penis. This will help in improving the size of the penis to some extent." + }, + { + "id": 2242, + "tgt": "I feel dizziness and numbness after getting up from sleep for two days. Please help me", + "src": "Patient: Hi Doctor, I feel head numbness lightly or i can say its dizzyness like thing, since two days, but its not bothering me all the time, but it is kind of numbness I am feeling when after getting up from sleeping or sitting position as I do work from home most of the time. Note: I have dandruff problem I done a sugar test and blood test, all the reports are fine except below findings, - Lymphocytes 42.4 %(Observed Values) 20 \u2013 40 (Biological Reference Intervals) - *Lymphocytes - Absolute Count 3500(Observed Values) cells/cmm 1000 - 3000(Biological Reference Intervals) Please help me with your valuable feed back and why I am getting this problem. Thanks in advance, Doctor:" + }, + { + "id": 15915, + "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": 12153, + "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": 13035, + "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": 29317, + "tgt": "What will you suggest for heart block, stent or bypass?", + "src": "Patient: Hi doctor, My brother-in-law went for angiography, and he has two blockages 60% and 80%. Now, his doctor saying that it is urgent to get an operation and they will fix two stents. What will you suggest? Is it fine to go with a stent? Will it work lifetime? Or shall we opt bypass? Doctor: Hi. Welcome back to icliniq.com. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30972, + "tgt": "On application of Selsun blue shampoo, my cheek turned white. Please help", + "src": "Patient: Hi doctor, I am a 37 year old male. From my childhood, I had white patches (skin discoloration) that come and go and I was informed that was due to dandruff. I always use moisturizer.\u00a0I read an online post and I applied Selsun blue shampoo on one side of the cheek where there were light wheatish patch. From the next day, the part started turning white. It has been six months and slowly the white turning into wheatish. But, still it did not entirely match the skin tone. Can you please help me? Is there any cream that I can apply to match my color tone? 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": 7766, + "tgt": "Kindly advise medicine to cure pain in the leg", + "src": "Patient: Hello doctor, l have been taking Neurocare plus OD for the past one month but the pain on my left leg is just too much. Which neuropain killer can I take to ease the pain? Doctor: Hello. I understand your concern and would recommend taking Gabapentin or Pregabalin to help improve your situation. I would just advise starting in low dose and increase gradually the dose as tolerated, in order to avoid sedation, which is a common adverse effect of these drugs. It is also necessary taking Vitamin B12 injection in order to help correct vitamin B12 deficiency, which is the main cause of your complaints." + }, + { + "id": 299, + "tgt": "Without knowing my pregnancy, I took hot sauna during my 4th week. Should I be worried?", + "src": "Patient: Hi doctor, I just found out that I am pregnant (5th week). At first, I was excited then I realized that I went into a very hot sauna (90 degrees) celsius for one and a half hours when I was around 4 weeks pregnant (2 weeks from conception). The whole point of the sauna is to detox, and I definitely was overheating (sweating and red-faced). I did however take two breaks where I jumped in cold water to cool down. Anyways, I read that overheating when pregnant can cause horrible neural tube damage that can lead to birth defects especially in these crucial early weeks when it is forming. My question is how worried should I be? Should I go to a specialist for this? Is it so bad that I should consider termination? My first scan is at 12 weeks and that is the only time I will be able to ask anything and I will be worried it is too late. Doctor: Hello. Neural tube defects (NTD) in the baby mostly occur in women deficient in Folic acid, or who are diabetic, or if they have any family history or as an associated defect with other chromosomal anomalies. Yes, the baby's organs do develop in the early weeks of pregnancy, and any extreme exposures can pose risk for maternal health and also for fetal development. But I have never come across the risk of developing NTD with exposure to sauna. But anyway it would be better if you avoid it for the future. As of now you need not worry too much about this exposure, stay calm and stay positive. The first-trimester scanning at 12 weeks is good enough to pick any NTDs and I do not think that would be too late, or you need to go for any termination of pregnancy just because of the exposure to sauna. At this early pregnancy, there is no means to find out if the baby has developed any abnormalities or not. And also the second TM scan detailed anatomical scan at 18-20 weeks can also pick most (90-95%) of any structural anomalies. Also regarding your gestational age calculations, if your cycles were always regular, then you should calculate the weeks from the starting day of your last menstrual period. It would have been really helpful if you had mentioned the same, it would have helped me correlate if your assumption of weeks of pregnancy are correct or not. I am assuming, as you said you are in the fifth week now, so you just skipped your periods a few days back. Tablet Folic Acid 5 mg daily once after food. Avoid sexual intercourse for the first three months of pregnancy." + }, + { + "id": 26383, + "tgt": "Chest X-ray showed a single nodule. Is a biopsy required to rule out cancer?", + "src": "Patient: Hello doctor, I am a 30-year-old female.The initial illness began early this year. The symptoms were cough, SOB, chest pain, and wheezing. I was treated for pneumonia but never got better. Repeated X-rays showed adenopathy as a possibility. So, a CT scan was done which showed hilar, mediastinal adenopathy and a single pulmonary nodule of 1.2 cm along with some hypodense lesions on the\u00a0spleen. A biopsy was done on the lung tissue and on the endobronchial mass but not on the lymph nodes or nodule. There was no fungal, bacterial or viral cause isolated. I have been largely asymptomatic since then with an exception of some chest pain. I went in for a follow-up CT scan last week. There is still hilar, mediastinal adenopathy and now pre-tracheal aortopulmonary adenopathy along with the nodule. But, the size is the same. The doctor wants a CT scan in four months and thinks this could be the\u00a0result of a fungal infection but he is not sure. I am wondering if a biopsy of the actual nodes or nodule would be necessary to rule out cancer. I am so concerned and the thought of waiting four months is devastating. I am a former smoker for five years. I take Lexapro, Adderall, and Microgestin. Doctor: Hello. I went through your history. For more information consult a pulmonologist online --> https://icliniq.com./ask-a-doctor-online/pulmonologist" + }, + { + "id": 20956, + "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": 30109, + "tgt": "With respect to my semen report, do I need ICIS?", + "src": "Patient: Hi doctor, I have recently had a semen analysis in anticipation of doing IVF with my wife. The two parameters showed up as low are the percentage of normal morphology and motility index. I will attach the semen analysis results along with this query. My questions are the following. Am I considered subjective in fertility circles? Will these readings require ICIS for IVF? I also have a history of on and off prostatitis. I had a sperm analysis a year ago and all the parameters were fine that time except sperm morphology. Doctor: Hi. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 6995, + "tgt": "I have some heart palpitations with mild pain. What should I do?", + "src": "Patient: Hello doctor, I want your opinion on the symptoms I am experiencing. I am a 73-year-old female with 8.4 kilos, and height 5'3\". I have been trying to fast during the day for the last two weeks. But have been taking an optimum diet shake in 250 ml morning and afternoon, and having a main meal in the evening. My weight when I started this diet was approximately 9.4 kilos. I am taking medically prescribed tablets for cholesterol, for high blood pressure (Olmetec), and Sertraline for chemical imbalance (depression). None of these is a high dose. However, over the last six to eight hours, I have been experiencing some degree of heart palpitations and feeling unwell. I have been trying to stay cool indoors and decided to snack on some salty biscuits with salty cheese. This did help somewhat, but the heart palpitations, although not severe, are still noticeable, with a little pain when taking deep breaths. I do not want to go to the hospital but would appreciate some advice regarding these symptoms. Doctor: Hello.I read your symptoms and as far as losing weight is concerned fasting is the worst way to do that. But symptoms like these should not be overlooked, and you should visit a nearby hospital. Looking at your symptoms and the history that you provided it looks like as a hypoglycemic and hypotensive attack which happens when required amount of glucose does not reach the brain, and you might have felt unwell, and palpitations can be the presentation of that. From the drug history, you provided drugs can have palpitations as a side effect which seems quite unlikely, but you can recheck your drug dose from your family physician. So taking adequate and proper diet at regular intervals is the key here. Take small frequent meals which will keep your weight under check and would not make you feel unwell as well. A daily walk and small nutritious meals at regular intervals will give you a feeling of well-being. I hope this answer will help you in some way." + }, + { + "id": 18486, + "tgt": "I was diagnosed with CSOM and now, facing dizziness. What to do?", + "src": "Patient: Hi doctor, Before five years, I had a left eardrum rupture and transparent watery pus discharge. It turned pale after some time. I tried an ayurvedic ear drop to treat pus discharge. Then, the pus discharge stopped, but there was some itching inside the ear. After 5 years, I was diagnosed to have CSOM in my left ear. I feel some hearing problem in the left ear. Though pus did not come again, the rupture has now gone large. Also, a few days ago, I felt severe dizziness that I could not move on my own. Dizziness occurred on moving head up or down, on getting up and during walking. Dizziness continued for the whole day and even that night I could not sleep. I took Vertin 16 mg to stop the dizziness. Doctor: Hi. Revert back with the reports to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15664, + "tgt": "Why is there a small pimple on my penis and testicles?", + "src": "Patient: Hi doctor, I have a small pimple on the penis and testicles for the past six years. I consulted a doctor a long time ago. The doctor told me that it is normal. Please help me. Doctor: Hi. If it is small and if it is not causing pain or any other symptoms, then there is no need to worry. Please send the images of it to guide you further." + }, + { + "id": 27408, + "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": 28577, + "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": 30491, + "tgt": "What is your opinion about my knee pain after 12 years of surgery?", + "src": "Patient: Hi doctor,I had arthroscopic knee bilateral chondromalacia patella joint debridement done before 12 years. Now, the pain had started again and I am having some swelling. Please suggest what I should do. Doctor: Hello. Here are a few suggestions. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 9007, + "tgt": "How can I overcome migraine due to parental pressure regarding career?", + "src": "Patient: Hello doctor, There have been problems between me and my family due to which I have got a migraine. I do not want to do my family business but I am forced to do so. I have lost interest in talking to anyone. I was not allowed to do masters even though I was good in my course. I am not allowed to do anything that I want in terms of my professional career is concerned. I feel helpless and do not know what to do next. I have fought, cried, pleaded. But they do not let me do anything. Just because my father's business is flourishing and he has money, does it mean even I have to do the same? Doctor: Hi. I think there is a definite factor for your stress and that stress is due to the conflict with your father. They are not letting you complete your studies or they want you to join their business, these are different things. You have to clear in your mind about your current academic status and future career related to your studies and compare this thing with the business, and have a healthy discussion with your father or have conflict resolution counseling where you and your father would attend the session to have fruitful results." + }, + { + "id": 8822, + "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": 28948, + "tgt": "Please suggest a way to get instant relief from sensitive teeth", + "src": "Patient: Hi doctor,I have tooth sensitivity problem. I am suffering from this problem since last two months. I am unable to drink water also. I tried many sensitivity toothpastes, but it does not work properly. Please suggest me a proper drug or suggestion for instant relief. Doctor: Hello. Tooth sensitivity happens due to many reasons, and it may be because of cavities in teeth. For now, I suggest you try burned clove for relief. Swallow it for without crushing, or you can put extra virgin coconut oil in your mouth for 1-2 minutes then spit them with warm water. Hope this will temporarily cure the problem. I suggest you visit a dentist soon. Bad oral hygiene. Advised IOPA with respect to the affected portions. 1. Chronic generalized gingivitis. 2. Fractured tooth. 3. Bruxism. Dental caries. Restoration. Proper cleaning of mouth and follow up. Revert after six months to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30672, + "tgt": "What is your opinion about my teeth alignment?", + "src": "Patient: Hi doctor, I have attached my crossbite image. I would like to know about the treatment or brace that is suitable for me. What is your opinion about alignment?\u00a0Can Invisible alignment treatment correct my problem? Please explain. Doctor: Hi. OPG (orthopantomogram) and lateral cephalogram for complete treatment plan. Anterior crossbite. Revert back with the reports to an orthodontist online.---> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 13760, + "tgt": "Will I be made comfortable during getting anesthesia for wisdom tooth removal?", + "src": "Patient: Hello doctor, Today I got my wisdom teeth pulled and they said they were gonna give me a shot in my mouth. There is no way I will be relaxed. Is there any option they would do for me to be more comfortable? Doctor: Hi. Yes, this is the only way to get local anesthesia. You can also go for general anesthesia but it will be too costly and needs hospitalization. It is a simple procedure, and you will only feel a prick like an insect bite. Do not worry, it is simple and there will be no pain during the procedure. If you are too apprehensive tell your doctor that apply some local anesthesia at the site of the prick, you will then even not feel the prick too." + }, + { + "id": 30468, + "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": 21131, + "tgt": "My doctor advised me not to remove my lens for a week. Is he right?", + "src": "Patient: Hi doctor, My doctor suggested using lenses instead of glasses for me. I have small eyes. I am not able to remove the lenses. I feel difficult in putting it also. But the doctor suggested me to visit every week to clean the lenses. Is he right? Does sleeping with lenses are safe? Because I heard many people saying that it is not good. Wearing lenses for long hours in a dusty area is also not suggested. So please help me. It is the first time for me to wear lenses. Doctor: Hi. From the information provided it seems that your doctor has prescribed extended wear lenses. This kind of lenses can be worn for days together. It can be removed and cleaned after a few days. You can wear it again. You have not mentioned your power prescription. Hence, I do not know whether the lenses or spectacles are better for you. There must be a reason for your doctor to prescribe lenses. If you are not comfortable with lenses, I would suggest you stick with glasses. Maintaining lenses is very important, and it requires diligence on your part. For aesthetic purposes, there are other options too to avoid wearing glasses which you can discuss with your Ophthalmologist. If you are going to a dusty area, please wear sunglasses covering your eye as they give some protection." + }, + { + "id": 1395, + "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": 5790, + "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": 8370, + "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": 473, + "tgt": "Kindly explain the management of gallstone", + "src": "Patient: Hi doctor, I have a single gallstone. I am not facing any symptoms but about last week I felt a severe and intense pain in stomach and immediately to back which continues until I had an Decloyran injection. This pain did not spread over the abdomen. When we met the doctor he checked very carefully and said that it was not the pain of gall stone. The doctor asked for an ultrasound and in ultrasound the stone was in its place. No inflammation or fluid accumulation. Gall bladder size was normal. The doctor said that the pain was due to twist of certain veins and is not due to gallstone. I want to ask that whether twisting of vein can cause pain? Is it necessary to do operation? Is there any way to remove single gallstone? Doctor: Hello. So starting from answering your first question. The pain of twisting of veins is an strange term in itself. Why would veins twist around in a healthy young lady with no previous significant medical history. So I do not believe this. Second, the gall bladder is not removed in asymptomatic gall stones. Asymptomatic gall stones are those which do not cause symptoms, and the symptoms of gall stones occur usually when the stone size is 10 mm, if smaller than this, it is unlikely that your pain was gall stone related. Since you did not mention size of gall stones, otherwise it would have been easy to tell you whether it was cause of your pain or not. Other, the pain of gall stones has to be typical in nature; the pain which occur in right upper quadrant of the abdomen (at site of your liver), pain starts suddenly mostly after half hour of meals, peaks within 1 hours, and then starts settling in next 4 to 6 hours. Vomiting and nausea can frequently accompany with this pain. If you have that typical type of pain, then it may be from gall bladder. Your third question. The answer is no. No drug therapy can prevent from formation of stones or dissolution of stone. There are some therapies which are used as in experience, but they are not recommended at all. If gall bladders stones are symptomatic then they has to be removed by doing gall bladder resection via laparoscopy. If not symptomatic, then no need of any drug or surgical therapy. Having said that, elective gall bladder resection is indicated among patients who could not bear the risk of cholecystitis, such as pregnant ladies with size of stones more than 10 mm, or patients with smaller gallbladder stones but having pancreatitis. Stone but without symptoms and presence of gall bladder polyps. These three types of patients can have surgery despite no symptoms. Gall bladder stones Gall bladder stones Follow up to discuss plan of action in your case from now onwards. Ruling out other causes of your abdominal pain, on history and some preliminary investigations." + }, + { + "id": 21145, + "tgt": "Why do I have swollen tonsil with yellow and red bumps in throat and fever?", + "src": "Patient: Hi doctor, My throat has been hurting very bad for five days now. My tonsils are swollen and my entire throat is very red. On the back of my throat, I have yellow and red bumps. I have been running a low-grade fever off and on. I have been aching all over and cold. My ears hurt too. It hurts to swallow. I have tried over the counter medicine and it has not helped. Doctor: Hi. I have gone through the history and image (attachment removed to protect patient identity). You have got chronic tonsillitis. Take antibiotics if you have got fever as of now. If the drugs are not working, it means you have used it so much unnecessarily already. In that case, you need to change the antibiotic you have already taken before. Other co-existing conditions you may be having which must be examined for. But right now complete the course of drug you have started or visit a doctor to change the drugs but add steam inhalation, warm saline gargles, and lozenges." + }, + { + "id": 3829, + "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": 20789, + "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": 21857, + "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": 20099, + "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": 13254, + "tgt": "What causes swelling of testes?", + "src": "Patient: Hello doctor, I have fever of 38 to 38.5 over past seven days. Right testicle swollen for the past five days and left testicle swollen for the past four days. On IV antibiotics, Cravit and Doribax (which replaced Rochephin). C-reactive test above 231. The doctors still cannot identify the cause. Any thoughts or recommendations? I have got ultrasounds but just shows increased blood, no abscesses. Doctor: Hello. You are suffering from bilateral epididymo-orchitis (infection of the testis). You need to rule out any obstruction in your urine tract which might cause this. Do you have any difficulty in passing urine? Or any problem with urine flow? Get done with uroflowmery test which will rule out any urinary obstruction. If everything is fine then it is spontaneous and will resolve on its own." + }, + { + "id": 23499, + "tgt": "What is the reason for abdomen pain and poor appetite?", + "src": "Patient: Hello doctor, I am an unmarried 35-year-old male. It all started last month when I experienced mid-epigastric pain one fine morning. I took some pain relievers and got rid of that. Then, after almost a week, I got lower back pain on the right side suddenly one morning, then, upper back pain middle to the right side next day afternoon, below the right shoulder blade, which is persistent till date. I did many ultrasounds and X-rays and several blood tests. The ultrasound always said grade-1 (mild fatty liver). I got CT and MRCP first done two years ago and again last year. I then got MRCP done again thrice in the last year. Every time I am seeing the tests as 'normal'. I experienced a bit of testicular atrophy and muscle atrophy and weight loss (I went down to 70 kg from 78 kg) and less appetite. Then, I saw my abdomen protruding a bit. I gained some weight in between. (now 80 kg). Asymptomatic urination - sometimes normal urination, sometimes no urine for three to four hours. Last year, there was a small underarm swelling on my right underarm which still persists and it is painful if I press it hard. I got severe viral infections a month and two later and lost a little weight. Now, I have been experiencing severe back pain on my back, mostly on my middle to right side. Appetite is also very little. I have undergone several blood tests, CT, MRCP, lumbar-pelvic MRI, ultrasound, X-rays, etc, in these two years and did not get any specific diagnosis. I am not sure whether it is my liver, spine, bone marrow, lymph nodes, pancreas, gallbladder, or stomach that is causing this trouble. Early this year, I underwent upper GI endoscopy for my poor appetite, and the doctor discovered a small ulcer in my pyloric channel (caused by H.pylori). I was put on the triple therapy for the same, still no positive outcome. My liver enzymes (SGPT and SGOT are mildly elevated). This back pain and loss of appetite are killing me almost every day. I fear some kind of malignancy as my mother succumbed to gallbladder cancer and associated complications two years ago. The pain I am experiencing is as if something is pressing on my right side back, below the shoulder blade (referred pain). I am left out with more invasive procedures such as endoscopic ultrasound, liver biopsy, PET CT, FNAC, bone marrow biopsy, HIDA scan etc. My ESR and LDH are slightly elevated for almost a year. My sugar is under control. My lipid profile is a little bit abnormal, H. pylori IgG negative, vitamin D insufficient, testosterone is below the normal range, and kidney profile is normal. Doctor: Hello. The scans are suggestive of a systemic disorder rather than a focal lesion, and they perfectly correlate with your symptoms. Please send your ESR (erythrocyte sedimentation rate) levels. For more information consult a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 11144, + "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": 6958, + "tgt": "Can I take tablet Zapiz to get good sleep?", + "src": "Patient: Hello doctor, I am 39 years old married man, my problem is I do not get proper sleep in the night and due to this, my whole day is not good.\u00a0While sleeping I get dreams as if I am awake the entire night, and when I get up in the morning, I feel that I have not slept the entire night. I have body aches, and I do not feel like talking to anyone. I am facing this problem from years. Earlier, I used to take some sleeping pills, but that also does not work many times. If I get a night's sleep, then I am fresh and active.\u00a0I am very short tempered. I have been to a psychiatrist also, and he gave me some medicines, but that also did not work. My family doctor has prescribed me Zapiz 0.25, but that also not\u00a0to be taken daily. So whenever I feel I will not sleep, I take it. I have been taking half tablet continuously from the last month, and I feel better. Should I continue taking it? I have a desktop job, so I do not work out at all. Recently, I started doing some swimming, and I feel good. But even then I am not getting good sleep.\u00a0Please help me. Thanks. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 22325, + "tgt": "I have a rash that is itchy and uncomfortable. What could it be?", + "src": "Patient: Hello doctor, I have a rash that is kinda itchy and it is too warm to touch. It appeared in my lower abdomen and nothing is coming out of it. My environment did not change and my food habits did not either, despite including bananas in my diet. Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). There are two possibilities: In my opinion, your lesions are more likely to be of herpes zoster infection. Either visit your physician as early as possible or consider the following treatment. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29199, + "tgt": "How common is it for a surgeon to remove salivary gland instead of a lymph node?", + "src": "Patient: Hi doctor, I had a biopsy done, and the surgeon was supposed to remove a lymph node to check for lymphoma. But, the surgeon removed my salivary gland by mistake. The surgeon sent off the salivary gland without knowing that he removed the wrong part and they ran a couple of tests. But, the report stated that they did not have any lymphatic tissue to test, and so there were no findings. My surgeon does not feel comfortable with redoing the surgery even though my hematologist says that it needs to be done sometime over the next three months. How common is it for a surgeon to remove a salivary gland instead of a lymph node? Is this a common mistake? How can this affect me in the future?\u00a0Does the salivary gland look like a lymph node? Please look over my laboratory reports and scans and tell me your opinion about the diagnosis. The lymph nodes in my neck, clavicle, and groin have been swollen for almost a year and a half, but no infection has shown up in any of my blood work. My throat swells up sometimes on the outside. Also, I have two nodules on my thyroid, which are new and no dual on my lungs. It is all in the papers I am sending. Please help. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 24410, + "tgt": "How does sudden cardiac arrest affect overall cognitive brain function?", + "src": "Patient: Hello doctor,'Sudden cardiac arrest and its effects of blood flow and depleted oxygen to the brain, brain shock, lack of nutrients as well as production of toxic material that can no longer be cleared by circulation since it is no longer functioning.' How does all of this affect overall cognitive brain function? Doctor: Hello. Sudden cardiac arrest and prolonged brain hypoxia can lead to brain ischemic encephalopathy. The severity of the disorder is proportional to the duration of hypoxia and cardiac resuscitation. In case of a short period, only some troubles with concentration may occur. While in case of prolonged hypoxia, severe cognitive impairment and motor deficits in the limbs may occur. In some cases, the patient may be in vegetative state (without conscience, but the patient opens his eyes, makes spontaneous movements, but he is not alert and does not respond to external stimulation). For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24337, + "tgt": "Innermost teeth on bottom row seem to be rotting away. What exactly is happening?", + "src": "Patient: Hello doctor,I had sensed my gums swelling up on the inside for a while and when I took a picture of it today, I saw my two innermost teeth on the bottom row seem to be rotting away. I wanted to understand what is happening to me before I go to a dentist. Doctor: Hello. I have seen the image (attachment removed to protect patient identity). These are the wisdom teeth and they have stains mostly because of smoking. There is no evidence of clinical cavity as for now, but can be confirmed after stain removal (scaling) and a clinical examination. The gums are swollen because of improper oral hygiene in that area (as the toothbrush cannot reach and clean properly there), food debris accumulation, and the traumatic bite, all causing inflammation of gums (gingivitis). For now, I suggest you do lukewarm water with salt gargling to reduce the inflammation in gums. If severe pain is there, then take a Paracetamol and do not chew anything hard on these surfaces. If the pain increases on chewing, the dentist can reduce the high points or the sharp points in the tooth surfaces in that area to give temporary relief. But, since you said it is occurring often, the permanent treatment is to get it removed (extracted) as this tooth is not much useful in chewing and in turn causes problems only. It is not an emergency. You can contact your dentist and plan it accordingly. And get a professional cleaning (scaling) once, to remove the stains and deposits and make your gums healthy and the teeth more esthetic. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20991, + "tgt": "I have eye irritation and earthworm image in front of eyes. Please help", + "src": "Patient: Hello doctor, My age is 30 years old. Sometimes, I have an eye irritation. I have an earthworm image in front of eyes. Please help me to clear this issue. Doctor: Hello. I understand that you have two questions, one concerning occasional irritation and the second is regarding a linear worm like image floating in front of your eye. My advice to you is: For irritation, use over the counter lubricant eyedrops 4 to 6 times a day. These will help reduce the irritation and are free of side effects. For the image of the worm, please visit an ophthalmologist to get your retina examined. A problem like this is usually associated with problems in the vitreous and retina. This process usually needs dilating drops to be instilled into your eye after which you will be made to wait for about an hour. This also will make your vision blurred for around 3 to 4 hours so it will be good if can have someone accompany you. Please see an ophthalmologist urgently in case you develop redness or pain or blurred vision or discharge from your eyes and if you are seeing multiple worm or raindrop like images with a sensation of seeing flashes of light in front of your eye." + }, + { + "id": 26256, + "tgt": "I am fine after four days of antibiotics. Should I really continue it for seven days?", + "src": "Patient: Hello doctor, I got Doxycycline prescribed 100 mg twice a day for seven days for a throat infection. Now the side effects, like upset stomach and bowel movement are very irritating. The throat infection after four days of taking the medicine is much better. Do I really need to finish the seven\u00a0days' course? Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17063, + "tgt": "How fatal is liposarcoma?", + "src": "Patient: Hello doctor, Please could you tell me how fatal a liposarcoma is. It is not me who has the problem, but a family member. Doctor: Hi. For further information consult a\u00a0medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 26559, + "tgt": "What adverse effects would low random blood sugar level have in a heart patient?", + "src": "Patient: Hello doctor, My mother, aged 64, has ischemic cardiomyopathy.\u00a0Her angina and breathlessness are\u00a0reduced, and they only occur\u00a0when she exerts herself. But, she is feeling nauseous and dizzy even though she takes food every two hours. Her random blood sugar test is done, and the values are between 41 and 51. We then give her some sweets. This is happening even if she does not take any blood sugar medicine. Her blood pressure is 86/60. One and a half years ago, she\u00a0got a heart attack. She got an angiography done, which showed triple vessel disease and two blocks. The doctor suggested her to have a CABG. But, we did not go for this as the patient was not willing. She did an EECP for 35 days, and this helped her a lot.She was able to lead a normal life for a few months, and then the pain started getting bad again. She started getting water retention and breathing problems a year ago. We took her to a cardiologist who prescribed her the following medications. She has been on them since a year.\u00a0She is on Aztogold, Angiplat, Nicoduce, Vogli-gm 1, Exenta T 20, Cordarone\u00a0100,\u00a0Vymada100, Synx 500, Carvidon-OD, Zyloric for 10 days, Thyronorm 12.5 mcg, and D-Shine once a week. In the past, she has been on\u00a0Ecosprin, Atorva, Nikoran, Clopitab, Myonit, and Sorbitrate.\u00a0A 2D echo done three days ago shows an EF of 35 % to 40 %.She is diabetic. Her fasting blood sugar is 87, and her postprandial blood sugar is 104. Her HbA1c is 8.2, her TSH is 11.27, uric acid is at 8.5, and her vitamin D is at 10.41.\u00a0She is currently prescribed the above-mentioned medications, and I want an opinion about this and a suggestion for further treatment. Even though she has not taken the\u00a0Vogli-gm 1 for the past two days, her random blood sugar level is very low at 40 to 50, and she feels dizzy and weak. I am not sure what is causing this. Any advice on this would be helpful. Doctor: Hello. Well, your mother seems to have issues with her blood sugar and thyroid together along with the heart problems. This makes a vicious circle leading to symptoms getting interrelated thereby creating a worse scenario. She is having high TSH (thyroid-stimulating hormone) levels that can either be due to underworking of the thyroid gland or from some issues with the pituitary gland (a small pea-sized gland that plays a major role in regulating vital body functions) or the hypothalamus (a small area in the center of the brain). She should consult her physician to adjust the dosage of medications that she is taking for her thyroid issues. I would recommend you to take her to an endocrinologist for a better input in this regard. Although angioplasty and stenting would not be beneficial to her, you can consult her cardiologist in this regard. Her vitamin D levels are low. Try to take her outside for a little walk or at least just sitting in sunlight. This will help regulate her vitamin D levels if there is no issue with her liver and kidneys. Apply sunscreen to avoid any sunburns that may happen. Hope this helps. Please feel free to let me know if you need any further assistance. I would be happy to assist. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14431, + "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": 21133, + "tgt": "Please suggest homeopathy medicine for pain in kidney area without any stone detected", + "src": "Patient: Hello doctor, I was diagnosed with 10 mm stone in the left ureter four years back. I started to taking following medicine: Berberis Vulg Q 10 drops three times, Hapro Xpel drops 20 drops three times (composition: Berberis Vulg 10x, Sarsaparilla 10x, Terebinthinae OL, 8x Cantharis 8x, Lycopodium 12x, and Hydrangea Arb \u00d8). After medicine, I got relief but I got piles. Last month I did an ultrasound and no stone was detected. So, I stopped Berberis Vulg Q and continued diet without any restriction and I was taking 1 to 1.5-liters water daily now for the past five days. I have pain in the same region and I feel sometimes like vomit. Pain is manageable without any painkiller. Please suggest what should I do. Also is taking Cystone syrup safe with these homeopathy medicines? Doctor: Hello. According to your query, the stone was not there in ultrasound but only pain in the kidney area. The reason for pain may be the light gravel of stones which might be in the urinary bladder or urinary tract which is not visible in the ultrasound. Do the following: Diet should be restricted with avoidance of any cold drinks, hard substances, pulses, etc. Take three doses of LYCO 200 (Lycopodium) potency for three days. Dose to be taken: One dose every day early morning without eating anything. Take three doses for three days. Do not take anything like syrup or antibiotics in between. You can take a painkiller. Increase your water intake and drink lukewarm water one full glass before sleeping. I will continue the further treatment after three days." + }, + { + "id": 27470, + "tgt": "Why do I have auras that make me jump with fright?", + "src": "Patient: Hi doctor, I am a 43 year old man, who has lived with epilepsy since I was 13. I have had very few seizures, maybe one every 4 or 5 years. The last one was four months ago. After I had that one, I recovered and was fine, but about a month ago, I started having what seem like auras. They are different than the auras that I have had in the past. There are two types, from which one was not so severe. I will be working on something or thinking of something, and it seems like my brain just turns off for a second. These are distracting, but not very disturbing. I have several of these during the day, up to 15. The second type is more severe and disturbing. It usually causes me to jump with fright. For a few seconds, I can hear what is being said to me, but I cannot understand the words. Sometimes I can, but I must really focus. Sometimes, I can still speak, but I also have to focus hard. I might have two or three of these each day. Afterward, I have a headache that might last an hour or two, and NSAIDs do not help much. I take Tegretol, 200 mg three times a day. I was also taking Klonopin after the seizure four months ago. This has been going on for a month now with little change. It just started one day, and it has been the same ever since. I did not have any head trauma or seizure activity since the one four months ago. The access to healthcare here is good, but doctors get patients in and out as quickly as possible, so I do not feel like the doctor is going to do anything if I am not in danger. I have already had an MRI and EEG, and everything seems normal. It is just very upsetting because I cannot enjoy my normal life. Every time it happens, my head hurts, and I am scared and nervous that something is wrong. I am continuing to see the doctor, but I do not have much hope that it is going to help. Doctor: Hi. I have analyzed the symptoms you described in the query. The appearance and pattern of aura are actually suggestive of the fact that the electrical activity of your brain is out of control. Though it is not a full blown seizure, it is surely an early phase of seizures. I suggest you increase the dose of Tegretol (Carbamazepine) to 200-200-400. It would be best if you can repeat the MRI brain whenever the pattern of seizures changes. There is a possibility that something might have changed in brain structure also. When you go for MRI, please get an MRI brain epilepsy protocol. This protocol studies the medial temporal lobe region of the brain in detail. The way your seizures are; most likely they are coming from the medial temporal lobes. I hope my answer helps you. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22306, + "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": 30837, + "tgt": "Please suggest me the best option to remove fibroids", + "src": "Patient: Hi doctor, I am a 39 year old unmarried female. I\u00a0am having multiple fibroids. I would like to know the treatment for this disease. I am having pain and heavy bleeding during menses. Is there any medication through which fibroids can be eliminated? Or should I undergo any surgery? Can it be done through laparoscopy? As I am unmarried, will there any problem after marriage? I have got the ultrasound done and uploading the report here for your reference. Please suggest me the best option. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26437, + "tgt": "Please check my mom's reports and tell me if she is taking the right dose of Thyroxin", + "src": "Patient: Hello doctor, My 48 year old mother is suffering from hypothyroidism from the last three years. The first test for thyroid was TSH, and the result was 15.18. The doctor started Thyroxin tablets of 50 mcg two tablets per day. After that, many times the tests have been done and the dose was increased. Now, she takes five tablets per day. Her recent test results are attached. Please tell me what should we do? What is the\u00a0dose of Thyroxin tablets according to these reports? Her additional problems include depression,\u00a0swelling on face, and temperature. Doctor: Hello. I just read your query and went through the reports (attachment removed to protect patient identity). Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 8666, + "tgt": "Can fordyce spots form a group of white bumps under the foreskin?", + "src": "Patient: Hi doctor, I have a small group of white bumps under the foreskin on the bottom of my penis. They are not painful and they do not itch. Are they Fordyce spots? Doctor: Hello. Fordyce spots usually do not occur at that site, as they are ectopic sebaceous glands. They are most commonly found over normal skin covering the penis especially undersurface. The two possibilities are tyson gland and skin tag. Tyson gland: the site and look these structures are almost the same as in the photograph (attachment removed to protect patient identity) you have sent. They are also sebaceous gland like those of fordyce spots but here different term is used. Skin tag can mimic like anything. Very rarely, hirsuties coronae glandis can also remain localized to a particular area instead of surrounding the whole corona. Treatment is not needed. But, if you still want to go for removal, then go for electrofulguration or laser. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23004, + "tgt": "InterTan nail got displaced from hip side and causing pain. Please help", + "src": "Patient: Hello doctor, My mother, aged 67, got her hip bone joint fractured. She got operated and InterTan nail got implanted. But nail part got displaced from the hip side and now touching hip bone causing pain. She is weak, having low bone density and suffering from other diseases as well (rheumatoid arthritis, glaucoma, hypothyroidism, hypertension, and asthma). What should be next course of action? Does new bone formation will occur in case if plaster will be done or does she needs joint replacement? Will plaster worsen her situation? How safe will joint replacement at her age and what will be implications in future? Which one will be beneficial for her considering her overall health status? Please suggest best way forward. Doctor: Hi. She requires implant removal and joint replacement. This is a relatively safe procedure. Plaster cannot be applied over this. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18081, + "tgt": "Can the polyps in the esophagus be cancer?", + "src": "Patient: Hi doctor, My wife had an endoscopy, and they found polyps in her esophagus. I am so worried that it could be cancer. Can it be cancer? Doctor: Hi. Revert with the asked details for better help. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4345, + "tgt": "I feel some pressure in neck after accidental strangulation. Is this a sign of hernia?", + "src": "Patient: Hello doctor, Five weeks ago, I fell down while mountain-biking. I went over the handlebars and hit my head and chest. I was wearing a helmet and a chest protector and both of them had cracked as a result of the impact. The helmet strap had strangulated my neck pretty hard. Ever since I have been continuously having sensation pressure at the place where the strap had impacted. Activities like turning my neck, yawning, laughing cause some pain. Over the past five weeks, the symptoms have not improved. I am very worried because I am afraid I might have to deal with this forever. They did a CT scan and said that it was normal. Should I ask for an MRI? Could this be some kind of hernia? Doctor: Hi. Sorry to hear about your injury. Since your CT (computed tomography) scan is normal, it is very unlikely that there is any bony or skeletal injury hence reducing the possibility of something permanent. It appears that there is some soft tissue injury in the laryngopharyngeal region or a cartilaginous injury that is resolving very slowly. This indicates an injury closer to the voice box region because of constant movements during speech, laughter and swallowing delay recovery. This may also explain why it is taking so long to heal completely. In my opinion, an MRI (magnetic resonance imaging) is certainly indicated since there has been no improvement in symptoms for five weeks and to look for cartilaginous injury or soft tissue lesions such as a granuloma or hematoma following trauma. In addition, a video laryngoscopy performed by an ENT will help to evaluate the voice box and supporting apparatus internally for any injury (specifically the inter arytenoid region). A hernia in the neck or a laryngocele may be a possibility following neck injury but seems very unlikely in your case since there is no visible bulge in the neck which worsens on coughing, etc. There may be an internal laryngocele that may be picked up on video laryngoscopy. I hope this helps." + }, + { + "id": 619, + "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": 21835, + "tgt": "I have got pimples, itching and redness after using Kojivit. Please help", + "src": "Patient: Hello doctor, After using Kojivit I got small pimples, itching, and redness. What should I do? Doctor: Hi. Do not worry. Kojivit cream which you used is known to cause irritation if necessary care is not taken. I shall help you overcome the problem you are having at present. Do the following: If you can post a photo of the boil what you have got, I can help you more precisely with treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29113, + "tgt": "Getting clicking sound in my shoulder while doing exercise. What could be the problem?", + "src": "Patient: Hi doctor, \u00a0I am a\u00a020 year old\u00a0male of 6'2\" height and 215 pounds weight.\u00a0I am getting some clicking sound around my shoulder blade area, and sometimes, it moves to the trapezius muscle. I am also experiencing aches in my left chest (my doctor said that my heart is fine ), pain in the upper portion of my biceps and wrist pain on the same arm. I am also experiencing discomfort in the neck. All my pain is on the left side of my body. When I workout my rear deltoid clicking goes away for a few hours and comes back. The rotator cuff is in good condition. I am unable to shoulder press any challenging weight. While doing exercise, I got a\u00a0shoulder injury. What is the problem? I gained 35 pounds of muscle and fat after injury, and I am still hurt Doctor: Hello. I have gone through your query and can understand your concerns. Overuse of shoulder. MRI scan. 1. Bursitis. 2. Radial nerve injury. Snapping scapula syndrome. Conservative with physiotherapy and analgesics. If not respond well, then steroid injection and surgery. For further information consult a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3353, + "tgt": "I have itchy scrotum and cuts at the base of penis. Does this indicate STD?", + "src": "Patient: Hello doctor, First, I went to the doctor for extremely itchy scrotum that felt as if it had cuts in it and red spots on my penis that dry white. My itchy scrotum is now healed but I have got little cuts at the base of my penis and those spots will not go. He gave me scabies cream but I do not know if it is working. Is this an STD? I am scared. I am currently using Permethrin cream. Doctor: Hi. I have reviewed the attached photograph (attachment removed to protect patient identity) and I can see few red erosions at the base of the penis. They can be either an irritant reaction to something you have applied over the penis or due to herpes virus infection which is an STD (sexually transmitted disease). In herpes infection, there are small fluid-filled blisters to start with followed by erosions which are painful and heal over two to three weeks. To confirm herpetic infection you can go for ELISA (enzyme-linked immunosorbent assay) test, HSV 1 (herpes simplex virus), IgG, HSV 1 IgM, HSV 2 IgG, and HSV 2 IgM. In scabies, there is excessive itching on the body especially at night, positive family history of scabies and itchy red bumps on the body including penis and scrotum but cuts or erosions are not seen in scabies. On the erosions, you should apply topical antibiotics like Mupirocin or Neosporin (Neomycin) ointment. I hope this helps. Irritant, Herpes virus. ELISA for herpes virus. Irritant contact dermatitis. Herpes genitalis. Mupirocin ointment or Neosporin ointment. Wash the area with plain water, avoid soap on the affected area. After seven days." + }, + { + "id": 661, + "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": 21625, + "tgt": "I have watery diarrhea from three days. Please help", + "src": "Patient: Hi doctor, I am a 25 year old girl suffering from really watery diarrhea from three days. I vomited two times but I cannot even keep water down as it passes as diarrhea. Sudden stomach cramps make me cry. Imodium does not work. Doctor: Hello. You are having acute gastroenteritis infective condition. Kindly answer the following questions: I suggest you take Ciprofloxacin plus Metronidazole like broad-spectrum antibiotic for seven days. Cooked oatmeal helps in soothing the stomach. Include curd in your milk. For two to three days, take semisolid diet more like khichdi, fruits juices, mashed potato, etc. For vomiting Ondansteron MD mouth dissolving tablet can be prescribed. Take Vital Z powder with water to maintain hydration and electrolyte balance. Investigate with stool routine micro examination also. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13727, + "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": 21624, + "tgt": "Can we include Risperidone in current regimen to treat schizo depressive disorder?", + "src": "Patient: Hi doctor, Before three years, my mother was diagnosed with schizo depressive disorder, when she lost her husband. She is having irritable bowel syndrome and diabetes mellitus. Now at present, she is taking Nexito 10 mg (Escitalopram), Hexinor 2 mg (Trihexyphenidyl Hydrochloride) both taken during day and night and also taking Quetiapine 100 mg only at night for two weeks. Now, she is entirely unresponsive, does not answer the questions correctly, pretty unaware of her behavior, hallucinations, and there is a loss of memory (difficulties to remember at present). Before these medicines, she has been given Risperidone 4 mg (day and night), Procyclidine 5 mg (day and night) and Quetiapine 100 mg (at night). When she was taking these medicines, she felt panic, depressed. There was difficulty in sleeping. Then the doctor changed the medication. But with the current medicines also, the problems have raised. What can we do now, should we include Risperidone with the current drugs to alleviate the symptoms? Doctor: Hi. She is not getting enough antipsychotic medications. If she has hallucinations and a cognitive problem, then she needs an adequate amount of antipsychotic for a long time. She is on Quetiapine 100 mg which is not a full dose to her, or it is also not responding. So, either you should increase the dosage of Quetiapine or add other antipsychotic medicine. If she had responded well with Risperidone in the past, then you can start it again. If she is restless (akathesia) due to Risperidone, then give her Propranolol or Benzodiazepine. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8626, + "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": 2805, + "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": 27690, + "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": 25154, + "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": 29073, + "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": 2993, + "tgt": "When to schedule CABG in a stable angina patient with pain?", + "src": "Patient: Hi doctor, My father was suffering from stable angina, so he had an angiography 10 months before in which he was told that he had three arteries blocked and was suggested CABG. But he was afraid, now he suffers from severe angina pain with little activity and sometimes while resting or sleeping. He consulted his cardiologist and he gave him the date for surgery next month. But his chest pain is making him so much scared that until next month he will be able to survive or not Please advise what should he do? Doctor: Hello. I have seent he attachment. (attachment removed to protect patient identity). Yes, he will need bypass surgery, but no need to worry. His medicines need to be optimized and anti-anginal drugs need to be added. Along with Aspirin, Clopidogrel and statin like Atorvastatin or Rosuvastatin he should be on beta-blockers like tablet Metoprolol XR 25/50 mg once a day, nitrates like Nitroglycerin 2.6 or 6.4 two times a day. If not responding to 2.6, take tablet Nikoran 5 mg twice a day, Trimetazidine 35 mg twice a day, and Ranolazine 500 mg twice a day. So these are all medicine which will help in reducing angina and probability of any complications. So we need to modify according to his current medicine, so let me know his current medicine. I hope this helps." + }, + { + "id": 17674, + "tgt": "My cough is persisting in spite of antibiotics. What do you suggest?", + "src": "Patient: Hello doctor, I have been suffering from a cough since 15 days. There is phlegm as well. I tried using so many syrups, antibiotics and Levocetirizine with Montelukast. The X-ray and CBP (complete blood picture) are normal. But, the cough is still persisting and troubling me. What do you suggest? Doctor: Hello. I went through your post. You have a cough from two weeks along with expectoration. You have taken antibiotics and antiallergic medicines, but you have not mentioned the name of the antibiotic which you have taken. I would suggest a few things: Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14830, + "tgt": "Will root canal treated tooth cause pain in eye and mouth?", + "src": "Patient: Hi doctor, For the last two nights, my right eye and the right side of my mouth have been bothering me a lot and I thought it was because of a headache but it is not. I have had a root canal done over a year ago in the right side in the back of my mouth and one done again behind that tooth. Could the pain from a root canal or failing root canal cause so much pain to my eye? And today on the second day I have felt like I have had water up my nose all day and my eyes burn. I use gadgets a lot. Doctor: Hi. I have read through your complaint and the relevant details. The reason for pain in the eye region should be due to any tooth infection in the upper front tooth region precisely the canine tooth. It could be a hidden decay in the tooth which bothers you a lot. I advice you to get it checked with the dentist along with an X-ray for the tooth in suspicion. There are least chances that the failed root canal treatment could cause this. A root canal treated tooth is equivalent to a dead tooth and this might not cause any pain at all. Moreover, you have mentioned that your nose waters and the eyes burn. I find these symptoms are irrelevant to the dental history you have given. Considering your age, I suspect that there are more possibilities for you sitting around with the electronic gadgets for longtime. This is the main reason for the symptoms you have mentioned. I highly recommend you to drink plenty of water and eat food that cools up your body such as watermelon, cucumber, lemon juice, etc. Oiling your head is again another tip which can help you reduce the body heat." + }, + { + "id": 30845, + "tgt": "Can a psychiatrist help with my memory loss?", + "src": "Patient: Hi doctor, I feel like I am in a constant brain fog state. I have terrible social anxiety as I cannot remember anything to talk about. This has kept me from truly pursuing anything. I do not want to look stupid. In school, I usually zone out and often forget the names of people who I already met. So, I introduce myself a second time and get a weird look. I did have seizures as an infant. I could not able to make friends or find interest as I cannot remember much. So, I am extremely quiet. Can a psychiatrist help with my memory loss? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20401, + "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": 25385, + "tgt": "Placenta is on the right lateral wall 1 cm above the os. Is it low lying?", + "src": "Patient: Hello doctor,I had NT scan at 12 weeks and 5 days in which was found placenta is on the right lateral wall, 1.0 cm above the os. Internal os is closed. Cervical length is 37 mm. Does this mean placenta is low lying? Is there a serious problem? Doctor: Hello. Yes, your scan indeed tells that you are having a low lying placenta. In such cases, chances of painless bleeding may be there. It would be better to avoid intercourse and heavy activities and to have a review of placental location in the anomaly scan at 19+ weeks. Almost 75 to 80 % of the times, the low lying placenta usually migrates to the upper uterine segment. So, the chances of bleeding come down by the term. So it is not something major to be worried about but yes the precautions are needed to be taken. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12264, + "tgt": "TPA is high but VDRL is negative. Please advice", + "src": "Patient: Hello doctor, I have been tested for TPA by CLIA and a high titer of 451 was detected. But VDRL is nonreactive. There is a history of unprotected sex three years back with small erosions in genitalia. At that time broad medicines including antibiotics and antifungals were taken without any specific test. And remaining years were asymptomatic. Does it indicate latent syphilis? My wife also has similar test results now. If its latent form, how do we proceed with treatment? Doctor: Hello. 1. As you have mentioned the TPA (Treponema pallidum antibody assay) is positive. 2. VDRL is nonreactive.3. Next step to confirm if you have latent syphilis, you need to get one of the following two tests first. A.TPHA (Treponema pallidum Haemagglutination assay). Or B. TPPA ( Trepenoma pallium particle agglutination assay). A. TPPA/TPHA B. HIV C. HBsAg D. Anti HCV Please revert back with the investigations I have asked for so that I can decide on the specific treatment plan for you." + }, + { + "id": 24652, + "tgt": "When can I get the level two ultrasound?", + "src": "Patient: Hello doctor, I am a female, and I am primigravida (17 weeks and 6 days). According to my LMP, I am 17 weeks and 6 day pregnant but according to my NT scan (done in 12-13 week )-gestation period showing pregnancy of 18 weeks and 3 days till date. Now I have to go for level two ultrasound, and my doctor gave me the date of next month. Will it be fine by this time to go for an ultrasound or late according to my gestation period? As I heard that it should be done between 18 to 20 weeks. Doctor: Hello. The number of weeks will be counted according to your scan date. So according to which your TIFFA (targeted imaging for fetal anomalies) scan will be dated. The TIFFA or anomaly scan, which you have mentioned can be done from 18-24 weeks and will give clear results. So relax and do not worry. You can go for the scan as per your gynecologist. However, if you have a doubt then get back to me. Take care. For more information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 13290, + "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": 30194, + "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": 20180, + "tgt": "Hemoglobin is at 9. 8 g/dL at 37 weeks of pregnancy. Kindly advice what is to be done", + "src": "Patient: Hi doctor, My wife is 37 weeks pregnant and the delivery date given by the doctor is 28th of this month. Two months ago, her hemoglobin was 8.9 g/dL and serum ferritin 36.44 ng/mL. The doctor advised drips with Venofer injections. Four drips (100 ml with two Venofer injections each) have been given. The last drip was given on 17th last month. Now today, the hemoglobin is 9.8 g/dL. One doctor has advised taking two more drips (500 ml with three Venofer injections each) while another doctor has advised us to go for blood transfusion immediately. Kindly advice what should be done. Her age is 28 years and it is the first pregnancy. Other than this, there are no complications. Medicines being used are one tablet daily each of Intig D, Iron One, Mecobel and Folic acid. Doctor: Hello. Hemoglobin is 9.8 g/dL. That is less for the third trimester. But, this is the corrected one, previously it was much lower. In delivery, there is a chance of bleeding, changes in clotting factors and hormonal changes at delivery which can cause more bleeding, difficult or complicated delivery or labor also need normal hemoglobin level. It depends on different doctors how they treat the patient according to her history, blood reports, sensitivity to iron, etc. If she remains comfortable with Venofer and does not get sensitivity, vomitings or any other side effects, then it is better to have that as there is less chances of immune reaction as that of blood from another person. Continue to take iron-filled diet like carrot, apples, etc. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12650, + "tgt": "Small hole in the heart closed by 18 months of age. Is there any chance of future health problem?", + "src": "Patient: Hi doctor, My niece was born with a small hole in her heart. The hole was automatically closed when she was 18 months old. As per our doctor, the hole is permanently closed, and there will not be any problem in future. I just want to clarify that if there is any chance for problems in the future. Doctor: Hi. It is less likely that a hole that has closed will open again. Hence as regards to the hole in the heart you need not worry if it has closed. A repeat 2D Echocardiogram would be advisable to see the exact status of the hole (if not done) to detect for any other anomalies and prospects regarding the heart." + }, + { + "id": 812, + "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": 24714, + "tgt": "What could be the cause of blisters with surrounding redness in the skin?", + "src": "Patient: Hello doctor, I am inquiring about a small group of rashes that appeared about a week ago and have not changed much. They are small clusters of raised bumps that are slightly itchy. It aches with movement and aggravated when touched. Please help. Doctor: Hi. I saw your picture (attachment removed to protect patient identity). There are few papulovesicles (few are solid bumps, few blisters as per the picture) arranged in groups, with erythema (redness) at the base involving the right side of the chest. Features are consistent with herpes zoster, more of abortive variety because you are saying it is not progressing and staying same since a week. Herpes zoster is also called shingles. It is the reactivation of virus varicella, which causes chickenpox usually in children. It starts with pain, burning sensation involving one half of the body limiting to one dermatome (body is divided into different dermatome). Later, there will be painful blisters in groups in a linear fashion. It has to be treated with antiviral medicine (Acyclovir or Valacyclovir) as early as possible. Other possibilities are: Please fill in this information to rule out these possibilities and confirm the diagnosis. Do you have similar red bumps on the right side of back? Please check your upper back, armpits, and arm. Any history of physical stress, illness, surgery, any crash diet, vigorous exercise (outdoor play/activity) or injury in the recent past? Are you using any oral medication or any recent history of travel? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14064, + "tgt": "What has caused a painless blood-shot eye in a child?", + "src": "Patient: Hi doctor, My 5 years old daughter has a blood-shot eye and not sure if there is a lump in it. It is not sore. Please help. Doctor: Hello. From the pictures you have attached (attachment removed to protect patient identity), I can tell you that the most probable cause of this redness is a benign condition called nodular episcleritis. It is a form of allergic reaction of the body to certain substances and normally subsides over a few days to weeks. It is not contagious but does recur in a few patients. My advice to you is: 1. Do not rub or meddle with the eye, this only aggravates the condition. 2. Use over-the-counter lubricant eyedrops- Refresh tears 0.5 % four times a day until the redness goes away. 3. Avoid dusty, windy, sunny weather. You should see an ophthalmologist in case- 1. There is a sticky sensation in your eyelids which does not let you open them after sleep in the mornings. 2. There is a drop in the ability to see, this is best seen by closing one eye and trying to see with the other. 3. The redness increases or she starts developing new symptoms or the redness does not go away even after a week." + }, + { + "id": 16616, + "tgt": "How to reduce triglyceride levels after stent placement?", + "src": "Patient: Hello\u00a0doctor,How to reduce triglyceride levels, which is 262 as on today. I have a\u00a0stent placed three years ago. Doctor: Hello. Hope this helps you. Get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10986, + "tgt": "Can you suggest remedies to get rid of chronic sputum production?", + "src": "Patient: Hi doctor, I am a 25 year old man. It is about 4 years that I am experiencing chronic sputum production which I feel is originated from my nasopharyngeal or oropharyngeal region. It does not pain or itch and the quantity too is less. In the first year of its development it was mostly white in color but sometimes yellow and difficult to remove. Many of my doctors did not take it serious and just adviced me to wash regularly with normal saline. It gets a little bothering sometimes especially in morning after waking up or late at night or after eating some special meals or juices like orange juice which are sweet, but I think it should not be an allergy. It does not go inside my stomach by swallowing my mouth secretions and are very difficult to get out. All my other hematology, biochemistry and hormone profiles have been normal during these 5 years. I am having issue only with the sputum. It was cultured once, but no bacteria was grown. Please help to get rid of that. Thanks for your advice in advance. Doctor: Hello. This is post nasal drip. It has a multitude reasons for its evolution and for disturbing all over this long period. Nasal septal defects like deviated nasal septum (DNS), stones in nose and polyps in nose are some of the reasons. Long-standing Inflammation of sinus mucosa around nose also causes such issues. Chronic tonsil infection, pharynx infection or stones on tonsils may be other causes. 1. Radiologic investigation for anatomy of nose and paranasal sinuses. 2. CT scan is mandatory. 1. You need to consult an otorhinolaryngologist for thorough evaluation. He may need to go for urgent sputum culture and sensitivity testing and an antibiotic accordingly if bacterial infection is the cause. If fungal infection, antifungals are needed then. Viral does not remain so long usually. 2. If anatomic defect is found he may go for a surgical repair. 3. Medication may be decided according to ENT evaluation because in such chronic cases hit and trial method is not acceptable for treatment." + }, + { + "id": 28967, + "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": 2657, + "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": 28599, + "tgt": "My 2 weeks old baby refuses to take breastfeed. Why?", + "src": "Patient: Hello doctor, My son, who is just 2 weeks old, is displaying worrying tendencies. He refuses to breastfeed. He cries when put to the breast. At birth, his weight was 3.77 kg. After two weeks, his weight is 3.5 kg. Should I be worried? His stool today was bit strange, a clay-colored stool was followed immediately by yellow colored stool in a single poop column. How is that possible and is it dangerous? He suffers from a cough and makes strange gnarling noises when asleep. He also makes strangling noises like he is having difficulty breathing, but on closer inspection, everything appears fine. I noticed light blue coloration on the lower lips and forehead occasionally. We are in distress. All other pediatricians dismiss these symptoms as first timer anxiety problems, but we feel that something is wrong with the baby. I had an abortion three years back and a miscarriage a year ago. He is my precious one. Please help. Doctor: Hi. For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10373, + "tgt": "How long will it take to heal frenulum tear?", + "src": "Patient: Hi doctor, I got married before seven years and living happily with my wife. A week ago, I had a very enthusiastic sex session in the shower. During which I slipped out and missed going back in and had a substantial impact. At that time I believe I had a frenulum tear and the skin was split. After initial redness and swelling, now it has a small scab. How long will it take to heal? And is going to a doctor worth my time? Doctor: Hi. It is quite common to get a frenulum tear while having coitus. It will heal within four to five days and pain will subside in a day or two. However, if you still continue to have pain, you can seek an opinion. Avoid coitus for few days for a quick recovery. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21941, + "tgt": "Can I get infected with HIV after rubbing penis foreskin on wall or toilet seat?", + "src": "Patient: Hi doctor, I am suffering from HIV phobia, and I am having a tingling sensation in my hand and feet. Can I get HIV from bed sheet as my penis foreskin was rubbed in a bus and there may be infected fluid on that spot? Can I get HIV from rubbing penis foreskin on wall or toilet seat infected with HIV? I am in stress and anxiety. I had many HIV negative antibody tests from such events. Now, I am feeling numbness and tingling in hand and feet because of fear due to ARS. Do HIV produce neuropathy at an early stage or it may be because of anxiety? Please help. I never had sex. I am not taking any drugs. I have regular sugar and calcium level. I have done ELISA, chromatography, immunofiltration tests. Doctor: Hi. No, you cannot get infected by HIV from a bedsheet or from toilet pans. Tingling and numbness occur due to many reasons. It needs evaluation. Remember, HIV can only live at approximately 8-12 seconds in the outside world and live up to 20 minutes in tissue samples. It requires a living cell with a CD4 receptor to live. Can you live in water? Same way, it cannot live in the outside world. So, do not get panic. It is transmitted in unprotected sexual activity and chances increase with ulcers on genitals, and it is transmitted by contaminated blood transfusion, needle sharing by drug abusers. So, be out of sexual activity from an unsafe person, say no to drug abuse and get blood only from a licensed blood bank (if you need a blood transfusion). For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 24012, + "tgt": "Dad is in ICU with chronic liver disease. Is there a way to revive his liver?", + "src": "Patient: Respected doctor,My father is suffering from a chronic liver disease. I have attached his case summary with this query. He is in the ICU for the last four days. As per the doctor, my father may remain in this state for an indefinite period of time because his liver is not functioning. So, I want to get a second opinion and want to know, whether there is a way to revive his liver and make it function properly. Doctor: Hi. As per the records, he is suffering from stage-3 liver disease, that is an end-stage liver disease. His current problems need to be medically supported. This will result in temporary improvement of his condition. However, issues like infection, blood loss, fluid accumulation in the body, etc., will be frequent from now. The definite treatment ahead is liver transplantation. If you are ready to proceed with evaluation and transplant, then I would suggest considering treatment at a transplant center. Else, medical optimization, which is going on now will be alright. Was an endoscopy done for him? Also blood, abdominal fluid, and urine culture tests? If yes, please send them across. Hope your queries have been cleared. Do review if you have any further queries. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20735, + "tgt": "Why do I have elevated RBC, platelets, and eosinophils?", + "src": "Patient: Hello doctor, Please evaluate my report that shows elevated RBC and platelets and eosinophils. Doctor: Hello. I have reviewed your reports (attachment removed to protect patient identity) and here is my advise. In your reports, the main concern is raised eosinophils. The common causes for that include allergic rhinitis, common allergic cold, asthma, skin eczema, and parasitic infestation. So kindly mention your clinical complaint like fever, cold, diarrhea, etc., if present to guide you further. Your hemoglobin, RBC, and platelet values are borderline. For that, you have to repeat complete blood count report after a few days. If still, they are abnormal, then will think further. So, acknowledge me with clinical complaints to guide you further." + }, + { + "id": 22788, + "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": 10426, + "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": 6853, + "tgt": "Is delayed ovulation the reason for delayed period?", + "src": "Patient: Hello doctor, My LMP was a few months back. I did not get periods after that. We thought I was further along when I found out I was pregnant a month later. I went for an ultrasound and there was nothing on the screen. I went back three weeks later and the baby was measuring 6 weeks 1 day. Is it possible to ovulate that late with no period? Doctor: Hello. Congratulations on your conception. Yes, it is possible to ovulate late. In fact one of the causes of delayed periods is delayed ovulation. Make sure you take your Folic acid supplements and get your routine investigations of pregnancy done (blood group, complete blood count, urine r/e, fasting blood sugar, TSH, HbsAg, HIV). Please avoid exposure to radiation and inadervant drugs during pregnancy especially in the first trimester. Routine antenatal investigations Folic acid Doxinate if required With reports" + }, + { + "id": 520, + "tgt": "Will hiatal hernia problem stay forever?", + "src": "Patient: Hello doctor, I am a 31-year-old male who until recently weighed about 100 kg. For the last six months to a year, I was obsessively performing a Valsalva maneuver because I had health anxiety and OCD and I was worried about an operation. When I was younger I could have impacted my continence. I have been having some GI issues lately and read that you can cause a hiatal hernia from chronic straining. Is it possible that I could have caused a hiatal hernia at my age? Are six months to a year chronic enough? If I have caused a hiatal hernia will it stay forever? Or can I reduce it and the hernia size through exercise to tone and strengthen the diaphragm and weight loss? I am extremely worried I have caused a hernia and will have to live with it forever. I have had a standard x-ray of the chest which came back normal. Could a hernia have been missed? Doctor: Hello. I can very well understand your concern and at the start, I want to tell you that chronic straining does not lead to the development of hiatus hernia, however, your weight can. Hiatus hernia is an anatomical change that can present since birth, and after certain surgical procedures over abdomen or diaphragm, overweight to obese can develop hiatus hernia because of the excessive pressure over the stomach from belly fat, causing upward lifting of the lower part of food pipe and formation of hernia. And lastly, due to the old age when the diaphragmatic muscle gets weakened allowing part of the lower esophagus to get pulled in the lower part of the chest. In a young healthy people, diaphragmatic muscle is strong enough to prevent this from happening. Valsalva maneuver if performed vigorously can cause tears in the lower part of the esophagus which is an acute complication of this, but it will not alter the anatomy or produce a hiatus hernia. Valsalva can harm somebody if it is done without a reason (there are certain indications for medical conditions), but it can only cause damage to the lower part of the esophagus acutely but would not alter the anatomy of it i.e. hiatus hernia. Yes, an x-ray plain without contrast can easily miss a hiatus hernia. A special x-ray with contrast named barium is swallowed, and serial x-ray images from the chest are taken, that can diagnose the hiatus hernia instantly, however, a plain chest x-ray cannot detect the presence of hiatus hernia. So now coming to your second concern that you have to live with it. Well, it is not yet proven that you have a hiatus hernia, secondly, it is not uncommon to have hiatus hernia in people without any symptoms and it can remain undiagnosed until their whole life. The point is it can present harmlessly in human for years and years and does not necessitate any investigations. The time to develop a hiatus hernia is variable but it does take many years of overweight to cause hiatus hernia (very less likely within 6 to 12 months time). It is not a rule that every hiatus hernia would cause symptoms or disease or any complications. I would not suggest you even to worry about it and get tested for it. Because it would not change anything for you. Simple exercises, keeping a healthy lifestyle, reduce weight are all that is required. The weight loss is very compulsory, this will not only help you preventing hiatus hernia but also other things like gastroesophageal reflux (GERD), bloating, gas distention, constipation. I hope this helps. Overweight. Barium swallow if worried about it, or have symptoms suggestive of gastroesophageal reflux. Weight reduction. Follow up to discuss if any concern." + }, + { + "id": 22546, + "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": 9835, + "tgt": "How to manage diarrhea, vomiting and low BP?", + "src": "Patient: Hi doctor, I am suffering from diarrhea and vomiting. I feel nauseated while eating. My BP is on the lower side, 95/60 mmHg. I did not take any medicine, just having salt water with lemon. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18473, + "tgt": "Do these symptoms of mine look like herpes?", + "src": "Patient: Hi doctor, I need to find out about something that I am very nervous about. I made out with a woman and realized that there was a bump on the side of her mouth. She also perform oral on me. The bump looked yellowish with brown edges. I have no idea whether it was oral herpes. But, I am freaking out. Last week, I was itching near my thigh, pelvis and below the belly. I do not know whether it was because I recently shaved down there. But, the itching was on and off. I did not notice anything unusual until I saw two pimples near my pelvic area. I popped it and pus came out and got cleared. A few days later, I saw something looked like healing razor bumps. The bumps were not crusty, but they were itchy. It has been a few days and the bump have not left. I did a herpes vinegar test and the lesions become white after I applied the vinegar. Today, the bumps have a black scab. Do all these symptoms sound like herpes? I also took a photo of the bumps. Please explain. Doctor: Hi. I have read your query in detail and do understand your concern. Also, viewed the attached pictures (attachment removed to protect patient identity). A lesion on the side of her mouth may or may not be herpes. Lesions on your pubic area are not herpes or any STD (sexually transmitted disease). They seem to be those of folliculitis due to bacterial infection or razor bumps. Moreover, herpetic lesions do not cause itching, but pain and inflammation are the predominant symptom. So, your lesions and symptoms do not sound like herpes. For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 12063, + "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": 15604, + "tgt": "What does my blood test report indicate?", + "src": "Patient: Hello doctor, I did a blood test. Kindly evaluate it and give advice. Doctor: Hi. Your laboratory test is fine (attachment removed to protect patient identity) but you have your liver enzymes a bit over the limit of normality. The most common cause for this alteration is fatty liver. The less expensive way to know this for sure is doing a liver ultrasound. If it is the first time you have this results, the most recommendable thing to do is to take new liver function test (including gamma-glutamyl transferase) in six months. Meanwhile, you should improve your diet (less simple carbohydrates, more natural fats) and exercise at least 30 minutes a day five days a week. The metabolic syndrome includes the following. Large waist circumference, a waistline that measures at least 35 inches (89 centimeters) for women and 40 inches (102 centimeters) for men. High triglyceride level 150 milligrams per deciliter (mg/dL), or 1.7 millimoles per liter (mmol/L), or higher of this type of fat found in blood. Reduced high-density lipoprotein (HDL) cholesterol less than 50 mg/dL (1.3 mmol/L) in women. Increased blood pressure 130/85 millimeters of mercury (mm Hg) or higher. Elevated fasting blood sugar 100 mg/dL (5.6 mmol/L) or higher. So you should check on these other points, too. The rest of your lab tests are normal. Kidney function is fine, uric acid is fine." + }, + { + "id": 25510, + "tgt": "Why do I have a strange feeling in my heart?", + "src": "Patient: Hello doctor, My oxygen level is 93, my pulse is 95, and my heart feels different like maybe it is skipping beats or something. Should I go to the ER? This has been going on for about four to five days. Doctor: Hello. It is better to go to the emergency room and to get an ECG (electrocardiogram) to confirm the diagnosis. Do you have any history of diabetes or hypertension? These risk factors for atrial fibrillation are quite common for people your age. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4441, + "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": 28825, + "tgt": "I am skinny, but have a big belly. Why?", + "src": "Patient: Hi doctor, I am a 28 year old male. My weight is 62 kg and height is 5'10\". I am skinny, but I have a big belly. I am following good diet. I do not drink or smoke. I do exercise regularly. Doctor: Hi. You have an excellent question which I\u00a0am glad to answer. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4262, + "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": 23156, + "tgt": "Please suggest Ayurveda treatment for back pain and burning sensation in eyes", + "src": "Patient: Hi doctor, I am 30 years old and since past eight months, I have been suffering from weakness, lower back pain, muscle twitches. I have been masturbating for over 10 years and I have noticed I feel these symptoms more after I masturbate. I feel my legs are not strong enough, standing for a long time causes muscle twitches all over body, drowsiness. I have done complete health checkup like blood tests, ECG, abdominal ultrasound, chest X-ray all have turned normal. I also feel burning in legs, eyes, and also there is stomach gas especially in morning, a lot of farting and burping. I also get the urge to pass stools often sometimes like 2 to 3 times a day, stools are normal. I do not get to sleep a lot. I work in shifts and some days end up having four hours of sleep. Burning sensation is also present in the palm and sole sometimes, also I get uncontrolled body jerks sometimes while falling sleep but that is rare only after excessive masturbation. My mouth also remains dry most of the times. Please suggest. Doctor: Hello. I just read your query. See if all of your investigations are normal then it will not be a serious issue. However, if you are feeling all these symptoms due to masturbation then, first of all, try to control the excessive urge of masturbation. However, masturbation is a normal body phenomenon. Also, your sleeping pattern is not consistent, due to this, the problem related to digestive system may occur like excessive burping, gas and bloating, etc. So try to normal your sleep pattern and get 6 to 8 hours of regular sleep. I will prescribe you treatment for ten days for all your problems, take it regularly and you will feel better results. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22089, + "tgt": "I have a node on the neck after forced sex. Could this be due to HIV?", + "src": "Patient: Hi doctor, I had unprotected sex with a man who forced himself on me. Five days later, a node on the right side of my neck appeared with a sore throat. I went to the doctor, explained everything, took an HIV test and it came back negative. The node is hard and gets soft sometimes but has been there for months. Sometimes, I feel like there is pressure on my neck and ear, found another node recently on my neck, lower part of the left-hand side, soft and movable and another one on the front side of my ear on the left and I have a tooth that has been giving me problems for a while on the same side. Could this be HIV because I read that nodes on the neck are normally associated with it? Doctor: Hi. Lymphadenopathy is not related to HIV (human immunodeficiency virus) and probably caused by infected teeth as HIV infection takes approximately six months to one year to get lymphadenopathy. Get HIV test after 45 to 90 days with generation four dual tests or western blot to confirm infection. Soft movable node is probably due to infection and abscess may be formed. So, rule out TB tuberculosis). Finally, it is not HIV infection, for confirmation get tested after 45 days. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13844, + "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": 17706, + "tgt": "I am suffering from on and off wheezing. How to get cured?", + "src": "Patient: Hi doctor, I am 31 years old. My height is 5'5\" and weight 68 kg. I am suffering from wheezing and finding difficulty with physical activities such as walking as well. I just moved to a new place recently. This onset of wheezing is sudden and I did not observe any trigger. But, dust, pollution and vehicle smoke are in higher level in my new place. I am mostly getting an audible wheezing and sometimes, a mild one. Many years ago, I used some inhalers and I am not using anything currently. Could you please do something earlier? Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16750, + "tgt": "How to consume Kalarchi Choornam to get rid of multiple ovarian cysts?", + "src": "Patient: Hi doctor, How to consume Kalarchi Choornam to completely get rid of multiple cysts in both ovaries. It is not pcod but countless multiple cysts on both ovaries. Please clarify, how much and how many times should I consume daily? And for how long? Is it fine to take the medicine during menstrual cycle?\u00a0Should I have anything along with it? Is it fine to take birth control pills along with it to get rid of cysts? Please help. Doctor: Hi. From your query, I understand that the cysts are not the PCOD (polycystic ovarian disease). In order to remove the tiny cysts, you can consume Kalarchi choornam. If you could get kalarchi (raw), remove the shell and powder it. Or else, you can buy it from siddha herbal shops. 2 g of kalarchi powder to be mixed with honey and consumed. Since it taste mild bitter, you can keep one sugar candy or chocolate on your tongue after swallowing the drug. The drug to be taken morning and evening in empty stomach (before food). The powder also can be mixed in milk or buttermilk and consumed. In Siddha, normally the gynecology related disease are treated with drugs for three cycles (90 days). Thus, you can continue the drug for 90 days. Apart from Kalarchi choornam, you can also take capsule Nandhi mezhugu in the morning and evening after food for seven days. Next three days, drug free period. Thus total of 10 days. Again 7 days capsule + 3 days free. This is to be continued for three months. During menstrual period days: you should stop both Kalarchi choornam and Nandhi mezhugu. Both the drugs to be started again on day 4, after the first day of bleeding. In some patients, Kalarchi choornam delays the periods. If it is observed in your case, stop Kalarchi before 3 days of actual periods. There is no drug interactions between Kalarchi and contraceptive pills. Thus you can take together. Please try to avoid preservatives and chemical added foods (packed food, juices, etc). If possible, continue yoga practice. For the small cysts, these two drugs are sufficient. If you are planning for conception, but there are some problem with ovarian function, follicles, endometrium, etc., then there are other medications available. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 46, + "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": 19369, + "tgt": "My biopsy report showed granulomatous mastitis. Was the biopsy specimen autolyzed?", + "src": "Patient: Hi doctor, A wide excision was done last year, and the report showed granulomatous mastitis. How can autolyzed tissue alter the report of biopsy? What do you mean by autolysis? What if the specimen is autolyzed? What would you do? Doctor: Hi. Hope your concern is solved.\u00a0Take care. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 4014, + "tgt": "I experience panic attack after intake of codeine, beer and Marijuana. Why?", + "src": "Patient: Hello doctor, I am a 22-year-old healthy male. Yesterday I had my first panic attack and it was severe and lasted long. I have ended up in the emergency room. But they just gave me a Diazepam and I was feeling good again, but they never told me what triggered and I am curious. Last night I drank 110 mg of phosphate codeine (liquid) and drank one 600 ml beer and then smoked Marijuana. Once I get back home which was a couple of hours later, right after I smoked the panic attack started. But I am smoking for six years and just strong strains and concentrated and nothing ever happened before (yesterday I smoked a really non-potent one). My question is, is it possible that the weed is causing the panic attack or it was the codeine with beers? I really do not want that to happen again. Doctor: Hello. It could be a combination of Marijuana, codeine, and beer. Also, regular use of Marijuana will cause panic attacks. It is just that the effects of whatever is taken regularly and do not show up immediately. Only chronic use of either smoking, alcohol or other drugs will cause problems later on. I would recommend that you at least try to reduce if not stop the quantity of the drug. Combination of alcohol, weed, and Marijuana. Just get a chest ECG (electrocardiogram) done to be on the safer side. Panic disorder, anxiety disorder due to substance use. Panic disorder or anxiety disorder due to substance use. Try reduce the quantity of alcohol, Marijuana and smoking. Try some deep breathing exercises or other relaxation techniques like yoga, meditation or progressive muscle relaxation exercises. You can also visit a psychiatrist and ask him to help you with the panic attacks, and anxiety issue. He will probably start you on some SSRI (selective seratonin reuptake inhibitors) class of drugs which is just to be taken once a day for a few months and then tapered down and stopped. Try combining different substances when using them like tobacco, alcohol, and Marijuana. Follow up after 20 days in case problems worsen and you need further advice." + }, + { + "id": 19714, + "tgt": "I am not able to fully retract my foreskin. Why?", + "src": "Patient: Hello doctor, Some weeks back, I noticed some red spots on my glans and some itching. So, I consulted a doctor. I was advised to take Fluconazole 150 mg for three days and Candid-B cream to be applied for three days and the problem was solved. Now there is no issue except that I cannot withdraw my foreskin for cleaning the area. It is very tight and if I withdraw, then it pains and some tears appear. It takes some time to heal and it is painful in the meanwhile. This withdrawal is very strange and suddenly noticed. I never had such an issue to date. I am not sexually active except sometimes I masturbate. I am a diabetic but my sugar is under control. I am not drinking enough water during the day, so for the last few days, I am making sure that I drink at least three liters of water. I take Invokana (Canagliflozin) 100 mg once daily and Ondero Met (Metformin and Linagliptin) 2.5/500 mg twice daily. Sugar is normal between 100 to 120 throughout the day. Three days back, my glans seemed inflamed and slight discomfort but were able to retract the foreskin. On my own, I took one Fluconazole 150 mg for three days and last taken was yesterday. The glans is no longer in anguish but the foreskin issue persists. Doctor: Hello. Please send a few good quality photographs of the lesion taken in a natural light. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18322, + "tgt": "Why am I having hive like rash on my hand only?", + "src": "Patient: Hello doctor, I am 25 years old female with no other symptoms. I had this hive like rash appear on the top of my right hand only. Has not spread, just gotten a deeper red color. Has some scab like areas I think because I scratched it at first. Does not itch anymore. Have not used any new products or exposed to any allergens. I am aware of to cause this. Again, only on my right hand. This is the fourth day of this rash. Have no idea what it could be from. I have taken Benadryl once daily, it had no effect. Also, have applied Hydrocortisone with no effect. Please help. Doctor: Hi. I have gone through your case. In my opinion, you have got an allergic reaction to something like it could be an insect bite or it could be some reaction to wild plants or weeds. It is good that you have used Hydrocortisone and I will recommend you to use it for another week. Apply two times a day for next seven days. And now about brown or black pigmentation. Then remember that it is a natural response of our skin to heal or combat any trauma with hyper or hypopigmentation. In your case, there is hyper pigmenation. Leave it as such right now. Because any creams, if used right now, will start itching and redness. And your lesions are fresh so I do not recommend it right now. Either this will lighten itself with time or if required we will try atleast after 14 days. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5006, + "tgt": "I am ANA positive with limb and muscle weakness. Is this UCTD or MCTD?", + "src": "Patient: Hello doctor, I am currently struggling with a flare that is just not getting better. My symptoms started three years ago. At that time my ANA was high positive, lupus anticoagulant positive, but nothing else specific. My symptoms are joint pain, swelling, severe fatigue, severe hand swelling, severe Raynauds, GERD, nausea, constipation, dysphagia, eye swelling, occasional strange rashes from sun, and muscle weakness. My ANA is high positive, speckled. RNP, chromatin ab, and RNP (but anti smith is negative?) are positive. Scleroderma, anti-DNA, and Sjogrens ab's negative. I also have Hashimotos but the thyroid is functioning fine. I was recently put on Prednisone 10 mg daily. My doctor is not increasing the dose because of psychological side effects. I have an eye exam to start Plaquenil this week. My joint pain and GI symptoms are now under control. I am now struggling with limb weakness, muscles burning (like I am lifting weights). I am unable to work and live completely independently because of it. When my doctor assessed muscle strength she said it was abnormal (4/5 against resistance, lots of muscle shaking). My ESR and CPK were normal but I was not experiencing muscle issues at the time blood was drawn. I am getting more labs done and will possibly be referred to a neurologist at my next visit in a few weeks. My question, based on the positive labs and symptoms, what diagnosis is likely? She has said both UCTD and MCTD, not lupus because of the symptoms. What is your general opinion? And out of curiosity, what is the difference between RNP/sm and sm ab? My current medications are Prednisone 10 mg QD, Cymbalta 60 mg QD, Flexeril 10 mg QHS, Naproxen BID. Doctor: Hello. I believe your diagnosis is Overlap syndrome, scleroderma with myositis overlap. Your symptoms do not fit into one connective tissue disease. It is probably overlap of two diseases going on. Lupus I will not be too sure, as you do not specify symptoms pertaining to it. Neither it is UCTD (undifferentiated connective tissue disease). MCTD (mixed connective tissue disease) is more of a diagnosis of antibody only if U1 RNP (ribonucleoprotein) is positive. But in either ways management does not change much. But the antibodies you have to go more in favor of myositis with scleroderma overlap. For management point of view, you would need to increase the steroids dose. 10 mg is not gonna take care of the muscle disease. Plus you need a steroid sparing drug like Azathioprine or Methotrexate along with Plaquenil. ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) can be normal in scleroderma. So it is not much a criteria to follow up. Key is your muscle weakness, which needs to be taken care of before it keeps getting damaged. Sorry to say, but your doctors are taking it a bit slowly as at this stage aggression is needed. Psychiatry side effects will not come at a lower dose. I would recommend 30 mg at least to begin with and then start a tapering schedule. I hope CPK (creatinine phosphokinase test) and LDH (lactic acid dehydrogenase) levels have been checked as well. Lastly, make sure that a 2D echo to look for pulmonary artery pressure and HRCT (high resolution computed tomography) of the lungs to look for any lung involvement has been carried out. I hope this helps. Scleroderma with myositis overlap. CPK, LDH, 2D echo, HRCT thorax. Avoid cold exposure." + }, + { + "id": 23732, + "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": 14093, + "tgt": "I have ovulation and period symptoms even after taking Depot. Why?", + "src": "Patient: Hello doctor, My period started 12th of last month. I reviewed the Depo shot two days later. I had unprotected sex nine days later. He ejaculated in me several times. I thought I would be protected but I am also having symptoms of ovulation like high (hard) cervix with a sharp pain in my ovary, then I had spotting for three days (brown to red then to brown again). What are the odds that the Depo is not effective for me? Is it common to experience ovulation and period symptoms on Depo without actually releasing an egg? Doctor: Hello. Depot injection does not offer immediate protection and it is advised to maintain abstinence for at least three weeks post-injection before the hormonal balance is readjusted for the cycle. Also, intermenstrual bleeding in form of dark brown blood is a common side effect which is seen with Depot injection. Also, it would be difficult to comment on the ovulation bleed as this is possible in this cycle as this would be the first month of Depot injection and hence barrier contraceptive is advised for initial 2 to 3 weeks. As you have had unprotected intercourse on day 11 of the cycle, there may be a possibility that the bleed may have been ovulation and not due to Depot and you may get pregnant. Once the best way to rule that out would be to undertake a serum beta hCG test after seven days of last intercourse and if the hCG levels are higher than 5 ng/dl, then you are pregnant, else safe." + }, + { + "id": 13297, + "tgt": "How can a dent in hard palate due to hot food be cured?", + "src": "Patient: Hello doctor, I was eating a hot curry last week when the top of my mouth blistered over as if I had burnt the hard palate, which I thought was unusual as I felt the heat on my tongue first but did not. The blister has gone but left a small dent in my hard palate which I am concerned about as it is leaving a bad taste in my mouth. Is this common? Doctor: Hi. Yes, this is common. You do not need to worry. The mucosa of palate is very sensitive as compared to the tongue. So it gets affected easily. You just put an Oral gel Clinica (Chlorhexidine with Metronidazole) gel on the spot for three days and three times a day. Then give me a followup after five days. Hopefully, everything will be fine. New mucosa on palate grows after almost 10 days." + }, + { + "id": 16258, + "tgt": "What is the reason for orange discharge after periods?", + "src": "Patient: Hi doctor, I had bleeding between periods. I went to doctor she put me on Yasmine tablet for four months, after that my periods were heavy and again bleeding between periods. Then I went through DNC and reports said I have polyps. So my doctor put me on Duphaston-M for four months. I started reducing weight and I reduced my weight around 7 kg. But again some orange type of discharge is coming from the 14th day of last periods. Please advise me something. Doctor: Hi. Nice to hear that you have lost 7 kg, but you still have not reached the target weight, which is 52 to 57 kg. If you still have bleeding in spite of being on the hormone pills, then some other cause should be thought of. Possibilities are: Hope a pelvis examination has been done, to rule out any local infection on cervix and area surrounding uterus. A cervical polyp has to be ruled out. They produce midcycle bleeding. Hope a pelvic scan has been done to rule out uterine fibroid or polyps. D and C is no diagnosis or treatment. Thyroid profile and serum prolactin hormone checked. Hope you are not diabetic and blood sugar levels are checked. Hope pelvic infection has been ruled out. If so both you and your partner have to be treated. Hope your partner is not diabetic, he can transmit some infection which can present as bleeding like this." + }, + { + "id": 28826, + "tgt": "I had rotator cuff tear. Will I recover after surgery?", + "src": "Patient: Hi doctor,I had rotator cuff surgery before eight months. The repaired shoulder hurts more than before\u00a0surgery, and I have lost about 30% range of motion. Now, the doctor has told me that it is a frozen shoulder. Also, I was informed that my right shoulder rotator cuff is fully torn and he has scheduled another surgery in a month. I am a 39 year old male and have abnormal arthritis build up in shoulders. Will I recover? Can I use my arms normal to work again? Doctor: Hi. RCT strengthening exercises. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19570, + "tgt": "Can we mobilize a patient who had angina 24 hours ago?", + "src": "Patient: Hi doctor, Can we mobilize a patient who had angina 24 hours ago? If he is stable, is it fine to do so? Doctor: Hi. The stability of the patient's condition depends on whether this was his first attack of angina and it occurred while at rest or during physical exertion. It also depends on whether his ECG was normal or abnormal and the cardiac enzymes excluded a heart attack or not. We also need to look into the presence of diabetes, hypertension or any other disease. In the absence of the aforementioned information, I will recommend that the patient beshifted after five to six days if he does not have a recurrence of angina and once he is on anti-angina treatment. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6383, + "tgt": "I am a smoker and have been coughing for longer period. Will it be chronic bronchitis?", + "src": "Patient: Hello doctor, I am 23 years female. For about three years or so, I have been coughing up phlegm consistently. It has almost become a routine. When I consulted an ENT doctor, they did not see anything wrong and just said that my nostrils look little swollen, so he prescribed me Flonase. I am still coughing and spitting. The color of the phlegm is generally white, but sometimes it is slightly yellow. I need to know, should I consult a pulmonologist? I fear that I may have chronic bronchitis since I have been smoking from the age of 15. Doctor: Hello. You said that you smoke since, from the age of 15, so the diagnosis goes more in favor of chronic bronchitis. The symptoms are also typical of chronic bronchitis. But you have not mentioned any associated allergic symptoms like running nose or frequent sneezing as it suggests bronchial asthma. The best test to differentiate between both is to do a spirometry test, also called PFT (pulmonary function test). It will give a definitive final diagnosis. Regarding treatment, if it is bronchitis, the first and most important thing is to quit smoking. If it is asthma, then you need to take a controller inhaler regularly. Also, you should get done with your chest x-ray. I hope after reading this, you will take the initiative for quitting smoking and quit it ultimately. I hope this helps. Smoking. Chest x-ray PA (posetroanterior) view. Spirometry PFT (pulmonary function test). COPD (chronic obstructive pulmonary disease). Stop smoking. start with inhalers." + }, + { + "id": 10067, + "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": 29965, + "tgt": "Why do I have some sharp pain after dental filling?", + "src": "Patient: Hi doctor, I had two deep fillings a few days ago. Two days later, I started having minor toothache and sensitivity. Nowadays, I am getting occasional sharp pain and it lasts just for a second. Is this normal? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1789, + "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": 10987, + "tgt": "I am on medication for PCOD. Do I need to take I-pill after unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected sex approximately 18 hours ago. I am worried if I should take I-pill. I am already taking medication for PCOD since one year. There has been some improvement and my period is due in a day or two. The medication that I am taking is Calcarea phosphorica 200 and Jonosia Ashoka. I am a 22 year old female and my weight is 63 kg and height is 4'11\". Should I take I-pill? Does it have any serious long-term effects? Also tell me if taking\u00a0I-pill\u00a0would worsen my PCOD problem? Please suggest few other safe contraceptive methods other than the general contraceptives. I had done lower abdomen ultrasound\u00a0about four months back\u00a0and the doctor observed small cysts. Thanks. Doctor: Hello. As you are a known case of polycystic ovary syndrome (PCOS) there are chances that you may have delayed ovulation ad hence delayed menses. So, you must take an emergency contraceptive pill within 72 hours of last intercourse. Again you are on homeopathic medication which would have its effect for long-term and will not offer you any immediate protection.After the I-pill you should expect your menses in the next 7 days. If it does not occur, then you should rule out pregnancy with a serum beta-hCG test. Besides oral contraceptive pills (OCP) the best contraception for you would be a depot injection or a Norplant (Levonorgestrel) hormonal contraceptive. But, as you are a case of PCOS, hormones should be avoided and condoms should be used as barrier contraceptives." + }, + { + "id": 17631, + "tgt": "Is a platelet count of 455 units dangerous?", + "src": "Patient: Hello doctor,My mother's platelet count is 455 units. The normal range is 450 units. Her hemoglobin is 8 units. Is this platelet count dangerous? She has pain in the left leg below the knee portion. The nerves below are clearly visible. She took analgesics like Diclofenac, Signoflam, and Zerodol, but no relief. Please help. Doctor: Hello. A platelet count of 4,55,000 /microliter of blood is not dangerous. Your mother is anemic given her hemoglobin level of 8 g/dL. She should be evaluated and her anemia treated accordingly. I do not understand what you mean by visible nerves. Do you mean veins? Please clarify. I would suggest that you consult a doctor for her leg pain and not take analgesics on your own. Self-medication can be harmful especially if overdone. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11806, + "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": 14945, + "tgt": "I am experiencing relapse of severe anxiety from past 3 months. Please tell me if I would ever be cured?", + "src": "Patient: Hello doctor, I am 28 years of age and 37 weeks pregnant with my first baby, (have had two miscarriages in the past) and I am experiencing a relapse of severe anxiety from past three months. I developed this problem out of nowhere. Three years back (got married two years back), I consulted a psychiatrist and was put on medications - Feliz S, Ciplar, Clonotril, and Tolaz. I took them for around two months and started to feel better, returning back to normal. I was never completely free from it since then, but it was kind of manageable. But from last three months, it has returned with full rage, I am feeling completely helpless and trapped. The symptoms that I experience are, scared of everything like I am losing control or will lose it eventually. Scared of maintaining my relationships with my partner. Feeling detached from the surroundings. Cannot relate to anything. As if, I belong to an altogether different species. Restless mind, constant intrusive thoughts; of doing silly things, smashing things, throwing stuff at others, abusing them, harming others (Do not feel very attached to my baby also). Anticipating crazy outcome of the events, like I would do something crazy in front of others. I ponder over and over again over everything I say, everything I do, watch all my actions like a maniac. Do not feel like doing anything. I have lost interest in my favorite activities also. Scared to be with my husband or with anyone for no reasons, I love him a lot but still not able to manage things. Get irritated easily. Doctor, my life is such a mess, I am zapped. Scared of taking any medicines as they might harm my unborn baby. Please help. Am I going crazy? I have read a lot of horror stories about people suffering from anxiety, and this is driving me more insane. I spend hours and hours over the internet in search of relief, but I guess this has made the matter worse. Please help me and save my life, I want my old self back. Please tell me if I would ever be cured, or will I go crazy? Doctor: Hi. I understand that what you are experiencing is not manageable with anybody. It has been observed in many studies that any anxiety disorders have a high chance of relapse during pregnancy. First I would like to tell you that medications are not that bad. They have the risk, but in the third trimester, they are considered relatively safe. The decision of starting any medication during pregnancy is taken after due consideration of risk and benefits. In your case with available history, I am more in favor of starting medication. The other option that is suitable for you is CBT (Cognitive behavioral therapy). You can contact any nearby available psychiatrist for this, or you can seek for an online therapy help at icliniq. Although you have mentioned severe anxiety in your description, your primary diagnosis is not clear to me. The previous psychiatrist prescribed Tolaz (Olanzapine) along with other medications that are antipsychotic. Antipsychotics are rarely prescribed in anxiety disorder, as they are not indicated for this. If you had a psychotic episode in the past during your first consultation, then my answer will be completely different. Other than antipsychotic prescription, your history also points toward obsessive symptoms that require more intense treatment. For the confirmation of the diagnosis, please upload previous medical documents or book an online consultation so that future treatment can be decided at the earliest. You are not alone with such a horror story. These problems are found in many people like you, and currently, a lot of help is available in the form of medications and psychotherapy. Rather than focusing on your anxiety symptoms focus on getting help and treated. We at icliniq can help you to any possible extent. Before you proceed for a consultation, please try to get your thyroid profile done from a medical diagnostic center. Take care." + }, + { + "id": 5768, + "tgt": "My facial skin is getting loose with wrinkles. What should I do to get fat on my face?", + "src": "Patient: Hello doctor, My face is getting loose and there are wrinkles. My weight is 55 kg but after my third delivery, this problem is increasing day by day. My body structure is fine but my face is thin from the chin side. I want to get fat on my face, what should I do? Doctor: Hello. I read your query. The reason for wrinkles on the face is due to your collagen (elastic tissue which maintains face elasticity) is getting looser, as a result, your skin is becoming loose because collagen is not holding it properly, and sometimes lack of facial fats which might be due to improper diet. The natural remedies will help you a lot in this condition. Try all these regularly and you will soon feel positive results. Start practicing Anulom Vilom regularly. This is a breathing exercise and it will increase your oxygen supply to the body and your skin will become more graceful on regular practice. Start taking healthy and skin-friendly food like fresh fruits and vegetables. Start taking different berries like strawberry, blackberry, etc., as all these will help to make your skin more lustrous. Add other fresh fruits too whatever you like. Take aloe vera gel and massage your face twice daily with it. It will help to tighten your skin. You can also apply fresh fruit's pulp on your face as it is rich with anti oxidants. Start taking one teaspoon of almond oil in milk at night regularly, as it will be extremely beneficial for your skin. You can also apply almond oil at night on your skin, it will also help in curing the problem of wrinkles. Sleep adequately at least for six to eight hours because sleep is very essential for your skin health. If you smoke then quit smoking because smoking also loses collagen. You will find positive results within one month after regularly practicing all these things. In case if you want immediate results then, you can consult a dermatologist or cosmetologist nearby you. They can suggest you artificial cosmetic therapies. After four weeks." + }, + { + "id": 20800, + "tgt": "How to treat my throat pain and high fever", + "src": "Patient: Hi doctor,I am having high fever of 103 degrees Fahrenheit, continuous sneeze and throat pain in the morning. Please advise. Doctor: Hello. This seems to be a streptococcal throat infection with a possible tonsillitis if you have difficulty in swallowing as well. High grade fever confirms a bacterial infection and hence, you have to be started on broad-spectrum antibiotics. I do suggest the following medicines. Consult your doctor, discuss with him or her and take the medicine with consent. You should be relieved after three doses ideally. Please take rest and start cold water tepid sponging for 15 minutes for around four to five times a day to reduce the fever. Please take bed rest for the next 24 hours. Streptococcus infection. 1. Acute tonsillitis. 2. Pharyngitis. Acute pharyngitis. Saline warm water gargles thrice a day. Revert back after five days to a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 24295, + "tgt": "Please help me understand the liver biopsy of a diabetic patient", + "src": "Patient: Hello doctor, Below is the biopsy report of my father who is 72-year-old diabetic. He was not feeling well for past one month. Can you please help me understand what does it mean? The liver biopsy result states that: Gross: Linear cores of tissue largest measuring 1 cm-A/E (pJA/SH). Microscopy: shows liver tissue with a neoplasm composed of cells arranged in nests and cords separated by sinusoids. Cells have pleomorphic nuclei with intranuclear inclusion, prominent nucleoli, and abundant eosinophilic cytoplasm. Doctor: Hi. I am very afraid to tell you that these reports (attachment removed to protect patient identity) are suggestive of liver cancer. This needs to be evaluated by further CECT (contrast-enhanced computed tomography) abdomen and PET (positron emission tomography) scan. I suppose you should see a cancer specialist as soon as possible. I hope it helps you. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 30395, + "tgt": "Which formula milk shall I opt for my baby?", + "src": "Patient: Hi doctor, My daughter is 5 months old. Since I had less milk, she was formula fed. But, she developed a\u00a0gas problem. We keep on switching the brand of formula milk, but it did not suit her. Her doctor advised Colicaid, but she still has issues. Can you please advise which formula milk is good for her? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21501, + "tgt": "Why am I getting on and off painless abscess in gum?", + "src": "Patient: Hello doctor, For over four months now, on my upper, outer gum, I have had an abscess. It comes and goes but never completely vanishes. It does not hurt at all. My tooth or molar looks fine. I would not even know it was there if my younger did not scrape over it. Occasionally it has a small pussy head and it runs vertically. Any clue what it is without taking an X-ray? If it is an infected root can I reverse it with a clean diet and swishing with Peroxide or something? Doctor: Hello. You have a periodontal abscess. For treating a periodontal abscess, the abscess will be drained and the periodontal pocket will be cleaned. The surfaces of the root of the tooth will then be smoothed out by scaling and planing below the gum line. This helps the tooth heal and prevents further infections from occurring. It has to be done by a dentist. Try using Chlorhexidine mouthwash for a month. It may help to reduce your condition. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13722, + "tgt": "I had ACL reconstruction surgery. Kindly tell me the time taken to get normal completely", + "src": "Patient: Hello doctor, I am 25. I have gone through ACL reconstruction and meniscus repair surgery on left leg almost three months before. Now, on post-op rehabilitation. The doctor has suggested me to walk slowly. Currently, doing squats and weight exercises. I just wanted to know still how much time it will take for me to walk and run normally. Will I be able to be normal in future like others from past 10 days? I am getting pain near knee cap region. Even after three months post operatively. Doctor: Hello. I read your concern. In my opinion, it will take another 6 to 8 weeks for you to start running. I hope you got your movement range completely in your joint. Now, do your rehabilitation and weight training properly as advised. You can start walking normally. The pain what you are referring could be due to muscle stiffness or soreness. Get a gentle massage done for your thigh and leg muscles. Do not strain your joint. This should help you to get rid of the pain and the discomfort." + }, + { + "id": 18861, + "tgt": "I cannot read the fourth line on the eye test chart. Is my condition amblyopia ?", + "src": "Patient: Hello doctor,I have done my eye test. During the test, I cannot read the fourth line of letters even with the lenses they provide. All the lenses I have tried. Is it serious? What is the problem? I am very tensed. Doctor: Hello. In order to answer you, I need little more details. If you noticed this all of a sudden, then I have to think of something like keratitis or severe dry eyes. But If you do not have any other problems like gritty eyes, red eye with blurred vision, an inflammation (like keratitis), is unlikely which is a kind of a swelling in your cornea. If you are a frequent computer user and mostly live in air-conditioned rooms, dry eye can be an issue. Then you feel a discomfort in your eyes as if you got sand in your eyes. If so, there is no harm in using a tear supplement like refresh tears. It will make you at ease. Next, if you have been using glasses before or you should have been using but you ignored it then there is a problem. There is a condition called amblyopia where if your eyes have a problem since childhood that is ignored the brain starts forgetting your eyes. If you start full correct glasses at a very young age hopefully before 10, then there is a chance of reversing but after 17 years it will not correct and it is not possible to do anything. At your age, we have to consider keratoconus where your cornea is getting weaker, making it protrude like a cone. Usually, there it is present as a frequent need to change spectacles. There we need to see a map in your cornea with its thickness which is called a topography. And further, we need to see the back of your eyes to see your retina and optic nerve. I suggest you consult an eye doctor not a family doctor to sort this out for you. You need to be physically checked with an instrument called a slit lamp with lenses and sometimes may need investigations. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18228, + "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": 23461, + "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": 22335, + "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": 29805, + "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": 8550, + "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": 30227, + "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": 15824, + "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": 26145, + "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": 7709, + "tgt": "The teeth that was bent during ortho treatment return again to same position. What should I do?", + "src": "Patient: Hello doctor,I had two upper premolars removed during my ortho treatment and the front two teeth bent inward. The new doctor corrected it, but now the same thing is happening again. Why? Doctor: Hello. Removing upper premolars is a part of orthodontic treatment if space requirements make it mandatory. This is done to take back your forwardly placed front teeth. The doctor should maintain the inclinations of the front teeth while taking them back. Failure of which leads to the appearance of teeth being tilted inwards since it is corrected now nothing to worry. I hope the space closure went well for you. I hope that answers the query." + }, + { + "id": 19023, + "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": 19061, + "tgt": "Can you suggest treatment for facial dryness and itchy scalp?", + "src": "Patient: Hi doctor, Today I visited a\u00a0dermatologist for facial dryness, dandruff,\u00a0boils and itchy scalp. I was prescribed Episoft cleansing lotion, Cetaphil cream, Fusirose\u00a0lotion and 8X shampoo. Fusirose lotion is out of stock near my place and online. Can you please\u00a0suggest a substitute lotion? I bought Fucidin cream instead of lotion. Can I use it? Doctor: Hi. Getting Fusidic acid in lotion form is difficult. You can use the Fucidin cream for the boils on the scalp. For scalp folliculitis, I suggest you try Betadine AD shampoo twice a week. For facial dryness, I suggest using Cetaphil moisturizer or Epitheliale AH cream (Sodium hyaluronate). Consult your specialist doctor, discuss with him or her and start the treatment with consent. For further queries consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 19278, + "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": 15442, + "tgt": "What is the reason for neck pain on turning to side?", + "src": "Patient: Hello doctor, I have pain in my neck whenever I turn it to the left, occurring in the back left-hand side of my neck, and this has been happening for the last six months. I am currently on no medication. I am a female, age 15, 5'5\". Doctor: Hello. I have read your concern. I feel that there could be some facet irritation that can lead to this restriction and pain on your left side of the neck. Do not worry. I suggest you to kindly use a neck pillow or support your neck properly while sleeping. At least make sure you support the neck curvature with a rolled towel. Keep icing frequently over the painful area. Drink water adequately. Hydration will help relax muscles. Have proper sleep. Avoid stress. Gentle massage over your neck help reduce stiffness and pain. Mild gentle stretching of the neck help maintains range. Revert back to me once pain comes down to suggest you strengthening program." + }, + { + "id": 16103, + "tgt": "Is it possible to gain weight because of medicines taken for irregular periods?", + "src": "Patient: Hi doctor, I am 25 years old, with PCOD diagnosed three years back. At the start, I took medicine for six months, then my period started becoming normal, with one week late or early. My weight reduced from 68 to 57 kg. Now, the problem is I got conceived three years back. Then I got an abortion at six weeks of my pregnancy as we both husband and wife were not ready for a baby at that time. It was medical abortion, and the thing is after having the complete dose first time, bleeding was not much. So, I took the medicine again within the second day of the first time. After that, I gradualy started gaining weight, headache, back pain, lower abdominal pain, etc. At present days, I am havng periods once in two months, food craving, lazynes, can lay whole day at bed doning nothing, sudden lower abdominal pain, back pain, head ache, mood swing. And my weight has reached to 72 kg. What can I do? Is it the side effect of the medicine? Doctor: Hi. How are you doing? All these effects are due to PCOD. No medicine will cause this, at this young age of 25 years. Your laziness as you mentioned is creating all the problem. PCOD (polycystic ovaries), this is a congenital condition, I mean it is a genetically programmed, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have you seen obese men developing breast and in young obese girls, who develop periods at a younger age? They all have high levels of estrogen hormone or female hormone). In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain gets confused and follicle growth stops early at a smaller follicle size and will not rupture. Next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months and later heavy periods with clots and fleshy masses, or spotting on and off. Thyroid abnormality and prolactin problem indirectly. You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbow and knees. Excessive body hair growth, hair fall, a dark shade over lower half of face, acne, oily face skin, the black skin over the back of the neck, inner thighs and under-surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at the time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be: Weight (in kg) = height (in cm)-100. Your expected weight is 61 to 65 kg. Once you reduce weight to normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food or fast foods or red meat, reduce snacks between meals. Have low calories food, high proteins. Regular exercise (especially for the waist and hip area), aerobics , yoga, brisk walking (swing your hands well), try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes." + }, + { + "id": 29565, + "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": 19062, + "tgt": "Why do I have white spot in the throat and warts in the genital area?", + "src": "Patient: Hi doctor, I have a white spot in the throat with a mild headache for the past three days. I am eating two cloves of raw garlic for the past five days to increase my immunity. I am getting cold frequently. I get typhoid fever for every six months. I also have some STD. But I do not know which one it is. I also get pain in the groin area. I have genital warts with skin growth, itching, and burning. I also got the white spot in the throat before 14 years back. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your current problem appears to be upper respiratory tract infection. It is a common problem, and many individuals get these infections. These are viral, and our immunity clears them. Now, you should get your throat examined and upload a picture of it. You will need antibiotics like tablet Azithromycin 500 mg once a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. Also, have Betadine (Povidone-iodine) gargles four times a day. For a cough, you can have syrup Alex (Dextromethorphan with Guaifenesin) two teaspoons whenever needed up to three times a day. Avoid cold food items. Now, whenever you get these symptoms, you should use Betadine gargling three times a day to kill these viruses and for the prevention of infection. Having recurrent sore does not necessarily mean that you have low immunity. Also, getting typhoid once in six months is likely a false diagnosis. If you are getting any viral fever too, the result of typhoid test will be positive. Also, when you are infected with typhoid, it remains positive throughout the life. So there are specific tests like Typhidot IgM to look for the current infection. You likely have HPV (human papillomavirus) warts. You should get yourself examined by a local Gynecologist and should undergo pap smear testing. These warts can be destroyed with medicines or removed with minor surgery. I guess you do not have any white discharge or so. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 713, + "tgt": "Has high level prolactin affected my sexual desire?", + "src": "Patient: Hi doctor, I got married recently. For the last few months, I am experiencing erection problems during intercourse and struggling to get the sperm out. Hence, a general physician advised me to take a few tests. I have uploaded the results of the test. Can you please tell me what would be the next step to improve my sexual activities? I have high levels of prolactin. Has that affected my sex desire? Also, I want to know if it really leads to delay in getting a kid. Please advice. Doctor: Hi. I understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2395, + "tgt": "I have a sore throat and feel weak sometimes. Please help", + "src": "Patient: I feel like sore throat and feel weak sometimes , but don\u2019t have fever and cough Doctor: Hello, If you have sore throat and weakness, and you don't have running nose, neck pain , high fever probably you have simple flu or bacterial infection. You don't have to panic about covid 19( coronavirus ). You can use Augmentin 625mg for 5 days( THREE times a day tablet) and have plenty of lukewarm water to keep yourself hydrated. As in India right now lockdown is going on if you have other antibiotics available you can tell us we can reply which you can use for current symptoms. Also if you want you can wait 2-3 days , if the symptoms persist or increase contact us we can help you out with the best possible treatment for you. Don't panic, stay healthy and eat healthy , keep wash your hand before touching your face mouth nose. if you have any symptoms persist let us know." + }, + { + "id": 3826, + "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": 27030, + "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": 9687, + "tgt": "Is there any home remedies for Tight Foreskin (Phimosis)?", + "src": "Patient: Hello doctor, I am 19 years old. I have a tight foreskin. Please suggest me the remedies and the types of oil used to roll back the skin. Doctor: Hi. The problem of a tight foreskin is known as phimosis. In phimosis, the patients feel a variety of symptoms. If your foreskin is not troubling your urination or if you only feel mild to moderate difficulty, then you can use sesame oil. In case you do not find sesame oil, then you can also use coconut oil. Massaging Your Foreskin: Use sesame oil or coconut oil for massaging your foreskin and try to retract it. Do it with moderate strength. You can do this act twice a day. For some time, you may find it little painful due to tight foreskin, but gradually your skin will start loosening. You have to do it regularly and you can see the change within a month. If the foreskin is excessively tight, then massage or any other thing would not help you. All you need is a surgical visit. Surgical Method (Circumcision): The surgeon will do a mild procedure known as circumcision. This procedure will cut your excessive tight foreskin in one visit and it is a daycare procedure and completely a safe procedure. It will not interfere with your urination or with your sexual activity. By birth or sometimes excessive masturbation. Revert back after a month to an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16920, + "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": 25992, + "tgt": "I am unable to retract the foreskin as it is painful. Is it Balanitis? How to cure it?", + "src": "Patient: Hello doctor, I am a widower for the last 16 years. At this age, my sex drive is high and being a widower I have no option but to masturbate whenever aroused. However, of late my foreskin turns sore more so after masturbation. Normally, on erection foreskin retracts automatically but in my case, I have to retract the foreskin manually without pain. Presently, due to soreness of the foreskin, retracting manually is slightly painful. Though a diabetic person, sugar is under control with medication. Please suggest some medicines or ointment for an application. Thank you. Doctor: Hello. I went through your post. You seem to have balanitis which means an inflammation of the glans especially the foreskin part. You need to wash the area in the morning and evening with lukewarm water. Apply Candid cream morning and evening for two weeks. I suggest you start capsule Doxycycline 100 mg in morning and evening for 19 days and tablet Fluconazole 150 mg once daily for three days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7857, + "tgt": "X-ray for back pain shows disc space narrowing in my lower spine. Please help", + "src": "Patient: Hello doctor,I had been suffering from low back pain for many years, I had X-rays which showed disk space narrowing in my lower spine. I fell two weeks ago and suffered enough pain to see a chiropractor in hopes of relieving the pain without narcotics or analgesics on a regular basis. I have been to chiropractor six times in two weeks. Lower back pain seems relieved but the pain in right buttock radiates down, outer right leg to the foot and is searing white-hot shooting stabbing breathtaking. I am uninsured so I have to be frugal but should I see someone for something other than X-rays? Doctor: Hello, Welcome to ciliniq.com. From your description of the symptoms and the fact that the back pain has improved while the leg pain (nature and radiation to the foot) remains indicates the cause to be from a disc in your spine pressing on one of the nerve roots (possibly L5 nerve root). You have two options: One wait and watch as long as there is no numbness or weakness of the leg or any bowel and bladder disturbance and take Diclofenac 75 mg twice a day with an antacid assuming you have no allergies or asthma. Lyrica 75 mg twice a day (makes you feel sleepy for a few weeks and then wears off ) to help with the nerve pain. You may need to take it for a length of time before actual improvement in pain is noted. Secondly see a spine doc and have an MRI to confirm the diagnosis and take the above mentioned or opt for surgery on the doctor's advice. Discogenic." + }, + { + "id": 18889, + "tgt": "I am pregnant and my HbA1c is 8. 9. Will it cause any harm to the baby?", + "src": "Patient: Hi doctor,I am a 23 year old female. I am 45 days pregnant, and my HbA1c is 8.9. Will it cause any problem to the baby? I am taking medicine, and my sugar is under control now. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1787, + "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": 4288, + "tgt": "Aripiprazole for OCD causes sleepy feel. Please suggest medicine to increase alertness", + "src": "Patient: Hello doctor, I have taken Fluoxetine 80 mg for refractory OCD for about six years now, obsessions are 90 percent controlled so I am not currently taking it now. But sometimes I have mood fluctuations also so currently I have started Aripiprazole 20 mg. The problem is that I feel sleepy in the day. My friends say that I am not alert. I am preparing for pg exam. What should I do now? Can I take Modafinil to increase my alertness and cognition? I want to increase my performance also. Please help. Doctor: Hi. I read your query and understood your concerns. First of all, why have you stopped Fluoxetine? Who advised that? Were you seeing a psychiatrist? Who has advised Aripiprazole? Do you have any improvement in your mood fluctuations from it? Aripiprazole as such does not cause sedation and excessive sleep. It is usually an activating drug. Are you taking any other drug or Benzodiazepine? To increase alertness, one can take Modafinil but daily intake is not recommended. It can be used on as and when required basis. Nowadays lots of students do this and take for a long time, but as a doctor, I would not recommend that. Instead, you can have activating antidepressant like Bupropion which also increases concentration. Another option is Atomoxetine. Revert with answers." + }, + { + "id": 26369, + "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": 15945, + "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": 6886, + "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": 26456, + "tgt": "I am 88 and the fecal matter comes out of my vagina. What are my options?", + "src": "Patient: Hello doctor, I am 88 yrs old.\u00a0I have a rectal or vaginal fissure I guess. The fecal matter comes out of my vagina. Sometimes, I have a regular movement but still have a liquid form from the\u00a0vagina. I do not want surgery. What can I expect for the short term of life I probably have left, if I do not have surgery? The odor is my biggest problem. Doctor: Hello. It is very sad to know about your condition. I can understand that at the age of 88 years, how you feel and suffer. But foremost, you need to get examined by your gynecologist. If it is a rectovaginal fistula, the only way to provide relief is by a minor surgery called colostomy in which a small opening will be made on the abdomen from where your fecal matter will come out. You need to apply Vaseline and an Estriol cream mixed together on your thigh and vagina so that the fecal matter does not cause skin reactions. The only way to control the odor right now is to wear diapers followed by colostomy. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9110, + "tgt": "My thumb shakes when I hold the phone or remote. What is causing this?", + "src": "Patient: Hi doctor,I am 23 years old. I have been having some problems with my thumb. My thumb starts shaking when I use my smartphone or hold a remote control. It started with numbness right below the nail of my thumb. The numbness went away but now it shakes up, down, left, and right. Sometimes, it goes away and then it comes back. I think hot water makes it feel better as it stops shaking after I have taken a hot shower. Also, Aspirin helps a lot. No pain, just feels stiff. What can be causing this? This happens on my right hand. Doctor: Hello. I have read through your question and would like to tell you that stiffness and numbness in the thumb can be caused by a number of conditions. The most common cause is a nerve compression or pinched nerve. Carpal tunnel syndrome also causes numbness in the thumb. A thorough clinical examination can rule this out. I would also advise you to get a few blood investigations done like blood sugar, blood uric acid, and ESR (erythrocyte sedimentation rate). If your job profile involves keeping your hand in one position for too long it can be a cause. Whether you have any history of injury to the same hand in the past? You mentioned that it becomes better on applying hot water. Do you notice any bluish discoloration of the fingers? If all the above tests come clear then we have to look for neurological causes of your problem. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25688, + "tgt": "I have high fever, sore throat and nausea. What could be the reason?", + "src": "Patient: Hello doctor,I am a 30-year-old male with a high fever on the second day now. I have a sore throat and nausea. I am currently on Covamet tablets, Nurofen tablets and Throflam-Co. Doctor: Hello. From what you mentioned, most probably you have a simple upper respiratory infection. I suggest you continue the current medications for a few days. Warning signs that you have to watch for: Seek immediate medical advice if you experience any. Hope you get well soon. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3420, + "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": 9200, + "tgt": "Being a PCOD patient, how to overcome the depression and high BP during the ovulation period?", + "src": "Patient: Hello doctor, I have PCOD since last ten years which progressed to hypothyroidism. I do not get my monthly menstrual cycle at all without medicines. I get into severe depression and emotionally unstable with high bp during the ovulation period. Please help. Doctor: Hello. I want to help you. PCOD (polycystic ovarian disease) causes irregular period due to changes in hormones level. It can be managed naturally through ayurvedic medicines and Yoga practices, but it will take time at least three months. Kindly consult your doctor, and take the treatment with consent. 1.Tablet Kuberakshadi Vati, 2. Tablet Hyponidd, 3. Tablet Kanchanara Guggulu and 4. Tablet Arogyavardhini Vati. Hypothyroidism, PCOD USG abdomen, thyroid profile. You can take the following medicines. Avoid spicy and fried junk foods. Do regular kapalbhati and Mandukasana as well as." + }, + { + "id": 3230, + "tgt": "Please explain where my symptoms are leading to", + "src": "Patient: Hi doctor, My symptoms over the last four months are as follows. I sat down on my mother's bed and could not get up. I had severe pain in lower back on left side shooting down my leg. They felt like electric shocks and it lasted for a little over a week. During that time I had a lot of memory issues and I forgot my son's birthday too.\u00a0Three months back, I had an episode of double vision. Vision was double out of my right eye, but when I covered my left eye I could see. During this period, my head felt heavy. It only lasted for about five minutes and then got corrected by itself. The next day\u00a0my eye was very sore. It started to hurt when I look from side to side. I had lot of flashing lights in my left eye that look like shooting stars on and off throughout the day. I just did not feel very good. I am having trouble finishing sentences. The thought just goes away and I forget what I am saying. The next day when I\u00a0had laid down to rest I realized my left arm felt weird. It was numb and tingling from the shoulder down. I thought I would just take a nap and see if it got any better. I woke up at 5; still it was numb and tingling. Took a hot bath and got out but it remained the same. It felt as if I had rubbed icy hot all over it. It felt very cold to me, but not to touch. By the time I reached ER I was having trouble talking. I could not get my words from my head to my mouth. It was like they were getting stuck. I had CT scan done and laboratory tests all were normal. ER doctor recommended seeing a neurologist. I got an injection of Solu-Medrol.\u00a0Immediately the following day\u00a0I was stuttering and even my thoughts were stuttering, the more I tried not to the worse it got. Both hands started tingling and there was left leg tingling from the knee down. At night while I was lying on the couch I had excruciating pain on the left side of my face. My entire cheek felt like it was going to explode off my face. I took 800 mg Motrin. The pain lasted for about 45 minutes and just stopped. It did not gradually go away, just stopped. Then the next day, still felt off and very shaky. I felt hard to even type or text. I cannot focus on thoughts. I had very fuzzy head along with stuttering. My hands, feet, arms and legs still tingling on and off. I have started feeling my scalp tingle as well. Following day had very shaky hands. My hands hurt and felt weak. It felt like I have been holding onto something really tight and just let go. Still do not feel right. Glasses were not helping. Eye still hurts and still seeing flashes of light.\u00a0Next day, I drank a very small amount of wine that was not even a full glass. Hands felt like they have been hit with a hammer and my scalp tingles so bad, it made my eyes squint and gave a horrible feeling. I have no energy. I feel so tired and could not even cook supper. My arm was too weak to brown hamburger meat. Head feels very strange like someone is pushing on the right side of my temple. It is all still pretty much the same the following week. My scalp tingling, still stuttering, along with a lot of weakness in hands and arms. Left leg has started giving out on me and had fall in my living room. Black out when I stood up. I am still seeing flashes of light. Not sure what night this was but one night when I went to bed it was like my body had the hiccups and my arms and legs just kept jerking.\u00a0I woke up feeling really bad. Head hurt, eyes hurt, hands and legs are still tingling. Still stuttering, sometime mid day I noticed my thoughts were no longer stuttering. The stuttering was gone. And slowly that day I started to feel better.\u00a0No more tingling scalp, hands or feet. For the most part this is how it has been since. Thanksgiving I had a very small amount of wine again (not even a glass) and felt horrible again. Scalp tingling, body hurt and even fell into the wall. Other than a few little tingles here and the symptoms have stopped. No more flashes in eyes and no pain other than headaches. I am having some strange red and purple feet and hands. My hands hurt when they get cold. Feet and hands turn purple in the bath. Normal MRI with contrast. What should be the next step? Doctor: Hello. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20384, + "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": 15494, + "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": 16051, + "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": 12461, + "tgt": "My 4 month baby has not passed stools. Please help", + "src": "Patient: Hi doctor, My baby is 4 months old and is vomiting in between while having breast milk. His belly is not much hard, but there is more swelling when compared to the breastfeeding days. He has been switched to formula feed from Sunday night and till now he has not passed stools. I am worried about this. Please suggest anything natural. Thank you. Doctor: Hi. It is common to have a decrease in stool frequency or constipation after switching from breast milk to formula feed. As long as your child is feeding well, passing gas from below, has no vomiting and has a soft belly, there is nothing to worry about. It is normal to pass stool once every 2-3 days. Also, you may noticea change in stool color (green) after switching to formula feed. In this scenario, you can try using a cotton Q-tip (cotton swab). Apply some lubrication on it and stimulate the rectal area to see if your child passes stool. If this does not help, then try seeing your local pediatrician who can help with rectal stimulation and passage of his stool." + }, + { + "id": 20204, + "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": 29977, + "tgt": "Why am I having joint pain and swelling after fever?", + "src": "Patient: Hello doctor, I am a 40 year old female. My weight is around 75 kg and height is 5 feet. I had fever about four months back for two days. Then, I started suffering from joint pain and swelling. I took some medicine, but there was no long-term effect. Currently, I am taking NAC 100 SR, a painkiller. For two days, I have been having severe pain and swelling in both my knees and due to which I am unable to move around. What do you suggest? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17783, + "tgt": "After menopause, endometrial thickness is 10 mm. What to do?", + "src": "Patient: Hi doctor, I am 63 years old. It has been seven years since my menopause. My endometrial thickness is 10 mm now and the uterus is normal. Two years before, the thickness was 8.6 mm. I have no symptom such as bleeding.\u00a0Please suggest any guideline for further tests. Doctor: Hi. I have read and understood your problem. One research concludes that in a postmenopausal woman without vaginal bleeding, if the endometrium measures more than 11 mm, then a biopsy should be considered as the risk of cancer is 6.7%. Whereas if the endometrium measures less or equal to 11 mm a biopsy is not needed as the risk of cancer is extremely low. Thickness may vary from time to time. However, if you have a family history of cancer you can go for biopsy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2935, + "tgt": "Will eating bricks affect uterus?", + "src": "Patient: Hi doctor, I am a 26 year old female. Will eating bricks affect uterus? I do not have any side effects other than early periods. In the last two cycles my periods were five days earlier. Please explain. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20344, + "tgt": "Will tooth removal for braces cause any shifting of other teeth?", + "src": "Patient: Hello doctor, I have a misalignment and mild crowding of teeth in upper jaw and have bite issues. I have consulted a maxillofacial surgeon and advised tooth removal prior to braces and removed upper left tooth, probably molar tooth, and advised to consult orthodontist for braces. I want to know whether there will be any shifting of teeth or any other complications in the future? Please help me with your advice. Doctor: Hi. I have gone through your question. I can understand your concern. Yes, there will be shifting of teeth to fill the gaps and release the crowding by removing teeth. So you do not need to worry anything about the issue if your orthodontist consulted. The shifting will not be a complication but for the management purpose. If you mean migration in place of shifting that will be slight and will not create any issue further in your dental arch." + }, + { + "id": 11145, + "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": 18686, + "tgt": "What is the treatment for lower spine injury?", + "src": "Patient: Hi doctor, I am a 29 year old male. My height is 176 cm and weight is 77 kg. I have pain in my right buttock for the past seven days.\u00a0I tried to push the bed with leg and this caused some injury in the lower spine. Please refer to MRI report that I have attached. My MRI opinion is as follows. MRI lumbo-sacral spine reveals early spondylotic changes are seen in the form of osteophytes and disc desiccation at multiple levels with minimal posterior disc bulge at L2-L3 level indenting the thecal sac without any significant neural compression. Broad based posterior disc bulge with mild postero-central disc protrusion at L3-L4 level and L4-L5 level indenting the thecal sac and bilateral descending L4 and L5 levels. Minimal posterior disc bulge with mild postero-central disc protrusion at L5-S1 level indenting the thecal sac and the bilateral descending S1 nerve. I am currently taking Flupirtine maleate capsule, Aceclofenac, Paracetamol tablets along with Omega-3 capsules. I have no problem passing urine or stool and pain in last one week is relieved by 50% but not fully. I am on complete bed rest. I have a family trip for five days of next week. Shall I join that or should I avoid it? Thank you. Doctor: Hi. For further\u00a0information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17480, + "tgt": "How long is it safe to use Relibeta injection for multiple sclerosis?", + "src": "Patient: Hello doctor,My fiance had been diagnosed with relapsing-remitting multiple sclerosis three months ago and she was advised for weekly Relibeta injection. Now, she is perfectly fine without any sign or symptoms. How long would it be safe to use Relibeta injection? Doctor: Hello. Relibeta (Interferon Beta - 1A) is a disease-modifying agent, used to prevent relapses. It can be used for many years. It is effective in preventing relapses. It is necessary to check periodically for complete blood count and liver enzymes. Kind regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6755, + "tgt": "Is it possible to treat myopia of power +1. 5 with medicine or exercise?", + "src": "Patient: Hello doctor, My son is detected with hypermyopia with power of +1.5. Can it be cured with medicine or exercise? Doctor: Hello. What is his age?" + }, + { + "id": 8238, + "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": 7107, + "tgt": "What is the cause for increased bilirubin level?", + "src": "Patient: Hello doctor,I am a 50-year-old male, slim, and quite health conscious. Today I had a package blood test done. Other things are fine but in LFT total bilirubin is 1.47, direct bilirubin is .22, and indirect bilirubin is 1.25. SGPT and SGOT are normal. All other parameters are normal. I do not have any problem right now.Two months back I had some food on a train which led to vomiting and diarrhea for one day. After ten days, I had abdominal pain for two-three days. Then acidity in the stomach here and there for some days. It all lasted for about two months, during which I lost two to three kg of weight also. But now my appetite is perfect, and I have resumed my regular exercise. Stamina is also fine. I had a cough and cold for a few days, which is ok now. Please guide me on what could be the cause for these elevated levels of bilirubin. I suffered from viral hepatitis when I was about 25 years old. Doctor: Hello. You do not have any complaints. 1. Total bilirubin 1.4 2. Direct bilirubin 0.22. 3. Indirect bilirubin 1.25. Only total bilirubin is slightly elevated. For some people, if no complaints, this mild increase common need not worry." + }, + { + "id": 17378, + "tgt": "Do we need biopsy for nasal polyp?", + "src": "Patient: Hi doctor,My mother is having difficulty in breathing. We have consulted a doctor. Based up on the diagnosis, he advised a surgery for the polyp in the right side of her nose. She is 45 years old. Her weight is 65 kg and height is 5'4\". Currently, no biopsy has been done. Do we need to check biopsy? Can you please provide your opinion and the severity level? Doctor: Hi. I got to understand that the primary complaint of your mother is nasal obstruction. How long is it present? If it is antrochoanal polyp, as CT suggests (attachment removed to protect patient identity), it needs surgery. AC polyp does not reduce with medicines. More important reason to get surgery is that in above 40 years age with nasal polyp is a risk. Biopsy has to be taken to rule out malignancy when it is only on one side. Risk of surgery depends on general condition and surgery when done endoscopically does not cause much risk. BP, diabetes and other underlying systemic diseases are risk factors. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7181, + "tgt": "Will a CT scan be accurate if done without drinking a contrast?", + "src": "Patient: Hello doctor, I am having pain in the right lower abdomen for 10 days. The ultrasound had shown mild inflammation of the appendix. Doctor then suggested a CECT whole abdomen. However, in the past, I have had difficulty keeping down the contrast they ask to drink. So the doctor advised CT Scan with IV contrast only and left out the drinking contrast part. The result of the CT scan came normal showing no Appendicitis. My query is, can the CT scan be done without drinking the contrast? Will it be accurate? Is IV only CT scan without the drink reliable? Is it surprising that USG showed mild appendicitis, but the CT scan did not? Please advise. Doctor: Hello. The appendix is a tubular structure measuring less than 5 mm in normal people. When there is appendicitis, the appendix enlarges to 8 to 10 mm or more in diameter. Ultrasound scan has an accuracy of 50 percent for appendicitis in most patients. You have been found with a likely 9 mm appendix before some days. The CT scan was done before a week. It is possible that the inflammation of appendix decreased in a week and so the CT scan finding with only IV contrast showed near-normal appendix and no features of inflammation surrounding it. An oral and IV contrast CT is always better to look for appendix related problems. There is no need to drink lots of oral contrast at a time, and you can drink in a few sips every few minutes for two hours to help the contrast reach the appendix area. I do this for my patients, and there are fewer chances of confusion in diagnosis of appendicitis. In your case, there is a possibility that the inflammation of appendicitis decreased in the interval between ultrasound and CT scans." + }, + { + "id": 16156, + "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": 15667, + "tgt": "I am in testosterone replacement therapy and my PSA got increased. Please advice", + "src": "Patient: Hi doctor, My prostate-specific antigen (PSA) value has got increased by 30 % from 0.8 ng/mL to 1.1 ng/mL. I am in testosterone replacement therapy also. Please advice. Doctor: Hi. The absolute PSA (prostate-specific antigen) level is in the range where it is not of much concern. But the rise in PSA is bothersome if it rises more than 0.75 ng/mL per year. For a young patient like you, even this rise in rate needs to be assessed. Testosterone replacement can also be a cause of this rise. Please mention about the reason for taking testosterone replacement therapy." + }, + { + "id": 30579, + "tgt": "Is oral HSV 2 infection uncommon?", + "src": "Patient: Hi doctor, I was recently diagnosed with HSV 2. I am having both genial and oral lesions. What is the best\u00a0dosage of Valtrex to kill virus? Also, is HIV 2 oral infection uncommon one? I had shingles before 10 years and at that my doctor believed it as HSV 2. My IgG blood test showed HSV 1 0.06 and HSV 2 8.49. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17954, + "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": 3735, + "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": 12818, + "tgt": "How can I improve my erection?", + "src": "Patient: Hello doctor, How are you doing? I hope you are good. My age is 29, from the last 8 to 9 days, I did not have a proper erection. This did not happen with me earlier. I am a bit worried because of this issue, also I am sleeping at 4 O'clock in the morning and waking up at 9 O'clock in the morning. Please let me know if this is a major issue or I should make changes in my lifestyle or on food intake. Doctor: Hi. The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical conditions such as thyroid dysfunction or diabetes, hypertension, etc., can also cause this. So first get these things checked that you have these medical illnesses or not. If you have any medical illness, then get them treated. Take a healthy diet and include fruit. Anything that is bad for the heart is also bad for the penis. Maintain a healthy weight. Do regular exercise. Avoid any substance use. Stop alcohol or tobacco, you can use the Mediterranean diet. If using any medicine, then check it with your doctor. Manage your stress effectively. Take adequate sleep, six to eight hours of sleep daily and maintain good sleep hygiene. Probably these things will help you. Erectile dysfunction is an issue of concern but first, try these things and get yourself evaluated and meanwhile try the above-mentioned tips. If these things do not help you then consult with your Psychiatrist in person for further evaluation." + }, + { + "id": 14708, + "tgt": "What could be the reason for stinging pain of left scrotum?", + "src": "Patient: Hi doctor, I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you. Doctor: Hello. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care." + }, + { + "id": 23821, + "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": 19917, + "tgt": "Why is my daughter's hemoglobin level low?", + "src": "Patient: Hi doctor, My 3 years old daughter is diabetic since 1.5 years of age and she is also anemic. Sugar is not much a concern. Recently, we got her blood test done and her hemoglobin is 10 and serum ferritin is 1.71. I have given her Iron supplement for over eight months now. Since then, this is her third blood test. Hemoglobin and ferritin levels just seem to drop each time. Her current medications are Lantus 10 units in the morning, Novorapid on a sliding scale between 1.5 and 2.5 units and Fermax one fourth of a teaspoon every night. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23719, + "tgt": "Had Positive Pregnancy test & then bled heavily. Was it indicates miscarriage?", + "src": "Patient: Hi\u00a0doctor, I did a pregnancy test last week, and it was positive. The next day at work I notice pinkish spots when I wipe. The next morning I started heavy bleeding with small clots, but I had no pain. The bleeding only lasted for three days. I need help. I am not sure if I am still pregnant or if I had a miscarriage. Doctor: Hi. Sorry to hear about that and it sounds like a miscarriage. That day when urine was tested, mostly the second line was not as dark as the first. It means the hormone level was not high enough. Once you have heavy bleeding, it means the inner lining of the uterus has gone, and so pregnancy cannot stay on. The most common cause of such an early bleeding or miscarriage is anembryonic gestation or blighted ovum. Here, the egg or the sperm had some defect, and so, the embryo or the baby had some congenital problem compromising its health. Hence, it was not producing enough of hormones to support itself in the uterus. Just for confirmation have a home urine pregnancy test after bleeding fully stops. If the pregnancy has failed, then the line will be lighter or have disappeared. Also, you cannot see anything on the scan. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18352, + "tgt": "How long will ganglionic cyst take to resolve?", + "src": "Patient: Hi doctor, I have a cyst for the past one week and it is painful. Doctor gave me the tablets and now I do not have any pain. What should I do? Please suggest me. Doctor: Hello. I have gone through the pictures (attachment removed to protect patient identity) For further information consult an internal medicine physician online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26237, + "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": 24205, + "tgt": "Does hepatitis virus stay dormant in the body after infection or get cleared?", + "src": "Patient: Hello doctor,I have been given hepatitis B blood test that showed the HBsAg negative and the hepatitis B core antibody image as positive. I am currently getting labs done for hepatitis B Surf Ab Quant, HBsAg screen, hepatitis B virus profile, and panel. I am getting conflicting information on websites and from healthcare professionals that hepatitis B does not ever leave the body but I also read that 98 % of the people who get it cleared the disease from the body. My question is what is the real answer, can I beat the virus and remove it from my body completely leaving only anti-bodies? Doctor: Hello. You have positive HBV core IgM which means one of the following: Do you have any symptoms of active hepatitis, like jaundice, or painful liver? I strongly recommend that you perform the whole hepatitis B tests and provide me with the results in order to reach the accurate diagnosis. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17782, + "tgt": "Is noisy breathing in newborn an alarming symptom?", + "src": "Patient: Hi doctor, My daughter is 50 days old now. Her birth weight is 2.9 kg and her current weight is 4.2 kg approximately. At the time of her birth it was noticed that, some type of snoring noise suddenly arose with her breathing. Child specialist suggested me that nothing to worry about as it will go off when she become older. After I discharged from hospital on day 7, I visited another two specialists and heard the same. Last midnight, she suffered with the same. This time we heard the noise for cough like one. According to her doctor, it is the same noise as before. But how can we believe that. Please suggest me what to do to now? Is my baby fine? Main problem is that she suffers even in the midnight in the absence of her doctor. Unfortunately, I was not able to record the situation of last night. I am attaching her previous recordings. She suffered a lot on last night. Please help. Doctor: Hi. I have read your question and listened the recordings (attachment removed to protect patient identity) in detail. Cold. Laryngomalacia. Vitamin D drops D3 Must 1 ml once per day till 9 months of age and keep the child prone during noisy breathing. Revert back with some more audio and chest x-ray to a child health physician online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 23743, + "tgt": "What medicines can be taken for pain in the joints of fingers, knees, and toes?", + "src": "Patient: Hello doctor, I had very mild pain in my finger joints about 10 days ago. But, with due course of time, I also developed pain in knee joints which is mild to severe and also a mild pain in the toes of the foot. I am also having a headache. Further, I took Sinarest last night and in the morning I was feeling better. With the onset of evening, my symptoms resurfaced and now I have a fever of 99 degrees. Please help. Doctor: Hello. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13465, + "tgt": "Kindly tell me the ways to stay away from depression due to failure in conceiving", + "src": "Patient: Hello doctor, I have been trying for a baby for the last eight months. The monthly disappointments are driving me crazy. I feel so low and like a total failure. How do I ensure that I do not spiral into depression? My husband is supportive and encouraging, but I end up crying each time I see or hear news of a baby. Doctor: Hello. You should, first of all, reassure yourself that if you will have sexual intercourse in a relaxed and stress-free mind then this will yield the best results. If you will do sexual intercourse in anticipation of the baby then you will remain stressed and this will make negative results. Stress too is one cause of poor fertility. You should spend more time in foreplay with your husband. Have more sexual encounter during a fertile period of the menstrual cycle that is during 12th to 16th day of the cycle (the first day of the cycle is the first day of bleeding). Keep your both legs up while you will remain lying down after ejaculation. This will prevent the leakage of semen. Remain in this position for around 5 to 10 minutes after sex. This will also help you a lot. Just do not lose your confidence. Just keep one thing in mind that you are healthy and you will have a baby without many issues. Try to spend more time in doing constructive activities. Avoid spending more time on the internet because this increases stress only. Light exercise in the evening too will lift up your mood. Do not get irritated on your family members which could happen in depression. This will help you. If needed, visit a psychiatrist for help." + }, + { + "id": 23370, + "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": 9863, + "tgt": "Can protected anal sex still lead to HIV?", + "src": "Patient: Hello doctor, I met a man who was a foreigner. During the winter, one night we went to a restaurant in and after that we went to a bar for some drinks and then to a food store. I had not dressed appropriately for the cold weather and I had no hat or scarf and it was very cold. We ended up going to his place. Next thing, I was fingering him and we had oral sex. I started to masturbate but I am circumcised so it hurt without moisture. He gave me jerkins and I was behind him. I slipped inside him and he came off. Then we put on a condom and did anal. We did mostly cuddling. Then I pulled out the condom with no ejaculation. The next day, I developed a severe headache so I assumed it was from the alcohol. I was not drunk. The next day, I started to get burst of muscle and joint pains throughout my body mainly when I was indoors. I was caught up with my final exams so I ignored the pains. When the pain went on for some days I went to a sexual health clinic and did a full STD test. I got negative for HIV but for acute HIV I had to wait 10 days for all the results. I still had the pains and took no pills. The very next day, I had night sweat and chills. I got so worried that I went at 11 p.m. to a 24-hours pharmacy to buy painkillers. My fever went up to 104\u00b0F. I took Tylenol then get a cab at 3 a.m. to go to the ER. The fever went down and I did not see the doctor until 8 a.m. and I only got a painkiller.The next day I saw my right leg looked slightly swollen. Since then, my fever has always been low and the muscle pain and joint pain was still present. I ended up rushing to other ERs for help. Two nights ago, the pain got to me when I tried to sleep. My arms, armpits, neck, collarbone, groin, legs were all paining. I got another HIV antibody/antigen blood test just two weeks after possible exposure and it came negative. I have been taking Ibuprofen every five hours to reduce the pain but I start to get breathing problems and my bladder area feels tender with pain in the upper right abdomen. I explained to my friend all my experiences but he was firm that he is negative. We did not have bareback sex and we used a condom. I have no diarrhea, cough, fatigue or rash. Is it possible that I have contracted HIV? I only have sex two times per year without ejaculation. My friend tends to be more active. Doctor: Hello. Protected anal sex and fingering is safe and there is no risk of HIV (human immunodeficiency virus). However, receiving unprotected oral sex carries a very low risk even though saliva is not considered infectious, provided he didn't have oral sores or bleeding gums. You may wait for another four weeks for a repeat HIV 1 and 2 antigen/antibody test. At six weeks it is considered conclusive of CDC (Centers for Disease Control) recommendation. Though I feel that your symptoms are perhaps due to the flu rather than a flu-like illness, you may continue with symptomatic treatment. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17961, + "tgt": "I masturbated soon after D and C. Did I hurt my healing?", + "src": "Patient: Hello doctor,I had D and C four days ago. On the day of D and C, I was so stressed out and masturbated after (twice without penetration). I got cramp in each orgasm but no bleeding. I had mild discomfort after. Did I hurt my healing? I have had minimal cramping and no bleeding since my D and C. The cramps are a little worse than period cramps. During periods, I usually get back cramps. With D and C, I have had lower back and lower abdominal cramping. There was no bleeding for the most part. I am so scared that I will not be able to have a baby or that I might have caused some scarring. They told me no sex meaning penetration. I did not and did not know if masturbation with no penetration was included in that. I am just scared this will lead to infertility. My doctor said the surgery went well with no issues, but I am so scared that I will not be able to have kids now. Doctor: Hello. How are you doing? Just relax, you are absolutely fine. Let me give you few facts. Just look up the image of the uterus. D and C is done on the interior of the uterus. The contents of the uterus and inner lining of the uterus are scrapped out. Your no bleeding, only means that doctor has efficiently removed all contents and not left anything back. Had she left something back, you would have been having to spot and bleeding on and off, needing another D and C. Minimal bleeding or spotting is normal. So the doctor advised you not to have sex, as following the procedure the inner uterine lining is raw and exposure to semen, an infected fluid, can cause more pain and adhesions. Masturbation is fine. Cramps are expected as the uterus is trying to expel any tiny blood clots or leftovers, as occur during periods. This D and C, and masturbation are not going to affect your pregnancy chances. The only factor that will influence your fertility potential is your weight. Your expected body weight is 52 to 57 kg. More the weight more is the chances for no ovulation and irregular periods. Thereby lesser pregnancy chance. 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": 6149, + "tgt": "For my 6 weeks old daughter, is it fine to add sugar to formula milk?", + "src": "Patient: Hi doctor, My baby is 6 weeks old. I am not able to breastfeed her properly due to pain in the breasts. I have expressed milk, but she is not taking that milk and even the formula milk. She wants direct breastfeed milk, and I tried adding some sugar in the formula milk, and she drank the milk. I also changed Lactogen to Nan pro formula milk. Is it fine to add some sugar in formula milk or is there any other sweet formula milk? Doctor: Hi. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 30773, + "tgt": "Please go through my wife's reports and advise on her health condition", + "src": "Patient: Hi doctor, My wife has been suffering from cold and bad throat for the past 11 days. Since then, she also has a low fever of 99 degrees Fahrenheit and it subsides during night. The doctor suggested her Augmentin 625 mg, but now her fingertips in the left hand has been swollen. As per laboratory\u00a0tests done, she has been diagnosed with anemia. Moreover, she also has high WBC and platelet count, but the hemogram value is not constant. Here is the report taken from the past three months till now\u00a0for your reference. Please suggest some advice on her health condition. Doctor: Hi. Based on your attached report (attachment removed to protect patient identity), my opinion is as follows: 1. Ferrous fumarate tablet and continue same antibiotic. 2. Salt water gargling. 1. If she has cold, I suggest her Cetirizine 2. Do steam inhalation twice daily. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5254, + "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": 19018, + "tgt": "Will combined oral contraceptive pills help treat acne and female pattern hair loss?", + "src": "Patient: Hello doctor, I am a 38 year old female, and I am currently taking Tetracycline tablets 500 mg, twice a day for my adult acne. I have been taking them since last year. Previous to this, and sometimes still, I use Duac 10 mg or 50 mg topically. I used this on my back and face for about a year before the Tetracycline.\u00a0I was put on Marvelon when I was 15 years old, for acne as a teenager. I was on it until I was 36 years old, with a couple of small breaks to be put on antibiotics because the acne came back. I resorted to the combined pill when I was 35, and I visited a dermatologist since my hairline was receding. They did a biopsy of my hair and told me I had female pattern baldness. When I came off Marvelon two years ago, I lost about three-fourth of my hair. It is traumatizing since I knew I might lose some but just did not realize how much. I was told by doctor after doctor, that it would grow back, and none of them would refer me to a dermatologist about it. I am still waiting to see one, my appointment is after two months. Some of my hair grew back, but it has since fallen out again. My hair and skin distress me all the time. From the research I have done, going on the pill so young and for so long, with female pattern baldness was one of the worst things I could have done, but of course, this was not known back then. My dad had acne his whole life, and my sister has PCOS. My dad also has type 2 diabetes, so I am aware we may have issues in our family with excess androgens. There is hair loss on both sides in the family, male and female. My doctor and dermatologist will not prescribe Spironolactone.\u00a0I am aware my options for my skin and hair are limited. I have had stomach issues since being on the antibiotics as well as candida in my mouth and vaginally. I take probiotics. I do not want to be on the antibiotics much longer if I am honest, my skin does not heal as well as it should while on them. I am wondering if I am not absorbing my nutrients well enough since my hair is still falling out. Could the Tetracycline be causing more hair loss? I have had my iron tested. My ferritin is about 50, and I take iron when I can since I know it needs to be about 80 for supporting my hair. The doctors here would not test for anything else since they deem my iron and thyroid to be at acceptable levels. I am considering going back on Marvelon again simply to have a break from the antibiotics, and other supplements I am taking and also because maybe it will have a good effect on my hair. What would you recommend? Do you think going back on the combined pill will help my hair grow back or at least stop it from falling out further? Will it fall out again though when I come off of it? I am not in a relationship right now, but it is my hope to still meet someone and have a family. I know my skin was always really good on Marvelon, and my sex drive\u00a0is not so much. I also wonder, will coming off Tetracycline mean that if I take it in future it would not work again or will take longer to work? Will it cause me problems with building up resistance? I read a lot about how people's acne comes back with a vengeance once they come off. I do not want to start with a treatment such as Minoxidil since there are side effects and it is a lifetime treatment, any gains I make will just fall out again should I decide to have a family. For this reason, I have not tried Accutane, but could not start this until I have seen the dermatologist anyway. I would be concerned with this anyway since I heard it can cause hair loss in itself. I have started derma rolling and use a laser on my hair too. I take silica and MSM for my hair but have not tried Biotin since it can cause acne.\u00a0I am just very frustrated and sad about the lack of interest or help that is been offered here in my country. Hence, I am asking a question here. Any advice you may have would be really appreciated. Is Marvelon the best to go back? Are there others I could consider, which are also anti-androgen? What are the long term effects of something like Spironolactone? Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3873, + "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": 2907, + "tgt": "I noticed a broken blood vessel in my left eye with some discomfort. What should I do?", + "src": "Patient: Hello doctor, I take Lisinopril for blood pressure, Symbicort for asthma, Metformin for PCOS, and Flonase for allergies. Today I was sitting and just talking and I got a pain in my left eye. I went to the restroom and looked in the mirror and I guess I had a broken blood vessel. What is worrying me is it is not that painful but I have discomfort to touch and it feels scratchy. Please suggest. Doctor: Hi. This is called subconjunctival hemorrhage. It happens when a blood vessel bursts and gives some blood out, under the superficial layer of the eye called conjunctiva. It happens because of high pressure in the vessel like high blood pressure or coughing or constipation or holding heavy objects. The treatment usually is only by lubricant eye drops if it happens for the first time. But if it is recurrent every week or so, you should go for blood tests: PT (prothrombin time), PTT (partial thromboplastin time), INR (international normalized ratio) for blood coagulation tests. Finally, since you are coughing, so there is an obvious cause for the bleeding. I recommend to treat it with installing any lubricant eyedrops a few times a day. The eye should go back to normal in about ten days to two weeks. If not or if it happens again go to your doctor for blood tests. I hope this helps. Subconjunctival hemorrhage." + }, + { + "id": 4111, + "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": 16953, + "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": 21788, + "tgt": "Is using two contraceptive methods dangerous for my health?", + "src": "Patient: Hi doctor,I use two contraceptive methods. I have the DIU (Mirena and also take pills (Primabella). I have some questions. Is it true that both methods combined are dangerous for my health? Can I get pregnant easier because one method anuls the other? Yesterday, I vomited four hours after I took the pill. Should I take another or not? Doctor: Hi. Mirena is a great contraceptive and will not require any other supplement. Kindly avoid taking the pill. These symptoms could be because of hormonal changes. Both the medication will cause hormonal fluctuations. So, please take a call. Do not take any medication further. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9740, + "tgt": "How can pain in front tooth of a child be managed?", + "src": "Patient: Hello doctor, My son is 2.5 years old and he has pain in one of his front tooth. What should I do? Doctor: Hello. Take your son to any dentist especially a pedodontist soon and get it checked properly. It is the right age to take your son. Keep his teeth clean with cloth and water or some paste on a kids brush and clean teeth in vertical direction very gently. Do not feed with breast, if needed, give him bottle milk with less or without sugar. Wish your child good health and happiness. Keep me updated with the improvements." + }, + { + "id": 9669, + "tgt": "To overcome my depression,anxiety and stress,I started masturbating. I feel weak", + "src": "Patient: Hello doctor, I am a 16 year old male. I have had a lot going on right now and usually I would just smoke to chill out. However, to overcome my depression, anxiety, stress\u00a0etc., I started masturbating. I never did it much. After I started about a few weeks ago, I did it twice a day, then stopped for a while. Now I am worried. I am not too addicted, but it is urging. I am scared to do it because I am experiencing slight pain in the testes, rare fatigue, weak/no morning erections, and slight shaft aches. I know I should stop and I will. But, is there anything else I should do? Change in diet, sleep, more exercise or see a doctor etc? Thank you. Doctor: Hi. Apart from this, as you said \"proper diet and lifestyle changes\" are to be followed: Just follow these for a month and let me know how do you feel. Get back to a\u00a0sexologist online\u00a0for further follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14995, + "tgt": "Is it advisable to get an annual flu vaccine shot every year for a child?", + "src": "Patient: Hi doctor, I have a few doubts regarding annual flu vaccine. Is it a must to get an annual vaccine shot every year? Is it mandatory for kids? What will be the effect if we miss the dose a year? As all the doctors are not suggesting the vaccine, I am confused whether should I get it for my 5-year-old son or not. He used to get cold and cough often till 4 years. But he is quite fine for the last six months without severe cold or a cough. Please clear my doubts. Doctor: Hi. I understand your concern. Flue vaccines are annual because every season there is change is strains of Virus. WHO notify six monthly which strain to be used for next shot. It is not a mandatory vaccine, but it is optional. I usually recommend to my patients if they have poor immunity. Baby born premature, asthma, recurrent respiratory infections, repeated hospital admissions, on chronic medications, poor immune state (nephrotic syndrome, TB, HIV), if swine flu is endemic in that geographic area. If the baby is healthy, no above risk factor, then you can exercise not to give. As flu is air born disease and kids are in general high-risk population, I would recommend. It will be safer to give." + }, + { + "id": 9702, + "tgt": "I can hear some voices in my head and it is getting hard. Please advice", + "src": "Patient: Hello doctor,I am a 16-year-old female. I have this voice in my head for as long as I can remember. It tells me to do things, simple things like move this. But if I do not, then it says it will do bad things, like kill my mother, for example. At first, I could live with it, but now it is getting so hard, and I do not know what to do. I am too scared to tell anyone. Doctor: Hello, Welcome to the icliniq.com. I completely understand that you feel concerned about the voices ordering you to do things. The information you provided about these voices can be specified as hallucinations. I am explaining this phenomenon here which will help you to understand your state of mind. Hallucinations, in this condition, person sees things or hears voices which are unusual and others do not see or watch these things if you ask them. These voices may talk to the person and he or she can explain very clearly what he/she has heard. Because other people do not experience it, they do not believe on such things happening. This is quite disturbing for the person why people do not believe, as these things seem like really happening to the person. Schizophrenia. If you are experiencing a similar kind of phenomenon I have mentioned above, you are strongly recommended to see a psychologist for your complete diagnostic assessment. The psychologist will conduct psycho-therapeutic treatment and may refer you to a psychiatrist for medication if needed. Do consult with a psychologist at your earliest because delay in treatment may worsen your condition. I hope this information is helpful for you. Do take follow-up if you feel the need." + }, + { + "id": 28935, + "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": 28367, + "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": 3355, + "tgt": "My 8-year-old daughter has severe abdominal pain with raised AST and ALT. What is the problem?", + "src": "Patient: Hello doctor, My 8-year-old daughter continues to have strong abdominal pains. Couple of months before, it was really bad and was also coupled with mono and fifths disease. At that time her levels were crazy high. AST = 1312, ALT = 1692. These levels freaked out the doctors so we went back the next week, still high but much lower AST = 394, ALT = 807, GGT = 84. We also did a sonogram at that point which was inconclusive. We went back two weeks later and not better AST = 532, ALT = 682, GGT = 71. Doctors have no answers and no idea about what was going on. The doctors seem to phone it in at that point. My daughter started feeling better so we did not push it for a couple of months and went back in and the levels seem close to normal AST = 57, ALT = 42, GGT = 12. We were given no comfort as to what caused it. My daughter does complain a couple of times a week about her stomach hurting, but she is not in the extreme pain she was in until this week. She is back to waking up in pain, spending most of the school day in the nurse's office. So now we are heading back to the hospital for more blood as we did not get any answers from the first 37 vials of blood they have taken. Any clues what might be causing this? Doctor: Hi. I can understand your concerns. This appears to be a case of obstructive jaundice. The main cause of obstructive jaundice is gallstones. Since GGT (gamma-glutamyl transferase) levels are raised more than 70 in the first report it suggests an obstructive cause. AST (aspartate aminotransferase) and ALT (alanine aminotransferase) can increase in both hepatic and obstructive causes. In obstructive jaundice, the level of direct bilirubin increases more as compared to indirect bilirubin levels. Gallstones are easily visible on the ultrasound abdomen. It also causes severe acute abdominal pain. There are some syndrome like rotor syndrome which can also cause obstructive jaundice. Nevertheless, the enzyme levels are falling and the child is improving now. But, I suggest you to repeat ultrasound to look for gallstones. Review with ultrasound report and liver function test report especially bilirubin levels. I hope this helps." + }, + { + "id": 20316, + "tgt": "What can be done for bad breath?", + "src": "Patient: Hello doctor, I have bad breath. I use mint and mouth freshener but they only last for an hour or two. I brushes a couple of times a day, nothing seems to be working. I have sinus and acidity problem too. Doctor: Hi. Bad breath is a common and a very irritating symptom of patients seeking dentist's help. Mint and mouth freshener are only short-term solutions. The long-term and permanent solution is to fight the reason that causes halitosis (the scientific term for bad breath). Bad breath can be caused by dental caries, oral infections or excessive tartar and plaque accumulation. Have you had your mouth checked by a dentist lately? Sinus problems such as chronic sinusitis is also a suitable reason for bad breath. In that case, sinus secretion stagnates, bacterias grow and as it flows on the back of your throat it causes a bad breath. Fixing this problem only can solve the bad breath problem. High stomach acidity and gastroesophageal reflux of stomach liquids can also cause a bad breath (although this is less likely to happen at your age and BMI). So what you need to do is to check your mouth for caries and oral plaque and tartar and have your sinus problem treated efficiently by an otorhinolaryngologist. Also, maintain your thorough brushing twice a day and do not forget to brush your tongue too because it is a place where bacteria grow. Use mint and mouth freshener too when it is needed as a short-term solution till the problem is solved." + }, + { + "id": 25480, + "tgt": "There is no stiff erection for the last one year. Please advise", + "src": "Patient: Hello doctor, There is no stiff erection for the last one year or so. Doctor: Hello. For providing you the proper suggestions, I need to know the answers to the following questions: Do have any of these features: I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment.Regards. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17999, + "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": 14976, + "tgt": "I have itchy blisters over the sides of fingers and palms. Suggest me a cure", + "src": "Patient: Hi doctor, I am an 18 year old female, and I do not know what is happening with my body. I have itchy blisters on my five fingers, and my entire body feels very itchy. Doctor: Hi. Though the description of your query is a bit brief and vague, I could think of two possibilities in your case. I would be able to help you more if you could send me the following details: Since how long do you have these lesions? The exact site and morphology of these lesions. Does your skin appear to be dry or flaky? Is there any history of similar lesions in family, friends, or roommates? Are you living with a pet? Send me a picture of the site." + }, + { + "id": 24070, + "tgt": "Why should one take beta blocker when blood pressure is already controlled?", + "src": "Patient: Hello doctor, My father is 66 years old, has hypertension since past 25 years, is on Olmark A 40 and hypothyroidism since past six years and taking Thyronorm 50 mcg. Recently, diagnosed with atrial fibrillation with controlled rate. He is taking Acitrom 3 mg now, his blood pressure is 120/80 mm of Hg. He is on homeopathic mother tincture crataegus for the heart. Recently, he has checked his INR which came 1.51. He had shown to a doctor. He only started Acitrom 3 mg. He also said to take Met XL 25. But as he could not get it easily from medical shops, he did not start. My query is when his blood pressure is controlled to 120/80 mm of Hg and is not having palpitation, then why should we start Met XL 25 (beta blocker), as this may lower the blood pressure again? why should a patient take more medicines? Doctor: Hello. Firstly, his INR (international normalized ratio) is not in range. It should be between 2 to 3. So, his Acitrom (Acenocoumarol) dose should be increased to 3 and 4 mg on alternate days (3 mg on one and 4 mg on the next day) and get his INR checked after one week. INR should be checked monthly. Alternatively, if there are no financial issues, then he can have tablet Dabigatran, which is a blood thinner and does not require INR monitoring. Next, regarding Met XL (Metoprolol Succinate), the reason for the prescription is to control the heart. His heart rate may be on the higher side. So, he might have started. Also, this is for preventive purpose as well. His heart rate intermittently may rise to a very high level. So, beta blockers will prevent it. He is not on any rate control medicine at present. If heart rate increases, then his BP may fall, and he will have shortness of breath, chest pain, etc. If BP falls significantly, then the dose of Olmark (Olmesartan) can be decreased. If BP persistently stays below 110, then he should have just Olmark instead of Olmark A (Olmesartan and Amlodipine). 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": 24511, + "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": 6474, + "tgt": "Is it normal to feel sensitivity in the tooth next to extracted tooth?", + "src": "Patient: Hi doctor, Last month, I got my upper left wisdom tooth removed. I feel the tooth next to extracted tooth is sensitive to pressure while biting and cold. Is it normal? The extraction was straight forward, but the root was crooked. So, there was some little difficulty in extraction. Doctor: Hi. I can understand your concern regarding the dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26675, + "tgt": "My front tooth is loose. Please help", + "src": "Patient: Hi doctor, My permanent incisor tooth number 10 is little\u00a0loose and bled\u00a0once. Please help. Doctor: Hi. I had gone through your question. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 17723, + "tgt": "Why is there no withdrawal bleeding after taking I-pill the second time?", + "src": "Patient: Hi doctor,I am a 20-year-old female, height 166 cm, and weight 65 kg. I had two I-pills in one month. After the first I-pill, I got withdrawal bleeding after five days. It lasted for four days and the flow was normal. After 14 days of this incident, I again had protected sexual intercourse and took another I-pill after 36 hours. But this time even after 11 days, there is no withdrawal bleeding. Is this because of hormonal imbalance or pregnancy? Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. But please do not use the pill so frequently, as it is a hormonal pill and can cause hormonal changes in the body. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5061, + "tgt": "An 8-year-old is having negative behavior at home. Please help", + "src": "Patient: Hello doctor, My 8-year-old daughter throws fits about everything, always speaks negative, says the meanest things possible, is unhappy 98 % of the time, never says anything positive, will be in a good mood then suddenly flip out, if she cannot find something she flips out. The list goes on and on. I am completely heartbroken for her, watching her and have tried nearly everything thinking it was nothing more than a child that had been given the world but I realize it is much deeper than that. Doctor: Hello. I can understand your situation in trying to deal with your daughter's behaviour. Is her behaviour the same everywhere? What do the teachers say? Does she interact well with her friends? It will help to know whether her behavioral issues are limited to home or present at school as well? A detailed assessment including developmental history will be needed to formulate the reasons behind her behavior. It needs to be clarified whether this is a behavioral issue or whether there is an underlying emotional problem manifesting as oppositional behavior. Discuss with her school teacher first. Explore whether she can see a psychologist based at school, if available. If problems are significant and persistent, it is advisable to consult a child psychologist or child psychiatrist near your place for a comprehensive assessment and manage accordingly. Continue with clear and consistent boundaries. Parenting in this situation can be difficult and exhausting but consistency is the key. Get support from your partner, grandparents as applicable. Most children eventually learn to adhere to parental rules and boundaries. Getting appropriate support will help to make the situation better. Take care." + }, + { + "id": 5067, + "tgt": "I am feeling uncomfortable with skipped heartbeat and dizziness. Is it serious?", + "src": "Patient: Hello doctor, I have some problems with my heartbeat. It has been three days today and still, I am feeling the same thing. My heartbeat skips for a few minutes and then go on. I went to the hospital and get it checked. The doctor at the hospital ordered for x-ray, blood tests and ECG as well. All results came back normal. But why am I feeling uncomfortable? There is a skip in a heartbeat and a bit of dizziness, but no chest pain or breathlessness. I still can breath normal but sometimes when the heartbeat skips I can feel having trouble breathing a bit. Though it is not serious the only thing I am worrying about is the heartbeat skip tats all. Please let me know is it not serious and can I get back to my normal life? And the doctor at the hospital told me there is no medication for this. Is this true? Doctor: Hello, Welcome to icliniq.com. As per your history, you are having skipped beats with dizziness. No prior history, no chest pain or breathlessness. In this case, what I do in practice is to have a cardiac examination and get ECG (electrocardiogram). As in most of the cases, we will get some clue. Now if you are saying all these were normal and still you are having the symptoms, I would like to know any particular stressor that is causing these symptoms? Also, I would like to see your ECG, whether it was a 12 lead with a long lead? If your symptoms are persistent there is a test called telemetry where you wear a device that will record the ECG at the time you are having symptoms. As sometimes these skipped beats are intermittent. This will help in confirmation. Another thing I would like to ask if you are having any difficulties in swallowing or drinking water or whether the skipped beats occur during swallowing? As esophageal motility problems can also mimic your symptoms." + }, + { + "id": 4804, + "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": 25291, + "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": 8005, + "tgt": "Can fatty liver cause swelling of the abdomen?", + "src": "Patient: Hello doctor, I had a CT scan done. The report shows that I have an enlarged fatty liver measuring about 22.6 cm at the right midclavicular line. Is this considered a grossly enlarged liver? I have been a heavy\u00a0drinker all my life. I have read that anything over 16 cm is enlarged. In my case, it is a way beyond the normal value. I am having abdominal discomfort and swollen feeling in my upper abdomen. Every time I eat, it gets worse. Could my liver be the cause of my upper abdominal swelling and discomfort? Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 13050, + "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": 9907, + "tgt": "How does severe endometriosis affect pregnancy?", + "src": "Patient: Hello doctor,My wife has severe endometriosis as well as several other pre-existing conditions. She was recently approved for Zoladex to treat the endometriosis. She is supposed to have her first injection in the next few days. Today we were in the emergency room. She was slightly tachycardic as well as extremely low in iron and electrolytes. Turns out she is pregnant. We are already scheduled for further doctor visits in the next few days.She is 35 and has had several ectopic pregnancies as well as three miscarriages. She has never been able to carry longer than four months. We have tried a lot to help her be healthy and have a baby. Two years ago, we decided to stop trying - too much pain, physical and mental to go through again and again.She is certainly under four weeks. It could be false, we are getting more tests. Her ob-gyn is not the best. We will be seeking another. So, here are my questions.If she does not want to be pregnant, will the Zoladex terminate the pregnancy, or will she need to have a physical or chemical abortion first?If she does want to be pregnant, what are the dangers associated with Zoladex and pregnancy? Given that her endometriosis has advanced to her pancreas and other organs, is it even possible to carry to term? What are the chances of carrying to term? Doctor: Hello. Her menstrual, obstetrics, gynecological, medical, surgical, and drug history also should be described here to make things more clear. Her MRI or ultrasound report would be helpful for me to explain better. Zoladex is Goserelin acetate, that is, luteinizing hormone releasing hormone agonist reduces sex hormone production and used in prostate cancer, treatment of endometriosis, and breast cancer. It has side effects like hot flushes, impotence, mood changes, sleep disorder, vaginal dryness.etc. Normally, endometriosis symptoms should be better during pregnancy and in menopause. Injection Zoladex, I think not at all to be given in case of pregnancy as it is for sex hormones suppression. It can disturb pregnancy hormones as well and could be harmful in normal fetal development. Normally, if an infertile patient with endometriosis (mild to moderate) gets pregnant, her treatment stops and then whole concentration diverts to her pregnancy and its better management. But here, I really do not know which stage of endometriosis it is. You described till pancreas. Is this involved lymph nodes or having cancer effect? These are the most important questions in which further plan is based. If this endometriosis is not having any cancer signs and with effects of pregnancy it would get better and having pregnancy would be a blessing and will cure symptoms, then obviously all efforts would be for safe pregnancy and it management must in future. In case of cancerous element and if there is urgent need for chemotherapy or need to treat lymph nodes and other organs as you said involving pancreas then to have really clear and detailed look as either pregnancy would be in danger in that circumstances and could end up in miscarriage or could have harmful effect by disease inside patient's body and its treatment. So, endometriosis stage and pregnancy status should be clearly defined for further treatment. As in last stage of endometriosis (cancerous) stage, we need to treat the patient more intensely and could have an effect on pregnancy. But in earlier stages with no cancer element, it will regress endometriosis and would not need treatment for it, only to manage pregnancy would be the best option. I suggest Folic acid 0.4 mg daily now. And treat anemia if she can tolerate ferrous sulfate for iron deficiency. Do have a transvaginal scan and serum beta hCG two times with an interval of 48 hours to have a clear view of pregnancy either doing well or unhealthy pregnancy. (serum beta hCG should increase more than 66 % in 48 hours in case of healthy pregnancy. If it increases but suboptimal could have chances of ectopic or miscarriage). In case of failing pregnancy, God knows. It depends on how the body responds. If bleeds and expels itself or otherwise might need surgical or medical induced miscarriage. In case of healthy early pregnancy, she will need lots of precautions and complete treatment of her other issues like anemia and electrolytes as you mentioned. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22616, + "tgt": "Why am I having continuous twitching in biceps for a long period of time?", + "src": "Patient: Hi doctor, I have been having continuous twitching in my right bicep where the tendon meets the elbow. This has been happening for last seven weeks and the vibration of the twitching when I am resting my elbow (say on a table while using a mouse) is quite large enough for my entire arm. I have no associated muscle weakness in the right arm and an EMG and NCS done last week have come clear saying it is a potentially benign fasciculation. A full MRI scan of the spine and brain has shown no abnormalities. My concern is that the twitching has not stopped for such a long period. Is there cause for concern for this to be a motor neuron disease? Currently, I am taking Lyrica 75 mg and Rejunex CD3. Doctor: Hi. If the nerve conductions and EMG (electromyography) have come clean then there is nothing to worry about. Fasiculations are generally considered significant only if they are associated with weakness or wasting. Do these occur only in a particular position? For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2055, + "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": 11132, + "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": 4880, + "tgt": "Will Manasamitra vatakam and Saraswatiristam help in palpitation after Clonazepam withdrawal?", + "src": "Patient: Hello doctor, I am a 25-years-male. Before two months back, I got into a very fearful situation and I felt panicked at that time. I consulted a psychiatrist and he gave me Clonezopam, Propranolol and anti-depressants. After using it for seven to ten days I stopped them by knowing that they are addictive. And after stopping I felt new kind of problems such as heart palpitations whenever I try to sleep in the day time and I get irregular sleep at night, feeling anxious. For many days I kept tolerating them, after many days now the symptoms have diminished but still, I get palpitations whenever I try to sleep, then I took Medhavati for 12-14 days. My sleeping time at night somewhat increased but I did not use to get a refreshed sleep. I consulted a general doctor, he told me it is just a phobia and gave me Stalopam (Clonezepam and Escitalopram) for 15 days and multivitamins tablets. Then I consulted an ayurvedic specialist, he gave Manasamitra vatakam, Stresswin and Saraswatiristam. Please help me whether I should take these ayurvedic medicines or take antidepressants for 15 days? Are Manasamitra and Saraswatiristam safe for me and do not have side effects? And what time does it take to show effects and for much duration should I take them? Now I am almost fine but unable to sleep at daytime due to palpitations and getting some negative fearful thoughts at some times. Does Manasamitra increase serotonin in the brain and give enthusiasm. I am thinkng of going for allopathy for 15 days or will ayurveda medicines show early results? Please help. Doctor: Hello. I could understand how much confusion you experience and your mental pain. So far, fewer studies have been done if we combine allopathy drugs with Ayurveda or Siddha drugs. In your case, I feel you should continue the allopathy drugs for 15 days (or above as per physicians instruction). I feel you can also have Propranolol to reduce the palpitation. You can continue the allopathy drugs for particular days. In order to avoid the addiction, the gradual (stepwise dose reduction) reduction of tablets should be followed. For example: from day 16th onwards, half tablet to be continued for next one week, then every alternate days half tablet for next one week, then every 4th day half a tablet for next week, then stop it. This can be done with the advice of the physician. Few research in animals has proved that Manasamitra tablet could increase serotonin levels, but not 100% guarantee given. Many clinical sharing concludes that these three ayurvedic drugs are useful if the patient starts the therapy in the early stage of the disease. And also good for long term treatment. Hence, in your case adding these drugs will surely have some beneficial role. You do not stop these Ayurvedic drugs, continue it for the next six months. You join for a regular yoga class or training class (daily continuously) for the next six months. In my experience, after six months, you can stop all medications including ayurveda and can run the best life only with yoga practice. Yoga practice at home is free of cost. Many people got miracle relief from anxiety, depression and can focus on the studies or business or particular work, with good sleep and good diet. You find out your interested hobby. Be it plants, pets, color fishes, walking, playing, picnic, temples, etc. Focus on these. You will come out of the stressful anxiety. I hope this helps." + }, + { + "id": 24758, + "tgt": "My ECG shows left anterior fascicular block. What has to be done?", + "src": "Patient: Hello doctor, Yesterday, I got my ECG done. It shows sinus rhythm, abnormal left axis deviation, left anterior fascicular block. I am worried. I have long-term anxiety about heart. I am a smoker but not alcoholic. I always have a fear of heart disease. Kindly advice. My BP is 110/70 mmHg, triglycerides is 144 mg/dl and fasting blood sugar is 84 mg/dl. Doctor: Hi. Left anterior fascicular block is always associated with left axis deviation and caused by either hypertension, myocardial infarction or idiopathic fibrosis. This block means that the pathway of electricity of the heart in the left ventricle is blocked which may or may not affect the pumping function of the heart. I suggest that you perform echocardiography to identify the cause and the general function of the heart. Do not smoke as it may cause myocardial infarctions in the future. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21241, + "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": 11359, + "tgt": "I have scar and black spots in my face due to an accident. How to get it removed?", + "src": "Patient: Hello doctor, I am a 23-year-old male. My height is 5.8. Some years ago I had an accident, and there are scars and black marks on my face. Please suggest me the ways to remove the scar and the black spot from my face. Also please provide me a solution for my dandruff. Doctor: Hello. A black mark on the face can be quite worrisome. It can be treated, but I need to know how deep was the wound and is the mark accompanied by any scar? It will be helpful if you could provide a photo of the same. For the time being, apply Aloevera gel (natural) over the mark daily twice as it helps in healing. Regarding oily skin and dandruff, you can apply a Ketoconazole shampoo like Nizral weekly once and bath. Keep your scalp dust free. For oily skin, you can use good neem based facewash twice daily. Get back to me in 20 days, let us see how you have responded. Dandruff itself will lead to hair loss. So treat dandruff first and then treat hair loss if it persists." + }, + { + "id": 9231, + "tgt": "I am suffering from wisdom tooth pain. Is it mandatory to visit a dentist?", + "src": "Patient: Hello doctor, I think one of my wisdom teeth is growing in, and lately, it has been causing a lot of pain. I also notice that part of my gums have been growing over the tooth, and the tooth now is almost completely covered. What can I do for the pain, and should I visit a dentist? Doctor: Hello. I understand your concern. The situation you are in is very likely to be pericoronitis, a soft tissue inflammation of the tissues surrounding an erupting wisdom tooth. You should see the dentist at the earliest as the situation may or may not resolve on its own due to numerous variety of size, shape, and eruption pathway of the wisdom tooth. It may also involve occasional cheek bites and ulcerations. You may use topical anesthetic gel and painkillers until you see the doctor." + }, + { + "id": 20840, + "tgt": "Why do I have erectile dysfunction, and premature ejaculation?", + "src": "Patient: Hello doctor, I have a lack of interest in sex, erectile dysfunction, premature ejaculation, depression, and low BP. Doctor: Hello. Please provide me more details. What kind of symptoms do you have? Have you taken any treatment so far? Any history of hypertension or diabetes? Any history of smoking or an excess alcohol intake?" + }, + { + "id": 28904, + "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": 9646, + "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": 7411, + "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": 23690, + "tgt": "I did not have periods for four months and bleeding now with clots. Why?", + "src": "Patient: Hi doctor, I had sex before five months, but then I got my periods after 15 days. Then, I had no periods for the next four months. I had Femilon as a birth control medicine. Now, I have periods where large flesh like thing is\u00a0coming out. A piece of it is still stuck in my vagina, and I am not able to pull it out. Please let me know what is it and how it can be taken out. I also have PCOD problem. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1261, + "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": 5625, + "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": 27227, + "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": 1684, + "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": 23378, + "tgt": "Kindly tell me what to do for erectile dysfunction", + "src": "Patient: Hi doctor,I am suffering from erectile dysfunction. Kindly tell me what to do. Doctor: Hi. The causes of erectile dysfunction are many including medical conditions such as hypertension, thyroid dysfunction, diabetes, local genital pathology, low sex hormones, etc., and it can be psychological also. So get the investigation done to rule out medical conditions. Secondly, it can be managed first by a technique called Master and Johnson. Read it and practice it. It is difficult to explain it here, if you cannot understand it then consultation with a psychiatrist in person is required. The drug such as Sildenafil or Tadalafil is used to manage erectile dysfunction, as these drugs increase vascular flow to genital and cause sustain erection. These drugs are prescription only drugs so you need the prescription. This type of drug is not to be used if you are taking nitrates, a drug for the heart problem. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24484, + "tgt": "I have white discharge and a smell. Please help me out", + "src": "Patient: Hi doctor, I am having a white discharge and a smell. I have had it for a year and some months now. Last year, I was treated for trichomonas and I have not had the same symptoms at all, just this white discharge. No redness or burning and no itching. Just the discharge and smell. Help me out. Doctor: Hello. As you have given a history that you experience smelly white vaginal discharge without redness burning or itching since more than a year, and you had treatment for trichomonas, I would suggest you have a high and low vaginal swab to confirm the diagnosis. But as per history, it seems like an imbalance between normal and abnormal bacteria of the vagina. This might be due to: It increases the risk of getting other STDs like chlamydia, gonorrhea, or PID (pelvic inflammatory disease). It even increases the chances of getting HIV if having contact with an infected person. If pregnant, there are more chances of preterm labor/premature delivery. At present, you are not having symptoms, but you might have pain, itching and burning in the vagina, burning during urination, itching outside the vagina and strong fish-like odor after having sex as well. I would recommend you take some precautions along with recommended treatment: Metronidazole 500 mg orally twice a day for seven days or Metronidazole gel 0.75 % one full applicator (5 g) intravaginally once a day for five days or Clindamycin cream 2 % one full applicator (5 g) intravaginally at bedtime for seven days. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Precautions: I hope you understand my advice. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22639, + "tgt": "Is HIV transmission possible through the mother's placenta to the baby?", + "src": "Patient: Hi doctor, My partner is HIV positive. My first baby is born. I am negative and my first child is negative. My partner is in ART treatment now. I am 38 days pregnant now. We checked with the normal HIV test, in that I was negative. But my friends told me, if the baby gets linked through the mother's placenta, your baby will get affected by HIV. So, they told me to abort the baby. My question is whether transmission of HIV is possible through the mother's placenta to the baby? Please advise me. Doctor: Hello. I have noted your concern. If the mother is HIV negative, then there is no risk of transmission of HIV to the baby. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13770, + "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": 16867, + "tgt": "Please advice ayurvedic treatment for cyst under frenulum of penis", + "src": "Patient: Hello doctor,Please advice ayurvedic treatment for a pimple or cyst under frenulum. Doctor: Hello. I just read your query. See, pimple and cyst are two different things. Pimple is a kind of comedo having bumpy appearance. It is usually painful and pus may or may not be present. A cyst is an encapsulated growth which can be filled with water or fluid. It can grow slowly and usually non-cancerous. Pain is sometimes present. There are fewer chances of a pimple under frenulum in the mouth. More chances of cyst are there. Cyst usually requires surgical management. It can be ruled out with the help of clinical examination only. So ideally you should visit a nearby physician so that he can examine you and treat you properly. But if you are sure that it is a pimple you can take the following treatment: Take it for 10 days and consult me after ten days regarding improvement and for further management or you can consult a nearby physician. But, I still recommend you to visit a physician to make sure whether it is a cyst or a pimple. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21030, + "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": 25631, + "tgt": "Can anal pain be related to piles?", + "src": "Patient: Hello doctor, I want to know about piles. For the past two days, I am having little bit pain in the anus. I want to know if it is piles or not. Doctor: Hello. I have checked the attached photo (attachment removed to protect patient identity). Most probably it is an early degree of piles. Piles is a condition where the congested veins along with the covering mucosal layer protrude from the anus. It has four degrees, the first three are treated conservatively and the fourth is surgical. It causes pain with defecation and bleeds sometimes. You have to treat constipation if it is present. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13010, + "tgt": "My lipid profile is worrisome. Can it be due to junk food?", + "src": "Patient: Hi doctor, Few days back, I felt little dizzy and when checked my BP was quite high around 149/89. My recent lipid profile is also worrisome. What should I do now? I prefer eating junk food most of the time and dairy products like cheese and paneer more. I gained some weight now. I feel some slight vibration in the left side of my chest when I shout loudly. Apart from this, I have few kidney stones of about 3-5 mm. Now I am taking approximately 2.5 liters of water a day. Otherwise, I am healthy. I do not take any medicines except for kidney stones and injection Voveran for the same. Doctor: Hi. My advice to you as per your complaints and reports (attachment removed to protect patient identity), Avoid stress and follow the instructions and repeat your lipid profile after 6 months. Blood pressure (BP) also will improve with jogging and exercise but weekly once BP should be checked. If it is high like this, then we have to think of medicine." + }, + { + "id": 4494, + "tgt": "What is the best course of action for IBS-D with high blastocystis hominis?", + "src": "Patient: Hello doctor, I was diagnosed with IBS-D five years ago. This month tests have identified high levels of blastocystis hominis in my stool as well as yeast and imbalance in gut flora. I am traveling away and I am wondering what the best course of action for me is? I have done comprehensive stool analysis and recent full blood test. Doctor: Hi. Blastocystis hominis does not usually require treatment unless there is a co-pathogen (they were none found in your stool study) or if the individual is immunosuppressed. The other issue is your SCFA (short-chain fatty acid) and but the rate are a bit on the lower side. How was your IBS-D (irritable bowel syndrome with diarrhea) diagnosed? Was it after a colonoscopy, and checking celiac disease antigen as well as stool calprotectin level?" + }, + { + "id": 27939, + "tgt": "Can you help me analyze my father's serum and urine immunofixation tests?", + "src": "Patient: Hello doctor, I am asking this question on behalf of my dad, who is 60 years old, 5 feet 9 inches, and 173 lbs. He was recently diagnosed with stage three chronic kidney disease. He also recently received an abnormal result on a serum immunofixation test, which I know can be an indicator of multiple myeloma, as well as other serious health conditions. However, his urine immunofixation test came back normal. His lab results also indicated that his PTH was high (92.5), his hematocrit was at the very lowest side of normal (41.0), and his Vitamin D was low (23). I was wondering what these results indicate, particularly with a normal urine immunofixation test and an abnormal serum immunofixation test? Doctor: Hello. Take care. Hope this will help you. Consult a urologist for examination and further management of the chronic kidney disease. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6841, + "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": 26676, + "tgt": "I have a headache and nasal stuffiness. What could be my problem?", + "src": "Patient: Hi doctor, I have a headache, swallowing tightness and an odd feeling when putting the finger on the back of my tongue (not soreness), left shoulder blade ache, and nasal stuffiness. I\u00a0cannot\u00a0find out what the problem is.\u00a0I have seen a gastro doctor, who has done two\u00a0endoscopies. The second time with a biopsy. The findings were normal.\u00a0I saw an ENT physician, who noticed a swelling in my nasal passage and some swelling at the back of my throat. There was nothing he deemed sinister though.\u00a0I had two MRI of the brain, which was also normal. Please, advice on whom to see and the potential causes. It would\u00a0be much appreciated as this problem has been going on for a year. Doctor: Hi. Revert with the reports to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7849, + "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": 12347, + "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": 12558, + "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": 30399, + "tgt": "What is cervical rib?", + "src": "Patient: Hi doctor, My daughter is 6 years old. She always complains that she feels some pain in the back side of her neck. We have checked with an orthopedician. From her x-ray, he said that this is due to cervical rib, an extra bone in the neck. Please suggest regarding this. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 13137, + "tgt": "Why Mantoux test is advised for cough and cold?", + "src": "Patient: Hi doctor, My kid is 2.5 years old. She keeps getting cough and cold every month. She is very sensitive to weather change. We consulted a local doctor and he advised for Mantoux test. The report says that the erythema and induration developed around 18x16 mm area after 48 hours. What does it mean? Also, the doctor has given tablet Rifacept Kid-3 for six months. Please explain what is it for? Doctor: Hi. Recurrent episodes of cough and cold occur when the child has decreased immunity due to some illness or it could be a symptom of tuberculosis. Mantoux test of more than 10x10 mm is suggestive of tuberculosis. In your child, it is 18x16 mm which is strongly positive. In tuberculosis, the symptoms are weight loss or poor weight gain, persistent cough and low-grade fever. The confirmation tests are positive Mantoux test, increased ESR level, and x-ray may or may not show patches. Usually, a history of tuberculosis contact is also present. Going by symptoms in your child, like recurrent cough and cold, weight is around 12 kg which is less for her age with positive Mantoux test is suggestive of tuberculosis. In tuberculosis, treatment is continued for six months. Initially, a combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol is given for two months which is changed to Isoniazid and Rifampicin for four months. Your doctor has given Rifacept Kid-3 tablet which contains Isoniazid, Rifampicin, and Pyrazinamide but no Ethambutol. In my opinion, Akurit-4 should be started which has Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol, this should be given for two months after which drug should be changed to a combination of Isoniazid and Rifampicin. You should give the drug of tuberculosis regularly; tuberculosis is a treatable disease so there is no need to panic." + }, + { + "id": 3704, + "tgt": "Is it normal to get clear whitish mucus from vagina?", + "src": "Patient: Hello doctor, I am 24 years old. Since last few days, I have observed thick jelly like clear whitish mucus coming out from my vagina. It is very thick and dry. It is not like the regular stretchy moist discharge. There is no irritation or pain. I am not sexually active. There is no odor also. Since last five months, I am having scanty bleeding. My period that would normally last five days now lasts only for three days. I will visit a gynecologist in person in some days, but I just wanted to know whether this is of anything serious. Otherwise, I am very healthy. Thank you. Doctor: Hi. Revert back after the test to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 737, + "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": 1450, + "tgt": "Is there any medical procedure to heal acne, pits and scars?", + "src": "Patient: Hello doctor, I am 21 years old with acne prone skin. I have lots of acne scars and pits from popping pimples when younger. I tried benzoyl peroxide and did not work. What medical procedure can stop pimples and heal the pits and scars? I am suffering from this for the past six to seven years. Doctor: Hello. Chronic acne with resultant scarring is an indication for treatment with oral Isotretinoin besides topical antiacne preparations like Benzoyl peroxide or Clindamycin. For scarring, there are cosmetic procedures like laser resurfacing or dermabrasion." + }, + { + "id": 8297, + "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": 11374, + "tgt": "I quickly get angry and throw things. Please help me to come out of this problem", + "src": "Patient: Hi doctor,I have uncontrollable anger. I quickly get angry and throw things. When my anger reaches a point I start crying and I have an ache in my right head. Also, I feel weak. Please help me. Doctor: Hello. It is good to know that you are insightful about having anger issues and seeking help to address the same. How long have you been having problems with anger? Have you always had an angry temperament or is it something you developed in recent years? What do your parents and friends say about it? Some people get angry in response to stressful situations; some get angry even with minor frustrations in their day-to-day life. People have different thresholds when they get angry. Uncontrolled anger outbursts happening regularly is not healthy as the body releases stress hormones which can make you emotional and also cause a headache. If you also have emotional problems, then they can be exacerbated during angry outbursts. I will recommend taking active steps to manage anger. These simple steps can help. 1. Exercise regularly. 2. Learn relaxation techniques. 3. Try yoga or meditation. 4. Have an open talk with your parents or trusted friends. If the problem is persistent, then you will benefit from counseling or anger management. You can contact again if any further advice is needed. Take care." + }, + { + "id": 14884, + "tgt": "Is midline diastema curable?", + "src": "Patient: Hello doctor, I have a wide midline maxillary diastema. Is it curable and what are the chances of its relapse. I have missing lateral incisors. Doctor: Hi. Midline diastema can be corrected basically by two methods. One, using a filling material or crowns which can be done in a single or few appointments. Secondly, by using braces treatment which can be relatively for a long time success depending on the severity or combination of both the above methods. Since you have mentioned that it is a large diastema the combination method would be the one I prefer. But I do not want to misguide you without even seeing what exactly the condition is. I request you to send me a picture for a more appropriate advice. Else, I advise you to visit your nearby dentist preferably a specialist in smile design to analyze your current complaint." + }, + { + "id": 23501, + "tgt": "What are the dietary changes to be made in GERD?", + "src": "Patient: Hello doctor, I am a 33 year old male. I have had chronic constipation since my childhood. The doctors said that my gastric motility is a bit under-par. To rule out any physical damage, I went through colonoscopy three years ago. The reports only mentioned small hemorrhoids. I was on a brief course of antacids and laxatives after that, which gave me temporary relief. Constipation had reduced considerably by the end of last year. However, I have been experiencing acid reflux since early this year. This is the first time that I have had regular episodes of reflux. So, I did my endoscopy four months back. It revealed ulcers in the esophagus near the sphincter (GERD). It also revealed a small sliding hiatus hernia. No metaplasia seen in biopsy. The doctors said that since I am a young patient, surgery is not recommended. They said I have to rely on lifestyle modifications and antacids. Currently, I am taking Nexpro RD 20 mg capsules and Riflux Forte syrup. I have cut down on spicy food, and also have altered my meal times since the past one and a half months. The acid reflux has reduced by 60 to 70 % since the lifestyle change. However, I still experience some really disturbing symptoms: stinging chest pain at both the breast bones (especially after meals), occasional back-ache, frequent shortness of breath after meals, huge bouts of burping (with the feeling that air is trapped around the diaphragm), and overall fatigue. Regarding chest pain, I have undergone ECG, 2D echo, stress test, and troponin. All tests normal. The cardiologist has ruled out any cardiac problem. However, he has prescribed 2.5 mg of Nebicard SM to control my palpitations. He has already tapered the dose from 5 mg to 2.5 mg, I believe he will take me off the medicine soon. I need help to know what can I do to improve my symptoms. Doctor: Hello. Your treatment till date is on the right track and I appreciate your adherence to the same. You have a small hiatus hernia, which is not an abnormal finding always. The reflux of acid from the stomach to the esophagus (chest) is causing your current symptoms including the small ulcers. Now you can deal the problem with few dietary and non-medical tips. Please consider the following tests too. Hope I have cleared you doubts to your satisfaction. You can review with the reports when it is done and revert as needed if any fresh queries. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9833, + "tgt": "My hCG level dropped from 130 to 9. Am I still pregnant?", + "src": "Patient: Hi doctor, I had a positive pregnancy test, and my hCG was 130. Then, I bled with small clots and had cramps for about an hour. When I went for blood work again, the hCG level came down to 9. They said I am either miscarrying or has lost it. I was about 3 to 4 weeks pregnant. The bleeding was not heavy, but I bled like a\u00a0normal period for three days without pain.\u00a0I also did two pregnancy tests at home, and they came out negative. I am supposed to go for another blood test, but I am very nervous because I do not know if I am still pregnant or not. Doctor: Hi. Let me put forth a few facts. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23158, + "tgt": "Stomach was burning and i had slight chills. What is the probable cause?", + "src": "Patient: Hi doctor, My stomach was burning\u00a0for three hours yesterday night. I took Gaviscon once, but the burning did not go, so I took it a\u00a0second time. I have slight chills. From two days, I am eating out, which was normal, and I did not overeat. I have eaten in this place previously also. I used to get slight burning sensation before, but yesterday it was very severe. I had chills for the first time. Even now I have slight chills. Right now also I have slight chills. I have acid reflux and fatty liver grade 2. Currently, I take Nexpro\u00a0RD 40 twice a day, and Ursocol twice a day. Please advise. Doctor: Hi. You seem to have developed acid reflux following intake of food from outside. In such cases, I recommend the following: I hope it helps you. If you have any further query, please ask me. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 2747, + "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": 9592, + "tgt": "I believe that I have narcissistic personality disorder and pathological lying. Kindly help", + "src": "Patient: Hello doctor, I believe I am suffering from a narcissistic personality disorder and pathological lying. From health conditions to plain misconceptions of me as a person. I want to live an honest and pure life, and I want to steer away from these lies I have succumbed to over the past couple aching years. I want to be able to do this without losing the people I care about. I have thought about just coming clean completely and telling them every false thing about me, but I will never have that type of courage. These are people I never want to betray. I need guidance, and I need advice, I feel as though my entire life is a lie, and it makes me genuinely suicidal at times. I am seventeen, please help. Doctor: Hello. I can understand your concern regarding your personality trait. We all are having specific personalities, and this is completely normal until it affects our social life. We all suppress our nature with our consciousness. If you think your daily life is changing because of your narcissism, it will be better if you will go for counseling. About your pathological lying, I will suggest you forget whatever you lied in the past. Now start with real life. Talk to your friends. Do not worry that you would lose any friend by confronting the truth. If you lose someone, then he is not your true friend. Never feel guilty about your past. Start a new life with full positive energy with enthusing and confidence. I hope my answer helped you." + }, + { + "id": 28387, + "tgt": "One of my middle tooth is out of line from the rest of the teeth. Should I consult an orthodontist?", + "src": "Patient: Hello doctor, I just got my braces off a few days ago, and I have been wearing my top retainer faithfully. I got a fixed retainer on the bottom front teeth, but they are only glued on by the two ends, not on each tooth. I noticed recently that one of the middle tooth is out of line from the rest, but it is barely noticeable. Is this natural or should I book an appointment with my orthodontist? Doctor: Hello. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 12912, + "tgt": "What are the symptoms of atrial fibrillation?", + "src": "Patient: Hello doctor, Last weekend, I ended up in the ER department after an overdose on THC capsules. Very scary experience my heart was going crazy, very bad chest pain, shortness of breath, tremor, etc., for about five hours. I had an ECG done in the hospital which said sinus tachycardia. My blood was taken (all fine apart from low magnesium and potassium), chest X-ray was done (all fine). I was given Diazepam and on discharge had another ECG done and it said sinus rhythm although my heart bpm was still over 100 bpm. The doctor said it is probably due to anxiety and let me go. Two days after this experience, I started getting weird symptoms (slight pain in the chest, lightheadedness). So, I went to my doctor, he measured my blood pressure, heart bpm, etc., all fine but put this machine in between my hands and could see my heartbeat was irregular. He prescribed me Digoxin for five days to see if it would get it under control. I went back again because I was concerned about the lightheadedness, he again measured heart bpm, etc., all fine, listened to my chest and said it is back in more of a regular beat and prescribed Digoxin for five more days and to come back again but at the moment, he is not overly concerned. I think I do not have bradycardia or tachycardia but I think I could have developed Afib from my experience in the hospital, is this possible? Doctor: Hello. Yes, it is possible, but a likely possibility is of ventricular ectopics (or other causes) rather than Afib which could also cause irregular heartbeats on the machine. Even in normal individuals, the machine may falsely show irregular beats. Few points which are against are fibrillations are normal ECG especially if you had it done while having symptoms, even examination by a doctor for pulse and auscultation will help in diagnosing Afib. Also, the pulse rate is expected to vary to a large extent and cross the 100 bpm. You may also feel irregularly beating heart within your chest. Also, you can keep a finger over the pulse and feel irregularity and missing pulse. So, it could be an ectopic which is now settling. The only way to definitely confirm is ECG. If this continues, you may a get an ECG done or buy a home-based rhythm monitor like Alivecor Kardia device which records the ECG for interpretation. So, overall unlikely to Afib, but either ECG or examination by the doctor can confirm this. The other cause for pain in such settings is gastritis or reflux, which can commonly cause such symptoms. Also, ectopics may cause pain as well. Anxiety can also cause similar symptoms. Have plenty of water and adequate intake. If you are having these drugs for a long time then the possibility of withdrawal should also be kept. Hope this helps you and get back if you have any doubts." + }, + { + "id": 6411, + "tgt": "A person is allergic. Can he swim in the ocean?", + "src": "Patient: Hello doctor, If a person is allergic to seafood, can they swim in the ocean? This person cannot touch seafood or have sea-salt either. Doctor: Hi. If a person is allergic to sea food and sea salt both, he should ideally avoid swimming in the ocean so as to avoid getting an attack of anaphylaxis (lethal allergic reaction) while under water. In my years of practice I have never come across any person with allergy to sea salt. It is usually the sea food which contains proteins, to which allergy occurs. Sea salt contains NaCl and KCl and other minerals which are usually inert and do not cause any reaction. However, to be on the safer side, avoid swimming if you are truly allergic to sea food and sea water." + }, + { + "id": 3122, + "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": 21293, + "tgt": "Can sinus infection cause sore throat?", + "src": "Patient: Hi doctor, I consulted a doctor for my sore throat. She said it was a sinus infection and prescribed Z-pak and steroids. I have taken all the medicines, but my throat still hurts. It has been like this for two weeks. I thought it as dry mouth and drank around 10 bottles of water a day. I have no other symptoms. Sometimes, my throat burns after I eat. I have tried taking antacids, but it did not help. Please help. Doctor: Hi. Yes, sinus infection can cause constant throat irritation due to post nasal drip formed by the sinus secretions. The constant drip can irritate and cause pain. Also, it can act as a source of throat infection. If indeed sinus infection is the cause for the throat problem, then in addition to the Z-pak (Azithromycin, which is an antibiotic) you need some anti-inflammatory drugs and nasal decongestant drops too. Anti-inflammatory drugs come by the name Inf-zyme forte, which has to be taken twice daily in an empty stomach and nasal decongestants come by the name Otrivin (Xylometazoline). Consult your specialist doctor, discuss with him or her and take the medicine with consent. You must instill 2 drops of Otrivin in each nostril and lie supine with head low position. The drops decongest the sinus ostia and help remove pent up secretions from the sinuses. For a complete evaluation, we must take a throat swab culture and sensitivity and institute the right antibiotics as per the report. A non-contrast CT scan of paranasal sinuses can confirm if there is any sinus inflammation. A diagnostic nasendoscopy can help confirm the same. Also, laryngoscopy can help establish any laryngopharyngeal reflux that is causing the throat pain and burning sensation. Meanwhile, an anesthetic gel like Mucaine gel can help relieve the burning sensation in the throat after meals. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3979, + "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": 11542, + "tgt": "Does GABA supplements cause sleep disturbances?", + "src": "Patient: Hello doctor, I took GABA supplement and I am unable to sleep. If I fall asleep, I am only sleeping for a few hours, and then I am wacking up. I did not start experiencing this issue until I took the GABA supplement. Doctor: Hello. GABA (Gamma-aminobutyric acid) supplements can both, make one go to sleep and keep awake. As for now, I suggest you wait for a few hours until the effect of the medicine wears off. I suggest you do not take the GABA supplements by yourself." + }, + { + "id": 1827, + "tgt": "My 5-year-old son has on and off growing mole with irritation. What could it be?", + "src": "Patient: Hello doctor, My 5-year-old son has a skin-colored mole on his back that occasionally appears and causes irritation. He has had the mole for the last one year. It appears every few months, usually when he is active (rolling around on the floor or wrestling). I notice that the mole looks inflamed and even appears to be filled with fluid. After two or three days, it always goes back to normal. It happened again last week and I am wondering if it is time to get it looked at to ensure it really is just a mole that gets irritated easily. Doctor: Hi. Kindly send the pictures. It can be a boil or molluscum because a mole will not disappear." + }, + { + "id": 11297, + "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": 27417, + "tgt": "From my MRI reports, how long will the cut on top of my knee take to heal?", + "src": "Patient: Hello doctor, I got a deep cut on the top of my knee, that is, a laceration. In the MRI, it says that there is a partial ACL tear, LCL sprain, and a longitudinal tear in the medial meniscus. I have 15 stitches on top of my knee. Currently, I am taking rest with braces on the knee. I have kept the knee straight from a\u00a0month. I do not have a fracture. How long will it take to heal? Doctor: Hello. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30130, + "tgt": "Though the scan report was normal, the patient was treated for CVA. Why?", + "src": "Patient: Hi doctor,The patient is a 79 year old male with a history of fall. CT and laboratory results showed NAD. But, the patient was treated for CVA. Now, the patient complains of numbness or paresis below waist. What would be the best option now? 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": 24221, + "tgt": "When to expect normal periods after I-pill?", + "src": "Patient: Hello doctor, I had unprotected sex with my partner on the 3rd of this month. She consumed an I-pill within 24 hours. She had uneven gray discharge on 19th of this month. This discharge lasted for two days. Till date, she did not have her periods. What does it mean? Is there any chance of pregnancy? Doctor: Hello. The chances of pregnancy are very less. But, do check for pregnancy once to be on the safer side. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6258, + "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": 20853, + "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": 25533, + "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": 25800, + "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": 7539, + "tgt": "What to do for a small lump inside my cheek?", + "src": "Patient: Hi doctor, There is a small lump inside my left cheek. It has been there for about three days. There is no pain,\u00a0but when I push it with my tongue or if I hit that then it will be painful. I am attaching a photo. Does it look serious? I have to wait\u00a0for two weeks until my appointment with a dentist. Should I do anything meanwhile? Please suggest me. Doctor: Hi. You need not have to worry much as it is nothing serious. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2186, + "tgt": "What can cause increased urinary frequency and incontinence?", + "src": "Patient: Hi doctor, A few months ago after having a couple of falls, my mother was diagnosed with progressive supranuclear palsy by a neurologist. \u00a0Last week, she suddenly started to experience urinary incontinence. Over the past few days she has complained of the urge to pass urine quite often and sometimes as much as several times within an hour. When she does visit the toilet, she sometimes passes little or no urine.\u00a0Last night we got her tested for UTI and the test came back negative. We are concerned and exhausted. We look forward to getting your input. Thank you. Doctor: Hi. The increased frequency of urination and urinary incontinence are due to bladder overactivity. Your mother should undergo an urodynamic study to know what exactly is happening in the bladder during filling. I think she will get good benefit by taking antimuscarinics like Trospium hydrochloride or Darifenacin. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26219, + "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": 28481, + "tgt": "Why do I get frequent itchy rashes and bumps on my skin during my periods?", + "src": "Patient: Hi doctor, I am a 31 year old female. I have rashes and bumps, that itch and look like they are big bites, but they are not. They come and go in different places and are more frequent around the time of my\u00a0periods. I have had these bumps for seven months now. I am attaching a picture, what are these? Doctor: Hello. I just read your query and saw the attachment provided by you (attachment removed to protect patient identity), and it appears that you have urticaria or hives in simpler terms. These usually occur when your immune system is a bit low such as during your periods, after a recent illness, due to some medication, recent travel, foods, perfumes, hair dyes, detergents, lotions, creams, clothes, exposure to new pets, dust, mold, chemicals, plants, etc. It can also occur after contact with nickel, rubber, latex, industrial chemicals, nail polish, hot or cold exposure, exercise, and alcohol ingestion. I would suggest that you do some blood tests to know what is going on. In the meantime, the best treatment is to avoid exposure to any of the causative agents. I suggest the use of some antihistamines such as tablet Loratadine 10 mg and topical Hydrocortisone 1 % cream, once daily for 3 to 5 days, whenever you get these rashes. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Do go to the nearest ER, if your rashes worsen and you have breathing difficulty. If you are pregnant, then the treatment mentioned above is not recommended. Hope my advice is of some help to you. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8209, + "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": 28919, + "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": 3385, + "tgt": "After squint surgery, will my eyes look straight?", + "src": "Patient: Hi, I am 20 years old. Next month I am going to have my squint surgery for cosmetic purpose. I do not have vision in my right eye now and it turned inwards. After this surgery,\u00a0will both my eyes look straight? Either\u00a0I see left or right or up or down will both my eyes work together? How\u00a0many hours will it take to finish the surgery? While surgery will I realize the pain? Please explain. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13559, + "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": 8071, + "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": 2134, + "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": 26413, + "tgt": "Kindly suggest a remedy for pain during intercourse and the best days for conceiving", + "src": "Patient: Hello doctor, My husband aged 31 and I aged 25 have been married for eight months. We are trying for a baby but unable to as there is pain during intercourse. Both of us are not able to be aroused completely and hence we tire easily. What types of food can be taken? Can you suggest the best time for intercourse? The size of the penis gets so big after foreplay that it becomes impossible to be inserted into the vagina. What should be done? Doctor: Hello. Regards. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist \u00a0" + }, + { + "id": 4357, + "tgt": "What causes pain in the extracted tooth area with bone exposure that extends upto ear?", + "src": "Patient: Hello doctor, I had a root canal done three months ago on tooth 19. I have not had a crown done yet due to financial reasons. I went to a new dentist for tooth pain in that area and he said he could not help me because the x-rays showed the root canal was not finished. I called my endodontist back and they basically refused to see me back and said they did complete the root canal and the reason they did not fill one of the roots was for post space. Well, my x-rays have been reviewed by an oral surgeon and another endodontist in the meantime, who have all concluded that the root canal does not look complete, as one of the roots is not filled with the filling material that is used. It was also determined that tooth 18 needed a root canal but was not going to be certain to work and I may end up losing that tooth. For financial reasons, I opted to have tooth 18 pulled five days ago in hopes of helping the severe tooth, jaw and ear pain that I am having. It did not work. I am still having the pain, and to complicate matters, I now have bone exposure on the tongue side of where my tooth was extracted. I saw the surgeon yesterday and he filed it down. My headaches are ridiculous and of course, I worry the infection is spreading to my head. I have had three recent sinus surgeries and this does not feel the same. I have been on Amoxicillin for over a week now but my tooth pain in 19 has increased since the extraction. Do you have any suggestions? I am currently taking Amoxicillin and Norco. Doctor: Hi. I have read through your complaint and the relevant details and also saw the x-ray you have attached. (attachment removed to protect patient identity). Tooth number 19 seems to have a good apical seal in the root fillings. The first dentist was right in saying that there is a space prepared for the post fixture. There is one cusp missing in the tooth, hence the treatment plan was a post and core followed by a crown. The pain is definitely not because of this root canal treated tooth. The reason behind this is that only poorly cleaned, prepared or poorly filled roots retain the bugs to stay within the roots while deteriorating the tooth and give pain. In your case, the root fillings are excellent. Since you told you are not able to get a crown due to financial reasons at the moment, the treatment plan could have been changed. Maybe at least the post could have been fixed leaving the crown fabrication at the last. In that case, at least the tooth stays stronger for a while and does not break off when you bite hard food. Next regarding the tooth extracted area, you have mentioned that the bone is exposed. Now I doubt if you have got dry socket (not to be mistaken for infection) due to improper healing of the gums over there. This might be the reason for the severe pain. Secondly, tooth number 20 also has decay on the sides which makes me to advise you to get another x-ray for that tooth. The current x-ray does not show the complete tooth. This particular tooth might also be the reason for pain. Please do not worry that the infection spreads to the head. There is no such possibility for that right now. Either 18 dry socket or 20 decay has to be addressed to help you get rid of the pain. Continue taking Amoxicillin as prescribed and for pain relief, you can switch to Ibuprofen 400 mg orally eight hourly for two days provided you do not have asthma or gastritis problems. Else continue Norco tablet for two more days. Hence, I advise you to visit back to the dentist and get done with further checkups as I mentioned above. Periapical x-ray for tooth number 20 to rule out interproximal caries. Pulpitis in 20. Saline irrigation and zinc oxide eugenol dressing for dry socket in 18. Gargle mouth with lukewarm saltwater thrice daily for three days to flush out debris from the gums and in the extracted socket in case it not healed yet. Follow up after three weeks." + }, + { + "id": 19439, + "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": 8516, + "tgt": "What can cause strange smell and yellowish orange tongue?", + "src": "Patient: Hi doctor, I have been having a funny smell in my nose for the past several weeks. Additionally, I have a yellow and orange coating on my tongue. I have gone to my ENT last week not in regards to the smell but just as a follow up. All seemed to be clear except for some swelling. Since then the smell has gotten worse. I have a history of sinus issue and had sinus surgery a few years ago where there were polyps present. I continue to get allergy shots for my constant congestion and running nose. What I am wondering is if this could be reflux or related to my sinus issues even though the nasal endoscopy did not show anything visible. My regular doctor has put me on an antibiotic, but it has not helped in the past five days that I have been on it. Would like to get some feedback and possible reassurance that this is most likely not anything serious and can be treated. Please guide. Doctor: Hi. Revert back with the asked details to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1539, + "tgt": "My granny has eye pain and light sensitivity for the past one week. Please suggest solution", + "src": "Patient: Hello doctor, My grandmother is 83 years old and has been suffering from a mild form of glaucoma for three years now. When we consulted doctors earlier they suggested using eye drops than surgery. So we have been using Travo Z and Tear Drops daily and she is also able to see properly. Since one week she is experiencing pain in her eyes and has trouble looking at the light directly. Her eyes have also turned reddish. Please help. Doctor: Hello. Has she got operated for cataract? Any previous record of vision please share the latest one. Also, share the glaucoma test reports in which she was diagnosed as glaucoma and share the photo of eyes." + }, + { + "id": 19913, + "tgt": "What can be done for congested and dry nose due to thick mucus?", + "src": "Patient: Hi doctor, I have been experiencing nasal discomfort for a lot of days. My problem is two fold. I sometimes have a congested nose due to thick mucus and sometimes my nose goes dry when I am in an area with air conditioner and then feels like something is stuck in my nose. When I try to breathe hard through my nasal passage, there is a slight pain. All of this is mostly on the right side of the nose and sometimes it is on the left. I have seen an ENT doctor who prescribed Momeflo and Telekast L for my nasal congestion. I have stopped both after seven days but I still have this problem of a congested nose with dryness. I am looking for some advice on nasal sprays that can relieve me of this discomfort. Currently, am not taking any medication. I use a humidifier at home at night. Doctor: Hello. It is likely an allergic rhinitis. Dryness is likely due to air conditioning. You should identify the trigger other than air conditioner like exposure to dust, vehicle pollutants or maybe some other trigger, and try to eliminate the exposure. It is advisable that you continue Momeflo (Mometasone) nasal spray for two weeks at least, but since you already stopped it then should have an antiallergic nasal spray like Azelastine nasal spray two times a day for a week. Also, for dryness, you should use Nasoclear nasal drops (Sodium chloride, Benzalkonium chloride) twice a day which is normal saline nasal drops and you can use it on regular basis for dryness and congestion. Also, for nasal blockages, you may use Xylometazoline nasal drops, a drop in the blocked nose, whenever you are having severe nasal blockages. Steam inhalation intermittently if available will be helpful. If the problem still persists, then Ayurvedic syrup Damana is of great help to keep allergy down, so you may get it prescribed from a local Ayurvedic specialist. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10683, + "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": 22153, + "tgt": "I had blood in urine and back pain. What is the reason?", + "src": "Patient: Hello doctor, I was seen in the ER for a possible kidney stone. I did have blood in my urine. No stone was found. The only thing noted on my CT scan reads \u201ccircumferential urinary bladder wall thickening versus under distension\u201d. What does this mean? Is this a sign of bladder cancer? What follow-up is needed? Doctor: Hello. I need to know some more details of the hematuria episode. Was bleeding associated with pain? What was the location of pain? Was it radiating to the back or testes or penis? Were there clots, shape, and size, if present? Past history: Do you have any reports like urine analysis done at that time? Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6583, + "tgt": "I have reddish-pink, swollen and sore gums. What to do for it?", + "src": "Patient: Hello doctor, One morning while I was eating at school, my gums behind my front teeth started to get sore. Was it because I scraped the inside of my mouth while I was eating? Or it was because of eating something hot? Anyways it has been three days, and my gums are still sore when I eat. My gums are reddish pink, swollen, and sore. This had happened once before, but it did not last for three days. My mom asked me to gargle with warm salty water, which I have been doing for the past three days. It worked a bit, and some of the swellings have reduced, but my gums are still sore. So what should I do now? Doctor: Hello. Well, you have guessed it right. It seems like the most common form of gum swelling by injury from eating either hot foods (typically cheese or soup, etc.) or from eating something hard and sharp. Since a large area is injured, it will take up to a week to heal. If it continues beyond ten days, you can consult a dentist or oral surgeon. Meanwhile, continue warm salt water rinses. I suggest using a Chlorhexidine mouthwash twice daily for two weeks. It has antimicrobial properties, which will limit the chances of infection and help in faster healing. For relief from pain, you can apply an analgesic gel like Mucopain (Benzocaine 20 %) gel, 15 minutes before eating." + }, + { + "id": 3592, + "tgt": "I was exposed to mouse poop. Am I affected by Hantavirus?", + "src": "Patient: Hello doctor, I was exposed to mouse poop. It was in my clothes, drawers and on the floor. The mouse was in my apartment.\u00a0I swept it up.\u00a0I was exposed to them for about three weeks. It has been 27 days since I have been around them, but today I am getting cough and scratchy throat. Does this sound like hantavirus? Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20431, + "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": 3110, + "tgt": "Does on and off spotting after unprotected sex imply implantation bleeding?", + "src": "Patient: Hi doctor, I have had some on and off spotting for three to four days. It is pinkish color and then I have a little brown color when I clean myself. I have had no cramps, no pains, no nausea the only thing that I have had is my areolae are super sensitive. My last period was the last week of last month and they are usually spots and not irregular. I have taken two pregnancy test and both came back negative. I have looked online and have heard of implantation so I am wondering if this could be a really late period or possible pregnancy. My husband and I do not use protection and I am not on birth control either. The spotting is off and on, not all day, usually, I have to change pads often for my cycle but I can use a light pad for all day use with the spotting. If this seems like implantation when can I test and get a positive? How far can implantation happen? Usually, my cycle has clots in it and is super heavy and I have some pretty bad cramps, but I have not had any type of pains with this. I have one son already and did not notice this earlier. Doctor: Hi. According to your information, today is a bit early to have pregnancy test positive. None of these signs predict pregnancy. Urine pregnancy test and also the serum beta HCG (human chorionic gonadotropin) is usually suggested at least one day after the expected period. Breast tenderness or pins and needle sensation is due to the progesterone hormone, which is normal before a normal period. The pink spotting can be either an excessive discharge from the cervix due to congestion. So also the brownish discharge, which is old altered blood. One more reason, if I may suggest is your weight. Your expected weight is 52-57 kg. This extra cholesterol can get converted into hormones altering the hormonal support to the endometrial lining. So this luteal phase defect can cause these clots, fleshy masses in periods blood with quite disturbing pain. Some leftover old blood also may be falling out now. The pain will be more if you have a cesarean section. Since your last delivery, mostly your body weight has not reduced. Anyway, check your urine for pregnancy at one day after your expected periods. Use the morning first sample of urine. I hope this helps." + }, + { + "id": 466, + "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": 27446, + "tgt": "I have severe leg pain from the last six months. What could be the reason?", + "src": "Patient: Hello doctor, Since the last six months, I suddenly developed severe pain in both the legs. It arises from the thigh, goes to the calf, and finally reaches the heel. I am unable to go up the stairs or use the Indian style toilets. Doctor: Hello. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6720, + "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": 27968, + "tgt": "I often have heartburn. What can I do?", + "src": "Patient: Hello doctor, I am suffering from heartburn, chest pain, nausea, and breathlessness. I got done 2D echo, ECG, vitamins D levels, endoscopy, and blood tests. All the reports\u00a0are normal. Doctor: Hello. There are several things you can do to prevent an episode of heartburn like: Hope this helps. For more information consult an internal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21239, + "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": 10165, + "tgt": "There is a reddish-sticky part on my foreskin even after having medications. Why?", + "src": "Patient: Hello doctor, I am 39 years old. Since more than a month I had a blister on my foreskin, and I noticed a reddish-sticky part in my foreskin. I saw this after sex because it was painful (but it was not hard sex at all). The blister went away, but the reddish-sticky part stayed. I had also burning and heat in the skin of my testicles. I went to the doctor, and he found an infection. I had antibiotics pills and fungal cream. After a week, everything was improved, but the reddish-sticky part was still there, but the doctor said everything was fine. But it is not. I went to another two doctors (a urologist and a dermatologist), and they said everything is fine. The dermatologist prescription was Vaseline, that was two weeks ago, and this stays. I am worrying about cancer, and I asked them a biopsy, but they refused. Since before five months I also had a red rash in the gland coming and going, but for more than a month, it has not happened again. Doctor: Hello. I understand that you are concerned, but I can assure you that in the photographs there is no feature suggestive of any cancer. I understand that you had a blister after intercourse, that might be friction blister as other cause of blister in genitals include herpes, but that present as multiple tiny blisters. Recurrent glans rash can be candida, but right now, I cannot see any changes. It might feel sticky and thin after healing of a blister for some time, but there is nothing to worry. And certainly, there are no features of cancer. Just use some good moisturizer or use the following. 1. Cetaphil moisturizing cream." + }, + { + "id": 15020, + "tgt": "Kindly advise treatment for digestive problem", + "src": "Patient: Hello doctor, My height is 173 cm, weight 75 kg. I have a chronic digestive problem for 10 years. I have taken allopathy, Ayurveda and homeopathy but no successful result. Please advise me. Doctor: Hi. Chronic digestive disorders which are common include irritable bowel syndrome, stomach ulcers, gastroesophageal reflux disease, cancer, infections, gallstones. The symptoms of digestive problems include diarrhea, stomach cramps, bloating, gas, stomach pain, vomiting, blood in stool, reflux of food, weight changes. The treatment usually includes a combination of medication and lifestyle changes depending on what the disease is. Since you did not get any help from alternative medicine, it is best that you be checked thoroughly and tests done so that a proper diagnosis and treatment can be given. The tests that can be done depending on your symptoms include blood tests, endoscopy, abdominal X-ray, abdominal sonar. More history from you about your symptoms is needed so that an informed diagnosis can be made." + }, + { + "id": 5025, + "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": 22455, + "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": 7806, + "tgt": "Is it advisable to take Sulfatrim DS during pregnancy?", + "src": "Patient: Hello doctor, I am 16 weeks pregnant, will taking Sulfatrim DS (Sulfamethoxazole, Trimethoprim) harm my baby? Doctor: Hello. I do not recommend this Sulfatrim DS at your pregnancy age. If you have been prescribed for any infection, please tell the doctor you are pregnant and change therapy. Usually, penicillins are safe to use. Other drugs including Sulfatrim are recommended when Penicillins do not work. Discuss this with the doctor who prescribed Sulfatrim to you. All the best to you and your baby." + }, + { + "id": 21494, + "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": 19298, + "tgt": "I am suffering from back pain when I get up in the morning. What can be the reason?", + "src": "Patient: Hello Doctor, I am a 23 year old male suffering from back pain. Mostly pain occurs during sleep at night and soon after I wake up in the morning. And the pain vanishes after sometime (approximately 10-15 minutes). What could be the reason for the pain? Doctor: Hi. \u00a0There are many reasons for back pain like We may have to do some investigations to pinpoint the source of pain before starting the treatment. As of now do hot water fomentation and take tablet Paracetamol 650 mg thrice a day. Consult an orthopaedician online regarding the investigations to be done --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12276, + "tgt": "I got dark eyes after using minoxidil. What to do?", + "src": "Patient: Hello doctor, I am using Minoxidil and noticing dark eyes and wrinkles. Is there a way to keep using Minoxidil but counter the side effects? Doctor: Hello. 1. Minoxidil has nothing to do with dark eye circles or wrinkles. 2. It can lead to dryness, a bit of headache, and facial bloating. 3. Apply it in the prescribed amount only. Not more than 1 ml at a time and wash your hands afterwards. 4. Apply half a centimeter inside your frontal hairline so it does not get diffused on the forehead." + }, + { + "id": 16284, + "tgt": "Is it normal to have cold sweats and high temperature after a flu injection?", + "src": "Patient: Hello doctor, I had my flu injection a week back. And ever since I have been really ill. I have had cold sweats and very high temperature. I have not eaten anything as I am sick. I am drinking plenty but still in bed and have no strength. I have had this flu injection every year but have never felt like this. Doctor: Hello. Usually, the flu vaccine is very safe and no adverse effects occur in most of the patients. But unfortunately, your symptoms suggest side effects of the flu shot. It can be managed according to a predominant presentation. You can be prescribed Ibuprofen for pain and fever relief. If rash or congestion associated, then decongestant can be prescribed. Avoid the intake of excess spicy foods. Drink lots of water and electrolyte powder to maintain hydration and electrolytes balance. You should consult your physician once for examination." + }, + { + "id": 15187, + "tgt": "I have a marble size lump on the right tonsil. How to treat it?", + "src": "Patient: Hi doctor, I am 43 years old female. I have a marble size lump on the right tonsil with difficulties in swallowing and pain. I had a swollen tonsil for over eight weeks, and the lymph nodes present in the neck are slightly swollen. I was under treatment for thrush. Currently, I am taking Nystatin oral suspension. Please help me. Doctor: Hi. Please explain about the antibiotics given for you and how long you used it. Please say whether the lymph nodes in the neck are still present. Please tell whether you can palpate it. Please explain whether you had a fever and any bleeding problems. Please say whether a culture sensitivity of the throat swab is done or any other blood investigation is done." + }, + { + "id": 23398, + "tgt": "Why is there accumulation of water in spite of stomach dialysis?", + "src": "Patient: Hello doctor, My sister is undergoing stomach dialysis treatment for the past one month. Now, she has developed water in the lungs. Due to that, there is breathlessness, no appetite, no sleep, water retention in feet, and stomach. The doctor has removed 1 liter of water from the lungs, but second day it is accumulating. What will be the treatment? Doctor: Hello. Your sister is undergoing peritoneal (stomach) dialysis. Now, she is having fluid retention in her body. This can be either due to change in her fluid intake habits wherein she has now increased fluid intake, another reason may be that the dialysis technique is not resulting in an adequate water removal from her body as well as poor clearance of toxic material (which may account for her poor appetite). We also have to see if the medicine fluid which we install in her stomach is going into her chest cavity. Having excluded the later condition, I would suggest her to have a PET test which will give an idea of how her stomach surface membrane is working. This will give an idea as to how we can tailor our dialysis schedule for her (number of sessions per day, duration of each session, the concentration of fluid to be used, etc). I hope I have helped you. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 4400, + "tgt": "Kindly explain whether there is any metastasis in CT report", + "src": "Patient: Hello doctor, Please can you look at this letter and report as they differ. We have been told the following are metastases which we agree with: 1 liver met, 1 aortocaval node, 1 sub pleural nodule. But the oncologist letter says possible peritoneal disease? Why did the CT report not state peritoneal disease and onco has rated this? Mets are under 2 cm, if they are ablated is this better? So far irinotecan not worked, what to do? Prognosis? Doctor: Hello. I can understand your situation at the moment. But you have to accept the facts about your patient. First thing is he has incurable disease, he has undergone a major surgery, in spite of treatment underlying disease is progressive, and most important the disease is wide spread in the body in distant organs. So the treatment options are very limited which have been tried already and beyond that the disease is not responding to the treatment given. Coming to your questions. 1. The aortocaval node is increased in size this is suggestive of peritoneal progression. So oncologist can see it in CT films. It is not necessary that only radiologist findings to be final. Also there are adrenal metastasis. 2. Only ablation of liver mets will not cure the disease as it is stage 4 that means it is spread to other organs already. So treatment of metastatic lesions will not cure primary disease. 3. Irinotecan not worked suggests that it is chemoresistant malignancy. So any palliative treatment will not work in future. 4. Last thing about prognosis---you have already been told by your primary oncophysician about it. It is stage 4 disease now with no response to palliative chemotherapy. So prognosis is very grave. He is so lucky that in spite of such progressive disease he is asymptomatic at present. But we cannot predict exactly when the things will go wrong and the period he will be alright. So better to continue only symptomatic palliative care." + }, + { + "id": 28677, + "tgt": "Can I use muscle mass gainer to gain weight?", + "src": "Patient: Hi doctor,I am 17 years old. Can I use muscle mass gainer to gain weight? Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 14658, + "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": 24433, + "tgt": "How can yellow teeth and cavities due to improper brushing be cured?", + "src": "Patient: Hello doctor, I am an 18-year-old boy. I have a big problem with my teeth. I did not brush them for the past two years. So, most of the teeth have started yellowing and have got caries. My dentist told me that it will change when I starting brushing them but it is not the case. Please help me. I want my smile back. Doctor: Hello. Looking at the condition of your mouth (attachment removed to protect patient identity), I can say that you have got a lot of dental problems like dental caries, discolored teeth with stains and tartar. These problems are causing the bad breath which is not going to get away with only tooth brushing. You require a systematic treatment plan for your mouth like scaling, finishing and polishing, filling up the various teeth and extraction or root canal treatment depending on the condition of the teeth. But the good news is that your condition is very much treatable. So, you need not worry. You just need to visit a good dentist who can take care of all your problems. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6860, + "tgt": "Why am I having back pain and numbness after a fall?", + "src": "Patient: Hello doctor, When I was 19 years old, I slipped in a wet road and my hips bumped on the ground. Now I am 21 years old, and now I experienced muscle back pain or numbness in my lower back sometimes but not often. The pain just happens if I hold heavy objects or been in a long trip in a rocky road or face my computer for hours. Doctor: Hello. It seems it is the result of the trauma you have had two years ago. Muscle or spine bone damage may have occurred. That can be understood doing a MRI examination of your spine. Anyway if that does not happen often, there is no any specific treatment you can take about that. Just take any painkiller when you feel pain (Ibuprofen) and nothing more. Avoid weight lifting or hard physical activity. Avoid long time standings. If you are overweight, lose some kilograms. You can do some light spine exercises or physiotherapy to remove pain and numbness of your back. If no improvement, then see a neurologist for further assistance. Take care and best wishes." + }, + { + "id": 8310, + "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": 8584, + "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": 15654, + "tgt": "What is the treatment for erectile dysfunction and low libido?", + "src": "Patient: Hello doctor, I am facing with erectile dysfunction from the past couple of weeks and low libido, decrease in sexual desire. Before that, everything worked fine. I have performance pressure. Doctor: Hello. Please elaborate on what kind of issues you are facing? Do you have any ongoing stress? Any history of hypertension or diabetes? Any medicines you started recently? How the problem developed?" + }, + { + "id": 9640, + "tgt": "Is it safe to use Halloween colored contact lenses?", + "src": "Patient: Hello doctor,Are Halloween colored contact lenses safe? Do people who need prescribed contact lenses be using them? Doctor: Hello. Ophthalmologists do not recommend colored contact lenses. However, they may be used occasionally for not more than a few hours. The reason is that compared to regular glasses, most colored lenses have a lesser tendency to allow oxygen to pass through to the corneas, thus causing damage to the corneal cells. This problem does not depend on whether the user is a prescription lens user or not. It depends on the quality of the lens and a few biological variables of the person using them. I hope this helps you." + }, + { + "id": 6471, + "tgt": "I have a feeling of something stuck in my throat. Please help", + "src": "Patient: Hello doctor,I have acidity and I feel like something is stuck in my throat and have inflammation. Doctor: Hello. You have severe pharyngitis (inflammation of the throat). It is highly possible due to the reflux of acid from the stomach. You need to take some precautions: Please review with me after three days so that I can guide you further. Good luck. Revert after three days to a surgical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 12649, + "tgt": "Is there a treatment for hair loss on temples from wearing tight braids?", + "src": "Patient: Hi doctor, I have hair loss on my temples from wearing tight braids. The hair loss has been there for about 10 years and it has not gotten worse or anything. Is there a treatment or prescription I can try before going the hair transplant route? I am on Nuva ring for birth control. I tried Rogaine for four months but stopped for no real reason. I just did not see any results. I do not have any lab tests for this issue. Doctor: Hello. This is traction alopecia. It is a type of alopecia due to tight braids and hairstyles that put pressure over the roots. Unfortunately due to pressure effects scarring occur and there is no such topical cream or lotion available for regrowth of hair. You have told that you are using Rogaine (Minoxidil) without effects and so, the only option left is transplantation. You can also try PRP (platelet-rich plasma) in this area along with Minoxidil spray. It can give you good results." + }, + { + "id": 15295, + "tgt": "Does having one I-pill after sex help to prevent unwanted pregnancy?", + "src": "Patient: Hi doctor, My partner had sex with me before ten days. During that time, my condom was out and went inside of her without our knowledge. I did an ejaculation, and so she took one I-Pill on the evening. Now, we are worried about unwanted pregnancy. She says that her breasts have become big and her nipples are giving pain. Is this a symptom of pregnancy? Will that one I-Pill works? Can she take one more I-Pill now? Please advise us. Doctor: Hi. If she has taken I-pill (Levonorgestrel) in a proper dose within 48 to 72 hours of unprotected sex, without any vomiting, then it will work, and she will have bleeding within one to two weeks. Please mention about the menstrual history. It would be better, and I can guide you further. If it was not a fertile period of her cycle, then the chance to have pregnancy is less. You can check serum beta hCG (blood pregnancy test) if she does not get withdrawal bleed in three to four days. Due to externally induced hormones, she can have engorged breast. Externally induced hormone interferes with the periods to prevent conception by stopping fertilization, ovulation or implantation. I-pill is beneficial in the first 48 to 72 hours of post unprotected penetrative sex. It is already a week. She will have bleeding in the coming days if the I-pill is taken in a proper dose." + }, + { + "id": 6509, + "tgt": "I have overcrowded teeth. Is it best to pull out some teeth and get braces?", + "src": "Patient: Hello doctor, I have overcrowded teeth. Is it best to pull out some or use the invincible braces? I do not prefer metal braces because I do not want people to know I am wearing one. My wisdom teeth are growing on all four parts, which scares me terribly. Sometimes, I have swelling on my gums, and I think it is because of this. Doctor: Hello. I gone through your query, attached photographs, and understood your concern regarding dental health. First of all, in such overcrowding conditions of teeth, the wearing of braces is essential, even after the removal of a tooth to keep the other teeth in their correct position and to correct the rotation of adjacent teeth. Wearing braces is very common at this age, and different types of them are also available for better esthetics so that you can choose from them according to your needs. So for this, consult an Orthodontist for further treatment. And the swelling of gums around the wisdom tooth is very common during the eruption of the same tooth. You can go for removal of them one by one as there is no role of wisdom teeth in chewing function. I hope this helps. OPG (Orthopantomogram)." + }, + { + "id": 8625, + "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": 12011, + "tgt": "What can be done if baby with egg white allergy ate egg accidentally?", + "src": "Patient: Hello doctor,My 2 year 9 months old daughter was tested and she has an egg white allergy. She ate scrambled eggs accidentally. Should I worry? Is it a problem if the egg is scrambled? Please, can you advise? Doctor: Hi. Do not worry. However, please watch for symptoms of allergy like hives and severe itching and in worst case scenario breathlessness. If breathlessness occurs, it is best to rush the child to the nearest hospital. The other symptoms are mostly controlled by syrup Allegra (3.5 ml) for two such doses spaced 12 hours apart. Steroids and Adrenaline may be required in the worst case scenarios." + }, + { + "id": 26156, + "tgt": "My doctor has not prescribed any treatment for osteopenia. Is this sound advise?", + "src": "Patient: Hello doctor, I am concerned about my moderately-high calcium levels. I am in my late thirties, in excellent shape and play competitive sports. I am very careful about maintaining a clean diet. Over the past four years, I have had elevated glucose (a1c 6.3) and elevated serum calcium (fluctuating between 9.6 and 10.3). My latest serum calcium was 9.6, but I had a 294 mg 24-hour urine calcium level. My parathyroid and thyroid levels have always been in the normal range. Last year, I had a DEXA scan that showed clear signs of osteopenia. My doctor has not prescribed any treatment beyond Metformin. Is this sound advice? I am concerned that I am at risk for osteoporosis and kidney stones. Doctor: Hello. Hope you find my advice beneficial. Good luck. For further queries consult an endocrinologist online --> \u00a0https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 18813, + "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": 12925, + "tgt": "Is there any way to reduce weight after pregnancy?", + "src": "Patient: Hello doctor, I am 26 years old and delivered my baby four months ago. I feel very stressed out nowadays. After my delivery, I started hating my post-pregnancy body. My baby is four months old and I have not lost even half kg. I am trying to lose my weight but nothing is working. Doctor: Hi. Pregnancy and motherhood involve changes in both body and mind for a woman. Be proud of it. It is too early to think of weight loss, especially when you are feeding your baby. Give some time for your body to come back to normalcy. A healthy, balanced diet and mild exercise are important to ensure the well being of both of you. Do not go for crash diet or strenuous exercise now as it can weaken your body. Enjoy your motherhood to its fullest. You can review with me for regular follow up." + }, + { + "id": 31055, + "tgt": "What does my father's blood sugar value suggest?", + "src": "Patient: Hi doctor, Four months ago, my father's fasting blood sugar level was 110 mg/dL and postprandial was 136 mg/dL. Before that he had sugar levels in the normal range according to regular checkups done. However, there is a spike in his blood sugar level and the detected levels were fasting 214 mg/dl and postprandial 301 mg/dL. He had been experiencing issues like decreased appetite, unquenchable thirst and weakness for past 2 months. He has a slim body and on a controlled diet. He does not consume much oil, although he eats sweets occasionally. Kindly suggest if this is diabetes or should we get any other test done to diagnose whether it is diabetes or something else. Kindly advice. Doctor: Hi. Revert back with the reports to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15936, + "tgt": "I have a problem in erection at the time of penetration. Kindly suggest me a remedy", + "src": "Patient: Hi doctor, I am 35 years old male. My weight is 88 kilograms. I have a problem in erection at the time of penetration. I have lost my erection. My vitamin D level is 7.49 ng/mL. My prolactin level is 9.5 ng/mL, and I have an HbA1c of 5.5 %. I have a random blood sugar of 99 mg/dL, and I have cholesterol of 262 mg/dL. My testosterone level is 191 ng/dL. I do not have a habit of smoking and drinking. Kindly suggest me a remedy. Doctor: Hi. Please explain whether your penis becomes fine and tighten during the morning when you wake up. If you are unable to attain a normal penile tightening in the morning, then I would suggest you approach a urologist soon. If you are having a problem with erection during intercourse, you can take tablet Tadasure 5 mg (Tadalafil). It should be taken before one hour of having sex. Take this tablet once a day. Try to spend time with your partner and communicate with each other. About the reports, other than a vitamin D, the remaining results are within the normal range. You can do exercise or brisk walking in the morning. Take tablet Vitamin D once a week for six weeks." + }, + { + "id": 25570, + "tgt": "Is Thyroxine an effective medication for under-functioning of the thyroid?", + "src": "Patient: Hello doctor, I am a 46-year-old female, and I am\u00a0pre-menopausal.\u00a0My present weight is 54.5 kg, and my height is 158 cm.\u00a0Eight years ago, I have been diagnosed with under-functioning of my thyroid and since then I have been taking the medication, Thyroup. I started this medication at 25 mcg. But, as the dosage was unable to keep my TSH level within normal limits, doctors increased the dosage. Gradually, the dosage increased from 25 mcg daily to 150 mcg daily. I got my blood tested yesterday and again I found that TSH was still high. I do not know if the dosage is still to be increased or changed or something else has to be done. I feel there are hormonal disturbances at this age. I feel I have pain in my legs and heels. I experience symptoms of indigestion and difficult to control my weight. I have stomachache very often, more particularly when I eat a\u00a0banana, whether half-ripe or ripe. I also have stiffness in my shoulders.\u00a0I request you to advise me in this regard. Doctor: Hello. I just read your query. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 20314, + "tgt": "My urine culture shows presence of blood in urine. Why?", + "src": "Patient: Hi doctor, I am a 64-year-old male. I am a healthy person. Currently, I do not have any symptoms or problems. Recently, I have done a PSA, sugar, CBC, and urine culture. Please check my reports. It shows that there is a presence of blood in the urine. Please suggest. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). On seeing your reports and abnormalities, you can have a mild infection. As you are asymptomatic and the presence of blood in urine is observed only by a microscope, and the PSA increase is also minimal, I would suggest you repeat the urine analysis after three weeks. If still, if you have blood in the urine, then you will have to do a CT (computed tomography) scan to make sure that the kidneys and the urinary bladder are normal." + }, + { + "id": 4921, + "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": 13881, + "tgt": "Is there any chance of getting pregnant after taking Unwanted 72?", + "src": "Patient: Hello doctor, I am 22 years old and I had sex a week back. My partner ejaculated outside the vagina and I took unwanted 72 the other day. Is there any chance of getting pregnant? Doctor: Hi. I have gone through your history and understand your concern. As you took Ipill on time, there is no chance of pregnancy in your case. Delayed menses can be due to hormonal imbalance caused by Ipill. Get your home urine test if you missed your period by seven days." + }, + { + "id": 18620, + "tgt": "Severe pain in the right shoulder which radiates to the whole arm. What could it be?", + "src": "Patient: Hello Doctor, Severe pain in the right shoulder which radiates to the whole arm. Tingling sensation everywhere in the whole arm. The shoulder blade hurts, underarm pit also hurts. Part of chest and cervical bulges are seen. Doctor: Hi. Revert back to an orthopaedician online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18027, + "tgt": "My ECG shows RBBB, but no abnormality was found in echo. What to do?", + "src": "Patient: Hi doctor, I am 29 years old. I am suffering from acidity problem and hypertension. My SGPT 107, SGOT 112, bilirubin 1.1 and fasting blood sugar 83 mg/dL. All other blood test reports like lipid profile and uric acid are normal. My USG report is normal. My ECG shows RBBB and no abnormality found in the echocardiogram. I am on Atenolol 50 mg and Amlodipine 2.5 mg for the last one year. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity), which are quite acceptable. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14638, + "tgt": "Are there any drawbacks in using contact lenses?", + "src": "Patient: Hello doctor, I would like to use contact lens instead of normal spectacles. Could you please tell me the types of contact lenses available? Which one should I use? Are there any drawbacks in using contact lenses? Doctor: Hi. Spectacles are the first option for refractive errors and contact lenses are only secondary. There are many types of contact lenses in various brands. Commonly used are soft contact lenses. There are daily disposable ones, monthly disposable ones and those which can be used for more than a month. These are available in different price ranges. Drawbacks: I suggest you use monthly disposable contact lenses just for six to eight hours per day and only about five times a week. Hope this helps. Consult an eye care ophthalmologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24894, + "tgt": "We had intimacy but did not have sex. Are there chances of pregnancy?", + "src": "Patient: Hello doctor,My fiancee and I had some intimacy a month ago and we had a hunch that she might get pregnant although we did not have sex. We were close but I do not think that anything should happen because we both were wearing clothes (undergarments). Because of this hunch, she took Unwanted 72 under 12 hours. She had her last period from 31st to 4th last month. She took the pill on 6th. Now, its been more than a week and she did not have her periods. Also, she is a virgin. Are there chances of pregnancy? For how much longer will the periods be delayed? Doctor: Hello. I have gone through your history and understand your concerns. As she had Unwanted 72, the chances of pregnancy are not there in your case. Delayed menses could be due to hormonal imbalance caused by the pill. Just wait and watch for your menses. If missed by seven days get your home urine pregnancy test done. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12381, + "tgt": "What is causing sharp pain in vagina after urinating?", + "src": "Patient: Hello doctor, I feel a sharp pain in my vagina after urinating. Doctor: Hi. Get your urine routine and culture, high vaginal swab culture. If you are sexually active, then get partner's urine routine and his semen culture and sensitivity. At present, you can apply steroid with antibiotic and antifungal ointment for local application. You can also apply Lignocaine 2 % around the urinary opening. Drink a lot of water at least 4 to 5 liters of liquids daily. Wash with plain water only, do not use any vaginal douch formula." + }, + { + "id": 7676, + "tgt": "I am pregnant. When should I get NTNG scan and dual marker done?", + "src": "Patient: Hello doctor, Which test should be done prior? NTNG scan or dual marker for pregnant women? LMP was two months back. Doctor: Hello. First-trimester screening for Down's syndrome should be done in all pregnancy between 11 to 14 weeks. The first-trimester screening for Down's syndrome includes USG for NT/NB scan and on the same day, blood is taken for the dual marker (BhCG and PAPA-A). Thereafter, using maternal age, values of NT scan and values of BhCG and PAPP-A, a risk ratio if Down's syndrome is obtained using computer software." + }, + { + "id": 24572, + "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": 10182, + "tgt": "Does ventricular ectopic beats lead to cardiac arrest?", + "src": "Patient: Hello doctor,My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23? I worry about it every day. Kindly advice. Doctor: Hello. It is unusual for ventricular ectopics alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopics, the morphology of ectopics, frequency of ectopics LV function on Echo. What symptoms do you have? Please provide your ECG and Echocardiography report. You have uploaded your photo as an attachment (attachment removed to protect patient identity)." + }, + { + "id": 10421, + "tgt": "Will sleep deprivation cause any permanent changes in brain?", + "src": "Patient: Hi doctor, I do not used to sleep a lot from early age. Daily to the maximum I will sleep for 6-7 hours. Now, these days I find scary researches about how sleep deprivation can damage brain permanently. I want to know whether my condition too is also related to sleep deprivation. Will it cause any permanent subtle changes to my brain? Please help me. Doctor: Hi. Yes, the research has gained a lot of attention and we do consider the facts. But, what has been done cannot be reversed. However, if we go with clinical experience, usually people who modify back there lifestyle do not get any ill effects in life. In fact, I would advice in such case that you should stop thinking that what is reversible and what is not. Start living your life normally and take help with a psychiatrist if there is great difficulty in sleeping. One can be treated easily with hypnotic drugs which help in controlling these issues." + }, + { + "id": 2522, + "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": 22880, + "tgt": "I have back and stomach pain. Am I pregnant or is it a side effect of Unwanted 72?", + "src": "Patient: Hello doctor,I am 36 years old and had unprotected sex with my husband on 18th at night. Although he pulled out we are suspecting pregnancy as there can be 1 % chance of ejaculation. I had my last period on the 7th and usually, I get my periods one to three days before the expected time. I took Unwanted 72 on the 21st afternoon. But after taking it, I was feeling stomach and back pain in the lower region along with cramps. Though I am not feeling any other symptoms of pregnancy like nausea, vomiting etc, which I even did not have during my first pregnancy except stomach pain like periods. Will Unwanted 72 will be effective in my case? Can it stop fertilization/implantation? Am I pregnant or is it a side effect of the emergency pill? I am still feeling pain but it is less now. When can I expect my next period or when should I go for pregnancy kit test? I am already having a kid of 2 years and do not want a second one. In case I am pregnant, please guide me how to get it aborted. Doctor: Hello. In your case, the unprotected intercourse took place at a very fertile time and the delayed intake of Unwanted 72 might render the pill useless. It is highly possible that you still might get pregnant despite the pill. However, the symptoms of back pain and stomach cramps are usually expected after taking the pill. So these symptoms are unlikely due to pregnancy and more likely due to the pill as pregnancy symptoms develop usually around five to six weeks of pregnancy. Expect your next periods to be a little delayed than usual and may look abnormal as well, like blackish in color. If your periods get delayed by over a week then take a pregnancy test and check. If positive, let me know and then we can discuss further. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9439, + "tgt": "I started seeing a transparent floater and light flashes. How long can I wait without consulting a doctor?", + "src": "Patient: Hello doctor, About six hours ago, I started seeing a transparent floater which I had not seen before, and then three hours later, I started seeing light flashes at the edge of my visual field in my left eye. Can I wait for three more days to see my doctor? Doctor: Hello. If you have access to an ophthalmologist on this weekend, then get a thorough retinal evaluation with indentation done. The symptoms you are describing are consistent with posterior vitreous detachment, a process which by itself does not cause a decrease in vision. However, it can pull onto retina hence causing a retinal tear in the process. If that is present, it needs to be lasered within a day or two. If you do not have high myopia or have a family history of retinal detachment, then you are low-risk patient and can wait another two days if it is imperative. Physiological. Peripheral retinal evaluation." + }, + { + "id": 9905, + "tgt": "Which birth control method is the best in case of endometriosis?", + "src": "Patient: Hi doctor, My periods will last usually for five days on average. It hurts tremendously even with pain medication and birth control. I would get horrible periods since I was about 12 years. In my 15 years age, I used to vomit on the first day of my period, but vomiting stopped in the past two years. Before one year I have been diagnosed with endometriosis and prescribed birth control to help ease symptoms. My current medication is only over-the-counter painkiller and doctor did not prescribe any medication as she felt it would not help me. I am considering switching from hormonal pill birth control to an IUD. I have researched on the internet and I would prefer a hormonal method because I have endometriosis. My heavier periods and cramps sound absolutely horrible. However, I have also read that a lot of women experience weight gain and moodiness with the hormonal methods, the two things I do not need in my life. Which method is better for me? I am 19 years old, moderately sexually active with a serious relationship, generally healthy (prone to colds and flus), no serious medical issues in the family aside from my endometriosis and no history of cancer or ectopic pregnancies. Please suggest me. Doctor: Hi. Both pills and IUD (intrauterine device) have their own advantages and disadvantages. If you are thinking of switching from hormonal pills to IUD only because of complications like weight gain and mood swing, then think twice. Studies have failed to demonstrate these complications of pills. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12107, + "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": 31, + "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": 26189, + "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": 493, + "tgt": "I have jaw pain because of an impacted wisdom tooth. What should I do?", + "src": "Patient: I'm having ache in lower jaw. Last time i visited dentist...i had a root canal same side After a month i started experiencing pain in that jaw sometimes... Doctor said root canal is fine and that i have impacted wisdom tooth after a quick x ray. I am having pain now again in that jaw after 3 months. What should i do? Due to covid 19 I'm not sure i should visit a dentist Doctor: Hello, welcome to iCliniq. This may be the pain from the same reason you had previously. If you have an impacted wisdom tooth, then that can cause you this kind of problem repeatedly. But if you have pain on biting, that may be from the root canal treated tooth. Do you have the xray? Can you send me a picture of the affected area and the xray ? In the meantime, you can rinse mouth with warm saline water 5-7 times daily. If the pain doesn't subside, you can take painkiller... Tab Ibuprofen (400mg) two times daily for 2/3 days (after meal) Please send me the pictures for proper diagnosis and better treatment plan. Thank you for contacting us." + }, + { + "id": 30349, + "tgt": "How to proceed with the treatment for back pain?", + "src": "Patient: Hi doctor,My back is burning and the pain is extreme. I have been diagnosed with a pinched spinal nerve and arthritis in my shoulders. How to proceed further? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16991, + "tgt": "There was condom slippage after intercourse. Can this lead to pregancy?", + "src": "Patient: Hello doctor, I had sex with my partner two months back using a condom. After ejaculation, she was getting off from me, and as she got up, the condom slipped off. I, however, pulled it out of her. When I did this, the semen leaked on my leg. As she was on top of me (due to gravity), all the semen fell on my leg. At that time I was 80 % confident that no semen had gone near her. To be careful, I recommended her to take the morning after pill, and she took it 12 hours later. Approximately eight days after sex, we did a pregnancy test which was negative. She usually has her period around the 17th of the month. Her period is now four days late. Can you advise why this could be? This is the first time she has taken any pill. Doctor: Hello. It is normal to see delayed periods after taking morning after pill. There is no need to get worried. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9132, + "tgt": "Is it fine to use a moisturizer after applying Tretinoin on face?", + "src": "Patient: Hello doctor,I am 33-year-old male, healthy, and have no current or previous skin conditions.1) I am about to start utilizing Tretinoin 0.025 % to apply to my face to get a head start and keep fine lines and wrinkles at bay. There is a product that is a moisturizer that comes with Vitamin C and has glycolic acid, would that be ok to use after applying Tretinoin at nights. Doctor: Hello. Both Tretinoin and glycolic acid work by exfoliating the superficial layers of skin. When applied together, they have the potential to irritate the surface for the same reason. But obviously, it also matters glycolic acid is in what concentration 1 or 2 % should not increase irritation as Tretinoin you are using is of low concentration. But a higher concentration might irritate the skin. If you do not feel any anger or extreme stinging or burning sensation, it is an indication that you should not use them together. If no such problem with the usage you can continue. But be sure to use photoprotection while you are on Tretinoin or glycolic acid." + }, + { + "id": 14517, + "tgt": "Is it advisable to do bone marrow transplant for acute leukemia?", + "src": "Patient: Hello doctor,My friend's brother is diagnosed with blood cancer and has gone through first chemotherapy three weeks ago. According to acute leukemia immunophenotyping by flow cytometry report, morphologic and immunophenotypic findings are consistent with acute myeloid leukemia. Immunophenotypic findings include 73.6 % of viable cells are myeloblasts. The blast range from small to intermediate in size by a forward light scatter and express moderate CD 117, dim CD113, dim to negative CD33, bright CD34, heterogeneous CD38, heterogeneous HLA-DR but negative for CD10, CD20, CD3, CD45, CD56, Cd64. Advise given include cryogenetic studies including t(8,21), FLT3-ITD, NPMI, and CEBP-alpha mutation studies. The doctor is suggesting to do a bone marrow transplant for survival. Doctor: Hi. Sorry to hear about his ill health. Let me tell you that after seven days of the first round of chemotherapy, bone marrow biopsy should be done to check for the percentage of the blast. Ideally, it should be less than 5 % blast after the first round of chemotherapy. Then consolidation chemotherapy is given to prevent relapse of leukemia cells. Stem cell transplantation can be done in young age group people but it is costly. So various chemotherapy and stem cell transplant is the only therapy available. The mentioned cytogenetic and mutation study will help in predicting prognosis. You can follow hematooncologist advise for your condition. AML. Cytogenetic study. Chemotherapy. Complete chemotherapy." + }, + { + "id": 8029, + "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": 11596, + "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": 24117, + "tgt": "Why did I have profuse perspiration with nausea and mild trembling legs?", + "src": "Patient: Hello doctor, An episode of profuse perspiration with nausea and mild trembling legs occurred in the morning today. ECG conducted within an hour is normal. Cholesterol level is also normal. Please advice further course of action required. The other tests performed were lipid profile, KFT, LFT, and Iron profile. Doctor: Hello, Welcome to icliniq.com. Are you a diabetic? If yes, then these symptoms can be explained by low blood sugar. Otherwise, it seems to resemble a panic attack anxiety. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18541, + "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": 28873, + "tgt": "How to eliminate wrist ganglion without surgery?", + "src": "Patient: Hello doctor, I have got a ganglion on my wrist, evidently occurred after an excessive wrist bending during an exercise. It happened about six months back and was examined by a physician. For the last two months, it has increased in size. Though it does not cause any pain, it is a bit bothersome. I have attached a picture for your better understanding\u00a0What could be the best way to eliminate it without surgery?\u00a0Kindly advise. Doctor: Hello. Thank you for sharing the picture with us (attachment removed to protect patient identity). For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6814, + "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": 9249, + "tgt": "Please suggest some medicine or exercise to pronounce R words correctly", + "src": "Patient: Hello doctor, I am suffering from R related words in speaking, I practiced a lot, but problems remains the same. Kindly suggest any specific medicine or exercise for the same. Doctor: Hello. First of all, I hope you consulted a speech therapist. Because he can help you correctly and quickly than you can do it by yourself. R sound of the retroflex is the sound where the tongue performs a vibrating motion to produce the sound R. For correcting the sound you first need to start practicing with the placement of the tongue then you progress to vibrate it. If you are finding it challenging to understand, consult a proper speech therapist as you need to practice the first steps to articulate. You first need to produce individual sound and then words. I hope it helps." + }, + { + "id": 28400, + "tgt": "I am concerned about my wife's angry behavior. Please help", + "src": "Patient: Hello doctor, I am a 31 year old man. My wife also 31 years old. I have been in relationship with her for the last 8 to 9 years and out of which 3 years, we have been married. We have been in long distance relationship before we got married. She is short tempered, and I know that as we know each other for long. But after marriage, when started living together, and if we have an argument any sort of that leads her to shouting, throwing stuffs, abusing, hitting, hurting herself and threatens to commit suicide. Whatever the argument is, it leads to the same. I cannot even share this with someone else because I think that people might get her wrong. I know she had a troubled childhood as her father died when she was 6. It is going on, and now I am too much stressed out with her behavior. When she gets angry she tries to do a lot of stuffs like cutting herself and banging head on the wall. I am worried if by chance any accidents will happen. I love her, and I do not know what do to. Please suggest me some way. Doctor: Hello. I have gone through what you have shared. I understand that you are going through a very tough time and concerned about your wife. I understand you want to help her and which is very genuine. But with a case like this, unless the person wants help we cannot do much about it. First, your wife has to understand that something is odd and she should be willing to get help. Once these two steps are done, then a professional psychologist can take it from there. If she is willing, then you consult a psychologist. If she is not, then the first step is for you to calm down and try to understand her perspective. I am sure you have been doing this for a long time. The idea is that she starts trusting you to show her ways to be calm. Both of you can go for yoga or some meditation. This helps in calming the mind and some form of exercise, to release extra energy. For further advice consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 24671, + "tgt": "How to maintain normal diastolic blood pressure?", + "src": "Patient: Hello doctor, My blood pressure runs at about 135/70 mg/dl and drops to about 125/60 mg/dl when I wake from sleep at night. I am on Candesartan 32 mg and Reaptan (Arginine plus Amlodipine) for blood pressure. I also take Duodart for prostate issues which contains the alpha-blocker Tamsulosin. I am concerned that my diastolic pressure gets too low, particularly when sleeping. This has been going on for few months. My blood tests are normal including the thyroid tests. If I had to drop one of my blood pressure tablets which one will increase my diastolic reading to maintain the good systolic blood pressure? Doctor: Hello. Thanks for your query. You take Reaptan (Perindopril Arginine and Amlodipine). It is completely contraindicated to take both Perindopril and Candesartan at the same time. I strongly recommend that you stop Candesartan. Tamsulosin is good for both your prostate and blood pressure. Also, it is advisable to take Reaptan in the morning and Tamsulosin in the evening. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12072, + "tgt": "Kindly suggest a good brand of infant formula for baby constipation?", + "src": "Patient: Hi doctor, My 2 months old baby is on Dexolac Premium from 1 month. The growth is good, but he is constipated. Can I switch to Nan Pro or kindly advise any other good brand. Doctor: Hi. I can understand your concerns. If child is constipated on Dexolac premium, then you can switch to Nan Pro 1, lactogen 1 or similar advance. All are equally good. Nan Pro 1 is more preferred." + }, + { + "id": 18304, + "tgt": "Why is my WBC count high?", + "src": "Patient: Hi doctor, I am a 66 year old female. I am suffering from hypertension and diabetes since 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? Doctor: Hi. Based on your query, my opinion is as follows. Revert back with the details mentioned above to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18204, + "tgt": "There is a black mole-like growth on the sole of my foot. Is it a wart?", + "src": "Patient: Hello doctor, I have one black mole on the sole of my feet, below the big toe since a few months. I pulled it out and it has now spread. There are similar black moles under my sole. The top layer of the skin is not broken, but there are\u00a0a\u00a0number of black moles or dots (few are raised). However, when I applied Salicylic acid, I saw that there are bigger black dots within one mole. Even after clearing, the black dot grows on the\u00a0same position. I have a\u00a0history of psoriasis and plantar warts. What is it? A melanoma, wart or something else? Doctor: Hello. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 26937, + "tgt": "I was diagnosed with dengue twenty days back. Why am I still feeling tired?", + "src": "Patient: Hi doctor, I began having a low-grade fever twenty days back, and I was diagnosed with dengue. My treatment was Paracetamol 500 mg, papaya leaf extract tablets, and fluids. My main concern is that\u00a0I still have a\u00a0low-grade fever today with back aches, headache near temples, ringing in my ears, tiredness, and feel dizzy at most times. I do not have the usual dengue symptoms, like a rash and high fever. Now I am worried whether my dengue is gone or I have a secondary infection or my dengue has become more serious. I have had blood tests like CBC, and it is all normal. I did have an ultrasound, and mild hepatomegaly was diagnosed, which was diagnosed last year too. Kindly advise as to how to further treat or investigate my condition, as I feel very tired sometimes. 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": 4622, + "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": 22383, + "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": 19707, + "tgt": "My pregnancy tests are negative. Can I be pregnant after taking i-pill?", + "src": "Patient: Hi doctor, My wife got her periods on 25th and on sixth we had unprotected sex followed by i-pill, which she had within four hours after the act. On seventh, we had protected sex thrice with new condoms for each act and after each act she washed herself with water. On thirteenth, she had bleeding for three days similar to her periods (around 60% of bleeding) but with less flow and few clots in them. These three days the bleeding was on and off. Her periods were to be due on 25th. We did a home pregnancy test that week and the results were negative. After ten days, we got the second pregnancy test done, but still the results came negative. At last on fourteenth, we got a urine pregnancy test and the result was again negative. She has no symptoms of pregnancy. On 17th she felt cramps and abdominal pain that was followed by thick white discharge. Is it a sign of pregnancy? Or is it a sign of her periods? Or is she pregnant? Please guide. Doctor: Hi. I have gone through your history and understand your concerns. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 707, + "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": 11726, + "tgt": "My blood smear shows mild anisopoikilocytosis. Should I be concerned?", + "src": "Patient: Hello doctor, I am 39 years old. I got a master health checkup done last week. In the blood report, RBC smear shows mild anisopoikilocytosis with normochromic red cells mixed with microcytic, hypochromic red cells, and no hemoparasites. I am attaching my test report. What is the treatment for this? Doctor: Hi. I have gone through your test report (attachment removed to protect patient identity). For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2324, + "tgt": "I am not able to maintain an erection even after taking Tadalafil. Why?", + "src": "Patient: I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate once a day mostly. In last 45 days we have met three times but I felt less confident in maintaining erection enough to have sex, so I had 5 mg tadalafil and did intercourse comfortably. But yesterday I had to to take 10 mg tadalafil and then also I was under confident. Kindly suggest: 1) if I have erectile dysfunction and need to take medicine 2) If it is just psychological condition and need not worry 3) Or keep consuming 5mg/10 mg tadalafil every time having sex. But I am afraid this will be habitual and long term usage for next 15-20 years shall have side effects on my body and family planning 4) Or whatever you suggest is right Thanks a lot. Doctor: Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the more relaxed, happy and stress free you are the more levels of these neurotransmitters and better performance, it's also influenced by emotional factors with your partner, if any problem between them can lead to psychological erectile dysfunction which is common in young couples. and when partners stay away they are not doing sex often and they get distanced in emotions and some level of anxiety builds up when they perform." + }, + { + "id": 10282, + "tgt": "Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility?", + "src": "Patient: Dear Doctor,\u00a0 My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -> tropan 5mg and cranpac. Her bone mineral density revealed to scores of Osteopenia, and also Osteoarthritis. She is taking AcuCal calcium tablet and FreeFlex Forte. But her mobility is still very much restricted. So I want to know whether she can take SAM (S Adenosyl Methionine), and is it safe? Also If she can take SAM, what will be the dosage and duration. I am asking whether she can take this as a supportive to enhance her mobility. She is a pure vegetarian and on fat free diet. Her weight is 70kg, height is 5.1 feet. Please give your suggestion. Doctor: Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1836, + "tgt": "Why do I shiver a lot during the day and losing weight?", + "src": "Patient: I have fever very high which was not going I have taken overdose of tynel, advil. Now the fever is gone after taking medication. But now I feel shivering and having a feel like I am having fever but after I check there is no fever .my body weight is going down and I feel shiverings a lot during day but at night I feel very well Doctor: Hello, Sir, I am a family doctor from Icliniq and will try to answer your questions. It seems to me that you have two. The first concerns your use of Tylenol and Advil. You may not have meant to say overdose. If however, you have taken more than 800 mg of Ibuprofen or 1000 mg of Tylenol, those are excessive doses and could be associated with side effects. I would advise you to call the Canadian or US Poison Control Center. They give excellent free advice about overdoses. The second question is in regard to your fever and weight loss. I am not sure how long those things have been going on. With COVID-19 in your area, it is possible this could be your problem. There are many other causes of fever, such as influenza and various other viral and bacterial infections. Often when a fever falls, a person can feel chilled. Some things that you can do besides using Ibuprofen 400 mg up to three times a day or Tylenol 1000 mg three times a day include drinking alit of liquids getting rest and isolating your self from others. Things that would make you want to seek a doctor's care would be increasing cough, trouble breathing, chest pain, trouble thinking clearly or inability to care for yourself. I will pray that you feel better soon. Please let us know if you are not getting better or have additional questions." + }, + { + "id": 11130, + "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": 16185, + "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": 12049, + "tgt": "I have low vitamin D and testosterone. Is this the reason for my forgetfulness?", + "src": "Patient: Hi doctor, I am 50 year old. My height is 179 cm and weight 85 kg. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and confused. My sex drive has also been affected. I am doing exercise for about 1 to 1.5 hours daily, and still I am gaining weight. I have also persisting heel pain. I am partially bald. 14 years ago TRT was done. The report and medication are attached. My doctor has prescribed Arachitol 6 lakhs units once a month for three months. Please suggest some medicine for my condition. I would also like to know whether the TRT is required again. Thanks. Doctor: Hi. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testosterone injections once in 15 days. But neither low vitamin D nor low testosterone can explain your forgetfulness or confusion. It needs further evaluation to know the cause of forgetfulness or confusion. In that regard, I recommend the following tests to you. Serum vitamin B12, serum sodium, and serum cortisol (8 AM and 4 PM). Regarding your inability to lose weight, you need to increase the intensity of your exercise and go on a low-calorie diet." + }, + { + "id": 4020, + "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": 28968, + "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": 10948, + "tgt": "Kindly suggest me medicines to speed up the healing of a burned scar?", + "src": "Patient: Hello doctor,I had a cold sore arising on the border of my top lip and tried to stop it with alcohol and tea tree oil. The sore did not form, but I was left with a burn from the oil, and I pulled off the burned skin, leaving a small circular open wound. After healing, it started pink, but now it is whitish and sunken. It is hard to cover with makeup. This happened about three weeks ago. Will this heal back to normal skin color? If so, what can I use on it to even it out and speed up the process? The hole is tiny, like the size of a pimple. Doctor: Hello. I have gone through your case. First, you need to understand that it is normal skin response to heal with either hyperpigmentation or hypopigmentation (white color as in your case) whenever it gets trauma (burn or insect bite). Most of the time, lesion heals within four to six weeks. But if the wound is depressed as you have described then it means the scar is formed and unfortunately such injuries are sometimes permanent, but still, some do show response to the laser treatments. Please always try to send a picture for opinion. My advice is according to your description." + }, + { + "id": 13779, + "tgt": "I have a painless white blister on the scrotum. Kindly advise", + "src": "Patient: Hello doctor, I have a white blister on the scrotum for the past one year which is painless. Doctor: Hi. I have seen your query. With your descriptions, it seems you have developed a sebaceous cyst. Please get a review with pictures for better evaluation and the best possible treatment for your concerns." + }, + { + "id": 6851, + "tgt": "I am having reading problem in reading with time gaps and intense mood swings. What are the causes?", + "src": "Patient: Hello doctor, I have noticed recently that I am having problems with reading, and this has never happened before. I am usually good at reading but the other day when I looked at a paper and read it as \"65\" but I looked away and looked back, and it is actually \"75.\" This has been happening a lot with things like texts too. The first time I read a text, and it said, \"I am probably free,\" and it is very clear and definite. But then I looked away and back and it actually said \"I will probably be free\". They are similar, but it concerns me because when I read things the first time, it seems so definite, that is what it says. Also, I have noticed there is a kind of gap in time like I will be standing on one side of the room, and then I will be on the other side without really remebering walking there. Also, I have intense mood swings, like one night I will be listening to sad music and crying, but then the next night, I feel inspired and motivated to start a bunch of projects. Please help. Doctor: Hello. I read your query and understood your concerns. Although it is difficult for me to decide what is wrong with you, without talking to you but considering your age and kind of presentation, the most likely cause for such reading gaps is lack of attention. This is common in most of the youngsters. The second possibility is stress. Most of the adolescents are bombarded with a lot of information, and sometimes it becomes difficult to manage all the information while keeping things in order. According to my clinical experience, I see at least one or two adolescents complaining of forgetfulness and attention problems solely due to stress. I hope this helps you." + }, + { + "id": 27925, + "tgt": "Why did my father develop slurred speech two days back?", + "src": "Patient: Hi doctor, My 70 year old father has developed slurred speech from two days. He has diabetes, benign prostate hypertrophy, and history of vascular dementia. He does not have weakness, paralysis, or numbness. He does not have hypertension or any cardiac disease.\u00a0He refused to do a CT scan in the ER. His blood test including coagulation profile and troponin were normal. His HbA1C is 6.8, and the ECG was normal. Yesterday, the doctor started him on Aspirin 81 mg and Atorvastatin 40 mg.\u00a0He is on Risperidone 1 mg more than 10 years without an obvious diagnosis. The psychiatrist started him on this medicine because\u00a0of an acute psychotic disorder. An\u00a0MRI was done last year, and I will upload the report.\u00a0What should we do about the slurred speech? Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20185, + "tgt": "Since I was a child, I keep repeating some bad words and sentences inside my mind. I do not understand why", + "src": "Patient: Dear Doctor, Since I was a child, I keep repeating some bad words and sentences inside my mind. I do not understand why. Eventhough such thoughts are prohibited by our religion, my mind keeps saying certain words each minute without my control, sometimes I feel that I just want to hit myself. And also sometimes, I keep checking things, such as locking the doors or drawers and rechecking it again and again. I am now 27 years old and still cannot control this behaviour. Yesterday I searched in the internet and I understood that I have Obsessive Compulsive disorder. I feel shy to go to a psychiatrist or to tell my problem to anyone. Can I treat myself alone? I read on internet that there is a medicine named Prozak (fluoxetine). Can I buy this medicine by myself. Looking forward for your kind reply. Doctor: Hi. Yes, you are right. You have Obsessive compulsive disorder. The medicine you told is also correct. You should not treat yourself. It would be better for you to have regular contact with a psychiatrist. Shyness will not lead to any good. If you do not want to walk to a psychiatrist you can have a consultation with a psychiatrist online --->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1597, + "tgt": "I am taking Trepiline and Eltroxin for depression. Shall I replace it with St. John's wort?", + "src": "Patient: Hi doctor, I have been having terrible problems with anxiety and depression. I was on Trepiline and Eltroxin for depression when I was younger and I mainly want to know if I can substitute St John's wort for 25 mg Trepiline? These episodes definitely worsen around my period, so might a vitamin B supplement help? I am 35 years old. So far I have been managing this with breathing techniques, mindfulness, etc., but I really cannot carry on like this anymore. Please help. Doctor: Hello. See, just because Prozac did not work for you, does not mean that you will not respond to other medicines. There are at least 15-20 types of antidepressants. Depression and anxiety are very common and a lot of people have it. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. Things like St Johns wort, Eltroxin, etc., will only add to the effect of the primary antidepressant. It will never be a substitute for the medicines. Still, if you wish to try these, you can take St Johns wort twice a day, and also take L-Theanine 200 mg once or twice a day. L-Theanine is also an over the counter dietary supplement which shows good results for anxiety. If you have sleeping issues, you can take Melatonin 5 mg over the counter supplement at night. Yes, taking a probiotic compound along with Vitamin B will also help also. Take it once a day." + }, + { + "id": 6745, + "tgt": "I am on Fluoxetine for depression and anxiety. Kindly suggest Ayurvedic medicine for it", + "src": "Patient: Hello doctor, I am suffering from depression and anxiety. I take Fluoxetine 15 mg. Please recommend Ayurvedic medicine for me so that I can reduce Fluoxetine. Doctor: Hello. I read your query. Depression is curable if you are willing to fight against it. You are very young, and you have your whole life in front of you. In Ayurveda, depression is mentioned as vishad. In depression, your mind always occupied with negative thoughts. So the best thing is to divert your mind. Indulge yourself in creative activities. Go for yoga classes, dance classes, or whatever you are interested in. Do meditation regularly. Meditation is very useful in fighting against depression. Do exercise or walk daily. This will release a happy hormone in you, and you will feel good. In Ayurveda, a lot of medication is mentioned for depression. You can take 1. Ashwagandharishta 10 ml with water twice a day for two to four weeks. 2. Take capsule Brahmi one capsule with water twice a day for two to four weeks. 3. Take capsule Guduchi one capsule twice a day with water for two to four weeks. These medications will help you to fight against depression. You can also go for a panchkarma therapy named Shirodhara, in a nearby center. Here they will treat you with medicated oil. It is extremely beneficial for you. Do not quit your previous medication without consulting your doctor. I hope you are satisfied with my answer. For more queries, you can consult me. Life style or hereditory or some incident." + }, + { + "id": 30699, + "tgt": "Can you suggest a medicine to control aggression in bipolar disorder?", + "src": "Patient: Hi doctor, My mother has been diagnosed with bipolar disorder and no medicine help with her aggression. She is currently on Zolam and Clonafit. I have also attached her other prescription reports for your reference. My mother beats and abuses our maid. She defecates in the room whenever she wants to punish us as well as the maid.\u00a0She is more aggressive with females only. Can you suggest any other medicine to control her aggression? Doctor: Hi. I read your query and understood your concerns. First of all I feel that she is developing dementia as defecating in the room is not a characteristic of bipolar disorder. I understand she do it for punishing other family members and especially maid, but this is not something a person with clear bipolar disorder do. For clarification I will request you to get CT scan or MRI brain of her mind and post a detailed follow up query. I am sure that she is exhibiting signs of dementia, which includes forgetfulness, difficulty in keeping personal hygiene, agitation, difficulty in identifying time and place, especially during evening hours. Regarding her aggression, considering the history of bipolar disorder and possibility of dementia I feel the following can be done: Revert back with a detailed history to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8562, + "tgt": "What are the ways to increase platelet count in a dengue patient?", + "src": "Patient: Hello doctor, My friend has been diagnosed with dengue fever since last week evening. His platelets were 1,35,000 five days back, then decreased a day later to 1,17,0000. Then next day night he was admitted in hospital because his platelets reduce again and count was 80,000. After admitting, his platelets are still reducing. Next day evening was 66,000 and today morning is 60,000. But he is feeling well as compared to starting days. Right now he has very low fever, no headache. We are very worried about platelets count. How we can increase and why still platelets count are decreasing after admitting him? The doctor is giving only Paracetamol saline. No medicine. Could you please suggest what we need to do or it will recover soon? He is taking 5 litre water daily and fruits apple, kiwi. Doctor: Hello. Firstly, admitting the patient will not lead to an improvement in platelet count. The patient will be advised admission when the platelet counts are low because of the risk associated with bleeding due to low platelet count. Secondly, initially, there will be high-grade fevers then as the fever comes down that is called defervescence the viral load comes down and destruction of platelets comes down and platelet levels initially get stabilized and then gradually improves. Third, there is no medicine that can actually directly improve platelet count. Fourth, the only thing we should understand is to maintain good hydration and for symptomatic relief, we give saline for hydration and Paracetamol for fever and body pains relief. Fifth, to what level platelets go down and then start improving varies between patients that depends upon one's individual immunity status. So to boost immunity and catabolic state we need to provide nutritious food, fruits and maintain good hydration." + }, + { + "id": 10344, + "tgt": "Could you give your opinion about my eczema on the fingertips?", + "src": "Patient: Hi doctor, I am a 23 year old female who has developed dry fingertips. The skin flakes off to leave smooth raw skin that has pins and needles when touched. It started with the index finger of my left hand. I asked a pharmacist for an opinion, and he thought it was nerve damage and recommended steroid cream. Over the last six months, it has spread to fingers of both hands. During this period, I also developed an itchy rash on the inside of my elbows. When I went to the doctor, she said it as eczema and prescribed me Dermol, Doublebase cream, and steroid cream. My fingers have not improved over the past month, but my arms have. Could you please give me your opinion on the supposed eczema on my fingertips? I am not convinced on what it is. Thank you. Doctor: Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22091, + "tgt": "When will my blood sugar level come back to acceptable levels?", + "src": "Patient: Hello doctor, I was diagnosed with type II diabetes five years back. I have maintained good sugar control. Currently, I am taking Trulicity 1.5 weekly, Lantus nightly and 2000 mg of Metformin with my evening meal. Toward the end of last year, my diet was not good, as I was eating a lot of carbohydrates and I was also a little irregular in taking my medicines. About a week and a half ago, I got vigilant again about eating a low-carbohydrate diet and taking my medicines regularly. My blood sugar got as high as 380 mg/dl during this period. In the week and a half since I have gotten back on track, I have seen my sugars starting to trend downward. I have had readings as low as 164 mg/dl and the highest in the last few days was around 250 mg/dl. I am wondering if it typically takes a while for blood sugar to return to acceptable levels, once they have become as elevated as mine. And, do you think I need additional medication in order to achieve that? Doctor: Hello. Since you have started proper diet control, your blood sugar levels are getting better and better day by day. Yes, it does take some time to get back to normal once you are careful about your diet and exercise. You can check your HbA1c levels now and after three months to get an accurate account of how well your blood sugar is controlled, once you are back on track. If it does not work out then we can review again in three months for further management. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5620, + "tgt": "88 year old suffering from constipation. Please help", + "src": "Patient: Hello doctor, An 88 year old woman approaches the pharmacist seeking a recommendation. She has been suffering from constipation for the past several weeks and has not found relief with the remedies she has tried, including eating prunes and using a daily fiber supplement. On reviewing her pharmacy profile, the pharmacist confirms she is taking multiple long-term medications including the one to treat hypertension, diabetes, thyroid disease, osteoporosis, and asthma.\u00a0What can the pharmacist recommend to alleviate this patient\u2019s acute constipation and prevent recurrence? Doctor: Hi. For further information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 14101, + "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": 22333, + "tgt": "Can you diagnose the type of glaucoma from the iris scan?", + "src": "Patient: Hello doctor,I have glaucoma. Last week, I had an iris scan (USG). From the iris scan, are you able to diagnose whether it is an open angle, narrow-angle or closed angle? Currently, I am taking Timolol with Latanoprost eye drops. Doctor: Hi. From the scans (attachment removed to protect patient identity), your angles seem open. But we cannot diagnose glaucoma based on this investigation alone. Here is a list of investigation that you have to get done. After that only we can reach a conclusion. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26309, + "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": 7950, + "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": 30842, + "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": 30708, + "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": 19376, + "tgt": "What are the transparent gray colored thread-shaped things floating on my eye?", + "src": "Patient: Hi doctor, One day when I was walking in the snow, I noticed transparent gray color thread-shaped things floating on my eye. Especially when I concentrate on them and when it is bright. I have no other symptoms like blurry vision, eye pain or vision loss. They are very annoying and seem to drift when I\u00a0look at them. Is it dangerous? Please suggest some treatment for this. Doctor: Hello. For further queries consult an eye care\u00a0ophthalmologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29986, + "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": 21660, + "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": 12677, + "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": 19857, + "tgt": "What are the small clustered cystic areas seen in the left breast", + "src": "Patient: Hello doctor, I have multiple small clustered cystic areas seen in the left breast. Doctor: Hi. Nothing to worry about. Multiple small clustered lesions are benign (non-cancerous) cystic lesions. But you should do a baseline bilateral mammogram screening also (if not done early) and enroll in a breast screening clinic and a follow up every six monthly or yearly as per their screening protocol. In case you have any first-degree relative diagnosed with breast or ovarian cancer or any other cancer, then it is better to go for a genetic counseling also. The following conditions increase the risk for breast cancer: So be relaxed and just follow up a breast clinic. It is recommended in many countries after 40 years. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 58, + "tgt": "I get alternate stool pattern with anal pain while passing hard stools. Please help", + "src": "Patient: Hello doctor, Two weeks back, I suffered from loose motion. After injection and saline, I was well but after three days I felt pain in the anus portion because of hard stools. It is very painful and I started talking Taxim and sitz bath and cream that I got from the medical shop. I started applying it after a few days itching started and the pain was gone. In between these days, I just took no masala food like dal, curd, green, and veggies. Yesterday morning I had hard stool and stomach pain and anal pain also started. I have pain on touching while applying the medicine. Doctor: Hello. Well, it is uncommon to have burning in the anus when someone has altered bowel habits. Your symptoms might be occurring secondary to anal fissure for which you rightly took dietary precaution and local cream and sitz bath. Now you just need to keep taking fiber in diet or for temporary use can start syrup. Lactulose 15 ml at night time. Only thing you just need to do is avoid constipation. You can continue Xylocaine 2% four to six hourly for a few more days and then stop. Anal fissure. Follow up if symptoms do not get better in the next three days." + }, + { + "id": 14090, + "tgt": "What is causing green and brown stools with blood?", + "src": "Patient: Hello doctor, I have had green and brown poop with blood dripping in the toilet and on the toilet paper after the first wipe. But not on the second. Should I be very concerned? It has been like this for three days. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. As you are having bleeding per rectum, you should get evaluated properly. Bleeding in the proximal part of the gastrointestinal tract can cause brown colored stools. There are many causes of rectal bleeding like piles, a fissure in the anus, bleeding in the intestine, rectal ulcer, rectal polyp, etc. I suggest you consult a surgeon. You need proper examination and colonscopy or simoidoscopy. You can follow the mentioned instructions. Drink plenty of water. Take a diet rich in fibers like vegetables, salads, etc. Avoid oily, fatty and spicy food. You may need a stool routine and occult blood examination. Hemorrhoids, rectal polyp or rectal ulcer." + }, + { + "id": 16849, + "tgt": "Is it safe to take Glutathione when one is planning to conceive?", + "src": "Patient: Hello doctor, My 25-year-old wife is planning to use Glutathione as one of her dietary supplements. She is still trying to conceive. Is that okay? Is it safe? Will it still be okay to take Glutathione during pregnancy? What other dietary supplements would you recommend? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16541, + "tgt": "Is eye floaters an optical problem or neurological or a combination of both?", + "src": "Patient: Hi doctor, I am a 35 year old male. I have floaters in both eyes which developed after severe eye infection at the age of 28 with the use of welding light. Previously, I received treatment for stress. I had tablet Cipralex (Escitalopram) 10 mg for around 3 years. Currently, I am not on any such medication. While taking Cipralex, I used to get good sleep and my light sensitivity suppressed. I had undergone brain CT two years and four years ago, both were normal. My MRI and angio of scalp and brain done this year are also normal. I got meningitis vaccination in 2010 due to gulf visa requirement. I used to get routine eye check up and fundus examination every six months. My eye pressure is maintained at 18/20. In perimetry, there is no glaucoma. I have normal sharp vision of 6/6. I also got OCT recently to check retina. My problems are light sensitivity\u00a0and disturbed sleep. The light spot does not go away quickly. I am disturbed with dreams at night and no proper sleep. I have sound intolerance too. I would like to know whether my light sensitivity is a neurological problem or optical issue or a combination of both. My neurologist prescribed Flunarizine and Escitalopram for light sensitivity. I am concerned with these drugs as they are SSRI. I am bothered about my light and sound sensitivity along with disturbed sleep pattern. Kindly guide me. Doctor: Hi. Eye floaters. 1. Eye infection. 2. Migraines. 3. Sleep disturbance. Continue with current medications. Sleep hygiene. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20107, + "tgt": "Can I take Etilaam along with Mobizox?", + "src": "Patient: Hello doctor, I am taking antibiotic for bad throat and Mobizox for back pain. Since I get anxiety when I take flight, now can I take Etilaam along with Mobizox?\u00a0I hope they will not react with each other. Please\u00a0advise. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13450, + "tgt": "I had protected sex. Am I safe from HIV?", + "src": "Patient: Hi doctor, I had protected sex with a sex worker and according to my knowledge condom did not break and slip. Can I contract HIV? I took HIV combo test CMIA method at 28th-day and the result came negative. Again on the 35th day and 41st day both were negative. Please suggest. Doctor: Hi. Following are the answers to your query: Condoms are an excellent way to protect not only from HIV but also from other sexually transmitted infection (STI) and if you have used the condom correctly and it did not slip off or break, it is unlikely you contract HIV if your partner is HIV infected. It is always recommended to check the expiry date of it before using. Also at every time of sex, a newer condom should be used and water-based lubricants are always recommended with it. The risk of exposure is dependent on the length of time that had passed after the condom was initially put. No type of condom is 100 % effective against HIV or for any STI, but if you and your partner are having sex, nothing protects better against these than a properly used condom. Using a latex male condom can greatly reduce but not entirely eliminate the risk of HIV or any other STI. You increase your risk of contracting HIV and for that matter any other STI if you have multiple partners. It is really good that your HIV test is negative on 28th, 35th and 41st day post-exposure. But, as per the recommendations, I still suggest repeat HIV rapid test at three months and if negative, then at six months. You need not repeat in between." + }, + { + "id": 13805, + "tgt": "My hair becomes wet even without applying oil. I also have hair fall. Please advice", + "src": "Patient: Hello doctor, I am a 30 year old male. My height is 155 cm and I weigh 63 kg. I am facing hair fall for one year. Now it is even more severe. Till last year, I was having dandruff problem also, but after mundan (hair tonsuring), there is not much dandruff but hair fall has not stopped. Below are the symptoms. I used to wash my hair once in 3 days earlier. But within 2 days, my hair becomes wet even without applying oil. Because of that reason, nowadays, I wash my hair once in 2 days. Because of any reason, if I do not have a hair wash for 3 to 4 days, my head smells very bad and becomes wet. I do not know about my hair type, so I used to change my hair shampoo frequently between anti-dandruff and anti-hair fall. I got married four years back. Till that time, there was no hair loss and I had not observed any baldness. My father has baldness but, he got it at 40 years of age. But now, it looks like I am in the final stage of becoming bald. I have attached pictures of the same. I travel to South Korea very frequently for a minimum of 3 months a year. This weekend, I am traveling to a foreign country, so I need to buy any medication for hair fall (if needed) before going. I want to know my hair type and remedies for hair fall. Doctor: Hi.I have worked through your query and have understood your health issues. I have gone through the pictures (attachment removed to protect patient identity), I assure you not to worry. This is the most common disease of men at this age. It is actually the male pattern baldness and you are lucky that you had noticed at such an early stage. It is stage 2 baldness and has just started." + }, + { + "id": 11669, + "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": 18126, + "tgt": "I feel difficult to breathe while sleeping. Why?", + "src": "Patient: Hi doctor, I am a 25 year old female with one year old baby. Suddenly from last 10 days when I feel asleep something blocks my breathing. When I wake up and stand for a while, I will get back my breathing slowly. Immediately after that I get some continuous burps. It feels that something has stuck in my throat and my husband says that some sound like water falling also comes in the process. The whole process lasts for two to three minutes and slowly comes to normal again. The problem occurs only when I feel asleep. I have been diagnosed for mucous, asthma, ECG, etc., but all showed normal conditions and the exact cause cannot be identified. I am taking Rablet D and another gas related tablet prescribed by the doctor. Please help. Doctor: Hi. These symptoms look like purely gastritis. At the time of normal acid production while sleeping we will not have any problems. If acid production in stomach is more, then while lying down acid tends to come to esophagus (upwards from stomach). It can come up to throat. Acid causes irritation of diaphragm (sheet separating lungs from stomach), which can cause increased breathing. The sensation of something stuck in the throat is severe irritation of throat due to increase in acidity in stomach. If gastritis is present, then the acid comes up to the throat called regurgitation and causes this sensation. Burping is due to acid and air coming up due to gastritis. Rablet-D (Rabeprazole) is correct choice of a tablet. But, the potency and quality is very less. Gastritis can due to many reasons like not eating food at proper intervals, drinking too much coffee or tea, eating hot and spicy foods, cola and junk foods, less sleep, increased work pressure, tension and too much of worrying. Follow the points mentioned below for a month. Try tablet Pansec DSR (combination of Domperidone and Pantoprazole) one tablet before food in the morning and night. Also, take syrup Mucaine Gel 10 mL after food thrice a day for one month. Revert back after a month to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8895, + "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": 9040, + "tgt": "Can urine levels be indicative of stage 3 CKD?", + "src": "Patient: Hello doctor, I am a 62-year-old very fit male. I lift weights three times a week and use the stair master for 30 minutes five times a week vigorously. I have had this same routine for the past 20 years. I am 5'7\" and weigh 160 pounds. My serum creatinine was 1.33 16 years back, and for the past 16 years, it has fluctuated from 1.34 to 1.48. There was one test done last year that came back at 1.2. However, the latest test result was 1.38. All other values are normal. BUN is always around 15 to 20. My spot urine protein was 7 and my spot creatinine was 85. Based on the serum creatinine levels alone my eGFR is low indicating stage 3 CKD. This seems crazy to me. All my blood work is perfect except for the creatinine. My lipids are great, my BP is 120/75, my fasting glucose is 98 to 100, and A1c is always 4.6 to 4.8. I am not on any drugs, I do not take creatine supplements, I do not take any medication. I do not take NSAID. If I had stage 3 CKD, would the urine levels be indicative of disease? Also, how can the creatinine be elevated with normal BUN? If CKD, would the kidneys not functioning increase the BUN at the same time? This makes no sense to me. Since level has held steady for 16 years, is that evidence of no disease? I have been told that higher muscle mass may lead to elevated creatinine, but I do not have huge muscles. Is it possible that the muscle metabolism from exercise is always creating elevated creatinine? Does this sound like stage 3 CKD to you? I have had Gilbert's disease so bilirubin is always elevated at about 2 to 3 for the past 40 years. No other conditions. Doctor: Hello. I went through your reports (attachment removed to protect patient identity), see basically beyond 40 years of age, there is 1ml/min/1.73 m2 decline in eGFR per year, and that is a normal physiological response because of an increase in age, same as skin wrinkles, since you have high creatinine, but is static and there is no protein in urine, your chronic kidney disease is very slowly progressing. Differential diagnosis, in this case, is chronic tubulointerstitial disease or benign nephrosclerosis, as you told you are not taking any drugs, NSAIDS, gym supplementation. About confirming the diagnosis, it will need a kidney biopsy to confirm it. But whatever disease it is, it is slowly progressive and mostly probably will behave same way for next 10 to 15 years. What you need to do is restict protein in diet to 0.8 gm/kg/ day, less salt, blood pressure monitoring. Avoiding alcohol, tobacco products, weight management." + }, + { + "id": 9234, + "tgt": "Can I get my facial nerve repaired if gets damaged during mastoidectomy?", + "src": "Patient: Hello doctor, I am about to undergo a mastoidectomy next month, due to long term cholesteatoma (over five years). The surgery will entail removing a large amount of the mastoid bone. Of course, with this surgery comes the risk of damage through an incision of the facial nerve. This worries me a lot more than the pain of the operation and hearing loss (even though as of late I am pretty much deaf in my right ear and have been for quite a while now). But If I were to have my facial nerve damaged in this surgery is there chance of repair? Would it depend on the severity? Doctor: Hello. The risk of facial nerve injury even in revision mastoid surgeries is less than 10 %. However, if there is cholesteatoma sitting on the facial nerve or facial canal is dehiscent, there is more susceptibility to FN (facial nerve) damage. Is there any prior facial weakness. Meticulous dissection of cholesteatoma ideally should not damage facial. Even if there is damage and it is recognized intraoperatively, it can be corrected by various means. So yes there are techniques to deal with FND (facial nerve damage) if it occurs but the best to ensure it is not injured is to identify it and carry out meticulous dissection of the disease and remove the disease or leave the matrix over the facial as situation demands." + }, + { + "id": 30253, + "tgt": "I am unable to pull my foreskin as there are many cuts. Why?", + "src": "Patient: Hi doctor, My penis foreskin circumference became white. I am getting pain while opening that and I have many cuts on that. Doctor: Hi. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8886, + "tgt": "The area around naval region has sunken after C-section. Why?", + "src": "Patient: Hello doctor, I had a C-section delivery last month. Although stitches are healed and I am not having any trouble in the incision area. Since the last one month I am noticing that the area around my navel region has sunken in. I am having a rounded depression starting from the belly button to downwards. I am not having any pain in the area. Can you please have a look at the pictures and let me know what it could be. Doctor: Hi. I have seen your images (attachment removed to protect patient identity). This is not abnormal. Your tummy fat is dissolving which was accumulated during pregnancy. Your uterus is also sinking that is why your tummy appearance is like this. It might take a couple of months to get it normal. As you had C-section recently so I will not suggest any exercise. You can use an abdominal belt if required for support. After six months, you can start exercise to get it in normal shape." + }, + { + "id": 11758, + "tgt": "What is the treatment for recurrent OCD?", + "src": "Patient: Hello doctor, I have an obsessive compulsive disorder. When I was taking Uvox for four years, it was all fine. Now it relapsed, and I am taking Uvox before I used to take Stalopam. Can I get back to my healthy life and go office rgularly where I have to do brain work for nine hours? Please let me know. When I will get my healthy life back? Doctor: Hello. OCD responds well to medication (SSRIs - selective serotonin reuptake inhibitors) and psychological therapy (CBT - cognitive behavioral therapy). I presume you are on Fluvoxamine which is useful in OCD. You need to be monitored by your doctor to optimize the dose and monitor for any side effects. If there is no adequate response, alternative SSRI like Sertraline can be tried. Once your symptoms are under control, you can continue to work and function normally. There are lots of people with OCD who are on medication and continue to work well. Also, try to have CBT for OCD which will help to prevent relapse in the future." + }, + { + "id": 8942, + "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": 30935, + "tgt": "I am getting on and off bumps on the penis. What are they?", + "src": "Patient: Hi doctor, I have had these bumps\u00a0on my penis for a while. I have been looked at by a dermatologist and he said that it was nothing. As it keeps getting red, I thought it was some yeast infection and applied cream on it. It was a three year old cream and I believe that has what made it worse. I have attached two pictures here. Some help would be greatly appreciated. Thank you. 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. It does seem like a candidal infection, especially if there is some itching or burning sensation. You may consider getting your fasting blood glucose levels tested. 1. I suggest applying antifungal cream over it preferably one containing Sertaconazole or Clotrimazole twice a day for two weeks. 2. In addition, I also suggest tablet Fluconazole 150 mg one tablet a week for two weeks and an antihistamine like Levocetirizine 5 mg once or twice daily if there is any itching or burning. Consult your specialist doctor, discuss with him or her and take the treatment with consent. If your partner has any yeast infection, then it may be getting transmitted. Revert back after two weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8326, + "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": 3455, + "tgt": "My brother is affected with chickenpox. Will my pregnant wife get the infection soon?", + "src": "Patient: Hello doctor, My wife is 8 weeks pregnant. Two weeks back my brother got infected with chickenpox and after that, even my sister in law is infected with chickenpox. My wife has already had chicken pox in her early schooling days. I have a few questions. Is it advisable for my wife to stay in the same house as we are? Would there be a chance that a person would get infected more than once in a life with chickenpox? We performed a varicella IgG test for my wife and the report says equivocal, what does this mean? (I have attached the report). How bad and critical is it for her to get infected at this stage of pregnancy? Is there anything that could be done to protect the baby if she gets infected? Doctor: Hello. I have seen the report. (attachment removed to protect patient identity). I can understand your concern. I will answer one by one. As you told me it is 8th week I would like to tell you that in the first 12 weeks the overall risk of transmitting infection to the child and development of severe disease in child is only 0.4 percent. In your case, the mother already has protective antibodies (IgG antibodies), cutting down the risk further. But still, we do not want to risk the child whatever risk may be. So I will advise for isolation of mother or patient until all the lesions of chickenpox get crusted because after they crust, they get noninfectious. The chance of getting chickenpox again in life is a rare phenomenon but at times if the immunity is low it may occur. Equivocal in the report means that the mother has protecting immunity against chickenpox but not very strong. It would be strong if the levels were more than 12 but it is not negative. That means the mother can fight some infection. It is not very bad to get affected at this stage, but if it happens near the delivery time or within five days of delivery then it is very bad. Right now, even if she gets infected, she will develop immunity and pass on to the baby. Some antiviral drugs can be given if infected, but I do not think she requires it now. And yes definitely, until the infective stage of your brother and sister vanishes you should think of isolation." + }, + { + "id": 18065, + "tgt": "Had sex 12 days after my periods and had an I-pill. Will I get pregnant?", + "src": "Patient: Hi doctor, I am a 26 year old female. I had my period on 21st and had unprotected sex 12 days later. The next day I took an I-pill. Then, I have had unprotected sex three to four times in the last four days. What are the chances of me getting pregnant? What can I do to prevent pregnancy now? Should I take another I-pill or some other I-pill? I understand that I should be more careful about this from now on. Doctor: Hi. If you have regular monthly menses, then mostly you will not have any problem. The second thing is that after four days you cannot do much more. If you have intercourse three to four times in the last four days, then you should have taken precautions or tablets before and not after four days. Now, you have to wait for your period to come. One positive thing is that, if you have regular monthly period, then your expected period is around the next two days. The last 10 days before menses are coming in safe period and you do not have chance of pregnancy if you have unprotected sex during this time. You can go to the doctor and ask for copper-T as emergency contraception today only. It can be placed up to five days after sex. It inhibits implantation of pregnancy. Also, there is no study if you take I-pill for two times in one cycle will be effective or not. So, it is not that easy and also, it can disturb your cycle for at least one or two cycles. Either go for the copper-T or wait for your period for more than four to five days. If you did not get period, then do a urine pregnancy test. If that is negative, then wait for sometime. If that is positive, then you will need early termination. Have protected sex and stay safe. I-pill is emergency contraception and it is not like you can take whenever you like. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29172, + "tgt": "Why does my skin surrounding the surgery area look black and dead?", + "src": "Patient: Hi doctor, I am a 57 year old female. I am 4.3 feet tall. I underwent a leg surgery 11 months back. The surgical wound has been infected three times already with pus discharge. After cleaning the discharge,\u00a0a small area remains unhealed, and the implants fixed during surgery can be still seen through this area. The skin in this area has become black and looks dead. I already\u00a0have thyroid and arthritis. Is there any way to treat the infection without removing the implants? Doctor: Hello. Kindly post the images of the affected leg and the infected wound after the surgery. I will be able to comment only after seeing the photos. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6438, + "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": 19373, + "tgt": "I have high SGOT, SGPT, cholesterol and triglycerides levels. Please help", + "src": "Patient: Hello doctor,My blood test show SGOT and SGPT 100 and 239, respectively. Cholesterol level is 314 and triglycerides is 209. Kindly suggest which specialist doctor I should consult for both. Doctor: Hello. Your concern is regarding which doctor to consult. So you can consult a physician or gastroenterologist for examination and management. I would like to give you some information regarding your reports (attachment removed to protect patient identity). You can have metabolic syndrome and so measure your blood pressure as well. Fatty liver has to be ruled out here by USG abdomen scan. Udiliv (Ursodeoxycholic acid) tablet can be prescribed to bring down liver enzymes value lower. To reduce cholesterol you can be prescribed Rosuvastatin 5 mg OD daily. You have to restrict fatty foods. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6639, + "tgt": "My heart rate is 160-170 bpm after exercise. Is ST depression normal after exercise?", + "src": "Patient: Hello doctor, I recently began doing cardio exercise and noticed that my heart rate would go upto 160-170 beats just after a few minutes of exercise. I got some anxiety about it and purchased a portable EKG monitor. Everything showed up normal when taking it while resting. But it shows ST depression after working out. So I consulted my family doctor, he has done an ECG, and nothing showed up. I tried explaining to him it was showing some change after exercise, but he seemed to like it was not a concern and said it is normal to show a change after exercise. But I read something that, showing ST changes after exercise is a bad sign and can be CAD. Is it something I should be concerned about? Or is ST depression normal after exercise? Doctor: Hello. Heart rate going up might be related to you being unaccustomed to activities. At your age, normally you are expected to attain a heart rate of 180 bpm with exercise. So nothing to worry about it. Some ST depression does occur during exercise, but it is physiological and upsloping, and can only be commented upon after seeing it. However, considering your age and no symptoms while running, it is likely a physiological depression. If you can get tracing, then that would be confirmatory. I hope this helps." + }, + { + "id": 24935, + "tgt": "Do I need a root canal treatment compulsorily?", + "src": "Patient: Hi doctor, I had a cavity in the tooth. The X-rays show it was small but when the dentist drilled the nerve got exposed and is telling me I need a root canal along with crown. He has put a temporary filling for now. How do I know if I need a root canal for sure? Doctor: Hi. If the nerve/pulp of the tooth is exposed, there is no other course of treatment except root canal treatment. You can confirm the same using x-ray, IOPA of the tooth. If no treatment is continued or a permanent filling is placed, the tooth will continue to experience pain. The infection will spread deeper to the root and might even cause an abscess. So, it is very important to continue with the treatment. You can send a picture of x-ray to confirm about the necessity of treatment. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8828, + "tgt": "I see some floating images and a small flash of light in both eyes. Please help", + "src": "Patient: Hi doctor, I am 29 years old, and I see some floating images and sometimes see a small flash of light in both the eyes. I consulted a doctor, who told me to take Vesoret capsule and use Nevanac eye drops for three months. But after using it for three months, there is no difference. Please give me some suggestions. Doctor: Hi. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 19404, + "tgt": "What are the side effects of Gorochanadi Gulika?", + "src": "Patient: Hi doctor, My daughter is 2 years and 5 months old. She was on tablet Gorochanadi\u00a0Gulika when she was 1 and a half year\u00a0old. She took it for a month to balance her vata-pitta dosha, and she was all right. This year also the same medicine was advised as she was not very active, and I am giving her the tablet. I want to know the side effects\u00a0of the drug. And how to diagnose them? Doctor: Hi. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult me. Thank you. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7601, + "tgt": "Kindly view my health checkup reports and provide your opinion", + "src": "Patient: Hello doctor, Please review my report and advice. Doctor: Hello, Welcome to the icliniq.com. I have checked your attached report (attachment removed to protect patient identity). The blood sugar, cholesterol, and creatinine like values are absolutely within range. Your red blood cells count borderline low but hemoglobin and HCT (hematocrit) within range. So no need to worry about that. Your lymphocytes count is borderline high. It can be raised due to a temporary viral infection. It will fall within a range in a few days. So no need to worry about that also. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 26557, + "tgt": "I never had an injury. Why do I still have persistent back pain?", + "src": "Patient: Hello doctor, I am a 29 year old female.\u00a0I have been dealing with back pain for over seven years now. I have never been in any type of injury and had MRIs done of my brain, cervical, lumbar, and thoracic spine five years ago. They stated I had three bulging discs and an annular tear. My thoracic spine noted a few scattered hemangiomas and a\u00a0questionable small vascular anomaly in the midthoracic vertebral body. This is where my pain hurts the most. On the cervical spine MRI, it stated that I had a\u00a0narrowing of the canal with degenerative disc disease with no spinal cord abnormality. My MRI of the brain came back fine with some inflammation within the paranasal sinuses and moderate lymph nodes in the neck which may be suspicious for shotty adenopathy.My first positive ANA was four years ago with elevated antistreptolysin O Ab, but never have I had strep throat or ever been diagnosed or treated for it. I had my adenoids removed when I was young. My CBC was all normal except for a slightly deranged RBC and hematocrit levels that were lower than the\u00a0normal range. My TSH was elevated at 5.870, but I believe I had that retested later on, and it was within normal limits. I was then referred to a rheumatologist due to the\u00a0positive ANA and other symptoms that I was having. Their results concluded no elevation of dRVVT or a PTT and ruled Lupus screening negative due to my levels being within normal limits. My C3 is at 121, C4 is 31 and rheumatoid\u00a0factor. Doctor: Hello. I went through your post. You have not\u00a0mentioned what you want to know and what your current problem is. Regards. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 11609, + "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": 15914, + "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": 3104, + "tgt": "Please interpret my NT scan and advise me the risk of syndrome with my pregnancy", + "src": "Patient: Hello doctor, Please explain my NT scan report and double marker test. My present age is 44 years. My NT scan was done on 12w 5d. Crl - 64.1 mm Nasal bone present Nt - 1.8 mm Ductus venosus - normal flow Placenta - anterior Double marker result: Hcg corr mom - 1.64 Nb present Nt corr mom - 1.12 Papp a corr mom - 0.42 Down syndrome - 1:81 Edward syndrome - 1:3234 Patau syndrome - 1:3135 Please explain whether I can continue with my pregnancy? How far is the risk? Doctor: Hi, Welcome to icliniq.com. NT scan is just a screening test to pick-up cases of Trisomy. Nuchal translucency of <3.2 mm, nasal bone seen and normal blood flow in ductus means the chance of trisomy is very low. To confirm this doctor has done a double marker test. They too are within normal limits. These values are extrapolated over a graph of general values, as MOM- multiples of median. Both the markers are normal. In your case, only risk factors which have given a risk of 1: 81, is your age (any ratio < 1:250 has to be further investigated), which unfortunately cannot be altered. When the values are graphed over your age, they fall at high risk. But do not worry. So the ideal next step is to undergo an amniocentesis at 14-16 weeks of pregnancy and genetic analysis can give you a diagnostic result. I feel it will be normal. Just relax and wait for that normal result. You can definitely continue the pregnancy. I hope this helps." + }, + { + "id": 21040, + "tgt": "My headache persists even after pituitary tumor surgery. What to do?", + "src": "Patient: Hi doctor, My son had granules of the pituitary gland, and it was removed through the nose by surgery around a month ago. Now, he is getting an occasional headache when he goes out in the sun and when meals delayed. He has a history of a severe headache, and it has not improved with the drugs of a migraine. So, MRI was done, and a pituitary tumor was identified. It was a granuloma as detected by the pathology report. & off. Now, he is on Hydrocortisone 5 mg mane, Vespar 10 mg nocte, Thyroxine 100 ug mane and KCL one tablet twice daily. What should we do now? Doctor: Hi. I read your query and understand your concerns. Although headaches are common after pituitary gland tumor, the presence of on and off headaches after one month of surgery indicates more possibility of continuing migraine rather than surgery. This is evidenced by triggering of headaches following sun exposure and delay in meals. Above all the positive history, migraine for years indicates that a migraine is continuing and pituitary adenoma was just a coincidental finding which was revealed on MRI scan. Regarding management of a migraine, I feel the same treatment which was effective in the past for migraines should be continued. In case no such progress achieved till date, then we need to look for alternative options to control migraine headaches. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24004, + "tgt": "Are my problems related to liver, spleen or colon cancer?", + "src": "Patient: Hi doctor, I am 26 years old male. My weight is 244 lb and height is 5 feet 10 inches tall. I have anxiety for almost three years now. I read almost everyday about cancers and my symptoms. I had a blood test six months back and everything came back good besides the white blood cells which were 11.3 and they told me that it is not something to be of concern. I do have diarrhea sometimes. I have a hemorrhoid problem too. I am feeling fatigue but mostly when I have stress or when I think about cancers. My pee in the morning only is kinda orange color. I am having little pain on left side under the rib. I read that it can be spleen cancer. Also, I have little bit pain on right side under rib which they say it can be liver cancer. So, my concern is I might have colon cancer or prostate cancer or spleen or liver cancer. I do not know why I am feeling this way. I still can eat good and drink, it did not effect me. Please try to answer my question in the best way possible. Doctor: Hi. I understand your concerns. I will explain some facts. Most cancers are painless and cause gradually progressive symptoms like for example: Your symptoms are less likely to be due to cancer. The dark orange urine in the morning is common due to dehydration over the night. You should drink plenty of fluids. The pain in the left side could be muscle spasms or other causes like a kidney stone or colon spasms require further assessment. Can you describe the pain? Is it colicky or wake you up in the middle of the night? The pain on the right side could be muscle spasms or gallbladder stone or kidney stone (require further assessment). Finally, as there are no suggestive symptoms of cancer and you do not have a strong family history of cancer, so you should not worry about this issue. In case you have anxiety that you cannot control, I can suggest you some medications. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18344, + "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": 29556, + "tgt": "What would be an efficient way to cover chipped tooth?", + "src": "Patient: Hi doctor, I am brushing twice daily and maintaining good oral hygiene. My teeth are deteriorating and chipping. What would be an effective and cheap way to cover chipped front teeth? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9423, + "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": 15642, + "tgt": "Kindly explain non-FDG avid in a PET scan of a breast cancer patient", + "src": "Patient: Hi doctor, My mother had breast cancer 13 years back, and this year again she has been diagnosed with bone only metastasis as per the report. She is currently on Letrozole and Ibrance for the last five months. Initially there was bone pain near pelvic, and so did the ultrasound, in that it came minimal ascites, following that we did CA 125 @ 104 and CEA @ 47 five months back, followed by CT and PET CT scan and biopsy (the biopsy was done from bone and not from omental which came positive for breast cancer origin and negative for colon and intestine CA. In both, there were two observations. Non-FDG avid bone and generalized haziness. What is non-FDG avid that is described in PET scan? What is a generalized haziness, omental metastasis from breast cancer? What can be the cause? Before two months, we repeated CA 125 which came 33 from 104 at initial diagnosis 2 CEA @ 29, 47 at the initial diagnoses. Doctor: Hi. I can understand your concern regarding the new findings on CT PET Scan of your mother. She is having multiple bony metastases proven radiologically and pathologically. The generalized mesenteric and omental haziness with raised tumor markers Ca 125 / CEA, these findings raises suspicion of peritoneal involvement. But, there is no clear nodule or mass found in the abdominal cavity. So she needs a close follow-up and further investigations. She has proven bone metastasis as confirmed pathologically and radiologically (CT scan) with out uptake of FDG. Non FDG avid means her some bone metastasis have not taken up FDG. Usually, tumor and the metastatic site takes up FDG But here bone metastasis has been confirmed already by CT scan and biopsy. At this stage, I would suggest you discuss with your oncologist for a possible laparoscopic evaluation of the abdomen (peritonuem, omentum, and mesentery). It will show any visible suspected lesion in the abdomen and biopsies can be taken from any suspicious lesions or she can be put on close follow up and a PET CT and tumor markers can be repeated after two months. They should also drain the abdominal fluid and send it for analysis (cytology for malignant cells). Also, she may need transvaginal ultrasound that is very sensitive to detect any ovarian tumor. Because ovary is one of the common causes of peritoneal and omental involvement. She may also need to do an MRI whole spine as there are multiple vertebrae (spine) metastasis. There is a risk of spinal cord compression and MRI can detect it early. Did she have a previous surgery of the uterus or ovaries or any abdominal surgery?" + }, + { + "id": 3308, + "tgt": "I experience stomach cramps, excessive gas, belching and bad taste. Please help", + "src": "Patient: Hello doctor, I am a 42-year-old male. My height is 5' 11\" and I weigh about 120 kg. I do not do any exercise. Just a month ago, I experienced painful stomach cramps, diarrhea, excessive gas, sweating, and belching with bad taste which lasted for one night. I rested up for two days and felt much better but a cold sore appeared on my lip which again only last a few days. I am not sure if it is related but quite shortly the aforementioned incident I noticed enlarged papillae slightly apart from the others. I was naturally curious so rubbed it with my finger and it did not feel any pain so I just forgot about that. Shortly after I started to feel pain in my tongue, the pain would change location throughout the day and often move to my hard palate. I then noticed my tongue appeared white coated. I started to use oral thrush lozenges, rinse my mouth with mouthwash, gargle with warm water and salt, brush my teeth and tongue before bed (I never used to). After a few weeks, my tongue appeared pinker but the pain is still on and off. I finished the lozenges hoping that would be the end of it but I have noticed today that my tongue again appears white-coated and I now feel sore on the hard plate near the front teeth, also a new cold sore has appeared. I have read and looked at the photos about oral thrush, hairy tongue and so on but really I have no idea what my condition is. I have not been to see a doctor or dentist because quite honestly I am very scared. Reading that white-coated tongue causes can be anything from excessive alcohol, tobacco use right through to HIV or cancer is simply terrifying me. I did purchase a diabetes home test kit (urine) which did not show any traces. I drink and vape once a week but on that day I consume both excessively. Please shed some light and guidance. Photos run in chronological order. Doctor: Hi. First of all, thank you for the detailed history of your symptoms and photos which you have attached. (attachment removed to protect patient identity). Before I discuss further about possible diagnosis let me assure you that your symptoms or the photos you have sent do not show anything sinister in your mouth or tongue. Analysis of your symptoms are suggestive of a condition known as laryngopharyngeal reflux disorder (LPRD) where backflow of digestive acid causes significant injury to throat and mouth structures including tongue and palate. In your case symptoms seems to be triggered by an initial attack of acute gastritis and reflux, which may have caused significant injury. Acid can injure tongue papillae causing a coating of tongue, multiple small ulcerations, inflammation of tongue papillae. If the reflux continues to occur it can keep injuring different areas of tongue and mouth leading to migration of symptoms. Occasional binge drinking and vaping seems to be causing further damage to already injured tissue. You may need to take a few week course of anti-reflux medications and avoid drinking and vaping while on treatment to facilitate the healing process. Other than this I do not see anything dangerous as per the photos you have attached. Also, it does not look like oral thrush (oral candidiasis). So antifungal lozenges may not be of much use." + }, + { + "id": 25535, + "tgt": "Reports suggest high cholesterol levels. What medicines do you suggest?", + "src": "Patient: Hello doctor,My mom is 66 years old. She is living a healthy life. She has no health complications as such but she complains that she is exhausted after doing very little work. So, just as a measure, we got her blood test done. The reports (lipid profile) suggests that there is some issue with cholesterol levels. I have attached two reports, one which is latest and another one two years old. Can you please have a look and examine the situation? Here the pathologist suggested to start immediately taking the below medicines: Ecosprin 150 (one tablet daily in the afternoon).Avas 10 mg (one tablet daily at night).Another tablet called Atorvastatin 20 mg (is it better than above medicines?).Along with brisk walking for one hour every day, consuming flax seeds and avoid intake of desi ghee.I have few questions for you please: What do you suggest after examining the reports? What medicines and other things you suggest for her? Will that medicines be for a lifetime or for a limited time? What precautions my mom should take? What lifestyle my mom should follow now? What foods should she favor? What is the role of the medicines which he suggested? Any other suggestions which will help her to get back to normal/healthy reports? Looking forward to your help. Doctor: Hello. I have evaluated your mother's reports (attachment removed to protect patient identity). Her cholesterol is high and at this age, she should be started on medicines. Her thyroid levels were high in the previous reports. I want to know the current status. Following are your answers: I hope it helps. Good luck. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25819, + "tgt": "How to quit cigarette smoking in three weeks time?", + "src": "Patient: Hi doctor, I want to quit smoking. Is it possible to quit cigarette smoking within three weeks time? What are the side effect after quitting cigarette smoking? Is Nicotex recommended by medical council? Doctor: Hi. Yes, you can certainly quit cigarettes within three weeks. Because, smoking habit is more about self-control and determination than anything else. Also, medical council does not recommend any one particular brand or medicine. It recognizes that Nicotex (chewing gum with Nicotine) is legal and in my personal opinion, it is a very helpful substitute for quitting smoking. There are no side effects after quitting smoking. Once you quit smoking, you will only have an urge to pick up the cigarette again, but this you should be able to fight using Nicotex. Also, this is not going to be an easy path. So, I recommend you to have a social support from your group of friends and family. Also, give a strong reason to yourself while fighting the urge to smoke. It is an excellent step towards a better way of life. Also, you must drink a lot of water, more than usual to detoxify your body from all the toxins that the smoking has produced inside and this will also help you to avoid smoking in the future. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23799, + "tgt": "Are my dark nails normal?", + "src": "Patient: Hello doctor,These are my nail picture. Are they normal? I think they are little dark. My mom says I had this kind of nails from childhood. I am physically active gymmer for last two years. I play cricket at the professional level. Just want to confirm and get peace of mind. I had full body blood test last year and all went alright. My hemoglobin is 16. Doctor: Hi. I saw your pictures (attachment removed to protect patient identity). Nails are absolutely normal with minimal pitting in few nails which is considered as normal physiological changes in many individuals and dryness in proximal nail folds in few nails, for which you can try Xerina moisturizer (Glycolic acid, Urea, etc.) twice daily after bath on affected nails. No further evaluation is required. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27576, + "tgt": "My migraine medicine is causing side effects. What are my options?", + "src": "Patient: Hello doctor,I am suffering from a migraine for the past five years. I took Sibelium for four years, but it caused me to put on so much weight. So, I stopped taking it. Now, I have a migraine\u00a0again. What should I do? Doctor: Hello. I have gone through your query and understand your concerns. Hope you found the answer helpful. Do get back to me for further queries. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 15373, + "tgt": "What are the symptoms of having a blood clot in the lung?", + "src": "Patient: Hello doctor, What are the symptoms of having a blood clot in the lung? Doctor: Hi.The common signs and symptoms of having a blood clot in the lung (pulmonary embolism) include: In case of any of these symptoms, consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20396, + "tgt": "Which one is the better eye surgery option- LASIK or SMILE?", + "src": "Patient: Hi doctor, I want to go for a corrective surgery and am confused between Contoura and SMILE. I request you to please give your opinion on the following doubts of mine. People say that all LASIK surgeries involve greater cornea related risks which SMILE does not. Your view on this? While for SMILE people say that actual corneal depth removed is more and even the appearance objects after SMILE is very artificial and is not as sharp or 3D like in Contura. Your view on this? Also, is there any clause like if one is not able to focus eyes on point or concentrate (which is totally in hand of the patient in SMILE) then he should not opt for SMILE as there is a risk of hurting eye. Is that true? Also, irrespective of which one we do, are these surgeries always accompanied by halos, glares and night vision problems? Finally, I am getting married in two months and I would be required to indulge myself in all the dance rehearsals, makeup, market traveling, etc. What do you think, is it the right time to go for a surgery? And which one (that is less risky and recovers faster)? Doctor: Hello. 1. If LASIK has greater corneal risk than a SMILE? This is true. LASIK does have a greater risk of flap-related complications. In SMILE, as there is no flap created, there are no complications associated with it. 2. Corneal depth in LASIK vs SMILE. The depth in LASIK is dependent on your refractive error. The more your refractive error, the more will the tissue abated. In SMILE, the thickness of the lenticular is preset by the surgeon and does not depend on the refractive error. In both procedures, the surgeon can also take measures to conserve thickness. So the answer is that it depends on the surgeon and your refractive error. 3. The sharpness of images Contoura vs SMILE. There are various studies done on this and a majority say that SMILE offers better results in most laboratory tests, but under practical and daily life situations, it can be assumed that both are pretty much the same. 4. Can hurt your eye in SMILE if you do not concentrate on a point? I am not very sure about the exact context of the question. I can tell you that in both surgeries you will be asked to look at a pointer light and the accuracy of your correction will depend on how well you maintain a fixed gaze on the pointer. If you look any other way for even a fraction of a second the outcome will be bad in both of the procedures. 5. Glare halos and night vision problems. These will be present soon after surgery in both, but will slowly resolve. Not a major problem in a majority of the patients. 6. Right time for surgery, which surgery is less risky and has a faster recovery? Right time for surgery would be around three months from your wedding, although some do get SMILE done just one day before their wedding. Anytime before 1 to 2 months, you will be in the recovery phase and will have to be instilling eyedrops- a bothersome task when piled along with shopping and organizing tasks before the event. 7. Less risky and has faster recovery- SMILE (small incision lenticule extraction)." + }, + { + "id": 14007, + "tgt": "What is the reason for stiff neck with cervical pain?", + "src": "Patient: Hello doctor,I had X-ray done for shoulder bone. This was after a stiff neck and constant pain in the cervical region for the last six months. I did not take any medication. Also, there was a fracture in the lower back four years back. Doctor: Hello. I have gone through your report and the above query (attachment removed to protect patient identity). X-ray report does not mention any bony abnormalities except reduced cervical lordosis. This is usually due to spasm of neck muscles. Usually, these problems arise due to inappropriate posture during work, excessive bending of the neck or lifting heavy loads. In this case, I would recommend for physiotherapy and exercise of neck muscles along with proper posture maintenance. You would easily find the instruction for exercises to follow on net otherwise you can take the help of physiotherapist near your house. Avoid use of pillows while sleeping. Also along with this, you can take Vitamin D and Calcium supplements to increase bone strength. I would be happy to help you further if you have any questions." + }, + { + "id": 13498, + "tgt": "I want to gain weight and make my muscles firm. Please help", + "src": "Patient: Hello doctor, My height is\u00a0163 cm, and my weight is 52 kg. My body structure is also small, and my muscles are not firm. I want my muscles to get firm, and I want to gain weight. Please help. Doctor: Hello. I just read your query. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10557, + "tgt": "Stress causes stiffness in my neck and back. What can be done about it?", + "src": "Patient: Hello doctor, I have a stiffness of neck and pain which continues to the back further. This often happens when a stressful situation arises, which also raises my BP. Worries related to health and other life concerns keep bothering me. Please suggest. Doctor: Hello. From your symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us. Also, when we are subjected to constant stress, those muscles become stiff. And thus, due to constant tension in them, they hurt after some time because of lactic acid accumulation. Your BP (blood pressure) is also because of stress and not medical hypertension. I would like to know more about your symptoms. Let me know about the details so that I can help you further. Take care. Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6742, + "tgt": "I am suffering from eye floaters and focusing problem. Kindly help", + "src": "Patient: Hello doctor,I am 20 years old, with 155 pounds. I have been having eye trouble seeing squiggles and floaters in my vision. Also, I cannot focus, and it seems like the lighting goes different. Two years ago, I got into a car accident and suffered a concussion. I do not know what it can be. It is also hard to see at night, and I do wear glasses. Doctor: Hello. Floaters are usually due to changes in vitreous (jelly in the back of the eye) when it starts liquefied and detached from retina. It often is the aging process after the 40s to 50s age, but in cases of trauma, surgery, or myopia, it can even be at an earlier age. As you got two risk factors injury or accident, myopia, floaters may be associated with flashes or a curtain infront if the vision. The important thing is to examine the retina because this vitreous detachment from the retina can create some hole or break in the retina that can lead to retinal detachment (not in all cases). Usually, no treatment is done, and you learn to ignore floaters with time. But I would suggest you visit your eye doctor and get your eyes examined to make sure everything in the back of the eye is fine." + }, + { + "id": 14139, + "tgt": "What is causing pain during sex at a particular spot inside vagina?", + "src": "Patient: Hello doctor, Whenever my fiance has been having sex recently (the past few days) it has been painful. I can feel a certain spot on the right inside of my vagina that when he hits it while going in feels like a knife stabbing me in that spot. After he is fully in and going, it does not hurt. It is just the initial insertion hitting that point. I can literally pinpoint that it is like two inches up inside on the right side. And after sex, when I go to the bathroom it is always tinted red. I thought this was because I had just gotten a new implant in my arm a few weeks ago and I was getting used to it but now I am thinking the blood is coming from a cut or something. I am just wondering what this spot could be or what it is at all? Doctor: Hi, Welcome to iclinq.com. You seem to have Progesterone implant. There may be a slight change in the mucus quality due to these hormones, rendering it thicker, hence less lubricating. There may be a small crack or tear (due to sexual activity) due to inadequate lubrication. In my view, you should avoid sexual activity for a few days and allow it to heal. Vagina heals pretty fast, so if the problem does not subside in two weeks, it is better you allow a doctor to have a look to clinch the exact diagnosis." + }, + { + "id": 15312, + "tgt": "Took Misoprostol to induce periods, but I am pregnant now. Will it result in healthy pregnancy?", + "src": "Patient: Hi doctor, I had a miscarriage before three months, and it caused me great psychological distress. It was my first pregnancy after trying to conceive for ten years. As a part of my miscarriage treatment, I was supplied with Misoprostol pills (200 mg each). I never ingested it as my miscarriage passed naturally. Last week, my period was late for a couple of days. Pregnancy symptoms were not seen and thought that I just had delayed menses. Before two days, I took a full dose of Misoprostol to induce menstruation. I bled for eight hours with a medium to heavy flow with some minor clots. After this, the bleeding got stopped, and I thought about pregnancy. I checked it, and the test result came positive. I read that Misoprostol can cause congenital disabilities and I am extremely distressed. Can I have damage to the fetus? It is five weeks and one day from my last period. Please help. Doctor: Hi. First of all, for delayed periods, you should not take Misoprostol. If you have delayed menses, you should confirm pregnancy first and then you can choose other Progesterone-like tablets to induce menses. Secondly, it is true that Misoprostol can cause congenital disabilities if taken in early pregnancy. But not in all case. Now, do sonography to see whether the pregnancy is good or not. If there is no pregnancy, it can be expelled out. As you had a lot of clots, it can be expelled out. There are more chances for you to have an abortion. In case, if the pregnancy is safe, a decision should be made for continuing pregnancy. It depends on you and your husband. But if there is any genetic damage present in the baby, it can cause irreversible damage to the baby. It may be or may not be there. There is no other practical way available to declare that the child is 100 % healthy. If you both plan to continue, you have to be prepared for a healthy as well as for an unhealthy baby. Chances are 50 to 50. As you do not have a child, and as your age is increasing, it is a tough situation to decide to have a child. It is in your hands to decide the future and the preparation to handle anything. You do not know whether you will become pregnant or not next time. So think all the possibilities. Consider your situation, financial status, mental preparation, and eagerness for a child. Think and decide." + }, + { + "id": 14848, + "tgt": "Can taking Phenytoin impact the first stage of pregnancy?", + "src": "Patient: Hello doctor, I am taking Phenytoin sodium 300 mg daily for the last 10 years. Will the medication impact on my first stage of pregnancy? If yes, should I take any alternative? Doctor: Hello. Are you pregnant already? Or planning for pregnancy? Phenytoin, especially in the first trimester (initial three months) of pregnancy, can affect the baby. It can increase the risk of congenital anomalies like fetal hydantoin syndrome or neural tube defects. If you are still planning for pregnancy, you should switch to other medication for seizure (after discussing with your neurologist). But if you are already pregnant, it is little risky to switch to another drug because while switching from one medication to another increase some risk of recurrence of seizures. And seizure during pregnancy can cause abortion or fetal distress. So, if you are pregnant already you can continue with Phenytoin. The risk of congenital anomaly is increased from 1 to 2 % (without any medication) to 5 to 7 % (with Phenytoin)." + }, + { + "id": 3761, + "tgt": "I am having diarrhea, fever and nose congestion for about a week. Should I be concerned?", + "src": "Patient: Hello doctor, I just got home from a mission trip. Three days into the trip, I started getting chills accompanied by diarrhea once or twice a day, usually in the morning. I took Imodium each day and continued doing activities. Three days after diarrhea, I got a scratchy throat. The next day, I got a stuffy nose as well. The day after that, I flew home. My throat felt less scratchy, but my glands swelled up and it was painful to swallow. I still had diarrhea that morning. The next day (yesterday) I got a fever of 100.8, chills, fatigue, and coughs. I had a stuffy and runny nose throughout the day, and the left side of my nose got congested that there was painful pressure in my sinus. On the bright side, there was no diarrhea yesterday and the swelling in my glands went down. But last night diarrhea came back and then happened again this morning. It is now been a week since diarrhea first started. I still feel feverish and I am still very congested. Should I be concerned? I am currently taking Ibuprofen, Sudafed and Mucinex. Doctor: Hello. I went through your post, you have mentioned the duration of illness as one week which makes it an acute illness. The characteristic features of your illness are loose motion, fever, congestion in nose and sore throat. All these are features of acute viral infection, because of loose motion the possibility of influenza are high. Viral infections of this kind are self-limiting and settles in one to two weeks. I would suggest to stop Ibuprofen as it causes rashes and platelet dysfunction in viral infection. You can take Paracetamol 650 mg eight hourly. Last but not least, take plenty of fluids and go for CBC (complete blood count) to see whether there is any decrease or increase in cell count." + }, + { + "id": 7408, + "tgt": "What can be done for itching sensation near anus with pain during bowel movement?", + "src": "Patient: Hello doctor, I am 29 years old. I am experiencing a slight itching sensation near the anus area and having slight pain during a bowel movement. The pain disappears after a bowel movement. A few years ago I got similar kind of thing and the doctor told I had fissure back then. Presently I am using medicines (Rabemac-DSR, Hyocimax-S) for acidity problem from last two months and please suggest any medicine for my problem and also let me know why this problem is recurring and should I bring change in my lifestyle. I do not eat any junk foods or spicy foods that much but do not know why this problem is coming. Doctor: Hi. If it is fissure, you can go for local application of cream Anovate gel (applied inside the anus at night before you sleep and morning 20 minutes after you pass stools). For pain, tablet Chymoral forte morning and night before food. Change in life, regular exercise for good bowel movement. Food changes: Green leaf, high fibre fruits and vegetables." + }, + { + "id": 3957, + "tgt": "Why does the microalbuminuria value fluctuate?", + "src": "Patient: Hello doctor, I am a diabetic. My microalbumin rates are fluctuating. When I was first diagnosed it is around 200 for the first time, 118 for the second time, 40 for the third time, 120 for the fourth time and 27 for the fifth time. Why these are values are varying? Can you suggest the best time to give urine sample for microalbuminuria spot test? I am using Rosuvastatin 20 mg and for diabetes Istamet 500 mg in the morning and Gluformin 500 mg at night. My FBS is 118 and PPBS 137 mg/dL. I am very much worried about the problem and I am not getting proper sleep due to this tension. Doctor: Hi, Welcome to icliniq.com. See, it can vary from laboratory to laboratory. Moreover, timings do not affect it as it is a spot sample. Since your report is persistently declining it is a good thing. A rising level of microalbumin is of a problem and this might needs an evaluation. In your case, it is reducing and it is good. I would recommend you to keep your blood sugar and blood pressure under well control and there is nothing to worry about. I hope this helps." + }, + { + "id": 13224, + "tgt": "What causes ankle swelling?", + "src": "Patient: Hi doctor, I am a 52 year old male. Every alternate day, I used to play tennis and swim for an hour. My weight is 100 kg and I am 5 feet 11 inches tall. All my blood reports are normal. I am taking a few medicines regularly, which includes Losar H, Amlopin 2.5, Rozavel 20, Glycomet SR 500. My average blood pressure is 135/85 and my sugar is 109. My water retention around ankles (inner side) is 6.1. Please explain the reason for ankle swelling. Doctor: Hi. For your age of 52, you appear to be very active. With all parameters, your BMI is on a higher side, and you have to lose some weight. It seems that you have been prescribed medications by your general physician for management of diabetes and hypertension. There are many causes of swelling in the legs and associated regions like ankle, etc. The most common reason is posture, and many patients develop it when they stand for a long time. But as soon as they elevate their leg up, the swelling will subside. It is also a common manifestation of systemic pathologies like diabetes, cardiac causes, etc. It can happen after infection or inflammation too. Sometimes heavy physical activity may also lead to swelling in your calf muscles and around ankle region. But we have to look at medical causes as well. Chronic cardiac conditions can lead to swelling. Any pathology which leads to low protein in the body like deranged liver function tests, kidney function tests, etc., can also lead to swelling. Hypothyroidism can also lead to generalized swelling like appearance in the body. So for accurate diagnosis, we need to clinically evaluate and get some appropriate tests done. It includes CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), LFT (liver function test), KFT (kidney function test), serum electrolytes and thyroid profile. Most of the conditions can be managed under the supervision of a good physician especially if there is no history of any injury which is also very unlikely to happen around both ankles simultaneously. 1. Postural. 2. Cardiac causes and hypertension. 3. Systemic pathology like diabetes." + }, + { + "id": 12712, + "tgt": "Why is my vaginal opening white with itching?", + "src": "Patient: Hello doctor, My vaginal opening is white in color and it itches a lot around that area. It has been like this only for the past 4 to 5 days. Doctor: Hello. The presence of itching over the vaginal opening with white discoloration is a possible indication of vulval candidiasis or fungal infection which can be treated with local and oral antifungals, but before starting any medicines, please get it confirmed by a local examination by your gynecologist or you may send a picture of the lesion for diagnosis and further advise." + }, + { + "id": 19374, + "tgt": "How do I control dandruff and hair fall?", + "src": "Patient: Hi doctor, I am having problem with dandruff. My scalp is oily. I am losing hair and I feel that I will become bald. I used Candid-TV, but it did not help. Please advice. Doctor: Hi. For severe dandruff, you should take oral medicines apart from topical treatment. Consider taking tablet Ketoconazole 200 mg once daily for two weeks and apply Candid B lotion (Clotrimazole) on the affected scalp twice daily. As far as shampoo is concerned, use shampoo containing Ketoconazole every alternate day to start with and then taper slowly as you feel improvement. Shampoo has to be used for a long time as dandruff and hairfall is a chronic disease. Avoid oiling your scalp. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19191, + "tgt": "Should I use special eyeglasses if I spend a lot of time in front of the computer?", + "src": "Patient: Hello doctor,I am a 38 year old male. I spend nearly 12 hours in front of the\u00a0laptop\u00a0every day\u00a0due to the nature of\u00a0my work. I have a\u00a0cylindrical power of -.75 in my right eye for almost five\u00a0years now.\u00a0However, nowadays\u00a0I feeling eye strain. At my workplace, a doctor advised me\u00a0to use\u00a0special lenses\u00a0which provide comfort when using digital devices.\u00a0My query is are these really helpful or a normal single vision lens with an antireflection coating would do. Your inputs would be much helpful. Doctor: Hello. You will be fine. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10842, + "tgt": "Which tests should I do to check adrenal gland functions?", + "src": "Patient: Hi doctor, I am a 27 year old man and a student of ecological solution. I do a little bit of sport.\u00a0I eat a balanced diet. I have fatigue\u00a0and headache\u00a0when I do anaerobic exercise, and when I read a book. According to my doctor, my average blood pressure is 12.8 or 12.7. All my family members are in good health. My mother's sister has osteoporosis.\u00a0Reading a book or something else gives me headache and fatigue, so I need to rest after reading something. When I need to read something I must drink a lot of water to be less tired, because if I do not drink a lot of water before reading I need to rest five times more than the usual. Because of this reason, I have stopped my schooling. I got my standard blood test, TSH and lipid test done, I used to do running of one hour by weekend. I want to do home body building like push-up, but I cannot do it like I used to do before.\u00a0I do not know why my anaerobic capacity has decreased a lot in the last three years.\u00a0When I do some push-ups or another anaerobic exercise like 100 m speed running, I have really bad results; I take too much time to do this kind of exercise. I am abnormally getting breathless and my heart beats fast. I was not like that before six years, but my physical appearance has not changed. I must drink 1 liter of water 35 minutes before running, if I do not then I cannot even stand for ten minutes.\u00a0If I drink a lot of water like 1 liter, 40 minutes before, I can do 70 push-ups at the first series, but If I drink only one or two glasses of water 10 minutes before, I cannot do 45 push-ups and my heart begin to beat hard and I am completely breathless and tired. After a running session of 40 minutes to one hour, immediately when I begin to do my legs muscles stretching even if I am completely relaxed and feel good, without any breathlessness also. When I do my stretching my heart begins to beat very fast and hard and I begin to be breathless. Then I must wait and drink water and do my stretching very slowly. I have never felt this before, and I used to work at school with pleasure, read some books and do sport more easily.\u00a0My wear has a strange smell after sport. It smells something like a rotten wood plank. It is a smooth bad odor not too much aggressive but really unusual. The few doctors I have seen do not know what the source of the problem is, but we found that I do not have a good thermoregulation because I am cold and need a lot of clothes. It seems like I feel better when I am in vasodilation period like under the sun or in a hot place. So, I tried a supplement called Citrulline\u00a0six months ago, to have more arginine in the body to have a better vasodilation. Indeed, I feel really less tired since I take the Citrulline. I feel like my muscle cells and other tissue are more supplied in something that I need in these cells.\u00a0Citrulline helped a bit, but it did not resolve the problem. Hope you could help me. Thank you. Doctor: Hi. All your clinical problems appear to be related to anaerobic respiration. Based on your query, my opinion is as follows: For respiration, oxygen is most important - Anaerobic respiration mainly occurs because of reduced oxygen. You might require a lung function tests to evaluate for adequate oxygenation. If you are a smoker or exposed to pollution, dust or industrial exposure, it can get affected. Anemia requires evaluation. Hope your hemoglobin level is within normal limits. Get a hemogram done. Anaerobic respiration leads on to lactic acid production. This lactic acid accumulation causes muscle pain and tiredness. Do get your lactic acid accumulation level in blood evaluated before and after the exercise. Lactic acid level requires correlation with possible muscle storage disorders or dystrophies compared to exercise; there may be increased lactic acid production. Hydration would be washing of this lactic acid, which is possibly making you feel better. Meet a biochemist to get yourself tested for lactic acid increase and possible causes. Sweat glands can produce abnormal smell depending on diet. Look into your diet closely. Citrulline produces nitric oxide leading on to vasodilatation. It could be removing some amount of lactic acid or increasing oxygenation, but overall the main cause from lungs to blood and blood to muscle requires identification. Get the tests for hemoglobin level, lung function tests along with oxygen saturation and serum lactic acid. If all are normal, then muscle glycogen storage disorders or muscle biopsy for any pathology maybe necessary." + }, + { + "id": 30797, + "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": 25217, + "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": 29503, + "tgt": "Kindly advise about the food that can be given to my 6 months old baby", + "src": "Patient: Hi doctor, Our baby is six months old. We have been only breastfeeding her and giving finger millet as a paste. What more should we give? We are confused and want to stay with natural food as much as possible. Kindly advise about the food that can be given. In the\u00a0case of rice, should we boil and give as a paste or fry and powder it to make a\u00a0paste? Doctor: Hello. I understand your concern. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16755, + "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": 2164, + "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": 8627, + "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": 23765, + "tgt": "Can there be any adverse side effects if minute amount of KZ lotion is ingested?", + "src": "Patient: Hello doctor, Recently, I applied KZ Lotion on my scalp. After washing my hands with soap, I\u00a0ate food as I\u00a0was hungry. I did not notice any lotion present on my hand but I\u00a0suspect I\u00a0had not\u00a0washed my hands properly. I am currently on Warfarin. Could that minute amount of KZ\u00a0lotion have adverse effects on my body? Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16813, + "tgt": "Can low testosterone levels cause fatigue and increased heart rate?", + "src": "Patient: Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happens after big meals and while exercising also. When I exercise, my heart feels like it is going to explode. I also have fatigue and mental fogginess, my concentration is low, and I feel like I am just overall slow or have low energy. I have anxiety, and I have been diagnosed with anxiety in the past. I was in a dark place for awhile, but things seem to be getting better. The doctor wanted to put me on Zoloft, but I declined and had thankfully found peace with daily meditation. I have a low libido, and I am just not that interested anymore. My testosterone levels are low for my age. My last readings were 302 ng/dL, 290 ng/dL, and 270 ng/dL, which were all taken in the morning. As a person who exercises a good amount, I find it hard to gain strength or any muscle. I want to fix this, and I have consulted many doctors, but none are willing to help me. I honestly believe that my testosterone level is the main cause with all this. I have thought about taking matters into my hands and starting a treatment regimen but, I would rather do so under the supervision of a doctor. Doctor: Hello. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free testosterone levels. If free is also low, then we need to find the cause, for that, we need FSH (follicle-stimulating hormone) and LH (luteinizing hormone) level. So, you first get free testosterone levels done. Also, any anxiety, depression, or any psychological issues can cause loss of libido. You can visit an endocrinologist for the same. Secondly, regarding your heart rate, it is certainly not related to testosterone. But it can be related to anxiety, alcohol, and heart. There are two possibilities, one is anxiety related and secondly due to heart arrhythmia. Many individuals who drink, tend to have a weakening of the heart and atrial fibrillation, in which heart beats irregularly and fast, especially after drinks. Hope this helps you. Get back if you have any further doubts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11179, + "tgt": "Why am I not bleeding after taking Mifepristone?", + "src": "Patient: Hello doctor, I have got my urine pregnancy test positive five days before. My last period was in the mid of last month. I have taken unwanted 72 after 11 days of my periods, but there may be some contraceptive failure. I consulted my medical friend, and she suggested me about medical abortion and prescribed Clear kit. So yesterday morning I have taken Mifepristone and today in the morning I have taken one tablet of Misoprostol as guided by her. But it is around four hours after taking medicine, but still, there is no bleeding. Now even three tablets are remaining. Please help me. Doctor: Hello. Let me start by giving the right schedule for MTP kit. Mifepristone 200 mg orally single dose, will dislodge an embryo from the uterine lining. This will have some gastric problems but no bleeding. After 48 hours of this oral pill, place all four tabs of Misoprostol 200 mcg each at a time vaginal, after wetting it properly in water. Or you can have all four tablets orally at a time. This will soften the cervix and also make uterus to contract. Now you will have pain and bleeding. Complete expulsion will occur within four to five days of Misoprostol. Now you can keep those remaining three tablets vaginal after two days in the morning time. Do not worry, and it will not fail. I hope I have clarified your query, do write back for your question and feedback." + }, + { + "id": 8917, + "tgt": "Is it possible that scabies can stay dormant for some time in hard and thick skin?", + "src": "Patient: Hello doctor,I contracted scabies from a hotel I stayed at over two months ago. Two nights later, I stayed with my partner at his place. I learned that symptoms can show as quickly as 1 to 3 days in cases of reinfestation and I immediately recognized the small red itchy dots that I began developing along with a burrow line due to having contracted scabies years ago after a holiday.I successfully treated myself and the symptoms eased. I visited my partner again only to have been reinfested by him. Although he showed no symptoms, he did the Permethrin treatment and I repeated treatment. Symptoms eased. This was eight weeks ago. Since staying at his room two days ago, symptoms have appeared again. Itching along with new red rash is appearing due to scratching. I have done the ink test and am convinced that the little line shown on my forearm is a burrow forming.What if I fail to understand that he has the disease and continues to experience no symptoms. It has been almost 11 weeks. How is this possible? Could scabies lay dormant for some time in darker, stronger skin? The anxiety this is giving me is crippling. Please advise. Doctor: Hello. I understand your concern. But it can mean that you do not have scabies and it is something else like papular urticaria or like that. Please send pictures of the affected area to help you better. Take care." + }, + { + "id": 25517, + "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": 19077, + "tgt": "I have a red bump near my nose piercing. Please suggest some ointment", + "src": "Patient: Hi doctor, I got a nose piercing done a month back. It was done with a gunshot, and the metal did not suit me. It ended up with a swelling at the area. I changed it to a gold stud, which worked and the piercing was fine till now. From the past 4 to 5 days, I can see a red bump near the piercing. I visited a doctor, and as advised, I removed the jewelry and changed it to a curry leaf stem. Will this work to heal the site? Should I also use some ointment to heal it faster? Doctor: Hi. I have read your concern. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17287, + "tgt": "My wife has spotting. There are no signs of pregnancy. Can this be the side effect of ipill?", + "src": "Patient: Hello doctor, Me and my wife had sex on 12th January and she took ipill on 13th January. She had her periods on 21st January. We again had sex on 25th January and 10th February with protection (condoms). On the 10th evening some spotting started and it stopped on 17th February. The spotting was dark brownish color when it started and ended with bright red color. There are no signs of pregnancy till now. Can this be the side effect of ipill or is there a chance of pregnancy? Doctor: Hello. The bleeding due to menses on 21st January after ipill confirmatively rules out pregnancy which could have occurred due to sex on 13th January. The repeat sexual intercourse held on 25th January (she was in her safe period and hence pregnancy is unlikely) and then 10th February (this time she was in her fertile period) might result in pregnancy. But you have had protected sexual intercourse. Chances of pregnancy are minimal and the spotting is unlikely to be an implantation bleed. The spotting is more likely to be a breakthrough bleeding which is possibly due to the side effects of ipill which is known to cause irregularity in menses for the next 2 cycles. However, the best way to confirm or negate pregnancy would be to opt for a serum beta hCG test. This test if positive shall confirm pregnancy and if the levels are less than 1, then pregnancy is ruled out completely. This shall allay your anxiety. Revert back to an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29514, + "tgt": "My son's speech is not clear. Does he suffer from autism?", + "src": "Patient: Hi doctor, My son is 5 years old. He was delayed in speech. Now, he started talking, but he is not clear. I consulted a doctor, and he suggested Sizodon\u00a00.5 every day for tics.\u00a0Yesterday, his preschool skills and LD were evaluated, and they said he has LD. Is there any problem with the above medicine? Does he suffer from any symptom of autism? Doctor: Hi. Your son is showing delayed milestone. He may have autism. Tablet Sizodone contains Risperidone that is centrally acting anticholinergic drug. It has its own side effects, but you can definitely use it if there are tics. It should be taken after consultation with a neurologist. Also, your child should be encouraged or stimulated to take an interest in learning and sports. Such children have special training programmes like Applied Behavioral Analysis (ABA), Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH), and sensory integration. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17402, + "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": 4405, + "tgt": "Kindly have a look into my report and let me know if I have leukemia?", + "src": "Patient: Hi doctor, I am 36 years old female. I got my precautionary health checkup done. I have enclosed the report. My internet search about the result indicates that I may have early stage leukemia (cancer). Please advise. Doctor: Hello. I have gone through your report (attachment removed to protect patient identity). For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9021, + "tgt": "I am on Invisalign treatment and my teeth have turned brown. What to do?", + "src": "Patient: Hi doctor, I am currently on tray five of my Invisalign. Everything has been good so far. But, yesterday, the teeth in the bottom of my mouth started to turn brown. I am worried that something is wrong. I clean my teeth three times a day after every meal. I also clean the aligners. I will attach good pictures. Thank you. Doctor: Hi. I have seen the pictures you have attached along with the complaint (attachment removed to protect patient identity). 1. Coffee or tea stains. 2. Smoking. 3. Improper oral hygiene. Generalized marginal gingivitis with external stains. Scaling and oral hygiene instructions. Inculcate the habit of brushing certain parts of the teeth surfaces in particular. Revert after six months to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15255, + "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": 19535, + "tgt": "My son gets headache often. Why?", + "src": "Patient: Hi doctor, My son is five years old now. He was having a partial obstruction issue when he was three years old. It got cleared without a surgery. He has never complained to us about a stomach pain or any difficulty in the stomach. But he does not have a weight gain. He is 16 kilograms now. He is very active. But he starts to have sweating within a minute when compared to others. He gets a headache when he sits under an AC, or he gets cold. He had mothers milk only for 40 days. Later he took regular powdered milk. As parents, these things concern us a little bit. Please advice. Doctor: Hi. Your child's weight is fine for his age. There is nothing to worry. Give him a balanced, nutritious diet regularly. A headache during cold is a common association. It goes away after a resolution of cold. If it is persistent, then there is a need to worry. Some kids sweat more due to the anxiety situations they face." + }, + { + "id": 4605, + "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": 17482, + "tgt": "My son often suffers with dry cough. Why?", + "src": "Patient: Hi doctor, My son is 5.6 years old. He is having dry cough for the last 8 to 10 weeks. It is very often worse at night. Also, he had a bad ulcer and pain. He also had a dry cough twice last year, but not this bad. Please advise. Doctor: Hello. For further information consult a child health specialist online -->https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 3267, + "tgt": "Please suggest best medicine for hypothyroidism in diabetics person", + "src": "Patient: Hello doctor, My father is suffering from hypothyroidism and was having thyroxine 137.5 mg for the past four months but on his own started 125 mg from the past two months. Report readings: T3 - 1.04. T4 - 12.60. TSH - 0.11. He is a diabetic and even had angioplasty done. Please suggest the best for him. Doctor: Hello, Welcome to icliniq.com. I read your query and from what you have mentioned it appears that your father has overcorrected his thyroid. He must take 100 mcg Thyroxine only. Repeat his thyroid test after three months, only TSH (thyroid-stimulating hormone). His diabetes is not controlled. I would like to know his medications name, dose, and times per day. He has some urine infection. Likely because of high blood sugar, once sugar gets controlled, the infection will resolve. Drink 8-10 glasses of water daily. Please do not change the dose of Thyroxine on your own as it can be risky in patients with heart disease like your father. I hope this helps." + }, + { + "id": 11137, + "tgt": "Are there chances of developing chickenpox after shingles?", + "src": "Patient: Hello doctor, Are there chances of developing chickenpox after shingles? Doctor: Hi. Chickenpox and shingles are caused due to the same virus. Chickenpox occurs first and the virus stays dormant in the dorsal ganglia of the spinal nerves. After years or when immunity decreases, the person gets an attack of shingles. Most people get shingles only once, but few can get 2 to 3 times. After shingles no one gets chickenpox." + }, + { + "id": 6664, + "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": 7893, + "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": 16710, + "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": 10480, + "tgt": "My aunt doubts that all the girls are trying to come closer with her husband. Kindly advice", + "src": "Patient: Hello doctor,I want to share my aunt case and seek advice regarding this case. My aunt is about 54 years old, and her husband is around 63 years old.After the death of my aunt's father, a behavioral change occurred in my aunt. She started to blame her husband and try to make her husband stay away from all young girls.She got extra possessive about her husband. She blamed three to four girls and stopped them to come close to her husband even she blamed her daughter in law to stay away from her husband. We do not know why she is doing this? She always thinks that all girls and aunties trying to get interact and come close to her husband. Please advice. Doctor: Hello. She should consult a psychiatrist. The symptoms like possessiveness, ideas, or even delusional beliefs about the fidelity of husband, blaming husband, etc. cannot be ignored. She might be suffering from some mood disorder most likely depression with psychotic symptoms. This could be some psychosis too. Individuals with psychosis show paranoid delusions, delusional beliefs, and become suspicious. Considering her age and late onset, the chances of depression with psychosis are more. She might refuse to visit a psychiatrist and will try to evade the visit. Drugs like Olanzapine or Quetiapine can be used to reduce her psychotic symptoms, and she will come out of depression." + }, + { + "id": 5993, + "tgt": "I am taking Abilify for bipolar disorder and having vision issues. Is this side effect of Abilify?", + "src": "Patient: Hello doctor, I am a 38-year-old woman with bipolar disorder. I am taking Abilify 10 mg. I am experiencing vision issues (not blindness) that come every other day and stop only when I sleep. I used to take Artane for my vision problem that was caused by psychotic medicines, but Artane interacts with Abilify, and I can no longer take it. Can you suggest any other non-side effect medication to help with my vision problem or possibly a different antipsychotic medication? I have also tried Promethazine and it does not help. I have tried most of the antipsychotics and have had various problems with them. For instance, I was doing great on Latuda for a few years and then developed neuroleptic malignant syndrome from Latuda and had to switch to another medicine. So while I am open to changing from Abilify to another antipsychotic that hopefully does not cause vision problems, I have noticed most of the antipsychotics do in fact have vision changes listed as a side effect. Abilify works well on my bipolar symptoms and I am functioning well. I am employed full-time and feel calm, logical, motivated, and positive about life. It is the vision side effects that I desperately wish to get rid of. I looked into a new medication called Vraylar and read that it can also cause vision problems. Please advise me on what you think I should do. The vision problem is difficult to live with, I am dealing as best as I can but it is hard when it happens during work. It causes me to focus my vision on minutiae and it is hard to relax. To sum up, I am either trying to find a medication to help stop vision problems from my antipsychotic or be advised on a good antipsychotic that does not cause vision problems or changes. Doctor: Hello. So I understand that you are having ocular side effects with the use of abilify. There are a few ways to go about it. As you have mentioned that you are stable on the medication and functional, I would advise you to consult an opthalmologist and get a checkup done and see if they can suggest some symptomatic treatment to control the ocular symptoms. If it does not help you can ask your psychiatrist to either try to lower the dose which might help with the side effects, because as you said you are otherwise stable on this medication, so we have to try sticking to it. If that is also not possible, then we can think about changing the medication. Medications like Olanzapine, Quetiapine, Asenapine work well in bipolar disorder. As I see Haloperidol and Risperidone have already been tried. So we can avoid those. You can take an opinion of your current psychiatrist and start one of these medications. I hope this helps." + }, + { + "id": 532, + "tgt": "Will CT scan help in determining the malignancy status of an enlarged lymph node?", + "src": "Patient: Hello doctor, Is there anyway that a CT scan can determine whether an enlarged lymph node is benign or malignant? Doctor: Hi. CT is a structural imaging method that relies on assessment of lymphnodes (LNs) based on their anatomy viz.size,shape, margins and enhancement patterns. Among these, size is still the most common criterion, a short axis diameter of more than 1 cm is generally accepted as a threshold for malignancy in most studies. However, the diagnostic sensitivity of this standard is weakened by the fact that many a times malignant LNs can be normal in size (false negative) and many infective nodes can be enlarged in size thus giving false positive results on imaging. Nowadays, CT is combined with PET (Positron emission tomography) to get both anatomical and functional information. It is called fusion imaging and is mainly used to diagnose and stage metastatic cancers such as lymphomas. CT also uses ionizing radiation (X-rays) that is another disadvantage which needs to be considered. So to sum it all, structural imaging methods such as ultrasound, CT, conventional MRI do not distinguish benign LNs from malignant ones with 100 % accuracy. Conversely functional imaging methods such as DWI (diffusion weighted), PET have low spatial resolution and are time consuming. Therefore now we are seeing a shift towards fusion imaging techniques such as DWI-T2W1 MRI, PET/CT, etc., as these techniques bypass the above mentioned shortcomings." + }, + { + "id": 4588, + "tgt": "Kindly suggest an effective treatment plan for nodular acne", + "src": "Patient: Hi doctor, I am a 20 year old female and having nodular acne for more than a year. It looks very terrible and painful. In my teen age I had pimples but of moderate type. I have tried every possible treatments such as chemical peel and Isotretinoin. But nothing worked. Currently, I am taking Divya Kayakalp which is an ayurveda tablet. How can I get rid of this? Please help. Doctor: Hi. I can understand your concern. 1. Seborrhea. 2. Hormonal imbalance. 1. Lipid profile. 2. Liver function tests. Acne vulgaris. Follow up after five weeks to a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12369, + "tgt": "Which medicine can be taken to lower BP?", + "src": "Patient: Hello doctor, I have high BP from last night 160/110 but I am not feeling anything wrong. I am 60 years. I have taken Amlodipine 5 mg one tablet last night but I have a sleepless night. Should l take the same medicine 10 mg now? Doctor: Hello. Your blood pressure is high considering your age. Although you are asymptomatic you need to control blood pressure to avoid complications related to high blood pressure. If Amlodipine 5 mg cannot able to control blood pressure than combination antihypertensive medication or high dose of Amlodipine can be prescribed. For getting prescription, you need to consult a nearby physician." + }, + { + "id": 8061, + "tgt": "Is there any way to manage my relationship issues with partner?", + "src": "Patient: Hi doctor, I am 23 years old, female. I left my family to work in a different place. I came from a seven years relationship that I do not have voice. All I do is yes and yes to my partner and I am not happy. When I came here, I learned that I made the wrong decision and want to return home but cannot. I keep on thinking, I do not have someone to talk to so even if I am doing some chores, my mind is busy thinking about my situation. Sometimes, I feel okay and sometimes, I feel I want to die or I will do anything to get out from here. I even tried looking online and do bad things expecting someone might help me. I sleep 5 to 6 hours daily. I take a bath at night-time before bed daily. More details about the presenting complaint is that I am experiencing nosebleed. Not much associated with headache. I feel dizzy and sometimes I cannot focus. Current medications are I use nasal drops for my nosebleed. Doctor: Hi. I read your query and understand your concerns. First of all, I like to inform you that you are not alone and there are plenty of options available through the online portal on the current date (Icliniq is one among them). Secondly, not having someone to talk does not mean that you do not have a life. I understand there must be someone close enough to pour out your heart but it does not mean that tomorrow will be the same. With the progress of time, we develop new relationships and I hope you will meet a person who suits your need and will take care of your emotions. I must admit here that bad relationships leave a scar on our mind and despite all the odds, sometimes we long for the person who least cared for our emotions. This seems to be case for you since you are regretting your decision to move to a new place despite taking this decision in your best interest. I need to say that since you have moved from a bad relationship (I feel so) there is a need to stick to your decision and develop new friendships. This is important as the healing of emotional scars need emotional support and without new relationships, it is difficult to get it." + }, + { + "id": 7136, + "tgt": "What can be done for the rash on penis which is paining after sex or masturbation?", + "src": "Patient: Hello doctor, I have a rash on my penis. I had a biopsy done and the doctor told me it showed nothing on it. It is just vibrant and red and can be painful after sex or masturbating. Doctor: Hello. It could be psoriasis or lichen planus (attachment removed to protect patient identity). Does it itch?. Though you may use a moderately potent topical steroid like Fluticasone propionate or Triamcinolone acetonide for it but I suggest you to try Tacrolimus 0.1 % ointment, twice daily. It is non steroidal. Take care." + }, + { + "id": 28561, + "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": 1817, + "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": 29089, + "tgt": "Why does not my daughter improve from cat scratch fever?", + "src": "Patient: Hi doctor, My girl is 19. She has cat scratch fever for three months and does not seem to\u00a0be getting better. Why? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29938, + "tgt": "Why is my period getting late?", + "src": "Patient: Hi doctor, Last month, I had unprotected intercourse with my partner and soon after which I took an ECP. Then, 10 to 12 days later I got my period. However, this month they are late by 13 days. But, I am getting lower abdomen cramps. Why is this happening? Could you suggest any medicine? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11521, + "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": 491, + "tgt": "My x-ray shows discontinuity in medial tubercle of talus. Please suggest treatment options", + "src": "Patient: Hello doctor, I am 24 years old. Last month, I had a motorcycle accident. I did an x-ray and it is written in the result as: There are bone discontinuity seen in the medial tubercle of the talus of the calcaneus. Such can represent an incomplete linear fracture. No osseous reaction or radiopaque foreign body noted in the projection taken. Boehler angle 42\u00b0. What are the best over the counter medicines for my fracture? Doctor: Hello. Looking into your x-ray pictures (attachment removed to protect patient identity) and reading your problem, I got to know about linear undisplaced fracture of the talus. We need to understand the function of the talus bone and its role in the movement of ankle and foot. It is between the leg and the foot so that bodyweight may be transferred from the ankle to the leg, helping to walk while maintaining balance. The bone also helps in the movements of the ankle, and together with the calcaneus facilitates the movements of the foot. It has already been I think more than 15 days have to outcast or do immobilization of foot? It is needed to immobilize the foot and take some medicine. If you have swelling of moderate type then put splint for 10-14 days and convert to cast. Then we need to do check an x-ray around in four weeks and then in six weeks and see the final callus formation and healing." + }, + { + "id": 26981, + "tgt": "What are the chances of bleeding from a sudden blow if I am on blood thinners?", + "src": "Patient: Hello\u00a0doctor, I am on warfarin for life. Yesterday, while I was working in my house, I knocked the upper back part of my head on the marble roof of the window pane. It was neither a hard blow nor a soft one. It was medium. I did not feel any pain. I did not have any blackout but was stunned for two to three seconds. Today, my INR came as 3.73. I do not have any headaches. My question is, will I be having a stroke? Doctor: Hello. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8604, + "tgt": "What are the benefits and risks of CBD oil?", + "src": "Patient: Hello doctor, Please clarify my doubts on CBD oil and anxiety. 1. Is CBD oil safe to use for people with anxiety? 2. What are the benefits and risks? 3. Where should people obtain this? 4. How much should they take and in what form? 5. How can they trust the source? 6. What else do you want people with anxiety to know about this? Doctor: Hello. CBD oil is cannabidiol oil, which has nonintoxicating marijuana in it. It can be given to a patient having anxiety. Along with that, it is used in patients having epilepsy, sleeplessness, and inflammation, etc. Only limited data is available for CBD oil, so it is better to use under the supervision of the physician. It can also increase liver enzymes, so liver patients should take it only after the physician's consent. It can also cause sedation and digestive problems. It is taken by oral route and by inhalation. A physician can best decide the dose. Many reputed pharmacies made it, but it is not legally available in every state." + }, + { + "id": 21731, + "tgt": "I have a blurry vision and feel dizzy. Can it be a demyelinating disease?", + "src": "Patient: Hello doctor, I am a 24 year old, and I have Graves' disease. I had a total thyroidectomy last year. I have since been screened for other autoimmune conditions, but so far none have been found. Over the last 2 to 3 weeks, I have been noticing a gradual onset of some strange neurological symptoms. It began with a\u00a0blurred vision like the static you see on old televisions. I think it is called visual snow. I have also noticed some dizziness when I blink or close my eyes, and I feel like the world is spinning. In the past few days, I have started noticing a tingling sensation in both legs and feet, and it gets worse when I walk and better when I sit down. I work as a medical scribe in an ER, and I am pre-med. I want to believe that I am just imagining things, which is common for someone just learning medicine. But with my family\u00a0history of autoimmune diseases, as well as Alzheimer's, I am just too afraid that I could be ignoring something real. I am trying to schedule an appointment with a neurologist, but it is really difficult to get in to see a doctor in-person with my work schedule. I will of course still work on getting an appointment, but I guess I am just looking for reassurance in the meantime. I am currently taking Vitamin D tablets. Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Feel free to write back to me if you have more questions.\u00a0Thanks and regards. For more information consult a\u00a0neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13784, + "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": 4503, + "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": 15316, + "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": 11329, + "tgt": "My alpha 2 globulin and gamma globulin are high. What does this mean?", + "src": "Patient: Hello doctor,I tested positive for an autoimmune disease. My titers were 1280. I then had more blood work done by a rheumatologist and just now received some back online. I noticed my alpha 2 globulin was high (1.12) and my gamma globulin was pretty high as well. The rest were normal on the protein electrophoresis. What does this mean? Doctor: Hello. You have not mentioned which autoimmune disease test has come positive. High levels of alpha 2 globulin are seen when there is a loss of albumin via urine because alpha 2 is a large molecule. It does not pass kidney filtration. So, it is retained because it is a component of globulin. That is the reason for high levels of globulin in blood. You need to test your 24-hour urinary protein that will tell whether you are losing protein in urine or not. Regards. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 7653, + "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": 26172, + "tgt": "Can you please comment on the results of my health checkup?", + "src": "Patient: Hello doctor,\u00a0 I\u00a0recently got my health checkup done. I had got the same workup done one year ago too. I have attached both the reports for your reference.\u00a0I went through a course of Nexito 10 mg for five months last year. My current BP is 80/130. \u00a0I am not able to exercise now. However, as a routine,\u00a0I\u00a0have three glasses of a\u00a0concoction of warm water, honey, and lemon juice every morning before brushing. After having this, I do not have anything for the next 45 minutes to one hour. Please advise me on what should be done. Doctor: Hello. I hope this helps you and kindly get back if you have any doubts. For more information consult a\u00a0cardiologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8496, + "tgt": "Can excessive hair scratching result from medicines used for paranoia and depression?", + "src": "Patient: Hello doctor,I am on Sulpitac 50 mg, Xet CR 25 mg, Pregabid NT at night and Waklert 50, Beta cap 20 in the morning. I have a long history of paranoia and depression. Currently, the only symptom is excessive hair scratching. My hand is always on my eyebrows. The problem is particularly bad at night. There is some twitching or tingling in fingers. Please suggest any adjustment of medicine. Could this be due to any of the medications I am taking? Doctor: Hello. No, I do not think any medicine is causing this. The compulsive scratching or pulling of hair could be due to unconscious anxiety. You are on Paroxetine 25, and if the anxiety is still persistent, then we can think of increasing the dose to 37.5 mg. Increase in dose would help in controlling the unwanted impulses. You can talk to your doctor about that. Apart from this please start taking good vitamin B12 supplement which will also help in early recovery." + }, + { + "id": 11079, + "tgt": "My fiancee is B positive and I am O negative. Should I expect any pregnancy complication in future?", + "src": "Patient: Hello doctor,My fiancee is B positive and myself O negative. In the future, will there be any complications in my pregnancy? Doctor: Hello. There would be no complications during the first pregnancy but may occur in the subsequent ones due to isoimmunization phenomenon. It is a problem which arises if the mother is having negative blood group and baby is having positive blood group. But treatments are available, so you have nothing to worry about it. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 6832, + "tgt": "What is the reason for neck and shoulder pain with tremors in thyroid patients?", + "src": "Patient: Hello doctor, This is about my mother she is 50 in age and had been diagnosed with thyroid around two years back after that she started taking medicine Thyroxine Sodium tablet 50mg, and after few months it was in control but that a year again while she was still on thyroid medicine she had started having tremors in her right hand. After some search we found that it could be Parkinson, and we had gone to different doctors from renowned neurologist but they have prescribed the same medicine Syndopa (Levodopa) and other tablets related to Parkison, and for last few months she is under shoulder and neck pain 24 hours, and as the pain is unbearable she is forced to take pain killers. I searched and found that tremors could be a side effect of the thyroid, but not sure. I am worried that my mother's problems have not been appropriately diagnosed. Please reply. Doctor: Hello. Well, among thyroid problem, it is the hyperthyroidism that causes tremors, but your mother has hypothyroidism. It could still be due to thyroid medications if the dose is very high. Even in that case, the tremors would be on both sides and not restricted to one side. So the chance that she has Parkinson's disease is high rather than due to thyroid problems. I need to know what was the response to syndopa with respect to her tremors." + }, + { + "id": 30372, + "tgt": "Is it normal to have palpitations during pregnancy?", + "src": "Patient: Hi doctor, I had a baby 9 months ago. Since I was 18 weeks pregnant, I had heart palpitations and high blood pressure. I do not have high blood pressure now, but I am still having palpitations, but not as frequent. It seems to be a hormone imbalance. I got them this month on the first day of my period and a couple other random times. Two weeks ago, I started getting swelling in my right hand only when I lie down or sleep. Also, I have had\u00a0random itchy spots like hives just in random places. Doctor: Hi. The palpitations you are experiencing are mostly a normal phenomenon during pregnancy. It is known as sinus tachycardia. Nevertheless, it is better to get an ECG done to reaffirm my suspicion. The hives and skin issues are also could be due to the hormonal changes in pregnancy. ECG if sinus tachycardia and then no need of any active intervention. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1124, + "tgt": "My left tonsil is swollen, and it is causing some pain. Could this be allergies?", + "src": "Patient: I have always had trouble with my tonsils. I get tonsil stones frequently and snore. For the past month I have had a mild sore/scratchy throat. I can tell my left tonsil is swollen, and it is causing some pain. Sometimes the pain reaches my ear, but not often. My doctor did a swab to check for infections but it came back clean. Could this be allergies? I have never had allergies before, except for asthma as a child. I have no other symptoms. Doctor: Hi, I understand that you are worried about your long term tonsil problem.. Tonsil enlargement could be due to infection or as a part of some other disease If your swab is negative, we need to investigate for other possibilities also I would suggest you some investigations for the same Meanwhile also take the tablets as prescribed CBC, ESR, PERIPHERAL SMEAR CT NECK CHEST XRAY Tonsillar enlargement inder evaluation T. Cefuroxime 500mg 1tab twice daily for 1week after food T. Aceclofenac + Serratiopeptidase 1tab twice daily agter foof for 5day Betadine throat gargle thrice daily Review with investigations" + }, + { + "id": 28796, + "tgt": "I got a complete blood count done. Is there anything wrong with my report?", + "src": "Patient: Hi doctor, I am attaching my CBC report. Please tell me if anything is wrong with it. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17307, + "tgt": "Why are my skin holes getting bigger after fat loss therapy?", + "src": "Patient: Hi doctor, After fat loss therapy, my skin holes are getting bigger. Also, I am losing my skin color now. I would like to know\u00a0whether the machine is stuck to the body. What is the reason for this problem? Doctor: Hi. For further information consult a\u00a0dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9014, + "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": 22131, + "tgt": "How can I control my urge to eat?", + "src": "Patient: Hi doctor, I am trying to lose weight for about one year now. I used to weigh 75 kilograms. With proper diet and exercise, I was able to reduce my weight. Now, my weight is 65 kilograms. But I am unable to control my urge to eat. I am cheating on my diet every single day and it makes me frustrated. I am overeating again. I have stopped losing weight now. I take around 1200 calories a day. Please tell me how to control the urge to eat all the time. Doctor: Hi. You have reached your normal BMI (body mass index). So after this, weight reduction will be a very slow process. According to WHO (world health organization), you are weighing right for your height. Coming to the eating problem, divide your meals into six small meals. Eat veggies and fruits in between the meals. Whenever you are going to a party have a habit of drinking water first. Eat fibers like salads or fruits with proteins. Select carbohydrates or desserts in the last. By this way, you will be able to relish and enjoy the food. You can maintain your weight. Never eat food alone or in front of the television or laptop. Eat with your friends. Sharing will always make you eat less. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 7917, + "tgt": "My semen is transparent in color. Does that mean I am sterile and I cannot have a baby in future?", + "src": "Patient: Hi, I am a 17 year old boy. I have been masturbating for the past 4 years. My semen is transparent in color. Does that mean I am sterile and I cannot have a baby in future? Doctor: Hi. Revert back with your reports to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24646, + "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": 9985, + "tgt": "I used a vibrator on my penis and now my penis is shrunk and damaged. Please help", + "src": "Patient: Hello doctor,I used a vibrator on my penis for 30 to 40 minutes and the result is that the hardness of my penis is gone and the length\u00a0reduced a lot. Now, I am unable to have sex with my partner. Can you tell me any medicine for recovering from this situation and make my penis as it was before? Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 6421, + "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": 5597, + "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": 9193, + "tgt": "I experience numbness extending from shoulder to palm. Kindly help", + "src": "Patient: Hello doctor, I am a 37-years-old female. My weight is 68 kg with the height 5'6\". There was a sudden numbness in the right arm starting at the shoulder, traveling to the palm. The numbness began while sleeping and triggered again while trying to sleep again. I experience a strange heaviness while awake. Tried applying a pain relief ointment but no effect. Please help. Doctor: Hello. Numbness may be due to compression of the nerve while keeping the hand under head in flexion. In this position ulnar nerve may compress at elbow or radial nerve in radial ridge or median nerve compression in carpal tunnel syndrome. Hypothyroidism, anemia or electrolyte imbalance or peripheral neuropthy or diabetes patients are more prone for numbness. So do not keep tha hand under your head. Use tablet Methylcobalamin regularly. If there is no improvement please consult your physician he will examine and treat you accordingly." + }, + { + "id": 1637, + "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": 23742, + "tgt": "How can inflammation of the eye be cured?", + "src": "Patient: Hello doctor, My eye was inflamed and I applied Pred Forte and the inflammation disappeared. I work on the computer a lot. In the past, there has been some redness, but cold compresses have been helpful. The redness is back again now. My eyes always go red after I wake up. I applied some Pred Forte again and as earlier, the redness disappeared. There has been no itching, no irritation, no sensitivity, no pain, no visual changes. What can be done for this? I have attached a picture of my eye for your reference. Doctor: Hello. I have seen your attachment (attachment removed to protect patient identity) For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12081, + "tgt": "Will waiting for chemotherapy to remove main intestinal cancer cause serious issues?", + "src": "Patient: Hello doctor, My father is suffering from intestinal cancer. It is a tumor and the tumor blocked his intestine. D2 is completely blocked and then today he had a surgery in which all the spreadings is removed. Stomach bypass is now done but the main tumor is not removed and they said it will be after chemotherapy but chemotherapy is very late and cancer cells will spread. Please tell us what all would be the consequences. Doctor: Hi. Welcome to icliniq.com. It was emergency surgery done to relieve the blockage, complete surgery will be done after chemotherapy because chemotherapy will further shrink the tumor and will make the surgery more feasible. Since surgery is done now, chemotherapy can be started only after healing of surgical wounds which takes 3 to 4 weeks. So, this is the only option. So we need to hope for best and tumor should not spread to distant sites." + }, + { + "id": 10039, + "tgt": "As I am having a history of miscarriages, will taking hCG injections help me to continue pregnancy?", + "src": "Patient: Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances? Doctor: Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm. If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 4215, + "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": 928, + "tgt": "I am suffering from severe cold, cough, and chest tightness for a month. Is it anything serious?", + "src": "Patient: Hi Sir/Mam, am female @ the age of 23 and my weight is 55 for the height of 160 cm height, for the past one month i have suffering from severe cold(runny nose) and cough, i also felt chest tightness, nasal congestion,sore throat and shortness of breath too. Sometimes i can heard some sounds from my chest while breathing, i can take some oover the encounter medicines.when i will get rid off. And is that anything seriousness!? Looking forward for ur answers soon! Thank you doctor Doctor: Hello, Hope you are doing well. Do you smoke or have allergy to dust? Is the discharge yellow or green, blood stained? Do you have fever or any associated complaints such as headache? Have you been taking any antibiotic? Which over the counter medicines have you been taking? You probably had common cold and now you have secondary bacterial infection with low respiratory tract involvement. You could be having allergic rhinitis, mild asthma and bronchitis. There could be some risk factors which need to be investigated. So you need to be examined physically with some blood test carried out. On confirmation of diagnosis you probably need a course of antibiotics. Common cold with secondary bacterial infection CBC, ESR, Hb and Chest x-ray Allergic rhinitis with secondary bacterial infection and bronchitis Common cold with secondary bacterial infection and bronchitis After physical examination and investigations for second opinion" + }, + { + "id": 9123, + "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": 25752, + "tgt": "What are the chances of pregnancy if one has had sex two weeks after periods?", + "src": "Patient: Hello doctor, My last period started a month ago and ended four days later. I had sex with my partner two weeks after I got my periods. He did not ejaculate inside me but to be on the safer side I took an I-pill within two hours. Now, I am two days late and I have a brownish discharge since yesterday. I thought it was my period. But it clearly is not. What is it? Could there be a chance that I could be pregnant? Doctor: Hello. The days you mentioned are nearing the ovulation period. In a patient who has normal regular cycles of 28 to 30 days, ovulation occurs on the 14th or the 15th day when chances of pregnancy are high if you have sex on those days. You have said that there was no ejaculation inside the vagina and you have already taken an I-pill (emergency contraceptive pill) within two hours. So, there are very rare chances of pregnancy. Your current period is late for only two days and you have a brownish discharge. Sometimes due to stress, periods get delayed. You need to wait for four to five days more and I think you will start proper period. But if you do not start your period within a week then you need to do urine pregnancy test. I am sure you will start your periods. Stress is a big factor for delayed periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22841, + "tgt": "I have constant squeezing pain for past three weeks. What is the reason?", + "src": "Patient: Hello doctor, I have been using Adderall for about three years now. About one year ago, I started experiencing chest pains that would quickly go away after awhile. Then, there were a few occasions where I abused my medication and took too much. Since the last time that this happened (about six months ago), I have experienced squeezing chest pains that last longer and longer. I also cannot drink alcohol anymore because my chest hurts so bad afterward. Now, for the past three weeks, I have experienced a constant squeezing pain in my chest and it does not go away. I have had an echo, multiple EKG, stress test, and a CTA scan of my chest, but the pains are still getting worse. What should I do? Doctor: Hello. Likely, this is gastritis and reflux disease. Pain occurs due to acid reflux and esophageal spasm. 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. Avoid smoking and alcohol for few days, for about 2 to 3 weeks. Elevate head end of the bed or use pillows while sleeping. You should get prescribed tablet Pan DSR (Pantoprazole, Domperidone) 40 mg or Esomeprazole, Domperidone combination before breakfast once a day for two weeks, and if relief then two additional weeks. If not adequately relieved, then you should add syrup Sucral O (Oxetacaine, Sucralfate) or Gelusil two teaspoons three times a day for a week. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22825, + "tgt": "Can I take fat burner to lose weight?", + "src": "Patient: Hello doctor, I am quite overweight and my weight is 102 kg. My height is 5 feet and 7 inches. I am trying to lose weight and started going to gym. My coach says that I should take a fat burner for eight weeks. Is it fine to take that? I have fatty liver and some fibrosis also due to extra weight. Can I take the fat burner? Doctor: Hi. We are here to help you. Mind my words that for weight loss other than exercise and right diet nothing works. The supplement you are taking is just fancy and is not going to help you. If you do exercises, then you may discuss with your doctor to prescribe you Orlistat that helps in weight reduction, but without exercise nothing works. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19775, + "tgt": "Parkinson's disease patient fell down and unable to walk, why?", + "src": "Patient: Hello doctor, My mother is a patient of parkinson's disease since last 13 years. She is now 74 years old. She has been under medication like Syndopa plus, Syndopa CR, Amantrel, Admenta, etc. Of late, she had falls twice. From the last two days she is unable to walk for few paces also, as if she has lost all strength in her limbs. Please advise. Doctor: Hi. I read your query and understand your concerns.\u00a0From the available description there are two main possibilities: For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16222, + "tgt": "My kid swallowed some water while swimming and developed cough and wheeze. Please help", + "src": "Patient: Hi doctor, My 1-year-old daughter has swallowed a fair bit of water while swimming. She vomited in the pool three times. Now, she has developed a cough. It seems to be getting worse now, and she has a wheezing problem. Should I have to take her to the doctor? Please advise. Doctor: Hi. The symptoms look normal for a child who has swallowed some water from the pool. Get the child evaluated physically to be on the safer side. You can give nebulization with Levolin (Levosalbutamol and Levalbuterol) along with syrup Asthalin 3 ml (Salbutamol) thrice a day for three to five days for the wheezing and coughing. A chest X-ray can be taken to find whether there is an aspiration has taken place. Nebulization can be given to the child to make her feel better." + }, + { + "id": 30086, + "tgt": "Kindly suggest a solution for my son's continuous fever", + "src": "Patient: Hi doctor, My son, who is 15 years old, is suffering from fever. He has constant 100 to 102 degrees Fahrenheit of fever with throat pain for the last 15 days. Blood tests indicate negative for malaria and typhoid. \u00a0We consulted an ENT specialist and he indicated tonsillitis. My son is taking Movacef 500 for the last five days and Crocin 500 for the last 15 days with no result. The fever goes down whenever the Crocin tablet is used and my son also chews Strepsils for throat pain with no result. He has already lost 15 days of his college. No relief is foreseen anywhere in the near future. Are there any tests to be conducted? Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 1069, + "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": 1289, + "tgt": "Does tilted uterus mean womb shift?", + "src": "Patient: Hello doctor, I hope this message meets you well and you are keeping safe. Please I have some concerns, I have a 2-year-old son with my husband and we have agreed to make another baby. I noticed my period only last two days and when we make love, some sperm do not go into me. Also, I ran a scan and which say my utereus is tilted. Does this means womb shift? Please provide with answers. Thank you and have a nice day ahead. Doctor: Hi I would like to know about the mode of delivery of your son w.r.t a vaginal birth or a caesarean section. If it was a caesarean section it would have been better for your health for another year. Regarding your second query spilling of a small amount of sperm outside is not an issue as long as a part of it deposited high inside the vagina also. Please attach all your previous scan and blood reports including the one which mentioned the tilt and mention whether your periods are regular or not. Meanwhile follow the advises below. Tablet Folic acid (5mg) 1 tablet once daily after lunch to continue." + }, + { + "id": 30856, + "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": 8410, + "tgt": "Is it a must to refrigerate liquid fish oil?", + "src": "Patient: Hi doctor, My wife is 22 weeks pregnant and has been taking fish oil in liquid form for the last 4-5 weeks. The brand is called Nutripur Mom and Baby Omega-3 Plus. We have just noticed that the bottle says it should be refrigerated after opening but unfortunately we have not kept the bottle refrigerated the entire time and now we are concerned. Can you please advice on the following? What are the health risks for the baby by not having it refrigerated?\u00a0How long would it usually take for the liquid oil to go off or rancid?\u00a0We have heard that if fish oil is oxidized it would cause some health issues. Why are these issues? And would they apply to the fetus?\u00a0Anything else you can tell us would be really appreciated.\u00a0Thanks. Doctor: Hi Thanks for trusting us about your wife and baby health care.\u00a0I have gone through your history and understood your concerns. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10445, + "tgt": "Is it safe to use Montair LC kid in a 4-year-old for reactive airway disease?", + "src": "Patient: Hello doctor,My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run. He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this. Doctor: Hello. Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease. However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause dry mouth, sleepiness consequent irritable behavior in very few children if given for prolonged periods. The tablet (Montair) can be crushed in a small cup of water, and the child can consume the paste or solution. Most of such cases usually get alright as age advances with complete remission by the age of six to eight years. Very rarely this may persist till 10 years. If it continues until the age of 10 to 12 years, it may progress into asthma in adulthood." + }, + { + "id": 4964, + "tgt": "Why cannot I converse with people efficiently?", + "src": "Patient: Hi doctor, I am 36 years old. I cannot communicate with other people. They say my conversation is weak, boring and serious all the time. I want to be a normal guy. Please guide. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 31001, + "tgt": "How should I overcome the fear of heart attack?", + "src": "Patient: Hello doctor, I am a 23 year old guy. I am getting panic all the time. My father died of a heart attack three years ago. I have only my mother with me and my bonding is not well with her. I was too close to my father. I am obese and having high BP too. Usually, I do not share my feelings with mom. It was my dad with whom I used to share everything. He was more like a friend to me.\u00a0I feel like I will die of heart attack.\u00a0I met a cardiologist today and he gave medicines for my BP. I feel some discomfort in my left arm. How should I overcome the fear? I am a social person, but whenever I stay alone, I get these feelings. Doctor: Hello. I understand your fear. You have made a good start by showing a physician and started on medications for your blood pressure. It is good to be aware of your health. I am sure that they already advised lifestyle changes, so I will not go into its depths. Every morning, when you wake up, you need to tell yourself that you will be happy, lose weight and work towards it. That way your mind will slowly be diverted to change your thinking to weight loss and happy, which will also drive you and reduce these thoughts of heart attack. Whenever the thought comes to your mind, substitute with weight loss and happiness. It will take time, but you will gradually see the difference in your thoughts. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6056, + "tgt": "I have nose block problem for the past one month. Is it due to sinus?", + "src": "Patient: Hello doctor, I have a problem of nose block for the past one month and I suspect this as sinus. I have done a CT scan. Please advise on treatment. Doctor: Hello. You have allergic rhinitis along with a benign nasal polyp which is usually seen in patients with prolonged allergic rhinitis. You have also sinusitis associated with it. Polyps are usually removed surgically. I suggest taking Augmentin (Amoxycillin and Clavulanic acid) 625 mg twice daily, Pantoprazole once daily, Montelukast with Levocetirizine once daily. Take all these for five days and it will reduce your symptoms. Symptoms due to polyp can be relieved surgically. Consult an ENT surgeon." + }, + { + "id": 946, + "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": 10232, + "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": 1023, + "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": 25781, + "tgt": "I have a small-sized BI-RADS III lesion. Should I be worried?", + "src": "Patient: Hello doctor, I had a breast MRI two months ago, a routine screening due to BRCA1 status. There was a non-mass lesion seen on the left breast which the radiologist said was stable for three years. On the right breast, there were three foci seen, two measuring 5 mm and one 3 mm. The 5 mm foci have been stable in size for one year. But, the 3 mm one is new. The doctor did not recommend a biopsy because of the small size and after mammogram and ultrasound were performed, he gave it BI-RADS III and told me to go back in six months for another MRI and a mammogram. Should I be concerned about these and ask for a biopsy? Doctor: Hello. A BI-RADS III (Breast Imaging-Reporting and Data System) means the lesion has a high probability of being benign and something which is not of a serious concern. The MRI (magnetic resonance imaging) is a detailed test and has good accuracy. However, a suspected BI-RADS III lesion needs to be followed up on the MRI and mammogram as recommended by your doctors. In reply to your questions, you surely need a follow-up testing after six months. A biopsy for the 3 mm lesion which is showing benign features on MRI is not usually recommended and there is no serious concern right now. You can possibly get an ultrasound mammogram after three months if waiting six months for the next MRI is causing anxiety. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 2297, + "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": 21664, + "tgt": "Why is my 22 days old baby passing frequent stools after jaundice?", + "src": "Patient: Hello doctor,My baby is 22 days old. He suffered from jaundice when he was 7 days old. So, the doctor advised me to stop breastfeeding for three days. After that, breastfeeding did not fulfill his stomach so he was given powder milk a few times a day. He is passing stool more than 6 to 7 times in a day. Sometimes, it is runny, sometimes, yellow curd-like. Kindly suggest is he suffering from serious stomach problem and is it fine to give breastfeeding as well as powder milk to a baby? Doctor: Hello. A baby can pass as many times stool as they are fed. The stool can be slight curdy in nature and may vary in color from golden yellow to greenish yellow in color. You should focus more on breastfeeding your baby. But if milk output is not adequate, you may give top feed. But try to maintain utmost hygiene. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19979, + "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": 13625, + "tgt": "I am having pain behind breast that is radiating to underarm. Please help", + "src": "Patient: Hello doctor, I have undiagnosed chest or back pain which over the last 4 to 5 months has been getting increasingly worse. Full spinal MRI performed, have not seen the report but was told by the doctor that there was nothing there that would account for the pain. I would really appreciate a fresh perspective. Pain (4 to 7/10) behind left breast and radiating around the side and underarm. Not affected by posture or activity but unable to breathe deeply. Episodes last from 90 seconds to 4 to 5 hours, some days it only happens 2 to 3 times, other up to 20 times. Sometimes, the pain will wake me at night. This pain is different from other episodes in that it is much sharper (10/10) and makes lying down impossible. Cardiac causes and blood clots have been eliminated. Nuclear bone scan showed a hot spot at L1, which prompted a lumbar CT. From that, I was told that I have severe arthritis in the lumbar with possible nerve impingement. Advice from spinal MRI was no nerve impingement. Previous history: Have confirmed the diagnosis of DISH in the neck (C3 to C7) and possible diagnosis of ankylosing spondylitis (being treated with Humira, which helps immensely). No problems with any other joints. Current medications: Mobic 15 mg once daily, Humira 40 mg fortnightly, Targin 40/20 mg twice daily, Endone 5 mg as required, Sevikar HCT 40/5/12.5 once daily, Thyroxine 200 mcg once daily, Oestradiol 2 mg once daily. Comments: Have lost 5 cm in height in the last 5 to 6 years. Probably not relevant to my thoracic pain, but when I go to the toilet, most times I have severe lower back pain for some time after, and occasionally pain down the back of both thighs. Doctor: Hi. Following is the reply after viewing your images (attachment removed to protect patient identity). Review of cervical spine MRI. In C2-C3 disc level, there is a mild left neural foraminal compromise. In C3-C4 and C4-C5 disc levels, there is minimal right and mild left neural foraminal compromise. In C5-C6 and C6-C7 disc levels, there is a minimal bilateral neural foraminal compromise (left greater than right). The features of DISH are persisting. Therefore, it is likely that the pains you are having on the left are due to mild neural foraminal compromise in the above cervical levels. There is mild fluid in C3-C4 and C4-C5 disc levels. There is no significant spinal canal stenosis. Review of thoracic spine MRI shows no significant disc bulge or neural foraminal compromise. Review of lumbar spine MRI and CT. There is no obvious disc bulge but the changes in the vertebrae and the intervertebral facet joints are moderate in nature. There is thickening of the flavum ligamentum in L1-L2, L2-L3 and L3-L4 disc levels causing thecal sac compression and impingement of nerves in the lumbar spinal canal. There is lumbar spinal canal stenosis in many disc levels and is prominent in L1-L2 disc level. There is a moderate bilateral neural foraminal compromise in L3-L4 and L4-L5 disc levels. The increase in pain during bowel movements is likely due to dynamic neural foraminal stenosis. The CT scan shows significant degenerative bone changes and facet joints are showing sclerotic changes in multiple levels." + }, + { + "id": 1490, + "tgt": "Is it a must to remove gallbladder for right upper abdomen pain?", + "src": "Patient: Hi doctor, About a month ago, I experienced acute pain in my right upper abdomen and that radiated to my back. It happened after I had a high fat meal that night. The pain lasted for hours and continued as a dull ache for the next week. I made an appointment with a gastroenterologist and he advised an abdominal CT. The report revealed that besides a mildly hydronephrotic kidney, for which I have already seen a urologist, everything else was normal except for the following.\u00a0A focus of calcification is in the gallbladder lumen or the posterior gallbladder wall. The\u00a0gallbladder wall is minimally prominent. However, the gallbladder is collapsed.\u00a0All of my laboratory blood work showed that my kidney, liver and pancreas functions are normal. The gastroenterologist did not really give me any insight. He said to find a surgeon in case I have another attack, so that the gallbladder can be removed. I have found a surgeon, but I would like to get a second opinion from a different gastroenterologist. I have had a dull ache since the initial attack, but I have not had any more excruciating pain. Should I wait to get the gallbladder out if I do have another attack? When the report says focus of calcification, does that mean I just have one gallstone? Though I do not have any extreme pain, is this an emergency? Any advice you can provide would be helpful. Doctor: Hi. We are here to help you. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10221, + "tgt": "I am having some signs on my hand particularly in summer. Why?", + "src": "Patient: Hello doctor,I have some signs on my hand on the summer period. No doctor gives me any idea what it is or what causes it? Or how to fix it? Kindly help. Doctor: Hello. What are the symptoms in it? How long has it been there?" + }, + { + "id": 24721, + "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": 22899, + "tgt": "I have a flat painless mark on my wrist. What is it likely to be?", + "src": "Patient: Hi doctor, I have had this mark on my wrist for the past couple of weeks, it is flat and painless and appears to be a blemish on my skin. What is it likely to be? I am worried about cancer. Thank you. Doctor: Hi. I have gone through your case (attachment removed to protect patient identity). It looks to be a post-inflammatory rash. Which means you might have some sort of red or inflamed lesions a few days back which then have healed with brown pigment. No there is no evidence of cancer. So just relax. I suggest applying 1 % Hydrocortisone cream two times a day for 14 days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21913, + "tgt": "How do I recover from excess saliva production?", + "src": "Patient: Hi doctor, My tongue produces lot of saliva. How do I recover from this problem? Sometimes, my saliva is dropping down in front me. Doctor: Hello. The causes of hypersalivation include excessive starch intake, reflux disease, pancreatitis, liver disease, oral infections and decreased saliva clearance. So, before trying any medication try some lifestyle modification. If that did not help then you can use some medication. Hope this will help you and wishing you a faster recovery. 1. Avoid high starch food like potato, bread, cereals, rice and corn. 2. Maintain oral hygiene. 3. Avoid spicy and fried foods. Revert back for further information to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21848, + "tgt": "Is there any treatment for IUGR baby?", + "src": "Patient: Hello doctor, I am 27 weeks pregnant now and by scan two weeks back and the doctor says the baby is IUGR due to placental insufficiency. She said to terminate the pregnancy but I feel baby movement and heart rate. Also, I am pre-eclamptic and diabetic but sugar is controlled. Tell me what can I do. Any treatment or way to have a healthy baby and near to due date? IUD 18 weeks, fifth-week pregnancy due to no fetal heart rate, so DNE was done. Currently, I am taking Duphaston 10 mg BD, Asgard 75 mg OD, Glucophage 500 mg TDS, and Aldomet 250 mg QID two tablets. Doctor: Hi. It would be better if you can send me your ultrasound report. You have the previous history of stillbirth around 19 weeks. At present, as your medicines that you have described here, you have been on diabetes and blood pressure control drugs and placental supportive drugs as well. Blood pressure is towards higher limit and urine protein is also high that is showing your kidneys are affected and secreted protein in the urine. Due to high protein and blood pressure that is confirming preeclampsia, placenta insufficiently working and nutrition that needs to reach baby is not reaching to the baby that why growth retardation is confirmed in the scan and this is completely pathological. Your high blood pressure and urine protein are also really alarming as there are chances of eclamptic fits any time. That can be life-threatening to you. The only solution for preeclampsia is delivery, actually, if this is affecting mother and baby both too much. But, how and when that depends on the whole scenario of the patient, her vitals, signs, blood and urine reports, her scan report and baby's condition. Placental insufficiently also having grading that is helpful to make a decision. If the reversed flow in dopplers scanning is poor prognosis for intrauterine growth restricted fetus of preeclamptic, diabetic mother (who have a history of the previous stillbirth). As I do not have your complete history and recent scan but you need strict monitoring in high dependency unit. Baby is also very premature and growth-restricted as well, lung not developed and need months to develop. If delivers prematurely alive due to your unstable condition, it will need neonatal premature intensive care unit support for months and risk of neonatal infections, neonatal death even is very high. Lung supportive injection (Dexamethasone) can be given but still, the tissue that can respond to that injection nicely is still in a very early stage of development. Under your high blood pressure, sugar levels and low placental perfusion with abnormal dopplers and growth restriction not only you have chances of eclamptic fits that will worsen your condition but also greater risk of intrauterine fetal death. Strict diabetic diet, with almost nil salt, blood thinning medications (tablet Aspirin and injection Heparin), strict sugar and blood pressure control with normal blood, urine investigations, normal vital signs, and scan, stress free life with light exercise or walk from start of pregnancy were the basic rules to treat patient like you (with high BP, sugar, and previous stillbirth). Have a discussion and all arrangements with a multidisciplinary team including neonatologist, anesthesiologist, obstetrician, you can reach to final discussion with your family as well. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9959, + "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": 16607, + "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": 6419, + "tgt": "I am having allergy for onion and finding difficult to quit onion. What should I do?", + "src": "Patient: Hello doctor, Recently I got an allergy profile. It reports allergy with onion and rajma. I quitted rajma. I am finding it difficult to quit onion. The onion profile value is 0.69. What should I do? Doctor: Hello. From your allergy report, it is obvious that you are allergic to onion. The value of 0.69 suggests mild allergy. Still, you can not guarantee that after exposure, a severe reaction can not occur. A positive allergy test indicates sensitization to an allergen but does not necessarily predict that a clinically relevant allergic reaction will occur. The best way to treat allergy is to avoid the trigger, but it is very difficult, especially in Indian recipes. First, find out if cooked onion causes less symptoms than the raw one because the allergic trigger is protein present in raw onion. So after cooking, it gets denatured and can not cause allergic symptoms. Over counter tablets like Levocetirizine, Desloratadine, or Rupatadine will alleviate allergic symptoms like itching and redness. Antacids will help to relieve acidity, specially liquid antacids than tablets. So prevention is the key messege. Even if it is said that food does not contain onion, the flavouring agents, sauces or many toppings contain it and cause an allergic reaction. Even other food from the same family can sometimes cause allergy like garlic, carrot, etc. It is the matter of just trial and error as per your tolerance." + }, + { + "id": 15643, + "tgt": "Rabeprazole did not work for my antral gastritis. Please tell me some other treatment", + "src": "Patient: Hello doctor, In my endoscopy, I have antral gastritis for four months (severe indigestion, constipation, loss of appetite). I take 20 mg Rabeprazole daily but symptoms do not go away. Please help. Doctor: Hello. Now, let us move to your treatment. See as the name suggests, acid reflux should be treated in two phases. Control production of acid for which you are on Delixant and Ranitidine. To prevent the acid formed inside the stomach to reflux back into the esophagus. This part of treatment is not covered by your doctor. I would suggest you add Levosulpiride. It is a prokinetic drug and is very effective in controlling reflux of acid back into the esophagus. A better way is to take it with Rabeprazole. Trials have shown that it is very effective when combined with Rabeprazole. So, you can switch over to Rabeprazole from Delixant. Sucralfate is used to treat and prevent ulcers. Sucralfate works by forming a coating over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach one hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are to follow a bland diet (low acid levels, low in fat, not spicy). Eat frequent, small meals, lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than two hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat." + }, + { + "id": 3262, + "tgt": "My wife had medical abortion last week. When can we try for our next baby?", + "src": "Patient: Hello doctor, My wife is 25 years old. She was pregnant for 3 months. Last week, we lost the kid due to some troubles got aborted. D and C was not done but the fetus got out normally after medical treatment. My question is within what time we can engage in sex again? What all care should be given to her, I mean any medicines to increase her strength? When we can try for the next baby? Doctor: Hi, Welcome to icliniq.com. Very sorry to hear about the loss. You can start trying for a baby after one month as the uterus and hormones take that much time to come back to the proper state. But if it is only sex then two weeks is fine. There is no special care or medicines required for her. Just give her good nutritious food like fruits and vegetables that is enough. If her hemoglobin is less then iron supplementation (tablet Orofer) for a month or two is needed. But if her hemoglobin is normal nothing is needed. If her hemoglobin is not tested after abortion get it tested. I hope this helps." + }, + { + "id": 12770, + "tgt": "Can I use Clofranil during pregnancy?", + "src": "Patient: Hello doctor, I am planning for pregnancy aged about 36 years. But I am an OCD patient on a prescription of Clofranil 50 mg daily. So what are the risks involved, is it safe to use the medicine during pregnancy? Doctor: Hi, Welcome to iclinq.com. Clofranil (Clomipramine) should not be used in pregnancy. It is a category C drug that means if potential benefits justify the risk to the fetus, then you can use. As far as of now no well-controlled studies in humans, but it will not cause anomalies but it may affect your neonate after delivery like seizures, jitteriness, tremors, and dullness may occur. These symptoms will occur to your baby as withdrawal symptoms after delivery. But do not worry your doctor will manage during pregnancy by lowering your tablet dose and during delivery by tapering your tablet dose. But make sure that you take Folic acid tablets even preconceptionally." + }, + { + "id": 8712, + "tgt": "I have BP and taking Rexipra for insomnia but not able to sleep. Why?", + "src": "Patient: Hello doctor, I am taking Olmasera 50 for BP. I am insomniac and I am taking Rexipra for that. All my other reports are normal. Still I do not get sleep. My BP is still 140/90. I have taken Alparax 25 before but has not helped. Please help. Doctor: Hi. For BP control, take tablet Amlodipine 5 mg along with your current medicine. For sleep problem, replace with tablet Lorazepam 1 mg at night. Avoid excessive caffiene, tea, etc., before sleep. Make environment for sleep. Please note: Tablet Olmesartan and all other medicines of this group are contraindicated during pregnancy. May cause serious side-effects to fetus and even fetus loss. Avoid noises, lose weight if overweight, reduce salt intake." + }, + { + "id": 20977, + "tgt": "I had bleeding for 5 hours after taking Mefigest kit. What should I do?", + "src": "Patient: Hello doctor, I missed my period this month and I did a pregnancy test and it has come positive. So I have taken the Mefigest kit for abortion. One Mifepristone medicine I have taken four days back and two Misoprostol tablets yesterday. Another two tablets of Misoprostol I took yesterday. Last night I got bleeding only for 4 to 5 hours after that bleeding stopped. So what should I do? Doctor: Hi. I understand all your concerns. Mefigest kit (Mifepristone and Misoprostol) is commonly used for abortion in early pregnancy. Please let me know if you have noticed clots in the bleeding. In order to make sure that the abortion is complete, you should notice if there are clots. Then after it stops, the ultrasound should confirm that the abortion is complete and there are no intrauterine remanents." + }, + { + "id": 192, + "tgt": "What should I do for healthy and glowing skin?", + "src": "Patient: Hi doctor, I am a 20 year old female. My weight is 48 kg and height is 5'2\". I have a fair skin. I had nodular acne on face, back and shoulder. I was on Isotretinoin for 5 months and I have got over my acne. But, my skin looks lifeless, unmoisturized and\u00a0dull\u00a0in the face, hands and shoulder, even after applying moisturizer. What should I do now to get a healthy and glowing skin all over my body? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26376, + "tgt": "There are some cuts on my foreskin and it burns a little. Please advise", + "src": "Patient: Hello doctor,I am a 30 year old unmarried male, a diabetic as well as BP patient. From the last two\u00a0weeks, I have a problem in the foreskin of my penis. There are some cut marks in the top part of the foreskin of my penis which makes me feel a\u00a0sensational burn when I pull the foreskin. I have applied Aspoline to it but there\u00a0is no improvement. Please help me cure this problem. I have sent you a picture of it.\u00a0Please provide me suggestions for it. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30069, + "tgt": "After starting Isotretinoin, my facial hair has increased. What to do?", + "src": "Patient: Hi doctor, I am female of 25 years old. My weight is 58 kg and height is 5'3\". I am suffering from acne problem for the past 5 years. I tried many antibiotics. Now, I am on Isotretinoin for more than a month and it has really cleared my acne. But, my facial hair has increased. Will it become worse if I continue Isotretinoin? After the completion of Isotretinoin course, will I get acne again? If it comes back, what will be the intensity? Please explain in detail. Doctor: Hi. Isotretinoin has no effect on facial hair. An increase in the facial hair can be attributed to either hormonal abnormality or topical steroid abuse. Isotretinoin must be continued in tapering doses for at least six months. You need to go for a hormonal evaluation by ultrasound abdomen in order to rule out PCOD (polycystic ovarian disease), which is a common source of ectopic hormone. You also need to undergo serum testosterone, FSH and LH ratio (follicle stimulating hormone and luteinizing hormone) and serum DHEAS (dehydroepiandrosterone). Also, make sure that you are not taking steroid in any form that is neither topical nor oral. Revert back with the reports to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15089, + "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": 14011, + "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": 19572, + "tgt": "Antidepressants caused weight gain. Please suggest a personalized diet to lose weight", + "src": "Patient: Hi doctor, I am a 30 year old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased a lot. I gained 15 kg in three months, mostly around my belly and hip. I consulted a psychiatrist on icliniq and he changed my medicine from Mirtaz 30 mg to Topomax 100 mg. I lost 10 kg in three months with Topomax and stopped it eventually. Nevertheless, my weight has started increasing drastically around belly and hips (after I stopped Topomax). I feel bulky and the tummy is growing out. It is so embarrassing as I am a lean guy and with belly protruding out, I am going low on confidence. I cannot leave my depression tablets but I cannot ignore my increasing weight either (I wanna lose the excess weight as well as maintain a healthy lifestyle). Could you please let me know what should I do to lose this excess weight and get back in shape? I cannot walk as I have slipped disc problem. I cannot go to the gym either as it is not recommended by doctors. I need your help in carving out a diet plan to lose this weight. Please please help me out. Doctor: Hello. I went through your query which says you are on anti-depression medicine. And you are concerned about weight gain but as I can see the details given your height is 175 cm and weight is 33 kg in which case you are not overweight at all. You need to start with proper diet plan to achieve ideal body weight. Kindly get back to me if there is a mistake in mentioning a weight or else we can start with the balanced diet plan. Revert with more information to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 871, + "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": 23923, + "tgt": "I can walk fast but if I slow down I lose balance. Please advice", + "src": "Patient: Hello doctor,I am 70 years old, male. I was in good health, hiked, exercised, ate right. My weight is 175 lb and I am 5'9. A few months ago, I experienced intense vertigo and severe nausea. I was hospitalized for 15+ days where I was tested for meningitis (came back negative), tick born illnesses (negative) and autoimmune disorders. The doctors were not able to diagnose my condition and released me from the hospital. I could barely walk when I was released and lost over 30 lbs (due to constant vomiting while in the hospital). The doctors still have no idea what is wrong. I have now been home for a month's time and I am still having difficulty walking, the vertigo is gone though. My walking/balance seems to get better and worse in the same day. I cannot stand still. I can walk fast but if I slow down I lose my balance. My legs feel like jelly. I am very frustrated and have no idea what this could be. Any advice/suggestions would be greatly appreciated. I have gained back all the weight and I do feel physically strong as I was before the hospitalization but I am still weak and lose my balance. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to an inner ear disorder. Have you been checked by an ENT specialist? Have you performed any labyrinthine tests? Coming to this point, I would recommend avoiding abrupt head movements and take Dimenhydrinate therapy, in order to help reduce vertigo and also nausea. A brain angio MRA is necessary to examine the blood flow to the brain and exclude possible vertebro-basilary insufficiency, which is related to narrowing of these blood vessels. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6387, + "tgt": "My skin is oily with the problem of acne, dark spots and scars. Kindly give some advice", + "src": "Patient: Hello doctor, I am having acne and oily skin for the past four years. It comes as hereditary. It leaves spots, scars, and holes on face. This problem appears majorly in humid weather conditions. I am currently on homeopathic treatment. Doctor: Hello. Acne or pimples is a very common condition seen in the teenage years and early twenties due to the hormonal changes occurring in your body. There is no need to worry about it. Even if it does reduce, the chances are that you may get another bout of acne over your face. Hence it is more important that you avoid fiddling or pressing the lesions since it will leave scars and pigmentation, which takes a long time to go. Acne treatment is usually given according to the grade of acne you have, which can range from Grade I (mild) to Grade 4 (very severe). Also, the treatment varies from topical cream applications, chemical peeling, dermabrasion, and in severe cases, oral medications. As you have not mentioned the area involved over the face and types of lesions (e.g., blackheads or red spots or pustules) I will suggest the following treatment for the time being: 1) Adapalene and benzoyl peroxide gel, to be applied over the pimples in a pea-size amount at night. Stop if there are any redness and irritation. 2) Do use a good moisturizer if there is any dryness. 3) For pigmentation or dark spots, you can use a depigmenting cream containing kojic acid over the spots at night. 4) Scars treatment can be only suggested after looking at the scars. Do follow up with good clear photographs of the lesions for a better solution." + }, + { + "id": 30881, + "tgt": "How to avoid passive smoking?", + "src": "Patient: Hi doctor, My father is a chain smoker and he smokes inside the house in the bathroom. Our house is pretty small and the smoke easily circulates everywhere. I have advised him many times in many ways not to do it, but he is not listening to me. My concern is not him anymore, but my mother. She was pretty sick a few years ago and got her kidney transplanted. I am really worried about her health. Can you suggest any sprays or fresheners that absorb the nicotine and reduce the effect? Any other alternative solution is also appreciated. Thanks in advance. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 19317, + "tgt": "Does blood in cough and red pimples in neck mean cancer?", + "src": "Patient: Hello doctor,I got blood in my cough two weeks back only once and there are red pimples on my neck. I am feeling weak. I used to take tobacco one year back which I left after rehabilitation. I have read that these are symptoms of cancer. Doctor: Hi. Do not panic. At this young stage lung cancer is unlikely, blood in sputum has multiple reasons like bronchitis, bronchiectasis, which can be treated. The red rash can be a local vasculitis or allergic cause too. Kindly do a routine blood test and chest X-ray and contact us through profile for further follow-up." + }, + { + "id": 11333, + "tgt": "I was advised to use Finasteride for four weeks before TURP. Is that safe?", + "src": "Patient: Hello doctor,I will be having prostate TURP surgery in five weeks. My Urologist has recommended daily Finasteride four weeks before to reduce bleeding during the surgery then stop. I am worried that Finasteride has been linked to prostate cancer. Is this true? Is there an alternative medication to reduce blood loss? I know the Finasteride is just for four weeks, but I am still concerned. Is there any research on short term use? Doctor: Hello. Before I begin, let me assure you that there is no evidence that Finasteride causes malignancy when used for short term such as four weeks. As such, both Finasteride and Dutasteride can be used for reducing the vascularity of the prostate. Dutasteride is a good alternative. But Finasteride has better action in reducing vascularity in the short term. In short, let me assure you, there is hardly any chance of malignancy by using either Finasteride or Dutasteride. Do not worry, be positive and wish you a very uneventful and successful recovery, post-surgery." + }, + { + "id": 4785, + "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": 30121, + "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": 19186, + "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": 30083, + "tgt": "My inner foreskin started burning after sex. How to heal this?", + "src": "Patient: Hi doctor,A week back, I had sex with my wife using a condom. The condom appeared to be a bit dry and we had rough sex. After sex, when I was washing up with soap I felt some burning sensation in the inner foreskin. There were some cuts. Also, when I pulled back the skin, I felt pain in my frenulum. The frenulum is a bit hard and swollen. It is not healing even after a week's time. I cannot have sex or even masturbate as it hurts. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15880, + "tgt": "I am unable to gain weight. Please suggest", + "src": "Patient: Hi doctor, I am 27 years old. I am unable to gain weight. I am in depression as I am underweight. My weight is 49 kilograms. Currently, I am taking homeopathy medicines. Doctor: Hi. I can understand your concern. Take Nutrigain granules (Ashwagandha with Shatavari) one teaspoon two times a day with lukewarm milk and add a half teaspoon of Desi ghee or clarified butter in lukewarm milk. It will help you in gaining weight. Also, learn exercises which increase your muscular bulk. It helps to gain weight. Consult a nearby ayurveda physician after one month regarding improvement and for further management." + }, + { + "id": 3147, + "tgt": "Why are men affected by cancer more than women?", + "src": "Patient: Hi doctor, Why are\u00a0men generally affected by cancer than women? Do they have less tumor suppressor genes (p53) than women? Or is there a different reason entirely? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11640, + "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": 11110, + "tgt": "Can eye sight lost due to rocket blowing up in eye be cured?", + "src": "Patient: Hi doctor, When I was younger, I had a bottle rocket blow up in my eye. It left a scar in front of my pupil, so I am no longer able to see out of the eye, and am considered legally blind. My pupil stays dilated all the time, and where it is not able to focus on anything, it wonders to the right. I was wondering if there is any new surgery, that could possibly help. Doctor: Hello. Thankfully only one eye was affected and I hope your other eye is intact and fully functional. Unfortunately, a dilated pupil that does not react to light in the affected eye means that it is no longer transmitting information to the brain and therefore is considered non functional. In most cases those changes are irreversible and the eye is no longer considered a functioning organ. But, hope dies last, and to cheer you up a bit, there are many ongoing clinical researches on the restoration of vision in blind eyes and mainly involve implanting a chip in the retina and connecting it to the brain and although the results are not what a patient would expect, nonetheless it helps the eye detect objects on a very primitive level. As I said earlier, thank God that only one eye was affected and you should take care of it by undergoing a yearly comprehensive eye exam. I wish you best of luck." + }, + { + "id": 24575, + "tgt": "Will long time steroid use for RA prevent me from having children?", + "src": "Patient: Hello doctor, I am a 28 year old male. I have been diagnosed with RA. And another rheumatologist told me I do not have enough symptoms for RA. However, I have been using Methylprednisolone 4 mg for almost four years every day. And this helps me completely get rid of any problems. If I do not take it for a day all my joints start to swell and it is unbearable. The second rheumatologist prescribed Methotrexate to me and now I am taking this for already four months together with the Methylprednisolone. But, I still cannot get rid of the Methylprednisolone. How dangerous is it taking this drug for already so long? Will it prevent me being able to have children? What is my best option? I am open to travel to any hospital in the world. Symptoms started four years ago. Doctor: Hello. Well, it is a tough spot you are on. It will be difficult for a new rheumatologist to diagnose if you are already on steroids and the symptoms get masked. But I will try to simplify it for you here. Could you let me know the results of rheumatoid factor, anti-CCP antibody, and ANA? If they are negative, it will reduce the probability of rheumatoid arthritis. Steroids on a long-term basis are always harmful. It can cause cataract, osteoporosis, and diabetes mellitus. It is like a drug which cannot be withdrawn so easily. So, to figure out if it is rheumatoid or not the first thing is serology (blood test advised). Second is to get an ultrasound of the joints done. It will help us detect if there is anything underlying. Either way, steroids are not the option for you. You will have to put in a lot of effort to go off it. Your doctor may have to give you a steroid-sparing agent for a short course to help you come of it. Steroids as such do not cause difficulty in pregnancy, but they do cross the placenta if taken on a higher dose and may affect the baby. So, we got to get you off it and streamline your treatment. Firstly, if it is rheumatoid or not and secondly what medications you need. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 10753, + "tgt": "Kindly suggest medications for massive stress and pain in the neck and shoulder area", + "src": "Patient: Hello doctor,I have been suffering from massive stress for the past 34 months. I have severe pain in neck and shoulder area. My head is tight, and stress levels fluctuate, racing my thoughts and giving me sleepless nights. Please suggest me medication that will help me flush all my stress and pain. I was earlier diagnosed with a generalized anxiety disorder. Doctor: Hello. I can understand your problem. Anxiety might be one of the main contributory factors for the symptoms you have. Racing thoughts, heaviness in the head, pain in neck and shoulder, excessive stress along with sleeplessness, etc., could be because of anxiety. If you have impairment in functioning, then please visit a psychiatrist for evaluation. Drugs like SSRIs (selective serotonin reuptake inhibitor) can help you in coming out of stress. Escitalopram or Sertraline or Paroxetine can be used. These drugs if used, regularly contributes in reducing the symptoms of anxiety, depression, and even the pain. The thoughts will be under control when you start taking the medicines. Kindly visit a psychiatrist for the prescription. Remain relaxed, and you will be alright. The blood test report you have attached shows nothing abnormal (attachment removed to protect patient identity)." + }, + { + "id": 28070, + "tgt": "Can you explain the MRI findings, which I took for my foot pain?", + "src": "Patient: Hi doctor, From the last three\u00a0years, I have severe foot pain. The doctor told me it is because of plantar fasciitis. I took four Cortisone\u00a0injections, and I wear special boots, but I did not get any relief. So, I took an MRI, and I am attaching my MRI reports with this query. What do\u00a0the results of my MRI mean? I currently take Levoxyl and Paxil. Please help. Doctor: Hello. I have seen the MRI report (attachment removed to protect patient identity). Take care.\u00a0Hope your concern is solved.\u00a0Consult an orthopedic surgeon for examination and discuss your treatment plan. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25021, + "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": 15975, + "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": 13516, + "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": 24888, + "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": 29507, + "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": 11183, + "tgt": "Is it normal to to experience limited mouth opening following wisdom tooth removal?", + "src": "Patient: Hello doctor, I got an impacted wisdom tooth removed a week ago, I am still in a bit of pain and cannot open my mouth wide without a lot of pain and today I keep getting like pinching feelings in my temple, ear and neck on the same side as the extraction and I have bad breath and a yellow tongue and spitting out yellow stuff when I rinse my mouth. It worries me. Doctor: Hi. This is a case of post-extraction trismus which occurs either due to traumatic extraction or wrong injection techniques. First of all, I do not know how much you open mouth, it would have been better if you can send photograph with open mouth at highest. Coming to your problem, you need to take muscle relaxants for one week like Zerodol MR (Aceclofenac with muscle relaxant) twice daily. You are required to do some exercise like placing ice-cream sticks between teeth till gap is closed. It must be repeated two to three times daily for same period. However, if there is a very small mouth opening and you are not able to eat, then you need to consult oral medicine specialist for mechanical opening of the mouth." + }, + { + "id": 2944, + "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": 9541, + "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": 25017, + "tgt": "My sperm has become yellowish gray. What antibiotic can I use?", + "src": "Patient: Hello doctor,I am a 32-year old man with a weight of 60 kg. I noticed for about a month now that my sperm has become yellowish gray. So, I recently went for semen analysis and the result was that I have Staphylococcus epidermidis in my semen. Please, what antibiotic can I use? Doctor: Hello. Bacteria in semen may cause decreased quality of sperm in it or bacterial toxin may affect the viability of sperm. But to be sure, the bacterial presence in semen must be confirmed as not from contamination from skin. Staphylococcus epidermidis is a very common bacteria staying in our skin. So, during the process of collection of semen, you may create situations where you accidentally contaminate your sample from your own source, that is, your body with the not so harmful organisms living on your skin. I think you can repeat the test and along with that, you do a routine checking of your semen, that is, semen analysis so that you can be assured that your semen contains an adequate number of viable sperms. You did not mention your marital status or having any child. I guess you are little worried about the change of color of your semen. I suggest you follow the proper steps before collecting semen for culture and analysis and then if it is proved that your semen sample is not contaminated, then we can suggest an antibiotic. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 12209, + "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": 5042, + "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": 30684, + "tgt": "I am getting knee pain even with a simple activity. Please help", + "src": "Patient: Hi doctor,I am a 27 year old male. My weight is 85 kg and height is 179 cm. About 2 years ago, I participated in a half marathon. On that day, I started feeling pain in both knees above the patella. I think in quadriceps tendon. I followed RICE and the pain went off. But, after that, whenever I do some running or exercise it again starts paining and I have to take rest for a week to reduce it. Recently, I have started going gym and doing light exercises. Even for this, it is paining very badly near and just above the patella. I feel pain while running, staircase movement and bending knees. I\u00a0am not taking any medicine or medical help now. I am just using pain relieving ointment. Please help me. Doctor: Hi. Considering your symptoms and pain, I have a few points to mention. X-ray bilateral knee AP (standing), lateral and skyline patella. 1. Quadriceps pull. 2. Chondromalacia patellae. 3. Osteoarthritis. Chondromalacia Patellae. RICE, physiotherapy and medications. 1. Avoid running. 2. Follow lifestyle modification. 3. Try to lose weight and keep BMI (body mass index) below 25. Revert back with the x-ray report to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14469, + "tgt": "What should I do for severe pain with bad breath and taste after wisdom tooth extraction?", + "src": "Patient: Hello doctor, I got one of my wisdom teeth taken out a week back. My stitches came out and now there is a big hole where the tooth was extracted. My dentist gave me nothing, not cleaning tools at all. I am just freaking out because their office is closed. What should I do about the giant hole? It hurts a lot. My breathe stinks and taste is bad as well. Doctor: Hello. If it hurts a lot, it means that you have a dry socket condition, where the blood clot gets dislodged from the wound causing infection. You need to start taking antibiotics like Augmentin 625 mg and a painkiller. Also, use warm salt water gargling three times a day. Do not touch the area. And wait it out till you can see a dentist nearby. In such condition it takes time for full healing of the area, thus you have to be patient, get the wound cleaned and debrided by your dentist as soon as possible." + }, + { + "id": 14773, + "tgt": "I had a baby 7 weeks ago. I was ovulating and had unprotected sex and took MAP pill", + "src": "Patient: Hi doctor, I had a baby seven weeks ago. I was ovulating. I had unprotected sex and took MAP pill 52 hours after. We tried the pull out method, but are worried about precum. Symptoms are like last pregnancy. Could MAP pill fail? Am I pregnant? Doctor: Hi. MAP (morning-after pill) pill works well if taken before 72 hours from unprotected sex. But it will protect against only once such act. It does not offer any ongoing protection. In your case, it should work well up to 99%. The symptoms you have described are due to the hormone progesterone. This can happen just before periods, it can also happen in early pregnancy. Please do a urine test for pregnancy, a week after the missed period, if you do not get your periods on time. MAP pill itself can delay your period. Hope this helps, take care. Please do not hesitate to ask further queries to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11006, + "tgt": "A stripper spit saliva on my penis. Should I worry about HIV?", + "src": "Patient: Hi doctor,I have a quick question. I have fatigue, some soreness in my throat. I might have a high temperature and some dry lips (dehydration). I also am worried because I had a handjob from a stripper about two weeks ago. We did not have sex but she did spit saliva on my penis. There was some rubbing from her ass on my penis but we did not have anal sex. I am not sure if I should be worried about HIV. I am not sure if I really have a fever and if I have something from the flu season. Doctor: Hello. I have noted your concern. A handjob is not a risk. Saliva is not infectious unless it has blood contaminated from bleeding gums or open sores in her mouth. Anal rubbing without actual penetration is not a risk unless she had open weeping sores in the perianal area or anal rim. Otherwise contact with outer perianal skin is not a risk for HIV (human immunodeficiency virus). Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7144, + "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": 12200, + "tgt": "What can be the reason to get clots after taking 2 doses of MTP pills?", + "src": "Patient: Hello doctor, I had recently used MTP pills, and it is day 4. Day one I took 1 tablet of 200 mcg, the second day I took 2 tablets each 200 mcg. I did not take rest two pills, due to heavy bleeding. Also, I had got a lot of clotting, though it must be cleared now. On the fourth day, I did ultrasonography and found still a few clots were present. What is the best solution now? Will it clear automatically after a few weeks or should I take rest two pills now? Please help. Also day 4, the doctor suggested that I need to go for dilatation and curettage. I need your suggestion. Should I do it immediately? I am not in a position to do it now. Can I do dilatation and curettage after some time of around two months? Please suggest. I have attached my laboratory tests for your reference. Thank you. Doctor: Hello. Considering the USG (ultrasonography) scan report (attachment removed to protect patient identity), there are still retained products of conception inside the uterus with clots. Ideally, you can take the remaining two doses of tablet Misoprostol and allow the bleeding to continue further as with medical abortion the bleeding may last for at least 7-10 days. Repeat USG scan ideally after 2 weeks to check for retained products again. If the products are still retained then dilatation and curettage would have to be done without delaying it further as you said till 2 months. Delaying can lead to endometritis or uterine infection which can be harmful to future pregnancies." + }, + { + "id": 6503, + "tgt": "My father have cardiomyopathy and getting chest pain at night. What to do?", + "src": "Patient: Hello doctor, Six months ago, my father was hospitalized due to pleural effusion. After doing all the tests, we got to know that he has cardiomyopathy, for which the doctor prescribed some medicines. He is taking Atorfit CV 20, Nitrocontin 2.6 mg, Coversyl plus, Concor 2.5, Glyciphage and Glynase. But recently almost every night at the time of sleeping his both chest and back burns and pains. We did a chest x-ray, echocardiography, blood test and ECG. Please suggest. Doctor: Hello. Did he undergo angiography at that time? Can you attach his test reports or summary? Firstly, you should consult your cardiologist again and get him checked for the cause of pain. This pain may be related to noncardiac cause as well, like musculoskeletal or gastric reflux. Does he also get pain on exertion or activities which relieve at rest? If yes, then it could be related to the heart. In that case, he will need angiography, and some medicines to be added. There is no antacid medicine mentioned here. So you should discuss regarding starting antacids like tablets Pan-DSR (Pantoprazole and Domperidone) before breakfast once daily. He should avoid having oily, spicy foods and heavy meals, especially at night. So it is important to visit your cardiologist and get him examined and modify some medicines, especially antacids. Also, discuss the need for angiography and adding cardiac medicines. I hope this helps." + }, + { + "id": 27338, + "tgt": "Can you explain what is wrong with my dad's heart?", + "src": "Patient: Hello doctor,My 65 year\u00a0old father has a\u00a0heart problem.\u00a0I am attaching his medical reports with this message. Doctor: Hello. I have gone through your dad's results (attachment removed to protect patient identity). I suggest you discuss this option with his specialist. I wish him a quick recovery. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 24749, + "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": 25030, + "tgt": "I have a tight sensation on my left hip. What is causing this?", + "src": "Patient: Hello doctor, I am a 27 year old male. For about the last year, I have had this weird sensation on my left side. From my left hip up to below the bottom of my left ribcage. It is mostly just when I am laying on my side. When I lay on my left side it feels like I am laying on something like a flat piece of cardboard or something like that. It is mostly along the hip and under the ribs. When I turn over and lay on my right side, my left side feels really tight and it is very uncomfortable. Once in a while, it will also feel like it is back behind my left shoulder blade also. Again this has been going on for about a year now. I have had blood work and a CT scan about six months ago and they both came back with nothing. The feeling just is not going away though. What could be causing this? Doctor: Hello. Most probably, you have musculoskeletal pain. Characteristics of the musculoskeletal pain are: The other less likely possibility is irritable bowel, characterized by attacks of chronic diarrhea and bloating. Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4468, + "tgt": "Why does it hurt during sex?", + "src": "Patient: Hi doctor, I am a 26-year-old female. I experience pain during intercourse. The moment the penis is inserted I feel my muscles contract and then it feels painful. And due to this, I am unable to have sex with my partner. Also, I feel there is dryness in my vagina. Please help. Also, I have genital herpes. And I fear sex because I do not want to trigger the symptoms or eruptions again. I take Acivir for this. Doctor: Hello. You probably are suffering from a condition known as vaginismus. It is characterized by involuntary spasm of pelvic muscles around the vagina making it almost impossible to penetrate. The condition is usually related to conscious or unconscious anxieties about having sex. Sexual abuse during childhood, sexual harassment, and feelings of dislike and disgust towards sex and sexual partner are the issues commonly associated with it but it can occur in the absence of any such history. Another common cause of painful sex is PID (pelvic inflammatory disease), a condition caused by infection of internal reproductive organs. Signs and symptoms include painful sex, abnormal vaginal discharge, and chronic lower backache. In case of vaginismus, the patients are symptom-free while not having sex. i.e. pain occurs only during sex. The treatment includes relaxation techniques like systematic desensitization and progressive muscular relaxation. The goal is to get comfortable with penetration. Here is what you can do: First, do Kegel exercises by squeezing the same muscles you use to stop the flow of urine when urinating. Squeeze the muscles. Hold for two to ten seconds then relax the muscles. Do about 20 Kegels at a time. You can do them as many times a day as you want to. After a few days, insert one finger, up to about the first knuckle joint, inside the vagina while doing the exercises. Use any lubricant while doing it. Start with one finger and work your way up to three. You will feel the muscles of vagina contracting around your finger, and you can always take your finger out if you are not comfortable. This way you can teach your nervous system not to contract vaginal muscles while penetration." + }, + { + "id": 19670, + "tgt": "I have large buck teeth and triangular gap between rows. Do I need braces?", + "src": "Patient: Hello doctor, So, I have an overbite and I would probably say it is pretty bad. My teeth are not that bad, but I do have large buck teeth. My two front teeth are angled on the outsides and that creates a triangle shape gap in between my top and bottom teeth. I was wondering with the information provided above, do you think I need braces, a retainer, or Invisalign? Doctor: Hi. I have read through your complaint and the relevant details. You have mentioned that your front teeth are protruded, large and that creates a space with the lower teeth. With these, I am pretty much sure that you might need braces (fixed orthodontic therapy). But a proper analysis of your teeth in position along with your skeletal outline are the factors which decide that you need braces. For beauty purpose, you can also discuss with your specialist about lingual braces or ceramic (tooth-colored) braces. Invisalign is chosen only for mild correction and cannot achieve results that as proper braces. Retainer and Invisalign almost serve the same purpose of maintaining the moved or corrected teeth through braces. They cannot be used all in all for co correction in your case I reckon. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1889, + "tgt": "Why am I getting repeated itchy rash on the penis?", + "src": "Patient: Hi doctor, I am a 36 year old male. I have been having\u00a0itchy rashes and white layer on my penis with burning sensation. Since 20 days the symptoms subsided with Dettol hand wash. But again, it reappeared. Please help me. Doctor: Hello. I have gone through your query and I have understood it. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30465, + "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": 5660, + "tgt": "I am taking medicines for rheumatoid arthritis, but recently it is flaring up. Why?", + "src": "Patient: Hello doctor, I am 26 years old and diagnosed with rheumatoid arthritis when I was 23. Since then I have been on 15 mg of Methotrexate and Hydroxychloroquine. Since I have been on medication, I hardly have no symptoms, but recently arthritis seems to be flaring up for three weeks now. I have pain in my feet again, some stiffness and tiredness. Does this mean the Methotrexate is no longer working? My ankle also clicks every time I walk. I am worried about my joint damage? I did my blood test, liver and kidney function tests. All tests are normal. Please advise. Doctor: Hello. Well, it is a possibility that Methotrexate dose is not sufficient enough to stop the disease. 15 mg is the dose we use for starting and we normally go higher up. In my experience, 15 mg normally proves inefficient in the long run. But since your disease is flaring, and as you said liver functions are good, you need to increase the dose to 20 mg or 25 mg. Secondly, for the flare you are having, you can take a short course of steroids, Prednisolone 10 mg to be tapered over three weeks and stop. That will help to stop the disease." + }, + { + "id": 11511, + "tgt": "What causes running nose and nasal congestion?", + "src": "Patient: Hi doctor, Whenever I sit or lie under a fan or walk outside when it is windy, I suffer from running nose and nasal congestion. So, a few days back I did a CT scan PNS, and the report says there is predominant ethmoidal sinusitis and DNS deviated towards left. Kindly tell me how serious is my condition as per the above description of CT scan PNS. I am not willing to do surgery. Let me know whether it can be taken care of without doing surgery or not, and also kindly advise me with medicines and other measures to take care of my illness. Doctor: Hi. It is not a severe condition, and the surgery is not always required if there is a response to treatment. You appear to have two issues, one is allergic sinusitis, and another one is DNS (deviated nasal septum). Your predominant symptoms are likely due to allergic sinusitis. So treatment depends upon the frequency of the symptoms. If the symptoms are occurring on a daily basis or most of the days of a week, then you may need a long course of treatment. If you are having symptoms on and off, then you may require a short-term treatment. It is advisable to get yourself examined by a local doctor once. We usually prescribe Duonase nasal spray (Fluticasone propionate with Azelastine) which is given two times a day for four to five days if the symptoms are occasional. It is not advisable in persons having infections like fever and body ache. Also, we also ask to have tablet Solvin cold (Paracetamol with Phenylephrine) at bedtime whenever required. Steam inhalation done during a significant period for three times will help. Usually, patients respond well to medicines and surgery is not always needed. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3434, + "tgt": "I am having excruciating pain and swelling post wisdom tooth extraction. Why?", + "src": "Patient: Hello doctor, I had all four impacted wisdom teeth out a week ago. The pain has been absolutely horrible which I knew it would be. However, my left side has healed very well, is no longer swollen with minimal sensitivity. Now my right side is still as swollen as day two or three. It is hard, sensitive and the constant dull throbbing pain is still waking me up at night and literally bringing me to tears. It is not even the incision site that hurts, it is my entire jawline from my eye all the way down into my lip. My surgeon said this was normal and stuck some medicated gauze there and called it a day. That in which did not help the pain, actually only made it worse. I cannot open my mouth wide enough to even fit a spoon. Should not this be improving by now after seven days? Should I be concerned about the bone fragments or possibly a fractured jaw bone? I am really stressed and my surgeon has provided zero help. I understood that it is four days of recovery time and not seven days of the same miserable swelling and pain with no improvement. I am currently taking Penicillin and Ibuprofen. Doctor: Hello. Let me explain a few things first. Wisdom tooth, first of all, can be fully erupted, partially erupted or totally unerupted, sometimes lying deep within the bone. The swelling of the extraction site depends on the amount of bone removal to take the tooth out. It is not that easy job. It occasionally happens that a nerve lying close to the tooth gets lacerated giving rise to prolonged numbness. Another thing, a chance of fracture is there when the tooth lies too close to the angle of the jaw bone. I would advise you to take an OPG (orthopantomogram) first. Make sure you gargle with Chlorhexidine mouthwash and apply ice packs at least five times daily. It will help reduce swelling greatly. There is nothing to worry though. Keep your mind at ease. Just visit your dentist soon and determine the cause first. I hope this helps." + }, + { + "id": 7353, + "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": 26553, + "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": 8418, + "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": 14760, + "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": 17836, + "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": 17153, + "tgt": "I am suffering from dizziness and headache. What could it be?", + "src": "Patient: Hello doctor, I am 30 years old. I am suffering from dizziness and headache. There is\u00a0some fluid sensation in my inner head. I have seen a neuro doctor and they said there is\u00a0nothing to worry. But, there is a fluid leakage sensation which is quite disturbing. I would like to\u00a0take an MRI.\u00a0Kindly suggest me what should I do? Doctor: Hello. You may be having BPPV (benign paroxysmal positional vertigo) which is nothing but an inner ear inflammation. This can be mostly due to a viral infection. An ENT doctor will easily be able to check and examine your ear and this usually does not require any test. I suggest you take Vertin (Betahistine) 16 mg tablet three times daily or 48 mg once daily for three days. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Do not make sudden movements of your head. Try to move around the head slowly and try to keep the head still. You should get better soon. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15530, + "tgt": "I am not getting good sleep even after taking medicines. What can I do?", + "src": "Patient: Hi doctor, I am not getting good sleep. I have stress, mental pain, irritation, agony, and bullshit thinking. I am diabetic, and I need a rest for a few days. I am taking Amixide, Mirtaz 30 mg, Lonazep MD 0.25 mg, Teneligliptin 1000, Zoryl MV 2, Rejuveron active, and Sunvit gold. After taking these tablets also, I am not getting strength and sleep. Please prescribe me some medicine and help me. Doctor: Hi. Along with medicines, you need to maintain sleep hygiene. Sleep hygiene includes fixing a time for going to bed and getting out of the bed at a set time after sleeping. Go for a regular morning walk for 35 minutes and follow it five times a week. Do some deep breathing exercise or Jacobson progressive muscle relaxation exercise. You can practice it, and if you feel some difficulty even after following these steps, then you can consult a doctor nearby. Also, you can ask your psychiatrist for changing the medicine or add Quetiapine 50 mg which can help you to get good sleep as well as for anxiety too." + }, + { + "id": 6584, + "tgt": "I had anal bleeding and noticed black streaks in my stool with mucus. What could it be?", + "src": "Patient: Hello doctor, About five months ago, my doctor said that I developed internal hemorrhoid (he used an anal scope), and my bleeding was from the end of my anal tract before the rectum. I have been bleeding during bowel movements occasionally. Now my bleeding seems to be very little to almost nothing. But recently I had a bowel movement and saw about two streaks of black stool and it is mucus. I do not think the bleeding is from the intestinal tract because the rest of my stool was normal. I had no pain so far. What could these black streaks be? Doctor: Hello. 1) This black streak is from previous old episodes of bleeding. This bleeding occurred at the end of the anal canal and got deposited as a clot, which was passed as a black-brown streak with stool. 2) The most common site of this bleeding is anal fissure, i.e., the breach in continuity of the inner layer of lowermost part of the anal canal. This occur due to excessive straining to pass stool. 3) The fissure is a self-healing condition, and the treatment is only for pain. A stool softener can be added to the treatment to promote healing by reducing strain. Excessive straining. Anal fissure. Treatment for constipation. Treatment for peri-anal pain." + }, + { + "id": 15737, + "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": 23110, + "tgt": "Is it safe to fast if I have type 1 diabetes?", + "src": "Patient: Hello doctor, I have diabetes type 1. My age is 18 years and I am taking Mixtard insulin twice a day. In the morning, I inject 14 units and in the evening I inject 6 units. I want to fast for religious purposes. Can I? Doctor: Hello. The patients with type 1 diabetes are advised not to fast. However, if you are healthy and having a good blood sugar control, then you can reverse the dose of insulin as in, take the night dose in the morning and morning dose at night and fast. Be prepared for breaking your fast if your sugar falls below 70 mg/dL or above 300 mg/dL. No need for vigorous exercise. Hope you find my advice beneficial. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 4687, + "tgt": "Can thyroid problem cause tingling, burning and numbness?", + "src": "Patient: Hi doctor, I was diagnosed with hypothyroidism five years ago and currently taking 100 mg of Synthroid. My most recent lab work showed that I am now at hyperthyroid levels. In the past, I tried reduced levels of Synthroid but felt terrible. I was diagnosed with peripheral neuropathy about 15 years ago with tingling and burning in the face and limbs. My Neurologist looked for MS due to my sister having the disease. The Neurologist said only to contact him if it got worse. I used to get two or three episodes per year, mostly during stress or period of fatigue. In the last six months or so, I have almost constant tingling in my face, feet, and arms, and numbness on the sole of my foot. Burning is off and on, some days worse than others. I mentioned it to my GP at an appointment about one month ago, but he said it was nothing to worry about. Researched that thyroid problems can cause tingling, burning, and numbness. Could this be from thyroid? Usually, I would push my GP, but my husband was recently diagnosed with late-onset MS (five months ago), and I feel doctors will think I am a hypochondriac. I am planning to visit my doctor after the holidays but my husband had his attack recently, and I am focused on his issues. I am just curious if I should be worried. Please help. Doctor: Hi. There are two issues involved, thyroid problem and the other one is if you \u200bhave MS. About thyroid, you are taking 100 mcg (not 100mg) Synthroid since long. My suggestion is to look for thyroid levels and consider tapering slowly over six months. You can discuss with your doctor for the same. Next are your tingling and numbness. It could be because of diabetes. I am not sure if you have diabetes. If yes, reasonable control of sugar is required. If you are not tested for diabetes, then get tested for the same. As you have hypothyroidism, there is a good chance that you may also have diabetes. Tingling and numbness can also be because of vitamin B12 deficiency. Check for levels of the same as it can be easily corrected with supplements. Multiple sclerosis can be diagnosed clinically and by specific laboratory tests. If your doctor has already done it, and assured that you do not have it, then no need to worry. You have fear and anxiety about getting the same as you have a family history, and your husband is also diagnosed with it recently. If you have any weakness in legs or hands, blurring of vision, and paresthesia in extremities, then consult your doctor. Thanks." + }, + { + "id": 13801, + "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": 16490, + "tgt": "I passed hard stools in pellet form. I also have belly bloating and abdominal discomfort. Please advise", + "src": "Patient: Hello doctor, I have had lower left side abdominal discomfort for about 48 hours. Along with this I passed hard stools in pellet form for about frequent 4-5 times a day. I also have belly bloating and gas which gets better with rest. I do not have fever, chills or severe pain. Pain is mild and not continuous. I do not experience nausea. There are no changes in stool color, but consistency is smaller and harder than normal. I have been drinking mineral water, but my water intake is very low and fibre intake also is very low. Please advise. Doctor: Hi,Welcome to icliniq.com. From the available history it seems that you are having dehydration and because of dehydration your stools are not formed properly and you are passing small frequent hard stools. Because of your incomplete evacuation of stools you are having pain and abdominal discomfort. I advise you to drink plenty of water (a minimum of two litres a day), eat more of fruits and vegetables and avoid non vegetarian food. For few days you can take syrup Lactulose 10mL twice a day. With this, your bowel movements will be normal. Once stools are being evacuated properly your abdominal pain and discomfort will come down. If even after 2-3 days inspite of following the above advise your abdominal pain persists, then get an ultrasound abdomen scan done and revert back with the report. For further follow up, consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12709, + "tgt": "Can I take Tadalafil and Bupropion together to conceive?", + "src": "Patient: Hello doctor, I am currently taking Tadalafil as we are trying to conceive a child. I used to take Sildenafil Citrate but switched to Tadalafil a few months back. There are certain days when besides taking Tadalafil or Sildenafil I am unable to maintain an erection. This could be either due to low sex drive as this has become a routine chore or anxiety to conceive during ovulation so as to not miss the cycle. Under such circumstances is it recommended to take Tadalafil and Bupropion together? If Bupropion is advisable then how many hours before sex should I take it? Can I just take this tablet on days of conceiving? Do you suggest any other alternative besides Bupropion? Taking Tadalafil is giving me side effects like dry mouth and dry eyes, especially while sleeping. The side effects reduce a bit after a few days but continue up to the next cycle. Is there anything I can do to reduce the side effects? Doctor: Hi. First, I would like to know the frequency of intercourse and the days on which you are trying for pregnancy. I mean, do you have sex every day during those days? Once every other day?" + }, + { + "id": 14721, + "tgt": "What could be the reason for insect biting like sensation of the index finger?", + "src": "Patient: Hi doctor,My father is 71 years old. He had two stents ten years back. He has no BP or diabetes. From last 20 days, he is suffering from right index finger sensation like insect biting and then feels depression in right side chest like something release. It is not continuous. It is happening around three to four times a day. What could be the reason? Doctor: Hello. Depending upon your description of the problem it seems most likely that your father is having some neurologically related problem regarding the affected area. Most commonly the nerves in the wrist might be the culprit especially a nerve known as a median nerve. There could be a problem associated with nerve impingement at the level of the spine as well. An MRI of cervical spine would help to rule that out. The depression in the right side of the chest needs to be confirmed that it is not related to a cardiac thing. Hence, doing an ECG should rule it out. On other routine evaluation, we need to be sure that his blood pressure and blood sugars are within normal limits. So, please check those out. Hope this helps. Take care." + }, + { + "id": 1479, + "tgt": "What is the treatment for absence of eyebrow?", + "src": "Patient: Hi doctor, I am a 22 year old male. I do not have an eyebrow. It has been like this since birth and I am ashamed about it. But, my siblings have good eyebrows and mine is different. I do apply castor oil sometimes, but it is not growing at all. Please help me. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3331, + "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": 19057, + "tgt": "My daughter's hemoglobin and iron levels are low. Is it due to ITP?", + "src": "Patient: Hello doctor,My 21 year\u00a0old daughter suffered from ITP, two years back. Her hemoglobin and iron are low again, so she started taking Orofer.\u00a0Her hemoglobin is 10.3 g/dL and iron is 25. The\u00a0platelet count is fine.\u00a0Please help. Doctor: Hi. Take care.\u00a0Hope your concern is solved. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 19944, + "tgt": "Having depression and not getting well with SSRI. Can you suggest any treatment?", + "src": "Patient: Hi doctor, I am suffering from depression, anxiety, and OCD. I have tried triglycerides and SSRI, but they do not seem to work. I also have BP and diabetes. I am currently on cardiac medicines as I\u00a0have undergone angioplasty twice. Please suggest me the treatment for depression. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20012, + "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": 1374, + "tgt": "I get recurrent ear pain whenever I clean my ears with q-tips?", + "src": "Patient: Hello doctor, Last February, I have had an ear infection from cleaning my left ear too often with a q tip. I went to the hospital and was prescribed Aplosyn otic drops, Celebrex, and an antibiotic which starts with a letter L (I forgot it as I lost the prescription. I am sorry). I took it for a week and went back to the doctor to have me flushed. He told me my eardrum was not perforated. All went well until two nights ago. I gently cleaned my left ear with a q tip after shower before going to sleep. I woke up the following morning with mild pain in my ear (maybe because I was sided left all throughout my sleep and have put so much pressure on it). Today I used a mirror to have a look at it. It looks like it has pus again and the moderate pain now is up to my left neck. What should I do? Please help. Doctor: Hi. I know how frustrating this problem can get. You can follow the advice mentioned below. 1. Please stop using earbuds q-tips as they introduce infections into a sensitive region such as the ear. 2. If there is pus coming out of your ear, there is a possibility of you developing an ear infection that may or may not involve the eardrum. 3. Take tablet Amoxicillin 500 mg with Potassium Clavulanate 125 mg combination one tablet thrice times a day after food for one week. Along with this, you can also take a combination of Paracetamol, Phenylephrine, and Levocetirizine one tablet twice daily for one week. 4. Keep your ears closed with sterile cotton and change it every six hours. 5. Do not allow any water or air to enter into your ear as it can keep getting infected and pus or ear discharge will start once again. 6. In a case where if by chance there is perforation of the eardrum, it will close on its own once the discharge subsides. Do not worry about it, you will be completely fine in a week's time. I hope this helps." + }, + { + "id": 29941, + "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": 16446, + "tgt": "Kindly tell me erectile dysfunction treatments", + "src": "Patient: Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already? Doctor: Hi. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction." + }, + { + "id": 27327, + "tgt": "Does an anomaly scan carry a risk of miscarriage?", + "src": "Patient: Hello doctor,I am second time pregnant and my first son is 11 months old. Now, I am 20 weeks pregnant and the reports of the 12 weeks scan and the quad marker are normal. I do not have a family history of any abnormality but, my 20 weeks scan shows some abnormality. There is some thickness in the baby's intestine and a small mark in the heart. We were asked to do an anomaly scan or NIPT again. Does the\u00a0anomaly scan carry a miscarriage risk? Could you confirm if any other test is required? Please see the attached scan report. Doctor: Hello. I went through your query. Please attach your reports again as they were not very clear. Feel free to follow up any time with the reports. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20869, + "tgt": "What is the cause for elevation of D dimer?", + "src": "Patient: Hi doctor, I am 47 years old female. Before a year, I went to the ER with pain during breathing. My D dimer was elevated at 700 ng/mL. CT scan was negative for a clot. Then I have done two subsequent D dimer tests, and both the ranges were elevated. The values are 521 ng/mL and 707 ng/mL. I am taking tablet Armour for hypothyroidism and a multivitamin tablet. Doctor: Hi. D dimer is a fibrin degraded product, and it is elevated in case of thrombosis usually like pulmonary embolism, deep vein thrombosis. For this, the investigation is done in the form of 2D echocardiography and color doppler of the leg. But you had investigated with CT scan angiography as mentioned in the history (attachment removed to protect patient identity) and it is considered as the preferred test to detect pulmonary embolism. So pulmonary embolism seems less likely. Calf vein color doppler is done to check deep vein thrombosis. Specific false definite causes for D dimer include pregnancy, inflammation, liver disease, any previous surgery. Also, you can check your coagulation profile through PT (prothrombin time), aPTT (activated partial thromboplastin time), BT (bleeding time). For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20130, + "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": 13364, + "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": 16507, + "tgt": "Suggest some steps to gain weight faster", + "src": "Patient: Hi doctor, I am a 16-year-old male. I want to gain weight. Please suggest. Doctor: Hi. You can take four to five soaked almonds daily in the early morning and take a banana shake in the midmorning. Try to include a whole milk curd in your lunch. Do regular exercise to build your muscle." + }, + { + "id": 22514, + "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": 26620, + "tgt": "Can I take Theanine capsules to reduce anxiety?", + "src": "Patient: Hi doctor, I have stress related problems as\u00a0I have had very painful feet since I was a teenager. I have tried chiropractic, orthotics, acupuncture, reiki, cranial sacral therapy and all kinds of natural pain relievers, but nothing worked. I occasionally take Advil to reduce the pain.\u00a0I have been on Xanax 25 mg and 50 mg for the past 10 years. I am having regular laboratory test once in a year. I have a few doubts about using L-Theanine for anxiety symptoms. Can I take the capsules to alleviate anxiety?\u00a0I have also purchased Lemon Balm. Doctor: Hi. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 26492, + "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": 17181, + "tgt": "How to reduce belly fat in a diabetic?", + "src": "Patient: Hello doctor, My father is a diabetic since 25 years. He had bypass surgery last year and has gained some belly fat. He is taking medication for lipids. He has grade 2 fatty liver with no symptoms. Please examine my father's recent ultrasound which was done to check his enlarged prostate. Also, please see his blood reports and advise. Currently, he is on Insulin Mixtard 30/70 - 38 units in the morning and 15 units at night. He is also taking Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar 25 1-0-0, Dynapres 0.4 0-0-1, Clopilet 75 1-0-0 and Ecosprin 150 1-0-0. Please guide. Doctor: Hi. His ultrasound (attachment removed to protect patient identity) of abdomen suggests fatty liver. Liver function test (LFT) is normal. This indicates there is fat in liver, but it is not damaging liver. There is no specific treatment for fatty liver. Main treatment to be followed is strict control of diabetes. Avoid fatty food; if possible do some exercise in the form of morning walk. Type 2 diabetes mellitus (DM). Fatty liver. Avoid oily food. For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7213, + "tgt": "How can I control my anger?", + "src": "Patient: Hello doctor, I have some serious problem in my family. I am 20 years old and studying. But something is not going well in my family. I got angry on little things and lost my control over me and behaved like a killer. Also, I have tremors at that time. Always I feel stressed, depressed, and fatigue. For that reason, though I have the eagerness to take food, I take a little. In my family, my father has some behavioral issues. He is also a psycho patient. All-time he disturbs us behaving rudely and he also got entangled in an outside relationship with a lady and the lady cheated him. So, now father becomes mad. My mother is also a cardiac patient. So, all the time a claustrophobic environment is there in our house. Moreover, the pressure from my father. I am always in fear that what I can do in this situation. I have another tension regarding my mother. She is always tensed. She does not sleep at night. So, I am tensed there about the current situation. I do not focus my mind into something. I feel that nothing is good around me. Even I dream about lots of bad things. Even midnight I hear that my parents are quarreling falsely. I cannot sleep constantly. Even after a sleep of 4 to 5 hours, I feel like I have done too many hard works. Doctor: Hi. I can understand what you are going through right now. Disputes in family and pathological relationships, they all cause tremendous stress and pressure. If you think your father is having disturbed behavior and aggressiveness, then you can consult a psychiatrist for him. If your mother is also slipping into depression then you can have a psychiatric consultation for her also. I guess family therapy would do best for all of you. Apart from it, try to do some lifestyle changes which can decrease the mental stress on you. 30 minutes of regular physical activity will improve your body and mental fitness. Yoga, meditation and breathing exercise will also help you. A neutral family therapist can help best to get you out of this situation." + }, + { + "id": 25826, + "tgt": "Why am I having problems with erection?", + "src": "Patient: Hello doctor, I am a 26-year-old male with a weight of 85 kg and a height of 5 feet 10 inches. Recently, I was not able to get an erection while doing sex and was also ejaculating very soon. This happened two days ago with my current partner while we were having sex for the first time and also with my ex-partner some six months ago. It is very disturbing and takes a mental toll on me. Earlier, I had a pretty healthy and regular sex life. Please help. Doctor: Hello. Poor erection in most individuals occurs due to psychological reasons. But sometimes hormonal issues, diabetes, hypertension also worsen the problem. Did you get yourself checked for serum testosterone, prolactin, and blood sugar levels? Do you have any other associated chronic medical illness? For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7054, + "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": 5726, + "tgt": "Can elevated bilirubin be interrelated with my stomach discomfort?", + "src": "Patient: Hello doctor, I am a 33-year-old female and I am fairly healthy and not overweight. I have been having constant nausea and stomach discomfort for several weeks now. I occasionally get a dull ache on the right side and feel full for a long time after eating. I am very worried what this could be. I have had a normal endoscopy, normal ultrasound. My blood work was normal except for elevated bilirubin with a total of 2.7 and direct 0.4. I am hoping you can give some thoughts as to what this could be. I am scared if it is cancer or something. The discomfort and nausea started about six weeks ago and has not been going away. Nothing I take seems to help. I am not on any medications except Swedish bitters. I have always had some stomach problems. I was taking Prilosec but I discontinued it. I had CBC, liver enzymes and pancreatic enzymes. Everything was normal except the elevated bilirubin. Please help. Doctor: Hello. Your symptoms are suggestive of jaundice and your report also suggests the same. I would need to know For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10172, + "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": 9866, + "tgt": "What can be done for recurrent balanitis?", + "src": "Patient: Hello doctor, Two weeks ago I consulted for candida balantis, and took Fluconazole, Levocetirizine and Candid cream, for a week. It was fine but as the dose got over, my itchiness in penis came back and now I have got cut and rashes and redness in my foreskin and penis. I have uncircumcised penis. Doctor: Hi. I can understand your concern for your symptoms. It looks like balanitis (attachment removed to protect patient identity). It can be due to injury, dry sex, forceful masturbation. Infection- unprotected sex, unhygienic sex practice. Diabetes- can be checked by blood sugar. Using local cream Lobate GM for local application can help you. If you had unprotected sex, need to do TPHA , HSV 1+2, IgG, HSV 1+2, IgM, Chlamydia trachomatis IgG, HIV 1 and 2, HbsAg, urine complete analysis." + }, + { + "id": 7503, + "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": 27949, + "tgt": "I have developed sudden stiffness of the fingers. What could be the reason?", + "src": "Patient: Hello doctor, I am a healthy and active\u00a034 year old female, with the sudden onset of a finger and thumb stiffness, one week ago. It is more like a\u00a0dull ache. I am wondering what this could be. Doctor: Hello. Revert with more information to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 22834, + "tgt": "Can colon spasm cause G-J tube to pop out?", + "src": "Patient: Hi doctor, This patient had a G-J tube inserted two weeks ago. Is it possible to pop out of the body on its own after two weeks? Would the symptom of diarrhea caused by colon spasms produce enough pressure to pop out both the balloon type and bumper type feeding tube? Please clarify. Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14744, + "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": 4873, + "tgt": "I have a senseless dry and black rash on my neck for a long. What is that?", + "src": "Patient: Hello doctor, I am a 19-year-old male. I am active and never had any serious condition of unhealthiness. As a part of the ongoing project, I had to work for almost 14 days in burning hot sun. When I returned home, I identified white spots on my face and quickly searched the internet for a narrow down of the condition. Thanks to this site. I have identified it as tinea versicolor and used an OTC Clotrimazole ointment and it faded away in less than a week. Just after that, my friends pointed out a rash on my neck and I thought it was probably the same as my previous infection. It was white in color and looked like a fungal infection with four small patches. And so I applied the same cream. Unfortunately, I could observe no change and kept trying home remedies like turmeric and honey paste, etc. It has now come to look black and dry as in the attached image. There is no sensation whatsoever at all. I only know it is there when I place my hand over it. Please, can you help me identify what it is? I have already looked at a lot of conditions and was unable to match it with mine. It is been almost six months and it looks like one has faded and the other three have mated. Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). The condition in the picture is not tinea versicolor at the moment. This is skin thickening as a result of allergy to sun exposure. This is quiet common in the neck area. You must use a good quality sunscreen till the allergy resolves completely. As such it is not something you should get scared for as most of the sun allergies resolve on their own. Sun allergies. Mild topical steroid cream like Desonide cream application at night only over the patch (for not more that 14 days). SPF 50+ suncreen every three to four hours (throughout the day time). Eat lots of carrots and papaya as they have beta carotene which will protect you from sun allergies internally. Follow up after seven days for assessing the improvement of the treatment." + }, + { + "id": 8160, + "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": 10463, + "tgt": "I am suffering from burning sensation on the feet for three days. Kindly advice", + "src": "Patient: Hello doctor,I have a burning sensation on the feet for three days. I am currently under Clonazepam. Doctor: Hello. Causes of burning feet include peripheral neuropathy and plantar fasciitis. I suggest you use footwear even at home and take over-the-counter pain medications to alleviate pain. You may also use Diclofenac gel for local application. If the symptoms do not subside over one month, please get electroneuromyography of the lower limbs to look for nerve involvement." + }, + { + "id": 29560, + "tgt": "I was diagnosed with mild scoliosis. Can you tell how bad the curvature is?", + "src": "Patient: Hello doctor,I am a 30 year old male. I was diagnosed with minor scoliosis. I have attached my x-ray results.\u00a0I would like to know how bad is that. I only get occasional pain after standing for too long or lifting heavy stuff. Can you tell how much the curvature is? Is this something I need to worry about? I am currently on physical therapy. Doctor: Hello. Revert with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 26618, + "tgt": "I have a small bump under the shaft of penis. Is that genital herpes?", + "src": "Patient: Hi doctor, I am 25 years old. My height is 6'1\" and weight 163 lbs. I have a small bump under the shaft of my penis. It looks like that it could be from masturbation, but I am not sure. There is no itching or burning. It is not an open sore either. I recently had protected oral sex with a sex worker with no genital contact at all. The condom was on the whole time. I have attached a photo. I have a scar above it from surgery from a deformity at birth if you were wondering what that was. Also, I have been diagnosed with HPV in the past and had two separate warts around three years ago. I am currently on Zoloft and Wellbutrin XL. Doctor: Hi. It appears to be a wart (attachment removed to protect patient identity). As you have a history of HPV (human papilloma virus) in the past, the wart should be the first concern. HPV depending on the strain cause both genital and non-genital warts. They are not painful. On long-standing, these warts or HPV infection will predispose to malignancy. You should have a constant check on the symptoms. The differential diagnosis can be traumatic one which might be improving with time, but the negative point to this is no pain. Another differential can be another sexually transmitted infection as you have had recent intercourse, but you have got protected sex and so it is unlikely. 1. HPV warts. 2. Mechanical traumatic ulcer. 3. STI (sexually transmitted infection). For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19205, + "tgt": "What does my HSV report suggest?", + "src": "Patient: Hi doctor,My HSV 1+2 IgM serum 0.5 and IgG serum 20.8 through CLIA. I am going to get married soon. I\u00a0do not want my partner to get infected. Please guide. Doctor: Hi. For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 14962, + "tgt": "I have low sperm count with very low motility. Attempting to conceive a baby. Please guide me", + "src": "Patient: Hello doctor, We are trying to conceive a baby. But the semen analysis report says that I have low sperm count (6 million counts) with very low motility. Please help me. Doctor: Hi. Firstly, we have to diagnose the cause of your problem. The most common cause of this is a condition called varicocele. For the detection of varicocele, I suggest you do the following:" + }, + { + "id": 13435, + "tgt": "How to get cured of peripartum cardiomyopathy?", + "src": "Patient: Hi doctor, My sister was diagnosed with peripartum cardiomyopathy during her pregnancy. Her age is 31 and weight is 55. She delivered a baby girl through normal delivery. 2D echo report says 20%-25% heart function (LVF). But she is not having any external symptoms like swelling, breathing problem, tiredness or high BP. I have a few questions about her disease and treatment. Is this curable? How much time will it take to get completely out of it? How frequent should she visit a cardiologist and review 2D echo reports? Will fixing an ICD with surgery help her in handling sudden cardiac arrest? What is the approximate cost? If required, is heart transplant possible? What precautions should be taken? When can an emergency situation arise? Should we keep some emergency medicines ready at home? Is there a chance for her baby girl to have a similar problem when she grows up? Please help. Doctor: Hi. Before I answer your questions in detail, I would like to tell you that if she is totally symptom-free and her ejection fraction (EF) is 20-25%, please do get another echo done from an independent reliable source to confirm the diagnosis. The condition peripartum cardiomyopathy or PPCMP has no definite cure. A proportion of patients will completely recover while some may have partial recovery and will continue to have low ejection fraction and symptoms. Some unfortunate patients see no improvement and may not survive for long. There is no definite period of recovery even for those who recover completely. Continuous improvement of up to five years has been seen. The frequency of visit depends upon her problems and her cardiologist. Whenever she has a problem she should visit the cardiologist or whenever the cardiologist calls her, she must visit. The frequency of echo is decided by clinical circumstances and depends upon symptoms. I do first follow up echo after 6 weeks in my patients if there is no emergent symptom. ICD or internal cardiac defibrillator is indicated in patients with low ejection fraction. It helps in the prevention of death caused by ventricular tachyarrhythmia. However, since low EF may revert towards normal in a subset of patients, one should wait for three to six months. In western countries, a wearable ICD (not surgically implanted) is sometimes used for these three to six months. Cost of ICD implantation is nearly four to five lakhs. Yes, a heart transplant is possible and is available in major cardiac centers of metros. Do take your medicines on time. Do not over exert. Stick with recommended salt and water intake. Avoid alcohol. Avoid steroids and painkillers. Only take medicine under the supervision of your cardiologist. None can tell that when an emergency situation will arise. Do take medicine as prescribed by your cardiologist. Visit health facility in case of an emergency. No emergency medicines can be prescribed as such. Although a number of case reports are available regarding the occurrence of PPCMP in daughters and sisters of patients of PPCMP. However, systematic studies regarding such an association are not available. In fact, routine genetic studies of PPCPM patients are not recommended as yet." + }, + { + "id": 13421, + "tgt": "Is it possible to check the problems in stomach with endoscopy alone?", + "src": "Patient: Hello doctor, I am a 62-year-old single female with swallowing difficulties and pain in chest and throat when I eat. I am very fragile and live alone. I am scheduled for an endoscopy, colonoscopy but I am considering getting just the endoscopy. Can that test alone show any problems in the stomach or colon? And, there has to be more downtime? Doctor: Hi. You need to get an endoscopy for your current symptoms. If it is negative, we may go for other tests. A colonoscopy is not recommended for difficulty in swallowing. I think it was suggested in view of age. Endoscopy can show esophagus and stomach. To visualize colon we have to go from the bottom, that is, colonoscopy itself." + }, + { + "id": 2454, + "tgt": "How to minimize forgetfulness and disturbed sleep?", + "src": "Patient: Hi doctor, For a while, my memory has been really bad. A recent event with my memory is as follows. My alarm goes off at 7:04 AM and I looked at my clock at 7:05 AM and I could not remember how my alarm had gone off, which was only a minute later. But, things I memorized before some years are still remain in my head. For example, as a hobby, I learnt mathematical pi, I can still recite it. But, I have forgotten some numbers and I am frequently mixing things up. Another thing that has happened is that I cannot sleep at nights. I have to leave the window open and wrapped in several blankets to sleep, because either I feel too hot or too cold where in a split second I am either sweating or shivering. I also get massive waves of heat or cold. My hands and feet normally go cold and numb during my cold episodes and when I get hot, I feel dizzy and nauseous. I feel distressed. I generally see myself as a person who barely eats or drinks, but for the past month I have been drinking three times more than usual and eating full, but healthy meals.\u00a0I would just like to know if there is a diagnosis or at least some steps that I can take to minimize this. Thank you. Doctor: Hi. Revert back with the report to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23099, + "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": 18773, + "tgt": "Why is there pain in my ear even after using ear drops?", + "src": "Patient: Hello doctor, I had a mild ear infection. I went to see a doctor as the ear started draining clear fluid. The doctor said\u00a0the draining was\u00a0only on the outside of the ear. She prescribed Ciprodex\u00a0ear drops. I am on the second day of taking them and I\u00a0just woke up in the middle of\u00a0the night with severe pain probably worse\u00a0than\u00a0before starting treatment. Should I\u00a0continue with the drops? I feel the pain is a side effect and I\u00a0do not want the bacteria to become resistant to antibiotics.\u00a0I honestly feel now that the pain would have gotten better on its own. Doctor: Hello. No, it is not so, as you have an infection in the outer part of the ear. It is called as otitis externa. In this condition, there will be a severe aching pain in the outer ear. The cause of otitis externa may be due to a humid environment, any micro-injuries, or any fungal infections. In this situation, you need to take care. Continue the drops for at least two weeks so that the infection clears speedily. Now you are on Ciprofloxacin ear drops which is a broad-spectrum antibiotic. It is useful in most of the situations, but if you are having a fungal infection, it will not help you. I suggest you give a sample of the ear swab for culture and sensitivity testing so that a specific eardrop is given for the infection. I suggest you provide me with the details of the investigation once it is completed so that I can help you with the medication and treatment. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23600, + "tgt": "Do I need any other treatment apart from medicine to treat my anxiety?", + "src": "Patient: Hello doctor, I am eight\u00a0months pregnant now and I am suffering from anxiety.\u00a0I consulted a\u00a0doctor and he gave me Etizola 0.5 g medicine and this helps to\u00a0make me feel normal. But, now I feel I am emotionally mute.\u00a0Please help. Doctor: Hello. Anxiety disorders come under the category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms such as a racing heart and shakiness. There are a number of anxiety disorders including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and continuous practice of the changed behavior cure anxiety. I suggest you gather knowledge about anxiety, progressive counseling, and progressive psychotherapy. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22640, + "tgt": "I had flu and now lost my voice. What can be done?", + "src": "Patient: Hi doctor, I had flu now. I have lost my voice. It is deep husky. I can only say certain words and its pressure to talk and when I do sounds deep congested. Currently, I am taking Panadol. Doctor: Hello. You are having affected voice and congestive symptoms. Hence it could be laryngitis like larynx inflammation condition. Your indirect laryngoscopy examination (which is OPD procedure) should be done to visualize larynx. You can be prescribed short-term steroid course of Betamethasone 0.5 mg for five days if larynx inflammation present. Steam inhalation did three times a day. Salt water gargle done that is beneficial. Avoid excess spicy foods. Consult otorhinolaryngologist for examination and according to indirect laryngoscopy examination finding, I can guide you further. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9121, + "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": 6977, + "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": 13545, + "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": 30623, + "tgt": "Will my eyes get affected while watching the esophagus manometry?", + "src": "Patient: Hi doctor,I have a question about radiation. I\u00a0had an esophageal manometry with high resolution together with a video scan of the esophagus. I was in\u00a0a high flat bed and had contrast-liquid while they looked at my esophagus emptying that is swallowing process.\u00a0They of course used as a small dose of radiation as possible and did stop the scanner between every small scan. The radiologist did let me watch the screen while doing the scan. It did take only 10 minutes, while the scanner was running maybe just for a few seconds or less. I looked after a computer screen across the scanner to see the operation. Will my eyes get damage while looking at the screen? I could see the nurse used some safety glasses, but I did not get any. Please explain. Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 17203, + "tgt": "I have a constant sore throat with lymph nodes enlargement. Should I be worried?", + "src": "Patient: Hello doctor, About two months ago, I developed a sore throat. It was mainly on the right side. I went to urgent care, and they did a quick strep test, which came back as positive. I also had a little bit of a stuffy nose, and mainly the right ear felt full or plugged. I went home with antibiotics, and after like four days, it seemed to be subsiding. Then on about the eighth day of the pills, it started to come back. By the time the antibiotics were gone, it was back. I went to urgent care, and again they did an actual culture that you grow in a dish. It was negative for strep, so they said it was a virus. My throat was still red, and the ear was congested. Then I waited. It would seem to get better and then would come back. Every time it came back, it hurt worse. It might be gone for a day or two or twelve hours. I started having a tickle in my throats and a cough. About eight days ago, it came back in a big way. I never ran a fever at all, which makes it seem weird. A few of the glands on my neck seem larger. There is phlegm coming from somewhere, and I cannot tell if it is from the sinuses or not. I always have to clear my throat. There is now some sinus involvement, as my cheekbones are aching. My voice feels scratchy. It does not hurt more to speak or eat, but it is annoying to do both, as it all feels tired and raw. I hate to make a big deal out of nothing, but looking things up online is telling me it could be bad. Can you give me any insight? Doctor: Hi. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21220, + "tgt": "Why am I having premature ejaculation even after stopping masturbation?", + "src": "Patient: Hello doctor, I am 21 years old and I am masturbating for the past 5 to 6 years and now I stopped because of my stomach issues and now I face premature ejaculation problem when I chit chat with my fiancee. Please help me how to stop this. Doctor: Hello. First of all, I would like to mention that masturbation does not cause any weakness or sexual dysfunction contrary to popular belief. What you are facing right now is not premature ejaculation. It is the lubricating fluid that comes out from the penis when aroused not semen. So relax." + }, + { + "id": 9302, + "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": 14287, + "tgt": "Why am I having muscle tenderness after an accident?", + "src": "Patient: Hi doctor, I recently had a car accident. I was passenger. How can my arm feel very still and tender? The doctor at the urgent care gave me Naproxen but my muscle is still tender and I have not been able to sleep at all. The doctor gave me Hydroxyzine which did not work. Doctor: Hi. If it is just a bruise, then you just need to give it time and pain control with some NSAID like Naproxen, and need no intervention but only if your swelling start getting worse. But in any accident we should consider ruling out underlying bone fracture as bone fractures need to be fixed surgically. I am not sure how bad your accident was, and how your bruises look like but if it is bad enough then might need X-rays to rule out underlying fracture. I believe that urgent care doctor have ruled out or did not think of fracture after examination. So just keep taking Naproxen, cold compresses with ice (wrapped in plastic bag or cloth) might help. Contact doctor if swelling or tenderness do not start getting better in 2 to 3 days or start getting worse." + }, + { + "id": 26939, + "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": 11462, + "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": 29803, + "tgt": "I have spasms and pins and needles sensation in my hand. Please help", + "src": "Patient: Hi doctor, I am having spasms in my hand. I had it briefly in the left hand and then, my right arm was feeling numb. This morning my right hand has spasms on all fingers at different occasions with some pins and needle feeling. Please help. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11057, + "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": 28291, + "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": 10083, + "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": 9251, + "tgt": "What is the hard thing I feel under the skin of my penis?", + "src": "Patient: Hello doctor, I am a 33-year-old male. For the past 10 days, I find something hard at two places under the skin of my penis. It is very tiny and does not move with moving the skin. There is no visible lump or growth or eruption on the surface of the skin at all. It feels something fixed or stationary under the skin and the size of not more than a small pimple. I remember the same having happened at the same place six months back, which had gone with time. This time it has occurred in the same area and had spread to the nearby areas also. What is it? Kindly advice. Doctor: Hello. The lesions you are referring to are glands containing sebum, which are present sparsely over the penile skin. As and when the openings of the ducts are blocked, they feel hard but resolve on their own. You need not worry anything about them as they are benign and self-limiting. However, if you get pain, please get back to me as I need to suggest some investigations in case of pain. Otherwise, you need not worry. Please get back to me if you need more clarification." + }, + { + "id": 14206, + "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": 6737, + "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": 21354, + "tgt": "My partner has HPV. Can love making with her be dangerous?", + "src": "Patient: Hello doctor, I am 24 years old. My partner has HPV and I did not make love with her. Should I worry about the HPV? Is it dangerous for me? Can it cause cancer to me? Doctor: Hello. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22599, + "tgt": "Metpure XL 25 mg causes headache and fall in my sugar level. Is it a side effect?", + "src": "Patient: Hi doctor, I had my BP 140/90 mmHg. The doctor advised me to take tablet Metpure XL 25 mg in the morning. I am using the tablet in the morning for last 20 days. Soon after taking it, I feel lazy and dull. I also experience a headache after taking the tablet. So, I am using Metpure XL 12.5 mg in the morning or evening and remaining Metpure XL 12.5 mg at night. Sometimes, I am skipping one of the doses. Will it be fine? I have a feeling that there is a fall in my sugar level after taking Metpure XL 25 mg. Is it a side effect? I am not diabetic. How long will the side effects exist? Will it continue? Or will it get settled down? Can I go for homeopathic treatment? Doctor: Hi. I can understand all your concerns. You have mild hypertension which requires lifestyle changes with a small dose of antihypertensive. Lifestyle changes include low salt diet and 30 minutes walking for five days a week. Metpure XL 25 mg tablet is a good choice. It is taken once daily in the morning. Side effects include dizziness and hypoglycemia (low sugar level). The headache and dizziness will resolve over time, you can use Paracetamol tablets. You can stick to strict lifestyle changes and homeopathic treatment as long as your blood pressure is below 140/90 mmHg. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23300, + "tgt": "There is a six-month waitlist for liver transplant. What are our options?", + "src": "Patient: Hello doctor, My brother, 46, has ALD cirrhosis. He was admitted to a hospital. Day-6 now. And is undergoing withdrawal and other treatment. MELD score is 22-24; ammonia 40 (down from 70). Low platelets, lot of bruises from falling pre-admittance. Signs of advanced hepatic encephalopathy. Treatment includes Rocephin, Librium, Lasix, Lactulose, Keppra, Magnesium and multivitamins, Presnison, Rifaximin, and Spironolactone. Prognosis is very unclear as assessments are day by day. Due to the UNOS policy, any transplant (including live donor, which I would do) will not happen for six months due to a waitlist. It is almost a death sentence and unfair. Especially in the context of a live family donor. What else can we do to immediately treat his degrading condition from a medical perspective? He has zero energy, cannot feed himself, barely can talk. Just last week, he was walking around and fairly alright (according to wife). Can we introduce alternative medicine? Doctor: Hi. First of all, you need to understand that alternative therapies do not work in acute severe states. You can consider them later once he recovers. At this point of time, apart from medical management that is already being done, you can discuss with your doctor for liver assisted therapy in which there is a machine that acts as a pseudo liver. This is used till a liver transplant is arranged. The second option is shifting him to countries where you can still go for emergency transplant provided you have a donor. Discuss with your doctor regarding partial liver transplant in which a live donor can give a partial portion of his liver to him. That donor can be from your family. You need to check if your hospital provides these facilities. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14979, + "tgt": "How to confirm that a person is suffering from Systemic Lupus Erythematosus(SLE) ?", + "src": "Patient: Hi doctor, How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? Doctor: Hi. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other confirmatory tests would be required." + }, + { + "id": 4253, + "tgt": "Does the pregnancy look normal or not from this USG report?", + "src": "Patient: Hello doctor, I am attaching my wife's prescription and test results. We would like to know whether the pregnancy will be normal or not. Please help. Doctor: Hi. The ultrasound (attachment removed to protect patient identity) suggests six weeks gestation with non-visible fetal node. Revert back after repeat ultrasound to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22261, + "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": 24743, + "tgt": "My prolactin levels are high,I am scared of an MRI. What do I do?", + "src": "Patient: Hello doctor, I have problem of high prolactin\u00a0(PRL) since one year. As per doctor's advice I have taken medicine for one year. I had checked my prolactin levels earlier and I had done an MRI also. I have attached my previous and current\u00a0reports\u00a0(prolactin levels and MRI)\u00a0and prescription. I had taken an MRI Sella before two years. My doctor has also given me advice for MRI Sella after one year. My doctor has prescribed some medicines for this prolactin issue. Should I continue the medicine? Should I repeat\u00a0MRI Sella\u00a0before continuing the medicine? In my personal opinion, before I go to MRI Sella, I would like to stop the medicine for one or two months and repeat the PRL. In case I face any problem I will consult you again and after that I shall go for the MRI. I would like to avoid the situation of taking an MRI scan, as I am scared of it. Doctor: Hi. For further clarifications, consult an endocrinologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 6634, + "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": 1367, + "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": 14587, + "tgt": "I noticed bright red blood on the toilet paper and my anus was bleeding. What could it be?", + "src": "Patient: Hello doctor,I am an 18 year old female, and I am not on any medications. I am 5 feet 4 inches tall, and I weigh 133 pounds. About 3 to 4 days ago after having a bowel movement, I noticed a little bit of bright red blood on the toilet paper, and my anus was bleeding a little bit for the next minute or so and then it stopped. The next day, I had another bowel movement, and there was a lot less blood on the toilet paper than the day before. The next day it was completely gone. For the next two days, I did not have any bleeding. But yesterday, the bleeding was back except there was a lot more of it had dripped into the toilet. It went away shortly. The same thing happened today. I do not have any pain, constipation, diarrhea, weight loss, fatigue, or nausea. The only other symptom besides the bleeding is that the outer part of my anus feels irritated after I pass stools. Doctor: Hello. You need to get your stool examined for the possibility of parasites which can cause such local irritation. Also, malabsorption of certain compounds in food can lead to local irritation after passing stools. Fresh bleeding is possible if the stools are hard, but there is no such history in your case. I will advise you the following medicines for a week, and if it still does not resolve, please get yourself examined by your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Drink plenty of water and avoid spicy foods for a week. If the bleeding is persistent, please get yourself examined." + }, + { + "id": 15501, + "tgt": "I have some infection in my inner penis. What is it?", + "src": "Patient: Hi doctor, I am having some sort of infection in my inner penis. The doctor suggested AF-KIT and SURFAZ-SN cream, but it is still there from last 20 days. Please suggest. Doctor: Hi. Firstly stop applying this cream. Secondly, send us some photos to come to any conclusion. Only with photos and additional information we can prescribe you medication. Take care." + }, + { + "id": 20575, + "tgt": "Do I need a long-term course of Doxycycline for my testicular pain?", + "src": "Patient: Hi doctor, My symptoms are as follows. Pain in the right testicle, swelling at the top of the right testicle and some redness on the urethra, especially after ejaculation. I had Chlamydia about 18 months ago. I was tested positive and treated with two antibiotic pills, which seemed to cure it. After six months, the test came back all clear. They also checked for syphilis, gonorrhea, and HIV. All came back negative. Syphilis IgG or IgM by EIA - negative, HBsAg - negative, hepatitis C antibody ELISA 3rd generation - not detected, HIV 1 and 2 ABS or P24 antigen screen - not detected, Chlamydia trachomatis DNA (PCR) - not detected, N.gonorrhoeae DNA (PCR) - not detected, Mycoplasma genitalium DNA (PCR) - not detected, Ureaplasma species DNA (PCR) - not detected, Trichomonas vaginalis DNA (PCR) - not detected, Gardnerella vaginalis DNA (PCR) - not detected and herpes simplex type I/II DNA - not detected. Six months ago, I started to experience the symptoms. When I went to the doctors, they gave me a 9-day course of Doxycycline as they suspected epididymitis. It seems to clear it up in about five days, and I was even cycling and running again. A week after the course of Doxycycline, the symptoms came back. I read on the internet that the bacteria, which can find itself in all sorts of places as the tubes in the testicles can be like a network of caves and it can be hard to kill off completely. I visited the sexual health clinic. They gave me a 14-day course of Ofloxacin, which slightly reduced the symptoms. They seemed reluctant to rerun a Doxycycline course as they said it came back after taking it the first time. Do I need a long-term course of Doxycycline to work really? I had an ultrasound scan to reveal that I had an epididymal cyst, but currently, there is no pain. The doctor advised it would cause no harm and I would have to live with it. It is about the size of a pea. Over the last few months, the epididymal cyst and redness remain on the scrotum in that area and slight rash or redness on the penis glad. The urologist put me on six weeks of Cipro, which seem to lower the irritation and symptoms by 60 %, but never really cleared it up. Then, I have had a urine culture test, and it came back with the following. Please note the following antibiotics Augmentin, Cefpodoxime and Ciprofloxacin should not be used as the first choice if alternatives are available. Urine culture more than 100,000 CFU/mL mixed growth of organisms with a predominant growth of an Escherichia coli. I am a bit lost where to go next as after six weeks of Cipro I still have the E.coli culture coming back as positive. Doctor: Hi. Please relax and do not worry. I went through all of your case history and reports (attachment removed to protect patient identity). It seems you are repeatedly suffering from urinary tract infection. It could be prostatitis also. You have taken many antibiotics previously, but any time when you finish the course of antibiotics, you should confirm the absence of infection by repeating the urine culture. So, at present, according to your reports, I suggest you the following. Consult your doctor, discuss with him or her and take the treatment with consent. If possible avoid sexual contact for this three weeks. You should repeat your urine culture after 24 days that is, three days after you finish the antibiotics course." + }, + { + "id": 10589, + "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": 10017, + "tgt": "Why are my hands and feet cold and sweaty always?", + "src": "Patient: Hello doctor, I am a 30 year old male, who weighs 200 lbs and 6 feet tall.\u00a0I have been looking for my symptoms after watching a TV show. I know some things are not right with me, and I have been curious to find the cause. It could be one or more problems. Here is what is going on. I have cold hand and feet, sweaty hands and feet, many bumps in the arms, mainly right arm, sand paper hair since a young age, and my feet get\u00a0numb and eventually very painful when walking. I have severe vitamin D deficiency, and my eyelids are always half closed. I have low metabolism, and I experience a lot of teeth problems. I might have osteoporosis. What is causing all this? Is it tumors or parasites or a neurological problem? Doctor: Hello. Cold and sweaty hands and feet can happen in heart failure, anxiety, hyperthyroidism and shock. Numb feet, which are painful while walking can be due to neuropathy, nerve root compression at lumbosacral spine, or arterial occlusion in legs. The half closed eyelids can be ptosis, or something else. I suggest you get the following tests done: Since when you are having these problems? Do you have any impending doom, palpitation, breathlessness? I suggest you meet a neurologist in-person for proper clinical examination and better judgment. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18747, + "tgt": "I had unprotected oral sex and a few days later I am having itching. Could it be an STD?", + "src": "Patient: Hello doctor, Two weeks ago, I had oral sex with a man, without using a condom. A few days later, my labia was swollen and itchy. Now, I have a sore throat. My discharge is normal. Is there a possibility that I might have contracted an STD? And, I am only going to a clinic two days from now. Is it too late? Doctor: Hello,Welcome to icliniq.com. Hope your query is answered. Feel free to ask more questions. Best wishes. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 2237, + "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": 1973, + "tgt": "I have erection problem with penis becoming softer during intercourse. Please help", + "src": "Patient: Hello doctor, I have an erection problem and I cannot have a morning erection too. I am married but my penis becomes soft while having intercourse. I have done all tests like penile doppler, scrotum, diabetes, and prolactin but all were normal. What is wrong with my sexual organs? Please guide me to solve this problem. I am currently taking Eract X twice daily. Doctor: Hi. Coming to your query, I have some questions. Do you have diabetes or hypertension? Are you on any kind of medication other than you mentioned? What does Eract contain (is it L-arginine with a multivitamin)? Is your erection tight enough such that you able to penetrate into the vagina and after that it becomes flaccid? Are you able to masturbate and ejaculate?" + }, + { + "id": 21586, + "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": 6668, + "tgt": "I have knee pain after wearing high heels. What to do?", + "src": "Patient: Hi doctor, I have pain in my knees and around the ankles, since the last two weeks. It all started when I walked around in high-heeled shoes one day. After that, I got my periods and the pain got aggravated. The pain has decreased, but is still quite bad. Also, I recently went to get a Pap test done, but due to insufficient cells, the test could not be done. Doctor: Hello. It is unfortunate that you are suffering from knee pain and it got aggravated by periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16036, + "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": 16954, + "tgt": "Kindly suggest a diet plan to reduce weight and belly fat", + "src": "Patient: Hello doctor, I am trying to reduce my weight and belly fat, but I am not able to reduce my belly fat successfully. I am also getting kidney stones frequently and undergone surgery just two weeks back and also six months back. I want to reduce my belly fat without getting kidney stones. Let me brief about my details. I work for 12 hours, 15 days day shift and other 15 days I have night shifts.\u00a0During day shifts, morning I have oats, afternoon I used to take fruits (mix of papaya, sweet melon and apple) and dinner (banana and an apple). Sometimes, I take avocado, pomegranate in the place of sweet melon. Weekly once I do have non-vegetarian like chicken and sea foods. I am 31 years old and a bachelor. My physical activities are walking during the break time (15 minutes walk during three breaks). My nature of job is sitting in the control room and no physical activity involved.\u00a0Kindly suggest me whether my diet is proper and how to balance it for better results. Doctor: Hi. High protein, high fat containing foods and rich junk foods. 1. Diet. 2. Exercises mild to moderate. Follow up after 15 days to a dietician online.--->https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 3963, + "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": 14240, + "tgt": "I have heavy periods with painful acne and cramps. Is IBS the cause?", + "src": "Patient: Hi doctor, I am 20 years old, female. Ever since I have been 14 years old, I have IBS, bad stomach pains and constipation, almost two years ago I stopped taking my BC pills (I was on birth control since I have been 16) and my period did not come forever after and my skin was at its best ever. Three months later my periods became heavy and about six months later I started having bad painful cystic acne all over my face and body, heavy periods and cramping (lots of blood clotting), bad IBS, alternating between D and C, bad bloating like I was pregnant and gas. On top of that since last six months, I have had a leaking bladder, unsure if that is from straining or food related. I tried BC again in the last three months but my skin looked worse again. I am on a paleo diet and noticed my skin is a bit better but I do believe my hormones are a big role in this and would truly appreciate an opinion. Doctor: Hello. I just read your query. You can try these simple home remedies as these are helpful for your problems. Chew half teaspoon of fennel seeds after every meal. It will help in better digestion of food and also useful in bloating. Take aloe vera juice 15 ml with an equal amount of water two times a day after food for ten days. If you notice an increase in stool frequency then you can reduce juice amount to 10 ml. It will help in normalizing your periods. Apply aloe vera gel two times a day over the face. It will help in reducing the acne problem. In case of excessive bloating, you can take half teaspoon of ginger juice with a pinch of rock salt. It will also help in decreasing the problem.Try all these things regularly and you can consult me after ten days or you can consult a nearby Ayurveda physician regarding improvement and for further management. I hope you understand my point." + }, + { + "id": 21577, + "tgt": "What are the tests to be done before marrying a close relative?", + "src": "Patient: Hello doctor,As suggested by most of the doctor marrying a girl with the same blood group will not cause any problems, in my case the blood group is A+ve. She is my maternal uncle's daughter. She is a close relative. Can our marriage create a reduced genetic pool? Can I marry the girl? Will I have kids if I marry her? Will I have a future kid without genetic defects? What are tests needed to be done if I want to marry the girl in close relation first or second order? As I have read reduced genetic pool can create abnormalities as common genes which are suppressed may become active in the next generation. Please guide in this issue. Doctor: Hello. As you want to marry within your related family, I would suggest that you get yourself and your fiance genetically tested to estimate the risks based on both your genetic profiles. This will greatly help you with determining the chances of the child having genetic defects. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4043, + "tgt": "Will biting the teeth at night affect overall health?", + "src": "Patient: Hello doctor, I have been biting the teeth at night for about five years. Is this harmful to my health? Doctor: Hello, Welcome to icliniq.com. I understand your concern. Unfortunately yes, this is harmful to your dental and overall health. Bruxism (teeth grinding or night grinding) is not a condition but one of the main symptoms of TMJ disorder. This could be a temporomandibular joint (TMJ) issue. Temporomandibular joint is the jaw joint between the upper jaw and lower jaw and involves multiple and complex structures like a disc between two jaws, chewing muscles, and the joining bone structure. A complete TMJ and dental evaluation should be done to determine what is causing your bruxism. It could be because of 1. Tensed chewing muscles 2. Disparity in the disc 3. Changes in jaw bone structure. Other than TMJ issues psychological stress, malaligned teeth, multiple dental treatments, and recent dental injury or infection could also cause this jaw condition. Visit a TMJ specialist to identify the cause. Initially, a splint similar to a nightguard (called deprogrammer appliance) will be suggested as a diagnostic appliance to identify the cause. Once the cause is determined, the treatment depends on it. Untreated bruxism may lead to multiple enamel chip outs, weak teeth, and gums and generalized tooth sensitivity. So please visit your dentist as soon as possible and get it treated. I hope this helps." + }, + { + "id": 17317, + "tgt": "Could you tell me the underlying cause for sciatica?", + "src": "Patient: Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid? Doctor: Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and detailed neurological examination including assessment of motor power, sensory evaluation and evaluation of deep tendon reflexes. This will then be followed by dynamic x-ray and MRI scan of lumbar spine if required. Depending upon the correlation of clinical examination and investigation results, management can then be formulated. If you have localized back pain with some radiculopathy symptoms with no other neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for initial period of two to three weeks. We will observe your response to this conservative management protocol for next two to three weeks. If you are not feeling better, then we might have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Enclose your previous investigation and doctor's prescription. I can see them and advise you accordingly. Disc prolapse. X-ray LS (lumbosacral) spine - AP (anteroposterior) and lateral (flexion and extension) views. Avoid lifting heavyweight and acute forward bending in mornings. Revert back with the investigation reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 28093, + "tgt": "How to confirm that I am not impotent?", + "src": "Patient: Hi doctor, I am having OCD, stress, anxiety and anorexia issues for the last 15 years. I am taking Nexito 20 mg and Lonazep 0.5 mg as per psychiatrist advice. My sexual desires were always good. I am doing masturbation for the last 22 years and also had intercourse with my girlfriend two to three times. But now, one of my doctors gave me some OCD medicines because of that my sexual desire is less. Earlier, I masturbate daily but now once in a week. I am going to get married in a few months. So, I am little bit scared to think whether I am impotent?\u00a0But I think that I am not as sometime I used to masturbate two times in a day. My psychiatrist also says that I am perfect. Is this due to the effect of OCD medicine? So I just want to double confirm, that I am not impotent and I can satisfy my partner. One more thing is doctor gave me Benfomega for this in which Benfotiamine 150 mg, Inositol 75 mg, Alpha-lipoic acid 50 mg, Omega-3 fatty acid 500 mg, Methylcobalamin 1500 mg, etc. Please give advice. Doctor: Hi. For further information consult a\u00a0sexologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30115, + "tgt": "Can I take Insulin to control blood sugar?", + "src": "Patient: Hi doctor,I am having high blood glucose. My fasting blood sugar is 153, postprandial is 175 and before dinner 152. My doctor advised Janumet 50/500 before breakfast and dinner and Sulisent in the morning. Shall I take it? Presently, I am having Invokana 50/500 before breakfast and dinner and Reclide 10 after lunch. Which medicine should I take? Can I take insulin, since it has no side effects? I have leg and hand joint pain. I am following the strict lifestyle and not taking any sweet or sweetener. Sometimes, I have a severe headache. I am also having a gastric problem. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17098, + "tgt": "I had Mylanta that was expired. Will it cause any problem?", + "src": "Patient: Hello doctor, I had\u00a0indigestion, so I took some Mylanta. I did not check the expiration date and had a teaspoon of it. Then I noticed that it got expired some years ago. Will I be fine? Or what should I do? Doctor: Hi. Revert back with the information to a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 29880, + "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": 26636, + "tgt": "How to get rid of a stye?", + "src": "Patient: Hi doctor, I went to bed about a week ago and woke up and saw that I developed some type of a stye in the eye. But I am not very sure. I do not know what it is. It is still about the same size. What to do? Doctor: Hi. You have not mentioned the\u00a0site of the\u00a0lesion.\u00a0Probably it is present on the inner side of the eyelid.\u00a0And based on your details, the Differential diagnosis are: Stye:-\u00a0So basically, it could be a superficial bacterial infection in the eyelid.\u00a0Usually, a stye like lesion heals in a week without any specific treatment, and pain is present in stye. Chalazion:-\u00a0In chalazion, pain is not present and it can remain for more than a\u00a0week. So, you should consult a\u00a0nearby ophthalmologist for examination of the\u00a0lesion. If it is stye or chalazion, then in the eyelid, a red lesion will be present.\u00a0Mostly you will be given a topical antibiotic ointment along with topical antibiotic drops. I suggest you try doing the following: With keeping all this in mind, consult a nearby ophthalmologist for examination.\u00a0Hope your concern is solved.\u00a0Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11632, + "tgt": "My son is suffering from stress and I am desperate. Kindly advice", + "src": "Patient: Hello doctor, My son is 17 years old. He is doing odd things, such as calling the police for ear pain. He is under a lot of stress from national exams and high expectations. He does not sleep much, but his appetite is well. After calling the police and talking to them, he was back to his room studying. Late evening he told me that he is doing well and not to worry about him. Overall, he is distracted, and his grades are dropping. I am desperate as I am in the health field and I know that can mean severe pathology or simply a reaction to stress. Doctor: Hello. It seems he is not in touch with reality, like calling the police for ear pain. Can you tell since when he has ear pain and how it started? Since how long has has such odd behavior and sleep problem? Does he express any other odd behavior? Is there any history of substance abuse or truancy? He might be suffering from adult ADHD (attention-deficit hyperactive disorder), depression, anxiety and ATPD (acute and transient psychotic disorder). The management depends upon the disorder he is suffering from." + }, + { + "id": 5437, + "tgt": "Can EECP be done in a patient with chest pain and leak in valve?", + "src": "Patient: Hello doctor, My sister suffers from kidney failure and has been undergoing dialysis since two years now. She was diagnosed with a leak in valve when she was admitted a month ago with severe chest pains. One doctor suggests EECP treatment for her. I would like a second opinion, as some doctors also said that cannot work for her. Doctor: Hello. I want to assure you that do not worry as everything is going to be fine soon. Thanks for uploading the detailed case history (attachment removed to protect patient identity). I have thoroughly gone through your case and can well understand your genuine concerns. EECP is advised for patients who have chronic stable angina (long lasting chest pain) and is on the medications for the same for long time. When medications (like calcium channel blockers, diuretics, beta-blockers) does not work longer, we consider EECP for such patients of coronary artery blockage. EECP causes counter-pressure in the coronary vessels and there is formation and opening of new and smaller blood vessels in the heart muscles to supply the areas of the heart whose original vessels are blocked due to disease. These collateral-vessels work as a natural bypass for the heart. I do not think she will be a good candidate for the EECP as she has a different problems related to the heart. She has dilated chambers of the heart on the left side i.e. left atrium and left ventricle which is causing minor problems with the valves too on the left side but valves in large are working fine. It should be first managed with medications and follow up. I preferably suggest going for a repeat angiography to see if that previous chest pain was due to the blocked heart vessels. Cardiac angiography, comprehensive metabolic panel. Can be decided on angiography report and may need only medical treatment first. Sometimes in future she may need angioplasty. Follow up is a must in her case." + }, + { + "id": 16365, + "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": 27248, + "tgt": "Is it risky to take anti-depressants along with my MS medications?", + "src": "Patient: Hello doctor, I have had multiple sclerosis for five years. I have been taking Tysabri once a month from four years. Recently, I have been more depressed. My psychologist suggests that I take Prozac for my depression. Does Prozac interact with Tysabri? I have read online that it is risky. I am attaching the link. However, some websites say it is fine. So, Please help me. Doctor: Hello. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 16898, + "tgt": "I am 14 weeks pregnant, and I suffer from severe acid reflux. Should I consult a gastroenterologist?", + "src": "Patient: Hello doctor, I am 14 weeks pregnant, and I suffer from continuous severe acid reflux, from the past 7 to 8 weeks. I consulted my gynecologist, but she did not give any medicine. Antacids\u00a0are not effective at all, and I have a feeling of food stuck in my throat and chest. It is very unpleasant and uncomfortable. I have even lost 6 kg within the last month, due to acid reflux and severe food aversion. Should I consult\u00a0a gastroenterologist? I have tried taking Pentab and Gelusil. Doctor: Hello. I am sorry that you have severe discomfort. I wish you get better soon. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 17438, + "tgt": "Does sex position affect the possibility of pregnancy?", + "src": "Patient: Hi doctor, I am 32 years old and my wife is 31. We had hiccups initially in having sex due to my masturbation habit. After a while it was better and last month we had good sex of about 80% and successfully ejaculated. We planned for a baby last month, such that our intercourse falls during her fertilization period. However, pregnancy did not happen and on the 30th day she got her period.\u00a0But strangely, she had pain all day long and also tonight she is bleeding like menses. It had been third month after our marriage, and we are planning for baby. What could be wrong even after ejaculation? Though I was able to successfully ejaculate, it was possible mainly during women on top position and we did that mostly. Since I am much taller than her, it was difficult for me to reach top orgasm on normal man on top position. Does this position be the reason?\u00a0Apart from Absolut-3G, I also took garlic soup, almonds and dates often. Should I take anything more?\u00a0Kindly advice what to do? Doctor: Hi. For further information consult a sexologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19257, + "tgt": "Does my foot X-ray show any broken bones?", + "src": "Patient: Hello doctor, I recently had an accident while cycling and twisted my foot. The foot is quite swollen. I have attached X-rays. Are any of the bones in my foot broken? What should I do to recover? Doctor: Hi. How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help." + }, + { + "id": 5777, + "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": 5432, + "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": 907, + "tgt": "I accidentally drank some phenyl last night. Will I face any problem in the future?", + "src": "Patient: I have accidentally drank some amount of green phynel yesterday night. I have vomited many times. It is 24 hrs over. I did not see any doctor. If i do not go to doctor, shall I face any problem in future? All I will be ok? I am really worried and didnot tell anybody about this. Doctor: Hi, I see that your worried about phenyl consumption.. If it is small quantity and accidental, you need not worry.. But do not induce vomiting on your own, as it is not good.. Phenyl is corrosive, if you repeatedly induce vomiting, it will cause damage your food pipe.. You need to visit a doctor if you experience any difficulty or pain while swallowing, unable to swallow, if any giddiness, sweating, breathing difficulty or persistent abdominal pain as it may require an Endoscopy to visualise the inside part of the food pipe and the stomach.. CBC, RFT, LFT, ECG Accidental Phenyl Consumption T. Rabeprazole 20mg twice daily half an before food for 1month Syp. Sucralfate + oxetacaine 10ml 1hour before food thrice daily for 1month Avoid hot and spicy foods Take only cold liquid or semisolids for 2 to3 days Review back with investigations" + }, + { + "id": 2565, + "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": 17088, + "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": 23840, + "tgt": "Do I need to have a rabies vaccine towards an unsure scratch ?", + "src": "Patient: Hello doctor,Two days before a small puppy came and I am not sure whether he scratched me or not. There is no big mark on feet. But I have a very small cut in my hand. I have cleared my jeans with that hand. So I am doubtful my cut has come in contact with that place where puppy licks. Sir do I need to have an anti-rabies vaccine. As I have taken full five doses five months back. Doctor: Hi. Just take the first dose and second dose after three days. There is no need for five doses. The last dose was taken just a few months back. Anti-rabies antibodies will still persist in the body and provide immunity. But still, reexposure within one year requires two doses. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 851, + "tgt": "I vomit after eating and passing black stool with upset stomach. Kindly help", + "src": "Patient: Hello doctor, I vomit after eating and have an upset stomach too. I also have a black stool. What could be the causes of these? Doctor: Hello. This seems to be peptic ulcer within stomach. The pain of stomach ulcer worsen after taking meals. Do you have a previous history of peptic ulcers? The black stools are suggestive of ongoing bleeding from peptic ulcer; the bleeding may be small to cause change in the color of stools; however, a large ongoing bleeding can not be ruled unless I know your blood pressure and heart rate. Plus do you have vomiting of similar black color in these days? I suggest you to start capsule Esmoperazole 40 mg twice daily before meals. Take this medication regularly. In case if you are feeling fainting, or dizziness, blurring of vision when you stand from sitting position, or your upper level of the blood pressure (systolic blood presure) is less than 90 or your heart rate above 90 beats per minute; I recommend you to visit near by emergency department for treatment and possible need of endoscopy. Otherwise if you do not have any alarming signs as I mentioned I suggest you can start medications and see if it helps you. This medication will suppress the acid production in the stomach and will help heal the ulcers in stomach. Let me know if I can provide more information about your condition. Take care. Peptic ulcer disease Complete blood count Prothrombin time and INR Gastroscopy Provide more information as I can be able to solve your problem at moment." + }, + { + "id": 25296, + "tgt": "Have chest pain from three days but reports are normal. What could it be?", + "src": "Patient: Hello doctor,I am 36 years old. I am feeling a chest pain from the last three days. About nine months ago, echo, angiography, etc., were done which were normal. Still, pain is felt. Doctor: Hello. There are many causes of chest pain: So, please tell me the nature of the pain and is it moving somewhere, is it associated with efforts, food, or movement? Also, sometimes it is the spasm of the coronaries that cause the pain and the angio is free. I recommend further discussion and follow up in order to reach the appropriate diagnosis and start the management. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22275, + "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": 9559, + "tgt": "Can tiny bit of flea killer in mouth and lip cause any harmful effect?", + "src": "Patient: Hello doctor, I am 35 years old. About three hours ago, I was fleaing my dogs when I got a tiny bit of the flea killer in my mouth and on my lip. It was not alot. Will it harm me? Doctor: Hi. Flea killer contains ingredients that are harmful to humans but since just a tiny amount got into your mouth then its effect will not be poisonous. You need to wash your lips thoroughly with soap and water, gargle your mouth with water and spit it several times. Drink plenty of water or milk right away. If you experience (unlikely to happen) difficulty in swallowing, vomiting or dizziness, then you should seek medical attention." + }, + { + "id": 7477, + "tgt": "My teeth moved in a straight manner very quickly after wearing braces. Is it normal?", + "src": "Patient: Hello doctor, I have a braces-related question. I wore the traditional metal braces on my upper jaw as a teen, 10 years ago. I wore the retainer for five years every night, and then I reduced it to one night per month after that, as instructed. My front four teeth shifted a lot (they are crowded, so it was a quite visible shift, some were pushed out, and some pushed back). The retainer could make a big difference in one night when I wore it, but I was advised to get a completely new brace. So a few days ago, I got a lingual brace on the front teeth (the social six). My concern now is the speed of shifting. A couple of hours after getting the braces, my teeth were significantly straighter (1 to 2 mm difference). A day after they look almost perfect, I was told I would be wearing the braces for six months to a year. How is such a drastic change possible so quickly, and is it healthy or normal? It hurts always, but it is not unbearable. And could I have used a new retainer instead of getting new braces then? I hope you can help with my worries. Doctor: Hello. All the movement and everything depends on the bone density in your oral cavity so no issues if it is going faster, it is a good sign that it is showing you benefits so soon. And braces and retainers each have their course of works so you should not be regretting on putting braces, there might be some issues your dentist would have observed through X-ray that is why she or he felt the need for braces. If you have been told six months, does not mean six months always, if there will be good results, it might be reduced to four to five months even. So go ahead confidently, your dentist is doing right." + }, + { + "id": 26116, + "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": 21486, + "tgt": "I have problem with gas in my stomach. How can I get rid of this issue?", + "src": "Patient: Hello doctor, My age is 30 years and weight is 84 kg. I have a problem with gas in my stomach. Doctor: Hello. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16548, + "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": 6118, + "tgt": "I had viral fever and my blood report shows lymphocytosis. What is the cause for elevation?", + "src": "Patient: Hello doctor, I had a viral infection before two months with fever for five days and cough and increased mucus production for more than two weeks. On a follow-up visit with a PCP, I was given antibiotics for five days Azithromycin and antihistamine Levocetirizine to make sure there is no secondary infection and to help with mucus (allergies were also suspected). I feel great by now for a few weeks and currently, I am not taking anything. I have attached my blood work done yesterday, including CBC and peripheral blood smear. As you can see, although my overall WBC count is normal, there is a relative lymphocytosis (42%, up from 40% two weeks ago). The blood smear is normal. My hs-CRP is 0.9 and ESR (denoted as VHS) is at 2 mm/hr. What can cause this relative elevation in lymphocytes? Should I be concerned about leukemia or lymphoma? Doctor: Hello. I have seen your attached report. (attachment removed to protect patient identity). The lymphocytes are slightly elevated. The lymphocytosis seems most likely to be due to previous viral infection of the upper respiratory tract. The peripheral smear report not showing any abnormality. So you need not worry about any leukemia or lymphoma according to provided history and reports. Do not worry. You can repeat your CBC (complete blood count) after a week. The count of lymphocytes will fall within range after a week mostly. I hope this helps." + }, + { + "id": 25522, + "tgt": "Can squint surgery help treat diplopia?", + "src": "Patient: Hello doctor, I am a 31-year-old male with a history of closed globe injury in the right eye 10 years ago. At that time, my vision in the right eye was hand movements only and I was diagnosed with a macular injury. Three months later, my vision slowly improved to 6/36. However, my right eye started to deviate (exotropia) and I started experiencing diplopia. My main problem is diplopia. I have used prisms, but of no use. When I try to focus on an image, I have severe diplopia. The diplopia disappears when I try to correct the squint. At present, I am doing higher studies and the diplopia is really bothering me. Will doing a squint surgery be of any use? Is there anything that I can try? Doctor: Hello. Diplopia is occurring definitely due to squinting because, in this, the image which is formed will be defocussed. It has occurred secondary to the trauma. The only remedy is to correct it by surgery. If it would have been due to other causes which were intrinsic to the eye then the chances would have been to correct by glasses. But still, I would suggest you get to check whether the diplopia is due to the squint only and even after surgery your vision will not recover however the diplopia can be relieved. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4385, + "tgt": "Is there a chance for me to conceive normally after PID treatment?", + "src": "Patient: Hello doctor, I am completely desperate. After treating yeast infections for years, I made a lab test for whole bacterial microflora in my vagina. The results are awful. I do not have candida at all. The results are: Gardnerella vaginalis, Prevotella bivia, Porphyromonas spp.\t10 6.6 Eubacterium spp.\t10 6.0 Atopobium vaginae\t10 5.9 Ureaplasma (urealyticum and parvum) 10 5.3. My doctor prescribed me the following treatment: Azithromycin (first week, first day 1 g, second and third day 500 mg, the second week the same). For Gardnerella Tinidazole ( two pills BD for 3 days, actually 2g for one day). He told me to take Tinidazole on different days from Azithromycin. My husband also took pills for only one week Azithromycin and Tinidazole. Also, we take probiotics and vitamins. I also have Fluomizin vaginal tablets for 12 days. My worries are that after three days of Azithromycin, we took Tinidazole but we felt awful after the second day. We could not take the last 1 g because of vomiting, diarrhea, stomach and low back pain. Now I feel better and it is time for the second week of Azithromycin. Can I take the last 1 g of Tinidazole after Azithromycin or just to let go? I have some pain in the low back but this pain appeared two months ago and now I think I have PID or something really bad. I think I have become infertile without knowing it. This ureaplasma should be in me at least for four to five years. For Gardnerella, I am not sure but I have always had some discharge. So definitely things are old. We want to have a baby and now things are not so good for us. If I succeed in treating these infections can I get pregnant naturally or it is better to find medical help without losing time? I am 32 years old. Doctors say nothing here. Actually my doctor told me if the treatment is successful we can try to conceive naturally. But I think these bacterias have injured my reproductive system because of the long-time untreated problem. I am so sad. I also had urine and blood tests, everything is normal there. My urine sediment is clear and ESR is normal. Doctor: Hello. I would like to add a little information here is that PID (pelvic inflammatory disease) mostly is a subsequent result of STD's (sexually transmitted disease) infection (chlamydia and gonorrhea) which actually travel upward along the reproductive tract and may lead to subfertility. These prolonged infections can also cause subfertility but in very severe cases especially recurrent cases and if remain untreated. As you have started treatment, the infection has been cured so you should stop worrying now and start trying to conceive naturally. The chances of getting pregnant spontaneously are quite bright. And as you are 32 years now so you can try spontaneously for at least six months to one year before seeking help. But if it is really concerning for you then there is no harm in seeking help earlier. Secondly, yes you can take Tinidazole after completing Azithromycin course. I hope this helps." + }, + { + "id": 23548, + "tgt": "My hair loss is back after a trip to a tropical country. What can I do?", + "src": "Patient: Hello doctor, Three months after I had my second child, I suffered hair loss. It all grew back six to seven months postpartum. Then, I went on a trip about two and a half months ago to a tropical climate and when I got back I am getting the same type of hair loss again. I believe the name for it is called telogen effluvium. My hair is also very weak in general and some strands are similar to a straw consistency. Could the trip have triggered this or could this be a thyroid issue? I also got BPPV postpartum and even now suffer from chronic dizziness. MRI is normal. Ear tests are normal. The blood test is also normal. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hair fall. Try to do the tests and get back for review. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 24764, + "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": 10401, + "tgt": "I have allergy and sinusitis so I cannot eat or drink cold items. Please help", + "src": "Patient: Hello doctor, I am suffering from sinusitis and dust allergy. I cannot eat or drink cold items. Doctor: Hello. Have you done the X-ray of the sinusitis? Sinusitis is inflammation of the paranasal sinuses which are like air pockets found within the cheeks, frontal part of the skull and inside the anterior skull bases. Obstruction to the draining channels of those sinuses lead to blockage and accumulation of secretions which becomes infected and the problem begins. Or there can also be a congenital deficiency in the ciliary cells that beats to drain the secretions into the meatus. You will have to use antibiotics such as Augmentin, use Actifed tablet one tds. Also, you can use nasal drop to help open the ostium so that the mucus clogging it can go out. There is also a surgical procedure, e.g., antrostomy to drain out the maxillary antrum sinuses." + }, + { + "id": 22061, + "tgt": "How much Nux Vomica should I take for external hemorrhoids?", + "src": "Patient: Hello doctor,I am suffering from external hemorrhoids. How much quantity of Nux Vomica should I take and in which form? Liquid or powder? Doctor: Hello. External hemorrhoids should be treated through: Constipation is treated through: Nux Vomica (Strychnine, Brucine) is used as a laxative. You should see the label instruction for specific use. 30 drops a day divided in three doses with 10 drops each time until symptoms improve. The instructions are given for liquid Nux Vomica. You can take masticable tablets (not more than three per day). For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16812, + "tgt": "I am facing problem with leakage of urine. Is there any medicine to help?", + "src": "Patient: Hi doctor, I am 26 years old. I have been to the urologist and had a cystoscopy because I was having problems with leakage of urine after I pee and urgency. The doctor said my prostate was slightly larger than normal and gave me some medicines. Those medicines did not help with the symptoms, and he gave me another medicine called Rapaflo and that did not help either. The leaking still has not gone away, and it hurts to ejaculate sometimes. I had the cystoscopy done about five months ago. Is there some medicine to help with this? The leaking is very embarrassing, and my sex drive is much lower. I do not feel like I get erections. What do you think is going on with me? Doctor: Hi. USG pvr (post-void residual) and prevoid residual volume. 1. Capsule Roliflo 2 mg once daily. 2. Tablet Modula 5 mg once daily for 15 days. Revert after seven days to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11554, + "tgt": "I am under Depakote XR, and Paroxetine CR for OCD. Will these drugs cause Parkinson's disease?", + "src": "Patient: Hello doctor, I am suffering from OCD and doctor prescribed Depakote XR 500 mg and Paroxetine CR 25 mg, which I am taking for last eight years. I read that these medicines can cause drug-induced Parkinson's. Please advise how to stop taking these medicines without withdrawal symptoms. Doctor: Hello. I do not think that those medications can induce Parkinson's. Antipsychotic drugs are more common to induce extrapyramidal symptoms like Parkinson's. Still, if you want to stop it, then you need to taper off over months gradually. It may lead to worsening your OCD." + }, + { + "id": 24414, + "tgt": "Why do I become alert and aware during surgery inspite of anesthesia?", + "src": "Patient: Hello doctor, I am a 55-year-old female. Before asking my question, I need to provide some background and context. I have had many surgeries and am a well-educated (Ph.D.) person. I am not a typical patient, given my knowledge, background, etc., including the fact that I get a copy of my complete chart for each surgery or medical procedure using any form of sedation or anesthesia. I am knowledgeable about most drugs used during anesthesia and how they work. I have been told by a surgeon (included in his surgical report) and two dentists that I require a lot of anesthesia. I have had multiple bad experiences with anesthesia, primarily conscious sedation. In my last surgery, I became alert, aware and had full memory of the second, third and fourth stitch. I have experienced pain and awareness or memory during other oral surgeries and other procedures. I abhor the idea of conscious sedation, and the drug versed, specifically, except when used for induction. I have had my specific verbal and written expectations violated. This has all lead to both fear of some simple procedures (like oral surgery and even regular dentistry) and a distrust that I will be cared for in a manner that I do not find acceptable. Two days ago, I had oral surgery and had some memory of pain and other things and, because of my experience, I am also a person that brings a high-quality recorder into the procedure room or OR (when the opportunity presents itself). So, for the oral surgery two days ago, I recall experiencing pain and asking for more medication. I recall being told to calm down (the audio recording supports these recollections, plus the oral surgeon and anesthesiologist, who I paid extra out-of-pocket to have available so I could be in deep sedation and not experience pain. Note to all anesthesiologists and surgeons; patients can sometimes hear and remember everything you say. Be respectful, at least in the presence of the patient. I had recalled something like this but was not certain exactly what was said until I listened to the recording. Okay, my question is this is a short and long-term question. I have a procedure with the anesthesiologist at 8 AM. He also does some pain management procedures, and I will be getting the nerve block test for lumbar RFA tomorrow. I will have a CRNA who will be doing the anesthesia or sedation. But, I want to be able to discuss what happened to me during oral surgery with the anesthesiologist. I am a bit upset about that. I have a fear of dental and other painful procedures. I know that the local anesthetics do not work as well on me as they do on others which is presumably why I was feeling pain and this is an issue not just for the procure in the morning. It is an ongoing issue that just grows more intense with every procedure that my trust is violated, and I experience pain and, I need the RFA. I have multiple herniated discs and arthritis, facet joint damage. I do not know how to articulate my needs in such a way that the anesthesiologist or CRNA (later this morning or in the future) takes my concerns seriously. I do not just need something to calm me, and in fact, the very thing that an anesthesiologist would use to calm me is one of the most fearful things to me. I do not want to experience pain. I do not need amnesia, and I do not need to be calm (well, I would be calm if these things did not repeatedly happen to me). I just need no pain and if that takes a heavier dose of Propofol (in a hospital setting). So be it. If that takes more local anesthetic. So be it. I need to be unconscious, or I need enough pain management and deep sedation or no sedation. What do I need to say to get that without offending or getting interpreted as just another person who is afraid of the OR (which I am not) and, I am pretty sure that they would be freaked out if I told them that I bring a recorder in with me (for additional curiosity, if that is not something that I want to share. Is it possible that I would share that after being given versed? What if I just tell them no versed? Low dose Propofol would do the same thing. Right?). Please help me. Doctor: Hello. I have read your past experiences of conscious sedation, and I understand how difficult it would have been for you. One thing I want to clear you first is that conscious sedation does not mean general anesthesia. Conscious sedation works on this principle only that you or the patient is conscious. It may decrease the pain and increase the cooperation for the procedure, but it does not mean that you will not hear or feel anything. For small oral surgeries and small procedures, everywhere conscious sedation is used. It just means that it will decrease to some extent your feeling of pain and you might be sedated for most of the procedure time but not the whole time of the procedure. It means one can recall so many things from surgery in conscious sedation. If you want to be completely knocked down and not feel or listen anything then what you need is general anesthesia which is usually not given for small procedures. Now coming to your problem. First, you need to discuss with your anesthesiologist better a day or few days before the surgery explaining him everything what happened in past surgeries and what you expect from him. If you will discuss this with your anesthetist a few days earlier or at least a day before, he will not think that you are just afraid of OR (operating room). You have to make your mind and explain it to him that whether you want conscious sedation or general anesthesia. If you do not want to feel anything and not want to be awake in between the procedure, explain to him that you want general anesthesia and no sedation. Explain it to him clearly what are your experiences from past and what you expect from him this time in procedure. Regarding the recording thing, let me ask you a question. Do you never talk to your colleague whenever you were doing your thesis or research work? I guess everybody does. It is routine work for them, so it is not possible that everybody is keeping silence during work. Have you never met a little difficult person to handle? The next thing I want to tell you is that keeping a recorder during the procedure is like interfering into someone else's privacy. It may have legal implications for you. Next, it is affecting your mental peace too. You are doing something which is increasing your sufferings more. Just answer one question, if you get a scary dream, is it good to have any horror dream repeated in your mind again and again or is it better to forget one. The choice is yours. Telling some patient to calm down during a procedure is a type of psychotherapy, and it has been proven effective. It is not that the person wants to give you less drug, the problem with conscious sedation is that you have to limit the dosage of the drug or else the patient will stop breathing, and that is not what you or the doctor wants. So, better ask for general anesthesia. Last but not the least, consult a psychotherapist or psychiatrist regarding your past awareness of anesthesia. The sessions will help you remove or at least decrease the mental trauma from past episodes. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 5877, + "tgt": "My husband has irregular heart rate, systolic pressure and mild back pain. Is it a cardiac issue?", + "src": "Patient: Hello doctor, My husband is 43 years old. He has an irregular pulse, 40-60 is his daytime heartrate, borderline BP managed through diet for a few days. He complains of lightheaded feeling at wakeup, increased systolic BP 143-153 mmHg, and mild nausea with occasional mild back pain on the right side. He takes one pill of Omega men every day. Can the problem be a renal or cardiac issue? Doctor: Hello. From symptoms, it does not look like a cardiac issue as a cause of pain, it is likely due to gastritis and reflux. Does he also have upper abdominal pain, bloating, burping, an increase in pain on food, sour water feeling in the throat or chest burning? These are the other symptoms and may be associated. He 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. He should get prescribed tablet Pan DSR (Pantoprazole) 40 mg once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate) or Gelusil two teaspoons three times a day for a week. Also, his blood pressure is on a higher side. He should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have a low salt diet and monitor his 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. This can be a cause for his high BP. Do 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 and BMI (body mass index) within 23. Get his ECG (echocardiogram), lipid profile, sugars, and renal function test done once. I hope this helps." + }, + { + "id": 24214, + "tgt": "I am losing sex interest and have premature ejaculation. What can be done?", + "src": "Patient: Hi doctor, Firstly, I would like to inform that I had got married eight years back. For the past eight years, my sexual life was going fine. Recently within a few days due to workload and pressure, I am losing my sex interest and I am just 31 years old. I have a kid of 5 years old. And during intercourse, my sperms come off very soon (premature ejaculation). Please help me on this and suggest me some good medicine for the same. Doctor: Hi. As you may be aware, stress in most forms will affect sex. But since it is only temporary and will vanish once the stress is alleviated (or you learn to manage it), your sexual performance will also return to normalcy. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 864, + "tgt": "I experience slight ear pain and tinnitus for the past one week. Is it due to wax formation?", + "src": "Patient: Hello doctor, I have been experiencing ongoing war popping sensations as if I have gotten off a plane for the last two months. For the last few weeks, I have experienced slight ear pain and symptoms of tinnitus. I have tried an ear wax removal kit but still have underlying symptoms. Doctor: Hi. I could not understand what is the point of removing wax here without observing the ear canal. Please get it very clear, your eustachian tube (tube connecting the backside of the nose and middle ear) is blocked and some maneuver (Valsalva maneuver) under supervision will surely help. What you can try at home is take steam inhalation, chew food, or chewing gum in an exaggerated way as it may open the tube. Stretch your ear a bit and you can try putting your little finger inside your ear and move it 10 -15 times. Tinnitus may go away once the tube gets back to its normal position. Avoid caffeinated drinks (tea, coffee, alcohol). If you have it even after that follow up with me." + }, + { + "id": 11241, + "tgt": "I have severe foot pain. Kindly review my X-ray", + "src": "Patient: Hello doctor, Foot pain started 18 months ago after running. It has persisted, but the severity of pain depends on how active I am. Most recently, the pain has become more severe. Please review my X-ray. Doctor: Hello. Please send me the full X-ray which you have sent (attachment removed to protect patient identity). I would like to see the whole joint, like of talocalcaneal joint." + }, + { + "id": 9797, + "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": 15666, + "tgt": "Why do I have increased white cells, proteins, leucocytes and epithelial cells in my urine?", + "src": "Patient: Hi doctor, My partner is 48 years old, and her weight is 65 kilograms. She has RBC of 5.6 mcL, Hb of 15.3 g/dL, and creatinine of 0.9 mg/dL. The urine report shows white cells of 60 to 80 WBCs per high power field. There are traces of proteins, leucocytes, and epithelial cells also. Doctor: Hi. Your partner has urinary tract infection. She needs to do a urine culture and sensitivity. Meanwhile, get examined by a gynecologist to know the local source of infection. If she is symptomatic, with fever or burning micturition, then she needs to take a course of antibiotics." + }, + { + "id": 11046, + "tgt": "I am not getting my periods after giving birth. Is this due to hypothalamic amenorrhea?", + "src": "Patient: Hello doctor, I am 28 years old. I had no periods for the past five years, after giving birth. I suspect hypothalamic amenorrhea. I had one round of Clomid during my ovulation period, but I had no pregnancy. During the last few months, I stopped my exercise, and so I gained weight. Can I try naturally and see if my body will ovulate on own or should I continue with the Clomid? Doctor: Hello. Just by using Clomid (Clomifene) or Letrozole, you may not have your periods. Did you have any significant bleeding post delivery? Your weight looks fine. No periods for five years is too long, and present hormone levels will be unknown. I suggest you have any of the birth control pills of 21 twice a day for 10 days. Throw away the 21st pill. No matter what the cause is, you will have periods within 7 to 10 days of the last medicine. On day three or four of your periods have serum FSH (follicle stimulating hormone), LH (luteinizing hormone) and AMH (anti-Mullerian hormone). This will give you an idea of follicle reserve and also if any central cause present. If both these are normal, you can start Clomid or Letrozole from day three or four and will have a much better result. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 4606, + "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": 18560, + "tgt": "I am sensitive and fear socializing with people. Is there any effective medication?", + "src": "Patient: Hello doctor, I am realizing that I am an extremely sensitive person. I fear socializing with people. I think too much about what people think about me. There is a lot of fear within me. When people scold me, I take it too deeply and even my mouth vibrates. It is conspicuously visible. I have a lot of social fear mixing with people. While greeting people in my sister's engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. Overall, I am extremely sensitive to what people think about me. I feel depressed because of my embarrassment in front of them. I am sensitive even to sound and noise. Because of this, I find it difficult to go around and play or work in a group. If someone asks me something I fear before answering. I want to be calm and tough enough to face the society. Is there any effective medication? I am a law graduate as well. This problem is affecting my career and relationship. I am too shy and absent-minded. My first and final query is what is the disorder I am having? Please explain my disorder. Doctor: Hello. What you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. Here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety: Anything else? Feel free to ask me again. Have a good day. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26978, + "tgt": "Please look at the picture I have attached and tell me if it is an STD", + "src": "Patient: Hello doctor,I have noticed an outgrowth near my vagina. When I consulted a doctor, she suggested it could be genital warts. We did the STD test for HPV and it came negative. But, I am so scared. Please help. Doctor: Hello. Revert with more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25506, + "tgt": "What ayurvedic medicine can help gain weight?", + "src": "Patient: Hello doctor, I am a 20-year-old boy. I am very thin. I want to gain weight in short span of time. Is there any ayurvedic medicine for this? Doctor: Hello. You can achieve your goals easily through ayurvedic medicines and yoga practices. Ayurvedic medicines and yoga are able to correct your metabolism and help to improve your concern. Also along with medicines you should take protein and carbohydrate-rich foods. Treatment plan includes Drakshasava 15 mL twice a day with equal amounts of water after meals, Shatavaryadi Churna 4 g twice a day with warm milk after meals and HiOwna powder from Himalaya one tablespoon twice a day with warm milk after meals. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Do regular Kapalbhati and pranayama. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 273, + "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": 9776, + "tgt": "What symptoms can I expect when I stop taking Fluoxetine?", + "src": "Patient: Hello doctor, I have taken three pills of Fluoxetine 10 mg across\u00a0three days. I decided to discontinue it. When should I start worrying about the withdrawal symptoms? Will it be severe? 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": 10649, + "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": 5459, + "tgt": "I am using Derma MS and kojitin gel for pimples. Is there any better option?", + "src": "Patient: Hello doctor, I am 22 years old. I have pimples. Before I used Deriva MS gel and Kojitin gel. What should I use for better improvement? Doctor: Hello. Based on the details provided I suggest to you the following measures. Clindamycin and Nicotinamide gel combination are good for moderate acne. Apply after face wash, and do not go in thesun after putting it. Benzoyl peroxide, take care that you apply only over pimples, and not on the normal skin. Isotretinoin, apply only on the pimples. Use appropriate concentration after a prescription from your doctor. Do not use if you are pregnant or breast feeding. There are also some general measures that can be followed to reduce pimple. Use mild glycerine based face wash few times a day. Avoid excessively oily and spicy foods. Understand your skin type and arrive at the best face wash for your skin after trial and error. Use separate towels for body and face, do not mix up. Wash your pillow covers, bed sheets, and bed spreads regularly. Change those every five days. Cure dandruff if that is there and apply a moisturizer after face wash. Aloe vera gel is very soothing and can be substituted for a night cream. Kindly follow these measures and let us know if you feel better." + }, + { + "id": 30913, + "tgt": "Why do I feel pain and twinges in my groin area during certain movements?", + "src": "Patient: Hi doctor, I have had pain in my lower stomach just above my crotch area for about seven weeks now. When I first went to my doctor with the complaint, he said I could have pulled a muscle. I have made an appointment to go back again, which he told me to do and he advised me to bring a urine sample. It does not hurt all the time. It does not hurt when I go to the toilet for passing urine and stools. Sometimes, when I am walking along, I do get a twinge in my groin area. If I sit down in a chair and move my legs towards me, then it does not hurt. But, I am getting pain when I lean up from a position such as from a bed or sofa. Sometimes, when I cough or sneeze it twinges. I do a lot of bending and lifting at work. It has not got any worse, but does not seem to have gone either. Please help. Doctor: Hi. I feel really sorry for the pain and twinges you feel on certain positions and movements. It really is bothersome and needs attention and care. For further information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 4128, + "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": 2463, + "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": 1826, + "tgt": "I am 9 weeks pregnant and I vomit everytime after I eat. Please suggest home remedy", + "src": "Patient: Hello doctor, I am 9 weeks pregnant. I used to vomit once or twice a day until now. But today, I have been vomiting after eating or drinking anything. Do you suspect it to be a food poisoning or it is normal? Also, can you please suggest some home remedies? Doctor: Hello. Did you take any outside food or any food that you are not comfortable with recently? Do you have loose stools? If your answer to both the questions are 'no' it is most likely to be vomiting in pregnancy. Home remedies would be to have a small, two hourly food. Take enough water especially kanji water, glucose water, etc. In the morning as you wake up, do not have tea or coffee, it would be best to have a dry item like a rusk or a biscuit. Have breakfast only after one hour. Also, please walk around the house or if you are working take small breaks. Take a good amount of dry fruits. Have you done your scan and your routine blood tests? If not please do those. If still not responding to the above measures, you can start medications which have no side effects. Try these for three to four days and then you can get back to me." + }, + { + "id": 479, + "tgt": "My penis is like an hourglass and bends in a weird way while erect. Is this Peyronie's disease?", + "src": "Patient: Hello doctor, I am a 24-year-old male. I have noticed that my penis gets really narrow in the middle like an hourglass and bends in a weird way when half erect or in the process of getting erect. It gets completely normal when fully erect though and there is no pain. This happens once every few days. Should I be worried? I have tried searching online and the closest result is Peyronie's. However, in Peyronie's the erect penis gets the hourglass shape with pain but in my case erections are just fine. Any help would be greatly appreciated as I am quite worried. Doctor: Hi. After reviewing your history, it seems to me Peyronie\u2019s disease but I need pictures (flaccid, partial, and complete erection) from you to confirm it. Presentation is secondary to fibrosis in tunica Albuginea causing curvature of penis on erection to variable degrees. It starts with inflammation and pain but will stabilize and become painless with time over approximately six months. Its causing factors are not exactly known but related to microvascular injury and healing with fibrosis is more common in diabetics and might be secondary to autoimmune diseases. Diagnosis is made purely on clinical grounds by history examination and pictures. Treatment ranges from medications to local injections to surgery which is reserved for significant deformity and curvature. I would be grateful to further diagnose and follow up on you. Please send me pictures to support the diagnosis before I make a strategy for your treatment. Provide pictures." + }, + { + "id": 28405, + "tgt": "There is an additional white layer in both my eyes. Please advise a cure for it", + "src": "Patient: Hi doctor,There is an additional white layer in both my eyes for some time. Earlier I thought it as temporary, but it is not. Please advise a cure for it. I have attached a picture for your reference. 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": 13230, + "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": 13405, + "tgt": "Can kidney transplant be done in a patient with diabetic nephropathy and congestive heart failure?", + "src": "Patient: Hello doctor, I want to ask about the kidney transplant that if it is safe to do for my mother. My mother is 60 years old and has diabetic nephropathy, chronic kidney disease, GFR is 6. Creatinine is 543. Potassium is 5. She had congestive heart failure, severe mitral regurgitation. The ejection fraction is 35 %. She had hypertension, hyperthyroidism, dyslipidemia, DM controlled. Doctor: Hello. I passed carefully through your question and would explain that kidney transplant would be a perfect solution for her low kidney function, but it could be at high risk because of her heart function. You should know that heart failure has a reserved life-expectancy. You should know that only half of the heart failure patients survive after five years from diagnosis. Anyway, this depends on many factors: lifestyle, genetics, treatment, comorbidities, etc. Besides, you should know that a kidney transplant can increase the risk for cardiac complications post-surgery, like myocardial infarction, etc. Being diabetic may indicate being also at an increased cardiovascular risk. That is why it would be necessary performing a Dobutamine stress echo or nuclear cardiac stress test before undergoing the kidney transplant, in order to investigate for the presence of coronary artery disease and undergo coronary catheterization if necessary, in order to avoid complications. So, you can see that benefits should be evaluated comparing them with the risks of surgery and heart complications. You should discuss with your doctor on the above issues." + }, + { + "id": 10119, + "tgt": "What are the ways to stop sugar addiction?", + "src": "Patient: Hello doctor, I am having sugar addiction. I always eat candy non-stop and chips and soda, but I am so addicted that I failed the 30-day sugar free challenge in the first three hours itself. I need help, how can I stop this addiction if all my ways are failing everytime I keep trying. Doctor: Hello. Sugar is not an illicit drug, but the brain acts in a similar manner to other substance abuse and addictions. Another reason you could be craving sugar regularly is due to how it makes you feel after consuming it. Generally, a sugary treat causes a rush of both glucose and endorphins in your blood. One of the best things you can do to fight your sugar addiction is to start by swapping sweet foods for healthy alternatives like vegetables. Yes, vegetables can be sweet, but the natural sugars you find in carrots, beets, sweet potatoes, and peas are so much lower than what you will find in treats such as gummies, cookies, or donuts. At the same time, they\u2019 will satisfy your craving for sweetness and you can train yourself to eat these healthier choices over-addictive sugary desserts. The last small tip for fighting your sugar addiction is to generate a plan for how you will eat. You can write this plan out, post it somewhere, or simply keep a mental note of it, but a plan can help you to succeed in various situations. For example, keep carrot sticks cut up in your fridge so that after work, you can plan to snack on those instead of cookies. Or if you are going out to brunch, decide that your plan is to order an omelet with vegetables so that pancakes (basically, a maple syrup delivery device) is not an option. The idea here is to have a plan for how you will succeed in various scenarios that typically create problems for you." + }, + { + "id": 6178, + "tgt": "What is the correct method of using MTP kit to terminate pregnancy?", + "src": "Patient: Hello doctor, I want to use Gestapro MTP kit to terminate my pregnancy. Please share the method to have it. Doctor: Hello. Firstly, get a pregnancy test done. Then an ultrasound of early pregnancy to see the baby shadow is in the uterus and not outside. The pregnancy should be less than seven weeks. You have to go to a gynecologist for a prescription and take it under her guidance as it is not allowed to buy it over the counter. Its success rate is 96 to 97 % and the failure rate is 3 to 4 % and may require D and C if fails. In the kit there are two drugs, one is Mefipristone 200 mg one stat dose is taken orally on day-1 and on day-3. Then there are four tablets of Misoprostol 200 mcg each. It is either inserted in the vagina (put few drops of water on the tablet to wet it or kept under the tongue). Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. You will have cramps in the abdomen and bleeding will start after four to six hours and will last for five to six days. It will be like your periods or slightly heavier than that. But, if you have heavy bleeding, then report to the doctor immediately. Second follow-up will be after two weeks to see that everything is clear and nothing is retained inside (can occur if you bleed irregularly). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13071, + "tgt": "What are the small bumps on my foreskin?", + "src": "Patient: Hello doctor, I have little bumps on my foreskin. Are they Fordyce spots? Doctor: Hello. Yes, they are Fordyce spots (attachment removed to protect patient identity). Do you have any symptoms in them? For how long you have noted? They are normal. Nothing to be worried about." + }, + { + "id": 22003, + "tgt": "Is it right to take Dronis when trying to conceive?", + "src": "Patient: Hello doctor, I am 38 years old. My first IUI failed. Then one month gap. Now, today is the second day of my period. He told a retained follicle is present after scanning and prescribed Dronis 30 daily. When I get my period again, he told to come on the second day of the period for a scan and start my second IUI. Is Dronis useful because it is a contraceptive? I am trying to conceive naturally also in this gap. What should I do? Please guide me. Doctor: Hi. Dronis (Ethinylestradiol) is a contraceptive pill also used to reduce the size of the ovarian cyst. You will not conceive in the month you are taking the pills. But, it is necessary for the cyst to resolve before you can be given medicine for ovulation induction. So you should take Dronis. You may have to take it from one to three months depending on the size of the cyst. If your cyst is absent next cycle, you can be given medicine for ovulation to happen. It would be great if you could lose weight, at least 3 to 4 kg. Since you are 38, do AMH (anti-Mullerian hormone) blood test and antral follicle count on the second-day scan to know your ovarian reserve. If it is low, I suggest you go for IVF since you are elderly. Do not delay much. Are your TSH (thyroid-stimulating hormone) and prolactin normal? If you can send me your reports, I can guide you better. Investigations to be done: I suggest taking tablet Ovacare (Multivitamin and Multimineral) daily one till pregnancy and tablet Folic acid 5 mg daily once. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4805, + "tgt": "Will frequent masturbation contribute to ED and pain in groin and hip?", + "src": "Patient: Hello doctor, I am 29 years old. My PSA is 0.93. No change in urination pattern. I have a dull pain in the groin, hips, thighs, rectum, and perineum. I masturbate frequently from the age of 15. I suffer ED for two weeks. Doctor: Hello. ED (erectile dysfunction) is the most common problem nowadays. It is curable. Your PSA (prostate-specific antigen) is absolutely normal. ED can be psychological or organic. Psychological causes are stress, anxiety, and other life problems. Since you had good erections before, I think you have a psychological cause of ED. You should try behavioral therapy (yoga and exercise) to reduce stress. Strictly avoid smoking and alcohol. I am giving pain killers for pain. If things do not improve then, contact a urologist. I hope this helps. Tablet Voveran SR (Diclofenac) 75 mg in the morning and evening for five days. Tablet Pan 40 (Pantoprazole) in the morning for five days." + }, + { + "id": 9651, + "tgt": "Why is there skin tear in frenulum area after circumcision?", + "src": "Patient: Hi doctor, I had a circumcision 18 days back. All my stitches got dissolved and the swelling also is getting reduced each day. But my frenulum looks teared, and a pinkish white layer is formed. Previously, a scab was there and when it fell off, I could see no skin except a tear with a knife around the frenulum area. Is it normal? Will the skin grow back by itself? If so, how long will it take? Doctor: Hi. Your circumcision area looks healthy with no pus discharge (attachment removed to protect patient identity). Follow the following instructions: 1. Maintain hygiene over there. 2. Tablet Advent 625 mg PO BD for five days to avoid infection. 3. Tablet Chymoral Forte one tablet PO BD, if you have pain, swelling or discharge, immediately meet local surgeon." + }, + { + "id": 9461, + "tgt": "I have swollen tonsils with white spots. What is it?", + "src": "Patient: Hello doctor, I am 20 years old. I have symptoms of swollen tonsils with white spots and bumps on my throat. I went to the urgent care almost two weeks ago, and after running streptococcus and mononucleosis test, they told me that it was more likely viral tonsillitis. I am not experiencing much pain other than occasional discomfort. I do not get sick often. So, I am unfamiliar with how long viruses usually take to leave the body. I am a bit worried since it has been here for quite some time now although symptoms slowly improve and then seem to digress. Currently, I am taking Advil. Could this be something other than tonsillitis? Doctor: Hello. After reading your symptoms and looking at your photo (attachment removed to protect patient identity), it is suggesting of chronic pharyngitis with chronic tonsillitis. The whitish spots over your tonsils are the food particles that clogged within the tonsillar crypts. These can be easily removed by applying pressure with your finger against the tonsils. These are not major health issues, but in long period they may converted to tonsillolith (tonsil stone) or may give tonsillar infection. For pharyngitis, no need to take tablet Advil (Ibuprofen). Do some lifestyle modifications as mentioned below. Chronic tonsillopharyngitis. 1. Warm saline water gargles two to three times a day. 2. Orally plenty of water intake. 3. Wash your mouth after each time you have some food. 4. Manual removal of clogged food particles by applying pressure over tonsil with finger. 5. Use some antiseptic mouth wash before bed. 1. Avoid cold food and drinks. 2. Avoid spicy fried foods. Revert back after 15 days to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29994, + "tgt": "What could cause sudden fainting?", + "src": "Patient: Hi doctor, My friend, who is a 38 year old female, had sudden fainting and tingling tongue. She wants to know what is wrong with her. Does it necessary to visit the hospital? Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29114, + "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": 14574, + "tgt": "I have painful bump behind my wisdom tooth with sore gums. Why?", + "src": "Patient: Hello doctor, I have a white bump right behind where my wisdom tooth is and my gum is sore. It is swollen and hurts bad when I wake up then I get a stinging pain the rest of the day. Doctor: Hello. As I can see in the picture (attachment removed to protect patient identity), it seems like your upper last molar has sharp edges and these sharp edges hurt continually to lower gum tissue. Injury due to sharp edges of upper tooth cause sore or ulceration. I suggest you see your dentist, after clinical examination, he or she will smoothen up the edges and make sufficient space. Medicines will not be able to provide you relief. So please see your dentist. Thank you. Have a good day. Sharp edges. Clinical examination. Ulceration due to sharp edges. Smoothing of edges. Do not take too hot and spicy food." + }, + { + "id": 20988, + "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": 1582, + "tgt": "With Lutera, I get slight bleeding, bloating, and tender breast with weight gain. Why?", + "src": "Patient: Hello doctor, I have been using Lutera but recently, I started having some problems. I have been bloated and my period began on the 14th (it usually lasts for four to six days), so the assumption was that it would conclude on the 19th. It is 23rd and I am still lightly bleeding, but my breast are tender again. I wanted to ask if this could possibly be side effects of the birth control or if there was possibly some other reason for this. I did do some research and I found that Lutera had been recalled a couple of times. I did stop taking it for a while to see if it only happened with the birth control and upon getting back on it the symptoms have persisted. I feel like I am gaining weight as well as breaking out with acne a lot more. Please suggest an opinion. Doctor: Hello. Lutera has multiple side effects and is not really good contraception. In fact, all oral contraceptives are not a very good option as contraceptives. Bloating, weight gain, irregular spotting, are a few side effects. Larger and other bad side effects are marked suppression of ovulation leading to suppression of the biological clock of females. It changes the vaginal environment and therefore causes the growth of multiple bacteria. It is also known to cause obesity, diabetes, HT (hypertension), and breast lumps. The best is condoms by the partner and vaginal tablet to be inserted at the time of contact. Kindly stop taking that tablet. Take capsule Primosa 1000 mg once daily. Also, take supplement of antioxidants like grape seed extract and multivitamins. Stop taking pills." + }, + { + "id": 1892, + "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": 9818, + "tgt": "Why am I having hard stools with ulcer inside my anus?", + "src": "Patient: Hi doctor, I am 25 years old, boy, my height is 158 cm and weight is 61 kg. I am suffering from motion problem. My motion is not proper. It is getting too hard and timing is not proper I feel, something like ulcer is there inside of my anus. Please help me. Doctor: Hi. You feel pain when you use the toilet, and always hard. You need to take enough water, fruits and vegetables in your diet to soften your stool. You need a lot of fibres in your diet. For the ulcer like symptom as if there is a wound in your anus, that may be making you to go to toilet for fear of pains after use of toilet, in turn it makes your stool get harder beause you do not go to toilet when you ought to. It is likely that you have anal fissure, which is responsible for the pains and in turn constipation is there steaks of blood too in the stool. What you can do is take Liquid Paraffin 15 ml thrice daily, that will help soften your stool. Apply topical Lignocaine local anastesia on the anus to relieve pain. Do warm sitz bath. Put plenty of salt in warm water, add a disinfectant containing Chlorhexidine to it and sit on it. Do it thrice everyday, and after using the toilet. It will help to sooth the discomfort and relax the nerves around anus." + }, + { + "id": 17813, + "tgt": "My daughter is irritable and has rapid mood changes. Are these side effects of Hydrocortisone?", + "src": "Patient: Hello doctor, My daughter has special needs. She had Cushing's syndrome and an adrenalectomy at the age of 8. She is now 31. She has had some psychiatric problems, and her current medication is 15 mg Hydrocortisone, 1 mcg Fludrocortisone, and 1.5 mg Risperidone daily. We have just taken her on holiday, and we had a terrible time. She was definitely suffering, anxious most of the time and occasionally hysterical, with rapid mood changes and often irritable, sometimes mildly aggressive. She showed poor tolerance to the heat\u00a0and seemed to find it difficult to adjust her body temperature. She also has a toenail fungus for at least five years. Which of these symptoms could have an endocrinological cause? Could the fungus affect her in this way? Is there an alternative to Hydrocortisone if her symptoms are side effects? Doctor: Hello. I just read your query about your daughter. I must say that your daughter is rightly managed till now. 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": 3197, + "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": 28132, + "tgt": "I am always anxious about my health. Please help", + "src": "Patient: Hi doctor, I am a 31 year old. I do not smoke or drink. I am suffering from a health anxiety. Recently\u00a0I got an ECG and blood test done, the results of which I have attached for your consideration. I have an elevated RBC count. Could this be blood cancer? Also kindly note that I was very anxious during my ECG test, so my heart rate is high in the reports. Doctor: Hello. You need not worry at all. Just get rid of all your anxiety and stay cool, calm, and composed. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13761, + "tgt": "How can I manage tight penis opening that causes pain on jerking it?", + "src": "Patient: Hello doctor,I am 20 years old and my problem is that I have a tight opening of the penis. This is very painful when I jerk it off. Doctor: Hi. It is called as phimosis. Try to use steroid cream for 10 days and massage the skin. Try to retract the skin and clean the secretion beneath the prepuce. Keep the area clean because steroid cream may lead to infection if not taken care appropriately. Betamethasone ointment twice a day." + }, + { + "id": 29904, + "tgt": "What could be the cause for rise in BP?", + "src": "Patient: Hello doctor, Last year, I joined a new organization, where the working hours are higher with both day and night shifts. Before joining the new organization, I had a stable blood pressure (less than 118/75 mmHg). About five months back, I felt feverish and visited a hospital for the same. That time, I came to know that my\u00a0blood pressure had risen to 145/85 mmHg.\u00a0Since then, my life has never remained the same. My parents\u00a0are not hypertensive. I was having chest pain and sleeping problems from then. I was given Nifedipine for blood pressure and Lexotan for sleep. After taking these two drugs for two days my condition got worsened. I started having anxiety. I reported back to my doctor. In fact, I personally stopped using those drugs. My BP dropped to a\u00a0range of 125-130/87-80 mmHg. Since I was not comfortable with the blood pressure, I bought a blood pressure monitor to check at home. I am a food technologist. So, I started working on the food I eat. But, my sleeping problem and anxiety worsened. So, I\u00a0decided to take my annual leave and that was about three months back.\u00a0After resting for a month, my blood pressure dropped to 110-118/75-72 mmHg. My\u00a0BP dropped without any drug, only with the\u00a0inclusion of fruits and vegetables in most of my meals. I resumed work around two months back. In the first week of this month,\u00a0my blood pressure had started rising again. I have been looking for a new job, but you understand the economic crisis now. I feel the shift in work is not good for my system. During the\u00a0morning shift, my blood pressure ranges from 140-125/85-80 mmHg. During the night shift and off days, the BP ranges between\u00a0112-119/75-78 mmHg. What could be the cause for this rise in BP?\u00a0I was thinking that maybe the restaurant food I consume during the\u00a0morning shift as the probable cause because during a night shift, I eat at home. I am 35 years old. My weight is 74 kg and height is 180 cm (6 feet). Doctor: Hi. Revert back after 10 days to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1258, + "tgt": "How to remove the excess abdominal fluid in a colon cancer patient?", + "src": "Patient: Hi doctor, My aunt has\u00a0colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now,\u00a0she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal cavity cannot be drained with normal methods because of the density of it. They sent her home to die slowly without any treatment. What can be done to get that thing out of her? I have attached her clinical history for your reference. Please help. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25547, + "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": 15489, + "tgt": "What is the treatment for passing urine while sleeping in a child?", + "src": "Patient: Hello doctor,My boy baby is 9 years old and is still passing urine on the bed while sleeping. While I discussed with him, he said he is not feeling. As per doctor suggestion I used to wake up him by night for passing the urine but it did not work. Day time he gets it urgent and runs towards the bathroom. Study time in one-hour minimum three to four times he goes to urinate. He is maximum time watching TV, and want to play game in cell or laptop. Her mom was also under psychiatric care for the last eight years after his birth. During that period while taking medicine she fed him also. I am not getting a solution. I have explained everything. I request you to suggest proper solution and steps need to be taken. Doctor: Hi. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day." + }, + { + "id": 16163, + "tgt": "Kindly tell me whether my abdomen ultrasound shows prostatic cyst", + "src": "Patient: Hello doctor, I am turning 40 in a few days. For the past two months, I have been having gas or burning sensation, etc. Three weeks ago, I noticed some black specs but could not tell whether it was blood, so went to a local gastro clinic. We did a series of test endoscopy, abdominal ultrasound, blood test, stool test. All were normal. However, while doing the abdominal ultrasound, there was an observation on the prostate. Prostate was normal in size and echotexture. Tiny cyst measuring 3X2 mm seen in the midline. No free fluid noted. The overall impression is abdomen: no sonological abnormality detected, pelvis: tiny midline prostate cyst. I just wanted to know what can I do about the prostate cyst observation. Doctor: Hi. The prostatic cyst is a fluid-filled bubble in the prostate which is usually harmless and present since birth but becomes detectable in adulthood. You should not worry about it. If you have urinary problems, you can contact again." + }, + { + "id": 18356, + "tgt": "I get spotting every 15 days. What can be the reason?", + "src": "Patient: Hi doctor, I am suffering from\u00a0irregular periods. I am getting few spots in 15 days and also the flow was heavy during my periods. I have consulted a gynecologist here. She asked me to check the Hb count, thyroid, sugar levels, vitamin B12 and D3. Everything was fine except Hb and vitamin D3. She also asked me to take pelvis scan. After seeing the report she told me that there is a possibility of PCOS. She gave me some iron supplements for 3 months. Now, even if I strain for some time, I am getting few spots. If I stand continuously in the kitchen for more than an hour, I am getting spots. I am really scared of the problem. Is there anything to be worried? Help me with this. I am attaching my scan reports here for your reference. Doctor: Hi. You are suffering from PCOS (polycystic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. Your spotting is not related to PCOS directly. In PCOS, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. Simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy. It will also prevent ill effects of unopposed estrogen on endometrium. Another option is to induce regular withdrawal by taking Progesterone tablets (Medroxyprogesterone acetate 10 mg twice daily for 5 days) to induce menses every 30-45 days. Spotting should stop once you start oral contraceptive pills, which you can start right now if you are not trying for pregnancy. To prevent long-term ill effects of PCOS, you need to take healthy diet (low carbohydrate, fat, refined sugars and high in fiber content). Do regular exercise for at least 30-45 minutes daily and induce period by oral contraceptive pill and Progesterone tablets regularly. You should avoid gaining weight at all costs as it may impair glucose tolerance and precipitate diabetes in later life. I hope you are taking Iron and vitamin D3 supplements to recover from deficiency. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23846, + "tgt": "My intraocular pressure is 20 to 24 mmHg. Do I have glaucoma?", + "src": "Patient: Hi doctor, I am 39 years old. My ocular pressure has been measured three times within the last month and values vary from 20 to 24 mmHg. The field vision test is fine. OCT shows some damage to the\u00a0RNFL. Do I have glaucoma? What treatment do you suggest? Doctor: Hello. In my opinion, we can still keep you in the category of 'glaucoma suspect' rather than labeling you with the diagnosis of glaucoma. To summarize, in my opinion, you are glaucoma suspect. If you have any family history of glaucoma, then I will start treatment for glaucoma. But if there is no family history of glaucoma, then I would like to wait and keep you under observation. I would like to get all tests repeated after six months for initial 3 to 4 times, and if findings are consistent and non-progressive, then we can reduce the follow-up to yearly once. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3910, + "tgt": "I am hypochondriac about Tourette's syndrome. How likely will I get it?", + "src": "Patient: Hello doctor, I am a female who is turning 20 years old in two months. I was recently diagnosed with high functioning autism after suspecting for two years that I could have that condition. I have never had any kind of ticks or repetitive and involuntary movements or sounds. When I was 15, I started to become really hypochondriac (since I have had anxiety since 9) and Tourette syndrome was my nightmare. Every year I would suspect (without symptoms) that I was starting to develop it. Recently, I started to get spasm (face and legs) before falling asleep and those spasms are now in my eyebrows and eyelids as well, including during the day. My eyes feel like blinking (normally, once every 10-15 seconds) without me controlling it. Is it possible that I am developing Tourette? Doctor: Hello. Tics are quite common and experienced by many people. Tics happen more prominently when you are worried and stressed. You have been reporting anxiety and particularly worried about Tourettes syndrome. Tourettes syndrome is a severe form of tic disorder where a person has both motor and vocal tics present consistently for more than a year. From your description, you do not appear to have Tourettes syndrome. I can understand you are excessively worried about possible tics which is making your anxiety worse. It will be helpful to try relaxation strategies to manage anxiety. Deep breathing techniques and Jacobson's progressive muscle relaxation exercises will help. Tics become less when you are less worried. If anxiety is getting worse, consult a doctor or psychologist for professional support. I hope this helps." + }, + { + "id": 10660, + "tgt": "Is it normal to have high platelet count in a high blood pressure patient?", + "src": "Patient: Hi doctor, I am 26 years old, female. I have high blood pressure problem from the last one month (silent BP) and my kidneys are damaging beacuse of this and my platelet count is 12 lakhs. These are continuously increasing from the last eight months, that is 6 lakhs, 8 lakhs, 11 lakhs and now 12 lakhs. My legs and foot pain are increasing day by day. Please reply as soon as possible. Doctor: Hello. The hypertension is multi-systemic disease and can affect many organs in our body including kidney as well. So hypertension need to be controlled with medication. Kindly attach your kidney reports so that I can look how much damages have occured. Your platelet count is very much high. You have to rule out essential thrombocythemia for that. I suggest you consult nearby hematologist for detailed evaluation." + }, + { + "id": 28184, + "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": 29587, + "tgt": "I have a painful, itchy rash on my neck. How to cure that?", + "src": "Patient: Hi doctor, I have a terrible, painful and itching rash on my neck since 20 days. I have taken Benadryl, Claritin, Allegra and now Zyrtec with Fluocinonide ointment. Before that, I used Triamcinolone Acetonide and Cortizone-10 cream.\u00a0Nothing is working. I had similar problem thrice before due to allergy to hair oil and eye makeup. I was just diagnosed with osteoporosis and two fractures in the middle spine. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15507, + "tgt": "What is the management for erectile dysfunction with grade 1 varicocele?", + "src": "Patient: Hi doctor,My T hormone is 157 dl and prolactin is 22. My sperm is 28 million and normal morphology. The scan showed normal testis size but grade l varicocele both sides but I have erection dysfunction and no sensation in my penis. Doctor: Hi. Your serum testosterone levels are on the lower side. But the semen analysis is good. So do not take hormone replacement now. If you take testosterone supplementation, chances of decreased sperm count are there. Grade one varicocele does not require treatment unless it causes changes in semen analysis or scrotal pain. You need a workup for your erectile dysfunction. See your urologist." + }, + { + "id": 10157, + "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": 6512, + "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": 17291, + "tgt": "I have frequent and recurring stye problem. Please advise", + "src": "Patient: Hello doctor, I have frequent and recurring stye problem. Please advise. Doctor: Hello. Hope this information is helpful to you. Revert back to an eyecare ophthalmologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26465, + "tgt": "The therapist wants to reintroduce the abuser to my child. Is this standard protocol?", + "src": "Patient: Hello doctor,I have a child who was severely abused (physical, domestic, verbal, and emotional abuse) from birth to age 5 by their biological father. At age 5, their biological father was not allowed to see our child and it remained that way for about seven years. My child is 12 now and has been diagnosed with PTSD, and has only had a few visits with a therapist. The sessions consisted of my child, husband, and myself discussing treatment. Our therapist never asked my child how he felt, or what he remembered. Questions were mostly directed to my husband and I. Our therapist decided that he would like to bring the biological father into the same room as my child and reintroduce them. Is this a standard, safe, form of PTSD treatment? I can understand the therapist having sessions with my child, recalling events, but not directly introducing them to the person that abused them. I have been trying to find specific studies that state this treatment but have not found anything involving direct reintroduction to an abuser. Thank you for your input. Doctor: Hello. Regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 8385, + "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": 10808, + "tgt": "What are the measures to be followed to stop nightfall?", + "src": "Patient: Hello doctor, I am suffering from nightfall for past three months. Please give solution to stop nightfall. Doctor: Hello. What is your age? You need not worry for the nightfall or wet dreams. This is normal for young individual who thinks more about sexual things. Practice the following to control the nightfall. 1) Take Fenugreek (methi) with honey daily. 2) Take curd daily as it helps to sleep better without interference. 3) Gourd juice also induces better sleep. 4) Eating onions helps to reduce wet dreams. 5) Bath with oils mixed in the water can be relaxing. 6) You should relax your wandering mind. Enjoy entertainment, listen to soothing music, and read good books. 7) Avoid tea, coffee, and alcohol. 8) Eat healthy foods and drink plenty of water to help the body release toxins from the body. 9) Exercise regularly and practice yoga to keep the mind and body calm and relaxed." + }, + { + "id": 24252, + "tgt": "I have tender roof of mouth which is grey in color. What is it?", + "src": "Patient: Hello doctor, I have tender roof of mouth. I checked this morning and it was turning grey. I asked my friend to describe it better and told me it looked like grey cotton and as I got a closer look, the color reminded me of grey lint from the dryer. There is not any pain but rubbing my tongue against it irritates it. Doctor: Hi. I had gone through your question and I can understand your concern. As per your history, it seems to me like oral thrush or candidiasis. It is a fungal infection. In case you had medication, antibiotics for flu, then it is definitely the fungal infection. If you can upload some pictures, I may provide you better diagnosis and treatment plan. Post antibiotics therapy. Oral examination, upload some picture taken in natural light here. Chemical or heat burn. Acute candidiasis. Antifungal therapy only after consulting doctor or uploading pictures here. Avoid hot foods, soft drinks, and smoking. For more information consult a dentist online.--->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24841, + "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": 6808, + "tgt": "My feet are dry and toe nails are stuck to skin underneath. Why?", + "src": "Patient: Hi doctor, I am a 54 year old male. My height is 165 cm and weight is 62 kg. Currently, I take Stamlo 5 twice a day and Eltroxin 50 mcg once daily.\u00a0I have dry feet. I keep using foot care cream to make my feet look normal. My toe nails seem to stick with the skin as they grow. I have attached the pictures for your reference. It occasionally pains while clipping the toe nails. Please help. Doctor: Hi. Xerosis. Onychomycosis. Revert back with the images to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6472, + "tgt": "After oral sex, I developed rash and lymph node swelling. Could this be ARS?", + "src": "Patient: Hi doctor,I gave oral sex to a man, whose HIV status was unknown, six weeks ago. I have now rash under both armpits and a\u00a0swollen lymph node in my neck. I am attaching pictures of the rash and the lymph node. Could this be ARS? Doctor: Hello. I saw the attached pictures (attachment removed to protect patient identity). If with treatment, the\u00a0lymph node swelling goes down, then\u00a0it is not HIV infection. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22765, + "tgt": "Is it normal for intestine to be not inside in 12 weeks fetus?", + "src": "Patient: Hello doctor, I am 12 weeks one day pregnant. I went in for my NT scan today and they said it has possible gastroschisis and I am honestly just so worried. I have a checkup in the next two weeks but I am just curious to know if it could be normal that the intestines still are not inside the fetus? Is it too early to diagnose? I am so stressed and worried. Doctor: Hi. Normally intestine is outside body of the fetus from 6 to 10 weeks of gestation is known as an intestinal hernia. Around 11 weeks it should be inside the body of the fetus. If you have been irregular periods there could be a discrepancy of dates between the scan and your menstrual periods then you need rescan to check things again. Gastroschisis and omphalocele two defects if a similar place of a fetal body with some difference. Better to have nuchal translucency check now as it should be done around 13 weeks via scan in fetus having a risk of congenital defects. You might need double marker test to check for any syndrome. So better to have serum beta hCG and serum PAPPA (pappalysin-1) checked. Have nuchal translucency and double marker test now and discuss here or local gynecologist and then repeat scan as per schedule after two weeks. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23807, + "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": 16449, + "tgt": "What can be done to empty bowels completely in a constipated person?", + "src": "Patient: Hello doctor, I cannot empty my bowel at once in the morning after the bowel movement in the morning. I get an urge again after an hour or so or after eating something. How do I empty my bowels completely? I took psyllium husk, it causes a lot of gas so I have stopped taking it and mucous discharge happens with most of the bowel movements. It feels like rectum has not been emptied completely, and whenever I masturbate I get an urge to defecate and nothing but clear mucus comes out and in the next bowel movement too. Doctor: Hi. The basic issue with you is underlying constipation. You need to take a few measures. Avoid constipating foods, Keep yourself well hydrated with two to three liters of water daily. Never strain at stools. Take Lactifibre two spoons at night for three days whenever you have more symptoms. Follow the strict plan for three to four weeks. You will definitely find a difference. Your attached stool test reports are normal (attachment removed to protect patient identity). The mucus passage and sensation for toilet happens whenever you have a hormonal surge. It is normal." + }, + { + "id": 22189, + "tgt": "One mole of mine has gotten darker. Should I be concerned?", + "src": "Patient: Hello doctor, This mole of mine has gotten darker. Can I send a photo and can you please tell me if I should be concerned? Doctor: Hi. I understand all your concerns. Please send some clear photos of the mole and measure the size of the mole. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18743, + "tgt": "Which crown is better for endodontically treated molar - zirconia or emax?", + "src": "Patient: Hello doctor, I am 24 years old. What type of crown is recommended for an endodontically treated upper molar (tooth #26), solid zirconia or eMax? I am worried about the abrasive effects Zirconia might have on the opposing dentition. Will a zirconia crown cause secondary caries under the crown as a result of abrasion against opposing teeth? I also understand it may be difficult to detect decay or treat decay under zirconia crowns, is that so? If so, would eMax or any other all-ceramic crown be a better choice for my endodontically treated molar? I am not a grinder or clencher, and this would be my first crown. I would greatly appreciate all insights and recommendations. Doctor: Hi. Zirconium crown will be a better choice because you are young. If the tooth is properly adjusted, that is, if the crown placement is done properly, there will not be abrasive effects. Yes, it costs a little more than ceramic or porcelain-fused metal crown, but they will chip off with time. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23581, + "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": 21015, + "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": 20483, + "tgt": "What is the treatment for gum bleeding?", + "src": "Patient: Hello doctor, My gum is bleeding whenever I bite an apple or other little hard food items. Any medicine for me? Doctor: Hi. There can be several reasons for gum bleeding like calculus due to poor oral hygiene, blood pressure, diabetes mellitus, traumatic ulcer, excessive spitting. These causes often lead to gingival inflammation which causes blood to ooze out on mild stimulation by brushing (hard brush), gargling or taking hot liquids like coffee, tea, etc. Your chief complaint is incomplete without attachment photo of your oral cavity and any medical history. You can forward that in future but I am sure your problems will solve by following this treatment protocol of medications. Tablet Ordent (Ofloxacin Ornidazole) BD for five days. Mouthwash Hexidine BD after cleansing mouth for 15 days. It will reduce inflammation and relieve your problem. These are symptomatic measures but for further evaluation, you are requested to send attachments with full history details." + }, + { + "id": 11181, + "tgt": "Please advise what can be done to increase penis size", + "src": "Patient: Hello doctor, My penis size is small. Please advise what can be done. Doctor: Hello. The size of the penis has no roles in sexual intercourse. Even a person with a small penis but good erection can satisfy any girl. Only a few centimeters of the vaginal wall has sensitivity. What is the size of your penis? If your erection is normal, then stop worrying for that. Jelqing is a home-based exercise that can be utilized to improve the size. The exercise is done in the semi-erected penis and some good lubricant can be used during this. Milking like action is done from base to tip in semi erected penis and this is repeated for around five minutes. This should be done 2 to 3 times a day and if done properly this provides good results. You can learn about this from the internet too." + }, + { + "id": 18735, + "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": 9901, + "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": 19004, + "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": 8727, + "tgt": "I have a horizontal black line on my nose. How do I get rid of that?", + "src": "Patient: Hello doctor, I have a horizontal black line on my nose from the past seven years. During the time of menses, it looks lighter, but on the other days, it looks darker. I applied everything from lemon juice, potato juice, cucumber,\u00a0kojic cream, etc. But nothing works. What should I do? Doctor: Hello. This will help you hopefully. for more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 25437, + "tgt": "Is chilblains caused due to a deficiency?", + "src": "Patient: Hello doctor,I am suffering from chilblains from the last 10 years. My current age is 21 years. So suggest a medicine for the deficiency which causes it in winters. The fingers of foot and hands are swollen in winters and cause itchy experience. So please help me. Doctor: Hello. I have noted your concern. Chillblains is due to vasoconstriction of vessels due to cold weather. It is not due to any deficiency. So, keep yourself warm during the winters. I suggest you apply a topical Nitroglycerin gel if you develop chilblains. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2864, + "tgt": "What is the possibility of an adopted child to get schizophrenia with a positive family history of the same?", + "src": "Patient: Hello doctor, We are adopting a child through the foster care system and his mother and grandmother were both diagnosed with schizophrenia. We wanted to talk to someone about the risk factors, what it looks like if he does develop it? If there are things we can do to help prevent it? Doctor: Hello. If one parent has schizophrenia, there is about a 10 or 12 percent chance for the child to develop the same. (90 percent chance of normal child). If at all the child develops, then some early prodromal symptoms will be apparent in late teens to '20s (15 to 25 years) such as social withdrawal, irritability, decline in academic performance, anxiety or depressive symptoms. These are seen before the proper symptoms of schizophrenia. Also, the use of substances like Cannabis or alcohol will increase the chances of this. If alarming symptoms are noticed early on, then usual treatment is to give antipsychotics for one year or two and then stop. I have seen many patients who have been detected early and then been off medicines for quite some time now. In another one or two decades, there should be greater improvement with the medicines available. So do not worry too much about it and just parent the child regularly and keep a watch on the things I have mentioned above." + }, + { + "id": 6942, + "tgt": "I vomited after taking a birth control pill. Should I take another one?", + "src": "Patient: Hello doctor,I am on regular birth control pills and was taking these as usual. I took the seven inactive pills and began taking the active\u00a0pills. I took it for three nights as per schedule but forgot to take it on the fourth. And I had sex on the same night, with a condom, but there may have been sperm near my vagina afterward. At about 10 AM on the next day, I took the missed pill. That afternoon I vomited. Soon after this, I took an emergency contraceptive pill and continued the other active pills as usual. Considering these factors, are chances of pregnancy high? Doctor: Hello. How are you doing? You are absolutely safe and there is no chance of pregnancy. Let me explain. Birth control pills act by creating a continuous constant hormonal level. They prevent the normal hormonal fluctuations. So, ovulation will not occur. Only if you miss two or more tablets, the hormonal suppression will be lost and there will be a chance of pregnancy, especially if you miss it during the second half of the cycle. So, I do not see any chance of pregnancy in the present scenario. You have not missed a pill too, as you have taken the missed pill within 12 hours. The vomiting was only two to four hours later and not immediately. So, the hormonal suppression is not lost.The emergency pill was not required to be taken. This pill will delay the periods by one or two weeks. 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": 28759, + "tgt": "How to treat ankle trauma that happened 8 years ago?", + "src": "Patient: Hi doctor, I had ankle joint trauma eight years ago, and it is still swollen. I had x-rays two days ago, and it showed 1 cm calcification in front of the joint. How to treat this? Doctor: Hello. Revert with x-rays and photos to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20795, + "tgt": "Severe pain in the buttocks after tetanus injection. Please advise", + "src": "Patient: Hi doctor,My friend age 31 (female) met with an accident last week with minor injuries on hips, shoulder, hand, and head without any bleeding. We had all the X-rays done and CT scan too and everything was normal. She took one TT injection on the left side of the buttock and two painkiller injections on the 28th n 29th on the right side of the buttock. Yesterday she had a sudden severe pain on both sides of the buttocks at the injection spot with a hard swelling node and with high temperature as per now. Please suggest is anything serious. And she had her abortion on the 23rd as well with heavy bleeding. Please kindly request you to advise us. Doctor: Hello. Now, here the first possibility is of the infection of the injection site. The signs and symptoms which further suggests the injection site infections are the presence of swelling, reddish discoloration around the site, any pus point visible, the site is little warm compared to the nearby area, pain on pressing the area which was not there one to two days back. Is this swelling new? I meant was it there a day or two before? So look for these signs. It is not serious but gets to be treated early. It is better, once you get examined by her treating doctor. And also she will need antibiotics for it and on confirming the infection, capsule Moxiclav (Amoxicillin plus Clavulanate combination) 625 mg three times a for five days along with some antacids. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Avoid pain killers till we confirm. If she needs one, she can have Paracetamol 500 mg up to four times a day. Do hot water fomentation over the swelling. Another possibility is the presence of blood clot there which can also cause fever and it will be resolved with time. Is uterine bleeding still continued, any pus discharge through the vagina? Any pain over the lower abdomen? This is to rule out infection of the uterus post-abortion. So it is important that you once get her examined by treating doctor. If possible you should upload the photo of hard swelling for a better understanding of the problem. 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": 968, + "tgt": "I cannot digest dairy products. What treatment should I take?", + "src": "Patient: Hi doctor, I cannot digest dairy products, oily foods and sweets. These all give me loose motion. What treatment should I take to combat it? My current medication is Normaxin 2.5 mg. In the past, I had Mahacef OZ, Nougat capsules and Ilaprazole during aggravation. Please help. Doctor: Hello. I have a few questions for you. 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": 26161, + "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": 16383, + "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": 27294, + "tgt": "Is it too risky to take birth control pills for acne?", + "src": "Patient: Hello doctor, I am a 17 year\u00a0old female. I am currently taking the birth control pill Dianette for my moderate acne. I am only on day five but, have read many worrying effects about this pill such as blood clots, excessive weight gain, and cancer risk. I was wondering if these health claims are all true and whether it\u00a0is\u00a0worth taking the pill for acne or if I should be asking my GP\u00a0for something else. Doctor: Hello. I went through your post. So, relax and you need not worry. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26407, + "tgt": "What medicine can be taken to postpone my menses?", + "src": "Patient: Hello doctor, I have got my periods today. Can you suggest a medicine to stop the bleeding for two days since I have to attend a holy ceremony tomorrow? Doctor: Hello. I have gone through your history and understand your concerns. Hope this helps. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 689, + "tgt": "I feel burning sensation in perineum with urinary frequency and discomfort. Please help", + "src": "Patient: Hello doctor, I have had the following symptoms every few months for a long time now. Frequent urination, burning in perineum area, and discomfort after urination. I have been treated for general urethritis three times in the last year. I do not have any STDs as I have been tested. These symptoms come along with no apparent cause. What is this and what should I do? Doctor: Hello. It can be prostatitis. Do you have a history of unprotected sex with a new partner before the start of symptoms? Is ultrasound abdomen has been done before? Kindly attach reports. Any report on urine culture? You mentioned that you have been treated thrice, which antibiotic has been given to you? Do you have a burning sensation after ejaculation also? Are you a diabetic or hypertensive?" + }, + { + "id": 29236, + "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": 26230, + "tgt": "Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?", + "src": "Patient: Hello Doctor, I am having chest pain since 15 days. My ECG & TMT reports are negative. But still I am suffering with the pain. Please suggest me the appropriate treatment. Doctor: Hi Chest pain might be due to many reasons other than heart problem (primarily pleuritis - swelling of the lung membrane due to infection). Get your CBC (Complete Blood Count) and chest x-ray done to rule out this cause. Do massage on the affected area with a pain relieving cream/gel (Example : Bengay, Volini gel). Take tablet Zifi 200mg twice daily for 5 days. Consult a cardiologist online if the pain persists --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13288, + "tgt": "How long should I wait to get pregnant after C-section?", + "src": "Patient: Hi doctor, I had a C-section eight years ago with my son and a C-section seven months back with my daughter. I am interested in having another child and wanted to plan on coming off of birth control till mid of this year. My doctor said that, in general, they prefer women to have two years between deliveries. My question is, when will my uterus get completely healed and ready to handle the pressure of another pregnancy? If I get pregnant sooner than later, I would be a few months less of the two-year mark. Doctor: Hi, Welcome to iclinq.com. Generally, by book, it needs 18 months for your uterus to heal from the previous cesarean cut, but healing is regulated by many factors like intrinsic tissue quality, general nutritional status of the lady, the healing power of the body, diabetes, postoperative convalescence, sepsis, the presence of protein diet, etc. Since you had another C-section, did the doctor mention the difficulty of the cesarean section at that time? Did your first and second cesarean go well or was associated with greater care than general? Since the healing is dependent on a lot of things, and also the uterus can never come back to its original strength due to two scars on the body, so the two-year safety mark. So, if you wish to take the pregnancy sooner, you should be compliant in visiting a doctor in a tertiary care center, with an emergency OT and blood bank facility." + }, + { + "id": 22396, + "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": 21453, + "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": 5235, + "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": 12851, + "tgt": "My lymph nodes are painful and swollen after atlas adjustment. Please help", + "src": "Patient: Hello doctor, Three days ago, I had my atlas adjusted and now for two days, the lymph nodes (cervical lymph nodes) in my neck have been extremely painful and swollen for the last two days. I have no fever or other symptoms. Should I be concerned? I had my atlas which was supposedly two degrees off by an atlas orthogonal chiropractor. I originally went in because of my knee and wrist pain then before I knew it, I was having my atlas adjusted by a machine. My last few days I have been miserable and feeling awful. Exhausted, my lymph nodes are so painful on the sides of my neck I have been in bed all day. I just feel this might be related but I do not know. Doctor: Hello. What I see there might be some changes in the muscles which may have led to compression over the lymph nodes? Few basic things to ask before I proceed. Are you having pain in the neck? Is the pain sharp shooting or dull aching? Are you feeling any kind of muscle tightness near the neck? Any signs of swelling? The pain in the knee and wrist can be of different pathology and need a different approach. Coming back to the history, the swelling in lymph node if you suspect then you need a physician approach than the chiropractor. We need to check out why the lymph nodes got swollen. Is it due to any pathology or due to some external factors. Usually, this area does not allow lymph nodes to get swollen sooner until there is some pathology and it is always good on our side to take care of our body in proper guidelines. Hope you take this matter to a physician first rather than a chiropractor. As per my practice of 12 years I never recommend cases with lymph node issue to chiropractor as the job is different. Degenerative disc disease. MRI cervical spine. Trapezitis. Neck pain. Ice pack and rest." + }, + { + "id": 23883, + "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": 26450, + "tgt": "I am diagnosed with concussion after my head injury. How can it be treated?", + "src": "Patient: Hello doctor, I am a 46-year-old female preschool teacher. Recently, I was struck on the head by a first aid kit, a small box fan, and a child car seat, while I was putting another first aid kit on the top shelf in the storage closet at work. I did not lose consciousness but had mild nausea, extreme fatigue, difficulty processing information, and a strange feeling in that part of my head for four days before I went to the ER. \u00a0It has now been almost three weeks since my fairly mild incident and I am still experiencing some symptoms from my concussion. I still get nauseous if I am exposed to fluorescent lighting up close like in a room with a low ceiling or close to a TV or monitor as well as bright sunshine. I have not resumed working out because the last time I tried, I became quite nauseous in a moderate and short workout. I also feel bad when I need to process information, as in yesterday, when my team was being trained on how to operate our new copymachine. My husband says I am more flustered and forgetful than usual. I get tickling and a dull headache in that part of my head when I do anything or if I\u00a0am exposed to things that I have previously mentioned.\u00a0I was diagnosed with a concussion. I do not have any brain bleed or other acute problems in the CT scan. I am having a hard time finding a neurologist that accepts Workers' Comp and I really do not\u00a0think I need further treatment. I have taken Tylenol as needed. My symptoms are improving but have not entirely gone and I just want to make sure I know what to do and what not to do. Doctor: Hello. Kindly revert back with the answers. For more information consult a\u00a0neurologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18099, + "tgt": "I have hypothyroidism. I want to reduce weight. Please advise me the diet and exercises", + "src": "Patient: Dear Doctor, I have hypothyroidism and I am on medicines for it.\u00a0Also hysterectomy was done 3 years back.\u00a0I want to reduce my weight now. Please advise appropriate diet and exercise for me. Age - 52 years/ female.Weight - 75kgs, height - 5'4\". Doctor: Hi. Your weight gain may be partially due to hypothyroidism.You may start with brisk walking for 20 minutes daily and gradually increase it to 45 minutes daily. Please do not lift heavy weights at this age. This may cause more harm than benefit. Please tell me how much thyroxine are you taking and your TSH level and medicine details so that I can see whether thyroid is not the cause of your problem. Please note: Definitely you will lose weight if you follow this. Revert back to an endocrinologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17643, + "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": 8751, + "tgt": "What could be the non-itchy and painless follicles on legs?", + "src": "Patient: Hello doctor, I am suffering from follicles on legs from six months it is non-itchy and painless, and when I apply any cream Clop-G it becomes tiny, and after stopping the cream becomes as usual, and from six months, I saw a minor change in the increase or decrease in size. Please suggest what is this? And how I can clear this? Doctor: Hello. I understand your concern. It looks to me like lichen planus or vasculitis. But skin biopsy is required to confirm the diagnosis. For that, you need to visit a skin specialist in person. If you have lesions anywhere else on the body, send pictures of them too. Meanwhile, use the following medications. 1. Tacvido Forte 0.1 % (Tacrolimus) ointment apply twice a day for three weeks." + }, + { + "id": 26462, + "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": 21470, + "tgt": "I have an issue with portion control. How to correct overeating?", + "src": "Patient: Hi doctor, I am taking consciously healthy, and a vegetarian diet with my partner. But, I have an issue with portion control. When I was growing up, food was not always available to me. So, when I had food, I ate a lot, and that habit has followed me into my adult life too. I am curious to retrain my mind. So, that I can get better control to eat. Doctor: Hi. Portion control is very important to maintain a healthy body. If you have trouble in controlling portions, try to follow the following tips: For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 20445, + "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": 1167, + "tgt": "My girlfriend did not get her period after unprotected sex. What to do?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend. She took Unwanted 72 and vomited within one hour. She was late in her period by six days now. So, we had a pregnancy test and it showed negative. It has been eight days and she still did not get her period. What may be the reason? 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": 21614, + "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": 4926, + "tgt": "Does sudden PE point towards andropause?", + "src": "Patient: Hello doctor, I am a 34-year-old male. I do not have any diseases or ailments. I am married for 10 years with two children. My wife is 34 years old with no diseases. I am suffering from PE for the past 6-12 months and use OTC desensitizing (Lidocaine) spray which has wonderfully worked until now. I never had erection issues and the intercourse totally satisfied me and my partner, but now I am losing erection when sprayed. We are a healthy, loving couple with zero habits (no smoke, alcohol). I saw a sexologist who advised SM profile, Duralast 30, LOX 2% jelly. I want to hold on for a month before getting the complete hormonal and semen tests. Is this pointing towards Andropause? Do you suggest I get the tests done? Please advise. Doctor: Hello, Welcome to icliniq.com. I do not get what SM profile is? In most cases, it is not hormonal so I would never suggest my patients to go for it. For providing you the proper treatment I need to know the answers to the following questions. What is your age? How long you had been in physical relationship? Any sexual encounter with commercial sex workers? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Is the condition remain constant with other sexual partners if any? Smoking? Alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these following features? Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in appetite, headache, forgetfulness, excessive sweating, or shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment." + }, + { + "id": 30078, + "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": 27819, + "tgt": "Will double J ureteral stenting relieve my symptoms?", + "src": "Patient: Hello doctor, I am a breast cancer patient, and my treatment is going on. Due to metastasis to the ovary, laparoscopic bilateral oophorectomy was\u00a0done two months back. Currently, I am taking Trastuzumab and Letrozole 2.5 mg.\u00a0After the oophorectomy, I have pain in the lower abdomen and lower back. I am vomiting after each and every meal, and I am unable to drink water. I went to the hospital and consulted a urologist, who suggested some antibiotics and ultrasound and CT scan of the abdomen. After viewing the report, which I have attached, the doctors advised for double J ureteral stenting. I need a second opinion. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity). For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2988, + "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": 26630, + "tgt": "My uncle has a wry neck which is tilted to the left side. How can he get better?", + "src": "Patient: Hello doctor,My 45 year old\u00a0uncle has a wry neck which is bent to the left side since more than four\u00a0months now. He has seen an orthopedician and a neurologist, but they have not found a proper diagnosis or solution. Doctor: Hello. Feel free to contact me for further queries. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 27195, + "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": 29076, + "tgt": "Why is my mother having throat pain for the past six months?", + "src": "Patient: \u200fHi doctor, My mother is suffering from severe pain in the throat since the past six months. We have been to a lot of physicians, and most of them seem to think it is a sore throat. But, the sore throat medications are not helping. One doctor suggested that the throat pain has got something to do with the acids secreted in the stomach, so she gave some medicines. The pills made her feel little better, but the symptoms returned when the tablets got over. She finds it difficult to swallow, and sometimes pain in the ear. She says that\u00a0she feels that there is something in her throat. I am very scared that it might be cancer, as none of the medicines are helping her. Doctor: Hello. For further queries consult an ENT otolaryngologist --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2245, + "tgt": "My daughter has bad breath despite impeccable teeth cleaning habits. Why?", + "src": "Patient: My teenage daughter has struggled with bad breath for at least two years. She has impeccable teeth cleaning habits and visitors dentist every 6 months. I can\u2019t help but believe It has something to do with sinuses or perhaps tonsils. Any ideas/thoughts on this? This causes her to be very self conscience. Thank you for any help/advice you can offer. Doctor: Hi, How are you. Sorry to hear about your daughter. Teenager has a problem of not having good oral hygiene. I will give some tips and hopefully it will be reduced. Buy an electric toothbrush if you dont have one. The good thing is the all electric brush has a timer in it. When you start it with pushing the button it will stop after 2 minutes so dont turn it off before that and if possible continue for a little bit more. Start from one side of mouth by placing it at the junction of gums line and tooth and keep the head of brush there for at least 4-5 seconds, do not move the brush in scrubbing motion nack and forth. After 5 seconds move to next adjacent area and keep it there again for 5 seconds. In this do the complete mouth, the outter surface of teeth, inner surfaces and the biting surfaces. Use of floss is very important, at least once a day all the teeth. Buy listerine zero mouth wash 15ml for 30 secs at least. Use 30 mins after brushing and not right away. Chew xylitol gum. If you have any other question please feel free to contact. Thanks" + }, + { + "id": 2678, + "tgt": "What causes bad smell in vagina?", + "src": "Patient: Hello doctor, I am super embarrassed but I have been having trouble with being positive about this situation. I have been having issues with my downstairs area about smells. To me it is very unpleasant and I am very uncomfortable. Doctor: Hi. How are you doing? Hope you and your dear ones are safe and healthy. For a young lady of your age, following are the possibilities and solutions: 1. If using antibiotics frequently, bacterial vaginosis. Caused by imbalance in healthy and unhealthy bacteria and vaginal flora. To correct this, avoid frequent antibiotics use, avoid vaginal douches. Use capsule Lactobacillus twice daily for 10 days. 2. If you have frequent respiratory tract infections. You may be transmitting the viruses and bacteria to your vagina, unknowingly. When you sneeze or cough into your palm,later when you wash your genital area after using the washroom, you will transfer respiratory infections to vaginal tract. To correct this issue,use a good course of antibiotics like Cap.Moxacillin+ Clavalunate 625 mg twice daily for 1 week. Also wash hands with soap before using washroom. 3. If you are diabetic. Check your blood sugar levels- fasting and post prandial. Only after correction, problem will be solved. 4. If you are sexually active, infection from partner could be the reason. Meet your doctor and both of you will need antibiotics course. 5. Use vaginal wash daily once, for 1-2 weeks. Twice daily during periods. This will improve your vaginal discharge problem." + }, + { + "id": 1944, + "tgt": "I get recurrent diarrhea and doctor suggested sensitive intestine. What is my problem?", + "src": "Patient: Hello doctor, For the past one year, I am having diarrhea. I went to the doctor. He wrote me some tests. My blood, urine, and feces are normal and negative for parasites. My stomach ultrasound, colonoscopy are normal. Six months later, I went to the dentist. She asked me to take Flagyl 500 mg (Metronidazole). On the next day, my feces was normal and tight. I asked another gastroenterologist and he said to continue the Flagyl for 14 days. After 10 days I had diarrhea again. The doctors are telling me that I have very sensitive intestines and advise me to take probiotics and Ibutin gelsectan. I still have diarrhea. What is your idea about my problem? Doctor: Hello. As you described this condition to be lasting for almost more than a year, it can be IBS (irritable bowel syndrome), but IBS usually starts at an early age than this, although it can happen at any age. That is why it is important to rule out all organic causes before labeling it as a sensitive bowel (IBS). Please answer the following questions to rule out organic causes. Do you have any weight loss with it? How many episodes of loose stools do you have in 24 hours? Do you get up in the night for stools? Do you have any crampy abdominal pain with it? Is there any blood in stools or mucus? Is your sleep disturbed? Any stress? Any travel history to tropics? Any biopsy was taken during the colonoscopy to rule out microscopic colitis? Meanwhile, do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics. 1.TSH (thyroid-stimulating hormone). 2.CRP (C-reactive protein). IBS? Tablet Rifixamine 550 mg 1+0+1 for 21 days." + }, + { + "id": 24666, + "tgt": "Which antibiotic cream can be used for balanitis?", + "src": "Patient: Hi doctor, I am worried about the symptoms that are appearing on my penis head since past five days. I am not sure about what it is. Let me give you a bit of history. About five weeks ago, I had a body massage, but instead of the body massage, they gave massage to my penis with some gel. I am not sure what gel they had put, but it was a lot of gel and for a long time. After five days, I got balanitis. I learned about it online based on the symptoms. I applied Clotrimazole 1 %, and after three to four days it was cleared, but I continued the anti-fungal cream for about 10 days. Then a few days later I saw a few red spots. I decided to apply anti-bacterial cream Beclomin. Again, after a few days time, this got cleared, but, I continued it for a week.Then, I started to see the new symptoms. It is now for about five days. I keep applying Hydrocortisone cream 1 %. There is not much of improvement. It is not itchy but moist. May I know what may be the case. I am in the late 50s and currently, on Omeprazole and Domperidone for acid reflux. Doctor: Hi. It is likely to be due to balanitis either due to infection or irritation (attachment removed to protect patient identity). Maintaining the hygiene is the most important. Clean the area with warm water two to three times daily. Avoid all harsh soaps or irritant. You can use topical antibiotic cream as it has cleared it earlier. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 11594, + "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": 28672, + "tgt": "Is it safe for a 50 year old to take I-pill?", + "src": "Patient: Hi doctor, Is the I-pill safe and efficient for a woman who will turn 50 years old in a couple of months? What are the expected as well as possible side effects? She had unprotected sex 48 hours before. She is not menopausal yet but has irregular periods. She has never consumed an emergency contraceptive pill before. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8448, + "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": 5706, + "tgt": "Why my 2. 5 year old child is complaining of stomach ache?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week he is complaining of stomach pain.\u00a0As of now he is totally fine, but he is not ready to eat anything.\u00a0Also, when we give him buffalo milk he takes it, but many a times he vomits. Whereas if we give him NAN 4 he is fine. Very fresh and active but sweats a lot due to low diet.\u00a0Any advice on diet or any health medicines would be helpful. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17851, + "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": 21533, + "tgt": "My sugar level is low. How can I increase it?", + "src": "Patient: Hi doctor, My blood sugar level is 30 mg/dL. What can I do and how can I increase my blood sugar level? Doctor: Hi. Low blood sugar level needs attention quickly. I suggest you go to the nearest healthcare facility as soon as possible. Low blood sugar can be due to many different reasons. It could vary with the time of the day when you check your blood sugar level. Blood sugar level keeps changing, and it is not constant. Hence, it cannot be 30 mg/dL throughout the day. Since you have not given any other history, it is difficult to understand your condition better. People who are on treatment for diabetes may experience low blood sugar levels if the dosage of the medicine is not correct and it needs to be changed. Sometimes an inadvertent extra dose of medication could be a reason for low blood sugar level. If you are on any drug that lowers the blood sugar level, then you need to report to your doctor as soon as possible so that the doctor can make suitable adjustments to your medication. If you are a healthy individual with no clinical condition or treatment, then you may need to regulate your eating habits and eat smaller meals more frequently. If your blood sugar level goes down often, you might also need to undergo a hormonal evaluation to see why it is happening. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 30868, + "tgt": "What could be the possible reason for my mother's stomach cramp?", + "src": "Patient: Hi doctor, My mother has been suffering with motions and vomitings\u00a0for a week. She also complained of severe stomach cramp every 15 to 20 minutes. Sudden sweating and nausea whenever she eats or drinks anything. She is getting tired even if she sits for an hour. What could be the possible reasons and how to diagnose? Her current medication includes Norflox and Zolerab. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21498, + "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": 20767, + "tgt": "My ECG report says that I have a right bundle branch block. Does it require attention?", + "src": "Patient: Hi doctor, My ECG report says that I have a right bundle branch block. What is it? Does it require attention? Doctor: Hello. The heart works on electrical signals/impulses that are sent through a pathway. This finally reaches the side/part of the heart that produces the heartbeat. This pathway is complicated. And when there is any abnormality along this pathway, it can result in a condition called bundle branch block. In this condition, there is a delay in the delivery of this impulse to that region of the heart (right or left), thus resulting in a delayed heartbeat. Bundle branch block (BBB) is not treated directly as it usually does not require treatment. But once observed, an elaborate evaluation has to be conducted to find the exact cause. This cause has to be treated once found." + }, + { + "id": 27116, + "tgt": "I have a pus pimple at the area of flap surgery. Please guide me", + "src": "Patient: Hello doctor, I am a 35 year old male. I had a\u00a0root canal treatment\u00a0done\u00a0on the lower left side second molar about four to five years back by an\u00a0endodontist. Two years after the treatment, the ceramic crown came off and was replaced by a metallic crown. Recently, I had a\u00a0pus pimple under that tooth from the last three to four months, which would appear and then fade away on its own. One periodontist at the same clinic, saw my case and advised a flap surgery and subsequently removed the infection during this process. PRF was also placed during this process. Within 15 days of this surgery, the pus pimple again reappeared. On consulting the periodontist again, he advised that the bone under the teeth is growing as the PRF was placed and the infection is draining out and causing this pus pimple. This would continue for three to four\u00a0months until the bone grows completely. However I am not convinced with this theory and wish to seek a second opinion to save my tooth. I am attaching the periodontist prescription and a few X-ray images. I request you to please advise what could be the correct route of treatment and help me save my tooth as I do not want to go for an extraction or implant. Doctor: Hello. Hope you understood the treatment plan possible. For more information consult a periodontist online --> https://icliniq.com./ask-a-doctor-online/periodontist" + }, + { + "id": 4489, + "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": 27766, + "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": 16063, + "tgt": "Am I feeling lethargic due to Fluvoxamine?", + "src": "Patient: Hello doctor, I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will help to restore energy. Doctor: Hello. Yes, you are right, Fluvoxamine has a side effect of increased sedation. Because of sedation person feels lethargy. You can do this thing that if Fluvoxamine is causing sedation, you can shift the medicine to night time, just before sleeping. This would sort out your problem. If this does not sort out your problem, you can have a trail of another SSRI Sertraline which is a safer option in the heart disease patients as you already tried Escitalopram and Paroxetine." + }, + { + "id": 17265, + "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": 6333, + "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": 17552, + "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": 25660, + "tgt": "I have difficulty in writing legibly and signing. Is this a symptom of nerve problem?", + "src": "Patient: Hello doctor, My age is 23 years and I am a student. Since the past one year, I find my handwriting to be abnormal. In other words, I am not able to write in a way that I used to before. I earlier thought that this was because of lack of constant practice. However, even after continuously writing for one or two months I am finding it very difficult to write legibly. My handwriting used to be good but now I am almost scribbling. Also, I am finding it very difficult to write in a legible and understandable manner and end up straining too much. I find my colleagues being able to write faster but I am very very slow; it was not like this earlier. Is this a nervous issue or is it normal and temporary age-related issue? Please suggest me a remedy. Many thanks. Doctor: Hello. In most cases, this is normal. There is nothing to worry as such. However, I would recommend you go for vitamin B12 levels and thyroid test. Get the tests done and write back with results. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11490, + "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": 11115, + "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": 10152, + "tgt": "I have PCOS because of which I am facing difficulty in reducing weight. Please suggest", + "src": "Patient: Hi doctor, I am 20 years old. I am a college student. Few weeks back, I was told that I have PCOS because of which I am facing difficulty in reducing weight. My weight is 65 kg and I am 5'4\" height. It would be really helpful if you could suggest me a diet plan. Doctor: Hi. I can give you some guidance which might help you reduce weight with PCOS (polycystic ovaries). For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 2753, + "tgt": "I have sore throat with feel of something stuck in throat. What could it be?", + "src": "Patient: Hi doctor, I am a 36-year-old male. I have a sore throat for two weeks now and I am in my sixth-day of antibiotics (Dalacin C) but it is not going away. I feel that there is something stuck inside my throat/esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten. I also gargle every three hours using Difflam - C. Doctor: Hello. I have reviewed your history and it seems on top of the acute tonsillopharyngitis, you also have GERD (gastric esophageal reflux disease). This may explain the persistent throat discomfort in spite of taking the antibiotic for six days. I recommend you continue your current regimen and finish the course of Pantoprazole as prescribed. For the headache, you may take Ibuprofen as needed on a full stomach. I also recommend that you avoid eating spicy, oily, fatty, dairy foods, and avoid drinking alcoholic, carbonated and caffeinated drinks. If you are a smoker, you should stop smoking and also avoid lying down within one hour after eating. If symptoms persist, worsen, or new onset of symptoms such as difficulty swallowing or voice changes, further consult is advised." + }, + { + "id": 19507, + "tgt": "My HbA1c levels have reduced. Does it mean my diabetes is gone?", + "src": "Patient: Hello doctor, I am a 57 year male. Four months ago, the doctor declared that I am diabetic as my HbA1c was 10.7\u00a0%. I started with Glimisave M2 (two tablets per day) and Atorec 10 (one tablet at night), later on, I shifted to Glimisave M1 (two tablets per day) and Atorec 10 as usual. I take other supplements also like Karela, Cinnamon and Fenugreek tablets, B12, D3, Vitamin\u00a0C, ALA, CoQ10, etc. I have totally cut down sugar, heavily restricted rice, and\u00a0wheat. Minimum of once a day, I take meal replacement powder Glucerna SR with milk. I do moderate exercise like brisk walking on a treadmill and have managed to lose 6 kg in the last four months. Today, I checked my HbA1c was 5.6 %.\u00a0S creatinine was 0.63 mg/dL. My lipid profile was well under control, only HDL is at 43 mg/dL, which I understand should be around 60 mg/dL. Does it mean my diabetes is gone? Can I slowly reduce Glimisave M1? What other ayurvedic supplements should I take? Is my S creatinine very low or alarming? Doctor: Hello. I just read your query. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 12756, + "tgt": "Can I travel through flight after nose cauterization?", + "src": "Patient: Hello doctor, I just had my nose cauterized for the second time a week back and have a flight booked in two days. I am worried that it is too soon to fly as flying triggered my nose bleeds. I can change my flight to stay longer so it can heal further. Not sure. Just do not want it to start bleeding again and start the whole process over again. I am guessing that you can only be cauterized so many times. Doctor: Hi. Nose bleed is a very common problem. It is treated with cautery which may need repeating a few times. Since you had it only a few days ago, it might be better to avoid flying for 3 to 4 weeks, if possible. Carry on using the ointment for one month and then have yourself reviewed by your doctor. This is the standard practice everywhere. Nose bleed. Ointment in the nose for one month. Avoid nose blowing and picking. Keep blood pressure under control. Avoid blood thinners." + }, + { + "id": 19216, + "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": 26590, + "tgt": "I have a burning sensation in the epigastric region. Is it Zollinger disease?", + "src": "Patient: Hello doctor, I am suffering from a burning sensation in the epigastric region since two months. It is gradually increasing. I took a PPI for 10 days. Then four days after stopping PPI, I tested for serum gastrin level and it was 110. Do I have Zollinger disease? Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19237, + "tgt": "How to prevent stammering?", + "src": "Patient: Hi doctor, I have been suffering from stammering for the last 14 years. Now my age is 20. I am a male. I am facing difficulty while talking with others or when I read something. My tongue comes out while stammering. So, I am not talking with anyone now. Stammer has become a big problem in my life. Please help to get rid of this. Doctor: Hi. I am sorry for your suffering. For further information consult a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 23341, + "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": 29517, + "tgt": "My grandfather had heart attack. Please suggest a suitable treatment for him", + "src": "Patient: Hi doctor, My grandfather is 82 years old.\u00a0He has diabetes as well as Alzheimer's. He had a heart attack before 15 days.\u00a0Doctors are confused whether to go in for angioplasty or bypass considering his age and diabetic history. He had congestion in the lungs and had breathlessness and sleeplessness when admitted to the hospital. Herewith I have attached his laboratory reports. Please suggest a suitable procedure. Doctor: Hi. I have gone through all your grandfather's details (attachment removed to protect patient identity). Angioplasty above the age of 80 is not a good option. The patient is a subject for CABG (coronary artery bypass graft). Ejection fraction of the patient is 35% only, and the lesion is very complex to cross. It is better to go for a planned CABG than to try angioplasty and to abort the procedure at that time due to inability to cross lesion. However, the option to go for minimally invasive by pass surgery should be considered rather than open heart bypass. MICS stands for minimally invasive coronary artery surgery. It is a new technique of performing coronary bypass for CAD (coronary artery disease). In this technique, the heart is approached through the side of the left chest with a small 4 cm incision. The chest is entered between the ribs without cutting any bones and by splitting the muscle. Advantages of MICS are no bones get cut, blood loss is almost negligible, infections are reduced, and the procedure lasts only 4 hours, unlike the conventional heart surgery that takes 14 hours. It is very good for old age patients. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12341, + "tgt": "Despite DPT vaccine, is tetanus injection a must?", + "src": "Patient: Hi doctor, My daughter aged 6 years got a cut and scratch in her body while playing in a new cementing wall from a piece of old and unused iron four days ago. Does she require any toxoid injection? Doctor: Hi. I can understand your concerns. Since you are sure that the scratch is from an old iron piece, I think you should give tetanus injection to the child. I hope this will help you." + }, + { + "id": 12561, + "tgt": "Kindly suggest the glasses that can be used while working on laptop", + "src": "Patient: Hello doctor, I am 27 years old, male, pursuing PG. This is the dissertation writing time for me. For that, I have to rely on a laptop most of the time. It makes my eyes uncomfortable (red and dry). So, would be glad to have suggestions. Any glasses that I could use while working on a laptop? Doctor: Hi. People who spend much time in front of digital screens like a laptop, mobiles, etc., are at higher risk of developing dry eyes also called computer eye syndrome. Usually, we blink 8 to 12 times per minute but while using digital devices blink rate is decreased 2 to 3 times per minute. That is why tear film is disturbed and eyes get dry. So keep using Refresh Tears and try to modify the habits like blinking every 10 to 15 seconds during laptop use and try to avoid any humid environment. I hope these simple things will help you a lot." + }, + { + "id": 8647, + "tgt": "What can cause sudden forced exhalation?", + "src": "Patient: Hi doctor, I am a 45 year old male. A month back, I was diagnosed with sleep apnea. I have enclosed my report here.\u00a0I feel breathless at night while lying down and I was advised it as because of sleep apnea.\u00a0I have been trying to use a CPAP. For past two months\u00a0I am experiencing breathlessness on even slight exertion like walking for a few minutes, bending down, etc. My doctor said it may be due to coronary ischemia. I had a positive TMT and may have to undergo an angiography. My chest physician said it as bronchoconstriction. He prescribed Foracort inhaler, Duolin inhaler, Deriphyllin retard and Montek.\u00a0The unresolved problem I am facing now is a sudden involuntary exhalation of breath. This happens more often at night, from time to time breath exhales in a sudden explosive spurt that almost throws up my body a bit something like hiccups from the stomach. This happens many times at night and disturbs sleep. It also happens the moment I put on my CPAP full face mask. Earlier it was more while using the CPAP and nowadays it happens even without the CPAP.\u00a0Also my wife says that even with CPAP sometimes I am absolutely still, not breathing while sleeping. My father is a heart patient and he also has COPD. My mother suffered with asthma and now got cured of it. I do not smoke or drink alcohol and I am a vegetarian.\u00a0In addition to the above tests, my chest X-ray was normal. Five months back I had an echo and brain MRI, which are all also normal. Brain MRI was taken because I had some balancing issues which were then diagnosed as uncompensated vestibular lesion. I also have severe cervical spondylosis.\u00a0What could be the cause of this sudden aggressive exhalation? Could my breathlessness issue be entirely due to lungs? If so should I undergo angiography? Thanks in advance. Doctor: Hi. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There is a probability of having a parasomnia which is defined as sleep disorders that involve abnormal movements and features like aggressive exhalation, partial awakening, arousal with confusion, sleep terror and related symptoms. This problem is in addition to the obstructive sleep apnea which is there in you. Studies show that 9.5 percent of people with obstructive sleep apnea might have parasomnia. About 20 percent of patients experience improvement and decrease in episodes of parasomnia after CPAP (continuous positive airway pressure) and it is persisting even with CPAP in you. At 45 years, getting a CT angiography is suggested. It is a low risk procedure comparable with the cath lab angiography. Doing lipid profile and cardiac enzyme test is also important. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 13201, + "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": 10663, + "tgt": "Does swollen lymphnode everywhere in the body mean cancer?", + "src": "Patient: Hello doctor, I have had swollen lymph nodes for over 1.5 years. I have gone through scans and viruses blood test, which resulted negative (attachment removed to protect patient identity). I have them everywhere I can feel. Neck, groin, armpits, chest and even on my face. What are the chances it is cancer? Doctor: Hello. Generalized lymphadenopathy cannot always be due to cancer. However, lymphoma blood cancer is one of the cause for that. I suggest you investigate with biopsy of grossly visible enlarged lymph nodes or FNAC scan to identify the cause for enlarged node. If you have lymphoma, then it will be evident by histopathology of biopsy specimen. It is advisable to rule out HIV also by combo ELISA testing." + }, + { + "id": 28186, + "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": 21073, + "tgt": "I have delayed period and pregnancy test showed white line. Am I pregnant?", + "src": "Patient: Hello doctor, I am five days delayed now and feel light to moderate cramping for almost one week and sometimes nausea. I took the pregnancy test, the cheapest one and the result is weird because instead of a pink or red line, it shows a white line. And also I have a UTI. Is it possible that I am pregnant? And pregnancy test kit could not detect it? Doctor: Hi. You are right. Urine pregnancy test and transvaginal scan are unable to detect very early pregnancy. So, for that, we can use a blood pregnancy test (serum beta hCG). It is clearly detecting pregnancy status. For urine infection, you can have a urinalysis and urine culture, lots of water and cranberry juice. If infection positive then discuss here or with a local Gynecologist. In case of bleeding with abdominal pain and positive pregnancy test, you need to report to tertiary care hospital's emergency. So do not delay. Do serum beta hCG (blood pregnancy test) now as urgent and then discuss it with your presenting symptoms." + }, + { + "id": 4743, + "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": 15833, + "tgt": "What causes piles? Please suggest some medicines", + "src": "Patient: Hi doctor, I have piles for the past two months. Please suggest some medicines. Doctor: Hi. Sedentary lifestyle, eating oily and spicy junk foods, smoking and drinking habits are the common causes to have piles. It can be managed naturally through ayurvedic medicines and lifestyle changes. Avoid eating spicy and fried junk foods. Do regular kapalbhati Mandhukashana and Ardhamatsyendrasana. Drink plenty of water. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 18279, + "tgt": "Could a stomach bug cause elevation in WBC count?", + "src": "Patient: Hi doctor, I am 9 weeks pregnant. Two days back, I got some sort of a stomach bug or food poisoning. I woke up with nausea, chills, diarrhea and vomiting. But, there was no fever. Since I could not keep fluids down, I went to the emergency room to avoid dehydration. I got two IVs and Zofran. I felt better after some hours. Upon discharge, the doctor mentioned that I had an elevated white blood cell count when I first came. The next day I felt completely normal as I do until today. I followed up with my obstetrician as instructed and she noticed the WBC count and said that it was concerning. She made me to repeat it. I am much worried and awaiting for the results is a torture. Now I am going out of my mind thinking whether I have leukemia, lymphoma or some other. Moreover, when I went through the results I noticed neutrophil count is high and lymphocyte count is low. Could a stomach bug, it did seem a lot like it, cause such an elevation? Can you review my blood work results to see if there is anything that would indicate something more sinister than an infection? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22915, + "tgt": "Why does my skin of collarbone constantly reacts and breaks out?", + "src": "Patient: Hello doctor,I have this issue on my collarbone where my skin constantly reacts and breaks out since high school. I would wear crew neck shirts to cover it. More recently I have controlled breakouts with a salicylic acid skin wash but it is more than breakout prone skin. I also cannot wear necklaces because they create a weird rash. I never have a reaction to any other part of my body. There is also something odd about the pores in that area of skin. They are always raised and stretched looking. I went to see a doctor in high school and she basically shamed me and said I was not cleaning the area properly. I am religious about cleaning it, and nothing works. Doctor: Hi. I have gone through your case. Well, there is nothing to be ashamed of and your problem has nothing to do with cleanliness. I do not know why your doctor has said so. Anyways be patient. You are having two problems. Contact dermatitis which is a type of allergy caused by something irritant comes into contact with your skin like your necklace. Many artificial jewelries have nickel which irritates skin. So best treatment is avoidance. I know it is difficult. The second treatment is steroid like when you have a rash just apply one percent Hydrocortisone two times a day only for 3 to 5 days. But remember you are also having truncal acne which will get aggravated when steroids are used. So, please use above prescribed steroid when you have a rash. For acneform rash salicylic acid is good or apply Clindamycin gel two times a day on pimple like lesions. Remember truncal acne is hard to treat and often get exacerbation due to stress or periods. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1680, + "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": 6404, + "tgt": "My face became dull and dark after stopping Melacare cream. Is Kojivit gel safe to use?", + "src": "Patient: Hello doctor, I am a 20-year-old male. I have been using Melacare cream for four months, and I stopped using it for a few days. My face becomes so dull and dark in complexion. Now I am using Kojivit gel. Please advise me is kojivit gel safe? How to use it, and how many days it requires to cure the dull skin and become fairer again? Please give advice. Doctor: Hello. Melacare cream that you have been using is essentially a triple composition of Mometasone Furoate steroid, Tretinoin, and Hydroquinone. It is not meant for regular use. This cream is a prescription product and should never be used without dermatologist advice. Dermatologist commonly prescribes it for facial hyperpigmentation and melasma. However, it should never be used as a regular fairness cream and in any case, not for more than two to three months. Since the steroid content of this cream can cause various side effects like acne, photosensitivity, skin thinning, and telangiectasia and facial hair growth (hirsutism), which is especially troublesome in females. I would suggest that you use a broad-spectrum sunscreen throughout the day. At night you could use Glyco-A (glycolic acid cream) or Kojic (Kojic acid cream) to obtain the desired results of brighter complexion and even tone. You could also opt for a few peeling sessions from a dermatologist, e.g., yellow peel (Retinol CT peel) or glycolic peel or lactic acid peel." + }, + { + "id": 1659, + "tgt": "Can pregnancy lead to missed period after unprotected intercourse?", + "src": "Patient: Hello doctor, Me and my fiance got into unprotected intercourse, it was 7 days after my ovulation date. Both intercourses were not completely done, but I doubt on one of the intercourse a pre-ejaculation went inside. Next day I took an Ipill, and my first period after that got delayed for 4 days, I supposed to be having my period on 25th but got it on 29th. I thought everything is alright and there is no chance of getting pregnant. But my second period got delayed for more than 5 days. Still there is no sign of it. I supposed to be having small pain before my period. And now there is not even a simple pain. Please tell me, is there any chance of getting pregnant like this? Doctor: Hi. Please let me know few questions. When were your last periods? Have you had any sex after that? Are you practicing any methods to avoid pregnancy?" + }, + { + "id": 5259, + "tgt": "Kindly explain the causes of eye floaters", + "src": "Patient: Hi doctor, I am a male, recently 20 years of age. About a year ago I started noticing something weird with my left peripheral vision, although I could not put my finger on it. It was more like a weird sensation. I had just moved to another country at the time, so I can imagine I was quite stressed. As time passed the stress seemed to fade but I had some periods where I felt really distant, and as though my vision was causing it, but I could still not point out anything specifically. I once then went for a relatively intensive jog, and the following day I noticed the first black dot in my vision along with some more not clearly noticeable ones. I called in with the local clinic for blood tests and to check different values with nothing proved to be wrong. A couple of days later, I went out to the park, seeing how doing some activity I usually liked doing, felt. I felt a tremendous \"low\" where I felt completely exhausted and everything felt kind of dreamy. The next day I decided I would go visit the clinic again and managed to book with the local university hospital, where I underwent more elaborate testing and even a talk with a psychologist. (I must mention at this point, my main concern was exhaustion, and this distant feeling I was having, not the floaters that started to take shape). I felt no need to continue with the psychologist, and the results turned out with nothing wrong. A couple of more days later I went mountain-hiking with some friends over a weekend, and did not see any more floaters for the duration. But afterwards, getting some proper sleep at home, I noticed a substantial increase of floaters in my vision, as well as the flashes appearing when the floaters pass by light-sources. It is safe to say that was the last time I remember not being bothered by them. From what I can recall, they kept increasing slowly, for about a week before I decided to check with an optician regarding my concern for a torn retina, but no such signs were found. Since this time 4-5 months ago, I cannot really put a finger on if they have continued to increase, but it is not going anywhere either. It has had an huge impact on my daily life and bothers me with lingering thoughts and concerns. I prefer dark surroundings, but when I go out during regular daylight or worse, I can see more floaters than I can count. I have heard they increase with age, but this sudden increase had and still got me worried. They still are not so clear as to obstruct my vision, but passes by my point of focus from time to time. What could the initial cause be? Is there anything I could do to hinder or prevent further development, or even reduce them? Or is these one of those things you just have to live with? Doctor: Hello. Floaters are fairly common in the population. They are more common in people having refractive errors like myopia, astigmatism, etc. Since you are having flashes along with floaters, it is good to have a fundus examination of your eyes. I note that you have seen an optician few months ago and nothing signficant was found. If floaters and flashes are persistent, it is better to consult an ophthalmologist for a comprehensive eye examination after dilating your eyes. Conditions like retinal tears, fluid under the retina need to be ruled out. Other conditions like vitreous detachment can cause similar symptoms but they are very rare at your age, usually happens above 40 years. Regarding floaters, your brain will gradually learn to ignore them in your visual field and will become less prominent over time. If floaters are big and obstructing your vision, there are certain procedures like floaters which can break them up and make them less noticeable. Risks vs benefits need to be discussed with ophthalmologist following eye examination." + }, + { + "id": 14974, + "tgt": "Can stress and lack of sleep cause irregular beats in ECG?", + "src": "Patient: Hello doctor, I have taken my ECG using a device. I have been getting these irregular beats for about a week. Sometimes I think I have been getting some slight chest pain also but not sure if that is a placebo-like effect or not. My uncle who is a doctor thinks they are ectopic beats in relation to lack of sleep and stress.I find myself waking up from breathing related issues frequently often just as I am about to fall asleep. Earlier this week I had a good nights sleep and the heart issue seemed to disappear for that day only. I have made big changes to my lifestyle over the past week as this has really freaked me out. So I am not worried if this is the diagnosis but want to check with a cardiologist. Doctor: Hi. These extra beats are called premature ventricular complexes (PVCs) (attachment removed to protect patient identity). Normally heartbeat is caused by an electric current in microvolts. That current is generated in an area of the heart called the sinus node. That current travels from one part of the heart to other parts, that is, from atria to ventricles. Not only sinus node but also other parts including ventricles generate currents too but that is not evident on ECG because that is canceled by currents coming from the sinus node. Sometimes when sinus node current bursts are slowed or ventricular tissue is irritated, ventricles generate current and that travels up the whole ventricle and ventricle contracts and that is called a premature ventricular contraction. In fit and young people, some PVCs are a normal occurrence and are of no concern. Other common causes, as your uncle said, are anxiety, excessive use of coffee, tea or some medications. In your ECG, your heart rate is between 50 and 60, that is normal in young fit people at rest, so some PVCs may appear. Mostly such PVCs occur on rest when the heart rate is slow, when heart rate raises such as during walking or exercise, PVCs disappear, that is normal. I would recommend to avoid anxiety, refrain from alcohol (if you drink), and tea or coffee may be taken (not excessively). To be on the safe side, a blood test called serum electrolytes may be done, in which we will see potassium levels (low or high potassium levels may cause some heart rhythm problems). To summarize, no need to worry, it is normal. Further, on follow up, please provide the following information, so that I may guide you more. A complete 12 leads ECG. Is there any family history of sudden death, or heart attack especially in first degree relatives? Is there any history of loss of consciousness?" + }, + { + "id": 4795, + "tgt": "Is recurrent muscle twitche an active sign of ALS?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I have had muscle twitches all around my body but primarily in my legs for three months. I had the same twitches last year which lasted about a month. The twitches seemed to subside shortly after I had an EMG done as I was petrified and convinced that it could be ALS or MND. This time round with the twitches (which started again almost exactly a year later), I did not have another EMG as my doctor did not seem it necessary but instead referred me to a neurologist which deals with ALS patients. He did only a physical examination and test and did not have any concerns at all. He also looked at my EMG results and agreed they all read fine and showed benign muscle fasciculations. The twitches seem to have started again more frequently the past couple of days and I have scared myself by reading ALS blogs on the internet where people say that they first started with muscle twitches that progressed into ALS. Do you think I should be worried about ALS? Do you think I have had my EMG conducted too soon to rule out ALS? Doctor: Hi. I have gone through your history and events. I wish to know more about muscle twisting. Which parts of the body are affected? Are those twisting and painful? Is there any stiffness in limbs? Is your illness affecting your activities of daily living or occupation?" + }, + { + "id": 27181, + "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": 5011, + "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": 11941, + "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": 20940, + "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": 28852, + "tgt": "I am 20 and still have milk teeth. Will I get permanent teeth?", + "src": "Patient: Hi doctor, I am 20 years old. My milk teeth or primary teeth did not fall still. Those teeth are a\u00a0little bit shaky now. If I get it removed, will I get new permanent\u00a0teeth? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12350, + "tgt": "How can I cure white spots on face?", + "src": "Patient: Hello doctor, I had white spots on my face and it is increasing day by day. Currently, I am taking medicine of fungal allergy in the chest. I am a male, 23 years, 174 cm, 63 kg. Doctor: Hello. This looks to me like a mild form of seborrheic dermatitis. Avoid using oil on the scalp or face. It is also a type of fungal infection of the skin. Apply the shampoo I am writing here. AF-K shampoo thrice a week. Candid-KZ cream for local application twice a day. Tablet LCZ (Levocetirizine) 5 mg twice a day." + }, + { + "id": 31042, + "tgt": "Kindly explain the test results of my father", + "src": "Patient: Hi doctor, My father is 78 years old. He generally maintains good health except being diabetic for the last two years. However, since last once month his WBC, urea and creatinine values are abnormally high indicating kidney malfunctioning. He has lost 4 to 6 kg in the last three months and his appetite is also reduced. His legs (feet) are swollen. He is unable to walk and feels tired.\u00a0I am enclosing the copies of various test results and doctors prescriptions for review by expert and advise further course of action. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13345, + "tgt": "Is there any way to avoid fear during exams?", + "src": "Patient: Hello doctor, I am very much anxious about my upcoming exam. This is my second drop. Last year because of my fear I ended up doing mistakes in the questions which I knew very well and just after coming out of the exam center I was able to answer all of them. This year too I am more fearful. I am very afraid as I do not want to take another drop and want to live my dream. Please help me out. Doctor: Hi. You seem to be suffering from some anxiety disorder. Detailed exploration of the problem is needed. Do not let this thing ruin your career. I would recommend you to go to a local psychiatrist and get some help. Meanwhile, you can try these things. Deep breathing exercise, as many times as possible. Yoga, meditation. Sleep and wake up at the right time. Positive self-talk, motivate yourself. You can try Propranolol 20 mg sustained-release tablets before going to the exam, to control your anxiety but it would be best if you consult a psychiatrist before that." + }, + { + "id": 19106, + "tgt": "Am I taking the right dosage of Eltroxin as per my reports?", + "src": "Patient: Hello doctor, I am 33 years of age. Since four\u00a0years, I am taking Eltroxin thyroid medicine. For one week I stopped taking medicine. Then I did a\u00a0thyroid test. At that time, my TSH levels came above the normal levels. I then took a dose of 100 mcg for a month. I again checked my TSH levels. It came to\u00a01.01 mu/L (reference range 0.45 to 4.65). Please suggest me what dose of Eltroxin I should take. I am attaching my report for further reference. Doctor: Hello. I just read your query and went through the reports (attachment removed to protect patient identity). Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 9336, + "tgt": "My father, who had kidney transplant, gets fever once in every 15 days now. Why?", + "src": "Patient: Hello doctor,My father had a kidney transplant for three years. His health condition was good until last year, but for the past seven months, he started getting a fever for every 15 days. They have taken his full body tests twice in these six months, and everything seems to be fine, but the fever is continuing for every 15 to 20 days. Please help us how to know the reason and rectify it? Doctor: Hello. Kidney transplant patients are one medication that weakens the immune system of the body. This increased the risk of catching any infection. Plus there is a chance of reduction in white cell count due to the same medication. That is why I suggest you do the following. 1) Blood complete picture, this will show if you have low or high white cell count and might also give an idea to the type of infection like bacterial or viral. 2) Blood or urine culture to identify quickly any possible infections. 3) Chest X-ray to see if there is any chance of infection. 4) Drug level test is to check if the blood as the required amount of kidney transplant medications. If it is more, they may require a reduction in dose. 5) Doctors checkup will help identify any places where infection could have started like chest abdomen throat etc. I hope this answers the question. In case you have any further questions then feel free to contact in writing." + }, + { + "id": 1447, + "tgt": "I started Deviry after negative pregnancy test. When can I expect my period?", + "src": "Patient: Hi doctor, I am 26 years old and trying to conceive. I ovulated on 16th April and noticed spotting on 17th and 18th April. My period was due on 30th April and I am currently 8 days late. My pregnancy test is negative and I was prescribed Deviry. I am on my first day of Deviry, when can I expect my period and will I ovulate in this cycle? Doctor: Hi. I understand your concern. You are absolutely correct that stoppage of pill causes mid-cycle spotting. Why are you taking birth control if you are trying to conceive? Now coming to your question. The dose of Deviry (Medroxyprogesterone) is 10 mg, twice a day for five days. You only need to take 10 tablets and your period will start about two to seven days after taking the last tablet. It varies from person to person. Deviry will not interfere with ovulation and since you get regular cycles you can expect to ovulate any time between 12 to 16th day. I am sharing a little extra detail that will help you. Ovulation symptoms that can help you plan intercourse during those fertile days are cervical mucus changes, heightened sense of smell, breast soreness or tenderness, mild pelvic, or lower abdominal pain, light spotting or discharge, libido changes, and changes in the cervix. You should have intercourse on every alternate day from 10 th to 20 th day of your cycle to increase your chances of conception. I hope this helps." + }, + { + "id": 6759, + "tgt": "My father is a diabetic patient. Please suggest a diet plan to maintain the sugar level", + "src": "Patient: Hello doctor, My father, aged 65 years, has been suffering from diabetes for more than eight years. He was using insulin injection, 20 ml in the morning, and 12 ml at night. A recent blood test shows that the RBS value is 265 mg/dl, and the creatinine value is 2.1. Now, as per the doctor's advice, he is taking insulin, morning 30 ml and 15 ml in the night. He is also taking his pressure tablets. Could you please suggest some diet to reduce sugar level? He is 150 cm in height and weighs about 70 kg. Doctor: Hello. I understood your concern. Since your father's blood glucose level is not under control, the doctor is right in increasing his dosage of insulin. His weight is a little on the higher side. A reduction in weight can help both his diabetes and blood pressure readings. Some of the dietary tips to follow: 1. Instead of 3 major meals in a day, divide it into six to eight smaller meals. 2. Increase the intake of fiber-rich food in the form of raw salads. 3. Reduce the intake of carbohydrates like rice and rotis and increase the quantity of vegetables in a meal. 4. Avoid simple carbohydrates like sweets and sugary drinks. My concern is his creatinine level of 2.1. I advise you to consult a nephrologist without any delay, to assess his kidney functions. I hope that helps." + }, + { + "id": 8931, + "tgt": "I have burning sensation on top left side of head. What is this?", + "src": "Patient: Hello doctor, I am a 30 year old male. Today I have experienced a burning sensation on the top left side of my head. It only lasts for a few seconds but it has happened a few times hours apart. What is this? I have just got over cold symptoms. Doctor: Hello. I have read through your question and would like to tell you that the burning sensation at the side of your head could be because of a number of reasons like vitamin deficiency (mostly B12), diabetes, thyroid problems, etc. It can also happen as a result of side effects of a medicine. You said you have just recovered from a cold. Where you taking any medicines? It is also possible that you may have developed sinusitis. A neurological cause of this can be a pinched nerve called as occipital neuralgia. You need to give a detailed history for a proper assessment of your condition. I hope that answers your question. If you have any further questions please feel free to write. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13202, + "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": 3091, + "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": 7640, + "tgt": "Kindly tell me whether prenatal exposure to alcohol cause a short columella or not", + "src": "Patient: Hello doctor, Do you have experience with FAS/FASD? Can prenatal exposure to alcohol cause a short columella? Is this common in those with the affected face? Doctor: Hi. We do see cases of fetal alcohol syndrome or fetal alcohol spectrum disorders. Alcohol is a known teratogen for the human fetus. Consumption of alcohol during pregnancy is associated with abnormalities in the fetus. The problems can occur in many systems, most importantly facial changes, heart abnormalities, kidney abnormalities and neurological (structural or functional) abnormalities. Three findings are common in facial abnormalities: 1. Smooth philtrum (a groove seen from the bottom of the nose to the upper lip will look flat). 2. Thin upper lip. 3. Narrow palpebral fissures of eyes. Short collumella can be an associated feature, but that alone cannot be used to label the diagnosis as fetal alcohol syndrome." + }, + { + "id": 26107, + "tgt": "What can I do to completely get rid of my recurring stomach ulcer?", + "src": "Patient: Hello doctor, I have a stomach ulcer that is not caused by H. pylori, and it is not a NSAID ulcer as well. What can I do to completely get rid of this ulcer? I am taking Ranitidine for it. The ulcer has come and gone over the past two years roughly. The stomach ulcer was diagnosed by asking a series of questions and by touching my stomach area. Doctor: Hello. First of all, from your history, it is not proven that you have an ulcer. It may just be underlying gastritis. I suggest you: For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3193, + "tgt": "Please suggest the best medication for early parkinson's disease", + "src": "Patient: Hello doctor, I was diagnosed with parkinson last year at the age of 45. I am on Azilect since then. My symptoms are mild, stiffness, lately I did not sleep well and I suffer from RLS about 4-5 nights per week. I do sport but everything which required quick movement, I am not able to do it well. My neurologist suggested that I start sifrol ER 0.26 mg, should I start or not? I have a Neupro patch samples 2 mg which I tried 2 days ago, I sleep better and have more ability to move quickly, so I see the difference but I feel headache little bit. Should I start treatment with Agonistes dopaminergic? What is the best first treatment for early onset in my case? Is there Neupro 1 mg , could I take Neupro 2 mg each two days? Doctor: Hello. I read carefully your question and would explain that in the early stages of Parkinson's disease, in young persons, it is recommendable to start treatment with IMAO (which you are already taking, Azilect) and a dopamine agonist. In the this regard, both Neuropro and Sifrol ER would be good treatment options. Dopamine agonists can help improve RLS too. You can increase the dose of Neuropro to 2 mg daily after two weeks. Headache and increased sleepiness are common adverse effects of this drug. If you do not tolerate it you can switch to Sifrol ER." + }, + { + "id": 30746, + "tgt": "What are the complications of circumcision?", + "src": "Patient: Hi doctor, I am 28 years old. I have tight foreskin and so thinking about\u00a0circumcision.\u00a0Please tell me about the complications about this procedure. Will it affect my sexual life in any way? Doctor: Hi. For further information consult a urologist\u00a0online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7583, + "tgt": "I have weak and fatigue all the time and disturbed sleep at night. Please help", + "src": "Patient: Hello doctor, I feel weakness, fatigue all the time. I feel sleepy at day, but at night there is no good sleep. Why? Doctor: Hello. Are you taking any medicine for high cholesterol levels? If yes then ok, otherwise start taking it. Also, have you performed a thyroid function test? If not, then also go for it. Because this problem can be due to disturbed thyroid hormone. For now, improve your lifestyle. Take fresh, homemade, and healthy food. Make a schedule for taking food and take food at the same time. Avoid tv, laptop, and mobile two hours before sleeping because they hinder the normal sleep pattern. Try to sleep around 10 pm and sleep in a dark and calm room. Even if you do not feel sleepy, go on the bed at the same time daily. Your body will ultimately become habitual to it. Wake up around six to seven am in the morning daily. Do not wake up late in the morning. Try not to sleep in the afternoon. Do pranayama and breathing exercises in the morning after waking up. Do walk daily at least for 30 to 60 minutes a day. Adopt these habits, and you will feel better results within a week. But do take a look at your thyroid hormone." + }, + { + "id": 1459, + "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": 17013, + "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": 7420, + "tgt": "What are all the conditions that may cause ear pain?", + "src": "Patient: Hello doctor, My friend is frequently suffering from an outer ear pain these days. She told me that since she tends to catch a cold, it might be due to that. I fixed an appointment with an ENT yesterday, but surprisingly he told that she does not have any issues with her ear, nose, and throat. It might be a cold symptom. The cause of the pain could not be identified. Has it got something to do with any nerve syndromes as the doctor asked her to consult a neurologist or to perform a CT scan? Doctor: Hello. Your friend has been taking Franxit (Amitriptyline, Chlordiazepoxide) for how long? Any anti-depressant medication should not be abruptly stopped, and all somatic symptoms and even fatigue, headache, and nervous instability could be related to sudden withdrawal also. Moreover, taking into consideration of outer ear pain, otitis external must be ruled out. Does she have glue in the ear? Does she feel fullness inside the ear? Neurological problems related to the ear could be due to facial nerve insult due to virus -HZV (Ramsay Hunt syndrome) and there would be blisters in the ear which is less likely in her. Other than the above, I do not think any other neurological cause for the pain you mentioned. Does she complain of any face deviation? If not, no need to panic. Sudden anti-depressant stopping. Facial palsy to rule out. Post antidepressant withdrawal. Resume Franxit and withdraw slowly for a period of six to eight weeks. She may need a neurologist review to rule out seventh nerve paresis." + }, + { + "id": 7634, + "tgt": "There is increased hunger with headache after taking medicines for stomach pain and vomiting. Please help", + "src": "Patient: Hello doctor, My son is 3.9 years old. He had stomach pain with vomiting last week. His doctor gave Lanzol junior tablet and Sucrafil syrup, for vomit Emset syrup. After two days he frequently said he felt very hungry and still drinking more water very often. Since the last two days, he is saying back pain l, headache also feels hungry often. Today since evening 4 PM he has passed urine 20 times. Overall comes 750 ml. Also saying back pain and near above side hip pain too. I stopped Lanzol tablet, only giving Sucrafil and cough syrup. I have so much fear about his continuous sickness. Kindly tell me is it a serious issue. Doctor: Hi. Two days back your child had stomach pain and vomiting which appears to be due to food poisoning, you have given Lanzol (antacid), Sucrafil (antacid syrup) and Emeset for vomiting. But no antibiotic was given. The food poisoning seems to have corrected. Now your child is feeling hungry, drinking more water and passing more urine. Back pain and headache is also there. These are not related to food poisoning and are different from it. Keeping in mind the symptoms there is possibility of diabetes, urinary tract infection, renal stones. I suggest you to do urine routine microscopy and culture test, blood sugar levels, urine ketones level, X-ray KUB and ultrasound KUB. These investigations will confirm the diagnosis. Stop Lanzol, Sucrafil, Cough syrup, just give Syrup Ibugesic 5 ml three times a day for two days to relieve headache and backpain. I think that you should do all this investigations on immediate basis. Further treatment will depend on above reports." + }, + { + "id": 20156, + "tgt": "Other than HSG, how to evaluate my fertility?", + "src": "Patient: Hi doctor, I\u00a0am 27 years old. I have attached my reports. I have a very regular cycle of 28days. I also use OPK. My reports have been standard. I was prescribed Siphene 50 mg though I ovulate on my own and am on the sixth cycle now. I also used to take Duphaston 50 mg twice for 10 days. Now, I am in my last cycle of Clomid. What if I do not conceive in this cycle? What are the next options? What should I do\u00a0next? Should I take any other medications? Please guide. Doctor: Hi. Revert back with the reports to an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 12020, + "tgt": "I am hepatitis B patient with itching, fever and back pain on taking Omeprazole. Kindly advice", + "src": "Patient: Hello doctor, I am a chronic hepatitis B patient, I have ulcer too. I did a blood work recently for urea, creatinine, AST (SGOT) and ALT (SGPT). The physician said the result was fine. I was given Omeprazole. A few days ago I noticed I have constant body itch, fever, back pain, pain on my right abdomen, just under my right breast, I get tired easily too. Doctor: Hello. What is the status of your liver now? You are on treatment or not? Symptoms look like biliary pain. Kindly do an ultrasound, LFT, CBC, GGT. For hepatitis B we also need HBV DNA (quantitative), fibroscan, HBeAg, anti HBe." + }, + { + "id": 24102, + "tgt": "My partner accidentally ejaculated on my stomach. Am I pregnant?", + "src": "Patient: Hello doctor,I am a 25-year-old female, weigh 67 kg, and height is 5'4\". I am not sexually active but on the fourth day of my period, I and my partner were feeling each other and he accidentally ejaculated on me. The semen landed on the side of my stomach and front of my thighs. I do not remember if it went near my vagina. I was wearing a sanitary napkin at the time though and was fully clothed with jeans. Because I had my doubts I had an emergency contraceptive pill within 48 to 72 hours and am on birth control (having since five to six months because of PCOD). I started the pill on the same day of the incident. Is there a possibility of me getting pregnant? As I am taking birth control pills and had the emergency pill, will my period be delayed? How soon can I get tested for pregnancy? Doctor: Hello. I went through your post. Firstly, he had not ejaculated inside you which means you cannot become pregnant because of that. On top of that, you have used emergency contraceptive which has a success rate of 99 %. There is no possibility of you getting pregnant with that episode. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13660, + "tgt": "What causes swelling of gums in the place of wisdom tooth after its removal?", + "src": "Patient: Hello doctor, I had my wisdom tooth pulled two years ago and have not had any issues until yesterday. My gum where my wisdom tooth used to be is swollen and feels like it is pulling away from my gums. What could be the cause and how can I make the swelling go down at home? Doctor: Hi. I had gone through your question. I can understand your concern. As per your history, it looks you are having retromolar area infection. It can be because of the left root stem or cavity in adjacent tooth. To get proper advice and safe diagnosis, you need to upload pictures of the involved area. There are chances of traumatic ulcer too because sometimes the hard food in missing tooth area gets accumulated and becomes infected. You can use Chlorhexidine mouthwash or normal saline gargles and continue the antibiotic medication for five days. Make sure to avoid drugs that may affect your infant in case you are a lactating mother." + }, + { + "id": 6836, + "tgt": "I have acne on my chin and cheeks inspite of using BioFade. Why?", + "src": "Patient: Hello doctor, I am a final year medical student. I am suffering from mild to moderate acne for three months. Acne is on my cheeks and chin, and it is papule, pustules, and scars. I am using tea tree oil and BioFade for three weeks but no effect. One doctor prescribed Isotretinoin, but I have not used it because of the side effects. Kindly tell me the effective treatment for this. Doctor: Hello. You mentioned that your acne started only three months ago. Hence there could be triggering factors like stress (you said). Therefore the best remedy to treat your acne is to address the triggering factor. In your case, you should try and avoid stress. Stress sometimes leads to harmonal disturbances, which in turn cause acne. If you do not want to use Isotretinoin, you may use Adapalene or Salicylic Acid ointments, which also give effective results. Even before going into the sun, you can use a good sunscreen with Spf 50. Before going to sleep, wash your face and apply a gentle moisturizer with vitamin E. This should help. If you have more questions, please get back to me with a picture." + }, + { + "id": 20163, + "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": 8973, + "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": 21282, + "tgt": "Are my symptoms point towards Grave's disease?", + "src": "Patient: Hello doctor, Can you make a diagnosis of autoimmune or other thyroid disease based on the information? I was treated. My theory is I have autoimmune thyrotoxicosis or Graves' disease. I was taking Lithium for cluster migraine prevention. When I discontinued Lithium I become very anxious in line with Graves' hyperthyroidism. I have sore shins eleven eye orbits photophobia, grittiness, lid lag during attaches and lid retraction reflex with sudden upgaze. It became worse a few months back with a flare after influenza leading me to the hospital with 110 beats/min heart rate at rest, fever, dehydration, and exhaustion. My eyes have proptosis when flaring especially the right eye. You can see sclera above the iris. Paternal grandmother had Graves', severely blood work trends for last six years, creatine 110 always up, EGFE at 60. The urologist thought due to exogenous testosterone due to hypogonadism (injection 100 mg/week qua eight years). Elevated HDL cholesterol, high triglycerides, high monocytes, and either high or very low neutrophils, and eosinophils. May have thalassemia minor, high RBC hematocrit always. Iron low. Magnesium elevated always. Portable for TBII antibodies level 4 cut off 10. During Lithium treatment, my thyroid TSH was 9 and the T3 and T4 in the normal range. The trend has been lower and lower TSH in low normal to 7. Now the lowest but average 1.0. I have had recent TSH and TBII done no result yet but will be first off Lithium. I began self-prescribing Methimazole due to the active thyroid anxiety now gone after Lithium stopped. It is taken over. I have positive TPO antibodies. No thyroid scan ultrasounds biopsies, etc. No eye or skin diagnosis. Is this eye skin signs definitive plus blood work of Graves'. Blood work trend is high free T3 13 average T4 low normal TSH (always while on Lithium and testosterone with LH suppressed diagnosed as result of therapy) Doctor: Hi. The diagnosis is correct viz hyperthyroid Graves' disease. You certainly need Methimazole for this as well as a thyroid surgery. You should not take Lithium for prolonged use. However, bearing in mind the side effects it has. But I understand you also need it for your grittiness and mood behaviour. You should speak to an endocrinologist regarding the surgery for the same and hopefully, you can go off both Lithium and Methimazole. The other medications do not matter here. Considering your age and family history, thyroid toxicosis could set in. So I would recommend you get it operated." + }, + { + "id": 3521, + "tgt": "I have burning sensation in penis with swelling in glans penis. Please suggest solution", + "src": "Patient: Hello doctor, I have a burning sensation in the penis for the last 20 days. For the first seven days, I took Terbinafine tablet and Candid cream. The next seven days I took Oflomac 400, Afdura, and Urispas. But the burning sensation is still there. I also have a little bit of swelling in the glans penis for the past 17 days. Ultrasound report shows: Mild urinary bladder wall thickness with insignificant PVRU. Urine culture - No aerobic pyogenic grown. Urine R/E - Pus cells - 0-1, WBC/hpf, Epithelial - 0-1 Epi Cells/hpf. RBC - 4.36 MCH - 33.6 Monocytes - 10.4 Basophils - 0.00MPV - 12.5 Sugar / Creatinine - normal. Doctor: Hi. I have gone through your queries. You may have complicated UTI (urinary tract infection). You have to undergo another test. Send VB3 (voided bladder 3) urine or EPS for culture and sensitivity. EPS means expressed prostatic secretion. Voided bladder sample 3 means urine after prostatic massage. For all these purposes you need to visit the office of a urologist. Please do that as soon as possible and get all these tests done and get further treatment. You need clinical examination too for further treatment." + }, + { + "id": 23431, + "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": 6533, + "tgt": "I am on Accutane and had severe bleeding from nose today. Please advise", + "src": "Patient: Hi doctor, I have been using Accutane for seven months. I am currently in the last two weeks of my last round of treatment. In the past one and a half weeks, I have been experiencing relatively bad headaches that have not gotten any worse. Yesterday, I experienced a severe nosebleed that lasted for about two minutes. Pretty quickly after stopping the first nosebleed I experienced a second nosebleed that resulted in me pulling a blood clot out of my nose that was approximately 1 inch long and 2 cm wide.\u00a0My concern is that I am running a half marathon in two days and I am unsure of whether I should go through with this or I should let my body rest. Please advise. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2362, + "tgt": "I have swelling on tongue and feet with history of kidney problem, HTN, and diabetes. Please help", + "src": "Patient: Hello doctor, I have swelling on my feet and tongue as well. KFT report was normal only my creatinin was 1.6. It is a chronic problem. I have already used Lasilactone 50 mg and Torsemide 10 mg. But no relief. I use insulin Mixtard 40 units twice and Galvus Met 50/850 1 bd for my diabetes type 2. Maybe Galvus causing swelling so I stopped it recently and want to switch over to Janumet. Doctor: Hello. According to your statement, you are suffering from chronic kidney disease. Now you have swelling on feet, ankles, and tongues. You have DM (diabetes mellitus) for 20 years. Do you suffer from an allergy? Or are you allergic to some foods, medications, irritants, etc? Hypersensitivity reaction can be a cause for your present swelling. Again you are a patient of chronic kidney disease, so you can suffer from anemia either caused by chronic disease or vitamin B12 deficiency due to taking Metformin for DM. If you have anemia, you can suffer from the present swelling too. Again you are using drug like Solitral for BPH, Telma for HTN (hypertension) can cause swelling as their side effects and hypersensitivity reaction. In case of heart failure, liver diseases, obstructive uropathy, hormonal problem, etc., can cause swelling too. So you should undergo some investigations like CBC (complete blood count), HB% (hemoglobin), ESR (erythrocyte sedimentation rate) to detect anemia status at present, USG (ultrasound) to detect obstructive uropathy or any other abnormalities. Skin prick test, RAST test to detect hypersensitivity or allergens, thyroid hormone (T3, T4, TSH) to detect hormonal deficiency, CXR (chest x-ray) to detect any abnormality in the chest, ECG (electrocardiogram) for cardiac status, liver function test, serum electrolytes, etc. At first, we should find out the causes that are responsible for the swelling and then treat them accordingly. So you should continue your current medications and inform me after getting the investigation results in your hand, then I will try to treat you further." + }, + { + "id": 10563, + "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": 5574, + "tgt": "I have gastroparesis and suffering from stomach pain and extreme gas. What to do?", + "src": "Patient: Hello doctor, I have gastroparesis, and everyday I have stomach pain, and extreme gas. I am tried working with my gastroenterologist but there are no results and no interest by them. I have tried Linzess, and Gabapetin but no result. I need help. It is destroying my quality of life. I can not go anywhere because it is so embarrassing. Doctor: Hello. Before I can give my opinion I need to know a few facts. Since how long you have had diabetes and what medications are you taking? Do you have constipation, nausea, and vomiting? What is the site of stomach pain and what is the severity? I would also like to see the clinical notes of your gastroenterologist." + }, + { + "id": 14584, + "tgt": "I am a 20 year old boy having epigastric pain,sticky stools,lower back pain and loss of appetite. Is there any special treatment in ayurveda for that?", + "src": "Patient: Hello, I am a 20 year old boy having epigastric pain only early in the morning before going to the toilet. I also have a complaint of sticky stools, lower back pain and loss of appetite. What would be the cause for my problems? Is it curable? Is it due to sexually transmitted diseases? Because,unfortunately, I did homosexual anal sex before two years. If it is amoebiasis due to homosexual anal sex, can it be cured permanently? Is there any special treatment in ayurveda for that? Doctor: Hi. Before advising any treatment, I would like to know the following: Following are the possibilities according to your complaints: You should be careful about the cleanliness during your sexual life. Revert back to an ayurveda specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11962, + "tgt": "Kindly advice me on having sexual contact for the first time", + "src": "Patient: Hello doctor,I am about to have sex for the first time, are there any suggestions on what to do? And how to do it? I want to know more before it happens. Kindly advice. Doctor: Hello. I can understand your concern, 1. Make sure your partner is STD (sexually transmitted disease) free. 2. Use a condom if you do not want to get pregnant. 3. 1st-time sex will be painful. Make sure your partner understands it and go slow on you. 4. Do not try rough sex. 5. Having sex can change your hormonal level, so expect changes in your body too. 6. Virgin is not an important thing in life, no need to make a big deal about your hymen. 7. Real sex will not be like a porn movie, in reality, it smells, tired, sweat, no background music, do not expect light effects, do not expect two hours duration usually it will be few minutes, no continuous erotic sounds from partners. 8. Post sex people feel guilty and weird. I Hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 16778, + "tgt": "Why am I having severe itching beneath the belly and between thighs?", + "src": "Patient: Hi doctor,My problem is severe itching beneath the belly and between thighs. There are also marks. When I first consulted, the doctor prescribed Onabet cream. It did not go. The second time, another doctor prescribed Permethrin cream. It did not go. Later I consulted a doctor directly and he gave me Ebernet cream. Still, I have the issue. I also used Clotrimazole cream. It did not go. I maintain good hygene. It is almost like dermatophytes as one of the doctors said. Please prescribe me a strong ointment. Doctor: Hi. I have gone through your case. Marks could be scratch marks due to dryness, it could be due to scabies for which you have been given Permethrin and it could be a fungal infection for which you have used Clotrimazole cream. Sometimes fungal infection may require six weeks of treatment. And problem arises when the patient leaves treatment halfway considering it is not effective and then it becomes resistant, and require even prolong treatment. Similarly, itching due to dryness may require prolonged and continuous moisturizing. So, in my opinion, continue to apply Clotrimazole cream 2 to 3 times a day, do not use Onabet (Sertaconazole). Avoid sweating and friction and apply vaseline lotion at night. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26569, + "tgt": "I have been burping with stomach pain and discomfort. What can be the reason?", + "src": "Patient: Hi doctor, Since the past four years, I am having a lot of stomach problems. It all started with loose motions at that time, and I used to take Ciplox-OZ or Norflox-OZ over-the-counter, and I used to feel better for two to three months. After a year, I started having acid reflux and burning sensation in my stomach. So, the doctor prescribed Rabeprazole D, which helped solve. But after two to three years I started burping a lot (nearly 10-20 burps after meals), with stomach discomfort and sometimes prickling pain. My stomach used to bloat immediately after meals, so the doctor gave me Zenflox-OZ, Unienzyme, Becelac-PB, Meftal-Spas, and Aristozyme. All these medicines helped treat my symptoms, but it recurred as soon as I stopped taking Zenflox-OZ. I am under Petril-MD 0.5 mg for anxiety and pure obsessional OCD. Whenever I get bloating and burping, anxiety also follows. My ultrasound reports were also normal apart from fatty liver. I am afraid to undergo endoscopy because of panic attack problem. Please help me. Doctor: Hi. After going through your concerns carefully, I feel your symptoms may be due to any one of the following. I suggest you tablet Pantoprazole 40 mg and Zenflox-OZ (combination of Ofloxacin and Ornidazole) for 14 days. Consult your specialist doctor, discuss with him or her and take treatment with consent. The fact that your symptoms disappear after taking Zenflox-OZ, it means that your symptoms are due to large or small bowel infections. I would suggest you do hydrogen breath test to rule out or confirm small intestinal bacterial overgrowth. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6310, + "tgt": "Got tested for blood glucose fasting value, that came as 92 mg/dL. Is it on the higher side?", + "src": "Patient: Hi, My 10 year old son got tested for fasting blood glucose values and it came as 92 mg/dL (fasting).\u00a0Is it on the higher side. Why it is so and what can be done? Doctor: Hi. Hope this helps. Revert back to a diabetologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 13410, + "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": 15384, + "tgt": "My amylase and lipase levels are above normal. How to correct those levels?", + "src": "Patient: Hi doctor, My lipase and amylase are above normal with a level of 100 U/L and 192 U/L. Can you suggest some supplements to restore them? Doctor: Hi. Increased lipase and amylase level indicates a sign of other complication, and it needs to be diagnosed. Your BMI (body mass index) is 27.8 (attachment removed to protect patient identity). You need to reduce your weight through exercise and by following a healthy diet. However, your symptoms can also be caused due to pancreatitis, kidney dysfunction, gallbladder infection, or gallbladder stone. You have to do some test to rule out these complications. You have to do CMP (comprehensive metabolic panel), CBC, and CT scan of the abdomen or ultrasound of pancreas and gallbladder. Also, drinking alcohol can cause hyperlipasemia. You have not mentioned about other symptoms. But if you have nausea, that stops you from eating, diarrhea, pain, fever or abnormal sweating, then you need to see a doctor soon." + }, + { + "id": 27879, + "tgt": "What are some natural ways to increase my weight?", + "src": "Patient: Hi doctor,I am a 20 year old male. My weight is 50 kg my height is 5 feet and 8 inches. I am very slim. What should I do to put on weight? Doctor: Hello. I just read your query. I hope you are satisfied with my answer. Revert back after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19154, + "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": 5648, + "tgt": "Do low TSH level and Low FT4 mean hyperthyroid?", + "src": "Patient: Dear Doctor, After my tubal pregnancy my thyroids started acting low TSH 0.11 0.21 0.26 and\u00a0low FT4 0.81 0.82 0.79 .076. But did not visit the doctor yet. Is it hyperactivity thyroid? Give me any advice. Doctor: Hi. Consult an endocrinologist to know the required tests and appropriate treatment, based on the reports --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 25059, + "tgt": "Is what I am having a cyst in the brain?", + "src": "Patient: Hello doctor, I am having a cyst in the brain, maybe from birth. Cannot remember exactly, though it is not giving any problems, but should I worry about it? Attached is the picture. Doctor: Hello. I reviewed your uploaded photo (attachment removed to protect patient identity) and would explain that this is not a cyst in the brain. It is a benign sebaceous cyst under the scalp skin. It is not related to the brain. So there is nothing to worry about. If the cyst grows, I would recommend consulting with a surgeon and remove it with simple surgery and local anesthesia. Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14800, + "tgt": "I have an uneven skin tone on my face. How to get an even skin tone and glowing skin?", + "src": "Patient: Hello doctor, I am 24 years old. I have an uneven skin tone on my face. Please advise for an even skin tone and glowing skin. Doctor: Hi Uneven skin tone is caused mainly by: To prevent and reverse dullness of skin and to improve your skin tone:" + }, + { + "id": 5348, + "tgt": "What causes muscle spasms while doing sudden movements?", + "src": "Patient: Hello doctor, I am 25 years old,male. I am getting wierd type of muscle spasms since past 15 years. Those spasm gets triggered when I do sudden movements like when suddenly get up from chair and start walking, I get spams. It lasts for 5 to 10 seconds. Spasms look like my legs and hands are rapidly contracting and cramping just like tetanic cramps. I consulted neurologist and he told me that those spasms are due to deficiency of vitamin D which leads to poor absorption of calcium. He has given me Vitamin D treatment for six months and told me that my spasm will completely vanish. One month has passed since I have started the treatment and I am seeing improvements. Still I get spasm but intensity has reduced. Still 5 months to go. So will I get rid of them? I am feeling anxious about them. Please give me your opinion. Doctor: Hi. I must assure you that you are in right hand and right thing communicated to you about the tetanic spasms which you are experiencing for the last 15 years. Majority of patients (read all) show good response to Vitamin D supplementation when there is deficiency and same can be hoped in your case. I would like to add something at this level. Since you are taking Vitamin D but not the Calcium. This leads to inadequate calcium to absorb and low calcium and spasms. Talk to your neurologist to add Calcium or increase at least 500 to 1000 mg per day. This will ensure that there is enough calcium to absorb since absorbing machinery is overworking due to supplementation of Vitamin D. The Calcium supplementation is likely to cut short the duration of symptoms." + }, + { + "id": 14124, + "tgt": "What can cause cough and running nose with green sputum following a headache?", + "src": "Patient: Hi doctor, I have been coughing and having running nose, sputum is light green with a distinctive taste while spitting. All this started with a headache and bad binge. Kindly help me with the next course of action. Doctor: Hi. I have read your query. Regarding a cough and cold, it looks like you have acute pharyngitis. Take tablet Levocetirizine 5 mg once a day for a runny nose. It causes sleepiness in some people so you can take it before bedtime. But if a runny nose is troublesome you can take it soon. Take syrup Ambroxol 1 tablespoon thrice a day for cough. Take tablet Azithromycin 500 mg once a day for five days. This is an antibiotic. So, please complete the course. Please do saline water gargles several times a day. Keep yourself hydrated. Drink plenty of fluids to keep yourself hydrated. For headache, take tablet Ibuprofen 400 mg as needed. Do not take more than four tablets in a day and make sure there is at least six hours gap between consecutive dose. For the vomiting, take tablet Pantop-D (Pantoprazole with Domperidone) twice a day. Eat light." + }, + { + "id": 29305, + "tgt": "I have not had my period since I stopped taking regular birth control pill. Why?", + "src": "Patient: Hi doctor, I was on birth control for about six years. I stopped it before four months. I have not had my period since then, and I was wondering if this is a cause for concern or a regular thing. Also, before taking pills, my periods were irregular. Doctor: Hi. I feel the culprit here is your weight. At this young age of 28 years, you BMI (body mass index) is in obesity range. Increase in body fat especially in the mid-segment of the body, around waist, thighs and breasts is not a healthy sign. This fat gets converted to estrogen, the female hormone, thus causing a very high level interfering with the normal hormonal control. You would have seen fat male developing breast is due to the same female hormone. When estrogen is out of control, the brain loses control of hormones from ovaries. Then, ovulation will not occur on time, that is around day 13 or 14 of periods. Later, the second hormone progesterone will not get released and so periods do not occur. All these years you have been gradually putting on weight and the periods you had were due to the hormone in the birth control pills, same estrogen and progesterone pills. Now, when you stopped the birth control pills, your body is not able to continue the cyclical production. It will not allow you to have next pregnancy too as ovulation is needed for pregnancy. You are 152 cm, and your expected weight is 52 kg to 56 kg. It is easy to say, but tough to lose 20 kg, but with strong willpower, you can do it. For completion, have thyroid profile and serum prolactin done in the early morning and an empty stomach. Do not worry about periods. They will indirectly get back to the track. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6167, + "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": 23542, + "tgt": "Having a lump on the posterior side of the testis. Can you suggest any treatments?", + "src": "Patient: Hello doctor, I am a 35 year old male. I had testicle and lower abdominal pain from couple of weeks, but I did not have burning sensation on urinating. So, I started taking antibiotic (Azithromycin) and analgesics (Ibuprofen). Now my pain has almost subsided, but I have developed a lump\u00a0on the posterior side of the testis. The size of the lump reduced in the last couple of days, but I still have a slight stinging pain sometimes. Please help me treat this. Doctor: Hi. I read your query and understand your concerns. I hope this helps you. If you have more questions, feel free to write back. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 23904, + "tgt": "The tear duct is swollen. Is this something to worry about?", + "src": "Patient: Hello doctor, I have a swollen tear duct. The right tear duct is swollen, does not hurt or itch. It has been there for a few years now. No changes in the size other than getting larger. Doctor: Hi. From the photo you have attached (attachment removed to protect patient identity), it does not look like a tear duct swelling. It looks like a swelling arising from your conjunctiva and the exact diagnosis would only be possible with a slit lamp examination. But, I can tell you that it is a harmless swelling as it has been gradually increasing since two years and has not caused you to have any symptoms yet. It does need a visit to the ophthalmologist, although it is not an emergency. If you have a blocked tear duct, you will have symptoms such as constant watering, frequent infections which cause pain in your eye and discharge. I would like to know if you are suffering from any of these problems. Previous eye infection. Slit lamp examination. Conjunctival cyst. Conjunctival granuloma. Slit lamp examination and management depending on findings. Revert with more information to an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1746, + "tgt": "Due to cold, I get sound in my ears and jaw. What could it be?", + "src": "Patient: Hello doctor, I have cold three weeks ago and I got a sound in my ear which is similar to a heartbeat, but the rhythm is very irregular. Last week, it got worse with another sensation which is a kind of sound around the neck. In adition to that, I have sounds coming from my jaw on the same side which is accompaonied with physical cracking in the place where the jaw is connected ti the skull. My relatives can hear the sound when I eat. Also, I tried to wash my ears with water and water might have went into my ear. I had a scarf around my neck from yesterday and my lymph nodes suddenly got swollen with slight neck pain. Last, but not least, I have a clearly sensible lymph node behind my ear which is about the size of a small bean and is movable. Generally, I am healthy and do not have any chronic disease. I do not have an oppurtunity to reach my doctor if it is urgent, but I am afraid it can develop to something serious. Doctor: Hi. I understand your concern. Your symptoms suggest a condition called tinnitus. Tinnitus is defined as an auditory perception of internal origins such as a buzzing, ringing, or whistling tone and can be perceived as either pulsatile or non-pulsatile. It can have a significant influence on well-being and performance in daily activities. Your symptoms suggest it is pulsatile in nature. Identification of the underlying cause of pulsatile tinnitus is important for adequate treatment and for prognosis estimation. It can be due to cold and inner ear infection as you also have painful lymph nodes. But you did not mention a fever. If it is infection antibiotics dose will be helpful. Complete and detailed history is essential, which includes possible accompanying complaints like vertigo, hearing loss, ear discharge, and earache. We are worried about an underlying vascular etiology that can be suspected when pulsatile tinnitus is influenced by vascular compression or when a vascular bruit is heard by auscultation. In general, head and neck MRI (magnetic resonance imaging) and CT (computed tomography) provide complementary diagnostic imaging information. I suggest you consult an ENT specialist." + }, + { + "id": 28804, + "tgt": "Is there any problem with my mother's ECG?", + "src": "Patient: Hello doctor, My mother is 56 years old and weighs around 58 kg. She is having chest symptoms while walking fast\u00a0and also has a cold. Her heartbeat is also little high. I got her ECG done, can you please tell if anything is wrong with the ECG? Doctor: Hello. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 476, + "tgt": "I get hives on thighs whenever the climate is hot. How long can I take Claritin?", + "src": "Patient: Hello doctor, I am a 17-year-old female. I believe that I have hives on my thighs. I have them for about five to six days and they appear whenever the area gets hot. I was using a blanket last night and the hives got red again but when it is cold, they are not red and appear to be my skin color. I used Hydrocortisone the first three days and it helped, and I was also wearing tight leggings while working all day. The last two days, I have been taking Claritin and it has helped because the area is no longer itchy but the hives and bumps are still there. Should I take Claritin tonight too? How do I get rid of the bumps? I assume that I should not keep on using Claritin since I have used it for two days already. Doctor: Hi, Welcome to icliniq.com. It looks that you are suffering from acute urticaria. This could happen as a result of an allergic reaction to blanket dust or furs in it. There are other causes as well. Is this the first episode? Or you get them frequently? Any history of diabetes or thyroid? Any history of any medicine taken recently for some other issues? Until you reply, you can take Clairtin (Loratidine) dose again. No problem with that. I hope this helps." + }, + { + "id": 25761, + "tgt": "I got my dry sockets packed twice already, then why is the pain not going down?", + "src": "Patient: Hi doctor, I had four teeth extracted a week ago, two on top and two on the\u00a0bottom. I did not get numb at all,\u00a0so I felt it all. I was diagnosed with a dry socket on the bottom. The dentist that I went to packed it twice now, after 4 to 5 days. As the extracted teeth were\u00a0adjacent teeth, so when he packed them, the packing was connected. The packing that was on the top of the gum connecting the two holes ate the bone in between the two extracted teeth. So,\u00a0I called the dentist, and his nurse said it is normal. She said that the dentist might have done it while suturing the extraction. But it was not there after he extracted. What could this be and what should I do? It is not getting any better, and the pain is getting worse as days pass. No other dentist will see me because it is his work, and not theirs. Doctor: Hello. I have gone through your query. I hope this will help you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1468, + "tgt": "Following a fall, my thumb got swollen. How to cure it?", + "src": "Patient: Hi doctor, Last week, I fell and jammed my thumb into the floor. It instantly hurt and I knew I had sprained or jammed something. The next day, my palm and the thumb muscle were swollen with a painful lump. I could not grab or hold anything, but I can move it around. So, I know it did not break. It has almost been a week and is still very sore. There is no pain in the knuckle and I still cannot hold heavy things and grab things. On bending it is very painful. I wanted to give it some time before seeing a doctor if it is just a mild sprain. Typing and working is very difficult, so I was wondering if seeing a doctor would help or if it is just going to take time? Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20707, + "tgt": "I am having pulmonary embolism. How to manage it?", + "src": "Patient: Hi doctor, Around 45 days ago, I noticed blood in sputum. I consulted a doctor. He advised me to do a CT scan. The report suggested the pulmonary embolism. In the treatment, they gave me blood thinner injection and tablets. They examined me and found out that there are no blood clots in any part of my body. I do not have any history of injury and surgery. Doctor: Hi. There are a lot of causes for pulmonary embolism. The common reason being the clots in the leg called as deep venous thrombosis. It can be due to long-term immobility, and prolonged surgery. When there are no clots in the body, we have to check for any deficiency in blood clotting factors. When doing all the investigations, we cannot be able to find the cause for 40 % of patients. If there is no cause, we can keep you under regular checkup. Blood thinners are usually given for six months. But it may be extended for a few periods when there are risk factors present." + }, + { + "id": 7908, + "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": 7701, + "tgt": "What is the cause and treatment for burning, itching and fluid discharge from nipple area?", + "src": "Patient: Hello doctor,I am posting this on behalf of my friend. She is 24 years female. She is having severe burning and itching around her nipple area. Sometimes fluid also discharges from the affected area. The problem persists for the past four months, and she has also tried anti-bacterial powders, but there is no success. What can be done? Doctor: Hello. I understand your query. What your friend seems to suffer from is a bacterial infection. Burning and itching are not alarming, but discharge from nipple is not a good sign. It could denote a severe underlying problem. The antibacterial powder will not help in her case. She needs proper antibiotic tablets. Since I cannot visibly see the lesion, it is difficult to comment on the problem accurately. I suggest you get cytology done of the discharge and also an ultrasound of the breast. Visit a gynecologist in your area and get appropriate treatment, if you can upload picture and reports I may be able to help you better." + }, + { + "id": 16484, + "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": 3368, + "tgt": "What to do for frequent drop in sodium level?", + "src": "Patient: Hello doctor, My father is out of coma and on regular physiotherapy. However, we have a major concern now with frequent drop in his sodium level. Every five to six days his sodium level drops to 110-120. When that happens, his consciousness level goes down and stops body movement or response. He is given injection Sodium chloride 3% isotonic solution with Fludrocortisone one tablet per day. It takes about five to six days for his sodium level to improve around 130. When he starts responding, he opens his eyes and moves body parts. We have seen this three to four times since last one and a half months. Eight days back, his sodium level went down to 109 and currently it is 121, but he has not shown much of body movement yet. Normally, he recovers within five to six days.\u00a0Please suggest what has to be done for faster recovery? What has to be done to prevent this happening again and again? I have listed the medicines he is taking currently.\u00a0Initially Tolvaptan is given for 10 days (currently stopped). Fludrocortisone\u00a010 g extra salt per day with liquid food, tablet Ofloxacin 200 mg, capsule or tablet Phenytoin sodium 100 mg, tablet vitamin B complex, tablet Losartan potassium 50 mg, tablet Metoprolol 50 mg and tablet Pantoprazole 40 mg. Doctor: Hi. I am sorry to note that he is having problems with sodium levels. I\u00a0suggest the following. 1. Serum specific gravity. 2. Urine specific gravity. 3. Serum and urine osmolality. Revert back after the investigations to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23899, + "tgt": "What is the cause of left-sided hand and leg numbness?", + "src": "Patient: Hello doctor,Left side hand and leg numbness and tiredness. I am taking cardiac medications. Doctor: Hello. I have seen your health investigations (attachment removed to protect patient identity). There are different possibilities that may cause weakness of one side of the body as in your case. Your healthcare center has touched every possible cause to investigate the reason behind this weakness on one side of your body and there came out to be nothing like this. I have extensively reviewed your MRI reports and other blood work. There are some red flags that bother me and indicate that these may be the cause of your issue. These are metabolic disturbances. In simple words, if your car engine's mechanical parts are all fine but there is diesel instead of petrol, your car would not work. Our body is a complex machinery and it cannot run normally if there is no controlled and balanced environment inside the body. Harmony (homeostasis) and rhythm in different metabolic products inside the body is needed at all times in order for the body to work normally. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22863, + "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": 6205, + "tgt": "Why is my father not gaining weight even after taking TB drugs for more than a month?", + "src": "Patient: Hello doctor, My father is diagnosed with TB of lungs and the infection spreads to the stomach. He suffered from ascites as well, but the ascites got cured after antibiotic treatment. He is been on TB drugs from the last one month and 20 days but he is not gaining weight. He lost a lot of weight in his first 10 days of treatment, but he has not gained any weight. Before he used to get high fevers and chills for almost a month. But no weight gain and complete bed ridden situation, he can barely walk to the toilet and cannot even sit for some time say 15-20 minutes in a day. He has almost lost all muscle work from his body and we took him to the hospital as well, they did all the tests and said that it is because of TB itself and his condition will improve gradually, but I am worried. Doctor: Hello. TB (Tuberculosis) is a chronic disease. He would have had TB for many years but diagnosed recently. So, TB would have caused damage to the body for a long time and that is the reason for his weight loss. Weight gain will be slow and gradual only. But what baffles me is his history of high fever because high fever is very uncommon in TB. Since he had ascites was his liver condition checked? As it can also cause ascites. Also was ascitic fluid analysis done to look for any cancer cells? I also advise getting an HIV test done. It would be very helpful if you could upload all the test reports so that I can help you better. One more issue to consider is resistance to TB medicines. Was any sensitivity test done for TB medicine? I suggest two medicines for him. 1. Syrup Cypon (Cyproheptadine HCl, Tricholine Citrate, and Sorbitol) 10 ml three times a day for one month. 2. Protovic-DF two teaspoons two times a day (mix in a glass of milk) for six months. I hope this helps." + }, + { + "id": 27281, + "tgt": "What are the signs of throat cancer?", + "src": "Patient: Hello doctor,I have swollen tonsils from about a month. I have been taking antibiotics but, they are not getting better. I have a slight pain in the\u00a0throat. I sometimes have a dull ear pain. Is it a sign of tonsil or throat cancer? Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26488, + "tgt": "Can vaginal pain in my third trimester be serious?", + "src": "Patient: Hello doctor,\u00a0 I am suffering from vaginal pain in the third trimester of my pregnancy.\u00a0This is my first child. I have taken iron and vitamin supplements.\u00a0Is it normal or do I\u00a0need to consult a\u00a0doctor? Doctor: Hello. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9739, + "tgt": "Can I take Cipralex and Petril MD for anxiety disorder?", + "src": "Patient: Hi doctor, I have an anxiety disorder. Neuropsychiatrist prescribed me Cipralex 10 mg and Petril MD 0.5 1/2 tablet. I took Cipralex for a month and Petril for 22 days when I went to review with my doctor he said to continue Cipralex and Petril 0.5 mg. I have been taking 1/2 tablet but he said to take full tablet. He said 0.5 is not a high dose and to take it for 30 days and slowly he will reduce the dose, from two days I am taking 0.5 tablet of Petril. Will I have any side effects such as dizziness, fainting, seizures, etc? Is it safe for me to take the prescribed dose? Doctor: Hello. Cipralex (Escitalopram) 10 mg is good medicine for anxiety disorder. You may need to continue for at least six months to a year. Petril (Clonazepam) 0.5 mg is fine to be taken short term for upto a month, then your doctor will gradually taper it off. Also, try to get some counselling or psychological therapy. Also, yoga can help. Address any stressors in your life that can be perpetuating the anxiety. Also, check whether your thyroid blood test is within normal limits and optimally controlled by Thyroxine 25 mcg." + }, + { + "id": 29928, + "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": 19481, + "tgt": "What is your recommendation for my father's back pain?", + "src": "Patient: Hi doctor, My father is suffering from lower back pain for four months. His age is 63. His\u00a0weight is 74 kg and height is 5'3\". His x-ray report has been attached with this. Please consider and give us advice for further treatment. He is using a belt to control the back pain and homeopathy medicines. His medicines are Magnesia phosphoricum 200 CH, Calcarea fluorica 1000, Tellurium 200, Spigelia 200 CH and Belladonna 200 CH. Please suggest me for the best result. Five years ago, he had a road accident and a rod was planted on his left leg. Doctor: Hi. Avoid acute forward bending and heavy weight lifting. Revert back with the reports to an orthopaedician and traumatologist online..---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8978, + "tgt": "My doctor advised angiography after seeing my echo reports. Why?", + "src": "Patient: Hello doctor, As I am feeling tired of walking, my company doctor suggested for ECG, and it showed no abnormality, after which he suggested going for ECHO. The ECHO report shows as follows, ECHO diagnosis RWMA, trivial MR, grade I LV diastolic dysfunction, no pericardial effusion or clot. Now doctor had advised me to for angiography to see the exact one. Please advice. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). In ECG, there is RBBB (right bundle branch block), and ECHO shows RWMA (regional wall motion abnormality) and mild LV systolic dysfunction. There is a mild cardiac dysfunction, so you should undergo coronary angiography rather than CT as there is evidence of blockages on echo. We must address those blockages to prevent further decline in heart function. Your medicines are fine, but it would be better if you can request your doctor to add beta-blockers like Metoprolol to improve the heart function. Also, your sugars are entirely uncontrolled, which has played an important role in causing these blockages. So, sugars should be well controlled. Continue to have daily walking or brisk walking. Low calorie and a low oily fatty diet. Also, you should start regular medicines like Aspirin and Statins and have it without default. So overall, it is better to go for coronary angiography. If you do not want to undergo any significant angiography then alternatively you may have CT coronary angiography which if shows abnormalities then finally will need coronary angiography. I hope this helps you and get back if you have any doubts." + }, + { + "id": 20951, + "tgt": "I have a severe pulsating headache from 20 days. Please help", + "src": "Patient: Hello doctor,I am a 20 year old female. I have a severe pulsating headache from the past 20 days, dizziness and nausea when exposed to sunlight or bright light, sensitive to harsh sounds, eye pain, and mild ear pain. Doctor: Hello. Is it half-sided? If yes, it is likely a migraine headache. How frequent is this? If this is too frequent then I suggest starting some medicine on a day to day basis for prevention. Have you tried Paracetamol 650 mg for pain relief? If this is giving relief then you can have it whenever needed up to two to three times a day. Otherwise, I suggest Sumatriptan 50 mg with the earliest onset of headache and look for a response. For nausea, you may take tablet Emeset (Ondansetron) 4 mg whenever needed up to two times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Sleep in a calm environment during the episode of headache. Hope this helps you and get back with some information or have any doubts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7982, + "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": 11148, + "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": 6855, + "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": 9017, + "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": 11665, + "tgt": "I have astigmatism. Can I opt for a regular contact lens and will it cause any damage?", + "src": "Patient: Hello doctor, I have a very blurred vision due to high eye grade and astigmatism. My left eye is 225, and the right eye is 675. I am planning to get a pair of contact lenses, but the special lenses are a bit pricey. Will it damage my eyesight if I am going to choose regular contact lenses? Doctor: Hello. In general, contact lenses are only meant for occasional use and cannot be used every day. In case you meant the special lenses have higher oxygen permeability and help your cornea stay healthy, please go ahead with those. The best option to remain permanently free from glasses is refractive surgery. If your power has been stable for around a year, I will recommend that you see your ophthalmologist for SMILE (small incision lenticule extraction) or PRK (photorefractive keratectomy) than using contact lenses for a long term. In case you need further information, please let me know." + }, + { + "id": 28497, + "tgt": "From the photo, please confirm if my son has ringworm infection", + "src": "Patient: Hi doctor,mI believe that my 6 year old son has ringworm infection. It started out small and then within a few days has gotten larger. I have attached the photo for your reference. Doctor: Hello. I just read your query and saw your attachment (attachment removed to protect patient identity). Yes, you are right. It does appear to be a ringworm infection of the scalp called as tinea capitis. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28240, + "tgt": "There is a possible 3 cm mass in my left kidney. Is it a pseudotumor?", + "src": "Patient: Hello doctor, I am a 37 year old male. About three weeks ago, I had an abdominal CT due to severe stomach pain. The CT revealed a possible 3 cm mass in my left kidney. I had a follow-up ultrasound that showed 4 cm thing in the central part of the left kidney. They were unsure whether it was a mass or a hypertrophied column of Bertin due to being located in the central part of the kidney. I followed up with a urologist who believed a nephrectomy was likely. My\u00a0significant risk is obesity, and I do not have a history of smoking. Is this more likely to be a pseudotumor? I am hoping the MRI gets a clear look\u00a0but, could that even lead to a false positive?\u00a0I just want the information needed to ask my doctor questions following the MRI. I do not want to end up losing a kidney if there is a possibility that the mass is not really there. Doctor: Hello. Thanks. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30871, + "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": 11868, + "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": 13087, + "tgt": "What causes radiating lower back pain during sleep?", + "src": "Patient: Hi doctor, I am 54 years old. My weight is 145 lbs and height is 5'7\". Almost every night I am getting severe pain in my right hip and groin. The pain is sharp and burning. It radiates down to my right leg. However, it completely dissipates after about 15 minutes of walking around. Always the pain occurs in the same side. I have zero pain during the day. This has been going on for almost six months now. What could this be? What questions should I ask my primary care physician? Earlier I was diagnosed with osteoporosis and low protein C and S. My medications are Forteo since one year, Estrogen patch over 5 years and B12 injection. Doctor: Hi. I have read your query completely. I do not think this pain is due to appendicitis or ureteric stone. They will cause severe pain and does not relieve by walking. You are taking Forte for osteoporosis which does not cause you this problem. It may be due to cramps, which is common in osteoporosis due to altered calcium and other mineral metabolisms.The pain may be due to lumbar disc prolapse which is lumbar discitis. In which case the pain starts from the lower back and spreads to one of the legs. It can also be due to faulty sleeping position. Many people have sleepy legs due to faulty sleeping position. It is commonly relieved by altering the position. Sometimes we sleep by keeping one leg over a pillow or edge of the cot. It may cause nerve compression and temporary burning pain over the legs. You should ask the following questions to your primary care physician: After visiting your doctor please do update me for any doubts you have. My wishes for quick recovery." + }, + { + "id": 24187, + "tgt": "Is it advisable to go for copper-T for hormonal imbalance and menstrual disorder?", + "src": "Patient: Hello doctor, My sister was experiencing irregular periods and sometimes bleeding was heavy during the menstrual period. We consulted a gynecologist. She suggested taking pelvis scan where they observed that endometrium line became thick. They informed that it was due to hormonal imbalance. Later we approached an endocrinologist where she has advised us some hormonal tests (prolactin, testosterone, thyroid tests). It seems the report was normal. For the past two months, she is taking Meprate 10 mg tablet from the 16th day to 25th day of menstrual cycle. And the subsequent falling period is normal. However, during the recent review with the gynecologist, she has advised taking full abdomen scan with the pelvis and there are no findings. Even the endometric layer is normal. Hence she came to an opinion like menstrual disorder is due to hormonal imbalance. The doctor advised undergoing for copper-T which is the only solution for hormonal imbalance and menstrual disorder. The endocrinologist said reports are fine. Both the statements are contrary. We are just confused to go ahead with the copper-T process. Please see the reports and kindly provide us the detailed clarification on this. Doctor: Hello. I do not think the doctor has advised copper-T. I think she would have advised intrauterine hormonal device called LNG (Levonorgestrel) which contains hormone progesterone. It will regularise the cycles and control heavy flow and need not take oral medicines. It is up to you to take the advice. As she is getting regular cycles now, you may wait. However, if the bleeding is heavier and any disturbances in the cycle, then go for the device. Also, a D and C (dilation and curettage) for endometrial evaluation and histopathology is advisable to rule out other causes like endometrial hyperplasia and the likes. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21173, + "tgt": "I have vomiting, loose motion and fever. What kind of fever do I have?", + "src": "Patient: Hi doctor,I have a vomit, loose motion, fever, and body ache. I want to know what kind of fever I have. What are the medicines I can use? And what are the health tips I can follow? Doctor: Hello. I will surely help you out. From the symptoms, you have described you most probably have food poisoning. So for vomiting and nausea you need Ondansetron or Domperidone. For fever, Paracetamol will suffice and for body ache, you should have Diclofenac with Ranitidine. Also, antibiotics need to be started. Empirical antibiotics are Ofloxacin and Ornidazole but for definite antibiotic stool culture and sensitivity is required. If you get repeated infection then some serology testing and anti-parasite drugs are required. There is no specific type of fever in food poisoning but for details, you can visit a nearby hospital and get your work up done and attending doctor will help you out with more details. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19552, + "tgt": "My mother suffered a hemorrhagic stroke, and she is in a coma. Can she recover?", + "src": "Patient: Hello doctor, My mother suffered a hemorrhagic stroke a couple of months back. They had to put a tube in her head to drain the fluid, and also put her in a coma. I was told that she would have a slim chance of coming out of this coma. My mom eventually had a shunt put in her head, because the fluid would not drain the way they wanted. I did notice that when the shunt was put in, she started to show more activity. They keep telling me these are reactions from the coma. Another issue is some say she is still comatose while others say she is minimally conscious. The doctor said the other day that he did the other brain scan I requested, but there is still no sign of change. He also stated that if my mother has not improved now, she will never\u00a0recover, and this is the state she will stay in. I know that I should not get my hopes up, but I also believe she could improve. I do not want to give up because this is my mother and I want a second opinion. I did a test on her and put a wooden object on her stomach, and told her to touch it. After a couple of times, she touched it. I explained this to the doctor, and he still was not convinced. Please help me. Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11958, + "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": 18782, + "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": 6074, + "tgt": "Which is the best ayurvedic medicine to cure inguinal hernias?", + "src": "Patient: Hello doctor, I have inguinal hernias on both sides of my stomach. Which\u00a0is the best ayurvedic medicine to cure it? Doctor: Hello. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27191, + "tgt": "My husband has not urinated in almost 24 hours. What should I do?", + "src": "Patient: Hello doctor, My husband has not urinated in almost 24 hours. He has a pain in his right shoulder and chest with a severe headache. Also, his kidneys hurt. Doctor: Hello. I went through your\u00a0query. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12919, + "tgt": "Will Plan B work if taken less than an hour after sex?", + "src": "Patient: Hello doctor, How effective is Plan B one step if taken less than an hour after sex? The condom broke and we also used vaginal contraceptive film with the condom. Doctor: Hi. Emergency contraceptives either work by preventing or delaying ovulation or implantation of a fertilized egg. So, it depends on how early is it taken after unprotected intercourse, or what period of the cycle is it taken. Vomiting, diarrhea, some medicines do affect the efficacy, unfortunately. In your case, since you used vaginal film also, chances of pregnancy are bleak. But to rule out all chances, please do a pregnancy test, if you miss your periods. Hoping, that you get regular periods." + }, + { + "id": 7902, + "tgt": "Is it compulsory to wear elastics for overbite correction?", + "src": "Patient: Hi doctor, I was informed by my dentist that I have a problem with my bite and I use elastics along with my braces. I feel it uncomfortable. I force my teeth to stay how they really are. I have no problem with my jaw and I am very unhappy about the way I look with elastics. My teeth do not fit together when I bite with elastics.\u00a0Do I need to change my bite? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5445, + "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": 13475, + "tgt": "Is it advisable to use Z-pack for fever, mucus filled coughs with runny nose?", + "src": "Patient: Hi doctor, I am a 22-year-old male with ulcerative colitis since the age of 9. I woke up with a nasty fever, mucus filled coughs, and runny nose. I was curious how a Z-pack would affect me. Doctor: Hi. I can understand your concern. The possibility of respiratory tract infection is more likely. You should definitely take Z pack, no need to worry about this. Along with Z pack also, do warm water gargles and steam inhalation 4 to 5 times a day. If not improving in five days, get done chest X-ray. Please let me know if you have chest pain, breathlessness or wheezing." + }, + { + "id": 8247, + "tgt": "From the photos, kindly clarify what are those bumps in the back of my throat", + "src": "Patient: Hi doctor, I am quite worried about the bumps on the back of my throat. I am quite sensitive to dust and get sinusitis along with blocked nose and stuffed head often. Around three to four weeks back, I had small red bumps on the roof of my mouth. When I consulted with a doctor, they suggested Augmentin 65 for a week as I was having some viral or bacterial infection in my throat as well. After a week, I was feeling fine.\u00a0Again since last two\u00a0weeks, I have thick phlegm like in my nostrils and very much dry. The dry mucus was hard and yellow in color. On cleaning, it was painful and discomfort in swallowing, but these bumps are making me panic, I have had few tonsil stones come out of my tonsils also, which on seeing a spot I cleaned using a cotton bud. I am very much worried about my recurrent throat infections as well as these bumps as shown in the picture. My medical history includes the following. I was diagnosed with acid reflux before four years and has been taking medicine and following diet control on food. Though I did keep it under control, at times, I get heartburn after a particular food, but it goes away immediately. I also get recurrent sinusitis. I had been falling for pharyngitis due to consumption of cold items. A doctor advised me to have Septilin on a daily basis and for long, and I feel it controlled my infections. Also, seven months back I had trouble sleeping due to severe back pain upon lying down to sleep. When consulted and took an MRI, it resulted in a spine disc hitting a vein causing pain at different angles. My habits include eats quite rightly all meals, but at times skip breakfast and occasional\u00a0alcohol consumption. I am a software engineer, and hence, at times I have trouble having a proper sleep of 6 to 8 hours. Doctor: Hello. You have very precisely described your problem with pictures (attachment removed to protect patient identity). I appreciate that. My diagnosis of your condition based on your symptoms is chronic or recurrent acute rhinosinusitis, which is causing chronic pharyngitis. Rhinosinusitis produces thick mucus or phlegm that runs down your throat and causes those bumps. The bumps are in fact lymph nodules, which get inflamed due to the post-nasal drip occurring due to rhinosinusitis. The same mucus or phlegm due to air currents inside nasal cavity dries up to form crusts. The crusts when pulled off, strips the nasal mucosa (inner lining of the nose) and causes a temporary bleed. Secondly, your oropharynx (the region is shown in your picture) shows telltale signs of chronic inflammation. They are the granular posterior pharyngeal wall (the bumps), congested anterior faucial pillars (the rashes on the roof of the mouth - soft palate or pillars) and the enlarged tonsils. These may cause recurrent throat pains and sore throat, which may require taking a frequent antibiotic course. Dust, one of the primary causative agents of allergy, worsens sinusitis by causing blocked sinus ostium, which causes proper ventilation of sinuses. You may note down various times when your allergy and sinusitis get triggered, like certain locations, certain food items, certain habits, etc. Kindly do the CT scan and send me the report as well as films. Films are important. Kindly upload those if you are getting a CT done anyway. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10706, + "tgt": "What can be done for sharp pain in tailbone area while sitting or standing up?", + "src": "Patient: Hello doctor, I have had a sharp pain in my tailbone area when I am sitting or standing up. This has been going on for several months and has not improved. I recently saw a doctor. He diagnosed it as a curve in my lumbar and suggested I see a chiropractor here. Is there anything else I could do to fix this problem? Doctor: Hi. Yes, it is worth having a second opinion and clearing your doubts. But I think your doctor is absolutely right about the cause of pain. This is due to a slightly curved spine in the lower back causing the tailbone pain. Chiropractic adjustments and physiotherapy should help solve this problem. You should also try out anti-inflammatory medications to reduce the inflammation around your tailbone causing the pain while sitting. Medicines like Ibuprofen or Naproxen (for about 5 to 7 days). This medicine should only be taken if you are not allergic to it and if you are not suffering from bronchial asthma. If you have a lot of pain while sitting, you should use a doughnut shaped pillow or cushion for a few weeks. But yes, your previous doctor was spot on with the diagnosis. Coccydynia." + }, + { + "id": 15841, + "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": 3485, + "tgt": "How much fat and protein should be included in a low-carb diet?", + "src": "Patient: Hello doctor, I am seeking experts to comment on low-carb diets. What is the complete macronutrient breakdown for a typical low-carb diet? How much fat should you eat on a low-carb diet? How much protein should you eat on a low-carb diet? We are looking for suggestions on vegan foods for energy. Name the foods you are recommending and set description as to why you are suggesting this food. Doctor: Hello. I just read your query. In general, a person requires 1500-2000 calories per day. Carbohydrates, in general, can fulfill approximately 50% of our daily calorie requirements. People should usually take around approximately 200-325 grams of carbs daily. But if someone is aimed at losing weight then they should aim for a low carbohydrate diet. Then people should take around 50 to 150 grams of carbohydrates daily who are adopting a low carb diet. Also, proteins and fats are also important parts of our diet. If someone is on a low carb diet then they should consume 38-130 grams of protein per day, depending on their weight. One can consume between 30-60 grams of fats while on a low carb diet from healthy sources. There are a variety of vegan foods that you can use for energy like spinach, oats, almonds, lentils, fresh fruits, and chia seeds, etc. These foods are easily available and have a variety of nutrients and also easy to eat. So they are recommended for quick energy needs." + }, + { + "id": 8897, + "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": 24839, + "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": 15462, + "tgt": "My daughter is breaking out with red dots all over her body. What could it be?", + "src": "Patient: Hello doctor, I have a 2 year old daughter. She is breaking out with red dots all over her body. They do not look like measles or chicken pox. She weighs 30 pounds and has no other symptoms. I have tried giving her a child allergy medication because I thought she might have developed an allergy to dog hair. Please help. Doctor: Hi. I need more information for a quality answer. It could be ITP (Idiopathic Thrombocytopenic Purpura)/other hematological disorders/allergy/infection/HSP (Henoch-Schonlein Purpura) and many other disorders can present like this. We need to investigate these.Advice: Try to revert back with answers for the above-mentioned queries to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 19490, + "tgt": "Should I take an I-pill if there is ejaculation near the anus?", + "src": "Patient: Hello doctor, I delivered a baby five weeks back. It was a normal delivery with episiotomy. My wound has healed now. My husband and I have not resumed our sexual relationship as we are waiting for six weeks period completion as advised by the gynecologist. But last night, he was hugging me naked from the back and ejaculated near my anus. I immediately cleaned it up with water. But I have a doubt whether the sperm can go into the vagina and is there any chance of pregnancy? Also, I want to know whether I can take an emergency contraceptive pill now and within what time it must be taken? Which is the safest pill for a lactating mother and will it have side effects on the baby? Of note, I am on MA-Dha and Lactare for lactation. Doctor: Hello. Although, there are very fewer chances of pregnancy, you can go for a copper-T insertion as contraception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2139, + "tgt": "I have wrist pain since the day the entire weight of my bike shifted to my right hand. Please help", + "src": "Patient: I was driving bike suddenly the weight of the entire bike shifted to my right hand. It\u2019s been more than a month. I usually don\u2019t have pain when my wrist is normal , only when I move my wrist or hold something heavy I feel uneasy or like something is not right with the wrist . what can be the reason and what should I do Doctor: Hi, Welcome to icliniq, sad to hear about your accident. obviously if fallen from bike and the pressure took by the hand while your hand touches the ground it causes jerk and can damage internal carpel bones. Your wrist bones connect your hand to your forearm. Wrist movements are controlled by the forearm muscles. here i will tell you some exercise's to strengthen wrist muscles. 1. sit comfortably and bend your arm at the elbow, resting your upper arm on your leg or a table, or hold it with your other hand. 2. make fist and flex your hand as far as you can and downwards. 3. in the same position of you hand move wrist from right to left and left to right. these will help you in relaxing wrist muscles and helps increase Range Of Motion. 4. then stand with your elbows bent and palm together and fingertips pointing up at a level that\u2019s just below your chin. 5. Lower your hands toward your waist, keeping your hands pressed together and close to your stomach. and the last one you do is to squeeze ball exercise. Sit comfortably and take the ball or putty in your hand, wrapping your fingers and thumb around it. squeeze it hard as you can do. repeat this for about 10 seconds.\\ all these exercise's need to be done twice a day. apart from the exercise i suggest you to take X-ray of wrist AP/LAT view. to know if anything damage in wrist bones. follow up after 4 days with report of X-RAY remember always try exercise only until you can do, do not put pressure to stretch the muscle. you can apply Diclofenac ointment following hot water fermentation if you feel pain. hope you will follow the exercise as mentioned. thank you once again for being here to consult about your health." + }, + { + "id": 20332, + "tgt": "Kindly explain my mother's latest test reports", + "src": "Patient: Hi doctor, Please explain my mother\u2019s latest test reports. Currently, she is taking Ramistar, Atorva, and Ecosprin. Please suggest. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). The overall report is fine with some minor abnormalities. First, her hemoglobin is slightly low, which is likely due to an iron deficiency. So it is advisable to undergo a serum iron study. If it is deficient, then she can take iron supplements. She should take plenty of green leafy vegetables. Alternatively, she can also take an iron supplement like tablet Fericip XT (Elemental iron with Folic acid) once a day after lunch. Her vitamin D level is low. So she can take tablet Uprise D3 60,000 units (Cholecalciferol) once a week for eight weeks. It has to be taken for six months. Her FSH (follicle stimulating hormone) and LH (luteinizing hormone) are elevated. It occurs due to her age and menopause." + }, + { + "id": 14772, + "tgt": "I am a 19 year old female. Have watery heavy white foul vaginal discharge every day since 4 months", + "src": "Patient: Hi doctor, I am a 19 year old female. I have watery heavy white foul vaginal discharge every day since four months. Is it due to hormonal imbalance? Doctor: Hi. From what you have described, it looks like you have a bad vaginal infection. You need to see a gynecologist doctor fairly quickly and get treated. This is important as untreated vaginal infections can spread upwards into the uterus. Hormonal imbalance has nothing to do with this. Your doctor will also check your sugar level if you are overweight, if you have PCOS, or have a family history of diabetes. You will also need a testing for urine infection as it is common for both to co-exist. Take care, hope this helps. Do not hesitate to post further queries to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30851, + "tgt": "Is it safe to use Xolair for urticaria?", + "src": "Patient: Hi doctor,I have been suffering from preliminary chronic urticaria for unknown causes for the last 13 years. It is not responding to antihistamine treatment for the past six years. Sometimes, it gets as severe as I have to use Corticosterone injection (Diprofos). All blood analysis showed no cause.\u00a0Dermatologist started to recommend immunity treatment such as Arpimune, which is better but very slow.\u00a0Finally an immunity and allergy doctor recommended Xolair (Omalizumab) for six months. Shall I use it? Doctor: Hi. I understand your concern. Chronic idiopathic urticaria is a type of urticaria (wheals). It is a disturbing illness and difficult to manage. Most urticaria patients benefit from prolonged antihistamines and some may require immune suppressing drugs like Cyclosporine to control urticaria, which were also given to you. When the relief is not satisfactory from all these options, the physicians opt for a biologic medicine called Omalizumab. This medicine prevents the release of urticaria causing molecules in your body. It is considered safe and has proven efficacy in appropriate subjects. It will be given under a physician's supervision and side effects will be monitored. It has helped many patients to attain a longer symptom free periods. You can go ahead comfortably with the treatment. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17979, + "tgt": "A metastasis has been found in the abdominal wall. How can primary cancer be found?", + "src": "Patient: Hello doctor,My mother-in-law has a small cancer in the epigastric abdominal wall with adenocarcinoma, metastatic. We are carrying out further tests including PET-CT scan, endoscopy, colonoscopy, CBC, and all the CA tests, but no primary cancer was found. Now, what will I do? Doctor: Hello. I have gone through the reports of your mother-in-law (attachment removed to protect patient identity). It looks like they have not yet completed the full work up. Biopsy from the abdominal wall nodule shows metastatic adenocarcinoma. So now, they must do upper GI endoscopy, gynecological per speculum examination, and ultrasound thyroid to find out any suspicious lesion. You have not attached the biopsy report. The biopsy specimen must be stained with immunohistochemical markers. There are different markers and each type of tumor has a specific marker. So, the positive-stained marker will identify the primary tumor in most of the cases. In case everything fails to find the primary tumor, the next step is to check the genomic profile to find the primary cancer. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25629, + "tgt": "Why are there red rashes on my glans penis?", + "src": "Patient: Hello doctor, I had unprotected sex three months ago. I had all the tests except herpes done and all were negative. About every one to two weeks since the encounter, I have been getting red rashes and red small dots all over my glans penis and foreskin. They are not raised, they do not itch. They are maybe like two seconds a day and no discharge. Although sometimes penis can produce an odor. The dots will disappear on its own usually after three days and can reoccur again after a week or two. There is nothing that seems to be indicative of herpes. Penis also seems very dry and wrinkly at times. All STDs and HIV tests were all negative. Doctor: Hello. Perhaps you have a yeast infection - candida. It can manifest as redness and bumps on the glans. There is usually associated itching. I request you to kindly upload a few images of the affected area so that I am able to confirm and guide you better. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5341, + "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": 12474, + "tgt": "Kindly suggest the best medicine for depression, anxiety, and lack of confidence", + "src": "Patient: Hello doctor,I have depression, anxiety, lack of confidence, lack of energy and sleep, excess sweating, fast heartbeat from last 18 years. I have tried several ayurvedic treatments, then went to psychiatric treatment but no benefit. Previously doctor prescribed me Nexito Forte and Pronol 10 in morning and evening and Prestiq 50 in the night. I had taken it for two years but feel some benefit only. It causes me excess sweating.Then I consulted another doctor and he suggested me Paxep CR 12.5 in morning and Buspar 10 in morning and evening. But it creates a problem in sleeping and some weakness. Then I consulted another doctor, he prescribed me Nexito 10 and Clonazepam 0.5 in the morning and evening and Mirtazapine 15 in the night. But it created excess sleep and stomach upset. But I feel slightly better mentally. I am really confused that which treatment of medicine I should follow for a long term to get rid of my problem completely. Which will be a better option for me? Please help. Doctor: Hi. I understand you are suffering a lot due to your depression and anxiety. Most medications given for depression as well as anxiety have similar efficacy. As per the history given by you, I think you have benefited from treatment suggested by the last doctor. I would advise you to continue tablet Nexito 10 mg in the morning and tablet Mirtaz at night around two hours before sleep. You can withhold tablet Clonazepam if you feel too sleepy. Along with medicines, I would advise you to focus on your diet and sleep hygiene. You can choose a physical activity and continue it. It will help you. There are some relaxation exercises like Jacobson's muscular relaxation techniques. These will help reduce the physical symptoms of your anxiety. Please follow up regularly with your doctor and continue medicines started for atleast six months." + }, + { + "id": 26082, + "tgt": "Please assess my risk of being HIV-infected", + "src": "Patient: Hi doctor, Yesterday, I went to a massage parlor for B2B massage. Once the massage was done, the therapist gave me a hand-job and during the process, I also touched her vagina with my fingers. We did not had any vaginal or anal sex activity during this time. But my concern\u00a0is since I do not know about her HIV status, do you see any risks here of getting HIV-infected? Or is there any other infection which might affect me? Should I conduct any HIV medical test? If yes, please suggest. Doctor: Hello. I read your query and understood your concern. I hope I was able to address your concern. For more\u00a0information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 6966, + "tgt": "Can I take Nasonex and Zyrtec for sinus block?", + "src": "Patient: Hi doctor, I found that my nose was blocked. The doctor diagnosed it as\u00a0sinus block. I first took Otrivin drops and Moxiflox (antibiotic). As there is no improvement, I am taking Nasonex and Zyrtec. Please give your opinion. Doctor: Hi. Do revert for further support. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7535, + "tgt": "I have small white scar on the lower lip. What is the cause?", + "src": "Patient: Hi doctor, I have a small white scar on the lower lip for seven months. It was not white at first. But now it just stays there and does not show any change. Doctor: Hi. Your problem is nasolabial dyssebacia (attachment removed to protect patient identity). It is a type of eczema secondary to mild pityrosporum yeast infection associated with an oily part of the face with affected areas, mild scaling and redness in few individuals. You can start using Cetaphil soap for face wash along with Lulifin cream (Luliconazole) once daily for 30 days. Apply to the affected areas even if the skin becomes normal after 30 days. It flares with stress and over thinking. Nothing serious, it is curable. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18493, + "tgt": "My son sprayed mosquito repellant close to his eyes. Will this cause any impact?", + "src": "Patient: Hi doctor, My son pressed a herbal mosquito repellant spray close to his eyes. I am not sure whether the liquid directly sprayed into his eyes. We immediately washed his eyes and nose as he complained about a burning sensation. But soon it was over, he can see things and recognize colors. Will this have any impact in the long run? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10982, + "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": 16043, + "tgt": "Why am I unable to lose weight in spite of working out hard?", + "src": "Patient: Hello doctor, I am 27 years old female, weight 88.5 kg having a thyroid. I am not losing weight inspite of working out five days a week. This is making me frustrated. I really need help. I cannot see myself so stressed after working so hard. I have attached my medical reports here. Doctor: Hello. We went through your post, your main issue is excess weight. Weight reduction has two important components and both are necessary, and that are consuming fewer calories and burning more calories. If you are doing only one, nothing is going to happen. I would suggest you take only vegetarian diet that too low quantities and with minimal oil. You can add Orlistat 120 mg with each major meal like lunch and dinner. That will help further in accelerating weight loss. However, what you eat as your food is very important." + }, + { + "id": 19501, + "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": 29574, + "tgt": "My decayed tooth is held by the edge of my gums. Shall I pull it out?", + "src": "Patient: Hi doctor, I have a decayed second molar on the bottom right side (photo attached). It is decayed over the years to about one third. Just now, it has completely broken off and freed itself from its roots, but is held by only the inside edge of my gums. There is no swelling, but the gums have been tender for a week now. I did have a check up and cleaned about a week and a half ago. It is a tooth along with four wisdom teeth that I have been told to have taken out. I have yet to schedule an appointment but will make it soon. This broken piece is bothering me, and I was wondering if it was a terrible idea to go ahead and pull it from the attached gums. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29810, + "tgt": "Is surgery the only treatment option for anal fistula?", + "src": "Patient: Hello doctor, I am a 27 year old male. I am suffering from anal fistula for the last four years. I get pain in the\u00a0anal region because of this. I just wanted to know whether this will\u00a0affect my sexual strength. I am feeling difficult to get a good erection also. I have done a scanning and I am going for a surgery.\u00a0I need an expert advice for the same. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1567, + "tgt": "I had a back injury two months ago. Why do I still experience pain and discomfort?", + "src": "Patient: I have experienced a back injury which has lasted for two months but it has gotten better lately. The event happened when I had my back extended to max(backbend training) and it was just sore afterwards, but the next day the range of motions had been very limited which I couldn\u2019t do any extension nor flexion. I felt the pain and compression around the sides of my lower back and middle back when I flex and extension degrees was limited as I felt it was at the middle of the spine prevents me to do so. I have been doing research about this which can seemingly be QL muscle spasm, thoracolumbo joint syndrome, and have tried gentle stretches also even rested but still experience the pain or discomfort. Doctor: Hi. Never try to stretch any body part or full body in a first. if given a try the same will happen. stretching needs to be done on regular while doing exercises and can be extend day by day not by once. anyways dont worry about the low back pain here i will suggest you exercises which at first you need to do slow without any pressure for a week. then after a can do little fast, this will improve your muscles strengthening of lower back. apply the ointment to the area of pain, cover it for about 10-15mins with a cloth, then clean it with warm water following hot water fermentation. then do the following exercises. all the above exercises to be done carefully atleast once a day for 10 days. do not put pressure if pain is severe. diclofenac ointment to be used twice a day. Take Accelofenac+ paracetamol ( Zerodol P) for three days. once a day. slowly the range of motion will increase after a week. untill then take rest properly and take care. follow up after a week. thank you." + }, + { + "id": 22975, + "tgt": "My 13 months old got blister in knee that has become a lump. Please help", + "src": "Patient: Hello doctor, My baby is 13 months old still crawling and trying to walk. He got some blister in his right knee and punctured it about two weeks back. The wound appears dry at times and at times it is again looking fresh. This could be due to the fact that he crawls. Please tell me what to do. It has become a lump like thing. Doctor: Hello. I understand your concern for your child. But I need to know a few more things: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29895, + "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": 19839, + "tgt": "My son's penis tip is very narrow. How to correct that?", + "src": "Patient: Hi doctor, My 2 year\u00a0old son's penis tip has a very narrow opening. The foreskin at the bottom part is quite flexible, but it seems to be attached to the inner meatus at the tip. When I try to pull back the foreskin for cleaning gently, the inner meatus is hardly visible. Earlier, he used to have ballooning while peeing. After application of a corticosteroid cream (Betamil GM) for a couple of months, the ballooning has gone completely. But, the opening is very tiny. He has not complained of any pain as yet, but\u00a0I am just curious to know if I should worry. Thank you. Doctor: Hi. This phenomenon is known as phimosis. Most of the time, steroid ointment that you have applied will help. In your case, it has helped. So, do not worry even if the opening is small as long as there is no ballooning of the prepuce. You can get a circumcision if you want to get rid of this problem altogether. But, no hurry to get it done. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 4753, + "tgt": "What can be the reason for brownish discharge following USG?", + "src": "Patient: Hi doctor, My last USG report showed intrauterine pregnancy with 8 mm gestation sac, no fetal and yolk sac. Last week I had brown discharge with mild lower abdominal pain and was prescribed Susten 200 mg (oral). Now, I am feeling the pain frequently in the right lower abdomen with mild bleeding and pain. It is less when I lie on bed. What to do? Doctor: Hello. I have read through your question and understand your concerns. I think it is threatened abortion. You should take bed rest along with tablet Susten 200 mg twice daily (Progesterone) for two weeks and Mbryosafe sachet once daily (L-arginine). I think it will help you and give you better prognosis. Ultrasound is required after two weeks for evaluation. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 7209, + "tgt": "Can varicocele be treated or controlled by yoga?", + "src": "Patient: Hello doctor, I have the right varicocele, which is 4 mm in size due to which I have very mild pain in the right testis. Do you think this can be treated by yoga in any way or if yoga can help in controlling this? Doctor: Hello. First of all, you need to undergo examination and need to take medicine for the immediate arrest of the problem. You can try yoga asanas like suryanamaskar, bridge pose, straight leg raising, dhanurasana in a slow manner. Deep breathing exercises and pranayam can help." + }, + { + "id": 4555, + "tgt": "I have acne since the age of 13. Kindly get me a solution", + "src": "Patient: Hi doctor, I am a 27 year old female. I am getting acne since the age of 13. I have asthma. No product has worked on my face. I have sensitive oily skin. Kindly advice some solution. Doctor: Hello. I have read your query and I understand your concern. Revert back with the images to a dermatologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13493, + "tgt": "How can premature ejaculation be cured?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation problem. It happens under 15 seconds. Please advice the prescription or medicine to cure it. I am 27 years old. Doctor: Hello. It is commonly associated with performance anxiety. With repeated practice of intercourse, it will be cured. If no improvement, then you can take help of psychiatrist or sexologist. Fluoxetine like drug can be prescribed in such case. Local topical Lignocaine jelly application after erection can extend the duration. Master and Johnson start and stop technique are also beneficial. Behavioral counseling also can be done." + }, + { + "id": 18625, + "tgt": "Is one tablet of Septra daily, enough for my dad who has AIDS?", + "src": "Patient: Hello doctor, My father is 58 years old and weighs 49 kg and 5.8 feet tall. He is on ART medicine since the last 13 years. He has AIDS. He had seizures last year, so he is also taking Ecosprin 75 mg, Septran, and\u00a0Eptoin\u00a0daily. I have two questions. Many doctors are surprised that he is only having one Septran tablet a day. I wanted to know that, is one Septran tablet enough? His MRI scans show some infections. I also want to inform you that my father has high BP problem, and he is on Telma since last year. Should we increase his dosage of Septran considering he has high BP problem? My other question is that, whether blood clots can cause seizures because as far as I have researched, Eptoin is being given only for the epileptic seizures. Is there a possibility that blood clots can cause seizures? He had seizures on the left side of his body and\u00a0since then, he has never had seizures or any those symptoms like slurred speech or confusion or lack of coordination. Please help me. I have not attached any medical reports. But still, if you can guide to whatever extent, that would be of great help.\u00a0Regards. Doctor: Hi. Hope you are satisfied with the answer.\u00a0Regards. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17335, + "tgt": "How long do I have to wait after Cortisone shot to have surgery?", + "src": "Patient: Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vitamin D and 1200 (900 mg omega 3) mg fish oil. How long before surgery should I stop taking those supplements? Doctor: Hello. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy or hernia repair, the duration of surgery, soft tissue handling, the absence of prosthesis all favor very low risk of infection. You can continue turmeric, multivitamin, and fish oil until the day before your surgery. Vitamin D supplements should, however, be taken only after physician consultation and if the serum levels of vitamin D are normal, they should be discontinued. Excess Vitamin D intake can lead to hypervitaminosis D. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29900, + "tgt": "Apart from surgery, is there anything to correct curved penis?", + "src": "Patient: Hi doctor, I have a downward curve on my penis. It seems that when I am erect the raphe on the underside is keeping it from being straight. It is not painful, but it does affect my sex life. I am unable to have sex in certain sexual positions such as missionary because of the tension on the underside and sensitivity. Is there anything you can recommend aside from surgery to correct the problem? Doctor: Hello. Please relax and do not worry. Revert back with the images to an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 26316, + "tgt": "Can my twisted knee cause any ligament or meniscus tear?", + "src": "Patient: Hello doctor, I was playing football yesterday, and as I stretched for the ball, my right leg which was in the air got caught at the end of my foot causing my foot to go outwards and my knee to twist.\u00a0I continued to play, but my knee felt unstable, and I could sometimes feel a\u00a0sharp pain on the inside of my knee. The pain was very isolated and only located in this area. There were no shooting pains down or up my leg. I am on no medications.\u00a0I am\u00a0trying to figure it out if there is any minor ligament or meniscus damage. It does not hurt at all when doing the twist test. It only hurts on the medial side of my knee joint when bending my leg.\u00a0What do you think it is and can it recover by the next weekend? Doctor: Hello. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 5185, + "tgt": "Can vitreous cells present in anterior uveitis patients?", + "src": "Patient: Hi doctor, I was diagnosed with bilateral anterior uveitis two months back. I was put on Pred Forte. After 20 days of which only occasional AC cells were seen in right eye with no flare. Left eye was clear, but few mid vitreous cells were seen which were not present before. Hence, I was still on Pred Forte 2 times a day. A month back few vitreous cells were seen in right and left eye with no vitritis, no intraocular infection and no AC inflammation. Hence, everything was stopped. But, when I went again to the doctor, the following were the findings of my right eye.\u00a01+ vitreous cell, with stable inflammation and shoe horse tear with minimal elevation which got treated by barrage laser. In left eye,\u00a0there were traces of vitreous cells with no vitritis. Pred Forte was advised every fourth hourly for right eye. Can these vitreous cells be caused by anterior uveitis itself? As according to my doctor, I do not have vitritis too and I am consulting a uveitis specialist? Should I continue Pred Forte till all vitreous cells go away? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27440, + "tgt": "My father was diagnosed with prostatic adenocarcinoma. What should we do?", + "src": "Patient: Hello doctor, My father is diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (% of 4 is 30%), tumor involves 60 % of submitted biopsy. No perineural invasion is\u00a0seen.\u00a0His PSA level is 107.69 ng/mL. He has triple vessel heart disease, and the echo result showed EP 60 %. He is 85 years old with very well brain function and fully conscious.\u00a0What treatments should we go with at this stage? Doctor: Hello. It will be difficult to commit to one plan, as I have not seen in person. Good luck. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 16682, + "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": 22969, + "tgt": "Is it safe to fly when I am 23 weeks pregnant?", + "src": "Patient: Hello doctor,I had my second anomaly scan at 18 weeks and the reports showed the impression that the placenta is at posterior wall mid and lower part grade I. The lower margin of the placenta is 3 cm away from internal os. Also, there is a breech presentation. What does it mean? The doctor told me to take bed rest and to avoid heavy work and sexual intercourse and keep an eye on any kind of vaginal bleeding. I am really tensed about the condition. Is it life threatening for my baby and me? What other precautions do I need to take? Should I go for another ultrasound after one month to check whether the placental position has improved or not? Also, I am a working woman and need to travel approx 40 km daily. What should I do? Also, I wanted to ask if I can fly at around 23 weeks. Doctor: Hello. Breech presentation at this gestational age has no significance. The placenta is 3 cm from os means that it is slightly in the lower segment. No need to take bed rest. Just avoid jerky traveling. It is not life-threatening. There is a slightly increased risk of bleeding. It will ascend in future. Get a repeat ultrasound few days prior to traveling. If everything is fine, then you can travel. A flight journey is safe in the second trimester. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17076, + "tgt": "I have severe body pain. Is it a symptom of HIV?", + "src": "Patient: Hello doctor,What is the window period for HIV? I was tested negative on the 95th day after a possible exposure. But, I have all symptoms, like headaches, increase appetite, weight gain, body pains, and a blood vessel broke in my eye. I am having a lot of body pain. What are the symptoms\u00a0of HIV? Please help. Doctor: Hi. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6764, + "tgt": "I have intramural fibroids. Is it necessary to undergo surgery to get conceive?", + "src": "Patient: Hello doctor, I am 35-yearold female and do not have children. I have two intramural fibroids of 2.5 cm in size, putting pressure on the cavity. Doctor suggested laparoscopic myomectomy along with the removal of chocolate cysts on the ovary. I want a second opinion. Is surgery necessary? How long should I wait to conceive after surgery? Is reduction of the size of tumor necessary before surgery? Doctor: Hello. I have gone through your history and understood your concern. It is better to go for surgery because it will increase the chances of pregnancy, and it is better to reduce the size of the tumor because it causes pressure on the uterine cavity. You can wait for 3 months after surgery to conceive again." + }, + { + "id": 1301, + "tgt": "I am bleeding after 10 months of my delivery and it is severe. Should I expect this?", + "src": "Patient: Hello doctor, I had normal vaginal delivery 10 months ago and breastfeeding my baby. Since then I did not have my periods. But yesterday, around 10 PM I felt some brown stains, but I started worrying when I saw the flow as it is really heavy. I used three pads in three hours and that too there were literally in a situation of dripping. I do not know whether I should expect this or not? Could you please help me to find the problem and any medication I can go for? Doctor: Hello. While a woman is breastfeeding post-delivery, menstrual cycles usually do not resume until 6-12 months, and it will vary from person to person. This is like a natural birth control devices by nature to prevent subsequent pregnancies at a shorter interval. But however, this is not 100% effective. The excessive bleeding that you experienced is definitely not normal even if you have resumed your cycles. One possibility is that you could have ovulated and got pregnant in the same cycle before you could get your actual periods, and it got miscarried (if you were not using any birth control methods). So I would advise to check your urine pregnancy test once if there is any history of sexual intercourse. The second possibility could be excessive bleeding due to other causes like fibroids or any other structural problems or hormonal disturbances which will have to be evaluated. Please get an ultrasound if possible to look for the same. Meanwhile, to control your excessive bleeding, I prescribe some medications which will help to control your flow. Please feel free to revert back with the urine pregnancy test results to rule out the possibility of pregnancy first. Urine pregnancy test. Ultrasound abdomen and pelvis. Tablet Tranexa (Tranexamic acid) 500 mg thrice daily after food. Follow up with the urine pregancy test results." + }, + { + "id": 23241, + "tgt": "My urine and stool routine check found occult blood. Is it serious?", + "src": "Patient: Hello doctor, For some days I was burping a lot with burning sensation around the stomach. I went to the doctor and he advised some medicines Vibact DS 1 at night for three days and Torfix 400 three tablets each day for three days. I am better now. Just for a normal checkup without any issues I went for a urine and stool routine check and found that occult blood is present. I have done stool OBT test before as well just two to three months before and everything was normal. When I see internet I am worried about all occurrences. Please help. Am I going to die? Currently, I am taking Telday 40 for blood pressure and discontinued Telekast L10. Doctor: Hi. Nothing to worry. Stool occult blood positive implies that there is microscopic evidence of blood in your stools. It can happen due to multiple reasons. You might be having some amount of inflammation in the gut which caused your symptoms. These can result in positive OBT (occult blood test). Please take tablet Pantocid (Pantoprazole) 40 mg tablets once daily for one week 30 minutes before food. Get few tests done after two weeks like complete blood counts, liver function tests, and stool occult blood. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18367, + "tgt": "I am concerned about my PSA and free PSA values. Kindly guide me", + "src": "Patient: Hi doctor,On a recent visit to the doctor, my PSA was 4.7 and free PSA was 0.78. The prostate was swollen on the right side, but no bumps or nodes felt. I had another PSA test three weeks later and the result showed PSA 2.5 and free PSA 0.60. Under what percentage do the 0.78 and the 0.60 values fall in? What would you do at this point? My age is 73, and of course, I am concerned. Thank you. Doctor: Hello. For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3062, + "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": 4008, + "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": 23786, + "tgt": "I have a swollen lymph node in the armpit. Does it indicate any health issue?", + "src": "Patient: Hello doctor,I have swollen lymph node in the armpit with very little pain. I have been experiencing fatigue and weight loss for last few weeks. I have gone through some routine lab test and found that some test results are out of the normal range. Iron profile: iron 153, UIBC 96 (low\u200c), TIBC 249, saturation % 61.40 (high). Are the above results an indication of any health issue or disease like hemochromatosis? Doctor: Hello. Serum iron is a bit on the high normal side and TIBC/ UIBC is on the lower side. The rest of the reports are fine. ESR is normal, so it makes the possibility of chronic inflammatory illness to be less likely. However, your iron profile is not complete, serum ferritin value is not there. You should request the laboratory to test it again. Ferritin will indicate the amount of excessive iron in the body. If ferritin is elevated, then it suggests iron overload in you and in that case you will need further investigations like HFE mutation testing, liver, and cardiac MRI, etc. So, on priority, you should get serum ferritin level done to look for a possibility of iron overload. You also request for CRP test as an alternative evidence for any inflammatory disease. It is similar to ESR. Meanwhile, do you have any history of blood transfusions, family history of any blood disorders, acute febrile illness recently? Regarding lymph nodes, small and painless lymph nodes size 1.5 cm are considered normal for armpit. So it is better if you can get it examined by a local physician. 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": 5825, + "tgt": "I have ED, irritability and urinary urgency. Will Clomifene raise my testosterone levels?", + "src": "Patient: Hello doctor, I am a 36-year-old male. I have been having issues with ED, fatigue, irritability, and urinary urgency. I just felt like my nether regions are lacking in nutrition. Penis feels abnormally limp and dead a lot, and have trouble maintaining erections during sex. Also, I am leaking urine after I urinate, and have to do it without warning. I went to a urologist and got my levels tested, testosterone was 360, and free test 13.5. He said might be good to try Clomifene in order to raise T levels, and I was wondering, would one have to be on it for life? It seems like the side effect profile is not nonexistent, I do not want to go on TRT, and seems dicey to mess with hormones for too long. Can the Clomid permanently switch my T levels to normal? What is the goal? Have a hard time getting an answer from my doctor. Also, is it possible to get T levels to normal functional level through more exercise, etc,.? I could definitely stand to exercise more, though I am not fat. Also, my blood pressure has been high at 146. I eat pretty healthily. Trying to find the best way forward? Cialis has helped ED and erases urinary symptoms, but it gives me a lot of testicle pain, and I figure it is not good to be on that forever either, but instead treat the root causes. I also had minor gynecomastia in right breast since puberty. Doctor: Hello. The doctor basically gave you Clomifene because most likely he suspected that since you have gynaecomastia, therefore, there might be low prolactin levels as well and Clomifene is an anti-estrogen drug, therefore it will help to decrease the gynaecomastia and possibly help you with your erectile dysfunction. There is no harm in taking it for a few months. Although, it is an indirect treatment but might help and not that it has a bad adverse effect. So no harm in trying. Also, since your testosterone was not that low so I do not think that you would have to take it for long. You can try de-stress techniques instead of exercising to relax your mind mainly to achieve your cure. Since most of the times, it is just psychological." + }, + { + "id": 24998, + "tgt": "How can I get rid of discomfort in my back?", + "src": "Patient: Hello doctor, I have been experiencing discomfort in my back. Sometimes, I would feel uncomfortable or heavy in my upper and lower back. There is also an extremely loud noise of bones rubbing together. It makes me think that this may be the reason for my poor posture. I find myself slouching all the time as my back feels kind of heavy. What can I do to get rid of this discomfort? Doctor: Hello. In my opinion, the pain could also be due to muscular imbalance. As you said, it could be primarily due to bad posture. So improving posture can help you regain normal balance and get rid of pain and discomfort. I suggest you kindly do strengthening exercises for your upper back and neck, core stability, stretches like cobra stretch and hip flexors will help to achieve your goal faster. Until then keep icing your back. Keep stretching chest muscles, cobra stretch and hip mobility exercises. There are a variety of hip mobility exercises available like the fire hydrant, piriformis stretch, hip IR (internal rotation) stretch, etc. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 2704, + "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": 10103, + "tgt": "I am diagnosed with migraine. Kindly provide me second opinion", + "src": "Patient: Hello doctor,I am a 15-year-old male with a height of 148 cm and weight 44 kg. I am diagnosed with migraine, and I want a second opinion. Doctor: Hello. Migraine is a diagnosis based on symptoms given by the patients. The symptoms are a severe headache, dizziness, vomiting some patients also get migraine by a loud sound, acidity, and excessive heat or cold. If you are having other symptoms like pain in the neck or back or shoulder, excessive acidity or deteriorating eyesight, then maybe the diagnosis of migraine can be challenged. If not Fepanil (Paracetamol) is good medicine, use it as advised by your doctor. If you have any other questions, please feel free to ask." + }, + { + "id": 5336, + "tgt": "When can root canal treatment be done in a broken tooth with severe pain?", + "src": "Patient: Hello doctor, One of my fillings broke off a week ago and the next day I was in extreme pain. I went to a dentist where she prescribed me Amoxicillin 500 mg and Ibuprofen 800 mg for seven days. A day after my medication was finished I was getting extremely sharp pain in the broken tooth and jaw, it was hot and throbbing and kept waking me up in the night. I could not put any pressure on it ans Ibuprofen did not decrease the pain at all. I finally went to the dentist for a filling unrelated to what was going on but she instead put a temporary filling on the one that is hurting. But two days later back on 800 mg Ibuprofen the pain has not stopped and it still is continuing to hurt as bad as it has before. She suggested that the molar behind the broken one needs a root canal, but I have to wait for four weeks for it to be approved. Now she is also suggesting that I get a root canal for the badly broken one to try and save it but out of the two, the broken one is causing more pain and I do not think I can wait an extra four weeks to get it approved. Should I just have that one extracted? Doctor: Hello. You are probably having unbearable pain due to the increasing infection below that badly broken tooth. This can be managed by opening up the infection and giving an open dressing to relieve the pain and pressure. Once opened up, the pain subsides and you can wait for another four weeks to get the root canal completed. If you think you cannot manage the pain for another four weeks, then proceed with tooth removal (for the badly broken one). But you have to get it replaced. Wish your pain comes down sooner. Hope it helps." + }, + { + "id": 25171, + "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": 10854, + "tgt": "I have a 4th nerve palsy issue and it scares me. Please help", + "src": "Patient: Hello doctor, I am a 58-year-old cyclist. I recently started having a strange problem with my vision that started almost a month ago. It was also around the same time I was getting new glasses, but my optometrist said that he does not think the two are related. He referred me to see a neuro-ophthalmologist, and it looks like I have a 4th nerve palsy issue. After reading about it, it is familiar to my recent experiences. No accidents, history of diabetes or other issues. It seems to be my right eye. Looking straight, left and up is fine. The problem comes when looking down (bifocals) or looking right. I also read that blood flow could be an issue. I have been using my inversion table lately more often. I do feel obvious pressure in my eyes using this. Is that an issue? It scares me now, so I put it in the garage. I read this can be idiopathic and can even go away in a few months. Is it true? Doctor: Hello. The symptoms you are experiencing can all be in 4th nerve or superior oblique muscle palsy. This muscle acts to stabilize the eye when looking down and is the primary muscle acting while looking down and outwards. Since you mentioned that you do not have diabetes or other systemic illnesses, the cause could be idiopathic. Such idiopathic nerve palsies do have a good chance of improving on their own. The best sign to look for improvement is to see the double images moving closer to each other, and eventually disappear, on the complete resolution. In case you have any further questions or want any additional information, please let me know." + }, + { + "id": 14911, + "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": 21052, + "tgt": "Severe pain and swelling in the injected area. What to do?", + "src": "Patient: Hi doctor, I am 18 years old, and I was given a painkiller injection before seven days due to an extreme headache. Recently, I have noticed a swelling and a severe pain near the injected area (an area just below my hips). What can I do to get rid of it? Doctor: Hi. You had a painkiller injection in the gluteal region. The pain and swelling can be due to inflammation. You can apply an ice wrapped cloth frequently over it for one to two days. There is no need for taking any further medication as per my opinion. Kindly upload your post photo of the swelling to check it and to guide you further." + }, + { + "id": 2355, + "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": 13995, + "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": 14495, + "tgt": "How can i prevent getting dental cavities?", + "src": "Patient: Hello doctor, My age is 18 years. I had a root canal last year. I have many cavities in my teeth. I brush three times a day nicely then also cavities grow up and come on other teeth. Please tell me any of your solutions. Doctor: Hello. I have been through your query and I can understand your concern. The cavities (caries) have many causes to occur in the mouth. And overall cleaning with proper technique of brushing and flossing is essential to maintain good oral hygiene. Good oral hygiene with regular dental check-ups will ensure no cavities in the future. I would advise you to have a visit to your nearest dentist and get the remaining cavities filled (restored). And have a proper cleaning and scaling done for the teeth. In order for proper brushing technique, ask the dentist you visit to show you the suitable and proper brushing technique. As for now, you can search the modified bass technique for brushing your teeth. Be gentle while brushing. Always brush after breakfast in the morning and after the dinner (before sleeping) in the night. Do regular oral rinses after having meals and floss regularly in order to ward off the cavities. Also, come for the regular dental checkups after six months to your nearest dentist (dental check ups will cost merely some bucks which is better than one time huge amount to spend and that too for drilling and filling your teeth). Maintain good oral hygiene and follow above said things and I can assure you that your teeth will never get any cavities." + }, + { + "id": 26513, + "tgt": "I have fever, weakness and throbbing of head. Do I have dengue?", + "src": "Patient: Hi doctor, On 16th evening, I suddenly fell sick with symptoms like fever, sudden fatigue, chills, body aches (chest, legs, shoulders, head, eyes, almost all body). I was good during the day except for an itching in the throat. The weakness was so severe that I could not even walk a few steps. I felt like I was going to\u00a0collapse. Yesterday, I visited a physician who advised me to undergo few blood tests. He thought I am having dengue. Today, I received my blood reports. The dengue tests were negative. But the CBC reports suggest an infection. I still have a\u00a0similar weakness that I had during the\u00a0onset of fever. When I walk, I feel like my head is throbbing and it would burst. I almost hold it by my hand to suppress the pain. The body ache seems to be reduced as I am taking Calpol twice a day. Do I really have dengue? Did the test turn negative as I did it before 24 hours of onset of fever? Do you suggest to undergo any other test like chikungunya and yellow fever? Or is it just 'atypical' viral fever? I am currently on Azithromycin once a day, Paracetamol twice a day, and Allegra twice a day. Doctor: Hello. I went through your post and 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": 4445, + "tgt": "I have severe pain in molar tooth and painkillers are not working. What to do?", + "src": "Patient: Hi doctor,The molar on the left side of my mouth was filled last year and right now it hurts really bad. I took Tylenol and Motrin, but none of them help. I cannot remember if I pulled out that molar a while ago or if it still needs to be pulled. It is not really loose, but I can move it around. If I try to pull it out I am afraid that it will be my permanent tooth. The pain started last week. I do not know what to do. I talked to my dentist and he said that he did not see anything wrong with it but, for some reason, the pain is still going. I cannot sleep at night and it gives me ear pain. Doctor: Hi. I have read through your complaint and the relevant details. Firstly, I would like to tell you that ear pain, pain during night, and the looseness you feel in the tooth are all the signs of a deeply infected tooth. Secondly, it is not necessary to be for the same filled molar to give you trouble. The pain might be from the same molar or could be due to a different tooth on the same side. I would not be able to arrive at a correct diagnosis until at least I see a picture of your teeth in that row. It seems you take pain killers for the same and there is nothing more I could prescribe (considering your age). The only way to immediate pain relief would be an active dental treatment for the affected tooth as soon as possible. It cannot be cured just with pain killers or any other medications. I advise you to see the dentist with an emergency appointment and look upon the issue. If you do not address the issue, then there are more chances of the tooth to undergo severe internal pressure and you might get a swelling next to the tooth. Thanks." + }, + { + "id": 18110, + "tgt": "Even after taking inhalers, why do I continue to wheeze?", + "src": "Patient: Hi doctor, I have taken Albuterol and Advair twice a day for about a month now without any relief of my wheezing. Even right after I take my inhalers, it is like I took nothing. Allergy pills do not seem to help much either, like Claritin or Zyrtec. They even did an x-ray of my chest and said everything looked fine. So my question is, why do I always feel short of breath? Why do I continue to wheeze so much? I have always had asthma, but never this severe. Doctor: Hello. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 22342, + "tgt": "I have taken Unwanted 72 within 20 minutes of sex. Can I get pregnant now?", + "src": "Patient: Hi doctor, I have taken tablet Unwanted 72 for the first time within 20 minutes of sex. I have the feeling of vomiting, chest pain and I am feeling sleepy too. Is this normal? Can I get pregnant? Doctor: Hello. I have reviewed your query. Unwanted 72 is an emergency postcoital contraceptive pill containing Levonorgestrel. Though it is effective within 72 hours after intercourse, it is very active when it is taken immediately after sex. As you have taken within 20 minutes, you will be having higher efficiency and a very little chance of getting pregnant but, not a zero percent chance. Because even this tablet also has a minimal failure rate of 0.3 to 2 percent taken within 72 hours. Do not worry much but you need to keep track of your expected date of periods and get a pregnancy test done if the periods are delayed. Regarding the symptoms you are experiencing, chest pain is unlikely to occur after taking Unwanted 72. But vomiting and sleepiness are quite common side effects. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8800, + "tgt": "Can I give Eldopar to my daughter?", + "src": "Patient: Hi doctor, My daughter has been experiencing some stomach ache since two hours. She went to the toilet and had loose stool, not exactly watery but loose. She is also complaining of vomiting feeling. Can I give her Eldopar? Is any antibiotic required for stomach infection? I have given her 5 mL of Ondansetron. Doctor: Hi. I can understand your concern. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24226, + "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": 28465, + "tgt": "I coughed up yellow phlegm and the area over my right lung is paining. Is it lung cancer?", + "src": "Patient: Hi doctor, I am a 19 year old male, and I weigh 140 lbs, and I am 5.7 feet tall. About three weeks ago, I went to the doctor for a fever, chills, and a headache. I was told that it was a minor case of flu. I developed blood in my mucus soon after,\u00a0but I did not go to the doctor, as it went away after four days. Soon after that, I felt better. But recently, I have a cough with yellow phlegm, and\u00a0I also have a pain in my right lung area, slightly below my chest when I cough or breath deeply. I was told this pain could be due to coughing too hard. I was wondering if these past two instances could be linked together? Does it indicate something serious such as lung cancer? Thanks. Doctor: Hello. 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": 23056, + "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": 10101, + "tgt": "What is the reason for on and off toe swelling in a diabetic?", + "src": "Patient: Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but under control with medication. Doctor: Hello. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. She may not have a proper sensation at the region due to diabetes. So regular inspection and care is mandatory. She should not walk barefoot, and slippers need to be correctly selected. 3. She needs control of infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions." + }, + { + "id": 3247, + "tgt": "For breast cancer, should we do chemo first or surgery?", + "src": "Patient: Hi doctor, My grandmother was diagnosed with breast cancer three years ago and had a right mastectomy. She however did not have chemo or radiation. She has a little extra fat to the lateral area of the breast that after surgery it looked like a small third breast. Right over the old incision has developed a large ulcerative cauliflower-like wound. The tumor is protruding and is very vascular. It currently has no odor, but it is bright red and bleeds excessively once the dressing is removed. She is 86 years old with a history of high blood pressure, COPD, CHF, diabetes, CAD, TIA and pacemaker. She still ambulates, alert and oriented. Also she understands what is going on.\u00a0We visited the oncologist and were told she will either need to undergo chemo or radiation. The surgeon, who did mastectomy, is recommending surgery to remove the protruding tumor. Which is the best option to do first? My family is very leery about her ability to handle chemo and frankly does not want her to have chemo. We know that removing it does not cure the cancer. Should we do radiation first then remove it with surgery? If we were to consider chemo should we do some cycles first then remove it with surgery? Which option would you say is the safest route? We want to keep her around many more years if we can.\u00a0Thanks for your time. Doctor: Hi. Here are my suggestions: Assuming that you want to undergo full treatment, the best method would be to start chemo and radiotherapy. The cycles of chemotherapy will depend on the medicine chosen by your oncologist. This will reduce the tumor size. Then go ahead with the surgery and then complete the treatment with further cycles of chemo and radiotherapy. Another option is surgery followed by a few cycles of chemo and radiotherapy. The above options are important because if left untreated, the site may get infected. Other complications are of course to be considered. The other option is no treatment at all. Just palliative medicines to keep her comfortable. This way she can live a comfortable life considering that you have said she is stable. Please note that I am just explaining the option. The choice of treatment would be your decision. I suggest getting a PET scan before deciding. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4459, + "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": 25079, + "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": 25673, + "tgt": "Rubella IgG tests were reactive. Is it too risky to get pregnant?", + "src": "Patient: Hello doctor, I had three miscarriages. I did TORCH test twice. Now that I went to my doctor she told me not to get pregnant since my rubella IgG tests came out to be reactive. In the first TORCH test, my rubella IgG value was 65.1. In the second TORCH test, my rubella IgG value was 277. I did the second TORCH test after 16 months. My doctor said that getting pregnant would be risky. Also, there is a higher chance of miscarriage. Can you please give me your suggestion? Thank you. Doctor: Hello. Do not worry. With recurrent miscarriage, you do not require to go for TORCH test as it is responsible for sporadic losses and not a recurrent one. Have you been immunized against rubella in childhood by receiving MMR at 16 to 18 months? The levels of 277 suggest that you are immune and to know whether you had a recent infection or not then avidity testing is done for that. Please state at what period of pregnancy you had an abortion and what test and medication have been given so far. Few important tests should be done to know the cause of recurrent miscarriage. Is there any family or past history of thrombosis in the family? We need to rule out congenital or acquired thrombophilias. First get all these tests done and review with reports and I suggest you be put on some medicines while planning a pregnancy after three months. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 464, + "tgt": "I get stomach cramps with headache, loss of appetite, fever and diarrhea. Please suggest solution", + "src": "Patient: Hello doctor, I am a 27-year-old female. I have severe headaches for the past two days wiht loss appetite, nausea, fever, diarrhea, and stomach cramps. I am taking Paracetamol for my problems. Please help. Doctor: Hi. Let me tell you that the symptoms described by you suggest that you have acute gastroenteritis. I suggest antibiotic Metronidazole 400 mg three times a day for five days and continue Paracetamol for pain and fever management. Avoid taking non-steroidal anti-inflammatory medication like Ibuprofen, Aspirin and Diclofenac. Take plenty of oral rehydration solution with water. Make sure that you get plenty of rest. Stop eating solid foods to let your stomach settle. Avoid dairy products, caffeine, alcohol, and nicotine. Avoid sugary, fatty or highly seasoned foods. I hope this helps." + }, + { + "id": 11232, + "tgt": "Can there be no menses when anemic?", + "src": "Patient: Hi doctor, I am a 40 year old woman. I had\u00a0hysterectomy 4 years back. \u00a0Now, I have no periods or blood loss of any measure. I am having balanced diet with plenty of meat and kale chips. Since 3 months, I have started taking raw food and prenatal vitamins because of cracks in mouth that would not heal and it seemed like hair was falling out.\u00a0After over a year of severe insomnia, exhaustion, mouth sores, constant itchiness and RLS issues that made my husband wonder, I went to my doctor last week wondering if it could be hypothyroid. As I have not had periods since 4 years, I did not suspect any anemia. Doctor has done two CBC's. The second one had even lower hemoglobin and hemotocrit levels. My last CBC that was taken 4 years back showed a hb of 14.4 but vitamin B12 results were within normal range. I am attaching all my reports for your reference. Please guide. Doctor: Hi. Based on your query and reports (attachments removed to protect patient identity), my opinion is as follows:The low hemoglobin at present is not due to blood loss, it is nutritional. If you look at the iron studies, the iron levels are very low, indicating inadequate iron in body. They can be possibly secondary to reduced intake and may be a cause of malabsorption. As the other vitamin levels are normal, it is more likely reduced iron intake or absorption. The reticulocyte count would increase in case of anemia, if the nutrition too improved. It is staying within the normal range. If you start iron supplements along with vitamin C (for better absorption of iron), you will find your reticulocyte count increasing within 2 weeks. There is no hemolysis or hemorrhage, as in both conditions, if nutrition was adequate, the reticulocyte count would have also increased. At present, all studies including red blood cell volume distribution (RDW), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) are iron studies that are pointing towards iron deficiency. Good to know your thyroid profile is good. Insomnia and exhaustion can be easily explained by anemia. Also improve the hydration (take at least 5-6 liters of water per day). Avoid coffee or tea along with food, as it inhibits iron absorption. Adding citrus fruits or vitamin C rich diet during food intake improves iron absorption. At present, nothing to worry except iron deficiency. Supplements of iron with iron fortified food and iron-rich diet should help. Also, take vitamin B-complex supplements, as early changes like ovalocytes are also seen in blood. Both iron and vitamin B-complex supplements to be taken, and within two months, you will return to your normal self. Repeat the reticulocyte count after 15 days to check if it is increasing. 1. Both iron and vitamin B-complex supplements to be taken. 2. Most importantly iron-rich foods to be taken along with vitamin C supplements. 1. Iron-rich diet, iron fortified foods. 2. Balanced diet and good hydration." + }, + { + "id": 281, + "tgt": "My dad's MRI reported a tumor. Is that a cancerous one?", + "src": "Patient: Hi doctor, My father is 56 years old and healthy. Since last few months, he is suffering from sudden chewing like action and unconsciousness or seizure like situation. This situation remains the same for some time. During the MRI test, our doctor informed about the tumor. We are very much worried. Is it a cancer problem or other tumor? He does not want to undergo surgery for this. Kindly suggest what to do. I am attaching the reports of MRI and our doctor's prescription. Doctor: Hi. I have gone through your query with diligence and I would like you to know that I am here to help you. For further doubts consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 12513, + "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": 10461, + "tgt": "What causes lump at the base of chin?", + "src": "Patient: Hello doctor, I have lump at the base of chin in the middle, where it meets the curve of neck. The size is a little smaller than a dime. Only you can feel that but not see. I was having discomfort for a month on the left side like I have to move my neck but has stopped now. Then noticed the round lump about four days ago. It does not hurt. Doctor: Hi. I need to examine either this is lipoma or enlarged lymph nodes. If possible, send images." + }, + { + "id": 6674, + "tgt": "A staple entered my eyes 10 years ago. Will I go permanently blind?", + "src": "Patient: Hello\u00a0doctor,I am currently 18 years old. I remember when I was 8 years old, a staple entered my right eye. I think it went under my eyelid and I did not tell my parents about it. I did not feel any irritations or as if something is in my eye. What should I do? Will I go permanently blind? Please help me. I am afraid. Doctor: Hello. I\u00a0advise you not to jump to conclusions and scare yourself. You will be just fine. For more information consult\u00a0an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20305, + "tgt": "My baby bangs his head on the wall when he is upset. What is the reason?", + "src": "Patient: Hi doctor, My baby is one year old. He bangs his head on the wall or floor when he is upset. I want to know whether it happens due to any health issue. Please suggest. Doctor: Hi. I can understand your concern. It is one of the most common behavior problem seen in children. Kids do it when they are in frustration, when they require attention seeking, and when they have a stubborn behavior. Rarely, it can be a part of hyperactivity complex. It is treated by behavioral therapy." + }, + { + "id": 1267, + "tgt": "How to find out if a mole is cancerous or not?", + "src": "Patient: Hi doctor, There is a mole like appearance on the back of my thigh. I am worried if it is a cancerous one. Please help me. Doctor: Hi. I have read your query and do understand your concern. Revert back with the photo and the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3621, + "tgt": "I am doing certain things repeatedly until I get satisfied. What could be my problem?", + "src": "Patient: Hello doctor, I think I have a counting disorder. Whenever I do certain work I do not know from where this feeling comes to me that I have to do that same thing several times until I get satisfied. For example, whenever I pick a book then I have to pick that book four or more times and sometimes 20 times. Another example is that whenever I wash my clothes then also I pull out the clothes from the bucket 4-20 times until I get satisfied. Is my case normal or serious? Please help. Doctor: Hi. I am sorry to hear about your problem. Let me try to explain your problem in detail. What you are describing is called obsessive-compulsive disorder (OCD). A person suffering OCD has repetitive thoughts that are beyond control. For example in your case, it is this feeling of doing the same thing several times, these are obsessions. The act you do to feel better and get rid of these thoughts are called compulsions. Coming to the management, the first thing you need to do is start cognitive behavioral therapy, in which the therapist will help you recognize his thoughts and teach you techniques to control them and not get involved in this behavior. The second thing is medication, in severe cases medications are required. This can be checked after complete evaluation. Medication and cognitive behavioral therapy combined are the gold standard treatment of OCD. I hope this helps." + }, + { + "id": 13884, + "tgt": "I have chronic nasal congestion. Kindly suggest some natural remedy", + "src": "Patient: Hello doctor, I have a runny nose, chronic nasal congestion, chills when cold, sneezing triggered by scents, cat, stress, cold, cigarette smoke and cleaning products. An occasional sore throat, warm body temperature, and clear nasal drip. This has been going on for over six months. Prescribed antibiotics Amoxicillin. Tried eucalyptus and wild oregano oil. Considering echinacea and goldenseal. Would like to know what else may help to move this stubborn nasal condition? Doctor: Hi. For your issue, take turmeric tablets two in the morning and two at night or turmeric powder (2 gm) morning and 2 gm evening after food. Take long pepper powder 1 gm. Mix this with cow milk and boil, then drink it. Daily two times this has to be done or one gram of long pepper powder can be mixed with honey and be consumed. Twice daily. Anu thailam is the ayurvedic nasal drop for this issue. If you could get it, apply two drops in each nostril, morning, evening and night before going to bed. This will solve your issues. Eucalyptus oil few drops (or the capsule) can be added in boiling water, and the steam should be inhaled (exposed on your face). This also relieves nasal congestion. Regular pranayama (naadi suddhi pranayama) will be helpful for you. Simply antibiotics alone cannot work here. Antihistamines and mast cell stabilizers should be used in western medicine, that also cannot afford the complete cure. Follow naturopathy (my suggestions above) and get permanent relief." + }, + { + "id": 21725, + "tgt": "There was little bleeding after a dog scratched me. Should I get a tetanus shot?", + "src": "Patient: Hello doctor, Two days ago, I was playing with my dog and unintentionally, he scratched my hand with his teeth. Nothing serious, the wound is about a third of an inch in size and it just scratched the upper layer of my skin, and it was bleeding a little bit. I immediately washed it with water and soap and then cleaned it with alcohol. It is now almost completely healed. I am wondering if I may have contracted tetanus from my dog's saliva. I am 18 years old and I got my tetanus vaccination when I was 12. Should I go for a tetanus shot or is it unlikely that I contracted the bacterium? Doctor: Hello. You have a history of dog bite with little bleeding. For that, antirabies vaccination should be given to prevent a chance of rabies spread. Five doses at 0, 3, 7, 14, and 28 days after exposure is recommended. I suggest you consult a physician for examination. There is no need to take tetanus toxoid (TT) as you have already taken it before. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8317, + "tgt": "My sperm count is less. What should I do?", + "src": "Patient: Hello doctor, I am 69 years old male with 184 lb and 6\u20191\" in height. For three years, my volume averaged 0.5 ml antegrade and 1.5 ml retrograde, motility 8 to 17 %, concentration 25 to 80 million. In the past two years, the volume has been 0.2 ml, concentration 20 to 30 million, motility either 0 or < 1 or 17. In the past two weeks, I have produced 0.3 ml total 15,000 sperms w 2 % motile and 0.1 ml with 0 sperms. 1.5-year-old tests done are PSA, FSH, LH, and it is all normal. Testosterone a little low. Prostate 70 cubic cm, no suggestion of ejaculatory duct obstruction. 1. What can be done to determine it? 2. What can be done to increase quality? 3. What is the chance that I will produce viable semen in the future? 4. How long might it take? 5. How many donor or fresh eggs can be inseminated using IVF, ICSI, and a frozen specimen of volume 0.5 ml 70 million / ml concentration motility 15%? Volume 0.25 ml concentration 150 million / ml motility 15%? 0.3 ml total 15,000 sperms 2% motility? I am under Atorvastatin, clopidogrel, Doxazosin, Metoprolol, and Alfuzosin. Doctor: Hello. The causes for retrograde ejaculation can be many rights from drug abuse, chronic conditions like diabetes, Parkinson's disease, spinal cord injury, or any prostatic surgery or medications. They can be evaluated in detail, and the cause can be identified and treated upon. However, antidepressants like Imipramine have shown good results. However at 69 now, the quality of sperm has reduced drastically and the only viable mode of fertility remains ICSI (intracytoplasmic sperm injection) IVF (in vitro fertilization) in your case where an available single viable sperm can be identified, and the donor or fresh eggs can be fertilized in vitro and then embryo transfer can be done. But the success rate of an ICSI procedure remains universally 38 to 45 %." + }, + { + "id": 5310, + "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": 1496, + "tgt": "I have itching and infection in my private area. Could have passed from someone with scabies?", + "src": "Patient: Hello doctor, I have itching and infection in my private area for the past one month. Please help. Doctor: Hello. Any other area affected? Any history of diabetes mellitus? Hypertension? Thyroid disorder? Any family history of disease? Is itching occurs predominantly at night? Looking forward to your response in order to help you." + }, + { + "id": 7656, + "tgt": "Menstrual period delayed for 45 days now. Pregnancy test came negative. What could it be?", + "src": "Patient: Dear Doctor, I have not get periods since 45 days. Normally I have a problem of delayed periods. Pregnancy test came negative. Can you please advise? Doctor: Hi. If you are having delayed period, there could be lots of reasons for it. So I would suggest you to check your thyroid and prolactin staus and also get a TVS done to see the condition of your ovaries.For bringing out your periods you can try Medroxyprogesterone\u00a0acetate 10mg daily for 5 days. However,\u00a0it will not cure your primary cause. You must find out the primary cause to get permanent relief. Consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20096, + "tgt": "What is this white spot in my throat?", + "src": "Patient: Hello doctor, I had my tonsils removed at the end of last year and from about a month ago, on one side, I noticed this white circle in my throat. It has not gotten any bigger or smaller but it has me worried because it does not look normal. It has no veins or anything though. Is it just a funny-looking scarring from the surgery or something to worry about? I am attaching the pictures. I have brightened it for you so you can see it better. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8477, + "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": 9429, + "tgt": "Will I be able to become a father inspite of having asthenoteratozoospermia?", + "src": "Patient: Hello doctor, I am a 30 year old married man. I had cryptorchidism, and so had removal of testes in childhood. Now I am married. And recently I had gone for semen analysis, which shows asthenoteratozoospermia, the sperm count of 20 million and few pus cells. Will I be able to become a father or should I go for adoption. Doctor: Hello. If both the testes were removed or a single one? Your sperm count is normal it should be more than 15 million, you have an infection, so do blood sugar PP and semen culture and sensitivity test. What is motility percentage? Meanwhile keep away from heat, chemical, smoking zones. Avoid laptop on lap. Wear loose undergarments and keep your testes cooled by pressing them with a wet towel for 5 to 10 minutes daily. Eat green vegetables and tomatoes. Take Multivitamin, Vitamin C, Vitamin E, Folic acid tablets daily for three months. You can become a father if motility is more than 40 % otherwise with IUI, in the present scenario. There is no need for adoption, because if both the testes are removed, then you should not have sperm in semen." + }, + { + "id": 30979, + "tgt": "Is it true that Zoledronic acid is better than Ibandronic acid for bone problem?", + "src": "Patient: Hi doctor, My mother is suffering with breast cancer as primary and now there is brain metastasis. The disease has spread to all the parts of the body including the bones. I have attached her PET scan for your reference.\u00a0We are taking the treatment for the disease and\u00a0her physical condition was very good till last week. Our doctor got changed suddenly as he moved to another hospital and the new doctor is taking care of her now.\u00a0Every month we used to have Ibandronic acid for bone, but we did not receive this medicine last month as this doctor did not include it. Now, my mother is getting severe leg pains and not able to sit or get up. She is unable to stand for even 2 minutes. Can you see the PET scan report and suggest good medicine for the bone improvement? Can you suggest a good medicine for bone metastasis? Some doctor said that Zoledronic acid is better than Ibandronic acid. Please suggest. Doctor: Hi. I understand your concern about the patient. As per the scan report you sent (attachment removed to protect patient identity), though the metastasis is widespread, she has relatively improved as far as bone are considered (sclerotic). In case of cancers, bone quality is largely affected. Bisphosphonates are used to improve the quality of bone, which is a slow process. Currently, two approved and commonly used IV bisphosphonates are Pamidronate disodium (Aredia and Novartis) and Zoledronic acid (Zometa and Novartis). This will reduce her bone pain relatively. Her kidney function should be normal before taking this injection. This should be taken once in a month. You can just request the treating oncologist regarding this. Regarding your query, though there are few differences between them Zoledronic acid is preferred. But, that does not mean that the other bisphosphonate should not be taken. Any bisphosphonate work similarly with each differing in their side effects. She might not be able get up means apart from the bony component, neurological component might be present and her generalized weakness would also add to it. Secondary osteoporosis and breast cancer. 1. Use a walker while walking if she has pain while walking to prevent falling. As her bones are weak, even a trivial fall can cause fracture. 2. In the bathroom, use any carpet, which does not slip. 3. Always ask her to take the support of the railing while climbing stairs. For further doubts consult a medical oncologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25457, + "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": 18574, + "tgt": "I had my periods after 2 months and now am having periods for 18 days now. Please help", + "src": "Patient: Hi, My age is 21 years. I had my periods after 2 months and now I am having periods for 18 days now.\u00a0Though there is no pain or heavy flow, I am worried. Please help. Doctor: Hi. So, you should consult a gynaecologist online immediately for proper investigation to rule out the cause and get treated accordingly --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13949, + "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": 27585, + "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": 14534, + "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": 3386, + "tgt": "Why did I get pain after a long walk?", + "src": "Patient: Hello doctor, I walked for around 10 km two days back. I am not a habitual walker. I felt cramp twice in my right leg during first 3 km and after stretching it was better. Then I consumed fair amount of water. But, after 24 hours I got\u00a0severe pain in calf muscles\u00a0and there is slight swelling. Please suggest some medication or exercise. I frequently face this issue. Kindly help. Doctor: Hello. For further doubts consult an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 13328, + "tgt": "Is it possible to improve muscle strength that is affected due to nerve damage?", + "src": "Patient: Hello doctor, I am 65 years old, male, otherwise in good health but BMI around 31. I have a damaged spinal cord at C4 (due to disk herniation) and had anterior discectomy with fusion in 14 years back. I have had left sided peripheral neuropathy since my surgery (15 years). All sensory, no motor issues. However, I have noticed recently a weakness or tired feeling in the left flank, abdomen, and chest that gets worse through the day in addition to increased burning neuritis (eight months). After night's rest, I do not have the symptoms or less. Symptoms return late afternoon into the evening. MRI and CT scans normal. My question is that can exercise improve strength to muscles otherwise compromised by nerve damage? Can exercise relieve neuropathy symptoms? I swim but I have not noticed any improvements. Any recommendations? Doctor: Hello. I read carefully your question and reviewed your uploaded test reports and would explain that physical activity is important to maintain a normal muscle force and avoid muscle stiffness due to a damaged spinal cord. Regarding neuropathy, maybe it cannot help improve the situation as it was before the injury at 100 % but it can help reduce the progression and maintain normal muscle strength. It can also help reduce back pain by reinforcing the back muscles and correcting the posture. I would also recommend taking a diet rich in vitamins." + }, + { + "id": 8138, + "tgt": "I have had the IUD for 2 years. I have pain in the vagina, blood tinged urine and burning sensation while urinating. Please help", + "src": "Patient: Hi, I have had the IUD for 2 years now and my period stopped a year ago completely. I awoke from my sleep last night due to pain in the vagina. When I went to the bathroom, I urinated blood, a lot of it. I also had burning sensation while urinating. Why is this happening to me? Doctor: Hi. Revert back with the reports to a gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist\u00a0" + }, + { + "id": 15190, + "tgt": "When I make up in the night, I notice hard erection. Is it anything wrong with my organ?", + "src": "Patient: Hi doctor, I did a penile doppler test. The report says there is no evidence of calcification or irregularity. In the flaccid state, I had an artery diameter of 0.7 mm with a baseline flow of 5 cm per second. After taking Sildenafil, I had a diameter of 1.4 mm with PSV of 32 cm per second (though the organ was not fully erect). An absence of end-diastolic velocity was noted with diastolic reversal during peak erection, and it suggests a normal response. The doctor told me that the organ is normal. I am bit worried. I am fit and physically active. When I waked up in the night, I had hard erections many times. Is it anything wrong in my organ? I use to watch a lot of porn. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your penile doppler test is normal as per the result. All the other parameters are normal. You do not need to worry. Please tell me the age. Watching porn and masturbation is common with 99 % youngsters, and it is not harmful or unhealthy. It becomes anxiety provoking and stress provoking if it becomes a habit. The habit does not have any direct impact on your sexual health. Your hard erections suggest that your sexual health is perfect. Please tell me how many times you had experienced erectile dysfunctions, premature ejaculation in the past one year. Please say about the count of masturbation you do every day. Please tell whether you had any sex with a sex worker. Please mention whether you have sex with your life partner." + }, + { + "id": 27145, + "tgt": "What does positive lupus anticoagulant test mean?", + "src": "Patient: Hi doctor,I have recently been told my first test of antiphospholipid syndrome shows positive lupus anticoagulants. What does that mean for someone with no symptoms? I took Articaine and Phenphedrine the day before the test. Can an overdose cause the test to be faulty? I had four miscarriages so far, but I also have a healthy 6 and 4 year olds. Doctor: Hi. Hope your concern is solved.\u00a0Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26061, + "tgt": "I have a painless small raised lump on my arm. What is it?", + "src": "Patient: Hello doctor, I have a small red raised lump on my arm with slightly waxy appearance. It does not itch and has grown from nothing to approximately four to five mm in diameter since three months. Initially, it just started as a very small dot and has grown. I am attaching the pictures for your reference. Please help. Doctor: Hello. I have seen your photos (attachments removed to protect patient identity). Revert back after the investigations to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6090, + "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": 9047, + "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": 16592, + "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": 15275, + "tgt": "My daughter's cough got worse after taking Prednisone. Why?", + "src": "Patient: Hi doctor, I have a two-year-old daughter. She suffers from a cough for the past 17 days. It is nonproductive, and it gets worse when lying down. During night time, it comes as a dry hacking cough. The illness started with nasal congestion, and quickly, it became a cough. There is no rash, no changes in bowel movements or urination, or energy level. She has undergone tonsillectomy and adenoidectomy before ten months for sleep apnea, and it was successful. She gets this problem for the past six months. She does not have a fever. We used steroids before these events. Now, her cough got worsened for the past two days. We consulted a pediatrician, and she was given with Prednisone 15 mg two times a day and Augmentin. I gave steroids to her. She woke up in the night and had vomiting two times. She had a fever of 104 degrees. She also had congestion. I consulted the pediatrician. Currently, she takes Zofran 4 mg, Ibuprofen 10 mg, and Augmentin. Does she have a new viral infection? Why does her cough got worsened? Is it due to a progressive lower respiratory bacterial infection? Is it due to a drug reaction to the steroid? Doctor: Hi. It is less likely to be a viral infection as the temperature is quite high. It may be a viral bug, and it can be worsened after the administration of the steroid. Do not give steroid without a prescription to the child. Do a respiratory PCR, and it helps to find the exact cause of the same. A cough may have worsened following the steroid probably, because, it can be an infectious disease to be treated by antibiotics. It may not be a drug reaction to the steroid, but possibly an overdose. Children do vomit multiple times with a high oral dose of steroids." + }, + { + "id": 8400, + "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": 25718, + "tgt": "Why is my head shedding excess hair these days?", + "src": "Patient: Hello doctor, I have been shedding excess hair in the past few weeks. It was just a few in the beginning but now when I comb my hand through my head, 10 to 15 strands of hair come out in my hand. I do not know what is causing this. I have tried to find the reason online but there are lots of theories on the Internet. This has been there a few weeks. Earlier, hair used to fall normally like 20 or 25 per day but that was normal. But now all of a sudden the density of my hair has reduced drastically. I cannot touch my hair anymore because if I do, they will start falling out. I did have a severe cold fever one or two months back. It was a different kind of illness with severe head pain and food tasting bitter for at least 10 days. Also, I have not properly washed my hair in the past four months. During that time, I could feel many scabs on my scalp. I think this may have been related to that. Please help. Doctor: Hello. Kindly attach an image to know the severity of your problem. It is usually normal to lose 80 to 100 hairs per day. But yes, if you never had a hair fall and are suddenly witnessing it, it might be due to some underlying etiology. As you mentioned about your recent illness, it might be pertaining to it. Kindly attach an image to start the treatment accordingly because these days it is also common to see \"androgenetic alopecia.\" But it occurs over a period of time. Also, it usually involves the front part of the scalp. So for now, you can be started on a good multivitamin capsule like Revilus (Biotin, Calcium Pantothenate, Iron, Zinc, Folic acid) or Keraglo Forte (Gamma Linolenic acid and multivitamins). If required, you can add saw palmetto, Minoxidil, and Finasteride. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7626, + "tgt": "I am suffering from increasing bruises in my legs. Please help", + "src": "Patient: Hello doctor, I am a 25-year-old female, with height 163 cm and weight 68 kg. I have been getting bruising on my legs over the past two weeks for no apparent reason. My veins have become very visible and prominent and have also started bruising. In this time I have noticed roughly a dozen bruises. My legs and feet have also become extremely cold, almost feeling like cold blood running through my veins and I am getting a tingling sensation in them, and last night my big toe went completely numb and is still slightly numb. I am not currently on any medication apart from Iron and Vitamin C supplements. My grandmother has diabetes, and my grandfather has von Willebrand disease, but I do not have a medical history apart from pneumonia and low iron. Please help. Doctor: Hello. You need to rule out the underlying cause for peripheral neuropathy like diabetes, peripheral vascular disease, thyroid issue, calcium deficiency, B12 deficiency, etc. For that color doppler leg, random blood sugar estimation, serum TSH estimation, serum B12 estimation need to be done. Your detailed neurological evaluation also should be done. For bruise problem investigate with, 1. SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), serum total protein estimation to rule out liver disease as the underlying cause. 2. PT (prothrombin time), APTT (activated partial thromboplastin time), BT (bleeding time) to rule out any problem in coagulation if present. 3. CBC (complete blood count) to rule out low platelet count as an underlying problem. You can revert with all these reports once done. You can consult nearby physician for detailed evaluation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 4114, + "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": 3284, + "tgt": "Is there any new medicine for anxiety as SSRI not helping me?", + "src": "Patient: Hello doctor, I cannot get any SSRI medicine to work anymore after 25 years. I have anxiety only from morning to mid-afternoon. Doctor put me on Oxcarbazepine 300 mg daily for anxiety but this seizure medicine is making me dizzy and very tired and off-balance. My head feels weird. I just weaned completely off Zoloft three days ago. What new family of medicines do you suggest for me to try for my anxiety? Lately, I can get it under control for four to five hours taking 1/4th of a 0.25 mg of Xanax. I take a Sliver tablet of 0.25 mg three to four times a day or maybe once. Anxiety ends every day at around 3-4 PM each day and I sleep fine too. Doctor: Hello. Considering your age, it will be difficult to try a low dose of TCA (tricyclic antidepressant), but if nothing works that is always an option. Apart from an SSRI (selective serotonin reuptake inhibitors), there is always SNRI (serotonin-norepinephrine reuptake inhibitor) like Venlafaxine which is pretty effective for anxiety. Also instead of Oxcarbazepine, you could try a low dose of may be 200 mg of Sodium valproate. Also, there are some dietary supplements like L-Theanine 200 mg which can be taken two times a day or on SOS basis. Finally, instead of Xanax (Alprazolam), you can try Tofisopam which is a different type of benzodiazepine with lesser addictive potential, no sedation or impairment in work performance. Also, consider doing deep breathing exercises daily and when you have an anxiety attack do more repetitions of deep breathing. Also, consider starting with yoga, meditation, progressive muscle relaxation or other types of calming exercises." + }, + { + "id": 29426, + "tgt": "What will be the reason for headache, chest pain and dizziness?", + "src": "Patient: Hi doctor, I am an 18 year old female. I am suffering from sudden, severe headaches, chest pain, dizziness, fainting, difficulty in balance and blurring of vision often. Why? Doctor: Hi. There are two possibilities. One is anxiety episodes, and the other one is cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Usually, ECG is normal as it is generally done in between the episodes. ECG done during the episodes will show abnormality. You will need 24-hour Holter monitoring. So, you should visit a nearby cardiologist for these investigations. Also, hemoglobin and thyroid test should be done. ln order to abort such episodes, you should try to cough hard. Until the time your evaluation is complete, you can ask your local doctor for tablet Ciplar LA (Propranolol) 20 mg once a day, which will cover for both the things. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11418, + "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": 27335, + "tgt": "Is it possible to react to Micellar water?", + "src": "Patient: Hello\u00a0doctor, I usually cleanse my skin twice a day with\u00a0Micellar water. However, there are days when I use it thrice a day if I get too sweaty. Is this bad? I think it makes my skin red whenever I use it thrice. Is it possible to harm my skin with this? Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13610, + "tgt": "Am I undertaking the right treatment for breast cancer?", + "src": "Patient: Hi doctor, My chief complaint is severe lower back pain and pain in upper thighs. My medical history is as follows. Carcinoma of the breast three years back, followed by surgery, chemotherapy, and radiotherapy. I am on Tamoxifen for past 3 years, and now I am taking Arimidex. I have been suffering from osteoporosis for over 7 years. Before six years, I had severe osteopenia with maximum bone loss of 21% on L3 and spine, ribs, trunk, and arms with more on the left side. I had undergone the following investigations. Before three years, I had FNAC which showed invasive ductal carcinoma, right breast ER+, PR+, Hercep score \"0.\" Last month, I had an x-ray and MRI, which showed focal altered marrow intensity lesions seen in B/L pelvic bone, sacrum, and left upper femoral shaft consistent with metastasis. I also had a PET scan which showed metabolically active ill-defined lytic destructive lesions in post cortex shaft of left femur, right inferior pubic ramus, B/L iliac bones, sacrum, D5, 7, 11 and L1, 4, sternum, right 3, 5, 7 post ribs with mid-right paravertebral soft tissue lesion at D7 level likely metastasis. Doctor: Hello. I do not have full information regarding the case from your query. The conclusion I can make from the information which you have given is that the patient has bone metastasis only. The treatment for such a case is a change in hormone therapy. Your medication has already been changed from Tamoxifen to Arimidex. I do not know since how many days or months you are taking Arimidex. Has it made any difference in intensity of your back pain? You also need to take Zoledronic Acid injection (Zometa). This also helps in bone metastasis. You also need adequate pain medications, maybe Morphine preparation to control your pain." + }, + { + "id": 5867, + "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": 8898, + "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": 25431, + "tgt": "How long does it take to treat candida albicans?", + "src": "Patient: Hello doctor, I have been diagnosed with candida albicans in the throat through an endoscopy. I had a sore throat in the beginning and was misdiagnosed and given antibiotics which made things worse. I have been on Nystatin twice a day 5 ml each and Betadine twice a day for two weeks now. I have also taken two tablets of Diflucan 150 mg over the two weeks so one a week. The endoscopy today showed an improvement but not much from last week. Overall the improvement is around 60 to 70 % over the two weeks. How long does it take to treat it and can I take another Diflucan pill? My ENT is against it as he said it is harmful for the liver but my family doctor is saying it is alright and I should take it. Another doctor advised I should take Itraconazole 100 mg twice daily for seven days. I am not sure what to do. Please advise. Thanks. Doctor: Hello. Since already you have been diagnosed with candida infection there is no problem in taking one more tablet of Diflucan if you do not have any other comorbid conditions. If you want you can also try Clotrimazole oral paint for the same. The time taken depends upon your immune status. You need to rule out other immune compromised situations like diabetes mellitus or any other long-term drugs you are using. Hope that clears your doubt. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11028, + "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": 27400, + "tgt": "I have a fear of losing people with time. What to do?", + "src": "Patient: Hello doctor, I am 22 year old male. There is no crisis going on, but I think I am depressed. I cry a lot on emotional issues, and I cry easily. I get emotional while talking about my father who passed away four years ago, or leaving friends behind for a new job, or anything that takes people away from me, even if they will be connected afterward. I do not like being away from them. I have a fear of losing people with time, and I do not like a change in routine. Why do I get this emotional with people? Doctor: Hi. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16119, + "tgt": "Can polycythemia vera be related to cancer?", + "src": "Patient: Hello doctor,I am a female, 50 years old and want to know whether polycythemia vera is related to cancer or not. I have taken JAK2 mutation test which is negative. What is this test for? I have erythromelalgia blood disorder. Is all this connected to cancer? I want to understand this test and doubts. Can you let me know? Doctor: Hello. Polycythemia vera is not exactly cancer. It comes under the group of diseases called myeloproliferative disorders. Basically, it is an uncontrolled proliferation of your blood cells. In polycythemia vera, your red blood cells increase in an uncontrolled way. Usually patient present with incidentally detected high hemoglobin or hematocrit on blood tests. It can cause a headache, blurring vision, pruritis, painful extremities. One characteristics finding is aquagenic pruritis that is itching induced while bathing with hot water. It is confirmed by doing JAK2 mutation and erythropoietin levels. About 90 to 95 % of cases of PV show this mutation. All these symptoms can be seen with secondary polycythemia which can be caused by many causes. Like tumors secreting erythropoietin (EPO), smoking, heart disease, abnormal hemoglobin. So if your EPO value is high, secondary causes need to be ruled out. As you have mentioned your reports (attachment removed to protect patient identity), fit the diagnosis of polycythemia. But JAK2 is negative. I would advise you to get EPO values, and if they are high, a detailed search for secondary causes should be done before labeling diagnosis as polycythemia vera or primary polycythemia. As JAK2 is negative, polycythemia cases are very rare. Till then, you can take antiplatelet and periodic phlebotomy to maintain a hematocrit of 42 or below." + }, + { + "id": 22032, + "tgt": "Please advice whether being very emotional is related to psychiatric behavior", + "src": "Patient: Hi doctor,I am a female, 29 years old, Height 5'6\", weight around 54 kg. I am not undergoing any treatment but want to know that whether being very emotional is related to psychiatric behavior or is it hereditary in anyway as my mother was not a totally mad person but required to undergo some treatment for a related disorder. Sometimes, I see a positive side of things but at times I am unable to control my anger, especially, if the person close to me ignores or hurts me. I am a mother of a toddler 2.5 years old having had my share of ups and downs in life that might be normal to anyone's life I guess but since my father's demise when I was in college, I felt like I have lost big support system. I find it difficult to let go of the hurtings of past which lead to some doubt in my mind looking at my mother's history if I am fine. Doctor: Hello. I would refrain from using the term mad as we do not consider anybody mad. Psychiatric conditions are just like any other medical illness with proper treatment of each condition. It is common for family members of psychiatric patients to also have a psychiatric illness but it is not transmitted. Kindly undergo a detailed evaluation if you feel you have anger issues or you feel very sad. If you do not have any symptoms or your functionality is good, nothing to worry about as family history does not automatically make you a patient. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9568, + "tgt": "What does CT abdomen and pelvis taken for pain in lower back indicate?", + "src": "Patient: Hello doctor, There is a gross dilatation of pelvicalyceal system of right kidney with abrupt narrowing at the pelvi-ureteric junction and ballooning of pelvis. There is thinning of renal parenchyma, the lower segmental branch is seen crossing the PUJ at inferior aspect. Upper polar aberrant renal artery is also seen. Conclusion: Right PUJ obstruction resulting in severe dilatation of pelvi-calyceal system with lower segmental branch crossing the PUJ. Normal excretion by both kidneys. This is from a report of a CT scan of abdomen and pelvis. Please tell me what I should do. I have severe pain at lower back and around my right kidney. Doctor: Hello. There is narrowing of kidney's outflow tract and urine is getting accumulated in kidney which is damaging and hampering its function (attachment removed to protect patient identity). Only treatment is surgical correction or stent can be placed into narrowed portion if feasible. You should visit urologist for the same as soon as possible in order to prevent loss of kidney function. Avoid NSAIDS pain killers, you can have tablet Ultracet 50 mg whenever needed upto two to three times a day along with some food. Hope this helps you and get back if you have any doubts." + }, + { + "id": 9612, + "tgt": "My lipid profile is normal, but ALT and AST levels are high. Why?", + "src": "Patient: Hello doctor, I am 42 years male with controlled hypertension. I did my annual check-up, and I found ALT and AST are 192 and 142, which are elevated. I had an ultrasound, and I found fat from marked to moderate on my liver. Lipid profile results are in the optimal level, CBC and kidney results also fine. There is no sign for hepatitis as all result for A, B, and C are negative. What will be the reason for having this elevated result for ALT and AST, and what should I do? Doctor: Hello. Certain prescription and over-the-counter drugs may also cause increased liver enzyme levels. In studies, we have seen that Candesartan (Atacand 8 mg) that you are taking, can cause deranged hepatic function and also inflammation of the liver (hepatitis) to some extent. That is why this drug should be taken cautiously if the patient is a regular alcohol consumer. It interacts with the alcohol and may cause significant liver issues. In the setting of having no viral hepatitis (A, B, C being negative in screening) and a raised ALT (alanine transaminase) and AST (aspartate transaminase). I would refer you to see a hepatologist in person for detailed investigations. He may go for more sophisticated studies of liver including but not limited to ultrasound of liver (elastography studies) and thorough blood work related to liver health that may screen and detect a lot of factors of liver health. Also, keep an eye on liver enzymes and go for serial follow-ups with your Liver doctor (hepatologist) in future too. This way, you may be able to keep a check on liver cancers and or and other issues related to the liver. Liver cancer has many risk factors, and one of them is liver cell damage. AST is released when liver cells (or heart cells) are damaged. So, a raised AST may be a sign of liver cell damage. Further probing is warranted here. ALT is also raised in cases of liver (and or kidney) issues. I hope it helps. Please feel free to ask more if you need further assistance." + }, + { + "id": 13015, + "tgt": "How can the white raised ulcer in gums be cured?", + "src": "Patient: Hello doctor,I have an ulcer on top of the tooth on the gums (a white raised ulcer). Please help. Doctor: Hi. This is not an ulcer, infact it is big pus boil that has occurred due to some infection in your underlying tooth. You should start with an antibiotic regime immediately and get it treated. Most probably root canal treatment and scaling will be done of teeth under question. If it is not paining that does not mean it will remain silent for long. It can trigger up anytime. You must see the dentist as soon as possible. If you get a late appointment then I can prescribe medicine for you. Give me followup after a day for it." + }, + { + "id": 637, + "tgt": "Can Coronavirus affect asthmatic and thyroid patients?", + "src": "Patient: Hello doctor, As everyone are worrying about corona virus, I have a few doubts relating to it. How corona effects on asthma and thyroid patients? Will corona effect the persons who are suffering with asthma and thyroid even if they have strong immune system? As corona effects especially on lungs, even if the person is having vitamin-C food will the person die after he gets effected by corona? Because I have asthma and thyroid problems and I heard that even the person who is strong with immune system will be effected by corona and will die. Please answer to my question and please suggest me what kind of food I need to take to boost immune system and fight against corona. Doctor: Hello. Please note that there are two important things that decide fate of a person suffering from COVID-19. These are immunity and viral load. If your immunity is good but viral load is too much outcome will be poor and if immunity is poor and viral load is less outcome again will be poor. Both immunity and viral load are under our control. Please note that hypothyroidism or asthma will put you at a very low risk for COVID-19. So it is fine. For immunity, general good nutrition will help. There is no specific need of taking vitamin and mineral capsules for it. As regards to viral load, it can be controlled by social distancing and by reducing exposure with anybody and everybody outside your house. This rule applies to each and every member of the house. As soon as you come back home, it is advisable to have a bath with soap and water and to keep the clothes immediately for washing. When outside wear a mask covering both nose and mouth at all times. Also avoid touching your face when outside. Unless you have cleaned your hands with soap and water, do not touch any part of your face." + }, + { + "id": 24353, + "tgt": "Why do I have trouble pronouncing words and restricted voice due to mucus in throat?", + "src": "Patient: Hi doctor,I have been having trouble pronouncing words correctly and feel that my voice is restricted due to mucus in my throat. There are certain times, especially when I am eating when I have a runny nose, and this is when I find that it is much easier to speak freely and maintain a consistent voice. If I take medications to thin the mucus in my throat, it makes it even more difficult to speak. But, when I suck on hard candy, it is easier to speak. I can still talk but it is very uncomfortable because I cannot speak with the inflections that I want or the tone of voice that I want because I cannot control my voice. An ENT did a laryngoscopy and did not find anything. Doctor: Hello. As you have mentioned, your primary complaint is excessive mucus in the throat leading to you having trouble pronouncing words. Your voice gets better when you are eating, or have a runny nose, or on sucking a hard candy. All these things have one thing in common that they dilute the mucus ( eating, sucking a candy cause increased salivation, thereby diluting the mucus). That means you have a thick, sticky mucus interfering with your speech, which may be due to sinusitis, chronic pharyngitis, gastro-esophageal reflux disease or environmental factors like cigarette smoke or dust. If you have a tendency to frequently clear your throat, that may be a sign of chronic sinusitis. You may need to get a nasal endoscopy done. A clinical examination of the posterior wall of the pharynx may reveal mucosal changes, suggesting a diagnosis of chronic pharyngitis (due to any cause). The treatment will depend upon the cause. For example, chronic rhinosinusitis is treated with antibiotics, antihistaminics (like Cetirizine), nasal sprays, etc. Chronic pharyngitis is treated with (sometimes) antibiotics, throat gargles, antihistaminics, etc. A course of PPI (proton pump inhibitors) like pantoprazole is required to treat gastroesophageal reflux disease. Whatever may be the cause, important is to stay hydrated by drinking lots of water and avoiding dust or cigarette smoke, etc. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23191, + "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": 6214, + "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": 12892, + "tgt": "How can the symptomless ulcer at the back of penile shaft be treated?", + "src": "Patient: Hello doctor, Small painless itchless ucler at the back of penile shaft with no other symptoms. Doctor: Hi. I have gone through your case. According to your description and clinical picture (attachment removed to protect patient identity), this ulcer could be a manifestation of primary chancre of syphilis (one of the sexually transmitted diseases, if there is a history of sexual contact as well at least 3 to 4 weeks ago). Sexually transmitted infection syphilis. VDRL, TPHA, test for other STD like hepatitis B and C, HIV. Traumatic. Primary chancre of syphilis. Benzathine penicillin 1.2 MU I/M on each buttock stat dose. If tests are normal then only Fucidin acid cream two times a day." + }, + { + "id": 24896, + "tgt": "I have chest tightness. Is it caused by trivial mitral valve prolapse?", + "src": "Patient: Hello doctor,I have mild mitral valve prolapse for the past five years. From the last eight months, I am not feeling well mentally and having chest tightness and pain. After echo, I was diagnosed with trivial mitral valve prolapse and redundant chordae tendineae. Please help me, doctor. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Your echo and ECG are fine. The echo just shows a redundant chordae which means the chordae is longer. Trivial MR is normally seen in many persons. So, nothing majorly abnormal in your reports. This certainly will not cause you a chest pain or any problems. Neither you need medicine nor any surgery. So, whatever is there, it is in your mind, not heart. You are having a lot of stress which is probably causing gastritis and reflux which is the cause of chest pain. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning. These are the other symptoms and may be associated. I suggest you get prescribed tablet Pan DSR 40 mg (Pantoprazole and Domperidone) before breakfast once a day for two weeks. Also, for headache and stress, to calm your mind, you should have some medicine like tablet Tryptomer 10 mg (Amitriptyline) bedtime for two weeks. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18887, + "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": 12041, + "tgt": "Is it advisable to drink coffee during pregnancy?", + "src": "Patient: Hello doctor, Can I drink coffee during pregnancy and why? Please help. Doctor: Hi. It is safe to drink coffee when you are pregnant. Yes, but hold the refills. The American College of Obstetricians and Gynecologists recommends limiting your caffeine consumption to fewer than 200 milligrams (mg) per day. You can still enjoy a mug of coffee every now and then during your pregnancy. That is about two mugs of instant coffee or one mug of filter coffee. If caffeine intake is more than 200 mg per day, there are chances of low birth weight. Take care." + }, + { + "id": 12176, + "tgt": "I have two dark red circular spots under the tongue for more than a month. Why?", + "src": "Patient: Hello doctor, I have two dark red circular spots under the tongue, on the duct area that has not gone away in months. Kindly help. Doctor: Hello. It seems to be a small blood clot which may have occurred at the soft tissue at the salivary duct area. The reason may be due to suction pressure which might have created a negative pressure inside mouth causing such minor blood clots. It is not a severe condition to get worried. Due to the soft tissue area, it takes too much time to go away. It will resolve on its own, and no action is needed, and definitely, nothing to be worried. Send a clear picture if possible." + }, + { + "id": 3527, + "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": 26966, + "tgt": "I have severe pain in the entire left side of the face. Please help", + "src": "Patient: Hi doctor,I think my sinus infection causes pain in my teeth. The pain is relieved\u00a0only\u00a0when I hold an ice cube in the mouth. I have severe pain in the\u00a0entire left side of the face without the ice. Please help. Doctor: Hi. I can understand your concern. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 25771, + "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": 3085, + "tgt": "What does the picture of torn meatus indicate?", + "src": "Patient: Hello doctor, I have a torn meatus and would like an opinion on a couple of pictures I took of it about its condition and if I should get medical assistance for stitches or something. I have already gone to an urgent care who looked at it but it looks bigger or more open or something now. I am on an antibiotic for a infection I guess that is there cfausing pain- itchy burn and cannot wear clothing on it yet at all. Doctor: Hi. Connect me with those images for better diagnosis and treatment." + }, + { + "id": 10424, + "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": 4761, + "tgt": "I have multiple small nodules in both the lungs. What should I do?", + "src": "Patient: Hi doctor, I underwent a comprehensive health checkup recently and it revealed\u00a0multiple small nodules in both my lungs from the high resolution CT scan. Presently, I have sporadic recurring breathlessness during late evenings. Now, I am taking osteopenia medication, calcium and calcinase nasal spray. The CT scan report is attached for your reference. Please advise the next course of action. Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 1081, + "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": 10981, + "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": 11860, + "tgt": "I have been sick with very sore joints and muscles. What could it be?", + "src": "Patient: Hi doctor, I have been sick for the last two years with the following symptoms. Fatigue, ringing in ears, very sore joints, sore muscles, follicular carcinoma, passing out, and extreme headaches. I am taking Synthroid currently. I just had a flow cytometry and numerous bouts of blood work. I have attached that for your reference. Please help. Doctor: Hi. Based on test results, my opinion is, it could be chronic Lyme disease. Low CD57 with additional symptoms provided except follicular carcinoma, could be due to chronic Lyme disease. Chronic Lyme disease is associated with a decrease in the CD57 lymphocyte subset that may persist over 10 years. The decrease in CD57 cells appears to reflect a selective immunologic abnormality in patients with chronic Borrelia infection. Longer therapy, maybe up to 11 months with Tetracycline may be necessary. It could be helpful. Your doctor can guide you with further management. 1. Prolonged antibiotic therapy could be helpful. 2. Any co-infections present should be treated first." + }, + { + "id": 22981, + "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": 13442, + "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": 17771, + "tgt": "I am 6 months pregnant. I have beta thalassemia. Please help", + "src": "Patient: Hello doctor, I am a 24 year old female. I am 6 months pregnant. My hemoglobin level is 8.3g/dL and I have heterozygous state of beta thalassemia. My doctor has advised for blood transfusion. Please help. Doctor: Hello, Welcome to iciniq.com. \u00a0 Wishing you good health. Consult a gynaecologist online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1422, + "tgt": "Does high TSH value affect weight?", + "src": "Patient: Hi doctor,My weight is keep on increasing in spite of diet and regular exercise. I got my thyroid test done and it showed high TSH of 4.7 with normal T3 and T4. I am getting regular cold. What to do? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27900, + "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": 24817, + "tgt": "Why am I having intense throbbing pain in the temple?", + "src": "Patient: Hello doctor, I am a sufferer of hemiplegic migraine. However, I had unusual collapses three months back. The first one was 40 minutes; I could not recall the whole of that period. I came back with an injured knee and felt dazed. I was fine after around two hours. The next day, I felt pressure in my head and as though I was about to die. I then could not recall getting home or the rest of the night. I was fine in the morning. Two days later, I felt horrendous pain in my head, felt like I was swimming, then tried to go home and again could not recall from deciding to go home to around two hours later and I was foggy for the rest of the night. I have had constant pain in the left side of my head above the temple for four years. It does not go. However, In the past two weeks, I have felt like it is throbbing and at times about to burst out. I was meant to see my neurologist three months back, but his receptionist did not follow the recommendation, and now I am unsure whether to have the tests done. I feel like we are playing with my life. Usually, I am pretty relaxed about the possibilities and know it is a migraine. But this feels different. This feels like intense throbbing above my ear from the temple along towards the back of my head, with a pain in my ear to just behind my jaw under my ear. My instinct says that an aneurysm needs ruling out. I do not know if I am just upset because it feels so different and this pressure is intense. It is a weird feeling. I currently take Sumatriptan as needed. Please, can you advise what to do? As it stands the next neuro appointment is after four months, added complication is that I have been breathless and unable to climb stairs without stopping and panting for past four months. I am having heart tests on the weekend. But, what do I do about my brain? Doctor: Hello. I agree with you on the fact that when dealing with hemiplegic migraine, it is necessary excluding a brain aneurysm or any arterio-venous malformation, which may mimic this clinical situation. That is why it is necessary performing a brain MRI, which would detect any possible brain aneurysm if present. Regarding the loss of conscience, I would also recommend performing an EEG (electroencephalogram) to investigate for seizures (although 40 minutes is a long period for a seizure, not typical). I would also recommend you to monitor your blood pressure values, and perform some blood laboratory tests as follows: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30107, + "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": 3743, + "tgt": "Should I worry as my daughter had little blood in nose after a fall?", + "src": "Patient: Hi doctor, My 10 month old daughter had a fall from bed. She had little blood in her nose. Blood is just little and not dripping. Is it something to worry about? Doctor: Hi. Revert back with the reports to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20643, + "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": 20515, + "tgt": "I am suffering from gynecomastia with increase in weight. Please help", + "src": "Patient: Hi doctor, I am 18 years old. My weight is 80 kilogram, and my height is 5'9 feet. I have gynecomastia for the past four years. Please recommend some medicines. Doctor: Hi. I think you have hormonal problems as per your weight. You should check your thyroid hormones, sex hormones and a complete biochemistry panel (liver and kidney function test). If everything is fine, then it can be due to hormonal changes at your young age. So the treatment depends upon the cause. At this age, as you are under growing process, it is better to wait and watch if they resolve on its own. If not, then go for the diagnostic tests as mentioned above." + }, + { + "id": 24768, + "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": 1163, + "tgt": "Can you suggest the best medicine for itching?", + "src": "Patient: Hi doctor, I am having a tough time with my skin infection. It is being around two months since I got affected by that. I am having the hives of dark reddish in color in specific areas like on the penis point and on the buttock. It is so itchy and the whole body is getting so itchy like on hands and legs too. There developed some red spots. Can you provide me the best cure? Till now, some dermatologist suggested HH Mite ointment and I forgot the name of the other tablet. He said to apply that ointment for the whole body from neck to legs. I did, but no improvement. Please help. Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7700, + "tgt": "What is the outcome of corneal sutures in an eye injury for a 3-year-old?", + "src": "Patient: Hello doctor,My nephew is 3-year-old and had injured his eye, and now doctor said suturing is required. So please tell me what is the outcome of corneal sutures, and is this a right treatment? Doctor: Hello. I am sorry to hear about the incident that happened with your nephew. The right treatment for this condition is to repair with suturing. However, it is to be seen what the size of the injury is, and if any other structures inside the eye have been damaged. If it is a small injury then like a small perforation, it might heal on its own, but a more significant injury has to be repaired.The visual outcome depends on the site of the injury. If the damage is in the center, then the visible result is guarded, but if the injury is in the periphery, you can expect a good visual outcome. I hope this will be of help to you." + }, + { + "id": 5461, + "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": 9822, + "tgt": "My daughter has beta-thalassemia major. Will she be transfusion dependent?", + "src": "Patient: Hello doctor,I am a beta thalassemia minor, but my wife is not. Recently my 5-year daughter was diagnosed with beta-thalassemia major (heterozygous). She is active and playful. No problem reported yet, but her Hb level is between 7.8 to 8.8 from starting. Her spleen is enlarged as diagnosed in USG. Will she be transfusion dependent? Please advice. Doctor: Hello, Welcome to the icliniq.com. If you are having thalassemia minor and your wife is thalassemia negative than there is no chance of acquiring thalassemia major in your child.So your wife must also have thalassemia minor if your child is thalassemia major. Your child's attached report suggestive of thalassemia major (attachment removed to protect patient identity). The only treatment in thalassemia major is either bone marrow transplantation or regular blood transfusion to maintain hemoglobin level within range. So your child might need a routine blood transfusion to maintain hemoglobin within range. She can be given an iron tablet, but it will not work in your child case as she has thalassemia major. I am sorry to say, but your child will need a blood transfusion for the treatment of low hemoglobin. You can consult nearby good hematologist or the place where bone marrow transplantation facility is available, which is a curative treatment for thalassemia major. But it is costly treatment. I hope I have answered well of your question in detail. I will guide you further if needed." + }, + { + "id": 26389, + "tgt": "Am I prone to get HIV if I have shared cups of water and straw with an HIV person?", + "src": "Patient: Hello doctor, I am a 23-year-old female and I\u00a0have been sharing cups of water and straw and occasional food with a\u00a0friend for a few years. The friend is no more but I\u00a0do not know if she was HIV\u00a0positive. I\u00a0am worried if I\u00a0may have caught something from the sharing. Do I have a risk of getting HIV? Do I need to get myself checked? Doctor: Hello. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4264, + "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": 20658, + "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": 12261, + "tgt": "I missed period and my pregnancy test is negative. Should I take another test?", + "src": "Patient: Hello doctor, I have missed periods and a negative pregnancy test. Should I wait for another test? I tested three days back. The last LMP date was exactly a month back. This is related to my wife. Doctor: Hi. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. However, if you do not get periods within a week or so, then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 28428, + "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": 7471, + "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": 5334, + "tgt": "I have benign palpitations and Holter shows PVC and PAC. What to do?", + "src": "Patient: Hello doctor, I am 18 years old. I have benign palpitations from the age of 15. I am getting extremely frustrated and anxious. I went to a cardiologist today and have no peace. All he said was my Holter monitor shows benign PVC, PAC, bigeminy, trigeminy, and my echocardiogram came out fine and he is sending me for a stress test for the heck of it. But I am not worried about this, but I am more worried about my palpitations now because they cluster. It can be two minutes of every heart beat being a palpitation, especially when I lie down and when I an anxious. Can you please let me know if it is normal for them to come in clusters? I am so scared I seriously need your reassurances because my cardiologist just ignored me when I asked. Please help. I attached a picture from an app, my heart rate is 80 at that time. Please reassure me. Doctor: Hello. You could have uploaded a normal ECG and Holter. Can you tell me what is this app? (attachment removed to protect patient identity). Anyways, palpitation can be benign but we have to find the cause. Do a thyroid function test, serum electrolytes (Na, K, Mg, Ca). Your problem looks like a panic disorder. I am suggesting a drug for the time of this palpitation and anxiety may be you need a prescription (it is a suggestion). Tablet Clonazepam 0.5 mg (mouth dissolving) keep under the tongue, it will relieve if it is only due to anxiety. (trade names Klonopin, Rivotril, Clonotril 0.5 mg). Consult a psychiatrist, you will get benefit from cognitive behavioral therapy. Please do those blood tests also and cofirm whether they are normal. Next time in case you consult me upload Holter and ECG. Do regular excercises, pranayama (Indian breathing excercise), meditation. It will not be fatal do not worry." + }, + { + "id": 14672, + "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": 3715, + "tgt": "I am facing problem whenever there is a change in season. Why?", + "src": "Patient: Hi doctor, I am facing problem whenever there is a season change. I tend to lose my appetite and I cannot eat much. If I try to eat then I feel like vomiting. My weakness also increases during that time. Why? Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30767, + "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": 30169, + "tgt": "What are the reasons for left side hip pain?", + "src": "Patient: Hi doctor, I have some pain on the left side just above my hip bone. It started recently after I finished my period and it has been there for a few days. It is very much uncomfortable and hurts when there is pressure on it. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20882, + "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": 22629, + "tgt": "I had an exposure and my wife developed swollen lymph nodes. Have I infected her?", + "src": "Patient: Hello doctor,I had a sexual exposure, oral unprotected and vaginal sex. I took the fourth generation test on the 16th day, 23rd day and 53rd day. All came back negative. At my 53rd day, my wife developed very swollen tender lymph nodes and I am worried the test were false negatives. Also, I read that Biotin can affect the testing. I was taking 300 mcg in a multivitamin. I also read it takes 5000 mcg or more to affect test results but I am still worried. I have read that 28 days and six weeks are considered conclusive for this test. Is that true? I have had extreme anxiety and could not live with myself if I infected my wife. Thank you very much for your help. Doctor: Hello. Your 53rd day negative test can be taken as conclusive, as six weeks is a good period for the fourth generation ELISA. Biotin does not affect test results. But, anxiety and HIV phobia after exposure are very common. Try not to research online much, as you will mentally disturb yourself with false information. Swollen lymph nodes in your wife could be due to some other reason or infection. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30919, + "tgt": "Is treatment explained to me the right one?", + "src": "Patient: Hello doctor, I had a C-section delivery before four months. After 15 days, there was a small wound and it got cleared after a month. Now again,\u00a0there is some wound infection and is showing two holes. I am taking antibiotic Ciplox 500 and Vibact for the past two days and taking Clarithromycin 500 and Ciplox 500 along with daily dressing, which is full of pus. Now, my doctor advised for a surgery in which they will open and clean the wound and will not stitch again. Then, regular dressing will allow healing of my wound. Is it the right way of treating my wound? Is there any complication in this surgery? In how many days or month I will get cured? Is there any chance of hernia in later stage? Will it be painful? What diet should I follow to get it cured? Here is the MRI report for your reference, which was taken a month ago. MRI was performed on a 1.5 tesla whole body MRI scanner. Axial T1 and TSE T2 weighted scans of the pelvis were obtained and these were correlated with coronal and sagittal images. There is evidence of sinus tracts in the abdominal wall in the midline and granulation tissue is noted in the subcutaneous fat in this region. One of the sinus tracts is seen to extend into subcutaneous fat cranially superficial to the abdominal wall muscle. This tract extends for an approximate length of 4 cm. No\u00a0collection is noted. Another small track is coursing through the abdominal wall muscle and is extending till the superficial layer of parietal peritoneum and small collection measuring 1.6 x 1.6 cm is noted in this region. This is located deep in the abdominal wall muscle and superficial in the peritoneal cavity. No intra peritoneal extension is seen and no free fluid is noted in the abdomen. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8737, + "tgt": "My daughter has vitiligo in her lower lip. What should we do?", + "src": "Patient: Hi doctor, My daughter has vitiligo on her lower lip. It came to our notice this year, and we consulted a doctor\u00a0immediately. The doctor gave Dicaris 150 mg to be taken on the weekends of every week for four months. She finished 32 Dicaris tablets so far. She also used Melbild lotion at night and sun exposure on the next morning for three months. Now it seems that the white patch is not stopped spreading. It has increased very little. I have uploaded images before taking Dicaris and present.\u00a0Now we want to go for vitiligo surgery. But we have come to know that before the surgery, the patch should stop spreading. What should we do? Please help. Doctor: Hello. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 10796, + "tgt": "Kindly help me get rid of my stomach problem", + "src": "Patient: Hi doctor, I am a 28 year old female. Before 10 months, I got left side abdominal pain with mild fever. I went to the ER. After blood tests and CT scan, they said it as diverticulitis. After using antibiotics, it got cleared. Every couple of months I feel pain when I press my abdomen but no fever. When I take liquid diet for two days, the pain will go away. Even though my bowel movements are regular, sometimes the stool is hard and I can see blood. I am drinking lots of water at least 2 liters a day and stopped junk food. But, still I am suffering with pain. Sometimes, I feel a sharp pain inside the rectum. Recently, I went for an annual checkup. After checking the reports, my GP said that it may or may not be diverticulitis. He said it might be colitis and nothing to worry. My last blood in stool was two months ago. Sometimes, my stool is mushy and fluffy. I am very much worried about this. Please help me out. Doctor: Hello. For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20375, + "tgt": "I have hollow eyes. How can I increase collagen under my eyes?", + "src": "Patient: Hello doctor, I am a 20 year old girl. I have hollow eyes. How can I increase collagen under my eyes? Doctor: Hi. Hollow eyes can be treated by a skin specialist. Dermal fillers are a good method to increase the fat content around the eyes. Though it is expensive, their effect remains for about eight to 12 months. You can consult a dermatologist online to know in detail about dermal fillers --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19958, + "tgt": "What is the dosage of Pentasa for bowel problem?", + "src": "Patient: Hello doctor, I have a problem in my bowel since more than one month, so I had a colonoscopy with biopsy. The doctor informed me that I have mild inflammation and colitis. The doctor gave me two medications, Pentasa 500 and Tarivid 200. I used Pentasa 500 for three weeks, and I become recovered almost 70 %. I am hesitated to take the antibiotic. Two days ago, I had some diarrhea and pain in the lower left side of my stomach. I also had nausea after one hour of having\u00a0meal. Should I take the antibiotic? What is the dosage of Pentasa? Do I have to reduce it to 2 g a day? Any other recommendation?\u00a0I am attaching my\u00a0reports.\u00a0Thank you. Doctor: Hi. I have seen the attached report (attachment removed to protect patient identity). Hope it was helpful to you. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13751, + "tgt": "Can masturbation cause nervous system diseases?", + "src": "Patient: Hello doctor,I am 21 years old. I am addicted to masturbation. Now suddenly, I got muscle spasm and body pain. Can masturbation cause nervous system diseases? Doctor: Hello. Masturbation is a universal habit. It is present in most human beings. It helps to maintain sexual hormone levels, acts as a stress buster, and in males it protects against prostate problems and cancer. Also, the old sperms are pushed out of the body, to make way for new sperms. Old sperms need to be removed. This happens through sex usually. If sex is not happening, then through masturbation. If both are not happening, then via nightfall. A person can masturbate safely depending on his health status. He needs to drink plenty of water and eat healthy nutritious food regularly since it is a kind of an exercise with calorie loss. So, masturbation is a safe and healthy habit. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24822, + "tgt": "Can a lump on the head be treated with medication?", + "src": "Patient: Hello doctor, My mom aged 52 years has got a small lump on her head three years back. Although it was not causing any pain, she is just curious to know if it can get treated by medication. She felt that its size increased slightly, but she does not prefer surgery. For your information, the present size is the size of a peanut. Doctor: Hello. I have gone through your case. Most likely, the diagnosis is a sebaceous cyst. It is spontaneous, which means it has no obvious cause. And in most cases, it is painless. Sometimes, it increases in size. As you know, the best treatment for this is excision through surgery as it sometimes bothers a lot while combing or washing hair. But please counsel your mother that it will not go away with creams or oral medication. It is going to persist. My recommendation is reassurance and that means either do nothing or go for surgery which is only a minor procedure and takes only about five minutes. If you do not want it, then just apply Polyfax plus ointment (Polymyxin B Sulfate and Bacitracin Zinc) on a trial basis for two weeks. Otherwise, you can just forget about this as it is benign. Relax in short. Wish your mother a very good health. Mothers often need reassurance and some kind attitude. And just tell her this is not something to worry about. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15278, + "tgt": "Why are there itching and black spots on penis after sex?", + "src": "Patient: Hello doctor, I am male, 32 years old. Last month I got married. After marriage started having sex daily. Now my penis tip inside foreskin has become blackish and showing black patches and it is itching too. Previously I did not face such kind of problem. Now for the past eight days, I have stopped having sex. Initially, it started itching after sex, but I ignored it. Before two days itching was terrible. Now I am feeling irritation inside penis while urinating and in relax mode too. My wife having white discharge problem for the past two months and she is on medication for that. We do not use any condom nor any lubricant. Since three days started using soap for washing my penis and surrounding areas and Clotrimazole dusting powder. I think it is dermatitis and fungal infection. Which medication should I use? Shall I visit any dermatologist or with the help of medication it will be curable? For how many days I should avoid having sex or I can have sex? Doctor: Hello. It very well looks like a fungal infection (attachment removed to protect patient identity), the source could be your partner's genitalia as she is complaining of white per vaginal discharge for a long time. You both should consult a gynecologist soon and order swab testing for urself. The gynecologist would also start you guys on some antifungals. Treatment would be comprised of 15 days to a month depending on the severity. Do not make sexual connections till the period of asepsis." + }, + { + "id": 1732, + "tgt": "My grandfather has cough for about three weeks. Please suggest medication", + "src": "Patient: Hi doctor, I would like to ask about my grandpa's coughing situation as it already lasted for almost three weeks. He has been taking his medicines since then. But his cough still remains the same. Are there any suggested medicines or easy home remedies to follow? Doctor: Hi. It seems your grandfather is having a cough for three weeks. Cough in adults are classified as acute, subacute, or chronic based on the duration. Acute cough lasts up to three weeks, subacute cough lasts three to eight weeks, and chronic cough lasts longer than eight weeks. Subacute cough often has a post-infectious origin and will typically resolve without treatment. It is usually secondary to asthma or bacterial sinusitis. Reassurance is a good approach in otherwise healthy patients. Oral or inhaled corticosteroids, Ipratropium, or cough suppressants may be prescribed to help with sleep. The viral infection or bacterial infection mostly produce a fever and cough with expectoration. These symptoms you did not mention, I assume they are absent. Post viral cough can be last up to six weeks. I would like to ask about red flags symptoms such as weight loss, night sweats, and hemoptysis. If they are present you need further evaluation on an urgent basis. Other common causes of chronic cough (usually more than eight weeks) are allergic. Most often, chronic cough is due to postnasal drainage, asthma, and/or gastroesophageal disease. Some drugs such as ACE inhibitor (a type of anti-hypertensive medication) also results in chronic cough. Stopping such medication helps. Other remedies are steam inhalation alone or with menthol. Cough drops or lozenges soothe an irritated throat. Saltwater gargle. Honey is also helpful. Antacid for GERD (gastroesophageal reflux disease), and at night sleep with two pillows so that head remains elevated." + }, + { + "id": 8830, + "tgt": "Got two negative RNA TMA test for HIV. Are the results conclusive?", + "src": "Patient: Hello doctor, I had two negative Gen-Probe Aptima RNA TMA test done the on the 8th day and 14th day of post exposure. I took a Duo Combo test on the 29th day. Has anyone seen these RNA tests after 14 days\u00a0have become wrong? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2387, + "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": 8122, + "tgt": "Does atorvastatin cause weight loss?", + "src": "Patient: Hello, Does Atorvastatin cause weight loss? Doctor: Hi. Consult a cardiologist online for further queries regarding Atorvastatin --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19991, + "tgt": "How to resume my period?", + "src": "Patient: Hi doctor, I got married last month. Since my period date was clashing with my wedding date, I had to take some medicine in order to postpone my period. My normal period cycle is 27 or 28 days, but in the last few months due to stress and exertion, I had been getting my period 5 or 6 days early. So, during the last month, I expected my period to arrive early, but that did not happen. So, I took the pill for delaying my period and unfortunately, I got my period\u00a0the very next day that is four days before my marriage. My husband ejaculated right after he touched me down there. He did not even enter inside. Still, to be on the safe side, I took an I-pill the very next morning that is within less than 10 hours.\u00a0So, in a span of a week from the commencement of my period till the end, I consumed two different types of medicines. I did not get my period the next month. So, I took two home pregnancy tests and luckily both the times, I got negative results. As it got delayed for 10 days, I visited a gynecologist to assure the reason behind the delay is hormonal imbalance or if I am pregnant. My gynecologist suggested an ultrasound and I got it done the same day.\u00a0As per the reports I have got two follicular cysts sized as below. Right ovary 4.5 \u00d7 3.2 cm cyst size 37 \u00d7 30 mm, left ovary 3.9 \u00d72.3 cm and cyst size 22 \u00d7 18 mm.\u00a0My uterus size is 7.6 \u00d7 4.6 \u00d7 3.2 cm. The doctor suggested that I am not pregnant as per the reports.\u00a0The doctor prescribed medicine named Deviry for the withdrawal of my period. I took the medication twice a day for five days. The\u00a0doctor suggested that I will get period any time within five days from the last tablet. But, I have not got them yet.\u00a0I am really concerned if anything else is wrong inside or those cysts are growing. Please help me come out of this mess.\u00a0I would like to know a few things. Is it fine to have\u00a0intercourse with my husband?\u00a0What is the ultimate option to resume my period and get rid of those two cysts?\u00a0Are there any chances of those cysts harming my uterus?\u00a0Please suggest me the right course of action.\u00a0Thank you in advance. Doctor: Hello. I have read and understood your query. Let me explain you that you do not have any major problem and you will get relieved by the treatment itself. Yes, you can have intercourse now at least. You have taken Deviry (Medroxyprogesterone) for five days. Actually, you should have your period within 10 days after stopping the tablets. So, do not worry. You will get your period. Just have to wait for five more days. Within five days you will get your period if what you have written is right and you have taken tablet course on time. Secondly, you have very small sized ovarian cyst. Do one sonography on day 3 of your period and if both cysts are there then you need to take treatment for cyst, otherwise they are gone with Deviry only. If they persist on day 3 sonography, then consult your doctor. He or she may prescribe Novelon (Desogestrel and Ethinylestradiol) or like tablets for 21 days straight and have a gap of seven days and start other packet of 21 tablets for three months. This will end the cyst if it is a simple cyst as per the sonographic finding. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20775, + "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": 11516, + "tgt": "Why do I feel like having water in my chest, and neck that passes down the stomach?", + "src": "Patient: Hello doctor, I feel like I have water in my chest,and neck which goes down to the stomach, underarms. The precise explanation is like a sweat inside my body that travels in those areas (chest, stomach, underarms, and abdominal wall). What can this be? Doctor: Hello. Firstly, this does not appear to be a life-threatening or severe issue. Most probable diagnosis goes with your explanation is of dyspepsia (indigestion) or gaseous issues. Does your upper abdominal pain, nausea, bloating, and burping increase while taking food? Do you have sour water feeling in the throat or chest burning? If yes, it further supports the diagnosis. You should avoid fatty, oily, and a high-calorie diet. Go for a walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tablet Pan DSR 40 mg (Domperidone, Pantoprazole) before breakfast once a day for a week. Do you feel any palpitations or chest pain along with it? If yes then we should rule out the cardiac issue. Anyway, you should get yourself examined and auscultated to rule out any other issues. So, overall, does not appear to be a worrisome matter, and your symptoms do not indicate any severe disease. I hope this helps you and get back if you have any doubts." + }, + { + "id": 2349, + "tgt": "My semen is yellow colored with penile itch and discomfort on urination. Why?", + "src": "Patient: Hello doctor, I am 19 years old. I weigh about 70 kg and my height is 5\u20197\". My semen has been yellow color for the past one week and now it seems like it has urine in it (but it has no foul odor). And my penis is quite itching, also sometimes I experience discomfort when urination. I wonder what is this condition I am having right now and what is the possible treatment? Doctor: Hello. According to your statement, you are 19 years old sexually active person suffering from discharging of yellowish colored semen, itching of penis and feeling of discomfort during urination and all your symptoms indicates STD (sexually transmitted disease). Your STD is either chlamydia which is caused by chlamydia trachomatis, most common or gonorrhea which is caused by N.gonorrhea or both. Both diseases present similar clinical symptoms and treatment is almost the same. Single dose of Azithromycin is the treatment of choice. By collecting urethral swab, it can be specified either chlamydia or gonorrhea. In gonorrhea, urethral swab shows the presence of gram-negative diplococci and in the case of chlamydia, swab shows non-specific urethritis. Urine for C/S can also be done. After undergoing the investigations, please inform me about the results." + }, + { + "id": 1986, + "tgt": "Will Inderal provoke wheezing and allergic episodes in cardiac patients?", + "src": "Patient: Hi doctor, I am a senior year medical student in Greece and I would like to ask you a question about my mother. She had a history of hyper/hypothyroidism about 10 years ago, but the last two years her thyroid has been managed and she stopped taking T4. Her cardiologist told her about 10 years ago to start taking Inderal (Propranolol 20 mg per day divided in a two time dose) because she had palpitations and some arrhythmias. She had an echo/ecg about a year ago and her heart was fine and her cardiologist suggested stopping Inderal. But being a very anxious person and having frequently anxiety tachycardias she did not stop it. Which brings me to the present, having been diagnosed the past six months by her pulmonologist with allergic rhinitis/asthma and having frequent wheezing episodes, even though she takes antihistamines when the episodes occur. Shouldn't she change her beta-blocker to a cardio-selective one? She finds herself not being able to breathe while on Inderal, but the symptoms reappear when she takes it. What would you recommend as a cardioselective beta-blocker? Would it be safe to change from Inderal, to let us say Atenolol? If yes, how would she do it? Doctor: Hello. I have gone through the history you have described for your mother. I really appreciate the way you have presented it with all details. It is very important to know the reason to start tablet Inderal at first point. What kind of arrhythmia it was and all in order to evaluate does she really need to continue any beta blocker. As your Cardiologist year ago after cardiac evaluation did not find any reason to continue the medication as per your history. As we see in a day to day practice patients with palpitations just due to anxiety or stress and without any cardiac issue, non-selective beta blockers would definitely aggravate her symptoms. BP you have mentioned in your description is wrong I guess. As it appears to be 12/20 something, might be a type error but looks normal to me. For time being you can change the beta blocker to a selective beta blocker like Metaprolol (12.5 mg) or Nebivolol (2.5 mg) or Atenelol (25 mg)on a very low dose. Get her evaluated again with her cardiac reports whenever possible and if not required better to slowly taper her beta blocker medication and stop as well. Because though cardioselective beta blockers has some or minimal effect on beta 2 receptors as well. Even I would advise to start meditation and yoga to overcome her anxiety issue, that will help her in controlling palpitations if they are related. Would like to review her all previous and recent cardiac records to further discuss and clarify management strategy." + }, + { + "id": 7828, + "tgt": "What can cause sharp ear pain while chewing food?", + "src": "Patient: Hi doctor, I am a 31 year old unmarried male.\u00a0I am getting very sharp and heavy pain in left ear side, inside center part of the ear, whenever I chew or eat food. This was started 4 days back. But, it was not that much noticeable and today morning it has increased. Please help. Doctor: Hi. Your ear pain could be either due to a dental problem or nerve problem, a condition called trigeminal neuralgia. If it is dental problem it has to be addressed by a dentist. The treatment is either tooth extraction or a root canal treatment. Hence, first kindly get examined by a dentist and make sure whether it is due to dental problem or not. If it is not due to tooth issue then you need to be started on a medication called Carbamazepine for one or two months for the nerve problem. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24700, + "tgt": "My daughter is hypersensitive to insult and criticism. How to make her feel confident?", + "src": "Patient: Hi doctor,My daughter is 13 years old. For the medical record, she is yet to experience menarche. She is intelligent, cheerful, very creative, bubbly and incredibly empathetic child. I believe she is the best thing ever happened to us. I have a concern about her. She is very sensitive and cries at the first instance of disappointment. Even as a baby, she has always been a cry baby and I thought this would change as she grows. Now that she is in her teens, she is becoming hypersensitive to criticisms, insults and even when her friends make fun of her. She yearns for attention. She is slightly on the plumper\u00a0side, so she is very conscious when someone comments about her body and cries for hours, especially when her friends or boys do it. She has also got on to the habit of blaming others for every failure of hers.Initially, I attributed the entire thing to hormonal changes and adolescence. But, this is affecting her too much. I cannot see her losing confidence. My fear is if she continues like this, she might lose confidence and added to it, might never be an independent and confident woman. I have seen this trait of being hypersensitive to anything in my mother. Initially, I thought she had taken it from my mom. But now, I feel I have to step in and change course for her good. I am spending more time with her. She is pretty open to me to the extent even about the boy who has a crush on her or even her physical changes, despite me being her father.\u00a0I am trying to find a way to make her more confident, take comments or bullying or criticism in the correct perspective, to make her bold to face the world all alone. Can you please help me? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28267, + "tgt": "Can feeding food to the blood directly prevent obesity, hypertension, and diabetes?", + "src": "Patient: Hi doctor, My greatest desire was to become a doctor. I have a few thoughts to prevent lifestyle diseases. If we smile with inner sad feeling, the brain will think that we are happy. It can be refered to as tricking the brain. Our taste buds are on the tongue and when we eat the brain knows the quantity of the food the body wants immediately. What if we stop peristaltic movements? Thus feeding food to the blood directly and by-passing the mouth causing the brain not to know how much it needs. It\u00a0could prevent obesity, high and low hypertension, diabetes, etc. Will it affect the stomach? By the way, these meals will be complete with all the essential nutrients. I am looking forward a reply. Thank you. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14364, + "tgt": "I have shortness of breath and anemia since giving birth. Please advise", + "src": "Patient: Hello doctor, I have: Shortness of breath and ongoing anemia since giving birth. Bruising stomach, right arm and behind the chest. Painful legs. I am attaching files. Doctor: Hi. Shortness of breath can occur secondary to anemia postpartum and are interrelated. However, bruising of arm and stomach may indicate underlying coagulopathy or embolic phenomena secondary to deep vein thrombosis. On observations in the contrast CT scan attached as above (attachment removed to protect patient identity) - For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 12077, + "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": 28593, + "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": 22703, + "tgt": "What is the tag like structure near frenum under the tongue?", + "src": "Patient: Hello doctor,I have a small tag like structure near frenulum on one out of two ducts which goes on both sides under the tongue. Kindly have a close look and advise. Doctor: Hello. In the image (attachment removed to protect patient identity), the lesion looks like either the after effect of an injury to the duct or salivary gland stone or a papilloma. Nothing to worry. This can be removed by surgical excision of the lesion. After that send the specimen for histopathologic examination for confirmed diagnosis. For more information consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist" + }, + { + "id": 12343, + "tgt": "Is it normal to have post-nasal drip after root canal treatment?", + "src": "Patient: Hello doctor, My daughter had a root canal yesterday and now has a strong post nasal drip that tastes like hypochlorite. Should I take her to the doctor? Doctor: Hi. Typically, you will recover completely from a minor sinus issue like this within a few days, without any intervention from your dentist. However, if you are experiencing sinus issues that have worsened, or have not gone away after 2 to 4 days after your root canal or you believe you may be developing a sinus infection or you feel serious and significant pain and discomfort around your sinus or there is a metallic taste in your mouth, nose, or throat or you notice any kind of bleeding or pus in your nose or mucus, you should visit your dentist immediately." + }, + { + "id": 5479, + "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": 17278, + "tgt": "Should my Thyronorm dosage be altered as I feel dizzy and weak?", + "src": "Patient: Hello doctor,My TSH level is 0.056. I am at present taking Thyronorm 75 mcg as I have been suffering from hypothyroidism before. At present, I have low blood pressure and I feel dizzy and weak. Doctor: Hello. I read your query and from what you have mentioned it appears that you have overcorrected hypothyroidism. I suggest that you decrease the dose of Thyronorm to 50 mcg once daily. Repeat your thyroid function test after six weeks and then we will review again. Also, you have urinary tract infection and therefore maybe you can be dizzy and weak. If you do not have any drug allergy then you can take tablet Cefuroxime 500 mg twice a day for five days. You can also take tablet Paracetamol 500 mg thrice a day for three days. Consult your specialist doctor, discuss with him or her and with their consent take all the medicines. Drink eight to 10 glasses of water daily. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 6627, + "tgt": "I coughed up something that looked like a worm. Could I have a worm cast in my right lung?", + "src": "Patient: Hello doctor, I was diagnosed with flu\u00a0five days back, it started with a productive cough and then progressed to body aches and fever. Body aches and high fever lasted for about 24 to 36 hours, but I have a constant low-grade fever. I started to feel better after three days, but the coughing was so severe that I almost gagged. On one such occasion, I examined my vomit, and I had coughed up something that looked like a\u00a0worm. It was pasty white when I pressed it, and it was wrapped up on itself. I went to my doctor, and she said my lungs sound clear and equal bilaterally. I started taking Z-Pak, I am feeling better, and my temperature is normal. But, I get hot and little sweaty at night. I am not coughing too often, but I still feel like there might be something in my right chest. I am just so worried about the thing I coughed up. Do you think it is a worm cast? If yes, then is that a regular thing during an illness? Could I have worm cast in my right lung? When I cough hard, I produce normal whitish clear mucous. I used to smoke,\u00a0but have stopped for over ten years. I was tested positive for TB when I was younger and was treated for six months with Isoniazid. I am attaching the picture of the worm that I coughed up. Doctor: Hi. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 941, + "tgt": "I feel heaviness in my head while bending and lifting my head up. Why?", + "src": "Patient: Hello doctor, I am having heaviness in my head since yesterday afternoon, especially when I bend and lift my head up. Also, I am experiencing the same heaviness while coughing too. I took Paracetamol 500 mg once yesterday evening and today afternoon, but I did not find any change in pain. Also, for the past three days I am having slight constipation. I am taking medication for thyroid (Eltroxin 75 mg). Also, I use glasses for short sight and presently the lens has got scratches with vision not 100% clear. I had checked my BP in the morning and found it to be 117/62. Doctor: Hello. I would like to confirm a few more, before arriving to a probable diagnosis. Site of pain, front, back, whole, or half side of your head or vague? Episodic or stays the entire day? Any facial pain? Apply pressure on the face, on either side of your nose, on your temple, and see whether those areas are tender. Do you have body pain, fatigue, sleepiness, dullness, menstrual irregularities, fever, sleeplessness, nausea, vomitings, neck pain, blurring of vision, double vision, past history of similar headache, or excessive working on laptop or TV? For now, take tablet Naproxen 500 mg with food as and when required. Plenty of oral fluids. High fiber diet, greens, syrup. Duphalac 15 cc to be taken with two glasses of water preferably at bedtime. Get back to me with the answers to the above set of queries." + }, + { + "id": 30127, + "tgt": "With imaging, is it possible to find out the reason for condylar resorption?", + "src": "Patient: Hi doctor, At age 17, I spontaneously developed an anterior open bite. I do not have a habit of tongue thrust. Although, I had been using a drugstore night guard when it developed. My orthodontist fixed it without doing any imaging. Looking back, I wonder if it had been caused by idiopathic condylar resorption or some other degeneration of the joint. If I get imaging done now, will they be able to confirm whether I previously had degeneration or resorption? Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 26525, + "tgt": "I have irregular bleeding and hair loss. Please suggest a remedy", + "src": "Patient: Hello doctor, I consulted a gynecologist for irregular bleeding since two months and hair loss. The following actions made by me is mentioned chronologically.I went to a gynecologist and she suggested TSH blood test and ultrasound scan.\u00a0The TSH reading was 5.8 and the scanning report is normal.\u00a0The gynecologist referred me to an endocrinologist. The endocrinologist suggested for Anti-TPO test and the test reading was 488. The endocrinologist suggested 25 mcg Thyronorm tablets every morning up to three months and intimated for a review after three months. To\u00a0confirm the lab result, I\u00a0went to another lab after two days and undertook the blood test. The result was TSH 3.18 and Anti-TPO was above 1000.\u00a0Again, I went to another lab after two days, and the result was TSH 3.98. Until now, I\u00a0have not taken any medicine. I am confused with the above results. Please suggest me. Doctor: Hello. I just read your query and your detailed information about yourself. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 25120, + "tgt": "My TORCH test came positive for rubella IgG. Is this the cause for my miscarriages?", + "src": "Patient: Hi doctor,I am 28 years. I have a history of three miscarriages all at 6, 5, and 5 weeks. My torch test came positive for Rubella IgG. Others were nonreactive. Other investigations were normal. I am asking if this could be the cause because I am confused. Doctor: Hello. I understand your concerns. Rubella IgG antibodies indicate either previous old infection or vaccinated status. It is not the cause of the repeated miscarriages. There are many causes of multiple miscarriages most commonly antiphospholipid syndrome. I suggest: Wish you all wellbeing. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21069, + "tgt": "How can I reduce acne in face?", + "src": "Patient: Hi doctor, The climate is hot here. I lost my skin color. I got a lot of acne. My skin is oily and sensitive. Now, what can I do? I am using Adapalene with Clindamycin phosphate gel. Is it right for me? I always use a night cream to get my color. I am using sandalwood powder with rosewater now for my skin. Doctor: Hi. I have gone through your query (attachment removed to protect patient identity). You have moderate acne. I suggest you use your current topical medications and add, Vibramycin tablet (Doxycycline) 100 mg for every 12 hours, after meals. Avoid eating chillies, nuts, drinking soft drinks as well as full cream milk. There is no decrease in your skin color. Kindly give more details with a photo to this complaint." + }, + { + "id": 304, + "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": 11008, + "tgt": "What are the causes of swollen tonsils with white spots on the back of the throat?", + "src": "Patient: Hi doctor, I am a mother of a 16 year old\u00a0boy, who is 5.9 feet tall. He has white spots on the back of his throat along with swollen tonsils. He does not have a fever but finds it hard to swallow. Is this strep infection or what is it? He had the same before, and it was told as thrush. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20742, + "tgt": "I get a popping and locking sensation in the jaw. What can be done about it?", + "src": "Patient: Hello doctor, I usually get a popping and locking sensation in my left jaw which happens while eating and getting up in the morning. I also have a partially erupted wisdom tooth in that part. I read about TMJ on the internet and I am getting anxiety because of it. I am very afraid. Recently, the jaw got torn I think and I could not put my teeth together on the left side. It healed after five days of taking Zerodol-MR. I do not know what to do. Please advise as I am constantly thinking about it. Doctor: Hi. There is nothing to be afraid of. You seem to have recurrent disc displacement. The main cause can be the one you mentioned, your half-erupted tooth. I suggest you get it removed and make sure you eat from both the sides. The joint gets stressed if you eat from only one side and that causes lockjaw.If you have any cavity get it filled as soon as possible. Make sure during wide mouth opening to hold your jaw with your hand in front of the eye. Check TMJ exercises on the internet and do it in front of the mirror daily. You will get healed within months. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7655, + "tgt": "I have tonsil stones and an altered sense of smell. Please help", + "src": "Patient: Hello doctor, I currently have tonsil stones that do not occur every day but at a rate of three to four a week. Also, I notice it does not take much for me to get hoarse and my voice cracks for no reason when talking. I have also noticed that my sense of smell is off. Doctor: Hello. Tonsil stones are a sign of chronic tonsillitis. They occur due to the\u00a0accumulation of food debris in the tonsil crevices. Follow up with the required information so that I can suggest you better.\u00a0Take care. Regards. For more information consult an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9287, + "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": 10274, + "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": 23447, + "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": 8651, + "tgt": "My root canal treated tooth broke off. Should I go to a dentist right away or wait?", + "src": "Patient: Hello doctor, I was having food this morning and the front\u00a0half of the back tooth broke off. But, this tooth is dead because I got a root canal about six years ago. I have no pain or discomfort on the tooth or around the gums but you can see black stuff which I am guessing is the filling they used on my tooth. I am feeling the edges of the remaining tooth snag my cheek a bit. I want\u00a0to know if I should go to the dentist today or if it can wait. Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 4099, + "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": 20269, + "tgt": "Following IUI, when can I test for pregnancy?", + "src": "Patient: Hi doctor, My last period was on the 26th of last month. I had IUI on 7th evening and 8th morning of this month. When can I test for pregnancy? Doctor: Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 847, + "tgt": "How long should I avoid pregnancy after rubella vaccination?", + "src": "Patient: Hi doctor, I am a 30 year old female and\u00a0planning for a first pregnancy. Thereby across, I came to know about rubella test. I have gone through this test recently and it came out to be non-reactive IgG less than 3 IU/mL and IgM is less than 10 IU/mL. Should I go for its vaccination?\u00a0If yes, then how long should I avoid conceiving? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5084, + "tgt": "My arms are burning with red hot skin while typing. What to do?", + "src": "Patient: Hello doctor, I am a writer, so I use my computer a lot. Pretty sure I have a repetitive stress injury. My father has Carpal tunnel, so it would not be a surprise at all if I have something similar. The pain is triggered when I type, and more so when I use my trackball. More than anything, my arm burns, the skin is hot, red and rashy. I can feel the same thing in my left arm, but it is more milder and takes more strain to hurt. I know I should back off and rest, but I feel like I cannot do that without giving up on writing. I wrap it and ice it. I take a couple of Aspirin every day to deal with inflammation, nothing seems to be helping. If I go to a doctor, I am afraid they will just tell me to do what I am already doing. Is there any point in seeing a doctor, or is there something more I should be doing at home? I am willing to see a doctor, I am quite short on money, and if I am just going to be advised to ice it and rest, I would rather save my money. Doctor: Hi, Welcome to icliniq.com. Sorry to see that you have persistent symptoms. It is not clear from your description that you actually have any hand symptoms with crampy pain on typing with index thumb and middle fingers most affected as that would fit into a carpal tunnel like picture. If it is your arms that are bothering with burning pain, then it seems more like a neck problem with cervical spondylosis most likely possibility especially if you have morning neck stiffness or pain and stiffness after a period of rest. The treatment of which is going to be strengthening your neck along with neck exercises, posture correction, using the laptop or desktop for shorter durations, analgesia, Pregabalin tablets 75 mg twice a day and moist heat to the neck rather than the arms. You also can take Diclofenac tablets 75 mg two times a day after meals if you have no asthma, hypertension and no known allergy to this tablet. I hope this helps." + }, + { + "id": 28876, + "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": 29208, + "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": 13111, + "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": 16939, + "tgt": "From yesterday, I have fever, headache, and cold. Please help", + "src": "Patient: Hello doctor, I have fever, headache, and cold from yesterday night. I took Paracetamol. Please help. Doctor: Hi. You are most probably suffering from common cold and flu. The headache is due to sinusitis. I suggest you try taking the following: For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 25095, + "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": 30166, + "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": 25247, + "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": 26446, + "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": 2393, + "tgt": "There are light cramps and spotting. Is it due to pregnancy?", + "src": "Patient: Hello doctor, My girlfriend is having light cramps and today she observed slight spotting. Her last two menstrual cycles were 32 and 37 days long and her last periods started a month back. We engaged in unprotected intercourse one week later once with us stopping and taking protection in between. I did not ejaculate inside her. We are concerned about a possibility of pregnancy. Doctor: Hello. I can help you with this. With the history I think her periods are a little irregular. The time of sexual intercourse is not much near her ovulation time and if you have not ejaculated inside, the chance of pregnancy is very rare. If you have had no unprotected intercourse thereafter, and if she by chance had become pregnant, urine pregnancy test should show positive by now. So to be on safer side it is better to do a urine pregnancy test now even though she is having spotting. If it is negative now then definitely she is not going to be pregnant due to the sex. So then you can wait for another week for her to get her periods. Finally light cramps and spotting may be preceding her normal periods. Urine pregnancy test Review with urine pregnancy test result" + }, + { + "id": 23582, + "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": 2193, + "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": 19761, + "tgt": "If patient has metastatic breast cancer, what is the solution?", + "src": "Patient: Hello doctor, The patient is a 36-year-old female. She is a metastatic breast cancer patient. The diagnosis was made three years ago. Metastasis found this year through FDG PET CT scan. The primary treatment was for breast lumpectomy, followed by chemotherapy (3 FEC+3 Docetaxel), and radiation therapy. For MBC at liver took Trastuzumab plus Leuprolide 3.75 ( eight cycles) and Letrozole 2.5mg. There was a progression to bilateral oophorectomy plus DJ stenting at the urethra. Also, Trastuzumab plus Letrozole. After progression on Trastuzumab and Fulvestrant. Is the present treatment plan as per guidelines as per ESMO or ASCO? If not, then what does the guideline say? The patient feels pain in the abdomen region which worsens at night. As per the urologist, there is no gynecological or urological problem as very recently the DJ stent was replaced with new one. What is the solution? Doctor: Hello. It looks like she is having progressive metastatic breast cancer triple positive (ER +, Her 2 +ve). She received chemotherapy, hormonal, and target therapy (Trastuzumab). She also underwent BCS, oophorectomy, plus radiotherapy. Despite all this treatment. she progressed twice. Before I give some suggestions I need to know about her general condition (walking, eating well, recent weight loss, pain control, any chronic illness)? Any family history of breast cancer? If her performance status is good and she is tolerating all the medicines well, she must take more treatment. There are now few options left. That is to add Pertuzumab, Lapatinib or TDM-1. But all of these medicines are very expensive and now at this stage, if there is diffuse metastasis these medicines will not have a curative role but only a palliative role and may add some benefit only. Another option is to start Eribulin injection (chemotherapy) which can be given after progression from Taxane and Anthracycline chemotherapy or to start some other drugs as palliative chemotherapy. The abdomen pain she is experienced may be related to liver metastasis. She has received treatment as per guidelines till now except (Pertuzumab/TDM 1) which are very expensive and few people afford it. Unfortunately, as per the reports (attachment removed to protect patient identity), it is an advanced malignancy. Now the goal of the treatment is just palliation. Her performance status looks 2 (ECOG). The goal of the treatment should be to control her pain, to maintain intake (nutrition) and output (bowel bladder habits). Provide her psychological support and family support. She should also visit her oncologist for follow up if she is not willing for chemotherapy. At least hormonal treatment and Bisphosphonates are recommended and will be well tolerated (after consultation with a primary oncologist). Lapatinib at this stage may even cause more toxicity than benefit (diarrhea, vomiting, hand-foot syndrome, cardiac toxicity). For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 19992, + "tgt": "How to cure chronic post-nasal drip and change of voice?", + "src": "Patient: Hi doctor, I am 19 years old. I have been living with persistent allergies in my whole life. I have chronic post-nasal drip. I have lost my voice and get some sort of sore throat, whether that be laryngitis or strep throat. I had the same thing thrice in the past three months. This is especially difficult because I sing in my school's advanced chorus. In addition, because of the chronic post-nasal drip, I have to clear my throat a lot. My sinuses are congested frequently. Over-the-counter drugs provide temporary relief, but I have reached a point where I am tired of taking Mucinex or Benadryl every couple of days. I was wondering if I am a good candidate for sinus surgery. My mother and grandmother have both suffered from similar symptoms in the past and they both have had the surgery. It has seemed to help them overcome about 85% of their previous issues. Please help me. Thank you. Doctor: Hi. As you said, you have chronic post-nasal drip with a change of voice. According to me, it is chronic sinusitis with chronic laryngopharyngitis. The diagnosis of chronic sinusitis must be confirmed and I suggest you get a CT PNS (paranasal sinus) done and send me the pictures. For now, I suggest a Fluticasone nasal spray twice daily, tablet Montair LC (Montelukast and Levocetirizine) once daily and capsule Pantoprazole once daily. Also, take steam inhalation and avoid high pitch singing while you have a sore throat. One more thing, I want to know is that whether your voice has become hoarse or you cannot sing because you have a feeling of a dry throat. For further information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28402, + "tgt": "How can I stop losing muscle mass?", + "src": "Patient: Hi doctor, I did exercises to relax and tighten the neck muscles. The exercises that I did has affected my\u00a0entire body. I have lost muscle mass all over my body, and I have gained muscles in thighs and all the wrong places. I eat apples to stop muscle loss, as I read that eating apple stops muscular dystrophy. I do not have muscular dystrophy after doing this. It feels like I do not have any muscles in my body. How can I build my muscles back? What can I do to regain muscles in my arms, chest, glutes, and hips? Is\u00a0there any regimen that I can follow? I have stopped doing exercises to tighten my muscles. I believe these exercises moved my diaphragm. What exercise can I do to reset my diaphragm? What can I do to stop losing muscles? I feel drained when I wake up in the morning. Will I be able\u00a0to stop feeling drained? Doctor: Hi. Revert after a month to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 21578, + "tgt": "Why do I have black stools after taking iron tablets?", + "src": "Patient: Hi doctor, I have been diagnosed with iron deficiency anemia before three months. On my latest check-up, I have seen that my iron level has reduced (5.74 g/dL to 5.72 g/dL) while my serum iron level has got higher (36 mcg/dL to 39 mcg/dL). My RBC level is normal. But my hemoglobin level got higher (11.3 g/dL) as my UBIC is still high. I made a urine test too, as I had white things in my urine for almost three months. My results say the leucocyte clusters are typical and there are 15 to 20 % epithelial cells seen. My doctor advised me to take Ciprofloxacin antibiotics. From yesterday, as I started using Iron tablets, I saw my stool in two colored like some of them are black (because of the iron), and few ones are light brown. When the stools are dropping, I have a feeling of something is hurting me. It quickly passes away, and after it has gone, my anus starts to burn. Is this a sign of bacterial infection? There was no blood in my stool. Doctor: Hi. The black stool is because of iron intake. You can have a burning sensation while passing stool because of proctitis like inflammation or due to piles. For that local rectal and proctoscopy examination is needed. Anal water sitz bath is beneficial, and if piles is present, then Cremaffin syrup (Sodium Picosulfate with liquid Paraffin) can be taken. Your white color urine is due to the presence of pus cells and it can be suggestive of urinary tract infection. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1135, + "tgt": "My wife has itching on exposed areas for the past one year. Kindly suggest solution", + "src": "Patient: Hello doctor, My wife has been having itching on her body for the past one year. Itching subsides with Allegra 120. She is taking this medicine for the last one year. Mostly, she gets itching on the area which is not covered by clothes. Skin becomes red when she scratches it. I am attaching the picture. Doctor: Hello. She is allergic. The allergy can be due to food, sunlight, pollens, soap, moisturizer, or powder. So she can be allergic to anything. As you mentioned that only areas that are not covered by clothes are affected, which points to photosensitivity which is an allergy to sunlight. It can be an allergy to something else as well. It is very difficult to say only on the basis of history. I would suggest to look for any particular food if she develops itching after eating something. Change soap, moisturizer, and powder. Cover the whole body while going out which will protect if she is allergic to sunlight. You can also go for skin allergy testing which will confirm the diagnosis. Take tablet Montair LC (Montelukast and Levocetirizine) whenever she has itching. Stop Allegra. It is basically prevention from allergens she is allergic to. You can find it by yourself by closely watching or go for skin allergy testing." + }, + { + "id": 13837, + "tgt": "Will candidiasis cause red bumps on penis after sex?", + "src": "Patient: Hello doctor, I am 38 years old and I am 67 kg and 169 cm. I am half black with kind of light skin. Although I have my fiancee, I masturbate a lot before and sometimes I damage my skin under the gland. I can mention maybe since a year or so. I always associate because, in the new place where I live, the climate is far drier than in my home country. Since one month ago, my fiancee started taking estrogen due to fertility treatment and she got candidiasis and was treated but she was not told that I also should take the treatment. I have since some time an almost unnoticeable small red bump with kind of dried and bright appearance in the gland (in what I call the down part of my gland which is where the gland connects with the part of the skin that I do not see when I pee). At that time I did not have time for going to doctor and I did not know about icliniq. She advised me to use coconut cream and I used it and the swelling disappeared. However, I have it again in the same location. She recently received again the estrogen treatment. Like three weeks ago, when I had the first bump, once I had sex with my girlfriend and it was a little bit painful. In general, I do not know if it is because of my uneasiness, but I feel certain discomfort in the top of my gland but very little. These are all the symptoms I think. Doctor: Hi. It can be candidiasis or some allergic reaction. You can apply Miconazole cream locally twice daily for about 10 days and see. If it increases or recurs, see a doctor. Please use a condom until both of you are adequately treated, to prevent cross infection. The pain during sex could be due to stretching of the frenulum, the fold at 6 o'clock below glans. If it tears repeatedly, a minor corrective surgery helps. Take care." + }, + { + "id": 17847, + "tgt": "What is the Treatment for Abscessed Tooth?", + "src": "Patient: Hello doctor,I am a 46-year-old female. I have a problem with my tooth. There is an abscess and my dentist is always fully booked. Can you help me? Doctor: Hello. I have gone through your query. For an abscessed tooth, you have two options. One is endodontic treatment, and the other is the removal of the tooth involved in the abscess formation. Now, the treatment plan depends on the condition of the tooth crown. If the crown is in a good condition then you will be treated through a root canal treatment and if the crown portion is decayed or damaged grossly then you will undergo extraction of the same. Before visiting the dentist, you need to take an antibiotic prophylaxis for three days: This drug regimen will decrease the formation of the abscess and will relieve you of the pain. It is necessary before the treatment. Take this medication only if you are not allergic to any of these and only if you are physically fit and not going through any condition like pregnancy, etc. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 19952, + "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": 5028, + "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": 14322, + "tgt": "What is causing cough with heavy chest and raised platelets?", + "src": "Patient: Hi doctor,I am a 30-year-old female (weight 65 kg, height 5\u20194\"). I was having a cough with heavy chest (possibly due to sputum as I threw up with sputum a couple of times also). I was prescribed Co-amoxiclav 375 mg TID but as it did not help in three days, the doctor switched to Zinacef for seven days. My ESR was 60 in the first five days and today it is the tenth day and ESR is 98. Also, my platelets have risen to 457, monocytes 19 % and WBC 13.2 %. Also, I get fever occasionally and I am taking Paracetamol which works. The cough is a bit better but I feel too down and tired. Please guide. Doctor: Hello. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray PA view sputum for AFB, gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports. Get well soon." + }, + { + "id": 525, + "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": 11248, + "tgt": "To avoid pregnancy, what can I do after three days of unprotected sex?", + "src": "Patient: Hello doctor, I am 31 years old, female. I had unprotected sex three days ago. What should I do now? Doctor: Hi. No need to worry. There are two options. 1. You can go for Levonorgestrol, taken 72 hours after sex. 2. You can go for Ulipristal Acetate 30 mg taken 120 hours after sex." + }, + { + "id": 8506, + "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": 29617, + "tgt": "Does Finasteride cause any sexual problem?", + "src": "Patient: Hi doctor, I am 25 years old and have male pattern baldness. I have consulted a doctor and started taking a tablet that has Finasteride in it. I take a dose of 1 mg per day. I looked up on the internet and it has side effects such as the inability to keep an erection and loss of sexual interest. Does it cause any sexual problems? Should I keep using it? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23213, + "tgt": "My muscles tend to get knotted more often. Can scoliosis cause such problems?", + "src": "Patient: Hi doctor,I am a 25-year-old female. I have scoliosis and my curve is around 25 degrees. I would truly appreciate if you can answer my queries. Can my scoliosis get worse over time?My right muscles tend to get knotted more often than my left muscles. Can scoliosis cause such problems?Can exercise be performed in the wrong posture worsen my scoliosis? Doctor: Hello. As you have achieved skeletal maturity and now have stopped growing with your curve only 25 degrees then the spontaneous increase in the curve is highly unusual. You will have to, however, monitor the curve. Scoliosis leads to muscle and structural imbalances and getting knotted on one side is not uncommon. You can, however, see a good physiotherapist who will be able to help. Exercises wrongly done cannot worsen the curves dramatically but will not certainly help your muscles. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16692, + "tgt": "How to stop my daughter's habit of stealing?", + "src": "Patient: Hi doctor, My daughter has just turned seven. She has a strange habit of stealing. She steals at school, grocery stores and home. She is not allowed to go to friend's house because I am afraid she will steal there too. She steals stupid things like candy bars, gum, erasers, pencils and lip gloss. She will go through other kid's desk while they are doing activities to steal things. When caught she will call the other student a liar and say that the item belongs to her. She blames her little sister for thefts at home. I have tried everything from buying her extra stuff to grounding. It is so embarrassing and I am very afraid if I do not help her now she will do it throughout her life. Please help me. I do not know what to do at this point. Doctor: Hi. Please do not worry. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 17243, + "tgt": "My periods are delayed. Am I pregnant?", + "src": "Patient: Hello doctor, I have a couple of questions regarding pregnancy. About two days ago, my partner and I had unprotected oral sex, and I was in a position where my vagina was on his penis, but we did not have sexual intercourse. Although he did finger me,\u00a0he did not seem to have any body fluid on his fingers. Yesterday, I noticed that I have an urge to urinate more frequently than usual, and I am bloated. I have not missed my period yet because I usually get it in the earlier days of the month but, it was late anyway, and it still has not come. Today around 11 AM, I had some minor blood spotting. If I take a pregnancy test in a week, can I still take birth control to avoid the pregnancy? What are some ways I can prevent this possible pregnancy? Please write back soon. I really need help. I have never been in this situation before, and I have no one to talk to. Doctor: Hello. How are you doing? I do not see any reason for you to worry. Let me explain. Hope I have clarified your query. 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": 19578, + "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": 7118, + "tgt": "I have emphysema. Is it fine to continue with antibiotics?", + "src": "Patient: Hello doctor, A year ago, I was diagnosed with Emphysema, and before four years, I was diagnosed with bronchitis, but after six months, I had a warm feeling in my stomach, followed by nausea. I need to know if I should be going back to the ER or continue to take my antibiotics and not stress over it. Doctor: Hello. No, you need not go to the ER. The burning sensation in the stomach and nausea you are having is not related to your emphysema and bronchitis. It is actually due to the antibiotics and other medicines you are taking because antibiotics cause secretion of an excessive amount of acid in the stomach, which leads to a feeling of burning and nausea. The treatment of your problem is simple, take these medicines along with antibiotics to prevent excess acid formation. (1) Capsule Rabeprazole two times a day. (2) Tablet Rantac (Ranitidine) two times a day. (3) Tablet Domperidone 10 mg two times a day." + }, + { + "id": 30711, + "tgt": "Kindly suggest the most effective laxative for my mother's constipation", + "src": "Patient: Hi doctor, My mother, who is 80 years old,\u00a0has diabetes, high BP and thyroid since last 15 years. She is under control with medicines. She has chronic constipation since last 30 years and uses different laxatives. In the past one year, her constipation has increased and even high doses of laxatives do not work properly. She has been using Duphalac, Smuth, Milk of Magnesia, Softovac, etc. Kindly suggest the most effective laxative. Doctor: Hi. For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 16391, + "tgt": "Can pain and excess urine pressure be due to urine infection?", + "src": "Patient: Hi doctor, My wife is 32 years old. The problem from last three days is that my wife feels excess urine pressure and also a heavy pain in her urinal parts constantly. Doctor: Hi. It could be a number of things. Urinary tract infection can present like that hence you need exclude this first. Is there any chance of pregnancy as earliest pregnancy signs can be similar to what she has been feeling. If not pregnant, then perhaps, she is nearing the time of her menses as that could feel like pressure and pain down there. If none of the above, then you could get an ultrasound of lower abdomen done to rule out cysts. Please get the following investigations done and update me so that we can proceed with treatment. Infection, pregnancy, fibroid. Usg of lower abdomen, urine routine, and microscopic examination, urine strip test for pregnancy." + }, + { + "id": 1796, + "tgt": "I get profuse bleeding during my periods for the past three months. What should I do now?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I weigh about 87 kg. I am a mother of a 2-year-old kid and still breastfeeding. No history of PCOD and my periods are regular with a cycle of 28 days. I conceived after three years of marriage life. I had a natural delivery in 2018 and got my regular periods back in March 2019. My period PMS symptoms include bloating, mood swings, and temperaments. Now my problem is for the past three months my periods are super heavy. I am using 10-11 pads per day for the first three days and normal to less in the next three days. This makes me drained and weak. I am unable to sleep properly and cannot do anything. It also leads to bad stomach cramping. Today is my second day of menses and yesterday, I fainted as well. What to do? Doctor: Hello, Welcome to iclinq.com. I can understand your concern. The reason for your excess flow could be most probably hormonal, yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus. Check your Hb (hemoglobin) and thyroid levels (sometimes hyperthyroidism can cause excess flow) because of heavy menses in previous cycles your Hb must have come down, causing this severe weakness and giddiness. Moreover, lactation consumes iron for milk production this would have added up to your anemia. Start iron supplements as soon as possible and take iron-rich food. You can take tablet Tranexamic acid 500 mg twice daily during the cycles to reduce the flow and get a gynecologist's opinion in person if your problem continues. Hormonal, anemia. Hb. TSH (thyroid-stimulating hormone). Pelvic scan. Hormonal, anemia. Hematinics, Tablet. Tranexamic acid 500 mg to decrease the flow, and pelvic scan if bleeding continues." + }, + { + "id": 3945, + "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": 19662, + "tgt": "Is there a possibility for my child to come out safely from fits and brain damage?", + "src": "Patient: Hi doctor, My 18 months old kid is having a problem of a blood clot in the central vein of the brain and also having meningitis fever. Here, the doctors are using Heparin IV, syrup Epival, tablet\u00a0Debritone, Panadol syrup and some other medications. But, my son is continuously going to bad condition. He is always sleeping. He opens only his right eye, but not recognizing us. He is not responding to our voice. He used to cry and having milk with some difficulty as he got fits once. Before five months, he got fits for one complete day, and his right side of the face was almost paralysed. Some doctors suggested surgery initially, but we followed up with medication. Then, he recovered, and right side started working to nearly 60%. Now, they also use Mannitol in IV. The doctors say that it will take a long time to recover. I need your suggestions. Also, he has got a\u00a0swelling on the right shoulder and arm. Will he become normal? Doctor: Hi. Sorry to hear about your child. There are a few points here I would like to mention. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 548, + "tgt": "Does I-pill overdose affect regular period?", + "src": "Patient: Hi doctor, I had sex on 13th of this month and my period was due on the 20th. But, it has not come yet. I took I-pill within one hour of intercourse and due to lack of knowledge took one more dose the next day. Now I am worried. Will overdose of I-pill affect my body? Also, I did my urine pregnancy test after 4 days of missing my period and it was negative. What to do? Doctor: Hello. I had gone through all the data you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15038, + "tgt": "What can be done for osteogenic sarcoma?", + "src": "Patient: Hi doctor, My sister's age is 26 years. She fell down on the floor and got right distal leg femur fracture. Later on, revealed after different tests including MRI, bone scan, biopsy report as osteogenic sarcoma. Doctor: Hi. I have gone through the reports of your sister (attachment removed to protect patient identity). It looks she has osteosarcoma, a type of bone cancer. In the pathology report, they have not mentioned which subtype osteosarcoma and the grade of this sarcoma (high or low). Now she must do a CT scan chest to check for any spread to the lungs. If the lungs are free then it is a localized disease. Usually, for localized osteosarcoma, she may need chemotherapy followed by surgery (limb-sparing surgery if feasible) and then again chemotherapy. It is difficult to comment (step-wise treatment) without seeing and examining the patient physically." + }, + { + "id": 27536, + "tgt": "My 10 months old niece vomited, two hours after she got hit on her head. What to do?", + "src": "Patient: Hi doctor, My niece got hit on her head, and she is crying since then. She is having a problem while sleeping, and she vomited after two hours of the collision. The collision was not that strong. Is it something serious or is it just trauma? There is no swelling on the\u00a0head that I can see. Please help. I am very anxious. Doctor: Hello. If any more clarification, please post in the follow-up query. For further queries consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 11062, + "tgt": "What should I opt for hairline reduction?", + "src": "Patient: Hello doctor, I am a 40-year-old male. For past five to six years my hairline has reduced drastically, a kind of pattern balding or thinning of hair. So, please suggest whether I should opt for ayurveda, homeopathy, or any other alternative medicine? Doctor: Hello. I understand that hair loss can be quite disconcerting. Please provide me with a few details so that I can prescribe you an appropriate medication. Do you have dandruff or any other kind of disease in the scalp? Do you have any other problem in your body, like anemia, thyroid issues and so on? Are you taking any oral medication for the same? Because there are a wide variety of diseases that can manifest as hair loss. Also, if you could please provide with a picture of the problem, taken in good light and in sharp focus so that I can prescribe you an appropriate medication." + }, + { + "id": 8853, + "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": 7355, + "tgt": "Kindly suggest some home remedies for acne", + "src": "Patient: Hello doctor,I have a lot of acne over my cheeks and chin. My skin is sensitive and oily. Whatever I use causes acne. Can you suggest any home remedy for my skin? Doctor: Hello. Acne depends on hormonal effects, sebaceous secretion, etc. It reduces with age in both severity and appearance, and good control can be achieved by regular face wash with a cleanser like Cetaphil, topical keratolytic like Retinoic acid creams and antibiotics like Clindamycin, if necessary oral antibiotics. Treat if dandruff with Ketoconazole shampoos like the scalp. Do not use any creams and do not rub or use harsh soaps to dry skin as they sometimes increase it on the contrary. Oily skin can predispose to acne. It is better to avoid oil-rich foods and high glycemic foods. Mild keratolytic like salicylic acid instead of retinoic acid creams can be used." + }, + { + "id": 22556, + "tgt": "I have brown discharge and stomach cramps. Am I pregnant?", + "src": "Patient: Hello doctor, I got married six months back. On the 1st of last month, I had menses. This month, just before my period date, I had brown discharge and still, menses has not come. My pregnancy test showed negative, but nowadays, I feel little cramps in my stomach. Am I pregnant? Doctor: Hello. You have missed cycle, and have cramps and brownish vaginal discharge. Have you taken any hormones, medications, recent illness, crash diet, strenuous exercise, had thyroid abnormalities, abnormal hair growth, sudden weight gain, etc.? These all are the causes of delayed menses. Vaginal swab also needs to be sent to a lab. My advice is to have immediate serum beta hCG twice with an interval of 48 hours. If this beta hCG of the second reading is less than first, it could be a miscarriage, if the second level of beta hCG increased only less than 60 %, it could be pregnancy outside the uterus, but if beta hCG shows increase more than 60 % in 48 hours it is a healthy pregnancy. In case of dizziness, heavy bleeding, or pain immediately report to the hospital. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7111, + "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": 728, + "tgt": "Being a diabetic, why was I started on Evista?", + "src": "Patient: Hi doctor, I am a type 1 diabetic. I have been prescribed Evista as I have precancerous cells in my breasts. I have had multiple biopsies done in the past 5 years and they were always benign. I am concerned about the harsh side effects of Evista. I cannot sit for extended periods of time as blood clots may occur and also I have an increased chance to get stroke being diabetic. Now, I am retired and not as active as I used to be. Please help. Doctor: Hello. I had gone through all the details you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6326, + "tgt": "I urinate almost 32 times a day. Why?", + "src": "Patient: Hello doctor, I urinate a lot, almost 32 times a day. When I urinate and come back, after a while, I can feel some urine passes my urinary tract, and I have to urinate again. Can you prescribe some tablets? Doctor: Hello. We call this as urinary incontinence in medical language. There are so many possibilities which can be responsible for this. Most probably your urinary bladder may fail to empty properly due to weakness of bladder muscle. For this condition, you have to get a USG (ultrasonography) done, where I want the detail about post-void residual volume. It means an ultrasonologist will take scan one before urinating and another after passing the urine in which he will mention the volume of post-void residual urine (PVU). If the volume retention is moderate, then we have to strengthen your pelvic floor muscle with some exercise and believe me it gives an excellent result and I had, treated so many patients with that exercise. Another possibility is decreased blood concentration of ADH (anti-diuretic hormones) which is, responsible for concentrating the urine and lack of this hormone is responsible for frequent urination. The last but not least, I would advise to get your blood sugar level done (both- fasting and two hours after a meal). As you know, without knowing the cause, nobody can prescribe you the medicine as it can be dangerous for you. So I will suggest you to follow my advice, get these two tests done, and send it back to me for proper evaluation and treatment of your problem." + }, + { + "id": 9735, + "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": 12545, + "tgt": "Is scoliosis a life-threatening one?", + "src": "Patient: Hi doctor, For the past four months, I am suffering from neck stiffness especially when turning to the left. Also, I am suffering from heaviness of head, trembling of the head in certain neck position and shortness of breath, especially on moving to the chest level. When I wake up in the morning after sound sleep of 6 hours I do not feel bad. But, as the day progresses my problem gets increased. In the office, I have to work for 8 hours and my commuting time is 3 hours. So the problem increases while in office and when I travel by car where I have to sit for a long time. Also, it is not possible for me to quit my job. My echocardiogram and brain MRI are normal. My cervical spine MRI shows mild scoliosis with convexity to right, a small central posterior disc bulge at C5/C6 level indenting the thecal sac. There is no cord compression or central canal stenosis. Is my problem life threatening? Can the above problems be cured through exercise? Can I lead a normal life? Doctor: Hi. As you have very well explained your symptoms, I am so thankful to you. I would have appreciated if MRl image too available. Scoliosis can give rise to spasm of paraspinal muscles of the affected area, and in your case neck, this explains your neck stiffness. Does trembling of head on bending correspond with your pulse? If yes, then it is a normal phenomenon. If no, then during pain and stiffness there is reduced strength of muscles which sometimes leading to trembling. Your condition improves with rest and worsens with exertion, clearly implying mechanical cause to your symptoms. Shortness of breath on bending neck forward is not a routine orthopedic symptom. Do you have any swelling in the neck? Do you have any cardiac or heart condition or chest disease? Your condition is not life-threatening You need a course of muscle relaxant with painkillers. Take rest for some time along with physiotherapy and once the pain subsides, start with isometric cervical exercises to strengthen neck muscles. Change your postural habit of sitting while at work and while relaxing. These changes in your lifestyle will help you immensely. The degree of scoliosis, its progression, pressure on cord or nerve roots and the current level of your symptoms will define the need for surgery." + }, + { + "id": 27693, + "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": 6356, + "tgt": "How can I gain weight?", + "src": "Patient: Hello doctor, I want to gain weight. Please help. Doctor: Hello. I just read your query. You did not mention your height and weight and any previous history, if any. The weight of a person should be proportional to its height.You can calculate it by BMI (body mass index). If your BMI is below 18.5 then you are underweight and you need to gain weight. First of all, take healthy diet. Take carbohydrates, proteins and fats in proportinal amount. You need all of them. Add milk in your diet. Milk helps in weight gain. You can take two eggs daily if you used to take them. Take banana with milk, this combination helps in weight gain. You also get a diet chart from a dietician, if you want to. Do exercises which will increase your muscle bulk because as muscle bulk will increase it will help in gaining weight. You can learn these type of exercises from a gym nearby you or from professional trainers. You can use Ayurvedic granules named Nutrigain to gain weight. These granules have substances like Ashwgandha, Draksha, Khajur, etc., which have weight gain properties. Take two teaspoons of these granules twice a day with lukewarmwater or preferably with milk. Do not smoke and drink. Sleep adequately for 6 to 8 hours daily. Lack of diet or hormonal imbalance. Thyroid function test. After four weeks." + }, + { + "id": 6192, + "tgt": "I pulled off a hair from my nose and it is swollen and painful. What to do?", + "src": "Patient: Hello doctor, My nose hair got pulled off due to the swelling inside my nose, and it is paining a lot. One side of my nose is very hard and tight. Please help. Doctor: Hello. It is folliculitis of the nose. It is a common condition if a hair gets pulled out and the site gets an infection. It needs the following investigation and medication. Review with reports and start the medication from today. Pulling out of the hair. CBC (complete blood count), CRP (C-reactive protein), Pus culture from the pus of follicle if it bursts. Folliculitis. Clavam (Amoxycillin and Clavulanic acid) 625 mg thrice daily, Combiflam (Ibuprofen and Paracetamol) one tablet thrice daily, and hot fomentation." + }, + { + "id": 21322, + "tgt": "I have sore throat, nasal congestion and ear pain. Please advise", + "src": "Patient: Hello doctor, I have the following symptoms: Highly sore throat (six plus days). White marks lining. Swollen on the left side mostly. Red dots on the back of the throat. Left ear pain, plugged. Left nostril congested. Not much of any fever. Doctor: Hello. I have seen the files (attachment removed to protect patient identity). You are having granular pharyngitis like pharynx infection. For that, I suggest taking a decongestant like Phenylephrine or Levocetirizine 5 mg OD for five days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If pain is more, then Paracetamol 500 mg SOS can be had. Vitamin C 500 mg BD for five days can be taken. An antibiotic coursecan be had like Cefixime. Ear pain could be a referred pain from a sore throat. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27443, + "tgt": "Can HIV tests give false negative results?", + "src": "Patient: Hello doctor, One and a half years ago, I had unprotected oral sex. Two weeks later I tested positive for HSV-2. I started having sores in my anus. I was prescribed Acyclovir. But, unfortunately, it did not work for me. Four months ago, I had what I believed was ARS with chills, rashes, nausea, and peripheral neuropathy. I then took an HIV fourth generation test which came out negative. However, my symptoms got worse. The sores in my anus did not heal up, and I suddenly developed psoriasis with psoriatic arthritis. I had pain in my joints including fingers, knees, and elbows. My finger nails have also been affected. There was a change in the color of fingernails, and my nails had thickened. More recently, I took a comprehensive STD panel test. It tested for syphilis, chlamydia, gonorrhea, HIV, Hepatitis B and C, and Herpes 1 and 2. The only positive one was HSV 1 and 2. Now, I am so worried. I strongly feel that I am infected with HIV, but the fourth generation tests are not picking up the p24 antigen or antibodies for a reason. My last sexual exposure was seven months ago. What other tests can I do to rule out an HIV infection? Since psoriatic arthritis is an immune disorder, could it delay the production of antibodies, hence giving a false negative HIV result? Has my body not produced enough antibodies yet for the test to pick up an HIV infection? How long does the p24 antigen stay detectable in the body following exposure to HIV infection? What are the reasons behind a false negative HIV result? I tested past the three\u00a0month\u00a0window period. I tested at five months and seven months post-exposure. Could I have an immunodeficiency that has not been diagnosed and is not making antibodies show up? If antibodies have not been produced by now, will not the p24 antigen still be in the body?\u00a0How long does the p24 antigen stay in the body? Is there ever a time of HIV infection where both the p24 antigen and antibodies will be missing or too low for the fourth generation tests to pick up? I have read articles online that says there are a few people who do not produce antibodies to HIV at all and they will always have a negative antibody test. How true is that? Please help me. Doctor: Hello. For more information consult a venereologist online --> https://icliniq.com./ask-a-doctor-online/venereologist" + }, + { + "id": 163, + "tgt": "How to manage my recurrent anemia with diet?", + "src": "Patient: Hello doctor, I have recurring anemia for years now. I do not know how to manage it via diet. Doctor: Hi. I will give you a few food lists and guidelines to incorporate in your daily diet schedule. Include iron rich foods. If you are non-vegetarian then you can also include egg yolk, chicken liver, fish along with other veg foods. If you are a vegetarian then you can include soybean, sprouts, garden cress seeds, oats, couscous, broken wheat, pomegranate, apple, banana, green leafy vegetables. Squeeze lemon on your veggies, meat, and salad as vitamin C helps in absorption of iron. You can also take fresh lime juice or orange juice with your meals. Avoid taking any caffeine with or immediately after meals, caffeine hinder iron absorption. You can cook your meals on iron tawa or iron pots. Also avoid taking calcium and iron together, as calcium also hinders in iron absorption. For example, if you are taking calcium and iron supplements, do not take it together, keep duration in between two supplementations. I hope this helps." + }, + { + "id": 1947, + "tgt": "I get frequent urination and increased thirst only during night. Is this diabetes?", + "src": "Patient: Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux. I am currently on Montelukast, Advair and Omeprazole. Doctor: Hello. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly." + }, + { + "id": 5904, + "tgt": "My mother has pain in upper teeth and sensitive feel in all teeth. What to do?", + "src": "Patient: Hello doctor, My mother has pain in the upper teeth, and sensitive feel in all teeth. What should she do? Doctor: Hello. Does she have sensitivity in all teeth?" + }, + { + "id": 6144, + "tgt": "I had pain in all joints and increased heartbeat after dinner. What could be the problem?", + "src": "Patient: Hello doctor, I am a 25-year-old male. Today when I woke up, I felt pain in all joints all over my body. In the evening, about 30 minutes after my dinner, my heart was beating really fast and I counted it was about 104 bpm. Could you please assist me to know what my problem is? Doctor: Hello. I want to ask you a few things. What did you had in supper? Apart from the body ache are you suffering from some other symptoms like loose stools, vomiting, or nausea? Some time due to vagal irritation of acid in the stomach leads to reflux tachycardia and nothing to be worried, but still, I will advise you to get an ECG (electrocardiogram) done and send it to us. Till then, I suggest: Capsule Omeprazole and Domperidone in an empty stomach in the morning for five days. Tablet Ibuprofen and Paracetamol combination twice daily after meals for two days. Tablet Propanolol 20 mg (if required) means if you again get a fast heart beat. This medicine is not for regular use. Avoid spicy food. Do not consume water along with the meal, do not go to bed immediately after meal. Take two to three rounds of walk inside the room and then, take water five to ten minutes after meal. Report back to us with ECG." + }, + { + "id": 21312, + "tgt": "How can we manage diarrhea in babies?", + "src": "Patient: Hi doctor, My baby is having diarrhea since last night. Today he has gone poop eight times. He is mostly crying. His age is seven months. I have given ORS to him. Doctor: Hi. The most common causes of diarrhea below one year age of a baby are viral diarrhea. Rotavirus diarrhea is very common and frequent. Rotavirus is a virus that spreads through the contamination of food, improperly cleaned utensils and poor hygiene. Please specify whether your baby is having watery (resembling rice water) diarrhea. In rotavirus infection, diarrhea is watery, frequent, and it is of considerable volume. You have done the right thing by giving ORS (oral rehydration solution). Give it plenty, every time after your baby passes stool, also give ORS for every 15 minutes. If he vomits, wait for 10 minutes and give ORS. You should also continue breastfeeding and give semi-solid and solid foods according to her diet schedule. Do not stop solid foods. Maintaining water and electrolyte balance (by starting ORS early and frequently) is the primary treatment. You should count the number of urine output of your baby. If it remains normal, it is fine, but if the urine output number falls, then it means that there is dehydration which is alarming and needs more frequent ORS. You can also give him probiotics like Econorm (Saccharomyces Bouraldii) or Enteroplus sachet (Lactobacilus rhamnosus) dissolved in water or milk twice a day. For abdominal pain (crying) you can provide Colpep (Dimethicone with Fennel oil) or Decolic drops (Dicyclomine with Simethicone) 10 to 12 drops when needed. If the condition worsens or dehydration persists (baby will be irritable at first, then there will be drowsiness with sunken eyes, less urine output, and rapid pulse), immediately consult with a doctor or take him to a hospital without any delay. Stool analysis and culture sensitivity can be done. Preventive measures are: For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6190, + "tgt": "I did not get my periods and worried as my boyfriend touched his penis near my vagina. Am I pregnant?", + "src": "Patient: Hello doctor, I am 20 years old. I have not got my periods this month. My last period was on the third of last month. I usually have a cycle of 32 days. Still, I did not get my periods, and I am worried because my boyfriend touched his penis near my vagina. Am I pregnant? Please help. Doctor: Hello. Just touching the penis near the vagina is unlikely to result in pregnancy unless there is a discharge that contains sperms. There are many causes of delayed periods apart from pregnancy like stress, anxiety, thyroid dysfunction, increased prolactin level, obesity, certain medications, and most important PCOS (polycystic ovary syndrome). In your case, you need to do a urine test for pregnancy using Preganews card to exclude pregnancy. If pregnancy is excluded then wait for your period till 14 days beyond your expected periods date. If periods do not occur by then you will require some investigations to find out the cause." + }, + { + "id": 14519, + "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": 8241, + "tgt": "My hair fall increases when my MCV values are reduced. Why?", + "src": "Patient: Hello doctor,I am a female. I had my CBC done, and my WBC is 11600, neutrophils at 7800, RBC count at 6.20, MCV is 79, MCH 24.2, MCHC at 30.9 with P-LCC at 110. My Hb is 15. Are the values normal? What could I do to bring them in the normal range? Also a week ago, I went for blood donation, and I fainted after 15 minutes of giving blood.Moreover, I have done my CBC many times, and I have noticed that when my MCV values are more than 82, my hair fall is normal. But as soon as it starts reducing, my hair fall becomes very bad. Please help and tell me how I can bring the MCV and MCH values in normal ranges. Doctor: Hello, Welcome to the icliniq.com. Your hemoglobin value, MCH, and MCV values are borderline and not reduce to a level where any treatment is needed. So your MCV and MCH values are not matter of worry. Do not worry about that. Your total WBC count and neutrophils are high. But any inflammation in body also can increased this value slightly. It is not raised to level where antibiotic needed. However if you have any clinical complaint like fever, gastric pain, burning micturition etc., than mention it to guide you further. The elevated red blood cells could be due to dehydration. For that, you need to drink lots of water. If after a few days, your hemoglobin increasing along with red blood cells count than polycythemia should be ruled out. You need to investigate with serum EPO estimation, echocardiography, chest X-ray, and JAK2 mutation study to rule out all possible causes of polycythemia. The hair fall and MCV does not correlate until your hemoglobin level is low. The hair fall can be increased in stress, chronic infection, and hormone-induced. The fainting after blood donation is due to vagal stimulation and can occur in much first-time donor patient. Attach all your reports if done for further discussion. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 18321, + "tgt": "My 2. 7 years old daughter has cylindrical eye number. Is it a sign of keratoconus?", + "src": "Patient: Hello doctor, I got my 2.7 years old daughter's eyes checked, and she has a cylindrical number of -1 and -1.25 at 180 axis. Will it increase as she grows?\u00a0Is the test done on the machine, reliable?\u00a0I hope this is not a sign of keratoconus. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9995, + "tgt": "I have something in the penis that resembles a small white seed. Please advise", + "src": "Patient: Hello doctor,I have something like a small seed inside the skin below the penis. If pressed hard, a white material comes out, only when the foreskin is open. The fluid has a bad smell to it. It has been there for two years. Only during a hard erection, it produces a discomfort due to its sharp\u00a0pain. What is this? Doctor: Hello. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 22753, + "tgt": "Is it possible to get a rash on face as a reaction to an accidental hit?", + "src": "Patient: Hello doctor,I was accidentally hit in the face by a teammate in volleyball. It was not that bad, and no immediate bruising but the left side of my face felt mildly swollen. The next day as I kept touching it, it flared up and broke out in a rash on the whole left side of my face. Is it possible that it was a reaction to the hit? Anti-histamines do not seem to be working. What can I use? Is Cortisone safe on my face for this type of rash? Doctor: Hi. I have gone through your case. In my opinion, you should not take it lightly. Either see the doctor in person or send a picture as the face is very sensitive part of the body and you may need a course of oral antibiotic. And in this case, antihistamine has no role. There might be a collection of blood or it colud be just soft tissue trauma. I am prescribing you medicine also but follow my above advice too: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2229, + "tgt": "I have pain in left breast with fat necrosis and lymphadenitis. Is this a matter of concern?", + "src": "Patient: Hi doctor, I am 28 years old. I have been suffering from breast pain for the last one year. The pain was only on the left side breast. Consulted with a surgeon, took a scan and found fat necrosis and lymphadenitis on the left side and was told it was cyclic pain and was given vitamin E tablet and Neurobion forte for three months and a review after three months. A few weeks later, I found a small swelling under my left armpit and there were three to four small red bumps in that arm as well. I usually get these rashes on the left arm. Is this a matter of concern? Doctor: Hello. Do not worry, I will give you the solution to your problem. Before that, I need some extra information from you. Whether you are married and have any child? I need your scan report also to see the exact condition. You can attach photographs of that here. As per your concern, probable diagnosis is cyclical mastalgia in which during periods there is some hormonal changes in the breast and axilla causing pain due to fat necrosis. It is self-limiting condition regress by own. There is no chance of cancer in this condition as cancer is a painless condition. Please share above mentioned thing and get back to me. Cyclic mastalgia. Mammography in both breasts. Cyclic mastalgia with fat necrosis. Tablet Evion 400 mg OD for one month, capsule Primosa 1000 mg OD for one month, Chymoral plus BD for five days after meal." + }, + { + "id": 17779, + "tgt": "Can my wife use Serrax-D while breastfeeding?", + "src": "Patient: Hello doctor, My wife is 27 years old. Her weight is 60 kg and height is 5'4\". She\u00a0developed a wound on her left thigh a\u00a0few\u00a0days back.\u00a0We ignored it at first. Later, the surrounding area started swelling.\u00a0Now, the swelling has reached till the lymph nodes. We went to a gynecologist\u00a0here.\u00a0She told that lot of infection had developed. The doctor prescribed\u00a0Taxim-O 200 (Cefixime)\u00a0to be taken in the morning and night along with Metrogyl 400 (Metronidazole) three tablets a day and Serax-D (Serratiopeptidase and Diclofenac potassium) to be taken in the morning and night.\u00a0My wife is currently breastfeeding our 5 months old baby. So, we asked the doctor whether those medications are safe during lactation. She told that it is fine. However, based on what I read on the internet the first two tablets are moderately safe during lactation and may not pose any significant risk to the baby, whereas the third one is contraindicated during lactation. As per the doctor,\u00a0the third medicine is required for her cure and is safe to take. Can you let me know whether the medications are safe to take during lactation? Can my wife continue breastfeeding normally?\u00a0Our baby does not take powder milk and was vomiting when we tried bottled milk in the past. We need your valuable inputs. My wife does not have any other medical conditions. Our baby was born underweight\u00a0(2.2 kg) and is currently 5.4 kg. Other than the low weight, she is usually active. Doctor: Hi. Your concern is right. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1432, + "tgt": "Why am I bleeding after taking contraceptive pill?", + "src": "Patient: Hi doctor, I had unprotected sex on the fourth day of my periods and I took a contraceptive pill within half an hour. Now, I am bleeding after seven days\u00a0from the day I had taken the pill. Are there any chances of pregnancy? Please explain me. Doctor: Hi. Revert back with further details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12225, + "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": 8726, + "tgt": "Is it advisable to take Himalaya Confido and Tentex forte for erectile dysfunction?", + "src": "Patient: Hello doctor, I am 28 years old, male, married for six months. I am suffering from erectile dysfunction. I also have hypertension and I am taking treatment for that. Are Himalaya Confido and Himalaya Tentex forte good options? Or any better suggestions? What precautions should be taken in hypertensive? Currently, taking Nifedipine 30 mg for hypertension. Doctor: Hi. Antihypertensive drugs are having some adverse effects on sexual life. Keep patience and be positive. Late night working, alcohol, junk food, avoid all of them. Take fresh fruits and dry fruits regularly. Do meditation, yoga, and chanting of mantra. These will be useful in controlling hypertension. Consume following medicines regularly. Tablet Ashwagandha 250 mg two tablets twice with warm milk and sugar in morning and night after food. Tablet Gokshura two at night after food with water. Kaunch beej Pak 10 gm two times morning empty stomach with water and night after food with water. Shahi Azam Tila Hamdard. Massage with this oil on your penis gently in the night or in the morning. Panchasakar Churna 5 gm at bedtime with warm water. Continue all for 4 to 6 months but report to me the changes every month. Old masturbation habit and worries. Ling Shaithilya." + }, + { + "id": 309, + "tgt": "My brother had an acute pancreatitis and CT shows pancreatic pseudocyst formation. Please help", + "src": "Patient: Hello doctor, My brother is 43 years old. He had an episode of acute pancreatitis last year. Gas and indigestion persisted since then. A recent CT scan has shown a possibility of pancreatic pseudocyst formation. The doctor has advised to remove the same by the procedure. My query regarding this is whether the pseudocyst can be treated by medicines or a procedure is recommended. And if yes, whether a laparoscopic procedure can be opted. What are the advantages and disadvantages? If there is a chance of the pseudocyst being formed again after the procedure? I am currently on Atowa Aony, Prankeeatoflat, Sompray D, VSC 3#, and Telma AM. Doctor: Hello. When he had the first episode of pancreatitis? What is the size of the cyst by ultrasound? What is serum amylase or lipase levels? Is he a diabetic? Is he an alcoholic? Will you please answer to above questions if possible. If pseudocyst usually acute means we will wait for four to six weeks for recovery. If it is not recovering with medication or increasing the size in sequential CT scans or it causing any complications (adjoining vessel compression or size > 5 cm or infected or causing bowel obstruction or symptoms of decreased appetite or weight loss) need surgery. Yes, you may undergo laparoscopic pseudocyst gastrostomy or cysto jejunostomy. For this procedure need experienced hands and long term outcome not known. But less morbidity and success rate. Yes in 15-18% of causes recurrence." + }, + { + "id": 16142, + "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": 23794, + "tgt": "What could be causing this symptom of cloudy urine?", + "src": "Patient: Hello doctor, I am a healthy 32 year old female with no past urologic complaints. Starting three months ago, I had some episodes of cloudy urine and I got a urinalysis and had 1 plus leukocyte esterase and occasional WBC and RBC. Urine culture came back with 100,000 colonies of Proteus. I took five days of Bactrim and within two months, it was back. I just finished a 10 day course of Cefuroxime 500 mg twice a day and got a repeat urinalysis two weeks after finishing antibiotics and again the same urinalysis with occasional WBC and 1 plus leukocyte esterase and 100,000 colonies of Proteus mirabilis. What could be causing this? Doctor: Hello. Relax and do not worry. The length of female urethra is only 4 cm. So naturally, females are more prone to urinary tract infections (UTI) than males. What are your symptoms at present? Do you have any urinary problems like a poor flow of urine, burning, etc.? UTI usually occurs after sexual intercourse. You are suffering from recurrent UTI. If you are asymptomatic, I want you to confirm urine culture at a different lab (not the same lab where you did the last culture). I also want you to get done ultrasound abdomen with postvoid residual urine. Meanwhile, continue cranberry extract. And follow proper hygiene techniques during washing of anal region after passing stools. Do not wash from back to forward, wash from forward to back so that it will not contaminate your periurethral region. If you are asymptomatic, avoid antibiotics now. And get the above tests done. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23332, + "tgt": "69-year old smoker diagnosed with colon cancer. Does she need chemotherapy?", + "src": "Patient: Hi doctor, My mom is 69 years old, smoker and she was diagnosed with colon cancer. She used to suffer from her stomach pain and we ended up doing a colonoscopy for it and the doctor found a tumor. We need to know what is the best way to help her and what is recommended in her case? Should the doctor remove part of the colon? Does she need chemotherapy? What stage is she at? Is this kind of cancer treatable? Can you please help in this regard? Her sister, brother, mother, uncle passed away from different cancers but her late mother had the same colon cancer. Doctor: Hi. I have gone through the reports of your mother (attachment removed to protect patient identity). As per reports she has a sigmoid colon cancer. There is no distant spread of cancer (not spread outside colon) as per CT scan reports. The report is also showing multiple renal cysts, pelvic cysts, and sigmoid diverticula. She has also a strong family history of cancer. So, I recommend other family members to undergo genetic counseling and to enroll in a screening programme. It looks like she has stage 2 or 3 colon cancer. But she should do a PET scan to rule out metastasis. As she is a high risk because of her strong family history of cancer and smoking habit. Regarding treatment, if the tumor is localized or with limited metastasis, she will benefit from surgical removal of the part of the colon if feasible. After surgery, further treatment plan and chemotherapy decision will depend upon the histopathological report and actual stage of the tumor. Also, It is difficult for me to comment on actual treatment plan without examining the patient and also you have not attached colonoscopy report, renal, liver and full blood chemistry blood tests. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 24798, + "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": 8285, + "tgt": "How can I cure dried, itchy, chappy and dark lips?", + "src": "Patient: Hi doctor, I am suffering from dried, itchy, chappy, dark and extremely ugly lips since I was 10 years old. I am tired of dealing with this. I have tried everything throughout the years. I am 28 years old now, and today my lips are in their worst state. At 13 years of age, I also used to have swollen fingers with pus and sort of bumps. The bumps still appear sometimes, but not that severely. At the age of 23 years, I experienced vaginal thrush, and this has been on and off till now. Not sure if the situation of my lips is connected to this. The doctors told me to avoid detergents so that the bumps will not come out on my fingers anymore. For my lips, they said not to lick it, but it is hard, as it is a habit already. I tried a treatment last year which started to work; as I stopped but I gradually licked my lips again, and until now it is worst. Please help me cure my lips. I am a lady and lips count for 40 % of my beauty. I avoid wearing lipsticks, not to aggravate the situation. My ugly lips are making my life miserable. I have used lip balms, shea butter, soothing lip butter or balms. The medicines prescribed two years back were 1% Terbinafine Lamisil 10 mg and 0.05 % Desonide DesOwen cream 15 mg. Nothing was found in the skin test and biopsy performed by an immunologist three years back. Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). Apart from what you have said I also noticed that you have depigmentation of lips. I suggest you to use a Tacrolimus 0.1 % ointment, twice daily and a moderately potent topical steroid, for e.g, Fluticasone Propionate 0.05 % cream once every night. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7896, + "tgt": "What causes bluish-red rash on the side of the neck?", + "src": "Patient: Hi doctor, This is regarding my friend's infection condition. He went to sleepover at a friend's place and the next day had a bluish-red rash on right side of the neck. It was very painful. He consulted a doctor who injected him for fungal infection. But the next day the rash was bigger and prominent than before. The pain was also more severe and movements were difficult. I am attaching a picture each of these two days. Kindly advise. Doctor: Hello. I have read your query. I have seen the attached photographs also (attachment removed to protect patient identity). I understand your concern. As per details, it seems that your friend has got a condition of the skin called paedrous dermatitis. It is also known as insect bite dermatitis. It is characterized by a sudden spontaneous rash which is red colored with a black bite mark and is mostly painful or associated with a burning sensation. In such cases, I prefer to advise oral antibiotics like Cloxacillin and topical cream containing a combination of antibiotic and steroid-like Futop-B cream. It is to be applied over the affected area twice daily for 5 to 7 days. In addition, antihistaminics like Levocetirizine also help. He should visit the doctor in person so that he can examine and give him a prescription. You can share my opinion with him." + }, + { + "id": 18921, + "tgt": "Why do I have severe pain in my leg?", + "src": "Patient: Hi doctor, I am a 59 year old female. I underwent radical mastectomy before one and a half years and undergoing regular checkups for every six months.\u00a0Recently I had pain in the right leg, from the knee to ankle region. I got an entire medical checkup done. They showed high TSH levels and also high urea level. Please review the attached reports and provide your advice.\u00a0Till now never had diabetes, but little higher side sugar levels seen. My current medication includes\u00a0Tamoxifen 20 mg for the last nine months,\u00a0Losamax-H and\u00a0Absolut 3G. Thank you. Doctor: Hello. I had gone through all the reports posted (attachments removed to protect patient identity). Many of the reports posted were normal, so to make it easy for you I will comment on each of abnormal ones and what to be done for them. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4705, + "tgt": "What are the ways to cure gum disease and bad breath?", + "src": "Patient: Hello doctor, I have a very personal and sensitive issue. I have horrible breath. I do have gum disease but my cleaning which consists of flossing several times a day, using a miniature brush to brush between teeth, and using tongue scrapper several times a day (I occasionally oil pull as well). Can part of my issue be due to a deficiency of some sort? Any kind of advice would sincerely be appreciated (this issue is significantly affecting my life). Doctor: Hello. I just read your query. See the main cause behind bad odor from mouth is due to bacteria present in mouth. There are present several bacteria in our mouth. The bacteria when come in contact with food particles release sulfur compounds which ultimately cause bad breath. Also, you have been suffering from gum disease which exaggerate this problem. Along with all your oral hygiene measures and treatment add these measures in your daily regimen and these will help you a lot. After every meal chew some roasted fennel seeds. They will freshen your breath. You can also chew fennel seeds and rinse together. To increase good bacteria take one serving of curd once a day preferably in the morning or afternoon. You can opt out for fat free curd if you do not want to go for curd made from full fat milk. You can also chew fresh parsley leaves after meal to combat bad breath. Apples, pine apple, orange and free tea also helpful in reducing bad breath, so you can also add all these in your food regimen. They will help you in combat bad breath. You can also use this home made mouth wash three to four times in a week. Take two teaspoons of baking soda and add it in a cup of lukewarm water. Mix it well. swish it around for some time and then spit it out. It is also useful in your problem and easy to do. Whenever you are going outside or in a meeting keep some chewing gums along with you which have peppermint, zinc, etc., as their ingredient. They quickly freshen your breath in a few seconds. Avoid alcohol, cold drinks, onion, garlic, and smoking if you do. Because all these things increase the problem of bad breath. Drink plenty of water. Because it is helpful in flushing out your mouth. Change your toothbrush very often. Basil, cilantro and mint are also helpful in neutralizing your bad odor from mouth. You can also chew them after meal. These plants are easy to grow at home. So you can grow them at home, and use easily. Cardamom, cloves and cinnamon are some commonly available spices and you can keep them in your mouth and chew them slowly. They are also helpful in reducing bad breath." + }, + { + "id": 2518, + "tgt": "Can scoliosis get corrected through surgery?", + "src": "Patient: Hi doctor, I have scoliosis from my 15 years of age. Now, I am 36 years old. I am a very active teacher and mom. The pain medicines are not helping me now and I have started to limp and lean. Can it get corrected through surgery? Doctor: Hi. For further information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 28917, + "tgt": "My grandmother suffered a minor heart attack. Can medicines remove the heart block?", + "src": "Patient: Hello doctor, I have an 80 year old grandmother. She had unbearable chest pain two weeks back, due to which she was admitted to the\u00a0hospital.\u00a0After checking the ECG report, the\u00a0doctor said that she suffered a minor heart attack. He said that my grandmother has a\u00a0blockage in the heart. She does not have chest pain now, but she is weak. I will attach the latest ECG and medication file for your information. Please help me out. Doctor: Hello. I have gone through your grandmother's test result (attachment removed to protect patient identity). I can see some changes, which confirms that she suffered a heart attack. Suffering a heart attack is not something anyone recovers from immediately, it will certainly take some time. Especially, because of your granny's age, recovery will be quite slow. I have seen she has been placed on some medications already, which is quite good. Hopefully, she should get back on her feet in due time. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21375, + "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": 26538, + "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": 27973, + "tgt": "I have PCOS, is it necessary to do IVF with ICSI?", + "src": "Patient: Hi doctor, I am a 32 year old female, and I weigh 57 kg. I am work in a bank, which keeps me out of home from 9 AM to 7 PM. I was diagnosed with PCOS, and I have a 1.5 mm intramural fibroid on the posterior wall of the uterus since two years. I am taking Glyciphage SR 500\u00a0since then, and it has kept my period as well as ovulation regular. My menstrual cycle is 28 to 31 days now.\u00a0My husband is 33 years old, and he weighs 72 kg, and his job keeps him away from home for 12 hours. He is suffering from erectile dysfunction from last year. His semen analysis revealed slow sperm, and he has been on Edon and Maxoza\u00a0since three months. We went for IUI last month, and my husband has 10 million motile sperm count. The fertility specialist at the clinic told it is too low for IUI and suggested IVF with ICSI since IUI is only time and money loss. Is it necessary to do IVF with ICSI in our case? Since I have PCOS, can I suffer from OHSS during IVF? I\u00a0am a working woman, do I need to take long breaks from the job while going IVF treatment? Can I go for single embryo transfer? Is bed rest needed after embryo transfer or during the entire IVF procedure? Doctor: Hi. It is not necessary to go for IVF (in vitro fertilization). IVF has more success rate than IUI (intrauterine insemination) during infertility. I suggest trying IUI few more times, but chances of success are less. So, you have to take the decision. Nowadays with advanced methods and monitoring, chances of OHSS (ovarian hyperstimulation syndrome) are very less even with PCOS (polycystic ovary syndrome). No need to go for long leaves. You can take rest for 2 to 3 days after the embryo transfer and can continue moderate work. Complete bed rest is not at all needed during IVF treatment. You can do routine nonstrenuous activities. You can go for single embryo transfer as well, but the chances of pregnancy with multiple transfers are more. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 26372, + "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": 16904, + "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": 21229, + "tgt": "How can I prolong ejaculation time during sex?", + "src": "Patient: Hi doctor,I am a newly married groom. While having sex I ejaculate too quickly. I want to stay long. I have tried doing the Kegel exercise and start-stop method but that too does not help me stay longer. Please help. I am 27 years old. Doctor: Hello. I do understand the problem that you are going through. But you need to understand this. Normal intravaginal ejaculation latency is 1 to 2 minutes. If someone ejaculates within 60 seconds of vaginal penetration, that also persistently over last six months, then he can be said to have premature ejaculation. Besides, yes Kegel exercises do help in improving the timings but gradually. Also, try changing your position while having sex (cowboy or reverse cowboy is helpful). For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22130, + "tgt": "My father had pain below the heart which was on the rib side. What is the cause?", + "src": "Patient: Hi doctor, My father had mild chest pain. The doctor did an angiogram, and they told there is a block in the blood pumping vessel and it is closed. We planned for placing a stent. The next day, the doctor tested again and told the blood vessel is opened and it is normal. So, the stent was not placed. After a few days, my father had pain below the heart which was on the rib side, and he told something is holding in the heart. So, again we went to the cardiologist. The doctor examined him and said he is fine and there is nothing to worry. Whenever he got this pain, we consulted the cardiologist, and he said there is no problem in the heart. He got this pain for about three times till now. Again, we tested for a gastric problem and a neurological problem. That was also fine after the examination. But, still he is experiencing the same pain, and he is willing to do angiogram now. I cannot understand the problem. Please suggest. Doctor: Hi. Your cardiologist would have done ECG (electrocardiogram), echocardiogram, and TMT (treadmill test). If all these three tests are normal, then the cardiac problem is unlikely to occur. If this pain is not increased during walking or any other physical activity, then it is not from the heart. Usually, heart attack pain increase during physical activity. It can be a muscular, or anxiety or microvascular angina. If he is in discomfort, you can go for an angiogram on your will. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9238, + "tgt": "What causes redness in arm after grabbing it tight?", + "src": "Patient: Hello doctor, I was playing with my brother of age 12 and I grabbed his arm tight and it caused redness line on its arm. Is it dangerous or what should I do? Doctor: Hello. Assuming your brother is 12 years old, he is not too young. If the lines are from grabbing him tight like finger impressions then they should fade and should not cause any damage. However, if you accidentally twisted his arm, there may be swelling or bruises. In that case, he will have pain and a more serious injury must be ruled out. If he is complaining of pain in his arm, he has difficulty moving his arm or if there are swelling or bruises, tell your parents and take him to the hospital." + }, + { + "id": 11012, + "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": 30511, + "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": 14789, + "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": 6868, + "tgt": "I am suffering from severe back pain. Please explain my MRI findings", + "src": "Patient: Hi doctor, I am suffering\u00a0from severe back pain, so I got an MRI of the lumbar spine. I do not understand the findings. Please explain the MRI findings to me. The report read, five non-rib-bearing lumbar vertebral bodies are identified. For purposes of numbering, the L5/S1 level corresponds to axial image 36 series 7. The overall vertebral body height and alignment remains anatomic. The bone marrow signal intensity is preserved without evidence for bone bruise or fracture. No suspicious focal osseous lesion is identified. The conus is normal in overall size, morphology, and signal intensity terminating at the L1 level. The cauda equina is unremarkable in appearance without nerve root clumping or mass effect. No intradural mass lesion or extra-axial fluid collection is identified. There is a tiny low-grade strain of the paraspinal musculature approximately at the L2 level. Tiny scattered vertebral body hemangiomas are visualized. There is no suspicious osseous lesion at T12-L1, there is no significant disc pathology. The central spinal canal and neural foramina are widely patent. At L1-L2, there is no significant disc pathology. The central spinal canal and neural foramina are widely patent. There is mild bilateral facet arthrosis, with a small posterior projecting right facet joint cyst\u00a0and tiny left posterior projecting facet joint cyst. At L2-L3, there is no significant disc pathology. The central spinal canal and neural foramina are widely patent. At L3-L4, there is a\u00a0minimal disc height loss, mild bilateral facet arthrosis and a minimal diffuse disc bulge with only minimal effacement of the ventral thecal sac, but no significant central spinal canal or neural foramina narrowing. At L4-L5, there is a small diffuse disc bulge with mild disc height loss, disc desiccation, and mild bilateral facet arthrosis. This results in mild effacement of the ventral thecal sac, where it abuts the traversing L5 nerve roots in the lateral recess without significant displacement or compression. Mild bilateral neural foraminal narrowing is present. At L5-S1, there is there is mild disc height loss, disc desiccation, and mild bilateral facet arthrosis. A small diffuse disc bulge is identified with a superimposed posterior central broad-based disc protrusion measuring approximately 1.2 x 0.4 cm in greatest dimension. This results in only mild effacement of the central ventral thecal sac without nerve root displacement or compression. Minimal right greater than left neural foraminal narrowing is also noted.There is mild nonspecific posterior soft tissue swelling in the subcutaneous fat superficial to the muscular fascia.The visualized upper sacral levels are unremarkable. Impression: 1)Minimal to mild multilevel degenerative disc disease as detailed above is most prominent from L3 through S1. 2)\u00a0A low-grade strain of the right paraspinal musculature 3) Mild nonspecific soft tissue swelling in the subcutaneous fat of the lower lumbar region, without fluid collection or subfascial extension. Doctor: Hello. For further queries consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 8184, + "tgt": "Will increasing the dosage of Topamax to 400 mg cause any adverse effect?", + "src": "Patient: Hello doctor, I have been taking Topiramate 300 mg, along with Zyprexa 10 mg and Wellbutrin 400 mg as well as Clonazepam 0.5 mg three times a day. I have schizoaffective disorder and need to up my Zyprexa to 15 as I have been extremely irritable lately. However my Topiramate also serves me as an appetite suppressant and I am afraid that 15 mg of Olanzapine will cause a dramatic weight gain unless I also increase Topamax. Is it safe to increase Topamax to 400 gm? Doctor: Hello. Increasing Olanzapine and Topiramate simultaneously is not a good idea. you can start with one medication at a time, or better idea would be to use Clonazepam more for the time being as I do not have details of your case, if your doctor is returning soon, you can manage the irritability with Clonazepam." + }, + { + "id": 23921, + "tgt": "How can foreskin be released from head of penis without pain?", + "src": "Patient: Hello doctor,My foreskin is attached to the head of the penis. Is there any solution to release it without pain? Doctor: Hi. Phimosis means tight foreskin. In this condition, the foreskin may not be moving freely. There are two ways to treat it. One is medical and other is surgical. I will suggest medical treatment. First pull down the foreskin as down as possible and apply Betamethasone cream on the inner side of foreskin where it is tightly attached. Do it three times daily for next two to three months. Betamethasone will help to loosen the skin. Also, do daily stretching exercises of the foreskin. Strech forward foreskin for 30 seconds and then stretch downward for 30 seconds. Do it daily for five minutes. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6899, + "tgt": "Is it fine to undergo root canal treatment to remove a cyst in the root?", + "src": "Patient: Hello doctor, I have a cyst on the root of a upper incisor. My dentist has sent me to the dental hospital, but they have said that they would not do anything, and to either have the tooth removed or see a specialist. Can my dentist do a normal root canal to remove the cyst, and why has he sent me to dental hospital in the first place? Incisor teeth are not that difficult to do root canal treatment, and so why would I need to see a specialist to do the root canal work? Doctor: Hello. A cyst on your tooth means it is a chronic infection. You may be asymptomatic. In severe cases, a tooth may need to removed along with the cyst. However, it is possible (depending on the size, location, etc. of the cyst as seen on x-ray) to do a root canal along with cyst enucleation with endodontic root-end filling. After successful endodontic treatment, the tooth needs to be given a crown as well. These are complex procedures that require the care of a specialist, endodontist. You must consult a specialist. A general dentist might not be trained for this complicated procedure. You can get a follow-up consultation for the same by sending in your pictures and x-ray. IOPA" + }, + { + "id": 27651, + "tgt": "I am scared that what I saw in a scary movie will happen to me. Please help", + "src": "Patient: Hello doctor, I am a female, and I recently saw a scary movie, where a man used a turkey baster to insert semen into a woman's vagina. This scared me very much, and I remember one time I fell asleep on a couch in a study room. If someone did something like this to me while I was asleep, it would have woken me up, right? Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Feel free to write back to me if you have more questions.\u00a0Thanks and regards. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25057, + "tgt": "My gum is inflamed. What could this be?", + "src": "Patient: Hello doctor, My gum is currently inflamed and I am a bit confused as to whether I have an ulcer or gingivitis, hoping you could clarify which one I have. There is not much pain and I have not had any bleeding when brushing my teeth. However, my gum is inflamed. Doctor: Hello. I have been through your query and I can understand your concern. The picture you have attached (attachment removed to protect patient identity) shows a bump on the gingiva of your front tooth. This does not look like gingivitis as if it were so, all the tooth would have been involved. The bump seems white in color. So, I suppose it can be a gingival abscess. I suggest you visit your dentist and have it examined in order to rule out other possibilities. Moreover, I would advise you to maintain a good oral hygiene. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28323, + "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": 24385, + "tgt": "What is the risk of pregnancy if you miss the pill the following morning of intercourse?", + "src": "Patient: Hello doctor, I have an important query about the contraceptive pill. On the 2nd, my girlfriend started her period. It is now the 16th. So, I believe she is in her ovulation phase. Since her period stopped, she has begun, for the very first time, taking the combined contraceptive pill consistently at 8 AM every morning. She took the pill yesterday morning. Last night, on the 15th of March, we had unprotected sex (we thought one night without condoms would be fine). However, this morning she was in a rush and forgot to take her pill for today. It is 2:16 PM now and I have a few urgent questions: Should she take the morning after pill? How effective will the morning after pill be in protecting from pregnancy? How much will the pills previously taken lower the risk of pregnancy? Given her current stage of ovulation, what is the risk of her becoming pregnant? The period of time between the missed pill at 8 AM this morning and the time that she will take the morning-after pill (around 4 PM)? Do you recommend taking today\u2019s pill today if she is also taking the morning after pill today? Is there anything else we can do now to minimize the risk? Should we be worried? Thank you. Doctor: Hello. A morning-after pill is different from the regular oral contraceptive pills. Do you mean to say the daily pill or an additional morning-after pill? I need clarity on this. If you mean the regular pill, do not use the phrase morning-after pill as that means an emergency pill used only once or twice depending on the dose.If you meant the regular pills which seems so from your history, she need not have to worry if the delay in taking the pill has not been more than 24 hours. It is fine to have taken it a few hours late as long as she has not skipped the pill that day. There is no need to take an additional pill if she has not missed the day's pill. If the pills were started a week before the intercourse and she has taken them daily and not missed a single pill, the effectiveness in preventing a pregnancy is about 99 percent. Do remember that no contraceptive pill or method is hundred percent effective and failures can always happen. There is nothing to worry as of now and let her continue taking the pills as usual at the regular time. Hope I have answered your doubts. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18577, + "tgt": "What is the risk of Down's in my wife's double marker report?", + "src": "Patient: Hi Doctor, This is the report of Double Marker test of my wife: Corrected MoM and calculated risks: fb-hCG 165 ng/ml 3.82 Corr. MoM PAPP-A 1.84 mlU/ml o.45 Corr. MoM Ultrasound data: Nuchal translucency 1.00 mm CRL 60 mm 0.64 MoM Gestational age by CRL 12+ 2 Nasal bone present Gestational age on the day of serum taking 12+ 2 Risk at term: Biochem. risk +NT 1:356 (below cut off). Double test >1:50 (above cut off). Age risk 1:1515. Trisomy 13/18 +NT. Doctor: Hello. To explain you the report in plain language, first of all, let me tell you that the dual marker test is just a screening test for Down's syndrome and other chromosomal anomalies like trisomy 13/18. So, the test involves calculation of the risk of carrying a Down's syndrome baby by the mother, which is then compared with the general population's risk. In your case, although the risk based on serum markers is high, the combined risk taking into account the age, NT, and the markers is still below the cut-off. So, it means it is a low risk. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2573, + "tgt": "Even after clearing my throat with ethanol, I get oral thrush with white dots. Why?", + "src": "Patient: Hello doctor, I have non-allergic asthma diagnosed before six years. Currently, I am using a corticosteroid Foster inhaler two times a day with two inhalations each time. After the inhalations, I clear my throat with throat cleaning solution and also I use a sprayer with propolis and ethanol several times per day and yet despite that I got the oral thrush with white dots all over my throat. I thought that maybe it is just temporary and will disappear after a while but three weeks passed and it still stays the same. Do I need to buy some medication or do I need to just wait for it to disappear while still using the sprayer? Also, can this be related with my higher temperature which is varying in the interval 37.1 - 37.4? Doctor: Hi. Oral thrush that is oral candidiasis is a kind of yeast infection that in your case can be attributed to long term steroid use. This is a kind of untoward effect due to inhaled steroids. You need to clearly examine the entire oral mucosa with regard to the extent the creamy layer has spread. Coming to the treatment aspect, you need to apply Nystatin suspension on the affected area four times daily, which means the sequence should be food, gargle, apply medicine. Nystatin should be applied to the white areas inside of each cheek and/or on the tongue. Apply gently with your finger. Continue for 48 hours, after all of the white spots have disappeared. Also, get FBS (fasting blood sugar) done to screen for diabetes." + }, + { + "id": 29816, + "tgt": "After taking medicine, my abdomen problem became worse. Please advise", + "src": "Patient: Hi doctor, In the past ten days, I have a problem of sudden lower abdominal pain after eating and urgency to go to the bathroom. The stools are semi-solid and not loose motions. The abdominal pain gets\u00a0resolved once I had a bowel movement. During these periods, I go to the bathroom five to six times a day. I visited a gastroenterologist and he prescribed me a combination of Pantoprazole and Levosulpiride, Rifaximine 200 mg and Mebeverine SR for seven days. Previously, I took Nor Metrogyl for four days. Initially for two days, I had less pain. But, the abdominal pain is constant most of the time and more frequent solid stools. Now, the condition became worse than before. What could be the problem? Doctor: Hi. We are here to help you. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4782, + "tgt": "Am I taking the right medication for celiac disease and thyroid?", + "src": "Patient: Hi doctor, I have done a blood test before 3 months and was diagnosed with celiac disease. I already have thyroid problem which is controlled right now with Thyroxine. The issue is followed by a gluten free diet, I cannot see any progress. I am still losing weight. My skin is pale and dry. I also have abdominal pain, cramps, vomiting and constipation. I am currently taking Thyroxine 150 uq, Movicol, Multivitamins and Vitamin D. When I first did the blood test my ANA result was positive titer of 1:1280 and he suspected fatty liver. Now, when I repeated it, the result remains the same. My doctor is away and I cannot reach him. Do I need to worry? Doctor: Hi. 1. Your issues are found as a consequence of thyroid disease and celiac disease. This is how the natural course of the disease is. 2. Your symptoms and complications all which you have reported here are due to the same and are quite natural to go with these diseases. Your ANA (antinuclear antibody) titer also is justified to be high with these issues. 3. You need to continue the same medication and there is no need to stop any one of them. Repeat thyroid profile. 1. Take Citrucel dietary fiber (Methylcellulose) supplement. 2. Keep a balanced healthy diet. 3. Take Ondansetron prescription from local physician for vomiting and nausea. 4. Take capsule Perfectil (Multivitamin) once every other day for hair, nails and skin. Revert back after the investigation to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28425, + "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": 11614, + "tgt": "Why do I get recurrent red rashes on the penis?", + "src": "Patient: Hello doctor, I am having red rashes on the bare skin of the penis. I used Candid Total and it disappeared completely. Again after seven days it appeared on right and left side of the penis. I continued using it and then got an advise from one of my friend for using Surfaz sn along with DOXT-SL 100 which I am using it since last seven days. The patches are getting orange type color. Sometimes the foreskin of the penis burns while urinating. No pain, no difficulty in urinating, sometimes itching is there on the forehead of the skin. Please advise. Doctor: Hello. If possible, forward a few pictures of the affected area to guide you through precisely." + }, + { + "id": 6620, + "tgt": "What can be the reason for the dent in my kneecap?", + "src": "Patient: Hello doctor, I\u00a0was run over by a car four months ago. I got an MRI and the doctors said all my ligaments and meniscus look fine. However, my kneecap is dented in, slightly swollen above the cap. If I\u00a0overuse my knee, the whole leg swells. I have been going to wound care doctors for four months for this.\u00a0I\u00a0have constant pain shoot up to my hip and every five to 10 minutes the knee burns and starts shooting pain all over to the point where I\u00a0want to cry. I cannot feel the pain on the skin and the meat on the right side of my left knee but it still hurts when I\u00a0move. I have attached the films for your reference. Is there anything else that can be wrong with it? I feel the doctor has not correctly diagnosed the condition. Doctor: Hello. I have seen the films (attachment removed to protect patient identity). For more information consult an\u00a0orthopaedician and traumatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14635, + "tgt": "My father has developed enteritis and his abdomen is swollen. Please help", + "src": "Patient: Hello doctor, After receiving 10 radiations, my father has developed enteritis and his abdomen is swollen. Antibiotics and IV treatment are being carried out. I need further advise here. Doctor: Hi. I understand your concern. Radiation enteritis is a very common side effect of radiation therapy. I need to know the following:" + }, + { + "id": 16493, + "tgt": "I have red bumps on penis head. Kindly help in this regard", + "src": "Patient: Hello doctor, I have been experiencing this occurrence of red bumps on my penis head. Initially, it all started with pain with retraction of foreskin and blisters on the foreskin. To this, I applied candid B cream for three days, this situation was resolved. I stopped applying candid B cream, next day I could spot red bumps again. After this I consulted a urologist he asked me to run through certain blood tests like HBsAg, HIV, HepC and HSV everything came negative and only I was tested positive for HSV type-1. The urologist examined the condition and told me nothing to worry and asked me to continue with Candid-B if I ever experience the same. After the consultation, I continued to apply it for about a week and discontinued. I could not spot any bumps after discontinuing for about four days and then in the morning, I could spot some red bumps. And the main part is these red bumps after applying Candid-B cream, it vanishes and these bumps do not ache or it does not itch nor it oozes blood or pus. Kindly help me in this regard. Doctor: Hi. I saw your blood report (attachment removed to protect patient identity). It shows that you had a herpes infection in the past, but the IgM is normal meaning no infection at present. Bumps on genitalia are difficult to diagnose without seeing the picture. Can you please attach your clinical picture? Candid B is combination cream of anti-fungal and steroid. I need to see if it is fungal infection before I can comment on the cream you are using. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15193, + "tgt": "Can I use Tezcort 3S for yellow skin and melasma?", + "src": "Patient: Hi doctor, I am 28 years old, a female and I have yellow skin and have melasma on both the cheeks and nose and its been for four years. I have shown it to 3 to 4 doctors within these years and applied many different creams which did not work much. Finally, someone suggested me to apply Tezcort 3S which has lightened my melasma but I have grown pimples because of that I think and my face is not as smooth like before. Even though I had melasma I used to have healthy and smooth skin and now I miss that skin. In order to cure my melasma I applied many different creams because of that I feel like my skin is not good now. Presently doctor prescribed me to apply Kojivit ultra gel but I did not get good result and melasma becomes prominent when I apply it. So I stoped it and now I am applying Tezcort 3S again. Please help. Doctor: Hi. The pimples and uneven skin you have developed is because you have used a strong steroid with Salicylic acid, Tezcort 3S (Clobetasol propionate). This is dangerous and not supposed to be applied over the face. It can cause acne, thinning of skin, telangiectasia and facial hair. I would suggest that you stop Tezcort immediately. You can use Benzoyl peroxide cream over your pimples at night. Once the pimples subside, you can use the Brite Lite cream at night over the melasma in small quantities or you could go for chemical peeling. Make sure you use a sunscreen in the morning which is a must." + }, + { + "id": 15138, + "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": 23730, + "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": 23983, + "tgt": "What is causing the tightness and irritation in my lower legs?", + "src": "Patient: Hello doctor,I have chronic pain at the semimembranosus insertion points in both legs. I have had this for nearly 18 months. I am a runner who over-pronates. More recently I have had tightness and hyper irritation in my lower legs - shins, and calves. I have had a lumbar MRI for a bulging disc which showed a very slight disc bulge at L4-L5 on the left side but no impingement on the nerve. So, considered negative for pain in my legs. My question is, could the semimembranosus insertion point be affecting the tibial nerve and causing the tightness and irritation in my lower legs? This does not respond to stretching which often makes it worse. Doctor: Hello. I have understood your concern about the pain in the lower leg, semimembranosus. See, semimembranosus is the muscle of lateral hamstring. If you feel pain exactly at the tendon of it, our treatment will be different, like ultrasound therapy. As you mentioned you are a runner, according to me, your hamstring and calf may be shortened or tight. So, I suggest you go for physiotherapy treatment where you can be treated with ultrasound therapy of semimembranosus muscle tendon and simultaneously mild stretching of lower leg muscles, that is, calf muscle and all the hamstrings which would prevent recurrent pain. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 1552, + "tgt": "I did not get my periods with excessive hairfall, weight gain and facial hair growth. Why?", + "src": "Patient: Hello doctor, I did not get my periods for the last one year. Now I got a lot of hair fall, increase in body weight, more hair growth in the face. I have thyroid and when checked before three months it was three times high than the normal. Now I am not able to go to any hospital. Please suggest. Doctor: Hi. I want to know your age, height, weight, and medications you are on for thyroid. Review with your reports." + }, + { + "id": 24478, + "tgt": "How can I increase milk intake of a 6 month old baby?", + "src": "Patient: Hello doctor, My baby is 6 months old and drinks only 200 ml of formula milk and unknown quantity of breastmilk per day. It is recommended to drink 600 ml per day. I am worried. How can I increase the quantity of milk in his diet? Doctor: Hi. Do not worry about how much the baby is taking. As long as the child is getting adequate weight gain and is passing adequate amounts of urine the feeds taken by the baby are sufficient. The baby decides how much to take and how much not to. There are no set guidelines as per quantity of feeds to be consumed when breastfeeding. Ensure that baby gets fed every three to four hourly. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18571, + "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": 17956, + "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": 3682, + "tgt": "I have cluster of bumps on shaft lasting for three days. Please help", + "src": "Patient: Hello doctor, I have had an STD for 30 years but it occurs only on the surfaces for every four or five years and only under much stress. I was able to photograph it this time but still cannot see a doctor for a couple of days. I am afraid it will vanish again before I see a doctor. The bumps are in clusters of three on my shaft. It lasts for two or three days and then goes away. Doctor: Hi. I have seen the photo. (attachment removed to protct patient identity). It is herpes genitalis. Is it associated with itching or burning sensation? Does your partner suffer from a similar problem? How many episodes per year? If you have recurrent episodes you should consider oral antiviral medication. Standard treatment for herpes genitalis is Tablet Acyclovir 400 mg three times a day for seven days after meal, Rantac 150 mg before meal twice a day, Fusidic acid 2% cream twice a day can be applied. Partner treatment is a must. Avoid sexual contact. In case of recurrent episodes patient is given suppressive therapy for more than seven days with a low dose. You said you have STD for 30 years means, have you done STD profile before? If not you should get it done. In herpes genitalis vesicles appear on the genital area commonly on the glans or shaft of the penis which burst even without touching leaving small clean looking ulcers, which usually heal within seven days. It is associated sometimes with itching or burning sensation." + }, + { + "id": 26129, + "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": 18894, + "tgt": "Is Retino-A effective for cystic acne scar?", + "src": "Patient: Hi doctor, I suffered from cystic acne. I used Clindamycin and Epiduo gel. It cleared my acne, but left black and red marks. I have attached the pictures. Which type of scar is this? Is there any topical cream to remove the marks? Is a chemical peel or Retino A effective for this? I also have some holes in my face. Suggest me some treatment. Doctor: Hi. I have read your query in detail and do understand your concern. I have also viewed the attached pictures (attachment removed to protect patient identity). For further doubts consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25444, + "tgt": "Does radio iodine ablation treatment for hyperthyroidism cause cancer?", + "src": "Patient: Hello doctor, My father had hyperthyroidism six years ago and he underwent radioiodine ablation and now taking thyroxine 100 mg tablet. Now, I want to know whether this treatment causes cancer? Whether it completely destroys the gland or little bit of hormone is secreted or not? Is there any possible way to stimulate the gland again by natural methods? Food items to be avoided after this treatment? Doctor: Hello. I just read your query about your father. Let me answer each one of your questions one by one. Just live a normal life. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 27247, + "tgt": "I am an 18 year old with severe knee issues. Do I need physiotherapy?", + "src": "Patient: Hello doctor, I am 18 years old. I have a knee issue. My knee dislocated once and there was a subluxation more than nine times. Now, my knee is very flexible. When my knee dislocated, the doctor plastered my knee for three weeks. He then asked me to exercise, but I did not. My doctor then asked me to visit a physiotherapist, but there are none available in my town. He also gave me a machine that I\u00a0do not use due to fear of side effects. I have become so fat that I cannot run. What should I do? Doctor: Hello. I read your query and understood your concern. Hope this is helpful. For further queries consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 2516, + "tgt": "Why am I getting frequent, hard and painful bumps in breast?", + "src": "Patient: Hi doctor, I keep getting these bumps on my breast that turn red, then get hard and very painful. After a few days they burst and drain yellowish fluid mixed with blood. Then I am left with a big hole that will heal and scar. I have had this happen a few times over the years. But, recently it has become very frequent. I just had one last week and I am already getting another one starting. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20411, + "tgt": "How to control my habit of overthinking?", + "src": "Patient: Hi doctor, I have a habit of overthinking simple things, and I make them complicated. I always waste my time and energy on deducing the multiple outcomes of a simple thing, which others may not even think about it. I make things complicated, and I repeatedly contradict my own words. I feel guilty. I do not want to waste my energy on this act. Please help. Doctor: Hi. Sometimes we do not have control over our thoughts. The train of our thoughts goes running continuously, and sometimes it reaches a destination which is so different than the actual goal. You are the driver, but your mind guides you to go. But sometimes guide starts to give wrong guidance even though the driver knows the route or he crosses the reached destination. Then, the guide will provide an emergency brake to the driver for achieving the actual goal. So whenever you think unnecessarily, give a message to your mind that you are giving me a wrong note. Say your brain to stop thinking about it and decide what you want. Try to know what is right and what is wrong. Be a smart driver of your train." + }, + { + "id": 14660, + "tgt": "What can be done to manage a stubborn and excited geriatric patient?", + "src": "Patient: Hello doctor, My father is 85 years old and now he has become very stubborn and is not listening to anyone. He is excited many times and shouted at his son. He used to do some housework like electric, water seeping anything and spoiled it because now he cannot do anything in a proper way. So he damaged the things but whenever anybody wants to stop him he becomes very horrible and excited. Please give me some medicine to make him cool and calm. He had his open heart surgery before two years. Doctor: Hello. You can start Chamomilla 200 five pills in the morning, noon, evening and night, Alfalfa mother tincture 10 drops in half cup of water in the morning noon and night. Along with these try to do the following: It is very common in old age. Do not take it on mind much. Let him do what he wants as he allowed you in childhood. You did also tantrum in childhood that time he bore you. As same as him, you bear it with a smile. He has now few years only then you will be free from all worries. If you will not interfere with his work he will enjoy that for few minutes then he will leave himself as he does not have much power. Do not force him to stop, tell him in a slow tone and not in an order form. Behave with them like a kid. This age they become a kid. This age he needs coziness from you. Just think you have a small kid and you have to tackle that kid. Definitely, you will see changes in him and your mind. Medicines will help you but your patience and love will make dramatic changes. Try these just as medicines. I know damage cannot come back as money is important but just a fewmonths or years. God will look after you." + }, + { + "id": 3372, + "tgt": "Please let me know the findings of my blood report", + "src": "Patient: Hi doctor, I am 43 years old. I feel weak, body pain and headache during menstrual cycle. Also feeling like depression. My height is 5 feet 2 inches and my weight is 74 kg. I have attached my recent\u00a0blood test report. Please let me know the findings from the blood report. Thank you. Doctor: Hello. Let me help you to deal with your problems. Repeat vitamin B12 after four months. Also check ESR (erythrocyte sedimentation rate) as it was not done before. 1. Vitamin B12 deficiency. 2. Vitamin D deficiency. 3. Prediabetes. 4. Overweight (metabolic syndrome). 1. Cholecalciferol 60,000 IU once a week for four weeks 2. Tablet Vitara (Vitamin B12 1500 mcg plus Folic acid 5 mg) once daily in the afternoon for two months. 3. Tablet Zentel (Albendazole) 400 mg one tablet at night for three days. 4. Ointment Oxalgin Nanogel (Diclofenac) for local application over the site of joint pain. Avoid oil foods and junk items. Revert back with after four months to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1761, + "tgt": "My penis is swollen with irritation. Could this be balanitis?", + "src": "Patient: Helo doctor, My penis is swollen in the front part with itching and irritation from yesterday. I was trying to check online, it says maybe it is balanitis, not sure though. Please guide what needs to be done? I am currently on medications for high BP and uric acid. Doctor: Hi. It is very likely to be balanitis with the background of acute infection and swelling. You can take tablet CISMA DT (Cefpodoxime) 200 mg twice a day, tablet NISE (Nimesulide) 100 mg twice a day, Tube Dermiford (for local application) twice a day. Take all these medicines for seven days. Review in a week if not resolved. Check your HbA1c (glycated hemoglobin) levels and send reports. Are you sexually active? If yes, is your partner having white discharge? If so, your partner also needs treatment to prevent balanitis." + }, + { + "id": 28576, + "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": 20972, + "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": 25624, + "tgt": "Why is there a rise in my creatinine level?", + "src": "Patient: Hello doctor, My creatinine level is 1.9. What should I do? My BP is normal. I am currently on Zyloric 100 mg thrice daily, Atorvastatin 10 mg, and Eltroxin. I have done an ultrasound. I had a USG done with no abnormal findings. Doctor: Hello. This rise in creatinine levels is usually related to a kidney dysfunction. For this reason, I suggest performing further tests to investigate your kidney function like creatinine clearance, a urine analysis, urine microalbuminuria and consult with a nephrologist. It is also necessary performing a urinary tract ultrasound. Chronic hyperuricemia can lead to chronic damage to the kidneys. Anyway, I reviewed all your performed tests and would explain they are normal (normal blood lipid profile, complete blood count, thyroid function, fasting glucose, uric acid levels). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21772, + "tgt": "Can I take I-pill when I am under TB treatment?", + "src": "Patient: Hello doctor, Precum touched the vaginal opening and we had intercourse with a condom. What are the chances of becoming pregnant? Should an I-pill be taken to avoid it? Doctor: Hi. The chances of pregnancy are only in the midperiod five days, that is if you had sex in day-12 to 18 of the cycle. You can count the days as first day of your period is the first day of your bleeding. For example, you had four days of periods, then count the first period-free day as day-5 and so on. Secondly, you had protection (condom), that means there are no chances of pregnancy. As per my experience, there is no chance of pregnancy. If some precum touched without a condom, then there are chances, provided your menstrual cycle falls in the ovulation period, that is the 14th day of your period plus or minus two days. Yes, to be on safe side, you may need an I-pill although the chances are too slim for a pregnancy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27114, + "tgt": "How to convince my wife to see a psychiatrist?", + "src": "Patient: Hello doctor,This is regarding my wife. From the past three years, her behavior is very changed.\u00a0She is always rude to me, gets angry often, becomes violent, uses foul language, throws household items when angry, accuses me of having extra-marital affairs, and\u00a0threatens to make false allegations against me. She is otherwise\u00a0doing\u00a0her\u00a0household work as usual and takes good care of our child. Is it normal for a lady to behave this way or is there a problem? If there is a problem, then what is the remedy? Doctor: Hello. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 31026, + "tgt": "From our medical reports, please suggest whether to opt IUI or IVF?", + "src": "Patient: Hi doctor, We have been\u00a0trying to conceive for the past one year. But, we are failing due to thyroid and low motility sperm issue. We had a medical test and required your opinion on the report. Please suggest whether we can go IUI or IVF. Thank you. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11085, + "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": 30747, + "tgt": "After taking Viibryd, my sperm thickness is less. Is this a side effect?", + "src": "Patient: Hi doctor,I am on Viibryd for depression and Lipitor for cholesterol. I am 25 years old. Now, I have a very hard time to get up and keep up my interest. It seems to have made my sperm less thick. I have read the side effects and discussed with a few people. I never had these issues before taking these medicines. My question is will my sperm still be potent enough to get a baby? Because, I have been thinking of starting a family now. But, I do not know if I will be able to. Please help. Doctor: Hi. I read your query and understood your concerns. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10417, + "tgt": "How long should I take Soltus for delusion?", + "src": "Patient: Hello doctor, I am a 33-year-old male, and my height is 5 ft and 8 inches. I am currently on medication of Soltus 75 mg, which was earlier Soltus 100 mg. I am on medication for one year and a half. I was having delusions. I want to know till how long do I need to continue this medication as I am gaining wait and my mental alertness has also reduced. What could it be? Doctor: Hello. Soltus (Amisulpride) is an antipsychotic medication given to manage symptoms like delusions, hallucinations, thought disturbances, etc. These symptoms can occur in different situations like extreme stress, psychosis, etc. Discuss with your prescribing psychiatrist regarding the diagnosis as he will have a complete history. This medication needs to be continued for at least a year, possibly longer depending on the nature of your symptoms, previous history, etc. So again, kindly discuss with your prescribing doctor. If you are stable, your doctor may consider decreasing the dose to soltus 50 mg daily. But any dose reduction needs to be done under medical supervision. Weight gain can be an issue with this medication. It can be managed by eating healthily (avoid fast foods, high-calorie snacks, etc.) and having regular exercise." + }, + { + "id": 10337, + "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": 21462, + "tgt": "Is it normal to have a white spot where I got my wisdom tooth removed?", + "src": "Patient: Hello doctor,I have a little white spot in the area where my back wisdom tooth used to be. It covers where the socket was when I got it removed 4 years ago. I currently take Suboxone and chew Nicorette gum. Is this normal? Doctor: Hello. As you have mentioned it can be a canker sore. And if it is painful and irritating then visit the dentist once to show it properly. If there is nothing like this then I would suggest you apply any anti ulcerative gel, like Dologel or Dentogel (Choline salicylate) whichever is available at your place. Or get Metrohex gel (Chlorhexidine gluconate and Metronidazole) for better results. Drink lots of water and just try to quit your smoking and narcotic habit in more natural ways than these gums. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Apply baking soda, lemon juice and salt mix in a paste form for 1 to 2 times a week for better results. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2829, + "tgt": "Am I diabetic or prediabetic or IGT?", + "src": "Patient: Hi doctor,My friend advised me to check my glucose on her glucometer. The results were as follows after eating a meal with the following nutrition specs: Carbohydrates 98 g, fiber 21 g, protein 28 g, fat: 27 g, saturated fat: 4.5 g, calories: 720. Blood sugar after 1 hour 113, after\u00a02 hours 131 and after 3 hours 121.\u00a0Am I diabetic or pre-diabetic or IGT? I have never had an OGTT or any other test for diabetes before. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25540, + "tgt": "My wife is not interested in sex. How to initiate a sexual relationship with her?", + "src": "Patient: Hi doctor, I am a 36 year old male. I am a graduate and working for a MNC company. I got married in before 10 years and it is a love cum arranged marriage. My wife is also working with me.\u00a0When I was in grade 3, I got introduced to sex by a male teacher. I used to go for tuition and he used me for homosexual. Almost for a year, I was abused by him. From that time I got interest towards sex, especially oral sex. Then,\u00a0that teacher got transferred to a different school. I could not control the sexual urges, so I use to masturbate from those days when I am alone.\u00a0But it never stopped me from concentrating on studies. Again, I got a homosexual relation with one of my male friends in grade 8. That relation went on for around six months.\u00a0Later on during my UG, I got another male friend and had a homosexual relationship for around two years.\u00a0It will not be very frequent. But, like monthly once or twice. I got the habit of\u00a0smoking and drinking in my PG days. When I am alone and feel the urge, I used to masturbate. I got a job and I got a chance to stay alone. I used to visit sex workers, but not frequently.\u00a0I never liked to be in relation with different people. Instead, I like to stick with one girl who understand my feelings and co-operate. I got such a girl, she also a sex worker but she was not like money minded. She got some feeling towards me and gave me good moments in my life. This relation was there for around two years.\u00a0At the same time, I worked hard and I got many promotions and salary increments.I met a girl in my office, who was brought up by her widow mom. She is not aware of many things, which the same age girls would know.\u00a0I did not have any wrong intention towards her initially. One thing I like to mention here is that I never showed the other side of me to anyone. People still believe me, I am very good and loyal person.\u00a0I got attracted towards the girl and we both started loving each other. Love was gentle and tender. She never used to come out with me. She is very scared to roam outside with a male. We\u00a0got married. But, from the day one, she never used to show interest towards sex. She says sex is not the thing to enjoy and it is a sin.\u00a0She also will not show any response towards sex. It is making me go crazy at times and I shouted at her. She will only cry and never change her attitude. As these continued, to control my urges I started again with masturbation, watching porn, etc., when I am alone. This was fine for these many days. Nowadays, masturbation is not giving the satisfaction to me. I am in a position like, I need a sex partner, who enjoys sex with me. I am not interested to have sex with multiple people. But, with a single person, who also enjoys sex like me.\u00a0Another thing I like to mention was, we do not have a child yet. My wife got TB before marriage and her fallopian tubes were blocked. We went for years of treatment and no success. My wife did not show interest towards treatment much and we stopped it after two years. As\u00a0she cannot bear a child for me and cannot sexually satisfy me, she is asking me to marry another girl. My situation is like I cannot cope up with her and proceed further in life due to unfulfilled urges and at the same time I cannot able to accept her offer and divorce her. If I leave her she will be left alone in her life. She is a good girl otherwise like she takes care of me when I fall ill, she prepares good food and when my parents use to visit us she will take care of them well.\u00a0Now, every night is hell for me. It started taking me to the path of depression.\u00a0I tried meditation, yoga, studying self-help books, etc. All worked for a short time only. Please help. Doctor: Hi. I read your query with keen interest and understand your concerns. Although there are many things to intervene one thing requires immediate attention, which is mismatched sexual interest. There are prevalent myths about sex and sexuality that make it difficult for them to engage in healthy sexual relationship. I think your wife can be helped with proper sex education and counseling and further she can be encouraged to initiate a relationship with you. I understand her point to encourage you with a second marriage, but rather than opting for it you can see a marriage counselor. In my opinion, much can be helped with proper counseling in regard to regular sex and bearing children. Regarding your problem, I do not think it is abnormal. As a young person your desires should be respected and fulfilled in a judicial manner. Personally, I feel that yoga, meditation and other measures are good for you. But, it is not going to help the other person. In addition, no treatment can change the normal process of anybody and do not think you should suppress the normal desires and urges. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 550, + "tgt": "Is there any indication of heart issue in my mother's ECG?", + "src": "Patient: Hi doctor, My mother is under treatment for hypothyroidism, hypertension and osteoarthritis of knee joints, which is stage 2. I have attached her current medication list and ECG report. I request you to kindly have a look at the ECG and advice whether there is any indication of heart issues. Although the ECG is marked as normal, our doctor had suspected the possibility of LBBB. So, I want to get your kind opinion in this matter. I have also attached a copy of her lipid profile test reports done a few months back for your kind considerations. Thank you. Doctor: Hi. We are here to help you. I have seen the attached report (attachment removed to protect patient identity). For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30206, + "tgt": "Kindly suggest ways to overcome migraine", + "src": "Patient: Hi doctor, My company is putting down new carpeting. When I have been in the part of the building that has this new carpet, I get headaches, nausea, lack of concentration, tingling sensation in my fingertips and clammy hands. I have been diagnosed with migraines and some visual stimulus. Mainly flashing lights will give me headaches with similar symptoms I am getting from this carpeting. I started to have migraine when I was 13. Sometimes, I get severe symptoms such as complete numbness in body, unable to communicate and trouble seeing. I have lived with this for over 40 years and I am getting worried that I will not be able to work. I have reached out to human resources and they basically suggested to get glasses to protect my eyes. Any of your help would be appreciated. Doctor: Hi. I clearly understand your symptoms. The basic reason behind the whole issue is the autonomic imbalance which your nervous system shows to specific sensory inputs. Let me simplify that thing for you. All the senses give input to our brain like smell, vision, taste, hearing and touch. Out of these five, the first two can have relatively major influence on our autonomic nervous system. The autonomic nervous system is the part of nervous system which regulates blood circulation, digestion, respiration, cardiac rhythm, etc. The alteration of blood flow in the brain produces those flashes of light and sometimes a lost patch of vision in a field. Now, people with migraine have little problem with these autonomic regulations and that is what is happening to you. The new smell is excessively disturbing your autonomic nervous system and so you have all the symptoms which you described. The olfactory system gets adapted relatively quickly. So, if you continue to go there eventually you will get adopted. If that does not happen, then you can use mechanical barriers such as a small mask to avoid the smell up to a certain extent, but it may not help much. For nausea, I suggest Emefilm (Ondansetron) 8 mg, a thin mouth dissolving film of medicine to be kept below the tongue when you feel nauseated and Topiramate 50 mg twice a day for headache. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 146, + "tgt": "My SGPT is 49. Is it dangerous to liver?", + "src": "Patient: Hello doctor, My SGPT test result is 49. Is it dangerous for the liver? Doctor: Hello. Well, you did not share your body weight? Do you feel any symptoms like fatigue, weakness, or loss of energy? This information is important because only SGPT which is just nearly one and a half times raised cannot tell a diagnosis on its own. To answer your concern that it is harmful? yes it is, but whether it is less harmful or highly harmful, that depends upon the underlying condition. The causes of such raised SGPT are many folds. But of note, viral hepatitis, obesity, alcohol, and autoimmune hepatitis are the top most reasons for asymptomatic elevation. Some drugs have a tendency to cause raised SGPT commonly Paracetamol. Your rest of the urine report is completely normal (attachment removed to protect patient identity). I want you to tell me about your symptoms and current body weight before I can suggest a target set of investigations. Let me know about yourself in detail, like prior history of hepatitis, family history of hepatitis, prior blood transfusion, any travel history. I also want to know some personal information, like alcohol consumption, marital status, and sexual history. Recommending your investigation without any information regarding the case is not a cost effective option. I hope you understand my point. Raised SGPT (serum glutamic pyruvate transaminase). Viral hepatitis. Alcohol hepatitis. NAFLD (non-alcoholic fatty liver disease). Autoimmune hepatitis. Follow up to provide more information, as I can be in better position to suggest you investigation and treatment plan." + }, + { + "id": 26435, + "tgt": "Please check my angiography reports and suggest if I need stents or bypass", + "src": "Patient: Hello doctor, Due to pain and uneasiness, an angiography was suggested and I had undergone the same. Please advise regarding cardiac surgery. Doctor: Hello. I understand your concerns. Kindly upload lab test reports and any other attachments. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 938, + "tgt": "I am having a sore throat with redness and white spot. Please help", + "src": "Patient: Hi doctor, I am currently having a sore throat. As I checked, it is a bit red and saw a white dot. Please help. Doctor: Hello. Thank you for attaching a photo because that really helps. (attachment removed to protect patient identity). Your throat does appear red but your tonsils do not appear swollen so it is unlikely to be tonsillitis. Most of the time this is just due to a viral infection that will get better on its own without medication. Healing usually takes about five to seven days. As long as you are able to eat, drink, and remain without fever, just allow your body to heal naturally. If the sore throat is only getting worse to a point you are unable to swallow anymore due to pain, and you are having a fever of temperature 37.9 and above, you might need to see a doctor in person to have it examined and prescribe you antibiotics. Viral. Supportive management only. Drink lots of water. Take Paracetamol every 4 hours as needed for pain, Difflam lozenges every six hours, Bactidol gargle three times a day after meals. Regular handwashing. If the throat pain is getting progressively worse until a point that you cannot swallow any food due to pain, or if having fever, you will need antibiotics. Feel free to follow up with me in 3-5 days time regarding your progress." + }, + { + "id": 18343, + "tgt": "What are the reasons for high platelet count?", + "src": "Patient: Hi doctor, I am a 46 year old diabetic female. My platelet count is high at 9 lakhs in routine CBC. My iron is normal. My USG showed hepatosplenomegaly and PBS showed microcytic hypochromic anisocytosis. What shall I do now? Doctor: Hello. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13613, + "tgt": "Is it advisable to use Avenova spray with Cliradex wipes on eyelids?", + "src": "Patient: Hello doctor, I am starting Avenova spray and Cliradex wipes for my eyelids, which have blepharitis and MGD. How far apart should I space each one? I do not want to irritate the eyelids. Doctor: Hi. Do space them some time apart. 2 to 3 hours would be optimal so that each can act individually. Both have an antiseptic effect on low-grade bacteria causing blepharitis along with add on effects (detergent and non-detergent) and hence improving hygiene. Hence, spacing them would be ideal. However, if you are a busy individual and fund carrying things around a bit difficult, keep at least 15 minutes gap for the action of one medication to set in. Also, do not overuse either, twice a day is ideal frequency. Scrubbing of lashes with baby shampoo is also of some help and simple to follow for blepharitis." + }, + { + "id": 15469, + "tgt": "Why is there a hole at the top of wisdom tooth?", + "src": "Patient: Hello doctor, On one of the molar bumps of a wisdom tooth, there is a fade to white with a hole at the top that is not discolored at all. It almost looks like an animated drawing of a volcano. What is this? Could it be a cavity and if so how can you tell whether it is or is not reversible? Doctor: Hi. I have gone through your question. I can understand your concern. It is mostly reversible (attachment removed to protect patient identity) and depends upon your oral higeine. We can arrest the carries at till this stage only on the smooth surface because the plaque does not get accumulated on it. For that fluoridated tooth paste is sufficient. In your case, we cannot arrest it only by using fluoride supplements because there is a shallow depression. So you have to get it filled. Make sure there must not be any high point after filling. So you need to visit a nearest dentist to get it filled, there is nothing to worry about. Your oral hygiene is good and I think this had happened because of the malocclusion of this cusp in relation with the upper one. It is getting too long and we have to manage time too." + }, + { + "id": 7475, + "tgt": "My grandson is afraid of dark at night after a dental surgery. Please help", + "src": "Patient: Hello doctor, The 5-year-old boy weighs 80 pounds and is 4 ft tall. Takes inhalers for asthma. Had dental surgery a month ago and since then refuses to sleep in his bed. He had to be sedated to be anesthetized and during surgery stopped breathing briefly. He had to be sedated again after he woke up from surgery because he started lashing out and hitting everyone around him. Ever since then he throws a huge tantrum when it is bedtime and claims to be scared of the dark but only at night. He will play in his darkroom in the early morning. Not sure how to help him. I am his grandparent. His mother is ill with psoriatic arthritis and potentially may have cancer and has very little energy. Doctor: Hello. Your boy was likely frightened by the anesthetic experience while having dental surgery a month ago. As the boy's grandparents, continue to support him as he will gradually overcome the fear of dark and will be able to sleep in his own bed again. Apart from this specific fear, is he otherwise ok? Is he worried about his mother's health? Have you spoken to the young boy's parents about his recent fear of dark and anxiety sleeping alone? You can try some strategies to alleviate his fear to an extent. 1) You can leave a small light switched on his bedroom or leave his door slightly open with the light switched on in the corridor. 2) Read some gentle bedtime stories. Perhaps a bit more time can be spent than usual for a few weeks to allow him to settle back to normal. 3) Avoid watching TV or computer atleast an hour before bedtime. 4) Stick to the usual sleep routine. Boundaries need to be firm regarding bedtime. 5) Encourage him to lots of play activities during the day and let him have fun with his peers. 6) He can take a comfort toy and object to his bed with him to contain his anxiety. If these measures are not helpful, you can consult with the boy's pediatrician to screen for any other anxieties or sleep issues. I hope this helps." + }, + { + "id": 2381, + "tgt": "I am on Labetalol for high BP and my heart rate is quite low. Why?", + "src": "Patient: Hello doctor, I have high blood pressure and I take Labetalol 200 mg once a day. I was started on this before eight months after my daughter was born. I notice now while monitoring my blood pressure that my heart rate is very low like 53 bpm. Should I be concerned? Doctor: Hello. Your pulse rate at 53 bpm is slightly low but not too low to cause any concern. It can be of concern when it becomes lower and presents with symptoms such as lightheadedness or fainting. In case you develop these symptoms please contact the physician that prescribed the Labetalol about adjusting the dosage." + }, + { + "id": 256, + "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": 12061, + "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": 10990, + "tgt": "Can Sibelium taken for migraine cause poor memory?", + "src": "Patient: Hello doctor, I am 35 years old. I have migraine problem from last one year. I took Sibelium 10 mg. But I noticed after taking these medicine that my memory has become weak. Before, I had good memory. Doctor: Hi. Sibelium (Flunarizine) 10 mg is a good medicine for migraine but probably has not been quite helpful for you. You can consider taking tablet Betacap Plus (40+10) once in the morning regularly for a month. At times of severe, unbearable pain, you can have tablet Naxdom 500 mg SOS after food. Also, since you have migraine, it is necessary for you to know your triggers and avoid them. For example, some people have migraine when they go out in the sun, some due to loud sound or flashing lights and some due to spicy food. Understand what triggers migraine attacks for you and avoid that. Regular exercises, yoga and meditation will also help reduce frequency of your migraine. Take care." + }, + { + "id": 19221, + "tgt": "Can using too much salt in sitz bath be a causative factor for the rise in BP?", + "src": "Patient: Hello doctor, I have high blood pressure, and I used to take Telma 20 mg once daily for the last two years. Besides that, I am also following and taking only right diet for my high blood pressure. But, now for about seven to eight days my BP suddenly raised up to 150/100 mmHg, though I changed taking Telma 20 mg to Telma 40 mg. I am concerned about the sudden rise in my BP. Because of an anus surgery, I take sitz bath thrice daily. In every sitz bath, I add two spoons full of salt to the water. So, please explain whether using too much salt in sitz bath could be the causative factor for the rise in BP. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 800, + "tgt": "Based on fetal echo, please explain the health condition of baby and mother", + "src": "Patient: Hello doctor, I need an explanatory view for layman understanding in respect of the conclusion drawn in the report attached herewith. I would also need to know the effect on the health of baby and mother (including Down's syndrome) and also other points mentioned in the report. Doctor: Hello, Welcome to iclinq.com. Basically report is normal (attachment removed to protect patient identity) and there is no evidence of any heart disease in the baby. However, since it is difficult to completely visualize the baby's heart as it is small and deeply seated, some diseases may be missed especially minors. But at present, there is no evidence of any disease and usually, major diseases are not missed on fetal echo. So nothing to worry at present about the report. Now I do not know why you mentioned Down's syndrome as there is no evidence of it in echo, but routine ultrasound of the baby rather than echo is an investigation of choice for down syndrome. So routine ultrasound of the baby (called as malformation scan) is necessary to rule out down syndrome. Also, in Down syndrome, there are abnormalities in the heart as well, but echo is fine so it is a negative factor for Down syndrome, but still, ultrasound would be more reliable. Down syndrome has severe consequences on the baby rather than mother, firstly because of various structural abnormalities which may be seen in various body parts (requiring surgeries) and baby will have developmental delays, some mental retardation. If it is detected earlier in the pregnancy then abortion may be done. I hope this helps." + }, + { + "id": 9341, + "tgt": "How to control masturbation as I am doing it daily?", + "src": "Patient: Hello doctor, I am 21 years old. How to control masturbation because I am daily doing it alone, and how to manage my health? Doctor: Hello. Masturbation is a natural process which occurs in hands in spite of the vagina. But having sex and inserting penis in vagina is also associated with increased arousal and sexual feelings and a sense of love and affection, whereas masturbation is opposite, masturbation is a self-pleasure technique in which you try to achieve the same sense of sexual pleasure being alone. Remember, all the same hormones are never involved as it does give pleasure, but it is not the same. Along with that, please remember doing anything in excess can harm you. Drinking water is good, but drinking a lot of water without having a measure is harmful. So if you want to masturbate you can do it, go ahead but remember one thing, do not masturbate more than two times in a day to lead a healthy life. I would suggest you masturbate on weekends or regularly like two to three times a week is also a perfect approach. Harmful effects of masturbation are less, and a result very chronicity, for example, masturbation can lead to an increase in weight. You will gain weight more than you have expected. Secondly, you will have less testosterone in your body because you will be draining out all the testosterone due to masturbation so this will lead to loss of libido which means you will have less sexual Desire and decreased sexual arousal with time. I hope that I answered your question if you have any more query regarding this feel free to take the follow-up and consult me." + }, + { + "id": 765, + "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": 18084, + "tgt": "Why are the rashes around my penis and under leg not getting cured?", + "src": "Patient: Hi doctor, For the past one month, I am getting rashes around my penis, under legs and also on back. I have used many medicines like Quadriderm, Neo Clobenate GM, Ring Guard, etc. But, they did not work. Please prescribe me some good medicine. Thank you. Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22062, + "tgt": "There is a little green thing in the hole left behind after tooth removal. What is it?", + "src": "Patient: Hello doctor, I had a tooth removed from the back left of my mouth two weeks ago and I have been doing everything the dentist told me to do but I looked in it before and the hole is white but there is a little green thing in the shape of a square sitting on top which I think has been there since the tooth was removed. I was just wondering if you had an idea what it might be because I have looked online and I cannot find anything and now my brain is making me think it is something bad. Doctor: Hi. When a tooth gets removed from the socket, it is kept open for healing. By the time you start eating food, it is possible that a particle of food might get stuck in the wound which is very common. And if it is painful in mouth opening, then it could be a dry socket. So, please consult your dentist to check out clinically. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10149, + "tgt": "Is it possible to get extreme nausea, acid reflux, fatigue, and weight loss due to gallstone?", + "src": "Patient: Hello doctor, I am 41 years old, male. I have symptoms of extreme nausea, acid reflux, fatigue, and weight loss. Ultrasound shows gallstone. I have enclosed the report. The doctor wants to do a HIDA scan and remove the gallbladder. Are my symptoms due to gallstone? Is there a substitute test for a HIDA scan? Should I go for surgery? Please advise diagnosis and treatment. Doctor: Hello. First, gallstones in itself require treatment. The only treatment for 10 mm size stone is surgery. Medication will not reduce it. Untreated gallstone at your age may lead to complications. Your second query regarding whether symptoms of acid reflux are associated with gallstones are not. That is difficult to answer. There is an association of the two but difficult to directly link causation of acid reflux to gallstones. Hence, your symptoms may or may not rebate after surgery. Some patients although do show symptom relief. You should also undergo an upper GI endoscopy if your symptoms are persistent after discussion with a gastroenterologist." + }, + { + "id": 18704, + "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": 14791, + "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": 3342, + "tgt": "What is the treatment for chronic bronchitis with fever, horrrible cough and shortness of breathe?", + "src": "Patient: Hello doctor, I get sick every two-three months. My doctor diagnosed me with chronic bronchitis about a year ago. I get the same symptoms every time the illness flairs up again. The symptoms consist of a snotty nose, fever, shaking, weak, shortness of breath and a persistent horrible cough. I also throw up some of the things I eat and foam when I drink things. I have an inhaler that I plug into the wall and inhale the Albuterol vapor that the machine produces. I would just like to know what else I can do to treat this painful illness? Doctor: Hello. In many cases of chronic bronchitis, acute symptoms appear due to infection. So, I would advise in such a scenario to get a hemogram with ESR (erythrocyte sedimentation rate) and chest x-ray done. If the chest x-ray and these blood investigations show no sign of infection then, you would be treated for bronchitis. Treatment constitutes antiallergic drugs like Levocetirizine and Montelukast and in severe cases inhalers containing like Salbutamol and steroid inhaler like Budenoside. In case of severe spasm and coughing, a steroid like Prednisolone can be used for a short course, after being sure that there is no active infection or pneumonia. If you do not have a severe cough or respiratory distress, and your chest if found clear on examination, then a cough syrup containing Salbutamol, Levocetirizine, Dextromethorphan will help you greatly. Benzonatate pearls are helpful in an allergic cough only, as they just anesthetize the throat and reduce the allergic cough response. But in cases of severe chest congestion, they are not useful. Also, do steam inhalation for symptomatic relief. I would advise you to see your doctor and get investigated. Share my opinion with him, I am sure he would agree to it and would prescribe you accordingly. I hope this helps." + }, + { + "id": 25459, + "tgt": "Please look at the pictures and tell me why my face has these tiny pimples", + "src": "Patient: Hi doctor, My face has tiny pimples. I could not understand the reason. My skin is oily in nature but seems to be dry in winters sometimes. I can send pictures of my face. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). You have Grade-1 acne. Acne is a disorder of pilosebaceous unit - pilo meaning hair, and sebaceous glands meaning oil producing glands. The oil produced from these sebaceous glands is expelled out from the duct out onto the skin. If there is a blockage in the duct, oil accumulates and starts irritating surrounding skin causing comedones (black and whiteheads). For your acne grade, I would suggest you use: Consult a specialist doctor, discuss with him or her and start using the medicines with their consent. I wish you get rid of this condition soon. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 792, + "tgt": "What causes pain in back and legs?", + "src": "Patient: Hello doctor, Around 6 PM today I had really bad back pain all of a sudden, I have a cold. So I have been texting so I thought it was just that but around 10 or 11 PM, the pain started to shoot down my leg as well, it hurts when I sit and walk and lift my leg. Doctor: Hello. Looking at your problem from very near, it would be sudden bending causing pressure on disc and protrusion to lumbar nerve causing shooting like pain on leg. The cold and even cough increase the inner disc pressure and causing nerve to more pressure which causes symptom worst. So I would recommend you to use lumbosacral belt on lumbar spine at lower back. I would also recommend some medicine to take for this problem and follow up with MRI for further improvement. Zanaflex (Tizanidine 4 mg PO bid for 1 week, capsule Neurontin (Gapapentin) 100 mg PO bid for one week, capsule Pantoprazole 40 mg once daily for one week." + }, + { + "id": 29752, + "tgt": "Please recommend some treatment options to save my teeth", + "src": "Patient: Hello doctor, I am 20 years old. I have very bad teeth with many cavities. I brush my teeth twice a day. I also floss and use mouthwash every day. Even though I follow all the protective measures,\u00a0my mouth is full of\u00a0cavities\u00a0and it has\u00a0ruined all my\u00a0confidence. Even though I\u00a0get them filled once in every three\u00a0months, I am getting a new cavity after giving so much care and treatment. I got a root canal treatment for one of my wisdom teeth. Please help me save my teeth. Doctor: Hi. I can understand your concern\u00a0regarding your\u00a0dental health. IOPA (intraoral periapical radiograph) of the affected teeth. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5891, + "tgt": "My son feels some discomfort in right hip and knee following lumbar puncture. Why?", + "src": "Patient: Hello doctor, My son is 17 years old. He has delayed learning. I am at the hospital for the last two weeks and they do not have an answer as to what is wrong with my son. MRI will be done on Monday. My son has IOP and ICP and due to his recent laser diode for glaucoma and LP, the result showed that his IOP and ICP were normal. The manner he presents his discomfort is he opens his mouth as if he was saying \"uurrh\" and takes my hand to his right hip joint and sometimes to the knee. He did this after he got up from sleep. My son takes Glaucoma eye drops and recently Azetomide. Doctor: Hello. I understand your concern and would explain that his symptoms could be related to joint pain or musculoskeletal pain. For this reason, I would recommend performing some tests to investigate possible causes. 1. Complete blood count, PCR (polymerase chain reaction), and ESR (erythrocyte sedimentation rate) for inflammation. 2. Blood electrolytes for possible imbalances. 3. Vitamin D levels for possible deficiency. Anyway, you should know that some back and hip pain after LP (lumbar puncture) is quite normal. Why was LP performed? Does he have any symptoms of intracranial hypertension like headaches, vomiting, etc.? I remain at your disposal for any further questions whenever you need it." + }, + { + "id": 1246, + "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": 24267, + "tgt": "Is a desire to have a mental illness a disorder by itself?", + "src": "Patient: Hello doctor, I have something which affects me a lot. Basically, I desire to have a mental illness, I have been even faking certain symptoms. To be exact, I do actually have mental health problems, I am diagnosed with Asperger\u2019s, bipolar disorder and OCD. However, I have a feeling I am not ill enough and I want to be much sicker than I am right now. I know that is not normal and I am incredibly ashamed of it. Right now I am in remission of BAP and I should be glad for that, but instead of it, I am desperate and unhappy. The only thing I want is a relapse and it is not just a wish, I am doing something for it. I go to sleep at different times every day to destroy my sleeping rhythm and I do not take my meds (Valproate for BPD) regularly. I always skip them on purpose in such a way that nobody can notice, I am afraid to stop taking them at all because of the potential reaction of my parents. Then there are things which I just pretend to look sick, for example, I tell people that I have bad dreams and sleep paralyzes frequently, while I almost do not. When I was hospitalized with mixed mania and then with depression this year, I felt a strong need to be the sickest person in the psych ward or at least look like that. I made certain symptoms like hallucinations up. I also exaggerated everything. I had severe insomnia but I always purposely slept even less, I had meltdowns but some of them I triggered purposely or I just made them up. I self-harmed to look ill, not because of an inner need. I do not even know how sick I really was and what I just faked. I have heard about the factitious disorder and I wonder if I have it or not. I am not sure because I have a feeling it does not fit perfectly with me. Is a strong desire of having an illness a part of that disorder? Please, if you have an idea what is wrong with me, tell me. I am disgusted by myself, I want to stop this desire, faking and lying but it is just impossible. I am afraid to tell my real-life psychiatrist because he would not ever believe me on any real symptom then. I am also too ashamed to tell anyone I know. I am sorry this message is too long. Doctor: Hello. It is good that you are aware and trying to take the help of a psychiatrist. You are suffering from borderline personality disorder. You like to take attention from people. You want to be pampered by your family and that is why you are looking for such an illness or faking illnesses. It is your personality which makes you fake risky diseases out of anger or an emotionally unstable situation. So, no one can help you until you want to take help for yourself. There is no medication that can change your nature or personality. Dialectic behavior therapy from a clinical psychologist can help you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26201, + "tgt": "I had surgeries for cauda equina syndrome. Can you decode the surgery notes?", + "src": "Patient: Hello doctor, I recently had two spinal surgeries for cauda equina syndrome. I was told that the second surgery was required due to a dural tear. However, on reading my clinical notes, I now question this. I have the operation notes, which I can send (about a paragraph each) if you have a spinal surgeon who can decode them for me. Doctor: Hello. I have gone through your query with diligence and would like you to know that I am here to help you. Can you please elaborate what your question is?" + }, + { + "id": 11815, + "tgt": "We lack sex because of premature ejaculation. How to overcome this problem?", + "src": "Patient: Hello doctor, Lack of sex with my husband. He ejaculates prematurely. We avoid sex to reduce disappointment. Since from married years, it has never been better even after numerous counselings. No communications, we are like just best friends. I need a lover to help me get well again. I am taking Yelate antidepressants, Stresam, Ivedol sleeping tablets six in number. Doctor: Hello. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment. 1. SSRI (antidepressants) and Clomipramine. 2. Anesthetic sprays on glance before sex (only study support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom, and It may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse. Have proper counseling by a psychiatrist" + }, + { + "id": 2726, + "tgt": "My virgin girlfriend has severe pain after first sexual intercourse. Please help", + "src": "Patient: Heey hoping you are doing okay dr. My virgin girlfriend and I had our first intercourse two days ago now and she started experiencing pains.. Severe pains she has to lie down on the floor to ease.. When i asked her she says it is more than her menses pain.. What could be the problem... Doctor: Hi, We are doing fine,thank you, hope all of you are also doing good. When a lady's hymen ruptures, that is after first sexual exposure, there will be few tears in & around the external genitalia & also the vaginal wall. These will be the point of entry of minor infections already present in the normal vaginal flora & also in the semen. This will be more if you have not used a condom. These infections will enter the uterus & thereby into the pelvis / lower abdomen. causing cramps on & off, similar to the menstrual cramps. You don't need to worry. All you need to do is avoid sex for few days, till pain subsides fully, have a short course of any antibiotics ( like Tab.Azithromycin 500 mg daily once for 5 days or Tab. Levofloxacin 500 mg daily once for 5 days ) Use any of the antispasmodics ( usually used by women during periods for pain) like Dicyclomine , 2-3 times per depending on severity of pain. Use condom during sex. Hope I have clarified your query, do write back if any more queries & for your feedback. All the best" + }, + { + "id": 15897, + "tgt": "Why are there recurrent episodes of allergic cold?", + "src": "Patient: Hello doctor, My son is 16 years old and gets an allergic cold bout at least once a month. His symptoms during that time are an excessive running nose, frequent sneezing bouts, and nasal irritation. Please suggest the appropriate remedy for curing his allergy from the root and also for immediate relief as he is studying. How do I detect the reason behind this allergy so to keep away from the cause? Doctor: Hi. Give him Allegra M (Montelukast and Fexofenadine) tablet for a week in the evenings. This medicine is better than others as it produces the least sleep. This will help him read well. Keep away from dust, smoke, fumes, perfumes, mud, pollution, direct air-conditioning, etc. After his exams are over, note down whenever he gets allergy and that way you may be able to find the offending agent. Allergy cannot be cured. It can only be prevented and kept under wraps. To detect the allergen one must do a skin prick allergy testing." + }, + { + "id": 14332, + "tgt": "Is it possible to have decreased heart rate due to sports activity?", + "src": "Patient: Hello doctor, I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55 bpm. In the last eight months, I do morning run three times a week (30 minutes). Actually previously instead of running, I also have done sports exercise (static bike) with the same intensity. One thing that differs with the previous conditon is I lost 8 kilos (in 7 to 8 months time). There is no symptom related to my health, instead, I feel comfortable and fit. I have consulted with the cardiologist and he said it was okay as long as I do not feel any symptom (faint, dizzy, etc). But the doctor quite worried regarding the heart rate at night since based on ECG result (using Holter monitor for a full day), it showed the heart rate plunged to 35 bpm at night (sleeping). The doctor gave me Terbutaline sulfate, with a low dosage (two times a day at 2.5 mg). My question is whether bradycardia is related to my sports activity? Does it relate to my weight loss? Is there any reference related to normal heart rate for atheletes (with sports heart) when sleeping at night? Doctor: Hi. It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no fainting or collapses, then no further action is required. It is not related to weight loss which could be secondary to increased physical activity and exercises. If weight loss is not deliberate, then this needs to be investigated. Weight loss and bradycardia could be seen in malnutrition patients and people with severe depression sometimes. I do not think it is the case here as you do regular exercise which is a good sign. Please be assured." + }, + { + "id": 13274, + "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": 1485, + "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": 7, + "tgt": "I get mild left-sided chest pain with low Hb and vitamin B12 levels. Please help", + "src": "Patient: Hello doctor, I am a 39-year-old woman. I have mild pain in the left side of the chest (below the neck and above the breast) and then sensation in the upper back from four days. It comes and goes. Sometimes it goes to the right side of the chest also. I have done my ECG and blood test 6 months ago. ECG and blood sugar were normal. No hypertension but hemoglobin was 10 and Vitamin B 12 was below average. What can I do as in lockdown it is not possible to see the doctor as a person. Please help. Doctor: Hello. I would like to ask you some more questions, do you have symptoms of acid peptic disease or GERD? Or any burning sensation in the epigastric region, the center of your chest (heartburn). If you do, it could also present as chest pain so I will guide you accordingly. I would also like to rule out any muscular pain, for which I will encourage you to take a muscle relaxant and see if it helps. Take tablet Muscoril (Thiocholchicoside 4 mg) one tablet once a day when you experience pain and let me know in the follow up in a couple of days to see if it relieves the pain. Like you said your Vitamin B12 levels are below normal, it could also be neuropathic pain for which I will only advise vitamin B12 supplements (tablet Methycolbalmine once a day for three months) or B complex supplements. You can also improve these levels with diet. Take diet enriched with beef, liver, and chicken. Fish and shellfish such as trout, salmon, tuna fish, and clams. Fortified breakfast cereal. Low-fat milk, yogurt, cheese, and eggs. Since your Hb is also below the ideal levels, take iron-rich foods which are usually Vitamin B12 rich as well. So I will advise diet modification to incorporate these in your everyday routine or take supplements with iron and Vitamin B12 as well. Because anemia can also present with the said symptoms. Lastly, I will encourage you to reduce weight with exercise and changing your diet and switching to a low-fat diet with the addition of more fruits and vegetables to your diet. Try to start with atleast 30-40 minutes of cardio workout every day and work it up from there according to your stamina and you will see the visible change that you feel. You will feel more active and fresh. Try to bring your BMI (body mass index) as close to the normal range as you can. Because obesity itself can cause countless problems as well. I hope this helps. ECG (electrocardiography). Do not lift heavyweights. Take low fat, high fiber diet. After two days." + }, + { + "id": 5808, + "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": 13656, + "tgt": "Has my chronic sinusitis lead to asthma?", + "src": "Patient: Hello doctor, I am a 44-year-old male with chronic sinusitis. I was exposed to lead and asbestos while serving in the shipyards about 20 years ago. I now draw disability for chronic sinusitis. Recently, my episodes have been turning into bronchitis and even pneumonia more and more frequently. Just this week, I was diagnosed with asthma. My question is can chronic sinusitis lead to asthma? Doctor: Hi. I can understand your concern. Yes, chronic sinusitis can cause asthma. Recurrent respiratory tract infections including sinusitis can cause asthma especially adult onset asthma. But better to first get done spirometry study with bronchodilator reversibility. If spirometry is showing an obstructive defect with good bronchodilator reversibility, then asthma is likely. But, if spirometry is showing obstructive defect without bronchodilator reversibility then bronchitis is more likely. Please let me know that do you smoke? Do you have allergies? Please reply me with answers to these questions so that I can guide you better. I will be happy to help you further." + }, + { + "id": 18937, + "tgt": "Is it safe to take oral contraceptive pill?", + "src": "Patient: Hi doctor, My girlfriend had irregular periods and USG pelvis showed PCOD. So, she is taking COCP. In spite of taking the drug properly, she missed her period this month. Is anything wrong with her? What to do now? Does she need to continue the drug? Or should she stop it? I heard that COCP may cause cancer. Is COCP safe for her to use? How long she can use it? Or please prescribe a medication for her which she can continue safely to solve the problem of menstrual irregularity. Doctor: Hi. Combined oral contraceptive pill (COCP) is absolutely safe for her. It does not cause cancer (low dose COCP). Just check the content of COCP which she is taking. If dose of Estrogen (Ethinyl estradiol) is 20 or 30 mcg, she can safely continue the medicine. In fact, COCP in such a case prevents endometrial cancer due to its progesterone content. Regarding missed period, it normally does not happen with COCP. Normally period starts between 3 and 15 days of stopping the last tablet in the pack. If it has been more than 15 days since last tablet, consult a gynecologist. If it has been less than 15 days, she can wait till 15 days from last pill for periods to come. In any case, she cannot start next pack without having periods unless instructed by doctor after examination. Do not forget to tell her to use another form of contraception like condom if she is sexually active. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18139, + "tgt": "My sugar levels are high. What to do next?", + "src": "Patient: Hello doctor, I am a 41 year old female. I had GDM 9 years back with twin pregnancy. Post-delivery for few months my blood sugars were normal. Later l was started on tablet Metformin 500 mg SR bd along with diet control. Last year l was started on tablet Atenolol 5 mg od. l feel fatigue even after slight exertion. So, l checked my sugar levels. There were fasting 190 and PP 227. Kindly advice what shall I do next. Doctor: Hi. Revert back after the investigations to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2773, + "tgt": "My 3-year-old son has twitches with starring spells. Is this seizure activity?", + "src": "Patient: Hello doctor, My 2.75-year-old son started (Thursday night) with these twitches and jerks. He is battling a cold it appears with a runny nose, watery eyes, and sneezing. No fever. This has been the same time as these motor items have developed. Overall he has acted fine and there is no change in consciousness. He was seen one month ago about starring spells but neurologists thought it was low risk for seizures. We are not sure what these are? He does them when at rest versus active playing or eating. We want to try to get him in to the test but given the current situation, we are hesitating to take him. We need to do a sleep study. Is this seizure activity? Could it be related to cold? Could it be growth related?He was just to PCP and development is well above age group for mental and physical. He does twitch and jerk as he falls asleep often. Also, he is prone to crying and talking in sleep. He is not screaming but enough to get your attention. He is asleep when we check on him. Please help. I have attached the videos. Doctor: Hello. I passed carefully through your questions and reviewed your videos. (attachment removed to protect patient identity). In the first video, I cannot distinguish, but the last video is very suggestive of seizures. For this reason, I would recommend performing an EEG (electroencephalography). I understand the situation, but I do not think that this is an emergency as these episodes are not so frequent (they usually occur several times a day). You can wait a month or two as the situation of coronavirus is more clear. You should discuss with his pediatrician about this. I do not think these episodes are related to a cold. As he has no fever, I would exclude any possible relationship to the cold. I hope this helps." + }, + { + "id": 2684, + "tgt": "I have a bump on the left side of the nose for a long time. Should I be concerned?", + "src": "Patient: bump on the left side of the nose. feels like cartilage or bone. always been there since I can remember. the right side of my nose doesn't have a bump whatsoever. I've always experienced breathing problems. Don't know if I should be concerned or that it's just something that will always be there Doctor:" + }, + { + "id": 19082, + "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": 14633, + "tgt": "What is an acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130", + "src": "Patient: Hello doctor, I have gotten different answers from various different doctors on this question. Maybe, you can give me a straight answer. What is the acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130. Please explain. Doctor: Hi. Many types of blood sugar testings are there, and the values for that are different. But worldwide, the most commonly used tests for the detection of diabetes are Fasting Blood Sugar and Post Prandial Blood Sugar. Fasting blood sugar test is done by taking the blood sample from a patient after a period of fasting. Usually, patients are asked to report for the test in the morning, before breakfast (after about 8 hours of fasting). The normal range of fasting blood sugar is 70 to 100 mg/dL. Anything between 100 to125 mg/dL is considered as Impaired Fasting Glucose (IFG) or pre-diabetes. And anything more than 125 mg/dL is considered as diabetes. Post-prandial blood sugar test is done by taking the blood sample from a patient after a meal. Usually, the test is done after 2 hours after a meal. The normal range of post meals blood sugar should be less than 180 mg/dL. Anything between 180 to 200 mg/dL is considered Impaired Glucose tolerance or pre-diabetic state. And anything more than 200 mg/dL is considered as diabetes. Hope this answers your query." + }, + { + "id": 17932, + "tgt": "Please suggest medicine for anal fissure", + "src": "Patient: Hi doctor,I am a 26 year old female. I am having anal fissure and some crack in the anus. I am bleeding when I go to the toilet. It is\u00a0very much painful.\u00a0Please help me and suggest some medicine for this. Thank you. Doctor: Hello. I suggest you the following medicines for anal fissure. Consult your doctor, discuss with him or her and take the medicine with consent: 1) Intra-anal 0.2% Nitroglycerin twice daily for six weeks. 2) Use Ispaghol husk in warm water. Add one tablespoon in 1-1/2 glass of water and drink in the morning. This will allow your stools to be soft. Remember that constipation can make it worse. 3) Take warm water in a small tub or pan and sit in it for 10-15 minutes daily. 4) Take Paracetamol 500 mg two tablets twice daily for two weeks. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2235, + "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": 29842, + "tgt": "I am gaining weight only around midsection. What to do?", + "src": "Patient: Hi doctor, I feel tired, fatigued with low sexual libido and insomnia. I have gained weight only around the midsection with love handles and\u00a0belly. I think I have low testosterone. What to do? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14142, + "tgt": "What will happen if Ranitidine is taken before endoscopy?", + "src": "Patient: Hi doctor, I am 33 years old and I want to ask what and why we need to stop taking Ranitidine before endoscopy? Is it because it hides anything or make a false negative result? I have undergone endoscopy (first time) and still taking Ranitidine to control my acid. The doctor told me that my esophagus is not fine because I took Ranitidine. Doctor: Hi. According to me, it is not compulsory to stop Ranitidine before endoscopy. Sometimes, it may hide the findings of gastritis or an ulcer if taken for a longer time before endoscopy." + }, + { + "id": 5144, + "tgt": "Why are my liver enzymes raised?", + "src": "Patient: Hello doctor, Today I took blood test and found out that triglycerides, aspartate transaminase and alanine aminotransferase are high. One week back, I had taken Liv.52 DS, triphala and bael. Shall I continue them? Or should take any other medicine? I have attached my medical reports. Kindly check them. Thank you. Doctor: Hello. According to your reports (attachments removed to protect patient identity), your triglyceride levels are absolutely normal. Revert back after the investigations to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 813, + "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": 7924, + "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": 16578, + "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": 2890, + "tgt": "My 12-year-old son has fluctuating thyroid levels. Is it necessary to take medicines?", + "src": "Patient: Hello doctor, A 12-year-old boy, having fluctuating thyroid for the last two years. I have attached the last three reports and paper attached. I need to know whether the medication should be continued or not? If to be continued then for how long duration? Please advise. Doctor: Hello, Welcome to icliniq.com. I have seen the attachments. (attachment removed to protect patient identity). I just read your query and from what you have mentioned it appears that your son has slightly high TSH (thyroid-stimulating hormones). You can increase the dose of his Thyroxine tablet to 25 mcg five times weekly (Monday to Friday) and 50 mcg twice weekly (Saturday and Sunday). Repeat his thyroid function test again after six weeks and then we will review again." + }, + { + "id": 22891, + "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": 10678, + "tgt": "Had ECG for palpitations. Please have a look and assess further steps", + "src": "Patient: Hello doctor,I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what further steps I need to take? Doctor: Hello. I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality. Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. cardiac structural abnormality. Cardiac ultrasound." + }, + { + "id": 5278, + "tgt": "Why am I having small bumps on ankles, knee caps and now inner-thigh?", + "src": "Patient: Hello doctor,I have small bumps on ankles, kneecaps and now inner-thigh. I took Allegra, Zinetac, Diprovate-G and-anti-histamines (self), and have limited or unpredictable success. Doctor: Hi. From your description of the problem it is very difficult to come to any diagnosis. It is best you send me photos with details or take an online consultation. What is your age? Since when do you have this problem? Are these lesions itchy or red? Do you have dandruff in your scalp? Do you take medicines for any other problem? Since when are you applying the above cream? Without these answers, I will not be able to help you in a proper way. Take care." + }, + { + "id": 24083, + "tgt": "Is fecal incontinence related to previous stroke?", + "src": "Patient: Hello doctor, The patient is experiencing fecal incontinence, he had brain infarct a few years back and has trouble walking and speech. Walking is totally restricted due to loss of control over his sphincter. He is taking probiotic Vibact twice after food. Doctor: Hello. I read carefully your question and would explain that fecal incontinence is not a common sign of stroke. It could be related to vascular dementia (compatible with the MRI findings). Coming to this point, I would recommend some diet modifications (avoiding food which can increase the motility like orange or plum juice, caffeine, etc.) and performing a stool analysis. Loperamide or Diphenoxylate/Atropine can help reduce the gut motility and thus lead to constipation and reduce the frequency of defecation. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Surgical repair of the anal sphincter could be a possible treatment option if the above drugs do not help. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11200, + "tgt": "My wife had a C-section done and her RBC is 3. 54, and hemoglobin is 11. 4. Are these values normal?", + "src": "Patient: Hello doctor,My wife gave birth before nine days, and we did a blood test yesterday, and her RBC count was 3.54, hematocrit 33.3, and hemoglobin was 11.4. Is this a normal result considering she just had a C-section? Doctor: Hello, Welcome to the icliniq.com. Her hemoglobin level is borderline, and there is only mild anemia. There is no need to worry regarding these results. I suggest you give her a healthy diet like more green leafy vegetables, pumpkin seeds, dried beans, and more fruits. There is no need for any medication for anemia just now. I hope this will help you. Let me know if you have any questions." + }, + { + "id": 1047, + "tgt": "I am consuming Codeine. Will this affect conceiving?", + "src": "Patient: Hello doctor, I am addicted to codeine for the past 4 years. After my marriage, my wife had conceived but that time we did not want it. So, we aborted and it has been 2 years. Now we are trying to conceive but it is not happening. Doctor: Hi, Welcome to icliiq.com. I read your query and understand your concerns. First of all I would like to inform you that Codeine can be stopped in gradual manner. Scientifically speaking you can go for 10% reduction of original dose every week leading to complete abstinence at the end of 2-3 months. In case this is not possible or you are not able to tolerate the lower dose of Codeine you can get yourself treated form local psychiatrist. We often recommend Clonidine for this purpose which helps in the withdrawal symptoms of Codeine. The medication dose is decided depending on the dose of Codeine, age of the patient, duration of abuse and blood pressure. I mean to say that this is high time to say \"NO TP ADDICTION\" and take this opportunity to come out of this addiction without delay. I understand that your concern is not addiction but inability of your wife to get pregnant despite repeated efforts. But we need to understand that addiction and infertility are related to some extent and removal of one risk factor might pave for fathering a child. In addition it is also important to get semen analysis done for yourself and follicular study for your wife to rule out other causes." + }, + { + "id": 7027, + "tgt": "I am suggested not to have dressing after armpit surgery. Will it lead to infection?", + "src": "Patient: Hello doctor, Due to accident, I have an injury in my arm, and stone has entered in armpit now the stone is taken out, and the doctor has recommended me not to have dressing. If I will not having dressing, then I could lead to infection. Can you please help me what I should do now? Doctor: Hello. I have seen the picture you have attached (attachment removed to protect patient identity), and it looks like it is still a raw wound, that recently happened and has not got time to heal. It is best to leave such injuries over the skin open with an ointment applied over it such as Soframycin (Framycetin) or Bactroban (Mupirocin) so that you avoid infection while you are exposed to the outside environment. But while you are at home, wash your arm and then clean using Dettol or any antiseptic over the area and keep it dry uncovered. The reason we advise to leave it uncovered is that it will expose the epidermis and the body will realise it needs to heal the wound if the skin is torn. But if you apply a packing over it, the antibiotic in the dressing keeps the body's natural healing away and makes it slower. I understand it is challenging to keep it exposed and uncomfortable, but it is best for quicker healing." + }, + { + "id": 11061, + "tgt": "What is the treatment for hard hymen?", + "src": "Patient: Hello doctor, I got married before a month, and we are unable to have sex because of my very hard hymen. Yesterday I got bleeding during sex, and we thought it broke, but it was like a small tear from the side. My husband's penis is above average, and it is very hard, so I get unbearable pain every time, and he is unable to penetrate as I force him to stop. Is there any medicine to tear the hymen or only surgery is the option? Please help us. Doctor: Hello. I can understand your concern. Hymen will not be hard, and your partner needs to understand your vagina, proper foreplay will dilate the vaginal region for easy access. Ask your partner to masturbate for you and increase foreplay. The hymen does not generally break in the first penetrative sex. If your pain persists, it can be due to injury, wait for a week for the hymen to heal. If your pain persists, you can use a painkiller. Increase the foreplay time or masturbation will lubricate the vagina for less painful sex. Use K-Y gel (water based lunbricant), or painkillers if you have any doubts regarding masturbation and foreplay. If all these basic things are fine, we can think of other surgical causes." + }, + { + "id": 14078, + "tgt": "I have an automatic device for checking blood pressure at home. How to use it?", + "src": "Patient: Hello doctor, I have an automatic device for checking blood pressure at home. There are 3 options of which first says \"sys\", the second one says \"dia\" and the third one \"pulse'.\u00a0Which option is for checking the blood pressure and how much should is normal? Doctor: Hi. The automatic blood pressure machine is a good investment, and it is good to have one at home even if you are not struggling with your blood pressure. The ideal position to take your blood pressure is with the machine located at the level of the heart. The best way to do this is in a lying position, and you should rest for 5 minutes before taking your pressure. Follow the instruction in the manual as for how to position the cuff around your upper arm or wrist depending on the machine you have. The first value you see \"sys\" shows your systolic pressure which is the pressure exerted by the left side of the heart (left ventricle). The second value \"dia\" is the diastolic pressure which is the pressure of blood entering the right side of the heart which then enters the lungs. Your blood pressure is then indicated by the systolic over the diastolic pressure. The unit used is mmHg (millimeters of Mercury). Ideal blood pressure is 120/80 mmHg, but a normal range can be between 115/75 to 130/85 mmHg. Any pressure over 140/90 which is persistent and produces symptoms of blurred vision, headaches, and facial flushing as well as a pressure below 90/60 causing symptoms of breathlessness, dizziness or confusion should be addressed by a health care professional. The third one \"pulse\" is pulse rate which is the rate at which your heart beats. A normal pulse for an adult is around 72 beats per minute. A rate of over 100 or below 60 which causes symptoms such as those mentioned above also need to be evaluated." + }, + { + "id": 7961, + "tgt": "Why is there numbness and swelling in feet and legs?", + "src": "Patient: Hello doctor, I am contacting you on behalf of my grandmother who is suffering from a number of issues and advice from her regular doctors is not coming up with a decent solution. I have asked her to write down from her point of view about the problems and here it is. Ailments are diabetic, chronic obstructive pulmonary disease (COPD), supraventricular tachycardia (SVT). Epileptic till the age of 50, She is 80 years. Description of complaints. Buzzing, stinging, numb, swollen feet, and legs. Walking on any type of flooring is painful even carpeted flooring and feels like either the floor is cold, wet, oily or even feels like cold satin cloth. She cannot wear slippers or socks of any description on feet as they give a weird sensation, although she has one pair of shoes that she can tolerate for a few hours. Clothes feel cold and sometimes oily when getting dressed. Body temperatures seem to have gone awry. At times feels as if she is in a sauna and then suddenly she goes very cold. She feels the draughts tremendously indoors, the small amount of air movement by myself or other people seems exaggerated as if the air is being moved around her. This does not feel quite the same with wind or breezes when she is out on a windy day. She always has to have an electric blanket on at night (although on a low setting). She has to have toilet seat covers on because the seat feels icy cold even when it is not cold in the room. Gets electric type shocks darting all over on my body about six times or so every day. She has runny eyes, and hypersensitive smell to perfumes, deodorant, toothpaste, soap powder, coffee, newspapers, shiny junk mail, cooking smells. cling film. leather seats in car. Everything listed has a very very powerful smell and she has to avoid contact with any of these. All this has a depressive feeling. Her last blood test showed slightly low on magnesium, so now eating spinach and almonds every day. Doctor: Hi. The symptoms you are stating may be due to peripheral neuropathy due to diabetes or major depression. Also, there may be associated hypothyroidism. Diabetes affects small nerves of the extremities and results in a non-specific sensory complaint like you stated. Did she undergo a nerve conduction velocity test of extremities? If not, then she should undergo that test to confirm the diagnosis. For diabetic neuropathy, she can take Duloxetine or Pregabalin, Amitriptyline. These drugs are started at a dose of 20 mg, 75 mg, 25 mg, respectively. These drugs reduce the increased sensitivity of your nerve endings and may help you alleviate your symptoms. Also, some symptoms may be due to hypothyroidism. For this, I suggest a free thyroxin and TSH test and TSH is found to be high, she can take a thyroid supplement. For the depression part, I think she is suffering from depressive illness. She can take Escitalopram (10), or Fluoxetine (20) in the morning to manage your depression. Also, she should take Methylcobalamin (500) thrice daily as this vitamin rejuvenates peripheral nerves and may reduce symptoms.I suggest to continue the antidiabetic medications and strict control of blood sugar is recommended." + }, + { + "id": 10008, + "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": 24384, + "tgt": "Are nausea, loose stools and wet mouth related to GERD?", + "src": "Patient: Hi doctor, I have GERD and was recently diagnosed with equivocal H. pylori after symptoms of wet mouth (not to the point of drooling), mild intermittent nausea (no gag or vomit) and minor upper abdomen discomfort. I completed the triple treatment (two antibiotics, Omeprazole) three weeks ago. The upper abdomen discomfort is gone. I still have mild intermittent nausea and loose stools and pretty consistent wet mouth (though still no drooling or spitting). Can this be GERD related? H. pylori possibly not eradicated? Or something entirely different such as C. diff, SIBO, etc? I have a follow up with my primary next week but cannot get in to see a GI for another month. Thank you in advance for any advice. Doctor: Hello. Nothing to worry. The loose stools may be secondary to antibiotics which you had. You can have some probiotics if it is persistent. Hope you have modified your diet and daily activities to reduce GERD (gastroesophageal reflux disease). Judicious use of Omeprazole or Rantac (Ranitidine) can help you in case of recurrent GERD. Hope your queries have been cleared. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4200, + "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": 16400, + "tgt": "Is it safe to take Krimson 35 to regulate periods?", + "src": "Patient: Hi doctor, I am 25 years old and my menstruation cycles had been irregular since the start. After 1.5 years of irregularity (missing periods for many months), I visited the gynecologist and after seeing all my tests results, my doctor told me because of my obesity I had irregularity in my periods. He prescribed me Diane 35 for the first 21 days post that I got my menses and thereafter he asked me to continue with the normal course of Krimson 35 of one tablet a day for 21 days. Thereafter my menses became regular while being on the medicine. After one year, I discontinued the medicine out of fear of side effects and thereafter my menses continued irregularly again. During my late teens and early 20's my menses were highly irregular (missing for more than 4 to 6 months) but from last two years, it occurs monthly either with heavy bleeding for 1 to 2 days or very light bleeding or spotting for 10 to 15 days. I am not on any medication right now nor do I have any other symptoms like cramps or nausea or any other menstrual symptoms. However, I still continue to be obese and did develop some levels of facial hair around my chin area. Could you please let me know, if I could go back to starting Krimson 35 to get everything back on track? Will there be any kind of side effects? Will there be any difficulty in conceiving at a later stage of my life? Doctor: Hello. With your history, it seems that you need to decrease your weight which is the single most important factor in your menses. There are others but first, we have to control this. Yes, of course with irregular menses it can be difficult to get pregnant. No need to start Krimson 35 (Cyproterone Acetate and Ethinyl Estradiol) but need to do some test may be. And try to reduce weight. From history, it seems that you have PCOS. Do one sonography and consult a nearby gynecologist for a good advice. Drink more water." + }, + { + "id": 12413, + "tgt": "I have evidence of small wisdom tooth in X-ray. Is it fine?", + "src": "Patient: Hello doctor, I am 18, and every year I have X-rays. I am in the 4 % that do not have wisdom teeth. Today, I was X-rayed and I suddenly have very small wisdom teeth. Every other X-ray, I did not have these teeth. I also have bone growths in my jaw. Is it normal to rapidly grow wisdom teeth? Doctor: Hi. Wisdom teeth can erupt little late than usual. It depends on many factors. In some people it takes up to the age of 24, these teeth also can never erupt and stay impacted or half impacted inside the jaw bones. So for now if you do not have any complaint or problem it is normal, but I recommend you to check up and get X-ray every one year as usual for follow up and see the condition of your wisdom teeth. Also, do not forget, keep on good oral hygiene. Panoramic X-ray." + }, + { + "id": 18275, + "tgt": "Do you feel that the enhancement of a rib on MRI is due to metastasis?", + "src": "Patient: Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold. Doctor: Hi. Revert with the images to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 14877, + "tgt": "I feel sore throat and body redness after few days of sex. Are they symptoms of HIV?", + "src": "Patient: Hello doctor, I am 42 years old white male, I had protected intercourse vaginal and anal and unprotected oral sex, vaginal and anal exactly 17 days back. Eight days after I had an itch in my throat that practically made the corner of my mouth pucker for a day or two and lost my appetite. Around the 10th day after I noticed too small funny shaped (not round) pimples on my stomach Then on the 12th or 13th day after I noticed having reddened skin on my face, chest, back, ankles, and hands, at one point my blood pressure was 190/130. Do not know if it is from stressing or not. So now it is the 17th day my skin has lightened up but not completely, my appetite is still gone but I can eat. Sweating occasionally but no fever and my sore throat feels almost gone except for a small restriction in swallowing. Could this be from something besides HIV? Doctor: Hello. You had protected intercourse and so the chance of HIV is less. The mentioned symptoms are not suggestive of HIV. But still, for peace of the mind, it is advisable to investigate with CMIA combo ELISA test for HIV after six weeks of exposure. Your rashes seem to be an allergic reaction. You can be prescribed Levocetirizine for seven days which is anti-allergic medication. Your blood pressure can be raised due to severe anxiety related to HIV thoughts. You have to repeat your blood pressure measurement and if it is persistently elevated above 150 then anti-hypertensive medication need to be prescribed. I suggest you consult a nearby physician for detailed physical examination and discuss all these. You can revert back with throat swab report once done." + }, + { + "id": 1713, + "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": 15144, + "tgt": "Some type of viscous fluid is coming out of ears. Please help me", + "src": "Patient: Dear doctor, I am a 19 year old male. Some type of viscous liquid comes out of my ears and when it dries up, it hardens. Please help me. Doctor: Hi. Viscous fluid coming out of ears indicates a middle ear infection. It has to be attended to immediately to avoid damage to the ear. I request you to meet an ENT specialist at the earliest to prevent further damage. In the meantime, you can take tablet Levocetirizine 10 mg twice a day to reduce the secretions and the inflammation. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4379, + "tgt": "I suffer throat and nose irritation with fever. Is it sinus infection?", + "src": "Patient: Hello doctor, I have been sick off and on for about two months. First, my throat started hurting then my nose was stuffy. That went on for about two weeks. The doctor told me I probably had a cold. A week later, I got a stomach virus. A week later, that went away my throats started to hurt again. A couple of days later, the nose felt irritated. The doctor suggested I had a sinus infection and gave me antibiotics. I took my antibiotics for sinus infection, but now it is all starting to happen again. I know it is not allergies either because my allergies have never bothered me this bad and I am running fevers. What is wrong with me? I had mono infection a month before this sickness began. Do not tell me that mono will affect me for the rest of my life. I just want all of this to end. Please help me. Doctor: Hi. I went through your summary. Sorry for your suffering. My best guess probably you are suffering from GERD (gastroesophageal reflux disease). Before making that diagnosis I need few more information regarding your ailment. Any particular aggravating factors for your illness such as after food or drinks or following a heavy meal? Do you have any associated heart burn, belching, or digestion difficulty? How long you are on OCP (oral contraceptive) medication? Recent stress (work or studies)? Because all these can cause gastro esophageal reflux disease (GERD). That is acid in your stomach reflux back to the throat. That sometimes causes a recurrent cold mimicking sinus infection. You need to take antacids, prokinetics, and proton pump inhibitors. Stress or drug-induced. UGI scopy (upper gastro intestinal endoscopy). GERD. PPI (proton pump inhibitors) and Prokinetics. Avoid stress, avoid spicy food and heavy meal. Avoid drugs, smoking, and drinks." + }, + { + "id": 27980, + "tgt": "Is antibiotic a must for seasonal allergic cough?", + "src": "Patient: Hi doctor, For the past three years, I have been suffering from\u00a0allergic cough. I have cough only during the months of September and October. It stretches for a period of 1-2 months. This time my PCP gave me a Decadron shot and within few hours my cough has got better. Should I buy the prescribed antibiotic Zithromax Z-pak and ProAir HFA aerosol? Or should I wait and check the status of cough? Doctor: Hello. With the conversation, I understand that you are a 33 year old male suffering from cough especially during the months of September and October through the years. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 20750, + "tgt": "Why is my baby having hearing loss after a cold?", + "src": "Patient: Hello doctor, My 5-year-old son is suffering from bilateral hearing loss. He was born as a normal child. Suddenly, he got such problem due to cold. Doctor: Hello. Your son is suffering from bilateral hearing loss following a cold. This is most likely due to obstruction of the tube connecting between the ear and the nose (ETD: eustachian tube dysfunction). You can start the following medicine syrup T-Minic (Chlorpheniramine maleate and phenylephrine) 5 ml two times for two weeks. If not improving, then you need examination by local ENT surgeon and hearing test (audiogram)." + }, + { + "id": 29456, + "tgt": "What can I possibly do to cure my constantly running nose?", + "src": "Patient: Hi doctor,I have had a constant runny and congested nose since three years. After years of trying anything possible and seeing several doctors, I was finally diagnosed with a severe dust allergy, as well as asthma by last year. At that\u00a0time I was pregnant, so I could not be prescribed any medication, but I took extreme measures to help this allergy subside. I have been steam cleaning all rugs at least twice a week, dust every day and everything is hypoallergenic. This has unfortunately done nothing to help. My nose runs constantly, and I mean constantly. I have gone through two rolls of tissue paper in the last 24 hours. I have tried every medication, spray and natural remedy on the market. I have tried three different prescriptions, and nothing has worked. It has affected my job and my home life. The mucus is always clear, watery and lately; it has a foul taste or smell. Doctors in my area have given up on me and said live with it, but I can barely take care of my son because I have to leave all the time to deal with a fountain of mucus coming out of my nose. Please tell me what is wrong with me. What can I possibly do? I am desperate. Doctor: Hello. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 2016, + "tgt": "My hepatitis E result is 9. 4 u/ml with yellow eyes. Please suggest medication", + "src": "Patient: Hello doctor, I am 16 years old. My eyes were yellow, ALT level was 226, Hepatitis E result was 9.4 u/ml. I went to a gastroenterologist for checking and he prescribed me few medicines Siliver, Sulvorid, Dexxoo. In the follow up he prescribed me Ipride. After taking that medicine I am having loose motion and feeling cold now. Doctor: Hello. From your symptoms and your test reports (attachment removed to protect patient identity), it looks like you have viral hepatitis, particularly hepatitis E. Viral hepatitis affects your liver cells and causes their inflammation which can lead to dysfunction in the normal functioning of the liver. The disease can vary from being self-limiting to highly fulminant. Hepatitis E has been known to lead to fulminant hepatitis which has quite a high mortality. The course of infection has two phases, the prodromal phase, and the icteric phase. Prodromal-phase symptoms include myalgia, arthralgia, fever, anorexia, nausea, vomiting, weight loss, dehydration, and right upper quadrant pain. Icteric-phase symptoms may last days to several weeks and include jaundice (yellowish discoloration of skin and eyes), dark urine, light-colored stools, itching (pruritus). I would request to see a doctor and get admitted as soon as possible for further evaluation. Your liver enzymes have to be monitored regularly along with pt/INR (prothrombin time) report to see whether liver is synthesizing the clotting enzymes well. Now coming to the treatment. Acute hepatitis E in immunocompetent persons usually only requires symptomatic treatment, as almost all of them are able to clear the virus spontaneously. The acute illness may result in anorexia, nausea, and vomiting, predisposing patients to dehydration. These symptoms tend to be worse in the afternoon or evening. Patients should attempt to ingest significant calories in the morning. As they improve, frequent small meals may be better tolerated. Hospitalization should be considered for patients with dehydration. Ribavirin an antiviral drug is reserved for people who worsen. You can continue taking Dexxoo (Dexlansoprazole). Stop Ipride (Itopride Hcl) if it causes loose stools. Eat light food and drink plenty of fluids. Take tablet Paracetamol 500 for fever. Consult a doctor immediately if you think your condition is worsening. I hope this helps." + }, + { + "id": 19986, + "tgt": "Do fluctuations in heartbeat denote heart disease?", + "src": "Patient: Hi doctor, My heartbeat keeps fluctuating. Sometimes, it will be 85 bpm and the other time 60, 57 or 58 bpm. Does it indicate any heart disease? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24329, + "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": 12816, + "tgt": "What does consistent twitching in lower eyelid indicate?", + "src": "Patient: Hello doctor, I have consistent twitching in the bottom lid of my left eye. It has been ongoing for about for two weeks tomorrow. Doctor: Hello. This eyelid twitching can be caused by a number of different problems. In case you have only the eyelid twitch and have no other problems in your eye or other bodily diseases, we label such cases as essential blepharospasm. To reduce this, I suggest you do the following. Avoid tea or coffee completely for a few days. Get around eight hours of sleep at night. In case you have any burning sensation or itching or irritation use an over-the-counter lubricant eyedrop containing Carboxymethylcellulose acetate 0.5 percent 6 to 8 times a day. In case you have any other symptoms with the twitching or have already tried doing the things I just mentioned, please let me know. I would appreciate if you could share your doctor's records, relevant test results with me, I will do my best to help." + }, + { + "id": 25037, + "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": 1403, + "tgt": "Please interpret my USG liver report", + "src": "Patient: Hello doctor, Four months before, I was diagnosed with fatty liver, slightly elevated fasting\u00a0sugar\u00a0and the\u00a0level of total cholesterol. My current medications are tablet Viboliv 500 daily two times in a restricted diet and Nexpro RD. I had consumed spicy foods rarely. In the last four months, I lost 7 kg weight.\u00a0However, today, I have repeated the same tests and all the\u00a0blood tests are normal. But, there is something in my USG of the whole abdomen. My USG report of liver is as follows: Liver is enlarged. The echogenicity is diffusely increased without any focal lesion. The intrahepatic structures are normal and no focal area of altered echogenicity is noted. The hepatic ports are normal. The common duct at ports measures 3 mm and the portal vein measures 10 mm to porta. Final impression is hepatomegaly with fatty liver and this is my recent USG report. My other organs are normal and I feel pain in the RUQ and flatulence is present. Also, I tested for FBS, LFT and lipid profile. Is it a reversible condition?\u00a0Also, please let me know how much time will it take.\u00a0Will you please guide me about the seriousness of this condition? Thank you. Doctor: Hello. Revert back with report and answer to the above question to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1143, + "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": 30849, + "tgt": "Is passing stools in underwear without knowledge a psychological problem?", + "src": "Patient: Hi doctor, My son age is 8 years old. His weight is 25 kg and height 135 cm. He has problem of passing stool in his underwear for the last 6 to 7 months. He is doing this without knowing it. He suffered with the same kind of problem last year for three months and it got cured. But, that medicine did not help this time. We discussed many doctors, but not get any solution. Please help us. Doctor: Hi. I saw the attached files and your child's history (attachment removed to protect patient identity). Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29266, + "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": 25896, + "tgt": "What could be the reason for my increased erratic heart palpitations?", + "src": "Patient: Hello doctor, I am a 44-year-old female with heart issues and a family history of heart attacks and heart aneurysm. I have hypertension and am I have been treated with Norvasc 5 mg and Metoprolol 25 mg in the morning and 12.5 mg in the evening. I also have PVCs, PACs, and occasional SVT. I quit smoking two years ago. I have no drug use. I am an occasional drinker less than eight drinks a week. Although I have a past history of excessive alcohol intake up until a week ago, my blood pressure was normal. In the past, I had a hiatal hernia, removal of the gallbladder, and GERD. Currently, I am on Nexium 40 mg, zinc, multivitamins, Taurine, D3, GABA, turmeric, and a Probiotic.I am also a pre-diabetic with lipase ranging from 74 to 114 over the past two years with no explanation. Over the past week, diastolic has run consistently in the 88 to 100 with an average of about 93. I have increased palpitations that are erratic and in blocks of an hour or so, about four times a day that have been occurring as well. What could be causing this? My cardiologist ordered a 24-hour Holter but that seems to be dismissing this. Doctor: Hello. The cause of your palpitations seems to be from the use of GABA (gamma-Aminobutyric acid). One of the side effects of GABA is anxiety and anxiety is a big cause of palpitations. This is why the Holter monitor is not showing anything to indicate a problem. In the case of diastolic pressure up to 100 mmHg, this is a very common situation and it is not dangerous. But in general, I will advise you to lose weight very seriously. This will go a long way in helping you achieve normal blood pressure with reduced dependence on drugs. As the time goes on, if you do not reduce weight, your body's dependence on antihypertensives will increase. Talk to your physician about GABA. Maybe he might have a substitute with reduced side effects. I suggest you do an EKG (electrocardiogram) to rule out the possibility. Follow up with your EKG report. Best regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28586, + "tgt": "Is there any blood test to detect Down's syndrome in a fetus?", + "src": "Patient: Hello doctor, My wife is three months pregnant, so we went for a scan to check for Down's syndrome and the baby's brain growth. I have attached the scan report. Please suggest if everything is fine, as we did not see our normal doctor. Doctor: Hi. Nice to hear from you.\u00a0I have seen the scan report (attachment removed to protect patient identity).\u00a0The scan is absolutely fine. Hope I have clarified your query, do write back. For further queries consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 24616, + "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": 7116, + "tgt": "Please advice about colon cleansing", + "src": "Patient: Hello doctor,What is colon cleansing? Colon hydrotherapy has been advised, and how effective is the procedure? I have chronic constipation. Doctor: Hello. Colon hydrotherapy is used to wash out the content of large bowel by using water or other medication. As colon can normally expel waste colon cleansing is not needed. It can disrupt normal bowel flora. However, in the fecal impact, it can be used but only under medical supervision. Causes for constipation is inadequate water intake, the insufficient fiber in the diet, resisting urge to have bowel movements. So drink at least three liters of water per day, eat fruits and vegetables, try warm water in the morning. Keep in mind that if you have severe pain, weight loss, blood in the stool, if constipation lasts for more than two weeks, then you immediately consult a gastroenterologist and get his opinion." + }, + { + "id": 26788, + "tgt": "Why does my cousin have breathlessness on climbing stairs?", + "src": "Patient: Hi doctor, I have a 21 year old cousin, who is 181 cm tall and weighs 120 kg. He has slight breathlessness when he climbs stairs.\u00a0He does not have any other health complaints and does\u00a0regular health checkup. Please take a look at the attached test reports and kindly let us know what has to be done. Doctor: Hi. I have gone through his\u00a0reports (attachment removed to protect patient identity) and found the following issues worth mentioning. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17848, + "tgt": "Is it normal for my epiglottis to appear yellowish and red-veined?", + "src": "Patient: Hello doctor, I am a 16 year old female, 5 feet in height and weigh around 65 kg. For the past few days, I have been having swollen lymph nodes all over my neck, a severe sore throat and tonsils which I assumed was just tonsilitis as I have had it before. However, I have been experiencing constant headaches, sore muscles, backache, and pain in my tail bone as well but, that might just be from falling over. I was looking at the back of my throat in a mirror and noticed something that I\u00a0had not seen before right behind my tongue. I had no idea what it was and neither did my mom. So, I searched online and found it was an epiglottis. But, I had never seen it before when looking in my throat which happens quite a bit because I always have sore throats. Is it normal for it to be so visible, yellowish and red-veined? I am attaching a few pictures. Do I have tonsillitis or something more serious? I have been trying to organize a doctor's appointment but have not been able to get one. Please answer. Doctor: Hello. From the photographs (attachment removed to protect patient identity), it seems that you have severe pharyngitis with tonsillitis and epiglottitis. It could be a viral or bacterial epiglottitis. This usually resolves with antibiotics, but could also become very severe. You need to undergo some tests like CBC (complete blood count), and throat swab culture sensitivity. You need not worry unless there is breathlessness or stridor. I suggest you start Amoxicillin and Clavulanate 625 mg twice a day, along with tablet Aceclofenac, Serratiopeptidase, and Paracetamol twice a day along with Pantoprazole 40 mg on an empty stomach. Take all the above for five days, till you get an appointment with an ENT specialist. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28079, + "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": 28043, + "tgt": "I am 6 weeks pregnant, and I have slight vaginal bleeding. Please help", + "src": "Patient: Hi doctor, I am 6 weeks pregnant. From last two days, I am having light bleeding. I could see the bleeding when I clean the area with a tissue, but I do not see any bleeding in the sanitary pad. Yesterday I got an ultrasound, and it showed pregnancy sac and a fetus with heartbeats. The doctor said the fetus is smaller than the actual size. From today morning, I am again having slight bleeding. My doctor is not suggesting any medicine to stop this bleeding. Kindly let me know if the bleeding is normal and please advise me what needs to be done. Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 656, + "tgt": "It is becoming hard for me to stand or be on my feet for a long time due to sciatica. Please help", + "src": "Patient: Hello, doctor I am dealing with sciatica in both of my legs. The symptoms I am dealing with are burning, tingling, sharp shooting pain in both legs, aching, and pain in my feet. It is now becoming hard for me to stand or be on my feet a long time . The sciatic flare is from a slip in fall accident I had six years back. I was diagnosed with lumbar facet syndrome. Doctor: Dear, Sending Love and Healing vibes! Looking into your problem we need to understand the basic physiology about the facet joint.Facet joints\u2019 helps healthy movement and intervertebral disc\u2014stability for each motion segment.The aging ,osteoporosis , traumatic injury can damage the facet joints and is the leading cause of back pain known as facet joint syndrome. Therapies include medial branch blocks, intraarticular (within a joint) steroid injections, and/or radiofrequency ablation (RFA),Percunateous endoscopic lumbar discectomy. Meanwhile i recommend you to take these drug which helps reduces the swelling of disc and neurogenic problem . Thank you" + }, + { + "id": 10705, + "tgt": "What causes strain in groin and pain in testicles during exercise?", + "src": "Patient: Hello doctor, I am 21 years old, male. I was doing excercise with suppoter. Then I suddenly felt strain in my groin and pain in my left testicles. After two days I went to doctor. He physical examined my testicles and wrote two tests CBC and urine. In CBC, eosinophils was 6. He said it is because of filaria infection, then I got fileria antigen test (ICT) done and test shows not detected. What is it ? Doctor: Hi. It seems the exercise put much stress on your groin, the pain could be from strain or tear of the inguinal ligament around that area, could be from the associated attached muscles to the ligament around that area, the associated left testicular pain may be because the spermatic cord which also carries nerves that supply the testicle which also travel via the groin to the scrotum was strained in the process making the pain to appear in the testicle of same side. Is there any testicular swelling? You can use an analgesic Ibuprofen 400 mg BD for five days, apply Diclofenac gel on your groin and massage it thoroughly three times daily. You can also take antibiotics just in case there is an associated epidydymoorchitis. Tablet Augmentin 625 mg BD for six days. You may feel better." + }, + { + "id": 7607, + "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": 5307, + "tgt": "I have a pimple-like bump on the toe which hurts on walking. What is it?", + "src": "Patient: Hello doctor, I have a pimple-like bump on my toe. When I tried to pop it I noticed that it was hard. It hurts when I walk and I now have three bumps. Two of them are flat now. Doctor: Hello, Welcome to icliniq.com. We appreciate your concern about your skin eruption. Before I am able to help you in this regard, I would like to have the following additional information: What was the location of the original and recent bumps? Specifically, were they on the upper side of the toe near the hairy area or over the soles? What has been the duration of the first bump? Can you post a photograph of the same? In case the bumps are on the upper side of the toe, in particular, if they seem to be arising from or near the hair follicles, then they could indicate furuncles, which are deep-seated infections of the hair follicle and though they can arise in healthy individuals, they are a little more common in diabetics. They are painful, warm and become hard, but often show a visible yellowish pus point. In that case, we would have to suggest a short course of oral antibiotics and anti-inflammatory medicines and suggest an antibiotic cream. In case they are on the sole i.e. undersurface of the toes, then they could be corns. But corns typically are of long duration, appear over pressure prone areas of the toe and do not subside on their own. They also hurt on walking. They can be treated medically as well as surgically. Thus, to be able to guide you for the best treatment, I need to have your answers to my three questions raised above." + }, + { + "id": 24902, + "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": 14377, + "tgt": "What should be done for supravalvular pulmonary membrane in a baby?", + "src": "Patient: Hello doctor, My little daughter has a supravalvular pulmonary membrane that causes minimal stenosis. So I do not know what to do. The doctor said that the stenosis is very small and will wait and see. So I need to know what should I do and what is the next step. Can this be treated without surgery? Now she is 10 months old. Doctor: Hi. This condition is more of pediatric cardiology rather than adult cardiology. However, I think that if the stenosis is minimal then it should only be observed at this stage with regular yearly echos. If the stenosis progresses and become of severe degree, then this can be managed with means of balloon dilatation in the first instance in young age group and only if this fails, then she can have surgery. I wish your daughter good recovery and happy life." + }, + { + "id": 16567, + "tgt": "I often get a mouth ulcer. What is the reason for this?", + "src": "Patient: Hello doctor,I often get a mouth ulcer which is in the form of oval shape and white in color. When I get this, I apply Mucopain gel and take Riboflavin tablet 10 mg. Can you please let me know the reason for this? Doctor: Hi. As per your complaint, you are suffering from recurrent aphthous ulcers which is causing you the eruption of ulcers on the tongue. It can be caused due to a number of reasons like: You need to consult an oral physician or a general dentist in this regard to get evaluated and treated. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8158, + "tgt": "My uterine ultrasound showed fetus arterial blood flow is restricted and I am adviced to have Aspirin. Why?", + "src": "Patient: Hello doctor, I am a 30-year-old. I had IVF frozen embryo transfer due to my husband having a reciprocal balanced translocation. The embryo was tested genetically to ensure it was not unbalanced before transfer. I had a 13 weeks and one-day ultrasound that showed uterine arterial PI in the right artery of 2.27 and left artery of 2.75. CRL is 7.65cm.Right, Ut-RI is 0.83, and Lt Ut-RI is 0.87. Blood flow to heart and kidney of the fetus was all good, I think. HR was 156. Growing two or three days ahead of the due date. All the other measurements looked good. My doctor told me to take aspirin 150 mg daily, which will start today. I am seeing my doctor next week but have some questions.General pregnancy symptoms such as the blocked nose and an associated sinus headache. I take a pregnancy vitamin and an extra small dose of iron and vitamin D. I also take Levothyroxine 50 mcg daily. My mother had four kids without any preeclampsia. My aunt had preeclampsia with delivery at seven months. My questions were as follows. 1. Can this improve? Is this something that maybe my uterine arteries are a bit slow to develop and will catch up in the next week or so? 2. What is the accuracy of this ultrasound? 3. Fetal development is otherwise healthy, what is the chance this restriction of blood flow will cause fetal growth restriction, preeclampsia with FGR or any other effects too baby? 4. Does restricted uterine arterial blood flow mean that there will be fetal growth restriction? My BP measured on the same day was 110/77. I did a urine analysis but did not know about the results. Does restriction in blood flow through uterine arteries mean there will be a restriction in blood flow through the placenta and umbilical cord and growth restriction in the baby? Or can there be a restriction in uterine blood flow without effect in the baby? Doctor: Hello. Since your uterine artery is showing some changes, Aspirin is started prophylactically, and there is nothing to worry about. Usually, it will settle down as the baby grows. Often ultrasound is accurate up to 80 to 90 %. Fetal growth restriction is quiet unlikely, as your already taking precautions. Only in case of uncontrolled hypertension or neglected pre-eclampsia can lead to severe problems. Usually, uterine artery restrictions are self-limiting and will settle down with proper medication and regular treatment. So relax and do not worry about it. Usually, stress, anxiety, work pressures, high salt intake, and erratic eating habits will be an added factor. Uterine artery changes are not permanent and can be reversed with treatment. However, if you have a doubt, then get back to me." + }, + { + "id": 2317, + "tgt": "I have red bumps on stomach, chest, neck and arms. Please help", + "src": "Patient: Hello doctor, I have had these red bumps on my stomach for six days. A little up my chest, neck, and arm. They are not itchy too much. I have been using Cortisone and it has not gotten any better. Now it sort of looks like my boyfriend might be starting to get them on his back. Not 100 percent sure. I am currently on Lexapro. Doctor: Hi, Welcome to icliniq.com. Lesions are looking like red papules. (attachment removed to protect patient identity). Miliaria is common if you are sweating more. Some are looking infected. Is there any fluid coming out of some lesions? Any chance these are subsiding after a few hours? If your friend is also getting it then it can be folliculitis. It is a mild bacterial infection. If available please use Mupirocin or Fusidicacid cream. Apply Calamine lotion once. Anti itch medications in the night. Drink a lot of water." + }, + { + "id": 571, + "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": 7432, + "tgt": "Is it normal for the gallbladder to be distended?", + "src": "Patient: Hello doctor, I have been experiencing pain in the right upper quadrant. My blood reports and gallbladder scans are all clear, and there are no stones. The\u00a0first scan showed slightly distended gallbladder. What could be the cause of the pain? And is it normal for the gallbladder to be distended? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9878, + "tgt": "I am suffering from erection problem, penetration issue and low libido. Please help", + "src": "Patient: Hello doctor, I have erection problem, penetration issue, and low libido. Kindly help. Doctor: Hello. Many reasons can cause the problem of weak erection and low libido, so you need to be evaluated and investigated to find the cause. The main reason for these problems is Diabetes mellitus, hypertension, thyroid hormone, or other hormonal issues. If you are currently taking any medicine, then need to check them also as some medications can cause these side effects. So visiting a nearby doctor or psychiatrist will help you to find the underlying medical cause if any and then act accordingly. If no medical cause is found, then it may be attributed to psychological issues, and then drug like sildenafil or Tadalafil will help you to get a proper erection. To enhance your libido and erection problems take a healthy diet, do regular exercise, and take adequate sleep of six to eight hours daily. Spend enough time during foreplay. Try to follow the Master and Johnson technique, and you can google this and read about this and try to do it. You can go to a psychiatrist to get more insight into this and how to practice it as it can not be explained fully here. I hope this clarifies your concern." + }, + { + "id": 29053, + "tgt": "Why does my 3. 5 year old daughter have an extra set of teeth erupting behind her molars?", + "src": "Patient: Hi doctor, My 3.5 year old daughter, has all 20 teeth. She recently got sick with four days of fever. Then, she suddenly said that her teeth hurt. She does not seem to have intense pain, and is happy and playing. But, when I asked her to point to where it hurt, she pointed on both side at the back of her mouth, behind her molars. I looked with a flashlight and saw some\u00a0new teeth erupting behind\u00a0her molars. My mother in law, who is a registered nurse, agrees that they look like tooth buds. I got a dental appointment for next month, but I am confused. I cannot find any information on extra teeth in toddlers, in particular on both sides of the mouth. Is this possible? Doctor: Hi. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24054, + "tgt": "Please suggest products to improve the skin color of a 3 month old", + "src": "Patient: Hi doctor, Please suggest a good soap, lotion, or massage oil to improve the color. She is 3 months old. I already tried using pigeon soap, pigeon lotion, tedibar, Cetaphil lotion, olive oil. Doctor: Hello. As per evidence-based medicine, there is no such product which can improve color. In fact, it is not advisable to use any product which can or have an effect on skin color. For massage, any oil which suits the baby (coconut oil, olive oil) will do. The baby regains their original color by the age of 6 months. Every baby is unique and a genius in themselves. Focus on keeping her healthy. All other aspects are secondary. Happy to serve you. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20562, + "tgt": "Can I insert Triamcinolone inside my vagina to clear yeast infection?", + "src": "Patient: Hi doctor, Can I insert Triamcinolone inside my vagina to clear yeast infection? Doctor: Hi. Triamcinolone is not indicated for yeast infection. It is a corticosteroid and rather, a yeast infection can precipitate with this drug. You should use an antifungal like Clotrimazole vaginal pessaries for 14 days. I also advise you to use a condom during sexual intercourse. Consult a gynaecologist online regarding the severity of the infection and the need to take oral antifungal drugs --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10694, + "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": 24135, + "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": 4757, + "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": 20888, + "tgt": "My head has been spinning for several days. Is it related to vertigo?", + "src": "Patient: Hello doctor,My head has been spinning for several days and I used to hear some claps in my ears. The day before yesterday, some pimples appeared in my body and my stomach was very hot and I was vomiting yellow. Is it related to vertigo or to something I ate? I took Cotrim for pimples. Doctor: Hi. The spinning sensation is due to vertigo which could be due to either vestibular neuritis or Meniere's disease in both conditions cause vertigo. In order to identify the cause, please provide me with more details: There is no relation between vertigo and the skin lesions. Vomiting could be associated with vertigo. I recommend Meclizine 25 mg tablets once daily before bedtime. Metoclopramide tablets one tablet before meals. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20114, + "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": 10164, + "tgt": "Why do I get frustrated easily?", + "src": "Patient: Hello doctor,People called me stupid and annoying it is not that I do not understand. It is that I cannot focus, I have a tough time focusing, and I would not deny I am annoying. I never sit still I am wandering around the house all the time I told my dad I would not sit still even if I was glued to the sit and he said I believe that. People complain about the fact I talk a lot, and I talk fast. I climbed a broken fence I love climbing fences when I was 12 I let my friend push me across the road in a shopping cart, and I let my friend push me around in a shopping cart on a bumpy ground I do not think before I act. I get very mad when people talk badly about me I get easily frustrated I get crazy if I cannot find something or if mess up on something I will pretty much get mad over anything I have a low tolerance when it comes to anger. ADHD runs in my family. Doctor: Hello. You are reporting symptoms which are suggestive of ADHD (attention-deficit hyperactive disorder). How are you managing at school? Further assessment, including developmental history from parents, corroborative information from school will help to clarify the severity of your symptoms and also to rule out other conditions mimicking ADHD. Effective management of the underlying condition will help you to function better. I will advise discussing with your parents and consult your doctor locally who can refer you for further specialist assessment as needed. Depending on the evaluation, medication or behavioral support may be recommended.Meanwhile, you can try some strategies to improve your functioning. Exercise regularly, make a reminder list for essential weekly activities to avoid missing deadlines, minimize distractions by avoiding TV, mobile during your work hours, etc. I hope this helps." + }, + { + "id": 21126, + "tgt": "Please read my ECG and tell me the abnormalities", + "src": "Patient: Hello doctor, Can you read my ECG and tell me why it says abnormal? Doctor: Hello. I have thoroughly reviewed your query and can well understand your concerns. In such an EKG where not much abnormality is apparent, physical examination and clinical correlation become more valuable. It may be normal or near normal EKG. At some points in some leads it shows little deviation from normal patterns but at the same time, it does not fit into typical abnormalities. In simple words, your physician should have gone for a physical examination in order to establish a clinical evaluation of the heart. Based on that evaluation, we can say if there is anything wrong or not. Merely looking at this part of EKG (attachment removed to protect patient identity) nothing much can be said with surety. Also, the EKG machine can say it is abnormal EKG even with a slight artifact or error (even on a normal heart). That is why clinical correlation is mandatory here." + }, + { + "id": 22209, + "tgt": "What is the cause for senile purpura?", + "src": "Patient: Hi doctor, I have a painless red spot which is about 4 mm in diameter on the top of the foot for about two months. I used various salves, which did not help me. I am taking tablet Warfarin and tablet Metoprolol. Doctor: Hi. From your description, it can be a purpuric patch. Your attachment is not clear (attachment removed to protect patient identity). Get your blood tested for platelet count, APTT (activated partial thromboplastin time), PT (prothrombin time) tests as you are taking tablet Warfarin which is a blood thinner. If they are abnormal, report to a physician nearby you. If they are normal, start using Cetaphil dam moisturizer along with a vitamin C rich diet like citrus fruits. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6955, + "tgt": "How to treat intermittent exotropia?", + "src": "Patient: Hi Doctor, My brother is 16 years old. He has intermittent exotropia from childhood. It goes out frequently.\u00a0Is there any way to cure it? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2043, + "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": 21607, + "tgt": "I sometimes wake up at night with a pounding heart. Is it AFib?", + "src": "Patient: Hello doctor, My friend recently told me that she found out she had AFib and had to stop drinking hard liquor as it is a trigger. Listening to her I wondered if I was having the same issue. At night I sometimes wake up with a pounding heart. I always chalked it up to scary dreams as the heart-pounding is just like I get when I have a big scare. Currently, I am taking Citalopram 20 mg. Doctor: Hello. Yes, it is possible to have AFib (atrial fibrillation), but truly speaking symptoms may be very similar. However, during AFib one would be having a high heart rate, with irregular heartbeats and usually associated with shortness of breath, dizziness or chest pain. It is usually abrupt in onset and offset. So, you should check your BP and pulse rate during the episode. If you have a smartwatch to keep track of the rate or may use mobile-based rhythm monitor. Also, another option is Holter monitoring. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14438, + "tgt": "There is lack of concentration with negative thoughts. Why?", + "src": "Patient: Hello doctor, My child is 18 years old and has been preparing for the entrance exam for the past one year. He did well in some of the topics he covered but four months back, he got some negative thoughts and started complaining about less concentration. He became excited, irritated and got disturbed. With my affection and care, most of the things have gone away in three months but I still feel something wrong in comparison to his earlier nature. His sleep and food are fine. I consulted two psychiatrists and they advised the problem will go away on its own. The child was not able to give board exams and he has started studying a little. He has a fair hold on the studied topics. Now he studies very less and is afraid of giving entrance exams in which he mostly solves the questions verbally. Doctor: Hello. It is quite common for 18-year-olds to become stressed when preparing for school final and college entrance examinations. With appropriate care and encouragement, you can support your child to handle to stress appropriately. Kindly do not put too much pressure on him to study and excel. It can be counterproductive. If he is putting too much pressure on himself, it can lead to significant stress and affect his ability to do well in exams. Remind him that though exams are important, it is not a life or death situation. Continue to encourage and support him to do well but also tactfully advise him that there are multiple career options available. This can help him to relax and eventually help him to do better. It is good to know that he is eating and sleeping well. Encourage him to do atleast 30 minutes exercise or physical play daily. It is time well spent, it will sharpen his memory and reduce his stress levels. If stress continues to increase, it can lead on to depression, anxiety and related emotional and behavioural problems. Do not let exams to take over the family all the time. Have fun whenever possible. Remember a relaxed mind performs better." + }, + { + "id": 6508, + "tgt": "My HCG levels are decreasing gradually. Is this a sign of miscarriage?", + "src": "Patient: Hello doctor, I am 29 years old, mother of two healthy children, and pregnant for the third time. My LMP was 13th of last month and had only had intercourse only twice in the last three months. In the last month, I had intercourse only once before three to four weeks before having a positive pregnancy test and then a day or two after getting the positive test. I have a retroverted uterus. At an ultrasound, at 9 weeks, I was showing signs of being only 5 weeks pregnant with a gestational sac and yolk sac. At a follow-up ultrasound, one week later, the ultrasound technician thought maybe it was a molar pregnancy. There is now a fetal pole and one small ball-like shape but not any visible growth of the gestational sac. My HCG levels went from roughly from 69000 to 65500 in 48 hours. At the third ultrasound, a week after that showed the gestational sac, yolk sac, and what looked to me like two balls inside the gestational sac. My HCG levels are still going down. I was told it is a miscarriage but have had no signs other then the ultrasound saying it is a miscarriage, so I am reluctant to agree to any further action at this point. There has been no heartbeat yet, although the third ultrasound did come to a lot closer to almost finding one, but it was likely just my heartbeat, according to the technician. I need a second opinion as I am now only eight weeks and viable it would mean I miscarried the first and got pregnant immediately or I have two pregnancies going on at once. Both are very rare, or it is, in fact, a miscarriage? Also could high progesterone levels be masking the miscarriage? We have not tested yet since HCG levels are decreasing slowly already. What is stopping the contractions from happening? Doctor: Hello. By your history, it is a missed abortion and not miscarriage. And it is just a single pregnancy only. Let me explain in detail. Normally pregnancy increases along with an increasing level of BhCG (beta chorionic gonadotropin). If HCG levels are decreasing, that means the pregnancy is not increasing, and instead, the further process started. In Sonography, firstly, one sac is seen around four weeks. After that, fetal pole and yolk sac are seen around the fifth week. At this time in Sonography, two sac-like structures are seen, which is normal. During the sixth week, cardiac activity starts in fetal pole, up to 12 weeks baby is ready with almost all organs prepared and then increasing in size and function in the rest of pregnancy. If your Sonography says 5 weeks at 9 weeks, it can be normal or abnormal both. I have explained that. If pregnancy shows 6 weeks at 10 weeks or 7 weeks at 11 weeks, then it is normal, and your pregnancy was delayed but now growing well. But when it shows 5 weeks at 10 weeks, 5 1/2 weeks at 11 weeks, or no cardiac activity and just increasing the sac size only then it is not normal and pregnancy is not having good enough growth or not growing at all. Now once if pregnancy has a problem, then there are some ways your body reacts. 1) The uterus starts contraction and bleeding starts, and there may be complete abortion or incomplete abortion according to whether everything comes out or not with contractions. 2) The uterus does not react, and pregnancy remains as such, in that case, it is called missed abortion. (means abortion should happen, but it is just missed due to some reason), further, there may bleed at a later time, or sac may organize in the uterus and make mole. And can have some other complications. So in this condition, we advise cleaning of uterus directly for sucking out the sac from the vagina with a suction machine (called suction and evacuation). So the best option for you is, stop taking even medication and get done with suction and evacuation." + }, + { + "id": 7151, + "tgt": "Can gall bladder stones be treated with medicine?", + "src": "Patient: Hello doctor, I have been diagnosed with a stone in gall bladder measuring 4 mm, one stone only. I do not want to go for surgery. Can it be treated with medicine? Doctor: Hello. The definite treatment for gallbladder stone is surgery. With medicines, there is very little chance for the dissolution of stone. As the stone is less than 5 mm, there are some chances that it may be dissolved, but it may take 6 to 12 months. There is only one drug used for this purpose, and you may start taking it. Tablet Ursodeoxycholic acid (Ursodiol) 250 mg twice a day for at least six months." + }, + { + "id": 5286, + "tgt": "Can blood cause dark-brown flecks in stool?", + "src": "Patient: Hello doctor, I have noticed dark (do not know if they are dark-brown, more greenish, or black) flecks in what looks like otherwise very normal stool. Can this be blood, or does blood typically only present as fully-black, tarry stool? Also, I have PKU, and my supplemental food contains 4g Ferrous Sulfate per serving. Could this cause discoloration in my stool from time-to-time?I am 43 years old with a history of anxiety, 6'2\", 190, decent health. Non-smoker. Light drinker. In no pain. Doctor: Hi. Once in a while these kind of dark flecks is normal but if it is persistent then it is abnormal. Also, Ferrous Sulphate can cause blackish discoloration of stools. Blood in stools need not always be fully black, tarry stools but I strongly feel that it is due to Ferrous Sulfate. Still, I advise you get a test called Stool for Occult Blood. This test will detect any blood in your stool. If it comes positive revert back to me as you may require further tests." + }, + { + "id": 22021, + "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": 10308, + "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": 2206, + "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": 16010, + "tgt": "Kindly explain a few materials that are toxic to humans", + "src": "Patient: Hi doctor, Please list a few things that are toxic to humans. Please explain. Doctor: Hi. Detergents contain hazardous chemicals. It can irritate our skin and cause eczema. Some people may even get contact dermatitis. When they are ingested, it damages our mucosal lining of the gastrointestinal tract. Perfumes and body sprays contain chemicals. When they are inhaled, they irritate the mucosal surface of the respiratory tract leading to asthma and allergic rhinitis. Processed food like sausages are harmful to the digestive system and may predispose to colon cancer if ingested regularly over a long time. Canned food also contain chemicals that are carcinogenic. Air fresheners contain chemicals that are harmful to the kidneys and lungs. Some may affect reproductive functions also." + }, + { + "id": 26401, + "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": 26578, + "tgt": "Should I consult a doctor for my high BP?", + "src": "Patient: Hello\u00a0doctor, I am a 34 year old. I have high BP condition. I am using Nebivolol 2.5 mg twice daily. \u00a0Usually, my BP shows normal values less than 120/80, but sometimes, I get BP over 150/100. Today morning when I checked, it was 160/110. I am very scared. After an hour it reduced to 140/90. Should I visit a doctor now? Doctor: Hello. Wishing you a healthy life ahead. Regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 12518, + "tgt": "How to decrease bedwetting in a 9 year old child?", + "src": "Patient: Hi doctor, My 9 year old son has a problem with bedwetting. He does it around two to three times a week. Kindly suggest some treatment. My 5 year old daughter is suffering from cold, cough and stomach pain sometimes. Please suggest a few medications for her. Thank you in advance. Doctor: Hi. For son, For daughter, Idiopathic. Parasitic infestation. Presence of worms in her stomach. Bio-combination (biochemic combination) 6, 2 tablets thrice a day. Avoid giving farinaceous food." + }, + { + "id": 2774, + "tgt": "I have enlarged tonsils with lump and fever. What could it be?", + "src": "Patient: Hello doctor, Three weeks ago, I noticed my left tonsil seems slightly enlarged and I have a lump with white head right behind it. A little background for the past six months, I have been experiencing daily low fevers and severe night sweats which are undiagnosed. My PCP told me it was just a tonsil stone but I am almost positive it is not. It looks nothing like any that I have seen in my research. I would love to submit a photo for a second opinion. I will eventually make it to an ENT if needed but with the coronavirus, I would like to wait if it is nothing to worry about. Most labs (done prior to lump) looked normal except I had a positive ana with a low titer 1:40. My CRP was considered normal but 5.1 which says I am high risk for heart disease. I am a pretty active, healthy 34-year-old so while considered normal, it seems off to me. Chest x-ray looked normal. TB test negative. Doctor: Hello. You are right it is not a tonsillolith, it is a tonsillar cyst. Indeed, it is nothing to worry about and such a small may not even need any treatment. Furthermore, your tonsils are not that grossly enlarged or even congested to give you the spikes of fever. Low-grade fevers and night sweats need to be evaluated for other more important causes like tuberculosis. Have you done any serological tests and baseline blood tests?" + }, + { + "id": 1148, + "tgt": "Even after surgery and chemo, some swelling in neck was detected as SCC. Is it possible?", + "src": "Patient: Hi doctor, The imaging of the neck region was done and some lesions were detected. The operation of lower jaw and neck region was done followed by chemotherapy and radiotherapy and it was stated that things will settle to normal. During routine checkup, some swelling in neck region was detected and FNAC was done, which shows metastatic poorly differentiated squamous cell carcinoma, and after that full-body scan was performed. The reports are attached. Kindly look into it as the second opinion is required. Doctor: Hello. I am sorry to know the recurrence of cancer. (attachment removed to protect patient identity). You got diagnosed with squamous cell carcinoma in buccal mucosa of the left oral cavity in December 2019 which was operated. Then you received chemotherapy and radiation therapy and now on routine evaluation, there are some new lesions coming up in the thyroid and neck. So basically there are two sites of new lesions now, in parotid and around it one more lymph node. So please undergo a biopsy of this lesion from parotid to see if it is same cancer as before or a new second primary cancer. If it is confirmed as same cancer as before, it will be operated and taken out and also few more lymph nodes on the same side of the neck followed by chemotherapy. If a second primary cancer, then treatment can be different depending upon what type of cancer it is (on biopsy). So your first step is biopsy." + }, + { + "id": 9338, + "tgt": "Does masturbation cause any bad effect to the health?", + "src": "Patient: Hi doctor, I masturbate two to three times a day. Does it have any bad effect? Help me to stop it. I want to gain weight. What can I do for it? Doctor: Hi. Masturbation is a safe and pleasure giving procedure. Do not get worried about it. But, doing it two or three times a day is not good. Maintain a frequency of two to three times a week. Excess masturbation leads to social anxiety and groin discomfort can occur. To relieve excess masturbation, yoga and meditation can be beneficial. Please do not be alone in a room. Make short and long-term goals and focus on study. Avoid watching excess porn if you have the habit of watching it. To gain weight, you can take more protein diet and you can go to a gym. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23663, + "tgt": "I have a white discharge from vagina. What could it be?", + "src": "Patient: Hello Doctor, I have a fishy odour, white and milky dischargecoming from my vaginal area. I am a 28 year old female. What could it be? Doctor: Hi. You are suffering from bacterial vaginosis. This is a common vaginal infection of women who are sexually active. Please use the following: Follow the advice and you should be fine. Revert back to a gynaecologist online if the symptoms persist --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3722, + "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": 14296, + "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": 740, + "tgt": "I feel that one of my friends uses me monetarily. What to do?", + "src": "Patient: Hi doctor, I do not have any health issue. But, I am not in mental peace with my close friends. I do something that is unintentional and it bothers my friends. This creates a sense of agony in me; it bothers me a lot as I overthink. The issue can be very small and negligible, but I think that one of my friends uses me monetarily, may it be a matter of a very small amount. I am often embarrassed amongst them, but this is because of the reaction of the other people. Doctor: Hello. Welcome to icliniq.com. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4432, + "tgt": "Ultrasound showed blockage of urine due to enlarged prostate. Please help", + "src": "Patient: Hello doctor, My father is 67 years old. He is having mild psychiatric problem for the past 17 days. In the middle, around five days back the creatinine level increased from 1.1 to 5.6. So, an ultrasound was done and that showed blockage of urine due to enlarged prostate. But, urination was not completely blocked. Now, the urologist has attached a catheter to pass out the urine and said that after 10 days laser surgery will be done to cut away the prostrate. We are really in dilemma. Whether surgery is necessary? Or can it be cured by medication? Currently, he is taking Tamdura capsules one at night, Cetil 250 twice daily, Tranostat 40 mg once daily and Nefrozon twice daily. His psychiatrist prescribed Lopez 2 mg at bedtime and Qutan 50 mg twice daily. Reports attached are blood test, USG scan and urine test report. Doctor: Hi. I have checked your reports (attachment removed to protect patient identity). For further clarifications consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23263, + "tgt": "CMIA test is negative. Shall i take Gilo Ghan Vati of Patanjali? Do I have AIDS?", + "src": "Patient: Hi doctor, I am 24 years old male. I have done a fourth generation CMIA test which came negative after 10 years of post-exposure. I have also done RT- PCR for HIV1 and HIV2 but both came undetected and my CD4 count is 428. I was sick for the last one year with abdominal pain, oral thrush, body pain, mouth ulcer, neuropathy, lower back pain, etc. So, I am confused that do I have AIDS and is my result false negative. Please help me. Doctor: Hello. The fourth generation CMIA (chemiluminescent microparticle immunoassay) kit test is 99.9 % correct. But symptoms are present. CD4 count is also not that high, but till results are negative. No one can say HIV positive. Go to any government hospital and give the blood test. Privacy is maintained, and confirmation is their whether your previous results are negative or not. This is the way to find out what is the problem. Your immunity is very low, so take Gilo Ghan Vati of Patanjali three times a day after food. It has no side effects. It increases your immunity so as CD4 count. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22331, + "tgt": "Is there any treatment for chronic pancreatitis with calcium build-up in the pancreatic duct?", + "src": "Patient: Hello doctor, My wife had pancreatitis, and now she has scarring and calcium buildup in her pancreatic duct. According to her doctor, there is nothing to be done, and she has to live on a liquid diet. I am looking for a second opinion because I do not want her to die from this. Any help is appreciated. Is there anything that can be done for this? Doctor: Hi. As per the description, she is suffering from chronic pancreatitis. In this, a persistent inflammation develops in the pancreas. Over time, the inflammation causes scarring and damage to parts of the pancreas. This can then lead to enzymes and insulin deficiency. The lack of enzymes causes poor digestion of food (malabsorption), and lack of insulin causes diabetes. The clumps of calcium are deposited and can form stones in the pancreas. Calcium stones or scarring of the pancreatic tubes (ducts) may block the flow of enzymes along the pancreatic ducts. Enzyme replacement medication may be needed if the low level of enzymes causes poor digestion of food and steatorrhoea. Capsules containing artificial enzymes are taken with meals. Restricting fat in the diet may be advised if steatorrhoea is bad. Insulin is given if diabetes develops. Surgery is only rarely needed, and the patient often does well on medical therapy. Please message the reports of ultrasound, CT scan, and blood enzymes, for a better professional advice. As most of the patient get stable on medical therapy. It is difficult to understand why she is on an only liquid diet, and why the doctor is not managing it and giving up. I want to go through all reports and paper. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3414, + "tgt": "My USG shows complex heterogenous hyperechoic cyst in upper pole of kidney. Please explain this", + "src": "Patient: Hello doctor, Yesterday, I had an ultrasound of my abdomen. They gave me the report online and I am not sure how to read it. The things I am looking up are extremely worrisome. It is all saying cancer. I am going for a CT scan within a week. It is without contrast because I have myasthenia gravis and the contrast really affects my breathing. Will contrast make a huge difference? Below I have pasted the results and it says: Normal liver and gallbladder. Left renal calculus. Complex heterogeneously hypoechoic cyst in the upper pole of the left kidney for which further imaging is recommended. Also, I have been urinating almost every hour and it feels like my bladder is never empty. I have had a kidney stone four years ago. But the part about the complex cyst on my kidneys is troubling me. Doctor: Hi, Welcome to icliniq.com. I understand your concern. So, you have a cystic lesion in the upper part of your kidney. First of all, you are only 28 years old and at your age, I would favor many benign lesions over malignant ones. If they are not talking about solid components of the lesions, it again favors benign lesion. Let them do CT (computed tomography) with i.v. (intravenous) contrast, if possible share both ultrasound images and CT images with me. One more thing, if you do not have any sign of night sweating, weight loss or redness in your urine, again malignancy risk is too low. I hope this helps." + }, + { + "id": 27495, + "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": 2388, + "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": 7782, + "tgt": "How can I treat the white pimple on my tongue?", + "src": "Patient: Hi doctor,I am 49 years old and have this white pimple kind of thing on my tongue (left side) since quite some time (more than two months). It is not causing me any symptoms or any discomfort. I also have not noticed any increase in size or any other changes. I do not drink, smoke or use tobacco. Hoping to know what it is and remedies for it.I am attaching a picture of the same (the spot is circled in blue in the picture attached). Is it anything to worry? I would wish to also know what exactly it is. I have read that it could be tongue cancer. Hence, I am a bit worried. Hoping to find some answers. I do not have any symptoms such as burning, pain, etc. I also had gingivitis in the past two months which has been controlled by the use of Chlorhexidine mouth wash and dental cleaning. I have never used tobacco or smoked. I just wanted to know if it is anything serious. Also, could you suggest ways to get rid of it? Sometimes, I do feel a little pain or sensation but it is very very minor almost unnoticeable. Also, I want to know why it is not going away for some months. Doctor: Hi. Thanks for the proper detailed history and the appropriate clinical picture (attachment removed to protect patient identity). Since you are not a tobacco or alcohol user the chance of oral cancer is ruled out. Now a few types or differential diagnosis are left. Lie bumps: These are whitish or slight reddish bumps on the tongue that are like 0.5 mm in width. Their cause of occurrence is still under research and they usually go away if you put Chlorhexadineor Metronidazole oral gel on it three times a day for two weeks. Ulcer: Bumps due to folic acid or vitamin deficiency, or any underlying systemic disease like skin disease of psoriasis, or diabetes, etc. Please tell me if you have any? If this is the case, I would suggest some medicines for it. Now, I will be waiting for your reply in case of a second option. If you are having only the first option, then start using oral gel for a week. Watch out for the size of the bump. Is it increasing or regressing? Give me its followup picture after three weeks. If it will regress then good otherwise we will change the treatment plan. Stay happy and blessed. Take care." + }, + { + "id": 3356, + "tgt": "My 11-month-old daughter is having vomiting and frequent diarrhea. Please help", + "src": "Patient: Hello doctor, My 11-month-old daughter has been sick for about a week. She was throwing up all day and vomiting and there was blood mixed with it at one pint. We were giving medicine to stop the vomiting. Her diarrhea has continued since Sunday night. It is progressed to the point that she is passing stools almost instantly after drinking anything. The diarrhea smells like a sour milk. Is this a reason for concern? Doctor: Hello. Before I answer your query I would like to ask you some questions. Until when did your daughter have exclusively breast milk? When did you start other food along with breast milk? Did she have similar episodes in the past? Did she receive all her vaccines regularly? Kindly provide me with the answers so that I can tell you further on the diagnosis and the reasons behind it. As of now, it seems like a case of acute gastroenteritis which is quite common in this age group. So do not worry much at this point. The treatment plan consists of some considerations. Generally, we prefer to give ORS (oral rehydrating solution) to the baby at regular intervals and as much as the child wants to drink. Continue breastfeeding normally. Add Zinc to the baby as per the dosage schedule. Antibiotics are not mandatory, it depends upon the condition of the baby after a thorough checkup. I would suggest you to continue with ORS solution and breastfeeding and you can take her to your pediatrician for further consultation. I hope this helps." + }, + { + "id": 23418, + "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": 14103, + "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": 16186, + "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": 12860, + "tgt": "Is it true that viral infections during early pregnancy causes autism?", + "src": "Patient: Hi doctor, My wife is seven weeks pregnant (about three weeks from fertilization, we think, because she has long cycles) and came down with shingles almost 2 weeks ago (and a cold about a week ago). She has been taking Acyclovir and the pain has reduced but is still present. We are worried about the effect on the baby, particularly because we have read viral infections in early pregnancy can lead to Autism. Do you have any advice about how serious the risks are? Doctor: Hi. Shingles is herpes zoster, which is the reactivation of the chicken-pox virus in the body due to an immunocompromised status like pregnancy. But thankfully, the effects are not disastrous for the unborn baby as your wife already has antibodies against the virus in her body to combat transmission. If she had disseminated widespread shingles, there could be theoretical chances of viremia and fetus being affected. She is already taking Acyclovir, so viremia is not possible anymore. Do not worry, be happy." + }, + { + "id": 14244, + "tgt": "What does abdominal cramps during pregnancy indicate?", + "src": "Patient: Hello doctor, I keep having strong cramp like feelings. I am 37 weeks pregnant. I do not know if it is an upset stomach or actual contractions. What is the best thing to do or how can I tell? Doctor: Hi. Monitor this cramping by holding or placing your hand on top of your abdomen. Differentiate the feeling and softness of the abdomen when you feel the cramping versus when you do not have the cramps. The actual labor cramps would feel like a menstrual pain accompanied by the perception of hardening on top of your abdomen. It usually lasts for 20 to 30 seconds and the interval may be irregular at first. Usually, you also feel this hardening everytime your baby kicks or moves. If these labor cramps persist for 4 to 5 hours, you might also have brown to bloody vaginal mucoid discharge that is usually scanty. On the other hand, stomach cramp is not associated with abdominal hardening. Best of luck." + }, + { + "id": 17002, + "tgt": "Why do I have a bloody spot near the back of my throat?", + "src": "Patient: Hi doctor, I have been having some issues with my throat from the past couple of months. I feel a tightness in the\u00a0neck. I do not have a runny nose, but I have post-nasal drip and lots of phlegm or mucus in the mornings. I feel like I need to clear my throat a lot. The symptoms seemed to go away for a week or so, but now they are back. There seems to be a bloody spot near the back of my throat, and I have attached a picture of the same. Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). Do revert back to me if you require any further support. Hope to see you in good health soon. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16202, + "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": 13828, + "tgt": "A stray dog's leg just touched my foot. Should I take a precautionary vaccination?", + "src": "Patient: Hi doctor, My query is related to the necessity of rabies vaccine for me. I am a 27 year old healthy male. I am a student, staying in the large campus of my institute. This campus is filled with stray dogs and many other types of animals. People caressing those dogs is a very common scene here. One week ago, while I was walking, a dog ran in front of me. That time, its back leg touched my feet. I inspected that part well, but no visible break in the skin was observed. Should I approach a doctor for any treatment? As the disease is quite frightening, I request you to consider the minute risk too. Doctor: Hi. I understand your apprehension. As it is already one week since you had the dog touch your feet and there was no bleed or break of skin as such. No vaccination is required now. You should have thoroughly cleaned the region immediately after the dog had touched your leg. I would like to know if you have any idea about the present status of the dog? As a watch of the dog for 10 days post-bite would be ideal. Also, precautionary vaccination is not usually advised. Only, a post-exposure vaccine is advised in rabies. If anyone has a bite or break of the skin or if there is lick by a dog on a broken/cut skin or if there is any bleed from the site of bite then vaccine is recommended. For a lick or fondling on an intact skin, only cleaning and washing the wound in running tap water is sufficient." + }, + { + "id": 10773, + "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": 10047, + "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": 19874, + "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": 1380, + "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": 17806, + "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": 16566, + "tgt": "I have pain on biting over a fractured tooth. Is it serious?", + "src": "Patient: Hello doctor, About two weeks ago I chipped my front tooth. I went into my dentist this past week to get it smoothed out (very minor) but he also noticed a horizontal fracture across the middle of my front tooth. He does not want to jump into anything too quickly so said just to watch it and if it cracks off he will cap it. Since then I have noticed only when I put pressure on the tooth to bite down I have discomfort, but nothing constant. Should I be concerned about the pain? Is there anything I can do to help protect the fracture like having a sealant put on? And should I be concerned about the idea of a cap changing the way my face looks (looking unnatural, wanting to continue whitening my teeth, etc.)? Doctor: Hi. I had gone through your question. I can understand your concern. As per your history, you had a recent tooth damage with microfracture, that means you have been put on the wait and watch. If your tooth is vital after a month or two and fracture has not widened, you do not need any treatment. If there is any discoloration or pain than the crown is the option. Nowadays the crown are totally in compliance with your dental shade and it does not looks artificial in any case if done properly. If you can upload a picture of the broken tooth taken in natural light, I can tell you does it need an immediate treatment. As of now, I do recommend you to use fluoridated toothpaste. Also, keep your teeth clean by brushing at least twice daily because chipped off teeth are highly prone to caries or cavities." + }, + { + "id": 23060, + "tgt": "Why has loose motion recurred even after treatment?", + "src": "Patient: Hi doctor, I have frequent motions (today it was three times from 8 AM to 2 PM). Motion is semi-solid and lightly smelly. I have had a mild cough for two weeks back. Took antibiotics and cough syrup. A cough has reduced now. Loose motion started a week back. Frequently and it was liquid format and smelly. I had vomit once on that day. Consulted GP and the doctor gave Oflox 200 mg with gastric tablets also. Had same symptoms the next day. Two days later, had mild stomach pain and consulted the same GP. The doctor gave stomach pain tablets and pain reduced. Everything was fine since today morning but now loose motion has started and also a little bit smelly. There is no blood in motion and there is no stomach pain right now. Also, I checked my weight it is reduced by 2 kg. Questions: Why has loose motion has reoccurred? Is this related to stomach or colon cancer? Since my weight has reduced I am worried that this might be related to cancer. Please help. Doctor: Hi. You are unnecessarily worried about stomach cancer. These are not symptoms of stomach cancer. It looks you have irritable bowel syndrome-diarrhea variant. I would recommend you: Let me know the results after five days. Avoid spices in food. Avoid pain-killers. Avoid milk in the diet. Since these are prescription medicines, please seek your doctor's advice to obtain the prescription. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20512, + "tgt": "I have blocked nose and sore throat. Can I take vitamin C to improve immunity?", + "src": "Patient: Hi doctor, I am feeling sick with a blocked nose and a sore throat from yesterday. It may be a viral infection due to cold, or it can be due to smoking for the first time. I am feeling tired and sick. I am taking vitamin C 1000 mg every day for the past three days. I have a feeling that I do not have immunity. Is it right to take vitamin C 1000 mg every day? Can I take them more to boost my immunity? Also, I took Panadol cold and flu. Please advice. Doctor: Hi. You are suffering from an upper respiratory viral infection. Vitamin C supplement is right and take them for one week. It is better to stop smoking for at least one week. Panadol cold and flu (Dextromethorphan hydrobromide monohydrate with Paracetamol) is an excellent choice and continue them for one week. You can use Otrivin nose drops (Xylometazoline nasal spray) for nose block. But not for more than a week. Usually, the course of viral infection takes a few days for improving. There is no need for antibiotics at this moment. Drink plenty of warm fluids." + }, + { + "id": 26637, + "tgt": "Kindly advice me regarding my diabetes status", + "src": "Patient: Hi doctor, I had my first operation for the removal of uterus about 13 years back, and six years later, one ovary was removed. I am suffering from a cervical problem since 20 years, high BP since 10 years and diabetes since nine months. I am taking the following medicines: Pregabalin cap 75 mg per day, Telma-H 40 mg, Meta XL 25 mg per day,\u00a0Atorvastatin 10 mg and Stanlip 160 mg, and Clopidogrel 75 mg\u00a0for BP. For diabetes, I take Zita plus (Teneligliptin) 20 mg two times per day. I take Shelcal-OS 500 mg per day for three months, then after a gap of three months, it is to be repeated. Kindly advice me for diabetes. Also, how are my kidneys, liver, etc. Doctor: Hello. Revert with more information to a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 12299, + "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": 10916, + "tgt": "A male with muscle spasms is tired and sleepy throughout the day. What could this be?", + "src": "Patient: Hello doctor,This is regarding a male aged 48 with high blood pressure, diabetes, sleep apnea, and overweight. He has muscle spasms or shakes, drops things because of this, cannot stay awake during the day. It affects his driving and family life. He can nap for a few hours and when he gets up falls asleep on the chair, dozes off during a conversation, eating, and sometimes while standing. Doctor: Hello. It is clear that he has obstructive sleep apnea which causes interrupted sleep during the night due to obstruction of the nasopharyngeal air flow. As a consequence, he becomes sleepy in the daytime. Confirmation of the diagnosis requires: Has he done any of these tests? CPAP (continuous positive airway pressure) is helpful in relieving the symptoms. Also, reducing the weight is very helpful. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27554, + "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": 4644, + "tgt": "What are the reasons for stomach pain and loose motions in a 9 year old?", + "src": "Patient: Hi doctor, My son is 9 year old. Four days before he had stomach pain and loose motion. He passed loose motion for about\u00a02-3 times a day. We gave him Anafortan syrup for stomach pain. Next day he felt better. Today again he has light stomach pain and went potty but not too loose. I again I have given him Anafortan syrup. Our family doctor is out of station. I do not want him to miss his school. Please suggest me what should I do? Can I give him Pecef 50 mg? Or could you suggest any medicine? Doctor: Hello, Welcome to cliniq.com. I have thoroughly gone through your case and can well understand your genuine health concerns. Revert back with the test reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18274, + "tgt": "Being pregnant, suffering from pain in lower abdomen and back. Is it labour pain?", + "src": "Patient: Hello doctor, Since last few days my wife (she is pregnant) is suffering from pain in the lower abdomen and back. We have visited our gynaecologist to watch whether the pain is due to labour or not. After checking, he said the pain is not for labour. He prescribed pain killer Duvadilan retard (Isoxsuprine capsules) twice a day for five weeks, giving an opinion that he does not want any labour before the end of 37th week of pregnancy. Last week she had pain again and my doctor advised her to observe one night with Drotin injection. She was\u00a0fine with that and the doctor adviced for steroid injection (attachment) the next day and discharged her by advising that if pain arises again, she has to go for C-section or otherwise he will go for the same after 2 weeks. Today, from morning our baby suddenly stopped its movement for quite a long time. So, we got afraid and asked for an appointment with our doctor. He has given appointment in the evening only. We have done a USG now and have sent you the report. Kindly\u00a0interpret the same. \u00a0Do you think there is any deficiency in the treatment process? What is the actual reason for those injections? Will they harm our baby? How is our baby ? And finally I want to tell you that my wife has lost 1 Kg in the last 2 weeks. What may be its cause and will\u00a0it harm my baby? She still is suffering with pain in the back and lower abdomen, as well as vagina. What to do? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). The ultrasound report is perfectly fine and the baby is average 36 weeks of gestation and head down position, placenta is normal and so is the AFI (Amniotic Fluid Index) and weight of the baby. As the baby is 36 weeks sonologically there was actually no requirement for an antenatal corticosteroid injection for promoting fetal lung maturity, which is being given only before 34 weeks gestation in cases of threatened preterm labour when it is suspected that the lady may go in labour and the baby may not be able to breathe once out in external environment. Hence steroids are given, but by now lungs have matured and baby can survive easily after birth. But that injection given prophylactically has no harm at all. The pain in lower back and lower abdomen is normal to have. Now, in the late third trimester, she would have frequent urination feeling very often. She would experience Braxton Hicks contractions which are mimicking labour contractions but are not labour as they are not intense, increasing in frequency and not continuous. So, they just come and go. It can be mistaken as false labour. If the pain subsides with any pain relief given or uterine relaxant given, then it is not labour. The plan to deliver after 37 weeks is acceptable but with an elective c-section is not justified. If the baby is fine, head is down, baby movements are normal ,then a vaginal delivery should always be opted for unless there is an indication to do elective c-section earlier like hypertension, breech, genital infection, gestational diabetes. That is my concern here. Keep a watch on the daily fetal movements of the baby, 1 hour after each meal, and the daily count should be more than 10 movements. Go for weekly antenatal visits religiously for examination till delivery. Consult an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17055, + "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": 12670, + "tgt": "How can nasal blockage with mucus be treated?", + "src": "Patient: Hello doctor, I have asthma but not a lot. It comes and goes. I take Flexotide inhaler as a preventer. I also have used Detacartil antibiotic for chest congestion at the start of last month. Since the last two weeks, I have severe nasal congestion. I want to ENT specialist today and he says that I have nasal polyps. He will do the endoscopy in two days. My question is why I have nose blockage with mucus, he should have treated the mucus and not the polyps. He has adviced the medicine Telfast D tablet half in the morning and a half in the evening. Please suggest what to do. Doctor: Hello. Nasal congestion is aggravated by polyps as they cause blocked nasal pathways mechanically. Endoscopy is necessary to understand at what extent the polyps are enlarged to decide for the best treatment strategy. Mucus is trapped and should be on its way to get cleared. But polyps are making it difficult. So continue medication as prescribed and run endoscopy as suggested." + }, + { + "id": 25169, + "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": 26751, + "tgt": "I am concerned about the swelling behind the right ear of my baby. Please help", + "src": "Patient: Hi doctor, My daughter is 1.4 years old. Before two days, we observed a swelling at the back of her right ear. It seems that it is painless because when I pressed it, she does not\u00a0cry or react.\u00a0The swollen part is in the skin color only. I am concerned about it as I read on the internet that it could be a tumor or cancer. Doctor: Hi. I understand that you are concerned about the swelling behind the right ear of your baby. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24516, + "tgt": "Is second pregnancy safe in Rh negative mother after anti-D injection?", + "src": "Patient: Hello doctor, My blood group is O +ve and my wife's is O -ve. Our child was born four years back and he is O +ve. After his birth, my wife was given an injection to avoid future complications arising due to opposite blood groups of my wife and son. Two years later, she had an abortion. The pregnancy was 45 days old. After this, above injection was not given. Please advice, if it is safe to go for a pregnancy. Also, please advice, if there are any tests to ascertain the risk and medications to avoid the same. Doctor: Hi. Since she has received injection after first delivery, there is nothing to worry about. So relax and do not worry. However, if you have a doubt then get an indirect Coombs test to make sure that there is no risk. The miscarriage could be because of some other cause and not because of negative blood group, as she has already been given anti-D. In case you are planning for pregnancy, get started with folic acid supplements. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5538, + "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": 21673, + "tgt": "What are the long-term side effects of Mirtazapine taken for insomnia?", + "src": "Patient: Hello doctor, I am 44 years old and have generalized anxiety and insomnia. I never had anxiety in life but it all happened after I was diagnosed with high BP. Currently, I am taking Mirtazapine 7.5 mg since last four months. It makes me sleep but the quality of sleep is very bad. I did not take up the dose intentionally as I wanted to come out of it as early as possible. What are the long-term side effects of Mirtazapine? Is 7.5 mg safe dose for insomnia? Could you prescribe any safe medicine for anxiety and anxiety-related psychosomatic symptoms? Also, can you prescribe safe medicine for insomnia without any adverse effects? There should not be drug dependence and quality of sleep should be good. I am currently taking Metoprolol XL 50 mg twice a day, Amlodipine 5 mg twice a day and Atorvastatin 10 mg once a day. Doctor: Hello. Firstly let me clear the fact, Mirtazapine is a newer antidepressant which causes sedation as its side-effect. So it is primarily used for the treatment of depressive symptoms but it can benefit in sleep as well if the patient complains of reduced sleep. Initially take the above medication for first two weeks, then stop it and make it SOS. Besides also try and follow sleep hygiene measures as well. For more information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 23860, + "tgt": "Why am I having a painful swelling in my upper eyelid?", + "src": "Patient: Hello doctor, There is swelling in my left eye upper lid. There is a pain and small pimple from inside at the corner for last two days. Currently, I am using Nevanac and Pataday eye drops. Doctor: Hi. It seems like a mild staphylococcal infection and has caused a stye (attachment removed to protect patient identity). Apart from medicines, you can do some hot fomentation two to three times a day for relief. It is usually caused by touching of the eye with dirty hands or when there is water in eyes. After this infection subsides, please get refraction done to see if you need glasses. You have to take antibiotics for it. Start with the following: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20924, + "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": 26511, + "tgt": "I have very sore gums due to biting on my denture. How to fix this?", + "src": "Patient: Hello doctor, I have an upper plate and my natural teeth on the\u00a0bottom. I am on my second plate and it fits very well. My problem is I constantly bite them together. And now I have very sore upper gums from the pressure. I also wear them 24/7. I take them out daily for cleaning. What can I do to ease the pain and fix the problem? Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 29548, + "tgt": "I am having headache for the past 7 days. Please help me", + "src": "Patient: Hi doctor, I am a 24 year\u00a0old male. I am having a headache for the past seven days. It remains the whole day and gets actuated just before sleep, while using a mobile phone and during the study. Pain is consistently spread across the scalp and is mild. For the past few days, I am taking treatment for dandruff as well. I am using\u00a0a medicated anti-dandruff shampoo and Levocet tablet. Is there any correlation of my headache with this? My routine is somewhat peculiar. I sleep at 4 AM and then wake up at 10 AM. Also, I sleep for 2 hours in the evening. I take two meals one in the\u00a0late afternoon and one at\u00a0night. I often try to streamline my routine by seeking to sleep early, but I am unable to do this. Kindly suggest a remedy for this also. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28700, + "tgt": "Please suggest some medicines to remove a small wart present near my breast", + "src": "Patient: Hello doctor, I have a small wart just near my breast, it is there from childhood, and it has grown with time. Please suggest some medicines that will remove it. I have attached a picture of the wart. Doctor: Hi. Please send few closeup photographs taken under natural light. Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 26026, + "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": 19934, + "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": 3537, + "tgt": "Why should not I dye my red hair?", + "src": "Patient: Hello doctor, I have natural red hair. I have been told that I should never dye my hair. Because, the natural hair color will never be the same. Is this true? Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10117, + "tgt": "Does my skin test indicate tuberculosis?", + "src": "Patient: Hello doctor, Looking for an opinion on tuberculosis skin test. Please answer if you have experience with PPD skin tests. I am 34 years old, former cigarette smoker. My friend got diagnosed with tuberculosis due to strong arthritis medications, and I have had some contact with him. I have attached images of my skin test below. Doctor: Hi. Montoux test, PPD test is a very non-specific test and does not give you any confirmation for tuberculosis. It is used as an adjuvant test for diagnosis and never as sole test. It is read after 48 hours of injection. You have not mentioned the duration. You have to measure its diameter. It should be less then 10 x 10 mm. I cannot measure it online but apparently it is negative for tuberculosis (attachment removed to protect patient identity)." + }, + { + "id": 30707, + "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": 17823, + "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": 27058, + "tgt": "Do I need to rush to the ER or wait two weeks to see my gastroenterologist?", + "src": "Patient: Hello doctor, A recent abdominal CT scan at the ER for a possible kidney stone was normal in every respect, except radiology report stated a very slight 'thickening in the stomach lining'. I had a normal endoscopy three years ago, which diagnosed a small hiatal hernia, but no other clinical findings. Colonoscopy was completely normal. I was told to come back in 10 years and that they thought I had IBS. I have been so stressed out about the 'stomach lining' issue. I cannot see a\u00a0gastro for two weeks, but he called and said he thought it was nothing, and that he sees this a great deal on CT scans. Shortly thereafter, after shaking and hyperventilating from worry, I had an intense bout of diarrhea, 10 to 15 times a day for six days. The only other symptoms were hypermotility and mild nausea. I lost 5 lbs., but the weight is returning now diarrhea has stopped. Solid bowel movements are slowly returning, but in small amounts and somewhat thin, with some cramping after. Should I try to get to the gastro earlier or go to the ER again? I am so frightened and confused. Thanks for your input. Doctor: Hello. I read your query. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19014, + "tgt": "My 20 weeks scan mentions an echogenic focus in the heart. Is something wrong?", + "src": "Patient: Hello doctor, I am a 33 year old female. I have had two miscarriages in the past, at the sixth and fifth week respectively. I am now\u00a020 weeks pregnant. Recently, I had a level 2 ultrasound which suggested everything to be normal except for an\u00a0echogenic focus on the left ventricle of the\u00a0heart. Now, the doctor has recommended fetus echo and karyotyping. I had a double marker test at the sixth week that showed very low possibility of Down's syndrome. Rest of the markers are also absolutely fine. I have attached all the reports. Can you tell me if something is wrong? Doctor: Hello. I have read your query and gone through your reports (attachment removed to protect patient identity). I do not see any reason for concern. Let me explain.\u00a0 Hope I have been of help to you. 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": 28820, + "tgt": "My 7 year old son always gets a few drops of urine on his pants. What to do?", + "src": "Patient: Hi doctor, I would like to consult about my son, who has got a urinary problem: He is 7 years old. He got circumcised when he was about 1 year of age. It has been almost a year when we observed that he always get a few drops on his pants. It is just a drop of urine or few, but very smelly. For your notice, he does not feel any pain when passes urine. I took him to urologist many times who prescribed antibiotic for urine infection as the analysis show. It helped for one or two weeks, and then the smell appears again. I need your help. I am worried if the case might get worse, then what to do? Your assistance and guidance will be highly appreciated. Thank you. Doctor: Hello. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2260, + "tgt": "I have neck pain radiating to left arm and not helped by physiotherapy. Why?", + "src": "Patient: Hello doctor, I am 38 years old. I am having pain in the neck and it has gone to my left arms and there is stretching like pain. I have consulted an ortho doctor who asked to do MRI as initially post taking x-ray and doing physiotherapy for a week did not give relief. I took MRI and now due to Covid-19 OPD doctors not available. He asked to check with spine specialist what needs to be done. The pain is severe in the upper arms and it is from the last one week. I would like to share the MRI report for reference. Please suggest some medicines. I am diabetic too from the last three years. Doctor: Hello. I have seen your MRI reports (attachment removed to protect patient identity), but as no films were included I will go by your description and MRI report. You have a C5, C6 level issue with indentation of the exiting nerve root on the left side which matches weakly with your symptoms. At present, there is no need to panic. Take a course is antiinflammatory tablets like Voveran 75 mg twice daily after meals and antacids before meals.Secondly, take Pregabalin tablets 75 mg twice a day for three to four weeks this may make you feel a bit sleepy but it will go away. Avoid working on the computer for too long or on the phone. Do simple mechanical strengthening exercises and shoulder weak elevation exercises. Give yourself a couple of weeks minimum and come back if this does not improve." + }, + { + "id": 10190, + "tgt": "I feel as if the skin over my belly button is firm. Is it hernia?", + "src": "Patient: Hello doctor, The top of my belly button, that is, the skin of my belly button is hard and firm, and the rest of my belly button is not. I feel as if there is something under the surface. I changed my diet, so I lost some weight. I was\u00a0168 lbs, and now I am 135 lbs. If I place two fingers over my belly button and do wide circles, I feel like there is something hard underneath. Is this a hernia or where my umbilical cord was? I do not have pain or symptoms, but I just feel it firm and hard. What is this? Doctor: Hello. For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 8918, + "tgt": "I am getting pain under ribs and in the back like muscle pull. What to do?", + "src": "Patient: Hello doctor,For the past two days, I am getting the pain under my right rib cage slightly under the chest and even back under the shoulder. It does not pain usually, but the pain remains there. But when I am laughing, it hurts like something is pulling, and the pain increases. What could it be and whom to consult? Doctor: Hello. Your history is suggestive of muscular pain. But it should also to rule out any cardiac cause. I will give you some medication, if you did not find any improvement, you consult a cardiologist for a complete cardiac profile, or I will provide you with some tests that you need to follow. Muscular pain. 1. Tablet Buscopan (Hyoscine butyl bromide) (1-0-1) 2. Tablet Dan-p (Diclofenac, Paracetamol) (0-1-0) 3. Tablet Pan 40 mg (Pantoprazole) (1-0-0) All medications for five days." + }, + { + "id": 29339, + "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": 13841, + "tgt": "What can be done to manage mental disturbance due to family stress and studies pressure?", + "src": "Patient: Hello doctors,These days I get depressed a lot. I fear I am not worthy of anything. I want to study astrophysics and be a researcher but due to academic pressure, I get stressed. I am a good student and topper in my class but due to my parents' constant fights and arguments, I get disturbed mentally. I am totally down. I am not me. I can feel it and cannot do anything about it. I hate everyone. I do not want anyone. I feel like shouting from my lungs. I want to scream but I cannot. Sometimes, I get suicidal thoughts. I do not know what to do. Doctor: Hi. I can understand your difficult position due to stress in the family. Remember it is not your fault and it is common for young people to feel stressed and low in the mood when facing problems at home or outside. First, try to discuss your problems with either of your parents when they are in a calmer mood. You can also discuss with a trusted uncle, aunt or grandparent. Do not suffer alone at such a young age. When you are experiencing negative and suicidal thoughts, do not be alone. Discuss with a trusted member of the family who can understand and support you. Try to change things under your control and do not worry too much which you cannot control. Try to relax. You can try progressive muscle relaxation exercises, deep breathing exercises. Eat and sleep regularly. Do regular physical activities like walking, watch TV, listen to songs at least for 20 to 30 minutes daily. Do not get bogged down by studies alone. If your mood does not improve in 1 to 2 weeks, it will benefit to see your family doctor to rule out clinical depression. If depressed, you will need talking therapy or counseling, sometimes antidepressant medication will also be prescribed to make you feel better. Remember these difficulties are temporary. You will get better and I wish you are able to pursue a research career in astrophysics. Discuss with your parents. You can even show them this response. Family stress, academic pressure." + }, + { + "id": 18663, + "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": 30643, + "tgt": "Why is my tonsil swelling persisting for more than a month?", + "src": "Patient: Hi doctor, My tonsils have been swollen for almost an entire month. I have had two normal appointments for it and I am scheduled for a visit with an ENT doctor after four days. Today, my throat pain is more than it has been in the past few days and my left tonsil is significantly bigger than my right. In addition to that, I have a swollen axillary lymph node and that is what I am assuming it is. The axillary lymph node swelling was very sudden. I have had on and off fever. I came back positive for Strep group C, but I went through an entire script of antibiotics and the doctor said it should have cleared immediately. Mononucleosis tests also came back negative. I am no longer on Cephalexin, which is what they had originally put me on. Please help. Doctor: Hello. It is obvious that your tonsil infection is not gone. Perhaps, it has been more complicated now since pain and fever is up and lymphadenopathy is shown. Retro or peritonsillar abscesses are the complications of untreated tonsillitis that may require specific treatment and intervention. So, if you are planning an appointment with the ENT specialist, then please do it sooner. You will need examinations and imaging to be done. Otherwise, you have to start antibiotics immediately. Select an antibiotic, which has come sensible in your throat secretion test. Augmentin (combination of Amoxicillin and Clavulanate) should be used as a first choice, if streptococcus is sensible. If not, go for Clarithromycin or Ceftriaxone. Use anti-inflammatory drugs for the pain, fever and inflammation such as Ibuprofen for every six hours. Propolis sprays and similar ones will help you with the throat discomfort. Your doctor may add Cortisone in your therapy and it should be started only with his advice. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5203, + "tgt": "My mother has stomach cancer and takes only liquid diet. Is there any option to feed her?", + "src": "Patient: Hello doctor, My mother is 65 years old. She is diagnosed with stomach cancer stage 4. We consulted the situation with five top oncologists and based on their suggestions we decided not to put her under chemotherapy. We are keeping her under supportive care at home. She is not taking any medicine for cancer as of today. The current concern is that she is 45 kg in weight and is able to take only liquid food since diagnosis. She does take semi-solid (mashed) food sometimes but it maybe twice or thrice in a week. As you can see in her PET scan attached, the tumor may be causing physical obstruction for the food to pass from stomach to the path down and also from time to time she feels some liquid with stale smell raising up her stomach. She wants to eat but unable to do so because of this weird nausea-like feeling. Can you please suggest some medications to overcome the above problem? Or is there any other way she could be given enough nutrition to manage the situation? Looking for your help at the earliest possible. Doctor: Hello. I have gone through her reports. (attachment removed to protect patient identity). As per the above reports, it looks like metastatic stage 4 gastric cancer. And as I can gather from history above, the decision of supportive care only without any chemotherapy is taken. For gastric cancer, surgery remains the best palliative treatment specially if there are features of obstruction as seen in her case. But usually, surgery is not preferred in view of its invasive nature. Her symptoms can be explained by moderate luminal obstruction of the stomach. In that case, another option is to go ahead with percutaneous jejunostomy for feeding which bypasses the stomach and helps in maintaining nutrition. If such a facility is not available then an endoscopic feeding jejunostomy tube can be tried. Sadly only medications such as antinausea drugs will not help much as the problem is due to mechanical obstruction. I hope this helps." + }, + { + "id": 3120, + "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": 10818, + "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": 4792, + "tgt": "Is it safe to wear contact lens while swimming?", + "src": "Patient: Hello doctor, Can I swim while wearing a contact lens? I am looking to connect with an eye doctor who can give advice or insight on this. Doctor: Hello. Contact lenses should never be used while swimming. Contact lenses should never come in contact with water and patients are educated to never use water to clean or store lenses. Some people feel that wearing lenses underwater can help them see better, this thought could perhaps have come in the mind of a professional swimmer or coach. But unfortunately wearing contact lenses will not improve vision underwater. The reason for this being that the eye is designed to work on the basis of a difference in the refractive index. To put it in a simple way, the difference in the refractive index between the eye and air is large, hence vision is clear, whereas the difference in refractive index is very small between our eye and water, thus leading to blurred vision. The only way to see clearly underwater is by using watertight swimming goggles, which have a layer of air in front of the eye, thus bringing back the difference in the refractive index. Swimmers with the refractive error may use contact lenses with their swimming goggles. Coming to the harmful effects of contact lens usage in water, the most important being bacterial infections of the cornea, called keratitis. The commonest organism being pseudomonas. Pseudomonas is a very prolific bacteria, this organism is the bane of every ophthalmologist thanks to a special trait it exhibits of boring through an intact and healthy cornea setting up deep-seated hard to cure diseases. The most characteristic organism seen would be acanthamoeba, this organism is ubiquitous and infects untreated swimming pools and many natural water sources like rivers, tanks, lakes, etc., in which people swim in during hiking and outdoor activities. All causes of such a corneal ulcer will need emergency hospital admission and treatment with intensive monitoring for signs of recovery. If at all you are interested in wearing lenses while swimming, the best option would be to use daily disposable lenses which can be disposed after swimming. Rigid lenses mostly will slip off the eye while swimming. Soft lenses usually are retained in the eye but will absorb most of the bacteria, chemicals like chlorine, etc., used for treating the water. This can set up a lot of inflammation and cause redness, irritation and blurred vision. To conclude, I would say that wearing lenses underwater will not help you see well. This blurring underwater can be overcome by wearing swimming goggles, but not by contact lenses. Contact lens use while swimming will only cause serious eye problems and is to be best avoided." + }, + { + "id": 5248, + "tgt": "My baby has right obstructive uropathy with enlarged kidney. What is the treatment?", + "src": "Patient: Hello doctor, My baby is 2 years 8 months old. His right kidney is enlarged with poor and delayed functioning. I tested DTPA and IVU. It was seen that the left kidney is functioning and the right kidney has obstructive uropathy. My doctor said to get an operation to remove the block in the right Kidney. But my baby has no symptoms, illness. He is totally fine and normal. He is a little baby, What can I do? Please advise. Doctor: Hi. I have seen the reports. (attachment removed to protect patient identitiy). The reports indicate that there was some obstructive uropathy in the right side, that has been corrected. But the DTPA (diethylene triamine penta acetic acid) shows almost equal function of both kidneys, it means functionally the right kidney is also equal to the left. IVU (intra venous renogram) shows obstructive uropathy that has been corrected. The delayed excretion is due to obstruction. For functional status, we see DTPA and not IVU. The second one is for the localization of the obstruction or anatomical abnormalities. So the conclusion is, the scan indicates that functionally both kidneys are equal. We need to do renal function test, blood, urea and creatinine that measures the total function of both the kidneys. The report of the same was not available, I think it must have done and must have reported you if abnormal, I am sure that is normal. Now let us short discussion regarding this case. This obstructive uropathy causes the derangement of kidney function due to pressure effect, this depends on the duration of the abnormality. If damage has occurred that is unlikely to revert back to normal. But further damage can be prevented by an early intervention that has been done in your case. You must remember that some of the normal population is having single kidney with normal life span and life style, many of them not detected during their lifetime. My purpose of this is that it is fine with a single kidney also. Plan for your case: 1. Monitor renal function test every three months if normal or more frequently if abnormal. 2. Monitor growth (height, weight) and other nutritional deficits and get them corrected. 3. Monitor blood pressure once in a month if normal. 4. Monitor DTPA and DMSA (dimercaptosuccinic acid) six-monthly. 5. Keep in touch with your doctor as per his advice. 6. Vaccination against preventable diseases. I am sure that your child will be fine if you follow adequately. Review as per your requirement." + }, + { + "id": 12048, + "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": 19961, + "tgt": "My posture is not good and I am having back pain. What to do?", + "src": "Patient: Hi doctor, I am a 27 year old female. I am a medical student and has been experiencing some thoracic back pain for the last one year or so. I have no history of back, cervical or MSK problems. I have not had any imaging of my spine. Admittedly, I do not have the best posture. During most of the day I am working and standing. I have a stressful lifestyle, but I am experiencing the pain even on vacation. I do not have weight loss, fever, chills, neurologic symptoms, etc. It distracts me from my daily life. The pain is a\u00a0constant dull ache or tension and is located medially, extending from C7 to the bottom borders of my scapulae. It feels like it is just lateral to my spinous processes, maybe in the laminar groove or maybe even at the zygapophyseal joints. At times I find that I can take a deep breath and even this causes my back to crack, although it is not painful. I regularly receive massages, which helped at first but no longer provide any relief. The only thing that provides relief is extreme extension of my spine, often by lying on a pair of tennis balls, foam roller or upside down from a chair. Even this does not feel like enough to relieve the tension. The maneuver which gives me the most relief is having my back cracked by a friend wrapping my arms around my shoulders and being picked up. Please help with my pain. Doctor: Hi. Thanks for a comprehensive description and your picture marking out the point of pain (attachment removed to protect patient identity). For further doubts consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 8066, + "tgt": "What will be the reaction of our skin on a cellular level while on make up and cleansing?", + "src": "Patient: Hello doctor,What happens to our skin on a cellular level when we put on makeup, cleanse, as you finish cleansing on a cellular level (that tight feeling)? Is it harmful to your skin to not have a barrier against the elements, even if it is in our home? Please help. Doctor: Hello. Your interest to know the skin system is appreciated. The skin has several layers of cells packed closed to each other. This packing is due to cementing substances between the cells that do not allow external things to enter inside the body. However, the strength of this packing is weakened in dry skin, infections, skin diseases, trauma, etc. On cleansing the skin, the outer dead cells are eliminated, and inner cells are hydrated. This makes skin supple. But sometime after cleansing, the water evaporates and leaves the skin dry, making it tight. Makeup can be considered as an application of an external layer of substance on the skin. If a moisturizer is used, it locks the water content in the skin and avoids tightening. If the application is physical like a foundation, it forms a uniform layer of skin covering the openings of glands and follicles too. This gives an even tone. However, the substances externally applied can enter the skin through weakened gaps between cells or through follicles or glands, which can lead to skin diseases. So there is a need to have a sound skin barrier system. I hope I have addressed your query. If you need clarifications, I am happy to help." + }, + { + "id": 25159, + "tgt": "I want to go off antidepressants but have trouble sleeping. What can I do?", + "src": "Patient: Hello doctor, I am 22 years old. I have been on the following antidepressants for two years. Morning: Modapex 50 one pill, Depakene, Lamotrigine 25 mg one pill. Night: Clozapex 25 mg half a pill, Mirtimash 30 g half a pill, Depakine Chrono 500 mg one pill, and Anafranil 75 mg half a pill. I used to take more but I stopped them over the past two years. For example, I used to take double the mentioned dose about nine months ago. I recovered from depression a couple of months ago. I started detoxing but with my doctor, the process was going way too slow and I have gained 45 kilograms over the past two years (25 in the past two months alone!) my muscles, my bones, and my joints started to hurt really bad because of my weight. Nothing works. I go to the gym every day, I workout but still I eat way too much because of the drugs and I cannot control it. My doctor does not want me to stop despite every hardship that I face and even refuses to decrease half a pill from the prescription. However, three weeks ago, I decided to cut all medications once and for all. I lost 7 kilograms, I stopped eating too much and just by cutting down the drugs I saved not less than 1800 calories per day. I started going to the gym more regularly. But here is the problem. Clozapex 25 and Mirtimash make me sleep and without them, I cannot sleep. No kidding, I have not slept in the past three weeks more than a maximum of 70 hours. Even those 70 hours, they are full of nightmares and I usually wake up after two hours with my mind confused and afraid and I cannot sleep back. I want to sleep. My eyes grew tired because I have been opening them for way too long. I do not want to give in and get back to the drugs because I am sick of them and I have had enough. I am not going back but I also want to sleep. Just a single continuous eight hours of sleep without any nightmares. I usually get nightmares that are very weird. I do not even know how to describe them. Mathematical problems and complicated solutions that are presented to me (in my sleep) and I keep thinking about them until my head hurts and I wake up freaked out. Please tell me what to do. I thought that after three weeks it would get easier but it is not getting easier. I have no side effects at all from any of the drugs only the disturbance of sleep. Some of them were written on them that if you would stop them suddenly you would risk getting seizures but nothing happened thankfully. I am not even depressed or sad I am just irritated and sad about the sleeping problem. Doctor: Hello. Because of stopping the medication you have a problem with sleep. You should try some sleep medication for a short time and then taper it. I suggest tablet Diazepam 5 mg before sleep. It is Benzodiazepine group drug and long duration, but it is addictive. So, you must taper it within four to six weeks. Or you can try tablet Zolpidem 5 mg before sleep. It is a good medication but it is not so effective like Benzodiazepine. Zolpidem does not get you addicted. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Or you can try tablet Melatonin which is a normal nonprescription medication. You can get it online or over the counter. The non-pharmacological ways to sleep better are: Hope this will help you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12986, + "tgt": "I have wart-like growth on my penis. Would it be contagious?", + "src": "Patient: Hi doctor, I am 30 years old. My weight is 140 lbs and height is 6'3\". I am doing a computer-based job. My diet is poor for the past 2-1/2 years. As I often work at night my sleep too gets disturbed. I am single and never had sexual contact with anyone. There is no history of skin disease, smoking and alcohol. My current issue is, I have a wart-like growth on the penis. It is located on the shaft, middle of penis, slightly towards the right side. I have this for over 20 years. It has never been carried over or has affected any other area of my body. There are no such growths anywhere in my body. I first observed it when I was 8 or 9 years old. It was neither painful nor caused discomfort. It is a flat, long hard mass appears as if inserted into pinched skin. Three years back, I had a very slight negligible discomfort after a long period of erection. When I was pinching, it came out of the sleeve of skin. It was growing in and detached from the body. It actually did not grow down into the penis, rather perpendicular. Six days ago, I had a long period of erection. Afterwards, the sensation of very slight pinching, localized pain focused on a few millimeters deep where the growth is. It is still there, but not bothering me much. But, this time it is slightly higher on the sensation scale and it is not going away. I have noticed some increase in the width. I am trying to keep it clean by frequent washing. There has never been any bleeding, redness on or around the affected area. It does not cause any problems in full erection. In fact, I feel less discomfort in full erection. Is this a wart? Is this dangerous? Would it be contagious to my sex partner? I am scared of surgery and I really prefer something non-invasive. Please suggest any topical cream or oral medication? What would be the expected time frame of recovery? Is prevention possible? It is quite close to the dorsal vein. Would it have any effect on the neurovascular bundles? Please see all the attached images. I am paranoid and scared because I think this will make my life very hard. Doctor: Hi. I have gone through your history and relevant pictures (attachment removed to protect patient identity) and I appreciate the same. As I can see that you do not have any signs of wart or contagious disease, please relax. The lesion you are having is just a dilated hair follicle or pore which is not dangerous. It is similar to a black head seen on the face, but a bigger one. It is commonly seen as a single lesion and forms a canal in the skin which contains skin debris that is frequently shed. Occasional pain or irritation is because of the debris hardening and poking to the stretched skin. There is no topical treatment for this as the creams cannot reach till root of the canal. The only effective way is to get it excised and sutured. It is a very simple and affording procedure with hardly any recurrences. Please go ahead with the surgery as it does cause irritation during erection and intercourse." + }, + { + "id": 28324, + "tgt": "I get red dots on my penis after masturbating or having sex. Why?", + "src": "Patient: Hello doctor, I get red dots on my penis after masturbating or having sex. It becomes normal after applying Candid B cream and Fusidic acid on the penis. Again after having sex, the red dots, which are very small and sometimes they have a white center,\u00a0are seen on the penis head. One more thing I would like to mention is, 2 to 3 months back after masturbating, my foreskin got swollen on the\u00a0left side, but after 2 to 3 days, it became normal. I also took some antibiotics for 7 to 8 days, but these red dots are coming back. They come in a batch of 2 to 3, and if I do not apply any cream, then it keeps on increasing in number. Please help me. Doctor: Hi. I have read your concern. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11650, + "tgt": "The foreskin covering the penis is very intact and not retracting during erection. What could it be?", + "src": "Patient: Hello doctor, I am a 24-year-old male. I am afraid that I might be suffering from phimosis. My foreskin is too intact that it covers the whole penis, without retracting even during the time of erection. There is no problem while erection, masturbation or urinating. It is just that my foreskin is too intact that it covers my whole penis and I get to see no glans penis, as it is totally covered by my foreskin. My foreskin starts to retract from the middle of my penis. I am so afraid that this might affect my sex life. Please help. Doctor: Hello. You can try to retract foreskin daily during bathing, a little more every day. If this does not work or is painful, better get a circumcision done. This will ensure there is no problem during intercourse. It is a small surgery done by urologist or surgeon." + }, + { + "id": 6108, + "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": 30292, + "tgt": "Why is self-catheterization advised after surgery for burning urination?", + "src": "Patient: Hi doctor, A few months ago, I have\u00a0undergone surgery for urine burning problem. They said there is no need for self-catheterization. At present, there is no burning problem. Sometimes, slight burning or uneasiness occurs. The flow is quite reduced. Now, the doctors recommended for self-catheterization daily for many days. I have gone through various notes, guidelines and videos on the internet about self-catheterization process. However, I have a lot of fear in my mind about self-catheterization. I have no daring to do it and I am not confident. I request you to guide me properly in this context. Please also guide me where I can get painless, friction free catheters. Thank you. Doctor: Hi. Please relax and do not worry. I\u00a0have gone through your case completely. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22202, + "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": 19134, + "tgt": "Does a breakout of cold sores mean I am HIV positive?", + "src": "Patient: Hello doctor, I had pelvic pain for two to three days.\u00a0My period was very spotty this month. I did not really have one and my period has always been regular. Could this be a sign and symptom of HIV? I am not\u00a0pregnant.\u00a0I get yearly lab tests\u00a0and\u00a0everything is normal. I got a yearly TB test at the hospital I work and I never saw the LVN draw up the medicine into the syringe to inject in me. So, now I am wondering if she would have used a dirty needle. Three weeks after my TB test, I broke out with a cold sore. I do not know if it is just the wrong timing I mean. I usually get cold sores maybe one to two times a year since I was a child. I did not think anything of a cold sore until my period got all goofed up. Now I am\u00a0worried that\u00a0the LVN would have used a dirty needle and\u00a0infected me. I have no other signs or symptoms of anything. Please help. Doctor: Hello. I have noted your concern. Regards. For more information consult an\u00a0HIV AIDS specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11234, + "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": 28738, + "tgt": "I started having lisping problem after I got dental veneers. Do the teeth need more adjusting?", + "src": "Patient: Hi doctor, I recently got six porcelain veneers across my top front teeth, and now I have a lot of difficulty in my speech. I have a\u00a0slurring sound while saying 's' and 't' in particular. I always had a bit of a lisp, but now it is so much worse that I am embarrassed to talk at all because I sound so silly. I love the way the teeth look, but I\u00a0am afraid that I will never be able to talk right again. I had the first appointment with my dentist two days ago, is it too soon for me to be able to speak normally? Is this something I will get used to, and see improvement over time? Do the teeth need more adjusting? Or do I need speech therapy? Doctor: Hi. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11306, + "tgt": "Is female orgasm necessary for conceiving?", + "src": "Patient: Hi doctor, Is female orgasm necessary to get conceive?\u00a0Are both male and female orgasms required at the same time for conceiving?\u00a0After sex some amount of semen leaks out, is it normal? Please give me some suggestion. Thank you. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26391, + "tgt": "How to prevent the spread of cancer through ayurveda?", + "src": "Patient: Hello doctor, My father is 84 years old. A few months ago, he was diagnosed with basal-cell carcinoma on the forehead. It was removed by CO2 laser. Three years ago, he had melanoma. It was removed and no longer appeared. His present complaints are an abdominal hernia after surgery, cardiac ischemia, atrial fibrillation (he takes Pradaxa, Enalapril, Concor Cor), and gastric ulcer (surgery last year). Are there any effective Ayurvedic treatments to prevent the spread of tumor cells to other parts of the body and to prevent the growth of an abdominal hernia? Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12138, + "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": 7485, + "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": 2662, + "tgt": "I am terrified that coronavirus will infect me through a paper cut on my thumb. Please help", + "src": "Patient: Hi. I am really scared about touching things in general because of the Coronavirus, but I also have a paper cut on my thumb and want to check if it is possible to contract it through it getting through my cut? That\u2019s not possible, right? I am so scared of touching anything. I\u2019m scared to get up or even make a cup of tea because I\u2019m so scared of touching anything. I feel stressed and exhausted and need help. I feel utterly terrified and can hardly think of anything other than germs. Any help would be appreciated. Thank you. Doctor: Well, there has been no evidence suggesting parentral transmission. Its entry into body has been largely suggested to occur through mucus membranes of nose, mouth and conjunctiva. In any case of a person happens to pick virus even if if doesn't enter through blood, it is likely to enter through mouth or nose or eyes. Luckily the virus is susceptible to even common disinfectants. So a thorough decontamination of the objects once followed by regular handwashing eliminates almost all the risk. Being cautious is good however being overly concerned isn't right at this point in time where you are already stressed. Just maintain proper hygiene there is nothing to worry" + }, + { + "id": 13873, + "tgt": "Please give a suitable advise to enlarge my penis size?", + "src": "Patient: Hello doctor, I am 25 years old. I got married six months back but I am not satisfied with my sex relationships because my penis is so small and not getting up for more time. So, please give me any suitable advice which can help my penis to get large and satisfy me and my partner. Doctor: Hi. I have read your problems carefully. Your complaints are of small penis and less pleasure in sex. At first, you have to know details about sex and female orgasm. Normal sexual time is 2 to 5 minutes. Sometimes, it may be more or less. And sexual pleasure not depends on time and size of the penis. It is a myth that a large penis is good. But it is not true. A large penis may be troublesome for your partner. Now coming to the solution. 1. Small penis: there is some exercise which may help. But do not expect more. Do not use the device. It may harm. 2. Sexual pleasure: sexual pleasure mainly depends on foreplay rather than sex. More foreplay gives your partner more pleasure. Even only with foreplay, fingering and oral sex can make your partner pleased. So concentrate on those. 3. Less time: time may be low or high. You should mind it that, anxiety make your sexual time low and less pleasurable. So do not be anxious. There is some way to make your sex lengthy. Such as coitus interrupts. When you think cum is coming, just withdraw, take some pause and start again. Make more foreplay in coitus. Doing sex slowly. Do not be in a hurry. You can try Duloxetine 20 to 30 mg, 30 minutes before bedtime. It may help. But you should keep in mind that, there is some side effect of Duloxetine such as nausea, dizziness. Do not worry about that." + }, + { + "id": 22889, + "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": 21206, + "tgt": "Why am I having right-sided muscle weakness?", + "src": "Patient: Hi doctor,I am 22 years old. I had right-sided muscle weakness. It started with hands and feet pins and needles. Then neck tension and back tension. Had a brain MRI done. I have had a CT scan of brain two years ago which showed an osteoma in sinonasal which I think I can see on the MRI. Currently, I am taking Cephalexin. Doctor: Hi. Your MRI shows normal brain parenchyma (attachment remove to protect patient identity). No ischemic areas or focal lesions are seen. The MRI angiogram shows normal vascular anatomy. No focal narrowing or stenosis is seen. However, mild mucosal thickening is seen in bilateral maxillary sinuses concerning for mild sinusitis. An osteoma would not cause you these symptoms. Take care. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 22281, + "tgt": "My M2-PK level is 150. Does it mean that I have cancer?", + "src": "Patient: Hello doctor, My M2-PK is 150. Does it mean that I have cancer? There was no pain, just a regular checkup. Kindly help. Doctor: Hello, Welcome to iclinic.com. No, it does not imply cancer alone. Many healthy people, as well as patients with other non-cancerous diseases like rheumatic diseases, diabetic nephropathy, chronic heart diseases, inflammatory bowel disease, pancreatitis, sepsis, may have elevated levels. So there is high false positivity rate as well. But, since it is elevated and also you being asymptomatic for other diseases I mentioned that it is better to undergo an evaluation to rule out cancer. Also, the blood test is not a very good test for screening of colorectal cancer (attachment removed to protect patient identity), and it is not recommended due to high false positivity rate, and fecal test M2-PK is a better option. So, I think you should have a fecal test as well. If positive then we will get a colonoscopy done otherwise you should undergo screening CECT (contrast-enhanced computed tomography) chest and abdomen to look for any cancerous change. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27466, + "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": 6740, + "tgt": "I am urinating frequently and having burning sensation after urination. Why?", + "src": "Patient: Hello doctor, I feel like urinating frequently and have an orgasm each time I urinate and feel relieved. The moment I get up from the toilet seat and walk, it starts to burn. There is no burning sensation while urinating. I engaged in sexual intercourse a day before experiencing this. There is no burning sensation when I open my legs wide and sit on the toilet seat. Doctor: Hello. Probably you are having a urinary tract infection. You must drink lots of water and also try cranberry juice as it is very effective in curing urinary infections. Also, make sure to urinate immediately after having intercourse, as it might lead to urinary problems. There is a sachet available in the market with the name of Citro-soda or Citralka (Disodium hydrogen citrate). You can also use that to relieve symptoms, and if your problems are not resolved with the above advice, then please consult a doctor to get a prescribed medication as you might need antibiotics then. I hope this helps." + }, + { + "id": 24809, + "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": 18824, + "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": 13497, + "tgt": "How can I manage dandruff?", + "src": "Patient: Hello doctor, I am suffering from dandruff for more than a year. I am a prefinal year student and my gender is female. Please suggest a solution for dandruff. Can I use One shot dandruff killer? Doctor: Hi. Dandruff is formed due to oily scalp. If you are using oil for hair, please avoid it. Dandruff cannot be cured permanently. It can only be controlled. For now, use Ketoconazole shampoo (Nizral shampoo twice weekly for three weeks and thereafter once it is controlled, use once a week for a month)." + }, + { + "id": 8167, + "tgt": "I am 12 weeks pregnant and I am suggested to do prenatest. Please advice", + "src": "Patient: Hello doctor,I am a 33-year-old woman. I am pregnant with my first baby in my 12 weeks. I had an appointment with my doctor two days ago, and she did an ultrasound to me, and she told me that th NT measure of the back neck of my fetus is 2.3 mm. She asked me to do a blood test called prenatest to be sure of that. Please advice what should I do? I am attaching the ultrasound report. Doctor: Hello. When NT (nuchal translucency) is towards higher value than a baby is more likely having a problem. Now there are two prenatal tests which can be done at 12 weeks. Most commonly done is a double marker test. Currently, both are screening test, and we come to know whether this pregnancy is high risk for some genetic disease like down's, Turner, patau syndromes. And if high risk than how much is the risk, statistically like 1:148, which means there is a chance of one pregnancy to come positive for downs in every 148 pregnancy. So for further confirmation have to send liquid around a baby for examination. In that, we remove fluid under sonography guidance and send it for examination. They segregate fetal cells from it and do a DNA test for confirmation. But this test is directly invasive and also have some possibilities of side effects, so we avoid on the first basis. Because if it comes as low risk in double marker than no need to send liquid around the baby. So consult with your gynecologist and have detail about which test is carried and possible results." + }, + { + "id": 24272, + "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": 26941, + "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": 11655, + "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": 10016, + "tgt": "I have bulging eye problem for a year even after some treatment. Why?", + "src": "Patient: Hello doctor, I am facing bulging eye problem for a year. I am not able to sleep at night due to watery eyes. I went to the doctor, and he did an MRI and found that my eye muscles have enlarged. He gave the treatment for three months, but there was no benefit. He gave me Solu Medrol 500 mg then 250 mg injections for two months and some vitamin tablets. It is a severe problem. Please help me. Doctor: Hello. The condition you have described is called proptosis. The most common cause of proptosis is thyroid abnormality (hyperthyroidism) and called thyroid eye disease (TED). In this condition, eye muscle gets enlarged due to GAG (glycosaminoglycans) material deposition. This condition usually resolves after active and quiet phase that takes up to five to seven years. During this time the actual cause is treated (hyperthyroidism) and for proptosis steroids may be given (that you have already taken). Enlarged muscles can compress the optic nerve and can cause permanent vision loss. So you need to consult an endocrinologist for the treatment of thyroid abnormality. Quit smoking (if you are a smoker) and keep follow your eye doctor to avoid complication that can cause permanent vision loss. You are welcome for any queries." + }, + { + "id": 15132, + "tgt": "Why am I having difficulty swallowing, sore throat, and white spots in throat?", + "src": "Patient: Hi doctor, For the past few days, I have had difficulty swallowing, a sore throat, and these white spots on the back of my throat that keep getting bigger. I was already tested for streptococcus which was negative and I am wondering what else it could be? Doctor: Hello. You seem to suffer from fungal sores and ulceration of oral cavity and oropharynx. I suggest you do a local application of Clotrimazole (Clotrin) gel over the affected area thrice daily after rinsing the mouth with Benzdymine oral rinses. In addition, Tylenol will help in relieving the pain and inflammation. Avoid spicy foods, citrus foods, extra warm foods, masalas, smoke, and alcohol until it gets better. Additionally, take Multivitamin supplements and especially Vitamin B12 supplements till you are better. You may require a course of Fluconazole tablet, which is taken once now and then one more tablet a week later." + }, + { + "id": 7008, + "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": 11218, + "tgt": "What causes chest discomfort in a patient with anxiety disorder?", + "src": "Patient: Hello doctor, I am a 36-year-old woman with family history of heart disease. For a couple of days, I have been feeling discomfort in my chest, like my heart gets squeezed and I have chest discomfort on the left top part of my chest, like six fingers down my clavicle. I also have a lot of fatigue, specially from 10 AM to 1 PM. The discomfort gets worse when I am laying on my back and I can feel my heart moving in my chest in an unusual way and the squeezing feeling coming and going. I have had anxiety disorder for almost 20 years but this does not feel like my usual anxiety. I am worried and not knowing exactly what to do. Doctor: Hello. Classical cardiac chest pain is a sensation as if an elephant is sitting on your chest. It lasts from a few seconds to minutes and could be provoked by exertion. What you are feeling is classified as atypical chest pain but you also have palpitations. Do you have a way to check your blood pressure and heart rate? Please let me know." + }, + { + "id": 2798, + "tgt": "Does papilloma in tonsil need immediate attention during Coronavirus quarantine period?", + "src": "Patient: Hello doctor, After going to a medical check up a few days ago, a doctor notified me I had a papilloma in my tonsil. I am a 28-year-old male otherwise healthy. I had been having an itch like feeling in my throat and some inconsistent feeling when swallowing or in-ear pressure. I cannot go to a doctor at the moment, I am quarantined due to Covid pandemic overseas. Is this something that deserves immediate urgent attention? What can/should I do/expect? Doctor: Hi. I see that this is not an emergency. Use antihistamine to overcome the itching sensation. Use nasal decongestant drops twice daily for five days when lying down on your back to relieve the ear pressure sensation. Also, chewing gum can help. After ending the quarantine period you can follow up with your physician again." + }, + { + "id": 24264, + "tgt": "Is it possible to remove large kidney stones with ayurvedic medicines alone?", + "src": "Patient: Hi doctor, My husband's details: Age 46, height 165 cm, and weight 108 (overweight).As per the report, he was diagnosed with kidney stones. Left kidney 26 mm in lower pole with enlarged kidney stone 213 by 116 mm. Right kidney with 20 mm in mid pole with 118 by 56 mm size. Taking medications: For BP, Amlokind 5 mg from three years, Thyronorm 25 mcg (three years back), 50 mcg (last year) 75 mcg current dose). Now, the TSH reading is 3.33 UIU/mL, and creatinine is 1.0 mds/dL. History: Gone through radiogram for kidneys. The urologist said that the left kidney enlargement is biological, suggested surgery, but with advice from elders at home, he went for ayurvedic medicines. Stones daily 2+2 morning and evening. Gokhsaradi guggul 2+2 morning and evening. Chandraprabhavati 2+2 morning and evening. Gokharu Khada 15 ml + 15 ml morning and evening. He used it for 12 months, but from six months due to the workload at the office, he could not follow the diet properly and medication was uneven and job was mostly sitting, so his weight has increased by 4 to 5 kg in six months. His physician and urologist are suggesting for the removal of stones through surgery. I would like him to avoid that. So, please advice the best prescription for dissolving of kidney stones naturally. Thanks. Doctor: Hello. I just read your query and saw the attached files (attachment removed to protect patient identity). The size of the ureter is around 4 to 5 mm and kidney stones are comparatively very large. Also, only some kind of stones can be dissolved with the help of medicine, not all types of stones. Which kind of stone it is, the doctor cannot tell it without examination. As your husband has other issues like hypertension, and you have tried Ayurvedic medicine in the past for long, even if you did not take it thoroughly. I recommended you to follow the advice of your physician for surgery. Because right now your husband's kidney function test is in the normal range. In case any damage occurs due to stone then kidney function can be disturbed. So it is better that you do not take any risk. If stones were smaller then it would be easier to remove them with medicine. I hope you understand my point. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3712, + "tgt": "Swelling in the hip region after lifting heavy tile. What could it be?", + "src": "Patient: Hi doctor, First, let me clarify that I have been to a doctor for this problem already. But, the clinic is closed right now and I will not be able to get the diagnosis for a couple of days. But, waiting without knowing the cause is troubling me. So, I am asking for my peace of mind and also to have a second opinion.\u00a0I lifted some heavy boxes of floor tiles a little over a week ago. Since then, I got a swelling to my left side between the hip and ribs and to my abdominal area. My doctor noted that those areas felt hard and said it might be fluid buildup. I am done with my x-rays now, but do not know the results of it. The swelling has not gone up or down since then. There is no pain, but sometimes there is a pressure, as if I am wearing a belt too tight. The swelling is most obvious when I stand. When lying down or wearing pants, it looks almost normal. Bodily functions have been normal. I do not have any diarrhea, unusual stool, vomiting, and so on.\u00a0What do you think it could be? Thank you for your time. Doctor: Hello. 1. Abdominal muscle sprain or muscle strain or inflammation. 2. Less likely but ventral hernia is a possibility. 1. Cold compressions. 2. Ibuprofen 600 mg three times a day with food (available over-the-counter in 200 mg pills). 3. Avoid excessive exertion that requires the use of abdominal muscles. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30113, + "tgt": "My period is regular, but lighter. Is that normal?", + "src": "Patient: Hi doctor, Six years before, I attempted suicide by drinking phenyl. At that time, my only son was just 7 months old. Immediately, my mother-in-law took me to the hospital. I vomited a lot and have been treated well by doctors. As my son was small, after doctor's suggestion I fed my son. Also, I have asthma problem and it is hereditary. Now, I am suffering from severe headache. I am 36 now. My period is regular, but scanty. I am bleeding only for two days. I am also suffering from stomach problems like sought of hyperacidity or indigestion. I do not feel to drink water or have food. I went to the local doctor and they gave me tablets. But, the problem remains the same. I am confused. What should I do? My son is now 7 years old and he is totally depending on me. Please help me out. Doctor: Hello. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7901, + "tgt": "What could a clear bubble in the sclera of my eye be?", + "src": "Patient: Hello doctor, I have a clear bubble in the sclera of my eye in the corner close to the nose. This has not gotten any bigger and sometimes it appears smaller. It does not hurt. I have had it for years. My eyes dry a lot and I have an issue with dry eyes and allergies. Could this be serious? Sometimes my eye in the corner is sticky as well. Please help. Doctor: Hello. This appears to be a conjunctival cyst. It is not harmful. This can be caused by a mild foreign body sensation. I suggest you start Fluorometholone plus Tobramycin eyedrops three times a day for five days then taper it to two times a day for the next five days and then taper to single in the nighttime for the next five days. You need to then stop this eyedrop and do not use it again without medical advice. This is for resolution of the cyst I suggest you also start Carboxymethylcellulose plus Naphazoline eyedrop four times daily for dry eyes and for foreign body sensation if any. Consult your specialist doctor, discuss with him or her and with their consent take the above eyedrops. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25243, + "tgt": "How can severe hip pain be effectively treated?", + "src": "Patient: Hello doctor, From the start of this month, I have been suffering hip pain and some tightness around the lumbar region. I had a steriod injection and thereafter the pain reduced to 80%. I was on Aceclofenac 100 mg two times a day after 15 days. I had an MRI and the report is attached. I have a major complaint of hip pain. There is no thigh or back pain and no tingling, no numbness. I am able to walk after taking painkillers and I am able to do physiotherapy. Kindly guide as I am still with pain and on painkillers. I am attaching MRI images and report. Also, see remarks about L3. Is it serious? What do I need to do? My current medications include a steroid injection 1000 mg Methylprednisolone, Aceclofenac 100 mg twice a day, Pantoprazole twice a day, and Etodolac400 mg twice a day, and Pantoprazole twice a day. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) Your MRI (magnetic resonance imaging) report suggests disc changes at L5-S1 and hemangioma of L3 body. You should understand that MRI is a very sensitive investigation and picks up many features whether they are the cause of a problem or not. Hemangioma is picked up very commonly during the MRI of the spine or abdomen. These are benign lesions from birth and are not operated unless they are the cause of symptoms, which is in very few number of cases. Disc changes too can be seen in a number of individuals as it is a sign of aging. Only those disc lesions which cause a backache or neurological symptoms need to be addressed. In your case, you only have hip pain with no backache or neurological symptoms so you don't need to be concerned of any of the findings reported on the MRI. Only when you have neurological symptoms of tingling, numbness, muscle weakness, backache radiating to then legs then repeat clinical examination and MRI might be required. I have a few questions for you. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16262, + "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": 8631, + "tgt": "Does HBV core Ab total reactive mean hepatitis B?", + "src": "Patient: Hello doctor, Hepatitis B surface antigen HBsAg HBV is negative. Hepatitis B HBV core Ab total*Q is reactive. Kindly help me. Do I have hepatitis B or am I immune? Do I need any other tests done? I also did liver profile test. ALT 21 U/L, AST 19 U/L, alkaline phosphate 147 U/L written high. I also did the liver elastography which says normal. Doctor: Hello. The patient develops an antibody against core antigen during the fight against hepatitis. However, core antibody development is suggestive of infection by hepatitis B antigen. It is not a marker of immunity. If you want to rule out whether you are immune or not investigate with anti-HBsAg antibody estimation testing. If you have IgG HbsAag antibody in blood than you are immune to hepatitis B." + }, + { + "id": 17431, + "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": 9066, + "tgt": "I am getting recurrent cyst in breast. Is there a risk of cancer?", + "src": "Patient: Hello doctor, I am 31 years old. No family history of breast cancer. I have never been pregnant and never used a contraceptive. Before two years, I felt a breast lump (breast cyst-did does not disappear with aspiration. Aspirate was straw-colored). Got it out a year later. Biopsy showed fibrocystic breast disease with adenosis. As soon as the inflammation subsided, like a month after, I noticed a mass in that same location with the same consistency, firm, mobile. I guessed it was the same cyst, perhaps a recollection. Did the surgery six months later with the mass sent to another pathologist and the biopsy result was the same. Fibrocystic breast disease with adenosis. Two months postoperatively, same location, another one, mobile, firm, and sometimes tender. Increasing in size. No nipple discharge but disturbing. Plus now, I have a nasty scar. I should do a Mammo, but the breast is dense and standing. I feel it would be extremely painful. Doctor: Hello. I completely understand how you feel. Let me start by saying that a majority of breast cysts are not malicious, and unfortunately, they do have a tendency to keep coming back. Numerous women leave them as it is and stay on regular follow up to keep an eye on the size and other changes of clinical importance. As far as a mammogram is concerned, it is not as painful as you think it is. There are other alternatives like - Ultrasonography, MRI. I would also like to point out, that post-surgery, there is always going to be some edema which will subside with time. The key is to differentiate it from more malicious lumps. I have a few questions for you, 1. Is the lump painful? 2. Is it freely mobile? 3. Is it increasingly on size quickly or slowly? 4. Do you have any other symptoms? Like weight loss, backache, headache, anorexia?" + }, + { + "id": 13181, + "tgt": "Why do I get tanned easily?", + "src": "Patient: Hello doctor, I get tanned really easily. My skin is super sensitive. None of the sunscreens really helped me with this problem. If I am under the sun even for five minutes, I get super super tanned. Doctor: Hi. Which sunscreen are you using and its SPF? Actually, sunscreens are of two types. Physical and chemical. Physical sunscreen is better in protecting from suns radiation but the problem is that they are not cosmetically acceptable. Because they are visibly seen on the face. I will suggest you use topical Vitamin C preparation along with your sunblock. Properly use sunblock of SPF 60 frequently. Apply it every two hourly and evenly. Apply sunblock of SPF 60, Use Vitamin C preparation BD." + }, + { + "id": 23618, + "tgt": "I suffer from poor erection and premature ejaculation. Please advise treatment", + "src": "Patient: Hello doctor,I am a 33-year-old male and I am single. I suffer from poor erection (two years) and premature ejaculation (since start). I tried Viagra and Caverta, the result was good but I feel a headache and heaviness in the head after taking medicine. I also noticed high BP. I have also tried herbal or Ayurveda products but after taking Swet Musli I feel heaviness in the head and heavy gas. I also tried some more medicine like Nano Leo, ED Save and some more as prescribed by one doctor but did not work well with no side effect. Please advice. Doctor: Hi. Before I proceed I would like to know the following important things: For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 28460, + "tgt": "My 7 months old baby keeps twisting his wrist all the time. Should I look it up?", + "src": "Patient: Hi doctor, My baby is 7 months old. He keeps on twisting his wrist (left arm) all the time. Whenever he is excited, angry, crying or if he wants to reach out for anything or just focusing.\u00a0His development is on track. He makes great eye contact. He plays, laughs, tries to imitate sounds, sits on his own and turn both sides. He has two teeth.\u00a0He is active and in good health. It is just the wrist twist or twirl that is bugging me.\u00a0He does not seem to be bothered when I hold his hand or if I stop him. If he is occupied with a toy, he does not do the twirl. If he holds my finger, he will open and close his hand. Am I worrying unnecessarily? Should I look it up or just wait on him to outgrow it? Doctor: Hello. Revert with a video to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21916, + "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": 25387, + "tgt": "My knee cap is very sore. Can I continue my cycling tour?", + "src": "Patient: Hello doctor,I am on a cycle tour. We have cycled approx 200 km over last 6 days. Yesterday my knee cap started hurting and today it is very sore when I ride, especially uphill. It mostly does not hurt when walking though. Do you think it is dangerous for my knee to keep riding even though it is sore? Doctor: Hello. I read your concern. I think your quads are too tight pulling your knee cap up and your hip flexors are also equally tight. I recommend: This will definitely help you to come out of pain. You can continue your cycling provided you are not putting pressure on the toes while riding. Either use midfoot or heel. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 24870, + "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": 13772, + "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": 13681, + "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": 16798, + "tgt": "I have PVC after starting Methadone. Will beta blockers help?", + "src": "Patient: Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium levels. It has been a week now since I have been following the regime and currently the PVC is nearly gone. I do not have the option of reducing the Methadone due to my injury. The doctor said he wanted me to get an opinion from a cardiologist if I may need a beta blocker or not. He wants to wait to see how the supplementation works out first. Is there any advice you can give me? I get an EKG done twice a year. Doctor: Hello. I have gone through your explanation in detail, and I understand your worries. Best regards. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6555, + "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": 3762, + "tgt": "Kindly help me to understand my STD report", + "src": "Patient: Hello doctor, Please help me to understand my STD results. HSV 1 IgG, Type spec 31.10. HSV 2 IgG, Type spec. Doctor: Hello. I read your query and understand your concerns. The available test report (attachment removed to protect patient identity) indicates positive for herpes simplex virus test positive. However, I must clarify that the unit is not provided and if the unit is provided the answer can change. I request you to attach the test report if possible. I hope this helps." + }, + { + "id": 6950, + "tgt": "Can seizures be related to chronic sinusitis?", + "src": "Patient: Hello doctor, I am writing to get a second opinion for my relative.\u00a0He is a 19 year old male. He had a seizure last year and the second seizure was on last week. His EEG was normal and also had an MRI. The doctors said that he has chronic sinusitis\u00a0with thickened mucosa and they started giving him antibiotics. I want to know whether the seizure is related to the sinusitis. If yes, does that mean he might have a brain complication? I want a medical advice whether there is a need to start with Tegretol. My blood test showed high levels of WBCs. Currently, the doctor has given Keppra. Should he start it? Please guide. Doctor: Hi. We usually recommend antiepileptic if someone has two seizures within 24 hours. In approximately 70% cases, we may not be able to identify any specific cause for seizures, for example - infection, stroke, focal cortical dysplasia (FCD) and tumor, as in your case. Sinusitis is an incidental finding and at present it seems to be unrelated to epilepsy. You should complete antibiotic course as prescribed for its coverage. For epilepsy, he will need antiepileptic drugs (AED). There are many AED to choose from, but once you have been given Keppra (Levetiracetam) you can continue the same, as it is a new generation drug with minimal side effects and drug interaction. With the limited information I have, I would recommend starting it to prevent future seizures. Your neurologist can provide you with its optimal dosing. High white blood cell (WBC) could be related to sinusitis or as a transient rise from seizure itself. It should come down by itself. It would be good to know how long his seizure was and what he did during his seizure. Did he passed urine, stool or bite his tongue during the episode? Revert back with the asked details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14901, + "tgt": "Why is there severe cold and cough with green color phlegm?", + "src": "Patient: Hello doctor, I have a severe cough and cold. When coughing green color phlegm is occurring. I am using Benydryl syrup now. Doctor: Hi. Do you have a fever? Since how long you have these symptoms? A headache? Facial pain? A cough and cold could be viral which will need only symptomatic treatment or if it is severe you might need antibiotics. Treatment includes having a lot of warm water and to avoid cold and sour food or drinks. If you feel your nose is blocked take steam inhalation once or twice a day and saline nasal spray. Analgesics like Paracetamol for fever aches and pains when required. Antihistamine like Cetirizine 5 mg at bedtime. Coamoxiclav (Amoxicillin and Clavulanic acid) twice a day. The dose depends on your weight and age. Have cough syrup containing mucolytic agent like Ambroxol." + }, + { + "id": 17758, + "tgt": "Taking Pantoprazole for GERD. Is any drug interactions between Pantoprazole and Voltaren?", + "src": "Patient: Hello doctor, I am on 40 mg Pantoprazole twice a day for GERD. I just took 50 mg Voltaren for a bad back and I am worried sick. I checked online and it said no drug interactions. I have not yet taken my nightly dose of Pantoprazole, should I not take it? Doctor: Hello. I went through your query. There are no drug interactions between Pantoprozole and Diclofenac (Voltaren). In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis. So, relax and take the regular dose of Pantoprazole. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4696, + "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": 27990, + "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": 10330, + "tgt": "What can be done to cure candidal balanitis soon?", + "src": "Patient: Hello doctor, I was diagnosed with balanitis about three weeks ago. I got antibiotics and was told by the doctor to keep the area clean and apply an anti-fungal cream. At first, it was super itchy and could not use anything tight. Right now I do not feel it but I can see as you see in the pictures, it is healing. It was my fault to get this so bad because at the beginning it was just red and I thought it was a simple rash because of my sensitive skin but then the rash was so bad that was burning my penis. I just want this to be over, right now. I want to be back to normal but is healing so slow that I am getting desperate. I am using Menaderm Clio, Emuaidmax, Gelmicin, and Cortisone. Not sure if this sensitive area is normal to heal slowly or maybe I am using the wrong medication. They already tested for any infection. Usually, I am very sensitive and I think because I did not pay attention to the initial redness and kept doing a lot of things without taking care developed the severe rash. Doctor: Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month." + }, + { + "id": 15982, + "tgt": "What is the best possible advice followed to get rid of allergic nasal polyp?", + "src": "Patient: Hi doctor, I am 39 years old. I have an allergic nasal polyp for the past ten years. I consulted the doctor before ten years back. The doctor told me that there is no need to undergo surgery and he prescribed Rhinocort aqua which is currently unavailable, and I have been using other sprays. It is not working on me. What is your best possible advice to get rid off allergic nasal polyp? Doctor: Hi. First, we need a clinical examination, radiology, and endoscopy. The treatment options are surgery and medical management along with environmental control. Surgery involves endoscopic sinus surgery, and medical management includes control of allergy and inflammation. It is necessary to find the allergen, and it is better to avoid it. It is the step followed under environmental control. Long-term allergy control involves immunotherapy. There is no use in using various sprays and waiting for a polyp to resolve." + }, + { + "id": 5666, + "tgt": "My father has asthma and also suffers from headache, stress and tired. What to do?", + "src": "Patient: Hello doctor, My father is suffering from asthma and tried most of the treatment, but nothing worked. He also suffers from headache, stress, and tired. What to do? Please suggest. Doctor: Hello. I read your query. You did not mention that if your father has been suffering from any other disease or not. In asthma whenever an attack occurs patient usually face breathing difficulties. Stress, headache, and tiredness are caused due to asthma. First of all, try to rule out whether asthma is more aggravated by some food, or it usually happens in some particular season. If it is so, then take extra care of these things. In asthma, an allergic reaction occurs in the body which produces all the symptoms. So try to increase his immunity and avoid any allergen. Give him simple water steam twice or thrice every day. Steam is very beneficial for asthmatic patients. Give him one glass of lukewarm milk along with one teaspoon of turmeric powder every night. If he is not willing to take milk, then you can give him Haridrakhand (ayurvedic preparation of turmeric along with sugar), two teaspoons at night or one teaspoon twice a day with luke warm water. Turmeric is very beneficial in allergic conditions. It helps to relieve his condition. Prepare a decoction of ginger, fennel, a pinch of pepper, holy basal leaves (tulsi) with water and you can add a pinch of sugar in it too. Try to give this decoction once a day. Give him Bresol syrup two teaspoons twice a day for two to four weeks. Give him syrup Septillin two teaspoons twice a day for two to four weeks. You can use all these things with his current medication. All these will help him to relieve his condition. Seasonal asthma or due to some allergen. Avoid allergen if any. After four weeks." + }, + { + "id": 23393, + "tgt": "Kindly advise homeopathic medication for dark circles below eyes", + "src": "Patient: Hello doctor,I have dark circle below my eyes for the past one year due to spending long hours on the computer screen. I have tried several home remedy but it does not work. Kindly suggest me medicine for removing dark circle. Doctor: Hi. I understand having the dark circles under the eyes is very frustrating. Many people, especially women suffer from this problem and mainly it is due to stress and in your case, there is stress on your eyes due to constantly spending time in front of the computer. I have been prescribing several homeopathic remedies in my practice for this problem and have seen very effective results. I would suggest you apply Berberis Aquafolium mother tincture on the dark circle area. You will get this liquid in any homeopathic pharmacy. Just add 10 drops of this liquid in half cup of water, stir it well and apply it to the area. Wash it off after 30 minutes with plain water. Apply this liquid twice a day for 15 days. If possible use screen guard on your computer which will not strain your eyes and thus would help to reduce the dark circles as well. Also, make sure you sleep at least for 7 to 8 hours every day and eat healthy food. Kindly try the above methods and report back in 15 days. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 5602, + "tgt": "What can be done for recurrent sore throat with ear pain?", + "src": "Patient: Hello doctor, I have had a sore throat for about three weeks now. Two weeks ago I have had strep throat and doctor gave me 10 dose antibiotics but my sore throat came back on my left side and it hurts my ear and throat when I swallow still. What could this be? They did a swab for the throat but no strep but what else is this? I have a minor cough. Doctor: Hello. With the conversation I understand that you had suffered sore throat for which swab was done and appropriate antibiotic was initiated. Now again you have developed sore throat, more so on left side, with ear ache while swallowing. Most probably there is inflammation which has not fully got resolved. Since throat tests are negative, we can conclude that there is no active infection. But infectious products may be remaining causing the body to produce counter products (inflammatory response). The same is causing you the troubles. Since the back of throat is connected to ear through the eustachian tube, it pains in the ear also. The local congestion has blocked the tube impairing normal ventilation and drainage of middle ear. I suggest you the following which if you take you will find relief. Anti-inflammatory tablets of Trypsin-Chymotrypsin and Rutopside/Bromelain combination, taken before food twice a day for 5 days. Also painkillers Paracetamol/Acetaminophen appropriate dosage will do. To relieve ear ache and eustachian tube obstruction you may use nasal decongestant drops (Xylometazoline). Take three drops in one nostril and lie down with head tilted towards that side ear 45 degres, the drops will percolate inside to the eustachian tube orifice and decongest the same. Repeat the same in other nostril and do this twice daily for 3 or 4 days. Follow it up with steam inhalation. Also use warm saline gargles few times daily as it soothes the area inflamed and help reduce edema and congestion. I would suggest you stop smoking (if you do), avoid spicy foods and take plenty of hot fluids. If still after 5 days of these measures you do not find relief, it is advisable to consult an otolaryngologist. If you do not find improvement after this then we have to rule out reflux laryngitis, chronic sinusitis and few other conditions which may be triggering constant throat issue in you." + }, + { + "id": 11399, + "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": 4638, + "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": 15437, + "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": 30758, + "tgt": "I bled abnormally along with pelvic pain. Why?", + "src": "Patient: Hello doctor, I had unprotected sex a month ago, but I used I-pill. Also, I had my period two weeks ago. Yesterday morning, when I went to the restroom,\u00a0I bled a lot. It was not a normal bleeding and it was abundant. Also, I have pelvic pain and started to have lower stomach pain. Does that mean I am pregnant? I am 20 years old now. I had a home pregnancy test and it was negative. Doctor: Hi. Incomplete abortion. 1. Serum beta hCG. 2. Ultrasound lower abdomen. Hypothyroidism. Tranexamic acid and Mefenamic acid. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23311, + "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": 15443, + "tgt": "What is the cause for having blood in stool with stomach pain?", + "src": "Patient: Hi doctor, My son is 11 years old. His sonography impression shows the presence of sub-centric, nonnecrotic, pre and para-aortic mesenteric lymph nodes. He suffers from stomach pain and also has blood in stools. Currently, he is taking Mebex and Monocef. His WBC level is above the normal. Please advice. Doctor: Hi. Mesenteric lymph node enlargement can be seen in children without a cause, and it is called as primary mesenteric lymphadenitis. In secondary causes, infections like tuberculosis or enteric fever or viral fever can also cause it. Blood in the stool can also occur due to infectious colitis or ileitis or intussusception. Do stool examination, endoscopy, montaux test, and chest X-ray. Consult a pediatrician soon after doing these tests. The doctor will examine the condition and will treat it accordingly." + }, + { + "id": 5555, + "tgt": "I am having infection in one of the supporting teeth of FPD. What to do?", + "src": "Patient: Hello doctor, I have an accident history which leads to the fixation of FPD in the place of incisors with the support of two adjacent teeth on either side. Recently I got an infection above one of the supporting teeth. RCT has already done on that tooth. I got my x-ray done. I am having a throbbing pain. Currently, I am taking TAXIM OZ (Cefixime 200 mg and Ornidazole 500 mg) one tablet twice a day, Diclomol SP (Diclofenac 50 mg and Serratiopeptidase 10mg) one tablet twice a day and ketorol DT 10 mg (Ketorolac 10 mg) two tablets thrice a day. Kindly suggest. Doctor: Hello. I have gone through your history and OPG (orthopantomogram). (attachment removed to protect patient identity). There is a periapical (surrounding apex of tooth root) infection. I could see two radiolucent lines near the upper third and apex of root, which could possibly be the cause of infection. We need to take a periapical radiograph (IOPA) of that particular tooth as OPG is not showing finer details. When was the root canal done? If it was done very recently, then continue with the antibiotics, it will help to eradicate the infection. Do you have swelling? Do you have pain while biting in that tooth? Kindly reduce Ketorolac dosage. You can take one tablet in the morning and one at night. In between for pain, take Paracetamol. But, continue antibiotics. As once the infection subsides, the pain will go off too. If you have acidity, take Pantop (Pantoprazole) 40 mg, once at night 20 minutes to half an hour before taking food. Apical root fracture or caries near the upper third of the root. IOPA of 12. Periapical abscess due to fracture or secondary caries. Missing 13." + }, + { + "id": 30557, + "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": 28360, + "tgt": "I have an extremely sore throat, and the roof of my mouth and tonsils are swollen. Please help", + "src": "Patient: Hi doctor, I am a 34 year old female, and I have an extremely sore throat, mainly on the left side. The roof of my\u00a0mouth and tonsils are swollen. They are red but do not have any patches. I do not have a fever. I have pain while talking and swallowing. I also have body aches. The throat pain started a couple of days back, but now it is getting worse and the swelling is really bad. I have a swelling in the neck around the lymph nodes. Doctor: Hello. I would like some more detail. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1695, + "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": 28592, + "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": 28789, + "tgt": "My RBC count was high, will this cause blood in urine?", + "src": "Patient: Hello doctor, I had an annual health checkup recently. My RBC count was high, will this cause blood in urine? And my eosinophils, ESR, and calcium levels are high. What needs to be done? I currently take BP and cholesterol medicines. Doctor: Hello. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 622, + "tgt": "I have chest tightness with a history of breast cancer in my family. Am I prone to cancer?", + "src": "Patient: Hello doctor, I am a 39-year-old female. I am fatigued, sluggish, difficulty concentrating, migraines, and difficulty regulating temperature. I have periodic tightness in the chest and fluttering sensation. My EKG, CT chest, and chest x-ray are normal and the COVID test is negative. My Vitamin B12, folate, and vitamin D were low. I started supplements last month and levels are in normal range now, but I still have symptoms. Borderline low white count, ABS lymphocyte count, and slightly high platelets. I was diagnosed with lupus as a teenager but then in the early 20's I was told that I do not have it. My father died at the age of 59 of a sudden catastrophic event, possibly a heart attack. Also my D-dimer was slightly elevated and so was my sedimentation rate. I have a history of cancer in the family, especially breast cancer. So, I am more concerned about cancer. I am currently on \u2028Lamictal, Lexapro, and birth control pill. Doctor: Hi. Your reports are normal nothing seems worrisome (attachment removed to protect patient identity). Since you have a family history of breast cancer, you should get a mammogram done. Also get your BRCA gene (breast cancer gene) tests done. It is a blood test and if it is positive then it means high chances of getting cancer in the future. If it is negative, it is good. Also, you should take supplements and should stop birth control pills, they can also cause cancer sometimes. You should use a mechanical method of contraception like condoms, and should do regular exercises to reduce your weight too." + }, + { + "id": 21144, + "tgt": "Does coughing blood mean lung cancer?", + "src": "Patient: Hi doctor,I have reduced smoking. From past 30 days, I have only smoked maybe 10 to 12 cigarettes and trying to quit smoking. I had a dry cough but it was gone but sometimes I do a cough maybe three to four times in whole 24 hours. But while brushing my teeth today I was cleaning my tongue, I coughed up blood in my spit and then I went to really polluted area dust and smoke of burning tier. I was not able to breathe. Literally not able to breathe. So, I came home on purpose I coughed blood again and that cough was really from inside. I am scared is this lung cancer? But no pain in chest not breathless while running or anything. I am totally fine. No weight loss, I feel hungry. I am totally fine. Please help. Doctor: Hi. I understand your concerns. Coughing up bloody sputum could be caused by many conditions like bronchitis, pneumonia, TB (tuberculosis), or lung cancer. Unfortunately, all these conditions are exacerbated by smoking. Your age, how much do you smoke and for how long? Have you experienced fever recently? Any phlegm? The cough you experienced is due to chronic bronchitis which is very common for smokers. Coughing could be a simple cause of spitting blood. ( sputum with blood streaks). I suggest that you perform chest X-ray to exclude the serious conditions of coughing up bloody sputum. Send me the X-ray for interpretation). For further advice, I recommend that you follow up. 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": 95, + "tgt": "My diabetic father is refusing food for four days now. How to help him get his appetite back?", + "src": "Patient: hello my father who is 62yrs old has diabetes type 2.. Recently, he started not feeling well. He has stopped eating, basically doesn't want to eat or drink anything. He's been like this refusing food for about 4 days now. His blood sugar is anywhere around 250-380 even though he isn't eating anything.. We took him to the hospital and they said it was Neuropathy because he's also experiencing body aches.. My father is extremely fatigued, all he wants to do is lay down and sleep.. Any help on what could be happening? or what should we do to help him get his appetite back? Doctor: Hi, The mentioned sugar levels are too high. The medication dosage is not mentioned. Only Metformin doesn't work for such high levels. He might need insulin too initially to control the levels and then eventually can be on pills depending upon the condition and thorough follow up. Please don't ignore the condition, he must be going into diabetic ketoacidosis. Need to go through immediate blood sugar levels, blood pH, serum and urine ketone levels. I will recommend you to please immediately visit a doctor physically for through examination and complete detailed history. Untill then just follow some preventive measures. blood sugar levels including HbA1C blood pH serum and urine ketone levels SerUm bicarbonate Uncontrolled Diabetes ?Diabetic ketoacidosis ? Neuropathy Excess intake of water to stay hydrated Coconut water Less calorie diet" + }, + { + "id": 6003, + "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": 17996, + "tgt": "I did not bleed after taking Misoprostol. Why?", + "src": "Patient: Hi doctor, I started bleeding heavily after taking Mifepristone. It was not regular periods but thick blood clots, which lasted for a day. On the next day, I inserted a\u00a0Misoprostol in the vagina, as I will be taking one tablet after every 12 hours (in total four tablets). After the first tablet, I got cramps but no bleeding. Now, I am waiting to put one more tablet after 12 hours, but I am worried since I did not bleed after the first tablet. Doctor: Hi. How are you doing? Mifepristone is a hormonal pill which will dislodge the embryo from the uterus, that is the embryo will be will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol 200 mcg orally or vaginally at a time is simpler, easier, and can avoid all the confusion of having it at repeated intervals. But remember, if you are using vaginally, just wet it before keeping the tablets, or else they will not dissolve and will have no effect. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7085, + "tgt": "How to take a decision without affected by wavering mind?", + "src": "Patient: Hello doctor, Unable to decide due to mind wavering. Need to shift a house from one place o another place, however since I got used to the present home for 3.5 years, I do not feel like moving. Have fear in my mind on how will it be. Whether I will get set to this new place, etc. Hence due to this unable to decide whether I should move or not and has been thinking it for the past two weeks all the time. Doctor: Hello. I can understand your predicament. A wavering mind can be a sign of anxiety in this context. Have you always been a worrier, or is it something new? Moving houses is known to be a stressful event in one's life. Many people face the same stress in such situations. It is natural to be somewhat anxious about leaving the comfort of a known place and moving to a new house. But with some reasoning and support, you should be able to come to a conclusion and move forward.Did you discuss with your family or friend about the pros and cons of shifting? It can be easier to make a joint decision if you are struggling on your own. Once you decide to shift, go ahead. Accept that you will feel anxious for some time but should settle in due course once you become familiar with the new place. Try relaxation strategies. Practice deep breathing. Exercise regularly. Talk to trusted people. If anxiety about uncertainty is affecting your life significantly, you can also consider therapy and counseling. I hope this helps." + }, + { + "id": 17421, + "tgt": "What could the pain in my scrotum in the spermatic cord region be?", + "src": "Patient: Hello doctor, I am a 32-year-old male with a weight of 58 kg and my height is 5 feet 3 inches. I have been married for six years. I have two children. I had yellowish like liquid discharge from my penis a year ago with burning while urinating. I consulted a urologist and he prescribed me Norflox 400 mg for one week and after which it went away. This month, I had pain in my scrotum in the right spermatic cord region above the testicle. My urologist told me to have sonography. My sonography report concluded \"diffuse thickening at the right spermatic cord region.\" Otherwise, the report is normal. The doctor prescribed me Cefixime 100 mg and an anti-inflammatory tablet for 10 days. My pain decreased about 60%. A week ago, I had masturbation and I had pain at the same place in the scrotum. I had taken a urine culture test and I have attached the report. My question is do I have sexually transmitted diseases or urinary tract infection? Can I please know what to do? What medicines should I take for a permanent cure? Doctor: Hello. I have gone through your symptoms. You seem to be suffering from an infection in your spermatic cord that is the cause of your scrotal pain. This is treated with antibiotics but the duration of treatment is usually for two weeks or more. The pain you have on masturbation is due to the inflammation of the spermatic cord through which the sperms come out into the urethra. I would suggest you keep your scrotum elevated with a tight underwear for pain relief. It would also be necessary to make sure that the infection has been cleared by testing both urine and semen for infection as your symptoms are not resolved. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27579, + "tgt": "How to know if someone is depressed?", + "src": "Patient: Hi doctor, How do you decide if someone has depression or any other mental disease? How to differentiate it from mental retardation? Can it be the reason that he or she does not find anything interesting or exciting enough? Doctor: Hello. Thank you. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 15776, + "tgt": "Can my symptoms of ringing in ears and mild headache be due to brain cancer?", + "src": "Patient: Hello doctor, I am a 19-year-old boy since the last six months. I am feeling physical symptoms like a tight band wrapped around my head anytime, tightness and pain in the neck, ringing ears, stuffy nose, sneezing, upset stomach, bloating, gas, back pain, eye strain, red eyes, mild headaches above eyebrows, tense muscles, sudden chills, shivering, sometimes sweating, dry mouth, nausea, weakness, constant feeling of having a big disease like a brain tumor, cancer. I had done MRI brain a few months back and the report was normal. But after I again start worrying that I have got a brain tumor after MRI. I cannot concentrate on my studies. I am anytime worrying. Please convey me that how much time is needed for a brain tumor to grow. Does it grow in a few months? I have spent a lot of money on the scan reports. Everything is normal. Please convey me. Doctor: Hello. Your brain MRI is perfectly normal, so we can completely exclude any possible brain tumor. In my opinion, your symptoms are compatible with a tension-type headache, which is a benign type of headache related to psychological stress. I recommend performing yoga and regular physical activity." + }, + { + "id": 30137, + "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": 3915, + "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": 23830, + "tgt": "I have urinary incontinence, pain and swelling in groin lymph nodes. Kindly help", + "src": "Patient: Hello doctor,I am 34 years old male. I started having incontinence problems about 4 to 6 months ago (cause unknown). It began with issues only happening at night while sleeping. A month ago it had progressed to occasionally not even being able to make it to the bathroom before I began to pee. Then, about four weeks or so ago, while having sex with my girlfriend, I ended up with a fairly large cut or tear right underneath the head of the penis. It has happened before.About 2 to 3 weeks ago I somehow ended up with a UTI and yeast infection. For whatever reason, I have not taken it seriously (major depression) and two nights ago I started having pain (then ended up realizing these were little white ulcers that have since begun to spread rapidly). They are under the head of the penis, on my scrotum, and also on the shaft of my penis. Along with that, last night I realized the lymph node in my right groin was significantly swollen and painful as well. Today that became my lymph node in both my right and now my left groin as well.)Finally, when I woke up today I had a huge swollen ring of skin, underneath the head of my penis, along with everything else. I have had this same swollen ring one time before in my life. It is seriously swollen and more ulcers are on that skin as well. I did a bit of looking at pictures online and I found a condition that is very similar looking (as far as the swollen ring goes,) called paraphimosis. However, I have been circumcised since I was a baby. So I am not thinking that is it. Anyway, I am in fairly severe pain and I am worried about the lymph nodes in my groin (left and right) being swollen, that there is some bad infection spreading in my blood throughout my body. I guess I could be simply paranoid but I went from ignoring this to now freaking out. So I do not believe that this is the case. Please help. Any ideas or thoughts or suggestions? Currently, I am on Xanax, Adderall, Prozac, Abilify, Cymbalta, Suboxone, and Atenolol. Doctor: Hello. Relax and do not worry. I have some questions for you as follows: If possible send me more broad view images of ulcers and penis and of lymph nodes if are visible. I think you are suffering from STD (sexually transmitted disease) due to chancroid or lymphogranuloma venereum. You require STD screening test to properly diagnose the type of infection (STD) you are suffering from. If you do not want the test, then I would suggest you start empirical treatment as follows, but with your doctor's consent: The above drugs will cover the majority of STD infections. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19851, + "tgt": "Please suggest ayurvedic medicine for vertigo and spermatorrhea", + "src": "Patient: Hello doctor, My age is 31, unmarried. Vertigo will come whenever I go out from home or in public and have stage fear. In the home, no vertigo will come. In public it is more. I am suffering from severe vertigo, hair fall (baldness) for seven years. I used to masturbate most of the times due to which I feel like there is no semen and severe vertigo while walking and not able to drive vehicle. Vertigo is spoiling my daily living. Please tell me medicine name to remove vertigo, spermatorrhea, seminal discharge while talking with girls and to increase semen count. Currently, I am taking Vertin 16 mg for vertigo as needed, but it gives relief temporarily. Doctor: Hi. I have read your complaints carefully. It seems like motion sickness. But sometimes weaknesses also causes such kinds of issues. You should take the following medicines and follow all instructions. Weaknesses. Blood pressure, blood sugar fasting and PP (postprandial), CBC (complete blood count). High blood pressure, neck pain. Take Ashwagandha powder 3 gm twice a day with warm milk after meals. Quit masturbating and watching erotic movies, etc. Avoid spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Do regular pranayana like anuloma vilom, nadi sodhan and bhramari. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 199, + "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": 9723, + "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": 8182, + "tgt": "I have pain in the right side jaw while having food. Why?", + "src": "Patient: Hello doctor, My right side jaw is paining while having food. On consultation, I was advised for physiotherapy. What could be the reason for it? Doctor: Hello. There might be several issues expected, 1. As you mentioned if there is only jawline problem, then you should have physiotherapy and warm massage at TM joints (tempero mandibular) at the junction of the ear when you open your mouth, it can be felt quickly. Do warm massage for 10 days, twice a day this will relieve symptoms definitely if it is because of the joint. Try not to yawn or open your mouth big, do eat with a spoon, do not have rice with hand. These will relieve jaw pain. 2. If the symptoms do not get better with massage and exercise, and you are having pain in some tooth, then you might be having some infection in the tooth that needs root canal treatment or extraction. If you can provide me with OPG X-ray of your jaw, I can tell you the exact diagnosis and the treatment plan. Tell me about symptoms as well, do you feel more pain at night as compared to day time? Are you feeling hot and cold sensations? Tell me details so I could figure out the root cause of your pain." + }, + { + "id": 18750, + "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": 15951, + "tgt": "What can be done for chronic cough?", + "src": "Patient: Hello doctor, I am suffering from a cough since last six months. What should I do for curing my disease? Doctor: Hello. A chronic cough can have different causes. It is important to know if it is mostly in the mornings and you have symptoms of gastric reflux (this is the most common cause). We also need to asses if you have other symptoms like eye or nose itchiness or a runny nose (this could be allergic). If you smoke you could be starting symptoms of COPD (chronic obstructive pulmonary disease) or chronic bronchitis. Last, we need to know if there are other important symptoms like weight loss or night sweats. The treatment will depend on the cause." + }, + { + "id": 16451, + "tgt": "What is the remedy for oily face and scalp?", + "src": "Patient: Hello doctor, I have some questions regarding sebum, DHT, and overall severe oily face and scalp. Doctor: Hello. I have read your query and gone through the list of medications that you are using. According to your complaints, you are suffering from a condition called seborrhea (attachment removed to protect patient identity). Seborrhea is due to excess production of sebum (an oily secretion produced by sebaceous glands of skin). You can manage it by using face wash twice daily with glycolic acid based face washes. Also, you can apply a moisturizer cream such as Cetaphil moisturizing cream twice daily. You could take an Alcet or Clarigen tablet (Levocetirizine) tablet at bedtime if you suffer from itching. Excess sebum secretion. Seborrhoea. 1.Glycolic acid face wash twice daily. 2.Moisturizing cream application twice daily. Frequent patting of the face with a dry towel." + }, + { + "id": 27031, + "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": 13251, + "tgt": "What could cause brown vaginal discharge?", + "src": "Patient: Hi doctor, I am a married, 27 year old female. For the last two months, my cycle was like 35-36 days cycle. Now for the past two days, I am having brown color discharge from the vagina, but not always. I had intercourse until 10 days back. What could be the reason for this discharge? Please advice. Doctor: Hi. I understood your problem. It seems that you are suffering from hormonal imbalance. Did you recently take any new medication? Or are you undergoing any stress which can cause this? It does not seem like a pregnancy issue as that would not cause a brown discharge so early. Besides it is highly unlikely to get pregnant by intercourse on 22nd in a cycle of 35 days. You can take hormone pills for two to three months to stabilize your hormones, and the problem should resolve. But before I prescribe you the medicine, I would like to know if you are under any medication? Have you got any test done for the same?" + }, + { + "id": 24932, + "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": 12653, + "tgt": "Can my stretch marks be cured?", + "src": "Patient: Hi doctor, I am 21 years old. My main concern is, I have a lot of stretch marks on my body. I had them on my shoulder and thighs since I was 10 years old. Now, I have them even on my belly and biceps area. For the past three months, I have been working out. I do not feel it is because of working out. Please have a look at the pictures and let me know if they can be cured? What other alternatives do I have? Kindly suggest. Doctor: Hi. I have checked the photographs (attachment removed to protect patient identity) and noticed that you have a lot of old stretch marks on your shoulders and abdomen. I would suggest you start topical application of Tretinoin cream 0.1% on the stretch marks daily at night. Use it for at least for a period of six weeks and check for any improvement. In case you do not achieve the desired results, then you can go for laser treatment. In chronic cases, Nd: YAG (neodymium-doped yttrium aluminium garnet) laser and fractional photothermolysis will be used. 1. Seen in adolescence and associated with rapid increase in size of particular region. 2. In weightlifters it is seen, when their muscle mass increases rapidly. Striae atrophicans." + }, + { + "id": 17914, + "tgt": "Can I start bodybuilding at the age of 18? Will this stop me from growing tall?", + "src": "Patient: Hi doctor, Can I start bodybuilding at the age of 18? Will this stop me from growing tall? Doctor: Hi. I advise you to start sports first and after a year or so, you can start going to the gym. This is because men grow in height till 20 years and after that, the growth stops. Until then, be inclined towards sports like basketball, jogging, running, bar pull-ups till 20 years of age. All the above-mentioned sports will help you increase your height. They also give you a muscular body." + }, + { + "id": 20672, + "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": 8267, + "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": 17794, + "tgt": "While breastfeeding, which medicine can I take for cold?", + "src": "Patient: Hi doctor, I am 31 years old. My height is 5'9\", and weight is 68 kg. Currently, I am not taking any medication. I am breastfeeding my nine months old on demand during the night and three to four times during the day. My classic symptoms of cold started at the weekend. I had a mild sore throat, blocked and runny nose, headache, cough and tiredness. This morning, I woke up with chest pain on the\u00a0left-hand side and it lasted for about 15 minutes. It was muscular type cramp-like pain. It has not reoccurred. Although nasal congestion has eased, still feeling weak and have a chesty cough. I am due on a 4-hour flight tomorrow night with my nine months old son. Is it safe for me to make this journey while feeling like this? Is there anything I can take considering I am breastfeeding? The purpose of the trip is to visit my father-in-law, who has stage 4 lung cancer. He has been receiving radiotherapy, which ended last week and is now at home for a week before he starts chemotherapy. We are due to stay in the same house, but I am afraid of passing on any germs. Will I still be contagious? He is very much looking forward to see his grandson for the first time. Doctor: Hi. Upper respiratory tract infection. Revert after five days to a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23579, + "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": 11740, + "tgt": "Can I take nasal steroid spray to treat nasal inflammation and clogged ear?", + "src": "Patient: Hello doctor, I had inflammation inside the nose and ear clogged. I had water in the ear, and it went away, but I still feel some balance issue. I am currently under nasal steroid spray. Doctor: Hello. I need some details to understand the problem. Do you have postnasal discharge, if so what is the color of it? Do you have a nasal blockage? Do you feel better with corticosteroid spray? Please describe your imbalance. Does it look like spinning, a sensation of rotation, or just dizziness but you can still walk independently?" + }, + { + "id": 17835, + "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": 8669, + "tgt": "Are there any side effects in using nutrigain?", + "src": "Patient: Hi doctor, I am having thyroid problem. I would like to use nutrigain powder. Are there any side effects in using it? Doctor: Hi. There are many ayurveda products available in the market to gain weight. All products contain the same ingredients as the nutrigain has. I do not know whether these products are expected to clear quality assurance or not and the reason is to consider the steroid mixture. To gain weight and manage your thyroid follow natural way instead of taking any kind of products." + }, + { + "id": 1433, + "tgt": "Will banging head against wall lead to ADHD?", + "src": "Patient: Hi doctor, I am not living together with my husband and we have a six year old boy. My child is living with my husband only. He used to meet me for some time and tell all the information what he had done. Before four years, when he was 2 years old, he said that, my husband banged my son's head five to six times on the wall and made his nose bleeding. Now, we got to know that my son has ADHD. Now, what should I do to know whether my son is fine or not? Doctor: Hi. First of all, let me tell you that you are doing a great job managing a kid with ADHD along with some family issues what you had mentioned. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist Clinical examination by a pediatrician." + }, + { + "id": 27682, + "tgt": "Can fever and joint pain occur due to TB?", + "src": "Patient: Hi doctor, My daughter, who is 7 years old, is on ATT for the last five months. She had fever and knee joint pain on the right side for over one and a half month. Mantoux was positive and CT and x-ray showed hilar lymphadenopathy. Bronchoscopy, GL, bone marrow and CSF were done, but no AFB found. Malignancy also ruled out. Based on Mantoux and CT, ATT was started. Still fever persists though it was better for a few days after starting ATT. The fever used to be low grade and rising high at times and we had to give her Paracetamol. When she has a fever, she also has pain on joints such as knee joints, shoulder joints and sometimes, on sole. Once, she had a high fever of more than 101 degree Fahrenheit and she complained of acute pain in left knee and right shoulder joint. The fever did not go fully even after giving PCM 250. By the evening, the fever has gone completely and so was the pain. She was very active the next day. Again, she had some fever after two days. In the last 8 days, we did not give her PCM, but of course there have been low grade fever every third day like which goes again and she is still having problem with stairs (walking down). Also, we have noticed that her palms are hot most of the time. While holding her palm it feels so hot as if she is having high fever, but her forehead is relatively cool. She has hot palms even when she is not having a fever.\u00a0I just wanted to know how long the fever will persist after starting ATT? What is the reason for joint pains? Sometimes, during fever, she develops nodes and red rashes in her sole, which is very painful. I have attached the photographs for your reference. Also, I have enclosed the test results of various investigations.\u00a0Please give your opinions. I am really worried. Doctor: Hello. Tuberculosis is a worrisome disease. As the kid has been already diagnosed with it and you have already started treatment, the symptoms should start resolving by now, since it has been two months already. If symptoms not resolving we should think of medication not being taken properly or regularly. Tuberculosis organism is very strong and has developed resistance to the medication being used. This is called multidrug resistant TB, which needs to be identified and treated with different medicines. This kind of TB is dangerous. Please consult your doctor there and they would guide you. The cause of fever could be something other than TB. She will need blood tests to rule out other infections. The joint infection, redness and painful rash can be caused by TB. TB can affect any part of the body. Some other conditions like rheumatoid arthritis and similar kind of autoimmune diseases need to be looked for. They will need special investigations. As for the rash, it usually disappears after a few weeks if it is TB related. Sometimes, we need to use steroid medications also. Better advice can be provided by seeing the child. You can follow up with your doctor and sometimes other specialists like dermatologist or rheumatologist might be involved. Tuberculosis. CBP (complete blood picture), CRP (C-reactive protein), ESR (erythrocyte sedimentation rate) and blood culture. Rheumatoid arthritis. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20390, + "tgt": "I have pain in anus while passing stools. Is it hemorrhoid?", + "src": "Patient: Hello doctor,I am feeling pain in my anus while passing stool, feel like have developed hemorrhoids. Please suggest. I am 37 years old. Doctor: Hello. First thing is your stool should be soft. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Cremaffin plus 15 to 30 ml bedtime to maintain your stool soft. Second, you can use 2 % Lidocaine gel before each stool so as to relieve pain. It is better if you can get examined by a local doctor to confirm the diagnosis." + }, + { + "id": 9565, + "tgt": "Can lateral internal sphincterotomy be used to treat recurring anal fissures?", + "src": "Patient: Hello doctor, I have had reoccuring pain in my anal for about 10 years. It stays for about 2 to 4 weeks and then it is good for 1 to 4 months. First, I thought it was hemorrhoids but then a specialist diagnozed it as an anal fissure. I am 29 years old, male, eat super-healthy and exercise. I have read about all possible natural treatments and have tried them (fiber, sitz baths, etc.) but the pain always comes back. What are my options? Would lateral internal sphincterotomy heal these reoccuring anal fissures? I also took pictures of my anal yesterday which I would like to have a specialist looking. One while a bowel movement (and bath and shower) and one the next morning. Doctor: Hi. We are here to help you. I have evaluated your reports and medical history (attachment removed to protect patient identity). As such there is no indication for surgery at this point of time until and unless your pain frequency increases a lot. If it is happening once in 2 to 3 months for a few days then it is bearable. I do not think surgery is required. At that time you can apply Lignocaine containing jelly for a few days and it will soothen your pain. As far your query is concerned, yes lateral sphincterectomy can help you." + }, + { + "id": 1771, + "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": 5912, + "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": 11759, + "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": 11466, + "tgt": "Daughter has got red itchy bumps due to mosquito bite. What can I do to help her?", + "src": "Patient: Hello doctor, My 2-year-old daughter had been eaten up by mosquitoes, and those areas are red, bumpy, and some have red rings around them. These bumps are itchy to her, and they look infected. Does that mean she is allergic and what can I do to help her? Doctor: Hello. This is the normal reaction to mosquito bites. Please wash with soap and water and apply Cortisone cream (Hydrocortisone) two times a day for three to five days. You can also give about 2 ml of Benadryl (Diphenhydramine HCl) once a day as needed for itching. Please use full sleeve shirt and pants when moving outside. You can also use insect repellant lotion to prevent mosquito bites next time. If the rash does not get better in five days or gets worse, please see a primary doctor for evaluation. Mosquito bite." + }, + { + "id": 24432, + "tgt": "Which anti-anxiety and insomnia medicine will not raise blood pressure and heart rate?", + "src": "Patient: Hello doctor,One of the doctors (DM) prescribed me XeFexor Duo (combination of Flupentixol and Escitalopram) for psychosomatic symptoms due to persistent anxiety. All my tests like TMT, 2D echo, 48 hours Holter monitor, ECG, kidney or liver tests, blood tests, vitamin tests, etc are normal. I read the side effects of Flupentixol like thrombosis, embolism, QT prolongation, etc., and I am little nervous about this medicine. I am yet to start it. Are Flupentixol and Escitalopram safe and effective for anxiety induced somatic symptoms? I am currently taking Metoprolol Tartrate (50) twice a day, Amlodipine 5 mg (twice a day) and Atorvastatin 10 (once in the night). For insomnia one of the general physician (MD) prescribed Mirtazapine 7.5. I have been taking Mirnite 7.5 for last 3 months. I was convinced about Mirtazapine safety and decided to give it a try. It makes me sleep though quality of sleep is not great. What is your opinion on XeFexor Duo? Do you recommend any other medicine for persistent anxiety and insomnia? I need something that should not increase my BP and heart rate. My BP is very much controlled (less than 110/80) and resting heart rate is normal too (70). Doctor: Hello. You must understand that there is a difference between potential side effects that are reported with the drug and commonly seen side effects with a drug. While the side effects that you mentioned have been reported in the literature, they are not common and I have not seen any of my patients having them while on the medicine. Still, this does not mean that there is no risk of having them. But the risk is minimal and almost every medicine (psychiatric or otherwise) has a risk of developing some or the other side effects. I use it for anxiety and psychosomatic symptoms in my patients and I find it effective. However, it may not work for everybody. The only way to ascertain is by taking it for two to four weeks. By the way, Mirtazapine at a dose of 15 to 30 mg is also effective for anxiety and psychosomatic symptoms and you can ask your doctor about it. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2916, + "tgt": "I get pain during intercourse with white spot on the inner side of vulva. Please help", + "src": "Patient: Hello doctor, I am experiencing pain during sex during three separate sexual encounters over the last few months. No sex in between these encounters. Upon recent inspection a white spot was noticed on the inner portion of the vulva which seems to be the source of the pain. Outside of sexual intercourse, there is no major symptoms but may have slight discomfort. I have used Canesten topical ointment for 14 days and experienced some relief but did not resolve. Doctor: Hi. Image is not much clear. (attachment removed to protect patient identity). But looks like some inflammatory changes. There must be vuvlovaginitis or Bartholin gland infection. If previously, there was no pain during sex and now pain is there then there should be some problems there. There may be skin infection or hair follicle infection. Paraurethral glands are there. UTI (urinary tract infection) also can give pain. There is one chance your partner may have some problem. Do urine routine and culture sensitivity report. Do one ultrasound scan of perineum to find out any cystic swelling. Keep the area clean. Drink more water. Change pads more frequently during menstruation. Can take tablet Doxycycline 100 mg for seven days, Azithromycin 1 gm one time for two days. This is empirical treatment. For diagnosis, we have to do some test and need to see clinically along with per speculum examination. Can take any antacid to prevent acidity. Avoid oily, spicy food. I hope this helps." + }, + { + "id": 26750, + "tgt": "Developed a blister on the lip. What is it?", + "src": "Patient: Hi doctor, I have a blister on the lip, which developed in the morning today. My medical history includes hypothyroidism, and I am on regular medication for the same. Here, I have attached the photo. Doctor: Hi. Revert with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6770, + "tgt": "I am suffering from extreme levels of thinking. How to deal this?", + "src": "Patient: Hello doctor, I am 18 yrs old, and I want to know what is my mental illness because here in my country, consultation in hospitals is very expensive. The things that I am concerned about are: 1. I can not control my anger. It started even when I was a kid; I always had tantrums until now. 2. I always feel sad and sometimes I feel nothing. And I am not interested in doing something like going to school. 3. I do not have close friends. I had, but I always separate myself from them because they make me angry. 4. I harm myself. It started when I was in highschool, and I stopped it when I was in my senior year because I had a new way of expressing my emotions, which are drinking, having piercings, and tattoos (even though I am not in the legal age). 5. I have a suicidal feel. I tried to commit suicide for the past few weeks, and I am still planning. 6. I always have mood swings. 7. People cannot control me when I needed something. 8. I don't like people, and I rarely empathize with others. I don't express my emotions or have empathy for others. I don't know why I am like this. Please help me. Doctor: Hello. I can understand your condition, but here you are not at the level to understand your condition because you have two extreme levels of thinking, which are called \"All or None,\" \"Black or White,\" \"Good or Bad\" these feelings are called, dichotomous thinking. This reflects borderline personality symptoms in which a person feels a chronic feeling of emptiness, impulsive behavior, sometimes over expectations and some times zero expectations, deliberate self-harm to control anger, or frustration and to calm down, and then guilt, depression and behavioral issues are common. The patient may go into multiple relationships, conflicts with family and family issues, or family history of psychiatric illness. In this condition, you need psychiatric consultation, which is urgent at this time because of your suicidal thoughts and behavior. Talk to your family, tell them your feelings and go to the psychiatrist as soon as possible." + }, + { + "id": 19209, + "tgt": "My kid was vomiting frequently and now has loose stools. What can be the issue?", + "src": "Patient: Hello doctor, My dear daughter just completed 1 year yesterday and still on breastfeed (twice, a full day) along with normal food. She is lactose intolerant and was hypocalcemic (less calcium) by birth. Her doctor gave her OstoCalcium and retested after six months and she turned to be absolutely fine with calcium levels and other reports. The doctor advised going off the medicine. Now the complaint is; from last Friday, she was vomiting frequently three times. She was on breastfeed and her mother was having super acidity. On Saturday, we did not make her consume breastmilk and she was fine. On Sunday, we went for a wedding and while to and fro in the car she was vomiting. After that, there was no vomiting. She is very active but very restless (like throwing anything in hand, continuously trying to chew something specifically her own finger and looking to drink water more than normal, suddenly crying and then stops and starts behaving normally). Today, she did watery potty twice and we have her Peditrol ORS. What can be the issue? Please suggest, we are perplexed as the symptoms keep on changing each time. Is she teething? Doctor: Hello. Do not worry so much. What you are describing seems to be gastroenteritis. Continue the same medications which are going on. Watch for lethargy and dehydration. The matter should settle in two to three days. I suggest giving Enterogermina respule (probiotic vials), one respule twice a day for three to five days for faster action. Consult your child's specialist doctor, discuss with him or her and start taking the medicines with their consent. For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 20733, + "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": 14458, + "tgt": "Can being a vegan cause anemia with high vitamin B12 level?", + "src": "Patient: Hi doctor, I have been a vegetarian for over two years, and a vegan for about three months. I had my bloodwork done this past week, and the numbers were confusing. I have had anemia in the past, and it was thought to be due to my ulcer, which I take over the counter medicine (which I was told now to make absorption difficult). I stopped being anemic about four years ago, but these numbers look like I am there again. But my B12, which is what I was actually most concerned about has been having symptoms of deficiencies, but my number was 1353, way above the highest end of the spectrum. So I am all over the place, and my regular doctor is out on medical leave. Thought I should have some information before I talk to a stranger. He has already recommended stopping being vegan. I reminded him I also had gastric bypass surgery 15 years ago, so that combined with an ulcer, anti-ulcer medicines, vegan and surgery seem to be culprits, but I need direction. Oh, since becoming vegetarian, then vegan, I have gained almost 50 lbs, not good. I do not see an upload option, so I will just write some of the numbers. B12 1253, folate 33.1. iron and TIBC 36 and 453, transferrin saturation 8 %, hematocrit 34, hemoglobin 10.3, ferritin 5 ng. Doctor: Hello. I have reviewed your query and below is my advice. The peptic ulcer can lead to minor bleeding in the intestinal tract and so anemia can develop due to it. For ulcer healing, Rabeprazole like antacid can be prescribed for 2 to 4 weeks. Stool routine micro examination and occult blood test are done to rule out parasitic infestation and minor bleeding from the gastrointestinal tract. Your CBC and iron profile are suggestive towards iron deficiency for which Orofer XT like Ferrous ascorbate containing medication can be prescribed for two to three months. For high B12 level, you can investigate further with SGOT, SGPT, urea, creatinine estimation to rule out liver and kidney disease. In these diseases, excretion of B12 is affected and so level can be high. The other cause for high B12 is a myeloproliferative neoplasm. For that, you can investigate with full CBC and peripheral smear examination report to check if any abnormal cells are present or not. In this portal, you can always upload report while asking the question. Hope this will help you while you consult the doctor. I would be happy to help you further whenever needed. Best regards." + }, + { + "id": 14043, + "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": 12674, + "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": 12843, + "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": 28028, + "tgt": "I am unable to get an orgasm of late. What could be the reason?", + "src": "Patient: Hello doctor, I have been unable to achieve an orgasm lately. It started disappearing midway during sex with my husband. Now I just cannot get one at all. I have not been able to self-pleasure in years, and I have never been able to get an orgasm via oral sex. I have always had great sex with my husband, and we have been together for over nine years. I do not know what is going on. I am looking for some insight into my problem. I am not on any medication for any condition. Doctor: Hello. Hope this solves your query. Feel free to ask, if you need further clarifications. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10688, + "tgt": "Why do I get wrinkles on the glans penis after using Lobate cream for pimples?", + "src": "Patient: Hello doctor, I got a little tiny pimple on my penis glans it vanishes when I use on ointment Lobate GM, and my glan skin seems to get a wrinkle, and it is not smooth anymore. I do not know what to do? Please help. Doctor: Hello. Lobate gm (Clobetasol, Miconazole, Neomycin) cream contains a steroid, and because of continuous application, your skin gets thinner. I hope there are no pimples at present on your glans. If you have pimples or any rash, then you should consult a dermatologist. Apply two drops of coconut oil after bath and at night time after cleaning your glans with water. Do not use any soap over glans." + }, + { + "id": 21056, + "tgt": "My RNFL report shows borderline changes. Do I have glaucoma?", + "src": "Patient: Hi doctor, My ophthalmologist had detected a suspicion of glaucoma more in my right eye compared to the left eye and have optical nerve cupping of 0.4 in left and 0.6 cupping in the right. I had undergone LASIK surgery before six months. In tonometry, I had IOP around 17 (puff test). My report for RNFL analysis has shown borderline changes. Doctor: Hi. I have gone through attachment (attachment removed to protect patient identity). As you have already said, there are few variations in your OCT (optical coherence tomography) RNFL (retinal nerve fiber layer) test more on the right eye compared to the left. So, you are advised for visual field tests and diurnal variation test. As you have done a suspicious disc with 0.6 and 0.4 CDR (cup to disc ratio) but had normal pressures, so your doctor has asked you to do RNFL test as he suspected an entity in you called normotension glaucoma. The results were shown to be in borderline. Hence, your doctor has advised you to do more tests to know the functional status of your optic nerve. One of them is the visual field test. It detects the amount of the word that is perceived by you at a given instance. The second test is done to identify variations in your intraocular pressure overnight. These are more specific tests for glaucoma and can help to monitor your condition better. There are chances to show few abnormalities in these two tests apart from RNFL. You still need six more months to monitor and repeat testing before you get started with eyedrops for your condition. Normotension glaucoma is a chronic and progressive disease. Its diagnosis and monitoring need accurate documentation of your optic nerve function over a prolonged period. Hence, repeat testing every six months." + }, + { + "id": 12753, + "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": 30804, + "tgt": "Does my wife have breast cancer?", + "src": "Patient: Hi doctor, My wife noticed a small lump in the left armpit. We went to a gynecologist and she said nothing to worry as the lump was painful. With her medicines, the lump became small, but did not completely vanish. So, we went to a general surgeon. She found two lumps in the breast and referred for a scan. My wife has been taking Vitamin D supplements for the past two months and it was prescribed by an orthopedician. I have enclosed her reports. Does my wife have breast cancer? Doctor: Hi. Hormonal and developmental. FNAC optional. Observation. For further doubts consult a surgical oncologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 22245, + "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": 13399, + "tgt": "Can I get birth control surgery done along with C-section?", + "src": "Patient: Hello doctor, Is it possible to do birth control surgery also during C-section during delivery? Doctor: Hello. Yes, you can opt for tubal ligation during cesarean section but you have to give consent for the same prior to the cesarean. Usually, the doctor proceeds with the ligation only after the pediatrician confirms that the baby is doing fine. If not, then you are being informed on the table and the doctor usually avoids the procedure in good faith considering the condition of the neonate. The procedure can then be performed after six months to nine months by laparoscopy once the child has been found to be growing healthily." + }, + { + "id": 27971, + "tgt": "I have jaw pain which is radiating to my arm. Is it a cardiac or TMJ problem?", + "src": "Patient: Hi doctor, I am a 34 year old female, and I have had some palpitations. I\u00a0was diagnosed with very mild MVP, about five years ago. I go yearly for an echocardiogram. I had my annual heart checkup beginning\u00a0this year, and I redid an echocardiogram again, and a stress test on the\u00a0treadmill, and also wore a Holter monitor. All came back normal. I am afraid that something is wrong with my heart. Yesterday, we were driving back from a trip, and my left lower jaw had intermittent pain, which was radiating to my arm. The pain was on and off for about half the day. Today, my entire jaw, forehead, neck, and upper back are sore. It scares me that it is heart-related. I have also been diagnosed with TMJ problem, and I wear a mouthguard for it. What do you think? I am very active, and I run every week. What would those tests show? Will they show potential problems with the heart? Doctor: Hello. I have read your complaints, and there is no need for worry. Best regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30143, + "tgt": "Do you recommend surgery for my prostate cancer?", + "src": "Patient: Hi doctor, I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four months after the second biopsy, PSA was 16.\u00a0My doctor recommended an MRI based upon the elevated PSA. An MRI was done 2 weeks ago. Prostate volume 81 cc and two lesions were found. First lesion measuring 0.7 cm x 0.6 cm x 0.7 cm, Pi Rads 4, well contained mid gland and the second lesion 1.2 cm x 0.6 cm x 0.7 cm, ungraded, margins not sharply defined and a slight bowing of the capsule. I have had intermittent infections after the second biopsy and been on a three regimens of antibiotics. I have also experienced retrograde ejaculation after second biopsy. I am thinking that the second biopsy caused my elevated PSA (5 to 16), swelling of my prostate and perhaps I can remain on active surveillance with antibiotics since the MRI showed my cancer being well contained.\u00a0I am wondering if I should have surgery as recommended by my urologist to remove my prostate. Doctor: Hi. I have gone through your details. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21366, + "tgt": "Why do I have hyperpigmentation with irregular menstrual cycle?", + "src": "Patient: Hi doctor, I am 29 years old female. I have two babies through C-section. I have hyperpigmentation on my face with the irregular menstrual system. Doctor: Hi. Hyperpigmentation with irregular cycles mostly follows hyperandrogenism. It may occur due to PCOD (polycystic ovarian disease) and CAH (congenital adrenal hyperplasia). Do you have excess hair growth on the face? And the hair is being coarse, with dark hair? Hyperpigmentation is due to severe hormone imbalance which is mainly triggered by the androgens in your body. So an analysis of the hormones and correction of the same will help to regain regular cycles and reduce pigmentation. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5296, + "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": 18353, + "tgt": "My breast milk is not sufficient for my 33 days old son. Can I give him powder milk?", + "src": "Patient: Hi doctor, My second baby boy is 33 days old. I am\u00a0breastfeeding him from birth, but now the breast milk is not sufficient for him. What should I do now? Shall I go for milk powders? Or is there any other way to increase breast milk production? Kindly advise. Doctor: Hi. If all above methods fail, please see a lactation consultant. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 21303, + "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": 28055, + "tgt": "I have severe itching in the groin area. What should I do?", + "src": "Patient: Hello doctor, I have itchy boils on the scrotum and groin areas. During the day, I feel too itchy, and due to the itching, I have developed rashes which are painful. When I try to break them, it starts to bleed. Sometimes, I have the itchiness during the night as well. I have attached an image for your consideration. I have a similar itchy problem around my anus too, and I feel that the skin around that area is very dry. Earlier, I had similar boils around the anus which eventually subsided, but I do feel itchy at times. Currently, I am using Lulizol\u00a0cream and Diominic SR tablets, but, I do not get the desired relief, though it is\u00a0slightly\u00a0better than when I was using the Candid B cream. Doctor: Hello. I have read your query and seen your picture (attachment removed to protect patient identity). It does look like a fungal infection. Due to the application of steroid-based products, the clinical picture has been altered. The use of a steroid-based product for a fungal infection aggravates it. Few of those nodules which appear raised can be molluscum contagiosum, a viral infection. But, clinical examination is necessary for conclusive diagnosis. Apply Luliconazole 1 % cream once daily and Miconazole 2% cream once daily. Take tablet Terbinafine 250 mg twice daily after meals for 15 days. Do not touch or break the boils. It can lead to a secondary infection. Do not use Candid B cream. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 20523, + "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": 29949, + "tgt": "My father has a problem of shaking hands. What is causing it?", + "src": "Patient: Hi doctor, My father, who is 71 years old, has a problem of shaking hands for the past 4 to 5 years. It is gradually increasing. What is the cause and how to get the treatment? We met a neurologist and she prescribed some medicines for two months, but things have not improved. Shaking hands is mostly below the wrist. It is more in the right hand when compared to the left hand. He finds it difficult to hold things, to brush, etc. He had a stent operation 2 years back and has asthma. Apart from that, there is no other health issue. Please advise. Doctor: Hi. We are here to help you. Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27292, + "tgt": "I had itching and drops of blood in the anal area. What could it be?", + "src": "Patient: Hello doctor, I am a 22 year old male. A day or two ago after a bowel movement, I felt an itch in the anal area. I tried to get at it with a tissue but, it got worse and I could see small pellets of blood on the wipe. I am not on any medications. Doctor: Hello. You can revert to me for further queries. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14445, + "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": 21564, + "tgt": "Why am I having bleeding from ear canal after Q-tip cotton removal?", + "src": "Patient: Hello doctor,I went to the urgent care around 1 PM today for what I thought was cotton bud from Q-tip in the ear but the doctor said it came out and everything looks fine and that it is a bit red and gave me some antibiotic drops to use but have not picked them up yet from the pharmacy. At 3 PM my ear started to bleed through the canal. Is it a scrape or cut maybe? The doctor said all is fine now. It is still bleeding. What can be done? Doctor: Hi. I understand your concern. As your ENT doctor had already examined your ear and says no cotton is inside that means only infection is there. I think if blood is coming out from the ear and your hearing is impaired than thorough examination and some necessary investigations are must to diagnose the real fact. Till you are managing to consult an ENT specialist you may take antibiotics, anti-inflammatory, and antihistaminic. Do not try self-cleaning of the ear by yourself otherwise, you may damage ear-drum. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15347, + "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": 10323, + "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": 18108, + "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": 26274, + "tgt": "How long do the HIV antibodies remain in the body post exposure?", + "src": "Patient: Hello doctor, I have a general query. I would like to know say a person is having HIV and that he does not know about it. He then acquires AIDS. So, even after having AIDS will there be HIV antibody in his blood? If he goes for HIV antibody test after acquiring AIDS will the antibody test result will be positive? Or will there be antibody at later stages? My second question is\u00a0does any medical condition or disease or medication in the past or present have any effect on the HIV test and HIV window period? If a person's test is negative after say three months from the antibody test then can he consider the report conclusive and not worry about the interference from any disease or medications?\u00a0Kindly provide a descriptive answer and explanation. Doctor: Hello. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8583, + "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": 17174, + "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": 1146, + "tgt": "Chronic atopic gastritis has caused osteoporosis and joint weakness. Please suggest supplements", + "src": "Patient: Hello doctor, I need a multivitamin supplement and digestive enzymes to regain bone, ligaments, and tendons weakened by digestive issues. Malabsorption of essential nutrients due to digestive conditions like chronic atopic gastritis resulted in bone loss, osteoporosis, low stomach acid, and joint weakness like ligaments of knee, etc. I need supplements that do not depend on stomach acid. Doctor: Hello. After going through your query and detailed report I suggest to calm your gut first which in turn helps to increase absorption of vitamin and calcium and start with L- glutamine supplement 5g capsule daily preferably before going to bed or at least an hour before meals. Later you can opt for multivitamin supplements with good food intake. Along with that follow these tips. 1. Increase high protein diet, including almonds, vegetables, fish, chicken, and eggs. 2. Do muscle strength exercises if allowed by ortho. 3. Increase fluid intake. 4. Do rest for 8-9 hours of sleep. 5. Manage stress with meditation. 6. Do breathing exercises. 7. Manage to follow small frequent meals. 8. Do take 2500 kcal diet. If required you need to add supplement (whey protein) L-Glutamine." + }, + { + "id": 26834, + "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": 26688, + "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": 22132, + "tgt": "Is there any stretching exercise that will free up an unstable sacroiliac joint?", + "src": "Patient: Hello doctor, I have an unstable sacroiliac joint that gives me pain, which is relieved by adjustment for a few days. My doctor tells me it is not stabilized, but may become that way sometime in the future, but now needs frequent treatments. What should I do? Is there any stretching exercise that will free up the joint? Any other advice? Doctor: Hello. In my opinion, I would like you to do glute stabilization exercises as those exercises will help you stabilize your pelvis, and thereby your back and SI joint. Along with those stabilization exercises, some simple hip mobility exercises will help you reduce the load on the lower back. Simple exercises like bridging clamshell will help to strengthen gluteus along with step up. Stretching for gluteus and piriformis hip iR stretch will help maintain hip mobility. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 12657, + "tgt": "Is it normal to get spotting during fertile period?", + "src": "Patient: Hi doctor, I need confirmation about spotting during fertility window, high and medium. Is it normal for 20 years old lady? Doctor: Hello. If you have been sexually active during your fertile window, then this could be an implantation bleed, get a serum beta hCG test to confirm pregnancy. If you are not, then the most common cause of mid-cycle spotting is ovulation bleed which is physiological in most women." + }, + { + "id": 5595, + "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": 8193, + "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": 9446, + "tgt": "My eosinophil values are high. Does this indicate cancer?", + "src": "Patient: Hello doctor, I am a 58-year-old male. I got blood from my nose for two to three hours last month. Packing was done in my nose, which was removed after four days. I got all the test done at that time. I have enclosed my report. The ENT specialist told me that due to cold infection and high BP, your sinus was busted. After removal of packing, I am normal. Today, I got my blood tested as a routine check. I found that my eosinophils are quite high whereas, in last month report, it was ok. Today report is also attached. Please compare both reports and analyze the reasons. Is high eosinophils a start of cancer? Please advice, I am quite worried. Doctor: Hello. Increase in eosinophil is mostly allergic, try oral steroids (attachment removed to protect patient identity). In cases of cancer, they usually increase from 100 to 1000 times, so nothing to worry about cancer. Consult a good physician for complete physical examination." + }, + { + "id": 22996, + "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": 27112, + "tgt": "I have no sex drive. How to get it back?", + "src": "Patient: Hello doctor, I am suffering from anxiety and depression. I have palpitation and breathlessness. I am taking Panazep 25, Bupron 150 and Dicorate 500. I have sexual dysfunction, no erection, and a low desire. My doctor prescribed me Sildenafil 50 but, I am worried about its side effects. Please suggest a safe drug for my problem. 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. Thanks and regards. Revert with more information to a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 25362, + "tgt": "What is the cause of my recurrent strokes and TIA?", + "src": "Patient: Hello doctor,I am a 65 year old female with hypercoagulation. What is the root cause of hypercoagulation and can it be treated so the condition goes away? My fibrinogen, antithrombin III, and D Dimer are elevated and my TEG platelet mapping shows hypercoagulation. I am taking Coumadin 5 mg per day. I did some research and learned that elevated fibrinogen could be the result of chronic inflammation from atherosclerosis, which I have. Other causes might be cancer or arthritis, which I do not have. Can you think of anything else that might be causing it and have you any ideas on how to reverse it permanently? I do not want to take Coumadin for the rest of my life if I can help it.Background: I have a history of a dozen lacunar strokes in different parts of my brain (sometimes in several places at once) and many TIAs over the past three years, for which I have received tPA, and after which the stroke symptoms resolved with minimal lasting deficits (left hip is still weak).Recently, I went to a hematologist to see if I could find the cause of the strokes and TIAs. He did an extensive workup and told me my blood protein is all screwed up. I assumed he meant fibrinogen. He diagnosed me with hypercoagulation and put me on Lovenox shots for two weeks, then transitioned me to Coumadin six weeks ago. Since then, the strokes and TIAs have stopped.My normal blood tests: Protein S, Protein C, Factor V Leiden, IGG/IGA/IGM, Anticardiolipin Antibody, Thrombin Time, Lupus Anticoagulant, DRVVT, Heparin Level, APPT, Protime-INR, PFA, Homocysteine, Cortisol, C Reactive Protein, Troponin I, Prothrombin DNA, PT, PTT.My atherosclerosis: CTA and MRA show there are no problems in the vessels of my heart or neck, but mild to severe stenosis in various vessels of my brain, notably the basilar artery (balloon angioplasty reduced it from 90 % to 50 %) and the right anterior cerebral artery (is 90 % but they cannot do angioplasty because they say it is too difficult). I have small vessel disease in my white matter. Doctor: Hello. Your elevated antithrombin 3 and D-dimer levels are a direct consequence of the stroke you suffered and the many TIAs. High fibrinogen levels are associated with an increased incidence of blood clots. The treatment that you are receiving currently is to prevent the formation of blood clots. Unfortunately, the only way you can reverse it completely is to reverse your hypertension and atherosclerosis. Atherosclerosis in older individuals and those with a prolonged duration of the disease is usually irreversible. You need to keep taking the medication since it prevents the development of clots and will help prevent them in the blood vessels in the brain. If they are allowed to develop, they can be fatal. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14353, + "tgt": "We had sex within 10 days of my abortion. I am bleeding now. Am I pregnant again?", + "src": "Patient: Hello doctor, I recently got an abortion done. Within 10 of it, we had sex using a condom. There was bleeding and now it has been 2 days. The bleeding has stopped, but I feel nausea and weakness just like during pregnancy. Am I pregnant again? Doctor: Hi. How did you get your abortion done, by D and C (Dilatation and Curettage) or by abortion pills? You had sex within 10 days of abortion using a condom, so the chances of another pregnancy are almost nil. But you had some heavy bleeding and feeling symptoms like that of pregnancy. Sometimes, this may happen if the abortion is not complete, i.e., some remnants may be inside. In such a case, you should do a urine pregnancy test and an ultrasound scan of the pelvis to see if the pregnancy is completely cleared or not." + }, + { + "id": 11713, + "tgt": "How often should I change my toothbrush?", + "src": "Patient: Hello doctor, How can I take care of toothbrush health? How often to change toothbrush heads or disposable toothbrushes and the negative effects of not changing them often? Doctor: Hi. Dentists recommend a change of toothbrush every six months. But this toothbrush health depends on patient's brushing habits too. Like if a person does not follow proper brushing techniques and brush his teeth vigorously, or maybe he is suffering from any gum disease and he is brushing more often then he must change his toothbrush more often like at every 2 or 3 months. Usually, by six months the bristles of toothbrush start weakening, are not performing their function well, some bacterial flora may start growing at bottom of bristles or at back side of toothbrush head where tongue cleaner is given. If such yellow or brown stains start appearing at some surfaces of toothbrush then toothbrush needs to be changed immediately. At toothbrush replacement, Miswak is the best recommendation. It is like a small bamboo stick and you can easily cut off its bristles after brushing every 2 or 3 days later and it leaches out antibacterial ingredients and has many good affects for your health too. Like it is a cure for all gum diseases." + }, + { + "id": 2592, + "tgt": "I have stomach disturbance and raised bilirubin with normal LFT. What could it be?", + "src": "Patient: Hello doctor, I am 36 years old. I am a vegetarian and I weigh about 79 kg. Before three years due to stomach disturbance, yellowish urine, pain and some popup and cracker sound in my legs knee joints, I visited a doctor and he suggests me lab test of liver function test and all reports in normal range except of sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited orthopedic specialist he took x-ray of both legs, knees, and tell that it is an early stage of osteoarthritis of knee and he suggested for MRI and I had done MRI. In the MRI report it is mentioned that left knee has affected with osteoarthritis. After that, he gave some medicines for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I reduce my weight. Now there is very little pain in my left knee but now my other joints, hips joints, like left hand thumb finger and both hand knees has popup sound during movement. As I prefer stomach specialist consultation over orthopedic because I want to know the reason behind this situation, and still I have slight yellowish urine. Kindly correlate all the reports related to the stomach, liver, arthritis and please diagnose my problem and suggest treatment for the same and suggest reports to do if needed. Doctor: Hello. I had gone through your all reports. (attachment removed to protect patient identity). Nothing looks like alarming except slightly low vitamin D levels. For yellow urine, I assure you it is totally insignificant as your all liver related test are normal including bilirubin level and fibroscan so do not go on chasing it I had seen doctor did all test which was very costly and not needed for your issues. So more doctor you go more test they will do. Now coming to your popping sound from joints, let me tell you it has nothing to do with stomach related issues if you are thinking of gas from the stomach causing this then forget it as it is not the cause. Poping most of the time is a normal phenomenon when cartilage or ligaments rub against bone. Some percentage of person have osteoarthritis which can lead to this but alarming poping is always with pain, swelling, redness, and deformity in walking. So chill I do not think you should worry about this thing unless the above symptoms present and at your age arthritis is very unlikely. So my advice is to regularize your daily activities which include milk for vitamin D in your diet. Do exercise of any kind for 45 minutes daily. For stomach upset, you can use syrup Gaviscon two tablespoons whenever you get symptoms as it is safe and locally acting. Do not do doctors shopping." + }, + { + "id": 20214, + "tgt": "Please explain the side effects of Finasteride", + "src": "Patient: Hi doctor, I am a 27 year old male. I am suffering from androgenetic alopecia since I was 18. Recently a doctor advised me to take Genesis (Finasteride) along with Novophane capsules and to spray Minoxidil.\u00a0I want to ask whether this is the right type of medication. Also what are the possible side effects? Especially of Finasteride regarding erectile dysfunction.\u00a0Thanks in anticipation. Doctor: Hello. There are few misconception related to Finasteride. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1708, + "tgt": "Is it harmful to take Lithium for bipolar disorder with fasting and paleo diet?", + "src": "Patient: Hello doctor, I am on fasting for the auspicious month (dry fast), but I also have to take Lithium for my bipolar disorder. I have seen that higher Lithium concentration can cause serious damage to the kidney due to dehydration and also to the metabolism. During fasting and with keto diet the body needs a lot of potassium, but the cells get lithium instead. What is your opinion about that? Is dry fasting, keto diet, and lithium intake at the same time harmful? I take normal Lithium carbonate 650-1250 mg a day. Doctor: Hi. See, Lithium can be harmful if hydration is not well maintained. In such cases, we recommend to increase the amount of fluid. That is to consume a good quantity of fluid in the morning before your fast starts and to drink fluids once you open your fast in the evening, and continue till the next morning. Take Lithium tablets along with two glasses of water each time. Do not go for the Keto diet. You should take a proper balanced diet. Avoid taking a high protein diet. So usually in auspicious month, the fasting duration is for 12 hours. In the remaining 12 hours, keep on taking fluids to compensate. There is no indication to stop or reduce the dosage of Lithium during Ramadan. I hope this helps." + }, + { + "id": 17744, + "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": 1924, + "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": 10432, + "tgt": "Does side effect of the anxiety drug diminishes the memory?", + "src": "Patient: Hello doctor, I am a 42-year-old male. When I was 15 years old, I started to suffer from depression and had to undergo psychiatric treatment. I was prescribed Trazonil for a sleep disorder and Flunil for depression and anxiety. I was under this medication for nearly seven years. In the meanwhile, I got hooked to alcohol and smoking before 20 years. I took an overdose and consumed almost 90 tablets of Trazonil in an attempt to end my life. However I survived, but I have felt that it really damaged my brain especially my memory and till today I remember most of the things which took place prior to this incident as well as things I learned, but in my daily life after that I became very forgetful and had trouble remembering things, events or new things which I try to learn. So my question is that is there any way which I can reverse this ill effect or lessen to a high degree so that I can remember things better or have a better memory. I have been drinking for the past 20 years, and since last three years after moving to another place my frequency and dosage of alcohol has increased, and I know it also plays a significant role in diminishing memory. I quit taking medicines almost 14 years back. Doctor: Hello. It is good to know that you are insightful about the problems caused by excessive alcohol intake. Have you contemplated cutting down on alcohol? Alcohol may be playing a significant part affecting your memory and also have a negative impact on your emotional health. Your memory difficulties may be more related to a history of depression and concurrent alcohol abuse. It is less likely to be a long term effect of Trazonil (Trazodone) overdose. You may know that alcohol has a depressant effect on the brain (despite the initial euphoric effect). With your history of depression, it is essential and can be tackled at the earliest. You appear to have experienced significant depression, including a risky overdose. You seem to be resilient in your way but are you still depressed? Are you using alcohol as a coping mechanism to manage everyday stressors? I will recommend consulting a doctor to review your mental state and proceed accordingly. You can consider counseling or talking therapy to address issues related to excessive alcohol use. Try reading books. Also make sure you take care of the basics like eat healthily, sleep enough, and exercise regularly. Try yoga or meditation if available locally." + }, + { + "id": 12489, + "tgt": "What are the ways to control hair fall?", + "src": "Patient: Hello doctor, I started losing hair a year ago. Probably after starting my job. Mainly hairs on my temples and side hairs on the front part of my head. I was using Nutrafol tablets and have used it for about four months now and have not seen any results. Please help. Doctor: Hi. You are suffering from androgenic alopecia. Use Minoxidil 5% lotion 1 ml twice daily and tablet Finasteride 1 mg once daily." + }, + { + "id": 26549, + "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": 17694, + "tgt": "My baby has a white spot on his back. Is it vitiligo?", + "src": "Patient: Hi doctor, My 4 week old baby has a white spot on his back. Is it vitiligo? Doctor: Hi. I have seen your query and concern. Revert back with the picture to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19011, + "tgt": "I was informed that my baby's head is not yet fixed for normal delivery. Please explain", + "src": "Patient: Hi doctor, I am 26 years old, and this is my first pregnancy. I am in my 39th week, and my due date is by next week. When I consulted my doctor, she said that the baby is healthy, and the head is in down position only, but the head did not fix yet. She asked me to wait till due date and then she suggested for C-section. Is there any possibility to avoid C-section? Doctor: Hi. Let me give you a few basic facts of pregnancy and delivery. As it is your first pregnancy, the uterus is experiencing the process of delivery for the first time. Baby's head is the only thing in the whole world which can decide if the outlet of your pelvis or the hip bone or the way out through the bone is enough for this baby, it may be different for next baby with different weight. Delivery is not those few hours which you spend in the labor room. The uterus starts to contract more and more frequently, gradually the cervical canal opens, becoming softer day by day and on the part of the baby, the head turns a few mm in angles and directions trying to fit into the bony pelvis. It is like trying to fix a tight cover to a cushion. It has to be manipulated in all different angles till the right angle is got. Usually, God sends baby that fits the mother, unless you have some other problems changing the size of baby or mother's pelvis. It is called engagement. If the size is not fitting well, then baby's head will keep floating above the pelvic bone. If you force it, then it can cause distress in the baby. In this time keep a watch for four things. If none of these are seen, then you can wait till due date and definitely try for vaginal. Happy motherhood in advance. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 298, + "tgt": "A boil present above my beltline is oozing out from multiple pores. What should I do?", + "src": "Patient: I have had boils appear from time to time. The come to a head , break and drain. This time I have one on my side above my beltline. It started outlining lime an ingrown hair with a white head. My wife tried to pull the hair with tweezers, the zit popped and we never got the hair. Put some peroxide on it and a bandaid in case it drained more. Next morning it was like there was more under the skin so did warm compresses. It has been oozing out, but appears to be coming from multiple pores . now it it seems to get bigger as more start to drain. What else should I do? Doctor: Hi! Welcome to icliniq & thanks for the query. Recurrent boils can be a nuisance. It is a bacterial infection of the hair follicle and can cause painful pus filled eruptions on the body. If you are having frequent recurrences it could be because of persistent infection or reinfection. Are you diabetic or atopic? If so, you may be more prone to develop recurrent bacterial infections. You mention seeing pus coming from many openings which indicates it could be a carbuncle. This may need incision & drainage. Ideally a pus culture should be done to know the sensitivity of the organism and antibiotics started accordingly to completely treat the infection. Usually penicillins, cephalosporins or tetracyclines are used orally. Application of mupirocin in the skin fold areas helps to eradicate the colonising bacteria in these locations. Some precautions to prevent recurrent boils include: Hope this helps" + }, + { + "id": 14188, + "tgt": "My period has become quite irregular in the last six months. Should I be worried?", + "src": "Patient: Hello doctor, My period has been off for the past six months, meaning my cycle will go from 31 days which is normal, up to 51 days. I did not get a period for two months and then I got one next month. It was fine when it came again a month later and then it came very late the month after, no period last month and now this month I am five days late. Should I be worried? I have never been on birth control or any type of medication. Doctor: Hi. Irregular periods can occur due to many causes like anemia, hormonal imbalance like PCOD, thyroid disorders, etc. As you are having irregular periods for the past 6 to 7 months, better to consult your gynecologist once and get examined and go for investigations like hemoglobin levels, thyroid profile, ultrasound, etc. If she advises, you may need to undergo FSH and LH levels also. With this full workup, the possible cause of your problem can be identified and treatment can be taken accordingly. Take care." + }, + { + "id": 27614, + "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": 4651, + "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": 26341, + "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": 30950, + "tgt": "After delivery, I have not got my periods yet. Why?", + "src": "Patient: Hi doctor, I have delivered a baby boy through cesarean. After delivery my bleeding continues for three months. Then, it stopped completely and till now I have not got my menses. Now, my baby is 9.5 months old. Is it normal or need any medication? I am currently on Eltroxin 100 mg for thyroid. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9732, + "tgt": "Can STD be caused even if the partner's tests are negative?", + "src": "Patient: Hi doctor, Please help. I am a man and had an anal sex with a negative HIV, hepatitis A,B,C and non-reactive syphilis but the condom broke but thankfully the lab test result which was made in different lab a week before the intercourse and the day after the intercourse showed normal. What risks may I face? I am panicking. If she is negative with HIV, virus A, B and C and syphlis and all salmonella and typhoids and no mucus and blood in her anus. Am I still at risk of the diseases mentioned above? If not since her results are clean, am I at risk of catching other STDs like herpes, chlamydia, gonorrhea, syphilis, mycoplasma genitalium, trichomoniasis, human papilloma virus (HPV), HIV/AIDS, crabs or pubic lice, bacterial vaginosis, molluscum-contagiosum, mucopurulent-cervicitis, lymphogranuloma-venereum. Please tell me if there is any medication to take in order to prevent all this from happening. Doctor: Hello. I understand your concern. But the risk of acquiring a STD is not there if your partner does not have any one of the diseases you mentioned clinically or sub-clinically. There are STDs like herpes in which subclinical shedding can lead to herpes, but that is more common in vaginal sex. I do not think you need to worry too much at this point if she is negative for tests. Some STDs take time to become positive in blood. So just to be careful please repeat HIV, HBsAg, HCV, VDRL after three months. Molluscum, HPV, pubic lice usually spread if there is active lesions, which I suppose were not there, so no need to worry. Just repeat the tests I suggested after three months and there is no such medication to be taken when all the tests of the partner are also negative. Prophylactic medications can be given if the status of the partner is not known sometimes. Take care." + }, + { + "id": 16033, + "tgt": "Which medicine is recommended for diabetes instead of Sitaglu Met?", + "src": "Patient: Hi doctor, I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 190 mg/dL. Sometimes, it does not get reduced. My fasting blood sugar level is 180 mg/dL. I am thinking to change my medicines. Please suggest. Doctor: Hi. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining the type of diabetes is essential. There is a possibility that you may have type 1, so appropriate testing is required. You are overweight for your age, and the blood sugar is high. If your diabetic level is not controlled at this stage, it can lead to kidney problem and vision problem in two to three years. Both are irreversible once they get developed. Have control in your diet. If you are surely diagnosed with type 2, I can suggest you take Glucophage 1000 mg (Metformin) daily and Linagliptin injection. It is not insulin. It controls the blood sugar, and it helps to lose weight." + }, + { + "id": 28312, + "tgt": "Please suggest treatment for indigestion and intestinal worms", + "src": "Patient: Hello doctor, I am a 48 year old male, who is in good health. I have a long history of indigestion, mostly experienced as a pressure in the throat. About ten years ago, I had a clear endoscopy, and I took Nexium for six months and cut way back on alcohol drinking, which seemed to do the trick. I had occasional relapses over the recent years, but only after consuming four or more alcoholic drinks at night, which happens once a year. It always clears up a couple of days later. Currently, I consume one to two drinks at a time, twice a month, which causes no problems. About two months ago, I had three drinks a night for three nights in one week, and then I had a few more the following weekend. This caused daily indigestion, which stuck around for more than a week. I self-prescribed a course of Omeprazole and probiotics, but I had to stop around day 10 due to stomach upset. I had gas, bloating, cramps, and gurgling sounds. Things have gotten better over the last 14 days, but sporadic stomach upset persists, mostly after a bowel movement. I do not have gas and bloating anymore, but I have mild cramping. My stool has also firmed up much more than normal in the last week or so, but I am not exactly constipated. I also feel something in the anus, which I assume is hemorrhoid. I do not\u00a0have pain or itching, but it did bleed once, after a hard bowel movement, several weeks ago. It did not recur even after more than six weeks. Since things were getting better, I planned to ignore it until I had a bowel movement today and noticed what looked like a worm. I have attached a picture of the stool, sorry for the graphic nature. Please suggest treatment for indigestion and worm infestation. Doctor: Hello. I have seen the attached photo (attachment removed to protect patient identity). For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6518, + "tgt": "My wife is a breastfeeding mother. Can she take Paracetamol for fever?", + "src": "Patient: Hi doctor, My wife is 32 years old. We have a 5 month old baby girl. My wife is still feeding our baby. From yesterday, my wife has a\u00a0fever, cold and throat infection. Can she take Paracetamol? Will it affect baby in any way? My wife's temperature is 99.5 degrees Fahrenheit. Doctor: Hi. First of all, temperature above 100 degrees Fahrenheit is regarded as fever and not below that. Baby is supposed to be breastfed at all times. However, if the mother is suffering from a disease, it is advised for her to wear a mask and feed. Because, that is the route by which infection from the mother can be passed on to the baby and not through milk. Paracetamol taken by the mother in the prescribed doses will not harm the baby. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24315, + "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": 30527, + "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": 15562, + "tgt": "I am taking Celexa and Xanax for OCD without any improvement. Should I change my treatment?", + "src": "Patient: Hi doctor, I am a 36-year-old male who has suffered from OCD for the majority of my life. My psychiatrist has changed Celexa to 40 mg, and I am taking this dose for two months now. I have a feeling of mania, anxiety and I am unable to deal with it. I also feel impulsive, and sometimes I feel great, and I can accomplish a lot. I also have a feeling like I have been traveling in a roller coaster for a few months. It happened to me several times in my life. Do I need to seek another psychiatrist's opinion? I also take Xanax 0.5 mg whenever required. Doctor: Hi. Please mention about your OCD (obsessive-compulsive disorder) symptoms. Please say about the type of obsessions and compulsions you have. You can take tablet Prozac (Fluoxetine) 20 mg for a week and gradually increase it to 40 mg. Prozac helps for OCD as well as for impulsivity. Along with it, take tablet Olanzapine 10 mg. It helps for the current mood stability you are experiencing now. Also, consider going to therapy such as exposure and response prevention. It also helps for OCD." + }, + { + "id": 5030, + "tgt": "How can greying of hair be treated?", + "src": "Patient: Hello doctor, I am 30 years old and having hairfall problem from the past 2 to 3 years and I used Minoxidil for a year but no use and slowly it looks like my male pattern baldness is increasing. The thing is last week I had hair tonsure. I noticed a lot of grey hair has come which makes me concerned. The only mistake I did was started to hair dye from past 1 year once in 4 months to cover a few grey hairs but now they have increased like anything and I almost look like an old person. My question is: Is there any possibility to reverse this greying or at least slow down the process and also how to stop this male pattern baldness or slow it down? Please suggest any vitamin tablets or anything that could slow down the process or reverse both male pattern and grey hair problem. Doctor: Hi. Regarding your hairfall- Does anybody in your family suffer from baldness or premature greying? What is the percentage of Minoxidil you have been using all these days? Did you consult a dermatologist till now? Hair dye never increase the chance of greying. You can use the hair dye regularly. Male pattern baldness is genetically programmed and the Minoxidil is a useful medication for this. If you do not find good response with Minoxidil, then you can start the tablet Finasteride 1 mg daily one tablet for a period of 6 months. PRP injections might help you in the hairfall. Tablets containing Calcium Panthenoate might reduce the speed of greying of hairs. This can be tried for a period of three months. genetic androgenetic alopecia" + }, + { + "id": 27224, + "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": 11391, + "tgt": "Kindly suggest the symptoms of breast cancer", + "src": "Patient: Hello doctor, Suspicious cancer in my breast scanning report. What are the symptoms of breast cancer? The report mentioned there is a relatively well defined hypoechoic mass with small calcifications at periphery. There is no necrosis. Suspicious cancer. No enlarged axillary node. BI-RADS 5. Doctor: Hello. Looking at this report, the suspicious finding needs to be evaluated further (attachment removed to protect patient identity). You need to do the following things. 1. Consult a breast surgeon or an oncologist, who takes complete history such as since when these symptoms started, any family history, etc. He or she examines this and gives his or her point of view. 2. If needed this mass should be biopsied or Fnac (fine-needle aspiration cytology) preferably under USG (ultrasound) guidance. Depending on the report we can take things further. Regarding symptoms of breast cancer, there are many such as a lump in the breast which is increasing in size, location of the lump, nipple discharge, and skin changes over the breast, etc. Occasionally there are none. Kindly revert if you have any queries." + }, + { + "id": 10882, + "tgt": "Why am I having small red bumps on both sides of the bottom corners of my mouth?", + "src": "Patient: Hello doctor, I have small red bumps on both sides of the bottom corners of my mouth. They look like small pimples, but they are not very bumpy. It seems like it is more just redness in little pimple areas rather than actual bumps like pimples would be. I was given Metronidazole and I used it twice a day for 30 days and it seemed to get a little better at the start, but the problem still persists. I have had this problem for six months and I have scheduled a visit with a dermatologist, but it will not be for a few months. I am not sure if this is relevant, but I work with pig guts, so, maybe I got something from them, but I am not sure since I have been working for almost five months before I got these symptoms. One thing I have noticed is that in the morning it looks like it has improved, but then by the end of the day it looks like it is back to normal. I am not sure what the problem is and am not sure if it can be treated without a prescription, but I am willing to try various things. Doctor: Hello. I understand your concern. It seems superficial folliculitis (attachment removed to protect patient identity). In this condition you get small red lesions with yellowish pustules. Use the following medications: Cream T-Bact (Mupirocin). Apply twice a day on the affected areas as well as the nasal vestibules which harbor the bacteria responsible for the recurrence. Do this for 10 days. Take care." + }, + { + "id": 17721, + "tgt": "How can loose stools and a lot of gas released from the anus be treated?", + "src": "Patient: Hello doctor, Since last one year, I am having loose stools with a lot of gas released from the anus. Motion is not cleared fully. There is a burning sensation in stomach and somewhere in the intestines. There is a huge rambling in the stomach, especially in the evening hours. The doctor has advised taking Normaxin RT, Enbios, Rabicip D SR for two weeks. The condition improves but recurs as the course is over. Eight years ago, I was diagnosed via a colonoscopy to have terminal ileum erosion with chronic non-specific inflammatory substances. I was suspected to have IBD, IBS, Crohn's. I had the course of Mesacol, Budez CR intermittently for nearly three years. The condition significantly improved and I consumed Bifilac capsule for some time. Is my current problem connected to the old problem?. Please suggest a suitable course of treatment. Doctor: Hello. The present symptoms look more likely due to constipation. I suggest you follow these measures: Regarding the previous issue, it is always better to get an imaging of the abdomen. An ultrasound or a CECT (high-dose contrast-enhanced computed tomography) to be done. Moreover, considering your age and previous issue, a follow-up colonoscopy is warranted. Follow up as needed. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21491, + "tgt": "In scan, my baby's nasal bone is hypoplastic. Am I at a risk of having Down's syndrome baby?", + "src": "Patient: Hi doctor, I am 19 years old. I am 21 weeks pregnant now. I did an ultrasound yesterday. I was told that my baby is about two weeks smaller than it should be at 21 weeks. I was also told that my baby's nasal bone is hypoplastic and not very visible. My baby is at risk of having Down's syndrome. I want to ask whether my condition for these two things is rare or common and whether I am at high risk or low to have a baby with DS. I have no family history or relatives with Down's syndrome. Doctor: Hi. In the case of a history of irregular periods, there could be a discrepancy between dates and scan finding. So there is no need for worrying. If the growth is not healthy for the baby or if the growth is restricted, then you should take it as a concern. You are going to be a teenager mother. There is no relation between family history and Down's syndrome in the baby. If the nuchal translucency measurement is healthy, with less than 2.99 mm, then there is a fewer chance of having a fetal anomaly. You can have other blood tests in the early and late second trimester like double marker tests, amniocentesis, and chorionic villi sampling to diagnose it. It is better to repeat the scan with the expertise hand again for the detailed anomalies for the baby at 22 weeks. You have no clue, so it is only a technical mistake of the scan. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14609, + "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": 7571, + "tgt": "Is it safe for a 60 year old to use Terifrac for osteoporosis?", + "src": "Patient: Hello doctor,My mother is 60 years old. She is being treated for osteoporosis currently for which we are already consulting a specialist. I am attaching few other reports towards which would request you to evaluate the same and let me know your interpretation and concerns and treatments if any. For cholesterol and kidney levels findings what should she do? Regarding osteoporosis (revealed through DEXA scan), she has been advised Terifrac injection 20 mg (8 units) daily for a year plus a calcium supplement. What are the side effects of Terifrac at her age and with regards to her other reports, especially ones related to kidney, creatinine etc.? Is it safe to use for her? Any suggestion for her rheumatoid results? My mother also is under medication for BP. Currently, her BP was 130/8. Should she continue with her dose of Losacar H one per day or modify the same? Doctor: Hello. I have checked the attached reports thoroughly (attachment removed to protect patient identity). Here is my comment: Fortunately, there are no autoimmune rheumatoid arthritis or SLE (systemic lupus erythematosus) as both ANA and anti-CCP are negative. Unfortunately, the DEXA scan shows there are osteoporotic changes which increase the risk of fracture and requires treatment. Calcium supplements and Terifrac (Teriparatide) are suitable medications for the osteoporosis. Terifarc may cause some depression, gastric upset or muscle weakness, but generally, it is well tolerated by postmenopausal women. There is no rheumatoid arthritis. Her blood pressure is well controlled and there is no need to change the medication. Regarding the kidney function, it is the high normal level with evidence of hydration (could be the effect of Losacar H). So, I recommend good hydration and follow up of renal functions after two weeks. I have noticed that she has anemia as well as high cholesterol levels which require medication to be controlled. Her blood sugar level is normal. Best wishes. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 300, + "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": 19848, + "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": 5328, + "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": 21840, + "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": 29288, + "tgt": "How far is CMIA test conclusive?", + "src": "Patient: Hi doctor, Please suggest how far is CMIA test for HIV is conclusive at six months. Some say that three months are sufficient enough and a few say that six months is conclusive for 98% cases. Which is the truth?\u00a0Which is the category who take more than three months for seroconversion? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30977, + "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": 10062, + "tgt": "What is the treatment for inguinal lymphadenopathy?", + "src": "Patient: Hi doctor, I am a 55 year old male. I am suffering from\u00a0inguinal lymphadenopathy. 2 years ago I have this on right side and now on left side. There is a square shallow knot present on the right side now. I have stiffness and rigidity especially in the left arm and occasional limited movements. Also I have discomfort in my legs and inguinal region. On ultrasound it was observed\u00a0lipomatosis of inguinal lymphs. I have\u00a0painful point in inguinal region, only if I press. I have\u00a0noticeable weakness, but no weight loss. Occasionally I feel very low energy and could not maintain erection. I feel\u00a0numbness in the shoulder or finger when wake from sleep. I have low sedimentation rate. There is\u00a0no abnormal blood and urine finding. I had blood test and it is\u00a0negative for all infectious diseases such as Lyme, cat scratch, AIDS, etc. Please help with some suggestion. Thank you. Doctor: Hi. I assure you not to worry as all things may get settled with proper care and follow-up. 1. Inguinal lymph nodes usually get prominent due to some infection (that you say have been ruled out) or some primary pathology of the nodes themselves. 2. The knots you are talking about also warrants to rule out if that is a vein pathology or lymph nodes can be benign or cancerous changes. Biopsy of the nodes is mandatory especially when there we see changes on ultrasound. 3. Weakness can be due to hemoglobin or red blood cell deficiency. Other causes of weakness may be hypothyroidism or fluid and electrolyte imbalances. 4. Your low sedimentation rate may be due to red blood cell, white blood cell changes and protein abnormality. Sickle cell disease also may cause it. But clinical correlation is the key and for that your physician needs to go for physical examination and if suspicion arises, he may refer you to hematologist. 5. Pain in the lymphatic region can be due to lymph nodes being pressed on or it is possibly from lipomatous changes. 6. I also prefer you to get a detailed heart evaluation from cardiologist as weakness, shoulder and arm issues warrant that too. This kind of symptoms also needs screening for hypertension and diabetes mellitus. Your physician can help you for that too. 7. If you have got tested the above in past 8 weeks, you may upload the reports here for my review and diagnosis. If more than 8 weeks old, please go for repeat fresh tests. Biopsy and histopathology of the lymph nodes. Can be decided on investigations and diagnosis. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6922, + "tgt": "A 2-year-old has been diagnosed with moderate receptive delay and has problem in speech. Kindly help", + "src": "Patient: Hello doctor, My 2-year-old was diagnosed with a moderate receptive delay and a mild expressive delay. When he was around sixteen months, he could say thank you, stop, mama, daddy, and even his sister's name. At about nineteen months he was diagnosed with an ear infection. The infection was treated, but there was fluid that probably remained for approximately six months without our knowledge. We found out only after he started to speak less and less. His eardrums were retracting, but he now has tubes and can hear fine. However, he still does not speak. He points, looks are in the eyes, cuddles, smiles, kisses, does gestures, loves other kids and can retrieve items if we point to them, but sometimes it seems like he does not understand. Could it be because he spent several months hearing something different? I am worried even though the doctor can be told me not to. He is in speech, but it did not seem to be helping. Any advice round truly is appreciated. Doctor: Hello. It is possible that ear infection or glue ear hampered your child's hearing which in turn could have impaired his normal speech and language development. With support, he will be able to catch up if everything else is normal. It is advisable to continue with speech and language therapy input. Continue conversing with him regularly at home, read storybooks, etc. Even though he may not be reciprocating immediately. From your description, there are no features suggestive of any social communication developmental issues. Continue regular reviews with your child's pediatrician and speech therapist. I hope this helps." + }, + { + "id": 9629, + "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": 20274, + "tgt": "How can I recover from sphincterotomy and hemorrhoidectomy?", + "src": "Patient: Hi doctor, I am 23 years old. I underwent open internal rigid sphincterotomy and hemorrhoidectomy for chronic anal fissure and piles. But I have severe pain in the anal canal all the time now. During bowel movements, it gets worse. I underwent surgery before 23 days. I also see some blood in stools. Without stool softener, I unable to bear the pain. How long does it take to get a full recovery? Please suggest. Doctor: Hi. Recovery time after surgery is two to three weeks. But it may take a month in some cases. You can try these simple steps to accelerate recovery. Try these steps for a week. If the problem persists, it is better to consult a surgeon and try to do a physical examination of the anal region. Try to take increased fibers in your diet. Take at least five to six servings of fruits and raw vegetables every day. Avoid taking white bread. Drink plenty of water. Use one teaspoon of mineral oil in your meals. It will help in sliding your bowel, and there will be no pain. Do not delay your bowel as it can increase the pain. Go to the toilet as soon as you have an urge to pass motions and do not strain." + }, + { + "id": 1512, + "tgt": "I have severe stomach pain, dizziness and nausea with hyperacidity. Please suggest medication", + "src": "Patient: Hi doctor, I am a 30-year-old female. I weigh about 45 kg with a height of 5'3\". I am experiencing severe stomachache, hyperacidity, dizziness, and nausea. This is the first time I felt and I feel like there is too much acid on my stomach. What medications can I take? Doctor: Hello. You are experiencing dyspepsia, and epigastric pain if I am not wrong. It is due to hypersecretion of gastric acid or due to some insult against the gastric mucosa which is a protective layer of the stomach. This layer gets eroded due to various reasons like alcohol, painkillers, etc. Over secretion of acid might be due to stress, lack of sleep, lack of alkaline food in the diet, etc. So check these factors. Kremil S is not competent. Maalox only gives momentary relief. So let us use PPIs (proton pump inhibitors) for a few days and shut down the acid production significantly. This might give the gastric mucosa some time to heal and become tough again. Remember, these medications which I am going to prescribe are not to be taken perpetually. Take them as advised. Gastritis. Gastritis. Capsule Esomeprazole and Domperidone early in the morning on empty stomach and at bed time. Capsule Lactobacillus one in the afternoon. Discontinue Maalox. Sleep well. Abstain from alcohol for at least 10 days. Stress relief. Continue this treatment for ten days and follow up after that." + }, + { + "id": 6354, + "tgt": "There is small amount of fluid in para-adenexal area and posterior CDS. Please help", + "src": "Patient: Hello doctor, Right ovary contains 3.6x2.1x3.1cm cyst, thick septation and few punctate echogenic lesions within lumen. Previously cyst measured 3.8x2.4cm abutting ovary. Adjacent ovarian parenchyma contains 6 mm and 15 mm follicles. Small amount of fluid was seen in para-adnexal area and posterior CDS. My questions are: 1. Small amount of fluid in para-adnexal area and posterior CDS. Is this normal? Why is it there? 2. The 6 mm and 15 mm follicles in ovarian parenchyma. Are these normal to be there? 3. What is the thick septation and how is it formed? 4. What are the lesions in my lumen? I believe it is ovarian lumen. Do they form normally with ovarian cysts? They are echogenic so sounds like they may be solid. Could they be malignant? 5. Finally, what type of cyst will this fall under? My doctors are not giving me any specific name and I really need to know what kind of cyst name it falls under. I did a blood report and my blood work is normal. My weight is normal and I feel minimal symptoms. So far this cyst has little impact on my quality of life. What are the most worrisome parts of this report? Can I still get pregnant? Doctor: Hello. I will try to give you answers to the best of my knoweldge. Small amount of fluid is expected near posterior cul de sac and para adnexal area during ovulation time. Although it can be seen during pelvic inflammatory disease. Multiple follicle grow every month in both the ovaries which later on is dominated by a single follicle which continues to grow to a certain size, and later ruptures releasing the egg. So your 6 mm and 15 mm follicles are normal to be there. Without doing a histopathological examination, it is difficult to tell about the origin of the thick septation but as most of the ovarian cysts are epitheleal in origin, so 90 % chances are they are made of some kind of epitheleal tissue. Any kind of debris inside the cyst will give rise to echogenicity in USG. It could be blood, it could be tissues of different origin. There are different types of ovarian cyst, to rule out malignancy you need to do certain tumor markers like CA 125, etc., and MRI or CT scan. Since it is receding in size, my best guess that your cyst is some kind of retention cyst of ovary. There is a large possibility that the cyst will regress soon. I think your cyst is an incidental finding as you have stated there is minimal symptom. Your gynecologist will be the best person to advise you in this matter. So discuss with her about the various possibilities and methods of treatment." + }, + { + "id": 18303, + "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": 13292, + "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": 14471, + "tgt": "My 3 month old baby cries every night for about half an hour before she sleeps. Is this normal?", + "src": "Patient: Hello doctor, My 3 month old baby cries every night for about half an hour before she sleeps. Is this normal? What might be the reason? Doctor: Hello. This is a common complaint in newborn babies and infants. The common causes of frequent crying in infants could be the following:" + }, + { + "id": 12929, + "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": 16997, + "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": 9227, + "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": 27015, + "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": 3920, + "tgt": "Are elevated levels of vitamin B12 and testosterone an indicator of tumor formation?", + "src": "Patient: Hello doctor, I am a 43-year-old female. I take 20 mg Trintellex, as well as bio-identical progesterone, testosterone, DHEA, and thyroid. I take a sublingual methyl B-12 as well as zinc, P5P, magnesium, Vitamin D, Glutathione and Borage oil. I received bloodworm back today with troubling results: Serum testosterone: 1049 (extremely high) Vitamin B12: 1288 (high) Folate: 13.3 DHEA Sulfate 41.1 (low) Vitamin D: 170.4 (high). My other hormones: Estradiol: 62.4 (not sure which phase, very irregular if at all) Progesterone: 3.1 Thyroid profile: TSH: .975 Triiodothyronine, free serum: 3.4 T4, free (direct): 1.09. Looking at the high or low pieces one by one is troubling from my online research. However, I do not know how to look at the whole picture of the lab results to understand what is going on. I listed every result I was given. Please suggest. I knew my hormones were off as I have been feeling extremely depressed lately. I had postpartum depression when I had my two children and experienced post partum depression, which is the same as I am feeling now. So I knew I had a hormone issue. Doctor: Hi. I do understand that your blood levels of both make and female hormones are elevated but most likely they are due to exogenous consumption. I was wondering as to why were you taking these hormones?" + }, + { + "id": 8566, + "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": 15852, + "tgt": "I have severe leg cramps at night. What is causing this?", + "src": "Patient: Hello doctor, I am a 55 year old female. I weigh 160 lbs. I have hypothyroidism and take medication daily. Generally, I have severe leg cramps at night in my calves, traveling stinging cramps to the bottom of my feet and toes. What is causing this? Doctor: Hi. The causes for these kinds of muscular cramps are not quite clear. It is believed to be associated with chemical imbalance within the muscle cells. Some of the conditions causing these cramps are: No drug is specifically proven to cure these muscle cramps. Once the underlying condition gets corrected, nocturnal cramps usually subside. I suggest you check your blood sugar, complete hemogram and serum electrolytes (calcium, potassium, magnesium). Also check your thyroid status with TSH to assess the effectiveness of your current thyroid medication. We need to rule out a rare possibility named DVT (Deep Vein Thrombosis) with physical examination and if needed color doppler study of your lower limb blood vessels and then proceed with the necessary treatment.I would also suggest you follow the below suggestions to get relief in the meantime. Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23132, + "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": 5864, + "tgt": "My 12-year-old daughter has pain in legs, lower back and stomach. What could be the reason?", + "src": "Patient: Hello doctor, My 12-year-old daughter is complaining of pain in her legs, lower back, and stomach. Please suggest. Doctor: Hello. Information given by you is quite deficient. Still I will try to explain you. Some of the children in this age group has this pain. It has variable etiology. Most common cause is related to anemia (deficiency of hemoglobin in blood) and deficiency of vitamin D. Rest may have pain so-called growing pain which is a non specific pain occur in the growing child without any clear etiology. So I need more information about her growth. weight and whether she had menarche (menstrual cycle) or not and about history of any weight loss and tiredness. Stomach pain also has varied etiology, most common is due to increased acid secretion or due to worm infestation. I need information about her dietary intake and whether it is associated with vomiting episodes and what is the severity of the pain? For pain in legs and back, I would suggest you do complete blood count including hemoglobin and to do blood level for Vitamin D and iPTH (intact parathyroid hormone), calcium, phosphate, alkaline phosphatase. If she has low hemoglobin then, we have to start on hematinics. If she is deficient in vitamin D, then we need to supplement her by the same along with adequate sun exposure. For control of abdominal pain do stool examination for three days to look about worms in the stool. Give her Albendazole 400 mg, and if she had burning in epigastrium then stop her morning milk and give tablet Pantoprazole 20 mg BD (twice daily). Kindly do the prescribed work up, and try to provide additional information." + }, + { + "id": 9100, + "tgt": "Me and my fiance have same blood group. Will it affect our baby?", + "src": "Patient: Hi doctor, I am 30 years old. I am planning to get married to a girl who is known to me. We have very good understanding. But, we have the same blood group that is O positive. Since blood group is a factor for having babies, do you think having same positive blood group could create problems for future generation? My father is very concerned about this. He talked with several doctors and they ensured that it could create problem. And they do not want me to marry this girl. I talked with another doctor, she replied me like it is not a big problem. I am in great trouble right now, how could I give clear explanation to my father about this issue. My father told me he knows two couples of same positive blood group who has been married for 10 years without having baby. And doctors could not find any problems for both men and women. But their blood immune system did not match to have a baby. I have these questions: Do the same blood group create problem? If yes then what basically create problems? Are there any precautions that need to consider for having baby after getting married with same blood group? Are the diseases like thalassemia occurring because of parent's rhesus factors? One thing to clarify to clarify is that we are two brothers and two sisters and all the six members of my family have same blood group O positive. My elder sister got baby after 8 years and her husband is B positive. And my younger sister, she always gets sick since her antibody of her blood cell might not strong enough to fight disease. My father explained, due to my parents have same blood group; my sisters might got those above explained problems. I will explain my family based on your explanation. Thank you in advance. Doctor: Hi. Based on your query, my opinion is as follows: There are two major blood group systems and more than 400 minor blood group systems. The major blood group systems are ABO system and Rhesus system, which are important. In the ABO system, there is A, B, AB and O. While in Rhesus, if it is present, it is positive and if not then negative. If the girl is not a relative then blood group is hardly a concern. If both are O positive, it would not matter. If she is a relative, get genetic tests to rule out any common diseases, which can affect the future kid. This test is called as genetic counseling. Only among close relatives, the immune system behaves dangerously due to reduced genetic pool. To conclude, having a common blood group is not a problem. She can donate blood to you and you to her in emergencies just like your siblings can. No other complications with same blood group. If necessary in case of second or third-degree\u200b relative then genetic counselling For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22249, + "tgt": "Why is there excess skin at the end of glans after pulling back the foreskin?", + "src": "Patient: Hello doctor,I am 18 years old, 150 lbs, 5'8\" male. I am in need of advice for my possible phimosis problem. I am uncircumcised and have never attempted to pull my foreskin back until yesterday. I was able to pull the foreskin back with some struggle but hardly any pain and got a look at the whole head. I have a few questions regarding this. When my foreskin is pulled back, at the end of the glans has excessive skin or somewhat around it and was worried if that was paraphimosis? (No pain except when touching it and feels very sensitive including the glans). Is it okay to leave my foreskin back as it is able to stay retracted and will just have to wait for the sensitivity to desensitize? Now that I am able to pull my foreskin back when flaccid, I cannot pull it back when erect. So, could I retract the foreskin when flaccid and get erect as it is already retracted? Doctor: Hi. I have gone through your query, I would like to know a few more details to answer your query better. It appears that you have a tight foreskin and not phimosis, I would have to examine you to confirm the diagnosis. In either case, the treatment advised would be circumcision to avoid a possibility of paraphimosis at a later date. I would advise you to not keep your foreskin retracted as it may cause a paraphimosis, which will require surgery to correct it if left for long. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 692, + "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": 20497, + "tgt": "Why am I having constant back pain?", + "src": "Patient: Hello doctor, I am usually a healthy 19 years old. But I always try to forget about my back pain. It gets very painful when I sleep, lay on my back, lay on my stomach, sit, stand, sit crossed legged, lean on anything, horse ride, walk, run, walk up stairs, etc. I have tried everything, massaging but it made it worse, it did go along my spine where it hurts, and one of the bones actually did hurt (the nerves I mean). I cannot bend over either. I have tried deep heat, and warm water bottles, I have not tried Panadol or Nurefon, because I cannot swallow tablets. I do not know why. But the point is, it hurts every moment of every day. Doctor: Hello. I understand your concern. Back pain at your young age could be due to the possible stiffness of muscles on your back especially if you are not doing regular exercise. However, back pain could be related to any possible urogenital problem especially related to periods or the urinary tract infection. I highly advise running a few diagnostic tests to determine the right diagnosis like urine analysis, complete blood count, back X-ray. Apply analgesic cream or patch locally. If you cannot swallow tablets, can take as effervescent analgesic tablets or powder to dissolve in water and drink it. Discuss this further with your caring doctor." + }, + { + "id": 12540, + "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": 20123, + "tgt": "There is a cyst in the retina for my father. Which medicine will be suitable for him?", + "src": "Patient: Hi doctor, My father, who is 76 years old, has been diabetic for the last 25 years. He takes medicine and controls it within the range throughout. Around 20 years back, he had a cataract operation in both the eyes. There is no IOL. His eye problem started before two years. Due to which, there is blurred vision. In the left eye, he has some vision, but in the right eye, the vision is very poor. According to the physicians, there is a cyst on the retina and for which they advise to inject Accentrix or Avastin. I am sending his FFA and OCT report. Kindly give your expert advice on the treatment and in which eye it is needed earlier. Among the two medicines, which is more suitable for my father? Doctor: Hi. Age. Wet AMD. Intravitreal Anti-VEGF in the right eye. Follow up after injections needed and OCT can be repeated after three injections. For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 19975, + "tgt": "Is hirsuties coronae glandis a contagious one?", + "src": "Patient: Hi doctor, There are a few little things around my glans. I think I have hirsuties coronae glandis. What can I do about it? Is it contagious? Please explain. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7629, + "tgt": "The corns in between my fingers hurt too much. Please suggest the treatment", + "src": "Patient: Hello doctor, There are corns in between my right leg's first finger and second finger. It hurts too much, and please suggest me treatment. Doctor: Hello. Corns can be painful by themselves, but more so if they are infected. Try to do the following measures: 1. Use padded footwear at home and outside, use silicon feet pads inside shoes. 2. Try corn caps which are like band-aids. Leave each one on for as long as they stick, which is usually for a week or so. Slowly over three to four weeks, the corn will soften and fall off. 3. You can take tablet Combiflam (Paracetamol, Ibuprofen) if the pain is severe as and when required after consuming food. 4. Use warm compresses over the corn in severe pain. If the above measures do not work, the corn may be infected, and you may require antibiotics. If pus has collected in it, it needs to be drained. So if there is no improvement, kindly consult a general surgeon." + }, + { + "id": 24980, + "tgt": "Can Ceftum 500 be continued in raised typhoid fever?", + "src": "Patient: Hi doctor, My wife is suffering from fever for past 11 days. On the first day, we got a Widal test done. It showed 1:40 S.typhi, but having a fever 103-104 degree Fahrenheit. Just three days back we confirmed 1:180 in Widal test. The doctor has advised Ceftum 500 mg bd. Now she is having fever of range 100-100.3 degree Fahrenheit at night time for about half an hour. Should she be admitted to the hospital or can continue Ceftum 500 for a few more days? Doctor: Hi. Typhoid should be treated with antibiotics for 14 days must. Otherwise, the bacteria remain in the gallbladder and cause recurrent infection. Now, if you feel that symptoms are not improving, she might require injectable antibiotics. It is better to get intravenous antibiotic first and then oral for a total of 14 days. Take her to the prescribing doctor for injectables ,if fever does not subside or symptoms do not improve or worsen. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6462, + "tgt": "Taking Clonazepam, Mirtazapine for anxiety and depression, Can you suggest any solution?", + "src": "Patient: Dear Doctor, I am suffering from\u00a0anxiety, restlessness and taking Clonazepam 0.75mg & Mirtazapine 30mg daily.\u00a0I had depression and panic attacks for the last 7 years relieved by Ativan 1mg and with open angle glaucoma. Need a second opinion. Doctor: Hi. Depression, anxiety, restlessness and panic attacks are best respond to a combination of a Selective Serotonin Reuptake Inhibitors (SSRIs) and Benzodiazepines. Mirtazapine is not the most efficient ant depressant and it is not a true SSRI as fluoxetine, paroxetine, citalopram and sertraline are. I recommend 20 to 40mg of Paroxetine (slowly titrated up from 10mg) and 1mg of either clonazepam or ativan (lorazepam) every 8 hours as needed for anxiety. Glaucoma precludes use of any anticholinergics such as hydroxyzine or benadryl (diphenhydramine). SSRIs are also at times likely to make glaucoma worse but a preliminary trial is always worth it. Revert back to a psychiatrist online for further help --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23504, + "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": 28675, + "tgt": "Is it likely that Rhinocort would cause sleep issues?", + "src": "Patient: Hi doctor, I am stress-free and moderately active person. I play sports two to three times a week and have no other major health problem such as hypertension, hyperthyroidism, high cholesterol, etc.\u00a0I have been using Rhinocort Aqua once a day on each nostril for four years and recently I have experienced issue of sleeplessness and insomnia. I just got to know that Rhinocort is a type of cortisol medication and it was understood that elevated cortisol can lead to sleeping problems. Is it likely that Rhinocort is behind my recent sleeping issue? Doctor: Hi. Drug induced insomnia. Check TSH. Hyperthyroidism and caffeine induced insomnia. 1. Tapering of the nasal spray and watching sleep pattern. 2. Discontinuation of any caffeine two to three hours before bedtime and no alcohol during that time as well. Revert back after three to four weeks to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24284, + "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": 17856, + "tgt": "I have hair fall, itching and white flakes on scalp. Why?", + "src": "Patient: Hi doctor, For four years, I have been suffering from severe hair fall. I have also visited a hair clinic once, but their treatment is too expensive. So, I have not continued the treatment. As my earning is very low, I have never visited any good dermatologist. I have tried various products, but the hair fall never reduced. It also itches a lot and too much white flakes come out of my hairs. I do not think that it as dandruff, because I have used Selsun shampoo with Fluconazole 400 mg once in a week for three to four months. But, the white flakes are still present in my hair. Also, I have some sticky white color thing in my scalp. I do not\u00a0know what it is. I have attached the photos. Also, I am shampooing my hair daily. If not, then I will end up with unbearable itching. My maternal grandfather had male pattern baldness.\u00a0Medicines that I have already taken are Fluconazole 400 mg,\u00a0Selsun shampoo, Candid lotion,\u00a0Rootz hair oil and some ayurvedic products.\u00a0Please suggest some medicines for all my problems. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24745, + "tgt": "Why am I not getting pregnant for the second time?", + "src": "Patient: Hello doctor, I am a 28-year-old female and I have a 4-year-old daughter who is turning five the next month. I am seeking to see a fertility specialist because I have been having unprotected sex in hopes to get pregnant and it has been five years and I have no second baby. A year or two ago I saw urgent care because I was bleeding for about two consecutive months. She then prescribed me pills which she explained were some hormones to slow down the flow. That worked for a while then period went back to normal. I then tried the Mirena IUD for about two weeks in which I had constant bleeding and had it removed. I still have not gotten pregnant. I am not sure why? I am not on any medications and my weight has not changed at all. Please help. Doctor: Hello. The irregular bleeding mostly is due to some sudden hormonal imbalance. As you feel, your weight has not changed a lot then that mostly is not the reason for this. But still, try to be active and keep trying to lose few kilograms. Your expected body weight is between 52 to 57 kg which I know is impossible. But try to reduce at least four to five kilograms. Hope the thyroid hormone and Prolactin hormone abnormalities have been ruled out. As your problem is of secondary infertility, the first thing to do is to confirm the fallopian tube patency. This is the tube where the egg meets the sperm to form an embryo. It can never be seen on the scan. You will have to do an HSG (hysterosalpingogram) or laparoscopy. Once confirmed as patent, your chances of pregnancy will be very high. Your doctor can plan for ovulation induction with hormonal tablets and injections. This will definitely improve your chances of pregnancy. Since you have had a pregnancy, you will surely have a pregnancy again. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 22628, + "tgt": "Having severe pain in the knee with low vitamin D level. Can you suggest a remedy ?", + "src": "Patient: Hello doctor, My mother is 59 years old and she is having severe pain in the knee. After taking x-ray and blood tests we came to know that her vitamin D levels are low which shows 14ng /mL. Can you please suggest a cure for this? Can the pain in the legs be cured? Can you suggest a remedy to get the pain levels relaxed? I am more concerned as she is not even able to walk as before. Doctor: Hi. Vitamin D deficiency is the most common vitamin deficiency currently faced by the population at large. In about 80 percent of urban population vitamin D is either deficient or insufficient. Your mother's problem is easily treatable by oral medications or injections. There is no cure, as the requirement is ongoing. Increasing the sun exposure to naked skin is necessary and if that is not enough, take regular supplements for life. Coming to the pain in the legs, this again can be multifactorial: What we need to do first is an assessment and physical examination followed by blood investigations and x-rays to pinpoint the cause. Please send the x-rays of the knee and lumbar spine and start her on the vitamin D supplements. The management for present situation would be: Revert back with the reports to an orthopaedician online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4990, + "tgt": "Should I seek more serious help for my BPD, depression and anxiety?", + "src": "Patient: Hello doctor, I am currently seeking help and I do not know how to go about it. I am a 17 year old ex-mental patient. I stayed in rehabilitation center multiple times and due to it causing health problems. I have been off all medicines for the past three months. It went out of hand now with my paranoia. I am not sleeping at all and when I do, they are only short naps during the day when it is light outside. The dark and night terrify me. I have BPD, depression and serious anxiety. I am still waiting for a diagnosis for me. At night time, seeing and hearing becomes so bad. I am physically breaking down and emotionally unstable till the sun comes up and I really need help. I have not had proper sleep for a month. If I do manage to sleep, my sleep paralysis is worse than ever. I am so scared to see and hear things. I am deathly anxious, jumpy and constantly reduced to tears. This cannot go on and I do not know what to do. I fear to tell my mother as she will over panic and take me to rehabilitation center again. I do not feel suicidal currently, so no use for rehab at the moment. I just need to know the problem and solution. Should I seek out more serious help? Please help me. Doctor: Hi. I see that you are facing many issues at the moment. It must be very difficult for you to deal with all these at once and you are still holding on bravely. It is certainly very courageous of you. As you are seeing and hearing things and you have mentioned that you are also having paranoid thoughts. These symptoms point towards a diagnosis of paranoid schizophrenia. You have also not been taking any medicines for the past three months and it may have worsened the condition. The auditory and visual hallucinations that you are having are results of imbalances in the neurotransmitters, which are chemicals in our brain helping us to think and function. The medications normalize their levels and help you focus on necessary tasks. Since you have been diagnosed with borderline personality disorder (BPD), depression and anxiety disorder, it will be very helpful for you to start medications for the symptoms you have mentioned in your query. For that, you must consult either your GP or psychiatrist directly. In your condition, the role of counseling will be amplified only once you are able to do away with the paranoid thoughts and hallucinations. 1. Schizophrenia. 2. BPD. 3. Depression. 4. Anxiety disorder. 1. Prescribed medicines. 2. Cognitive behavior therapy. Meditation. For further information consult a psychologist counsellor online.--->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 2427, + "tgt": "What can cause panic attacks?", + "src": "Patient: Hi doctor, I have been having panic attacks for the past 13 years. I have been to the hospital on multiple occasions and have been diagnosed with anxiety attacks every time. I have had EKGs and blood work done. All the reports are fine. Sometimes, I am having multiple panic attacks in a day and also I am getting these every day. Any help would be greatly appreciated. Thank you. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24197, + "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": 9724, + "tgt": "How do I treat migraine headache?", + "src": "Patient: Hello doctor, How do I treat a migraine headache? If I take Panadol, but when should I take them? Before lunch or after lunch? Doctor: Hello. Panadol (Paracetamol) has to be taken whenever you get headaches, not daily. Preferably, it should be taken after some food. If your symptoms are troublesome and frequent, say more than twice a week, then you should take regular medication for it. Regular medication includes tablet Ciplar LA (Propranolol) 10 mg once a day in the morning after breakfast. Before starting this, your resting pulse rate should be more than 65 per minute or get it prescribed from a local doctor. This will one to two to acts and gradually increase the dose. The headache frequency will decrease progressively. This has to be continued for a few months. I hope this helps you and get back if you have any doubts." + }, + { + "id": 2674, + "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": 5389, + "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": 15022, + "tgt": "Why is there fatigue and weakness with shortness of breath on doing exercise?", + "src": "Patient: Hello doctor, I am 41 years old male suffering from fatigue and weakness. Even a little exercise makes me short of breath. My father was a heart patient with triple by pass. I want to find out if my weakness is due to heart problem. I have had ECG and 2D echo done. Both were normal. Are there any other tests that can be done to find out if heart is healthy and functioning properly? Please advise. Currently, I am taking Eltroxin 100 for hypothyroidism, Nexpro, and Domstal for acidity. Doctor: Hello. I passed carefully through your concern and would explain that as your cardiac tests (ECG and echo) have resulted normal at rest (attachment removed to protect patient identity), an obvious cardiac disorder is primarily excluded. As you have coronary risk factors like strong hereditary for CAD (coronary artery disease), and probably hyperlipidemia (in the settings of hypothyroidism) and a suspicious symptomatology, an exercise cardiac stress test could be an option for further investigating any possible cardiac implication. Nevertheless, most likely factors responsible for your weakness seem to be outside your heart. First, you should clarify whether your actual thyroid therapy is appropriate and no dose adjustment is necessary. In this regard, blood thyroid hormones level should be checked. Another issue to clarify would be the investigation of other possible influencing factors like anemia (check a complete blood count), pulmonary function (pulmonary function tests), blood glucose level, blood electrolytes level, blood pressure values. You should discuss with your doctor on the above-mentioned issues." + }, + { + "id": 19861, + "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": 15332, + "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": 18563, + "tgt": "My wife has been suffering from migraine and gastric irritation. What to do?", + "src": "Patient: Hi doctor, My wife is suffering from a migraine. I have consulted a\u00a0neurosurgeon. He has given tablets Sibelium 10 mg, Topirol 25 mg, and Serenance. But, she is unable to take food. While drinking water also she is feeling gastric irritation. She is taking Omez\u00a0D and Zofran syrup before meals for gas release, and after food, she is taking Enzyme syrup. But still, she is facing the\u00a0problem of constipation and headache. While taking food, the headche increases. Eight years back, she had the same issue, and she had Topaz 25 mg at that time. Her urine, blood tests, and head scan are normal. Doctor: Hi. We are here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3488, + "tgt": "My mother is having low-grade fever for two months with drastic weight loss. Kindly advise", + "src": "Patient: Hi doctor, My mom aged 45 years, is having a fever for almost two months. The temperature used to vary from 99-100 degrees Celcius in the night times and gradually it comes down. She was weighing 105 kg and now she is 88 kg. Now, she is having bone pain and light fever in the night when there is a pain in the bone. She has been advised with calcium and iron tablets. She is also getting her regular periods. Menopause has not reached yet. Kindly advise. Doctor: Hello. The fact that she has been having fever off and on for the last two months and is a low-grade fever especially in evenings with accompanied weight loss and bone pains indicates a possibility of tuberculosis infection. It is better to get her Mantoux test and ADA (adenosine deaminase) levels done to rule out the same. As she has been in a colder country the possibility is unlikely, if she has been staying with you for more than six months or if she has recently visited you two months back then there is all possibility of her having contracted the infection from India and she carried it with her. Keep her well hydrated in the meantime and start multivitamin tablets daily to increase the appetite which may have also suffered a loss for last two months now. Please follow up with the reports." + }, + { + "id": 26841, + "tgt": "Is my father's bladder bleeding due to taking Aspirin and Plavix?", + "src": "Patient: Hello doctor, I am writing on behalf of my sick father. Last year, he suffered a brain stroke on the right side of the brain, which caused paralysis on his left side of the body. A week after that, he was diagnosed with heart blockage, which needed a bypass procedure. After treatment, he started recovering and walking with a tripod, but he still not able to gain movement of the hand. We just found out that five days before the stroke, he stopped all his medications (Aspirin, cholesterol medicine, Co-diovan, and Avodart). Now, he is on other medications (Tritace 5 mg, Ramipril, Plavix, Aspirin, Feromin, Avodart, Crestor, and Rabezole). He has been suffering from constant bladder bleeding and enlarged prostate, and he is not able to do any operations as his condition does not allow it. He had 20 blood transfusions so far. The doctors are recommending to stop one of the medications after one year of the stroke, which is next week, and they are suggesting to stop Aspirin or Plavix. We would like a second opinion. Doctor: Hello. I read your query and understand your concerns. I hope this helps you.\u00a0If you have more questions feel free to write back to me. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1591, + "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": 16770, + "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": 27647, + "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": 25767, + "tgt": "I found a lump behind my right ear. What could it be?", + "src": "Patient: Hello doctor,I am a 17-year-old male. I found a lump behind my right ear, not a huge lump maybe the size of half of a grape or slightly smaller. Other than that, I would not say there are any more symptoms, not that I have noticed anyway. Although I should mention I do have a bad tooth (back tooth) which was causing me quite a lot of pain three months ago. But, the pain was inside my mouth (a toothache). I do not have this pain now. Could this lump perhaps have something to do with that? Or something much more serious? I need your honest opinion. Is there any way at all I could identify what kind of lump it may be (cyst, cancerous, etc) without me visiting the GP or hospital? Doctor: Hello. A lump behind the ear could be a swollen lymph node if the toothache was also on the same side. If it recently appeared, not hard or fixed, if it is more or less tender to the touch or is not growing bigger, it easily could be due to an infection from a tooth, inside your ear, or a scalp infection. Just keep an eye out for any more swellings or notify your GP if it changes in terms of consistency, mobility, and number. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30288, + "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": 29776, + "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": 28034, + "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": 10821, + "tgt": "Does polycythemia occur due to smoking?", + "src": "Patient: Hello doctor,I was recently diagnosed with polycythemia due to increased red cell count of 5.28x10^12/L, HCT 0.466, and hemoglobin of 161 g/l. I stopped smoking two weeks ago. Six months ago, when I started to smoke, I smoke only four cigarettes per day. Would the high red cell count be a case of secondary polycythemia, or would it be due to smoking? If so, would my red cell count decrease after a month after I have smoked? Also, in this situation, would I need to take a low dose aspirin before a long haul flight (12 hours)? Doctor: Hello, Welcome to the icliniq.com. You have polycythemia. It can be primary or secondary polycythemia. The primary polycythemia is the cancer of bone marrow, which means myeloproliferative neoplasm. However your total WBC count and platelet count within range. So the chance of primary polycythemia less. You have an excess smoking history. Thus smoking can lead to secondary polycythemia, which is a pure benign condition. Smoking can decrease oxygen level in blood and so compensatorily more red blood cells produced. You have to stop smoking to cure your secondary polycythemia. If you stop smoking than gradually your CBC (complete blood count) will be normal. Drink lots of water like two to three liters per day to help in your polycythemia. You may need not to use aspirin as per my opinion. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 13482, + "tgt": "Can polycystic ovarian disease cause delay in periods?", + "src": "Patient: Hello doctor, I have missed periods for two months. I am trying to conceive but the test is negative. I have bilateral polycystic ovaries. Is there any problem? I am taking tablets for pregnancy. Doctor: Hello. I have read your concern. Given that you have a condition of bilateral polycystic ovaries, chances are you are having a polycystic ovarian disease. Besides polycystic ovaries, you may be suffering from hyperandrogenism, basically high level of androgen hormones which plays with your hormones causing a disturbance which in return manifest as anovulation, the absence of menstruation eventually infertility. You need to consult an infertility doctor if you are trying to get pregnant because there are still lots of ways to help you but would need a series of workups, not just Enphene tablets." + }, + { + "id": 17051, + "tgt": "Do my symptoms seem like migraine or something worse?", + "src": "Patient: Hello doctor, I am a 31 year old female, who never really suffered from headaches before this year. I did have occasional (what I called) tension headaches, mild pains behind one eye that would last a few hours, and that is about it.\u00a0Last year, I gave birth to my first child, by C-section. 2 to 3 days after the spinal anesthesia, I developed positional headaches that were incredibly intense. I was told they were related to the anesthesia. I could not sit or stand up, and the pain was the worst thing imaginable. I would actually cry on the toilet when I needed to go. On a scale of 1 to 10, it was an 11. When I lay down, it got better, a 2 to 3 out of 10. The pains went away after 6 to 7 days, and I got back normal. However, during these seven\u00a0days, I did experience once a scintillating scotoma, which was almost identical to the auras that precede migraines. A lot of blurry shining lights that gradually grew larger and became a sparkling fortification spectrum in a C-shape, which grew even larger until it left the vision field towards the left side. Then I had no problems whatsoever for the next six months or so, until one and a half months ago, when I started having the aura again, and it happened six times so far. I have been very overworked and overtired when they started, with the baby starting solids and not sleeping well. It has been so far five times on the left side of the vision and once on the right side (although the same day I had it on the right side, a few hours later it also happened on the left side, the same day). The transition of the scintillating scotoma from a dot to a large C leaving my field of vision lasts about 30 minutes, and it is every time the same. I do not have any other symptoms, although I had mild nausea a couple of times during the aura. The headaches that follow are mild. Like a stronger pressure in the back of the head, on the opposite side of the scotoma. So, it has been mostly on the right side. A couple of hours after the aura, I can always feel a sharper pain on the right side, inside my head, towards the back of the head (occipitally), usually when I move, bend over, cough, strain, etc. It is every time on the same side in the same spot. This pain disappears after a day or so.\u00a0But for the last two weeks or so, I have been left with a slightly painful pressure in my head that is pretty constant daily. It sometimes goes away especially when I am relaxed, but it comes back when I am more tense and active. It feels a lot like a tension-type headache. There is also a sensation of a 'full head' and a bit of lightheadedness like I am not focusing my eyes well (but not actually losing any balance or visual acuity). There is no particular pain when moving, coughing, bending over, etc. like I have during a migraine. But I do feel more pressure in the back of my head on the right, not sure if it is psychological, or it is really something there. I should also mention that I did not take any medication for the migraines, and once tried Ibuprofen for a tension headache, but it did not really work. Sometimes, a glass of wine works better actually. My brother started having the same aura (he described it to me in detail, and it is the same thing I have) when he was 35, which was five years ago. His headaches are mild to moderate, but they are behind his eye and not at the back of the head like mine. He also does not have the head pressure every day like I started to have, and his migraines alternate sides, not like mine which are pretty much on the right side of the head (left vision field).\u00a0I am scheduled for an MRI next week, so I will find out more soon. But I wanted to hear your opinion since I am so very scared that I have a tumor in there, something really bad. I very much want to see my baby grow up and be there for him. I am super worried, and I just had another aura yesterday evening, and now I get the sharp pain in my right occipital area when bending over. Do my symptoms really seem like migraines or maybe something worse?\u00a0I have read that I am a bit too old to start having migraines (31) and that the pain should be more intense and not always on the same side (which is indicative of brain tumor?) and that they should be on the front of my head not at the back of my head. Is that true? Doctor: Hello. I read your query and understand your concerns. I hope this answers you.\u00a0Feel free to contact me back if you have more questions or doubts.\u00a0Thanks and regards. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 2141, + "tgt": "My 2-year-old kid facing gum bleeding with sore tongue post fever episode. Why?", + "src": "Patient: Hello doctor, My 2-year-old daughter is experiencing severe bleeding in her gums. Prior to this, she has a fever and sore on her tongue and somewhere near the tonsil. Please help. Doctor: Hello. I understand your concern when it is a kid's matter. First of all, I would suggest you look in her oral cavity properly if she has caused any toothbrush injury or any source of bleeding if available. For bleeding gums, you apply a cold compress or ice packs right now at the affected site. Next, make her do salt warm water rinse if possible. One home remedy with honey is effective, you can take honey at your fingertip and apply all over her gumlines properly. Kindly make sure she does not brush in upward downward motions rather in a circular motion. Brush her teeth twice daily and bristles of her brush should be soft. Apply a bit of toothpaste two to three minutes before brushing all over her gumlines and then brush after one to two minutes, but make sure she should not swallow it. Give her gums smooth finger massage after she has done brushing. Make her rinse her mouth properly after every meal. Kindly post me about the updates." + }, + { + "id": 8019, + "tgt": "Are changes in bowel habits and varying stool consistency pointing towards IBS?", + "src": "Patient: Hi doctor, I am a\u00a037 year old male. My only diagnosed health issues are mild hypertension and acid reflux. I take medicines for both.\u00a0Over the past three months, I had been experiencing a change in bowel habits. It starts with normal stool, then a bout of constipation or hard stool and then loose or thin stool then normal again and it keeps changing. Sometimes, the abnormal stool would occur with abdominal discomfort and cramping.\u00a0I had a normal colonoscopy about four years ago. I also recently had a normal KUB x-ray to check for any significant blockages.My gastroenterologist did not seem to be concerned with these symptoms and suggested a fiber supplement. I tried Benefiber (wheat dextrin) and that did not have much of an effect. About one week ago, I switched to Metamucil (psyllium) and within a few days of starting, I passed a large amount of stool. Since then, I have felt much better. There is no cramping and I have been passing stool about three to five times a day.\u00a0 The last piece of the puzzle, though, for me, is that the stool I have passed over the past week has been of varying size and consistency. Some stool looks normal and in between, there are thin, firm and unusual rubbery strands formed together.\u00a0I am concerned about these unusual stools and I have attached a photo. Is what I am describing consistent with IBS? Or could this be a parasite? Should I be concerned about this more serious? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11944, + "tgt": "Please tell me how can I concentrate on studies?", + "src": "Patient: Hi doctor, I cannot concentrate on my studies. I am getting distracted like anything. I do not know why. I am losing my temper often, anxious. Doctor: Hi. Do not get disheartened. Most probably all of your symptoms are related to performance anxiety, (have to rule out all medical cause for anxiety-like thyroid, hypertension, serum calcium). The most important thing is to have faith in yourself, what you have done in whole year will reflect in your exam results, do your best right now otherwise hard work which you have done in whole year will be wasted because of your current anxiety. Do not be afraid of thoughts of failure in the exam, if not succeded in this year, do more hard effort again. Have faith in God, everything will be fine. A few people advise medicine like Betacap (Propranolol) for such problems but I do not think so. Yoga and meditation are also better options for you as remedies." + }, + { + "id": 28865, + "tgt": "My x-ray report shows that I have lumbar spondylosis. Do I have to get an MRI?", + "src": "Patient: Hi doctor, I have a pain in my back, and the\u00a0local doctor says that L3 might have collapsed. I can walk and do day to day activities. My x-ray report says I have lumbar spondylosis. And osteophytes are seen with sclerosis in lumber vertebra and disc space reduced between L4 - L3. The doctor advised\u00a0spine support, but I withdrew it. He also suggested getting an\u00a0MRI. Could you please suggest if it is a good idea to get an MRI done? Doctor: Hello. I do not have all the information here but will try and explain. From you description, you do not seem to have any leg symptoms, like sciatica like pain or lumbar canal stenosis. You also have not mentioned about any night symptoms, weight loss, appetite loss, fever, sweats, etc. You have not indicated the degree of pain, the response to painkillers, any physiotherapy, etc. Do you have any history of back injury? Your reports suggest that you have age-related changes, and need to try physiotherapy. I suggest you try doing the following. If you have any symptoms as I described above, then only an MRI is needed. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20931, + "tgt": "I have froth in urine and facial puffiness. What is the further management?", + "src": "Patient: Hello doctor, I am 30 years old male with HTN (Telmisartan 49 mg and CTD 6.25 mg) for past six years with a body weight of 80 kg. For some days I have noticed froth in urine and facial puffiness. I want your suggestion. My RFT was normal but I have not checked my urine for protein or USG abdomen. Can you please guide me regarding further management? Doctor: Hello. Your main concern is regarding facial puffiness. For that, you can do following investigations: According to cause specific treatment is given. Urine routine microscopic examination also can be done. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18040, + "tgt": "Can I plan a pregnancy if I am rubella IgG positive?", + "src": "Patient: Hello\u00a0doctor,I am rubella IgG positive 118.90 IU/mL and cytomegalovirus positive 8.87 IU/mL. What does it mean? Can I\u00a0plan to get pregnant\u00a0now? Doctor: Hello. I have read your query and understand your concern. Hope this helps. Feel free to ask for more information. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30367, + "tgt": "How to know if I am affected by rabies?", + "src": "Patient: Hi doctor, I was injured by a bone of a dead dog. The injury is on my right knee. I cleaned the wound with soap water and this happened a month ago. I am facing some problems like flu, body pain and headache for the last four days. How to know if I am affected by rabies? What are the tests needed to confirm rabies virus is in my body? Also, can I take post-exposure treatment at this stage? What are the good antirabies available? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14191, + "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": 7492, + "tgt": "Will use of Duromine cause change in behavior?", + "src": "Patient: Hello doctor,My wife used Duromine for six months at first, no problems. But now she changed ultimately, she wants a deforce and can not tell me the real reason because she does not know why she feels like it. She is even moody with children. She does not want me moving out, saying we can stay together, but she does not know why and cannot explain it and want to be friends. There is no other person that I am sure. Please, I want to know if there are other tablets to fix this quickly. Doctor: Hello. Well, short term but common side effects of Duromine (Phentermine) is irritability, nervousness, and insomnia. Change of sexual desire and psychosis are the rare side effects, but still, there is a possibility. So yes, there is a good possibility that Duromine is the reason behind her this behavior. I will advise you to stop this medicine immediately. She could feel some withdrawal symptoms for some days, but for them, you may consult some physician if withdrawal becomes severe. After stopping this medicine give her plenty of liquids and fruit juices. Hopefully, everything will be fine soon, but in case of symptoms persist then please consult psychiatrist for proper evaluation, counseling, and management." + }, + { + "id": 19321, + "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": 30131, + "tgt": "My cousin is on Carbamazepine, but still getting seizures. What to do?", + "src": "Patient: Hi doctor, My cousin has a history of epilepsy and using Depakine Chrono 750 mg twice daily. He used Allopurinol and got allergy and fever along with seizure. He was given Hydrocortisone injection and Carbamazepine 100 mg twice daily for 10 days and increased to 200 mg twice daily after that. But, she still gets seizures. Last night, she got twice at 10 PM and 4 AM. Her body temperature is about 37.2 degree Celsius. Doctor: Hi. I read your query and understand your concerns. If your cousin was seizure free before Allopurinol, then I do not think Carbamazepine is the right thing for her. She should be given anti-epileptic such as Clobazam, which has immediate action. I think Carbamazepine should be stopped gradually and his treatment protocol should have added Clobazam per day for a duration of two to four weeks and dose of Depakine -Valproic acid should be increased. In case, your cousin is having recurrent seizures despite Depakine 1500 mg per day, then there is a need to increase the dose of Depakine. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The recommended dose of Depakine in seizure disorder is 15 mg to 35 mg per kg per day and for her weight it will be somewhere 1500 mg to 3000 mg per day. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27374, + "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": 10570, + "tgt": "I had vibration in my chest associated with shoulder pain. What does it indicate?", + "src": "Patient: Hello doctor,I am 27 years old, weighing 57.1 kg and about 1.45 in length. I was busy cleaning this morning when my heartbeat felt very strange. Like it was vibrating inside my chest, it lasted for about 30 seconds and stopped. After that, I feel very tired, a little out of breath, and a heavy weight on my shoulders. Should I be concerned? Doctor: Hello. You probably had a transient arrhythmia (abnormal heart rhythm). The most common type of abnormal heart rhythm at your age (assuming you do not have any pre-existing heart conditions) is supraventricular tachycardia. This can produce symptoms like palpitations, lightheadedness, and a strange feeling in the chest. An ECG, if done during the actual episode, can provide a diagnosis. But at least, you should get a baseline ECG. So, I suggest seeing your general physician within the next few days. Other things that are pertinent when you have fast heart rhythms are: 1. Excess production of thyroid hormone (a thyroid test TSH would be appropriate).2. Excessive consumption of caffeine.3. Any recreational drug use like cocaine.4. Electrolyte imbalance.If you get these episodes frequently, you should see a cardiologist who can order some tests." + }, + { + "id": 15179, + "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": 6520, + "tgt": "My tongue ring has caused gum recession. How to prevent it further?", + "src": "Patient: Hi doctor, I have had my tongue pierced\u00a0for eight months. I went to the dentist and they said that the rubbing of the tongue ring on my teeth had caused gum recession, so I was advised to remove my tongue ring. I have read that using a bioflex tongue bar do not cause any damage to your teeth. Is this true? If not, could you give me any alternative to not remove my tongue ring? Thank you. 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": 28696, + "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": 26320, + "tgt": "Got periods after sex. Is there still a chance for pregnancy?", + "src": "Patient: Hi doctor, I had sex 45 days back and my last periods was 8 days before intercourse. I took I-pill within 48 hours. I got periods within 10 days after I had sex which was too early. Now it has been 35 days. Is there any chance of getting pregnant even after getting periods in the last month? Doctor: Hi. Thanks for your query on this platform. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2632, + "tgt": "My foot is swollen, and I think my uric acid is up again. Please suggest some medication", + "src": "Patient: Hello Doctor, My foot is swollen right now and I'm sure that my uric acid went up again. It happens in the past and I need some medication for the pain and the inflammation. My height is 5'6 ft and my weight is 95kg. Doctor: Hello, Firstly, the photo uploaded isn't informative , as the extent of redness or inflammation isn't well demarcated Secondly , do you have any past history of gout If yes , how many Acute flares did u have in the past? How severe , only foot , single joint or multiple joints ??? Any Triggers like boozing , food intake rich in Urate ? Any history oh Physical exertion ? Well, management of gout includes three steps Acute Flare Management Acute Flare prevention To clearThe Uric Acid stores and ti decrease deposition in joints For now , Management of pain is crucial T.Naproxen 750 mg stat and then T Naproxen 250 mg Thrice for %5-7 days with meals T.Pantop 40 mg in the morning before breakfast REST Avoid Purine rich diet , No to Alcohol , Beverages Get the Uric acid levels Checked Revert to me with 1)Uric Acid levels 2)Good photograph with proper focus on the affected area along with normal leg for reference 3)Detailed Past history 4)Diet And Drug history That includes both medicines and else as well Very important is to follow proper Diet (keto Diet NO000), Loose weight Finally , the urge to treat without a proven diagnosis is always resisted , Hence diagnosis is mandatory for best management as we practice evidence based medicine Get well soon Regards Dr Geeta" + }, + { + "id": 13266, + "tgt": "What can be done to stop getting repetitive thoughts?", + "src": "Patient: Hi doctor, I suffer from anxiety and depression. I keep having these few minute long incidents where I get stuck with a thought repeating over and over in my head. It is a question which I then answer and then the question and answer process keeps repeating. I realize what I am doing and freak out thinking I will be stuck in this mode of thought forever. After a few minutes,it stops but I am usually incredibly upset and mentally exhausted after. This started about a year ago. Doctor: Hello. These thoughts are part of anxiety only. Repetitive unwanted purposeless thoughts are seen commonly in anxiety. You are not able to control these thoughts and these thoughts produce stress. You should visit your psychiatrist again for re-evaluation. SSRI drugs like Escitalopram or Citalopram can be used to reduce anxiety and will surely help you." + }, + { + "id": 30514, + "tgt": "I would like to get your remark on my MRI. Please comment", + "src": "Patient: Hi doctor, I have attached my MRI scan report and I do like to get the remarks. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17896, + "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": 23995, + "tgt": "Please look at TORCH test results and tell if there is any concern", + "src": "Patient: Hello doctor,My wife is 6 months pregnant. She underwent TORCH test as there were two miscarriages in the past after one normal delivery. The result of the test is as follows:Toxo Plasma-IgM: 4.30, Rubella IgM: 11.80, CMV IgM: 5.80, HSV 1 and 2 IgM: 0.58;Toxo Plasma-IgG: 3.60 iu/ml, Rubella IgG: 139 iu/ml, CMV IgG: 104 iu/ml, HSV 1 and 2 IgG: 10.20.Is everything alright or is there any matter of concern? Doctor: Hello. I have gone through your wife's TORCH (toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and HIV) test reports. There are two types of antibodies that were investigated, IgG and IgM to exclude infection. The result could be positive or negative, it depends on the finding of IgG and IgM. A positive test result means IgG and IgM antibodies are found in one or more infections covered in screening. IgM antibodies represent that there is a current or recent infection. You can have repeat testing to confirm it again from another authentic lab. The presence of IgG indicates a past infection or vaccinated previously. Reinvestigation after two weeks of the test is better to confirm it and again to compare antibodies as well. In the meantime, inform your results to the treating consultant immediately. If the newborn tests positive for IgM antibodies, current infection is the most likely cause. If both IgG and IgM are found in the newborn, it is probably antibodies from the mother transferred to the baby. In short, she is having an infection, and that can harm the baby as well. Baby can have multiple congenital anomalies like congenital rubella and CMV (cytomegalovirus) syndrome, sensorineural defects, blindness, hearing loss, premature delivery, growth restriction, neonatal herpes, microcephaly, intracranial calcification, rash, conjunctivitis, thrombocytopenia, hepatosplenomegaly, etc. A detailed anomaly scan is needed urgently. If the mother gets an infection in the early trimester, diagnosed as well with active infection few consultants give an option of termination as well after describing risks of having congenital anomalies due to active infection. Immediately inform to treating consultant about the positive report, have a detailed fetal anomaly scan and discuss with your obstetrician regarding the fetal outcome. Discussion regarding fetal anomalies could be heart touching. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6801, + "tgt": "How to control loose motions in a 1 month old baby?", + "src": "Patient: Hello doctor, I have a 1 month old boy\u00a0baby, his mother died during the delivery. We feed him cow's milk, but he is having loose motions. How to control the loose motions? Doctor: Hi. It is so sad to hear about his mom. Revert with more information to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1723, + "tgt": "My wife has continuous headache and vomiting when the pain is severe. Please help", + "src": "Patient: Hello doctor, My wife is having headache every day for the past two months. Pain is only mild but it extends up to the neck area. Sometimes if she has severe pain, she vomits. Doctor: Hello. Regarding your concern, I would explain that this kind of headache could be a migraine. I recommend starting Verapamil 40 mg three times daily and Amitriptyline 25 mg half a tablet before sleep. A brain CT (computed tomography) scan would help exclude any other brain lesions, but considering the COVID situation, I would not recommend going to an ER. Besides the situation is not an urgency, considering the fact that she suffered from headaches like this before. For rapid pain relief, I would recommend taking Ibuprofen 400 mg three times daily coupled with Acetaminophen. I hope this helps." + }, + { + "id": 5212, + "tgt": "I am having excruciating pain in my feet with walking difficulty due to falling from height. What to do?", + "src": "Patient: Hello doctor, A few days ago I jumped off a gate that was about 10 feet tall. Upon landing, I landed flat on my feet, a surge of excruciating pain took over my feet. Since then, I have trouble walking and the pain has not yet subsided. Though it hurts a lot when I am walking and putting pressure on my feet when I am in a resting position they do not hurt much. I was unable to walk the next day but a day after I was able to start walking. I am having semester and having a lot of work to do. I may have pushed my feet further and both of my feet of purple bruises on them around the arches of my feet as well as the inner heel. I went to see a doctor yesterday and he said that if I had a broken bone that I would be screaming every time I tried to walk or touch my feet. He said that I likely have muscle contusions and the pain is due to the immediate shock in foot muscles while landing. I have been trying to walk on the outer sides of my feet when I need but I am trying to stay grounded as much as possible. Is there any chance the doctor may have missed something? What should I do? My classes are starting shortly and I am worried that getting around is going to be a major challenge for me. Doctor: Hi. Without examining you it is very difficult to be precise but I can say with confidence that you have a significant injury as bruising is a hallmark of either a fracture or a significant soft tissue trauma. Weight-bearing is the second thing we look at and if you cannot bear full weight with your foot flat and walk at least five to seven steps, then again you need to be cautious. Thirdly, if you have pain at a localized area rather than over a large area then again it is an indication for an x-ray. Looks like you need an x-ray. Not only will it rule out a fracture but also if you have no fracture but have the above symptoms then you need to look after yourself as some times the soft tissues take longer to heal than bony injuries. Also, sometimes you may need an MRI (magnetic resonance imaging) to be absolutely sure. I hope this helps." + }, + { + "id": 13250, + "tgt": "Can antiepileptic drugs cause behavioral changes in my child?", + "src": "Patient: Hi doctor, My son is 3 years 9 months now. He has been diagnosed with benign childhood epilepsy. He is taking Clobazam 15 mg at night and Topiramate 100 mg per day for last four months. His seizures are under control and he attends LKG. The issue is that he is not able to concentrate in his studies and he does not like to sit with patience for a while. I am worried whether he is disturbed by his medicines? Please clarify the dosage too as his present weight is 15 kg. Doctor: Hi Welcome to icliniq.com. I have read your question in detail. The initial dose of Topiramate is 1 mg/kg/day which is gradually increased to 5-10 mg/kg/day. Your child is getting 100 mg Topiramate which is around 6 mg/kg/day. So, the dosage of Topiramate is correct. There are some side effects like anorexia, weight loss, blurring of vision and glaucoma. But these occur at late stages and when higher doses are given. So, in my opinion, Topiramate is not causing any problems in your child. Secondly, the initial dose of Clobazam is 0.1mg/kg/day which is gradually increased to 0.3 to 1 mg/kg/day. In your case, your child is getting 15 mg daily which comes to 1 mg/kg /day. Side effects of Clobazam are constipation, behavior changes, aggression, sleep disturbance, weight gain. So, I think that aggression and behavior changes in your child could be due to Clobazam. You should meet your doctor and ask him to lower the dose of Clobazam or substitute it with another antiepileptic drug." + }, + { + "id": 8743, + "tgt": "What to do when a 12 year old girl is under medication for autism but her hallucinations are not under control?", + "src": "Patient: Hello doctor, My daughter is 12 years old, and she always showed a great deal of anxiety started having a lot of school refusal during 5th grade, so we took her to see a psychiatrist who ultimately diagnosed her with high functioning autism and started her on a Lexapro. School refusal continued, but we managed the school year. When she started 6th grade, she admitted to her school psychologist that she had been hearing voices for about a year. The voices were a group of teens about her age, and they were all very negative. We sought treatment again with another doctor who put her on Risperidone, which failed to control the voices, so she was switched to Seroquel, which also failed after a month. We had a move to another state, so we had to change doctors. The move did not go well with our doctor, and she ended up with a suicide attempt and four acute hospital stays and one long term stay. Her hallucinations are now fully engulfing her days, and they are tactile, visual, olfactory, and audio. She also admitted to an early suicide attempt while she was 10. Her new doctor has tried Abilify, Latuda, high dose Seroquel, and high dose Zyprexa. All have failed. She had also tried depression medications like Trintellix, Wellbutrin, Lexapro, Cymbalta, and Zoloft. Nothing has worked for more than two months. Her current doctor is not willing to try another medication and is telling her to live with her hallucinations. My daughter is 13 and has very little quality of life. In our place, there are minimal resources here, even being well insured and willing to pay out of pocket. I am looking for advice on what to do next. Do I travel out of state, do I visit another type of doctor? It is also important to say that she has been diagnosed with schizophrenia. My husband nor I have any family history of schizophrenia going back about five generations, although I do have mental illness frequently on mine (depression and bipolar). I had a completely healthy pregnancy, and she was born on her due date without complications. She was big at 8lbs 9ounce and 21inches. Doctor: Hello. It is common for adolescents with high functioning autism (HFA) to experience high levels of anxiety, especially when they are pushed outside their comfort zone. Many go on to develop hallucinatory experiences like hearing critical voices at this stage when they struggle socially. I presume your daughter had all the relevant investigations like scans and blood tests to rule out any physical causes for her hallucinations. Your daughter has been tried on so many different medications, and you report limited efficacy. In addition to drugs, has she been getting any structured psychological therapy during this period? Modified CBT can help manage voices and other hallucinatory experiences. Try to discuss with your doctor and explore the availability of any skilled therapist with experience of working with HFA kids. CBT can be beneficial but needs patience and may take time. If your daughter is very unwell, she may not be ready but better to discuss with your doctor or therapist to know what is possible? It is paramount that your daughter does not get more isolated. Try to get her doing some educational activity (homework, online classrooms, etc. ). If she likes going online, provide an opportunity to browse with appropriate parental locks and control to prevent her from accessing any inappropriate content. Recovery can be gradual in these conditions. You can contact again if any further advice is needed." + }, + { + "id": 20623, + "tgt": "How can I get a good sleep at night?", + "src": "Patient: Hi doctor, I cannot sleep at night. Although my head is hurting throughout the day and I know that it is because of not sleeping I still cannot sleep, overthinking all night, and because of this, I have really bad acne now. I do not know how to put my mind at ease and sleep. Can you please help me? Doctor: Hi. Close your eyes and concentrate on breathing and relax your whole body. Make comfortable ambient for your sleep means dark rooms, no noise, no mobile or TV at least half an hour before sleep. Drink warm milk for sleep induction. Wear comfortable and loose clothes, wash hands and legs before sleep. If still there is no sleep, then you can try any antihistamine like Cetirizine, that can help you to sleep. For daily or routine life, fix your schedule and time to go to bed and wake up time. Do the daily exercise for 30 to 45 minutes, do meditation for 15 minutes, eat healthy good home cooked food, avoid junk food, eat light food at dinner." + }, + { + "id": 19976, + "tgt": "When is an HIV test regarded as conclusive?", + "src": "Patient: Hello doctor, For my company's official purpose, I recently went through an HIV test. I have attached the report. Kindly please check and guide me if everything is fine and what the report means. Doctor: Hello. I have viewed the report (attachment removed to protect patient identity). Good luck. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 6198, + "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": 12835, + "tgt": "Can a diabetic patient consume barnyard millet?", + "src": "Patient: Hello doctor, Is barnyard millet good for a diabetic patient? My mother has fibroids in the uterus of 18 cm, does it impact the rise in diabetes in any case? Her current diabetes is 340 fasting. Please guide. Doctor: Hello. Samak rice (barnyard millet) is good for everyone, more so for a diabetic person as it provides a good deal of fibers, multiple nutrients, and enough calories too. Instead of regular rice, this can be substituted. The presence of fibroids in the uterus has no direct impact on either precipitating or increasing diabetes. Fibroids can cause problems related to the uterus itself. If there are many and fairly big ones, better to get a hysterectomy (removal of the uterus) done. The best judge for this is your gynecologist who can assess the situation better. Follow that advice. As regards blood glucose control, ideally fasting glucose should be less than 100 mg or closer to 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8 %. Maintaining good glucose control prevents the possibility of developing long term complications related to diabetes." + }, + { + "id": 20784, + "tgt": "I am getting severe pain on the left side of shoulder and chest. Is this a cardiac problem?", + "src": "Patient: Hello doctor, I am getting severe pain on the left side of the shoulder and chest for the past four days. Is this a cardiac problem? Doctor: Hi. Any left-sided chest pain should not be ignored. A history of lifting heavy weight, strenuous work, exercise etc., might also cause shoulder and chest pain. There are chances of pain radiating to the arm and chest due to cervical spondylosis (neck pain). Follow these simple steps: Get a complete hemogram, chest X-ray, X-ray of the cervical spine and ECG done. Consult a cardiologist online with the reports --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23593, + "tgt": "Post herpes attack, I am suffering from Bells's palsy. Please advise", + "src": "Patient: Hello doctor, Post a severe attack of herpes on the left shoulder, left ear (in and out), chest, and back I am now suffering from Bell's palsy on the left side. Symptoms are as follows: Cannot raise left eyebrow. Cannot tighten left nostril. Cannot move lips (left side). Left eye constantly watery. Which steroid and what strength do I need to take? I am already taking Acyclovir 800 mg four times a day. Doctor: Hello. I suggest we do not start on steroids now as there is an active herpes infection which can flare up with steroids. Once it is six to eight weeks of Acyclovir therapy, we can start Dexamethasone 4 mg eighth hourly. However, you will have to consult your physician, discuss with him or her and start taking the medicines with their consent. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26664, + "tgt": "I wake up with severe low back pain every morning. Please suggest a cure", + "src": "Patient: Hello doctor,My problem is, I wake up in the morning and\u00a0feel a severe pain in the lower back. Please tell me the\u00a0solution. Doctor: Hello. 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 spine health specialist online --> https://icliniq.com./ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 1033, + "tgt": "Why am I not able to focus both the eyes on a single point?", + "src": "Patient: Hi doctor, When I look towards my left, I can use either left eye or right eye. I am unable to focus both the eyes on a single point. Also, When I move my eyes towards left,\u00a0my left eyeball goes little upward than the right. Please help. Doctor: Hi. Revert back with the answer to the above question to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30317, + "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": 20928, + "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": 25544, + "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": 20266, + "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": 2825, + "tgt": "How to identify the reason for abdominal bloating?", + "src": "Patient: Hi doctor, For the past one year or more I have been suffering from occasional severe abdominal bloating. But, for the last few months it has been all day. I have been tested for celiac disease and the result was negative. My stomach becomes so big and I cannot walk or when sit. I cannot see or cloth my legs. It feels like it is just going to burst. I have a poor appetite and anything I have eaten just comes back up. I have vomited blood on two occasions and I always feel nausea. I cannot use the toilet sometimes for days, otherwise I cannot stop going. Sometimes, at the end of urination the pain can be so sore. The pain is constant under my right rib and runs down the right side and into the middle of my front. Please help with my condition. Doctor: Hello. 1. Celiac disease (if not ruled out by a biopsy of the colon) 2. Crohn's disease 3. PUD (peptic ulcer disease). 4. Helicobacter pylori infection. 5. Gastritis. CBC (complete blood count), EGD (Esophagogastroduodenoscopy) and colonoscopy. It would depend upon the endoscopy and biopsy results. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4117, + "tgt": "Is it advisble to taper medications after recovery from schizophrenia?", + "src": "Patient: Hi doctor, I am schizophrenic but recovered. I would like to know what next after recovering symptomatically, functionally and cognitively over 2 years now. Do I get to gradually taper off my medications? Do I get back the level of energy I had during my pre-psychotic period before my first relapse? Doctor: Hello. Good to know that you have recovered from Schizophrenic episode. You can gradually improve your functioning by following a bio-psycho-social rehabilitation model. If this is first episode psychosis, many guidelines suggest continuing antipsychotics for 1-2 years after remission of symptoms. Discuss with your doctor about gradually reducing Olanzapine. It needs to be done very cautiously under supervision and monitoring to prevent any relapse of psychotic symptoms. If you had already had a relapse, it is advisable to continue on antipsychotic medication for a longer period at the lowest possible effective dose. So there is no straight answer to your question about tapering medication. Apart from medication, try to get some therapy/counselling to help you manage with sustained recovery. Also try to gradually get back into education /training or some job to improve your functioning. Take it easy during the remission period. Also ensure that you follow a healthy diet, sleep adequately and exercise regularly. Hope this helps. Take care." + }, + { + "id": 20385, + "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": 28273, + "tgt": "My daughter has stomach pain and foul smelling farts. Please help with the treatment", + "src": "Patient: Hi doctor,My daughter is 5 years old. Her weight is 10 kg. She had on and off pain in her stomach and a terrible smell when she farts. Please help me out in this problem. I gave her Cyclopam but was not so effective. She is currently on Colicaid. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7978, + "tgt": "I want to know the symptoms of schizophrenia. Please explain", + "src": "Patient: Hello doctor,I want to ask about the symptoms of schizophrenia. From the information I have seen before, it seems like I may have either developed it at a very young age, or I may have been born with it. I still want to have a professional point of view on it, though, because I only made this conclusion from observations and comparisons.And I only recently (a year or so ago) started realizing that some things I thought to be normal, were not. What I believe to be my symptoms are hallucinations that I remember having since I was 4 (and maybe even before then). Having trouble in telling the difference between shadows and silhouette of living beings, not having any distinction between dreams and memories, and having scrambled thoughts that include conversations with either people that do or do not exist staged out in my head. Doctor: Hello. The symptoms of schizophrenia are, 1) Hallucinations are hearing voices when there is no one around. 2) False beliefs which one believes to be true despite proof against it. 3) Illogical thinking and speech. 4) Catatonic symptoms like sitting at one place or assuming one posture for long periods. 5) Negative symptoms like lack of motivation, a scarcity of speech, reduced interest, and reduced activities. Though schizophrenia begins typically in early adulthood, it can start even at a very young age. There are different types of schizophrenia. What you describe comes close to paranoid schizophrenia in which there are frequent hallucinations and some false beliefs which are firmly held. I hope it helps. You can consult me anytime for more help." + }, + { + "id": 11423, + "tgt": "Why does the skin around my anus have white spots?", + "src": "Patient: Hi doctor, For about a month or so, I have been dealing with what I thought was hemorrhoids. I have used preparation H suppositories and some cream and they seem to help some. The pain starts after or during a bowel movement and there is blood on the toilet paper almost every time I wipe. Today, I decided to take a picture of it because it has not gotten any better and I am really scared it is something worse than hemorrhoids. Also, the irritated skin around my anus has some white spots. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9774, + "tgt": "My HIV test after 15 weeks of exposure is negative but I am having some symptoms. Should I worry?", + "src": "Patient: Hello doctor,Is the window period for HIV more extended when the symptoms of acute infection take a long time to show? I was tested for HIV by rapid test at 10 and 15 weeks after exposure (both negative), but have symptoms by week 9, and worse symptoms by the 13th week. Can I be calm with these results? Doctor: Hello. The symptoms of acute HIV infection appear relatively for a short duration and resolve within a few days. These can appear anywhere around two to six weeks. Your signs at nine weeks could be a coincidental finding, and there could be numerous causes for the symptoms. The tests performed these days for HIV are highly sensitive and specific and gives accurate results. Majority of the people who are infected with HIV develop antibodies by two to eight weeks. The literature says approximately\u200b 5 % develop by three months. With your negative HIV rapid test at 10 and 15 weeks after exposure, you can surely relax and calm. However, there are recommendations, and I also suggest to my patients to repeat the HIV test at six months of high-risk exposure. I hope your query is answered, but if you still have any other question, please revert." + }, + { + "id": 30636, + "tgt": "I guess my constipation and blocked urination are interlinked. Please help", + "src": "Patient: Hi doctor, I am a 30 year old male. I\u00a0generally have constipation problem. Mostly, I use some laxatives or aryuvedic churnas to clear constipation. Whenever I have constipation, I feel my urine is blocked. I drink plenty of water daily. Also, I used to consume lots of water before going to bed. Earlier, I had to rush in the morning to urinate. Nowadays, I feel there is a problem of blocked urination along with constipation. Since last evening, I had lots of water. But, till noon I could not urinate with full pressure. I feel some tension below the bladder area. I also keep hygienic, but my clothes smell like urine. Right now, I could not urinate and it is coming like little drops. Also, my legs are paining. Please suggest something soon. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23117, + "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": 25176, + "tgt": "Three days after starting diabetes medicine, I feel dizzy. What is the reason?", + "src": "Patient: Dear doctor,Recently, I was diagnosed with diabetes and my blood sugar fasting was 231 and random was 271 mg/dL. I consulted a doctor and he prescribed me Qosmet 500 mg/ 50mg twice a day and Amaryl 1 mg once in the morning. After a week, my sugar was under control and blood sugar fasting was 93 mg/dL and random was 111 mg/dL and 139 mg/dL. Three days I was fine but after that, I am feeling vertigo (dizziness). Kindly tell me why this is happening to me. Is it any side effect of the tablet I am taking or any other issue? Doctor: Hello. You should monitor your blood sugar twice a week and especially at those times when you are feeling dizzy. Initially, with the start of medication, you may have some low blood sugar symptoms due to the first effect of medications for treatment of diabetes. I suggest you buy a glucometer and keep a check of your blood glucose twice a week and also check your blood sugar whenever you have such kind of symptoms like dizziness, sweating, and irritability. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 9603, + "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": 22717, + "tgt": "I have a bone-like lump near uvula. What is it?", + "src": "Patient: Hello doctor,Bone-like lump near the uvula. Back of throat does not heal last three month. The tonsillar lymph node is swollen, movable but feel hard when finger touch. Minor difficulty in eating food, no fever, no cold. Currently, taking Rabtac -D, Allergent, Zinc Vitamin. Doctor: Hi. You have tonsillopharyngitis. If you have already taken the antibiotic course then it is better to get throat swab for culture and sensitivity and gram stain. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6082, + "tgt": "Can we use Glycerin suppository twice a week, for my 2 month old daughter?", + "src": "Patient: Hello doctor, My 2 month old daughter started passing stool irregularly, from the past eight days. She was passing a lot of gas, but it did not smell. Seeing no improvement, we took her to the\u00a0pediatrician, who said she had gas in her stomach. So, he gave her Decolic, Neopeptine, and Glycerin suppository. When we came back home, we applied Glycerin suppository and had an\u00a0immediate effect, and she passed a good amount of stool. It was yellow in color,\u00a0sticky, and semisolid. But again after that, she did not potty for three and a half days. So, we again applied the suppository today, which made her potty. Is she suffering from constipation?\u00a0Is this common, as she is exclusively on breastfeeding?\u00a0Is the use of suppository safe for her? Will it cause any harm in the future? Is there any permanent and natural solution? Doctor: Hi. This must probably be your first child, that is why this query. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10964, + "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": 27041, + "tgt": "What can cause redness and itching of the eye since two years?", + "src": "Patient: Hello doctor, A 10 year old boy I know\u00a0seems to have an eye allergy. The redness of the eyes started when he was eight. He rubs his eyes as they itch him, especially during sunset and before bedtime. His eyesight has been examined and found to be normal. His uncle, 32 years old, had the same issue and became fine only when he turned 21 years old, in spite of the medication he used to take. Can such a case be treated at this age, that is, between 10 and 21 years old? What is the best medication plan? Can you suggest eye drops that can reduce the redness and itchiness of the eye?Attached herewith are some snaps of the patient's eyes and the medication he is currently using. Doctor: Hello. for more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8100, + "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": 24593, + "tgt": "Noticed a growth in my throat. What it could be?", + "src": "Patient: Hi doctor,Yesterday I felt like something was stuck in my throat. Today, I noticed a growth in my throat. I am 43 years old, non-smoker, and drink one to two glasses of wine per month. Kindly tell me what this could be? Doctor: Hello. I saw the photo you have attached (attachment removed to protect patient identity). Although there is a lot of reflected light, I can make out that you have enlarged tonsils and edematous uvula. However, due to the reflected light and distortion of natural color, I cannot make out whether the area is congested, red or pale. The color is essential to conclude the condition of the mucosa, whether it is inflamed or not. Second, I assume that the only symptom you feel is a sense of something stuck in the throat. There is no pain, fever, cough or thick phlegm, etc. These symptoms if present would indicate infection and you may need antibiotics for that. Hence, in your case, I would like to give the following medicines if you were to come to me in my clinic. A proton pump inhibitor like Prilosec (Omeprazole) or Prevacid (Lansoprazole). These prevent acid reflux into the throat and reduce inflammation and edema inside. Reflux worsens any inflammation in the throat due to constant irritation by the acid that escapes into the esophagus and comes up to the level of the throat. Anti-inflammatory medicines like Chymotrypsin, Trypsin, Bromelain, and Rutoside. These components increase the recovery and hasten healing. They promote mucosal regeneration and reduction of edema. Deslor 5 mg (Desloratadine) will remove any allergic component of the condition. Many a times allergy to any offending agent causes inflammation and enlargement of tonsils. General and supportive measures would be to drink plenty of fluids, avoiding spicy oily and masala foods, drinking plenty of warm water, avoiding smokes and drinks till you are completely better, avoiding the dust outside, wearing a mask if you travel to polluted areas, etc. Suppose there is an infection, the symptoms of which I have told you, then you may need a Macrolide antibiotic, with some decongestants and gargles. Gargles in reflux will worsen or aggravate the symptoms. Hence, I have not suggested gargles now. However, in the event of infection, we will have to tweak the medicines a bit. If you can click a better picture of the throat, without torch light, focussing your smartphone alone with flash, it will be better. Try sending us few more images. Also check for any enlarged lymph nodes in the neck, under the jaw, under the ear, etc. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17271, + "tgt": "Can my baby still have her shots if she has a fever?", + "src": "Patient: Hello doctor, My daughter is a month and a half. Her 2-month appointment for her shots is due very soon. But, she had been coughing a little and sneezing since about two days ago. She felt a little warm today and I took her underarm temperature and it was 99.2. I am a first-time mother. Should I take her to the doctor? Doctor: Hello. For further queries consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 25955, + "tgt": "Can unprotected oral sex lead to HIV?", + "src": "Patient: Hello doctor, I had unprotected oral sex with a CSW. I ejaculated in her mouth. She ran quickly to spit. I do not know if she was HIV positive or not. Should I be worried about my health? Doctor: Hello. Unprotected receptive oral sex is safer than unprotected vaginal or anal sex but not entirely safe. There is a negligible risk of HIV (human immunodeficiency virus) and other STDs (sexually transmitted diseases) like herpes, gonorrhea, chlamydia, and syphilis. The risk is more if the person had oral sores or bleeding gums. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9670, + "tgt": "During RCT, broken file left inside tooth. Will it cause any issue?", + "src": "Patient: Hi doctor, Four months before, I had root canal treatment and the file was broken inside the tooth. So, I went to another doctor and after a month of treatment, he said the file has been removed. Now, I feel a very light sensation in the tooth. I went to a new dentist as I could not contact the old one. The new one took an x-ray and informed that the broken file is still present inside the tooth. I want to know whether the broken file causes a serious health issue to me. Will\u00a0this instrument travel to some other part of my mouth or somewhere if left untreated? Doctor: Hi. Revert back with the x-ray to a endodentist online -->https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 20103, + "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": 10045, + "tgt": "Why the absolute monocytes are low in my routine blood work?", + "src": "Patient: Hi doctor, I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin. Doctor: Hi. Based on your query, my opinion is as follows (attachment removed to protect patient identity): For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15398, + "tgt": "My vaginal opening is white with tiny lifted or pointy spots around it. What is the problem?", + "src": "Patient: Hi doctor, I am 19 years old and a virgin. My opening of the vagina is completely white with some tiny lifted or pointy spots around it. I am noticing it for the past couple of years. I do not have any other problem like itching, bleeding or smell. So I have never consulted a doctor for this problem, and now, I start to have a feeling that it is abnormal or severe. It is found with white skin and looks like dry skin. Please suggest. Doctor: Hi. Please send a picture of it. As you are still virgin, you can have an intact hymen (small skin tag at the entrance of the vagina). White dry appearance occurs due to candidiasis with vaginal secretions. It gives you the presentation as you explained. Check your hemoglobin. Even low hemoglobin level along with candidiasis also gives the appearance you told. You can also have a local infectious lesion, skin tag, and wart. A local examination can confirm it. In the case of candidiasis, you can use Canesten (antifungal cream) with the help of an applicator. You can use it at bedtime. If you have any other lesion or pelvic infection, you should do a swab or skin scraping and check it in the laboratory. Do CBC (complete blood count) to exclude anemia. Collect the results and discuss it with your local gynecologist or here. In case of a wart, it has to be removed with care. Due to the absence of sex, you do not know the secretions observed in sexually active lady during, before and after sex. So vaginal dryness could be obvious. Wart or skin tag like lesion occurs when there is an infection with human papillomavirus. Differentiating them on examination is necessary. I hope you have understood the suspected causes of this issue. It will become better after a local physical examination and treatment. Use lubricants when you become active. Have strict hygiene. Use soft, cotton and comfortable undergarments." + }, + { + "id": 11875, + "tgt": "What is the scale of STD risk in masturbating a man with bare hand?", + "src": "Patient: Hello doctor, I have a question about STD exposure risk. I masturbated another male with my hand, and my palm was moist with lube. I wiped away with a hand towel and precum when it became present. His ejaculate went on the floor, maybe a small amount on my hands. I quickly wiped my hands dry with a towel and then washed them with hot soap and water. I had no visible scratches or cuts on my hand. Additionally, he had no visible sores, blisters or warts on his penis. What is the scale of risk associated with this behavior? This was my first encounter such as this. Doctor: Hello. I understand your concern. With your history, it seems like the risk of getting STD's like herpes, syphilis, chancroid, and the wart is very negligible as you have mentioned that the person had no sores, ulcers, blisters or wart. If the person has latent herpes, then there are remote chances of getting herpes on hands that again depends on your immunity. Mucosal contact has a significant risk of transmission of STDs. Oral sex has the risk of 1 in 1000 chances of acquiring HIV, and anal sex has 1 in 100. In your case, I would say the risk is negligible." + }, + { + "id": 9994, + "tgt": "Is it possible to correct the length of my front teeth with veneers?", + "src": "Patient: Hi doctor, My two front teeth are much longer than the adjacent ones. For braces, I will have to remove four teeth, which I am not in favor and grinding will remove much of enamel layer. I have heard about porcelain veneers and composite bonding techniques for altering the shape of teeth. What should I do? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13262, + "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": 14936, + "tgt": "I had multinodular goitre with normal TSH. Taken Levothyroxine for 12 months. 2 months after stopping the tablets TSH is increasing. Why?", + "src": "Patient: Dear doctor, I had multinodular goiter with normal TSH. I was taking Levothyroxine tablet daily for 12 months. Now, two months after completing the tablets, my TSH is 11.5 (max 5.5). Why? Doctor: Hi. As long as you were taking Levothyroxine, your body levels of T3, T4 hormones were maintained at normal levels. Due to your goiter, your body is not producing T3, T4 hormones adequately. But, that is getting compensated by excessive synthesis of TSH (thyroid-stimulating hormone) which stimulates the body to produce T3, T4. Once you take Levothyroxine, your body levels of T3, T4 hormones will be maintained at normal levels and the stimulus for TSH secretion decreases and hence TSH comes to normal. But, once you stop taking Levothyroxine, the T3, T4 levels come down and body starts producing more and more TSH to compensate low T3 and T4. My advice is to continue taking Levothyroxine and let your TSH come to normal, then let us plan to reduce the dose later. This may take a few months to years. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 30432, + "tgt": "Why are my periods lighter?", + "src": "Patient: Hi doctor, I am 20 years old. I started to have birth control pill at the age of 15 for heavy periods. I switched to Depo-Provera after about four years on the same pill. I was on Depo-Provera for one year and I stopped it a year before due to irritating light spotting and mood changes. After I began to have BC pills, I get period only once in three months. The spotting now only occurs after sex or self-stimulation. Also, my period was extremely light. I started the next pack of pills, but still experiencing postcoital spotting. I attended a gynecologist for a regular checkup and they called for an ultrasound regarding the light spotting. It was found that my endometrium was at 15 mm. They said it was extremely thickened and required a D and C. As per my research, I found that this is not at all an abnormal thickness for when I am about to start my period, so I disregarded it. During the examination, they found that I had a minor infection or irritation with my cervix and put me on a course of Flagyl. The postcoital spotting stopped completely. A week later the spotting started again. It is now time for my period. I thought that since my endometrium was thickened, I am getting lighter period. What would be the problem? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3294, + "tgt": "Can scattered white matter lesion of unsure etiology be suspected for MS?", + "src": "Patient: Hello doctor, The radiologist stated scattered white matter lesions but does not tell the location, or size. They state as unsure etiology or clinical significance. The ordering physician suspects MS due to symptoms like disorientation, incontinence, and body pain. If the radiologist suspected MS would not they state the size and location? And diagnoses suspected disease or kind of lesion? Was this a poor report? Or was he basically not sure of what is going on? I leave it up to the ordering doctor. I have done blood for lupus, arthritis, Lyme disease, and complete blood test. Doctor: Hi. The few scattered white matter lesions could mean that there are areas in the white matter of brain which are seen as small pinhead size on T2 and flair sequence. This is commonly from small vessel ischemic changes and is seen usually in older age and slightly uncommon in the young population. The cause is sometimes unknown. Suspicion of MS (multiple sclerosis) is by diagnostic criteria and matching it with clinical examination. There is McDonalds criteria for imaging in MS and if the radiologist did not mention any findings which are under these criteria then it is unlikely to be MS from this scan. The criteria specify that the patient might require a subsequent MRI scan and the new scan is compared with the old one to make a probable diagnosis of MS in you. It is clear that the findings are less likely to be from MS on this scan. Talking about radiologists, every person has their comfortable style of reporting and I feel mentioning the location of the larger white matter lesions would have been good for your ordering doctor. I will not say this is a poor report but surely it can be improved by providing the size and location of the larger white matter lesions. I hope this helps." + }, + { + "id": 7588, + "tgt": "I am adviced to remove my wisdom tooth for my jaw stiffness. Please advice on my OPG", + "src": "Patient: Hello doctor,I am feeling jaw stiffness on the right side, I had OPG and my dentist said to remove the wisdom tooth, but I do not see any issue with it in my OPG. I want to get a second opinion. Doctor: Hello. Your wisdom tooth on both sides of your lower if you observe are at the angle of your jaw where there will be movement when you open the mouth causing stiffness. And in the second point is there are no adverse effects if you get rid of your wisdom tooth. Your brush cannot reach there. You will not be able to chew on them. So why do you take a risk in keeping them? So do not worry, follow as per your doctor's advice and feel free to text me or call me if you have any further doubts take care." + }, + { + "id": 4417, + "tgt": "I am diagnosed with schizophrenia. Do I need to take medicine for life long?", + "src": "Patient: Hello doctor, I am taking Nexito Forte and Skizoril 12.5 mg daily for the past three to four years. I am under psychiatric medication for the past 10 years. I was diagnosed with schizophrenia and ADHD. I have also been diagnosed to be suffering from hypertension and have been given Nebimac 5 mg and Telma 40 for the past six months. Now, my life is back on track and I have a good job in hand. But, I feel that my life is going on just because of the medicines and fear for the worst when I stop taking medicines. I have had a talk with my doctor who said the dosage would be reduced gradually. What would you advise regarding this? Doctor: Hi. If you are doing well with Skizoril (Clozapine) and Nexito forte (Escitalopram), I think you must continue with the same. Schizophrenia is a terrible psychiatric illness. If it reoccurs, then it will be difficult to manage. Skizoril 12.5 mg is a minimal dose of the drug. You can talk to your doctor about gradually reducing Nexito forte. For further information consult a psychotherapist online --> https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 21584, + "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": 9585, + "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": 2953, + "tgt": "Bleeding heavily with clots. Is this a sign of early miscarriage?", + "src": "Patient: Hi doctor, When I had sex with my boyfriend last time, neither I had started my new pack of birth control nor used a condom. I started a new pack around one and a half to two weeks later. But, last week, I started what seemed to be period about a week early. The flow has been a lot heavier, I am going through tampons like crazy and there are a lot of large clots. Further, the blood is bright red. I am having the worst cramps I have ever had in my life and it has been going on for 10 days now. Is there any chance that it is an early miscarriage? This is so abnormal for me. I cannot think of anything else that would cause these symptoms. I do not know if it matters, but I have PCOS. I have never experienced this since I am regularly taking birth control. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6547, + "tgt": "A small white worm came out of my belly button. What specialist should I go to?", + "src": "Patient: Hello doctor, My abdomen has been swelling for months and is quite distended. Something felt like it was moving around in my stomach about eight months ago but I did not pay much attention to it. When I awoke yesterday, my rectum was itching and my belly button felt as if it had been cut. It felt worse after work. So, I faced the mirror and pulled the skin open around my belly button and a small white worm came out. I took pictures of it and have it in a baggie and I contacted my doctor's service but have gotten no response. I have no medical insurance. So, I need to cut to the chase and find out who I need to go to for a diagnosis of the type of parasite and treatment. Doctor: Hello. I went through your post and the images you have posted (attachment removed to protect patient identity). Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22311, + "tgt": "I took Primolut N for missed periods. Why have I not got my periods yet?", + "src": "Patient: Hi doctor, I have missed my periods for one month. I did a home pregnancy test and it was negative. Therefore I met a doctor to do a proper check. He scanned me and said I am not pregnant and I have fibroids in my uterus. He requested me to stop having birth control pills as I have very thin walls in my womb. I was worried about all the things and he suggested me to have Primolut N (5 mg) tablet twice a day for three continuous days. He said from the third day I will start having my periods and everything will be all right. But I am still missing my periods. Is something wrong with me? And is there a permanent cure for fibroids without any surgery? Why my periods are so late? Doctor: Hi. For irregular cycle treatment, you get it right but dose and days should be extended and then withdrawal bleed you would have in 1 to 2 weeks not just after finishing tablets. The dose of Primolut N should be 10 mg twice daily for five days and then wait for bleeding for 1 to 2 weeks. Better to have medicine from day 4 to day 24 for three cycles to properly regulate cycles. It would be better if you could send me a detailed history and scan report as well. If fibroid big obstructing cavity and causing symptoms like urine incontinence, infertility, abdominal heaviness then myomectomy (removal of fibroid) necessary but if no symptoms like above no need to remove actually. It is better to have blood tests on day two of periods (serum testosterone, progesterone, insulin, prolactin, FSH (follicular stimulating hormone) and LH (luteinizing hormone), thyroid function test). Collect reports and discuss with gynecologist here or local. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13967, + "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": 5588, + "tgt": "After my sinus surgery, I experience a thin liquid dripping from my right nostril. Is it CSF leak?", + "src": "Patient: Hello doctor, I had sinus surgery about four months ago, to correct a severely deviated septum and to reduce the turbinates on both sides. I also had surgery previously on my face to reconstruct an impacted orbital bone and maxillary sinus on the left side of my face. Following the surgery, on my sinuses and septum, I had a clear thin liquid that would drip from only my right nostril when I would bend down or bend over to get something. It was a very thin liquid and I assumed it was just fluid draining from the surgery and that it was normal. Since then the draining has continued to happen when I bend over. I was never told by my ENT that a CSF leak was a potential complication that could occur with this surgery but after researching this symptom I have found out otherwise. I have a follow up scheduled with my ENT doctor but that is not for another month and a half. Is there a potential that it could be a CSF leak? Could it be still recovering from the surgery? Should I look to see if I can see someone sooner than a month and a half? Doctor: Hello. With a septal correction and turbinate reduction surgery the chances of causing a CSF (cerebrospinal fluid) leak as complications are remote because CSF leak occurs when you disrupt the skull base and in the surgeries you mentioned we do not touch the skull base. However, you have mentioned in one place that it is sinus surgery. Sinus surgery does have CSF leak as one of the dreaded complications. Could you pull out the exact details of your surgery and let us know? If possible can you upload the preoperative sinus CT scan films and report for us to check. Before we panic, get the fluid collected in a clean sterile container and check for sugar and beta transferrin. These two tests will help us know whether the fluid is nasal discharge or CSF. If it is CSF indeed then you need to immediately get it corrected. CSF leak denotes there are potential leak and opening in the base of the skull and that any infection or bacteria can easily pass on the nose to the brain." + }, + { + "id": 105, + "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": 17770, + "tgt": "Kindly suggest a face wash, sunscreen lotion and overnight cream for oily skin", + "src": "Patient: Hello doctor, I am a 25 year old boy and my face is very oily during summer while in winters it is quite dry. In summers, a lot of oil pops out with white heads on my face. Even a short-term sun exposure tans my skin. I am also suffering from the problem of dark spots. Kindly suggest a face wash, sunscreen lotion, overnight cream or whatever it takes. Doctor: Hello. Ahaglow (alpha hydroxy acid) face wash can be used to wash the face. La shield sunscreen can be used in the morning as it is non-comedogenic. Please upload an image of your face, so that depending on the skin type, pigmentation, and acne, medications can be suggested." + }, + { + "id": 13896, + "tgt": "I don't get wet and I do not experience any sexual feeling. Please help", + "src": "Patient: Hello doctor, I am a 27 year old female. Actually, my problem is I do not get wet, and I do not experience any sexual feeling whatever I watch or whatever I do (I mean sexual act or masturbation). Why is it so? Doctor: Hello. I can understand what you are going through at present. Sexuality is such a topic that most of the people especially females do not discuss. Due to the stigma attached, they do not even come out with their sexual problems. So, I would like to appreciate your initiative to come up with your problem. As you told that you have difficulty in getting wet or stimulated after watching any intimate stimuli and also have difficulty in having sexual activities as you do not get pleasure from them. What you are suffering from is called \"female sexual interest/arousal disorder\" (FSIAD).FSIAD is characterized by: It can be caused by endocrine dysfunction, metabolic disturbances, cardiovascular disorders, CNS pathologies, spinal cord injuries, urogenital pathologies, medications, hormonal disturbances, relational issues, emotional disturbances, physical/sexual abuse, and violence.It needs a detailed evaluation to rule out the above-mentioned causes, to plan management for the same. Management includes both pharmacological in the form of hormonal treatment; and psychosocial interventions such as sensate focus therapy, sexual skill training, communication skill training." + }, + { + "id": 29458, + "tgt": "Would you kindly suggest diet for a pregnant woman?", + "src": "Patient: Hi doctor, Will you kindly suggest a diet chart (non-vegetarian) for a pregnant woman\u00a0from morning to night? Her first pregnancy is just detected. She is on regular Eltroxin 50. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5311, + "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": 30162, + "tgt": "From my scan report, can you tell me if I can conceive?", + "src": "Patient: Hello doctor, I am 24 years old and married for 4 years now. I am 5.2 and obese. This is my scan report. Can you please tell me if I can conceive this month? I previously had PCOS. Currently, I am using ayurveda medicines. I heard that delayed ovulation rupture does not cause pregnancy. Also, my husband has teratospermia. Please check the attached documents of follicular study and semen analysis and suggest the needful. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). Since your husband has teratospermia (sperm with abnormal morphology), he will have to meet andrologist and get started with medications. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22184, + "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": 26181, + "tgt": "Nothing seems to help my allergic rhinitis. What should I do?", + "src": "Patient: Hello doctor, I have been diagnosed with allergic rhinitis. I saw many doctors and had a nasal septum deviation surgery last year too, to control the allergies but nothing helped. I have to take antihistamines twice every day.\u00a0I take 180 mg Telfast. The symptoms are very similar to having the flu. I have a runny nose, watery eyes, sneezing, extremely itchy nose, and cough every now and then. It is impossible to control them now. Every morning, when I wake up, I wake up to these severe symptoms. The below-listed things seem to help during the symptoms. When I drink a cup of hot tea after I wake up. When I wear a cap during the night (helps a lot with the morning crisis). When I apply some pressure on my nose, on both sides. When I take any medicine that has an antihistamine. When I avoid usage of AC (but I live in a very hot country). Thank you for your help. Doctor: Hello. Do revert with all the details. Revert with more information to an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 22519, + "tgt": "I am facing acne problem and skin looks dull and dead. Please suggest", + "src": "Patient: Hello doctor, I am a 33 year old female. I have acne on my face. After delivery, I put on weight (74 kg) and today I am 66 kg. I have used hormonal tablets for six months till February due to periods problem. Now, I am not using any tablets and my periods are regular. Almost for four months, I am facing acne problem. My skin also looks so dull and dead. Please suggest. Doctor: Hi. Do not worry. Acne in your case is due to the hormonal changes which occurred due to the medicines you took in February and due to childbirth. But, just relax, it may take some time, like up to four months, but it will be fine. Apply Skinoren cream (Azelaic acid) in very little amount only on the pimple or dark spots only at night. Take very little amount. You will experience slight peeling of your skin but do not panic. The pimples will be dried off and the superficial layer will be removed. Use Cetaphil cleanser. Use for three weeks. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17011, + "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": 1995, + "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": 23353, + "tgt": "My vitamin B12 is high. How can I lower it?", + "src": "Patient: Hi doctor, As I took master health blood test and in the result, my vitamin B12 is high. How can I lower it? I am afraid of this. Please help me. Doctor: Hello. Kindly provide me any other clinical complaint if you have. Kindly mention whether you have taken any vitamin B12 supplement or tablet or injection? Attach your all reports to give more comment. Usually, liver disease, kidney disease, B12 intake, myeloproliferative neoplasm are among the causes for high B12. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2192, + "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": 5517, + "tgt": "Is 5 ml of Nuhist a correct dosage for a 14-month-old baby?", + "src": "Patient: Hello doctor, My son is 14 months old. He had a bad cold and congestion for the past seven days. We consulted our local pediatrician, who suggested a 5 ml of Nuhist twice a day. This medication makes him sleep quite a bit and when I tried reading up about it, there was not much except that some of the components in the medicine are things that should be taken in consultation with a doctor. I just want to confirm, is this dosage right? Should we continue the medicine and in what dosage? Should we be taking care of something in particular? Doctor: Hello. The medication your kid is getting is one of the medications for cold. It has the side effect of causing some drowsiness like any other cold medication. The side effect is something that occurs with the normal medication dose. We usually prescribe medications based on weight. I presume your child would be around 12-14 kg. If he is drowsy with that dose, you can give him half the dose, which is 2.5 ml two to three times a day and three days of medication would be sufficient if he is relieved of the symptoms. The main side effect is drowsiness and decreased alertness. If it is not affecting his day to day activities, and his congestion is getting better with medication, you need not worry. Only ensure that he is not left to himself when he is under the medication effect. There are some less sedating medications that can be used, but we use less frequently in kids below 2 years." + }, + { + "id": 22424, + "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": 24577, + "tgt": "There is bright red blood in my stool. What could be causing it?", + "src": "Patient: Hello doctor,I am a 23-year-old female. I weigh 220 at 5 foot 2 inches. There is bright red blood in my stool, not dark at all and no clots. I have asthma. I am also on Clomid to help me conceive and I just finished a round of it yesterday. The bleeding started yesterday. Doctor: Hello. I understand your concerns. The most common causes of blood in stools are either piles or anal fissure and both should be painful. So please provide me with more details in order to identify the cause: Causes of painless blood in stools: arteriovenous malformation, painless piles, cancer. 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": 23210, + "tgt": "Can honey be consumed instead of sugar in a diabetic patient?", + "src": "Patient: Hello doctor,I would like your professional medical opinion on the medication named Lyrica, but first, let me give you some background about my father's health condition. He is a 73 years old man who has been diagnosed with diabetes type 2 10 years ago. He also suffers from hypertension, gout, neuropathy, slight renal failure and had a heart attack eight years ago and underwent a minor procedure of having two stents in the heart. He is on various medications for his illnesses but my question is this, can my dad drink tea with honey instead of sugar? Is honey as damaging as sugar or can he consume it? Also, can he drink alcohol-free beer? Is beer with alcohol not permitted when having a slight renal failure and diabetes type 2? Doctor: Hi. He can drink honey considering its beneficial effects. Honey is not dangerous like sugar. As he is having gout it is better if he avoids beer with or without alcohol. Lyrica is for only symptomatic purpose. It does not cure or treat the disease. It only suppresses the symptoms. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24471, + "tgt": "Can Lamotrigine dose be reduced to 25 mg for depression?", + "src": "Patient: Hello doctor, I am diagnosed with OCD and possibly with depression. I have taken several different medications over the years and was most recently taking Lexapro 20 mg, Lamotrigine 50 mg, and Vyvanse 70 mg. The Lamotrigine is the newest medication I was prescribed. I had gotten the dose to 150 mg, but then I started having panic attacks, so we lowered the dose to 100 mg. That was fine for about a week, and then I started having panic attacks at that dose. We lowered the dose to 50 mg, and in two weeks, I started having panic attacks at that dose as well. It was helping with my depressed mood, but I have not taken it in the last three days. I am starting to feel more depressed, and I am not sure if it would be fine to take it at 25 mg or just stop taking it all together. I was previously prescribed Abilify 2 to 5 mg, but I was concerned that it was making me gain weight. Doctor: Hi. I have read your query and understand your concerns. First of all, I would like to inform you that possibility of panic attacks is dose independent. I mean to say for panic attack prone individuals the panic attack can occur at a wide range (starting dose of 12.5 mg to 200 mg). However, it is observed that at a higher level, the chances remain much lower in some individuals. In other words, it can be stated that most of the individuals are prone to panic attacks at certain range. For example one of my patients had panic attacks in the dose range of 50 to 100 mg per day, but panic attacks ceased to exist once we crossed 100 mg per day. Secondly, I would like to state that it is most likely fear of panic attacks which is bringing panic attacks to you even at the lower dose on the current day (presuming slow titration I feel it was not there when up-titration of Lamotrigine was done while building the dose of Lamotrigine). In other words, even our fear of panic attacks can bring more panic attacks and controlling our nerves may help you. Thirdly, I feel that Lamotrigine should be tried again under the cover of benzodiazepines (Diazepam or Lorazepam or Clonazepam or Alprazolam). My recommendation is based on the fact that benzodiazepines can take care of panic attacks while the Lamotrigine can take care of depression. Over a period of time, the propensity to cause panic attacks will decrease and benzodiazepines can be stopped slowly. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4617, + "tgt": "I am having shortness of breath with a feeling of paralysis of nasal passage. Please help", + "src": "Patient: Hello doctor, For the past week I have been experiencing a \u201cscratchy\u201d feeling on just the left side of my throat right below my Adam\u2019s Apple region. Now, it feels as though whatever it is has transformed into a feeling of paralysis from my voice box up to behind my left nasal passage. I am also experiencing shortness of breath. Doctor: Hello. Can you send me a picture of your throat (clear one). I want to see if your posterior pharyngeal wall or tonsils are infected. Are you a diabetic? What problem do you have in your nose? Is it like a nose block? Shortness of breath can be due to nose block as well. Do you have any posterior nasal drip? Any hoarseness of voice or cough while eating or drinking? These symptoms are suggestive of vocal cord paralysis. Do you consume alcohol or do you smoke? Any problem of acid reflux?" + }, + { + "id": 15560, + "tgt": "Am I safe from unwanted pregnancy after taking four Yasmin pills after sex?", + "src": "Patient: Hi doctor, I had unprotected sex, and I am not sure whether we did an ejaculation or not. Suddenly, I took four Yasmin pills on the spot today. Am I safe from unwanted pregnancy? I need your urgent advice. Please help. Doctor: Hi. You are trying the Yuzpe method. In this, a woman uses birth control pills as emergency contraception (EC) every day. By combining pills in a specific order, the estrogen and progestin present in those pills work to prevent an unplanned pregnancy before it starts. This method is most effective when used within 72 hours after having unprotected sex. To follow the Yuzpe method, you should take your birth control pills (Yasmin) in two doses, 12 hours apart. Each dose has four pills. So you should retake four pills after 12 hours to complete the regimen and then in the next 48 to 72 hours, you can expect a withdrawal bleed." + }, + { + "id": 22406, + "tgt": "Can I-pill cause irregular periods?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner without penetration but I rubbed my penis on her vagina. She had her last periods before 10 days and usually have irregular periods. She had withdrawal bleeding after a week and today it is 38 days after the last period. Two days back she had abdominal cramps and headache. Is this due to PMS or she is pregnant? She expected her periods on this month. But she did not get it. When should she expect her next period? Doctor: Hello. She is unlikely to be pregnant, however, get one urine pregnancy test done to be on the safer side. Also, I guess you did not ejaculate inside her. You mentioned about the withdrawal bleeding, so I guess she would have taken I-pill which is highly effective in preventing pregnancy. Also, her period is expected in a week or two. Periods will be irregular for two to three cycles after taking I-pill or otherwise, she has irregular periods may be the reason. So overall, it is unlikely to be pregnant if she had taken I-pill, but just get a urine pregnancy test with the help of kit at home. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21258, + "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": 16167, + "tgt": "Does using Noctiva nasal spray reduce the sodium levels in the body?", + "src": "Patient: Hi doctor, I had a bladder leakage at night. I tested my urine. It was fine. I do not have urine leakage during the daytime. I had this problem before five months. My urologist gave me Nocitva nose spray. I have read that using Noctiva can lower the sodium present in the body. I tested my sodium level before eight months. It was 142 mEq/L. Do I need to check my sodium level now? Please suggest. Doctor: Hi. Yes, using Noctiva nasal spray (Desmopressin acetate) can cause a decrease in sodium levels in the blood. The risk is small, and it usually happens within the first month. Then your body starts coping with it. Generally, we measure the sodium levels just before starting the drug, a week after starting the medication and a month after taking the drug. If we find the levels in a stable condition, then we repeat them once in six months. In your case, as you have started the medication, I would advise you to get a sodium level now and a couple of weeks later. If they are normal, then you can get it done for every six months. It is just a precaution to monitor these levels, as the actual risk of developing low sodium levels is less than 10 %." + }, + { + "id": 16961, + "tgt": "How difficult is it to remove a cyst from a testicle?", + "src": "Patient: Hi doctor, I am a 33 year old healthy male. I have had cyst in my testicle as long as I can remember. It just aggravates me and bothers me. But, I am too embarrassed to go in person to get it looked at. They say basically you will have to live with it. There is really nothing much to do about it.\u00a0What is the procedure for removing a cyst from a testicle? How difficult it is? Doctor: Hello. I am sorry to hear about your problem. Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19579, + "tgt": "Does low weight of fetus lead to early termination of pregnancy?", + "src": "Patient: Hi doctor, I am 28 weeks pregnant (post IUI). Recently I got my growth scan done and it showed\u00a0GA by LMP 29 weeks 3 days whereas GA by USG 28 weeks 2 days. Fetal body weight of 1125 gram and with a slight impression of asymmetrical IUGR. I am much worried about this 1 week 1 day gap between USG and\u00a0low weight of the fetus. Can this gap be covered in the next USG, which I would be undergoing after ten days? My doctor gave injection Alamin-SN intravenously and one ampule injection Orofer since my hemoglobin was 10.40 g/dL. At present I am taking capsule Mcbm Dha, Ferium-XT, LRzin sachet and Wowmino sachet. I wish to undergo a planned C-section delivery. Will that be possible considering my latest USG scan? Or do I have to terminate my pregnancy by delivering earlier? I would like to know whether I am receiving the right treatment or not. Kindly have a look on my amino infusion and guide me. Doctor: Hi. For further information consult an\u00a0obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23104, + "tgt": "I have thick discharge coming out of vagina. Am I pregnant?", + "src": "Patient: Hello doctor, I have had unprotected sex last month but I took I-pills within 72 hours and also I had periods in last 15 days back but now I have some thick discharge coming out of my vagina. Please tell me are there chances of pregnancy? If not, then why this thick thing getting discharged? Please help me. Doctor: Hello. It is unlikely for you to be pregnant now. Because I-pills are highly effective in avoiding pregnancy. Also, you had bleeding, ruling out the possibility of pregnancy. Still, there is no harm in getting urine pregnancy test done, just to confirm. Did you not have similar discharge anytime in the past? Some individuals may get such discharge cyclically due to hormonal changes. Also, there is a possibility of candidiasis in you. Do you also get itching near or inside vagina, is this foul smelling discharge? If yes it further suggests candidiasis. You should have Clotrimazole pessary to be kept in vagina bedtime for seven days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2775, + "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": 13877, + "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": 14320, + "tgt": "Is it normal to talk to myself along with overthinking?", + "src": "Patient: Hello doctor, I am an 18-year-old girl. I do have a habit of talking to myself about each and everything whenever I am free. I overthink a lot about any situation that what will happen if I do this, etc. It is very difficult for me to let go something, whether they are people or anything else. I think about them a lot and their behavior towards me affect me a lot. Kindly tell me how to get rid of all this, please. I will be very grateful to you. Doctor: Hello. There are various chemicals in our brain which make our thoughts affect our mood and regulate our behavior. Prism largely determined by our genetics and to some extent by the environment. Some hormones like thyroid also influence it. Here are a few pieces of advice from my side. Get your thyroid function test done, practice regularly breathing exercises, it will relax your mind. Eat a healthy balanced nutritious diet. Keep the time of waking up and sleeping same every day. Attend art of living classes and talking to self is not a problem. A number of people do it." + }, + { + "id": 10100, + "tgt": "What causes eye swelling in the morning with itching?", + "src": "Patient: Hello doctor, I have been getting a swollen eye once a week, usually in the mornings. I feel a slight irritation beforehand, itchiness. Then my eyelid swells to the size of a golfball. The eye is not red, I can see perfectly, there is no sign of cuts or scrapes. No discharge, maybe a little dryness beforehand. Please help. Doctor: Hello. You are describing an allergic reaction of the eye to some factor. If you are not also suffering from sneezing and dry cough at night then you can use antihistamine eye drops such as Pataday once daily or Patanol or Zyrtec twice daily for a period of 10 days. If you have started using any kind of new cream or make up around the eyes, change it into something hypoallergenic. Best of luck." + }, + { + "id": 23028, + "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": 25254, + "tgt": "What is the chance I have secondary infertility?", + "src": "Patient: Hi doctor, I just wanted to know my chances of having secondary infertility. When 15, I was sexually assaulted and resulted in pregnancy and a late-term abortion. At 17, I fell pregnant with my son. I had an easy pregnancy with no complications. Last year, at 28 weeks, I went into early labor which they stopped until 29 weeks and his heart rate started dropping and not picking back up and I started bleeding. They delivered him at 29 weeks via emergency C-section. During the healing process, I had a hematoma and a large infection right on top of each other and after two weeks of not being able to walk only being in a wheelchair, my healed scar ripped open and blood and pus was leaking for days. I have since last year not used protection with my partner and since the end of the year, I have been tracking my cycle and making sure we were having sex days before during and after my ovulation. I guess I want to know when I should go to the doctors, how secondary infertility is diagnosed and what you think about my situation? Also, periods have been a lot heavier since the birth of my son, more painful and large clots. Before his birth, my periods were very light, lasted three days and had no pain or clots. Doctor: Hello. How are you doing? That was quite a history. I hope you and your son are doing fine. Well to start with, you will need to rule out any pelvic infections. Examination by your doctor as pain as early as 28 weeks of pregnancy, with a history of sexual assault at a young age, pus from CS scar with wound gaping, all can be due to infection. This can also increase your period's blood being thicker, darker with vaginal discharge, with itching with fleshy masses. You and your partner will be needing a course of antibiotics. Rule out any bleeding disorder. Anyway, when you had the purulent discharge, there is a risk of infection entering the abdomen. This could affect the tubes. So, better have the tubes tested by HSG (hysterosalpingogram) or laparoscopy. You have had a pregnancy, So will definitely have a pregnancy again.If your attempts to get pregnant have crossed six to eight months, then better to meet your doctor. 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": 18581, + "tgt": "I will have to drive for 10 hours with a newborn. Can I use a car bed?", + "src": "Patient: Dear doctor, I will have to drive with a newborn from a hospital home for 10 hours (delivery is in another state). Even though the car seat is fine for short distance drives, would not it be better if the baby can lie down flat? Assuming the baby is full term and absolutely healthy, would it be alright to use a car bed which is designed for preemies? For example, Cosco Dreamride SE Latch infant car bed. Is there any health danger if a preemie's car bed is used for a\u00a0full-term healthy baby? Doctor: Hello. So, be careful and all the best. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 16455, + "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": 833, + "tgt": "Can you suggest a good lubricant for near vision?", + "src": "Patient: Hi doctor, I used to spend a lot of time before laptop and tablet. Now, my vision became blurred when I see a computer. I had a headache in exactly one part or one side of the brain. Then, I had a check up and everything was found normal. The doctor suggested me to take capsule Eyetamin for 20 days. Then, I was fine without any problem for approximately a month.\u00a0But, again, developed the same problem. Now, they prescribed me with a glass (spherical, ARC and -0.25) along with Oxycool eye drop and some medicines. It was good till now. Some 15 days back, my vision became blurred and I had a headache, though I had my eyeglasses. Both were gone after I had some sleep. I had the problem while I was studying. I used to study continuously for 3 hours to 6 hours approximately a day. I again had a check up and they did not find any problem. Eyeglass specifications did not change. They prescribed me with Zoline plus eye drop. Even after 10 days of use, I do not feel any significant difference. After application of the eye drop, I could not see properly for some time. After some time, it was clear.\u00a0Now, I could watch television continuously. I am having problems while studying and I could not study continuously even for half an hour either from a textbook or on laptop. I am having eye strain. I fear my vision will become blurred again, so have stopped reading since last 15 days.\u00a0Please suggest what I should do now. I will be grateful for your advice. Thank you. Doctor: Hello. 1. Dry eyes. 2. Blepharitis. Use lubricant eye drops for at least three times a day. Avoid prolonged continuous use of gadgets. Revert back with the investigation reports to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3608, + "tgt": "Why do I not get period for over a year after quitting birth control pills?", + "src": "Patient: Hello doctor, I do not get my period for over a year after stopping birth control. I have stopped the birth control pill last year and have not had a period yet. I do eat a very healthy diet and do not do excessive sport. My periods before being on birth control were regular and I do not have a history of PCOS. Why am I not getting a period? I do not want to go back on the pill. What can I do instead? I have attached my lab reports. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) and your hormonal profile is normal just that progesterones are way too low indicating that you are not ovulating and hence no menses. Sometimes, amenorrhoea is seen after prolonged use of oral contraception, however, this can be given a restart by offering a withdrawal bleed with progesterones. You can be prescribed progesterone-only pills for five days and in the next three to five days, and you shall get withdrawal bleed. You can discuss it with your medical provider and opt for the same." + }, + { + "id": 9540, + "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": 24792, + "tgt": "My son throws up once in two days. What could be the reason?", + "src": "Patient: Hi doctor, My son is 3 years old. His weight is 15 kg. He frequently throws up like once in two days or more. He often complains of a tummy ache and asks for water. Sometimes, water helps but at times it does not and he vomits after that. He is active and fine otherwise. Also, while traveling, say like for 45 minutes in the car if he travels, then he complains of nausea and tummy ache. This episode is then followed by loose motions for two to three days. Thanks. Doctor: Hello. Sometimes, overeating can cause episodes of vomiting like once in two days. Or it can be just some indigestion with food. Try noticing what food he develops reactions like that to. And, most likely he has motion sickness. Most kids have such symptoms on traveling long distances. This you will slowly overcome. You can give Promethazine syrup while traveling to prevent motion sickness. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7604, + "tgt": "I am suffering from numbness and pain in my hand that spreads to my arms. What is the treatment?", + "src": "Patient: Hello doctor, I have numbness on my right hand and pain shooting down both the arms. I did a nerve test last week, and all is fine. Now my doctor wants me to get a spine X-ray. But I had one two years ago, and the chiropractor told me I have zero degeneration in the spine. I will say moving my head from right to left down to shoulders does feels like I am stretching something. I elbowed a thick wood door with my right elbow, and I had pain in arm and hand for a long time. And have had shoulder (orthoscopic and removed a bone, so they tell me) but all in the right side so I can understand but not both arms. And the weird part is it goes into my chest. Sort of like heartburn is the best way to explain. All blood work came back perfect. Do have high blood pressure but under control with a mess. Any thoughts or help would be appreciated. Doctor: Hello.I can tell you that such a radiating pain usually is an indication of a nerve impingement either in the spine region or somewhere along the course of the nerve. If there is only a radiating kind of pain, nerve tests sometimes may not reveal much although I would be interested in seeing the report of your nerve conduction test. Also, X-ray could show some degenerative changes in the form of osteophytes, disc spaces, etc., but if you want to see, MRI of the cervical spine will be a better investigation as it will enable us to view the spinal cord and any associated compression if present. As far as your other query about elbow and shoulder is concerned, I would like to know and understand your current problems, the latest investigation is done and ongoing treatment, so that I can appreciate and opine accordingly. Also, any radiation of pain to the chest region should be seen by a general physician so that cardiac and gastrointestinal causes can be ruled out. To start with, I can advise for your left upper limb symptoms for which you can start with tablet Gabapentin or tablet Pregabalin along with Methylcobalamin for nerve-related signs. Intensive physical therapy in the form of TENS (transcutaneous electric nerve stimulation) also helps to get relief from neuropathic symptoms. Do let me know if there is no relief, and also get in touch with me should you require any further information/SOS Cervical spine degeneration MRI Cervical spine Entrapment Neuropathy Medications, Physical therapy Follow up after 2-3 weeks or with investigation reports" + }, + { + "id": 15937, + "tgt": "I have a fungal infection near my inner thigh. Please help me", + "src": "Patient: Hi doctor, I have got a fungal infection near my inner thigh area. I have been taking tablet Forcan 150 mg and applied Candid-B cream over it. But I do not have any results. Please help me. Doctor: Hi. It is a fungal infection. Stop using Candid-B (Beclomethasone topical and Clotrimazole topical) cream. Please say about the severity and the duration of the disease. Please mention about your age and marital status." + }, + { + "id": 1988, + "tgt": "My wisdom tooth has cut into my cheek, causing pain and swelling. Please help", + "src": "Patient: Hello I was due to have my upper left wisdom tooth taken out last Friday, but my dentist has been closed due to the Corona Virus. I had an x-ray done on my last visit and my dentist said it was a very awkward tooth to remove and not straight forward. I am in a lot of pain at the moment as my wisdom tooth is only half way through but has split into the side of my cheek. I am struggling to eat, clean my teeth, it's constantly throbbing and my face has swelled out on one side. I work in a hospital and had a telephone consultation today with a doctor who asked me questions over the phone, one being how many fingers could I fit into my mouth. I can only fit one finger in my mouth right now. My mouth tastes of blood and it bleeds lots when I try to clean it. I have been prescried anti-biotics for now, but I am very worried as after I finish the anti-biotics I don't know whether I will be able to have the tooth removed due to not being able to even open my mouth properly. Any help / advise is appreciated. Thank you. Doctor: Dear Patient, -I read your complete writing and I totally understand your concern, your mouth opening is really less now, I am sorry for the pain you are bearing. -The first thing you need to do urgently after reading this kindly begin warm water salt rinse 5-6 times a day.It will surely relax your mouth opening a bit. -Continue your antibiotics and stop as and when said, won't prescribe any medicine for now as you are already taking one session of antibiotics can't continue with this . Although you can give a gap of 4-5days and can again take a five day regimen. -If it still pains sometimes you can take a pain killer paracetamol or ibuprofen temporarily (as you haven't mentioned any allergies). -Do revert back for more queries. -I hope it helps. -Feel free to contact me again. -Kindly keep me posted about the improvements. -Stay safe.take care." + }, + { + "id": 21026, + "tgt": "Why is there pain in foot making it difficult to run after ankle injury?", + "src": "Patient: Hello doctor, I injured my ankle three weeks ago and there is a pain somewhere behind the foot. I am able to walk and jog slowly but not able to run. So what might be the reason behind this pain and what should I do to start running again? Doctor: Hello. I read your concern. In my opinion, it could be an improperly healed ankle sprain. Nothing to worry. I recommend you to kindly do a lot of icing frequently on your ankle. Keep stretching your calf muscles. Roll a tennis ball under your calf muscles. Do not force yourself into running immediately. You might injure yourself again. Do follow what I suggested to you. Progressively return to running. Do proper warmup before attempting running." + }, + { + "id": 17459, + "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": 23641, + "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": 29311, + "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": 24648, + "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": 6416, + "tgt": "Why is my baby passing greenish loose motion?", + "src": "Patient: Hello doctor, My 5 months 15 days old baby is having loose motion from yesterday and he has passed 8 to 9 times greenish motion. Please sugest me what I can do. Doctor: Hi. Do not worry about the color of the stool as long as it is not red and does not contain blood. Please give syrup Zincolife 2.5 ml once a day for 14 days. Also, give ORS solution (prepare solution as advised in the instructions given) as 10 ml/kg with the passage of each loose stool to keep the baby hydrated. It will take atleast 4 days for loose motions to be controlled after starting these medicines. Watch for signs of dehydration like lethargy, refusal to feed, poor skin turgor, dry oral mucosa. If these signs are present it is indicative of dehydration. In such cases and also, if the child is passing blood in stools, it is advisable to admit the child to the nearest hospital after evaluation." + }, + { + "id": 6600, + "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": 30017, + "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": 20561, + "tgt": "What is the ventricular echogenic focus seen in pregnancy scan?", + "src": "Patient: Hi doctor, My sister got her 22-week pregnancy scan, and a small left ventricular echogenic focus was noted. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Let me tell you what is an echogenic focus is. It may be a calcium deposit, and it is commonly seen in the left ventricle of the heart in the prenatal second and third pregnancy ultrasounds. It is a rare finding, and it does not show any adverse outcomes in the absence of other factors. It will not cause any harm to the heart, and it will not develop any problem with the development of a baby. But in the presence of other risk factors, the doctor performs these screening tests, like Down's syndrome screening. Otherwise, just the presence of an echogenic spot will not raise the chance of getting any chromosomal or genetic disorder." + }, + { + "id": 21713, + "tgt": "Do we need surgery for intervertebral disc displacement?", + "src": "Patient: Hi doctor, I have severe leg pain in both legs. It occurs during night time. I have pain in lower back. My MRI report says there is diffuse disc bulge causing thecal sac compression at L4 to L5 and L5 to S1. There is small disc bulge causing thecal compression at D11 and D12 level. There is ligamentum flavum hypertrophy and facet hypertrophy seen at multiple levels causing bilateral recess stenosis. Please help me. Doctor: Hi. These MRI findings indicate chronic degeneration of the column, with intervertebral disc displacement in two levels (thoracic and lumbar). There is no need for surgery. I recommend painkillers, a muscle relaxant for the pain and physiotherapy. It is necessary to lose some weight and avoid weight lifting. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3111, + "tgt": "Is it possible for fibrosis in autoimmune hepatitis to come down from F4 to F0?", + "src": "Patient: Hi doctor, I am 26 years old. Two years back, I found that I have autoimmune hepatitis. At that time they did Fibroscan, in that kPa is 14.5 (F4). Last one year I took medicines (steroids) and I stopped. Now it again came back and doctors did a biopsy, in that it is showing: Portal and lobular hepatitis with areas of confluent hepatocytic necrosis and Ishak fibro score are 0. Is it possible for my fibrosis to come from F4 to F0? How is my liver now based on that biopsy report? Doctor: Hi. In autoimmune hepatitis, it is possible to decrease the fibrosis. Or other possibility may be that, initial fibroscan was done in acute inflammatory state hence it may be falsely high. We need to compare it with the liver enzymes at that point of time. Autoimmune disease may be episodically triggered by various factors. You must continue the medication." + }, + { + "id": 17640, + "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": 9330, + "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": 18446, + "tgt": "Please interpret my blood chemistry report", + "src": "Patient: Hi doctor, I have a blood chemistry result. Can you give me interpretation?Also explain what is the next step? Thank you. Doctor: Hello. I had gone through all your reports (attachment removed to protect patient identity). Revert back with the report to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18481, + "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": 4152, + "tgt": "What causes extreme weakness with low carbon dioxide?", + "src": "Patient: Hello doctor, Experience episodes of extreme weakness, lethargy, tiredness, unable to get out of bed + going to the bathroom often at night. Two years back had ecg-proven vtach after an episode went on for several days. Have had labs done close to two episodes. A month back carbon dioxide was slightly low at 19 with trace blood in urine and USG 1.005 and urine ph 7. Second one recently again this month had mild low bicarbonate. Doctor: Hello. I went through your reports and labs that you sent (attachment removed to protect patient identity), You have one report showing slightly low normal potasium level of 3.8. V tac can be because of low potasium level. There can be condition called as distal renal tubular acidosis for which check urine sodium, potasium and chloride and creatinine and we have to calculate urinary anion gap. Also, since how long you are taking Methotrexate?" + }, + { + "id": 28263, + "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": 16241, + "tgt": "Is it normal to get brown discharge just before periods?", + "src": "Patient: Hi doctor, I am 22 years old. I have to get my periods this week. But I am getting black or brown discharge. Is this normal? Doctor: Hi. It is known as irregular shedding. It is caused due to stress-induced hormonal imbalances during a cycle. You have to do an ultrasound pelvis to check endometrial thickness. If the endometrial thickness is less than 8 mm, then you can have a progesterone deficiency. It needs to be evaluated soon." + }, + { + "id": 6195, + "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": 30356, + "tgt": "What can I do for the rashes that appear after I shave?", + "src": "Patient: Hi doctor, I have been getting eruptions and rashes may be brown or red spots, sometimes inflamed spots on my face after I shave. I am 25 and this has been happening since I started shaving my face. They do not burn. Sometimes, even blood gushes out from them, but does not burn at all. I have tried changing shaving creams, brushes and razors. After a lot of modifications, I have settled with a brush, cream and razor with minimum rash. I had been to a dermatologist a few years back and he told me it was a\u00a0barber's itch. He also suggested me a cream and I do not recall the name of the cream, which did not work at all. Kindly suggest me what it is and what can I do about it. Thank you. Doctor: Hi. I have read your query and examined your pictures (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22237, + "tgt": "Negative thoughts affect my studies since I entered puberty. Please advise", + "src": "Patient: Hello doctor,I am a 17 year old girl. I am suffering from tension-like feeling about everything around me since I entered puberty. I have very very low power of decision making. All this has now affected my studies. Now, I am very worried about my studies. I do not know what to do. If I found my performance going low, then I have thoughts of suicide. I cannot achieve what I want due to my negative thoughts. Doctor: Hello. Firstly, you need to reduce thinking so much about all these issues. Most of the issues resolve with time and on their own. Your priority should be studies only. Just focus on one thing at a time. Try to work hard and perform well. Once it improves, you will get some confidence and other things start improving. You should do some yoga and meditation in order to improve concentration and mental stability. Also, consult a psychologist for counseling sessions regarding your future action and dealing with negative thoughts. 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": 6787, + "tgt": "Is there any product to clear perioral dermatitis?", + "src": "Patient: Hi doctor, I am suffering with some skin disease. I am pretty sure it is perioral dermatitis, but it could be something else. I have tried steroid creams, Cetaphil cleanser\u00a0and Spectro gel. But, nothing has changed and\u00a0I think it has only made it worse. I have also tried to leave it alone. I cannot afford to see a dermatologist to get proper diagnosis and treatment plan. But, still I would like to get it treated. The most recent thing I have tried was Nelson's Calendula. It is a cream and on the internet many people said it worked and it went away completely. For me, I have not had any luck still. My issue is that, some days it looks less intense and it is getting better and sometimes it just feels like it is never going away. I have attached photos here for your reference. Is there any product I can use to clear this up or at least most of it? Ever since I got this thing on my skin, I cannot go outside. The corners of my mouth are inflamed, but it does not look red. The bottom of my mouth has bumps, it almost looks like pimples and acne scars. I feel I have only got one shot to do this. I am trying to explain as detail as possible. If you can possibly list something I have not used that you think may work I will even appreciate that. I am just taking a shot in the dark here. Please help. Literally any advice on my skin situation would be great. Doctor: Hi. I have read your concern and understand your problem. I have gone through your photos (attachment removed to protect patient identity). 1. Activation of the innate immune (genetically determined) system. 2. Epidermal barrier dysfunction. 3. Altered cutaneous microflora due to the application of multiple medicinal products like topical steroid, steroid inhaler, cosmetics, fluorinated toothpaste. 4. Neglecting to wash the face and hormonal changes. 1. Steroid rosacea. 2. Perioral dermatitis. Perioral dermatitis. 1. Taper the topical steroid cream use. Also, stop using other cosmetics and sunscreens. 2. Do not stop the steroid cream suddenly as it may lead to flare up. So, just replace it with less potent cream. 3. After tapering the topical steroids, I suggest liquid or gel sunscreen like suncross soft gel SPF 50+. 4. Also, I would like to suggest capsule Doxycycline 100 mg once daily for four weeks and apply topical 0.03% Tacrolimus once during the night. 5. Do not use soap. Instead, use face wash with warm water to clean the face while the rash is present. Avoidance of topical steroids and occlusive face creams. Revert back after a month to a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18370, + "tgt": "I got a shave biopsy for melanoma in situ. Did the cancer cells get into my bloodstream?", + "src": "Patient: Hello doctor, I have a question about the biopsy that I had done. It was a shave biopsy, and it came back as melanoma in situ. I got a wide excision done, and it looks like there is still some of this mole left that was missed by the shave. If there was still melanoma cells in this left over part of the mole, is there any way it somehow got into my bloodstream, especially right after the biopsy was performed and it was initially bleeding? I am very worried and nervous that the previously contained melanoma is now traveling throughout my body. Doctor: Hi. I have read your query and concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14294, + "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": 11227, + "tgt": "Why has the surface of mole after tearing not healed yet?", + "src": "Patient: Hello doctor, I tore off a mole or a freckle some weeks ago and now the surface, it is like this. Is it good or should I worry? What are those red spots? Doctor: Hi. I have gone through your case. Your lesion is active which means the area has not healed after removing your mole (attachment removed to protect patient identity). Keep applying Fucidin acid cream two times a day till red area disappears. It is not something to be worried for as such raw areas take some time to recover. But no opinion can be given for lesion or mole or freckle which you have removed yourself. It could be a simple mole or it could be a wart. Such raw areas are usually seen after wart scratching." + }, + { + "id": 1952, + "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": 26749, + "tgt": "Whenever my sister goes out, her skin turns red and itchy. Why?", + "src": "Patient: Hi doctor, My sister is suffering from skin rashes. It comes and goes. Whenever she goes out in sunlight, the parts of the skin exposed to the sun are turning red and start itching. It disappears after a\u00a0couple of hours. When we did blood test, IgE level is 220 IU/mL. What is the problem? Can this get treated? How long does it take to cure completely? Which specialist doctor we should contact?\u00a0Thanks in advance. Doctor: Hi. Your sister might be suffering from photoallergic dermatitis. Please send the photographs of the lesion for confirmation of diagnosis and treatment. Serum IgE is a little bit raised and again indicates an allergic response to sunlight. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17499, + "tgt": "Can you suggest an alternative ointment for Acepark gel?", + "src": "Patient: Hello doctor, I used to apply\u00a0Acepark gel by park pharmaceutical to relieve pain or strain in muscle or joints. It is having composition of Aceclofenac, Linseed oil, Methyl salicylate and Menthol. It worked really good for me. But, I am not getting the same ointment now. Hence, please suggest alternative ointments\u00a0with same composition. I am looking forward for your positive reply. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23422, + "tgt": "Is my pathology report complete without mention of microscopic section?", + "src": "Patient: Hello doctor,I recently underwent hysteroscopy and D and C, and laparoscopic surgery due to postmenopausal vaginal bleeding and a transvaginal ultrasound that showed 1 cm of thickness, a uterine polyp, and an endometrioma on the right ovary. The path report had a gross-section and a diagnosis section, no microscopic section. The diagnosis on the polyp was an endometrial polyp. There is no mention of the endometrium. My doctor's office is saying there is no mention because the pathologist was not concerned about anything. This report seems incomplete to me. There was slightly more said about the ovary. Is this a complete report? Should I expect more of a description of the endometrium to be sure cancer is not present? Doctor: Hello. The full pathology report of any tissue includes a gross description, microscopic examination findings, and diagnosis. So, In this way, your report might be written. If cancer is present, then atypical malignant cells in microscopy are seen along with gross growth also. Your diagnosis is a polyp, which is a benign condition. Provide your report as an attachment for giving more comment on that. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 29167, + "tgt": "How to overcome my self-harming behaviour?", + "src": "Patient: Hi doctor,I am suffering from self-harming behavior. Whenever I feel emotional, I am doing it without my knowledge. It happens all the time. I am very scared to go and meet a doctor, so I diced to come here. I am just confused. Please help. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11158, + "tgt": "Does numbness, burning and tingling sensation on face mean trigeminal neuralgia?", + "src": "Patient: Hello doctor, Three and a half months ago I started with numbness, burning and tingling on the left side of my face. I had been very sick with a chest cold. One week later I had blisters on my upper left palate, I went to the doctor and she said definitely shingles. Now l never had any pain or sensation really in my mouth or on my palate. The blisters did run liner towards the back it was not like a typical cold sore cluster. Now I do get cold sores once in a blue moon on my right side lingual gum and palate. I am still having numbness and tingling. So now my doctor thinks it may be trigeminal neuralgia and never was shingles. I am a healthy active 39-year-old woman. I am looking for a second opinion. Doctor: Hello. You should know that trigeminal neuralgia is a common complication of shingles or herpes infection. As blisters appeared the first time, it means that the herpes infection was present (probably HSV1 (herpes simplex virus, which is typical in this region). It is quite common to have symptoms before the blisters appear. The fact that the numbness persists, it means that the trigeminal nerve remains irritated by this past infection, causing the trigeminal neuralgia, although less typical (trigeminal neuralgia is typically associated to short periods of shooting nerve pain, alternated with persistent numbness in the same region). Anyway, I would recommend performing IgG and IgM for HSV1 virus and also a brain MRI study. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15508, + "tgt": "I am 15 weeks pregnant. Is it safe to go for a swim?", + "src": "Patient: Hi doctor, I am 15 weeks pregnant. Is it right to go swimming in a pool now? Doctor: Hi. If you know swimming before pregnancy, then you can do it in pregnancy also. Have few precautionary steps. If you do not have a risk of threatened miscarriage, low lying placenta or other complications, then there is a need to avoid overexertion in pregnancy when you go swimming. Try to warm up and cool down yourself gradually. Do not do overexertion. If you feel tired, come out of the pool immediately. If you are not feeling well, then it is better to avoid swimming. Do not swim in deep waters. Try to have someone with you while going swimming. Try to avoid swimming in late pregnancy and if you have any abnormal symptoms like breathlessness, abdominal pain, nausea, and vomiting." + }, + { + "id": 26972, + "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": 11712, + "tgt": "Kindly suggest ointment for balanitis", + "src": "Patient: Hello doctor, I think I got balanitis. Which cream should I buy? I had sex five weeks ago without protection. Painful peeing lasts for two years but not as strong as this time. Sores came out after having unprotected sex. Doctor: Hello. First of all, you need to get blood tests for sexually transmitted diseases like VDRL (venereal disease research laboratory), HIV and HSV (herpes simplex virus), as the act may cause herpes simplex or syphilis. I would start with a combination of antibiotics like Doxycycline and antiviral pills like Valacyclovir. However, in your place, you need to get in touch with your general physician to undergo the necessary tests. Ointments alone will not be sufficient for treatment. A combination of Acyclovir ointment and Fucidin H cream (Hydrocortisone and Fusidic acid) as a thin layer may be applied for three days. Meanwhile, get in touch with your general physician. Avoid sexual activity until the ulcer is treated. Syphilis and HIV test to be repeated after three months." + }, + { + "id": 8375, + "tgt": "What causes nil urine output in a diabetic?", + "src": "Patient: Hello doctor, My father-in-law is aged 77 years. He has diabetes and blood pressure. His creatinine level is between 3.6 and 3.8. Has high levels of albumin in the urine and high levels of urea (129). He is admitted to the hospital following less to nil urine output. They have placed a catheter and are observing the urine output. However, it is still less. Around 600 ml for 24 hours. For now, the doctors are running an infusion to reduce acidosis. Does he need a dialysis? Is this a case of CKD? If yes, what could his stage of CKD be? What would be the further line of treatment? Doctor: Hi. Yes, unfortunately this is chronic kidney disease stage 4 to 5. May be the late stages of CKD is rapidly progressive especially in diabetics. If urine output has not been improved after treating the infection and achieving good water balance, I am afraid he might need dialysis." + }, + { + "id": 13846, + "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": 29115, + "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": 6810, + "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": 15855, + "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": 23602, + "tgt": "What are the symptoms of vaginitis and how can it be cured?", + "src": "Patient: Hello, What are the symtoms of vaginitis and how can it be cured? Doctor: Hello.The most common symptoms of vaginitis will be itching and white discharge. In case of bacterial infection, the discharge will be yellowish or greenish and in case of fungal infection it will be curd like discharge. It is quite simple to cure. You need to get the respective medicines depending on the origin of vaginitis like: Hope this helps.If the problem persists, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24603, + "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": 7235, + "tgt": "How to get rid of teacher's nodules?", + "src": "Patient: Hi doctor, I am suffering from teacher's nodules. It is on and off for the past eight months. I took some medication, which was prescribed by my doctor. Whenever I keep mum, my voice is improved. But, I cannot stop speaking loud due to my profession. I really want to get rid of them as I feel heavy, cracked and low pitch voice. Please help me. Doctor: Hi. I can very well understand your problem. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22152, + "tgt": "My TSH level is 5. 440. Do I have thyroid problem?", + "src": "Patient: Hello doctor,My TSH level is 5.440, whereas T3 and T4 are normal, that is, 1.16 and 7.25, respectively. Do I have thyroid problem? If yes, what treatment should I take? I have diabetes for the last 30 years and taking Insulin 16 morning, 12 evening and one tablet morning and a half tablet of Metformin 500 and Glimipride two in the evening. Doctor: Hello. I have reviewed your query. After reviewing your report (attachment removed to protect patient identity), if you do not have any symptoms of hypothyroidism like dry skin, hair loss, cold intolerance, weight gain, loss of appetite, or bradycardia, you can be diagnosed as having sub-clinical hypothyroidism for which your physician will find no need to start you on any treatment. Because subclinical hypothyroidism is usually started on treatment only in special patients like a pregnant woman, and not usually in a general population. If your physician has any further doubts after examining you, he may advise you to get anti-TPO (thyroperoxidase) antibodies test and thyroid scan to rule out any remote causes to be started for treatment. I advise you to get a repeat thyroid profile testing done after three months or in between in case you develop any symptoms. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22139, + "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": 10743, + "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": 15521, + "tgt": "What is the reason for continuous bleeding with pain in cervix?", + "src": "Patient: Hi doctor, I had recently started getting my periods. I have not had my period for two or three months now. Lately, my cervix started hurting nonstop and would occasionally bleed. This became the reason why I struggled to pee, and when I pee, blood also comes out of my vagina. Right now, I do not know what might have caused it. But I have done a bit of research, since this has been going on for a week now, and I am quite sure it does not have anything to do with my irregular period. Something is wrong. It keeps hurting and earlier today, I could not walk properly due to the intense pain. Also, I tried to stop myself from peeing all day, because the pain gets more intense as I pee. Please help me. I am scared of telling my mom about this. Also, I kind of tried masturbating before. Using various objects for pleasure. I think it may have caused this. I am also really scared of consulting a doctor in real life, for I am pretty embarrassed and I do not know what kind of person they will think I am. I regret everything. I regret not stopping. Please help me. Doctor: Hi. You are too small to have a regular cycle. In this early age you are at the beginning of the development of menstrual and reproductive developmental cycle, so can have very irregular and anovulatory cycles. Premenstrual or menstrual syndrome could be more severe. For that, you can have medications even hormonal support as well in the next step if unable to benefit from painkillers or Ibuprofen. Using various objects for pleasure has given you an infection and for that, you need precautions and treatment. Vaginal secretions cannot be sent now as you are menstruating. Have strict hygiene. Wear soft comfortable cotton undergarments. Sitz bath and sit in warm water. Have tablet Doxycycline 100 mg 12 hourly, tablet Metronidazole 400 mg eight hourly for seven days and tablet Postan 500 mg eight hourly as per needed for the pain. If in the coming periods, you feel pain, you can have tablet Postan 500 mg eight hourly for 3 to 5 days as per your need, if unable to get benefit from that, you can have oral combined contraceptive pills for three months." + }, + { + "id": 30833, + "tgt": "Please suggest treatment and exercise for back pain", + "src": "Patient: Hi doctor, A few years back, I suffered from a pinched nerve in my neck and that incapacitated me with severe pain. A chiropractor saved my life and my sanity. I have also been told that I have degenerating vertebrae in the neck area. For several months, I have had recurring pain in my right shoulder blade and back with numbness radiating down my right arm to ring finger. The issue would recur if I lift or turn my head or reach something incorrectly or cease my regular exercise. A couple of days rest with the use of muscle relaxants would alleviate the problem. This makes sitting at my desk at work, in chairs at home or even in my vehicle for more than a few minutes terribly uncomfortable. The pain increased after the last treatment and the numbness is a new addition. \u00a0My past medication includes Methocarbamol and Cyclobenzaprine. Presently, I need to purchase a new mattress as soon as possible as laying down has gotten increasingly difficult. Any suggestions regarding the treatment, home exercises or referrals to sites for gathering more information on mattress selection will be greatly appreciated. Thank you. Doctor: Hi. Revert back with the reports to a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 22282, + "tgt": "I have SLE. Kindly check my blood reports and explain if something is wrong", + "src": "Patient: Hello doctor,I am a 39-year-old female with lupus (SLE). I just recently had some bloodwork done and was curious about a couple things. I had several things that were high. My EOS was 5.5 %. CRP 2.6 mg/dl, vitamin B12 was 1678 pg/ml, creatinine was 1.06 mg/dl, AST was 57 and ALT was 65 u/l and last my glucose was 106. It indicated that these were high. However, my BUN/ creatinine ratio was 6.6 and it says that is low. I am wondering if these are all connected and if I should be concerned about it. Doctor: Hello. Your serum creatinine is a slightly high, not much elevated. So, mild kidney involvement can be present because of lupus. Your urine eGFR (glomerular filtration rate) and protein estimation also should be done. Eosinophil can be high because of allergic inflammation and CRP (C-reactive protein) can be raised in any inflammation. Your vitamin B12 is slightly high, so it can be because of mild kidney involvement or can be from taking Vitamin B12 supplement if history is present of taking it. ALT, AST also mildly elevated and it needs to be monitored. If your SLE (systemic lupus erythematosus) flares then non-steroid anti-inflammatory drug can be prescribed for that. You can consult a rheumatologist for examination and further management. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14874, + "tgt": "There is a lump like structure in the eye associated with pain. What is it?", + "src": "Patient: Hi doctor, I am attaching a picture of my wife's left eye. I believe there is a stye or something else inside the left side of the eye. It has been around 8 to 10 days now. Earlier there was a pain in the eyes for the first 2 to 3 days. Later on, the pain was not there but I saw a lump or stye like structure in her left eye. I can also see a small lump from outside which appears like it is filled from inside. This is probably the first time happened with here. Also is it fatal? Kindly suggest what it is and the medications. Doctor: Hello. I have gone through your wife's problems and seen the photo attached (attachment removed to protect patient identity). This condition is called a chalazion, it is a sequel of style and it happens when long-standing infection is set up in the eyelid glands. They are usually treated surgically unless resolving with a course of antibiotics. So my advice is that you please do the following. Avoid eye rubbing. Hot fomentation to the affected eye and massage the lid after giving heat. Tobramycin eye ointment two times a day for a week in the affected eye. It is necessary to meet an ophthalmologist in the following scenarios. If eyes become red, start having sticky discharge from eyes, vision becomes blurred, not responding to treatment even after a week." + }, + { + "id": 23053, + "tgt": "Do I need treatment for premature ejaculation?", + "src": "Patient: Hello doctor, I am 37 years old, a gynecologist too and have two kids. My sex life was absolutely fantastic before two months but my wife had a conversation with her friends that their husbands are doing sex for half an hour. I made her understand that normal ejaculation time is 8 to 10 minutes and that we are having when we do it. She understood but now after sex she is not being satisfied. I am worried about this so I want to know whether it is premature ejaculation. If yes, then what is the treatment and if no, then is there any tablet available to increase the time duration of ejaculation? Doctor: Hello. No, it is not a premature ejaculation, and it is normal to have ejaculations after this much time. In premature ejaculations, usually, ejaculation occurs within a minute. Still, to increase your ejaculation time, you can try behavioral techniques like technique which involves stimulating/penetrating the penis and stopping just before you feel you are about to ejaculate. Stop the stimulation for 30 to 60 seconds and start again once you feel that you have regained control. You can repeat this process again and again. Although, I cannot recommend a medical treatment as it is not a premature ejaculation, you can try using Lidocaine-Prilocaine spray to be sprayed over glans 5 minutes before intercourse and it will prolong the ejaculation time. Other medicines like Paroxetine and all are not recommended for you as it is not a true condition. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17859, + "tgt": "The skin of my penis has shrunk and lost elasticity. Is this reversible?", + "src": "Patient: Hello doctor,A spot appeared on the skin of my penis.\u00a0Seven months later, this stain spread and my skin began to become more sensitive. Then I used a cream with corticoid (Lotrimin) and it got worse because now my skin has shrunk and lost elasticity. What should I do? Is the corticosteroid effect reversible? Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 15958, + "tgt": "What is the dosage of Dapoxetine for premature ejaculation?", + "src": "Patient: Hello doctor,I am 45 years and suffering from severe premature ejaculation (cannot sustain for a minute or two) and mild to moderate erectile dysfunction (less hardness and short length after erection, difficult penetrating other than the missionary position, long delay in repeat erection) since the beginning of my sexual life. For last few years, I am taking Dapoxetine 30 mg (Duralast 30) before sex. It gives me a bit control but as I find 30 mg not much effective so I started taking two pills of 30 mg sometimes together and sometimes after a gap of 3 to 6 hours. Occasionally, I also add 25 mg Sildenafil or Tadalafil 20 mg (Tazzle) for improving erection. My problems are as under:I find Dapoxetine 30 mg not effective but when I take two tablets, can control the ejaculation in a better way but has nausea feeling and low libido. I also feel too hungry after 1 to 2 hours of taking tablets. Besides even two tablets has effect for 2 to 3 hours and does not remain effective if sex is delayed. Now I started giving a gap of 2 to 3 hours between two doses of 30 mg which reduced the side effects. Is this pattern of dose fine?Is there a probability of any longterm effect of taking 60 mg daily dose of Dapoxetine?As most of the time one cannot fix the time of sex in advance as it depend upon the mood of the partner too. So Dapoxetinecannot be used as a curative medicine to improve the condition permanently or it is only SOS?How can I reduce the side effect especially of low libido and nausea?Effect of sildenafil remain a bit longer and help in erection even for two days of taking the tablet. What is your recommendation of doses? How to enhance the length of the penis as my penis face difficulty in reaching partner\u2019s G spot and it reaches to full length only just before erection. Please advise a remedy. Doctor: Hello. I will answer as per order of your queries: For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13990, + "tgt": "What can be done to look healthy like earlier after C-section?", + "src": "Patient: Hello doctor, I had two children with cesarian delivery at two years difference. In both cases, l had not got my earlier physique and stomach, as well as the navel, is in its previous place. So please help me in getting my physical touch as soon as possible. Is there any problem? Doctor: Hi. Pregnancy causes havoc changes in a woman's body due to loads of hormones flowing in the blood for long nine months. With an increasing girth of your bump, your abdominal skin and underlying muscles too get stretched and weakened, often leading to diastasis recti, which is not observed at first. Now once the pregnancy is over, those weakened and overstretched muscles are noticed as a lax abdomen and saggy belly. During pregnancy itself, we need to do work on our posture alignment, and some regular exercises (walking, swimming, yoga, belly breathing, squatting, abdominal bracing) to keep the core muscles strengthened. Physiotherapists can give the best idea. The same exercises need to be continued, immediately after delivery too to help regain the abdominal muscle tone. In your case, though it is not late, you can meet an experienced trainer, who can guide you to regain your inner core strength and tone. Otherwise, abdominoplasty or tummy tuck is a surgical method to get the things right." + }, + { + "id": 20893, + "tgt": "What can be done for recurrent ringworm skin infection?", + "src": "Patient: Hello doctor, I am suffering from skin infection mainly on my groin, buttock, waist, leg, and hand. The doctors are saying it is ringworm. Now I am under medication for the last two months. The tablets I am taking are Itraconazole 100 mg twice a day, Terbinafine 250 twice a day, Grisovin FP 250 two times a day, Lulibet cream. It is responding to medicines but suddenly with a day, it appears again with red spots which are too itchy. I have done my blood test also and do not show any sugar. Please suggest. Doctor: Hi. Yes, it is called tinea corporis (fungal infection). At present, which tablet you are taking and duration? The cream, you can continue." + }, + { + "id": 5324, + "tgt": "I have constant minor chest and neck pain. Is it due to smoking?", + "src": "Patient: Hello doctor, I am a smoker and have been smoking for 20 years. I can feel the stress of smoke while I breathe normally. But now I have constant minor chest ache probably in the lungs. I also have been facing a problem of pain in the neck and lower pain. This increases in the night when I am lying down. Can you suggest medicine to cure my lung conditions? I am prepared to give up smoking. Doctor: Hello. First of all congrats on the resolve to quit smoking. Half the job is done. Now please walk the talk. The other half. Whatever damage has been done will gradually reverse back. Also, start on some breathing exercises and yoga and good healthy eating habits. Now coming to your problem, since you have have been smoking for 20 years, we must rule out any neoplasm in the respiratory pathways. For the same a chest x-ray PA (posteroanterior) view is essential. I would also suggest some blood investigations namely, complete blood count inclusive of but not restricted to ESR (erythrocyte sedimentation rate), TLC (total leukocyte count), DLC (differential leukocyte count), RBS(random blood sugar), Hb (hemoglobin), etc. Do you produce cough or sputum or blood in sputum? If so we need to take a sputum sample for AFB (tuberculous bacilli). Neck pain can be simple muscle ache or sprain. The pointers to this sort of pain are aggravation at certain positions. Relief with hot fomentation can also be pointing to such sprains. As a temporary treatment plan I am suggesting the following: 1. Steam inhalation with Karvol plus capsules in the water (similar to Vicks inhalant capsules). 2. Paracetamol 650 mg for pain relief. It can be taken twice to thrice a day depending on the pain. 3. Multivitamin tablets, to my patients I usually prescribe Supradyn tablets or Supradyn activ tablets. 4. Good nutritious food comprising plenty of green leafy vegetables and adequate amounts of proteins and energy. 5. Diclofenac gel like Voveran or Myolaxin may be applied after hot fomentation of the neck to relieve any spasm. Also with regards to your height and weight, as per what you have given, the weight is quite high. It should be brought down by 25 kg to have a healthy BMI (body mass index). If you require help regarding the same you may contact me. I hope this helps." + }, + { + "id": 6036, + "tgt": "Due to personal problems, I cannot sleep at night and having suicidal thoughts. Please help", + "src": "Patient: Hello doctor, I am experiencing a lot of problems now that I can not sleep at night. It started a month ago, and it starts affecting my daytime routine as well. I am more anxious, and depressed even during the day and I am having a lot of frequent thoughts about suicide, specially at night. I am really scared. I think I really need some medicines to help me. Please help. Doctor: Hello. I am sorry to hear about your problem, but medications cannot be prescribed online. I can help you with the therapy and counseling which would help you out with the negativity and you can learn coping techniques with me. For medicine, you need to consult a local psychiatrist. You are showing signs of depression. Has something traumatic happened to you recently? Has your life changed in some way? You can maintain sleep hygiene, use some relaxation techniques to help you sleep better. You should start the medication as soon as possible because suicidal thoughts cannot be taken lightly. I hope we can talk, so I can help you in a better way. You can opt for an online consultation, and we can have a video call where I can understand more about your problem and help you in a better way. If you cannot start the therapy then, start writing all your thoughts down, it will help you out and make you feel lighter. You can start cognitive behavioral therapy or psychotherapy to understand your own negative subconscious thought which are making you feel anxious and depressed. Start doing breathing exercises like bumble bee breath. This will help in anxiety. I hope this helps." + }, + { + "id": 17576, + "tgt": "My report showed mild TR. Is that something to worry?", + "src": "Patient: Hello doctor, I have made an echo after I started having an uncomfortable chest pain and short of breath with little dizziness while I make an effort talking. But, I do not get tired that much even if I am working out. Can the symptoms be related to anxiety? However, the doctor said my heart is fine after I made the echo test. Nothing is abnormal except in a section called doppler. It says abnormal tricuspid flow mild TR, which he did not mention and I have no clue what it is. But, I read that in my test results. Is that something concerning? Sometimes, I get high blood pressure. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12701, + "tgt": "Kindly advise how to manage high fasting blood sugar level?", + "src": "Patient: Hello doctor, My wife (55 years) got sugar results fasting 172, and pp 136. What can be the explanation (higher fasting value)? What treatment course to be followed? Doctor: Hello. I just read your query about your wife and it seems that she has an impaired fasting blood sugar and that she must have her HbA1c checked to be sure whether she has a need to take medications for diabetes or not. In the meantime try to take a low carbohydrate and low-fat diet. Exercise by way of walking for 30 minutes daily. Impaired fasting glucose means that she can develop diabetes in the near future if she is not already diabetic." + }, + { + "id": 7399, + "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": 19747, + "tgt": "Is it normal to still have cheekbone pain a month after wisdom tooth removal?", + "src": "Patient: Hello doctor, I had my lower wisdom tooth removed a month ago. It was infected and they said they had to break a bone and take it out. I had two stitches removed post 10 days of my surgery. Still, I have the sensitivity and light pain in the cheekbone area. Is this normal to have? How long will it take to cure? Doctor: Hello. After wisdom tooth removal, one generally has pain and little difficulty in chewing for a week or so. But, it is a month now and it should not be there. Is there sensitivity on the cheeks or the adjacent tooth? If it is on the tooth, you need to check for any cavity in the tooth adjacent to the wisdom tooth removed or during the time of removal of wisdom tooth slight luxation to the adjacent tooth can occur that is also normal. This can lead to a sensitivity in that tooth for a few days. You also need to check if there is any tingling sensation or not. Because in some cases, wisdom tooth is very near to the nerve supply of teeth of the lower jaw. This also leads to a problem This can be relieved over a period of time with medication. If possible do post an X-ray of your teeth so that I can let you know in detail if there is any problem with respect to the tooth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24824, + "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": 602, + "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": 3136, + "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": 26283, + "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": 29959, + "tgt": "Considering my age and medical conditions, is there a risk in gastric bypass surgery?", + "src": "Patient: Hi doctor, I am advised to have a gastric bypass. I am worried about the anesthesia and surgical risk because I am a 79 year old married male. I am obese with 265 lbs weight and 5'11\" height. I am a diabetic, but it is under control with insulin. I also have emphysema. I use Spiriva daily and wear a prescribed sleep apnea machine at night. I left the habit of smoking when I was 40. I am on regular medicine for high blood pressure. Presently, I have achalasia and I am considering laparoscopic surgery for it. Also, I am on regular Prednisone 5 mg for arthritis and Allegra for ongoing congestion. Doctor: Hi. For further doubts consult an\u00a0anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 4508, + "tgt": "What causes 5 mm ulcer in the mid ileum?", + "src": "Patient: Hello doctor, I had a capsule endoscopy done a few months back along with a colonoscopy and endoscopy. I have symptoms of diarrhea, constipation, bloating gas, and abdominal pain. My GI doctor could not find anything significant except for acid reflux and diagnosed me with IBS. I was reading the report of the capsule endoscopy and it said there was a 5 mm ulcer in the mid ileum found, but of unknown clinical significance. Is this nothing to worry about? My GI doctor never mentioned this finding to me. Can it be causing some symptoms I am experiencing? Doctor: Hi. Your symptoms are suggestive of IBS only. Such ulcers are found incidentally. Mostly they have no value. I would need to know if H.pylori test was performed. Can you send me the report?" + }, + { + "id": 18380, + "tgt": "Have developed piles during pregnancy, Is it possible to have a normal delivery?", + "src": "Patient: Hi doctor, I am 9 months pregnant. I am nearing my due date. I have developed piles during pregnancy. Initially it was fine, but now it has become big, swollen and painful. Can you suggest a remedy for it? Is it possible to have a normal delivery due to piles? Please give me a suitable solution, so that I can ask my doctor in advance for a C-section or normal whichever is suitable. Should I restrict any kind of food? I also had gestational diabetes but now it is under control. 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": 1640, + "tgt": "I have chronic cough that aggravates while lying. Please help", + "src": "Patient: Hello doctor, I have a cough that lasts for more than a month now. This usually occurs during night time while lying and sometimes at dawn. At first, it was a dry cough then it turns into a wet cough. I do not spit yellow or green phlegm it is all sticky white mucus. I do not have any history of asthma and this is the first time I experience this. I did not experience fever, pain in my stomach, and IBM. I have already taken Azithromycin for three days and Ambroxyl but still no relief. Please help. Doctor: Hello. I can understand how troublesome it is if it is disturbing your sleep. These cough episodes you are having are mostly due to hyperactive airways. I would advise you certain investigations mentioned below. Also, I would like to know, if you get a cough after exposure to dust, pollens, or pets? Do let me know anything that might cause the worsening of your symptoms. Secondly, do you have heartburn or on and off cold? Bronchial asthma. Allergic bronchitis. Spirometry with bronchodilator reversibility testing. X-ray chest. Blood counts with absolute eosinophil count. Bronchial asthma. Allergic bronchitis. Bronchial Asthma. Allergic bronchitis. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer 2 puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month, tablet Fexofenadine 120 mg once a day for a month. Rest continue previous treatment. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigation reports." + }, + { + "id": 26770, + "tgt": "Why am I getting mental images of my past?", + "src": "Patient: Hello doctor, I have been suffering from what I think are mental problems since last year. To give you some context, I went abroad for studies, and I felt extremely lonely and miserable there. After a year, I was suffering from sleep problems. However, one day, I had confusing thoughts, just before I went to sleep. For some reason, I became convinced that I had a mental illness, and I began researching my\u00a0symptoms. My condition also declined. I began to feel detached from everyone and everything around me, and I felt like I was losing touch with reality. This went on for some months. However, during this time, I felt fine when I was in the company of others, and therefore longed to be with people and talk to them. I gave my exams, even rejoined a job, which I had left to do my masters. There are periods when I feel completely fine. But, there are periods when I feel terrible. I am having the following symptoms. Whatever dreams I have, I tend to remember and notice them more. I could be dreaming about my old house or someone. So when I wake up, these dreams cause me to feel uncomfortable, like maybe I will lose my grip on reality. Whenever I see or meet a person I have dreamt about, I get an uncomfortable, unpleasant feeling and a memory of the dream. This makes me afraid that maybe I will be unable to distinguish between dreams and reality. I get mental images and thoughts of memories or things I dreamt about. This gives a very unpleasant feeling. For the past few days, I am getting strong mental images of faces of people whenever I talk to them or think about them or see them. For instance, I would be thinking of someone, and I will have a strong mental image of their face. I would be talking to someone, and a different mental image of their face would pop up. I am really scared about this. Why am I getting mental images of everything like this? I feel depressed and sad that I will lose control, and that I will go crazy. At times, I am confused and not able to process things properly. I have also started feeling scared and petrified for no reason. I get a sinking and nervous feeling in my chest. My hands shake at times, and I feel like I will lose control. This has been happening for the past 10 months. Are my worst fears true? Do I have a mental illness? Doctor: Hi. This can be done only\u00a0with in-person consultation with a psychiatrist.\u00a0So, I advise you to go to a psychiatrist in-person and start the treatment. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19168, + "tgt": "I take Sibelium for my headaches, but it is not very effective. Please suggest a cure", + "src": "Patient: Hello doctor,I have been suffering from\u00a0headaches frequently. They usually last for two to three days. I am taking Sibelium 10 mg tablets since a long time. I also observe a swelling on my face and stiffness and heaviness around my eyes during the\u00a0event of a headache. I am unable to lead a\u00a0normal life. When I\u00a0take Sibelium, the frequency of the headaches get reduced. What is the permanent solution? Doctor: Hello. I went through your post. You are suffering from a migraine and your symptoms are caused by it.\u00a0 Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18313, + "tgt": "Can cold and sinus problem aggravate my peptic ulcer symptoms?", + "src": "Patient: Hello doctor,I have been diagnosed with\u00a0peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was then put on Lansoprazole, which I have been taking for 15 days now. After about five days, most of my initial symptoms, namely acid reflux, severe back pain, and mild stomach discomfort seemed to disappear, but then I caught a bad cold which seemed to affect my sinuses as well. Since then, the acid reflux and pain in the back has resurfaced. Do you think this is due to the cold and sinus problems? Also, do I need to go for an endoscopy at this stage? I saw improvement, although it has got worse again. Would it be better to wait for the cold to go and see what happens then? Doctor: Hi. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10489, + "tgt": "Can starving for longer period make you eat more?", + "src": "Patient: Hello doctor, I have started to notice something about my eating habits. I noticed that I have gained a lot of weight this year. And I have even been eating food that I do not like. I get hungry so many times during the day, even though I already ate. Last year, I would not say I was on a diet. But, I hardly ate much. I was wondering if that is the reason why I am gaining this new eating habit. If you starve yourself for a long period of time, will it trigger you to want to eat more? This is a serious concern of mine, because I have never been such a big eater. Doctor: Hello. If you starve for a long time, your body demands for more carbohydrates to complete its metabolism. If the starvation continues for a long time, the body starts accumulating energy for the period of starvation, hence you feel to eat more. The best way is to provide lots of fluids and fibres so that you feel full and avoid carbohydrates and junk. Decide your meals to 5 to 6 meal pattern, increase protein fibre, you will maintain weight. If gained, start with exercises for good result." + }, + { + "id": 8168, + "tgt": "Is it normal to feel pressure under rib cage?", + "src": "Patient: Hello doctor, I have pressure at the top of my abdomen, under my rib cage. It is not painful. It feels like there is something extra in there or there is someone pressing out against my ribs. CT scan was normal. Would it show enlarged organs? Does this sound like a problem? Should I be worried about this? Doctor: Hello. Sometimes severe gastritis can produce gas or fill in the upper abdomen. That area appears larger or swollen and hard. This you cannot see in ultrasound or CT scan. Please give history- Are you alcoholic or smoker? Diabetic or hypertensive? Taking your diet timely and regularly or too much spicy? These are all the reason for the gas formation and gastritis. Try the following medicines and review after 10 days. 1.Tablet Pan D one BID before food. 2.Syrup Sucralfate 10 ml TID for 10 days and review. Avoid spicy food." + }, + { + "id": 973, + "tgt": "Should I take Rituximab for neuropathy?", + "src": "Patient: Hi doctor, I am 24 years old.\u00a0I am suffering from a neurological disease and due to this I am getting weak day by day. My toes are gone almost numb since last two years and the same things are now happening with the upper limbs. I had this disease from childhood, but in a progressive state. So, with time my health degraded constantly. It started affecting my lower limbs. Now, I cannot even walk or stand properly. Now, it started affecting my upper limb as well. I cannot lift heavy objects due to weakness in grip and cannot do any manipulation by fingers quickly such as typing, writing, etc. I have been treated in various hospitals since my childhood. Currently, it was predicted as vasculitis neuropathy and getting treatment accordingly. I have gone through various treatments till now, but unfortunately nothing worked. Now, my doctor suggested me an injection called Rituximab, which can possibly stop the growth of this disease. The two dosages of this injection are quite expensive and due to this we are worried that how much safer is this injection to me. Hence, I thought that I should take an opinion from you before taking this injection. Could you please suggest me your opinion by looking at my attached reports, Is there any possibility to cure this rare disease or at least to stop the growth of this disease? Should I go for this Rituximab injection? I know, it would be a challenging task, but please spend some time and share your thoughts. I have attached my reports, prescription and life history from childhood.\u00a0Any suggestions would be really helpful to save my life. Doctor: Hi. I am here to help you.\u00a0First and foremost, I would like to congratulate you for your excellent narration and detailed documentation of the prescriptions and reports (attachment removed to protect patient identity), which has enabled me to have a good understanding. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5570, + "tgt": "Why am I facing obesity problem after taking Omnacortil and Wysolone for eye redness?", + "src": "Patient: Hello doctor, What are the side effects of Omnacortil and Wysolone tablets? I am having it either of them 10 mg regularly from the last year for redness in the eye and now I am having obesity problems. I feel that I should avoid it and need an alternative without having any side effects. Please suggest. Doctor: Hello. As you said you are having a problem with eye allergy. You were prescribed steroid tablets that are Omnacortil or Wysolone. But it is not good to take steroids for a longer duration. But if it is required as in your case, you must follow your doctor's advice. As you said that you are becoming overweight because of steroids, your doctor can help you in this by reducing the dose. The common side effects of steroids are elevated pressure in the eyes (glaucoma), fluid retention, causing swelling in your lower legs, increased blood pressure, mood swings, weight gain with fat deposits in your abdomen, face and the back of your neck, cataract in eyes, high blood sugar which can trigger or worsen diabetes, increased risk of infections and delayed wound healing, thinning bones (osteoporosis) and fractures, suppressed adrenal gland hormone production, thin skin, easy bruising and slower wound healing, fungal infection in the mouth (oral thrush) and hoarseness. So better you consult your doctor and discuss in detail with him regarding the side effects." + }, + { + "id": 24694, + "tgt": "Can losing weight help keep my blood sugar in control?", + "src": "Patient: Hello doctor,I am 37 years old and I weigh 100 kg with a height of 168 cm. I am a pre-diabetic. I m taking Metformin these days. If I lose like say 25 kg then can I stop taking medicines and control my blood sugar normally? Can this diabetes be cured? Doctor: Hello. Changing your lifestyle by regular exercise like walking at least half an hour every day and weight loss of say 30 Kg can help regulate your blood sugar levels. Also, you should follow a healthy diet by avoiding complex sugar and decrease carbohydrates consumption, eat high fiber food as whole grain bread and a lot of vegetables. In addition, follow up your blood sugar by doing HbA1c (glycated hemoglobin). The HbA1c should be less than 7 every three months and if it reaches that and remains less than 7 in this time you can stop the medication but even you should still be doing the HbA1c every three months and continue a healthy lifestyle and exercise. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23380, + "tgt": "Are my fasting blood sugar and HbA1c levels normal?", + "src": "Patient: Hi doctor, I am a 25-year-old female. My husband who is 30 years old was diagnosed with diabetics. I was shocked about it and I went for a fasting blood sugar test where mine was 111. I was worried since it is considered as prediabetics. So doctor here told to take a HbA1c test, it was 4.8. So the doctor told that I am alright and nothing to worry. What should I do? I am stressed out. Doctor: Hi. Well FBS (fasting blood sugar) can alter due to many reasons and it shows only the present sugar in your body during the time you gave your blood. But HbA1c (glycosylated hemoglobin) can show you the effect of sugar and longterm effects of it on hemoglobin molecule which is quite more reliable. If it is normal and your doctor told you are fine then believe it and yes please start lifestyle modifications after consulting your family GP or a diabetologist. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11255, + "tgt": "I have hoarseness of voice for a month. Please help", + "src": "Patient: Hello doctor, I have problem in one cord and it is for about a month now. I was given Defcort and antibiotic for a week. Persisting for little over a month now. Doctor: Hi. Since how long you have been having this problem? As per the picture, it has been there on only one cord. If it is early stages, conservative management can be tried. Did your doctor tell you about it? One month duration is a bit less to decide on surgery I feel. You should go for conservative treatment. Conservative treatment means antireflux and antacid measures along with control of allergy. Dietary precautions are to be taken. Absolute voice rest should be maintained. What is your job? Do you speak a lot or sing?" + }, + { + "id": 13993, + "tgt": "Will taking Diane pills for polycystic ovary cause any side-effects?", + "src": "Patient: Hi doctor, I am 25 years old with the polycystic left ovary. I have been taking Diane pills (Cyproterone Acetate or EthinylEstradiol) for about three years now. I would like to ask if it is okay for long term use? I mean does it have any severe complications of side effect on prolonged use? And I took the pill primarily to correct my hormonal imbalance and to correct my menstruation. But does this pill really have a contraceptive effect? Doctor: Hi. Diane pill is a fourth generation OCP (oral contraceptive pill), that is, an advanced generation pill. Apart from its contraceptive use, it is more often used for its wonderful non contraceptive use. As it is an OCP, it will definitely prevent pregnancy. For a young girl of your age (taken into consideration, that you are healthy in all aspects), it should not pose any problem. For ladies more than 35 years, smokers, ladies with a migraine, liver derangement, jaundice in last six months, gall bladder stones, hyperlipidemia, diabetics, hypertensives, any breast malignancy, history of stroke, etc., it can cause some serious issues like thrombosis, blood clots, deranged blood parameters." + }, + { + "id": 11915, + "tgt": "Is it normal to have bleeding in between periods?", + "src": "Patient: Hello doctor, My fiancee has had a weird in-between period thing for about a week, and this just about a week ago. She had very slight bleeding for about a week with red to dark red to pink and sometimes brown. She had constant cramps for nine days during this as well. A week later her period is supposed to come on the 26th. She is fine and on birth control and tells me she feels good but her upper back has been hurting for the past four days and she is starting to get cramps on and off again. We had sex two days before her last period and I have a strong feeling that it is just the birth control doing this. I used a condom and made sure there were no holes. Before I finished I pulled out but the condom slipped off and it got stuck inside of her and she said nothing was coming out of her after this happened. Is birth control the cause of all of this? Doctor: Hello. Any type of hormonal contraception may cause irregular bleeding that can be unpredictable in nature. If a birth control method is changed or if pills are missed, unscheduled bleeding can also occur. All birth control methods can fail, even with perfect use and unusual bleeding can also be a sign of pregnancy. A home pregnancy test is a good idea to make sure this is not the case. Upper back pain an unusual side effect of birth control, but cramping may be normal if it is during a period. Cramping or pelvic pain in the setting of abnormal or irregular bleeding could be caused by many things including ovarian cysts, early or abnormal pregnancy, urinary tract infections, sexually transmitted infections or PID (pelvic inflammatory disease). She would need an exam and further testing in order to confirm the exact cause of her symptoms." + }, + { + "id": 7045, + "tgt": "Is polydactyly hereditary?", + "src": "Patient: Hello doctor,My 55 years old father has six fingers in the right hand. He has an extra finger near the thumb. My sister and I have five fingers on each hand. What are the chances that my sister's child will have six fingers in a hand? Will they have any other abnormality? Could there be any other possible complications in the future child? 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": 27491, + "tgt": "In my recent X-ray, my hip implants look like they have moved. Why?", + "src": "Patient: Hello doctor,I have been suffering from bilateral AVN. I had a\u00a0hip replacement surgery done on the right side one and a half months ago. I am attaching the X-ray reports of those\u00a0taken immediately after the surgery and also a more recent one taken last week. I have a\u00a0doubt regarding the screw movement. While in the one taken post-surgery, the screws are inside the bone, in the X-ray taken later, it has moved outside. They used a DePuy Synthes implant. Doctor: Hello. I have gone through both the reports (attachment removed to protect patient identity). For further queries consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29427, + "tgt": "Kindly explain the interaction of pomegranate juice with Rosuvastatin", + "src": "Patient: Hi doctor, I was reading on the internet that one should not take pomegranate juice while on Rosuvastatin. It damages the kidney and muscle loss will occur. Please advice. Doctor: Hello. I had gone through all the data posted. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27437, + "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": 8724, + "tgt": "What is the use of Persinal and Lupride injection?", + "src": "Patient: Hi doctor, I have PCOS and planning for pregnancy. Last month I had HSG. My doctor told that my tubes are clear. My LMP was 25 days back. This month I had Persinal injection on my 3rd, 5th and 7th day. On 9th day my follicle was at the size of 19 mm. My doctor gave an injection called Lupride on my 9th day evening. Then she advised to have intercourse continuously for 10 days. What is the use of Persinal and Lupride injection? Is there a chance to achieve pregnancy this month? Am I going in the right way? Please guide. Doctor: Hello. For further doubts consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 22517, + "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": 29909, + "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": 12500, + "tgt": "What is the treatment for migraine with nausea and vomiting?", + "src": "Patient: Hello doctor, I have had a migraine for seven days. It is so severe that I cannot stand light or noise. I have been unable to sleep. I have been nauseated and vomiting. I cannot handle anything. I am a female. I am 35 years old, 5'4\" in and weigh 260 lbs. Doctor: Hello. Medication right now you are using is more than effective. But medication like Tryptons (Sumatriptan) is most effective. Metoprolol, Propranolol, Gabapentin, Pregabalin are more effective medication to prevent recurrence. You have to reduce weight which may useful to reduce the attacks. Regular exercise and yoga may be useful. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 24131, + "tgt": "Which infection causes sore throat, white patches, and excess mucus?", + "src": "Patient: Hello doctor, I have a sore throat, white patches, excess mucus (postnasal drip), and small red bumps on my tongue. What kind of infection is this? Doctor: Hi. I have seen the image (attachment removed to protect patient identity). It looks like you have a bacterial throat infection and the red spots on the tongue are due to inflamed tongue papillae. For confirmation, consult an otolaryngologist and get a thorough clinical evaluation and investigations like throat swab culture can help in diagnosis. They will suggest a course of antibiotics like Augmentin, anti-inflammatory painkillers like Ibuprofen, doing warm saline gargles, steam inhalation and using a humidifier in your room. You can also suck throat lozenges, chew Vitamin C pellet and avoid spicy and chilled foods. Hope this helps. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10378, + "tgt": "Is Arjunarishta beneficial for heart patients?", + "src": "Patient: Hi doctor, I am a 33 year old male. My height is 5'10\" and I weigh 81 kg. I am suffering from anxiety and somatization (as described by my medical report) more than a year. I was under allopathy medical treatment without any remarkable benefit with many doctors as general physician and cardiologist. I was also suffering from some side effects of these medicines. One day suddenly I came to know about the Arjunarishta, then I left all allopathy medicines and started this ayurveda medicine and felt relax within a week. I have been taking Arjunarishta since two months approximately but I still have some problems on and off as 1-3 times in a day. They are congestive pain in chest and neck, irregular heartbeat, hard and pounding heartbeat, pain in left arm, pain in jaw, hot and cold flashes, rarely feeling suffocation or dizziness or vertigo (not together) for 2-5 seconds, feeling relax at morning or when I sleep if feeling any problem. I\u00a0am feeling one or two symptoms together; I have many normal ECG and blood test when I was under allopathy medical treatment. Am I suffering these current problems because of Arjunarishta? Even I do not want to leave Arjunarishta. Even my parents have also started Arjunarishta. My mother who is 55 years has left anterior fascicular block as in ECG. Is it fine to continue Arjunarishta for whole life? Doctor: Hi. Arjuna tree bark has many benefits in the cardiac patients. I suggest you to continue arjuna bark medicines. In your case, the Arjunarishta contains minimal alcohol. So, continuous consumption may cause some gastritis. If the symptoms appear within 2 hours of the consumption of Arjunarishta, then it might be due to the medicine. If the symptoms appear after 3 hours of consumption of Arjunarishta, then it means; it is due the disease itself. Only first 3 hours, the Arjunarishta will control the disease. So, you can consume the arjuna tree bark in different method, such as tablets or powder. This will avoid the bad effect of alcohol in Arjunarishta. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18694, + "tgt": "What could be the root cause for bloated stomach after having food?", + "src": "Patient: Hi doctor, I am a 37 year old male. I am feeling bloated stomach and giddiness immediately after eating. The feel is more especially after lunch. What could be the root cause? Please explain. Thank you. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12458, + "tgt": "Will giving Budecort and Montelukast to a child cause any side-effects?", + "src": "Patient: Hello doctor,My son is 3.5 years old. We live in a place which has a lot of dust along with cold weather. My son has been suffering from regular cold cough problems since he turned 1, on an average three times in a month. Sometimes, the gap is longer when we are too careful and maybe the weather is stable. Starts with a runny nose, then cough, coughing is too much when he lies down, at night and early morning. Many times he also gets fever.We have visited several doctors and have been told it is RAD, we still do not know what is he allergic to, could be dust. In the past 2.5 years, he has regularly (when suffering) taken Allegra/Cetrizine, Nasivion drops, finished several bottles of Beta2, Salbutamol, Asthaline syrups, Paracetamol, sometimes but less of Azithromycin when it is throat infection, once or twice taken Kidpred also, also he has taken Montelukast 4 mg for certain intervals like taken for a few months and stopped and again taken.Three weeks back he got cough, we went to pediatric pulmonologist and were advised to start Budecort 200 inhaler twice a day for a year. Also, Asthaline inhaler three times a day for a week but still has cough. Allegra for a week along with Montair 4 mg. We did not start Budecort but started with Asthaline inhaler, Montelukast and Allegra. It improved and third week again he has got cold and cough but intensity is little less.My question is should we start Budecort 200 inhaler for a year and stop Montelukast? Or should we not start Budecort right now and continue with Montelukast for some time and check if it works? Or should we give both Budecort and Montelukast? Also is it fine to start with Asthaline inhalers whenever he gets cough? Lastly is there any way which we can find out what things he is allergic to? Or a list of common allergies? Doctor: Hi. Please note that Budecort inhaler is the medicine to prevent or reduce these instances and Asthalin is the emergency medicine to control sudden bouts. Hence, without fail you should start and continue using Budecort along with Montelukast and use Asthalin on SOS basis. As far as the question regarding allergy to certain items goes, it is best to observe the child for the same rather than doing umpteen number of tests just for finding the causative allergens. Any which ways the chances of you preventing the child from coming in contact with such an allergen would be less only. So do not worry much about the allergens point of view." + }, + { + "id": 22705, + "tgt": "I felt sharp pain in my chest while gardening. Is there any danger?", + "src": "Patient: Hello doctor, I was working in the garden planting and suddenly my heartbeat bet so strong and fast and I felt a sharp pain in my chest. It lasted for about three minutes. I went and did a stress test. I did not feel any pain, only a small short pain in the end that did not even last and was more of a bothering feeling not exactly pain. The day I planted was the first day I felt this pain after I made a big effort. Is there any danger? Doctor: Hello. Was there any recurrence of this event? If yes, how frequently? This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which the heart rate suddenly goes up and also suddenly decreases. The blood pressure falls during these episodes and one has chest pain, dizziness, fainting, blackouts, sometimes syncope. Usually, ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need prolonged ECG monitoring. ln order to abort such episodes, you should try to cough hard. You should have beta blockers like Metoprolol for it. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. 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": 27343, + "tgt": "Why did my urine test show 200 pus cells?", + "src": "Patient: Hello doctor, I am a 50 year old female, who weighs 65 kg, and I am 5 feet tall. I had a urine test, which showed 200 pus cells, RBC 2 to 3, protein 2 to 3, and urine culture showed E.coli. I am suffering from fever, high blood pressure, and high sugar level. My face is swollen, and sometimes my feet are also swollen. I also\u00a0have pain my legs and arms. Doctor: Hello. Hope this clears your doubt 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": 10855, + "tgt": "What should I do to treat the constipation in a 2 year old child?", + "src": "Patient: Hello doctor, My baby is 2 years old. For the past four months, she gets constipated. She has to move her bowels daily because if she does not have it more than 24 hours, she will get constipated. We tried changing her milk, but it only made her stools harder. She is currently on similac go and grow. We add water on her milk because she hates drinking water and she is a very picky eater. I use pedia lax to help move her bowels. What should I do? Doctor: Hello. Instead of using 30 ml water with each scoop, please add 45 ml water to each scoop for making the formula. Also, reduce the consumption of milk and simultaneously increase the consumption of fruits, vegetables, chicken, etc., whatever the child likes. As of now, you can use laxatives as and when required. However, as soon as a week or two after the above diet changes are made, the need for a laxative should be much lesser than what it is now." + }, + { + "id": 15298, + "tgt": "There was no withdrawal bleeding after I-pill and I miss my period now. Can I be pregnant?", + "src": "Patient: Hi doctor, I have a regular cycle of 28 to 30 days cycle. I got my last period last month, and I had bleeding for five days. But I had unprotected sex on the third day of my periods, and I took I-pill within 10 hours. I have not got a withdrawal bleed, and also, I have not got my periods this month. Can I be pregnant? When can I get my periods? Is there anything to worry? Please suggest. Doctor: Hi. I have seen many ladies taking I-pill post unprotected sex are unable to get withdrawal bleed. But they can have heavy bleeding in the same menses during which they had sex, or they can have prolonged bleeding during the periods when the I-pill was taken in the proper dose, timings and without vomiting. You can also do a blood pregnancy test if you feel anxious. The result would be less likely positive as the sex was not under a fertile period. You can have a menstrual induction. Take tablet Primolut 10 mg (Norethisterone) twice daily for five days and wait for bleeding for one to weeks." + }, + { + "id": 4138, + "tgt": "Kindly explain whether periodontal ligament removal is important during tooth extraction", + "src": "Patient: Hi doctor, My lateral incisor #7 fractured at the gumline and will likely require a surgical extraction. Also, while a temporary filling was provided after removal of pulp pending a root canal, the root canal was not done for many months due to an insurance lapse, and the tooth became infected as well as surrounding bone. I have read that some dental surgeons advocate for the removal of the periodontal ligament during extraction to facilitate healing and the proliferation of new bone cells, and that this must be done explicitly with a bone burr. I have read that this is common practice for \"biologic\" dentists and biologic dental surgeons, and uncommon otherwise. My Med-Cal / Denti-Cal providers are not \"biologic\" dentists. I have four questions. 1) How important do you think the complete removal of the periodontal ligament really is? 2) If the extraction is surgical vs. simple, is it likely that the ligament would be removed anyway? Perhaps because some extra surrounding bone may need to be removed? 3) If removal of the tendon is not standard practice by the dental surgeon, can I request it and would they know what to do and not be offended?, and finally 4) If an implant is contemplated, would the region of the removed tooth and perhaps some surrounding bone immediately be packed with a bone substitute for socket preservation? Or would the infection need to clear first? Doctor: Hello. There is nothing like \"Biological\" dentists as such, but you might be referring to Oral and Maxillofacial Surgeons. Anyway the removal of root stump of a lateral incisor is a simple procedure and any dentists should do it. There is no separate removal of periodontal ligament, which usually is resorbed by the wound healing itself. In any case, if you are planning implant you should not be removing any surrounding bone at all to get maximum implant attachment and minimal bone graft." + }, + { + "id": 2987, + "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": 7467, + "tgt": "Is it safe to restart Prednisone?", + "src": "Patient: Hi doctor, I was diagnosed with gout in left foot. It has been bothering me for a couple of weeks. Last month, I had issue with my elbow and took Prednisone. Recently, doctor said I cannot take Prednisone again so soon and was essentially screwed. Are there any other treatment options or drugs? How long should one have to wait until it is safe to take Prednisone again? Doctor: Hi. Revert back with clear history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15740, + "tgt": "Having kell antigens in blood during pregnancy cause any permanent effect in babies?", + "src": "Patient: Hi doctor, My partner is pregnant with twins of 22 weeks. She has kell antigens in her blood received from a transfusion when my first son is born. I did a blood test last week, and I also have a kell group present in my blood. Do my babies are safe? What can be done to help them? Are there any permanent effects that would inhibit them from having a healthy life? I am scared after knowing it. Please help me. Doctor: Hi. Kell blood group is a minor blood group system. ABO and Rh are called major blood group system. Kell antigen can be antigenic and can create a problem during a blood transfusion or else it may not create any problem. So there is no need for having a specific treatment. Whenever your child requires a blood transfusion, the blood bank should find the right blood suitable for your child as per cross match report. Please mention the blood group of your partner and first child. If the mother is Rh negative and the child is Rh positive, then there is a chance to have a hemolytic disease of a newborn, and it requires anti D." + }, + { + "id": 11406, + "tgt": "Which valve would be best for my mitral stenosis, biological or mechanical?", + "src": "Patient: Hello doctor, My mother is 59-years-old and has mitral stenosis. CMV was done 35 years back. Now recently she had a heartbeat of 150 and atrial flutter, and she was on Acitrom previously. She has undergone DC cardioversion shock. Now latest ECG shows atrial ectopic and her heart rate is 70 to 80. Can she undergo operation soon? If yes, which valve would be best for her biological or mechanical? Which is the best and latest generation biological valve in the world market? Doctor: Hello. Yes, she is now a candidate for mitral valve replacement. However, you should make a note that valve replacement is not a complete solution. Firstly, at this age, a mechanical valve is better considering the durability of the valve. Bileaflet valve is the preferred one. Next, she has to be on regular blood thinners. Otherwise, there is a risk of valve dysfunction which may lead to a repeat surgery if blood is not adequately thinned. Also, this heartbeat problem may not go even after valve replacement and has to be controlled on medicines. Even now she should be on beta blockers like Metoprolol, then Diltiazem to keep heart rate controlled, which are quite effective. I hope this helps you and get back if you have any doubts." + }, + { + "id": 26505, + "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": 1813, + "tgt": "My mom's BP keeps fluctuating, as it becomes very high or very low. What to do?", + "src": "Patient: My mums bp level was raised to 160/140 2 days back we took her to the doc but no one got her admitted to the hospital because of the covid situation they just gave her medications her bp is normal now but she has very much weakness she's feeling a lot dizzy she can't even sit or stand she starts feeling dizzy she has lost all her energy what can I do to get back her energy and she doesn't have a stable bp her bp fluctuates some times it's very High sometimes it's very low so she doesn't take any medications for bp bcuz her bp is fluctuating..... I need help what can I do ??? Doctor: Hi, I hope you are doing well. I can understand your concern. I need to know, whether she had past history of hypertension, or she was on any medication prior to this episode. The sudden rise to Blood pressure can be due to simple stress, anxiety some time pain. If she is known hypertensive then skipping medication can cause a sudden rise of Blood pressure. I have noticed that her diastolic BP was high. You need to monitor her BP regularly. also in supine position and standing position. Also during day time and night time. Do three to four readings of BP. It will give us an Idea about her blood pressure fluctuation. The symptoms she is having are probably due to low blood pressure. especially hypertensive elderly people tend to take less salt than required which leads to low salt in their body, resulting in hyponatremia. which can result in such symptoms. I suggest you monitor Blood pressure. If possible do Serum electrolyte and Random blood sugar and creatinine. continue Amlodipine as advised by your doctor. I t can be changed as per BP monitoring. Hope this will help you." + }, + { + "id": 20668, + "tgt": "Why is testicle swollen and uncomfortably moving after torsion surgery?", + "src": "Patient: Hello doctor, About four weeks ago, my right testicle started moving in an uncomfortable (not painful) way. I had a torsion and surgery to stitch down (both) 2.5 years ago. I went to the first doctor and he tried me on muscle relaxants, nothing changed so he referred me to a specialist. The specialist had a quick feel and then told me it was normal, that I should not worry and that I would have to get used to it. He also implied it has been happening since the operation and I just did not notice. There is still no pain, only discomfort (it varies) normally when I walk. I think that my right testicle is a tiny bit swollen and slightly squishier than my left and while I could live with this, I really do not want to. Though I have suffered no injuries to my testicles recently, I actually think that one of my stitches has come loose as I can feel the end on the stitch lump where I could not before. I am 88 kilos and have lost 12 kg over the last nine months. I have have been running more frequently for about eight weeks. I am 24 years old. Doctor: Hi. I have gone through your query. From your symptoms, it could possibly be that you have a case of a repeat of your torsion which is usually not common after surgery or a case of testicular pain syndrome which can happen after surgery. Normally, a detailed clinical exam to identify any other causes like a hernia or varicocele or hydrocele post surgery is necessary. As you have mentioned that a clinical examination has been done and was found to be normal, I would suggest that you have a doppler scan to confirm that it is not a case of torsion or any other vascular problem like varicocele which is causing the pain. If the scan is normal, then you will have to wait and watch and have a good scrotal support in case of chronic orchialgia or testicular pain syndrome." + }, + { + "id": 880, + "tgt": "What is my doppler test taken for erectile dysfunction showing?", + "src": "Patient: Hello doctor, I have ED and I have taken penile doppler test as per my urologist advice. But he did not confirm any physical problem with me but the doppler test result says there is artery insufficiency. Below is the impression from the doppler test. Hypoplastic right cavernosal artery with penile erectile dysfunction. Please help me understand this report. Doctor: Hi. Coming back to your query, I had seen your doppler report (attachment removed to protect patient identity). Your peak systolic velocity on right side is below normal. Have you tried any drugs / medicines before? For how long you are having ED? Diabetic or hypertensive? Morning or nocturnal erections?" + }, + { + "id": 416, + "tgt": "I have bad GERD with epigastric pain, erythema and atrophy of antrum. Please suggest solution", + "src": "Patient: Hello doctor, I am a 27-year-old female. I had a history of on and off acid reflux for a few years. Last month, I had a bad episode of GERD and was prescribed Pantoprazole for a month. It got better and I stopped taking Pantoprazole, but I still have epigastric pain on and off. I had an upper endoscopy last week where the findings were all normal except for erythema atrophy of antrum. No more obvious acid reflux signs though. But epigastric pain still comes and goes. I was prescribed Hyoscyamine, but not sure why. What does erythema atrophy of antrum mean and why do you think I was prescribed Hyoscyamine? I have not had biopsy results from endoscopy yet, but I am hoping and praying for the best. Doctor: Hello. Your symptoms likely from your stomach. Atrophy and erythema mean there is inflammation, might be from a bacterial infection (helicobacter), which we have to wait for the biopsy result then to be treated with triple therapy. Hyoscyamine drug for intestinal cramps, help alleviating pain from cramps, also decrease the acidity in the stomach. To be honest, we rarely use it for stomach, PPI (proton pump inhibitors) like Pantoprazole usually are better with stomach inflammation, and decreasing its acidity. For now, we have to avoid smoking, drinking, and spicy food the could irritate the stomach more. Avoid eating before sleep at least three to four hours. Wait for the biopsy. Another thing, if pain persists, I recommend to repeat the ultrasound, we need to see what is going on with your gallbladder." + }, + { + "id": 29194, + "tgt": "Kindly give your opinion on the routine health checkup report of my mother", + "src": "Patient: Hi doctor, I am seeking your medical opinion on the routine health checkup done for my mother. She is 76 years old. There is no major health issue like sugar or heart problem. She is mildly hypertensive and is on medication for the last 15 years. Here, I have attached her routine checkup report for your opinion. Doctor: Hi. I have gone through the reports of your mother (attachment removed to protect patient identity). Revert with OGTT reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14918, + "tgt": "Will scar reopening after surgery cause urinary problem in hypospadias patient?", + "src": "Patient: Hello doctor, My son is 5 years old. He is born with hypospadias and had a stage 1 surgery to fix it back two years back. Everything went well so far. However, the following symptoms are now showing up. From the last week, he started to complain when passing urine saying it was stinging him. We went to GP and urine sample showed no infection. Since yesterday, drips of blood are there in his urine. We went to A and E and urine still showed no infection. However, the doctor advised seeing GP tomorrow to get a referral to a Urologist. The doctor is not sure what this could be due to mentioned that a scar could have reopened? Antibiotics prescribed to avoid potential infection? Could you please give us your feedback on these symptoms and let us know what kind of intervention is likely to happen if a complication was established? If it was a buildup of scar tissues or a urethral stricture for example, how would you treat it? We are deeply concerned as the first surgery was so painful and intense. Doctor: Hi. I have gone through your query. I would like to know a few more details. You mentioned stage 1 surgery was performed two years back. When was the second stage done? Did he complain of any urinary problems after surgery? The most likely cause is an infection given his history is surgery, now that infection has been ruled out, other factors like bleeding from the surgical site have to be checked out. It is also possible that this may be totally unrelated to surgery, young children do sometimes get blood in the urine due to unexplained causes or calcium in urine, but given the history of surgery, the factors related to that have to be ruled out first. Yes, it is possible to get a stricture after hypospadias repair, and that can also cause bleeding due to high pressure during urination, and it has to be checked out, even if there are no complaints. If it is established that it is a stricture, then the treatment will vary according to the location and severity. It can be endoscopic or repeat surgery or sometimes just dilatation would suffice. It is impossible to predict, without knowing the actual details about the previous surgery and without evaluation of the child now as to what treatment he will need." + }, + { + "id": 21320, + "tgt": "A stray dog bit me few hours back. What to do next?", + "src": "Patient: Hello doctor, A stray dog bit me a few hours back. I washed the wound with soap and water. And I took tetanus from a pharmacy. What to do next? Any food which I should not eat during this period? Doctor: Hello. You did a very good job of washing with soap and water. It is important to apply a soap that foams well to wash off local viruses. An antitetanus vaccine will only protect you against wound infections. It will not prevent rabies infection. If the dog is infected, you may be at risk of having rabies infection. You need to take a course of anti-rabies vaccination. It comprises five doses - Day 0 (on the day of exposure), and then days 3, 7, 14, 28. This is necessary to ensure protection against rabies infection. Go to the nearest health care facility at the earliest and start the vaccination. There are no food restrictions. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22714, + "tgt": "Why does my right hand become numb when I masturbate?", + "src": "Patient: Hello doctor, My 36 years old cousin has a problem lately that whenever he masturbates his right hand becomes numb and suddenly he cannot move it for few seconds and after some time it gets fine. Is it a serious problem? Doctor: Hello. It does not appear to be a serious illness. Does he get any other symptoms like neck pain or arm pain? This may occur due to compression of the nerves supplying the right arm leading to the symptoms. You should get cervical spine AP (anteroposterior) or lateral view. Till that time he can have tablet Neurobion Forte (vitamin B1, B6 and B12) once a day which is a nerve vitamin. If this is not helpful then you need to take tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer. Consult your specialist doctor, discuss with him or her and take medications with their consent. So overall, it does not appear to be serious and worrisome but should be evaluated. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18910, + "tgt": "Can MTHFR mutation cause memory problem?", + "src": "Patient: Hi doctor, I am 29 years old. I have memory problem since I was a boy. I think it may be genetic as my mother also has the same problem. But my mother is not so worse, like me. Three weeks ago, I have started taking ayurveda medicine Mentat for memory my memory issues. All was well for about three weeks. Four days ago, along with Mentat, I have started the tablets of B1, B6, B12, Magnesium and Folic acid. Now, I forget even the common names. For example, I have just forgotten my grandmother's name. My current medications are Euthirox, Mentat, Cebrium, B complex, Magnesium and Folic acid.\u00a0I read about MTHFR gene. Is it related to my issue? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24426, + "tgt": "Is the lump on my back fat or a tumor?", + "src": "Patient: Hello doctor, I have a knot or lump on my upper back just in the middle and little right side of the back. It can be felt when I get a massage. Can this be dangerous? The doctor once told me seven years back that it might be fat. What test can make sure that it is not a serious kind of tumor? Doctor: Hi. I have checked the attached photos (attachment removed to protect patient identity). It looks like a lipoma, which is a benign fat mass with a soft consistency. Lipoma is completely benign with no complications. A biopsy is the most confirmative method. Surgical assessment is required for possible removal. The other possibility is chronic abscess. Is it painful or gets inflamed sometimes? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6335, + "tgt": "Can anal sex lead to peritonitis in homosexuals?", + "src": "Patient: Hello doctor, I am a homosexual and this is my second time of having anal sex. It has been three weeks my partner had ejaculated inside of me, and then only I heard about peritonitis. I was wondering whether I was exposed to it or will it harm me? I heard that it may lead to death and if so, how long do I live? Additional information will greatly be appreciated. Doctor: Hello, Welcome to icliniq.com. Well, precautions first - While there is absolutely nothing wrong medically in your sexual orientation, irrespective of the legal status in your state, it is definitely not advisable to have unprotected intercourse with anyone. Even the use of condoms only ensures 95% protection. So in the future, always use a barrier like a condom before intercourse to ensure your own safety and your partner's safety. Not only you could get infected with a venereal disease like syphilis, genital warts, etc., you may get infected with the deadly disease called AIDS (acquired immunodeficiency syndrome). Though there are effective treatments for most of the STDs (sexually transmitted disease), why risk it in the first place. Now coming to your question. Peritonitis is the inflammation of the membranous lining which covers our abdomen and the pelvic area called peritoneum. It gets infected only if there is direct contact of some infected fluid with it and for that, it should have been perforated i.e. ruptured. It often happens when the intestines get ruptured due to typhoid fever, or due to a ruptured peptic ulcer of the stomach or intestine or as a result of trauma. In men, there has never been a case (to the best of my knowledge), where a sexual act has resulted in peritonitis. It cannot happen unless the sexual force has been so vigorous that it resulted in the rupture of the rectal or anal mucosa. Even if it happens rarely because of this, peritonitis has very prominent symptoms like severe pain in the abdomen and you would have needed to be hospitalized. So do not worry. If you are fine and eating well with no pain in the abdomen, your previous coital acts have not given you peritonitis. And you may expect a normal life. Of course, you are risking your life by being at a risk of acquiring deadly STDs like HIV-AIDS, which are killers. So do not worry about peritonitis, but worry about STDs and follow precautions." + }, + { + "id": 9104, + "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": 19402, + "tgt": "How to handle the ego of an 18 year old girl?", + "src": "Patient: Hi doctor, I am a teacher and I do not live with my husband.\u00a0When I left my country my childern were 7.5, 6 and 2.5 years old. Now in the new place, they are 19.5, 18 and 14.5 years old.\u00a0My daughter, who is 18 years old, is wild. She is doing her first year college. My daughter got involved with a boy\u00a0last year. The boy became close to me and was my internet friend. We will talk about my daughter and he said that she is just a friend until I discovered last year. On weekends, my daughter lives with that boy. She will stay in the boy's house, even if the family refuses. This behavior is due to negligence. I took my daughter away from him and now she fights with the people, especially my family and anybody related to my family except her cousin who is my sister's daughter. I get angry as her involvement with her boyfriend of a weird personality. I do not know how to deal with my daughter. I discussed with the boy's sister and she told many things about what happened. The boy did not want her anymore, but insisted to give him money for not to leave her. Now my daughter is at home and she does not do anything rather than eating in her room. I do not talk with her as she disrespects me which really hurts me. Now again she is about to enter the school and we had quarreled again. I know that my daughter has a personality disorder too. Please I need your advice. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10336, + "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": 16791, + "tgt": "Should I start taking BP medicines?", + "src": "Patient: Hello doctor, I am 25 years old. My blood pressure generally ranges between 125/60 mmHg and 133/65 mmHg. Sometimes if I am nervous, my BP goes up to 145/80 mmHg. When I am calm, the BP usually stays at 117/60 mmHg. Should I take BP\u00a0medicine like Propranolol for hypertension? I have already made changes in the lifestyle. I do not drink or smoke and I avoid sodium. I am also practicing meditation. Doctor: Hi. I have noted all your details. Revert back after 21 days to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9751, + "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": 27212, + "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": 19931, + "tgt": "There is a hole below my stomach with smelly pus discharging. Help me", + "src": "Patient: Hello doctor, I have a hole underneath my stomach and it is discharging smelly pus every day. It burst two months ago. It is painful and smelly. Help me. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21926, + "tgt": "Why is my daughter having fever and vomiting?", + "src": "Patient: Hello doctor, My daughter, 18 years old, is suffering from a fever for the last four days and reached up to 103.8. She is having vomiting after any intake. After getting Widal test, her typhi H result shows 1 ratio to 160. Earlier, eight years back, she suffered from viral hepatitis. From yesterday, now she has been given Taxim OF TDS and Metrogyl 400 mg TDS, PCM TDS and for vomiting Ondam MD (Ondansetron). However, now fever is not going to higher ranges but vomiting is not stopping. Please see and advice. Doctor: Hi. She is suffering from typhoid (attachment removed to protect patient identity). She is on treatment with Cefixime and Ofloxacin. It is enough. But the temperature is too high and is above the Paracetamol range. Another NSAIDs (non-steroidal anti-inflammatory drugs) should be used along with Paracetamol to control temperature. Coming to vomiting, typhoid has one main complication, that is, it causes typhoid ulceration in GIT which causes mostly diarrhoea and vomitting. You can continue but replace Ondem. The antibiotics need atleast five doses and if the temperature is not regressing, then consider to change antibiotics or add third generation Cephalosporin. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11714, + "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": 19049, + "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": 13286, + "tgt": "Is it advisable to use E-cigarette to avoid future heart attacks?", + "src": "Patient: Hello doctor, My father is 58 years old, last week he had a heart attack and turned out he had a blockage of 75 percent in the left anterior descending artery (widowmaker). So, he had a cardiac catheterization and one stent, so we feared that the side effects of quitting smoking might affect his heart since he is in no position to go through them. Is E-cigarette safe way to quit? Can it give him another heart attack? Also, he has diabetes stage 2, but we are still monitoring it. Doctor: Hi. I am sorry to hear about your father but I am glad he survived and was appropriately treated. If he wants to increase his survival and decrease the possibility of dying, having another heart attack or developing heart failure (weak heart), he must stop smoking. There is no risk of stopping smoking related to this heart disease. The real risk is not to stop smoking. In regards to E-Cigarettes, they have been found to have a risk to the heart and lungs that do not make them a safer alternative to regular smoking. However, there are plenty of therapies and measurements to help him quit and although it is not easy, they might be very effective if used appropriately. And if he fails and recurs, it is totally fine and he can try again, over and over until he quits." + }, + { + "id": 29056, + "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": 19396, + "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": 10113, + "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": 29679, + "tgt": "I need a second opinion regarding my MRI ankle reports", + "src": "Patient: Hello doctor, Almost two months back, I twisted my ankle around ninety degrees inward. It caused my ankle to pop very loudly and I had to limp for several minutes. It instantly began to swell and within 10 minutes it was three times the normal size. Within three days, the swelling spread and my entire foot began to bruise. However, the physician still claimed it was a sprain. After two weeks of no improvement, they claimed it was not a sprain and were not sure what the issue was. I was then referred to an orthopedician and he requested an MRI. It is still is not possible to put any weight on my foot and the pain medication that I have been prescribed is barely working. I would like to have a second opinion. I have some images from the MRI posted and more images available upon request. The images posted were the ones that piqued my interest and seemed likely to point towards whatever the injury. Previously, I was taking Naproxen 500 mg, Tramadol 50 mg and Norco 5/325 mg for the same issue. Currently, I am taking Norco10/325 mg, Vistaril 25 mg and Ibuprofen 800 mg. Doctor: Hi.\u00a0 1. Ankle pain. 2. Cartilage injury. 3. Bone edema. Revert back with the MRI images to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16762, + "tgt": "How to bring down the allergic reaction I had for cough medicine?", + "src": "Patient: Hi doctor, I recently had an allergic reaction to cough medicine. Nowadays, every time I sweat and getting rash.\u00a0The reaction happened about a week ago. I am just wondering how long this will last. Doctor: Hello. I had gone through all the data posted. Revert with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8173, + "tgt": "I inhaled seawater. Will it affect my lungs? What is the natural way to treat this?", + "src": "Patient: Hi doctor, I am a 25 year old man with normal BMI. I inhaled salt water while swimming at the beach. Will it affect my lungs? What is the natural way to treat this? Doctor: Hi. Seawater or salt water by itself is harmless to the lungs. The worst you may get is few days of cough because of lung irritationfrom the salt present in the water. At present, if you are not having any problem then there is nothing to worry. But there are chances of you developing an infection if the water is contaminated with bacteria. In that case, you might get a fever anda productive cough lasting for weeks. In case you develop a high fever or an excessive cough, get a chest x-ray done. Next time when you are in a similar situation, you can sit down on the cot, bend down the upper half of your body (like when you pick something from the floor while lying on the bed) and voluntarily cough for 10 to 15 minutes. By this way, the inhaled water can be expelled. Revert back with the x-ray reports to a pulmonologist online for further follow up. ---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10040, + "tgt": "How to increase my height?I am 23 years old", + "src": "Patient: How to increase my height? I am 23 years old. Doctor: Hello. Consult a nutritionist online for further follow up --->https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 16951, + "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": 19454, + "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": 15516, + "tgt": "Why am I not able to conceive in spite of having regular periods?", + "src": "Patient: Hello doctor,I am 24 years old. My husband is 48. He has two children from his last partner. 18 years old and 20 years old. We have been trying to get pregnant for nearly 12 months now. I was on the Depo injection which I only had twice and I never had it when it was due which was three years back. So do you think I need to seek advice or investigating from doctors? Or is there anything else I can do? I have been tracking ovulation for 10 months and I am ovulating every month. None of us are on any medication. I am taking folic acid regularly. He was a bit of a binge drinker around two times a week but has not done that for over 12 months. Doctor: Hi. You can safely try for another two months before going for investigations. Chance of pregnancy when you try for 12 months is around 85 %. For the information you gave, there does not appear any factor which can prevent pregnancy. There is no need to monitor ovulation, as it increases stress and reduces the chance of pregnancy. When your cycles are regular, ovulation is considered to happen regularly unless proved otherwise." + }, + { + "id": 16926, + "tgt": "My gym trainer is asking me to start whey protein. Do they have any side effects?", + "src": "Patient: Hello doctor, I am 29 year old male. I weigh 90 kg and my height is 5'12\". I actually started going to gym 3 months back and my trainer is asking me to start whey protein. I just bought one.\u00a0Now my queries are: Are they safe to consume? Do they have any side effects? I do workout not very intensely but yes to a level, so will this affect while I start drinking protein? What is the best way to consume it? What if after few months or years I stop going to gym and stop consuming whey immediately will it create any issue in future? How much necessary it is to consume whey than the natural food? Please note that I am a pure vegetarian. Doctor: Hi. Revert back to a nutritionist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 27780, + "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": 4485, + "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": 4988, + "tgt": "How to cure tongue twists and hand shivering in an alcoholic?", + "src": "Patient: Hi doctor, My father is an alcoholic. He has not been eating for the last 15 days. He is now suffering from insomnia. He is able to see abnormal things like people standing near to him. He has lost weight. He is having heavy sweat at night on the forehead. His tongue twists and has shivering hands. His height is 5'8\" and weight is 62 kg. What is the problem with him now? Doctor: Hi. Sorry for your father's condition. If I am your doctor then I would like to treat you in the following way: For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7493, + "tgt": "What are the chances of acquiring sinus infection after severe cold?", + "src": "Patient: Hello doctor, Is it normal to get sinus (its symptoms) after a severe cold for more than five days? I have the symptoms of 1. Nasal congestion. 2. Pressure or plugged ears. 3. Pain in the right side of the face. Doctor: Hello, Welcome in icliniq.com. About your query having a chain of symptoms for cold to sinusitis is correct, and here I would like to tell you the underlying pathology in this development is as under. Initially, the patient develops cold that may be allergic or infective. If anyhow cold gets prolonged, the nearby sinuses start developing an infection due to loss of ciliary movement of their lining mucosa. In this way, sinusitis develops, as soon as sinusitis appears, which in turn secretes mucus that remains collected in the sinus cavity, and the patient feels heaviness in the head and later headache. The collection of sinuses than move to the nasal cavity and move posteriorly to the throat that is named as postnasal drip. By this drip, soreness appears in the throat and from here (throat) there is a tubular connection to the middle ear (eustachian tube) which gives way the infection to reach to the middle ear and at this stage patient feels clogged ear. Similarly in treatment 1. Treat the infection of nose and sinus (by suitable antibiotic). 2. Liquefy the collected fluid (by steam inhalation). 3. Treat the swelling of inflammation by anti-inflammatory drugs to restore the ciliary movement of cilia of lining mucosa. I hope your query is answered, but if still, anything is not clear, please free to re-consult us." + }, + { + "id": 20323, + "tgt": "What tests can be done to differentiate angina pain from gas pain?", + "src": "Patient: Hello doctor, I am 38 years old and my weight is 97 kg and height is 5 feet 7 inches. I had been having heaviness on the chest and pain on my shoulder and left arm since few days. I went for ECG twice but it was normal and even echo at rest was normal. My blood pressure was high around 160/100. Maybe due to anxiety. I shall be having a TMT test tomorrow. What other tests I can take to know if this pain is angina pain or gas pain? Should I try Sorbitrate when I have pain and see if the pain has gone or not? Is TMT final test to know if there is any blockage or not? Doctor: Hi. I have reviewed your health query and can well understand your worries and want to add that, TMT (treadmill test) is not the only test to rule out if this pain is cardiac in origin or not. Although it is a very sophisticated screening test and we can find out if there is any change in electrical activity of heart when we put heart under stress to see how it behaves under stress. If there is any blockage in heart's arteries, heart would definitely change its behavior and under stress (at any point during TMT) heart's activity would not be as expected. Here would be our next strategy to start at. There are two possibilities. Normal or abnormal TMT. Normal TMT- Usually there is no need to further investigate. Abnormal TMT- Your cardiologist may go for further investigation including but not limited to coronary CTA, coronary angiography, etc. No, you should not take any medications to test by yourself if this is cardiac pain or not. Discuss the matter with your cardiologist and if he feels appropriate, he may advise you accordingly. Ask your physician to get your blood pressure under control. This is high blood pressure and I think you should go for a proper work-up for hypertension. Your cardiologist would also help you in this regards." + }, + { + "id": 5890, + "tgt": "Is it possible to have low blood pressure and symptoms of anemia after dengue?", + "src": "Patient: Hi doctor, Female, 34 years old, 164 cm height, and 74 kg weight. Last month I suffered from dengue fever DHF NS1 antigen positive right lung pneumonia right lung pleval effusion, ascites, and type 1 respiratory failure, anemia and PV bleeding. Now after recovery, I consulted doctor, he carried out various test as found all normal except reticulate count 3.2, Hb 9.9, mean corpuscular vol 104.7 plus all ultrasound and X-ray are now normal. Coombs direct test is positive so doctor has told to consult hematologist regarding this and current prescription is Folic acid 5 mg only. My problem is only weakness and low blood pressure and symptoms of an anemic patient. Kindly guide what is the treatment for coombs test positive patient. Doctor: Hello. The positive direct coombs test is suggestive of some form of hemolytic anemia in which antibody bind to red blood cells. The DCT could be positive because of immune hemolytic anemia. Dengue infection is form of viral infection and it can cause immune hemolytic anemia for short time. So, your DCT might be positive. Drink lots of water and fruit juice. After full recovery from dengue, repeat DCT test after few days. The iron supplement can be prescribed. You can consult nearby hematologist for detailed evaluation." + }, + { + "id": 23082, + "tgt": "After turning 2, my son stopped talking logical words. Please help", + "src": "Patient: Hello doctor, My son is 4 years old. At one and a half years, he was able to talk and copy words fluently but after 2 plus, he stopped talking logical words. He can copy words if he wants though. He has fear of darkness and instant high volume sound. Night watching is also a habit (10 to 12 nights/month). The pediatrician told us that he has no normal physical problems. Speech therapy is continuing but after four months, the success rate is about zero. Please help. Doctor: Hello. As per your history, the child might have autism spectrum disorders. It will be worthwhile to see a developmental pediatrician or a pediatric neurodevelopmental consultant. You need to carry or record his preschool behavior chart when visiting the consultant. If treatment is started after a proper diagnosis, the results are excellent. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 8459, + "tgt": "How long will it take to heal the dark spots on the face?", + "src": "Patient: Hello doctor, I am 15-year-old suffering from dark spots on the face. They are dark brown, and my usual skin tone is golden brown. I developed acne when I first started puberty, and I picked at my face, which caused these scars. I have tried Vitamin C, and Mederma gel to lighten them, but nothing works. I want to know if there is some way to lighten them. Would Calamine lotion work perhaps anything else? How long will it take to heal completely? Am I stuck looking like this forever? Doctor: Hello. I understand that you have acne scars and dark spots caused due to acne. Acne is usually age-related because of hormonal changes. However, I suggest you undergo PRP (platelet-rich plasma) therapy for the scars if they are bothering you. For dark spots, you may use creams with Hydroquinone after consulting your dermatologist. The spots will eventually fade away with time. Avoid exposure to sun and use a sunscreen with SPF 50 while going out in the sun. I hope this answers your question. Please let me know if you have more questions." + }, + { + "id": 20838, + "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": 12732, + "tgt": "Will my tooth support post after root canal treatment?", + "src": "Patient: Hi doctor, I was suffering from molar pain for the past two weeks and then decided to see a doctor. One of my molars decayed and I needed a root canal. But here is a thing, my tooth is very very short for a crown, it is between 1 and 2 mm in height. Is it fine to just put a post and then refill the tooth? How essential is the crown? Doctor: Hi. If your root canal is being in process and the crown length is very low, it is best to have post and core done on it after a final step of the root canal. This will strengthen your tooth and it will last long for like 10 years or more. If you do not get the post and core buildup on it and will go for a cap on such small crown portion the cap will be taken out in your chewing process more often and there will be a chance of breakage of tooth also that is saved through root canal treatment. So, I will advise you to get the post done. And one kind advice is that wait at least a week before your cap is placed so that you may rule out any pain or sensitivity issues of tooth in this time period, as once cap is placed and then you start feeling some sensitivity in the root canal or any symptoms of pain then cap removal will be difficult procedure. So, do not rush for the cap. Get post and core buildup done. Finish antibiotics, then take some time without medicines to see if all is fine. Then after a week or two get cap done. Stay happy and blessed." + }, + { + "id": 5267, + "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": 12248, + "tgt": "I have pain, irritation, and dryness of eyes. Please help me out", + "src": "Patient: Hi doctor, I am a student, and I stay in a highly polluted area. I got shifted here five months ago. Early in the morning as soon as I wake up for five to ten minutes, my eyes start paining and irritating. Few times it also turns red. Due to this I could not wake up on time and also feel uncomfortable. When I study I feel some dryness in my eyes. Please help me out with some suggestion. Doctor: Hi. By your description, it looks like a condition called vernal keratoconjunctivitis. It is a type of allergic condition. It increases in summer and dusty polluted environment. I suggest you wash your eyes with cold filter water twice a day. Also, use Pataday eye drops (Olopatadine hydrochloride ophthalmic solution) twice a day regularly for as long as you have symptoms. When itching is severe you can use Moxigram LX (combination of Moxifloxacin and Loteprednol etabonate) eye drops 2 hourly or as frequently as itching occurs." + }, + { + "id": 6540, + "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": 30740, + "tgt": "Please give your opinion regarding my wife's colon polyp", + "src": "Patient: Hi doctor, My wife has been detected to have a 1.5 cm sessile polyp in descending colon in colonoscopy. One doctor said that there is nothing to be worried as it is harmless and the other says just opposite. Please give your opinion. Doctor: Hello. Before I answer your question, can you please kindly share some more information. 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": 5134, + "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": 7364, + "tgt": "Is it safe to use artificial tears for dry eyes?", + "src": "Patient: Hello doctor,I am 66 years old. I have psoriasis, and it can break out around my face and eyes. I also have dry eye issues and use Thera tears. At the time, I have a lot of eye pain. I should even say I use a CPAP at night at that is when it gets the worst. To the point, I can wake up and hear my eyes moving in my head. What can be done, and is there any danger to my sight? Doctor: Hello. I fear that you have severe dry eye and using artificial tears will not be enough. First of all, you should start using the artificial tears every hour during the day and last time about an hour or 30 minutes before sleep. You could also try using a thicker type of lubrication such as eye gel when you have significant visual activities. Last but not least, you might want to get a prescription for Restasis (Cyclosporine), the only existing treatment of the dry eye. Dry eye is a chronic condition that is very hard to manage and requires high compliance from your side." + }, + { + "id": 9697, + "tgt": "I masturbate a lot. My penis is swollen. Can you suggest a remedy ?", + "src": "Patient: Hello doctor, I am an 18 year old male. My weight 46 Kg. I have been masturbating since 2010 till now. But now, I have been facing problems like premature ejaculation, nightfall, other problems like loss of appetite, weakness and poor memory.\u00a0 I ejaculate 3 times within 1 hour. I also watch porn videos.\u00a0 There is a swelling in my penis. I have attached pictures of the same. But I have no pain. Sometimes I have a burning sensation. My testicles start paining after 20 minutes of ejaculation and the pain goes away after 2 to 3 hours. And I do not feel hungry after masturbation. Is there anything wrong?I want to quit masturbation. So please guide me quit this forever. Doctor: Hi. I read your query and understand your concerns. First of all I would like to inform you that masturbation is completely a normal phenomenon. Before we proceed further, I request you to do the following tests: Once you are done with these tests, consult a sexologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21388, + "tgt": "Will rabies vaccination cause future health issues for my 9 year old son?", + "src": "Patient: Hi doctor,My 9 year old son was licked by a stray dog. I was not sure what happened, but I took him to the doctor and got him injected. Would the injection cause him some future health issues? Doctor: Hi. No, the injection will not cause any issues in the future. Rabies Vaccination Injection is given at the 0, 3, 7, 14, and 21 days of the bite, but consult your nearest doctor and get the vaccine from that doctor. This vaccine should be taken if there is a dog bite or if the dog licks the mucous membrane like nose, eyes, mouth, or wounded skin, or if the dog scratches you. Wash the wound completely under running tap water with soap for 15 minutes. Watch and observe the dog for a period of 10 days for any unnatural behavior, activities, or death. There are no dietary restrictions before or after rabies vaccine, vegetarian as well as non-vegetarian food is allowed, but do not consume alcohol while under treatment. Do not take any other vaccination other than tetanus during the treatment protocol. Regards. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24777, + "tgt": "My period is late by 16 days. Am I pregnant?", + "src": "Patient: Hello doctor, I had my last period a month back. I had unprotected sex six days later. I did not take any pills also. Now, my period is late by 16 days. Last week when we had sex, I took a pill. Is there any chance for pregnancy? Doctor: Hi. As per your query, you had periods a month back. But six days later in which month did you have unprotected intercourse, last month or this one? Also, when did you take the pill? Please specify for further guidance. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22872, + "tgt": "Hemoglobin, RBC, and WBC are going down rapidly. What can be the reason?", + "src": "Patient: Hello doctor, My husband's hemoglobin is 3.7 g/dL, but the hemoglobin level was 5 g/dL when we checked it two days back. His RBC and WBC are also going down. What can be the reason? Doctor: Hi. Your husband's hemoglobin and WBC count are going down very fast, it is not normal. For such low hemoglobin levels, blood transfusion is needed immediately. A peripheral smear examination should be done, to look for schistocytes like fragmented RBC and normoblast count. Reticulocyte count, serum LDH (lactate dehydrogenase), serum bilirubin, etc., need to be checked. These reports will rule out hemolytic anemia, which causes hemolysis, leading to a rapid decrease in hemoglobin. Hypersplenism and blood septicemia (blood infection), can suppress the bone marrow, which can also be presented like this. A blood DCT (direct Coombs test) has to be done, to look for autoimmune hemolytic anemia. For hemoglobinopathy induced low hemoglobin, Folic acid and Hydroxyurea are given. So, consult a nearby physician as soon as possible, to identify the cause, clinical and physical examinations need to be done. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21688, + "tgt": "How to bring sugar under control during pregnancy?", + "src": "Patient: Hi doctor, I am 11 weeks pregnant. I was diagnosed with diabetes before a week. I am taking Novomix 14 units of insulin injection in the morning and 12 units at night. But, sugar is not within normal limits. My PPBS is 190 mg/dl, FBS is 126 mg/dl. My TSH levels are also high 4.9 mIU/L. I have been prescribed Thyronorm 12.5 mcg for the same. Is this dose adequate? Kindly tell me how to bring sugar under control? Should the medication be changed or increased? Currently, I am also taking Folic acid tablets. Doctor: Hi. Make your FBS (fasting blood sugar) less than 95 mg/dl and after two-hours PPBS (postprandial blood sugar) as 130 mg/dl. Change your insulin dose to three times daily as it can bring sugar under control. Start taking tablet Glycomet SR 500 mg (Metformin 500 mg) after breakfast and after dinner. Use injection Novomix 50 (soluble Insulin Aspart, Insulin Aspart crystallized, with Protamine) 14 units before the meal in the morning and 14 units before dinner. Use Insulin injection Novorapid (Insulin Aspart 100 U/MI) 8 units before lunch. Review me after seven days. Start taking Thyronorm 25 mcg daily. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 29866, + "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": 16359, + "tgt": "Is it necessary to take Rhogam shot during pregnancy?", + "src": "Patient: Hi doctor, My daughter is pregnant. She is O negative, and she has a Jka antigen. They want to give her a Rhogam shot this weekend. I know it is a blood product. Is it safe? Doctor: Hi. Rh incompatibility is a mismatch that occurs between the blood of the mother and the blood of the fetus. It happens when the mother is Rh-negative, and the fetus is Rh-positive. When Rh-negative blood is exposed to Rh-positive blood, the Rh-negative blood responds by producing antibodies. It attacks and destroys the Rh-positive blood cells. It leads to problems such as fetal anemia, which can cause a life-threatening condition known as hydrops fetalis, causing internal bleeding, heart and kidney failure, and shock. Rh immunoglobulin prevents the mother's immune system from attacking the baby\u2019s blood. It is entirely safe, and it should be administered for the well being of the baby." + }, + { + "id": 4912, + "tgt": "Is Tebonin konzent good for memory power?", + "src": "Patient: Hello doctor,I would like to ask about medicine called Tebonin konzent 240 g. Is it good for memory power? Can I take it in the age of 20? Need some advice from your side. Thanks. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6703, + "tgt": "I am having lump in my breast. Please interpret my ultrasound report", + "src": "Patient: Hello doctor, I am 26 years old and having a lump on my breast and was advised to do an ultrasound. I have my images and would like to know if there is anything to worry about. No family history of breast cancer. Doctor: Hello. Please share the images for a detailed discussion." + }, + { + "id": 15188, + "tgt": "Had removal of myoepithelial carcinoma before three years. Can I have a recurrence of it?", + "src": "Patient: Hi doctor, I had an extraction of two tumors of epithelial-myoepithelial carcinoma with a prominent dedifferentiated (high-grade transformation) myoepithelial component extracted from my nasal cavity before three years. MRI scans were performed to look for recurrences. In my previous MRI, I had a perfusion curve showing ascending plateau. I have significant weight loss for the past seven months. I have occasional nosebleeds with pain. I also have fever, sensitivity, and bleeding in the mouth palate occasionally. Currently, I am taking Iscador P series II injections three times a week, painkillers, and supplements. Please advice. Doctor: Hi. Please give your queries and concerns on pointwise. So that, I can answer them for you. I will point out the abnormalities present in the scan soon." + }, + { + "id": 336, + "tgt": "Is it possible to experience urine leakage due to anxiety?", + "src": "Patient: Hello doctor, I am a 36-year-old male. I have been having a problem with urine leakage for the past few months. After I urinate, several drops of urine oftentimes leak out. It has left a small spot on my jeans a couple of times. It happens even if I wait a minute and try to force all of the excess urine out. I have also noticed a drop in the tip of my penis occasionally when I am lying in bed. I am wondering if this could be caused from anxiety. I have had an extreme amount of stress over the past year, which I believe has caused me to have some muscle twitching. But I am also wondering if all of this could be caused by a pinched nerve. Also, because of the stress, I gained approximately 20 pounds a few months ago. At 5\u2019-11\u201d I am 182 lbs, which is just barely overweight. Could this cause this problem? Could this be caused by either stress, a pinched nerve, or weight gain? Also, do I need to be concerned about prostate cancer? Doctor: Hello. First thing first. You do not need to be concerned about prostate cancer at all. It does not occur at this age. Secondly, have you done any investigations yet like uroflowmetry or ultrasound abdomen with PVRU? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you diabetic or hypertensive or on any medications for this? Do you have taken any medication for your urinary problem (urine leakage)? Do you have urine leakage only after you go to pee or sometimes before going to pee you are not able to control and it leaks? And when you cough or sneeze do urine leakage occur? Married? Children? Any history of constipation?" + }, + { + "id": 12291, + "tgt": "Experiencing pins and needles in both legs. What can be the cause?", + "src": "Patient: Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons this week. I would like to know, what you think about all this information? The neck is worse than the back at this point. Also, I want to know what my options are for fixing scar tissue? Thank you in advance. Doctor: Hi. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in the neck region of the spinal cord at the level of fusion surgery for which the term myelomalacia (softening of the spinal cord) and myelopathy (compression of the spinal cord) has been used. The cervical spondylosis has probably increased from before. These changes make the neck changes a little worse than the lower back. There is significant pinching of nerve roots at C6 - C7 level on the right side and this becomes important because it affects your daily activities. There are changes in the spinal cord at this level which is a concern. If you are right-handed and have to use the computer at work then this can be one of the reasons for the tingling and numbness. The lower back problem is mild and is of less concern when compared to the neck. In conclusion, the visit to the neurosurgeon should be focused on reducing the nerve pinching in the neck C6 - C7 level and preventing any progressive changes in the spinal cord at that level. I would be glad if you can share the CD so that I can have a look at your images. However, my observations will most likely be the same as mentioned above." + }, + { + "id": 6403, + "tgt": "Can taking I-pill after unprotected sex cause delay in period?", + "src": "Patient: Hello doctor, I am 25 years old. I had unprotected sex with my fiance two months back. I took an I-pill because those were unsafe days. I got my periods but with very light bleeding. Again we had unprotected sex a month later thinking those are safe days. But to my horror I missed my dates. I took home pregnancy test which showed negative. Still my periods are due even after one month. I am suffering with severe headache, backache, and mood swings because of this. Am I pregnant? Should I consult a doctor or my period is irregularized because of the I-pill I took? Help me out please. Doctor: Hello. I-pill may give rise to irregular cycle at times. Specially if it does not bring about withdrawal bleeding. Regarding you not getting your period till date I am a little concerned here. As you have mentioned you had little bleeding during the last cycle, then your ovulation might have been delayed as well leading to mess up of your safe and unsafe days. My advise is to wait for one week more and wait for your period to come. If not, then go for a urine pregnancy test again after one week. The symptoms you are having could be due to PMS. So wait for one more week and do as advised." + }, + { + "id": 22238, + "tgt": "How to cure my father's severe cold and cough?", + "src": "Patient: Hi doctor, My father is 66 years old. He is having severe cough and cold for more than a month. He took Clavam 625 mg for five days. Along with that, he also took Foracort 200 mcg inhaler twice a day and Nasonex inhaler twice a day, but there was no relief. Then, our chest specialist suggested Nebulizer with Budecort 0.5 mg twice a day for 15 days. After taking this too there was no relief. Then, he took Omnacortil 30 mg (Prednisolone) and Montair LC once a day for five days. He is prediabetic, but the medicines have not been started so far. Please suggest me some advice. Doctor: Hi. Your father is suffering from bronchial asthma. The current medications Foracort 200 mcg inhaler (Budesonide and Formoterol) and Nasonex (Mometasone) nasal spray were given for asthma. As there is no relief even after taking tablet Clavam (Amoxicillin and Clavulanate) and tablet Prednisolone, it indicates that the dose of current inhaler is not sufficient. So, I suggest that it is important to increase the dose of Foracort inhaler to 400 mcg two puffs twice daily followed by gargling. I also suggest Levolin inhaler (Levosalbutamol) two puffs thrice daily and Benz pearls (Benzonatate) two puffs twice daily. Consult your doctor, discuss with him or her and then take the medicines with consent. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 25576, + "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": 3198, + "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": 13972, + "tgt": "Is there any treatment other than braces for relapse of orthodontic treatment?", + "src": "Patient: Hello doctor, I have a complex case, as stated by my dentist. I had braces five years ago, but my teeth went back to their previous state, overlapped, like they were tightly fit into a small place, apparently because of the shape of my mouth. Also, I have fear from getting braces the second time, that it could cause harm to my teeth and still they would stay the same. Is there another solution? I am 18 years old now. Doctor: Hi. I can exactly tell you about your case on seeing radiographs and clinical pictures of teeth if you can provide. While, your query is telling me you had a relapse of orthodontic treatment. Now you have two options. 1. Go for invisible tray ortho treatment (in which invisible trays are given instead of metal brackets). This is an expensive one and treatment time is prolonged. Your teeth will not weaken in it as bracketing will not be done. 2. Go for conventional metal bracketing ortho treatment. Get it done and do get fixed retainers at the end of treatment, that is, the invisible wire at back side of teeth that prevents teeth to come back at their previous positions for your entire life. This is not expensive, a bit economical and treatment result is fast. If your teeth get weaken at end of treatment, get them veneeres or get filling of composites done on them. All will be fine then." + }, + { + "id": 10294, + "tgt": "I took Diflucan to treat urinary candidiasis. When will I get cured completely?", + "src": "Patient: Hello doctor, My doctor prescribed Diflucan (14 days / 200 mg) to treat urinary candidiasis. I just took day 6 of Diflucan. I am feeling a little better but still have achiness in pelvic area, bladder. My question is how much longer until I get full relief? Is this normal? Doctor: Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection." + }, + { + "id": 21435, + "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": 8307, + "tgt": "From my test report, please explain if I have a chance to develop leukemia", + "src": "Patient: Hi doctor, I am a 42 year old female. My test report says WBC count 12.46, AMC 0.85, AEC 0.76 and normocytic normochromic cells. I feel\u00a0extreme weakness, frequent infections, petechiae and daily headache. But, there is no weight loss. Are there any chances of leukemia? For your information, during adolescent days, my periods used to be extremely heavy for more than 20 days and then it gradually reduced with medication. When I was 21, my periods used to stay for 12 to 14 days. Now, it stays for 4 to 5 days. Doctor: Hi. Tablet Vitamin D3 60 k units once a week for eight weeks. Consult your doctor, discuss with him or her and take treatment with consent. For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine" + }, + { + "id": 6872, + "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": 19138, + "tgt": "My 45 days old baby is fussy and aggressive while I feed her. What to do?", + "src": "Patient: Hi doctor, My baby girl is 45 days old. She is fully breastfed. At many times, she seems to be fussy and aggressive while I nurse her. I rule out either the possibility of milk being too fast or too slow since on both occasions she seems to react the same. After being fussy, she appears to be on and off from my nipple and screams when I pull her off from my breast and cries when offered milk. After crying for a few minutes, I\u00a0swing her and she goes back to sleep. Her crying is so painful to watch. Can you help me with this? Doctor: Hello. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30714, + "tgt": "Can we have a homeopathic remedy for burning sensation in vulva?", + "src": "Patient: Hi doctor,My wife is 20 years old. She has been having a burning sensation in vagina.\u00a0Burning increase after urination or while urination.\u00a0She also has cold and l cough due to glucose recommended by her doctor.\u00a0We have a 1 year old baby, who is on breastfeed and semi-solids. This issue comes for her once in every six months. She is currently on dual antibiotics and Urikind plus tablets. Her routine microscopic urine test report showed 8 to 15 pus cells and same with epithelial cells. Doctor: Hello. Burning urination problem is due to recurrent urinary tract infection of your wife. The most important is taking care of the hygiene and wear only cotton clothes and wash the undergarments in Dettol. It is a must use only clean toilet seat either at home or outside. She should avoid sexual relations in this problem for some time. Get her urine routine and urine culture test if possible that it may be infected with Escherichia coli bacteria. I suggest homeopathy medicine Pyrogenium 200 potency one dose or 5 drops in little water. After one day, Apis 200 one dose once a day early morning for a week. Also, I suggest Oricitral syrup (Sodium hydrogen citrate) one teaspoon in water twice a day for a month. It will make urine alkaline. Consult her doctor, discuss with him or her and take the medicine with consent. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 28717, + "tgt": "Can medicines cause sudden weight gain during pregnancy?", + "src": "Patient: Hello doctor, My wife is 28 weeks pregnant. I am having doubts regarding medication which she is taking. Our consultant prescribed the following three medicines from first week of her pregnancy. Tablet Promocal (calcium, vitamin D3 and magnesium). Tablet Ferofer (Sodium feredetate with vitamins and zinc). Tablet Gestofit 300 mg SR (progesterone sustained release). We went for a regular checkup last week. At that time my wife's BP was 120/60 and weight 84 kg. Her weight is increasing randomly, around a week back she was 81 kg, and now she is 84 kg. Our consultant said this may be because of the sodium amount in diet. After the report, our consultant now prescribed two more medicines which are: Tablet Delisprin 75 (Aspirin delayed release). Capsules Adliv Forte (ayurvedic proprietary medicine). Now my doubt is that whether the medicines given by the consultant are safe to use or not? Is there any chance for side effects to occur? I would like to know the exact use of each medicine. Doctor: Hi. I have read and understood your problem.\u00a0The increase in weight may be due to difference in clothing or other things, but if it is true increase then water is accumulating in her body. Does she have swelling of feet? Under such a condition, salt intake is restricted. Her BP (blood pressure) is normal, so you need to check her Hb% (hemoglobin level), FBS (Fasting Blood Sugar), TSH (Thyroid Stimulating Hormone) and urine for proteinuria. Use of medicines: Another solution to find sudden weight gain is ultrasound of pregnancy, which can be done to see if there is excess amniotic fluid/liquor amnii inside uterus." + }, + { + "id": 16756, + "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": 1223, + "tgt": "I am 34 weeks pregnant with choroid plexus cyst in fetus. Will it cause Down syndrome?", + "src": "Patient: Hi doctor, I am 34 weeks pregnant and my baby's choroid plexus cysts did not clear. We did the genetic testing in the early stage of pregnancy and it was negative for trisomy 18 and 21. We had four growth ultrasounds, but no one reported anything else wrong with the baby. I am scared that they did not look well enough. Now we are moving to a different state and the doctor there said that they would have done additional screenings (amniocentesis, talk to a specialist for cysts), but that it is too late now to change anything. She said two cysts (one on each side) are more characteristic of Down syndrome. I have pictures that they gave me from the ultrasounds. Is there anything specific that I can look for on those ultrasound pictures that would indicate trisomy 18 and 21? Doctor: Hello. I was able to see the images and reports. (attachment removed to protect patient identity). Apart from the cysts they have not reported any frank worrying features. The nasal bone and face profile images are not very clear. In Down's, the nasal bone may be absent or hypoplastic. The other direct features associated with Down\u2019s are hypertelorism or widely spaced eyes which is not seen in your scans. There is no neck fold thickening. Therefore at this stage of pregnancy, I would ask you not to stress out. Just make sure that on your next scan the sonographer is aware of the choroid plexus cysts finding and includes cardiac evaluation and facial evaluation in detail. Take care." + }, + { + "id": 24759, + "tgt": "Is Depo-Provera injection good for me and how long to take it?", + "src": "Patient: Hello doctor,I am a 17 year old girl. I am taking Depo-Provera injection. Is it good for me and how long should I take it? Doctor: Hello. This injection is to be repeated every 12 weeks. This is quite an effective method of birth control, and when a lady is not able to take oral pills. You can continue this as long as you want birth control and stop when you want to get pregnant. You can get pregnant three months after the last injection. As with every drug, this too has some side effects such as loss of bone density, and other. Get regular physical checkup while on this injection, including assessment of bone mineral density. Hope this clears your concern. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30622, + "tgt": "Do I feel like passing out due to neurological disorder?", + "src": "Patient: Hello doctor, I am a 38 year old male. I was diagnosed with hypothyroidism before 1.5 years. Currently, I am on Thyroxine 75 mcg and Aten 25. Still, I have the symptom of passing out feeling. Please advise. Doctor: Hi. I would like to have some more information. Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7581, + "tgt": "What causes painless black crack inside cheek in a smoker?", + "src": "Patient: Hello doctor, I have a black type of a crack on the inside of my cheek and lips, no pain, a bit of irritation, and kind of like a small bump. I am a daily smoker and drink occasionally. I noticed it only a week ago. I have been smoking for five years and drinking ocassionally these years. Doctor: Hi. That is an ulcer caused due to biting (attachment removed to protect patient identity). Apply Orafast gel on that and it will heal in 3 to 4 days. That is not an issue but please do not smoke. You know the complications of smoking. It is hard to stop a habit but if we try nothing is impossible. Take care and please inform me if your ulcer is healed or else we will go into the next level of medication." + }, + { + "id": 25032, + "tgt": "Why are there drops of blood in my urine?", + "src": "Patient: Hello doctor, I am 79 years old male and in good health. But, since a few days, I have a few drops of blood in my urine. Please tell me the probabilities of a problem and tell me what I should do. About 7 years ago, I had an operation on my prostate to ease the urination. For about a year or more and occasionally, there was blood in the urine. But, it eventually stopped until it suddenly came back the same way. Doctor: Hi. Painless blood in the urine has two possible causes. The first is cancer bladder and the second is prostate cancer or hyperplasia. What is the nature of the operation you did in the prostate? Was it benign prostate hyperplasia? Is there any painful urination or history of stones? A urologic assessment is required and cystoscopy is required. For more information consult an internal medicine physician online--> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9117, + "tgt": "I had a breakdown as a result of not taking my antidepressant. Please help", + "src": "Patient: Hello doctor,I have not been taking my antidepressants (Escitalopram), and I had a breakdown in front of my family who do not know anything about my depression, suicidal thoughts, and OCD. And I am currently locked in the bathroom and cannot stop crying, and I cannot see my therapist in a month. Kindly help. Doctor: Hello. Your present condition may be due to not taking medications, it aggravated. At first, take your dose and consult some other professional near you for drugs and help you from coming out of this phase. Besides, the problem you are facing cannot be hidden from close relatives, especially family members. It is a part of you, which cant be ignored. And believe me, they will accept you as you are because they love you much. By some insight, they will get to know about the problem as well that it is manageable with adequate therapeutic interventions. Sometimes it is good to have some people by your side, and I am glad you have some who would truly care and understand you. Be strong, you have come much far and took all the burden on your own." + }, + { + "id": 3155, + "tgt": "Is there any alternative test for cardiac catheterization?", + "src": "Patient: Hi doctor, I have been having many issues in the last two years. My main issue right now is that I get a weird feeling in my stomach like I want to growl but I cannot. I am having shortness of breath, numbness of hands, tingling and heavy feeling. I feel like passing out and my heart starts to race. I usually burp when I get these feelings. I cannot walk far distances and these started happening about a week ago. I have had two stress tests. The first one was six months ago with heart echo. I wore a Holter monitor for a month and had several EKGs but nothing found in all of them. Now recently I have had my blood pressure shoot up and I am currently on blood pressure medicines. I am 35 years old and overweight. I have lost about 100 lbs and I am at 265. My other issues that I have been diagnosed were diverticulitis, gallbladder dyskinesia, gastritis and GERD. My cardiologist wants to do a cardiac catheterization next. Is there are any other alternative test that are not so invasive? Also really do I need it? These attacks I get are very scary and I have ended up in it several times but nothing was found. Could this be something else? I have read about vagus nerve issues as well as stomach issues that can cause similar symptoms. Should I get the cardiac catheterization test? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1180, + "tgt": "How to resolve peripheral vision problem?", + "src": "Patient: Hi doctor, I am suffering from peripheral vision for the past one year.\u00a0I cannot control my peripheral vision by ignoring the people just beside my main vision. It is much wider than foveal vision and it seems like I am staring the person. Please help me to resolve this. Doctor: Hi. Revert back with the report and answers to the above question to an\u00a0eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10088, + "tgt": "I have burning irritation in the middle portion of the penis after masturbation. Please help", + "src": "Patient: Hi doctor, I am an 18-year-old male. For the past four years, I have burning irritation in the middle portion of my penis after masturbation. The irritation gets relieved to some extent after I urinate. Please help me. Doctor: Hi. Penile pain occurs due to infections or inflammation of the bladder or prostate. Trauma, persistent erection (priapism), cancers, and Peyronie's disease (the development of scar tissue within the penis) are the other causes. Sickle cell anemia may cause priapism due to blockage of small blood vessels in the penis. I suggest you consult a doctor for a physical investigation." + }, + { + "id": 30681, + "tgt": "My wife has got a red rash on her face. What is that?", + "src": "Patient: Hi doctor, Three days ago, my wife got a red rash on the right cheek. It was small and weak at first, but grew in size as a large patch and spread underneath the nose and mouth in two days. It causes a strong stinging and burning sensation. Please help. Doctor: Hi. Were there any blisters or pain before the occurrence of rash? Please send a few photographs of all affected areas. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8859, + "tgt": "Can I get pregnant with irregular periods?", + "src": "Patient: Hi doctor, I am 32 years old. I am unmarried. I have a fear of not getting pregnant and will not be able to satisfy my partner with sex and then I will spoil his life also. I have severe slip disc, sciatica and cervical problem. I had PCOS. My HB is constant between 8.5 to 9.5, have high uric acid 8 from almost nine months. I have severe body pain. Also, have itching near anus and vagina. Medicines help for a few days then again itching gets worse. I have very very painful periods. Severe cramps and feel continuously like vomiting, cannot eat because of nausea. Very less bleeding, only spottings while urinating for the first two days, only the third day I get bleeding which is also very less. From the last six months it has become little irregular, 4 to 5 it delays. Earlier it was very regular on dates. Not able to lose weight. I am 90 kgs. Tried doing gyming have bodily pains, diet helps for a few days then again it is same. Cannot go for a walk, if I start walking, knees get swelling and pain. Also, I have severe hair fall. I do not get solutions to any of my health issues. I am tired. Willing to marry but fear of not able to conceive and satisfaction to partner makes me take a step back of not getting married. Doctor: Hello. You seem to be little depressed. You have to come out of it. For anemia, you may take iron tablets regularly. Eat green leafy vegetables and fruits. For back pain, physiotherapy and back strengthening exercise. For high uric acid, avoid non-vegetarian and animal food (attachment removed to protect patient identity). Use Uricoauric drugs. For itching around and menstrual problems, check for PCOD and take medication. Everything is curable so do not worry. Be positive and marry happily. Take care." + }, + { + "id": 20079, + "tgt": "I regularly wake up at 3 AM with stomach pain and burning sensation. Why?", + "src": "Patient: Hello doctor,I am a female age 46. Every day, for about 20 days now, I get up between 3 and 4 AM feeling giddy, uneasy with burning, and pain in the stomach and then pass gas in about 15 to 20 minutes which makes it little better and within another 15 to 30 minutes go to the potty which makes it much better and then stomachache subsides slowly in half an hour or so. Why is this happening? Any test to be done? Stomach pain is not severe. It is bearable. Thanks. Doctor: Hello. I understand your concerns. From what you mentioned, most probably you have dyspepsia. I suggest taking a medication for one month. If the symptoms are still there we should do a test for Helicobacter pylori, if positive eradication treatment will be required. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1334, + "tgt": "Why have my 80-year-old grandmother's hallucinations increased with time?", + "src": "Patient: Hi. My grandmother is 80years of age. Over the past year, her hillucinations have increased with time, from what was occasionally to now daily. I've had her to the doc for blood tests, she's perfectly healthy in all bodily aspects. Treated for mild kidney infection on two occasions recently. Hillucinations seem to be in patterned images like floors, tiles, counter tops & clothing. Her most recent GP has not quite ruled it as Dementia as yet. Short term memory has faded. Aggression has also increased. Re-arranges the bedroom on a daily basis. Accusations of personal possessions being stolen by these so-called persons in her bedroom. How can we treat this? Desperately needing some advice as to the next steps to take. Thank you in advance. Doctor: Hello Dear dementia with hallucinations may be common in old age people. Intermittent episodes of delirium may increase the future risk of dementia. Most commonly infections ( urinary, respiratory), electrolyte imbalance, hormonal imbalance, drugs or recent surgery cause delirium. Dementia may be due to Alzheimer's or multi infract or Louie body or Multisystemic atrophy etc. For delirium we may give low dose of benzodiazapines . What is the cause to be evaluated by MRI brain, serum electrolytes, blood sugar levels, thyroid profile and urine examination. so please consult your neurophysician he will examine and treat you accordingly. Take care." + }, + { + "id": 4839, + "tgt": "What does an MRI finding of mild cerebral atrophy suggest?", + "src": "Patient: Hello doctor, Diffusion-weighted images, ADC maps, and postcontrast sequences were also performed. Findings: There is mild cerebral volume loss and ex vacuo dilatation of ventricular system. There are scattered punctate foci of increased signal intensity within the periventricular and deep subcortical white matter on the T2/flair sequences which are nonspecific. However, they are most likely secondary to chronic small vessel disease. There is no evidence of restricted diffusion to suggest an acute infarct, midline shift or mass effect. There are no blood products on the gradient-echo images. Normal intracranial flow-voids are seen. The visualized paranasal sinuses are clear. There is no pathologic enhancement identified. Degenerative changes are noted within the upper cervical spine. Impression: 1. No acute intracranial process. 2. Mild cerebral atrophy and mild chronic small vessel disease. 3. No pathologic enhancement identified. What should I do and how concerned should I be? I am 70 years old and my BP and cholesterol are controlled. How concerned should I be? Doctor: Hello. Your MRI shows mild cerebral atrophy with some small vessel disease changes. I would like to know about your memory, speech, gait and urinary symptoms. Are there any abnormalities? These changes are much common at the age of 70 but still, you have to take some precautions. Life style modifications like regular sleep and healthy foods like low sugar, low fat, high fiber, and protein will do. Do exercise 45 minutes regularly. It is good that your BP and cholesterol are under control. Keep a watch on it. Check your blood sugar at least yearly and if raised then control it. Do regular meditation and yoga." + }, + { + "id": 9267, + "tgt": "Can the medicine taken for Strep throat cause low energy and nausea?", + "src": "Patient: Hello doctor, I feel less energetic, very thirsty, and my back has been giving me issues. Also from time to time, I had been feeling nauseous. Three weeks ago I had a strep throat so I was given antibiotics and afterward I got a yeast infection, so I am confused if the side effects from the medicines or is it something else. Doctor: Hello. It is not to worry about your medication. Your doctor prescribed it after evaluating you. So may be less chance of side effects that causes yeast infection. It will depend on your hygiene, how you maintain it. And as you mentioned that you are feeling less energetic, very thirsty, back issues, it may also lead to Infection. So not to worry about it. Follow as I advice you for symptomatic relief that will definitely help you out. Multivitamin tablets once a day for one month. Drink waterless and more frequent for back issues. Tablet Ultracet once a day whenever you find it is causing issues, and tablet Pantoprazole (40 mg) one table to be taken in the morning before breakfast for a month. Keep your body healthy by doing regular exercise or yoga. During prolong seating, take a break in between." + }, + { + "id": 16525, + "tgt": "My HIV tests fall under false negative. Do I have HIV?", + "src": "Patient: Hello doctor, My ex-partner had HIV three years ago when I was along with him. But, he informed me regarding this very recently. He did not make me aware of his condition. We were not careful always. After getting to know, I checked on internet about its signs and symptoms and found that I had all of them three years ago itself. I got a rapid blood test done and it came negative. Got a HIV test done and that result too came negative. I am convinced that my HIV status has progressed.\u00a0I read about false positive tests and false negative tests. As my HIV tests fall under false negative I am aware that the doctor will not help me. I am much worried and in need of some guidance. Thank you in advance. Doctor: Hi. Revert back with the test results to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3321, + "tgt": "My dad suffers from constipation, buzzing in ears, anxiety, and insomnia. Please help", + "src": "Patient: Hello doctor, My dad is 64 years old and suffers from severe constipation, anxiety, numbness in his arms but only during sleep, buzzing in ears, and insomnia. He cannot sleep at all at night we have to give him sleeping pills sometimes, does not talk much to us but always wants us to be beside him and always mumbling what will I do or other things I cannot recognize. He did MRI two months ago and it showed involutional changes, early small artery disease but the above symptoms were not there, there was only constipation, but now after we went to a doctor he gave him two medicines for his anxiety and sleep. But after taking these two pills his condition got worse. Please explain in detail that what is going on with him and can the medicines really worsen his condition? What are we supposed to do now? Please help. Doctor: Hello. I will suggest some of the medications as well as remedies for quick result. First of all, do not be so anxious everything will be gonna alright. Ringing in the ear is known as tinnitus. Please follow these precautions to prevent the buzzing sound in the ear. 1. Avoid excess cold water head bath. 2. Avoid excess traveling. 3. Avoid intake of so much spicy and bitter food. 4. Administration of the cow ghee one tablespoon every day. 5. Applying oil around the ear and on the scalp. Treatment for severe constipation include intake of 5 to 10 gram of the ghee in diet daily, intake of food rich with diet fibers, intake of warm water in the morning and evening. Treatment of insomnia include stimulus control therapy. This method helps remove factors that condition the mind to resist sleep. For example, you might be coached to set a consistent bedtime and wake time and avoid naps. Use the bed only for sleep and sex, and leave the bedroom if you cannot go to sleep within 20 minutes, only returning when you are sleepy. Sleep restriction: Lying in bed when you are awake can become a habit that leads to poor sleep. This treatment decreases the time you spend in bed, causing partial sleep deprivation, which makes you more tired the next night. Once your sleep has improved, your time in bed is gradually increased. Sleep hygiene: This method of therapy involves changing basic lifestyle habits that influence sleep, such as smoking or drinking too much caffeine late in the day, drinking too much alcohol, or not getting regular exercise. It also includes tips that help you sleep better, such as ways to wind down an hour or two before bedtime. Sleep environment improvement: This offers ways that you can create a comfortable sleep environment, such as keeping your bedroom quiet, dark and cool, not having a TV in the bedroom, and hiding the clock from view. Relaxation training: This method helps you calm your mind and body. Approaches include meditation, imagery, muscle relaxation and others. I hope this helps." + }, + { + "id": 8076, + "tgt": "I am suffering from severe hairfall for past three months. Will my hair grow back?", + "src": "Patient: Hello doctor,I have severe hair fall from three months. I am using medicines for one month. There is no improvement. I can see a white color substance at the root of my hair from three months. What should I do? Will my hair grow back? Doctor: Hello. Hair undergoes a cycle of falling and regrowing. Since you are having hair fall for the last three months, it is likely to be telogen effluvium. In this condition, hair fall continues for three to four months due to a past illness or stress. It will revert to normal growth in the next four to five months. To hasten this process, medicines are given. I am not aware of the medications you are taking. However, even if you have not noticed any improvement in one month, it is likely to effect in the coming months do not worry. The white substance at the hair root could be seborrheic dermatitis of the scalp, which is sometimes associated with the hair solutions like Minoxidil. You could use Nizral 2 % (Ketoconazole) shampoo twice a week to treat this." + }, + { + "id": 10681, + "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": 3029, + "tgt": "I need a second opinion regarding ITP", + "src": "Patient: Hi doctor, My nephew has been unwell since few days. Since two weeks, he has small blood patches on thigh, calves and ankles. Petechial rash and bruising are also present. The doctors have diagnosed him with ITP (idiopathic thrombocytopenic purpura). I am writing to you to get a second opinion.\u00a0He has been prescribed Prednisone 10 mg three times a day. I have attached his blood profile for your reference. Please help us. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 10769, + "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": 24322, + "tgt": "Please advice on causes of cyst in kidneys and the steps to be taken", + "src": "Patient: Hello doctor, During a health check-up, I got to know that I have a renal cyst on my right kidney. I did a follow-up ultrasound about a month ago and I found that now I have developed a cyst in my left kidney as well over and above the cyst in the right kidney. Which means now I have a cyst in both of my kidneys. These in my analysis have got developed fairly recently. Please advice on the causes of these developments and the next steps. I am a teetotaler and I drink every morning before brushing three glasses of warm water with lemon and honey since many years now. I also am fairly fit for my age since I do basic cardio exercises regularly. Doctor: Hi. You have simple renal cysts. These keep varying in sizes but they are usually of harmless nature except occasional pain. Have you got serum creatinine done? Then please send. At present, you have no reason to get worried about the cysts except occasional pain. Also get ultrasonogram done after six months. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26336, + "tgt": "I sit in front of the computer for long and I am unable to focus. How can I be helped?", + "src": "Patient: Hello doctor, My eyes are feeling cold and I\u00a0am unable to focus. I have been feeling this since last week. I sit in front of the computer for a long time. I do not want spectacles. Please help. Doctor: Hello. For more information consult an\u00a0eye care ophthalmologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26918, + "tgt": "When will my grandmother recover from stroke?", + "src": "Patient: Hi doctor, My grandmother's right hand and right leg were affected recently, and she was unable to walk or lift the hand. We admitted her to a\u00a0hospital where CT scan was taken. The doctors discharged her in three days with some prescriptions. She is doing physiotherapy\u00a0at home daily.\u00a0She has a history of BP and diabetes. How long will it take for her to become normal? Doctor: Hi. For further queries consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 4976, + "tgt": "I got slight epidermal prick while tattooing. Is the risk of infection high?", + "src": "Patient: Hi doctor, Four days ago I visited a tattoo shop. It is a small one and I think he will do only temporary ones. Suddenly, I got a hit on the backside of my right thumb. I stopped him as he did not change the needle. Little piercing was done till my epidermis of skin. I am scared. What should I do now? Doctor: Hi. For further doubts consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 27744, + "tgt": "I have pelvic pain for the second time in five years. Please suggest a treatment", + "src": "Patient: Hello doctor, I am a 48 year old male. My height is 160 cm, and weight is 84 kg. I have a pain and discomfort in the pelvic area which gets aggravated on sitting, lower back pain, irritation on peeing, burning sensation in the pelvic region which radiates at times to the leg. I have seen a urologist. He said I have a mild BPH and my PSA value was 5.96. All these issues started at the beginning of the year when I drove an old jeep having a hard seat. And earlier to that, I had the first episode five years ago while I was in a job that required prolonged sitting. PSA was 4.44 back then. The symptoms subsided\u00a0completely in one year at that time. Please suggest a\u00a0treatment. Doctor: Hello. Once these reports are available, please do get back to me or consult a urologist nearby. Revert with reports to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 15668, + "tgt": "Will stress cause dilated vasculature?", + "src": "Patient: Hello doctor, I have been diagnosed with dilated vasculature including the abdominal aorta, inferior vena cava and iliac veins (described as aneurysmal in size, 34 mm on right, 21 mm on left). What could cause this? Could stress cause that? Doctor: Hi. An aortic aneurysm may result from trauma, infection or most commonly from an intrinsic abnormality of elastin and collagen component of the aortic wall. Genetic abnormalities like Marfan syndrome, Ehler Danlos Syndrome, etc., are associated with aortic syndrome. Risk factors are coronary artery disease, smoking, high BP, and high cholesterol, hyper homocysteinemia, etc. Genetic or hypertension, high cholesterol, homocysteine, etc. Ultrasound, CT abdomen, angiography, MRI. Surgery. Proper control of risk factors." + }, + { + "id": 15400, + "tgt": "What is the reason for cold feet three weeks after hip arthroscopy?", + "src": "Patient: Hello doctor, I had a hip arthroscopy three weeks ago and today, my feet are very cold with no other symptoms. No symptoms prior to today. Could this be a result of the surgery or something else? Doctor: Hello. I understand your concern and would explain that your symptoms are not related to the arthroscopy. A possible deep vein thrombosis could cause these symptoms. Do you see any change in the color (pale or bluish) in your legs? Can you feel the pulse on the dorsal part of your foot whenever touching? I recommend trying to move your legs, and wear warm socks. If your situation worsens, and you experience pain, inability to walk, swelling or changes in the color of your legs skin, I recommend going to the ER for a physical exam and a Doppler ultrasound of the leg vessels. I remain at your disposal for any further questions." + }, + { + "id": 18224, + "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": 23405, + "tgt": "What is the most effective way to get rid of severe toothache?", + "src": "Patient: Hello doctor, What is the most effective way to get rid of a severe toothache? Last Sunday, I went to a different clinic for tooth filling because my dentist went abroad for vacation. In fact, it lessened the pain but afterward, it became more painful. So I contacted my dentist for medicine to take and he prescribed me to drink Clindamycin and Dolfenal. And until today, after the effectivity of the medicine, I cannot bear the pain. I am planning to remove it, but the dentist of my friend did not recommend it because it might have an abscess on it, while my dentist said that it is alright to remove. And because of that I am confused which one I should follow. I hope you can respond to this so that I can decide to remove it or not. Doctor: Hi. Firstly, I would like to say that a simple filling cannot be a treatment for a tooth in pain. The pain itself occurs only because of infection inside the tooth. Yes, as the other dentist said, it could be a dental abscess. You have also mentioned that you have severe pain which means definitely there is an infection underneath. I suggest you crush one tablet of Ketorol DT (Ketorolac) 10 mg in half a glass of water and drink it for effective pain relief. Plus, you can take the same in tablet form thrice daily after food for three days. This is just a pain killer. Regarding the removal of that tooth, the choice is completely yours. It is alright to get it removed as you think and then you shall go for any of the replacement options later on. If not removed, then the treatment plan would be a root canal therapy depending on how much tooth structure is left behind. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8084, + "tgt": "What can be done for more weight in thighs and shoulders with small breasts?", + "src": "Patient: Hello doctor, I am suffering with over weight of only thighs and shoulders because of heredity and also I have small breasts. Even I weigh 70 kg. How to solve this problem? I am 24 years old. Doctor: Hello. So as to reduce the weight in thighs and shoulders you may do appropriate exercises. Cardio exercises done under the training of a professional trainer will help reduce weight uniformly. Ladies tend to put more weight in their bust and thighs. However in your case due to the genes, the weight gets distributed more in the shoulders and thighs. Correct exercise can help tone up your body overall especially the areas where bulk is present. Weight training can also help firm up the flabby areas. For the above, do a research on the available gyms and available workouts online. Find an appropriate gym and workout plan suited for your needs and convenience. Once you join the gym discuss your needs to the trainer and make sure he tailors the program as per your needs and requirements. This can help in a long way than routine exercise. What you need is exercise directed at specific parts of your body which has to be managed with the help of a professional trainer. Next, for breast augmentation, there are various methods. You can go under the knife if you wish for which you must find the right plastic surgeon. The surgery is not without complications but it is majorly safe at the hands of a trained and experienced person. To reduce weight also there are options like liposuction which may be performed at aesthetic clinics or cosmetology clinics by trained doctors. You may contact such clinics also for a suitable program. Please take care of your diet. Increase proteins in your diet and reduce fat, oils, starch content. Have a peaceful life and eat plenty of green vegetables and fruits. Avoid unnecessary medications and drink plenty of water. Please feel free to contact for any more advice." + }, + { + "id": 17514, + "tgt": "Though my echo is normal, I still feel chest pain. What to do?", + "src": "Patient: Hi doctor, I am suffering from hiatal hernia. Now, I feel pain in my left hand, shoulder, chest and both sides of the shoulder blade. So, I consulted a cardiologist. He asked me to take an echo and it is normal. Still, I feel pain in the hand\u00a0while working. When I was a child, I suffered with rheumatic fever and took antibiotics for five years. Doctor: Hello. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7121, + "tgt": "There is a protrusion under my tongue. Why?", + "src": "Patient: Hello doctor,I am a 26-year-old male, I have observed a protrusion under my tongue from the last four days. It is on the right side and has a white dot in between. I am not on any medication and do not smoke or drink. I am very worried. Please suggest what it might be? Doctor: Hello. Could you send a picture to help us understand what it could be? It could be an abscess or an emerging ulcer etc. Is it hard? Is it filled with fluid or hard?" + }, + { + "id": 27226, + "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": 4176, + "tgt": "Accidental hit in chin caused hole between chin and gums. Does it need to be sutured?", + "src": "Patient: Hello doctor, I fell and hit my chin, and my teeth tore a hole inside my lower mouth area between chin and gums. It does not hurt but was not sure if I needed to have it stitched? Doctor: Hi. I have read through your complaint and the relevant details. But I am not able to see the pictures you have attached. (attachment removed to protect patient identity). The format does not support the files to open only. I request you to once again send me the pictures for an accurate answer. With the complaint you have given, I wonder how there is no pain in spite of you being hurt and there is a tear in the gum. You have to visit your nearby dentist if there is bleeding in the hurt area, or there are any teeth broken down, or if any tooth is loosened and wobbles, or if there is a gum tear. Also, you have mentioned that you hit your chin region. This part of the jaw is sensitive to fracture in 8% of the cases. Hence, I advise consulting a nearby dentist to eliminate fractures of the jaw firstly. Meanwhile, apply ice packs on the injured region and wash your mouth with lukewarm saltwater which promotes gum healing. Also, avoid hot and spicy or citrus food. Massage the gums with clean fingers in a circular motion and in case of pain apply ointment Orabase (Benzocaine) along with massaging." + }, + { + "id": 6848, + "tgt": "Though there is no abnormal discharge from the penis, I feel some irritation. Why?", + "src": "Patient: Hello doctor, I have a feeling of discharge from my penis from last week, but I do not see any discharge occurring. I have done a urine test and microscopic examination also, but they were normal. I do not know why I have this feeling. It is irritating me. Please help. Doctor: Hello. The feeling of discharge could be attributed to the precum if it is associated with sexual stimulation. Other than this, there is no health condition that can describe your symptoms. If the discharge is associated with sexual stimulation, nothing to worry, it is normal. Even otherwise also, any discharge which is nonpathological does not require any treatment. You can reassure yourself. If you are still worried, I suggest taking Silodosin 8 mg one tablet in the night for 15 days." + }, + { + "id": 1750, + "tgt": "I get pain in my lower tooth during sleep. Please suggest medication", + "src": "Patient: Hi doctor, I am having pain in my lower tooth whenever I go to sleep. Due to lockdown, I am unable to consult the dentist. Can you please tell me any tablet that I can use in the meantime. Doctor: Hello. Sorry for the pain you are bearing because of the prevailing situation. As you have already mentioned there is a cavity and when it reaches up to the pulp there develops an irreversible stage which generally is more painful during night time as we sleep. I think your tooth has reached the stage of irreversible pulpitis and a root canal treatment is now must in order to save the remaining tooth. So go for it as soon as the situation in your area gets better. For now, take Amoxicillin clavulanate 500 mg (thrice daily) for five days, Paracetamol 500 mg to thrice daily SOS. Do not take Paracetamol when there is no pain but do complete the Amoxicillin course. Additionally, you can take any one for gastritis if you have a tendency to develop gastritis with antibiotics. You can take PAN-D (Pantoprazole) or Omez (Omeprazole). Take them on empty stomach. Do salt water rinse regularly. You can apply clove oil at the site, it is a good anti-inflammatory. Maintain good oral hygiene regularly, but for sure get it treated. Avoid eating from the affected side until it gets treated or even if you eat make sure nothing gets lodged in that tooth. Do mouth rinses with plain water regularly so that there is no food stuck. Drink plenty of water. I hope this helps." + }, + { + "id": 16783, + "tgt": "I accidentally pressed the soft spot on my 40 days old baby's head. Should I be worried?", + "src": "Patient: Hello doctor, I had accidentally pressed the soft spot in the head of my 40 days old baby while taking him out of the crib. He was crying before and after, and he had not made any special responses. Is there anything to worry? Please help. I am so tensed. Doctor: Hi. Thank you and have a nice day. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1620, + "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": 11049, + "tgt": "Why do I have excessive discharge and abdominal pain after intercourse?", + "src": "Patient: Hello doctor,I am a female nearing 40. My partner and I are sexually very active. A year ago, I was diagnosed for PID, and pap smear revealed nothing else. We both got treated and were fine for a few months. I am very clean, often wash before and after the act. We are both into oral too. Since a few days, I am having excessive discharge (no smell or pus) which is almost white, burning at the tip of my left labia and pain in the lower abdomen.There is no burning sensation when I pass urine. After meeting the burn comes up. I do not use perfumed soaps, but I use a feminine wash. Is this PID again or something else? My partner is fine, and we use protection during this time. Can you suggest some medication? And what could this be? Doctor: Hello. Based on the symptoms you described, it appears you must be having yeast infection like candidiasis. I would suggest you take a tablet Fluconazole 150 mg by mouth single tablet for you and your husband. Clingen forte vaginal pessary to be kept vaginally every night for six nights. If there is still no improvement, you can consult your gynecologist for examination and do pap smear and ultrasound if abdominal pain persists." + }, + { + "id": 22035, + "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": 28657, + "tgt": "I have pain in my knees, and my stomach is always upset. Please help", + "src": "Patient: Hello doctor, I am a 40 year old female, who weighs 65 kg and I am 5.2 feet tall. I am having a lot of pain in my knees, and my stomach is always upset. Please help. Doctor: Hello. Try all these regularly after consulting your doctor, and you will soon feel positive results. 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": 30151, + "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": 18588, + "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": 7466, + "tgt": "My insomnia gets worsened due to Prednisone. Is it permanent?", + "src": "Patient: Hello doctor, I had been taking Trazodone 400 mg and Luvox for depression. My doctor prescribed Prednisone 10 mg two tablets daily for 10 days for a cough. However, since taking Prednisone, my insomnia had worsened dramatically. I stopped taking Prednisone after 10 days, but my insomnia had not improved. Is insomnia a permanent side effect of Prednisone? Doctor: Hello. It is a well-known fact that Prednisone causes insomnia, but it is not permanent. It may take a few days to return to a normal sleep pattern as the sleep cycle is disturbed. Try to follow good sleep hygiene. If still unable to sleep after a few days then sleep promoting natural medicine like Melatonin can be tried or any other medication to restore your sleep pattern can be used after discussing it with your psychiatrist. Insomnia is not a permanent side effect of Prednisone. I hope your concern is answered." + }, + { + "id": 19812, + "tgt": "I have some marks on my face and body since I recently had measles. How to get rid of these marks?", + "src": "Patient: Hi, I am a 21 year old male. I have some marks on my face and body since I recently had measles disease. How to get rid of these marks? Doctor: Hello. Revert back to a dermatologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4057, + "tgt": "Will thalassemia minor cause any major problem in pregnancy and delivery?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I have thalassemia minor. Is there any problem in the future relating to pregnancy and delivery? Or is it fine to be pregnant at this age with thalassemia minor? Please reply. I dont have any problem now. My hemoglobin level keeps between 10 to 11 g/dL. Doctor: Hello. Thalassemia minor female can get pregnant and can have a child with normal genome without thalassemia or there can be thalassemia minor in children. Thalassemia minor is not a major health disease and do not worry about that even though it is present in your future child. But you need to rule out thalassemia minor in your husband. If your husband is thalassemia minor then the child can have 25 percentage chance of acquiring thalassemia major which is dangerous. So kindly rule out thalassemia status of your husband and let me know about that. Kindly upload your report to guide you further." + }, + { + "id": 20021, + "tgt": "I am a 26 year old male. My chest is developing into breast and it looks very weird on me", + "src": "Patient: Dear Doctor, I am a 26 year old male. From the age of 13, my chest is developing into breast and it looks very weird on me.\u00a0I feel like, I have gynecomastia. I feel very upset. Please help me with a cure for this. Doctor: Hi. Please do not worry. There are a lot of options for treating your problem. Check all these before you consult a doctor: After you follow the above check-list, you can consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14929, + "tgt": "Why do I ejaculate soon with low semen quantity?", + "src": "Patient: Hello doctor, I am getting ejaculated early within 8 to 10 shots. Semen quantity is also less than before. I am a married male of age 30, my height 5'5\" feet and weight 65 kg. Doctor: Hi. A lot of males when start doing sexual intercourse suffer issues like early ejaculation. This occurs because of a lack of experience and over-excitation. But with time your timing will improve and you will start to have pleasure in sex. But if your time does not improve with this then you can use drugs to improve the time. Paroxetine can be used to delay the time and this will help you. The drug in 10 to 20 mg doses if used regularly will help to increase the time. You can talk with a doctor for that. Take care." + }, + { + "id": 21540, + "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": 12422, + "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": 5026, + "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": 21554, + "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": 17583, + "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": 28286, + "tgt": "My 8 year old son weighs 30 kg, and he is always thirsty. Is he diabetic?", + "src": "Patient: Hi\u00a0doctor, I am worried about my son who is 8 years old and weighs approximately 30 kg. Over the last couple of days, he is constantly thirsty, it is very hot\u00a0outside. Sometimes, he is also tired, although generally, he is very active. I tested his fasting blood sugar approximately 10 hours after a meal and it was 103. And two hours after a meal it was 126. Are these levels within normal ranges or are they a cause for concern? Thank you. Doctor: Hello. Hope my advice solves your concern. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19293, + "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": 11841, + "tgt": "I have not got any withdrawal bleeding after taking I-pill. Am I pregnant?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I have had irregular periods since the beginning. I was sexually active, and I had protected intercourse before six months and had my period on second of very next month after having sex. I had sonography done, and the reports said only slightly enlarged ovary. I have not had my periods till date. Its been three months now. Please advise what could have gone wrong. I recently had unprotected intercourse on last month and had an I-pill within 12 hours. Its been 10 days I have not got any withdrawal bleeding. I took a pregnancy test yesterday and it is negative. I started having Primolut N to induce my periods. What are the chances of pregnancy? And what should I do to regularize my periods? Doctor: Hello. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a withdrawal bleeding. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS. Also, do your insulin fasting and transvaginal ultrasound. If the diagnosis of PCOD is confirmed you will have to take oral combined hormone pills with a prescription. That will regularize your periods and give contraceptive protection too. Also, your weight is towards the higher side. Try to lose weight that will help too." + }, + { + "id": 5424, + "tgt": "I noticed blood in my phlegm before three months. Is this suggestive of lung cancer?", + "src": "Patient: Hello doctor, I had a smoking history of three years. Three months back there were a few blood drops were there in the phlegm while clearing the throat. Out of curiosity I had few like chest x-ray, chest CT scan with contrast (lymph nodes were there but in CT reports it was written like no significant lymph were seen), and PFT. All tests are normal. I have a few questions which are striking me. What is the accuracy of chest CT? Do this really rule out the probability of something like lung cancer? There is no weight loss but some chest congestion is there. I am feeling difficult to breathe and I am having heavy breathing. What can be this if my PFT is clear? Can this be lung cancer? Do I need to test further? Please suggest. Doctor: Hello. After going through your case, I do not think there is something to worry about the possibility of lung cancer as it can be just a smoker's bronchitis. As you said, you do not have any symptoms at present and all the tests including x-ray CT (computed tomography) and PFT (pulmonary function test) are within the normal range, there is nothing to worry about. The chest congestion blood flecks in phlegm and breathing difficulty you suffer are because of underlying bronchitis due to smoking. As far as investigations like CT scan and x-ray are concerned, they are very accurate in finding out the underlying abnormality. So no need to doubt even x-ray and CT are normal. The most important thing now is how to prevent further damage to the lungs and restore normal breathing. For that, I strongly recommend you stop smoking right now. Smoking cessation is the only way to improve your lung health. You can take the help of your family doctor in smoking cessation. If you find it difficult, he may prescribe you some medicine. I would advise you to do some exercises on a daily basis or gym as per your schedule as it would boost your stamina and exercise tolerance also. So all the best and do not be anxious about lung cancer but stay determined to quit smoking. Smoking. Bronchitis. Quit smoking, Nicotine chewing gum." + }, + { + "id": 27687, + "tgt": "I have pain in the upper left arm and weakness of legs. Please help", + "src": "Patient: Hello doctor, I am a 45 year old male. When I lie on my left side and raise my left arm, then try to push down on this arm using my right hand, I feel pain in the upper left arm. I am unable to push all the way back. However, when I try the opposite, that is, lying on my right side pushing down on the\u00a0right arm with the left, I feel no pain and can push all the way down.\u00a0I had experienced pain and muscle weakness on the left upper arm and lower arm since the past eight years when I was given the swine flu shot. It has only got worse over the years. I have pain in other areas on\u00a0the\u00a0left side of the\u00a0body like in the back and the groin when standing for long periods of time like at a concert. I have type 1 diabetes since 22 years. Any ideas?\u00a0Also, I have suffered from dizzy spells in the past 12 months. This happens when I am awake at night. I then have a feeling like a lot of adrenaline is in my\u00a0body, my legs are getting weak like I am going to pass out and a difficulty in breathing. Eventually, it passes. Doctor: Hello. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 30495, + "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": 17080, + "tgt": "I am really worried that I might get heart attack. Please advice", + "src": "Patient: Hello doctor, Six months back while travelling in the bus, I got sharp pain in the chest. My heart started beating fast and I\u00a0had sweat a lot.\u00a0Then I rushed to the doctor. They carried out ecg, echo, tmt and also blood tests and all turned out to be normal. The doctor that it was anxiety and acidity. Still now I have some chest pain and backache. I am really worried that I might get heart attack or I might have fat deposition in my heart. Can you please go through my reports and advice. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). Since the pain which happened in bus was not anginal, you must not worry. For your information, anxiety or excessive worry is itself a cause of heart attack. There is no test available with medical sciences which can predict occurrence of heart attack. You can only take precautions\u00a0and having a healthy life style in place.These include avoiding smoking and alcohol, good control of blood pressure/ sugar/ cholesterol, daily exercise, maintaining optimal weight and avoiding stress. For further queries, consult a cardiologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30198, + "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": 21793, + "tgt": "Why is there high fever after stent removal?", + "src": "Patient: Hello doctor, My brother aged 35 years has undergone a kidney stone surgery on 21st and from 28th, he is suffering from high fever (mostly 104 F) with shivering. The doctor has removed the stent on 31st but the fever has continued with shivering. There is no detection of dengue, malaria, or sepsis. What is the cause of high fever? Please advise. Doctor: Hello. The stent and its removal induce inflammation which in turn can lead to fever. Paracetamol 500 mg SOS can be prescribed for fever. An antibiotic course can also be prescribed along with that to fight any mild infection if present. I suggest you investigate with CBC (complete blood count) as well. Consult your urologist for examination and discuss the management. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18000, + "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": 17036, + "tgt": "I was pregnant with twins and opted for medical termination of pregnancy. Please help", + "src": "Patient: Hi doctor, I am a 36 year old married female and have twins. Last month, I was again pregnant with twins and for some reasons, opted for MTP. It was done in a hospital. Of late, there has been heavy bleeding and resulting weakness. At the time of the medical procedure, I was prescribed capsule Zevit for five days and tablet Monocef for five days which I took religiously. Can you suggest some medicines? Doctor: Hi. The reason for heavy bleeding could be due to some retained products of conception. Get an ultrasound examination which will tell about the status of the uterine cavity. Cause for the tiredness may be anemia due to bleeding and so, please check your hemoglobin level. For further clarification, kindly send the latest scan report and hemoglobin values. Revert with the recent scan report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2655, + "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": 15675, + "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": 13281, + "tgt": "How can pulmonary regurgitation with dilated pulmonary artery be treated?", + "src": "Patient: Hello doctor,My child had critical pulmonary stenosis and had balloon dilation at three months. She is now 13. She has moderate pulmonary regurgitation, her LV ejaculation fraction is 69 %. She has a mildly dilated RV and pulmonary artery. She gets breathlessness. Should I be concerned? Doctor: Hi. As per cardiac MRI (attachment removed to protect patient identity), the degree of pulmonary valve regurgitation is moderate at the most with only mildly dilate RV. Please be assured at this stage. However, she still needs yearly follow-ups either with an echo or another cardiac MRI. If you have the full report of the MRI, I am happy to go through with you." + }, + { + "id": 10949, + "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": 14496, + "tgt": "Why are my vaginal walls collapsed and cervix shifted to right side?", + "src": "Patient: Hello doctor, I have endometriosis, diagnostic or excision lap was done three years back. Recently I have had GI symptoms including extreme pain on defecation, rectal bleeding with a period, and tenesmus. Last exam showed a nodule in my vaginal wall and ultrasound showed left ovarian endometrioma. About a week ago I noticed my vaginal walls seemed to have collapsed so that they are both bulging and pressed together. I felt inside and noted that my cervix was about 1 to 2 inches past the vaginal opening and it is sideways, with the cervix opening to the right side. Does this sound like a rectocele or is it possible that my uterus has tipped over or something? I am not sure what to do as it is very difficult to get in to see my gynecologist. Please help. Currently, I am taking Dienogest 2 mg OD, Taro-Tramadol ER 200 mg OD, Apo-Tramadol 50 mg Q6H PRN, Paroxetine 20 mg OD, Lorazepam 0.5 mg SL PRN. Doctor: Hi. How are you doing? You seem to be suffering a lot at this young age of 25 years. From your history and examination findings, I feel there is deep infiltrating endometriosis. Usually, bowel symptoms, distended bowels into the vagina, nodules in ligament could mean that. But the uterus will be stuck and will never descend, especially after a surgery. But when you say cervix is outside the vagina, it means cervical descent or elongation. It could mean a nulliparous prolapse. The best method would be to have an examination done, scan taken, to know if any large cyst is pushing uterus out. If everything is normal, you can have 3 to 4 doses of monthly Lupreolide 3.75 mg i.m. Followed by tablet Ormeloxifene 60 mg weekly twice for any number of years. I have found it more effective than Dienogest. If prolapse is significant, it may resolve if any cyst of pressure from inside is relieved. You have bowel symptoms and you said cervix is pushed to the right, so there must be something on the left side, the location of the colon, sigmoid colon, and rectum. Have a scan anyway." + }, + { + "id": 30795, + "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": 14731, + "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": 2917, + "tgt": "I have facial hairs, acne, and pores for the past five years. How to fix it?", + "src": "Patient: Hello doctor, I am having facial hairs, acne and pores problem for the past five years. I have tried almost everything but have not had good results. I am currently using E-dox DT, Isotretinoin 10 mg. I have done a blood test. Doctor: Hi. I have gone through your query and reviewed the attached photographs. (attachment removed to protect patient identity). I can understand your concern but your problem seems to be hormone related. I would recommend you to get these tests done: 1. Thyroid function tests. 2. Serum testosterone levels. 3. Serum dehydroepiandrosterone. 4.Serum prolactin levels. 5. Fasting insulin levels and 6. Ultrasound pelvis to rule out PCOD (polycystic ovary syndrome). Meanwhile, I would recommend you to start with tablet Minoz OD (Minocycline Hydrochloride) 100 mg once daily at night, Tracnil sachet (Myoinositol, folic acid and vitamin D) twice daily. Use Facecare facewash twice daily and Epiduo gel on the pimples at bedtime for 30 minutes and then wash it off with plain water. Continue this for four weeks and revert." + }, + { + "id": 28711, + "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": 827, + "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": 8196, + "tgt": "Can you suggest any alternative medicine for tubal blockage and infertility?", + "src": "Patient: Hi doctor, We have been trying to have a baby, but I have a\u00a0block in my fallopian\u00a0tube. As a result, eggs cannot reach the uterus from my ovary. And my endometrium is too\u00a0thick or too thin at times,\u00a0so my doctor is also confused. My AMH level is 0.9 ng/mL. I had an abortion four years back and was diagnosed with a\u00a0thyroid problem.\u00a0After that have never gotten pregnant again. Is there any medicine to cure all this? Please help me. I have stopped all medicines out of frustration. Doctor: Hello. I have read your query very carefully. You did not mention your previous reports, your age, weight, and other medical histories. Are you taking thyroid medicine continuously? What is your husband's health status? As infertility is a complicated procedure and a lot of factors are responsible for it, I need to know all this. Your AMH (anti-mullerian hormone) value is below normal, but it is not the only factor that matters in the success of IVF (in-vitro fertilization). The endometrium is the innermost layer of the uterus and helps in the implantation during pregnancy, as your endometrial thickness is not consistent it might be one of the reasons behind your previous abortion. As far as blockage of tubes is concerned, it may have many reasons like pelvic inflammatory disease, genital tuberculosis, etc. Your doctor must have mentioned about your cause after examining you. Along with that, start ayurvedic medicines for infertility. If your husband's health status and reports are not regular, then he must get a clinical examination done. The medicine will only be useful if tubal blockage get removed. You can also try IVF after maintaining your uterine health. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25124, + "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": 13161, + "tgt": "Will taking Citalopram cause QT prolongation?", + "src": "Patient: Hello doctor, I just did some EKGs on a portable device and they all said not abnormal. Would just like an expert to look them over to make sure they agree and it is correct? I just started Citalopram 10 mg for about five days and now on 20 mg daily for the past two days. Saw that it could cause a QT prolongation. So, just wanted to make sure this was not occurring. Doctor: Hello. After carefully reviewing your uploaded ECG recordings, I would like to assure you that your QTc interval is not more 440 ms, which is not dangerous or life-threatening for a female patient. Coming to this point, you are not actually at an increased risk of cardiac arrhythmia under your current therapy (Citalopram). In addition, I would recommend to frequently control your ECG (at least every three months) coupled with blood electrolytes levels and avoid any potential adverse events induced by this therapy." + }, + { + "id": 6046, + "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": 8308, + "tgt": "Does an elevated WBC always indicate leukemia?", + "src": "Patient: Hello doctor, I got blood work done and WBC was 14.8 and absolute neutrophils were 10.9. I was suffering from sun poisoning and a sinus infection. I also suffer from severe anxiety and panic disorder. I just want to know if this is an indication of leukemia. Doctor: Hello. I read your query and understand your concern. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25460, + "tgt": "Which is a more potent anti-anxiety medicine?", + "src": "Patient: Dear doctor, I am taking SNRI/ SSRI for around 20 years. Five years ago, my general anxiety got worse. So, my doctor switched from Citalopram 10 mg to Escitalopram 10 mg (one per day). Citalopram was taken five years to 10 years ago, before that Zoloft 20 mg per day. Now my GAD is getting worse. A friend of mine had a good experience with Buspirone. Could you explain me the general difference between Escitalopram and Buspirone? Doctor: Hello. Buspirone is a different drug than Escitalopram. Escitalopram is an SSRI (selective serotonin reuptake inhibitor) and helps improve serotonergic neurotransmission in the brain. The drug should be taken regularly in order to improve anxiety and depression. Buspirone is also a drug that improves serotonergic neurotransmission but the drug usually helps control anxiety symptoms. The drug should be taken on SOS basis while in some conditions this should be taken regularly. If we consider potency then Escitalopram is more potent than Buspirone. Thanks and take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28358, + "tgt": "I am not getting my periods after taking fenugreek seeds. Why?", + "src": "Patient: Hi doctor, I am a\u00a023 year old\u00a0female, and I used to take ten fenugreek seeds before and after eating food. But now, I am not getting my periods. Can I get pregnant and have kids? I used to take these seeds daily from a month. Doctor: Hi. For further queries consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 6352, + "tgt": "I had Diane-35 for 21 days for PCOS and irregular periods. When can I expect my period?", + "src": "Patient: Hello doctor, I have PCOS and irregular periods. My doctor prescribed me Diane-35 for 21 days. The last day of the pill was fifteen days before. I did not get my periods till date. I did a home pregnancy test, and it is negative. Though it is unlikely I can be pregnant, I wanted to know how long to wait for the periods to come with Diane-35? Please clarify. Doctor: Hello. Diane-35 is taken for 21 consecutive days with seven days off. The next cycle is started after seven days off on the eighth day, irrespective of the periods. Though in majority of cases there are periods in those seven days, rarely there may not be periods. Hope your other investigations, mainly CBC (complete blood count), blood sugar, TSH (thyroid stimulating hormone) and Prolactin are normal. PCOS (polycystic ovary syndrome) also requires lifestyle modification which includes avoiding high calorie diet, regular exercise and brisk walk." + }, + { + "id": 5215, + "tgt": "What is the likelihood of ANUG in my partner due to oral sex?", + "src": "Patient: Hello doctor, I would like to ask what is the likelihood that my partner who performs oral sex on me has trench mouth or acute necrotizing ulcerative gingivitis? He has no bad breath and he was able to have normal food. Can people with trench mouth have no bad breath and is able to eat normal food? Doctor: Hello. I understand your concern. Trench mouth or acute necrotizing ulcerative gingivitis (ANUG) is a bacterial infection and is uncommon nowadays but it is highly associated with HIV infection and in kids with nutritional deficiencies. To be diagnosed with trench mouth or ANUG, symptoms like gum necrosis and ulceration, pain and bleeding (on just touching the gums) should be present. The main characteristic feature is fetid or the putrid odor which is caused due to the rotting gum tissue. And people diagnosed with ANUG has this odor, unless if they are under treatment in a very initial stage. It is certainly difficult for people with ANUG to eat a portion of normal or even less spicy food if they are not under treatment. It is treatable within a week by the usual antibiotic regimen and medicated mouth rinses. Gum infection such as this cannot occur only by fellatio. If your partner is diagnosed with immunocompromised diseases, respiratory infection, poor nutrition or has the habit of smoking, practice caution during the act. Proper protection and oral hygiene practices will prevent such infections. I hope this helps." + }, + { + "id": 11090, + "tgt": "Can cramps and diarrhea with fever indicate gastric problem?", + "src": "Patient: Hello doctor,I am getting stomach problem from the last year after consuming fish curry. I suffered from diarrhea and low-grade fever and after taking multiple antibiotics I got relief but I started to get a new problem. I was getting stomach cramps and diarrhea that happens suddenly after taking meals (especially in the morning). This diarrhea is not 100 % watery but loose and it will not happen daily. After getting diarrhea I will get constipation for many days. I took Rifaximin 550 (TID) along with probiotics for 14 days but I still have a tendency of diarrhea like stomach rumble with the defecating tendency and I get some cramps (sometimes burning pain in the abdomen). Therefore I need to know whether I am getting the problem because of irritable bowel syndrome or is there any infection that is causing this? Do I have to continue taking Rifaximin 550? Doctor: Hello Welcome to icliniq.com. As per the history you have provided, it seems like irritable bowel syndrome. Firstly, you would need to rectify your diet by cutting down on too much fibres, gluten, too much starch, spicy foods or junk, alcohol, caffeine. Increase intake of water, soups, detox drinks, fruits and vegetables and do not over eat or skip meals. Start tablet Pantoprazole 40 mg once daily for a month, tab Vitamin C chewable 500 mg twice daily for one month only after food. Start tablet Dicyclomine once daily for one week and then only when required. Continue with the probiotics. You may stop Rifaximin until you finish the course of the medicines I just mentioned. Lastly and most importantly get a gut investigation done at a hospital. Above all, keep a positive mind and do not worry about it as a problem as there is always a cure for everything. Do follow up and stay healthy." + }, + { + "id": 4085, + "tgt": "Experiencing numbness and pain after elbow fracture treatment. Why?", + "src": "Patient: Hi doctor, I had elbow fracture four years ago. Following which I have limited ROM and stiffness. Now, I am also experiencing numbness, tingling and pain in palm and fingers. Why? Doctor: Hi. Revert back with detailed history to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6217, + "tgt": "Do I have a higher risk of getting heart attack as my grandmother and father died due to it?", + "src": "Patient: Hello doctor, I am a 15-year-old female. My grandmother, her parents, and two of her brothers, as well as my father, all died before the age of 50 because of heart attack. Do I have a higher risk of dying of a heart attack before the age of 50? Doctor: Hello. First of all, I would like to tell you that a strong family history of heart disease or heart attack does not place you at higher risk at all. So please do not worry about it. Now medically, heart diseases do have some level of genetic inheritance, but nobody can assure you the same about heart attacks. Heart attacks occur due to various causes related to all systems of the body. So inheritance does not play any role here. I can assure you that if you follow a strict diet routine along with 30-45 minutes of exercise or workout a day, including your cardio-exercises, then you will be fine. You are not at all on higher risk, and if you follow this routine with your BMI (body mass index) under 24 kg/m2, then you will never be at higher risk." + }, + { + "id": 21457, + "tgt": "Kindly explain the scope and steps of radiotherapy in a lung cancer patient", + "src": "Patient: Hello doctor,My father has advanced lung cancer and severe pain in his legs or back. It is suggested that he should have radiotherapy, possibly five sessions. I understand this is to reduce his pain. Is it possible to explain to me what this involves, before and after, and for how long, whether the five sessions are on five consecutive days, whether any injections or other medications are part of this treatment? If there is any lab test to see the effectiveness of this treatment how long it will take to get the results. In short I would like to get a sense the scope and steps of this radiotherapy treatment to reduce pain. Is this a very costly treatment? How effective is this treatment to reduce pain? How long the effectiveness of the five sessions last? Doctor: Hello. I can understand your concern. It looks like a stage 4 lung cancer (attachment removed to protect patient identity). The pain in the back and limbs is possibly due to bone metastasis (cancer spread to the bone). You have not attached any report to know the details of cancer (type of cancer, treatment received and involvement of other parts of the body due to lung cancer). Does your father have any associated diseases like diabetes, hypertension, cardiac or thyroid disorder, any smoking history? Is he walking without support and what about eating habits? The radiotherapy will be given daily for five days. It will take at least one to two weeks to act. So he must continue pain medications. They will not give any injection with radiotherapy. It will take just five minutes daily for radiotherapy to complete one session. Yes, the first day it may take more time because they have to plan the radiotherapy. The effect of radiotherapy may last for 1 to 3 months. Sometimes because of a resistant tumor or huge mass, radiotherapy fails to bring any relief to the patient. There are no laboratory tests to check the effectiveness of radiotherapy. It is a palliative radiotherapy and the response will be measured clinically only. If you can attach all the reports I can try to give you more valuable suggestions. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 28238, + "tgt": "How to motivate myself?", + "src": "Patient: Hi doctor, I worry too much and lack motivation for doing anything. Doctor: Hi. Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27786, + "tgt": "What are the possible ways I can get an HIV infection?", + "src": "Patient: Hi doctor, I would like to know what unprotected sex means. If I penetrate in a female's vagina without a condom\u00a0but do not release any semen, will it be considered as unprotected sex? Also, can there be\u00a0an\u00a0HIV\u00a0infection in such a case? Doctor: Hello. Hope your query is answered. Feel free to ask in case of doubts. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3066, + "tgt": "I am worried about HIV after unprotected sex with sex worker. Please help", + "src": "Patient: Hello doctor, I had sex with a sex worker without a condom. Now I am worried I have HIV or AIDS. Please help. Doctor: Hi, Welcome\u200b to icliniq.com. The only way to clear the doubt after an unprotected exposure is to get tested. I will suggest you to get your HIV Rapid test now. This will tell your baseline HIV status. If it is negative, get your fourth generation rapid test at four weeks of exposure. If the same is negative, it needs to be confirmed by a repeat HIV rapid test at three months and then at six months of exposure. The test can be undertaken at any accredited lab or the Government run ICTC (integrated counseling and testing centers) center where it is done free of cost. I suggest you to consistently and correctively use a condom with your partner. I hope this helps." + }, + { + "id": 5650, + "tgt": "I have short sight and wearing glass for a long period without improvement. Please suggest solution", + "src": "Patient: Hello doctor, I am a 25-year-old male. I have short sight and cannot see long-distance, letters, or things. My eyesight power is -2 and -1.75. I am wearing eye glass from 3 years of age but there is no improvement in my eye problem, that is why I am not interested to wear glass. I am a computer worker. Please give me some solution. Doctor: Hello. I reviewed your history. You are having myopia of -2 and -1.75 refractive power. This requires correction by the use of spectacles. The use of spectacles will not lead to the improvement of eyesight and reduction of refractive power, but it prevents further increase in refractive power. Since you are a computer worker you need to use spectacles to prevent eye strain. If you still have eye strain it can be because of dryness of the eye caused by the constant use of the computer, and can be treated by use of artificial tears eye drops. The other thing to be considered is an improper correction of refractive error and you need to undergo refraction and correction. If you do not want to wear spectacles you can go for contact lenses, or for refractive laser surgery like lasik. I hope this helps." + }, + { + "id": 26063, + "tgt": "When I cough my chest pain gets worse. Is it something serious?", + "src": "Patient: Hi doctor, I am a 60 year old female. I weigh 70 kg and my height is 5 feet. I am a known diabetic and hypertensive and on regular medications.\u00a0I have been suffering with dry cough, fever and chest pain. When I cough my chest pain gets worse. I am unable to take deep breath, because if I inhale deeply then the chest pain increases. I have completely no appetite from last 25 days. I am feeling weak.\u00a0Due to my illness I have visited at our local hospital. I have told every health issues to the doctor and he suggested me to do an x-ray of chest PA view and multiple blood tests. I am attaching the reports for your reference.\u00a0After the tests I visited the doctor again and he said everything is alright. But there is a little infection. And he suggested me few\u00a0antibiotics namely Azithromycin with Ofloxacin SR tablets for 5 days, a vitamin syrup named fortified vitamin B-complex, L-lysine, Zinc syrup, cough syrup Grilinctus and few more tablets. For past four days, I am taking all the medicine, but I am not getting well. Moreover my chest pain has increased and I am having stomach upset and going to washroom frequently.\u00a0I have some doubts in my x-ray report. Because x-ray of healthy lungs should be clear, but there is some\u00a0white appearance in x-ray. Can you please check the reports again including blood test reports? Tell me if there is anything wrong. Also give me a detailed answer in regard to my health condition. Thank you in advance. Doctor: Hello. I have read through your query in detail and gone through your reports (attachment removed to protect patient identity).\u00a0Please find my observations below. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10241, + "tgt": "What is the solution for frequent urination after sex?", + "src": "Patient: Hi doctor, I am a 33 year old female who has had meningomyelocele (spina bifida) since birth. I suffer from scoliosis of the spine, paralysis of the lower limbs and valgus of the feet. My bladder and bowel control had always been exceptionally good in spite of my condition. Before 12 days, I had sexual intercourse for the first time. Since that day, I have noticed that I urinate with extreme frequency for every 30 minutes. The urge to go is also very strong and holding it for more than 5 minutes has become impossible. I even wake up in the night to visit the bathroom.\u00a012 days have passed and the symptoms have not abated yet. Is this a common symptom? Is it related to meningomyelocele? What is the solution? Please help. Doctor: Hello. Please relax and do not worry. I will explain you everything in detail. 1. Urine routine. 2. Urine culture and sensitivity. 3. Ultrasound of abdomen and pelvis with post-void residual urine. 4. Hemogram. 5. Serum creatinine. Consult your specialist doctor, discuss with him or her and take the treatment below. 1. Tablet Norfloxacin 400 mg in the morning and evening for five days to be started after giving a urine sample for culture. 2. Tablet Pan 40 (Pantoprazole) in the morning for five days. 3. Syrup Cital 10 mL (Disodium hydrogen citrate) in glass of water in the morning and evening for seven days. Drink at least 2 liters of water daily. Revert back with the reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14743, + "tgt": "I am having quad pain when running to the point where I cannot bear any weight", + "src": "Patient: Hi doctor, I have been having quad pain while running to the point where I cannot bear any weight. I have no pain the next day while walking, but the pain returns during a run. Doctor: Hi. From the details provided, you are apparently suffering from a muscle pull or partial detachment of the tendon from the bone. Muscles are attached to the bones by a fibrous, cord-like structure called tendons. Your quadriceps (thigh muscle) need rest in order to recover. So, you may stop running till the time the affected muscles recover." + }, + { + "id": 18936, + "tgt": "Please suggest some treatment for abscesses, which look like an insect bite", + "src": "Patient: Hello doctor, I have two abscesses, which\u00a0looks like an insect bite with a dark spot at the center.\u00a0Both the abscesses are hot to touch with acute pain. One of them is filled with pus and has started to drain slowly. I have attached the photos. Please suggest some medicine. Doctor: Hi. It would not be an insect bite unless it appeared overnight. After reviewing the picture (attachment removed to protect patient identity), it looks like an infection of the hair follicle. For such a skin infection, overweight and diabetes are the risk factors. I would suggest you the following medications. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Follow the above medicines only if you do not have any other diseases, and not on any other medications. As some people are allergic to Amoxicillin, in such a case stop the use of the medicine and consult a doctor. Applying ice and washing the area with ordinary soap and water will help with the pain. For the pus discharging site, cover it with a disposable dressing like Primapore adhesive dressing. Also, get your fasting blood sugar level checked. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 17529, + "tgt": "I have stomach pain below the breast on the left side. Please help", + "src": "Patient: Hi doctor, I have stomach pain below the breast on the left side with difficulty in depositing waste. I also get a fever during the early morning. Please help. Doctor: Hi. You are suffering from constipation. Because of it, you have stomach pain below the breast on the left side with difficulty in depositing waste. When there is constipation, the waste does not get clear entirely from the bowel. This results in bowel enlargement which puts pressure on the diaphragm on the left side causing pain. Once you treat constipation, you will have no pain. Getting fever in the early morning occur due to a recent viral infection, or it can happen due to change in climate. Sometimes, hormonal changes also cause a feeling of fevering. If it persists, you have to check your thyroid hormones." + }, + { + "id": 801, + "tgt": "My wife has rheumatoid arthritis with high ESR, RA factor and swollen fingers. Please suggest a solution", + "src": "Patient: Hello doctor, I want a good rheumatologist for my wife who has been diagnosed with rheumatoid arthritis. She has got RA factor 150 and no other problem in blood reports. Anti CCP is negative. She has swollen fingers both in hands and legs. She is currently on Shellcal 500 and D jont capsules. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). There is a high ESR (erythrocyte sedimentation rate), RA factor. 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? Any dry eyes or dry mouth? Any oral ulcers? Any hair fall? Any other medications for diabetes, or thyroid is she taking?" + }, + { + "id": 9470, + "tgt": "Is it safe to use NB-UVB lamp for penile vitiligo?", + "src": "Patient: Hello doctor, I recently purchased an NB-UVB lamp for vitiligo and I wanted to know if it is safe enough to use on my penis. I have read that normally, you cover your penis from UVB lamp radiation but in my case, I have vitiligo on my penis. Also, should I put sunscreen before or after treatment? Doctor: Hi. I have gone through your case. Your genitalia or penis should remain covered during the procedure. Do not expose even if you have a vitiligo over there. Apply Tacrolimus ointment over that area but do not expose it to light or you will get a serious reaction. Yes, it is very necessary to use sunscreen both before and after treatment. As on vitiligo skin, brown cells are lost and it may get burn if exposed to the sun." + }, + { + "id": 10826, + "tgt": "Is it advisable to undergo super Lasik surgery in a 37-year-old person?", + "src": "Patient: Hello doctor, I am planning to undergo vision correction surgery. I am 37 years old, female, single. My ophthalmologist informed me that I have astigmatism. I am short sighted. My doctor suggested of a super Lasik surgery. Can you please advise if I should go ahead with this surgery? Secondly, what would be the side effects? And the recovering period. The doctor did mention I have a thick cornea and I will recover the same day. But I am not very confident and require your second opinion. Doctor: Hello. It is hard to advise you fully not knowing the full refractive status of your eyes and seeing the keratotopgraphy report that you underwent already and must have a report of it, you could upload it here for better evaluation. However, you have to understand that a human eye starts changing its refraction after the age of 40 and will continue to change every five years after that. So you will enjoy the result of this operation for a maximum of five years and then you will start wearing spectacles for near so keep that in mind. The second issue that you might face a new condition, that is if you are not suffering from it before the operation, and that is dry eye for which you still need to use a lubricant at least four times daily for the rest of your life. In summary, the choice is upto you of course but at such an age, I would not advise. If you would like a more decisive advice, please upload the reports." + }, + { + "id": 10132, + "tgt": "Is Bimatoprost safe enough for optical nerve damage?", + "src": "Patient: Hello doctor, My mother, is 76 years old, currently suffering from low, blurry vision (both near sight and far sight). Her BP, sugar, and thyroid are normal. A year before, she was critically suffered from urosepsis with AKI, DM II, pleural effusion, etc. but recovered. Though she has the first stage of renal failure and ventricular ectopic in ECG now. Recently she visited an eye hospital where she was told that her eye problem is mainly due to gradual damage of optical nerve, which is irreversible and the doctor cannot do much. In this respect, she was tested with digital fundus photography and OCT (Retina -Tessellated fundus in the right eye, FR dull in left eye). As per doctor's mention, I come to know that she has some cataract in the right eye (nuclear sclerosis grade II diagnosed in both eye) which need to operate soon for better vision, but I am not sure about it as it is not written in prescription as a diagnosis. She is advised to take a drop of Bimatoprost 0.01 % in both eyes every day to control optical damage. Now, I like to know is this medicine helpful if she complains with optical nerve damage without glaucoma or cataract. Is there any other solution to save her vision or further damage at least. Doctor: Hello. I understand your concerns, and I am very sorry to hear about your mother's eye changes. I am afraid that the changes in the optic nerve are indeed irreversible and according to the reports is near total. This is known by the part of the reports that say CDR 0.9 in both eyes. To explain it in a very simple manner, the eye is like a camera, both have lenses, and just like the camera has a film, the eye has the retina. If there is a problem in both the lens and the film, simply changing the lens would not improve the quality of the picture as the film (retina) is also compromised. But in few cases may improve to a limited, yet unknown extent. The problem also gets compounded with her poor general condition with heart problems along with the recent sepsis. So operating on her cataract is quite risky. Regarding the eye drops, Brimonidine eye drops have been known to help in neuroprotection and may help in the preservation of whatever optic nerve function is left, theoretically. So this would be the thought process behind this plan of management given to the overall condition. As far as the next step in managing, it depends on the daily activities of your mother and if at all she feels her current vision is not enough for her to carry out the daily routine activities. In case you need more information, please let me know." + }, + { + "id": 8057, + "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": 3708, + "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": 20948, + "tgt": "What could be the reason for continuous mucus and gas formation with a bad smell?", + "src": "Patient: Hello doctor, I have a continuous mucus and gas formation with the bad smell like rotten fish. I also have hemorrhoid. Doctor: Hello. I think you should provide the history in detail so that I can get enough data for diagnosis. Since how many days you are having this problem and do stools stir over water after toilet and difficult to flush? Do you have bleeding piles? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7687, + "tgt": "I have more hair in my thigh and arm than other parts of the body. How to get rid of it?", + "src": "Patient: Hello doctor,I am 23 years old. My thigh and arm have more hair than other parts of the body since I am 15. I want to get rid of it, so please suggest me treatment. Doctor: Hello. It is a widespread problem among boys. The issue of more hair is not uncommon since accepting it or not we are a hairy race. Causes include mainly genetic (80 %), race. Did you also start to plucking the area as many boys do? This could mean that you put your hair follicles into growth phase sooner than desired. Also, it is a known scientific fact that rubbing, teasing, and plucking sets the hair cycle in motion. The best alternative is to use a hair removing the cream. If you are looking for a more permanent solution than laser hair reduction is the way to go." + }, + { + "id": 11732, + "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": 28691, + "tgt": "I have repeated itching sensation in my right thumb. Please help", + "src": "Patient: Hello doctor, I am a 59 year old female, I have itching sensation in my right thumb, and due to continuous scratching, the skin is slowly getting damaged. There is some infection, and then the skin heals on its own. This cycle is repeating itself from the past year. Please help. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27044, + "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": 18884, + "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": 28952, + "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": 12981, + "tgt": "Is it fine to have no toe movement after foot injury while playing?", + "src": "Patient: Hello doctor, Injured foot in football four days back, badly bruised, very little pain but now have no movement in the fourth toe. Doctor: Hello. Sorry to hear about the injury. The first thing you should do now is to take an X-ray for a safety case. Ignoring cannot be beneficial. Usually, the fracture is uncommon but still have to take an X-ray to rule out any fracture possibility. Also, for now, do icing and stabilize the part. In case if it is fracture you may find some discoloration of the skin in that area and need immediate attention. Always use the RICE protocol in injuries which can avoid major damage to soft tissue. Please take up an X-ray and if X-ray reveals no fracture then we can guide for home care therapy for the same. Please get back after taking up an X-ray. Sports injury. X-ray. Fracture. Ligament sprain. RICE. Immobilize the part." + }, + { + "id": 6238, + "tgt": "I have sporadic chest pressure and there is mild ST depression in stress echo. Is it worrisome?", + "src": "Patient: Hello doctor, For many years now, I have sporadic pressure in my chest area, and since I never want to presume it is not heart-related. I usually get it checked out. I do have anxiety and fibromyalgia, so the most likely cause is stress and muscle strain. My last episode was about two weeks ago and after consulting a cardiologist, who suspected it to be muscle-related, I had a stress echo two days ago to make sure. I am attaching a copy of the report as well as the copy of my last stress test. The current cardiologist told me that the report looks great with a strong heart muscle and no ischemia. Since I tend to over analyze things, I read the report and it mentions a Duke Treadmill score of 2.5 due to ST depression of 1 mm. I have been told that I have a baseline ST depression forever, and it was present back in my last stress test. I asked the cardiologists about it via a message on my portal and the response was that it is nothing to worry about, and it is not diagnostic. Would you agree that there is nothing worrisome? Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). I studied through your test results there is absolutely nothing that indicates any serious abnormality. The slight change recorded is not of much significance. From my experience as a physician I frequently see slight variations in test results that are not indicative of any abnormality. Has there been a change in the way you feel if recent? Did you had any medication in regards to this? Do you have a family history of heart disease? Do you have diabetes or high blood pressure? Any history of stomach ulcer? Do you smoke or drink?" + }, + { + "id": 30122, + "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": 22520, + "tgt": "I have stomach pain and I am not able to sit for long. What could it be?", + "src": "Patient: Hello doctor, I have stomach problem for four to five years. I do not know what it is. But, it is there all the time and I get pain when I eat something. Nowadays, I am not getting to control my stomach problem. Another thing is that when I eat something, I just get pressure on my stomach. I am not able to sit for long on my office seat. What should I do? Doctor: Hello. Where is the stomach problem? I mean which area of the abdomen your feel pain? Are you burping frequently? How many times in a day are you passing stools? Is there any mucus in the stools? Probably, you are suffering from an IBS (irritable bowel syndrome). Other possibilities like chronic gastritis and peptic ulcer disease, lactose intolerance, celiac sprue, ulcerative colitis, and Crohn's disease can also be included. So avoid spicy food and dairy products, avoid processed foods, avoid coffee and alcohol and have a regular exercise. I suggest you use tablet Pantoprazole before breakfast for two weeks, tablet Normaxin (Clidinium Chlordiazepoxide, and Dicyclomine) twice a day for five days, tablet Rifaximin 200 mg thrice a day for five days, and tablet Simethicone 80 mg twice a day for five days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If still, symptoms persist then you may need an ultrasound of the abdomen, upper gastrointestinal endoscopy, stool examination and a doctor consultation. Follow up after five days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27885, + "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": 20549, + "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": 8697, + "tgt": "Kindly explain the symptoms of PMDD", + "src": "Patient: Hello doctor, What are the symptoms that lead to a diagnosis of PMDD? Who tends to diagnose it - Is it mental health or OB/GYN? Why is this different from PMS? Why is it so underdiagnosed? (Could it possibly, maybe, perhaps be that medicine sometimes does not take 'women's issues' seriously?) Can it be related to hormonal birth control? Are there any treatments? Doctor: Hi. PMDD is a premenstrual dysphoric disorder which is a form of premenstrual syndrome. In 85 % of women experiencing PMS, only 5 % have PMDD. It is an actually hormonal response of body near menses. It could occur if there is depression and can lead to the suicidal effect. It can show depression, mood swings, intense anger, tension, anxiety, fatigue, etc. It is a form of PMS more severe and disabling. It starts seven to ten days before periods and vanishes as periods start. A rapid decrease in estrogen could be a cause of this. Some hormonal treatments seem to be effective for this like combined oral Contraceptive pills containing Levenogestrel and Estradiol but continuously without Placebo tablets. Vitamin B, Omega 3 fats, exercise, recreational activities, etc. Continue without placebo." + }, + { + "id": 8270, + "tgt": "Is tri-dot test reliable for detecting HIV?", + "src": "Patient: Hi doctor, I was suffering from extreme fatigue last month, so I got a Widal\u00a0test, which was positive. I have had typhoid many times earlier, and two years back I got hepatitis. Last month I got LFT and CBC tests, and I am attaching the reports. LFT was normal, while CBC shows lymphopenia and macrocytosis, I showed these reports to another doctor, and he told me to get tested for HIV polymerase chain reaction test. I had sexual intercourse five months back, and I did the tri-dot\u00a0test three\u00a0times, but they came back negative. But, the doctor told me that tri-dot test is not reliable, so I should get a PCR test. Please help me, I am so tensed. I have a\u00a0bacterial infection and itching on my back, which is not fading away. Doctor: Hi. I had seen the reports that you have attached (attachment removed to protect patient identity). With keeping my answer in mind, consult a nearby infectious disease specialist or physician for examination and treatment accordingly. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5765, + "tgt": "My husband gets repeated episode of dizziness and chest pain. Is it something to go to ER?", + "src": "Patient: Hello doctor, My husband went to the hospital before four days because he felt dizziness and chest pain. They found no troponin and told us his EKG was fine. His bp was 105/70 mmHg in the hospital. The next day we went to a cardiologist and found partial right bundle block and he ordered more tests. Today we heard that his grandmother had IHSS. We were not aware of this during our appointment with the cardiologist. Today he went to the grocery store and he felt the same dizziness symptoms, though it was not the same degree as before. My concern is whether if this is something to go to ER? His BP 15 minutes after today's syncope event was 123/70 mmHg. Doctor: Hello, Welcome to icliniq.com. Thanks for your detailed explanation. I understand your worries, but there is nothing much to worry about. It is common to have an event of fainting and dizziness, I see often amongst my patients with RBBB (right bundle branch block). RBBB is due to a slow heart rate that is why he is having dizziness often. You should not worry about going to the ER (emergency room) as his blood pressure and heart rate is normal for now. You should keep monitor of the rates at least every two to three hours. If his symptoms persist with a drop of heart rate below 60 bpm, you should consider taking him to the ER informing them of his present condition. Hope he gets better soon." + }, + { + "id": 1061, + "tgt": "I have tiny hard black spot on penis with no harm and it does not go away. What could it be?", + "src": "Patient: Hello doctor, I have a tiny hard spot on the head of my penis. It does not bother me unless I mess with it. It has been there for many many years, but just recently I have noticed a bit of pain when I am just sitting around. It is probably the size of a pinhead and it is dark in color. I have not had a sexual partner in a very long time (years). It does not seem like a boil or a pimple. The very top of the spot is black. Please suggest. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried. Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes. Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time. Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time. Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition. Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time. You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head." + }, + { + "id": 14914, + "tgt": "Not able to sleep from almost 8 months till now. Always thinking and questions running in mind", + "src": "Patient: Hello doctor, I am not able to sleep from almost eight months now. I keep thinking, and questions keep running in my mind. I am also depressed. Please help. Doctor: Hi. The problem of sleep and excessive thinking might be due to depression itself. For sleep problem, try to avoid caffeinated drinks after 5 PM. Go to bed after completing your work, get up in the morning on fixed time. In my opinion, you need to consult a psychiatrist either online or in person for a detailed assessment of your problem. After a full assessment only, I can advise appropriate treatment for your depression and sleep problem. It is unlikely that eight months long problem is going to disappear on its own." + }, + { + "id": 2346, + "tgt": "I get random suicidal thoughts which increases on trigger. Please help", + "src": "Patient: Hi doctor, I have done some research and I am pretty sure I have depressive bipolar disorder. I have struggled with something I thought was depression for a long time but it was always more like episodes of suicidal thoughts and me being in a deep depression. Like if I do have it the other night I had one that lasted four hours and last year I had one that lasted three months but I did not tell anyone. I would like to do something about it now or know what I actually have. By the way, the episodes are completely random but there have been a few times when there is a trigger. I also want to be on medication because I have tried everything else as nothing works. Doctor: Hello. What are your symptoms exactly? If they are of depression, then the treatment with an SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic and hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder. So if you are just depressive then SSRIs are to be used and if you are bipolar then a mood stabilizer will be added to the prescription." + }, + { + "id": 30725, + "tgt": "Why am I facing bowel problem whenever I go to my native?", + "src": "Patient: Hello doctor, I am a 21 year old male. I came to my native recently for my holidays. I have an issue of frequent bowel movements of around six times a day. But, it is normal and not loose. I also feel some irritation and heat during bowel movement. Also, this is the second episode. First time I got this too when I came to my home town. Otherwise, in my work place I am good. Is this due to food? Doctor: Hi. Revert back after five days to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15849, + "tgt": "What are the chances of contracting HIV after unprotected sex?", + "src": "Patient: Hello doctor, A guy penetrates my vagina without protection and I do not know his status. It was for approximately for 10 seconds. What are the chances of contracting HIV and should I get a PEP? Doctor: Hi. You had a low risk for HIV acquisition. Studies have shown that risk of HIV acquisition through receptive vaginal sex (receiving the penis in vagina) to be 0.08 % (one per 1250 exposures). Post-exposure prophylaxis needs to be started as early as possible within 72 hours of the exposure." + }, + { + "id": 23925, + "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": 3928, + "tgt": "What does it mean when homocysteine levels are high?", + "src": "Patient: Hello doctor, Please examine my heath checkup report with the CBC report extensively and help me to understand my present health condition. Doctor: Hello, Welcome to icliniq.com. I reviewed your reports. (attachment removed to protect patient identity). All and all it looks very good but I have a few questions if you can answer them: Do you have any one in the family with heart attack? If yes who were they and what were there ages? Did some one shred with you that you snore or stop breathing when you sleep? Do you live on a hilly or mountainous area, high altitude area or you travel frequently? Do you have any medical conditions, allergies or taking any supplements? Are you a vegetarian?" + }, + { + "id": 11469, + "tgt": "What can be reason for minimal ejaculation?", + "src": "Patient: Hello doctor, I am married it has been one and a half year of my marriage. It was an arranged marriage, so we took the time to understand each other before making love we took five months, and we did not do it. But after five months period, he tried for one year and could not make it. He can only ejaculate for some seconds. Is this because after marriage we took five months and so he is not able to make it now? Doctor: Hello. It is not because of the five-month gap. He might be suffering from premature ejaculation disorder. Why did you wait for five months? Does your husband have any bad previous sexual experience? If he had a failed sexual intercourse, he will try to avoid it, because he thinks it is going to be a failure again. And he woulod be afraid of getting humiliated infront of you. So he thinks it is better not to have sex. On management part, first try to relax him, and make him understand that you love him even without sex. Now start working on a treatment. 1. SSRI (selective serotonin reuptake inhibitor) antidepressants and Clomipramine. 2. Anesthetic spray on glans penis before sex (only a few studies support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Wear a condom as it may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse." + }, + { + "id": 12832, + "tgt": "What is the treatment done for ocular rosacea, blepharitis, and MGD?", + "src": "Patient: Hi doctor, I am a 22-year-old girl. I have had eye problems for around nine months and have seen several eye doctors and ophthalmologists who all have told me different things and tried a lot of different treatments that have not worked. I am a contact lens wearer with extremely bad eyesight and first had eye problems eight months back. It started after a plane ride and assumed it was an eye infection from being on a dirty plane and touching my eyes. My eyes were stinging and crying and red and I could not bear to put contacts in. Nine months later I am still having this problem. I was first treated with antibacterial drops by a normal doctor then referred to an eye doctor when this did not fix it. The eye doctors diagnosed me with ocular rosacea, blepharitis, and MGD. I have rosacea on my face too. I have done eye compresses, gotten a liposcan (meibomian glands were not clogged enough to need lipoflow), I have punctal plugs in both eyes and I took Doxycycline for over three months which did nothing but destroy my digestion. I have been prescribed Restasis and Lotemax which I use multiple times a day. I use lid scrubs and a tea tree oil eye and face cleanser. But my symptoms are still severe, I have extremely dry eyes, my eyes are bloodshot 24/7. I have red lower lid margins and cannot bear to wear contacts which is extremely upsetting because I am an athlete and this is really impacting my athletic ability and quality of life. I just really hope someone has an answer and treatment that will work. Doctor: Hi. I can imagine the situation you are going through. MGD (meibomian gland dysfunction) with dry eyes related to rosacea is a disturbing problem. Your doctor is treating it very well but in spite of all, you are still having problems. You have done warm compresses, taken oral and topical antibiotics and steroid drops too with artificial tears and punctal plugs. Most of the people respond to this therapy. A contact lens is not advised in cases with severe dry eyes and MGD (but as you told you are an athlete and glasses are not suitable for you). And you are not an ideal case for refractive surgery too with such condition. So considering all these factors I would suggest that discontinue contact lens for some time or minimize duration as much as you can (better to discontinue) until your eyes get better. Secondly, clean your lid margins regularly with wet cotton or baby shampoo to remove crusts (if any). You are already using steroid drops (Lotemax) but I would advise you to use eye ointment at night like Blephamide (has steroid) or plain antibiotic ointments like Fusithalmic (Fusic acid) or Tobramycin. Apply this ointment at lid margins, eyelash roots at night after properly cleansing eyelids (as it is a disease of lid margins). Topical drops have limited effect on lid margins diseases but topical drops are necessary for conjunctival redness. So continue Lotemax (I hope your doctor is monitoring intraocular pressure IOP as steroid drops can cause secondary glaucoma) and Restasis (Cyclosporine). Restasis can be used as many times as you feel the need. As they are preservative free and have no side effects. Punctal plugs are good. So, in short, continue all the medication you are using. Discontinue contact lenses for some time. Continue warm compresses. Try Blephamide ointment (if IOP is normal) or some antibiotic eye ointment. Keep follow up to your doctor they are doing a great job." + }, + { + "id": 5707, + "tgt": "How to correct sudden fall in BP in a hypertensive patient?", + "src": "Patient: Hi doctor, Since two years my mom is taking Atenolol for hypertension. Her dose is 50 mg per day which she eats half in the morning and half at night. About a week ago, her blood pressure became low and today it was 104/65 mmHg and pulse rate is 51. I would be very grateful for your help. Thanks. Doctor: Hi. I have carefully worked through your case and want to assure that I will manage your mother's case. Revert after two days to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2188, + "tgt": "My periods is three days late and irregular. What to do?", + "src": "Patient: Hi doctor, I am trying to conceive. My periods have been irregular for years and never come on time. I am using an application to calculate my cycle as best as I can. I should have ovulated on 7th and my period should have started on 26th, however it did not. Yesterday, when I wiped there was a stringy, slimy discharge tinged with orange and I started getting mild cramps not quite as strong as menstrual cramps. Yesterday was the only day I have seen this type of discharge and it happened twice and was gone. Then today I noticed a brown kind of discharge that then turned to a light pink and red color. I have just spotted a little, which are not enough for a tampon or a pad and not enough to really fill a panty liner. I have seen a few small clots, but not many at all and the cramps are still very mild. Normally when my period starts it will start as spotting for the first hour or so and then pick up and it is always heavy and dark red. I have never had this before. According to the app, I used to calculate my periods.\u00a0My period is now three days late. Again, they are irregular and I never know when I will have them. I took a home pregnancy test yesterday and it came back negative. I did have unprotected intercourse a few days before I was supposed to ovulate and on the day of ovulation. At first I thought it was implantation bleeding, but now I am not sure. I do have the Rh factor and I am Rh negative. I had a RhoGAM shot when pregnant and now my daughter is 19 months old. I had a miscarriage before 5 years. My nipples were really sore a few days ago and I woke up with sudden nausea the same day but nothing since then. Any help or insight would help a lot. Thanks in advance. Doctor: Hello. A delay of three days is not considered as irregularity. Also, urine home pregnancy test is not sensitive before eight days past missed menses. Please rule out any chances of pregnancy with a serum beta hCG test (human chorionic gonadotropin) as of now. If the hCG levels are less than 5 ng/dL, then you are not pregnant at all. In that case the spotting that you are experiencing is likely to indicate that your menses shall start in next few days. The present spotting pattern is due to stress and shall be fine once the flow starts. It is advised to be patient for a week at least as the cramps can be a part of PMS (premenstrual syndrome), if pregnancy has been ruled out definitively. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15317, + "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": 28149, + "tgt": "My 2. 4 years old son has not started talking, and he does not chew food. Why?", + "src": "Patient: Hello doctor, My son is 2.4 years old. He has still not started talking. He also does not follow instructions; hence it is very difficult to make him sit and teach him how to talk. He does not even follow us when we talk to him or try to make him learn or focus. He rarely responds to his name, when a family member calls him. But to strangers, he does not respond at all.\u00a0However, he is a very active toddler and loves to watch and listen to his favorite songs, he also loves and happily watches cartoons and nursery rhymes. He loves to explore mobile phones and TV remotes. He likes to see pictures.\u00a0One more issue is he does not chew food, although he has got all his milk teeth. Even if we try to give him semi-solid food, he would either spit them or choke.\u00a0Please advise about what to do. I am quite worried. Please help. Doctor: Hi. As per your history, I have a few queries. It is advisable you get a detailed investigative workup with hearing test after a physical examination. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30522, + "tgt": "Do all soft cleft palate surgeries require dental treatment as well?", + "src": "Patient: Hi doctor, My daughter is 2 years old and was detected with a soft cleft palate. We had performed soft cleft palate surgery for her.\u00a0I read a few articles and it recommended ortho surgery as for cleft palate. But, I am confused as it is mentioned only cleft palate. I wanted to know whether children with a soft cleft palate also need to go under this repair.\u00a0I do not see any misplacement in her teeth as well as a plastic surgeon, who performed her soft cleft surgery, also did not inform us about it. So, my question is do all soft cleft palate surgeries require dental treatment as well? What are the symptoms to identify whether our child need it? Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 11331, + "tgt": "I have throat pain for past three days. How to cure the pain?", + "src": "Patient: Hi doctor, I have throat pain. The pain aggravates during eating or drinking. I also feel the pain while even swallowing saliva. I have the pain for the past three days. I am currently taking lozenges (Strepsils). Doctor: Hi. Thanks for posting the query. I have gone through the image (attachment removed to protect patient identity) thoroughly, and I believe that you are suffering from acute granular pharyngitis. You need to start with home remedies such as, 1. Drinking frequent sips of warm water. 2. OTC (over-the-counter) pain relievers such as Ibuprofen or Diclofenac. 3. Use Povidone iodine mouth gargles. 4. Avoid coffee, smoking, chilled food and beverages. If the symptoms do not subside within a couple of days, then you need to consult an ENT specialist for a thorough examination and management. Hope this answers your query; revert to me if you have any follow up questions." + }, + { + "id": 26405, + "tgt": "I am pregnant and I am unable to sit or stand due to pain. Please suggest", + "src": "Patient: Hi doctor,I am 23 weeks pregnant.\u00a0I am having butt pain from two days. I am unable to sit or stand. Please suggest what to do. Doctor: Hello. Hope this helps. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 24147, + "tgt": "Is consuming flax seeds good for hair growth?", + "src": "Patient: Hello doctor,Is consuming flax seeds good for hair growth? If so can I mix the powder in milk and have it daily? Doctor: Hello. Yes, flaxseeds have some nutrients that are good for hair growth. However, it is not the only food that promotes hair growth. Consumption of sprouts and nuts in general provides us many essential nutrients like protein, calcium, zinc, magnesium, iron, etc. You can take a small bowl of sprouts or a handful of nuts as a mini-meal in between your major meals. Regarding flaxseeds, you can take it by mixing its powder in milk, curds or in your food. I hope that helps. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17388, + "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": 30882, + "tgt": "Does the report suggest FSHD?", + "src": "Patient: Hi doctor, Please check the genetic report and it was done to check FSHD. Doctor: Hi. I have gone through your query and the report (attachment removed to protect patient identity). For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14599, + "tgt": "Semen analysis shows low sperm motility. How serious is it?", + "src": "Patient: Hi doctor, Recently my husband had gone to semen analysis and doctor mentioned that he has low motility but not sure how serious is the issue. Here are the results of semen analysis volume 1 ml, the viscosity is normal, reaction alkaline liquefaction is 25, fructose is positive. Total sperm count is 90 mill/ml, rapid progressive motility 10 %, slow progressive motility 20 %, nonprogressive motility 10 %, non-motile sperms 60 %, live sperms 40 %, dead sperms 60 %, normal forms 80 %, abnormal forms 20 %. The doctor said that he has an infection and suggested Popson tablets and he is taking tablets from the past three months. Also, he has undergone circumcision three months ago as frenulum tear is happening frequently. Could you please suggest how serious is the issue? Doctor: Hello. Your husband is suffering from asthenoteratozoospermia where motility is very less and dead sperms are high, likely due to infection, yes. The life cycle of sperms is 120 days and hence at least three months of treatment is required with sperm energizers and antioxidants after two weeks course of antibiotics to increase the motility and number. The present count is the cause of male infertility and hence non-conception." + }, + { + "id": 22124, + "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": 25349, + "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": 9342, + "tgt": "I am pooping red blood almost every day. Can you suggest some home remedy for my problem?", + "src": "Patient: Hello doctor,I am a 42-year-old male. Three years approximately poop red blood a lot. But in the last two weeks more so. Almost every day it is coming now with stomach pain and slight bloating any information needed. Any home remedies to ease one or all of my symptoms? Any home remedies to slow whatever it is down. Doctor: Hello, Welcome to the icliniq.com. You have blood in stool complaint along with stomach pain, so points towards gastroenteritis like infective condition. You need to investigate with stool routine micro examination for primary workup. Local rectal and anal examination with the aid of proctoscopy also needs to be done to rule out piles if present. You can be prescribed Ofloxacin and Ornidazole like combination antibiotic for five days. Cooked oatmeal help in the soothing stomach. Avoid the intake of excess spicy foods. Drink a lot of water. You can consult nearby physician for detailed evaluation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 8804, + "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": 19203, + "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": 6291, + "tgt": "My vitamin B12 is significantly above 900. What does it mean?", + "src": "Patient: Hi doctor, I am 21 year old. I am taking tablet Cymbalta 60 mg and tablet Citalopram 10 mg daily for depression and anxiety. Recently, I got a blood test for vitamin B12 and the results turned out to be pretty high at 1344 pg/mL. I am aware that the normal range of vitamin B12 is 200-900 pg/mL. My\u00a0vitamin B12 is significantly above 900. What does it mean? Should I be worried about the same? Please help. Doctor: Hello. Based on your query my opinion is as follows. Revert back after one week with the results to a hematologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2001, + "tgt": "I have white bump on penis with no pain or symptoms. What could it be?", + "src": "Patient: Hello doctor, I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD. Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated. Doctor: Hi. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce's spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance." + }, + { + "id": 10351, + "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": 21714, + "tgt": "Why are the wounds and cuts in the breast not healing?", + "src": "Patient: Hi doctor, My wife is 31 years old. She is suffering from cuts and wounds in her two breasts. My three years old son is continuously consuming milk from her. He has two broken teeth. It adds to the pain on her breasts nipple, and it has got cut now. It became dry, and the skin got cracked. By sucking milk, again and again, the area got more severe and mild itching is present. There is a little bit watery pus discharge from the wound. Healing is not proper in that place. Please help me. Let me know what medicines and ointment are required. Doctor: Hi. Based on the history, it looks like the nipple area is infected. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25820, + "tgt": "Can bleaching be really harmful to my hair?", + "src": "Patient: Hello doctor, I bleached my roots twice in the summer, and there was a ton of overlap, resulting in a lot of breakages. I thought the breakage subsided so I had extensions put in. I just recently had them taken out and realized that my hair has become super thin and I have lost a lot of them and my hair is like clumping in knots because all the pieces have broken off and have fallen together. The pieces are breaking off where the bleach overlapped, which is only like an inch from my root. I realize I caused the damage and the best way to stop it from breaking off is to not dye it or use any heat on it. But is there any way I can keep the rest of my hair from breaking off? I am about to take Viviscal. Doctor: Hello. Bleaching repeatedly would cause damage to the Disulfide bonds present in the hair, which is most often temporary. You definitely need hair nutrients like biotin, cysteine, selenium, calcium pantothenate, zinc, vitamin C to restore normal growth pattern of hair. Please go through the contents of Viviscal (Vitamin B, Vitamin C, Biotin, Niacin, Vitamin E, Iron, Zinc) supplement and start using it if it has the above-mentioned entities. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Along with these supplements, I would like to mention few hair care tips here: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30916, + "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": 7892, + "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": 13301, + "tgt": "What can be done to manage severe frequent headaches?", + "src": "Patient: Hello doctor, I just got married. Right after two days, my wife experienced a sharp pain on her right head to the neck, it felt like someone hammering the head. Then after 20 to 25 minutes, she slept and it stopped. Then again after 5 to 6 days, it came up again in the same frequency and same pattern just right side of the head to the neck (right side) and then again after three days, it came back. Can you please suggest something? Doctor: Hi. If she does not have any other deficits like a hand or leg weakness or giddiness or cognitive deficits, then most likely it is a migraine. It is just recent in onset. So, we can wait with medicines. Tablet Topiramate 25 mg at bedtime for 21 days, tablet Sibilium 5 mg at bedtime for 21 days. Initially, she may get more sleep, but with lightheadedness for 3 to 4 days, then her symptoms will improve gradually." + }, + { + "id": 29031, + "tgt": "Is intrauterine pregnancy possible with low hCG levels and brown spotting?", + "src": "Patient: Hi doctor, My wife has brown spotting and mild abdominal pain since a few days. We did beta hCG test three times, and the results were 257 mlU/ml, 437 mlU/ml, and 657 mlU/ml respectively. Once in a while, she feels a\u00a0sharp pain on the left side lower abdomen. So, we checked for ectopic pregnancy by transvaginal ultrasound. But they did not find any pregnancy in the left fallopian tube or the uterus, except a thick endometrium. The doctor said that the hope for a viable pregnancy is very low and there is still a chance for an\u00a0ectopic pregnancy. Based on the hCG results, the doctor decided to go for Methotrexate injection. I would like a second opinion\u00a0on this. We got married three years ago, and have been trying to conceive\u00a0for the past two years. My wife had an ectopic pregnancy which ended with right side fallopian tube removal and a laparoscopic surgery was done to remove a\u00a0block on the left fallopian tube. The tube is open as per HSG test. Currently, my wife takes Thyronorm, Folsafe and Naturogest 200 medicines. She also has mild PCOD and hyperthyroidism. Doctor: Hello. For more queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17445, + "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": 2090, + "tgt": "I have telogen effluvium. Kindly suugest me the treatment to get rid of it", + "src": "Patient: Hello doctor, I think I have Telogen effluvium because my hair has been diversely thinning for over a year and I have even lost hair on my neck area and sides of my head, along on top the scalp. I went to the dermatologist once last year and he thought it was TE, but it has not gotten any better and they did not prescribe me anything. Please help. Doctor: Hi. In telogen effluvium, there will not hair loss involving the neck area. Is there any history of acute illness or systemic upset before the start of this problem? Why telogen effluvium was diagnosed? Is there any family illness of baldness? Hair loss over neckline is looking like alopecia areata type of hair loss. Diffuse type of hair loss can be seen in alopecia areata and also in telogen effluvium. Nutritional deficiency is the commonest cause. Keep your hemoglobin above 12g/dl. Take Biotin containing hair supplements. Have dates, fresh vegetables, and fruits rich in iron. After the Corona crisis meet your doctor and do a scalp biopsy to confirm the diagnosis." + }, + { + "id": 24232, + "tgt": "Which medicine can help me manage my depression?", + "src": "Patient: Hi doctor, I am presently working in my startup and under too much stress. I am feeling slightly sad/depressed and would like to have some mild medication to help tide over this stressful period. It is purely work related, and some days I find it difficult to sleep due to constant thinking about one thing or the other. I panic on small issues. Please advice. Doctor: Hi. I have gone through your problem and understand your concern. If these symptoms persist for more than two weeks, then they are suggestive of depression. In such situations SSRI (selective serotonin reuptake inhibitor) such as Sertraline is helpful. Also, try regular exercise, adequate sleep, maintain sleep hygiene, avoid alcohol, smoking, etc. Also, rule out thyroid dysfunction by checking T3, T4, TSH and blood sugar levels as a minimum investigation. SSRI are prescription only drugs. So, you need a prescription for the same. I recommend tablet Sertraline 50 mg daily and Benzodiazepine such as Clonazepam 0.5 mg as and when required at night time for sleep. But, it is not to be used daily. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 29559, + "tgt": "Is it possible to make a print that could be read only with a specific lens?", + "src": "Patient: Hi doctor,I am a visual communication student. This is not a question related to my health, but it is related to a project I am working on, and it would be helpful if you share your knowledge with me. I was planning to do a print, which could be read with a specific lens for all the audience. Otherwise, it cannot be read. Is it possible? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18461, + "tgt": "Why is my SGOT and SGPT raised after chickenpox?", + "src": "Patient: Hello doctor, I had chickenpox one month back and my SGOT is 178 and SGPT is 251 now. Elastography is 5.3 kPa, ANA is 13.74, IgG is 2145, serum ceruloplasmin is 24.90, hepatitis E antibody IgM is 0.09, bilirubin total is 0.40, bilirubin direct is 0.10 and no fever, urine white, no weakness, and the doctor could not conclude. Doctor: Hello. Persistent elevation of liver enzymes can be due to many different causes. Drugs, viruses, autoimmune and alcohol can cause this picture. I would like to see the reports if possible. Also, I would like to know if you had done hepatitis B and hepatitis C testing. Also, what is the trend of SGOT/SGPT, is it downward or stable? What about alcohol intake? Are you currently on any medication? Varicella (chickenpox) can in some cases cause hepatitis. Though it should have been recovered by now. If the trend is downward, I will not worry. If still persistent, then you will need further investigation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12361, + "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": 18568, + "tgt": "A part of my penis discolored after a reconstructive surgery. How to treat this?", + "src": "Patient: Hello doctor, Four months ago, I had a reconstructive surgery on my penis for congenital penile curvature. I had some complications such as hematoma and scar leakage, but I am good now. When my penis healed, a part of it became brown/black (discoloration). Is there a way to reverse this discoloration? Maybe what I am facing is post-inflammatory hyperpigmentation. I tried multiple creams and it did not work. Can I treat this discoloration with laser treatments such as IPL or laser resurfacing? How many sessions do I need? I attached some pictures. Thanks in advance. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 3983, + "tgt": "Can I take Olanzapine for depressive personality disorder?", + "src": "Patient: Hi doctor, I am a guy , 23 years old and I was suffering kind of social anxiety in my childhood and in my teenage and that is why I visited a psychiatrist when I was 18 years old, five years ago and he prescipted me zoloft 50 and olanzapine 2.5 without telling me the exact problem and by starting taking them I sarted getting some relationships and better social skills but recently I visited him again because of feeling not okay and getting angry easily and he prescripted me the same old medications plus third one which is sodium valproate 200. He told me that it prevents person from getting angry and keeps the mood stable and he told me that I have \"depressive personality disorder\". But my fears and my family fears is about olanzapine and its side effects. They see it irrelevant for depression and related to psychosis. Do I really need olanzapine? Doctor: Hi. I do understand the confusion, Olanzapine is an antipsychotic , that is why you are concerned. But a dose of Olanzapine upto 5 mg is often added with antidepressant to help with initial control of severe symptoms. It can be stopped after a while. But now that you have mentioned that you have anger issues as well. I think Olanzapine will help you to some level. A dose of 2.5 is very less and apt for this. What you need to do is start therapy and learn Techniques to control your anger and reduce your anxiety. You can work on confidence building. Once you start feeling better, you can think of reducing the medication. About being depressive personality. ! I need to evaluate you properly to be able to justify it." + }, + { + "id": 7919, + "tgt": "Can using Vaseline during sex cause yeast infection?", + "src": "Patient: Hello doctor,I was having sex using Vaseline. The next day I found a rash under my foreskin and it is like peeling and redness on my penis head. I was having coconut oil for treating the itchiness and today I see red blood blister like things around the corona of the glans. My wife said she got yeast after using Vaseline. I am concerned about what it might be. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I can see macerated scaling and superficial erosions on the glans. This seems like a penile yeast infection. I suggest you take an oral antifungal such as tablet Fluconazole 150 mg once a day for three days. In addition, I suggest you apply a topical antifungal like Candid-B cream (Clotrimazole and beclomethasone dipropionate), twice daily for a week. 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": 6948, + "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": 8231, + "tgt": "A bump has appeared on my penis. I have feverish symptoms. What could it be?", + "src": "Patient: Hi, I have a problem. I am a 24 year old caucasian male. Past history: 1 and a half years ago a boil - carbuncle formed on my penis, popped after 4 days. I used Framykoin for a week and it went away. A month later molluscum contagosium formed right above penis, stayed like that for 2 weeks, then doctor burned it off with liqud hydrogen, and gave me betadine to use. It healed within 2 weeks. Present complaint: 11 days ago a bump appeared on my penis, near foreskin. I thought it was a boil which I had before, so I kept applying Framykoin for 5 days, it kept drying the bump. Then visited a urologist, he tried to pop it but it was not poppable. He told me to stop using Framykoin and let it heal by itself. Well, I decided to use betadine instead (I am on the 3rd day now). Symptoms: Bump hurts when I put pressure on it, and hurts only very slightly when idle. Bump was itching during first week as well, but only little bit. There is no visible head, it is approximately 10x7mm big, dome shaped, when I tighten the skin on penis, it becomes a visible bump, and is shiny. It is more like purple/red. There is no visible head and is unpoppable and is kind of firm when squeezed (but top is soft). Also, after 2-3 days I found out lymph node was swollen near groin area and I had feverish symptoms (but that could have been due to fact that I also have been using internally for 7 days oregano oil, since the bump appeared, and oregano oil is a strong natural antibiotic). It is certainly not herpes, I do not have those, and symptoms look nothing like it. I hope it is not a cancer either, we do not have it in family (so chances are reduced). It also cannot be an STD, since I have been only with my wife. I have attached pictures of the bump. What could it be, furuncle, carbuncle, molluscum contagosium, inflamed sebaceous gland or cyst, or something else? Doctor: Hi. Coming to the differential diagnosis and treatment: Chances of it being furuncle is less as it is a progressive condition and would have certainly popped out by pressing. Carbuncle is the collection of furuncle, so chances of it again is very less. Since you have a history of molluscum, it could be molluscum, but you have destroyed its classical morphology by popping it out in early stage. It can certainly be an infected sebaceous cyst or infected apocrine gland which are normally present in high number over the genital area. You were right of it not being any STD. Lymphadenopathy is a non specific finding and could be due to any infection involving the genitalia. Take Amoxicillin-Clavulanic acid 625mg twice daily for 7 days. Continue betadine lotion and do not try to pop it out. Revert back after two weeks to a dermatologist online for review --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 991, + "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": 3409, + "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": 15655, + "tgt": "Is it possible to get pregnant while taking medicines for PCOD?", + "src": "Patient: Hello doctor, I am 27 years now. Two years back I was diagnosed with PCOS. My weight is 60 kg now. I consumed Met PCO care and Ginette 35 for the last two years. Here I am attaching my last USG report. I want to know if I will able to get pregnant or not and moreover, what is the last age for getting pregnant with this problem? Are these medicines good for me? Should I stop consuming all these medicines? Doctor: Hello. Stop Ginette (Ethinyl Estradiol) if you want to plan. You can continue with Met PCO care (D-Chiro-Inositol and Methylfolate). Do some lifestyle and dietary modifications. Stop junk food. Lose some weight. You will conceive. Fertility usually starts decreasing after 30 but people do conceive at an age of 45 even. Just relax and you can go for ovulation induction if ovulation does not occur normally." + }, + { + "id": 21383, + "tgt": "I took antirabies vaccine only 13 days after a shrew mouse bite. Am I at risk?", + "src": "Patient: Hello doctor,I had taken two antirabies shots ten and three months back for a dog bite. A shrew that had entered the house bit me on my back two weeks back. There was no bleeding even on applying pressure on the area, but the next day I noticed a small clot on my back like the one we have after a scratch. In my stupidity, I only took a tetanus shot and took an antirabies vaccine only 13 days after the bite. So, I am very scared now that am I at risk. What should I do? I am very worried. Please advise if I need to take immunoglobulins or complete the five-vaccine schedule. I am very tensed because of my foolishness. Please help. Doctor: Hello. Rabies vaccination should ideally be started on day 0. But, you have not developed any symptoms. So, it is not late to start vaccination now. You should complete the five-injection rabies schedule. Since it was a category-2 exposure, the immunoglobulin is not required. Good luck. For further queries consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 21560, + "tgt": "I took the first abortion pill but did not get the bleed. Why?", + "src": "Patient: Hi doctor, I took the first abortion pill but until now, I did not get bleed. What is the reason? Doctor: Hello. It is really a very short description of your concern. It would be better if you would send me your detailed gynecological, menstrual, obstetric, medical and other histories. Which pill have you taken and how much dose? Had you confirmed your pregnancy status before having the pill? If not, have serum beta hCG (blood pregnancy test) to have a clear idea about your pregnancy. On which date have you taken the pill and what was your last period date? If pregnancy is confirmed and it is early pregnancy, emergency contraceptive pills give withdrawal bleed but if already few weeks pregnancy it needs proper dosage to have induced miscarriage. Kindly send me your details so that I can guide you. In case of a positive pregnancy test, check again the level of beta hCG after 48 hours from the previous test. It will give us a clear idea about pregnancy progression or the effect of the pill on it as well. If the second level comes less than the previous it is a miscarriage. If the second level shows increase more than 60 % then it is a normal growing pregnancy. If the second level shows less then 60 % increase it is alarming and you need a transvaginal scan to exclude pregnancy outside the uterus (ectopic pregnancy). In case of pain, bleeding, dizziness with a positive pregnancy test, better to report to a tertiary care unit. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4120, + "tgt": "Will chondromalacia patella cause any complication during pregnancy and delivery?", + "src": "Patient: Hello doctor, I am a 33-year-old female. I have mild knee pain for the past six months to one year while working for long hours. No constant continuous pain. But I have discomfort while bending or sitting down for a long time and climbing stairs. I am suddenly getting some discomfort like something dislocating while walking. For one year, I started with a mild cracking sound, the clicking and cracking sound is there always while bending or squatting. I am taking collagen powder and I took an x-ray. My questions are: chondromalacia patella will go away on its own? How long it will take to heal or recover fully? Will stretch exercise and hot bag alone cure this? Doctor prescribed Repacoll bioactive collagen peptides, how many months do I need to take it? Please give your advice to heal completely asap. We are planning for a second kid, will this create a problem (excess knee pain) during pregnancy period? And during delivery (labor or c-section) will it give any complications? Doctor: Hi. Chondromalacia patella is just a softening of knee cartilage. It will strengthen with exercises and medication and it will get better. Chondromalacia itself can take three to six months to get better at earliest if the exercises are strictly done and followed. Exercises will make your cartilage stronger and it will cure chondromalacia. You can take Repacoll bioactive collagen peptides till pain reduces and then stop as per your doctor's advice. Best is to do exercises and have an active lifestyle and take medication only when pain is unbearable. Chondromalacia would not cause any problem with pregnancy. However, you might have to stop all medication when you conceive." + }, + { + "id": 13407, + "tgt": "What has caused a sore pimple in my vagina lips?", + "src": "Patient: Hi doctor, I have a very sore pimple on the inner side of my outer vagina lips. I have had the occasional one in the past on the same side and usually around the same area. It is like an ingrown hair or clogged follicle. I do shave down there. They usually go away on its own but this one seems very big and very sore and would like to know if there is a way to heal it faster. I only have one bump at a time. My PAP tests have come back normal aside from some yeast. Do you have any suggestions? Doctor: Hi. Shaving or waxing the intimate areas often lead to ingrown hairs, infected follicles out there. Either you can cut it out with scissors leaving a bit or go for laser hair removal. These problems settle down forever. Do use douches, just cleanse the area with water during bath. For the boil now, give hot fomentation to the local area. The problem will resolve once the pus comes out, the ingrown hair will be seen, and you can gently pull it out with a tweezer cleaned with alcohol." + }, + { + "id": 682, + "tgt": "I have numbness and pressure in nerves with tinglinig in head. Why?", + "src": "Patient: Hello doctor, I have numbness, pressure following a nerve path, and tingling in the head while I concentrate more. It has been there for eight years and I have done two MRIs so far and that came back negative. Doctor: Hi. I understand your problem but it is difficult to arrive at a conclusion with limited information. Please tell me in detail. Tell me where exactly you have numbness, I mean where in the head, on top on right, or left, or front, or back of the head? Which nerve path do you feel pressure? Is it in the whole head or on the side? Similarly where exactly is the tingling? Do you have nausea or vomiting sensation? Do you have blurring of vision or irritation with light or sound? Did you take any medicines in the past for the same? If yes, what was the result? How is your sleep? What is your profession?" + }, + { + "id": 25859, + "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": 3129, + "tgt": "Kindly suggest some medicine to become energetic and active", + "src": "Patient: Hi doctor, I am taking Stalopam 10 bd, Fludac 20 od and Alprax 0.5 od for anxiety and depression. I feel sleepy in daytime and frequent yawning. I feel fatigue and no energy or activeness. I am also on Olmesartan for high BP; Harty and Mactor EZ for high cholesterol levels. Kindly suggest some medicine which will give energetic and active signal from brain to body. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10754, + "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": 15633, + "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": 13355, + "tgt": "Kindly guide me about the advantages and disadvantages of eardrum surgery", + "src": "Patient: Hello doctor, My daughter, 11 years old, has her eardrum damaged. I want to know the advantages and disadvantages of ear drum surgery. Doctor: Hi. I understand your concern and here I would like to say that if your daughter is having an acute perforation of eardrum then that may heal by consecutive medical treatment. On the other hand, if it is a chronic perforation then surgery is the only treatment. Usually surgical results are good and the patient gets cured but unfortunately, sometimes complications develop like the failure of surgery by a rejection of the graft, hearing loss, recurrence of discharge, facial palsy." + }, + { + "id": 23359, + "tgt": "I have thyroid problem and weight gain problem. I want to lose my weight", + "src": "Patient: Hello doctor,I have a thyroid problem and weight gain problem. I want to lose my weight. TSH is 7.63. I take Thyronorm 100 for last three years. Doctor: Hello. There are a few things that you need to know. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 16911, + "tgt": "Is my headache a side effect of any medicine?", + "src": "Patient: Hi doctor, I am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and then changed to Zapiz. But, my headache has not reduced. My scan report is normal. I am in a trouble with this continuous headache. Is it a side effect of my cardiac problem medication? How to get rid of this condition? I also suffer from mild chest pain. Recently, I had a blood test and all are fine except lipid profile,\u00a0HDL cholesterol 36 and SGPT 91.\u00a0Also, my red cell distribution width is 16.2 and the normal range is 11.6 to 14. So, is my value dangerous? I had Deanxit for 5 years, according to the prescription and stopped before 2 years.\u00a0Is my heart disease dangerous? Please help me. Doctor: Hi. I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery disease). The possible reason for the headache is your medicine Monit SR (Isosorbide mononitrate) can be a cause of headache. Nitrate headaches are well known and we would need to see if this is the reason in your case. Also, since you have CAD at such a young age, there can be a possibility of carotid artery blockage which might be giving you a headache. Get that evaluated. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25496, + "tgt": "Why has menstruation not started in my teenage daughter?", + "src": "Patient: Hello doctor, I have a daughter whose age is 15 years. She has not started menstruation. I want to know the reasons, please. Doctor: Hello. Usually, girls start menstruating by the age of 15. If there are still no signs of menstruation then it is possible that she might be suffering from congenital gynecological malformation. There could be many reasons for that. It could be due to a thick membrane covering the vagina preventing blood to come out. It could be any other malformation in the outflow tract of the female organs. It could be due to faulty hormones or decreased hormone production or genetic issues. I suggest you visit a gynecologistfor an examination and detailed evaluation to look for the cause. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15123, + "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": 6616, + "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": 26152, + "tgt": "I had sudden chest pain on exercising. Why?", + "src": "Patient: Hello doctor, Yesterday, I went to college. I took a snack there at 3 PM and after coming home, I had my lunch at 5 PM. At 6 PM, I was doing some pushups at home. Suddenly, I felt a chest pain. After 10 minutes, it increased. So, I went to a hospital. The doctor said that my blood pressure was 159. Then, he gave some treatment. Today, I checked my BP again. It was 150/90. So, what can I do and what must be the normal BP? I have asthma. Is this related in any way? Doctor: Hello. For more information consult an internal medicine physician\u00a0online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5315, + "tgt": "My 3-month-old baby is on formula feed and not gaining weight. Why?", + "src": "Patient: Hello doctor, My baby girl is 3 months old and her weight is 4.5 kg. The cesarean was done at 37 weeks. She was 2.5 kg at the time of birth. I am using Lactogen 1, as the breast milk of my wife is very very low. I informed the pediatrician who takes care of my baby that we are giving 3oz but my baby after taking 1.5-2.5oz is refusing to accept as she is sleepy and we are unable to intake her anymore. Sometimes the baby is sleeping for four to five hours without consuming and sometimes she is sucking her fingers after two to three hours and when we are giving the feeding bottle she is taking 1.5-2 oz. The main problem is that we failed to understand whether my baby is hungry or she is sleepy as in both the cases baby sucks her finger. After explaining the same, the pediatrician said that she has not gained much weight and advised to have urine and blood test for CBC and TSH. When I asked him that whether can I change the formula milk he said that all are same and if we wish, we can change but has not given any suggestion. Please help me whether I need to change the formula milk and can use Dexolac 1 by replacing Lactogen 1? I cannot afford costly formula milk. Also, please guide me that how much oz I have to give and how much gaping is needed? Also when the baby is sleeping, shall I awake her and give the feeding? Please suggest. Doctor: Hello. No need to change the formula milk, continue the same formula milk, as the baby grows there is no hard and fast rule that the baby takes milk every two hours. The feeding should be on demand, whenever the baby wants milk she will cry. The best method to see whether milk is enough or not is to see the number of times the baby is passing urine. If it is six times a day that means the milk is enough. Since your baby was preterm the growth might be a little slow, you should be worried only if the baby is not tolerating feeds like if she is vomiting too much or having too much of loose stools." + }, + { + "id": 6124, + "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": 760, + "tgt": "I have high triglyceride and low HDL. What medication do I need to start?", + "src": "Patient: Hi doctor, I am 34 years old and weigh about 96 kg. My latest lipid profile shows Triglycerides - 398 mg/dl. HDL - 27 mg/dl. LDL - 96 mg/dl. Total - 175 mg/dl. Please advise what to do? Any immediate medication I need to start? Which doctor to consult? Any other tests to be done? Doctor: Hello. I can understand your concern. According to your statement, you have increased triglyceride levels and low HDL (high dentisity lipoprotein) levels. Your HDL has been varying from 24 to 38 for the last three years and your current medication is Colred powder which is a nutritional supplement used for dyslipidemia. For your high TG (triglycerides) level you can start Fenofibrate (trade names Finate, Fenofibrate 200 mg) at night. You can also take Omega-3 fatty acid (trade name Beneficial, Bree C, Carmax) for increasing your HDL. You should avoid oily and fatty foods. Continue your current medication with Fenofibrate and Omega-3 fatty acid. After three months, repeat your fasting lipid profile." + }, + { + "id": 5234, + "tgt": "I get some unnecessary thoughts repeatedly after witnessing some incident. What to do?", + "src": "Patient: Hello doctor, I am 25 years old. I think I got this disorder, whatever happens to someone I feel like it is going to happen to me. I think when I was in seventh grade I was watching a movie, in that a guy hates God and abuses God. I do not know what made to think I started abusing God even though I did not want to. So these thoughts were so repetitive. After a year same thing happened I was just changing the channel and I found one serial interesting. In that a guy was lost from his family and was stuck in a forest, he was just looking around like he was lost. I do not know what made me think like how humans came to this world, how animals are evolved? Why did I get these thoughts? I started asking people some are like apes, it is God who created if it is God then why this happens? For some reason, my mind was not ready for any answer. If I stick to God, I will be thinking fine, it is God who created man and animals then we found different languages, we made roads, we made money. So I will start thinking from the beginning. My mind will say look for a different answer, then I stick with the answer apes, then also I will start thinking from the beginning. I am not thinking about the present and future. I am going to the past and I will start thinking from the beginning. These were there for some months, later I joined engineering, in the final year it stated again where I was completely lost and thoughts were killing me. I did not sleep for a month. Finally consulted a doctor and was under medication for six months. I was super happy started enjoying my life. Now, after three years I am getting the same thoughts. Please help me. Doctor: Hello. I read your query and understand your concerns. Although it is never possible to make a final diagnosis without interacting with the patient, the available description points toward the possibility of obsessive-compulsive disorder (OCD). The OCD is a type of psychiatric disorder which causes repetitive thought pattern despite the due resistance by the sufferer. If the repetition is not done the person experiences extreme anxiety which forces again to do things or thinks in a particular direction. Although it is one of the psychiatric disorder which needs consistent effort but there are a number of options available for its treatment. Most individuals respond to either medication or ERP (exposure response prevention therapy) a form of psychotherapy. Some of them may need a combined approach when there are severe symptoms. Since it is a treatable disorder it is important to start treatment after talking to your doctor. In case you prefer online consultation you can have one here. I must inform you that personal consultation is better, but if the facilities are not available there is no harm in going for online consultation." + }, + { + "id": 12749, + "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": 2834, + "tgt": "What are the reasons for palpitations and dizziness?", + "src": "Patient: Hi doctor, Over a month ago, I had an episode where my heart started racing out. I got lightheaded and dizzy. I thought it as a heart attack. However, I went to my doctor and he listened to my heart beat, checked my pulse and my blood pressure. He said that everything was fine and I just had a panic attack. However, I did not get convince. I was scared and anxious, so went to the ER. There they also took my pulse and blood pressure along with an EKG and a chest x-ray. The doctor said that I was fine, and I am not going to have any heart attack. He then listened to my heart and told me that it was just stress and anxiety.\u00a0Can you help me out and relieve my worry? Doctor: Hello. There are various reasons for having palpitations followed by dizziness. The most important one being an abnormal heart rate or rhythm which starts suddenly and terminates abruptly. This could be detected by different monitors that you can carry with you and these devices can pick up the abnormal heart beats. Second of all is a thyroid disease. Excessive thyroid hormones can cause stimulation of sympathetic nervous system and you will feel hot, flushed with palpitations. Weight loss and diarrhea along with excessive appetite may also occur. Last but not the least is the most common type and is called as vasovagal phenomena. It happens when you suddenly change position from sitting to standing; your body does not have enough time to compensate and you may feel having racing heart beats followed by dizziness. A panic attack is a diagnosis of exclusion and I would not jump to this conclusion as of now. I believe that you experienced the last type I mentioned above that is vasovagal. If you get another episode then I would suggest seeing a cardiologist. Try cutting down the caffeine intake (including soda and other caffeinated beverages), I request your doctor to check your thyroid profile. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13961, + "tgt": "I am severely anemic. Kindly help", + "src": "Patient: Hello doctor, I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy and pale. Can anything help my severe anemia? Doctor: Hi. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. Enlarged spleen could be due to increased destruction in spleen or production of cells in the spleen to improve anemia (extramedullary hematopoiesis). I would like to know the following details:" + }, + { + "id": 22709, + "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": 2617, + "tgt": "How can low confidence associated with premature ejaculation be managed?", + "src": "Patient: Hello doctor, I am male, 26 years old, sex insecure and low experienced, first trauma got 99 during bombing of Yugoslavia, had to get new urinal channel, and product of that is I am circumised. Later in school, I have been bullied for 4 years constantly, physical and mentally by my \"school friends\". Could not get into relationship till 25th year old, had 7 times sex, with 10 seconds each. Troubling to stay erect, fast ejaculation, and even lower self-confindence than before. Now I am troubling and overthinking what will happen next time, will there be next time, although it is hard to get into relationships because of that, cannot stop pressuring myself with being bad in bed and unexpirienced, as time pass, it only gets worse. Doctor: Hello. I am so sorry to hear about your situation, I can imagine how hard it is for you. So you are describing a few things here, when is the problem of premature ejaculation, second is performance anxiety which is making you overthink, third is low self confidence. Probably that came from the bullying and the trauma that you endured. I would suggest you to start therapy sessions to help you build your confidence which will help you in decreasing the performance anxiety and then it will of course improve the problem of premature ejaculation. If the mental health is stable, sexual issues often resolve. Is there some neurological issues you will need to talk to a neurologist or a urologist for that. Try doing kegel exercise regularly which will help you in strengthening the muscle of pelvis which helps in premature ejaculation. Apart from that you will require therapy sessions to work on your confidence building and reducing anxiety. Cognitive behavioral therapy will help you in achieving this." + }, + { + "id": 2306, + "tgt": "I had sex with condom before some years with no symptoms. Will I get HIV?", + "src": "Patient: Hello doctor, I had sex with condom. Is there any chance to get affected with HIV? Until now, there are no symptoms. Generally, how many days will it take to identify HIV after sex? Please suggest, and I am a bit worried. Generally, in my company, they conduct medical tests yearly and in that it shows negative. Doctor: Hello, Welcome to icliniq.com. Doing sex with condom is safe unless it has torn or leaked. Was your partner a known case or later diagnosed to be HIV positive? Company tests that you have done, if it was for HIV and if it is negative, then you need not worry about it as test results will be positive in four to eight weeks after exposure. And the symptoms and presentation may be late and vary depending on the patient's immunity and other things. It is present with some symptoms be delayed even up to a decade or more. If you are already tested for HIV, and it is negative, then I do not think there is any reason to worry about your incident. If not yet tested and you want to clear your doubt, get it checked after this Covid period. It is not an emergency. Be careful and take safety measures." + }, + { + "id": 28776, + "tgt": "I have been spotting for more than 15 days. What to do?", + "src": "Patient: Hi doctor, I have been spotting for more than 15 days without any pain. I had periods before 20 days, and it has not completely disappeared. I am married but had not had sex in the last two years. I had missing and irregular menstrual cycle once a year, but never like this. I had progesterone six years back and had not taken anything since then. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24807, + "tgt": "What is the meaning behind my blood values?", + "src": "Patient: Hi doctor, What is the meaning behind having these blood values? MCV 72.9- MCH 25.0- RBC 5.79+ All other values are normal except for globulin 2.15. Can it be an anemia while having normal hemoglobin and normal RBC count (even higher than normal? Doctor: Hello. MCV stands for mean corpuscular volume which is the mean volume of the red blood cells. MCH is mean corpuscular hemoglobin, which is the mean amount of hemoglobin in each red blood cell. From your test results (attachment removed to protect patient identity), it does not look like you have anemia since your hemoglobin, RBC count and MCHC are normal. These changes are just borderline and usually show fluctuations with changes in the factors affecting health. All your other parameters are normal in the CBC (complete blood count). Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21202, + "tgt": "What has to done for dual marker test showing high risk for Down's syndrome?", + "src": "Patient: Hello doctor, I have done a dual marker test. My age is 34 years old. The disorder is Down's syndrome. Result increased. Final risk 1:212. Age risk : 1:433. Cut off : 1:250. Doctor: Hello. The risk as mentioned is high. So the next step would be to get a quadruple marker at 14 to 16 weeks and if positive then amniocentesis for fetal cell karyotyping can be done to get a conclusive result to rule out Down's syndrome. If you prefer non invasive test for the same then you can opt for NIPT test or non invasive prenatal testing." + }, + { + "id": 2552, + "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": 8305, + "tgt": "Can diabetes medication be stopped as HbA1c has reached 5. 6?", + "src": "Patient: Hi doctor,This is with respect to the health condition of my wife. She was diagnosed with type-2 diabetes with HbA1c of 10 three months back and was prescribed with Jalra (50/500), Invokana (100). We consulted a dietitian as well and went on exercise with full diet control. Took the HbA1c results yesterday and was found to be 5.6 with CBC-hemoglobin-13.2.Her doctor was surprised and was not able to believe. He changed the medication to Melmet SR 500 mg and retained Invokana and told us to take it for next three months. Please advise us whether to go on with the tablets as we heard that for this level of HbA1c tablets are not required? We want to fight it with diet and exercise.We want to switch to Ayurveda. So, is this the right time?The doctor advised that we should compulsorily be administered with Insulin if we are planning for pregnancy. We are planning in the next year though. Please advise whether do we have to compulsorily be using Insulin? Is there no other alternative? Doctor: Hello. I understand your concern. Since there was a sudden fall in HbA1c level, your doctor might have been surprised by the change. He might want to follow up for a couple of weeks or a month to ascertain that everything is going well. That is probably why your wife is now on Melmet 500 (Metformin) which is the first-line drug for diabetes. If her blood glucose levels are stable with diet and exercise, then she will definitely be able to go off medication. But that needs to be confirmed by the doctor after subsequent testing. Her HbA1C came down to 5.6 while she was on earlier medication. Now the doctor has reduced the dosage to a minimum and your wife's reports will be followed up for further progress. Depending on the next report, your doctor will take further action. That is how it works usually. So do not be in a hurry to stop medication and do not make any hasty decisions. Regarding the efficiency of Ayurvedic medicine, there have been reports of effective medicines in Ayurveda, but that needs to be discussed with an Ayurveda expert. Be sure that you are consulting a doctor who practices pure Ayurveda and prescribes genuine medicines. You may be aware - all that is labeled herbal may not be ayurvedic. Regarding pregnancy, I think what your doctor meant is, when your wife gets pregnant, if her blood sugar is not under control, she will have to take Insulin. It is true because oral medications are not recommended in pregnancy. Insulin is the safest medicine for use in pregnancy. In case her blood sugar is normal during pregnancy (without any medication), she may not need Insulin or any other medication. But she will still need to be tested regularly to be sure that she is in the normal range. You do not have to be apprehensive about Insulin use, there are a lot of myths associated with Insulin use. It is a safe drug, easy to manage, and after pregnancy and lactation, she can slowly move to oral medication again. Since you have another year to plan the pregnancy, she can now focus on lifestyle modification - balanced diet and exercise - and take a decision based on how things unfold. Stay positive, stay healthy. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27259, + "tgt": "Please suggest a treatment for my cracked toenails", + "src": "Patient: Hello doctor, I have a major problem in my toenails. Kindly look at the picture and suggest a treatment. Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). Revert after a month to a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 13112, + "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": 27733, + "tgt": "I have an eye pain after I got hit by a toy bullet. Do I need to visit a doctor?", + "src": "Patient: Hello doctor, I have severe pain in and around the eye after I got hit by a toy gun bullet unexpectedly. There is a slight redness in the cornea and a pricking sensation below the eye ball. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11026, + "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": 8166, + "tgt": "I had a spongy green stuff coming out from my root canal treated tooth. Could this be mold?", + "src": "Patient: Hello doctor,I had a root canal before two months. And recently I felt something was stuck in the hole like chicken. I brushed, rinsed, flossed, and tugged, but it did not come out. My friend looked, and it tries to tell me it was my tooth. Well after about two weeks I decided to take tweezers and pull, and a huge chunk of food came out but liked spongy green stuff was on the end of it. Was this mold, and do you think my hole mouth is affected? Doctor: Hello. I have to say this. Your root canal treatment was not completed. The green spongy thing is nothing but discolored cotton pellet used to cover the root openings top of which a temporary filling was done. This is so obvious that the tooth was not given a permanent filling at all. Please check with your dentist again for the X-rays taken before and after the treatment which will allow to find out if the root canals were filled or not. The reason for the food lodgement is that the temporary filling has dissolved slowly and left-back the big cavity to snug in the food particles. Now, there are a lot of chances for the bugs to retain in the tooth for which you had to undergo a second thorough cleaning of the root canals (most probably without injections). Meanwhile, I advise you to use chlorhexidine mouthwash 0.2 % (without alcohol) 10 ml and rinse with it twice daily for a minute and a week. This will give you an antiseptic effect and remove bad odor." + }, + { + "id": 6058, + "tgt": "My penis is bend towards left. Will it affect my sexual life?", + "src": "Patient: Hello doctor, My penis is bend towards left. Will it affect my sexual life? Is there any medical treatment for it other than surgery? Is the shock wave therapy effective in Peyronie's disease? Will masturbation get the penis more bend? Doctor: Hello. The penis is never straight. When it gets erected it is always been in curvature shape for effective intercourse. However, if you feel excess bending of the penis then Peyronie's disease should be suspected for which Collagenase clostridium histolyticum can be used. The surgery is a more effective way of treating Peyronie's disease. I suggest consulting a urologist for a detailed evaluation. I hope this helps." + }, + { + "id": 8468, + "tgt": "My daughter is 40 days old and crying continuously even after giving Colicaid. What should be done?", + "src": "Patient: Hello doctor, My daughter is 40 days old and she is crying a lot day and night. When consulted a doctor he prescribed Colicaid, and I am giving the same till now but there is no difference. Why? Doctor: Hello. I hope your baby is fine. The dictum you have to follow in baby care is to remember, a crying infant is a hungry infant. Secondly, neve ever bottlefeed and give only breast milk. If you still decide to give formula feeds, feed it with a spoon or baby sipper and give Colicaid drops to avoid colicky pains. Next check if your baby has passed urine or motion and is soiled and if feeling wet change the napkins." + }, + { + "id": 13420, + "tgt": "What supplements can be taken to correct iron and vitamin D deficiency?", + "src": "Patient: Hello doctor, My daughter is 8 years old and we found out that she has low iron at the end of last month due to fainting episodes she was having. She has been on a liquid Iron supplement that she takes with a glass of orange juice since this month. Her iron levels we found have continued to drop even with the supplements. She is constantly fatigued and sleeps half the time. We also discovered she is vitamin D deficient. The doctor has tried to refer her to a specialist but they have said to continue doing what we have been doing. We have been doing this for two months with the opposite of our desired results. Any suggestion? Doctor: Hi. According to the history provided, fatigue, sleepiness, low energy are the main complaints. Let me tell you that in the attached reports (attachment removed to protect patient identity), serum ferritin, serum iron, HB level, WBC counts, platelet count all are within limit. It does not look abnormal. So her iron deficiency anemia seems to be improving. But weakness is still present. Hence, neurological examination and all reflexes should be checked. Investigate with serum TSH, T4 estimation which is strongly recommended to rule out thyroid issues. Check her electrolytes levels also, serum sodium, calcium, and potassium. For low vitamin D level, Cholecalciferol sachet with milk can be prescribed. Check liver and kidney profile also as the disorder also can lead to chronic weakness. If the cause is not identified, then, the muscular dystrophy-like muscular disorder has to be ruled out by EMG like an investigation. Take care. Consult nearby pediatrician doctor or neurophysician for examination and accordingly further work up can be planned (with keeping my answer in mind)." + }, + { + "id": 30633, + "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": 2820, + "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": 10530, + "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": 20027, + "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": 915, + "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": 18134, + "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": 1638, + "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": 25192, + "tgt": "Should I maintain my pulse below 140 during exercise?", + "src": "Patient: Hello doctor,I walk and jog for 40 minutes and my pulse crosses 165. My age is 39 and obese. Taking Olmesartan 20 mg for blood pressure and taking Rosuvastatin 5 mg for cholesterol. I read that one should not exercise more than 140 counts keeping into view my age. Please let me know whether I should reduce my speed and maintain pulse lower than 140. Doctor: Hello. No, there is no such cut off that exists. Now, for your age, you can exercise till your heart rate reach around 180. It also depends upon your exercise capacity whether you are able to do it or not without excessive shortness of breath or other symptoms like chest pain. So, if you can tolerate the exercise then you can perform it, no issue about pulse rate. In general, the intensity of all the exercises should be gradually increased so that they are tolerated better. 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": 17566, + "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": 29220, + "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": 17689, + "tgt": "Do you think low serotonin can cause fatigue, loss of energy and appetite?", + "src": "Patient: Hi doctor, I am a 21 year old male. For the past three weeks, I have been feeling sick. My symptoms are a feeling of general fatigue of my entire body with loss of energy and appetite. Before I got sick, I spent over a week working hard. I just had food once or twice a day, drank little water and did not sleep enough hours. Also, for more than a month I am suffering from stress and anxiety in my work. I went to visit a neurologist and he\u00a0said that I had a low level of serotonin. Do you think this diagnostic is accurate? I have had several blood examinations and they all come out good and I also have a tube in my stomach to check for any issues and it was all good. If it is a low level of serotonin, what do you suggest is the best way to recuperate? What should I eat? What should I avoid? The neurologist wanted me to take Lexapro, which is a pill to treat people suffering depression. I heard it has very bad side effects and I have not started taking it, as I am trying to eat healthy and rest as much as possible. Is this something that people normally get better from? Let me know, if you want to see my blood reports as I can attach it.\u00a0Any of your advice or suggestion is greatly appreciated. Doctor: Hi. I read your query and understand your concern. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3961, + "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": 2118, + "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": 17488, + "tgt": "After hernia surgery, can I lift heavy weight?", + "src": "Patient: Hi doctor, I am a 29 year old. My doctor said that I have an umbilical hernia. Either open surgery or laparoscopy, which would be the best? After which surgery, can I lift heavy weights? I am a sports person and a bodybuilder. Please suggest. Doctor: Hi. If your cardiovascular status that is heart and lung functions are fine, then you can go for laparoscopic surgery. That is cosmetically better and less invasive. The scar will be much bigger in open, so chances of scar rupture and dehiscence are higher in open. The possibility of strenuous exercise in the future will be less with open surgery. However, whenever you go for laparoscopy surgery the consent for open surgery is always taken. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4798, + "tgt": "Do ideal BBT raise during ovulation necessary to conceive?", + "src": "Patient: Hi doctor, I was diagnosed with PCOS when I was 17 years old and from there on I was taking Diane 35 to regulate my periods. I was having three months gap between periods and sometimes was regular before treatment. Now I am 25 years old, married and trying to conceive. So I had stopped Diane 35 last month. Since then we tried naturally for a few months. But it did not work out. So we started with treatments. The doctor initially put me on Ovacare myo and other vitamin E tablets using which I got my periods on time. This continued for a month. Next she put me on Ovacare and Endothik and post 15 days, I was put on Duphaston. This too did not help to conceive. Next, my follicle study was done. I was checked on the 12th day where my follicle was not that matured and ET was just 7. I was called on 15th day which showed my follicle in the left ovary was 19 mm and ET was 10.2 mm. The doctor gave me an HCG trigger injection. I was asked to try in this period. So I and my husband had contact from 14th, 15th, 17th day and also 18th day. I was called on the 18th day which revealed that my follicle had ruptured and it was a fresh one since it has some fluid around it. So since it is confirmed ovulation, I expected my temperature to rise. I had not checked my BBT before but when I did it on 20th day, it showed a temperature of 36.1 celcius. This is way too less right? With HCG shot and ovulation confirmation, I taught it would rise. Is there some issue here? I am given Duphaston and Mbryo safe sachets to be taken. Please advise if this cycle too I do not have any chance? Doctor: Hello. The chance of pregnancy in the ovulatory cycle is around 25-30%. As ovulation was confirmed, you have some chance. Rise in basal body temperature is an unreliable predictor of ovulation, and once you had confirmed ovulation by a more reliable test (ultrasound), there was no need to check BBT. Your body temperature does not give any information regarding the quality of ovulation and there is no need to assign any significance to body temperature in your case. As I already told, you have around 25-30% chance in each ovulatory cycle and there is no reason to lose hope. Just get your husband's semen analysis done if not already done, as normal semen is equally important for pregnancy to happen." + }, + { + "id": 19147, + "tgt": "I am getting recurrent blood clot in my mouth. Could it be due to any deficiency?", + "src": "Patient: Hi doctor, I just delivered a baby five months ago. Since two months, I have this recurrent blood clot in my mouth (photo attached). Whenever I wake up, I feel it, and it comes up as a huge blood clot. Initially, it is not painful but is at the same site each time. And later, it turns into an ulcer that was very painful. This is the third time in the last two months. I am getting a tingling feeling before the blood clot appears. Could it be due to any deficiency or could I be biting it in my sleep? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23351, + "tgt": "How to manage side effect of Veenat in CML patient?", + "src": "Patient: Hi doctor,I am diagnosed with CML with chronic phase TLC was 4.84 lakhs and was on treatment with Hydrox. During the course of treatment, I have developed tinnitus in the right ear. When I got admitted I had severe vertigo. After the treatment I started with Veenat 400 mg, my count came down to 12400 this month. I started treatment four months back. I am facing breathing difficulty and chest pain issue. Please advise if I need to change medicine or how to manage side effect. I am 31 years old female. Doctor: Hello. You have been prescribed an excellent drug for CML (chronic myeloid leukemia) that is Imatinib mesylate. This drug is considered gold standard treatment for CML. It can lead to nausea, musculoskeletal pain, diarrhea, joint pain, pancytopenia, etc., like side effects. So chest pain can be from muscular pain but still, heart failure or other cardiac cause should be ruled out by EKG. Heart failure is a rare side effect of Imatinib. Secondly, for breathing difficulty respiratory tract infection should be ruled out. In cancer patient on chemotherapy chance of infection is there. Chest X-ray and spirometry like investigation will be helpful in that. So according to report if needed specific treatment can be given. For pain, you can be prescribed paracetamol SOS. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26381, + "tgt": "Please go through my dad's CT and tell me how long we can wait for surgery", + "src": "Patient: Hello doctor, I am looking for a second opinion on my father's CT scan (brain). He has been suffering from mild to severe headaches for about two weeks and is now diagnosed with a clot in his head that is causing a midline shift. I am uploading two sets of CT scan images, the\u00a0first one on 26th where the midline shift was 1.22 cm, and the second scan on 28th shows 0.94 cm. Please review the images and advise whether a surgery is absolutely required at this stage. How long can they wait before a surgery is to be decided? Can it be treated with medications as there is an improvement? He is still in the intensive care and his doctor is going to get another CT scan tomorrow. Meanwhile, I would like to get a second opinion. Doctor: Hello. I am sorry to hear about your father. I have gone through the reports (attachment removed to protect patient identity). For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 972, + "tgt": "For gallstone problem, should I get my gallbladder removed?", + "src": "Patient: Hi doctor, I have aches on the right side of the upper and lower abdomen as well as in the back that is below my shoulder blade. These aches have got worse over time in the past seven months.\u00a0My doctor informed me that I have gallstones and that is the cause of my aches and pains. He said that I should get it removed. I hope not. Please take a quick look at my sonogram and tell me what you think of my situation.\u00a0Thank you. Doctor: Hello. I had gone through all the details posted. 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": 9876, + "tgt": "I planned to have intercourse without condom. When should I start birth control pill to protect myself?", + "src": "Patient: Hello doctor,My boyfriend and I are planning to have intercourse next month without a condom. Could you suggest which birth control pills I could use? When should I start having the pills? As it is a one-time activity (as he will be traveling abroad) how soon after the act can I discontinue the pills? Doctor: Hello. In that case, plan to have sex during your safe period, which is between day one to ten of your periods. During the sustained period you need not use any medication or the contraceptive pill. There is no chance of pregnancy as there is no ovulation happening during this period. However, if you have a doubt, then get back to me." + }, + { + "id": 20836, + "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": 27831, + "tgt": "Do you see any abnormality in the attached EEG report?", + "src": "Patient: Hi doctor, I had an EEG done and the results were abnormal. I have attached the reports. What do the results mean? Can I be treated? If yes, then how? I take Aripiprazole, Fluoxetine, and Oxybutynin. I am diagnosed with depression, anxiety, and urinary incontinence. When I was a child (2 or 3 years old), I had encephalitis. When I exercise for a long period of time, I feel like I partially lose consciousness. I have urinary incontinence since 21 years of age. Doctor: Hello. I would like to know some details about your symptoms: Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20121, + "tgt": "Which specialist should I meet for my fever, headache and depression?", + "src": "Patient: Hi doctor, I am suffering from fever since last two months. The fever is on and off. I was also admitted in hospital for two days. I have headaches and eye infection.\u00a0I am also suffering from depression and crying for things without any reason. Which specialist should I meet for my problem? I have acidity problem for around 3 years and daily I get vomit in the morning. All my laboratory reports such as platelet, typhoid and urine tests are normal. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11700, + "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": 16704, + "tgt": "How do I confirm jaundice?", + "src": "Patient: Hi doctor, I am a 37 year old male.\u00a0I did my medical test two days before. My liver function test reports are not good.\u00a0Do I have jaundice? But I do not feel any symptoms. Do I\u00a0need any further tests? Doctor: Hi. I went through your reports (attachment removed to protect patient identity). For further information consult a medical gastroenterologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10551, + "tgt": "Are rashes on penis due to sexually transmitted disease?", + "src": "Patient: Hello doctor, For the past two months, I have been experiencing a minor rash on the crown of my penis. I have have been using antibacterial cream since then but it does not seem to recover. The rash occurred a month after I had an unprotected sex. No itch, no discharge, no pain while urinating or anything just a few rashes that do not seem to go away. Could this be a sign of STDs? No other symptoms are present. I also had an HIV test a month after I had sex and it was non-reactive but I have a very high cholesterol level. Could you please tell me what is going on? I use Brulidine cream (antiseptic and antibacterial cream). Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them? Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD." + }, + { + "id": 2643, + "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": 1616, + "tgt": "I feel tightness in the right side of my body. Why?", + "src": "Patient: Hello doctor, The right part of my body feels tighter that the left. I feel pain in my right calf and thigh when I wear trousers and in my right underarm when I wear a shirt. What can I do to solve this? Doctor: Hi. I understand your concern. I need to know more about your symptoms. When and how does it start? Is it increasing day by day or it is the same? Is it associated with any pain or muscle ache? Is it aggravated by activity? Are there any diurnal variations? Is there any back pain or neck pain? Any numbness or loss of sensation? How about urination? Any history of trauma or headache? The most common cause of stiffness on one side of the body is muscle rigidity, also known as muscle tension, which can result in muscle pain. It is characterized by the inability of the muscles to relax normally. We are worried about unilateral stiffness. It could be due to spinal cord or brain-related conditions such as minor stroke or multiple sclerosis, spine injury, etc. For the same you need evaluation, I suggest you should consult your physician. Symptomatic relief includes physiotherapy, isometric exercise, and stretching will help. You also can use hot fomentation or massage to relax your limbs. I hope this helps." + }, + { + "id": 15687, + "tgt": "Can cocaine get attached to sperm and affect the baby?", + "src": "Patient: Hello doctor, I had a question regarding Cocaine use. I have never used it before and did a few lines on a bachelor party. I clearly was not thinking and impregnated my wife within 24 to 48 hours of use. How concerning is this? I also had multiple drinks of alcohol. Doctor: Hi. The sperms ejaculated are formed 3 to 5 days before the actual sex process. If you have never used them before and used it only a few hours before sex then there should be no problem of malformations in the baby. Neither is alcohol. I must emphasize though that as you might already know, cocaine use is significantly detrimental for your own health and must be avoided." + }, + { + "id": 14154, + "tgt": "How to determine ovulation period?", + "src": "Patient: Hi doctor, I need help in understanding an ovulation period. My last period began around 23 or 24. My period lasts approximately for 6 to 7 days, and my cycle is sometimes irregular and it will be 30-32 days. Can you help me determine my ovulation period? I am currently on Blisovi Fe 1.5/30. Doctor: Hi. I hope you know that the medicine you are taking (for whatever reason) is an oral contraceptive pill. These medicines prevent ovulation, so no period of ovulation. Now let us consider, as if you are not taking medicine, and have irregular cycles. Calculating from the first day of your last period date add 30/32 (menstrual cycle length) days and mark the date of expected next period (the first day). Generally, the rule of thumb says ovulation occurs 14 days or 2 weeks before the next expected first day of the period. The accuracy increases, if you take an average of your last three cycle lengths. To identify the exact ovulation date (preferably in case of irregular periods), you may use ovulation check kit available in the market between two days before and after the expected date of next ovulation." + }, + { + "id": 27731, + "tgt": "My father is unable to speak clearly of late and his voice sounds different. What can be done?", + "src": "Patient: Hello doctor, I am worried about my father. He is not able to speak clearly of late. He feels that his tongue has swollen. I have consulted many doctors, but they were unable to diagnose his disease. All his test reports are alright. There was no problem detected. But one doctor tells us that the muscles of his tongue are weak and that\u00a0is the reason he is not able to speak clearly. What can I do for him? He is currently on CQ10, Rabixin, Seroxat CR, Rivotril, Sinemet, and Motilium. Doctor: Hello. When you provide all the details, it will be easier for us to arrive at a decisive diagnosis and suggest you the right treatment. With the information you have provided it is not possible to make any conclusions. Revert with more information to an\u00a0ENT\u00a0otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24523, + "tgt": "Please explain MRI taken for neck pain", + "src": "Patient: Hi doctor,I have neck pain. Kindly help. Doctor: Hi. I could only view eight images from your MRI cervical spine scan (attachment removed to protect patient identity). The pictures which you have sent do not show the spinal canal and the discs in detail. Please send all the MRI images which are available on your CD DVD and you can take help from customer care if you are having problems in uploading the images. I will have a detailed look and reply back once the images are uploaded. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 10875, + "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": 30538, + "tgt": "Please explain the effect of high hs-CRP?", + "src": "Patient: Hi doctor, I have done a health checkup and I would like to get an analysis of the same. I am worried about the hs-CRP.\u00a0All the reports are attached here for your reference. Please help. Doctor: Hello. I have read your test report carefully. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 7359, + "tgt": "Is it safe to take 5 mg Xanax daily for panic attack?", + "src": "Patient: Hello doctor, I am a 28-year-old male. I have diagnosed with anxiety and panic attacks and prescribed 5 mg of Xanax daily dose for eight years. My last anxiety symptoms were two years ago, and my last panic attack was last year while eight years ago, I had a panic attack daily. Is 5 mg daily Xanax a minimal dose? Is it about time I withdraw? Is it possible to withdraw? If so, how? Someone told me that taking 5 mg Xanax daily for eight years is not even harming or benefiting the system because my system got used to it and because it is a low dose. Is that right? Doctor: Hello. Xanax 0.5 mg dose is not high. The drug is a rapid action Benzodiazepine drug and helps to reduce the anxiety symptoms. Abrupt stoppage of a drug after regularly taking for years might lead to withdrawal symptoms and precipitation of panic and insomnia. So it is advisable to reduce the dose of the drug slowly over about four weeks. Gradual dose reduction would not cause withdrawal symptoms. Reduce the doses by about 25 % every second week, and this will prevent the withdrawal symptoms. The drug is safe to use and can be used for long but should be used under regular supervision of a doctor only." + }, + { + "id": 10354, + "tgt": "Every day I sneeze at least 10 to 15 times. Please advice", + "src": "Patient: Hello doctor, I am 26 years old and my weight is 70 Kg. I got married 6 months back and I am having PCOD. I had sinusitis few years back and I got treated for the same. For about a year, I have been facing frequent cold issues and sneezing issues. Every day I sneeze at least 10 to 15 times. I have done a few tests showing less vitamin D and serum iron and also with absolute eosinophilia. I am facing heavy hair loss and my TSH is normal. Please advice. Doctor: Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23881, + "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": 29285, + "tgt": "I am getting frequent ankle swelling. Can it be cured?", + "src": "Patient: Hi doctor, I am a 29 year old male. I do not have any medical issues and doing workout regularly.\u00a0I had frequent ankle swelling of the right ankle with pain for the last two months. It happened around four times in the last two months. I took blood and urine sample tests, and all found to be of value, and no issues noticed except ASO\u00a0titer positive with a value of 243 (Ul). When I visited my general doctor, she told me to take Acenal-SP, Cefix 200 and Rabinol-D for five days. I had taken the medicines for four days. The swelling and pain reduced. But, suddenly from today morning again the ankle swelling started.\u00a0I very much worried that I may have to take medicines for the life time.\u00a0Kindly let me know if it is serious. Will it make me take lifetime medicines?\u00a0I am very much worried. Doctor: Hi We are here to help you. Revert with information to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 5494, + "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": 13295, + "tgt": "Am I getting pain in arm, hip and knee due to low vitamin D level?", + "src": "Patient: Hi doctor, I have just found out that I am very low in vitamin D. I have just had lots of different blood tests, bone profile, 12 folates complete blood count, vitamin D and a couple of others, all came back normal apart from vitamin D. I have been getting an aching pain in my upper arm and elbow, hip and knee but mostly my upper arm. Can it be the low vitamin D that is causing it? Doctor: Hi. I cannot say it with utmost certainty, but yes it could be due to low vitamin D3 levels. The majority of patients with moderate to mild vitamin D deficiency (serum vitamin D between 15 and 20. The majority of patients with moderate to mild vitamin D deficiency (serum 25[OH]D between 15 and 20 ng/mL [37.5 to 50 nmol/L]) are asymptomatic. Serum calcium, phosphorus, and alkaline phosphatase are typically normal. Serum parathyroid hormone (PTH) levels are elevated in about 40 and 50 percent of patients with serum vitamin D levels less than 20 and 10 ng/mL, respectively. Patients with low vitamin D and increased PTH (secondary increase) are at increased risk of having rapid bone loss, seen as low bone mineral density (BMD) in dual-energy X-ray absorptiometry [DEXA scans]), fragility fractures. With chronically low vitamin D levels one can develop secondary hyperparathyroidism, which can affect serum calcium and phosphorus levels. The patient usually develops symptoms at this stage with features of osteomalacia (bony pain, etc.). I do not know your vitamin D levels, but there is usually no harm in taking vitamin D supplements orally weekly or daily." + }, + { + "id": 5196, + "tgt": "Can I take Ashwagandha along with other medicines for OCD?", + "src": "Patient: Hello doctor, Is Ashwagandha a general medicine? Is it fine taking it for OCD along with other drugs like Nootropil 800 and Serta 50? Doctor: Hello. Ashwagandha is a well known Ayurvedic herb. Mostly used as a general tonic to rejuvenate the body. It helps to reduce stress and anxiety by regulating the nervous system. Ashwagandha is serving as a medicine in several forms like powder, tablet, capsules, syrup, paste, etc. It has several benefits. It improves body immunity, reduces mental stress, provides healthy sleep, improve vital activities and several others. Yes, you can take Ashwagandha as general medicine. But dose and duration of medications should be according to your body condition. And yes it is fine to take this medicine in OCD (obsessive-compulsive disorder) along with other medications." + }, + { + "id": 292, + "tgt": "What should I do for foul smelling urine?", + "src": "Patient: Hi doctor, I observed the presence of vaginal discharge almost a month ago and I went for a test. It showed the presence of WBCs, but no bacteria or yeast or parasite. I completed the course of antibiotics. But, I feel the infection has not cured. I can still feel the vaginal discharge, which is very irritating and my urine has a foul smell. I am really worried. What should I do? What might be the reason behind it? Doctor: Hi. Revert back after a week to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20571, + "tgt": "I have a sore throat for 15 days. Does it look like a symptom of HIV?", + "src": "Patient: Hi doctor, I have a sore throat for the past 15 days. I tried taking all the medicines. But there is no use. I had also done four tests for HIV in this period. I had protected sex. All the results came negative. Why do I have a sore throat? If I am doing another HIV test, do I need to test with the morning blood? Doctor: Hi. First, there is no need to give a morning sample for HIV test. Second, a sore throat is due to infection and may not always be due to HIV. Simply check for any redness (congestion) of tonsils or surrounding area to rule out any infection. A sore throat can occur due to a viral, or a bacterial infection and the causes are numerous. A viral infection may present with body pain, while a bacterial infection will have a high-grade fever. So try to rule out any congestion in the throat. You can start with a prophylactic drug for a sore throat. Take tablet Amoxiclav (Amoxicillin with Clavulanic acid) three times a day for seven days." + }, + { + "id": 4971, + "tgt": "I do not have oily foods but still have pimples. Why?", + "src": "Patient: Hi doctor, I am 21 years old. I am suffering from pimples and their dark spots. What happens is one or two pimples appear and vanish in two to four days leaving dark spots behind. The same thing repeats again and again. Now there is a lot of dark spots in my face. I do not use oil in my hair and also avoid oily foods. Pimples contain something whitish. What should I do? Please suggest. Doctor: Hello. I can understand your concern. You need to take proper medicine for the treatment of pimples so that dark spots will not appear. Seborrhea or hormonal imbalance. Acne vulgaris with post inflammatory hyperpigmentation. Revert back after six weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18324, + "tgt": "What is the treatment for dengue?", + "src": "Patient: Hi doctor, I have been bit by a dengue mosquito yesterday. Which medicine do I need to take? What is the treatment for dengue? Please guide. 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": 25178, + "tgt": "I get dizziness when I look up or get up. What is causing this?", + "src": "Patient: Hello doctor,I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The episodes have been happening on and off for the last year in which I have had three MRIs, a full cognitive function test, full set of blood tests, count, liver, kidney, cardiac panel, arthritis, and sleep apnea test. I have also had a cardiac stress test, 24-hour Holter monitor, 5-day event monitor, echocardiogram and these were all negative (no abnormalities were picked up). Of late, I have found that these episodes have been getting more frequent. Could you advise if this could be intracranial pressure, a tumor, seizures, epilepsy or some sort of neurodegenerative disease? Doctor: Hello. I passed carefully through your question and would explain that your symptoms do not seem to be related to intracranial hypertension or any of the other disorders. An inner ear disorder, vertigo, or epilepsy may lead to such clinical situation. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder. If these tests result normal, I would recommend performing an EEG. It is necessary to check also thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful. For more informationconsult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7736, + "tgt": "How can I manage dry skin?", + "src": "Patient: Hello doctor, I have a very dry skin to the point that it is stinging and very uncomfortable. Kindly give me recommendations for managing very dry skin. I am taking Iron supplements now. Previously, used to take Hydrocortisone. Doctor: Hi. Extreme dry skin can be because of cold weather or part of eczema or low thyroid hormones or ichthyosis (fish like scales). Do you have a history of eczema? Let me give you a few skin care tips for dry skin in general. Avoid a hot shower, use warm water instead. Use mild soap with moisturizer, like Cerave, Cetaphil. Use a moisturizer that has Ceramide in it, Ceramide protects the skin barrier. Apply moisturizer soon after a shower, when the skin is still partially moist or wet. Drink sufficient water, ( 2 to 3 liters per day). Eat fruits and vegetables rich in Vitamin A like carrot, beet, watermelon, mango, papaya, pumpkin. Vitamin A has a great role in skin health." + }, + { + "id": 7543, + "tgt": "I have breathing problem and my head is unable to be lifted without opening the mouth. Please help", + "src": "Patient: Hello doctor,I have some problems to breathe, and my head goes side to side. I was wondering if this is a normal head shape? And not be able to lift it without having the mouth completely open, so the jaw hurts. Please help. Doctor: Hello. I saw the pictures, and it seems you have action induced focal dystonia (attachment removed to protect patient identity). Please tell me how long you have these symptoms, and how does it come and get settled? Does it persist for some time? Again do you have any more stiffness elsewhere in the body? You can get an MR brain, as well as serum copper or ceruloplasmin levels, done. You try a course of L-Dopa 25 mg tid (thrice a day) in the meantime. If not alleviating, you can see a movement disorder specialist. Idiopathic. But there are many more tests to rule out secondary causes. Genetic tests are available MR brain, copper, and ceruloplasmin. Secondary dystonia. Focal action dystonia? DOPA responsive. L-Dopa for a period of six months. To see the progression of disability." + }, + { + "id": 16556, + "tgt": "Why does my ejaculate get stuck and not come out during orgasm?", + "src": "Patient: Hello doctor, I am 45 years old, male, and taking Dutasteride for ten years. Gradually, over the past two years, I have been seeing a change in my ejaculation. At the point of orgasm, the ejaculate no longer comes out. But this is definitely not retrograde ejaculation. The ejaculate gets stuck at the root of the penis. If I apply pressure with my finger at the outward facing root of the penis, and scoop upwards with my finger about 1 inch, the stuck ejaculate makes it round that bend and is expelled. If I time this right with orgasm, it can expel with normal force. What is this condition known as, what is the remedy, and is it related or unrelated to Dutasteride? Doctor: Hi. I have gone through your query, I would like to know a few more details about your symptoms. How is your urinary flow, do you have to strain? Have you had any endoscopic procedure or catheterization done in your urethra? Are you only on Dutasteride or do you take alpha-blockers as well? Why were you prescribed Dutasteride at 35 years of age? The process of ejaculation requires a coordinated connection on the muscles surrounding the root of the urethra to expel the semen. Also, the quality of the erection needs to be evaluated in the clinic, because a fully rigid erection is required for a forceful expulsion of semen. I cannot be certain, but it appears that there is an issue in the same in your case. There is no specific name for the condition though. Also, 35 is a very early age for you to have prostatic enlargement large enough to be on Dutasteride. Though ejaculation problems are not attributed to it, it may be worthwhile to withhold the drug for a few weeks. If it is still persistent, then further testing can be performed." + }, + { + "id": 13960, + "tgt": "After examining,the doctor told VH in my left eye and gave injection Lucentis. What is VH?", + "src": "Patient: Hello doctor, About forty days back, all of a sudden vision of left eye got blocked. After examining, the doctor told VH in my left eye and gave injection Lucentis. What is VH? After 30 days he again examined and told that blood in left eye has totally cleared. He also said that retina has to be arranged properly and for that surgery is required. Central vision is not clear, please advice. Doctor: Hi. VH is Vitreous Hemorrhage. Vitreous hemorrhage is common only in long-standing diabetes, which leads to proliferative diabetic retinopathy.If this happens, intravitreous Lucentis (Ranibizumab) is advisable. Another one is intravitreous Avastin (Bevacizumab), this costs almost one fourth of injection Lucentis, please ask your doctor for this. Remember that both these help only in preventing complications. They will not clear the blood. Blood clearance occurs over a period of months. But even after clearing, it may cause traction of the retina (not in all cases) and hence has to be operated and cleared and silicone oil has to be implanted in the eye. These are high risk surgeries and vision after surgery is guarded. Important part is to always keep diabetes and hypertension under control." + }, + { + "id": 18882, + "tgt": "Is Levocetirizine sufficient to cure nasal congestion and cough?", + "src": "Patient: Hi doctor, I am a 49 year old male. I am suffering from nasal congestion and cough. I am taking only Levocetirizine for this. Please help. Doctor: Hi. 1. Viral rhinopharyngitis. 2. Acute upper respiratory tract infection. For further information consult an allergy specialist online.---> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 27499, + "tgt": "A new mark developed on my forehead recently. What is it?", + "src": "Patient: Hello doctor, I have a new mark on my forehead that has developed over the last week or so. It feels a bit crusty and is somewhat sore. But it\u00a0does not look like a scab or a mole. What can it be? Doctor: Hi. Your concern can be the following: I suggest you try using the following: If there is a response within a week, then continue the sunscreen and withdraw Hydrocortisone cream. If no response, then consult a dermatologist in-person for further physical examination. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 29829, + "tgt": "Should I be concerned about Ethidium bromide exposure?", + "src": "Patient: Hi doctor, I just now had a 3 to 4 seconds exposure to UV radiation when using agarose gel electrophoresis. Also, yesterday when preparing to run DNA, a small amount of Ethidium bromide landed on my finger. I immediately washed it with water. What is the possibility that these may cause a skin mutation or cancer? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29257, + "tgt": "My daughter complains of double vision. Please help", + "src": "Patient: Hi doctor, One morning, my 15 year old daughter woke up and started complaining that she is seeing everything double. Instead of one teacher, she saw two teachers and two things are seen as four. Apparently, she does not have any vision problem. Please advise. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4003, + "tgt": "Is it possible to get red bumps in tongue due to herpes?", + "src": "Patient: Hello doctor, I have red bumps at the back area of my tongue. Could this be oral herpes? I received unprotected blowjob a week back. As such, is it possible to get oral herpes although I was the one receiving the blowjob and did not engage in any kissing with my sexual partner? Doctor: Hello. I just read your query and from what you have mentioned it does not seem to be herpes infection on the back of your tongue. Those red bumps are they painful? Do you have swallowing difficulties? If not then those are your taste buds, they are present in every one. Would have been better If you attached a picture as well of these red bumps (attachment removed to protect patient identity). No it is not possible that you get oral herpes If you are the recipient of the oral sex." + }, + { + "id": 12185, + "tgt": "I am 18 years old and I suffer from severe hair loss. Kindly advice", + "src": "Patient: Hello doctor, I am 18 years old. Nowadays I observe that I am losing my hair on the head and getting ball head. Is there any precaution to be followed? Kindly help. Doctor: Hello. 1. There are a lot of causes for hair loss including stress, lack of proper nutrition, scalp infection including dandruff, hormonal and genetic and seasonal and many more. 2. For routine, you should wash your scalp daily. 3. Do not apply hair oil as it can increase dandruff. 4. Take a diet rich in protein and vitamins which includes eggs, paneer, green vegetables, and fruits. As most of the time, it is dietary to take the tablet I am prescribing below for six weeks. Telogen effluvium. 1. Follihair 1 tablet daily for six weeks after meals." + }, + { + "id": 4305, + "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": 2259, + "tgt": "I am trying to conceive with recurrent vaginal yeast infection. Please help", + "src": "Patient: Hello doctor, I am 32 years old. We are planning to extend our family whenever I will be perfect in health so that there should not be any health issues to the baby and the mother. I would like to elaborate on my health condition so that you can advise us on how to improve my health condition. Please note that the below tests have conducted before three months and after that, I have gone through some medication for one and a half months. 1. Iron, vitamin D, and hemoglobin: My hemoglobin remains low every time I go for annual health check-up (for the past seven years). Currently, it is 10.8. Iron - 18, TIBC - 492, transferrin saturation \u2013 3.66, vitamin D - 19.91. 2. Yeast infection in vagina: I have been suffering from recurrence of yeast infection in the vagina for the past one year. It comes again and again and I am taking Fluka every week one tablet. After taking Fluka, I feel no itching and no yeast infection but within a week or so it happens again. 3. Boobs itching and enlargement of area around nipples: for the past four to five years, I have been observed that area around my nipples has enlarged, and that area is really very dry and itchy. Although, there are no lumps in the breast and armpit. I visited a gynecologist but they told that it is a dermatology issue. Hence, I also visited a dermatologist and the doctor suggests that it is just because my skin is extremely dry and it can be cured after applying good moisturizer in the long run. But I have not seen any improvement till date. I really want to be healthy and want to get rid of the above issues before conceiving the baby. Doctor: Hi. First thing, I would like to tell you that you are a healthy individual. Even though you were anemic before, now you have made good progress in your hemoglobin. Now coming to your recurrent fungal infection in the vagina, it seems that you have adequately taken antifungal and antibiotics. I would recommend you to get done your 1) Blood sugar level. 2) Thyroid profile test. Now coming to soreness and itching at nipples, yes, it happens due to dry skin and micronutrients and minerals deficiency. I would like to suggest you to apply the moisturizer and take nutrients supplement. Nutritional deficiency. Blood sugar levels. Thyroid profile test. Multicomponent deficiency. Tablet Azithromycin 500 mg once a day for three days, Candid V6 pessery every night intra vaginal for six days, tablet Omeprazole 20 mg twice a day for three days. Avoid sexual intercourse until recovery from infection. Follow-up with the above said investigation after 3 days." + }, + { + "id": 13670, + "tgt": "Is it normal for a baby to have a change in sleep pattern?", + "src": "Patient: Hi doctor, My daughter is 15 months old, and it has been three weeks that she did not sleep at night. 1 to 2 hours at most and then she will cry waiting for me to bring her to the living room because she wants to play. She would not stop crying if I ignore her (I am trying to let her try to soothe herself), even if I try rocking her or put the pacifier. She will only stop crying once I brought her to the living room. I am working, so I sent her to a babysitter during the daytime. I thought she will sleep more during the daytime, but apparently, her sleep routine is just the same as before. Her babysitter said that she slept for 1 to 2 hours in the morning and the afternoon. She is healthy, so active, happy as usual and looks completely fine to me even though she does not sleep enough. Is this normal? Will this new habits affect my daughter's health or growth? What cause her sleep routine to suddenly change? (Previously she will sleep throughout the night, with 2 to 3 times milk feeding in between). What can I do to put her back to her previous sleeping habit? I really need advice. Doctor: Hi. Sleep habits of babies vary from one another. Your child is normal and there is no cause of concern. Most of the babies do this but become difficult to handle cause of working parents. She requires more patience. I really appreciate your concern. This will not affect her growth. Sleeping habits change because they become more active and locomotion takes priority over feeding. They like moving around. There is nothing anybody can do except handle with patience as you have been doing." + }, + { + "id": 27566, + "tgt": "I do not have my own personality and I am unable to interact with anybody. Please help", + "src": "Patient: Hello doctor,I feel like I do not have my own identity. I always depend on other's opinions. Whomever I am with, I often imitate their personality, expressions, and the way they talk. I noticed this by myself over the last few weeks. I realized that I am a boring person because I always wait for the other one to talk. Also, another problem of mine is that I have social anxiety. Even though I know the person from years, I still feel awkward and nervous when I talk. I can see it with the way my best friends react. They feel uncomfortable around me. Or probably it is just me thinking that way. I think I am this way because of the issues in my house. My family members seldom talk to each other. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 27688, + "tgt": "Is it possible to correct the size of my front teeth?", + "src": "Patient: Hello doctor, Two of my front teeth are big. I\u00a0want them to be reshaped and made\u00a0smaller. Is it possible? If yes, how much will it cost and is there any side effect? Doctor: Hello. Hope this helps. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 7610, + "tgt": "Why am I having sharp pain in left lower abdomen?", + "src": "Patient: Hello doctor, I am 31 years old female, 5'8\", 175 lbs. Three days ago I started getting a really sharp pain in the lower left abdomen. It came on sudden and was gone within seconds but still bad enough to have me doubled over in pain. Thought it was related to period that was due following day. Happened on and off all day.Next day period did start as expected. Normal flow, normal cramps, etc. Then the sharp stabbing pain came back. It is stabbing in a very precise location, down and to the left from the belly button, kind of in-line with the hip. It was radiating hellfire to my low back, groin, thigh, hip, and left flank. I was on the floor in pain for four hours before it faded away enough for me to even stand. That night it happened again waking me from sleep. Lasted for hours, stabbing in the same spot, burning pain spread to the other areas. Later that day my toddler laid across me and his elbow got that same spot and started the pain up all over again but it only lasted about an hour. The area is very tender. I still get the brief stabbing pain when walking or coughing or bending over. I am thinking it is a ruptured cyst. I have never been diagnosed with one before but I think it fits the bill. But can they rupture multiple times within days? Is it likely to happen again? Could it be something related to period or just coincidence it started at the same time? What can I do at home for it, since I am unable to go in to see a doctor? Doctor: Hi. I went through your complain which I must say you have very nicely written down. As per the location of the pain that you mentioned, there are some conditions that need to be ruled out. First is appendicitis. It is followed by vomiting and constipation. Second is renal calculi or stones. This pain comes from behind while passing urine. Third, as you mentioned ovarian cyst but the ruptured cyst is a medical emergency and is unlikely. Get an abdomen and renal ultrasound is done to get a proper diagnosis. If you can, then do it after your periods." + }, + { + "id": 2166, + "tgt": "What is the chance of long standing cervical polyp turning to cervical cancer?", + "src": "Patient: Hi doctor, I was diagnosed with a cervical polyp and my gynecologist had said it was caused by HPV. I have been getting sharp cutting pains in my vaginal area for the longest time hence we decided to go for a hysteroscopy and then we found out that I had the cervical polyps. So now for the past few months, I have been bleeding between my periods, bleeding after having intercourse and my discharge also has a foul smell. It also sometimes has a bit of blood mixed with it and I am starting to think this polyp might have developed into cervical cancer. I am not sure what to do as these symptoms are not normal at all. Doctor: Hello, Welcome to icliniq.com. Based on the symptoms you mentioned, it definitely implies that you need to go check with your gynecologist for an examination to see and rule out any cancerous changes or for any presence of polyps. Without examining it is difficult to say. The color and odor of the discharge indicate the presence of infection in that pathology. Why am I suspecting cancerous or precancerous changes is because you have been tested for HPV two years back which was positive. HPV (human papillomavirus) is the causative virus or the infective agent that develops changes in the cervix which over many years (mostly 5-10 years but not strictly) turn into cervical cancer. It would have been very helpful if you had provided the biopsy reports and discharge summary details of the hysteroscopy done and any pap or colposcopy reports if you have done in the past for a better understanding so that I could guide you better. I am prescribing you the medication to take care of the infection but you need to visit your gynecologist for evaluation at the earliest for early intervention. MRI (magnetic resonance imaging) abdomen and pelvis if required. Ultrasound whole abdomen and pelvis. Cervical examination followed by pap smear and colposcopy or biopsy according to the findings. Blood investigations. Chest x-ray. ? Chronic cervicitis, ? Pre invasive lesion of cervix, ? Ca cervix. Tablet Ofloxacin plus Ornidazole twice daily for five days after food. Please follow up with your gynecologist for checkup and necessary evaluation and management." + }, + { + "id": 4943, + "tgt": "How to reduce obesity caused due to thyroid and PCOS?", + "src": "Patient: Hello doctor, My wife is 23 years old. She is the mother of one daughter and is a little obese and she wants to reduce the weight. She has tried many exercises and diet plans but all failed. Her height is 5'1\" and her weight is 80 kg. Please suggest her to reduce the weight. Doctor: Hi. Compared to your wife's height her weight is high. She has to maintain her weight below 62 kg. First of all, we have to find whether there is any underlying cause for this. Do thyroid function tests to rule out thyroid disease. Do USG (ultrasound) to rule out PCOD (polycystic ovary disease). These are the most common disease that causes an increase in weight. Regular use of steroids can also increase weight. Do the tests and review them with results. If you do not have any of the above we can reduce the weight just by regular diet. Do follow up to get a complete weight reduction diet chart." + }, + { + "id": 13331, + "tgt": "There is enlarged liver in anemic and hypothyroidism patient. Is it serious?", + "src": "Patient: Hello doctor, I had my mother's ultrasound done today. She is a 39-year-old anemia patient admitted to the hospital. She has hypothyroidism from the last 12 years and is overweighed and obese. Her ultrasound shows 19 cm liver from the mid-clavicular line with increased echogenicity. Is this something of concern? If yes then what has to be done? Doctor: Hi. I have reviewed the ultrasound report (attachment removed to protect patient identity) and I can say that she has hepatosplenomegaly probably due to fatty liver disease. This is why to my opinion she needs to do liver enzyme tests like AST, ALT, GGT and alkaline phosphatase, blood work too. It is important to lose weight and to avoid fatty foods." + }, + { + "id": 4962, + "tgt": "Can high level of anxiety and depression result in frequent awakening?", + "src": "Patient: Hello doctor, A little over two years ago, I experienced some stress in my life that resulted in a high level of anxiety and depression.\u00a0I was prescribed Paxil and took it for one year.\u00a0At the time, I was also taking Diovan and Atenolol for hypertension, Pantoprazole for reflux, and Simvastatin for high cholesterol.\u00a0One positive side effect of the stress was that I lost 25 lbs and went from 195 lbs to 170 lbs.\u00a0I also started to eat more healthy foods and started to exercise regularly.\u00a0One effect of my anxiety and depression is that I would awaken frequently during the night and morning between 3 AM and 5 AM and feel very agitated and get panic with upsetting thoughts.\u00a0Over the past year or so, I have managed to improve my condition with counseling, meditation, etc.\u00a0I am also no longer taking any medicine since my health dramatically improved.\u00a0I am at the point where I am doing well, but still awaken very early about 4 or 5 AM, no matter when I go to bed I feel very anxious and my heart starts to pound. I used to have bad thoughts, but I have managed those and now just feel the physical feelings. The thoughts\u00a0diminish gradually throughout the day and seem to end at about 5 PM.\u00a0I am wondering whether I have a cortisol or adrenaline problem. What are your thoughts regarding the same? Please guide. Doctor: Hi. 1. Have a thyroid function test done first for given weight loss and heart pounding. 2. You should also consider seeing a primary care physician PCP and have an electrocardiogram EKG done. Revert back with the details asked and to an endocrinologist online.---> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19576, + "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": 2836, + "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": 15028, + "tgt": "How to enhance the absorption of Accutane?", + "src": "Patient: Hello doctor, It is said that \"oral absorption of isotretinoin is enhanced when given with a high-fat meal.\" My meal, while on Accutane just has normal fat. Does it affect the absorption? Doctor: Hi. Yes, absorption of Accutane (Isotretinoin) is enhanced with a high-fat meal, but it does not keep increasing with an increase in the fat intake. So, if your diet contains a moderate amount of fat, it is enough for the absorption of Accutane." + }, + { + "id": 30580, + "tgt": "What are the treatment options for knee and foot pain?", + "src": "Patient: Hello doctor, I am a 40 year old man. I have the following problems while walking. Foot pain in the early morning after walking or after sitting for a long period of time. It was\u00a0diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles and cushion on the socks. Also, I have pain in my right knee, especially in the inner side. This is only for the last two months I want to know whether I can do any exercises or stretches to improve the condition. Is there any other home treatment option for the knee and the feet? Doctor: Hi. I have understood your concern about pain in sole and knee joint. Uneven walking patterns and posture. X-ray and MRI. Physiotherapy. For further information consult a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 7194, + "tgt": "I am suffering from severe cracking and chapping of lips. Kindly advice", + "src": "Patient: Hello doctor, I have a severe problem with my lips. I am having severe chapping of my lips. I do not have dryness or itching. I am only having severe cracking of my lips. I used an ointment and B complex tablets, but those did not work. 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": 5202, + "tgt": "I have sore abdomen below the sternum and belly button. Is it gastroenteritis?", + "src": "Patient: Hello doctor, I am a 20-year-old male. My abdomen is sore to touch for about two months. It is sore to the touch at the top of my abdomen below my sternum, and on the far left about an inch up from where my belly button would be. I went to a minor emergency about a week in, and I was told I most likely had gastroenteritis. I went to my primary care physician a few days later and got put on Omeprazole. I took it for about a month and went back to my PCP, and was then sent in for an ultrasound. Nothing serious was found with the ultrasound. Does this sound like a dietary service or something more serious? Doctor: Hello. Sore to touch abdomen for the last two months can be indicative of a few things. It can be gastritis, ulcer related pain, pain related to kidneys, and can also involve the renal tract. Do you have any fever? Does the pain change or subside after food? Do you have any acidity or digestion problems? Mostly if it was related to gastritis or ulcer, it can be due to improper diet and ulcer pain. However, you have taken Omeprazole and if it is not subsiding then that can be ruled out. If ultrasound is not conclusive, I will advise you to get a CT (computed tomography) scan of the whole abdomen done. Until then I will advise the following medicines: Ibuprofen 400 mg up to twice daily for three days after food (to rule out muscular pain, if the pain subsides you can stop after a few days), Omeprazole 20 mg once in the morning before breakfast for another five days. Syrup Sucralfate two teaspoons twice daily after food for another five days. Please give me a detailed dietary history and your food habits." + }, + { + "id": 2575, + "tgt": "Apart from pregnancy, what are the other causes for missed periods?", + "src": "Patient: Hi sir, Me and my girlfriend had romance during that time my pennis tip entered her viginal opening thrice .I didnt ejaculated before or during the romance time.but after few days she missed her periods.what might might reason . Thanks waiting for the reply What will be the reason ? Doctor:" + }, + { + "id": 9672, + "tgt": "How to overcome the issue of not getting wet during intercourse?", + "src": "Patient: Hello doctor, I have a sexual issue. I do not get wet. The vagina is moist initially, but as it is exposed to air and when foreplay increases, it gets drier. What should I do? Doctor: Hi. Revert back with the test report to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28969, + "tgt": "Could you suggest medicine for chest congestion and nasal block?", + "src": "Patient: Hi\u00a0doctor, I am 32 years old. I am having problems of chest congestion from the last two to three months. Prescribed Allegra was quite soothing by the doctor. I was relieved for at least a month, and the problem has been declining since then. There was nothing concerning with the x-ray report, and CBC reports as well. Nose block has started from last few weeks and ache on one side of the head one day or the other. Mild chest congestion has also re-started with a\u00a0little bit of wheeze sound. Could you please recommend something? Doctor: Hello. I have seen all your reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16632, + "tgt": "Could bleeding ulcer be the reason for anal bleeding?", + "src": "Patient: Hi doctor, I have pain in the left side just below my breast all that way to the back. When I go to the bathroom, my stool has blood. It has been bleeding for two days, even without a bowel movement. The bleeding is in my anus. If I drink oregano team, then it will stop. But, will start bleeding after some time. What could it be? Can it be due to a bleeding ulcer? I have a previous history of gastritis. My regular medicines include Metformin ER 500 mg and Fluoxetine 20 mg. Doctor: Hello. I can understand your concern on this issue. The photograph which you uploaded indicates fresh blood in minute quantity (attachment removed to protect patient identity). Fresh blood from the anus on the surface of stool or without passing stool indicates a lesion in the lower part of the anal canal. Most common lesion in this area that bleed is anal fissure in which there will be a linear tear on the inner wall of the lower part of the anal canal. Bleeding occurs generally from this tear while straining to pass stool. Constipation is the risk factor for development of a fissure. Bleeding ulcer also produces other symptoms such as mucus discharge, liquid consistency of stool and increased stool frequency. Constipation. Digital rectal examination and proctoscopy. Hemorrhoids. Anal fissure. Treatment for pain and constipation. Local ointment application for active bleeding from a fissure. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27902, + "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": 9224, + "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": 6171, + "tgt": "I feel dizzy and nauseous after taking two Ibuprofen tablets. What to do?", + "src": "Patient: Hi doctor, I am a 18 year old female, and I weigh 135 lbs and 5.4 feet tall. I take birth control pills every night, along with two 500 mcg Biotin and two 500 mg cranberry pills. Tonight, I had a headache, so I accidentally took two 800 mg Ibuprofen tablets without thinking about it. I feel extremely nauseous, dizzy, and my heart hurts. What should I do? Doctor: Hi. How are you doing? You do not need to worry about any of these symptoms. Let me explain. Hope I have clarified your queries, do write back if any more queries. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18106, + "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": 5914, + "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": 27742, + "tgt": "Is it safe to travel abroad if I have kidney stones?", + "src": "Patient: Hello doctor, I was suffering from back pain and after an\u00a0examination with ultrasonography in the KUB region, a 2.8 mm calculus was found in the right kidney and a 2.6 mm calculus in the left. I consulted a urologist, who suggested further examination. I have attached the reports of the same. I have no other health issues except for high BP. The details of my blood report are shown in the medical prescription. Here, I would like to add that I had already gone through cystography to remove the stone from the left and right ureter on two different occasions. Now my questions are, is it curable without any surgery? Is there any health risk if I travel abroad in this condition? What is your suggestion to get rid of this problem? Do you think that surgery is required? Do I need further tests? My PSA is 1.69 and uric acid is 6.5. Doctor: Hello. I have gone through your history and your prescription (attachment removed to protect patient identity). For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13040, + "tgt": "What measure should I take for itchy and crumbled eyelids?", + "src": "Patient: Hi doctor, I feel itchy and a cut sensation in the corner of the eye and top of the eye lid. My eye lid looks crumbled in the morning. There is also some cut lines on the upper part of the nose and top of eye lid. I am suffering with this over last two days. But, I do not have any vision problem. I am attaching a picture for your reference. Please advice. Doctor: Hi. I have gone through the photo (attachment removed to protect patient identity). It looks like traumatic skin abrasions most likely nails, which do happen unknowingly when you are asleep. Just apply antibiotic ointment and clean with Dettol to prevent secondary infections and itchiness of eyes. You will be fine in three to four days." + }, + { + "id": 2728, + "tgt": "I have PCOS with irregular periods and weight gain. Please suggest", + "src": "Patient: Hello doctor, I have PCOS. From the last year, I get my periods regularly in the gap of two to three months. My weight increased almost double within this time and I am not taking any medication. Please prescribe. Doctor: Hi. Periods can be irregular due to PCOS (polycystic ovary syndrome). But it is your hormonal cycle which is disturbed and periods are irregular due to it. You can take Ovral-L like hormonal medicines for 21 days and then seven days gap and repeat for 21 days for three cycles. Period should come in the 7-day pills free period. Do thyroid profile test. Try to reduce weight. Because hormonal imbalance is very difficult to treat. And the same you can achieve by just losing weight. Because your body requirement decrease and your body produces same amount of hormones. Periods can regularize on its own. Do drink more water. You may need to do other hormonal tests if it does not regularize after all these. But with delayed period and PCOS there is no much to worry. Problem can be delayed menses and difficulty in conceiving. With delay in menses, your blood levels become good. Yes, if you are trying for pregnancy then you may require treatment. Otherwise no need to take much tension about periods. I hope this helps." + }, + { + "id": 4231, + "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": 24513, + "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": 14476, + "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": 17206, + "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": 27779, + "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": 24537, + "tgt": "I have pain in middle of upper abdomen. What to do to help the pain?", + "src": "Patient: Hello doctor, I am having gradual pain in the middle of my upper abdomen right below the breasts and pain on the side of my abdomen that radiates to my back. This is accompanied by my stomach feeling tight. Sometimes worse after food sometimes worse on empty stomach. Sometimes wakes me up at night. It has been getting worse over the last couple of weeks and more frequent. I have a doctor's appointment next week but I just want to know what to do to help to pain. I feel like I cannot live like this when it hits me. Doctor: Hello. The pain in the upper middle abdomen is suggestive of gastritis or acute ulcer-like condition. For that Rabeprazole 20 mg, OD for a week can be given. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. In this condition, pain can radiate to the back but still rule out pancreatic cause also by USG abdomen scan. Avoid excess spicy foods. Take fruit juice more. Consult a physician or gastroenterologist for examination. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4898, + "tgt": "What can cause upper eyelid swelling?", + "src": "Patient: Hi doctor, I noticed that the upper lid of my eye is swollen. It does not have the signs of inflammation but rather the lid is being like edematous. It is itchy in the night. Can it be normal again? What is it and what should I do? Doctor: Hi. Revert back after 5 days for follow up to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27866, + "tgt": "My period is late by a day. Why did not I get my periods?", + "src": "Patient: Hi doctor, I am a 24 year old female, and my period is late. It has been 28 days, but I normally get my period on the 27th day. Why did not I get my period still? Please help. How can I bring my period? Doctor: Hi. I read your query and understand your concerns.\u00a0I request you to provide following information: I look forward to assisting you. Thanks and regards. Revert with more information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21948, + "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": 14573, + "tgt": "I have chest pain despite lipid profile and echo being normal. Why?", + "src": "Patient: Hello doctor, I am suffering from chest pain in the left side from 4 to 5 days, but my lipid profile and 2D echocardiography both reports are normal. What to do? What is the reason of chest pain? Doctor: Hi. Chronic reflux of stomach acids into your esophagus can irritate your esophagus. In severe cases, it can cause dysphagia. Scar tissue can develop in your esophagus. The scar tissue can narrow your esophagus. This is known as an esophageal stricture. In some cases, dysphagia can be a direct result of esophageal damage. The lining of the esophagus can alter to resemble the tissue that lines your intestines. This is a condition called Barrett\u2019s esophagus." + }, + { + "id": 4306, + "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": 28454, + "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": 15335, + "tgt": "Vobit M3 is not controlling diabetes. Kindly advise", + "src": "Patient: Hello doctor, I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise. My age is 57 years. Doctor: Hello. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, your main savior would be a good diet and regular exercise. It helps decrease your medicine dosages and also helps making your body more sensitive to the actions of the medicines. If these are your blood sugar values with medications, they are of very high values. Mainly, you would have to meet a local doctor as soon as possible. And also, you should never stop your medications without a doctor's advice, as it will lead to more rise in your sugar levels. That can be a threat to your life. If oral medicines are no longer effective for you, you might require to be shifted to Insulin. This would be analysed best by a doctor." + }, + { + "id": 29013, + "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": 5421, + "tgt": "Please give a brief idea about drugs used for general anesthesia during septoplasty", + "src": "Patient: Hello doctor, My question is about a septoplasty operation for anesthesia. Doctor says I need this operation but I am scared of the anesthesia. Mostly scared about awareness and being paralyzed. Can someone give me a brief summary of drugs used during general anesthesia for a septoplasty? Is it possible to not be given a muscle relaxant, or paralyizng drug? If I were to be given a paralyzing drug how long would it last? Doctor: Hello. First of all, you need not get scared about getting general anesthesia for your surgery (septoplasty). For your surgery, general anesthesia is the best option for anesthetizing you. One more point is that you need not be afraid about awareness and being paralyzed since your anesthetist will administer drugs at the correct dose which will prevent you from having awareness during surgery. While administering general anesthesia, the anesthesiologist would be administering drugs (eg. Propofol) which will first put you into a deep sleep, further he may also administer opioids (eg. Morphine) so that you would not be having pain during and after surgery. Thirdly, he would also add an inhalational agent (eg. Sevoflurane) to keep you in deep sleep (anesthesia) so that you will not be aware during the whole period of surgery. For septoplasty, administering muscle relaxants for putting an endotracheal tube into your trachea for administering anesthesia is one of the safe options for administering anesthesia. I would advise you to have less anxiety about muscle relaxants since it is best to have it for our surgery. most of the anesthesiologists are experts in using muscle relaxants for administering general anesthesia so the complications due to muscle relaxants are very less in experienced hands. There are different muscle relaxants based on their duration of action. Your anesthesiologist would be using the right muscle relaxant (usually drug will of short duration) for you. Once the surgery is over, the effect of muscle relaxant will also be over based on its duration of action. The anesthesiologist will administer an antidote type of drug to reverse the effect of muscle relaxant. Relax before you go for surgery, do not worry about the complications due to anesthesia like awareness and muscle relaxant. Your anesthesiologist will administer safe general anesthesia for you." + }, + { + "id": 3007, + "tgt": "How to control gingival recession caused due to esophageal hernia and acid reflux?", + "src": "Patient: Hello doctor, I am a 49-year-old female. I weigh about 62 kg and my height is 168 cm. I have a long time problem with receding gums on all my teeth. The teeth are quite tight also. I have also had esophagus hernia for many years and the stomach does not close properly and this makes it so that I feel the effect of my stomach acid like heartburn. It is very unfortunate for the teeth because it also changes pH in my mouth and makes it acidic. This happens especially when I sleep at night since I feel some dull pain in my teeth at night or when I wake up in the morning. I am trying to do something so I take the medicine that hinders acid production before I go to bed (Prazol) and I also rinse my mouth with water whenever I wake up even at night. Still, I think this acidity weakens my gums and teeth. The tooth that is in the picture has been fixed a few times with neck filling but now I feel there is some inflammation there that causes pain and the gum is very sensitive. I can hardly brush this tooth. I have an ointment that I started to use yesterday, it is called Carident and is made of Framycetini sulfas, Papainum and Natrii benzos. Do you have any recommendations on what I should do? I could go to a dentist to try to put a new neck filling but I am afraid that the gum has gone so low already that there is not enough of it left to put another filling. I am not even sure what will happen when I have this tooth extracted if it will be possible to make up for the hole in the gum. I am quite worried about it. Doctor: Hi. I checked your query and attached files. (attachment removed to protect patient identity). I can totally understand the situation you are going through. The best part is you know the root cause is stomach issue, you are doing best and accurate already to keep the pH maintained. I would like to add some points. 1. Do saline water mouth rinses instead of normal water rinses. Take a pinch of salt in a half cup of lukewarm water and do its rinse before sleeping and after breakfast. Do it for one week. This is the best remedy by book and by practice so far for strengthening the gums, as healthy gums will grow they will attach to tooth more firmly. 2. Change your brushing habit. Do brush with very light hand pressure. This canine tooth root exposure as is evident in the picture clearly indicates that while brushing unconsciously more pressure or harsh brushing is done at this corner of the mouth, so if this is the case try breaking down your habit. This will prevent gum from going down further. 3. At this stage, extraction is not recommended. Take Brufen 400 mg twice a day for three days. This will cover the inflammatory condition at the gum line of this sensitive tooth. Now get slight scaling done of this area and get neck filling done again. This will save the tooth. Do not brush this area as it is very sensitive. 4. Oral gel: Revomet Plus (Metronidazole and Chlorhexidine gel) can help with swollen gums. Put at the affected part thrice a day for five days. Do all these recommended things and please give me followup after five days. I hope this helps. Acidic pH of mouth due to stomach problem and hard brushing habit. It would be very helpful if a PA x-ray is done of lower right canine. 1.Filling. 2. RCT (root canal treatment). Filling and scaling. Medications plus scaling followed by filling. I need follow up right after five days." + }, + { + "id": 4220, + "tgt": "Am I under the right treatment to get pregnant?", + "src": "Patient: Hi doctor, I got married two years back. I am trying for pregnancy\u00a0now. Previously, five months back I had a miscarriage. When I consulted my doctor, he prescribed me Fertyle 100 mg for five days, Fertisure, Folic acid and Susten 200. From 14th day I have started the dose and today is my 26th day. My problem is that I just started light spotting with clots and cramps on the right side. Is there any problem associated with it? Doctor: Hi. I have gone through your history and understand your concerns. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14713, + "tgt": "I am having large floaters in my eyes. Is it possible that it will decrease with time?", + "src": "Patient: Hi doctor, I am a 24 year old female. Suddenly, I am having large floaters in my eyes. Is it possible that it will decrease with time? How long will it take to decrease? Doctor: Hi. I reviewed your history. It seems from the history that you have floaters. Eye floaters are because of problems in the posterior part of the eye involving vitreous and retina. Hence, this requires evaluation by indirect ophthalmoscopy, to rule out vitreous degenerations. Most of the floaters are caused by vitreous degenerations and may not require treatment. These will resolve over time. However, evaluation is required to look for associated retinal problems, like retinal tears which may be seen rarely." + }, + { + "id": 30442, + "tgt": "What is the first step to make my sex life happy?", + "src": "Patient: Hi doctor, I am 30 years old. My height is 190 cm and weight is 130 kg. I have a relationship for about five years now and we are married for the last four years. We have a boy, who is 2.5 years old. I am an architect.\u00a0My wife is 29 years old and she is an interior architect. But, she is not working at the moment as she is looking after our son. I had my first sexual engagement when I was 16 years old. I knew from the beginning that something was wrong with the way I was doing sex. I did not have any proper education about it.\u00a0I always felt my erection time a little below the standards. I do not really know how much it should actually be. While having sex, I could not go all the way as my erection was no more. When I had a proper erection, I was early all the time. That was not a problem those days as I was young. I was comforting myself about how young and inexperienced I am and believed it will be better as I get older.\u00a0But the truth is, it has got worse. I had sex with my wife for around four or five times after the birth of my son, which means five times in 2.5 years. In the early stage of our relationship, our sex life was good. Later,\u00a0our sex period started to decrease. After we learned about my wife's pregnancy, real problems began. We did not have sex for 3 or 4 months and it continued the same way, until this point. But, there were no problem with my masturbation count.\u00a0I had never had such a high libido and so is my wife. But, we had a good vibration and our relationship got better and better. We were always into the ordinary type of sex and did nothing so special. I can even say we have three or four positions and all of our diversity comes from differentiating our location, such as living room, bedroom, etc.\u00a0My biggest issue about our sex pattern was not doing it in the mornings. I guess most of the women do not like it, but it became a bigger issue. Because, after some time, those were my only moments that I want to have sex. \u00a0But, we could not do any, because she did not want that. Initially refused morning sex and then she said she does not like to have sex at all. Last week,\u00a0she told me that she like to get a divorce and that really made me so sad. My wife's parents are with us for the past two months. As they are renovating their house, they will stay with us for a year. We also got other problems, but none of them are desperate as this one.\u00a0I am not expecting a magic response from you, but at least I need a direction to solve this issue. Should I begin with myself or should we do something together? Where should I seek further medical advice? Should I get checked physiologically or just see a family counselor?\u00a0What should be the first step of a solution for me to be happy forever with my wife and child? Doctor: Hi. Revert back with the answer to the above question to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7418, + "tgt": "How to get treated for cough associated with chest pain?", + "src": "Patient: Hello doctor, I have five weeks of cough, with mild yellow phlegm, malaised, chest pain, type one diabetic, and on Azathioprine for ulcerative colitis. Get exposure to Tb daily. Also finished rotation in peads. Tb test is negative, wcc and crp normal, mild hypoxia on blood gas, macrocytosis, and mild lymphopenia. Gastro doctor advised stopping Aza temporarily. 5/7 of Clarithromycin helped, still coughing and chest pain ct after antibiotics suggested atypical pneumonia vs. mycobacterium infection. Pulmonologist here not available for some days and I would like to go back to work. What would be the next step in terms of management? Doctor: Hello. If your investigations are regular, why are we suspecting any infection? I would consider this allergic bronchitis. I would recommend you to go for anti-allergic like a combination of Levocetirizine and Montelukast once a day for two weeks. You may add up any bronchodilator like Doxophylline. I hope it helps you. If you have any further query, please ask me." + }, + { + "id": 19436, + "tgt": "White patches seen on cheeks of 9 month old boy. What could it be due to?", + "src": "Patient: Hi doctor, White patches are found on the cheeks of 9 months old baby boy. And also, there are some white patches near the eyes. What is that? Doctor: Hi. It is very common in children. It is due to calcium deficiency. I suggest giving a calcium supplement like Calcium Sandoz tablet to the child. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27698, + "tgt": "I am a singer. I have sore throat and unable to sing or even speak normally. Please advice", + "src": "Patient: Hello doctor, I am a 21 year old male and I have been suffering from sore throat for 2 and a half months now.\u00a0It all started in late December. I am a singer, and I came down with a very light cold. Due to the weather, I had a light sore throat. During this time, I had to sing and speak loudly with friends, as it was the holidays. While the other symptoms shortly subsided, my throat has been raw ever since and it has left me unable to sing or even speak normally.\u00a0 During my initial medical visit, I was given a week's worth of Amoxicillin, which had no effect. A month or so later, I decided to visit my ENT specialist. He conducted a nasal/sinus and throat exam and noted my deviated nasal septum and \"turbinate hypertrophy\" in my nose. As for my throat, he noted no signs of nodules but \"mild erythema of interarytenoid mucosa around the larynx\". Basically, he told me to try Prilosec and steroid sprays. Well, I am pretty young, very thin, and have no real history of reflux but I took the Prilosec (Omeprazole) for a few days, I noticed no effect except for constipation. When I stopped the Prilosec, the constipation went away. I then resumed it for an additional two days and the constipation returned, so I quit altogether. The steroid sprays and Claritin did indeed helped clear my nose somewhat, but it had no effect on my throat. Next, in frustration, I returned to my family doctor and this time asked him if a steroid might do the trick. He prescribed 2.5mg of Prednisolone to be taken twice daily for 5 days. It is coming up on day 4 now, and sadly, I cannot say I have noticed any change. I am kind of at a loss for what to do. My\u00a0family doctor\u00a0says I probably just irritated my throat, but 3 months in, I am desperate to resume singing and speaking normally. My voice is a quiet, weak thing now and it hurts to carry on conversation for longer than a minute or so. Lower pitches are the most comfortable for me to speak in, anything else and I feel air hitting the back of my throat and a sandpapery feeling that is very uncomfortable. I am really frustrated here. I am going to request a throat culture this week, but apart from that, I really do not know what to do. Please help. Doctor: Hi. I can understand your concern. Consult an ENT otolaryngologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2398, + "tgt": "I have chest pain on left side involving armpit upto clavicle. Please suggest", + "src": "Patient: Hello doctor, I am having some chest pain on my left side. It feels like it is around my heart. Kind of a slow, deep ache from my armpit, over the whole chest, up to the clavicle. I have been having a bit short of breath, and when I stand up I feel really dizzy and light-headed. It takes about 10-15 seconds to feel normal again. It has been like this for the last three to four days. But I have experienced pain in my chest like this before, but it has gone away in a day or two. I am 29 years old. I have a healthy diet and no previous health concerns. Doctor: Hello. Firstly, this does not appear to be CAD (coronary artery disease) related pain to me, however, it should be evaluated to rule out some unusual cardiac causes, especially valvular problems. Because of your age, long duration of symptoms without treatment and atypical nature of pain, it does not look like pain due to CAD. Now anginal pain would typically increase or occurs on exertion and relieves with rest. And cardiac pain would persist for a few minutes rather than seconds and does not remain round the clock. Intermittent chest pains may not be cardiac. Such pains are usually due to acid reflux. Acid reflux pain occurs more frequently in lying down position, occurs intermittently, persists for a few seconds to minutes. So, yours may be related to it. Other gastric symptoms may be associated like epigastric pain, bloating and burping, etc. Another possibility should be considered is of costochondritis, if there is definite tenderness over the chest wall. See if you also have any neck pain, tingling, numbness, etc, for cervical pains. Regarding dizziness, it is likely postural hypotension. This may occur due to dehydration so keep yourself well hydrated and have a proper diet. If you have a BP apparatus then should check your blood pressure (BP). Now if shortness of breath is significant, then this needs early evaluation with examination and tests like ECG (electrocardiography) and echo. So, your symptoms are nonspecific and overlap with many non-cardiac and benign causes as well. But you will need a thorough evaluation with an examination, ECG and echo to rule out cardiac problems. I hope this helps." + }, + { + "id": 23328, + "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": 12492, + "tgt": "How can painful, red and swollen penis head be cured?", + "src": "Patient: Hello doctor, I am having some pain on the head of my penis. Coupled with this is the fact that the left side of the head of the penis is red and inflamed. It is as if there is a small but extremely uncomfortable moving sensation within that area. I can actually feel the head of my penis acutely nowadays. I also feel a stinging sensation along the red inflamed glans of my penis. Occasionally, I feel a slight, stinging sensation on my scrotal sac and feel the need to scratch at that area. Recently, I have also been experiencing tiredness during the day when I am supposed to be working. I abstain from sex too. I am male, 25, and on no medications currently. Doctor: Hello. The lesions look like balanitis or rash due to infection. The most common cause can be skin irritants or allergy. Check for blood sugar, avoid allergens like deodorant or new soap or medicine. Use Candid B gel locally for one week. If symptoms are not improved, please consult your dermatologist or physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 1965, + "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": 13189, + "tgt": "Kindly explain about the vesicle like lesions on the penis", + "src": "Patient: Hello doctor, What are these lesions? Doctor: Hello. Please provide me with more details. How does this lesion develop? Any recent history of unprotected high-risk sexual intercourse? Any discharge from penis? Any pain? The lesion appears to be vesicle (attachment removed to protect patient identity)." + }, + { + "id": 1039, + "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": 2014, + "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": 18494, + "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": 25815, + "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": 26323, + "tgt": "The head of my penis is red. Is this an STD?", + "src": "Patient: Hello\u00a0doctor, I am a 38 year old male. The head of my penis is red and I have been using Hydrocortisone cream 2.5 % to treat the redness. It seems to make it go away temporarily but it keeps coming back. I do have psoriasis on my elbows and the butterfly on my nose and under my eyes. I also have rosacea on my face. At times, the redness is accompanied by white crusty flakes. Is this an STD? What treatment would you recommend? This has been on my penis for a year, and I have uploaded some images for you to look at. I always use a condom during sexual intercourse if this information is relevant. Please advise. Doctor: Hello. I went through the clinical images you uploaded (attachment removed to protect patient identity). Looking forward to your response in order to help you. Revert with more information to a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 11083, + "tgt": "Is it fine to stop with 8 weeks course of treatment for hepatitis C?", + "src": "Patient: Hi doctor, I am 40 years old. I was diagnosed with hepatitis C before 16 years while donating blood. No allopathy treatment was taken till last month. My liver function tests are monitored regularly. Most of the time, the result will be elevated levels of SGOT and SGPT of 200 and 300 respectively. But, it did not affect me in any way. My appetite is very normal and I am a pure vegetarian. In my recent test, I was diagnosed with genotype 1 and the maximum viral load was 12 lakhs. I started on treatment of SOF+LDV. Followed by that, viral load checked after 7 days and 30 days showed not detectable. Also, for the first time my LFT came back completely normal with no elevated level of any enzyme. Most of the research suggests that 8 weeks treatment is fine, if the reports are normal. Should I complete 12 weeks or stop after 8 weeks of treatment? Please advise. Doctor: Hi, We are here to help you. For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28121, + "tgt": "I am experiencing psychosis after being sexually abused for years. Please help", + "src": "Patient: Hello doctor, I am an 18 year old, and I have been sexually abused as a child for many years. I have never told anyone, and now my parents got divorced. I am experiencing numbness and psychosis symptoms, but they do not affect my daily life, and no one knows what I am going through. I wanted to know if I have a mental illness. Am I in danger of a mental illness? Doctor: Hello. I empathize with you. Sexual abuse in childhood is perhaps the most brutal and tragic thing that can happen to a person. The scars of that enormous trauma never fade away. I believe you have post-traumatic stress disorder. It is not a psychotic disorder but a neurotic (anxiety spectrum) disorder. The symptoms are: If you think you are suffering from the above symptoms, visit a psychiatrist at the earliest. Medicines like Paroxetine and Escitalopram are very much helpful in reducing the symptoms. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 16860, + "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": 27454, + "tgt": "My voice always sounds blocked. Should I get my adenoids removed?", + "src": "Patient: Hello doctor, Since a long time now, my voice sounds blocked all the time, even when I do not have the flu. Recently, I visited the doctor, and he told me that I need to take my adenoids out after three months. But, I was wondering whether there is a 100 % chance that my voice will sound perfectly normal, post the surgery or is there a chance it will not work? Doctor: Hello. Nasal voice can occur due to an adenoid enlargement. Do revert if you require any further support. Happy to help you. For more information consult an otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16529, + "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": 591, + "tgt": "I have sharp low back pain after weight lifting and it hurts while lying down. Please help", + "src": "Patient: Hello doctor, About six months ago, I developed pain in my lower back mainly in my waistline towards the right side. I visited a doctor and we tried PT but it did not work. I then scheduled an appointment with a chiropractor, however, it was canceled dude to COVID-19. A couple of days ago, I was lifting at the gym and everything was going fine. I started noticing the left side of my back waistline beginning to hurt so I went home. Since then, the pain has worsened a lot. It is a sharp shooting pain that will extend from my waistline into my buttocks. I can barely sleep at night because when I try to turn over the pain is too extreme. I feel it a lot when walking as well, or trying to stand up if I am sitting down. Also, lying on my back causes the area to ache really bad. The pain is at its worse when I need to roll over in bed or when I stand up from being in a lying position, even if I was lying or lounging for a minute or less. I am a 23-year-old male in the military. The initial back pain that started months ago was found to be caused by wearing my sidearm at work for 9-13 hours a day and additional gear such as body armor. However, this new pain is something different. Please help. Doctor: Hello. You will need some investigations to confirm the cause. However, the likely possibility is lumbar spondylosis with nerve compressions. Most importantly, you should avoid heavy activities, lifting heavy weights, etc. You will need an x-ray of spine AP (anteroposterior) and lateral view and may need an MRI (magnetic resonance imaging). Physiotherapy would be helpful. You may continue to have Aleve (Naproxen) according to need. You may use local Diclofenac gel or hot water fomentation. We usually give patients a multivitamin like Neurobion forte (B12) which is good for nerves and next in the line is Pregabalin which is a nerve stabilizer. I hope this helps." + }, + { + "id": 24278, + "tgt": "What types of foods can be given to aid my little son eat properly?", + "src": "Patient: Hello doctor, My 4-year-old son weighs 14 kg and does not take his food properly. He has mild constipation. I would like to know what type of food does he need? Please suggest if he needs vitamin supplements. Doctor: Hello. Your child is underweight by just 2 kg. You should try giving different food items and try new recipes. All kids are fussy eaters. We should put our maximum effort to make them eat. You can give multivitamin syrup like Visyneral Z Syrup (vitamin A, vitamin B1, vitamin B2, vitamin B3, vitamin B5, vitamin B6, vitamin C, vitamin D and zinc) 5 mL once daily. But, this should be in addition to the food and it is not a substitute for food. Make him eat fruits like papaya, banana and make him drink loads of water which will relieve him from constipation. If his stools are still hard, give syrup Looz (Lactulose) 10 mL twice daily until his stools are soft. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25832, + "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": 9845, + "tgt": "I am a 25 year old female. My arms look masculine. Please help me a way out of this", + "src": "Patient: Hello doctor, I am a\u00a025 year old\u00a0female. I am facing a problem of masculine looking arms. I am not into any kind of strength training exercises but I do not know why my muscles look very prominent. My protein intake is also once or twice a week. I am not able to wear any sleeveless tops or short sleeves tops because of my masculine arms. Please help me a way out of this. It is fine if my arms look fat but, I just do not want my muscle to be seen like this prominently. I have attached a picture of my arms. Doctor: Hi. I have seen your picture (attachment removed to protect patient identity).\u00a0 Consult a fitness expert online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 27348, + "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": 30411, + "tgt": "Regarding my mom's bone TB, whom should we consult?", + "src": "Patient: Hi doctor, My mom is a CKD patient and undergoes dialysis. For the past two months, she is having a back pain. On visiting an orthopedician, he suggested an MRI of dorsal spine, which shows D5-D6 eroded and the doctor is suspecting a bone TB.\u00a0So, I am concerned about which doctor to approach. Should we consult an orthopedician or neurologist or general medicine physician or general surgeon to get the correct treatment? Could you please help? Doctor: Hello. I understand your confusion in today's world of information. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 3189, + "tgt": "Head of my penis is itchy with mild pain on touching. Please help", + "src": "Patient: Hello doctor, For the past three days, I am experiencing itchiness within (inside) the head of my penis. There is mild pain while touching the head and it becomes bad post masturbation and urination. No boils found under the skin but it seemed to be red in color. Doctor: Hi. Your complaints are more in favor of urethritis or balanitis. This could be a consequence of multiple factors ranging from infections to even renal stones. Kindly mention if there is any pain when passing urine? Is there any pus discharge from the urethra? Is there any burning when passing urine? Also, mention have you been masturbating excessively off late? Do you have had any recent change of partner? Do your partner is also having similar complaints? Kindly upload appropriate images if there are any lesions. Syrup Citralka 10 ml in one glass of water twice daily. Take plenty of fluids. Avoid excess masturbation and have a monogamous relationship. Review back with answers for the above queries." + }, + { + "id": 20449, + "tgt": "I have breathlessness, restlessness, and swollen stomach. Kindly help", + "src": "Patient: Hello doctor, I have breathlessness, restlessness, swollen stomach, feeling vomiting and constipation. Doctor: Hello. I have gone through your health concerns and here is my advice. Swollen stomach could be due to incoming periods taking into account your age and gender, constipation or any other bowel problem, hyperacidity of the stomach. If you are constipated, then, the fecal mass remains inside your bowels for longer period causing enlargement of bowels. The enlarged gut will cause swollen stomach and push diaphragm upside and causing breathlessness and restlessness. The only solution is to solve constipation through increasing fluids intake, gentle laxatives like senna candies, stool softeners like Lactulose, probiotics to stabilize the intestinal flora, increase fiber intake in food and as a supplement." + }, + { + "id": 1785, + "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": 3861, + "tgt": "I am concerned about dark urine and burning sensation. Please help", + "src": "Patient: Hi doctor, Every month I am getting some burning sensation and my urine is very dark that time. Also, I get body ache and slight fever. Now from yesterday I am having the same problem. I assumed it as when my water intake is reduced I get this problem and started drinking more water. Is this the reason or anything to be concerned? Thank you. Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3291, + "tgt": "I have red tonsils, excess throat mucus, irritation and voice change. What should I do?", + "src": "Patient: Hello doctor, I am a 20-year-old male. I am having throat pain with red tonsils and white patches on them, frequently clear throat, excessive mucus with low and not clear voice. Please help. Doctor: Hi. From your description I understand that you are a male aged 20 years, having the symptoms of throat pain, excessive throat mucus, throat irritation and change of voice. From perusal of your symptoms, I conclude that one of the following could be the most probable causes: 1. Acute follicular tonsillitis: It is the infection of tonsils. May be accompanied by an infection of the pharynx and upper respiratory tract. It produces acute pain, painful swallowing, change of voice, and throat irritation. 2. Diphtheritic tonsillitis: It is a serious condition where after healing of tonsillitis the diphtheria organism can cause myocarditis (inflammation of myocardium) and nerve palsies/neuralgia. Neuralgia is a nerve associated pain. The symptoms of your case that match this condition are in addition to throat pain, red tonsil are the patches you mentioned. Diphtheria forms a dirty white membrane over the surfaces. 3. Other less probable conditions are infectious mononucleosis, tonsillar malignancy, Vincent's angina. However, the details you have given do not seem to match these. However, I must insist that only when we examine you we can be sure of what the findings are and what could be the diagnosis. You could take a picture and send us for a better understanding of your problem. Meanwhile, try the following. These are just suggestions. I would recommend you to do the following tests for a more decisive opinion. 1. Complete blood count. 2. Throat swab and Albert staining of the swab. Some general measures you can take to alleviate the pain and change of voice are: 1. Take plenty of warm and hot fluids. 2. Avoid spicy, oily, and cold foods. 3. Take salt water gargles many times a day. 4. Take steam inhalation. 5. Take pain killers to alleviate the pain. Only after a more decisive opinion can we provide you with antibiotics or more specific measures." + }, + { + "id": 4679, + "tgt": "What is the treatment option for broken molar tooth?", + "src": "Patient: Hello doctor, Ten years ago, I had a molar break nearly in half. At that time, I tried to do the correct thing. I went to a clinic and had a temporary filling. I switched jobs within a few months, acquired actual dental insurance and went to a clinic. I got my teeth cleaned, a couple of fillings and set up for a root canal on my broken tooth. During and after the root canal, I was out of it. I have severe TMJ and had to be medicated. It was not until a few days later when I received the bill, that I even realized the procedure did not include the cost of a crown. So I have not had my crown as it was expensive. There is not an excuse that is acceptable, but the fact remains that I have not done anything about this for a decade. Between that time and now, I have switched jobs and no longer have any provided insurance. I stopped chewing on one side of my mouth a few years ago. My broken tooth has died and fallen out a piece at a time. There is about a quarter left. The teeth next to it are in bad shape. My gums are swollen and surely infected. I am aware of the likeliness of deeper infection. I have zero dental insurance and minimal health insurance. I am highly anxious in general and suffer from irrational fears. For reasons I cannot explain, I am terrified of visiting doctors, and especially dentists (no offense). I also have very little in the way of expendable income and I cannot afford to hop from doctor to doctor paying each along the way. I have no clue where to start. But I know I need to. I just have no one to ask. I am scared. What do I do? Can I get to see my general physician about this? I know they will have to refer me, but going straight to a dentist will surely cost a great deal more. I need step one and I do not know what it is? Doctor: Hello. You need to show to a dentist itself as the teeth is broken and only a quarter of actual size should be removed. The tooth next to this which has cavity should also be filled or maybe would require root canal treatment. You can delay the crown placement if you do not have money for. Otherwise just extracting or pulling out those infected teeth will give you much relief and it would be cheaper also, than trying to restore it. 1. Use Saline or Betadine gargle for at least twice a day after food for a month to reduce the gum infection. I can prescribe you antibiotics but I do not know whether you will be able to buy them there without a prescription. 2. Amoxicillin 500 mg thrice for five days would reduce the underlying infection and give you relief for a month or so. (stop if you have any allergic reaction). 3. You can take some painkillers and antacids if required. As a last resort if you do not have any money for the treatment and also do not have insurance, just use Betadine gargle and try to buy the above antibiotic and use it for five days. Then when you have money show to a dentist and get those teeth pulled out or restored. Maintain proper hygiene so that at least other teeth do not get infected. Use warm saline gargling as much as possible and for as long as possible. I hope this helps." + }, + { + "id": 160, + "tgt": "How to proceed with the blood cancer treatment for my 8-year-old son?", + "src": "Patient: Hello sir... My son is 8and half years old.. from his birth he has cold cough problem that we took cbc in that it came normal but wbc use to have 22300 from birth till 3 months back, and after that he s unable to walk and got severe fever and cold and shiverish and he cant able to walk and i consult with doctor who s a child specialist he said me to take a cbc and i gone through cbc test. In that wbc shows 58000 Doctor said me to take scan and i done scan in that it shows he has a plural effusion fluids in that they send for fluid test but the trst reports are not yet came but the doctor started treatment for chemotherapy by saying he has a blood cancer ... They took bone marrow biopsy in that it shows negative... My doubt is to ask u about sir s...... doing chemotherapy done before fluid report came s right or not... Report not yet came but cbc everyday took is rapidly increasing... And still fluid test not yet came.. now doctor sayin that they have to do bone marrow transplant i have a younger kids age under 3 doctor saying that siblings match in blood test will have to be a donor for the oerson affected... U pls give me a suggestion and help me from this ols sir or madam Doctor: Dear, Your son may have leukemia and there are so many types of lukemia. Just with CBC leukemia cannot be confirmed. And there are multiple tests that has to be done. Fluid tests may not show positive results in a single test. It may be repeated. They must have done flow cytometry and thta will give you better idea regarding the condition. Is he having fever or any other complaints? sore those? Bone marrow transplantation will be done only after subtyping leukemia. Chemotherapy will be usually started after knowing diagnosis but if child is sick enough or if it is not going to affect the test result, they may start chemo early and wait for the test results. Hope it's useful. let me know with some more details. I would like to give my opinion." + }, + { + "id": 7016, + "tgt": "My ruptured ear drum healed with scarring and is paining now. Why?", + "src": "Patient: Hello doctor, Seven years ago, I ruptured my right eardrum. I recently went to my doctor because I lost some of my hearing, and I have been having pains in my right ear. My doctor told me that the ear drum healed but there is a lot of scarring on it. Why is my eardrum hurting if it is improved? Doctor: Hello. 1) A ruptured eardrum, if not infected, is not a serious condition as it will usually heal by itself within 6 to 8 weeks. It is a skin-like structure, and it heals like a skin that is cut heals. In your case, you had a perforation in the eardrum seven years back, and since then you have not had ear discharge, there is a high possibility that the eardrum has healed. 2) The doctor you have visited must have done an otoscopic examination of your eardrum (looking into the ear canal with a lighted, magnifying instrument called otoscope). Scarring of the drum is called tympanosclerosis. It occurs due to calcification if the tissues in the eardrum and middle ear. If extensive, it may involve your hearing apparatus (chain of small bones for hearing) and affect hearing. I will advise you to get an investigation for a hearing called pure tone audiometry. This will give a clue about the degree and hearing loss. Treatment for hearing loss whether it can be cured by surgery or you need to use a hearing aid will depend on the reports of audiometry. 3) Causes for earache can be, 1. Infection of the ear canal outside the eardrum (otitis externa). 2. Eczema of the ear canal (seborrhoeic dermatitis). 3. New infection of the eardrum (acute otitis media). 4. Any dental or throat infections. The cause for earache can be diagnosed only after a full ENT examination. Kindly request your doctor for a microscopic examination of your ear canal apart from an otoscopic examination as it provides a better magnification and one can visualize even the fine details. I hope this helps." + }, + { + "id": 16353, + "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": 13217, + "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": 10522, + "tgt": "What can I do to grow hair in the case of genetic hair loss?", + "src": "Patient: Hello doctor,I am 36 years old. I have genetic hair loss, is there something I can do to grow more hair? I use Minoxidil, but it is not working. Doctor: Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to assess the condition and to suggest you the appropriate diagnosis and treatment. I need to see it to help you further." + }, + { + "id": 15491, + "tgt": "Does edging help to maintain sexual excitement for an extended period?", + "src": "Patient: Hi doctor, I have heard that edging helps to maintain sexual excitement for an extended period. Is it true? Doctor: Hi. Yes, edging helps to maintain sexual excitement for an extended period. If you are hyper-excited and anxious, then there may be an early discharge, and you will have an incomplete orgasm. Try to distract yourself during sex, and this will surely help you to extend the time. For some time, you can use condoms, and this will also increase the time. Dapoxetine is a drug that helps to raise the ejaculation time." + }, + { + "id": 24566, + "tgt": "I am HIV infected and I have a white coating on the tongue. Please guide me", + "src": "Patient: Hi doctor,Age 28, sex male, height 5 feet 9 and weight 80. I am HIV infected and I got red blisters on my tongue with a white coating on the tongue surface. Doctor: Hello. Your complaints are more in favor of oral candidiasis. This is an opportunistic infection in the immunosuppressed. Kindly mention your CD4 count, RNA load, and the ART medication that you are using. Please attach the appropriate images. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4339, + "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": 26576, + "tgt": "Would my low sperm count have an adverse effect on IVF and ICSI?", + "src": "Patient: Hello doctor, I am a 39-year-old male with a low sperm count of 1.9 million. My blood work shows that I have a high FSH. Our doctor highly suggested that I get genetic testing done before we proceed with an IVF or an ICSI. I would like to know why he would suggest that. Doctor: Hello. 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 sexologist online -->https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 5758, + "tgt": "I have blurry vision in the right eye and pain in the eyelids on using contact lens. Why?", + "src": "Patient: Hello doctor, I have blurry vision in a small section of my right eye, and it keeps moving around. Sometimes, it completely disappears. In addition, I have pain on the inside of my top and bottom eyelids as well as the outer corner of my eye, but I feel the pain only when I blink. This pain is also alternated between those three sections of my eye while I was wearing the contacts, but the pain has settled in my top eyelid now. I also noticed the discharge a couple of minutes ago. These symptoms started this morning upon inserting my cleaned contact lenses. I am currently on Melatonin and Depo-Provera. Doctor: Hello. Stop wearing contact lenses until the eye is completely normal without redness. Consult an ophthalmologist nearby to check for eyelids and retina for moving things and weak spots (lattice). The moving thing is a floater. It is uncommon in your age unless you are myopic. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters, or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it." + }, + { + "id": 16009, + "tgt": "What is the treatment followed for lung cancer?", + "src": "Patient: Hi doctor, My mother has lung cancer. It is in the fourth stage. Currently, the doctor has advised her to take targetted therapy. She is taking Gefitinib tablets every day. Is there anything serious? Please help me. Doctor: Hi. Please say about the histopathology report. Please explain the condition briefly. Please state whether there was a mutation done before starting Gefitinib. All these things are essential for deciding the response to Gefitinib. In general, on taking Gefitinib, the average survival is 13 to 14 months. But some patients have long-term survival for three to four years. Some patients do well for five to six years. Usually, Gefitinib is well tolerated. The most common side effects are skin rash and acne. Rarely, it can cause hepatitis or pneumonitis which is manageable with drug discontinuation for a few weeks. I recommend doing a PET (positron emission tomography) scan every three months. Have a look over the drug response. Please send your report so that I can guide you further." + }, + { + "id": 27895, + "tgt": "I have pain in one of my erupting wisdom tooth. Is it due to an infection?", + "src": "Patient: Hi doctor, I have two wisdom teeth erupting, and I am worried one of them is getting infected on the left side. I am also worried that I might be getting a cavity under the cap of the molar teeth. And I feel that they have to be taken out, as they are 5 to 6 years old. I have attached a photo of the erupting wisdom teeth and the molar tooth cap. Doctor: Hi. I read your query, and I can understand your concern. I have seen the attached photo (attachment removed to protect patient identity). Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14570, + "tgt": "Why did a large part of tooth broke off while eating soft food?", + "src": "Patient: Hi doctor, I was eating something reasonably soft and all of a sudden quite a large part of my tooth broke off. I am 18 years old and have never had a dental issue before and I was wondering what the likely cause of this was and if there is any way to prevent it from happening again. Doctor: Hi. A certain type of decay starts in small pits on the tooth surface (pit caries). Progression pattern of that caries is like a triangle with the base facing inside and tip at the surface. So it will not be visible in its early stages but inside decay will be bigger in size. While you bite something hard, there is a chance of P as it is under surface being eroded. Consult a dentist at the earliest and get restoration (depends on the extent. May be normal filling or RCT)." + }, + { + "id": 29706, + "tgt": "After taking Venlafaxine, my body has become numb. Why?", + "src": "Patient: Hi doctor, I have been on 60 mg Nuzak for almost 10 years. When it stopped working, my psychiatrist suggested 150 mg Venlafaxine. I was only on it for about a month. When I started getting extreme night sweats and she suggested to stop it. I tapered it down for about a month when I lost almost all sensation in my skin. It feels like everything is numb from my head to toes, inside and outside of my body. Also, my periods completely stopped. I have been to two neurologists who can't find anything wrong with me. I have been having these symptoms since four months. Has anyone else had this experience? Please help me. I am constantly aware of it and it is driving me crazy. I will do anything to get my sense of feeling back. Thank you. Doctor: Hi, Welcome back to icliniq.com. Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27684, + "tgt": "I have tried various products to gain weight and spoiled my health. What to do now?", + "src": "Patient: Hello doctor, I am trying to gain weight for the past six years. I have tried\u00a0many types of steroids like ayurveda tablets, allopathy\u00a0capsules, some of the mass gainers, weight gainers, etc., but they did not show any result. Once, I have gained 3 kg to 5 kg. But, when I left the supplements, I lost my weight. My efforts for gaining weight are still going on. I have tried many brands of mass gainer, protein power and capsules. My local doctor suggested medicines, but they never work properly. Also, the various products injured my metabolic system. Today, my condition is like, I never feel. My stomach sounds poorly all the time. I am very upset for my health. I had a lot of medicine and checkup. But, I am not healthy right now. What to do now? Doctor: Hello. I just read your query. Anxiety or excessive use of past medication or lifestyle. Revert after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21976, + "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": 28504, + "tgt": "Can I start taking Shankhpushpi for depression?", + "src": "Patient: Hi doctor, I have been taking allopathic antidepressants since two\u00a0years now, and I want to try ayurvedic medications for the same. How can I change it? I want to take Shankhpushpi now. Can I take only ayurvedic medicine, or should I take both? 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": 19877, + "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": 13891, + "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": 12594, + "tgt": "How can blood in stool be managed?", + "src": "Patient: Hello doctor, Since the last two weeks, I am finding blood in stool when stool is hard and when I find hard to pass stool. It starts when I eat ginger or drink turmeric milk. Please suggest to me. Doctor: Hello. You may be suffering from constipation with internal hemorrhoids or fissure in ano. You have to avoid spicy food, low fiber diet. Use high fiber diet with plenty of liquids. Use Metamucil or Benefiber for stool bulk formation. Do regular exercise and yoga. If symptoms not improved you may use syrup Lactulose 30 ml after dinner for five days if necessary. If symptoms do not improve or develop an allergy to the above drug, please consult your physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 15015, + "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": 9674, + "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": 22464, + "tgt": "Why do I have an itchy urethra?", + "src": "Patient: Hello doctor, I am 70 years old, my height is 5 feet 7 inches and I weigh 148 pounds. I have an itchy urethra. It is just Inside the tip. I am on medications for blood pressure, thyroid, and cholesterol. Doctor: Hello. An itchy urethra could be part of urinary tract infection associated with renal stones and excess certain crystals in urine or inflammation of the urethra. So please give me more details in order to narrow the differential diagnosis. You need to drink plenty of fluids until it works. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19046, + "tgt": "What could be the reason for frequent urination and excessive thirst?", + "src": "Patient: Hello doctor, My weight is 90 kg and height is 181 cm. I am a fighter by profession. Four days ago, after finishing three hours of outdoor training, I had severe lower flank pain on both sides. Since then, I am having frequent\u00a0urination at an average of four times at night and 15 times during the day with some discomfort while urinating. I am also having excessive thirst, loss of appetite, general lethargy\u00a0and fatigue. I am currently taking Cipro assuming it to be a UTI. Doctor: Hi. I can understand that you are worried about your health and the urinary system issues. 1. Urine culture. 2. Complete blood count with erythrocyte sedimentation rate and electrolytes. 3. Liver function tests. 4. Renal function tests. Without testing, it is not so rational to have Cipro (Ciprofloxacin), but since you have started it is better to consult a local nephrologist for proper physical examination. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22673, + "tgt": "Is it usual for moles to get swollen and irritated?", + "src": "Patient: Hi doctor, I have a little mole on my neck that seems to have got swollen and inflamed. It happened about nine weeks ago. I think my necklace may have irritated it. The swelling has gone down. But, the mole seems different and red around the outside. I saw a dermatologist in a person who told me that it is not a concern and it will get healed soon by itself. But, it has been a few weeks now, it is still red and not back to normal. Doctor: Hi. I have gone through your pictures (attachment removed to protect patient identity). It seems like an irritated mole. There is nothing serious about the condition. I suggest you apply a topical antibiotic such as Neosporin (Neomycin) ointment or Mupirocin 2 % ointment, twice daily. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14611, + "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": 22374, + "tgt": "Will eating 12 eggs in a day cause any health issues?", + "src": "Patient: Hi doctor, I ate 12 eggs today. Will this cause any health issues? Doctor: Hi. Proteins in eggs are of most superior quality and now the cholesterol (in the yolk) is also not considered as a risk factor for cardiovascular disease. But eating 12 large boiled eggs (about 600 grams) will provide you more than 900 calories. Since already you have a high BMI (attachment removed to protect patient identity), try to reduce your calorie consumption. Eating raw eggs increases the risk of salmonella poisoning and deficiency of biotin (vitamin B). Also, boiled eggs have better bio-availability of proteins than the raw egg. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5008, + "tgt": "Is it normal to get blood in urine before getting periods?", + "src": "Patient: Hello doctor, I am 22 years old. I have been observing that since last 3-4 period cycles, I have been having blood in urine. Just an hour before periods then it is normal once I get my period and the urine is again clear. Recently, I got my period and an hour back I urinated with little blood but the last few drops after I was done wer really red. I have lower back pain that comes and goes and sometimes when I walk I get pain in left buttock. 10 days back I had UTI which is treated now. 10 days back I also had a really bad pain in lower abdomen and I placed a hot water bag on it and the pain was gone. I will be going for a scan and urine test after my periods are over. I had posted this query on a health app and was told by the doctor that I may have bladder endometrosis. It has terrified me now. It is so scary q nd needs surgery. I am healthy, do yoga and never smoked nor am I sexually active. I wanted to get a second opinion whether I could have this. I Can understand that a doctor cannot give an opinion till the reports are out. And I still have to wait for 3-4 days till my periods are over to go fr the test. But for my peace of mind an experienced doctor's insight could help me relax a bit. Do I really have a major problem? My doctor who told me to go for scan told me that it could be an infection or kidney stone. Doctor: Hello. Endometriosis is not so common. Although you have a pattern of bleeding which goes in favor of bladder endometriosis. First thing which needs to be ruled out is a stone disease. Get an NCCT KUB done which will confirm or rule out stone disease. If it is not there then next step is a cystoscopy that means having a look inside the bladder by passing a small telescope through urinary passage. In any case these things are treatable and you should not worry much. Revert after the scan ." + }, + { + "id": 6692, + "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": 17899, + "tgt": "What can be the cure for itching in my private parts?", + "src": "Patient: Hello doctor, I am having problems with\u00a0itching between buttocks on the backsides. The itching is sometimes below the testicles and around that\u00a0area. I have many creams like Ring Guard, Itch Gaurd, Sapat\u00a0lotion,\u00a0etc. All this gave relief. But, after some weeks I feel itching again below and I have got rashes. The itching is mostly in the evening and night, usually midnight. If I go outside and I start sweating then I feel the itching. I tried many itching creams but none have helped. I have been having this for the last four or five years. I have attached photos of the itching areas. How can I cure this itching problem? Doctor: Hello. I have gone through your pictures\u00a0(attachment removed to protect patient identity). For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26599, + "tgt": "I have severe chest pain and high heart rate. Please suggest a cure", + "src": "Patient: Hello doctor, I am a 23-year-old female with a height of 5 feet 3 inches\u00a0and a weight of 110 pounds. I am not taking any medicine. I am\u00a0having chest pain for a month and high heart rate, which is very painful in the night. I had an EKG which showed tachycardia.\u00a0Can you please tell me what medicines or herbs can cure high heart rate?\u00a0It is urgent. I have been to the hospital many times, but they said there is\u00a0nothing they can do for me. Doctor: Hello. I hope it helps. Please feel free to ask more questions if you need further assistance. I would be happy to assist. Regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 1152, + "tgt": "Shall I opt Finasteride for hair loss?", + "src": "Patient: Hi doctor, I am losing my hair day by day. Can I use Finasteride? I have hydrocele. Is it related to my testosterone? Doctor: Hi. Please do not go to Finasteride straight away. First, the cause and the pattern of your hair loss have to be assessed. It could vary from seborrheic dermatitis to androgenic alopecia to any other skin disorders too. Then, treatment can be planned. Have a consultation with a dermatologist for physical evaluation and get your problem assessed. Hydrocele is not related to testosterone. It is just a fluid collection in the sac. So, please do not get confused. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19834, + "tgt": "Why is my period delayed by four days this month?", + "src": "Patient: Hello doctor, My period never comes on the same day, just around the same time. Last period was on 25th and it is 29th this month and still no period and a negative pregnancy test. Doctor: Hello. A delay of 3 to 4 days is acceptable. By definition, if the menstrual cycle is between 23 to 35 days, it is still considered normal. However, the most common cause of delay in menses is stress-induced hormonal imbalances (80 %) and the remaining 20 % include PCOD (polycystic ovarian disease), hypothyroidism, and hyperprolactinemia. Please get your hormonal profile done and if menses do not resume after another seven days, then you can opt for a withdrawal bleed with progesterone." + }, + { + "id": 16913, + "tgt": "My 2. 5 months pregnant wife's TSH has reduced. Do we need to reduce Thyronorm dosage?", + "src": "Patient: Hi doctor, My wife is 2.5 months pregnant. She is 29 years old, weighs 46.2 kg and is 4.10 feet tall. She has subclinical hypothyroidism, and her TSH is 12.7. She takes Thyronorm 75 mcg. Recently, we tested her TSH, which was 10.5\u00a0and total thyroxine (T4) is 12.4 (reference value is 4.5 to 12). Do we continue the same Thyronorm 75 mcg or reduce the dose? Doctor: Hi. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16469, + "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": 15487, + "tgt": "My 6 year old son is reluctant to eat. Please advise", + "src": "Patient: Hello doctor, This is regarding my 6 year old son. He is\u00a0reluctant to eat\u00a0and normally we have to change his focus from meal to feed him (by showing him television or something else). He smells things as well and does not eat if he does not like the smell of it. He likes\u00a0cold drinks, chips, candies\u00a0etc. We met a doctor and he said that we have to reduce or even stop giving him cold drinks, chips and any other outside food. Instead he asked us to give him home made food. But the problem is that he rarely likes to eat home made stuff. We tried many options but he rarely sits and eats. He is very active or I may say\u00a0hyperactive, good in studies but we have to force him to focus on studies while teaching at home. Doctor recommended to have some tests of his blood and urine. Please advise us regarding this issue. Doctor: Hi. From the details you have provided, your kid seems to be a fussy eater. This is a common problem with kids of this age. Reasons for this problem are: Does he fall ill often? What is his weight? This is to ensure that he does not have major health concerns and is thriving well. Weight between 17 to 27 kg are approximately the lower and upper limits for this age. If the reason is 1 or 2, you can try the following measures: These are few ways which can be tried to avoid junk food and outside food. If the reason is 3 and if his tests are all fine, then he does not have major health issues and is well grown. Overactive - extremity of it is called ADHD (Attention Deficit Hyperactivity Disorder). But it is difficult to diagnose without seeing the child and examining in detail. You can consult a paediatrician online for further queries regarding his hyperactivity --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23805, + "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": 12332, + "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": 23477, + "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": 9257, + "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": 19356, + "tgt": "What medication should I take for my skin rashes?", + "src": "Patient: Hi doctor, I have been experiencing skin rashes, as shown in the attached photo, for the past three weeks. It all started with itching sensation in both hands, and then red spots came all over my arms, face, and legs. I have also itching in my head. I was given Avil injection at the hospital and Avil tablets. I also took Teczine tablet afterward. Yesterday I took L Montus tablet. I am also attaching a photo of my prescription. Today, I feel weak and dizzy, as I am fasting, and I took the injection while fasting. What medication best suits my case? Thank you so much. Doctor: Hi. I saw the picture (attachment removed to protect patient identity). This is acute urticaria. I suggest you try taking the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Tablet Avil (Pheniramine maleate) is antihistamine that can cause drowsiness. Some patients complain of drowsiness even after taking Levocetirizine. But you need to take Levocetirizine. Any tablet taken on an empty stomach can cause gastritis. If you have difficulty in swallowing or breathing, then you should visit a doctor immediately. Get the following blood test done: If urticaria is persistent, and if you still have the rashes, then I suggest Injection Avil 2 cc IM and Injection Hydrocort (Hydrocortisone sodium succinate) 100 mg IV. Stat dose can be given. If the rash has subsided, then continue with above medications. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 23984, + "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": 20458, + "tgt": "Is it necessary to take I-pill after unprotected sex without penetration?", + "src": "Patient: Hi doctor, I am a 20-year-old female. Yesterday I had my ovulation day. I had unprotected sex with my partner. But we had not done a penetration. He pulled out before he had the precum. But we are scared. Is it necessary to take an I-pill? If yes, then what are the side effects? My period is expected after two weeks from now approximately, and I have regular periods till now. Doctor: Hi. You were under an unsafe period, and even pre-cum also have live sperms. You are at risk of getting pregnant. You need emergency contraception within 72 hours of intercourse to avoid unplanned pregnancy. The most common side effects of I-pill are a headache, nausea, and bloating which can be prevented by increasing the intake of water. You will get a withdrawal bleed within five to seven days after the consumption of I-pill. It indicates the absence of pregnancy." + }, + { + "id": 21522, + "tgt": "My husband has loose motions and lower abdomen pain. Please help", + "src": "Patient: Hi doctor, My husband is 28 years old. He had diarrhea before three days. He had vomited once and loose motions for about 7 to 8 times. Then, it stopped after taking Enterogermina thrice and he also had Electral. Then, the next day, he had outside food, but bland and non-spicy. He again has loose motions from yesterday. He is taking Enterogermina, but not yet cured. He is feeling weak and tired. His hands, feet and lips are all dry. He has joint pains and lower abdomen pain. I have attached a picture showing the area. He also has pain in the back exactly behind the area marked in the picture. He has very mild burning sensation while urinating, from today morning. Is the stomach issue and this one related? Please clarify. He has erratic sleep pattern. He sleeps very late at night and has a stressful job. He has GERD and gastritis. He has been taking Pantocid 40 mg for three months. Doctor: Hello. I had gone through all the information. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11873, + "tgt": "How can I get relief from inguinal hernia without surgery?", + "src": "Patient: Hello doctor, I am a 30-year-old male. I am suffering from right inguinal hernia for the past two months. I have consulted a doctor, and he asked me to go for surgery. Is it possible to cure an inguinal hernia without surgery? Doctor: Hello. Inguinal hernias generally are of two types: Strangulated and non-strangulated. Nonstrangulated are simple as currently, you have. So if you do not undergo surgery, it can be converted to strangulated and complicated one. The hernia is due to muscle weakness, so better you should undergo surgery, they will apply for mash work and strengthen the muscles. Avoid heavy exercise, and work out." + }, + { + "id": 5687, + "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": 5052, + "tgt": "I have very painful piles and am pregnant. Please help", + "src": "Patient: Hello doctor, I am 30 weeks pregnant. Went to doctor with three thrombosed hemorrhoids. Doctor gave me cream and suppositories. I am in agony and cannot move without being in pain so went back to doctor today who said they need to be drained. I spoke with the surgeon in the hospital who advized that because I am 30 weeks pregnant they will not give me general anesthesic to drain them. And instead keep doing the cream and suppositories and also ice packs and rest. My question is that the piles are easily the size of two grapes in one and I cannot even sit down. I have to lay down and cannot do anything. Has anyone experienced this size of piles before and will they just decrease in size and if so what is the normal timeline as I am finding the pain hard. Doctor: Hi. Piles in pregnancy can happen due to increased intraabdominal pressure. For patients who have hemorrhoids before pregnancy they increase more. Now as it is 30 weeks you can wait for another 6 to 7 weeks. They may decrease in size once delivery is over or else you can go for surgery. Now use cream locally. Increase fibre in food." + }, + { + "id": 4982, + "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": 28171, + "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": 30835, + "tgt": "May I know the reason for the failure of my pregnancy?", + "src": "Patient: Hi doctor, I am a 37 year old married woman. I have been\u00a0trying to conceive for the past two months, but could not succeed. I got married six months back and initially for 30 days, I used I-pill. My periods are regular with 25 to 28 day cycles. My husband and I do not have any allergy or pre-existing disease. May I know the reason for the failure? Doctor: Hi. Revert back with your reports to an\u00a0infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 21814, + "tgt": "How to treat dark circles around the eyes?", + "src": "Patient: Hello doctor, I have darkness in my eyes. What to do? How to treat dark circles in the eyes? Doctor: Hi. First, you need to understand that dark circles around the eyes are sometimes resistant to any treatment and runs in families. Ensure you get a full night's sleep. Do not take stress. Take capsule Perfectil plus (multivitamins and minerals) for three months. Apply Vitamin C cream around the eyes. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21333, + "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": 26815, + "tgt": "What is the cause for increased albumin in blood?", + "src": "Patient: Hi doctor, My uncle has +3 albumin in his blood. He is not hypertensive and diabetic. What is the reason for the\u00a0increase in albumin? What is the treatment? I have attached his reports. Doctor: Hi. I hope it helps you.\u00a0If you have any further query, please ask me. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 26092, + "tgt": "Will existing semen in my tract slip out into the precum and cause pregnancy?", + "src": "Patient: Hello doctor, My partner and I had unprotected sex twice within two hours. I did not ejaculate inside her both the times and she urinated immediately after sex both the times as well. Within an hour, she took an I-pill. My only concern is would my precum or any existing semen inside my tract would somehow slip out with the precum and cause pregnancy? She had her last period on the 19th of the last month. And we had sex today, that is, 6th. Waiting for your reply anxiously. Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4710, + "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": 22227, + "tgt": "I have itchy rashes that started with white bumps and spreads. How to stop it?", + "src": "Patient: Hello doctor, It has been over a year and it started with little white bumps with no pus in them. It itches really bad, flames, and it is spreading on the back of my hand. Doctor: Hello. Looking forward to your response in order to help you. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17585, + "tgt": "Is mild hereditary spherocytosis the correct diagnosis?", + "src": "Patient: Hello doctor, I have been diagnosed with mild hereditary spherocytosis. My eyes still yellow. Is it unlikely hematologist who diagnosed me three years ago misdiagnosed? I do not doubt he knows his stuff. More about me getting worried. I lost weight a couple of months ago. I went very yellow in the eyes. I have always felt tired. I have had gallbladder out four years ago, I bruise easily, I do get little red skin dots at times, menstrual cycles can be irregular and spleen slightly enlarged. Doctor: Hello. I have gone through your lab reports (attachment removed to protect patient identity) and they are consistent with the diagnosis made by your doctor.Yellowish tint of the eyes is due to increased bilirubin levels. This is due to the increased red blood cell destruction in the spleen and is commonly a complication of hereditary spherocytosis. It is understandable that you are feeling weak since your body is producing red blood cells at an accelerated rate to compensate for the destruction occurring in the spleen. This is also the reason why your spleen is enlarged. If your condition worsens, your doctor might suggest a splenectomy. This will not cure the condition but will relieve the symptoms since the site of destruction of red blood cells will be removed and your red blood cells will be able to survive for a longer period in the blood. Splenectomy, however, can predispose one to certain bacterial infections and it is important that you receive the appropriate vaccines regularly. You could take folic acid and vitamin B12 supplements since one of your blood tests show macrocytic anemia. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20394, + "tgt": "I am unable to focus and not willing to work due to depression. Please help", + "src": "Patient: Hi doctor, When I wake up from my sleep, I feel empty. I am not willing to do my work. I neglect my study. I always stay alone in my room. I am feeling lonely. I got a breakup. After having a breakup, my depression got worse. I am crying every day for around seven months. I am unable to focus anymore, and I am unable to do my work. Please help. Doctor: Hi. You are in a troubled situation. Having an empty feeling and negative thoughts occurring on an occasional basis are quite reasonable. It does happen to everyone. But having a low opinion, and feeling empty for so long, around seven months is not healthy. It indicates that you need help. You are suffering from depression which needs to be addressed soon. Without proper treatment and care, it will get worsen further. Try to follow these steps. It can help you. Try to follow your daily routine work. Do not be alone. Try sitting with people. Do deep breathing exercise. You can try meditation and yoga. Eat a healthy nutritious diet and avoid taking junk foods. Try to have psychiatric counseling soon." + }, + { + "id": 14506, + "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": 10271, + "tgt": "Are Formonide and Pantacid enough for asthma and GERD?", + "src": "Patient: Hello doctor, I am suffering from asthma since last three years. I am using Formonide 200 two puffs two times daily. I am also suffering from GERD for the past seven years. Now I only take Pantacid 40 as and when required. It is my question. Is it a perfect prescription for me? Doctor: Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice." + }, + { + "id": 4501, + "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": 29646, + "tgt": "Can drinking less water cause brain fog and mental fatigue?", + "src": "Patient: Hi doctor, For the past several years, I am suffering from brain fog, mental fatigue and poor concentration. I have consulted so many doctors, but it was not cured. However, I came to know from one of my friends that drinking less water cause these type of problems. After hearing this, I noticed that I am drinking hardly one or two glasses of water daily and this may be the reason for my symptoms. How to recover from this? Now, I have started to drink 4 liters of water per day. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14499, + "tgt": "Is it advisable to take Deflazacort and Hydroxyzine HCl for hives during pregnancy?", + "src": "Patient: Hi doctor, The dermatologist has said that I have urticaria (hives) and prescribed Deflazacort 6 mg and Hydroxyzine HCl, but I am 28 weeks pregnant. Can I take those medicines? Suspecting it is chickenpox. The itching started 10 days ago, rashes started five days ago. Appears to be small red bumps on thighs and hands. Then appearing as water blisters and healing now. Doctor: Hi. Deflazacort is corticosteroids and can be used as per need but can interact with diabetic medications and will act as an anti-inflammatory and can give side effects like weight gain, mood variations, vomitings, etc. Hydroxyzine is antihistamine and can be used but better only in need, do not make it as a habit. Suspecting chicken pox at 28 weeks, you need to report urgently to treating obstetrician. If you tell within 24 hours of the appearance of the lesion, you can have medications like Acyclovir. If severe symptoms, it can be given orally as well. Chicken pox first needs to check as urgent before treatment for IgG and IgM as well ( IgM recent infection and IgG already immunized petient). In pregnancy, the vaccine could not be given as it is a live attenuated vaccine but after 20 weeks if patient reports within 24 hours of having confirmed leisions of chicken pox could have medical treatment. Take it seriously and just report to your treating obstetrician to have proper examination and treatment accordingly. But it seems you have spent most of the infectious and symptomatic period already but better to have a check up immediately and do have electronic fetal monitoring to check fetal well-being. Continue Iron and Calcium supplements. A healthy balanced diet with less salt, sugar, oil and spice. Have isolation, try to avoid children, adults at home and exchange of your things like utencils wth others. Pregnancy with chicken pox and urticaria. Report reduced fetal movements." + }, + { + "id": 7648, + "tgt": "How to manage the withdrawal symptoms of Lamictal?", + "src": "Patient: Hi doctor, I have run out of Lamictal and the pharmacy will not open for the next two days. I am going to miss the dose for the next three nights. I am on Lamictal 200 mg at night along with two of Lorazepam.\u00a0I have now terrified myself by reading internet chat groups. I also take Vyvanse and Effexor in the morning. Is this really terrible? Is there anything I can do to ameliorate the withdrawal symptoms? Thank you. Doctor: Hi. I read your query and understand your concerns. Now, in case if there is any withdrawal symptom then please do the following: For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21479, + "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": 15805, + "tgt": "Does teratospermia mean infertility?", + "src": "Patient: Hello doctor, My sperm count is 50 M/ml, 3 ml ejaculate, 55 % motility, 45 % prog motility, grade 1 to 10, grade 2 to 10, grade 3 to 10, grade 15, normomorphs 20 %, no antibodies, colour and viscosity normal, pH 8.5. Diagnosed with teratospermia. Given two months course of Fertisure M and retest semen analysis. How serious is that? The doctor says if the report is repeated, she will plan for IUI as my wife reports are totally normal. Am I infertile? Doctor: Hi. How are you doing? I do not see any abnormalities in the report (attachment removed to protect patient identity). You are super fertile. As per WHO guidelines, the minimum count is 15 million/ml, minimum motility is progressive 32 %, minimum normal morphology 4 %. As you are above all these criteria, you have nothing to worry. Hope wife's blood evaluation and scan are normal. One test usually forgotten is the evaluation of tubal patency, with X-ray or HSG. The tube is bridge connecting uterus and ovaries. It cannot be seen on scan or examination. Its inner diameter is 1 mm. If blocked, no matter how good the egg and sperm are, they will not meet. If not done, better do it. Not costly or invasive. Can be done on day 7 to 10 of periods. Do not worry, you will get a positive result." + }, + { + "id": 6078, + "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": 15632, + "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": 25163, + "tgt": "I frequently have cold-like symptoms which are gone the next day. What is going on?", + "src": "Patient: Hi doctor,I am a 17 year old male. I have been having some problems, like:sore throatnasal congestionpain in musclesclicking jointsThe problem is today I could feel sick like I have a cold and tomorrow I can feel normal like nothing happened. All the symptoms go away within a day and come within a day. I also get this tired feeling and sore throat (post nasal drip). I thought it was allergies but now I am not sure what is going on. This has been going on for three weeks on and off. It started after I choked on some water pretty bad. It might be all in my head. I was diagnosed with generalized anxiety disorder about a year ago. Doctor: Hello. From your symptoms, it seems like you suffer from post nasal drip frequently. It is commonly associated with sore throat and sinus congestion. When it occurs along with the symptoms you mentioned, it frequently points to allergies. For instance, recurrent exposure to dust mites. Attacks of allergic rhinosinusitis may be accompanied by flu-like symptoms even body aches. And, they frequently clear up in a day or two. Your case seems quite likely to be chronic rhinosinusitis due to allergies or frequent cold. Steam inhalation with menthol can help with the post nasal drip if you take it regularly. Also, antihistamines or intranasal Budesonide spray may be helpful. However, you may need a doctor's prescription for that. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You could take Paracetamol for the muscle ache, in recommended doses. Hope you feel better soon. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28697, + "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": 15096, + "tgt": "My son was born with aortic stenosis. Is this because of the vaccine?", + "src": "Patient: Dear doctor, I was two months pregnant when I got vaccines to complete my citizenship status (immigration). My son was born with aortic stenosis. Is this because of the vaccine? Doctor: Hi. Could you provide more information: The above are the important factors causing heart defects in newborn. The incidence of the heart defect in the general population: First look at the incidence of congenital heart defects. The crude incidence of congenital heart defects is approximately eight per 1000 live births. Among them, aortic valve stenosis accounts for 3 to 5 % of all the congenital heart defects. Some studies have documented a higher prevalence of aortic valve stenosis in white children than in black and Hispanic children. There is a strong male sex predilection in aortic valve stenosis: the male-to-female ratio is 4:1. Now let us go to discuss the etiology (cause) of the defect: Causes of aortic valve stenosis are multifactorial. There can be family predilection too. The recurrence risk in offspring of an affected father is approximately 3 % but is approximately 15 % in offspring of an affected mother. Abnormal fetal hemodynamics are theorized to contribute to the development of aortic valve stenosis. It is associated with some maternal infections (rubella) but literature regarding association with the vaccine is not available. A definite genetic defect for aortic valve stenosis has not been identified, although it is associated with some syndrome, like Down syndrome, DiGeorge syndrome, etc. Conclusion: By the above discussion, it is clear that it is a multifactorial defect, we cannot blame it on the vaccine itself. Management: The management depends on the type of the problem. Some children may require balloon dilatation. Hope this will help you. Kindly ask a child health specialist online if you have further queries --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 22289, + "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": 14317, + "tgt": "Is it possible to cure piles permanently without surgery?", + "src": "Patient: Hello doctor, I thought that I had hemorrhoids because I feel bulge at my anus, that is poking me around my anus, and it is irritating me while sitting, walking, standing causing itchiness though I did not see any skin tag. I am only 19 years old boy and I weigh about 52 kg, my height is 5.4 feet. I do not want any surgery, but I want to get cured of this piles permanently without any surgery. Doctor: Hi. First of all, you should be confirmed that it is hemorrhoids. If it is external or internal hemorrhoids, external cause pain and internal cause bleeding. Also, let me know if you have constipation. If yes, use capsule Colace 100 mg BID and avoid constipation, take a sitz bath twice daily. Sitz bath is simple. Take warm water in the tub and sit in it for 20 minutes, do this procedure for 15 days. If it does not improve, get it checked with some doctor to see if really there are hemorrhoids or something else." + }, + { + "id": 23525, + "tgt": "I am experiencing erectile dysfunction. What should I do?", + "src": "Patient: Hi doctor, I am a 47 year\u00a0old\u00a0male.\u00a0Recently, I started experiencing\u00a0erectile dysfunction, that is, I am unable to hold my erection. It is as if I am losing interest midway. I do not have diabetes or any other illness. I am a\u00a0non-vegetarian, and I chew tobacco. I am married and have two kids.\u00a0What should I do? Doctor: Hello. Thanks. Take care. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18762, + "tgt": "What could a strange deep line on the right side of my head be?", + "src": "Patient: Hello doctor, For the last three months, I have noticed a strange deep line on the right side of my head just above my temple to the upper side of my head. I have no pain at all but it bothers me so much. I have also seen my GP and he recommended to see a neurologist but I am not able to afford the consultation fees. Hope someone helps me out. I have uploaded pictures for your reference. Doctor: Hello. I carefully saw your uploaded photo (attachment removed to protect patient identity) and would explain that this indentation could be related to differential possible causes like calcium or vitamin D deficiency and bone reformation, chronic inflammation, or a hormonal disorder or etching. For this reason, I would recommend performing some tests if this phenomenon persists: All the above tests can be performed by your GP (general physician). Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27505, + "tgt": "Can I get hepatitis B from sharing a toothbrush?", + "src": "Patient: Hello\u00a0doctor,I used my friend's toothbrush. I wanted to know about the risks of getting a hepatitis B infection from it. My gums bleed sometimes, but not often. How much blood would need to be on the tooth brush for me to be affected? I did not see it on the brush. I am just being paranoid and I do not know if she even has it. Doctor: Hello. Wish you good health and happiness. Keep me updated with the improvements. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 7056, + "tgt": "My foreskin is tight. How can I loosen my foreskin?", + "src": "Patient: Hello doctor, I am a 25 year old male. My foreskin is tight and it is difficult and hurts to pull back my skin off the head when erect but goes back with less effort when not erect. How can I loosen my foreskin at home? Doctor: Hello. Home-based treatment methods for tight foreskin (phimosis) are not recommended. Easy treatment is circumcision meaning foreskin is removed. It is a simple and safe procedure done as a day care procedure. It does not require admission also. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9848, + "tgt": "Kindly explain my NT scan and double marker blood test reports in detail", + "src": "Patient: Hi doctor, I am 12 weeks 5 days pregnant. I got my NT scan and double marker blood test results. NT value 1.1 mm, free b-hCG 1.52 MOM, PAPP-A 0.37 MOM, trisomy 21+NT risk 1:1132, trisomy 21 1:169, trisomy 13/18+NT. In urine culture, there is no significant growth observed after 48 hours. I am currently, All 9D in the morning, Ecosprin and Endogest SR 200 in the night. Doctor: Hello. I have seen the report completely (attachment removed to protect patient identity). Your report is normal and there is no need to worry. If you want a detailed explanation about the report, then here you go. There are some genetic syndromes, which are happening worldwide in which baby can be seriously handicapped physically, body function wise or mentally. Now you cannot diagnose any genetic disease directly without baby cell as it contains DNA. But, the procedure (amniocentesis) for obtaining baby cell itself is very risky and can even lead to abortion and also more costly. So, we are doing a screening test to diagnose the high risk pregnancies that have a high risk of getting that genetically abnormal baby. For that we combine different parameters and compare it with a standardized data to come to a ratio for chance of current pregnancy having that genetic abnormality. The test is negative and positive; according to either it is below the cutoff value or above. 1:250 meaning, 250 pregnancies like you having a chance of only 1 positive for that genetic abnormal baby. So, as your report is good in which it is negative for Down's syndrome (trisomy 21) and also for 18 and 13 (Patau and Edward syndrome). So, your pregnancy is normal and no need to worry. You have to do only one thing and that is to follow normal medicines and precautions. One more thing I have seen in your report is that the cervical length is 3.0 cm. It is somewhat borderline at 12 weeks of pregnancy. For that you need to take proper rest. Just increase the duration of your rest time and continue Progesterone (Endogest 200) two or three times a day." + }, + { + "id": 1455, + "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": 26706, + "tgt": "Can I-pill cause a thick white fluid to come down while urinating?", + "src": "Patient: Hello doctor. Doctor: Hello. Please describe your problem. Revert with more information to a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5325, + "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": 6334, + "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": 11313, + "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": 23039, + "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": 9645, + "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": 3772, + "tgt": "I have uncomfortable feel of swollen vein inside my penis. Is it due to excessive masturbation?", + "src": "Patient: Hi doctor, I am uncircumcised and never had sex. I masturbate three to four times a month. For about a week there is an issue which I think is inside my penis. It feels uncomfortable like a vein is swollen or hurt. There is mild irritation but nothing abnormal while urinating or masturbating. I have no clue what is the issue. I am unable to describe it I guess. It gives a very mild pain or rather I will say discomfort. It is annoying now, the same feeling every time like the vein got hurt or swollen. Please help. Doctor: Hello. If possible send me images so that I can see and suggest you properly. It might be because of violent masturbation. I suggest you to avoid masturbation for two weeks. I will give medicines after I see the images." + }, + { + "id": 11621, + "tgt": "Why do I have a persistent pricking pain and discomfort in my throat and tongue?", + "src": "Patient: Hello doctor, I am a 37-year-old male. I had brief nausea before five months. I visited a general physician who suspected GERD and put me on Motilium for GIT and later Pan 40 then Ranitidine for three months. I vomited only once but had been having a burning sensation in my chest. The burning chest has long stopped. I even had an OGD done which was normal. The pain, however, moved to my throat, and I had a feeling of something in my throat ever since though I have no swallowing problems. I have this persistent pricking pain in my throat that does not go away, and also the back of my tongue on the right side feels kind of inflamed (not sure about this. But the tongue feels sore-ish). Throat pain and tongue discomfort are always present. My general physician later recommended to do a neck MRI which I did and was told looked fine. So I am stuck on what exactly could be wrong with me. I do exercise (treadmill and gym) regularly, I am an active person though I must admit I worry too much about my health and it stresses me. Doctor: Hello. I viewed your MRI images of the neck and chest area (attachment removed to protect patient identity). Neck findings, there are few small mucosal cysts in the right maxillary sinus. There is a small lobulated cyst like area anteriorly in the floor of the mouth to the left of the midline and is a benign lesion. The findings are incidental and not of any serious cause. The oropharynx, hypopharynx, and cervical esophagus are normal. There is no luminal obstruction. Chest MRI findings, there is no significant abnormal findings in the chest. It is sometimes possible for anxiety to cause soreness of the tongue. You can have a follow-up visit with your doctor after a month if the soreness is still there. I agree that finding a serious cause can make you stress-free. However, you are lucky to have no serious findings in the images and can continue to be in good health. Please avoid alcohol or any food that can irritate the oral cavity for a few days." + }, + { + "id": 11058, + "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": 20824, + "tgt": "Can constipation and indigestion cause headache?", + "src": "Patient: Hi doctor, I have a migraine type headache on the left side of my head and it also stiffens my left neck muscles. I have this headache recurring many times a day. I also have problems with digestion and nausea. I am unable to sleep well at the night time. When I sleep in the morning, I still have a headache. What should I do? Headache triggers when I listen to music. Doctor: Hi. Indigestion and constipation can also be related to a headache. So treat your indigestion problem with Rabeprazole tablet for five days. Simethicone tablet can be used for the gas problem. Tablet or sachet is available, and it can be taken after dissolving in water. Drink more water. Fruit juice and fiber diet can be taken more. Whole grains, fruits, green leafy vegetables can be taken more. In a migraine, if the pain is unilateral, throbbing in nature, you can take tablet Ibuprofen to get relief. Consult your physician for examination if needed. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27876, + "tgt": "My son was born without irises in the eyes. Is there any treatment?", + "src": "Patient: Hi doctor, My son has a genetic problem. Many doctors that we consulted say that he does not have irises\u00a0in his eyes. He is only 14 months old. Is there\u00a0any treatment? I also face the same problem. Doctor: Hello. Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21973, + "tgt": "Is it possible to detect HIV by doing tests on a weekly basis?", + "src": "Patient: Hi doctor, I had an infection before seven months. I got HSV 1. I was given Acyclovir 200 mg taken five times a day for five days and then they increased my dosage to 400 mg to be taken for five times a day for 10 days. After my Acyclovir course ended, I did an RNA PCR and DNA PCR tests. After getting my results negative, I had sex with a guy. He also went for RNA PCR and DNA PCR tests. It came negative. After two months, I went for a PrEP. I got a sore in my tongue which was pink in color. The next day, I got a stuffy nose which was an allergy that lasted for four days. I got a light brown spot under my right foot. I had a small nonpainful white spot on the bottom of my lip. There is an irritation in my throat that causes blocking and I have to cough to clear up the throat. It does not happen when I sleep. I do not have any sinus problem. Currently, I am taking olive extract supplements. I have done ELISA, fourth generation tests, SD bio line at the eighth week, ninth week, 10th week, the 11th week with home test kits every week. Doctor: Hi. I wish to clear some important points before answering your questions. 1. Regarding HSV infection and treatment: The HSV will remain in your body and it is not completely treated as it is a genetic material. It will be present in the cells and get reactivated in stressful conditions. We cannot treat it completely. Its dose is 400 mg taken five times a day for five days with Acyclovir ointment. It may reactivate in future. 2. Flu-like symptoms: These complaints normally precede a viral infection. 3. Regarding HIV: You have tested every week with RNA PCR kits and ELISA kits. It is good. But, RNA PCR testing is not efficient in home-based kits. So, get whole blood RNA PCR test along with ELISA. This dual testing is needed to rule out HIV. 4. Regarding PrEP (pre-exposure prophylaxis), I suppose you are using a dual drug based on Tenofovir. If yes, then you are having least chances of acquiring HIV. Finally, stop testing on a weekly basis and get whole blood RNA polymerase chain reaction test to rule out HIV. Mostly you are not reactive. Confirm with a whole blood sample. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15616, + "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": 26661, + "tgt": "Please suggest a remedy for a threadlike growth in my anus. It is paining", + "src": "Patient: Hi doctor, I have a small threadlike protrusion near the opening of the anus. It is paining the whole day. There is no blood during defecation. Please give a remedy. Doctor: Hi. The threadlike growth in the anus seems like a small anal tag, that is, just a skin tag. Usually, it will have an underlying anal fissure, that is, crack in the skin near the anal opening, that causes pain. I suggest you take the following medicines: Please review with me after three days or earlier if the symptoms worsen. You can take a picture of the area if possible, for better understanding. Good luck. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9547, + "tgt": "Appearance of rashes in my upper leg and butt after intercourse. Kindly help", + "src": "Patient: Hello doctor, I am a 24 yr old female of Indian descent. I have no history of any chronic disease, and I am currently taking no medication. Yesterday morning I woke up with rashes all over my upper legs and butt. The night before I had sex with my fiance and afterward I did not take a shower. The only explanation I could find is that I am allergic to the semen because of the area with red bumps that itch correspond to where the cum had made contact with, my lower buttocks and upper legs. I do not see what else it could be. Some had fallen on the sheet which I slept on overnight, which could have made things worse. I changed the layer yesterday morning. I do not see what else it could be because I have been anywhere strange lately nor eaten any something different. Please advise me on what I should do. Doctor: Hello, Welcome back to icliniq.com. So for the rash purpose, you could use some antiallergics like Levocetirizine or CPM, but you should think one thing that if you have been allergic to semen, then you are having sex since two years right. And allergies do not develop overnight. It has to have a history. Notice more around the surrounding, your food, your clothes, your washing powder, etc. for allergens. Also, send me a photograph of the rash so that I can differentiate it accurately with other conditions. Tablet Levocetirizine 1-0-0 Tablet CPM (Chlorpheniramine) 0-0-1 for five days. Follow with a photo as soon as possible so that we can rule out more allergens." + }, + { + "id": 22528, + "tgt": "Can unprotected sex with CSW cause HIV and STI's?", + "src": "Patient: Hi doctor, I had an unprotected sex with a CSW before four months back. She gave me an oral sex, then we had vaginal sex without a condom. I had done HIV 1 and 2 antibody test (ELISA) and p24 antigen test on the 98th day after the exposure. Two weeks back (at the 15th week, I had a fever, sore throat, headache, muscle and joint pain). Now from yesterday, I have red rashes on the right side of my neck and also I have muscle and joint pain. Please go through the result of the test. Are these HIV rashes? Are my test conclusive or should I test again? Any chance I might be positive later, as I am planning to get married? Also please suggest me some medicine for rashes. I am taking Finasteride tablet 1 mg daily for hair loss. Does this medicine delay seroconversion? Any such case of delayed seroconversion occur after three months? Doctor: Hi. Your test for HIV (human immunodeficiency virus) is conclusive (attachment removed to protect patient identity). If there is no further exposure other than that you mentioned, no more test for HIV screening is required. There is no specific category of rash through which diagnosis of HIV can be made. The only thing which can diagnose HIV is the test that you had already undergone. A test performed on or after 90 days, post exposure is considered as conclusive. I suggest you get tested for other STIs (sexually transmitted infection) as well. This includes syphilis, herpes simplex infection 1 and 2, gonorrhea, hepatitis B and C infection. It is unlikely that Finasteride will affect the HIV test result. Please also get a urine culture sensitivity test done along with serum vitamin D3 levels. Please get back with the above test reports so that the appropriate medicine could be advised. Keep the area dry. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18449, + "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": 2104, + "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": 2694, + "tgt": "I have blood in white part of my eye. What could cause this?", + "src": "Patient: Hello doctor, I felt pressure in my head on Monday (thought I was getting a headache). I woke up Tuesday morning with blood in the white of my left eye. This morning I saw blood on my pillow the size of my thumbnail. What is my next step? I am currently on Pristiq, Lamictal, and Potassium chloride. Doctor: Hello. It seems to be subconjunctival hemorrhage. Are you 65 years? Is her blood pressure levels controlled with medicines? If not then monitor your BP and then get the treatment accordingly. Do you swim? Or do yoga? Any history of fever?" + }, + { + "id": 4418, + "tgt": "I discontinued taking Thyrox for hypothyroid. Can I start again?", + "src": "Patient: Hello doctor, I was diagnosed\u00a0with hypothyroid 1.5 years back. My doctor suggested me to take Thyrox 25 daily. I was using it and feel fine. Around a month back I had pain in my lower abdomen. When I consult a different doctor, it was diagnosed as kidney stone. I told him my thyroid history. He examined my neck and advised me to discontinue the medicine for six weeks and check whether I develop any thyroid symptoms. In his opinion, I did not have any thyroid problem. And so I am not taking the medicine now\u00a0and when got it checked the levels are\u00a0T3 128, T4 6.8 and\u00a0TSH 35.66.\u00a0What to do now? Should I start Thyrox 25 again or shift to new medicine? Please guide. Doctor: Hello. I need more information before I recommend what to do. Revert back with the asked details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8101, + "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": 12001, + "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": 20699, + "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": 21613, + "tgt": "I have intense lower back pain since two months. What could be the problem?", + "src": "Patient: Hello doctor, I am a 19 year old girl, currently suffering from lumbar/lower back pain. The pain started suddenly two months back and I have never had a history of back pain. There is intense pain in my lower back. Currently, I cannot bend down, sit for a long time, squat properly and carry heavy things amongst many things. Sometimes, I feel a sharp pain and a numbing sensation on the side of my hip. I have consulted several doctors and done an MRI scan of my lumbar spine but I am not getting a proper diagnosis for my problem. I would appreciate it if I could get a second opinion on what could be the problem. Thank you. Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). The MRI diagnosis is of a disc bulge L4-L5 and a mild disc prolapse L5-S1 but both the discs are currently hydrated though L5-S1 is not maintaining the disc height. Primarily, L5-S1 is the source of back pain. Your symptoms could also be coming from core weakness (or muscular) or could be SI joint in origin. I need more clinical information and examination findings to confirm one from the other. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18459, + "tgt": "Will 5-HTPn help to increase serotonin level? Suffering from sleeping problem, depression and anxieties", + "src": "Patient: Dear Doctor, I have a problem of sleeping at a scheduled time. I always sleep in a different time and it is getting delayed every day, like a cycle. For example: If today I sleep at 9:00 pm, in few days I will be sleeping at 10:00 pm. And in a few weeks, I would sleep at 4:00 AM. I also have depression and different forms of anxieties.I did a blood test for sertonin in blood. The result was 65.0 ng/mL. Normal range is 151-186. Does this test have anything to do with my anxiety and sleeping problem? What should I do about it? Age:29 years, Gender: male,\u00a0Height:178cm,\u00a0Weight:60kg,\u00a0Medications: I take only 1 multivitamin every day. Doctor: Hi.Yes. There is relation between low serotonin level and depression and anxiety. What is more important is how significant symptoms of these problem you have, how much are you distressed from these and whether they cause interference in your daily life (socio occupational decline). If you have these symptoms from last few months then I would like you to suggest that you should start medications for these. which include anti depressants and anti anxiety medications. Your sleep disturbance might be due to depression and anxiety as well. This would also improve with medications. Also there is\u00a0psychotherapy\u00a0(talking therapy) for these problems, in which we need to discuss your stress factors and your coping skills for these. For further discussion, you can either book for an online therapy or you can further ask any questions." + }, + { + "id": 17709, + "tgt": "Kindly clarify if I am suffering from any cancer or liver disease", + "src": "Patient: Hi doctor, I am an 18 year old male. For the last three weeks, I have been having the urge to poop. But, only mucus would come out. I have had blood tests and stool samples taken and everything was normal except the following. I had a high lymphocyte count of 3.3, high bilirubin count of 1.6 and low vitamin D of 18.7. I am just scared that I have a type of colorectal cancer or something wrong with my liver. Please clarify my condition. Doctor: Hi. Infection. Stool routine and culture examination. Inflammatory bowel disease. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20539, + "tgt": "I noticed a raised painless red spot on penis. What is it?", + "src": "Patient: Hi doctor, Last week, I noticed a red spot on my penis skin. It was only visible with an erection. It was slightly raised, but it does not hurt. I had my last sexual intercourse before two months. I never had it before. I am not taking any medicines. Do you have any idea? What is it? Is there anything to make them go away? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). There were no abnormalities seen except for the three papules present over the shaft of a penis. Is it associated with itching? These papules are not STD (sexually transmitted diseases). Do you have itching sensation anywhere else in the body? Is there any history of the topical application of creams or lubricants? Can you please mark the skin lesions in photographs?" + }, + { + "id": 9189, + "tgt": "I have blocked and running nose even after having medications. Kindly help", + "src": "Patient: Hello doctor, I am suffering from blocked nose and continues running nose since yesterday. Yellow plam coming out with cough with little pain in the center bone. Now consumed Deflazacort tablet and using Otrizon drops yet no relief. Doctor: Hello. Chronic nasal obstruction should be evaluated thoroughly there may be many reasons like chronic rhinosinusitis, deviated septum, allergy, etc. A diagnostic nasal endoscopy, CT scan nose, and PNS and blood tests like eosinophil count, absolute eosinophil count, IgE has to be done. If the pathology comes out to be an allergy, which may be a considerable possibility, then a through allergy testing has to be done. For acute symptomatic relief at present kindly take Cetirizine plus Ambroxol twice daily for five days if the symptoms are severe. The drug may cause drowsiness." + }, + { + "id": 17712, + "tgt": "The doctor has a hard time explaining these tumor marker test results. Can you?", + "src": "Patient: Hello doctor, I was just curious what your translation of this might be. I am copying this information directly from a printout of medical records which I can upload if necessary.\u00a0This is the tumor marker test results of a\u00a070 year old\u00a0white male. Reports from three years ago: CEA 1.4 ng/mL AFP-tumor marker 26164.3 ng/mL Reports from yesterday: BUN 13 mg/dL. Creat 0.90 mg/dL. CA 9.3 mg/dL. TP 7.9 g/dL. Alb 3.4 g/dL - Low Alk Phos 66 U/L AST (SGOT) 39 U/L ALT (SGPT) 33 U/L Total Bili 0.5 mg/dL Gap 5 --- LOW Est GFR >60 mL/min AA-GFR >60 mL/min BUN/Creat Ratio 14.4 Osmo,Calc 274 mOsm/kg Glob 4.5 g/dL AFP Tumor Marker 18.9 ng/mL - high\u00a0 HCV RNA IU/mL Pending HCV RNA log IU/mL Pending Thank you. Doctor: Hello. I went through your post and investigations. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15831, + "tgt": "Is psychological disorder genetic?", + "src": "Patient: Hi doctor, I firmly believe that psychological disorders can come through genes. My mother had schizophrenia. I am so worried that I can also have it. I am depressed in the evenings daily, and I have lost a lot of joy in my life with feelings. I am thinking about the psychological disorders every day. Please suggest some medication or counseling. Doctor: Hi. Psychiatric disorders including schizophrenia do not follow a direct mendelian inheritance, and they have multifactorial etiologies. If your mother has schizophrenia, then you have an increased risk of having schizophrenia or other psychiatric disorders. But that risk is not very high. So stop remaining anxious. You are repeatedly thinking about psychiatric disorders, and it is due to anxiety. You do not have schizophrenia. Just stay relaxed and spend your time in constructive activities and you will be alright." + }, + { + "id": 19736, + "tgt": "How to find the ovulation in irregular menstrual cycle?", + "src": "Patient: Hi doctor, I have irregular periods. Should I use ovulation test every day? Also, how to increase cervical mucus? Is it always visible? Doctor: Hi, Welcome back to icliniq.com. Revert back with more details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20138, + "tgt": "Since my childhood I suffer from social phobia. Suggest some ayurvedic medicine", + "src": "Patient: Hello doctor, I am 65 years old and since my childhood I suffer from\u00a0social phobia. In spite of trying to control myself, I am unable to keep up my confidence. Suggest some\u00a0ayurvedic medicine. Doctor: Hi. There are virtually\u00a0no medicines for social phobia.\u00a0 Following things may help you come out of this phobia. Wishing you a a healthy life ahead. Get back to an\u00a0ayurveda specialist online\u00a0for further help --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9113, + "tgt": "Will antirabies vaccination cause any side effect when there is no dog bite?", + "src": "Patient: Hi doctor, My child has a wound in his inner part of the foot. He is 3.6 years old. He is saying that a puppy bites him and also says injured from stone. We are confused and visited a doctor. He advised us to four doses of injection. Will it cause any side effect when there is no dog bite? Doctor: Hi. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20881, + "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": 21232, + "tgt": "I accidentally got eucalyptus oil in my eye. Is there anything I should do?", + "src": "Patient: Hi doctor, I got eucalyptus oil in my eye by accident while trying to open a bottle of the same. I tried flushing my eye with water which then I read on the internet not to use water. I then tapped olive oil around my eye as suggested on the Internet. My eye stung so much with the water but then it did not sting anymore. It was late at night. So, then I went to bed. Is there anything I should do? Doctor: Hello. The main thing to watch for now is an infection of your eyes. This is usually seen as sticking of eyelids with discharge especially after you wake up after sleeping. For now, my advise to you is: I advise you to see a doctor in case of the following: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8382, + "tgt": "I have high cholesterol and a fatty liver. Please suggest a diet chart", + "src": "Patient: Hello doctor, I am a 38 year old male, who has high cholesterol and a fatty liver. In our home, we use groundnut oil for cooking, and I use up to six teaspoons of ghee every day. I consume alcohol twice a day. But now, I have decided to stop alcohol and follow a strict diet. Tell me a diet that I should follow. Please, see the attachments of my health checkup reports. Thank you so much. Doctor: Hello. For further queries consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 14324, + "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": 30245, + "tgt": "I have started bleeding heavily in my postpartum. What to do?", + "src": "Patient: Hi doctor, I am currently (almost) 6 weeks postpartum. I had sex at 4 weeks of postpartum and I got the Nexplanon inserted a couple of days before that. My doctor checked to see whether my uterus was still up high and it was not. Also, I did not have any tearing during birth. My bleeding stopped at 2 weeks of postpartum. But, after I had sex, I started bleeding heavy with bright red blood. I am still bleeding. I am breastfeeding, so I was not expecting a period for a while. Yesterday, I started getting terrible cramps and my stomach looks the same as it did at 20 weeks pregnant. I feel bloated and the left side is really hard. I am having terrible cramps on the left side. Everything that I have been eating in the last two days, have made me so terribly nauseous. Also, I am having pulsating pains in my rectum and my vagina. 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": 22995, + "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": 25036, + "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": 11749, + "tgt": "Is it normal to get brown vaginal discharge on arousal?", + "src": "Patient: Hello doctor, I am an 18-year-old female. I am experiencing a brown discharge whenever I am aroused. This has been going on for about a week and a half. My partner and I always use condoms and I have the birth control implant. It might be wrong. I might have bacterial vaginitis. There is no odor or itching. Doctor: Hi. I can understand your concern. The brownish discharge you are having could be due to: 1. Side effect of implant leading to irregular spotting. 2. Local lesions like cervical erosion. 3. Rarely vaginal infection, etc. To find out the exact cause of the problem, please consult your gynecologist once and get examined. By clinical examination the possible cause of your problem can be identified and treatment can be taken accordingly. In case of side effect of implant, antifibrinolytics can help. In case of erosion or infection, you may need antibiotics." + }, + { + "id": 26528, + "tgt": "My constipation is so bad that I have to evacuate the stools with my fingers. Please help", + "src": "Patient: Hello doctor, I have an anal fissure, internal hemorrhoid, SRUS, and constipation. One year ago,\u00a0I was suffering from a hard stool that was difficult to pass. I went to a gastroenterologist, who did a colonoscopy and found that I had an\u00a0anal fissure and internal hemorrhoid. He prescribed Sitcom Forte, Eldicet, Velgut, and Pankreoflat. He also gave me Sucralcoat Ano cream. However, every night I was in too much pain.\u00a0So, early this year, I decided to consult an Ayurveda doctor who gave me some Kashayams and tablets. However, my pain did not subside. I used to evacuate the stools using my fingers. That eliminated the stools, but there was so much mucus released and extreme pain after motion. Two months ago, I went to a GP who gave me some antibiotics and painkillers for five days. During this time, I was always sleepy. I took leave from work and was always tired and fatigued. Earlier this month, I went to another GI specialist who did a sigmoidoscopy and said that it is SRUS. He said that I should not finger evacuate the stools and gave me liquid paraffin and LoX cream. Now, my current situation is that it has been three days and I am very constipated and fatigued. The pain has subsided a little. However, I am not passing stools as I used to before. After I drink water or eat something, I get a vomiting sensation. I get anxiety and panic attacks as I am scared about my condition and do not know which doctor I should consult and what I should do. Is this condition serious and life-long? Will I ever be cured? Please advise on the correct medications (allopathy or ayurveda), lifestyle changes and other things to take care. Doctor: Hello. I have gone through the files uploaded by you. (attachment removed to protect patient identity). Hope your queries have been cleared. Good luck. For more information consult\u00a0a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 7863, + "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": 4135, + "tgt": "What causes brown colored spit after brushing teeth?", + "src": "Patient: Hello doctor, I have not brushed my teeth in a while due to being incredibly busy, I am going to start taking my toothbrush with me. But anyways, I have some gaps in between my teeth and when I spit out after brushing my teeth there\u2019s a bit of brown liquid in there. I do not know if that is just food or anything but I have not found anything else unusual. Doctor: Hi. I have read through your complaint and the relevant details. Firstly, the brownish colour every time you spit out after brushing could be the food debris along with some bleeding of gums. This is because of the white chalky substance layered on to the tooth surfaces on the gum lines which I had noticed in the picture you sent. These are cleanable and needs professional clean up from the dentist.Just simple brushing will not help get rid of it. Secondly please do not give excuses for not brushing your teeth. It is incredibly as important as you eat food everyday for your little tummy. Mouth is the starting point for digestion and only when you do not have a clean mouth, you automatically flush in all the bacteria into the stomach with every food. Plus any food debris which are not cleaned up stay in between the teeth and cause tooth decays as well. You have mentioned that you had a filling, which confirms that you had a decayed tooth. So kindly follow your brushing habits as a routine every morning and night with a pea sized neutral toothpaste. Thirdly coming to the gaps between your front teeth, it is just the way your permanent teeth has erupted and nothing to do with the gum bleeding or not brushing, etc. It can be easily corrected with braces when you are much concerned on the looks. Otherwise your teeth looks healthy and you are completely alright (attachment removed to protect patient identity)." + }, + { + "id": 24684, + "tgt": "Is unprotected sex on the fifth day of period safe?", + "src": "Patient: Hello doctor, I had unprotected sex on the fifth day of my last periods and he pulled out on time. It has been 35 days and I have not got my periods. Is there any chance of getting pregnant? Doctor: Hello. Do a pregnancy test with urine pregnancy kit. If it is negative, wait for the period for at least seven to ten days. If the period does not come repeat the test and then think of taking medicine to bring period, not before that. If the pregnancy test is negative, there is no harm in waiting for the natural onset of period. In most of the cases, period comes naturally. Otherwise, you always have the option of medicine. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21091, + "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": 17024, + "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": 12379, + "tgt": "What can be done to cure stomach bloating problem with dry mouth and mild head pain?", + "src": "Patient: Hello doctor,I have stomach bloating problem with dry mouth and mild head pain. I am 41 years old, an average height of 5 feet 9 inches and 74 kg. Doctor: Hello. Symptoms are indicating candida infection of the gastrointestinal tract. Should determine by stool culture and sensitivity testing for candida. Plus, should run upper endoscopy to rule out acid reflux. For the moment, I advise taking probiotics to stabilize intestinal flora, Simethicone for bloating, have your meals regularly, avoid foods or drinks that would aggravate the symptoms." + }, + { + "id": 25134, + "tgt": "Why has the color of my skin changed?", + "src": "Patient: Hello doctor, After working out at a gym for three months, the color of my skin has changed. It is darker now as compared to earlier. I want to know the reason behind this and the solution of this problem too. Doctor: Hello. I can understand your concern very well, but let me make it very clear to you that working out in the gym will not have any sort of effect on skin color. Going to the gym is a step closer to a healthy life. Skin color is determined by melanin, a color pigment which is synthesized within melanocytes. Melanocytes are color-producing cells. They are very sensitive to sunlight. Recent color change can be due to many reasons like It is very difficult to prescribe medications without seeing your clinical picture. However, I would like to mention a few general skin care tips here: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1908, + "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": 2050, + "tgt": "My RA positive mother has pain with nodules in hand. Please suggest medication", + "src": "Patient: Hello doctor, My mother is 65 years old. She is RA positive for the last 25 years. Currently, she takes HCQs, Methotrexate, pain killer, and Rantac. At present, she has pain, nodules in hand, and turned feet. Please suggest proper medication. Her LFT and KFT are normal. Doctor: Hi. I have gone through your query. But the report images could not reveal anything. (attachment removed to protect patient identity). I would like to ask you a few more queries before suggesting the medicine as any new DMARD (disease-modifying antirheumatic drug) started has to be taken with caution. You mentioned pain, is it in the joints or the whole body? Is there dryness of eyes or mouth? Is the sleep normal or disturbed? Any forgetfulness? Irritability? When is the pattern of pain more, mornings after waking or constant throughout? Please message me the dose of Folitrax as well which she is taking and the name of the pain killer? Do you have the last ESR (erythrocyte sedimentation rate) and CRP (c-reactive protein)? Is she taking calcium and Vitamin D supplement? I understand she has an aggressive disease considering nodules, deformities persisting. But lot of times people with long-standing arthritis develop secondary fibromyalgia and the management is very different. We can only be 100 percent sure after clinical examination but will help you in the best possible way we can. Try to reattach the reports as well." + }, + { + "id": 19479, + "tgt": "I have a red rash on the shaft of my penis. What can it be?", + "src": "Patient: Hello doctor, I have a red rash on the\u00a0shaft of my penis. The semen is clear few days after sex. It is painful at the tip as well. We had sex for three hours. I am not sure if that caused the rash or if it is a friction due to a tight condom. A day later, I noticed this swollen rash. Doctor: Hello.\u00a0 Please answer these questions, so we can have a better approach. Regards. Revert with more information to an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1034, + "tgt": "How to get the phlegm out of the body?", + "src": "Patient: Hi doctor, My son is 2.6 years old. His weight is 12 kg.\u00a0He is a healthy and active child. But, he is getting coughs and cold at least once in a month for the past three months. Currently, he has a\u00a0fever for the past two days (101 degree) and cold from today morning. I am giving him Cetirizine and Ambroxol for cough and cold, Meftal for high fever of above 102 degree Fahrenheit and Crocin for normal fever. Other than these, I am giving him Zincovit. I guess that the cold, which he has gotten subsided once he take antibiotic and cough syrup. Whenever he coughs too much, he will then vomit the phlegm out. Other than this, the phlegm is not coming out either in the nose or through the stools. Please get me some solution to make the cold come out. Thank you. Doctor: Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21141, + "tgt": "I took Ovares plus tablet for 20 days and missed my periods. Please help", + "src": "Patient: Hello doctor, I have missed my periods for four days and last 20 days I have taken Ovares plus tablet. After two days, I took the test and the test was negative. Doctor: Hi. How are you doing? Ovares plus is Dehydroepiandrosterone Sulphate with Melatonin. Medical companies claim it has wonders, but trust me it is an innocent medicine with no much effect or side effect. The doctors advice that it increases the number of active eggs from ovaries. But in my own experience, eggs are God given in a specific number, no one can increase it. Unfortunately, you have not mentioned your age. Good age for lady to conceive is 19 to 35 years. After this, eggs reduce in health and number, that is when doctors claim this medicine will help. I mean to say whether you take Ovares plus or not nothing will change the periods. It is costly too. About your periods, you can wait for a maximum of seven days after periods, check your urine pregnancy, if still negative, have any of the oral combined contraceptive pills (Novelone or Dear 21 or Duoluton-L or Ovarel -G or Intimacy plus 3 ) twice a day for 10 days, throw away the 21st tablet. You will get periods within 10 days of stopping the tablet. Do not worry about any side effect. These hormones are the same produced by the body. If not checked have thyroid profile and serum prolactin checked early morning, empty stomach. These hormones can interfere with normal ovulation. If it is the doubt that you have adequate eggs in ovaries, check serum AMH (anti-mullerian hormone)." + }, + { + "id": 19525, + "tgt": "Kindly suggest an antipsychotic to fall asleep", + "src": "Patient: Hi doctor, I am taking psychiatric medicines for a long period. Recently, I had been taking Sulpitac, Xet CR plus, and Pregabid NT. A few days back, I quitted all the medicines. Now I have symptoms of paranoia and insomnia. I do not want to take many medications. I need an antipsychotic to fall asleep. Please suggest. Doctor: Hi. As you have the symptoms of paranoia and insomnia, you can take antipsychotic such as Olanzapine or Quetiapine. It is a good option. You can start taking Olanzapine with 5 mg which can also be increased to 20 mg. Amisulpride (Sulpitac) is also a good option. But it does not have much sedation. Quetiapine can give proper sedation. As you were stable on taking Sulpitac, this can be a good option, and for sleep, you can use Clonazepam." + }, + { + "id": 28726, + "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": 16464, + "tgt": "How to reduce weight through yoga?", + "src": "Patient: Hello doctor, I am a 23 year old obese boy. My weight is 110 kg and I feel myself unfit. I want to start practicing yoga for weight loss. But, I do not know anything about yoga. I want to know, how to meditate and relax our body and mind? Doctor: Hi. Lifestyle changes. BMI (body mass index). Suryanamskara, diet plan - lemon and honey juice, consume more fruits and vegetable instead of rice and fast food, meditation and pranayama. Yogasanas, workout, running, exercises and diet. For further doubts consult a yoga specialist online.---> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 16435, + "tgt": "Why are my gums swollen with bad smell from drilled teeth?", + "src": "Patient: Hello doctor, My bottom teeth were drilled for a root canal but after drilling doctor told that my teeth have a split and he filled that hole with a cavity. From the past one year, my gum was swollen and bad smell is coming out from that teeth. From the past one month, I have had bumps on my back of tongue and white coat. Is this a cause of diseased teeth? Currently, I am on Esoz 40 and Telmekind H. Doctor: Hi I have read your complaint and the relevant details. My first question would be did you not visit back the dentist after the filling has been done? Because you are already informed that it has a split deep under which means the treatment cannot be just a filling. I wonder why the treatment was ceased half-way. The ideal treatment plan for a split or fractured tooth should be as follows: Now the swelling in the gum and the bad odor is because the tooth got decayed heavily and it is over a year. This is called necrosis similar to a dead tooth. The burning sensation and the white coating on the side of your tongue are because of the rubbing of the tongue over the sharp edges of the tooth. Now the only choice is to remove the tooth and since the friction causing factor is removed the tongue will get back to normal in few days after extraction. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9927, + "tgt": "Should I opt for an MRI for a 10 month old child banged her head on a chair?", + "src": "Patient: Hello doctor,I have a 16-month-old child. When she was 10 months old, she banged her head between her eyes, inner left brow rather firmly on a blunt object. She was attempting to stand up holding onto a chair, and when she quickly sat, her head firmly bumped the bottom of the portion of the chair which is made of metal. She cried immediately and vomited once but otherwise seemed fine and in a short time was back to play. From all, I read online, and the other family around there was no need to go to emergency.A few weeks later, I started to notice subtle changes. She developed a deep scowl that seemed to favor her left side where she hit. Also, the mark where she hit still came out when she was upset (it still does) and rubbing ensued. I took her into her Pediatrician and told him all three weeks after it happened. I Showed him pictures of the chair where she hit as well as images of her the day after and tried to explain the scowl, the rubbing, and just how I felt something was amiss.He assured me she had none of the symptoms associated with severe head trauma. Six months later and a few visits then all for the same thing I am still unsure and wish we could have look to make sure no tissue or other damage has been done. My question is, if internal damage was done to a vessel or two or a small fracture occurred, is it possible for the symptoms to be slight at this time and if there is a minor ever so slight bleed inside, could it take months if not years for visible signs to occur and irreversible damage to follow suit? Would it not then be too late? Should I push for cranial sonography or MRI? Doctor: Hello. The mark on eyebrow may be some superficial injury. Your kid is not having any symptom of deep brain injury. Your kid was back to play shortly after an injury. Did she have any headache or vomiting or weakness of one side of body or seizure? If not, she is unlikely to have any internal brain injury.Slight bleed inside brain/ small undisplaced fracture heal spontaneously and in the long term may or may not cause a seizure. Might be you are a very anxious mom. If you are much worried, you can go for MRI brain, if it comes out to be normal, your anxiety level will decrease. But if no such symptom in kid, there is no need for doing tests." + }, + { + "id": 13196, + "tgt": "I have single lymph node enlargement. Is this due to cancer?", + "src": "Patient: Hi doctor, I have left supraclavicular lymph node enlargement of around 1 cm in size over four months. I have body pain and occasional low back pain. I have pain in areas such as shoulder, right groin, hand under the elbow and sometimes feel difficulties in chest. Only one lymph node got enlarged. My blood work is reported four times and is normal. I had an antibiotic course twice for two weeks. In these four months, though I was in stress I gained 12 pounds of weight.I need your opinion on the following. Do all lymph nodes seen around or in left supraclavicular areas are more prone to cancer such as lymphoma, NHL or gastric cancer? What is the probability for that? How much is the size of the lymph node to be cancerous or worry about? Do you think I have lymphoma or Non-Hodgkin lymphoma? I am having pale skin, black stool, blood in stool and stomach swelling, is this due to the stomach or gastric cancer? Why my node is not growing in size? Everybody says the node related with lymphoma and NHL is persistent and one. Is that right? Doctor: Hi. Based on your queries, my opinion is as follows: Node is partially fibrotic, so it is not able to go back to its original size. There is no reason for it to grow, as there is no infection or cancer. Yes, nodes are persistent and usually multiple and increasing in size. But here it is not. At your age, very low chance for cancer. If doubtful, get an FNAC or biopsy of lymph node done. It will confirm. Blood work is useless, unless it is blood cancer. Do get back with the biopsy of the lymph node and stool examination report for further opinion. At present, no cancer based on clinical details. 1. Lymph node biopsy. 2. Ultrasound abdomen. 3. Stool examination." + }, + { + "id": 4083, + "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": 7117, + "tgt": "Kindly give me an opinion on diagnosing diabetes in rural and semi urban areas", + "src": "Patient: Hello doctor, In diabetes, the main problem is diagnosing in rural and semi urban area, and I am a diabetes educator how I will play a role with doctor or telemedicine? Doctor: Hello. It is a great job being a health educator which help the illiterates and literate in any way. I appreciate your interest. To create awareness, you have to undertake health camps with the help of a doctor. You meet medical college dean and get his permission to start a camp at least once in a month. In that camp, you take a blood sugar test and distribute medicine. Then give them a printed notice that tells the cause symptom, primary and secondary prevention. This will reach most of the population. Then with the help of private hospitals contributions conduct a camp in colleges which is more important to create awareness on the youngster. Conduct awareness program in school also. I think this may give you an idea." + }, + { + "id": 1357, + "tgt": "My D-dimer is raised from 1. 5 to 5. 9 and all tests are normal. What could be the reason?", + "src": "Patient: Hello doctor, My D-dimer is getting higher from 1.5 to 5.9 within the last four months. My heart has been checked, and I had a chest x-ray, CT of heart, aorta, abdomen, and pelvic floor and Doppler of my legs. All are clear. Blood work is normal apart from D-Dimer and c-reactive protein which is 12.6 mg/L. What can it be? Doctor: Hello. Following is my opinion about your asked question. D-dimer is usually elevated in some thrombotic events in the body like DIC (disseminated intravascular coagulation), deep vein thrombosis or pulmonary embolism. But your CT chest and Doppler leg are normal as per history. So pulmonary embolism and DVT can be excluded. The other causes for elevated D-dimer can be liver disease, heart disease, inflammation, post-surgery, and pregnancy as well. Your heart is normal as per history, so heart disease can be excluded. You can rule out the liver disease by SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), and serum protein estimation. If you have pregnancy or surgery history than it can be the cause. PT (prothrombin time), PTT (partial thromboplastin time) and coagulation profile can be planned by your doctor if D- dimer remains persistently high. Kindly attach your report to give further comments if possible." + }, + { + "id": 7255, + "tgt": "Suffering from constant clearing of mucus. Is this related to HIV?", + "src": "Patient: Hello doctor, I feel something stuck in my throat and constant clearing of mucus for a month now. But, there is no pain while swallowing. I had Azithral 500 mg for five days, but it did not work. Since five days, I have been taking Pantodac 40 mg. It has cured the feeling of something stuck in throat and mucus is still coming, but has reduced a little. During the daytime, the mucus is white and as soon as I wake up it is light green in color. I am completely anxious and stressed for the past five weeks after the incident of unprotected sex. Is this related to HIV? I am getting scared of this. Please help. Doctor: Hi. For further doubts consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 27919, + "tgt": "Please see the MRI and suggest treatment for right lower back pain", + "src": "Patient: Hi doctor, I have right lower back pain from the past two years. I have enclosed my\u00a0MRI reports. I take Nucoxia 60, whenever needed, 3 to 4 days when pain increases. I cannot tolerate anti-inflammatory medicine due to stomach upset. The pain always remains, but it reduces when I lie on my stomach. It increases on lying on the\u00a0back, sitting, and standing. All blood tests including RA factor, HLA-B27, etc., are normal. Please see the MRI and advise diagnosis and treatment. Doctor: Hello. I would have preferred to see the MRI films myself rather than just the to report (attachment removed to protect patient identity). Number 1 and 2 are the most important.\u00a0The exercises will help improve muscle strength and help with pain. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 14921, + "tgt": "How can I strengthen penis and cure premature ejaculation?", + "src": "Patient: Hello doctor, I am a 27-year-old male, height is 1.75 and weight is 83. The doctor has diagnosed premature ejaculation problem. When I was engaged in self-masturbation, sperm came out within one minute. Sometimes feel it was over and it should be ejaculated. But nowadays I cannot stop self masturbation. The family is discussing marriage, so I was thinking about my sexual problem. I need solutions for premature ejaculation problem, and strengthen my penis. Doctor: Hi. Masturbation per se does not cause any sexual problem in the future life, so do not worry excessively about it. However, to manage premature ejaculation you can learn about the start-stop technique or squeeze technique. There are medications available for this purpose like Dapoxetine 30 mg one hour prior to sexual activity. Also, get yourself investigated to rule out medical conditions such as thyroid dysfunction or diabetes hypertension, etc. Also, try Keigal exercise to strengthen your pelvic floor muscles." + }, + { + "id": 7327, + "tgt": "Kindly help me to identify the buckle fracture location in my son's x-ray", + "src": "Patient: Hello doctor, Can you identify the buckle fracture location in my son's X-ray? Please see the attached files. I am interested in understanding the location and severity of the buckle fracture. Doctor: Hello. Your attending doctors may have already informed you that buckle fractures are not of any severity. This is because the bones of the child are pliable enough so that the bone saves itself by buckling rather than breaking altogether. Treatment is quite simple and straightforward. Most cases recover satisfactorily with only immobilization and on-demand painkillers. Regarding the location of the buckle, I should quite honestly say that I do not see it. Indeed, pediatric fractures in general, and buckle fractures, in particular, are often quite subtle and may be detected only by a super specialized and experienced pediatric radiologist. However, this is, in a sense, good news for you, given the fact that a subtle buckle fracture would heal more completely and rapidly than an obvious one." + }, + { + "id": 18385, + "tgt": "Why is my wound not getting cured?", + "src": "Patient: Hi doctor, I am 43 years old. I am suffering from a wound placed on the opposite side of ankle. I am unable to walk with the pain. I have been suffering with this for the last three months. I\u00a0previously used Pividine microbicidal sprinkling powder and Zenflox 200. Please help. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 10885, + "tgt": "I have lower back pain. What does my MRI indicate?", + "src": "Patient: Hi doctor, I have\u00a0lower back pain and right buttock pain. I have consulted a doctor for this, but I am not satisfied with the explanations. I have undergone MRI as per advice and here is the result.\u00a0Posterior disc bulge with annular tear, moderate to severe stenosis of both neural foramina and mild stenosis of both lateral recesses at L3-L4. Disc desiccation and posterior disc bulge with moderate to severe stenosis of both neural foramina at L4-L5. Posterior disc bulge with mild to moderate stenosis of the left neural foramen, moderate stenosis of the right neural foramen and mild stenosis of the right lateral recess at L5-S1. Straightening of the lumbar lordosis most likely due to muscle spasm. Apparent posterior convexities are noted at C3-C4, C4-C5, C5-C6 and C6-C7. Disc desiccation is seen at C4-C5, C5-C6, and C6-C7. Please guide. Doctor: Hello. You have mentioned that you have pain in lower back region with radiation of pain to right buttock region. Along with this, you have also mentioned about your MRI reports (attachments removed to protect patient identity) which show degenerative disc disease at multiple levels. Actually, I need your clinical details after which it can be correlated with MRI images and then I can advise you accordingly. Please tell me in detail the intensity of your back pain on a scale of 1-10. I would like to see your detailed neurological examination if possible that includes assessment of motor power, sensory examination and evaluation of deep tendon reflexes. This can be done either by a qualified physical therapist or an orthopedic or spine surgeon. That will give me an insight on whether there is any compression of nerves, etc. I also want to see your MRI scan and dynamic x-ray anteroposterior and lateral - flexion and extension views of the involved region of spine. This can tell us, whether there is any dynamic instability at the involved region or not. Kindly also enclose any recent blood tests if you have done, your past significant medical history, etc. Once I have this information, I can clinically correlate and let you know the treatment plan. 1. Clinical examination findings. 2. MRI image. 3. Dynamic x-ray." + }, + { + "id": 2693, + "tgt": "I have pain in vertebrae for 8 months while bending down. Could it be fracture?", + "src": "Patient: Hello doctor, I have had mild pain from one of my vertebrae for about eight months. It is one of the thoracic vertebrae. I am not certain of which one it is approximately in the middle of my back. It feels slightly sore when I bend backward. Also, if I press with my thumb on the spinous process. I am wondering if it could be a fracture and I worry a little bit about bone cancer. There is no lump. It does not hurt unless I move a certain way. I think it might have started when I was doing some yoga poses lying on the floor. Doctor: Hi. Eight months period is quite a long time and I feel you should not ignore it. A few things I want to know. Do you have any other ailment, like diabetes or hypertension or hypothyroidism? What you do and how much physical activity you have in your daily routine? Have you noticed fever and weight loss in these eight months?" + }, + { + "id": 3366, + "tgt": "What are my lipid profile and ultrasound test results showing?", + "src": "Patient: Hi doctor, 1. I recently had full body health checkup. I am uploading the reports. Can you please review and suggest me required medical care or treatment? It seems lipid profile and ultrasound reports are not satisfactory. Please review and advice. 2. And one more thing is I am suffering from urticaria (Getting red rashes on skin which scratch or apply pressure on skin. These rashes disappear in few minutes) from last 1.5 years. I am taking Desolor 5 mg tablets thrice a week. Can you advice me if any advanced and permanent treatment to this problem instead of prolonged usage of tablets? I do not have any smoking or drinking habit. Doctor: Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). You are having grade 1 fatty liver. You are also having elevated cholesterol which justifies fatty liver. So you need start lipid lowering drug like Rosuvastatin 10 mg once a day at night before going to sleep for 30 days. Get done repeat Lipid profile after 30 days. Avoid oily and spicy food. Avoid junk food. Avoid cheese, butter, etc. Do regular exercise like walking, running, cycling and swimming, etc. For urticaria, take Montelukast and Levocetirizine combination (Montek LC)." + }, + { + "id": 7099, + "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": 3311, + "tgt": "Why do my creatinine and BUN levels remain fluctuating on dialysis?", + "src": "Patient: Hello doctor, I am on dialysis for kidney failure and I have noticed a fluctuation in my monthly blood work for the creatinine and BUN levels. At the beginning of the year, my creatinine was 11 and it has decreased every month to 7. I was also making more urine as I went along. All of a sudden, last month my creatinine jumped back up to 10. I have not changed anything in my routine or treatments. Does anyone have any ideas? Doctor: Hello. I have worked as a chief in a hemodialysis center for 20 months. Once the kidneys have failed and the patient is hooked up on dialysis, the creatinine value is always high. At this time we do not care about the creatinine values because once we start dialysis on a patient, it is assumed that his kidneys have incurred permanent damage and he cannot come back to normalcy. At this juncture, we use the patient's creatinine value as a measure of protein intake. If a dialyzing patient's creatinine value is high, it is assumed that he is having good protein intake through diet and high creatinine value is desirable in dialysis patients, since intake of much proteins gives them a long life. When creatinine value drops, we start worrying that the patient is not taking much proteins. So the drop in your creatinine value may be because you have started taking less proteins than usual. In this situation, we advise you to take more protein containing foods. For a dialyzing patient, the most important parameter is blood urea. See what is your blood urea level before and after a single dialysis session. Ideally, there should be a 60% reduction. Then it can be comfortably assumed that dialysis is effective. If you do not achieve this reduction, complain to the dialysis technician. He will do the needful adjustments with the machine. The big factor we have to afraid of is potassium. It should never cross 6. I hope this helps." + }, + { + "id": 25713, + "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": 16995, + "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": 14250, + "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": 27691, + "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": 22411, + "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": 25147, + "tgt": "Why is there a rise in my ESR values?", + "src": "Patient: Hello doctor, I am a 41-year-old female with no health problems as such. For the last six months, I am having ESR values of 61 then 82 and then again 61. My ESR was in 60 even two years ago. My physician prescribed me multivitamins. Now I have got my 12-year-old daughter who hit her puberty last year got her ESR at 44. My daughter also does not have any illness or sickness and she is perfectly fine. She is overweight and so am I.Please guide what should I do now. Are we both having some serious problem? Doctor: Hello. The most common cause of raised ESR (erythrocyte sedimentation rate) in females is low hemoglobin. For every 1 g decrease in hemoglobin below 13 g, the ESR will rise by about 5. ESR has no significance unless the person has underlying inflammation. You need to mention the hemoglobin level and the method by which ESR was measured whether it was Westergren or Wintrobe's. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5255, + "tgt": "Is there a chance of pregnancy after protected intercourse using condom?", + "src": "Patient: Hello doctor, I and my partner had intercourse two days ago. He used a condom but can I still have a chance with pregnancy. But two days after intercourse my stomach starts to hurt and I am spotting blood. I have read about spotting to be a sign of pregnancy but after a week after intercourse can it just be my period? My period had to start in nine days, but my periods are irregular. Can they come up to more than a week early or late? Please suggest I do not know what is going on. Doctor: Hello, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help. Based on the information provided, I would like to rightfully start by saying that condoms are 98.9 % effective in preventing conception. The 1.1 % is due to a poorly manufactured condom or due to inadequate care taken to follow the instructions of use. In my opinion, if you followed the instructions of use, there should be nothing to worry about. As for the spotting, this could purely be due to the sexual act itself. Many women have mild spotting after sexual intercourse, some simply due to the excessive contraction and relaxation of the muscles and some due to rough sexual intercourse. As for an implantation bleed, this takes place quite a few days after the sexual act, so it cannot be assumed to be a sign of pregnancy. This, in my opinion, is most probably due to the sexual act itself, or due to an early onset of your period. Wait and watch for a few more days, and if the spotting subsides then this was purely due to the sexual act. If it gets heavier then this is an early-onset period triggered by sexual intercourse. Please also make sure you keep track of your menstrual cycle if at all you do not experience your period now. If there is a delay in your periods, then conduct a home pregnancy test around two weeks after the sexual act and write back to me for further guidance. Do not worry, pregnancy is unlikely. I hope this helps." + }, + { + "id": 16724, + "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": 1218, + "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": 30571, + "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": 11453, + "tgt": "Suggest alternatives for Fentanyl, Propofol, and Versed as I am allergic to it", + "src": "Patient: Hello doctor, I will be facing major surgery for stage three lung cancer contained in the left lobe. I am extremely allergic to Fentanyl, Propofol, and Versed. Are there any alternatives to these anesthetics? I am currently on Synthroid. Doctor: Hello. If you are allergic to these agents, I suggest you undergo a detailed allergy test with various agents so that you will be able to know which agents are safer for you. There are so many agents and techniques available nowadays in the field of anesthesia. If you are allergic to Propofol, Thiopentone (Sodium Thiopental) or Etomidate is a safer option. For analgesia, the multimodal technique will be a safer option including regional anesthesia, various blocks, NSAIDS, etc. Versed (Midazolam) can be avoided at all during surgery. So my suggestion to you is to inform your anesthetist about this and leave your worries on him." + }, + { + "id": 20284, + "tgt": "I donate blood frequently. My hemoglobin level has come down. What am I to do?", + "src": "Patient: Hi doctor, I am a 21 year old female. I have donated blood twice (in December and March respectively) and my hemoglobin level was 12.1 g/dL. Yesterday, I had gone to donate blood. But, I was not able to do so because of my low hemoglobin level (9.5 g/dL). I am just wondering if the drop in my hemoglobin level is because of my periods? Doctor: Hi. Hemoglobin (Hb) level does not drop down during your periods unless you have abnormally excessive bleeding. It could be a result of frequent blood donation. Maybe your body did not get enough time to regenerate the lost blood. So, give some time for your body to regenerate the lost blood. Take Iron supplements and VItamin B complex for six months. Repeat Hb check after six months. Once your Hb level is back to normal, you can donate blood again. Before you donate blood the next time, check your Hb level and consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2133, + "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": 12274, + "tgt": "Could recurrence of nasal sinus congestion with thick mucous secretion be due to nasal polyp?", + "src": "Patient: Hello doctor, Approximately one year ago, I began to have recurrent, once per month or few weeks approximately, left-sided sinus congestion. Though my nose was never stuffy, I could feel the congestion somewhere between my lower nasal passage and sinus. When I would go to clear this, it would take a few minutes of hard blowing to get it loose enough to exit. When it finally would clear, the mucous was the strongest, thickest, non-separating gelatin-like, clear or white material I have ever come across. I chalked it up as allergies as I have begin to develop them mildly at the age of 40. This symptom over the last six months became more frequent, and now, for the last week, it is there daily and bright, dark yellow. The mucous is still very difficult to bring out, and sometimes I am able to bring it through the oral cavity, after incredulous amounts of effort. The mucous is so sticky it wants to stay right where it is. Or could this be a polyp issue, possibly? It is symptomatic of sinusitis as it is an obvious infection, but I am not stuffy at all. I can breathe finely. No fever or other symptoms, aside from very slight sinus pressure, but I sound nasal when I speak like I have a cold. Doctor: Hello. Do you have a decreased sense of smell or running nose or itchy eyes or watering of eyes or itchy nose? Do you have blocked sensation or choking feeling of the throat? Any soreness of throat or difficulty in swallowing? Your symptoms do sound like you have sinusitis and possibly polyposis like you rightly guessed. But the only way to confirm the same is to get a professional consult and ask the ENT to do a nasal endoscopy which is an office procedure and simple. Thereafter, if needed, you can subject yourself to a sinus CT scan. Empirically, you may start a steroid nasal spray and an antiallergic for now. You can start on a mucolytic medicine also for five days. For more details do revert back to me." + }, + { + "id": 19534, + "tgt": "How can we treat the gaps between the teeth?", + "src": "Patient: Hi doctor, I am 31 years old. I have gaps between my teeth. Can it be closed? By which process can it be closed? Doctor: Hi. I have gone through the image (attachment removed to protect patient identity). We can try composite filling or veneer or porcelain veneers. But, it will make your teeth look broader and will affect your esthetics, as the gaps are generalized in the front teeth. Hence, I would suggest leaving it just like that as it does not look so odd. But, you can consult your nearby dentist. The doctor can examine your soft and hard tissues and conclude it in a better way as my advice is based only on the image of your teeth. For the gap in the midline (between two central incisors), a composite restoration can be done. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12795, + "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": 13674, + "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": 19750, + "tgt": "Will Adepix interfere with anesthesia during sleeve bariatric surgery?", + "src": "Patient: Hello doctor, I suppose to get the sleeve bariatric surgery and I was taking Adepix and I stopped it a week ago. My surgeon told me he thinks I have to be off Adepix for three months before surgery. I only took it for three weeks. Is this true? He said it may interfere with anesthesia? Doctor: Hello. I understand your concern about your health condition and possible issues related to Adepix. Adipex is Phentermine which is Noradrenaline and Serotonin reuptake inhibitor which causes high blood pressure and an increase in heart rate in association with anesthetic medicines. But as per the literature and evidence, stoppage of medicine one week before surgery is usually recommended. So I do not think it should be a problem during surgery. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 12032, + "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": 24834, + "tgt": "How can I get the stuck food out of a pocket between molars?", + "src": "Patient: Hi doctor,I have a spot that I think may be considered a pocket or may just be a spot between my molars where I get food stuck. I have had problems with inflammation from food getting stuck in there. I got a Waterpik and the tool worked like a charm. So I am in a pinch now. I am traveling and I lost nearly all my belongings to theft. I am low on funds and my trouble spot is killing me. What can I do super cheap? Do you think an oral irrigating syringe will do the trick? Doctor: Hello. Yes, such food lodgements are quite irritating. If the gap is narrow, you can use floss. But, I guess you have a wide gap. For that, you can use interdental brushes (available in different sizes in a single pack - looks like miniature bottle brushes). You just have to give a push motion in the gap from the facial to the tongue/palate side of the gap. Gargle after every meal (preferably with lukewarm and salt water) and regarding pocket, consult a periodontist when you reach back and they will guide you regarding the treatment. Kindly avoid toothpick usage as it can harm the gums. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7735, + "tgt": "A 14-year-old skips food often. Is it fine?", + "src": "Patient: Hello doctor, I am worried about my daughter. She is 14 years old and suffers from anxiety, often triggered by being in a crowd or busy environment. In recent months she has started avoiding food. She skips breakfast and then does not eat lunch at school. She will, however, eat her tea at home. Even if it is a high-fat meal. She has gone from 9 stone to 8 stone in approximately eight months. She admitted that skipping meals started after a girl at school called her fat. I am not sure if skipping meals classes as an eating disorder but this has gone on too long to be just a phase. Should I be worried? Doctor: Hi. Teenagers go through difficult phases of mental, emotional and physical growth. It is really good that as a parent you are paying full attention, now here are some suggestions. Do not be critical of your child's behavior. Gently try to introduce the idea that health and being thin are separate. If the child is unable or unwilling to eat proper breakfast or lunch, ask what they would prefer. Use the internet to show the required calories and their sources, try substituting healthy food with her choice and consent. Talk to the school counselor and maybe their help can solve the issue." + }, + { + "id": 3784, + "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": 26566, + "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": 9782, + "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": 6550, + "tgt": "Uterus is bulky as per the scan reports. What should I do?", + "src": "Patient: Hello doctor, I do not have a cyst or severe bleeding, but my uterus is bulky as per the scan reports. The scan was advised because of a recurrent urinary tract infection. I have a pain in the lower abdomen and the left side of the stomach. I am taking Norflox 400 for the UTI. \u00a0What should I do? Doctor: Hello. Bulky uterus refers to the generalized swelling of the uterine wall. It could be due to various reasons, but inflammation is one of them. Recurrent inflammation of the urinary tract due to UTI (urinary tract infection) may have caused the inflammation in the uterus. Another possible cause of a bulky uterus is adenomyosis. Adenomyosis is often misdiagnosed as uterine fibroids. However, the two conditions are not the same. While fibroids are benign tumors growing in or on the uterine wall, adenomyosis is a defined mass of cells within the uterine wall. As you mentioned that you do not have cysts or severe bleeding, it may be an initial stage of adenomyosis. You will require immediate treatment for UTI and bulky uterus. I suggest the following: Also, remember these precautionary measures: For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11606, + "tgt": "Is Ecosprin 75 mg mandatory during pregnancy?", + "src": "Patient: Hello doctor, I am a 34-year-old female. I am on my second pregnancy. My last menstrual period was a month ago. Last month my beta hCG was 2708 mIU/mL, and transvaginal ultrasound showed GA (LMP) 5 weeks. Gestational sac 0.66 cm (no yolk sac or fetal embryo seen). A single intrauterine pregnancy with left corpus luteal cyst. I was suggested to take Ecosprin 75 mg, Folic Acid, and Progesterone injection weekly. Kindly advice. Doctor: Hello. Your details show that there is no yolk sac seen on the scan until now (attachment removed to protect patient identity), but you have not mentioned any query. I suppose you are worrying for absent yolk sac. I would suggest to repeat a scan after a week or so and also repeat beta hCG after 48 hours of the previous test date and check if it is almost doubling or not. If it is nearly doubling that would mean that your pregnancy is viable. And soon yolk sac will appear, but if the level is falling, then it would mean that abortion might be there. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 18245, + "tgt": "Homeopathic and natural way of reducing cholesterol level", + "src": "Patient: Hi, What is the best natural way and homeopathic way of reducing cholesterol level? Doctor: Hi, You have a general question about reducing the cholesterol level. Follow the suggestions below: Consult a homeopathy physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 28076, + "tgt": "Is vitamin E a good solution for polymorphous light eruptions?", + "src": "Patient: Hello doctor, I have self-diagnosed myself with polymorphous light eruptions, and I know that sounds annoying to someone who has dedicated their entire career to skin care. But every time I am at the beach in extreme sunlight, around day 2 or 3, I start developing a bumpy and itchy rash. After much research and comparing online images to my condition, it appears that I have a sun allergy that results in my rash. I have done some online research as well to help prevent or treat this condition because it is extremely uncomfortable, and a common answer is Vitamin E. Is this the right treatment? Is Vitamin E a good solution? Would it be best to take a Vitamin E supplement or use a Vitamin E serum or cream? Doctor: Hi. Hope this helps. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15566, + "tgt": "What is the treatment followed to treat squamous cell carcinoma of tongue?", + "src": "Patient: Hi doctor, My father is 77 years old. He is diagnosed with moderately differentiated squamous cell carcinoma, in the right vallecula and at the base of the tongue aggregating 0.5 \u00d7 0.5 \u00d7 0.2 cm. He has pain and sensation while eating and drinking. What is the treatment? Please suggest. Doctor: Hi. Treatment of choice in this condition is radical radiotherapy using IMRT (intensity modulated radiation therapy) and IGRT (image-guided radiation therapy) technique with concurrent weekly cisplatin chemotherapy." + }, + { + "id": 16986, + "tgt": "Suffering from anxiety, and panic attacks for the last 3 years. Need second opinion on the prescription", + "src": "Patient: Dear Doctor, I am suffering from anxiety and panic attacks for the last 3 years. I went to a neurologist\u00a02 years back and\u00a0he advised me to take REXIPRA 10 for 3 months, SOLTUS 50 for 6 months, HEMIDAP PLUS for 9 months & ZEPAM .5 for 12 months. Upon following these medications, I was improving but was not absolutely fine. And after 1 year I visited the same doctor again and he advised me to take ZEPAM .5, REXIPRA 5 & AMIXIDE. Now I am absolutely feeling restless, sleep deprived and very anxious. When I leave these medicine, I feel addicted and I am in immediate need of it. Absolute anxiety\u00a0and nervousness, high pulse rate and\u00a0high BP. I am not able to understand whether I am suffering from a neurological or a psychological problem. Should I consult a neurologist or a psychiatrist? 25 years/ male, height 6 feet, weight 70 kg. Please help. Doctor: Hi. I read your query and understood your concern. As per your diagnosis of anxiety and panic attacks, there should be no doubt whether you need neurologist or psychiatrist. Both these conditions come under the domain of psychiatrist and they are more able to treat these conditions. Other than anxiety and panic attacks you have got addiction problem because of the wrong use of medicines. In my view there is no role of SOLTUS in case of anxiety and panic attacks. If you feel fine with an online psychiatry consultation session (via phone or video chat), then I will be happy to help you. You con contact me by either putting a detailed query or booking an online consultation." + }, + { + "id": 23304, + "tgt": "Can i give Levolin nebulization instead of Levolin Syrup?", + "src": "Patient: Hello doctor,My 3-year-old daughter has a fever and wheezing but no cough for the last two days. A doctor prescribed Asthalin Syrup 5 mL, Omnacortil solution, Monticope, Lecope, and Paracetamol. But still, the wheezing is severe midnights. Can I give her Levolin Syrup instead of Asthalin? The last she got wheezing was one year ago. Doctor: Hello. Yes. Instead of using the Levolin Syrup, I suggest you use Levolin (Levosalbutamol and Levalbuterol) nebulization. The medicine goes directly into the lungs and the dose is also very less. In syrup, the dose is high and it reaches blood first then it gets absorbed into lungs and then the action starts. It has a slow effect But, nebulization will give you a quick relief. I suggest you give your child Levolin 0.63 mg nebulization every four hours for the first two days then you can make it every six hours. You can also give Budecort (Budesonide) nebulization 0.5 mg twice daily for three days. She will feel much relieved with these medications. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22505, + "tgt": "Why am I having low hemoglobin and what should I do?", + "src": "Patient: Hello doctor,My hemoglobin is 6.2 and I feel very weak from inside my left chest. My reports are normal ECG, sugar, vitamin B12, X-ray, everything is normal. Why my blood is getting low and what should I do? I am a male aged 63 years. Doctor: Hello. You are having anemia and because of that weakness can be felt. You should get further investigated with peripheral smear examination, reticulocyte count, serum ferritin estimation, serum TIBC (total iron binding capacity) investigation, serum transferrin saturation to do further workup for anemia. You can be given an iron injection or PCV (packed cell volume) transfusion to raise hemoglobin level. Take iron-rich foods for increasing hemoglobin level like green leafy vegetables, jaggery, red meat, beans, etc. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12158, + "tgt": "Please advice a permanent solution for post nasal drip", + "src": "Patient: Hello doctor, Please advise me a permanent solution of postnasal drip. I have been suffering for a long time that causes continuous pharyngeal irritation and coughing. Doctor: Hello. Postnasal drip occurs due to rhinosinusitis or nasopharyngitis and is rightly said to be allergic which is exacerbated by infections. Treating the underlying cause helps in mitigating (making less severe) these symptoms. Allergic rhinitis or rhinosinusitis can be difficult to treat. One important part is avoiding the allergens of which particularly important is house dust. Use of antihistamines and nasal spray should be judiciously done as and when required. You may try clearing your nose and sinuses by using a neti pot or nasal douching as required." + }, + { + "id": 15115, + "tgt": "Had HPV and LEEP, bleed during sex, heavy periods, abdominal pain, fatigue and headaches. Is it cancer?", + "src": "Patient: Dear doctor, I am a 32 year old female. I had HPV and LEEP 12 years ago. Now, I have the following symptoms: Bleeding during sex. Heavy periods. Extra painful abdomen pain. Heavy feeling of fatigue and headaches. Could I have cancer? Doctor: Hi. All the symptoms you have mentioned warrant a doctor visit with a full examination and Pap smear as a minimum, and colposcopy to be very sure. With your HPV and LEEP background, it is even more important that you get this done on priority. In all probability, it may be nothing, or early pre-cancer, but it is better to check and get treated. Hope this helps, take care. Consult an obstetrician and gynaecologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29750, + "tgt": "I am losing a lot of hair. What treatment can I take?", + "src": "Patient: Hi doctor,I am 21 years old and having an extensive hair loss. The middle part of my head is almost bald. I am losing a lot of hair on the left. Currently, I have taken no medical help. I am also having black spots all over my legs and arms. Also, I have these little eruptions on my head and it is itchy. The hair loss has been since there since five to six years. I have started homeopathic medication. Doctor: Hi. 1. Hemoglobin %. 2. Serum ferritin. 3. Thyroid profile. Please consult your specialist doctor, discuss with him or her and take the treatment with consent. 1. 5% Tugain lotion (Minoxidil), to be applied as 1 mL twice daily only over the areas of thinning of hair. It has to be used regularly for at least three to six months to note some increase in the bulk of the hair. 2. Tablet Hair bless (Biotin and Calcium) one tablet daily after dinner for one month. Revert back with the details to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5641, + "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": 11131, + "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": 29716, + "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": 9673, + "tgt": "Can urine get trapped into the testes and cause pain?", + "src": "Patient: Hi doctor, I am 18 years old. I have been suffering from a few health problems for many years. I think that I have some problems with my testicles. They hang low, feel sensitive, and sometimes they pain (mild) when they get any push. Two months ago, I also had an ultrasound and color Doppler. Everything was normal.\u00a0I also have some urinary\u00a0problems. Every time\u00a0I\u00a0pee, some amount of urine get stuck inside my urethra and sometimes after shaking 1 or 2 drops comes out. I feel uncomfortable with this issue.\u00a0 As my testes hang\u00a0low, I cannot walk without pushing them, and I feel tenderness there. I do not wear underwear in the evening hours. I have one doubt. Can urine go into the testes? When I cough or sneeze, I feel my urine is dribbling into testes. Do I need an ultrasound of scrotum? I had an ultrasound of kidney and abdomen before a year, which showed that everything is normal. I just had mild cystitis\u00a0a year ago, and now I have this urine problem. I also get some sticky, watery substance under my penis and above the testes.Sometimes it smells bad. Also, I am getting nightfalls once in every two days. I am uploading the images of my report and prescription for your reference. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19842, + "tgt": "I feel sleepy during office hours,even after 8 hours sleep at night. Please advice", + "src": "Patient: Hello doctor, I am a 24 year old working woman. I feel sleepy during office timing, even though I have 8 hours sleep during night. Please advice. Doctor: Hello. Feeling sleepy during office timing is most commonly caused by absence of a sound sleep at night. Sleeping for 8 hours during night not always means that you are having a healthy sleep. A healthy sleep is determined by the following factors: As you told that you are sleeping for about 8 hours at night and your age is 24 years, this is an adequate sleep at this age (6-8 hours). However if you still feel sleepy during your office hours, this can be due to inadequate sleep in terms of quality of sleep. Besides this, few other things also hamper sleep quality such as: I would recommend you a few changes that you can make at your work place such as make your work area more stimulating, work in chunks, take breaks in between your work, do not work for long hours at a stretch, drink water in between, avoid too much tea/coffee in order to work continuously, get involved in conversations in between for a while to refresh yourself. Also try and maintain sleep hygiene at bed time. Besides this if you continue to have this problem, seek an opinion from a sleep medicine physician online, get yourself evaluated for any of the above causes for sleep disturbances --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 7671, + "tgt": "Can a dentist tell if I smoke just by looking inside my mouth?", + "src": "Patient: Hi doctor, I am going to remove my impacted wisdom tooth in two days. I am a frequent\u00a0smoker. Can a dentist tell if I smoke or not by just seeing inside my mouth? If yes, how can I prevent the dentist from knowing\u00a0that I am a smoker?\u00a0Please help. Doctor: Hi. I read your query. Do not smoke before the dentist appointment. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10863, + "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": 27981, + "tgt": "I was advised to take two spoons of Lactifiber. Is that two teaspoons or tablespoons?", + "src": "Patient: Hi doctor, I had an anal fissure and constipation. My doctor advised me to take two spoons of Lactifiber\u00a0(90 g) twice daily for a month. Should I take two teaspoons or two tablespoons? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28027, + "tgt": "A few days after sex, my fiancee has spotting. Is it implantation bleeding?", + "src": "Patient: Hello\u00a0doctor, About 20 days ago, my fiancee and I had sex. When she was getting off, the condom slipped but my semen did not come in contact with her. Just to be sure, we had a pregnancy test after four days, and it showed negative. We repeated the test again after 14 days, and it showed negative as well. But now, she had spotting. Could she be pregnant? Doctor: Hello, How are you doing? 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": 23795, + "tgt": "Within an hour of intercourse I took Unwanted 72. Is there a chance of pregnancy?", + "src": "Patient: Hello doctor, My periods ended on 10th, and I had sex on 12th. Within an hour after intercourse, I took Unwanted 72. On 14th, I bled only for one day. Is there a chance of pregnancy or not? Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. The bleeding could be because of hormonal changes due to the pill you have taken and its withdrawal bleeding. 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": 16311, + "tgt": "There is lymph node enlargement under chin and groin in a child. Is it serious?", + "src": "Patient: Hello doctor, My 2-year-old female child has mild lymph node enlargement under the chin and groin. She had a fever. Her weight is 8 kg. Peripheral smear showed mild degree aniso-poikilocytosis. Her hemoglobin is 12. She has a minimal fullness of renal pelvic calyceal system (USG). Is there anything to worry? Rest of all the tests are normal. Doctor: Hi. Recurrent fever with lymphadenopathy sometimes indicates chronic infection like tuberculosis. If ESR (erythrocyte sedimentation rate) is normal and the fever subsides, this may be a remote possibility. A mild fullness of pelvicalyceal system sometimes indicates mild obstruction lower in the urinary tract or incomplete evacuation of urine. I suggest you do a urine routine and culture test. If the consistency of the lymph node is soft, then it may be reactive due to the past infection. You already told that your child suffered from fever last month. So, these lymph nodes if less than 1 cm in size and soft in consistency and not attached to skin or underlying structure may indicate reactive etiology which is not harmful. But to be sure, you can do a Mantoux test. if that turns out to be positive, then there is a scope to worry. Reactive lymphadenopathy, UTI. Urine routine, culture, and sensitivity of urine, Mantoux test. Tuberculosis." + }, + { + "id": 14992, + "tgt": "I have declined CBC but under normal limits. Why?", + "src": "Patient: Hello doctor, I am 39 years old, female, 5'4\", 120 lbs. Healthy, no illnesses to note. Curious if CBC values are anything of worry as some have declined although in normal range over the past four years. Doctor: Hi. You have got very good reports (attachment removed to protect patient identity). Your Hb,TLC,TPC counts are in normal range. In addition, you have got a very good lipid profile with good cholesterol HDL being high and bad one LDL being low." + }, + { + "id": 24965, + "tgt": "Why do I have red eyes?", + "src": "Patient: Hello doctor,I have red eyes for three days. What could be the reason and what is to be done? I wear contact lenses, there is no swelling, and I work in front of the computer. Doctor: Hi. There can be two reasons for red eye in your case: 1. Allergy due to contact lenses. 2. Conjunctivitis. If you have changed the brand of contacts or you have just started wearing contacts, it is allergy. I will suggest Fluorometholone plus Tobramycin eye drop four times a day for five days. Then taper to three times a day for next five days and then to twice daily for next five, then stop. Olopatadine eye drop twice daily for next 10 days. Carboxymethylcellulose plus Nafazoline eye drop six times daily for 15 days. If there is discharge, matting of eyelashes on waking up and itching, it is conjunctivitis. For this, I would suggest Moxifloxacin eye drop six times, Carboxymethylcellulose plus Nafazoline eye drop six times daily, Gatifloxacin eye ointment at bedtime and all this for one week. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24802, + "tgt": "Why is there difficulty while having sex for the first time?", + "src": "Patient: Hello doctor, I did not have sex before, but I have been fingering and I never felt comfortable. I tried having sex in the past but it never went in and I am not sure if it is my anxiety not letting me. One partner described it when he tried fingering me that it was like a wall and was not letting it through. It just makes me worry if I will ever be able to have sex with my current partner. Doctor: Hi. The wall is the hymen which is not letting you have sex. It is a thin delicate membrane. With proper penetration and intercourse, it will rupture. There is nothing to worry about and you can have sex. Just see that you have proper lubrication and secretions. 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": 28169, + "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": 4137, + "tgt": "What does my blood report of severe aplastic anemia show?", + "src": "Patient: Hello doctor, I am 40 years old. 20 years back I was diagnosed with Severe Aplastic Anemia (idiopathic), which was treated with ATG (With Prednisone/Cyclosporine). It took a good year to have a complete recovery, but it came back to 100 %. I have always lived a bit in the fear of Myelodysplasia, but 23 years later no issues other than cholesterol and high blood pressure. I am being follow by a family doctor and getting blood counts every 6 month, but my last hematologist consultation was a very long time ago and while my doctor is fantastic, I know that knowledge of hematology is complex. I am tracking by blood counts for the last 12 years. In the last 2 years, I develop my own concerns around some numbers that seems to trend on lower side. First is erythrocyte, which are 4.3 now. 13 years back I was consistently around 4.8, but my last blood count was 4.3. But after 5 years, it has never been above 4.5. I do not know if this is significant or not. But I know that our reference is 4.7 of the lower value. Average (13 bloods test) would be 4.53. My hemoglobin is at 132 now. My average would be 141, so the difference is not high, but I still wonder about if it is significant. Finally, Hematrocrit at 0.4, right under the low-level . It would average out a 0.41. Now a new contender appeared in the outside of normal ranges, and its the Granulocytes # (Immature) at 0.04 (reference is 0 - 0.03 10e9/L). Platelet are doing great with 183, so no challenges here. So in a way, all of these number are very close to the lower normal. I guess I am trying to figure out if I should investigate this further. I will see my doctor in a few weeks for a follow-up, but in our last appointment she did not see any issues there. In a way, I get her point but I am not sure when I should start asking for an hematologist reference. As for current medication, I am on Rosuvastatin (20mg), Ibersartan (300mg) for a few years already. But new to me is Allopurinol (200mg for now; still working on balance). My question is really about if the number above can indicate a trend, or not. I understand the body change as we are getting older, but I would like some opinion on this. Doctor: Hi. I reviewed all the documents you attached (attachment removed to protect ptient identity). I can feel your concern as I have closely followed many aplastic patients before. So, the fear or concern you have is genuine but I am happy to say that your CBC is wonderful. I am not bothered at all. The slight decline may be due to other reasons, sometimes diet, nutrition, laboratory variation, etc. I would advise you not to worry and just get a routine laboratory check as per your primary physician like 6 monthy or so. You completely recovered. The only advice is to make sure when you start any new drug or take OTC drugs/ herbal medications, make sure they do not have side effects of bone marrow suppression. So, just be cautious. Rest you are doing good.Please text me any other concerns if you have." + }, + { + "id": 7518, + "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": 14220, + "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": 2833, + "tgt": "Is thyroid cancer any way related to adenoma?", + "src": "Patient: Hello doctor, Before 20 years I had total thyroidectomy for follicular and papillary thyroid cancer. I also had three surgeries to remove benign lymph nodes. My levels had been pretty steady until the last one and a half year. I am post menopausal. I am now with the highest TSH value of 13.1. I did not even miss any dose. I am eating very healthy and doing work out. My TSH works best for me at 2. Now I am on 112 mcg Synthyroid. My doubts are as follows. Is\u00a0thyroid cancer any way related to adenoma? Is follicular nodular hyperplasia similar to adenoma?\u00a0Can FNH's show up in multiple areas of body? My first\u00a0true diagnosis was thyroid cancer, later HRS and FNH in left lobe of liver. The hyper attenuating mass was 2.0 x 0.7 x 0.9 cm and changed to 2.1 x 9.4 x 1.1 cm in the last scan. I also have benign tumor and cysts in ovary. The thyroid nodules are reactive and enlarged lymph nodes in neck. My dad had kidney cancer, prostate and melanoma. Now, he is fighting CLL.\u00a0My son, who is 10, had several 3+ cm lymph nodes in the neck removed. His doctors went on thinking lymphoma due to the size. It was benign, but he had a streptococcus bacteria. He also has cysts on his thyroid, which is under observation.\u00a0Is there some relation or syndrome possible for this? Please explain. Doctor: Hi. For further information consult an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8371, + "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": 27310, + "tgt": "What diet should I follow during pregnancy to prevent Down's syndrome?", + "src": "Patient: Hi doctor, During my previous pregnancy last year, due to a Down syndrome issue, the baby's brain was not formed properly. This was detected at the end of the fourth month. At that time, I\u00a0did not go for a TORCH test. Now, I am pregnant again. At the third week check up, he did a TORCH test. IgG and IgM were negative. At 5 weeks, I went for a TORCH test again. The results were Rubella, CMV, HSV, and IgG as 23, 30, 15 and positive, and the rest were all negative including IgM. My doctor had asked me to repeat the test after 15 days and if it incresed by more than four times, it is a\u00a0recent Infection. After 15 days when I tested again I got the results as 32, 32, 35 IU/ml and the rest are negative. I am now 13 weeks pregnant. I have a\u00a0couple of doubts. During the third week of\u00a0pregnancy, all the values were negative but, why the IgG values were increased later and all the infections were positive? Will this affect my baby? What are tests I need to do now? Shall I go for a TORCH test again? 5. What diet do I have to follow to prevent this? How often do I need to go for scans to check for my baby's form and growth? Can I take antibodies during pregnancy? Please give me some suggestions. I am waiting for your\u00a0reply. One report is in the OD ratio format and the others are in the IU/ml format. Doctor: Hello. I have gone through your query and understand the concerns. Hope you found the answer helpful. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25879, + "tgt": "What causes an elderly man to not be able to hold his urine?", + "src": "Patient: Hello doctor, My 76-year-old father had urinary infection last month with a high number of pus cells. The infection started with fever and shivering and slight pain with urination. The doctor prescribed Oflox 200 mg twice a day. After that, he was also prescribed ultrasound scanning. In the scanning, it showed that his prostate was minimally enlarged. After antibiotic treatment and based on the ultrasound report, the doctor prescribed Urimax 0.4 mg once per day. The urine culture was also normal. After starting the treatment, the flow of urine is normal now and sometimes little out of control and early. Why is he passing urine a little early even before reaching the toilet? Doctor: Hello. This urgency and leak of urine are age-related. I can suggest him a medicine but it might cause some postvoid residual urine and more chance of infection. If the problem is very severe, only then give him the medicine. I suggest tablet Soliten (Solifenacin) 5 mg morning and evening for seven days and see the response. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. If it is not severe and if it is manageable then I think do not start him on any treatment. Also, ask him to reduce fluid intake after 6 p.m. Daily fluid intake should be around two liters. Regards. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28989, + "tgt": "Is it fine to exercise with knee pain?", + "src": "Patient: Hi doctor, I am a 24 year old female. My height is 5'5\" and weight is 58 kg. I am a cyclist and, to a lesser extent, a runner. For the past one\u00a0week, I have been getting pain in the back of my left knee. It hurts when I walk and not just doing sport. It is the movement of pushing off from the ground that makes it hurt, and when I straighten my leg to full extension.\u00a0Is it fine to continue with exercise? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15103, + "tgt": "I have itchy lumps and rashes on stomach and thigh. Why?", + "src": "Patient: Hi doctor, A few days back, I found these red bumps on my thigh and they had appeared out of nowhere. They are definitely lumpy and itchy. I also found a patch on my stomach with the same lumps with a rash type look to the patch. Both are really itchy. I am wondering what this could be and if I should see a doctor. Doctor: Hi. I have gone through your case. In my opinion, you are having an urticarial rash. It is a type of allergy which could be due to many factors. Some are following. Drugs like painkiller or antibiotics, dairy product, meat or chicken, insect bite, artificial, sweating or heavy exercise. Please note if you have any of the above factor and try to prevent it as a part of treatment, (though many times difficult to find the causative factor and difficult to prevent it as well. But keep trying). Take tablet Cetirizine 10 mg at night for 14 days. Take soft and home made diet. Take care." + }, + { + "id": 26173, + "tgt": "Can I get rabies from patting a stray cat?", + "src": "Patient: Hello doctor, Is\u00a0it possible to get rabies from patting a stray\u00a0cat and then eating without washing hands? The cat's fur was not moist or wet nor was the cat being aggressive. Please advice. Doctor: Hello. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2822, + "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": 12085, + "tgt": "Can normal delivery be attempted after cervical cerclage?", + "src": "Patient: Hi doctor, My wife is 38 weeks pregnant and in the 19th week, the doctor recommended for cervical cerclage and that was done at that time. What is the chance of having normal delivery rather than C-section as me and my wife are not willing to go for C-section and want the baby to be delivered normal and the cervical length in 34 weeks is 37 mm? Kindly let me know what are the chances for normal delivery. Doctor: Hi. As she is 38 weeks now, she should have cerclage removed and should have an examination by local treating gynecology doctor and mode of delivery should be discussed after having all details in front (fetal and maternal condition). At certain gestational age, cervical cerclage needs to be removed. After that, it is better to have a walk daily to help a proper path of labor to form. Post removal of cerclage, normal labor could be tried. Many factors interfere to finalize the mode of delivery like the size of the baby, any medical, obstetric complications. So, it is better to be checked and discussed around 36 weeks after removal of cerclage. Have regular antenatal visits and scans. A complete treatment of any health issue you have. Daily walk. Have recreational activities and quit recreational drugs." + }, + { + "id": 500, + "tgt": "I am just 21 years old but facing hair thinning problem. Will Finasteride help?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I have thinning hair and was planning of preventing through medication. I was planning on taking Finasteride. Doctor: Hi. From the information given it seems you are experiencing the early signs of male pattern hair loss. This is a very common condition and there are many factors responsible, one of them being genetic. Due to the effect of the male hormone on the hair cycle, over a period of time the hair follicle starts shrinking and so the hair which comes out is thinner and more fragile and breaks easily. Also, the growing phase of the hair is shortened, so your hair does not grow as long it used to and becomes shorter and wispier. There are several treatment options available and the sooner we start the treatment the better the chances of reducing further hair loss/thinning and increasing regrowth. A combination of oral supplements to boost hair growth along with the application of lotions containing Minoxidil 5% to begin with will be the best course of action in my opinion. Oral Finasteride, which is the male hormone blocker, is used frequently. Applications with Finasteride are available too. This will be prescribed by your treating doctor after assessing the extent of thinning and discussing the side effects, etc. Several preparations of biopeptides and other natural ingredients like saw palmetto extract, melatonin, etc are also available to boost hair growth. PRP (platelet-rich plasma) is a popular procedure that is often used in combination with medical treatment to stimulate hair growth further. Usually, a combination of treatments is suggested after the clinical evaluation. But using the applications regularly is the key to good results. Hair regrowth takes a few months to show and you will have to be patient to see the benefit of treatment. I hope this helps." + }, + { + "id": 28727, + "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": 2782, + "tgt": "I have twitching in my left arm with more prone while keeping straight. Is it motor neuron disease?", + "src": "Patient: Hello doctor, For about two weeks now, I have had a twitch in my left arm (triceps) that seems to be worse when I have my arm straight and down by the side of my body and less noticeable when I have my arm over my head and bent at the elbow. The twitch seems to be worse at times without any particular reason for it. This night I had difficulty sleeping because it was very annoying. I used to do some resistance training before this (so it might be some type of nerve injury), but I have not experienced any pain or discomfort during exercising before the twitch began. Also, I have stopped training ever since discovering the twitch. I am starting to worry that this might be some type of motor neuron disease, as it is not going away and it is not improving at all. I cannot visit a doctor earlier than Monday, so any advice or explanation of what this could be would be greatly appreciated. Doctor: Hi. This is acute onset localized twitches, started after strenuous activity. This seems to be physiological twitches that are occurring due to minor muscle or nerve injury. Just check for any weakness or loss of muscle mass in the region where you are developing twitches, if they are not then no need to worry. Excess consumption of coffee and smoking can cause the same so avoid excessive coffee and smoking if any is there. This is unlikely to be motor neuron disease (MND) at this age and MND will have prolonged course sometimes they are unnoticed completely." + }, + { + "id": 25532, + "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": 26517, + "tgt": "My daughter has cold, stomach pain, and leg pain. What could be the reason?", + "src": "Patient: Hello doctor, My daughter has cold and stomach pain. She has headaches also. There is no fever. She has got pain in her legs near the foot.\u00a0Sometimes, she says she has a\u00a0stomachache. But, then it is fine the next morning. Please advise me on this. Doctor: Hello. Regards. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23608, + "tgt": "I have asymptomatic AF and vascular dementia. Please advise", + "src": "Patient: Hello doctor, I have asymptomatic AF vascular dementia. Doctor: Hello. Please attach your ECGs. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 204, + "tgt": "I am worried about my daughter's growth. Please guide", + "src": "Patient: Hi doctor,Today, I took my 4.8 years old daughter, who is about 13 kg weight and 94 cm height, to a free growth screening camp. The Doctor has suggested the following laboratory tests. LFT, KFT, TSH, CBC, P/S, ESR, vitamin D3, TTG, IgA level, urine and stool routine. She has also prescribed Bandy Plus 10 mL oral suspension to be taken before sleep and again the same 10 mL dosage to be repeated after 15 days. She also told us to show the test reports within one or two days for further advice on the growth of my daughter. Since, Bandy plus contains Ivermectin and Albendazole, I am little bit scary. Further, my height is 168 cm and her mother is 158 cm. We are much worried about the growth of my daughter in terms of height. However, she is very active and one of the best students of her school in sports, study and all other extracurricular activities.\u00a0We humbly request to guide us whether all these pathological tests and medication as stated above are in line with the problems or not. Doctor: Hello. Genetic. 1. Hypothyroidism. 2. Constitutional short stature. 3. Genetic. Revert back with the reports to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 5774, + "tgt": "I feel like something in my eye when I blink after taking out my contact lens. What could it be?", + "src": "Patient: Hello doctor, I have been wearing contacts for a few years, but recently after I take my contact lenses out. I feel like there is something in my left eye when I blink. Do you know what this could be? Doctor: Hello. Since you have been wearing contact lenses for a few years now, you could have developed giant papillary conjunctivitis. Here patients develop a few bumps on their conjunctiva (the lining of their eye) due to prolonged use of contact lenses. The best way to get rid of these is to stop using contact lenses for a while (use glasses instead) and instill eyedrops having Cromolyn sodium or Olopatadine. Prevention: Change your contact lenses frequently, especially if they are monthly disposable, do not wear them for over a month. Clean them each time before you insert them into your eye. Avoid using colored lenses. You should meet an ophthalmologist if in case you continue having the feeling that there is something in your eyes or your eyes become red and start watering or if you have blurry vision in your eyes. Contact lens use. Slit-lamp examination. Allergic conjunctivitis. Contact lens holiday, Cromolyn sodium or Olopatadine eyedrops. Avoid excess contact lens use. Review after one month." + }, + { + "id": 20974, + "tgt": "Though I do not have pain, my doctor advised me to get my wisdom out. Is that fine?", + "src": "Patient: Hi doctor, I had done an OPG. My dentist is saying to remove the wisdom tooth on the lower side of the jaws on both the sides. I do not have pain in the wisdom tooth. But I feel pain in the left side molar. My doctor has advised for RCT for that molar tooth after removing the wisdom tooth present on both the sides. What can I do now? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your OPG (orthopantomogram) shows that your lower wisdom tooth is impacted or tilted. They are putting pressure on the other molars. So it is advisable to remove them as soon as possible to prevent further damage to other teeth." + }, + { + "id": 2853, + "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": 15641, + "tgt": "I have a problem in clearing my tummy. Please help me", + "src": "Patient: Hi doctor, I am 27 years old. I have a problem in clearing my tummy for two days. I have a gas problem in my stomach. Please help me. Doctor: Hi. You are having a functional bowel problem. You can practice these steps to have a proper digestion and gas relief. Avoid intake of turnip, onion, cabbage, and cauliflower. These are gas-forming foods. Drink more water. Avoid having a sedentary lifestyle. You should stop the habit of smoking and try to avoid having stress. Take more green leafy vegetables and fruits. Avoid taking excess fatty foods. If there is no improvement, then a fiber supplement like Aristozyme (Pepsin and Diastase) can be taken. Moreover, Gelusil syrup (Aluminium hydroxide with Dimethicone) can also be taken for a short duration." + }, + { + "id": 13911, + "tgt": "Will taking Microgynon 30 on the first day of my period be effective?", + "src": "Patient: Hi doctor, I took the Ellaone emergency contraceptive pill two days ago and have started my period today. So I would like to start taking the combined contractive pill Microgynon 30 today. Will that be fine? And will it be effective straight away? Doctor: Hi. Ellaone (Ulipristal) stays in the body for around 36 to 72 hours after ingestion. So hormonal oral contraceptives should be started only after five days, to be assured that there is no reduced effect of combined oral contraceptives due to Ulipristal, which is a selective progesterone receptor modulator. Combined OCPs (oral contraceptive pills) are fully effective after seven days of continuous hormone usage, so you need to take an additional method of contraception like condoms for these days. Please revert back if you have any liver impairment, gall bladder disease, migraine, diabetes, hypertension, hyperlipidemia, breast condition." + }, + { + "id": 27931, + "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": 7907, + "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": 26874, + "tgt": "Does taking pain killers alter the liver function test results?", + "src": "Patient: Hello doctor, These are the reports of my kidney function test and liver function test. I was on antibiotic Amoxicillin and Ibugesic plus when having this test. Is this report really abnormal? Is there something seriously wrong with these reports?\u00a0I am worried. Doctor: Hello. Your reports (attachment\u00a0removed to protect patient identity) do not have anything to panic about. I hope it helps you. If you have any further queries please ask me. For more information\u00a0consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 29576, + "tgt": "Is there any epilepsy that does not cause physical seizures?", + "src": "Patient: Hello doctor, I have been suffering from a wide array of mental symptoms for around nine years. Some years ago, I went to see a neurologist. He took an EEG, and found \"epileptiform activity\", I think in temporal lobes. So he said I have epilepsy and prescribed Valproate. He said my depersonalisation and anxiety were caused by my epilepsy. However, I never had a physical seizure nor an absence and neither have my family noticed any. Also, my symptoms did not improve after one year of Valproate. To make matters worse, some months after quitting Valproate, I developed a psychosis. I have also tried other antiepileptics as part of my treatment following this episode. These include Gabapentin, Carbamazepine and Phenytoin. My symptoms have not improved. Generally, I am feeling malaise and psychotic-like thought patterns after sunset, with anxiety, social anxiety, etc. Could all of this be caused by some underlying neurological problem? Why did the EEG show epileptiform activity? If I do have epilepsy, in spite of not having seizures, why have not the antiepileptics done any good? Are there epilepsies that do not cause physical seizures and also one is not aware of absences because they are very short? Can this type of epilepsy also cause psychiatric symptoms? What would be the best medication for my case? I took a SPECT/PET which showed reduced blood flow to the right frontotemporal lobe. The MRI scans were normal. I also have enlarged liver, rapid heartbeat with palpitations, Epstein-Barr virus infection, history of high eosinophils, history of allergies or bronchitis, history of folliculitis, childhood meningitis and chronic diarrhea (10 years, diagnosed as IBS). Recent results showed elevated GGT, low blood chloride, elevated morning cortisol and ACTH. After the psychotic episode results showed low blood potassium. Currently, I am taking Aripiprazole, Phenytoin, Gabapentin, Amoxapine and high dose of vitamin B3 and B6. Doctor: Hi. EEG (electroencephalogram)is not a diagnostic tool in itself. EEG can show abnormality in a normal person and also can be normal in epilepsy patients. Few EEG changes can be seen in normal and abnormal conditions. As you mentioned that your symptom is psychotic like, these can be either psychosis or seizure too. It has to be correlated clinically. For that, I need to know your symptoms in detail. I suggest getting video EEG during the symptom. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2246, + "tgt": "I have a cough for about 8 days with no fever. Can this be COVID-19?", + "src": "Patient: Hello doctor, I have a cough for almost eight days. My cough was not frequent and I have no fever till now. I feel like something is in my throat sometimes. Can it be a COVID-19? I take Azithromycin 500 mg once a day after meal and Rhinokast F before sleep. Doctor: Hello. Do you have any recent travel to countries or areas with COVID-19? How about any recent exposure to someone who is positive with COVID-19? If your answer to these questions is none, then it is least likely for you to have COVID-19. COVID-19 initial symptoms would include cough accompanied by fever. On top of that most patients would also experience difficulty breathing. Since you mentioned you did not have a fever, it is least likely you have COVID-19 at this point. However, if symptoms, persist, worsen or new onset of symptoms such as difficulty breathing, and fever further consult is advised." + }, + { + "id": 23853, + "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": 22097, + "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": 20461, + "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": 30389, + "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": 8815, + "tgt": "I am getting headache due to eye power. How to manage?", + "src": "Patient: Hi doctor, Initially, I got headaches before five months. When it happened every day, I got my eyes checked. I found out I had weak eye muscles and was prescribed for glasses with power -0.75 in each eye. The headaches disappeared for two weeks and returned again. When I consulted my eye doctor, he told me to take painkillers thrice a day. I consulted another doctor, but he also told me that I had the same power and my headache could probably be caused by weak eye muscles. The headache still did not go. I went to a new optometrist and got my eyes checked again. This time he prescribed me a power of -0.75 in left eye and -1 on the right with a little bit of cylindrical power. The headaches disappeared for about two weeks. Again, I feel a slight headache for the past three days. I have been working a lot on my laptop and my eyes started watering when I went to watch a 2.5 hour movie at the theatre. What is causing this? Please help me. I am a student and I can barely concentrate on my work with these incessant headaches. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24383, + "tgt": "I am facing problem on back wall of throat. Kindly help", + "src": "Patient: Hi doctor, I am facing some problem in my throat for about two months now. It is something that always present in the back wall of the throat. But there is no pain but sometimes it feels in the upper esophagus, other time it feels on the back wall of the throat. My ENT doctor examined my throat and suggested me that there is no lump or anything stuck in the throat but said some redness and many little bumps on the back wall and said pharyngitis. I have done the blood test and CT of the pharynx. There was no abnormality. I was prescribed Amoxicillin and anti-fungal and antihistamine (Levocetirizine and Montelukast tablets) for 15 days. But the hidden problem persists. Most annoying is that I feel some difficulty in the throat but cannot figure it out as there is no pain and also cannot figure the exact location of the problem. As a whole, the problem is on the back wall of the throat. Please suggest me some other test that might be required and some medication to reduce this problem. Doctor: Hi. I have gone through your history and all the blood reports (attachment removed to protect patient identity) and they are all normal. Your CT (computed tomography) scan basically rules out any mass lesion in your neck or throat. The problem you are suffering from is known as globus pharyngeus which means the sensation of a lump in the throat or foreign body sensation in the throat. Most common cause for such a problem is reflux laryngopharyngitis which is a type of acidity related disorder. In this condition your gastric acid refluxes back inside your throat causing swelling, dryness, postnasal discharge (this causes a sensation of something in the back of your throat), redness, reddish lesions in the pharynx (which is known as granular pharyngitis) and feeling of lump down the throat while swallowing. Causes for such condition includes untimely food habits, stress, sleeplessness, and sometimes no cause can be identified. Taking any other medicines other than anti-reflux medications will increase your symptoms. You need to take anti-reflux medications for a minimum of three weeks to three months. Recovery is usually slow and three weeks are usually necessary to observe any significant improvement. You also need to avoid spicy food, tea, chocolate, eat regularly at fixed timings, avoid salt water gargling. Take tablet Nexpro RD (Domperidone and Esomeprazole) 40 mg two times daily before food for three weeks. If you see a significant improvement you can even continue it for up to three months. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28643, + "tgt": "I have been bleeding under the skin. What could be causing it?", + "src": "Patient: Hi doctor,I have been\u00a0bleeding under the skin in just my fingers and palm. I have attached the photo for reference. It is worse in one hand than the other, but sometimes the other hand will get worse. It has been present on and off for many years. Initially, the doctors thought that it was due to Aspirin. But, it keeps coming back even after stopping Aspirin a few years ago. It was very mild a few years ago, and now it is getting dark and happens almost every day. My current medication includes Atorvastatin, Amlodipine, and Hydrochlorothiazide. The dermatologist looked at it and confirmed that it was bleeding under the\u00a0skin due to carrying a shopping bag. But, there is no pain or swelling. What could be causing it? Whom should I consult for it? Doctor: Hi. I have read your concern and seen the pictures (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28816, + "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": 5107, + "tgt": "I am type 2 diabetic and experiencing acute premature ejaculation. What is the treatment?", + "src": "Patient: Hello doctor, I am 35 years old. I am a type 2 diabetic, totally controlled as lost 17 kg weight also recently. I am the father of a 5-year-old son. I have lived a healthy sexual life till now, but for the last three to four months I am facing acute premature ejaculation issues. I got my test done, testosterones is at 1.9%. Please advice. How to overcome this problem as soon as possible. I need the best possible cure at this age. It is tough to face my wife on bed and listen to taunts and getting high emotional pressures. Doctor: Hello. There are many causes of premature ejaculation and low testosterone is one among them. But the value you have posted I am not understanding it. The value is 300 -1,000 ng/dL, but you have written as 1.9 %. Is it 1.9 ng/dl or 1.9% of normal value? Kindly let me know because the dosage of treatment will vary as per the result. Also, I need to know was any other tests done to find out the cause of premature ejaculation, if not get these tests done and revert back with reports: 1. Scrotal ultrasound, 2. Serum Prolactin, 3. FBS (fasting blood sugar), 4. PPBS (post-prandial blood sugar). I advise you to start doing Kegel's exercise every day. There are certain medications also but presently there is no need to start those. But you will require a testosterone supplement. The dosage will be told once you confirm the exact value of testosterone or it would be better if you can upload the report." + }, + { + "id": 16061, + "tgt": "Why am I having gum bleeding for a month?", + "src": "Patient: Hi doctor,I am facing gum bleeding for a month. No pain or any other symptoms. Doctor: Hi. There can be several reasons for gum bleeding. 1. Calculus from poor oral hygiene. 2. Hard brushing. 3. Any ulcer in gums. 4. Vitamin C deficiency. 5. Blood pressure least likely in your case. 6. Infections of the oral cavity. 7. Psychiatric apprehensions. Gingivitis. 1. Tablet Ordent (Ofloxacin and Ornidazole) BD for seven days. 2. Mouthwash Hexidine 0.1 % for 15 days. 3. After that, go to a nearby hospital and get scaling done. 1. Six months scaling. 2. Soft brushing." + }, + { + "id": 29258, + "tgt": "Please share your opinion about my CBC report", + "src": "Patient: Hi doctor, I am a 27 year old male. I would like to get your opinion on my CBC report. Shall I attach my report? Doctor: Hi. Please do attach the report of the CBC (complete blood count). I will be able to comment further once I see it. Revert with the report to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15395, + "tgt": "I want to stop or reduce the frequency of masturbation. How to achieve it?", + "src": "Patient: Hi doctor, I am 24 years old male. I have a habit of masturbation for about nine years. Now, it became a habit in me. I have started doing it compulsively for about five to six years. I masturbate as frequently as thrice a day every day. Now, my head is programmed to wank at any time when I am alone. I feel exhausted, and I want to stop the habit or to minimize the frequency of doing it. How can I do it? Please advice. Doctor: Hi. I can understand your concern and masturbation is a safe habit. It does not result in weakness or physical fatigue. But excessive masturbation results in significant loss of time that is spent on sports or in studies. This progressively results in poor health and poor performance in academics. There is no need to stop it completely, but you should reduce the frequency. There is no medicine available to help you. You have to reduce the frequency gradually. First of all, stop watching or reading porn materials. Try to masturbate by fantasies, and it helps to reduce the severity. When you stop watching porn entirely, you can reduce the frequency to two and then to one. Try to keep yourself busy and take part in outdoor sports. Keeping yourself busy will help to reduce your habit." + }, + { + "id": 20191, + "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": 14954, + "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": 25944, + "tgt": "I have itchy skin rashes on my back that are now spreading. What should I do?", + "src": "Patient: Hello doctor, There is an area on my back that started as a rash and it has now spread and it continues to itch. What should I do? This has been there for approximately two months. I have attached photos for your reference. Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). I can see several dark nodular lesions on the back. I would keep a possibility of nodular prurigo or hypertrophic lichen planus. I suggest you use a topical ultrapotent steroid either Clobetasol propionate 0.05% or Betamethasone dipropionate 0.05% or Halobetasol propionate 0.05% twice daily. In addition to that, you may take oral antihistamines like tablet Cetrizine (Cetirizine) 10 mg once daily for symptomatic relief from itching. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6092, + "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": 6099, + "tgt": "Is increased DHEA-S level, a cause for facial hair in females?", + "src": "Patient: Hello doctor, My\u00a0DHEA-S level is 482, which is quite high for a female. The test was done after more than 12 hours of fasting. Is it\u00a0fine?\u00a0The test was done as I have seven to eight thick facial hairs on my chin. About four years back, I visited a doctor for the same issue of facial hair. After checking the report, the doctor had not prescribed any medication. Since the removal of hair is time consuming and as I have to get it removed once in 15 days, I thought of getting a laser treatment. Before prescribing anything, the dermatologist asked me to get a few tests done. My all other reports are normal\u00a0except DHEA-S. Please\u00a0give your expert opinion regarding this. Doctor: Hi. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14452, + "tgt": "I have swelling and tooth pain. Can this be due to dislodged filling?", + "src": "Patient: Hello doctor, For the past three days, I have had severe tooth pain and swelling. My filling fell out and it has started to decay to the point that I only have half a tooth and a giant hole where food is constantly getting stuck. The swelling is so bad I can only describe it as it looks as if I am hoarding a golf ball in my cheek. The pain has subsided due to warm salt water rinses, Peroxide or warm water rinses, Tylenol for every four hours, warm compress, and brushing my teeth every three hours. But the swelling has not gone down at all. How can I get it to go down? Doctor: Hello. There is a swelling. It means that it still has an infection. Please do not use a warm application in infection side. You need a dental check up as soon as possible. Your dentist will take an X-ray and see the infected area after he or she decides treatment (either root canal treatment or extraction of the tooth) followed by antibiotics. So I suggest you please see your dentist as soon as possible because our smile matters. Periapical abscess due to deep dental caries. Clinical examination and dental X-ray. Periapical abscess, dental caries, perioendo lesion. Periapical abscess. Root canal or extraction (decided after clinical examination). Avoid hot food, pressure on the affected side." + }, + { + "id": 22507, + "tgt": "There is dirt in my eyes every evening and eyes are red. Please help me", + "src": "Patient: Hello doctor, I got this eye problem three days ago. I do not know what happens but when it is evening, I notice that there is a frequent watery eye dirt in my eyes, sometimes it is a little bit only and sometimes a lot. But, it is very frequent like every minute like that. So that the veins in my eyes turn red. So, my eyes turn red also. It is not noticeable, but when I look at it clearly and I lift up the lids, I really can see the root. I do not know what to do. It is not hurt. I am just bothered about the eye dirt that comes out every minute and the red veins or roots in my eyes. Hope you can help me. Doctor: Hello. I do not know whether the dirt is white or yellow. However, it seems to be allergic. For this, I suggest you can use (Sodium Cromoglycate or antihistamine) drops. Wash your eyes with water (not warm) as well. If no result, the problem may be an infection. Most probable viral one, other probability bacterial but very little. I advise you to try the allergic treatment and if no development for one to two days you have to go to an ophthalmologist to define the problem. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21078, + "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": 17426, + "tgt": "Is Zoloft safe for a 13 year old boy who is suffering from bipolar disorder?", + "src": "Patient: Hi doctor, I am concerned about the medication that my 13 year old son is currently taking for bipolar disorder. He was diagnosed bipolar disorder at the age of 7. After trying several medications Depakote was the one that worked best. My ex-husband got custody of him 4 years ago and pulled him off from his medication. Last month my son threatened suicide and was hospitalized and placed on Zoloft. I recently spoke with my son's counselor and she said that Zoloft is used to treat depression and that he should be on a secondary medication for bipolar. His past medicines are Intuniv and Depakote and his current medicines are Zoloft and Vyvanse. I have tried speaking with my son's therapist. However, my ex-husband has told her not to speak to me regarding my son's treatment. I have noticed in conversations as well as visits with my son that he sometimes seems more depressed and agitated even threatening to run away from home. Is Zoloft used to treat bipolar without any secondary medication? Is it safe for a 13 year old? Doctor: Hi. First of all, I want to inform you that Vyvanse (Lisdexamfetamine) and Intuniv (Guanfacine) tablets are indicated for Attention deficit hyperactivity disorder (ADHD). Depakote (Valproic acid) is an antiepileptic and mood stabilizer. It is useful for bipolar disorder. If your child is diagnosed with bipolar, then he should receive Depakote or other mood stabilizer. Zoloft (Sertraline) is an antidepressant and by this chance of switch to mania is there. So, in bipolar patients if depressive symptoms are prominent, then antidepressant can be given only under the cover of mood stabilizer. Antidepressant should not be used for long term in bipolar patients. Once depressive symptoms get resolve, patient should maintain only on mood stabilizer. Antidepressant should get taper off gradually. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20097, + "tgt": "My TSH is slightly elevated. Should I consult an endocrinologist?", + "src": "Patient: Hello doctor, I got my blood tested, and the TSH is slightly elevated. Should I consult an endocrinologist? I have been suffering from a sleeping disorder for the last three years but never diagnosed with thyroid or any other disease except vitamin D deficiency. I am tackling my insomnia with exercise and also taking the prescribed dose of vitamin D for my deficiency. Yesterday, I received my recent blood test and found a slight increase in the TSH. Does it mean I have a hypothyroid or hyperthyroid disease? If it is in the initial stage, how could I prevent it? The blood report is attached with this query. Total triiodothyronine (T3) CLIA 90 ng/dl, total thyroxine (T4) CLIA 7.6 \u03bcg/dl and thyroid stimulating hormone (TSH) CLIA 5.59 \u03bciu/ml. Doctor: Hello. I just read your query and read each one of your reports that you have provided (attachment removed to protect patient identity). 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": 8956, + "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": 17272, + "tgt": "I have lack of concentration, memory problems and negative thoughts. Please help", + "src": "Patient: Hello doctor, I have symptoms related to the mind and body. I have no clarity in thinking. I cannot make any decisions. Even if I do, the moment I make the decision, I get negative thoughts and a sudden jerk in my mind with a sensation of fear. Also, I have on and off memory issues. It appears fine some days and on others, I have a difficulty with memory retention. I am very prone to irritation, interruption of thoughts, cannot think clearly, confusion in mind, low mental stamina, unable to focus, no concentration, loss of conscious mind, on and off slurred speech, mild depression andsevere headache. This ache covers my mind so that I cannot think anything and it stresses me out.I am a spiritual person. But, these problems are not allowing me to experience any spiritual knowledge. The knowledge I experience now will not stay with me after a few days. On some days, I will not have any of these issues and feel all fine, but then again after some time, it recurs.I had experienced these problems last year when I had a B12 deficiency and got cured when the levels were treated. But, this time after taking so many B12 supplements still the problems are not resolving.\u00a0I have digestion issues as well. From around five months, I am experiencing this issue. Still, the issue persists and it takes lot of time to digest food and other problems. My gastro confirmed that there are no structural issues with my GI tract, and gave medicines for indigestion, but there is not much of an improvement\u00a0till date. I have a fissure in the center of the tongue. Earlier, it was small and now it has become big. I also have back pain, body pains, and nerve pains, small sores in the side walls of mouth, small dots on the tip of the tongue, anal itching, burning sensation in the anus after passing stools, a yellowish coating on the tongue, low sexual interest, and premature ejaculation. I am unable to gain weight as well. All these problems started last year. I have consulted several doctors but did not obtain a proper cure till date. One doctor here asked me to consult a psychiatrist. So, you are my hope. Doctor: Hello.I read your query with keen interest and understand your concerns.\u00a0Regarding the attached reports (attachment removed to protect patient identity), I like to comment on the following things. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 5513, + "tgt": "My son had concussion and non displaced skull fracture. When can he involve in sports?", + "src": "Patient: Hello doctor, My 7-year- old son fell out of a top bunk and as he was bleeding from his ear we took him by an ambulance to the hospital where he was diagnosed with a major concussion and possible non-displaced skull fracture. He was discharged the next day but we were told that as he had been bleeding from his ear there was a possibility of bacterial meningitis as there was a trail from the outside into his brain. So, we have been keeping him quiet but I have a couple of questions. How long before he can go swimming? He goes back to school next week, what about P.E and running around in the playground? He goes to rugby training, how long before he should return to that? What about tennis coaching? I would really appreciate knowing how long I should be a fussy mother? Doctor: Hello. I understand your concern for your son, I hope he is fine. Since then, if he has no further bleeding and no seizure episodes, and is fine with no complaints he can attend the school and participate in sports and other activities. I would suggest to avoid swimming for at least four weeks and use ear buds while swimming after that. Even rugby would be risky, so try to postpone rugby training for at least four weeks to prevent any further head injury which would complicate the previous injury. The rest activities are fine." + }, + { + "id": 2639, + "tgt": "I have bipolar disorder, panic attacks and generalized anxiety. What are the treatment options?", + "src": "Patient: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previously tried Valproic acid, Lithium, Carbamazepine, Xanax, Lorazepam, Clonazepam, Rudotel, Lexotanil, Fluoxetine, Sertraline, and Escitalopram. SSRI does not have an effect on me. Right now, I take Lamictal 50 mg daily and Tranxene 5x5 mg daily. Tranxene loses its anxiolytic effects and my anxiety becomes more severe. I am planning to titrate Lamictal 100 mg. However, it should not help with anxiety. What are my treatment options? Benzodiazepines are not an option because I am getting used to them. Two days later I have a consultation with my psychiatrist, but I want to hear possible treatment for my conditions from another option. I have done thyroid, heart function, men hormones, prolactin, kidney and liver function tests. All are normal. Doctor: Hello. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepines, there are few other options for anxiolysis. If you are specifically looking for something to be added to the TCA such as Propranolol, Buspirone, Tofisopam, Clobazam, Hydroxyzine, and Pregabalin. Also, you can consider Mirtazapine, which will act as an antidepressant and also for anxiolysis. It is a NaSSA (Noradrenergic and specific serotonergic) class of antidepressants." + }, + { + "id": 11036, + "tgt": "What is the best course of action for infected wisdom tooth?", + "src": "Patient: Hi doctor, I have a lower wisdom tooth that has been infected chronically for well over a year. I also have an upper molar that is broken decayed and has been like this for years. The wisdom tooth oozes green pus if you apply pressure with a cotton swab. The decayed tooth is mildly painful. I saw my dentist a few days ago, who did not seem overly concerned. She slightly cleaned the gums around the wisdom tooth and prescribed me Cephalexin and sent me on my way. I have been taking Cephalexin for a few days, and yet the tooth is still oozing. My throat is red and irritated, the gums inflamed and there is no swelling in the mouth. Also, my nostril on that side is tender and painful. I am severely worried about the infection spreading to either my heart\u00a0or my brain. In fact, I read an article a few days ago about a 26 year old who died from a tooth infection spreading. I do not have a fever. I have mild nausea. It is tender on that side of my jaw. The dentist had said the next thing she could give me was Clindamycin, but I have a fear of the side effects of that medicine. I already have heart problems and mild stomach issues. I have read that Clindamycin can cause severe gastrointestinal problems and arrhythmias. She also suggested Zithromax, but I have had heart palpitations while on that medication as well. I am having the teeth removed by an oral surgeon in two weeks, but am afraid of dying from infection before then. What are my options? What is the best course of action? Are there other antibiotics for this? Am I dying from the infection\u00a0already? Any of your advice or help is appreciated. My other possibly relevant health history is as follows: I have high blood pressure, tachycardia, high cholesterol and mild PVC's. I had a MRSA\u00a0infection in my arm 10 years ago. I have many strep throat infections every year and frequent sinus issues. Also, I would like to mention that when I took smoothed Cephalexin capsule with a sip of water, I got a random salty taste in my mouth. Doctor: Hi. I have read your complaint and the relevant details. Please do not panic relating this to death. Maintain good oral hygiene for this two weeks. Revert after a week of extraction to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3185, + "tgt": "I have white blood cells antibodies. Should I refrain from donating platelet?", + "src": "Patient: Hello doctor, I was accustomed to donating platelets in the blood bank. Recently, I received a letter stating I am no longer eligible to donate platelets anymore. I can donate whole blood and double red cells only. They said the reason is that I have white blood cell antibodies which can occur in response to pregnancy. The issue is I am a male. If I recall correctly from my biology class, males do not get pregnant which leads me to think this is something else. I tried asking them more details but they were vague, or maybe uninformed as to why these antibodies seen in male, when they themselves said it was often seen in pregnant women. Internet searches prove fruitless. I cannot be the only male that ran into this. The only other thing I can think of is possibly cancer only because I remember reading somewhere that if a man were to do a instant pregnancy test and it is positive, it is an indication of maybe being cancerous. I do not know, some insight into this is appreciated. I am currently taking Levocetirizine and Atarax when needed. Doctor: Hi. Based on your query, my opinion is as follows: I can assure you that there is no cancer or even suspicion of that. Any patient with suspected cancer or with cancer, unless completely cured, will not be asked to donate any component. You are still eligible to donate whole and double red cells, which is good. There are numerous conditions, like viral infections, which can lead to a condition called as autoimmune disease or autoantibodies maye without symptoms of autoimmune disease. Maybe secondary to an infection, you might be having antibodies, against WBC (white blood corpuscles) or platelets. You are asked not to donate WBC or platelets because there is an antibody, which could damage the recipient WBC or platelets, which can reduce the efficacy of the donation and complicate management. Your blood test is not attached, however, I think it will be normal. If you are looking for any antibodies, they are numerous. Common ones like rheumatoid factor, anti-DNA antibody, and anti-phospholipid antibody may have been screened. If the type of antibody is known, further opinion will be possible. I hope this helps. Suspected viral infection. Specific antibody screening. Antibodies cannot be removed as it is always forming. So not to worry and go on with the donation of other components. No cancer, I can assure you." + }, + { + "id": 21443, + "tgt": "My impacted tooth is digging into cheek on moving jaw. Should I get it removed?", + "src": "Patient: Hi doctor,One of my wisdom teeth is growing in at an angle. It does not feel impacted but it is digging into my cheek which resulted in a cut, and the tooth agitates the cut whenever I move my jaw. The pain is not bad but still, I was wondering if it is necessary to remove it. Doctor: Hi. Since it is causing trouble to your cheek and cuts as well, my suggestion would be to get that wisdom tooth removed. If at all you do not want tooth removal, that tooth can be checked and any sharp margins if present can be rounded off. That decreases the trouble, but it is temporary relief. Not a permanent solution. So better visit a dentist and his clinical evaluation can suggest you a better treatment plan. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2503, + "tgt": "My diabetic father developed some skin rashes with discoloration and pus?", + "src": "Patient: Hello doctor, My father is 65 years old. He seems to have developed some patches on his skin. They are blackish red and also seem to have some pus. He is a diabetic and currently under medication for diabetes, heart and urine issues. Doctor: Hi. I have seen the picture. (attachment removed to protect patient identity). It is diabetic dermopathy with bacterial infection. Skin lesions like carbuncle, ecthyma are common in diabetics. Diabetic microangiopathy is responsible for diabetic dermopathy. Usually, they appear on legs but may occur on forearm (as in our case). Post-inflammatory hyperpigmentation are seen on forearm of long-standing diabetic patients. Also, faulty insulin injection techniques cause induration, scar formation, keloids, and abscess formation. The treatment is control of diabetes. Follow the adage do no harm. Potent topical steroid like Tenovate cream at night for 15 days can be tried (under occlusion). Focus should on preventing ulceration. Fucibet cream (Fusidic acid and Betamethasone) twice daily for 10 days. Use Cetaphil moisturizing lotion for 20 days and tablet Zifi 200 mg (Cefixime) twice daily for five days." + }, + { + "id": 6241, + "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": 3827, + "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": 20874, + "tgt": "How can I get relief from back pain, leg pain, joint pain, and stomach pain?", + "src": "Patient: Hi doctor, I have back pain, leg pain, joint pain, and stomach pain. I am taking tablet Pregaba M 75 mg. I need a consultation with the hematologist about my blood infection. Doctor: Hi. I have gone through your attachment (attachment removed to protect patient identity). Your vitamin D level and vitamin B12 is too much high. Your liver and spleen palpation should be done, or USG (ultrasound) abdomen scan can be done for further work up. Your platelet count is borderline. Your liver enzymes are slightly high for which USG scan can be done, and viral marker investigation can also be done. Mention your clinical complaints in detail to guide you further. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23347, + "tgt": "What is the best method to taper Alprazolam dosage?", + "src": "Patient: Hello doctor, I am a 60 year old female in not too bad health. I\u00a0have been on 0.25 mg of Xanax in the morning, and 0.50 mg of Xanax at bedtime, since the last three months. Now it is time to come off it.\u00a0Also, I take 50 mg Pristiq in the morning. My doctor wants to change my Xanax schedule to 0.25 mg in the morning, 0.25 mg in the late afternoon and 0.25 mg at bedtime as a preparation of tapering. Is this a sound idea? I thought it would be easier to leave it as is, and taper that way. Also, they want to do a 25 % taper, and I thought 10% was the maximum that can be done. Any input will be appreciated. Also, should it be decreased every week\u00a0or every two\u00a0weeks? Doctor: Hello. I have read your query, and understand that you are looking to taper Xanax. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 31027, + "tgt": "I am on Doxycycline. Will it affect my sputum report accuracy?", + "src": "Patient: Hi doctor, I am a 45 year old female. I am getting on and off cough. I have lost 5 kg in the last two years. My CT shows atypical changes and QuantiFERON TB test shows positive with a reading of 0.38. I am waiting to get my sputum test result. I am currently on Doxycycline 100 mg per day and this is my second course. I have mild breathing difficulty on exertion and has bilateral apical pleuro pulmonary thickening and scarring along with apical pulmonary infiltrates. What is my actual diagnosis? Doctor: Hi. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 29229, + "tgt": "When I went for uterus examination, why did the nurse question about cancer medication?", + "src": "Patient: Hi doctor, I am a 50 year old female. My symptoms are blood and urine discharge after menopause, severe lower back pain and hemorrhoid. These symptoms have been happening for weeks now. Also, recently I had problems with my kidneys, but it is good now. I went for uterus examination today, and the nurse asked me if I had taken any cancer medication in the past, specifically, Arsenic trioxide. I got immediately worried as I did not see the correlation between my examination and cancer. Is there any medical reason for her question? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30816, + "tgt": "How to confirm nose fracture?", + "src": "Patient: Hi doctor, While playing volleyball game today, I think my nose hit my teammate's leg when we were going after the ball. Now, my nose hurts. When I try to move it, I hear a cracking noise. Also, I think it is swollen. Would my nose be broken? Should I meet my athletic trainer? Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7667, + "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": 29639, + "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": 28761, + "tgt": "My daughter vomits without fever. Should I visit her doctor or try to keep her on bland diet?", + "src": "Patient: Hi doctor,My daughter, who is turning 8 next week, has had a few bouts of vomiting in the recent weeks. A few weeks ago, it was accompanied by fever, and it was over within 48 hours. Now, before two days she threw up again without fever. We put her on a bland diet for 24 hours and yesterday she went back to eat normally and threw up again. Should I visit her pediatrician today or try to keep her on bland for 48 hours? Her birthday party is in two days, and I want her to be healthy for it. Any of your advice would be greatly appreciated. Doctor: Hi. I can understand your concerns. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9938, + "tgt": "I am 31 weeks pregnant with increased WBC count. Will it come back to normal after delivery?", + "src": "Patient: Hello doctor,I am a 27-year-old pregnant lady. I am in 31 st week of pregnancy. My WBC has been increasing off late. My present WBC count is 19.0\u00d710^3 cells per liter. And I have not had any infections from the time I am pregnant. Now I have been asked to get an MPN panel test. It has got me worried. Now I would like to know the chances of MPN test results being normal? And I would also like to know if this happens to pregnant women where in the WBC increases during pregnancy and goes back to normal after delivery? Doctor: Hello, Welcome to the icliniq.com. The total WBC count can be elevated normally as well in pregnancy. It is a physiological response to pregnancy. The count can generally return after some time. If there is no sign of infection like sore throat, cold, burning micturition, diarrhea, etc., then you might not worry regarding that. However, kindly attach your CBC (complete blood count) report so that I can comment further. It is advisable to investigate with peripheral smear examination report first and then if needed MPN panel by flow cytometry suggested. So your chance of having MPN negativity can be predicted after looking your full CBC and peripheral smear examination report only. So kindly attach that two reports. I hope I have answered your question." + }, + { + "id": 16306, + "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": 15673, + "tgt": "I am having sinus infection and bad smell from nose. What can this be?", + "src": "Patient: Hello doctor, I had been having a sinus infection for four months. My doctor has tried everything. Now I have a bad smell coming out my nose. What can that be? Doctor: Hello. What are your symptoms like? Sinusitis symptoms are nose block, facial pressure or a headache, nasal discharge and a decreased sense of smell. This has to be objectively seen via nasal endoscopy or CT scan of sinuses. Has any been done on you? If so can you share with us the reports? Meanwhile, sinusitis is a multifactorial disease. It can be due to bacteria, fungi, allergy, pollution, biofilms and many other environmental factors. We have to clearly evaluate you based on history findings and investigations and then diagnose correctly. Only then the treatment can be tailored to your problem and then it will work. One size fits all treatment for sinusitis is wrong and useless. As a part of this, you may need a CT scan of sinuses, allergy testing of blood, skin prick testing if an allergy is compounding your sinusitis problem, nasal endoscopy, routine blood investigations, etc. You may be started on nasal sprays with corticosteroids and antihistaminics and mucolytics depending on your symptoms. Do write back to us, sharing all details about your disease and past treatment records. We shall assess everything and get back to you. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2622, + "tgt": "Please suggest a medicine for early ejection without any side effects", + "src": "Patient: Hello doctor, I wanted to ask which medicine I can take that does not have any side effects so that I do not discharge early as I have once taken Suhagra force which contains Dapoxetine. Is there any medicine for it without any side effects? And how often can I take it before intercourse?Secondly, I want to ask is there any medicine to increase the size and width of my penis? If yes, then how it should be taken? If there is any ayurvedic medicine then also you can suggest? Doctor: Hello. There is no medicine available to increase the size of the penis. But by cosmetic surgery, the size can be increased by one to two inches. Premature ejaculation is mostly psychological. First, you try to divert your self in between while having sex. If you are about to cum then squeeze your glans in between your thumb and index finger. You can also use local anesthetic gel but then it is better to use a condom with that. Finally, there are a few medicines available which will increase your timing like Dapoxetine which you have used, but there are some side effects of all the drugs." + }, + { + "id": 27231, + "tgt": "I have thick and foul-smelling vaginal discharge. What to do?", + "src": "Patient: Hello doctor, I am 23 years old, and my husband is 30 years old, and I have PCOS from the past 11 years. We are married for a year and a\u00a0half. My periods are irregular, and sometimes I do not get periods for 8 to 9 months. I used to get periods after taking Meprate. With Clomifene, I got two cycles regularly. After the last periods, I started having heavy vaginal discharge, which was solid, thick, creamy, and had a foul smell. My husband gets irritated because of this discharge. It has been three months since I got my periods, and my pregnancy test was also negative. So, my doctor advised\u00a0me to take Meprate. Today is the second day\u00a0of taking Meprate. I am really concerned about the vaginal discharge. I am eagerly waiting to get pregnant. Thanks in advance. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24374, + "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": 1287, + "tgt": "Is it advisable to do yoga after sex to conceive?", + "src": "Patient: Hi doctor, I am 31 years old. Last month I had periods on 10th and then we had sex on 22, 23, 25 as those were the fertile days. Also I am doing yoga from past 1 month. This my date was supposed to come before 10 as I normally get period before date. But got my periods today on 14th. Is it because I am doing yoga so I got my periods and failed to conceive? As initially in this month I was having frequent urination, sore breast symptoms but sadly I failed to conceive. Can you suggest shall I continue yoga and is it advisable to do yoga after having sex? Current medications: Folvite and Neurobion forte. Doctor: Hello. Nothing to worry. Smaller changes in cycle pattern can be hormonal. Yoga is good, it relaxes you, nothing to worry about. The cycle fecundity is 12 to 15 percent (means every trying cycle has a chance of pregnancy only 12 percent) it takes 1 year of unprotected intercourse for better pregnancy rate. No worries. Considering your age if the trying period is more than 8 to 10 months get a baseline TVS to look for ovarian reserve and also a baseline semen analysis for your partner. hormonal Semen analysis& TVS hormonal reassurance if queries" + }, + { + "id": 11308, + "tgt": "I drank water containing HIV blood. Will I be HIV positive?", + "src": "Patient: Hello doctor, Please provide information about my query. I am a cable operator. Once I visited a foreign lady's house. While doing the work, the lady provided me a water bottle. I drank the water and after 10 minutes I had small sores. I think the lady has poured her blood in the water. I think she had HIV, and can I get infected in this way? What is the period of the virus in the water? Doctor: Hello. HIV cannot be transmitted through water, and it is not infectious because HIV cannot live in water. Drinking water containing the virus cannot cause HIV infection. If it is possible, then no one can stop HIV infection and all the population will be infected. So, there is nothing to worry about." + }, + { + "id": 7805, + "tgt": "Please suggest some medicines to improve my sperm quality", + "src": "Patient: Hello doctor, I recently went through sperm analysis and noticed issues with my sperm motility and morphology. My sperm viability is 54 % (normal 58 %), motility score is 61 out of 150, normal oval heads is 2 % (normal 4 %), higher number of not moving sperm is noticed with (grade 0 = 59 %), in-place sperm score is 23 %, slow-moving sperm 32 %, rapid in straight line is 6 % and high-speed sperm moving in straight line is 0 %. Kindly advise how I can get my sperm quality into normal state and improve my sperm quality. Please suggest if there is any medication available that I can start using it or helpful ways to improve my sperm quality. I do not smoke at all, and I am social drinker (like a beer once in a month or two to three months). Doctor: Hello. I went through your report. As you see, the count is normal. Motility and vitality are low. The main morphological problem is amorphous sperms. This would mean a good number of sperm are being produced, by the testis, but on the way to the penis, which takes about two to three months, the sperms are being damaged. You need to evaluate for, 1. Are you diabetic? 2. Any other medical disorders? 3. Any exposure to compounds like petroleum products, cigarette smoke, paint, pesticides, etc.? 4. Any history of renal stones. This could be a source of infections. 5. You will need a month course of Doxycycline for 15 days, later Levofloxacin. Repeat semen analysis after a month. I think you will have great results. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 16233, + "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": 3659, + "tgt": "My HbA1c is reduced from 10. 2 to 6. 4 on medication. Should I continue the medicine?", + "src": "Patient: Hello doctor, I have recently got married and moved abroad. When I was in India last time, we got the medical tests done and diagnosed with diabetes HbA1c of 10.2 and fasting blood sugar as 235. Doctor gave me Cetapin XR 1000 mg and asked me to use it for three months and get the medical test done. I have got the tests done and now the HbA1c is 6.4 and FBS is 124 mg/dL. With total cholesterol 173 (103 is bad cholesterol, 47 is good cholesterol and rest is VLDL). I have low vitamin D of 18.9. Doctor asked me to continue Cetapin XR 1000 mg for another three months and gave me medication for cholesterol Lipitor 10 mg every night and Vitamin D2 50,000 units once a week for three months. I have attached the medical reports, Please look into it and let me know your feedback. Doctor: Hi. I went through your reports (attachment removed to protect patient identity) and your HbA1c (glycated hemoglobin) has improved really well. I am happy about that. As advised by the doctor continue taking Cetapin the same dose. But as of Lipitor is concerned I think only 5 mg is sufficient. In addition, you have to reduce nonvegetarian food, avoid alcohol, butter cheese, and potatoes. Eat more vegetables. Hope you are exercising every day. Continue vitamin D supplement weekly once for three months. Repeat HbA1c, and lipid profile after three months and revert back with reports." + }, + { + "id": 8690, + "tgt": "Which clothing is bad for health?", + "src": "Patient: Hello doctor, What are the clothing items that are low-key bad for your health? A rundown of items of clothing that are actually bad for your health like some shapewear, unsupportive flats, jeans that are too tight, etc. Doctor: HelIo. I will explain about skin-tight clothes like jeans. First they cause excessive sweating which might lead to frequent folliculitis and fungal skin infections. Secondly, if they are very tight and have Lycra in them it can lead to vascular compromise. Thirdly, if the fabric is rough they may abrade the skin. Shapewear can be harmful if worn for a prolonged period." + }, + { + "id": 7329, + "tgt": "I feel my bottom part of the belly is inflated. Kindly help", + "src": "Patient: Hello doctor, I feel that the bottom part of my belly is always inflated, and especially at nights when I eat something, I feel like it does not get digest. But during the day I do not have this problem. Also, I have done the gammagraphy test for my intestinal transit rate, and it was the three times higher the range but at night. Doctor: Hello. I read your query, and from what you have mentioned, it appears that you have idiopathic gastroparesis. You might benefit from a highly specialized gastroenterologist consultation for consideration of gastric pacemaker or gastric electrical stimulation. Gastric electrical stimulation (GES) uses a small, battery-powered device to send mild electrical pulses to the nerves and muscles in the lower stomach. A surgeon puts the device under the skin in your lower abdomen and attaches wires from the device to the muscles in the wall of your stomach. GES can help decrease long-term nausea and vomiting. GES is used to treat people with gastroparesis due to diabetes or unknown causes only, and only in people whose symptoms cannot be controlled with medicines. Check with your gastroenterologist for further details. I hope you find my advice beneficial." + }, + { + "id": 16194, + "tgt": "Is it normal to feel sharp throat pain after taking two Paracetamol 500 mg?", + "src": "Patient: Hello doctor, I had two Paracetamol 500 mg and I started feeling a sharp pain in the throat. Is that normal? Doctor: Hi. The sharp pain in the throat is suggestive of acute pharyngitis case. To get relief from inflammation and pain, a nonsteroidal anti-inflammatory drug like Paracetamol can be prescribed. You can take Paracetamol that is available to you. Now for congestion relief, decongestant also needs to be prescribed. Salt water gargle can be done with warm water three times a day. Avoid excess spicy foods. Drink more water. If no improvement, then complete blood count needs to be done for further work up." + }, + { + "id": 11837, + "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": 17403, + "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": 11105, + "tgt": "How can I get rid of severe acne on my cheeks and forehead?", + "src": "Patient: Hello doctor, I have severe acne mainly on my cheeks and forehead for a year, and now it continues to get worse, and there are no improvements. No matter how many times I go to the doctors. I am currently taking Lymecycline capsules for a month and the Differin gel at night. I have seen no improvements, inspite of eating healthy food, and drinking more water. I need help because it ruins my confidence and is a daily struggle. Doctor: Hello. During teenage, it is very common to get acne, especially on cheeks and forehead due to several reasons (primarily because of hormonal changes in puberty). It is advisable to wash your face multiple times to avoid the accumulation of dirt, which can lead to blockage of pores, and that results in acne formation. Use of a mild medicated facewash suggested by your dermatologist might help you to get rid of the present symptoms. I hope this helps." + }, + { + "id": 30141, + "tgt": "Why am I getting radiating pain on my chest, shoulders and neck?", + "src": "Patient: Hi doctor, I have been having pain around my esophagus, upper chest area as well as the bones under the eyes. The pain is radiating from upper chest to the shoulders. I am also having some memory problem. This has been slowly getting worse over a period of a couple of years. I can feel the pain on touching my neck and the upper collarbone area. I do not have much reflux and can swallow. This seems to affect every part of my life. I have some balance issues, ringing in ears and some pain in the upper jaw. This pain does not seem to be in my throat. I currently on Neurontin, Cymbalta and blood pressure medicines. During the initial days of pain, I had a throat checkup, head scan and a few blood tests. Doctor: Hi. The pattern of pain you are describing is most probably due to any one of the following. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21171, + "tgt": "I had two urinary tract infections within 15 days of interval. Why?", + "src": "Patient: Hi doctor, I am a 51 year old male. I had a urinary tract infection, and it was diagnosed as coagulase-negative Staphylococci. The laboratory report advised using Macrobid or Cloxacillin. Two weeks ago, I had Sulfa drugs, a combination of Sulfamethoxazole and Trimethoprim and Macrobid. The infection came back within seven days. The urine is cloudy with leukocytes and nitrates positive. Do you want me to try Augmentin and Macrobid now? I would prefer to use a narrow scope or spectrum Cloxacillin versus Augmentin. I have some a little pain in the urethra and no other symptoms than the cloudy urine. Doctor: Hi. You are having recurrent or persistent urinary infection. It could be due to incorrect antibiotic or inadequate duration or due to prostatitis. You need to repeat a urine culture after retracting the foreskin and taking midstream sample. If your doctor can do a prostatic examination and massage, then a post-prostatic massage urine culture is the best. You also may have an enlarged private, which needs a sonography and a uroflow study. Streptococcus are usually skin contaminants. Prostatitis needs 1.5 months course of antibiotics preferably Levo or Ofloxacin. Enlarged prostate needs alpha blocker tablets. And rarely, Chlamydia can be a culprit. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5192, + "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": 3158, + "tgt": "Please suggest tablet for better and longer intercourse", + "src": "Patient: Hello doctor, I am married and I am 33 years old. I have erection problem. Sometimes, I get good erection, but it lasts only for two minutes. I did consult a sexologist. He told I am normal and I also checked my sperm count, which is normal too. My work life is stressful. Sometimes, I take Lvate capsule, but it does not work as I expected. But, later I took Caverta 25 mg it works fine. Shall I continue to take the same? Please suggest me a suitable tablet for better and longer intercourse. Nowadays a lot of medications are available and I do not know which one to take.\u00a0Please suggest. Doctor: Hi. I can understand your situation. Revert back with the asked details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15470, + "tgt": "Is my hCG level indicating failing intrauterine or ectopic pregnancy?", + "src": "Patient: Hello doctor, I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine. Doctor: Hello. You should get a serial beta hCG levels done after 48 hours each again and also an ultrasound pelvis to check if fetal pole has arrived. The rise in beta hCG levels is less than 63 % of course and indicates a possible chemical pregnancy. Do not be in a hurry to abort. You can safely wait for two weeks and observe and follow up with ultrasound and beta hCG levels." + }, + { + "id": 8601, + "tgt": "Kindly provide some information about keto diet", + "src": "Patient: Hello doctor,Kindly provide me some information about the keto diet.1. Is it safe? Or unsafe?2. Is it a good way to lose weight? Or a terrible way to lose weight? Doctor: Hello. Keto diet is a diet alteration with an increase in fat and protein and a decrease in carbohydrates. These diets were altered to treat epilepsy. This diet will help to manage the weight reduction as it substitutes while changing the metabolism and force to work for with stored fat. When the body utilizes stored fat, weight reductions are visible, but it is not suitable for long term as it has the own problems. A short period of three months course will increase protein as well as helps to manage the deficiency and increase the stamina with proper weight reduction." + }, + { + "id": 6208, + "tgt": "On increasing Lexapro to 15 mg, my anxiety level increases. Is dosage the cause?", + "src": "Patient: Hello doctor, I have been taking Lexapro 10 mg for the past five years and recently I have increased the dose to 15 mg. After the dosage increase, there is an increase in my anxiety level. Will increase in antidepressant dosage cause a temporary increase in anxiety? Doctor: Hello. An increase in antidepressant dosage can potentially cause short term agitation, increased anxiety until your body gets used to the new dosage. Lexapro (escitalopram) is an effective medication to treat anxiety and depression. The usual dose is 10 mg once daily. Sometimes dosage can be increased to 15 mg or 20 mg once daily. Discuss with your psychiatrist whether the increase in Lexapro dosage is needed in your situation. If increase in anxiety does not settle in a week or two, discuss with your psychiatrist about reducing the dose back to 10 mg once daily. You can consider psychological therapy like CBT (cognitive behavioral therapy) for additional support." + }, + { + "id": 23979, + "tgt": "I have normal ECG and echo. Why am I getting ectopic beats?", + "src": "Patient: Hello doctor,I am 21 years old and have a normal ECG and echo. I am getting ectopic beats for a while now, sometimes one per minute. Currently, I am on Lovan and Vyvanse. Doctor: Hello. Firstly, ectopics in this age are benign and not worrisome. I guess they are confirmed on Holter and assumed to be ventricular ectopics. And also ruled out the structural heart disease on echo. They are also associated with excess caffeine, alcohol consumption, and thyroid problems may aggravate these. So if not done, thyroid should be done. Next thing, about the medicines which you are having currently. Are you having those before this ectopics started as they can certainly cause and aggravate ectopics? So gradually should be tapered off. Stress, anxiety, lack of sleep may aggravate this. As I mentioned, these are benign and usually needs no treatment. However, for symptomatic relief, you may have beta blockers like Metoprolol once a day. Also, try to reduce the smoking, alcohol, caffeine, if any. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8411, + "tgt": "I have an inflamed foliate papillae for more than three weeks. Is it tongue cancer?", + "src": "Patient: Hello doctor, I am a 26 year old female, who has an inflamed looking foliate papillae on right side of the tongue towards the back, it has been like this for more than three weeks now. It has not gotten better or worse, pretty much looks the same. It creates this feeling of something stuck in the back of my throat, and this feeling gets worse after I eat food or talk a lot. When I wake up in the morning the feeling of something stuck in the throat is less obvious. But as the day progresses, the feeling is more obvious. I think it is because of the enlarged foliate papillae rubbing the back of the throat when I talk and chew. There is an ulcer like a hole in the middle of the swollen foliate papillae as well, and I am not sure if it is because the papillae is swollen. I do not have pain at all, but sometimes there is this burning sensation. The area looks the same for the past three weeks, and it did not change in appearance or size. Everywhere I read online says sores that do not heal within 2 to 3 weeks can indicate oral or tongue cancer, so I am terrified. I do not smoke or drink. But I had bad oral hygiene before which resulted in a tooth infection and abscess (on the right upper tooth) about six weeks ago, which has since gotten better but never completely healed. The dentist suggested root canal, but due to the expenses I am not able to get it done anytime soon, so I am just managing the tooth with antibiotics, salt water, and colloidal silver until I can get a root canal. Doctor: Hi. The lesion on the tongue (attachment removed to protect patient identity) appears to be an ulcerative lesion. You should get yourself examined by an ENT specialist because I think a biopsy might be required. As you might have taken antibiotics for tooth infection, the tongue lesion must have improved. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. Any further questions are always welcome. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23084, + "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": 23187, + "tgt": "Are high sugar and raised liver enzymes side effects of Protonix?", + "src": "Patient: Hi doctor, I have been taking Protonix for almost three weeks for acid reflux. I had some blood laboratory work done and it showed my AST 812 and ALT 1,115. Could this be a rare side effect of Protonix? My glucose also went up to 192 and lipase is 72. I do not drink, smoke or use drugs. My doctor ran more tests the next day, but has not gotten the results yet. So, he has not prescribed anything yet for my sugar levels. She knows that I have not been feeling well for the past three weeks. I just stopped taking Protonix from yesterday. Also, I discontinued my regular Plaquenil before three months, which I used to have for the past 20 years for fatty tumors in my arm. Is there anything I can take to bring both the liver function and sugar down? Doctor: Hello. Is this the only liver function test you have? I wanted to trend it. Plaquenil (Hydroxychloroquine) and Protonix (Pantoprazole) both can cause elevated liver function test, but it is relatively rare with Protonix. I also want to make sure that you are not using Aspirin, Tylenol or cholesterol medications, since they can have direct effects on the liver. Another important point is that the slight elevation of lipase and blood sugar can happen in pancreatitis, which again could be a rare side effect of Protonix. But, this point goes against the fact that the elevation of blood sugar is out of the proportion to the lipase levels. A person, who has prediabetes, may develop full blown diabetes transiently under physiological stress. I was trying to understand if you had been tested for diabetes ever and if this blood sugar was obtained in fasting. For high blood sugars, I would suggest that you try to avoid high carbohydrate diet, soda, bakery products, white bread or pasta and juices. Hydrate yourself with plenty of water. Can you please share your symptoms and for how long did you have them? Please also share if you have been worked up for lupus or autoimmune hepatitis and your entire medication list if you can? Revert back with the details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15772, + "tgt": "What can be done to stop hair loss?", + "src": "Patient: Hello doctor, I have hair loss. How can I stop it? Doctor: Hello. You can start with Wiesbaden 30 five pills in the morning, noon, evening, and night, Arnica hair oil (massage thrice in a week), Arnica shampoo, along with medicines. Have healthy food which has protein and calcium. Fenugreek is also good for hair. Have proper sound sleep. Mix coconut oil, castor oil, sesame oil. Do hair massage with it. Warm oil is good. Give follow up after one week to set the duration of treatment." + }, + { + "id": 21739, + "tgt": "Will same blood group of husband and wife cause problem in pregnancy?", + "src": "Patient: Hello doctor,I and my husband belong to A+ blood group. Is there any problem to get pregnant? And I may attain my periods one week before the date. Is this good for me? Doctor: Hello. The same blood group people can marry and produce a normal child. As far as same blood group people are concerned, do not worry about that. Rule out hemoglobinopathy before marriage by Hb electrophoresis by HPLC (high-performance liquid chromatography) method. If you both are relative in nature then genetic counseling is needed. If your period came early once, then no need to worry. If repeated irregular menstruation occurs in future then will think further. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22259, + "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": 23592, + "tgt": "I am not getting sound sleep. Can you suggests any medications?", + "src": "Patient: Hello doctor, I am 23 years old.\u00a0Two years ago, one night I heard that my fiance is cheating me. I could not sleep that night, and I got a severe panic attack. My sleep has become worse in the past two years. Every night, I\u00a0try to go to bed, but I\u00a0cannot sleep. Sometimes, I\u00a0get\u00a0some sleep, but my brain remains active. My heart rate increases the next morning. Every day, I am getting headache and pain in my legs and back. Sometimes, I have nightmares in my sleep. When I try to watch TV or use my laptop, my head and body shake. I\u00a0met a few doctors, and they gave me some medicines. When I take the medications, they put me in tiredness. Even I cannot walk or stand up, and it brings sadness and depression to me. Because of that, I\u00a0stopped taking the medicines. The medications which I took are Remeron 15 mg, Apo-amitriptyline 25 mg, Lorazepam 2 mg and two more, which I forgot their names. Now, I am in a terrible condition. I cannot sleep peacefully. I am a student, and I could not concentrate my studies. Please help me. Thank you. Doctor: Hello. 1. Depression. 2. C-B cluster personality traits. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16934, + "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": 19717, + "tgt": "Having backache badly and vagina smelly discharge. Can you suggest any treatments?", + "src": "Patient: Hi doctor,I am sexually active with one partner only. I am not well for the last 4 months. I am having bad backache and a smelly, white thick sometimes brown color vaginal discharge, lower abdomen pain and vaginal pain while urination. I have consulted my gynecologist and took proper medicine. Now all reports are normal. She said only UTI but still my pain is not cured completely. Other doctor diagnosed it as PID.\u00a0Is PID creat problem in my future for conceiving baby? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4539, + "tgt": "Is snoring related to swollen tonsils?", + "src": "Patient: Hello doctor, The right area of my tonsils are swollen. In the swollen area, there is a hole with like rice thing. I do not know what it is? I had a nose problem when I sleep, where only one nose hole functioning well. I also always snore at night. The swollen area has been decreased a bit on my right neck. I hope you can help me. I am currently taking Habbatus sauda. Doctor: Hello. Based on your message, I could understand that you have either tonsillitis or adenoids. Usually, this problem gets solved as the child grows. I mean, your problem is persisting from your school days till now. This is due to the chronic settlement of few bacterias in your throat, which leads to the settlement of the same bacteria nearby lymph node (right neck). So, please follow the following advice: a) Use warm water and salt for gargling the throat every third hour continuously. b) Use Alum (small piece) dissolve in warm water and do throat gargle before bedtime. If you do not get Alum, no issues. You can do with regular saltwater. c) Make a drink using five pieces of garlic with 150 ml of boiled milk and honeny. Drink it twice daily. d) If possible, practice Pranayama. e) Do not use cold items, which are kept in the fridge. f) Karisaalai madakku thailam (a Siddha drug). If you can get it, this should be applied on your hair (scalp) daily half an hour before bath. The same oil few drops to be applied on your tonsils with the help of earbuds. This should be done daily three times. If you follow these advice, within one week, you will get relief. If you continue for three months, you will get a complete and permanent cure." + }, + { + "id": 4706, + "tgt": "I get constant spells of dizziness, headache and blackout when I stand up. Why?", + "src": "Patient: Hello doctor, I am a 19-year-old female. Almost every time I stand up or sit up I get extremely dizzy and lose all eyesight, and everything looks like a tv that lost signal. I also lose most of my hearing and there is also ringing noises in my ear. After a few minutes I can see again, but I get about 20 seconds of an excruciating migraine. I usually have to hold on to something, because I almost always lose balance. There have also been a few episodes while just sitting down, I get blackouts. It is just the same as described in the ones when I get while I stand up, but about 20 times longer and I constantly fall and cannot stand or see absolutely anything in those cases. That episode lasts for about half an hour. I have had the constant spells when I stand up a few times daily (at least) for the past couple of years and thought they would decrease by now, but the bad spells that I get have become more frequent in the past few months, once every two weeks or so. I have not had any injuries in the past few years, so I have no clue what could be going on. It is starting to really concern me. Also, when I am exposed to the color white or yellow my color in my vision changes and I start to see different colors. I have no idea if that is related but I have had those for years. Doctor: Hello. Frequent chronic headaches are most commonly due to: 1. Migraine headache. 2. Chronic tension headache. Migraine headaches are usually unilateral, associated with throbbing, vomiting sensations, photophobia, and phonophobia. Chronic tension headaches usually present with heaviness in head, band-like sensation over the head with sleeping difficulties. Important here is to differentiate between the two. A clinical examination especially neurological examination, fundus examination are must to rule out any other neurological problem which might also require neuroimaging. You should see your doctor. He will classify the headache and if it is migrainous, treatment would be with drugs like Flunarizine, Propanolol, Amitryptyline. Tension Headaches are treated with Amitryptilline, Escitalopram with behavioral modification treatment. I hope this helps." + }, + { + "id": 20692, + "tgt": "Why are there painful white patches near upper wisdom teeth?", + "src": "Patient: Hello doctor, There is a white patch on either side of my cheek near upper wisdom tooth with a little pain. The wisdom tooth has erupted. I am a non-smoker. Doctor: Hello. This could be related to upper wisdom tooth due to its sharpness. Visit a dentist soon and get it checked properly and ask the dentist to treat it accordingly. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Rinse mouth with salt water twice a day after every meal. Cheek cut. Proper clinical examination. Ulcer, candidiasis. Injury due to cheek cut. Medicines like anti-ulcerative gel. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Rinse mouth with salt water and baking soda after every meal." + }, + { + "id": 13175, + "tgt": "Compared to topical application, how do tablets control acne effectively?", + "src": "Patient: Hi doctor, Currently, I am using Epiduo (Adapalene + Benzoyl peroxide) gel for acne treatment. My doctor advised me to not to use any other beauty product. Because of winter my skin is becoming dry now. So, can I use any cold cream along with Epiduo? If yes, which one can I use? It has controlled acne for some extent but still pimples are there in my face. So, please suggest me any other tablet to control acne. Doctor: Hi.I have noted your complaints. In such a situation, the following strategy works efficiently. It takes several months to control acne even if these are moderate intensity. Therefore, waiting, for now, would be ideal. In general, your current treatment is something which is both ideal and effective while being safe. Have faith and do your best under guidance. I hope you will notice further improvement in the coming weeks and get good results." + }, + { + "id": 26934, + "tgt": "I have pain and bad smell coming from a wisdom tooth extraction site. Is it dry socket?", + "src": "Patient: Hello doctor, I had two wisdom teeth removed a week ago, and I still have some pain in the lower left extraction site. If I touch near the extraction site with a finger and then smell my finger, there is definitely a bad smell. I have controlled this with using another finger to touch the same place on the opposite side of the mouth, and there is no smell. Do you think this could be a dry socket? Do I need to go back to the dentist or should I just stay home and wait for it to improve? I have attached a picture of the extraction site. Doctor: Hi. Thanks for the query. Please write back with more queries. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2088, + "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": 29381, + "tgt": "Unless I take progesterone, I am bleeding continuously. Why?", + "src": "Patient: Hi doctor, I am 5'10\" and 250 lbs. I am 28 years old. I have a history of PCOS, had an\u00a0endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am\u00a0menstruating for three months. When I was given progesterone, the bleeding stopped for three days and started again. Also, passing flesh-colored tissue and not clots. I also have NAFLD. I had an ultrasound for my mild pain on left ovary and colon area. My uterus was found to have two fibroids with 18mm endometrial lining. What do you think with the given history? What to do next? Doctor: Hello. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17256, + "tgt": "What can cause diffuse cerebral atrophy?", + "src": "Patient: Hi doctor, My sister is a 45 year old female. She had two episodes of unconsciousness. Her BP usually is normal at 80/58 mmHg and pulse 76 to 80 beats per minute. \u00a0We got an MRI done which showed diffuse cerebral atrophy with chronic ischaemic changes.\u00a0MRA normal with no flow limiting significant stenosis. I have attached the reports. Please guide. Doctor: Hi. For further information consult a neurologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25557, + "tgt": "How to get treated for erectile dysfunction and premature ejaculation?", + "src": "Patient: Hello doctor, I am a 37 year old married man, who has two kids. I am experiencing erectile dysfunction from the last few years. I used to have sex thrice every week, but now, it has come down to once a week. I do not get hard erections. As a result, I am not able to satisfy my partner.\u00a0I went to a doctor some months back, and he prescribed Nano Leo and Pramiday medicines. Can you suggest some effective medicines which can act fast when taken a few hours before sex? Doctor: Hello. I can understand your concern. Thanks and take care. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12339, + "tgt": "I have gained weight and I have high cortisol level. Do I have Cushing's syndrome?", + "src": "Patient: Hi doctor, I am suffering with hypothyroidism and polycystic ovaries. Over last three years, I have gained 15 kg of weight. I am taking T4 150 mg, Glucophage 850 mg and Yasmin. I think I have Cushing's syndrome. My cortisol level in blood is 34 in the morning but in 24 hour urine test it is in normal level. Also my ACTH is 63.4 whereas the upper limit is 64. I am eating healthy diet and I exercise every day. Over three years now, but I cannot find a solution for this problem. I visited an endocrinologist and also a dietitian but of no use. I also have acne. If I do not take birth control pills then I will not get my periods. I am very tired all day and I even feel very difficult to move. I have anxiety too. Please help. Doctor: Hi. There may be three possibilities. Either your polycystic ovarian syndrome and hypothyroidism are two separate disorders or it may be a pituitary or autoimmune disease which affects many organs. If any problem in the above tests then pituitary is affected and the treatment differs. Revert back with the test reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17780, + "tgt": "My hair is thinning where I part it. Am I on my way to balding?", + "src": "Patient: Hello doctor, I always part my hair to the right and by the left corner of my forehead where I part it from it seems that in that corner the hair is looking thinner and thinner. The rest of my head there is plenty of thick hair and I am only 20 but I want to know if you think I am on my way to balding. I also have been taking Accutane to prevent acne and I heard that can cause balding. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). It is grade 1 progressing to grade 2 androgenetic alopecia (AGA)/male pattern hair loss. Androgenetic alopecia is a progressive condition with hormonal and genetic influence. I would like to know if any of your family members are diagnosed with androgenetic alopecia. Yes, Accutane (Isotretinoin) is known to cause alopecia but not AGA. Accutane causes diffuse hair loss. You will get back that hair after you stop Accutane. Treatment options include: I would like to mention few hair care tips here: Hope this little piece of information is helpful for you. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3001, + "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": 1517, + "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": 9115, + "tgt": "My girlfriend has a parasitic eye infection. Is it contagious?", + "src": "Patient: Hi doctor, My\u00a0girlfriend had some irritation in her eye. So, we went to the doctor, who said she has a parasite in her eye. After reading about it on the internet, I am worried that she might go blind. It is a very new relationship, so I wanted\u00a0to know if it is contagious? Doctor: Hi. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10295, + "tgt": "How to bring back the liver function to normal?", + "src": "Patient: Hello doctor,I have non-alcoholic fatty liver grade 2, bilirubin 1.7, and creatinine is 1.2. How to reduce cholesterol and bring back to normal liver function? Doctor: Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly." + }, + { + "id": 28130, + "tgt": "I am having a lot of symptoms after unprotected sex. Is it due to HIV infection?", + "src": "Patient: Hello doctor, I am a 36 year old male, and I had sex with a CSW, who was 32 years old. I had unprotected sex with her once last year, and I had protected sex with her five months back. I was diagnosed\u00a0with herpes zoster four months back. After this, I have done p24 antigen, tri-dot, hepatitis B and C, and all STD tests, which were all non-reactive. Except for IgM for HSV 1 and 2, which was positive. Please help. Doctor: Hi. Hope my answer helps you. But, please do not hesitate to ask or call anytime for any other question.\u00a0Best wishes. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5082, + "tgt": "I ovulate on 21st day. Will Clomid help me to get pregnant?", + "src": "Patient: Hello doctor, I have been trying for a baby for the past two years. I have irregular periods and unpredictable ovulation. I have been to multiple doctors about this problem and I have been told my reproductive system looks normal and I only ovulate if I reach my 21st day in my cycle which is very rare. However, they refuse to help me as I am 18 years old and I am not a high priority. I have been looking into fertility medication and was wondering what would be the risks if I treated myself with Clomid? I know this would be frowned upon by general doctors but it has started to effect my relationship and I am starting to give up on having my own family. Any advice would be greatly appreciated. Doctor: Hello, Welcome to icliniq.com. First of all, at 18 years of age, you are contemplating pregnancy, that is actually unfair to your own body. A woman's reproductive system matures completely by 20 years of age. You do not need to use Clomid or any ovulation inducing drug simply because your follicle are ovulating, yes, but on the day 21, so what. That makes your cycle slightly longer say 45 days. But this may is normal for you. Do not compare your cycles with others.Doctors are skeptical helping you with infertility drugs simply because you are just 18 years old and you may harm yourself more rather than benefit from it by using drugs. I suggest one simple method. Maintain a menstrual calendar for three months, use the Ova -kit (home based test) to time your ovulation during cycles and then practice timed intercourse for the next seven days of ovulation. Your chances of getting pregnant would be higher then. I am sure you shall succeed with this technique. But please do not contemplate infertility treatment presently." + }, + { + "id": 2793, + "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": 4653, + "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": 2307, + "tgt": "My 14-month-old daughter has rash on her vulva and many medications failed. Please help", + "src": "Patient: Hello doctor, My daughter is almost 14 months old. She had a rash on her vulva for maybe one and a half months. We have tried everything Desitin maximum strength, A + D ointment, Triple paste, Aquaphor, Boudreaux's butt paste, and prescription Hydrocortisone. We change her every four hours and blow-dry her privates for about five minutes. Her diet has not changed much since turning one because she still only has two teeth, so we continue feeding her pureed jar foods, but introduced Ritz crackers and string cheese as snacks. We do switch out her powder formula for whole milk, but her stools are still the same. There is no blood or diarrhea. My mom rarely has cold sores and when she does, she is careful about washing her hands and generally avoid the baby. What can this be and what should I do? Do you think she has herpes? Doctor: Hello, Welcome to icliniq.com. Is there any itching? Any other area affected? Is it increasing or persistent in nature?" + }, + { + "id": 24814, + "tgt": "What homeopathic medicine can be used for frequent throat and viral infection?", + "src": "Patient: Hello doctor, I have 5 years 5 months old son who weighs 21 kg. He has frequent bouts of throat and viral infection accompanied by a runny nose. I give him two to three tablets of Bakson's flu aid and sometimes 10 to 15 drops of R6 of homeopathic medicine. Is it the right dose of treatment? What is the most appropriate manner to deal with this? Doctor: Hello. Normal weight at 5 years 5 months should be 15 kg, but your baby has more than normal weight. You are using some combinations of medicines, which are not a true homeopathic treatment. Whether your baby is sensitive to cold? Sweating is normal or not? Which part of the body is having more sweating? Anyhow, you give this homeopathic medicine to your baby: Calcaria carbonica 200 once in three days 10 pills, and give him Hepar sulph 30 daily 10 pills for 10 days. We will have a review after 10 days. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 30005, + "tgt": "Kindly recommend a therapy for my sister's lower back pain", + "src": "Patient: Hello doctor, I am posting this query for my sister. She is 13 years old. Her lower back hurts at the spine and it feels like some kind of pulsating. It started hurting a couple of weeks ago; however, it was not constant. But, this weekend it has been more constant and hurts almost everytime. It hurts more when she leans forward or backward. She does\u00a0ballet and CrossFit. Please help her. Doctor: Hi.\u00a0 For further information contact a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10535, + "tgt": "Due to excessive masturbation, my penis is shrunk. What to do?", + "src": "Patient: Hi doctor, I had a very bad habit of excessive masturbation. I started it when I was 14 and now I am 27. I masturbate around two to three times per day. I was not aware of the side effects of the masturbation. Now, my penis is totally shrunk. It is looking wired. I visited a doctor. He gave Nano Leo capsules. It has been three weeks and I am not finding any change at all. Is there any hope for me? Will it cure my side effects? Please help me. I had the habit of smoking and drinking habit as well. Now, I stopped everything before three weeks. Can I get my normal old life? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22660, + "tgt": "I have not had my period for two months. Am I pregnant?", + "src": "Patient: Hello doctor,I have not had my period for two months and I am worried I may be pregnant. However, I have taken several tests and they have all came back negative. I had cramps also this morning and there was a bit of bleeding so I thought I had got my period but I have had no other signs of bleeding or my period during the day. Doctor: Hi. Have you done blood pregnancy test? Serum beta hCG? If no, then first better to have serum beta hCG so you can have clear idea of your pregnancy status. Have you previously also observed irregular periods, abnormal hairs growth, sudden weight gain? Then it could be PCO. If pregnancy test negative then cramps due to hormonal imbalance. In case of negative pregnancy test have menstrual induction (tablet Primolute N 10 mg twice daily for seven days and then wait for bleeding for 1 to 2 weeks) and have blood hormonal tests (serum testosterone, serum progesterone, serum prolactin, serum insulin, FSH (follicular stimulating hormone) and LH (luteinizing hormone), thyroid function test on day 2 of periods. In case of positive feedback pregnancy test, have 2 tests of serum beta hCG with an interval of 48 hours. If it shows increase more than 60 % then it is normal growing pregnancy. If it shows increase less then 60 % then it is ectopic (pregnancy outside the uterus), alarming. If it shows decrease it is a miscarriage. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24859, + "tgt": "How can I come out of my imaginary game of parallel universe?", + "src": "Patient: Hello doctor, I am suffering from a strange problem. I have played an imaginary game. In the imagination, I had created a parallel universe. I was the head of my country and made the rules. I added the experiences of real life in that game. When I was alone, I played the role of different people like sometimes I assumed myself as a teacher of some school of my country and played as if I am teaching the students. Whenever I got time, I played the game. One of my real friends was also a member of my imaginary world. Sometimes I played with him and sometimes alone. I have also created some festival of my world and celebrate it. I had created many institutions in my world. My universe was not fully detailed or written, but it just exists in my mind. But, I left this game three years ago, and now I am 18 years. But I do not find myself comfortable in the real world. My two personality is now creating conflict in the real world. My academic performance is being degraded. I often have a headache. I look very normal. I understand my responsibilities as well. I do not look abnormal from any angle. My friend and family do not know that I am suffering from. But, I am suffering from an inner conflict of my identity. My fantasy game has affected my sense of perception. So my question is when I know very well that my world was my imagination and nothing else, then why am I still suffering? Will the problem be solved without treatment when I grow up? Doctor: Hi. Most probably you are suffering because in your imaginary world, you enjoy the things and in the real world you have to adjust yourself according to the situation. This is causing anxiety symptoms and headache leading to poor academic performance. Secondly, the situation may resolve spontaneously but chances are less that it will remit without proper counseling or psychotherapy. So, I recommend that you consult a psychiatrist in person for evaluation and management. Along with psychotherapy, SSRI (selective serotonin reuptake inhibitor) class of drug may help you such as Fluoxetine. These are prescription only drugs. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7570, + "tgt": "Should SLE medicines be stopped when trying for pregnancy?", + "src": "Patient: Hi doctor, My wife is 30 years old. She was diagnosed with an initial stage of SLE before six months. For the past six months, she is taking MMF tablet 500 mg three tablets per day, Flunil 20 mg per day and Wysolone 5 mg per day. She is also having chronic problems such as hair loss, finger numbness and frequently getting tired. Since we are planning for a child (first), the doctor told to stop the medication for six months before pregnancy. We would like to have some clarification for the following: If she stops taking medicines during pregnancy, what kind of adverse effects will be there? Are there any other complications to the mother or child because of SLE? Is it advisable to have a pregnancy with or without tablets? Even without pregnancy, how SLE have the impact on her health? Doctor: Hi. She cannot stop taking medicines during pregnancy but, the tablet MMF (Mycophenolate mofetil) can be replaced by HCQS (Hydroxychloroquine), and low dose steroids can be continued. SLE (systemic lupus erythematosus) disease activity increases during pregnancy in some patients especially, they develop low platelet count. With proper medication, she can have a good life expectancy unless her kidneys are affected by SLE. She should get examined by a rheumatologist for SLE disease activity and decide to change MMF which is used as add-on medicine unless her kidney is involved. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 14606, + "tgt": "Kindly suggest a diet plan to reduce fat in the stomach area", + "src": "Patient: Hi doctor, This is regarding fat accumulation at major fats at stomach area. Is there any method so that it could be reduced since my marriage is fixed in 15 days. Is there any diet plan? Doctor: Hello. Well, you have a very limited time then. Follow a strict regimen that should be performed regularly twice every day. Have a fat free, carbohydrate-less meal, protein-rich diet containing dal, pulses, green vegetables and fruits. Have a carrot, cucumber, every day in the morning after breakfast and in the evening to avoid binge eating. Walk twice a day, minimum for 30 minutes each is good. Sufficient sleep, pilates like hundreds, crunches are fruitful. Drinking enough water cuts fat deposit. At least four liters. Green tea instead of milk tea. Fibre rich diet with no rice, no banana, a low-fat milk should be included. Warm water intake in the morning before breakfast detoxifies the body." + }, + { + "id": 23267, + "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": 11206, + "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": 710, + "tgt": "What shall I do for spider veins and swollen legs?", + "src": "Patient: Hi doctor, I am 60 years old. I am in excellent health. I just had medical checkup and everything fine except cholesterol reading of 320 despite a healthy diet and exercise. My problem is peripheral edema, spider veins and swollen legs, which is often very painful after standing for a long time. In the past, has spent a long time standing at work. I have good shoes and surgical stockings for help. I am not on any medication for this. I have this problem for over five years now. Please help. Doctor: Hello. I had gone through all the data posted. Revert back with the report details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17605, + "tgt": "I am worried about blurred vision after firework injury. Please help", + "src": "Patient: Hi doctor, I met with a firework injury. A small cracker burst a little away and hit my eye. A few\u00a0debris got into my eyes with a little force. There is no redness, but my vision is a little blurred. I am doing cold compress and have bought Eye Spa eye drops. My concern is the blurred vision. Please help Doctor: Hi. From what you have described, you have decreased vision after getting hit with firecracker debris. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 28145, + "tgt": "Both my HDL and LDL cholesterol are below normal. What should I do?", + "src": "Patient: Hi doctor,I am a 6 feet tall male, who is 31 years old, and I weigh 88 kg. I recently got a lipid profile done, and the report showed my HDL to be 23 mg/dL and LDL to be 80 mg/dL. I feel a slight left-sided chest pain sometimes. I gained 20 kg in the last two years. I do not drink or smoke. What should I do now? Doctor: Hi. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9489, + "tgt": "What could the tiny red bumps on my penis be?", + "src": "Patient: Hello doctor, I had sex with my partner and I tried anal sex without any protection. Today, when I was bathing, I saw my penis got some tiny non-itchy red bumps on it. I would like to know what are they? Is it a disease and are they risky? I have attached pictures for your reference. Doctor: Hello. I have gone through the photographs (attachment removed to protect patient identity). Do you have any other symptoms like itching, pain, or watery discharge from the lesions? After how many days of exposure did you notice these lesions? At this time, they look like irritant spots. Regards. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 21652, + "tgt": "Is diastolic pressure 99 acceptable with a history of SVT and cardiac ablation?", + "src": "Patient: Hello doctor,I am a 38-year-old female with a history of SVT, cardiac ablation. Smoker of 25 years, 5\u20194\u201d, 175 pounds. Yesterday I experienced pain in my jaw and left shoulder, took my blood pressure it was 150/105. This went on for about three hours. And went to the ER. They ran a CBC and one Toronto pen test, came back negative. EKG was negative. Blood pressure seems to stabilize on laying down but upon standing the diastolic number continue to be in the 90s and 100s. I was sent home with a diagnosis of anxiety. All day today my blood pressure seems fine until about two hours ago when once again I got jaw pain and pain in my left shoulder. I took my blood pressure and the systolic was 138 but the diastolic was 99. Diastolic remains high over the course of the last two hours. I am not experiencing anxiety. I have no history of high blood pressure and do not take medications. Is this acceptable for the diastolic number to be this high? Currently, I am taking Nexium 40 mg. Doctor: Hello. It is elevated. Our target is to keep it below 90. However, it is acceptable to have if systolic remains well controlled as there is no definitive and excessive proven risk from it. But, we try to target it below 90. Now, the possible reasons in you, firstly, do you still smoke? Do you snore at night, is there any history of uninterrupted sleep at night, morning headaches, etc? Is there any history of gastritis or chest burning, nausea, etc? This is for the possibility of gastroesophageal reflux causing the symptoms. Here, the possibilities I am keeping, first is of being overweight will raise diastolic BP. So, a healthy lifestyle and regular exercises, weight loss will help to bring it down. Also, low salt diet will help. You should keep on monitoring it thrice a day for a week (resting BP) and if it continues to remain high then better to have low dose angiotensin receptor blockers. Next, there is also a possibility of obstructive sleep apnea due to being overweight and it can raise the sympathetic tone and diastolic BP. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14616, + "tgt": "Why am I having redness, itchiness and swelling due to cosmetic cream?", + "src": "Patient: Hello doctor, I got risings, itch, and redness from a cosmetic cream. Risings went off. Redness and itch are still here. It is the fourth day. And a little swelling like seems like I had botox. Is it normal to still have those? I only apply a cream for the itch. Should I take an antihistamine for the swelling and itch? Itch is manageble. Doctor: Hi. I have seen your query. With your descriptions, it seems you have developed irritant contact dermatitis to cosmetic cream which you have used. First of all, never use this cream and similar products in future otherwise on subsequent exposure may lead to fulminant reactions. If you feel your symptoms are regressing then nothing needs to be done, but if you are still symptomatic then can go for 1 % Hydrocortisone cream local application once daily for five days after consulting your GP or nearby dermatologist." + }, + { + "id": 29945, + "tgt": "I have thyroid problem, my HR and BP fluctuates often. Why?", + "src": "Patient: Hi doctor, I had a\u00a0highly varying HR (63 to 128 at rest) and BP (109/78 mmHg to 154/104 mmHg at rest) for around three days. I consulted my doctor on the third day and started taking Propranolol 20 mg thrice daily for seven days and twice a day after seven days. Yesterday night onwards, I was having discomfort and slight pain in the chest. Please help. Doctor: Hi. As seen in your brief history, there are some fluctuations in your blood pressure as well as heart rate. I would advise you to get an ECG done as soon as possible as we have to see what sort of heart rhythm are you on. The doctor who has suggested you Propranolol must have done your ECG. So, if it is a sinus rhythm (normal fluctuating rhythm), then it is not much to worry about. But, if it is some sort of abnormal rhythm (arrhythmia), then it has to be taken care of. Secondly, Propranolol 20 mg thrice a day is quite a heavy dose. Propranolol 10 mg twice a day should be started and should be increased every week if required. If you are having chest discomfort after having Propranolol, then just drop the medication for this morning and noon and see if you are normal. As of now, I would like to have a detailed history of you as cardiology suggestion can only be given after taking a detailed history. Revert back with the answers to the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8835, + "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": 2112, + "tgt": "Itchy mole on my thigh is disturbing. Please suggest solution", + "src": "Patient: Hello doctor, I am a 61-year-old male. I have a mole on the thigh and is slightly itchy. Please suggest. Doctor: Hi. Moles or melanocytic nevus are genetic collections of melanocytes (the dark color producing cells). They go through a cycle of evolution with disappearance in the middle age. Increased number, size, and genetic history of cancer are the risk factors for the development of cancer called melanoma. Moles are dangerous if there is sudden change size, color, shape, border or become symptomatic. In this condition, they should be immediately removed surgically and sent for histopathological examination. Here, I see a darker mole (attachment removed to protect patient identity). I wanted to know when this mole changed its color. Though it is not large, the border is irregular. There is also some reddish area with crusts below it. When it appeared? Is it symptomatic?" + }, + { + "id": 29975, + "tgt": "How to stop the lip sucking habit of my daughter?", + "src": "Patient: Hi doctor, My daughter has been sucking her lip since her childhood. She is 14 years old. Now, her lip has become very swollen. Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 28244, + "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": 13521, + "tgt": "I am much worried about my stomach pain. Please help", + "src": "Patient: Hi doctor, I am a 24 year old male. I am working as a software developer. Sometimes, I feel a sharp pain in my right lower part of the stomach. When I am trying to bend down, I am feeling some pain inside the pelvic bone. After eating meals and dinner, I am getting excess burping and feeling of bloating and tightness in the right lower abdomen. I am also having constipation problem for more than a year. I have consulted a gastroenterologist for physical evaluation. He diagnosed me and prescribed some medicines. After some time, I had an endoscopy and he found I have H.pylori infection. He prescribed medicine for the same. After a month, bloating and burping are less but the pain still persists. I have consulted one more gastroenterologist who evaluated me with some blood test and ultrasound of the whole abdomen and said nothing to worry as everything is normal in my report (including pancreas and kidney). Now again from last three to four days, I feel my urine flow is slow and I have a burning sensation in the penis. I have excess burping, bloating, and pain in the right chest. As I have consulted many doctors and they reported as I have nothing, I am confused with my stomach pain now and much worried as what could be the factor behind the pain? What should I do now? Please help. Doctor: Hi. I read your history. As per your description, it seems to be a functional bowel disorder, it may be associated with what called as irritable bowel syndrome (IBS). Bowel illnesses are difficult to prove medically, and mostly they are a matter of exclusion. Infection like H.pylori may be the reason for your burping, but it would not be the cause for right lower abdominal pain. After reading all this do not worry that you have any major illness. I guess your appetite is normal and your weight too. Now I would suggest you do a few things." + }, + { + "id": 2249, + "tgt": "A lot of thick white mucus at the back of my throat inhibits swallowing. What is the cause?", + "src": "Patient: For about a year now, I have experienced a lot of thick white mucous in the back of my throat. This inhibits swallowing, forcing me to hack it up and spit it out. I think this can make my voice scratchy but other than that I am not experiencing any other symptoms. I have gone to an ENT previously and I believe i tried a proton pump inhibitor but it did not have an effect. Doctor: Hello . Good to hear from you. I understand your situation. There are two reasons for your complaint mostly. One as the doctor who has seen you previously suggest must be because of a reflux from your stomach. Second might be because of something called as a post nasal drip. For dealing with the reflux, just a ppi would not help. You should make certain life style changes such as: 1. Avoid spicy food. 2. Eat on time. Your stomach should not be empty for for than 2 hours. 3. Do not sleep soon after you eat. Give atleast 2-3 hours of time between your meal and sleep. 4. Try to keep your head end elevated by a couple of inches while sleeping. Now regarding your post nasal drip, do have frequent episodes of cold/nasal discharge..? If yes take the necessary medications for it. So I would suggest you with the following medication: 1. Continue your ppi( like pantaprazole 40 mg once daily before breakfast). 2. If u have a cold, take an antibiotic( like amoxicillin 500mg twice daily for 3 days), an anti histamine( like levicetrizine 5mg once daily before sleep), a nasal decongestant( like oxymethazoline thrice daily in both nostrils). Reflux X Ray PNS , Direct laryngoscopy Acute rhino sinusitis GERD Medical, life style changes Follow up in one week after the life style changes n medication suggested." + }, + { + "id": 4776, + "tgt": "Why am I having a feeling of hopelessness?", + "src": "Patient: Hello doctor, I am having feelings such as hopelessness, nervousness and shortness of breath. My ECG and lipids are fine and my physician advised no problem with my heart and breath. He says it is due to depression and anxiety. I have some vertigo. Sometimes I feel less control over my body, restless, sleepy feeling and yawning, negative thinking, depressed mood and not interested in anything.\u00a0Kindly suggest suitable medicine. Already I am taking Stalopam 10 bd, Alprax 0.25 bd, Fluoxetine 20 od and Trixia when feeling excessive nervousness. Also I am taking Olmetime-H 20 od for BP and Mactor-EZ od for cholesterol.\u00a0Are these medicines and their dosage are fine as per my symptoms? Or should I change them? Kindly help me. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4017, + "tgt": "I am having jaw popping with catch. Why?", + "src": "Patient: Hello doctor, I have a question about TMJ catching and popping. About ten days ago, my right jaw suddenly began catching and popping with a great deal of pain at the time of the pop. Since then, the pain when the pop occurs has diminished quite a bit, but the right side of the jaw still catches each time I close the mouth. It does not catch when opening. Also, when it catches, or pops, my lower teeth do a quick shift, then return to center. My question is, does the quick shift suggest a cause for the TMD I am experiencing? Doctor: Hello. I have gone through your query and understand your concern. This shift in your lower teeth could not be a cause for your TMD. Temporo Mandibular joint is the jaw joint between upper jaw and lower jaw and involves multiple and complex structures like a disc between two jaws, chewing muscles, and the joining bone structure. A complete TMJ and dental evaluation should be done to determine what is causing your jaw popping, swelling and clenching habit. Jaw clenching (Bruxism) is not a condition but one of the main symptoms of a TMJ disorder. TMD could be because of: 1. Tensed chewing muscles. 2. Disparity in the disc. 3.. Changes in jaw bone structure. Other than TMJ issues, 4. Psycological stress. 5. Misaligned or attrited (worn-out) teeth. 6. Multiple dental treatments or multiple missing teeth. 7. Recent dental injury or infection. 8. Recent hospitalization. General health conditions or systemic diseases affecting bone like arthritis could also cause TMD. Visit a TMJ specialist to identify what has caused your jaw swelling. From your query and the details provided regarding the panaromic x-ray (OPG), the cause should probably be the change in your jaw bone structure due to the advancing age and long term medicines intake. It could also be from the psychological stress (if) from the recent hospitalization and surgery. This psychological stress or an underlying bone disparity could have triggered a subconscious level jaw clenching thereby causing a tension in your chewing muscles leading to a muscle swelling in your jaw. Initially a muscle relaxant will be prescribed to bring down the tensed jaw muscles and the swelling. After which a complete TMJ evaluation and X-ray study will be done to pinpoint the cause. A splint similar to a night guard (called deprogrammer appliance) will probably be suggested as a diagnostic appliance to identify the cause and to protect the teeth from getting attrited during jaw clenching. Once the cause is determined, the treatment is targeted right at it." + }, + { + "id": 2523, + "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": 29318, + "tgt": "`What should I do for my itching and burning sensation?", + "src": "Patient: Hi doctor, I have itching and burning sensation in my upper body, eyes and feet. After taking a hot water bath, my upper chest becomes red and goes away in a minute. But, the burning sensation does not go away even though there are no rashes. I had cold and throat infection a week before. I took Allegra for three days. Doctor: Hi. I want to know something in more detail about your history. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15455, + "tgt": "I am unable to control my ejaculation for more than two minutes. How to solve it?", + "src": "Patient: Hi doctor, My penis is too sensitive. When I am going to do masturbation or sex, I am unable to control my ejaculation for more than two minutes. What can I do to solve the problem? Doctor: Hi. The problem, you are facing now, is called as premature ejaculation. Try to indulge more in foreplay with your partner rather than moving quickly towards the act. Please say whether you have erectile dysfunction along with this problem. Masters and Johnson start and stop technique can help you. You have to let your partner stimulate you and the minute when you feel you are going to ejaculate, ask her to put her hand over your penis and stop the ejaculation. Keep doing this every day, and gradually, you will notice an increase in ejaculation time. If these techniques do not help you, you can consider taking tablet Dapoxetine." + }, + { + "id": 10223, + "tgt": "Please advice whether I can continue my same dosage of thyroid tablets after the variation of TSH levels", + "src": "Patient: Hello doctor, I am under medication for thyroid from past one year. Initially, TSH was 15.5, and I was using 50 mcg later TSH came to 13 so increased dosage to 75 mcg. After which my TSH came to 8.8, and now with same 75 mcg TSH got risen to 11.11. Please advise do I need to continue with the same dosage or increase the dosage. Doctor: Hello. The goal of treatment in hypothyroidism is to normalize TSH (thyroid stimulating hormone) levels. The dose of thyroxine needs to be adjusted until this happens. The dose is weight related to some extent. The approximate dose of thyroid hormone is equal to weight in kg x 1.6. But ultimately, it is the TSH that guides the dosage. Here is what you need to do, 1. Increase the dose of Thyroxine to 100 mcg once a day. 2. Take the tablet on an empty stomach. Do not consume anything except water for one hour after taking Thyroxine. (No tea, coffee, milk, iron or calcium tablets, etc.). 3. Whenever the dose of Thyroxine is adjusted, recheck TSH after six to eight weeks. 4. No diet restrictions for hypothyroidism. Contrary to popular belief, it is fine to eat cabbage, cauliflower, broccoli, soybeans, etc. I hope this helps." + }, + { + "id": 16143, + "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": 4621, + "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": 24782, + "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": 9379, + "tgt": "I attached my full mouth X-ray. Is everything fine?", + "src": "Patient: Hello doctor,Please see the full mouth X-ray that I have uploaded and see if everything is all right or if not, what are the recommendations. I had a root canal on two left sides lower teeth two years back, which along with the cap is visible in the X-ray. Doctor: Hello. I am sorry to inform you that there seems to be mild to moderate infection near the root of the lower left first molar. It is better to go for systemic as well as some local or topical antibiotic (gel) and see the regression in three to five days. The other options include repeating the root canal treatment or extraction. (Let us not hope this does not happen). Rest of the teeth appear fine in the x-ray, except for some incipient caries, that need to be examined, diagnosed, and treated clinically. I hope it helps you." + }, + { + "id": 9170, + "tgt": "What causes the urge to urinate every 30 minutes?", + "src": "Patient: Hello doctor, I am 28 years old, 6feet, 190 lbs. For a couple of months, I have been experiencing the urge to urinate every 30 minutes or so. There is no burning, no aches, no pains, or nothing out of the ordinary. I can hold my bladder. There is no leaking. Even when I wake up in the morning, I am still keeping my bladder fine. I went to a family clinic and took blood work along with a urine sample. The doctor told me there is microscopic blood in my urine, but nothing else. The blood test came back negative for diabetes and any other abnormalities. However, she did say my kidneys seemed stressed. From what she saw on the blood work. As a young black male, I do suffer from high blood pressure. I fast, do a lot of cardio, and weight train. Even if I do not drink much water, I still urinate. When I do go, sometimes there is a lot that comes out, and some less. I do not smoke, and I do not drink. I am physically active. What can be causing this? Doctor: Hello. Your symptoms are suggestive of an increased frequency of micturition. However, we need at least a single imaging study before we start treatment. The ideal one would be an ultrasound of the abdomen, pelvis with post-void residue. Please give more details about night time-frequency, flank pain as well as any history of previous catheterization. Also, I need to know the volume of each void and the total volume of intake and output per day. Do you have any difficulty in passing stools? If you can provide all these details, we can make a diagnosis and treat accordingly." + }, + { + "id": 7309, + "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": 267, + "tgt": "I have continuous twitches throughout the day. What could this be?", + "src": "Patient: Hi doctor, My calves have been twitching throughout the day for about two months now. But, I do not have any weakness. It occurs in different spots on both calves. What could this be? Doctor: Hi. I would like to know a few more things. Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17703, + "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": 16701, + "tgt": "Kindly give a review regarding the elevated test results", + "src": "Patient: Hello doctor, I am a 34 year old male. I have found elevated test results in my recent blood report (liver function test). Could you give a review regarding this? Doctor: Hi. \u00a0I had gone through the posted report (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online\u00a0--> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6858, + "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": 15286, + "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": 30415, + "tgt": "How urgently do I need medical care for my eye problem?", + "src": "Patient: Hello doctor, I am a 30 year old male. Currently, my right eye has a segment above the iris that has remained red for over a week now. I am also noticing a crescent shape at the edge of the iris and that is like a clear slightly raised lump where the redness is. Over the past few days, my eyelid is also drooping and makes the eye appear smaller. I still do not have any symptoms such as pain, but now both my eyes are itchy. This tends to happen more at night, accompanied by such thick stringy discharge. Just to give some background, I had a severe case of red, itchy eyes a few months back. Daily night around 10 PM both my eyes would get very red, itchy and would produce clumps of thick mucus, which were so uncomfortable. I could not keep my eyes open. The symptoms only happened at night, regardless of location. I am not sure if this is related to my droopy eye. I have atopic dermatitis and allergic to dust mites. I have been taking Hydroxyzine orally. Could you shed some light on what this may be and how urgently I need medical care? If I need medical help, do I need to go to an ophthalmologist or a regular urgent care suffice? Doctor: Hello. Allergy. Slit lamp examination. 1. Peripheral ulcerative keratitis. 2. Marginal keratitis. AKC - atopic keratoconjunctivitis. VKC - vernal keratoconjunctivitis. Topical eye drops. Avoid dust and pollens. For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12698, + "tgt": "How can loose motion be cured?", + "src": "Patient: Hello doctor, I am suffering from loose motion for the last two days, took medicines Norflox TZ and O2, still no recovery. What should I do now? Doctor: Hi. I am sorry to hear about your condition. First, let me assure you that it is going to be alright. But I want to know the following details. Please let me know if possible, have you been traveling recently? Do you have any fever symptoms? And do you have any difficulties in passing urine? Is your loose motion watery or stained with any blood? The tablet you are taking is for urinary tract infection, I might suggest not to take it unless you have any difficulties in passing urine. I would like you to take these tablets: Oral rehydration solution (one packet mixed in one liter water, kindly use it for three days minimum, until your loose motion resolves), tablet Loperamide 2 mg twice a day for three days, tablet Pantoprazole 40 mg once daily for three days, tablet Multivitamin one tablet daily for three days only, tablet Albendazole 400 mg once daily for two days only. (One drug to be taken today and another drug after 14 days). As you might be dehydrated a lot, please continue to drink at least three liters of water every day. If your symptoms are not settling, try to do stool occult blood and stool routine parasite tests, HB, TC, DC, platelet, serum electrolytes. Let me know if you have any more doubts. Wish you good health. Traveling, outside food intake. HB, total count, differential count, platelet, serum electrolytes, stool, occult blood, stool routine parasites. Diarrhea, dysentery, worm infestation. Oral rehydration solution (one packet mixed in one-liter water, kindly use it for three days minimum, until your loose motion resolves) along with prescribed tablets. Avoid outside food, water. Take ORS solution, drink plenty of water." + }, + { + "id": 24510, + "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": 7530, + "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": 14155, + "tgt": "I have a tiny lump above my hip that is painful. Kindly explain", + "src": "Patient: Hi doctor, I am 21 years old, male, 5'9\", 105 kg. When I woke up, I felt a tiny lumped mass on the back just above left hip. Only hurts when pressed hard. I am anxious. Could it be constipation? Doctor: Hi. There are lots of differential diagnosis for the lump. Lipoma: It is an overgrowth of fat in an area. It is soft to touch. It is a benign condition. It is a slow-growingtumor and usually recurs if removed. No treatment is needed if small. Sebaceaous cyst: It is cystic swelling with a collection of sebum. It is a benign condition. It can be removed by excising the cyst. Malignant tumour: They are slow growing in the beginning but when it undergoes malignant change it grows rapidly. It is hard to touch. It needs to be biopsied to find the nature of a tumor. Abscess: They are an infection which is quite painful to touch. It needs to be treated with antibiotics and if it fails, the pus needs to be drained out. If the swelling is small, does not cause any discomfort, it can be left like that with regular follow up. If there is a sudden change in colour, consistency or size it needs to be looked upon by a doctor who can evaluate it further." + }, + { + "id": 25799, + "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": 8839, + "tgt": "Is it advisable to take Fentanyl and Suboxone together?", + "src": "Patient: Hello doctor, I am getting a cardiac cath this morning. I am currently on Suboxone 12 mg, 6 in AM and 6 in PM. When I asked what they will be using to sedate, they said Fentanyl and Versed. I asked for Profol but got no answer. I spoke to a male nurse, not an anesthesiologist. If the Fenytal overrides the sub will I be in withdraw? Also, are there safety issues combining these medicines? Should I cancel this procedure? Doctor: Hi. Usually, for cardiac procedure anesthesiologist will prefer Fentanyl than Propofol because Fentanyl is opioid and it causes good pain relief and sedation and there is a high probability of heart stability and the chances of losing your breath and consciousness with Fentanyl is very less but still you will be made to sleep and remain pain-free. Propofol causes deep sleep. You may lose your complete consciousness, you may lose your breathing and go to mechanical ventilation. So it is always good to go head with Fentanyl and Versed. Your medication will not interfere with the drugs, do not worry." + }, + { + "id": 16823, + "tgt": "Can you please go through my electrophoresis report and tell me if I have thalassemia minor?", + "src": "Patient: Hi doctor, Could you please go through my reports and tell me if I have\u00a0thalassemia minor? I have attached my\u00a0electrophoresis test reports.\u00a0Some of the values in the report are\u00a0Hb F - 0.8 %,\u00a0Hb adult - 66.0 %,\u00a0Hb A2 - 30.8 % and other\u00a0non-specific - 2.4 %. Doctor: Hi. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5034, + "tgt": "What are the ways to figure out the conception date?", + "src": "Patient: Hello doctor, How can I figure out my conception date? My last menstrual period was three months back. I had my dating ultrasound and it put the GA at 9 weeks and 3 days. Also there was a CRL measurement of 26.96. My due date based on LMP and ultrasound are different. Please answer. Also how many \"safe\" days are there after a period? Doctor: Hello. First of let me tell you that if your menses is coming every month with 2-3 days here or there then it is absolutely normal cycle. Now in normal cycle ovulation occurs in the middle of the cycle (around 12-18th day of cycle) when conception can actually happen. First 8 and last 8 days of your cycle are safe period in normal menses as there is no chance of pregnancy thus safe. Now pregnancy can happen in regular and irregular cycle both. And it is far more difficult to calculate the actual date of conception. Other than that it is easy to remember last date of menses and easy for calculation, so we are calculating pregnancy from last day of menses. In technical terms there are two age of pregnancy one is gestational age and other is embryonic age. Embryonic age is actual age from conception and gestational age is from last day of menstruation. So do not get confused. Lastly if your pregnancy is growing well that I can assume by your history then no need to worry and the due date according to last menstrual period is the date. Now what is importance of this date? It means if delivery pain starts near this date then let it happen. Do not interfere and if it does not start till date then induce pain with some method of induction." + }, + { + "id": 2051, + "tgt": "Will contraceptive pills worsen pre-existing irregular period?", + "src": "Patient: Hello doctor, The first day of my last period was on the 2nd of March, it lasted till 6th of March. I had unprotected sex on the 10th of March, but he did not ejaculate inside me but there is a chance that pre-cum may have gotten in. So for safety, I took contraceptive pills (Postinor 2) on the 11th. On the 16th, I noticed light bleeding, and it lasted till 19th. I am yet to see my period for this month. Although, I usually experience irregular menstrual cycles, is it possible I am pregnant? Or has it worsened my case of irregular menstrual cycle? Doctor: Hello, Welcome to icliniq.com. I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness. See, the emergency contraceptive pills are high doses of progesterone hormone, so at times there can be withdrawal and some times there can be a delayed period too. The effects vary from a person to person. As you already had a history of irregular periods, it is difficult to predict just based on the sequence of events whether you could be pregnant or not. So a definitive test would be to check for a urine pregnancy test, preferably with an early morning urine sample. If that is negative, then you can rest assured that you are not pregnant. And you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods. Regarding your irregular periods, I see that you are slightly overweight for your height. So mostly this could be due to PCOS (polycystic ovary syndrome) too that you have your irregular periods which need to be evaluated or maybe some hormonal changes in thyroid or prolactin hormones. Ultrasound abdomen and pelvis. Complete hemogram. Lipid profile. LFT (liver function test). RFT (renal function test). 75 g glucose tolerance test (fasting/ 1 hour / 2 hour). HbA1c (glycated hemoglobin) level. Serum calcium, vitamin D and B12 levels. Serum fasting and post prandial insulin levels. Serum FSH (follicle stimulating hormone), LH (leutenizing hormone), free testosterone, estradiol, prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of the next menstrual period. PCOS. Tablet Meprate or Deviry 10 mg twice daily for five days and then stop. To wait for withdrawal bleed within next 7-10 days. To get blood tests done on second or third day of periods. Reduce weight. Maintain menstrual diary. Regular exercises at least one hour daily. Lifestyle and dietary modifications." + }, + { + "id": 20082, + "tgt": "Is there any cure for adenomyosis in Siddha?", + "src": "Patient: Hello doctor,Any cure for adenomyosis in Siddha? I am 37 and had two miscarriages and two ectopic. Only left tube is available and both the ovaries are normal. I am suffering from adenomyosis. Please advise Siddha medicine. Doctor: Hello. Considering your medical condition, I advise you visit IVF (in-vitro fertilization) centers, they will help you in getting a baby. In Siddha, for adenomyosis, capsule Neeradi muthu vallathy mezhugu (morning one and evening one after food) and capsule sivanar vembu kuzhi thailam (morning one and evening one after food) to be consumed for three to six months. In addition, Gunma gurodi chooranam (morning 1/3 of a spoon, that is, 500 mg mixed in buttermilk) at early morning 6 to 6.30 AM for three to six months. You will get much relief from this disease. Usually, such patients have issues in tubes and local inflammation, which affects the baby carrying. For more information consult a siddha medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 21912, + "tgt": "My stress test showed abnormality. Is there any health issue?", + "src": "Patient: Hi doctor, Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were not able to complete the procedure through wrist because my right side artery does not connect directly to the heart. It connects to the left side artery, which then goes to the heart or aortic arch. Stress test results showed abnormalities at high heart rate (both in EKG and echo). Are there any health issues related to the abnormal artery connection? Other than just being out of shape, are there any other medical issues to consider or investigate? I am currently on regular Amlodipine and Losartan for high BP. Doctor: Hi. First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benefits. So, you discuss with your local doctor regarding this. The symptoms occur due to pulmonary congestion. Both hypertension and your anomaly have a role in it. The next important decision will be of surgery to correct the abnormal connection. I need to know the details of the reports to know the exact type of anomaly and course of the artery. You can upload your angiography report. It is being the rare condition, the decision is not very straight forward, and data is inconclusive regarding the preferred modalities. In some conditions, patients are offered surgical management while in others patients are kept on drugs. It also depends on the opinion and willingness to undergo such major surgery. I think, you should be put on the drugs which I mentioned above and look for the response. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8982, + "tgt": "Could you suggest a medicine that will turn white hair to black?", + "src": "Patient: Hello doctor, Most of my hair has turned white. I also have a white beard and white hairs in my mustache. Please prescribe best medicines to make all my hair totally black. I do not want to dye them as dye contains peroxide which will cause hair loss. So, please prescribe the best medicine to turn my hair on my head, beard, and mustache totally black. Doctor: Hello. Grey hairs are resistant to any kind of treatment and it might be due to either genetic or micronutrient deficiency. If it is due to micronutrient deficiency it can be controlled with the help of the following medication. Consult a specialist doctor, discuss with him or her and start using the medicines with their consent. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6611, + "tgt": "Though I am on Stalopam, I am not getting sleep. What to do?", + "src": "Patient: Hi doctor, I am suffering from insomnia. I have been taking Stalopam for six months, but I am unable to sleep in the night. I had Feliz S Plus before two years, and it worked for me. But, I was advised by my doctor to stop it. What to do now? Doctor: Hi. I understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21583, + "tgt": "Enterogermina mistakenly added in the nebulizer. Is it dangerous?", + "src": "Patient: Hello doctor, I put Enterogermina in the nebulizer by mistake and gave it to my 20-month-old baby. Is it dangerous? He is taking a cough syrup and an antibiotic. Please help. Doctor: Hello. Enterogermina (anti-diarrheic microorganisms, multiantibiotic-resistant Bacillus clausii) is a probiotic that is available in a capsule form and a solution form. It is used as a treatment for diarrhea that is acute or chronic. I believe it will not cause any harm in nebulizer unless you have a hypersensitivity towards it. In that case, I would suggest you consult your specialist doctor for proper examination and management. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1162, + "tgt": "I have been self-harming myself. Please help", + "src": "Patient: Hi doctor, I struggle to focus and I cannot concentrate\u00a0on my studies. I just think about other things, not always bad things, but sometimes I think about throwing myself out the window. When I am asked a question or if there are some people around, I used to get panic and struggle to answer. My voice will be too low and can hear my heart racing. I have been self-harming myself\u00a0for over a year now. I have got cuts and scars on my arm. I do not get along with my family and I barely do anything anymore, either I sleep or think simply lying in bed. I sometimes hear voices of people who are not present. I feel like tight chest and my breathing is difficult. I want to do well at college, but I am not happy. My mood changes within a few seconds. I am too shy to visit a doctor. Please help. Doctor: Hi. Personality issues. Psychotherapy (DBT - dialectical behavior therapy). For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22010, + "tgt": "Will wearing eyeglass for fashion cause any future problems?", + "src": "Patient: Hello doctor,Does wearing an eyeglass for a long period of time for the sake of fashion will cause any eye problem or dependency in my life? I have purchased eyeglass from a reputed store. From my childhood, I do not have any eye problem. Doctor: Hello. Actually, it is one of the rare times that I find someone put glasses with no need for it, most of the people try to get rid of them by lenses or laser, this case makes sure my idea that eyeglasses sometimes add beauty to the person. However, while you put glasses which are called Plano (without any power) there is no problem at all unless you use sunglasses with the bad quality it causes some damage to eye because it enables more sun rays to go to the eye. So sunglasses (the good kind) no problem. Plano glasses no problem. It is as if you look through the window. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23509, + "tgt": "Please help me understand a bipolar with a strip club addiction", + "src": "Patient: Hello doctor, I am trying to understand a bipolar with a massive strip club addiction. He is in debt, it is ruining his life and every relationship. He lies about it and his debt to everyone. They call and text him. What is in it for him? Is it just sexual impulse, is it for attention or control? Do I need to be worried about having been exposed to an STD? He also gambles although it seems he has quit that and focused on strip clubs. I would like some help to understand. They use him and it ruins his life and he cannot stop. Doctor: Hello. I completely understand that you seem to be concerned about this guy. Let us name him Mr.X. As you mentioned in the treatment history, he has been diagnosed with bipolar illness type 1, with a few episodes having psychotic features. Let me tell you, it is really concerning if you have been sexually or physically involved with this Mr.X. as the patients with BPAD (bipolar affective disorder) tend to involve in indiscriminate sexual activity, hypersexuality being one of the cardinal symptoms. Along with this, indulging in activities which can be self-harming like gambling, spending excess money, using credit cards without judgment, lending money to people, etc. can be seen. Lying as you mentioned can be a part of his premorbid personality. He needs to take medicines regularly as it is a bipolar illness meaning he can have two poles (extremes) - one is the excited phase (mania) and another the low phase or sad phase (depression). He needs to be put on a mood stabilizer and an active phase treatment. He also requires social support to monitor his meds. Please get yourself tested for STDs (sexually transmitted diseases). Let me know if I can help you again. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 8502, + "tgt": "Can I take extra Metoprolol to control my increased heart rate?", + "src": "Patient: Hello doctor,I am on Metoprolol for CHF. I have got a usual heart rate of 60 to 65 BPM, but tonight my HR is at 90 to 95 BPM. May I take extra Metoprolol to control my HR. Doctor: Hello. At first, sit for 5 to 10 minutes comfortably, calm yourself, and recheck your pulse rate. It is not immediately life-threatening to have a heart rate in the range of 90 to 95 with no symptoms. However, if you take an extra dose of Metoprolol, BP may go down as well. So, if your BP is on the higher side and pulse rate continues to stay in that range, then you can have it. But since it is not an emergency, it is better to wait and get yourself checked and then hike up the dose. I hope this helps you and get back if you have any doubts." + }, + { + "id": 3336, + "tgt": "Clomid is not supporting me to get pregnant for the second time. Why?", + "src": "Patient: Hello doctor, I am suffering from irregular periods and PCOS for more than 10 years. I had to take Clomid and with HCG injection conceived my first baby three years back. Now I have been trying for my second baby with the help of Clomid. I took Clomid for six months, with no luck. This month my doctor had prescribed a combination of Clomid 50 mg (from day 5 to day 9, 10 tablets for five days) and Nolvadex 10 mg tablet (from day 2 to day 12, 20 tablets for 10 days). Going through the purpose of the tablet, I understand Nolvadex is for treating breast cancer. I am scared to take this tablet now as it also says that it may harm the fetus. Can you please enlighten me in this regard? Will it help wtih fertility? Please let me know the possibility of having a healthy baby by taking Nolvadex during TTC, will it affect the baby by any means? Doctor: Hello. Novaldex is Tamoxifen which is a selective estrogen receptor modulator. Yes, it is one of the most common drugs that is used for treating breast cancer patients and also certain birth defects are possible if you take this medication when you pregnant. In your case, this medication is being used because you are resistant to Clomid with failed attempts at getting pregnant with Clomid treatment. This is being given in the phase of your menstrual cycle when even the egg formation has not happened and basically to help your egg or follicles formation so that you can conceive with the medications. So there is absolutely no harm taking this medication to get conceived. Recently, few studies have shown improved ovulation rates with Tamoxifen in Clomifene resistant women. However, I would suggest you to please consult your fertility expert again before you start the course and be confident about your treatment and solve further queries regarding the same because trusting your treating doctor is important before you start any treatment." + }, + { + "id": 5830, + "tgt": "I suffer from severe hair loss and itching for the past two years. Please help", + "src": "Patient: Hello doctor, I am suffering from severe hair loss for nearly two years. Hair loss is severe when accompanied by itching. Itching at times is terrible. Please help. Doctor: Hello, Welcome to icliniq.com. I understand your concern. I will need an image of your scalp to assess your hair loss and help accordingly." + }, + { + "id": 7039, + "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": 28883, + "tgt": "Though I had treatment for syphilis, why does my result remain reactive?", + "src": "Patient: Hi doctor, I am a 37 year old married female. Five years ago, I got a job offer in abroad. When I had a medical checkup, I was found to be positive for VDRL and TPHA reactive. But, my husband's result was nonreactive. I\u00a0took medicine as\u00a0advised by my doctor. Now, when I went for a checkup, again the result came as reactive. I am much worried. I never went wrong with any person. Why am I getting the result as reactive? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21300, + "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": 9663, + "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": 12253, + "tgt": "Please suggest treatment for eye redness and pain", + "src": "Patient: Hello doctor, My left eyes touched the wall and became red and when trying to close the eyes, I feel a little pain in the left corner of the eye. Please advise me what kind of medicine I can take now. Doctor: Hello. I understand your concern. I advise you again wash your eyes in running water for around 15 to 20 minutes. Over-the-counter medication which can be used is 0.5 % Carboxymethylcellulose acetate (refresh tears eyedrops). I advise you to visit an ophthalmologist if you develop 1. Drop in vision. 2. Pain and watering. 3. Not responding or becoming worse." + }, + { + "id": 29223, + "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": 4686, + "tgt": "What are the ways to treat razor bumps?", + "src": "Patient: Hi doctor, I have severe razor bumps and want to get rid of them ASAP. When I first started shaving I did not know the proper way to do it and scars where left over the years and razor bumps and sometimes ingrown hairs. I got tested for herpes because that is what I thought it was after a while but the test came back negative. I started waxing and she told me to exfoliate down there twice a week. I have done that and still no results. I do not even want to get waxed because it is very embarrassing having to show an ugly scared vagina. Please help. Doctor: Hi. I saw the picture (attachment removed to protect patient identity). It is very common because of the allergy secondary to shaving. Also happens after waxing. Anyways, try to avoid shaving as much as possible. If it is troubling you a lot, then you can go for laser permanent hair removal. For now I am prescribing you few creams. Start using it. Within a month it will decrease. We will take a follow up after a month and according to the response we will decide the further treatment plan. Shaving, waxing. Acneiform eruption/keratosis pilaris. RETINO A 0.025 cream apply in the morning after bath. Deriva BPO gel apply at night and wash after 1 hour. Tablet Azithromycin 500 mg one tablet once a day after meal for 3 consecutive days in a week for 4 weeks. Aquasoft cream: Apply twice a day." + }, + { + "id": 10094, + "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": 3359, + "tgt": "Is there any alternate for Lamisil granules for scalp ringworm?", + "src": "Patient: Hello doctor, My 5-year-old daughter has scalp ringworm. I am using head and shoulders intense medicated shampoo and topical 2% Ketoconazole antifungal cream. Her doctor also prescribed an oral antifungal Lamisil packets granules 125 mg to be taken in food for a month. I am terrified of giving my 5-year-old daughter an oral medication with such a scary track record or side effects including liver failure and death as well as vision problems, low white blood cell count, and psychiatric problems. Is there any alternative to this terrifying drug for curing scalp ringworm? Doctor: Hello, Welcome to icliniq.com. Scalp ringworm infection stays for a longer time. Topical ketoconazole cream is good. The oral medication prescribed is also good for the infection. There are a few alternatives. Any medicine carries some side effects along with it. We need to weigh the benefit and risks. If the benefit is more, we go for the medication. Side effects are mentioned but are rarely seen. It is usually tolerated well by children. Alternative medication is called Griseofulvin which is to be used for four to six weeks or more if required. It would not be available over the counter. It needs a doctor prescription. It also has some side effects but usually tolerated well. Fungal infection of the scalp. Griseofulvin or Terbinafine." + }, + { + "id": 22141, + "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": 22795, + "tgt": "A healthy woman suddenly developed renal failure. Is it due to drug interaction?", + "src": "Patient: Hello doctor, A healthy 60-year old woman walks seven miles a day and has no underlying illness (autoimmune, cardiovascular, cancer, etc) very suddenly develops renal failure over about one month that doctors at the general hospital diagnose as microthrombotic angiopathy and hemolytic uremic syndrome. Creatinine of 7, Hb 7.1. She does not seem to respond to plasmapheresis or dialysis well. Has 4+ pitting edema in hands, arms, legs, feet. BP 190/84. She has had three sessions of hemodialysis over five days. She is very nauseated. The patient believes that she began to be sick after she changed from brand name Osteocalcin (salmon) spray to a generic form. Do you think she could be having an idiosyncratic reaction to the fish calcitonin which has been stopped? Doctor: Hi. No, changing the brand is not a reason to develop microangiopathy and HUS (hemolytic-uremic syndrome). She needs to be convinced to accept what has happened. She would require hemodialysis sessions thricea week with adequate diuretics. The pedal edema is mostly because of low protein and water retention. She should take moderate protein diet. She has been initiated on dialysis recently. What really happens is that, once you are initiated on hemodialysis, gradually you start showing tolerance to it. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 24420, + "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": 30994, + "tgt": "I am unable to grow a proper beard. What is the reason?", + "src": "Patient: Hi doctor, I am 21 years old. My height is 5'11\" and weight is 60 kg. I am pretty lean.\u00a0I have an issue with facial hair growth. I am unable to grow a proper beard. It just does not grow, although when I look closely at the mirror there are some small hairs on the side. I have some prominent facial hairs only around the lips and some below the chin.\u00a0Is this something to worry about? I\u00a0have dense hair on my legs and my pubic hair is also normal. I also get good erections and masturbate once in a while.\u00a0I have abstained for a while from masturbation, because I heard masturbating often can cause this problem.\u00a0Could you please clarify it? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18189, + "tgt": "What can cause extreme body odor?", + "src": "Patient: Hi doctor, I am a healthy male. My weight is 114 kg and height is 5'7\".\u00a0I am suffering from extreme body odor. Body odor starts few minutes after I take bath, especially from my underarms. Please help. Doctor: Hello. I can understand your problem. Let me explain the cause and treatment. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16800, + "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": 12991, + "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": 15504, + "tgt": "Hemoglobin is very low, 5. 6 g/dL. How to raise the level?", + "src": "Patient: Hi doctor, My father-in-law has a hemoglobin of 5.6 g/dL. What is the cause? Please suggest a treatment. Doctor: Hi. There are multiple reasons for having low hemoglobin. It can be due to nutritional deficiency or chronic blood loss. I recommend seeing a gastroenterologist. He needs fecal occult blood testing and colonoscopy to rule out occult bleeding. Also, give him two units of blood. HB (hemoglobin) less than 7 g/dL is dangerous. Give him iron and vitamin supplements. He can take Ferrous sulfate 325 mg one tablet three times daily and tablet Iberet-Folic-500 (Folic acid with Vitamin C) one tablet two times daily." + }, + { + "id": 6043, + "tgt": "What are the signs in a baby that shows he/she is ready for sippy cup?", + "src": "Patient: Hello doctor, I would like to know the signs to notice in a baby when he/she is ready for a sippy cup. What are the milestones that a baby needs to meet before they can be ready for a sippy cup? Explain the reason for each milestone or give examples for each milestone and why it is important for a baby to meet these first before trying a sippy cup. Doctor: Hello. For sippy cup baby should have developed some gross motor and fine motor milestone. Baby should be able to sit without support so that it reduces the chance of aspirations and better suck swallow coordinations. For fine motor milestone, he/she should able to develop radial and pincer grasp to hold the cup by himself. It should be offered after six months of age because outside milk is easier to digest because of gut maturity. Primitive neonatal reflex like moro and tonic neck reflex will disappear, so he/she can sit and flap. I hope this helps." + }, + { + "id": 9525, + "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": 10290, + "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": 2113, + "tgt": "I have varicose veins in penis with dull pain. Can this be removed?", + "src": "Patient: Hi doctor, In the past few months, I acquired spider veins and varicose veins on both sides of my penis. The veins are thick, dark blue and engorged with blood even when the penis is flaccid. Varicose veins run in my family but never thought I could have them there. They also are accompanied with dull aching pain. It seems they are just becoming bigger every day. Is there any treatment to have these veins removed? If I get them removed, will it affect my erections, which I currently have no problem with? Doctor: Hi. Varicose veins are a very rare entity if they are present on your penile skin. Most of the time they need no intervention unless they are causing so much pain which is interfering with your daily activity or for cosmetic reasons. As they are superficial, removing them does not result in loss of erection. Do you have varicose veins elsewhere? Have you ever get doppler ultrasound done (if not get it done to stratify the grade of varicose veins). If you can upload a photo it will be great. Lastly, does your job involves standing for a long time?" + }, + { + "id": 8143, + "tgt": "Is back pain a common sign of lung cancer?", + "src": "Patient: Hello doctor, I am a 31 year old male, and I have back pain. I wanted to know about the possible association of back pain with lung cancer.\u00a0I have been a smoker for the past 12 years. My daily consumption is about 6 to 10 cigarettes. I do not consume alcohol, and I do not chew tobacco and have no other addiction. I normally have home-cooked meals except lunch, and my diet includes some amount of vegetables almost every day and fruits at times. I hardly consume red meat and my consumption of spicy and oily food is limited to about once a week. I am overweight (113 kg and 6 feet tall). I do not exercise as such, but I normally walk about a kilometer or more every day. I have been experiencing non-specific back pain (mostly upper back) since last year. My GP asked me to get a vitamin D test, and my result was 12.5. I was prescribed Uprise D3 60K once a week for three months, which I took as prescribed.\u00a0For the last 7 to 10 days, I have been experiencing occasional mild back pain. The pain is not constant and not severe. Most of the times it occurs around the center of the back, slightly towards the right. And at times, it occurs at lower back. Sometimes, it occurs on the side, very rarely on the chest and near the\u00a0right collarbone. I have no cough, shortness of breath, fatigue, weight loss, and loss of appetite. I do not feel any pain or anything unusual while inhaling deeply. The back pain, if present, is not worse during the night or while lying down. I have had mild throat irritation for the past two weeks, which an ENT specialist checked and said is due to mucus dripping from the back of my nose into the throat. I have sinusitis. He prescribed me Lasma AB once a day for seven days, which I took and now the throat irritation is better, almost normal.\u00a0I have been reading a lot on the net about back pain as an early sign of lung cancer, and it really scared me. Is back pain a common sign of lung cancer? If yes, what stage does it usually occur? Can only back pain occur with no other symptoms if it is lung cancer, or it is typically accompanied by other symptoms? What are the chances of my getting lung cancer, given the age and the history stated above?\u00a0Thank you. Doctor: Hi. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20983, + "tgt": "Are my CMIA tests conclusive at 24 weeks?", + "src": "Patient: Hi doctor, Please help me in understanding a few things. I had one sexual incidence with an unknown HIV status lady. Although it was protected, I do not know the status of the condom after sex. Then, I had 2 CMIA tests. First test by 24.5 weeks and the second test by 25.5 weeks. Both were having the index of 0.14 and 0.08 with nonreactivity. I am attaching the reports for the reference. Are my reports conclusively negative? Do I need any further test? Is CMIA equally good as 4th generation ELISA? In my case whether it was tested for both Antibodies and P24 Antigen or not? What is the false negative chance using CMIA? Is CMIA better than Rapid kit test? Doctor: Hi. Thanks for your query and I will try to clear your doubts. CMIA tests done at 24.5 and 25.5 weeks are nonreactive. It implies that you are not infected. CMIA TEST is only 4th generation tests, and Elisa tests are 3rd generation. The only test which is better than CMIA duo is RNA PCR TEST, and however, it is not required in your case. CMIA detects both p24 and antibodies. It is to find out infection at earliest possible days like say three weeks after exposure. And, this test is conclusive after 12 weeks so as in your case. It is 99.9% accurate and false negative chances are low, and after 12 weeks those are negligible. CMIA is definitely better than rapid tests." + }, + { + "id": 6633, + "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": 27100, + "tgt": "I have spotting every month just before my period. Why?", + "src": "Patient: Hello doctor, I took a morning pill six months ago. Since then, I can see blood spots every month just before my period starts. There is no discharge. The period is fine and regular. Doctor: Hello. The abnormal pattern of spotting cannot be due to the pill as it has been there for longer than expected, for it to be a side effect of the pill. You will need an examination to rule out local causes like: Apart from that, I suggest you get an ultrasound done of the abdomen and pelvis. Pap smear needs to be checked too. And, thyroid and prolactin levels are to be checked. Based on this, we can treat you accordingly. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30190, + "tgt": "My TSH is 7. 19. Shall I plan pregnancy?", + "src": "Patient: Hi doctor, I am 32 years old and having a kid. Currently, my TSH value is 7.19. I am using 75 mg thyroid medicine. How much dosage should I take? I am planning for another kid. Shall I plan for a pregnancy at this stage? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 16439, + "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": 26654, + "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": 18981, + "tgt": "Kindly look into my ultrasound and provide a detailed report", + "src": "Patient: Hello doctor, Please provide a detailed report for my ultrasound. I am attaching the same. Doctor: Hello. Investigations have their limitations. Solitary radiological or pathological and other investigations never confirm the final diagnosis. They only help in diagnosing the disease in correlation to clinical symptoms and other related tests. Please interpret accordingly. Report not valid for medicolegal purposes. For more information consult a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 9862, + "tgt": "How to improve the platelet count in dengue infection?", + "src": "Patient: Hi doctor, My daughter is 8 years old. She has been suffering from fever for five days. Her fever is in the range of 99 to 102 degrees. When we visited a doctor, he asked for a blood test. The blood report shows that she is positive for dengue. The platelet count has dropped already to 52000 from 1,40,000. Please advise us what to do further? Doctor: Hello. I had gone through the data you have posted. Low platelet count occurs in almost 70% of people with dengue fever. Normally, in case of disease the platelet count may go low for four to five days and then starts rising. Low platelet count (<100000) has risk of bleeding like bleeding from nose, blood in stools, which will be even more when count drops below 20000. So, only when platelets less than 10,000 we may offer platelet transfusions as they have a risk of anaphylaxis reactions. We need to do observe for any bleeding manifestations. If bleeding starts, then we need to give platelet transfusions irrespective of platelet count. Kindly upload the complete blood reports that will give us the clue whether platelets may improve or it will take time. You can do IPF (immature platelet fraction) which also can tell prognosis. So as for now, there is no specific therapy for low platelet count except some studies showed eating papaya fruit and leaf extract showed an increasing trend. As there is no harm, you can give papaya fruit juice or kiwi fruit. Revert back with the blood report to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16675, + "tgt": "Should I go for a cervical cerclage during my next pregnancy?", + "src": "Patient: Hello doctor, I need your opinion regarding my future pregnancy. Five years ago, I gave birth to my son and had to have an emergency C-section. The doctor's report read 'upon entering the abdominal cavity, the patient was found to have a large uterine window consistent with a uterine rupture. However, there was a small thin area covered by serosa, with a blood clot underneath. The rupture extended along the upper right side into the right broad ligament and round ligament. The incision was closed in two layers, and most of the extension areas were closed and imbricated in two layers as well.' My question to you is with all I went through with my son, would you recommend that I get a cerclage if I decide to have another baby or will I be alright without one? Doctor: Hello. How are you doing? Hope I have been of help to you. Do write back in case of more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26210, + "tgt": "Please address my concerns regarding rabies anxiety", + "src": "Patient: Hello doctor,I came here for a second opinion and to get answers to\u00a0some questions. I spoke to a doctor of general medicine today for my rabies anxiety. The incidents were as follows. Four years ago, a German shepherd of my friend's scratched my hand. The\u00a0dog died one and a half years after he bit me. I was scared but calmed down a bit as a dog cannot live very long. Eight months ago, some stray pups tried to climb onto my leg. Their claws poked me\u00a0but I did not receive any scratch. So, the doctor told me that rabies symptoms appear in three to eight weeks and since it has been eight months, there is no need to worry. He prescribed me a pre-exposure prophylaxis just for my peace of mind and future protection. He said that if I got bitten in the future, then I\u00a0do not need to have extra doses of post-exposure prophylaxis. Today, I got day-0 shot of Vaxirab.My questions are: If there was no history of rabies or rabid dog in our locality, is there any chance of those pups getting infected? Some pups died, but some are still alive. What are my chances of getting rabies? Is it really that rabies symptoms occur in three to eight weeks? Are German shepherds aggressive by nature? Will pre-exposure prophylaxis really protect me? Please answer. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9201, + "tgt": "I am suffering from sore throat and small ulcers in the throat. Please help", + "src": "Patient: Hello doctor, I have a very sore throat for the last three days and have been taking pain killers and antibiotic (Azithromycin 500), but they only gave temporary relief. I noticed small ulcers at the visible part of my throat, not sure if these were there when the symptoms started. These are the only symptoms I have. I checked symptoms of tonsillitis but did not have them except sore throat. Doctor: Hello. If it is an ulcer, the antibiotic can worsen it, so please stop antibiotics. Please capture a photo for your throat and send it to me. I need to see the ulcer. Is the ulcer tender for food and water? Do you have reflux?" + }, + { + "id": 27563, + "tgt": "My joint pain is affecting my academics. Please suggest a permanent cure", + "src": "Patient: Hello doctor, I have been experiencing joint pains in my\u00a0waist, back, and neck\u00a0for a year now. Whenever I visit a hospital, I am prescribed NSAID, which gives me only a temporary relief. I want\u00a0this\u00a0problem\u00a0to get solved\u00a0permanently\u00a0because it has started affecting my academics. I\u00a0need your assistance. Doctor: Hello. I went through your query. Your predominant complaint is pain along the axial skeleton. Regards. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 3543, + "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": 1351, + "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": 2661, + "tgt": "My periods are delayed by a week, and urine pregnancy test is negative. Can I induce periods?", + "src": "Patient: I have induced my period last month due to its delay after confirming no pregnancy. This month as well period us delay by a week, but urine pregnancy says negative, should i induce periods every month?? Iam trying to get pregnant, after taking treatment for hypothyroid Doctor: If HSG is normal and you have irregular periods. Than have to try different dose of medicines to induce ovulation and do ovulation study. And if required than injection for healing ovulation. Intercourses after ovulation for 5 days. And endometrium support hormonal medicines. And if no pregnancy than periods will come. But this treatment you have to go to gynaecologist and ultrasound sonographis for ovulation study in the middle of the cycle. Wait for one or two months due to current pandemic. Than consult nearby gynaecologist for further investigation and treatment." + }, + { + "id": 13117, + "tgt": "Why is HSG test done?", + "src": "Patient: Hello doctor, What is the meaning of HSG test? The uterine tubes are patent bilaterally. There is bilateral spontaneous contrast m\u00e9dium spillage into the peritoneal cavity. The contrast filled uterine cavity demonstrates normal morphology with a central immobile smooth spherical filling defect. Doctor: Hi. HSG is hysterosalpingogram, X-ray while spilling contrast from the cervix to see patency of tubes. Due to infection, endometriosis and infertility issues, tubes could be blocked. So, to check the patency of tubes this test is advised. This report (attachment removed to protect patient identity) shows normal or healthy, patent tubes. No abnormality." + }, + { + "id": 23476, + "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": 13931, + "tgt": "Will Botox injection 200 permanently cure urinary external sphincter void dysfunction?", + "src": "Patient: Hello doctor, I have urinary external sphincter void dysfunctioning. The doctor had suggested Botox injection 200. Is this permanent cure or you suggest other medicine or tablets? Doctor: Hi. Hope you are fully evaluated with the urodynamic study. Botox injection for urinary external sphincter void dysfunction is not a permanent cure. It has a 70 to 90 % success rate with 5 to 12 months duration with a mean of nine months duration of action by various studies. Other drugs for urinary external sphincter void dysfunction depends upon the urodynamic reports and post void residue. In case of significant residual urine, self-catheterization may be the alternative." + }, + { + "id": 2706, + "tgt": "I have cough with no travel history. Is this a symptom of Covid-19?", + "src": "Patient: Hello doctor, I get a cough for the last few days, which is heavy during night times. No raise in temperature but feeling tired with no travel history. No contact with any Covid-19 persons. It has been four to five days and has drunk a lot of Benadryl and took Paracetamol too. Doctors have shut the OP so do not know what to do? Please help. Doctor: Hello. I understand your concern. I just have a few more questions. Does your cough has phlegm? Any other symptoms like difficulty breathing? Any other medical condition such as asthma, hypertension? Are you a smoker? Alcoholic beverage drinker?" + }, + { + "id": 6012, + "tgt": "How water intake helps in weight loss?", + "src": "Patient: Hello doctor, What is the role of water intake in weight loss? Do dieters tend to overlook one of the easiest weight-loss techniques i.e. drinking enough water? What is the role of hydration in weight loss? Is taking eight glasses of water necessary and suggest a way to help the people to adopt smart strategies of sipping water throughout the day? Doctor: Hello. Hydration is important as the body is made of 60-70 % of water. Intracellular hydration is very important and it is often ignored. It can lead to cell death and takes longer recovery times in long term injuries of tendons and ligaments. Drink enough water to keep your kidney function and urine light amber color. If the urine is darker then it indicates dehydration. So, if you drink six glasses of water and your urine is light amber color it is normal. Even if you drink ten glasses of water and workout in the sun, and if your urine is dark, then you are dehydrated." + }, + { + "id": 22445, + "tgt": "I have a rash that appears only when I sweat or take a shower. Is it hives?", + "src": "Patient: Hello doctor, I am a 20 year old male. I have a weird rash on the back. It looks like hives but does not itch or burn at all. It only appears when I sweat\u00a0or take a shower. Doctor: Hello. This is due to urticaria or hives. The mainstay treatment for this is to avoid the triggering factors, like in your case sweating or shower. I will suggest some medications. Please take them and let me know about the outcome. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Follow up after five days. Revert after five days to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30440, + "tgt": "What would be the reason for my unusual sensations?", + "src": "Patient: Hello doctor, I am here because I have been dealing with a few health issues for about 2 years now. I feel weird and unusual sensations in my brain. The best way I can describe it is that it basically feels like there is a big bubble in my head, trying to fill in a missing gap or something, combined with a pins and needles feeling. Also, every now and then, I feel a very small pulsation or a kind of jerky feeling. It is very weird. The sensations are not painful, but they are very uncomfortable and very noticeable. It is a physical feeling and not a mental one. In other words, they are not simply because of depression or anxiety. They occur constantly and sometimes, they are more intense. I originally had thought that it was just a prolonged withdrawal from my medication (Adderall) and that my brain chemistry was just resetting back to normal. I had ceased taking this medication, roughly a year ago and even went to rehabilitation for some extra help. But, I am still noticing these very weird symptoms. Also, whenever I do take my medication (Concerta), I do not feel the effect of the medication at all. It just recently happened, maybe four months ago. As soon as I got out of a rehabilitation center, I was switched to Concerta and it was working great. I only took it as prescribed, but out of nowhere, it all of a sudden just stopped working. I have even gone as far as taking breaks as long as two weeks and still nothing. It just does not make any sense to me. It is making me to worry that something more serious may be going on with me medically. I am going to meet a neurologist. I would also like to get a second opinion from another specialist. I should also mention that I had a SPECT scan done. I got the scan done just to get some insight on the behavior of my brain because of my ADHD. The SPECT scan came back and said that my results were 3 standard deviations away from the most extreme of cases. I am honestly not sure if those results were due to just depression as I have been going through a lot of it or if it was just a neurochemical thing from the quitting of Adderall. But, either way it showed that something was not quite right. The doctor said it was just from playing too many video games, but I do not really believe that. I am worried that it could be a brain tumor, but I guess SPECT scans can detect brain tumors. The SPECT scan I had done did not show any brain tumors. The neurologist that I talked to online said it did not sound like anything serious from what I described. I have told the doctor, who did my SPECT scan, about what I have been going through. He says that it should not be Adderall that is still affecting me years later and he recommended me to see a neurologist. I have also told my psychiatrist that I normally see about what I have been going through as well and I guess he said that stimulants can take up to a year to recover from. Any help you can give me would be great. Thank you. Doctor: Hello. It seems that it has been because of your medications only that you are having these symptoms. Your Attention deficit hyperactivity disorder symptoms were well controlled with Adderall (combination of Amphetamine and Dextroamphetamine), which is a more effective medication for ADHD. However, now you have been started on Concerta (Methylphenidate), which is not as potent as Adderall. Hence, you are having all these symptoms. Besides medications, you should also opt for some behavioral therapies to regulate these symptoms. These symptoms can be the reflection of your mind's craving to switch back to Adderall. Stimulant withdrawals can be protracted and can last for a longer period as well. Hence, you must get yourself assessed in detail in view of stimulant therapy revision. Thank you. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22144, + "tgt": "Which medicines should I take to get regular periods?", + "src": "Patient: Hello doctor, I am a 23 year old\u00a0married female. I have PCOD\u00a0problem, and I have not taken any treatment yet. I did not get periods from the last three months. What medication should I take to get regular periods? Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22476, + "tgt": "Is dermaroller safe in extremely thin and dark skin?", + "src": "Patient: Hello doctor, I have applied steroid cream (Betnovate-C) and my skin has become extremely thin and dark now. A dermatologist recommended me to try dermaroller so I want to know is it safe? And will it work? Please explain in detail as nothing has worked for me. Doctor: Hello. Indiscriminate use of topical steroids can cause skin thinning (due to collagen degradation) amongst other side effects like acne, facial hair, etc. Most of these side effects resolve gradually over next few months after stopping the topical steroid cream. This recovery can be aided by certain creams as well as certain procedures like dermaroller that help in collagen regeneration. Dermaroller is safe. The extent of improvement would depend on the extent of initial skin damage and the number of sessions. Moreover, results are individualized. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24519, + "tgt": "I get a quick flash of numbness over my left temple. Kindly help", + "src": "Patient: Hello doctor, Some mornings during the week I get a quick flash of numbness over my left temple. It is never at night or during the day. It can happen more than once sometimes. If I move, roll over, or get up, I can make it stop. It does not hurt and is very fast. What does this sound like? Doctor: Hello. I understand your concern and would explain that your symptoms are not typical of any neurological disorders. The emotional stress may trigger this numbness as it could be related to a muscle spasm in this region. Waking up is a kind of stress for the body as we pass from total rest during sleep to an active morning. Anyway, I do not think that you need to perform any tests as it does not indicate anything serious. So just relax and try not to think about it. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11068, + "tgt": "What do raised insulin and cholesterol levels indicate?", + "src": "Patient: Hi doctor, I seem to have high cholesterol for the first time and high insulin levels.\u00a0Please go through my reports and advise. Thank you. Doctor: Hi. I went through all your reports (attachments removed to protect patient identity). Only few abnormalities noted. Raised insulin levels indicate that your body is becoming resistant to Insulin. It means that you are at risk of becoming diabetic in near future. The solution for raised insulin level is daily aerobic exercise like brisk walking, jogging, running, cycling or swimming for at least 30 minutes every day. Elevated total cholesterol and LDL cholesterol are seen. Since the elevation is not much, also you are young (in report it was mentioned as 32 years) there is no need to start medication at present. Eat low calorie low cholesterol diet - avoid sweets, carbonated beverages, non-vegetarian food, junk food, cheese, butter and ghee. Eat more of fruits, vegetables and drink plenty of water. And do exercise as advised above. Elevated platelet count with slight reduction in mean corpuscular hemoglobin (MCH) and mean corpuscular hemoglobin concentration (MCHC) is probably due to iron deficiency. For this the solution is eat iron-rich foods like jaggery, green leafy vegetables, peanuts and dates." + }, + { + "id": 7496, + "tgt": "Is there a chance to get genital herpes in patients already infected with oral herpes?", + "src": "Patient: Hello doctor, I was recently diagnosed with genital herpes. I am sure I got it from a person with type 1 (had regularly cold sores in the past and probably transferred it to me through oral sex). I was wondering, is there still a chance I might infect that person genetically? Or how high is the chance? We both have the same type of herpes, but my partner only experienced oral herpes before, and I have genital herpes. Can someone who already had oral herpes develop genital herpes themselves? Or does herpes only occur at the place of infection? I want to know how high the risk is of me infecting my partner genetically (same type) when I am not showing any symptoms. Doctor: Hello. Genital herpes can be transmitted to your partner sexually because it is an STD (sexually transmitted disease), whereas herpes simplex (HSV-1) can be transferred from one person to another via infected oral secretions while in close contact. But at times, there is a possibility of getting genital ulcers when you are infected with HSV-1. Hence, I would advise you to undergo lab test to know if you are infected with the virus or not. And if you are positive for HSV, then you will require Acyclovir, which is an antiviral medicine. Till then, I would advise you to take preventive measures to avoid transmission to other partners. If you have any further queries, feel free to contact me." + }, + { + "id": 17376, + "tgt": "I am suffering from ankylosing spondylitis. Kindly suggest new medications", + "src": "Patient: Hello doctor, I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached HLA B27 with recent blood reports. Doctor: Hello. The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic acid supplementation at 5 mg daily and vitamin D supplementation at 60K weekly for two months and then monthly should also continue. Please do regular physical exercises. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 12710, + "tgt": "What are the chances of a nevus being melanoma?", + "src": "Patient: Hi doctor, I have some questions regarding what the dermatologist told me yesterday, when I was visited with dermoscopy to check my nevi. I asked the dermatologist to focus on an atypical blue nevus (on my right arm) which has increased in size during the last nine years. He told me that the nevus pigmentation does not allow the dermoscopy to provide a conclusive diagnosis of melanoma. He adviced me to remove the mole but with no priority Now, I have some questions. 1. The fact that I have no priority means that there is a low probability that my nevus is a melanoma? Or it is due to the limitation of the instrument? 2. Would the dermoscopy have allowed to classify my nevus as a melanoma, if the nevus effectively was a metastatic melanoma? I do not know what to think. Doctor: Hello. Dermoscope is of different types. Some are more good than others. Using this instrument requires a lot of practice and experience. Sometimes the person performing it cannot appreciate all the features of a particular disease. In your case, the conversion of blue nevus to melanoma is very rare. On the safe side, the doctor advised you to remove it so that no confusion left. If he or she has picked up melanoma, they would immediately treat it. You should go for excision of your nevus and histopathology will reveal the exact tissue diagnosis." + }, + { + "id": 24447, + "tgt": "Why does my kid get frequent colds?", + "src": "Patient: Hi doctor,My 4 year old daughter is frequently suffering from cold. In turn, she develops a bacterial infection. In the last three months, she has six bacterial infections. Her doctor gives her antibiotic medicines. She has chronic cough now and Budecort was suggested for three months Asthalin if cough. I need to know why she has frequent cold. The doctor suggests it is allergic, but no idea to what. There is no family history of asthma. I am worried about my daughter. She has developed this after two and a half years of being healthy.Does allergic cold happen due to the local home environment? My flat is in the first floor and near a hill. Nights are extremely cold. I have an oil-filled room heater. My kitchen has some leakage and a fungal smell comes out. Is this the reason for frequent allergy? Please suggest if I need to change my flat. Doctor: Hello. I went through in detail regarding your daughter's problem. According to me, the reason for her frequent chest congestion and repeated cough is not her bacterial infection. It is because her allergy level is high. Although you do not have any asthmatic in the family, your surrounding environment is not favorable to her. That is why she is continuously having cough off and on. These symptoms come under the heading of childhood asthma and medications which your daughter is using is actually the required treament. Try to clean the nearby environment in which she is living. There should be no smell of oil or any antifungal spray or any sort of smell which provoke her symptoms. So, try to avoid triggering factors of asthma as much as you can and add up one medicine, namely Myteka (Montelukast) tablet 5 mg at night time daily for three months to prevent future attacks of asthma. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20227, + "tgt": "Despite taking medicines for stomach pain, I did not get any relief. Why?", + "src": "Patient: Hello doctor, I am having stomach pain from about one and a half months. The pain generally begins after lunch or dinner\u00a0and may last for one to four hours. It is episodic in nature\u00a0and increases in severity, and then gradually goes away. The pain occurs in the lower left region near the navel. The doctor at the local hospital said that\u00a0there is some tenderness in the colon, and the pain may be because of some infection. Widal test was also mildly positive (report attached). Following it, I was admitted to a local hospital for five days and was prescribed some antibiotic and laxative treatment which did not help much. All my endoscopy, colonoscopy, x-ray, and ultrasound reports are completely normal and are attached. The medications that were prescribed are\u00a0Mebiz SR and O2 tablet, both twice a day, Ultracet and Hyocimax tablet, both when required.\u00a0Despite doing a full course, I did not get any relief. Please tell me if there can be some other reason for the pain and its cure. Doctor: Hi. I have seen all 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": 25609, + "tgt": "Why is antifungal medicine not working for my skin problem?", + "src": "Patient: Hello doctor, I am suffering from a skin condition for about four years in groin area as you can see in the attached pictures. There is a dark brown area with sharp borders on upper inner thighs where scrotum touches thighs. There is no itch, pain or burning sensation and it is not raised and also very plain. I went to a dermatologist and he diagnosed it as a fungal infection by just seeing it. After taking antifungal tablet and applying topical cream for about 35 days there is no noticeable improvement in the appearance of the affected area. If it is a fungal infection then it will itchy. I ignored it for four years because nothing seems serious in it. The picture was taken before treatment and all the others are of today. Can you see any improvement? I am getting married soon. Please tell me what is it. What treatment should I go for? Doctor: Hello. I have gone through the pictures (attachments removed to protect patient identity). Revert back with the asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27433, + "tgt": "My 7 months old baby passes loose stools 5 to 6 times a day. What to do?", + "src": "Patient: Hi doctor, My baby is 7 months and 10 days old and initially, he was suffering from a\u00a0runny nose, two weeks back. This week, he has loose motions, and he passes stools 5 to 6 times a day. We consulted a doctor, who gave him Sporlac and Zinc dry powder suspension. He is now pooping 2 to 3 times out of which, two seems to be loose motions but generally, he used to poop once in three days.\u00a0I have also replaced Sporlac with Enterogermina from past two days. Please suggest what should be done. Doctor: Hi. I understand the situation you are in. Thank you, take care of your child. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15160, + "tgt": "I feel empty, stressed, and demotivated. What can be done?", + "src": "Patient: Hello doctor, I feel empty inside. I do not feel any fire for my desires anymore. I do not feel motivated, confident or sad. There was a time I had so much fantasy to do something great. I cannot exactly make out what is happening to me. But I cannot sense good vibes nor bad ones. Nothing motivates me to do something great or big, instead, I feel why should I do something great. Please help. I have seen thousands of videos with motivational speeches, how to reduce stress but its not helping. My age is 18 years and my weight is around 48 kg and my height is 5'3\". Doctor: Hi. I have read your query and understand your concerns. It appears to me that you are suffering from depression as evidenced by feeling empty, poor self-esteem, low motivation, loss of emotions, poor social communication, decreased interest in surroundings, the presence of mood swings and irritability can present in depression. Although it is important to note that depression can be an individual disorder or part of some other disorders such as bipolar disorder. Having said this I would like to assure you that depression is largely treatable disorder in the current scenario and almost 100 % recovery is possible in more majority of individuals with depression. The treatment includes medications, psychotherapy or combinations of both." + }, + { + "id": 21123, + "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": 22832, + "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": 12095, + "tgt": "What can be done to manage panic attack due to fear of the dark?", + "src": "Patient: Hello doctor, I have been experiencing what my mother says is a panic attack, but I am not sure because I only get racing thoughts, my heart races or beats really hard, and I feel shaky like I might cry (no other symptoms). I read that panic attacks peak at 10 minutes, but I feel this way for hours and it keeps me up at night. I have no previous problems with mental health, and I think it is only a fear of the dark keeping me up. What should I do? Doctor: Hello. Your mother is probably right. You are describing anxiety and panic symptoms. Staying at a noisy Air BNB has probably accentuated your fears. How long have you been having these symptoms? If you are not having any problems during the day and no problems during other situations, then it possibly is just a fearful psychological reaction to an unfamiliar situation. If it is persistent and pervasive, it will be helpful to see your doctor for an assessment. Try these simple measures to manage your fear: 1. Breathing techniques. 2. Progressive muscle relaxation exercises. 3. Keep a light switched on in your room during sleep. Perhaps having some music at low volume can help. 4. Speak to your mother, friend regularly, if possible, you can share your room with a friend to make it less fearful. Remember that these fearful thoughts get better gradually with support. Take care." + }, + { + "id": 2981, + "tgt": "Is it possible to get stomach pain due to change in diet?", + "src": "Patient: Hello doctor, I will try to keep this short. I had a quick question. I have eaten really bad for a very long time, but over the past week I have completely changed up my diet. I do not eat processed foods, bad sugars and fats, and hardly any gluten. I have been eating chicken/salmon mainly, fruits, veggies, and unsaturated fats mainly. I have been taking a couple weight loss supplements as well since yesterday. Before I took the supplements yesterday my lower part of my stomach has had a little pain. Is that because my stomach is trying to adjust to the change in my diet? Thank you. Doctor: Hi. First, I would appreciate the fact that you have switched from unhealthy eating habits to a healthy diet and healthy eating habits. Stay motivated. If a person had been into extensive unhealthy eating habits from a long time, it may be difficult for his digestive system to adjust. The digestive system needs some time to adjust if you have been eating a lot of fiber (fruits and vegetables) recently. Gradually increase fiber in your diet as your stomach needs some time to get accustomed to it. The pain may be due to more intake of dairy products. Increase dairy products gradually. Low or high intake of certain healthy foods can cause bloating or gas. But it does not mean that you should go back to unhealthy eating habits. The pain must not demotivate you. Consistency is the key. If the pain persists, make sure to go to a physician or GI specialist. Moreover, you can eat gluten if you do not suffer from gluten intolerance. You can eat oats, barley, whole wheat. Just do not eat refined flours and cereals. Do not fall into the trap of buying everything from the market that is labeled as healthy." + }, + { + "id": 5821, + "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": 15267, + "tgt": "Having chest pain frequently. Is it a heart attack?", + "src": "Patient: Hi doctor, My father is 59 years old. He weights 65 kilograms. He has diabetes and also has blood pressure too. Sometimes, my father gets chest pain. He feels better after taking tablet Angised. Last night, he had pain in the heart. We went to the hospital immediately. They gave two tablets to my father. After a couple of hours, he was better. So, we came back home. Please tell me medicine or home remedy to overcome these problems. Doctor: Hi. From your history, it seems that your father has angina pectoris. Angina pectoris is not a heart attack, but it is a chest pain that occurs while exerting such as walking at a high pace, climbing stairs, during emotional stress and relieved by rest or taking tablet Nitroglycerine under the tongue. If this pain occurs more and more frequently or with less exertion or at rest, then there is something to be worried. I do not know about the workups done for your father such as ECG, echocardiography, stress ECG, and angiography. I do not know about the medications taken by your father for BP, and diabetes. Please give a detailed history about it. If you send me the reports, I can guide you further. If your father is having chest pain on rest or despite taking maximum medicines, I advise your father to go for coronary angiography and angioplasty. He has to reduce intake of salt to less than one teaspoon in a 24-hour diet. He should stop taking fatty meals, junk foods, and beef. He has to quit smoking if he has the habit." + }, + { + "id": 8194, + "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": 2369, + "tgt": "For two weeks, I get bouts of dizziness and electric shocks in the head. What could it be?", + "src": "Patient: am a 37 year old Male who Has been getting bouts of dizziness as well as what can only be described as electric shocks in my head. There has also been what feels like a nerve twitch in my temple. I have also found that my reaction time is a little slower. I have gone for cardiac screening which involved a stress echo, echo blood test and holster monitor all clear. My doctor the referred me to an ENT as well as sent me for MRI of the brain and a second MRI of the ear both clear. The ENT sent me for tests to check my vision and also check for vitigo the test came back listing that my eye movement was out of coordination which they said is consistent with a central leason My questions are 1) what is causing the brain zaps ,spermatic dizziness 2) what is a central leason and surely it would have shown up on an MRI 3) is a central leason a degenerative diease and does it lower life expectancy. 4) is it curable or reverseable Hi Marc, Welcome to Icliniq, I am a Neurologsit and here to help you. You are suffering from dizziness and electric shock over your face. . with some indoctrination of eyes as per your ophthalmologist. . Nothing from Cardiac, Eye and ENT side but it seems neurological disorder. It's good that your MRI Brain is normal that means no structural lesion like tumor or mass or demyelinaion. Still there are many reasons that can not be seen on MRI And we need to evaluate those. Answer 1. we need to find out those causes with further testings Answer 2. Central leasion means brain or brainstem related causes of your dizziness Answer 3 &4 . Degenerative lesion at age 37 is less likely , we need to evaluate it and only after that I can say. So firstly. 1. give me detail description of your dizziness bouts , how it starts , any trigger , lasting how long, duration of your disease, is it aggaravates with position change ? 2. have you suffering from slurred speech ,imbalance while walking , 3. I wants to see your MRI Brain, you night need MRI Brain with Angiography and Contrast injection study then I'll give further advise. Thanks. . . I have had these symptoms for over 2 years They come and go and can last anywhere from 2-3min to 2hours I also wanted to advise that in the last three years I have had 3 mri\u2019s Hello Marc, Ok. . . I have seen your MRI which is done on 10/12/2019, which is normal Are you suffering from ringing sound in ear or Vomiting like sensations? Any history of slurring of speech or blurred vision? Are you suffering from headache ? like migraine ? You 'll need MRI Brain with Angiography and if needed Gadolinium Contrast study Are you having any kind of addiction ? Please give me your medication history , if any ? I wants to see your routine reports like Complete Hemogram ESR Serum Electrolytes - Na , K , Mg , Ca Serum Creatinine SGOT SGPT HIV HBSAG ANTI HCV URINE ROUTINE Regards. Okey. . . What about headache ? that means Episodic dizziness and Tinnitus I think it looks peripheral vertigo not central. . . ok. . . I saw the Blood routine reports. Now please do. Audiogram with BERA MRI with cobtrast Regarding follow up:\u2028Doctor's follow up messages:\u202816-Oct-2019 07:22am: hii plz answer me \u2028 Hello I have now had ringing in my ears lasting for four 1 week what does this mean is this a risk for stroke. (1) what are the stroke risks. (2) Can now confirm that I have now had the MRI with contrast and it was unremarkable. When I went to the ENT they checked my hearing and advised it was fine the. I have also been for more blood work which came back fine. I don\u2019t know what else it could be Hello I have now had ringing in my ears lasting for four 1 week what does this mean is this a risk for stroke. (1) what are the stroke risks. (2) Currently I am getting these brain zaps sensations around 90 times a day I have had these things for over a year now but only with in the last week I have been getting them that often. Sporadic dizzy spells lasting 2min to 10 hours, electric shock ,pulse pressure type feeling, ringing in my ear for the last 2 weeks -no hearing loss, can watch tv and have a conversation with out a problem. what could this be? Doctor:" + }, + { + "id": 21059, + "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": 2165, + "tgt": "Is there any abnormality in my semen report?", + "src": "Patient: Hi doctor, I have been married for two years now. We have been\u00a0trying for baby since last one year, but not getting any positive result. We used to intercourse as per ovulation calculator, but my problem is that I can ejaculate only when she is on top. But, I failed to ejaculate in another position. Otherwise, I suddenly lose my erection within 50 to 60 seconds. Is there a chance to get pregnant when women on top? What should I do to increase my stamina and how to overcome sudden erection loss while intercourse in the missionary position?\u00a0I have attached my semen report. I am on Fertisure M and my wife is taking Ovacare. Doctor: Hi. I read your query with keen interest and reviewed the attached reports (attachment removed to protect patient identity). For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23122, + "tgt": "I have GERD and feel a lump under Adam's apple. Is it serious?", + "src": "Patient: Hi doctor, I am 32 years old. I have GERD since a few years as the doctor told me after a diagnosis where he took the camera inside the food pipe. Anyway, I used to smoke then I quit but recently I smoked a bit when I was in holiday, after coming back from holidays I am getting a lump like feeling under my Adam's apple, just where the neck and the chest meet when I swallow food or saliva. It is very disturbing. I went to the doctor and he told it is maybe because of inflammation of the food pipe and gave me to do an ultrasound but everything went well. Nothing was found. But the feeling of something stuck is making me worried. Should I be concerned? Doctor: Hi. The lump feeling is most probably due to reflux laryngitis. It is a manifestation of GERD (gastro-esophageal reflux disease) higher up near the larynx (Adam's apple and voice box). Smoking aggravates the same or can be a trigger for it. The reflux symptoms may also be voice change, hoarseness, difficulty swallowing, increased throat mucus and frequent clearing of the throat. You will have to take some proton pump inhibitors (Pantoprazole, Esomeprazole or Lansoprazole) twice daily for few weeks and then take once daily for a week and stop. Have Gavison syrup (Sodium Alginate and Sodium bicarbonate) after each meal. Follow all precautions for GERD as your doctor would have told you before. If the problem persists and does not resolve you may have to repeat the endoscopy and this time we will have to do a video laryngoscopy along with the UGI (upper gastrointestinal) endoscopy. If there is excessive mucus you may need a mucolytic medicine and an anti-allergic tablet as well. Do let us know the progress. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26022, + "tgt": "Is the delay in my period due to stress or pregnancy?", + "src": "Patient: Hello doctor, The dates of my last three periods were on the 20th, 16th and 13th the last three months. I had protected sex many times with my boyfriend but always with a condom and it never broke. It was always protected sex. It is the 11th today and still no periods. I am worried. Could I be pregnant? I was under medication for colitis and under stress this month. Please help. Doctor: Hello. I went through your post. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10518, + "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": 3872, + "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": 29289, + "tgt": "What should I do to improve my 2 months old baby's health condition?", + "src": "Patient: Hi doctor, My baby is 2 months old. He is suffering from omphalitis, which appeared after 24 hours of birth. He had artificial respiration thrice. He was in the ICU for one month. Also, he had a kidney function disorder and blood breaks. He went through blood and blood platelet transfusion. After discharging, artificial respiration continued during sleep. Three weeks later, he suddenly had spasm (seizure) and is on medication. He is bottle feeding. He has normal limbs movement and normal head circumference (35.5 cm). His attentiveness is poor, cannot follow faces, movements or light with his eyes; however, he shows some reactions when exposed to sunlight. The latest diagnosis is that he has a cerebral atrophy. He is on Phenobarbital 60 mg. One fourth of the tablet to be melted in 1.5 cc water and then 1 cc water has to be given to the baby twice a day and Encephabol liquid 2 mg in the morning. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12421, + "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": 30274, + "tgt": "We have been trying for a baby. Please check my reports", + "src": "Patient: Hi doctor, We have been\u00a0trying to conceive for the past 3 years. My wife's report is normal. My semen analysis report is as follows. Volume 0.8 mL (2 - 6), appearance grayish white, liquefaction 60 minutes (20 - 60), viscous,\u00a0pH 8.0, morphologically 03% (4 - 100), abnormal 97%, progressive motility 26% (31 - 100), non-progressive motility 42%, non-motile 32% (0 - 30), sperm agglutination not seen, WBC\u00a00-1 per hpf (0 - 5), sperm count 40.5 x 10^6 (20 - 140) and absolute sperm count 324 x 10^6 per ejaculation (40 - 280). Doctor: Hello. L-carnitine, Coenzyme Q10, Zinc oxide and Lycopene tablet, all combinations in one table. I suggest the tablet two times a day in the morning and evening for 15 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 17214, + "tgt": "MRI brain shows some white spots. What does it mean?", + "src": "Patient: Hi doctor, My patient is suffering from constant conversion. Her head is poking, salvia is coming out of the mouth and eyes are open for few seconds without any moment. Every now and then she used to get conversion type, but from yesterday the saliva is drooling continuously and the conversion too.\u00a0The symptoms of rolling eyes, deviation of mouth and hand were started before three months.\u00a0All the reports such as EEG, CT and MRI are normal as per neurologist except some white spots on brain. What does it mean? Doctor: Hi. I have read your description very carefully. Revert back with the answers to the above questions to a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2733, + "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": 2673, + "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": 6386, + "tgt": "I feel tingling in tongue and itchy mouth after eating kiwi. Am I allergic?", + "src": "Patient: Hello doctor, I am a 17 years old female. I had one kiwi, and it makes my mouth hurt, but it was not too bad, and I liked the flavor. I just managed it. I decided to have two kiwis yesterday, and then my mouth and tongue were tingly and itchy. My stomach was disturbed, and there was a kind of short of breath, and my heart rate increased two hours afterward. Am I allergic? Doctor: Hello. You are right the symptoms you perceived could be because of kiwi allergy. This is called oral allergy syndrome or pollen food syndrome. The raw proteins in fruit or peel of the fruit cause allergic symptoms. It may occur with certain other fruits, also like peach, apple, etc. So if you are having symptoms after eating these fruits, you should try to avoid them. Though not very severe, it can cause serious respiratory problems like difficulty in breathing, coughing and palpitations. For minor reactions, you can take tablet Levocetirizine 5 mg daily to prevent tingling and itching. For more severe reactions, you should always be carrying self-injecting adrenaline injection. For confirming oral allergy syndrome, I advise you to do a skin prick allergy test. You can also do a full blood allergy test with all panels, including environmental, food, drugs, and allergens in the test. After you are diagnosed with a particular allergy, avoidance is only the best thing that will prevent severe allergic reactions. I also advise you to take the help of the allergy doctor for further help if required. Fruit protein allergy. Skin prick allergy test or Blood allergy test. Food allergy. Avoid the allergen fruit and always carry self-injecting adrenaline if diagnosed with an allergy. Avoidance." + }, + { + "id": 21921, + "tgt": "My son gets frequent nose bleeds. Is there any concern?", + "src": "Patient: Hello doctor, My son gets frequent nose bleeds and leg pain. The doctor tested him for Von Willebrand, all was normal except for the thromboplastin time. It was elevated to 36 normal is 22 to 34. His complements levels were elevated to ch 50 to 60, c3 178 normal is 80 to 170, CRP was 9 normal is >8, absolute eosinophils was 524, normal is 15 to 500. Is there any concern with these levels? Doctor: Hello. Your mentioned reports are borderline and not much elevated. I do not think you have to worry much about that. The following causes have to be ruled out for nosebleed like: Your rhinoscopy nose examination is also advisable. You can attach your reports to guide you further. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18297, + "tgt": "What can be the cause for high B12 level in a person with MTHFR mutation?", + "src": "Patient: Hello doctor, I have genetic mutation MTHFR. I am on thyroid for hypothyroidism. My\u00a0B12 level is 1476, the normal range is between 138 to 652 pmol/L. How can I lower my B12 level? Is this level a cause for concern? All the other blood levels are normal other than WBC which is at 3.4 and neutrophils which are at 1.2. Doctor: Hello. Regards. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4444, + "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": 14130, + "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": 26737, + "tgt": "My grandfather had throat cancer 15 years back. Has the same cancer recurred now?", + "src": "Patient: Hello doctor, I want to know how serious is my grandfather's cancer. I do not have a lot of details, and I am away from home. He had throat cancer 15 years back. Now from the past two months, he was having breathing problems and extreme weakness, so the doctors did a tracheotomy to help with it. Now, we got his biopsy report which states cancer. Please let me know more details about it. What are the next steps to be taken? His biopsy report\u00a0reads biopsy from the\u00a0post-cricoid region show multiple grayish white small bits. The section includes cells showing squamous cell carcinoma. The section also shows focal areas of necrosis. No specific evidence of any muscular, lymphovascular or perineural invasion is observed in the provided biopsy.\u00a0The impression is well differentiated squamous cell carcinoma. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16707, + "tgt": "Periods delayed after having had unprotected sex. Can I take Unwanted 72?", + "src": "Patient: Hello doctor, I am a 19-year-old female. I had unprotected sex three days ago. He did not ejaculate inside me. He was having precum on his penis and it was his second ejaculation. He had washed and urinated before having the second session of intercourse. I am a bit scared to take Unwanted 72 because of its side effects mentioned on the website as I am having various skin and liver problems. My periods get delayed by five to seven days every month normally but last month it got delayed by 12 days. I had intercourse the very next day of the end of my period. What is the chance of me getting pregnant? Can I take Unwanted 72 now? I am really scared. Doctor: Hello. Sexual intercourse done the very next day after the end of periods is unlikely to lead to pregnancy. This is considered to be the safe period for intercourse. Moreover, pregnancy occurs only when there are ejaculation and deposition of the semen inside the vagina. The chances of pregnancy are nil in your case. You can simply avoid taking Unwanted 72. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16559, + "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": 1675, + "tgt": "Please suggest treatment for flatulence, urinary incontinence, abdominal pain, and restlessness", + "src": "Patient: Flatulence and urinary incontinence. Abdominal pain and restlessness, No medicine. Male 30, 5.6 height Doctor: Hello. Good day. I appreciate you seeking medical help via icliniq. I have your query. So to answer to your query I want you to understand production of gas and feeling of fullness is more or less a normal phenomenon of human body. One can not completely shut down the gas production since it has its own disadvantages. However having said that gas production can be still be decreaed to help patient to have comfortable life. This gas usually produced by many bacteria within human gut. I want you to start one antibiotic which will help balance good bacteria vs. bad bacteria. Tab Rifxamin 200 mg thrice daily for 3 weeks. ait is very safe antibiotic except in it can cause diarrhea which is usually mild and does not bother a patient much. I want you to avoid gas prodcuing meals particularly avoid rice, cereals and grains in your diet. Sometime Milk can cause bloating, if this is in your case I suggest to better cut down your dairy intake. see me in 2 week time and lets see how it goes. see me after 2 week" + }, + { + "id": 23310, + "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": 4312, + "tgt": "As I take stools out manually during constipation, I feel pain in anal area. Is it serious?", + "src": "Patient: Hello doctor,I used to have constipation issues last year, and recently, in the last two weeks, it gets fixed. But I think I have little wounds appearing, that is my assumption. I am taking soft stool from last week. While taking out stool, I feel a slight pain in that area. Is it serious? Please advice. Doctor: Hello. I can understand your concern for symptoms. 1) Never attempt to take out stool. Insted it is advisable to use stool softener or laxatives. 2) The habit of taking stool out and constipation can develop anal fissure which is small tear on inner wall of lower part of anal canal. Constipation, manual removal of the stool. Proctoscopy, rectal examination. Anal fissure. Stool softener or laxative, Analgesics for anal pain, Anesthetic medication ointment for local application." + }, + { + "id": 557, + "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": 28245, + "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": 20011, + "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": 11558, + "tgt": "What should I opt for bipolar depression, Lamotrigine or ketamine infusion therapy?", + "src": "Patient: Hello doctor, My wife was previously diagnosed with bipolar II and was taking 100 mg Lamotrigine daily for depression maintenance. She was on that dosage for nine years. She recently suffered a more chronic depressive episode and went out of town for ketamine infusion therapy. The infusions were very successful, and the psychiatrist who was assessing her for the infusions suggested that she did not need the Lamotrigine, that it was ineffective for treating depression in bipolar II. She tapered off the Lamotrigine, which was very difficult. It has been three to four weeks since her last dose of Lamotrigine, and nine weeks since her infusions. She is feeling very moody and depressed, irritability, fatigue, loss of focus. The question is, do you think she needs to go back on the Lamotrigine? Or does she need to get a booster shot of Ketamine? Both are difficult solutions. Getting off the Lamotrigine was awful, and getting Ketamine requires out of town travel, etc. Kindly advice. Doctor: Hello. I can understand your problem. Ketamine infusion therapy has great roles in depression but regular maintenance treatment is needed and which results in a significant burden on patients. Lamotrigine is the right drug for resistant depression. Even in maintenance treatment, the drug has good roles. So, in my opinion, the drug should be started again from a low dose, and gradually the doses are build-up. Lamotrigine is safe and is free of severe side effects." + }, + { + "id": 25502, + "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": 13190, + "tgt": "What are the ways to control anger?", + "src": "Patient: Hello doctor, I get angry easily and I become violent. Then I hit my wife due to no fault of hers. Doctor: Hello. It is not acceptable to be violent toward your spouse. Domestic violence is a crime. Many families break apart due to domestic violence. It is positive that you are insightful of your anger issues and want to seek help. Have you always been an angry person since childhood or is it something you developed in recent years? Are you violent outside home as well? Are there any stressors in your life contributing to your angry outbursts? You will benefit from counseling for anger management. It will also be helpful to understand whether there are any underlying emotional problems that are driving your anger. You can also try these self-help interventions. It is important for you to develop positive coping strategies. Try to have a positive relationship with your family members even though your views may be different. Try to look at the good things provided by your family. Exercise regularly. It will lift your mood and help you to feel good about yourself. Do not isolate yourself. It will worsen your situation. Try to open up and talk to like-minded people. Eat regularly and sleep well. Avoid alcohol and too many fast foods. Try yoga or meditation to calm yourself. Try progressive muscle relaxation exercises and deep breathing exercises." + }, + { + "id": 7784, + "tgt": "May I know the dose of Nemocid for my 3 year old?", + "src": "Patient: Hi doctor, My son is three years old. He weights 11.6 kilograms. He is given Nemocid for every six months for disinfection. What is the dose of Nemocid for him now? The previous dose was 2.5 ml. If Nemoacid is not suitable, what is the other medicine advised for him? Please help. Doctor: Hi. You can continue to give Nemocid (Pyrantel Pamoate) and follow the dose of 2.5 ml for every six months. If he has any other symptoms like anal itching, decreased appetite, and abdominal pain, you can give Nemoacid 2.5 ml twice a week. You can also give Bandy plus. It is Albendazole, and it is a deworming medicine. You should provide 10 ml once in six months at night." + }, + { + "id": 21378, + "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": 21837, + "tgt": "Does my brain MRI show acoustic neuromas?", + "src": "Patient: Hello doctor, I have undergone a brain MRI today to rule out acoustic neuromas (among other causes). MRI was prescribed by my ENT doctor because I was very stressed. Gadolinium was injected during the MRI. It turns out the MRI was pretty normal, no tumor, no anomaly or else. I found some asymmetric white surface on a series of four pictures. I think it might be something as normal as blood circulation. However, I would like someone to definitely reassure me or tell me what it is since I am the kind of person to freak out easily concerning health. I have chronic left ear problems since last year. Ear fullness when chewing, diagnosed as otitis media with effusion, untreated-bilateral, unconstant tinnitus for one month (worse when lying down, disappears when walking or doing activities outside), issues with balancing ear pressure (ear becomes blocked during car trips or when eating). I never had ear problems before. However, my sinuses are fragile and prone to irritation (air dryness). I frequently suffer from acid reflux, post nasal drip, sore throat and my septum is deviated. Currently, I am taking Nasacort, Solacy, and Levothyrox. The lab tests performed are thyroid hormones: High count of thyroid antibodies (Hashimoto's disease), hearing tests were done twice: one showed a loss in low frequencies. The latest one, done one week later (done by ENT) showed no loss, only minor damage at 4000 Hz in left ear. Tympanogram showed low compliance. MRI was strictly normal. Doctor: Hi. There is the right internal carotid artery near the right cavernous sinus in the area inside the circles in your images (attachment removed to protect patient identity). It is a normal image and the slight brightness is likely due to variation in the signals due to the magnetic field. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 16417, + "tgt": "What should be done for tooth erupting behind milk tooth?", + "src": "Patient: Hello doctor, My niece is currently 6 years old and her tooth is growing up behind her milk tooth that has not fallen out yet. What should we do? Doctor: Hi. I got your chief complaint. Permanent teeth start erupting after 6 years of age and replace deciduous teeth. In this process, as deciduous teeth erupt, milk teeth fall down gradually. However, if milk teeth remain there, they are to be extracted to allow permanent tooth to erupt normally. However, it needs to be extracted if it is not falling, otherwise, it can cause malocclusion later." + }, + { + "id": 9400, + "tgt": "What is the difference between unipolar and bipolar disorder?", + "src": "Patient: Hi doctor, I am facing severe anxiety for past two months due to over masturbation. I have consulted a psychiatrist two weeks ago and he informed me that I am suffering from bipolar disorder.\u00a0I would like to know whether it is bipolar or unipolar disorder? I am taking Relihexy 2 mg, Blonitas 4 mg, Kivipride 200 and Nitrazepam since two weeks. Doctor: Hi. Severe anxiety due to masturbation and guilt could occur in both depression and bipolar disorder or schizophrenia. The difference between unipolar depression and bipolar disorder is the presence of absence of a manic episode. If there is a history of manic episode, currently or in past, then it is bipolar disorder. The symptoms of manic episode are sudden change in mood (either very happy or irritable or excited), reduced sleep, increased talking with increased speed, and loss of judgment. If these were not present, then it is unlikely to be unipolar depression. I will be able to help you more if you can provide more details about your illness. Take care. Revert back with complete details of your illness to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1784, + "tgt": "Will Clomid help in conceiving?", + "src": "Patient: Hi doctor, I am 36 years old. I am trying to get conceive, but my periods are irregular. In the past, I was never able to conceive with irregular periods. I do have children, but they were conceived when my cycles were normal. I do not feel like I have time to wait it out though. I have been trying for a year now. I need to know if Clomid would be a good option me. Please explain. Doctor: Hi. I have read your problem. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 14675, + "tgt": "I have Genu Valgum. I am developing pain in my left knee", + "src": "Patient: Hi doctor, I am 26 years old. I have Genu valgum. I am developing pain in my left knee, and the pain has also started in my ankle and shin. How do I get rid of this pain? Doctor: Hi. Genu valgum is commonly called the knock-knees. It is the inability to touch both the feet together due to inward angulation of the knee. It is a physiological condition mostly, but less commonly pathological. The management will depend upon: Perhaps if you post your standing x-rays of both legs called long leg views or hip knee ankle views, it will be helpful for me to advise you further." + }, + { + "id": 20002, + "tgt": "Please advise about the safety of using Etodolac tablets in my case", + "src": "Patient: Hello\u00a0doctor,I have a\u00a0mild localized effect of meralgia paresthetica on my left leg in the knee area with mild numbness around the\u00a0localized knee area. I have mild pain on the left leg behind the knee disk from two years. The\u00a0doctor gave me Etodolac 400 mg twice a day and Pantoprazole. My total cholesterol is 220 with triglycerides 310 from the last five years. Right now, I am taking Amitriptyline HCl 10 mg at night. Kindly advise about the\u00a0safety of Etodolac. Internet sources threat about a stroke, heart attack, and stomach bleeding. So, I am worried. Kindly advise. Doctor: Hello. 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.\u00a0Regards. For more information consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist \u00a0" + }, + { + "id": 5458, + "tgt": "My fourth generation antigen-antibody test is negative. Is it necessary to do a retest?", + "src": "Patient: Hello doctor, I had two sexual encounters with women whom I do not know their HIV status. Both were vaginal and a condom was worn. In the fourth and fifth weeks, I had a fourth-generation antibody-antigen test performed and it came back negative. Should I be retested again? Doctor: Hello, Welcome to icliniq.com. It is a good idea to get repeat testing, here is why. The antibody testing at the fourth and fifth weeks can give you some idea of the HIV (human immuno deficiency virus) status, but the one at 12 weeks after the exposure will confirm the negative status completely. The reason being the window period. The window period is a duration where a person can have HIV but still test HIV negative. The fourth generation is antigen-antibody based testing and the best we have so far for screening. When suspected acute HIV infection or high risk exposure, PCR (polymerase chain reaction) is the best in the fourth and fifth weeks post-exposure. Of note, the window period for a fourth-generation antigen-antibody test is short as compared to other HIV tests available (about four weeks). Usually by this time, 95% of infection will be detected in the blood. In general, there is a three month window period for HIV after a given exposure, and therefore for the fouth generation testing to confirm that a person is more than 99.9% infectious. Hence the 12 weeks retesting is recommended. I hope this helps." + }, + { + "id": 18572, + "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": 5937, + "tgt": "Is it safe to give Albendazole twice in a short interval?", + "src": "Patient: Hi doctor, My son is 1 year 5 month old now. He was treated with Albid suspension for worm before two months. Again he has same symptoms of worm infection now. What can I do? Is it safe to give him Albid or other medicine for worm within short interval of two months? Please suggest. Doctor: Hi." + }, + { + "id": 29268, + "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": 12109, + "tgt": "Do I need PAP smear for blood discharge during first sexual contact?", + "src": "Patient: Hello doctor, My fiance was fingering me and when he finished, his hand was bloody. When I pee it burns and now it just hurts. What should I do? Never had a PAP test for discussable reasons. Never had sexual activity before. Doctor: Hello. There is nothing to worry as having sex for the first time (even fingering) may lead to mild bleeding due to breakage of the hymen and vaginal tissue. It may lead to burning sensation and slight discomfort which usually resolve in a few hours or may take a day or so. You just have to wash the area with plain water and also drink plenty fluid to relieve burning in pee. And you are only 18 years old. You are not in an appropriate age for PAP smear. PAP smear is usually recommended at or after 25 years of age." + }, + { + "id": 26780, + "tgt": "My son has stomach pains, which spreads to the rest of his body. Please help", + "src": "Patient: Hello doctor, My 8 year\u00a0old\u00a0son began having pain on and around his bones about three weeks ago.\u00a0It is mild in the morning and progressively gets worse into the night. The pain starts at the belly button and quickly moves to the ribs and throat. He felt like he was gagging and had tightness in throat. The doctor thought this to be excess acid, so he started him on Zantac, but it has not worked. About 10 minutes after the stomach pain at ribs and tightness\u00a0in the throat, he begins experiencing bone and nerve pains. First, his hip begins to hurt at the top, and he says it is the bone itself, not the joint. The pain then travels all over his body, mostly around the bones. It hurts around his shin bone, all up and down the side where it attaches to the connective tissue. It hurts on tops of his feet, on top of the bones. His hands begin to hurt. He feels like someone is pinching his arm tightly sometimes. The spine at the base of his head also pains along with his tailbone.\u00a0He has no fever. His\u00a0CBC, ESR, and CRP, are all normal. The stomach x-ray is also normal.\u00a0The pain lasts for hours once started, and Tylenol and Motrin helps a little.\u00a0The pain lasts a few minutes in each area before moving on and has moderate intensity. It does not\u00a0seem to be related to joint at all, and he says it mostly hurts on the bones themselves, especially the tailbone, and back of the skull. The stomach ache is always present during bone pain. The bones in affected areas are very sensitive to touch, and the slightest touch causes more pain. The doctor has never heard of stomach pain starting in upper stomach and spreading like this to the rest of the body. Any ideas would be a\u00a0great help. Doctor: Hi. I hope this helps you get closer to your answer in some way. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30961, + "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": 30720, + "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": 25161, + "tgt": "What is the cause of pharyngeal discomfort and cough?", + "src": "Patient: Hello doctor,I am 21 years old. I have been having pharyngeal discomfort in the last two years coughing more often than I used to do before but I somehow got used to it and I did not see a doctor. Also, I have discomfort when swallowing. I have never smoked in my life and have healthy habits. I also observed a weird white membrane. Is it alright or is this the cause? I have provided links to a photo and video. Doctor: Hello. From your history and video (attachment removed to protect patient identity), my diagnosis would be post nasal drip with chronic pharyngitis. The visualization of the mucus discharge in the throat with congestion in the pharynx points to this diagnosis. The usual causes of this condition are chronic sinusitis, nasal polyposis, gastroesophageal reflux disease, post viral flu, tumors in the nose and nasopharynx. The initial treatment involves warm salt water gargles, decongestant nasal drops (Xylometazoline) three drops three times a day only for seven days, antibiotic (capsule Amoxycillin 500, if not allergic) twice a day (morning and evening). Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If there is no relief with these treatments after seven days, kindly consult your doctor for a detailed examination and expert management. Wish you good health. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8634, + "tgt": "Is it advisable to give Cylip P, A to Z syrup and Hemsi syrup to 18 months old baby?", + "src": "Patient: Hi doctor, My daughter is 18 months old and the doctor prescribed her Cylip P, A to Z syrup and Hemsi syrup. Is the prescription correct? I am a bit worried. Doctor: Hello. Cylip P 1.5 mg/55 mg drop is a combination of two medicines: Cyproheptadine and Tricholine citrate which revives appetite. Cyproheptadine is an appetite stimulant and Hemsi is a hematinic which is used to increase blood hemoglobin. The A to Z is Multivitamins and your daughter can be given all these. Take care and update." + }, + { + "id": 16651, + "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": 17512, + "tgt": "I do not have erection for longer duration. Suggest siddha medicines to overcome this", + "src": "Patient: Hi, I\u00a0used musli capsules for about 45 days. Even now I do not have erection for longer duration. Please suggest some measures in siddha medicine to overcome this. Doctor: Hi. I can understand your problem. 50% of this problem is related to\u00a0psychology\u00a0and the method of practice. There are many drugs which can prolong your penis erection for a longer time, but they have very serious side effects. Please follow the following medical advice: Consult a\u00a0siddha medicine specialist online\u00a0for further queries --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 20588, + "tgt": "Can I take expired medicines? Will it be effective?", + "src": "Patient: Hi doctor, I am a 24 year old female. I am taking medicines for migraine (Sumatriptan). My tablets have expired. Can I take them? Would they still be effective? Doctor: Hello. When a medication says it is expired, it is not safe to take the drug. Its effectiveness will not be as desired. The properties and the actions of the drug will be reduced. So, you must avoid taking your expired medications." + }, + { + "id": 16837, + "tgt": "Could you please review my ECG and explain the report?", + "src": "Patient: Hello doctor, I had to take an ECG for employment purposes. As the cardiologist is not around, I would like to know the result of the ECG, as soon as possible. Could you please review my ECG and explain the statements in the upper right corner? I have never had any heart problems, and I do not present any symptoms of heart disease. Doctor: Hi. There is conduction system in the heart, and it consists of various wires called bundle and fascicles. Due to various reasons like coronary artery disease, hypertension or a block or interruption of conduction, it may lead to changes in the ECG (attachment removed to protect patient identity). Not a matter of worry, still one stress test and echo test should be done to rule out coronary artery disease. I guess there is no history of hypertension. Also get a lipid profile test done. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4759, + "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": 16409, + "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": 27776, + "tgt": "What is the treatment for bowlegs?", + "src": "Patient: Hi doctor, There is a baby girl in our orphanage, who has bowlegs. She was abandoned at birth, and she is 4 years old. What treatment can be offered to her? Doctor: Hi. Revert with more information to a paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28140, + "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": 23404, + "tgt": "My front teeth are flaring outside and it is looking ugly. Please suggest treatment", + "src": "Patient: Hello doctor, I hope you are safe and sound. I am 20 and I am wearing braces for the past eight months. I got my two teeth removed and both of them from the bottom. One from front bottom teeth, and one from the back of bottom right canine. My orthodontist now uses rubber bands on my teeth which I have been wearing for almost two weeks now but I can see my canines have adjusted but my front teeth are flaring outside and it is looking so ugly that I am worried they might never go back in due to lack of space. I hope you can suggest me something here. Looking forward to your reply. Thank you. Doctor: Hello. From the history and picture of the side of teeth (attachment removed to protect patient identity), I can tell you that your upper and lower teeth are flared. Also, there is an increased gap (overjet) between your upper and lower teeth. As you said, only your lower teeth were removed, that could be the reason for the overjet and hence the elastics (presumably). Use of elastics in a Class II fashion, that is upper front to lower back teeth can further increase the flaring of your lower teeth but will reduce the flaring of upper teeth and reduce overjet. Reducing the overjet is quite important and due to your bone structure (smaller lower jaw), flaring of teeth is bound to happen. So, I will suggest discussing other options like removing upper teeth as well or if required a surgical alternative to enable and bring the lower teeth to a less flared position. If however, that is not an acceptable option for you, slightly flared lower teeth would be the result and quite acceptable in our case. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 24336, + "tgt": "My neck cracks every time I turn it. What could be the reason?", + "src": "Patient: Hello doctor, My neck cracks every time I turn it. Been going on for about two years. There is pain daily. I have never been to a chiropractor. It is tense, and my head sometimes feels heavy. Doctor: Hello. Neck cracking could be due to bad posture loading your facet joint. So, while sleeping and otherwise, maintain good posture. Symptoms are due to upper neck structures involvement. If it bothers you too much, go for a couple of chiropractic mobilization. Otherwise, frequently icing your neck will help you to get rid of symptoms. A couple of exercises will get you out of this issue permanently. Hope this is helpful for you. Kindly revert back to me 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": 2360, + "tgt": "I took Accutane for 10 months and stopped it three months back. Why is my skin bumpy now?", + "src": "Patient: I was accutane for 10 months at 40 mg for the majority. I have been off of it for 3 months and am noticing bumpy skin, they are not pimples, just small slightly elevated bumps. Doctor:" + }, + { + "id": 12428, + "tgt": "What causes swollen ankles in lower feet with stretchy and tight skin?", + "src": "Patient: Hello doctor, My mom has swollen ankles in her lower feet. The skin is stretchy and tight. When you touch it, it is warm. Does she have edema? Doctor: Hello. Yes, she has a sort of edema. It is fluid retention in the ankles. Take less of salts and a low sodium diet. Please get all the investigations done like heart echo and blood tests, kidney tests. You may take a course of antibiotics and anti-inflammatory as well as it may be infectious too but it certainly is due to some circulation disturbance in the body. Also, you may get her feet elevated when she lies on the bed and do not allow her feet in the upright postion for a longer period of time. Get her thyroid, BP and fasting blood sugar also checked." + }, + { + "id": 6920, + "tgt": "I am suffering from muscle pain near my chest. Please help", + "src": "Patient: Hello doctor,I have muscle pain near the chest. I am having muscle pain near the chest from the last two to three months. I have done all the cardiac tests, and it is fine, then I consulted a rheumatologist, and she suggested some tests and medicine. It has been a month, and I am still having some pain. Doctor: Hello. You are right, and you have peripheral arthritis due to HLA-B27 positive. Your chest pain is due to enthesitis, and please feel free to query me in this regard. If your HLA-B27 positive by PCR (polymerization chain reaction), because that is a condition which can give rise to pain in the chest." + }, + { + "id": 12374, + "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": 641, + "tgt": "Due to depression, I am unable to sleep during night. Please help", + "src": "Patient: Hi doctor, I am facing some depression issues and not able to sleep during the night. After two or three hours I can sleep. During this time, I not able to control myself and crying like anything. Sometimes it is making me so crazy and angry as well. Please help. Doctor: Hello. How long have you been experiencing these symptoms like poor sleep, excessive crying, feeling angry, etc? Did they start after any stressful event? I can understand it can be difficult having these symptoms but with the right support you will get better. It looks like your poor sleep is related to your emotional disturbance. Helping you calm down will improve your sleep and overall emotional wellbeing. Share your feelings and thoughts with trusted family and friends. Talking to a trusted family member or friend can lower stress significantly. Exercise regularly as it is the best mood regulator. Even a brisk walk of 15 -20 minutes daily will restore your spirit and help to sleep better. Try relaxation activities like deep breathing, progressive muscle relaxation daily. Be kind towards yourself. Treat yourself like how you will treat a friend who is going through a difficult time. Avoid watching TV, electronic screens before bed time. It will worsen your sleep. If your depression issues are severe and persistent, consult a doctor for further assessment. Counseling therapy and sometimes medication may be needed." + }, + { + "id": 14875, + "tgt": "There is stomach ache with watery stools in a child. Please help", + "src": "Patient: Hello doctor, My daughter is 6 years old. She has a stomach ache. Her stools are a little watery. Please tell me a solution to this problem. Doctor: Hello. Watery stools imply stomach infection. That is why she has stomach pain. Usually, diarrhea persists for 3 to 4 days, please make sure the kid does not get dehydrated. Give her plenty of oral liquids like ORS, coconut water. Avoid sugary juices or liquids (they increase loose stools). If the child is dull or not taking adequate liquids or passing very less urine, please consult the doctor immediately as it implies that she is much dehydrated. Econorm sachets, one sachet morning and evening, to be mixed with a small quantity of water, for three days. Rebalanze one small sachet in 200 ml of water, and give as much as she can take." + }, + { + "id": 10864, + "tgt": "What is the treatment for dandruff, and hairfall associated with tiny itchy balls on my scalp?", + "src": "Patient: Hello doctor,I have dandruff, hair fall, and lately, I saw tiny white balls on my scalp after which my scalp became very itchy. Please tell me how to treat this condition. Doctor: Hello. You have seborrheic dermatitis probably. Use the following medications. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Zydip-C lotion (Clotrimazole, Beclomethasone) apply once at night on the scalp. 2. Protar K shampoo (Ketoconazole, Coal tar) three days per week. 3 Tablet Desloratadine 5 mg once at night. Do this for 20 days and avoid hair oil." + }, + { + "id": 25996, + "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": 20746, + "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": 19219, + "tgt": "Will DHEA and Ubiquinol still work while on birth control pills?", + "src": "Patient: Hello doctor, I am 39. RE has me on 600 mg Ubiquinol and 75 mg of DHEA daily due to poor egg quality. However, I am also on birth control pills due to bad endometriosis. Will the DHEA and Ubiquinol still work while on the pill? I have had two failed IVF cycles. Doctor: Hello. How are you doing? Birth control pills are a combination of estrogen and progesterone hormones. They just prevent the ovulation and have no effects on the actions of the DHEA and Ubiquinol. You can have them both at the same time. If I may advise, you already have a lot of risk factors. Your age is at the upper limit for the healthy reproductive age, two failed IVFs and endometriosis. These medicines have a limitation. They cannot regenerate new eggs from the ovaries. They are supposed to awaken the sleeping or hidden eggs. But at this age, the quality of eggs will be compromised. Also, the endometriosis would have damaged few eggs. The ideal and best option to get pregnant would be to go for donor IVF. You can have donor eggs with your partner's sperms, embryos, and your name. I suggest you suppress the endometriosis completely with injection Leuprolide, then transfer the embryos when the endometrium is thick enough. This way neither the poor egg quality nor the endometriosis will affect the pregnancy outcome. You will definitely have a healthy pregnancy. 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": 11387, + "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": 8961, + "tgt": "While on birth control pill, what can cause vaginal spotting?", + "src": "Patient: Hi doctor, I have been taking the birth control pill, Tri-Sprintec for almost five years now. I started my new pack of pills on 19 of last month. I had intercourse twice on 20th and once on the 21st of last month. I used to take my pill between 7 and 8 AM. One day I had pill at 6:30 AM as I woke up early and I hope that did not cause a problem. I started to notice a little pain on my right side in the pelvic area. I had intercourse again on 26th. I started my second week of the pack that day. During intercourse I felt pain, which never happened before. On 30th, when I was showering, I saw a rusty brown color discharge from my vagina and panicked immediately. When I continued to wipe my vagina a light brown, tan tinge appeared on the paper. Again on 31st, I saw a brown tinge on the toilet paper. Today, my urine color was brown initially and then became lighter. My period is not due now. I do not want to get pregnant. Please help. Doctor: Hi. The brown rusty vaginal discharge appears to be one of the side effects of Tri-Sprintec (combination of Norgestimate and Ethinyl estradiol). Irregular periods, unscheduled bleeding and vaginal spotting are side effects during the first few months of starting Tri-Sprintec. Another theory may also explain this unscheduled spotting. 26th of last month was close to your ovulation date on which you had intercourse and 30th coincides closely to the implantation date on which you may have vaginal spotting while implantation of the embryo occurs. But again the above theory is highly unlikely as you have been on oral contraceptive pills for a long time and they cause anovulatory cycles that is no egg will be formed or released. So for now hope for the best and wait for your periods. Stay optimistic. If you do not get your periods, then get a UPT (urine pregnancy test) done. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26668, + "tgt": "I had a rift with my family. Please help me to divert myself", + "src": "Patient: Hi doctor, I did not sleep for the past few months. I did not have proper food. Even if I am hungry, I could not eat. I had been through a fight\u00a0with my family as well as my\u00a0fiance. I do not want to leave,\u00a0but I want to know how I can divert myself. Please help. Doctor: Hi. Thanks for the query. I hope this helps. Take care. Feel free to drop a query anytime. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 20654, + "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": 28230, + "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": 27789, + "tgt": "Are my symptoms indicative of HIV infection?", + "src": "Patient: Hi doctor, I am having hot breaths, and my eyes feel hot. I have acidity problems. All these problems started after I had sexual intercourse. Is it an indication of HIV? Should I get a western blot test now? Doctor: Hi. Please provide more\u00a0history to give better advice.\u00a0Have a nice day. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25600, + "tgt": "Can I contract HIV from unprotected oral sex?", + "src": "Patient: Hello doctor, I had unprotected oral sex and protected hardcore sex with a commercial sex worker whose medical status was unknown. After four weeks of exposure, I had breathing and stomach bloating problem. I am allergic to cold and the climate in our area considerably dropped. I consulted a doctor and got a blood test for asthma but results were normal. In the fifth week, I got conjunctivitis, cough, and weakness at a time. The doctor gave treatment for conjunctivitis and syrup for a cough but still, I felt weak. Could you please brief on the above symptoms and I would like to undergo complete HIV test on the 90th day with results on the same day and doctor consultation for this. I am in a panic since that encounter of unprotected oral sex. Doctor: Hello. The chances of transmission of HIV (human immunodeficiency virus) by unprotected oral sex is almost nil unless there are bleeding wounds in both. This is unlikely. The chances of transmission of HIV by protected intercourse is almost nil. The risk is almost nil. You can go for HIV fourth generation tests and HIV 1 and 2 and PCR (polymerase chain reaction) now to be relieved of your anxiety. You can consult any major hospitals for investigation and management. The symptoms are nonspecific. It can be due to any simple respiratory infection or allergic manifestations. It is unlikely due to HIV. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 283, + "tgt": "Shall I continue the vitamin drops for my 20 days old baby?", + "src": "Patient: Hi doctor, My daughter is 20 days old. She is having loose motion from yesterday night. She passed loose stools for about 8 to 9 times between 8 PM to 3 AM. Only a few days back, we started giving multivitamin drops and vitamin D drops. After having that she seemed to struggle while passing motion and it was little. So, for the past two days we have stopped those drops. I have also attached an image. Can you kindly check and advice? Should we take the baby to the doctor? Does it have anything to do with breastfeeding? Many consider that could be one of the causes. Please clarify it. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11371, + "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": 8014, + "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": 18311, + "tgt": "Two years after a kidney transplant, I have foamy urine and legs are swollen. Please help", + "src": "Patient: Hello doctor, Two years back, I had a kidney transplant. Now, I have swelling in legs and foamy urine. I take Prograf 3 mg in the morning and 2.5 mg at night. My BP is 102/55 mmHg. I do not have diabetes. Please help. Doctor: Hi. Hope it helps. Please feel free to ask more queries if you need further assistance. I would be happy to answer.\u00a0Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21653, + "tgt": "Iron infusion caused side effects in me. Is there any treatment for anemia without side effects?", + "src": "Patient: Hello doctor,I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there were many instances of adverse reactions by taking medicines of Iron composition. These include restlessness, breathing problem, and diarrhea. About five years ago, upon the doctor\u2019s advice and supervision, I was fed intravenously through saline bottle with some Iron injection to it. Immediately in about 15 minutes after the procedure, I experienced shortness of breath, burning sensation in muscles, swelling of legs, fatigue, and diarrhea. It subsided when I was given an antidote by the doctor immediately. From then onwards I was reluctant to take any of my medicines and undergo any treatment. I just focussed on improving my diet. Recently upon doctor\u2019s advice, I took some medical tests and the reports were serum ferritin: 3.0 ng/mL, vitamin B12: 129 pg/mL, TSH: 0.02 \u00b5IU/mL (but T3/T4 tests are fine), iron: 15 \u00b5g/dL, TIBC: 527 \u00b5g/dL, hemoglobin 7.7 g/dL, vitamin D: 18.39 ng/mL. I was also informed that I developed food allergy to some foods. Lately, I am experiencing a headache with activity, unexplained generalized weakness, fatigue most of the time. According to the doctor, I am in a very critical position and should be immediately treated with Iron injections, blood transfusion, etc. But, I am really worried as my body will not be able to take these treatments (as I faced adverse reactions in the past). Are there any medical procedures or treatments on which I can rely upon ensuring that they will not have any adverse effects after the treatment. Please help me. Doctor: Hello. You are having Iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood transfusion or Iron injection might be needed in your case if severe anemia is present as per provided history. Before transfusion, an antihistaminic drug can be given to minimize allergic reactions. I suggest you consult a Hematologist for examination and accordingly further management. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 568, + "tgt": "Having some strangling feeling in my throat post thyroidectomy. Why?", + "src": "Patient: Hi doctor, I have been having a strangling feeling in my throat\u00a0for around seven months. This came post thyroidectomy and so I thought it had to do with surgery. However, my gastroenterologist did an endoscopy and found bile in my stomach. As I researched this, I immediately thought of my gallbladder removal surgery two years ago. Anyhow, she put me on acid reflux medicines and that do not seem to be helping at all. I have pain in the upper right quadrant of my stomach and this strangling feeling every day. I am taking Carafate four times a day as well. I have just changed my thyroid medicine to Nature Thyroid 2 grains per day. My TSH was at 2 and I know it should be closer to 1. What to do? Doctor: Hi. Small hiatus hernia. If gastritis is ruled out, then consider barium study for hiatus hernia. Infection induced pangastritis. Continue medications for gastritis. 1. Avoid spicy food and try to reduce any form of nicotine and caffeine. 2. Do not sleep immediately after dinner. 3. Try to reduce liquids during meals. Revert back with the answers to the above questions to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21353, + "tgt": "A stray puppy bit me on hand. What can I do now?", + "src": "Patient: Hello doctor, A stray puppy bit me on my right-hand fingertip just little hard when I was feeding it (80 days back) but there was no bleed and scratch. And the puppy died after three days of biting me. Cause of that is adult dogs had bitten the puppy. I had three doses of vaccination six years ago and also I had antibiotics vaccination last six months ago. I am a drinker. If the vaccines are still in my body or now what can I do? Please give me a needful answer. Doctor: Hello. The one which you mentioned six months ago, was it a full course of vaccination? Because, six years ago, you just had three doses. So if six months back was a complete vaccination course then you should receive the booster dosage of vaccination. Some amount of vaccination will always stay in blood but its always advisable to take booster dosage with every exposure. So overall, if you have received the complete vaccination in the anytime in the past, then booster should be taken with every exposure even if it occurs two months after vaccination. Booster dosing involves two dosages at day 0 and day 3. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3926, + "tgt": "After being obsessive about calorie intake, I stopped getting my period. Why?", + "src": "Patient: Hi doctor, I am 14 years old and I have been obsessing over calories for six months. Since then my period has stopped but when I started being obsessive my period was irregular. I have noticed that I have lost weight and my family and friends have noticed my weight loss and my obsession with calories and food in general. I do not do a lot of sport but I get to 10000 steps most days and I do a seven minutes workout in the mornings. A few months before, I used to eat around 1000 calories a day and now I eat around 1300 calories a day approximately. I want to eat more because I want to get my period back and I have noticed my boobs have shrunk. However, I do not want to look like I have visibly gained weight or I do not want my stomach to become untoned. I also do not know how much I should eat in order to maintain my weight but I do not think I am losing weight at the moment with eating 1300 calories per day. I spoke to my mom and friends about it and they all encouraged me to eat more but they do not understand that I do not want to look like I have gained weight so I want to try and gain muscle but I do not have a lot of time to go to the gym and do weight training. Do you have any advice? Doctor: Hi. According to the given data, your BMI (body mass index) is 18.7 which is in normal range, which means the right weight for your body. Trying to reduce more weight might cause under nourishment. Similarly, your requirement according to WHO (world health organization) standard is 1700 kcal /day. To maintain your weight follow these tips: 1. Manage stress, do meditation as stress increases hormone imbalance. 2. Divide your meals to small frequent meals (to increase metabolism). 3. Increase fiber and protein content in the diet which helps to build good muscle mass. 4. Do regular workout at a stretch of 20-30 minutes to avoid extra fat deposition or opt for spot reduction exercise. 5. Increase fluids for good oxygen supply and blood circulation." + }, + { + "id": 8214, + "tgt": "A coma patient has normal vital signs with eyes shut even after surgery. Why?", + "src": "Patient: Hello doctor,A 55-year-old female is in coma. Her vital status are fine, but her eyes still shut, and head surgery completed 11 days back. Please help. Doctor: Hello, Welcome to icliniq.com. She has significant brain insult in the form of left-sided brain infarct and left-sided brain blood clot or bleeding. She may need surgery to remove one part of the skull and preserve in the abdomen for future reimplantation. Consult a neurosurgeon for a decision about surgery. I want more details about her pupils and corneal reflex and breathing pattern. I think she must be on a ventilator, so monitor her properly, go for surgery if your surgeon says. Prognosis is not right if she recovers then also she will have weakness in right side and speech problems." + }, + { + "id": 23449, + "tgt": "What is the most effective treatment for streptococcus pneumonia?", + "src": "Patient: Hello doctor, I have shortness of breath (worsens on mild exertion), barking cough, fever, joint pain, headaches, and exhaustion. It feels like asthma but does not respond to asthma medicines. I have tachycardia and palpitations too. What is the most effective antibiotic treatment for streptococcus pneumonia? Can Augmentin duo forte be used? If so, what dose or duration? Doctor: Hello. Yes, Augmentin (Amoxicillin and Clavulanic acid) is one of the best oral medications for streptococcal respiratory tract infection. The dose is Augmentin Duo 1 gm two times a day for five days. This has to be taken with antacids like tablet Pantoprazole 40 mg before breakfast once a day for five days. In throat swab report (attachment removed to protect patient identity), most are physiological streptococcal bacterias which are normally found in the oral cavity. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7573, + "tgt": "Is medicine the only solution for gout?", + "src": "Patient: Hello doctor, I have gout, and my uric acid remains in the range of 8.5 to 9. Is medicine the only solution? I have not started any, but the doctor suggested Febutaz 40 mg. If I start my medicine and continue with my daily workout, is it fine to add a protein shake in my diet? 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": 4250, + "tgt": "Does presence of fluid in brain require a surgery?", + "src": "Patient: Hello doctor, My sister is suffering from\u00a0head pain since one month. She usually have head pain when she wakes up from bed, which gradually gets alright after a while. She is taking Dynapar for pain. The reports of CT scan and MRI shows everything normal. She consulted a few doctors, some suggested surgery of her brain has to be done and some say it can be cured with medicine. Doctors say that there is a fluid in her brain. I want to know, is there an alternate way to cure this with a medicine? If yes, then will it get cured completely? Or will it recur? Pain is on the backside of her head. I am attaching her x-ray, MRI and CT scan reports for your reference. Please provide the best way to cure this. Thank you. Doctor: Hello. We are here to help you.\u00a0I have gone through your sister's reports (attachments removed to protect patient identity). For further clarifications consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist {{data.answer_ext.pb_cause}} {{data.answer_ext.lab_t}} {{data.answer_ext.ddx}} {{data.answer_ext.pdx}} {{data.answer_ext.treatment_plan}} {{data.answer_ext.p_tips}} {{data.answer_ext.followup}}" + }, + { + "id": 14966, + "tgt": "Is it safe to take Vyvanse for ADHD symptoms?", + "src": "Patient: Hello doctor, Is it safe to take Vyvanse 100 mg for ADHD symptoms? Doctor: Hi. Vyvanse (Lisdexamfetamine) is a stimulant. I basically do not approve giving stimulants to target ADHD (attention-deficit hyperactivity disorder) symptoms. And the dosage 100 mg is way above safe dosing range. One side effect to watch out for is motor tics or involuntary movements when you take such a dose. The occurrence of this side effect is dose-dependent and if it occurs, it means that you are using above the therapeutic dose. Consult a psychiatrist online before taking such a dose --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1399, + "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": 3633, + "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": 8034, + "tgt": "I cannot penetrate my wife as it is painful for her. Please advise", + "src": "Patient: Hello doctor, My wife and I are unable to have intercourse as it is the first time for both of us. We recently got married and when we tried,\u00a0we failed to do it as it was very painful for my wife. It has been one month and we failed every time. Also, we applied KY Jelly as a lubricant, but it did not help. My size is good and when I tried to penetrate, she feels a pain and some times she starts shivering. The head of my penis goes inside easily but after that when I push inside, it never goes. Please advise what we can do and to whom we can consult. Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 16576, + "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": 13799, + "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": 18345, + "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": 3834, + "tgt": "What is the lump that I can feel on the back of my neck?", + "src": "Patient: Hello doctor, I have a sore shoulder and neck. In the back of my neck, I feel a lump. I can feel it when I bend my neck forward and on my left side. I also get some burning sensation in my neck. Please help. Doctor: Hi. For further doubts consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 19598, + "tgt": "Is I-pill still effective when taken 48 hours after the act?", + "src": "Patient: Hello doctor, My husband\u00a0and I had protected sex on the 15th of the month. I have taken an I-pill on the 17th. There is no withdrawal bleeding yet. I was worried about a pregnancy as there was some pre-ejaculate involved. So, I took a pregnancy test and it came back negative. Now, when can I expect my period? Or is there still a chance I am pregnant? Doctor: Hello. Since you have taken an emergency contraceptive pill within 72 hours of intercourse, there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. Wait for another week or so, and repeat the test with an early morning urine sample to ensure that you are not pregnant. By then, you should be getting your periods. 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": 13908, + "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": 4436, + "tgt": "Will I get any health problems if I get married twice?", + "src": "Patient: Hi doctor, I got married 13 months back. I had intercourse\u00a0with my husband once immediately after marriage and then once again two months back. I also had birth control pill twice. Unfortunately, my husband died in an accident now. Everyone in my family forcing me to get second marriage. If I do so, will I get any health problems\u00a0like pregnancy problems or HIV? Please guide me. 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": 28934, + "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": 12204, + "tgt": "What test should be done to confirm emphysema?", + "src": "Patient: Hello doctor, I had a chest x-ray and chest ct scan done. And they both came back normal. If I had emphysema would it have shown up on one of those two tests? Doctor: Hello. Significant emphysema in the lungs would have been visualized in the x-rays. Early stages of emphysema are difficult to see on x-ray and are visualized only on HRCT (high-resolution computerized tomography) chest scan. If X-rays are normal then more likely that you do not have lung emphysema." + }, + { + "id": 18547, + "tgt": "Follicle develops into big cyst every month. Doctor says, it is because of subserosal fibroid. Is this correct?", + "src": "Patient: Hi, My wife has regular periods. All tests are normal. Her follicle develops into a big cyst every month. Doctor says it is because of subserosal fibroid. Is this correct? Doctor: Hi. You should consult a gynaecologist and get her hormonal profile done to rule out other causes if any. Follicular cyst may be because of PCOD (Polycystic Ovarian Disease) or it may be because of subserosal fibroid and also it can be because of hormonal changes. Subserosal fibroid is nothing but a uterine fibroid. Hope I have answered your query. If you have further questions, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14444, + "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": 12554, + "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": 25626, + "tgt": "Why have not I conceived after two years of marriage?", + "src": "Patient: Hello doctor, I am a 30-year-old woman with a weight of 75 kg, height of 5 feet 5 inches, and my husband's age is 34. We got married two years ago and still have no child. I am trying to conceive for the past one year. My cycle days average between 32 to 34. Last year, I missed my periods, but my urine test was negative. I had lower backache, tender breasts and feelings of vomiting but later on, I got my periods after 43 days. Currently, this month also, I had the same symptoms. At the start of this month, my urine pregnancy test at home was negative. I am tracking basal temperature for ovulation days, cycle days and BBT graph with corresponding days. The temperature image is also attached below. Please guide what could be the probable cause of these happenings. Should I approach an infertility specialist or a gynecologist for my symptoms? Doctor: Hello. Occasionally, you are having late cycles which is not uncommon and your BBT (basal body temperature) show delayed ovulation. Now, if you are having sex based on the BBT chart then stop this practice though fertile period has a maximum chance of pregnancy yet pregnancy can occur on nonfertile days often. So, have sex throughout the month. If you have not done any tests you should do blood tests, sugar tests both PP (postprandial) and fasting, TSH (thyroid-stimulating hormone), prolactin, testosterone, and ultrasound of the pelvis and husband's semen analysis. Depending on these reports, treatment will be decided upon. Initially, you can see a gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8903, + "tgt": "Is it advisable to take Dopamine agonist after stopping Paliperidone for schizophrenia?", + "src": "Patient: Hello doctor, Ropinirole to boost dopamine after Paliperidone treatment for schizophrenia? I am a 46-year-old male. I have been in hospital a couple of times recently, in their judgment I was quite unwell (paranoid about spooks after certain events), diagnosed with schizophrenia (though I am not sure, although I was extremely paranoid), and they put me on a CTO for injections of Paliperidone, which I have been on for the last 18 months or so. 100mg I believe for 6 to 12 months, then 75 mg for six months, and now on the lowest dose that it comes in and have been completely free of thoughts of spooks for nine months, so I am well. But I notice that I seem to be a little zombified due to the effects of the drug, and am worried about Dopamine impact (an important chemical), and frankly, I would like to try to help restore Dopamine to a healthier level. I am not sure that is going to happen naturally, so was wondering about a low dose of a Dopamine agonist like Ripinirole for perhaps a year or so, to get things moving in the right direction. Whether this would actually help restore dopamine function though I am not sure. Also, it can increase the chance of psychosis, hence the preference for low dosage. What I am after then is some brief comment on whether you would recommend this or not (at a glance), or something else. Any comment would be appreciated. Doctor: Hi. Taking Dopamine agonist to restore dopamine level in the brain after giving antipsychotics for schizophrenia is not a suitable choice because of relapse of psychotic symptoms or exacerbation of symptoms not only psychotic symptoms but mood symptoms, these side effects are called extrapyramidal symptoms which can be managed to give anticholinergic medications along with antipsychotics, better to visit your treating doctor to have healthy discussion on this." + }, + { + "id": 23245, + "tgt": "Can we win over thyroid problem by taking homeopathy medicines?", + "src": "Patient: Hello Doctor, My mother has thyroid problem. She is taking homeopathy medicines. Thyroid problem not corrected.\u00a0She is 40 years old, weight 42 Kg, height 5 feet. What should she do? She feels weak. Can we win over this thyroid problem? Doctor: Hi. I fully appreciate your concerns. I am sure that you will benefit from the advice. Please feel free to revert back to an endocrinologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14732, + "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": 20452, + "tgt": "I suffer from premature ejaculation and poor erection. Please advise", + "src": "Patient: Hi doctor, I suffer from premature ejaculation and poor erection. While intercourse the semen has ejaculated within seconds. I have advised to take Nanoleo, Ultra D3 and Uphold for the night and Spem cure and Ultra D3 for the morning. While taking night set of pills, I woke up at midnight with heavy sweating, nervousness, and indigestion. Then I stopped all the pills. Please advise me can I continue with the pills or go for other treatments? I had a semen test and it has 60 million with 30 % motile. Doctor: Hi. Take tablet Uphold (Tadalafil and Dapoxetine) one hour before intercourse. Do not take it on regular basis. It is for erectile dysfunction. Take tablet Duralast (Dapoxetine) 30 mg one hour before the intercourse. It is for PME (premature ejaculation). Nanoleo is ayurvedic preparation, commonly prescribed for low sexual desire patient. So no need of it. Ultra D3 is Calcium tablets. You can take it if you want. Sperm cure (Coenzyme Q10, Lycopene, etc.) is also not needed daily. Take a healthy diet. Do regular exercise. Do you have any anxiety or depressive symptoms? Review after 15 days." + }, + { + "id": 27242, + "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": 9820, + "tgt": "What is the treatment for astigmatism?", + "src": "Patient: Hello doctor, I just went to an optometrist yesterday and they gave me a contact lens prescription of -6.00 for both eyes. For 30 years, I have always had different strengths, both with astigmatism usually going up a bit each year to the last one 18 months ago which was: Left -4.50 -.75 160 8.6 14.5 and Right -5.00 -2.25 180 8.6 14.5. Now this new place is telling me I do not need any astigmatism correction. The trial lenses I left with did not work 30 minutes later. I think their test was done wrong or could they possibly be right? They are acting like they do not want to retest at all. Doctor: Hi. If someone has an astigmatism and that too upto 2.5 diopter, it is rare that it is reversed. But sometimes optometrist can add astigmatic power in spherical power that is called spherical equivalent. In such cases half the power of cylinder is added to spherical power. For small astigmatism, it works well that you can use simple spherical lens but if astigmatism is higher then spherical equivalent will not give optimal visual correction. For right eye which has 0.75 cylinder can be added to spherical and it will work but in left eye cylinderical power is 2.5 diopter. Now, if you are comfortable with simple spherical glasses then it is okay. But if it is not working then you should shift back to cylinderical contact lenses. You can visit to your optometrist or ophthalmologist again for accurate refraction and I hope your problem will be solved. You are welcome for any queries." + }, + { + "id": 28695, + "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": 15004, + "tgt": "Can leaving tobacco chewing cure oral fibrosis?", + "src": "Patient: Hello doctor, I am a patient of oral fibrosis. Is it curable or not? And leaving tobacco is how much helpful? Doctor: Hello. Oral submucous fibrosis is a common premalignant condition. Main causes are tobacco-gutkha, beetle nut. In this condition the most important thing is to stop the habit immediately. There are many treatment therapies available like steroids, vitamin therapy, an oral exercise which are helping to improve the condition. Some time there is a need for surgery. First, you stop your habits and see your dentist as soon as possible. He or she can examine and tell you about treatment plan according to your condition." + }, + { + "id": 26205, + "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": 5490, + "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": 23309, + "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": 1655, + "tgt": "What to do for back soreness?", + "src": "Patient: Hi doctor,My back is really sore. I feel dizzy and I sleep on the floor. Please help. Doctor: Hi. For further information consult a chiropractor online -->https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 15264, + "tgt": "The area surrounding my urethra is enlarged without discharge or odor. Why?", + "src": "Patient: Hi doctor, I am 19 years old. The area surrounding my urethra is enlarged. It is whitish, and it has a cottage cheese-like texture. There is no discharge or odor. I do not know what to do. I am embarrassed. Please help. Doctor: Hi. It can be a pelvic or sexually transmitted infection or candidiasis. Have strict hygiene. Use soft, comfortable, and cotton undergarments. Use condoms while having sex to avoid having sexually transmitted disease. Have high, low vaginal and urethral swab. After collecting the swab, have one Canesten pessary for two alternate nights at bedtime. So the infection can flow out if you have it. You can have sitz bath if you feel irritated. Collect the swab report and discuss here or with your local gynecologist. You need to treat it soon." + }, + { + "id": 4228, + "tgt": "My CT thorax shows moderate right pleural effusion. Should it be drained immediately?", + "src": "Patient: Hello doctor, A recent non-contrast CT scan of thorax, taken 10 weeks after undergoing a right hemicolectomy, showed: 1. Expansible sclerotic lesion in right rib may be benign. Bone scan might be useful. Given that I have only one kidney left, how would the injection of radioactive substances affect my single kidney? 2. Moderate right pleural effusion. What are the risks of draining this effusion? What natural alternatives are there (home remedies)? How urgent is it to drain this moderate effusion? I have right pleural effusion, no chest pain, but some shortness of breath especially when climbing stairs. Doctor: Hello, Welcome to icliniq.com. To answer your first question, it all depends upon your creatinine clearance (how good is the remaining kidney functioning), also the reason why one would want to investigate this lesion further. Say for example if I am concerned about a metastatic lesion I would consider a PET-CT (positron emission tomography-computed tomography) if I am worried about a primary bone cancer an MRI and so forth. Moderate pleural effusion in a diagnosed condition is treated by watching closely and making sure that it is improving by serial chest x-rays. However, if it is a new onset of pleural effusion then it should be drained and the pathology should be investigated. Salt restriction in a patient with heart failure, liver and kidney issues helps to improve the pleural effusion. I hope this helps." + }, + { + "id": 4291, + "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": 13276, + "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": 28596, + "tgt": "Can medical treatment cure blocked blood vessel?", + "src": "Patient: Hi doctor, My mother is 80 years old. She felt uneasy in the night, and we immediately took her to the hospital. She was diagnosed with three vessels blocked two of them 90%, and the third one is 40% blockage. After angiography, the doctor advised for an operation. Due to her age, we would like to get treatment with medicine. Is there any medical treatment to cure my mother without operation? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29264, + "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": 7585, + "tgt": "I had my periods before 50 days. Will Kalarchikai induce my periods in a week?", + "src": "Patient: Hello doctor, I am an unmarried woman. I got periods before 50 days. I am having kalarchikai from yesterday. Will I get periods within a week? Five months it is was a regular cycle the sixth month is like this. It was irregular now again same. What to do? Doctor: Hello, Welcome to the icliniq.com. You have the delated period problem. If you have any history of unprotected sexual intercourse than rule out pregnancy by urine hCG card test. If the pregnancy test is negative than rule out thyroid issue by serum TSH estimation. You need to investigate with ultrasonography of abdomen and pelvis with particular emphasis on the ovary to rule out the ovarian problem if present. If you have gain weight recently then also it can be the cause. For that, you need to lose weight. You can consult a nearby gynecologist for your detailed pelvic evaluation. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 28940, + "tgt": "My mother has a cyst in the uterus. Could it be cancerous?", + "src": "Patient: Hi doctor, My mother is 48 years old, and she was having a problem with menstruation. So, she got a sonography done, and the sonography reports showed a large, and ill-defined heterogeneous mass lesion with moderate internal vascularity in cervix extending into the lower uterine region and upper one-third of the vagina (parametrial extension). The doctor said that there is a cyst on the mouth of the\u00a0uterus and it could be cancerous. My mother\u00a0does not have any symptoms, no pain and no loss of appetite, but she feels little tired all the time. Is it cancerous or non-cancerous? And what is the best treatment for removing this cyst? She just had the sonography done and has not started taking any medication yet. She had heavy bleeding a year back and sometimes fibroid like things used to come out. She took Mensu syrup for 21 days, which made the bleeding normal. But the menstruation problem returned after stopping the medicine. So she got an ultrasound done. Please help. Doctor: Hi. From the history, I do not think you have to worry. Let me explain why. It mostly appears to be a fibroid arising from the lower uterine segment, just above the cervix and extending to the vagina. Never diagnose any disease by just an investigation report. Most important things in diagnosis are history and examination. In history, the duration of complaint, type of the previous cycle, associated bladder or bowel symptoms, watery discharge, etc. has to be noted. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20111, + "tgt": "I am facing mild jaundice and loose motions after bariatric surgery. Please help", + "src": "Patient: Hi doctor,I am 47 years old, female. I have undergone bariatric surgery five months ago. Now, I am suffering from mild jaundice (total bilirubin 1.5 mg/dl) and mild typhoid too. I have been facing non stop loose motion since last two weeks. I have seen the doctor. They have prescribed me the following medicines Probinex capsule, Lornit-150, Libotryp and typhoid and jaundice medicines are also on. But, I have not got rid of my loose motion yet. Symptoms which my body is divulging are:Loose motion (five to six times in a day). The color of stool is yellow (liquid).The color of urine is yellow.Cramp in the stomach.Abdomen pain (above navel).A headache.Nausea.Yellowish urine.Weakness.What should I do now? Doctor: Hello. Your bilirubin level looks fine. Not so worrisome and does not require any acute measure. Regarding the loose stools, it will take time to settle. Meanwhile, you have to be very cautious to avoid dehydration and electrolyte disturbances from loose stools. Keep yourself well hydrated. Every bout of motion should make you drink water thrice the volume of stool loss or roughly 500 ml. You can have ORS packets which are the best supplements. Add probiotic capsules (like Darolac, Vizylac or Econorm) twice daily for a week. Add some acid-suppressing tablets like Pantoprazole 40 mg tablets once daily for one week. The Probinex capsule (Ibuprofen) can be avoided. Buscopan (Butylscopolamine) or Hyocimax (Hyoscine) tablets can be used twice daily for cramps. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26060, + "tgt": "After a head injury, there is some memory loss. What would be the best treatment?", + "src": "Patient: Hello doctor, I am writing to you regarding a 54-year-old male who had a head injury on the 11th of this month. The CT scan is dated 30th of this month. 'A small ill-defined hypodensity in the right posterior frontal white matter extending from the subcortical to the deep periventricular region of a non-specific etiology, probably chronic ischemia. No depressed skull bone fracture or subdural/extradural hematoma'. Presently, the patient is speaking, understanding, eating, talking normally, identifies his family members, etc., but he does not remember what happened to him. There is some memory loss. So, what would be the best treatment? Medicine daily dose details are as follows: Tablet Valprol 500 mg twice a day for one month, tablet Neurobion fort one tablet twice a day for 15 days, and tablet Pantocid 40 mg once a day for one month. Doctor: Hello. Hope you will find this answer helpful. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 13843, + "tgt": "I have stretch marks on my breast. What does that mean?", + "src": "Patient: Hello doctor, I am 18 years old and I am starting to get stretch marks on my breast. Does that mean they will grow? I am currently a 34D cup and my mom is a 36DD. Doctor: Hi. It is your teenage and you are in growing and developmental phase of life still. The reproductive system is still under the process of growth and that is why you could experience different changes. Breast could have effects of menstrual cycles hormones that can give you strech like feeling. During ovulation, fertilization, excitement, stress, hormonal change, pregnancy, near periods, hormonal effects can affect breast and can give you a better feeling of engorgement, fullness, and heaviness. As soon as hormones come back to normal level, the feeling subsides. I hope you get my point. You can have hot fomentation if you feel irritation or warm baths or warm water swimming can help you. Check on other symptoms and report if breast symptoms persist more then a month further. Hormonal changes. Hot and cold fomentation. A balanced diet, cycling, BMI, swimming, and bath in warm water." + }, + { + "id": 4972, + "tgt": "Can psychiatric medicines make you feel lazy?", + "src": "Patient: Hi Doctor, I am taking the following psychiatric medications: Oleptal DT 300 1-0-1, Encorate Chrono 300 1-0-1, Zipsydon 80 1-0-1, Flunil 60 1-1-0, Zapiz 0.5 1-1-1, Provanol 10 1-1-1 and Waklert 150 1-0-0. I feel lazy and have low libido. Tentex forte is not working for me. Please modify my dosage, so that I do not feel lazy and also recommend some libido improving medicine. Also I had epileptic fit last year due to excess of Bupropion Sr 450, but since then I have no fit. My main problem is laziness. So please adjust the dose accordingly. Thank you. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5536, + "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": 12033, + "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": 13120, + "tgt": "Please advise me about the fasting method of detoxification", + "src": "Patient: Hi doctor, I am 24 years old. I am obese with weight 110 kg and taking BP medicines. I want to detoxify my body. I read somewhere a schedule for detoxification of the body. In this chart some days they want to remain on a liquid\u00a0diet that is, only on water. Is that a\u00a0safe way to detoxify? I have to take medicine regularly and so, I am concerned. Also,\u00a0please tell me the way to lose weight. Doctor: Hi. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 8290, + "tgt": "Can Escitalopram cause weight gain and excess sweating?", + "src": "Patient: Hello doctor, Are weight gain and increased sweating typical side effects of the medication Escitalopram (Lexapro, Cipralex)? I am asking because I gained about 6 lbs in three months and I sweat a lot but I must admit that I am a regular alcohol user. About 4 to 5 drinks on the week (evening only, never during the day) and a little more on weekends. I have always been predisposed to sweating but it seems worse since I am taking Lexapro. I was wondering if alcohol can make me sweat in the morning, 8 hours and more after my last drink? Or is it the combination that causes this sweating? And what about my weight that seems to increase easily? Doctor: Hello. Escitalopram is an effective antidepressant but as with any other drug, can cause some side-effects. Increased sweating (diaphoresis) is a less common side-effect and can happen with Escitalopram. Some patients experience weight gain as well but as you recognized it is more likely to be due to a combination of factors. Regular alcohol use is a known factor for weight gain. It provided empty calories and you can make unhealthy food choices whilst drinking alcohol. Also, regular alcohol use can make Escitalopram less effective and can worsen emotional problems. In this situation, it will help to cut down on alcohol, eat healthily and exercise regularly. If problems persist and are affecting your quality of life, kindly discuss with your prescribing doctor." + }, + { + "id": 26008, + "tgt": "I get dizzy rush sensations while looking at the computer or smartphone. Why?", + "src": "Patient: Hello doctor, I seem to be getting these dizzy rush sensations. They happen randomly throughout the day, but mostly when I am on the computer. It feels like an electrical pulse is surging up through the back of my head. I also feel dizzy turning side to side and when I get a headache, it feels like it is coming from deep within my left ear. It causes me to panic and get a lot of anxiety afterward.\u00a0What could this electrical rush sensation be?\u00a0Then, also, after I get it, I cannot look up too quickly because I feel very dizzy. It usually happens again, while typing on the computer or looking down at a smartphone. Doctor: Hello. I will try my level best to help you out. Your symptoms are mostly dizziness, which worsens with sudden eye movements or body movements, and are sometimes associated with headaches. Based on the symptoms, the most common cause in your age group is a vestibular migraine or benign paroxysmal positional vertigo (BPPV). I assume you do not have any other risk factors such as diabetes, hypertension, previous stroke or diagnosis of epilepsy. A simple neurological exam using Dix Hallpike Maneuver can help differentiate between BPPV and vestibular migraine. Also, further questions on the quality of headache, location and associated symptoms such as light sensitivity, loud noise sensitivity and nausea are other important questions, that can happen with vestibular migraine. Treatment for BPPV is physiotherapy with some specific exercises and medicines such as Topiramate or Valproic acid for vestibular migraine. If there are any red flags on neurological exam, then an MRI (magnetic resonance imaging) of the brain would be needed. Please do not hesitate to ask me any other questions. Take care. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 9236, + "tgt": "I had skin grafting in my leg due to acid burn. How to regain my skin color?", + "src": "Patient: Hello doctor,I have undergone skin grafting in my leg due to acid burn before three years. Now it is fine. But my skin discolors, and stitch marks are not changing significantly. So please suggest some treatment to be done to regain my skin color quickly. Doctor: Hello. I understand your concern. Though It is not possible to reverse changes back to normal completely, you can use following topicals and then follow back. 1.Contractubex cream 2. VC 15 serum. Mix both in 2:1 ratio and apply twice a day for six weeks." + }, + { + "id": 20478, + "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": 22344, + "tgt": "Can I get protected against hepatitis B by vaccination?", + "src": "Patient: Hi doctor, I kissed someone who had chronic hepatitis B. So, I put my first hepatitis vaccination immediately, a second vaccination a week later and the third one, two weeks later after the second. Am I protected against hepatitis B? Doctor: Hello. Yes, you are protected. Although the booster is not taken, some amount of immunity is provided by vaccination, it is enough to protect. So, it will protect you. Now, the best way to confirm this is by getting immunoglobin titers done and if the titers are adequate, that indicates the complete protection. So, visit the nearby laboratory and ask for hepatitis B immunoglobin titers. 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": 6477, + "tgt": "I am having pain in my cheeks and unable to open my mouth fully. Why?", + "src": "Patient: Hello doctor,I am having pain in my mouth (cheeks) for the past two days. I am unable to open my mouth fully. The previous night I gave a long blowjob session (approximately 10-15 minutes) to my partner. Since then I am feeling too much pain. I am unable to eat anything. Please suggest some medicine. Doctor: Hello. It could be due to infection in the lower wisdom tooth area. This occurs when the lower third molar, wisdom tooth starts coming out. If there is less space for it, then the food starts accumulating beside it. Use warm salt water gargle three times a day for a week. Take: 1. Amoxicillin 500 mg three times a day for three days. 2. Flamar (Diclofenac sodium) three times a day for three days. Consult a dentist. Send a picture of the area if possible, for a detailed treatment plan." + }, + { + "id": 18745, + "tgt": "What are the causes of foot drop with slight numbness?", + "src": "Patient: Hello doctor, I am a 27 year old male, I have got foot drop perhaps from crossing legs frequently. I first noticed the foot drop when I was walking three\u00a0weeks back, the dorsum and the end of the foot were slightly numb. The numbness has subsided a week back, but I still do not have any power to dorsiflex the foot. I can only flex it up to 1 to 2 cm when I stand up. Is it a good sign that the numbness has subsided? The doctor told me to wait and watch, but I have numbness in my left hand as well at nights, which goes away when I pump my hand. I have had a\u00a0problem of hard stool previously, and now it has returned. I still have not got my reports of vitamin B12 and CRP. Should I be worried? Doctor: Hi. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26041, + "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": 10111, + "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": 4467, + "tgt": "Is there any permanent cure for erosive antral gastritis?", + "src": "Patient: Hello doctor, I am 43 years old. From my 25 years of age I am suffering from burning epigastrium i.e. erosive antral gastritis. The endoscopy report shows erosion ++, congestion +. My Physician has suggested any of PPI like Pantroprazole 40 mg OD or Rabeprazole 40 mg OD. I Simply wish to know is there any way out to cure it? I am taking PPIs for 22 years. I am negative for H.Pylori. Doctor: Hi. Along with chronic gastritis, you seem to be having hypertension and might also have diabetes. You must get your HbA1C (glycated hemoglobin) levels done. The chronic gastritis is basically of 3 types, environmental, autoimmune and least common diffuse antral gastritis. As you have reported above yours is an antral type. The problem with antral type gastritis is that it is associated with increased acid output from the gastric glands and might lead to duodenal ulcers. PPI (Proton Pump Inhibitors) are H+ion (proton) inhibitors, they block acid secretion and hence are helpful in this type. Now the catch here is H.Pylori. Usually, H.Pylori is harmful and causes destruction of gastric glands, but in case of antral Gastritis where the gastric glands are hypersecreting, the destruction of these glands provides symptomatic relief. In your case H.Pylori is negative and hence you are having these symptoms. Your symptoms will remain suppressed while you take PPI and whenever you will stop PPI there would be an exacerbation of these symptoms. You should get yourself thoroughly investigated and other organic causes should be ruled out. Some lifestyle modifications you can try, which I have already answered in this link. Here was a study performed in China, where it was found that \"green tea\" reduced the risk of gastritis by 50%. I hope your treating physician would have tried giving you Sucralfate or Gefarnate. If not you can try the above either of the two. Also, you should keep a check on your blood sugar levels and exercise regularly. An hour of a brisk walk for five out of seven days in a week will definitely help." + }, + { + "id": 23497, + "tgt": "I have recurring otitis media. How can this be fully resolved?", + "src": "Patient: Hi doctor, I am a 46 year old male. I have been having recurring otitis media every year since three years. I was treated with various courses of antibiotics. Amoxicillin is already resistant. So Cefpodoxime and recently Cefuroxime is being used for treatment. I would like to know if there is any permanent solution to cure otitis media as I have also heard it could cause meningitis. I am having another bout right now with my left ear drum is inflamed and this time Cefpodoxime cannot clear it. So, the specialist has put me on Cefuroxime. I am still on this course of antibiotics. I have back aches, cough with phlegm with low-grade fever and feel generally lethargic. I also have high-pitched tinnitus which is very loud. Can you please tell me if I can take a treatment where this issued can be fully resolved? Doctor: Hello. Taking antibiotics is not the solution to the problem. If you have a recurrent infection and eardrum perforation, you need to undergo a minor ear surgery which is performed by almost all ENT surgeons. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29361, + "tgt": "How to solve my son's bowel control problem?", + "src": "Patient: Hi doctor, My son just turned 11. He has always been having bowel control problems. He always says that poo came too fast he cannot hold it and lost control on the way to the toilet even if the bathroom is very close. He is not constipated because his poo is never hard or difficult and he never had diarrhea either. I was thinking about why he is not able to hold the poo until he reaches the toilet. When I was researching on the internet, I came across the term developmental coordination disorder. I am not sure if he has a lighter version of this disorder. His intelligence is good, doing good in maths and reading at school. But, his sports ability is quite bad, and handwriting is a problem too. I read a\u00a0description of developmental coordination disorder, and it is mainly about lack of motor skills. His bad sports ability makes me think if he has this disorder. He also has difficulty in performing school activities such as writing, coloring and using scissors. His walking is normal and never trip or run into others.\u00a0I tried to toilet train him for a few months. Now it is the school holidays, and I did not continue with the potty train. Today, he soiled again. I am not sure if toilet train will help and maybe it is that I need to keep with it longer. How can I know if my son has developmental coordination disorder?\u00a0How can I help him to solve the lack of bowel control problem? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7443, + "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": 20236, + "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": 4366, + "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": 18791, + "tgt": "My heart rate increases with exertion. Should I be worried?", + "src": "Patient: Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health.\u00a0I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massively severe pain in both breasts. That was so bad and could not even let my arms brush against them. It lasted a couple of hours and then I fell asleep. I was concerned at that time that it may have been a heart attack, but I am afraid to go for a check up. I am a 45 year old female. I am overweight 270 lbs and have not been active for a while. I have started having my heart rate spike to 120 or 140 when I stand up and move. If I move much or fast, it goes to 150 or 160. I know my overall health is not good and I am trying to change that. I am trying to fix this with improving my lifestyle. Is it something serious to be worried about? My resting heart rate has been in the 80s if sitting calmly but can get into the low 70s, if I am resting or sleeping. Even moving in bed, increases my heart rate to 100s or 110s. I began using an oximeter to monitor the pulse rate and try to get data to understand and try to fix it. But, I realized that it keeps saying my oxygen is dropping. I have a picture of the readings from the oximeter information. I am drinking vegetable juices and taking supplements to thin the blood and help the heart to try to help. But, it has been several weeks, and it is not improving. I have been taking Hawthorn, Omega 3, turmeric, cayenne, magnesium or potassium aspartate and Aspirin for the last week. Doctor: Hi. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepiness, etc.? If yes, then it further supports the diagnosis. Obstructive sleep apnea is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity. Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. The investigation I suggest includes ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction, thyroid function test, lipid profile, sugar, HbA1c and vitamin D. I also suggest polysomnography, which is sleep study to confirm the diagnosis and extent of disease and pressure of CPAP (continuous positive airway pressure) needed. Revert with the reports to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22041, + "tgt": "I have some extra flesh near anal area which is painful. Is it cancer?", + "src": "Patient: Hello doctor,I am a 32-year-old female. I had pain in anal area few days before. Then I had noticed some extra flesh near anal area which is strong enough. It is very painful, not all the time but often. At that time I usually had back pain and leg pain also. Can it indicate cancer? I am in confusion. Please help me with your opinion. Doctor: Hello. What you are experiencing is hemorrhoids probably grade one. These ones appear and disappear and mostly they occur as a result of trauma to the anal lining that could arise from having a hard stool also associated with constipation. First, ensure that you take a lot of water, fruits, and vegetables. This will help loosen your stool and also reduce the pain. You can take pain relievers and also suppositories if the extra flesh persists or does not appear. You can consider haemorrhoidectomy, a procedure that is done to remove the hemorrhoids. You can take Oxifast P (Lornoxicam and Paracetamol), Anustat suppositories (Aesculin, Hydrocortisone, etc.). For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5099, + "tgt": "My partner with regular menstrual cycle missed her period this month. Why?", + "src": "Patient: Hello doctor, I and my partner had safe sex before three months, after that we never had sex. She had regular periods till now, but this month she did not get her periods on the expected date and till now no periods. She is saying that there is some white discharge. Is this any symptom of pregnancy? If periods are regular why she delays this month? Please explain. Doctor: Hello. If your partner has regular periods and you have not been sexually involved, then she is unlikely to be pregnant. It is not necessary that she should get her mensus on that very date itself. If pregnancy is ruled out with a urine pregnancy test, then the most common cause of delayed menses is stress per se, which can be either psychological, emotional or physical which can cause a hormonal imbalance and can cause a possible delay in the periods. Also, if she is experiencing a white discharge per vaginum, then it can be a part of the premenstrual syndrome itself which usually occurs generally a week prior to the onset of menses and may include symptoms like nausea, headache, sore breasts, mood swings, lower abdominal pain or increased frequency of urine. Though it mimics early pregnancy symptoms it also occurs in the absence of pregnancy indicating that menses shall ensue in the next few days. As it has already been more than seven days now, it is advised that she may wait till 15 days post missed periods to allow her menses to return naturally, and if it does not then she may get an ultrasound pelvis to check for the endometrial thickness (ET). If the ET is more than 10 mm, then she can opt for a withdrawal bleed with progestins to resume her menses. But if by any chance pregnancy is suspected, then it is always wise to get a urine pregnancy test done to rule it out first to allay any anxiety associated with it. I hope this helps." + }, + { + "id": 10311, + "tgt": "How to differentiate between ulcerative colitis and Crohn's disease?", + "src": "Patient: Hello doctor, My 6 year old\u00a0daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools.\u00a0She was admitted and had a cleanse and got an endoscopy done, and it showed lots of inflammation.\u00a0She was put on a high dosage of steroids and Sulfasalazine for five weeks. The bleeding has stopped, and we weaned off the steroids. The biopsy results said it was IBD. Two weeks ago, she had her calprotectin level checked again, and it was in the 200. This week, we checked it again, and it was 39. I will include pictures of the biopsy results and pictures of the endoscopy. Her doctor said that the reports are not 100 % fine, and it is either UC or Crohn's. The doctor said that further down the line, we would be able to know which one she has. I would love to get a second opinion on what it could be. Doctor: Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9350, + "tgt": "There is no change in my dark complexion even after using Maxiliv injections. Should I increase the dose?", + "src": "Patient: Hello doctor, I am a 29-year-old male. I have a dark brown complexion. I am taking Maxiliv injection IV twice in a week for four months to lighten my skin. But till now there is no change. Why I am not getting any result. I do not expose myself in sunlight and use sunscreen also. I want to know about glutathione effect only. Do I need to increase the dose? Doctor: Hello. It is not necessary that every individual responds to glutathione injections. Effects vary from one individual to the other. If there is no response even after 10 doses, then you should stop treatment. It would not be of any use. Glutathione is not permanent lightening agent. An alternative procedure like peels can be considered for face and if necessary for arms. Or Q switched Nd YAG laser for the face it reduced pigmentation. Rest all measures you are already aware of I suppose." + }, + { + "id": 4320, + "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": 20646, + "tgt": "I am having trouble breathing and get frequent throat infections. Kindly help", + "src": "Patient: Hello doctor, I was having trouble breathing with my right nose and I get throat infection frequently like once in a month and ENT doctor said for CT SCAN and after the scan, he said I need to have a surgery. I want to know if there is a treatment for the following problem. DNS to right, right concha bullosa, right maxillary polyp. Please go through my reports attached. I want to cure this issue because I face difficulty in sleeping. Doctor: Hello. According to the reports (attachment removed to protect patient identity), you have two important problems like deviation of the nasal septum and right maxillary polyp. Lemna Minor Q was an effective medicine for polyp and Teucrium Marum 6C is also helpful for your problem. With these medicines, your breathing problem will also get relived. Lemna Minor Q daily two times, 10 drops with a cup of water (15 days). Teucrium MARUM 6C daily 10 pills three times per day (15 days)." + }, + { + "id": 8514, + "tgt": "I have numbness in my left foot. What could have caused this?", + "src": "Patient: Hello Doctor, I am a 39 year old male. My height is 6 feet and I weigh 81 kg. Right side of my left foot is having numbness though it is not 100% numb. The left side of the foot has little pain. I get a feeling that there is some blockage in the blood flow though it might not be the case. I am a regular vipassana meditator and I have been going to 10 day courses regularly for the past 6 years. This time I decided to do a 30 day course. This numbness started happening on the 10th day and continued for 20 more days. A typical vipassana requires sitting for 13-14 hours with small breaks at regular intervals. I thought I will get better once I start doing activity after coming back home (though I used to walk for 15-20 minutes daily during the course also). I never had such problem in the past courses. There was no improvement in the condition even after 15 days after coming back. I have done alternate hot and cold water treatment but did not see any improvement. I also tried doing massage using rheumatic oil. In case it helps, my family has had cases of diabetics (my grandmother and my father's brothers).\u00a0 What would you recommend? Doctor: Hello. You have mentioned numbness in the inner part of the left foot as your main symptom. Most commonly numbness is a manifestation of a nerve involvement, it can be compression of the nerve at an anatomical site like in back or anywhere along the course of the nerve or it may be a manifestation of a systemic disease like diabetes or any condition that leads to what we call as neuropathy. Now your trigger has been the yoga courses which you do on a regular basis every year but you have done may be for a prolonged period this year. Being an orthopaedic surgeon, I may not be able to guide you anything regarding yoga and its usefulness but it is logical to stop all these postures till your condition settles and improves. My guess is that there has been some prolonged compression during your classes or there could be an entrapment somewhere along the course of your nerve. I need to know from you: If the answers to above questions are no, my suggestion to you will be to wait for a few days and start with medications for neuropathic symptoms like Pregabalin or Gabapentin along with vitamin B 12 supplementation, and it is a good possibility that your symptoms may subside over next 4-6 weeks because there might be nerve neuropraxia (mid nerve injury). In case your symptoms do not improve or if they increase, then I suggest you to get few blood tests done and nerve conduction studies to look for any compressive pathology. Get back to an orthopaedician and traumatologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10423, + "tgt": "How can I divert my mind when I become sad due to the rude behavior of my loved one?", + "src": "Patient: Hello doctor,I am a 32-year-old woman. The one with whom I am in love sometimes behave rudely to me. He remains silent whenever he dislikes anything that I say. I am a bit outspoken, and I am unable to control this. His silence kills me. I find it difficult to do routine work. I feel so sad and shattered. He will not answer my messages and will not pick up my call even if I had called 50 times a day. I feel like hurting myself. I suffer from depression since childhood, and I am taking Amitriptyline since the last 13-14 years. How can I divert my mind and focus on my work during those times? It happens almost twice a month. We are together for five years now. Doctor: Hello. It looks like you and your partner have different personality styles and deal with conflicts differently. For example, if you are an extrovert, you would like to talk your way through issues. But if your partner is an introvert, he may have an aversion to conflict and arguments and may withdraw during stressful periods. This is a natural way of responding to some people and not to be taken personally. If your partner is otherwise fine and treats you well, it may be helpful to have an open and honest discussion with him when both of you are calm. Write down your thoughts if direct talking can be difficult and ask your partner to reply. Both of you have to respect each other and learn to form your ways of dealing with conflict as a couple. It is natural for all couples to have disagreements, try not to overthink in such situations. Try relaxation techniques and carry on with your usual routines. If needed, you can try counseling or couples therapy. Also, look after your emotional health. Consult your doctor to review your mental health and the need for continuing anti-depressants. I hope this helps." + }, + { + "id": 30831, + "tgt": "I have osteoporosis. Will I be able to conceive?", + "src": "Patient: Hi doctor, I am a 31 year old married female. I have been diagnosed with osteoporosis. I am really worried whether I would be able to conceive or not. Please suggest me 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": 6999, + "tgt": "Is it normal to see a small tissue in the socket after extraction?", + "src": "Patient: Hello doctor,I got my wisdom teeth pulled before four days, the very next day I throw up due to antibiotics. An hour later, a piece of tissue was hanging on the upper right clotted socket, is this normal? Doctor: Hello. The situation which you described is entirely normal. The area surrounding the wisdom tooth gets usually inflamed, which is known as pericoronitis. After the removal of the area around the socket, which is the gingival (gum) tissue undergoes healing. The piece of tissue which you mentioned is the gum tissue undergoing healing. The socket will take about a month to close completely. Make sure you rinse every day with lukewarm saline water and mouthwash about four to five times daily, which helps in accelerating the healing process. I hope I have answered your query." + }, + { + "id": 23982, + "tgt": "Is there a possibility of getting pregnant if I took the pill 11 hours late?", + "src": "Patient: Hello doctor, I am on Novelon for the last four months. I started my new pack on the 29th, had intercourse on the 30th. Generally, I take my pill while going to bed. I forgot to take the pill on 31st night and took it on 1st morning. Basically, I took my pill late by 10 to 11 hours. And then, I continued taking rest of the pills on time. Is there any possibility of getting pregnant here? Please advice. Doctor: Hello. I have gone through your history and understand your concern. As you are taking the medicine regularly and if you took the missed pill within 24 hours, you should continue your pill and you will not get pregnant. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25678, + "tgt": "What is the cause of vagina feeling loose?", + "src": "Patient: Hello doctor,My fiance and I decided to take a break for a few weeks and yesterday we had sex. My body wanted it but my mind was all over the place. It was not an 'in the moment' situation. We both noticed my vagina felt loose. What can be the cause of this? Doctor: Hello. I suggest you consult your gynecologist and get yourself examined to see what exactly is causing this. They will check to see whether there is any laxity of the tissues or not. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17268, + "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": 11772, + "tgt": "How can adhesive otitis with SOM be treated?", + "src": "Patient: Hello doctor, I am 33 years old, male. I am diagnosed with right adhesive otitis with left SOM. Already mastoidectomy was done in right ear nine years back and two myringotomies in right ear when I was 4 and 7 years of age. I have CT scan report, audiometry, impedance test results. Doctor: Hi, Welcome to iclinq.com. Can you upload audiometry report? What are the complaints now? Is there discharge or hearing deficit? Any pain or giddiness? Nose CT seems fine (attachment removed to protect patient identity). Ear shows mastoiditis. Have they done an ear under microscope examination? If it is a clearly diagnosed adhesive otitis media supported by audiometry it will need surgery. But which ear to be done first will depend on audiometry. Is there any nasal complaints?" + }, + { + "id": 24459, + "tgt": "How can I manage sore throat and difficulty in swallowing?", + "src": "Patient: Hello doctor, I am 19-years-old female. I am pretty healthy and have an average weight. I had a sore throat for two days and it is extremely hard to swallow due to swelling to the point I can barely eat solid food. It is not scratchy, and I do not have a cough or fever. I went to the urgent care, strep was negative but the doctor said it must be strep and would not listen to any of my symptoms. He spent about 30 seconds with me and is treating me with Biaxin. Pain is killing me, and my stomach is having a hard time with these antibiotics even with food. Doctor: Hello. From the picture (attachment removed to protect patient identity), your diagnosis is acute follicular tonsillitis. Usually, this is caused by strep, other bacteria responsible are Hemophilus and Moraxella. Starting an antibiotic at this stage helps in early recovery. As you have been started on antibiotics I would advise continuing that, but only one antibiotic that is Biaxin (Clarithromycin) to be taken after food. Antibiotics are known to cause gastric upset, which usually gets relieved once the course stops. If this is too much take Zantac (Ranitidine) 150 mg before food twice daily and take warm salt water gargles at least thrice a day. If there is no relief, please follow up after seven days. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28309, + "tgt": "My cousin feels drowsy, and his head spins after taking medicines for depression. What to do?", + "src": "Patient: Hi doctor, My 22 year old cousin has been feeling depressed, easily irritable, and anxious for past few months. He also smokes 5 to 6 cigarettes per day. We consulted a psychiatrist last week, and he prescribed some medicines. After taking these medications he is feeling drowsy, and he says that his head spins. He is in general discomfort. I have enclosed the prescription of the\u00a0doctor. The doctor says these side effects are normal. Please answer the following questions. What is the purpose of these three medicines? Should he continue taking them? Are there any other substitutes that you can suggest\u00a0for these three medicines having the same salt but different manufacturer? Doctor: Hi. I have seen the attached prescription (attachment removed to protect patient identity). The medicines which are prescribed for your cousin are antidepressants, mood stabilizer, and multivitamins. As you have told that your cousin is feeling depressed, irritable, and anxious, to make a proper diagnosis, I need more details about his symptoms. However, he may be having either plain depression, were getting irritable is a rare presentation and the second diagnosis is bipolar disorder. Coming to the questions that you have asked: You can stop other medicines, but only after consulting your treating psychiatrist. His discomfort seems due to the salt itself, and not because of the manufacturer. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13022, + "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": 20482, + "tgt": "I have indigestion, gastritis, mouth ulcers and wet cough. Please help", + "src": "Patient: Hello doctor, I have indigestion, gastritis, mouth ulcers, and a wet cough. Doctor: Hi. it is generally seen that indigestion causes acidity, gaseous distention, mouth ulcers, and constipation. And indigestion depends on your food habits and lifestyles. If it persists for a long time it causes the above-mentioned issues. Take Liv 52 syrup 10 ml twice a day before food, Kutki capsule one capsule with Trikatu Churna 1 gm twice a day after meals with warm water. Avoid spicy and fried junk foods. Avoid cold drinks, soft drinks, ice-cream, etc. Do regular kapalbhati, mandukasana, and ardhamatsyendrasana." + }, + { + "id": 6506, + "tgt": "I am 22 years old and 155 cm in height. What should I do to increase my height to 157. 5 cm?", + "src": "Patient: Hello doctor,I am 22 years old male and want to join technical duty branch in the Indian Air Force. But my height is 155 cm, and the airforce eligibility criteria for the required height is 157.5 cm. So I cannot hold this height criteria.I want to increase my height by up to 157.5 cm. My mother's height is 147 cm, and my father's height is 161.5 cm, and my sister's height is 154 cm. So please give me a positive reply or result so I can start my future in the Indian Air Force. Doctor: Hello, Welcome to icliniq.com. Once you achieve 18 years, your bones of the whole body can become fused. Now according to scientific research, there will be very less or no chance to gain height. But for your satisfaction, you can do vigorous exercise pull-ups, yoga practice, and pranayama practice that may help you. Do not waste your money and time on protein powder consumption. I do not want to provide the wrong hope. You be happy first, I know your goal is to join the Indian Air Force. Join the Art of Living Happiness program in your area. Do not be discouraged. Do your best." + }, + { + "id": 7650, + "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": 5180, + "tgt": "What can cause weight gain, sweating and tiredness?", + "src": "Patient: Hi doctor, Recently, I ordered thyrocare test. The test report shows total triiodothyronine (T3) CLIA 117 ng/dL, total thyroxine (T4) CLIA 10.9 \u00b5g/dL, thyroid stimulating hormone (TSH) CLIA 9.04 \u00b5IU/mL, FT3 - 3.03, FT4 - 1.08 and anti-microsomal antibody (AMA) - 315. My BP is 145/90 mmHg. I have symptoms of anxiety, weight gain, sweating, tiredness, increased heartbeat, heart burn, disturbed and less sleep. I am currently taking Beta Anxit 20 mg daily and occasionally Pantocid 40. Do I need to take any other medicine? Please advice. Doctor: Hello. Revert back after two months to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 30738, + "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": 30902, + "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": 2819, + "tgt": "Will avoiding masturbation affect my health?", + "src": "Patient: Hi doctor, I am a student and unmarried. I decided to quit masturbation. But, sometimes I cannot control my thoughts and actions and watch pornographic content. When I full erection, I will realize that I decided to quit masturbation and somehow come out of it leaving my erection unattended. Erection goes away within some time. Will avoiding masturbation after an erection affect my normal health or sexual health in any way? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1534, + "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": 28040, + "tgt": "Can a man get UTI?", + "src": "Patient: Hello doctor, I am a 33 year old male. Two\u00a0months ago, I had discomfort under the right testicle. I ignored it as it was not much painful. I went to my physician, and I had a urine test. It came back with white and red blood cells. The doctor said that I have a urinary infection, and he gave me Ciprofloxacin 500 mg, twice a day for 10 days. He asked me to come back to do a test for the prostate if it was infected or not. I got way better, although, little pain under the right testicle was still present. After two weeks, the symptoms started to return with new ones, like low stream flow when I urinate, and I cannot empty my entire bladder. I had an urgency to go to the bathroom, and not much was coming out, and pain in the rectal area. I had a urine test, and it came back fine with no infection or blood or anything. How come I have UTI since I am male and 33 years old, and I was not involved in sex or anything? How come the doctor just put me on Ciprofloxacin, and she was not sure if the prostate was inflamed or not? I will be having Ciprofloxacin for another month and a half. How to know for sure if I have acute bacterial prostatitis or just regular prostatitis? Can I transmit this to my wife by having sex? I am not having sex now, as part of my treatment, but can I have sex? I have stomach problems and IBS, and I do not know if this is related to UTI. How can I tell what caused my UTI, since my doctor did not do any urine and a semen culture? She just put me on Ciprofloxacin for a long time. She is just a general practitioner and not a specialist. Thank you. Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20249, + "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": 7474, + "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": 27822, + "tgt": "Can you help me with the results of my urinalysis?", + "src": "Patient: Hi doctor,I have\u00a0not been feeling well, so I\u00a0had a urinalysis done. I did start my period later that day. Are these results inclusive of starting your period?\u00a0Can you help with the results of my urinalysis? Doctor: Hi. The urine analysis report (attachment removed to protect patient identity) shows urinary tract infection. I suggest the following preventive measures for UTI: For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22618, + "tgt": "Which anticoagulant is best to prevent stroke- Apixaban or Dabigatran?", + "src": "Patient: Hello doctor, My mum has had an ischemic stroke. She is currently taking Warfarin, Bisoprolol, Ramipril, and Furosemide. Despite the Warfarin at 5 mg, her INR is 1.7 (that is outside the therapeutic range). She is 41 kg and age is 76. She is being encouraged by her doctor to change the anticoagulant. Please advise, given her age and weight and the most current research, which one would be best for her to move on to - Apixaban or Dabigatran. Which dose should she be on? Please give your reasons why. Thank you for your help with this. Doctor: Hello. As per the history, it looks like it is getting difficult to manage with Warfarin. Warfarin is notorious in terms of interacting with many other drugs and thereby it is difficult to achieve the target therapeutic level. So, now newer oral anticoagulants are used with no need of monitoring and without any excess risk of bleeding as compared to Warfarin. There are various papers to confirm that newer oral anticoagulants (NOACs) are safe and effective compared to Warfarin. So, once we decide that we are switching to NOACs, then we have to see which one is best out of them. For that also, there have been various studies done recently. When we compare, we see two things: All the studies will mention these two facts while comparing the drugs. Most of them have quoted that Apixaban as equivalent to other drugs in terms of effectiveness (that is preventing the stroke) and better in terms of side effects (that is lesser risk of excess bleeding). Regarding the dose, different studies have quoted 2.5 mg BD versus 5 mg BD. So, this will depend on your doctor and his experience with the dose commonly used in your country. My suggestion is to move to newer oral anticoagulants with a slight inclination towards Apixaban based on the current data. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24364, + "tgt": "Is operation of disc necessary or can it be done by exercise?", + "src": "Patient: Hello doctor,Is operation of the disc necessary or can it be done by exercise? Doctor: Hi. Surgery on disc problem is not must unless they are compressing the nerve and causing weakness in both legs and you lose control over urine and passing stools. If it is a mild compression, you can manage with exercise and meditation. In some cases, you can try the lumbar epidural injection. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14998, + "tgt": "I have erectile dysfunction and ejaculation problems. Please advise", + "src": "Patient: Hello doctor, My cum is not coming out by force or thrust. The cum is just flowing out of my penis. Three years earlier the cum was coming out by force or thrust. I am having erectile dysfunction may be since last two years or two and half years, and I was not having erectile disfunction earlier. I am taking Megalis 20 and Tentex Forte prescribed by a doctor and through these medicines, I am having a proper erection. I am having only one testicle, my another testicle was removed when I was of 13 years due to its under development. I want to have my cum come out by thrust or force from my penis to have a baby as I am married. I am 37 years of age, and my height is 5 feet 8 inches. Doctor: Hi. I have gone through your query. I would like to know whether the amount of semen ejaculated had been the same over the last three years or has it decreased? Firstly, the speed with which the ejaculate came out does not unduly affect your fertility. I would suggest you have a semen examination if not done before to check for the sperm count which is more important. Secondly coming to your complaint, I would ideally like to do a full physical examination given your previous history. It could either be some blockage in the path of semen or the semen could be going back into the bladder. I would suggest you to visit your local urologist for a detailed clinical examination, an ultrasound to check if there is any blockage and a semen test to check for the volume and sperm count. Another possibility is incoordination of the muscles that normally gives the speed to the ejaculate, which cannot be tested to identify. As I said before, if your primary concern is to have a child, then I would suggest you to get a semen analysis first. If it is normal then you do not have anything to worry about." + }, + { + "id": 5160, + "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": 23740, + "tgt": "Diagnosed with CIN1 plus HPV. Is this related to cervical cancer?", + "src": "Patient: Hi doctor, I am 26 years old. Recently, I have been diagnosed with CIN1 plus HPV. Is this same to cervical cancer? Please tell me more information regarding the same and also tell me how can I get it treated? I aborted my first child due to personal reason. Currently, I am taking medicine for HIV virus. What is the effect of CIN1 plus HPV? Some people told me in the presence of cervical cancer one cannot give birth. Is it true? Please answer. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8175, + "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": 24766, + "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": 23785, + "tgt": "I have continuous back pain. Is it sciatica?", + "src": "Patient: Hello doctor,I am having back pain. Six months ago I had S1 and L5 fusion. Normally, no surgery or anything. My doctor asked me to take rest. Then two months back I was again having pain in my back and no findings from my X-ray. Then I did an MRI four days back when I was having pain in my legs mainly in the thigh, calf, and foot. The pain is continuous. It is not resting for a minute, but the amount of pain varies sometimes a lot sometimes a little.I am 25 years old male. I was so active with all the sports activity and all, for last one year. After I bought my bike I stopped playing most of the sports, also the walking came down to below average because of the bike. Does the less walking have something to do with all that I am suffering? I had two to three accidents with my bike, but none of them were serious ones. I mean I did not get hurt badly. Just some scratches on my hand. So I am confused if the condition is done from a trauma. The doctors asked me to take one month rest and physiotherapy at this moment. Please suggest me what to do, I am really worried if it is sciatica or something even greater. I only want to heal the issue, recover from it completely even if that takes me one year or two. Doctor: Hi. Does the pain continue even when you lie down to sleep? Does the pain radiate to the legs? MRI report shows problems with the vertebrae (attachment removed to protect patient identity). But it would be better if you can get a second opinion for the vertebral pathology. Try tablet Lyrica (Pregabalin) 75 mg once daily for a month or so and tablet Diclofenac 50 mg one tablet for pain. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14834, + "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": 4365, + "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": 16069, + "tgt": "Is it fine to take double dose of Norgeston to control bleeding?", + "src": "Patient: Hello doctor, I am a 35-year-old woman and I have been prescribed the POP contraceptive pill and not the combined due to occasional migraines. I also have varicose veins. I have had very frequent bleeding apart from the periods and am now on the third brand called Norgeston which has not helped to stop the bleeding. I have heard that taking a double dose for a month can help to contain the bleeding. Is that fine to do? Doctor: Hi. I have some additional questions for you: 1. How long have you been taking these POP (Progestin-only pills) contraceptive pills? If you just started to take the POP pills and your body is adapting to them, maybe increasing the dosage is an option but if you have been for more than three months with POP pills, I do not think you will get any improvement increasing the dosage. 2. I understand you have had these bleedings with all the three brand names. And what is the reason you had to change brand names? Which kind of secondary effects did you have? Names of the other pills you tried? 3. When you say bleeding, do you mean red blood like period or brownish spotting? Every day? Or randomly? This kind of bleeding or spotting may be due to many different reasons like the most likely reason is (as you suggested) that you are taking a low dose of Progesterone and if you increase the dosage (two pills a day for two weeks) probably you will get to control it. But we must have other reasons into account, such as a possible early pregnancy (and in this case we are talking about a thread of miscarriage). Please, have a urine pregnancy test done. Sometimes, (no need to worry, but need to verify) it is a polyp or a small fibroid inside the uterine cavity that may not respond to the hormonal control. In this case, my advice is to go to your Gynecologist, because she or he needs to do a vaginal scan to verify the uterine cavity. Sometimes it is another hormonal problem not related to your cycle (thyroid). That may produce this bleeding and if you doubl\u00e9 the Progesterone dosage, you will not get to reduce the bleeding." + }, + { + "id": 9412, + "tgt": "I want to gain weight and build muscles. Can I use nutrigain powder?", + "src": "Patient: Hi Doctor, I am a 23 year old guy. My height is 165 cm and weight is 56 kg. I want to gain weight and build muscles too. Even though, I did some exercise and taking healthy foods, it makes my muscles to be tight but it doesn't show up any sign of enlarging or building up. I heard about an Ayurvedic medicine called nutrigain powder. Can I build my muscle and gain weight by using it without having any side-effects? Or else, give me other suggestions to gain weight. Doctor: Hello, About Nutrigain: If any\u00a0unwanted change is observed\u00a0in your body's working system within a week or two of it's use, write back to us at the earliest so that we can go for an alternate option. There are a number of ayurvedic products with the same ingredients in the market which produce similar results. All these products are expected to clear quality assurance and thus\u00a0steroids or such ingredients are not expected. Ideal methods to gain healthy weight: For further clarifications, Talk to our Nutritionist on Phone\u00a0 -->\u00a0https://www.icliniq.com/phone-a-specialist/nutritionist" + }, + { + "id": 13507, + "tgt": "There was bleeding from penis tip during sex. Will circumcision cure it?", + "src": "Patient: Hello doctor, My husband and I had intercourse on the 25th night and the tip of his penis started bleeding during this. It was the first time he inserted his penis inside. The bleeding stopped the next day but the pain persisted. Today, there is a slight pain but he is afraid if he pulls the foreskin back, the bleeding will start again. He is also afraid that in the future the same thing might happen. Is circumcision necessary now? Is there any ointment or cream to stop the bleeding if he inserts again? Please advise. Doctor: Hello. From what you say, it is likely that your husband is suffering from coitus related frenular tear. No ointment can cure or prevent recurrence of the same. A minor procedure like frenuloplasty is still associated with recurrence. Ideally, circumcision and 6 to 8 weeks abstinence are the best treatment options. Kindly visit a Urologist for further management." + }, + { + "id": 8694, + "tgt": "What are the ways to treat cystic acne without disfguring the face?", + "src": "Patient: Hello doctor, How can a cystic acne be treated without devastating the face? And advice about men's health on cystic acne and what is the best treatment for cystic acne? Doctor: Hello. Cystic acne comes under acne vulgaris grade 4. The generation they present as large inflamed pus-filled nodules which later develop into cysts along with draining sinuses. Treatment of severe acne includes, 1. We need to counsel the patient that severe acne can be treated entirely within six to eight months of treatment with little scarring. 2. We can use a combination of oral antibiotics like Azithromycin 500 mg thrice a week initially for a minimum duration of six to eight weeks but can be continued maximum up to 12 to 14 weeks and oral Isotretinoin dose 0.5 mg per kg body weight to a maximum of 1 mg per kg body weight. 3. Isotretinoin is a retinoid which acts on all significant factors involved in the pathogenesis of acne vulgaris and helps in complete remission in most cases. Dermatologists can prescribe it, and a pregnancy prevention program like iPLEDGE should be followed. Signed consent should be obtained, confirming that the patient knows not to get pregnant during therapy and for four weeks afterward. A pre\u2010treatment pregnancy test and routine blood investigation like liver function tests, lipid profile is required, and monthly pregnancy testing along with LFT and lipid profile throughout treatment is advised. Complications include, The patient should be explained of minor effects of Isotretinoin, such as dryness and soreness of eyes, skin, oral mucosa, nasal mucosa, muscle aches and pains, hypertriglyceridemia. Mucocutaneous drying can be managed by emollients and tear substitutes. A rare complication of Isotretinoin therapy are pseudotumor cerebri, and benign intracranial hypertension with papilloedema has been reported when combined with oral Tetracyclines. 4. Initially, you can use oral steroids to reduce the flare of acne. 5. Atrophic scarring can be treated with laser resurfacing, dermal collagen injection like fillers. Hypertrophic scarring can be treated by chemical peels, microdermabrasion, intralesional Triamcinolone injection, and surgical excision." + }, + { + "id": 9754, + "tgt": "When should I opt dental braces either before or after the frenulum surgery?", + "src": "Patient: Hello doctor,I am 19 years old. I have done canine impaction surgery just before two weeks. The stitch and the removal after the surgery have caused a cut on my gums, which now separates the point at which the gums above the central incisors meet. The point that I am mentioning is right below the frenulum. My dentist said I am having class 2 labial frenulum and that it might result in gum recession and the formation of a black triangle.He added that it might prevent my gums from joining back together. I did not have any bad experiences with my frenulum until the surgery. I am afraid to undergo this surgery. Moreover, I do not want to undergo this frenectomy. All I want is my gums joining back. Please let me know whether I need to undergo this frenectomy. If yes, let me know when would be the right time to do it. I am planning to wear dental braces after two months. Should I do it before or after the surgery? I would be very grateful if you suggest me a way to join my gums back without undergoing frenectomy. Doctor: Hello. I have evaluated the image, (attachment removed to protect patient identity) and you indeed have a high labial frenulum, and it can cause problems which is not a wrong advise. If you are planning for getting braces done, then it is appropriate for you to get the frenulectomy done now so that complete healing will take place by the time you proceed for the braces. So my suggestion is that you should continue for frenulectomy. Also, it is a minor surgical procedure that can be very well done under local anesthesia and is a routine procedure, so need not to worry about it. If you have any more queries, please feel free to ask. ." + }, + { + "id": 21481, + "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": 12026, + "tgt": "I want to lose my belly fat. Please give me a solution", + "src": "Patient: Hi doctor, In two months, I am going to be 24. My weight is 52 kg and my height is 5 feet 3.5 inches. I want to lose some weight, especially belly fat and side fat. Please give me a solution. Thank you. Doctor: Hello. Thanks for your question. I can see your BMI (body mass index) is 20.0. This is quite standard as per your weight and height are concerned. For losing weight, you should go for meal planning that is diet. Maintain disciplined lifestyle, rest and also daily few free hand exercises has to be practiced. You can go for complete diet chart. You can take green tea and lemon in the morning with rigorous exercises." + }, + { + "id": 16343, + "tgt": "I was diagnosed with fibromatosis of muscle after removing a fibromatosis from my thigh. Why?", + "src": "Patient: Hi doctor, I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control." + }, + { + "id": 23148, + "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": 8263, + "tgt": "I removed braces earlier than required. Can I get braces again?", + "src": "Patient: Hi doctor, I am 18 years old. I had braces a few years ago. I got them out early because I thought my teeth would have become straight, which I totally regret. I did not get a retainer for teeth. I do not like my teeth whatsoever. Can I get braces again? Doctor: Hi. I have read through your complaint and relevant details. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11690, + "tgt": "Is it possible to achieve orgasm without a vibrator?", + "src": "Patient: Hello doctor, I have never achieved orgasm without a vibrator. For years, I have experimented with different pressures, methods, stuffs and followed the advice of hundreds of articles, but nothing worked. I always make sure that I have enough time and relaxation. I have tried so many methods involving fingers, my partner and more, but still, nothing worked unless I use a vibrator. I even went months without using it to see if I would desensitize, but nothing changed. Just wondering if anyone else has the same problem. What I can do about it? Doctor: Hello. Female masturbation is a complicated one. Yes, I have few patients who were not satisfied with many methods. Male masturbation works only more physical, and few mental work but female masturbation works with more psychological and few physical tasks. Method, if anything needs to be changed. 1. Fingers are used gently and rhythmically over the clitoris, apply study pressure with one finger and can increase two to three finger according to demands. Do not double the pressure of your finger unless you need. Rhythm in moments of the finger should be maintained. Do not be eager to give climax early, female will take them as they like or enjoy. 50 % of the female will reach orgasm or peak within three minutes and, few may take four to five minutes, it also depends on how the vagina and other parts of the female body are manipulated. 2. Vaginal massage as massaging the clitoris with one finger, other finger or fingers moved between the labia. Sometimes labia strokes alone will give results as it is attached to the clitoris. Speed of the stroking depends on personal likes. Initially, it starts with mild strokes and increase the speed according to the needs. 3. Females do not reach climax by inserting fingers or vibrators inside the vagina, since walls of the vagina are practically without nerves, although few sensory nerves close to the entrance of the vagina. Inserting big objects inside the vagina will have no use, since no erotic nerve supply inside the vagina. Deep vaginal penetration in men is fantasy, and it is not a sexual need for women. Only occasional vaginal insertion that to just for a few females will cause an erotic feeling. Keep exploring as much as you can. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 21630, + "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": 8383, + "tgt": "Can I have green tea extract when I am on antipsychotic medications?", + "src": "Patient: Hi doctor, I am on antipsychotics - Amisulpride 100 mg and Abilify 20 mg. Can I have green tea extract along with these drugs? Doctor: Hi. I have read your concerns. Green tea extract has very good antioxidant properties. Its antioxidant properties equalthat of vitamins A and E. So, you can take it along with your antipsychotic medications. There are no interactions with the drugs you are taking. However, do not have more than three cups of green tea extract per day. Adverse effects may occur when taken in high doses. Consult a psychiatrist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28124, + "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": 23508, + "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": 3415, + "tgt": "Will lower doses of Lamictal and Effexor help in overcoming Cymbalta induced hypermania?", + "src": "Patient: Hello doctor, I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now from hypermania after a month or two. I am Lamictal and when needed on Seroquel. On current medicines, I feel blank, unstable, unable to think normal, and some frustration, anger thinking, concentration, and speech affected at times. I feel I need to go back to antidepressants, my brain needs that and boosts mood and taper off appropriately like Effexor or Lexapro. I have had success but Lexapro cause stomach issues and Effexor is good but can cause weight gain or if working in the night it can cause mood swing. I believe my current issue is just because of Cymbalta induced hypermania. I did get psychosis from LSD. Do you think I should taper off Lamictal to Effexor low doses? Doctor: Hello, Welcome to icliniq.com. Considering the history of mania (even if it is drug-induced), it is not advisable to start Effexor alone in my opinion. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or starting low dose Effexor along with Lamictal (as mood stabilizer). I hope this helps." + }, + { + "id": 7265, + "tgt": "I find difficulty in memorizing new things. Please help", + "src": "Patient: Hi doctor, I am 23 years old. I find it difficult to memorize new things. For example, I did not remember the topics discussed in last class. I even find difficulty in explaining the movie that I watched recently. Please help. Doctor: Hi. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 126, + "tgt": "What causes single heart palpitations?", + "src": "Patient: Hi doctor, I am 21 years old and having regular single heart palpations. I have an Apple Watch which provides an ECG and this shows my heart is beating at regular intervals, but there is fairly regularly a single beat which is much larger. I can feel this in my stomach/chest area and feels like a heavy beat or a missed beat. I will upload a couple of PDF results to show you. You can quite clearly see when these large beats take place. I sometimes get chest pain but I usually attribute this to my stomach or anxiety, and the chest pain does not tend to accompany the heart palpitation. My main worry is it is quite regularly happening and it is one singular beat which is \u2018off\u2019. I have bad bloating which has been for the last month or two which comes and goes, but am unsure if this is related. Doctor: Hello. I have gone through the results you attached (attachment removed to protect patient identity). You are experiencing missed beats aslo known as premature ventricular contractions. They are are usually benign (harmless). Your symptoms can be worsened by drinking, caffeine, smoking or some medications. I usually do not prescribe my patients medication at first except it affects your daily activity. Firstly, avoid trigerrs like alcohol, drugs, sleeplessness, etc. Try to exercise regularly. Atleast 3 or 4 times a week. For a duration of 30 minutes. Make sure to sleep 6 to 7 hours daily at night. If your symptoms persist, you will need a Beta-Blocker medication. It acts by regulating how your heart beats. Ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that. I wish you good health. Best regards." + }, + { + "id": 19771, + "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": 11426, + "tgt": "Are these the side effects of Phendimetrazine?", + "src": "Patient: Hi doctor, I took thermogenic Phendimetrazine for two days. I am now experiencing shortness of breath and excessive yawning. I am also burping all the time. I stopped taking the medicine six days ago and, yet I am still gasping for breath and experiencing these side effects.\u00a0My doctor did an EKG and it came back normal.\u00a0I also want to know, will this go away?\u00a0How long will it last?\u00a0Could taking these medications for only two days cause permanent damage?\u00a0Is this a normal side effect? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22826, + "tgt": "What could be the chest pain lasting for about 30 seconds to one minute?", + "src": "Patient: Hello doctor,My father is suffering from chest pain for the last six months which is during for about 30 seconds to 1 minute and he says he is feeling like his heart is vibrating, poking during the pain. He has consulted a cardiologist four months ago and has taken ECG, echocardiogram, treadmill stress test but the report is normal except on comments it was mentioned as mildly hypokinetic mid and apical anterior septum and conducted treadmill stress test for possible ischemic but the result came as negative. And when asked about any prescription, the doctor has denied prescription suggesting it is gastric problem, nothing to worry about but again the pain has started and he is even afraid to sleep (keeping alarms once in two hours). Can anyone please suggest is this something serious? Doctor: Hello. It does not appear to be a serious problem. Cardiac pain is unlikely to occur for this short time. It typically occurs on exertion and relieves with rest, and persists for 5 to 10 minutes. Such rest occurs usually due to gastritis and reflux disease. He 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. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. He should have tablet Pan DSR (Pantoprazole, Domperidone) 40 mg or Esomeprazole, Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Oxetacaine, Sucralfate) or Gelusil two teaspoons three times a day for a week. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13933, + "tgt": "What can be done for high ferritin levels in thalassemia major patient with factor 13 deficiency?", + "src": "Patient: Hello doctor, I am thalassemia major with factor XIII decficiency, HCV+. I transfuse platelet or FFp daily and RCC weekly. All these things are reacting in my body. My ferritin level is 15000 after chelation therapy. This also reacts badly every time. I am 28 years old. How much time do I have to live more? Doctor: Hi. Based on your query, my opinion is as follows: The serum ferritin level of 15000 is definitely too high. Along with HCV, the prognosis is somewhat poor. However, without knowing the amount of iron deposition in tissues like the liver, heart, etc, and also the amount of damage to liver secondary to HCV infection, it is difficult to say anything. If all are functioning well, then 5 to 10 years should be easily managed well with therapy. Need to reduce ferritin levels, improve nutrition with protein rich diet and need to have a positive outlook. Liver biopsy for serum iron and amount of damage based on liver function tests and histopathology examination could be helpful in further management." + }, + { + "id": 11091, + "tgt": "What medicines can treat pain during bowel movement?", + "src": "Patient: Hello doctor, I had an anal fissure six months ago for which the doctor prescribed me Ciplox TZ and SN 15 Plus tablet six days course along with Duphalac Fiber. This cured the fissure and I was having no issues with the bowel movement. Just recently, I did have a slight swelling in the upper lining of my stomach for which I have been taking Pantoprazole as prescribed by the doctor. The swelling or bloating has been much better than before. But I am facing a problem with hard stool each morning due to which I have pain during bowel movement and chance of anal fissure recurring. My questions are: Is it okay that I take one more course of Ciplox TZ and SN 15 Plus along with the current Pantoprazole medication to take care of the anal fissure relapsing? Could this be IBS-C (irritable bowel syndrome with constipation)? if so, what is the medicine that has to be taken? I have heard ayurvedic Dhouti-Yog tablets are good to produce softer bowel and relieve constipation which in turn can stop the fissure from coming back. Doctor: Hello. From what you have mentioned, you have IBS-C (irritable bowel syndrome with constipation) and hard stools. There is no need to take Ciplox TZ (Ciprofloxacin and Tinidazole) and SN 15 Plus (Diclofenac and Serratiopeptidase) again. I suggest you drink plenty of fluids plus fiber-rich diet. I suggest you take Senna tablets before bedtime as a laxative. Colvac (Sodium Picosulfate) twice per day for colics and tummy distension. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Follow up is required. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13830, + "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": 19629, + "tgt": "After drinking beer, my brain works fast. How?", + "src": "Patient: Hi doctor, My brain is not working properly. I have very poor concentration power. I am taking a long time to learn any kind of things in comparison to others. When I drink beer, my brain will work very fast for two to three days and I can do much work easily. Please suggest the medicine to improve the performance of my brain. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6119, + "tgt": "My fiance had bleeding few hours after taking i-pill. Is it normal?", + "src": "Patient: Hello doctor, My fiance and I had a kind of unprotected intercourse for the first time for both of us yesterday. I did not ejaculate inside or outside the vagina. During the whole process, she did not bleed. She was not having her monthly periods, and to avoid pregnancy she took an i-pill after few hours. But a few hours later while she was urinating she noticed bleeding at the vagina (just like during her period). But her period date is far from now. Is it normal or serious? Please help. Doctor: Hello. As for the common assumption that women bleed during first sex, it is a myth. Not all women have bleeding that way. Taking an i-pill was a good idea, but it is important to know that it is 95% effective at its best and can cover only one act of sex and can be used only once in a monthly cycle. The reason for your fiance to have bleeding could be her periods, which came early or due to a urinary infection or due to minor abrasions due to intercourse. In any case, it is better to have a full physical examination by a gynecologist to clarify all of these. I hope this helps." + }, + { + "id": 12201, + "tgt": "Which type of multivitamin can be given to a 3 weeks old infant?", + "src": "Patient: Hi doctor, My baby is 3 weeks old. He is on both breastfeeding and formula preparation. What type of multivitamin can be recommended for him? Kindly suggest a few and enlighten what all are necessary for growth. Doctor: Hello. Neonates need exclusive breastfeeding and can supplement formula feed as needed. Usually, there is no need for multivitamin supplement at this age and would not recommend unless there is a need for one. For infant growth, all you need is timely feeds and breastfeeding. You start weaning at six months of age. Vaccines are important and make sure he gets all his vaccination on time through his pediatrician." + }, + { + "id": 567, + "tgt": "Why do I feel some heaviness in head after a brawl on the phone?", + "src": "Patient: Hi doctor, I had a brawl on the phone with a few persons. They are believed to be not so social kind of people. Ever since that day, I feel a kind of heaviness in my head. What is it? Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9085, + "tgt": "Will tinnitus go away on its own?", + "src": "Patient: Hello doctor, Two months ago, I developed tinnitus which is not yet corrected. At that time, I had water trapped in my right ear but now my ear blockage problem is resolved but my tinnitus problem is not resolved. After this, I went to an ENT and he told me I have a swelling in my left ear. Now he checked my left ear and he told me my left ear is cleaned and fine. But my tinnitus is not going. I have high pitched sound in my left ear. I think I had two to three times water trapped in my both ear within one year. I have normal blood pressure and currently, I do not have any cough and cold. I do not have any problem with hearing loss and I hear low and high sound easily. I do not have any vertigo or numbness on face. After checking my ears, my doctor told me my ear is clean. I do not have any discharge in my both ear and do not have any pain in my ear. I have a fear that tinnitus is due to an acoustic neuroma. But, I do not have any neurological symptoms. I read online. After reading this, I am fearful. I can even manage tinnitus but now I am worried it is a tumor. Is my problem a big one? Doctor: Hello. First of all, do not worry and do not go to some conclusion after an internet search. Now coming to your problem, Tinnitus is not a disease in itself but a mere symptom that is associated with varying number of diseases. By definition, it is a sound perceived for more than five minutes at a time in the absence of any external acoustical or electrical stimulus to ear. It may be subjective, when audible to patient only or objective when audible to both patient and examiner. Now exclude the objective tinnitus because if it was the case your doctor must have diagnosed it. Now come to subjective tinnitus. The causes may be as simple as impacted wax, middle ear fluid and eustachian tube dysfunction to more severe ones like Meniere's disease, otosclerosis, noise trauma or acoustic neuroma. Now let us try to exclude them first. Acoustic neuroma mostly is seen between 40 to 60 years, first symptoms to arise is progressive unilateral hearing loss associated with tinnitus after that comes other signs and symptoms like numbness of face, dysphagia and hoarseness in the later stage when the tumor becomes more than 2.5 cm. But you do not have a hearing impairment or other symptoms. For confirmation at least you can get a PTA (pure tone audiometry) and SISI (short increment sensitivity index). Now coming to otosclerosis which starts in the twenties but more common in females and presenting symptoms progressive bilateral (sometimes unilateral) hearing loss with tinnitus. Again for confirmation, you need a PTA. Now Meniere's disease, it presents with tinnitus, episodic vertigo, aural fullness and again fluctuating hearing loss, which is not present in your case. We have excluded the sever ones till now assuming you have written about all signs and symptoms and you don't have hearing loss, vertigo, aural fullness etc. If you have missed something contact me in my email. Sometimes, tinnitus is caused by very simple causes like impacted wax (which is not the obvious cause as your previous doctor must have diagnosed it) or eustachian tube dysfunction which many times gets unnoticed by the doctor. To rule out this at least you need to do Valsalva maneuver 30 to 40 times a day. If it is the cause, tinnitus gradually will decrease in severity. So, why not give it a try for two days minimum. If tinnitus is not subsiding after two days better to do some test like a PTA, tympanometry and a SISI. Hope this will help you and wishing you a faster recovery. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21951, + "tgt": "Why does the penis infection recur after stoppage of Miconazole nitrate gel?", + "src": "Patient: Hello doctor, I am having some kind of infection (itchy red skin) on my penis hood. I visited one urologist for the same problem. Liver function tests, sugar and thyroid tests werte done. All were normal. He advised me to use Miconazole nitrate gel. I used it and got instant relief. I used it for 20 days, but there is a problem. Whenever I stop using Miconazole nitrate gel, my problem returns. What could be the reason? Earlier I used Sternon-G gel, but there was no relief. Doctor: Hi. You must be suffering from balanitis (fungal infection) that is why Miconazole 2 % antifungal cream worked. Do not apply Sternon G (Betamethasone and Gentamicin) as it contains steroid. Please send the current condition clinical photographs so that the oral medications can be advised. Are you diabetic? Does your partner suffer from itching problem in the groin area? You can apply Miconazole 2% cream or Sertaconazole 2% cream or Clotrimazole 1% twice daily. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19875, + "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": 27718, + "tgt": "My father had a chest pain. But, his ECG was normal. What could it be?", + "src": "Patient: Hello doctor, This is regarding my father. On the first of this month, he got an ECG, \u00a0which was normal. On the third, he had a little pain in his chest and his left hand. On the fourth, he got an\u00a0ECG done again, which showed abnormalities in the Q waves. He was recommended a 2D echo and TMT. Both came back normal. On the seventh, we got an ECG done again, which showed normal results. What should we conclude? Doctor: Hello. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 1630, + "tgt": "My father lose his conscious when he holds back his sneeze. What to do?", + "src": "Patient: Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any dangers in his life? Doctor: Hi. First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs and thereby into the circulation. Most commonly it is dust, but can be attributed to other irritative substances such as animal fur, pollens, smoke, fumes, etc. What can be done? 1. Prevention of entry of irritative substances is the key and plays a major role in preventing allergic responses. This can be effectively done by wearing an n95 mask most times even while indoors. 2. In addition, a combination of antihistaminic and steroidal spray containing Azelastine and Fluticasone two puffs two times a day does wonder. 3. Holding a sneeze inside can be lethal, as it is high pressure reflux and by holding the sneeze, reverse pressure can be created which has no where else to go but above to the cranium thereby an increase in intracranial pressure causing a vessel to rupture resulting in a stroke. This is a far possibility, but in elderly individuals, it can happen and is lethal. Secondly, an increase in intrathoracic pressure can also stimulate the vagus nerve resulting in vasovagal syncope causing a brief loss of consciousness. It is very important that these measures are followed in order to prevent any untoward incident. I hope this helps." + }, + { + "id": 13429, + "tgt": "Does Omeprazole 20 mg have side effects?", + "src": "Patient: Hello\u00a0doctor,I have been suffering from symptoms of gastritis now for over a week. However, I took a capsule of Omeprazole 20 mg, and there seems to be a considerable relief, and I feel a lot better. Is it possible that one capsule can do this? Also, I have read online that Omeprazole can be associated with serious conditions such as pneumonia and heart disease. Is this true? Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17072, + "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": 26227, + "tgt": "Is my daughter's high TSH level linked to our vegan diet?", + "src": "Patient: Hello doctor,My family and I have gone vegan three months ago. We did blood tests this week to check if we are healthy and my three children show a\u00a0low level of hematocrit count, although their RBC is within limits. My youngest (2 and a half years) has also a high TSH level (5.2 mIU/L). They are suggesting to repeat a blood test in six months. Is this linked to diet? Doctor: Hello. I have gone through their reports (attachment removed to protect patient identity). Take care.\u00a0Hope this will help you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 23131, + "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": 22371, + "tgt": "I had intercourse three days before and after LH surge. Am I pregnant?", + "src": "Patient: Hi doctor,I took Clearblue ovulation digital test a week back which showed LH surge. I had intercourse three days before and three days after the test. Since then I have been feeling really sick, but not vomiting. I am really sensitive to perfumes and I have started to feel faint and lightheaded even though I have just eaten or had a drink. I have been getting cramps around my tummy area (like I would the day before my period starts), my bra feels tight, my boobs do not look big but bra feels tight. I have been getting pain around where I get pubic hair if that makes sense like sharp tugging pains. I have stopped getting the discharge. I am not sure what it could be. Please, could you advise if it is too early for pregnancy as I am due to start my period between 20th-22nd of this month or do you think it is a virus or bug? Doctor: Hello. As you had LH surge, so the ovulation would have occurred after 36 hours post-LH surge and practically the intercourse after the test would account for possible conception, but the symptoms of pregnancy are never so early. However, the earliest you may test for pregnancy is after eight days post intercourse with a serum beta hCG test which can give conclusive results. The symptoms are more of premenstrual syndrome if pregnancy has been ruled out. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 471, + "tgt": "My bilirubin level keeps on increasing with negative hepatitis test. What is my problem?", + "src": "Patient: Hello doctor, I have jaundice. My biliurubin was 7.5 three weeks ago. I went to the doctor for jaundice. Weekly blood tests as of three weeks show bilirubin has been increasing. Hep test shows I do not have hepatitis. Ultrasound says no tumor bile duct coverage or stones. I took a CT scan and the results show there is no obstruction and pancreas is normal. In other words my body parts are normal. In two weeks, I will see a gastroenterologist. What do you think I have? I will probably have more blood tests this Monday to check bilirubin levels. I am currently on Hydroxyzine HCl. Doctor: Hello. Well, your US (ultrasound) and CT (computed tomography) scan are normal which is kind of satisfying to me. Of course you suppose to have more blood tests to confirm the origin of this jaundice. Hepatitis, although common, but they are not the only one to cause liver problem there are many other causes such as nonhepatotrophic virus infections as herpes virus, Ebstein Barr virus, cytomegalovirus. Non-viral causes are Wilson hemochromatosis, alpha-1 trypsin deficiency. The causes of predominantly raised bilirubin (jaundice) with normal CT scan suggest microscopic primary sclerosing cholangitis, primary biliary cholangitis benign and progressive familial intrahepatic cholestasis. The hepatologist will start from blood tests first and at times can be recommended liver biopsy if the blood test does not serve the purpose. It is possible that you have one of the above or not any of the above. The reason is it is always important to have a clinical history then targeted blood tests and examinations before a hepatologist is able to give you one word specific diagnosis. Deranged liver function tests. Deranged liver function tests. After establishing a diagnosis. Follow up if want to provide more information and discuss the right approach to each and everyone of above disorders." + }, + { + "id": 30060, + "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": 25865, + "tgt": "I have burning sensation from throat to upper stomach. What could it be?", + "src": "Patient: Hello doctor, I am a 37-year-old male. I am feeling some slight burning sensation from throat to upper stomach and feeling bit uneasy in the throat. I have also noticed some blood on spit twice or thrice last one week. Today, I got the test result which is all perfect except some borderline up cholesterol. My ESR is 28 while the normal range is 15. I am worried. Please help. I have attached the lab reports. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). After seeing your symptoms and labs which seem to be normal, you most probably have gastroesophageal reflux disease which requires some antiacid therapy. I would like to know if you have any bloody vomiting or dark stools? If yes, then immediate gastrointestinal consultation is required. I suggest Gaviscon (Sodium Alginate, Sodium Bicarbonate, and Calcium Carbonate) syrup after meals plus Pantoprazole 20 mg before breakfast once daily for one month. Follow up after two weeks. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12127, + "tgt": "What is the treatment for linear fracture of frontal sinus with hemorrhagic collection?", + "src": "Patient: Hello doctor, I am a male, 33 years old, RTA- linear fracture of left frontal sinus, hemorrhagic collection. After 10 days, there is pain while eating in the left eyebrow. Please prescribe medication and conservation. Doctor: Hello. I have read your concern. Let me go over your CT report (attachment removed to protect patient identity) to make sure I do not miss a thing and will get back to you in a moment." + }, + { + "id": 13501, + "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": 21740, + "tgt": "I have missed my period for over four months. Am I pregnant?", + "src": "Patient: Hello doctor,I missed my period for over four months. My last intercourse was three months back. If I am pregnant, how many weeks my pregnancy is? Doctor: Hi. Kindly send me your detailed history. Have one serum beta hCG (blood pregnancy test to check your pregnancy status). Have you recently observed any abnormal symptoms like abnormal weight gain, abnormal hair growth as on chin, face, arms, and forearms? Abnormal symptoms can give you polycystic ovarian syndrome actually. Before did you have regular periods? All these questions matters. If the pregnancy test comes positive, then you can go for the first pregnancy scan which could be around 8 to 9 weeks or more pregnancy. If comes negative, then you need a menstrual induction and day two sex hormonal tests and transvaginal scan to check pelvic pathology and discuss all investigations here or with a local gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29298, + "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": 9795, + "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": 6960, + "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": 12132, + "tgt": "I am overweight. kindly suggest a diet plan", + "src": "Patient: Hello doctor, I want to lose my weight which is 98.5 kg right now and my height is 5 feet and 8 inches. So kindly advice me a proper diet plan. Doctor: Hello. Problem list: 1. Your body mass index is 33.27 kg/m2; that means obesity type 1. 2. Infertility (vague description: How long? The type? What investigations were carried out so far? Reports of your husband? On what fertility treatment you are currently on?). 3. On medications (for what?). Management plan: 1. Need to carry out following investigations (at least) fasting blood sugar, serum lipid profile, thyroid function test. 2. The first line diet plan that would specifically work for people with PCOS (poly-cystic ovarian syndrome) is cutting down carbohydrates to 25 % or at least 33 % of your diet. 3. As you have multiple issues, a personalized diet plan could only be prescribed after a successful consultation. If you are a long term sub-fertile couple and have been stuck in a depressive vicious cycle of infertility, you also have to go through brief cognitive behavior therapy." + }, + { + "id": 14236, + "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": 15480, + "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": 86, + "tgt": "I have clogged ears with pain from ear to throat with vertigo. Is it due to nasal drip or herpes infection?", + "src": "Patient: Hello doctor, I have clogged ears and pain from ears to the throat, vertigo, and always feeling confused. I had a sinus nasal drip which I thought that is why my ears where clogged it has been six weeks and it is still clogged, popping and painful. I saw an ENT and he said I had no fluid and there be any underline issues causing my ears to stay with pressure and fullness like HSV-1 and HSV-2 can cause me to lose my hearing. I am 40 years old and never experienced this before. My doctor prescribed me antibiotics and they are not working. I already took Acyclovir and he prescribed it again. I just need to know if herpes causes hearing loss? Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from clogged earaches with painful jaw joints and sore throat with vertigo and all these sufferings may result from herpes infection according to your assumption. When herpes affects the nerve in the face that spreads to ear known as Herpes zoster oticus its clinical features are severe earaches, swelling of vestibular nerve, fluid-filled vesicles on outside of ear and inside ear canal, permanent or temporary paralysis of the face with hearing loss. Again herpes esophagitis can attack the mouth. Sores may develop in the mouth and make swelling difficult due to inflammation of the throat. This pain can radiate to mouth and jaws. Sudden hearing loss can result commonly from viral infections other than herpes are measles, mumps, rubella, viral meningitis, syphilis, AIDS, etc., which can cause sudden loss of hearing. Again bacterial meningitis, Lyme, any tumors in the ear can also be hearing loss. Any type of hearing loss, steroid should be applied immediately. It helps in reducing the inflammation and decrease the swelling and increasing hearing ability. So along with your current medications, you should use steroids immediately to prevent further hearing loss. In case of any other query knock me and I will try to help u further." + }, + { + "id": 30922, + "tgt": "Will I-pill cause any fertility problem in the future?", + "src": "Patient: Hi doctor, I am a 27 years old female. I had unprotected sex and then had an I-pill. I had my periods on then 1st of last month and then had spotting on the 17th. But, I have not got my periods till now. I had all tests and everything was normal. Doctor: Hi. Revert back with a detailed history to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28431, + "tgt": "Are my symptoms the side effects of asthma medicines?", + "src": "Patient: Hi doctor, I am a 29 years old female, who weighs 63 kg and I am 5.4 feet tall. Since a year, I have been suffering from very strange symptoms like dark yellow urine (very deep yellow and sometimes turbid and cloudy in appearance), yellowish eyes, very sour taste in the\u00a0mouth throughout the day, increased heartbeat, and sudden sweating.\u00a0Before a year, I was having asthma and breathing difficulties for nearly five years, for which I had been taking Asthalin inhaler and sometimes nasal spray.\u00a0I was passing dark yellow urine throughout the day,\u00a0in spite of drinking large amounts of water.\u00a0I visited a general medicine doctor, and she checked my heartbeat and blood pressure, and it was 145/94 mmHg. So, she put me on BP medication, and also prescribed antacid Nexpro for some days. I took antacid and found temporary relief for ten days. After\u00a0that,\u00a0she told me to do all body tests. Kidney scan, ECG, x-ray, blood tests, etc., all reports were relatively normal. So, she told to continue my medicine for BP. She said my symptoms could be the side effect of my asthma medication, and she asked me to stop the nasal spray and asthma medicine. So, I stopped the drugs five months back itself. Three months back, the problem of dark urine continued, and I did not\u00a0visit any\u00a0doctor, thinking that the problem will slowly go away. The doctor had told me not to worry.\u00a0However,\u00a0I am waiting now since three months, and I still suffer the same symptoms. The symptoms are less now, but they are not completely gone. I visited a cardiologist, and he said that it is a metabolic or blood disorder. Most probably hemoglobinuria or\u00a0hemolytic\u00a0anemia and told me to meet some other doctor. I went to a diabetologist, he asked me to do\u00a0liver\u00a0function test, so I did\u00a0it.\u00a0Now the doctor is out of town so I cannot visit him. I do not know which doctor to visit and I am very confused, and my symptoms are not going away. My BP now stays at 130/85 mmHg after taking the BP medication. Could you please advice on what I need to\u00a0do? I have attached all the test reports that I have done so far. Doctor: Hi. I have carefully gone through your reports (attachment removed to protect patient identity), your case seems to be complicated. Hope my answer will help you. For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 7974, + "tgt": "Is it necessary to get a temporary bridge before a permanent bridge on teeth?", + "src": "Patient: Hi doctor, I am in the process of getting ready for a dental bridge, a total of seven teeth order of porcelain fused and then a crown, etc. Now, tomorrow I am supposed to get a temporary bridge. I got a call today that they are going to prepare my teeth tomorrow and go ahead and do permanent bridge but the price is still the same. Does this sound correct? I was charged including a temporary bridge but now I am not getting one, just permanent. Doctor: Hi. Your temporary bridge was just for the time being that your dentist might have thought permanent will take time for fabrication, so temporary was only for your comfort and esthetic issues. Temporary is generally given if there is a delay in permanent and to check if the patient will be comfortable with the size, color and all or not. It is good that your permanent bridge has been fabricated before time, you just need to take this much care that when tomorrow before fixing permanent finally you will be asked by fitting it in your mouth if it is proper in size and comfortable or not, so be very fair to yourself and your dentist and do tell him or her whatever you feel so after that it will be their duty to fix it up whatever problem may arise." + }, + { + "id": 25164, + "tgt": "How can bad breath be stopped and prevented?", + "src": "Patient: Hello doctor, I am facing a problem with bad smell from mouth. I have faced this problem six to eight months before after my accident and I took heavy-dose antibiotics. I have shown to a dentist and I have cleared all my tooth problems. After that also, I am facing this bad smell. I am taking Omeprazole and Gelusil continuously. Presently, I am facing the same problem for the last one and a half months. My bottom portion of the tongue has an acidity taste when food not taken on time. Presently, I have taken 10 tablets of Omeprazole and Sucrafil syrup. Kindly advice me if there is any cure available. Doctor: Hello. You seem to be suffering from halitosis and this requires a proper dental evaluation. If that is cleared then you might be having a gastroesophageal reflux disease. You need to be started on a combination of Rabeprazole and Domperidone once daily. Do Listerine gargles thrice daily. Walk after all meals. Make sure you brush your teeth twice a day. I would also recommend you to avoid eating onion, garlic, and non-vegetarian foods. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19468, + "tgt": "I have penile papules and want to get rid of them. Please suggest", + "src": "Patient: Dear doctor, I have penile papules and want to get rid of them. Is there any way or medication? Please suggest. I got tested for all STDs and everything is negative. Doctor: Hello. Can you tell me the duration of complaints? Is there any associated itching or urethral discharge? What is your marital status, and if partner also having any complaints? Revert with more information to an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9968, + "tgt": "Why am I not growing taller?", + "src": "Patient: Hello doctor, I am a 17-year-old girl and I weigh 60 kg. I am 4 feet 9 inches tall. I think I am not growing since I was 13 years old and my mom is a few inches taller and my dad is 6 feet. I have not taken any medication for this. Please help. Doctor: Hello. You seem to have gained a lot of weight for your age. This is one of the major reason for not growing taller. Children who are overweight are often seen to stop growing taller earlier than others and this is particularly true for girls. Also, you may have acquired your mother's genes in terms of height. The good part is you still have a few years to go before you stop attaining height. You should see a dietician for a protein-rich diet and you must lose weight. Also get a lot of exercises including stretching exercises and also skipping. Yoga can do wonders too if done properly. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3858, + "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": 15513, + "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": 16494, + "tgt": "Why is my penis top red with a white pimple?", + "src": "Patient: Hello doctor, My penis top is red with a white pimple. I used Mupirocin ointment four months back. Then again the doctor gave Betnovate RD a month back and I used it three times. Now, my skin looks very dry and ugly. The redness has reduced but the skin looks abnormal. Doctor: Hi. I have gone through your complaints and it could be yeast infection. I would recommend you to upload the pictures of the affected areas so that I can have a clear 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": 10185, + "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": 11810, + "tgt": "What are the ways to get pregnant without penetration?", + "src": "Patient: Hello doctor, I want to ask you can I get pregnant without penetration or inserting? As I am not comfortable and I am scared to get STD, genital herpes? Even I read masturbating leads to impotecy and infertility. Can I get pregnant on my ovulation time (with clothes) just by stimulating or getting touch for short periods by my partner? Is this possible to get pregnant in this way? My grandmother told me they never did direct penetration stuff but still she got pregnant five times. How is this possible? Doctor: Hi, WeIcome to icliniq.com. I can understand your concern for your symptoms. Direct penetration is the normal way of sex. Normal sex release serotonin and oxytocin. Happy and trust hormone which is very important in building relationship. If you are not allowing your male partner for normal sex or penetration, he may find other options which will be an issue in your relationship. Your worry about infection is there for every one, if you are so worried you can ask your partner to do a blood work up then have sex. Still you need to get pregnant without penetration, yes you can. It is called artificial insemination. You can meet a gynecologist to do the procedure sterile method." + }, + { + "id": 29097, + "tgt": "From my symptoms, please let me know if I am suffering from depression", + "src": "Patient: Hello doctor, I am a medical student and want to know about if I am suffering from depression. I have mood swings. My concentration in studies has decreased. I have lost interest in activities, especially my hobbies and I have recurrent thoughts coming now and then. Sometimes, I could not sleep, or I do sleep too much. I have lost social interaction and remains alone and\u00a0separated from my friends. I am the same since four years. What to do? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20502, + "tgt": "Why am I having non-healing sores on leg and scalp?", + "src": "Patient: Hello doctor, I have sores that would not heal on the leg. So many painful sores and/or welts all over scalp for a month now, dizzy, lightheaded, extreme fatigue, decreased appetite. Blood pressure and resting heart rate are constantly high (i.e., 110/102) for months with unsuccessful treatments so far. Several days ago at urgent care 158/108, pulse 108, said I had an upper respiratory infection which I think moved into my chest today. I started profusely sweating through my clothes at random times for the past four days, short-winded, sleep and breathe easier sitting up, constant ringing in both ears. One month ago, I was doing intense circuits with my trainer three days a week and cardio 3 to 4 days a week. Now I cannot make it through even 30 minutes workout without feeling like I am going to pass out. Who should I see next? All the doctors seem so concerned especially about my blood pressure and heart rate, but no one has ordered an EKG and I had to ask for blood pressure medication. The urgent care doctor, nurse were very concerned and provided a list of the cardiologist. I have no idea what to do or who I should go see. Doctor: Hi. I went through your query and all your photos and reports (attachment removed to protect patient identity). Let me first list out your problems. Non-healing sores. Blood pressure is not coming under control and high heart rate. Respiratory tract infection, sweating and breathing difficulty. First of all, you did not mention why are you taking Amphetamine salts, because most of your problems like high blood pressure, fast heart rate, ringing sound in ears, sweating could be due to side effects of Amphetamine. So if it could be stopped then most of your problems shall come down. So it is essential for me to know why you are taking Amphetamine. For respiratory tract infection, you need to be tested more with tests like chest X-ray, Throat swab culture sensitivity, sputum culture sensitivity. Uncontrolled respiratory infection can explain your breathing difficulty and loss of stamina. So if properly treated for respiratory infection your breathing issues can also come down. But in addition, I would recommend getting a 2D echo scan done. Coming to your non-healing sores again it could be because of Amphetamine. But other causes are diabetes, vasculitis, and bacterial infections. But before investigating for these I recommend stopping Amphetamines for 2 to 3 weeks and see what happens." + }, + { + "id": 28247, + "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": 4846, + "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": 9380, + "tgt": "Is it possible to grow taller with HGH therapy?", + "src": "Patient: Hi doctor, Is it possible to grow taller with HGH therapy? I am so extremely insecure about my height. I am 5'10\" and I realize that is not that short. My past two girlfriends have broken up with me and mentioned my height as a reason. I realize it sounds ridiculous to other people, but I am worried. I really need some way to get just an extra 2 inches. Doctor: Hi. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 6481, + "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": 23292, + "tgt": "I have irritability and crying spells. Please help me", + "src": "Patient: Hey doctor, I am suffering from a constant headache, irritability when someone speaks loud or in a noisy area, muscle pain near shoulders, sometimes dizziness, fatigue, tiredness, and crying spells. During my university lectures, I can sit for 10 to 15 minutes but then suddenly, I feel dizziness and something happens in my legs and I want to cry, sometimes crawling as my legs stop working. I feel I am nothing and cannot do anything in my life, frequent urination. Doctor: Hello. it is all symptoms of depression. You need to take antidepressants medications for short time. You can do some other nonpharmacological way to deal with your depression. Start daily exercise for 30 to 40 minutes just go for a walk, eat healthy food, avoid junk food, take regular deep sleep, go or learn swimming if you can do, develop some good hobbies like painting, reading, writing, learn something new, spend time with family, make good friends, spend quality time with your friends, talk with new people, take cold shower, spend some time for yourself (just do what you want to do for 20 to 30 minutes a day), learn to do relaxation or meditation, and stay away from any type of substance abuse. Live your life, not just spend it. Be bold and confident, fight with your problem. You should check your thyroid hormone level, vitamin B 12 level, and fasting glucose to rule out diabetes. I suggest taking (antidepressants) tablet Escitalopram 10 mg once daily after breakfast or lunch. Do not take on empty stomach, it will cause stomach pain or gastritis. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28945, + "tgt": "From my father's reports, could you advise the next step of treatment for bladder cancer?", + "src": "Patient: Hi doctor,My father, who is 72, was diagnosed with bladder tumor a month ago when he went to the local doctor for the treatment of blood drops in the urine. I have attached the diagnosis report for your reference. The doctors advised to operate it as soon as possible, and the operation took place 10 days ago. The biopsy report says high-grade transitional cell carcinoma of stage\u00a0G3pT2. I have attached the report for your reference. Could you please advise the next step of the treatment? Please let me know if you require additional information which I have not provided with this case. Your help would be highly appreciated. Doctor: Hi. LFT (liver function test) and CXR (chest x-ray). If anything suspicious further imaging like bone scan or chest CT. May also undergo PET-CT instead to evaluate for metastasis. Carcinoma Bladder T2 G3. Metastatic workup and fitness for surgery For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15157, + "tgt": "Why is there a penile movement when I concentrate on my penis?", + "src": "Patient: Hello doctor, I have semen in urine sometimes. While sitting or lying if I concentrate on my penis, I start having strokes. I cannot control in the flaccid position. While I do sit-ups there is a movement in the penis. It started from nightfall and my urge of not to masturbate. It is because of depression only and when I concentrate on something else it stops. If I have a good sleep, it stops. So is psychological problem frank? I am not sure if thinking is much of an issue. I had such erections problems earlier and it was only because of depression but I am not understanding other things. Do I need a doctor? I had a renal transplant nine months back and I was preventing masturbating from happening though I was getting excited many times. Doctor: Hello. I can understand your concern. Lack of masturbation and lack of sex results in a spontaneous flow of semen via urine. This occurs in order to allow new sperm to form. This is a normal phenomenon and this does not cause any effects on health. This will not result in weakness of any kind. The secretion which you have during talking or excitation is nothing but precum. This is a lubricating fluid and this too is a normal thing." + }, + { + "id": 12125, + "tgt": "I am using laptop for a long time. Could it be the cause for my blurred vision?", + "src": "Patient: Hello doctor, Sometimes when I use my laptop at work for too long, my vision gets a little blurry but clears up on its own. Lately, however, it has been happening more often, but it clears up when I blink. It happens when I wake up, during the day and at night it clears up when I blink. I have not been sleeping well, and I have been fatigued. I have also been using my phone and laptop a lot. I also noticed that I have dry eyelashes and most times it feels like there may be something physical in my eyes causing the blurriness. But it is happening a lot lately. My family has a history of glaucoma, and I checked my eye pressure a while back, and it was fine. Doctor: Hello. I understand your concerns. The symptoms you are suffering from are most suggestive of dry eye disease. It is quite common in computer users. The best initial treatment for this is firstly to blink your eyes more often and second the thing is the use of lubricants such as 0.5 % Carboxymethylcellulose acetate eyedrops (refresh tears eyedrops). With this, I am confident that you will improve. In case you have already been taking these measures, or if you have any further questions, please let me know. I will do my best to help you." + }, + { + "id": 16919, + "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": 14971, + "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": 29075, + "tgt": "What are the causes of prolonged periods and pain after taking birth control pill?", + "src": "Patient: Hello doctor, I had sex with my girlfriend, but I did not ejaculate. As a precaution, she took birth control pill. She is having lower abdominal pain for more than 10 days. And her periods are also prolonged. Please suggest an appropriate solution. I asked the same question to a doctor, and I was asked to get a urine pregnancy test done. It is the 11th day of her periods. Please explain the reason behind it. Is there any medication which can relieve the pain? Doctor: Hi. For more information consult an obstetric and gynaeclogist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23623, + "tgt": "When will my stomach ache and diarrhea be cured?", + "src": "Patient: Hello doctor, A week back, I woke up and rushed to the bathroom with a terrible stomach ache to throw up. Minutes later, I had mild diarrhea throughout the day after that. Next day morning, on my way to school, I had to open my car door and throw up outside. Yesterday, I did not throw up but had diarrhea three times in the morning and a few times during the day after that. Today, I woke up at 3 AM with a bad stomach ache and had diarrhea and fell back asleep, uncomfortably. I woke up at 6 AM again and had mild diarrhea. At around 12 PM I also had diarrhea. I am interested in finding out when this bug will pass, as I am certainly not looking forward to waking up a terrible stomach ache again. I think I have passed this on to my dad and friend too. Doctor: Hello. Get physically examined and investigated to rule out the medical problem and treat accordingly. You need diet modification. For details on diet please follow up. Drink plenty of fluid. Keep well hydrated, and have ORS (oral rehydration solution). I suggest the following medicines: Consult with your specialist doctor, discuss with him or her and take medicines with their consent. Feel free to follow up anytime with reports. Any other suicide symptoms? Any cold, cough or fever? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26586, + "tgt": "One of my teeth hurts. Should I get it removed?", + "src": "Patient: Hello doctor, I have a tooth\u00a0problem\u00a0in two of my teeth from about a whole week. One tooth is broken and my other one just hurts. It is a lower and upper one. I had a\u00a0fever for a whole day and my ear has been\u00a0hurting for two days already. Do I need to go to the emergency room or can I wait to get it removed? Please help me out. I do not have dental insurance yet. Doctor: Hello. I had gone through your question. I can understand your concern. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 3118, + "tgt": "Echo shows 60% ejection fraction and Holter shows 190 heart rate. Should I worry?", + "src": "Patient: Hello doctor, I am 25 years old. I have palpitations for the past three months. No anemia, TFT is normal, MRI abdomen and chest are normal. Echo shows atherosclerotic aortic valve with ejection fraction 60%. Holter shows minimum HR-120 and maximum HR-190. I have associated fatigue at times, tremor and difficulty in breathing. Chest pain is aching sometimes and pins and needles more often. I have seronegative arthritis. Previously I had dengue, cerebral malaria and typhoid. I am currently taking Betacap TR 40 mg bd for one month then stopped. Clonazepam 0.5 mg bd for two months but no help. Doctor: Hello doctor, I have thoroughly gone through your case and can well understand your genuine concerns. First of all, you have a high BMI (body mass index). Try to reduce the weight as you know it is high for this age and height. Ejection fraction of 60% shows you have aortic stenosis due to sclerosed aortic valve. In this regard, we have to keep in mind that this much back pressure on the left ventricle with every heartbeat is making the ventricular walls and interventricular septum more thickened and dilated. Improper output is making your heart beat faster and it also reduces the cardiac output. Stenosed aortic valve. Hindrance to outflow of blood. Cardiac angiography. Beta-adrenergic blocking agents are the mainstay of treatment to reduce heart rate and control palpitation and to reduce cardiac oxygen demand that has increased due to increased heart rate. Maybe we need cardiac ablation and also there may be a need for valvular replacement sometime later in life. Avoid strenuous physical activity. No junk foods, caffeine, tea, coffee, chocolates, and energy drinks." + }, + { + "id": 22945, + "tgt": "My period is irregular, heavy and prolonged. What are the cause and solution?", + "src": "Patient: Hello doctor, My period has become irregular to about three times a year and it has become heavy and prolonged, lasting more than two weeks unless stopped with drugs. I have done several ultrasound scans without seeing the cause except on one occasion of PID. I got treated still no improvement. What are the cause and solution? Please help. I once had a surgery four years back. The doctor diagnosed corpus hemorrhage, do not know if it is related to this. I used to take Tranexamic acid with one other tablet to stop the bleeding. Doctor: Hi. It is better to have detailed investigations like a cervical smear, detailed outpatient hysteroscopic examination, thyroid function test, complete blood count, etc. Start iron supplements immediately and have a diet containing iron like apples and carrots. If you have been experiencing any health issue better to have a full check on it and treatment as well. Collect all laboratory reports and discuss with gynecologist here or local. For bleeding have tablet Ponstan (Mefenemic acid) and tablet Tranexamic acid 500 mg eight hourly from day two to day five or total five days. Start tablet Norethisterone 10 mg twice daily from day 5 to day 24 for three cycles to regulate cycle and reduce bleeding. Local examination (hysteroscopic) can exclude cervical or endometrial polyp or any other local pathology. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8753, + "tgt": "Can frequent masturbation and ejaculation cause vitamin B12 deficiency?", + "src": "Patient: Hello doctor, Does B12 deficiency occur because of frequent masturbation or ejaculation? If not, kindly explain why? Doctor: Hello. No, the masturbation is safe to act by a man, and he can enjoy it as many times as he feels. It is not needed to avoid masturbation, and it is not a criminal or an unhealthy habit or taste. All men and women in reproductive age want to relieve sexual desires by natural sex or self-stimulation, which is the masturbation and is fine and harmless. Masturbation is a very common behavior, even among people who have sexual relations with a partner. In one national study, 95 % of males and 89 % of females reported that they have masturbated. Masturbation is the first sexual act experienced by most males and females. In young children, masturbation is a normal part of the growing child's exploration of his or her body. Most people continue to masturbate in adulthood, and many do so throughout their lives. In addition to feeling good, masturbation is a good way of relieving the sexual tension that can build up over time, especially for people without partners or whose partners are not willing or available for sex. Masturbation also is a safe sexual alternative for people who wish to avoid pregnancy and the dangers of sexually transmitted diseases. It also is necessary when a man must give a semen sample for fertility testing or sperm donation. When sexual dysfunction is present in an adult, masturbation may be prescribed by a sex therapist to allow a person to experience an orgasm (often in women) or to delay its arrival (often in men)." + }, + { + "id": 9658, + "tgt": "How to get relief from fever, cough and blocked ears?", + "src": "Patient: Hi doctor, I have a fever with a cough. I have blocked ear. What can I do? Doctor: Hi. You are having upper respiratory tract infection. You can have associated middle ear infection because of the presence of ear pain. You can take Levocetirizine for five days. For fever and pain relief, you can take Paracetamol 500 mg. Steam inhalation can be done three times a day with warm water. It is beneficial. Avoid eating excess spicy foods. Drink more water. Take one teaspoon turmeric powder with milk daily. You can investigate with CBC (complete blood count) for primary work up. It is advisable to consult an otorhinolaryngologist for a detailed evaluation." + }, + { + "id": 13150, + "tgt": "What are the pink and red patches on the skin of penis?", + "src": "Patient: Hi doctor, I am 24 years old man. These pink or red patches grew on the skin of my penis about 5 to 6 weeks before. Not itchy especially and no pain. HBC, HCV, HIV1-2, Lues are negative. What could be these? Doctor: Hi. It seems like a fungal infection but that is itchy. Have you applied any medication over it? Yes, skin is very dry. Is your skin dry all over the body? If your skin is dry all over, it can be due to your thyroid problem. I will suggest if you can do scraping for fungus. It will confirm your diagnosis. Other possibilities can be annular lichen planus, psoriasiform lesions, but do not worry. Nothing is to be afraid of. You will get better soon. Tinea cruris, eczema, annular lichen planus, psorasis. Tinea. Apply combination of Hydrocortisone plus Isoconazole cream (like Hydrozole) BD. Apply Petroleum jelly 4 to 5 times a day. Maintain hygiene of area, wash with soap and water. Avoid using Dettol and other irritants." + }, + { + "id": 13710, + "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": 20231, + "tgt": "Is vaccination needed for a non-rabies dog bite?", + "src": "Patient: Hello doctor, My daughter is 3 years old and has been bitten by a pet dog. The dog would not\u00a0bite if not touched. It has been in our home for 10 years. It stays always at home. The dog does not have rabies. The dog is a Pomeranian breed. \u00a0The\u00a0wound is not very deep but a slight cut on the\u00a0upper skin that was cleaned thoroughly by an antibiotic. Do I still need her to be injected? If no, should a tetanus shot be given? Doctor: Hello. I hope this will help you. For more information consult a\u00a0child health specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 5636, + "tgt": "My left testicle is lower than the right. Is this normal?", + "src": "Patient: Hi doctor, I observed that my left testicle is lower than the right. I examined myself but found no lump. I am not experiencing any pain either. Is this normal? Doctor: Hi. You need not worry since this condition is quite normal. Because of the late descent of left testis into the scrotum, the left testis is generally placed at a lower level compared to the right. This is totally normal and not harmful. This, by no means, will affect your sexual life. Consult a urologist online if you have further queries regarding the same --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19254, + "tgt": "What is the treatment for vitiligo?", + "src": "Patient: Hi doctor, I have been suffering with a skin problem for a long time of four years. They are white patches. I have taken treatment from few doctors. Doctors have asked me to apply some lotion and show sunlight to them. They also gave some blue light therapy but I developed blisters after that. So, they stopped the treatment. They are mostly on my hands, feet and shins. My past medication includes drugs called Methoxalen lotion mixed in water ans some tablets called Aciloc, Zempred 4 and Shelcal. My friend advised me ayurvedic treatment for the same, but during treatment the spots started spreading to feet. So, I just stopped it. My CBC was normal, SGPT 24, SPOT 12 and creatinine 0.64. I am fed up. 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). As you already know, these are patches of vitiligo. This disease can be effectively treated. 1. The blue light you are referring to should be NB-UVB (narrow band ultraviolet B) chamber treatment which is quite effective and safe modality. 2. The blisters can be easily managed by decreasing the duration of exposure. The only drawback is that you will have to visit the dermatologist every alternate day, which seems to be difficult for you. 3. Also, you are applying Melanocyl lotion (Methoxsalen). Since how long are you applying it? Did it have any good effect? 4. Another option is tablet Melanocyl. The usual dose is 20 mg on alternate days. Two hours later, sunlight exposure is given for 10-15 minutes. 5, Biopeptides, topical steroids, etc., can be given. 6. Skin grafting can be carried out. 7. Let me know what dose of Zempred 4 mg (Methylprednisolone) you are on? How many tablets per day and since how long? 8. Please send me photographs of the previous dermatologist's treatments you have taken so that further management can be planned. 9. Also tell me whether lesions are currently increasing or are they stable? If stable, since how long? Revert back with the answers to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29146, + "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": 12820, + "tgt": "Will taking Unwanted 72 within four hours of sex prevent pregnancy?", + "src": "Patient: Hello doctor, I had unprotected sex with my wife. After that she took Unwanted 72 within four hours. After 10 days, she bled but not heavy. It was a few spotting which was brown in color up to four days. After 12 days of sex, she took a pregnancy test. It was negative. Then please tell me if there is a chance of pregnancy or not. Doctor: Hello. Unwanted 72 is quite effective in preventing against the pregnancy and she had spotting after taking it so probably she did not get pregnant in this cycle. Please mention her cycle length and the day of the cycle you had unprotected sex on." + }, + { + "id": 28521, + "tgt": "Please suggest some good medicine for recurring insomnia", + "src": "Patient: Hi doctor, I have been having recurring insomnia now and then. In a month at least five to eight days I have no proper sleep and it is hampering my day to day activities. I lack interest. I am under stress and my mind feels foggy. I am on Escitalopram 10 mg. Please suggest me some good medicine which can help me to cope with this. Thank you. Doctor: Hi. I can understand your concern. Tablet Mirtazapine or Zolpidem or Zopiclone can be taken. For further information consult a psychiatrist online.--->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5701, + "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": 10779, + "tgt": "Why is there itching with pain while retracting foreskin?", + "src": "Patient: Hello doctor, My husband is 44 years old and taking no medication but only anti-fungal cream. He has a lot of itching and his foreskin does not go back without pain. Please help. Doctor: Hello. From your history, it seems the skin is inflamed and cannot be retracted, this is called balanitis. There is a possibility of phimosis (tightness making it difficult to retract and painful. I am not sure of his personal hygiene because if he is not cleaning it properly, it can cause some pus like particles smegma which can provide medium for infection in it. What you can do is use Augmentin 625 mg bd for 10 days, use enteral antifungal Fluconazole 200 mg daily for 10 days, tablet Ibuprofen 400 mg BD for six days. You can get triple action cream (contains combination of Corticosteroid, Antifungal and Antibiotics) that will help too. Permanent treatment for this problem is to see a doctor and get circumsicion that will solve the problem once and for all. Fungal and bacteria infection, poor personal hygiene. Swab for microscopy culture and sensitivity. Paraphimosis. Balanitis." + }, + { + "id": 17926, + "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": 6260, + "tgt": "My child is having neutropenia after taking Paracetamol and Ibuprofen. Why?", + "src": "Patient: Hello doctor, My 10-month-old baby had a viral infection with roseola infantum. It started fever 38.5 degrees and 39 degrees measured rectally on the second day treated with Ibuprofen 3.5 ml and Paracetamol (Panadol) 4 ml administrated after 6 hours (almost three days of treatment). The third day, the baby did not have fever at all and on the fourth day a rash appeared on his face, after his ears and on his back mainly, with mild signs on his tummy. Also, in the fourth day she had changes in his stool- kind of yellow with mucus and quite fluid with no fever. Five days later, the blood tests indicated severe neutropenia with 0 neutrophils on a test taken from her finger. As we got very scared, we repeated the test the next day and the result was 0.2 neutrophils so again a very low value. My question is that is it possible that this neutropenia is a consequence of the roseola infantum plus the administration of Paracetamol? The baby is fine now, she is very happy, playing, and eating normal. Also, would it be possible that these indicators can be so low due to the way of taking blood sample? We got it out of her finger, not through the veins. We were given Azithromicin just to be on the safe side, but I would not give her antibiotics if clinically she is well and shows no sign of being unwell. Doctor: Hi. The low count may be because of the disease process and less likely the Paracetamol or Ibuprofen. Another reason can also be the way the sample was collected (although I am not very sure about it). Do not worry about it if the child is currently fine. However, I would advise taking a fresh sample of blood from the veins and checking the counts again. If they persistently stay low on three consecutive occasions, I would advise a detailed workup to rule out any genetic disorders in the child." + }, + { + "id": 20387, + "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": 25351, + "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": 10770, + "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": 27664, + "tgt": "Can a person with high blood pressure donate blood?", + "src": "Patient: Hello doctor, Can a person suffering from high blood pressure donate blood? Doctor: Hi.I respect your concern on blood donation. For further clarifications consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6390, + "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": 24215, + "tgt": "Can complex partial seizures be cured?", + "src": "Patient: Hello doctor, Recently my neurologist diagnosed me with complex partial seizure. However, after taking two different medications and increase in doses has not helped. So here is my story: several years back I had been going through an extreme amount of stress. I had some migraines: occasional sharp pain in the frontal lobe. As time went on, I have been having strange episodes from once a month, to once a week and every day now for several years. Symptoms: Dozing off (spacing out) without realizing, lasting two to five minutes when it first started. But now it lasts less than a minute. Staring. Uncontrollable head movement from side to side. Head tilting downward. Feeling numb. Blurry vision. In some ways, I feel paralyzed as in if I want to speak there is a delay. Also, if I want to move there is a delay. I do not know when I go into these episodes but I sometimes know when I come out of it. No abnormality in blood tests, no abnormality in MRI. No abnormality in EEG testing as well. My neurologist determined based on my symptoms. I was prescribed Lamotrigine 100 mg daily increased to 200 mg. This did not help. So, I went on Carbamazepine 400 mg daily increased to 800 mg. This did not help either. So, is it actually a seizure or could it be something else? Do I need to continue trying different medications? Please help. Doctor: Hello. Based on the description of these episodes, I agree with your doctor that these episodes seem to be related to complex partial seizures. I would like to directly review your EEG (electroencephalogram) reports if you can upload it. A normal EEG is not surprising in complex partial seizures. On the other hand, you should know that if two anti-epilepsy drugs, in their optimal doses, fail to control seizures, the chances to have success with the third anti-epilepsy drug are lower. Anyway, considering a normal EEG and normal MRI findings, I would recommend discussing with your specialist on the possibility of performing a prolonged EEG or video EEG in the hospital (up to seven days) or an EEG with sleep deprivation, to have more information on the possible location of the seizures. In such a case, switching to another anti-epilepsy drug could be an option. Another option if there is a focus on EEG, would be discussing with a neurosurgeon on the possibility of a brain surgery, in order to have a better control on seizures (considering pharmacoresistant epilepsy). Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25920, + "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": 9510, + "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": 27061, + "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": 28953, + "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": 4746, + "tgt": "How can parents keep their children safe around water this summer?", + "src": "Patient: Hello doctor, What do parents need to know about keeping their children safe around water this summer? How to stay safe at a pool (in the water and around the pool area)? How to stay safe at a beach (in the water and on the shore)? What are possible signs of distress or danger parents should look for (extreme exhaustion, coughing, heavy breathing)? What is dry drowning and what to look for? Most important points parents should teach their kids about water safety. Doctor: Hello. 1. Staying safe in and around the pool: Avoid taking children between the age of 6 months to 4 years near pools as they may go unnoticed into the pool and may drown. If at all you do take children to the pools make sure they have their floats and other safety equipment on at all times even when out of the pool. Make sure children do not drink the water of the pool. 2. Staying safe in and around a beach: All of the above tips plus be careful of children eating sand. Watch out for sea urchins, crabs and insects that may bite the children. Carry enough water with you and advice the children to drink plenty of water so as to prevent dehydration on a hot sunny day at the beach. 3. Warning signs: Breathlessness, fainting, drowsiness, convulsion. 4. Dry drowning is when water enters the child's nose and upper respiratory airway but does not enter the lungs due to spasm of the upper respiratory tract. Watch out for breathlessness, chest pain and irritability in this case." + }, + { + "id": 23822, + "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": 5810, + "tgt": "After wisdom tooth removal, a blood clot came out of socket. Will it end up in dry socket?", + "src": "Patient: Hi doctor, Before eight hours, I got my wisdom tooth out. My mouth was filled with blood. Just 30 minutes ago, a small piece like a blood clot came out of my bottom right socket. When I look at my holes in the mirror, they are all filled with dark blood. Can I get a dry socket? Should I need to go back to my dentist now? What should I do? I am terrified of the pain. Doctor: Hi. Since your socket is filled with blood, there is nothing to worry much. Regarding this socket, I cannot assure you without seeing the image. Maintain your oral hygiene and follow the instructions given by your dentist. Do warm salt water gargling after a day and for the next 24 hours do not gargle forcefully or spit forcefully. Do not consume anything very hot and do not use straws for drinks. Do not try to manipulate the area with tongue or finger. All the other instructions would have been given by your dentist. Dry socket is diagnosed after two to three days with the patient symptoms only. But in case, if you have any bad odor or pain or bad taste, you can visit your dentist. Do a sedative dressing and medication will be given. Do not worry. You will be fine. Just adhere to the instructions correctly. Take your medicines properly, if the antibiotics are given. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11738, + "tgt": "How can cortisone help if taken before transferring an embryo?", + "src": "Patient: Hello doctor, I would like to know, can cortisone help if taken before transferring an embryo? And if it can help so, in which way? Doctor: Hello. Yes, cortisone can increase the chance of getting pregnant. It decreases ACTH production (adrenocorticotropic hormone) and increases pituitary gonadotropin release, thereby increasing the chance of pregnancy. If you have a doubt then get back to me." + }, + { + "id": 15366, + "tgt": "Does miscarriage affect fertility?", + "src": "Patient: Hi doctor, I am a 36 year old male and my wife is 31 years old. We got married before two years and had not planned for pregnancy.\u00a0My wife's medical history is as follows. Two years before her thyroid level was near 18 and she took regular medicine. Now her thyroid level came down between 2 and 3 after taking thyroid medicine of 75 mcg. Before a year, she had severe body pain. So, we consulted an orthopedician and he recommended some test to rule out vitamin D deficiency. By taking three doses of vitamin D injections we managed the vitamin D level. At the same time, she had severe knee pain and the doctor confirmed her CMP. For this she took knee pain injections and some physiotherapy exercises. We had planned for pregnancy before one year. Then, unfortunately she got a miscarriage and started taking Folic acid after consulting her gynecologist. As per doctor's advice we planned for conception before two months. But, the problem is after miscarriage she is getting abdomen pain at the time of ovulation. Before four to five months, she got the pain during ovulation for around three to four days. Since we had planned for conception, she is getting severe pain in her abdomen and back pain until her cycle around 14 to 15 days. Every time when we consult gynecologist, she used to take transvaginal ultrasound and reported no problem in her ovaries, fallopian tubes and uterus. But, the doctor mentioned that she has polycystic ovary. As her cycles are regular there is no need to worry about it. She has severe pain from 15 days of her ovulation, but could not find out the reason. Please help us. Doctor: Hi. Detailed information given by yourself is very useful to give you further direction in the planning of the baby. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18022, + "tgt": "I notice a lump in my neck after a throat infection. Could this be from the virus?", + "src": "Patient: Hello doctor, On Sunday evening, I went to bed with a stuffy nose and in the morning, I woke up with body aches and chills and a sore throat. I look at my throat in the mirror and notice pus starting on my tonsils. The next day, my tonsils are covered in pus, painful to swallow. Body aches and chills continue. So, I went to the doctor and it was negative for strep. Two days later, my symptoms are not getting better. So, I go back and they tested me for mono which was negative. They sent off my culture and it was negative for bacteria. Today, my throat is getting better. Later that day, I noticed a lump on the side of my neck. It is painless and moves slightly when I press on it. It is about the size of my pointer fingertip. Could this be from the virus? Doctor: Hello. I shall try to help you out on this one. The symptoms and signs which you have written are consistent with the diagnosis of acute tonsillitis. However, since tests for bacteria were negative, there is most probably a viral cause for the infection. Mono test is a test to detect infectious mononucleosis, another viral infection. Since mono test is negative, that may be ruled out. The lump in the neck you are talking about seems to be an enlarged lymph node. Tonsil infections are in many cases accompanied by enlarged lymph nodes in the neck. The lymph nodes most often getting enlarged in tonsillitis as they are situated just below the ear. Those may be movable and slightly tender to touch. If the neck lump persists or gets enlarged day by day or loses its mobility, an FNAC may be done to know the underlying cause. In most cases of uncomplicated tonsillitis, however, the swelling gradually reduces, and nothing further needs to be done. So, the possible causes are: But, the most likely cause is acute viral tonsillitis, that too resolving (as the throat is getting better). Be sure to take plenty of fluids. Paracetamol may help to take care of pain and/or fever. For the time being, sharing personal items with others may be avoided. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23124, + "tgt": "Why is there contionuous fever in 5-year-old even after giving medicines?", + "src": "Patient: Hi doctor, My daughter is 5 years old suffering from fever from last two days. We are giving Calpol 250 mg 8 ml dose for every four hours. After giving Calpol, temperature comes down. But immediately temperature is increasing. Today our doctor suggested having Monocef antibiotic. We have given two dosages til now. Is there anything to worry because fever is coming continuously. Please suggest. Doctor: Hello. Generally, fever lasts for 2 to 3 days. If it is viral and more if it is bacterial, since you have started antibiotic it takes 24 to 48 hours for the antibiotic to control infection. So, fever may be there but the intensity will decrease gradually over 2 to 3 days. If the fever does not subside in 2 to 3 days of starting antibiotic I suggest you go for further evaluation like blood tests. Nothing to be worried about. For more information consult a pediatric allergy asthma specialist --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 13089, + "tgt": "I have painful swollen gums with ulcers after excessive brushing. Kindly help", + "src": "Patient: Hello doctor, After trying to fix my general teeth and gums, I have managed to get rid of the yellow plaque after a few days. However, after brushing gums excessively, ulcers have appeared, and my gums have swollen slightly and are very painful. I was wondering how to fix them and how long it will take? Doctor: Hello. Actually, you have gum infection (gingivitis). It is common and curable. First thing if there is any hard deposit then you should see your dentist for a professional dental cleaning. Maintain proper oral hygiene like two times brushing, flossing at least once a day, do not use any type of tobacco or smoking, change your toothbrush every two months and use proper brushing technique. These instructions help you to maintain healthy gum and teeth." + }, + { + "id": 9280, + "tgt": "Blood test shows low vitamin D, B12 and iron levels. Please help", + "src": "Patient: Hello doctor, My mother got full body check up. Please check the report and guide us. Her vitamin D, B12, iron are less and it is showing alert in blood test. She has weakness, body swelling in summer, pain in leg, and tiredness. Doctor: Hi. I have checked the attached reports (attachment removed to protect patient identity). Her liver profile, kidney profiles, thyroid reports, iron profile reports and hemoglobin levels are absolutely normal. So liver disease, renal disease, thyroid problem, iron deficiency anemia can be excluded as a cause for weakness. The significant finding include very low vitamin D level and slight low vitamin B12. So low vitamin D level might be the cause for weakness. Following is the treatment for that. She should be prescribed 60000 IU sachet of Cholecalciferol that should be taken once a week for eight weeks. Calci D tablet after completion of sachet can be continued for a few weeks. Advise her for taking sun exposure for 10 minutes at around 9 to 10 AM in morning. She can be prescribed Multivitamin tablet like Riconia Forte or Becosules. Advise her to do light exercise in morning. Check her blood pressure also which has not been mentioned here. If bone pain and swelling are more than local part, X-ray can be done. Whenever she develops swelling, she can be prescribed diuretic medication like Chlorthalidone. At this age I suggest to investigate with 2D echocardiography as well. Hope I have answered your question. Let me know if I can assist you further. Best regards." + }, + { + "id": 18640, + "tgt": "How to manage lung infection and paralysis after gallbladder surgery?", + "src": "Patient: Hi doctor, My aunt had faced an operation of her gallbladder and the doctor said that she is good and the operation is successful. But after 3 days she faced lung infection, on which the current report says that the virus are reduced from 35000 to 16500 in 5 days. Also her right hand and right leg has no movement. So, last night CT scan was run on her and the report says that she had a blood clot\u00a0on the right part of brain due to which she is paralyzed by her right wing. So, I need some good suggestion from you that what should I do in this situation? Doctor: Hi. I read your query and understand your concerns and also had a look at the reports (attachments removed to protect patient identity). For further information consult a\u00a0neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20797, + "tgt": "There is a white discharge coming from the penis. What could it be?", + "src": "Patient: Hello doctor,There is a white discharge coming from my penis, please. Doctor: Hello. What you are describing is a urethral discharge (yellow/ white milky material) with dysuria (painful urination). If a male patient presents with these two symptoms and a doctor confirms that there is a discharge as shown on your photo (attachment removed to protect patient identity), then it can usually be diagnosed and treated according to a specific schedule. The two most common causes of acute urethral discharge are both sexually transmitted infections (STI's) caused by chlamydia or gonorrhea bacteria. These infections are contracted from a sexual partner during sexual intercourse and it is therefore very important for the sexual partners also to be treated and to test for HIV (human immunodeficiency virus). A doctor will also usually make sure there is no ulcer (open sore) on your genitals. A sample of the discharge can be sent away for testing, but if it is the first episode (time) this usually is not necessary and one can be treated immediately without sending the discharge to the laboratory. From your symptoms and history, the most likely diagnosis would be a sexually transmitted infection (gonorrhea/ chlamydia) or a urinary tract infection if there is no sexual activity. According to that, you would have to be treated as follows: Hope this helps you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12679, + "tgt": "Why is there burning sensation after passing stools?", + "src": "Patient: Hello doctor, Since last few days whenever I eat any spicy food or chicken, after passing stools, I am feeling a bit of burning sensation for five minutes. After that, it goes away. That too in a week I feel 1 to 2 times. Surrounding the anus also while washing sometimes I am feeling a burning sensation. I do not have any other problem of difficulty in passing the stools and it is regular and clear. I request you to suggest some medication. and I have also stopped eating spicy food. Doctor: Hello. Intake of spicy food may cause burning sensation and irritation of anal mucosa which may lead to a burning pain during defecation. It is due to the spiciness of the food. You may try yogurt, cucumber, tender coconut water, probiotic capsules, buttermilk. Use tablet Nexium before breakfast for one week. Avoid spicy food intake. If symptoms do not improve, please consult a physician or post me a query." + }, + { + "id": 23159, + "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": 9435, + "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": 21260, + "tgt": "My 9 month old son is suffering from low platelet count. Please help", + "src": "Patient: Hi doctor, My son is 9 months old. He had a high fever and low platelet count (70 k). We admitted him immediately and done blood platelet transfusion (100 ml). The next day, the platelets went down to 16 k. He was discharged from the hospital when it came up to 95 k. Now after a week, the count went down to 52 k again. My pediatrician suggested taking advice from hematologist to see if he requires treatment for ITP (if diagnosed as such). Please advice next steps, worrying a lot. I also had this problem when I was two and a half years old. I was given steroids as a treatment. Doctor: Hi. I have gone through the query (attachment removed to protect patient identity). Your son's latest report shows neutrophilia. It is suggestive of bacterial infection. Further workup can be done in the form of CRP (C- reactive protein) estimation, blood culture, and flow cytometry to rule out congenital thrombocytopenia causes. ITP is a diagnosis of exclusion. If there is no other cause found, then only ITP is suspected. For that bone marrow study is essential. Please provide me the previous CBC report also to give further comment. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14572, + "tgt": "Why are there nosebleeding and getting blood while spitting?", + "src": "Patient: Hello doctor, My father has been experiencing nosebleeding and blood whenever he spits. This has been ongoing for a month. He has no other complaints except for occasional headaches. Any advice? Doctor: Hello. For nose bleeding causes like traumatic internal nasal mucosa injury, polyp, rhinitis, sinusitis, etc., should be ruled out. For that, primary work-up, rhinoscopy, nose examination, CBC and PNS X-ray should be done. According to the cause, specific treatment is given. When bleeding occurs, the nose is pinched with index and thumb finger to stop bleeding. If no cause found then coagulopathy also should be checked. Take care. Consult otorhinolaryngologist for examination and accordingly further investigation." + }, + { + "id": 3241, + "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": 10093, + "tgt": "Is there any risk in giving DTwP booster dose to a baby diagnosed with seizure?", + "src": "Patient: Hello doctor, At birth, my son was diagnosed with a seizure. Now he is 18 months old. I am fearing about DTwP booster dose side effect. Earlier three doses had reaction of muscle stiffness and fever. Doctor: Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Muscle stiffness and fever can occur after a DPT vaccination and is not a contraindication for vaccination. Contraindication for DPT vaccination are seizures, inconsolable crying, and central nervous system infection or encephalitis after giving DPT vaccination. If you want to be on safer side then go for acellular vaccine instead of whole cell vaccine. You should give DTaP vaccine instead of DwPT vaccine. Take care." + }, + { + "id": 25618, + "tgt": "Can hard lump on my forearm mean a fracture?", + "src": "Patient: Hello doctor, I hit my forearm yesterday and there is a hard lump now where it was hit. It does not hurt to move my arm or pick things up but does hurt if any pressure is put near the lump. It does not sound like a fracture, does it? I do not want to go to the doctor's office as everyone is sick and \u00cd have two small children. Please help. I have attached photographs for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). It does not seem like a fracture. I would like to know few things for clarity. Few probable causes of swelling: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24073, + "tgt": "Can my diplopia be a sign of MS?", + "src": "Patient: Hello doctor, I am 23 years old female. Can you please explain to me the clinical presentation of decompensated phoria? I have had diplopia for over two years now, binocular, horizontal, worse on distant gaze. I have had an MRI as well, but no lesions found in my brain stem or other areas. Only a few white spots, punctate, in both hemispheres. They say, it is not cranial nerve palsy, so I wondered if it could be some kind of muscle-misalignment caused by decompensated phoria. I also have astigmatism, myopia (left eye -3.75 and right eye -4.25). I am very anxious about this diplopia being a sign of MS. (I have severe health-anxiety). I have no other symptoms, no headache, and taking no medicines. Doctor: Hi. Diplopia for distance vision is more common in neurological conditions. If you do not have any neurological problems (ruled out by MRI), other problems can be considered. In your case, as you have high myopia, it can be due to decompensated tropia (phoria). In myopia, there is a loss of accommodation since childhood. This will lead to loss or decrease of fusion (focus on an object). This may lead to intermittent diplopia. This can be improved to some extent by fusion exercises like holding a pen in hand and looking at the tip of the pen, bring it slowly near to your nose. Repeat this exercise daily 5 to 10 minutes morning and evening. You can send pictures of your eyes for better evaluation and treatment. You can also call for any queries. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27165, + "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": 14234, + "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": 23460, + "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": 23675, + "tgt": "My brother's behavior outbursts are puzzling the entire family. Can you help?", + "src": "Patient: Hi doctor,I am 23 and the oldest of thirteen kids. My little brother who is 15 years old has struggled with depression and is suicidal or so he claims. He has always been normal around me and I have never seen any signs of this, but I moved out about five years ago. He once took a knife and held it in front of his wrists, but he has been doing all kinds of things and a family advisor said he was being manipulative and bluffing and to call him out on it. So, my mom did so and said go ahead and kill yourself, but just know the hurt you will cause and you will end up in hell. He then dropped the knife and did not do anything. Recently, things have been getting out of control. He has crashed the family suburban, taken a handful of Ibuprofen pills, threatened to kill himself, and attacked my mom when she said he could not go out with his friends. When the cop came he started swearing at him trying to get arrested which the cop would not do. It got worse until the cop came back and took him away to a correctional facility. My mom said he has wanted to go to a boy\u2019s home since he was about in fourth grade and the doctors say he does not have bipolar but he just hates authority and cannot take no for an answer when he wants to hang out with friends or have a smartphone. At work and school, he has been fine and people love him but he has sudden outbursts that are just puzzling. My question is, why would he want to go to a boy\u2019s home/correctional facility? This makes absolutely no sense to anyone in the family. The family has no history of anyone having gotten in trouble which makes it all the more strange. Any input on this is appreciated. Doctor: Hello. Hope you got your answer. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 6283, + "tgt": "Can I use earbuds to remove ear wax?", + "src": "Patient: Hello doctor, I frequently use earbuds due to itching in my ears since many years. People say it is not good to use earbuds. Please suggest me what should I do when I suffer from itching inside the ear. How do I remove ear wax? I also have a problem in my throat like throat dryness and irritation in the morning and when I drink cold water. Suggest me treatment for the same. Doctor: Hi. The itching in your ear is very suggestive of a fungal infection in the ear canal. This is very common and the main symptom is itching. Impacted ear wax can also create itching along with a fungal infection. Since you use earbuds, you may have impacted wax too. So, I would suggest you use Soliwax ear drops (Paradichlorobenzene, Benzocaine, Chlorbutol, and Turpentine oil) three to five drops at night for five days and use Otek AC ear drops (Lidocaine, Beclometasone, Clotrimazole, and Furosemide) for the fungal infection in the morning (two drops) for five days. Following this, you can go to an ENT specialist who will remove the wax and the fungal debris. Prevent water from entering your ears and keep them dry. Please note that if you have sticky watery or pus-like discharge from your ear or have excessive pain or fever then do not use the drops. The irritation in your throat is probably due to a condition called LPRD (laryngopharyngeal reflux disease)." + }, + { + "id": 24677, + "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": 24581, + "tgt": "What is the remedy for gas trouble, stomach bloating and loose stools?", + "src": "Patient: Hello doctor, I am a 43-year-old woman with symptoms of gas, major stomach bloating and loose stools for the past three days. I started to take Azee 500 two days ago because that is what I had at home but it has not resolved yet. Please help me. Doctor: Hello. You have acute gastroenteritis and Azee (Azithromycin) will not help. You need to start Ciprofloxacin Tinidazole (Ciplox TZ) combination in morning and evening for three days and PPI (proton pump inhibitor) like Pantop-D (Pantoprazole and Domperidone) before breakfast. In addition, avoid non-vegetarian food and take enough boiled water. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5981, + "tgt": "I am 7 months pregnant and my sugar level is fluctuating too much. What to do?", + "src": "Patient: Hello doctor, I am 7 months pregnant. My sugar is not constant and is fluctuating too much. I am taking insulin two times a day. I have attached my file. Doctor: Hello. I read your query and gone through your reports. (attachment removed to protect patient identity). It appears that you have gestational diabetes and cord around the neck of the baby. Now, this is a complicated pregnancy and you must follow a senior gynecologist with an MD degree and significant experience in dealing with such complicated pregnancies because of the cord around the neck of the fetus. Secondly, now I will come to the diabetes part. I saw that you are taking Novomix. However, during pregnancy, the insulin should be insulin Apidra 3-3-3 units during breakfast, lunch, and dinner and insulin Levemir 4 units before bedtime. You have to measure your blood sugar with a home checking glucometer and write your daily fasting, two hours post-meal, just before meals and before bedtime blood sugar chart and insulin taken. You must report that chart weekly to your diabetologist and get your insulin adjusted accordingly. If your blood sugar falls below 100 mg/dL then, you must eat something and report to your diabetologist immediately. So I hope that you understand that you must seriously follow a senior MD gynecologist with experience in the pregnancy with a cord around the neck of the fetus which is a serious issue and change your type of insulin and follow up with the chart of blood sugar measurements weekly with the diabetes doctor. Please maintain a low carbohydrate diet and avoid sugar consumption in any form at all times. I hope this helps. Diabetes. Blood sugar monitoring. Gestational diabetes. Gestational diabetes and cord around the neck of the fetus. Insulin Apidra and Levemir. Low carbohydrate diet. Weekly with a diabetologist and to change to MD gynecologist doctor as well." + }, + { + "id": 6455, + "tgt": "Can I use Ashwagandha or Shilajit for fatigue caused by masturbation?", + "src": "Patient: Hi doctor, Earlier in my life I had the problem of over-masturbation. This was related to my mental depression as well. However, I have recovered from the habit of over-masturbation. But, still I masturbate once in four days. This causes fatigue, back pain and leg pain. Can I use supplements such as Ashwagandha or Shilajit for the same? What is the recommended dosage? Which is better Ashwagandha or Ginseng? Which variety of Ginseng is good?\u00a0Also can I use supplement for my mental depression such as Brahmi or Ginkgo biloba? Which one would be better? I am overweight. I have borderline cholesterol and slightly fatty liver. Further I am already using psychiatric medicines for depression and obsessive compulsive disorder. Apart from this I am using Omega 3 fatty acid and Liv 52.\u00a0I have attached herein my recent blood reports for your reference.\u00a0Thank you. Doctor: Hi. Revert back after three months to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15877, + "tgt": "Is chronic ileitis a curable one?", + "src": "Patient: Hi doctor, I am suffering from IBS since the last year. I am getting diarrhea whenever I eat outside food. Recently, I have been detected with chronic ileitis with activity after colonoscopy. I am ready to send the reports for kind perusal of gastroenterologist. Is it curable? I am now on Mesacol 800 mg three tablets daily and Folvite 5 mg one tablet daily. I am also taking some supplements like Amway nutrilite multivitamin once daily and cod liver oil capsule two to three daily. I have already taken medication for last one month with restricted foods such as no tea, no dairy product, no fried food, spice, etc. I also take cabbage juice as I have found that it is good for the disease. There is some burning feeling in the upper abdomen when I take lemon and tea. I am worried about what would happen? Will it lead to cancer? I have attached the reports of my stool, blood, urine, colonoscopy and ultrasound. I am eagerly looking for your kind reply. Thank you. Doctor: Hi. Yes, these ulcers can be healed. But, it will take some time. Colonoscopy shows multiple ulcers in terminal ileum. The cause of these ulcers could be Crohn's disease, tubercular ulcers or chronic non-specific ulcers which heal by their own. But, your report does not suggest Crohn's disease or tuberculosis (attachment removed to protect patient identity) as the cause. So, you just have to adhere to medication and diet modification to heal them. Your gallbladder shows adenomyomatosis which is benign enlargement of gallbladder. But, your direct bilirubin and liver enzymes are raised suggesting liver injury and adenomyomatosis could be the cause for it. Please do not fear of cancer as histopathology report has ruled out cancer. Medication with strict adherence to diet that you are following will show good results soon. Cod liver oil should not be taken more than once in a day. For further information consult an medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 23002, + "tgt": "Is it possible to desensitize myself to nickel?", + "src": "Patient: Hello doctor, I have been sensitized to nickel from a scalp adhesive for hair replacement. The bond had nickel sulfate. I did this for 10 years. I developed dermatitis or eczema in my brows and eyelids, etc. I have realized since I have decreased my dietary nickel intake and stopped the bonding, my eczema has greatly improved but if I do eat foods high in nickel I get hit. Even two years after I have stopped the hair bonding. Is it possible to de-sensitize myself to nickel? This is a self diagnosis. Doctor: Hi. I have gone through your case. Well, desensitization is a process in which we gradually expose a patient to an allergen until a patient develops a tolerance for it. Till date, it is being considered as a therapy for many conditions such as penicillin sensitivity or rhinitis and in eczema (diagnostic purpose). But specifically for nickel, no studies have been proven for it. Means there is no specific protocol of administration. Nickel is found in many many objects and even when patient develop nickel dermatitis there are cross-reactivities with others products too. In short, desensitization is done for few specific conditions with strict protocols. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28688, + "tgt": "Why did I have a severe headache while flying?", + "src": "Patient: Hi doctor, I had a brain scan, as I had a severe headache when flying recently.\u00a0The CT scan revealed the following images that I have attached. My GP is not sure what it is and has referred me to a specialist. The waiting period is a few weeks, so I am obviously concerned and stressed. Please, can you let me know your thoughts? Doctor: Hi. The CT scan (attachment removed to protect patient identity) is suggestive of sinusitis. The images you have sent are not complete. Kindly send more images. With present images, you seem to have a frontal, maxillary, and sphenoid sinusitis, which is giving you headaches. During the flight, the pressure in our hollow bone (sinuses) changes, and since your sinuses are infected, you have pain. Kindly send more images to know the extent of the disease. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14651, + "tgt": "Will I transmit TB to my partner after completion of the TB medicine?", + "src": "Patient: Hello doctor, I am having pulmonary TB and this is the third month since taking medicine. I had blood in sputum few times and sputum test showed negative but based on CT scan, the doctor suspected pulmonary TB. I was recommended medicine for six months. I am feeling better after taking medicine and no more cough or blood in sputum. There is a marriage plan in the family but I have doubts about recovering from this disease. These are some queries in this regard. Whether any other treatments are required after completing six months of medicine? If yes, mention details. What is the chance of transmitting TB to partner after completion of medicine? How long one should wait for marriage after completion of TB medicine? What kind of risks a TB patient carries even after completion of medicine? Whether I am still infectious to others after taking medicine? Doctor: Hi, Welcome to icliniq. com. I would need to know that have you got a repeat sputum test or chest X-ray after the treatment has started. I need to see that before I could answer your questions." + }, + { + "id": 21865, + "tgt": "Is it safe to conceive at 40 years of age?", + "src": "Patient: Hello doctor, I am 40 years old woman. My husband is 53 years old. Since I married late, is it safe to conceive now or will I face any health issues? If safe, then when should I have sex to conceive at the earliest? Doctor: Hi. There is risk involved for conceiving at this age. Age-related screening is needed before conception even if you both are healthy and do not have any problem. As long waited oocytes (eggs) will be involved in conception, there are a few tests for conception at this age to check baby either it is free from anomaly or not like chronic villus sampling, amniocentesis and double, triple or quadruple tests to check early conception for excluding fetal anomalies. I am not confirming any mishap but it is the only recommendation for lots of precautions. If you and your husband have been treated for any disease, better to take full treatment like thyroid or diabetes. Quit smoking, tobacco, alcohol and other recreational drugs. Start Folic acid 0.4 mg a day if you are not having any disease. If having diabetes or epilepsy, have 5 mg Folic acid per day. Detailed preconception counseling and precautions are required in case of any disease if you have, like for diabetes, you have to achieve specific HbA1c level. If it is high, it is too dangerous to get pregnant and would recommend to avoid it. Similarly, renal, eye check-up is needed and frequent sugar level monitoring as well. Similarly, Insulin is mostly recommended in pregnancy with Metformin but rest of the drugs are mostly avoided for a safe pregnancy and nice outcome. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11293, + "tgt": "Having a red itchy area on the penis, which pain after urinating. Why?", + "src": "Patient: Hello doctor,I have a red area that is itching on the penis head for a week. It looks like balanitis according to the pictures I searched. I also have pain after urinating. I have tried with Nystatin cream, but I have more itching than before. I cannot go to the ER, but the quickest appointment with the specialist can be scheduled in a week. Please help. Doctor: Hello. I understand your concern. Please send a picture of the affected area to help you better. I need to see to suggest the appropriate diagnosis and treatment." + }, + { + "id": 15418, + "tgt": "What can I do to clear my skin without blackheads?", + "src": "Patient: Hi doctor, I have trouble with acne. I wash my face every night, and I use a toner to balance my pH levels. I use moisturizer and face masks once in a while. When I wear makeup, I use the healthiest makeup with removing wipes, and nothing seems to be working. After using a toner, I am not getting many whiteheads, and I am not popping them. But now, the problem is blackheads. I get them mainly on my nose, around my mouth and chin. I used a charcoal mask that is highly famous and also used special blackhead face washes. Nothing helped me. What can I do to clear my skin? When I try to extract the blackheads, my face becomes dry and flaky. Sometimes, they are deep, and they start to bleed. Then a scab forms over it and my skin start to peel around the scabs. Please suggest. Doctor: Hi. Blackheads are needed to be extracted. There is a specific method available to remove them. If it is not performed correctly, it can lead to more inflammatory acne and post-inflammatory hyperpigmentation. I would suggest you visit a dermatologist because comedones do not resolve with topical medications and face masks. Start using Clindamycin and Adapalene combination gel over the comedones and acne at bedtime. It helps to extract them easily. I am not giving you Benzoyl peroxide gel as it leads to irritation and dryness." + }, + { + "id": 6381, + "tgt": "What causes white vaginal discharge?", + "src": "Patient: Hello doctor, I am witnessing a discharge of white substance. It discharges during pee and also normally it is happening from the last two days. Please tell me what is the problem and solution for it. Doctor: Hi. Females normally have some white discharge during the cycle. If you do not have burning sensation, pain or itching. And the discharge is not foul smelling, then no need to do anything. It is normal. If it is abnormal, then you will have to take medicines accordingly. For tablets ease consult nearby physician, let the doctor see what type of discharge you have and take antibiotics accordingly. Some precautions: Drink more water, keep the lower area dry, change pads more frequently during your period, wear cotton underwear, if possible. Wash with plain water and urinate everytime after sex." + }, + { + "id": 28737, + "tgt": "Why am I relating everything with the question whether my wife is loyal or not?", + "src": "Patient: Hi doctor, For the last two years, I am not feeling mentally easy. I am not able to trust my wife, but I do not know why as I have never seen any mistakes from her side. I know she loves me and cannot even think to cheat me in her dream. She supports me when I tell her about this problem. But, the problem is that I relate unwanted things with her. For example, if I play a game and will think that if\u00a0I win my wife is loyal and if I lose she is not. It is happening all the time from day to night in everything. Even in my childhood, I target a pipe with stone whether to know I will come first in the exam or not. The main problem is when I think something and it does not happen my heartbeat becomes louder and I start relate that thing with my personal life. I do not have words to tell my problem exactly. I relate everything with this question that she is loyal or not. Please help if you understand my problem. Doctor: Hi. You have given a complete detailed history regarding your mental stress. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4380, + "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": 6443, + "tgt": "My RPR titer ratio was 1:2. What does that mean?", + "src": "Patient: Hello doctor, This is regarding a syphilis test RPR ratio. Doctor: Hello. Please post your query. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7998, + "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": 9711, + "tgt": "Why are my eyes watery when I am nervous?", + "src": "Patient: Hello doctor,My eyes get watery when I talk to people or when I am nervous. Why is that happening? Doctor: Hello. Our autonomic nervous system also controls lacrimation or tearing and for some emotional changes can activate the autonomous system and hence tearing. There is no specific medication for the same. But you can try using mild anti-allergens like Olopatadine or Naphazoline or Ketorolac to reduce any co-existing eye allergies and reflex lacrimation. Also, look out for nasi lacrimal duct obstruction." + }, + { + "id": 11826, + "tgt": "Why am I having red itchy rashes on thighs?", + "src": "Patient: Hello doctor, I am 24 years old, female. I am married and have 6 months old baby. I actually wanna discuss something with you. The thing is I have small red bumps with red background on my thighs and it is very itchy as well. Now it is on my lower abdomen, on the right side of my ribs area. In total there are like 30 of them and there is no fluids or any discharge coming out of them. I have consulted three doctors. Doctor No. 1: diagnosis is urticaria and gave me some anti-allergy medicine which includes Eurax cream, Pinetarsol with bath oil, Zantac 150 mg, Promethazine 10 mg and Plokon 3 mg. I have completed the whole course of it but no use. Doctor No. 2: went to hospital A and E department. They gave me whole bunch of Augmentin tablet 1g total 14 tablets. I have also completed this course but no use. Doctor No. 3: He gave me Maleate tablet 4 mg and two tubes of Hydrocortisone Acetate cream 1 % 15 g. Today is fourth day. I am using these. No effects at the moment and it is really stressing me out. Doctor: Hello. 1. This looks to me like papular urticaria, which a kind of reaction which is seen with small insect bites. 2. The classical description is central vesicle or crusting surrounded by redness which can be seen in your case. 3. You need to make measures to avoid insect and mosquitoes including changing your bedding and washing your bedsheets in warm water. Use mosquito repellent. 4. For the existing lesions you can use the cream Mometasone, apply twice a day. Tablet Levocetirizine 5 mg twice a day. Do this for one week." + }, + { + "id": 25595, + "tgt": "Why is there pain in my inguinal hernia repair site?", + "src": "Patient: Hello doctor, I am a 45-year-old active athletic female. I had inguinal hernia repair with no mesh six months ago. Recently during exercise, I noted a similar pain in the same exact area. If it is a recurrence, what happens next? Is there another surgery? It has only been six months. Doctor: Hello. I believe you had a mesh-free hernia surgery done six months ago. Now you have developed pain at the same site. I would need a few details before I can help you. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 8106, + "tgt": "I feel a bump inside my vagina. What could have caused it?", + "src": "Patient: Hello doctor,I felt a bump inside my vagina, and I do not know what caused it. Please help. Doctor: Hello. Bump inside vagina could have many causes but mainly it is due to the presence of cyst or cysts. e.g. Bartholin gland cyst, Gartner cyst, etc. Normally, vaginal cysts are not painful and do not require any treatment unless they are causing problems, e.g. becomes infected and painful, causing pain during sex or walking, etc. As I usually mentioned, no treatment is required, but if they become infected, then antibiotics might be needed, and in some cases, drainage is the option. I would suggest seeing your doctor to have a detailed examination of the vagina to find out the exact cause and make an accurate diagnosis to help you in the best possible way. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 28401, + "tgt": "I have a small mass in my bladder. Other than cancer, could it be anything else?", + "src": "Patient: Hi doctor, I went to the doctor last week after I got my period 10 days early. I was worried because I have had a history of cervical dysplasia. My pap smear came back normal but my doctor wanted me to have an ultrasound just to be sure. Everything came back fine except for a small mass of 1.3 cm on the posterior side of my bladder. I am so scared right now. Other than bladder cancer, could it be anything else? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9758, + "tgt": "Is it normal to feel tired and sleepy when recovering from bronchitis?", + "src": "Patient: Hello doctor,I am recovering from bronchitis and a viral infection. I had high fever and cough, but not much sputum. I took Cefoprim antibiotics. It has been two weeks now. I still have a\u00a0cough and feeling very tired. I also feel very sleepy. Please tell me if this is expected. Doctor: Hello, Welcome to cliniq.com. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1840, + "tgt": "How will Colchicine along with Urinorm help in gouty arthritis pain?", + "src": "Patient: Hi doctor, I have gouty arthritis and currently, I am drinking Urinorm to lower my uric acid. I am not eating anything that may increase uric acid but I do eat fish and pork. Right now, I am experiencing a pain in my right foot and I was wondering if I can drink Colchicine. I bought it when I had my gout attack and I do not want to experience the pain again. I already had three attacks this year. Please suggest. Doctor: Hi, Welcome to icliniq.com. First of all, you need to be sure that you are having pain due to an acute attack of gout or something else. Since you are already taking Urinorm, and if you have been regular in taking it, you should not have got the attack. In case you have been irregular in taking Urinorm or you have started it recently, it can be an acute attack. An acute attack is best treated by NSAIDs like Diclofenac along with Serratiopeptidase. Colchicine you can take but is not going to help you just in case you have been taking Urinorm regularly. So taking Diclofenac is the right choice at this point of time, with or without Colchicine. I hope this helps." + }, + { + "id": 23673, + "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": 21367, + "tgt": "What causes recurrent candidiasis?", + "src": "Patient: Hi doctor, I have recurrent candidiasis. It appears every month. I have used all the medicines. Kindly assist me. Doctor: Hi. Confirm it whether it is candidiasis. When have you done your last vaginal swab? Do you have your two swabs reporting the same infection? (attachment removed to protect patient identity). Normal vaginal secretions increase during excitement, at ovulation, before menstruation, at fertilization, and genetically. Healthy vaginal flora maintains the pH of the vagina. Overtreating of any infection can harm the healthy flora of the vagina as well as it can weaken the local immune system and you can have abnormal flora more in proportion than a healthy flora. Sit in warm water frequently to reduce pain and irritation. Have strict hygiene. Use soft and comfortable cotton undergarments. Try to have condoms to reduce sexually transmitted infections for some time till you have a reduction in symptoms. Collect HVS (high vaginal swab) report and discuss here or with local Gynecologist. Do not take over treatment as it can cause different symptoms to you. You can have a Canestan thrush pessary (Clotrimazole) per vaginal at bedtime for two to three alternate nights. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 110, + "tgt": "Cortisone injection for tendinitis is hurting more. Why?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I received a second round of a cortisone shot in my wrist on 18th May for wrist tendinitis. During the injection, it hurt much worse than the first shot. I have been told to keep my wrist in a splint at all times. My wrist is still bruised where the injection was given. There is now a bump as well where I have injected hurts when touched. Before the first shot, I had a ganglion on my wrist that popped. I cannot say for certain if the bump is from the injection or the ganglion is back because of the shot. I need to know if this is normal or if I should go to a clinic over the weekend? I am currently on Autumn Wills, Seroquel 400 mg, Lithium 300 mg, and Ativan 1 mg when needed and not often. Doctor: Hello. From the brief history you have given, it seems like there is not much to worry about. First of all, I need to know some more detailed points. Where exactly in the wrist the shot was given? I mean is it the extensors of the thumb (de quervain) or is it for any other finger? Also, do you have thyroid issues? Sometimes when the large volume of fluid is injected into the tendon sheath and surrounding area, due to distension it can cause severe pain and patients do complain of exaggerated symptoms prior to injection. Small vessels must have been punctured (quite normal) which lead to extravasation of blood hence the bruise. It will take a few more days, but both the bruise and the bump should go away. Do apply ice packs there you will get you the necessary relief. Ganglion cysts are notorious for recurrence but highly unlikely to be associated or related to the injection. If you can send me a clinical picture that would be better. Splint is fine but you do need to mobilize your wrist for a very long time otherwise you might end up having stiff wrist (2-3 weeks should not cause any stiffness). Understanding tendinitis is important you need a very specific rehab protocol and few medications and you should feel much better in few weeks time. Did you get your vitamin D levels tested? Kindly revert with the info." + }, + { + "id": 5352, + "tgt": "I have chest pain, cough and arm pain. What is the available alternate for Aspirin?", + "src": "Patient: Hello doctor, I am having chest pain, bad cough and feeling uneasy with pain in arms for a long. I do not have Aspirin at home. What can be an easily available alternative at this time? Doctor: Hello. It is better to take care of this cough because coughing for a long time in highly polluted cities may cause pneumonia or tuberculosis. So I suggest the following medications: Tablet Hicet (Cetirizine) 0-0-1, Azee 500 (Azithromycin) 1-0-0, Combiflam 1-0-1, syrup Tusq X (if productive cough) 10ml-10ml-10ml or syrup Tusq D (if dry cough) 10ml-10ml-10ml for three days. If the cough symptoms are not over within five days, please contact me. We may need to do some tests. Please also follow: 1. Wear a monkey cap covering nose, ears, and mouth while being in cold outdoors. 2. If you smoke, please stop it. 3. Mix some rock salt in a quarter glass of water and gargle it three times a day. 4. Drink only boiled water for the next three days. 5. Avoid sugar containing foods. 6. If possible drink black coffee without sugar which is good for an upper respiratory infection." + }, + { + "id": 25087, + "tgt": "My baby coughs continuously at night. Please suggest a cure", + "src": "Patient: Hi doctor,My baby is 2 years old and she is having cough from last 15 to 20 days. While in sleep she is coughing continuously. During daytime, no coughing occurs. I gave her Levolin 1 mg 3 ml two times a day for three days but no change. Please suggest. Doctor: Hello. Assuming that your baby has no other symptoms such as fever or runny nose accompanying the cough, my understanding is that this is a very simple issue of post nasal drip aggravating the gag reflex. This means that nasal secretions flow back into the throat causing a continuous cough like response. My suggestion would be to make the baby sleep with the head on an elevated surface as a pillow and also please avoid cold beverages and citrus foods, particularly after 5 PM. Try this for two to three days. If any symptoms arise please feel free to ask me. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6370, + "tgt": "No sac was found after IVF. Kindly explain", + "src": "Patient: Hello doctor, After a year of attempting to become pregnant through natural means, my wife and I just went through our first use of assisted reproductive technology. We had an IVF/ICSI. Six eggs were produced, my fresh semen sample was used, three eggs became embryos, two embryos were transferred on the third day after retrieval and no sac was ever found. Is there any other information that would be helpful? We plan to try again and would like to learn from this experience and our personal medical data to improve our chances. We would like to know: 1. What happened that terminated the process (no sacs were found) and why? What are the possibilities and what is the most likely possibility? 2. What could we do differently now that might be better? 3. What is the quality of the embryos overall and in terms of their number of cells, cell appearance score, fragmentation and cells being of equal size? 4. What might have contributed to any problem with the embryos? 5. What can be done to improve the quality of the embryos? 6. What is the quality of my sperm overall and in terms of motility, morphology, round cells, agglutination, debris, etc.? 7. If I abstain for 5 or more days, there are no motile sperm. Is that normal? 8. What might have contributed to any problem with my sperm? 9. What can be done to improve the quality of the sperms? 10. Is it unusual or problematical to have a sperm concentration of 0 whenever abstinence is 5 or more days? Doctor: Hi, Welcome to icliniq.com. Following are answers to your queries, 1. The process you experienced is likely biochemical pregnancy. It mostly happens when embryos do not have the potential to grow and give healthy live birth as outcome. The cause of many such losses is unknown, but most likely lies in the genetic aberrations in the embryo. 2. The success rate of any ART procedure is not 100 %. As there was pregnancy in the first attempt and most of the things appear fine, there is good chance of pregnancy in subsequent cycle. For oligoasthenospermia (low sperm count, motility), we generally prescribe antioxidants to male partner to improve sperm health and to reduce oxidative stress. You can discuss with your doctor for the same. The simplest nonprescription antioxidants are vitamin A, C and E. You can take supplements containing same for not more than three months (Vitamin C not more than 15 to 30 days). Co-enzyme Q is another good antioxidant. 3. The images of embryos you attached is 2-dimensional. To assess quality we need to see 3D view to be able to see all the cells in embryos. But still, looking at the first embryo, it appears to be of good quality, with cells of equal size and almost no fragmentation. The second one has unequal cells, though it might happen when cells are dividing. There appears around 10 % fragmentation in second embryo, still it appears fine. Both appear suitable for transfer (attachment removed to protect patient identity). 4. The answer lies in point 1. 5. The quality of embryos looking at morphology is already good. Still, if ovarian reserve of wife is on lower side, DHEA 75 mg daily might help, though evidence supporting its use is not so strong. 6. Quality of sperm in terms of morphology cannot be assessed from the given video. As far as round cells, agglutination, debris are concerned, all these do not affect ISCI outcome, as sperm processing takes care of those factors. Regarding motility, it appears fine. 7. The more the abstinence, lesser will be motility in semen sample. As the baseline motility itself is low, this phenomenon is normal. Nothing to worry about it. 8. There appears to be no problem. So cannot hypothesize any reason. 9. Please refer to point no. 2. Also you can reduce exposure of heat to testes if it is there. 10. Sperm concentration generally does not become zero after increased abstinence, but motility might reduce." + }, + { + "id": 26963, + "tgt": "I feel like I have symptoms of low sugar. Is this due to poor nutrition?", + "src": "Patient: Hello doctor, I am a 25 year old female. My weight is 45 kg and my height is 157 cm. I feel like I have low pressure and low sugar. My symptoms are headaches and light dizziness, feeling very tense, light hand shake, lack of balance, slightly unclear vision. But, when I eat sugars or salts, I feel better and the symptoms disappear. Sometimes it happens\u00a0two to three times a day and that is what worries me. I heard that eating tomatoes and carrots adjusts the pressure levels. So, I focused on eating vegetables and fruits. But, I do not see a difference. My sample meal is as follows: I usually do not take breakfast. I just drink tea and sometimes I have bread with cheese. For lunch, I eat a piece of chicken, salad, and rice. I snack on fruits or chocolate, nuts, and biscuits. My dinner is very similar to my lunch. I drink a glass of milk before sleeping. So, why does this happen? Is it because\u00a0of bad nutrition? How to adjust the sugar and pressure level? 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": 11678, + "tgt": "I have severe eczema on face, neck, and shoulders. What should I do to manage it?", + "src": "Patient: Hello doctor, I have some questions regarding allergy. When I was a kid, I had eczema on my mid-arms. Then it went away. Some years ago, when I was around 22, it came back aggressively on my face, neck, and shoulders. Then I was referred to blood food allergy tests (IgE). A lot of allergens was detected (wheat, melons, peach, cucumber, potato, parsley, carrot, etc). I did avoid those foods. After seven years, I wanted to test it again, and unfortunately, the test showed the same results, more allergies (coconut, plum, chestnut, buckwheat - things I eat regularly.) I also did the FABER test and had a lot of red lines. The doctor told me that none of those tests are 100 % sure and I should test all foods. But I am very afraid of the anaphylaxis reaction. I am now afraid to eat coconut, chestnut, etc., which I did regularly eat before not to have the severe reaction (not had one earlier though). I wanted to ask if the most severe reaction can develop for any food? Even for meals that I do regularly eat and have no problems with. Please help me. Doctor: Hello. 1. Yes, some food can cause urticaria and rarely angioedema like peanut and seafood allergies. 2. But, there is no significance of the test you have mentioned, as that is a very nonspecific kind of test and most of the people who get themselves tested found themselves allergic to hundreds of things like that. Hence, it is not significant. 3. And you have been eating them all regularly before, so I do not see any reason to stop them now." + }, + { + "id": 11168, + "tgt": "Is Trintellix a good drug for anxiety?", + "src": "Patient: Hello, Welcome to icliniq.com. A few months ago, I went through a hard time, and since then, I have thoughts about death every day, all the time, which makes me depressed and anxious. I went to a psychiatrist and I was given Trintellix for depression treatment. I was on 10 mg for two weeks and have now been on 20 mg for a few days. It worked well for my depression, but I still suffer from anxiety and continued thoughts about death (though not suicidal). Depression is gone now, but I still have negative thoughts daily. Do you think my antidepressant is enough to treat anxiety, or do you recommend any medication specifically for anxiety? Doctor: Hello. You should wait for about two more weeks to see the best effects of medicines. In most cases, typically antidepressant drugs show results in around four to six weeks. Since your bad thoughts about death are controlled, but you still have negative thoughts so in such case you should stick on this drug for a few more days and it will work. If symptoms persist, then the dose should be increased, or medication should be replaced. Consult your psychiatrist for this." + }, + { + "id": 28301, + "tgt": "What is the smooth orange-colored patch present on my finger?", + "src": "Patient: Hello doctor, I have a smooth patch on my finger, which is pale pink or orange in color. It is not painful, and it is very slightly raised, but you can only feel it raised. If you see it,\u00a0it appears\u00a0flat. It had appeared overnight on a previously clear area of skin\u00a0and has grown a tiny amount since the three months it has been on my finger. If I examine the patch closely, it is 5 mm in size, and I can see tiny pin-sized red dots within the patch. What could this be? I have tried to find something similar online, and I cannot seem to see anything similar that is smooth like mine, it almost looks as though it is underneath the surface of my skin. I have not injured my finger at all. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21783, + "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": 21183, + "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": 2772, + "tgt": "I have dark lines in finger and toenails since childhood. Is this a serious condition?", + "src": "Patient: Hello doctor, I have a dark line in my toenail for a long time, since I was a kid I realize that, but never came into my mind that could be dangerous. The same happened to my fingernail many years after I became an adult. I would like to know if it is something serious and should I care about it? Doctor: Hi, Welcome you to icliniq.com. I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed melanonychia. The cause of this are many such as inflammatory nail diseases like lichen planus, racial, nevus in nailbed and rarely melanoma. You need to go for nail biopsy for confirmation." + }, + { + "id": 5204, + "tgt": "Why am I getting hallucination after Xanax withdrawal?", + "src": "Patient: Hello doctor, I was on 0.5 mg Xanax for one month. As per my psychiatrist, I went cold turkey from the dose. After eight days I started having mild hallucinations such as a knock on the door, smells, and visual disturbances. I went back to 0.25 mg (on day 10). Will the hallucinations stop if I continue on the 0.25 mg and how slow of a taper should I do from 0.25 mg? I am sensitive to medication changes. I am on Lexapro 10 mg and Trazadone 150 mg. Doctor: Hello. I can understand your concern related to Xanax (Alprazolam). Usually, Xanax has a half-life of around 12 hours and is fully eliminated from the body in about four days. You may be well aware that Xanax is a habit-forming drug and is meant to be taken only for a short period. Thankfully, you have only been on a lower dose of Xanax 0.5 mg for a month. So there is a less chance of dependence and withdrawal effects are less likely. So your psychiatrist's initial suggestion of stopping Xanax was a safe tapering plan. I understand that you are now back on Xanax 0.25 mg after ten days due to having mild hallucinatory experiences. How long have you been taking Xanax 0.25 mg? Are you taking Xanax 0.25 mg once daily or more than once daily? If you are on Xanax 0.25 mg once daily, it can be stopped straightaway. Withdrawal effects are less likely on this small dose. If hallucinatory experiences and anxiety are excessive you can consider taking Xanax 0.25 mg occasionally as needed, but not more than once a day for up to a week and then stop it. Long term usage will not be helpful and can be counter-productive. Lexapro (Escitalopram) 10 mg and Trazadone 150 mg are effective antidepressant medications useful in managing anxiety and depression and can be continued on a longer term. If you are having any residual symptoms, you can consider psychological therapy like CBT (cognitive behavioral therapy). You can also try deep breathing and progressive muscle relaxation exercises. If you are feeling physically unwell when Xanax is stopped, consult your doctor for monitoring and support. I hope this helps." + }, + { + "id": 4928, + "tgt": "What causes swollen lymph nodes in neck and inguinal area?", + "src": "Patient: Hello doctor, I am 30 years old. I have swollen glands in my neck which have been there for at least two to three years. I had a previous ultrasound for it which showed signs of reactive lymph nodes. I recently visited my GP as I felt swollen glands in my inguinal area for nine to ten months. I feel fit and fine otherwise with no other symptoms. The GP said he was not very concerned, but decided to send me to a hematologist who examined me and he said there are multiple lymph nodes in the neck and inguinal area but they are subcentimetric. The blood was all normal apart of mild neutropenia. He said he does not feel it would be something significant but he booked me for CT neck, thorax, abdomen, and pelvis. I would appreciate your opinion. Doctor: Hello. I read your concern. You have swollen lymph nodes for many months. So it is advisable to investigate with histopathology examination of enlarged node to rule out the underlying cause. For that biopsy has to be taken and send it for a histopathology examination. CT (computed tomography) scan is also beneficial and you might not worry about radiation if a CT scan mandatory to perform. However, I recommend to investigate with biopsy for histopathology examination as well for primary work up. I hope this helps." + }, + { + "id": 22985, + "tgt": "Unwanted 72 was taken within 30 minutes of sex. Can she become pregnant?", + "src": "Patient: Hello doctor, I had an unprotected sex with my partner on the 24th day of her 28-day mensuration cycle. Within 30 minutes, she took an Unwanted 72. She is delayed by eight days and still no period has occurred. She complains of having vaginal dryness and lower abdomen cramps. Please let us know if she is pregnant or not. I am very worried. Doctor: Hello. Since she has taken an emergency contraceptive pill within 72 hours of intercourse then there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. She will be definitely getting her periods. 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": 5583, + "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": 620, + "tgt": "I am unable to get erection when touched by my partner and during sex. Please help", + "src": "Patient: Hi doctor, I am suffering an erection problem for the last three years. I am married for the last 1 year but I never did satisfaction and natural sex with my wife. My problem is I used to do a lot of masturbation heavy masturbation with oil so it is erect for a while and again loose. One more thing my penis would not get erect or discharged if my wife do handjob and sex, it gets erect only when I touch. I am trying a lot to discharge in my wife's vagina but I could not do so because at the end movement it is going to loose. One more thing I cannot masturbate with my dry hand because I need some oily lubricants to erect my penis. After marriage also I am doing masturbation. Due to heavy masturbation, my penis shrinks and sometimes I forgot things. I am not able to remember anything. Doctor: Hello. Anejaculation is a condition where a man cannot discharge semen. It can be absolute when he cannot discharge in any situation and situational when he cannot discharge in certain situations but can discharge in other conditions. If he can ejaculate with masturbation but not with sex then it is a psychological issue. If he cannot ejaculate even with masturbation or in dreams then it is a physical issue for which some tests need to be done. Psychological issue is due to inhibition when a man cannot ejaculate in the presence of another person. It can be overcome by gradual desensitization. He can rub his penis on any body part of the female like buttocks, thighs, breasts, belly, etc, and try to ejaculate. The female can also masturbate him. It is a long drawn process and often frustrating but is useful. He can also self masturbate and on the verge of ejaculation put the head of penis into the vagina. Also vibrators can be used. But before doing all these enough foreplay should be done if needed help of pornography can be taken. Also there are medicine to reduce the anxiety related to it and facilitate ejaculation. For physical problems the treatment is decided after doing some blood tests and ultrasound tests." + }, + { + "id": 20964, + "tgt": "When I see a child, I always imagine them naked. What shall I do?", + "src": "Patient: Hi doctor, When I see a child, whether in public or at home, I always imagine them naked. I look at them and start to visualize them in sexual situations. I want to keep looking at them, even though I know I should not. I am always watching naked kid images on the internet. I do not believe I actually want to have sex with a child although I am not able to stop myself from thinking this way. What shall I do? Doctor: Hi. Yes, the problem is very much distressing. This is a type of obsession called as sexual obsession. Also, we need to evaluate you whether you have symptoms of being a pedophile (sexually attracted to children). For treatment, you should go to your nearest psychiatrist immediately. You should not delay it. Treatment includes medication plus psychotherapy and talking therapy, which a psychiatrist can provide to you. Or you can seek online appointment and discuss your problem in detail. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 13974, + "tgt": "Found a hard nonmobile lump under my nipple. Is that an usual spot of breast cancer?", + "src": "Patient: Hi doctor, I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an usual spot to get breast cancer? Doctor: Hi. It is usually uncommon to have breast cancer in this age group. It looks most likely a benign breast lesion or a localized infection. You have not given many details about this lump such as skin or nipple color change, any nipple discharge, whether you are married/unmarried or breastfeeding mother, any family history of breast or ovarian cancer which may be helpful in identifying high-risk breast lumps. Nothing to worry about, but it is recommended to visit a mammalogist or a General surgeon and let them examine this breast lesion. If needed they will put you on close follow up or investigate further with ultrasound breast or MRI breast. The significant risk factors for developing breast cancer are. 1. A family history of breast cancer.2. Obesity.3. Certain genetic syndromes.4. Any previous breast lump.5. Hormone replacement therapy, history of estrogen intake.6. Early menarche or late menopause. In case you have any family history of breast or ovarian cancer then you must go for genetic counseling also." + }, + { + "id": 29012, + "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": 25573, + "tgt": "My fiance has loss of genital sensation after taking Prozac. Is this permanent?", + "src": "Patient: Hello doctor, My 54 year old fiance had just started 20 mg of Prozac once a day five days ago. He is already experiencing a loss of genital sensation and inability to get aroused. He has never been on any kind of medicine. He is stopping it, but how long will it take to get it out of his system if he has only had four or five doses. I feel horrible since I encouraged him to go on it. Please tell me this will clear since he has taken only a few doses. Doctor: Hello. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 8303, + "tgt": "How to use Argyreia speciosa for gonorrhea and syphilis?", + "src": "Patient: Hello doctor,I want information regarding Argyreia speciosa. I have heard that the plant has also been used to treat gonorrhea and syphilis. I am finding it hard to find traditional preparation techniques for treating these conditions. Kindly guide. Doctor: Hello. Argyrea speciosa (vriddhadaru) it has been used traditionally for treating several diseases like gonorrhea, syphilis, diabetes, to improve fertility rate, etc. It is valuable parts leaves, root, and seeds. Leaves can be heated and directly applied over pustules for promoting healing, seeds Nina be powdered and given in the firm of cold infusion or devotions. 15 ml of decoction with 15 ml of water one hour before food twice daily is administered. Although for these conditions still more effective drugs are available like blood purifiers, those can be administered too." + }, + { + "id": 1281, + "tgt": "What treatment would you suggest seeing this MRI?", + "src": "Patient: Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening of spine. I want you to explain the conclusion of the brain MRI. The report was round to oval T2 hyperintense foci in bilateral deep peritrigonal and right frontal white matter. Please explain in detail and also please tell me what treatment would it require. Also, she has slipped discs, frozen shoulder and muscle knots. Please tell a solution for muscle knots. Due to frozen shoulder, she cannot lift her right hand. She had injections, but did not get relief. From a while back, she is showing forgetfulness, no balance and cannot lead a normal life at all. I am sending the copies of the MRI and also attached her current medication list. I will be awaiting your reply. Thank you. Doctor: Hello. I had gone through all the data posted (attachment removed to protect patient identity).\u00a0I would like to keep my answer as simple as possible so that you can understand easily. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1262, + "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": 21182, + "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": 24413, + "tgt": "Why has itchiness come back in an obstetric cholestasis patient?", + "src": "Patient: Hello doctor,I was diagnosed with obstetric cholestasis two months back due to symptoms of itchy palms and feet. My LFT's and bile acids where raised. I was put on Ursodeoxycholic acid 500 gm twice daily and pregnancy vitamins. My symptoms disappeared within a week. I am closely monitored, weekly blood, growth scans, etc. But after 34 weeks, itchiness has come back. Baby is active; blood remains stable. I am not sure what to do. Should I increase my medication? Why has the itching suddenly come back after nearly three months of taking the medication? I would be grateful for your opinion. Doctor: Hi. You are right. You have symptoms and signs of OC (obstetric cholestasis) that shows itching on palms and soles in the absence of rash with abnormal LFT and bile acid and resolves after birth. Obstetric cholestasis has increased the risk of preterm birth especially iatrogenic; fetal distress causes passage of meconium that leads to cesarean section, post delivery bleeding. Due to risk mentioned above, the fetus should be monitored regularly and frequently along with mother's blood investigations to know the level of liver enzymes and bile acid. As you are feeling increased symptoms instead of taking medications regularly, I wanted to know have you been checked for other liver-related diseases at the start of pregnancy? And when you had last CTG (cardiotocography), electronic fetal monitoring for baby. For safer side, you should have one CTG for baby's well being and repeat blood investigations for the most recent status of disease as symptoms reappear and now already you have crossed 34 weeks. Vitamin K specifically you should have for this diagnosis and baby also just after birth. Dexamethasone can be added to prescription 10 mg orally for seven days, then to stop for three days. The Ursodeoxycholic acid dose could be increased after laboratory reports. So, my advice is better to have one CTG in an emergency due to the fetal risk of still birth in OC and to repeat blood investigations for necessary changes in dose or addition of medicines I have mentioned above. I hope you understand my point. You should have laboratory tests and CTG immediately to plan further. Keep a strict check on baby's movements. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8469, + "tgt": "Why do stretch marks appear and how can I prevent it?", + "src": "Patient: Hello doctor, I have stretch marks. Why these appear? And how it can be prevented. Please give me an idea of avoiding this disease. Doctor: Hello. Stretch marks may appear due to the rapid hormonal changes and growth associated with puberty, during pregnancy, or with medical diseases, such as Cushing syndrome. Stretch marks can have causes that are not due to underlying disease. Examples include pregnancy, weight gain in obesity, growth spurts in teenagers, medication side effects, or a rapid increase in muscle size through weightlifting. You can prevent the stretch marks by avoiding immediate changes in weight and by avoiding all the situations as told here to prevent marks." + }, + { + "id": 17476, + "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": 27804, + "tgt": "My report says MV annulus is out of range. What does that mean?", + "src": "Patient: Hi\u00a0doctor,I just received the results of my 2D echo, and\u00a0the MV annulus is out of range with a reading of 1.6, the normal range being 3.5 to 4.5. What does this mean? Otherwise, everything is normal. Doctor: Hello, For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30705, + "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": 6035, + "tgt": "I am a diabetic and hypertensive, and I masturbate daily. Will it hamper my sex life?", + "src": "Patient: Hello doctor, I am a 27 years old unmarried male. I am a diabetic and a high BP patient. I have some queries regarding sexual health. 1. I use to masturbate daily as I am habituated to it. Is it harmful? If not how many times in a day I can do so? 2. Will it hamper my sex life? Does it lead to erectile dysfunction or premature ejaculation, etc? 3. Can you suggest me any ayurvedic remedies to increase my sex drive, and to maintain hard erection, and to produce healthy sperms? 4. Actually I feels that for my age, weight, and height the size of my penis is too small. It is two and a half inches in the flaccid stage and almost five inches while erect. Can you please provide me any ayurvedic remedies to enlarge the size of my penis? 5. I have heard about the penile massage for improving its size. If so please suggests any ayurvedic oil for massage. Medicines at present: 1. Obimet SR 1 gm. 2. Glycomet GP 0.5. 3. Ace Revelol 25/2.5 mg. 4. Rozavel 5 mg. I have sent the images of my flaccid penis. Please let me know about its shape and size and provide suggestions to make it better. Doctor: Hello. You are definitely in need of a healthy life style. As you have not mentioned whether you are suffering from type 2 diabetes mellitus or type 1 diabetes mellitus. But looking at the medication mentioned by you, I am considering it type 2 diabetes mellitus. Other associated problem like hypertension also suggest me to think of life style associated disorders only. Following are my suggestions for you: 1) Your three problems (diabetes, hypertension, and sexual health) can be sorted out by working on four points. They are: diet, exercise, medication, and stress. Work on these and you will be able to successfully deal with your problem. 2) If you see carefully, you will notice that your doctor is helpful to you only in advising your medication and other things (diet, exercise and stress) need to be tackled by you. So, health is in your hands and not in doctor hands. So, please work on it. 3) For your height, you are overweight. Try to reduce your weight minimum by 10 kg. It will definitely benefit you in all aspects of health including diabetes, hypertension and sexual health. 4) Physical activity is a must. Minimum one hour of walking or jogging or yoga or gym or any other modality of exercise five days a week is recommended. 5) Decrease excess calorie intake. Sweets, fats, junk food, bakery products need to be avoided. Decrease salt intake is must for your hypertension. 6) There is nothing wrong with your penis size. And bigger penis size does not mean that it will result in happier sexual life. 7) Masturbating daily, in general, will not result in any problem as such. There is no standard frequency of masturbation. It depends upon your physical health and wish. It will not result in erectile dysfunction or premature ejaculation. But your other health issues make you prone to such problems. 8) Sexual problems in majority of cases are not real physical problems but are a result of unexplained fear, and insecurity. In my opinion, this is the most important aspect while dealing with sexual issues. Feel free in talking to your doctor on such issues. 9) I do not think that you need any medication for sexual health. Do not be carried away with advertisement. Medicines are not required and will not benefit you. 10) Optimize your blood sugar and blood pressure. Continue with medicines which you mentioned in your query. 11) Come out of unnecessary stress. Fix a healthy routine for yourself by focusing on above mentioned points. I hope this helps." + }, + { + "id": 28822, + "tgt": "I got fever after c-section. Why?", + "src": "Patient: Hi doctor, I had a C-section a month ago. I was in induced pain for over 16 hours and had spiked fever due to the medicines which continued after surgery along with night sweats. I was advised to take Dolo 650 and Augmentin 1000 Duo, which I continued to take for 10 to 15 days. But, I was not getting better. Then, I consulted a physician and he advised me for some tests and the ESR came as 70 mm on the first hour and ANA HEp-2 came as positive. The titer showed 1:40 pattern and homogenous, but the blood culture, urine culture and USG abdomen were normal. The doctor advised me to take Ceftas three times a day for 10 days. The fever was subdued, but it started again after two to three days. The temperature keeps around 99 plus (axillary temperature), and I have body aches like needles. Even my internal stitches are painful. Please suggest. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19860, + "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": 17990, + "tgt": "Is there any indication of parasitic infection in my brain MRI?", + "src": "Patient: Hello doctor, I would like to know if there appears to be any indication of a parasitic infection, specifically, cerebral sparganosis? I am waiting on getting the ELISA antibody test for sparganosis, and have been having worsening headaches and moving/squirming sensations in my head? Doctor: Hello. Cerebral sparganosis is a rare parasitic infection due to a parasite named spirometra mansoni and when there is a parasitic infestation of the brain tissues. There are particular features like small tunnels in the brain tissues, areas of edema, and in some cases the visualization of the worm. These features can be visualized in CT and MRI images of the brain. The moving and squirming movements of the worm in the brain are not exactly felt as sensations but worsening headaches have been recorded in patients with cerebral sparganosis. In medical literature, cerebral sparganosis patients have been known to be suffering from headache, seizure, hemiparesis, or other neurologic deficits. You can try getting an MRI brain scan done and if required then a contrast study if there are any findings on the plain scan. Regards. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 3242, + "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": 22336, + "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": 18597, + "tgt": "Please suggest a diet plan to lose weight", + "src": "Patient: Hi doctor, I have gastric problem. Can you suggest me diet plan\u00a0to lose weight\u00a0with consideration of\u00a0my gastric problem. Please specify any precautions to be taken and mention the source of food. I am attaching my medical reports which I have done before six months. Thank you. Doctor: Hi. For further information consult a dietician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 28724, + "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": 6677, + "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": 12235, + "tgt": "How can I treat swollen eyelid?", + "src": "Patient: Hello doctor, I have had a swollen eyelid for over five years, in one eye only, and it is more bulged than the other eye. The swelling is constant, it rarely disappears for a few hours, and it is affecting my look. Doctor: Hello. I have gone through your photo attachment and can infer a swelling of the right lower eyelid (attachment removed to protect patient identity). It can be caused by a number of different conditions. The commonest non-painful swelling being a chalazion, it starts off as a painful swelling accompanied with eye rubbing and irritation. In case, these do not heal adequately they become painless and hardened chalazion. The other causes including swelling due to hormonal fluctuations, swellings due to tumors and due to conjunctivitis. I recommend that you visit an ophthalmologist for an examination to see what exactly this is. In case you feel that it could be a chalazion, giving hot fomentation with cotton or a clean cloth can help and the swelling may subside on its own, although some do require surgical treatment." + }, + { + "id": 7785, + "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": 24109, + "tgt": "Kindly suggest medicine for relief from running nose, sore throat and fever", + "src": "Patient: Hi doctor,I am suffering from running nose, sore throat, body pain and fever since yesterday. Kindly suggest some medicine for relief. Doctor: Hi. You seem to have influenza or the common cold. Since it is viral, it will run its course. However, you can take some medications for symptomatic relief. Influenza. Common cold. 1. Tablet Cetirizine 10 mg once daily. 2. Tablet Paracetamol 500 mg not more than three times daily. 3. Do not take any other NSAIDs (nonsteroidal anti-inflammatory drugs) or Aspirin as you already have acidity issues. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Drink plenty of fluid and stay hydrated. For more information consult a general practitioner online.--->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3631, + "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": 27081, + "tgt": "What are the chances of pregnancy if I took the I-pill twice?", + "src": "Patient: Hello doctor,\u00a0 I am 20 years old. I had my menses on the 24th or 26th of last month. I had unprotected sex with my partner on the 20th of this month. I took an I-pill three\u00a0to four hours later. The next day early in the morning, around 5 AM we again had unprotected sex and he came inside me. 60 hours later, I again had an I-pill. Are there any chances of me getting pregnant? Please do let me know. A\u00a0detailed answer would be highly appreciated. Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 22822, + "tgt": "I noticed blood in stool. Is this due to piles or cancer?", + "src": "Patient: Hi doctor, While passing motion just some time back, I noticed blood in the stool and immediately I wiped my anus area with a tissue. There was a good quantity of blood (bright red color) and few stools also were red in color. I wiped off the anus and completed my bowel movement. The rest of the motion went smoothly and there was no more blood (the motion color was dark brown). I have external piles for a few years now. There is mild swelling around the anus. There is no pain in the stomach or lower abdomen or near the anus. My concerns: Did this blood come due to piles? Should I get worried about colon or stomach cancer? Will this blood in the stool keep occurring? How to treat this issue? Doctor: Hi. The clinical picture looks typical of bleeding from piles. This is unlikely due to cancer. Do not worry. However, to make to be sure, you need to consider a colonoscopy or sigmoidoscopy. This blood comes whenever pressure happens on the pile mass, usually when you have hard stools or when you strain at stools. So, your primary aim should be to avoid these two. You need to avoid constipation at any cost. Dietary measures persistently and medicines as and when necessary will definitely help you. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21037, + "tgt": "Abdominal ultrasound showed enlarged liver and diffuse coarse structure. Please help", + "src": "Patient: Hello doctor, I had an abdominal ultrasound scan done today and report shows that my liver is mildly enlarged and shows diffuse coarse structure. No focal lesions noted and span is about 15.5 cm in the mid-clavicular plane. I am a known diabetic for the past 6.5 years, and even has some blood pressure around 130/80. I am using Betaloc-50 for that. I am having acidity problem regularly. 13 years back, I had a mild fatty change. Doctor: Hi. Such findings in ultrasound represent fatty liver disease. The causes can be alcohol, non-alcoholic fatty liver disease, chronic hepatitis B, and C. In such case, I would advise you to get liver function test, anti-HCV antibody, HBsAg, In case these reports are normal, and you do not consume alcohol, it means you have a non-alcoholic fatty liver disease. Get the tests done and revert back with reports." + }, + { + "id": 7199, + "tgt": "I am suffering from pain during sex and cannot continue due to it. Kindly help", + "src": "Patient: Hello doctor, I feel pain during sex. I had bleeding for the first time when I tried, so I thought it is easy to take it, but it hurt me. So I stopped him now, I cannot have sex. Doctor: Hello. Pain during such a pleasurable thing like sex is a spoiler. There are a few common causes of severe pain during sex. 1. Any unhealed injury or abrasion in the vagina. 2. Any infection in the genital tract. 3. Doing sex while the vagina is still dry. 4. Uncomfortable or unrealistic sex position. First, you need to assure you are not having any injury or painful spot in the vagina. If that is not the issue, you should look for any foul-smelling discharge from the vagina, which is indicative of infection. Thirdly do lots of foreplay before sex to naturally lubricate the vaginal canal and use lubricants like K-Y Jelly while doing sex. Always try a sex position which is comfortable and pleasurable for you. Do not just follow the lorn clips." + }, + { + "id": 24627, + "tgt": "Why do I have brain fog, tiredness and fatigue?", + "src": "Patient: Hello doctor, I have a brain fog, tiredness, and fatigue. Kindly guide me. Doctor: Hello. For your tiredness, you have investigated properly with liver, kidney and thyroid profiles (attachment removed to protect patient identity). That reports are within range. So, liver, kidney, and thyroid illness are ruled out here. Your lymphocytes are slightly high. So, a temporary viral infection can be the possibility. For that, symptomatic management can be done, and Vitamin C tablet can be prescribed too. If fatigue remain persistent, then EMG (electromyography), NCV (nerve conduction study) can be done to rule out neuromuscular illness for which the neurologist should be consulted for neurological examination and the reports. Autoimmune disease, more work, lack of sleep, etc., also can be associated with fatigue. If no specific cause is found, then anxiety related or chronic fatigue syndrome can be the possibility. If any other specific history is associated, then provide it for giving more comment. Consult neurologist for your physical examination and discuss all these. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29915, + "tgt": "What does my baby's echocardiogram report indicate?", + "src": "Patient: Hi doctor, My baby's heart rate is 110 beats per minute. During examination, the echocardiogram shows S1 normal,\u00a0S2 split 3/6 and continuous murmur at left infraclavicular region. What does the information indicate? Doctor: Hi. I have seen the reports of echocardiogram (attachment removed to protect patient identity). The patient has a condition called patent ductus arteriosus. Usually ductus arteriosus closes at birth of a baby, but sometimes, it remains patent and does not close naturally. This condition is called patent ductus arteriosus. Labored breathing and poor weight gain are the earliest signs of PDA. An uncorrected PDA may lead to congestive heart failure with increasing age. PDAs can be closed by percutaneous interventional method (avoiding open heart surgery). A platinum coil can be deployed through a catheter through the femoral vein or femoral artery, which induces thrombosis (coil embolization). Alternatively, a PDA occluder device composed of nitinol mesh is deployed from the pulmonary artery through the PDA. The echo of the baby shows left-to-right shunt. It is a good time to do the surgery as after a particular time due to right ventricle hypertrophy the shunt reverses itself, which is called reversal of shunt and complicates the prognosis. If left untreated, the disease may progress from left-to-right shunt (acyanotic heart) to right-to-left shunt (cyanotic heart) called Eisenmenger's syndrome. Pulmonary hypertension is a potential long-term outcome, which may require a heart or lung transplant. Another complication of PDA is intraventricular hemorrhage. Patent ductus arteriosus. surgery. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2251, + "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": 10225, + "tgt": "Please guide how to use snehapana at home", + "src": "Patient: Hello doctor,I have chronic gastritis. I want to do snehapana at home with pure cow ghee. Can you please guide me? Doctor: Hello. Ideally, you should have done it under the supervision of a nearby Ayurveda physician. Because this procedure also requires a close watch and some dietary restriction. Even if you are taking some medicine without guidance, it is not advisable to do it on your own. It can also cause some issues like nausea, vomiting, etc. in some cases, and it might be hard for you to manage it at home. The amount of ghee should be taken on various factors, and it requires a complete history and clinical examination. Also, the amount of ghee needs to be increased day by day for some days. After intake of ghee symptoms need to be watched for proper digestion. If the physician does not find appropriate digestive symptoms, then he can manage accordingly. After proper digestion of ghee, a particular dietary regimen and lifestyle have to be managed. So you should do it under supervision. I hope you understand my point that rather than doing it at home, it is better to do under the supervision of a nearby Ayurveda physician." + }, + { + "id": 10411, + "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": 810, + "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": 13449, + "tgt": "There is mild bleeding with cramps after taking I-pill. Is it withdrawal bleeding?", + "src": "Patient: Hello doctor, Me and my partner had unprotected sex, and she took I-pill within 72 hours (but after 24 hours), and now after 8 to 9 days of taking the pill, she is having mild cramps similar to period and also mild bleeding (just a few spots), but the discharge is brownish in color, and this is the third day with cramps, although the bleeding is very less. Is it side effect of the pill or is it implantation bleeding? And when can she expect her normal periods? Doctor: Hello. I have read your concern. Spotting or sometimes profuse bleeding accompanied with cramps are most common side effects after taking the emergency pill. This is due to the high-level hormones (Progesterone) contained in the pill. However, this is difficult to differentiation from implantation bleeding. The only way you can identify it is taking a pregnancy test since it has been more than eight days since your last contact and if you are pregnant then it would have turned out positive by now by using a simple home pregnancy test kit." + }, + { + "id": 8036, + "tgt": "Is root canal treatment necessary if there is no pain in the tooth?", + "src": "Patient: Hello doctor,Approximately one year back, my left chewing tooth got a small hole due to something which I bit. So, that became a tooth decay, over there it looks black. I recently consulted a dentist. So, he suggested a root canal but I do not have any pain nor loose of teeth and also I am afraid of root canal so please suggest any other medication for this. Doctor: Hello. If the cavity is deep, the root canal treatment is necessary to save it. Else, it will have to be pulled out later. If it is not too deep then you should ask him whether first a temporary filling can be given and if there is no pain even after one month, it can be replaced with a permanent filling. There is nothing to be afraid of the root canal treatment as it is painless after anesthesia is given. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19731, + "tgt": "Can I contract HIV from the use of a blackhead remover?", + "src": "Patient: Hello doctor, I had brought a blackhead remover which includes a stainless steel needle with a blunt tip and a loop online. I used it carelessly without cleaning it yesterday. Now, I am scared to death of contracting HIV from it. Please help me. Doctor: Hello. HIV (human immunodeficiency virus) cannot survive for long outside the human body. It is unlikely that using a comedone extractor without cleaning could spread HIV. Kindly mention if there was any bleeding when you attempted to remove the blackheads. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 10690, + "tgt": "I am unable to focus and something is running in my mind. Please help", + "src": "Patient: Hello doctor,I am a lazy one, and all the time's something is running in my mind. I am not accurately able to focus on my studies, and I am getting afraid and tensed by every little issue. So kindly help me. Doctor: Hello, Welcome to ilciniq.com. Continuous something running in mind if it is unwanted is called brooding or rumination. The more you continue it, the more problems it may create. Problems like making you more lethargic. Better start behavioral modifications like exercise, distraction techniques, keeping yourself engaged, etc., with a proper timetable. Watch yourself for anxiety, and depression symptoms if any, then seek help accordingly." + }, + { + "id": 14045, + "tgt": "I want to cure premature ejaculation. Please help", + "src": "Patient: Hello doctor, I am having a premature ejaculation problem. I got married five months back. Initially two months back, I was able to do intercourse well but now before the start of the intercourse, I am getting the ejaculation. We are planning for a child now but I am much worried. My height is 187 cm and weight is 102 kg. Doctor: Hi. I can understand your situation. Premature ejaculation is not a disease of the body and it is seen in almost all men at some point. It occurs because of your tension and anxiety about performing sex or previous bad sexual experiences. Medicines can be taken initially to reduce your anxiety if you are married or having regular sex. Practicing exercises to strengthen the muscles which help in ejaculation and retraining penis to ejaculate late would be a permanent solution rather than medicine. No permanent cure with allopathy, ayurveda or any system. It happens because of so many factors like as follows: 1. You have been training your penis to ejaculate early all these days. 2. You will be very anxious about losing the erection and will hurry up for intercourse. 3. Glans of the penis may be very sensitive. 4. The desire may be too much. You can try tablet Duralast 30 mg two hours before sex only till you get confidence." + }, + { + "id": 30857, + "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": 1721, + "tgt": "I am getting panic attacks and anxiety about being home alone. Please help", + "src": "Patient: I m doing PhD recent times I m getting panic attack and anxiety sudden and I m fear of being alone in home my mind always think some things bad will happen to me I m trying to concentrate myself on other activities I m not able to concentrate suddenly I feel racing my heart beat and difficult in breathing decreased energy level body pain lot more it all started happening from before one month. Due to this I am not able to sleep and eat correctly please let me know the solution.. Doctor: Thank you for using our website, First of all,there are two scenarios for your cases.The first scenario is you could have faced a stressful situation and this situation has triggered the panic attack.The situation may have appeared trivial,but it could pointed to an important events in your childhood.The second scenario is you could drink a lot of tea or coffee or you could have a systemic illnesses.The high consumption of saturated fat and salt can cause hypertension and heart problems.Too much amount of tea and coffee can affect your heart and decrease the level of vitamin B complex in your blood,resulting in increasing heart rate .Moreover,the oral contraceptive pills, the hormonal replacement therapy and irregular menses may cause the similar symptoms. 1-ECG and Echo 1-exclude the systemic illnesses 2-reassurance 3-use Buspirone 10 mg :Half a tablet before meals once per day for three days,then half a tablet twice per day before meals then half a tablet three times per before meals,then the dose should increase by half a tablet every three days to one tablet three times before meals for 90 days then you should withdraw the drug by decreasing the dose by half a tablet every week until you take half a tablet once every other day for two weeks,then you should stop the drug." + }, + { + "id": 23890, + "tgt": "Are my Condition related to amblyopia?", + "src": "Patient: \u00a0Hi doctor, In my 12 years of age, I found that I had problem with\u00a0vision in one eye and got it treated by LASIK. I had squint operation too when I was 20 years old. My present condition is that I can see with one eye at a time, but when I concentrate for five minutes then that eye will start paining. I had a LASIK, but it did not help me to utilize both eyes. Is it amblyopia? How can I get it cured without operation? Doctor: Hi. You have mentioned that you had less vision in one eye at the age of 12 years. This goes in favor of the weak eye being amblyopic. Amblyopia with vision problem should be initiated very early in life, before the age of 10 to 12 years. Was any treatment, like patching, done at that age? As the eye was weak before, LASIK surgery will not help in improving the vision. Nowadays, current research shows that some cases of amblyopia may improve at a later date also. So, I suggest you continue patching of the unaffected eye (good eye) for one hour every day, while watching television for six months. Remember to wear your glasses, if any, while patching. Revert back with the asked details to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29395, + "tgt": "Can you predict the survival of my father who is having spontaneous brain stem bleeding?", + "src": "Patient: Hi doctor, My father, who is 61 years old, complaints of an episode of vomiting followed by unresponsiveness along with decrease movement. As per summary, there is spontaneous brain stem bleeding with obstructive hydrocephalus that is,\u00a0post EVD.\u00a0I want to know about his survival risk. I am waiting for positive response.\u00a0Thank you. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27066, + "tgt": "Can certain foods affect the absorption of Synthroid?", + "src": "Patient: Hello\u00a0doctor, I have been taking 50 mcg of Synthroid for many years. Today my doctor says my numbers got lower and she wants to increase my level of Synthroid a little. She asked if I take any calcium supplements but I do not. However, I read about things that could affect absorption of Synthroid like dairy, walnuts, and orange juice. All these things, I eat daily for breakfast at least 30 minutes after taking Synthroid. The milk is Lactaid free with 50 % more calcium than milk added. Am I eating the foods correctly with the Synthroid or could they be causing my numbers to change? My doctor is not available until\u00a0the next week. 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": 29579, + "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": 18942, + "tgt": "What could be the reason for my acidity and chest heaviness?", + "src": "Patient: Hi doctor, 9 years before, I delivered my first baby. Since after delivery, I have suffered from breathing problem. Only when I release the gas or pass motion, I use to feel relieved. I underwent all the tests and everything was normal. It lasted for 2 years and then subsided. My diet was completely bland without spices and oil. Around, 1.5 years ago, I delivered my third baby. Since then, I have severe acidity, heaviness in chest, uneasiness near the heart and pressure in the neck. The problem present all day and I feel fine once I release the gas or pass motion. I have tried all\u00a0acidity tablets, but in vain. I am only taking vegetarian food, plain gravy and rice. I cannot eat any other food as it makes my condition worse. ECG, echo, TMT, endoscopy, 24 hours monitoring test and x-ray has been done and everything was normal. But, my problems getting worse day by day. I have even tried herbal treatment, but no use. I am damn upset because of my health. Doctor: Hello. Helicobacter pylori infection. RUT test. IBS. Antral gastritis. Treatment for acidity, H.pylori infection and indigestion. Revert back with the reports to a medical gastroenterologist.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8966, + "tgt": "My child is not talking to others outside the house. Please help", + "src": "Patient: Hello doctor, I am concerned about my only daughter whose age is 3.5 years. She is going to preschool for past one year now. She is well in her studies. She is very mischievous and lively chatterbox in our home. But she cannot mingle with outside society. She is reserved in her school. She does not participate in group activities and remains firmly standing at one place when pressurized to do so. Whenever some outsider asks something, she remains quiet. Even when her name is asked, she did not answer. Recently we went for a high school interview. Madam asked her questions whose answers were known to her but she did not answer a single word. Her father and I repeatedly told her to answer but she did not. In this context, it is to say that I am also a quiet person but that did not hinder me from mingling with the outside world. Her father is also reserved both at home and outside. But our child is talkative at home and quiet outside. Please tell me a way out of her problem. Doctor: Hello. From your description, it looks like your daughter is socially anxious and presenting with a mild form of selective mutism. Sometimes, they will be completely not able to speak to anyone in a social setting. Mostly they will be able to speak or whisper to some familiar people. With support, she will be gradually able to become confident and talk well outside the home as well. It may take months, sometimes longer. So we have to be patient in this situation and support her as your daughter also will be anxious and frustrated. We have to remember that she does not do it intentionally but is a result of anxious or reserved temperament. Follow these steps to support your child. 1. Do not make her feel pressurized to talk all the time she is outside. Be supportive. 2. Create opportunities to chat in small social settings. Initially 1:1 chat with a known person in a park or temple. Once she feels comfortable, move to small groups. Be patient. 3. Praise her even if she says 1 or 2 words. Even whispering is okay. 4. Gently expand her comfort zone by mingling with her peers. Most children will get better gradually. If the problem persists or worsens in spite of these supportive measures, consult your pediatrician for an assessment. Sometimes speech and language therapy input may be needed." + }, + { + "id": 4996, + "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": 27986, + "tgt": "Are silver fillings hazardous to health?", + "src": "Patient: Hi doctor, \u00a0I recently had my tooth cavity filled with a silver filling. I read on the internet that silver fillings are toxic to human kind. Please\u00a0suggest what I can do. Shall I get it removed,\u00a0and replaced with some other material that is not hazardous? Doctor: Hello. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8275, + "tgt": "Kindly explain about apicolordotic view in chest X-ray", + "src": "Patient: Hello doctor, About the result of my son's chest PA X-ray. He is 18 years old, the impression in X-ray result suggests apicolordotic view. What does it mean or explanation? Doctor: Hello. 1. As the left atrial volume is apparently dilated and a prosthetic valve implanted, the anticoagulation would be necessary even though LAA closure would minimize the risk of thromboembolism. 2. Both drugs could not prevent aFib because of persistent mitral stenosis, Digoxin could control ventricular rate during aFib recurrences. Anyway both have potential adverse effects and need follow up." + }, + { + "id": 16642, + "tgt": "I used epilator on my face, which has caused redness. Please help", + "src": "Patient: Hello Doctor, Two days ago I used an epilator\u00a0on my upper lip, it became red and hurts a bit. Then I applied a cream to moisturize it. Today, after shower, I peeled it off. But the redness is still present. What do I do? Doctor: Hello. If it does not heal, consult a dermatologist online with a detailed history --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15260, + "tgt": "My front tooth is crooked and loose along with gum pain. How to correct it?", + "src": "Patient: Hi doctor, My front tooth is going to fall out. It is very crooked and loose for about four to five years. Then, I started to have anxiety, and I am grinding my teeth bad. It got looser and looser for the past couple of years. Now, I have deep, sharp pains in my gums on that side. It hurts me a lot, and I have sensitivity in the tooth. The cold air coming from outside kills me. My head and right ear are also aching for the past couple of days. Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have mild inflammation in the gums. Your front teeth are not organized in the arch. Please send a front view of your anterior teeth. You need a clinical examination followed by a dental X-ray for estimating the bone level and the grade of tooth mobility. There is a possibility to save your tooth. You need oral prophylaxis, and you can have a flap surgery for grafting (after estimation if there is a bone loss). Avoid doing hard brushing. Follow these oral hygiene instructions. Maintain your oral hygiene by cleaning your teeth and tongue properly. Brush your teeth two times a day with a soft toothbrush. You can rinse your mouth with warm water mixed with a pinch of salt, or you can use a good antiseptic mouthwash. These instructions help you to maintain oral hygiene. Consult your dentist soon for a clinical examination and treatment." + }, + { + "id": 14629, + "tgt": "My newborn's iris gives rainbowish look. Why?", + "src": "Patient: Hi doctor, My baby is 1 month old and has a certain type of rainbowish type of layers in eyes or let us say some part looks darker and some looks lighter in the iris. It looks as if scratches or as if the little part of dark color with the rainbowish look. What might it be? Doctor: Hello. The medical terminology for having different colors at different parts of the iris is heterochromia iridis. Although some people naturally have this since birth, it could be a possible early sign of a few eye related disorders. I would also consider you lucky, thanks to your keen observation, it has made it possible for this condition to be picked up early. My advice to you is to get your child's eye checked by your ophthalmologists regarding this issue soon." + }, + { + "id": 28257, + "tgt": "I have multiple sclerosis. Can I get artificial valve for urinary incontinence?", + "src": "Patient: Hi doctor, I have secondary progressive multiple sclerosis. I am a 37 year old male. My weight is 165 pounds and height is 6 feet. My neurologist is treating my MS with two rounds of Rituximab infusions (low dose chemotherapy) every six months and a twice-daily dose of an Ampyra capsule. I also take Cymbalta (for depression), Ropinirole (for restless leg syndrome), Magnesium, and Vitamin D. I suffer from urinary incontinence. I have to use a catheter to urinate, and lately, I have been getting blood in my urine and on the catheter after I remove it. My question involves possible treatments for this. I have frequent UTIs and trying to come up with a way to stop this cycle. Is there any artificial valve that can be surgically placed in the urethra to control when my bladder releases consciously? I read something about a surgical valve replacement used in prostate cancer patients who have had their prostate removed. A control for this valve is placed in the scrotum, and the device apparently replaces the natural valve. I am curious if this surgery could be adapted to treat my incontinence. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4398, + "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": 26613, + "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": 18349, + "tgt": "What are the small flat bumps on penis?", + "src": "Patient: Hello doctor, There are small flat bumps on penis. Is it herpes? I had rather rough sex with a partner a week before noticing these. I have been tested before and it has been negative and I have never had this before. Doctor: Hi. I am not going in favour of herpes.It looks like initial stages of penile lichen planus (attachment has been removed to protect patient identity). Herpes genitalis starts with a fluid filled blisters and do not remain for so long. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12958, + "tgt": "Why is there irregular periods with low sex drive after delivery?", + "src": "Patient: Hello doctor, I am 36 years old. After giving birth to my child two years back, my period changed from 28 to 31, 32, 33, 34. My breast milk is still coming out after breastfeeding my child. My sex drive is low and my vagina is always dry. I cannot get pregnant again. Doctor: Hi. As you are breastfeeding, so it increases milk production as well as delays normal menstrual cycles. With normal regular periods, sex drive remains high and normal menstrual blood flow also continues but as this disturbs sex libido, menstrual flow, mood variation, all appear. If you gradually transfer your child to home-made child food then gradually reduce breastfeeding and start combined oral contraceptive pills to have hormonal support and regular periods. Try to have a balanced diet, weight and BMI and daily exercise to have normal BMI. Have recreational activities and quit recreational drugs. Listen to music, watch a movie, go for an outing before planning sex, have long foreplay with proper orgasm. As you are breastfeeding, so prolactin level will be high. After gradually reducing and then quitting breastfeeding, check serum prolactin and follow with the result. After quitting breastfeeding, milk extraction or discharge from breast should be stopped. Check for any headache, reduction in vision with milk secretion, then need to have an evaluation by consultant endocrinologist. Breastfeeding. Serum prolactin after quitting breastfeed. Combined oral contraceptive pills, recreational activities and quit recreational drugs. Long orgasm with proper lubrication before sex. A complete treatment of any health issue you have." + }, + { + "id": 13283, + "tgt": "Will composite dental bonding last for a long time?", + "src": "Patient: Hello doctor, I want to ask whether composite dental bonding is durable or if I bite a mutton stew or chicken leg piece, it will come out? Is it for a lifetime? If it dismantles anyway, is it freely replaceable or I need to pay again? Also, I have heard that laser treatment leads to early fall of adult teeth in the late 50s. Is it so? Doctor: Hi. I had gone through your question. I can understand your concern. Yes, you can eat whatever you want to eat, there is no issue of chewing. Make sure you do not eat any hard substance for the first 24 hours. After that, you can eat mutton or chicken anytime. Better is to go with the best possible restoration provided by your dentist. Less expensive fillings are also available these days but their efficiency is not too good. No, laser curing composite does not affect your teeth or make them prone to fall. If the fillings fall or come out, it will be replaced by your dentist free provided it falls early, if it falls after two or three years it may not be replaced without charges." + }, + { + "id": 1299, + "tgt": "Is it safe to switch to Wellbutrin while on Cymbalta?", + "src": "Patient: Hi doctor, My current medications are 60 mg Cymbalta for depression and 300 mg Seroquel for the sleep disorder. I am in my 40s and I have had a few episodes of depression during my lifetime. I was lucky enough to be able to attend a psychiatrist in a country I lived in for a long time. It was a great help. My question at the moment is about medication. When I was quite depressed I took Cymbalta and another antidepressant which I am fairly certain was Wellbutrin. I dropped the secondary antidepressant after a year or so as I began to feel better. I am just considering using it again as I am now in a state of emotional upheaval due to a family death. I have just got in touch with a GP for an appointment in the next two weeks. What I would like to know is, it safe to take Cymbalta, Seroquel, and go back to Wellbutrin? How would I work the dosage? Would I start with 150 mg of Wellbutrin and possibly go up to 300 mg? When should I take the antidepressants? Can I take them both at the same time, or do I need to space them out? I am not prone to seizures and I have never had one. I am a female. Doctor: Hi. Thank you for taking help from a psychiatrist. You can take Cymbalta and Seroquel. You are already on both medications, so you should continue both medications. If you fill depressed then take tablet Wellbutrin 150 mg once in the morning for a short period of time, then we can taper off within 6 months. If you do not improve your depression on 150 mg of dose after 15 days then we can increase the dosage as per requirement. You can take medications together and you do not need to space out. But you must take Seroquel at night as it causes sedation. Even you should follow some non-pharmacological management as mentioned below. 1. Do exercises daily for 30-45 minutes like walking. 2. Do meditation for 20 minutes daily. 3. Eat healthy home cooked foods, avoid junk foods. 4. Spend quality time with friends and family daily. 5. Spend time for creative hobbies like read good books, write journals, painting, drawings, learn new skills or language or musical instruments. 6. Take enough (7-8 hours) sleep daily. 7. Avoid tobacco or alcohol or any substance abuse. I hope this helps." + }, + { + "id": 5420, + "tgt": "I am not getting pregnant inspite of active sexual life. Why?", + "src": "Patient: Hello doctor, I am 25 years old. I am newly married. I have irregular periods but not too late it occurs between 25 to 35 days. We are planning for a child but cannot get success. We have sex regularly. Now I have some doubts please clarify me in detail. I am over weight (pear-shaped). My height is 156 cm and weight is 68 kg. For my height and age, the ideal weight is only 50 kg. I am following a healthy diet by reducing the carbs and increasing the fiber and others. I am doing the walking and some low intensity exercise like squats but my relations compelled me to leave it as it will cause miscarriage. Whether my over weight cause any problem in my pregnancy? Does this irregular period affect pregnancy? I had a fungal infection in my vagina before marriage. I took tablets, I have more other problems that the black skin in that area. Sometimes I feel little itching during periods alone. Will the black mark disappear or not? Does it have any impact on pregnancy? Does heat-inducing foods and other home-based natural treatments for skin affect my pregnancy? I sometimes feel feverish during periods why is so? My hubby sometimes has to be out off station. He will be out for 25 days so after that we will have sex, but I feel some pain after two or three hours after intercourse but its mild. We have more foreplays after these 25 days and also we have tried some other position like doggy, cowboy, etc. earlier it was only a missionary position. Does it have any problem? Do I have to go to the gynecologist? Do traveling in car or jumping affects pregnancy? After intercourse, the sperms leak out of my vagina. My hubby feels like every thing ejaculated has leaked out. Is it usual or not even after doing in the tilted position it leaks out. What is the solution? The society makes us so confused all are giving advices. So we need proper guidance. Please help us. Doctor: Hi. Being overweight or obese definitely increases complications during pregnancy like abortion, low growth of baby, development of diabetes and hypertension. It is better to attempt weight reduction (if possible) before achieving pregnancy. Irregular periods, if it is between 25 and 35 days normally it does not affect the pregnancy, as such cycles are generally ovulatory. The black marks are less likely to be due to fungal infection. Those generally indicate insulin resistance in obese individuals. They may disappear slowly once you lose weight. Itching is not normal, need to check once with a gynecologist to rule out infection. Normally, foods are not known to affect the chance of pregnancy. Just do not take an overdose of nutritional supplements, as it may affect baby if you conceive. Slight rise in temperature normally occurs due to the hormonal effect and is considered normal. Slight pain after intercourse is no problem and needs no treatment. Traveling in a car or jumping does not affect pregnancy. Just do not try vigorous exercises in the first three months of pregnancy. Normally, semen leaks out after intercourse and there is nothing to worry, as what leaks out is generally plasma, sperms normally go into the uterus immediately after deposition in the vagina. Still, if you are worried, you can keep one or two pillows below your hip to keep the semen inside for the longer duration. Apart from those answers, we normally do some tests for women who are trying for pregnancy. Those are hemoglobin, random blood sugar, TSH (thyroid-stimulating hormone), Rubella IgG (to know immunity against rubella), HIV, HBsAG (surface antigen of hepatitis B virus). You can get those done if interested. These are to safeguard your baby. I hope this helps." + }, + { + "id": 6713, + "tgt": "I am disappointed with my exam result due to lack of concentration. What to do?", + "src": "Patient: Hello doctor, I am disappointed about my failure in the job exam. My weak point is that I did not concentrate fully on my studies; my mind is flying here and there. Even, when I wake up early in the morning, I discover, my brain works whole night by thinking. And every morning I remember what had happened in my dream. How can I fix my flying mind and concentrate on one thing deeply? Please help. Doctor: Hello. Lack of concentration can be due to many reasons. From what I understand in your case is that you are under a lot of stress. When the brain is in stress, it tends to avoid the main task of finding relief by focusing on non-essential things. The first thing you should do is take up measures to reduce stress. There are many such exercises on the internet, and you can pick the one that works for you. Secondly, you should work on procrastination. Instead of studying for long hours, and draining yourself, take frequent breaks and use the Pomodoro technique. There are various skills you can learn to improve your concentration. There are many courses you can do. I do not have the details of your situation, so I can not suggest more. If still, you feel the need, you can talk to a counselor or take an online session and can discuss the details of the problem and find a solution." + }, + { + "id": 20591, + "tgt": "Do I have any risk due to the posterior position of placenta?", + "src": "Patient: Hi doctor, I am 11 weeks 2 days pregnant and as per my US report placenta is posterior, low lying, just covering the OS. Retroplacental area is clear and placental maturity is grade 0. I previously had two C-section birth. Is there any chance of shifting the placenta upper or do I have any risk due to the position of the placenta? I am really worried. Kindly suggest. Doctor: Hi. It is the first-trimester scan. It is good that it is posterior placenta with previous two C-section. If it is anterior, then it is difficult to travel upward. Higher chances of an adherent placenta in the anterior placenta. You need serial monitoring by ultrasonography. Do at 19 to 20 weeks for baby anomalies, placental location and to rule out any adherent placenta. Again do ultrasonography at eight months for confirmation. Mostly placenta migrates upward as baby and uterus grow. For now, do the following: Bed rest, avoid lifting of weight and prolonged traveling, watch for any bleeding, keep follow up with gynecologist regularly." + }, + { + "id": 23424, + "tgt": "My head hurts and is sensitive to touch. Can it be something serious?", + "src": "Patient: Hi,Welcome to icliniq.com.I am 27 years old and married to my best friend for the last two years. But over a period of time, we have been fighting over issues. Although we still love each other a lot, in the midst of arguments he gets angry and hits my head. I, in turn, hit him. In fact pretty harder than he does and this continues. I have tried controlling my reaction many times but eventually, I was losing respect for him and losing self-respect too. So, every time he hits me now, I hit him back too. And it happens as a reflex. Most of these issues happen while we are in the car. So every time he hits me using his right hand on the left side of my head. I already have sensitivity on that side of the head close to the ear. And I do not know the reason for this pain.The last time it happened five days back and my head is hurting since then. The left side, a few inches above the ear. Is there anything I should be worried about?Also, I was expecting my period in two to three days. My usual period starts with spotting and after two days of spotting the flow increases. But post this incident my period came the very next day. I saw a lot of blood right at the start which has never happened in the last 16 years. I have PCOS and a fibroid near my right ovary. I am also trying to get pregnant. My mother is a gynecologist. I told her I have hurt my head somewhere and so it hurts. She did not take it seriously because of the way I said and she does not want me to be exposed to radiations by taking CT or MRI scans for a normal pain. I cannot tell her that this has been happening for a couple of times. My husband really loves me but then he gets angry and does this sometimes and regrets later. He has never looked down on me or hurt me otherwise. But he gets angry easily for the silliest stuff. I do not see any swelling in my head but it is highly sensitive to touch and pains a lot. I would like to know the following: Is there anything I should be worried about my head? Will this affect fertility?Will there be any complications in future?Any other relevant information? Doctor: Hello. I do not think there is anything to worry about. However, I do have a few questions. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23220, + "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": 19588, + "tgt": "I am suffering from throbbing pain on the back of the head. What to do?", + "src": "Patient: Hi doctor, About a week ago I got a severe headache. The left side of my head was tender and painful. After a couple of days, my left arm and left leg feel\u00a0a little numb and weak. I started taking a drug, Dolo-Neurobion Forte every 12 hours. My headaches are less often, but when I do get them, they are throbbing and pulsing. I find myself waking up in the middle of the night in pain for hours. I got a CT, and the doctor said nothing emergent showed up, but I should make an appointment with a neurologist. My appointment is on next week, but my left arm is getting worse. I am 25 years old. Doctor: Hi. I understand your symptoms well. Revert with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11143, + "tgt": "My 4 month old baby is suffering from loose motion even after having Cefixime. Why?", + "src": "Patient: Hello doctor, My daughter is 4 months old. She is suffering from loose motion for the last two weeks. The doctor already prescribed antibiotic Cefixime, but the condition is not much improved. Now she is pooping six to seven times daily, which contains mucus and color is green. A stool test shows 25 to 30 pus cells. Please advise us what to do? Doctor: Hello. I advise you to continue breastfeeding and prevent dehydration. It is unusual to have bacterial diarrhea in a four-month baby. Are you giving any top feeding? I mean other milk apart from breastfeeding like bottle feed? If yes, then please stop and give exclusive breastfeeding till six months of age. Please repeat stool test for reducing substance if possible. Have you given the rotavirus vaccine? Follow-up with the report. If you feel that she is sick, irritable, not taking feeds or not passing urine or anything unusual, then please visit a pediatrician as soon as possible. Stool for reducing substance. Dysentery or rotavirus. Econorm sachets one (Saccharomyces boulardii) BD (twice daily) for three days, syrup Zinc 2.5 mg once a day for 14 days, and ORS (oral rehydration solution)." + }, + { + "id": 11437, + "tgt": "My baby is suffering from eczema. Please suggest some treatment", + "src": "Patient: Hi doctor, My 5 months old baby has pretty bad eczema. Just recently, he had a bad flare-up in which he was weeping from both legs, arms, hands and cheeks. For 80% of the day he is suffering with rash and seems to have no relief at all. He\u00a0scratches and cries continuously throughout the day and wakes up in his sleep. None of the remedies we tried have produced relief such as wet wraps, bleach baths, ointments, eczema creams, cortisone, etc. Is there a product that is good and available OTC? Would he need something prescription based? Could it possibly be something in the environment that is causing the flare-up like dust? His mother has altered her diet to accommodate him accordingly. Is weeping a sign of infection? Doctor: Hi. This is atopic dermatitis. It has many causes. Most common is due to allergy to various dietary protein or external stimuli. We need to elicit the history properly and need to do investigations to delineate the cause. First we will do basic investigation then we will proceed according to the reports. My advice is as follows: We may need systemic steroid to control this intractable eczema. But, first we need to do basic investigations. Please get the following investigations. Complete blood count, liver function test (AST (aspartate transaminase), ALT (alanine transaminase), bile and protein), ESR (erythrocyte sedimentation rate), platelet size and IgE level (immunoglobulin E). Revert back with the investigation reports to a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 28684, + "tgt": "I have tinnitus after being exposed to loud noise. Will it ever go away?", + "src": "Patient: Hi doctor,I have tinnitus after being exposed to loud gun shots, as well as a firework being set off only a few feets away from me. The ringing is only in the right ear. It is the fourth day now that it has been going on. I cut steel for a living, and I do wear earplugs at work. But, the additional loud noise is causing more damage to my ears. Will my tinnitus ever go away? Doctor: Hello. Since it is due to recent exposure to loud sounds, there is a good chance that the tinnitus will resolve. You might have to take some steroid tablets or injections inside the ear to relieve any inflammation around the nerve. Also, it becomes pertinent that you get a pure tone audiogram to check the hearing as well. You are advised to take some good multivitamins for a few weeks. And, continue using ear plugs at the workplace. Consult your specialist doctor, discuss with him or her and take treatment with consent. If in the long run tinnitus does not resolve, then we have some medications and devices which help relieve tinnitus. But right now, you may need some immediate measures to resolve the issue. It may be a temporary development which with adequate medications and attention will not turn into a permanent one. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4119, + "tgt": "What causes persistent sore throat with dry mouth?", + "src": "Patient: Hello doctor, Persistent sore throat, that feels deep in the back of my throat along with dry mouth for the past two months. The pain has gradually worsened. My primary doctor indicated there is no sign of an infection or strep. Doctor: Hi. The above given complaints suggests that the source of infection is not in the throat. Do you have excessive belchings? Is there any history of gastritis. Do you have history of sneezing, watering of eyes, nasal discharge. Do you have headaches with heaviness of head and thick nasal discharge which is sinusitis. So the infection to throat can be due to spread of infection from either nose or from acid reflux from the stomach, these two things can affect throat even without infections of throat per se. Answering these questions will help me coming to a conclusion." + }, + { + "id": 20748, + "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": 17618, + "tgt": "When can a person have change in voice and breathing difficulty?", + "src": "Patient: Hi doctor, I am a 36 year old female. I smoke but I have no medical history. I do take medicines for depression. About 2 months ago, I started to lose my voice. Otherwise, I felt fine. I do not have a history of losing my voice, so I assumed I must have picked up a virus. My voice slowly continued to become audibly worse, but still no cold or sore throat. Then about 3 weeks ago, my voice became so hoarse that I had to take a leave of absence from my job because no one was able to understand me anymore; I was audible, but so hoarse and able to speak only at quiet volumes. Now, at this time I started having a hard time in eating. It feels like food is getting stuck in my esophagus\u00a0and for some reason I cannot breathe. I am drinking water to move the food down. I stopped eating solid food last week due to these choking episodes.\u00a0If I try to speak now, I get ever so slightly short of breath. I also was developing these noises when I breath in deeply. I thought it as asthma, but I do not have wheezing. And when I got into a situation yesterday, I felt like I was having an attack of some sort that loud sounded and felt like croup. I could barely breath when I inhale and I made a really strange and loud croup noise. It settled out eventually. I think it is probably time to see an ENT to know what is going on. I do not really want to go to the ER because I am not aware if they have an ENT there who they could consult to see what is wrong. Plus, I really do not know what all this could be? And maybe it is not serious and it is just a bad virus too. I am trying to decide if my problem can wait for an ENT visit with a doctor when one becomes available in about two weeks. Should I go to an urgent care or ER?\u00a0Thank you for your time. Doctor: Hello. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23, + "tgt": "Loose motion is not controlled with antibiotics and bland diet. What should I do now?", + "src": "Patient: Hello doctor, I am a 39-year-old male. I am 168 cm in height and 68 kg in weight. Since last one month, I have been suffering from intermittent loose motions (yellow colored). There is no vomiting, no fever, or major abdominal pain (except for occasional cramps). Initially, I took a combination of Norfloxacin and Tinidazole for four days, but things did not improve. Thereafter on the prescription of my doctor I took Metronidazole 400 and Dicyclomine 20 mg for a period of 14 days. I also took Lactobacillus tablets for the entire period. During these times I only ate poha, rice, curd, and banana. Also, I took boiled water. It is the fifth day now and I have discontinued the medicines. Despite on such a bland diet (no wheat), I still have at least one to two loose motions in a day. My routine medical tests were done in January this year which was normal. My wife and son also developed loose motion in between for a very brief period. However, they recovered fully within three days. Please advice. Doctor: Hello. I cannot see any red flags in your symptoms. More likely nothing to worry. It is the function of your intestines that is triggered by some infection and you are facing overactive intestine. More likely it is a functional problem unless proven otherwise. I will advise you to keep things simple. Quit all medications. You already took a few antibiotics. Please follow these general guidelines: 1) Add fibers in your diet like vegetables and Ispagol husk two spoons daily. 2) Keep yourself well hydrated. 3) Add yogurt in your diet. 4) Eat less. 5) More important is to keep yourself relaxed. The best way of doing is by doing a walk, exercise. Please start tablet Mebeverin 135 mg before breakfast and dinner for eight days. Tablet Rifaxamine 200 mg after breakfast and dinner. Continue probiotics. Please follow me after one week. I hope you should be fine, otherwise, I will advise you on some tests." + }, + { + "id": 7080, + "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": 25103, + "tgt": "Please suggest medication for pigment marks on knuckles and feet", + "src": "Patient: Hello doctor,My husband is 32 years old. From the last few days, there is a problem with his skin. He is having a very sensitive and oily face skin. But the rest of his body is dry. That is why he is very much prone to acne. But, nowadays there is some pigment kind of marks in his knuckles and feet. I have attached the picture herewith. Kindly suggest me something. Doctor: Hello. I have seen your query but can not find any attachments. Please get a review with pictures for better evaluation and best possible treatment of your husband's concern. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29733, + "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": 10761, + "tgt": "Are hand trembling, chest pain,choking feeling and light-headedness symptoms of panic attack?", + "src": "Patient: Hello doctor,I think I have a panic attack or panic disorder because I experience hand trembling, chest pain, feeling choking, light-headed, difficult to breathe, numbness, nausea, a sudden fear of death, sometimes fainted, and tightness in my throat but my parents do not believe me. I am sick, and they do not want to bring me to the psychiatrist because they do not believe me. Doctor: Hello. You are right, these are panic symptoms. You can get yourself checked for a thyroid function test and a clinical examination from a doctor nearby to find out if there is some other reason for these episodes, which can happen in thyroid problems. If your doctor finds your tests and examinations are normal, then you can show this as proof to your parents and seek help from a psychiatrist for these anxiety symptoms. It may take some time but let us hope they listen to you. If not, you have a right to get yourself treated for your discomfort." + }, + { + "id": 10798, + "tgt": "I have fever and body pains. Please suggest some medicines", + "src": "Patient: Hello doctor, I have a constant fever from the last week, and severe body pains as well. I have undergone some tests for the same. Doctor: Hello. Please send the test results. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3456, + "tgt": "Can chest pain occur due to anxiety?", + "src": "Patient: Hello doctor, I went to the E.R twice in the past two weeks and I went to two different hospitals. I am 20 years old. The first time I went to the ER with chest pain, they did an EKG, x-ray, blood work and put me on the monitor for two hours. Everything came back fine and they sent me home. The doctor said everything looked good. Well, the second time I went to a different hospital and did all the same tests and the doctor came back and said everything looked great and I should not worry. He sat down and talked to me and my husband for about 30 minutes. He said he is pretty sure of what I am feeling is bad anxiety because I was in a bad car accident about five months ago. I hardly leave the house and he said it might be a depression sitting in with anxiety because I am just sitting at home and not doing what I normally do and go out. He said another thing, I have two small kids and lifting them and playing with them can cause aches and pains. My chest still hurts only when I am lifting something or moving my arm or body in the wrong way. I also think I am a hypochondriac because ever since my chest first started hurting that is all I think about, then new things pop up like headaches, back pain, neck, shoulders, ribs and I keep having to use the bathroom and it is runny. I keep thinking something is wrong and my husband and family keeps telling me I am fine. Two doctors said I am fine and I am just over reacting which is making my body tense into thinking something is wrong. Can that really happen? I do not have any health insurance so it is hard to just up and go to the doctor. I just want some reassurance. Doctor: Hello. Such chest pains during stress occur because of anxiety only and we label then non-specific cardiac chest pains. But we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It is also radiated to the left arm. In such a scenario, you should get an ECG (electrocardiography) and chest x-ray done. If they are normal, I would advise you to go for a treadmill test and echo. If they are also normal, then the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. For anxiety, you would be treated with antianxiety drugs like Etizolam. Share my opinion with your doctor before acting upon it. I hope this helps." + }, + { + "id": 7602, + "tgt": "What are the ways to loosen vagina?", + "src": "Patient: Hello doctor, How can I loosen my vagina? It is too tight and painful during sexual intercourse and please suggest me a piil for opening my vagina. Please help me. It is too hard. Doctor: Hello. I think your partner is rushing too much when having sex. You should collaborate with him, and give time to get a full orgasm along with your partner. If you do so, your vagina will get loose too. However, if persisting, there are two main reasons: 1. Your partner is not ejaculating inside the vagina but to the external opening of urethra (check this out, make sure he penetrates inside the vagina). 2. You have imperforate hymen, should check out with gynecologist to open it up (cannot open with penetration)." + }, + { + "id": 21708, + "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": 14555, + "tgt": "What should be done to take care of a brain paralysis patient at home?", + "src": "Patient: Hello doctor, My mother's age is 65 years. 15 days back she got brain paralysis on both sides (autoimmune encephalitis). Now the doctor is saying treatment is over. Now take her to home and just give nursing to her. Still feeding pipe is there. How we should take care of her at home? Doctor: Hello. Your concerns seem genuine. There are a lot of neurological conditions, medical conditions which do not get completely improved. Either they remain as such with a deficit or may have some clinical improvement with time. It is the limitations of medical science. But supportive care has to be continued for the survival of the patients. Feeding pipe for food, tracheostomy for airway protection, urinary catheter or diaper, regular nursing care, regular physiotherapy. If the patient is bed-bound, then give DVT prophylaxis. It is a little tough for a person (who has never seen or handled such) to handle these things. Luckily now a days there are professionals who can provide such care at home care or some rehabilitation centers. You can try to search out for them." + }, + { + "id": 29884, + "tgt": "I am losing sexual efficiency as I am aging. Please help", + "src": "Patient: Hi doctor, I am 65 years old. I am having an active sex life. Nowadays, I am slowly losing efficiency. I am requesting you to advise some medicine to prolong my sexual act. Thank you. Doctor: Hi. I read your query and understood your concerns.\u00a0Before we can make any conclusions, I request you to provide the following details. So, an impression can be made about the cause and solutions of the problem. Revert back with the answers to the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6044, + "tgt": "What is yoga and what are the benefits of doing it regularly?", + "src": "Patient: Hello doctor, What are the benefits of doing regular yoga? Ideally would like the quotes to focus on mental health and physical health. Doctor: Hello. Yoga is very popular nowadays to maintain physical and mental health. Yoga means addiction. It is an addiction to different body organs in such a way it helps to remove the attention of mind from their subjects and concentrate on the particular points. Yoga is not only asana and pranayama. However, it contains Yama, Niyama, Asana, Pranayama, Pratyahara, Dharana, Dhyana, and Samadhan. These eight are collectively known as Astanga yoga. Yoga helps to coordinate our routine life, regulates body metabolism, relaxes the mind and improves mental health." + }, + { + "id": 2478, + "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": 25561, + "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": 13598, + "tgt": "Is having acne under chin and above neck related to HIV?", + "src": "Patient: Hi doctor, Recently, I have some acne under my chin and upper than my neck. What does this symptom show? I wonder can it have any relation with stopping of masturbation which I have done in about three weeks. Also, I had unprotected sex with someone 10 days ago and I am scared of HIV sign. Doctor: Hi. The erythematous papular eruptions which you have on your facial area seems to be acne or folliculitis (attachment removed to protect patient identity). This is a superficial skin infection, commonly bacterial and is extremely common irrespective of HIV status. It has no association with starting or stopping masturbation. For your unprotected sexual exposure get your HIV rapid combo test, if negative you will require a repeat testing at three months and preferably at six months of exposure also. I also advise you having safe sex using consistently and correctively condoms in the future." + }, + { + "id": 1590, + "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": 18538, + "tgt": "Why did my heart rate drop to 32 after a knee replacement surgery?", + "src": "Patient: Hi doctor, I was in the recovery room after undergoing total knee replacement (TKR), and my heart rate dropped to 38. I felt weak and tired, so the nurse added something to my IV, and I felt fine, and all vitals returned to normal. They took me to my room, and I ate and was resting.\u00a0My heart rate dropped to 32, and I was nauseated,\u00a0cold, sweating, and very pale. The emergency team was called, and after 20 minutes, they got all my vital signs back to normal. They wired me with a portable heart monitor to see what was going on. The next day, I was doing knee exercises with the nurse, we walked down the hall and returned to my room, and I was put in a chair to finish my exercises when I passed out. According to my heart monitor, my heart stopped for 30 seconds. I had no idea of what happened. After 30 minutes, the emergency team had all my vitals back to normal. I was taken to ICU. My heart chambers, valves, and arteries were normal. I am 61 years old with a history of stage IIIC colon cancer with six months of chemotherapy. I have no history of blackouts, heart issues, or family history of such. Next day they put in a pacemaker only as a precautionary measure, they cannot explain how or why it happened. Three weeks after, I do not have any problems. Do you think the TKR could have caused this to happen? Doctor: Hi. I have gone through all your explanations in detail. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 27042, + "tgt": "How should I deal with my daughter's oral allergy to apples?", + "src": "Patient: Hello doctor, My 13 year old daughter has had seasonal allergies since the age of eight. Two years ago, she had a mild allergic reaction after eating raw apples which we were told was oral allergy syndrome. She has recently had mild reactions to cherries, oranges and snap peas. A few days ago, she had an allergic reaction at school that she believes was from applesauce. She developed hives on her face. We have an appointment with an allergist next month, but I am wondering what I can do to minimize the risk while we are waiting for an appointment. She is avoiding apples and other foods that she thinks she reacted to. Since she seems to have developed new reactions to other foods, I cannot really know what those would be in advance. Would dosing with an antihistamine daily be appropriate and helpful? Doctor: Hello. For more information consult an\u00a0allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 12831, + "tgt": "How can I delay my periods?", + "src": "Patient: Hello doctor, I want to delay menstruation. Please advice. Doctor: Hi. You can have hormonal medications to delay the periods. For better results, start 5 to 7 days in advance of a particular date. Have tablet Primolute N (10 mg twice daily) and continue till three days before you want to have periods. After stopping medications, you can have withdrawal bleed within latest two weeks and earliest 3 to 4 days. You can have heavy prolonged bleeding after stopping medications, it depends on your body how it reacts. Later, for some time periods will be disturbed and then gradually will be regular. Have a balanced diet, weight, and BMI. A complete treatment of any health issue you have will be helpful. Tablet Primolute N to start 5 to 7 days in advance 5 to 10 mg twice daily till 3 to 4 days before you want to have periods. Can have COCP afterward to regulate periods." + }, + { + "id": 19903, + "tgt": "Which disease is associated with dry cough and high eosinophils in kids?", + "src": "Patient: Hello doctor, My daughter is 8 years old and she is having dry cough since last two months and sometimes she complains of stomach ache in a month. I got the blood test done yesterday and in the report, she had eosinophils high, that is, 8.7 % and the absolute eosinophils count is 59000/microliter of blood. Other findings are neutrophils 36.5 %, lymphocytes absolute count is 343000/microliter of blood. Monocytes absolute counts is 28000, and more. Kindly let us know what is the disease likely to be and treatment for that disease and precaution of the same. Doctor: Hi. Your daughter has hyperreactive airways and she is allergic. And reports show that she has a tendency towards asthma. I suggest you put her on Fluticasone puff and Levolin (Levosalbutamol) as a reliever. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. I suggest please go visit a general pediatrician or a pulmonologist - they will explain to you the inhaler therapy and months to continue it. She will be fine once she takes the therapy. But there is nothing much to panic. Just wanted to ask if there is any other history in the family and has your daughter had seasonal attacks of cold and cough in the past. All these suggest her tendency for asthma. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3357, + "tgt": "I underwent titanium reconstruction of arm before two years and still having pain. Why?", + "src": "Patient: Hello doctor, I have had a compound fracture of both the radial and ulnar forearm bones that resulted in two bones sticking out of my arm, torn ligaments and muscle, and nerve damage. I had the arm reconstructed with titanium and it has been two years since then. To this day, I still have nerve pain and aching in my bones and I am trying to find relief. I have been using an average of eight Ibuprofen a day for nearly two years and it is not getting the job done. I feel as though the nerve pain is not getting better but instead worse. My question is what recommendations do you have for me to help relieve the pain? I have tried almost every common remedy that doctors have recommended. Should I give up on trying to avoid the pain and get a consultation to talk about possible options? Doctor: Hi. I have gone through your complaint and seen your pictures. (attachment removed to protect patient identity). I feel sad that you had to undergo such a procedure and pain. Since you have chronic pain I would suggest you to use opioid analgesics like Oxycontin (Oxycodone) and Percocet (Oxycodone and Paracetamol) which are very effective in chronic pain. Alternatively, you can use Piroxicam tablets and Flupirtine (centrally acting analgesic) capsule which has also shown good results in chronic pain management. If the pain is of neuropathic origin then Gabapentine and Pregabaline are the best drugs. You can discuss all these options with your treating physician and get prescribed the medicine that best suits you." + }, + { + "id": 19105, + "tgt": "I have slight bleeding after TVS. Is it because of scan?", + "src": "Patient: Hi doctor, I am 6 weeks pregnant. I had an internal scan today and the test was positive. But, now I have slight bleeding. Is it because of scan? Or did anything happen worse? Doctor: Hi. For further clarification consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29916, + "tgt": "My lower back hurts a lot. What to do?", + "src": "Patient: Hi doctor, I have hurt my lower back assumably while pushing a full set of drawers, around four to five months ago. I was in physiotherapy, but I have been discharged and I am waiting to see a specialist. I have been told that it may be an inflammatory problem. My skin is extremely sensitive in my lower back. My lower back hurts a lot and aches. I get constant muscle spasm and cramps all down my left and right legs as well as pins and needles in both feet. I have taken Codeine, Paracetamol and Ibuprofen, but nothing worked. Doctor: Hi. Injury. X-ray and MRI. Avoid stooping posture, long standing and long sitting. Revert back with the reports to a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 17134, + "tgt": "My regular medicines affect my erection. How to improve this?", + "src": "Patient: Hello doctor, I am 60 years old. I am physically fit and I jog almost 3 to 4 km daily. I am a vegetarian. I have a business of my own. I have undergone angioplasty before 20 years and open heart surgery six years before. But, I am an active person with slim body. My height is 165 cm and weight is 60 kg. My waist is 31 inches. I have been on medication since my open heart surgery and I was prescribed Olmezest 20, Ecosprin AV 75/20 and Concor 2.5. I am not taking any medicine for the last six months, because I thought that they are affecting my sexual power. But, I find no improvement after stopping the tablets. My problem is that I am not able to hold myself and enjoy sexual pleasure. Sometimes, I do not get an erection at all and I just ejaculate in a few seconds. I think that I need some medical advice as I still want to enjoy sexual pleasure. I have never tried Viagra. Please advise what I should do and whom I should consult ? Doctor: Hello. Decrease or loss of ability to erect or maintain erection hard is impotence. 20% to 25% of men usually suffer this by the age 65. As females have menopause, men have andropause and it may lead to loss of libido, decreased erection and so on. This usually happens due to heart disease, hypertension, diabetes and drugs like anti-hypertensives and anti-diabetics. Particularly in heart disease due to atherosclerosis or thickening of blood vessels in the penis will lead to decreased blood flow and thus less effective erection. Ejaculation prior to complete erection is what is known as premature ejaculation. On the whole, as I have told, treating sexual problems needs detailed understanding of the mechanism and the cause. The reason can be any of the following. You should continue your medication as these agents are cardioprotective and prevent further attacks. Blood thinners are very important to maintain good blood supply to your heart and Concor (Bisoprolol) to maintain your blood pressure. I would advise you to get your cardiac testing done like ECG (electrocardiogram), echocardiogram, Stress echo or TMT (treadmill test) and restart your medication. Also, get Doppler of the penis and testosterone level check. As I have already told, your heart disease and hypertension itself may cause impotence. Talk to your cardiologist about your cardiac health as well as the use of Tablet Cialis or Tadalafil or Sildenafil. Good to hear that you are physically fit. Physical fitness is very important for heart as well as for sexual fitness. I would advise you to practice yoga. You may also try vacuum devices. Please do not be anxious. Take care of your health. Do not ever stop medication without your doctor's advise. If your problem would have been due to medicines it would have been gone after stopping drug consumption. 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": 5159, + "tgt": "Can Terbinaforce plus be used for vaginal infection?", + "src": "Patient: Hello doctor,Can Terbinaforce plus cream be used for a vaginal infection? I have itching after periods. Please guide. Doctor: Hello. Please do not use Terbinaforce plus cream anywhere on the body. Do not even think of using it on your genitals. Terbinaforce plus cream (Clobetasol Topical, Ofloxacin Topical, Ornidazole Topical and Terbinafine Topical) has a potent steroid in it. They would further aggravate all kind of infections. It makes skin thinner, red, and more sensitive. Please meet your dermatologist and get evaluated for the nature of vaginal infections and use the medications prescribed accordingly. Vaginal itching could be bacterial, viral, or fungal. So, the treatment would be different for each infection. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2117, + "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": 3690, + "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": 1895, + "tgt": "What to do for tree needle allergy?", + "src": "Patient: Hi doctor, A chinese fir tree needle stuck in my arm. It caused a red bump or rash on my arm. The infected area has spread and has grown. It is itchy and burning. I am taking Epipen injection for my mushroom allergy. I had two Benadryl tablets and Hydrocortisone for the rashes. Please help me. Doctor: Hello. I have gone through the details quoted. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21867, + "tgt": "How can I manage bumps filled with clear fluid on feet?", + "src": "Patient: Hello doctor, I get these bumps on my feet every year every few months. They are filled with a clear liquid. They do not hurt or itch unless I am applying pressure or if I break open the skin on top. The skin underneath is so thick and raw that it hurts when exposed. I have gotten these for 15 years now. Kindly tell me what it is and how can I manage it. Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity), this is called dyshidrotic eczema. It presents with itchy tense blisters over palms and soles usually, as it progresses the skin peels off. It worsens during winter like any other eczema. You would require: Use cotton socks, dust it with gold bond powder. Avoid hot shower, use lukewarm water for taking bath. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22842, + "tgt": "My eye pressure is fluctuating between 22 to 28. Do I need implant surgery?", + "src": "Patient: Hello doctor, I am a female of 62 years age. I was operated for cataract five months back for both the eyes. As my cataract was only 20 %, but eye pressure was 22. My OCT was done, which showed no damage to nerves. My perimeter too is clear. No family history of glaucoma. I was put on various drops which could not bring eye pressure in the expected range for the doctor (fluctuation between 22 to 28). She suggested implant surgery to make eye pressure normal. Another doctor stopped eye drops saying I do not have glaucoma. And, do not need eye drops too. I am confused. Doctor: Hi. It is a practice that if perimetry is normal, one waits to start any antiglaucoma medication. The protocol is to graph your IOP (intraocular pressure) for 24 hours or IOP at different times of day repeatedly for a week, then one can decide if you have glaucoma or if you are just a case of ocular hypertension. Let me tell you there is no need of any implant and these many medications should not be started now. Chart your IOP, also a gonioscopy. Then, one can decide if one has to start medication. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17863, + "tgt": "Does the CT scan of my brain show a meningioma?", + "src": "Patient: Hello doctor, I would like your opinion regarding the attached CT scan of my head. I specifically want to know if you see any indication of a meningioma in the left posterior parietal lobe. I would also like your opinion regarding whether or not a CT without contrast would show this particular anomaly. Will a 1 cm meningioma grow so rapidly? It was not there when I took a CT scan three years ago. I am waiting for your evaluation of this CT. Thank you in advance. Doctor: Hello. I have seen the MRI (attachment removed to protect patient identity). For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 13557, + "tgt": "What can be done to manage premature ejaculation?", + "src": "Patient: Hello doctor, I am 36 years old individual. During intercourse, my penis gets eruction but I ejaculate in less than a minute. It is becoming difficult. Kindly help as I am losing confidence. My height is 5 feet 8 inches, weight 128 kg (severe obesity), waist-line 55 inches, penis size 5 inches, approximately when erected and girth is two inches and not so hard as it used to be. Glans penis (head) is completely covered by foreskin and cannot be seen and when tried to retract, it is painful and not possible to retract but when not erect, the foreskin can be retracted without pain and be cleaned. The main problem is premature ejaculation. Other systemic complications are diabetes and on Gemmer 1 mg once daily from the paat one year. No blood pressure or thyroid or anything else. Doctor: Hello. I have read your problem. Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety. However, it is sometimes associated with infection of male accessory glands, which is treatable. You can learn to control PE by doing this exercise. Pull your muscles that you pull at the end of urination for a few seconds and then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time, start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. Also, there are medicines to control it but there is no permanent cure. In your case, you should strictly control diabetes and reduce weight by slow walking daily 15 minutes. Your foreskin may be tight due to some infection which is common in obese diabetics. If you get too much pain, then circumcision, which is a small operation can help." + }, + { + "id": 2461, + "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": 12266, + "tgt": "How can I stop IVF failure?", + "src": "Patient: Hello doctor, I have had three IVF failures. Latest failure -four embryos transferred, two -day 3, two -day 5 (blastocyst with array), negative beta hCG. I want to know the reason for the failure. Doctor: Hello. I am sorry that you had an IVF failure. The causes can be many, right from immature poor quality egg fertilization, inadequate endometrialization, inadequate post embryo transfer medical support, previous endometriosis or any subsistent pelvic or vaginal infection or a UTI, improper technique, implantation failure, poor initial ovarian response as in your case with poor AMH levels, life-style factors like smoking and drinking are also contributory to reducing chances of an IVF success. It is always best to treat and cover each factor before opting for this expensive procedure. Please share your reports and protocols or medicines offered during the procedure to evaluate and guide further." + }, + { + "id": 27809, + "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": 23897, + "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": 5013, + "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": 4255, + "tgt": "Why does my body vibrate?", + "src": "Patient: Hello doctor, My left hand and occasionally part of my\u00a0left side of the body tends to vibrate. It started three months back. I do not have any pain or other problems. I can eat, walk, drive and do my job at ease. I am a 44 year old male. I do not have the habit of smoking or drinking alcohol. Six months back I got my blood and urine test. Results of the same have been attached for your reference. Since two years, I have high blood pressure and I am taking Amlodac 5 one tablet a day. Do I have any problem with liver or kidney? Do I need any more tests? Please guide. Doctor: Hi. I have gone through your query and can understand your health concern. Your reports are normal (attachment removed to protect patient identity). Revert back after the investigations to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12074, + "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": 30203, + "tgt": "Why am I feeling a lump in throat while swallowing?", + "src": "Patient: Hi doctor, I am 21 years old.\u00a0I had a bad cold back before five months. After self-examination of my throat, I noticed a row of growths under my palatine tonsils, right beside my lingual tonsils. I had visited an ENT doctor and the specialist insisted that they were just harmless lingual tonsils and followed the statement with lingual tonsils can be cryptic in architecture. These growths have no pain associated with them. They appear to be flesh colored and slightly firm to my observation. The ENT also purported that I had no abnormal masses or lymph node swelling. I do sometimes experience a cracking or air bubble popping sensation in my jaw while chewing. One of my wisdom teeth has come up and has caused infection sometimes. I believe it was called pericoronitis. There is a flap of gum tissue hanging over, although I digress. Is this condition normal? Is it caused by an underlying infection? I must also note that I have had sinus drain since the day of my cold. It has gotten better, but I also figured it could be chronic sinusitis. I also feel like when I talk too much, I notice frequent dry throat faster than usual. Rarely, I feel a lump in my throat\u00a0in the area of trachea or Adam's apple. Sometimes, prior or after swallowing. I do not smoke, drink or do any drugs. I do cardio every night and I am a bodybuilder. I eat as organic as possible and not on any medication. My last sexual activity was before eight months. I am adding these comments to clear up any questions relating to diet and activity. My throat sometimes gets sore and usually alleviates the symptoms with natural remedies, essential oils, and dietary supplements. Please diagnose this and reassure my good health. Stress has been killing me as I am never sick. My blood work shows everything to be normal except slight elevation in WBC. Also, I have noted to have a low temperature of around 97.3 or so. Is this Wilson's syndrome? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27920, + "tgt": "The color and shape of a mole on my leg have changed. Should I be concerned?", + "src": "Patient: Hello doctor, I have had this mole on my leg since I was a teenager, and I am 31 years old now. I remember it being lighter in color and more oval, whereas now it is more of a triangle with darker pigmentation and two shades of brown. I measured it, and it is about 4 mm in width. I have an olive skin tone and never used a tanning bed. Though at times, I have not used sunscreen, and have had sunburn, but never blistering from what I can recall. I have attached a picture. Doctor: Hi. I have seen the picture (attachment removed to protect patient identity). Melanocytic nevus is basically tan, brown macules with increased melanocytic activity. One should always look for following changes for melanocytic nevus: There are types of melanocytic nevus. These are basically benign growth, but there can be a chance of malignant transformation. The exact incidence is not known. Since there is a change in the size, shape, and color of nevus, I would suggest you consider skin biopsy test. Or complete excision for aesthetic purpose. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30482, + "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": 21978, + "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": 13327, + "tgt": "Is it possible to conceive with hypothyroidism?", + "src": "Patient: Hello doctor, I have hypothyroidism and I take 50 mcg tablets every weekend. Can I conceive even though I have this condition? Doctor: Hi. Thyroid abnormalities have many side effects related to fertility but the patient conceives and gets a healthy outcome as well if we take proper care and regular continuous treatment and strict check on it. Thyroid can cause fertility issues, miscarriages, congenital anomalies, etc., so it is better to try for conception as soon as possible otherwise with age complications increase. Try to have a strict check and control over thyroid and keep in touch with your physician. Thyroid levels for normal females also fluctuate in pregnancy. So just prepare the body for pregnancy. Have complete treatment of any health issue you have. Have a balanced diet, weight, and BMI. Have folic acid 5 mg. Partner also needs to have a balanced health condition. Have early booking and continuous regular antenatal visits in the maternal medicine antenatal clinic. Serial scans also need to be done for fetal well being and to diagnose any abnormality. In pregnancy, Propylthiouracil is more preferable. Better to have a double marker test at 13 weeks. Continue folic acid, iron and calcium supplements. Balanced diet, weight and BMI matter. I hope things would be better if given proper attention. Regular checkups with physicians. Try to conceive as soon as possible. Sex in the fertile period. Complete attention on physical condition for both the partners. Quit recreational drugs and have recreational activities. Have complete treatment of all health issue, if you and your partner have." + }, + { + "id": 1515, + "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": 19093, + "tgt": "Seven days since I missed my period. Pregnancy tests negative. Why?", + "src": "Patient: Hi doctor, I am 23 years old and slim female. Three years back, I had been diagnosed with PCOS,\u00a0mild stage as doctor said. I had Hyponidd tablets for one year or more. After that my periods were regular. I got married two years back and I am not on any regular medication from that time. Now, I am trying to conceive. It is seven days since I missed my period. Today, I got my pregnancy test result as negative. What shall I do?\u00a0Should I wait for another week to test again?\u00a0Is it PCOS shooting again? Will I have to get treatment for conception? Can PCOS be cured? Please help. Doctor: Hello. If you have taken the urine pregnancy test after seven days of missed periods, then the results are usually conclusive. You may repeat the test after 48 hours and if it is still negative then you are not pregnant. The delay can possibly be due to stress induced hormonal imbalance, especially during this cycle due to stressors which can easily delay your menses. If your menses do not arrive naturally in next one week, then you may opt for a withdrawal bleed with Progesterone. A single delayed period is not an indication for infertility workup. Repeat the tests and consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20358, + "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": 27396, + "tgt": "I have a radiating pain in my jaw. Please help", + "src": "Patient: Hello doctor, I have been having a lot of pain in my jaw, which radiates from the left to the right side of my mouth. Now, I am having a strange pressure on my temples. It does not really hurt, but it is just kind of a pressure or odd feeling. Doctor: Hi. Wish you good health and happiness.\u00a0Keep me updated with the improvements.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13885, + "tgt": "Is there any difference between Sjogren's syndrome and SLE?", + "src": "Patient: Hi doctor,I have got a form of lupus called Sjogren's syndrome but I want to know if it is the same as SLE lupus or not as some hospitals say it is and some say it is not and I am very confused. Doctor: Hi. Sjogren's syndrome (SS) and SLE are two different forms of autoimmune inflammatory disorders which affect the joints, skin, glandular tissue. There are certain similarities between the two but generally, Sjogren's is characterized by decreased secretions from the lacrimal gland (tear producing) and salivary glands. Because of these, the patient has a gritty feeling in the eyes most of the day and difficulty in chewing and deglutition of food. Other than glands, there is some extraglandular manifestation of SS which are similar to SLE in many forms. Sjogren's when present alone is called primary Sjogren's. There is a term used for Sjogren's occurring along with either rheumatoid arthritis or SLE, which is known as secondary Sjogren's. Coming on to SLE, which is systemic lupus erythematosus. Going by the name it can involve any organ system in the body. Unlike SS, which majorly involves glands, SLE is potentially more dangerous than SS due to renal, hematological and CNS involvement. The renal, CNS and other systems are less frequently involved in SS. Both SLE and SS are a type to autoimmune inflammatory diseases in which anti-nuclear antibodies are formed in the body, the antibodies for SS and SLE. SS has anti-Ro and anti-La antibodies, while the SLE has a long list of antibodies like anti-dsDNA, anti-smith, antiphospholipid antibodies, etc., are present. One thing to note here is anti-Ro and anti-La are specific to SS but can also be seen in SLE." + }, + { + "id": 23119, + "tgt": "I have spots on my pubic area. What could this be?", + "src": "Patient: Hello doctor,I have these spots on my pubic area for a while now. I visited an STD clinic two years ago and the woman who saw these said they are genital warts. I also had one on the shaft of my penis. She used nitrogen to freeze them and they disappeared (except for the big one that you can see in the pictures, that one did not disappear). Now I believe the spots are back. Went to my doctor and he says they are not warts and wants to scrape them away with a sharp spoon (literally what he said). He was not sure what it is but believes they are not warts. What is your opinion? I did a previous free consult and the doctor says it is follicle infection and I should use antibiotics. However, I want to have a second opinion as I looked up the images for this infection and do not think it looks the same. Also, I have used Amoxycillin about half a year ago and this did not influence the big spot, as I have it now for at least two years. Doctor: Hi. I have gone through your complaints and reviewed the attached photographs (attachment removed to protect patient identity). The bigger one is looking like a wart and needs to be removed either by chemical cauterization or electrocautery. The smaller ones seem to be either folliculitis or warts. I would recommend you to apply a topical antibiotic like Fusidic acid cream on the smaller lesions twice daily for 7 to 10 days. This should resolve them. If they do not improve in a week time consult a doctor and get them removed. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 1466, + "tgt": "Is there a permanent cure for abdomen pain caused by uterus fibroids?", + "src": "Patient: Hi doctor, My sister is 46 years old now. She got married 17 years back and have a girl child of age 15.\u00a0For nearly 10 years, she is having abdominal pain, which will occur during the periods and will last for five days. It will start two days before periods and will last three or four days after it. The pain will be more and sometimes intolerable. It will not even reduce with painkiller and the pain will be more during night-time with the following symptoms. Lack of appetite, lower abdominal pain, breathing difficulty, indigestion, bolting and constipation.\u00a0All these symptoms will persist until the pain is there.\u00a0She had been frequently visiting doctors for treatment, but the doctor says that she has no major problem in the stomach. She was diagnosed with fibroid 10 years back and the size was small. The doctors also said that the fibroid will not have pain as she feel. Whenever the pain is more she used to visits the hospital. It will be six to seven visit a year and yearly once she will be treated with antibiotics for severe infection. During her last period 30 days back the pain started and did not reduce until now. The pain was so severe and for the last four days she had mild fever. So, she visited a doctor and he advised for a CT scan. After seeing the results he suggested to immediately go for surgery and advised to get her uterus removed and also said she might have cancer. When we went for a second opinion to another doctor, she said there is some uterus infection and advised medicine for that and asked to come back after two weeks. I have attached the CT scan and report, kindly comment on it.\u00a0Based on the results, is there a chance of cancer, which the local doctor has said?\u00a0The problem exists for nearly 10 years and many times due to intolerable pain, she used to roll on the floor, Is there any permanent cure for it? I have attached the prescription too. Can we continue it\u00a0or should go for further investigations? Why infections reappear yearly? As advised by the local doctor, is removal of the uterus is necessary? Will it give a permanent solution? Please\u00a0suggest me if any other investigation or treatment is needed or to be followed? Doctor: Hi. After going through the detailed information given by you, the issues I think need resolution are as follows: Regarding fibroid it need removal as that is an important cause of pain abdomen. It can be done laparoscopically at this age. My suggestion is to remove the uterus instead of the fibroid alone. For pancreatic lipoma, you should get a second opinion on this with gastroenterology specialists before planning fibroid surgery. Vaginal infections can be tackled easily. It is not a major concern. After gastroenterologist opinion, we will plan for MRI scan if required. Endometrial biopsy or dilation and curettage with pap smear is mandatory prior to definitive surgery. Surgery - Hysterectomy. Revert back for further doubts to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30347, + "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": 30915, + "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": 7532, + "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": 14138, + "tgt": "For a patient on oxygen therapy,is it necessary to check oxygen saturation all the time?", + "src": "Patient: Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath? Doctor: Hello. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking, then controlled oxygen should be delivered by monitoring oxygen saturation through pulse oximetry. The reason behind it is that carbon dioxide is the only source of stimulation for respiration. When a patient is on oxygen and if he gets ready made oxygen from outside the drive of respiration is depressed. Also, uncontrolled oxygen delivery has its own complications. To monitor response to oxygen given, the only method is to check saturation non-invasively. So, for this type of use, it is not advised to check saturation regularly. But if you require oxygen continuously, then it should be monitored through pulse oximetry." + }, + { + "id": 26078, + "tgt": "Can I have a biological child with my husband if he has azoospermia?", + "src": "Patient: Hi doctor, I am trying to conceive for one and a half years, but we got a huge shock\u00a0when we did the\u00a0tests. All my reports were normal, but my husband has azoospermia. We just do not know what to do. He does not smoke or drink and leads a healthy life. Then, why did he get this? Can I conceive naturally and have a biological child with my husband at all? Are any treatments available for this? I want a\u00a0biological child with my husband alone. Doctor: Hello. Relax and do not worry. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 20880, + "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": 21044, + "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": 28790, + "tgt": "Please tell me some remedies for chickenpox", + "src": "Patient: Hello doctor, I have chickenpox, and the blisters are\u00a0big. What should I eat, and what should I avoid eating? And please tell me some remedies. Doctor: Hello. You should consult a nearby physician to confirm the diagnosis of chickenpox. I suggest you try the following. It is the course of action only after confirming chickenpox disease. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Diet wise, you should avoid oily and spicy food, and eat a lot of green leafy vegetables. And drink a lot of water. Do not burst the blister, as it is infective and will spread in the first few weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9334, + "tgt": "Kindly advice on monoclonal B cell lymphocytosis", + "src": "Patient: Hello doctor, I am 46 years old. I have been diagnosed with monoclonal B cell lymphocytosis. B-cell markers CD19 is 36 %, Cd 20 is 33 %, and CD 22 is 3%. Dual expression Cd19/Cd5 is 31 %, Cd19/Cd23 is 31%, Cd19/Cd10 1 %. Blood was lymphoid gated. B-cell population coexpresses CD 45, 5, 19, 23, 20 dim and without surface light chain expression, and these comprise 31 % of lymphocytes 1.9 times. Kindly advice. Doctor: Hello. Based on your query, my opinion is as follows, 1. Going through the markers and the count, a diagnosis of MBL (monoclonal B-cell lymphocytosis) can be thought of. 2. Absolute counts are only mildly increased. Need to watch for rising counts and any lymph nodes in the future. 3. Usually, the population, if checked as a whole, more than 7 % show MBL. However, progression to CLL is low. Only follow-up with blood counts and clinical examination for lymph nodes is necessary. No further tests are necessary for now. I hope it helps. Any further queries, here to help again. Repeat counts after six months." + }, + { + "id": 28252, + "tgt": "I fear that my teeth are going to fall out due to receding gums. Please help", + "src": "Patient: Hi doctor,I have receding gums, and they are sore as well. Two of the teeth are wobbly, and I am terrified they are going to fall out.\u00a0I am only 19 years old. I brush and floss my teeth twice a day. I used to smoke. Since I have noticed my teeth issue, I quit smoking.\u00a0Please help me. I am desperate. Doctor: Hi. Panoramic x-ray. Periodontitis. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23882, + "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": 12337, + "tgt": "Please suggest an alternative medicine for Lamictal", + "src": "Patient: Hello doctor, I am 61 year old and was lately diagnosed by a doctor as sick in fibromyalgia. In the last three years during the night time, I am suffering from aggressive involuntary movements while asleep. Those movements include kicking in the air and arching and bouncing my back and the whole body. At first those aggressive movements started as a physical response to a dream where I was being attacked which happened once in a while, lately, it happens more and more often without any noticeable reason. As a result of the movements, I suffer from strong pain in my back and knees which lasts for a long period of time and restrict me to my house. I am also very depressed of my physical condition which projects to anything I do in my private life, family life and job. I quit my last job a year ago due to my medical condition. Can you please advice on physical/neurological treatment that will improve my poor physical and emotional conditions? In addition, I am using Lamictal 200 mg which according to the medicine brochure might rarely cause involuntary limb movement. Therefore, I wish to replace it with equivalent medicine. Can you please advise on a possible replacement? I have already tried Seroxat, Depalept, Gabapentin, Lyrica, Teril, and Cymbalta which did not help. Doctor: Hello. Well, these involuntary movements do not sound normal at all. It looks more of chorea/hemiballismus (movement disorder). It can be drug-induced but at the same time considering your age, we should get an MRI scan for the brain done. If any problem there, we will have to treat it differently. I understand you have tried a lot of drugs. Tablet Lamictal (Lamotrigine) can cause involuntary movements but not to the extent you have. First, I suggest you consult a neurologist first and get your drugs sorted out. Secondly, you can try with Amitriptyline or Mirtazapine as the drugs for fibromyalgia. They do not have that many side effects and may give you improvement since the others have not responded. I would also recommend you to do meditation or yoga as it does play a big role in helping patients with fibromyalgia." + }, + { + "id": 27065, + "tgt": "How can I prevent my childhood epilepsy from resurfacing?", + "src": "Patient: Hello doctor, I have epilepsy since childhood. It had disappeared for a while, but it has resurfaced now. My doctor has given me tablets of Lactum 500 mg and\u00a0250 mg. How can I prevent it? Are there any precautions? Please help me. Doctor: Hello. I read your query and understand your concerns. I am sorry to inform you that currently, medications are the only effective option to prevent further occurrence of seizures. I am glad to note that there is a response with medication. So, you need to follow the advice of your doctor. In addition, to prevent seizure episodes, the following things should be practiced to the possible extent. Although I am not sure what the dot in your CT scan is, often it represents either tuberculoma or cysticercosis. These two conditions need treatment for a duration of two years or more and many of the individuals get cured over a period of time. I hope this answers you. Feel free to write back to me if you have more questions. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 12358, + "tgt": "Echo shows evidence of atrial septal aneurysm. Please help", + "src": "Patient: Hello doctor, I had an echo done yesterday, after having chest pains and palpitations for about a month. I looked up to my results and while my results mostly looked good, there was something very alarming in there. It said evidence of atrial septal aneurysm. I cannot get another appointment with my cardiologist until a month from now, and I am not sure I can live like this for a month. Please tell me everything I need to know about the atrial septal aneurysm. I am a 31-year-old female, 5'4\", 127 lbs. Doctor: Hello. Your symptoms are unlikely to be related to this. An isolated atrial septal aneurysm is a benign condition most of the times, but this may be associated with atrial septal defects which can cause symptoms. So, if you are just having an atrial septal aneurysm and since there is no history of stroke or TIAs in you, it is probably a benign condition. It is important that we look for ASD in you. If there is associated ASDs then it will need closure. So, further management depends on the presence or absence of ASD. So, try to contact the doctor and obtain a full report. However, in either case, it is not immediately life-threatening. So, nothing should happen to you due to this. So, just calm down and you can get some beta blockers like Metoprolol prescribed from the local physician for symptomatic relief. Also, it is better if you can attach your ECG if you have. So, your symptoms are may be due to associated ASD which is not mentioned in your report (attachment removed to protect patient identity) or probably related to anxiety if no other abnormalities seen in echo. So, either it is not immediately life-threatening. Also, this is seen in around 0.5 to 2 percent in normal individuals." + }, + { + "id": 27189, + "tgt": "One of my baby's eyeballs appears to be deeper. Will it get corrected on its own?", + "src": "Patient: Hello doctor, My daughter is one and a half months old. One of her eyeballs appears to be more inside than the other. What should we do? Should we consult a specialist or will it get alright as the\u00a0baby grows? Doctor: Hello. I read your query and understand your concern. But, there is nothing to worry about as such. Regards For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17490, + "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": 5497, + "tgt": "LMP was noted mistakenly 10 days later than the actual LMP. Will it affect NT test result?", + "src": "Patient: Hello doctor, My menstrual date was on the 4th of the previous month, and I got married in the same month. This my pregnancy test becomes positive and during my abdominal scan doctor said that my baby's NT rate is 3.17 and the nasal bone is short. Five days later again I have done a scan in that my NT rate came as 2.1 mm and nasal bone is ossified, the result was satisfactory. But mistakenly the ultrasound technician put my LMP date 10 days after my actual date. Without noticing it, we have done a double screening and the result came as low risk. Today I went to the hospital to give a blood sample for triple screening, then only we noticed the mistake on the LMP date of ultrasound. Will it affect my triple screening result? Does it mean my double screening test was wrong? Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). During the first scan, your baby was 11 weeks and the NT (nuchal translucency) was 3.17. That was a high value but it has been seen in nine out of ten babies with thickness 2.5-3.5 mm at 11 weeks will be normal. The next scan shows your NT was 2.1 mm and your period of gestation 12 weeks. As per your truly calculated fetal age, this was low risk. At 12-13 weeks, the normal value is 7mm (50th percentile thickness), 2.8mm (95th percentile thickness). So considering these two values only, you are not at high risk. But I must tell you that the measurement of nuchal translucency alone is less effective for first trimester screening than the combined test (nuchal translucency measurement and biochemical markers). But definitely for this, there is a need to mention the true LMP (last menstrual period). Otherwise, there will be again a mistake and just like the previous one you have to recalculate the whole." + }, + { + "id": 30182, + "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": 23445, + "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": 19483, + "tgt": "My uncle is on a ventilator support because of lungs infection. Does he have swine flu?", + "src": "Patient: Hi doctor, My uncle had a\u00a0high fever for a week, along with a cough, which gradually increased. After no improvements even after taking medicines, we admitted him to a hospital near our place, where they took a chest x-ray and did blood tests. They confirmed it as pneumonia, and he was put on oxygen support. He was also suspected for swine flu, so we were waiting for the reports. But gradually his lung functioning started to diminish. He showed PaO2 levels of 60 mmHg in ABG at that time. But then we had a CT scan of lungs, which showed bilateral infection. But the doctor treating him took it lightly, and he was waiting for the swine flu report. H1N1 came back\u00a0negative, yet his breathing became a major problem. All this happened within two days. He does not smoke or drink. He had a\u00a0problem in breathing when he visited a hill station. On the second night, he was almost closing his eyes with a\u00a0fever of 101 degree and PaO2 level\u00a0of 54 mmHg. He was shifted to an ICU and was put on NIV. The next morning he did not improve, and his PaO2 level was 45 mmHg. So, we shifted him to a better hospital, who again put him in an isolated ward, as they also suspected H1N1. But, they diagnosed it as atypical pneumonia, as other parameters were normal. He was put on a\u00a0ventilator, but here also his H1N1 report was negative, but the pulmonologist said that the pictures depict\u00a0swine flu. The team stated that he his struggling in ventilator too, but since all other vitals are stable they promised us that he would recover slowly. He was on a\u00a0ventilator for seven days, on the eighth day, he was extubated and put on NIV fearing for VAP. He sustained for 24 hours in NIV with great difficulty with diminishing PaO2 levels, and the respiratory element in monitor rose to 40. During this 24 hours, he was extremely drowsy, and he did not respond to us. He was restless and breathed with so much difficulty. The neurologist said that he is psychologically dull, as all his levels of electrolytes were normal.\u00a0 After this, tracheostomy was done, and he was intubated again. Now it is the third day he is on the stoma. He is in full artificial support now and not breathing naturally. A CT\u00a0scan\u00a0was taken yesterday. As he is not improving, the doctors are again suspecting swine flu, although the reports are negative. He is on antibiotics, so the infection did not spread, but the lungs are full of scars. Now, he does not have\u00a0a\u00a0fever. The hospital team is not able to give us answers as to why my uncle's health is deteriorating. He is conscious, and other vitals are stable, but his breathing is null without artificial support. We need a second opinion. I am attaching the CT scan report taken 14 days back and also the one taken yesterday. And also attaching few ABG reports, taken two weeks back. Please give us an opinion on his health condition and what are the other steps we can take? Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity) and the details that you have given. For further queries consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 17422, + "tgt": "How to reduce the dosage and gradually stop my medicines without side effects?", + "src": "Patient: Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking\u00a0Valkem\u00a0OD\u00a0500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects? Doctor: Hello. I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) should be normal and you should have had no fits for the last two and a half years. The problem is, you have not mentioned what was the reason for starting this treatment. You can decrease Ativan (Lorazepam) to 1 mg and Flunil (Fluoxetine) to 10 mg. Consult your specialist doctor, discuss with him or her and decrease it with their consent. However, before decreasing the dosage of Soltus and Valkem you need to mention why you were started on it. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30723, + "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": 24968, + "tgt": "Can I consume nutritional shake for weight loss if I am on thyroid pills?", + "src": "Patient: Hello doctor,I am having thyroid issues of Hashimoto's type. Is it good for me to consume a nutritional shake for weight loss in my daily diet without stopping my thyroid hormone pills? Doctor: Hello. You have said that you are taking 200 micrograms of Thyronorm (Levothyroxine) and your last TSH (thyroid stimulating hormone) was 0.01. You are going to a state called iatrogenic hyperthyroidism. I suggest you reduce the dose of Thyronorm. You can reduce by 25 micrograms. Generally, our target is within the lower half of the reference range for TSH which is approximately within 2 to 2.5. Consult your specialist doctor, discuss with him or her and reduce the dosage with their consent. I suggest you do an FT4, and TSH repeat test after four weeks. And about the herbal supplement, as far as it does not interact with thyroid formulation, it is safe to take. But, you have to keep in mind that herbal formulations can contain drugs that did not undergo randomized controlled studies. So, it is better to avoid them. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3179, + "tgt": "How will taking birth control pills help in IVF?", + "src": "Patient: Hello doctor, My husband and I recently underwent an IVF cycle and it failed. Originally, my husband has a problem with 1% morphology. But, now I a have poor ovarian reserve. I am 39 years old and my AMH was .24. However, my FSH was 5.5 last time. AMH was not repeated. I was stimulated with the maximum dosages and only produced three eggs which all produced embryo's (I do not know the quality, only that one had progressed normally by day 3). We did a day 3 transfer. On the second day after the transfer, I had what I can only describe as scab-like discharge about the size of a tear. One the sixth day, I finally left the house and started to resume so level of normal activity (no heavy lifting) and that afternoon I had a very bright red urine flow like a small amount of blood pass when I used the bathroom. I thought that it might have been implantation bleeding, but clearly not. I want to try IVF again, but I am afraid of the same results. In doing research, I found a book that suggests many environmental factors such as BPA and phthalates can play a part in egg quality, quantity and affect the sperm as well. The book suggests waiting three to four months prior to beginning IVF to get the full effect of supplements recommended as well as let the harmful chemicals leave your body. My questions are given my numbers, in your opinion, will my number of eggs change drastically while waiting or should I be normal? Should I retest my AMH before making this decision? Also, is there any way for me to preserve my eggs (not menstruate) until the month before the IVF procedure. My thought was to take birth control pills for three months (and not take the sugar pills). Is this safe? Can it be done? What are the repercussion? Finally, Based on our numbers, would you recommend that we use donor eggs instead of trying another cycle? This time around will have to be the last as we do not have any money after this one. It is critical that we make the right decision. Doctor: Hi. Looking at your case history, (attachment removed to protect patient identity) it would better to go for donor eggs. Ovarian reserve decreases with age and retesting for AMH (anti-mullerian) is not going to affect the outcome (increase ovarian reserve), so no point in retesting AMH. By taking OC (oral contraceptive) pills continuously, you cannot halt a decrease in ovarian reserve (loss of eggs). Menses is just an indicator of loss, actually a woman loses 400-600 eggs per month irrespective of whether she gets menses or not. What you see on ultrasound is just loss of dominant follicle, the loss of those 600 follicles cannot be seen, it can be perceived indirectly by decrease in AMH, increased requirements of hormone injections during IVF (in vitro fertilization), reduced number of eggs retrieved and low pregnancy rate. One more effect of advanced age would be increased risk of Down's syndrome in the baby if you try with your own eggs. So considering your advanced age, low AMH, poor response to stimulation, low number of embryos formed in the last cycle and increased risk of Down's syndrome with own eggs I would suggest to go for donor eggs." + }, + { + "id": 25995, + "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": 20695, + "tgt": "I have excessive menstrual bleeding. What could be the cause?", + "src": "Patient: Hi doctor, Every month, I have a very heavy menstruation, especially on the first day. I cannot move or do anything because of pain. My head, stomach, and lower back ache very badly. I vomit a lot and even when my stomach is empty, I feel like I want to vomit. I tried many painkillers, but they did not work. Please help me. Doctor: Hello. Heavy menstrual bleeding could be due to hypothyroidism. Hypothyroidism means, your thyroid gland is not producing enough thyroid hormones. Excessive bleeding could also be due to infection in your uterus. Another possible cause is a benign tumor in your uterus. Do a transvaginal sonography, routine blood test, and TSH level test (thyroid stimulating hormone)." + }, + { + "id": 30173, + "tgt": "My mother was operated for uterine fibroid. Why?", + "src": "Patient: Hi doctor, My mom had fibroid in her uterus and got it removed\u00a0last week. Please see the reports attached and let me know what it is. Thank you in advance. Doctor: Hello. The report says that the fibroid was not malignant or cancerous (attachment removed to protect patient identity). It is a type of cellular growth due to long-term hormonal stimulation. Leiomyomas are benign monoclonal tumors arising from the smooth muscle cells of the myometrium. Metaplasia is normal cells at abnormal location. The treatment is correct that is the idea of operation and she should do fine. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22219, + "tgt": "Can an echo and ECG diagnose restrictive cardiomyopathy?", + "src": "Patient: Hello doctor, Can an echocardiogram and ECG diagnose restrictive cardiomyopathy because I have had like three of them but I am still confused? All I have is just some premature ventricular contractions. Doctor: Hello. Yes, usually echo is sufficient to diagnose restrictive cardiomyopathy if findings are clearcut and the observer is sufficiently confident in the findings. So, your echo report must have mentioned all those findings. ECG is nonspecific, it may just point towards it but will not give a definitive diagnosis. However, an ECG may be helpful in confirming premature contractions which you are suspecting or sometimes may need Holter. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14533, + "tgt": "Why is there no period after stopping Primolut N and taking I-pill?", + "src": "Patient: Hello doctor, My wife took Primolut N when we were about to get married (for 17 days) and then on the 15th, 16th and the 17th day we had unprotected intercourse. In order to avoid pregnancy, she stopped her Primolut N dosage on the 17th day and tool an I-pill. In spite of doing so, she has not got her periods. Can she be pregnant? Doctor: Hi. Although history is not complete, she got an overdose of hormones which might effect withdrawal bleed as well as periods. Stress, overwork, illness, medications, hormonal imbalance all can delay periods. Have serum beta hCG to check pregnancy. If no pregnancy, then wait for weeks at least before menstrual induction (tablet Primolute N 10 mg twice daily for five days and wait for bleeding for 1 to 2 weeks). Next periods could be irregular after withdrawal bleed but gradually periods will get back to normal as soon as the body gets rid of externally induced hormones (I-pill, Primolut N). Missed periods post pill. Beta hCG. Beta hCG if negative have menstrual induction. Cocp (oral contraceptive pills) for regulating cycles." + }, + { + "id": 15390, + "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": 24918, + "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": 2620, + "tgt": "Does spotting on birth control pills indicate its ineffectiveness?", + "src": "Patient: Hello doctor, Does spotting on birth control mean your pill is not being effective? Doctor: Hi. How are you doing? Spotting in between cycles, when you are regularly taking birth control pills means that, the endometrium or the inner lining of the uterus is not being fully supported by the hormones. If you are not punctual on taking pills or had vomited immediately after taking the pill, then that will be the problem, so you have to make it a point to take the pill regularly, preferably at the same time every day. If you are taking low dose pills, then the dose is insufficient, so you have to switch to the higher dose pills. Component of Ethinyl estradiol in the pill of 30 mcg is a high dose and good for these spotting instead of the 20 mcg pills. If you have been putting up weight recently. Hormones may be insufficient for that new weight. I hope pregnancy had been ruled out before starting the pills and local factors like polyps or fibroids projecting into the uterine cavity have been ruled out by ultrasound scans of the pelvis. Local factors like spotting or discharge from the cervix, especially after sex need a local examination and treatment. If all possibilities have been ruled out, then just give support of tablet Estradiol valerate 2 mg (Progynova) two tablets a day until the day of periods. This will support the lining and spotting will stop in a day or two." + }, + { + "id": 28832, + "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": 22940, + "tgt": "Why do I have a lump around site of tooth removal and bone graft?", + "src": "Patient: Hello doctor, A few years ago I had a tooth removed and had a bone graft in preparation for an implant. I have yet to get the implant but recently I have developed a lump and pain around the site of the removal or graft. My oral surgeon and dentist cannot see me for next three days but I am nervous as to what it could be? Doctor: Hi. I have gone through your query. You do not have to worry. It could be just an exaggerated soft tissue or hard tissue growth in that area as a process of healing. But since you are saying that you have pain, I assume you would have had toothbrush trauma or irritation due to denture (if you are wearing denture), or any hyperplastic tissue (bone or soft tissue). If these are ruled out, then it could be due to some infection in that site or nearby tooth. Mostly, it must be physiological only. Do not worry. If you can send me a picture of that area, I can guide you with a provisional diagnosis. Radiograph (intra-oral periapical) will be required to assess that area. Do you have any lymphadenopathy (painful swelling of lymph nodes near the angle of the jaw or below jaw)? Any pus discharge? If it is just erythematous and moderate pain, you can take Paracetamol. Do lukewarm salt water gargling. Do not worry. You will be fine. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1413, + "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": 16895, + "tgt": "What treatment will you suggest for recurring acne?", + "src": "Patient: Hello doctor, I am having acne since a week. I used Clindamycin gel but it is not effective. I have attached my photos. My acne goes and comes. Also tell me which face wash, moisturizer and sunscreen to use? Kindly suggest treatment for my acne. Doctor: Hello. I have reviewed the attached photographs (attachments removed to protect patient identity). I would recommend you to use Salicylic acid face wash twice daily and apply Benzoyl peroxide 2.5 percent gel twice daily on the affected areas. Along with this take a course of antibiotic tablet Azithromycin 500 mg daily before lunch or dinner for three consecutive days in a week for six weeks. Use Face Guard sunscreen gel and silk moisturizing cream as sunscreen and moisturizer respectively. Besides this keep your face dry, avoid applying oily cream or moisturizers and avoid oiling of scalp. Use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue the above mentioned guidelines for six weeks. Seborrhea or hormonal disturbance. Acne vulgaris. Revert back after six weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10686, + "tgt": "Why does the pulse rate fall in a 4-year-old after administration of Epinephrine?", + "src": "Patient: Hello doctor, I am reviewing the patient care of a 4-year-old child diagnosed with the flu. He was having trouble breathing, so we called an ambulance. I was very apprehensive about him receiving any drugs from a doctor. His pulse was 149, 161, and 150. The medic then said his pulse was falling, which I did not see. He then requested an order to give Epinephrine, which does not make sense to me. His pulse rate then fell quickly. What is your opinion? Doctor: Hello. An ECG should have been done immediately to see if the child was having VT, SVT, or anything else that would require you to slow down the heart. Based on the ECG, the next step could have been planned. This is because you have only written to me about the heart rate. The other aspects, like breathing and circulation (blood pressure), also decide the modality of treatment. Does it make sense to give epinephrine to a child having tachycardia? However, if there was no pulse afterward, epinephrine should be given at that particular time." + }, + { + "id": 30472, + "tgt": "Please clarify my doubts regarding hernia surgery", + "src": "Patient: Hi doctor, My questions are related to da Vinci bilateral hernia repair with mesh.\u00a0How long does it take for the tissues to completely grow\u00a0into the mesh?\u00a0What is the time window for rejection of the mesh after the surgery?\u00a0What is the time window for developing infection after the surgery? Please explain. Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11620, + "tgt": "I am getting regular period and on Nexplanon, but still spotting. Is that due to pregnancy?", + "src": "Patient: Hello doctor, I am 19 years old. I had sex four months before and ovulated on the second day after having sex. I got periods on the next month for four days, and after five days of my periods I got a Nexplanon birth control, and the doctor gave me a negative pregnancy test. I then had a period of 14 days in the next month and I am still spotting. I am just wondering if there is any way for me to be pregnant? I have not had sex since then. But I am paranoid that I am pregnant I cannot afford an abortion. Also, I cannot even afford to go to the doctor or have a way to buy a pregnancy test. For the past couple of days, I have felt movement, but it could be gas. I have also been having sharp pains in my lower abdomen for a while especially when sneezing or coughing hard. I always had very painful and heavy periods associated with sharp pains while pooping on period. The birth control has helped by stopping my period, but I still get the sharp pains randomly. Kindly advice. Doctor: Hello. No, you are not pregnant as your pregnancy test was negative at the time you got Nexplanon implant, and you did not have had sex afterward. So calm down now and give relief to yourself. Your periods have reduced due to the effect of Nexplanon as it is a contraceptive as well as it also reduces blood loss during periods and some women get reduced bleeding or absent bleeding in the very start of the implantation. Your periods will slowly return to normal. So do not have to worry about pregnancy now. And secondly all of the symptoms you told are pointing towards anxiety, and you need some stress reliever. The problem with passing stools may be due to the lack of fiber in your diet. You must drink plenty of water and increase the intake of fiber by eating more vegetables, and less junk food will help improve your bowels, and hopefully, this issue will be resolved soon. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 14923, + "tgt": "Kindly advise the proper diet chart for a 6-month-old baby", + "src": "Patient: Hello doctor, My infant is turning 6 months this month and we are moving to a different place. I am looking for a complete diet chart for an infant. Can you please help me get a diet chart and how to make the baby food for my baby, please? Also, can we preserve food in the freezer? My son's current weight is 7.4 kg, birth weight is 3.3 gm, low weight is 2.8 gm. Meals: Vegetarian and meat both preferred. Doctor: Hi. I can understand your concern. Continue breastfeeding till 1 year of age minimum. Can be extended till 2 years of age as per WHO. Start liquid diet (home-made) initially for one month. Rice water, dal water. Give semiliquid diet 8 to 9 months onwards, semi-solid diet 9 months onwards (khichdi, fruits, increase water intake as well). By 1 year of age, the baby can have a family meal. Every child is unique, so there will be individual variation. Avoid force feeding. Add different flavour a week apart. Kids love to have the meal when they see parents also having. Avoid distraction, while feeding. Give Iron and Vitamin D supplementation." + }, + { + "id": 21980, + "tgt": "I have itching and irritation in private parts. Please advise", + "src": "Patient: Hello doctor, I have itching and irritation in private parts. Doctor: Hi. Fungal infection is due to improper hygiene or excessive sweating. Maintaining good hygiene will help. If you are not allergic to oral medications, I suggest: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2138, + "tgt": "I have pain in lateral and medial side of heel with flat foot. Please suggest solution", + "src": "Patient: Hello doctor, I have foot pain and I suffer from flat foot. Pain is mainly located at the lateral and medial side of the heel. Please suggest. Doctor: Hello. Flat foot is a very common condition and causes pain due to stretching of tendons, ligaments, and soft tissues of the feet. I guess an x-ray must have already been done for you. Just make sure that apart from the flat foot you do not have any other associated condition like abnormality of bone or abnormal bone growth. If you are overweight then you need to take care of it as excessive weight increases flat foot pain. Furthermore, if you have any other comorbid conditions such as diabetes or hypothyroidism, please control that as well. There are special shoes that are tailor-made according to your foot so that there is less strain while walking or running. Kindly get them. Also, visit a physiotherapist or a chiropractor who will teach you specific stretching exercises that you will have to keep doing regularly at your home to minimize pain and discomfort. When your pain is severe, take a painkiller of NSAID (non-steroidal anti-inflammatory drugs) group. I prefer tablet Aceclofenac 100 mg as it is known to cause less gastritis. It can be taken twice daily after food. In addition, taking a multivitamin and mineral pill will help in nerve health. I hope this helps. Developmental, congenital. X-ray foot AP, oblique, and lateral. Blood tests include complete blood count (CBC), blood sugars (fasting and post prandial), thyroid profile T3, T4, TSH (thyroid-stimulating hormone). Flat foot. Physiotherapy exercises and stretches. Custom made shoes. Painkillers as and when required. Avoid overweight, long running." + }, + { + "id": 8112, + "tgt": "Is there any medications to cure cataract at initial stage?", + "src": "Patient: Hello doctor,My mother is 65 years old. She has been diagnosed with initial first stage cataract in right eye majorly. I want to know is surgery necessary now, or is there a way out through medications to cure it? Doctor: Hello. A cataract is a gradual opacification of a natural lens. It increases with advancing age. An early cataract causes a change in glasses number and vision corrected simply by glasses until the cataract is significant, and vision is not improved even with glasses. Secondly, cataract surgery timing depends upon patient visual needs. If the cataract is affecting patients daily routine activities, then surgery is advised. If she is fine in daily life and has not any problem in daily life, she can wait. She can revisit eye doctor when she feels further deterioration of vision, and her eye doctor will tell you the stage of cataract. If she is diabetic control her blood sugar level and blood pressure. You are most welcome for any queries." + }, + { + "id": 7484, + "tgt": "Being hypothyroid, I have gained more weight. Why?", + "src": "Patient: Hello doctor, Is this something I should worry about? I have been hypothyroid for 25 years and have recently gained about 25 lbs. Thyroid ultrasound states, history of goiter. We have no previous examination available for comparison. Both thyroid lobes are diminished in size. The right thyroid lobe measures 2.3 cm in length, 6.4 mm in depth and 9.4 mm in width. The left thyroid lobe measures 3.2 cm in length, 6.5 mm in depth and 1 cm in width. Each thyroid lobe is diffusely heterogeneous and without visible nodularity. No parenchymal calcifications are visible. The impression is diffusely heterogeneous and small thyroid lobes. No evidence of dominant nodule on either side. Doctor: Hello. Your weight gain is due to hypothyroidism and probable physical Inactivity. I need to know what is your recent TSH (thyroid-stimulating hormone) level if it is not in a reasonable range, your medication dose needs to be adjusted. Also, do 30 minutes of aerobic exercise daily, avoid sweets, carbonated beverages, and nonveg food. As of your scan report is concerned it is suggestive of atrophic thyroiditis where the thyroid gland shrinks and later becomes inactive. So you may require thyroid hormone supplement. But your scan finding is nothing to worry about. Any doubts or queries feel free to ask." + }, + { + "id": 28444, + "tgt": "Kindly see the x-ray of my foot, and tell me if I have Lisfranc injury?", + "src": "Patient: Hello doctor, I have been using moon boot from approximately seven weeks, for a fourth base disruption. I have just had x-rays. I would like an opinion on two things, please. Should I be worried about the spacing between the first and second metatarsal (Lisfranc\u00a0injury)? There does not seem to be any space on the oblique view between the cuboid and the fifth metatarsal. Is that an issue? I apologize for the quality of the photos, and I just was not able to get a better photo of the x-ray. Thank you. I am still in tremendous pain as well as any pressure over my midfoot hurts. The original injury was over eight weeks back. Doctor: Hello. I have seen the x-ray (attachment removed to protect patient identity). For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21023, + "tgt": "All my lower back teeth have started to decay. Please help me", + "src": "Patient: Hello doctor, All my lower back teeth have started to decay. I brush my teeth twice daily, morning and before sleep. Please help me. Doctor: Hi. I would like you to go to your nearby dentist and get it confirmed if it is decay or stains. If it is decay, then your dentist might suggest you get some dental fillings done. If it is just stains that you are noticing, then the stains could be removed by dental scaling, that is, professional cleaning. Decay can be formed due to lots of food impaction in the back tooth regions which is a very common complaint. Sometimes, even though we are regular with brushing, there are areas where the brush cannot reach. So, it is advisable for you to consult your dentist at the earliest. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17504, + "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": 10003, + "tgt": "Kindly suggest a homeopathic medicine to stop hairfall and promote hair growth", + "src": "Patient: Hello doctor,I am 24 years old, and for the past nine years, I am facing hair fall problem nowadays my 60 % of hair is falling on my top and front of my head. I checked my thyroid and hemoglobin many times, but their reports are good. I use many home remedies and hair oils, but when I stop using it again, it starts falling. The allopathic doctor says use Minoxidil 5 %, Finasteride, and hair serum. But Finasteride has many side effects. Can you please tell me is any medicine available in homeopathy which stops hair fall and promotes hair growth if yes can you please tell me the name. Doctor: Hello. I checked the attached photo (attachment removed to protect patient identity) and read your description. It seems you have been suffering from hair loss problem for a longtime. Do you eat healthy food like vegetables and fruits every day? Sometimes lack of nutrition is also the reason for hair loss. Do you know if your father also differed from hair loss issue at this young age? Did you suffer from severe health issues or chronic illnesses? If you do not think above mentioned is the cause for your hair fall, then the only reason I can think is that you have been going through severe stress which has taken a toll on your health. Homeopathy would be a good option in this case as it will cure our problem from the root cause, and there will be no side effects. So to prescribe you a correct homeopathic remedy I need to understand your mental, emotional, and physical state. He ce I need detail case history which can be done either through face to face consultation or online consultation. I would advise you to visit a good homeopath for consultation. For the time being, you can apply arnica hair oil twice a week on your hair. Just mix one spoon of Arnica oil with five spoons of coconut oil and apply all over your scalp. You can gently massage your ear with this mixture. Try this for 15 days and then let me know how you feel. I hope you start feeling better. Let me know if you have any questions." + }, + { + "id": 22161, + "tgt": "How long will it take for the redness in eye due to dog scratch to go?", + "src": "Patient: Hello doctor,My dog scratched my eye two days ago. Since then it has gotten very red on the right side. I have been flushing it with eye drops and all pain was gone after a few hours. How long will it take until it is no longer red? Doctor: Hello. As I see in photos (attachment removed to protect patient identity), you have something which we call it subconjunctival hemorrhage. It is just a drop of blood under the conjunctiva. It will go itself in a few days (about five). But in the photo, I could not define if there is a scratch on the cornea or conjunctiva or it is the light of the camera. However, nothing dangerous. I just prefer to use eye ointment (Fucithalmic acid) twice a day instead of drops, and better to see an Ophthalmologist to check cornea and conjunctiva and if there is anything. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24174, + "tgt": "I have a mole that is itchy and has bled. Is it skin cancer?", + "src": "Patient: Hello doctor, I am hoping you can advise me. I have a mole on my chest that has been changing for about a month now. It is itchy at times and it has bled (small spots) as I am sure from the itching. I am worried it is skin cancer. Can you help? Doctor: Hello. From your description and given picture (attachment removed to protect patient identity), it seems you are having a mole or melanocytic nevus. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows a sudden increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for a skin biopsy. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17379, + "tgt": "Please suggest yoga asanas that would improve blood flow to testicles", + "src": "Patient: Hi doctor, Please suggest me the yoga names to improve blood flow to the testicles. I have weak erections, watery semen, and loss of libido. I am taking Pantogem DSR for indigestion and Stalopam plus for stress. My local doctor prescribed these medicines. Doctor: Hello. Continue with the prescribed medication. Along with that meditation, exercises, and yoga can help improve your condition. Deep breathing, inhalation through nose and exhalation through the mouth, improves blood circulation. Suryanamaskar is the most efficient form of yoga that can be used for all conditions. Morning time count of 10 should be followed. Balasana (child's pose) can improve the pelvic floor organ functioning. I also suggest: Along with all these yoga poses, a good diet rich in fiber and proteins can help alleviate your condition. Pranayama should be included with all yoga poses. Destressing is the most important factor. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 269, + "tgt": "Why does my brain get numb during exams?", + "src": "Patient: Hi doctor, I am 18 years old. I am a student. I do not understand my condition. I have very important exams. I used to get good marks constantly and then everything turned up against me now. I prepare my best, but I do very badly in my exams. I am feeling hopeless. Even after studying 8 hours daily, I am getting very low marks. I am completely puzzled. Why does my brain get numb during exam? I have lost all my confidence. Please help. Doctor: Hi. I have read and completely understand your issue. Revert back with the answers to the above questions to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 22473, + "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": 13017, + "tgt": "What does the MRI brain taken for balancing issues indicate?", + "src": "Patient: Hello doctor, I suddenly felt out of balance and threat of falling. Occurred frequently. Took MR brain with angio. In observation, the report said the following. Chronic lacunar infarct with gliosis in left corona radiata. Discreet diffusion non restricted subcortical FLAIR hyperintensities noted- small vessel ischemic changes. Cerebral and cerebellar atrophy prominent cerebral sulci and ventricular system. No evidence of acute infarct, hemmorrhage or space occupying mass lesion noted. I had a TIA issue 18 years back, which lasted a few minutes and became fine. Last 17 years there was no issue. Can you please interpret the report and tell me if there is any serious problem. Doctor: Hello. I read carefully your MRI report (attachment removed to protect patient identity) and would explain that it indicates small repeated strokes due to small vessel disease of the brain. For this reason, it is important for taking daily Aspirin 100 mg or 80 mg and closely monitor your blood pressure values. It is also important checking your blood lipid profile and taking statins (Atorvastatin) in case of increased cholesterol levels." + }, + { + "id": 10689, + "tgt": "Will taking Sibelium for migraine delay the periods?", + "src": "Patient: Hello doctor, I am taking Sibelium 10 mg from last some weeks for my migraine and last month I missed my periods. Kindly clarify the reson. Is it delaying due to this medicine? Doctor: Hello. On the aspect of missing your period can be Sibelium (Flunarizine) because it has some effect of blocking the dopamine receptor in the brain. Besides, it is a calcium channel blocking effect. So the possibility is that by blocking the dopamine receptor that will cause a central increase of prolactin. Prolactin will lead to galactorrhea and in turn, alter the menstrual cycle. So it is a possibility that is if you have done a pregnancy test and it is negative. So that dopaminergic antagonistic may cause amenorrhea." + }, + { + "id": 17746, + "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": 8752, + "tgt": "My iron level is 6. 2. What are the ways to increase my iron level quickly?", + "src": "Patient: Hello doctor, My iron level was tested, and it was 6.2, after which I was sent home from the ER. What can I do to raise it fast? Doctor: Hello, Welcome to the icliniq.com. Your iron level is very low. For that, I suggest you take Orofer XT like ferrous ascorbate containing tablet which contains more elemental iron. It should be considered for at least three to four-month according to your hemoglobin level. So if you can provide your hemoglobin level or if you attach CBC (complete blood count) report than I can guide you further. I suggest you take the tablet mentioned above along with orange juice to increase the absorption of the iron tablet. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 3052, + "tgt": "Is gallbladder removal necessary for acalculous biliary dyskinesia?", + "src": "Patient: Hello doctor, I would like an opinion regarding surgery for acalculous biliary dyskinesia. I have had RUQ pain and colic attacks for the past three or four years. Ultrasounds at the time showed no symptoms. Then I had a HIDA scan that showed 12% ejection fraction, so the doctor suggested surgery to remove the gallbladder, even without stones or anything. I declined. I modified my diet. The attacks became more sporadic, but last month I had an acute acalculous cholecystitis event. An ultrasound showed some sludge and 3 mm wall thickening. Again, surgery was suggested and scheduled. But symptoms resolved within a week and I am completely asymptomatic now. I am really scared of having unnecessary surgery if I have no stones. What is the worst that can happen if I just decline surgery? I am afraid of having ongoing new indigestion symptoms post-surgery. I do not want new problems. I am really afraid. Doctor: Hi. Since you had GB sludge with multiple attacks of biliary colic, the chances of getting a repeat attack are very high. Sludge or microlithiasis denote a dysfunctional gall bladder. It is always better to remove a dysfunctional gall bladder as it has a high probability of stone formation. All attacks need not be mild as you had. At times severe attacks may happen which need emergency surgery. There can be infectious episodes too. The next severe complication happens from secondary pancreatitis. This microlithiasis are not easily picked up on ultrasound scans. So if you see the risks of retaining gallbladder and the advantages of surgery, the advantages overweigh the risks. I would definitely recommend a planned surgery before developing complications and ending up with an infection and unplanned surgery. I hope this helps." + }, + { + "id": 23468, + "tgt": "Can I get rid of knee pain without undergoing surgery?", + "src": "Patient: Hello doctor, I am a 30-year-old woman that has been diagnosed with a partially dislocated disc at L5 to S1 that shows a posterior bulge with a focal annular tear causing indentation of the adjacent thecal sac and abutment of left traversing nerve root. The pain has reduced in my back but now I am left with a horrific pain in my left leg that radiates down to my foot. A majority of the pain is the inside of my knee and I am unable to sit for more than five minutes. There is almost a heaviness inside my knee as if there is a ball stuck there. And I regularly wake up with pins and needles that go once I start walking. I have met four orthopedic surgeons who have all given me different opinions. I am not keen to have surgery performed so what are my best non-surgical options for this pain? Can I get rid of this intense pain without having surgery? What is the best way to treat this? Currently, I am taking Robinaxol-D. Doctor: Hello. From your description, I think there are two problems as follows: All these I have judged from your description. Exact diagnosis can only be made once I see you clinically. For more information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 12130, + "tgt": "I feel burning and itching sensations on my penis after sexual intercourse. Kindly advice", + "src": "Patient: Hello doctor, I had vaginal sexual intercourse two weeks ago. A week later I experienced some on and off itching sensation on the glans of the penis and have been experiencing a mild burning sensation and feeling tender on the glans in the last few days. Yesterday I noticed a tiny red spot on the glans. It did not hurt, but it is hardly noticeable. Could this be a mild symptom of herpes? Is herpes IgM active when diagnosing herpes? Have heard it only gets positive in half of the recently infected people. I also got cold four days after intercourse with a mild fever, sore throat, and runny nose. Doctor: Hello. I can understand your concern about your symptoms. Yes, you may be suffering from a sexually transmitted disease. And your picture says (attachment removed to protect patient identity) there is an infection, and I presume that you had unprotected sex. Cold can be of different reason, so we can think that aside if you worry about that too. Regarding cold with sore throat, fever, headache, chest pain, running nose if you can be able to review with blood reports then it will be easy for proper explanation and treatment. Regarding your penis, lab test- HIV rapid 4th generation (after two weeks do this test) and a swab from your infected region for herpes PCR (polymerase chain reaction). Hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 2094, + "tgt": "What does an abnormal double marker test indicate?", + "src": "Patient: Hi, doctor I am 13 weeks pregnant last week I undergone for NT scan the report was normal and the same time I gave double marker blood test. Yesterday from the hospital they called me for blood test because the first report shows abnormal. I am so scared whether second time double marker test shows normal. They didn't give the report of first test but simply told first test was abnormal so we sending for second time. I am confused. Please tell me whether second time test shows normal result. If it is abnormal is there is any early treatment to protect the baby from down syndrome. Doctor: Hello, First of all congrats on your pregnancy. Let me clarify that double marker is only a screening test .It's not a confirmatory test. Double markers are not repeated if they r showing high risk.Sonif the lab has asked for a second sample ,it may be due to some other reason. It means even if we say ,ur second test shows a high risk (chances of which r less) ,it only means that this baby for some reason has a higher risk for a genetic problem.you still need to do an amniocentesis and do a karyotyping to confirm the genetic problem. We see many double markers which r abnormal,but very few if those have an abnormal Karyotype on confirmation. So rest assured and enjoy your pregnancy .let the results come .Nothing is decided by a double marker test. Taking folic acid 3 months prior to pregnancy is onevway of preventing a downs syndrome. So pls wait for the result.Theres no need to panic. Have a safe pregnancy." + }, + { + "id": 19425, + "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": 10601, + "tgt": "Please explain the diagnosis of MRI result", + "src": "Patient: Hello doctor, I would like to know the diagnosis of this MRI result. Multiplanar and multisequential MRI of the brain without intravenous contrast administration was taken. Single voxel MR spectroscopy through the basal ganglia was also performed. The brain parenchyma demonstrates interval development of diffuse cerebral volume loss, most prominently involving the cortex, with a widening of the sulci and ex-vacuo dilatation of the ventricular system. There is a faint T2-FLAIR hyperintense signal of the bilateral hemispheric white matter. There is sparing of the cerebellum and only mild interval thinning of the corpus callosum. Interval development of a subdural collection along the left cerebral convexity, most prominent at the left frontal convexity causing a mild mass effect on the left frontal parenchyma. It shows mildly increased FLAIR signal, likely related to proteinaceous content. The intraorbital optic nerves have decreased volume, compatible with optic atrophy. There are punctate foci of susceptibility artifact in the right parietal and right occipital region, likely related to minimal hemosiderin staining. No mass lesion or midline shift. There is no acute intracranial hemorrhage or acute territorial infarction. No hydrocephalus. No cerebellar tonsillar herniation. Preserved flow voids of the major intracranial vessels. There are bilateral mastoid and middle ear effusions and mucosal disease of the bilateral paranasal sinuses. Single voxel MRI spectroscopy at the basal ganglia demonstrates increased choline and mildly decreased NAA, nonspecific markers of parenchymal injury. Impression: Interval development of severe supratentorial brain volume loss with thinning of the intraorbital optic nerves. Interval development of a subdural collection along the left cerebral convexity with mild mass effect on the left frontal lobe. Doctor: Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12411, + "tgt": "Is it normal for vulva and vagina to get swollen during sexual intercourse?", + "src": "Patient: Hello doctor, Whenever I have sex, it feels like my vulva and vagina start out well lubed and with no issue but within 4 or 5 minutes they both become swollen and irritated enough that I cannot continue to have sex. Doctor: Hi. As per your history, swelling is temporary so do not worry. It may occur due to an allergy to condoms, vaginal douches, ragged intercourse, infections, and less lubrication but you said you do not have any problem with lubrication. Allergy to condoms , vaginal douches, ragged intercourse, infections, and less lubrication. Urine routine examination, pelvic examinations and check for STI\u2019s. If it is only temporary swelling means no need of treatment but if persists then let me know. Maintain good personal hygiene, allergy free barrier contraception, avoid allergic products and lubricants." + }, + { + "id": 10750, + "tgt": "I am having pain after inguinal hernia and hydocele operation. Please help", + "src": "Patient: Hi doctor, After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain? Doctor: Hi. Well, ideally if you have bilateral inguinal hernia, or inguina\u013a hernia on one side and hydrocele on the other, the surgery should be done for one first before the other, not simultaneously so that when you are fully recovered of one, then the other can be planned and done. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content." + }, + { + "id": 11100, + "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": 30392, + "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": 16733, + "tgt": "I have constant ear discharge after an eardrum surgery. Please advise", + "src": "Patient: Hello doctor, I have an eardrum perforation since childhood. I had tympanoplasty done last year but, that failed. Now, the ear keeps discharging all the time. I completed a course of Ciprofloxacin and Dexatops ear drops but after a week, the discharge is back. Please advise. Doctor: Hello. A recurrent ear discharge after a failed tympanoplasty needs to be evaluated completely. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27878, + "tgt": "Can you help me interpret my preventive health screening reports?", + "src": "Patient: Hello doctor, I am a 32 year old\u00a0male. I recently went for a preventive\u00a0health screening. I\u00a0need your valuable feedback regarding my\u00a0reports. Doctor: Hello. I have gone through your reports (attachment\u00a0removed to protect patient identity). So overall, reports are fine, except for platelets, which is in the borderline. So, there is no need to worry.\u00a0Hope this helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23362, + "tgt": "I have a brown, symmetrical mole. Is it melanoma?", + "src": "Patient: Hi doctor, This mole has been there forever and my dermatologist noted as one to watch along with a few others. She said it was raised on one side and that luckily most melanomas are flat. Now I stare at this mole constantly wondering if it is growing. I have been reading about nodular melanoma, as it is slightly raised. It is brown, symmetrical and 2 to 2.5 mm maximum. I have such health anxiety. Could you please help? I have had two wide excisions of dysplastic moles, which has led to my worry over melanoma. Currently, I am taking Sertraline 50 mg. Doctor: Hi. I have gone through your case in detail. Well basically it is not the matter whether the mole is raised or flat. Basically, it is the change noticed by the doctor or the patient himself. By change, I mean change in size, shape, symmetry, color, and other symptoms such as itching and bleeding. All these symptoms raise the suspicion of developing melanoma. Your lesion has been static then you need not worry. Moreover, it does not look malignant to me as well. Just relax about your present condition. But however, keep on reviewing your lesion after every three months. Just relax. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18054, + "tgt": "Please suggest treatment for granulomatous mastitis", + "src": "Patient: Hi doctor, I had an excisional biopsy of a lump just below my left breast last week. My biopsy report states that I have granulomatous mastitis. My surgeon has put me on an antibiotic called Claribid for three weeks. Please advice on the course of treatment. Doctor: Hi. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 10997, + "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": 10772, + "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": 12582, + "tgt": "Am I having bladder irritation or tightening because of Lisdexamfetamine?", + "src": "Patient: Hello doctor,I am a 41-year-old female, 143 lbs. I currently take Lisdexamfetamine 50 mg for ADHD. I have been experiencing bladder discomfort off and on for three months now. It was quite intense for two weeks, then went away for several weeks, and now is present again although less intense. It just feels like I have a tight bladder all the time and need to use the toilet more often. There is no pain or difficulty when urinating. I have had two negative UTI tests and a normal ultrasound. I have had a completely normal cervical exam as well. I have been taking Dexamfetamine since last six months, and the symptoms arose two months later. I am wondering if the medication is causing bladder irritation, or tightening, or if the medication is turning my urine more acidic and that is the problem? It has been suggested that I use an alkalizing agent, but that seems to be contraindicated with the Lisdexamfetamine. I also have learned that Amphetamine products can liberate Histamine, and that might cause bladder irritation? Can you advise what might be the issue if the medication is contributing and how I might best address it? I do not have a better option for ADHD treatment and would like to deal with this symptom rather than change my medication. Doctor: Hi. If you are having increased frequency of urination, night-time frequency, the urgency of urination, it may be an overactive bladder. It can occur spontaneously or be precipitated by UTI episodes, stone disease, medications, etc. In your case, the medicine may not be responsible. But anyway, we cannot change the medicine. You need to restrict your fluid intake to about 2 to 2.5 liters per day, limit intake of carbonated beverages, coke, tea, coffee. You have to avoid constipation. You may also get a urine test done for sugar to rule out diabetes. If frequency persists, you may take an anticholinergic like Tolterodine or Darifenacin after consulting your doctor. Take care." + }, + { + "id": 284, + "tgt": "Is there any medicine to improve comprehension and memory power?", + "src": "Patient: Hello doctor, My doubt is about brain power. Do people in engineering and other professions require a lot of brain power use mind altering drugs to enable them to compete better? Are people in these professions just naturally gifted? I am talking about the people who build automobile factories, aircraft,\u00a0space shuttle and the international space station. Do such drugs exist to improve comprehension and memory? Please explain. Doctor: Hi. I read your query and understand your concerns. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24922, + "tgt": "There are white spots on the inner part of the penis. Is it penile papules?", + "src": "Patient: Hello doctor,I have noticed there is some pimple like structures on my scrotum skin. Is it warts? I do not have sexual relation with anyone till now. My father is suffering from eczema. Is it due to that? And also, I am seeing white spots on the inner part of the penis. Is it penile papules? Please suggest some medicines to overcome this. I feel shy on a face-to-face consultation. That is why I chose the online mode. Please help me. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You have sebaceous cysts of scrotal skin. They are not warts. Sebaceous cysts need to be removed surgically. The raised lesions on the corona of glans are penile papules. They are quite normal. There is no need for treatment. If you still want to get rid of penile papules for cosmetic reasons then you may need to go for a Laser- CO2 laser vaporization. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4330, + "tgt": "Dull tight pain in my testicles and scrotum is interrupting my normal and sexual life. Please help", + "src": "Patient: Hi doctor, I am a 35-year-old male and have been experiencing a dull, tight pain on the back of my testicles and in the spermatic cord. Sometimes it feels like a rough scraping inside my scrotum. The pain is debilitating, and I have had it for about six months now. It started on the backside of my right testicle, but now it has spread to the back of both testicles and I have pain going up from the scrotum. I have had an ultrasound, CT scan, MRI, taken antibiotics, anti-inflammatories, and antidepressants, and all tests are normal with a varicocele in the left. But I still have pain when walking or sitting, anytime something pushes into my scrotum. When I stand still it is better, and I cannot wear underwear or anything tight on my scrotum because of horrible pain. Also, I have noticed that my testicles have started retracting up almost into my abdomen when having sex, (however, I cannot have sex cause it hurts too much), but this retracting is real tight and it has never happened before this year. Please help. Doctor: Hi. Your history and clinical symptoms are suggestive of epididymo-orchitis of both testes. You told that you have undergone a number of investigations. It would have been convenient for me if you had uploaded the same. Anyway, you need a clinical examination too. So you need to visit the office of your local urologist for management of the same. Another possibility is nerve entrapment syndrome as you have undergone groin hernia surgery on the left side. But the possibility is less as you have bilateral symptoms and you had undergone surgery on the left side. But you have to wear tight inner garments as that is the prerequisite for the treatment of epididymo-orchitis." + }, + { + "id": 26640, + "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": 27245, + "tgt": "Why do I get uneasy if I see something that is not clean?", + "src": "Patient: Hello doctor, Whenever I see something dirty, it just stays in my mind. And if I see something that is not so clean, I get uneasy to the extent that it just replays in my mind. I really do not understand why this happens to me. Doctor: Hello. Hope this helps. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 20674, + "tgt": "Which face pack is better to get a fair and improved skin tone?", + "src": "Patient: Hello doctor, Which face pack is better to get fair skin naturally? Doctor: Hello. I just read your query. See it is not possible to change the natural skin color. However, you can use a face pack to improve your skin luster. In modern medicine, there are options available that can lighten your skin tone and you can ask from a skin specialist about them. As far as the face pack is concerned, you can take Multani mitti (Fuller's earth) and add a pinch of turmeric powder and sandalwood powder in it and then make a paste using rosewater. Apply this on your face two to three times a week. When it starts drying wash it away with simple water." + }, + { + "id": 7392, + "tgt": "My CT scan shows mega cisterna. Is there anything to worry about?", + "src": "Patient: Hello doctor,I have done a CT scan of the brain recently and found everything was normal but with mega cisterna. The report shows scalp hematoma but that was from childhood and operated. I am worried about mega cisterna. Please suggest. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Your CT scan is normal. Mega cisterna magna is a normal variant. So do not worry about that. Scalp hematoma is a collection of blood outside your skull (bone) and is, therefore nothing to worry about. It cannot be due to very old injury as it usually gets absorbed or calcified. It may have resulted from a minor trauma that you may have forgotten. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 23197, + "tgt": "Two strokes detected on the CT and MRI. How to deal with?", + "src": "Patient: Hello doctor, My 62-year-old mother had a slight cognitive impairment. She has the following medical conditions: High blood pressure for which she is on Concor 5 Plus High blood glucose for which she is on Galvus 50 and Insulin Three stents in her heart operated 18 months ago and she is on Plavix and Aspirin. We did CT and contrast MRI and the doctor told us there were two strokes. We need to know how to deal with her issues now. I have attached the report for your reference. Doctor: Hello. I have reviewed the MRI (magnetic resonance imaging) brain report (attachment removed to protect patient identity). I am sorry to say but I do not agree with the diagnosis of subacute stroke as per the radiology report. The MRI that was done shows two lesions which are moderately large in size and do not follow the normal location for stroke. Also, we need other sequences such as diffusion imaging to say if it is a stroke or not. Also, if that is a stroke, the symptoms would start suddenly with a left-sided weakness like in left arm or left leg and facial droop on the left side. I would recommend you to see a neurologist who can get proper history about the onset of symptoms, and do a neurological exam. Also, if the DWI (diffusion-weighted imaging) sequence if not done on the MRI, should be done to see if she had a stroke. Management of blood pressure and diabetes is a must and she should continue with the Concor (Bisoprolol and Hydrochlorothiazide) and Galvus (Vildagliptin) plus Insulin. She should also continue Aspirin and Plavix for stroke prevention. Regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19821, + "tgt": "Can an anal fissure heal on its own?", + "src": "Patient: Hi doctor, After passing stool yesterday, I noticed bright red blood on the toilet paper after wiping. Now today after passing stool, I noticed a bit of bright red blood on the toilet seat, but not in the stool and a bit when wiping. I am suffering from a bit of pain when this happens, and the bleeding stops quickly after and only occurs again after passing stool.\u00a0I believe that I either have an anal fissure or hemorrhoids.\u00a0So my question is, will this heal on its own? If yes, then how long will it take to recover? Is this likely to get worse, or what can I expect over the next few days? Should I purchase Anusol to help it heal? Doctor: Hello. I can understand your concern. Your symptoms are consistent with anal fissure. Yes, fissure will heal on its own, provided it will get a proper environment. An anal fissure can be prevented by avoiding constipation. Because constipation will produce more pressure on the inner wall of the anal canal, which worsens the fissure. I suggest you try taking medication for pain, apply local anesthetic ointment for quick pain relief, anti-inflammatory medication, and sitz bath to reduce the swelling. Consult your specialist doctor, discuss with him or her and start taking the medications after their consent. Consult a general surgeon and get clinically evaluated. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12576, + "tgt": "Is it normal to see flashes of light in side vision?", + "src": "Patient: Hello doctor, Sometimes I see flashes of light as kind of line in the side vision. That too where more light focus is there on the walls, etc. That too if I observe clearly. Doctor: Hello. Such flashes of light can be seen in a number of different conditions. A retinal examination will be able to rule out the more dangerous ocular cause-retinal detachment. Usually, such flashes can be seen in posterior vitreous detachment, which is a benign age-related condition and does not require any treatment. The last possibility is of fortification spectra seen in migraine. These are usually immediately followed by a migrainous headache. To put all of this in a nutshell, in case you have any drop in vision, a sensation of multiple floating objects or non-seeing areas in your field of vision, I advise you to get a second opinion. In case you have flashes accompanied by headaches, meet with a neurologist. In case you just have flashes and no other problems, given that you have a normal retina, I suggest that you just observe your condition for a while and get back to your ophthalmologist in case of any changes in symptoms." + }, + { + "id": 28379, + "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": 23708, + "tgt": "What are the diet restrictions for gestational diabetes?", + "src": "Patient: Hello\u00a0doctor, My wife is 22 weeks pregnant. It is a dichorionic diamniotic twin pregnancy. Her fasting sugar level is 6.9. The doctor suggested taking insulin injection. Is it safe to take insulin during pregnancy? Could you suggest some tips to follow or any diet recommendations, please? Also, we have noticed that in the ultrasound scan report, there is a comment 'decreased end diastolic flow in the UMA now' for both the fetuses. What does this mean? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13471, + "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": 2688, + "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": 20001, + "tgt": "At three months, my HIV result is negative. Why should I check again at six months?", + "src": "Patient: Hi doctor, After three months of unprotected exposure, I got tested for HIV, and it is negative. What are the chances of getting a positive HIV result after three months? I got to know that in some rare cases it takes up to six months to show antibodies. In which condition it will take a long time to show a positive result? I am worried so much. I am dying every day with the fear of HIV. Is there any treatment for HIV to live long? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2295, + "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": 22916, + "tgt": "My hCG has not doubled properly. Do I still have a chance at normal pregnancy?", + "src": "Patient: Hi doctor, I am now seven weeks pregnant. The issue is my hCG at 18 DPO was 664, and then at 22 DPO was 2002, and then a week after the last measure, it was 3900 (different lab). It has not doubled properly. I had a scan at 6 weeks 3 days approx. and fetus measuring around 5 mm with HR of 120, was told its good and measured 6 weeks. Do I still have a chance at a normal pregnancy or will I miscarry due to hCG not doubling as they should? Doctor: Hello There is a good chance that you may continue the pregnancy, simply because the initial doubling of hCG from 664 to 2002 was evident and indicated adequate placentation. Ideally, the serum beta hCG levels should rise by 63 to 65 % in 46 hours. So, as can be seen, that they are and to add further, the fetal heart rate has arrived. The heart rate is low with known standards (140-160 bpm), but nevertheless, this is an ongoing pregnancy and you should be placed on Progesterone support for the next four weeks to allow better placentation. You may get a repeat scan done after two weeks to check for fetal viability and growth. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2474, + "tgt": "I have burning sensation in chest with throat irritation and no fever. Please help", + "src": "Patient: Hello doctor, I am a 27-year-old male. I have had a mild burning sensation in the middle of the chest for the past few days and along with slight irritation in my throat. I also sometimes feel bloated and have slightly more than normal amount of burps. I have no cough or fever (checking temperature on a daily basis and highest is 98.6\u00baC). Doctor: Hello. Based on your history and symptoms you may be having gastroesophageal reflux disease (GERD). If the acid goes up to the throat area, it might cause thick mucus. In this case, this is classified as laryngopharyngeal reflux disease (LPR). You would need to take a different medication. I recommend you take Omeprazole 40 mg one tablet 30 minutes before breakfast for two to three weeks. I would also recommend you avoid oily, fatty, spicy, and dairy food. Avoid alcoholic, carbonated, and caffeinated drinks. Avoid smoking and avoid lying down within one hour after eating. I hope this helps." + }, + { + "id": 5057, + "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": 16681, + "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": 1219, + "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": 5562, + "tgt": "10 year old on Methotrexate and Enbrel for psoriasis polyarthritis. Will any other steroids help?", + "src": "Patient: Hello doctor, Patient is 10 years old with psoriasis polyarthritis. Received Methotrexate, and Enbrel for three years. As in medical remission, it was decided ten months ago to stop Methotrexate and continue only with Enbrel. Three months later started having infections and paradoxical reaction to Enbrel (psoriasis), therefore stopped Enbrel and started again with Methotrexate. One ankle is swollen for six months. Steroid injection in ankle did not help. Currently on weekly Methotrexate 17.5 mg for three months and daily steroid tablets 20 mg, and Monovas but still there is no improvement in the ankle. My questions are additionally to Methotrexate, steroid injections and oral steroids is there anything else that can help in this case? How long will a joint swelling take to cause permanent joint damage? Doctor: Hello. I have gone through your history. Well, it seems like you developed a reaction to Enbrel which is quite common as it does flare psoriasis in some patients. Pertaining to your queries: Since you have mentioned only one ankle is swollen, it is not justified taking such a high dose of steroids. Considering the patient is 10-year-old, it will hamper the growth and height of the patient. Firstly, one needs to see, if there is an effusion left or there is synovial thickening due to prolonged inflammation. The thickening will not respond to the injections or the steroids. Also, if only ankle is the problem then, consult an orthopedic and you may want some synovectomy done to relieve the inflammation if the other methods have failed. If 20 mg is not working, it is very less likely higher doses will work. My suggestion is to get orthopedic advice. It is hard to say but normally one year of the swelling can damage the joint. If the disease is too aggressive, may be two months are enough. Always a tough thing to call for. US (ultrasound) of the ankle. Orthopedic intervention." + }, + { + "id": 28843, + "tgt": "I had a gynecomastia surgery last week. Why is fluid getting accumulated in my right breast?", + "src": "Patient: Hi doctor, I had a gynecomastia surgery last week, and a week later my right breast was swollen. So, I went to see my doctor, and he said I have fluid accumulated in my chest. He opened my stitches and placed a scissor inside, and took out the fluid and blood, and closed the incision. It was very painful, and now again I can feel the fluid getting accumulated. But now, the doctor says that the fluid will subside by itself, and there is no need to worry. What should I do? Doctor: Hello. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 30123, + "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": 691, + "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": 17937, + "tgt": "Does high CA-125 confirm that I have cancer?", + "src": "Patient: Hello doctor, I have a history of inflammatory myofibroblastic tumor detected at the age of 11 years, which was around 12 years back and had undergone an operation for the same. Currently, my CA-125 in serum is 125.37 U/ml. The ultrasound scan revealed large multiloculated well-defined bilateral adnexal lesions with\u00a0enhancing solid component. Lesions measured about 10.0 x 9.1x 10.1 cm on the right side and 5 x 4 x 5.2 cm on the left. There was thick enhancing septae\u00a0noted within the lesion. Bilateral cystic lesions abutting the iliac vessels and the ureters noted. However, there is no direct evidence of any invasion. The right ureter is displaced posteromedially by a\u00a0right adnexal lesion and left ureter is displaced posteriorly by the left adnexal lesion. The CT scan revealed bilateral multiloculated well-defined adnexal complex cyst with thick enhancing septae\u00a0likely of an ovarian neoplasm. There was bilateral hydroureteronephrosis, likely due to the pressure effect by the adnexal cysts with no obvious infiltration of the\u00a0ureteric wall. What shall I do at this moment? Is it an ovarian\u00a0tumor or a relapse of inflammatory myofibroblastic tumor?\u00a0As CA-125 is very high, does it confirm that I have a cancer? Some doctors told me to operate the tumors and if\u00a0after the operation malignancy is confirmed, and then they would take necessary steps. Should I take\u00a0any additional precautions or test before the operation? I need your suggestion\u00a0for a treatment plan and also about open cystectomy or Wertheim's operation. Also I wanted to know, whether my CA-125 will decrease after the removal of ovaries and uterus. I have attached the necessary documents for your reference. Currently, I am taking Megestone\u00a0and Ferium\u00a0XT daily. Doctor: Hi. Based on your reports, there seem to be ovarian tumors on both sides. The type of tumor, either benign or malignant, can be revealed only after removal. It may be unrelated to your previous tumor. The value of CA-125 though raised does not indicate malignancy. It is marginally elevated and it is highly unlikely that you will have epithelial cancer of the ovaries at this age, for which it is an ideal marker. A Wertheim's hysterectomy is done for cervix cancer and you would not require it. For your age, if possible fertility preserving surgery is ideal. The best line of management would be to get a CT scan or an MRI to clearly define the type of ovarian tumor as there are suspicions of dermoid and chocolate cysts. After that, a fertility preserving surgery in the form of ovarian cystectomy preserving the ovary can be planned at least on one side. It is very likely that your cysts turn out benign. Kindly get evaluated and operated with a surgical oncologist as the management should be proper especially if you require a staging procedure in case the cyst is malignant. For more information consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 5969, + "tgt": "My height is 6 ft and I weighs about 65 kg with a lean body. What should I do to build muscle?", + "src": "Patient: Hello doctor, I have a lean body and my height is 6 ft and weighs about 65 kg. I want to build body in the gym. What should I do? Doctor: Hello. As far as gaining muscle mass is concerned there are two important things. One is doing regular work out and the other more important thing is diet. In diet you should remember that proteins are the part of the diet which form the muscle mass. If you are a non-vegetarian you can eat eggs, chicken and if you are a vegetarian you can eat lots of pulses and soyabeans and nuts. You better take your meals more frequently like three major meals and three snacks. There are good protein shakes available in the market too if you are ready to spend some money too. The amount of carbohydrates and fats should be decreased a little in your diet because they will increase your fat content in the body and it is not good if you are looking for a muscular body. But they should form a part of your meal as they also have importance in our body for the normal functioning of the body. I hope this helps." + }, + { + "id": 4381, + "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": 5492, + "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": 18920, + "tgt": "Had D and C before a month. Should I continue Primolut?", + "src": "Patient: Hi doctor, I had D and C before a month and I bled for five to six days after that. I was given Xamic for three days and Primolut N for 21 days. I had brownish discharge 18 days after my D and C and then had bleeding for seven days. I am still spotting. My hCG three days prior to periods came 21 and my ultrasound while in periods came normal. The reason of my D and C was hydropic villi in placental tissue. Should I continue the tablet? Doctor: Hi. I understand your concern. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11840, + "tgt": "Will I get pregnant after having unprotected sex the night before I got my period?", + "src": "Patient: Hello doctor, I had unprotected sex the night before I got my period. I got my period, as usual, the day after. But about two weeks later, I feel extremely nauseous as soon as I wake up and it lasts throughout the day. I feel light headed, I have headaches, and I feel crampy, my sense of smell seems to be heightened. I have these symptoms every day. Could I be pregnant? Doctor: Hello. No, you are not pregnant possibly, because having sex just right before periods does not result in pregnancy. Secondly, if someone gets pregnant even then the symptoms of pregnancy does not show up quickly (15 days after having sex). You might be having stress and anxiety which is causing all these symptoms. You need to relax now and wait for your next periods to start. Hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 4169, + "tgt": "I have a small penis of 3. 5 inches. Will it affect my sexual life?", + "src": "Patient: Hello doctor, I am 25 years old. I have a small penis (size about 3.5 inches after erection) and night falls five to seven times in a month. My height is 168 cm and weighs about 59 kg. I am unmarried, doing shift duty. I sleep usually six to eight hours a day. I have not taken any medical treatment for this problem. Doctor: Hello. I read your query and understand your concerns. From the mentioned parameters there is nothing normal other than night fall which is five to seven times per month. Regarding night falls, I like to inform you that this is a natural process. Our body keeps on producing sperms irrespective of our sexual activity. If the sperm get the way of outside by either sexual intercourse or masturbation then the problem is less likely to occur. If somebody is not sexually active and not doing masturbation to release these sperm they get discharged automatically. This is a kind of overflow. This is more likely to occur when we have a lot of sexual fantasies and get dreams of sex or some other activity with beautiful girls. The current night fall is may be all these things. Either you are not sexually active or not doing masturbation or getting dreams of sex or a combination of all these. In regard to medical perspective, there is nothing abnormal with this but in my view, you need to get an appropriate partner for you. It happens to almost everybody when they are not sexually active for a couple of days or weeks. Regarding your small size penis, I would like to inform you that the average size of penis across the globe is three to five inches while erect. Presence of 3.5 inch size of penis is also absolutely normal and there is nothing to worry about this. Do not go for porn movies and old stories where a large penis is depicted as manhood capability. Even in the literature the girth of the penis is given more importance than length. I will explain why the size does not matter. The normal size of female vagina is about six to seven inches and out of this only outer one third is sensitive. So I mean to say that a man who is able to stimulate outer one third of vagina is equal in sexual pleasure to the one who is able to stimulate full length. To stimulate one-third of female vagina a man need just three-inch penis and nothing more. Fortunately, you have much bigger than the minimum size of penis and you can satisfy any women who have normal size vagina. Other than this the sexual pleasure depends on the other factors like your age, lust, attraction to the partner, your stress level to name a few. The most important factor in sexual satisfaction is foreplay which takes place before true intercourse. If you can devote sufficient time to it you are a man in true sense. I hope this helps." + }, + { + "id": 4680, + "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": 26885, + "tgt": "I take Provera to get periods. Can I have unprotected sex without conceiving?", + "src": "Patient: Hello doctor, I did not get my periods for years, and finally, I went to a doctor, and they put me on Provera. I take it the first to 12th of every month, and I get my periods on the third day after stopping the medicine. Since I do not ovulate due to the lack of hormone, and I take medicine to induce my ovulation medically. Could I have unprotected sex either during or after my period without conceiving? Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6590, + "tgt": "I vomited forcefully and felt a strong burn after that. Why?", + "src": "Patient: Hello doctor, Yesterday I ate some pizza and drank tea at around 9 pm at a party. I had a feel like there was something stuck at my upper stomach and had a little pain. I was ignoring it, but then I got worried it might be something bad. So I forced myself to vomit, and I kept vomiting for half an hour. I am not sure, but maybe there was a bit of blood. I felt a strong burn after that, and it got worse. I felt a sharp pain on the right chest every time I swallow. I am worried. Doctor: Hello. 1) Your symptom is suggestive of a small linear esophageal tear due to forceful vomiting. 2) In this condition, linear tear develops on the inner wall of the lowermost part of the esophagus. This is responsible for a small amount of blood in vomit and pain in the chest. 3) You should take semi-solid foods for a few days to promote healing of this tear. Otherwise, no specific treatment is required. 4) If pain is severe, then you can try antacid syrup to smoothen the lower part of the esophagus, which gives relief from pain and also promotes healing. 5) Also, remember, never induce forceful vomiting." + }, + { + "id": 15172, + "tgt": "Why is there no reduction in the frequency of motion in a child after giving pre and probiotics?", + "src": "Patient: Hello doctor, My baby is 2 months old and he is suffering from motions 9 to 10 times a day. I gave him Cefixime six drops and prebiotic and probiotic 1 ml two times a day but there is no improvement. Please give me advice. Doctor: Hi. There is no role of Cefixime in loose motions without bloody stools in children. Also, children below the age of six months pass stools 10 to 15 times per day or once in 2 to 3 days. So, do not worry. There may be a possibility that you may have changed the formula or feed pattern for the child. As long as the child is active and feeding well you need not worry. Also, check for dehydration in the child by keeping a check on the weight of the child. If the weight of the child is dropping drastically it may indicate dehydration. You can continue pre-probiotic for another 2 to 3 days and if you want to be very sure that whether the baby is fine or not you can do CBC, CRP, SGPT and stool routine microscopy for the child." + }, + { + "id": 10239, + "tgt": "I am getting pain in penis and tingling sensation in testicles. Please help", + "src": "Patient: Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burning with and without urination and pain within the penis.\u00a0I have been to three different walk-in clinics and had three different antibiotics, including Levaquin, Bactrim and Cipro. I went to a urologist and was told to have pelvic pain syndrome. I have had similar issues in the past. I dealt with a prostate infection a few years ago and that was treated with antibiotics. But, this time nothing is working. Most urine cultures show no bacteria. My thoughts are possibly pudendal neuralgia or interstitial cystitis, as my mom has IC. Do you advise sonogram or endoscopy or medications? Doctor: Hi. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-term therapy. I would suggest that you follow up with a urologist on a long term basis. Therapy takes some time and different medications work for different patients. IC (interstitial cystitis- painful bladder) is also a possible condition, but CPPS is more common in males than IC. You do not meet all criteria for IC as per the classic definitions. So, I would keep CPPS as the first differential. I am mentioning some tests that you may want to get done to clarify the situation in a better way. Recurrent infections. Urine anti-proliferative factor, EPS Culture (expressed prostatic secretions) after prostatic massage, uroflowmetry with post-void residual urine assessment and cystoscopy. 1. CPPS IIIA. 2. BPS (bladder pain syndrome) / IC. I suggest combination of Amitriptyline, alpha blockers, NSAIDS (nonsteroidal anti-inflammatory drugs) and Gabapentin. Dietary modifications will be necessary. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Stay away from spices, coffee and anything that you feel trigger the symptoms or aggravate them. Revert back with the reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29335, + "tgt": "I had a strange episode and do not remember anything of that moment. What should I do?", + "src": "Patient: Hi doctor, I had a strange episode the other day where I was driving, and it was like I lost and had been in a trance or asleep. When I snapped out of it, I was not sure where I was. I thought I was lost at first and did not recognize anything, although I take this trip daily. I had not been sleepy, deep in thought or stressed or anything. I got to work finally. I do not remember anything which has to be done in office on that day. I was told I had said something to someone and had no recollection of it happening and causing a bad argument.\u00a0I had an\u00a0appointment with a\u00a0neurologist today, because of other symptoms. I told him about it, and he said let us see if it happens again. I work in a maximum security male prison with inmates around me for 8 hours. The driving thing scared the crap out. With my job, I cannot risk that happening again without being on a path to figuring out what caused it. What would or should I do? I am not terrified there is something wrong with me, but I am scared of that happening again. Doctor: Hi. The episode you describe fits into either a syncope or a dissociation. I think your neurologist is right. One episode of syncope is not a big problem. However, my further recommendation is to make an appointment with a cardiologist also. Some cardiac problems such as arrhythmias and cardiac valve problems could be associated with this kind of episodes. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27708, + "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": 30089, + "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": 10944, + "tgt": "What could the possible cause of miscarriage at 5th week?", + "src": "Patient: Hello doctor,I had a miscarriage at 5th weeks before a month. I did a pelvic ultrasound, and the doctor said everything was fine. I would like to know the possible cause and how to avoid them? As I am ready to try for a baby again. Doctor: Hello. First trimester miscarriages are very common, and mostly they are due to underlying abnormalities in the baby which are not diagnosed on ultrasound, and the most common cause is chromosomal abnormalities. So nothing to worry about and you can try for your next baby and keep taking folic acid meanwhile. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 25472, + "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": 30247, + "tgt": "Watching porn has become a part of my life. How to get rid of that?", + "src": "Patient: Hi doctor, I have a habit of watching porn. I want to get rid of this, but I could not. Watching porn has become a part of my life. How to get rid of this? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25055, + "tgt": "I have heavy periods since three weeks. Is this pregnancy?", + "src": "Patient: Hello doctor,I have a query on heavy periods since three weeks. Doctor: Hello. Did you miss periods before that, or is there any chance of pregnancy? If yes, then it may be due to incomplete abortion. If there is no such chance and you never had this before then it may be due to many reasons for which you will need blood tests: Hb, TC, DC, platelets, PT, BT, CT, TSH and ultrasound of pelvis. If you have been taking any hormonal pills then it may be withdrawal bleeding. Please give details. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26678, + "tgt": "How to cure hepatitis C viral disease?", + "src": "Patient: Hi doctor, My mother is 59 years old, with type 2 diabetes for the past 15 years. She is taking medications for diabetes, blood pressure and multivitamin Centrum Her diabetes and BP are under control. Before four months, she had severe vomiting, fever and body pain. We approached a hospital and did the blood tests. The results came positive for SGOT and SGPT. Since then, she has been taking medications for SGOT and SGPT, but it did not come down. We approached another doctor, who requested us to get back with the following test results: hepatitis C viral (HCV RNA) quantitative real-time\u00a0PCR - 2744422 IU/mL, linear reporting range of the assay is 43 to 6.9 X 10 (7). HCV RNA detected with the linear range of the assay. The SGOT value is 87 IU/L, and the level of SGPT is 95 IU/L. I have attached the reports. I kindly request you to review the reports and advice on the following questions:\u00a0HCV RNA real-time results are severe or at the starting stage?\u00a0The doctor explained that the results suggest hepatitis C. Can you tell me whether it is contagious and harmful if she lives near pregnant women?\u00a0What medications are preferred to control the SGPT, SGOT and HCV RNA? If possible, please provide the medicine name.\u00a0How long does she need\u00a0to take the medication to cure the disease?\u00a0Can she get any drugs abroad?\u00a0Many thanks in advance for the help and support. Kind regards. Doctor: Hi. I went through your post and investigations (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23027, + "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": 10847, + "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": 11472, + "tgt": "I feel a tight band like pressure on my head while wearing specs. Why?", + "src": "Patient: Hello doctor, I feel a tight band like pressure around my head while wearing specs. I try not to flinch my head muscles while feeling the head pressure fearing it will escalate the pressure feeling. I started wearing specs from the age of 16, and now I am 19. I do not want to wear contact lenses and cannot go for LASIK because of keratoconus in my right eye. When can I get rid of this feeling or get a proper way of coping with it? Doctor: Hello. You probably have a tension-type headache. This can be managed with medicine and relaxation exercises and by reducing the stress as well. Even with specs, you can manage these headache symptoms. For more clarity on your symptoms and further evaluation, you can visit nearby psychiatrist or neurologist. So as of now, limit your time in watching tv or mobile. Do regular relaxation exercises, manage your stress effectively and have adequate sleep. Painkiller drugs like Paracetamol or Ibuprofen can be used whenever required. A drug like Fluoxetine or SSRI (selective serotonin reuptake inhibitor) can be used to manage symptoms associated with stress. I hope this clarifies your concern." + }, + { + "id": 26304, + "tgt": "I have itching in different parts of my body. Is it some kind of an allergy?", + "src": "Patient: Hello doctor, Since two months, I have been having itching in different parts of my body. But, I had the medicines from two weeks back only. My lab tests results\u00a0under serology include an IgE at\u00a0527.62 kU/L. I have been on these medicines for two weeks, Animus-L one in the night and Softin one in the morning. The medicines got over the day before yesterday. But, the itching persists in different parts of the\u00a0body from head to legs. Please advise. Doctor: Hello. Do revert back if you need any further support. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 5579, + "tgt": "My pregnant wife gets bleeding and there are hyperechoic areas in scan. What does that mean?", + "src": "Patient: Hello doctor, My wife is 15 weeks pregnant and went to the ER with bleeding on Monday. They did an ultrasound, bloodwork, etc., she followed up with her OB the next day. The OB really did not seem concerned, and she put her on pelvic rest and scheduled a follow up for two and a half weeks out. She continued to bleed (mostly brownish blood), sometimes heavier and sometimes almost nothing she said. She measured right on schedule and the heart rate was good. I am not sure if the radiology report is saying that there are one or two hypoechoic areas. Can you determine? Also, she said that she passed a couple of clots, but the blood has been brown blood for the most part. What I want to know is, is this a subchorionic hemorrhage? Also, based on the details, how much more at risk for miscarriage or pre-term delivery does this put us? The OB said that this does not put her at any higher risk for miscarriage, but from what I am seeing online, I believe that. She had her previous delivery without any bleeding issues, but she did have pre-eclampsia and Hellp syndrome on 39 weeks when she was induced. Here is what the radiology report says: The amniotic fluid volume is within normal limits on inspection. The placenta is posterior, fundal, and grade 0. No placenta previa. No low-lying placenta. No placental abruption is seen. Hypoechoic area is adjacent to the gestational sac in the cervical region. The cervix measures 2.9 cm in length. The hypoechoic area within the cervix measuring 2.9 x 1.1 x 0.7. The maternal right and left adnexa were not evaluated. Impression: 1. Single live intrauterine gestation as noted above. No suspicious findings. 2. Hypoechoic area adjacent to the gestational sac in the cervical region is compatible with a bleed. Hypoechoic area within the cervix measuring 2.9 x 1.1 x 0.7 is compatible with blood products. Recommended attention to these findings on follow up ultrasound. Doctor: Hello, Welcome to iclinq.com. Thanks for sharing this information with us. You are right that hypoechoic area on the scan corresponds to the bleed but as far as this bleed is concerned there is no way to stop it and in my opinion as your wife has already progressed to 15 weeks the chances of miscarriage are reduced a lot rather there are chances of having pre term labor in the later half of pregnancy. So for that her gynecologist should keep an eye on her, and you have mentioned that she was having pre-eclampsia in last pregnancy then in my opinion she must have been started on Aspirin 75 mg in this pregnancy to reduce the chances of developing pre-eclampsia and also reduces formation of clots elsewhere in the vascular system which is definitely helpful for now. I might say that your wife can discuss having tablet Duphaston (Dydrogesterone) and Aspirin with her doctor and they can come up with the best advice for her health. Pelvic rest is the only thing that can be done for now as she is in her early pregnancy. I hope this helps." + }, + { + "id": 244, + "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": 30668, + "tgt": "As I am getting pain in vagina, we are not able to have sex. Please help", + "src": "Patient: Hi doctor, I am a 24 year old woman. I got married a year ago. But, we could not have sex successfully. Whenever we try, I am getting severe pain in my vagina. What shall we do? Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3917, + "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": 20455, + "tgt": "When can periods be expected after taking I-pill?", + "src": "Patient: Hello doctor, My fiancee ate I-pill tablet because, after sexual relation, I touched and wiped off sperm and touched inside the cervix. So, we have doubt that she might get pregnant after touching inside. Please tell what will happen to her after taking the pill. Doctor: Hi. If her periods are regular and expecting it in a few days, she will not get pregnant as ovulation is over. But her periods should be regular. I-pill will also protect but it should not be taken frequently." + }, + { + "id": 24651, + "tgt": "How effective is Metformin 1000 mg a day in controlling sugar levels?", + "src": "Patient: Hello doctor, I had my glucose over 600 mg/dl for about a month. I went to the ER and was diagnosed with type 2 diabetes. They put me on Metformin 500 mg twice daily. I have been taking it for almost two weeks, and my fasting glucose levels are not going under 300 mg/dl. I do not have the doctor's appointment until next week. So, shall I continue with just 1000 mg of Metformin a day? Doctor: Hello, Welcome back to icliniq.com. I understand your concern. Going by your reports (attachment removed to protect patient identity), it looks like you need an increase in the dose of medication. Your doctor may either choose to increase the dose of Metformin or to add another new drug to the existing dose of Metformin. Another option is to prescribe insulin injections. Metformin can be taken at a dose up to 1000 mg twice a day (2000 mg/day). But it is ideal for you to meet your doctor so that you get a proper prescription for a clinical examination. Lifestyle changes will help you a lot. Avoid sweet food and high-calorie food (containing oil, cheese or cream). Include lots of raw vegetables in your diet. Exercise regularly. You can start by walking 30 to 45 minutes daily. Weight loss will help you to a great extent to bring down blood sugar levels. Even a 10 % reduction in weight can reflect as significant improvement in your health status. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 5917, + "tgt": "How long does the effect of anti-D and abortion last in the body?", + "src": "Patient: Hello doctor, How long the effect of anti-D and abortion last in the body? Doctor: Hello, Welcome to icliniq.com. The effect of anti D will last forever until there is another exposure in Rh -ve woman of an Rh +ve blood in the form of blood transfusion or Rh +ve pregnancy. Usually, first pregnancy is spared as the Rh +ve cells when entering the maternal blood at the time of feto maternal hemorrhage like during labor, or rupture of membranes or abortion, there is sensitization of cells and no harm. But when again in second pregnancy there is a transfer of cells, there is Ag- Ab (antigen-antibody) reaction and hemolysis, means the breakdown of red cells and harm to the fetus in the form of anemia, hydrops, etc. That is why we give an injection of anti D to prevent the sensitization of these cells." + }, + { + "id": 14168, + "tgt": "I have yellow stains in my teeth. May I use whitening toothpastes?", + "src": "Patient: Hello doctor, I have yellow stains in my teeth. I feel very bad before others.\u00a0This problem has been there since childhood. I have attached the pictures of my stained teeth. Please advise. Doctor: Hello. I have gone through the attached pictures (attachment removed to protect patient identity). It is a permanent discoloration which cannot be removed by normal means like dental scaling. It needs a treatment called lamineering of the front 4 or 6 teeth as required. In this procedure, the front side of teeth will be reduced and a ceramic laminate (covering) will be fixed permanently. The other option is that you can also place a full ceramic crown (cap) over the 4 or 6 teeth for better durability. These treatments are a little expensive, but will provide a natural look to your teeth. There is no other permanent solution to your problem." + }, + { + "id": 30721, + "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": 19545, + "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": 12025, + "tgt": "How to treat typhoid fever?", + "src": "Patient: Hi doctor, I am a 29 year old male. I am suffering from fever for the last one week. Doctor told me that I am suffering with typhoid. He suggested me PECEF Duo 200, Penxo-D and Zall-XP. I have attached the reports. I have used these medicines for the last three days but still I have a temperature of 100 degrees. I request you to see the attached report and confirm my disease. Is it a curable one with the above medicine and diet? Doctor: Hi. Your reports (attachments removed to protect patient identity) do show high titers of Salmonella typhi O and H antigen. The treatment offered with antibiotic, Cefpodoxime 200 mg twice a day, is to be taken ideally for 10 days along with Pen-D (Pantoprazole and Domperidone). However, you should keep yourself well hydrated and also take tablet Combiflam (combination of Paracetamol and Ibuprofen) 500 mg twice a day for next five days plus capsule Becosules (multivitamin), one capsule twice a day for next 10 days. This will help to control the fever which shall settle down by fifth to seventh day. Eat homemade freshly cooked warm food with green leafy vegetables, rice and a cup of dal daily. You should take a cup of curd daily in the afternoon with the lunch. Weakness is a part of illness and hence keep yourself hydrated with lemon flavored Glucon-D, use thrice a day with 2 teaspoon in a glass of water. Take rest, which forms an important part of treatment along with clean water source, either RO (reverse osmosis) or boiled. Combiflam shall relieve your body ache and fever, so please take it as well." + }, + { + "id": 9329, + "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": 16628, + "tgt": "Can you suggest a medicine to prevent urination at night during travel?", + "src": "Patient: Hi doctor, I am going to have a long journey. Can I take a salt tablet to prevent urination during the night? If so, please suggest any tablet. Doctor: Hi. Revert with more details to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24744, + "tgt": "How can anal fissure be treated?", + "src": "Patient: Hello doctor,Six months ago, I faced anal fissure problem, which resolved through diet and medicine. One month ago due to constipation, bleeding started during the passing of stool. Now one inner hemorrhoid has protruded about 0.3 inches in size in the anal area. This creates pain for six hours after the passage of stool. Please suggest treatment. Doctor: Hello. You must be having a recurrent anal fissure (fissure-in-ano). You need to see a surgeon so that you are not missing anything else.For fissures, the following remedies work wonders: These have to be followed strictly for a week. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 18198, + "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": 19327, + "tgt": "What could be the best medicine for allergic rhinitis?", + "src": "Patient: Hi, I am currently using Duonase nasal spray and Odimont LC for the allergic rhinitis. I am getting mild fever after taking Duonase. Is it safe to take Duonase? Can I take Paracetamol for fever while using Duonase? Is there any alternative for Duonase without steroids? Doctor: Hi. For further information consult an allergy specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 4930, + "tgt": "What causes pain and swelling under ribs with constipation?", + "src": "Patient: Hi doctor, About 8 months ago, I had kidney stones with pain under my rib cage and swelling. The kidney stones are gone but the pain and swelling under my ribs came back one month ago with constipation. I did a CT scan without IVCM, everything is normal except a mild left basal pleural thickening noted. Please advise. Doctor: Hello. We are here to help you. It seems you are suffering from muscular pain. The muscular chest pain aggravates with movement. It is dull, diffuse and continuous in nature. This can result from incorrect posture during the night while you were sleeping. However, in case you have any pain in the upper part of the abdomen, or you had consumed alcohol in case last night, you would require to get an ultrasound abdomen to rule out any evidence of gall bladder stones or alcohol-induced pancreatitis. For muscular pain you should do hot fomentation over the involved area 3 to 4 times a day. You should apply Diclofenac gel locally over the involved area. To take anti-inflammatory and analgesic pain killer like Ibuprofen, Etoricoxib, if the pain is very severe. Share my opinion with your doctor before acting upon it." + }, + { + "id": 8338, + "tgt": "My hemoglobin level is 5. 4 g/dL. What should I do?", + "src": "Patient: Hi doctor, I am 33 years old, 6 feet and 3 inches tall, and my weight is 100 kg. My hemoglobin level is 5.4 g/dL, and platelet level is 1.38 lakh/mcL. I have attached the reports. Please help. Doctor: Hi. Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27867, + "tgt": "Why does my 14 year old daughter get angry over small issues?", + "src": "Patient: Hi doctor,My 14 year old daughter has some problems. She is unable to focus on studies, and she replies people without hearing them properly. She gets angry on small issues, and she is addicted to her smartphone. If we take it from her, then she becomes angry. On getting angry, she throws whatever she has in her hand. She does not like to play, and she sleeps most of the time. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3710, + "tgt": "Is it a must to undergo bypass surgery for chest pain?", + "src": "Patient: Hi doctor, My father had chest pain three months back, but he took it lightly. In the last two months, the pain has increased. Now I took him to a doctor. After all the tests and angiography he suggested to do bypass surgery. As we are not much aware of these types of diseases in family, we are looking for a second opinion.\u00a0I request you to kindly look at the report and suggest your opinion. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13311, + "tgt": "Is it possible to get vata derangement due to masturbation?", + "src": "Patient: Hello doctor, Does masturbation cause vata derangement? I am experiencing digestive issues from the past one year. Is this because of masturbation? Also, does masturbation cause dry skin? How can I reverse these effects? Doctor: Hello. The masturbation causes dry skin and causes weakness also. First of all, stop it. Work on your digestive trouble first. Have 3 to 5 soaked almonds daily morning along with 10 Munakka (black dried grapes), weekly twice black dates and fig (alternate). Take one cup of water with 1/2 teaspoon of jeera powder-boil, do not filter, add half teaspoon ghee in it and drink warm-daily once for 10 days. Ashvagandharishta (450 ml bottle) 15 ml twice daily with equal water after food. Go to any ayurvedic panchakarma center for rejuvenation therapy after 15 days if still feeling weak." + }, + { + "id": 20587, + "tgt": "My wife started bleeding after the first time we had sex. What would be the reason?", + "src": "Patient: Hello doctor, Yesterday, my wife had bleeding for a minute after we had sex for the first time. What would be the reason for this problem? Doctor: Hi. I presume that your wife had bleeding through her vagina.If it is the first time that you both had sex, then you need not have to worry at all. This is due to the rupture of a thin membrane which covers the vaginal orifice (opening). This membrane is called the hymen membrane. This membrane is vascular enough to cause bleeding. But it remits on its own. For further clarifications, consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrics-and-gynaecologist" + }, + { + "id": 30368, + "tgt": "What is your opinion about my father's medication?", + "src": "Patient: Hi doctor, My father had a stroke before 10 years (left hemisensory infarct) and two years ago, he has undergone CABG.\u00a0Two days back, while walking, he felt some numbness in his right side leg and arm up to the shoulder. It persisted for about half an hour. Now, he is fine. But, when we visited the doctors, they suspected a TIA.\u00a0They have made some changes to his medicines.\u00a0He was taking Clopilet 75 mg and Ecosprin 150 mg once daily, which they have changed to Arreno (Aspirin and Dipyridamole - 25/200 mg) two times a day and Ecosprin 75 mg once a day.\u00a0Is this better?\u00a0Can he take Arenno and Ecosprin 75 together in the morning instead of taking Ecosprin 75 in the afternoon as there is a change to forget? His current medications are Mixtard Insulin 30/70 - 38 units in the morning and 15 units at night, Glycomet GP2 one tablet in the morning and one at night, Linagliptin 5 mg, Fibator 10 mg, Metolar 25, Dynapres 0.4, Arreno, Ecosprin 75 mg and Thyronorm 25 mg one tablet on weekdays and two tablets on weekends. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30787, + "tgt": "How to get quick relief from cold and nasal congestion?", + "src": "Patient: Hi doctor,My mother is a diabetic and also hypertension patient. She is 66 years old. She is on regular diabetes and anti-hypertensive medicine. Now, she has severe cold, nasal congestion and ear congestion. Which medicine can be taken? Will Cetirizine be effective? Doctor: Hi. I have gone through your query and can understand your concern. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22402, + "tgt": "I had a pimple which has become an outgrowth like structure. Please help", + "src": "Patient: Hi doctor,One month ago, I had a pimple on my cheek. I scratched it due to itching. And after it almost started to harden I again scratched it. Now it has become an outgrowth like structure and looking bad after shaving. Kindly give a suitable medication for this. Doctor: Hi. Although the photograph (attachment removed to protect patient identity) is not clear enough to distinguish from a wart or keloid, from your history it seems to be a keloid from a pimple you scratched. The prognosis of the keloid is often unpredictable, but quite often they will subside itself over a few months. There are certain treatment options for keloid although none are perfectively effective. This includes injection of steroids in the keloid or laser therapy. Avoid scratching and picking of pimples to prevent further keloid formation. If it does not cause many problems you can wait for a few months, most probably it will subside itself. Otherwise, you can consult a nearby dermatologist for the treatment options mentioned above. No topical cream is effective for this case. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3125, + "tgt": "What is the chance of pregnancy on taking birth control pills after unprotected sex?", + "src": "Patient: Hello doctor, I was on birth control (Aviane) for almost two years. I stopped taking the pills after my serious relationship ended before two months. My first period after my withdrawal bleed happened in the middle of last month. It lasted about two days, was somewhat heavy, but then I mostly spotted for two days. Since then, all of my periods have been the same. Somewhat heavy for two days, then light spotting for two or three days. My cervical mucus has not seemed fertile, and I have not felt any ovulation pains like before I was on birth control. Everything about my period seemed different, and I have been thinking that meant that I was not ovulating like before, but I know that might not be the case. I had unprotected sex on day 10 of my cycle. We used the pull-out method, but just to be safe, I took five orange pills (Aviane) about 12 hours later, then five more orange pills 12 hours after the first dose. Today, four days later, I am feeling mildly crampy, but I am experiencing a lot of white thick discharge. My question is, are my chances of pregnancy low considering everything? And also, if I experience a withdrawal bleed from the bc pills, when should I expect my real period again? Doctor: Hi. Since you have taken pills, there is no chance of pregnancy. These symptoms could be because of hormonal changes due to the pill you have taken. Your next period could be a bit erratic, because of the hormonal changes due to the pill you have taken. But from the third month, usually, it get back to normal. So relax and do not worry. However, if you have any doubt then get back to me." + }, + { + "id": 8000, + "tgt": "My knee pain is so severe and it makes me impossible to walk. Kindly help", + "src": "Patient: Hello doctor,I have been having severe pain in my left knee for roughly three days now. It is on the inside of the knee and slightly behind the knee cap while standing and with my leg straight. When it is bent, it is on the outside of the knee too. I cannot put any weight on it, cannot walk properly without limping. It hurts to bend it and to straighten it fully. What it could be? Doctor: Hello. Sudden onset of pain at this generally indicates traumatic nature of suffering. It is possible that you suffered with some minor injury in last couple of days. The second possibility is an infection in which there may be redness and slight fever over the affected joint. In case both do not apply to you, there is ample possibility of arthritis. My advice is to continue analgesics along with the application of cold or ice on the affected joint. If you do not feel improved in next two-three days, seek the proper consultation from your doctor so he can examine and make a proper diagnosis." + }, + { + "id": 22620, + "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": 13253, + "tgt": "Kindly suggest management for lower back pain", + "src": "Patient: Hello doctor, I am experiencing lower back pain. It is hard to sit up and to stand or to do any rotating motions. There is also pain with curving my back. I have tried a massage bed and using tennis balls and a foam roller to stretch out the lower back but that is not helping. Doctor: Hello. I have gone through history. It appears to me as a sacroiliac joint dysfunction. As it has occurred in the past and resolved, it should not be a big issue this time also. In sacroiliac joint dysfunction, there is a malpositioning of the sacrum and the iliac crest which can lead to sharp shooting pain which is non-radiating or tingling in nature. Maybe you have too much muscle spasm. You can use hot water fomentation and try to lie on your back and tuck the stomach in for 30 seconds, keep repeating this for 10 times with a pause of 30 seconds in between. By 2 to 3 days of time, you should perform well. Post this, you have to start working out for your core and hip muscle strengthening to be precise the gluteus muscles. Muscle weakness. Nothing required. DDD. Muscle spasm with SIJ dysfunction. Hot water fomentation with exercise. Do not try to bend forward or lift heavy object till pain subsides." + }, + { + "id": 10046, + "tgt": "How to overcome sexual attraction towards my mother?", + "src": "Patient: Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my mother naked sometimes and this fed my lust towards her even more. I am getting dirty thoughts about her when I think about having love with her.\u00a0I also watch porn especially incest. I want to express my love to her sexually. Please provide some way to overcome this. I am not under any medication. I am just trying to control myself mentally. Doctor: Hello. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and respect. The feelings you have described towards your own mother are wrong and should be controlled. In future this might result in relationship problem in your case especially towards your wife. This might result in difficulty in maintaining relationship with any other female. To overcome the problem you have to work hard. One thing is that stop watching porn completely. If that is not possible at this moment then watch videos only and avoid going to forums or reading stories of incest online. Such things increase the perversions. Avoid watching any material that relates to incest. I am not saying that you should stop masturbating but stop thinking about incest. You are having guilty after incest ideas, so most likely these are intrusive ideas and should be treated also. If possible visit a psychiatrist for help. Medicines like Paroxetine or Fluoxetine can help to control your intrusive ideas and you will feel better. These are safe medicines. Spend your time in outdoor activities. Gym and sports will help to vent out your energy and you will feel better. Avoid spending more time on computer and if your work permits then stop using computer or internet for some days. This will help you to overcome the addiction. Psychological conflicts. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4947, + "tgt": "Is it advisable to get hemisection done in a molar with crown and abscess?", + "src": "Patient: Hello doctor, My crown has become loose as there is decay inside the crown and around half the edge but not visible. I was told that tooth is stable underneath. I saw one endodontist who said to rule out implant and he would do root canal but bone and gum are less than ideal and 50-50 chances are there that it will work. He also did not clear all the decay, did not take the crown off but drills straight through. (A wobbly decayed tooth underneath crown?), did not do the post or crown. There is a long standing chronic abcess at root for years. Current root canal was done 7 years ago. I do not have any other molars left in lower. I am in shocked, sad, anxious and 60 years old. I feel tempted to go to an unknown dentist just to see if he could do a hemisection as the Endodontist I talk to \"no longer do them as implants are available and hemis tend not to last long\". Does anyone reading this please see any hope for this tooth? I chew on it and have no sensitivity and no pain; no symptoms at all. There is gum recession I have complained to dentist about for the last couple of years. I am concerned I will regret not trying to save this tooth if at all possible. Also told to see prosthodontist to ensure a crown could be made if I get the retreatment. I have two tracks I am pursuing. I will see an oral surgeon tomorrow to rule out implant and then see prosthodontist. I am attaching X-rays. Concerned in this decision making process about any further damage being done to gum and or bone. Impeccable hygiene history. Doctor: Hello. Seeing the recent X-rays (attachment removed to protect patient identity) it is obvious that the distal root has abscess and should be removed. Hemisection might be a good idea but it alone cannot withstand the biting force and if you can afford, then go for a molar implant behind this tooth so that you will get one extra molar to chew on. A hemisection to retain the mesial root of this tooth along with another implant behind it will give adequate tooth structure to have a normal biting force. If you cannot afford both then go for extraction of this abscessed tooth and an implant as hemisection alone is not strong unless it has more support behind it." + }, + { + "id": 17411, + "tgt": "My erection problem is getting worse. Please suggest some treatment", + "src": "Patient: Hi doctor, I am 46 years old. My weight is 75 kg and my height is 6 feet. I have no diabetes or BP, but have asthma and it is under control. I am facing problems in getting erections. It is getting worse with time. Please suggest some treatment for this. Thank you. Doctor: Hello. Revert back with the detailed information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24095, + "tgt": "My fiancee is three days late on her period after sex. Is she pregnant?", + "src": "Patient: Hello doctor, I had sex with my fiancee 10 days ago. I used a condom and checked the leakage or damage after ejaculation. There was no damage involved. But, she is having yellow vaginal discharge and is three days late on her period. What may be the reason? Could it be pregnancy? Doctor: Hello. I have gone through your history and understand your concern. Pregnancy may be a chance. So, just take a pregnancy test with home urinary pregnancy kit available in the market. You can do with any urine sample or with early morning sample. Do a test as early as possible and get back with test results for further discussion. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17941, + "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": 26261, + "tgt": "I am 42. Can I conceive twins without any risks?", + "src": "Patient: Hi doctor,I am a 42 year old woman. Can I still conceive? Also, can I conceive twins without any risks? Doctor: Hello. How are you doing? Do not lose hope, there is a solution for every problem.\u00a0Hope 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": 13687, + "tgt": "I am on Abilify and Cymbalta. Could the drugs cause tremor as a side effect?", + "src": "Patient: Hi doctor, I have schizoaffective disorder. I take Abilify and Cymbalta. But most of the time my hands shake badly. Do you think it could be due to Abilify and Cymbalta or it could be more related to my disease? Does Abilify cause tremors as a side effect? Doctor: Hello. How long have you had these tremors? Is it present all the time? Did you develop these tremors only after starting medication or did you have some form of shaking even before medication? Both Abilify (Aripiprazole) and Cymbalta (Duloxetine) are known to be associated with tremors. Have you discussed these tremors with your treating doctor or psychiatrist? You need to be assessed for signs of extrapyramidal side effects. Abilify (Aripiprazole) is a proper medication for your condition. Any medication can come with side effects. So after assessment, your doctor can either optimize the dose of the medication or if appropriate consider a medication like Pacitane (Trihexyphenidyl) to control these symptoms. Also try to practise progressive muscular relaxation and deep breathing exercises . It will help to calm your nerves as stress can exacerbate these symptoms. You are welcome to contact us if any further advice is needed." + }, + { + "id": 26168, + "tgt": "I like to masturbate, but not sex. Why?", + "src": "Patient: Hi doctor, I am 31 years old. I have been married for 3.5 years now. I hardly feel to have sex with my wife. Sometimes, the gap will be more than a month. I masturbate almost on a daily basis and sometimes, twice or thrice in a day after watching porn. I am somehow addicted to it and not able to stop it. My wife has a very high sex drive. As I turn it down, it is causing lots of problems between us.\u00a0Is there some deficiency with me? Can any medication or test help me in this? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23454, + "tgt": "I have been sick with parasites for past six months. What has to be done?", + "src": "Patient: Hi doctor, I have been sick with parasites for past six months and I would like to know if you are able to prescribe medication to get rid of them or to tell me what to tell my family doctor to prescribe me as I am having a hard time getting a appointment with infectious disease. I have been taking wormwood and black walnut. My symptoms are and have been diarrhea off and on, blood in stools, worms in stools (white, threadlike and more than 6 cm in length), dizzy, fever, chills, headache on and off, inflammation in body, urinate often, cough at night, and bad pain in stomach after meals especially with sugar and dairy. I stopped eating all dairy and sugar, cough up eggs often (oval white with dark in the middle, creamy colored discharge) and very painful ankles at night when I go to bed. Doctor: Hello. It is positive for Entamoeba histolytica and negative for other parasites. Let me know if it is mentioned positively for other parasites as well. Now, you are infected with two parasites, one is Entamoeba histolytica and other is worms. Here, we cannot directly prescribe you medicine, but you should request your physician for tablet Bandy plus (Albendazole 400 plus Ivermectin) once bedtime and be repeated after two weeks. Also, for Entamoeba, you should request for tablet Metronidazole 750 mg three times a day for seven days along with some antacids like tablet Pantoprazole DSR 40 mg before breakfast once a day for seven days. For stomach pain, you may request for tablet Dicyclomine 20 mg or Buscopan 10 mg SOS up to two to three times a day. For a cough, you may have syrup Alex (Dextromethorphan) two teaspoon whenever needed up to three times a day. Also, get it confirmed the type of worms which you are seeing in stools for any modifications in dosage. For this, you may get repeat stools examination done or show microbiologist a parasite to Identify. This should resolve your issue. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20296, + "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": 17159, + "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": 10161, + "tgt": "There is white fungal ring infection on forehead. Kindly suggest the ointment", + "src": "Patient: Hello doctor, There is white fungal ring infection on forehead of my daughter. Can you please suggest some oitnment? Doctor: Hi. I have gone through your case. In my opinion, I have two diagnosis of your daighter's lesion. It could be fungus or eczema patch. For this, please mix Hydrocortisone and Clotrimazole creams in equal amount and apply two times a day for 14 days. Also apply any baby lotion at night. Within 14 days, it should heal. If in case, it does not heal, then please see your local dermatologist to evaluate her for other conditions. My second diagnosis is leprosy. Please consult your local dermatologist if the lesion does not heal." + }, + { + "id": 22963, + "tgt": "In chest x-ray, what is the meaning of bilateral apical inhomogeneities?", + "src": "Patient: Hi doctor, I have applied for a\u00a0job in abroad. I was asked to get a\u00a0complete medical checkup. In the chest x-ray report, it was mentioned as bilateral apical inhomogeneities. What does it mean? Doctor: Hello. A chest x-ray is a routine part of any pre-employment checkup. Your query regarding reporting of x-ray as bilateral inhomogeneous opacities suggests old or active infection most probably tuberculosis. So, it is advisable to do sputum AFB test (acid-fast bacilli) to rule out whether it is an active or old infection. Usually, only the presence of inhomogeneous opacities does not make the person unfit for the job. A medical examination is done as a part of a pre-employment checkup for working abroad. Certain countries are very peculiar about some communicable diseases like tuberculosis. If the old or active infection is noted on x-ray, the candidate is declared unfit for the job. So. if your x-ray is reported as same as the other I advise you to do sputum AFB test and chest specialist consultation. If the report is positive, you can complete the full course and take a certificate from the treating physician before you apply for next job. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 6866, + "tgt": "I am a diabetic and hypertensive with less hemoglobin. Please help", + "src": "Patient: Hi doctor, I have less hemoglobin. I am a diabetic and hypertensive. Doctor: Hello. I have read your attached reports (attachment removed to protect patient identity). Following are the important abnormal findings seen: 1. Your hemoglobin level is low. RBC count, PCV, serum iron is also low. Hence, it is suggestive of iron deficiency anemia most probably. You can continue to take prescribed Iron tablet. If oral medicine is not helpful in increasing hemoglobin level then Iron injection can be prescribed. 2. Your vitamin D level is low. So take Cholecalciferol sachet 60000 IU once a week for eight weeks. The tablet also can be taken. 3. You are known case of diabetes and blood pressure. The blood sugar level is still little high. So need to control with life-style measures as well like exercise and low fat and low sugar diet. The kidney might be affected due to diabetes so your estimated GFR is low. I suggest you repeat EGFR after a few days. 4. B12 is water-soluble vitamin and B12 is raised due to supplements intake. Do not worry about that." + }, + { + "id": 22988, + "tgt": "Is there a permanent solution for repeated depressive episodes?", + "src": "Patient: Hello doctor, My husband is 32 years old and he got his first depressive episode five years back due to business stress. After that he is undergoing depressive episodes every year. He becomes fine after taking anti-depressants and does all his work normally. But again after few days depression repeats. He is kept on Lamitor 200 mg all these years. Is there a permanent solution to this problem? Doctor: Hi. It means it is a recurrent depressive disorder. Lamitor (Lamotrigine) is a mood stabilizer. So continue it. If illness worsens, start an antidepressant. There is no permanent solution for it. Only keep positivity in your life. Do meditation daily. Read good inspirational books. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30629, + "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": 7256, + "tgt": "My sperm and saliva stink badly. Can you help me?", + "src": "Patient: Hi doctor, I am a 26 year old man. I have thick sperm that stinks and my saliva\u00a0is also lumpy and\u00a0stinks really bad. This has been like this for a few years now. I have gone to the sexual health clinic and had urine and blood test. It showed up nothing and came back clear.\u00a0I also think that it may be contagious. My doctor does not have a clue. Can you help me? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6495, + "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": 4390, + "tgt": "Please suggest a siddha remedy for eczema in head with itching", + "src": "Patient: Hello doctor, My 3-year-old boy has eczema in the head with itching. It becomes pinkish sometimes while scratching. Please say some remedies. Doctor: Hello. This condition can be treated by Siddha drugs. This is known as kabala kuttam or a type of bala karapan. The allergic symptoms are due to external or internal allergy. For example, cow milk, wheat, health powders (Horlicks, etc), soya powder, shampoo, hair oil, hairpin, cloths touching hair, flowers kept on hair, cool-dry climate, certain allergic foods, etc. If the baby is still feeding by mother's milk, then the mother's milk might contain some allergen. This allergen is produced in milk if the above mentioned allergic products are used by the mother. First thing is to identify the allergen (triggering factor). Avoiding the trigger will give a permanent cure. The second thing is to treat the allergy by Siddha drugs. 1) Dhoorvathi thailam (other name is Arugam pul thailam) or Poduthalai thailam or Mathan thailam. Buy any one oil. Apply on the scalp (head). Wait for one hour, then give a mild hot water bath. Apply daily for 60 days. Once the lesion is cured, then apply this oil weekly two days. In the remaining days, you can use normal routine oils. 2) Vallaarai ghritam, give 10 drops in the morning, 10 drops in the afternoon and 10 drops in the night. Continue for 60 days. This drug cures skin problems in kids. It also improves memory and gives immunity. You may also get advice from nearby Siddha pediatrician." + }, + { + "id": 11102, + "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": 24504, + "tgt": "Why do I have pain on the back right side of my tongue?", + "src": "Patient: Hello doctor, I am having issues with my tongue. I have pain on the back right side of my tongue which is making it very difficult to eat, swallow, and talk. Also, I have a slight fever (99.5) and my tongue appears to be white in color. The pain started three days ago. Doctor: Hello. You may have tonsillitis or so if you have an ulcer-like lesion on your tongue. Please attach a picture if possible. I suggest you take a painkiller for relief. Is the pain continuous or intermittent or comes only when you take food? Use warm salt water gargle twice a day for a week. You should see a dentist or an ENT surgeon as soon as possible. I can suggest better if I can see a picture of the area having pain. Touch the area and press there on the tongue. Is the area hard or swollen? Please describe. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3188, + "tgt": "I am breastfeeding and trying to get pregnant. Please help", + "src": "Patient: Hello doctor, I am trying to get pregnant but I am breastfeeding. I only had two periods after giving birth, but I do not have a period in over two months. What can help me conceive without giving up breastfeeding? Doctor: Hi. May I ask how long it has been since your last delivery? From your given history of breastfeed, I can understand that your baby is still quite small and so I would suggest until he or she is at least three to four years of age before trying to conceive again. This is so that in between deliveries your body needs time to recover and repair itself. If you get pregnant too soon it will adversely affect your baby. As your cycles have not yet regularized it implies that you may not be ovulating regularly. This can happen sometimes during breastfeeding. It will resume order on its own. I would suggest you start the following iron and calcium tablets as well as folic acid. 1. Tablet Livogen XT once daily at night with lemon water. 2. Tablet Calcimax 500 mg once daily. 3. Tablet Folvite 5 mg once daily if you are planning to conceive. Please continue to breastfeed your baby regardless of whether your periods come or not. And kindly consider what I have explained above." + }, + { + "id": 30745, + "tgt": "How to maintain healthy sex life?", + "src": "Patient: Hi doctor, I have been suffering from mild depression\u00a0for the last two years. A year ago, I got married. Our sex life is not good. Now, we are planning for a baby. How to boost my sex life? Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14207, + "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": 7615, + "tgt": "Is it safe to take herbs rectally for anal fissure?", + "src": "Patient: Hello doctor, My acupuncturist gave me herbs to take rectally for anal fissure which I had previously been taking orally. They are in a lower dosage (25 ml rectally they had been 180 ml orally). When taking them orally, they had to be taken before bed, which helped me to have a good sleep with quite vivid dreams. Taking my first dose rectally, I am feeling mildly stoned. Is this safe? Doctor: Hello. I do not know what medications you are taking. Is it Ashwagandha per the recommendation of an acupuncturist? But I have seen your attachments (attachment removed to protect patient identity). There are several tags like structures seen, and it may cause a fissure in the anus. There are some other causes to this concern like constipated bowel, passing hard stools, and anal sphincters spasm, etc. The treatment depends on the condition. If you have constipated bowel and passing hard stool then you can take the following medicines. 1. Avipattikar Churna 3 gm, Arshoghni Vati 1 tablet twice a day after meals. 2. Abhayaristam 15 ml twice a day with an equal amount of water after meals. If it is due to anal sphincters spasm then it needs dilatation. Avoid spicy, fried, and junk foods. Drink plenty of water. Do regular Kapalbhati and Pranayama like Anuloma Vilom Nadi Sodhan, and Bhramari." + }, + { + "id": 3349, + "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": 16861, + "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": 26257, + "tgt": "The condom leaked before penetration. Should she take an I-pill?", + "src": "Patient: Hello doctor,My partner and I tried to have sex for the first time. We are both virgins. I had put on a condom, but I came before penetrating her, and the condom leaked. A few drops fell on her vagina from the outside. Will there be any problem? Should she take an I-pill? Doctor: Hello. For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16705, + "tgt": "My aunt has painful, bluish black nerves on her legs. Please help her", + "src": "Patient: Hi doctor, My aunt is 50 years old. She has a condition of bluish black nerves on the\u00a0back of her legs under the knees. I have attached the photo of her legs. This issue started a while back, and it has got worse now. She cannot stand for long even if she needs to. While walking, she can feel like something struck from calves to the hips. The pain is getting worse. Please help us. Doctor: Hi. Please get the following tests done. 1. Ultrasonography abdomen. 2. Doppler study of lower limb vessels. Varicose veins. Surgery or stripping. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11340, + "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": 21100, + "tgt": "Is it fine to take Prodeine Forte for tooth pain during pregnancy?", + "src": "Patient: Hi doctor, I am 8 weeks pregnant. Can I take Prodeine Forte for the chronic wisdom tooth pain? I am going to see the dentist tomorrow. But, now I am crying in pain. Doctor: Hi. You can take Paracetamol 500 mg up to three tablets maximum for the pain relief. But you need to consult your Gynecologist first for the advice. High dosage of Codeine is harmful during pregnancy at early stages. The best way is to visit a dentist and get an access opening done. My opinion is to go with Paracetamol 500 mg." + }, + { + "id": 15758, + "tgt": "Will Vigantol and Tavanik cause any drug reaction in a prostatitis patient?", + "src": "Patient: Hello doctor, I am being treated for chronic prostatitis rebounce. It is now the third day I am taking Tavanik (Levofloxacin) 500 mg a day. I am taking it the same time each day among other medications. One of them is Vigantol 1000 I.E. My doctor told me to take Tavanik at least one hour after and before other medications. I think I have errored and might have taken Vigantol soon after Tavanik. Any problem with that? Doctor: Hi. I have gone through your query, your doctor had suggested you take Levofloxacin before any other medication as the absorption will be better. Usually, we instruct patients to wait for an hour at least so that the drug can be absorbed. Unless you took both the medication together, even if you had spaced them by 30 minutes you should be fine. There is nothing to be concerned. But I would suggest you space the medication properly from now, because in chronic prostatitis, the more the drug is absorbed, better is its action." + }, + { + "id": 26738, + "tgt": "Can gastrointestinal infection last for three months?", + "src": "Patient: Hello doctor, I am a 29 year old male, and I am concerned about my health. I had an episode of possible food-borne illness, three months back. That time, I had shivers, fluttering pain in lower abdomen, fever, and high bilirubin. The symptoms have\u00a0gone, except for occasional fluttering. My bilirubin went down, and I had fluttering and gas on and off for a month afterward. I had a\u00a0lot of spicy and fried food, so the pain returned. I did an ultrasound of the entire abdomen and kidneys, which came back negative. I still have the fluttering, with on and off abdominal pain. I also had some itching for a few days over the past month. Today, I had one normal bowel movement and another which had floating stools. Any idea what is going on with me? Can a gastrointestinal infection last for three months? I do not smoke, but I drink occasionally. I do not have a family history of gallbladder or pancreatic cancer. Thanks for your help. Doctor: Hello. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 30459, + "tgt": "What should be the normal hCG value around 17 weeks of pregnancy?", + "src": "Patient: Hi doctor, I am 17 weeks pregnant. As per my quadruple marker screening report, I have 1:283 risk for trisomy 21. My hCG level is coming high in report 130958 mlU/mL. A blood sample is taken at 16 weeks 4 days of gestational age.\u00a0Please have a look and advise me what to do further.\u00a0Doctor to whom I was consulting said she would prefer to go for amniocentesis. But, we are not willing to go for the same as the risk of 1:283 is below the cutoff.\u00a0Please advise. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19282, + "tgt": "After having sex for the first time, is there a way to stop hymen bleeding?", + "src": "Patient: Hello doctor, Can you please give me answers to the following questions, please? After having sex for the first time, is there a way to speed up the cure and stop bleeding of the hymen?\u00a0How should the bleeding part be cleaned and with what?\u00a0How do I know that the hymen is totally restored or cured?\u00a0How long should I wait for the next intimate relationship?\u00a0Thank you. Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29363, + "tgt": "Does eating slate pencil cause diarrhea?", + "src": "Patient: Hi doctor, I am a 29 year old female working as a banker in a rural area. I used to eat slate pencils. I stopped it for the last six months as I experienced nausea, vomiting and passing loose stools. Since then, my hemoglobin level dropped to 7%. If I eat outside food, I suffer from loose stools and indigestion. My colleagues also have food outside, but they are fine. Why is this happening to me? My weight is 42 and height 5'6\". I got my thyroid test done, and the doctor said there are chances of hyperthyroidism. What should I do? Please advise me a diet chart. Doctor: Hi. We are here to help you. Revert with the reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26716, + "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": 12040, + "tgt": "Do nightshade vegetables cause inflammation?", + "src": "Patient: Hello doctor, Are nightshades vegetables harmful? Please comment on nightshade vegetables. Do they cause inflammation? And if so, do we have to avoid them? Doctor: Hello. Except for tobacco, all other nightshade vegetables can be taken in the recommended amount. Though they contain some chemicals, they are mostly in a very minute amount and are beneficial for health. The side-effect documented is a personal account and no research has concluded any harmful effects of these vegetables." + }, + { + "id": 6988, + "tgt": "Kindly suggest me some yoga exercise for testicular pain", + "src": "Patient: Hello doctor, I am having testicular pain for the past about eight months. Ultrasound report is normal. Please suggest me yoga exercises and should I avoid something in my diet. Doctor: Hello. As you mentioned you have testicular pain since eight months, many reasons are there for pain, commonly due to very tight underwear or continuous compression over thigh region or more driving in bike or vehicle may give rise to pain in groin and testicles, so my advice is first decompresses the part and wear loose comfortable underwears, then daily do stretches to thigh muscles, especially do art of living Yoga session. Learn the Sudarshan Kriya yoga session, which will be much more beneficial. I hope you satisfied with the answer kindly feel free to ask again." + }, + { + "id": 3340, + "tgt": "I do not get enough sleep at night and feel tired throughout the day. Why?", + "src": "Patient: Hello doctor, I have been having sleepless nights for about a few months. Even if I get six to eight hours sleep at night, sometimes less than five, I always end up being tired throughout the day. I am always sleepy even if I drink coffee, but when I decide to get some sleep, I cannot sleep. I am 18 years old and weigh about 74 kg. I have severe vitamin D deficiency for which I was prescribed vitamin tablets, which I stopped taking after a year. However, as per my last medical test, my condition has not improved. I go for a 30 minutes walk every morning and I am on a keto diet. My finals are coming up and I need a way to get proper sleep and not be drained throughout the day. Doctor: Hi. I understand you are concerned as sleep is vital for a proper functioning of the body. We need to look at a few things like have you gained weight recently or does this coincide with the sleep disturbances you have been suffering from? As I can see you are overweight and this can cause obstructive sleep apnea which keeps waking you up while asleep due to temporary episodes if apnea. So when you finally wake up, you may or may not have a headache and you are drowsy throughout the day. Total inability to fall asleep could be stress-related. Do you suffer from chronic anxiety or stress or even depression? In these cases practicing yoga or meditation can help tremendously. But if you have the former, you need to reduce weight. In order to diagnose exactly what is causing your sleep disturbances, give me more details like is there headache, nasal obstruction, symptoms of frequent stress or depression, etc? I hope this helps." + }, + { + "id": 27218, + "tgt": "My tooth is sensitive after a filling. Why?", + "src": "Patient: Hello doctor, I am a 33 year old female. I got my cavity filled two days back. Now, it hurts when I drink cold stuff. Is there anything I can do? Doctor: Hello. In case there is no relief, you need to visit your dentist again to get an X-ray of the tooth done or maybe get a refilling with a different filling material. Hope it helps you. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 24924, + "tgt": "Can I get pregnant naturally or should I go with ICSI?", + "src": "Patient: Hello doctor,It has been four years since we married. My husband is a little bit of tensed nature. So, he is not able to ejaculate during intercourse. While doing masturbation, he is able to ejaculate within seconds. Now, he is taking medicines for reducing anxiety. I have undergone five cycles of IUI. Today, I did AMH and prolactin test. Now the doctors advised us to undergo ICSI as the AMH level is low and prolactin is very high. Kindly advise me whether I can get pregnant naturally or should I go with ICSI? Doctor: Hello. How are you doing? After going through your reports (attachment removed to protect patient identity), only AMH (anti-Mullerian hormone) seems to be the problem. Let me put forth a few facts. Your age is within the normal range for pregnancy and you should be having good egg count (this is what is assessed by AMH). Basic question is, is your period regular? If egg count is normal, you will ovulate every month on 28 +/- 7 days frequency. If ovulation is regular, forget prolactin. If you are tensed, around period date, had a sleepless night, been worried about something or been seeing that lab and needle for some time, all these and more can alter prolactin levels. Your scan shows lots of eggs in both ovaries, so I really doubt the credibility of the AMH. About your husband's problem, IUI (intrauterine insemination) is a very good option. Do not get disheartened by a failed IUI. Better ovulation protocol and methods can get you better results. Hope his semen has good motility and morphology. Hope your fallopian tubes have also been evaluated. Only then, IUI can help. ICSI (intracytoplasmic sperm injection) is always an option, but better keep it to the last. A young lady like you with seemingly no big problem should try all the smaller routes. ICSI is 45 % success. If that fails what next? So, always keep the big steps to the last. Try everything else before that. In short, I feel you should try other options or natural methods for some more time. 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": 19283, + "tgt": "Can I take vitamin A tablet to improve my vision?", + "src": "Patient: Hello doctor, I wear specs. Can I take vitamin A chewable tablets daily to make my vision good? Will it cause any problem? Kindly share your advice. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6647, + "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": 23779, + "tgt": "I have ankle and calf muscle pain. Could it be RA?", + "src": "Patient: Hello doctor, I am a 38 year old male, suffering from RA from the last two years and recently started the treatment with an orthopedic doctor for AVN of the hip. I have been told by my orthopedician at icliniq to consult a rheumatologist for my ankle and calf muscle pain, and for my RA medication and cholesterol levels. The X-ray of the left leg had the problem of soft tissue noted. Please find the X-ray of the ankle and that of the hip and knee attached. I have been on RA medicines such as Imutrex 20 mg weekly, Folvite 5 mg daily, Bio D3 strong daily, Uprise D3 60K monthly once, Pirox 20 mg at\u00a0night, and Osteofos 70 weekly for hip AVN as suggested by my orthopedic. I was on biologics one year back - Etanercept 50 mg weekly for three months. Please suggest RA medications and a medicine for my ankle soft tissue which causes me pain and difficulty in walking too. I have started Gabapentin 300 mg from today for five days as prescribed by the\u00a0orthopedic. I am taking Combigan and Dorzox-T eyedrops\u00a0for glaucoma in the left eye. The X-ray of the hip states that the bilateral femoral heads appear sclerosed with diminished joint spaces and irregular surfaces of femoral head. However, the\u00a0shape of the bilateral acetabular cavities is maintained. The X-ray of both the knee states that joint spaces are reduced. Osteophytes are noted at the patellar and tibial surface. The patella-femoral space is diminished. The X-ray of the left leg with ankle states no significant abnormality detected. I have pain in the calf muscle and ankle tissue along with tingling (pins and needles) in both the feet. Please suggest proper medication for RA, ankle pain, calf muscle pain and for cholesterol. Doctor: Hello. Hope I have been of some help. Take care. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 25026, + "tgt": "Is labor induction necessary or can we wait for few days?", + "src": "Patient: Hello doctor,My wife is 29 years, 4 ft and 11 inches. She is now 39 weeks pregnant and her weight is 56.8 kg. I am attaching today's scan report. The doctor said her AFI is 8.2 (low) and fetal weight is 3 kg which is a little high for her. So, the doctor is suggesting induction labor. My question is, is the induction necessary? Also, I am confused with the scan report as it is showing gestation age as 36 weeks and EDD is 5th of next month. How is it possible as our delivery date is given as 17th of this month? Doctor: Hello. I have gone through your query and reports (attachment removed to protect patient identity). The due date keeps changing, but the EDD given at early pregnancy is only to be followed. So, according to which your due date is 17th only. Yes, according to the scan induction is required. Please listen to your gynecologist and go ahead with the decision. 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": 11190, + "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": 22948, + "tgt": "Is LH level 4. 3 and FSH level 6. 88 on day two of cycle normal?", + "src": "Patient: Hello doctor,My LH level is 4.30 and FSH level is 6.88 on the day two of my cycle. Is it normal? Doctor: Hi. LH (luteinizing hormone) most of the time during the menstrual cycle is between 5 to 10 but around ovulation, hormone could increase. FSH (follicle-stimulating hormone) 10 or above considered abnormal. FSH is normal here for you whereas LH just near lower limit. Not very abnormal. If you are trying to conceive better to have a healthy diet with daily walk and exercise, sexin the fertile period of your cycle and have folic acid daily 0.4 mg with some recreational activity. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21002, + "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": 14707, + "tgt": "Can antibiotic given for UTI clear chlamydia infection?", + "src": "Patient: Hi doctor, I have been with the same partner for 8 years now. During these all 8 years I have had several UTIs with some leading to severe kidney infections. Last week after almost two years of not having a UTI I felt the horrible symptoms again. When going to the doctors UTI urine test came back positive. The doctor prescribed me seven days Nitrofurantoin antibiotics which cleared the pain and seemed gone entirely. Unfortunately two days later, the symptoms came back (please note that I had sex with my partner the day before) with burning sensation when urinating and painful when standing with the need to go toilet every 2 to 3 minutes. I went back to the clinic the same day to get it checked and take more antibiotics. But to my surprise, the urine test came back clear for UTI, and my symptoms disappeared. Then the doctor advised me to get tested for Chlamydia as the symptoms can sometimes be mistaken to be UTI. I have been diagnosed with Chlamydia at the beginning of this same relationship and was treated for it. My partner was also tested, but his results came back negative. Is it possible that the treatment that I had for Chlamydia 8 years ago did not clear it entirely and this lead to several UTIs and kidney infections? And also, would the antibiotics for UTI clear Chlamydia? Thank you in advance for your help. Doctor: Hi. In UTI, initially, a broad-spectrum empirical antibiotic given and then according to urine culture report, a specific antibiotic prescribed. A certain antibiotic like Azithromycin if prescribed for UTI will be effective against chlamydia as well. For chlamydia, Azithromycin is an effective drug. If chlamydia infection present recently then some irritation, itching, discharge like complaint present and swab culture can be done for that if needed. Frequent intercourse, pelvic hygiene if not maintained, stone in the urinary tract, diabetes mellitus, etc., are some causative factor for recurrent UTI. Maintain pelvic cleanliness especially after intercourse. Wash and clean the pelvic area immediately after intercourse. Consume fruit juice like cranberry juice more. Wear loose undergarments rather than tight underwear. Take care." + }, + { + "id": 30513, + "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": 7237, + "tgt": "What could be the reason for vaginal pain during periods?", + "src": "Patient: Hi doctor, What could be the reason for vaginal pain during periods? It happens for a few minutes when the periods start and sometimes on and off on the second and third day. It is happening for many years. My periods are regular. My sonography is normal. I experience a lot of vaginal dryness and soreness as well. Doctor: Hi. I saw your sonography report (attachment removed to protect patient identity). It is normal although it has a different name over it and not a recent one. Pain during menses is common, and it is called as dysmenorrhea. It is due to uterine contraction to expel blood outside and release of prostaglandin. Also, in unmarried and those who have not delivered vaginally, the cervix is tightly closed and is normal. You can take antispasmodic during first three days of periods. Vaginal dryness and soreness can be due to excessive wiping of the vagina with tissue and over cleaning private parts. You can use vaginal wash liquid once a day for hygiene of private parts. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25490, + "tgt": "Is it normal to have twitching of both the eyelids?", + "src": "Patient: Hello doctor, I am 24 years old, my height is 6 feet and I weigh 200 pounds. Is it normal for both the eyelids to twitch? Bottom left eyelid and top right eyebrow twitch whenever I blink. It is worrisome. I drink caffeine but I am well rested. I had a negative brain CT scan done last month. I have never had both sides twitch. I have a reasonable amount of anxiety and stress lately. Have had a concussion history but nothing in over a year and have been cleared by many doctors and have had a negative CT scan. Doctor: Hello. Even though the eyelid twitches are very commonly associated with stress and they usually go away on their own without any treatment, the involvement of both eyelids could also be an early sign of blepharospasm which requires treatment. If symptoms are getting worse or twitches turn to spasm you must see an ophthalmologist who will evaluate the condition. If treatment is needed, a botox injection does the trick hence do not stress. It is not complicated. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22392, + "tgt": "Is flavored hookah injurious to our health?", + "src": "Patient: Hello doctor,Is flavored hookah injurious for our health or not? Please suggest me. Doctor: Hello. Yes, it is injurious to health. However, it is considered less injurious than direct smoking, but still, it can cause all the harmful effects as that of smoking. So if you are concerned regarding health, then it should be avoided. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16266, + "tgt": "What can be done to cure itching on groin and penis?", + "src": "Patient: Hello doctor, I have an itching problem on my groin to the penis region for the last two years. I did not consult a doctor till now. I use Tyza tablet and a cream. Then I used coconut oil. I am using Quadridem since last week. Starting two days I felt relaxed but now there is no effect. I usually wear underwear. And wear formal clothes and jeans. At the time of more sweating seems like many pimples type on that infected area. It spread to hips also. I want a permanent solution to this problem. Doctor: Hi. It is tinea corporis (fungal infection). Still, you are using Tyza (Terbinafine) tablet? Dose once or twice daily?" + }, + { + "id": 6025, + "tgt": "Explain why some men are not capable of growing full beards", + "src": "Patient: Hello doctor, Why some men cannot grow full beards? Explain why some men are not capable of growing full beards, and can only manage thin, patchy ones. Is this due to testosterone and genetics or something more? How does not being able to grow a full beard potentially impact men psychologically? Can this be emasculating for men or cause issues with self-esteem? Is there anything patchy men can do? Doctor: Hi. Some men cannot grow full beards due to low density of hair follicles in beard area in them and that depends on their genes and hormones. The male hormone testosterone is converted to dihydrotestosterone by 5 alpha reductase. Dihydrotestosterone is a potent steroid and is responsible for beard growth and male pattern hair loss at the same time. There are certain conditions that can lead to patchy beard hair loss that is alopecia areata. It is an autoimmune disease and is treatable with topical, oral and intraleisonal steroids. In alopecia areata, men can have their beard grow back. Men who naturally have few beard hairs can be emotionally upset because may be they feel less masculine, it may lead to anxiety, depression, excessive worrisome and impact on psychological health of the person. Others may not bothered about it much. As hormones are responsible for it, it is not a good idea to take hormone supplements only for beard hair growth because it can have other side effects too. However, good oil massage, along with biotin supplements and latest techniques of hair follicle transplant and PRP have good results." + }, + { + "id": 11919, + "tgt": "After sex, had yellow clustered blisters on vagina. What could it be?", + "src": "Patient: Hi doctor, My sister is 23 years old. She had unhygienic sex a couple of weeks ago. She started feeling itchy on her vagina. I am worried it might be herpes but I need confirmation from a specialist before we visit the doctor. It looks clustered and yellow. No hard lump under and it just looks inflamed. She does not complain of pain anywhere else. There is no pain inside the urethra, no burning sensation while urinating and the discharge is whitish-yellowish and watery. She does not have any sign of fever. She bought labia herpes cream yesterday. After application it changed the color today to darker yellow and some of it fell off. What could this be? Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). The closely grouped fluid filled blisters and yellow crusted lesions seem to be most likely herpes infection. You do not have to apply Acyclovir cream as it will not be much effective in genital herpes. You should start with oral antiviral like tablet Acyclovir 400 mg thrice daily for a week and apply topical antibiotic like Mupirocin cream on the lesions twice daily. Do not use soap over the affected areas and wash only with plain water. Caused by herpes virus; either HSV1 or HSV2 (herpes simplex virus 1 or 2). Herpes genitalis. Avoid intercourse till the healing of lesions." + }, + { + "id": 16127, + "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": 14213, + "tgt": "Is it normal for facial muscles to change shape when I am under stress?", + "src": "Patient: Hello doctor, I never bothered to worry about this before but someone said I should see a doctor about this. The problem I have is that my facial muscles seem to always change shape when I am under stress. I remember someone once telling me he knew what was wrong with me. He said my face needs to breathe. Also when I shave and my face gets air my facial skin gets smoother in texture and fuller. I had not eaten in a while so I was starving and I went out to eat. I ordered a hot dog and by the time I finished eating I felt a surge of energy like my blood began to rush I think and my face popped and was a lot fuller. I think after that any time I would go to the toilet my stool would come out very dark and hard and messy. I do not know what could be the cause. So please could you help? Doctor: Hello. It is very strange if your facial muscles tend to change shape on daily basis. I know of a few conditions in which facial flushing (redness) can occur due to increased blood flow, but the change in facial musculature with food intake or under stress is not a common thing. The facial flushing can occur with eating of certain foods which are rich in amines. Can also occur with hyperthyroidism and diseases like VIPoma or some other carcinoid syndrome. But the above things also have certain other presenting features." + }, + { + "id": 1915, + "tgt": "I have a lot of pus-filled pimples on scalp with pain and dandruff. What should I do to get rid of it?", + "src": "Patient: Hello doctor, I am having a lot of pimples on the scalp. Pimples are with white pus. There is a lot of pain and a lot of dandruff along with this. What should I do? Doctor: Hi. You seem to be having scalp folliculitis which is an infection of your glands on the scalp. It can sometimes be related to dandruff in which case scalp pustular psoriasis has to be ruled out. You need to reduce your sugar and milk or milk product intake. Reduce eggs and red meat. Folliculitis can sometimes be recurrent which would then require a long term treatment. I need to know if you are on any other medications, have any known drug allergies or other health issues? So as to give you the right treatment. In case nothing of these are there you can take tablet Minoz 50 mg (Minocycline) at morning and night after food along with tablet Oflox 200 mg at morning and night after food. You can use Fusiscalp lotion at morning and night over the scalp and wash your scalp with Tarscalp shampoo." + }, + { + "id": 29967, + "tgt": "Getting a weird lightheadedness and pain behind my eyes. Why?", + "src": "Patient: Hi doctor, From time to time, I get a\u00a0weird lightheaded sensation. I feel such weird sensation\u00a0while reading, looking at my cell phone, watching television or driving at night.\u00a0For a moment, I feel as though I may pass out. But, I do not pass out and it goes away quickly. Sometimes, it happens a few times in a row. Afterwards, it is followed with pain behind my eyes and a slight headache. But, that does not last long. What could this be? This has been going on for a couple of months now. I happened a year or so ago, when I was on blood pressure medication. But, it has stopped until my recent episodes in these past couple of months. Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4341, + "tgt": "What causes heart palpitations?", + "src": "Patient: Hi doctor, I am an active 30-year-old female with health and generalized anxiety. For the past 4 days, I have been experiencing heart palpitations. Sometimes it feels like a small flutter, as if my heart misses a beat. Other times, it feels like an intense pounding that lasts for hours. I experienced these approximately 7 years ago when I was first diagnosed, but have not felt them in a long time so I am utterly terrified. For reference, I do not smoke or use drugs, and I also workout 5-6 times a week (cardio, running, and weight training). I went to see a walk-in clinic doctor who listened to my heart and said he thought it was all anxiety and suggested I take medication for my anxiety. I had chest x-ray, EKG and blood tests and everything was normal. Honestly, I am just terrified that I am about to have a heart attack every single time I feel these palpitations. Can these palpitations really be caused by anxiety? And should I be worried or just wait for them to pass? I ran yesterday and today in spite of them and did not feel any palpitations while I was exercising. I only seem to feel them at rest or when lying in bed. Please give me some peace of mind. I am going out of my mind with worry every time I feel these. Doctor: Hi. I do not think from your symptoms that what you have said that you have terrified about to have a heart attack. It is not as your symptoms happen at rest, not during exertion. To evaluate for palpitations you do Holter monitoring. I think your symptoms mostly due to anxiety. You maintain a diary and find out what are the things which disturb you or precipitate your anxiety. Advice for stress management:- Note down and try to work out to correct it or ignore it. Walking for 30 minutes daily. Breathing exercises for 10 minutes twice daily. Do yoga for 30 minutes daily. You are young so join any sporting activities you like. You can listen to soft or romantic music. Spend quality time with your relatives and close friends. Share your problem with them. Take the help of a counselor to overcome anxiety you are suffering. All these things will definitely give you relief. Review after two months." + }, + { + "id": 7928, + "tgt": "If I stop using Clobetamil G cream, I become very dark. What shall I do?", + "src": "Patient: Hello doctor, I am using Clobetamil G cream since four years. But I did not get any irritations or side effects. But, if I stop using that cream I become very dark. If I consult a doctor, there is no use but if I use that cream again I will become very fair. Maybe my skin is addicted to this cream. What shall I do for this? Please suggest me. Doctor: Hi. Clobetamil (Clobetasol and Gentamycin) is a strong topical corticosteroid cream, it is not a fairness cream. Clobetamil makes your skin very thin. That is why you feel you are getting fair. Thinning of skin makes it more sensitive to sunlight. Clobetamil is useful for eczema and other steroid-responsive dermatoses. Topical corticosteroids should never be used for more than two to three weeks at a stretch. There are many serious adverse effects of Clobetasol when used on the face for a long duration such as pimples, thinning of skin, visible blood vessels, rosacea, increased facial hairs (beard and mustache). When there is long-term usage, there can be an internal absorption of medicine causing more serious side effects. You need to see a dermatologist in person for assessing your skin status after four years of steroid use. Depending on your skin condition, you will be asked to reduce the use of steroids. Once you stop using Clobetamil, you should be prepared to notice pimples or rosacea depending on the response of your skin. All the adverse effects start after you stop using it, this is called rebound phenomenon. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7776, + "tgt": "Can Ciprofloxacin cause delirium in elderly?", + "src": "Patient: Hi doctor, Can Ciprofloxacin cause delirium in the elderly? And if yes, how long does it last? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28016, + "tgt": "Please suggest homeopathic medicines for high TSH and premature ejaculation", + "src": "Patient: Hi doctor, I am a 34 year old male, who weighs 62 kg, and I am 5.6 feet tall. I have two issues. My recent thyroid test reports showed slightly higher TSH, but T 3 and T 4 are normal. I am suffering from premature ejaculation, so my partner is really worried. I do not have any other major health problem. Please suggest some good homeopathic medicines for this problems. Doctor: Hello. Please let me know if there is anything further. For further queries consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 17029, + "tgt": "What should I do to reduce my OCD?", + "src": "Patient: Hi doctor, I am observing obsession since last two to three years. I discussed my symptoms with a doctor at icliniq and he told me it is due to OCD (obsessive-compulsive disorder).\u00a0Firstly, I have this problem if a topic or matter emotionally bothers me. I keep calling my mother frequently on phone and start talking for long duration. I cannot be without calling as we both stay in different state. If I do not get a chance to call my mother then I call to any of my friend and talk about the same topic. When a topic or thought rotates in my head my focus tends to go there only so current work gets disturbed. I do will start cooking and then forget and go to other room to start another work. Even though in office I always works good, recently observing that my focus is diverting from my work to other work where my mind tends to stay. Because of this, my current task is getting affected. Secondly, I am very absent minded at home. In office also I sometimes forget to attend daily meetings where all project teams come and give updates regarding their progress of tasks. I also forget sometimes to check fingerprint in office which is for security purpose. I have stopped taking care of myself.\u00a0My life is not routine oriented at all. I am poor in time management also. When I am at home, I generally walk and keep eating something. In office whenever I call mother from my mobile I cannot relax or stay at same area and I keep walking and talking over phone.\u00a0Please guide me. What should I do to reduce my OCD, absent mindedness, anxiety and restless nature? These are immensely bothering me.\u00a0Do you offer psychotherapy online for these? What is the procedure to attend psychotherapy sessions online? Please guide. Thanks. Doctor: Hi. I read your query with keen interest and agree with your doctor who suggested OCD (Obsessive-Compulsive Disorder) for current symptoms. In addition, it appears to me that there is secondary depression. So, your diagnosis for current condition can be called OCD with secondary depression. Regarding treatment part, both psychotherapy and medications are effective for control of symptoms. I do offer psychotherapy for OCD and depression on weekly basis lasting for 10-12 weeks. Majority of the patients get benefited with psychotherapy of such duration. In addition, few patients who have moderate to severe symptoms need medications in addition to therapy. Revert back with the detailed information to a psychotherapist online -->https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 8415, + "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": 30309, + "tgt": "What should I do for back pain that developed 2 years after C-section?", + "src": "Patient: Hello doctor, I had a cesarean section two years ago and I underwent regional anesthesia SAB at L3-L4 level. Now, I am experiencing discomfort and middle back pain. The pain location is where the needle was introduced. The pain is aggravated when I hunched back. Should I be worried? What should I do for this pain? Doctor: Hi. For further information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 17022, + "tgt": "I have an infection on my penis that is not healing. What could it be?", + "src": "Patient: Hello doctor, I am a\u00a035 year old\u00a0unmarried male. I have a patch on the inner part of the skin that covers the penis. I consulted a doctor. He asked me to take Cefix 200 twice daily, Atazis 1/2 morning and 1 in the evening for five days and MF Sudif ointment. He then asked me to continue these for two more days, but the infection is still present. The doctor said it is a side effect of Signoflam tablet and asked me to use Ultracet instead as pain killer next time. I have a medical history of having a moderate heart attack nine months ago while playing cricket following which a stent was placed. Since then, I am using Met XL 25 twice daily, Clopilet A 75mg in the noon, Atorvastatin 80 mg\u00a0in the night. I have a BMI of 24.2. I do not\u00a0have any other complications. Please find an image attached. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 4233, + "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": 24957, + "tgt": "How can I find out the risk of Down's syndrome in my second baby?", + "src": "Patient: Hello doctor, My first baby is a Down's syndrome kid. I am currently on Fol G2 (folic acid). Kindly guide me whether my second baby is at risk. Doctor: Hi. Actually, your report is near normal or in the actual term that there is very low risk according to your age, blood parameters and sonography. There is low risk of having this baby positive for Down's. But, if you have the first baby with positive and want to confirm that whether this baby is definitely positive or negative, then there is only one way to confirm it. It is by sending liquid around baby for testing (amniocentesis). They remove baby cells from liquid and check its DNA to confirm that whether the baby is down's positive or not. As it is a genetic disease, it is possible to diagnose with DNA. But the procedure of amniocentesis in itself is high risk and there is always a minimum chance of abortion after the procedure. So, consult with your gynecologist and decide accordingly. These reports are of double marker test and it is a screening test and not a confirmatory test. It gives us high risk or low risk of pregnancy to have these congenital conditions. Do drink more water and take more rest. Consult with your gynecologist and discuss with family and take a decision what to do. If you continue your pregnancy without testing liquid around the baby then there is only minimal chances of a positive report and almost more than 99% chance of getting a normal baby is there. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14725, + "tgt": "Can constant urge to urinate with blood in urine be due to STD?", + "src": "Patient: Hello doctor, I just recently started urinating blood when I go to the restroom. I have a constant urge to urine and I have no idea why out of the blue this is happening. I am a male, 36 years old, 6\u20192\", 190 lbs. I have no medical issues or past history of kidney problems or cancer. Can it be due to STD? Doctor: Hi. Painless hematuria must be evaluated thoroughly and some factors must be taken into consideration like smoking, occupational exposure to certain substances, family history of kidney disease or cancer. Do not get scared sometimes it is something simple like urinary tract infection or mild trauma in the urinary tract or mild stone. Please get the following investigations done so that proper treatment can be initiated. Infection, trauma. Urine routine and microscopic examination, abdominal ultrasound, abdominal CT scan." + }, + { + "id": 17878, + "tgt": "I have swollen and discolored penis. What is it?", + "src": "Patient: Hello doctor, I have been frequently dealing with a red, swollen meatus as well as discoloration on the penis glans. It first began after unprotected oral and vaginal sex with a one night stand three years ago. About two weeks after the original encounter, I began experiencing a burning sensation while urinating along with itching of the penis glans, red swollen meatus and discharge. Believing it was chlamydia, I immediately went in for a full panel STD test. However, the results came back negative. Baffled, I began applying Neosporin to the infected area hoping for the best. While the symptoms remained the same, about two weeks after having the STD test I contracted strep throat and was given the antibiotic Azithromycin. Not only did this clear up the strep but also stopped the itching, burning and discharge. However, my meatus remained red and swollen. I went to my local clinic and the nurse who examined me said everything looked fine. Relieved, I went about my normal life until later noticing a small white spot on my penis glans. The spot was not irritating or painful. It was not raised at all just discolored. About two weeks later another similar spot appeared. I tried to just not think about it and hoped my symptoms would go away on its own. However, they did not go away and pretty soon I noticed that the entire underside of the head of my penis had turned a pale grayish color. I then went and saw urologist who ran multiple urinalyses and did blood work. All test came back negative and he told me I was fine and to just stop thinking about it. I tried my best. Now that brings me here, three years down the road from when the symptoms first arose. My meatus is still red and puffy and my glans still the same sickly gray color. There is no pain or irritation that still persists, but the red meatus and discolored glans are ruining my confidence. I have had sex with another partner about two years ago and after three weeks of the encounter she was treated for UTI. What could this possibly be with all the tests coming back negative? Doctor: Hi. I have reviewed all the attached photographs (attachment removed to protect patient identity). I can appreciate slight color change of the glans. It can be pre-vitiligo, but it is too early to be absolutely sure. I would recommend you to keep a watch on it whether the color changes to more white or it spreads further. Presently, I do not think it needs any treatment, but you keep it under observation. As far as meatus is concerned, it is slightly red. Since, there are no symptoms and all your tests are negative, you do not have to worry. You do not have to be anxious as it is not looking like any sexually transmitted disease. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14217, + "tgt": "I have low sex drive with erectile dysfunction. How can I overcome it?", + "src": "Patient: Hi doctor, I am 37 years old male and for the last few months my sex drive is getting lower and currently, it is at its lowest. Moreover, I am also suffering from erectile dysfunction as well, which has never been a problem. I am living alone for the last four months and visit my family once a month. Kindly help me to overcome these issues. Doctor: Hello. Get done a blood test for serum testosterone levels both free and total, serum prolactin levels, FBS, lipid profile, TSH, early morning fasting sample is to be given." + }, + { + "id": 16928, + "tgt": "Am I taking my birth control pills in the right sequence?", + "src": "Patient: Hello\u00a0doctor, I am a\u00a028 year old female. I am on birth control pills (Femilon) from the last two months. I had finished the first pack on the 19th last month. After that, I got my period on the sixth pill-free day, that is, on the 25th. I have restarted the new pack on the 27th. I have taken all the pills regularly and at the same time between 10.30 to 11 PM every day without missing any pill. On the 5th of this month, I had unprotected sex with my husband, but he did not ejaculate inside me and my second pill pack finished on the 16th this month. Today is my sixth pill-free day, but I\u00a0still did not get my period. I am not feeling any pre-period symptoms like legs and back pains. I have done a\u00a0home pregnancy test on the fourth pill-free day, but that was negative. I am worried about pregnancy because I have a little one who is\u00a02 years old and I do not want another baby now. I had a D and C just four months back as the emergency contraceptive pill Unwanted 72 I took failed in my case. I am worried about this. Please suggest what I should do so that I can relax. Is my sequence of taking the new pill pack of 21 pills after a gap of seven days correct? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22231, + "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": 13594, + "tgt": "Is masturbation the reason for my premature ejaculation?", + "src": "Patient: Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for premature ejaculation. I am worried to get married. I also have diabetes. My sugar level before the meal is 9.5 mol and after the meal is 110 mol. I am taking Gliclazide 80 mg once daily. Doctor: Hi. I can understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28585, + "tgt": "Developed painful swelling in the upper arm, vaccinated site. What is the treatment?", + "src": "Patient: Hi doctor, I am a 53 year old lady with controlled DM for four years and mild hypertensive for two years, I have received Influenza vaccine and Meningococcal vaccine on the same day in both upper arm sides before one week. Today, I developed painful swelling with redness in my left upper arm at the injection site.\u00a0What is the home treatment for my case? Doctor: Hi. High blood sugar or poor control. Blood sugar profile and HbA1C. Cellulitis. Injection site infection in people with diabetes. Antiseptic cleaning, reduce blood sugar and dose adjustment of Glucophage. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8133, + "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": 2065, + "tgt": "My mom has pain starting from the left side of the hip to the leg. Please help", + "src": "Patient: Hello sir This query is about a pain in veins of my mother which is started from her left side hip and spread in whole leg... this pain is unbearable. She is 46 years old. Her height and weight is 5'4\" , 83 kg. She have problem in her knees too due to over weight Kindly advise me the best solution to resolve the problem. Doctor: Hello. Welcome to icliniq.com Can you describe the pain a little more and share some pictures of the affected leg if possible. Usually the various causes of unilateral leg pain include: Usually the following investigations are required to diagnose: Kindly answer the above questions so that I can tell you the further course of management. Meanwhile if the pain is unbearable you can try local analgesic spray like Vovran spray and tablet aceclofenac sos whenever the pain is present." + }, + { + "id": 22680, + "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": 25795, + "tgt": "I have non-malignant nodular hidradenoma of the legs. Should I be worried?", + "src": "Patient: Hello doctor, I was diagnosed with non-malignant nodular hidradenoma of the legs. These were removed chirurgically by a dermatologist with less than 1-millimeter margins. My question is can these come back? Is surgery curative? I read on the internet that it can be cancerous. Do I need surveillance of the scar? Please help. I have had a biopsy in the past and have attached the report for your reference. Doctor: Hello. According to your biopsy report (attachment removed to protect patient identity) and the surgery, your lesions appear cured and they should not recur. However, supervision at regular intervals is advisable for similar lesions at other sites. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 27855, + "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": 19358, + "tgt": "I am suffering from warts and molluscum. How did I get the infection?", + "src": "Patient: Hello doctor, I am a 24 year old male. Last year, I had a few molluscum contagiosum in my lower abdomen. I took the treatment, and they were gone. After two to three months, I got one skin tag on the\u00a0skin around my penis. I applied a lotion (Salicylic acid 16.7% and Lactic acid 16.7%), and the skin tag was removed. But, it came back after three months.\u00a0Currently, I am suffering from genital warts and taking treatment. My doctor told me to get some test and here are the results. Lipid profile - triglycerides 125 mg/dL, HDL 35 mg/dL and LDL 113 mg/dL, CBC - lymphocyte 44%, serum amylase 121 IU/L, Helicobacter pylori IgA 0.45 (negative) and urine test - pus cells 3 to 4/HPF.\u00a0Currently, I am taking these medicine as advised by my doctor. Zincolak one tablet twice daily, Zycolchin\u00a0one tablet twice daily and Dicaris\u00a0150 mg one tablet once a day for three days. My question is that I am a healthy man with high immunity. I never get sick all around the year. How did I catch this infection? I have multiple sex partner, but I never had sex without a\u00a0condom, or my condom never broke.\u00a0Please give me a detailed answer and also give me advice for the treatment. Doctor: Hello. Warts and molluscum are common sexually acquired infections and can occur in healthy individuals. Warts spread by touch and condoms will only protect the covered area. Base of the penis, thighs, lower abdomen are all exposed. So, both warts and molluscum can be transmitted even with condom usage. For treatment, I suggest you Imiquimod 5% cream. Apply it over the affected area thrice a week and leave it overnight and wash in the morning. Use it for 16 weeks. Consult your specialist doctor, discuss with him or her and take treatment with consent. Also, you should get tested for HIV and hepatitis. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22964, + "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": 13390, + "tgt": "Please explain about non-Hodgkin lymphoma in detail", + "src": "Patient: Hi doctor, What is non-Hodgkin lymphoma? What can cause NHL? Which age group is more commonly affected? Can NHL occur without any family history? Does all left supraclavicular (Virchow's node) node is associated with lymphoma? Can single small but persistent size of lymph node enough for NHL? Why my lymph node is not getting bigger in its size? How fever is related to cancer/NHL? Can NHL/lymphoma/any other form of cancer occur without any symptoms such as fever, weight loss or night sweat? In NHL, the lymph node can develop inside a chest, in the abdomen and inner side of the body. How can we feel them? Which kind of symptoms occurs if they are in? Please explain. In NHL, How to know the swelling of stomach, spleen, and liver as it is not visible outside? Can a cough occur in NHL? In NHL/lymphoma, can we get any clue from the change (decrease/increase) in the level of blood cells such as WBC and platelets? Doctor: Hi. Non-Hodgkin lymphoma (NHL) is a group of lymphomas, which does not fall into the classification of Hodgkin's lymphoma. Anything which does not fit the criteria of Hodgkin's is NHL. NHL can be caused due to a viral infection like Epstein Barr Virus, radiation, immune-modifying drugs, etc. Any age group can be affected, but particularly above 50 years. Yes, it can occur even without any previous family history. No, it can rise in infections from surrounding areas or even another type of cancers. Virchow's node is one classically for gastric cancer metastasis to that node. Single lymph node, even if persistent is not a classical sign of lymphoma. Usually increase in size, multiple lymph nodes involvement and at 2 or more sites like axillae, femoral, etc. Single site, single lymph node which is persistent, is usually due to chronic inflammation. Due to chronic inflammation over a long time, intra-lymph node fibrosis (just like scar tissue) must have formed, which would not allow it to reduce in size. So, it will remain the same size. If there is no change in size, then nothing to worry about. Cancer particularly NHL can reduce immunity and increase the possibility of infection and hence fever. Also, in cancers, increased metabolism occurs, which can result in increased metabolic rate and hence sweating or fever can be seen. Night sweats particularly indicate cancer/ NHL. Usually, some symptoms will be found. Depends on the location, the involvement of other areas and the stage symptoms can vary. This way, all cancers start small and are not detectable, even by best methods. Internal lymph nodes require radiological investigation like CT, ultrasound etc for evaluation. Based on symptoms, if any, it can be evaluated. If doubtful, get a lymph node biopsy of the Virchow's node to confirm. You can find spleen and liver enlargement by radiological investigations or deep palpation. Stomach requires a definite ultrasound. A cough is not a classical symptom of NHL and usually, in lymphomas, bloods levels are not affected." + }, + { + "id": 29251, + "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": 27392, + "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": 498, + "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": 8023, + "tgt": "I had throat pain after singing, is that due to vocal strain?", + "src": "Patient: Hi doctor, I am a new singer. Last week, I sang a lengthy song without warm up. In the evening, I had\u00a0severe throat pain. I gave voice rest, but still I have some sensitivity in my throat. I feel quite tired always. Is this because of vocal strain? I also have tonsils. My throat feels uncomfortable and at the end of the day, it hurts a lot. I never lost my voice due to singing or any type of throat pain. Currently, I am taking an antidepressant, Fluoxetine. Here is the picture for your reference, which I took four days after singing. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5015, + "tgt": "What are the antiepileptics available for managing seizures in autistic patient?", + "src": "Patient: Hello doctor, I have an autistic and hyperactive person in my family, who is around 19 years of age. He has been having epileptic seizures for more than a year now. The medication he has been prescribed by the doctors right now is Tegretol (Tegral). However, we think it has may have side effects. I want to ask are there any other appropriate alternate options of medication available for such seizures. Doctor: Hello. You are absolutely right that there may be side effects of prescribed medicine. There are many more alternative anti-epileptic medicines available. But every medicine has possibility of its own side effects. Consideration to change to alternative medicine is done if some side effect of medicine develop in a patient or that medicine is not effective." + }, + { + "id": 23161, + "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": 28439, + "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": 16347, + "tgt": "My finger is swollen and I have poor blood circulation in my hands. What is the treatment?", + "src": "Patient: Hi doctor, I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the same finger present in different hands. Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling and pain occur due to cold exposure, then it can be a Raynaud's phenomenon. It is an autoimmune disease. As there is involvement of finger in one side, it can occur due to an autoimmune cause. Your blood circulation is poor. So, you can do an ultrasound color Doppler of the arterial system of your hand. In the case of vascular insufficiency, vasodilator drugs like Nifedipine can be taken first with low doses. You must exclude an infectious etiology. If there is a pus formation under your nailbed, an antibiotic can be taken. In case of severe pain, you can take Nonsteroidal anti-inflammatory medications like Aceclofenac plus after having food." + }, + { + "id": 15754, + "tgt": "How can I change a child's violent behavior?", + "src": "Patient: Hi doctor, My niece is five years old now. She has difficulty in talking to new people. She becomes excessively angry at times and shows violent behaviors like scratching and kicking. She prefers to watch videos of old people and imitates them. When she paints or plays, suddenly becomes angry and destroys them. Otherwise, she is normal, but sometimes she shows these behaviors. Please advise. Doctor: Hi. I can understand your concern. Every child is different and has a different temperament. If your niece milestones are normal, she can have a proper eye to eye contact while talking, she can make friends, and she will not have restrictive and repetitive behavior. She has a behavior issue. She does not have the behavior whatever I mentioned, and we need to assess her in detail. Prenatal, natal and her childhood history is required. When she shows such tantrums, try to handle her with authority and do not show aggression and plea in front of her. Give rewards for good behavior and appreciate her when she is doing good things. It will help enormously." + }, + { + "id": 29388, + "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": 29452, + "tgt": "I got some itchy lesions on my thigh and forearm. Are they herpes?", + "src": "Patient: Hi doctor, I got some itchy lesion on one of my inner thighs and forearms. Previously, I was diagnosed with herpes, but unlike any outbreak, I have ever had. Any information on this would be greatly appreciated. Thank you. Doctor: Hi. Revert with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15575, + "tgt": "I feel heavy over the chest. Is that due to acid reflux or heart problem?", + "src": "Patient: Hi doctor, I have a heavy feeling over the chest frequently. Sometimes, I also have pain near my left ribs when I move my hands. Whenever I stand up, little pain or crushing pain happens and disappears suddenly. I have done endoscopy for the stomach. I have hyperacidity and H.pylori infection. Also, my endoscopic reports showed me red spots over the food pipe. I have grade A acid reflux. Why is it happening in me? Is it related to the heart? Please suggest. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). You have reflux esophagitis with antral gastritis. Please say about your drug history and sent it. Proper treatment is required for eradicating the H.pylori infection." + }, + { + "id": 23644, + "tgt": "I have period-like bleeding during my seventh week of pregnancy. Should I go to ER?", + "src": "Patient: Hello doctor,I am a 21 year old female. I am seven weeks and two days pregnant today. I woke up this morning bleeding. It has been constant as if I were on my period. I called my doctor, but got no response. I do not know if I should go to the ER or not. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4883, + "tgt": "I get persistent body pain with intense pain in lower feet and hand. Is it leukemia or lymphoma?", + "src": "Patient: Hello doctor, I am 33 years old and weighs about 86 kg. My whole body hurts. I got pain all over the body, pain in legs and hands. Pain is persistent all the time mostly in the lower feet and hand. I am having pain for the past three months. I just had an appointment with my doctor. He ordered some blood work and told me everything is fine. And he told me to see the rheumatologist once for my peace of mind. I have attached my report. Do you see anything abnormal in my blood report? What is the cause of my body pain? Is anything wrong with my body? Do I have any underlying conditions such as leukemia, lymphoma, or any other cancer? Do I have any liver disease or thyroid disease that can lead me to pain? Before three months I did a blood test and my rheumatoid factor was 8.1 iu/ml and now it is 11 iu/ml. Why it is going up with a short duration of time? What do I need to do? I am eating healthy and getting good sleep but I am not losing weight. My vitamin D level is 40ng/ml and I am taking vitamin B12. I am taking vitamin D for almost one year. I m taking 4000 IU for five days a week. Please explain in detail the treatment plan. Doctor: Hello. Well, I have gone through your history and the reports attached.(attachment removed to protect patient identity). All the reports are normal. I could not find the reports of liver function tests there, but I suppose your doctor had already looked into it. Do not worry, you don't have any cancers at the current time. If any cancer would cause pain, it surely would have affected your blood counts as well. As for Rheumatoid factor, 8 or 11, can be lab variation or instrument variation, but as long as you do not have joint swellings or pain it is insignificant. My diagnosis for pain would go for fibromyalgia. It is more of a diagnosis of exclusion and one only considers it after ruling out the other causes, which they have done so far. I will give you a link, you can go through it and let me know if your symptoms match this. As treatment will depend on your being convinced about the diagnosis. I hope this helps. Fibromyalgia." + }, + { + "id": 9069, + "tgt": "I was betrayed by someone and now I have trust issues. Kindly help", + "src": "Patient: Hello doctor, I was badly betrayed by a person whom I dearly loved and trusted. It happened three years back, but still fresh in memory. I have lost trust and not interested to meet new people. I used to trust people easily, I bond with people easily, I did not even know there are bad people. Now I am very much alert. I could not bond with people at all. I have lost interest in everything. I did not easily lose my cool before, especially with my kids. But now I get irritable quite easily with my family members and kids. During those days of betrayal, I cried, cried and cried every single minute of waking hours. Lost 20 kg in 3.4 months. Got thyroid problem and dry mouth. Now I am with dry mouth always. I have gone hard heartened, lost interest. I have done a few achievements, got lucky a few times. Never felt even a little bit of happiness about it. Read a lot about NPD and distanced myself well away from that person. But thoughts keep coming back. No contact in anyways in the last three years. I wish my life ends fast. All I request is some mood improving medicines. I want my old self back. The jolly person, the smiling face, trusting nature. I want all of them back. Doctor: Hi. The symptoms are indicating that you are suffering from severe depression and it is better that you get yourself treated as an inpatient because of thought of self-harm. Also, check your thyroid hormone levels again and see if that is within the normal limit or you need to adjust the dose of medicine. Along with medicine from the SSRI groups such as Escitalopram or Sertraline will help you to get out of these feelings. Also, do these things. 1. Take adequate sleep. 2. Do regular exercise or go for a walk at least 45 minutes daily. 3. Take healthy food. 4. Avoid using any substance like alcohol or other drugs. 5. Keep yourself busy. 6. Spend time in your hobbies. 7. Spend time with your friends or family members. 8. If possible discuss your symptoms or feelings with your close friend or family member or meet a psychiatrist and discuss with him or her. 9. Do not hesitate to share how you feel with your family member and seek urgent help from a psychiatrist in person. Hope this will help you. TSH, CBC, blood sugar. SSRI. Lifestyle modification." + }, + { + "id": 22015, + "tgt": "I have erection problem only when I am with my partner. Please help", + "src": "Patient: Hello doctor,I am 26 years old and recently I have started having issues maintaining an erection. I have no issues on my own but once with my partner, I experience shortness of breath and it just does not stay up. Any help is greatly appreciated. Doctor: Hello. Relax and do not worry. Do you have an erection in sleep? Do you smoke? Do you have a family history of medical illness? Occasionally, erection problem may happen to everyone. In your case, I think it is because of performance anxiety as there is no problem when you are alone. So I think you need to just relax and do not feel pressure. No tests required now. If required, you can take Sildenafil 25 mg one hour before intercourse. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15939, + "tgt": "Is it advisable to use a brace for ACL fracture and play rugby?", + "src": "Patient: Hi doctor, I am an 18-year-old medical student and I enjoy playing rugby at a high level. I have already ruptured my ACL twice on my left leg (twice reconstruction surgery) and I am now very sure I have ruptured my right ACL as well. Would it be possible for me to carry on playing rugby in the near future when I regain strength in my right leg and the swelling subsides, if I use a brace or strap it up when I train and play? Doctor: Hello. I have read your concern. It will not be comfortable for you to play with an ACL brace if you have grade 3 ACL tear as twisting and turning will not be quick and comfortable to the level game demands. If you have kind of grade 2 then you can strengthen and then have a support and play (again depends on the level of involvement of the fibers, more than 50 % then you should consider surgical reconstruction option as you will always be at risk of progressing it to complete tear. In either case, start your rehabilitation exercises. Can use brace while training. There is a risk of loading certain areas of the joint leading to early bony erosion. It may not be a very good idea." + }, + { + "id": 6753, + "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": 27045, + "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": 259, + "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": 10472, + "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": 10209, + "tgt": "Is there any way to treat BV while being 34 weeks pregnant?", + "src": "Patient: Hello doctor,Is there any way that I can treat BV while being 34 weeks pregnant? I had Metronidazole gel and suppositories and they did not work. The smell is pretty uncomfortable plus I have HPV. So, I do not know if that is associated with the smell too. BTW is BV contagious? Doctor: Hi. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink plenty of water.Keep your perineal area dry. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18125, + "tgt": "I have palpitations and premature beats since childhood. Should I be worried?", + "src": "Patient: Hello\u00a0doctor, I am a 48 year old\u00a0male. I have a lean build and do exercises regularly. Since childhood, I had a tendency for heart palpitations and premature beats, mostly when I do not get good sleep or if I am going through some stress. Around 16 years ago, I consulted a cardiologist and had an ECG and echo test done. Both the tests were normal and the doctor said that there is no heart problem and the symptoms were due to anxiety. Since then, palpitations had reduced quite a bit and I only had premature beats sometimes. Four days back, I had not slept well the previous night and in the afternoon, I had a very heavy lunch at work. After that, when I had to walk a little distance, I felt that I was having premature beats. It subsided after four to five minutes. When I returned to my office, I felt the same sensation again. In the evening, I was perfectly fine when I returned home. I even walked up three floors without a problem. On the next day, I did my regular exercise which includes some running, without any problem. A day later, I had to go to work, with only four hours of sleep. In the evening, I had some beer after which I felt the premature beats again. But, they subsided after five minutes. From the last two days, there is no problem at all. There was no other symptom during these episodes. My BP is always normal, which I regularly get checked. I have no other medical illness till date, except for a tendency to worry about my health. Please guide me. Doctor: Hello. These premature complexes are probably originating from the ventricles. These are usually benign and not life-threatening. Considering your age, the primary concern is a coronary artery disease, which is also less likely as you have been observing these symptoms since childhood and also because you do not have any of the other key symptoms. Lack of sleep, stress, alcohol, smoking, and caffeinated beverages are well known triggering factors for sympathetic overactivity. I suggest the following: So overall, this is not a worrisome matter and getting investigations done is a matter of choice. Hope this helps you and get back if you have any questions. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18982, + "tgt": "Can meningioma be cured?", + "src": "Patient: Hi doctor, I have been diagnosed with a 5 x 5 x 3 mm meningioma in the superior frontal gyrus towards the cranial vertex. I would like to know if this will kill me or shorten my life. I also want information about anything regarding this, for example, recurrence, regrowth, etc. Doctor: Hi. Thank you. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 1807, + "tgt": "I am experiencing occasional tingling in my fingers and legs. What could be the cause of this?", + "src": "Patient: Hello doctor, I am a 39-year-old female office worker. Currently, I am on work from home status. I am experiencing occasional tingling in my fingers and legs. What could be the cause of this? I have taken Statin medicine last January for around 3 months due to an elevated level of cholesterol. But, discontinued as advised by our office or company physician as my cholesterol levels are within the normal range. However, my last lab test showed the following results: FBS 5.10; Cholesterol 5.46; Triglyceride 1.02; HDL 1.62 and LDL 3.1. With this, should I resume taking Statin? If so, how frequently? My previous prescription is daily at 10 mcg. Also, is it safe for me to take vitamin B complex supplements? Thank you very much. Doctor: Hello. Tingling sensation suggests neuropathy. We need to find its cause and treat it. For now, vitamin B12 will be more preferred over the vitamin B complex. Your cholesterol is slightly elevated. You can try dietary restriction and exercise. If cholesterol still remains high, you can start Atorvastatin 10 mg before sleep daily. 1. Neuropathy evaluation. 2. Dyslipidemia. TSH (thyroid-stimulating hormone), vitamin B12, and folate level (neuropathy evaluation workup). 1. Tablet Meganeuron (Alpha lipoic acid and Folic acid) once a day. 2. Tablet Atorvastatin 10 mg at night if cholesterol still high. Avoid oily food. Daily 30 minutes brisk walking. Review with reports." + }, + { + "id": 26639, + "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": 30319, + "tgt": "I skipped my birth control pill and started spotting. How to manage?", + "src": "Patient: Hi doctor, I went abroad a few days after my period ended. I start birth control on the last day or the day after the last usually. On the second day of my vacation, I started spotting and that has lasted till now. It has been about 10 days. I have been taking my birth control throughout. I only just got back. What could this be? Please help. How do I go about with my next cycle of birth control? Will my period be normal? Also, I have not had sex during this entire situation. The mistake I did is that I skipped a couple of birth control pills as soon as my holiday started and then I tried to make up for it by taking two on the same day. Doctor: Hello. You are experiencing a breakthrough bleeding occurring due to missing your pills and also probably due to not taking them on time. If it is a combined oral contraceptive pill, then it should be started from day 2 or 3 of your cycle ideally. So, the best is to stop the pill pack now and wait for your withdrawal bleed to start in the next seven days and then you can start the fresh pack from day 2 of your next cycle. Till then, you may use barrier contraception to prevent any pregnancy and if the bleeding is discomforting, then you can use antifibrinolytics for three days to stop it completely as well. The pills should be taken on time and regularly to avoid such breakthrough episodes, ideally. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30138, + "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": 14861, + "tgt": "There is a sharp hard thing coming out of gums after wisdom tooth removal. What is it?", + "src": "Patient: Hello doctor, I am 30 years old and had to get my wisdom tooth extracted a week ago. The surgery was very complex and painful. Few days into it and I started feeling something hard and sharp coming out from my gums towards my tongue, went to the dentist again. She was not able to take it out so she clipped and ground it, but it is not very smooth and I can still feel it. She told me told me that eventually, gums will cover it. Is that true or do I need to see an oral surgeon? Doctor: Hi. Complex wisdom tooth extractions will definitely have post-operative pain and discomfort. Lucky you that the procedure did not end up in swelling of the gums or face. That something hard feeling is nothing but the bone spicules that is left behind once the tooth is removed. The bony remnants will naturally fade away with time by a process called resorption. A kind of dissolving process. Do not panic about it because that is the process which heals your gums after the extraction. It will take a minimum of two weeks time for resorption but I advise you not to disturb that gums area with any sharp objects or tongue which will purposely delay healing. If any stitches were put, then you have got to remove them by the dentist in seven days from the day of surgery. Gargle your mouth with lukewarm salt water three times daily which will soothe the gums around. Also, do not brush aggressively and avoid hot and spicy food for a week. Otherwise, you will be fine." + }, + { + "id": 14048, + "tgt": "Is it something serious to have Hb and hematocrit at low level with high RDW-CV?", + "src": "Patient: Hi doctor, I am 33 years old single female. My hemoglobin is 10.5, RDW-CV is 18.3, MCHC 39.6, hematocrit is 26.5. Any issues, let me know and what you prefer for me? Please let me know. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. As per the values mentioned by you, the hemoglobin level is low which indicates anemia. RDW-CV is on the higher side (attachment removed to protect patient identity). Its normal value should be up to 15. A high RDW-CV favors iron deficiency anemia. But it can be seen in B12 and folate deficiency also. Hematocrit is low. The normal value should be between 37 to 48 % for women. All the three parameters are indicating towards iron deficiency anemia. Only MCHC is contradictory but in early stages, you can find normal or slightly high MCHC in iron deficiency anemia. To confirm it, I suggest you few blood tests like a peripheral smear, serum iron, total iron binding capacity, ferritin levels, serum B12, and folate. There are many causes of iron deficiency anemia like chronic blood loss from the gastrointestinal tract, menorrhagia, hookworm infestation, dietary deficiency, etc. In my opinion, you should consult a physician and get evaluated properly so that the cause of anemia could be found and proper treatment in the form of iron supplementation can be given. Iron deficiency anemia. Peripheral smear, serum iron, total iron binding capacity, serum ferritin, serum B12 and folate, stool occult blood." + }, + { + "id": 21163, + "tgt": "I have pain in the eyes and severe headache. What could it be?", + "src": "Patient: Hello, When I see any object, I feel like I can see only half of it and after that I experience\u00a0pain in the eyes. I also have severe\u00a0headache\u00a0soon after that. What could it be? Doctor: Hi. These symptoms indicate migraine headache. These vision related symptoms are present in aura (temporary visual disturbances that precede the migraine headache). The treatment of migraine headache is by use of analgesic drugs in acute episodes and by use of prophylactic drugs like flunarizine to prevent recurrent attacks. Consult a general medicine physician online for further investigations and treatment --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11235, + "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": 7494, + "tgt": "My blood reports suggest increased GGT and ALP. Please advice", + "src": "Patient: Hello doctor, I went to do a blood test as part of imitating a weight loss program, but I have some elevated GGT, alkaline phosphate, etc., so need some clarification about it. Doctor: Hello. You are reporting to have high GGT (gamma-glutamyl transferase) and alkaline phosphatase level. These findings are more related to, 1. Alcohol use. 2. Gallbladder issues like sludge ore inflammation. 3. Drugs side effects (rarely). This is why I suggest doing an abdominal ultrasound to rule out gallbladder issues. If you have used alcohol recently, please stop it and repeat GGT and ALP (alkaline phosphatase) level after four weeks." + }, + { + "id": 11807, + "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": 11812, + "tgt": "What should I do to be happy all over the day inspite of hurting myself?", + "src": "Patient: Hello doctor, I am a 19-year-old girl. In my first year in school, I feel helpless and depressed because I cannot make friends, more specifically they do not like spending time with me because I am serious most of the time. And my way of thinking is different also I cannot focus on studies. I do give my best to succeed in the exams but still, I m feeling like it is not me, or it is not what I want to do. But I am not sure those are just thoughts that makes me all the time unfocused on what is necessary at the moment , I also suffer from a lack of confidence in myself and cannot say that my situation is the worse but all these 19 years I only learned to hate and hurt myself more than anyone can else do to me. I am scared of taking any wrong decision because I cannot afford it either mentally or financially. Please, can you help me? Going to a psychiatrist in my place is expensive and suspicious. I was a great person until nine years, everything has changed. I struggled alone till 16 which made me talk to some friends and my brother and my secret fiance. Still, I think it is too late because I became a person who is afraid of being happy for more than half a day. Doctor: Hello. First of all, you should stop hating yourself and stop blaming yourself for anything. The symptoms like helplessness, worthlessness (hating self), difficulty in making friends, weak confidence, lack of focus, indecisiveness, etc., are occurring most likely due to some mood disorder. This could be depression. Depression results in impairment in functioning. To come out of these thoughts, there are two treatment options. Medicines especially antidepressants are the first choice for these symptoms. But since you cannot afford to visit a psychiatrist so this option at this point is not possible. Another option is cognitive behavior therapy (CBT). This is a session based therapy. A therapist is needed, and this helps a lot in coming out of depression. Over the years since childhood, a person learns wrong things, but these thoughts become cognitive distortions like for example if you did not perform well in a group of friends, then you will imply this to your whole life that you are worthless because you fail to perform well in friends. Maximizing negative things, minimizing the positive things, disqualifying positives, generalizing things, etc. are examples of cognitive distortions. In CBT the cognitive distortions are identified, and an individual is made aware of these distortions. Then therapist and individual work together to eliminate these distortions and to work how an individual can live happily. Thanks" + }, + { + "id": 16145, + "tgt": "There is a hike in heart rate and weakness in legs after a walk. Why?", + "src": "Patient: Hi doctor, I am 27 years old male. I am a hypertensive patient, and I am taking Metosartan 50 in the morning. The blood pressure is under control. Recently, I started to have a walk in the morning. For a few days, I walked quickly for 15 minutes. After a few days, my heart rate got increased, and I felt weakness in my leg after having a walking for five to seven minutes. I did my ECG and ECHO recently. The results were completely normal. Please suggest. Doctor: Hi. It seems that you do not have stamina and endurance. Your muscles get tired due to the lack of stretch exercise. You need to start stretch exercise and cardio to gain more energy and endurance. I have gone through the attachment (attachment removed to protect patient identity). With normal investigations, your heart is working regularly. Your body muscles are causing the problem. It is mandatory for you to do body stretching exercise and cardio exercise on a daily basis." + }, + { + "id": 25491, + "tgt": "Why am I not able to memorize despite repeated learning?", + "src": "Patient: Hello doctor,I cannot memorize anything despite learning many times or reciting speech. I find it very difficult to study. I become desperate when I cannot memorize anything. Thi has been present for the last five years. Please help. I am currently on Laroxyl to help me sleep. Doctor: Hello. Memory and mind power depends on three aspects: Understanding, retention, and recollection. Recollection is easy if your retention is proper and flawless. Retention is possible when you are able understand what you read or learn. To understand, you should have concentration. Concentration comes from effective learning techniques based on creative and active learning. Physical exercise, outdoor games, entertainment, socializing coupled with systematic learning improves your memory and mind power. Vegetables, fruits and nuts are perfect for memory. Brain games like Sudoku and jigsaw puzzles help too. Avocados, beetroots, blueberries, broccoli, celery, coconut oil, dark chocolate etc. are good for improving concentration and memory. I also suggest online education counseling. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 1557, + "tgt": "Do 62 % of pregnant women with pityriasis rosea have a miscarriage?", + "src": "Patient: I have had pityriasis rosea (PR) for about a week and I am currently 7 weeks pregnant. I have had no other symptoms other than the rash. After reading a study which found a 62% miscarriage rate when women were infected with PR during the first 15 weeks of gestation, I am obviously terrified. Can you provide me with any reassurance or advice on any testing/treatment that may be required. Thanks, Doctor: Thank you for giving me opportunity to treat your skin problem. Yes, you are right there are significant chances of miscarriage if Pityriasis Rosea appears in first few weeks of gestation. Mostly miscarriage occurs when Pityriasis Rosea happens after HSV 6 & HSV 7 infection (according to literature). There are also other causes of Pityriasis rosea other than HSV6 & HSV7, Like some drugs (Medicines), Vaccination, other viruses. So, First if possible provide me photographs of affected areas of skin which will help me for better diagnosis and proper plan. Does you had fever or Joints pain few days back? For Viral infection (HSV 6 & 7) you can go for serum Ig M, Nested or RT PCR and viral load, also pregnancy outcomes depends on Body surface area involvement and Constitutional symptoms. Final decision about to continue pregnancy is yours. You also consult with your Obstetrician/ Gynaecologist for the same. Thank you." + }, + { + "id": 19458, + "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": 18695, + "tgt": "Is Zoloft used to reduce high blood pressure?", + "src": "Patient: Hello\u00a0doctor, My 28 years old boyfriend went to a doctor, and he was told that he had high blood pressure. His blood pressure was 160/90 mmHg. He has never had high blood pressure before this but has had general anxiety daily for a long time. He did not want to take blood pressure medicine because he was afraid of it, so the doctor prescribed Zoloft instead. I have heard a lot of scary things about antidepressants and feel like he should have gone with the blood pressure medicine, and I do not think that Zoloft was a good idea. He also suffers from sleep apnea. Can you give any advice on Zoloft versus blood pressure medicine? Doctor: Hello. I understand your concern towards your boyfriend. Best regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7673, + "tgt": "Can puffed up nipples with slight hardness under it be gynecomastia?", + "src": "Patient: Hi doctor, I am a 38-year-old male, 174 cm tall and weight is 73 kg. I have been having puffed up nipples since long and can feel slight hardness under the nipple surface. It is painless and there is no discharge. I suspect gynecomastia. I can provide you photographs. Need your advice on treatment. Doctor: Hi. You have bilateral grade II gynecomastia. Medical treatment, diet and exercise cannot reverse it. The correction will require liposuction with gland excision. It is a day care procedure. You can get discharged on the same day." + }, + { + "id": 17405, + "tgt": "Would antibiotics during pregnancy cause any harm?", + "src": "Patient: Hi doctor, My wife is 8 weeks pregnant. A couple of days before, the doctor did a urine routine and report stated that 12 to 14 pus cells. Then, we did a urine culture as well and after 48 hours of the culture, the report came as bacteria not seen. In this case, do we need to take antibiotics to clear the infections? In the 4 weeks of pregnancy itself, she had an infection and took one week of Ceftum 250 mg antibiotics. Over the course of antibiotics, we repeated the urine routine and everything came as absent. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 799, + "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": 8031, + "tgt": "What are the common reasons for rash on the head of penis?", + "src": "Patient: Hi doctor, I have a rash on the head of my penis for around two months. They are purplish, sore and tender to touch. I have seen my primary care doctor and he was not sure about the condition and gave me Triamcinolone acetonide cream over two weeks ago. It has not helped. I was also tested recently for STD and all of which came back negative except herpes 1 which I have had for a long time. Any advice would be greatly appreciated. I do not believe this to be any kind of normal discoloration since some spots and sores were present. Doctor: Hi. The condition you are suffering is not STD (sexually transmitted disease) for sure because none of the STD is present like this. There are three most common probability of your problem. Penile Lichen planus: It present in a similar manner with purplish color, itching may or may not be there. Lichen Sclerosus et Atrophicus: Lichen Sclerosus starts as purplish patch, later on atrophy develop and becomes white in color. It usually associated with intense itching and patient may have dyspareunia. Allergic contact dermatitis: Due to cloths or condoms. Are you on any medication? Because, certain medications can cause fixed drug eruption like that. Revert back with the answers to the above questions to a dermatologist online--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28725, + "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": 17102, + "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": 28253, + "tgt": "Should I consider taking L-glutamine for digestive problems?", + "src": "Patient: Hi doctor, I am a 22 year old male. My height is 5'8, and weight is 50 kg. I have been experiencing digestive issues for the last two years. During the\u00a0initial stage of illness, I lost some weight had\u00a0not recovered it since then. I feel slightly better than before,\u00a0but I have not been able to recover from my digestive issues fully. I have become very skinny and not gaining weight, not even some grams. Recently, I had my USG \u00a0abdomen, ESR, CRP, LFT, CBC, stool routine checked. All reports are normal except for the stool test, which says the\u00a0presence of excess food remnants and vegetable cells in it. What should I do? Please suggest me if I need to take any supplement. Also, I heard L-glutamine is an excellent supplement for healing intestinal walls. Should I consider taking it? Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 250, + "tgt": "I have a moderate cough from the last two weeks and a lot of gas. Please help", + "src": "Patient: I have moderate cough from last 2 weeks and very little sputum which is very rare. Also I have no fever no problem is swallowing but I can feel a little pain when I touch my throat below the jaw area. I had runny nose 2 weeks back but not so much and now that is also gone. So no runny nose as of now . Also I took augmentin 625 2-3 days back and cough was better but now it is back not so much though but it triggers more at night . And having a lot of gas. Doctor: hi the problem what you have is called gastroesophageal Reflux disease people those who have this condition would develop dry cough especially at night and sore throat burning sensation in the stomach I would like to know is there any recent history of weight gain? ! sleep disturbances causes gas problems... normally our body will produce 12 to 16 litres of gas people those who sleep 6 to 8 hours would not have any gas problem... stress, sleep disturbances COLD, IBS GERD sompraz levosulpride 40/75 two times a day gaviscon 5 ml three times a day duphalac syp 15 ml at night sleep hygiene, avoid spicy diet" + }, + { + "id": 3572, + "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": 29539, + "tgt": "Does my ECG show any serious problem?", + "src": "Patient: Hi doctor, I am suffering from anxiety. I am a 30 year old male. Kindly review my ECG reports and suggest whether they are normal or not. Doctor: Hi. Revert with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27149, + "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": 26954, + "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": 22320, + "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": 21712, + "tgt": "Will follicular study help me conceive?", + "src": "Patient: Hi doctor, I am trying to conceive since 5 to 6 months, but I am not able to. I am not on any medication nor have any problems. I did all tests, which were all normal. My cycle is 28 days and always regular.\u00a0Please\u00a0help. What to do? What is a follicular study? Can I do that? Doctor: Hi. Yes, it does help increase the chances of pregnancy. In the case of difficulty in conceiving, your husband also needs to be tested. The follicular study is a vital component of in vitro fertilization (IVF) assessment and timing. It basically employs a simple technique for assessing ovarian follicles at regular intervals and documenting the pathway to ovulation. A baseline sonography is done on the second or third day of the periods. Tablets are given for inducing ovulation and follicular sonography is started from day 9 of periods, till the ovulation is confirmed. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25622, + "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": 17054, + "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": 16727, + "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": 25975, + "tgt": "I have an irritating smegma on my labial folds. What should I do?", + "src": "Patient: Hello doctor, I had a partial hysterectomy five and a half years ago. I still have my right ovary. Since a year, after my surgery, I have what seems to be smegma covering my inner labia. It is not in my vagina but covers the skin in the folds of my lips. I shower daily but stopped using soap 10 years ago because it was too irritating. I occasionally use soap, but no more than once a week. Every day when I shower, my skin is covered in thick white stuff that I almost have to scrape off. Sometimes there is a bit of smell, but nothing strong. I have had problems with yeast in the past which seemed to be linked to other inflammation in my body. I had some problems with vaginal itching, but a round of OTC cream cleared it up. Mostly this is embarrassing. I was single for quite a while, but have a fiance now. I cannot afford health insurance and gynecological visits. I also have psoriasis on my scalp, ears, and toenails. Could this be psoriasis? Is this just the way my vagina functions now after my hysterectomy? Is there anything that I can do? All that Google has to say about it is that I am unhygienic which is not my problem. Any help is much appreciated. Doctor: Hello. If you had a history of recurrent yeast infections then get high vaginal swab culture test and check your fasting blood sugar and postprandial blood sugar. According to the culture report, the above is the treatment that should be given. Is your partner having problems in his private parts? I suggest you go to some gynecologist in a government set up and get a clinical exam done to look exactly what is going on. Generally, after removal of both ovaries, the hormone production ceases then the senile changes appear. But, your one ovary is still there and we can check its functioning by measuring the FSH (follicle-stimulating hormone) levels in the blood. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22828, + "tgt": "What is the reason for appearance of rash after bath?", + "src": "Patient: Hi doctor, Daily after my shower, my\u00a0face turns red with rash.\u00a0This has been happening since years. I have changed my soap and face wash several times. Besides, I have lived in many cities; this happens every time and everywhere. What could be the reason? What should I do for it? Please help. Doctor: Hi. From your history it appears that, you are suffering from cholinergic urticaria or heat hives. This condition of being hypersensitive or extremely sensitive to heat or the response of sweating. People with this condition often wonder why they feel itch when they exercise or any time they seem to get hot. It can be sensitivity to cold water also. Heat hives can occur at any age and can come and go often without treatment but in some it persists. As you said, after exposure to hot or cold water the skin will become red and sometimes itchy lesions will appear. Itching or burning sensation during the initial attack is common, and normally goes away when the overall body temperature has cooled. No effective treatment is yet available to cure cholinergic urticaria except avoidance of trigger factors. Tablets like Levocetirizine or Desloratadine are only helpful for short periods. Avoidance of trigger should be your first priority. Oxyhive treatment is sometimes helpful. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 16048, + "tgt": "My creatinine level is 0. 98. Is it normal?", + "src": "Patient: Hello doctor, My creatinine blood level is 0.98. It is normal. My age is 27, weight is 88. My urine output has also reduced. Doctor: Hi. I have reviewed your health query and can understand your concerns. Your creatinine levels are not abnormal in this laboratory result (attachment removed to protect patient identity). The results are from a reliable laboratory and show you have well within the normal range of creatinine levels. No issues diagnosed based on the lab results. But clinical correlation is also important here. You complained reduced urine output. There are a lot of reasons for that. The first thing you need to take care of is your daily fluid intake amount. If that is not up to the mark, improve that first. Take more vegetables and fruits and avoid meats and chicken. No fried and fast foods or junk calories. Avoid soft drinks. As far as your medication is concerned, Singulair has no side effect that may have affected your urine output. It is a safe medication to be taken for many reasons. If this does not help, please consult a local physician with the advantage of physical examination and proper evaluation. If needed, he may also refer you to a kidney doctor." + }, + { + "id": 11961, + "tgt": "A 4 year old child has recurrent pus discharge in gums. Please advice", + "src": "Patient: Hello doctor, My 4-year-old child has caries on teeth. Since one year we observed pus in the gums above the front tooth. This pus frequently appears with mild pain and disappears within no time. We consulted a doctor who prescribed antibiotic Mox Kid for a week. After using this, again pus was found in the next 10 days. It is in the same place frequently observed. Please advise. Doctor: Hello. I can see in attached pictures (attachment removed to protect patient identity), actually, there are multiple apical infections. I suggest you please ask your dentist for dental X-ray, to find out the number of injected teeth and I think you need root canal treatment followed by gum treatment. Please do not worry it is common in early childhood and known as rampant caries. Generally occurs due to bottle feeding, more sugar-containing food, poor oral hygiene. Root canal (pulpectomy in child patient) is an effective way of draining out root infection. Prolonged use of antibiotic is not good for child health, a dental procedure done in dental office and medication is the best way to treat this type of problem. Pedodontist is a specialist for child dental problem so I suggest you please see an experienced pedodontist for your baby. Get well soon." + }, + { + "id": 22246, + "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": 3831, + "tgt": "What is the blister like formation on my ankle?", + "src": "Patient: Hello doctor, I am a 50 year old male. I am attaching a picture of\u00a0blister like formation on my right ankle, which is very old one and is present without any pain. Now, I am feeling some uneasiness while wearing shoes though still there is no pain. Is it of a sincere concern that to be taken care of immediately? I did not mind it till my elder sister started insisting me to investigate the matter in recent past. It is also to note that the size has recently been increased very slightly since its formation probably 20 years back. Please advise and remove my anxiety. Doctor: Hi. I have gone through the pictures (attachment removed to protect patient identity). For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20093, + "tgt": "I have tickly dry cough and nasal congestion. Please suggest a medicine", + "src": "Patient: Hello doctor,I have a tickly dry cough since yesterday and some nasal congestion. Please suggest me a suitable medicine as I have to go for a vacation. Doctor: Hello. It is likely a viral infection of the throat and nose. At present, you should have betadine gargles four times a day and tablet Allegra (Fexofenadine) 120 mg once a day for three to four days for nasal congestion. For cough, you can have syrup Alex (Chlorpheniramine, Phenylephrine, Paracetamol, and Caffeine) two teaspoons whenever needed up to three times a day. Avoid cold food items. If you develop fever or body aches I suggest you can have tablet Paracetamol 500 mg whenever needed up to three times a day. If your problem persists more than two to three days, then you should also have antibiotics like tablet Azithromycin 500 mg once a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. 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": 14636, + "tgt": "Is Hepatitis B a contagious disease?", + "src": "Patient: Hello doctor, I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread? In people who have already taken hepatitis B virus vaccine, is there any chance of virus affecting them? My wife has taken hepatitis B vaccine. Can we have sex? Is there any chance of hepatitis B virus affecting my wife? Can my wife breastfeed our child? Is there any chance of virus transmission from my wife to our kid? Doctor: Hi. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and drink water from your glass if they do not have any injury. You should not have sexual contact with your wife. And she should check herself for hepatitis B. Are you taking any injections for hepatitis B, like interferons? You should do the tests - HBsAg, Anti HBc and Liver Function Test (LFT). If you have already done these tests, you can upload the report here. Yes, in rare cases, it can affect a breastfed child. But, I think your wife must have been tested for hepatitis B and C before delivery. Your wife needs booster doses of hepatitis B vaccine if she had taken the vaccination during childhood. She also has to check antibodies against hepatitis B. For further queries, revert back to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24486, + "tgt": "Why is creatinine level increased in IgA nephropathy patient?", + "src": "Patient: Hello doctor,I am 57 years old and have IgA nephropathy for the past eight years which is being treated with Cardace 10 mg, Minipress XL 5 mg, Lipitor 10 mg, and fish oil capsules. I had an ultrasound eight months back which showed normal kidneys. Also, I have a benign prostate (grade 1) and not under medication. BP is around 130/80 mmHg. My recent test results for this month are as follows:Routine urine examination showed no protein or blood ( six months back it showed protein as trace, and blood as nil).Total cholesterol: 144 mg/dl.Serum Creatinine: 1.3 mg/dl (this was 1.2 mg/dl for the past two years).My platelet count has been historically low varying from 128,000 to 150,000 cells per cubic mm of blood. The latest test shows a platelet count of 116,000 per cubic mm of blood.BUN (blood urea nitrogen): 16.3 mg/dl.PSA: 1.05 ng/ml.Albumin in urine: 68.6 mg/L with ACR at 98.18 ug/mg.I am concerned as the creatinine which was 1.2 mg/dl for the past two years (I test every six months) has increased to 1.3 mg/dl this month. My platelet count continues to be below the range. I would appreciate your views on the above regarding whether there is any cause for concern or I can continue current medication. I exercise daily for about 45 minutes. Doctor: Hi. There is a rise in creatinine, but that needs to be vigilant to check if we are missing any reason for the rise. We do not have any medicine to reduce creatinine levels. We need to keep the disease activity under control. Your blood pressure should be 120/80 mmHg. You should not be taking any painkillers. So, you should get your serum creatinine repeated on a monthly basis. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 29528, + "tgt": "I feel shaky after hearing my surgery date. Is it due to Parkinson or anxiety?", + "src": "Patient: Hello doctor, I am 27 years old. I have suffered from GERD for a couple of years along with anxiety and depression, which some think is related to GERD or the opposite way round. I have taken Citalopram for about three years on and off. Seven months ago, I decided myself and finally did stop for good. Citalopram 10 mg was the dose, and I have been feeling great since. Three days ago, I got a call from the hospital, and they have scheduled me for a Nissen fundoplication surgery after a\u00a0year of test and conservative treatment.\u00a0Two days after I found that they had put a date to my surgery which is next week. I did sit before the computer and took a pen. I saw my left hand shaking; shaking like a tremor or Parkinson symptom. I have never seen this before, and I did get a shower, and the hand did not shake the same after. When I searched on the internet, and\u00a0of course, I can only see negative things like essential tremor and Parkinson disease. I feel nervous and shaky since then, like restless arms, legs and fatigue. I am apprehensive about this. Can this only be a symptom of anxiety inside my body as I fear for the surgery? The symptoms are not noticeable to others, but only myself and I still feel restless.Is this anything serious or will this subside when things are getting closer or after surgery? It seems like I have been working so hard on getting the help I need for my GERD and when I finally got the call from the doctor about they want to give me this surgery; everything turned around. I am feeling restless.\u00a0I have a hair thinning problem and slight beard alopecia areata. I have attached the photos of medicine I am taking for hair thinning problem and vitamin supplement) I am also on probiotics to help with constipation, sometimes it occurs due to indigestion and GERD. Doctor: Hi. I have read your query in detail and noted the issues. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18458, + "tgt": "What can cause bloating, irregular bowel and watery stool?", + "src": "Patient: Hi doctor, I am suffering from\u00a0irregular bowel. I feel burning sensation in the stomach and anus. If I eat anything spicy, I need to go to restroom immediately. My poop smells\u00a0and is\u00a0semisolid, sometimes watery but not like diarrhea.\u00a0I am suffering with this condition for past one year. I am taking Clindamycin over a week now. What could it be? What can I do to improve my condition? Please help. Doctor: Hi. Revert back with the answers for the above questions to a medical gastroenterologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11692, + "tgt": "I have painful eruptions on thighs, forearms and lower back. What could it be?", + "src": "Patient: Hello doctor, I have these eruptions randomly on my skin since the past few weeks. They are present mostly on thighs, forearms and lower back. They feel tight and are painful to touch. What are these? Do I need to get them treated or will they go away over time? Doctor: Hello. These are furuncles, a bacterial infection of the hair follicles. Use the following medications for five days. Kindly visit your physician, discuss the suggestion and take treatment with consent. A. Tablet Cefadroxil 500 mg twice a day. B. Tablet Flexon 500 mg (Paracetamol, Ibuprofen) twice a day. C. Ointment T-Bact (Mupirocin) twice a day. You will get better with these medications. If you have these again and again, then you might need some other drugs but for now, use these for five days." + }, + { + "id": 18943, + "tgt": "My mother is weak after a surgery. Please suggest a diet plan for her recovery", + "src": "Patient: Hello doctor,My mother had undergone a laparoscopy assisted vaginal hysterectomy two months ago. She is 52 years old, height 5 feet and 2 inches, weight 70 kg. She does not have any other medical issues. She was advised to avoid spicy food for a month. She has fatigue, weakness, constipation and gas issues as well. I request you to suggest a complete diet chart for her to recover back and for weight control. Please suggest a vegetarian diet. Doctor: Hello. Your mother needs a wholesome diet that is rich in protein as well as vitamins, and calcium. For more information consult a nutritionist online --> https://icliniq.com./ask-a-doctor-online/nutritionist" + }, + { + "id": 1431, + "tgt": "What to do for a mole like projection in my lip?", + "src": "Patient: Hi doctor,A mole like projection has developed in my lip. It does not get cured. I bite my lip often. But, I feel it is very abnormal on my lip. Can you please help me? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4322, + "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": 20178, + "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": 11197, + "tgt": "How can I read bifascicular block on an EKG?", + "src": "Patient: Hello doctor, I am wondering if there is any specific thing to look for on an EKG to show bifascicular block? I am trying to learn EKG reading and was wondering if you can help me. Doctor: Hi. Look for right bundle branch block and axis deviation. If left anterior or posterior hemi-block is also present, this makes it bifascicular block. If AV block also, this makes trifascicular block. If left anterior and posterior blocks combine, it is called left bundle branch block, if left and right both bundles block, this is called complete heart block and third degree AV block. If you are a medical personnel, it is easy to understand, if layman, then it may take some time to get used to EKG." + }, + { + "id": 10862, + "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": 14913, + "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": 30645, + "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": 28850, + "tgt": "I got cold and fever after being under water for eight hours wearing a tampon. Do I have TSS?", + "src": "Patient: Hello doctor, I am a 20 year old\u00a0female, I am traveling, and a week back I went on a canyoning adventure while I was on my period. I wore a tampon for nearly eight hours while going in and out of the river water. The water was flowing so I hoped there would not be much dangerous bacteria, but I am worried about how much might have been soaked into the tampon. After few days,\u00a0I got a cold with a fever, that has relocated to a painful chest cough. But, I am now beginning to be concerned that it could be toxic shock syndrome. I stopped taking birth control pills for the first time in three years about a week ago, so I have been experiencing some period like symptoms, like lower back pain, slight vaginal pain, etc. Should I seek medical attention? I prefer to avoid it as I am in a foreign country, but if it seems necessary, I will. Also, I am not sexually active. Doctor: Hi. Let me get few facts straight, toxic shock syndrome (TSS) is a complication of using tampons, but it is not the commonest complication. So you have to rule out other common causes. You have a risk of TSS if you do not change tampons for days, or have unhygienic methods of using them or if you left any cotton or pad in and forgot to take it out. Just because it got wet with river water, you will not get TSS. Maybe the climate changes or exposure to someone with a respiratory infection has caused these symptoms. I would suggest you do the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. I feel you will be okay within few days. TSS is a major infection and will make you entirely bedridden. Hope I have clarified your query, 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": 8436, + "tgt": "What is the treatment for dark spots and acne on face?", + "src": "Patient: Hi doctor, I have oily skin. I have lots of dark spots and acne on my face.\u00a0Currently, I am using Clincitop gel.\u00a0My face skin has turned dark where my body color is normal.\u00a0I have also lost my skin complexion.\u00a0How should I get rid of this?\u00a0Please suggest me. Doctor: Hi. Please send good quality photographs of your face taken under natural light for more detailed opinion.Revert back with photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10287, + "tgt": "What are the chances of getting pregnant with precum?", + "src": "Patient: Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum? Doctor: Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time." + }, + { + "id": 18639, + "tgt": "Got a bump on my lips. Is it due to body heat?", + "src": "Patient: Hello doctor, I got a bump on my lips before two weeks. It is not itching. Is it due to body heat? I have attached pictures. Also, I am having acne on face. Please review the pictures and guide me. Doctor: Hi. Revert back with the photos and details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21961, + "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": 23672, + "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": 23198, + "tgt": "What is the reason for change in liver function tests? Taking Concor 5 mg for High BP", + "src": "Patient: Hi doctor, I am a 45 year old male. I have recently checked my blood test and my liver function test shows 1.6 total bilirubin, 0.6 direct bilirubin and 0.9 indirect bilirubin. What might be the problem? I have high blood pressure and fatty liver. My current medication includes Covance 25 mg, Concor 5 mg and Storvas 5 mg. I am worried. Please advise. Doctor: Hi. Considering your indirect bilirubin being high (attachment removed to protect patient identity), it is generally a sign of hemolysis (breakdown of red blood cells). Did you have a recent fever? You also have fatty liver, which may also cause this. I would suggest you to repeat the test after two weeks. If it is still high, then repeat a complete liver profile with direct and indirect Coombs test, LDH (lactate dehydrogenase) and serum haptoglobin. Revert back after two weeks to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7370, + "tgt": "I have sharp pain below the breast and near the rib cage. What could it be?", + "src": "Patient: Hello doctor,I am a 27-year-old female. I am experiencing sharp pain in the area below my left breast and near the rib cage. Could it be something serious? Doctor: Hello. I have read your query carefully, before any prescription I want to know few things, 1. The exact location of pain? 2. Type of pain like sharp, cutting, and duration of pain? 3. Any previous history of any disease? 4. Hypertension and diabetes? 5. Current medication?" + }, + { + "id": 30987, + "tgt": "Shall I go with autologous stem cell transmission for Hodgkin's lymphoma?", + "src": "Patient: Hi doctor, I was diagnosed with classical Hodgkin's lymphoma. I had 8 cycles of ABVD, which did not remove the tumor and the tumor started growing back after 4 cycles. Then, I went for salvage therapy and that also did not give a good response. Now, the doctor advised to do the autologous stem cell transmission. What should I do? Doctor: Hi. For further information consult a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21535, + "tgt": "Will Ashwagandha or Shilajit boost sexual power?", + "src": "Patient: Hello doctor, My age is 19 years old. Recently, I quit smoking and my sexual power is somewhat decreased. How can I boost again my power back? Use of Ashwagandha will help or Shilajit? Or any other advice? Doctor: Hello. You are having erectile dysfunction problem. Smoking, alcohol can lead to that problem. So it should be avoided. For erectile dysfunction rule out vascular narrowing and thrombosis like cause using penile doppler ultrasound. Total cholesterol, blood pressure also should be checked. Rule out prostatic enlargement by ultrasonography pelvis. Underlying cause should be treated. If needed, the doctor can prescribe you Sildenafil like drug to increase penile erection. Kindly provide any history of drug intake if present like a beta blocker, diuretic, etc., that affect erection. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16728, + "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": 5876, + "tgt": "I have done HIV 1 and 2 test many times and the results are negative. Should I still worry about HIV?", + "src": "Patient: Hello doctor, I have been tested for HIV 1 and 2 many times. My tests are 10 weeks card test negative. 12 weeks Elisa serum test negative. 14 weeks Elisa serum and p24 test negative. 16 weeks Elisa serum test negative. 23 weeks Elisa serum and p24 test negative. Is HIV is still my risk? But from few days I am having lots of pimple on my back and shoulders and they sometimes itch, are they because of HIV or something else? Doctor: Hello. I understood your concern and I have viewed the images. (attachment removed to protect patient identity). Your HIV screening tests are conclusive. A screening test at and after three months mark from risk exposure is considered final and conclusive. There is no need to test further. The lesions that you have on your back are actually acne vulgaris. I suggest you apply a topical Benzoyl peroxide 5 % gel, twice daily. They are certainly not due to HIV." + }, + { + "id": 6369, + "tgt": "How can psychotic symptoms be managed?", + "src": "Patient: Hello doctor, My fiance began exhibiting psychotic symptoms nine days ago. He is 38 years old. He has no prior psych history or hospitalization. He is diagnosed with mild depression NOS. He takes Lexapro, Wellbutrin, and Suboxone. We know that this episode is not substance induced. He is currently hospitalized in a psych facility and we still have no diagnosis. Doctor: Hello, Welcome to icliniq.com. Psychotic symptoms can be precipitated by different causes like intense stress, affective disorder, psychotic disorder, use of illicit substances, sometimes due to organic problems in the brain (like epilepsy, lesion, inflammation, etc.). In a way it is good to know that your fiance is safe in a hospital where assessment and diagnostic work-up can be completed. You reported that it is not substance induced. Mental health professionals will need to observe him and complete the assessment to clarify the etiology of the psychotic symptoms. It can take some time to arrive at a definitive diagnosis but they may have a provisional working diagnosis. Kindly discuss with your treating team for more clarity." + }, + { + "id": 22077, + "tgt": "hCG has gone from 614 to 9 after medical abortion. Is the process successful?", + "src": "Patient: Hello doctor, My friend has done a medical abortion at five weeks of pregnancy. At that time, her hCG level was 614. She had done abortion with the help of Mifepristone 200 mcg and Misoprostol 800 mcg. She took Mifepristone in the morning and after 24 hours, she took Misoprostol orally. After taking Misoprostol, within 40 minutes she started bleeding with clots. For four days, she got bleeding and then it stopped. Then again after seven days from the day Mifepristone was taken, she again did a blood test. At that time, her hCG level came down to 9. So, can you tell me if her abortion is successful? Doctor: Hello. If her hCG levels have gone down from 600 to 9, it means she has successfully aborted. No need to worry. Generally, we recommend ultrasound by a gynecologist after two weeks to see some bits lying inside but as your levels have reduced drastically, it is almost a complete process. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17855, + "tgt": "Why am I suffering from low libido and erection problems?", + "src": "Patient: Hello doctor,I am a male, and I am suffering from low libido and erection problem. I am attaching my reports of free testosterone and estradiol for your advice.\u00a0Kindly guide and advise.\u00a0Thanks. Doctor: Hello. Your test reports (attachment removed to protect patient identity) appear absolutely normal. 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": 10201, + "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": 4516, + "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": 25230, + "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": 26038, + "tgt": "My face turns red when I am exposed to sunlight. What could it be?", + "src": "Patient: Hello doctor, I am a 21-year-old male trying to achieve an overall good facial complexion. For a number of years now my skin seems to be a bit damaged and has a lot less color to it than the rest of my body. My face seems to have general redness to it which is accelerated in the winter. I wash my face daily and use moisturisers but it seems to have no real effect. I smoke occasionally and go on sunbeds around once a week as it seems as though when my skin is whiter, the redness is more apparent. I do not feel as if it is as much of a problem in dark lighting, but I feel way more exposed in bright white lighting. I also follow a pretty good diet. Would you be able to help me in this regard? Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16888, + "tgt": "Cataract in one eye and solar burn in other. Does solar burn occur in one eye?", + "src": "Patient: Hi doctor, My father who is 56 years old, observed reduced visibility since 8 months. On consulting a doctor, he found cataract in one eye and solar burn in the other. Does solar burn occur in one eye? Doctor: Hello. Revert back after tests to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1548, + "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": 6382, + "tgt": "Is it advisable to take Fetzima in a depression patient?", + "src": "Patient: Hello doctor, I was just wondering about a medication. Can depression and anger issue get worse with Fetzima if only taken for a day? Doctor: Hello. Fetzima (Levomilnacipran) is an SNRI type of antidepressant used to treat major depressive disorder. When was the medication started and what is the dose you are on? Usually it will take about a week or so for you to get used to the medication and therapeutic effects will be apparent in around a month or so. Some patients can experience anxiety, agitation, irritability when starting the medication but they settle soon as your body adjusts to the medicine. Fetzima extended release capsule is usually started at around 20 mg once daily and then gradually increased to 40 mg once daily. Depending on your response and tolerability, dose can be adjusted between 40 mg to 120 mg once daily. Continue regular reviews with your prescribing doctor. If sideeffects persist, consult your doctor for an earlier review. Take care." + }, + { + "id": 7545, + "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": 27723, + "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": 25892, + "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": 30332, + "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": 22974, + "tgt": "How to confirm depression?", + "src": "Patient: Hi doctor, I just wanted to ask a few questions and get an opinion. I have been experiencing symptoms of depression for the last two years and I do not know what to do. I do not want to get my family involved unless I know anything for sure and I do not even know if I have depression. I have not had any bad experiences that would have affected me enough to make me depressed and my family does not have a history of mental illness, which is what makes me waver. I feel numb, sad and worthless most of the time. I have found myself becoming more and more irritable and spending more and more time alone. I do not know whether this is just something my mind has conjured up or there is something actually wrong. I feel mad at myself whenever I think about this as I do not have any reason for feeling the things I feel. Anyway, I was just wondering if it sounds like I have depression or not. I really want to see a doctor, but I want to give my parents some explanation since they do not really understand how bad mental illness can be. Thank you. Doctor: Hi. You should understand the difference between depression and disappointment. Disappointment also manifest symptoms as in the case of the depression. Were you deeply disappointed in the near past, say within one year? You did not have any bad experiences and your family does not have any depression history. That is perfect. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8730, + "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": 27020, + "tgt": "Can you suggest a diet plan to reduce my weight and achieve pregnancy?", + "src": "Patient: Hello doctor, I am a 29 year\u00a0old housewife. I am suffering from infertility since I got married seven\u00a0years ago. I have PCOD, tubal block, and hypothyroidism. I am overweight. All the treatments we took for conception failed. I was advised to reduce my weight by at least 10 %. But, I am unable to lose even a few kilos. I am ready with my blood reports to start my diet.\u00a0It looks like the cholesterol, HsCRP, fasting glucose and insulin levels are on the higher side. I need an advice from you. Now, in this situation, my first goal is to reduce my weight and achieve pregnancy. Kindly suggest me a remedy. Doctor: Hello. Please do not get scared about your weight. You can reduce it easily by following a good diet plan and with normal walking. I am sending you a diet chart. Please follow it and be in touch with me for the follow-up. For further queries consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 27117, + "tgt": "I have pain in an RCT treated tooth. Can this be treated with just medicines?", + "src": "Patient: Hello doctor,I am a 36 year old male. I had a root canal treatment five years back. Since the last two days,\u00a0I have severe pain in the same tooth. Irrespective of a cold or hot sensation, the pain was constant. My dentist has prescribed Oflox OZ and Meftal forte for five days and advised re-RCT. Please find the attached X-ray. I am not convinced that the infection is severe enough to be considered for re-RCT. Please advise if it can be treated with medicines alone so that I can avoid going through an RCT again. Doctor: Hello. I have seen the X-ray (attachment removed to protect patient identity). For more information consult a dentist online -->https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 13478, + "tgt": "I am not reducing my body fat even after exercise and diet. Please help", + "src": "Patient: Hello doctor,I am 54 years old, female. I am having no fat loss at all. Even after excercise and proper diet plan. I am taking medication (inhaler) for asthma, nasal spray, and vaccines for allergy and Thyroxine for thyroid. Doctor: Hi. Thanks for your query. Common medical conditions that can lead to weight gain in spite of proper diet and exercise are thyroid disorders, polycystic ovarian syndrome and Cushing's syndrome and certain medicines. Since you are on Thyroxine and your thyroid is under control then thyroid is not causing weight gain. PCOS is not encountered at your age group generally. Cushing syndrome causes hormonal imbalance leading to weight gain and a few other symptoms. You can be investigated on the lines of Cushing syndrome which includes 24-hour urinary free cortisol test, midnight plasma cortisol, and late-night salivary cortisol measurements and low-dose Dexamethasone suppression test (LDDST). So, I would advise you to discuss with your treating doctor on these guidelines." + }, + { + "id": 18754, + "tgt": "My premature baby has failed his hearing test. What to do next?", + "src": "Patient: Hello doctor,I am writing regarding the newborn screening of my baby. He was prematurely born at 29 weeks and spent 40 days in NICU. During his stay, we tested his hearing via OAE method. At first, both the ears\u00a0did not respond and in the second screening,\u00a0the left ear was perfect. But, there was no response from the\u00a0right ear. After three\u00a0consecutive failure of OAE in the right side, we went for BERA. However, BERA test showed no response in the\u00a0right ear even at 90 dB. Hence, the audiologist recommended a review after one\u00a0month. Now, I\u00a0am a\u00a0bit worried. What could be the cause for BERA failure? Kindly assist us to rule out the issue. And, what should be done to overcome this? Doctor: Hello. I have gone through the files (attachment removed to protect patient identity). Do revert back with all the details. Hoping to see your son healthy and good soon. For more information consult an allergy specialist --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 1077, + "tgt": "I get white discharge in both nipples with small blisters and they are sore to touch?", + "src": "Patient: Hello doctor, I am 17 years old. and have a littl bit of white nipple disharge in both breasts but one has it a little worse and the skin on my nipple appears to be white and has little blisters on it. It does not really itch or anything but it is sore to the touch. Doctor: Hi. I see that you are worried about discharge from both your breasts and you are telling it has blister-like appearance. White discharge with blister-like appearance and sore to touch generally points towards an infection, but an infection occurring simultaneously in both breasts at the same time is very rare. Another possibility, is that milk secretion from both breasts which you might think as white discharge. Do not doubt, there are certain conditions where there can be milk secretion even without pregnancy and birth, which occurs due to hormone disturbances. Need some more information too, Do you have a fever? How are your menstrual cycles? Is it regular? Is the flow high? Do you feel any small lump behind the nipples? Do you take medicines for any other problem? Do not mistake me, but your problem needs a direct clinical examination to visualize the breast, discharge and to see if there are any lumps behind the nipples. You would not be comfortable to post pictures of your discharge and blisters, so I would recommend you to visit a doctor in person and have yourself examined. Meanwhile, do the investigations I have advised and try the medicines given below. Hypothyroidism. Hyperprolactinemia. ? Breast infection. Galactorrhea. Tablet Amoxicillin + Clavulanic acid 625 mg twice daily after food for five days, tablet Aceclofenac + Serratiopeptidase two tablets twice daily after food for three days. Avoid wearing tight vests and too much sweating." + }, + { + "id": 11575, + "tgt": "Can I use Heparin cream for visible and painful penis veins?", + "src": "Patient: Hello doctor, In my penis, veins are visible and it is painful. Last month I consulted urologist, and he gave me Evion 400 tablet for 20 days. I masturbate daily. What I have to do now? Shall I keep Heparin cream on penis vein? Please help me. Doctor: Hello. There are always large veins on the upper aspect of the penis, and they transport blood back towards the heart. Since the penis is an erectile organ, the veins have to be large and zigzag (tortuous), so they can elongate when the penis becomes erect. Sometimes the pain may occur due to rough masturbation. Please do not use Heparin cream as it is not needed. Avoid rough masturbation for a few days. Take care." + }, + { + "id": 19865, + "tgt": "Do subserous fibroids affect fertility?", + "src": "Patient: Hi doctor, I am a 29 year old female. I am trying to conceive. Three subserosal fibroids and left fallopian tube is pulled up with adhesions. My husband's semen analysis was reported as asthenoteratozoospermia. Please help us. Doctor: Hi. Revert back with detailed history and reports to an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 3900, + "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": 11204, + "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": 18098, + "tgt": "How can I rule out ALS?", + "src": "Patient: Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do. When I run, I feel normal. The sensation has persisted and is difficult to describe. Sometimes it feels like weakness, but sometimes like an ache down my leg, particularly when I sit down for a longer period of time and then I feel sore on my lower left back, just above by buttocks. Overall, if I had to describe the sensation in my left leg, I will describe it as a sense of weakness. Apart from the persisting feeling of weakness, I have also noticed muscle twitches all over my body, including my left foot and primarily in both my legs. I know I have been aware of these for years, but I have been more aware of them lately. Every morning for the past three to four weeks, my left foot feels tight, a slight pain when I am walking. But, it does not persist all day and if I do not think about it, then it feels normal. If I do think about it, then it feels as if I am going to have foot drop, although it does not actually happen. On top of this, I frequently feel a sense of vibration at the bottom of my left foot particularly when lying or sitting down. It is hard to tell whether this is a spasm or numbness or tingling. In the past two weeks, I have had two periods of probably two to three days where I have felt cramped and tightness in my left leg particularly at the top of my left calf. I have had a brain MRI, which came back as normal. I have had a left knee ultrasound performed which shows a varicose small saphenous vein and my family doctor does not believe this explains my symptoms. Furthermore, I have had a lumbar CT which returned the following results. At L5-S1 moderate broad left paracentral disc protrusion mildly distorting the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. Minor disc extension into the foramen at this level without exiting L5 nerve root impingement. Minor changes in the other levels also as described. However, again, my family doctor does not believe this is the cause of my symptoms. He maintains it is most likely from anxiety. I am a 21 year old medical student and to be completely honest, I made the mistake of initially looking up my symptoms online. I have been very anxious since I started experiencing the sense of weakness, as I am worried about the possibility of having ALS. I have constantly been stretching my legs and trying to test my left leg as a result. What is your recommendation? Also, could you please include what you think of the possibility of ALS, as this is my biggest concern at the moment. Thank you so much for your time. Doctor: Hi. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal cord in cervical and thoracic levels, we get myelopathy. When it compresses the root, we get radiculopathy. But, please note that even when a prolapsed disc does not directly compress the spinal cord or nerve root, it can still produce symptoms if it compresses the blood vessels and interferes with blood flow. As a rule, veins are more easily compressed than arteries and the epidural plexus of veins are compressed by the prolapsed disc. This leads to venous stasis and the metabolites are not washed away from the nerve roots. However, this compression is dependant on the posture. When you move a bit, the pressure gets released and the blood flow resumes and the metabolites are washed and the nerve becomes functionally normal. So, even though you may be having symptoms at one time or another, the moment you walk to your doctor's room and climb the examination couch, all metabolites are washed away and your examination does not find any abnormality. However, the good news is that this condition can be treated by very simple postural adjustments as follows. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21132, + "tgt": "How can we treat acute pharyngitis infection?", + "src": "Patient: Hi doctor, I have a recurrent sore throat for the past seven months. I cannot drink, swallow, and my tongue is covered with a white layer. I have a dust allergy. I have a mild fever that goes to high fever as the time passes. There is malaise. I have vomiting often after I swallow. It is like a viscous sputum that blocks food from entering into the food canal. This time, I have swollen lymph nodes in my neck. The doctor examined me and told me there is no tonsillitis. I am taking Levofloxacin, Azithromycin, Ofloxacin, and Amoxicillin. Doctor: Hi. You are having an acute pharyngitis infection. You need to do the following tests: According to these reports, further treatment can be decided. Use salt water gargle done with warm water three times a day. Take one tablespoon of turmeric powder with milk daily. Drink warm water. Vitamin C 500 mg can also be taken for a week. For the symptomatic relief of pain and congestion, Paracetamol and Levocetirizine can be taken. You can consult an Otorhinolaryngologist for the further examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22471, + "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": 19163, + "tgt": "Is it possible to get pregnant with non-penetrative sex?", + "src": "Patient: Hello doctor, Three months ago, I had intimate contact with a boy and I was dry humping him on top. I felt his penis inside me, but I stopped immediately. Our clothes were on the entire time. I got my period in that month and the next. But, I\u00a0am late for this month by 13 days. I have taken multiple blood\u00a0tests and stick pregnancy tests and they are all negative. However, I just took one yesterday, and after three hours, there was a faint blue line which I do not know is false positive or real pregnancy. I have never had sex and I do not know if what I did can cause pregnancy. I am really nervous and am extremely anxious. Please help. 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": 3133, + "tgt": "What can I do for headache followed by inversion method yoga?", + "src": "Patient: Hi doctor, I have done inversion method in yoga for the last six days. Now, I have got pain in head and eyes. What can I do now? Doctor: Hi. For further information consult a yoga specialist online --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 22512, + "tgt": "What medicine can relieve me of pain and loose motions?", + "src": "Patient: Hello doctor, I am suffering from pain and loose motions since morning but at present, the frequency of loose motion has increased. Please advise us medicines for instant relief. Doctor: Hello. You are most likely suffering from a case of gastroenteritis. Probable cause of loose motion may be food poisoning. You need to take ORS (oral rehydration salt) saline to stay hydrated and to keep your electrolytes in check. Please take it as per the instruction on the sachet. Also, since the frequency of loose motion is increasing, I suggest you take tablet Loperamide just once which will stop the motion almost right away but this is a prescription medication so you need to talk to your pharmacist whether or not you can take it. Any existing heart disease or irregular pulse is a total contraindication for taking this drug. You may also need prescription antibiotics if symptoms do not improve. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17363, + "tgt": "Does Orlistat help in losing weight?", + "src": "Patient: Hi doctor, I am an unmarried 23 year old female. My height and weight are 5'6\" and 105 kg respectively. Till now I do not have any medical issue. From childhood, I am a bit fat. So I would like to know, is there any tablet which can help me\u00a0lose weight along with diet? I heard that Xenical (Orlistat)\u00a0will help to lose weight. Is it right? Doctor: Hi. I have gone through your case in detail. Lifestyles or hormonal imbalance. Blood test, sugar profile, hormonal profile. Revert back after a week for follow up to a dietician online.---> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 15554, + "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": 28731, + "tgt": "I feel hard to breathe and gag when I cough. Why?", + "src": "Patient: Hi doctor,I have been sick for about two weeks. Every time I cough it gets hard to breathe feel\u00a0like something is stuck in my throat and makes me gag. Do you know what is wrong? 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": 23748, + "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": 5637, + "tgt": "What does continuous high bilirubin level indicate?", + "src": "Patient: Hi doctor, I am suffering from jaundice for the last two months. One month before, my bilirubin level was 1.4. Before 15 days, the level was 1.2 and today 1.8. What is the reason for this change? Doctor: Hello. Revert back with the details to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14551, + "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": 18952, + "tgt": "What is the reason for vaginal itching?", + "src": "Patient: Hello doctor, I am 24 years old now. I had non-penetrative sex with two boys of my age separately when I was 9 years old. Now, I am having vaginal itching for the past one week. What is the reason? Doctor: Hi. Any form of sex had many years back will not cause an itch now. Most likely it seems to be yeast infection and simple antifungal cream should suffice. However, if itching is intense or you have discharge along with it you may need more treatment. Hope this information helps you. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1295, + "tgt": "My home pregnancy test is positive but ultrasound shows no pregnancy. Am I pregnant?", + "src": "Patient: Hello doctor, I am 28 years old. I have checked my pregnancy through Prega news in home after 48 days of my last periods. It shows two lines one dark pink and second light pink. I have checked two times but same results. I have done an ultrasound, but it does not show pregnancy in the report. Please suggest. Doctor: Hello. I have read the description of your problem. There can be three explanations for this. 1. Either it is an evaporation line (if have you have checked it very late than the time mentioned to check on the kit which is a false positive result). 2. Or this could be a very early stage of pregnancy where the levels are not sufficient enough to be detected in urine so gives a faint positive test, obviously at this stage usually the pregnancy may or may not be detected on USG (ultrasound). 3. Or the third possibility is that this is a very early pregnancy which is failing. If you could give a little bit more details about your previous menstrual cycles, the date of your last periods, and when the scan is done, it could have helped to narrow down the possibility. You can check for your blood levels of Beta hCG (human chorionic gonadotropin) hormone to check if you were pregnant or not. I hope this helps. Serum beta hCG level." + }, + { + "id": 9532, + "tgt": "What is the age limit for a women to get pregnant?", + "src": "Patient: Hello doctor,My wife is 34 years old, and two to three years ago a lady doctor mentioned that she had fewer eggs left (I think in one of the ovaries) after her examination. At present, my wife and I can not plan for a child due to some personal circumstances. So my wife is worried that after two to three years when we do decide to prepare for a child, she will be 37 years old and may have fewer eggs left. Then she would not be able to conceive. This thought is giving her a lot of depression and sleepless nights. Could you please advise until what age generally a woman can conceive? Also, can she conceive even with fewer eggs? Doctor: Hello. A woman can get pregnant as long as she menstruates. But after 35 years, quality of eggs decreases, which might lead to difficulty to conceive might lead to abnormalities in the babies, etc. So it is advisable to complete family before 35 years. After 35 years, if eggs are low, one might require assisted fertility techniques like test-tube baby, etc., might need to take donor eggs to get pregnant. Your wife is 34 years with already low egg reserve. It is advisable to conceive as early as possible. All the rest of the things and difficulties in life can wait." + }, + { + "id": 10429, + "tgt": "I need some medications to relax as I am nervous most of the time. Please help", + "src": "Patient: Hello doctor, I am a 26-year-old female. I am nervous most of the time and cry a lot because my dad passed away a month ago. I feel like there is no reason for life now, have no goals and moments without happiness. I thought about suicide several times, so I need some pills to relax me during the day time without sleeping effect. What should I do? I will never see my father again, which drives me crazy. Doctor: Hello. It is always painful to lose a loved one. Your symptoms are suggestive of an acute grief reaction to the loss of your dad. Grief causes significant emotional distress for some weeks, but usually, you will heal gradually with support from family and friends. To clarify, did you experience any emotional problems or mental health issues before your dad passed away? In that case, the grief can be more intense, prolonged, and you may need professional support like bereavement counseling. Usually, pills are not recommended for normal grief. But if you have any other underlying emotional problems, kindly consult your doctor who can assess and prescribe according to the need. I will advise not to isolate yourself during this period. Try to go out regularly even if you do not feel like it. Open up and talk to trusted family and friends, tell them how you feel. Try to eat daily and sleep well. Go for short walks and try to do your regular activities." + }, + { + "id": 10317, + "tgt": "My brother is in coma with fungal meningitis. Will he recover?", + "src": "Patient: Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility\u00a0of recovery? Will he wake up? Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14305, + "tgt": "Why are there pus cells and RBC in urine with fever and cramps?", + "src": "Patient: Hello doctor, Pus cells 8 to 10, my urine RBC is 6 to 8 and now I have the menstrual period. I feel I have a fever and cramps in my left side leg and hips side feel pain little bit and headache. What does it mean? Doctor: Hello. As per your clinical history is concerned, please follow like this. Discuss with your doctor about the prescription medications like Nitrofurantoin to clear the infection and Paracetamol for pain and fever. Do follow lifestyle modifications like this. Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you will urinate more frequently allowing bacteria to be flushed from your urinary tract before an infection can begin. Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. Empty your bladder soon after intercourse. Also, drink a full glass of water to help flush bacteria. Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra." + }, + { + "id": 27481, + "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": 25156, + "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": 17797, + "tgt": "I feel dizzy when I work on computer, smartphone or TV. Kindly help", + "src": "Patient: Hello doctor, My problem is that I am really suffering a lot from computer, smartphone, television, etc. They make me feel very dizzy, headache, etc., and these feelings do not disappear until I sleep. After I wake up, I feel like my head is going to explode from headache. But, after some 20 minutes I do will feel better and normal. But, if I use computer, smartphone, etc., then again, I will get the same headache and dizziness. I am using a computer about 8 hours per day. I am a civil engineering student. I searched on the internet and found a case called computer vision syndrome. I think it as my case, but I cannot find a solution to get rid of this. I had LASIK surgery for my eyes and now I have a 6/6 vision. I bought a big computer screen, used Eye fresh eye drops and also used 20-20-20 method. All these reduce the pain, but still I feel so bad that the headache and dizziness ruins my life. I cannot concentrate on my studies. Please give a solution. Doctor: Hi. I have reviewed your query and happy to assist you today. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2703, + "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": 30759, + "tgt": "Is there any link between Silofast tablet and semen production?", + "src": "Patient: Hi doctor, I was diagnosed to have a kidney stone. I am taking Silofast 8 mg tablet and Stone B tonic. Now, I do not have any pain and in the last scan, the stone was not visible. Earlier, it was 3 mm. My doctor asked me to continue the same tablet and tonic. I was away from sex for a month due to stone problem. In the last three days, I did not get semen when I tried to ejaculate. Please let me know if this tablet may give any issue. In the scan, my prostate size was normal and no problem seen. Please help me. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27727, + "tgt": "My father has a brain hemorrhage. What treatment would you suggest?", + "src": "Patient: Hello doctor,My father has a brain hemorrhage. He has multiple blood clots. I am attaching the CT scan reports. Please have a look. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30082, + "tgt": "Does my ECG show any abnormality?", + "src": "Patient: Hi doctor, My ECG report showed left axis deviation, left anterior fascicular block and prolonged QT interval. Is this an abnormal ECG? What kind of health issue I am having? I am a 48 year old female. Also, I am diabetic since four years. Doctor: Hi. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 260, + "tgt": "I have light colored vertical lines in my finger nails. Can you help me out?", + "src": "Patient: Hi doctor, I have recently noticed some light colored vertical lines in my thumb and index finger nails. I have attached the photos for your reference. When I searched on the internet, I found very disturbing things including skin cancer. I have hypothyroidism and chronic depression. I am on Bupron 300 and Thyroxin 100. By looking at the pictures, can you help me out? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16515, + "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": 15799, + "tgt": "I am worried about staphylococcus in my urine and a pelvic mass in ultrasound. Please help me", + "src": "Patient: Hi doctor, I have staphylococcus in my urine for a long time. My present laboratory test shows a profuse growth of staphylococcus in my urine. I have sensitivity towards Ciprofloxacin, Streptomycin, and Perflacin. I have pain in my urinary bladder, urine retention, buzzing sounds in ears and pain all over the body. I have a stiff neck and shoulder. I did an ultrasound, and it shows a mass deposit in my pelvis. Please help me. Doctor: Hi. The presence of Staphylococcal infection in urine is rare. I am worried about the mass present in the pelvis. Please send me the ultrasound report soon." + }, + { + "id": 27196, + "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": 6433, + "tgt": "My gums are paining in the wisdom tooth area while chewing. Why?", + "src": "Patient: Hello doctor, My gums near the area where the wisdom tooth should grow started feeling painful, but not much. Whenever I chew near that area, it would hurt. I thought of myself, it is probably because my wisdom tooth is coming out (as there was a sort of bulge where my wisdom tooth should come out). The next day, I noticed that the gums near the area where the wisdom tooth should grow started swelling around the tooth before it. And while looking into the mouth, I poked the swollen area accidentally, and pus came out of the swollen gums. What is that? Should I consult a dentist or just taking medicines is enough? If so, what medicine would you prescribe? Doctor: Hello. It seems like your wisdom tooth is on the way, but wisdom tooth does not erupt easily. They will take time and phases to erupt, so you will have to face this pain and swelling in some phases, maybe accompanied by fever even. Do salt water gargling. I would suggest to continue with warm water, and salt rinse five to six times daily, it will help you. I will not advise you to take painkillers. You can take an anti-inflammatory for the time being, Aceclofenac-P 500 mg twice daily for three days. Maintain good oral hygiene and rinse off your mouth after every meal. Follow up after three days." + }, + { + "id": 28958, + "tgt": "My ultrasound was normal, but I have excruciating lower abdominal pain. Why?", + "src": "Patient: Hello doctor, I am a 38 year old woman. I have been having excruciating pain in my right abdominal area, below my right breast.\u00a0The pain travels to my back and gets unbearable at times.\u00a0I have been throwing up today, and my temperature is low since the past five days.\u00a0This has been going on for a month and a half now, with the frequency and the pain becoming more severe.\u00a0\u00a0I also had night sweats, but that is usually when my temperature is low.\u00a0The urine, blood test, and ultrasound of gallbladder, all came back normal. Currently, I am taking Citalopram and Prilosec tablets.\u00a0I am in a lot of pain. Please help. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1882, + "tgt": "How will high blood pressure affect the kidney?", + "src": "Patient: Hi doctor, My mom is 65 years old. Her blood pressure is 180/90 mmHg. She is suffering from urine infection and her\u00a0serum uric acid is 7.6 mg/dL. I have attached her other reports for your reference. She is currently on Norflox 400 twice daily, Ciploric 300 one tablet daily at night, Telma AM one tablet, Met-XL 50 and Alkasol liquid two teaspoon thrice daily. Please help. Doctor: Hi. For further information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 5723, + "tgt": "Why do I feel fatigue, sleepy and high sensitivity to cold?", + "src": "Patient: Hi doctor, I am 27 years old.\u00a0I am suffering from a poor quality of sleep. My body feels heavy as it resists movement and I am slothful. My sensitivity to cold is very high as I avoid bath sometimes. During daytime, fatigue and sleepiness follow me and later in the evening I feel too tired that I want to sleep but cannot sleep because if I go early to bed, then I used to get up frequently in the night. So, overall I cannot have a peaceful sleep. My concentration and attention level have dropped significantly. Please advise. Doctor: Hello. I just read your query. Hormonal imbalance or lack of proper diet for low Hb, etc. Thyroid function test, hemoglobin and peripheral blood film. Revert back after two weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11906, + "tgt": "How much fluoride in toothpaste is good for adults?", + "src": "Patient: Hello doctor, What ppm and percentage of fluoride are good for adults? I am trying to figure out what kind of toothpaste is good, but I hate mint, so I am trying to check the percentages of fluoride that is good for an adult. Doctor: Hello. Fluoride content can be around 1000 to 1200 ppm which is more than enough for the prevention of cavities. No need to go higher than that. More important is the proper brushing technique. Go for up-down or circular brushing technique without too much pressure onto the teeth to prevent wearing away of enamel in the long term due to abrasion." + }, + { + "id": 583, + "tgt": "I have redness, burning and itching in skin after using a new cosmetic product. Please help", + "src": "Patient: Hello doctor, I tried a new skincare range called Gopure and American Company. Half an hour later, I developed redness, burning, itching, and swelling. I have discontinued the use and used ice and cold water to relieve symptoms. After four days, my skin is less painful. The company suggests watering down two of the products. I am reluctant to do so. What would you advise? Doctor: Hi. It seems that the new skin range that you tried is not suiting your skin. It is important to know what all products you were using and the ingredients in these preparations. If it was a concentrate which had to be diluted and used then the redness and burning would be because of the irritant dermatitis. This could happen to anyone and the irritation of the skin is due to the very high concentration of ingredients in it. This kind of reaction will not happen if you dilute the preparation as advised by the manufacturer and use the product. Sometimes it can also be due to allergy to some components and this will recur every time you reuse the product. Once the skin is back to normal you can try testing the product by applying a small amount of the diluted product on the skin behind your ear or on the skin of the inner forearm. Observe the area for 24 hours. If you develop any itching, irritation, or redness it may indicate allergy to some ingredients. Further patch testing can then be advised to know the exact allergen. And it will be advisable to avoid the product in that case. I hope this helps." + }, + { + "id": 28831, + "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": 28735, + "tgt": "How does C-section affect the tubal ligation procedure?", + "src": "Patient: Hi doctor, I had my tubal ligation over a year ago during my fifth C-section. The doctor told me that he had a difficult time doing it because of all the scar tissue and my tubes were stuck to my ovaries. I have been worried this whole year because he did not act real confident. How does scar tissue affect the procedure? What is the likelihood that it may not have been done well and I could still get pregnant? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7365, + "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": 22954, + "tgt": "With anxiety alone, can my heart rate go too high I cannot calm it down?", + "src": "Patient: Hello doctor, I suffer from anxiety and my anxiety is always centered on my heart. With anxiety/panic alone, can my heart rate go too high that I cannot calm it down? Doctor: Hello. Anxiety can cause both normal increase in heart rate as well as abnormally fast rhythms (known as automatic tachycardia). While the normal increase (sinus tachycardia) can be dealt with by treating anxiety, the abnormal rhythms may require drugs/electrophysiological intervention to calm down. I would also suggest a thyroid function test to rule out any malfunctioning of the thyroid gland, which may also cause fast heart rates. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17677, + "tgt": "What does equivocal herpes test mean?", + "src": "Patient: Hi doctor, In my test report it is mentioned as equivocal herpes test. What does it\u00a0mean? Should I be worried? Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18595, + "tgt": "I have had a hoarse voice for over a month. Is it a symptom of esophageal cancer?", + "src": "Patient: Hello doctor, I have had a scratchy/hoarse voice for over a month.\u00a0For the last 7 days I have a feeling as if something is stuck in my throat directly in the center and as if someone is pushing on my throat.\u00a0I have seen two different ENT doctors.\u00a0The first one diagnosed me with rhinitis and globus.\u00a0The second one said my esophagus is a little red and diagnosed me with GERD. I had chest x-ray, CT of chest and neck, all of which came back normal.\u00a0I had a barium swallow test and the doctor said he saw some reflux.\u00a0I have also started burping up a little food after I eat and feel a pain in my breast bone. When I searched the internet, it says esophageal cancer. Now I am freaking out and I am so scared. Wouldn't it show up on any of the tests I have had done? Do these sound like symptoms of esophageal cancer? I am a 34 year old mother of three children and I feel devastated.\u00a0The only thing left to do is an endoscopy, but doctors do not feel I need it and I am scared to get one.\u00a0Do you think I need\u00a0an endoscopy\u00a0and could this be esophageal cancer?\u00a0Please help. Doctor: Hi. The complaints you are describing fit into the following conditions: 1. Chronic laryngitis. 2. GERD (Gastroesophageal Reflux Disease). If there would have been a cancer, CT scan and barium swallow must have given an idea or hint. Since they were clear it is very unlikely to be an esophageal cancer. Now to help you better I need a few details: Revert back with the asked details to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 31003, + "tgt": "What might be the reason for increasing lightheadedness?", + "src": "Patient: Hi doctor, I am suffering from increasing lightheadedness and pressure near the back of the neck. I have this throughout the day. It gets worse with exertion and hot shower. I have some weird feeling in chest that is almost a fast heartbeat. My EKG and blood pressure are normal. Currently, I am on Prozac 10 mg. What might be the cause for it? 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": 28962, + "tgt": "I had an attack of severe vertigo, and my EKG is abnormal. What should I do?", + "src": "Patient: Hello doctor, I am a 50 year old male, who weighs 240 lbs. Two weeks back,\u00a0I had dizziness following an attack of severe vertigo that made me fall to the ground.\u00a0My psychiatrist sent me for an EKG, I went to the cardiologist to review the reports, and he said that the EKG was abnormal. My psychiatrist wants me to follow up with my family doctor as soon as possible, but my family doctor is not available for another week. What should I do? Should I wait for a week? I currently take Depakote and Risperdal medicines. Doctor: Hello. Have you informed your psychiatrist about vertigo? Because vertigo could be caused by some of the drugs you are using, like Depakote (Divalproex sodium) and Risperdal (Risperidone). So, you could be having the dizziness due to the side effects of the medication. If you are only having dizziness without other symptoms, you can wait for a week for your family physician. I would like you to attach the EKG (electrocardiogram) result if you have it, or tell me what changes were noted by the doctor. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5682, + "tgt": "Can having Cymbalta lead to no sexual drive in a patient with fibromyalgia?", + "src": "Patient: Hi doctor, My girlfriend has fibromyalgia and is currently on Cymbalta and a muscle relaxant. She said she has no desire for sex but it seems she is having sexual dreams. She does not know that she is doing it but it does not make sense to me. When she was on Tramadol, everything was fine unless she was just high from that drug. Any insight from you would be helpful. Thank you. Doctor: Hello. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 5299, + "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": 18673, + "tgt": "Are malaria and typhoid vaccines safe for a 9 month old baby?", + "src": "Patient: Dear Doctor, Is it safe for a 9 month baby to travel to the Dominican Republic? Also, is it safe for a 8-9 month old to take vaccines for malaria and typhoid? Doctor: Hi. It is safe to travel to Dominican Republic, but you need to care abut many issues. While traveling there are many issues related to health of your baby, example:\u00a0he can get infection like malaria, typhoid, hepatitis A & E and varicella. So if you use prophylactic measures, example: mosquito bite prevention or drug prophylaxis for malaria can be started 1 week before and to be continued 1 month after the travel. For food related infections (typhoid and hepatitis), you need to maintain hygiene and use trusted and clean water source and food. Avoid contact to persons having fever/rash/jaundice/loose stool/abdominal pain/vomiting. Regarding your query about vaccination for malaria and typhoid. So conclusion is that you can safely visit there by taking some prophylaxis. Hope this will help you. You can ask any further query regarding health issues of your baby before and during the journey or there after to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24963, + "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": 2808, + "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": 23651, + "tgt": "What medicines can be taken for chronic acid reflux?", + "src": "Patient: Hello doctor, I am a 27-year-old male. I have a problem with chronic acid reflux/GERD that often causes my throat pain as well. The problems are off and on i.e sometimes they are not much considerable but sometimes they are highly problematic. Additionally, I have sometimes noticed the problem of costochondritis since a few months ago and that has increased lately. This is bothering me much as I feel pain after sleeping or sitting one side continuously and movement of my arms. I do have a deficiency of Vitamin D (last blood test value was 17). Please, advice some medications to tackle these issues. Doctor: Hello. Hope your queries are cleared. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8276, + "tgt": "My wisdom tooth is coming in. What can I do to subside the gum pain and swelling?", + "src": "Patient: Hello doctor, My wisdom teeth have been coming in, and they hurt a lot once in a while. But this time at first my gums were swollen, and then I started to get a bump in my gums, and today I woke up and the bump was huge, with a kind of yellow color in color and it is so painful. What is it? And what I could do to get rid of it? Doctor: Hello. 1. I have seen the picture you have attached along with the complaint (attachment removed to protect patient identity). 2. The bump or swelling which you got is because of the wisdom tooth only. 3. This is nothing but the infection in the gums between the wisdom tooth which is pushing and trying to erupt and the surrounding gums. 4. This usually happens with most of the wisdom teeth eruption sequences, and so please do not worry about this. 5. For immediate pain relief, I advise you to rinse warm saltwater pooling in that area thrice daily after every meal. 6. Do not brush aggressively so that you might hurt the gums to bleed. 7. You could take mild pain killers such as tablet Paracetamol 500 mg thrice daily after every meal for three days. 8. Then please visit a dentist to look upon the issue. Initial treatment would be cleaning up that region with warm saline and checking an X-ray for the tooth to see the position and direction of eruption. 9. If the swelling subsides with cleaning the gums thoroughly, it could be left like that for a while. 10. If the erupting tooth troubles you the same way later in life, then we would think about pulling out the tooth as it serves no purpose for chewing." + }, + { + "id": 13371, + "tgt": "I am having burning sensation while urinating with tired eyes. Please help", + "src": "Patient: Hello doctor, I am a black male. I have a burning sensation when urinating and my eyes feel tired and a bit watery from time to time. I have itching between my anus and my scrotum. Recently, I have noticed a dark black mark on my penis shaft just below the crown of my penis and about a month ago, I had a hard blister like spot on one of my bum cheeks which burst a week or so later with a watery looking discharge. Lastly, I notice a cottage cheese like discharge underneath my foreskin from time to time. Can you help me by telling me what is the cause of these things? Doctor: Hi. The hard nodule bursting on your buttocks was an infected sebaceous cyst. If recurrent on the same spot, you may need a small surgery of cyst excision. For eyes, get refractive error checked and if needed specs. Burning urination is with poor flow, straining of urine? How many times you get up at night. Kindly get urine analysis and USG KUB and share the report to suggest treatment. For itchy perianal area sit in a warm sitz bath for 15 minutes, if persistent, show to a general surgeon. Black patch on the penis can be commented only after seeing the picture. Smegma under prepuce is a white deposit and you daily need to retract the prepuce and wash it with water during bath." + }, + { + "id": 10783, + "tgt": "I have irregular periods and waiting for pap smear. Should I worry about uterine or cervical cancer?", + "src": "Patient: Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared. Doctor: Hello. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available." + }, + { + "id": 18874, + "tgt": "Is it necessary to remove the entire breast in case of cancer?", + "src": "Patient: Hi doctor, My mother-in-law got operated for breast lump at before 15 days. We sent that lump to the clinic for further test and found that the lump has cancer cells. Before 13 years, she was operated for the same reason in the same breast, but that time it was a normal lump. Now, we did PET CT scan after 8 days of operation and no infection was found. Do we still need to remove her entire breast and proceed with chemotherapy? Doctor: Hello. Revert back with the reports to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 12524, + "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": 9252, + "tgt": "Is laminectomy an only option for lumbar spinal stenosis?", + "src": "Patient: Hello doctor, I have had back pain for the last 12 years. I had an l5 s1 disc herniation and later diagnosed with severe lumbar spinal stenosis at l4 l5 as well. My back pain is more critical than the leg pain. However, I have persistent calf and foot spasms and cramping (especially in bed and at night). I am able to exercise and lift heavy objects, but not able to walk more than a mile at a time. I believe the stenosis is more of an issue right now than the disc herniation, and my MRI confirms the disc is not as bad as it was years ago. I have done physical therapy, acupuncture, chiropractor, and epidural injections, but, my lower back pain remains an issue (especially when standing and walking for a long time). My doctors recommend a laminectomy, though I am scared that surgery may leave me in worse shape than I currently am. Can I have some advice? Should I go through with the laminectomy, or should I deal with the back pain since I have built a high tolerance for pain and can do most (but not all) activities? Doctor: Hello. You are quite aware of the condition and have managed to live with the issue, but as you say, you cannot walk not than a mile, but it does not seem to be your main issue. If you required to walk longer, then laminectomy will be the solution, but you need to get relief from back pain. I will hazard a guess that this is from local instability, faceted, or discal. I will say that because that is usually the reason for back pain in patients with disc issues. Lumbar canal stenosis will not often give rise to back pain. I will recommend that you discuss this with your doctor and perhaps go for laminectomy and pedicle screw stabilization as this will help relieve both issues." + }, + { + "id": 20685, + "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": 15882, + "tgt": "What is the cause for low platelet count?", + "src": "Patient: Hi doctor, God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest. Doctor: Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hydration. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 3713, + "tgt": "Why does my friend forget her own identity?", + "src": "Patient: Hello doctor, I have a friend suffering from identity confusion. She resorts to create several characters to identify what she is feeling. Each character has its one likes and dislikes and people it trusts. She usually has a smooth change in between characters, but this time the change is not going smoothly. I read what DID is, but I found the symptoms too extreme in describing her case. She does not have a memory problem in remembering what each character did. I have tried to advise her to seek professional help, but due to personal reasons she cannot seek this help. I wanted to ask if you can give me a clearer image of her case and how I can help her through the change and make it smoother. She has been living through her characters for a long time and does not know who she is. Now, this is one of the main reasons of her confusion and frustration. She is disgusted by herself and feels this as not normal. Please help. Doctor: Hello. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22075, + "tgt": "Why do I have swollen tonsils with pain, sweating, and tenderness?", + "src": "Patient: Hello doctor, I have swollen tonsils with pain, sweating, and tenderness in the neck for the past two days. I had a streptococcal infection and tonsillar abscess in the past. Doctor: Hi. You have an acute follicular tonsillitis. Use Unasyn (Ampicillin and Sulbactam) 1 gram injection every 12 hours for three days, Brufen 400 mg one tablet every 12 hours for 10 days. Unasyn 1 gram tablets every 12 hours for seven days after the three days of injection. Drink warm fluids and avoid cold and spicy foods. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22509, + "tgt": "Is there a chance of cancer spreading faster if biopsy is done?", + "src": "Patient: Hello doctor, My dad has been diagnosed with metastases and it has spread to his spines and lungs. He had prostate problems for past five years. Doctor on consultation here gave him few medicines which included Dexon. Once he stopped the medicine, he is hving hiccups continuously. Kindly advise on medicine to be taken. Doctor: Hello. Will you be able to provide me with details like: I am answering assuming few things like he is heavy metastatic prostate cancer recently diagnosed and must have been started on some medication (probably androgen deprivation) along with steroids (Dexona). It looks like a metastatic prostatic carcinoma stage IV. If he has been diagnosed recently and has not yet taken any kind of hormonal treatment (antiandrogen medications), then the best treatment option for him is to go for a small surgical procedure known as orchiectomy or removal of both the testes. Dexona for short-term use has some benefits but for long-term use, it has got a lot of side effects in many patients, for example, blood sugar increase (can lead to diabetes) increased blood pressure, gastritis, insomnia, weakening of bones, muscle weakness, etc. Dexona cannot be stopped at once, it has to be tapered off slowly as per your physician's advice. For hiccups, he should take tablet Ranitidine (Aciloc) 150 mg twice daily for one week and tablet Metoclopramide (Reglan) 10 mg three times a day for three days. I want to know whether he had prostatic problems due to cancer or due to benign prostatic enlargement. If you can send me the biopsy report, bone scan report, blood reports, PSA (prostate-specific antigen), and serum testosterone level report, I would be in a better position to give you more valuable suggestion. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27865, + "tgt": "My 14 months old son's top four teeth look rough and are crumbling. Why?", + "src": "Patient: Hello doctor, I am a very concerned father of a\u00a014 months old boy. His first six teeth came in, but the top four teeth look quite rough and are crumbling. His bottom two teeth seem fine. He is still almost exclusively breastfed, as he does not like to eat food, and seldom opens his mouth. I believe his teeth cause him a lot of pain. I have included some pictures. He has no other health issues that we know of. He has not had antibiotics and his mother is in decent health although, she eats a lot of sugar and carbohydrates. This is causing us great anxiety, as we need to get him to start eating, and I believe it is delaying his speech because he keeps his mouth closed. Please, help us. Doctor: Hello. I have seen the attached photos (attachment removed to protect patient identity). Thank you. For more information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 499, + "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": 6256, + "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": 10896, + "tgt": "I am suffering from mood swings. Kindly advice is this due to bipolar disorder", + "src": "Patient: Hello doctor,I want to get some information regarding bipolar disorder because I think I have it. I had horrible mood swings, one moment I am overly happy, and the next moment I feel depressed. My sleeping schedule is also different than usual. Doctor: Hello. Let me answer your questions via some bullets some points to make things easier to understand. 1. You are only 14 years old, and it is very unusual for a significant mood disorder like bipolar mood disorder to manifest at such a young age. However, this does not mean it is impossible but just far less likely. 2. As a young woman at 14 years of age, it can be considered completely to have mood swings and sleep disruption due to premenstrual hormonal changes. Puberty, overall, is a time of huge biological and psychological change and is not uncommon for a person to experience broad mood changes within one day. 3. I feel your mood swings and general well being should have a keen eye kept on them. If you have a severe mental health disorder, it will become clear fairly soon. 4. From your point of view, as long as you are still able to function normally at school and keep up with your academics as well as maintain relatively good social interactions you are very likely not suffering from a severe mental illness like bipolar. Also, consider the extent of your inner sense of personal distress. Sometimes things can seem like the end of the world in puberty but are much less severe when viewed from a different perspective. 5. I think it would be wise if your parents could allow you to see a psychotherapist or counselor regularly going forward for you to unload your feelings in a safe and confidential environment. Also, such a person could keep an experienced eye on you, and if any severe psychiatric symptoms appear, they can be recognized and acted on it correctly. 6. So my final suggestion is to ask your parents if they are willing to help you find a suitably qualified psychologist and counselor that you can see regularly and feel you can trust them with your feelings. Remember if you are unsure about how you feel and if it is reasonable and not something to worry about, it is always better to speak up about how you think, just as you have done here. Should see a clinical psychologist or counsellor regularly." + }, + { + "id": 25223, + "tgt": "Why have I missed my periods this time?", + "src": "Patient: Hello doctor, Three months ago, I had sex with my partner. Fourteen days later, I had my normal periods. But now two months have passed by and I have not got my periods. Moreover, I have used home fertility kit and that has shown negative results. Am I pregnant? What is the reason for my missing periods? Doctor: Hello. If you had a period after intercourse which is totally normal like the ones you had before, in terms of flow and days, it is highly unlikely that you would be pregnant. Also, you have stated urine pregnancy test is negative. So that goes against too. There could be many reasons for a missed period. I suggest you try a simple progesterone, Medroxyprogesterone 10 mg daily after food for five days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You should expect your period to come after completion of the doses between 48 hours to seven days. If you do not get it even after that, it is better to consult a gynaecologist physically to rule out other causes as well. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24186, + "tgt": "What is the red bump on the part of foreskin?", + "src": "Patient: Hello doctor, I recently had one red bump show up on the part of the foreskin. I have not been sexually active for awhile, it does not hurt or bother me. I recently talked to a doctor and he said it was a frictional bump caused by excessive masturbation and it was not herpes or wart. Kindly help. Doctor: Hello. It is difficult to say without looking at the lesions. Please send some clear photos of the affected area for better evaluation and guidance. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9605, + "tgt": "Is there a chance of HSV transmission through used shisha pipes?", + "src": "Patient: Hello doctor, I want to clarify something regarding a recent incident I had. I was smoking shisha at a shisha lounge. The waiter delivered the shisha to my table, but before that, he tried it himself, and I smoked it after that. I am worried that any diseases such as HSV1 or HSV2 may be transmitted to me if the waiter has it, I am sure that I did not come into contact with his saliva, but he did put his mouth on the shisha pipe a couple of times to test it. So please clarify this for me. Doctor: Hello. There is a chance that you could acquire HSV1 (herpes simplex virus) from the waiter if he has it. HSV2 is familiar with genital herpes, not the mouth. Unfortunately, blood tests are not sensitive enough to know whether you got the virus or not. In all cases, if you start to show the symptoms which can take few days up to two weeks which are blisters around the mouth, you need to follow-up with it, and appropriate treatment will be prescribed. HSV1." + }, + { + "id": 28197, + "tgt": "Can pneumococcal vaccine be taken around 3. 5 years of age?", + "src": "Patient: Hi doctor, My son is 3.5 years old, and he did not get his pneumococcal vaccine yet. When I asked about this, his pediatrician said that it is not a compulsory one. Even Rotavirus, I got it for my son with my own wish and was not instructed by his pediatrician. I was in my native for six months after delivery, and I moved to a new place when my son was 7 months old. The new pediatrician here also said that the pneumococcal vaccine is not necessary. Recently, I heard pneumococcal vaccine is a must. What shall I do now? Should I get it now for my son? Can he get it around 3.5 years of age?\u00a0We are little confused about the missed pneumococcal vaccination. Whenever he is sick, I feel that the missed vaccine is the cause of the sickness.\u00a0Please advise. Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18535, + "tgt": "My son is feeling sleepy all the time. What is his problem?", + "src": "Patient: Hi doctor,My son of 23 years is feeling sleepy all the time, walks while sleeping, sleeps while standing and falls asleep while traveling in a car. He has concentration problems and very irritable. He is overweight. Of late, even his speech is not very clear. What is the problem? Which specialty doctor should I consult for treatment? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18302, + "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": 13705, + "tgt": "Is there any way to manage pain in anus?", + "src": "Patient: Hello doctor, I am having huge inner pain in stool going place, anus. It happens after every 10 months. Please suggest what has to be done. I am male, 40. Doctor: Hello. Burning while defecation could be due to anal fissure. The anal fissure is a break or a crack in the mucosal lining of the anal canal. You better see a gastroenterologist and get a PR examination and sigmoidoscopy test done. Treatment consists of taking stool softeners like Pegfibre 4 tsp at bed time with a glass of water. Ointment Diltigesic locally thrice a day. Hot sitz bath for 15 to 20 minutes twice a day." + }, + { + "id": 13272, + "tgt": "Is it normal to have raised ESR in a patient with AIH?", + "src": "Patient: Hello doctor, Thought to have likely acute AIH for the past eight months. Currently, being treated with Prednisolone 8 mg to go to 5 mg and Azathioprine 50 much. My ALT/AST are within normal range last two months coming down from almost 2000. ESR has been steadily rising since past five months, commenced Azathioprine later, ESR was normal. Can you tell me your thoughts? I did not see the consultant for two months. I have been told all other blood reports are fine, ESR now is 52. Doctor: Hi. In general, ESR is a very non-specific marker. It has no significance in isolation. However, in countries where tuberculosis is predominant, we always consider it while a person is on immunosuppressive drugs. So you can ask your doctor for a chest X-ray. It is however not essential if you do not have any symptoms in general. So go ahead with your treatment. If you have any symptoms like cough, weight loss, then we need to do work-up for tuberculosis." + }, + { + "id": 30876, + "tgt": "Will abortion bring down the chance of future pregnancy?", + "src": "Patient: Hi doctor,I am 31 years old. I just got married six months back. I am 6 weeks pregnant. Since it was not a planned pregnancy, I would not like to continue the pregnancy. Considering my age, please provide an objective view. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11029, + "tgt": "I have a swollen labia after protected intercourse. What should I do?", + "src": "Patient: Hello doctor,I had sexual intercourse last night with protection. Immediately after, I went to take a shower and I see that my left labia majora is swollen but painless. It is kind of weird to walk lie down or sit. It was only my second time having sex. What should I do? Is this a dangerous situation? Doctor: Hello. How are you doing?\u00a0I do not see any reason for you to worry. Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16891, + "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": 11146, + "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": 19664, + "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": 22815, + "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": 18868, + "tgt": "What is small gestational sac syndrome?", + "src": "Patient: Hi doctor, What is a small gestational sac\u00a0syndrome? What causes this and what is the treatment? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15219, + "tgt": "What is the effective treatment followed for dry socket?", + "src": "Patient: Hi doctor, I had an extraction of 6, 7, 8 and 9 yesterday. When I got an excruciating pain at night, I went back to the dentist, and the doctor told me that I have a dry socket in 6 and 7. So she placed a pack over it. But less than eight hours, the pack came out, and I started to have pain again. I was not given antibiotics or painkillers. What to do? Doctor: Hi. You have a dry socket in 6 and 7. It takes time to have good healing. In case of dry socket, socket dressing is an effective treatment. It helps to have fast healing, prevent sockets from having food debris, and it relieves pain. This is the best treatment followed to treat dry socket. If your dressing gets dislodged, you can consult your dentist again. You can ask some antiseptic gel or mouthwash and painkiller for severe pain. You should follow oral hygiene instructions strictly. It helps to have a fast healing process." + }, + { + "id": 30722, + "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": 9883, + "tgt": "My 71-year-old mother had T8 vertebral body fracture. Kindly advice", + "src": "Patient: Hello doctor, I am living in a place, but my mother lives abroad in a country with limited access to spinal surgeons. She is 71 otherwise fit and well for her age. She slipped over and was told she has a t8 vertebral body fracture that is minimally displaced with no cord compression. She is in pain, but does not want to immobilise or stay in bed. What advice does she need to follow? Her sphincters are intact and she can control her bowels and bladder. Doctor: Hello. If she has a T8 vertebral fracture, that is I hope a compression fraction that you are talking about, which is minimally displaced and compressed. Then the treatment that is required is principally pain relief with minimal activities and physiotherapy initially to her mobilize with frame or support. She can use a TLSO brace (thoracic, lumbar sacral orthosis) and mobilize as able as tolerated by pain. Bed rest is only indicated in case of severe pain. Pain-killers like Co-codamol or Paracetamol or Morphine can be prescribed locally. Physiotherapy is given initially to get her up, and I can only give you an exact approach to this if you can send me the MRI report of the pictures. 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." + }, + { + "id": 18990, + "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": 26742, + "tgt": "Why does my 4. 3 years old son find it difficult to speak fluently?", + "src": "Patient: Hello doctor, My son is 4.3 years old. He\u00a0sometimes\u00a0finds it difficult to speak fluently, especially in the beginning of a sentence and when he is excited. Most of the\u00a0time he speaks the entire sentence very clearly, without any difficulty. I\u00a0am attaching his audio and video recording clips. What is the\u00a0treatment to overcome this problem? Doctor: Hi. I have heard the attached voice recordings (attachment removed to protect patient privacy). For further queries consult an ENT\u00a0otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11066, + "tgt": "I cannot concentrate on anything. Is it due to PCOD?", + "src": "Patient: Hello doctor, I cannot concentrate on anything. My mind is not stable. I have my exams in next eight days but I am feelling like I do not want to give it because due procastination, I have not prepared well and it is because I was not able to study but now my parents are forcing me to give that exam and due to which we have an argument and always during that argument, I just want to leave the house. I do want to study but I am not able to concentrate and focus on it. Also, I am suffering from PCOD. Is it the reason for my unstable mind? Doctor: Hi. PCOD does lead to some hormonal disturbance, do you have any symptoms of PMS? Premenstrual syndrome? Because that might be an explanation of your mood swings and irritability. As for the lack of concentration issue, start small with some breathing exercises and relaxation techniques, try guided meditation. For procrastination, it is often a reaction to stress, because we know the the work is stressful, to avoid it, brain goes on procrastination mode.Start with breaking the task in smaller chunks and do it like if you have to finish two chapters in a day, divide the number of pages per hour, then divide in 30 minute slot. Then just put an alarm for 30 minutes and read. Try this out and let me know if you need anything else." + }, + { + "id": 27123, + "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": 17931, + "tgt": "What is the effect of tympanotomy and tympanoplasty in hearing loss?", + "src": "Patient: Hello doctor,\u00a0 My mother has more than 70% hearing loss in the left ear. The doctor has recommended tympanotomy or tympanoplasty. Is it effective? My mother is 55 years old. Would she get any benefit from this surgery? Is there any complication associated with it? Is there any non-surgical procedure to treat it? However, her x-ray shows fluid accumulation around ear and nose. Her audiography shows more than 60% to 70% hearing loss. Please help. Doctor: Hi. I would recommend you to undergo a test called tympanometry in which we will come to know if there is any collection of fluid in the middle ear or if there is any damage to the bone of the middle ear. Also, let me know what kind of hearing loss she has. Is it conductive or sensorineural? It will be mentioned in the report of the hearing test. Tympanotomy is a procedure in which we make a small incision in tympanic membrane and drain out the fluid. If she has only fluid in the ear, then it can be dried with medicines. In tympanoplasty, we repair tympanic membrane if it has holes and also see the status of the middle ear. I would suggest you to get a tympanometry test done and also let me know the details of the audiometry report. Also, let me know if doctor commented anything on your mother's tympanic membrane. Revert back with the report to an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 24825, + "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": 7516, + "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": 24417, + "tgt": "What is a blood blister and how can it be treated?", + "src": "Patient: Hello doctor, I have a tiny red dot on the bottom of my pinky toe. It seems to be some blood blister. If it pops, it will bleed forever. It will not go away. What is it and how do I get it to go away? Doctor: Hello. I saw your picture (attachment removed to protect patient identity). It is called pyogenic granuloma which is a lobular capillary hemangioma. It is a collection of capillaries and is not contagious or infectious. Usually seen on hands, feet, and face. It bleeds on trauma. The treatment is the removal of the lesion. You will have to meet dermatologist to get it removed. After numbing the area with Lidocaine, the dermatologist will remove it using electrocautery or radiofrequency or surgical Co2 laser. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12310, + "tgt": "There is back pain after getting up from sitting position and walking. Why?", + "src": "Patient: Hi doctor, My mother is 65 years old (height 4'11\", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.? Doctor: Hello. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice." + }, + { + "id": 17236, + "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": 12597, + "tgt": "I am having weird pain in my penis. Please help", + "src": "Patient: Hi doctor, I went for a trip. There I had naked body to body massage along with blow job using condom and even touched the private parts. But, we did not involve in intercourse. Later, I kissed and had intercourse using condom, but with a different girl. Yesterday, my doctor forcefully pushed my penis skin back and found a small red rash inside the foreskin. He advised me to get few tests done and prescribed tablet Doxycycline 500 mg and tablet Valvir 500 mg. What are my chances of getting STD? I felt very uncomfortable, when the doctor pushed my penis skin back. He prescribed a lotion and asked me to regularly push the penis skin back and to clean it with water and apply the lotion. I got back home and tried to do the same, but could not do so. I saw something on my penis tip that was very sensitive to touch. Is this natural? Did the doctor teared my skin tissue by pushing my penis skin back? I am having weird pain in my penis. Please help. Thank you in advance. Doctor: Hello. I can understand your concern. The doctor pulled the skin back forcefully which means you has phimosis. Phimosis is a normal condition, where an individual failed to pull his penis foreskin back. If the skin was pulled back during childhood itself, it could have resulted in good retraction. Try to remove the skin or keep retracting the skin repeatedly. If you are not able to remove and retract the skin back, then I would suggest you to get a circumcision done. This will help to clean the penis with ease. As you did not have unprotected intercourse, the chance for STD (sexually transmitted diseases) is very less. The rash on penis can occur in case of urinary tract infection too. Take the antibiotics advised by your doctor." + }, + { + "id": 20517, + "tgt": "Are the symptoms indicating Lyme disease or Skeeter's syndrome?", + "src": "Patient: Hello doctor, I am concerned that my son may have Lyme disease or Skeeter's syndrome. I have several pictures of the area. Site description: Red, slightly swollen with blotches around. There is no bull's eye rash present at this time but from what I understand, this is not always present in Lyme disease cases. The areas surrounding the bites are much warmer than the rest of his skin. There are no blisters, pus, or discharge at this time. He has had a fever 102.2 F and has had a noticeable decrease in activity. Doctor: Hi. It appears like Skeeters syndrome by the look of it (attachment removed to protect patient identity). I suggest you continue antiallergic (antihistaminic s) and use Lactocalamine lotion over the area and see if it subsides. It should in a day or two. Give him Tylenol as per body weight for fever and any pain. Give him plenty of fluids. If he does not improve in 48 hours, it is prudent to take him to the hospital to be checked by a pediatrician or an infectious disease specialist. You would also wanna examine his body to see if there is any insect attached to him, any tick biting him, or to see if there are any other rashes and if any rashes appear in bull's eye form. Warning symptoms and signs to get alerted are drowsiness not improving, slurring of speech, weakness of facial muscles, high grade fever not responding to Tylenol." + }, + { + "id": 1894, + "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": 17753, + "tgt": "Should I worry about sudden drop in neutrophil and WBC count?", + "src": "Patient: Hi doctor, I am a 30 year old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely normal. A month back I had normal complete blood count with WBC 7.5 and neutrophils 5.2. After abortion, I had some trouble with being quite tired and sleepy, hence I have repeated the CBC yesterday. Everything came out the same except for the WBC which is now 4.7 and the neutrophils are 2.28. I have been very stressed out with the abortion experience and I am very much disturbed, depressed, tired and sleepy both during and after the procedure.\u00a0The OB/GYN did not seem concerned, but I was surprised by the drop.\u00a0I am worried that this drop in neutrophils might be something more worrisome like leukemia. I do not\u00a0have any fever, flu or cold for many months. I took Propylthiouracil for a few months recently but stopped right before the abortion. I had a urine culture yesterday which is also clear. I have no other symptoms but some pain in the lower abdomen which the doctor said was normal after the abortion.\u00a0I had a similar neutrophil count three years ago. At that time it was 2.15, so it is not unheard for me. But I am more concerned about the quick drop. Is it something I should be worried about? I feel so tired and overwhelmed by all that happened with the pregnancy. Kindly help me. Doctor: Hi. Based on your query, my opinion is as follows: No treatment necessary. Continue with regular schedule. Relaxation. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 7164, + "tgt": "What should I do to stop masturbation?", + "src": "Patient: Hello doctor,I weight 74 kg, with 5.9 ft. From three years before I had started masturbation and increased that I am doing it three times per day. I have tried myself very much to stop it, but I failed I have now reduced that I do it after two days one time. But I want to leave it permanently. Telling the local doctor is very embracing. I feel bored and depressed and angry full day.As I come alone in my room, I start thinking and then doing it. I told myself that it is last time, but after two days I forget and start it again, and after that, I feel tired and sleepy. By health, I am perfect, but sometimes I feel shivering of legs and weakness. In my religion, it is a sin. I think I would never stop it. Any medicine to stop it? Or what should I do? Doctor: Hello. If you want to know your problem, I like to tell you that you are not having any problem. The occasional feeling of shivering or weakness are the normal phenomenon that occurs to everybody, but the only difference with you is that you are relating these feelings with masturbation. Having masturbation up to two times a day is very normal for your age kids, and there is nothing normal. I am sorry to say that most of the religion in the world talked about sexual thing as a sin due to various reasons at the time of their inception, but science repeatedly asserted that there is nothing abnormal about sexual thing including masturbation. The answer to so-called your problem of masturbation is stop thinking it as a sin. Think in line of science, not in the line of religion. Masturbation is nowhere different from sex and multiple benefits over sex like no risk of sexually transmitted diseases. If the above answer is not helping you and you are not able to stop thinking I advise you to contact through video consultation so I can provide you required counseling face to face or medicine if it is necessary." + }, + { + "id": 29683, + "tgt": "How to get treated for sleep paralysis?", + "src": "Patient: Hi doctor, I am a 30 year old female. I am a working woman. I am facing sleep paralysis frequently from the last two months. Sometimes, it happens on consecutive days. I have faced this earlier also, but then it was very rare once in six months or once in a year.\u00a0It always happens in the\u00a0morning time when I get out of bed. My mind gets conscious, but I am not able to move my body. It is really scary and annoying.\u00a0Please suggest what should I do. Doctor: Hi. For further information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 26911, + "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": 4737, + "tgt": "Is it advisable to take ayurvedic medicine for PCOD while on Eltroxin?", + "src": "Patient: Hello doctor, I have hypothyroid and PCOD. I am taking Eltroxin 100 mcg. I have been put on Deviry tablets a few times to regularize periods. I am looking for a permanent cure for PCOD. I read from your posts that kalarchi choornam is effective. Can I take them along with thyroid Eltroxin tablets? Or will there be any interaction? What is your suggested treatment for my PCOD? Doctor: Hello. You have hypothyroidism and PCOD (polycystic ovarian disease). You are not trying to get pregnant now. So, it is time to take strict Siddha medications to get a complete cure from PCOD. I advise you to continue Eltroxin tablet. During your regular visit, the physician will regulate its dose based on hormonal values. So, you no need to worry about that. In many people, Siddha drug renders the possibility of reducing Eltroxin dose. For PCOD, please follow the following medical advice. a) Kumari legium (Van kumari legium), take 2 gm (one spoon) in the morning and evening before food or Aloes compounds two tablets in the morning and two in the evening after food. b) Tablet Chithira moola kuligai one tablet in the morning and one in the night after food. c) Kalarchi chooranam 1.5 gm in the morning and evening after food with hot water or milk. If you do not get this drug in the market, you can prepare as follows: Kalarchi (Bonduc nut) seed (remove outer shell and use only the inner kernel) - 100 gm Black pepper - 10 gm Asafoetida (fried) - 10 gm, Keep these in a mixie jar and make a powder. The drug is ready. Store in a container. d) Malai vembathi thailam or Kalingaathi thailam (both or same) 5 ml daily during the night before bed. After some days, you can increase its dose a few drops. Continue all these drugs. Within three months, you will get periods. Then also during menstrual bleeding days, stop all drugs. Again, start from day fifth of the bleeding day. Continue for six months. Your uterus and ovary will become normal. Suppose, if you do not get bleeding, but only few spots, then consider it as the bleeding. If you do not get even a spot, then do not worry, you continue these drugs for six months. Tender arasam leaf (peepal tree), collect the tender leaves. Grind three leaves and mix with milk (like milkshake). Consume this in the morning. Continue this daily morning until you become normal. If you get more tender leaves at a time, dry them and powder it. Then take 1 gm and mix in milk. If you do not like milk, then use buttermilk or water. This is another important home remedy for PCOD." + }, + { + "id": 23491, + "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": 13041, + "tgt": "How can I lower my voice while talking?", + "src": "Patient: Hi doctor, I have a problem. Can anyone help? It is just when I talk, even when it is dead quiet around me my voice will get progressively louder. And by the middle of my conversation, I will be nearly shouting. I do not understand or know why and it is affecting my daily life. It happens when I am at school, work, talking on the phone, or even talking to myself (I am a writer and I will say my character's lines out loud to see how they sound). Today I got called into my boss's office about it. Is there something wrong with me? I do not have the money to see a doctor or psychiatrist about it. Does anyone know? Doctor: Hi. One of the reasons for loud volume while talking is hearing loss. Some mild hearing loss is not so evident to the person and usually, one of the first things a person does is speak loudly. To be sure about it you will need to get yourself examined by a specialist. Other causes can be getting into your characters makes you excited and that excitement reflects in day-to-day things. Or you get easily annoyed or irritated due to others and raise your voice to them." + }, + { + "id": 27720, + "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": 5834, + "tgt": "I have bumps on penis and concerned as my condom broke during sex. Am I at risk of HIV?", + "src": "Patient: Hello doctor, I always had tiny and small bumps on my penis head, from the time I started noticing my penis. But today I saw some white and tiny dot like bumps. Is it any kind of STD? I had intercourse with a sex worker five weeks ago. It was protected and I kept checking my condom after every three or four strokes. I am totally aware of STD and HIV risk and I used a branded condom non-expired one. I stretched it hard to see for any holes or tears and did not see any. When I tried to insert, it broke and at that very second, I heard a popping sound and was out of her. It will be about one or two seconds and not more than that. I am not sure did it go in or not but I did not feel anything when the condom broke. I went to the doctor HIV specialist and she told me I do not have any risk for HIV. I would like to have your view on this. I have attached the picture. Doctor: Hello. First of all, there is no risk of HIV. Secondly, the tiny bump can be a healed ulcer. Third, to be honest, a condom will not protect from HIV. The size of the virus is far small than microscope holes in the condom. Condom promotion is done to prevent STD (sexually transmitted disease) which may cause an increased chance of HIV transmission. Test for TPPA (Treponema pallidum particle agglutination assay). Injection Benzathine penicillin 2.4 mu deep intramuscular. Stay away from unprotected sexual activity." + }, + { + "id": 27630, + "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": 2160, + "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": 23863, + "tgt": "I started bleeding from my vagina after rough sexual intercourse. Kindly help", + "src": "Patient: Hello doctor,I am 27. I currently started bleeding from my vagina and I had rough sexual intercourse four times in four days with my partner. I experienced hip pain yesterday but when I woke up, the pain was gone and 30 minutes before I started bleeding, I started to have pain in the same spot. I get my periods regularly every 24 days but sometimes I get them between 24 to 28 days if I am under stress. I had my last period only 12 days ago. Doctor: Hello. Have you ever done a complete blood count? Get one done and show me the reports. Trauma (laceration, tear) along with some other factors like weak tissue texture or coagulation disorders or chronic disease like diabetes or cervical/ uterine pathology/ pelvic inflammatory disease/ sexually transmitted diseases, etc. 1. Local detailed examination. 2. CBC (complete blood count). 3. High vaginal swab. 4. Cervical smear. 5. Trans vaginal scan not now afterwards. 1. Iron supplementation. 2. Postan (Mefenemic acid). 1. Healthy high-protein diet. 2. Condoms use along with lubricant. For more information consult an obstetrician and gynaecologist online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26574, + "tgt": "What should I do if my fallopian tubes are blocked?", + "src": "Patient: Hello doctor, I need a second opinion on my HSG report. Doctor: Hello. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 9943, + "tgt": "Is my CT scan of sinuses normal?", + "src": "Patient: Hello doctor, I have had a CT scan done of my sinuses. I would like a second opinion as to the severity of the findings and the best next step if you think that is needed. Doctor: Hello. I understand that you are a 66-year-old woman with runny nose problem and headaches, worsened over last few years, been there ever since you moved to new place. Your CT scan suggests there is some inflammatory changes in the sinuses (the exact sinuses as described in the report) (attachment removed to protect patient identity). Based on your CT report, I cannot conclusively give you any suggestion as to what has to be done for solving your problem. But what I can tell you is how things can be alleviated, what plan of management can be thought upon, what other things you need to tell us, what else to observe for you to be watchful. I would like to know if you suffer from any of the following, if so then the duration, any worsening recently. Nose block, reduced sense of smell, post-nasal drip, foul smell in mouth (bad breath), facial pressure or brow pain, cough, asthma, wheezing, breathing difficulty. Next, did your scan centre give you the relevant cuts of the CT scan? The film I mean. If you can upload the CT films it will be great. Reason: the report of the radiologist is based on his radiological practice which is far from the clinical practise. Whether these findings are significant or warrant an aggressive action will depend on an ENT specialists assessment of the films. For the same, I request you to send me the CT films if that is possible. If you were to come to me, I would do a nasal endoscopy in office after local decongestant and anesthetic spray to look for any frank congestion, mucus, pus, enlarged turbinates, anatomical abnormalities, mucosal abnormalities, deviated nasal septum, allergic signs, etc. At the very outset, I would keep the Cetrizine (Zyrtec) intact with an additional Montelukast (Singulair) component. I would put you on Flonase (Mometasone or Fluticasone) nasal spray. The spray has to be taken in a particular way, mind it. Can help you with regards to that if you need help. Whether to go for a conservative management (medicines, sprays, steroids) or a surgical one (endoscopic sinonasal surgery) would depend on the endoscopy and CT correlated with your detailed history. At least I would be able to point to a proper plan of action then. If there are polyps, we would like to bring them down with a course of steroids (oral, provided you are not diabetic or hypertensive, are you?) and then reassess with sprays and eventually may need surgery. If there is deviated nasal septum, that would also need a surgery (can be done with sinus surgery together). If there is any anatomical blockage of sinuses which will not be addressed by medicines, then again surgery. For long term management of the issues, we need to rule out allergy. A skin prick test is useful for that. You would need Zyrtec, anti-allergics and nasal sprays even after surgery to prevent recurrence. However, your quality of life would be much better with a surgery if that is indicated. Symptoms to watch out for are severe pain, proptosis of eyes, loss of vision, bleeding from nose, severe sudden nose block, etc. Do revert back to us with more details and shall guide you on what has to be done. As such with the limited information available with the CT report, I would not go for surgery now." + }, + { + "id": 11332, + "tgt": "I have tiny raised red spots on my inner arms. Should I visit a doctor for this?", + "src": "Patient: Hi doctor, I have some tiny red spots on my inner arms. I have had it for a few days. They are slightly raised, but not much at all, and they do not itch or hurt. I do have psoriasis on my ankle, which I have had for a few months now. I also had a UTI and took antibiotics to treat it a little more than a month ago. I am wondering if I should go in to see a doctor about it. I am currently on Zoloft and birth control pill. Doctor: Hi. Is it one forearm or both? Is there any history of travel or stay in a new place like a hotel or camping? Is there any history of gardening, or playing outdoors? Considering the history and after seeing the clinical picture (attachment removed to protect patient identity), I can provide the most probable causes for this rash. 1. Papular pityriasis rosea, an inflammatory condition that follows any kind of illness like flu, UTI (urinary tract infection), etc. It usually presents with red scaly spots that do not itch or hurt, starts on the trunk then extends to limbs and resolves on his own in six to eight weeks. Check for similar spots on the body as well. 2. Drug rash from the antibiotics that you took for UTI. May I know which antibiotic did you take? 3. Allergic contact dermatitis either to new cloth, sweater or new hand lotion. Do you recall using any new skin products or clothes in recent past? 4. Keratosis pilaris (KP) is one of the differential diagnosis if it is in both forearms (as in picture) and arms. KP is usually associated with eczema. Do you have any history eczema? 5. Have you been using any creams or ointment? Please discuss the options with your GP or dermatologist and get the appropriate treatment. Take care." + }, + { + "id": 23444, + "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": 11186, + "tgt": "Kindly tell me whether my throat swab shows MRSA infection", + "src": "Patient: Hello doctor, Is my throat swab wrong? Do I have MRSA? There is lymph node swelling and cobblestone appearance from 5 to 6 months. Tried different antibiotics but were not helpful. Doctor: Hi. It is not MRSA at all. It is a staphylococcal infection (attachment removed to protect ptient identity)." + }, + { + "id": 2548, + "tgt": "I am 21 years old, and I am facing hair loss from the past three years. Please help me", + "src": "Patient: 1 am 21 yrs old. I am facing hairloss since 3 yrs. I went to one dermatologist . He prescribed Menabol tablets Zydip lotion Vits hair Minoxidil solution and seboclear shampoo. And asked me to go on diet eggs and cheese. I started to get some good. But again after sometime it was same. I am losing hair from each part of head.now i have very much less density of hair. By just touching my hair . I loose min 4 strands of hair. This is nightmare. Now my hair aren't dense enough and i m just 21. What the hell is wrong with me. Please help me Doctor:" + }, + { + "id": 745, + "tgt": "Can I remove the gauze soaked in clove oil placed on the site of wisdom tooth extraction?", + "src": "Patient: I got my wisdom teeth removed 5 days ago , I ran out of my medicine and my mouth in severe pain so I went to place again and got gauze soaked in colver oil put into the holes of my wisdom teeth, the taste is horrible and burns and is making me sick to my stomach , I\u2019m wondering if I can just take the gauze out myself Doctor: Hello , Welcome to ICLINIQ This is your personal Dentist - I went through your query and am deeply sorry for your inconvinience and you have been uncomfortable for these may days. As an Expert I understood exactly what happened, after an extraction we warn the patient of not rinsing vigorously only warm saline gargle as softly as possible after 24 hrs . If this is not follows the clott at the extraction site dislodges exposing the bones , day to day food acumulations also adds up leading to the level of pain you are under . So your Dentist to heal the socket places a gauge with medication which is not ment to be taken out by you . As its heling the wound healing and will eventually reduce the pain and also donot allow food particle to accumulate at the extraction Site. The smeel can be too annowing as one can be deeply iritated by it , due ti clove oil it might feel burning sensation too . But donot worry that will fade off as soons as the extra medicament which might got rubbes on your gums gets risned out( do it slowly or you might disloage the gauze too thats not good ) . You can apply *BUT DONOT TRY TO TAKE THE GAUZE OUT*. let me know if any further query am here to help.Feel free donot hazitate and upload an image of the site if possible. I will be waiting . Thanks alot." + }, + { + "id": 10541, + "tgt": "Kindly help me to clarify that my period is normal or is it due to the side effect of I-pill", + "src": "Patient: Hello doctor, Last month I had I-pill (within 48hours of intercourse) after 18 days of onset of my periods. I did not have any side effects like withdrawal bleeding, nausea, etc., after taking the I-pill. I got my periods on the 1st of this month. I am unsure if this is my normal period or bleeding due to the side effect of I-pill? Please help me to clarify this. If it is my regular periods, then there is no delay in it (a week before or week after than expected date). Is it normal? Is there a need to take a test or any chances of pregnancy? If yes, when to take the test? Doctor: Hello. Let me start by assuring you that you are not pregnant and need not worry. If you have had your periods 18 days before taking I-pill, your ovulation would have been around 13 to 15 days after that. Life of egg is only one day. So there is no chance of an egg being alive on that day of sex. I-pill or emergency contraception pill is a high dose of progesterone hormone. After ovulation, your ovary also will be producing the same hormone. As you have taken it after the ovulation date, the thickness of the inner uterine lining would have increased further. But would not have shed. Usually, if you take it before ovulation, your bleeding will start within a few days. So you should have had your regular periods, slightly thicker or more than usual. If you had bleeding almost like regular periods, then the inner lining of the uterus has been shed. There is no chance of pregnancy if at all, to catch inside the uterus. So do not worry, your next period will be one month from this period. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 11121, + "tgt": "What do shaky hands and numb toes while walking point to?", + "src": "Patient: Hi doctor, I had my first appointment with a neurologist this week. I am a 21 year old student. The past several years I have been dealing with shaky hands, worse on my left side, that has continuously gotten worse. I also have hypothyroidism and had hoped that as my thyroid balanced out, the shaking would decrease, but it has only gotten worse and now the shaking often moves up my arms and makes it very difficult to write or work. Within the past year, I have noticed that some of my toes go numb while walking and can stay numb for several days. Recently I have noticed numbness in my right arm at times. My neurologist first thought it could be from stress, but then proceeded to run through a series of tests where he mentioned that the reflexes in my feet were very uncommon and that my pupils also were not working the way it should. He asked about any back pain, I told him I struggle with that as well. He then did a test where I would touch my nose then his finger, I could do it on my right side, but missed every time on the left. He ended up taking quite a bit of blood and asked to get MRI of head and cervical spine this week. He did mention that this could be serious and heavy, but not much else. Currently I am on Levothyroxine. I am starting to get nervous and wanted to see if anyone had any input or ideas about possibilities or conditions that could be wrong with me? Thank you so much. Doctor: Hello. Your history is suggestive of neurological issues with very less possibility of anxiety. Following are the possibilities that I can think of : Now to help you better, I need following answers from you. Please think in detail and answer : Have you ever been admitted in hospital for vomiting? Or ever received any injections for vomiting for long? Do you notice any visual issues? Is there any tingling or numbness in legs? Do you have any difficulty in holding objects? Do you experience any cervical pains? Are you suffering from weight loss or memory loss? Have you noticed any other neurological issues in life? Please check with your family for answers that you are not sure about. I mean that any previous significant history of such episodes in childhood." + }, + { + "id": 16629, + "tgt": "Is the flesh on wrinkly part of anus related to hemorrhoid?", + "src": "Patient: Hi doctor, Recently, I found a little flesh on the wrinkly part of my anus and also near the perineum but connected to the anus. I am worried that it might be something serious. I recently discovered it like four days ago. It does not cause me any discomfort or bleeding, or any pain. I do not even feel it is there, only when I touch it. I think it started when I sat on the toilet for too long but I am not sure it might be the cause. Do I have hemorrhoids or is it different? Doctor: Hi. The problem you have mentioned is of short duration. There are no other symptoms apart from the little flesh you are able to feel. It could probably be a skin tag, which means extra wrinkle of skin over that area. Since there is no discomfort or bleeding, we shall wait and watch. It is unlikely to be hemorrhoids." + }, + { + "id": 14424, + "tgt": "Is it possible to get circumcision done under local anesthesia?", + "src": "Patient: Hello doctor,My urologists have recommended circumcision to improve my symptoms and to be able to look inside the urethra, etc., and wants to perform the procedure under general anesthesia. Can this also be done under local or epidural instead, as I am having anxiety about the general method? Am I overreacting, maybe to a common method? Currently, I am taking Flomax once a day. Doctor: Hi. Regarding the type of anesthesia for circumcision and cystoscopy, it can be done under local anesthesia or spinal or epidural anesthesia or general anesthesia. Local has the following benefits of no risk related to anesthesia. The drawback is some discomfort but usually tolerable in a cooperative patient. Spinal or epidural has the benefit of good analgesia, post-operative pain control for a few hours, reasonable safety. The drawback is may need to stay in the hospital longer to avoid a post-spinal headache. For cardiac patients not so safe. General anesthesia, the benefit is it can be tailored to a short procedure. Relatively safe in cardiac patients. The drawback is higher cost, inherent risk for short neck or asthmatic patients. So anesthesia has to be tailored or individualized after discussion with your doctor." + }, + { + "id": 12353, + "tgt": "What causes eye redness with pain and headache in uveitis patient?", + "src": "Patient: Hello doctor,I am a uveitis patient. Although my uveitis is under control and vision is good. But from the last three days due to the climate change may be or may be due to the late night sleep and excessive use of laptop whatever cause is, I am having headache and redness along with little bit pain in my left eye. Maybe it is an allergy, kindly suggest me some kind of drops to get rid of this redness and headache and pain in eye. Doctor: Hello. For simple allergic conjunctivitis, you can use over-the-counter lubricants, like 0.5 % Carboxymethylcellulose acetate. They usually settle down on their own and will not cause any harm to the eyes. But an allergy on itself will not cause any pain. I recommend that you visit a doctor in case you develop increasing continuous pain, a drop in vision, non-resolution of symptoms within two days." + }, + { + "id": 5735, + "tgt": "What is the conclusive timeline for hepatitis B and C testing?", + "src": "Patient: Hello doctor, What is the conclusive timeline for hepatitis B and C testing? I have done the following tests. 1. Normal ALT and AST at 12 weeks post possible infection. 2. HBsAg at 15 weeks post possible infection. 3. HBsAg, HBcAb and HBsAb at 22 weeks post possible infection. 4. Hepatitis C antibody at 22 weeks post possible infection. 5. Normal ALT, AST, ALP, LD, and albumin. I had slightly raised bilirubin (27 umol/L in a ref range of 8 to 24). 6. HBsAg, HBcAb at 29 weeks post possible infection. 7. Hepatitis C antibody at 29 weeks post possible infection. Does the test at 29 weeks (202 days) determine that my results are 100% conclusive and no further testing is needed? Why would there be elevated bilirubin? If I were infected, why the detectable elevations in bilirubin did not follow a positive hepatitis test, and why it is stuck in the middle of two negative tests (week 22 and week 29 negative tests)? Doctor: Hello. Normal bilirubin, as well as, normal ALT (alanine aminotransferase), and AST (aspartate aminotransferase), do not warranty that a person cannot have hepatitis B and C infection. A person infected with hepatitis B and C can have normal liver function tests. In a normal course, HbsAg (surface antigen) comes positive within four weeks of infection and Anti HCV (hepatitis C virus) antibody may take up to six weeks to three months to show its positivity. In general, if a person is found negative after months of exposure we consider it conclusive. In cases where there is a high risk or the diagnosis has to be early we need to get the PCR (polymerase chain reaction) test done for both hepatitis B and C. For hepatitis B we do HBV DNA and for Hepatitis C we do HCV RNA analysis. I hope this helps." + }, + { + "id": 11724, + "tgt": "I would like to know if I can take kalarchi choornam for PCOS", + "src": "Patient: Dear doctor,I would like to know if I can take kalarchi churna. I have PCOS with irregular periods and ovulation issues. I was on Clomid stimulation which was giving prompt follicle growth and ovulation but could not conceive. Now I am given FSH injectables for stimulation. Can I have kalachi churna when having these injections? Will they interfere with follicle growth? Also, my testosterone levels are high. What to take to control that? Doctor: Hi. PCOS (polycystic ovarian syndrome) is not a single disease, it is a group of diseases. It occurs due to hormonal imbalance, development of immature ovum due to hormonal imbalance and converted into a fluid-filled cyst. It leads to irregular menstruation and raised level of androgen hormones. It can be managed through ayurvedic medicines and yoga practices. Kalarchi choornam is a Siddha medicine. It is widely used in PCOS. You can take this 2 g twice a day after meals. Do regular Kapalabhati and Mandukasana as well as pranayamas like Anuloma vilom, Nadi shodan and Bhramari. It helps to improve your metabolism. Avoid spicy and fried junk foods. Eat fibrous foods and fruits as well as green leafy vegetables. Drink plenty of water. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18337, + "tgt": "What can be done to save a fractured milk tooth?", + "src": "Patient: Hi doctor, I took my 4-year-old daughter to the dentist yesterday as two days back she fell and they said she had fractured her front tooth and it is loose. I am worried it will fall out and I really do not want it to also with it being fractured if it does come out I am worried a part of the tooth will still be left behind. What can I do? With my daughter being so young is it possible to cap the tooth or do something to fix it? Also, if there is an option to fix it, I am looking for something that is not going to be too much or too painful for her. Doctor: Hi. Do not worry. I have gone through your query and would like to tell you that it is a milk tooth and even if it is removed (due to severe mobility), we can give space maintainer, but I will have to see the X-ray and clinical photo of the tooth to guide you properly. No such serious effect will be there as the permanent tooth will anyways erupt there. An X-ray is definitely necessary to check whether there is any damage to the following permanent tooth within the bone. Secondly, if there is pulp exposure alone, we can do pulpectomy (like RCT) and if just enamel or dentin fracture, we can either smoothen the margins or fill it with tooth-colored cement. As I said, it is just milk tooth that will anyways be replaced by permanent tooth, be totally relaxed. The situation is totally manageable and no permanent effect is going to be there on the child." + }, + { + "id": 26847, + "tgt": "Please explain my nuchal translucency scan report", + "src": "Patient: Hi doctor, I am 13 weeks pregnant. My nuchal translucency report read 'small linear septum noted along the\u00a0left lateral aspect of gestational sac synechia, and no fetal part is\u00a0seen near the septum.' What does this mean? Is it a critical problem? Please help. Doctor: Hi. Thanks. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16422, + "tgt": "Why is there chest heaviness after starting homeopathy treatment?", + "src": "Patient: Hi doctor, I am suffering from a hiatus hernia, GERD and irritable bowel syndrome for the past two years. I have started taking homeopathy treatment. I am consuming it for about three weeks now. But after taking it, I am having a painful swelling and enlargement of my breast. It causes an unnatural heaviness and discomfort. What could be the reason behind it? I am taking Carbo vegetabilis 200C, Cantharis 200, Berberis vulgaris, Calcarea fluorica 12X, and Magnesium phosphoricum 12X. Doctor: Hi. The heaviness of breast can occur due to premenstrual symptoms. The heaviness of chest can occur because of bloating and acidity. To get rid of acidity, you can take one spoon of Gulkand before and after taking meals. It has a soothing effect on the gastric tract. If you want, you can try these medicines. You can take Mercurius corrosivus 30. Take five pills every morning, noon, evening and night. Take Nux vomica 1m five pills at bedtime daily. Take Asafoetida 3x three tablet at morning, noon and evening. You will surely feel better by taking these medicines. Have a change in your food habit and sleep. It can help to recover soon. Avoid taking fried, oily, fermented, spicy, and fatty foods. Take proper rest and sleep. If you have a habit of overthinking, then try to stop it because it can worsen your complaints. The mental status of a person also affects the irritable bowel syndrome. Follow me for at least once a week." + }, + { + "id": 15598, + "tgt": "Is Ovral G an emergency contraceptive pill?", + "src": "Patient: Hello doctor, I am 35 years old. My period was a month back. It sustained for four days. I generally use 3 to 4 pads in my periods. I had sex 10 days later. On the very next day, I had two Ovral G at around 9 AM and there after 12 hours again two Ovral G tablets. I noticed my period 12 days later, though it lasted for four days, the period was less and usually, my period happens four days earlier. In this month, it was six days earlier. I did hCG beta blood test. I am sending you the report. Can I be pregnant or conceive? Please advise because I want to abort. I am an unmarried woman. Can the blood test be wrong? What laboratory test I should do to get to know whether the fetus is there beyond uterus (ectopic pregnancy) as I m 35+. When should I go for ultrasound vagina testing to get the true picture? After that I did not have any sex, so then again can I be pregnant and that could not be detected now and can be detected on later? Doctor: Hi. The test result is <0.10 (attachment removed to protect patient identity) which means it is negative and you are not pregnant and your period was six days early this time. nothing else. Do not worry much. And if you still have doubt then do urine pregnancy test weekly for two weeks and if negative then there is no chance of pregnancy. Negative means a single line and positive means double line. You have to see the result within five minutes. No need to go for an ultrasound now. Do drink more water and be happy. There is no pregnancy as Ovral G (Norgestrel and Ethinylestradiol) has worked this time." + }, + { + "id": 28775, + "tgt": "I am suffering from oral thrush. Please help", + "src": "Patient: Hello doctor, I am suffering from oral thrush, and my symptoms are whitish tongue and upper part of the\u00a0mouth, damaged taste buds, unpleasant taste in the mouth, and a reddish area around the tonsils. Please help me. Doctor: Hello. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4158, + "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": 4708, + "tgt": "Will preeclampsia during pregnancy lead to potential CKD?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I had preeclampsia with both pregnancies as well as kidney infections during pregnancy. I have a history of UTI's as well. My creatinine was up to 1.67 in all of my kidney infections. Few months back, I had a partial hysterectomy in which my left ureter was cut and not noticed and I was closed back up. I returned to the ER six days after my hysterectomy and was taken to emergency surgery because my left kidney was enlarged and not draining. I had a stent placed which remained for six weeks. My creatinine was 1.7. I had bloodwork done after my stent was removed and my creatinine was .9. I had another kidney infection in four months. My blood pressure has been increasing since then and I had to go to the ER because my blood pressure was about 146/121 mmHg. I am now on blood pressure medication and my blood work shows my creatinine at 1.2. I had a renal scan done that came back normal. Is it possible that I had CKD? Or are there any other explanations for my raised blood pressure, flank pain, and increased creatinine? I am currently taking Adderall 15mg two times a day, Macrobid after sex, Lisinopril. Doctor: Hello. In preeclampsia or eclampsia, patients may present with albuminuria. This may lead to progress to chronic kidney disease. Your urine examination report also showing plenty of RBC (red blood corpuscles). But not mentioned what is RBC morphology in microscopy? In case of renal problems, morphology is changed. But if morphology is intact means it is lower urinary tract infection. Also, check for UTI (urinary tract infection) for your husband. There is a chance of repeated urinary tract infection. Please review with urine culture report if unnecessary raising of serum creatinine may a need kidney biopsy. Control your blood pressure which may lead to proteinuria and renal problems." + }, + { + "id": 7684, + "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": 21616, + "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": 29380, + "tgt": "What could be the reason for my dizziness and increased blood pressure?", + "src": "Patient: Hi doctor, I experienced dizziness as from this morning. Later in the noon, I felt as if my head is spinning and could not focus properly. I felt that my hands became numb and fingertips turning blue. I went to a pharmacy sweating on my forehead. They took my blood pressure and it was 142/103 mmHg. It became more steady later and I felt better after eating. I also fainted a week ago in client's office. I think it may have been due to high stress. I felt dizzy and wanted to vomit. I am currently on Venlor and Valdoxan. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3354, + "tgt": "I masturbate a lot and now I am getting mild penile pain and erectile dysfunction. Why?", + "src": "Patient: Hello doctor, I am a 27-year-old male. For the past six months I do not do any physical activities, no exercise, I work only on my laptop and drink very less amount of water. I masturbate almost daily for the past 10 years. I never had sex with any girl. I never used any kind of contaminated stuff with my penis. I never had erection problems in my life in fact, I got erection any time I wanted (except when I was extremely stressed). And I always used to have morning erection (until I started research on internet). I usually wear tight briefs, and often while wearing tight briefs when I got erection, the tight fitting underwear tries to restrict the erected penis inside. And due to tight fitting brief my penis bend (where shaft meets the penis head) inside the underwear. And I firmly believe this caused the injury to my penis. When I urinate sometimes some drops of urine are left in my penis head, which comes out later after a minute when I walk back to my room. For the last two months, I have been suffering from very high levels of stress, depression, anxiety, anger related to my job, health, relations, past, and future. And I am severely constipated for the last two months may be due to these stress. I do not have frequent urination. Last month, I thought I should ask a doctor about this extra skin on my unerected penis (see attached photos). I started research on the internet. At this time I do not have any erectile problems and I was not aware of any kind of terrifying disease that can happen to the penis. Everything was alright. But then, I started reading about the bend I have in my penis (see attached photos) and I read about all these terrifying diseases (Peyronie's disease, prostate, etc.). Since then I am extremely terrified, stressed, depressed, hopeless, more constipated, like someone is holding my stomach tightly. And I also breathe very slowly when I think about these things. I cannot take my mind off these problems. I am terrified like I may have one of these untreatable diseases. After this internet research, I cannot think about porn and stuff which I used to think for erection and masturbation. And even if I watch porn or try to think about porn, all these queries and worries are running into the back of my head all the time and I cannot get erection. Yesterday, I masturbated with a fully erected penis. And I am able to get full length erection (if somehow I draw my attention off these terrifying things). I am having very mild pain in my penis on erection. It is like a muscular pain inside the penis and had premature ejaculation (this particularly started after internet research). What is the cause of this pain? Are pain and premature ejaculation related? What can be done to solve these problems? I am suffering from erectile dysfunction (problem in maintaining an erection). It does not get hard for more than a few seconds. What is the cause? I noticed a darker patch of skin located on my penis shaft. More specifically it is located on the very bottom of the shaft, starting where the shaft meets the scrotum and traveling up towards the head little ways. It is oval in shape. The color is a bit darker than my usual skin tone. What and why is this black skin on the lower side of my penis shaft? What can be done for this extra skin on my unerected penis (see attached photos)? Is my penis shape normal or not? Why is my penis head bends downward? Is this normal? Why is the head of my penis is large (in length)? And it often remains less hard (spongy) on erection while shaft gets very hard? Why not my penis erection is not parallel to the floor (which it used to be)? It always slopes downward. Is this damaged suspensory penile ligament? Because tight briefs forcefully restricted the erect penis in a downward direction. Doctor: Hello. I have seen every picture you have uploaded and I understand your concern. (attachment removed to protect patient identity). Premature ejaculation is when you discharge within 30 seconds of masturbation or doing intercourse. Do you ejaculate before 30 seconds when you do masturbation? The pain you are having is because you are doing excessive masturbation. You should reduce your masturbation habit to two times a week otherwise you will have a lot of problems when you will be married. If you are having early morning erections then you are fine. It is your stress which is causing premature ejaculation. You have to understand that premature ejaculation can be diagnosed when you really do sex with someone. It is normal to have dark areas in penis like you have in the Indian population. You are comparing yourself with people in porn movies. My advice to you is that you must reduce watching porn movies because it will affect your sexual life when you start doing sex with your partner. People in porn movies take drugs thats why they have a longer duration for doing sex and also you will expect your partner to be like the women you watch in these movies which will also spoil your relationship with your partner. The extra skin can be reduced by doing circumcision. But it should be done if you are having a problem in rollback on your skin when your penis is in erect form or if you have a problem in doing sex with someone, in your case since you are a virgin we can say anything for now. And yes, the shape of your penis is normal. You are taking too much tension. The only thing which you really need to do is to reduce doing masturbation. If you do not you will have a lot of problems in the future. Take vitamin E tablets for 15 days once daily. I hope this helps." + }, + { + "id": 2933, + "tgt": "Please advise some herbal medicine to maintain sexual health", + "src": "Patient: Hi doctor, Recently, I got my semen test from a laboratory. Detail of the test is as follows: Volume - 3.0 mL, color - gray white, viscosity - thick, total sperm count - 60 million, active motile 20%, sluggish motile 30% and non-motile 50%, pus cell 3-4/HPF and morphology 45 %.\u00a0I want to know that how can I active my sluggish and non motile cells. According to my report what I have to do now. Please advise me some herbal medicine which has no side effect. Doctor: Hi. I appreciate you seeking help. I would recommend the following in your case. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 25408, + "tgt": "Why do I have nail clubbing?", + "src": "Patient: Hello doctor,Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a Schamroth test and I have a very small window. I am a bit concerned. Doctor: Hello. Nail clubbing is present if oxygen saturation is low or if there is an increase in reduced hemoglobin for a long time. All clinical tests like Schamroth have its own drawback. So do not rely on Schamroth. Clubbing can occur without any disease. You need to get one arterial blood gas test. Kindly send the photos of your fingers and toes. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28433, + "tgt": "Is it compulsory to exclusively breastfeed our 10 months old baby at night?", + "src": "Patient: Hi doctor, Our baby girl is 10 months old, and so far, we have been only breastfeeding her along with semi-solid food. Sometimes, mother's milk is not enough, and we do not know any alternative food to give at night. Yesterday night also she was hungry and crying, we got confused and eventually gave her two biscuits. I read on the internet that biscuits are not good for infants, as they contain refined flour, high sugar, preservatives, etc. I also read that formula milk will make the baby get addicted to that, and then they prefer that over mother's milk. I read a book by a famous doctor, which suggested, longer the breastfed milk, smarter will be the baby. It is one of the\u00a0key ingredients for a\u00a0healthy brain. We are already giving her\u00a0semi-solid foods like boiled rice with water, fruit juice, etc. We are avoiding salt and sugar almost completely.\u00a0We want to provide the healthiest possible food for our baby. At the same time, when the mother's milk is not enough, we cannot allow the baby to starve. At night, I read that we should not give semi-solid food. In this case, what would be the best natural alternative for us? Is mom's milk only recommended during the night? Or can anything be done, so the baby feels full? Doctor: Hi. Thank you, have a nice day. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25676, + "tgt": "My son got scratched by a dog's paw. Is there anything to worry?", + "src": "Patient: Hello doctor,My son got dog paw scratches on his hands by his friend's pet Labrador dog. We gave him TT the next day. Is there anything to worry? Doctor: Hello. If the scratch did not break the skin, if there was no bleeding and if the attack was provoked, a single TT shot would suffice. Although do keep the area in check for any bacterial infection that might follow. However, if the animal in question was acting strangely or if the attack was unprovoked or if the scratches are on the face or hand and caused bleeding, you may need to get a course of rabies vaccine, to be on the safe side. Since it is a pet, it may have been vaccinated against rabies, in which case there is nothing to worry. Please check with the owner about the immunization status of the pet and its health condition and act accordingly. If the pet is suspicious in any way, you should get the rabies vaccine course for your son. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12409, + "tgt": "Can insect bite cause a boil with burning sensation?", + "src": "Patient: Hello doctor, The patient is 62 years old, weight 41 kg. All test reports are normal. There is a boil problem in the upper half of the right leg above the knee. She is having a burning sensation due to the same. It is spreading. Is it due to insect bite? Doctor: Hi. It is not boil (attachment removed to protect patient identity), it is a case of herpes zoster. How long she has been suffering from this? Is this her first episode? Diabetes? Burning and pain are there?" + }, + { + "id": 14603, + "tgt": "The patient is not eating properly after angioplasty. Why?", + "src": "Patient: Hi doctor, My dad had gone through angioplasty a couple of weeks ago. He is not at all feeling hungry. At maximum, he is eating an apple a day. Due to this, he is feeling so low and worried. Hence I asked him to stop taking medicines for a day. Please guide what could be the reason. He is a diabetic and high BP patient. Doctor: Hi. It is normal after surgery, angioplasty and any other procedure to have lessened appetite for a few days to weeks. This is because of stress and anxiety. Just be relax and live a normal life. And never stop medicines even for a single day. The stent will get blocked and the other heart-attack will ensue." + }, + { + "id": 21811, + "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": 28537, + "tgt": "Why is my eight year old son's platelet count constantly low?", + "src": "Patient: Hello doctor, My 8 year old son was diagnosed with\u00a0a possible bone marrow failure during monitoring for low platelets when he was three years old. His biopsy showed areas of 20 % cellularity. Last year his counts were WBC 13.8, RBC 4.83, hemoglobin 13.5 g/dL, hematocrit 39.3, MCV 81.3, MCH 27.9, MCHC 34.2, RDW 13.5, platelet count 311, and MPV 8.5. And this year his counts are WBC 9.3, RBC 4.91, hemoglobin 13.4 g/dL, hematocrit 39.4, MCV 80.2, MCH 27.3, MCHC 34.1, RDW 13.5, platelet count 326, and MPV 8.3.\u00a0We are waiting and watching. Should we see an oncologist again? Doctor: Hi. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26442, + "tgt": "What medicines can be taken for pimples?", + "src": "Patient: Hello doctor, I am 18 years old and I am having pimples for the past two years. Please suggest treatment. Doctor: Hello. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 345, + "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": 3177, + "tgt": "I have eating disorder. Is there any surgery to reduce and maintain my weight?", + "src": "Patient: Hello doctor, I have a serious eating disorder issue for six years. I never vomit or work out a lot after I eat a lot of high calories food, like cakes, donuts, chocolate, ice cream, chips and so forth. In these six years, my weight was up and down repeatedly between 100 lbs and 190 lbs. I have been looking up to this kind of surgery for a period of time and I know it would have some side effects on my body. However, I am tired of dieting and working out, as well as eating too much afterward. It is so frustrating. I need this surgery to help me get rid of this pressure. Therefore, I can live a normal life. Doctor: Hi. Surgery for obesity is considered as a treatment option for patients with a BMI (body mass index) of 40 kg/m2 or greater who have tried but failed an adequate exercise and diet program and those with obesity-related comorbid conditions, such as hypertension, diabetes mellitus, hyperlipidemia, and obstructive sleep apnea, etc. It has few long-term side effects, such as a possible need for reoperation, gallbladder disease, and malabsorption. More importantly, you will have to still control over eating and exercise even after surgery. I would not recommend surgery. It would be better to consult a psychiatrist to help you get over your eating disorder and naturally help with your weight issues. I hope this helps." + }, + { + "id": 29666, + "tgt": "What should I do to concentrate in my studies?", + "src": "Patient: Hi doctor, I am a student. When I sit for study, I just start feeling distractions from small noises and things. Most of the time, I\u00a0go to imaginations of things I\u00a0want to create and sometimes, I suddenly start daydreaming about different kinds of thoughts. Sometimes, I\u00a0start to remember about past sequences or people, what they think about me, etc. I am suffering from lack of concentration and focus and this is increasing continuously. What should I do to concentrate on my studies fully? Doctor: Hi. I can understand your concern. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7480, + "tgt": "I miss my period and it is the second month now. How to confirm the reason?", + "src": "Patient: Hello doctor, I am 20-years-old with 5\u20192 height and 65 kgs weight. I had sexual intercourse with my fiance a few days back, and I was active even before that. I did not have my periods last month, and this is going to be the second month if periods do not come. I have tested lots of times, and the result was negative. I do not want to go to any doctor please advice what should I take which can help me with my periods and even if in any case, I am pregnant how can I resolve it with quick medicine without going to any doctor. Please help. Doctor: Hello. I have read your message. If the pregnancy test is negative, then it is unlikely that you are pregnant. But to be double sure kindly do blood test beta hCG. It will give you confirm to report about pregnancy. Next thing if it comes out to be negative, then you can take medicine as I have prescribed to get menses. Take it twice daily for five days. You will get menses in 3-4 days after the last dose. If the blood test is positive, then you need to visit Gynecologist directly as a treatment for abortion is not allowed to be given on the phone." + }, + { + "id": 867, + "tgt": "I feel breathless and dizzy with heavy bleeding. Please help", + "src": "Patient: Hello doctor, I am 42 years old. I have heavy periods. I have my regular blood tests as I can feel so unwell with breathlessness and dizzy. I have low blood pressure and doctor never seems concerned as she says my results are around 11.5 but my systems really affect day to day life. Should I have further tests? Doctor: Hello. Following is my opinion about your asked question. Your main complaint is breathing difficulty and dizziness. For that, you need to investigate further with complete CBC (Complete Blood Count) to check hemoglobin level. Your hemoglobin report is not attached herewith. If your hemoglobin level is below the normal range then iron tablet can be prescribed. For your dizziness, ear examination also should be done to check the otological cause. For your breathing difficulty problem, chest x-ray, EKG, and spirometry like investigation planned according to the need and after discussion with your doctor. Your attached reports (attachment removed to protect patient identity), show no specific abnormalities and liver, kidney are functioning well. If all comes clear then history about anxiety should be taken to rule out anxiety induced panic attacks. I hope this helps." + }, + { + "id": 2555, + "tgt": "I took a home pregnancy test at 50 days, which was negative. When should I retake the test?", + "src": "Patient: Hi doctor, I want to confirm something about my pregnancy.i have missed my period today is 63 days.my last period date is January30.in pregnancy kit I am getting negative I checked at 50 days .when can I take pregnancy test.six months back I have pcod.after that I used medicine after that I went for checkup doctor told that after scanning no pcod.please suggest me when can I take pregnancy test. Currently I am taking ovofit and polic acid tablates.can I take this medicine after my pregnancy confirm? Doctor: hi, you are having delayed Periods probably due to Anovulation. As your pregnancy test was negative at 50days , I would advise you to recheck again tomorrow morning, if it's negative it's advisable to take medication for withdrawal bleeding. and PCOS is not diagnosed based only on the ultrasound reports, it's a lifestyle disorder. So you need to work on modifying the same like weight reduction, Regular excercises, dietary modifications, to get your Hormonal balance in place so that you get periods on time which will ensure you are ovulating on time too. in that way if you have been trying for a pregnancy that also can be natural without the need for any medications. ?PCOS, ? Thyroid. -Complete hemogram, -Glucose tolerance test, HbA1c levels, -Lipid profile, RFT, LFTs, -Serum Calcium, Vitamin D3 & B12 levels -Serum Fasting & Post Prandial Insulin levels. -Serum FSH, LH, Estradiol, Prolactin levels, Thyroid profile (T3, T4, TSH, Anti TPO) on 2nd/3rd day of next menstrual period. Thyroid or Prolactin abnormalities, -Tab. Meprate or Deviry 10mg twice daily for 5 days and then stop. -To wait for withdrawal bleed within next 7-10days. -To get blood tests done on 2nd or 3rd day of periods. -Reduce weight. -Maintain menstrual diary. -Regular excercises at least one hr daily ( follow health coach instructions). -Lifestyle and dietary modifications (as per diet coach's advice). -Future risks of Diabetes, hypertension, heart diseases explained. -Possible difficulty in conception explained - To consult fertility expert for the same. To follow up with the test reports advised." + }, + { + "id": 2225, + "tgt": "My newborn has small freckles on cheeks and forehead with yellow mass in eye. Please help", + "src": "Patient: Hello doctor, I would like to know about small freckles on the cheeks and forehead of 1-month-old male child. Also, the left eye is watery and collection of yellowish mass after few hours near the inner end of the left eye. Please suggest. Doctor: Hi. It is very normal for a newborn baby up to 6 months of age to develop such minor skin problems. It is called milia. There is no need to worry about it. It is due to insignificant obstruction in sweat glands. I will prescribe a lotion. Please apply the lotion three to four times a day for the next two weeks. Please stop using talcum powder if you are already using it. And regarding this watery discharge in the eyes, if the discharge is very mild, no need to give any medications for the same. If the discharge is significantly high, I will prescribe an eye drops, which is to be given four times a day for one-week duration (only if the discharge is significantly high). Please give a gentle massage on the inner side of the eye (nasal side) for four to five times a day. In some babies, such insignificant discharge can persist up to three to four months. It will settle with regular massaging daily for the next 12 months. Milia. Conjunctivitis. Dacryocystitis." + }, + { + "id": 28728, + "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": 6581, + "tgt": "I am always stressed, and behaving rudely. How to get rid of it?", + "src": "Patient: Hello doctor, I am 28 years old male, and unmarried. I am always in stress and thinking over some past incidents and future as well as present possibilities. I sleep only for 5-6 hours at night. I always behave rudely with others. Many times I think that I should run away out of this. I try controlling myself always, and every minute is bombing inside me, and I have headaches and frustration. Doctor: Hello. It appears that you have some traumatic or stressful life events that still bothers you. Your stress has started affecting you physically as well. It is better to have some counseling sessions to do some catharsis and learn relaxation strategies. Also, CBT (cognitive behavioral therapy) will help you to challenge your fears and encounter your stress levels. Following may also help: 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout, if possible, to release toxins out of your body. 4. Reduce smoking, if you do. 5. Avoid junk, spicy foods, and soft drinks. 6. Increase water intake. 7. Thought diary or journaling will be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem." + }, + { + "id": 7742, + "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": 19907, + "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": 13207, + "tgt": "What could be done to cure UTI causing difficulty in urination?", + "src": "Patient: Hello doctor, I am newly married for 25 days. 10 days ago, I had UTI with burning sensation while urinating for which I was prescribed Augmentin 625 and Cital syrup. I took medicine for three days and had some relief. Then three days back suddenly I was not able to urinate at all. My bladder was full but I was not able to dispense urine. I visited the doctor. They emptied my bladder using Foleys and 500 ml was emptied. I was prescribed: 1. Tablet Oflox 400 mg once daily. 2. Tablet Flotral (Alfuzosin) 10 mg once daily. 3. Tablet Urispas (Flavoxate) thrice daily. 4. Cranbe (Cranberry) capsule 300 mg twice daily. I was advised a urine culture and ultrasound KUB. Reports are attached. Now I am able to urinate but have to apply all my force. I feel my bladder is full then I go and sit for 10 minutes but urine does not come till I apply full force. It is very painful for me. I am not able to pee normally for the last five days. What has happened to me? And how to return to normalcy? Doctor: Hi. Urinary infection is common in young married women. You had UTI and it was treated with antibiotics, causing no growth on culture. Only thing of note is draining 400 ml through a catheter, usually, retention is not common. You should not hold urine for long. Never postpone urine for more than three hours. Do you have associated constipation? How many times you get up at night to void, do you feel an urge to pass urine? Was there straining to void before this UTI episode or passing urine was effortless? Any fever?" + }, + { + "id": 26040, + "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": 27122, + "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": 8716, + "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": 9348, + "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": 12469, + "tgt": "What can be done for eye swelling due to trauma in a person with pigment dispersion syndrome?", + "src": "Patient: Hi doctor, I have pigment dispersion syndrome for 10 years. Now I take Bimatoprost in both eyes at night. A few days back, I suffered a trauma to the eye area and as a result, I have a lot of swelling and a subconjunctival hemorrhage and the doctor carried out the funduscopic exam and it was clear. Today hemorrhage has gotten bigger and feel like my eye is discharging or weeping. Eyesight is normal. Should I get it checked? Doctor: Hello. I understand that you suffered a trauma to the eye. When examined, the doctor said that you have a subconjunctival hemorrhage with no damage to the retina. As of now your vision is clear but the hemorrhage has increased for two days and you are on treatment for pigment dispersion, psoriasis or ankylosing spondylitis. With this scenario, I feel that a visit to an ophthalmologist is necessary. An appearance of increasing redness of your eyes could be due to both the congestion of the eye or due to an increasing hemorrhage. The fact that you have discharge from your eyes suggests that an infection could have developed. This is quite a common occurrence after an injury. I advise you to avoid rubbing your eyes, wash the discharge away with cold clean water and review with your doctor." + }, + { + "id": 30573, + "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": 1683, + "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": 2891, + "tgt": "Why am I not getting pregnant even after taking Clomid and Letrozole treatment?", + "src": "Patient: Hi doctor, I am 31 years old. I am trying to conceive for two years and did four Comid cycles, ovulation happened but no conception. Then did Letrozole cycle, and got pregnant. But was later diagnosed with molar pregnancy and had D and C. Then took a break for six months, again did two Clomid cycles ovulation happened but no conception. Now did Letrozole cycle but no conception. I do not understand what is the reason for no pregnancy. My husband did his semen analysis it is 42% normal. My hormones tests for FSH, prolactin was normal, and pelvic ultrasounds are normal. Could you please guide me regarding this? I am really upset. Doctor: Hi. As you have taken many treatments but pregnancy is not happening. Actually I need to see all the investigations before coming to a conclusion. But with your history, I can say that you can do hysterosalpingography, to see the tubes are good or not. If not satisfactory then you may require a laparoscopic-hysteroscopic examination to see the tubal cyst and endometrial lining. There is a history of molar pregnancy, so need to do some more test also. Pregnancy is not a simple process. You can consult infertologist with all the previous reports and can continue the treatment. Many times it takes more time. Because it is very complicated. And the chance of pregnancy is only once in one cycle. Patience and a positive attitude towards treatment are also as important as the treatment itself." + }, + { + "id": 18048, + "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": 4260, + "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": 9834, + "tgt": "I am 13 weeks pregnant and got a double marker test. Is there any complication?", + "src": "Patient: Hi doctor, I am 13 weeks pregnant. I got a double marker test:hCG free beta-62.50ng/mL.PAPP-A - 7.17mlU/mLTrisomy 21-1:250Trisomy 18/13 -1:100NT-1.00 mmNT MoM's -0.63MoMCRL -61.8mm Is there any complication? Doctor: Hello. I have gone through your attached dual screen report and it shows low risk for all the chromosomal abnormality which is absolutely normal. It should be kept in mind that this is a screening test which calculates the risk of carrying a baby with chromosomal abnormalities like trisomy 21 which causes the Down's syndrome and trisomy 13 and 18. In your case, all are at low risk. So, stay calm and enjoy your pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22803, + "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": 14024, + "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": 4767, + "tgt": "What causes popping sound while opening the jaw?", + "src": "Patient: Hi doctor, I got facial pain, headaches, popping sound while opening jaw, pressure and sometimes neck pain as well. I got patchy mucosal thickening of ethmoid sinuses from a CT scan. I have attached my dental x-ray. Are my symptoms due to sinuses? Or do I have TMD of right mandible? Most of my symptoms are on my right side of the face. I am having this issue since a year. Please help. Doctor: Hi. Revert back with the details to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30564, + "tgt": "Is it safe to take Rovamycin forte during pregnancy?", + "src": "Patient: Hi doctor, I am 1 month pregnant. My doctor prescribed me Rovamycin forte as my rubella IgG came positive and IgM negative. Is it safe to take this medicine? 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": 28166, + "tgt": "Have I developed laxative dependency?", + "src": "Patient: Hello doctor, I am contacting you regarding my bowel issues. About five years ago, I began taking moderate to high doses of Magnesium to ease my heart palpitations. This caused my stools to be very loose and easy to pass. I would normally have 2 to 3 bowel movements a day.\u00a0Beginning last year, I started to experience persistent bloating. Now, I have bloating, nausea, and excessive gas. I have recently stopped taking the Magnesium to see if this helps. But now, I am unable to have consistent bowel movements without Magnesium. I usually have to strain very hard for little amounts of stool.\u00a0I feel ill and lose my appetite if I eat too much or too little. It feels like the stool is sitting inside me and bubbling. I already include a lot of fiber in my diet, but eating too much fiber also makes it difficult to pass stool. I have got a lot of tests done this year.\u00a0I was having small amounts of bright red rectal bleeding on the toilet paper. On doing a\u00a0colonoscopy, the results were normal, but a small hemorrhoid was found. I occasionally still get the same type of rectal bleeding. The abdominal and pelvic CT scan came negative, but large amounts of stool were found in my ascending colon. The pelvic MRI results were also negative, but large amounts of stool were found in my sigmoid colon and cecum. The diagnostic laparoscopy to check for endometriosis came back negative too. Do you think that I may have developed an unintentional laxative dependency from the Magnesium, which may be contributing to my symptoms?\u00a0Thank you. Doctor: Hello. Magnesium dependency looks unlikely. For more information consult a\u00a0medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21843, + "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": 7845, + "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": 11671, + "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": 11580, + "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": 13389, + "tgt": "Is it safe to have protein shake after workout?", + "src": "Patient: Hi doctor, I started gym a few days ago. Can I take protein shake (whey protein) after my workout? Is it safe? I do not have any known food allergies. I have attached my anthropometry chart with BMI. I heard that protein will make the person unhealthy after stopping it. Is it true? Please suggest. Doctor: Hi. First of all, I must say that as per your height and weight your BMI (body mass index) is fine. Now you should start taking good quality foods enriched with protein. Once you are taking whey protein, it is like one-sided food. As you need more energy to do a workout, it is better to go for a balanced diet." + }, + { + "id": 4125, + "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": 16097, + "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": 25390, + "tgt": "My mother's hemoglobin is 5. Her feet and face are swollen. What do I do?", + "src": "Patient: Hello doctor, My mother's hemoglobin is 5 g/dL. Her feet and face are swollen, what do I do? Doctor: Hi,Welcome to icliniq.com. Hemoglobin of 5 g% is very low and an indication for blood transfusion. As you are saying her face is swollen, she might be landing into a heart failure. There are multiple causes of severe anemia. She requires admission and evaluation. Consult a general medicine physician online for further guidance --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7513, + "tgt": "Can I exercise with resistance bands if I have neck, shoulder and back pain?", + "src": "Patient: Hello doctor,Can I exercise with resistance bands if I have\u00a0neck, shoulder and back pain? Doctor: Hello. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 25425, + "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": 6591, + "tgt": "The fungal infetion in my scrotum and thighs is not reducing after applying Cloben-G. Why?", + "src": "Patient: Hello doctor, It has been one year now, redness and fungus are not going away from the anus area. It is all over. It is on my scrotum, inner part of the thigh just right beside the scrotum. I have been applying Cloben-G and dusting it with Clotrimazole powder, still not going away; instead, it is increasing. I am keeping the area dried and clean and using clean underwear, still no relief. Please suggest any other good medicine. Doctor: Hello. Your complaints are suggestive of Tinea cruris, a fungal infection of the body folds. It is usually a consequence of excessive sweating and maceration of the skin, tight clothing, and uncontrolled sugar levels. Cloben G is a steroid cream and is strictly contraindicated for fungal infections. It only makes the infection further resistant. Instead, you would need a two weeks course of oral antifungal. Kindly upload an image of your current condition to confirm the diagnosis and formulate a necessary treatment plan. 1) Tab Okacet (Cetrizine) 10 mg twice daily after food for relief of itching. Stop Cloben-G immediately. Upload an image to confirm the diagnosis." + }, + { + "id": 12671, + "tgt": "What does my blood reports taken for fever, sleeplessness and body pain indicate?", + "src": "Patient: Hello doctor, I am writing this letter for my mother-in-law. She is 65 years old and seems to be healthy. Recently she was suffering ill (fever, sleepless at night, body pain, etc.) thus visited a doctor (physician). After a physical examination and studying certain blood tests (that he was suggested to test), the physician advised us to consult with a hematologist ASAP. Soon, we consulted with hematologist. He advised us to check certain tests such as protein electrophoresis and free light chain, HbA1c, LFT, USG abdomen and pelvis. He also pointed out that she may undergo bone marrow examination subject to test results. The reports are as follows. We shall see the hematologist by next week. Before meeting him, we wish to know an expert opinion about the interpretation of the test results and further course of action. HbA1c- 6.65, bilirubin- 1.5, bilirubin direct- 1, SGOT-54, SGPT-30, alkaline phosphatase 04-304, T protein- 7.1, S. albumin- 3.8, S. globulin- 3.3, calcium- 8.3, phosphorus- 3, uric acid- 6.1. USG remarks: Chronic liver parenchymal disease with PHT, no ascitesat present, other organs normal free kappa (light chain) serum\u2013 46, free lambda (light chain) serum\u2013 33.10, free kappa-lambda ratio\u2013 1.39, total protein- 6.8, serum albumin\u2013 3.7, alpha 1 globulin\u2013 0.19, alpha2 globulin- 0.46, beta 1 globulin\u2013 0.39, beta 2 globulin\u2013 0.42, gamma globulin\u2013 1.65, albumin-globulin ratio\u2013 1.19, comments\u2013 electrophoresis shows elevated gamma globulin. No significant change in the other fractions. No M band seen. Kindly look into the above and revert with your valuable suggestions. Doctor: Hello. Your electrophoresis report shows increased gamma globulin level (attachment removed to protect patient identity). So your doctor might suspect plasma cell dyscrasia, especially multiple myeloma like condition. So referred you to a hematologist. But in electrophoresis report, M band is not seen which is classically seen in plasma cell dyscrasia. Moreover, Kappa to Lamba chain ratio is normal in the report. So, the chance of multiple myeloma seems to be less. But increased gamma globulin need further work up in form of CBC, serum calcium level, etc. In the case of multiple myeloma, the osteolytic bone lesion is also present. For that X-ray can be done in the suspected area. The gamma globulin increased in infection or inflammation as well. So your physical examination is necessary. Moreover, your cirrhosis with portal hypertension needs treatment in the form of beta blocker to reduce portal hypertension. The elevated bilirubin can be due to liver damage by cirrhosis." + }, + { + "id": 6104, + "tgt": "Following UTI, I am getting vaginal dryness and pain. How to treat this?", + "src": "Patient: Hi doctor, A few months ago, I\u00a0was suffering from UTI and followed by vaginal dryness.\u00a0Right now, I feel occasional\u00a0sharp pain in my vagina, which subsides after a while. Also, I am getting pain during intercourse. I wanted to know the ways to treat this vaginal dryness. I had urine and culture test for UTI. Doctor: Hi. Pain can be due to cystitis or recurrence of UTI (urinary tract infection). UTI will not cause vaginal dryness. It indicates inadequate exposure to estrogen (hormone), which can be due to many causes. Regarding dryness and pain during intercourse, it can be reduced by increasing foreplay before intercourse which will increase lubrication. If increasing foreplay alone does not help, then you can use any lubricant to help with pain during intercourse. You can use simple coconut oil as a lubricant too. It should reduce dryness and pain. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24240, + "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": 7442, + "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": 28954, + "tgt": "Kindly advise how to recognize that someone has anxiety", + "src": "Patient: Hi doctor, What can someone do to be a supportive ally to a friend, family\u00a0member, or partner who has anxiety? What are the common signs that your loved one might be\u00a0suffering from anxiety? What are the different ways that\u00a0anxiety can manifest itself? What are the most typical behaviors\u00a0or symptoms? What are the most important tips for\u00a0being a helpful and supportive ally when your loved one has\u00a0anxiety? What are a few things you should not do\u00a0or say when trying to support someone with anxiety?\u00a0Kindly share your\u00a0advice about how to recognize when someone\u00a0close to you has anxiety. Doctor: Hello. To become a supportive ally to a family member or friend or partner who has anxiety one has to accept that he or she has the illness. Anxiety is a psychiatric illness like any other disease or ailment. It should be clear in mind, and this helps to empathize with the patient. Patients feeling should be in one's mind to be a supportive ally. Anxiety is a significant term and can manifest in a lot of ways. Anticipating things, worrying about minor things, developing a rapid heartbeat, trembling or body, chocking sensation in the throat, dizziness, butterfly feeling in stomach, etc., are the common presenting signs of an individual with anxiety. Most commonly anxiety manifest as rapid heartbeat, tremors in the body, sweating, chocking sensation in the throat, slurred voice, dizziness, feeling of impending doom, etc. Worrying about minor things, anticipating bad in everything, avoiding situations that provoke anxiety, withdrawing from social situations, avoiding work, etc., are common symptoms one might show while having an anxiety disorder. The first thing that I have already mentioned is to accept one's illness. Should try to follow behavioral model during anxiety. Ask the affected individual to breath deep and slowly. A glass of cold water also helps in relaxing the person. Minimize the anxiety-provoking stimulus psychologically and disqualify its serious nature. Try to cut the anticipatory thoughts of the affected individual during anxiety. One should never lose its cool with a patient of anxiety. Never lose temper. Do not say anything negative while a person is in anxiety. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27118, + "tgt": "My son has a dry scaly patch at the corner of his mouth. What is it?", + "src": "Patient: Hello doctor,My four year old son has a one-inch dry scaly pink (sometimes red) patch next to the\u00a0corner of his mouth. He is healthy. He uses hypoallergenic sunscreen at his camps. It has been five weeks and it is not getting better. He does not have a history of eczema, etc. It does not itch or hurt. I read a lot about perioral dermatitis and other things. I started Clotrimazole cream four days ago. It is less red and just pink, but dry and scaly still. It is not getting bigger and there are no pimples or crusting. I do not want to give him oral antibiotics. What should I do? Should I try Metrogel? What is it? Doctor: Hello. I have seen your query and concern. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13416, + "tgt": "How can I replace three missing front teeth?", + "src": "Patient: Hi doctor, I wanted to ask if it is possible to use an upper full denture to cover up my three missing teeth in the front? I only have one front tooth left and the other teeth in the back on both sides. Or should I try a different denture? Just wanted to know your opinion on this. Doctor: Hi. Full dentures are used to replace the whole lot of teeth when absent. In your case, as you have mentioned that you got only one front tooth left, it is much easier to replace only those lost teeth. So, the options here are removable partial dentures. Here you get regular or Valplast to choose. Valplast is much flexible than the regular ones. Fixed partial denture which is nothing but a set of crowns to replace your lost teeth with support in either side from your original back teeth. The options with the material and cost here are ceramic and zirconia where zirconia is much natural looking than ceramic. Dental implants replacing lost teeth with tiny metal screws followed by fixing the ceramic caps or crowns. Might be expensive for multiple teeth and takes time." + }, + { + "id": 21991, + "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": 27, + "tgt": "I am 16 years old and having 3 degree scoliosis. Will it stop progressing when I grow further?", + "src": "Patient: Hi doctor, I am 16 years old. I just recently discovered that I have scoliosis. I do not know much about it but I will tell you what I know. My scoliosis currently has only a 3-degree curve and I am pretty confident it is a C shaped curve, although I am not sure. What do you think are the chances that my scoliosis will develop into adulthood? Do you think it will stop progressing once I am fully grown? Doctor: Hello. Before going into the progress of scoliosis, I would like to make you some clarity about the facts on it. 1) The Cobb angle is a measure of the curvature of the spine in degrees. This helps to determine what type of treatment is necessary. A Cobb angle of 10 degrees is regarded as a minimum angulation to define scoliosis. 2) A scoliosis curve of 10 to 15 degrees normally does not require any treatment except for regular check-ups. 3) If the scoliosis curve is 20 to 40 degrees, the orthopedic doctor will prescribe a back brace help to keep the spine from developing more of a curve. 4) More than 45 degrees need correction surgery keeping many pedicle screw and osteotomy to correct the curve. I hope you go for x ray done of your spine and it will be easy to measure properly about the curvature." + }, + { + "id": 12348, + "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": 26713, + "tgt": "I gained weight rapidly after donating blood. How to get back in shape?", + "src": "Patient: Hello doctor, I am a 19\u00a0year old who weighs 68 kg. My height is 5 feet and 3 inches. I used to weigh 57 kg before a blood donation. But, after donating blood, within six months I gained 11 kg. Please tell me how I can get back in shape. Also, I have stretch marks on my body. Doctor: Hello. I read your query. For further queries consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 26264, + "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": 11951, + "tgt": "Can Levosulpiride and Flupenthixol cause low sexual drive?", + "src": "Patient: Hi doctor, I am 39 years old. My weight is 73 kg.\u00a0I have been taking L-Pride (Levosulpiride), Nuanxit (Flupenthixol), Rabefit (Rabeprazole) and Rabifast-DSR (Rabeprazole sodium and Domperidone) since last 15 days. After taking these medicines, I am experiencing low sex drive and problem in erection. Do these medicines have something to do with these symptoms? If no, then what may be the possible causes of that? Can I use Sildenafil citrate? If yes, what amount and with what name it is available? Doctor: Hi. I have read and understood your problem. Levosulpiride and Flupenthixol can cause problem with erection. This is the cause of erectile dysfunction in your case. Sildenafil citrate (Viagra) is usually prescribed at a dose of 50 mg three hours before sex. But, should be taken after clinical checkup including blood pressure." + }, + { + "id": 19137, + "tgt": "What can be done for itchiness in breast below nipple?", + "src": "Patient: Hello doctor,I am a-25-year old married woman. I have major itching in both my breasts. It started off on the left side but now even on the right side, it has started to itch. I am not able to keep myself from scratching and the entire part below my left nipple is bruised now. There is no redness. The breast felt heavy initially. The itchy sensation in the breast is below the nipple area and spreads down. Please help me with a basic diagnosis and medication. I had a similar itching couple of years back but it disappeared on its own. I am shy to see a dermatologist in the clinic. Doctor: Hello. Perhaps you have either a fungal infection or it could be a sort of dermatitis. Treatment for both these conditions is entirely different. Therefore, I request you to kindly upload a few images of the affected areas so that I can confirm and guide you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2354, + "tgt": "My 48-year-old mother has hypothyroidism and is bleeding for two weeks. Please advice", + "src": "Patient: Hi, My mother is 48 years old. She experienced irregular spotting and missed periods last month. Consulted a doctor and got blood tests, sonography done. Sonography was normal but her TSH was high..around 17 and she is suffering from hypothyroidism. The doctor prescribed Eltroxin 50mg tablets and she has been bleeding in low to medium period flow since 2 weeks. The doctors aren't available due to COVID-19. Please advise. Doctor: Hello, Could you share the scan report if it's possible for you. Thyroid abnormalities do cause some bleeding irregularities, and also you mom is in the perimenopausal age group, where anovulatory cycles are common which can lead to irregular periods. As she has been bleeding for the past 2weeks , and is not stopping, it would be better she starts of with the Hormonal medications to control the bleeding right away. I have mentioned the same below. Also some supplements to improve her hemoglobin which she would have lost in the bleeding would be helpful. - Ultrasound done recently says Normal, - TSH- 17, started on Eltroxin 50mcg already. - Tablet. Livogen Z Daily once after food for a month (Iron supplements). -Tab. Trapic MF or Pause MF thrice daily after food during heavy menstrual flow (can stop if flow is normal). - Continue Eltroxin 50mcg daily once empty stomach after brushing teeth. - Tablet Primolut N 10mg (5mg - 2tablets, 2-2-2) THRICE daily TILL BLEEDING STOPS followed by dose reduction to --> Tablet Primolut N 10mg (5mg - 2tablets, 2-0-2) TWICE DAILY for 5days followed by dose reduction to --->Tablet Primolut N 10mg (5mg - 2tablets, 0-0-2) ONCE DAILY for next 14days. & then complelety stop it. - She will get her periods after stopping. - Avoid missing the pills in between that may lead to irregular bleeding again. - Other branda to consider Sysron N, Regesterone. -Weight reduction. - Regular excercises. - Diet modifications. - Avoid goitrogenic foods like Cabbage ,Cauliflower, Broccoli, Radish & soya products etc. - To upload the reports on app prior to next consultation. If bleeding keeps persisting, may need endometrial evaluation." + }, + { + "id": 20719, + "tgt": "My condom broke during sex. Should I get tested for HIV?", + "src": "Patient: Hello doctor,While having sex with a commercial sex worker (CSW) the condom broke. It was not more than 10 seconds before I found out, no ejaculation happened and I had no open sores on my penis or any other cuts, yet still I found a tiny amount of blood on the condom, I cannot think of any reason for the blood except that it could have been her menstrual blood (just the beginning of it). I am of a good general health, smoker and have never been diagnosed with any STD or any serious disease. I have asked her if this was the first time for her to have a condom failure incident and she answered yes, she even had a general blood test for a full checkup and she was in good health as well as the HIV blood test two years ago. My questions are as follows:1. I have read somewhere on the internet that the risk of transmission from a single encounter of unprotected vaginal sex is 0.065 %, meaning that 99.935 % do not get HIV, is that true?2. Do you recommend I get tested for HIV? I am thinking of getting a PCR test to check myself, how long should I wait before getting tested (PCR) and how accurate and reliable is that test?3. Do you recommend that I go for the PCR test or should I go for the fourth generation test and how long should I wait as well before the result is conclusive?4. Does being circumcised have anything to do with minimizing the risk of HIV infection?5. Does the presence of menstrual blood increase the risk of HIV infection? Doctor: Hi. Yes, the chances of HIV transmission by single unprotected intercourse is much less than 1 % (1/200 to 1/1000). The chances of HIV transmission is slightly higher during menstruation. Condom broken is almost similar to unprotected intercourse. The chances of HIV in the lady is almost nil with her tests showing negative results (attachment removed to protect patient identity). You can go for HIV1 and 2 RNA PCR after 10 days of exposure. It is more than 99 % sensitive after 10 days of exposure. You can go for this test to allay your anxiety." + }, + { + "id": 16114, + "tgt": "How to control blood sugar levels post pregnancy?", + "src": "Patient: Hi doctor, My partner has PCOD. She got conceived before a year and delivered baby boy of three kilograms. But her blood sugar was slightly high before we planned a pregnancy. She started taking Metformin 500 mg after she became pregnant and continued Metformin 500 mg throughout pregnancy. Her sugar profile was healthy throughout the pregnancy with Metformin. Now after pregnancy, she is taking Metformin 500 mg at night before dinner. Now her FBS and PPBS (post lunch) sugar are regular. But PPBS (post-dinner) has got risen to 145 mg/dL and 165 mg/dL. The doctor advised her to take Metformin one tablet before dinner for six weeks after delivery. The doctor advised her to stop the drug when the sugar level comes under control. But her PPBS (post-dinner) is at a higher range. What can be done? Earlier we thought that it was due to PCOD. But now we are tensed whether she has developed full-fledged diabetes. Please guide us for the further course of management. Doctor: Hi. Women who have polycystic ovary syndrome (PCOS) have a higher risk of developing type 2 diabetes. They are diagnosed at an earlier age with this condition. It is a state of insulin resistance. In post-pregnancy, she can have high blood sugar values, especially in post-meal up to six weeks and even up to 12 weeks. If she has a family history of diabetes type 2, she is at high risk of developing it too. In hormone imbalance state, the risk doubles. At this point, I would recommend taking Metformin 500 mg twice daily at least for three months. She should take a healthy diet with low starch and high protein. Doing exercise can also help to lose weight. Diet and exercise help a lot. Monitor blood sugar levels weekly thrice in the fasting period in the morning before breakfast, in post lunch and post-dinner or before bedtime. Keep a track while taking Metformin and the doctor can adjust the medicine. Diet and exercise can reverse the condition, or it can push it to ten years forwards." + }, + { + "id": 21596, + "tgt": "Can p24 antigen test help in early detection of HIV?", + "src": "Patient: Hi doctor, Before 19 days, I had protected sex with a part-time sex worker and freaked out after the incident. I am worried about any possible infection that could happen. I did a p24 antigen test. The results are p24 antigen on fourth day-0.125, sixth day-0.254, ninth day-0.271, twelfth day-0.274, fifteenth day-0.396, nineteenth day-0.540.I am upset about the increase in count. Please advise. I have done PCR RNA after 15 days for HIV 1, and it is not of detected status and HIV 2 ELISA on the nineteenth day which was also nonreactive. Kindly advise. Doctor: Hi. Yes, the titer of p24 is increased, but still, it is below the threshold value of being positive. Also, your PCR RNA done after two weeks is also negative. Your HIV 1 and HIV 2 tests done on the nineteenth day is also negative. It indicates that you do not have any infection, but it is too early to say with certainty. So you need to repeat the fourth generation HIV test after 12 weeks of possible exposure. So till that you need not worry excessively as the investigation done till to date indicates that most probably you do not have an infection. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26535, + "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": 3215, + "tgt": "Will Methamphetamine interfere with the effect of local anesthesia?", + "src": "Patient: Hello doctor, Does Methamphetamine interfere with local anesthesia? My friend was told she would not have to stop Adderall before surgery. I know that is not the same, but is there anything particularly dangerous about methamphetamine and local anesthesia? What about Phentermine? Doctor: Hi, Welcome to icliniq.com. As such local anesthesia is safe and one can readily go through the procedure. It is recommended to avoid any sort of illicit substances during anesthesia." + }, + { + "id": 20210, + "tgt": "Can sex on fourth day of period cause pregnancy?", + "src": "Patient: Hello doctor,I had sex on the fourth day of my period. Intercourse (just for a few minutes) but ejaculate outside. During sex, I was still bleeding. My cycle is usually around 27 to 30 days. The latest cycles were 30, 30, 28, and 27. Is there any chance that I will get impregnated? Also, I did not take Plan B. Doctor: Hi. Periods is the safest time to have unprotected intercourse whereas pregnancy is concerned. It is highly unlikely to conceive during periods. There is no need of taking Plan B in such case. So do not worry. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28261, + "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": 15370, + "tgt": "I have pain on right side of my jaw, clogging of right ear. Please help", + "src": "Patient: Hello doctor, I am a 24 year old male. I have pain on the right side of my jaw, associated with clogging of the right ear. Sometimes the pain radiates to the right side of the head. Audiometry reports are normal. What might be the problem? Doctor: Hi. The ear, nose, throat, head, and jaw are all closely related. Any problem in one will affect the others as well. So, there are various possibilities that might cause jaw pain. They could be: Get a temporomandibular joint x-ray done and ask a doctor online --> https://www.icliniq.com/ask-a-doctor-online" + }, + { + "id": 24776, + "tgt": "What causes a ligament to push against upper artery causing pain?", + "src": "Patient: Hello doctor, What causes a ligament to push against upper artery causing pain? Doctor: Hello. Which site are you talking about and where do you get pain? What are your symptoms? Please explain in detail. In general, these are degenerative changes. This means due to aging there is wear and tear of the ligaments leading to inflammation and enlargement. Also, there is enlargement of joint due to arthritis and subsequently ligaments. This leads to compression of nearby structures. Sometimes, this also occurs due to trauma, excessive use of the ligaments like lifting heavy weight or too much of activity. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26134, + "tgt": "Why are the movements of my baby not felt?", + "src": "Patient: Hello doctor, My wife is in the 25th week of pregnancy and she is not feeling the movements of the baby as she did before. The movements have come down to eight to 10 times in the last 24 hours. We are very tensed now. Please suggest us what to do. Doctor: Hello. I hope I have clarified your query. Do write to me if you have more queries. All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 1845, + "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": 8990, + "tgt": "Kindly suggest products to cure acne", + "src": "Patient: Hello doctor, My skin is dry in the morning and oily mostly on my nose area. I have some acne on my forehead and they really will not go away and I also have acne on my cheek that is just as stubborn. My skin, on rare occasions, feels tight and I have visible veins on my face that I want to get rid of. What product can I use for this? Doctor: Hi. You might be suffering from an acneiform eruption with seborrheic dermatitis. Use Desowen cream over nose area and Epiduo cream over acne." + }, + { + "id": 6658, + "tgt": "I am having stomach upset and diarrhea. Please suggest a solution", + "src": "Patient: Hello doctor, I am having stomach upset. In the morning, I had two sodas with onion curry, but it was made of coconut oil. I never had food made of coconut oil before. And, I had basmati rice and dal makan with channa and bit homemade puliyogare, it had become dry as it was kept in a tightly closed cover for almost three days. We had our food outside in the evening. I have used my washroom more than four times, and I took one Eldoper tablet. Please suggest me a solution. Doctor: Hello. 1) You have mentioned the symptoms of stomach upset. Do you have abdominal pain, diarrhea, nausea or vomiting? This is important because, based on them, only it is possible to guess which part of the alimentary tract was affected by food. 2) Based on your details, you might have food-induced intestinal infection or inflammation (irritation, enteritis). 3) Generally, food poisoning also affects the stomach and develops gastritis, which causes severe nausea and episodes of vomiting (absent in your case). 4) When diarrhea occurs due to any reason, it causes loss of water and electrolytes from the body. This causes lethargy, tiredness, and fatigue. Food-poisoning. CBC(complete blood count), stool routine and culture. enteritis. Treatment to maintain hydration. Treatment to reduce diarrhea. Antibiotic treatment for infection. follow up with family physician." + }, + { + "id": 24132, + "tgt": "A spot popped up on my stomach. Does it look like molluscum?", + "src": "Patient: Hi doctor, I was diagnosed with molluscum four years back. I had it frozen biweekly three years ago. I used Aldara at that time, and after that only had one questionable spot. I was checked out by multiple doctors both dermatologists and gynecologists to give me the all clear, but this spot popped up on my stomach two nights ago and it is freaking me out. It is just below my belly button and intensely itchy, which my previous lesions were not, but just looking for some reassurance that this is not molluscum again. Doctor: Hello. Looking at your clinical picture (attachment removed to protect patient identity) and considering the onset of the lesion, and itching, it does not look like molluscum contagiosum. Most of the time, molluscum is asymptomatic, presents with a white solid bump with a central depression (umbilication). It is most probably an insect bite reaction. Topical Calamine lotion should give you relief from itching. The other possibility is scabies or ectoparasitic infestation. In scabies, there will be itchy bumps seen around the belly button, on the finger web spaces, wrist, armpits, groin, etc. Check for these sites if you have any red bumps. Check your pet animals if you have any, for mites and fleas. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9626, + "tgt": "Is my hair crown normal?", + "src": "Patient: Hi doctor, I have recently noticed that my hair crown looked a bit strange. I am willing to know if it is normal or a hair thinning problem. I will attach some pictures of my hair. Doctor: Hello. I want to tell you that there is no need to worry about your hair. I have seen the pictures, it is usually this area of the scalp which is thin in most of the males (attachment removed to protect patient identity). Actually, according to research, hair loss is a vicious cycle. It starts with having anxiety and stress that may cause hair falling and thinning and it leads to more hair fall and it goes on. So, that is why I will say to you that no need to worry. It is normal in most of the males." + }, + { + "id": 29933, + "tgt": "How to manage abscessed tooth?", + "src": "Patient: Hi doctor, I lost the canine tooth of upper jaw due to decay and there is only a root fragment. Within a short period of time, I developed an incredible painful abscess. I saw my dentist last week and he scheduled retained root extract. He also told me that there is no possible way to minimize the pain until extraction, despite the pain being exhausting and miserable. My questions are will the pain instantly improve? If not, then will the severity of infection make it\u00a0more painful than a normal extraction? Will the dentist be able to tell how far it has spread after extraction? What about the recovery after extraction? Will it longer period of time? I am also very nervous because I have another abscess on the opposite side. Will the dentist still claim there is no way to manage pain leaving me to deal with it even longer? It has been incredibly difficult. Pain usually does not frighten me, but because of the severity, I am petrified of it getting worse. I also have a peptic ulcer and avoiding NSAIDs. Even though, five Ibuprofen tablets barely gives relief and Tylenol does nothing. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30071, + "tgt": "I had seizure after having an energy drink. Why?", + "src": "Patient: Hi doctor, Two months before, I had a grand mal seizure after drinking an energy drink. Since then, my sleep has become progressively worse. I am a nurse and worked the last three long days. However, last night I slept for one hour and I was then wide awake. I took the maximum dose of Melissa dream to assist me, but it did not work. I have also tried Valarian, but I still awoke at 3 AM. I used Melatonin for one week, which did help me sleep, but I felt like a zombie during the day and I became so severely constipated. I also feel that I am hypersalivating. I am aware of too much sensation in my lips and all of these are new since the seizure. I also had a feeling of stress in my chest for no reason after the seizure. I guess it is still there most of the time; particularly, when I cannot sleep. I have been to my GP, but I have to wait for a neurologist review. I had a CT brain, which was fine and I am going to have an MRI in two days. My fear is that this is hormonal and I am going to be left like this long term. Any of your help would be so appreciated as I feel I am losing my mind. Doctor: Hi. We are here to help you.\u00a0I understand your concern. Idiopathic. MRI brain and EEG. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10880, + "tgt": "Kindly tell me the reason for child's skin rashes", + "src": "Patient: Hello doctor, My son is 5 years old and has developed rashes on face and few on his hands. He has no fever and is fresh playing around. He went out to farm with family and zoo last week, and since yesterday he started developing few rashes. He was having very low fever a couple days back but recovered without medication. My concern is these rashes could be due to any viral or the possibility of allergy? Please suggest any test or treatment. Doctor: Hi. Probably may be a viral infection like hand foot and mouth disease. Do not worry. Please give syrup Crocin (250 mg/5 ml), 3 ml SOS, if the temperature is above 100 F. As for the rash, please apply Calamine lotion. It should be better in a few days time." + }, + { + "id": 25869, + "tgt": "No more painful bouts of AFib. Can this be due to the stopping of Bisoprolol?", + "src": "Patient: Hello doctor,I am a 65-year-old male who has until recently been playing tennis regularly. I have been on beta blockers for about 15 years, first on 50 mg Atenolol and then on 10 mg Bisoprolol. They lowered my pulse rate to about 60 but then about three years ago I started to get AFib. The episodes of AFib became more frequent and painful so that I needed to use a GTN spray to reduce the pain. It got so that I could not lie down and had to sleep propped up against pillows. The painful episodes would last about three hours and they occurred every couple of days.I gradually reduced the Bisoprolol and stopped them completely after a few weeks. I am currently on Aspirin too. Now my pulse is erratic but I can sleep lying down fine and I am not experiencing the painful bouts of AFib anymore. Should I be looking at taking some other medication or am I just experiencing withdrawal symptoms which will eventually pass? Please provide your opinion. Doctor: Hello. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications. Normally, your heart contracts and relaxes to a regular beat. In atrial fibrillation, the upper chambers of the heart (the atria) beat irregularly (quiver) instead of beating effectively to move blood into the ventricles. If a clot breaks off, enters the bloodstream and lodges in an artery leading to the brain, a stroke result. About 15\u201320 percent of people who have strokes have this heart arrhythmia. This clot risk is why patients with this condition are put on blood thinners. The cornerstones of atrial fibrillation management are rate control and anticoagulation and rhythm control for those symptomatically limited by AF. The clinical decision to use a rhythm-control or rate-control strategy requires an integrated consideration of several factors including a degree of symptoms, likelihood of successful cardioversion, the presence of comorbidities, and candidacy for AF ablation. Ideally, to treat atrial fibrillation, the heart rate and rhythm are reset to normal. Cardioversion can be conducted in two ways: Electrical cardioversion: In this brief procedure, an electrical shock is delivered to your heart through paddles or patches placed on your chest. The shock stops your heart's electrical activity momentarily. When your heart begins again, the hope is that it resumes its normal rhythm. The procedure is performed during sedation, so you should not feel the electric shock. Cardioversion with drugs: This form of cardioversion uses medications called antiarrhythmics to help restore normal sinus rhythm. Depending on your heart condition, your doctor may recommend trying intravenous or oral medications to return your heart to normal rhythm. This is often done in the hospital with continuous monitoring of your heart rate. If your heart rhythm returns to normal, your doctor often will prescribe the same anti-arrhythmic medication or a similar one to try to prevent more spells of atrial fibrillation. After electrical cardioversion, your doctor may prescribe anti-arrhythmic medications to help prevent future episodes of atrial fibrillation. Medications may include Dofetilide, Flecainide, Propafenone, Amiodarone, and Sotalol. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Consult your cardiologist, get a 2D (two-dimensional) echocardiogram, a 24-hour Holter done and follow the following medicines and procedures. They are not withdrawal symptoms. A full evaluation is required. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7202, + "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": 25505, + "tgt": "Is bleaching the cause of my hair loss?", + "src": "Patient: Hello doctor,I have bleached my hair three times this year and have suffered a great deal of hair loss. My hair has been breaking very often and it has come to shoulder length. I have not used anything as yet as I am too afraid that it may get worse. The shampoo and conditioner that I use are called Elvive. I also tried oiling my hair using coconut oil and amla oil but I am unable to see any results. Please help. Doctor: Hello. It's very sad to hear that you are going through this hair problem. Bleaching can make hair weak and thinner. It is temporary and that is the good news. To regain the hair strength, you need to have hair nutrients. Eat protein-rich food, eggs, chicken, fish, milk, curd, and lentils. This is because hair is made up of a protein called keratin. So you need to add more protein to your diet. This helps to strengthen your hair. Start taking hair vitamin supplements that contain biotin, calcium, selenium, zinc, iron, pantothenate. This helps to grow new hairs. I would like mention few hair care tips here For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24331, + "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": 704, + "tgt": "Please suggest some tests to assess my stomach", + "src": "Patient: Hi doctor, Yesterday, I had roti with spinach, which is home made. Today morning, I experienced a stomach bout,\u00a0but not watery. Should I take a combination of antibiotics Ridol and Ulticept 500 mg along with Metrogyl and Eldoper?\u00a0I am still feeling uneasy. Please guide me on this. Every 20 days, I am having issues related to the stomach. Should I go for endoscopy? I am scared of my present health condition. Please advise some tests. 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": 30483, + "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": 26330, + "tgt": "How to prevent clots and blockages after an ischemic stroke?", + "src": "Patient: Hello\u00a0doctor, My 71 year old mother got a couple of ischemic strokes nearly two months ago. She was then given a strong blood thinning injection which led to a couple of blood vomits and a hemorrhage as well. During the hospitalization as well as afterward, she has been taking Pradaxa 110, etc. (prescription attached). She was hospitalized for about a month and relieved at the end of the month. Now, all went well until last week, when she complained of severe pain in the lower right limb. We did a CT aortogram (report attached) to identify the blockage since the limb was turning green and there was no pulse identified. The blockage was found to be behind the stomach area. She was operated on the same day and the clots were removed, but the cleaning happened on a dead vessel. Now, again after the blood thinning medication, there is another clot identified in today's MRI in the brain. The blood thickness has raised to 35 and so, an injection has been started. She went through a mitral valve replacement 12 years ago. She has undergone a knee replacement on the left leg and has got both her retinas replaced as well. I am requesting your advice to be able to stop the formations of the clots and blockages, which continue regardless.\u00a0Any other advice or suggestion is welcome. Doctor: Hello. I have gone through the files attached (attachment removed to protect patient identity). I strongly recommend she switch over to these medications and visit a cardiologist if you are not under the follow up of same. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 11134, + "tgt": "What could be the sore on the shaft of my penis as I am negative for STD and genital warts?", + "src": "Patient: Hello doctor, I am a 60-year-old male and I am not sexually active. After masturbation, I use a moisturizing lotion. I developed a sore on the shaft of my penis. It is not painful and does not itch, but there is a slight awareness of sensation. This could be due to the bump catching friction as opposed to the smoother areas. In my lifetime, I had an occasional clogged pore or pimple when I was a virgin. I had examinations and never been diagnosed with an STD or genital warts. Doctor: Hello. I understand your concern. Please send the photographs not as collage, but as separate files. It is difficult to appreciate the morphology like this in a collage (attachment removed to protect patient identity). You can send one photo of each of these days separately." + }, + { + "id": 21057, + "tgt": "Taken I-pill on the second day of my period. Are there any chances to get pregnant?", + "src": "Patient: Hi doctor, I had unprotected sexual intercourse on the day 1 of my period, and the penis was rubbed against my vagina. But we have not done penetration. I was worried due to precum. So I took an I-pill on the day 2 of my period within 13 hours. Should I be worried? When should I expect my next period since I took the pill on day 2 of my period? I have my cycle for 24 to 26 days. Should I expect withdrawal bleeding in this case? And what can I do to get my regular periods? Are there any chances of getting pregnant? Doctor: Hi. As you have taken I-pill early on the day 2 of your cycle, you may or may not get a withdrawal bleed. The chances of pregnancy are minimal as you are in your safer period with regular cycles. If you do not have a withdrawal bleed, then get a serum beta hCG test done after eight days, to rule out pregnancy. If it is negative, wait for your menses, which may be delayed this time." + }, + { + "id": 10255, + "tgt": "What treatment will help for discolored skin and red circles in inner thigh?", + "src": "Patient: Hello doctor, I am a 49 year old fairly healthy male. My height is 6 feet and weight is 260. I am overweight and also have low testosterone. I have had a noticeable shrinkage in my testicles in recent years. I have embarrassing erectile issues, including premature ejaculation and often I am unable to maintain an erection. I am not on any regular medication. I do not drink alcohol or smoke. I have attached my photos for your reference. My skin is discolored with red circles on my inner side of the legs up to each side of the scrotum. It frequently itches especially after much walking. The red circles are also present just above my penis, but are obscured by my pubic hair. I am also concerned about a patch of darker skin on my scrotum. There is also a pimple or a tag of skin on my inner right leg; two smaller ones on the inner left leg and one at the top of my right leg where my pubic hair stops. They all sometimes hurt, especially when my innerwear rub against them. I have had these for years. I was in the hope that they would go away on their own, but now I have noticed a few small ones begins to develop in the same area. There is also a mole or pimple like growth between the base of my scrotum and anus. This hurts or itches when I sit or walk too long. I have not sought treatment to care of these issues before because of embarrassment. What treatment or medication might help? What do you suggest? Doctor: Hello. At the onset I would like to tell you that though I understand your concern and situation, but there is nothing to be ashamed or apprehensive of yourself. It is a medical problem and can only be tackled by proper medical treatment and advice, and not by hiding your problem from doctors. It is great that you do not smoke as it may increase your problem. According to your weight and height your BMI is 35, which falls in borderline to moderately to severely obese. I advise you to visit or ask an endocrinologist regarding the shrinking of the testicles and erectile issues as these may be related to hormonal balance or even obesity. Red circles on the inner thighs (attachment removed to protect patient identity) are indicative of fungal infection known as tinea cruris. For this, a course of antifungals is advised. I would suggest the following treatment. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The outgrowths of skin are skin tags and they are usually related to hyperlipidemia. They are not harmful and only have cosmetic concerns. They are best dealt with by simple office based surgery with cautery machine requiring only local anesthesia, which is a 5 minute superficial procedure. But, they will not go on their own. You may get your fasting serum lipid profile done, which will measure the levels of cholesterol, LDL (low-density lipoprotein), VLDL (very low density lipoprotein) and HDL (high-density lipoprotein). If any of these are abnormal suitable, then medicine can be started. Medicine is important as abnormal lipid profile increases one's risk of cardiac events in the future. One important thing on which I cannot emphasize enough would be decreasing your weight. If you can gradually decrease your weight even by a few pounds, you would see a lot of these medical problems would get better by themselves. You may follow up after two to three weeks. Revert back after three weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5349, + "tgt": "I have a very slight rocking movement in the body. What does this mean?", + "src": "Patient: Hello doctor, I have noticed that my body rocks back and forth very very slightly. I was using my laptop and had my finger resting when I felt my finger moving back and forth barely noticeable by eye unless you were looking for it. I looked at my finger and I see it moving slightly back and forth and then noticed a very weird feeling of me rocking but barely noticeable. I uncrossed my legs and still felt like I was rocking. I am not leaning against something and not it is just my head rocking. What does this mean? I am currently on Lamotrigine 50 mg daily. Doctor: Hello, Welcome back to icliniq.com. First of all, we need to make sure whether this rocking movement is happening, or it is just your feeling. So I advise you to ask someone to observe you and confirm whether that kind of movement is happening or not. If it is confirmed that the rocking movement is there, it indicates that there is some problem in your brain (cerebellum). It could also be due to the side effects of Lamotrigine. You have two options: 1. Either discuss with your doctor and ask for an alternative to Lamotrigine. If your symptoms disappear two weeks after stopping Lamotrigine, then it means your problem was due to the side effect of Lamotrigine. 2. Get MRI (magnetic resonance imaging) brain and revert back with the report. I hope this helps." + }, + { + "id": 3515, + "tgt": "How can cholesterol level be reduced?", + "src": "Patient: Hello doctor, I have cholesterol level 189 after one month diet control and with exercise before month my level was 194 and TG level was 218 and ldl 102 hdl 41 now after one moth exercise and diet control my cholesterol is 189 TG level is 224 LDL 113 and HDL 39, whether I am a cholesterol patient or not because instead of decrease in triglycerides level it increases and LDL also increases but the general cholesterol level decrease I am so worried. Kindly reply. I am male, 32 years. Doctor: Hi. You need to monitor definitely levels are elavated and changes in a month not to be considered please continue for next 6 months and do recheck reports you will get good results. I am not clear with diet pattern what you are following to plan a customized diet plan I need more details. Follow these tips. Do regular walk with 5 minutes slow 20 minutes speed and 5 minutes slow walk a complete cycle do it in a level road. Include lean meat in diet as it improves HDL. Avoid excess oily foods but oil is also essential not zero oil. Include fish almonds, walnuts as it has omega 3&6 fatty acids, increase fruits and vegetables in diet, divide your meals to 6-7 meal pattern, increase fluid intake, do meditate to manage stress." + }, + { + "id": 21758, + "tgt": "I am having inflammation on face after a dog bite. Do I need vaccination?", + "src": "Patient: Hello doctor,40 days back while I was walking on the road and unaware of a sleeping dog beside me I stepped on it and it had bitten me. After, reaching my home after 15 minutes I washed my leg and I have not found any blood wound but firing type feeling was there and later I met one physician doctor after a week and he told that I do not need any vaccination for this but after a few days I have felt the inflammation through ears and I have informed him and he told me that it happened 20 days back and you are looking extremely good. If you are really affected you will not be like this. But, now I have the inflammation and itching on my face and toothache today too. If these are the symptoms of the dog bite, please let me know and suggest which medication can I get. Doctor: Hi. From your history, it seems like the dog just brushed against your leg. If so, then it is a category 1 wound and requires no vaccination other than local wound cleaning with soap and water. However, if there was a visible scratch (even without bleeding) then it is category 2 and might need vaccination. Rest assured, the symptoms on your face and tooth are not related to rabies. Take some pain-killers and it might clear on its own. Do let me know if you have any further doubts regarding this. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19955, + "tgt": "The same type of rash has recurred twice in two weeks. What could it be?", + "src": "Patient: Hello doctor, There is a red pimple-like rash or hives on the chest up to the jaw line on a\u00a04 year old female. It turns white when pressed. It always appears after a court-ordered visitation. The only factors we know of are stress or anxiety from not wanting to go, both of those conditions were confirmed by a therapist and diet\u00a0since he always feeds her pizza or another pre-packaged and\u00a0processed food. What could it be and how should it be addressed? Her pediatrician says it looks like a viral rash but is concerned about the timing of the occurrences. Doctor: Hello. Please send close-up photographs of the lesion. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30229, + "tgt": "How to find whether my symptoms are due to PCOS or perimenopause?", + "src": "Patient: Hi doctor, I am 24 years old. Ever since my first period, my cycles have always been irregular. For almost 7 to 8 years, I had irregular cycles. I had a scan and nothing abnormal was seen. My doctor said that I should just leave nature do its work. A year back, I started with yoga. Also, I started following rice and processed sugar free diet. I lost abundant weight, although 5 kg more to go. My cycle since last one year became regular all by itself without any medications. However, last year I had a scan and it showed polycystic ovaries. Still, almost for 10 months my cycles were regular. But, they become scanty and last only for three days instead of five days. Now, since three months I have not got my period at all. I would like to add that I stopped yoga since three months. Before two months, again, I went to a gynecologist. She said PCOS cannot get cured completely. She said there is no medicine that can do wonders and so pointlessly she does not want to put me on medications. She asked me to start yoga again. Also, she advised me to eat well and stay away from junk and dairy foods to reduce another 5 kg. She is hoping that will greatly benefit me. I have started with my yoga again. But, I have a few questions to get clarified.\u00a0 Usually, I do get acne a week before of my period. In the last three months, I have not gotten my period, but I got acne around the date of the period.\u00a0Why is that happening?\u00a0Can I conceive in future?\u00a0My gynecologist is an allopath, but she suggested me to take up natural ways of healing PCOS. Is that a good advice?\u00a0I heard that some natural products like licorice roots, fenugreek seeds, flax seeds, etc., are very much effective for PCOS.\u00a0I am planning to start with this. How beneficial would it be? Most importantly, until now I was convinced that I have PCOS. I read about menopause and perimenopause. The symptoms are the same including irregular periods, vaginal dryness, etc. Also, perimenopause is very high these days in women of less than 40. So, is this actually PCOS or perimenopause? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24247, + "tgt": "In winters, my skin gets very dry. What cream would suit me?", + "src": "Patient: Hello doctor,I am a 37 year old female. I am facing pimples problem in and around my nose area on my face. Now, in winters, my skin is getting very dry and also getting white. I want to know which face cream suits me for dry skin. Doctor: Hello. Hope you are doing well. At your age, pimples are very unlikely. Pimples seen after 30 years of age is called adult acne, most of the times it is because of a hormonal cause. I am really sorry, I cannot suggest medicines for pimples without seeing your clinical picture. This is because I am not sure if it is pimples, as there are many conditions which mimic pimples. However, I would like to mention few skin care tips for pimples. Now regarding your dry skin, Kindly add your clinical picture next time with your query, it will be easier to suggest medicines. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27840, + "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": 21827, + "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": 4974, + "tgt": "Though vaginal infection got cured, sex was painful. Is it quite alarming?", + "src": "Patient: Hi doctor, I am 25 years old. I was diagnosed with vaginal yeast infection a week ago and immediately started my medication. It includes oral, gel and vaginal pessaries. It was six days long course. Even though the symptoms vanished in less than a day, I did not stop taking the medication. Today my boyfriend came back, who generally stays abroad due to work. The sex was painful and uncomfortable, hence scared and I did not go ahead with it. This is the first time I am facing problem down there. I drink more than 3 liters of water every day and avoid using common toilet. As I live alone, no family member sharing my house toilet as well. A gynecologist did an internal checkup and found some white, cottage cheesy colored discharge inside; none of it ever came out in the panty. Is there any reason to alarm? Doctor: Hi. Normally, treatment for vaginal yeast infection is given to both patient and sexual partner to prevent reinfection. So, your partner also needs to take treatment simultaneously. What you can do now is you both can take tablet Forcan 150 mg (Fluconazole) single dose to prevent recurrence. Regarding your symptoms, those are likely to be due to inadequate lubrication. You can increase amount of foreplay to increase lubrication. If it still hurts, then use some lubricant like Paraffin oil. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29944, + "tgt": "My son has hbE trait. Does it pose any threat?", + "src": "Patient: Hi doctor, My son is 1 year 7 months old. He has hemoglobin E trait.\u00a0We just got his hemoglobin electrophoresis done and it showed 73% hemoglobin A along with 27% A2 and E.\u00a0Does this pose a threat? Otherwise, he is a healthy and active kid. He has a slight iron deficiency and for which, we are giving Iron drops daily. Also, I am giving him Vitamin D drops daily. 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": 22373, + "tgt": "I have irregular bleeding. Is it due to I-pill or implantation?", + "src": "Patient: Hello doctor, My last period date was 21st last month. I had unprotected sex on 20th last month and had taken an I-pill within two hours. Since the 6th of this month, I am having irregular bleeding which has been increasing. Is it a side effect of the pill? Is it implantation bleeding? I also have a history of ectopic pregnancy which had happened two and a half years back. Doctor: Hello. Emergency contraceptive pills are hormonal pills that can disturb cycles. Post pills, there could be withdrawal bleed and you can have unscheduled spotting, erratic bleeding, and irregular periods as well. For your satisfaction, I suggest having serum beta hCG (blood pregnancy test) and then to regulate cycles, you can have combined oral contraceptive pills cyclically for three months. In case of irregular periods for many months with abnormal hairs growth and sudden weight gain, it is better to have a transvaginal scan and blood sex hormonal tests on day-2 of periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4586, + "tgt": "What is amniocentesis?", + "src": "Patient: Hi doctor, My wife is 27 years old and 13 weeks pregnant now. As per suggestion from doctor, we went for a double marker test. It is found that trisomy 21 + NT risk is 1:86 and doctor suggested for amniocentesis procedure. Now I am confused and do not know what to do. My wife scared that the procedure is risky and painful. Please explain us about it. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16460, + "tgt": "Please explain my father's CBC report", + "src": "Patient: Hi doctor, My father is 64 years old. His CBC report shows an absolute monocyte count of 93. His WBC was 4700 per microliter of blood and has a hemoglobin of 12.5 g/dL. He has platelets of 20,500 per microliter of blood. He has rhinitis for the past three months. He is taking Cilacar 10 mg, Thyronorm 25 mg, and Lasix 20 mg for the past eight months. He had leucopenia and thrombocytopenia before three months. Please help. Doctor: Hi. Your father's blood report does not show a significant finding. His monocyte count is low. His hemoglobin level is low, and foods rich in iron can be taken. If the congestive symptoms are severe, then a PNS (paranasal) X-ray can be taken to check for sinusitis. For rhinitis, he can take a decongestant tablet. You can consult a physician for an examination and for doing allergic testing." + }, + { + "id": 5293, + "tgt": "My daughter is always sad with mood swings and suicidal thought. Is it bipolar disorder?", + "src": "Patient: Hello doctor, I have three kids. My oldest is 16 years and she is a bit hard to deal with. I have been noticing her change of moods everyday. My mother, older sister, and younger brother told my middle son, that they hate her, no one wants her close. She had a rough break up, she says she hates life and has no friends. I understand the pain that she feels, but what worries me is that after a great day she suddenly has a mood where she cries, shuts off the world, without anyone telling her anything. She has suicidal thoughts. I have noticed she gained wait and lost interest in fun activities. She stays up all night crying on the phone texting or I do not know. She cries a lot. I try to talk to her, but she does not talk at all and just cried. She listens to sad music. I could say she has bipolar disorder (depressive). Is it possible? Doctor: Hello. Going by the description of your daughter's life circumstances and events, she seems to be in depression definitely. Is she in bipolar depression can only be determined if she exhibits the following. 1) Cycles of depression and mania. 2) There should be discrete episodes of depression lasting days to months (like the one she is currently) and mania also lasting days to months. 3) There ought to be periods of normalcy between maniac and depressive episodes. 4) Maniac episodes consist of irritability or euphoric mood, over activity, decreased need for sleep, over-talkative, grandiose, hyper sexuality, the flight of ideas and pressure of speech. And yes, the treatment will depend upon whether she is suffering from unipolar depression or bipolar depression. Another important thing I like to highlight is her gaining weight. This can be due to depression per se, or it may due to underlying medical problems such as hypothyroidism, which in itself could lead to presentation mimicking depression. She should be investigated to find the cause of gaining weight. Finally, the most important thing I would like you to look at is her suicidal ideations. This should be taken very seriously. You should keep the following things in the mind: 1. Never take a person\u2019s expressed wish to die non-seriously even if expressed in anger. 2. A person who repeatedly threatens suicide but does not commit suicide is at higher risk to commit suicide. 3. It has been seen that a person who has committed suicide has had given some sort of forewarning. 4. Always keep a vigil on people with chronic illnesses and psychiatric illnesses. 5. Once a person has attempted suicide but could not succeed, extra care should be taken. Rules to be followed when a person expresses a suicidal idea or has attempted suicide are: Contact a psychiatrist to assess the person\u2019s suicidal risk by scales. If the person has been identified with a psychiatric illness it should be treated promptly. Keep an eye on the person and keep dangerous things out of his reach. There may be a need for hospitalization. Do not criticize a person for the act but extent full family support for the speedy recovery and moral support so that the person does not repeat the act. Depressed patients coming out of depression are at a particularly high risk of suicide called paradoxical suicide and should be under supervision until complete recovery. So it is very important for you to contact a psychiatrist and start treatment as soon as possible. I hope that your daughter comes out of this depression quickly and leads a healthy life ahead." + }, + { + "id": 22515, + "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": 5284, + "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": 6688, + "tgt": "Can long-term use of Celexa cause brain damage?", + "src": "Patient: Hi doctor, I took Celexa for more than 10 years. It was prescribed by my cardiologist and was maintained by my MD. I drank while on it and had several bad experiences. I asked to be taken off and my MD just told me to stop. This was another bad experience. This was about six years ago. I suffered with what is called adjustment disorder two years ago and was on Paxil for a year and then weaned off by a psychiatrist. However, still I am suffering daily with\u00a0mild depression despite bi-weekly psychologist visits. I am wondering could I have suffered brain damage due to Celexa. Articles I am reading online concerning to me the above.\u00a0Should I look into a medicine for my current depression? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18790, + "tgt": "I have been prescribed Farxiga. Should I stop this drug?", + "src": "Patient: Hello Doctor, My doctor set me up with an FNP (Family nurse practitioner) who advised me to start taking Farxiga. I am not sure if I should take this medication.I am curious about other professional opinions on this newly FDA approved drug. Should I stop this drug? Doctor: Hi,\u00a0 Welcome to icliniq.com. For further follow up consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17843, + "tgt": "Does varicocele surgery cause any side effects?", + "src": "Patient: Hello doctor, I am 33 years old. I got a varicocele surgery two years back. Does the surgery cause any side effects? I am facing trouble in erection and premature ejaculation. I am also facing problem with passing urine (to start and empty). We are presently trying for a child through IUI. My present sperm count is 30 mL with good motility and active. Currently, I am having Oligocare and Fertile M. Please suggest me a cure. Thank you. Doctor: Hi. Revert back after the tests to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8939, + "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": 15428, + "tgt": "Can ORS help in CKD patient present with loose motion and vomiting?", + "src": "Patient: Hi doctor, My father is suffering from CKD, and he has a creatinine of 2.7 mg/dL. He also has a CAD and got a heart attack last year. Sometimes, he also has loose motion and vomiting. What can I do now? Should I have to give him ORS or not? Please help. Doctor: Hi. You have mentioned the age of your father. If your father has an age of 65 years with a weight of 60 kilograms, the creatinine clearance will be around 23 mg/dL, and it puts your father in stage 4 CKD. I do not know the exact age and the nature of treatment used for him. Please mention about the treatment taken. Please say whether he takes renal replacement therapy (hemodialysis or peritoneal dialysis) or not. If he is not taking it, ORS (oral rehydration solution) can cause harm. In a patient with CKD (chronic kidney disease), who is not under renal replacement therapy, should not take ORS or any other fluid intake as it can lead to volume overload. As he has a history of CAD, it will also cause harm to his health. The symptoms of loose motion and vomiting occur due to many causes. One of them can be infections. Also, certain medications can also be responsible for these symptoms. In general, ORS is safe for patients of any age. It is not right to use ORS for your father because of his poor kidney function and due to reduced urine production. In this condition, his body will retain excess fluid, and it causes more harm than benefit." + }, + { + "id": 17503, + "tgt": "How to prevent pregnancy other than using condoms and pills?", + "src": "Patient: Hi doctor, I am going to get\u00a0married in four months. We want to know whether there is any other way to avoid pregnancy other than using condoms or taking pills. I have seen somewhere on the internet that if we do intercourse for some particular period, then pregnancy can be avoided. Is it true? If it is true, then what time it can be? My wife's period usually comes in the\u00a0first fortnight, and always it is delayed by four to five days to the previous month.\u00a0Another thing is that I wanted to ask whether there are any health implications for oral sex. What is the safest and least painful way for anal sex? Would sex toy be useful for making anal sex least painful? Please suggest. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1480, + "tgt": "How to get closer to my husband?", + "src": "Patient: Hi doctor, My husband is suffering from stress. My husband does not share anything with me, but he does share his feelings with his mother. I am unable to handle this and I am becoming weak internally. Everyone is after my husband's health. But, no one understands my situation. Due to such tension and stress, I am also facing health issues. There is no friend of mine with whom I can share things.\u00a0Most of the time my husband feels stressed. When we plan to go out for some holidays and every time he cancels it. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30286, + "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": 25078, + "tgt": "Gums feel irritated after a recent cleaning. How to manage it?", + "src": "Patient: Hello doctor,I recently got my teeth cleaned with a water jet type cleaning, by a new hygienist. A few days later, my bottom front gums felt irritated. I took a look, and one gum looked as if it had been cut down toward root about 3 mm below the normal gum line like it was a mistake. I used a peroxide type mouthwash and declined follow up visits to the same dentist because I did not trust the experience of the hygienist. Ever since, I have been trying to treat the gums and also noticed an odor, greying area toward the root, and it has become difficult to manage the irritation. It also looks like a cavity may be present. I have attached a picture. Doctor: Hello. Discontinue the use of peroxide type mouthwash, use a gum paint which could strengthen your gums. Gums may move a little downward after cleaning as the inflamed gums come back to normal size after cleaning and is normal. However, in the photograph (attachment removed to protect patient identity), it looks like you still have inflamed gums and a consultation with a periodontist is recommended at this time. The probable causes of inflammation may be an injury during the procedure or incomplete removal of deposits or the use of peroxide-based mouthwash. Your gum specialist may do a thorough checkup and will be able to tell you if you require another round of cleaning. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29434, + "tgt": "Please explain the reason for shooting pain all over my body", + "src": "Patient: Hi doctor,My problem started with pain in my lower back and buttock, and then it moved to my lateral thigh on both sides. So, it is difficult to sleep on either side. I also started experiencing neck and shoulder pain. Now, I feel pain in my arms, back, neck, shoulder, etc. I do not know what could be causing this. My last general blood test a month ago was all right. Also, I was recently diagnosed with gallstones. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12445, + "tgt": "What causes moist anal area?", + "src": "Patient: Hello doctor,My anal area is always moist. What could be the reason? I am 26 years old, female. Doctor: Hello. This could be because of overactive sweat glands, oily skin with or without chronic low-grade infection. After bathing let the area dry completely, use pure cotton undergarments and use Myoderm-C dusting powder over your anal area as well as sprinkle some on the panty. I hope your bowels are fine and you are not constipated. If that is not the case, you need to be treated for the same." + }, + { + "id": 3764, + "tgt": "I have a painful bleeding skin on the side of thumb and forefinger. What could this be?", + "src": "Patient: Hi doctor, I have a very painful skin condition on the sides of my thumbs and forefingers. It started months ago and is steadily getting worse and spreading to other fingers. I also have it on one of my toes. The nails have gone very thick and have a chalky formation under the nail. This is not painful but I have lots of tiny water-filled pockets under the skin that eventually crack and bleed. I have to wear plasters on my fingers to stop the infection as the skin is constantly splitting and bleeding. My doctor has prescribed me four creams over the last four months. They are Betnovate, Dermovate, Lotriderm, and Fucibet, but none have worked. I am very aware that these creams need to be used very sparingly but my skin seems very thin so I have stopped using the last cream he prescribed (Fucibet) as I am worried that it may give me lasting damage. Like all of us with medical problems, I have been online and I am pretty sure that I have discoid eczema. I have been waiting for a dermatologist appointment for two months, I cannot wait any longer. What do you think and what treatment, if any, can I get? Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). Yes, this is eczema only and you are using the correct cream, but the problem is that it is a very resistant condition, so it takes time to get resolved. You should avoid touching soap, detergent, chemical cement, or any other chemicals. You have to take oral steroids also to get faster relief. Also, use good moisturizer frequently. Can apply Fucibet (Fusidic acid and Betamethasone) cream and put some cover over the finger to allow the cream goes deeper. Also, use moisturizer at least three to four times a day, if you feel itching then you should take Levocetirizine 10 mg." + }, + { + "id": 23329, + "tgt": "Are my symptoms due to UTI or something else?", + "src": "Patient: Hello doctor, I started having UTI symptoms. I also had chills and vomiting. Then the pain started in my lower right quadrant. It feels like a gland is inflamed. I got a bump near my urinary meatus first. I also have a discharge now that started today like that of yeast infection. But now, I have bumps all over. I went to the ER yesterday, where they checked for cysts in my ovaries. They did not find anything. I am having pain while urinating, and a burning sensation. I started taking Keflex three days ago for UTI. Now, I am wondering if there is something else going on, like a yeast infection or an STD. Doctor: Hello. I went through your post and images (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12091, + "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": 16295, + "tgt": "I have keratoconus. Do I have other options apart from spectacles?", + "src": "Patient: Hello doctor, I have an eye disorder (keratoconus). I would like to know whether I can continue wearing soft lens. The hard lens/RGP lens provides a lot of discomfort. Do I have other options apart from glasses? Doctor: Hi. Keratoconus is a degenerative eye disorder. This causes corneal thinning and leads to a conical shaped cornea. Soft lenses can be used, the silicone lens with hydrogel based ones in particular. Though RGP (rigid gas permeable) lens are preferred for better vision outcomes, a combination of soft and rigid lenses are also available. If this option fails, then go in for surgical options like microwave thermokeratoplasty." + }, + { + "id": 11763, + "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": 17983, + "tgt": "How can my blurred vision be treated?", + "src": "Patient: Hello doctor, I have been having blurry vision ever since my sore eyes have been going away. It started a week ago when I was diagnosed with sore eyes. My physician told me to use Terramycin four to five times a day and on the sixth day, the swelling in my eyes got better. But once my eye was in a \"usable\" state, I could open it fully with no pain or itching. I noticed a sudden change in my vision. It is now blurred. I just got my new pair of glasses three weeks ago so I am surprised why my vision got worse immediately. Is this a temporary aftereffect of the sore eyes or am I facing an eye infection which involves permanently reducing vision? The symptoms I have been experiencing last week were as follows: Itchy eyes, swelling eyelids, I cannot open my eyes to its full extent, frequent pain in the eye, sometimes tear droplets rushing down my face, and when I wake up in the morning, it is like the liquid hardens and sticky things prevent my eye from opening but not that hard. Now, all the symptoms have gone except the sudden blurry vision. Please help. Doctor: Hello. This blurred vision could be due to viral keratoconjunctivitis which means there is a possibility of involvement of cornea leading to blurred vision. Treatment usually includes soft steroid eyedrop like fluorometholone in slow tapering doses. It is a provisional diagnosis. Kindly consult an ophthalmologist and get proper eye examination done. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18676, + "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": 5200, + "tgt": "I am suffering from excessive belching for the last 5 years. Please help me diagnose my stomach problem", + "src": "Patient: Hello doctor, I am a 29 year old male. I am suffering from excessive belching for the last 5 years. I have done endoscopy and the doctor suggested me acid reflux capsules Nexpro RD 20. I have been taking one capsule every morning before meal, but still I have excessive belching problem. Those capsules helped me only 40%. I used to drink a lot of alcohol in the past. About four times a week when I was 18 years old. But I quit the habit at 21 years. I used to smoke a lot, about 4-5 times a day from the age of 14 years to 26 years. These days I am very careful that I do not smoke, I do not drink, I do not have chewing gum, hard candies, etc. There is excessive gas in my stomach and I feel very uncomfortable. Please help me diagnose my stomach problem. Doctor: Hi. For further follow up, consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18871, + "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": 19636, + "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": 8429, + "tgt": "Is it advisable to use Aloe vera for dark circles?", + "src": "Patient: Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise. Doctor: Hello. See the dark circles you are having are due to awakening at night. So during the night shift, try to relax your eyes in between. You can use ice packs to soothe your eyes once or twice. Take fresh fruits and vegetables, also for dark circles and do not let them increase because they are hard to cure at later stages. As far as Aloe vera gel is concerned, you can use it on your hairs and skin. But make sure that it is 100 % natural. If you are using it as a styling gel, then you can wash it after a few hours. I will not recommend you to leave it on your hairs. I hope you understand my point." + }, + { + "id": 6400, + "tgt": "My ultrasound report shows splenic hemangioma and enlarged spleen. Is it splenic angiosarcoma?", + "src": "Patient: Hello doctor, I had an incidental low-density mass, found on my spleen during a CT scan for possible kidney stones. A recommended follow up ultrasound with doppler showed a 4.3 X 4.7 X 4.8 cm ill-defined heterogeneous hyperechoic mass. The mass showed blood flow around the peripheral. The report said it might be a splenic hemangioma, but that other benign or malignant lesions or metastatic focus cannot be entirely excluded. My spleen is mildly enlarged for about 16 cm. All of my blood work came back normal, except one for inflammation. I have a followup CT scan with contrast (drink) scheduled. I am extremely anxious and scared if it is splenic angiosarcoma. Please help. Doctor: Hello. As you mentioned that it might be splenic haemangioma as per USG (ultrasonography) with Doppler, let me relieve you by stating that it is one of the rarest condition affecting the spleen, one of the commonest benign condition and has no malignant potential. So do not fear about Angiosarcoma. Though it is mostly asymptomatic may present with abdominal discomfort (pain), breathing difficulty, hemorrhage (spontaneous rupture), or diarrhea. If symptomatic splenectomy is the choice of treatment, the size of haemangioma ranges from 0.3 to 7 cm. Your haemangioma size ranges in the medium range, and this has a very low growing potential. Kindly review with CECT (contrast-enhanced computed tomography) and MRI (magnetic resonance imaging) or nuclear imaging. These investigations have more sensitivity and specificity to diagnose splenic haemangiomas. As you are asymptomatic and I have already mentioned that splenic haemangiomas have very slow growing potential, so no need for surgery at present. Taking asymptomatic CECT yearly once to keep track of the size of the haemangioma will be essential. Once again, let me assure you that it does not have malignant potential." + }, + { + "id": 28180, + "tgt": "I am bleeding after a positive pregnancy test. Is it due to the miscarriage that I had last month?", + "src": "Patient: Hello doctor, I have been trying to conceive for four months now. Last month, I got two positive pregnancy tests followed by some bleeding a week after the test. I bled for about a week. And this month, I also got three positive pregnancy tests. I got a positive test two days before my missed period, but the periods followed, which was very dark. Is it possible that this is still the first pregnancy or is it more likely that this is a new pregnancy? Thanks in advance. Doctor: Hi. 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://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 5168, + "tgt": "What causes joint pain, headache, and a running nose with blood during sneezing?", + "src": "Patient: Hello doctor, I got fever a few days back along with joint pains, headache, and a running nose. Still cold persists although it has been a week since I got rid of fever. To my notice, while sneezing I noticed blood (3 to 4 times out of nearly 20 to 25 times, I sneezed). Doctor: Hello. By the symptoms you are describing it seems like a viral infection (some kind of flu). Headache, joints ache, fever, and respiratory problems are common in this condition. Since you have a history of a week and the symptoms are back, bacterial infections of the respiratory tract as a complication may have occured. I would suggest you to have a complete blood count done, and throat secretions culture. If you have breathing difficulty, cough or chest pain, do an X-ray of the chest. If bacterial infection is proven, a specific cure with antibiotics should be started. Until then you have to control your symptoms by a support therapy. Take Ibuprofen every six hours for the fever and pain, Vitamin C to increase the immunity strength and electrolytes (ORS orally). Have light meals, soups, and plenty of liquids. Feel free to ask again after the results." + }, + { + "id": 23285, + "tgt": "Can a hemorrhagic cyst in the right ovary cause pain in the left pelvic area?", + "src": "Patient: Hi doctor, I have pain in my left pelvic area, which gets better after taking Meftal Spas. I got an ultrasound done, which revealed a 5 cm hemorrhagic cyst in my right ovary. My\u00a0period is also delayed. Is this cyst regular or an endometriosis cyst?\u00a0Is this pain related to the cyst? What should I do? I am attaching my scan reports. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity), you are fine and only need very few changes. Let me tell you the problems one by one followed by what to do. Your cyst is just a hemorrhagic or corpus luteum cyst. After ovulation, the remains of the follicle may sometimes keep bleeding and form a cyst. It is not endometriosis because in that case, you would have regular painful periods every month, brownish discharge and severe pain during sex. Your cyst will resolve on its own. Just forget about it, you can have a repeat scan after four weeks to check the size. Your scan says polycystic ovaries. But, the criteria for PCO is at least ten cysts of 10 to 12 mm on both sides. So you do not have PCO. I suggest you try the following to reduce your weight. Try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, as it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes in your health. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11298, + "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": 12871, + "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": 590, + "tgt": "Bruise in eye caused discoloration and is not fading out. What should I do now?", + "src": "Patient: Hello doctor, I am having a problem with my eyes. I had a black eye a month ago and it swelled and bruised. The bruise went from purple to dark purple to yellowish-green and then brown. Now it stuck with brown and I am getting worried that it won't fade away. What do I have to do? Or what medicine do I need to take? I am getting worried. Doctor: Hello. I think it is due to any blunt trauma to the eye. As you have described it is changing color so that color change will be due to pigments change in the blood. Is there any trauma history? Kindly send a picture of your eye so that I can diagnose it properly. Without an image it is a bit difficult to say. And is there any effect on your vision? Kindly provide answers to the above queries, I will guide you for treatment." + }, + { + "id": 14091, + "tgt": "Is it normal to get chest pain, dizziness and breathlessness in a hypertensive patient?", + "src": "Patient: Hi doctor, I have been having chest pain like a sharp ripping, feeling dizzy, and went to the ER three weeks ago. He did not say anything about my EKG but I needed to see a cardiologist for my heart murmur, but I had to go to my doctor to get a referral. So I saw her, she heard my murmur and said it did not sound good. So, she sent me to the ER that morning. The EKG had huge mountains on it towards the bottom, but they said it was normal as well as the chest X-ray, CT scan but yet I am still having these sharp chest pain, dizziness, feeling short of breath that lasts for 20 minutes or longer, comes and goes especially during housework, and even laying down. I have been dealing with hypertension (high blood pressure for the past 17 years) and on three medicines one of which is a patch. I feel like they have given me the run around because I am a 37 years old female. Please help me. I feel like I will waste my time going back to the ER, and I have to get a referral from my doctor to see a cardiologist. What is wrong with me, Nexium does not help but baby Aspirin does. Doctor: Hello. We are here to help you. With chest pain and murmur and a history of hypertension, cardiac chest pain is the most probable diagnosis. However, acid reflux and muscular pain need to be kept in consideration. It is important to differentiate between all as the treatment course is entirely different. The muscular chest pain is dull and diffuse and any movement aggravates it. It is usually continuous and not intermittent like the cardiac chest pain. Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It often radiates to the left arm, shoulder and nape of the neck. Following ECG, for cardiac evaluation, you need echo and treadmill test (TMT). If any abnormality is found, then an angiography should be performed. Share my opinion with your doctor. Stay healthy." + }, + { + "id": 25384, + "tgt": "I have problem of anxiety and sweating when I face a crowd. Please help me out", + "src": "Patient: Hello doctor,I am 28 years old. I am suffering from social anxiety. Some years back, I joined as a lecturer. After some days, when I start teaching the students and if they do not understand what I am teaching, I feel profuse sweating in arms and face. So, I get very shy. I left the job now. I considered changing my field to the software industry. Now again, I am suffering from the same problem of facial sweating when I am facing an interview. So, I could not clear the interview. Also, now I am jobless. I consulted a doctor in my native. He gave some tablet. It did not suit me. Now, I am unable to pay the fees for a doctor's consultation. So, I am going with this free consulting. Please help me out. Give me another chance to live like every one. Doctor: Hello. You may indeed have a social anxiety disorder. You need to build up confidence in yourself. Start talking with yourself by looking at a mirror with eye to eye contact. Talk with a new person daily, just small talk like hi or hello. Start doing exercise daily. Go for swimming. Spend time for your creative hobbies like painting, reading, writing, learning new languages, learning music, etc. Be bold. Do not lose hope. You may have introvert nature. Then accept it and use it. Do meditation. Take healthy food. Avoid junk food, do not drink alcohol or tobacco. This is non-pharmacology management. Still, if you have severe anxiety during facing persons, you can take tablet Propranolol 10 mg just half hour before interview or lectures. Tablet Clonazepam 0.5 mg also you can take 15 to 20 minutes before interview or lectures. Tablet Clonazepam may cause drowsiness. So, you first try at home, if you have a sleepy effect than take 0.25 mg or half of 0.25 mg tablet. Do not take more than 2 mg of Clonazepam, it will surely cause sedation. Tablet Propranolol and Clonazepam are taken only when you need it. Do not take it daily. If you have still a problem, then take tablet Escitalopram 10 mg daily for short time. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. But at first, you must try to deal without medication - nonpharmacologic management. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11666, + "tgt": "Kindly suggest best mouthwash and paste for daily use", + "src": "Patient: Hello doctor, Kindly suggest which mouthwash and paste is good to use on daily basis. Doctor: Hello. On daily basis, it is suggested that one should try tooth brushing with paste recommended by the American dental association (ADA) and Indian dental association (IDA). While buying a paste, you should look for whether it is ADA or IDA approved. Second is choose the paste containing ingredients like fluoride, sorbitol, glycerol, sodium lauryl sulfate, calcium carbonate, and saccharin. You can use them daily particularly before sleeping. However, if you have sensitivity in teeth and issue with cold things like ice cream, then you can try pastes containing high fluoride which strengthens teeth and prevents sensitivity and also prevents further progress of cavities. You should try usual toothpaste but after three months try this fluoride-rich paste for one month so that you will not develop future caries. Mouthwashes contains mostly Chlorohexidine, but it is not recommended for daily use. It is used in the case when there are gum inflammation and bad breath. Moreover, it is not recommended for more than 15 days as these cause staining of teeth sometimes. If you have gum infection or bad breathe, you can try it." + }, + { + "id": 22314, + "tgt": "Neutrophil count has dropped. Could this be a relapse of leukemia?", + "src": "Patient: Hi doctor, My husband had AML nine years ago and was discharged in remission. He is now on a once-a-year review with the oncologist. Yesterday, he went for his checkup and discovered that the neutrophils have dropped. Below please find his readings: WBC 4.07, RBC 4.96, hemoglobin 15.0, platelets 188 and neutrophils 1.35. The reference range for neutrophils is at 1.56. He will need to go back in one month's time for a retake of the blood test. He is so far doing fine with no fever, sore throat, ulcer apart from some backache. We are worried as there could be a relapse of leukemia. Can you assist to enlighten me? Thank you so much. Doctor: Hello. Your total WBC (white blood cell) count is within the limit and only neutrophils dropped down slightly. There are many causes for dropping in neutrophils count and infection like certain viral infections can sometimes lead to bone marrow suppression of neutrophils series. If it is a relapsing case of leukemia then peripheral smear might show abnormal premature cells in excessive amount. But anyway, as suggested by your oncologist, now you have to just repeat your CBC (complete blood count) with peripheral smear examination in few days and then we will discuss further. Meanwhile, take a healthy diet and fruits. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17103, + "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": 20302, + "tgt": "Why is there social phobia, insecurity, anger, and loneliness?", + "src": "Patient: Hello doctor, My 26 years old son has social phobia, insecurity, anger, adamancy, irritation, unsatisfaction, doubts, and loneliness. Symptoms are present for many years but for the last two years, it has aggravated a lot. He does not leave the house or meet people, never speaks and blames me for everything. He behaves like a kid. He never helps anyone nor does he help anyone. Stays away from sympathy and love. Please advise me the treatment. Doctor: Hello. The problems you have mentioned like blaming you for his faults, not listening to others, irritability, anger outbursts, suspiciousness, remaining alone, etc., could be occurring due to some underlying mood disturbance. Suspiciousness could be due to some psychotic pathology. This should be evaluated by a psychiatrist. He does not go out and does not interact with others and this is resulting in impairment in functioning. These symptoms cannot be ignored. You have to take him to a psychiatrist. If he is not getting ready to visit, which he will do, then please visit a psychiatrist and discuss management. He might be suffering from bipolar disorder or some psychosis based upon the history you mentioned. But the final diagnosis should be made only after taking a detailed history. With medicines, he will be alright." + }, + { + "id": 3942, + "tgt": "What causes slower urine stream with discharge from penis?", + "src": "Patient: Hello doctor, I have a prostate congestion issue that comes and goes from 2 years. Lately I am having a slower urine stream even slower than the times I had my prostate congestion before, also I am having uncomfortable feeling above my anus, itchy or uncofortable feeling at the tip of my penis, and some discharge from my penis. I had my tests done. Urine and semen culture, swab from the tip of my penis, and C/S for my urine and semen. Before the results doctors been telling me that I might have an STI and they gave me a one time injection with 4 tablests of antibiotics. When the results came it showed no sign of any bacteria in all my tests, the swab is clean no STD. I only had a higher WBC count in semen culture which was around 10-15, where the normal reading was 0-5. My doctor told me thay I have an infection in my prostate or inflammation. He gave me anti-biotics for 10 days and an alpha blocker medicine. He did not do physical check or ultra sound. I need a second opinion, I am afraid I have a cancer, it does not make sense to have an infection without bacteria discovered in all the tests? Doctor: Hi. It looks like prostatitis, chronic (attachment removed to protect patient identity). Often in this condition, diagnosis is clinical, most tests are negative. On rectal exam, sometimes prostate can feel tender. sonography can show swollen prostate. Uroflow may be reduced. There may be bacteria or WBC in semen. Also, post-prostatic massage urine culture may be positive. Even if all these are normal and there is clinical suspicion, you may be given treatment for prostatitis. Usual course is for 1.5 to 2 months. Symptoms can recur but usually are less severe than first attack. People get prostate cancer after age 50." + }, + { + "id": 2158, + "tgt": "Is MRI with contrast useful for endometrial issues?", + "src": "Patient: Hi doctor, I had not had\u00a0periods for 8 years. There was some spotting for around a year. The endometrial thickness is 7.7. The complex echo suggesting menstruation, though not having periods. Please help me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6526, + "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": 29575, + "tgt": "My parents are always fighting. How to deal with them?", + "src": "Patient: Hi doctor, I am 19 years old.\u00a0My parents are fighting with each other because of their complexities. How to deal with them?\u00a0My father has an inferiority complex. My mother has hysteria.\u00a0Please help me to do something. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28458, + "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": 1090, + "tgt": "I am under treatment for anal fissure. If there is no relief in 10 days, will I need surgery?", + "src": "Patient: i have pain while passing stool and also blood with it sum time spots and some time much more, and i have physical exam to a doctor, who said it is not piles, it is anal fissure then i ask whtat is this he said in simple words its a cut. he suggest me gtn 0.2% and brixin tab if there is no relief in 10 days there will be need of operate please suggest me Doctor: hello I will definitely help u regarding your problem anal fissure is a cut in the anal pessage due to hard stools it may present with pain and bleeding in 99 percent cases surgery not required but proper medicines and prevention is necessary here I will advise you complete treatment only one gel and tablet will not help follow my treatment, you will get better in 5 days follow me after 5 days so I will modify your treatment anal fissure Sitz bath with betadine 2 times for 15 minutes Syp Duphalac 4 tsp HS ointment Diltigesic locally 3 times Ointment Smuth locally 3 times Tab Enzoflam 2 times daily Tab Pantop DSR OD plenty of water avoid spicy and fatty foods high fibre diet 5 days" + }, + { + "id": 6393, + "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": 13600, + "tgt": "Can Femosten cause irregularity of periods?", + "src": "Patient: Hello doctor,I commenced taking Femosten last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods never differed, perhaps a little heavier than usual. I suffered constant hot flushing for six months. So the doctor prescribed Femoston which dealt with that issue. She did advise perhaps I would still have some bleeding. I have never had any breakthrough bleeding but last month I got a period, lasting for usual five days and yesterday, I have had another period. Just wondering about this. I am due to see my GP soon for a pap smear and review the Femosten. Should I make an earlier booking? Doctor: Hi. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my answers of the above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health." + }, + { + "id": 5014, + "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": 23755, + "tgt": "Why am I having severe constipation after sigmoidectomy?", + "src": "Patient: Hi doctor, I have had small cysts in the past that would come and go during childbearing or menstruating years. I also have IgA deficiency, chronic inflammatory arthritis, autoimmune hypothyroid and low WBC count. My present condition is, for past several weeks I have been having pain in the lower left area of abdomen that goes into my left lower back and on the side of left hip or front at times. I also get pain into the lower pelvic area and sensations in my bladder like it is being kicked like when I was pregnant. I have decreased appetite, abdominal bloating and swelling on the left side of my abdomen. It is quite uncomfortable to have a bowel movement and I have increased constipation. Most of the time I have very little appetite and when I do eat I get full very quickly. I also have nausea on and off and at times it is so bad I feel as though I am going to vomit, but I have not. Three months back, I had sigmoidectomy for chronic diverticulitis. After two months that is last week due to the above symptomology, I had a CT and flexible sigmoidoscopy done as my treating doctors felt there could be a narrowing of the colon formed during the healing process. Both test were good, no problems or obvious issues (other than constipation) seen. Now I am on Prozac, Synthroid, Hydroxychloroquine, Methotrexate, Folic acid, Prevacid and Flonase. However, the pain and other symptoms have continued and actually worsened since. I am now thinking it is a cyst on my left ovary. How concerned do I need to be? And how soon should I see a doctor? I have attached my reports for your reference. Kindly guide. Doctor: Hello. The symptoms and an abdominal lump in the left lower abdomen with constipation and bladder symptoms with bloating and decreased appetite do indicate a possibility of a large adrenal mass which could be a developing and growing ovarian cyst or mass, which should be ruled out with an urgent ultrasound pelvis scan. As the possibility of a colonic stricture obstruction has been ruled out three months back, a sudden increase in the size of abdominal lump with pressure symptoms do indicate a possible fast growing mass or cyst. This can be a late manifestation of post sigmoidectomy stricture which was not evident then, but the possibility of an ovarian mass or an ovarian tumor cannot be ruled out. I suggest an urgent ultrasound pelvis scan and hence, please seek an early appointment with your gynecologist. Please follow up to discuss the progress. Revert back after the investigation to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17025, + "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": 16631, + "tgt": "Is my daughter's fever a symptom of dengue or swine flu?", + "src": "Patient: Hi doctor, My 3\u00a0year old daughter has a fever for the past three days, and we are giving her Paracetamol. Since yesterday she has running nose and cough. I gave her Crocin twice in the morning three hours back, but her fever is 101.8. Should I give her Meftal\u00a0P? Is there a possibility\u00a0of dengue or swine flu? I am scared. Doctor: Hi. Revert to me if the fever does not go down even after five to seven days. Hope this will help. Thanks. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27424, + "tgt": "Is Promethazine effective to treat insomnia?", + "src": "Patient: Hi doctor, I am unable to sleep, and I\u00a0wake up frequently. I\u00a0suffer from\u00a0nightmares, and with daytime fatigue. I need a medication that is non-addictive.\u00a0Is Promethazine an effective medication for sedation in the treatment of adults with insomnia? Doctor: Hi. Thanks for this query. Hope my answer helped you. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16385, + "tgt": "What is the treatment for eye infection due to pythium?", + "src": "Patient: Hello doctor, My husband has an eye infection for the past two months. The doctors diagnosed that it is a fungal infection pythium keratitis. This infection might be from crops. They said that there is no anti fungal for this type of fungus and asked to apply Itral eye drop hourly, Zaha four times a day, Homide two times a day. A corneal ulcer is created and a white like thing is in the cornea. Vision is blurred due to this. Could only identify the objects. He is under treatment for the past 30+ days. Do we have treatment for this? Doctor: Hi. In case the organism is pythium as you have said, it has been found that it does not respond to available antifungals. Previously patients have been managed by corneal transplant to remove the infected organ so that it does not affect inner parts of the eye. Your decision will depend on how well the infection is responding to the treatment being tried. If it is increasing despite all the medications, a corneal transplant may be the only way forward. Better to keep serial photographs of the eye for comparison and easy decision making." + }, + { + "id": 9278, + "tgt": "How can erection issues during sex be treated?", + "src": "Patient: Hello doctor, I am 32 years old, married, planning for a baby. I am getting some erection issues. All tests are done and it is fine. The reports are fine. I do not know how to proceed. Doctor: Hi. Erectile dysfunction could be organic or psychogenic. People with psychogenic erectile dysfunction tend to have early morning spontaneous erections normally and the same is absent in those with organic causes. If you have normal early morning erections, you can help yourself with a daily dose of Tadalafil 5 mg one in the night after food, which is supplemented with Tadalafil 10 mg on the day of planned intercourse three hours prior to intercourse. The action remains for 24 hours. Initially, you may have some headache or body ache but settles with daily dosing. You should be able to perform sex with this if there are no organic causes. If you cannot, then please get back to me with penile doppler." + }, + { + "id": 26112, + "tgt": "Two consecutive miscarriages have greatly disappointed the family. What to do next?", + "src": "Patient: Hello doctor,I am writing for my daughter, staying away from us, with her husband. She is 30 years, 5 feet 1 inch and 63 kg, working in the IT sector. She is married for the last three years and seriously trying for conception from a year. She missed her period once in the beginning of this year. During her obstetrics consultation, beta hCG was done. It was repeated after two days. A transvaginal ultrasound scan was done and repeated after 10 days. The end result was diagnosed as a blighted ovum. So, it was evacuated by D and C.Our daughter is of normal build and nutrition. Her menstrual history was normal since the beginning in\u00a0terms of\u00a0cycle, duration, and flow. But, one month after D and C, she did not have her\u00a0period. On the doctor\u2019s advice, she took some medicines and bleeding occurred. She was known hypothyroid. So, she was taking Thyroxin 50 or 75 to keep the TSH near about 2.5 Uiu/ml. Her Hb % and sugar are within the normal range.Again, she tried to conceive since three months ago along with Aspirin and folic acid. She missed her period last month. Her beta hCG was 9.20 mIu/ mL. It was repeated after two days. It came down to 1 Miu/ml suggestive of 'chemical pregnancy'. This time, after a few days, a spontaneous jelly-like bleeding occurred for two days. I would like to add that her husband requires to take Penegra 50 mg tab before a\u00a0performance. Our daughter is immunized with triple antigen, polio, MMR, chickenpox and hepatitis B vaccine in childhood. The transvaginal scan (done at a later phase of the first conception) showed normal anatomical and physiological pattern of the ovary and uterus to me at least (report attached).Two consecutive miscarriages brought great disappointment to all. Presently, the\u00a0doctor told her to take Aspirin 150 mg, folic acid, and Vitamin B12 combination tablet and to try for pregnancy again. I want your valuable opinion regarding subsequent management or the right line of treatment and suggestions or tests (if any) to get a successful pregnancy and healthy baby. Doctor: Hello. I have gone through your daughter's reports (attachment removed to protect patient identity). Hope this helps. Regards. For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13551, + "tgt": "Can you determine which ear is having BPPV?", + "src": "Patient: Hello doctor, I had an episode of BPPV this morning. I had a couple earlier this year and I am confused as to which is the bad ear so I can do the proper procedure. It happens in this scenario: I lay on my left side and switch to my right. Vertigo starts up when I lay on my right side but only after I have been laying on my left. In fact, I could not get it to do it by turning my head and laying back on either side independently. By what I described, can you determine which is the bad ear? I did the Eppley starting on the left side but got nothing. When I shifted to the right it started for 20 seconds. I aborted not wanting to go the wrong direction. Doctor: Hi. With details of your history, it is difficult to say which side it is on but since with Epley, you get vertigo when you do on the right side, it seems to be more on the right side. It does not matter which ear it is in or if it is bilateral. The treatment is the same. The side matters if we try to cure by the maneuver. Are you taking any medicine for vertigo like Betahistine, etc? Precautions: You should restrict salt in the diet. Also, there is some balancing exercise which helps in the long term. The neck exercise should be avoided if you have a cervical problem. Also, let me know if you have other complaints like nausea and fullness in ears." + }, + { + "id": 30080, + "tgt": "Why am I vomiting after having food?", + "src": "Patient: Hi doctor, I am vomiting after eating for the last six days. What to do? I visited my doctor and he prescribed me tablets and gave injection also. I feel weak and my temperature is quite high. Doctor: Hi. We are here to help you. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22864, + "tgt": "I gained 20 kg in two years and my periods are absent. What should I do?", + "src": "Patient: Hello doctor, I am a 27 year old female. I had a really tough time in the last two years. I have taken therapy for depression and anxiety. I gained around 20 kg of weight in the last two years. My periods are absent from a year and I am losing hair from the top of my head. My face is full of acne and oil. Please help me. What should I do? Doctor: Hello. Firstly, I would like to assure you not to worry. Tension and worry only worsen your problem. So, relax Secondly, you need to do the following: You have mentioned about undergoing depression and anxiety but have not mentioned the kind of medication you took. Some anti-depressants cause weight gain and the changes it causes to your physical state needs to be counteracted through physical activity. So, check the medications and follow up with me or your therapist to make changes for the same. I am assuming you have not done any investigations or laboratory tests for the present condition. You need to carry out thyroid tests, complete blood count and uterus scan for ruling out certain conditions like PCOD (polycystic ovaries disease) that result in the current symptoms. In case of PCOD, it needs treatment and your present symptoms would fade with time. So, it is very important. You need to make changes in your diet plan. You need to have a good and balanced diet with each meal containing a portion of carbohydrate, protein and fat each and meals should be taken four hours apart. Include a lot of fruits and vegetables in your diet. Consume enough water at least eight to nine glasses each day. Drink a lot of green tea. Avoid any soda, milk or hot beverages. Avoid dairy, including milk, yogurt and cheese. Reduce red meat and focus on eggs or fish instead of meat. You need to exercises. Start with yoga and cardio twice a week and increase it eventually. It is very important to counteract the weight gain and helps fight any physical illnesses. Avoid fried food. Stick to the grilled version instead. Follow the above advice and you will be good to go. Do not worry. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 24056, + "tgt": "I get red eyes, headache, and chest pain because of cigarette smoke. Please advice", + "src": "Patient: Hello doctor, Actually, I am afraid of the high sensitiveness of my nose. My head hurts, eyes become red, have difficulty in breathing, pain in the chest. All these problems I get because of only cigarette smoke. I get a problem if anyone smokes at 5 to 10 m distance. So, please give me good advice. I have this problem for five years. I am 22 years old and height is 5.6 feet. Doctor: Hello. Do not neglect this condition. Smoking can lead to a hazardous effect on respiratory as well as the cardiac system like COPD (chronic obstructive pulmonary disease), emphysema, chronic bronchitis, ischemic heart disease, etc. So the following work-up has to be done: According to the cause, specific management is advisable. Consult nearby pulmonologist for examination and further management. You can follow back with reports for further discussion. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1545, + "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": 16487, + "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": 11908, + "tgt": "Is it normal to have brown discharge after periods while on oral contraceptives?", + "src": "Patient: Hello doctor, I am currently on the Yaz contraceptive pill. I skipped my sugar pills for around four months and had a breakthrough period this month. I had my period last week, but I still have some residual brown discharge for about a week now. Additionally, I had sex a few days ago and bled during it. Nothing hurts or is sore, I just want to know how long I am going to have the brown discharge and if I should be worried or if I should do anything about it? Doctor: Hello. The brown discharge should be temporary. I would recommend you have a period for the next couple of months and not skip the placebo pills temporarily to get back on track. If you have not missed any pills, pregnancy is very unlikely, but I would recommend a pregnancy test for added reassurance. If you have not had a recent test for STDs, like gonorrhea or chlamydia, I would also get tested for those, as these infections may have no symptoms and can cause spotting or bleeding after intercourse. If the problem continues, and no other cause can be found, you can consider changing to a different pill." + }, + { + "id": 21334, + "tgt": "How long will it take for roughness to go after teeth whitening?", + "src": "Patient: Hello doctor,I had a teeth whitening at the dentist office which was done with a light and some paste put on my teeth. The light was on for 10 minutes and then new paste was added. This was done three times. The Dentist then confirmed that the process was successful and the teeth became 3 to 4 shades whiter. After the procedure, I noticed that the surface of my teeth felt rough. My dentist told that it is normal and all teeth will become smooth like before after a few days. It has been now five days and I have not noticed any difference, my teeth are still rough from the surface. Should I be worried, or how long (days) this effect can last? I believe it is due to enamel dehydration. Doctor: Hello. This roughness will go eventually. In some people, it goes in a week or in two depending upon the tooth quality. Do not worry, just make sure you maintain your oral hygiene properly. And if it does not go, well, then I would suggest you visit your dentist once again because the treatment you had is bleaching in which chemicals are used and then the dentist will help you to correct. But at least give it time like one more week to get smooth surface again. After cleaning and whitening, it is normal to have a rough surface due to removing dirt from the teeth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26903, + "tgt": "Why am I not able to digest milk and ghee?", + "src": "Patient: Hi doctor, My left nose has been blocked for a few years and some thin material is coming out of it. I am always feeling tired. I cannot digest ghee, milk and my stomach always feels empty. My body heat level is high and I am sweating more. I am also losing weight and getting thin. My blood report and sonography were normal. I am currently on ayurveda medicine Ushirasava, Udaravati and Liv 38. Please help me to get rid of this. Doctor: Hello. Revert back with the details of complaints to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8723, + "tgt": "Bumps on buttocks that are itchy and painless. What can it be?", + "src": "Patient: Hello doctor, I have got bumps on my buttocks which are painless and itchy. No pus is present. They are hard, dry and usually itchy while sleeping. I am trying to avoid scratching it but the sensation of itching increases even more unless I strike my nails over it. There is no increase in the number of bumps so far and it has been 4 days till now. I have been applying Betnovate skin cream but there has been no change. Please help. Doctor: Hi. I have noted your case details (attachments removed to protect patient identity) and would help you deal with the problem on the basis of my experience with similar cases in my clinic. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24937, + "tgt": "Why have I not got my periods yet?", + "src": "Patient: Hello doctor, My fiancee got her periods one and a half months back. She did not get her cycle back again and then a month later, we had unprotected sex and I gave her Unwanted 72 the very next morning after breakfast. It is almost five days now and she still has not got her periods. We both are tensed and want to know why? Doctor: Hi. Mostly pill is effective if taken within 72 hrs of unprotected intercourse. So, there should not be any chances of pregnancy but still, if tensed, you can do serum beta hCG (human chorionic gonadotropin) test to confirm. You can wait for 2 to 3 days for her periods to come as mostly, it will come. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4323, + "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": 4625, + "tgt": "The red lesion in my skin gets more redder on scratching or heat exposure. Why?", + "src": "Patient: Hi doctor, I have a dry red small area on my face for years now. I went to my dermatologist and he told me to buy a cream (I do not remember the name). It worked for a while, but after it stopped working. The redness gets redder, when it is hot I sweat on my face or if I scratch it. It does not itch at all nor have any other redness anywhere. I had dandruff but I am using dandruff shampoos for years now and do not have anymore. I have another thing to say. I have a small lump on my thumb, it has been there for one year but these days I smashed it a little and it got bigger. When I press on it, it hurts, and it does not look like a wart. What can I do for these issues? I will upload the photos. Please help. Doctor: Hi. I have seen the photos. (attahment removed to protect patient identity). It is not clear. I want to know about your age, exact morphology site of rash, any disease present or treatment taken, and diagnosis made for either of the lesions? Please send clear photos of both the lesions and all details and any other lesions if present. I will try to help you. It may be allergy or infection or else." + }, + { + "id": 2230, + "tgt": "I have a few medium sized pimples on my penis for about a few days. What could it be?", + "src": "Patient: Hello doctor, I have a few medium-sized pimples on my penis. It was only one pimple a few days ago but now it has grown to four. I have started drinking garlic water after watching few suggestions on youtube. Doctor: Hi, Welcome to icliniq.com. According to your description, there are multiple things that could present as such. It could be molluscum contagiosum, genital warts, or herpes. Sometimes even physiologic changes such as pearly penile papules can also present like this. If you are sexually active it could be an STD (sexually transmitted disease) as well. Kindly revert to me with photos and sexual history so as to aid in diagnosis and treatment." + }, + { + "id": 29698, + "tgt": "How to solve my father's breathing problem through ayurveda?", + "src": "Patient: Hello doctor, My father is suffering from\u00a0breathing problems.\u00a0I want to know whether there is a solution in ayurveda.\u00a0Please suggest me. Doctor: Hi. Revert back with more details to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 2467, + "tgt": "My 4-year-old kid got her nose stitched after an injury. What should be done to remove the marks?", + "src": "Patient: Hello doctor, My 4.5 years old child fell down in a deep pit last week and her nose skin is badly injured and cut with bleeding. Unfortunately, due to the recent Coronavirus crisis, we were unable to find any nose specialist and went to a local hospital where a general practitioner stitches her nose. Now after a week, wounds are almost normal and nose stitches are going to be removed tomorrow, but there are dark stitch marks on her nose skin which has totally changed the face shape of our child now. How can stich marks permanently be removed from her nose to restore actual previous shape? What is the treatment name of this case? Which doctor or specialist should we consult for the said treatment? Please guide. Doctor: Hi. Sorry to hear about the injury to your child. These injuries lead to permanent scarring if not properly stitched at the initial. Kindly attach the photo because I have to see whether the bone part is deformed or the cartilage (the front part) is deformed. If deformity is permanent it can be later mended by a plastic surgeon so for that, you have to consult a plastic surgeon later on. For darkening or minors scar marks I will advise you to use sunscreen like calamine lotion during the daytime. Vaniza gel (Polysiloxane and Silicone dioxide) twice daily over the lesions. Darkening do recover with time and scars also recover with time but if there is disfiguration of the bone of the cartilage they cannot be cured without intervention by a plastic surgeon. I hope this helps." + }, + { + "id": 25614, + "tgt": "Am I suffering from male breast?", + "src": "Patient: Hello doctor,Am I suffering from a male breast (man boobs)? I am not overweight, but I feel my breast is big. Please evaluate from the picture. My testosterone level is 688. Please advise. Doctor: Hello. I understand your concerns. I have checked all the attached photos (attachment removed to protect patient identity). Most likely, you have gynecomastia which is common in young males. The other possibility is hypertrophied subareolar fat which is an enlarged fatty layer under the nipple. The difference is gynecomastia has a disc felt under the nipple and usually painful. So, please tell me if there is painful disc felt under the nipple. Both conditions can be managed differently. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25560, + "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": 10342, + "tgt": "Can depression cause crying without reason, feeling useless and demotivated?", + "src": "Patient: Hello doctor, Do I have depression? I need to know because I think it will be a whole lot easier if I know and admit it myself. Last night I was crying without reason, it has been like this for five years now. I can go on not going out of my room for a week without eating and every time I worry too much, I cannot concentrate. I want to be good at studying but there are days when it is too much and I cannot seem to focus. One day I feel fine and positive and really motivated but then after a few hours I hit that feeling of uselessness again and I cannot do anything. Doctor: Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions." + }, + { + "id": 14006, + "tgt": "Why do I not get vaginal discharge after pregnancy?", + "src": "Patient: Hello doctor, As a woman, we also have a water discharge after sex. But after my delivery, I lost this thing now. I do not discharge anything. Is it normal? Doctor: Hi. Vaginal secretions are exudate from vaginal wall secreted in response to different local, hormonal or emotional events. Few women have excessive secretions genetically and sometimes happen without sex, orgasm, ovulation, fertilization or implantation. But sometimes stress, childbirth, illness, mood variations can reduce sex desires and that causes reduce secretions, in old age after stopping menses woman can experience dry vagina. After childbirth, maybe you are not that much emotionally involved as previous but post-delivery anatomy and many hormonal variations could affect too. So, better to work on it. Have proper dressing, recreational activities, nice perfume, beautiful environment, light music to have a nice mood and proper orgasm before sex. You can use lubricant as well if unable to get secretions. Have complete check and treatment of any health issue you have. Have a better physical and mental health. I hope things would be better. Lack of proper orgasm after delivery. Recreational activities, better physical, mental and emotional well being. Complete treatment of any health issue you have. Proper orgasm." + }, + { + "id": 24990, + "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": 1137, + "tgt": "The bottom part of my abdomen hurts, and I cannot poop. Please help", + "src": "Patient: the bottom part of my abdomen hurts, and i can't poop. Doctor: Hello, I welcome you to icliniq. I can understand you must be very upset about your problem. It seems that you have a defecation disorder. which is difficulty in passing stools. It can occur to any body, but common among individuals who have difficult learning the art of passing stools. For this you have to relax , remove your anxiety and start learning the art of pooping. Here are some tips for that. If all above fail then there is computerized therapy called biofeedback therapy. I want you to follow above tips first, and let me know if improvement; if required, I will suggest when to go for biofeedback therapy. The pain is a secondary phenomenon, once your stools became normal the pain will go away. Do not use painkillers, because they may slow your bowel and can cause more constipation. Defecatory disorder Slow transit constipation Defecatory disorder As above Follow up in 1week and update me about your problem" + }, + { + "id": 6207, + "tgt": "I am having dry cough for more than a week. Please suggest a medicine to reduce it", + "src": "Patient: Hello doctor, I am having a dry cough for more than one week. I tried all the medicines, but still, I have heavy cough. Is there any other way to reduce it? Doctor: Hello. Dry cough can be associated with a lot of causes such as LRTI (lower respiratory tract infection), asthma, allergy, etc. If you have associated fever, then I suggest you taking antibiotics Augmentin (Amoxycillin and Clavulanic acid) 650 mg twice daily for five days, after food. If you do not have a fever, I will advise you to take syrup Ascoril (Ambroxyl Hydrochloride) two teaspoons up to three times daily, depending on the severity of the symptoms. You must remember that for any cough syrup, you need to wait for 30 minutes after taking medicine, and you cannot consume any water or have any food in that period. It has to act on the throat. You can also take Claritin (Loratadine) 10 mg one tablet at bedtime for three days. I hope this helps." + }, + { + "id": 7876, + "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": 2959, + "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": 24114, + "tgt": "Why am I having rashes all over the body?", + "src": "Patient: Hello doctor, I have rashes all over the body from sauna visits I guess. I first noticed it three days ago. It started as bumps on ears and now they are all over my back, chest, neck, top of feet, knees and upper legs. Currently, I am taking Benadryl pills and topical cream. Doctor: Hi. I have gone through your case. It is an allergic reaction to the temperature and lights used in the sauna (attachment removed to protect patient identity). Please use Calamine lotion. Apply twice daily for seven days. Also, apply 1 % Hydrocortisone cream on as many lesions as you can at night. Only take a small amount. You can continue with Benadryl pills or use tablet Cetirizine 10 mg at night for seven days. Please avoid driving after Cetirizine as this induces sleep. Do not use any Dettol or safeguard or any other antiseptics. Try using mild soap. Wear only cotton shirts. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19313, + "tgt": "Would Besivance clear my eye infection?", + "src": "Patient: Hi doctor, I am a 27-year-old male. Recently, in a strip club. I fingered a dancer. I do not remember if I touched my eyes after that or not. About a week later, my eyes became red and watery. I went to an ophthalmologist and was prescribed a course of Besivance (Besifloxacin ophthalmic suspension). I took it and my eyes are marginally better but still red and itchy. 1) Is it possible that I could have contracted chlamydia conjunctivitis from this encounter? 2) Would Besivance have cleared that infection? 3) Is there any need for further testing? Doctor: Hello. We cannot rule out chlamydia conjunctivitis. It usually happens from secretions of genitalia as in your case. We usually prescribe fluoroquinolone antibiotic. Besivance is also fluoroquinolone. This should help you. Ideally, we take a conjunctival swab and culture it to confirm the diagnosis. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2334, + "tgt": "Will taking Yasmin pills after two weeks of unprotected sex prevent pregnancy?", + "src": "Patient: Hello, My wife and I had unprotected sex exactly two weeks ago. She mentioned that it was 6 or 6 days after the end of her last period. She has mentioned that she has felt soreness in her breasts since three days back, and we are worried that she may be pregnant. We do not want her to have a baby at this point, and no abortion pills or abortion clinics are available in the country we live in. With the Covid-19 spread around the world at this time, travel to conduct an abortion at a clinic is not possible for us. The closest thing we have here are Yasmin pills, will taking them two weeks after having sex have any impact? Please help Doctor:" + }, + { + "id": 28931, + "tgt": "Can one use breast pump simultaneously with breastfeed?", + "src": "Patient: Hi doctor,Can one pump and breastfeed simultaneously? Why or why not?\u00a0Please provide the explanation or\u00a0suggestion on how this can be done. Thank you. Doctor: Hi. In case you have nipple problem in one or both the breast, there is no harm in using the breast pump. Even if the mother has an excess of breast milk which is causing discomfort, then breast pump plays an important role. If the mother feels like storing the milk because of unavoidable circumstances, then using the breast pump milk can be stored for not more than 2 to 4 hours. Nowadays, there is electric pump available. It is less painful and does not require manual efforts. So, it is safe, and there are no side effects in using a breast pump and feeding simultaneously. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19508, + "tgt": "I have itchy eyes and blurring of vision. What could it be?", + "src": "Patient: Hello doctor, I think I have a problem with my cornea. I had itchy eyes (due to hay fever) last week. During that time, I had a gritty feeling in my right eye which made me rub my eyes. It got really sore and small thread-like materials are coming out of my eye. I am scared if it is part of my cornea shedding off. My vision is blurring out since three days. What do you think it is and what should I do? Doctor: Hello. Evaluation of your history indicates that you are having allergic conjunctivitis with probable involvement of cornea resulting in keratoconjunctivitis. The thread-like material coming out of the eyes indicate ropy discharge which is typically seen in allergic conjunctivitis. No need to worry, as it is not part of the cornea. The treatment of this condition is the use of anti-allergic eye drops like Olopatadine or Sodium cromoglycate. Since the cornea is involved, you need to use artificial tears eye drops and antibiotic eye drops to prevent secondary bacterial infection. Attach a picture of the affected eye if possible. Consult an eye care ophthalmologist online to confirm the diagnosis --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18552, + "tgt": "Is breech position a big concern?", + "src": "Patient: Hi doctor, My wife is 29 weeks pregnant. Today we had one ultrasound scan and the report is as follows. Single live fetus in breech presentation and\u00a02v umbilical cord.\u00a0Is this a big problem? Will it cause any problem to my baby during or after birth? Thank you. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29906, + "tgt": "My father is passing blood in urine. Should we start antibiotics?", + "src": "Patient: Hello doctor, My father is 74 years old. He met with a road accident about 3.5 years back and had suffered a brain injury. A craniotomy and cranioplasty were performed. Since then, he has been in a persistent vegetative state. He is completely paralyzed and continuously on nursing care. He is fed by a PEG tube. He is also using a suprapubic catheter and the breathing is through tracheostomy. We keep changing the suprapubic catheter at home once in 15 days. Today, while changing the suprapubic catheter in the morning, during the catheter insertion, there was lot of blood that came out from the normal urinary route and also from the catheter opening. We immediately removed the\u00a0catheter and put a condom catheter. We increased his water intake now. Since morning, he has passed urine approximately 15 times. When he starts to urinate, he gets blood in the beginning and then it is clear and towards the end he gets almost 5 mL of blood. At the time of insertion, approximately 15 to 20 mL blood oozed out. Now, should we wait for the\u00a0fever to start and then give IV antibiotics or shall we start IV antibiotics now? What antibiotics can we give? When can we send urine for culture any other specific information? Doctor: Hi. Relax and do not worry. For further information consult a\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6013, + "tgt": "How to help the kids to get sleep naturally?", + "src": "Patient: Hello doctor, How to help the kids to get sleep and fall back to sleep naturally? Will serving a special nighttime tea or offering a scalp massage with some essential oil help? Is there any special night ritual to do the trick? Please share the strategies that you have used and how they work. Doctor: Hello. Nothing special, just program some interesting and interactive activities that will involve children joyful. They include reading books, reciting some rhyming poems, discussing the things happened during the day. In addition, try to prepare your bed with children, get them involved in packing or finding their pajamas or bedding sheets or blankets. Try to sing the same song every night, and name it as good night song. If kids repeat the same thing at the same time every day, the result will be astonished. This is my own experience with my children." + }, + { + "id": 9366, + "tgt": "What is my MRI taken for round substance under ear showing?", + "src": "Patient: Hello doctor, Kindly read and explain my MRI report. There is a small round substance under the left ear. Doctor: Hi. There is an abnormal mass in your parotid gland which is mostly pleomorphic adenoma (attachment removed to protect patient identity). An adenoma is a benign type of salivary gland tumor. Histological examination is mandatory to confirm the diagnosis. There are two ways, the first is taking a sample from the mass, the second is complete removal of the gland. I prefer complete removal." + }, + { + "id": 1043, + "tgt": "What has to be done for accidental swallowing of tooth crown?", + "src": "Patient: Hello doctor, My friend had accidentally swallowed tooth crown an hour ago, she is not facing any problem till now, what should she do, kindly advise. Doctor: Hello. I understand your concern but I think as so much time has already passed and by God's grace everything is fine then I think it has not gone into the airway, problem erupts only when it gets stuck in the airway, it might have gone down through the digestive tract and shall pass out normally through faeces. The biggest question is whether it went inside along with breath or food? That will surely subside the confusion and the one who swallowed most probably can feel this. I would surely want to know which number tooth it belonged to in order to know whether it was bigger or smaller in size. Anyway, an X-ray is always advisable for safety if your area is now open for the same. Be careful and look for the engulfed crown in your passed out fecal matter that will also relax you if you find it sooner. It mostly passes out in 24-48 hours. You can have banana so as to help it pass digestive tract smoothly." + }, + { + "id": 29352, + "tgt": "Can menstrual cycle affect diabetes blood work?", + "src": "Patient: Hi doctor, I had my blood work recently for diabetes. During that time, I was in my first day of menstrual cycle. Will that affect my results by anyway? I had glucose test with 12 hours fasting. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10542, + "tgt": "What are the ways to close the gap between teeth after removing the bottom milk teeth?", + "src": "Patient: Hi doctor, I have a milk tooth in the bottom row middle, which is moving and needs to be removed. And I got irregular teeth in the top and bottom which needs correction. Is it possible to close the gap after removing the bottom milk teeth, the gap would be about the width of a 5 rupee coin. Doctor: Hi. Yes, could be done in clinic after removal of mobile tooth assessment of available space and space management criterion and space maintainance methods implemented such as Maryland bridge. As your age is 30, I suggest you undergo orthodontic treatment sooner as bone elasticity for pressure tension decreases with age." + }, + { + "id": 14535, + "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": 9319, + "tgt": "Why am I getting low back pain after C-section?", + "src": "Patient: Hi doctor, I am a 31 year old woman. I had a C-section before 8 years. Occasionally since then, I am having\u00a0light to medium pain in the lower back. In the last few months, the pain has increased and is regular now. Especially, in the lower back on the both sides of center bone. I can localize the points where the pain is in the region. In the last few weeks, the neck region between both the shoulders also paining. I have pain in both knees and backside muscles. Some itching or irritation type of pain happens throughout the day. It becomes worse at night. These problems get worse during periods. Currently, I am using copper-T. This also gives abdomen pain. I had an x-ray of knee and it was normal. I do not have high BP, sugar and cholesterol. My Hb is 13.5. Please help. Doctor: Hi. 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": 21650, + "tgt": "What can be done for spongy bleeding gums in a diabetic?", + "src": "Patient: Hello doctor, My parents are diabetic and living in a village where non-treated water is consumed daily for everything other than drinking which is rich in minerals, algal blooms, dirt, etc. Suggest me a toothpaste which is better considering this kind of locality. Their gums are bleeding and experiencing spongy gums. Doctor: Hello, Welcome to icliniq.om. Frankly speaking, toothpaste is just an external application, and it does not make any difference based on the brand. Toothpaste does not have any therapeutic effects as portrayed in advertisements. When you say they have spongy gums that bleed easily, it might be an indication of vitamin C deficiency. If they do not have any allergies or any other health conditions or medications, they can take a course of Vitamin C 100 mg tablets once a day for one month and see if it helps. If not, please consult a doctor in their locality, who can suggest appropriate treatment after examination. If they have any other health conditions or allergies or if they are taking any other medications, they need to talk to their doctor before starting Vitamin C therapy. In the meantime, I suggest they use soft toothbrushes. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 21238, + "tgt": "Is my dentist right in saying that my jaw pain and stiffness are incurable?", + "src": "Patient: Hi doctor, I have been suffering from jaw pain and stiffness for a while now which can sometimes result in a headache and pain in the ears. I also can hear my jaws pop when I open my mouth wide. I visited a dentist regarding this issue and after an X-ray, it was concluded that I have a dislocated TMJ. However, the dentist said that I will most probably always be able to not open my mouth too wide and my jaws will almost always pop despite medication and physiotherapy. I have a hard time believing that this is incurable. Is my dentist right to say that it cannot be cured? Doctor: Hi. There is always a cause associated with it, that can be one of the following: In case you have one of the above-mentioned conditions associated or night clinching of teeth, you will be cured. Your doctor may be wrong. TMJ-associated conditions can be treated and managed with better prognosis. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1905, + "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": 17785, + "tgt": "Does Troynuron SR tablet have side effects?", + "src": "Patient: Hello doctor,I am 52 years old, and I am hypertensive for the past 12 years and diabetic for the past seven years. I am using Tozaar 50, one tablet for my hypertension and Amaryl 1 mg, half tablet before break fast and half tablet before dinner, for my diabetes. Of late, during intercourse, I am not able to sustain an erection. But erections during sleep is good. I am unable to enjoy as I used to earlier. My doctor advised using Troynuron SR. I am afraid of using this with an apprehension of side effects. Please suggest me what can I take to enjoy my family life as earlier. I go for walking and do yoga regularly for maintaining my sugar levels, and they are under control. The fasting reading will usually be 125, and rarely if I neglect walking due to any reason, the reading will be 135. Post prandial level is always normal. Blood pressure is always 130/85. Doctor: Hello. Any further queries, I will be happy to help you. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28625, + "tgt": "I have ear pain after removing ear wax. Is it serious?", + "src": "Patient: Hello doctor, I have been suffering from ear pain for the last two days and it has become really serious now. The entire right side of my face has gone numb and I am not able to hear properly in my right ear. I can listen to some hissing sound. I remember cleaning my ear with my fingers and tried to remove the frozen ear wax. Since then, my ear has been in a very bad condition. I am a 12th grade student and my exams are very nearby. This has got me really worried. Is it very serious? Please help me. Thank you. Doctor: Hello. From your symptoms and history of ear cleaning, it is suggestive of otitis externa with ear wax. Do not worry too much. It is a soft tissue infection of your ear canal most probably due to finger nail trauma. You need to take some medication and precautions and it will subside within three days. Hope this will help you and wishing you a faster recovery. Otitis externa. 1. Avoid entry of water in ear. 2. Avoid putting oil or drops in ear. 3. Take tablet Macpod (Cefpodoxime) 200 mg twice a day. 4. Take tablet Zerodol SP (combination of Aceclofenac, Serratiopeptidase and Paracetamol) twice daily. 5. Have Pan 40 (Pantoprazole) one tablet once a day. All medication to be taken for five days. Revert back after five days to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30946, + "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": 25998, + "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": 26192, + "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": 6898, + "tgt": "Is one dose of Mifepristone fine for abortion?", + "src": "Patient: Hello doctor, I am a five-week pregnant woman who wanted to do an abortion with tablet Mifepristone. Will one dose of Mifepristone tablet help for my abortion? Please help. Doctor: Hello. No one dose of Mifepristone will not lead to complete abortion. It will lead to incomplete abortion. To have full and safe abortion medically, get an ultrasound early pregnancy done to see for the presence of cardiac activity (doses differ with presence and absence of cardiac activity) and also tell us whether you have had previous cesarean or abortion. Please do not take the medication without the test and in some random dose as it can cause immediate and long term complications. Review with USG report and history asked so that we can prescribe your regimen best suited for you. Unwanted pregnancy. Usg early pregnancy for cardiac activity. MTP by drugs. Routine contraception." + }, + { + "id": 15117, + "tgt": "How to manage OCD without medications? My mind always repeats some words", + "src": "Patient: Dear doctor, How to manage OCD without any medications? I got a word in my mind and it repeats every time in my mind. What is the practical way to rectify it? Doctor: Hi. In my experience, it is close to impossible to control OCD behaviors without medications. It is due to a biochemical imbalance in your brain that needs to be corrected and that requires a course of psychiatric medications, which are safe and easily tolerated. Consult a psychiatrist online for further help --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3860, + "tgt": "Please advise regarding storage pool defect", + "src": "Patient: Hi doctor, My son has storage pool defect. Now, his doctor suspects Crohn's disease on him. All cut tests will result in horrible bleeding time. Should hematology be involved? Should the doctors use coagulant as a precaution? Your further advice would be helpful. Thank you. Doctor: Hi. Based on your query, my opinion is as follows: If planning for biopsy then platelet for transfusions to be kept ready along with antifibrinolytics. Revert back for further doubts to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21445, + "tgt": "I am 10 weeks pregnant and vomiting a lot. Is this normal?", + "src": "Patient: Hi doctor, I am currently 10 weeks pregnant. I get vomiting a lot. I feel like there is a lot of acid in my stomach. Is this normal? I am worried as I am not able to give enough nutrients to my baby. Doctor: Hi. Vomiting is a normal condition experienced during pregnancy. But if it is more than three to four times a day, you can take antiemetics like tablet Doxylamine 10 mg with Pyridoxine twice or thrice a day, half an hour before food for the next two to three weeks. Usually, vomiting may continue till 14 to 16 weeks of gestation. You may get them prescribed by your obstetrician. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15425, + "tgt": "I feel shortness of breath and chest heaviness on climbing few stairs. Please advise", + "src": "Patient: Hi doctor, I am a 19 year old female. After sneezing, I observed something round and grey in color. Sometimes, I feel short of breath and heaviness around the heart. I begin to feel body pain and tiredness after climbing like 20 stairs. Doctor: Hi. Get your heart checked with an echo. Do an X-ray to see what is in the lungs. You might be anemic. So, check your hemoglobin too. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19109, + "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": 4334, + "tgt": "Is Foracort safe in a patient who is already on medication for Alzheimer's and heart problem?", + "src": "Patient: Hi doctor,My mother is 76 years old and has Alzheimer's for the last five years along with ischemic heart disease, hypothyroidism, and type 2 diabetes. Recently, she developed COPD. The doctor recommended Foracort 400 inhaler twice a day and Foracort 0.5 mg respules through nebulizer once a day along with Deriphyllin retard 300 at night. Is it safe to use the above three medicines considering that she experiences muscle spasms in the rib area from time to time? Doctor: Hi. Thanks for your question. I can understand your concern. May I know her Alzheimer\u2019s and IHD drugs. And, better not to take Foracort (Budesonide and Formoterol) three times a day. I will be happy to help you further. Wishing good health to your mother. Thanks." + }, + { + "id": 13612, + "tgt": "Is it possible to get pulsating tinnitus due to tubes placed in ears?", + "src": "Patient: Hello doctor, Can tubes placed in ears cause pulsating tinnitus? I never had this prior to the tubes. I was getting dizzy all the time. So, they placed tubes in my ears. Doctor: Hi. Grommets or ventilation tubes should not cause pulsatile tinnitus usually. Is your MRI normal? Can you share the report with me? Any other symptoms? Why were the tubes put in the first place?" + }, + { + "id": 19466, + "tgt": "Why am I having pain below my stomach on a daily basis?", + "src": "Patient: Hello doctor, I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication. Doctor: Hello. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19419, + "tgt": "Why am I feeling hand cramps and leg twitches after stopping Seroquel?", + "src": "Patient: Hi doctor, I was on 600 to 900 mg of Seroquel for at least 5 years. I contacted my psychiatrist about stopping the medication when I realized it had been prescribed for a condition that I do not have. My doctor was not open to this conversation and I unwisely decided to stop the medicine on my own. I did a fair amount of research prior to my titration and even went so far as to map out my titration schedule on a calendar. My main withdrawal concerns were anxiety, rapid heartbeat and insomnia. After a few days of titration when I realized I was not having any withdrawal effects I basically stopped cold turkey. About two weeks later, I experienced a weird cramping sensation in my hand. Based upon my rigorous physical activity, I assumed that I was dehydrated. The symptoms persisted for a few days and I decided to see a doctor. My laboratory reports ruled out an electrolyte imbalance, but I decided to start daily calcium and a multivitamin regimen at the recommendation of the doctor. Then, my symptoms have gotten out of control. I have had burning, pins and needles, tingling, numbness and cramping in both hands and feet. Recently, in the past few days, I have started to experience muscle twitches in both legs. I have seen a primary care physician and a neurologist. Also, I have had numerous laboratory tests and they were all normal. My electrolytes are good, no vitamin deficiency, liver and kidney function are good, thyroid good, no rheumatoid arthritis, no muscle wasting and I seemed to pass the in-office neurological examination. I feel like my electrical system has been misfiring for weeks. Every day, it is something different. In the past few months, I guess the good news (I think) is that the pain is less. But, what concerns me is that this is not stopping and now my legs are twitching. My neurologist seems to think this is all because I stopped Seroquel suddenly. In a sense, this is somewhat relieving. But, at the same time, I have not been able to find any other reports of similar withdrawal symptoms. I did not have any of the common withdrawal symptoms. My two main concerns are will this ever permanently stop? What happens if it continues to progress? Lastly, what else do I need to do to rule out the diagnoses? I am a very active and healthy 43 year old woman. I am not on any regular medication. I tend to agree with the neurologist's theory as the symptoms coincided with the termination of Seroquel. Aside from what I am experiencing now, the sickest I have ever been is when I had pneumonia. Please help me. Doctor: Hi. We are here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14714, + "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": 11833, + "tgt": "Is it normal for a patient to behave like a child after a fainting episode?", + "src": "Patient: Hello doctor, My sister was in stress for five days due to her mother in law, and she did not sleep for four days. The next day she fainted, and we took her to the hospital. I observed that she started forgetting small things and talk like a child. But she remembers everything but behaves like a child. Please help. Doctor: Hello. Your sister is suffering from conversion disorder, and the common name is hysteria. In hysteria, the patient does not have a physical basis for her symptoms. But at the same time, she is not doing willingly. It is a kind of protective mechanism of the brain, when the brain has a problem or face some dilemma, and if there is no way to get rid of it, tension rises in brain, mind choose a unique path to overcome this problem, converts the problem in acceptable symptoms, patient gets attention, her stress declines for some time. But after a few months, tension again builds up and result in weird symptoms. If she does not get the proper treatment, she may slip into depression. Treatment is counseling only. Counsellor finds out the problem area in life and all problem gets solved, and symptoms never come again. In your case, it seems she needs extra support from her husband." + }, + { + "id": 6245, + "tgt": "I am a 35 year old female with blood pressure of 140/80 mmHg. Is this reading normal or high?", + "src": "Patient: Hello doctor, I am a 35-year-old female. I checked my blood pressure today and it was 140/80 mmHg. I was told it was high. Is this normal or high. I am really worried. Please help. Doctor: Hello. It is borderline. It is not worrisome. When blood pressure is elevated above 140/90 mmHg. Then it is considered elevated. Such once in a while, elevated blood pressure readings are well accepted. You should monitor your blood pressure three times a day for a week with an electronic blood pressure apparatus. If most of the BP readings are above 140/90 mmHg, then you need to take medicines. If only some readings are elevated, then it is fine. Also, when BP is measured after exertion or in the hospital, then it may be falsely elevated. BP should be measured after a rest of five to ten minutes with arm relaxed. Anyways, you should have a healthy lifestyle like avoiding fatty oily and high-calorie diet and regular exercise, plenty of fruits, etc. I hope this helps you." + }, + { + "id": 3134, + "tgt": "My daughter suffers a strange allergy. What is it?", + "src": "Patient: Hi doctor,My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us. Doctor: Hi. I have seen your concern and examined the given pictures (attachment removed to protect patient identity). Anxiety, depression and personality disorder. No specific laboratory blood tests are required to establish a diagnosis of dermatitis artefacta nor are any diagnostic imaging studies indicated. 1. Dermatitis artefacta. 2. Factitious disorder. 3. Striae distensae. Dermatitis artefacta. 1. General dermatologic care measures include baths and debridement (thorough cleaning). 2. I suggest you to apply emollients like Emoderm cream (White soft paraffin and liquid paraffin) twice daily along with topical antimicrobials like Fusidin cream (Fusidic acid) twice daily for five days. Consult her doctor, discuss with him or her and take the treatment with consent. 3. Consultation with a psychiatrist is recommended. She needs to be observed closely and she really requires psychological support. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9504, + "tgt": "Oil-like substance is floating from my stools. What is going on with me?", + "src": "Patient: Hello doctor,I am having digestive issues for some time, gotten a bit worse. Symptoms: bowel bloating and pain after meals or sometimes on empty stomach middle of the night, mornings, acid reflux with everything I eat, I eat purely healthy, puree my veggies and small amounts of chicken, eggs, salmon when I can. My stools are loose in the mornings with oil-like substance floating on top of the water, yellowish or green. At times, mucus as well. Discharge looks like white cloudy pieces floating. Feeling fatigue pains, depressed, cannot go to work. Going in for a consultation and testing soon. I just wanted to know what could be going on with me. Doctor: Hello. You have acid peptic disease (peptic ulcer) which is usually controlled by PPI (proton pump inhibitor). You are already taking this. If you could not correct dietary practices, you may not get complete relief. You should avoid, chilly, fresh onion, and oily foods (fried items) and non- vegetarian foods. Stomach finds it difficult to digest foods. So, consume easily digestible foods like fresh fruits, fruit juices, sliced vegetables, steamed foods, etc. Avoid tea and coffee which never allow the peptic ulcer to heal. Daily morning take one cup of pumpkin juice on an empty stomach. Do not eat raw vegetables (such as cucumber cut pieces, etc) in large quantities. Eat the same in small quantity after completely chewing into a paste. While sleeping you should sleep in left lateral or supine. Never sleep in right lateral and prone position. You can practice pranayama to balance autonomic systems. You also need to come out of stress situation, because stress certainly increases acid secretion. Do not skip any meals. If required, please undergo endoscopy to see if any ulcer is present. Continue the dietary, yogic, and drug therapy for at least six months. Thank you. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 7400, + "tgt": "Will sex trigger periods?", + "src": "Patient: Hi doctor, My wife has periods issue. She was on birth control pills for about 3 years to get periods. We got married six months ago. She stopped them now as we pretty soon started thinking of having a baby. My doubts are will sex trigger periods? Is there any connection between these? Is there any other way to induce period? She is 32 now and so we are little concerned. She also has a phobia of intercourse. When we address the issue with a therapist, I would like to know medically anything can be done to make her get periods. Once she is comfortable with intercourse then we will go down that path. Please suggest. Doctor: Hi. First, we should consider the reason behind the fact that she needs pills to get periods. Was she diagnosed with any hormonal problem? If not then she has to do blood/serum tests. Hb % (hemoglobin), TC (total blood count), DC (differential count), fasting blood sugar, TSH (thyroid stimulating hormone), prolactin, testosterone, FSH (follicle stimulating hormone), LH (luteinizing hormone) and ultrasound of pelvis, to know the exact cause, depending on which medicines can induce periods. Sex can trigger periods only if there is any psychological issue. But do not rely on this. Yes, medically a lot can be done to induce periods and ovulation." + }, + { + "id": 10231, + "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": 25528, + "tgt": "Can being slapped on the face cause ear trouble?", + "src": "Patient: Hello doctor, I was slapped on my face today. It has been three hours now but there has been no dizziness, severe pain or fluid flow. I played soccer on the beach and drove scooter over 10 km in between without any issues. All I feel now is a slight pain in my ear when I put my small finger inside the ear. I wish to know whether there will be any future trouble if no major symptoms prevail during the first few hours? Also, I am considering scuba diving (beginners session) tomorrow. Can I take the classes? Doctor: Hello. You seem to be asymptomatic. Pain while putting finger can be due to mild edema of the external ear canal due to injury. Since you do not have any symptoms suggestive of middle ear involvement, I do not think you will have any problem in the future. But to be on the safer side you please take anti-inflammatory enzymes like Trypsin and Chymotrypsin for three days which will reduce any inflammation present. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regarding scuba diving, I would advise you to avoid for a week or go ahead only after ear examination. By any chance, if you have injured your eardrum then diving will increase the chances of infection. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17232, + "tgt": "My HIV tests at five weeks are negative. What are the chances for it to be positive later?", + "src": "Patient: Hello doctor, I had a\u00a013 day\u00a0HIV DNA PCR\u00a0test,\u00a028 day antibody test and a\u00a0fifth week\u00a0HIV fourth generation duo test. All the tests came back\u00a0negative. What are my chances of still encountering an HIV positive test? Doctor: Hello. Please revert, if you have any other query. Best wishes. For more information consult an HIV/AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8899, + "tgt": "I missed period after sex and getting white vaginal discharge. Should I worry about pregnancy?", + "src": "Patient: Hello doctor, I am a 25-year-old sexually active female. I have missed my period date this month by eight days today. I had sexual intercourse 10 days after periods following which I took an Unwanted 72 two days later. I got my period last month. Following this, I had protected sex (condom). I have taken home urine pregnancy tests (morning samples) and afternoon sample. All have come back negative. I am also having an excessive creamy white discharge for the past four days. Do I have to worry about pregnancy? What should I follow up with? Doctor: Hello. As the urine pregnancy test are all negative after one month post last protected sex and also that you had a withdrawal bleed post Unwanted 72 intake, so chances of pregnancy are negative. You are for sure not pregnant. The presence of excessive creamy white vaginal discharge is likely indicative of vaginal candidiasis and if there is a foul smell present as well, then the likely cause is added bacterial infection with fungal infection (mixed vaginosis). The same can be confirmed by a high vaginal swab culture at a gynecologist's clinic and can be treated with antifungals and antibiotics course for a week. Also recommended is to use Alkaline vaginal washes to keep the vagina infection free." + }, + { + "id": 17840, + "tgt": "When compared to night shift, how is working in daytime better?", + "src": "Patient: Hi doctor, I am a 38 year old male. I am overweight. For past 10 days, I feel tiresome. I am taking\u00a0tablet Nurokind-LC 1-0-0 and capsule Adliv Forte 1-0-1 for the past four days. Now, I am feeling better but not 100%.\u00a0I suspect UTI, but not tested yet. I\u00a0have asthma from childhood. Initially,\u00a0I used Foracort 200 inhaler and now I am using nebulizer with Asthalin respirator solution. My wheezing is in control now.\u00a0My lifestyle over last few years was not good. I missed sleep\u00a0and slept whenever I had to. Please suggest ways to get better with or without tablets. Doctor: Hi. God created us in manner that we should work for 8 hours, rest for 8 hours and sleep for 8 hours. When we change this pattern it may lead to many diseases like migraine, hypertension, diabetes, obesity, etc. Revert back with the answers for the above questions to a family physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6997, + "tgt": "I am suffering from numbness in my toes. Does it indicate alcoholic neuropathy?", + "src": "Patient: Hello doctor, I have had numbness in my toes for approximately three months. Sometimes there is a little bit of tingling along with it. It has not affected the activity or my way of life. I also have backache and a lot of degeneration in the back. I am on Levothyroxine, Rouvostatin, and Aspirin. Occasionally I take Xanax for anxiety. Also, I had ankle surgery before four months on my right ankle, and this is the second surgery on that ankle. The numbness and tingling started just around that time. I also drank wine. I can drink anywhere from two to four glasses a day, but there have been many times when I go without alcohol for months at a time. I am getting very anxious about this, and I understand there are many many causes for numbness and tingling and that it can be very progressive. I would like to know if my liver enzymes are normal, is it possible to have alcohol neuropathy? Doctor: Hello. I would ask you whether your problem of numbness on feet is only restricted to the operated ankle or it is on both feet? Moreover, you seem to be drinking time almost every day be restricted slowly. Alcoholic neuropathy is bilateral, and if you have on both legs, you need to stop drinking and start taking Vitamin B12 500 microgram twice a day. Regarding your back problem, if there is radiating pain, you could worry about degenerative disorders. What sort of surgery did you undergo? They are the possibility of post-surgery injury of sensory nerve ending damage which could explain our problem also. Well, I would say, if you stop drinking, your liver will be fine. Post surgery Nil Alcoholic neuropathy" + }, + { + "id": 2707, + "tgt": "What is the chance of contracting HIV by tattooing with used needles?", + "src": "Patient: Hello doctor, I made a tattoo almost six months back. Even at the time of receiving tattoo, the artist used multiple needles in which I saw changing few and missed some. I asked him about needle changing to which he said he did. My concern is what are the chances of contracting HIV in worst-case scenario that he did not change a few needles. Also till now I never had any fever or body pain or infection around the tattoo made. Doctor: Hello. Needle can transmit HIV only if the needle was freshly used in another person send the amount of blood collected in the needle is significant. This is because the HIV virus dies very quickly outside the body. In my opinion, the odds of transferring HIV infection in the above scenario are quite less as the chances of both these conditions are present together is very less. It is a good point that you have not had any fever or other symptoms. Testing is being mentioned because we are talking about the worst-case scenario. In short, testing not needed ordinarily after tattooing, however, if you have much doubt about due precautions taken by the artist, you can go for it." + }, + { + "id": 14993, + "tgt": "When does Methotrexate lower hCG level in ectopic pregnancy?", + "src": "Patient: Hello doctor, I have a query on ectopic pregnancy. My wife is having one and her beta hCG levels were 125.25 ml after taking her first shot of Methotrexate. Yesterday, she got her second shot and her beta hCG levels today were 141. I wanted to know how much time Methotrexate takes to low down those levels and I was wondering if we were a little hurried in taking the second dose so quickly. Doctor: Hello. I hope you had taken the Methotrexate dose under supervision only. The usual protocol is to check for a repeat beta hCG on the fourth day of taking Methotrexate. Early testing may cause undue anxiety and panic as it takes some time for the levels to come down. Moreover, a few times the levels get slightly elevated after a Methotrexate. So stay calm and follow the instructions of the gynecologist you are following. Just report to the emergency in case of any acute pain, giddiness or bleeding." + }, + { + "id": 16606, + "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": 15755, + "tgt": "What is the reason for pain and gum bleeding with wisdom tooth eruption?", + "src": "Patient: Hello doctor, I recently had a wisdom tooth coming out and my gums are swollen and I am suffering from the pain. When I brush and floss, it bleeds. What is this? Doctor: Hello. You need to go to your dentist and get an X-ray done to find out whether the tooth needs to be removed. Wisdom tooth always causes such problems due to lack of space causing infection due to food debris accumulating at the pockets of the gums there. Use warm salt water gargle twice a day for a week or two. You may need antibiotics too. If it started recently, then you can wait for two weeks or so to see if it erupts normally and comes to the correct position. If it is more than that, go to your dentist as soon as possible." + }, + { + "id": 18677, + "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": 28155, + "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": 30801, + "tgt": "Please help us out with the reason for my dad's headache", + "src": "Patient: Hi doctor, My father is 67 years old. He had a habit of consuming\u00a0alcohol and tobacco. For the past three years, he has a\u00a0headache that starts at any point of time. He also had a bit of memory loss and malfunctioning of ears and eyes. So, we had a CT scan of his brain done. Some medications were suggested by the doctor, which he continued taking for three to four months. I lost those case sheets along with his prescription while shifting our home, but I have CT report. Please interpret his CT scan\u00a0and suggest me the diagnosis and medicines. Here is the attachment of CT scan for your reference. Doctor: Hi. Your father's CT scan report (attachment removed to protect patient identity) describes two things as follows. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25015, + "tgt": "Taking beta blocker has created mild ED. Is it safe to take Ayurvedic medicines?", + "src": "Patient: Hello doctor, I work in the IT field with stressful work levels and timings, due to which I started having palpitations for severe stress. I am taking Betacap 20 and Escitalopram daily for this. I have gone through heart checkups and found no other problems. But taking this beta blocker has created mild ED problems. My friend suggested using Zee Ayurveda's Zee Musli premium tablets to take daily for 45 days. Is it safe to take, need your advice. Doctor: Hello. ED (erectile dysfunction) is one of the common side effects of beta blockers. It needs to be confirmed that the blood pressure is fairly controlled with current medication. After going through the Zee ayurveda product which you have mentioned, it seems to be good enough for your problem (I have not used it yet in my practice). But it is mentioned that these kind of ayurvedic medicines give their best effects when the digestion of the person is good. So, make sure that your appetite and digestion is appropriate. You can take some ayurvedic preparation to augment digestion like Liv 52 or Livomyn, etc. Other good medicines with good results for ED problem is tablet Shilapravanga (Dhootpapeshwar company), one tablet twice a day with milk. Thanks. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 630, + "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": 12206, + "tgt": "Kindly suggest the management for sweaty palms", + "src": "Patient: Hello doctor, I am suffering from sweaty palms. It is very difficult for me to work in an office or shake hands during business meetings.Please kindly suggest a remedy. Doctor: Hello Welcome to icliniq.com. 1. Your condition is called palmoplantar hyperhidrosis (sweat glands of palms and soles secrete inappropriately large quantities of sweat). 2. Apply the lotion I am prescribing you below. 3. Another more long-lasting and more effective treatment is Botox injections given in the palmar skin only. The effect lasts for six months. Palmar hyperhidrosis. 1. Aldry or Nosweat lotion apply once at night for four weeks." + }, + { + "id": 7421, + "tgt": "I am on Insulin for diabetes. Could I get treated with oral drugs?", + "src": "Patient: Hello doctor,I had been diagnosed as a person with diabetes before 10 years. Now I am taking Amaryl MV 2 bd dosage. Still, my rbs is around 250 to 270. What I need to do? Is there any possibility that I can avoid insulin therapy and by oral therapy only I can be treated? And now I think I am facing problems with neuropathy also. Pain in the palm and numbness in the feet even some sexual issues also. Please suggest to me what kind of treatment I should follow. Doctor: Hello. You are facing complications of diabetes, to control sugar you can take Glimipride 3 mg before breakfast and Sitagliptin Metformin 50/500 mg twice daily after breakfast and dinner. Avoid junk food, fatty meals, and deep-fried items along with sugary drinks. Brisk walk for 25 minutes for five days a week. Avoid anxieties try to relax. Eat Short meals instead of three meals, I mean divide your daily meal into small portions. Complications due to uncontrolled diabetes. 1. HbA1c, 2. Lipid profile. 3. Serum creatinine. 4. Urine analysis. 5. Fasting blood sugar." + }, + { + "id": 13669, + "tgt": "What can be done to manage neck and shoulder stiffness after C1 and C2 surgery?", + "src": "Patient: Hi doctor, I have done my C1 and C2 surgery with screw fixation. After three months, my head is little flexible to move down and backward but not left and right (the surgery moto is not to turn my head). But for the past one week, I am facing that my neck is very stiff and my right shoulder feels like very tight and weight (sometimes I get pain). Because of this, my total head feels like very tight and with this, I am not able to move my head down (but can move backward). After I consulted with my doctor and took an X-ray and checking that there is no fault in my screw fixation, that is perfect and he gave me some tablets too. But still, I am facing neck, right shoulder (starting from neck till shoulder knee) stiffness. Doctor: Hi. Your X-ray looks fine (attachment removed to protect patient identity). So, nothing to worry. Yes, you can travel but if you have pain and stiffness, then you need to use a soft cervical collar-size depending on your neck length, or it can be adjustable. If you do a sitting job, then you should get up once every 15 to 20 minutes and take a small walk for two minutes everytime. For the lower back, you need to do McKenzie back extension exercises (cautiously under the guidance of a physiotherapist, as the neck should not get a lot of strain while exercising)." + }, + { + "id": 11504, + "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": 15526, + "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": 8843, + "tgt": "Can a Barrett's Esophagus patient eat sweets?", + "src": "Patient: Hello doctor, My mother has Barrett's Esophagus, and sometimes she feels for something sweet, and I know she cannot be eating sweets. I searched and found out the foods she has to stay away from, but can she eat something small at least once a month? Doctor: Hello. Barrett's esophagus is a serious complication of gastroesophageal reflux disease. It is advisable to avoid or restrict those foods which increase acid production in the stomach. But having sweets occasionally will not pose a problem. But one should limit the intake as much as possible." + }, + { + "id": 14390, + "tgt": "I have shortness of breath and pain in shoulder. Can you give any suggestions?", + "src": "Patient: Hello doctor, I have shortness of breath, and pain in the shoulder for past eight years. Currently, I am taking Zolahart 40, Stablon, Flavedon MR, Rabekind Dar, Ezidoc 20, Ecosprin 75, and Pregaba 75. Doctor: Hello. Your ECG is showing changes (attachment removed to protect patient identity) which indicate some kind of heart damage either ischemia, hypertension induced or other. You mentioned here about angiography and it is showing only 30 percent blockages. So have you undergone echocardiography to rule out other causes? If not, you should undergo. Next thing, you mentioned about shortness of breath, which can occur due to heart dysfunction which can be seen on echo or may be due to low hemoglobin. Were you smoked in your life? It can cause lung damage and shortness of breath. Also, regarding shoulder and body pain, this commonly occurs due to low vitamin D and cervical spine problem. Do you also have neck pain, tingling, numbness in arms, which may be due to cervical spine problem? You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging, according to your capacity at least 30 minutes a day and five days a week. So overall, you should get back with some more information like echo, history of smoking, tingling, and numbness history. Should get vitamin D, hemoglobin tested. Also, you mentioned about Arzedoc, is it having Atorvastatin as a content, please clarify. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22912, + "tgt": "I may have a miscarriage. What can I take for the pain I may feel?", + "src": "Patient: Hello doctor, Currently, I am five weeks pregnant. I started bleeding bright red and cramping yesterday morning and today, I am still bleeding (some small tissue which is sometimes stingy) has shown up. Today, I also have low back pain and a constant headache. I was told to rest yesterday and I have been on bed rest today. I had an ultrasound but there was nothing and the doctordid not say much except that it may be too early to see anything. She also stated my cervix was not bleeding but stated I may have a bacterial infection. She labeled it as a \u201cthreatened miscarriage\u201d. They took a blood test for hCG levels and I will return next week. My question is that if this does happen, what can I take for the pain I may feel? I know one cannot stop a miscarriage from happening even with bedrest and at this point, I am not very hopeful that I am still pregnant with blood and extremely small tissue being seen. Thank you in advance. Doctor: Hello. Try to collect beta hCG report immediately and have another sample to be given for beta hCG 48 hours from the previous report when that was collected. The difference in both levels will help to differentiate between miscarriage and ectopic pregnancy. If the level reduces after 48 hours, it is a miscarriage and it is occuring by itself, but if beta hCG shows less than 60 % increase in level then from previous beta hCG it is an ectopic pregnancy that needs an emergency intervention. Better observe symptoms closely. In case of single-sided lower abdominal pain, dizziness, fainting, weakness, you need to report to the hospital immediately. For pain, only if it is a miscarriage, you can have Ponstan (Mefenamic acid) or Paracetamol, but if it is ectopic, it needs emergency intervention. Have beta hCG repeated after 48 hours of previous beta hCG blood collection and discuss here or with your doctor. Have a multivitamin and a good diet. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17016, + "tgt": "After running, I could not breathe for an hour. Why?", + "src": "Patient: Hi doctor, I am an 18 year old female. My height is 5'6\" and I weigh about 120 pounds. I live in a city where we do not have much air pollution. I have no records of medical problems except a few years back I had some mild acid reflux. I believe it was reflux, since it went away after using Gaviscon. But, my general physician did not diagnose me. About two months ago, after I went for a very fast run I felt like I could not breathe for an hour. Since then, I have been having the feeling of not being able to get enough air when I take deep breaths. I also have been constantly clearing my throat due to mucus in the back of my throat. I have been experiencing some burn in my upper abdomen. It is not so severe and it goes away with some Gaviscon. I feel nauseous when I feel the burning. I am worrying myself by thinking that there is something wrong with my heart or my lungs. If you could help me that would be great. Thank you. Doctor: Hello. There are two important elements here that need treatment. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11160, + "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": 24639, + "tgt": "I had a third-degree burn due to motorcycle silencer. Why is it not improving?", + "src": "Patient: Hello doctor,I am a 24 year old male. I have a third-degree burn on my right feet because of motorcycle silencer. I got it treated with dressing for two weeks. They said the dead skin needs to be debrided. Then, they said there is infection and bone exposed. Now, I am using NPWT machine for two weeks with little improvement. Doctor: Hello. Silencer burn is a contact burn which is usually superficial and proper dressing/management would not have let the burns go so deep. In the pictures (attachment removed to protect patient identity), it is clear that the bone is exposed and is a bit infected/ischemic. It is less likely that the prolonged vac therapy will help it. It is better to ask your doctor to go for a flap cover after which you should be able to walk within three to four weeks with the wound completely healed. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 1396, + "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": 9518, + "tgt": "Can I throw the desiccant packs after opening the medicine bottle?", + "src": "Patient: Hello doctor,There are many desiccant packs in the bottle of ovacure medicine? Can I throw them after opening the bottle? I am scared of eating it with the medicine. Doctor: Hello. The desiccant packs are used to keep the tablets moisture-free. Once opened, they might attract moisture and stick together which may alter its molecule or spoil it. You can keep the packs inside, there is no harm in it. It will just keep the tablets dry. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14346, + "tgt": "Is my shortness of breath due to infection of the heart?", + "src": "Patient: Hello doctor, I just went to my general practitioner due to recently having some issues with shortness of breath and an odd sensation in my heart area. I suspected it was nothing but went in anyways just to be sure. The sensation in my heart area is not at all painful, but just a sensation of \"fullness\" or \"tightness\". I got an EKG done, and the results said I have a \"minor interior repolarization disturbance, consider ischemia, LV overload or aspecific change. flat or low negative T in AVF with negative T in III\" I am a 29 year old male in generally good shape. I smoked for about 10 years but quit two years ago. I still smoke marijuana daily. Also, about eight years ago, I had a root canal done, and it has now re-infected twice. I am scheduled for an apicoectomy next month to deal with the asymptomatic infection. I only mention this as I am worried that maybe the untreated infection could have spread from the root of the tooth to my heart? Also, I live at 7,000 feet elevation which I am sure does not help the shortness of breath, but have lived here about six years. I am currently very nervous thinking I have a serious issue. Can anyone tell me what these results mean? My general practitioner referred me to a cardiologist but I do not want to be a nervous wreck until I hear from them. Doctor: Hello. I have carefully reviewed your detailed query. You definitely need an in-person cardiologist consultation for appropriate evaluation of the issues. Only EKG is not conclusive in such a case. We need to listen to the heart and then go for thorough physical exam. Tests may include but not limited to exercise stress test, echocardiography, thallium scan, chest X-ray, CT scan, angiography and others if needed. Once ruled out we can say with confidence if there is any issue that needs proper management. Yes, an infection can spread from the teeth and throat infection to heart and can be diagnosed. Blood work also helps in this regards to find out infectious agents in blood and due to infection, any changes in the blood. If there is blockage to any of the blood vessels supplying the heart, there are chances of shortness of breath and patient can be short of breath even talking for some time, little physical activity or climbing the stairs. Do not panic and just follow as directed by your primary care and go for cardiologist evaluation. Meanwhile, go for apicoectomy and keep in touch with your dentist. Hope it helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25813, + "tgt": "Despite taking Restoril there is difficulty in falling asleep. Why?", + "src": "Patient: Hello doctor, I am a 76-year-old male. I have difficulty to fall asleep for more than two years. I started to take 0.25 mg of Restoril and 1 mg of Melatonin. As the days progressed, I increased my Restoril dosage gradually to 1.25 mg and Melatonin to 3 mg. Last night, I found it was not enough. In desperation, I took one tablet of Valium and slept until 10 a.m. I feel that Restoril may have lost its effect on me. Unfortunately, I do not have the courage to commit euthanasia. I do not know what to take tonight. Please advice. I had many serious ailments in my life describing them in detail is tedious. Shortly those ailments were Potts, acid-fast bacilli, and heart valve replacement. Please advice. Doctor: Hello. It seems that you have tolerance for Restoril (Temazepam). We can increase the dose up to 30 mg before sleep. Kindly do not stop the medication abruptly. It should be stopped gradually over at least a period of two weeks. Also Valium (Diazepam) 10 mg before sleep can be used instead of Restoril not adding to it and the same precautions must be taken. I suggest you take Valium 10 mg or Restoril 30 mg before sleep. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to follow all good sleep hygiene. Provide me with all your medications and medical reports in order to exclude any secondary cause of insomnia such as hyperthyroidism or side effects of other medications Follow up after one week. I strongly recommend against euthanasia. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14726, + "tgt": "Fetal heartbeat cannot be detected during 10 weeks of pregnancy. Do I need immediate help?", + "src": "Patient: Hi doctor,I have not had a period and have been testing positive for pregnancy. I went to Urgent Care this week and got a blood test. The doctor called me to confirm that I should be 8-10 weeks pregnant. I went to Planned Parenthood for an ultrasound yesterday, and we only saw a gestational sac and nothing else. I had more blood work done, and a doctor called me today to say that my HCG levels are over 32,000 and my pregnancy is not viable. I need to schedule a surgical procedure as this could be a molar pregnancy or a blighted ovum. I feel very, very sick with pregnancy symptoms (nausea, extreme fatigue, breast tenderness, headaches, etc.,). I called back to schedule a D and C, and they said the earliest they could see me would be five days from now. I am worried. Should I go to the hospital immediately? Doctor: Hi. I understand your concern. The diagnosis of a blighted ovum or molar pregnancy can get easily confirmed on the scan. If in doubt, MRI can confirm the diagnosis. It is not a healthy pregnancy as by 5-6 weeks any pregnancy will be seen and also the cardiac pulsation. So at HCG of 32000, a sac with the fetal heart will be seen. If this is Blighted ovum, it is not an emergency. You can wait for five days and get it removed. But more natural method would be the use of Mifepristone 200 mg two tablets orally and vaginally and after 48 hours have four tablets of Misoprostol 200 mcg. You will bleed and have periods like a regular one. A surgical evacuation will not be needed. But if this is a molar pregnancy, it is like an emergency. As time passes, the beta hCG will raise. Your blood level of hCG will get increased and reduce the hemoglobin level, which will result in giddiness, vomiting, and nausea. You need to arrange the blood donor and have a vacuum evacuation under anesthesia. So I would advise, you should confirm the diagnosis and do the needful. Do not get stressed out; you will be fine. It is not a life-threatening condition." + }, + { + "id": 7810, + "tgt": "I feel weak and exhausted due to hot weather. How to stay active?", + "src": "Patient: Hello doctor, I am actually facing some weakness issues since 2 or 3 days. I am a self-employed guy, my work timings are quite odd like 10 pm to 5 am. I wake up by 12 pm and then work from 2 pm - 8 pm (this includes working, meetings, get together with friends and coffee). I do not prefer eating outside, to be safe. My eating schedule for breakfast has bread with vegetables or 2 rotis or parathas cooked with olive oil. Then I go out and have black coffee in a coffee shop close to my office. Then I return by 8 pm and have dinner directly. At night, while working, I have cherries, berries or milk depending on my mood.I think I am feeling a bit weak or sick due to hot weather in my place. Yesterday at 2 pm, I decided to go to work, but I returned back as it was really hot here around 45-degreeCelsius. At that time, I felt like my legs were shaking while driving, and I felt like not going to the workplace. So I came back and slept. After an hour, I felt like super active, but again, when I went out after just an hour, I became exhausted and again felt like not doing any work or talking to anyone. I checked for fever and had nothing. My question is, what is causing this? How to get away from this feeling? How to stay active so that I can work productively? Please note: I do not get time to exercise because of my work schedule. Doctor: Hi. Please find my observations below. It appears that your body is not prepared for the heat conditions prevailing in your place. Since you have work schedules which start in the early afternoon, it is possible that you got dehydrated with electrolyte loss which might have resulted in your feeling unusual weakness. The main electrolytes in our body are sodium, potassium, chloride, calcium, and phosphate. These have to be present at normal levels at all times. If these get low due to any reason, then there is weakness, and people feel unusually sick. Heat stroke conditions might have caused fluid and electrolyte imbalance like symptoms. If you are used to your daily work schedule, then your sleep and food timings are not a concern. However, you should start having lots of fluids with electrolytes so that the balance is maintained when you leave home at 2 pm. Please keep in mind that with a temperature of 45-degree Celsius, there is a higher chance to develop fluid and electrolyte loss. Another point I would like to discuss is the cooler or air conditioner setting at home just before you left out yesterday. If the room cooler was at 20 to 25 degrees Celsius and you had suddenly gone out to 45-degree Celsius, then this itself would have caused a temperature imbalance and precipitated your exhaustion. Please shut down the cooler and then stay in the room for 5 minutes to allow your body to adapt to the temperature outside. Do not rush out. Even when you go to work in your car, please maintain a mild air conditioning so that when you step out, you will not feel much difference in the afternoon. Please keep fluids and fresh juices with you at home and office and carry a water bottle with ORS (Oral Rehydration Salts) solution or juice while driving. If you feel exhausted, then stop safely and drink the ORS or juice to keep you healthy and hydrated." + }, + { + "id": 5852, + "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": 11780, + "tgt": "Why are there white spots inside my cheeks with sores on tongue and lips?", + "src": "Patient: Hello doctor,I have got some white spots inside my cheeks and some sores on my tongue and bottom lip. Doctor: Hello. I have gone through the photos you have provided and noted the sores and white spots inside your cheeks. There are a few explanations for those: 1. Eating or drinking hot foods, drinks, drinking carbonated drinks. 2. If you have experienced flu-like symptoms, it is due to acute viral infection. That might take a few more days to get completely healed. Avoid drinking too hot foods or drinks or carbonated drinks. Keep good oral hygiene. Apply oral antiseptic four times daily. Apply Glycerin of Borax on the sores. If they hurt, can apply Diclodent (Diclofenac) spray orally. If no improvement, then, should consult further with ENT specialist." + }, + { + "id": 6299, + "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": 411, + "tgt": "Which medication can be taken to cure the white spot on tonsil?", + "src": "Patient: Hello doctor,I have 1 white spot on my right tonsil, I do not have any fever. What medicine can I take? Doctor: Hi. It is commom to have white spots over the enlarged tonsils. Unless the tonsil is inflammed or it is troubling you, it is not required for you to take any antibiotics or painkillers. You can follow the advice given below: 1. Salt water gargles atleast 8 to 10 times a day for 1 month. 2. Avoid oily spicy and cold food/beverages. 3. Keep sipping on boiled warm water every 3 hours. Tonsils have some crevices on it what we call as crypts, food particles can often get lodged in those crypts which often appear to be white spots. If there is excessive accumulation, over time they can get calcified to form stones what we call as tonsilloliths. All precautionary measures have to be followed as much as possible to prevent infection of the tonsils." + }, + { + "id": 27730, + "tgt": "My soles and fingertips are red. Could this be a side effect of my steroid medication?", + "src": "Patient: Hello doctor, I had been put on Prednisone steroids for 21 days because of an allergic reaction to poison ivy. I have been off them for almost three weeks and I still feel withdrawal symptoms. The latest side effect, tonight, was red finger tips with white palms. The soles of my feet\u00a0are also very red. Should I go to the hospital or wait it out? I do not want to lose my hands and feet due to a medication I have been given. Doctor: Hello. I read your query and understand your concern. You received Prednisone for 21 days and have stopped them three weeks ago. Let me explain about steroids. Steroids are tapered slowly if taken for a duration longer than a week. The withdrawal symptoms have a dramatic presentation in the first 48 hours characterized by vomiting, loose motions, low blood pressure and shock. This is a medical emergency with high mortality rate when left untreated. That is the reason why you need to be taken off the steroids slowly. However, new symptoms of withdrawal cannot occur a week after stopping the drug because the hypothalamic-pituitary axis recovers by that time. So, the redness of the soles and fingertips are not withdrawal symptoms and possibly an allergic reaction. I would suggest taking antihistamines for a few days. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20074, + "tgt": "How to treat itchy bumps and rashes in the genital area?", + "src": "Patient: Hi doctor, I have rashes\u00a0on my leg and arms. It started a month ago. I am applying steroid cream for that. Two days back started appearing in genital areas too. Kindly help me. Doctor: Hi. I have reviewed the attached photographs (attachments removed to protect patient identity). I can see few fluid filled blisters. Please answer few questions of mine. I would also recommend you to upload the pictures of the rash on the arms and leg so that the condition becomes clearer. Revert back with more photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5205, + "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": 27250, + "tgt": "I have two circular rashes on my arm. What is causing it?", + "src": "Patient: Hello doctor, I have two circular rashes on my arm across my elbow, such that when I close my elbow, the rashes touch. They are red with a brighter spot in the center. I noticed them two days ago and they have gotten a bit bigger and redder since then. Each is about 5 cm in diameter. They are slightly itchy, and the skin in the area is dry. The red area appears to have developed tiny bumps. Other than the skin feeling a bit stiff and uncomfortable when stretching or squeezing the patch with my arm, they do not seem to hurt much. Can you identify what they are? Doctor: Hello doctor, Take a follow-up after five days.\u00a0Take care. Revert after five days to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 29009, + "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": 24649, + "tgt": "Which test can find the reason for small testicle?", + "src": "Patient: Hi doctor, I am currently 26 years old. My testicles used to hang low. I mainly think it was due to over masturbation. Five years back I got water in my testicles. The doctor said that it was due to the balls rubbing while sitting and he gave me medicine. I got well, but my right testicle got small to the size of a peanut, and it has been like this for the past four years. I am worried. I do not feel any pain though. Doctor: Hello. I think you may have varicocele which are dilated veins of the testis. Varicocele causes small size testis. I suggest you get ultrasound scrotum done. It will give the reason for small size testis. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15597, + "tgt": "I have vomiting in the early morning. Why?", + "src": "Patient: Hi doctor, I am having vomiting in the early morning. I consulted a doctor, and the doctor told that it is due to allergy. I want to know the reason for having vomiting. Please suggest. Doctor: Hi. Vomiting can occur due to allergy. Causes of vomiting are extensive. It can also happen due to gastritis. If you are having hyperacidity and indigestion, then you can have frequent vomiting. I suggest you take PPI (proton pump inhibitor) with Domperidone combination like Nexpro-RD capsule (Domperidone with Esomeprazole) in the morning in empty stomach. When your symptoms get reduced, you can do an upper gastrointestinal endoscopy to know the cause for vomiting. Avoid having an empty stomach for a prolonged period and avoid taking water immediately after taking food during lunch and dinner." + }, + { + "id": 27632, + "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": 6026, + "tgt": "I have been decompensating due to depression and anxiety. Please help", + "src": "Patient: Hello doctor, I am 61 years old. I have been decompensating by becoming more depressed and anxious. I moved to a new town 5 months ago. My husband is 70 years old and his health is deteriorating. He is having serious symptoms of COPD for which he is getting treatment but I am fearful that he will not get better because it is irreversible. A month ago he was diagnosed with throat cancer. This is the second time I have helped him dealing with emotional and physical side effects. I am on 5 mg of Clonapin twice a week, Neurontin 140 mg, Seroquel 300 mg to sleep, Gabapentin 200 mg as mood stabilizer, and 20 mg of Lexapro. I have been treated for depression and anxiety since I was 14 years old. I was sexually molested at the age of seven and never told anyone. Last year I told my husband. I started drinking at 13 years and weed at 14 years. I had therapy off and on my whole life. I have chronic fatigue syndrome for over a year due to my extreme stress. I have been on SSDI for 10 years for my back problems, anxiety and depression. There are lots more trauma. I have been clean and sober for 22 years. Doctor: Hello. I can imagine it would be so difficult for you to handle so much all by yourself. And I can see that your past trauma is still holding a place in your mind and is effecting you negatively. I would suggest to start counseling therapy session, there are so many things pent-up in your mind that they are going to have a negative impact on your health. With the therapist, 1. You will be able to vent out and have a safe place for conversation. 2. The therapist will help you learn coping skills. 3. You will be able to recognize your own negative subconscious thought patterns which are keeping you in the loop of negativity. 4. You can learn some techniques which would help you out with control of anxiety and depression symptoms. If you are not comfortable with that, I would suggest you to at least start some productive habits like journaling, meditation, deep breathing exercises, progressive muscle relaxation, etc., which would make you feel a little better. So, I would suggest you to start counseling sessions as soon as possible. You can find a local therapist or you can start therapy session online in a video consultation with me. I hope this helps." + }, + { + "id": 5371, + "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": 3442, + "tgt": "I have pus in the gums of decayed wisdom tooth. Will antibiotic help in clearing infection?", + "src": "Patient: Hello doctor, My wisdom teeth came a few years ago. The top ones are straight but too close to the molars next to them, so they broke the molars. Those top molars next to the wisdom teeth, as well as those top wisdom teeth are broken, decayed, and sometimes painful. My bottom wisdom teeth have not damaged the molars next to them, but they are not fully erupted out of the gums. One is impacted but does not cause trouble. The other is straight, but in pain, it is also infected. There is green pus that comes out from between the gum and that tooth as well as from the tooth in front of it. There is also a cracked second molar which the gum is partially detached from and it also has some pus coming from it. Now here is the dilemma, I have been taking Amoxicillin 250 mg three times a day for a month now, and just yesterday I switched to 500 mg three times a day to try to clear up that infection. Yesterday there is no pus, but today there is. I do not have an appointment with the oral surgeon until a few weeks. I am afraid that this infection will not clear up with the 500 mg Amoxicillin. And the big problem is that I am on Medicaid and they only give us 1000 dollars a year which resets every July. I only have about half of that left which means I cannot go to any more appointments until after this oral surgeon. I can only have three to four of the six bad teeth out. So do I have to extract the bottom infected wisdom and cracked tooth or the semi painful broken decayed top teeth? And to make it even better, I have high blood pressure and severe anxiety and happen to be on Propranolol for the blood pressure and heart rate. I know that Propranolol interacts with local anesthetics that have vasoconstrictor in it, but local anesthetics without vasoconstrictor do not last as long and I am severely afraid of death from dental work (or from infection). So I do not know which teeth to do, what to do about the anesthetic, and I am afraid of the infection spreading. Please help. Doctor: Hello. Put your mind at ease. There is a high chance of food getting stuck between the wisdom tooth and the molar because of the position of the molar. This gets unnoticed during brushing and over time gives rise to the decayed tooth. Plain Amoxicillin will not help in decreasing the infection. You need Amoxicillin and Clavulanic acid combination (675 mg) two times a day for three days. This with Metronidazole 400 mg three times a day for three days. Before having these, it is mandatory that your blood pressure is within the normal range. Local anesthesia with vasoconstrictor can be used for hypertensive patients with proper guidelines being followed. Do not worry. Please visit the dentist first, take the revised set of medicines, bring your BP under control as well. Let the infection subside and then remove the infected tooth." + }, + { + "id": 23411, + "tgt": "Please suggest some medicine for dry coughing and cold", + "src": "Patient: Hi doctor,I am caught by very bad cough and cold. Please suggest some medicine for dry coughing. Doctor: Hello. Since when are you suffering from above problem? Is there any throat pain? Probably you may be suffering from acute viral rhinitis with bronchitis. Avoid cool drinks and freeze water. I suggest you the following medicines: If symptoms not improved please consult your doctor, he will examine and treat you accordingly. Take care. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24579, + "tgt": "What is the dosage of Meftal P for 5 years 10 months old kid with fever?", + "src": "Patient: Hello doctor, What is the dosage of Meftal P for 5 years 10 months old boy whose weight is 20 kg, and is suffering from high fever for the past one week? I gave him Dolo 250, but it did not show any effect. I have read online that 25 mg per kg can be given in 24 hours. Is the minimum gap 8 hours? Or what is the minimum dosage gap? If the temperature is above 101-degree Fahrenheit, should this be given alone? So, can we continue to give Dolo 250 5 ml six or four hourly? And whenever the temperature is 101 degree plus, shall we give Meftal P 5 ml? Kindly tell me the timing of each dose. Doctor: Hi. Mefenamic acid (Meftal) is not recommended for children below 14 years age group. So, we cannot give it to him. Using plain Paracetamol is a good option. Do not use round the clock. Use when it is necessary (temperature greater than 100 degrees Fahrenheit). You can give it four times in a day. More important is to find the cause of fever, and to treat the cause. The investigations to be done are complete blood count, blood culture, urine routine examination, and microscopy. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15868, + "tgt": "I have flaking in scalp and patches on the body. Please help", + "src": "Patient: Hi doctor, I have dandruff issue from childhood. Now I have got flakings in the scalp and I got round patches on back and back side of the ear and on the hand, elbow area. They are itchy and size is increasing after month. Please suggest the best treatment. Doctor: Hi. With your history it seems like psoriasis, though I cannot confirm without seeing the pictures. Please attach your clinical pictures so that I can look at the extent of involvement and suggest you appropriate treatment." + }, + { + "id": 15579, + "tgt": "Why am I having itchy pimples near genitals that are spreading all over the body?", + "src": "Patient: Hello doctor, I am having some skin infection from last six years and I neglected it. But recently it is getting hard with it. Some pimples are coming near my genitals and they are so itchy. I think it is spreading all over the body since I am getting some rashes at some parts of my body. Please help me by suggesting the medication and process to get rid of it. Doctor: Hi. I have seen your query and concern and have examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have scrotum steatocystoma multiplex. It is a type of sebaceous cyst. They are benign. Do not have any chance of getting malignant. So, if they are bothering you then you should go for removal. Surgical excision is the treatment of choice." + }, + { + "id": 15678, + "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": 19349, + "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": 22986, + "tgt": "I have pain in chest and arm. Why is it so?", + "src": "Patient: Hello doctor, I have had chest pain for a while now. At times my arm hurts as well. It has been going on for about four years and recently I have started having neck and shoulder pain. I am a 22 years old male. I have asthma. Currently, I am taking Albuterol. I took EKG, chest X-ray, and multiple blood test. Doctor: Hello. Where exactly do you get chest pain, is it in the center or on the sides, upper or lower chest, does it occur at rest or exertion? Is there any upper abdominal pain, bloating, burping, nausea, vomiting, chest burning, or relation to food? This is most likely due to cervical pain, due to compression of nerves between spine. Does this pain increase on neck movement or any neck trauma, these may be the associated symptoms. You should get X-ray cervical spine AP (anteroposterior) and lateral view and further may need MRI. You need to visit physiotherapist after X-ray and also orthopedician. Till the time have tablet Neurobion forte (Vitamin B1, B6, and B12) once a day which is a nerve vitamin. If this is not helpful, then you need to have tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29365, + "tgt": "From the image, please advise if it is a must to remove my wisdom tooth", + "src": "Patient: Hi doctor, Is it a must to remove wisdom tooth? I have attached an image of my tooth. Kindly advise if it is possible not to remove it. Doctor: Hi. Abnormal position of wisdom tooth. IOPA (intraoral periapical radiograph) x-ray with respect to wisdom tooth or an OPG x-ray (orthopantomogram). Can lead to pericoronitis. Depends on x-ray findings. Do warm saline rinses and keep that area clean with floss recommended. Revert with x-ray to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28692, + "tgt": "I have severe pain in my TMJ, and it keeps getting locked. What to do?", + "src": "Patient: Hello doctor, I am an 18 year old, who has been suffering from TMJ problems for two and half years. It all started when my jaw would be locked in the morning, and a \u00a0few hours later it would be fine. One morning I woke up with it locked and it never unlocked, I went four months unable to open my jaw before treatment started. I was in massive amounts of pain, and it gave me terrible headaches. Almost every day I had to go to the nurse for Ibuprofen. My orthodontist started me on a special Invisalign that had a thicker bite plane on the bottom tray. This slowly helped me gain motion in my jaw again. A few months later it was locked again, so I went to a\u00a0specialist, who referred me to physical therapy. The physical therapy helped, and I had motion back in my jaw, and the pain had decreased immensely. My mom saw I was doing better, so she pulled me out of physical therapy. My jaw started hurting a lot again, so once again we went to the specialist who sent me to a new therapist. I started physical therapy again, and he did dry needling. It took longer than expected for me to get better, but I was fine. Two weeks ago I was at the point where he was about to discharge me, I had little to no pain, and my jaw was not popping. But last week, the pain in my jaw flared up to the point of headaches and kept popping. My physical therapist does not understand why I keep relapsing. He thinks it may be something structural and I should go back to my orthodontist, but they have tried to help me in the past and failed. I have had this problem almost my whole high school, and I cannot handle the constant pain anymore, I do not remember what it is like to have a healthy jaw. I am losing hope and feel I will never get better. What should I do? Doctor: Hello. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15589, + "tgt": "When will the bone pain be cured totally after taking AKT 4?", + "src": "Patient: Hello doctor, It all started with tailbone and sit bones pain. After one month, left buttock and upper thigh started to pain, severity increased and was difficult to walk. I was advised Nucoxia for a week but even after that severity was the same, then I had MRI scan and was diagnosed left psoas abscess (infection process most probably Koch's). It was 1 to 1.5 month since the pain started and until this was diagnosed. I am taking AKT four tablets since one month. In this period pain increased a little, shifted to right leg also and now seems to be decreasing. Now I can walk almost normally but when I sit, tail bone and sit bones still pain. Along with this, the doctor said I have ankylosing spondylitis as well for which I am taking ayurvedic medicine. After 1.5 months I have been told to repeat MRI to check the progress. My questions are that how long does it take for the pain to fully reduce once AKT 4 has been started? (It is one month over for me). In MRI, it was mentioned infection process most probably Koch's, why is it most probably and not with 100 % confirmation? Which food needs to be taken for building immunity? Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). You have Potts spine which is similar to tuberculosis of the spine. see it takes almost six weeks for AKT (Ethambutol and Isoniazid) to work. It is a slow process. What you need to know is that with medicines your systemic symptoms should improve like weight loss, loss of appetite and any fever if you have. If these symptoms are improving, then your medications are working. Another thing is to get your ESR done. If it has a decreasing trend then that is fine. No need to get an MRI done. There is no role of food. Just have a balanced diet." + }, + { + "id": 30101, + "tgt": "What are the risks of MMR vaccine during pregnancy?", + "src": "Patient: Hi doctor, I am in an unplanned pregnancy of 6 weeks. Two to three weeks after conceiving, I unknowingly drank wine when I was highly stressed. I had a fluoride treatment at the dentist and received an MMR booster vaccine. My doctor is concerned about the potential risks. Online sources seem fine or inconclusive. I would really appreciate another opinion. Thank you in advance. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22922, + "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": 323, + "tgt": "What causes frequent abdominal pain?", + "src": "Patient: Hello doctor, I have a problem of abdomen pain since last 3 months which comes and goes away. I too have aches and pain in my body which comes and goes away. I recently got all my medical tests done but it is normal apart from my ultrasound which reflected strong light spot in my liver whose focus is calcified. Is there anything to worry? Doctor: Hello. I will help you regarding your problem. There are multiple reasons of abdominal pain out of which most common conditions are ulcers and indigestion in both of the condition every investigation will be normal. You may have problem of indigestion in which pain came and go away. To relieve from it you have to change your daily dietary habits. Avoid spicy and fatty diet. Regular walking and exercise is must. Drink plenty of water. You may go through upper GI endoscopy which will tell you about ulcer in stomach. Start medicines which I am prescribing here. They will help you in digestion and to heal ulcers. Please send me your USG report to comment on the finding in liver. Upper GI endoscopy. Syrup Gelusil 2 tsp TDS for 5 days. Tablet Drotin 80 mg BD for 3 days." + }, + { + "id": 22697, + "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": 26191, + "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": 16316, + "tgt": "Why do I get blood along with the cough?", + "src": "Patient: Hi doctor, Whenever I get cold, I have blood coming along with a cough. I have this problem for the past one year. After drinking water and taking cough syrup, it becomes normal. I went to the doctor, and a chest X-ray was done. The result was normal. After a month, I had the same problem and went to the doctor. He suggested me to do an X-ray, sputum test and CT scan. I did all the tests, and the results came normal. Even today also, I had the same problem. I do not understand. Why do I have these symptoms when everything is normal? Please suggest. Doctor: Hi. Blood in sputum can occur due to different causes. We need to find the reason whether the blood comes from the nose or throat. It can also occur due to localized damage to the lungs called bronchiectasis. But it is usually seen in CT scan. Please send me the images of the chest X-ray and CT scan to guide you further." + }, + { + "id": 10883, + "tgt": "Followed by PMS, my period lasted for only two days. Is it worrisome?", + "src": "Patient: Hi doctor, I am sexually active. But always use protection and double check after to see if the condom broke or not in case we need to take a pill. My period is fairly regular and lasts for 7 days. This time I did experience mild PMS symptoms and stomach cramps prior to onset. My period was five days earlier. And this time, period lasted for only two days but the flow was proper as always. Is there something I need to worry about? Doctor: Hello. Firstly, a single episode of early menstruation with normal flow does not qualify for being labeled as a case of polymenorrhea. Secondly, as you have been protected during intercourse, an implantation lasting for two complete days is also unlikely. So, you are pregnancy safe. Thirdly, the early withdrawal is likely to be stress induced hormonal imbalance especially progesterone level during this cycle which caused PMS (premenstrual syndrome) and menstrual cramps in this cycle. So, there is no actual need to be worried. Just maintain a menstrual calendar for next three months to understand the pattern of bleed. If the pattern continues then a hormonal profile and an ultrasound pelvis shall be required. But as of now, no intervention or investigation advised. Just increase your water intake and if not then try yoga and meditation which are great stress busters." + }, + { + "id": 28162, + "tgt": "I cannot focus, and I stress over unnecessary things. Please help me", + "src": "Patient: Hello doctor, My thoughts are always racing, and I cannot focus. I am always worried, and I think for the worse. I get emotional over things which happened in the past, every day. I have gained 20 lbs over the past year. I stress about going for trips or gatherings in advance, but in the end, I always enjoy myself. I have had my thyroid checked, and it is normal. I have previously been on Buspirone, but I hate taking medicine, so I stopped after three months of taking it. Although, it helped to an extent. Currently, I take multivitamins, and I am overall healthy. Doctor: Hello. I can understand your concern. So, please do not remain distressed. These symptoms can be controlled even without medicines. But in rare cases, medicines will be needed.\u00a0Thanks and take care. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7229, + "tgt": "How to permanently get rid of jock itch?", + "src": "Patient: Hello doctor, I was infected with a\u00a0fungal infection (jock itch) when I was 14 years old, and I am 36 years old now. I tried all kinds of fungal creams, but it relieves only\u00a0temporarily. And recently, I had another episode with severe itching. The skin of my scrotum is getting scaly. I have lost hope of recovering from this disease. Should I try homeopathy? Every time I visit a doctor, they just suggest some cream and dusting powder, which does not help much. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15747, + "tgt": "I have a swelling on the gum of a painful tooth. What is it?", + "src": "Patient: Hi doctor, I have been suffering from tooth problem for the last 6 or 7 years. The first few years I was feeling pain, I visited some dentist near me, they gave me medicines for relieving pain. After that, my tooth corners started desquamation, and now from the last few months, a small ball full of blood and matter appeared on the gum of that tooth. Kindly tell me what is that ball and what should I do now? Doctor: Hi. I have gone through your question. I can understand your concern. It looks you are having repeated sinus drainage, it is a localized infection because of that infectious tooth. I would have provided you a better possible diagnosis and treatment plan if you would have uploaded a picture. You can take Ofloxacin 200 mg twice daily and Metronidazole 400 mg thrice daily for five days. Your problem will be solved. But it is not a permanent solution you either need to get a root canal treatment done or get it removed. To check whether there is any chance to save this tooth, I need a photograph of your tooth with this ball." + }, + { + "id": 6136, + "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": 16703, + "tgt": "How to cure tinnitus due to Aspirin in a hypertensive patient?", + "src": "Patient: Hello doctor, I am a BP patient. So, my doctor is giving Aspirin 75 mg from the past four months. But, due to the side effect of this, a tinnitus problem is there in the right ear. So, what can I do to cure this problem? Doctor: Hi. Your hearing test seems to be normal majorly (in normal frequency). But, you have sensorineural hearing loss at a high frequency that is due to nerve weakness and hence, you are having tinnitus as well (most likely). To rule out any middle ear pathology I would advise you to get tympanometry done as well to tell us if middle ear pressure and ventilation is normal or not. Are you taking Aspirin only for blood pressure or do you have any cardiac problem or other comorbidities? What other medications are you on? For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21359, + "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": 29896, + "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": 24611, + "tgt": "Will there be any problem in pregnancy if the couple has same blood group?", + "src": "Patient: Hello doctor, I am 28 years old, and my wife is 19 years old. Our blood group is the same, and it is (B+) B positive. Here are my questions: Will there be any problem during pregnancy or any effect for baby? Any tests required to be done for ensuring any problem in the future? Is there any solution? Doctor: Hello. Do not worry about same blood group. It will not create any problem in pregnancy or the child. If you are relative, then genetic counseling is needed. Rule out thalassemia minor before conception. Hope this will help you. Get back with more query if you still have doubt. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18410, + "tgt": "Why do I constantly feel bloated, full, and gassy?", + "src": "Patient: Hello doctor,I am currently having a bit of a diet issue but I do not have the time to visit a doctor. The issue is that lately, I have been feeling constantly bloated and full, even if I eat little to no food. If I eat breakfast, it makes me too full and bloated throughout the day and so I had to cut it out of my meals. Currently, I eat two meals a day, lunch and dinner, sometimes a snack in between. I feel fine after eating lunch because I cut back on the amount I was eating but I do still end up feeling bloated a little. But after dinner, I always feel the most bloated and it does not go away the next morning either. I thought it was an irregular bowel movement issue. So, I tried to consume more fiber (like apples) but it did not really help. I just constantly feel bloated, gassy, full, and unable to digest and I have no idea why. Doctor: Hello. It may be caused due to the constipation problem. You should do regular exercise or yoga. Take ORS (oral rehydration solution two times in a day). Take a small meal at frequent interval, avoid any spicy food, take soup at breakfast. Take more water (at least 10 glass per day). You can take pineapple juice after lunch. Take half pinch ajwain (carom seeds) after any meal (one time in a day). You should meet a doctor for proper diagnosis. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 29061, + "tgt": "My 7 months old baby poops more than 20 times. Why?", + "src": "Patient: Hi doctor, My daughter is 7 months old. She keeps pooping. She at least poops 20 diapers a day. Why? Doctor: Hi. I can understand your concern. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 17671, + "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": 10385, + "tgt": "Why do I have dark spots on my fingers and knuckles?", + "src": "Patient: Hi doctor, I am 44 years old. For the past one year,\u00a0I have noticed dark spots on the fingers and near knuckles on the left hand. They do not hurt, but look like a burn. I also noticed numbness in the tip of my left middle finger. I have allergies, asthma and sleep apnea. I am also suffering from herpes 1 and 2. My current medications are Adipex, Zyrtec, Oxybutynin multivitamin, Valtrex (only when I have a flare-up) and Ventolin inhaler. Please suggest some advice. Doctor: Hello. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. You are most probably suffering from hand eczema or lichen simplex. Numbness in your finger does not seem to be related to this, however, it may be seen in case of certain orthopedic such as nerve compression or medical conditions like diabetes. For the dark patches, I suggest steroid ointment containing Clobetasol twice a day for two weeks. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Avoid excessive use of soap. 2. I suggest apply an emollient or a moisturizing cream to your hand frequently during the daytime. Revert back after two weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17575, + "tgt": "My husband takes too many medications for his health conditions. Please advise", + "src": "Patient: Hello doctor, My husband has been diagnosed with Alzheimer's and panic disorder with agoraphobia and is on several medicines. He is taking Glimepiride, Furosemide, Metformin-Januvia, Amlodipine, Lisinopril, Memantine, Pramipexole, Trintellix, Protonix, HCTZ, Tamsulosin,\u00a0Donepezil, Clonazepam, Xanax, and Trazadone.\u00a0I am concerned he is taking too many medicines. He just went off Abilify four months ago and started Haloperidol in the last two weeks. Both make him a zombie, with no facial expression, slowed movement, muscle weakness and restlessness. I took him off Haloperidol yesterday and he is now nervous, cannot be still, and cannot sleep. What medicines should he be taking? Doctor: Hello. I went through your\u00a0query. I can understand you are worried about your husband's health and the medications he is taking. Hope it helps. Feel free to ask more if you need further assistance. I would be happy to assist. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27928, + "tgt": "I have a fungal infection that occurs again and again. Please help", + "src": "Patient: Hi doctor, Please take a look at my case of skin dryness and flaking on my face. This is a cyclic condition\u00a0which occurs almost every 7-8 months. The dryness persists for 1-2 months during which I also have general body itching over hands, legs and under my ribs on the sides. The strange thing is that after 1-2 months this dryness spreads to scalp followed by heavy dandruff and very heavy hair loss. This time the dryness and flaking is very extreme. I have attached seven photos. First three will show my skin condition. Fourth and fifth is how the skin flakes after scratching. Sixth one is important as it shows clearly how the skin condition proceeds from my forehead up towards my scalp. But, it has not yet reached inside my scalp. Last photo is a dark patch under the side of my ribs due to itching, which is present on both sides. I feel that I have some internal fungal or bacterial infection that shows up again and again in a cyclic manner. I am diabetic too. Please help with my condition. Doctor: Hi. First of all I would like you to thank for giving me a perfect clinical history with perfect photographs (attachment removed to protect patient identity). It is a crystal clear case of seborrheic dermatitis and is moderate in nature. It is a fungal infection and is very chronic in nature. Like diabetes, it can only be controlled and cannot be cured permanently as the fungus causing it is a normal resident of skin. Whenever the condition becomes suitable for it, it proliferates. The good news is that it is harmless. Diabetes can also cause severe seborrheic dermatitis, because increased sugar gives fungus a suitable environment to proliferate. As I said already that it is a chronic condition, follow up is very necessary. Currently, I will give you medicines for a month. Make sure to review your condition after a month as the dose and course would be decided accordingly. Prescription is as follows: Recommended investigations are liver function test and renal function test. Once these investigations came out to be normal you can safely start tablet Nizoral. Revert back after a month for review to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7717, + "tgt": "What causes blood in stool?", + "src": "Patient: Hello doctor, From the last few days and sometimes, not regular, I noticed blood in middle of stool. Reasons I do not know. I am a vegetarian, do not drink coffee or any tea. Since a long time, I am suffering from joints problem. One doctor says it is gout but always my uric acid level is low. But average I feel my joint problem is also normal. This blood is due to summer heat or not? Please guide me. Doctor: Hi. I have read your complaints carefully and got your issues. You have two major complaints, bleeding per rectum and joints pain. I would like to explain it. In case of bleeding per rectum when it comes before defecation indicates hemorrhoids, however, after defecation indicates fissure in ano. Mostly, it happens in those persons who have chronic constipated bowel. In hemorrhoids, there is bleeding without pain however in fissure in ano with pain and burning. And regarding your second issue there are several causes to joints pain. Raised uric acid is one of them. Other causes may be due to rheumatoid arthritis or osteoarthritis or others. So you should go for proper investigations to evaluate its right diagnosis. Acidity, indigestion, constipation, rheumatoid arthritis or osteoarthritis. Per rectum examination to rule out fissure in ano or hemorrhoids. Uric acid, RA factor, X-ray of affected joints. Fissure in ano, hemorrhoids, gout, rheumatoid arthritis, osteoarthritis. To provide proper medications, need your complete disease history with latest investigation reports. Avoid spicy and fried junk foods. Drink plenty of lukewarm water in morning before defecation. Quit smoking and drinking, if you have these habits. Eat seasonal leafy vegetables and seasonal fruits. Do regular kapalbhati and pranayana like anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 14388, + "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": 886, + "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": 24979, + "tgt": "My fiance had withdrawal bleed and missed her period. Is she pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex with fiancee a month back. She took i-pill within 12 hours. After two days, she had withdrawal bleed for three days. She was supposed to get her periods on 24th. But, till date, she did not get it. She has thick white secretions and pimple from past three days. Is she pregnant? Or how many days can she wait? Doctor: Hi. I have gone through your question and I understand the concern. I-pill (emergency contraceptive pill) causes the next expected periods to be delayed by 2 to 3 weeks. I will suggest her to get a urine pregnancy test done. If negative, then she can safely wait for the periods for another two weeks. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8139, + "tgt": "What diet can I take to increase my weight? I am lactose intolerant. Please help", + "src": "Patient: Hi doctor, I am 29 years old male, who is 5.9 feet tall and weighs 55 kg. I take vegetables, egg, fish but not meat. I am lactose intolerant for the past three years. If I take any milk products, it causes gastritis instantly, and I\u00a0have to take an antacid. I cannot take whey protein because of this. I am taking soy protein powder since last month. I have tea twice and coffee once a day. These are some queries in which I need your help:\u00a0Which diet should I take to gain weight? Which kind of protein powder is the best for me? Is there any cure for lactose intolerance? Can health drinks help in weight gain? Is my tea and coffee habit resulting in decreased weight? I am looking forward to your reply. Thank you. Doctor: Hi. If you require further consultation, feel free to contact me.\u00a0Thank you. For further queries consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 2344, + "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": 23900, + "tgt": "Do I have HCM or something else?", + "src": "Patient: Hello doctor,I am a male aged 56 years. I am having a musculoskeletal problem. 14 years back I was diagnosed bone TB and treatment was taken. Problem recurred four years later and diagnosed as ankylosing spondylitis (AS). Despite on biological injection for 10 years, efficacy reduced and became ineffective affecting mobility very badly. Ten months back another rheumatologist said it is not AS and suggested me to take massage treatment. I had a second opinion with another rheumatologist, she also confirmed it is not AS. She said myofascial pain syndrome and another pain specialist called it fibromyalgia. Hence, I am not sure about the diagnosis. As it stands it may be myofascial pain syndrome or fibromyalgia. As per their advice, I stopped all medications for AS and is continuing massage. With very very limited mobility, presently it has improved (approximately 500 m once or twice a day).Coming to the problem related to heart for past ten years (admitted for AS) till today, I had taken ECG and echo several times. I underwent angiogram since I could not complete TMT. I have provided all these details in the attachment in chronological order for easy reference. I have also attached my latest blood test report.Presently, I am feeling very mild fast breathing (age related) during walking (500 m) and subsides in two minutes after the walk, but no pain. No difficulty if walk a shorter distance. I had chest squeezing (costochondritis) like feeling losing up to one minute many times earlier. I never felt pain in other places. When I informed my rheumatologist earlier, he mentioned if it is severe it can be looked into. Hence, I have not given much weight, thinking it is non-cardio. The problem I am facing is, whenever I take ECG, I was frightened stating heart attack took place. When I went to the hospital ten months back for vomiting, I was put in ICU. They conducted blood tests, echo and seen angiography report. There was no indication of attack and then got discharged.Five months back, the doctor mentioned it as hypertrophic cardiomyopathy (HCM), said is there from childhood, ECG showed an abnormality, nothing to worry, suggested not to do strainful work and prescribed medicine. I consulted the doctor who attended me ten months back. When I asked him about ECG abnormality, he did not accept HCM and said a mild attack took place. I never had any difficulty with an attack on any occasion earlier. Hence, I am confused. The echo impressions on various occasions are as follows: grade 1 impaired LV diastolic function, concentric left ventricular hypertrophy and hypertrophic cardiomyopathy.ECG: showed LVH+ on four of these reports. My height is 167 cm, weight is 65 kg. BP 120 to 130/80 to 85, pulse normally bit high 90. Presently I am taking Angizem CD 90 once daily, Clopilet once daily and Roseday 5 mg once daily. Angizem gives mild swelling at feet. hs-CRP is 5.1 and is the first time showed a higher value. I request you to kindly go through the reports. I would like to know the following:What is my problem? HCM or anything else?Whether any attack has taken place.Why ECG is always showing abnormal?Whether this problem is related to a musculoskeletal issue that is non-cardio.Is feeling of squeezing of the heart is cardio related?Kindly prescribe medicine. Any advice? Doctor: Hello. I have gone through your reports and summary (attachment removed to protect patient identity). You do not have HCM (hypertrophic cardiomyopathy) and also do not have had any heart attack. There are changes in the ECG (electrocardiography) which is called as strain pattern, and these changes are due to hypertension. The same hypertensive changes can be seen in echocardiography as concentric LVH (left ventricular hypertrophy). Also, your angiography which is the gold standard test for heart attack was not showing any major problems. So at this point, you do not need to worry about your heart status. At this point, you just have hypertension and some slow flow in your heart arteries which is not at all worrisome. In your reports, your hs-CRP (high sensitivity C-reactive protein) and fasting blood sugar is on a higher side, but nothing to worry about it. You are already having Roseday (Rosuvastatin) which will be helpful in patients with elevated hs-CRP. Next thing, Angizem (Diltiazem) is not a choice of drug for hypertension, nowadays, and you are having swelling in the legs, so my advice is to change it to tablet Telma (Telmisartan) CTD 40/12.5 mg once a day. So your priority at this time is healthy lifestyle and control of BP. 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. BP should not be persistently more than 140/90 mmHg. 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. There should not be any abdominal fat deposition or obesity. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5369, + "tgt": "I have to undergo breast implant explantation surgery. Can it be done under LA?", + "src": "Patient: Hello doctor, I am 35 years old. I am having breast implant explantation surgery in four days. I have bad anxiety and the thought of anesthesia really scares me. I am a mother and the thought of being over sedated or not waking up at all is frightening. My surgeon has agreed to use local and MAC anesthesia, because I did not want general. Can they give me just light sedation so I am not totally out? If my surgeon would have agreed to just do local with a pain pill I would have been on board. Unfortunately, he did not go for that. I do trust my surgeon, he placed my implants almost 10 years ago and now the left implant is deflated (I have saline implants). I am also worried as when they asked if I smoked I was only thinking of cigarettes and said no. Then I called and told them I do smoke Marijuana daily. They told me to stop five days before. But I am worried now since reading online that some prefer two weeks clean. Will this cause me to be at an even greater risk now? Also, I have a minor cold and cough, no fever but coughing some sputum up. Nothing major and stopping smoking weed could be a contributing factor now. I do not smoke cigarettes or drink alcohol. I have a history of congenital cervical spinal fusion (two discs), TMJ, and anxiety, panic attacks. I exercise regularly and I am on no other prescribed medication besides Xanax 0.5 mg at bedtime which I only actually take a half tablet of when needed and that does the trick for me. I take an Emergen-C immune plus vitamin pack daily and a Stress-B complex daily (which they have not told me to stop). I am an RN and have been trying to rationalize and reassure myself that it is a common procedure and others older and in worse condition have surgeries all the time and are fine. My mind frame is so different than it was 10 years ago, where I easily trusted surgery and after augmentation was fine. I am praying daily that I will just be fine and I am over thinking everything too much. Any insight and thoughts would be wonderful. Doctor: Hello. It seems you are worrying a lot about small things. About the anesthesia, you need to understand the reason behind why we give GA (general anesthesia) and not local in such surgeries. The doctor is going to open the breast tissue and will be inserting the implant and then closing it carefully not to get a visible scar on the breast. If the patient moves the body by mistake, then there can be a wrong cut made on the skin or elsewhere which will spoil the purpose of beautification. To stop the movement, we give GA. If you can control your body movement, then LA (local anesthesia) might be an option. He cannot do this on a tablet for the same reason, you will move on pain and he will make mistakes. And there are no side effects for any sedation, everything gets back to normal in one day. Five days marijuana stoppage is fine. It does not cause any effects on the breast augmentation process. As long as fever is not there, there should be no problem with the cough also. I think you are all fit to go in for the surgery and I am sure you will come out of it with enhanced elegance. Just feel relaxed and do not worry about smaller issues at all. Let me know if you have any other worries and we will sort it out for your confidence booster." + }, + { + "id": 15236, + "tgt": "My left eye seems to go inward. Why?", + "src": "Patient: Hello doctor, I guess my husband has seen my left eye goes inward a lot and I can also notice it now. What could this be? I am worried about it. Doctor: Hi From your description, I can say that you are suffering from esotropia (an inward deviation of eyes). And from the fact that your husband had to notice it, tells me that you do not have any other problems like double vision. So you may be suffering from accommodative esotropia. If in case you are having double vision, the cause for this most probably is a nerve palsy. At your age, there could be two main causes of accommodative esotropia. Have you recently had a fever or have any sleep deprivation or are you dieting? Such stresses and similar issues can cause the mechanisms which keep your eyes straight to not work to their fullest extent. This is the commonest cause that we see. Have got any blurred vision or pain on your eyebrows? If so, you may need glasses to correct your esotropia. A simple way to find out if you need glasses is to do a pinhole test. Take a piece of paper, poke a small hole through it with a pen tip and try to see letter or objects that are around 6 m or 20 feet away through the hole. If you are able to see things clearly through the hole than without it, it means you may need glasses. Wearing glasses of appropriate power helps to correct the problem in a majority of patients. There are no home remedies for this condition that are known to give good relief from symptoms, although reducing near work, getting adequate sleep and relaxation techniques may work. A visit to your optometrist, especially if you have symptoms of pain along your eyebrow or see better through a pinhole is advisable. If you do have double vision, seeing an ophthalmologist might be suitable." + }, + { + "id": 8419, + "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": 24853, + "tgt": "How can I avoid developing a superbug in my mouth?", + "src": "Patient: Hello doctor, I am a 62-year-old female with a history of chronic periodontal disease, particularly involving a pocket between teeth #7 and #8, which is associated with some bone loss and becomes infected every few months. I take fastidious care of my teeth and gums, including flossing, using a proxy brush and water pick at least two to three times a day, which helps to keep the periodontal inflammation under control. But, every few months, I have a flare-up of redness, swelling and sometimes bleeding with pus in this area in spite of diligent care. During times of flare-ups, I use hydrogen peroxide in water pick, good germs designed specifically for gums and Peridex following cleaning. Sometimes, this regimen works well and resolves the infection. Other times, it does not, and I have to resort to having the pocket cleaned out using Cavitron ultrasonic and treated with Arestin (Minocycline) 0.1 % antibiotic gel by my periodontist. I started having symptoms of pressure and mild pain in and around tooth #8 about two days ago. I guess these symptoms to be the beginning of infection. There is no redness, swelling or abscess of the gum at this point. I do not want to lose the tooth, so I am very concerned to treat this infection early but, I am concerned about using the antibiotic gel too much and creating a resistant superbug. The X-ray consistently shows a large pocket between #7 and #8 with some bone loss. I am unable to post the X-ray here. The tooth is intact. The pocket was treated using Arestin (Minocycline) 0.1 % antibiotic by placing it in the pocket on several occasions since five years with in-between gaps of one to two years. Otherwise, it is managed with my daily hygiene regimen, regular hygienist cleanings every two months, including using Cavitron ultrasonic to clean out the pocket, and, use of Hydrogen peroxide, good germs, and, Peridex during flares. My questions for you are: I am concerned about developing a superbug in my mouth (i.e., antibiotic-resistance) from frequent use of the Arestin antibiotic gel in that pocket. How dangerous would that be? What is the likelihood such a resistant bacteria is created? Is there anything you can do about it? In the situation where the gum gets infected to the degree I need to get an antibiotic gel put on by the periodontist, would oral antibiotics be preferable or more effective? How effective would oral antibiotics be for this? Would a root canal help to reduce the problem of ongoing, repeated infections in regards to the gum disease? Or would that be irrelevant to the gum disease? Doctor: Hi. The antibiotic resistance is not a big issue as such, but I would suggest to not apply antibiotic gel more than two weeks with one or two months gap in between. Using warm salt water gargle twice a day is more than enough for good hygiene of gums. Root canal treatment will not help much in resolving gum infection as such but will stop any toothache or sensitivity you might be having in the concerned tooth. The X-ray which you have attached suggests a ceramic bridge which is placed to replace a missing tooth (attachment removed to protect patient identity), but root canal treatment has not been done for the supporting two teeth. It is better to get them root canal treated to prevent any mobility of those teeth and to get added strength by ankylosis of the roots to the bone. And if the gum infection is around that bridge then it is highly recommended to get them root canal treated for more strength. Chlorhexidine antibiotic gel or even Metrogyl (Metronidazole), if available there, is good enough for a local application. Continue with mild Hydrogen peroxide gargle or salt water (I recommend) and scaling of your teeth and gums once in six months. For more information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 21547, + "tgt": "Kindly explain the ultrasound report taken for frequent urination", + "src": "Patient: Hi doctor, I am checking on for my dad's health condition. He has been urinating every once in a while. If I can give you a ratio of how many time he urinates in an hour, is usually twice which is not normal. On consulting a nephrologist, we were advised for an ultrasound scan. I have the report and I need to know more on this current condition. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). Your father is having obstruction to drainage of the urinary bladder, leading to very high bladder pressure which has damaged the ureter and kidney. The reason for this is not apparent on USG and needs further evaluation. At present, he requires urgent drainage of the bladder with a urinary catheter. I would like to know if your father is a diabetic and whether any blood tests to assess his renal function has been done? For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11597, + "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": 13577, + "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": 4269, + "tgt": "Even after 4 years of hernia surgery I have trouble near groin. Why?", + "src": "Patient: Hello doctor, I had a right inguinal hernia laparoscopic surgery four years back. After about 10 days of surgery, I started walking for about 4 to 5 km. The first two days, I did not feel any trouble. But, on the third day of my walk, I begun to feel trouble in the area of the groin and felt weak too. Starting from there, I always feel trouble and weak whenever I go for a long walk. It hurts and troubles me more when I lift heavy objects, any straining type of exercise in the groin area too hurts and I could never turn on the right side to lie down and sleep. The symptoms that I felt after getting hurt in the surgery are not only troubles, but feel immensely weak and discomforts in the right side of the flank. Now, it is more than four years, but still I have trouble. When checked with ultrasound abdomen, everything is normal except for the fatty liver which I have since five years. Some days back, I went to the urologist and have done ultrasound scrotum, but the results too turned out normal. So, what really is the problem in me? Kindly advise me. I also want to know what other examination methods can be taken to find out what is really wrong in my surgery. Please guide. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25122, + "tgt": "My wife is 2 months pregnant, but no heartbeat seen in the scan. What to do?", + "src": "Patient: Hi doctor, My wife is 2 months pregnant. On ultrasound, no growth and heartbeat seen. What can we do? Please help. Doctor: Hi. I am very sorry for both of you and I understand your concern. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29217, + "tgt": "In my blood report, what do the elevated levels indicate?", + "src": "Patient: Hi doctor, I visited gastroenterologist for my stomach problems. He carried out blood tests and gastroscopy. The result of gastroscopy was antral gastritis. The medicines caused it and I do not take them anymore. With this problem, I started\u00a0losing hair and observed brittle nails. Always I feel hungry as the body does not get enough food, despite the fact that I eat two meals more than before gastritis. The blood results show leukocytes 8.78 (4 - 10), erythrocytes 4.52 (4.1 - 5.1), hemoglobin 139 (123 - 153), hematocrit 0.393 (0.350 - 0.470), MCV 87.0 (81.0 - 94.0), MCH 30.8 (26.0 - 32.0), MCHC H 354 (310 - 350 normal), platelets 365 (140 - 340), serum iron 17.2 (9 - 30.4), serum TIBC 57.6 (49.2 - 75.2), ferritin 22.5 (13.0 - 150.0), vitamin B12 359 (128 - 648) and folic acid 45.40 (6 - 39). I am not taking any\u00a0supplements. The biochemical tests are normal. What do the levels that are elevated mean? Am I vitamin B12 deficient, although it is within the normal range? I read that with gastritis there can be less of intrinsic factor, which\u00a0is important for B12. Thank you very much Doctor: Hi. Based on your query and report, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24697, + "tgt": "Can I take Acyclovir until I find Valcivir?", + "src": "Patient: Hello doctor,Tablet containing Acyclovir 200 mg is only available here. I have arranged to receive tablet Valcivir 1000 mg, but it will take a week to reach here. Kindly advise. Doctor: Hello. Acyclovir can be taken as 800 mg five times daily. Usually, Acyclovir is a dispersible tablet. Place four tablets in a glass of water and then you can drink the water once the tablets dissolve. Repeat this five times daily for five days. After a week, there is no point in taking the medications. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 21930, + "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": 26712, + "tgt": "My son does not take any medicines due to taste issues. What should I do?", + "src": "Patient: Hello doctor, My 2 and a half year old son had a head injury yesterday which resulted in bleeding and he ended up with five\u00a0stitches. The bleeding was about 40 to 50 ml. Our local doctor prescribed an Augmentin syrup and an Ibuprofen syrup. But, due to taste issues, he is not taking any medicine, even when mixed with milk or juice. Can you please recommend any other medicine with a better or preferably no taste? Also, please recommend some iron supplement for my baby. Doctor: Hello. For further queries consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 17258, + "tgt": "After removing chalazion, the bump is still present. What to do?", + "src": "Patient: Hi doctor, I had a chalazion on my lower lid and it was removed about a month ago. But, the bump still has not gone away and has the slight redness on it. Also, when I was having it removed; my doctor said that I have blepharitis. But, my eyes do not hurt and the eyelids are not red. When my chalazion will fully go away and flatten? Will I ever be able to wear eye makeup again? Because, it is something without which I do not feel confident. This has really been depressing me a lot. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22557, + "tgt": "Should I continue Synthroid or change to homeopathic medicine?", + "src": "Patient: Hello doctor,A few months ago I was diagnosed with Hashimoto disease. The doctor that treats infertility put me on Synthroid, started with a smaller dosage (75 mcg), but since my results were worse after being on the low dosage, they increased it to 112 mcg. I was first unsure if I want to be on Synthroid since I do not believe in prescribed medications that may have side effects. I was told since my spouse has infertility issues (not me) and since I am trying for a baby, natural way or through IVF or IUI, then I have to be on Synthroid forever and Hashimoto cannot be cured. I have been taking all natural homeopathic Vitamins and even when I get sick I also buy natural medicine that was recommended by my Naturopath doctor. I continue to take Synthroid, I lose a lot of hair in my shower even prior to taking Synthroid. What do you suggest I should do? I do not want my body to be dependent on Synthroid for the rest of my life. He also said if I get pregnant I need to stay on Synthroid. I wanted to know from a professional if I am better off taking homeopathic medicine or should I continue on Synthroid? Doctor: Hi. Great that you are open to trying complementary systems of medicine. I would recommend that you shall consult a homeopath and start appropriate medication. I would also recommend you to take up Yoga practices on a regular basis. I would like to emphasis few points that might be helpful. According to Yoga philosophy, the mind plays a vital role in manifestation and vitiation of a disease. So, it is of prime importance that you voluntarily suggest yourself not to get worried or think of anything negative thing repeatedly. The simplest way to do that would be breathing practices. I have listed a few breathing practices that might help in balancing the hormonal imbalances. 1.Deep breathing - Please ensure that the duration of exhalation is longer than that of inhalation. Longer the better. And strictly a big no to breath holding. Practice for 5 to 7 minutes. 2.Abdominal breathing: Inhale completely such that the abdomen bulges out stretching your diaphragm completely and then exhale completely. Even ten minutes of this practice decreases oxidative stress and promotes vagal tone (responsible for relaxation). 3.Bramari pranayama: Close your ears with index finger so that you do not hear any external sound. Inhale completely and while exhaling produce a mild humming sound. Keep your concentration on the humming sound. Try to observe where the sound comes from and where all it spreads. It relaxes the entire body and regulates thyroid functioning. For more information consult a naturopathy specialist online.--->https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 14273, + "tgt": "Are facial pain and numbness related to itchy and burning moles on head?", + "src": "Patient: Hello doctor, Since the beginning of this year, I have noticed a couple of moles on the left side of my head have been very itchy and burning, and when I start to itch them it causes the whole left side of my scalp to burn and feel uncomfortable. I am worried it might be something serious. This year I have also experienced a lot of left side facial pain and numbness, as well as left eye blurriness. So I am not sure if the pain on the left side of my scalp could be related. Doctor: Hi. The ABCD criteria for moles you should be aware to see for malignant changes. One should always look for the change in color, size, margin, the surface of the mole, also if it is associated with itching and bloody discharge. I have reviewed clinical photograph attached (attachment removed to protect patient identity). There are no changes of erythema around mole or discharge. In photographs, there are two moles only. If there is an increase in the number of moles or increase in size, the best would be skin biopsy for histopathology to see for malignant changes. Presently, there is no inflammation also in these two photographs which you have attached to comment on itching sensation which you are experiencing. You should consider an ophthalmologist opinion for the blurring of vision. I do not think personally from these clinical photographs that mole and other symptoms are associated. Physicians opinion should be considered for numbness over one side. If you have any fluid-filled lesions on one side then keep watch for that too. Skin biopsy for histopathology should be done if specifically mole is associated with itching." + }, + { + "id": 12453, + "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": 11198, + "tgt": "Can young people get bifascicular block?", + "src": "Patient: Hello doctor, I am wondering how serious is bifascicular block? Is it common among younger people? I am only 30 years old and this came up on EKG. I was very surprised as I live a pretty healthy life. Any ideas what caused this and what steps I should take next? Doctor: Hi. I can understand your worries. It is not common in general population. It occurs mostly in those who have heart attack, angina, have high blood pressure or some valvular disease, especially aortic valve. Other cause is fibrotic degeneration of conduction channels, but it occurs usually in old age as age-related degeneration. It may progress slowly and lead to trifascicular block or complete heart block. Treatment is not advised if heart rate is normal. If in future heart rate decreases or block progresses than cardiac pacemaker may be necessary to implant. Risk of this condition is that if it is due to fibrosis, then it may spontaneously progress which may take years. Other risk is that if anytime in future you have angina or heart attack, then there are more chances of further progression of block as compared to those who do not have this block. I advise you to repeat ECG, have an echocardiography done to see valvular disease, if present, monitor blood pressure." + }, + { + "id": 18475, + "tgt": "How to improve my testosterone level?", + "src": "Patient: Hi doctor, I am 25 years old. My total testosterone was low. It was 400 ng/dL.\u00a0This was on last Friday after a very intense week with insufficient sleep and no exercise.\u00a0My question is, am I stuck with this? How can I improve this to any value within the normal range? Doctor: Hi. I have read and understood your problem.\u00a0However, I would like you to answer few questions so that I can help you better. Revert back with the answers for the above questions to an andrologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 2613, + "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": 8148, + "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": 18355, + "tgt": "What are the tests to undertake in case of mild fatty liver?", + "src": "Patient: Hello doctor, My wife is under Ayurveda medicine for a hip labrum tear. She had an ultrasound done as a part of some checkup. The finding\u00a0is mild fatty liver. I am planning for additional blood tests. Could you please recommend the needed tests. She is nonalcoholic. Also, let me know if this is something to worry about. 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": 4129, + "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": 22761, + "tgt": "Is it advisable for B-ve girl to have a baby with O+ve boy?", + "src": "Patient: Hello doctor, My girlfriend is B- group and I am O+ group. Is it advisable for us to get married or give birth? Doctor: Hello. Yes, the blood group is not at all barrier in your marriage. Your wife is Rh negative, so will be given anti-D immunoglobulin injection during pregnancy at 28th and 34th week of gestation to prevent hemolytic disease of the newborn. So do not worry about that. I will suggest you one investigation before doing marriage that is Hb electrophoresis by HPLC (high-performance liquid chromatography) method to rule out hemoglobinopathy which should be done before marriage. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20076, + "tgt": "Is there any ayurvedic medicine for persistent hiccups from four days?", + "src": "Patient: Hello doctor,My father-in-law has continuous hiccups from the last three to four days. A few doctors I consulted said they do not have a medicine for the same. Please help. Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23486, + "tgt": "After DBS, I am getting violent myoclonus attack. Is it due to Clonazepam?", + "src": "Patient: Hi doctor, After deep brain stimulation surgery for generalized dystonia 18 months ago, I have developed mild startle myoclonus a fortnight later and was prescribed 0.5 mg Clonazepam. Since being on Clonazepam, I developed mild anxiety and my myoclonus continued to worsen. Now, I have violent full body jerks that cause me to fall over backwards every day. I am now on 1 mg Clonazepam in the morning and evening. After six months of Clonazepam and just after increasing my dose to 0.5 mg twice a day, I developed pressure of speech and the longer I have been on the drug the worse my myoclonus and anxiety has become. I am now in a vicious circle as the myoclonus episodes are so violent and I fall backwards heavily despite whatever I hold onto. I have become anxious at having an episode and the actual anxiety can trigger a myoclonus episode, although it also occurs when I feel safe such as sitting down, reading a book or chatting with friends. Six weeks ago, I was told to double the dose due to the high number of falls I was having during myoclonus episodes and since then I have developed mini-seizures and worsening of anxiety. My neurologist is referring me to a psychiatrist for CBT for anxiety and now believes anxiety is the likely cause of my myoclonus. I am happy to do this as I just want to overcome my fear of falling. My dystonia also is causing me to fall due to motor control problems with my legs. The behavior of my legs is very unpredictable, so without warning I regularly trip or my legs suddenly buckle, especially when tired or if I am on my feet for too long. Every drug I have been on since been diagnosed with dystonia has caused serious side effects, even at a low dose and I was told by one of the neurologists that my brain is very sensitive to the side effects of the drugs. The anxiety has only developed since being on the Clonazepam and seems to have worsened whenever the dose has been increased. Could Clonazepam cause anxiety? I have now lost my confidence to leave the house, even with my walker as during a myoclonus episode it is so vigorous the walker just tips over with me and I have episodes every day, but just do not know when one may occur. I have not walked as far as the end of my road about 100 meters for nearly five months now and even with friends still feel apprehensive when walking even a short distance with them. I have lost my confidence to stand in the kitchen to do chores in case I have an episode. I often crawl around on the floor, especially when tired as tiredness definitely increases the episodes and the higher dosage of Clonazepam makes me feel very tired by midday. I am also under stress at home as I am a carer of my 86 year old father who has Alzheimer's, although I get some support from social services with carers, who come in to get him up and his breakfast and then his evening meal. I am normally a very positive person, but right now I wonder if I will ever get better. I am keen to start CBT. But, I am still concerned that Clonazepam initiated the anxiety as a side effect and so would need to withdraw from the Clonazepam in order to recover properly. All I know for certain is I never had myoclonus before my DBS surgery. I never had anxiety or a single fall. Right now, I wish I never had DBS as it done little to help me physically and my quality of life right now is far worse. I am finding it hard to stay positive and feel very discouraged. Please help me. Doctor: Hi. We are here to help you. Reading your complete details I understand your concern and pain. First of all I would say that Clonazepam does not increase anxiety. You might be having myoclonus following DBS as it is a known adverse effect of DBS (deep brain stimulation). Following DBS, there are people who have worsened symptoms. However, myoclonus and frequent fall could be a feature of your Parkinson's only and that has appeared now and you might be linking it to DBS. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1008, + "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": 18116, + "tgt": "Partner did not bleed after Unwanted 72 and periods is due. Please help", + "src": "Patient: Hello doctor,My partner's periods date is 23. Last periods was on the 23rd two months ago. My partner and I were intimate on 10th last month. It was unprotected. So, she took an I-pill on the 12th. She bled on 22nd. Again we had sex on 9th this month. It was protected but the condom slipped. So, for protection, I gave her Unwanted-72 on the 10th. Till now, she did not bleed and her period date is also due. Please help. Doctor: Hello. Although you have rightly taken the emergency contraceptive pill both the time well within 72 hours after intimacy, so considering that she had her first bleed on time, it is likely that her next menses would anyhow be delayed by few days as a side effect known with I-pill. Now that you have taken an I-pill again, the bleeding should be expected by seven to 10 days ideally, but you can wait another week for withdrawal bleed to start naturally. If no bleed in next seven days then get a urine pregnancy test done to rule out pregnancy, possibly due to I-pill failure and if the test is negative then you can opt for a progesterone-induced withdrawal. Please follow up with further clarifications and discussion.Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20519, + "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": 19412, + "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": 17986, + "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": 19344, + "tgt": "Would the pill have damaged the fetus in any way now that I am pregnant?", + "src": "Patient: Hello doctor, After having intercourse with my husband, I had taken Unwanted 72 within 12 hours of intercourse. But, I missed my periods and got pregnant. Now, my question is will this ECP damage the fetus in any way? I also want to let you know that six months back, I had an abortion as my child was very low. Kindly suggest me, is it safe to continue my pregnancy with all these problems? Doctor: Hello. I have gone through your history and understand your concerns. Yes, you can continue the pregnancy after taking I-pill as it will not be harmful to your baby. But, yes if you had an abortion within one year, it may affect your health. So, take proper healthy and nutritious diet. Kindly give more information about your abortion, if it was medical or surgical. Hope you found it useful. Feel free to ask more information. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28772, + "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": 16486, + "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": 24676, + "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": 6106, + "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": 21483, + "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": 20203, + "tgt": "I think the Insulin injection is not reducing my mother's sugar levels. Should we change it?", + "src": "Patient: Hi doctor, My 77 year old mother, who weighs 115 kg, is suffering from diabetes mellitus since last 6 to 8 years. Her fasting sugar level is 180 and postprandial is 250. She is taking Insulin from the past 3 to 4 years, Humalog 50/50 (twice a day 40 units). And her HbA1c is also high. She also takes Jentin\u00a0Met, and other BP medications. Doctor: Hello. For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17375, + "tgt": "I have some black spots on penile skin. What are these?", + "src": "Patient: Hi doctor,I am having some black spots on penile skin. What to do? Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5484, + "tgt": "Is there any ayurvedic remedy for severe hair fall and reduced density?", + "src": "Patient: Hello doctor, The density of my hair is decreasing and I have a severe hair fall. It looks like an androgenic alopecia to me. Please suggest any natural medicine which can reduce this or block the DHT. I am currently taking Antoxid HD and Zincovit. Doctor: Hello. I read your query. Take Bhringraj oil and do gentle massage with it of your scalp on every alternate day and wash your hair with mild herbal shampoo. Take Capsule Bhringraj two capsules two times a day with water for two weeks. Consult me after two weeks regarding improvement and for further management or you can consult your nearby reputed ayurveda physician if you want to. After two weeks." + }, + { + "id": 21785, + "tgt": "Why is postprandial less than fasting sugar?", + "src": "Patient: Hello doctor, My father's age is 80. My father's fasting sugar is 111 and PP is 83. Is it considered normal? Why is the PP less than fasting sugar? Please help us with your kind advice. Doctor: Hi. Is he taking any medicines for lowering sugar? If not, the PP (postprandial) might be lower as it depends upon the calories taken in during breakfast and the amount of insulin produced by the body. Provided both are in the normal range and above 75 to 80, it does not matter. The fasting sugar is the sugar produced by our liver during the night to provide glucose to the brain and other organs even though we are not eating anything. Two suggestions as you have not mentioned much in the question: For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 9228, + "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": 25427, + "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": 30205, + "tgt": "Is my friend's husband suffering from advanced stage of AIDS?", + "src": "Patient: Hi doctor,Eight months back, my best friend's husband, who is 53 years old, was diagnosed with positive HIV, hepatitis B and lymph node TB. He is taking proper medicine, but gained so much weight. Now, for over a week, he has been having cold and cough during evening. He is a smoker. Is he currently in advanced stage of AIDS? Please reply. The laboratory reports showed liver and spleen enlargement, lung veins inflamed and biopsy of lymph node showed TB. His weight was 69 before eight months and now he is 87. Doctor: Hi. Revert back with the reports and medication details to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9344, + "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": 17406, + "tgt": "My contact lens has dried out. Can I use it?", + "src": "Patient: Hello Doctor, I did not use my contact lenses for two weeks. When I opened the lens case after 2 weeks, my coloured (monthly) lenses had dried out. One of the them seems to be a little smaller. Can I use it? Doctor: Hi Consult an eye care\u00a0ophthalmologist online to choose contact lenses\u00a0that suit you --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11930, + "tgt": "What is the treatment for swollen turbinates due to rebound congestion?", + "src": "Patient: Hello doctor, I am on rebound congestion because of misuse of the nasal spray. I have used it seven days not knowing that will cause me rebound effect. My ENT doctor says to continue my spray due to my dry nasal congestion I think. Now I went back to him saying that, I had rebound congestion and my turbinates are swelling, he advised me to stop the spray, and he replaced it with Mometsone Furoate two sprays once a day. He also gave me Methylprednisolone two times a day for seven days and an antihistamine. I am now on my sixth day of withdrawal, the steroid spray works and also the oral he gave me relief. But I do not think that it reduces my turbinates. Doctor: Hello. Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additionally, the nasal cavities also have congestion decongestion cycles normally. The rebound congestion that occurs due to decongestant nasal sprays is a temporary phenomenon. What might have happened in your case is rhinitis medicamentosa. But that occurs after months of usage of the decongestant spray and not by a week. We do frequently give decongestant drops for a week or ten days as indicated. I suggest you to continue with the steroid sprays. You may use a plain saline nasal douching couple of times a day. Make sure that you do it before using Mometasone and not after using as then it would wash away the Mometasone. Nasal douching helps keep the mucosa clear and supple. It helps to improve the ciliary action of cells lining the mucosa and clear the mucus better. That way you appreciate the better movement of air inside the nasal cavities. Do revert back to me with more details. If possible click a picture of the turbinates and get back to me. For now, if you were to come to me for a second opinion, I would continue with the medications you are on." + }, + { + "id": 8676, + "tgt": "My UPT test and beta hCG test are positive. How to terminate it?", + "src": "Patient: Hello doctor, My last menstrual period was on two months before. I had my intercourse on the next month of my periods. And today my UPT test was positive and beta hCG test value also positive 3716mIU/mL. Is there any way to terminate my pregnancy? Doctor: Hello. You have first to meet a gynecologist as only these centers alone are legalized for abortion services. They would first get a transvaginal ultrasound done to rule out ectopic pregnancy which is important and then if confirmed, after your hemoglobin and blood grouping would get some consent forms signed and then she or he would be able to dispense your medicines for termination of pregnancy with a medical method." + }, + { + "id": 9023, + "tgt": "I have diarrhea after eating spicy food. Please help", + "src": "Patient: Hello doctor, A few days back,\u00a0I ate lots of green chili pakoras with green chutney. I am not really used to such pakoras but, I ended up eating them anyway. From the next day, I started feeling a\u00a0burning sensation inside the\u00a0stomach and, then started the loose motions. I have been to the loo nearly 10 times. I drank a\u00a0lot\u00a0of water to overcome the water loss. But, the loose motions continued. So, I took Norflox TZ the next day at 3 AM. The day after that, I took another Norflox after lunch at 1 PM. That kind of fixed the issue. Now, everything seems well, except my poop is still not normal. I feel a temporary pain at the right lower stomach although it is less frequent now. So, is it normal to have these? How much time does it take\u00a0to recover fully from such loose motions? Those chilis did mess up bad. Also, what should I avoid eating for now? Doctor: Hello. I read your query and understood your concern. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30185, + "tgt": "Why do I feel like urinating immediately after I pass urine?", + "src": "Patient: Hi doctor, I am a 36 year old, active male. My height is 6 feet and weight is 175 lbs. Previously, I had Zoloft for anxiety. Now, I am just doing exercise, eating healthy food and vitamins. I have been diagnosed with prostatitis a few times in the past few months. I was also diagnosed with this roughly three years ago. The symptom includes feeling like urine stays on the tip of my penis, thus the constant feeling of the need to urinate. There is no real pain, just discomfort and I have always had a problem with hesitation and fully emptying my bladder.\u00a0I have taken Bactrim for three to four weeks and now, I am on a 6 week cycle. I have gotten better and it came back twice during this cycle. I literally have the feeling that I need to urinate right after I urinate. I had a prostate examination three weeks ago and said that it was slightly enlarged, but not concerning. I had an ultrasound of my bladder and emptied almost all, but a few left in. My urine was tested for infection and came back negative. PSA done and there is no cancer. I am looking for advice. Thank you. Doctor: Hi. I have gone through your history and treatment details. uroflowmetry and transrectal ultrasound of prostate. Revert back with the reports and detailed history to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15200, + "tgt": "Mild obscuration of left costophrenic angle, which may be related to pleural thickening. What is the meaning of this report?", + "src": "Patient: Dear doctor, I had a medical record saying that \"the lungs are clear, there is mild obscuration of the left costophrenic angle, which may be related to pleural thickening\". What is the meaning of this report? Doctor: Hi. Pleura is a covering membrane (a plastic cover like structure) which covers the entire lung. If the pleura gets thickened, then it causes obscuration of costophrenic angle. There are many causes of pleural thickening like: If you do not have any problem presently then there is no need to evaluate at present for the cause of pleural thickening except avoid exposure to chemicals (if at all you are getting exposed). You can repeat chest x-ray after six months for a follow up. But, if you are having any problems like cough, weight loss, or breathlessness, I advise you to get HRCT of the chest (high-resolution computed tomography) and pleural biopsy test done. Revert back to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18289, + "tgt": "Will I get HIV infection by getting paper cuts from sharp things containing HIV blood?", + "src": "Patient: Hello doctor, I want to ask whether I have got a risk of HIV infection or not from a paper cut in my hand. Where at that time, I did not realize that I got this paper cut and I do not know what activity that caused me got this paper cut. But, I assume that I got this cut by sharp things. However, I am afraid that sharp things surface contain HIV blood and other fluid before I got cut from it. Does that infect you with HIV? After I realized that I have got that paper cut, I just washed that cut with bottled water and wiped with tissue only. Since at that time and place around me, I did not have any band-aid. I let that paper cut exposed without covering it with anything. Due to that condition, I am afraid that since I let that cut exposed, I would have got exposure from any environmental surfaces that contain HIV+ fluid like blood or fluid. Does contacting environmental surfaces that contain HIV+ fluid (like blood, etc.) with current paper cuts in hand infect me? Therefore, please answer my question regarding two things: 1. Can I get infected from getting paper cuts from sharp things that contained HIV+ fluid like blood, etc. 2. Can I get infected with HIV from having contact with environmental surfaces that contain HIV+ fluid like blood, etc., with my finger that has been cut? Doctor: Hello. Please note the beveled edge of paper cut do not cause HIV infection as paper soak all blood within seconds and the paper is dry. In a dry medium, no HIV stays alive, so no HIV infection. Your second question is not at all having meaning as by touch no HIV is transmitted. It is not the way of transmission. Only sex or blood infusion or needle prick within seconds when drawing blood of HIV positive patient. So, do not worry. You are safe. No HIV infection is there." + }, + { + "id": 25094, + "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": 29804, + "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": 12157, + "tgt": "What causes blurred vision even after cataract surgery?", + "src": "Patient: Hello doctor, I had my first cataract surgery in the right eye four years back. Now again this year, I just had cataract surgery in the left eye. Just today, after three days of my second cataract surgery in the left eye, the vision in my right eye is not clear. When I am seeing contact names on my phone from close, it is appearing blurry. I am not getting it as to why my unoperated right eye has become like this, after the recent surgery in my left eye. In both the eyes, I have Toric IOL lens, and the surgery is phacoemulsification in both. Please advice me. Doctor: Hello. I understand your concern and want to assure you that it is usually just a benign increase in tearing in both eyes after surgery that causes such a picture. It settles down on its own and will not need any further treatment than your post-operative medication. In case, you are experiencing problems only in your right and do not have any problems with the left and there is no tearing, then please bring up this issue with the operating surgeons during your post-surgery follow up. It needs further examination and tests, especially if there is a retinal problem. In case you need any further information, please send me a scanned copy of your doctors records and surgical notes, I will do my best to help you." + }, + { + "id": 27172, + "tgt": "My 5 year old son's serotonin level is 583 ng/mL. Does he have a carcinoid tumor?", + "src": "Patient: Hello doctor, My 5 years old son's serotonin\u00a0level is 583 ng/mL, and the normal range is 50 to 200 ng/mL. So, we did chromogranin A blood test. It was 16, which is slightly elevated, as the normal range is 1.9 to 15. Should we be concerned and see a specialist? Please advise. Thank you. Doctor: Hi. Revert with more information to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 23246, + "tgt": "BP fluctuating and urine output reduced. What may be the reason?", + "src": "Patient: Hello doctor, My mother's BP is always fluctuating. She has high heart rate and was taking tablet Concor cor 2.5 mg. Later the doctor changed it to tablet Telma 40 mg and Ivabrad 5mg. My mother is not feeling well after taking tablet Ivabrad. Can you please suggest some other medication? Thank you in advance. Doctor: Hi I would suggest her to have low salt diet and start doing few mild exercises. Revert back with the information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2161, + "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": 14436, + "tgt": "What causes heavy hair fall post C-section delivery?", + "src": "Patient: Hello doctor, I had two C-sections and within a gap of 2.8 months post delivery, I had heavy hair fall. So I took Lycopodium 15 drops twice a day for 15 days and simultaneously used a mixture of Jaborandi, Amla, and Arnica with coconut oil. For few months hair fall was less but suddenly again I started having heavy hair fall. Please help. Doctor: Hello. You can start Sepia 30 five pills in the morning, noon, and then Wiesbaden 200 five pills at bedtime. Arnica mother tincture 10 drops in coconut oil (amount for one use) mix it and apply in hair roots thrice in a week. Apart from these, Fenugreek seeds are good for hair. Have it in ladoo form or raw form. Black sesame seeds are also good for hair, have it. Have simple food which has all nutrients for hairs. Do not change shampoo and oil often. You can also mix coconut oil, castor oil, sesame oil. Massage with this. You can add Arnica, Mother tincture in this mixture also. Give follow up to decide further medication and duration of treatment." + }, + { + "id": 12283, + "tgt": "Is Meftal advisable for higher fever in a baby?", + "src": "Patient: Hello doctor, My baby is having a fever. Morning around 8 it was 100. I have given him Crocin. Around 12.30 his temp was 101.3. So I have given him Meftal P. Now (5.30) again the temperature is 100.3. What should I give him now? Crocin or Meftal? What should be the time gap? Doctor: Hello. I got your concern. Initially, it looks like a viral fever. Let us wait and watch for the pattern of fever. Yes, for fever, if less than 100 F, do just tap water sponging all over the body. If 100 F to 102 F, give Paracetamol as and when the fever comes with a gap of six hours between two doses. If fever is more than 102 F then give Meftal with a gap of eight hours between two doses of Meftal. Avoid Meftal as much as possible. Give more food and more liquid. If he is dull, not taking orally, then go to the doctor." + }, + { + "id": 19587, + "tgt": "I am trying for a baby with no success. What could be the problem?", + "src": "Patient: Hello doctor,I have been married a year ago and trying for a baby with no success. I weigh 89 kg and my height is 157 cm. My periods are regular. We got checked. The doctor said no problem with my ovulation and no problem with my partner too. I have been taking Siphene and Letroz for the past four months. What could be my problem? This cycle I am having Malai Vembadi Thailam in morning. Doctor: Hi. In order to conceive you should have good quality egg and sperms and good fallopian tubes. The first step will be weight reduction, testing hormones and fallopian tubes. If everything is normal then you should plan for a baby. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30841, + "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": 24803, + "tgt": "What could be the cause of hip pain?", + "src": "Patient: Hello doctor, I am suffering from hip pain in the lower back region. It is behind the buttock bone on the left side. As I twist my upper body towards the right side or just bend down front and move little to the right side there is pain. I am suffering from it for almost five months and still, the pain is there. I have been placing ice packs and was doing lower back exercises regularly three times a day and I still have no effect. I have not met with any kind of accident or lift any heavyweights. Doctor: Hello. I can understand your concern. In my opinion, your SI (sacroiliac joint) joint would have got into a bit of dysfunction as it normally happens from faulty posture. In addition to the ice packs, I want you to do cobra raise exercise with left leg bent at the knee and foot kept under opposite thigh like a figure of four position at least 20 times once in two hours if possible. Do lots of stretching for your piriformis and gluteus muscles. Gently massage the butt muscles. It will give you relief. Avoid any faulty posture especially sitting in a slouched position for a long time. Hope this is helpful for you. For further queries consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 23474, + "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": 11403, + "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": 11325, + "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": 14779, + "tgt": "I feel slight pain in my backbone since I am in a front desk job", + "src": "Patient: Hello doctor, I am a 26 year old female. I have some backbone problem. I feel slight pain in my backbone from two to three years when I was in a desk job. I used to sit most of the time on a chair. Doctor: Hi. From the complaints you had described, mostly it could be related to poor posture at your workplace. Lack of exercise could also be one of the causes. I would suggest you consult an orthopaedician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20936, + "tgt": "Have nausea and vomiting any association with Unwanted 72?", + "src": "Patient: Hello doctor, My partner had her periods last to last month. Sixteen days later, we had a sexual intercourse. But, there was neither penetration nor ejaculation. Being unsure about the seminal fluid discharge or coming in contact with her genitals, I gave her Unwanted 72 the next day which was within 48 hours. Later, she went through its general side effects but without withdrawal bleeding. Further, she got her periods last month which as per her was her usual bleeding except for the first day as it was little heavier than normal and it continued for four to five days.After a few days of her periods, she told me about feeling nausea, headache, dizziness and a discharge which continued for two to three days. Now, in this month she got her periods two days later which again was normal as per her and yesterday she again felt nauseated. Please help me. Is there anything to be worried about? Are there any pregnancy chances? She had a normal cycle of 28 days and she got vomiting two days before. Please help me with your advice. Doctor: Hello. As long as she is having regular periods of normal flow and quantity there is no need to worry. There is a complete absence of periods in pregnancy, sometimes early pregnancy bleeding known as implantation bleeding does occur but it is very light and lasts only a couple of days. Nausea and vomiting that she is experiencing are most likely due to hormonal imbalance due to the emergency contraceptive pill. Do not worry. However, if you are still very anxious you can do a pregnancy test with a sample of early morning urine and check the results. That should ease any remaining doubts. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2902, + "tgt": "Are there any medications to reduce my long term tinnitus problem?", + "src": "Patient: Hi doctor, I have had tinnitus for five to seven years now. I had suffered a lot during the initial years as there was no solution and doctors had to control using anti-depressants. I am on a regular low dose of Escitalopram even now. My tinnitus is a very shrill sound and has no trigger or cause and is constant. I had done audiometry and there was a slight loss of hearing in one ear. Lately, I chanced to read up on some forums and have found that there are various medications that are being tried for tinnitus. Tinnicar, Ginko Biloba, Complamina Retard SR, etc. Can you suggest in your opinion what I should take to reduce or end the tinnitus? What dosage and for how long? And for Ginko Biloba which is the best brand? My other problem is, I have a sinus problem. Due to cold exposure such as sleeping under an A/C, I get stuffed sinus congestion. I can feel some liquid behind my cheeks when I jump up and down and my nose and my ears are blocked. This is not very troubling. However, this causes a loud buzzing sound in my left ear which is what gets me terrified because of my already existing sinus problem. The sinus stuffiness and buzzing stays for a few days (even if the nose blockage and stuffiness goes away). It takes a few days and I have seen that exposure to heat and hot areas makes the buzzing subside quicker. However, even after the buzzing sound is gone my tinnitus gets and stays louder than normal for an additional few more days. This used to happen regularly every few weeks. However, now it has become a constant problem. I have a constant buzzing in my ear. I went to an ENT and was prescribed Lukotas, Tinnicar and Xylometazoline drops. However, I wanted your second opinion. Should I take something like Solvin to relieve pressure (again read from similar cases in forums)? Note: In my childhood, I can recollect that I had a similar \"Sinus congestion\" a couple of times and the doctors had drained my sinus using a syringe put in through my nose. Doctor: Hello. Your tinnitus problem could be due to sinusitis, which blocks the eustachian tube and causes tinnitus. But if the tinnitus is due to sinus problem it should subside with decongestants, etc. In your case, I do not think so that your ear problem is due to sinusitis. To rule out that we need to get audiometry and tympanometry done. Also, let me know if you are on any medication or if you are exposed to loud sounds. I do not support multivitamin supplements for tinnitus. But you can take any of them for a month and see if symptom improves then you can take for a longer time. But again we will need an audiometry test. For recurrent sinusitis, you should get a nasal endoscopy done. If needed CT (computed tomography) scan of nose and paranasal sinuses also. Only then we will know the severity of the disease." + }, + { + "id": 13466, + "tgt": "Which drug works better for throat infection,Augmentin or Azithromycin?", + "src": "Patient: Hello doctor, Which drug works better for throat infection, Augmentin or Azithromycin? Doctor: Hi. We usually do not care about throat infection when it is mild and then it gets worsened and causes undue discomfort. Regarding choice of appropriate antibiotic, it is very important to know your history. It includes previous use of recent antibiotic, presence of fever, purulence of sptum, systemic symptoms etc. So. if it is just mild sore throat with mild fever and no excessive cough or other body symptoms, tablet Azithromycin will do good. But for severe infection, systemic symptoms, high grade fever and difficulty in swallowing, we need to give something which is broad spectrum like tablet Augmentin 625mg thrice daily for 7 days. So, it is the clinical judgement to select appropriate antibiotic according to the presenting clinical symptoms. Get back to a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12335, + "tgt": "Can I take Ashwagandha for perimenopause symptoms?", + "src": "Patient: Hello doctor, I am thinking of using Ashwagandha supplements (400 mg) to help with my perimenopause symptoms. I would like to have an extensive list of side effects if there are any. I have no known illnesses and take no medications apart from Omega 3 twice a day. Doctor: Hi. Ashwagandha is a very potent ayurvedic medicine. It has very good effect in neurological issues. It helps to improve your immunity and metabolism. It is very helpful in perimenopause symptoms. You can take 3 gm Ashwagandha powder or 500 mg Ashwagandha tablet twice a day with warm milk after meals. It has no side effects if you take it as per direction." + }, + { + "id": 30216, + "tgt": "How to stop prolonged menstrual bleeding?", + "src": "Patient: Hi doctor, I am suffering from prolonged menstrual bleeding. The bleeding did not stop for the past one month. I have PCOD and I am overweight. How to stop the bleeding? Please help. Doctor: Hello. PCOD. Menorrhagia. Hb, TSH, PRL, FBS, fasting insulin and hormonal profile (LH, FSH and estradiol). Cyclical OCP after bleeding controlled. Revert back after a month to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10614, + "tgt": "Need second opinion on Celexa and Buspar for severe anxiety/panic attacks", + "src": "Patient: Dear Doctor, I am a 24 year old female, was prescribed with\u00a0Celexa 20mg \u00a0once daily and\u00a0Buspar 5mg twice daily for severe anxiety/panic attacks. Both of these medicines are SSRIs though, and I read about it online that everyone/every source says never to take them at the same time due to risk of serotonin syndrome. Today, after taking the Buspar, I felt cold and shivered constantly. I could not get warm and I was very sleepy. Now I am scared to take the night time dose of Buspar and Celexa. I would like to have a second opinion on the safety of taking these medications together. If it is not safe, can I take only one instead? Which one would you recommend, the Buspar or the Celexa? Thank you in advance. Doctor: Hi. You are not on too high a dose of celexa or buspar. However serotonin syndrome is not always dose dependant. I feel just the chills and sedation are too general to be indicative of serotonin syndrome. You should have some level of muscle rigidity, high fever, muscular contractions (myoclonus) to suggest that. In my professional opinion I do not have much faith in Buspar. Celexa is good enough as an antidepressant (SSRI) to eventually help you have a full remission of depression, anxiety and panic attacks. If I was your treating psychiatrist, I would have supplemented the celexa with clonazepam (Klonopin) on a as needed basis, between 0.5 and 1mg every 8 hours PRN anxiety. If you are feeling cold and shivering constantly you might need to see your PCP (Primary Care Physician) to urgently address if you have an active urinary tract infection and also have him check your thyroid function. In effect, I advise you to stop the Buspar for now. Hope it helps. Get back to a psychiatrist online for further help --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13221, + "tgt": "What is the treatment option for Parkinson's disease other than Levodopa?", + "src": "Patient: Hi doctor, I feel extreme fatigue in the morning. I have tremor and right leg tingling. I am experiencing brain fog, Parkinson like symptoms but I did not feel any improvement with Levodopa. My manganese levels are high. Please help. Doctor: Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. First thing is unless the diagnosis is made by an expert physician, the resembling symptoms do not mean straight that you have Parkinson's disease. There are many other drugs that are to be used as an adjunct to the Levodopa and that show a good result in many patients. Such as Levodopa with Carbidopa (a peripheral decarboxylase inhibitor) is a good combination. Also we have Ach-Acetylcholinesterase inhibitors, NMDA (N-Methyl-D-Aspartate) antagonists, COMT (catechol-O-methyl transferase) inhibitors, MAO-B (Monoamine oxidase-B) inhibitors, anticholinergics, etc. Your symptoms can also be due to other conditions such as liver disease (hepatitis and cirrhosis), anemia, fluid and electrolyte imbalance, thyroid disease and blood pressure issues. Please answer the below mentioned questions for better diagnosis and treatment. 1. What is your age, gender, height, weight and waist circumference? 2. What is your manganese level? If you have the laboratory reports kindly upload. 3. Have you checked your pulse rate, blood pressure and blood sugar level recently? 4. Please send me all laboratory reports, MRI, CT, radiographs, etc., relevant to your query. Investigations you need includes, 1. Comprehensive metabolic panel. 2. Liver viral markers for hepatitis B and C. 3. Thyroid profile. 1. Liver disease. 2. Anemia. 3. Thyroid disease. 4. Diabetes. Treatment will be decided according to your laboratory reports. As there are many possibilities, we have to proceed with care." + }, + { + "id": 22818, + "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": 23975, + "tgt": "I have eye redness, discharge, and dry eyes. What should I do?", + "src": "Patient: Hello doctor, I was prescribed Pred Forte (four times a day for 15 days), Gatifloxacin (three times a day for seven days), and Lubistar eye drops for eye redness, discharge, and dry eyes. I completed the dosage. Now, after three days of dose completion, my eyes are worse than before. The white parts of the eyes have completely turned blood red, with a plastic fiber like white discharge, stuck eyelid in the morning, Now, I am scared to use any medicine. What should I do? Please help. I have had eye allergy during summer in childhood but from five to six years there has been no problem. Doctor: Hello. The fact that your eyelids get stuck together on waking up in the morning suggests that you are having infective conjunctivitis. Although Pred Forte (Prednisolone) would have helped earlier on, it is now likely to worsen the condition. I recommend that you re-visit your ophthalmologist. S/he may change the medication that you are on or start some new ones. Things you can do at home - The cure rates for conjunctivitis are very high but it does need proper medical attention. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9314, + "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": 1172, + "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": 15158, + "tgt": "Can accidentally putting mascara wand in a child's mouth cause any harm?", + "src": "Patient: Hello doctor, My 2-year-old put my mascara wand in his mouth. His teeth and all around his mouth were black. I used a toothbrush and water to get all the black out. What else should I do? I am not sure how much he swallowed. Can it harm him? Doctor: Hello. Mascara contains iron oxide, carbon black along with a base of paraffin or mineral oil. As your child had taken it in his mouth and you already have cleaned it. Now there is nothing to worry, you may ask him to gargle with Chlorhexidine mouthwash which will improve the oral hygeine. If a very small amount was swallowed, there is nothing to worry, it may not cause any harm." + }, + { + "id": 24044, + "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": 19118, + "tgt": "My left cheek has got swollen without pain. What could it be?", + "src": "Patient: Hi doctor, My left side cheek is swelled. There is no pain present when I touch it. I have attached my picture. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The swelling occurs due to various reasons. It can occur due to a toothache or carious tooth in the same region. It can be due to trauma, sinusitis due to nose infection, and due to a bite of insects. But most probably, it is a case of dentoalveolar abscess due to a carious tooth. This abscess can pass into soft tissues like cheeks and can cause swelling. The space in the cheek is so large, so you can feel less pain when you touch it. It can compress the nerves and can create pain. Take tablet Ordent (Ofloxacin and Ornidazole) twice a day for five days, tablet Zerodol SP (Aceclofenac, Paracetamol and Serratiopeptidase) twice a day for three days, and tablet Pantoprazole 40 mg once a day for one week. These are symptomatic measures. Visit your dentist as soon as possible for a direct clinical examination to find out the cause." + }, + { + "id": 5010, + "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": 2447, + "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": 12544, + "tgt": "What is the reason for shoulder and arm pain?", + "src": "Patient: Hi doctor, My wife is 28 years old. She is suffering from shoulder and arm pain. She has more pain during night-time and not able to get good sleep. First we consulted a doctor; he gave some multivitamin and Calcium tablets. Also advised her to do some exercise, but there is no effect. Then we consulted another doctor and he advised for a blood test. The result came back as hemoglobin 10.5 and serum uric acid 5.98. I have attached the medical prescription given by then for 20 days.\u00a0He also told to avoid pillows. My wife started avoiding milk, milk products, meat, pulses etc. She is feeling fine now.\u00a0After 20 days when she went for consultation some new doctor was there. He told that the uric acid is in range and no need to continue these medicines.\u00a0Now again pain is there. Please tell us what test we need to do now to find the problem. Please tell the medicines which would be helpful in this case.\u00a0Thanks in advance. Doctor: Hi. For further doubts consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21255, + "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": 23277, + "tgt": "Is there an injection therapy to reduce hemorrhoids?", + "src": "Patient: Hello doctor,I have been to see my GP a while ago about hemorrhoids. I cannot remember when I first got them. It was a while ago. I have done the usual. Eat fiber to soften stools. Taken herbal tablets to soften them. Have done the warm water baths. Have done pile creams. I went to the toilet yesterday and it was slightly harder than normal. Now have a massive lump. After I had gone, I found blood when wiping. It is absolutely agonizing. I am now weird about going to the toilet because of how much it will hurt. I wanted to know if there are any other treatments you could suggest. I have had a look up about it and says about surgery. I was wondering, I think I remember something about an injection to reduce it. Any advice would be greatly appreciated. Doctor: Hello. There is a procedure other than surgery, called sclerotherapy. This is a very simple procedure, done in the outpatient department. A sclerosing agent is injected into the hemorrhoid which allows it to shrivel and shrink. It is done under local anaesthesia. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15146, + "tgt": "I have no desire for sex. Is it because I use tobacco?", + "src": "Patient: Dear doctor, I am 33 years old. I have no desire for sex. There is no erection in the penis since the last three months. I am a regular tobacco user. Give me advice. Doctor: Hi. Kindly quit tobacco immediately. Tobacco usage is one of the causes for sexual dysfunction. You can take capsule Nano-Leo two capsules in the morning and night after food for three months, which is slow acting. After a month, let me know how you feel. If it is not effective after three months, you have to undergo investigations. So, get back to a sexologist online after a month --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21765, + "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": 28258, + "tgt": "What are the signs and symptoms of dyspraxia?", + "src": "Patient: Hi doctor, What are the signs and symptoms of dyspraxia in a 6 year old boy? Kindly explain. Doctor: Hi. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 20313, + "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": 7708, + "tgt": "How to overcome my depression about my studies and loneliness?", + "src": "Patient: Hello doctor, I have failed twice in my exams. I am feeling pushed out of my own home because there is a lack of peace. I weep secretly and daily whenever I think of my future, and it all looks bleak. I am a lonely person, and my enemies are many around me, including my own younger brother. Every time I feel like to quarrel with one or the other person. I always feel depressed, and sometimes I start feeling that one or the other day, I might become mentally ill because of this depression. I do not understand how to come out of this situation. Doctor: Hello. Competitive exams are tough, and the situation in which you are is not helping you cope up. To excel in such exams, you need to concentrate and not be distracted. Maybe you can shift to a hostel for preparing if you cannot start with maintaining some distance. Try it for two days, no matter what happens, you do not react to anything and focus on your studies. If you feel sad most of the times, if you think some anxiety, I would recommend meet a Psychiatrist and check if you need medicine. You can also start counseling sessions, which would help you cope up. I need more details about your situation to help you better. But I hope this would give an idea of what you should do next. Let me know if you need anything else." + }, + { + "id": 27360, + "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": 26039, + "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": 7165, + "tgt": "Please suggest a treatment for frequent urination", + "src": "Patient: Hello doctor, I am suffering from frequent urination. I have this problem for six months no burning sensation and no painful urination only frequent urination no BP and sugar, please give me a solution to my problem with the prescription. Doctor: Hello. I read your query. See frequent urination can have a number of causes like UTI, hyperactive bladder, stress, anxiety, excessive intake of liquids or excessive caffeine intake or some underlying cause. If you went through clinical examination and you do not have any issues. Then the most probable cause can be stress or anxiety or hyperactive bladder. So for stress or anxiety, you need to follow measures to calm down your mind. In the case of hyperactive bladder, do exercises to strengthen your pelvic floor. These will help you. In case you still feel trouble then you should visit a nearby urologist within two weeks. I hope you understand my point." + }, + { + "id": 12602, + "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": 14128, + "tgt": "What is causing sharp shooting pan in chest with sore biceps?", + "src": "Patient: Hi doctor, I am 27 years old. I have been experiencing a shooting sharp pain in and around the left side of my chest. It comes and goes and does not last more than a second or two. It does not happen often, just here and there, but my bicep is also sore. What could this be? Doctor: Hi. I have read your query. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach, along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness, these symptoms may signal a heart attack or myocardial infarction. Please visit your nearest hospital in such a case immediately. But, when chest aches and pains are on and off or of a different kind, it is often something different. You have mentioned that repeated EKG have been done and it is normal. So it is unlikely that you have had a heart attack. You have also mentioned that it is associated with sore biceps. Do you have any history of injury to the chest? It is quite possible that your pain is due to a musculoskeletal injury to the chest. Please take tablet Ibuprofen 400 mg every six hours for five days. Your symptoms should subside. However, even after taking this medication, symptoms do not disappear, please visit your doctor who can evaluate you further. Few other conditions which can give rise to chest pain include: 1. Fractured rib: History of trauma will be present with severe pain at a particular point in the chest when pressed. 2. Pain associated with breathing: It points towards lung cause like pleurisy. 3. Pain associated with discomfort in abdomen: It could be because of acid reflux from the stomach. If your symptoms point towards any of the above mentioned causes please visit your doctor who would do further examination. However, you have mentioned that you have done chest X-ray and it has come as normal. So it is unlikely that its any of the above. I would also advise you to sleep adequately, about eight hours daily. Keep yourself stress-free and do exercises to keep yourself fit." + }, + { + "id": 7791, + "tgt": "I had pregnancy diabetes. But, why is my sugar level shooting up even after pregnancy?", + "src": "Patient: Hello doctor, During pregnancy, I checked my sugar levels. It was very high. I consulted a sugar specialist. She gave me Glucophage 500 mg. In the seventh month, I used insulin. The doctor said that it is pregnancy diabetes and after delivery, it will get alright. But after delivery, my sugar level went very high. I started taking 500 mg Glucophage twice. But, my sugar was still not controlled. Now, I am taking 1 g at night. Please guide me. And, I want to know if pregnancy diabetes will go away or not. My fasting sugar is 200 and random is 200 to 250. Doctor: Hello. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 22201, + "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": 11214, + "tgt": "I am supposed to be 10 weeks pregnant from my LMP, but the scan shows 6 weeks. Why?", + "src": "Patient: Hi doctor, I am pregnant with my second child. According to my LMP, I am supposed to be about 10 weeks. However, I had a scan about 3 weeks ago which showed 6 weeks 5 days and another scan this week and it showed 6 weeks 3 days. Baby is also sitting on the uterus lining making the baby very easy to miss if the sonographer is not thorough. There is also a strong heartbeat. Is it possible that due to the baby's current position in the uterus we are not able to get the right measurements to see if the baby is growing well? I do not think it is possible for a baby to decrease in size with a strong heartbeat. Please help. I am emotionally stressed due to this. I have another follow-up scan in a week. Doctor: Hi. Firstly, is your period regular or irregular? Were you breastfeeding or taking any pills? In these cases, LMP is not considered as accurate, and scan is the main thing to determine the gestational age. Secondly, the baby position does not play a role in hindering having measurements. The baby would sit on the lining because it gets nutrition from there, and that is what is called implantation. Thirdly, what concerning is that if measurements were the same three weeks ago why the baby has not progressed in these three weeks. Possibly one of these scans is not correct either this recent one or the last one. This thing is worrying for me, and it is good that you are having a follow-up scan, and if the baby's heartbeat is there, then you have nothing to fear. Hopefully, everything would be clear by next week. I am wishing you all the very best." + }, + { + "id": 117, + "tgt": "I get recurrent spots on the penile head with some discomfort. Please help", + "src": "Patient: Hello doctor, I am a 43-year-old male. I have spots and discomfort on the penis head. It has been coming and going for a while. Now some of the spots are more visible if I squeeze the head and it looks like dark specks under the skin. I am using Butenafine hydrochloride, and Cortisone 1%. Doctor: Hi. Reviewing your history and pictures showed (attachment removed to protect patient identity), there might be skin irritation which can be from repeated frictions like masturbation or reaction to the substance used it also can be due to vitamin deficiency or a skin condition like psoriasis, etc. Fungal infection is rare and it does not present as a spot usually it is whitish material and happens in people who are immune compromised like diabetics or people who have HIV infections. Since it is not itchy or painful you should not worry about it and you should not use Cortisone cream as it makes things worse. Keep good hygiene area should be dry and clean. Use nonchemical lubricant like olive oil if you masturbate. If you have changed your soap or shower gel it might be the cause. Take vitamin E and vitamin A to replace your vitamin deficiency. If you are known to have psoriasis then treatment can be by Methoteraxate cream (but only for people who are known to have psoriasis). Follow up is important and please keep me updated for any further queries." + }, + { + "id": 15832, + "tgt": "I have red rashes and itching around the vagina. Kindly prescribe some medication", + "src": "Patient: Hi doctor, I am 59 years old. I have red rashes and itching around the vaginal area. I am not sexually active. Itching increases during night time. Kindly prescribe some medication. Doctor: Hi. You can have rashes and itching due to a vaginal infection. Please get yourself checked by a gynecologist internally 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 ordinary tap water whenever you use a washroom. Avoid using vaginal douches and creams. Revert me with the reports so that I can guide you further." + }, + { + "id": 29825, + "tgt": "Can my wife take Primolut to delay period?", + "src": "Patient: Hi doctor, My wife wants to delay her period\u00a0for one week. What to do? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19066, + "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": 11486, + "tgt": "Does Paracetamol allergy cause itchy rashes on face, and stomach in a 6-year-old?", + "src": "Patient: Hello doctor, A 6-year-old gets itchy rashes on her face and stomach after taking Paracetamol syrup, may be a probable allergy to Paracetamol. We have been giving her Calpol for the past three years. And it is showing these symptoms now. 1. How to make sure that this is Paracetamol allergy or not? Is there any test? 2. Why were there no adverse symptoms earlier when I gave her Calpol for the past three years? 3. Do children outgrow these allergies after a few years or months? Can she be able to take Paracetamol later in her life? 4. Is it true that any future exposure to Paracetamol will delay the ability to outgrow the allergy? I mean if she is exposed to Paracetamol will she take more time to become normal? 5. I tried Ibugesic instead, and it was tolerated well. Should we give her Ibuprofen instead of Paracetamol during fever? Doctor: Hello. For allergy, you can give Cetirizine syrup. Paracetamol is one of the safest drugs. It is very rare that Paracetamol causes allergy. And you are also giving Paracetamol for the last three years, and there was no allergy. Generally, allergies increase by repeated exposures. So I think it may be due to some food allergy or infection. At present do not give Paracetamol if you feel that it is causing allergy, continue with Ibuprofen. If she is developing so much rash, itching or breathing problem then go to a pediatrician as soon as possible. Food allergy. Syrup Cetirizine 5 ml BD (twice a day) for five days." + }, + { + "id": 23179, + "tgt": "What can cause frequent throat infection?", + "src": "Patient: Hi doctor, I used to get throat infection whenever I drink cold water. Due to weather also drinking water gets cold. Even that leads to throat infection. What measure shall I take to protect myself from throat infection? Doctor: Hi. Many patients come to me with this complaint of frequent sore throat. First I would say do not worry about this. We must evaluate if there is any pathogenic organism residing in the throat and causing recurrent infections. For the same a throat swab (culture and sensitivity) test is required based on which we can proceed further treatment. If tonsils are the foci of infection they frequently enlarge and cause obstructive symptoms like difficulty in swallowing, pain while swallowing and also bad smell from mouth. A physical examination by an otolaryngologist can easily diagnose tonsillar enlargement. Rather you can send me a selfie with open mouth taking care the back of throat is visible and tongue does not obstruct the view. Frequently the condition can be allergic when it does not result in pain and pus but causes frequent itching, throat discomfort and nasal discharge and sneezing. On the inflamed mucosa secondarily bacteria can multiply and produce an infection. Throat infection can cause pain and infection in the ear due to continuity with ear through the eustachian tube. Eustachian tube which serves to maintain equal pressure on both sides of eardrum and drain ear secretions can result in ear pain and fullness when blocked. As general precautions in addition to salt water gargles, take steam inhalation also. During throat pain, use Chlorhexidine gargles. Mix 5 mL Chlorhexidine in plain water and gargle the throat and spit out the fluid. Also let us know if you have any additional symptoms like cough, vomiting, fever, headache, giddiness, etc., which can help us to make more decisive diagnosis. Also let us know about your habits and please mention any medication you are taking for diabetes or hypertension, etc. 1. Throat swab. 2. Total blood count. 1. Allergic rhinopharyngitis. 2. Chronic pharyngitis. 3. Chronic tonsillopharyngitis. Revert back with the photo of throat to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11876, + "tgt": "A 9-year-old is suffering from red eye, tearing, and uncontrolled pupil movement. Kindly advice", + "src": "Patient: Hello doctor, My son is 9 years old. He got his first prescription glasses two years ago, and it was 1.00 and 1.25. Since he started to wear glasses, he had red eyes, tearing, and after some times pupil goes side to side out of control. Then we were referred to an ophthalmologist. He said my son's shape is a little different than an average person. Then I stopped him from wearing glasses until the last year. He got his prescription glasses before three months. It was for long distance of 1.25 and 1.50. Now it dropped to 2.25 and 2.50 in four months. And he started to face the same problems. What can be the problem? Please help. Doctor: Hello. Did he undergo cycloplegic refraction? Cycloplegic refraction means, children cannot be tested for glasses like adults. For children, we have to first put drops like Homatropine to dilate their eyes and then optometrist has to do a retinoscopy to determine the number. If this method is not used, one cannot determine the error correctly. Only after cycloplegic refraction, one can tell exact refractive mistake of a child." + }, + { + "id": 7779, + "tgt": "I have had low creatinine levels for past four months. Is there any issue?", + "src": "Patient: Hello doctor, I have had very low creatinine levels for more than four months (low 11 highest 68) normal is 110 to 135. Do you think there is an issue? Doctor: Hi. I can understand your worries. Low creatinine levels are caused by low muscle mass either due to age or a disease like muscular dystrophy (MD) that may be causing muscles to deteriorate. The liver makes creatinine and if liver functions are compromised, it can also lead to low creatinine levels. Please get yourself examined by your local physician in order to rule out the causes." + }, + { + "id": 23360, + "tgt": "I found a round mole like thing in anal hole. Is it piles or any other infection?", + "src": "Patient: Hello doctor, I feel itchiness and burning sensation in my anal hole. It has been for a long time. Maybe for one month. I thought it is because of outside food and spices. Though I do not feel that much pain or anything more than like anything. But today I wanted to see the area. I found one round like mole or wart has formed. I touched it. It feels to itch. No much pain at all. No blood. I searched in net. I did not figure out what it is exactly. Piles or any other infection? I go to the gym and to weight training too. Please help me in curing this by knowing about it. Doctor: Hello. I can understand your concern and will try to help you sort out your problems. You have anal polyps and also anal infection which needs treatment. Kindly take antibiotic prophylaxis like Ofloxacin or Norfloxacin full course dosage based on body weight after prescription from any nearest practitioner. You once need to get proctoscopy done to know if those anal polyps are troublesome. If so get it removed under local anesthesia. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1118, + "tgt": "I have fever and leg pain from yesterday with a history of preauricular sinus. Please help", + "src": "Patient: Hello doctor, I have fever and leg pain since last night. I had preauricular sinus infection pus drainage three weeks back. I was on different antibiotics for the last 45 days. Taxim O, Centil, Augmentin, and Lizobact 600. I stopped taking them two days back. Doctor: Hello. I have gone through your query. As per your query, you have taken multiple antibiotics for a long time which is not good. I need to know whether you have done a culture sensitivity test for the pus draining out of the sinus or not, because if you take antibiotics according to the culture then chances of recurrent sinus infection and fever are very less. Can you send me the photos of your infected area (preauricular sinus)? Mostly pus discharging sinuses are caused by tuberculosis infection in most of the cases. In my opinion, you should go for a detailed physical and systemic examination along with some blood tests and chest x-ray. Also, if discharging sinuses is still persisting then you need to do a pus culture sensitivity test both for bacterial culture and Acid fast bacilli (AFB) culture and other advanced tests for tuberculosis. Now you can take tablet Paracetamol 650 mg whenever you develop a fever. Please do not ignore your problem as it can lead to deterioration of your health. I suggest you to consult a physician and get a detailed physical and systemic examination done and detailed evaluation along with the above tests." + }, + { + "id": 2004, + "tgt": "I have a small pus-filled boil under my lips and is painful. Please suggest treatment", + "src": "Patient: Hi doctor, I was having a small boil under my lower lip edge and I pressed it and opened the pus. My lower lip is fully swollen with yellowish and there is a small cut while pressing for pus. This is very painful now. Doctor: Hello, Welcome to icliniq.com. According to your statement, you have a boil under your lower lip edge and your lip is swollen after pressing it. It is painful too. Boil is a skin infection caused by Staph.aureus and its aggravating factors are DM (diabetes mellitus), immune-compromised, anxiety, etc. You should continue your current medication. You can add Flucloxacillin (Neoflox for 14 days) along with your antibiotic Cephalexin as it is caused by staphylo aureus. Apply warm compresses and soak the boil in warm water. When the boil starts draining wash it with an anti-bacterial soap until all the pus is gone and clean with rubbing alcohol. If any complications occur please inform me I will try to help you further." + }, + { + "id": 15479, + "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": 25864, + "tgt": "How can heavy and irregular menstrual periods be treated?", + "src": "Patient: Hello doctor, I am a 17-year-old female and my periods have been irregular and heavy from the beginning. It has been almost four to five years since I got my first period. But they are still irregular. For the past two years, I have used some medicines, but they have worsened my situation. After using those medicines, my period came after five months and they were long. So, I consulted an ayurvedic doctor and the ayurvedic medicines worked back then. But now, nothing is working. I cannot go to college since I feel I need complete rest. Currently, I got my periods two weeks back. My period will not stop till I use an effective and a strong medicine. My period comes once in every two to three months and lasts for more than two weeks. At the end, it gets heavy too. So every time it comes, I will have to take medications to stop it. But now, I am fed up with all these medicines. I have also tried a homeopathic medicine called Sabina, but they are also not effective. In the past, Yes, I have used Regesterone and as it did not work, the doctor prescribed Femina tablets. Please tell me what is happening with me and suggest a nice and effective method. Please help. Doctor: Hello. Your problem is PCOD (polycystic ovary disease). I suggest you take Novelon (Ethinyl Estradiol and Desogestrel) two tablets today with milk to avoid acidity and two tablets for the next two to three days until bleeding subsides and then one tablet daily to complete 21 tablets. Along with this, I suggest you take Texid (Tranexamic Acid) 500 mg two to three times a day till bleeding subsides. You should get all the relevant tests done in fasting state You need to get a gynecological ultrasound to rule out PCOD and to look for endometrial thickness. You also need to get a thyroid profile done, FBS (fasting blood sugar) and PPBS (postprandial blood sugar), fasting and postprandial insulin, and Sprolactin. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30240, + "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": 17814, + "tgt": "The CSW had some white patches near her vagina. Should I get tested for HIV?", + "src": "Patient: Hello doctor,I had sex with a prostitute and not sure if she has HIV or not. However, I have used a condom as a protection. Now, do I need to do an HIV test to check? Doctor: Hello. I have noted your concern. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23260, + "tgt": "Could a lightened area in a brain MRI be an infection or a tumor?", + "src": "Patient: Hello doctor, I had an MRI performed on my brain due to my visual perception being off and not seeing and understanding my location correctly while driving.I did hit someone and almost got into a larger accident. The right side of my head feels like there is a cyst or something there. My skull on the upper back right side would feel sore, bruised when touching it. It felt like a cyst, or something was inside the brain beyond the skull. After the MRI, it felt like a large bubble has got released from that area bursting into my skull. After the bubble burst, about an hour after the MRI, the bruising feeling in my skull started disappearing. There is a feeling like something is in my head in the upper back right side radiating up and down into my neck. On the right side of my neck, sometimes I feel a pinch or swelling but mostly feels like a lymph node is swollen. The MRI showed that I have a meningioma and localized frontal atrophy. The atrophy looks horrendous to me, and I found a lightened area where I have pain but it is not on the right but left side. My questions are: Can you tell me whether a lightened area on an MRI could be an infection and not a tumor? As far as the atrophy is concerned, I have felt like my brain cannot create its energy for about 1 to 2 years. I was drinking a lot of sugar to provide energy but then started using supplements like acetyl carnitine which changes fat to fuel. I was under a lot of stress for several years and also was using a lot of anticholinergics like allergy medicine and antidepressants. I read that the brain will cannibalize itself for Choline. I take Choline now, but do you think my brain shrunk due to stress, not enough Choline, low blood pressure (not enough nutrients)? Would acetyl carnitine which helps utilize fat for fuel cannibalize my brain for fuel if I do not have enough glucose or ketones? Currently, I am on Lexapro 20 mg, Wellbutrin 75 mg and Spironolactone 25 mg. Doctor: Hello. I would like to review your MRI report for a more professional opinion directly. A hyperintense lesion could be related to low blood perfusion area or migraine headaches (if you have suffered before). The meningioma is a benign tumor, which grows slowly without causing obvious symptoms. In case of a frontal meningioma, it can lead to depression and memory problems. Regarding the brain atrophy, it could be related to different possible causes: Chronic hypertension, diabetes, dyslipidemia, a sedentary life, family history, etc. But, you should know that this is not a specific finding. As there are many persons with brain atrophy, who have normal cognitive function and well-preserved memory. So, as long as you do not have any short-term memory problems, there is nothing to worry about. I recommend consulting with a neurologist and performing some cognitive tests, just to be sure that everything is fine. It is also necessary following a healthy lifestyle: A healthy diet (Mediterranean diet, a low salt diet, be active and perform a lot of physical activity, avoid smoking or alcohol, etc.). I would also recommend continuing taking daily Aspirin. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5004, + "tgt": "What should I do for severe vaginal itching?", + "src": "Patient: Hi doctor, I am a 28 year old married woman. I have severe itching in my vagina. What should I do ? Or why is it happening? Doctor: Hello. Revert back after the tests to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 52, + "tgt": "I am diabetic and have ED for the last four months. How to improve my erections?", + "src": "Patient: I am 53 years old male, I am a diabetic and have ED problem for the last 4 months, I loose my erection very soon. I even tried taking Eract X on two occassions, but it didnt work, but do I have to take it continuosly? Please let me know as to what steps I need to take to improve my erections. Terry Doctor: Hello Dear do you feeling difficult to get erections?? or difficulty to maintain erection for a long time and premature ejaculation?? Diabetic patients with uncontrolled diabetes may lead to erectile dysfunction. So please maintain good diabetic control. Eat green leafy vegetables and fruits. Avoid smoking and alcohol consumption. Do regular exercise and yoga. Use tablet nano leo twice a day for three weeks. If you suffering from premature ejaculation intermittent squeezing and interruption may help need partner co operation. Phosphodiesterase inhibitors may be useful for ED. But don't use your taking cardiac drugs. For anxiety and premature ejaculation tablet dopaxetine 30 mg one hour before bed may useful. Please get it serum testosterone, ultrasound and doppler of penis, Nocturnal tumnesense test may useful to diagnose the problem. If no improvement with medication need prosthetic device insertion or local injection may useful. Take care." + }, + { + "id": 29708, + "tgt": "Please clarify the lesion found in the ultrasound of my 18 week fetus", + "src": "Patient: Hi doctor, My ultrasound report\u00a0showed well-defined anechoic lesion measuring 3.9 cm in length and 1.6 cm width in the\u00a0lower abdomen of the 18 weeks fetus. No echoes are seen within it. It is showing peristalsis.\u00a0Stomach and gall bladder visualized. No evidence of ascites. Abnormal wall intact.\u00a0Kidneys and bladder appeared normal. Please clarify\u00a0the lesion. I have attached the report for your reference. Doctor: Hello. I have been through the report posted (attachment removed to protect patient identity). An anechoic lesion defines a lesion that is clear and simple that means, the cyst visualised is a simple cyst. Ther are some cysts like a mesenteric cyst, omental cyst or neuroblastoma ovarian cysts in female fetus and so on. Showing peristaltic movements and its location intra-abdominally makes enteric duplication cyst as the most probable diagnosis (rare congenital abnormality in gastrointestinal tract). The good thing is that it is not associated with any other anomalies. What is needed now is its regular follow up and surgical excision after delivery to avoid future complications. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15414, + "tgt": "Why is my blood pressure very high although tests are normal?", + "src": "Patient: Hello doctor,I am 19, exercise regularly and eat healthy, yet my blood pressure is always very high at the doctor. He says this is only because of my anxiety disorder. It has been as high as 168/110 before. He did a physical and CBC, thyroid, glucose, and kidney function test and they all came back normal. Does this rule out secondary hypertension? Doctor: Hi. Hypertension at your age is not usual and if it is present, a few things need to be evaluated thoroughly, especially your kidneys and your adrenal glands. A renal function test will not be helpful in this case. An MRI or ultrasound of the kidneys would be required to rule out a possibility of adult polycystic kidney disease. Also, I would like to know if either of your parents has hypertension or autosomal dominant adult polycystic kidneys. I suggest 24 hour urinary free catecholamines and metanephrines for a probable tumor of the adrenal gland. Please note that I am not saying that you have either of these but at your age hypertension with anxiety disorder may present with these conditions. So, it is important to rule them out. Also, do you have headaches? That could help identify the problem. Let me know so I can help. 1. MRI or ultrasound of kidneys. 2. 24-hour urinary catecholamines and metanephrines. Pheochromocytoma Polycystic kidney disease. For more information consult a family physician online.--->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16872, + "tgt": "Shall I take Zincofer to improve ferritin?", + "src": "Patient: Hi doctor, I am a 21 year old female.\u00a0My Hb level is 13, whereas my ferritin level is 14. What shall I do to improve my ferritin? Also, I feel fatigue, mood swings and hair fall. Please suggest me some supplements? I have been suggested with Zincofer. Will that tablet cause any side effect? Will my hemoglobin elevate above normal? Please clarify. 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": 14956, + "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": 6331, + "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": 7875, + "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": 11269, + "tgt": "How to get rid of the acne on my cheeks, chin, jawline and neck", + "src": "Patient: Hello doctor, I have been dealing with acne on my cheeks, chin, jawline, and neck for the past four years. I have recently graduated my bachelors and got accepted to medical school. I previously thought the acne was due to stress, but since graduating I have still been having breakouts and tried Benzoyl peroxide, Retin A products, and salicylic acid treatments. All of which clear up temporarily but then get worse. I am not on any medications (no birth control either) but currently started taking a few supplements to see if it would help. I take fish oil, probiotics, and turmeric for the past week and now it seems to be helping a little, but I also just got off my period and had some flare-ups on my cheeks. I am in the military, and out of all honesty I have tried getting appointments with my doctor, but she always recommends the same treatment with Benzoyl peroxide and Retin-A. She even had me on Spironolactone a few years ago, but I have a low natural BP, and that just made me dizzy from lowering my BP more. I wish to see a dermatologist, but the military makes that difficult to do unless I wanted to pay out of pocket to see one. My skincare routine consists of using Glowbiotic MD face wash, diluted apple cider vinegar toner, and plain Aloe vera for moisturizer. I try to keep it simple to not irritate my skin more than it is. Please advice. Doctor: Hello. I understand acne is very frustrating. Many factors play a role in acne, they are, 1. The hormone is the main factor. Here acne is seen mainly on the chin and neck. A most common cause is the polycystic ovarian disease that presents with acne, increased hair on the face, hair loss from the scalp, irregular menstrual cycles. If you have any one of these symptoms along with acne, I strongly recommended evaluation by a gynecologist. 2. Stress. 3. Occlusion due to thick face creams, and foundation that block the pores on the face causing ductal block then inflammation. People from 13-30 years are more prone to acne. You have cystic acne, considering the distribution around chin and jawline, Spironolactone is the best medication in your case. Since you have a problem with blood pressure, I can suggest you other treatment options. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Aczone (Dapsone) 7.5 % topical gel, it is anti-inflammatory medicine but slow acting. 2. Oral Doxycycline or Minocycline for two to three months. These antibiotics are very useful for cystic acne. 3. Topical Fabior (Tazarotene) 0.01 % foam, this is the strongest topical retinoid. 4. Oral isotretinoin (Accutane) is the most effective treatment available for acne. It is weight based treatment, depending on your weight you will have to take Isotretinoin capsules for four to six months. It needs monthly blood work monitoring for serum lipids, liver enzymes, monthly urine, and a pregnancy test. Follow a monthly visit to the dermatologist." + }, + { + "id": 13834, + "tgt": "I wish to know if there are any abnormalities in my chest radiograph", + "src": "Patient: Hello doctor, I would like to get a an opinion regarding the attached chest radiograph.\u00a0I wish to know if there are any abnormalities like scarring. Doctor: Hi. I have gone through your attached chest radiograph (attachment removed to protect patient identity). Please find my observations below. The chest x-ray is essentially normal except for slightly prominent lung markings bilaterally and especially in right lower zone. However, there is no area of patchy opacity or scarring. Prominent lung markings might be associated with a mild cough or a hyperactive airway. It is also important to keep in mind that occasionally the lung markings might also appear prominently in a normal person when seeing a digital chest x-ray like the one sent by you. There is no fluid collection. The heart is normal in size. The bones are normal. The diaphragms are normal. I would like to know the reason for which the chest x-ray was taken, for more detailed discussion because symptoms of the patient are important while discussing a chest X-ray. Hope this answers your question." + }, + { + "id": 8215, + "tgt": "Does birth control pills lead to weight gain?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I have been prescribed by my gynecologist and have taken Larissia and Lutera birth control for four years now because back then, I had incredibly heavy and frequent periods (like a period every two weeks). Since four years, I have gained a lot of weight. Granted, I moved from my ordinary high school life to lower active college life, but I do not know if this is the cause. Lately, I have tried to go on a diet and become more active, and after two months, I have seen absolutely zero results physical and on the scale. Can this be due to my birth control? If I go off, my birth control will my very terrible periods come back? I want to take control of my health but also not suffer on my periods. Doctor: Hello. We can change medicines with little different dose from your next periods. With more progesterone content that will control your excessive menses. Secondly, you need to avoid all spicy and oily foods, butter, cheese, potatoes, high carbohydrate diet, sugar, salt. Try to consume more leafy vegetables, fruits, and sprouts. For weight control, try to do jogging at least continue 40 to 45 minutes. Because in the initial 20 minutes, only sugar of the body will consume. After 20 minutes, your fat will start to burn. You can begin to yoga or aerobics or dance classes whatever you like. Hormone problem TSH Thyroid function, blood sugar level, ultrasound of pelvis. Polycystic ovaries. Dysfunctional uterine bleeding. Change contraceptive pills. Avoid oily and spicy food." + }, + { + "id": 6685, + "tgt": "Can high vitamin B12 levels cause nosebleeds?", + "src": "Patient: Hello doctor, My mother is 68 years old, and two of her recent consecutive blood reports show very high vitamin B12 levels, over 1500. Her nose has bled for 3 to 4 times in the last six months. Last week, the bleeding was not stopping so she had to be admitted. She has undergone a valve replacement 12 years back, both retinas have been replaced five years back, and a total knee replacement last year. Please advice. Doctor: Hello. 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": 19403, + "tgt": "Does 62% of abnormal sperm indicate infertility?", + "src": "Patient: Hi doctor, My sperm analysis report shows 62% abnormal spermatozoa. Is it something to worry? Doctor: Hi. Revert back with the answer to the above question to an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 19696, + "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": 25580, + "tgt": "Can a son donate platelets to his father?", + "src": "Patient: Hello doctor,My father is suffering from a low platelet count due to leukemia. Can I donate platelets to my father? Someone at blood bank told me that son's platelet will not increase the count to a parent. I am in search of a donor for my father. Doctor: Hello. Platelet count is reduced in leukemia because the cells in the bone marrow produce platelets known as megakaryocytes that are replaced by the leukemic cells. If your father is receiving chemotherapy then also all the blood counts including platelets will be reduced. Your oncologist will give platelet and packed cell transfusions when required. Platelets, unlike other blood cells, need not be crossmatched or typed. So platelets from any individual can be given to any individual. It is not necessary for the donor and the recipient to be related. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12438, + "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": 8533, + "tgt": "What could a single small red bump on the penis be due to?", + "src": "Patient: Hello\u00a0doctor, I am a 30 year\u00a0old male who is sexually active. I seem to have developed a single small red bump on the\u00a0head of my penis right after having sex. I have had a\u00a0yeast infection on my penis head before. So, I assumed it was that again after having prolonged sex. I did not use a condom and I have been with her for three years now. I had sex with one other person two months ago, but that was protected and no oral sex was performed. I have a Betamethasone and Clotrimazole ointment with me. So, I have been applying that for a day now. The redness has gone away, but the bump is still there. It is painless and does not cause any sort of discomfort or discharge. Before this, I did not have sex for five weeks. I clean my penis every day and I never noticed this red bump before having sex. I am afraid it could be herpes but, I\u00a0am not sure if I can get a herpes bump that quickly. This has me really stressed out and I do not know what to do. Could this be herpes or genital warts? I do have a picture. In the picture, you can see the edges of the bumps are slightly pinkish followed by a white rim. The bump is the size of the full stop symbol on your phone's keyboard. There are no other bumps around it. Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 14866, + "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": 27094, + "tgt": "I am a 20 year old who already has few strands of white hair. How can I stop this?", + "src": "Patient: Hello doctor, I am a 20 year old. I have 20 to 25 strands of white hair. Can I stop this? Which oil is best to prevent white hair? Which shampoo do you suggest? What is the right way to use the oil and shampoo? Doctor: Hello. I just read your query. Try these things to control further graying of hair. Try all these regularly, and you will soon see positive results. Sometimes white hairs are due to genetic or environmental reasons. So control them initially. Follow-up after one month. I hope you are satisfied with my answer. Revert after a month to an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20603, + "tgt": "Can Neurontin be the reason for high WBC count?", + "src": "Patient: Hi doctor, My husband, who is 49, had blood work done. It shows a WBC count of 40,000, which has been checked twice now. His doctor wants to send him to see a specialist. He has had no recent infections. There is no change in his appetite and no weight loss. He feels fine. He has been on Neurontin for 3-5 months now for neuralgia and in researching it; it says it can cause an increase in WBC count. He had been on Tegretol for neuralgia before. Could this cause it? Of course, our main concern is, could it be leukemia? Doctor: Hi. Based on your query, my opinion is as follows: Yes, Neurontin - Gabapentin is known to cause high WBC (white blood cell) count. If there is no infection, then it is common to worry about leukemia when the WBC count is high. At present, the best idea is to get a peripheral blood smear report done. If there is no increased immature form like blasts, then it is a Neurontin side effect. If immature blasts present, then he will require further evaluation.The cause is probably Neurontin; however, get a peripheral smear to calm your mind. For further information consult a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21738, + "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": 2102, + "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": 13437, + "tgt": "There is upper lip tie in a child. Can this cause gap between teeth?", + "src": "Patient: Hello doctor,My 1-year-old seems to have an upper lip tie. Some thick skin between the two top middle teeth is sort of stuck to the inside of his upper lip. We only noticed because he just got hurt and a part ripped. We thought some skin was stuck between his teeth and tried to pull it out but it is stuck there. I am now seeing that it may cause teeth to be seperated as he grows up. Should I go see a dentist? He is happy now and playing. Should I just see a dentist in a few days to see what should be done to prevent teeth gap? Doctor: Hi. I have read through your complaint and the relevant details. The upper lip tie in your child is one of the common problems faced. This is called high labial frenum attachment in dental terms. There are two major disadvantages of such frenal attachments. Firstly, it would compromise the gum health of your kid by interfering in the placement of toothbrush. Secondly, it is one of the main reasons to cause midline gap between the two permanent upper central incisors. Now your kid has got only the milk teeth. We should be more concerned when his permanent teeth erupt that is around 5 to 6 years of time. But, consulting with a dentist virtually, and getting the triangular piece of frenum removed (frenectomy) before the permanent teeth erupt is an ideal treatment to be done. As you said, emergency treatment is not necessary but it has to be treated. Getting a 1-year-old in a dental clinic is a challenging job. So, start encouraging your kid and prepare him or her for the first dental visit and make sure it turns pleasant. Once he or she gets a knack of it, you may proceed to introduce your kid to various treatment procedures." + }, + { + "id": 19422, + "tgt": "I have flu from a couple of weeks. Please help", + "src": "Patient: Hi doctor, I am a 64 year old male, and I weight 80 kg, and my height is 1.62 m. I have this terrible flu from the last couple of weeks. I had three courses of antibiotic Clarithromycin for three days only, and I think that is the reason that the virus became stronger. I was also given two pills of Erythromycin, four times a day and finally Doxycycline, four pills for the first time, which I vomited while going home. I took two Doxycycline pills in that evening, two pills after 12 hours and then two pills once a day at the same time. I felt better after the last antibiotic for 3 to 4 days, but now I feel awful. I am either shivering badly or feeling very hot, and my mucus is currently light yellow in color. I did wake up five times last night feeling terrible. I tried washing my sinuses with a sinus rinse and had ginger tea. I feel very weak and unwell and desperate to get better. What to do? I am sick from a long time, and I have lost hope.\u00a0It was categorically a chest infection from the beginning. 10 days back, I got my blood, lungs, and blood pressure tested, which were all normal. I have never felt so sick.\u00a0Your advice in this matter will be greatly appreciated.\u00a0I am desperately waiting for an answer from you.\u00a0Best wishes. Doctor: Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19700, + "tgt": "Does porn addiction and intense anxiety have any correlation?", + "src": "Patient: Hello doctor, I am 36 years old. I have depression, illness, and taking treatments for about 16 years. Now, taking Veniz XR 37.5, Thyronorm 50 mcg, both in the morning and Veniz XR 37.5, 75 both are evening. Feeling fatigue and anorexia. I do not like doing work, feel restlessness, and intensely angry. These symptoms are feeling compulsive looking in the smartphone, porn sites, and porn stars detail, and masturbate two to three times daily. Now, while looking on erotic porn stars videos, heartbeat and anxiety are high. Is it porn addiction? And what are the symptoms of porn addiction? Porn addiction and intense anxiety have any relation? Please answer me. Doctor: Hi. When we are in anxiety and depression, our mind is stressed, it needs something which could increase secretion of a chemical called dopamine in our brain. This chemical uplift the mood. Doing masturbation or any kind of sexual activity increases this chemical in the brain. It is the same as people start drinking alcohol more or smoking more in anxiety and depression and subsequently develop substance use disorder. I would advise you to consult psychiatrist so that your medications can be adjusted. Once you are better you would automatically decrease all these increased sexual behavior. Thyroid stimulating hormone. Medicines need to be adjusted. Sleep well, eat a healthy diet, follow a routine." + }, + { + "id": 30087, + "tgt": "Do I need to get treatment for 3 mm gallbladder stone?", + "src": "Patient: Hi doctor, I am feeling nauseous in the morning hours for about a month. But, I vomit only once a day. My blood test report is normal, but there is a slight increase in eosinophil count (9.8).\u00a0I am also found with a 3 mm gallbladder stone. My age is 40 years. I am currently on Pantocid and Domstal thrice a day and Zentel once a day for worms. Doctor: Hello. Revert back with the answers to the above questions to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26670, + "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": 17057, + "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": 16467, + "tgt": "I feel terrible before periods. How to cure it naturally?", + "src": "Patient: Hello doctor, I feel terrible before periods and I cannot sleep. My tummy comes out, also my breast become heavy, and I feel no hunger at all. My periods are regular but I am just tired of this thing happening to me even though my lifestyle is good. I am a vegan. Please help me. I want to cure it naturally. Doctor: Hello. I have gone through your history and understand your concerns. You are suffering from premenstrual syndrome. You have to change your lifestyle and diet. You can take M2 tone syrup for the same. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24250, + "tgt": "Can dog hair affect Hamman-Rich syndrome?", + "src": "Patient: Hello doctor, I was diagnosed with Hamman-Rich Syndrome three years ago. My only treatment is oxygen 24/7 and Albuterol with wellness checkups every six months. I am scheduled to see a new doctor next month. My question is how or if dog hair affects my condition. Doctor: Hello. Dog hair can affect your lungs in two ways: For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10268, + "tgt": "What is the reason for decrease in the visual field even after having medicines for glaucoma?", + "src": "Patient: Hello doctor, I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week. Doctor: Hello. I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using." + }, + { + "id": 5824, + "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": 9521, + "tgt": "My upper molar is close to the sinus. Please provide me an opinion on my X-ray", + "src": "Patient: Hello doctor, I have an X-ray. I like an ENT to give me their opinion. My dentist thinks that my upper molar area that is close to the sinus may have an issue based on how the x-ray looks. Doctor: Hello. There does appear to be a radiolucent shadow in that upper molar area. But we need to correlate the findings with your symptoms. What are your symptoms?" + }, + { + "id": 21681, + "tgt": "Why do I have a back spasm?", + "src": "Patient: Hi doctor, I have narrowed disc in the center of back. There were no problems for almost a year. I usually do surfing, yoga and kung fu. But I woke up early around 3 AM last week with a super sore and stiff back. When I am lying down it hurts to cough, or I will roll from side to side. When I am getting out of bed, if I am upright, the soreness goes away. I can have a nap after lunch, and I do not have sore at that time. The pain in the back comes due to alignment and causes problems. But it resolves quickly. Doctor: Hi. The back spasm is due to excessive activity that could have aggravated due to faulty posture in the bed. Do a lot of icing. Stretch your back and your hip flexors. Do spine extension like cobra stretch. If you can, engage in glute stability exercises and do warm up and cool down. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 7236, + "tgt": "Is it safe to take Mobizox for foot pain?", + "src": "Patient: Hello doctor, My brother, who is 36 years old, has a lot of pain in the ball of right foot.\u00a0It is like a sharp pain both on the foot as well as in the toes.\u00a0He is overweight with 98 kg and he is of height 5 feet 7 inches.\u00a0He is taking NAC 75 painkiller.\u00a0But, the pain comes back once he stops eating the painkiller.\u00a0What can be done for this pain? What could be the cause? Also, his uric acid is high at 10 or 11. Please suggest some measure. Thank you. 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": 20329, + "tgt": "Can drain tubes piercing the pleura cause pain in the lungs?", + "src": "Patient: Hello doctor, My husband had a pleural effusion in the left side of his chest after having a PE and then contracting pneumonia, which caused his left lung to collapse. Three drain tubes were inserted into the pleura to drain off the fluids. This all happened seven months back. My husband has been experiencing pain in his left lung area since. Is this normal? Could the drain tubes piercing the pleura be the cause of the pain he is still experiencing? If yes, will it heal over time or does the holes stay? I have read that the nerve endings are in the plurea for the lungs, could the pockets of fluid he had cause nerve damage? Doctor: Hello. I went through your husband's history provided by you. By PE I assume you are referring to pulmonary embolism and not pericardial effusion. Are the tubes still present? If so the tube rubbing the pleura while taking a deep breath can cause the pain. Pulmonary embolism which may have cut off blood supply to part of the lung can cause the pain. If the tubes have been removed, the holes will heal in a couple of weeks. That will not cause the pain. In the case of pleural effusions, when they heal, it can cause some thickening of the outer layer of pleura which will limit the expansion of the lungs to some extent. This thickening can cause some pain and discomfort on deep breaths. This may persist for some time. In majority, this pain diminishes over time." + }, + { + "id": 3988, + "tgt": "What causes missed period with negative UPT?", + "src": "Patient: Hello doctor, My partner missed her period. We have done home pregnancy tests which showed negative. She does not have any pregnancy symptoms either. What may be the reason of her missed period? Doctor: Hello. Kindly note that we cannot rule out pregnancy still so wait for another 4 days and do urine pregnancy test again. Were her periods regular before? Does she have any medical illness like fever in last week? Any stress? Any thyroid problem? Any mild bleeding per vaginum? So kindly answer above questions so that I can help you more." + }, + { + "id": 11755, + "tgt": "My veins are clearly noticeable. Should I look for any treatment?", + "src": "Patient: Hello doctor, I would like to know why my veins are so visible. I have fair skin which could be the reason, but I see a lot of white people whose veins are not noticeable. And I am talking about usual green or blue veins, not spider veins because I am only 20. Does it have to do anything with my health? Is there a treatment? Which doctor am I suppose to see? Doctor: Hello. I have gone through your case (attachment removed to protect patient identity). Since you have not taken any treatment for any diseases and almost all veins are visible then you need not worry. This phenomenon is exaggerated in some individuals. Surely this will not do any harm to your health, as these are visible for a very long time and they will persist for your life. One more thing veins of feet are becoming more prominent because feet are dependent areas. When we stand we exert all pressure on feet. As a result blood flow to vessels here increases, and it becomes more prominent. You do not need to see any more doctor except reassurance." + }, + { + "id": 3525, + "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": 9359, + "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": 24394, + "tgt": "How to achieve full erection while having sex?", + "src": "Patient: Hello doctor, I am experiencing ED issue. I am not able to achieve full erections while sex. There is no previous history of this issue. Kindly advice the further action to be taken. Doctor: Hello. Relax and do not worry. Please answer these questions, Since how long do you have this problem? How were your erections before? Are you suffering from other alignments like diabetes and hypertension? Do you have the addiction to smoking or alcohol? Do you have night erections? Any other stress in life? For more information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3365, + "tgt": "Is spotting during ovulation a mandatory sign of pregnancy?", + "src": "Patient: Hello doctor, I am 33 years old and got ovulation spotting on 27th of last month, after this I tried to conceive. My period date is 11th of this month. I faced many leg cramps and abdominal pain in the period, also the period was light as usual and got frequent motion after the period. I am feeling irritated with many smells. On 24th again I got some spotting (ovulation day). I did a pregnancy test but it is negative. I am messed up. Can I be pregnant in this scenario? My doctor prescribed Deviry 10 mg for 10 days. Please suggest me is that medicine is safe if I get pregnant? Doctor: Hi. It is not always that you will be surely pregnant if you had sex during ovulation. It is also not 100 % that there is bleeding when there is ovulation. Spotting can be due to other reasons and can be the sign of irregular endometrium due to hormonal imbalance. You can get Deviry (Medroxyprogesterone Acetate) and even if you get pregnant mostly no harm. Consult a nearby gynecologist and do take proper consultation and counseling session about pregnancy and its treatment performa. You may need to do some basic investigation to find out whether there is any problem or not. Whether you are ovulating or not during the mid-cycle and confirming it by ultrasound. You can take a repeat urine pregnancy test after eight more days." + }, + { + "id": 11202, + "tgt": "Is it normal to see blood collection at internal OS?", + "src": "Patient: Hello doctor, I am 17 weeks pregnant. In my USG report a blood collection is found of 52 mm x 20 mm at internal os. I am very worried. What is to be done with the problem? Doctor: Hi. How are you doing? After 12 weeks pregnancy, the risk of bleeding is low. Only a bleed from the margins of placenta is to be worried about. Cause of this collection could be: 1. Erosion and thereby minimal bleed from the raw surface of erosion. There may be mild discharge with or without some altered blood. You can have vaginal antifungal or antibiotics like Cansoft CL or Candid V or Clingen Forte once at night for 5 to 7 days. 2. If you have had sex recently. Above medications can be used. 3. I hope cervical length is greater than 2.5 cm and internal OS is closed. If not, you may need a cervical cerclage stitch. To be on a safer side, you can have: A. Injection Proluton depot 500 mg IM once in two weeks for 1 to 2 months. B. Capsule Susten or Dubagest or Naturogest or Vagestone 200 mg twice daily vaginally for 1 to 2 months. These both can be used simultaneously. They both are Progestrone hormone. They relax the uterus and if the blood has any chance to irritate the uterus, these two will stop it. So can prevent preterm labor pains. It is not easy to prevent pain once it starts, so better to use it before any risk factors. I do not think there is anything to worry, avoid any strenuous work, journey and sex." + }, + { + "id": 2485, + "tgt": "Will Accutane intake for 3 months cause weight gain?", + "src": "Patient: Hello doctor, I have done a gastric sleeve surgery before seven months, and I recently did a rhinoplasty surgery last month. Am I allowed to have Accutane 20 mg for a period of 3 months and will I gain weight from it? Doctor: Hi. Accutane also known as Isotretinoin prescribed for the treatment of acne used as a last resort if no other treatments are showing a promising response. Gastric sleeve surgery is not a contraindication to take this medication and it will not cause any weight gain. Although in some studies it has been noticed that Accutane is better avoided when a cosmetic procedure such as rhinoplasty is undertaken for up to a period of six months. However, the drug has other side effects which are rare but you should have been informed by your physician before they prescribed it to you such as sensitivity to sunlight, headache, and many others. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. I hope this helps." + }, + { + "id": 21109, + "tgt": "I have broken eye vessel and pressure behind my eye for past ten days. What is it?", + "src": "Patient: Hello doctor, I have what looks like to me a broken eye vessel in my left eye but I want to be sure that what it is. I have had it for about 8 to 10 days now. It is annoying. I need it to be gone. There is some pressure behind the eye that is more of an annoyance than pain. The past few nights, I have been using an eye patch when I sleep to protect it in case I rub it during my sleep. I also have used over the counter artificial tears as needed but not every day. Please, what do you think it is? Doctor: Hello. I have looked at the pictures uploaded by you (attachment removed to protect patient identity). You should not worry. It is not a serious condition. You have developed a sub-conjunctival hemorrhage. It can be caused due to many factors, but a mild injury to the eye during sleep is the most common cause. Also if you have high blood pressure, then it is more common. It should resolve on its own after 10 to 15 days. You can continue using lubricant drops. Regarding the pressure behind the eye. I would suggest you get checked for glasses by an optician and wear them regularly if required. Consult an ophthalmologist in person if that does not help." + }, + { + "id": 17163, + "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": 3035, + "tgt": "Why do my newborn spitting up milk after each feed?", + "src": "Patient: Hello doctor, I have a 14-day-old baby girl. She is exclusively breast fed, and has been known to spit up quite a bit after every feeding but her pediatrician said it may just be my milk flow is too fast and she is swallowing a lot of air. Her stools are usually orange with stringy bits in it, but this morning her stool was green and very watery. I thought it could be because I took emergen-C yesterday. She has been very fussy all day, urinating normally but not passing stools as much and when she does it is green and very dry. After feeding her she was laying down on me and she projectile vomited a large amount of milk. I took her temperature rectally and she does not have a fever, it is at 97.1. I am worried she has a stomach bug. Please help. Doctor: Hello, Welcome to icliniq.com. According to me hold the baby in one arm keeping his head at the elbow joint and the buttocks in the palm of the same arm and feed the baby for 15 to 20 minutes. Hold the outer palm of the baby in between the thumb and index finger and press the palm whenever the baby sleeps or stop feeding. After feeding put the baby on the left shoulder and pat just behind the stomach level for five mintues to burp. Baby usually burps within three to five times. After burping lay down the baby on the right side of the baby putting a pillow below head maintaining the head above the level of stomach." + }, + { + "id": 6536, + "tgt": "Shall I use Surfaz-SN to remove the acne on my penis?", + "src": "Patient: Hi doctor, I am 25 years old. I have a small acne on my penis. Shall I use Surfaz-SN to remove the acne? If that is not useful, then please suggest me a correct cream. I do not like to go for surgery. Thank you. Doctor: Hi. I have read your concern. With your description, it seems that you have developed molluscum contagiosum. Please get a review with a picture for better evaluation and the best possible treatment of your concern. Revert with photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21469, + "tgt": "Can a right ovarian cyst cause pain in the left pelvic area?", + "src": "Patient: Hi doctor, I have polycystic ovary syndrome and my periods get delayed sometimes.\u00a0From the past four days, I am having pain in my left pelvic area.\u00a0I got an ultrasound done, and it shows 4.5 cm cyst in my right ovary. Why am I having pain on my left side when the cyst is on the right? Could this pain be due to the\u00a0cyst? Doctor: Hi. The pain that you are experiencing is not due to the ovarian cyst, as the cyst is on the right side and pain is on the left side. This pain might be caused by an infection or any other pathology. So, I suggest you repeat an ultrasound of the pelvis if the pain is severe. PCOS (polycystic ovarian syndrome) will cause irregularity in the menstrual cycle but will not cause such a pain. I wanted to know the type of cyst you have, When was the ultrasound done? You will require a repeat ultrasound after three months, to know whether the size of the cyst is same or if it is increasing. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4815, + "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": 28065, + "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": 19152, + "tgt": "What treatment can be had for severe head to toe muscle twitches?", + "src": "Patient: Hello doctor, I have had muscle twitches from head to toe for say 12 months. About four weeks ago, my left thumb started twitching involuntarily and it would not stop 24 x 7 not even during sleep. This morning, I felt the right thumb started to pain. My blood tests are clear and so are my MRI of the brain and spine. The GP said that I have to wait for four months to see a neurologist. I have also suffered vertigo on and off for the last 12 months. I have been stressed the last two months but this started after the stress calmed down. Can you kindly help? I am on Nexium and a contraceptive pill. Doctor: Hello. Do you feel any kind of weakness or thinning of the limbs? Do you see the twitching or only feel it? Do you feel any tingling sensations in the limbs? Is there any family history of a similar illness? Are there any thyroid function tests done? Do you have any cramps? For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15274, + "tgt": "Why is my penis tip swollen with different color?", + "src": "Patient: Hello doctor, My penis tip is swollen and skin is also looking different. It happened three months back. I consulted a urologist, skin specialist also, it has not reduced. I did not have any bad habits and not have any illegal relation, unmarried. Please help me. Sometimes near the tip, there is burning, irritatation and it is reducing. Doctor: Hi. You seem to be suffering from balanitis. There are various causes for balanitis which include yeast infection (the most common cause), bacterial infections, viral infection, sexually transmitted infections, skin irritation, and allergy. I would suggest you consult a physician. You may need a short course of antibiotics." + }, + { + "id": 29035, + "tgt": "Why are my heartbeats always very strong?", + "src": "Patient: Hi doctor, I am a\u00a024 year old male, who weighs 78 kg and is 180 cm tall. I\u00a0do not consume alcohol, but smoke two cigarettes per day. Since the past few years, I feel my heartbeats are very strong. I can feel my heartbeat all the time. I have consulted three cardiologists already for this problem. I got an ultrasound of the heart and an echocardiogram done. The reports said that my heart has thickened to 11 mm. The doctors told me that, it is the result of weightlifting, and that my heart is normal. All the other tests came back negative. Then, why do I feel my heartbeat while resting? I do not eat heavy meals. My doctor told me that I am hypertensive. What does an enlarged heart mean? Doctor: Hello. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26081, + "tgt": "I have severe neuropathy in my legs after a burn injury. How to lead a normal life?", + "src": "Patient: Hello doctor, I had burns in 90 % of my body of which 65 % were third-degree when I was 13 months old. My left leg was burned so bad that the hospital wanted to amputate, but my parents refused. I am 36 years old now. My circulation has gotten increasingly worse as I have aged to the point that I have severe neuropathy in my left leg and right foot. Winter is severely painful. My leg and feet will turn extremely purple and freezing cold and it is difficult to get the temperature back to normal and the feeling to return. I have tried pressure hose, warmer clothes, etc. It does not work. I was wondering if there is anything I can do besides warm shower, laying putting my feet up, and a warming blanket. It takes all of this to get my legs to stop hurting and it takes a couple of hours each time. It is directly affected by temperature. In the summer I cannot sweat. So, my legs swell. In the winter they turn purple and I cannot walk. I just hate this. I cannot stand the pain and the way it interferes with my life every day. I take Gabapentin, Celebrex, Vitamin D and Singulair. Doctor: Hello. I went through your detailed history. For further queries consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24366, + "tgt": "Can total hip replacement surgery be delayed in my case?", + "src": "Patient: Hello doctor,I am a 38 year old male having pain in the hip and severe leg pain from calves to ankle, tingling, pins and needles in both feet, and stiffness in thighs. Please find all the reports attached. Also, suggest a medicine for RA. Doctor: Hello. I have gone through your history and the files attached here (attachment removed to protect patient identity). X-ray images are of poor quality and cannot be visualized. However, the hip joint can be observed which is the site of pathology in your case. As per the X-ray report, you have avascular necrosis of the hip, the treatment for which is a total hip replacement. The hip replacement can be delayed until the point where pain is bearable. You need to mention your occupation, weight you usually lift, any exercises you do, any walking aid, duration of medication mentioned in the query, the distance you can travel. Your blood reports do not have any tests related to rheumatoid arthritis, then why do you seek treatment of rheumatoid arthritis? Kindly follow up with answers to these questions for further discussion. Regards. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22993, + "tgt": "Can unprotected sex without ejaculation inside vagina cause pregnancy?", + "src": "Patient: Hello doctor,My wife had her last periods 15 days back. The period lasted for about four days. We had a sexual contact a week later. She had her periods completed on Tuesday, and we had this on Thursday, and it was not intercourse. I was not able to penetrate her and was only sliding against the outer lining. Since it was unprotected, so as soon as I got the feeling of ejaculating, I withdrew. After that, I ejaculated outside. But I have a little doubt that maybe a drop or so might have come out when I felt like ejaculating and may have got on her outer vagina or slightly inner vagina. Are there any chances of getting pregnant? I doubt because of a drop that might have come out. She has a regular cycle of 28 to 30 days. Doctor: Hello. There is almost no chance of pregnancy in your case if you are sure that the drop of semen just touched the outer vagina. Pregnancy happens only on penetration intercourse with some volume of semen ejaculated inside into the vagina. Practically, I feel there is no chance of pregnancy. Also, the time period that you had intercourse is her safe period and not the fertile window which further reduces chance of conception. There is no need to worry regarding pregnancy or even take a contraception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30583, + "tgt": "My culture report showed Nocardia positive. How to proceed?", + "src": "Patient: Hello doctor, A few weeks ago I went to the doctor with an open skin wound on my face. I was cultured as it looked like Staph infection and given antibiotics. I ended up putting raw, unfiltered honey on the wound and it cleared up in the next three days. There is only a small red scar now. The culture came back as positive for Nocardia. I have no fever, shortness of breath or any other symptoms to speak of. I have set an appointment with infectious disease specialist by next week. As the wound got healed, could it still be in my blood? Do I need to do anything before my visit? Should I push to be seen earlier? Doctor: Hi. I can understand your concern, but I require some more information. Revert back with the answers to the above questions to a microbiologist online --> https://www.icliniq.com/ask-a-doctor-online/microbiologist" + }, + { + "id": 24093, + "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": 11133, + "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": 7178, + "tgt": "I am allergic to cold air. How can I get it treated?", + "src": "Patient: Hello doctor,I have cold air allergy problem. I cannot stay in an AC environment, like airport, theaters, restaurant, buses, even if I cover my mouth and ear. If I wait for a few hours, I get a cough and feel unwell. If I stay more, then I get a headache. I have been taking medicines which includes Chlorpheniramine Maleate (2 mg), Paracetamol(500 mg), Phenylephrine (10 mg) which giving little relief but not that much. Is there any way like a special mask or any medicines which can allow me in such places temporary? This is causing me big trouble when I go out for a journey. Apart from that, I have cold drinks and food allergy too. I get a cough, but I can prevent it by not having them. Doctor: Hello, Welcome to icliniq.com. What do precisely your symptoms are? Do you have any nasal problem or breathing trouble, any wheezing? Do you get the same sign when you get exposed to smoke or dust? Since when are you having the symptoms. Have you taken any inhalers and if so have you found relief?" + }, + { + "id": 21861, + "tgt": "My eye looks drooped even after surgery for orbital floor fracture. When will it be fine?", + "src": "Patient: Hello doctor, I had got assaulted last year. I got kicked in the face and due to this two weeks after my injury, I had to have a tripod put on the left side of my face. Two weeks after that my eye was drooped and had to have the floor of my eye orbital replaced. The surgeon said my eye was pushed back 5 mm and the floor was gone and he had to rebuild a new floor and moved my eye forward. The surgery was done a year back. It has been over a year my eye still looks drooped to me. At times throughout the day also it tends to open up around it making it look extremely worse. I also still have no feeling in my face and if I drink alcohol my face drops a bit. I am guessing that had something to do with it relaxing my nerves. To me, it just looks like it is getting worse. I do not like the outcome of it, there are people who tell me they cannot tell and others who notice it right away. I see a huge difference. My eye looks lazy and glossy. This has been really aggravating to me considering well, this is my face. From the research I did I understand it can take up to a year to appear normal again. Is this true? Will my eye elevate on its own? Will I ever get feeling back in my face? I think it should be getting a lot better and to me, it is not. Any feedback would be greatly appreciated. Doctor: Hello. I have gone through your query. I will attempt to answer individual parts of your query separately to maintain clarity. Starting with appearance, yes it is a gradual process of normalization and it will get better with time. First-year produces most of that improvement, the improvement will continue, but at a much-reduced pace after the first year. After the second year, further progress is unlikely. What you see at the end of two years is pretty much it in terms of appearance. Moving on to the second part of the query, the numbness and face dropping is due to nerve damage, it depends on how bad the nerve injury is and what type of injury it is. Nerves may have injuries ranging from a mild crush or stretch to a full severance or transection. Since you only report numbness and dropping when alcohol is consumed, not more severe symptoms of facial paralysis with drooling saliva, I am assuming it is a milder type of injury. If that is the case the numbness will slowly improve over the years, but nerve tissue is inherently slow healing by nature so it will take some time. It is unfortunate you must experience this trauma and wish you all the best for your recovery. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 6132, + "tgt": "I am hypothyroid and feel like my neck and vocal cords are squeezed. Why?", + "src": "Patient: Hello doctor, I have hypothyroid for three years, and I am taking Eltroxin 100 mg one tablet daily before two hours to my breakfast. But sometimes I feel pain over and around my thyroid gland. I feel like my neck and vocal throat are squeezed and my voice is dumpy. Please suggest any medicine or treatment for pain and vocal problem. Doctor: Hello. Your problem may be or may not be related to the thyroid problem. If your thyroid gland is enlarging it may compress your vocal cords and food pipe and cause your problems like vocal throat squeezed, dumpy voice. In this case, you need to get an ultrasound of your neck. This will confirm your diagnosis. The other possibility is some problem inside your throat like vocal cord nodules, or ulcer, or mass, etc. For this, you need to get upper GI (gastro intestinal tract) endoscopy to know what has happened. I advise first you go for ultrasound of your neck first as it is non-invasive, then revert back to me with the report." + }, + { + "id": 3042, + "tgt": "My son has MCADD and developmental delay. What could cause this?", + "src": "Patient: Hi doctor, I have a seven and half-year-old son. He has metabolic genetic illnesses MCADD and not able to break down fats to produce energy. So has to eat carbohydrates and drink on time to maintain his blood sugar levels as well. He has chylomicron retention disease which is not being able to absorb fat and so he needs soluble vitamins such as vitamin E and he needs a special low-fat diet. He also has developmental delays in all areas. At that time I thought it was normal because his illness was not found out until he was nearly 2 years old and had been failing to thrive before that he was under malnutrition. I also have two other boys who also have developmental delay but not as severe as how my oldest one was. Consultant are saying now that maybe some genetic issues must be going on and put us all in the 100 000 genomes study research hoping to find some answers for the abnormal blood result of my seven and a half year old. His CK levels have been persistently elevated. His last reading was 1155. AST TO 70 units per liter and ALT TO 71 units per liter. They are still investigating and hoping to find some answers. His other blood were normal for thyroid function. Glucose and lactate, ammonia in plasma, uric acid in plasma and renal functions all were fine. Due to persistent CK levels, it is pointing more towards a myopathy. I am very confused and yes, he has been showing certain signs like he cannot walk too much with feet pain, and on and off finger pains. It seems to me that he is not a strong child for his age but seems fine other than that. Doctor: Hi. This seems to be more of a genetic disorder, unfortunately. The genome sequence of your family needs to be done in order to find the fault. However, this is only from a diagnostic point of view. It is not going to change the medical treatment for the children. Also, the diet and supplements that you are giving for your child are to the best of my knowledge. Please continue the same. Unfortunately for developmental delay not much can be done. You can try physiotherapy for the same along with all the other efforts that you are taking. Also please follow up urgently with your nearest hospital in the event of any abnormal behavior or convulsions in any of your children as I have not physically examined the child. Take care." + }, + { + "id": 12959, + "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": 18522, + "tgt": "How to confirm the reason for my abortion?", + "src": "Patient: Hi doctor, I had some hormonal imbalance problem. I had my last periods two months back. I became pregnant and took an hCG test. It was 121 and I took viability scan at 7.6 weeks. The heart rate was 92 bpm, which is less compared to one week. So, doctor suggested me to repeat a scan after two weeks. I took a scan yesterday and the report says my fetus heart rate has been stopped and there is no cardiac activity. My CRL size also reduced. I took complete bed rest as per doctor advice. I am taking progesterone, Duphaston, Folinal tablets and an injection twice a week. My LH and AMH values were a little bit high. What could be the reason for this abortion? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7386, + "tgt": "Having an odd milky after-taste in my mouth. It does not seem to go away whatever I do", + "src": "Patient: Hello, I am having an odd milky after-taste in my mouth for a couple of days now. And it does not seem to go away whatever I do. Please give any suggestion. Doctor: Hi. Hope it helps. Consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18693, + "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": 15582, + "tgt": "I am diabetic and have burning sensation, redness and pain in feet. Why?", + "src": "Patient: Hello doctor, I am diabetic since 12 years and BP is 85/160 after taking medicine for diabetes. I used to take Galvasmet 50/500 BD doses for the last one month. I am getting pain in both my feet at the lower portion, burning sensation, and redness. I am not able to walk fast and below the foot, it feels less sensation. Doctor: Hello. I understand your concern. Your symptoms may be an indication of uncontrolled high blood sugar. Your fasting and postprandial levels look fine, but will only give you the levels on the day of testing. It is important to check HbA1c level once in six months. This will give you a better idea of your blood sugar control. You also need to check your 25 OH-D3 (vitamin D) and vitamin B12 levels. Deficiency of these vitamins can lead to symptoms similar to yours. Remember that vitamin B12 is tested on an empty stomach with 12 hours fasting. If you have had a wound that is red or is not healing, meet your diabetologist without delay. Keep moving your feet and toes as an exercise to regulate blood flow. If there is a podiatry clinic near you, it might help to visit once." + }, + { + "id": 9700, + "tgt": "Can a horizontal wrinkle on my glans penis be due to dry masturbation?", + "src": "Patient: Hello doctor, For the past few months, I have noticed a horizontal wrinkle on my glans penis all over and the glans is not as pink as before but slightly dark and blackish. I am worried that frequent dry masturbation is the reason behind the wrinkle. There is no blood, pain or discharge from it. The only thing is wrinkle which is very much visible when the penis is small but when the penis is enlarged, the wrinkle is very less visible. Also, I do not think it is a bacterial or a fungal infection because there is no symptom. Of note, my fasting blood sugar is 79. Doctor: Hello. However, we would be able to give you better suggestions if you could upload appropriate images of the lesions you have described. Kindly mention if you are a diabetic or not. If you have had any sexual exposure, kindly furnish details regarding it such as the use of a condom, exposure to a commercial sex worker, or the mode of intercourse. Have you used any antiseptics to wash the affected area? For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 25088, + "tgt": "I am unable to keep my erection for more than five minutes. Please help", + "src": "Patient: Hello doctor,I am unable to keep the erection for more than five minutes. Whenever I try to do intercourse I lose my erection and it gets really hard to penetrate.Please help. Doctor: Hello. I have gone through your problem and understand your concern. As you are currently taking Tadalafil and still have the erectile dysfunction, then most probably you need to get the problem investigated, and also do you have any other medical conditions? You can give a trial of Trazadone 50 mg, but this drug has few side effects such as sedation, at time painful erection and this is a prescription-only drug. Consult your specialist doctor discuss with him or her and start taking the medicines with their consent. If you ejaculate prematurely, then there are two management strategies - behavior method and drugs. First behavior method such as stop-start method, squeeze method or coitus interruption method. You can try any of this. Second, drugs from SSRI group such as Fluoxetine or Paroxetine also delay the ejaculation. Try the behavior method first, and understand that these methods take time to show the effect, same with drugs, they take around two to four weeks to exert their effects. If you have any substance use, then quit the addiction. If taking drugs for any other medical conditions then check their side effects profile. Hope this helps you. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9128, + "tgt": "I have tanned skin and acne scars all over my face. Please help", + "src": "Patient: Hello doctor, I have darkness around my mouth area and forehead and dullness on my skin I suffer from acne scars all over my face and tanned skin. Please help. Doctor: Hello doctor, 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 treatment accordingly. Meanwhile, you can use the following medicines, 1. Tretinoin 0.05 % gel at night for scars. 2. Kojitin gel local application at night for dark areas. It is recommended to use photoprotection with above creams. Please send the picture of the affected area to help further." + }, + { + "id": 3765, + "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": 18583, + "tgt": "What are the tiny smooth painless bumps on the butt?", + "src": "Patient: Hello doctor,I am 21 years old. About a month ago, I realized I had tiny smooth painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom so I knows it is not razor bumps. I do not remember ever seeing them before and they do seem to be spreading although some have disappeared. Any ideas what it could be? Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity). I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29174, + "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": 1712, + "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": 14888, + "tgt": "Why are my upper front teeth wiggly?", + "src": "Patient: Hello doctor, I have been to several dentists who said my gums look good and everything else but some cavities and one root canal I had to get done. I am on Invisalign treatment and much teeth (front mainly, top and bottom) seem wiggly. I looked and the mirror and see where they were. Can someone please help me or calm my nerves til I can get to a dentist? Doctor: Hi. Your upper and lower front teeth are perfectly looking good and I could also see few cavities in the photo that you have attached (attachment removed to protect patient identity). The wiggly kind of appearance you feel should be because of your teeth cutting tips have a very transparent enamel inside which there are 'w' shaped pattern visible. Those are called mamelons which are completely normal features of the tooth when it is developed. Also, the transparent enamel gives the greyish hue which might make you think that teeth are discolored but it is actually not so. Also, you should know a fact that, all the front teeth should not be of the same size and same level. By the nature of law, the central incisors have to be bigger than the lateral ones in the upper row. If you understand all these facts, you will believe in the dentists of why they had told you need not require any treatment for the front teeth." + }, + { + "id": 20538, + "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": 27694, + "tgt": "I feel lethargic and sleepy after lunch. Will taking multivitamins help?", + "src": "Patient: Hello doctor, I am a 33 year old software professional. I have a lot of work pressure and also loads of stress and tension in my personal life. I sleep around seven to eight hours a day and stick to a very healthy and disciplined lifestyle with respect to timely food habits and taking a balanced diet. My problem is that I feel very lethargic and sleepy for three to four hours post lunch. I also feel a lack of energy sometimes to the extent that it hampers my daily work and duties. It is worth mentioning that I am taking a mild dose medication for epilepsy treatment and was under OCD treatment prior to that. Doctor: Hello. What epilepsy treatment are you on? Drugs prescribed for epilepsy as well as OCD (obsessive compulsive disorder) can cause sedation. If it is not due to the drugs, you can try changing your meal schedule. It is normal for everyone to feel sleepy after a heavy lunch. But, if it hampers your work, you should change your lunch timings. Take a heavy breakfast and skip lunch or take it around 11 AM. Also, take up a daily exercise that activates the reward centers of your brain. This will keep you fresh and awake. For lethargy, you can take multivitamin and multimineral tablets for a month. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19710, + "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": 28704, + "tgt": "My blood pressure is always high. Please suggest a medicine", + "src": "Patient: Hi doctor,My blood pressure is always high between 170/110 mmHg and 190/115 mmHg.\u00a0My complete blood count report showed hemoglobin 18, platelet 150, MCH 26 and others normal. Please suggest medicine. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25957, + "tgt": "MRI of which body parts will best reveal spondyloarthropathy?", + "src": "Patient: Hello doctor, I am a 31-year-old male and I was diagnosed with spondyloarthropathy seven years back. I am taking only Sulfasalazine tablets daily. Currently, I do not have any pain or stiffness. My HLA-B27 report is negative. Now, if I do the following MRIs, how much chances are there that any abnormality might be found in my body? DL Spine MRI Hip Joint MRI Lumbosacral MRI Please tell me only about these three MRI test as I need to show it to someone and I do not want to be caught with any disease. Last week, I did a blood test and chest X-ray (PA view). The X-ray report was normal. ESR was 20 mm. TC and DC were normal. Please help. I have attached the MRI report for your reference. Doctor: Hello. I am unable to find the attachment. It is good to know that you are doing well on Sulfasalazine only. But if you are doing well and have no symptoms with normal blood tests, I will not recommend MRI (magnetic resonance imaging) to be repeated. The MRI is only needed for doubtful diagnosis initially and to look for inflammation in the joints if there is a doubt. For followup, we only do X-rays of the neck, mid spine and lower spine. That usually is good enough to see if there is any disease progression when we compare it to the previous ones. But if really you want to do an MRI and you have no symptoms, I am sure it will show improvement. A look at the MRI report would be helpful. Do let me know if you have more queries. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 26362, + "tgt": "I need a psychologist to interpret the results of my memory test. Can you help?", + "src": "Patient: Hello doctor, I have memory problems, severe acting out during sleep, vivid dreams with shouting and screaming.\u00a0I need a psychologist to interpret a memory test and discuss the results. Doctor: Hello. Best Regards. For more information consult a\u00a0psychologist counsellor\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 3166, + "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": 26284, + "tgt": "My wife has not been able to gain weight. What type of foods can help her?", + "src": "Patient: Hello doctor, My wife is 24 years old. She is 5 feet and 3 inches in height and weighs 42 kg. Since our marriage, her weight has not increased. It is\u00a0almost static. We are vegetarians. I have a 2-year-old baby born via C-section. She has not been able to gain weight. Kindly\u00a0suggest anything to recover from this problem. Doctor: Hello. For more information consult a\u00a0dietician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dietician \u00a0" + }, + { + "id": 28475, + "tgt": "As I do not have a child, IUD was contraindicated. Why?", + "src": "Patient: Hi doctor, I am a 24 year old female,\u00a0who recently had a medical abortion. I need to know about the safe contraceptive methods, as my husband is allergic to condoms. I have asked about IUD to few doctors, and they said that I should not use it because I do not have a child.\u00a0I wanted to know the reason behind this. And what other options do I have? I cannot take pills daily. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19734, + "tgt": "Which ayurvedic medicine will help me conceive?", + "src": "Patient: Hello doctor, I have been diagnosed with PCOD for many years and now planning for conception. We have been trying various medicines and methods for two years. After all these failures, my doctor suggested for IVF. Simultaneously, I came across bonduc nut. I consumed it for close to 80 days and got my regular period, however no pregnancy. Now since I have stopped consuming this nut, my period has also stopped. I have again started consuming this nut. Can you please suggest medication which can help me conceive within three months or so naturally? During allopathy medications, I used to ovulate, and my follicle size was also good enough, but they used to give the injection to rupture. There are no blocks in the fallopian tube. My husband has no issues with the sperm count. Please help. Doctor: Hello. I just read your query. See ideally this medicine should be consumed for three months regularly, and then you can stop it. If you are taking it without consulting physician, then I advise you to stop taking it. For PCOD, you can take Tablet Kanchnar Guggul two tablets two times a day with water after food for one month. Take Shatavari capsules two capsules two times a day with water after food for one to two months. After conception stop taking these. For conception, if you are getting the periods then, first of all, try between 11 to 15 days of your cycle. You can also visit for ovulation study so that you can know about the size of the egg. But as conception is a crucial thing I advise you to visit your gynecologist regularly. I hope you understand my point. For more information consult an ayurveda specialist --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20473, + "tgt": "I have scratched my cornea. I am in unbearable pain. Please help", + "src": "Patient: Hello doctor, I went to the eye hospital yesterday and the doctor said that I have scratched my cornea. He gave me an ointment and said it can take up to seven days to heal. I am in unbearable pain and have kept my eye closed for two days. When I blink, it is so uncomfortable. I need to get back to work in another two days and I work in front of a computer. Please help. Doctor: Hi. From the history, it seems that you are having a corneal abrasion and you are on treatment with an eye ointment. Usually, corneal abrasion takes two to five days depending upon the extent of the damage. The pain and discomfort are usually because of photophobia (a condition in which bright light irritates the eyes). This can be reduced by use of artificial tears and use of dark goggles. Use of analgesic tablets provides a symptomatic relief. Since your work involves the use of a computer, you may need to take leave from work for another two to three days, as exposure to computer monitor can cause more discomfort." + }, + { + "id": 12583, + "tgt": "What can be done for thickened spermatic code with trace hydrocele?", + "src": "Patient: Hello doctor, I am 37 years old man. As per an ultrasound report, some problems are traced. A thickened spermatic code on both sides. Trace hydrocele on both sides. Early varicocele on both sides. Doctor: Hi. I can understand your concern. I have gone through the ultrasound report you have attached (attachment removed to protect patient identity). Please let me know what are your symptoms? Do you have lower abdominal pain? Please reply me answers of above-asked questions, so that I can guide you better. I will be happy to help you further." + }, + { + "id": 22748, + "tgt": "After CABG, urine discharge is low and creatinine level is high. Why?", + "src": "Patient: Hello doctor,My father has undergone CABG (bypass surgery of heart) since then he is on the medicine. During this operation, we came to know that he is also hepatitis B antigen positive. Ayurvedic treatment is continuing and things are under control. In last week accidentally he has broken bone of hip and the local doctor suggested for operation. Before operation blood test carried out and found that following are out of range: Glucose 368, urea 114, serum creatinine 3.1, C-reactive protein 59. But after operation urine discharge is low it is about 650 ml per day and creatinine level of my father has increased up to 4.6. And the hospital is suggesting dialysis. Whether it is good for dialysis or try to maintain with medicine. Doctor: Hi. From what you mentioned, your father has sustained acute kidney failure, the cause is not clear (may be due to bleeding and losing a large amount of blood). Dialysis is required if there is volume overload (lower limb edema and chest congestion), also if there is high potassium. A thorough assessment is required for a more appropriate decision. One or two sessions of dialysis does not mean that he will be on dialysis forever, assessment is required after the sessions. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 667, + "tgt": "After taking Co Altria for sinusitis, I experience dryness of mouth and headache. Why?", + "src": "Patient: Hi doctor, I am having a problem with sinusitis. My doctor ordered me to take Co Altria 10 mg at bedtime. I have taken it at 9 PM and currently, I am experiencing dryness of mouth and headache. What to do? Is this serious? I am also taking Cefixime 200 mg twice daily, Sinupret thrice daily, and Nasoflo spray. Doctor: Hello. Dryness of mouth might be due to mild anticholinergic effects. It may sometime cause drowsiness and also depends on person to person. This would take a few days to adjust. You can continue this drug along with steam inhalation twice daily." + }, + { + "id": 9569, + "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": 13975, + "tgt": "What is causing severe pain along with holes in teeth?", + "src": "Patient: Hello doctor, I have too much pain in teeth and also getting tiny small type holes in teeth. I am a male, 18 years old. Doctor: Hi. Holes in teeth indicate cavities. If you are having severe pain in teeth this may indicate you are suffering from pulpitis and you need root canal treatment from your dentist. Meanwhile, start with the following medicines. Take Augmentin 625 mg two times a day, Gramex 400 mg (Metronidazole) two times a day, Ibuprofen 400 mg three times a day at every eight hours for three days. Take all these medicines for five days. This will relieve your pain for a while and visit your dentist as soon as possible for treatment. Take care. Stay happy and blessed." + }, + { + "id": 17373, + "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": 22668, + "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": 1669, + "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": 13943, + "tgt": "What can be the cause for severe cramps during periods?", + "src": "Patient: Hi doctor,When I was in high school, I had horrible periods. Very heavy bleeding, big clots and they would last longer than a week sometimes. I never told anyone because I was embarrassed and eventually, it calmed down and they were more normal. I still had awful, awful cramps every month though until about two years ago when I went on birth control. Since then they have been super easy, light, only lasting a few days with manageable cramps. But slowly every month my cramps are getting worse and worse again. Any idea, why? Doctor: Hi. Your symptoms can have two causes, one is low pain threshold (pain sensitivity varies among individuals) or endometriosis. Endometriosis is less likely in your case as oral contraceptives are known to suppress it. If you are taking low dose oral contraceptive (Estrogen 20/30 mcg), you can take a high dose (Estrogen 35/50 mcg) for two to three months (if your doctor permits or if you have no risk factor for high dose pill. You can see package insert for risk factors) and see if pain reduces or disappears. Other option would be to take same birth control pills continuously without a break for menses (it can be safely taken continuously for nine months) if it is acceptable to you. Normally, such pain of dysmenorrhoea reduces or disappears after childbirth. So you may have to bear some pain till then." + }, + { + "id": 17803, + "tgt": "What is the right method to take abortion pill?", + "src": "Patient: Hi doctor, I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me. Doctor: Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2379, + "tgt": "Post by-pass surgery, I get respiratory problems with swelling on face and feet. Please help", + "src": "Patient: Hello doctor, I have by-pass surgery done. I am having respiratory problems and broncho asthma. I have swelling of body parts like face, feet, and legs. Doctor: Hi. Your respiratory issue could be due to chest infection. Kindly answer the following questions for a better understanding of your health issue. What is your BP status? Is there any cough and sputum or fever? Do you feel breathless on walking or even while sitting or lying? Has the swelling appeared suddenly or was it always present? Is there any other issue like burning in urine, etc? Please reply in detail, so that a preliminary diagnosis can be reached." + }, + { + "id": 23276, + "tgt": "Is it necessary to repeat the pregnancy test after multiple negatives?", + "src": "Patient: Hello doctor, I had sex on the first day of my period. I took an ECP on the same day eight hours after the act. It is one month now and I am six days late for my period. Previously, I had a regular cycle of 30 days. I had taken two pregnancy tests, one on the first day of the missed period and the other four days later and both are negative. Please suggest. Doctor: Hello. I have gone through your history and understand your concerns. As you had an I-pill, the chances of pregnancy are not there in your case. The delayed periods could be due to hormonal imbalance caused by I-pill. You can just wait and watch for your menses for three more days and repeat your home urine pregnancy test to rule out pregnancy. Hope you found it useful, feel free to ask more information. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4376, + "tgt": "Is it possible to get increased heart rate due to GERD?", + "src": "Patient: Hello doctor, I have been waking up from a racing heart accompanied by belching at night sometimes two or 3 times a night. At times the HR has been in the 140s after I get up and belch a few times my heart rate returns to normal. I have had my heart completely checked out along with a 30 day monitor and no problems have been found there. I am wondering If GERD could be causing this to happen . It only happens at night while reclined or lying down for bed. Doctor: Hi. GERD in itself cannot cause increase in heart rate. However, anxiety associated with GERD can cause increase in heart rate. So in my opinion, you should see, if you have anxiety, there are no issues related to heart. But if you have any anxiety, you would need treatment for that. I would recommend you to get Holter monitoring, thyroid profile done. If done, please share report with me. If all normal my recommendations would be to discuss with your doctor to put you on Propanolol which would keep your anxiety and pulse rate under control." + }, + { + "id": 12410, + "tgt": "What is the treatment for chipped tooth that does not have any symptoms?", + "src": "Patient: Hello doctor, I believe I chipped my molar, but am just making sure that it is just a small chip. The molar was already calcified and has been sealed as a result of that. There is no sensitivity, pain, or any symptoms. Wondering if I would get it sealed again or just something to be cautious about. I practice good hygiene and visit the dentist every six months and have never had a cavity. Doctor: Hi. I checked the pictures (attachment removed to protect patient identity). The broken part seems to be a small part in the enamel layer, you do not have any pain or symptoms, so I believe this tooth is fine and it can be restored with composite filling to prevent any cavity forming over there. Also, we can use the help of periapical X-ray for that tooth just to make sure everything is alright. You can make an appointment with your dentist to make a filling for that tooth. Also, congratulations, keep on your good hygiene and regular checkups. Periapical X-ray." + }, + { + "id": 3436, + "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": 8445, + "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": 3087, + "tgt": "What causes bumps on the back of tongue and throat?", + "src": "Patient: Hello doctor, 21 years old, female. Today I noticed some bumps on the back of my tongue and another bump I noticed at the back of my throat. I have no idea how long this has been going on for as it does not cause me any pain. I had my last dental check-up about 6 months ago so I know it has developed sometime after then. Doctor: Hi. 1. I have seen the picture you have attached along with the complaint (attachment removed to protect patient identity).Unfortunately the picture of your tongue swelling could not be downloaded but I saw the picture of the back of your tongue. 2. That tiny little portion right at the center and back of your tongue is called uvula and it is a part of the soft palate which is the entry to your pharyngeal tube (airway). 3. I do not see any reddish coloration or swelling in it and it looks absolutely normal.That is the part which gets itchy when you have sore throat. Even if you encounter inflammation and swelling of the uvula ,it is mostly due to sore throat or simply dry mouth. 4. In that case, drink more fluids (sugarless) to keep yourself hydrated and you will be relieved soon. 5. Otherwise there is no abnormal findings I could see and you are completely alright. Thanks and regards." + }, + { + "id": 18422, + "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": 26691, + "tgt": "Why has the ringing sound in my ear shot up to the point of deafening?", + "src": "Patient: Hi\u00a0doctor, I have an ear infection that is causing pain, wax build-up and a ringing sound in the ears. I went to the doctor, and they gave me medicines. Shortly after I reached home, the pain seems to be gone mostly, but the ringing has shot up to the point of deafening. Is there any reason for it? Also, I have tinnitus for the past\u00a0four years. Doctor: Hi. Do revert for any further support. I\u00a0would be happy to help you. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13633, + "tgt": "Can I take Azithromycin to prevent an abscess?", + "src": "Patient: Hello doctor, To avoid an\u00a0abscess, can I take an antibiotic like Azithromycin? If not,\u00a0please suggest which one I can take? Doctor: Hello. Azithromycin is not recommended for skin and soft tissue infections. Generally, a combination of Amoxicillin and Clavulanate twice daily is used. However, unless you have a skin infection you should not use it. It is used for a treatment and not for prevention. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26268, + "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": 26198, + "tgt": "Can you interpret these notes on the ECG for me?", + "src": "Patient: Hello\u00a0doctor, I am a 24 year old\u00a0female. I have a resting heart rate in the 70's when sitting but jumps to 120 to 130 when I stand. Doing dishes gets me to 160's. I tend to black out when I stand up for a few seconds. I have fainted five or more times. My doctor performed an electrocardiogram and my follow up is not for a few weeks. The notes on the ECG read as follows. Sinus tachycardia. Right atrial overload. P > 0.25 mV in ll aVF. P = 93 ms. Vertical axis. Probable lateral infarct. R < 0.15 mV in v6. Rsr in v1 and v2. Can you please interpret this for me? Doctor: Hello. Best regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 26374, + "tgt": "The doctor changed my wife's seizure medications. Is it safe?", + "src": "Patient: Hello doctor,My wife aged 43 years had fits (seizures) five years back. At that time, the blood reports, MRI, and EEG were normal and the\u00a0doctor advised Epilex Chrono\u00a0300 mg twice a day. She used it for three years and then there was no episode of seizures during the last three years. So, on doctor's advise we stopped the\u00a0medicine. Since then, for two years, there was no episode of seizures. Suddenly, two days back, she had fits around midnight. She was admitted to a hospital for a\u00a0day, was treated and discharged. Now she was advised tab Celetoin 100 mg thrice a day. The CT scan and CBP are normal as per the doctor. Is this medicine alright and how long we have to use it? Do we need any further investigations? Kindly advise. The doctor who treated her is a\u00a0general physician. Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 17339, + "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": 25246, + "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": 27542, + "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": 1980, + "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": 368, + "tgt": "I have difficulty to concentrate with excessive mood swings and voluntary leg shaking. Please help", + "src": "Patient: Hello doctor, I have trouble concentrating. It feels like my mind is always in a thousand different places at once and it is hard to keep in it one place or thought. I have excessive moods and sway from one thing to next all the time. I also have a constant voluntary shaking of my leg. I need something to help concentrate. Doctor: Hello. How long have you been having trouble with concentration, mood swings, and restless legs? There are several different possible reasons that can cause these symptoms. For example, if these symptoms were present since childhood we may need to consider ADD/ADHD (attention deficit hyperactivity disorder). If these symptoms started only recently, mood disorder, anxiety may be a possibility. You will need a comprehensive assessment to determine the cause so that appropriate treatment can be suggested. You can either consult a specialist in your city or contact us online for an assessment. I hope this helps." + }, + { + "id": 14937, + "tgt": "Please have a look on CT scan taken for two strokes and advise", + "src": "Patient: Hello doctor, A 76-year-old female's CT scan showed the following. Clinical information: CT scan of the head, volume scan of the whole brain obtained without IV contrast administration. Findings: Large CSF density hypodense lesion is seen in the right cerebellar hemisphere. Left cerebellar hemisphere, brainstem, and fourth ventricle are normal. Large irregular hypodense lesion is seen in right fronto-temporoparietal lobe effacing the adjacent sulci and right lateral ventricle. An irregular hypodense lesion is seen in the left occipital lobe. Left lateral ventricle and third ventricle are normal. CSF cisterns are normal. No extra-axial fluid collection is seen. No midline shift noted. Densely calcified plaques seen in the cavernous segment of the bilateral internal carotid artery. Impression: Sub-acute infarct in the left occipital lobe, a subacute infarct in the right fronto-temporoparietal lobe, a chronic infarct in right cerebellar hemisphere, densely calcified plaques in cavernous segment of the bilateral internal carotid artery. She has had two strokes so far and is in a critical condition. I wanted to reach out to see if you can provide a second opinion or if it is possible to get some of her senses back so that we can say our goodbyes properly to her. Doctor: Hi. The CT report which you have uploaded suggests large brain infarcts (attachment removed to protect patient identity). I would appreciate if you can upload the CT film also to have a better view of the same. Besides, in such large infarcts, many patients may not recover and some may recover partially. It depends on the clinical condition and consciousness state of the patient. Please upload the medical case summary as prepared by the treating doctors if that is possible for you. Stroke." + }, + { + "id": 16670, + "tgt": "My tongue is whiter than normal and I have pain in the tongue. Please help", + "src": "Patient: Hello doctor, I have an issue with my tongue pain for about one month. I am having this issue where my tongue is red in the middle and painful when it is pushing around spit or food or when it is pushing itself to the roof of the mouth. I have a burning sensation. It is hardly noticeable in the morning but by evening it is irritating and it hurts again. The tongue is also much whiter than normal and it retains the colors of what is eaten. For example, something red stains the tongue. There is no pain when talking or when the tongue is simply resting. I have been to an ENT specialist recently for this. Diagnosis is median rhomboid glossitis caused by suspected candidiasis. This is pending culture. I am currently on Voriconazole 200 mg two times daily for 14 days. I am on the verge of completing the course, but I see no results. I had a similar issue last year but it did not look like this. I ended up having strep which may have caused the issue. So, I had a rapid strep test which came back negative. I have also been to\u00a0a general practician and got Nystatin swish and swallow for seven days with no results. I was then put on Diflucan for 14 days, yet no results. I have a past history of ulcerative colitis which is controlled. I am currently using Humira for colitis (one pen) twice monthly. I am also on\u00a0Zyrtec one daily,\u00a0Prilosec 20 mg daily for heartburn, and a daily multivitamin. I am looking for a second opinion as my doctor is perplexed. I have attached pictures for your reference.\u00a0Please help. Doctor: Hello. I have gone through the images\u00a0(attachment removed to protect patient identity). For more information consult an\u00a0ENT Otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11641, + "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": 21301, + "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": 6569, + "tgt": "I am having wrist pain even after treatment and wrist brace. Why?", + "src": "Patient: Hello doctor, For the past one year, I have been suffering a pain in the middle-upper wrist area where I could not support myself while getting up from the chair. I went to an orthopedist and was given some medication and wrist brace with metal support to stabilize the movement. The pain started declining for six months, but it did not go. I did an MRI for it, and another orthopedic surgeon recommended PRP injection with a month cast as he could see it as a partial TFCC. After the injection and one month cast, 15 sessions of physiotherapy, the pain persisted, so another MRI was done to check the progress. The MRI comparison showed the following: A comparison was made with the previous MRI. The previously noted and described reactive bone marrow edema in the medial corner of the proximal lunate is progressed and also showed mild diffuse edema involving the whole lunate bone. I would highly suggest further follow-up for the lunate bone to exclude the possibility of lunate bone avascular necrosis. Minimal reactive bone marrow edema noted in the triquetral bone. The stable appearance of the lunotriquetral ligament with preserved joint space. Stable central and ulnar side intrasubstance TFCC signals with no evidence of major TFCC tears. More prominent joint fluid, especially in the recess around the ulnar styloid process. Slightly more prominent ganglion cyst measuring 4 mm noted in the dorsal aspect of the wrist at the level of the radiocarpal joint. No lunate or perilunate dislocation. Normal flexor and extensor tendons. Intact carpal tunnel and median nerve. No bony fractures. I am concerned about the avascular necrosis as the doctor mentioned we should wait another three months then reconduct the MRI to identify the need for surgery \"bone drilling\" and another cast for six weeks. It is now ten months, and I am losing most of my right-hand function, and I do not want to reach the final stage of my lunate bone dying. Please advise if there are any potential solutions without surgery, and if the surgery is needed, what is the recommendation. Doctor: Hello. I have gone through your medical history in detail. It seems that you are having stage 2-3 avascular necrosis of lunate (Kienbock's disease). I do not feel that you should wait as the disease progresses irreversibly. So it will not come back to normal by any means. I would suggest an immediate surgery (either bone decompression drilling or bone graft). The last stage needs bone excision and fusion of other bones. If you could get the latest x ray of the wrist, I can precisely tell you which surgery is needed." + }, + { + "id": 3341, + "tgt": "How to treat recent bout of insomnia caused due to stress?", + "src": "Patient: Hello doctor, For about a few months, I have been surviving on less than an hour of sleep per night. For the first 27 years of my life, I have always had a little bit of trouble getting sleep (overactive mind), but I have never had any trouble getting a full night rest (anywhere from 6 to 9 hours). This recent bout of extreme insomnia had nothing to do with the habit (i.e.- It is not like I made the choice one night to sleep only a little bit, and then my habit got out of hand). Try though, my brain simply is unable to let me sleep normally. One day, I could not sleep at all. The next day, and the day after that, the same thing happened. I finally managed to get a decent night sleep the next day, and after that, the pattern of only being able to sleep for less than an hour (if at all) maintained itself. I struggle and struggle to sleep, and then I dream for a little bit, and then my brain kicks me out of sleep, and I cannot go back I cannot even nap. And yet, usually, my mind and body find a way of feeling rested after one measly dream. I ought to feel like a zombie, but most days I feel physically well-rested. I have heard of cases where people who used to sleep well became insomniacs after periods of great stress or depression. I am almost certain that I became an insomniac because I was nervous about starting my new job. The thing is, though, that it does not look like it is going away any time soon. Will it be permanent, how scary is that? I know the dangers of not getting enough sleep and I have tried certain things, like sleep hygiene, relaxation techniques, etc. Nothing seems to work. The only thing that helps a little is 400 mg of Seroquel prescribed by my psychiatrist. However, I have such a high tolerance for sedatives that I have to stop it and reintroduce the drug after a matter of days. I guess what I am trying to say is there probably is not a solution for my extreme condition yet, as sleep and the human mind are both great mysteries. However, I would like to have an opinion as to what is going on in my mind, and how it started. I hold the theory that the stress leading up to my new job somehow fried my brain. I do not know in what sense, exactly did the sudden onset of stress somehow deplete some of the chemicals in my brain that are necessary for sleep? Or could there be another explanation or hypothesis? Doctor: Hi. You have a unique situation and though I do not have a clear answer to your complaints, I can give you some relevant advice. The first thing to do is to evaluate your insomnia. I would suggest you use a camera to video record your sleep. You can use your phone camera with good memory capacity and place it somewhere higher, so you can see your movements at bedtime. The reason for this is that personal evaluation of one's own sleep is far from objective. I frequently come across patients who say that they cannot sleep while their partners say they do and occasionally even snore. There are phone applications like sleep as Android, etc, which record your movements in bed and can give you a reasonable estimate of your sleep time. Another possibility is that you are sleeping but not getting enough deep sleep. Deep sleep is characterized by slow waves on EEG (electroencephalography) and the feeling of having rested during sleep. That is why sleep study is the ideal investigation for sleep issues as it does an EEG recording as well as a video recording of your sleep. Sleep as android also gives a rough estimate of your deep sleep percentage during your entire sleep. In such a scenario, there are specific medications which enhance deep sleep like Pregabalin which you can ask your doctor about. Sometimes, trying too hard to sleep is counter-productive. Beliefs like I should get seven hours of sleep at any cost and if I do not, it will cause great harm to my mind and body are incorrect and very likely to impair with sleep. These irrational thoughts need to be addressed via cognitive behavioral therapy if you think this could be the problem with you. The most important component of sleep hygiene is if you cannot sleep, leave the bedroom, sit somewhere else and do stuff like reading or listening to music. This breaks the classical conditioning (association) between your bed and inability to sleep. Go to bed only when you feel sleepy. Remember that the use of electronic displays in the late evening could be a major cause of insomnia. Keep their use to minimum and use a blue light filter app on your phone after evening. Try taking natural sleep promoters like Melatonin 3-6 mg which you can find on the internet. This should give you some guidelines to investigate into your sleep and hopefully improve it." + }, + { + "id": 9262, + "tgt": "I get sores often in mouth and my doctor said it as autoimmune related", + "src": "Patient: Hello doctor, I have got sores in my mouth which the doctor said was autoimmune related, but a week ago, I started getting what feels like sores on the inside of bottom lip and I often get pain on the back roof of the mouth, should I be worried? Doctor: Hello. I understand your concern. Autoimmune responses are the best met with the particular drugs, which your doctor might have already prescribed. Also, get checked your vitamin B12 and blood sugar levels. You can use topical anesthetic gel (like Benzocaine), Triamcinolone, and which will ease your soreness. Apply them alternatively, three to four times a day for four to five days. Check with your doctor if you need antacids, and continue medicines for GERD (gastroesophageal reflux disease). Sjogren's syndrome involves dryness of eyes, as well as dryness of the mouth. A saliva substitute is recommended. See the ophthalmologist about his opinion on any opthalmic issue (if any). I hope it helps you." + }, + { + "id": 24401, + "tgt": "Is surgery necessary for bilateral moderate fetal hydronephrosis after delivery?", + "src": "Patient: Hello doctor, This query is about my 19 weeks pregnant sister-in-law. She had a USG today and found bilateral moderate fetal hydronephrosis. Her gynecologist told her that the kid will require surgery after delivery. Can you please check the report and explain the situation? Is surgery required? If so, what is the outlook of surgery? Can this be life threatening for the kid after birth? Doctor: Hi. No, it is not life threatning. It has to be serially monitored every 15 days. Any intervention is usually successful after birth only and exact nature of urine obstruction also becomes clear after birth only. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 30271, + "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": 29513, + "tgt": "What is your opinion about the growing lesion in my left kidney?", + "src": "Patient: Hi doctor, I have Li-Fraumeni\u00a0syndrome. My concern is the growing lesion in my left kidney. The lesion has been moderately growing since three years in my left kidney. Although it is suggestive of angiomyolipoma, I feel quite nervous because of my genetic condition. I have received my final MRI report of the kidney with contrast. Could you please look at the attachment and inform me your opinion? I am currently overseas and cannot get back to my urologist for two weeks. Thanks in advance. Doctor: Hi. I have seen the reports sent by you (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11096, + "tgt": "Is Imipramine recommended for anxiety and panic disorder?", + "src": "Patient: Hello doctor, I have tried Lexapro, Wellbutrin, Effexor, and Prozac for anxiety and panic disorder. But I suffer from the side effects of these medications. My biggest complaints were increased anxiety, and panic attacks, along with weight gain (50 pounds), and tachycardia that kept me up at night and freaked me out. So my family doctor sent me to a psychiatrist, and he prescribed Imipramine. I had never heard of this, so I searched, and it seems like weight gain and tachycardia (my two most significant concerns with medications) are common side effects for this medication. I am not sure why he prescribed this one to me, but I wanted to get a second opinion to see if this is a good idea since I already have tachycardia and do not wish to gain more weight. I am scared even to try this medicine because I do not want to go into some weird heart rhythm. Doctor: Hello. I can understand your problem. Imipramine is a tricyclic antidepressant drug, and yes the drug is known to result in side effects like weight gain. But this depends upon the dose, the duration of treatment, patient factors, etc. Lexapro (Escitalopram), Wellbutrin (Bupropion), Effexor (Venlafaxine), Prozac (Fluoxetine), etc., are serotonergic drugs and it is common with these drugs to see increased anxiety for first few days of starting the drugs. In most cases, this rebound increase in anxiety goes by own. So my advice is to continue the drugs even if you see worsening of symptoms. In most cases, after a week of starting the drugs symptoms remit. Imipramine is also the right choice, and the drug causes sedation so you should take medicine in the evening after dinner and should start with low doses. When the drug is started in low doses, then you will not face any rebound increase in anxiety. Kindly get ECG done before starting the medication." + }, + { + "id": 13719, + "tgt": "Is it normal to have pain in elbow even weeks after hitting it?", + "src": "Patient: Hi doctor, I hit my elbow a few weeks ago and never really thought much of it. But it has been maybe two weeks now and I still cannot lean on it or touch it in any way. If I do, pain shoots straight through my elbow and down my arm until I even feel a tingle in my fingers. It is not swollen, bruised or shows signs of injury in any way other than the pain. Do you think it is serious and should be checked out, or did I just hit it hard enough that even though there is no marking, it is just sore this long? Doctor: Hi. Sorry to hear that an accidental hit to your elbow is troubling you a lot. By the looks of it (attachment removed to protect patient identity), you do not seem to have any bony injury, especially if you are able to move your elbow (flex and extend it) without pain. The only thing that I can think of is that you might have injured your ulnar nerve which is just behind the medial edge of the elbow. This would be more likely if the tingling sensation that you are getting is along the little and ring finger of your hand, which would be more if you tap just behind the medial aspect (inner aspect) of your elbow. If this is the case it should usually get better in 6 to 8 weeks. But if you feel that the symptoms are increasing or you are developing numbness or weakness in hand or wasting of muscles of hand (which is very rare), you would need to see a doctor. If you do not have the above signs then it might be just a soft tissue contusion which should get better in 3 to 4 weeks. If you are having pain on flexing and extending the elbow, you need to see a doctor and probably get an X-ray done." + }, + { + "id": 19546, + "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": 3256, + "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": 19901, + "tgt": "What could be the reason for a dry cough for the past nine months?", + "src": "Patient: Hello doctor, I am having a dry cough for the last nine months. I am not taking any medicine for a dry cough. Suggest some test for a dry cough. What could be the reasons for a dry cough? Doctor: Hello. I understand your concern. A dry cough for such a long period could be due to acid reflux especially if you are also having stomach burning, burping or acidity problems. I highly recommend to consult with a gastroenterologist and run upper endoscopy in order to determine the right diagnosis. For the moment, I advise you to avoid spicy or oily or high-calorie foods, drink plenty of water, sleep with an extra pillow, take antacids after eating." + }, + { + "id": 7948, + "tgt": "How can gum pain be treated during pregnancy?", + "src": "Patient: Hello doctor, I am 8 weeks pregnant and got bad gum ache on one tooth. It is really stressing me out. Can a dentist do anything to get rid of the pain? Doctor: Hello. If it is just one tooth and there is no associated caries means that is periodontal. So what I suggest is single tooth scaling and root planning will not take much of your sitting time. I think you can go for single tooth scaling but make sure that you go to an experienced dentist. Otherwise, at-home remedy, you can try warm water and salt rinse 5 to 6 times a day. Do revert back if pain persists. Follow up after one day." + }, + { + "id": 8691, + "tgt": "How does the brain respond to the menstrual cycle?", + "src": "Patient: Hello doctor, What would be the fascinating thing that happens to our brain during the period? And how does the brain respond to a woman's menstrual cycle? Doctor: Hello, Welcome to icliniq.com. Before periods premenstrual syndrome is famous for the symptoms as due to hormonal effects, progesterone gives a feeling of fullness, heaviness, breast enlargement, mood variations, easily irritable behavior, pain, stress, anxiety, etc. But as soon periodic bleeding starts, it gives healthy relief to mood, anxiety, fullness, irritation, and all other temporary disorders that appear cyclically. Although during the bleeding there is some restless feel as days pass it gives relief. Hormonal pressure also reduces during menses, but the irritative feeling remains with bleeding as soon as periods stop clean feel appear. Menses outflow reduces migraine and headaches as well as before menses some women feel it due to hormonal effects. After the stop of bleeding body look healthy and feeling comes like fresh and clean. The mood seems light and want to have recreational activities, outings, music, get-togethers, etc. So it is more fantastic mood after periods due to hormones and as well as a light feeling of cleanliness." + }, + { + "id": 5135, + "tgt": "I am having -4 power in both eyes. Which contact lens is the best?", + "src": "Patient: Hi doctor, I am 23 years old. I am having -4 with cylindrical (180\u00b0axis) power in both eyes. Which type and which company contact lenses are the best for me? Please guide. Thank you. Doctor: Hi Welcome to icliniq.com. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14690, + "tgt": "How can pacemaker affect arrythmia?", + "src": "Patient: Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes bradycardia when the rhythm is sinus. My cardiologist wants to implant a pacemaker to pace the heart in bradycardia. Please let me know about the role of PM in arrhythmia. My cardiologist says during abnormal rythm PM is inactive. Doctor: Hi. The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is tachycardia episode and sometimes bradycardia episode. If we control tachycardia, during bradycardia episode there will be even more severe bradycardia and if we control bradycardia, tachycardia episode will be severe. So, in this situation, a pacemaker is implanted to avoid bradycardia, and for the tachycardia, medicine is continued. The pacemaker is programmed to pace the heart when the rate drops to a certain threshold such as 60 bpm. Paroxysmal AF is one in which rhythm is restored to sinus within seven days, persistent is seven days to 12 months, long-standing persistent is more than 12 months. Cryoablation technique is used to revert rhythm back to normal sinus. It is done in paroxysmal AF, but some trials exist even for persistent and long-standing persistent AF as successful ablation can be done. Please consult your cardiac electrophysiologist about the possibility of this procedure in your case." + }, + { + "id": 6211, + "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": 589, + "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": 15461, + "tgt": "My voice is like a girl. What is the remedy?", + "src": "Patient: Hi doctor, I am a 21 year old male. My voice is like a girl. But hair growth pattern in my body is like a guy only. What is the remedy? Doctor: Hello. Beard, mustaches, pubic and axillary hair are named as the secondary sexual characters. If your secondary sexual characters are properly developed you need not have to worry. Your voice sounding like a girl can be corrected. This can be corrected throughspeech therapy and voice training. Consult a sexologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28483, + "tgt": "I had unprotected sex yesterday, and I am worried about HIV and other STDs. What do I do?", + "src": "Patient: Hi doctor, I am a 33 year old male, who had unprotected sex yesterday. I was drunk, but now, I am worried about HIV or any STDs for that matter. I do not have medical access for the next three months, as I am on a ship. If I express my apprehensions, it may cost me my job. I do have Lamivudine and\u00a0Zidovudine on my ship. Please advise what I need to do. Although, I can buy any over-the-counter medicines after two days. Doctor: Hello. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 28482, + "tgt": "What are the little white lumps at the back of my throat?", + "src": "Patient: Hello doctor,I am a 27 year old female. Yesterday, I noticed little white lumps at the back of my throat. The one behind the palatopharyngeal arch is red, and another one on the back of my throat, on each side, which is red in color with little white things on them. What is it? I\u00a0do not know how long I have had it for. I do not drink or smoke. Is it throat or mouth cancer? Doctor: Hi. Here in your case, a step-wise approach should be considered. According to the history provided, you have red swelling on posterior pharynx with white dots over that. Hence, it could be a tonsillar enlargement or posterior pharynx mucosa swelling or a mass. It can be a chronic infection as well. I suggest you get the following investigations done. If needed, your doctor will give you an antibiotic course after examination. Salt water gargle is beneficial in such a case. If the inflammatory swelling is more, then a short-term steroid might be given for five days. If no improvement occurs and if it seems like a mass on examination, then a biopsy should be done and sent for histopathology examination, to rule out the nature of the lesion. Hope your concern is solved. Consult an ENT specialist for examination with keeping all this in mind. For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27249, + "tgt": "Is a child diagnosed with cerebral palsy considered as disabled?", + "src": "Patient: Hello doctor, This girl's left side of the body is not working properly. She cannot hold or pick things from her left hand. She cannot move her left thumb. She walks on her left toes. She cannot stand straight without support on her legs. Attached are the MRI findings. Please tell me whether this is a condition of cerebral palsy. And if yes, of which kind and whether this girl is medically normal? Doctor: Hello. For more information consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 17485, + "tgt": "How to find the exact date of conception?", + "src": "Patient: Hi doctor, According to my LMP, I was 9 weeks and 5 days pregnant, and ultrasound showed I was 9 weeks and 3 days pregnant. There was a CRL measurement of 26.96 mm. I had sex on the last day of my periods and then again after 11 days. And, my LMP and ultrasound calculation show two days difference. So, can I tell that I pregnant on the second event?\u00a0My periods are irregular. The previous month, I also had endometriosis surgery. I have heard that endometriosis surgery can cause high fertility and regular ovulation. Since my LMP and ultrasound are close enough, is it safe to say ovulation was normal at least for that month? Doctor: Hi. Your estimation is correct. There is the least possibility of conceiving on the last day of the period. You must have conceived around the second event. Now, LMP (last menstrual period) and ultrasound time cannot match exactly. Although in your case, it is almost the same. Do not confuse about two days difference. Ultrasound calculates the period of gestation according to some measurements as you have seen CRL (crown-rump length) at different periods and separate parameters for calculating the time of gestation. Now, LMP also cannot tell you exactly the day of ovulation until unless ovulation study was done and you have seen the size of the follicle and then its rupture to release the egg. Usually, early scan done at six weeks or so is the best predictor of your dates. But, now also, everything is fine, and you can monitor growth in further scans. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12564, + "tgt": "Please suggest few measures to reduce abnormality in cholesterol", + "src": "Patient: Hi doctor, I have undergone preventive blood test. There is abnormality in cholesterol level. I have enclosed the reports for your reference. Kindly advise what to do based on my reports. Thank you. Doctor: Hi. I have read through your query in detail. Based on your report (attachment removed to protect patient identity) these are my observations: Diabetes screening, chloride content, pancreatic amylase, iron levels, liver function test, thyroid function test, kidney function test and digestive enzyme lipase are all normal. Slight variation is observed in blood cells. Calcium content is slightly low. Cholesterol is in borderline and triglycerides are high. I would like to give you few suggestions:" + }, + { + "id": 29447, + "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": 12969, + "tgt": "Is termination of pregnancy necessary after amniotic fluid leak for 10 days followed by bleeding?", + "src": "Patient: Hello doctor, I am a woman aged 34 years old, 23 weeks pregnant, a small amount of amniotic fluid outflow for 10 days, a small amount of bright red bleeding for one day. The b-ultrasound heart is normal, amniotic fluid is less than normal, domestic doctors recommend termination of pregnancy. I wanted to consult if there is another way to keep the baby. Doctor: Hi. If you have been experiencing an outflow of amniotic fluid since 10 days and now bleeding for a day then only this history is showing the history of preterm premature rupture of membranes that can lead to chorioamnionitis (infection within the womb) and intrauterine fetal death as well. Utrasound confirms this rupture and leaking of amniotic fluid by measuring fluid amount within the uterus (attachment removed to protect patient identity). It might be possible that you will get labor like pain and cervical changes in recent future that could lead to the delivery of the fetus. You should have related tests to immediately check infection, scan to properly measure cervical length to check any changes locally, fetal viability and the exact amount of amniotic fluid remains inside uterus. Complete blood count for checking leucocytes count (shows infection), C-reactive protein and need to start antibiotics and to have immediately speculum examination and a litmus test for confirming leaking. If blood tests confirm infection, the only option will be the termination of pregnancy. If amniotic fluid already come out, that means protection for fetus has gone and any time it can lead to an infection that could be hazardous. Early or late either cervical changes will occur itself or due to infection will urgently need to terminate the pregnancy with antibiotics cover. As per your description, gestational age is 23 weeks at which lungs development is in very very early stage and the fetus is not completely reached at viability age so it is count as a fetal loss not stillbirth of the viable fetus. So, it is almost impossible to try for the survival of 23 weeks fetus. The infection can harm you as well. It can lead to severe sepsis even need of ICU admission, if not treated well. CBC, C-reactive protein, ESR, scan, save serum, blood grouping, and cross-matching. Need antibiotics cover. Detailed examinations to confirm the rupture of membranes. Follow tests reports. If membranes rupture, confirmed with or without infection, will need termination to avoid complications like severe sepsis. All investigations should be done now in the tertiary care center." + }, + { + "id": 2313, + "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": 14197, + "tgt": "What could irritate my throat and cause vomiting sensation?", + "src": "Patient: Hello doctor, I feel something in the back of my throat making me puke. It has been two days and the doctor says it is just irritated from my vomiting the previous day but it feels like a hair is there and I feel it moves sometimes. It sits there. I know it is there but I cannot handle it, then it moves forcing me to puke. I have not slept in 24 hours because of this thing. All I want to know is am I crazy to think that there is something in there or is the doctor right and it is just irritated? I had been vomiting and having diarrhea for eight days. Doctor: Hello. Throat is highly sensitive and anything causing irritation can be annoying. Foreign body sensations in throat may be subjective or there can be some pathology causing it. Inflammation of structures in throat like uvula, tonsils or posterior pharyngeal wall can cause foreign body sensation. And at times foreign objects like fish bones and other sharp organic matter gets stuck in and around the area of tonsils causing foreign body sensation. At times forceful deglutition or swallowing can lead to foreign sensation. Gastric reflux can cause foreign body sensation. Then there is a condition called globus pharyngeus which can cause foreign body sensation, anxiety, stress being the underlying cause. But before coming to any diagnosis your throat must be examined. Can you send me a picture of your throat through an open mouth?" + }, + { + "id": 25986, + "tgt": "What do unenhanced intracranial appearances mean on brain CT?", + "src": "Patient: Hello doctor, I have headaches. I had CT scan of the brain and the result was normal unenhanced intracranial appearances. What does this mean? I am currently on Omeprazole, Domperidone, Mebeverine, Fexofenadine, Avamys, Ventolin, Seretide, and Ranitidine. I have uploaded photos of my scan. Doctor: Hello. I reviewed carefully your uploaded scan report and images (attachment removed to protect patient identity) and would explain that they indicate a normal brain structure. The term \"nonenhanced\" means that there is no enhancement from the IV (intravenous) contrast, which is a normal finding. Contrast enhancement would be abnormal. The only finding in your CT (computed tomography) scan is a sinus inflammation indicative of chronic sinus infection or allergic reaction and some signs of your past nasal surgery. There is nothing to worry about. Coming to this point, your headaches could be related to a primary migraine headache or a tension-type etc. depending on the headache characteristics, but this too is nothing serious. Regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5450, + "tgt": "My husband wears contact lens for aphakic bullous keratopathy and is getting pain now. Why?", + "src": "Patient: Hello doctor, For ten years, my husband has been successfully using an extended wear bandage contact lens (monthly wear) to control the pain of aphakic bullous keratopathy in one eye. About seven months ago, he had an episode of foreign body pain in the eye which the contact lens could not control. His optometrist changed the type of lens after remarking that the lens appeared tight. Although the painful sensations have decreased, they are still present with more of a sore feeling now. His ophthalmologist suggested that he discontinue the Azopt drops he had been using in case the preservative was causing some corneal toxicity. His eye pressure without the drops has read at 18 and 20 on separate occasions, but he does have corneal edema which may affect the measurement. He has had high pressure in that eye previously, but it was mostly lowered by Cyclodiode treatment some eight years ago. The consultant said he had left him on the Azopt drops just as a precaution. My query is that if the bandage lens has worked so well for pain management for 10 years is it possible that it can continue to work? And if the Azopt drops and their preservative had caused some toxic reaction seven months ago, could that still be causing him to feel the discomfort? His consultant suggested out that he could have the eye removed to control the pain, but as he has what he feels is some slight, useful vision in that eye, he does not want to take such a drastic and life-changing step. In fact, he wants to pursue the least invasive course of action to relieve the pain he is getting. I would appreciate any advice you could give as he is in quite a bit of pain. Doctor: Hello. I reviewed your history. Bandage contact lenses are a proven and effective treatment option for pain relief in case of aphakic bullous keratopathy. Hence he can continue the same and I do not think these are responsible for the sore feeling of the eyes. For symptomatic relief, he can use artificial tears eye drops like Refresh tears eye drops. The removal of the eye ball called enucleation is the last step required in case of a painful eye and I do not think your husband needs this one at this moment. The other options that can be tried are laser phototherapeutic keratectomy. Hence I advise you to discuss with your doctor regarding all these aspects before planning further courses of treatment. I hope this helps. Damage to the corneal endothelium. Measurement of intraocular pressure. Corneal edema. Artificial tears eye drops like refresh tears, hypertonic saline eye drops, laser phototherapeutic keratectomy. Once in three months depending on the severity." + }, + { + "id": 14165, + "tgt": "There is no proper erection for the last three months. Please suggest some medicine", + "src": "Patient: Hi doctor,I am a 35-year-old guy. I am married for six years. I am unable to get a proper erection for the last three months. Please prescribe some medication. Doctor: Hi. You have given very little information regarding your problem. There are lots of reasons for poor election after marriage and among them the most common is psychogenic. The erection depends on many thing beside medical causes. In medical causes usually, early morning erection is deficient. So if you have proper early morning erection, then it will be mainly psychogenic. Hence, if you found no early morning erection, then you should have penile venography and meet some urologist. If it is proper, then search for other causes. You can take tablet Tadalafil 10 mg once a week for the current problem if you do not have any medical conditions like hypertension, diabetes, etc." + }, + { + "id": 24955, + "tgt": "Does a 'faint pink line' on urine test indicate pregnancy?", + "src": "Patient: Hello doctor, I am a 22 years old woman. My period got delayed by 20 days. I had intercourse with my partner. I have mild pain in my abdomen and there is brownish vaginal discharge. I took urine test and a faint pink line along with a strong pink line appeared. Am I pregnant? If so what medication should I take to avoid pregnancy? Also, if I take a blood test now, will it be more accurate? Doctor: Hello. A faint pink line does not confirm pregnancy. The dark line is for control. As your period is late by 20 days both lines should be dark, you can repeat the test after five days but if you have too much pain then you will need to do ultrasound test of the pelvis or transvaginal ultrasound. Without confirming or excluding pregnancy no medicine should be taken, it may harm you. Also, if the beta hCG level is in the pregnancy range then it will confirm. Otherwise, you will need to repeat the test after two days to see if the level is rising or not. That will be more accurate. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24305, + "tgt": "There are thick lumpy nodes and white discharge from foreskin. Kindly help", + "src": "Patient: Hello doctor, I was treated with Fluconazole 400 mg once daily and applied Sertaconazole twice daily for 10 days but thick lumpy nodes show in the foreskin and also a thick white discharge under the foreskin.This area also deep shown. Please advice. My sugar level is normal and HbA1c is 5.9. There is no pain or burning feeling during urination. Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity) and would recommend you to take tablet Aciclovir 400 mg thrice daily for five days, tablet Cefixime 400 mg single dose. Apply the Fusidic acid cream on the affected areas twice daily. Continue for five days and revert. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18265, + "tgt": "My mother in law is suffering from cough and breathlessness. What does her CT scan report say?", + "src": "Patient: Hello doctor, My mother in law is 75 years old and she is diabetic.\u00a0She had been treated for ulcer one year back.\u00a0She is suffering from cough and breathlessness for more than two weeks. Doctor advised for a CT scan. Please see the attached report and guide us further. What does the report say? How serious is her health condition? Kindly mention the precautions to be taken and treatment for the same. Doctor: Hello. I have read the history and CT scan report (attachment removed to protect patient identity). If she has not received any antibiotics, I would suggest the following: Hope she will be fine with this treatment.\u00a0Take care. Revert back to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 24506, + "tgt": "Is it necessary to quit using meth if I found out I was pregnant?", + "src": "Patient: Hello doctor, I have secondary dysmenorrhea and have miscarried twice before finding out this time I was pregnant. I have been using meth now. I feel bad and think I am a horrible person. I want to wean off the drug, but part of me is wondering if I quit both times I found out, this time I still use but have cut my using in half, could that drug make me feel like the worst parent to walk the earth? Is it keeping my body from self-aborting? Doctor: Hello. All these drugs such as cocaine, alcohol, methamphetamine have their psychosocial side effect as well as harmful long-term effects on the body. They are just temporary anxiety relieving drugs, not only directly affect brain, bones, reproductive system, mental and physical health by accumulating in the body on long-term use, but also have withdrawal effects and pass via the mother's tissues to the baby and causes harmful effects on developing baby and even can cause long-term effects in the future. As you said, you already had previous two miscarriages and now in third-time pregnancy. You are still using meth, but have reduced its amount to half but still feeling anxious and stressed. Mostly, the baby gets affected at and starting 8 to 10 weeks of pregnancy. Organogenesis takes place in the early few weeks. So, the maximum effect is in these days. Before having an idea or planning for a baby, try to quit these harmful drugs including alcohol, cocaine, meth, tobbaco smoking, ketamine.etc. Before starting pregnancy, you should start Folic acid 0.4 mg if no other chronic illness and 5 mg if having chronic disease. In addition to quitting all the harmful drugs and habits, try to have an antenatal appointment as soon as possible, start Folic acid now and try to quit harmful drugs and habits. But sorry to say, baby could have side effects of meth if still you are using. Social welfare groups, counseling, and recreational activities would be helpful. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29813, + "tgt": "Is it possible that it could be a malignancy seen in the MRI?", + "src": "Patient: Hello doctor, I have Li-Fraumeni syndrome;\u00a0therefore I am in a study. It conducts annual full body MRI to detect anything early if it should arise. I had a 19 mm lesion laterally in the left kidney with signal suppression for three years. However, there is now a new 14 mm heterogeneously T2 hyperintense lesion at its lateral margin, which was not present previously. While this could conceivably represent a de novo cystic lesion, the contiguity with the fatty lesion raises the possibility of contained hemorrhage from an angiomyolipoma. The impression of the MRI was given as a\u00a019 mm fatty lesion in left kidney associated with a 14 mm heterogeneously T2\u00a0hyperintense\u00a0component at its lateral margin, suspicious for a small contained\u00a0hemorrhage\u00a0from an angiomyolipoma, though not specific for this. The left renal lesion could be further assessed at a targeted multi-phase contrast enhanced study. I have an allergy to iodine contrast; therefore the CT scan was canceled. A targeted MRI will be scheduled in the coming weeks. My urologist did not see this report when I went to see him and now, he is out of office on a holiday. I am anxious to know whether I am at risk of rupture or if this is a common occurrence with angiomyolipomas. Also, is it possible that it could be a malignancy? Would they write it in the\u00a0report? Doctor: Hi. Relax and do not worry. I have gone through the MRI report (attachment removed to protect patient identity) that you posted. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6914, + "tgt": "My teeth are turning brownish even after using Hexidine mouthwash. Please help", + "src": "Patient: Hello doctor, I have a problem with my teeth. I started using Hexidine mouthwash last month for whitening of teeth, but it is not helping me, and soon my teeth are becoming brownish at some places. What should I do to clean it? Doctor: Hi. Using Chlorhexidine mouthwash for more than 15 days in continuation causes brownish discoloration, that is the reason your teeth are becoming brownish. Now that you have developed chlorhexidine discoloration, I do not think scaling will be of any use. Instead, I would suggest you for either bleaching or veneering. Veneering is the solution for the type of stains that you have developed. Dental veneers are thin flakes of tooth-colored material, which are applied over the original teeth. Good luck." + }, + { + "id": 30213, + "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": 23239, + "tgt": "How can the running speed be increased?", + "src": "Patient: Hi doctor,My 10-year-old son plays excellent badminton, but his weak point is his running speed. He is slow in running. I have attached three photos and one video of his legs. Can you see something wrong with them? How can he increase his running speed? By physiotherapy, or some exercises? Doctor: Hello. Yes, your son has a slightly knocked knee gait. By that I mean his knees strike each other if he were to stand with his heels coming together. This is usually not a problem unless the child has got a marked deformity or cannot run fast, or tends to fall knocking his knees while falling. We first need to measure the exact degree of Genu Valgum. This is done in the following two ways: For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 22498, + "tgt": "Kindly have a look at my medical reports and advise", + "src": "Patient: Hello doctor,I just did some medical test for no reason just as part of the routine check. Can anyone confirm if all reports are fine or if needed immediate medical attention? Currently, I am taking Telday 40 blood pressure medicine everyday. Doctor: Hi. I have checked the attached reports thoroughly (attachment removed to protect patient identity) and I can affirm that all laboratory values are within normal and there is no need to worry. No medical attention is required based on these laboratory results. Please tell me if you have any symptoms or signs in order to reassure you completely. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28042, + "tgt": "Why do I feel a constant pressure to pee?", + "src": "Patient: Hi doctor, I am a 21 years old. I have been suffering from frequent urination. I have never experienced bladder problems before. However, I do suffer from severe period pains. Is there any relation between the two? From the last few months, I have to pee very frequently. I was working a lot when this all started, so it was not too bad, as I was constantly busy and I had no time to think about it. I also feel as though it was not as bad as it is now. I am now unemployed, so I have a lot more spare time,\u00a0so I\u00a0do not know if this is a psychological thing, which is making me feel like it is worse. I constantly feel the pressure in my bladder to pee, and I feel it significantly when lying down. If I take a nap at any point or if I lay down, the pressure on my bladder is insane. Even if I go to the toilet, I feel the need to go again straight after. I have been to my doctor recently, and I explained my symptoms. He prescribed Trimethoprim, which I have been taking for three days now. I feel uneasy, as the doctor said this antibiotic normally works in two days. I am going to remain positive and do my full seven-day course. I have also given a sample of my urine to be tested, and I have also booked a blood test for tomorrow morning. I have been fasting recently, so the dizziness and dehydration are expected. I have been holding back on drinking water, as I fear this will make it worse. So, I drink two glasses of water maximum a day. I have read a few things online and realized that I have been doing the wrong things as drinking a lot of water will help wash the bacteria out. As of today, I am going to drink two\u00a0liters of water a day and incorporate that into my lifestyle. What is it that I am suffering from? I have no pain whatsoever and no burning sensations. I do not have blood or cloudy or smelly pee. Will this ever go away? What can I do? I would really appreciate any help or professional advice. This is really starting to take its toll on my life, and I am beginning to feel really restless and unhappy. Thank you so much. Doctor: Hi. This is definitely UTI (urinary tract infection). Sometimes, it becomes long-standing if you ignore it. You need to take antibiotics and plenty of fluids daily as a habit. Gradually, it will go. Do not worry. It is not the problem, which is not curable. To relieve your symptoms early, you can take some alkalizer. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 17638, + "tgt": "After analysis of pleural effusion fluid, diagnosed with Stage 4 Cancer", + "src": "Patient: Dear Doctor, After analysis of pleural effusion fluid, my mother has been diagnosed with Stage 4 Cancer - CUP, poorly differentiated carcinoma. She has exhibited lower lobe fibrosis for at least three years, has normal kidney lab work at this time, previous breast carcinoma ductal in situ with removal and radiation; multiple broken bones over the last three years - however no bone density scan or Vitamin D treatment until last few months; mild anemia and leukopenia for over two years, low albumin since June 2013; degenerative arthritis, scoliosis, stenosis, spontaneous fracture of t11, numerous treatments for UTI that were positive for WBC, leukocytes, but not nitrates or positive cultures. She developed c-diff with significant pseudomembranous colitis in July 2012; MRSA infection on skin outside of spine near fracture and under armpit but resolved. CT in last few weeks did not identify mass in lungs, breast or esophagus; doctor failed to order the CT to include abdominal area despite onset of chf, weight loss, and prior squamous cell cancer of the anus. I need a diagnosis - this is unconscionable on so many levels. Could the medical community be trying to cover its failure to diagnose a cancer that has been there for some time. Bone scan revealed nothing despite her significant bone pain, broken bones and arthritis. Unfortunately - my 76 year old mother's quality of life is so poor that she is very accepting of this treatment as long as they keep her out of pain. Other sisters do not want to \"upset the doctors\" by asking further questions and getting copies of results. Please advise. Doctor: Hi. Thanks for the information given. To get the facts right, patient is a 74 year old female with prior history of Anal canal cancer and Breast cancer (DCIS) treated with surgery and radiation. Her co-morbidity includes osteoporosis / prior UTI / Lung fibrosis / multiple fractures ? metastatic disease ? weak bones. Is it possible to do a PET/CT scan which can give a clear idea on the extent of the disease? Your doctor would be able to give much more clear idea on it based on the need and present health status permitting it. Based on your information, I feel that it is currently a stage 4 disease with pleural effusion. If fluid is too much, she may require a drain to keep her breathing comfortable. After a complete drain, she may undergo pleurodesis to prevent re-collection again. This will help her definitely. But the doctor should decide based on her present health condition. Regarding further treatment (chemotherapy/targeted therapy), it may not be possible for me to comment without physically seeing/examining the patient. Your doctor may guide you better after discussions. She would need pain killers either oral or as replaceable patch based on the intensity of pain and requirement of pain relief. But at one point of time, I am afraid to say that all treatment have to be stopped just to continue hospice care and this is unavoidable. Hope I have answered your queries. I would be available to answer more of your questions, if any. Take care." + }, + { + "id": 2701, + "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": 16558, + "tgt": "Can fibroadenoma with cyst BI-RADS 2 to 3 lead to cancer?", + "src": "Patient: Hello doctor, My mother aged 49 years old was diagnosed with a fibrocystic disease of breast seven years back and was subsequently operated. Since then, she has got a cyst in both breasts. Last year, she was got USG done, and the doctor found fibroadenoma along with cyst BI-RADS (2 to 3) in the left breast. The doctor asked her to review after 6 to 12 months. Recently, she discovered a lump in her left armpit which is small and can be felt only after touching. Is it anything serious? Also, please tell that does these diseases cause an increase in chances of breast cancer. She also has a fibroid in the uterus, and for that, the doctor prescribed Sevista 60 tablet twice a week, and he said that fibroadenoma would go after taking Sevista. Doctor: Hello. Based on the report (attachment removed to protect patient identity), fibrocystic disease of breast and fibroid uterus, both of them are due to hormones, mainly estrogen. When using Sevista (Ormeloxifene), the fibroid in the uterus will decrease. For breast condition, BI-RAD 2 to 3 means it is was a benign (it can regress) condition (not cancer). Treatment depends on menopause. If she has not attained menopause, then she has to use Sevista. If she has attained menopause, after some time, Sevista can be stopped. With menopause, the fibroid can disappear. Fibrocyst of the breast may persist, but malignancy is very rare. At present, no need to worry. Frequent six months or yearly once monitoring with ultrasound is enough. Further treatment depends on whether she had excessive bleeding (menstruation), her calcium levels, family history of breast or other cancer. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12635, + "tgt": "Is it possible to repair damaged, frizzy and rough hair?", + "src": "Patient: Hi doctor, I have taken smoothening fourth time with a gap of a one-year interval between each session. But, this time I have taken keratin treatment also. My hairs from the ends are damaged, frizzy and rough. Is it possible to repair them? Doctor: Hello. Keratin treatment is for damaged, rough and frizzy hair. You should always take keratin treatment for hairs. Take biotin supplements for proper growth and good texture of hair. Get regular trimming of hair at the ends as weathering leads to dry and frizzy ends. Avoid excessive heating procedures on hairs like straightening or dying of hair especially those that damage the hair. For now, I will suggest you do a little bit of trimming at the ends and keratin treatment will help in solving problems." + }, + { + "id": 6080, + "tgt": "I have watery diarrhea 20 times a day. What is a good medicine?", + "src": "Patient: Dear doctor, For four days, I have very watery diarrhea, cramps, and nausea. Vomiting only twice. Yesterday, I was prescribed Levofloxacin 500 mg for four days. Now, after 24 hours of taking the first pill, there is no improvement. Diarrhea is 20 times a day very watery. I take electrolytes and lots of liquids. The blood test showed a bacterial infection. Stool test was normal. So my questions are: When usually antibiotics start working? Is Levofloxacin a good medicine for this kind of diarrhea? Doctor: Hello. From what you mentioned, most likely you have acute gastroenteritis. Ciprofloxacin is a very good antibiotic for gastroenteritis. You have to complete a four-day course at least. It may take few days before you see a good result. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I hope I answered all your questions. For further advice please contact me at once. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11404, + "tgt": "I suffer from PTSD, anxiety, depression and started noticing blackouts. Kindly advice", + "src": "Patient: Hello Doctor, I recently consulted a counsellor suggested by my probation officer and discovered that I have extreme post-traumatic stress disorder, anxiety, and depression, etc. I wonder if any of this could be related to the trouble I have got myself into. When I get very overwhelmed with emotion or stress, I tend to black out completely but still functioning, and I come back to normal after a few minutes, but I have no memory of what I have done during those minutes. In my whole life, I had a lot of bad things that have happened to me and my family, but I have never dealt with them. This past year a lot of bad personal situations have happened, and now I am starting to notice the blackouts. What can I do? Doctor: Hello. You should get yourself investigated for the blackouts and memory problems you face. First, you should consult a neurologist for that. Once every other neurological issue are cleared, then only we can diagnose whether it as related to your anxiety, depression or PTSD (post-traumatic stress disorder) if so then it is psychogenic. In most cases, a psychogenic blackout is an involuntary reaction of the brain to pressure or distress. Psychogenic blackouts sometimes develop after people have experienced ill-treatment or trauma and such conditions are treatable and curable. But we need to identify the severity of anxiety and PTSD and then the treatment slowly starts with medicines, psychotherapy and relaxation therapy. You can be cured completely, but it takes some time. Consult a psychologist or psychiatrist. Take care." + }, + { + "id": 4874, + "tgt": "Will frequent fever with bone weakness for a long time suggest bone cancer?", + "src": "Patient: Hello doctor, My friend gets frequent fever and weak bone problems. She is not able to gain weight and strong bones. She belongs to a poor family though she has been visiting many ayurvedic, homeopathic MD's no one is able to figure out the exact reason. There might be chances of bone cancer? She had already spent lots of money and now she is losing hope. Please help. Doctor: Hi. It seems from what you have mentioned that your friend is a 30-year-old lady with frequent episodes of fever and bone pain (assuming that the bone problems you mentioned are bone pains at multiple locations). If she is indeed only 70 lbs, then it is likely that she is cachexic. This along with the frequent fevers gives us a major red flag for two serious conditions that she might have tuberculosis (TB), or tumor anywhere in the body. Let us discuss these two possibilities. Tuberculosis is endemic and is more common than we think. Most individuals already have the bacteria in them, and the disease occurs when their immunity reduces. Long-standing low grade fevers, loss of appetite and weight, history of contact with someone who had active TB, and low socioeconomic living conditions are quite likely to cause TB. While TB most commonly involves the lungs causing a chronic cough. TB can affect almost any system in the body. One may have musculoskeletal TB involving the spine, joints and any of the bones. If your friend's bone pains are related to TB, she should have pain at only a few locations in her body, unless she is immunocompromised. Tumors or cancer anywhere in the body can cause loss of appetite and weight. Low-grade fevers may occur in some tumors, while the spread of tumor tissue to bones will lead to bone pains and pathological fractures. Tumors arising from the bones are a definite possibility. Finally, besides TB and tumors, there are other rarer causes cachexia and bone pains. These include nutritional deficiency disorders like osteomalacia, HIV infection, certain medications that reduce immunity, etc. It might be a good idea for her to take pictures of all the tests that she has undergone, and also any x-rays or imaging that she may have got done till now. You may upload these on this platform and we could discuss her issues further. I understand she may be losing hope from any medical intervention, and such disease-related depression is quite common. If she has consulted only ayurvedic doctors till now, it may be prudent to take opinions from allopathic doctors. It is quite possible that her diagnosis may have been missed. Lastly, I would sincerely suggest that you take at least verbal consent from her before discussing the specifics of her case on this platform. I hope this helps. Tuberculosis, Malignancy." + }, + { + "id": 27089, + "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": 11523, + "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": 30265, + "tgt": "What could cause pelvic pain?", + "src": "Patient: Hi doctor,I am having pelvic pain when I sit, stand or walk. I am late for my period. I took a home pregnancy test and it came back negative. Doctor: Hi. For further information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30239, + "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": 13617, + "tgt": "I have chronic pelvic pain syndrome. Do I need physiotherapy or surgery?", + "src": "Patient: Hello doctor,My question is regarding chronic testicular pain and the possible treatment options. For the past six months, I have experienced on and off bilateral discomfort\u00a0in my testicles. It was uncomfortable but not too painful. It would go away for a couple of weeks before returning for a few days at a time. About a month ago, the discomfort returned, changed to pain and got progressively worse. The pain was at times so severe that I could not walk and was bedridden. The pain was at a level of 8 or 9. I went to my GP thrice, the ER twice and the urologist twice. I read about chronic pelvic pain syndrome and started doing some pelvic floor stretches about a week ago. My pain started to significantly subside. But, I am still experiencing a 2 or 3 level of pain. The urologist wants to do spermatic cord denervation surgery. But I think I should try pelvic floor physical therapy first. What is your opinion? Doctor: Hello. Relax and do not worry. Thanks. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 13556, + "tgt": "Can I take ginger during pregnancy?", + "src": "Patient: Hi doctor,I am 15 weeks pregnant and I daily drink a green juice with about 4 g of fresh ginger. I have just read that more than 1.5 g of ginger daily can cause miscarriage and problems for the baby. Please, could you confirm if 4 g of fresh ginger can be harmful to the baby? Doctor: Hi. Generally, ginger is taken during pregnancy to relieve nausea and vomiting of pregnancy but care should be taken if the patient is on blood thinners, etc. Ginger root tea in a moderate amount not exceeding more than 4 gm is acceptable. I think you should not take too many juices as they themselves cause gastritis. Eat small frequent meals every two hours and have at least 8 to 9 serving of food every day. During the first three months, eat whatever you like but all-in moderate amount." + }, + { + "id": 322, + "tgt": "I was diagnosed with peptic ulcer for blood in stool but medication did not help. Why?", + "src": "Patient: Hello doctor, I was diagnosed with peptic ulcers because I was having blood (fresh) in my stool. I am on medication but the medication is not effective because my blood has not stopped for even one day. It keeps coming every time I go to pass stool and at times my stool has blood in it too. My stomach feels stretchy most of the times and I feel cramps too often. A few days back, I have started facing left side pain as well. I do not really know what is the reason for the blood not stopping and my pains. Just to add, I do not have constipation issues because I am having Ispaghol every night before sleeping. The medication I am taking are Sucralfate enema (once daily), Transamin 500 mg (twice daily), Mebever 200 mg (twice daily), Motilium 10 mg (twice daily), Caflam (twice daily), Ciproxin 500 mg (twice daily), and Ispaghol (before sleeping). Doctor: Hello. Well, the peptic ulcer disease often presents with upper abdominal pain. It does not present with per rectal bleeding unless some once has a brisk and huge amount of bleeding ulcers with the stomach or small bowel. And the color of stools often appears dark tarry black, if the source of bleeding in within the stomach or small bowel. I understand you have fresh red color bleeding in stools which comes every day you pass stools. Plus cramps and pain over the left lower side of the abdomen suggest few possibilities. 1. Infections with the parasites such as E. Histolytica. 2. Diverticulosis with diverticular bleeding. 3. Ulcerative colitis is an autoimmune inflammatory disease causing ulcers in the rectum and large bowel (colon). I want you to stop Caflam (Diclofenac) since this is a painkiller and can cause ulcers within the stomach, small bowel, and large bowel. It can also precipitate your peptic ulcer disease. I recommend you to use tablet Flagyl 400 mg thrice daily for five days, plus capsule Cefspan (Cefixime) 400 mg once daily for five days. I ask you to get the following tests and get back to me once they are done. I would further guide on you what to do next. You should also stop Mebever, Motilium, and Cirpoxcin, they would not be useful in your case. Rest of your medication can be continued. Plus take capsule Esomeprazole 40 mg half an hour before breakfast daily. This is for your peptic ulcer disease. I hope this helps. Infection colitis. Ulcerative colitis. Diverticulosis and diverticular bleeding. Solitary rectal ulcer syndrome, Anal fissure. Complete blood count, stool for detail report, stool for ova and parasites, stool for C.diffcile antigen, stool for fecal calprotectin, IHA titers for E histolytica, serum CRP (C-reactive protein) level." + }, + { + "id": 15728, + "tgt": "May I know whether eating a fruit contaminated with rat saliva and urine cause rabies?", + "src": "Patient: Hi doctor, Accidentally, I ate pineapple infected with house rat saliva and urine. I suspect it because I saw rat urine and feces near it. Is there any risk for me to get rabies? Please suggest. Doctor: Hi. You do not have a chance to get rabies. Even if the rat is infected, transmission from a non-bite exposure is relatively rare. Some cases have shown rabies being transferred from corneal transplant and liver transplant. Rabies transferred from ingested infected saliva is not seen. The disease which you can get by contaminated rat urine is leptospirosis." + }, + { + "id": 1371, + "tgt": "My second ultrasound showed an empty embryonic sac. How is this possible?", + "src": "Patient: Hi.. Doctor, I'm having a situation here.. I am a mother with 2 kids, My last first period was 69 days back. I'm worried and made an UPT which shows positive 20 days back.(after 12 yrs I'm am pregnant). I do faces all the pregnancy symptoms as vomiting and so on.. Unfortunately I am spotting since last week (which comes in chocolate color upon ironing only which is not a heavy flow). And made my first ultrasound 5 days back. Doctor says baby is fine. Then the spotting still haven't stop; so I decide to refer another doctor since really worried. When I did 2nd ultrasound a couple of days back, i only can see my empty sac? How this possible? The doctor request me to come over for another scan after 2 weeks. If still empty, then I have to abbot it. I'm depressed & really not sure what happen Please advise ..doctor Doctor: dear, welcome toiclinq. com I can absolutely understand ur concern.. what u are going through must be missed miscarriage.. this is because of defective embryogenesis( the ovum , becos of ur age may have meitoic dysfunction .. resulting in multiplication errors) ... it's a waY of of natural selection in which only the good embryo moves forward... just wait for a week, rpt USG, and decide as per reports.. Do not worry... u have 2 kids... we do come across such worse scenarios in women going through ivf pregnancies .... stay bold..., it shall pass by... hope u find it useful regards missed miscarriage tvs after a week missed miscarriage as per scan reports if any query" + }, + { + "id": 1976, + "tgt": "I have ulcers, sore throat, and oral thrush with swallowing difficulty. Please help", + "src": "Patient: Hello doctor, I am a 22-year-old female. I have some mouth and throat concerns. I have ulcers, sore throat, occasional oral thrush, difficulty swallowing, lump on the throat (larynx), night sweats, fever, loose teeth, and abnormal discoloration in mouth. I am currently on birth control patch, Dextro-amphetamine and Cymbalta. I have been struggling for months now with quite a few mouth and throat issues. I have constant mouth ulcers that are taking weeks to heal, I get the sensation that I have not swallowed something completely down and that it stuck so I will keep swallowing and swallowing it drives me mad. It is not easy for me to keep doing this because swallowing feels harder than it should be almost like my throat is too swollen. I have a sore throat 80% of the time. I have odd waves of oral thrush and my mouth also has pale and red areas on my soft palate, my hard palate is just very pale. I have a couple of loose teeth but otherwise in very good shape. Frequent random nose bleeds that are usually heavy but can be light at times. Night sweats every night and feeling easily overheated during the days. I have also now become more concerned since my throat developed a hard lump on the top of my larynx. It feels very swollen where it is almost like it is ready to explode. It does not move and it stays firm putting a lot of pressure on my throat. I am assuming this is why it feels hard to swallow. It does not hurt but if I push on it to feel the firmness it causes discomfort to the surroundings mostly underneath the lump. Doctor: Hi. First and foremost, I would advise you not to panic or get disheartened. According to me, there is no major issue out there and we usually encounter such issues very often in our outpatient department. Now looking at your case, oral ulcers can be due to various causes right from nutritional and vitamin deficiencies to infections or repeated trauma. Getting each and every parameter tested often becomes extremely expensive and might frustrate you even more. Coming to your second major concern, difficulty in swallowing with no major pain as such can be due to some ulcers down in your throat, or infection in your pharynx (throat), or constant gastric irritation. Advice: 1. Consider taking a good multivitamin for two to three months. 2. Follow a healthy, hygienic lifestyle. 3. Avoid smoking, alcohol, etc. 4. Avoid having spicy, oily, and junk food items. 5. Salt water gargles at least 8 to 10 times a day. You should keep your oral cavity free from contaminating organisms and hence the throat infection. 6. Keep sipping on boiled warm water. 7. Consider antireflux therapy if you have the slightest of reflux issues. 8. Get your viral markers for HIV, HbsAg and blood sugars done too. 9. Do not Google too much of your symptoms out. 10. Do not correlate too many unnecessary things and do not take stress at any cost, sometimes stress can be responsible for non-healing ulcers." + }, + { + "id": 30925, + "tgt": "Please help with my allergic reaction to cherries", + "src": "Patient: Hi doctor, I had an allergic reaction after eating fresh cherries last night. My eyes began itching and then swelled up. It also started tearing. I woke up this morning with mild swelling on the inner parts of my eyes. I have attached the photo for your reference. 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": 29125, + "tgt": "Can I have i-pill after unprotected sex?", + "src": "Patient: Hi doctor, I am a 19 year old girl. I had unprotected sex. My last periods was before two months and still I have not got any. Is there a chance of pregnancy? I have had i-pill twice last year in a gap of 6 months. My periods are sometimes a day or two late. But, I am really worried as I really cannot afford a pregnancy now. Please help. Doctor: Hi. I totally understand your situation. Handling an unwanted pregnancy can be very stressful. As you had unprotected intercourse within the safe time of your cycle, it is very unlikely that you might be pregnant. If you still have a doubt then get a home pregnancy test kit and check yourself in case you do not get your periods in next two weeks. As far as i-pill is concerned, it does cause alterations in the hormonal balance and cause period disturbances. So, you should wait for a couple of weeks. If periods do not resume, we can start you on oral hormones to get your periods as well as regularize your periods. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11649, + "tgt": "Is it normal to have an increased hCG after 48 hours?", + "src": "Patient: Hi doctor, My last period was on 11th of last month. Now, the pregnancy report is positive and blood test for hCG was done in which report showed 1176. 14 hCG level and 48 hours later showed 1342. 41. Is it normal pregnancy? My age is 36 years. Doctor: Hi. I can understand your concern. According to your description, the possibilities are: You are pregnant which is indicated by urine and blood tests. Now, we have to confirm whether the pregnancy is in uterus or not. Usually blood levels of beta hCG should double in 48 hours. But that did not happen in your case. Now, we have to rule out the possibilities like abortion or ectopic pregnancy. For this, please undergo ultrasound once which will help in ruling out ectopic pregnancy. Take Progesterone supplements to prevent abortion. And repeat beta hCG levels again after 48 hours, this will help in confirming the site and nature of pregnancy. Take care. Ultrasound, repeat beta hCG levels after 48 hours. Ectopic or abortion. Progesterone supplements." + }, + { + "id": 115, + "tgt": "My daughter has acne in chin and jawline with intake of Cabergoline for high prolactin. Please help", + "src": "Patient: Hello doctor, My daughter has acne on her face for the past one month. I think that is hormonal acne because it is in her chin and jawline as per my knowledge. She is taking Cabergoline .25 mg per week for an increased level of prolactin as prescribed by an endocrinologist for the past three years. There is no acne on her face for the last three years but now suddenly it appears on the face. Sometimes it is white and small and it often occurs on a daily basis. Kindly suggest. Doctor: Hello. I have gone through the history and prescription you have attached (attachment removed to protect patient identity). Honestly speaking, I cannot understand what is written in the prescription. Can you send me a picture of individual medication so that I can get an idea of what is she taking? It will be of great help to guide you further with new medicines and creams." + }, + { + "id": 24854, + "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": 15308, + "tgt": "I am unable to pull my penis foreskin back. Why and how to correct it?", + "src": "Patient: Hi doctor, I am 22 years old. I have a problem with my penis foreskin. My penis foreskin is attached with glans. So, I am unable to pull my foreskin back. Please help. Doctor: Hi. Your problem is known as phimosis. In this, the penis foreskin cannot be retracted back. For that, a topical steroid can be taken. But mostly, most of the patients need an operation called circumcision. In that operation, the foreskin is removed, and a tight frenulum is released. It is a minor daycare surgery. I suggest you consult a urologist for circumcision." + }, + { + "id": 1025, + "tgt": "What does my blood investigation suggest?", + "src": "Patient: Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you. Doctor: Hi. For further information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 19658, + "tgt": "Can I get even skin tone by using Cetaphil?", + "src": "Patient: Hi doctor, My\u00a0skin looks dull and oily in the T-zone. I have tried many products to get my skin tone even. As of now I am using Body Shop tea-tree products, but nothing seems to be working. Please advice, what products can I go for? Is Cetaphil a good product to use? Doctor: Hi.\u00a0 I can understand your concern. Revert back after four weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12910, + "tgt": "My teeth breaks after biting something hard. What can be done?", + "src": "Patient: Hello doctor, I have a problem. My teeth are brittle because if I eat something hard they sometimes break or I would feel a hole developing and this is stressing me out because I have already taken out three of them and now another one is close to being totaled. Earlier today I ate something and I think it damaged them. I am tired of taking them out. Doctor: Hi. There must be one of a few reasons for this chipping off of teeth rapidly. You might have calcium and vitamin D deficiency. To rule out this, you can get serum vitamin D laboratory test done. If there is deficiency then I recommend you medicines for it. Another reason might be the hereditary cause, that means even when you maintain your oral hygiene, brush properly, eat less sugary stuff and chocolates, still teeth are breaking off suggests it is because of genes you have got from your parents or grandparents. They would be more prone to damage and their teeth would be weak as well. In this case, you cannot do anything but visit a dentist properly and get all services done before-hand to avoid further damage. Can you provide me with a clinical picture of teeth? So I may suggest accurately what should be your line of treatment. Stay happy and blessed. Take care." + }, + { + "id": 6943, + "tgt": "Why do I wake up with shortness of breath and numbness in my right arm?", + "src": "Patient: Hello doctor, I am a 32 year old male, who weighs 115 lbs and I am 5.10 feet tall. I woke up after an hour of sleep with shortness of breath and numbness in my right arm. I have been suffering from a cold, for a week now. Five days ago I boarded a flight, I got congested during the first leg of the flight, and got no sleep. On the second leg after dozing off briefly, I woke up feeling numb in my arms, particularly the right arm, and shortness of breath that quickly spiraled into extreme shortness of breath, a racing heart, and hot flushes. The airline crew placed me on oxygen for the remaining two hours of the flight. My blood pressure was on the higher side and pulse came back fine as well. When I landed, the airport clinic gave me Amoxicillin and checked my vitals, and they were stable, so they released me. After two nights of difficult or no sleep, I went to a hospital, where my blood pressure was138/93 mmHg. So, the doctor prescribed me a Pseudoephedrine and Paracetamol, to take along with the Amoxicillin. I have been taking them every 8 hours as prescribed, and they appear to be helping. They performed an EKG and found nothing wrong. This brings me to the current problem. I am still experiencing difficulty in sleeping even with the medication. I managed to doze off for an hour first thing last night but woke up with shortness of breath and my right arm numb. I was sleeping on my back and did not roll on the arm. I recovered and tried for several hours to fall back to sleep. Why is only my arm going numb? Is it deprived of oxygen due to the cold? If so, why not other limbs too? I am normally a snorer, so I figured that the chest congestion is leaving me short of breath. Any thoughts on this, and what else can I do? Doctor: Hi. I would give my opinion regarding this, but it may not be the final diagnosis as I have not examined you. Shortness of breath after lying down for an hour implies there is a pulmonary congestion, that is pooling of blood in lungs due to weakened heart. It is called orthopnea, which is a sign of heart disease. The likely cause could be a viral myocarditis, as you have had a recent journey to a new place. Also, this can be possible in a patient with asthma, even though the probability is low. Coming to the arm pain, it cannot be explained with the cause mentioned above. There can be a local pathology or a compression near the shoulder to the brachial plexus. I suggest you get a chest x-ray, echocardiogram, and ECG (electrocardiography). If possible, I want to see the ECG, as it is very tricky to interpret the ECG. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28440, + "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": 16696, + "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": 15311, + "tgt": "How to overcome the habit of tongue thrusting?", + "src": "Patient: Hi doctor, I have a habit of tongue thrusting. Now, I am using permanent retainers for the past four months. How to overcome it? Doctor: Hi. Please say your age. Usually, tongue thrusting is done unconsciously. So initially, you should be aware of it. Habit breaking appliance can also be used, and it takes time. It can also be stopped by a process called cognitive behavioral therapy." + }, + { + "id": 14808, + "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": 14664, + "tgt": "I have been experiencing memory loss. I also feel extremely tired and my hands are shaky", + "src": "Patient: Hello doctor, I am 22 years old and I have been experiencing memory loss. I struggle to remember things. This happened when I was younger, for example, I was discussing something that happened years ago with a friend and realized that I had no memory of it. My memory of things which have happened more recently is clearer but not as good as it used to be. I also experience time loss, I feel like I have suddenly come to a place and have no idea how I got there or what I was doing. I usually only lose a couple of minutes. I have also been becoming increasingly forgetful, that is, forgetting things which I had told that I would do or things my boss has asked me to do. None of this is something I would normally experience. I think it has developed over the last one year. Along with this, I also experience fainting when I stand up and stationary for too long. I am fine if I am moving and I am often dizzy when I stand up. I often feel extremely tired even when I have slept well and sometimes I become very shaky for no reason, especially my hands. I have been experiencing this for years and have been to my doctor. I have been tested for malaria, anemia, diabetes and thyroid problems. All tests came back negative. An ECG of my heart showed no problems and my blood pressure is normal. My doctor recommended an MRI but, as it is expensive I do not wish to do this unless it is really necessary. I used to smoke but have quit and I rarely drink. I will have maybe a couple of glasses of wine a week. Do you have any idea on what could be causing this? Doctor: Hi. Thanks for sharing such a detailed information with us. I can understand your problem very well. At your age memory disturbances are not usual, because dementia (the most common cause of memory loss) is very common in old age but at your age dementia is very rare. So, in your case, we have to proceed accordingly to rule out other causes as well. Other causes at your age could be thyroid disturbances, diabetes, anemia (nutritional deficiencies), hypertension (increased blood pressure) and heart diseases (ruled out with your ECG). I think you have ruled out most of the physical causes by investigating, as you have mentioned that these tests were negative in your case. Next issue which can cause memory loss at your age could be seizure disorder like absence seizure or other types of seizures. If you cannot afford an MRI scan, you can go for a cheaper option like CT scan/EEG to rule out seizures. Another common cause for your memory loss (which is good to be called as cognitive disturbances) in your case could be due to either depression or anxiety (as you have mentioned above that you never feel refreshed after sleep, often feel tired, shaky hands, fainting, restlessness). I would like to tell you other symptoms which can be suggestive of depressive disorder are low mood/sad mood, loss of interest in work, hopelessness, appetite disturbances, reduced concentration and attention; reduced self-esteem and self-confidence; ideas of guilt and unworthiness (even in a mild type of episode); bleak and pessimistic views of the future; ideas or acts of self-harm or suicide. Symptoms suggestive of anxiety disorders are apprehension (worries about future misfortunes, feeling \"on edge\", difficulty in concentrating, etc.); motor tension (fidgeting, tension headaches, trembling, inability to relax); and autonomic overactivity (lightheadedness, sweating, tachycardia - increased heartbeat or tachypnoea - increased respiratory rate, epigastric discomfort, dizziness, dry mouth, etc.) in addition to the memory disturbances. So, after getting all the necessary investigations like EEG/CT scan done, you can provide a more detailed history of your disease and we can make a particular diagnosis. One more thing I would like to ask you is that, are you having some repeated thoughts in your mind which you fail to resist or are you more conscious about dirt? Do you keep checking the locks? These are the symptoms of OCD (Obsessive Compulsive Disorder) which also can be presented with forgetfulness sometimes. If all the investigations are normal, then you can start pharmacological as well as non-pharmacological methods of treatment for depression and anxiety. You can use some relaxation techniques like breathing exercises, yoga therapy for anxiety symptoms. There are many safe drugs available for early and good recovery, but you have to be sure about your diagnosis first. You can start SSRIs (Selective Serotonin Reuptake Inhibitors) in low doses and increase them slowly and your problem will resolve definitely. Revert back with the reports to a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26890, + "tgt": "I do not have any sexual desire. Is it due to low testosterone levels?", + "src": "Patient: Hi doctor, I am a 30 year old male, who weighs 115 kg, and I am 6.3 feet tall. I got married, but I do not know about my problem when I got married, I do not have sexual desire, and I do not feel like touching my wife. So, I went to a doctor, who did some tests and told me that my testosterone is only 229. He gave me medicines, and I used them for two months. But, I do not see any improvements. How to improve my testosterone level? Is there any way I can increase my testosterone levels? Please advice. Doctor: Hello. Thanks. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24435, + "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": 15726, + "tgt": "Should I take bed rest for soft cervix during pregnancy?", + "src": "Patient: Hello doctor, My age is 31 years and weight is 65 kg. I have 4 years 3 months old son. In my first pregnancy, I did not have any complications until my delivery date. Regarding my cervical length or cervix softness, no other issues. My delivery type was C-section first time. Now I am five months pregnant and my doctor did PV and told that I m having a soft cervix and advised me to take bed rest till the eighth month and suggested me to take Hydroxyprogesterone (maintenance 500 mg) for every 15 days till the eighth month and told to take tablet Optogest 200 mg daily twice. I climb about 30 steps in the morning and evening. So is it advisable to work for at least six hours for one more month and then take rest for remaining three months (that is for seventh, eighth and ninth months)? Doctor: Hi. How are you doing? I do not see any reason for rest. What your doctor is worried is about cervical insufficiency or incompetence. This condition can be diagnosed only by seeing a cervical length of less than 2.5 cm with funneling of the internal OS (internal orifice) or by a history of previous painless delivery. I do not see any of these in your history. In present pregnancy too, I do not see any risk factors. Every pregnant uterus will have a soft cervix. This does not mean that it has incompetence. Your cervical length has always been more than 3 cm. You can follow the advice of having those medications. They keep the uterus silent and will prevent any sudden progress of pain. You can definitely work, avoid too much physical stress and avoid any infections like urinary infection (avoid filthy public toilets, have a lot of water and do not hold back urine for long), respiratory infection (keep away from people with fever, cold), gastrointestinal infections (avoid unhygienic food) at 28 weeks. Have a glucose challenge test to rule out pregnancy induced diabetes. Better not to use Progestins for too long. They can cause mild growth restrictions. You can definitely have a routine regular life. After all, pregnancy is not a disease. All the best." + }, + { + "id": 5074, + "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": 23961, + "tgt": "What is the treatment for adenocarcinoma found in marrow biopsy?", + "src": "Patient: Hello doctor,The patient is 55-year-old female weighing 55 kg and suffering from adenocarcinoma as found in marrow biopsy. She is on ventilator now. Doctor: Hi. The following are the questions which come to my mind, which is not provided by the information you provided: My guess is you want to know if she will get better. Even in the best of hands, such patients usually do not do well. If the doctors are discussing about withdrawal of care, it may probably be the best course of action. Please reply as to what your specific query is, and any other blood reports, scan reports and X-rays which could be attached so I could assist you better. For more information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 19076, + "tgt": "Kindly suggest an effective solution for granuloma annulare", + "src": "Patient: Hi doctor, I consulted a doctor and he told me I am suffering from dermatographic urticaria. A biopsy was performed on my hand then got to know that my chronic hand rash is granuloma annulare (GA). I have severe itching at the site where GA shows up. I have been suffering for many years with it. For the past ten years, it was only present on my left hand. But, now it has started on my right hand too.\u00a0After lot of research, got to know that GA is neither a life threatening condition nor contagious and generally disappears by itself. But, in my condition, it has not disappeared.\u00a0After consulting a physician, I have tried many creams to reduce the itching as well as to dissipate the GA and nothing seems to be working. I even tried with few home remedies. I drank 2 oz daily of apple cider vinegar. First time it showed some benefit. But, later it did not work. Lastly, I tried with Lidocaine cream too, but no positive result. I am very worried and concerned.\u00a0I am attaching the pictures for your reference.\u00a0Please suggest me a good and effective treatment plan that will work for my condition. Thank you in advance. Doctor: Hi. I checked the photographs (attachment removed to protect patient identity). Revert back after 15 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26761, + "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": 13641, + "tgt": "Can I take epilepsy tablets when I am pregnant?", + "src": "Patient: Hello doctor, I am a 30 year old female. I am 8 weeks pregnant. I have been having epilepsy since 10 years. I had the last seizure a year ago. I am taking the following tablets: tablet Tegretol CR 200 (1-0-2), tablet Frisium 5 mg (0-0-2) and tablet Folic acid 5 mg (0-0-1). Can I take these tablets when I am pregnant? Doctor: Hello. Tablet Tegretol should not be used in pregnancy. Only pregnancy-safe drugs should be taken during pregnancy. It is categorized as category D of FDA drugs in pregnancy. Category D means, there is enough evidence that it causes risk to the fetus. So, I would advise you to get back to your neurologist and discuss with him to shift you on safer anti-epileptics like Levetiracetam." + }, + { + "id": 16748, + "tgt": "What could this pea sized lump around my scrotum be?", + "src": "Patient: Hello doctor, I have been kneed really hard in the groin 10 days ago while playing basketball. The pain is more of an ache that does not last long. There was immediate swelling in my scrotum around the veins and arteries above my left testicle and some minor discomfort but continued to play. I had minor discomfort the next few days while swelling went down. There has been no discoloration. I have been able to go to the bathroom fine. There is now a pea size lump around or in the veins or arteries that causes minor pain when pressure is applied. It is firm but soft at the same time. What could this be? Should I see a urologist? Doctor: Hello. You have had a blunt trauma to your scrotum almost a week back and since then have had a decrease in the swelling and no urinary complaints which are good signs. Was there ever any blood in the urine immediately after the incident? From your description, it appears that what you have is a scrotal hematoma which is resolving gradually. So you need to worry. All you would need is some scrotal elevation which will ease pain and swelling. But I would still advise you to visit your urologist to make sure the pain is just in the scrotum and not involved the testes, which is not possible without a clinical exam. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29204, + "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": 13483, + "tgt": "Kindly suggest some exercises to cure friction in kneecap", + "src": "Patient: Hello doctor, My doctor said that I have friction in my kneecap and I have to do exercise to increase the strength of the muscle. Can you please give me the plan of exercises? Doctor: Hello. Kindly provide me with additional details regarding your issue to help me prescribe or to suggest exercises. As of now, do knee pressing against a small towel kept below the knee and hold it for 10 seconds done for 15 times. Lying on the stomach and bending the knee against the resistance offered by another knee (another leg is placed over the foot or calf of the bending leg). Sitting with leg stretched forward reaching for your toes and holding it for 30 seconds. Standing and bending your knee with the heel touching towards the butt." + }, + { + "id": 16853, + "tgt": "My lymphocyte percentage is 44%. Should I be worried?", + "src": "Patient: Hello doctor, I just got a blood test conducted and the results indicate that my hemoglobin is 17.9 g/dL. My packed cell volume is 52.5%, RBC is 6.42 milliliter/mm3. Total leukocyte count is 14.3 thou/mm3. In differential leukocyte count, lymphocytes are 44% and in absolute leucocyte count, leucocytes are 6 thou/mm3 and ESR is 16 mm/hr. Should I be worried? Doctor: Hello. There is nothing to worry about your investigations. The number of red cells normally present varies according to person's age and sex. The normal hemoglobin value in an adult male can range up to 18 g/dL. It can be raised due to many reasons and these causes may be subdivided into whether there is a true or absolute erythrocytosis (polycythemia) due to an increase in red cells or an apparent erythrocytosis when the red cells are not increased but are instead more concentrated. The secondary increase can be due to dehydration, diuretic drugs, burns, stress, or high blood pressure, high altitude etc. Your lymphocyte percentage is a little high. There is a possibility of viral infection. If you have a fever, headache, dizziness, shortness of breath, itching all over the body, bleeding gums, fatigue, and excessive sweating then kindly consult your physician. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3465, + "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": 25575, + "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": 18662, + "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": 3672, + "tgt": "My sister is mentally disturbed and often writing suicidal notes. What would be her problem?", + "src": "Patient: Hello doctor, We are four sisters, and I am the first daughter to my parents. I have taken treatment for depression before years. I am now happy and my studies are going on. My sister is studying 10th grade and she was also a black belt in karate. Now she is mentally disturbed and thinking about her self, not concentrating on her studies and she wants to stay alone. She is writing on papers, on the wall, or otherwise writing on notes like \"Why I was born, I want to die\". She is having this problem for the past six months. Please suggest solution to solve this problem. Doctor: Hello. I read your query and understand your concerns. First of all, I feel your sister is suffering from the same depression for which you got treated in the past. The possibility is very high as there was a similar problem in genetically related elder sister (I mean you) as the presence of family members with depression increases the risk of depression among other family members. I must acknowledge that you do not need to feel anything wrong as the genes are at fault and not the family. Depression as a diagnosis is based on the fact that your sister have poor academic performance at a time when we expect better performance (board exams). In addition, the social isolation and preference to stay alone indicate depression as people with depression lose interest in almost all activities especially the pleasurable ones. The presence of expressed wish to die is another thing which indicates the possibility of severe depression. In my opinion, it is urgent to seek help from a psychiatrist. You may argue that I am a psychiatrist and I must handle the case but the presence of suicidal ideas points toward need of urgent and personalized care and online help is not sufficient. I hope this helps." + }, + { + "id": 5087, + "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": 6468, + "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": 25165, + "tgt": "How can boils on my chin be treated?", + "src": "Patient: Hello doctor, I started to have a boil on my chin and since I have had one before I decided to use the same treatment as the last time that is apple cider vinegar. When I put the treatment on the boil it did burn which I knew was a sign of it working. But, the day after, the boil did decrease in size and my skin later turned red with bumps, almost like it was rubbed raw. Do you think it was a boil? What should be the line of treatment? I am currently taking Cetrizine, Hydroxine, and Wellbutrin. Doctor: Hello. It is because your skin is irritated with cider vinegar. Make sure that the pus inside the boil has been removed completely if any. The redness is the inflammation that persists because of the boil and aggravated by home treatment. You need to apply Fusidic acid and Hydrocortisone combination. This will help get over with the remaining infection and redness of the boil. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28002, + "tgt": "A dog's teeth touched my fingers. Do I need to take rabies vaccine?", + "src": "Patient: Hi doctor, My query is regarding the necessity of rabies treatment for me.\u00a0Last week, I accidentally disturbed a sleeping dog. It started barking and tried to bite my right hand. I pulled my hand; hence it could not harm me. But, I remember that during this incident its teeth and tongue strongly touched my fingers. I clearly examined the area many times, but I did not see any skin break or scratches. Then I washed the area with hand wash lotion and water.\u00a0Should I take any post-exposure treatment? I am asking this because the disease is quite frightening. The dog after the incident was very calm. He fell asleep just a few minutes later. All these incidents happened at my campus. Waiting for your response and thanks in advance. Doctor: Hello. Revert back with the asked details to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17008, + "tgt": "My husband has azoospermia. Please suggest what to do", + "src": "Patient: Hi doctor,My husband is suffering from azoospermia. I do not know what to do. I do not know any good infertility center and specialized doctor. I want a biological child only. Please suggest what to do. How can I come to know whether it is obstructive or non-obstructive? Please reply. He has hard pimples on his testicle. Are these the reason of blockage? Doctor: Hi. Is there any report of your husband? Smoking, cocaine and other recreational drugs and few other medicines like anti-cancerous can affect male fertility. It is better to quit all recreational drugs. If he has been treated for any disease better to have full assessment and treatment. Drugs that he has been on should be discussed in detail in view of infertility. Have healthy lifestyle with nutritious balanced diet, exercise yoga, and other recreational activities. Non-obstructive azoospermia is no sperm in semen due to abnormal production of sperm. The reason for this is hormonal imbalance, testicular failure or varicocele and dilated vein in testicles (varicose veins), genetic abnormalities, cryptorchidism (presence of small testicles), etc. The treatment could be testicular sperm extraction with ICSI (intracytoplasmic sperm injection). In obstructive azoospermia, reasons could be due to obstructed epididymis or congenital absence of vas deferens as in cystic fibrosis but normal healthy sperm production is there. So sperm retrieval is advised for ICSI. Better to contact infertility centers. As detailed examination and history are needed for treatment and then for conception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12717, + "tgt": "Will missing anti-virus booster cause rabies after 10 years?", + "src": "Patient: Hello doctor, I had a crazy dog that scratched me 10 years ago. So, I want to know whether that can lead me to rabies because I have never taken any anti-virus booster. Doctor: Hi. 10 years is quite a long time. It is highly unlikely that you can get rabies by an exposure 10 years back. Usually with infection of rabies virus, (through a bite of rabid animal) shows symptoms in 20 to 90 days. The period can be as long as more than a year. But I have not come across a period more than that. Regarding immunization, rabies is one of the few diseases for which post-exposure prophylaxis is available. It is always preferred to get yourself immunized along with anti-rabies serum." + }, + { + "id": 1423, + "tgt": "Why am I getting headache during sex?", + "src": "Patient: Hi doctor,I am getting headaches during sex. Also, the pain peaks at orgasms. Please help. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25341, + "tgt": "My knee joints make noises but it is not painful. What can be done?", + "src": "Patient: Hello doctor,I am a 34 year old male. Three to four months ago my knee joints started to make noises. But it is not painful. And, when I drive for a long time and get out of the car, my left knee which is used to press the clutch has a sharp pain. But, it is only once when I first step outside the car. After that, everything is fine. But I decided to show an orthopedic. I visited a specialist and he went for an X-ray. And after taking X-rays, he told that the knee gap in both legs has got bigger than normal, especially the left leg. He suggested me to take physiotherapy and medicines. I would like to know if this condition can be cured completely. What precautions should be taken to avoid a future problem? I do yoga, aerobics and jumping every day. Doctor: Hello. I saw your X-rays (attachment removed to protect patient identity). You seem to have medial compartment osteoarthritis with a possibility of spontaneous osteonecrosis of the left knee (SPONK). Check SPONK in left knee. You need to do an MRI scan and I would also suggest you do some blood investigations as I have given below. Till then, you need to take the following tablets: Take these tablets only if you are not allergic to them. Do not take these tablets if you are a known case of bronchial asthma. Follow up immediately in case of any untoward reactions. Activities that cause pain should be avoided temporarily. If the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: You should wear a knee cap for support to the knee joint. Wear it all day and you can remove it at night.Apply mild heating pads twice daily for 15 minutes each.You need to get the following blood tests done: You need to do left knee MRI scan - plain.Do the blood tests and MRI scan and upload reports for an accurate advice.Regards.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 an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16123, + "tgt": "How can we manage the changes that happen during menopause?", + "src": "Patient: Hi doctor, How can we manage the symptom changes that happen during menopause? Please say about the natural remedies used to handle them. Please explain about the lifestyle changes, foods, and exercise that needs to be changed during menopause. How does it work for menopausal women having hot flashes, dryness and mood changes? Please suggest. Doctor: Hi. The following remedies can be tried. It has been effective in varying proportions. When having mood swings, irritability, and depression, try to do exercise daily like jogging, running or walking. It is very effective. Yoga and meditation or deep breathing exercise can also help to control these symptoms. Avoid drinking coffee and tea. Avoid taking sugary foods and fatty foods. Occasional body massage can also be helpful. When having hot flushes, try to drink plenty of water preferably cool water. Avoid taking hot beverages and stimulants like tea and coffee. Wear loose clothes. Avoid having a warm bath. Herbs such as soy and black cohosh have been used to control hot flushes. Phytoestrogen containing food can also be used to control hot flushes. Try to read books before bedtime when having insomnia. Listen to calming music before going to bed. Do yoga or meditation daily." + }, + { + "id": 7754, + "tgt": "Is there any cure in homeopathy for tinea cruris?", + "src": "Patient: Hello doctor, I have treated tinea cruris for the last six months with all allopathic medicines ranging from Terbinifine for six weeks to Itraconazole and Fluconazole and all the zole category ointments but there is no relief. The infection returns after one month of stoppage of medicine. No diabetes or HIV have been detected. Kindly advise and tell me how the homeopathy heals the disease. Doctor: Hello. It is a recurrence of tinea, and it will not go by any zole category ointment, you have taken a lot of medications, that is why you take one dose of Sulphur 200 early morning empty stomach, only once do not repeat it. Then wait for one week with no medicine (allow sulfur to work). After one week take one dose of Nux Vomica 1M (Venum orange) one dose before sleep. Then again wait for one week with no medicine and then consult me again for the next medication because it will be based on that time presenting symptoms (1 dose is four globules or two drops on tongue). 1. In these two weeks do not apply any ointment apply plain coconut oil. 2. Do not use any soap on the affected area. 3. Do not take a raw onion. 4. And do not take any other homeopathic medicine for anything." + }, + { + "id": 13163, + "tgt": "How can white bumps on the face be cured?", + "src": "Patient: Hello doctor, I have white bumps on the face. Please advise the treatment. Doctor: Hi. These are milias. These are small keratin cysts that appear on the skin. There are different treatment options available for it. But the best and definitive treatment is to cauterize it. Milias. Milias. Apply Tretinoin gel plus cold cream on the whole face at night. Cautery of the lesions from a nearby health facility. Maintain hygiene of the area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 18445, + "tgt": "Do birth control pills cause nephrotic syndrome?", + "src": "Patient: Hi doctor, My daughter has been taking birth control pills for five months, since she gave birth. About two months ago, she started having some swelling in her feet and legs. She waited to see if it would go away, but it did not. Her doctor did some tests and found protein in the urine, so she sent her to a nephrologist. The nephrologist did more tests and found that she has nephrotic syndrome and is going for a kidney biopsy to see what medicine she should take to reverse the damage. I am convinced that it came from birth control pills, because it says in the side effects fluid retention in legs and feet. Has this caused any permanent damage? Is this reversible? The nephrologist said it could not come from the birth control and I disagree. I told my daughter to stop taking this pill as soon as she found out from her interest that there is protein in the urine. She has been off of it for two weeks now. My mom is a pharmacist and so I know how dangerous medicines can be and both my parents were sensitive to medicines. My daughter has a kidney biopsy scheduled for next week. I would like to get it earlier, but the recommended intervention radiologist cannot do it before then. My question is can she get the biopsy done with a cold that she has right now? Is it dangerous to wait until next week for the biopsy? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14489, + "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": 26265, + "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": 27604, + "tgt": "I have an itchy red rash on my face that seems to be spreading. Please help", + "src": "Patient: Hello doctor,Last night, I broke out in a red rash on my face. The rash burns and itches. It also appears to be spreading to other parts of the body when touched. I woke up and found it on new areas of my face. A first opinion I received last night told me it is an allergic reaction and that taking allergy medicines would suffice. However, I took Benadryl last night and it does not seem to be helping at all. Please help. Doctor: Hello. Revert after seven days to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13572, + "tgt": "Suggest an ayurvedic cure for muscle pain", + "src": "Patient: Hi doctor, Can Balaguluchyadi thailam be used for muscle knots or pain in the forearm? Doctor: Hi. Majority of thailam will relieve pain. But we should find out the reason for the pain. If it is because of gout, definitely your pain will be cured with this oil. It would be better if you explain your problem in detail with reports if you have any." + }, + { + "id": 19847, + "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": 808, + "tgt": "After how many days of withdrawal bleeding does periods occur?", + "src": "Patient: Hello doctor, I and my friend involved in physical intimacy a few days back and there was no ejeculation and penetration was only for 2 minutes. After that considering precum she took Unwanted 72 within 3 hours. She had bleeding after six days. She has regular cycle of 28 to 30 days and her last period was 30 days back. She did not have period till now. We performed urine pregnancy test at home. All are negative. Is it confirmed that she is not pregnant? If yes, how long ideally she should wait for period after bleeding? Is there any medicine required? Doctor: Hello. As she had a withdrawal bleed post Unwanted 72 intake and also the urine pregnancy test has been negative till date, so pregnancy is ruled out. However, the conclusive test for ruling out pregnancy remains serum beta hCG test which is a blood test. if hCG levels are less than 5 mlU, then she is surely not pregnant. Also, now she should be expecting her menses only after 10 more days as she had her bleed marking the start of her fresh cycle. Just get the serum beta hCG test done to get conclusive results. She can wait for her menses." + }, + { + "id": 28421, + "tgt": "I got a rash and pimples on the lips, which spread all over my body. Please help", + "src": "Patient: Hello\u00a0doctor, I am a 49 year old female, who has so far consulted two\u00a0infectious disease doctors, my ENT, my primary care doctor, and a dermatologist. I believe I have an undiagnosed parasitic infection. I have a primary immune deficiency, for which I receive IV Ig every three weeks, and I am in generally fair to poor health. I have a history of chronic osteomyelitis of skull bones and mastoiditis. The infection symptoms started approximately three months ago after a\u00a0hospital stay, mostly bacterial or viral. I got a rash and pimples on the\u00a0lips, which moved to around the mouth and looked like impetigo. I picked at it and pulled out the heads of the pimples with a tweezer. It created deep pitting sores (will send photos). It did not bleed, but my pores seem to be open. Then it got painful when it settled into my left jaw, chin, left cheek, left ear, and it started breaking through my mastoidectomy scar. I think it was me touching the pimple and then touching my scar, which made it spread. And then it turned into cellulitis on my face; I had what could only be described as fluctuant carbuncles. It was horrible, and I also started to get spots rubbery hard skin where the scab should be. Now I am wondering if this is the parasite trying to wall itself off. Important to note here that I had two negative cultures within the first six weeks. Also important to note that the stuff coming from the wounds was not a typical pus,\u00a0it was more of a gel-like substance. But because of my history, and because of the presentation of the wounds, I was put on IV antibiotics. I have been on Cefazolin, Rocephin, Invanz, and oral Flagyl and Keflex. Nothing was working, and it spread\u00a0all over my body. I went to a doctor and had him look at this weird crack on my foot that has been bugging me, and he said it is an athlete's foot. This is weird because the only place I take a shower or go barefoot is my shower. So I wondered if there was a fungal element to this, and I had some Fluconazole, so I took it and applied athlete's foot cream on my face, and it started to resolve. I have taken my second dose of Ivermectin, but my doctor is a huge skeptic, and I wondered if I could send you a picture of these disgusting things that are now coming out of my skin. The place that I think I have the largest concentration of these things is my empty left mastoid cavity. It is tough finding information that matches my symptoms online. Doctor: Hello. \u00a0I hope it helps you. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11849, + "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": 18050, + "tgt": "Can I take Paroxetine for premature ejaculation and erectile dysfunction?", + "src": "Patient: Hi doctor, I am a\u00a028 year old\u00a0unmarried male, who is suffering from premature ejaculation and erectile dysfunction. I do not get a hard erection during masturbation. And I ejaculate in less than 50 seconds. I once tried having sex, but I ejaculated during the foreplay itself, so I did not penetrate. My doctor advised me to take Aroxat CR 12.5 mg for 30 days. I\u00a0want a\u00a0second opinion, as I am going to get married in the next 15 days. Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2780, + "tgt": "Kindly suggest medications to prevent malaria", + "src": "Patient: Hello doctor, I am traveling to the Solomon Islands next week (assuming planes still flying). I am seeking malaria prevention medication. I will be there for two weeks (longer if the return flights are canceled). I am in good health. I am 77 years old, and I exercise daily. I take no medications except multivitamins, walk briskly two to three miles a day. No surgeries and implants. Doctor: Hello. You are doing a great job to preserve nature. It is better to take malaria prophylaxis while traveling to an endemic area. Among many regimens, I suggest you the following effective regimen: Mefloquine 250 mg tablet to be taken weekly once. Start two weeks prior to the travel, continue during the travel and four weeks even after return to hometown. So, all these days the dosage will be 250 mg tablet weekly once. Once this tablet gets over, then start Tablet Primaquine 15 mg. This tablet to be started from the next day of the last dose of Mefloquine for 14 days (two weeks), daily. [Buy 14 tablets of Primaquine]. This can destroy any dormant form of all types of malaria. You please go ahead of your services, which should not be stopped because of malaria." + }, + { + "id": 21381, + "tgt": "My puppy accidentally touched my teeth. Do I need to get a vaccine?", + "src": "Patient: Hello doctor, Today my 2 month old puppy accidentally touched my teeth while I was petting him, but I did not see any scratch or blood. So, do I need to get a vaccine? I am really worried about the matter. Please let me know. Doctor: Hello. If your puppy did not bruise or abrade you, then there is no need for any vaccination. Vaccination is required in cases of exposure to rabid wild dogs, not pet dogs. Now, considering the fact that this puppy is your pet, I assume you would have got it vaccinated earlier. Still, I would advise you to get a course of rabies vaccination. It is under the name of pre-exposureprophylaxis and consists of three to five injections. It is always better to take precautions rather than regretting. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23314, + "tgt": "I have swollen lymph nodes in armpits, groin and neck. Is it lymphoma?", + "src": "Patient: Hi doctor, I have noticed swollen lymph nodes on both my armpits and groin area as well on the right side of my neck. They have been there for six weeks now and are not painful. I had a blood test and they are normal. I am having a CT scan this week. I have no other symptom. Do you think it is lymphoma? The lymph nodes are small, especially in the groin area. Doctor: Hi, Welcome to icliniq.com. Your condition requires a definite verification with a biopsy of a lymph node in order to exclude the presence of lymphoma. A case of generalized enlarged lymph nodes is always very concerning. I would advise you to undergo a biopsy testing for sure, regardless of CT scan results. In case of lymphoma changes in blood tests are present in already very advanced stages, that is why they are not reliable for diagnosis. The only reliable test is histology based on biopsy specimen. This is the only test also to rule out lymphoma as well. There are other cases for generalized lymphadenopathy such as infections, autoimmune and metabolic disorders, but the search for them requires exclusion of primary hematologic disease. This is what I would recommend to you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25139, + "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": 26263, + "tgt": "HIV 1 and 2 are nonreactive 28 days after exposure. Should I repeat it later?", + "src": "Patient: Hello doctor,HIV 1 and 2 are nonreactive in the tri-dot test after 28 days of exposure. Should I repeat the test again for confirmation? Doctor: Hello. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12246, + "tgt": "Is there any treatment available for Sandhoff disease?", + "src": "Patient: Hello doctor, My son is suffering from Sandhoff disease. Please give a solution. Doctor: Hello. I have read your concern. Your son will develop a seizure and you need anticonvulsants for it. This can range from Valproic acid to Levetiracetam to control it. It usually is controlled with medications alone. However, I am sorry to tell that the Sandhoff disease is progressive and you cannot halt it from progressing but you can control the symptoms of seizures. Keep him healthy of infection because most common complication of this disease is a respiratory infection that leads to their problem." + }, + { + "id": 25722, + "tgt": "Can I have my next vertigo attack while I drive?", + "src": "Patient: Hello doctor,Two months ago, I experienced a vertigo attack. I went to the doctor. They did all the exams. Blood work was good and CAT scan came back good. The ENT doctor said it is BPPV. He did the head movements for me. I am feeling much better. My question is I cannot be at peace because I have a fear that it might happen to me while I drive. Is this normal? Also, can it happen to me while I drive? I am always uptight. Doctor: Hello. Vertigo can happen during driving. So, the patient is asked not to drive for 15 days or so till the symptoms subside. Repeated episodes of vertigo can occur in BPPV (benign paroxysmal positional vertigo). So, whenever you have vertigo, you should be on complete bed rest, take medicines prescribed, avoid jerky head movements, avoid driving and salt restricted diet. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23394, + "tgt": "What are long-term cancer implications of receiving radiation due to I-131 treatments?", + "src": "Patient: Hello doctor, What are the long-term cancer implications of receiving 1500 to 2000+ mSv of radiation due to I-131 treatments and substantial diagnostic testing? Doctor: Hi. The I-131 treatment aims to destroy the remnant thyroid cells in the body. Short-term side effects of RAI (radioactive iodine) treatment are as follows: Radioactive iodine may also affect ovaries, and some women may have irregular periods for a few months. Both men and women who have had RAI therapy may have a slightly increased risk of developing leukemia in the future. Though this is an extremely rare complication. For more information consult an interventional radiologist online --> https://www.icliniq.com/ask-a-doctor-online/interventional-radiologist" + }, + { + "id": 10171, + "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": 25421, + "tgt": "I have so much pain under my ear that my neck muscles are throbbing. Why?", + "src": "Patient: Hello doctor,My neck muscles are throbbing to the point I cannot go to sleep. It is just under the ear. I have looked it up, and it is my pituitary glands. My co-worker has symptoms of whooping cough, but I have been vaccinated in the last year. I had a cough and then feeling generally unwell. Now I have got unbelievable pain in certain parts of my body that will not subside. Mostly my hands and under my feet. What is this? Doctor: Hello. I have reviewed your case and want to add here that it does not seem to be the pituitary gland that is causing the issues. I am sure about this as pituitary is not located in this area. So, be calm. You had cough and there is general fatigue too. This means there is something wrong with your throat or upper respiratory areas. This can be a viral infection and that spreads from person to person very easily. The area that is hurting maybe your lymph nodes under the ear and chin. They are swollen and very painful when there is an infection of the area of their drainage. You need to consult a physician right away so that he may have a look at your upper respiratory system. If needed he may refer you to an ENT specialist for proper evaluation. Some blood work may also be needed in this regard. Hope this helps. Please feel free to ask more if you need further assistance. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20627, + "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": 1963, + "tgt": "Accutane is causing constant burping problem. Why?", + "src": "Patient: Hello doctor, My son took Accutane to treat his acne and stop taking the same. His acne is gone but he said he started having burping sometime after he took Accutane, mostly every day in the morning and whenever he eats. To prevent his burping he does not eat much. He does not feel bloated nor pain in his stomach. Whenever he burps he does not even feel acid in his throat. The burping does not bother him much, and the frequency has reduced. Doctor prescribed Pepcid for 30 days, but nothing changed. He was tested for H.pylori which came back negative, and all his lab works were fine, except his low on vitamin D 10.6 and his A/G ratio was slightly elevated 2.5. He drinks water last night before his test and no water since which may or may not explain his slightly elevated A/G. Doctor scheduled him for endoscopy and told him to take Align probiotics. My son does not want to do the endoscopy and will not do it. Is this endoscopy really a must? He just wants to take the supplements. No cancer history of the stomach in our family. Is there any other different and saddle approach for handling this, like just take his probiotics and other digestive enzymes for months and wait and see. Doctor: Hello. Thanks for providing a detailed history of your son. This excessive burping usually occurs due to aerophagia. Patient is usually not aware of it and they swallow a lot of air during eating or drinking. We normally swallow a little air and we sometimes have one or two burps in routine but those who swallow more air have more burping. Coming to his lab tests, this A/G ratio is not that significant and his Vitamin D should be replaced. Both these tests are not associated with burping. He has no alarm sign so endoscopy is not mandatory and he can avoid it. His endoscopy report will be most probably normal. He needs diaphragmatic exercises to avoid burping. The way forward is that after eating or drinking he should hold a pencil in his teeth and take a deep breath via nose and exhale via mouth for about five minutes and it will help out. He can take tablet Baclofen 5 mg three times daily before meals for 10 days and should avoid chewing gums." + }, + { + "id": 26864, + "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": 23079, + "tgt": "Why does my pathology report not include classification of my LCIS?", + "src": "Patient: Hello doctor, Why does my pathology report not include classification of my LCIS? Doctor: Hello. LCIS (lobular carcinoma in situ) is not cancer in comparison to that of ductal carcinoma in situ. In LCIS, abnormal cells grow in lobules. It can be converted into invasive cancer in the future in some cases. LCIS itself is one of the classifications of a breast tumor. Treatment is not aggressive in such a case. Three therapies are available as follows: For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 14786, + "tgt": "Apart from extraction, is there any way to manage swelling due to wisdom tooth eruption?", + "src": "Patient: Hi doctor,I have an inflamed gum at end of the jaw and showed to different dentists. They said it is the wisdom tooth coming out in the wrong position so it has to be extracted. I am not comfortable with extraction. Is there any other solution to reduce the swelling? Doctor: Hello. Wisdom teeth or third molars are usually the last ones to erupt. During the eruption time, there are some inflammation and redness in gum pad known as pericoronitis. If the orientation of the tooth is not in a proper path, the dentist decides to extract it. This is a universally accepted method because there is no sufficient space in the jaw for the tooth to come out. If the tooth was left as it is, it can cause more problems in the future. So I suggest you go for extraction. This is the best way to cure your problem, do not be panic because the whole procedure will be performed under local anesthesia." + }, + { + "id": 8257, + "tgt": "I am having pain and swelling in my cheek after getting a tooth filled. What to do?", + "src": "Patient: Hi doctor, I had a tooth filling approximately 10 hours ago and felt excruciating pain when the local anesthesia was injected. I experienced pain from my cheek all the way up to my temple. The dentist was very rushed and just told me that the pain and numbing sensation could last for up to 2 hours after the filling. The numbness went away everywhere except for in my cheek. I have been experiencing a throbbing pain and swelling in my cheek bone and my lower eye socket. I also have a slight fever. Is this something to be concerned? It should be noted that I have sublingual and submandibular nerve damage from a wisdom tooth extraction that I had two years ago. Doctor: Hi. You have mentioned that you regained sensation, which means the nerve was anesthetized properly and has reverted too. The numbness, pain, and swelling in your cheek might be due to accidental injection into the cheek muscles. I want you to check yourself if you can open and close your mouth normally as before. If not, then it is a muscle twitch, for which you have to do mouth exercises to come back to normal. But the other possibility for your pain might be the tooth itself, as local anesthesia is not given for a normal filling. Maybe the tooth itself is filled deep without pulp protection. Please attach an x-ray of the tooth which you got filled.I will be able to give you an elaborate answer and treatment once you revert with the additional information. The history of lingual and mandibular nerve damage is not relevant for this scenario because it is in the lower jaw. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10611, + "tgt": "How to treat a red dry skin on the scrotum?", + "src": "Patient: Hi doctor, I found a red dry skin on my scrotum today. What is is? Is it dangerous? How\u00a0can I treat it? I am still a virgin. I have attached the pictures of the dry skin. Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). It looks like scrotal dermatitis. Try doing the following. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6497, + "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": 759, + "tgt": "Cyst in my testicles are getting bigger while trying to pass stools. Please help", + "src": "Patient: Hello doctor, When I am trying to pass stools my testicles get really big, also there is a cyst in my right testicle. Besides this, I have pain in my lower back. What is your advice to get the cyst killed and get back to normal? If necessary, I can send photos. Please help. Doctor: Hi. With the history you have told, it seems like a hydrocele or an inguinal hernia with extension into the scrotum. If possible do send the pictures for a better idea. And also answer these questions. Do you suffer from constipation? Any abdominal pain? Any fever? Any issues while passing urine? Do you have diabetes? Awaiting your reply. Please update a clear picture." + }, + { + "id": 13373, + "tgt": "I am suffering from testicular pain. What could be the cause?", + "src": "Patient: Hello doctor, I have been facing testicular pain since last few days. What could be the cause? Doctor: Hi. Testicular pain can be due to many reasons. Ascertaining the reason of pain without proper history and examination is not a good idea. The wrong diagnosis will eventually lead to the wrong treatment. You should visit a surgeon in person and get yourself examined. Urine examination and an Ultrasonography may be needed to ascertain the cause of pain. Do not feel shy and do not delay. If you are not able to consult a doctor or if a doctor is not in reach, please again ask your query with details of pain like, from where it starts and where it radiates, how it started and any associated symptoms. Get a urine routine examination and TLC, DLC done and share the reports." + }, + { + "id": 17543, + "tgt": "Can I take Cystone along with Neeri syrup to dissolve a kidney stone?", + "src": "Patient: Hi doctor, I have been detected with 4 mm stone in right vesicoureteral junction. It gives me immense pain. The doctors have performed flush therapy twice. But there is no good result. My serum creatinine is 1.4 mg/dL. They have given me Neeri syrup. Can I take tablet Cystone along with this syrup for the stone to get dissolved? What can I do now? Doctor: Hi. I can understand your concern. 4 mm stone can be dissolved quickly. You are taking the right medicines for this. You can add tablet Cystone along with it. In the case of pain, which is not bearable, you can take painkillers. Avoid spicy and fried junk foods. Drink plenty of water. You can take these ayurvedic medicines to dissolve stone quickly: For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29378, + "tgt": "Could my daughter's nystagmus be improved with occlusion therapy?", + "src": "Patient: Hi doctor, My daughter has nystagmus. I noticed and took her to the\u00a0hospital when she was 1.6 years old. I feel the doctors are getting ready to start blurring her left stronger eye to strengthen her right eye.\u00a0Could my daughter's nystagmus be improved with eye therapy? Her right eye is extremely weak. I am worried if this will hurt her. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22236, + "tgt": "Why am I getting negative thoughts repeatedly?", + "src": "Patient: Hi doctor, I am a 28 year old male. I am married. I am under stress and depression.\u00a0I got married under a forceful pressure from my mother, despite me telling her to postpone it for few years. As I was very obedient to her, I succumbed to her demand for marriage. After six months of my marriage, my wife was brainwashed by her mother to come back to her house and live with them. Only by that she can live a luxurious free life. I heard all these when she was talking over the phone. My wife agreed with her mother for all the plans to take me out of my home and go to her mother\u2019s house. I thought, let me not talk openly about this and change her attitude patiently instead of being aggressive. Unfortunately, my wife\u2019s brothers are living in their in-laws home. There are living an immoral life and now my wife wants the same trend. On the top of it, my mother\u2019s behavior also changed and every time there is some fight between my mother and my wife. In the meantime. I know my wife like to have marital affairs. The dispute got worse where my in-laws keep telling my neighbors that I am torturing husband and all cheap accusations. They came to my house along with neighbors and I clearly got to know they want their daughter to come back and take care of them instead of my parents. My mother-in-law is not happy with her husband. At this age, she has extramarital affairs. All the unknown people come to her house in her husband\u2019s absence. I got to know all these notorious after my marriage. People do say that she was a sex worker before her marriage, which is sadly true. She openly teaches my wife about pornography, watching all boys (that she regularly does) and all the shameless stuffs.\u00a0I am good looking, appear very young, very smart and look very professional in my dress, outlook. Most of my neighbors are jealous of looking at me as well in professional look.When all these false accusations were made against me, I was silent and kept quiet but now I feel depressed and alone. I regret why I did not reply to them. I blame god, fate, my mother and everyone for all these. I feel like hearing those words of accusation in my ears. I regret why I could not reply to them. I regret why this type of notorious women came to life. I regret why I marry. I murmur to me as if I am replying to them of their accusations. I get angry frequently now and my mood changes frequently. One time I will blame with frustration to god and after sometime I feel let them learn a lesson. I consulted a psychiatrist and he recommended Estomine SF once daily for three months. I took it for three months and I was fine. There were no negative thoughts and I started with normal life. I was happy with recovery. Now, I have stopped the medications. Already one month over. Again, same negative thoughts coming to my mind as usual. No control on my thoughts of blaming to all. I do not know what to do? My doctor said to change the lifestyle. He advised me to do meditation, as the tablets cannot help in the long run. I have lots to study for my IT exams in four months. I am unable to concentrate. Please advise. What is my condition?\u00a0Why am I getting these negative thoughts over and over?\u00a0Should I start taking tablets? Should I change the tablet?\u00a0I like fitness and bodybuilding passionately. Should I join a gym?\u00a0Should I also go for a some body massage to get relief as few websites do suggest for stress and depression relief? Doctor: Hi. I have read each word of your query with keen interest and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10829, + "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": 10631, + "tgt": "Is it possible to get nerve related problems due to high lipids and blood glucose levels?", + "src": "Patient: Hi doctor, I have developed symptoms of nerve dysfunction (burning, tingling, etc.) but all the nerve related tests were normal. Over the past 9 to 12 months, my diet was poor, I am about 70 pounds overweight, age 40, and have high LDL. My blood glucose last year was 86, then it went up to 97 by the fall, and then up to 106 this year. I went on a diet and lost 20 lbs so far, but the test this week was at 101 after a 12-hour fast. My question is this: Can a blood glucose around 100 to 105 and high lipids for numerous months cause any nerve related symptoms? Doctor: Hello. I have seen the details given. The glucose levels mentioned are normal. Only 106 mg shows a pre-diabetic fasting level. These levels are unlikely to affect the nerve function. From your information, I get a feeling that you do not have diabetes. Is that right? In that case the nerve related issue is not due to glucose levels at all. It may be related to your obesity. With a BMI of 37.07 kg/sq meter (normal < 25 kg/sq meter) you are already in grade 2 obesity. Your ideal body weight should be 77 kg (169.4 pounds). Which means there is an excess of over 81 pounds. That could be the culprit. Plus it can be the cause for precipitating diabetes in the coming years." + }, + { + "id": 28532, + "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": 4242, + "tgt": "I have a small acne like thing on chest. Is it related to cancer?", + "src": "Patient: Hello doctor, I have attached a picture which is on my chest for about two years. It has not given me any problem. Around two years back I had a small acne like thing on my chest right side and it became like this ever since. The dermatologists I have visited have said it is nothing to worry about, but I just want an opinion. I fear and hope it is not a skin cancer. Doctor: Hi. Revert back with the asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6048, + "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": 12137, + "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": 6775, + "tgt": "Will anxiety and depression get worse if I stop taking Ashwagandha?", + "src": "Patient: Hello doctor, I have started using Ashwagandha as a natural supplement for depression and anxiety. I have been feeling much better even after my doctor has reduced my sleeping medicines and antidepressant. My concern is if I stop using the Ashwagandha, will the depression anxiety return or get worse? Doctor: Hello. I understand your concern regarding getting the depression back once you stop Ashwagandha. I would advise you to continue taking Ashwagandha till you feel a good amount of improvement in your depression. Also, start doing meditation, and some yoga poses for getting rid of depression problems. Then gradually reduce the dose of Ashwagandha so that your body gets used to the reduced doses of Ashwagandha. Do not stop using it immediately. Make sure you do it gradually. This will help to maintain your health, and most likely, you will not get back with the previous symptoms. I hope I have answered your questions." + }, + { + "id": 9003, + "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": 24796, + "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": 8087, + "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": 26850, + "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": 4145, + "tgt": "What are the ways to manage bleeding gums?", + "src": "Patient: Hello doctor, Blood comes from my teeth and my teeth are going to loose its grip. How can I stop this blood which is coming from my teeth and how can I strengthen them? Doctor: Hello. Gum bleeding and gum recession or weakness is a sign of gum condition called gingivitis. Gingivitis is the inflammation of the gums caused due to constant irritation by tartar/calculus (hardened yellow deposits on the tooth). Food deposits or plaque that settles on tooth gets calcified on the long run and becomes hardened calculus deposit. Constantly irritated gums become weak and starts to bleed when we brush or in the morning time after waking up. A professional scaling and polishing procedure is done by an ultrasonic scaler instrument to remove that calculus. Once removed, the gums take a day to heal and the gum bleeding will stop the next morning. Please visit your dentist and get this procedure done. This procedure can be done once in 6 months if required. Although we do a proper brushing every day, there are certain spots between teeth where the bristles fail to reach. Hence a professional tooth cleaning is always adviced once in a while. There are certain brushing techniques that can be followed to prevent calculus accumulation. Get to know that from you dentist and please do follow them. 1. Follow a healthy diet and lifestyle. 2. Get a dental checkup once in 6 months. (To diagnose any issues if present at the earliest). 3. Follow proper oral hygiene by brushing twice daily especially before bed and mouth rinsing after every meal. This way you will have a healthy teeth and gums." + }, + { + "id": 3570, + "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": 3041, + "tgt": "How long will a composite filling last?", + "src": "Patient: Hello doctor, I had some composite fillings placed on the front surfaces of several teeth last year, at the top of the tooth near the gum line where dentine had been exposed due to wearing away of the enamel. Several of the fillings have fallen out. They were not worn down by brushing, but actually they are detached as a whole from the tooth. I was shocked that they had lasted less than a year because online searches indicate they should last for five to seven years. Under normal circumstances, how long should composite fillings last? Doctor: Hello. I went through your images. (attachment removed to protect patient identity). Usually, composite restoration lasts for four to five years. Composite filling is not as strong as amalgam fillings. Moreover it has to be taken care of more than amalgam fillings. Precautions to be taken for successful composite filling should be followed to last it longer. Most of it are the job of the dentist who is performing procedure, but there are few things that should be followed by patients also. 1. Avoid taking or biting hard food or candies with those teeth. 2. If there is any microfracture line of the tooth because of any hard substance bitting or trauma then it is harmful to the composite filling. 3. If any trauma or impact to filling then composite filling will not last long. 4. If you having any habit of nail biting then it is not good for filling. 5. If you have a habit of bruxism or night grinding then it is agrravating factor for fracture of restoration. 6. You should avoid tea, coffee or hard drinks consumption too frequently because it will lose its property and color. Apart from these things, there is natural shedding or wearing of composite layer like natural teeth wears as the time passes. Yes, your dentist is right if there is a fault in preparation of restoration or while doing composite feeling then it would have gone within few weeks. So, for permanent solution, you can go for root canal with zirconia crown. If zirconia is costly then you can ask for other options for crown to your dentist which are available to them. I hope this helps." + }, + { + "id": 26588, + "tgt": "I jumped off a boat and my sternum popped. What should I do?", + "src": "Patient: Hello doctor, I am a\u00a045 year old\u00a0female. I jumped off a boat and my sternum popped. I have swelling and severe pain. I am taking Ibuprofen. It hurts to breathe and move my arms. I have a history of osteoporosis, degenerative disk disease, and scoliosis. Doctor: Hello. This professional advice provided by me stands subject to the actual examination of the 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://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 2854, + "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": 14423, + "tgt": "The fasting glucose level and cholesterol are not lowering after taking medicines. Please help", + "src": "Patient: Hello doctor, My mother is diabetic for the past 14 years and only five years back she was on Insulin for two months and she started taking Glynase MF from three years and from last month she is taking Ayurvedic medicine. Fasting blood glucose level is 304, high cholesterol. Doctor: Hi. I have read your query and seen laboratory report (attachment removed to protect patient identity). There is a high HbA1c level which is 11.8 and shows poor control of blood sugar level. BMI is 26.8 which shows that there is a trend towards obesity. Although she is overweight at present as per BMI. There is high blood cholesterol, total cholesterol as well as LDL cholesterol. These are risk factors for cardiovascular diseases. There is a good thing that other laboratory tests are normal. There is no microalbuminuria. GFR (glomerular filtration rate) is normal. Full blood count and renal function tests are normal. Management of the patient includes diet and lifestyle modification. Regular brisk walk at least 30 minutes a day. She should be on Insulin at least twice a day (mixed NPH and regular like premixed NPH/regular 70%/30%). The exact dosage to be adjusted according to blood sugar level taken at least two to three times daily. A starting regimen may be 20 units in the morning before breakfast and 16 units in the evening before dinner of premixed NPH/regular insulin, the dose can be adjusted keeping in view daily blood sugar and lifestyle of the patient. The patient regular follow-up and consultation unless blood sugar is controlled. Blood cholesterol if not controlled on diet should be treated with the statin. I hope she gets better with the treatment." + }, + { + "id": 13558, + "tgt": "What is causing less sexual desire and no erection?", + "src": "Patient: Hello doctor, I am not able to get an erection since yesterday, all of a sudden. Also for the past two days, I do not have sexual urges. I am 21, male. I had not faced erection problems before and till 3 to 4 days ago, I was able to masturbate with no problem. Doctor: Hi. Erection problem in young people is usually due to anxiety and stress. Masturbation and feeling guilty also cause this. Do you have diabetes mellitus, do you smoke, is there any history of trauma to the lower back, is there any pain in testes? If the answer to all is a no, then causes are anxiety, guilt, etc. Do you have morning erections? If yes, then you are all fine. Anxiety causes a release of stress hormones in the blood which may suddenly cause erectile dysfunction. Just refrain from masturbation, do not try to forcibly masturbate, remain calm, do not think about erection problem for seven days at least. Do not forcibly divert your mind to erotic thoughts. Meanwhile, do the following exercises: 1. Deep breathing: Sit on the floor in a calm room alone, close your eyes, slowly inspire through the nose in five seconds, hold breath for five seconds and then release air from the mouth in five seconds. Then hold breath for five seconds and again repeat this cycle for 15 cycles. Do this daily in morning and evening. 2. Kegel: Tighten your pelvic floor muscles like you do while you strongly hold your urine when you have a strong urge to pass urine. Tighten muscles for five seconds and release, again repeat the cycle. Repeat for 20 cycles in one session and do 4 to 5 cycles in 24 hours. You can do this anytime anywhere while standing in a bus, walking on a road, sitting on a chair, lying on the bed, etc. 3. Do jogging preferably in the early morning, for 30 minutes daily. Eat lots of dry fruits, drink plenty of water, reduce salt intake, avoid fatty meals. Follow-up after seven days with details about your condition, so that you can further be guided, if required. Anxiety, guilt, stress. Not at this time. As described above. Avoid smoking, alcohol, masturbation, erotic thoughts, and avoid concern about the erectile problem." + }, + { + "id": 23233, + "tgt": "I had two gummy vitamins a day before gallbladder surgery. Please help", + "src": "Patient: Hello doctor,I have gallbladder surgery tomorrow morning and I told the nurse that pre-op I took a multivitamin with my girl. I did not realize we had bought a different type that contains vitamin E and fish oils and flax seed oil. I am now freaking out as I have had two of the gummy vitamins once a day and have been for weeks. The vitamin E content per gummy is 6 mg and the oil content is 220 mg. I have also been eating lots of fruit and vegetables so have probably been eating almost 200 % of my daily vitamin C. Are they likely to cancel the surgery? Currently, I am taking Keppra 500 mg twice a day and brown preventive inhaler. Doctor: Hello. Relax and do not worry. They will not postpone your surgery depending on your above vitamin intake. Though you are orally taking more body absorbs only what is required so nothing to worry. They should go ahead with surgery. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 26166, + "tgt": "Is the rise in PSA value related to hemorrhoid vein thrombosis?", + "src": "Patient: Hi doctor,My query is related to PSA values. Please look into the attachment. The person is currently suffering from a thrombosed hemorrhoid vein.\u00a0The treatment which the doctor has proposed is Movicol a stool softener 1-0-0, Daflon 2-2-2-0 for the first four days and afterwards for three more days 2-0-2-0, and Anusol a local cream to apply to the outside of the anus.\u00a0My question is could the PSA values be related to the thrombosis syndrome? Or is there a reason to check the prostate gland independent of the lower intestine syndrome?\u00a0What should be done in terms of the follow up of the prostate gland monitoring, tests, frequency, treatment and follow-up over time?\u00a0Many thanks for your help and support. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I will try to remain as simple as possible in my conversation so that everything is pretty much clear and easy understandable to you. I have seen the prostate-specific antigen (PSA) values in your attached laboratory reports (attachment removed to protect patient identity). I appreciate the efforts you put in to upload the reports. I want to add that on looking only the PSA values in this range concludes nothing. We usually take this first reading as a baseline result and compare future results with this PSA level to see if the values are going up or down. The future values when compared to this reference baseline value, give us a clue if there is any disease and its progression or regression. Only the PSA levels especially the ones you presented in attachments never concludes that it is a prostate cancer. Urologist has to take complete history to see if there is some blockage to urine flow due to enlargement of prostate. Actually prostate gland has a tough and non-expandable covering capsule around it. If there is any growth as a tumor inside this gland, it causes a pressure on the urethra. The urethra (urine pipe) is passing through this prostate gland en route to penis opening. Any local lesion causes the urethra to get obstructed causing issues with flow of urine (urinary symptoms). Urologists may also go for serial diagnostic tests and radiological imaging studies to see if there is an abnormal growth inside. So an in-person evaluation from an urologist is necessary and to keep a follow up is the best strategy as I think he will go for look and see policy. He will go for a conservative approach or as appropriate. Follow up may be done after 6-8 weeks for redoing the laboratory investigations and all that. Regarding thrombosed hemorrhoids, I want to explain that it is a different disease and has little to absolutely no relation with the prostate as is in this patient. Treatment given by the physician for hemorrhoids is all good to go without any change. Sometimes we have to send the patient for surgical resection of the thrombosed vein area. You have not uploaded pictures of the anus. Otherwise, I may have been in a better position to assist you in its management options that best suits in this specific patient. I also want to see and know the color of the anal lesion. Picture will also help to decide whether it is a healing or a non-healing hemorrhoid. Also please add, how long has he been having hemorrhoids? And since when these thrombosed veins are there? If there is still burning or any kind of discomfort in anal area, I suggest you to apply ProCort rectal ointment outside and inside using a special applicator that comes with the ointment. 1. Avoid constipation. Keep a judicious supply of fluids. 2. Bland diet is best for him. 3. Physical activity is necessary as much as possible easily. Revert back with the answers for the above questions to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 356, + "tgt": "What can be done to treat stomach pain, gas, bloating with indigestion?", + "src": "Patient: Hello doctor, I have been suffering from stomach pain, gas, bloating, strange sounds in stomach, burping, indigestion, watery stools, always floating stools on the toilet commode since last year. Took several medications for it and of no use. Finally, I underwent endoscopy and colonoscopy last year and the doctor informed me that I have got fundal gastritis and LAX LESS. The doctor asked me to take 6 months of medication for it. For the first 3 months Motilium M 1-0-1before food, Pantodac 40 1-0-1 before food, Librax 0-0-1 after food 4k-Peg+ 3 hours after food. It is completed. Doctor: Hello. I can imagine the level of your frustration for your chronic unresolving symptoms. And I really feel sorry to hear that you been back and forth around doctors for solution of your symptoms. Well, I can very well understand your problem, I will explain to you point by point. 1. Lax LES (lower esophageal sphincter) is not a uncommon findings on endoscopy. It reflects that the valve which controls reflux from stomach to lower part of food pipe is little bit open. However, your endoscopy did not show any ulcer formation in the food pipe which suggest you do not have Gastroesophageal reflux (GERD). Again your symptoms are not related to GERD. It is something else. I tell in a moment. 2. So you see the fundal gastritis (inflammation of the fundus- a part of stomach). Usually inflammation of stomach confines to the other parts of stomach -like antrum and stomach body, but not to the fundus. The one cause of inflammation predominantly to the fundus suggest H pylori infection. This bug initially infect antrum of the stomach then it moves to fundus if chronic infection that has not been treated. I will suggest you investigation before I suggest you an antibiotic course of this H pylori. And remember this H pylori can cause stomach slowing leading to your symptoms of gas. The condition is called gastroparesis. Below I explain to you in more detail the reasons of your symptoms of gas. 3. To simplify the constellation of your symptoms, we doctors classify in to two- the predominant gaseous symptoms or predominantly pain symptoms. You have predominantly gaseous symptoms including bloating, sounds, burping, fullness, early satiety after meals, and some gas in stools as well. So it is important you should understand why these gases production is in excess in you. The one such reason is: i) Dysbiosis-which is alteration of human gut bacteria more gas producing species. These bacteria or harmlessly present in the human gut, however; at times the environmental factors, food, water, other dietary habits; change the composition of these bacteria and turn them in to gas producing bacteria. I will give you an antibiotic for a 3 week duration, this will correct your dysbiosis. ii) The other reason is excessive of food intake that produces gases. These foods are collectively called as FODMAPs. These foods to be avoided as possible as you can. I will share with you a link where you will find the list of such foods which should be avoided. iii) Less common mechanism is feeling of normal amount of gases-this condition is called hypersensitive gut. For this I would suggest you behavioral therapy called diaphragmatic breathing. I will share you the link how you can exercise it at your home. I really hope now you would the some idea of mechanism causing your chronic unresolving symptoms. I would just correct your above mentioned mechanism, and you would see the things get improved for you. Please find below treatment plan, and I want you should update me about your symptoms in coming 2 weeks time. Secondly, I also want to suggest you some investigations as we can exclude any other possibility and treat the things accordingly. Dysbiosis Functional bloating and gas H pylori infection Overweight Complete blood count TSH, FT3, FT4 Liver function tests Anti TTg IgA and IgG fasting sugar level fasting lipid profile Stool for H pylori antigen Stool for Giardiasis antigen Stool for Fecal calprotectin stool for ova and parasites Stool for Fat globules and reducing substance Capsule Rifaximin 200 mg thrice daily for 3 weeks. This is for dysbiosis Avoid FODMAPs Diet. Diaphragmatic breathing. Tab Digestine (Metoclopramide) 40 mg half hour before meals. You can stop the Motilitum. You can continue with Pantodac. You should stop PEG 4k. You can continue with Librax but increase the dose to one tablet twice daily after meals. Avoid FODMAPs. I really hope that your symptoms will improve in coming 2 weeks times, till then you get some tests and revert back to me. In the end of treatment course, I would consider giving you another class of medication that you take for life long." + }, + { + "id": 6464, + "tgt": "I have a white patch on inside part of foreskin. How to get it removed?", + "src": "Patient: Hi doctor, My age is 22.\u00a0I have a white patch on the inner side of my foreskin. It does not itch or pain but look weird. I have not had any physical contact. So, it is not an STD. How can I get it removed? Doctor: Hi. 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. It occurs due to deficient hygienic conditions of the genitalia. Please do not worry as it can easily be managed. The best part of it is that there is no pain or itching in it. It is caused by either fungi or due to the fungal growth. Treatment with proper topical creams will help you get better in a short time. Apply Hydrozole (Hydrocortisone and Clotrimazole) cream and Triple antibiotic cream (Bacitracin zinc, Neomycin sulphate and Polymyxin B sulphate) on the lesion twice daily. 1. Take plenty of clean drinking water. 2. Keep a balanced and healthy diet to help improve your immunity as such problems also originate when we have a low immunity. 3. Keep the genitals properly washed and make the undershave timely. Long hair cause skin problem in the genital areas and axilla. 4. Pull the foreskin backwards and wash the area with water after every urination. Then wipe it dry with a clean paper towel. Make it a habit. The moisture underneath the foreskin makes room for growth of the pathogens. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18090, + "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": 21592, + "tgt": "How to manage diabetes?", + "src": "Patient: Hi doctor, My father is suffering from diabetes. His blood sugar values are around 350-470 in the report. Earlier, he never had such a problem. Please provide some solution and help us to get it cured. Doctor: Hi. From the report (attachment removed to protect patient identity) it is found that your father has overt diabetes and should be managed efficiently to prevent the complications. There are two ways of diabetes management: Medicines are again decided based on the blood sugar levels. You should not play with these drugs. As this can be harmful, get them prescribed by a doctor only. They would start with an assumed dosage and will modify the medicine based on his blood sugar values. With his blood sugar level, I would prefer to start him with Metformin, Glimepiride and Sitagliptin. Revert back with the investigation report to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 11064, + "tgt": "Having PCOS, How to regularize the menstrual cycle?", + "src": "Patient: Hi doctor, I am 23 years old. I am really worried and fed up with my fat thighs and hips. As I am\u00a0suffering from polycystic ovarian syndrome and I used to miss my menses. Now, my menstruation is regular. But, whenever I skip physical exercise I am sure that I will miss my menses.\u00a0I think these all are the reasons for my fat thighs and hips. Sometimes, this problem makes me frustrated. Please suggest me some measure. Doctor: Hi. Review with the report and for any information consult an\u00a0obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16412, + "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": 18685, + "tgt": "Please explain the abnormal factors in my sister's health report", + "src": "Patient: Hi doctor, My sister is 35 years old. She feels tired and weak. So, she went through a preventive health checkup and the following parameters are shown as not normal in her report. Regarding her medication, she takes 100 mg thyroid tablet daily. I have attached her report. Please let me know if there is anything serious. Doctor: Hi. For further information consult a preventive medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/preventive-medicine-physician" + }, + { + "id": 29022, + "tgt": "I felt a fluttering in my chest and was short of breath. What can be the cause?", + "src": "Patient: Hi doctor, I am a 24 year old male weighing 221 lbs. I felt a fluttering in my chest yesterday for the first time, which only lasted for five seconds and I felt short of breath. I got an ECG, x-ray, CBC and HbA1c done today. I am worried about my ECG being abnormal. I am scared that there could be something wrong and I have no other symptoms besides shortness of breath. Doctor: Hello. Do not worry because the probability of any serious illness at this age is low. However, these are probably an arrhythmia like atrial fibrillation or PVC (premature ventricular contraction), which are not a serious condition. These can cause all your symptoms and can be managed with medicine. Revert with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14096, + "tgt": "What is causing spinning type headaches after pregnancy?", + "src": "Patient: Hello doctor, I have a headache all the time, like a spinning head. Whatever I eat, my headache does not go. I use simple Panadol, but no effects on my headache. It is from the last 10 months, after my pregnancy. Doctor: Hi. Your frequent headaches along with dizziness or spinning could be due to raised blood pressure or hypertension, migraine, tension or stress, hypoglycemia, etc. Hypertension, migraine, and stress are the most common causes for the headache. Without examination it is very difficult to tell the exact cause. I would suggest you measure your blood pressure, if found raised then you have to take antihypertensive medication after consultation with a doctor. Migraine causes head pain. There are certain trigger factors for migraine like lack of sleep, starving, stress, certain food, and smell. The treatment for migraine headache comprises management of acute attack with painkillers like Naproxen, Aspirin, Paracetamol. Drugs like Propranolol, Topiramate, Flunarizine or Amitriptyline may be taken after prescription from a neurologist." + }, + { + "id": 18524, + "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": 11828, + "tgt": "I am having irregular periods with pain in left side of the body. Please help", + "src": "Patient: Hello doctor, I am 45 years old, female, having an irregular menstrual gap of 10 days and having pain in the left side of the body in hand and legs. Doctor: Hello. At this stage, two things are possible. First irregular menses due to the premenopausal syndrome. In this condition due to hormonal dysbalance, patient menses are irregular. It will solve automatically. Second is PCOD. In this case, the patient has increased weight gain and irregular menses. For this, you have to start tablet Metformin 250 mg BD, tablet Progesterone (Meperoate) 10 mg from the 21st day of cycle to 25th day. (Last week of the cycle)." + }, + { + "id": 364, + "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": 26906, + "tgt": "My periods got delayed due to I-pill. Is there any safe way to induce it?", + "src": "Patient: Hi doctor,I had unprotected sex with my partner three months ago and I took an I-pill\u00a0four hours later due to which I had withdrawal bleeding after three days which lasted for six days. The next period came five days later than the usual date and it lasted for four days. The next month, I had unprotected sex again and my periods are delayed by more than two weeks. I took a home pregnancy test. The first usage said it was negative and the second did not give any results. Please suggest. Doctor: Hello. I went through your post.\u00a0 Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28006, + "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": 3447, + "tgt": "Is small renal cyst dangerous?", + "src": "Patient: Hi doctor, I have been diagnosed with a small renal cyst on my left kidney. I understand this is rare in my age group. Please help. Doctor: Hi. I have read your query and the first thing to know about a single kidney cyst is that it is usually harmless. You have not mentioned if this was an incidental finding (usually they are) or are you experiencing any symptoms like dull flank pain or abdominal pain or problems with voiding urine? In case of former, no need to do anything and get an ultrasound every six months to see if the cyst enlarges. In case of latter, or if size is increasing, two options exist but conservative management with medicines will only provide short term relief. Surgical intervention is the only long term solution. That said, considering your age you are a candidate for MODY (maturity onset diabetes of the young) especially if you have a family history of diabetes. Also, if on any later ultrasound you find more than one cyst polycystic kidney disease or even Wegner's might have to be taken in to account. For now, you need to get the following tests done: 1. HbA1C (glycated hemoglobin) 2. CBC (complete blood count) and 3. U/CE (urea and electrolytes). Follow up with the test results and also do elaborate on why was ultrasound done and what were your symptoms for proper future management." + }, + { + "id": 26684, + "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": 15243, + "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": 27761, + "tgt": "Are my symptoms caused due to taking too much of Thyroxine or HRT?", + "src": "Patient: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please.\u00a0I am 54 years old woman, who is 5.6 feet tall and weigh 13.10 stone. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete hysterectomy at the age of 37, and I was put on 2 mg of HRT Elleste Solo. I have Hashimoto's hypothyroidism and take 150 mg of Thyroxine. I was put on Thyroxine 175 mg, four times a week. I also take 500 mg Metformin tablets, three days. I was also diagnosed with exocrine pancreatic insufficiency, and I take Creon capsules. My fasting blood results are\u00a0HbA1C is 56, insulin is 62.5,\u00a0LH is 24.6, oestradiol is 300, testosterone is 0.9,\u00a0SHBG is 173, free testosterone is 0.005,\u00a0TSH is 0.58, T4 total is 178.5, free T4 is 19.62, free T3 is 4.25, reverse T3 is 28.0, reverse T3 ratio is 9.88, anti-thyroid peroxidase is 183.8, anti-thyroglobulin is 882, vitamin D and vitamin B12 all in good range. I have vitamin B12 shots every three months. The symptoms are fatigue, brain fog, forgetfulness, joints and bones aches, and weight gain. I can just lose a few pounds, but it comes back on as soon as I eat normally. My diet is good as I cannot eat fatty foods. Fats go straight through me, even with the Creon. Sugary foods make me feel weird. I do not drink or smoke. At the moment, I struggle to exercise as I get breathless. My legs ache and feel\u00a0that I am not getting enough oxygen to my legs.\u00a0I have high cholesterol of 7, which has come down from 10. I do not take tablets as they made me ill. I also have\u00a0forgetfulness, migraines, and breathlessness. Can you help me?\u00a0Am I taking too much Thyroxine?\u00a0Should I take T3? Should I take more Metformin? Am I\u00a0taking too much HRT?\u00a0Is the thyroid making me have high cholesterol?\u00a0I look forward to hearing from you.\u00a0Thank you. Doctor: Hi. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy. HRT should not be taken for more than five years after menopause. You have your hysterectomy at 37 years age when you entered menopause. HRT is associated with weight gain, which is a problem you are having. HRT is also associated with increased cholesterol levels, which is also one of the problems you are having. It is very important, and I am glad that your vitamin B12 and vitamin D levels are normal. Keep taking the supplements. Now the cause of early menopause at 37 years of age, you have a high risk of osteoporosis, which is low calcium in bones, which can explain your aches and pains. Please get a dual energy x-ray absorptiometry (DEXA) scan done for bone mineral density at spine, hips, and wrist to rule out osteoporosis. If we diagnose and treat osteoporosis, it can improve your aches and pains. Next, your thyroid is well controlled, as evidenced by a low normal TSH (thyroid-stimulating hormone). Hence, we need to reduce your Levothyroxine dose. Currently, you are taking 150 mcg per day. Let us reduce it to 138 mcg per day. Levothyroxine should be taken ideally first thing in the morning in the fasting state, with at least an hour gap between the tablet intake and tea, coffee, and breakfast. If your forget to take some day and remember it only later in the day, do not take at that time, you can take double the dose next day. That is the correct way to ensure pill count 30/30 in a month, and it is perfectly safe. Since your anti-TPO and anti-TG antibody titers are positive (high), you have auto-immune thyroid disease, and you probably have to take thyroid medicines for life. Since we have reduced your thyroid hormone dose, repeat free T4 and TSH levels after six weeks for checking. Other thyroid parameters are not needed. T3 is not safe and should not be used for treatment. Next, your blood glucose is mildly deranged. I would advise you to take 500 mg of Metformin in the morning after breakfast, 500 mg after lunch, and 1 gram of Metformin after dinner. Let us repeat HbA1C after three months. Check your monthly fasting and 2-hour post meal blood glucose value also. I suggest tablet Calcium citrate (1 g) twice daily for good bone health. Avoid Calcium carbonate, as it is linked with gastritis and dyspepsia. Continue Creon as before. Let us review with DEXA report. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23390, + "tgt": "I had pain while urinating after unprotected sex. Am I having HIV?", + "src": "Patient: Hello doctor, I had unprotected sex four months back and after a week I got pain while urinating and greenish fluid came out of the penis. The doctor gave me Doxycycline. Now I checked for HIV. The last test method was HIV 1 and 2 screening test, serum, and HIV 1 and p24 combo. Can I now be relaxed that I am HIV free? Doctor: Hi. Yes, the negative results of these test (attachment removed to protect patient identity) on repeat after four months indicates that you are not infected with HIV. Nowadays, fourth generation tests are able to pick up the antibody if you are infected with HIV. HIV if negative after three months, then chances of HIV is very rare, and few guidelines recommend that you repeat it after six months again. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4520, + "tgt": "I have anal pain with occasional blood in stool. Please help", + "src": "Patient: Hi doctor, I have pain in anus on touching. I also notice blood in stools sometimes. I have attached images. Please check and guide me. Thanks. Doctor: Hi. Based on the images (attachment removed to protect patient identity), it looks that you have internal hemorrhoids pr piles. I would like to know the following: 1. Since how long are you having these symptoms? 2. Do you suffer from constipation? 3. Is the blood fresh red or blackish? Revert with the asked details for better help." + }, + { + "id": 5471, + "tgt": "I felt a sharp pain in my filled molar on taking cold drinks. Why?", + "src": "Patient: Hello doctor, I had my two back molars on the top left side of my mouth filled about three weeks ago and after a few days, everything was fine. No pain, nothing. But a few days ago, I realized that every time I drink hot, cold, and sometimes even room temperature liquids there is a sharp almost piercing pain that lasts for a few seconds. (More so with the cold drink than hot or room temperature drink). It does not hurt to bite down but it does hurt to actually chew something on that side. Even when I take a deep breath through my mouth, the cold air hurts the tooth. The pain feels like the liquid or the air is literally going inside my tooth and releasing that sharp pain. I made an appointment to see my dentist and he said the nerve might be exposed. What does that mean? What kind of procedure needs to be done? Or what do you think is wrong? Doctor: Hello. First, get a radiograph done for those two teeth, it will tell the status of your teeth. Sometimes, if the filling is high, you experience pain. The filling might be fractured. The nerve exposure means caries has reached till the pulpal horn. Parts of teeth: Enamel: a hard mineralized structure that forms the crown part of the tooth. Dentin: calcified tissue. It is covered by enamel on the crown, cementum on the root part of the tooth and surrounds the entire pulp. Cementum: specialized calcified substance covering the outer surface of the root of the tooth. Pulp: consists of nerves. If caries are present in enamel or dentin filling is done. If caries reaches the pulp, root canal treatment has to be done. The dentist is talking about root canal treatment, in that treatment infected or dead pulp is removed and medicine is filled. Radiograph of those two teeth. Get a radiograph done and plan further. Meanwhile, do lukewarm saline mouth rinse three to four times daily. Use desensitizing toothpaste. Avoid too hot or cold food and beverages." + }, + { + "id": 24088, + "tgt": "I have pain in the pelvis for a few months. Is it pelvic inflammatory disease?", + "src": "Patient: Hello doctor, I am a 43-year-old female. I have had a pain in the left side of my pelvis for a few months. I recently started weightlifting. At first, I thought it was a pulled groin but it is a little bit higher up than that. I wondered if it was a hernia but there is not a lump or weak area. I do not have health insurance so I have to be careful with my diagnosis. The pain is becoming worse and more like a sharp cramp. Maybe it is pelvic inflammatory disease, or anything else. Should I go to a general practitioner or a gynecologist? I stopped taking birth control at the same time. Doctor: Hi. I have read your post thoroughly and I understand that you need a sense of direction in terms of the origin of the pathology. Now, it could be a number of things. The fact that it started with you starting to lift weights puts us in the direction of both a hernia or a pulled muscle. Having said that, the cramps cannot be because of a pulled muscle. If it were to be something to do with your colon, it would account for the crampy nature of the pain. Also since it is getting worse, it could be something along the lines of a colonic inflammation, a diverticulitis in an existing diverticulosis is a likely possibility. But I need to know if the pain has any relation to meal intake, like, does it get worse after one? Also, is your bowel movement normal? It could be gynecological as well but do you have any other symptoms that would suggest that? Also, it is very very important to know if your periods are regular and is there any possibility of a pregnancy? Sometimes ectopic pregnancy also presents this way. It cannot be pelvic inflammatory disease though, but an ovarian cyst is also a probability. Please let me know the details so that we can narrow down the list of possibilities and reach a diagnosis. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12450, + "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": 11473, + "tgt": "Kindly suggest the ways of brushing after removing a tooth", + "src": "Patient: Hello doctor, How to brush after removing a tooth? Two days ago I got it done. How to know if I have a dry socket and what are the ways to prevent it? Doctor: Hello. Keep usual brushing habit after the removal of your teeth. No need to worry about brushing habit. Use mouthwash twice a day after brushing your teeth. Take care of the wound, like after taking any food make sure that you gargle your mouth with lukewarm water. Do not do vigorous gargling. This will prevent you from dry socket. To prevent from dry socket. Do not put your finger or tongue over the wound area. There will be a slight amount of postoperative pain or discomfort after the removal of the tooth which you will feel for almost a week. Just maintain your oral health care. No need to worry." + }, + { + "id": 24989, + "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": 9610, + "tgt": "My daughter feels body pain, headache, and chill after two weeks of flu shot. How to get her temperature normal?", + "src": "Patient: Hello doctor, My 15-year-old very healthy, active and fit daughter had the flu shot two weeks ago. Today she woke up this morning with lethargic, chills, shivering, cough, headache and body aches. She is sleeping on and off. Eating a little. It is unusual for her to get anything. No medications or health issues, although she fainted after the flu shot that may have been the needle itself. She was ok after that. Her temperature has been 38, dropped to 36 after Nurofen and is 37.2 again. Medicine is wearing off after 2 pm. Doctor: Hello. Attack of flu is unlikely to come. However, it is possible to have some other viral infection leading to such symptoms like fever, cold, running nose, chills, and temperature. In such a situation, it is better to use a drug like Paracetamol (Acetaminophen) 10 mg per kg per dose three to four times a day to control fever and headache, which may be present. Plus an antihistamine like Cetirizine 10 mg once a day, or Allegra (Fexofenadine) 60 mg once a day also is good. Also give enough oral liquids, preferably oral rehydration solution about a liter per day. This treatment should be continued for three to four days. There is no need for an antibiotic." + }, + { + "id": 25966, + "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": 25301, + "tgt": "Hypertension medicines are causing side-effects. What medication to take?", + "src": "Patient: Hello doctor, I have hypertension and also suffer from asthma. I have been prescribed ARBs. However, I have experienced respiratory side effects (dyspnea) that lead me to discontinue the medication. The side effects are class effect and all drugs from this class will have these effects. I cannot use ACE Inhibitors or ARBs or beta blockers due to asthma. I can only use CCBs and/or diuretics. Regarding CCBs, I have tried Amlodipine but felt much fatigue, then Nifedipine XL that caused intolerable headaches. Then I have been suggested to use Felodipine but it is not available in my country. Finally, I have been prescribed Dilzetem 90 mg BID + low dose Hydrochlorothiazide (12.5 mg). However, I can no longer take HCTZ because it causes me severe sciatica. In my country, the medication Clortalidone is not available. What should I take instead of HCTZ? The Diltiazem alone cannot help me. My current blood pressure shows 150/95 mmHg and pulse rate 87 per minute. Should the dose of Diltiazem be adjusted? Or perhaps another medication should be added? Thanks in advance for your response. Doctor: Hello. I have reviewed your health query and can understand your worries about hypertension and appropriate medications. Although thorough physical evaluation is mandatory here, I would assist you based on the details provided here. I would suggest you start afresh with lifestyle changes and medications together. You need to get your BMI within normal limits. Every 10 pounds you lose will lower your blood pressure by 5 mmHg. Meanwhile, you need to consult a dietitian to fix your diet according to the healthy lifestyle. You need to take your weight and lipids (cholesterol) within limits via lifestyle changes. I am sure you can do this but it needs a lot of serious efforts. All medications would then depend on your efforts. If you take control of your weight and cholesterol, you would not need much of medications to lower your blood pressure. Yes, if needed your physician can alter the dosage of Diltiazem according to it until you get your blood pressure within normal limits. Hope it helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28512, + "tgt": "Do increased levels of RBC and vitamin B12 indicate early onset polycythemia vera?", + "src": "Patient: Hi doctor, My RBC levels have been slightly elevated for the past six months. It was 5.17 a year back, and a couple of months back it was 5.39. I noticed that from the last two years, the RBC count has been borderline high. Last week my vitamin B12 was tested due to a nerve issue\u00a0in my face, which came back elevated. My MCH and MCV are always low or borderline low. My WBC, hemoglobin, and hematocrit levels, are all in the normal range. I am concerned that the RBC and vitamin B12 levels might indicate early onset polycythemia\u00a0vera. I have not taken any supplements of vitamin B12 nor am I taking any supplements with vitamin B12 in it. Also, I got a full thyroidectomy due to stage 1 papillary carcinoma,\u00a0a\u00a0year back. Do you think I might be concerned for nothing? Thank you for your time. Doctor: Hi. I appreciate your knowledge and awareness towards your health, and I have seen your reports (attachment removed to protect patient identity). For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13729, + "tgt": "Is it possible to plan for pregnancy based on TORCH test after three miscarriages?", + "src": "Patient: Hello doctor, After three miscarriages, my doctor suggested me for torch test and it came out positive with high values of rubella IgG 272, toxoplasma IgG 78.6 and CMV IgG 12.1 and herpes IgG 46.1. My doctor gave me Acylex 200 mg two times a day for two months and advised us to not try for a baby for two months. After two months medicine course, I did this test again today and again it is positive with rubella IgG 223, toxoplasma IgG 101, CMV IgG is 13.6 and herpes IgG is 47.9. We cannot understand the reports. My uterus, ovaries, hormones, everything is fine. Please tell me when we can plan a pregnancy? And what are the chances of miscarriage again because of torch test positive results? All torch test IgM values are normal. Doctor: Hello. I have gone through your case summary. Please tell me about the miscarriage at what time of gestation did they occur. Have you got an ultrasound done in those previous pregnancies? Was any shadow of the baby seen at that time? Was heartbeat seen in the baby? Next is your TORCH test. First of all, it is not responsible for recurrent miscarriages. All high values of IgG suggest that you are immune and now nothing is to be done. If we want to know a fresh infection, then only IgM or avidity testing is required. Did you have any history of fever, sore throat or any eruptions on your skin at the time of first miscarriage? Now, just do not bother about these tests. The important test required to be done. If not done earlier are thyroid profile, fasting, and postprandial blood sugar, VDRL, anticardiolipin antibodies IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitamin B12, serum homocysteine. Get all these tests and accordingly, she can plan a pregnancy after another month. Pre-conceptionally, she should take tablet Folvite 1 mg and tablet Ecosprin 75 mg once a day. Could be anti-phospholipid antibody syndrome with bad obstetric history or hypothyroidism. deranged sugar, hyperhomocysteinemia. Thyroid profile, fasting and postprandial blood sugar, VDRL, anticardiolipin antibodies, IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitaminB12, serum homocysteine. RPL, bad obstetric history. Tab Folvite 1 mg and tablet Ecosprin 75 mg daily. One tablet should be taken while planning the pregnancy, at least six weeks before. First get all these tests done. If normal, then can plan pregnancy after next month." + }, + { + "id": 25640, + "tgt": "Why are there speech problems post brain stroke?", + "src": "Patient: Hello doctor, I am a 28-year-old male and I am telling about my disease. I had a brain stroke two years ago. The incident led to speechlessness and I went to a speech therapist for eight months. Now I got a high-profile job but my speech is not good and I am not able to form words. My doctor said that my left lobe is affected by the stroke incident. I am currently on tablet Zabesta (Amlodipine and Bisoprolol) and Deplatt-CV (Aspirin low strength, Atorvastatin, and Clopidogrel). What is the remedy for my problem? I have attached images of my reports. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). I understand your concern, but there is not much to be done besides logopedy. But I suggest taking Piracetam 1200 mg twice daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. A multivitamin coupled with Omega-3 DHA (docosahexaenoic acid) could also help. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17015, + "tgt": "I have a whitish lesion on the lateral side of tongue. Is it leukoplakia?", + "src": "Patient: Hi doctor, I have a\u00a0mild whitish lesion on the lateral side of tongue. I am afraid that it might be hairy leukoplakia. Thank you. Doctor: Hi. Thanks for your query on this platform. You noticed recently a white lesion on your tongue. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8060, + "tgt": "Is there a chance of herpes infection to be transferred as gonorrhea during intercourse?", + "src": "Patient: Hello doctor,I recently was tested during my last gynecologist appointment that I was positive for gonorrhea and have since got treated. Now I have realized that my previous sexual partner gave me gonorrhea. He had herpes 1 and did not test positive for gonorrhea. My sexual partner before that have tested negative for everything. I am wondering would his herpes 1 infection would be transferred to me as a gonorrhea infection? And can herpes 1 be detected through a vaginal swab STD test or would I have to get blood work done? Doctor: Hello. I have gone through your case. First, you need to understand that any infection is transmitted as it is. No infection can be transferred as another infection. So answer to your first question is no it is not possible for herpes 1 infection to be transferred as gonorrhea.And for your second question yes you can undergo blood test evaluation as well for herpes confirmation. Get the following test done. IgM and IgG (immunoglobulin M and G) for HSV1 and HSV2 (herpes simplex virus)." + }, + { + "id": 18545, + "tgt": "Can you suggest some medicine to overcome depression ?", + "src": "Patient: Hi doctor, I am suffering from depression and I have symptoms of OCD for the past ten years.\u00a0I repeat my activities like reading the same line again and again being scared of missing something.\u00a0I count each and every number and believe four is to be my lucky number and even while breathing I count my breath. Sometimes, I hold my breath as I feel I am breathing in a wrong way. I am\u00a0obsessed with washing hands, but I do not keep my room clean.\u00a0I feel negative as\u00a0nothing positive I can see or believe.\u00a0I do not trust people.\u00a0I feel something heavy in my heart and feel nervous the whole day. I want to know the reason for my nervousness. It is as same as we feel before the examination. I cannot focus on my work.\u00a0I forget something and start doing other work.\u00a0I think so much and live in a different imaginary world and so sometimes I cannot hear what others said to me.\u00a0Earlier, \u00a0I was planning to attempt a suicide. Now, I do not want to die, but still I am not enjoying my life. I feel my life is mechanical as I am not interested in daily chores or working at office. I am awake in the middle of the night and cannot sleep for 2 to 3 hours as I think so many unnecessary things of the past. I am going to get married in two months, but I am not happy with this relation. I choose to get married by my parent`s choice after I got rejected by my boyfriend. I am not having any friends and my relationship with my family is bitter nowadays. I want to feel fresh, excited and happy.\u00a0Please suggest some\u00a0medicine for me to feel happy and positive. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5610, + "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": 28515, + "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": 2383, + "tgt": "I am 16 years old with hypermobile painful knees. Please suggest treatment", + "src": "Patient: Hi doctor, I am 16 years old. I am hypermobile, especially in my knees, and almost every day. Especially nowadays I get horrible pains in my whole knee, deeper than the surface. My knees are bent inward, so like the opposite of being bow-legged and I was just wondering if these were just growing pains? or anything more? Doctor: Hi. Your knee pain could be due to certain reasons but common ones are chondromalacia, pain due to knee instability, inflammation, etc. If there is no history of any injury, and no inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: 1. Intensive physical therapy with a focus on strengthening of quadriceps and stretching of other groups of muscles. 2. Gentle anti-inflammatory medications like tablet Etoshine or Paracetamol can be taken in small doses for five to seven days. 3. Adequate calcium and vitamin D supplementation as per the requirement. 4. Ice packs at home three to four times a day. See how it goes for around two weeks time. If your condition does not improve, then we will have to get certain investigations done including x-rays of the knee and a few blood tests." + }, + { + "id": 29744, + "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": 20380, + "tgt": "I have blood and blood clots flowing in my urine. Please help", + "src": "Patient: Hi doctor, I am 22 years old. I have blood and blood clots flowing in my urine. It happened about two times. After an hour, when I did urination, it was normal. I went to a nearby hospital and checked my blood and urine. It was completely normal. After two days, I went for an advanced scanning. I did an ultrasound scanning for kidneys, bladder, and for the abdominal area. The scanning results were completely normal. After a few days, I had the same problem. I have a habit of masturbation for the past six years. I can see a blood vessel enlarged in my penis and the blood supply is blocked in that region. I have an erection problem now. Please help. Doctor: Hi. Blood in urine usually occurs due to infection or stone. Since your reports are regular, there can be a mild infection, or it can be a small stone which has not caused any pain. I suggest you visit a urologist and get a CT scan of KUB (kidneys, ureter, and urinary bladder) region done. If the results are healthy, and if there is no bleeding, probably there is nothing to be done. If the report shows something, or if there is bleeding again, further tests will be advised by the urologist. Do not worry about the veins over your penile skin, as they are not related to erection. So do not worry about erectile problems. Take plenty of fluids. Please provide your reports for further analysis." + }, + { + "id": 9614, + "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": 27903, + "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": 5333, + "tgt": "I am having soreness in the vagina every time after intercourse. Why?", + "src": "Patient: Hello doctor, I am 27 years old and I have been in a relationship for 10 months now and only recently have I came upon a problem. My partner was a virgin and I have had one sexual parter before him. I do not believe my problem is still related as I have no symptoms and my encounter with this other partner was well over a year ago and this problem is very recent. Basically, after intercourse, it has become very sore down there. About one month ago he ejaculated inside me and ever since I believe this has begun. However, I may not think that is connected as the soreness arrives after every time we have sex and stays for two to seven days. I have not been to the doctor as of yet as I do not want to be looked at down there. However, this will have to happen as my last resort. I just want this problem resolved. Please help. Doctor: Hello. The soreness you develop every time post sexual intercourse is most likely due to inflammation or friction-related. It could also be an infection. I would suggest you use a good lubricant over the area just before the intercourse. This would avoid friction related soreness. Avoid the use of nylon undergarments, instead, go for cotton fabrics. You must also use a good feminine intimate wash to wash your vagina which is rich is lactic acid bacilli that prevents any kind of vaginal infection. If you still experience the soreness you will need to be started on antibiotics after an examination." + }, + { + "id": 23827, + "tgt": "Having diabetes, Why has the doctor advised to take Accentrix ?", + "src": "Patient: Hello doctor, I am having diabetes from the past 18 years. I have been advised\u00a0to take Accentrix injection by my doctor. Kindly, suggest me in this regard. I have attached my OCT reports for your reference. Doctor: Hi. The optical coherence tomography report that you have attached is showing increased macular thickness in both eyes. This condition is known as diabetic macular edema. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7011, + "tgt": "I am 28 years old. Can I increase my height?", + "src": "Patient: Hi doctor, Is it possible to increase height after 28 years? My weight is 68 Kg. Doctor: Hello. As your age is 28 years you cannot increase your height by yoga or any other exercises. In men the skeletal maturity (growth plate maturity) is attained at the age of 18 to 22 years after which bones cannot grow further. Hence, there is cessation of the vertical growth in humans. You have not mentioned your height, so I cannot determine your BMI. If at all your BMI is towards medium to obese, definitely through yoga and stretching exercises you can remodel your body so that you can appear taller rather than short and stout." + }, + { + "id": 5475, + "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": 9479, + "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": 7563, + "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": 226, + "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": 28734, + "tgt": "My daughter often gets UTI since her childhood. Why?", + "src": "Patient: Hi doctor,My daughter is 14 years old and has had UTIs since she was at a very young age. We have taken her to doctors, and they put her on antibiotics which do not work, or at least not long enough. She drinks plenty of water every day and does physical activity daily. We are stuck with no treatment plans and do not know what to do. She lives with UTIs, and she is used to it. She claims that every time she goes to the bathroom, it burns really bad and stops her from going to the\u00a0bathroom more often. She had an ultrasound to prove that she has a bladder infection and to make sure nothing is getting backed up when she goes to the bathroom. Doctor: Hello. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12943, + "tgt": "Is there any way to control nervousness and forgetfulness?", + "src": "Patient: Hello doctor,I am having a problem. I get nervous so fast and think a lot and worried all the time and I cannot remember things. I am also having fear of talking to people and I am losing weight and sometimes I cannot breathe. And also have (irritable bowel syndrome). I cannot live a happy life. Doctor: Hello. I can understand and empathize how you feel in day-to-day activities. The more you have to understand is you have to face problem step by step, like if you have fear talking to people then start it with imagining them on call then with one person, two person and so on. This is the way to overcome that situation. Because of nervousness, you have lost the important things in your work. You have to start reverse counting when you getting anxious. For remembering things, you should be attentive for a particular task but because of nervousness, you cannot concentrate on that particular task. So, that you cannot remember about that. Start Inderal (Propranolol) 40 mg twice a day, Prozac (Fluoxetine) 20 mg twice a day." + }, + { + "id": 25918, + "tgt": "My baby has loose motions and frequently vomits after a feed. Please help", + "src": "Patient: Hello doctor, My 3-month-old baby is sick. He is not taking breastmilk but drinks a little water by spoon. He has loose motions. I have tried few medicines but he has not stopped vomiting frequently after feeding. I have tried giving antibiotics twice but it increased the loose motion and it does not go. Sometimes, he murmurs during sleep. He is fussy, needs company and want us to play and talk with him all the time. He feels comfortable only on sitting or lying on our shoulder. Please help. Doctor: Hello. Your child seems very fine because he has got a good weight gain. Now, coming over to your problems, your child is suffering from simple viral infection because multiple systems are involved like the respiratory and gastrointestinal tract. To deal with the respiratory problem, I suggest Maxtra drops (Chlorpheniramine and Phenylephrine) for your baby 0.3 ml thrice daily for five days. Put Nasivion nasal drops (Oxymetazoline) one to two drops both nostril thrice daily and use Nasoclear drops (Benzalkonium Chloride and Sodium Chloride) one to two drops in both nostrils five to six times. This will take care of the cold. The baby is fussy and prefers sleeping on the shoulder because the baby's nose is blocked and is unable to breathe properly when he sleeps down. Regarding loose stools, I suggest you get a stools routine and stool for reducing substance tests. If the reducing substance is positive, then you should give your baby Isomil. This is a lactose-free milk. This should be given for 14 days. You can feed him using a bottle because spoon and Katori (cup) takes a long time to feed and the baby will get irritated. Just take care of the hygiene issue. Antibiotics like Amoxyclav will cause loose stools. Although your doctor has prescribed it, in my opinion, it is not at all needed. If you have any more queries do message and ask. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25278, + "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": 881, + "tgt": "Root canal treated tooth has broken. Please advise the treatment", + "src": "Patient: Hello doctor, I did not use left side for eating prior to RCT. Little pain was there but not sensitivity. After one corner broke then I went to the doctor and they suggested me for RCT as it happened because of cavity. One of my tooth second last from the end of lower jaw. One day it broke down and I went to doctor then they said you should go for RCT and I took RCT treatment. Prior to this I did not use that side for chewing as sometimes it hurts suddenly. So before RCT one of the corner was broken down already. After RCT, again one corner broke down again and now when I close my jaws it hurts. Also when I rub my finger slightly it hurts sometimes a little pain. No sensitivity is there with cold water but hurts little when I close my jaws or I rub my fingers on it. Doctor: Hello, Welcome to iclinq.com. I have gone through your query and understood your concern. When a tooth decays and when the nerve layer of the tooth is affected, it starts to give out pain and it loses its vitality becoming more brittle. Hence it could have fractured. Also, to save such tooth, root canal treatment will be performed. Mild pain/discomfort after RCT is quite normal for the next 3 to 5 days for which you would have been put under pain killers. This period is for tooth healing and it is essential that you do not disturb or bite food on that tooth. Once it completely heals, crown procedure is generally performed. Placing a crown over the root canal treated tooth is mandatory to protect the tooth and to prevent further fracture of the tooth. Do visit your dentist for the crown procedure and till that do not eat hard, chewy foods and avoid chewing food on the involved side." + }, + { + "id": 18406, + "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": 10326, + "tgt": "Can skin prick tests predict positive reactions completely?", + "src": "Patient: Hello doctor, How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to. Doctor: Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies?" + }, + { + "id": 14646, + "tgt": "I have been having tremors, pain near spinal cord and head stiffness. Please advise", + "src": "Patient: Hello doctor, For the past few years, I have been having the following symptoms: Tremors. Pain near the spinal cord. Head stiffness. Getting stuck when thinking or solving things. Please advise. Doctor: Hi. I will advise immediate MRI of the brain to rule out degenerative diseases. Please consult a neurologist online with further information -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13614, + "tgt": "Baby is chewing on his tongue. Can this be due to teething?", + "src": "Patient: Hello doctor, My son is 4 months old and started chewing on his tongue. Is this due to teething? Doctor: Hello. Teething usually starts about six months of age, but at this time kids try to pet objects more often in the mouth because that is the way they try to learn about objects. It is very natural. But if your child is continually biting on the tongue and not occasionally, it could be something else. You can take a short video that would be more helpful. You can discuss with your doctor when you visit." + }, + { + "id": 14802, + "tgt": "I need an advice, I am thinking of doing medicine in Bulgaria. I have a weak memory", + "src": "Patient: Hi doctor, I need advice. I am thinking of studying medicine in Bulgaria. I failed twice in my first-year pharmacy degree UK. I think I have a weak memory. Please help me. Doctor: Hi. First of all, I like to extend my best wishes for medicine in Bulgaria, as this is the only profession in the world which pays you both respect and money albeit it requires very hard work. As you have mentioned in your narration that you failed twice in your pharmacy exams, I like to tell you that memory is not the only reason for failing in anything, say academics, sports, business and so on. Other than memory, it could be your disinterest, change of plan, your engagement in other activities, substance abuse, not keeping good health, etc. With such a brief description, it is very hard to tell you about your memory, but I assume that if you secured pharmacy, that indicates you are not the weak memory kind of guy. I suggest to have an assessment of your caliber and plan accordingly." + }, + { + "id": 15707, + "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": 22254, + "tgt": "How can we manage insomnia by ayurveda treatment?", + "src": "Patient: Hi doctor, I am suffering from insomnia for a few years. I had also taken some sleeping pills. Now I am willing to take Ayurveda treatment. Please suggest. Doctor: Hi. Insomnia is a disorder of sleeplessness. There are several causes that cause this condition like stress, anxiety, disturbed lifestyle, disturbed sleeping routine or other medical conditions. It can be managed naturally through ayurvedic medicines and procedures. Panchakarma therapy is one of the best options. There is another method called Shirodhara. You can take oral medications and meditation. Treatment includes: Along with medications, you should try to resolve your disturbed schedule, stress and anxiety. Avoid spicy and fried junk foods. Avoid smoking and drinking, if you have these habits. Do regular yoga like suryanamaskara and pranayamas. Do meditation in daily routine. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8222, + "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": 15571, + "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": 13536, + "tgt": "Can change in stool consistency affect pregnancy?", + "src": "Patient: Hi doctor, I am 26 years old and now 36 weeks pregnant. I just noticed my stool appeared as a mixture of white and brown long particles. I never had white poop in such lengths. My scan reports were normal a month ago. Is there any problem to worry? Is there any threat to the baby? Should I visit the doctor urgently? Please help. Doctor: Hi. Passage of white or brown particles in stool does not harm baby and there is no need to be alarmed. You can visit a physician or gastroenterologist for a physical evaluation, to confirm the nature of the problem and take treatment if required. If there are no other stomach symptoms, that visit too is not an emergency. If you have white string in stools along with other symptoms like loose stools or vomiting and pain in abdomen/fever, you need to visit a doctor as early as possible." + }, + { + "id": 6264, + "tgt": "Does ankle surgery increase the risk of ischemic stroke?", + "src": "Patient: Hello doctor, I am a 49-year-old male. Is it possible to suffer from an ischemic stroke as a result of ankle surgery? The stroke is on the left side of the brain causing paralysis in my right side. I am healthy otherwise. Doctor: Hello. If you were immobilized for a few days after the surgery there is a possibility in the development of deep vein thrombosis in a male above 40 years of age. If suppose that thrombus got dislodged, it may traveled to the brain resulting in ischemic stroke. The possibility is low, as almost all the venous origin embolus are filtered out in the lungs before reaching the brain but in case you have any defect in your heart then, it is quite possible. The other possibility might be any carotid narrowing which lead to the development of an intra-arterial thrombus formation other than thrombus origin in left side of the heart." + }, + { + "id": 7068, + "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": 27027, + "tgt": "How to correct my 8 months old daughter's squint?", + "src": "Patient: Hi doctor, My daughter is\u00a08 months old. She is having a squint or misaligned eyes. Please let me know the treatment. Doctor: Hi. Please feel free to ask more queries. I would be happy to answer them.\u00a0Regards. For further queries consult an eye care ophthalmologists online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3763, + "tgt": "My mom's biopsy report shows chronic non-specific cholecystitis. Should we worry about this?", + "src": "Patient: Hello doctor, I wanted to take a second opinion about my mother. In her ultrasound, it was diagnosed that she had gall bladder stones. There was no pain but it was accidentally observed in the ultrasound. We waited for three years, but then, later on, one of my friend\u2019s mother developed gall bladder cancer which was fatal. This incident prompted us to take a second opinion. And this time, the doctor also suggested that gall bladder should be removed because the stones might create problems in pancreas. Therefore we had her operated and the gallbladder was surgically removed. After the operation, biopsy of the gallbladder was also done. (All the relevant reports are attached the pre-operative medical tests are also there. In one of the reports in history, it is written that patient gives a history of pain in abdomen, complaints of acid peptic dyspepsia. She had no pain in the abdomen and no problem of gas or indigestion before the operation). After the operation, she had pain in the operation area which was healed later on. She has had typhoid thrice and TB once when she was young. She had chikungunya type fever last year which was negative for chikungunya tests, but the doctor said it might have been chikungunya and the tests might not have been done in the right time period that is why they came negative. She also takes medicines for blood pressure, knee and joint pain (calcium), cataract, homeopathic medicine for nose polyp infection. Here are my questions: The biopsy report says the impression of chronic non-specific cholecystitis, should we worry about it? Is chronic non-specific cholecystitis cancerous? My mother faced gas problems after the operation which became normal after a week or so and rarely she has that (like recently she had some dal paratha which was oily and caused the gas). Is this normal? Would she be frequently having gas incidents since her gall bladder is removed? We never did a biopsy of the gall bladder stones, should that also be done? Doctor: Hi. Having gone through the reports (attachment removed to protect patient identity) I just need to reassure you that the surgery was done by a world class surgeon. Reply to your queries: No need to worry about non-specific cholecystitis. It is not a cancerous lesion. If she avoids fried and fermented meals then there will be no issues of gas. Stones are analyzed not biposed but it is fine if that was not done. Type can be interpreted from the gross appearance but anyways it does not affect management. I hope this helps." + }, + { + "id": 12505, + "tgt": "Why is there a sinus tract in abdomen after cesarean?", + "src": "Patient: Hello doctor,I had a cesarean 4.5 years back, after which I developed a sinus tract in the left lower abdominal wall (which was stated to be tubercular (though there was no discharge). Took ATT twice but when repeated USG was conducted, it stated the problem as panniculitis. An MRI revealed adhesions and b/l sacroiliitis. Saaz 500 mg and Pregabalin was given, but not availed much relief. I had a history of bronchial asthma for the past eight years and somewhere I felt Saaz did not suit me and increases my asthma problem. What should I do? If I do not take Saaz it increases my back problem a lot and overall tiredness and if I take I feel breathless.Got a recent ultrasound done. Can you please check and see if TB is still persisting or is it panniculitis? Completely tired of this diagnostic dilemma. Please help. I will be grateful. I am attaching all my reports of the past five years. I have bronchial asthma since last eight years. Viral keratitis in right eye post eye lasik surgery. LSCS four years back. Herpes zoster right arm three years back. I have dry eyes for which I am taking Systane Ultra, Flomax ointment and sometimes Cycloiimune 0.5 drops. For asthma, Budamate inhaler and Alerfix total. Please guide. Doctor: Hi. I will try to help you as much as possible. A few questions first: 1. Was there any tissue biopsy done for the abdomen wall or the panniculitis lesion? If yes, please share its details. 2. Did you have symptoms of low backache and early morning stiffness, and pain in any other joints? 3. Did you have any family history of arthritis? 4. Do you take anti-inflammatory medicines in addition to Saaz for pain? Now coming to your queries: USG and MRI reports (attachment removed to protect patient identity) are suggestive of abdomen wall panniculitis, which is a chronic inflammatory condition and is mostly caused by some autoimmune process. In your case, the associated sacroiliitis may point towards the presence of spondyloarthropathy. Tuberculosis is unlikely, as it would have resolved after ATT. Bronchial asthma diagnosis needs to be worked up in order to rule out other autoimmune associations like ILD. I would like to suggest the following, if not already done: 1. HLA B27, RF, and anti-CCP. 2. ANA by immunofluorescence. 3. ENA profile. 4. ANCA (MPO and PR3 by ELISA). 5. ESR (WG) and CRP. 6. Pulmonary function tests, and X-ray chest. 7. Tissue biopsy from the abdomen and its histopathology examination. If you are finding it difficult to tolerate Saaz (Sulfasalazine), then, other drugs like Methotrexate (MTX) may be tried, but only after ruling out the possibility of ILD. MTX would also be helpful in panniculitis. for more severe pain, NSAIDs or low dose Corticosteroids may be added for short term. But it is important to establish a final definitive or most probable diagnosis." + }, + { + "id": 10077, + "tgt": "How do I fade the acne marks without laser treatment?", + "src": "Patient: Hello doctor, I have used Benzoyl peroxide gel for my acne and it has almost cleared. But, the\u00a0acne left some red marks and blemishes on my cheek. I wanted to fade that redness on my skin. In the past, I used Epiduo gel. Please suggest me a product and guide me to remove that redness without laser treatment. Thank you. Doctor: Hi. There is redness and some pus filled acne too (attachment removed to protect patient identity)." + }, + { + "id": 22095, + "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": 13818, + "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": 1580, + "tgt": "My partner has swollen lymph nodes with high CPR and eosinophils. Please interpret her USG", + "src": "Patient: Hello doctor, I am writing to you about my partner. She has had swollen lymph nodes for the past two years. Only other symptoms are high CPR and very slightly higher eosinophils. She had an ultrasound of her right side of the neck today, and I would like to know if you can see anything unusual. Also, I would like to know what the other two pictures say, that are 2 cm lymph node or the marked submandibular gland which was operated on. On two pictures, I see three small circles around a big circle, and on one of the pictures, some of the small circles have something inside of them. Obviously doctors are investigating possible lymphoma, so I would really appreciate your help and if you could take a good look at everything and tell us an opinion about the features of the examined organs. Doctor: Hi. Let me start with the right neck lymph nodes seen on the images (attachment removed to protect patient identity). They have a fusiform shape which is a good sign. They are mildly enlarged, the index one short axis measures 6 mm. Image 1: Lymph node with Doppler box, showing center blood supply which is again a good sign. Image 2: Couple of mildly enlarged lymph nodes. Image 3: Submandibular gland and mildly enlarged lymph nodes with a white center, fatty hilum, normal. Image 4: Index lymph node measurement long x short axis 21 x 6 mm. I would favor benign pathology versus lymphoma due to fusiform shape, central blood supply, preserved normal fatty hilum, and mild enlargement. This can also represent systemic inflammatory diseases. I hope this helps." + }, + { + "id": 24906, + "tgt": "My main issue is paranoia. What changes can be done to my medications?", + "src": "Patient: Hello doctor, I suffered major depression and severe anxiety since the age of 12 years. I was initially put on Citalopram and did well on this medication for seven to eight years at which point it was no longer effective and my GP prescribed Duloxetine 60 mg. This dosage worked for about six months and then I was referred to a psychiatrist who upped my dose to 90 mg. Since then, I have been getting worse in terms of emotional breakdowns and anxiety and have had to periodically increase dosages as well as introduce new medication. I was admitted to a psychiatric institute last year. Currently, I am taking: 50 mg Venlafaxine bi-daily.75 mg Epitec in the morning.50 mg Epitec at night.10 mg Pur-Bloka bi-daily.50 mg Trazodone at night.0.5 mg Rivotril at night.50 mg Quetiapine (started three weeks ago). I feel I am drinking too much medication and would like to scale down. Also, I still suffer from anxiety but currently my main problem is paranoia. I am not psychotic as I do not believe that UFO's are planning to abduct me or that the CIA is tapping my phone. I, however, believe that my spouse is being unfaithful even though I have no reason to think this. I also believe that my colleagues have hidden motives. I believe my family and friends are deceiving me, I perceive malice in innocent statements, I am weary and suspicious of everyone around me. Due to the paranoia, I am a prisoner of my own mind and am truly suffering. My MRI, EEG, and blood investigations were all normal. Bi-polar has been excluded. Aspergers is possible. Traits of paranoid personality disorder as well as borderline personality disorder. I have an appointment to see my psychiatrist to change my script. Could I please have suggestions on what to change? Doctor: Hello. In my opinion, you can discuss with your treating psychiatrist regarding following changes: Hope this solves your query. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15444, + "tgt": "I have not involved in sexual activity, but my period is late. Why?", + "src": "Patient: Hi doctor, I have not involved in any sexual activity, but my period is late for ten days. What is the reason? Please help me. Doctor: Hi. Please send your gynecology, and obstetrics report, drug history and medical history. Strict diet, strenuous exercise, anxiety, stress, illness, contraceptives, medications, and hormonal imbalance can cause delayed periods. If you are not involved in sexual activity and if the blood pregnancy test is negative, then you can have a menstrual induction. Take tablet Primolut N 10 mg (Norethisterone) twice daily for six days and then wait for bleeding for one to two weeks. If you have any abnormal hair growth, with weight gain and irregular periods, then do a blood test on the second day of the periods. Test your testosterone levels, progesterone, insulin, prolactin, thyroid function test, FSH (follicle stimulating hormone) and LH (luteinizing hormone). Have a transvaginal scan. Collect the results and discuss here. Have a healthy diet, daily walk, and try to have normal BMI (body mass index). Do recreational activities and avoid having recreational drugs. You can have combined oral contraceptive pills for three months to regulate the menstrual cycle." + }, + { + "id": 2470, + "tgt": "After taking vitamin D on my own, my recurrent skin infection happened again with bump. Why?", + "src": "Patient: Hi doctor, I have a fungal infection for years now I believe. I have been trying to treat it back and forth since the medicines being prescribed are so expensive. Every time I see my skin healed I stop the medication. The fungal infection I first had was ringworm. Recently, my infection started acting up again, then I did the same routine taking medication and putting cream (but this time my doctor told me to use vinegar instead cause my skin was not healing well and instead make it worst), but this time I plan on finishing the medication so that I will finally be gone for good. The couple of weeks I have my skin treated well and it was healing just right until this quarantine happened. My skin was still good the first week of the quarantine then the second week my grandma showed me some vitamin D that I believe would be good since it is just vitamin D, but after a few days my skin started showing some bumps in arms also feet. They are very small bumps but also so itchy, I am still taking the same medicine prescribed to but why did bumps like this start showing up? Was this done by the vitamin while I was taking medications? Why was my skin healing when there was still school before and now is not healing properly and is looking a lot worse. I am honestly so insecure about my skin now I hope you can help me since I cannot go out and go to a near hospital. The medicine I am currently taking is Itraconazole. The cream I used to use Clotrimazole to now just pure vinegar. I drink apple cider every morning. Use a sulfur soap. These are all prescribed by my doctor. Doctor: Hi. Fungal infections are very difficult to treat and your case is resistant fungal infection. In such cases, I give Itraconazole as last resort only some patient respond to Itraconazole some patient respond to Terbinafine and in some both have to be given. Take Ketoconazole bath soap. Wash your clothes undergarments especially daily dry them in Sun. Wear clothes after drying the body only after drying your body properly. Avoid sweating and moist conditions keep your room dry and well ventilated. Do not wear much clothes during the night so that is sweating may promote the growth of fungus. Keep your body clean. The bumps are actually bacterial infection not fungal. l do not use any over the counter steroid in ever they also increase fungal infection follow the following treatment given below and revert me back after three weeks. Take tablet Terbinaforce 250 mg twice daily after meals for three weeks, Terbinafine cream twice daily for three weeks, tablet Citizen once daily. For itch, tablet Medicine 200 mg twice daily for five days. Review after three weeks." + }, + { + "id": 5426, + "tgt": "I have fibromyalgia and scoliosis with low back pain. Please explain my MRI findings", + "src": "Patient: Hello doctor, I am a 29-year-old female. I have low back pain with bilateral hiop and leg pain to the knees for several years. I have fibromyalgia, scoliosis and my left leg is 7m shorter than my right leg. My MRI result indicates: Large broad-based right paracentral disc protrusion at L4-5 and compresses the descending right L5 root and encroached on the descending left L4 root. The disc causes moderate to moderately severe central canal stenosis. Shall central protrusion at L5-S1 contacts the descending right S1 root. No nerve root compression is identified. Mild degenerative template signal L4-5 noted. Can you explain these to me in labor terms and suggest the most likely treatment options? I have don't just about everything but surgery and chiropractic care have been the most effective but I have had chronic pain for years, sometimes debilitating. Is rather not have surgery but is it inevitable? My ana test is negative. I am currently taking Gabapentine. Doctor: Hello. Vertebrae has a central canal where the nerves from the brain run to reach the legs. At each vertebrae level, there is a shock absorber called the disc. Often this gets displaced due to the pressure put on it and it starts to put pressure on the nerves that run down the leg leading to what is called sciatica. You have a disc between number 4 and 5 vertebrae that is the source of your pain in the legs more so than your spine and lower back. You have not sent me the films for me to judge the actual size of the disc, not everyone requires surgery. You should be on Pregabalin 75 mg twice a day. You should be having physiotherapy or chiropractic treatment which seems to be working. If a good trial of six weeks to three months is over and you have more leg symptoms than back, then you need attention surgically." + }, + { + "id": 25153, + "tgt": "What causes sudden dizzy episodes that last few seconds?", + "src": "Patient: Hello doctor,This query is about my mother. She is 57 years old. She has these dizzy episodes since last two to two and a half years. They are very short most of the time, lasting for a maximum of few seconds. It happens most of the time when she gets up from the bed or changes position on bed. She shows excellent response to both Vertin and Zevert. She took Vertin 24 mg BD for three months and then left it. She was alright for three months after leaving the medicine. But, last night she had symptoms again, same lasting for two to three seconds. She does not have any other symptoms. Her balance is perfect. She has a migraine for the last 10 years. My query is should we start her on Vertin or Zevert again? For how long? And should we go for any other investigation? Can it be something serious? Doctor: Hello. I read your question and would explain that your mother symptoms seem to be related to an inner ear disorder. There is nothing to worry about, as her situation improved with Zevert and Vertin once. For this reason, I would recommend starting again Zevert (Betahistine) for a month, with the same dose. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If her complaints persist, I recommend consulting with an ENT specialist and performing labyrinthine tests. A Doppler ultrasound of the cervical arteries would help exclude possible vertebrobasilar insufficiency. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25643, + "tgt": "I have burning sensation during and after urination. Why?", + "src": "Patient: Hello doctor, I had sex with my husband on the fourth day of my periods. One day while passing urine, in my vagina there was a burning sensation and it started paining in the abdomen area below the stomach on the right and left sides. After that on the next day, I had no pain. After that, again the next day, I had sex with my husband then again it started paining and burning during urination. In short, there is burning sensation while urinating and a persisting burning sensation after urination. Yesterday, we did not have sex but in the morning since 6 a.m., I am having a burning sensation in my vagina which is not at all getting fine. What can be the cause of this? And what should I do? Please help. Doctor: Hello. Most probably, you are suffering from a UTI (urinary tract infection). So, get a urine examination done. Investigations to be done include urine routine and a urine culture and sensitivity. Kindly drink plenty of oral fluids. Follow up with the report. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 14083, + "tgt": "What causes knee pain in a football player?", + "src": "Patient: Hello doctor, I am 21 years old, medically fit. I play football a lot. Recently, I started to have pain in my left knee, there is a pain when I sit on the ground (on bending) and I feel it is crusty when I try to open it. Also there is pain on resistance to movement. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Knee joint consists of two bones that are femur and tibia. In between these bones, a few structures are present which provide stability to the joint and make the joint strong. These structures are ligaments which connects the two bones and meniscus which are the fibrocartilages present between the two bones. Injury to the meniscus is a common problem faced by football players and athletes. Probably you had a meniscal injury or tear as you are having pain while bending the knee and difficulty in opening it which is called locking and unlocking of the joint. Not all meniscal tears require surgery. I would suggest you get an X-ray done to make sure that there is no bone fracture. Limit activities of the knee joint. Stop playing football for a few days. Apply ice packs to the knee joint for 15 to 20 minutes 3 to 4 times a day. Apply crepe bandage to the knee. You can take an anti-inflammatory medicine like any NSAID twice daily for five days. Avoid running and jumping. I suggest you take orthopedic opinion also. Injury to meniscus or ligament of the knee joint. X-ray knee joint: AP and lateral." + }, + { + "id": 5759, + "tgt": "I am diagnosed with chronic rhinitis and cannot taste or smell anything. Why?", + "src": "Patient: Hello doctor, I am diagnosed with chronic rhinitis by an ENT doctor. I cannot sleep at night and barely eat anymore because I cannot taste or smell anything. My nose is always stuffy. I tried Neti pot, sinus irrigator, herbs, and steam inhalation. I cannot seem to find anything that helps except steroids. I used Carticosteroid nasal spray and Methylprednisalone 4 mg, but those are terrible to keep using. I lost hope. What to do? Doctor: Hello. I understand your problem. It can be a bothersome problem in your case. Chronic rhinitis should be evaluated, and any condition causing it should be addressed specifically. If you could show me the findings of the nasal endoscopy it will be useful for me to make a decisive diagnosis. You may also do nasal odor tests to confirm the loss of sense of smell and let us know the results of the same. Nextly, the use of corticosteroid nasal sprays are not bad at all. They are very helpful in resolving nasal inflammation and accompanying rhinitis. You may use them as per your doctors advice, we also regularly advise patients to use those. As to using oral steroids, you do not use those continuously for a long duration. Also, try taking saline nasal sprays once a while. Drink plenty of water and eat well balanced timely nutritious food. Kindly revert back with the findings of endoscopy and nasal odor tests. Kindly do the following also to rule out allergic rhinitis. 1. Absolute eosinophil count. 2. Serum IgE. With the above, we can make a more decisive diagnosis, and rule out major conditions and institute the specific treatment to help you feel better." + }, + { + "id": 28517, + "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": 10181, + "tgt": "Please help with my issues of numbness and vitamin deficiency", + "src": "Patient: Hi doctor, I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms. Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer. My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2. I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time. I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment. Doctor: Hi. Your problem still could be due to a nerve problem, even though your NCV test is normal (nerve conduction velocity). Also, you might be having calcium deficiency, which is very common associated with vitamin D deficiency. I suggest you calcium supplements like tablet Shelcal HD daily once for three months. Apart from vitamin D and herpes medication, have you taken any medicines for your problem? Kindly let me know that. If not done, then kindly get serum vitamin B12 levels tested and revert back with the report. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22747, + "tgt": "My ejaculate is strawberry colored after taking red drinks. Is it of concern?", + "src": "Patient: Hi doctor, I drank a lot of strawberry mojitos and they were really dark red drinks. Now, my ejaculate is in strawberry color. It was nice and white in color before the day and there are no other symptoms. Doctor: Hi. It is unlikely for the food or drinks to change the color of your semen directly. The pigments in your urine/urethra can change the color of your semen. The other possibility is blood in the semen, which again without symptoms, is not a cause for concern. I would advise you to wait for a few days. If it is due to drinks, it will disappear. If it persists, I would suggest you visit your local urologist for a clinical examination. Even if it turns out to be blood, it usually subsides within a week or two and it is not a cause for worry. Revert back if there are any other queries. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23050, + "tgt": "Why do I have redness on my meatus and glans after antibiotics course for E. coli?", + "src": "Patient: Hello doctor, For three months now, two days after finishing a 21-day course of antibiotics to clear an E.Coli UTI, I have redness on my meatus and lighter redness on my glans and also intermittent irritation of the foreskin. All this with no itching, no discharge or pain whatsoever. I have been tested for UTI again and also all possible STD's and all are negative. I was sent to a dermatologist and she told me it might be a yeast infection and prescribed a two time 150 mg of Fluconazole which had absolutely no effect. I also prior to all my visits to the doctors tried treating myself topically a week at a time with multiple creams such as Canesten, Fucidin, coconut oil, shea butter which all do nothing but hydrate the skin. I have been taking probiotics and antifungal supplements, following a low sugar diet for almost a month and nothing cuts it. I am starting to wonder if it could be something else than a fungal infection since nothing I have tried is working. Could it be bacterial? Are symptoms different? And if my symptoms are causing no pain could it be something else than an infection? Doctor: Hi. I have gone through your query and would like to know a few more details to answer your query better. Based on your history of medication, it is unlikely for any bacterial infection to be persistent for such a long time and without any overt symptoms. Fungal infections may persist and may require prolonged treatment sometimes, a simple skin scraping test can help diagnose it. Another possibility is non-infectious inflammation, which is common around the meatus and glans called BXO (balanitis xerotica obliterans) which in early stages can cause similar symptoms but needs a clinical examination to diagnose. I would advise you to visit your local urologist who can clinically examine you and identify your problem. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19190, + "tgt": "What does my urethral swab test reveal?", + "src": "Patient: Hi doctor, My urethral swab test showed\u00a0epithelial cells +1, polymorphonuclear cells +1 and\u00a0no microorganisms found. Please let me know what does it mean. Thank you. Doctor: Hi. This report is normal. For further information consult a venereologist online -->https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 983, + "tgt": "I could not bear the separation of my boyfriend. Please help", + "src": "Patient: Hi doctor, My boyfriend left me a year before. He got married now. But, I have been dying day by day for his love. Still, I love him a lot. Please help me. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29377, + "tgt": "I have a constant pain in the lower back and kidney area. Why?", + "src": "Patient: Hi doctor, I am 19 years old. I am very athletic. I am a person with diabetes and was diagnosed at the age of 6.5 years old. I am 5'9\" and 165 pounds. My primary concern is that lately as in the last month, or so there has been a constant pain in my lower back and the kidney area. The pain is not sharp, but more like a feeling of dull pain and just heaviness. I went to ER a few days ago, and they did a urine test, blood test and CAT scan and everything came out fine. The doctor was very vague with me and disappeared quickly. He said that I have back pain, but recently I have not been doing anything to cause back pain. Also, the pain is deeper than the layer of muscles like I feel it inside. When I touch it, it does not hurt. Is this something to worry about? Should I do further tests? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11052, + "tgt": "Can a pelvic CT scan show colon cancer?", + "src": "Patient: Hello doctor,I have been having some chronic abdominal discomfort in my stomach, and occasionally in my chest for several weeks. Also irritable bowels. Before this, I took a six-week course of Ampicillin for what was perceived to be prostatitis. Had an abdomen CT scan with contrast because of testicular pain and right varicocele. My question is, would colon cancer be seen on pelvic CT scan? Doctor: Hello. I do not know why you are getting worried about colon cancer? These are not symptoms of colon cancer. As far as your query is concerned, colon cancer may or may not be detected on CT scan based on the stage of cancer. But in most cases, one can see abnormal growth over there. A colon cancer diagnosis is made on biopsy done by colonoscopy. I feel your symptoms are more related to irritable bowel syndrome. Try a good probiotic like cap VSL 3 (live freeze dried lactic acid bacteria and bifidobacteria) that would help you in regaining normal flora that might have been disturbed as a result of antibiotic intake. I need to know if you have any blood in stools, weight loss, or anemia?" + }, + { + "id": 18508, + "tgt": "I have ordered kottakal arya vaidya manasa mitra vatakam. What is the recommended dosage for mild anxiety/tension", + "src": "Patient: Hi doctor, I am a 24 year old male. I have ordered Manasamitra Vatakam. What is the recommended dosage for mild anxiety and tension? Is there any possible side effects? Would you also recommend any mild medicine other than this such as Ashwagandha? If so please tell me dosage and brand name. Also suggest me the recommended diet that helps to restore calmness. Doctor: Hi. Revert back after 15 days for follow up to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15952, + "tgt": "Which fast-acting medicine can be taken for premature ejaculation before sex?", + "src": "Patient: Hi doctor, I am having premature ejaculation, which I have had for a few years now. Normally I last for less than a minute. I was once prescribed Pari 10 mg, which did work to some extent but I discontinued it as it was making me feel drowsy and out of sorts. Can you recommend a fast-acting medicine which can be taken just before sex? A friend of mine told me to take Dapoxetine 60 mg, which I did one to two hours before sex and it really worked. Is it fine to continue the same as long as I take it like once or twice a week? I do not suffer from erectile dysfunction, but I hear that Dapoxetine with Cialis would really help my cause. So is it fine to take Dapoxetine 60 mg with Cialis, maybe couple of hours before sex? I will limit this to around once a week. I am 37 years old around 75 kg and 5'9''. I am generally in good health and fit. I do have cholesterol but do not take medicines, managing with exercise and diet. Doctor: Hi. I understand your problem. Premature ejaculation is a common condition among many males even though they do not really seek advice. First of all please note that there is no such medication proven to correct it 100 % or to act quickly. Non-Drug therapy including behavioral techniques helps to overcome it in 90 % of cases. One such method is stop-start technique. In which you or preferably your partner should stimulate your genital organ and when you feel like ejaculating, stimulation should be stopped for about 30 seconds or the till the passing feeling disappears. This should be done on regular basis before sex. Another method is the Squeeze Technique. It works the same way as the start and stop method. But, when you feel like you are reaching ejaculation, you or your partner squeeze the head of your penis until you lose the erection. Repeat this a few times before ejaculating. Some males find that if they think of something else during sex they can last longer. Drugs including Dapoxetine blocks serotonin levels in the brain and known to be beneficial in some patients as you have already experienced. But these drugs have many troublesome side effects with long-term use like gastric disturbances, headaches, and poor sleep. There are common modifiable reasons for this problem. Psychological stress, performance anxiety about sex, depression, and relationship problems with the partner can result in this. Therefore try to identify any underlying cause for that. May I know whether you have multiple partners or a single? If you have multiple do you experience the same problem with all partners? Since you are otherwise healthy please be reassured that you do not have any significant problems with your sexual functions. This issue is fairly common in the society. If you are still experiencing after trying above behavioral techniques you may consult a consultant psychiatrist. But before that try to identify any psychological disturbances and try those behavioral techniques as drugs play a little role and cause unwanted side effects in the long run. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19159, + "tgt": "Does mild concentric LVH regress with medicines, exercise and proper diet?", + "src": "Patient: Hello doctor, I am 31 years old, weight 87 kg and height 5 feet 7 inches. I have a problem of high BP. There is little chest pain. ECG report (leftward axis). Echo report (mild concentric LVH and diastolic dysfunction and normal systolic function). LVEF 60 %. Total cholesterol 213. TSH normal. No sugar. Creatinine normal. Renal Doppler report (no evidence of renal artery stenosis). History of alcohol and smoking for the past five years, now quit. Currently on medicine Nebistar SA (Nebivolol 5 mg and Amlodipine 2.5) and in evening Eslo 2.5. BP was 160/120 now 130/90-95. Please advice whether the medicines are alright or not. Any changes in medicine you would like to suggest? Will be very thankful if you kindly respond to my request. Thanks a lot. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Your echo is almost normal. Your current medicines appear to control your BP adequately. So, there is no need to change them. But your weight of 87 kg for your height of 5 feet 7 inches is very high. That is the reason for your high BP. If you want your BP to be controlled without taking any medicines, you have to reduce your weight to 75 kg. Warm regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8343, + "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": 26140, + "tgt": "What is the treatment for submucosal fibroid?", + "src": "Patient: Hi doctor, I am having submucosal fibroid over 10 years. Now for the past three months, I am facing irregular bleeding. My urine does not flow in a straight line when the volume is less. Also, I have a small cyst in clitoris which creates occasional itching, once or twice in a month. I am having this cyst for almost 12 years. Please help. Doctor: Hi. For submucus fibroid you can opt for hysteroscopic removal or arterial embolization or MRI-guided focused ultrasound therapy. Because, at 30 I do not think you would like to go for an open surgery. Urine may not come out in straight line if volume is less and force is low. But, if you think it is a worrying problem you can go for simple procedure called cystoscopy. Regarding the cyst on clitoris, no comment can be made without looking at it. For occasional itching you can apply any simple cream. Do not wash with medicated lotion or soap like dettol. Wash only with bathing soap. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29244, + "tgt": "How to identify if there is any tumor or inflammation in the spermatic cord?", + "src": "Patient: Hi doctor, I have funiculitis. I have a typical swelling in the spermatic cord, and the pain comes and goes. I am suffering from this issue for the past five years. How to know if there is any tumor or inflammation or injury? Which test should I get? Initially, I had Ofloxacin course with marginal healing and now,\u00a0under homeopathy treatment. Doctor: Hi. USG scrotum. Revert with the reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5257, + "tgt": "Does my MRI of brain showing any signs of cancer?", + "src": "Patient: Hello doctor, I got MRI of my body done eight years back. The results were good. The radiologist did not find anything clinical relevant. The past three months I suffered from several weird conditions. Ringing in the ears, while the tones shift in frequency (I guess this is not an usual aspect of tinnitus), sometime seeing stars or flashes and headaches. I decided to make a new MRI of my brain, to make sure everything is normal. The new MRI shows some differences compared to the one made earlier. I was pretty shocked when I saw the images. In regard of a second opinion, I would like some more information about abnormalities found in the recent MRI, just to get as much information as possible about my brains health. I would like to ask you a few questions regarding the images from my latest MRI. 1. Could you give your opinion about the images and possible abnormalities? 2. Could you explain about the cortexes where the possible abnormalities are in? 3. Is the area around my mouth or sinuses in the recent MRI looking normal? 4. What is the bright spot in picture 13a? 5. What is the bright straight line at the hight of my nose at picture 11? Cancer appears in the family and I just wanted to be sure. I do not have dental implants. Do you notice anything strange around the mouth area? Doctor: Hello. After having gone through the images, my first message to you is: Nothing to worry (attachment removed to protect patient identity). Absolutely nothing to worry or simply think about. Just wash them out of your mind. All you need to do is lead a healthy life with healthy habits. My findings in your recent MRI: Prominent cisterna magna aka mega cisterna magna, tiny T2-bright spot in the right lentiform nucleus, likely representing an old tiny infarct. Retention cyst in right maxillary sinus. None of these findings have any clinical significance, nor do they have any significant effect on your living or longevity. The old tiny infarct is tiny enough that you never knew that it was there. However, if it were larger, it could have troubled your living, so it is something to remain conscious about. Mega cisterna magna (enlarged CSF space behind cerebellum) occurs in <1% of people and is mostly considered a harmless normal variant. However, people with MCM are often considered to be prone to infarcts, so it would be advisable that you avoid or control other factors that also cause infarcts, especially when there is already an infarct (thankfully tiny, though) like controlling hypertension / diabetes (if you have), avoiding smoking and alcohol, etc. Retention cyst is a fluid-containing pouch that can develop in the nasal sinuses. It is harmless, in fact not worth mentioning. Your mouth and sinuses do look normal, except for the retention cyst in the right maxillary sinus. Unfortunately, none of your files is labeled 13A. However, there is a bright spot - it is the retention cyst in the right maxillary sinus. The bright line is an artifact generated by the machine during imaging or image processing. Regarding your worries over familial cancer, there is nothing your brain MRI to increase your worries. Perhaps regular follow-up is sufficient. I asked about dental implants because without the DICOM images, I was a bit confused whether the bright spot (representing the retention cyst) was in the sinus or in the gums or teeth. Now, I am confirmed that it is in the sinus and your teeth sockets are normal." + }, + { + "id": 4572, + "tgt": "My pap test is abnormal with brown discharge. Why?", + "src": "Patient: Hi doctor, I have had abnormal pap tests for the past four years. Now I am having really thick light brown mucus discharge almost daily. The last one this morning was bigger than a quarter. What could this be? Doctor: Hi. I understand your concern. At the age of 29 years, I would want to know what the abnormality in PAP smear was? I hope it is LSIL (low-grade squamous intra epithelial lesion) or ASCUS (atypical squamous cells of undetermined significance) or only mild dysplasia. Any of these findings are suggestive of only some infection in the cervix creating some changes in the lining of the cervical canal. This only warrants follow up and repeated PAP smear evaluation. These infections on the cervix can cause small ulcerations, which would appear like a raw wound. Once the raw surface if formed, the secretions from the underlying cervix increases. Just like in common cold secretion from the nostrils increase, cervical secretions also increase. The sudden appearance of excessive brown discharge can follow any local insult like recent sex, or recent periods or local trauma by a tampon or even urinary infection. But it is not to be worried about. If it is been a year since last PAP smear or at least six months have a repeated smear. You may need local antibiotic treatment. If the cervical erosion is significant and the abnormality you are experiencing in PAP is more than what I mentioned, then you may need excision of the ulcer with cryotherapy or electrotherapy or chemical. But at this young age of 29 years and as the doctor has put you follow up for four years, I bet you belong to low-risk stage. Nothing to worry about. Just simple treatment of local medication will do." + }, + { + "id": 6989, + "tgt": "What is the reason for constant fever in a nine month old?", + "src": "Patient: Hello doctor, My 9-month baby girl has nine days of fever (every 6-8 hours). First four days antipyretic was given. From fifth to the eighth day, Cefixime oral was given. Ceftriaxone injection till now and the fever is not fading away. Test like CBC, CRP, Epstein Barr agar, blood culture, urine culture is done. Please help. Doctor: Hello. The clinical features and reports you have shown are indicative of the infection. But and the infection looks like a bacterial origin because of predominantly elevated neutrophils and CRP. The common infection in this age group are urinary tract and respiratory tract, but other sites may get infected e,g. Abdomen. We do tests sequentially. I want to do urine examination for routine and culture, and blood culture should be repeated with an adequate amount of blood, ultrasound abdomen to look for any evidence of infection e,g, abscess, pyelonephritis. Another thing is we should so repeat CBC and CRP to look for improvement. And if your child is irritable with poor feeding, then my dear we should also thought of meningitis that is infection of brain. For this get done a CECT head and lumbar puncture and examination of the CSF. Therapeutic intervention in your case, although Ceftriaxone is a good drug but in such young child and we should give two antibiotic combination e,g, Ceftriaxone and Amikacin. Because of the better cover of the causative organism.If she has respiratory symptoms, then a chest x-ray is indicated, and after that, we can add other drugs also depend on the finding of the x-ray. So, ask your doctor to do all these intervention and monitoring of the inflammatory parameters. And review back with detail reports or before that if you need more discussion." + }, + { + "id": 11537, + "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": 22596, + "tgt": "I want to gain weight very fast. Please suggest a medicine", + "src": "Patient: Hello doctor,My age is 28, height is 176.78 cm and my weight is only 56 kg. I do not have any type of disease. I want to gain weight very fast. In five to six months up to 10 kg. Please suggest me a medicine, syrup, or protein supplement. Doctor: Hello. Looking at your BMI it is slightly below normal. You must better see a gastroenterologist and get some basic tests done which is quite possibly a diagnosis even if you do not have any other symptoms. Thyroid profile, CBC, anti-Tg antibodies are some test you should get done. If all the reports come out to be normal then I would advise you to take tablet Longifene DS (Buclizine) 1 HS which has some role in improving appetite. Test increase your calorie intake. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27983, + "tgt": "How to prevent tapeworm infection?", + "src": "Patient: Hello doctor, I have severe Crohn's disease, which is not under control. I ate a piece of medium rare steak with tapeworm in it, and I am terrified that I may have got tapeworm infection. I have tried puking, but not much came out as my body does not process things completely before passing it on. Is there anything I can do to keep myself from getting tapeworm infection? Doctor: Hi. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29228, + "tgt": "My husband had five episodes of hypoglycemia in a single day. What could be causing all these?", + "src": "Patient: Hi doctor, My husband has type 1 diabetes. He has had no Insulin today but has had five hypos today, and his sugar levels are dropping again. He had his regular food all day, drank juice and cans of coke. He has not done anything different to any other day and also has not been stressed either. He treated all his hypos the way he normally would. What could be causing all these hypos if he has not had any fast acting Insulin since last night? Any advice would be greatly appreciated. Thank you. Doctor: Hi. Revert with the details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 15519, + "tgt": "Is it possible for C-reactive protein level to raise from 6 to 15. 9 in 24 hours?", + "src": "Patient: Hello doctor, Is it possible for C-reactive protein level to raise from 6 to 15.9 in 24 hours in my child, although there are no signs of sepsis? Doctor: Hi. C-reactive protein (CRP) is a marker of infection and inflammation anywhere in the body. It takes at least six hours for CRP to raise in the blood, once the infection starts and it continues to raise up to 24 hours at least. Though there are no signs of infection clinically, that is, the child is well symptomatically, it is still possible that CRP raises. Inference: Consult a paediatrician online for further help --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7528, + "tgt": "I have herniated disc. Can I do deadlift exercise?", + "src": "Patient: Hello doctor, Ten months back, I suffered from herniated disc. The pain was relieved after a month of rest. A week ago, I started gym again. Today, I\u00a0did an exercise called deadlift with low weights. Now, I can again feel the tingling sensation in the\u00a0same area though without any pain. Should I stop doing such exercise? Please suggest. I did not feel any sensation with other activities in the last one week. I take a healthy diet and try to keep the nutrition intact. Doctor: Hi. Herniated lumbar disc. For further doubts consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25033, + "tgt": "I have low sexual interest. Can I take Vigorex?", + "src": "Patient: Hello doctor,I am a 47 year old male, height 178 cm and weight 81 kg taking Olmesartan 40 mg for BP daily morning. Occasionally, I drink from two years and diabetic. My diabetic doctor had not prescribed any medicine and suggested exercise with diet control and I am doing so. Nowadays, I feel weak, pain in the neck, both hands, and shoulders during sleep position and low sexual interest as I live a bachelor's life from the last four years due to my son's education. My question is, can I take Vigorex after lunch? Doctor: Hello. I have gone through the message you have sent. The reason for hyposexuality is multifactorial. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 29202, + "tgt": "From my wife's reports, please advise the next course of action", + "src": "Patient: Hi doctor, This is regarding my wife, who is 34 years old. She has a gynecological problem of heavy menstrual bleeding, which will last for 7 to 8 days. She has this issue for quite some time. Though we have consulted our doctor, nothing could be concluded. She even used to take Pause 500.\u00a0But, this time the problem was alarming, and so her doctor advised some tests. I have taken snaps of the reports which I have attached here.\u00a0Please check the reports and share your feedback with us. Also, please let us know the next course of action.\u00a0Please note that we have one child aged 5 years and my wife never had any other physical issue before. Doctor: Hello. Revert 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": 22340, + "tgt": "Is a ketone diet good for those who are diabetic?", + "src": "Patient: Hello doctor, I had a question about the ketone diet. I honestly do not understand the benefits of a ketone diet, what are they? Is a ketone diet good for those who are diabetic? Doctor: Hi. It aids in weight loss. It takes more work to turn fat into energy than it takes to turn carbohydrates into energy. Reduces acne. It may help reduce the risk of cancer, improves heart health, may protect brain functioning, potentially reduces seizures, improves health in women with PCOS. Longer use of ketogenic diet is not good for the diabetic patient. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17588, + "tgt": "Kindly suggest a medicine for acne", + "src": "Patient: Hi doctor,I have sensitive, oily and acne prone skin. My skin is a very fair complexion. I need topical medication for acne that lasts on the face for more two to three months. The acne is often without a white head. They are red and become brown with time. It happens with climatic change, hormonal change and even after applying a new face product. I am a 34 years old female software engineer. I have one kid. My weight is 58 kg and height is 5'4\". Doctor: Hi. I understand that you have acne problem.\u00a0 Revert back with the answer to the above question to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30322, + "tgt": "Is it true that excess intake of potassium chloride causes cardiac arrest?", + "src": "Patient: Hi doctor, By mistake, I had potassium chloride powder of one teaspoon today, just before an hour. When I checked on the internet, it says that it may cause cardiac arrest. How true is that? What should I do now to avoid any side effect? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26176, + "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": 24879, + "tgt": "Why has my child not started walking by his own?", + "src": "Patient: Hi doctor, It is regarding my son. He is 14 months and 1 week old. He has not started to walk by his own but started to crawl since 12 months. Is there a problem with his leg muscle? Doctor: Hi. Do not worry. Some children are a little slow. The very fact that the child is able to crawl shows that leg muscles are working fine and have enough strength to lift the weight of the body. Give the child some time and he should be able to walk also. You can supplement the child with calcium and vitamin D for providing more strength and nutrition. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 25118, + "tgt": "Why am I not able to insert my penis into the vagina?", + "src": "Patient: Hello doctor,I am a 30-year-male with a weight of 75 kg and a height 5 feet 7 inches. I recently got married. My wife is 28. We had no relationships before. We are not able to have an intercourse. I get an erection but I am unable to penetrate her. I do not know whether erection is not enough or if her vagina is very tight. I used to masturbate earlier. My erection was good earlier. In the past, I had used Finpecia 1 mg for three months. Please help. Doctor: Hello. I suggest you take tablet Dejac-T (Tadalafil and Dapoxetine) one tablet one hour before intercourse. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Also, apply KY jelly on your penis just before intercourse. It will provide lubrication Also, provide enough time for foreplay. This will help the vagina to dilate. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15549, + "tgt": "What causes itching all over the body during pregnancy?", + "src": "Patient: Hi doctor, I am 33 weeks pregnant. I have itching all over the body for the past three weeks. So the doctor suggested me to do an LFT test. I have an ALT of 27 U/L and AST of 24 U/L. But alkaline phosphatase (ALP) is high with a value of 225 IU/L. Do I have OC and ICP? Kindly suggest me a treatment. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). This condition is known as pregnancy-related cholestasis. Your other liver enzymes are normal. It is a benign condition, and it will go away after delivering a baby. Just be careful about antibiotics. Some antibiotics such as Macrolides can aggravate this condition. Otherwise, repeat the testing once in two to three weeks by keeping an eye on this problem." + }, + { + "id": 24536, + "tgt": "What can be done to slow the disease progression in ankylosing spondylitis?", + "src": "Patient: Hello doctor,I am suffering from ankylosing spondylitis from two years. Can you please tell me whether there are chances to slow the disease progression and how? Doctor: Hello. There are four modes of therapy for ankylosing spondylitis. If inflammation is much more, only then steroid is prescribed. TNF blocker is prescribed if NSAIDs and disease-modifying drugs are not working. Consult spine surgeon for examinationHope this will help you. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10559, + "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": 5954, + "tgt": "Is OCD hereditary?", + "src": "Patient: Hi doctor, I got married before 1-1/2 years. By\u00a0seeing the aggressive behaviour of my wife, I took her to a hospital in my town and she was diagnosed with\u00a0OCPD, EUPD and anger discontrol from childhood. She refused to accept the disease and apprehended to take the medicine. We have been attending the marital counselling session too but without any improve in her condition. I would like to mention few of her behaviour conditions to make you realise the importance of my query. She is finding very difficult to trust people.\u00a0Extreme suspicious behaviour towards all including me and easily lies on anything and make the conversation complicated. She is emotionally cold towards others and no sense of guilt even if she gets angry on small issues or when committed any mistake.\u00a0She suffers from mood swing with anger outburst. She slaps herself and bang her head against wall. She believe that she has a sixth sense and prejudge the people by telling something bad is going to happen. She behaves overemotional, dramatic, irrational reasoning and weeping without tears. She has fear of locking herself in toilet or room. So, she will keep the door open at home or outside. She suffers with forgetfulness and unable to concentrate on anything. She used to keep re-checking the things in kitchen. She used to keep things in order and gets very disturbed and upset if things are not in the place.\u00a0Feel dirt everywhere and keep on cleaning. \u00a0She is reluctant on spending money. Despite having hand dermatitis she carries a wet cloth whole day and clean and urge to wash hand repetitively. From 8 AM to 4 PM she will be engaged in household job, But, she do not feel to take rest or sleepy in noon or at night. Once she is exhausted physically and mentally then only she feels sleepy. Her sleep problem urge her watching horror or investigative movies late night. She often gets sad and scary dreams and murmurs at night to herself. She visualises images whenever she is alone and trying to hold the imaginary figure in air and talk to them. She gets negative depressive thoughts often and suicidal threat whenever in anger. I request you to evaluate her condition based on the above and provide further line of treatment accordingly. My further request is to perform personality test if required to confirm her actual personality disorder or any other available tool for her assessment and plan the treatment accordingly.My doubts are, is this ailment hereditary and spread to my kids too? Is this a completely curable one? In her current state of mind when she is not accepting her ailment and occasional anger outburst and suicidal threat, what could be the severity of her disease in future?\u00a0What should be the future course of management for her? I would appreciate your insight and further assessment.\u00a0Thanks. Doctor: Hi. I have read the detailed history that you have mentioned in your query and I can understand your concern. The symptoms does not fit in a particular personality type and this is the reason why she has been diagnosed with different personalities. As you have mentioned that her symptoms are present since childhood so apart from personality disorders other conditions should also be ruled out like bipolar disorder or some psychotic episode. Fear of locking in toilet, mistrust, etc., suggest anxiety. Visualising images, repetitive work pattern, keeping things in order, jealousy, obsessive ideas of cleanliness, feeling dirt everywhere, etc., are pointing towards OCD. She is not accepting her illness and this means she has lost insight related to her illness. For further infomration consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6588, + "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": 4149, + "tgt": "How can spinal compression fracture be cured?", + "src": "Patient: Hi doctor, 8 months back, had a spinal compression fracture of the T12 vertebrae caused by a large fall into water. Currently it is \u2018stable\u2019 meaning I can walk and move. No gross deformity, I have motor and sensory function within normal limit. I have aggravated pain when I bend forward or sit or stand for longer than 10 minutes but I can walk around without pain. It is basically just a bone in my spine that is squashed to around 70 % of its height and is pressing on the spinal nerve. Most fractures like this heal in a few months but mine never healed. I saw a few different doctors which told me a few different things, I got X-rays and a CT scan. I would like an opinion on the best non-invasive treatment. Doctor: Hi. I have seen your CT scan and X-rays (attachment removed to protect patient identity), it has been sometime now since you got the injury, and I would not expect any more soft tissue or bony healing now, Suggesting non-invasive treatment now would only comprise of DAILY physiotherapy and extension exercises, you need to strengthen your muscles to take the load of the body and reduce load taken by the spine. Suggesting any invasive stabilization procedure to you would require looking at MRI scans rather than CT scan, but your options unfortunately are limited interms of non invasive management - based on physiotherapy only. I would not even recommend braces for you. MRI if ready for invasive stabilisation procedure None as above physiotherapy as of now as wished and required by patient" + }, + { + "id": 27562, + "tgt": "Is it too risky to take low-dose Aspirin every day for years?", + "src": "Patient: Hi doctor,I am a 30 year old female. I had a blood clot at 24 and have been taking baby aspirin every day since I came off Coumadin. I have read a lot about the long term risks of Aspirin on the GI and the brain. I would like to come off my daily dose. Are there long-term effects with my six years of daily 81 mg of baby aspirin? Or if I stop taking it, does the risk of bleeding on the brain also go away? Sometimes, I would take 365 mg for short periods when traveling, but it was mostly the low dose Aspirin. I am worried I have done some kind of damage to the vessels of my brain by taking it for so long, even if I stop now. Doctor: Hello. I have reviewed your health query and can well understand your worries. Hope it helps. Please feel free to contact me if you need further assistance. I would be happy to help. Regards. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 11574, + "tgt": "Why are there deposits on teeth after some days of scaling?", + "src": "Patient: Hello doctor, My teeth are getting deposited with something which gets removed after scaling but, soon develops after 20 days. This situation has taken place twice. I do not have soft drinks, coffee, and chocolates. I am very upset about this situation. Please help. Doctor: Hello. Scaling is a temporary solution. You should maintain your oral health. As I have seen in pictures, there is stain deposition in your back teeth (attachment removed to protect patient identity). There are several reasons for stains, most common is smoking, fail to brush at night, not changing the brush for every two months, ignoring the brushing of back side teeth. Brush twice daily (especially night brushing), flossing, avoid smoking and gutkha paan. Make your teeth free from any deposition. Change brush every two months. If you follow these instructions, you do not need any scaling for several years. The most important thing is proper brushing technique. All surface of teeth should be involved, and prolonged brushing is not required." + }, + { + "id": 22206, + "tgt": "I am 6 months pregnant with high random sugar level. Will it affect my baby?", + "src": "Patient: Hello doctor, I am 6 months pregnant. I did a random blood sugar test so range was 218. Please tell me will it affect my baby. What should I do for control? Please reply and give suggestions. Doctor: Hello. I understand your concern. A blood sugar level of 218 is higher than the recommended range. In pregnancy, this needs to be brought to the attention of your gynecologist at the earliest. However, if you have checked your blood sugar at home using a glucometer, there could be an error occasionally. Hence, I recommend that you talk to your gynecologist about this. He or she will recommend you to undergo a test called the oral glucose tolerance test. If this shows high levels, you might be started on medication to help you control your blood sugar level and to ensure good health of the baby. You do not have to worry too much because this kind of high blood sugar during pregnancy resolves completely after pregnancy in most cases. However, I would suggest that you do not delay discussing this report with your gynecologist. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 22845, + "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": 2212, + "tgt": "I have constant gas, chest pain, dizziness and breast pain. Could this be any heart issue?", + "src": "Patient: Hi doctor, I am a 19-year-old female with constant gas, heartburn, chest pain, breast pain, dizziness, nausea, and back pain. I went to my doctor and was told it was due to anxiety so I started Zoloft and Prilosec. I had panic attacks and hyperventilation, but my severe gas and pain will not go away. I tried every gas/indigestion medication and these problems still persist. Could this be heart-related? No known family history of heart problems. Doctor: Hello. I have gone through your query and concern. (attachment removed to protect patient identity). Your ECG report is given as normal. I would like to know some more details about your present symptoms in order to suggest further management strategies. I would like to know that after starting medications for your anxiety do you still have chest and breast pain? Where is the exact location of pain? Duration of pain? Is it on exertion or at rest? Exact nature of your pain, is it dull aching, heaviness, sharp pin prick type, squeezing type? Is it associated with breathlessness? Kindly get back with the above details for further discussion and management." + }, + { + "id": 10677, + "tgt": "What does polycythemia (JAK 2 negative) mean?", + "src": "Patient: Hello doctor, I am diagnosed with polycythemia (JAK 2 negative). I need more knowledge, my BM and JAK 2 studies are within normal limit. Doctor: Hello. Your present CBC report is not suggestive of polycythemia especially polycythemia vera which is blood cancer condition (attachment removed to protect patient identity). Your JAK 2, EXON 12 study and bone marrow report is normal as per history. So polycythemia vera is very less likely. Your high hemoglobin could be due to secondary polycythemia cause. Secondary polycythemia is pure benign condition. The causes for that include respiratory problem, cardiac problem, smoking, severe dehydration, etc. I suggest you drink lots of water especially three litres per day. Avoid smoking if having habit. It is advisable to repeat CBC again after a few days." + }, + { + "id": 4420, + "tgt": "What are the white floating layers in my urine?", + "src": "Patient: Hello doctor, I have white floating layers in my urine as you will see\u00a0in the attached picture.\u00a0What are these? I have symptoms such as frequent urination and burning sensation either during or after urination. Please help. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15851, + "tgt": "Why have I been advised Thyronorm based on my regular check-up results?", + "src": "Patient: Hello doctor, I have pain in right knee and recently went through a periodic medical examination. In the report, I found the following advice. Reduce body weight, low-calorie high fiber diet. Avoid Squatting, tablet Thyronorm 75 mg one tablet before breakfast. Recheck lipids, TSH after 12 weeks. Consult orthopedic surgeon. Is there any issue with my health? Doctor: Hello. Your report does not show your laboratory test (attachment removed to protect patient identity). What we have in the abdominal ultrasound is that you have fatty liver. This is a common problem in patients with metabolic syndrome (overweight, high triglycerides, and low HDL, high blood pressure). This is why you are suggested to reduce body weight and have a low-calorie diet. The Thyronorm is prescribed whenever your thyroid hormones are low (this is called hypothyroidism and it a very common disease). I guess (since I do not know your laboratory results) this is what resulted from your tests. Also, when your thyroid hormones are low you usually gain weight, are constipated, and your triglycerides and cholesterol get higher than usual. You need to take the medication 75 mcg, at least 30 to 40 min before breakfast (in order to be absorbed well by your body), every day and recheck your blood thyroid hormones in 6 to 8 weeks (12 weeks is more than recommended in medical articles). Your weight control usually helps knee problems. Acetaminophen 500 mg every 8 or 12 hours can help with the pain and the swelling. If this persists for more than a week you do need to see an orthopedic surgeon in order to search for the cause." + }, + { + "id": 29093, + "tgt": "My gum was accidentally injured during dental treatment. Will it get infected?", + "src": "Patient: Hi doctor,I went to the dentist five days ago for three fillings and he also cut my gum. I forgot what he called it, and I guess it as periodontal. It is burning because of gingivitis. As of two days ago, my gum on the opposite side was swollen and visible when I smile. It hurts to eat, touch, or even talk. My concern is whether it is infected? The office is closed and I do not know what to do. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8409, + "tgt": "I am allergic to Levonorgestrel. How do I take Plan B?", + "src": "Patient: Hello doctor, I am a 20 year old female, who weighs 140 lbs and 5.6 feet tall. I am allergic to Levonorgestrel, and I want to take Plan B. What will happen if I do take it? I developed a rash in high school after using pure Progesterone cream. Doctor: Hello. Do let me know the main indication, and I can guide you accordingly. Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 8825, + "tgt": "How to get rid of self-harm scars?", + "src": "Patient: Hello doctor,I am a female. My age is 19 years old. I have self-harm scars on my arm. I want to remove them. I have not done any treatment or not even applied any ointment or oil from 2.5 years and now I want to remove them permanently without any complex surgery. Doctor: Hello. Laser ablation sessions will help remove them without any complications. The number of sessions depends on the depth of the scars. So, please send a photo. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24446, + "tgt": "How can weight be increased in a 23-year-old male?", + "src": "Patient: Hello doctor,I am 23 years old male and I am a student. My height is 166 cm and weight 49 kg. Over the past five years, my weight has not increased. I feel very weak and lean. Now, what should I do? Doctor: Hello. Take more carbohydrate-rich food to gain weight. You can eat more rice to increase your weight. Some diseases can cause hypermetabolic state like hyperthyroidism. So, get a thyroid status done. Also, anxiety and tension about being fatty sometimes restrain you from taking enough calories to gain weight. According to your weight, to increase the weight you must take 1800 calories per day and if your activities are more, then perhaps you have to take more. Take more and more carbohydrate-rich food and take two eggs per day including egg yellow. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9832, + "tgt": "Can a swollen tonsil cause gagging?", + "src": "Patient: Hello doctor, I possibly had mono five months ago. I did not get it confirmed with a test though.\u00a0I felt better in two months.\u00a0However,\u00a0I\u00a0was stressed\u00a0a few\u00a0weeks ago\u00a0as\u00a0I got a lump going from my uvula to my tonsil on one side of my mouth.\u00a0I initially thought it was an allergy and\u00a0left it. Two\u00a0weeks went\u00a0by and it did not go away. I went to my doctor and she said that she did not see anything. Although I felt she did not try hard enough and when I\u00a0had stuck my tongue out she could not see it as well. So, it\u00a0was a\u00a0waste of money. Now, my tonsil on the other side is swollen. I was gagging a lot as my sister thought it was funny and kept grossing me out. But now, my throat hurts. The lump is obnoxious and I have been having mild sore throats since the time I first noticed it. It cannot be an allergy because I\u00a0do not eat the same things each day, nor do I\u00a0stay in the usual environments that trigger my regular allergies. I am worried. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13468, + "tgt": "Kindly suggest what has to be done to manage breathlessness associated with anxiety?", + "src": "Patient: Hello doctor, I have a best friend who suffers from anxiety and I saw her almost dying today because of a panic attack she had. All her life she thought she had a problem with her heart but she went to see a doctor and he said she is in perfect health. She starts shaking and cannot breathe and I am really scared and try to calm her down but she cannot breathe. She cannot stop shaking for at least half an hour. I do not know what to do and I hope you can tell me. Doctor: Hello. Panic attacks related to anxiety can be a scary experience. But remember it is not a life-threatening experience. You can encourage your friend to seek professional support to manage her panic attacks and anxiety. She will need a complete assessment following which talking therapy and medication can be prescribed. Meanwhile, she can try progressive muscle relaxation exercises and deep breathing techniques to help reduce her stress levels. You can contact us again if further advice is needed." + }, + { + "id": 17546, + "tgt": "I am taking medicines for an overstretched bladder with no improvement. Please help", + "src": "Patient: Hello doctor,I have a problem of urine dripping for two to three minutes after I urinate. Also, even if I do not have an urge to urinate, I end up passing large amounts of urine. I visited a doctor and he ordered some tests, the results of which I have attached. After seeing the report, the doctor said that my bladder is overstretched, and gave me tablet Terazosin 2 mg for six months and advised me not to drink a lot of water. I have been taking this tablet for the last one and a half months, but there is no improvement. What medicines should I take for these issues? Doctor: Hello. I have read your query and gone through your reports (attachment removed to protect patient identity). Regards. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 29595, + "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": 4154, + "tgt": "What causes gas with bloating in a paraplegic patient?", + "src": "Patient: Hello doctor, My husband is a complete SCI paraplegic, he is 28. He has been having severe stomach pains come and go for months and is not receiving any answers we were at the ER 3 times in a week, no results of infection, or constipation or anything seen in X-rays and cat scans, he gets very bloated and wakes up almost every morning with gas pains and has to make himself sick if he cannot burp them out, no fever but sometimes he will get the chills and sweats still without fever or temperature drop, he needs answers, it is very unbearable to him. Doctor: Hi. I have read your query but as you have not mentioned how long ago the injury was sustained, I will presume it was not recent but the gas build is recent. If both are recent, you might want to look into the Bowel Program for SCI. First, make sure his diet is not very high in sugars, vegetables like broccoli, cabbage, radishes etc to decrease methane production in the gut (the gas). Second, introducing suppositories or carminatives will help with passing wind. Tablet Motillium 10 mg thrice a day before meals promotes gut motility too. If it does not work, there are other drugs like Erythromycin (an antibiotic) available to promote gut motility, that should help with releasing gas. Have a look at his gall bladder too: sludge or sand and not just gallstones causes bloating/indigestion." + }, + { + "id": 20535, + "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": 10481, + "tgt": "I am suffering from muscle twitching and discomfort even after medications. Please advice", + "src": "Patient: Hello doctor, I would like to ask about my symptoms. It started with aweful headache for two days. The following week had pain in muscles and bones. Then that went followed by extreme anxiety attacks, burning on neck, tingling in head and face. I was in and out of hospital for three days. Started on Lexapro and Rivotril. Three weeks after having the medicines had muscle pain and twitchingsome muscle weekness. It is been five weeks now, and the anxiety is better but still have muscle twitching and some muscle discomfort. Doctor: Hello. I will be happy to help you out here, and I need a little more history. 1. Do you have any flu-like symptoms? 2. Any nausea, vomiting, or diarrhea? 3. Have you been taking any over-the-counter supplements?" + }, + { + "id": 7183, + "tgt": "Kindly guide me to find the reason for my allergy", + "src": "Patient: Hello doctor, I am an allergic patient from last few years, every alternate day I use to take Cetirizine pil, if I fail to take the same I feel breathing shortness, headache, itching, irritation, smooth, cold, swelling on face and head, and final up to fever. Once I reach to fever label, then Cetirizine does not work then I will have to approach a doctor for antibiotics. After taking Cetirizine pil, I feel sleepy and lazy, and even I measured low BP. I have consulted with many doctors, but everyone says to identify the reason (food) when you feel allergic. But I am failed to identify the same in the last few years. Tired with medicine and health to looking for permanent solutions. Need your guidance. Doctor: Hello. According to the information given by you, it looks like an allergic reaction to some item. What your doctor said was right you need to find the food item causing this reaction. Mostly foods like mustard, crab, seafood, can cause this. You can also consult an allergy specialist and undergo an allergy test. Fever is a sign that your body is fighting against something in your body in allergy antibiotic will not work. A routine blood test will also require to be done. There are many newer drugs for allergy other than Cetirizine." + }, + { + "id": 28423, + "tgt": "Kindly explain whether my cytology report shows metastatic breast cancer cells", + "src": "Patient: Hi doctor, I had my cytology report from pelvic wash before hysterectomy. I need some clarifications on the pathology report. The report showed\u00a0atypical cells - reactive mesothelial cells, enlarged and crowded nuclei, positive for calretinin and negative for Ber-EP4. Could these be metastatic breast cancer cells? I have a previous history of TNBC. Doctor: Hi. You have not mentioned the reason for which hysterectomy was done. Before giving a comment, the location of mass should be known. Usually, calretinin stain applied to differentiate between mesothelioma and other metastatic carcinoma or adenocarcinomas. Calretinin can be positive in breast malignancy. Certain ovarian tumor, adrenal cortical tumor, olfactory neuroblastoma, etc., also give positive calretinin reaction. So, mention where the tumor or mass located and accordingly further comment can be given. And histopathology examination is advised for reaching the final diagnosis. Take care. for further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 4361, + "tgt": "What causes white vaginal discharge with irregular periods?", + "src": "Patient: Hello doctor, I am 19 years old and I am experiencing problems with my periods for some time now. Three months back I had my period on regular date and experienced bleeding for 1 and a half month. I am experiencing similar problem of prolonged periods for about 4 years now. It happens once or twice per year. I have been on short medications every time I had the problem. Also when I was 17 I did not have my periods for 2 months and a local gynecologist prescribed me birth control pills for 28 days and I completed the course after which I was told that my prolactin level has raised up for which I was on medication for a month. Currently I am on an ayurvedic treatment and my last period lasted for 5 days and with a normal bleeding but I am having a white vaginal discharge for a week or so now which is also a bit smelly and does not seem to be normal. What should I do? Doctor: Hi. You have got vaginal infection. If you need treatment then kindly follow up. Also for period problem, is it controlled after taking Ayurvedic medication?" + }, + { + "id": 7638, + "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": 13123, + "tgt": "Does chewing sponge indicate any deficiency in a child?", + "src": "Patient: Hi doctor, My daughter, who is 11 years old, is found to chew sponge. She will not swallow but used to chew it. Could it be due to any deficiency? Otherwise, she is normal and healthy. Please help. Doctor: Hi. 11 year old child chewing sponge could be due to two possible reasons which are as follows. This could be a habitual thing. It has been noticed in some children that they have a habit of chewing things, lip-smacking, making noisy sounds during breathing, etc. For these habitual things,proper counseling is needed. One should not be angry with the child as this will lead to an increase in the related habit. The second cause could be pica. In pica, there is iron deficiency anemia and the child usually eats wall surface, whitewash, sponges, etc. In pica, children usually have anemia or low hemoglobin in simpler words. I suggest you do a complete blood count to look for anemia. I recommend you to give her a deworming drug like tablet Bandy plus (Albendazole) single dose at night time and advice complete blood count with proper counseling." + }, + { + "id": 21259, + "tgt": "I am 22 weeks pregnant with 20 cm ovarian cyst. What can be done?", + "src": "Patient: Hi doctor, I am 22 weeks pregnant, and I have a 20 cm cyst on the right ovary. It has become big during pregnancy. Before pregnancy, it was 6 cm. I do not have any problem till now. I have done the tumor marker tests. Please advise. What can be done? Doctor: Hi. Does it got increased from 6 cm to 20 cm in a few months? What does the tumor marker test report? Was the measurement appropriately done? Is this is a single cyst size? Is it a solid or fluid-filled cyst? A Dermoid cyst with multiple solid tissues could show torsion. Some fluid-filled cyst could rupture and spill inside the pelvis and can initiate infection too. You send me your complete scan report and your CA 125 (cancer antigen) report. Your family history, your gynecology, and obstetrics history are also needed. Mostly corpus luteal cyst occurs in patients having a history of a polycystic ovary which is a common finding. But mostly it is found to be small and resolves by itself. Occasionally, big cysts can trigger miscarriage, infection, torsion or preterm labor. Investigations are also needed for large cysts. But it can cause preterm labor and perinatal death. Send me the scan report and the tumor marker report. So I can give you a treatment suggestion. In case of any pain, report immediately to a tertiary care hospital for an emergency. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23076, + "tgt": "What could be the reason for uneasiness and tiredness in a heart patient?", + "src": "Patient: Hello doctor, My wife is having uneasiness and tiredness since last two days. We have consulted a physician who suggested ECG and X-rays, and both of these were normal. The physician then suggested a 2D echocardiogram. The 2D echocardiogram report says suspected bicuspid aortic valve, valve calcified with severe aortic stenosis (peak gradient/mean gradient 102/67 mmHg) Mild 2+ AR. No RWAR, normal LV systolic function. LCEF=60%. Mid concentric LVH. What treatment can be had? Doctor: Hello. I have reviewed your health query and can understand you are worried about your wife's cardiac issues and recent symptoms. Hope it helps. Please feel free to ask more if you need further assistance. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7289, + "tgt": "My wife is suffering from PCOS. What is the german homeopathy treatment for it?", + "src": "Patient: Hello doctor,My wife is 24 years old she is suffering from PCOD disease since last 10 years. Earlier she used allopathy she wants cure from german homeopathy. Please suggest treatment. Doctor: Hello. The Homeopathic remedies I have had the most success with for PCOD (polycystic ovarian disease) are, 1. Natrum Muriaticum, 200C, take two separated doses daily until symptoms improve for yeast infections, skin breakouts, and PMS disturbances. 2. Sepia, 200C, take two separated doses daily until symptoms improve for yeast infections with dryness and tension of the vagina. 3. Lachesis, 200C, take two separated doses daily until symptoms improve. Excellent for troubles with circulation, no periods or heavy periods with a reddish, warm face and cold extremities. She can try the remedy for the symptoms that most closely match her case. It would be helpful to have a thorough case history taken by a Homeopathy to find the very best remedy for her particular symptoms. Deliverance Kit PCOS Formula by a company called Biogetica. This combines Homeopathic remedies with Ayurvedic herbs. She should try for weight loss and eat whole grains for her starches. Don does not eat too many carbohydrates such as bread and cereals in one meal. Spread carbohydrates out throughout the day, so her blood sugar does not spike. It is best to stay away from sweets and pasta as much as possible. She should try to drink eight cups of fluid without caffeine, and eat plenty of vegetables and fruits. Exercise is helpful, along with managing stress with meditation, taking walks in nature, and she can try yoga. If she is experiencing infertility, that is highly frustrating and difficult for both wife and husband. You can take a look at my article on infertility for some effective natural ways to conceive. I hope this helps your wife. Please let me know if I can be of further help." + }, + { + "id": 28570, + "tgt": "Why do I feel weak while sitting and working?", + "src": "Patient: Hi doctor, From past few days, I feel very weak while sitting and working. I do not feel energetic, and most of the time I feel sleepy and lazy. I have a little pain in the body, so I am not able to concentrate properly on anything. My blood pressure is 119/72 mmHg, and pulse is 72. I even have pain in my legs and back, and I do not have much energy in my body. Doctor: Hello. There are various causes like thyroid problems, anemia, vitamin deficiency especially vitamin D and even psychological issues which are the most common. You should get hemoglobin levels, thyroid function test, and vitamin D levels checked. I suggest you try doing the following : Do you have any psychological issues like stress or depressive? If yes, then you need to consult a psychiatrist. Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13928, + "tgt": "I have had this little bump on my stomach for a few years. What could this be?", + "src": "Patient: Hello doctor, I have had this little bump on my stomach for a few years. I have attached a picture of the bump. I have shaved the area to give you a better picture. The bump is not growing or increasing in size. It has been the same size. What could this be? Doctor: Hi. I have seen the attached picture (attachment removed to protect patient identity). Since there are many causes of nodule and complete history with good clinical examination is necessary to diagnose the nodule, I would like to give a differential diagnosis of what could it be. Although it is looking more like a dermatofibroma, other possibilities are sebaceous cyst, pilomatrixoma, calcinosis cutis, folliculoma, and dermoid cyst. However, almost all these conditions are benign and simple surgical excision is the treatment of choice. I would suggest you visit a local dermatologist so that he could palpate the lesion and can reach the diagnosis." + }, + { + "id": 17776, + "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": 4324, + "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": 14439, + "tgt": "Can lack of iron cause anemia symptoms in a beta thalessemia minor patient?", + "src": "Patient: Hello doctor, I have minor beta thalassemia which I got from my mother, but unlike her (asymptomatic), I have anemia symptoms like paleness, shortness of breath after the least effort, feeling tired all the time, broken nails and I want to know if it could be due to lack of iron? Could people with minor beta thalassemia also get iron deficiency anemia? Knowing that I get heavy cycles and my diet is very poor. Doctor: Hi. I have reviewed your query and here is my advise. Yes, your symptoms point towards iron deficiency anemia. In beta thalassemia minor patient usually feels more fatigue on exertion as compared to normal people without thalassemia. However do not worry regarding thalassemia minor, they can live a normal life. Thalassemia people can develop iron deficiency anemia secondarily. So rule it out by CBC profile with blood indices as well. You can revert back with reports so that I can guide you further." + }, + { + "id": 21471, + "tgt": "Kindly suggest some remedies for allergic sneezing", + "src": "Patient: Hi doctor,My wife, who is 29 years old is having a cold allergy problem. She is suffering from countless sneezing from last two days with a watery eye and runny nose. The situation becomes worse when she touches any cold thing or touches cold water or in a dusty environment. Kindly suggest some remedy for this. Doctor: Hello. Can you please tell me regarding a few details as follows: Till then she can take Oxymetazoline nasal drops every six hourly, Sinarest (Chlorpheniramine, Paracetamol, etc.) tablets two times a day for three days. This can cause a bit of sleepiness but will definitely help in relieving her symptoms. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2031, + "tgt": "I got brown discharge and started on Progesterone. Is there any chance of abortion?", + "src": "Patient: Hi doctor, I had an ultrasound last week and I just got a few informations. They said that my baby was around 6 weeks and 3 days with a heartbeat and measuring 6 mm but they did not said about the frequency. I had a brownish discharge this week and I did a blood test and the Beta HCG was growing since my last Beta HCG that was on Saturday. I am with a few cramps with progesterone and bed rest because of this brownish discharge. Is there any chance that I may have an abortion? I am very concerned and everyone is freaking out because Covid-19 and they do not want me to have another ultrasound should I need to be concerned? Doctor: Hi. I have seen your reports. (attachment removed to protect patient identity). As of now, you are on the best treatment possible to prevent abortion as your gynecologist has already started you on Progesterone too because of your spotting, which is helpful in supporting the pregnancy. Yes, definitely having spotting in early pregnancy can pose you for risk of miscarriage but there is nothing more anyone can do that start with progesterone supports, and take good rest. Stay positive and everything should be fine hopefully. Avoid going out unnecessarily as the risk of Covid-19 can be more life-threatening. Once the crisis gets over you can follow up with your gynecologist for a follow up scan to check for the baby's heartbeat. Bed rest, continue progesterone, avoid intercourse." + }, + { + "id": 13922, + "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": 18642, + "tgt": "I got small bumps on the penis after oral sex. Can it be syphilis?", + "src": "Patient: Hi doctor, I have five small bumps appeared on the head of my penis after I had oral sex. It has been two months now, but it is still there. I have attached the photo. Also about two weeks ago I got rash on my hands, around the feet, and legs. When I consulted a doctor he said it is probably syphilis and gave me 2,400,000 units of Penicillin G shots. However, the results of blood test came back negative for syphilis. The result is rapid plasma reagin non-reactive. I am really confused whether the rash is related to oral sex or not. Please help. Doctor: Hi. I need few more details to guide you. Revert back with the answers for the above questions to a venereologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 5804, + "tgt": "Suffering from schizophrenia. Doubt regarding Sulpitac dosage", + "src": "Patient: Hello Doctor, My brother (aged 18 years) has schizophrenia since two years. (Note : My father has schizophrenia who is under medication for nearly 25 to 30 years). The tablets prescribed by the doctor were Mirtaz 15\u00a0and Sulpitac 50. During this period he had an increased appetite and was obese. He was sleeping a lot and was hearing voices (which he told only after changing the doctor and after having the new medicines). One year back he was prescribed with tablets Sulpitac 50, Arip 10. He was fine with these tablets as he was not hearing any voices (during his junior college). The doctor also said that sulpitac is a drug to be avoided since there are chances for cardiac problems in future. But as his exams were nearing (my observation), he had sleepless nights because of which he was always resisting to go to school and started to hear voices again. So each time we consulted the doctor, he increased the dosage. And these are the tablets that he was taking during his exams --> Sulpitac 200, Arpizol 10, TF-Plus, Zolcalm 10 (started with Zolcalm 5) and Flocetam 400(morning). After 3 or 4 exams got over, he again started to have sleepless nights inspite of taking Zolcalm 10. When we visited the doctor mid-way during the exams, the doctor said he had prescribed the maximum dosage beyond which he cannot increase or do anything.\u00a0So my brother had to cope up to complete all his exams and when his exams were over he did not have any sleep problems after which Zolcalm 10 was gradually stopped. Now he has joined a professional degree but still he takes Sulpitac 200, Arpizol 10, TF-Plus and he is in the midway of his first semester. He has started to have sleepless nights now and then. After consulting with the doctor, we have started to give him half tablet of Zolcalm 10 if he continuously has 2 or 3 sleepless nights. What should be done as the boy is suffering to cope up with his studies? He says that he lies awake during nights and his body gets too tired to move.He also said if my father or mother calls or speaks to him (assuming him to be awake), he gets irritated as he feels too tired to respond. My parents and I are worried about the situation and also about the dosage of Sulpitac which has not been reduced till date. Please help us with this situation. Doctor: Hi, Thanks for posting your query at icliniq. After going through the detailed history of your brother, it seems that he is suffering from schizophrenia and he responds fairly to Sulpitac. It is also obvious that he had acute exacerbation of his illness after going through some sort of stressor (example:exam). Before I suggest you anything, I would like to know certain things: In my experience, I would say Sulpitac is not the first choice antipsychotic, as better drugs are available when compared to sulphitac and that too at half the price. So changing drug could be a viable option in your brother's case if not done previously. About 200 mg is all right. It is as safer as other antipsychotic drugs, so I think you need not worry about this. To take care of any adverse effects, please follow the instructions of your psychiatrist. Regarding his repeated problem about sleep when exam approaches, I advise you to engage him in regular studies as it will reduce the burden of so called exams. You can also ensure better sleep hygiene for him as this will also help him in the long run. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17920, + "tgt": "What is the cause of a bruise after a fall?", + "src": "Patient: Hello doctor, I am a 26 year old male and I fell down three months ago. I had a severe pain in the hand for which I went to an orthopedic doctor who confirmed that there is no bone breakage and he gave me Naprosyn for three times a day after food. Until then, there was no patch on my skin. But now, I have a big blue patch in that area. Please let me know what to do. Doctor: Hello. From the photo you have uploaded (attachment removed to protect patient identity), all I can see is a large bruise (blood clot). Blood clot takes time to appear like a day or two. It is completely harmless and disappears soon on anti-clot agents. Please take Thrombophob (Benzyl Nicotinate topical 2 mg, Heparin Topical 50 IU) ointment and apply it three times a day over this area. The color will slowly come back to normal. From the photo, I can see that there is no swelling or deformity, implying that there is no fracture at present. So nothing to worry. Naproxen is a mild tablet. It will not help much. A better tablet is Chymoral Forte (Trypsin Chymotrypsin) tablet three times a day after food for the next three days. Also, I suggest you take an antibiotic like capsule Mox (Amoxicillin) 500 mg two times a day after food to prevent any infection settling in. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have much pain, you can take Aceclo plus (Aceclofenac 100 mg plus Paracetamol 500 mg) tablet twice a day or whenever needed after food. If the swelling/pain/bruise increases in the next few days, please contact me. If the symptoms reduce, then it is healing. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1182, + "tgt": "Are we undertaking the right treatment for ankle injury?", + "src": "Patient: Hi doctor, My mother had an ankle injury and she cannot walk. She fell down inside the house while walking and her leg is twisted. We have subsequently taken an x-ray and I have attached the x-ray for your reference. Please help me. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29631, + "tgt": "Is it safe to use tablet Montair-LC daily for asthma?", + "src": "Patient: Hi doctor, I am\u00a0suffering from asthma for the past five years. I am taking Montair LC daily for the last four years. If I do not take it, then I have to take the inhaler daily. The inhaler I use is Foracort 400 rotacaps. Is it safe to use Montair\u00a0LC daily? I have been using it daily for the last three years. Also, how can I get rid of inhaler?\u00a0Kindly advise as I have become addicted to an inhaler and the tablet. Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16586, + "tgt": "My testicle is swelling up. What can be the reason?", + "src": "Patient: Hi doctor, Since past 3 days my right testicle is swelling up day by day. I am not able to walk properly. Please help. Doctor: Hello. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10355, + "tgt": "Why am I getting white hair in young age?", + "src": "Patient: Hi doctor, I am 17 years old and\u00a0getting white hairs. They are white near the scalp and black in the tip. What to do? Doctor: Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23255, + "tgt": "Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?", + "src": "Patient: Hello doctor, I am a 40-year-old female recovering from eating disorder. My BMI is 16. I am suffering from clinical depression and GAD. I was diagnosed by a neurologist with migraines approximately two years ago, and have been on Lyrica 75 mg twice daily. Recently, I started having trouble swallowing (endoscope was normal), so I returned to the neurologist who prescribed Topamax 15 mg SC. I suddenly switched to Lyrica 75 mg in the morning, and Topamax 15 mg at night and developed the most insane premenstrual migraine I have ever experienced. I have never experienced that intensity of migraine symptoms, ever. I had shimmering or flickering vision, sometimes a white haze, parasthesia across forehead (with or without a slight headache), parasthesia down right side of body, upper back or neck muscle pain, irregular heartbeats, sudden whooshing sensation and feeling like I was going to faint accompanied by feeling of doom, confusion and mild hallucinations (almost like I was having a seizure), dizziness and nausea (especially with light and smells), dehydration (could not eat or drink because of nausea and swallowing issues), occasional twinging in chest. It got so bad that I got the family to drive me to the ER. By the time we arrived, I was unable to answer simple questions, and the attendor was concerned about TIA, so they admitted me, and I was seen by my neurologist, who ordered a CT scan. My results were blood count, platelet count, ESR, urea, creatinine, a lipogram, glucose fasting, TSH were normal except slightly low kidney function. ECG was normal (normal on the previous admission too, so were cardiac blood tests), chest X-ray, CT scan were normal, BP was consistently low (between 95-105 over 65-75 mmHg) lowest 88/45 mmHg while in hospital. The temperature was consistently normal. Since being discharged, I have had nausea, dizziness, sweating, urea kind of smell through my back, extreme muscle pain, low blood pressure. I returned to my GP twice because I was concerned about these symptoms. It suddenly dawned on me that these opiate-like withdrawals could be due to me suddenly stopping all of my medications before admission, the Lyrica in particular. The more I read, the more concerned I get. I saw a study where a woman had gone cold-turkey on Lyrica and ended up with cerebral edema. I guess my question is, can I safely continue weathering these withdrawal symptoms? Would the CT have picked up edema and would there be a danger of it randomly happening now that I am a few days cold-turkey off Lyrica? I do trust professionals and do not like to self-diagnose, but my anxiety levels are through the roof, and I am now certain even the hospital visit was a result of the sudden drop in dosage and combination of Lyrica and Topamax. I would appreciate your input. Doctor: Hi. It is fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on stopping it. On the other hand, Lyrica is not the best drug for migraine headaches prevention. Brain edema is a serious medical condition, where the patient is usually drowsy or unconscious, with possible seizures or coma. So, I do not think that there is any serious medical condition going on. Lyrica can help against anxiety and stopping Lyrica may lead to increased anxiety. Anyway, these withdrawal symptoms are quite transitory, and you have nothing to worry about. I would recommend discussing with your doctor on the possibility of starting Amitriptyline or Propranolol in low doses to help prevent migraine headaches. These two drugs can help also improve anxiety. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7878, + "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": 28088, + "tgt": "Can I reduce my BP with only exercises?", + "src": "Patient: Hello doctor, My blood pressure is high. Can I reduce my blood pressure from 146/95 mmHg to normal, just with regular exercises? I started working out at the gym for an hour, both in the mornings as well as in the evenings, since the last two days.\u00a0Do I still need to continue my medications? Doctor: Hello. I observe that your BMI (body mass index) is 28, which means you comes under BMI category overweight. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7818, + "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": 29066, + "tgt": "Please go through my blood report and explain the reason for high RBC and WBC", + "src": "Patient: Hi doctor, I am a 25 year old male. A few days back, I have taken complete blood picture (CBP). In that report, it is showing that I have high RBC and WBC count when compare to reference values. I am sending you that laboratory report. Please go through the report and explain me the problem. Doctor: Hi. I have gone through your report (attachment removed to protect patient identity). Revert with the details to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30610, + "tgt": "Can I get LASIK surgery done while on acne treatment?", + "src": "Patient: Hi doctor, I have scheduled for LASIK eye surgery this week. I am currently using Acticlate tablets, Onexton and Epiduo (topical gel) for acne, which was prescribed by my dermatologist. Will there be any issues or side effects with LASIK surgery?\u00a0I checked with my eye doctor and he said no problems or interactions. When I checked on the internet, I got to know that some issue may occur if the person use Accutane for acne. But, I want to confirm whether it is fine to get LASIK eye surgery while taking treatment for acne. Also, I will not use them on surgery day. Please advise. Doctor: Hello. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20348, + "tgt": "Is it safe to take anti-rabies vaccine without a dog bite?", + "src": "Patient: Hello doctor, I am 38 years old. Two days back, I was playing with my neighbor's dog (small one), my middle finger got scratch or bitten. I am not sure, but there were very few drops of blood. So, should I take the anti-rabies vaccine? Is it completely safe to take it even without a dog bite? Any side effect in future if you take it without dog bite? Doctor: Hello. The anti-rabies vaccine should be taken if there is a dog bite or dog licks the mucous membrane like nose, eyes or mouth or wounded skin or a dog scratch. Wash the wound completely under running tap water with soap for 15 minutes. Watch and observe the dog for a period of 10 days for any unnatural behavior, activities or death. There are no dietary restrictions before or after a rabies vaccine. Vegetarian, as well as non-vegetarian food, is allowed, but do not consume alcohol while under treatment. Do not take any other vaccine other than tetanus (if required) during the treatment protocol. So, in your case, you do require the vaccine cover as a scratch requires the vaccine. So, do not worry about side-effects." + }, + { + "id": 462, + "tgt": "Please interpret echo taken for lightheadedness, chest pain, and shortness of breath", + "src": "Patient: Hello doctor, A 56-year-old patient went to his physician for evaluation of recurrent episodes of lightheadedness, chest pain, and shortness of breath with exertion. One week earlier, he experienced an episode of syncope while walking up the stairs of his house. Vitals: Heart rate - 116 bpm, BP - 164/102 mmHg. Respiratory rate - 18. Weight - 247 lbs. Laboratory exams: Troponin level - normal, hypercholesterolemia, hypertriglyceridemia. Imaging: Doppler echocardiogram demonstrates a significantly stenotic aortic valve and plaques within the coronary arteries. From the given information, which among his findings show abnormal results? What is the possible diagnosis of the patient? What type of muscle tissue is associated? What type of valve is the aortic valve and cite its function? How does the plaque build-up affect the function of the coronary arteries? Doctor: Hello. Did he lose consciousness while walking upstairs? Is he a diabetic? His cholesterol report seems abnormal, along with hypertension and uncontrolled blood pressure. His color Doppler report showing aortic stenosis. Possible diagnosis is age-related atherosclerosis with severe aortic stenosis with dyslipidemia and hypertension. No muscle tissue involved. The major blood vessel called aorta is narrowed. Aortic valve is a tricuspid semilunar valve that allows oxygenated blood from the left atrium into it. It will supply blood to all parts of the body. Due to age-related atherosclerosis (dyslipidemia and hypertension aggravate it)." + }, + { + "id": 15771, + "tgt": "How to get relief from ear pain, head pain, clogged nose and itchy throat?", + "src": "Patient: Hi doctor, I have episodes of bad sinuses every year. Last year, I had hay fever with an extreme blocked nose. I went to my GP, and he gave me sinus injection. I got better after treating it. The doctor prescribed Allerway 5, and Spersallerg eye drops for me. This year, my condition seems to be poor. My sinus has become bad. I use endless nasal sprays and allergy tablets. But there is no relief. I went to GP again, and he gave me an injection. This time, injection has not helped me. I have ear pain, head pain, clogged nose, with itchy eyes and itchy throat. When I lie down to sleep, the pain gets worse, and I have throbbing pain in the head. I have nonstop sneezing for 30 minutes in the mornings. I have also taken two courses of antibiotics. But there is no relief. In the mornings, when I sneeze, the mucous seems to be yellow with some blood present in it. Later, the mucus becomes clear again. I cannot sleep at night because of the throbbing head pain. I will try to change directions, and I will add more pillows to sleep. But nothing has helped me. Doctor: Hi. You are suffering from an acute attack of bacterial infection along with allergic rhinitis. You can take the following medications. Use Avamyse nasal spray (Fluticasone furoate nasal spray) once daily for a month. Take Claritin (Loratadine) tablet once daily during the winter season. Take tablet Targo 750 (Levofloxacin) once daily for ten days. Try to do self-nasal saline or water wash. The last treatment for allergic rhinitis is immunotherapy. You can redo CT scan for the nose and sinus after finishing Avamsye." + }, + { + "id": 17998, + "tgt": "How can hypopigmentation be treated in an infant?", + "src": "Patient: Hello doctor, My 6-week-old daughter has got white hypopigmented areas on bilateral groins and both inner thighs more in the left groin. Also, they seem to be appearing near the umbilicus and upper chest. We are very worried about it and want to know if there is any treatment available for it. Your opinion will be appreciated. I have attached reports for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). She seems to have trichrome vitiligo which is an indication of active disease. I would like to know the duration. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21598, + "tgt": "Kindly suggest the cause and treatment for the colorless bumps on my arms", + "src": "Patient: Hi doctor, I have small colorless bumps on my arm and a couple on fingers of my hand. They do not cause any pain or itching. But, I have noticed that they were not present on my arm earlier, and I would like to avoid these spreading elsewhere. Kindly suggest the causes and treatment. Doctor: Hi. I have gone through the picture (attachment removed to protect patient identity). These tiny skin colored papules are called lichen nitidus. It is a harmless condition. In about 70 % of cases, it is self-limiting which means it resolves on its own, no treatment is usually required. If it is itchy, then use Mometasone cream, mix one part of cream with two parts of moisturizer and apply a thin layer to the affected area at night for two weeks only. Mometasone is a moderately potent topical corticosteroid. It should not be used continuously. Use it for two weeks. Take a break for a week then again use it for another two weeks if the skin lesions are still present. Olesoft moisturizing lotion (Olive oil with Sodium lactate) is fine. You can use any moisturizer or lotion but do not use cream or ointment because the ointment will be thick and can clog the pores. It is better to use lotion during summer. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30236, + "tgt": "Should I worry about the calcification mentioned in my CT angiogram report?", + "src": "Patient: Hi doctor, I felt some chest discomfort for about three weeks. Last week, I had an ECG, blood tests, echo, stress test and CT angiogram and everything came back clear. But, there is something I am not sure about the CT angiogram. It is as follows. The heart is normal in size. No pericardial thickening or pericardial effusion. The visualized portion of the aorta is normal in course and caliber. The aortic root measures 34 mm at the sinuses of Valsalva. The ascending aorta measures 25 mm at the level of the right pulmonary artery. A focal 3 mm calcification is seen adjacent to the left ventricular apex. I am worrying about the calcification. Is that something to be concerned? My calcium score was 0 and no CAD. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2789, + "tgt": "Is it normal to get a panic attack while wearing wire retainers?", + "src": "Patient: Hello doctor, I have to wear wire retainers and every time I put them in I have a panic attack and break into tears. I do not know what I should do. Doctor: Hello. Retainers are worn in two situations. Post-braces treatment or for minor teeth alignment correction. If you are wearing this after braces treatment, there are two other types of retainers which you can opt for. 1. Fixed wire retainers. 2. Essix retainers (clear plastic tray like a retainer). The retainer which you have should have a passive fit after Ortho treatment. If they fit too tightly, that needs to be adjusted to bring it to a passive fit. Please get back to your orthodontist and get it adjusted. If you are uncomfortable with this retainer, you can always opt for a different type. But if you are wearing it for minor tooth alignment issues, it should be a little tight. Again, if uncomfortable, this needs certain adjustments. And do note, the retainers need to be worn for the maximum duration (as instructed by your orthodontist) for it to become comfortable. Other times, it should be stored in a container with water to prevent it from shrinking. Accidentally, if the retainer is deformed or shrunken a little, this could cause such difficulty in wearing. However, this can be adjusted by your orthodontist." + }, + { + "id": 14709, + "tgt": "How to maintain sugar levels with diet and medicine while fasting?", + "src": "Patient: Hi doctor, My mother aged 65 is diabetic for the past 9 years. Her medications are as follows. Forxiga (Dapagliflozin) - 10 mg : 0- 1- 0 (one tablet after lunch); Glucobay 50 : 1 - 1 - 1; Jalra - M 50/850 (Vildagliptin 50 mg, Metformin HCl 850 mg) : 1 - 0 - 1 and Amlopres AT - 25 : 0 - 0 - 1. We need consultation for the diet. The patient is insisting on taking a small quantity of rice for lunch. Also, how to make the medicine and diet proper during fasting months, where we usually take a good meal at 3:30 AM (early morning) and strict fasting till 6:00 PM. Doctor: Hello. In case her sugars are in control, there is no harm in giving her a little rice. I would recommend you buy a glucometer for her so that you can monitor her sugars at all times. Meet your local doctor, so that he can advise you on how to manage the dosages at the different sugar levels. This would come in handy during fasting as well. Because, in the case when your mother is not eating anything, not even water, that means she will not be able to take her medicines as well. So, you would have to check her sugars during that period and analyze if she can take her medications or not. You would have to understand; she would not be able to eat high-calorie food like the others when you break your fast. However, you can try and reverse her daily cycle in those days, and she can eat her dinner and breakfast and take her medicines accordingly to her sugar levels." + }, + { + "id": 9482, + "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": 30479, + "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": 18504, + "tgt": "I was advised surgery for ovarian cyst. What are the side effects?", + "src": "Patient: Hello doctor, I am 23 years old. I have ovarian cyst for the last two years. I have taken medicine (Norgest) but no improvement. I have to do all the tests (blood test, CA125, MRI, ultrasound, thyroid, urine, etc. According to my last report (three months ago), my ovarian cyst size is 42.10*34.82*37.29 mm. Three to four follicles seen in right ovary. The endometrium is approximately 15.34*13.60 mm. The spleen size is 107.09 mm. All my reports are normal. But, according to my MRI reports (one year ago), the cyst size 3.3*3.0 cm. My period is normal. My doctor suggests surgery. Please suggest what I have to do. What are the side effects of surgery? Suggest some medicine for abdomen pain and the cyst to resolve. I attached all my reports. Doctor: Hello. From your history, you have a right hemorrhagic ovarian cyst, and paraovarian right sided cyst more than 5 cm which increased to this size in one year and surgery advised. This paraovarian cyst (hydatid of Morgagni) epithelium-lined fluid-filled cyst in adnexa adjacent to the fallopian tube. These cysts rarely cause symptoms, and you are having a symptom of pain for which you need treatment. These cysts could become cancerous rarely, can rupture with the fluid spreading in the lower abdomen and can spread inflammation which can involve other organs. A hemorrhagic cyst is bleeding functional ovarian cyst. It can cause pain during sex, pain in lower abdomen, bloating, lower abdominal discomfort. If left untreated, it can rupture and cause abscess formation with sometimes severe sepsis. Torsion cyst is another acute emergency. To prevent this, better to remove it before torsion. Cyst without symptoms resolves itself, but a cyst causing symptoms need intervention before severe consequences and emergencies like torsion, sepsis, etc. (mostly in case of rupture and abscess formation). You have splenomegaly as well. It means, the body systems are also getting affected by the cyst and the body wants to drain it out. I hope you got my point, that is why it is advised to remove the cyst by surgery. Sometimes, it ruptures during surgery, but at that time, the internal organ can easily be cleaned and washed with saline or sterile solutions. It will help to get relief from abdominal pressure symptoms and pain and risk of rupture and abscess and infection. A cyst is normally sent to the lab after removal for histopathology and ruling out cancer. There are few chances of complications in every surgery like internal bleed, postoperative pain or infection, but here those complications are minute as compared to advantages of removal of the cyst. Hope you understand my point. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20761, + "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": 16462, + "tgt": "What is the best method used to prevent pregnancy?", + "src": "Patient: Hi doctor, I have a girlfriend. I have bought condoms to have sex. We are ready to have sex. We are planning to avoid pregnancy. We are planning to have intercourse once a year. Can condoms prevent the condition of pregnancy? What is the best method used to prevent pregnancy successfully? Please suggest. Doctor: Hi. Condoms should be used properly. It can prevent the condition of pregnancy. There should not be any breakage or leakage through the condom. If there is any doubt, your partner can take Unwanted 72 (Levonorgestrel) within 72 hours of intercourse. If you have the sex once a year, then using a condom is suitable for you. But if it is decided at least one to two months before, then she can start oral pills at least two months before and continue taking it till the full month of intercourse. If it is a regular activity, then she can take oral pills as contraception. It is 100 percent effective. Condoms have a failure rate of 20 %." + }, + { + "id": 27844, + "tgt": "My hemoglobin count is low. Could it be due to my heavy menstrual flow?", + "src": "Patient: Hello doctor,I have been suffering from anemia for over 12 years now. I am very sure that within this time frame, my hemoglobin level has never been higher than 10 g/dL. Recently, my hemoglobin was at 7.1 g/dL. I have seen many doctors and have informed them of a family history of a kidney disease, even though my RFT are always within range. All the doctors claim that the reason for my chronic anemia is due to my menstrual period. I do have a heavy menstrual cycle lasting anywhere between five to seven days, but in all honesty, it has never been a cause for concern. I have begun seeing a new hematologist since last year, and according to my lab results, it seems that I have a condition called alpha thalassemia in association with microcytosis. I also learned that I have abnormally shaped RBCs, called as poikilocytosis and the list definitely goes on. I do\u00a0not want to self-diagnose,\u00a0but my theory is that there is an underlying issue. When I mention that to the doctors they do not want to think on those lines and try to convince me that it is due to my menstruation. I have a normal month and a heavier month, but it has never been a cause for concern. In looking at my recent blood work, which is not too different from my previous lab results throughout the years, I noticed that my reticulocytes percent is 1.3 %, but my absolute is within the range. I have 2 % saturation, ferritin is at 2 %, iron binding is high at 489 mcg/dL. BUN, and creatinine are fine. Platelets are abnormally high at 716 Thousand/uL. WBCs are all normal. So, my question is, should I worry about my bone marrow, my kidneys or could this truly just be my menstrual cycle? Doctor: Hello. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26837, + "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": 4479, + "tgt": "Is it advisable to take Xyzal for seasonal allergies?", + "src": "Patient: Hello doctor, I started taking Xyzal, recommended to me by a friend for my bad seasonal allergies. I took my first dose (1 whole pill) today and my skin got this red tint and felt hot and I had some hot flashes. Is this something that I should adjust to and can continue taking? I have tried Allegra, Zyrtec and Claritin and Benedryl. None have done much for me. The allergies I am having due to the pollen are causing sinus pressure and mucus that is traveling to my lungs. The Xyzal, along with Mucinex and Sudafed, seems to help with these symptoms. Is the Xyzal safe for me? Doctor: Hello. Xyzal is nothing but Levocetrizine. It is the levo isomer of Cetirizine (Zyrtec). The advantage of Xyzal over Zyrtec is that Xyzal is effective over half the dosage of Zyrtec and that the former produces less sleep. The relief you find is more due to Mucinex and Sudafed. Mucinex acts to bring the tenacious mucous out by liquefying it and Sudafed acts to decongest and reduce the vascularity of the area. The main problem allergy which leads to sinus congestion and all these symptoms has to be addressed. First we should do an allergy testing to find out what exactly is causing the allergy, whether it is dust mite, pollen or fungus. Subsequently you can take some avoidance precautions. If that does not work then medicines like what you are taking and eventually if nothing works, immunotherapy can be tried." + }, + { + "id": 27714, + "tgt": "Will medicines help in treating prostate swelling?", + "src": "Patient: Hello doctor, My father-in-law has prostate swelling. The doctor wants immediate surgery, but I want to wait and see. His PSA was 7.87 ng/mL, the blood and urine tests were normal. In the ultrasound, the weight of the prostate was 41.1 grams. Is surgery drastic in this case? Can he use medicines and alter his diet first? Thanks so much. Doctor: Hello. Thanks. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13714, + "tgt": "How long is Risperidone effective?", + "src": "Patient: Hello doctor, I discontinued Risperidone two months ago. I have not had any psychotic symptoms. I believe my schizoaffective disorder is in remission. However, can Risperidone continue to have an effect two months after taking it? If so what is the maximum amount of time Risperidone continue to have an effect? I took it for four years and took 5 mg twice daily. I am a 44-year old male. I also take Buproprion 75 mg once daily. Doctor: Hi. Since you have taken Risperidone for four years, the brain circuits and its neurotransmitters had been under control. The medicine though it might have been washed out from your body, the effect of it remains for a few weeks to months and your brain circuits may start functioning abnormally after few months and once your symptoms come up again, the dose at which you were taking may not be sufficient to control the symptoms later. So, I advise you to immediately restart medications and do regular follow up with the doctor." + }, + { + "id": 3298, + "tgt": "What is the influence of cocaine on heart rate?", + "src": "Patient: Hello doctor, For the past two months, I have had a pretty consistent elevated heart rate. Not by a lot but noticeable for me compared to what I was coming from. I cut out alcohol and caffeine and that helped but it always returns. My resting heart rate (I wear an Apple watch) is pretty consistent in the 53-58 range. But when I get up, go up or downstairs, it will jump to 100 pretty fast, then average out in the 80's as I move about my day. When I am sitting at work it is 78-85 bpm. This is a good 8-10 bpm faster than when I am at peak health. I am not sure what is going on. I did a fair bit of cocaine and took some ED pills a few times (with the cocaine) before three months, so I wondered if maybe there is a connection. I have not done anything like that since then. I am a runner, but now when I run or jump it goes up to 150 bpm and higher pretty fast. If I push myself anywhere close to hard I am at 170-180 bpm pretty easily, so I slow down. And it seems my body does not recover quite as fast. So I have stopped running hard and just do light jogs, and play tennis. I recover pretty easily there. But it is annoying as I want to run and push myself. I will go two to three days with no caffeine, alcohol and then I notice my walking around rate is lower, like what it used to be mid 70's. When it is like that I can feel it noticeably, I feel much more complete and whole. I feel great and no shortness of breath. So then I will have a few glasses of wine that night, and maybe a dessert (I like sugar at night) and I will lay down to sleep and my heart seems to jump up to 85-95 bpm for a while and it takes two to three hours before it rests at 53-58 bpm. And then the cycle starts again. I am so confused I do not know what the deal is. Is it the alcohol or sugar? I drink this one type of white wine a lot but I have noticed my heart rate does not react as much when I just drink beer. One night, I had white wine then tequila and my resting rate was like 68-78 bpm all night. I saw a doctor about three weeks ago and they did an ECG and listened to my heart and it showed no issues or irregularities. I do not have heart pain, though I did have a few sharp pains over the past two months maybe two to three times all lasting about one second and then it is gone all when I am lying down in bed trying to go to sleep. I do have shortness of breath due to the elevated heart rate when I am carrying stuff, going upstairs, etc. I do not have pain in my chest, jaw, left arm, etc. Sorry, this is so long but I really would love to discuss this with someone who maybe has heard of this before. To be clear what is annoying and confusing me is that my heart rate will steadily be 8-10 bpm higher at all times (aside from resting rate) for like a 7-10 days before it feels like it goes back to normal. But then there is always something that sets it off again. I never see it spike over 105 or so. Doctor: Hello, Welcome to icliniq.com. I understand your concern, but I assure you that there is nothing to worry about. It is normal for the human heart rate to fluctuate. For instance, during exercise the heart rate can go as high as 350 bpm in some people it does not mean there is a problem. It is normal. It is also normal for the heart rate to slow down when laying down. But it can increase while laying down in cases where you take alcohol just like in your case. You are having issues with anxiety probably because of the cocaine you used. I advise you to resume your exercise. Start jogging, it will help with your situation. You can only worry if you begin to experience shortness of breath, chest pain or fainting." + }, + { + "id": 12356, + "tgt": "Will I be able to get pregnant normally after ectopic pregnancy?", + "src": "Patient: Hello doctor, I had an ectopic pregnancy. It was my first pregnancy. I am scared to get pregnant again. What kind of birth controls should I use? Can I get a normal pregnancy again? Doctor: Hello. Ectopic pregnancy is a common condition in females of reproductive age group and there is no need to get anxious for getting pregnant as most of the women with previous one ectopic pregnancy contemplates successful pregnancies in the future. You can use any type of contraception which is suitable for your health but you must avoid intrauterine devices (coils) to avoid the risk associated with these as these coils slightly increase the risk of ectopic pregnancy." + }, + { + "id": 21826, + "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": 11170, + "tgt": "What does gondotropin levels with moderate testicular failure indicate?", + "src": "Patient: Hello doctor, He is 30 years old, and his height is 6ft. Gondotropin levels show moderate testicular failure, but no treatment was given. We had a micro TESE done for him, and no abnormalities were found. What does it mean? Should he have received medication to support this? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). The sperm analysis shows azoospermia (complete absence of sperm from the fluid ejaculated during orgasm) and testicular failure. If even after Micro TESE (testicular sperm extraction) testicular biopsy, there has been no sperm seen, and there is no blockage disorder either, then his chances of contributing to natural or assisted conception are grim which means that testis is not producing any sperms and have gone in failure. The next chance would be to opt for donor sperm, and IVF (in vitro fertilization) followed by embryo transfer to conceive." + }, + { + "id": 9501, + "tgt": "I feel a hard pimple under the penis skin. What is it?", + "src": "Patient: Hi doctor, I am 28 years old. My question is I can feel a very small hard pimple under the penis skin. When I get erection and press it, I feel a little pain. What is that? I cannot figure it out. Is it a pimple or something else? Please help. Doctor: Hello. You are most likely dealing with a sebaceous cyst. They are similar to pimple. A sebaceous gland is a microscopic gland in the skin which secretes a waxy liquid known as sebum. It opens on the skin via an opening known as a punctum. When the opening gets blocked, the sebum collected in the gland causes a swelling known as a cyst. It hardens over time to become firm. They are quite common in the genital region. The diagnostic sign of sebaceous cyst is that it slips beneath the fingers and it mostly has an opening. In your case, they cause pain because the skin there gets stretched during an erection. If it causes pain all the time, it could be infected and might need local application of an antibiotic ointment like T-Bact (Mupirocin) or Neosporin (combination of Neomycin, Polymyxin B and Bacitracin) twice a day. You also need to keep the area clean and dry. They are benign and harmless and nothing to worry about. It could have been easier to confirm if you had sent a picture along. You could do an image search for sebaceous cyst and confirm yourself. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6110, + "tgt": "My 9 months old son has a slight increase in trabeculations of left ventricle. Is it worrying?", + "src": "Patient: Hello doctor, My son is 9 months old and we visited a cardiologist a week ago. He does not have any symptoms and is a healthy child. All the dimensions were within range and ejection and fraction were 70 and 40. What they did find was a slight increase in trabeculations of the left ventricle. I have read, a slight increase in trabeculations in a healthy adult is not a worrying find, but I do not find anything about the children. Is this worrying? And does it really want a follow-up? Doctor: Hello. Trabeculations are a normal findings in the left ventricle in both the adults and children. When these become excessive along with an increase in LV thickness, then it is considered abnormal. Now this slightly increased trabeculations is entirely a subjective finding. One may interpret as increased, while the other may think these as normal. So, considering the normal ejection fraction of 70 percent and other normal dimensions, this may be a normal finding. However, since there is some doubt created now, it is better to repeat an echo after a year or two or if any symptoms appear. So, it is probably a normal finding, however, better to follow it up for confirmation. I hope this helps." + }, + { + "id": 9714, + "tgt": "Will increased heart rate lead to heart attack?", + "src": "Patient: Hello doctor,My age is 29 years, and married. Since two months every minute, I am feeling that I am going to get a heart attack. My mind is always running that next minute I am getting heart attack like that. I contacted two cardiologists, both examined the ECG and told that heart rate is more (112 bpm) and nothing to worry. But still, I am not getting sleep and unable to take food. Every second in my mind, I am getting bad thoughts like I am going to die, I am going to get a heart attack. Please suggest me what to do to get out of this. Doctor: Hello. Feelings and symptoms like palpitations, getting a heart attack, difficulty in breathing, digestive concerns, and sleep problems can be a part of heart-related issues or anxiety. Since you have consulted with a physician and done all tests, its much clearer that its the later one, i.e., Anxiety or stress-related symptoms. Besides worrying consistently and preoccupations are also a part of it. At first, you need to get proper assessment identifying the cause of this anxiousness whether its work related or some personal issue. It can be done by analyzing thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy thought channelization, and restructuring is quite helpful.Also, to make yourself relax you can do the following, 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counsellor to help you in assessing and provide you with individualized therapy as per requirement. Anxiety and stress assessment. Heart problems. Anxiety. Excercise and diet management." + }, + { + "id": 10784, + "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": 5557, + "tgt": "My 5 months old baby does not eat anything for long time and vomits up if she eats. Why?", + "src": "Patient: Hello doctor, My daughter is 5 months old. She vomits up everything she eats. She did not eat anything from mid-morning. We tried giving her some baby oatmeal and she would not even eat at all. We gave her that in the evening after trying her usual 6 OZ bottle that she did not take even an ounce of it. She went to sleep at 11 last night and did not get up today until afternoon even after I tried waking her all morning. Her soft spot seems fine. This has been going on for about a week now. I took her to the doctor and they told me all was well. If all was well, why she is not eating? She has no fever. No weight loss. She also has not been urinating as often as she should. I only have to change her once or twice a day. She does not seem dehydrated. She has completely white eyes. She jerks her arms and legs pretty hard as if she is having a seizure? Or the infantile thing? She does not cry when it happens or anything though. I am concerned for her but where I live it seems no one knows what is or might be wrong with her. I am not getting any help. She is just little and cannot tell me what is wrong. I do not know what to do. I have been to more than one doctor in my area with no results. Please help. Doctor: Hello, Welcome to icliniq.com. I understand your concern about your little one. As the other doctors have said everything is all right, you need not worry or panic. As the babies grow the pattern of eating and urine changes. Now you can just feed on demand, no need to feed seeing the time. Do not give solid foods before she is 6 months old. I think oatmeal is too hard for her to digest, presently just give breast milk or formula milk. As far as the jerky movements are concerned it is quiet common in children of this age group, they enjoy doing it, so need not panic, just relax and watch your little one grow." + }, + { + "id": 24653, + "tgt": "How can arthritis be confirmed?", + "src": "Patient: Hello doctor, Kindly confirm if I am arthritic from the available reports. Doctor: Hello. Could you provide me with some of your symptoms? I have gone through your reports (attachment removed to protect patient identity). Your inflammation markers are very high (erythrocyte sedimentation rate and C-reactive protein). So, it does indicate either there is an infection or inflammation. I need more history to confirm it. Your arthritis tests are negative, but then again we can have arthritis even when the rheumatoid factor, anti-cyclic citrullinated peptide, and anti-nuclear antibody are negative. Provide me with the medical history and I will be able to guide you better. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 18744, + "tgt": "I am using IUD. Is it normal to get thicker vaginal fluid during intercourse?", + "src": "Patient: Hi doctor, I have had the Mirena IUD for about a year now. Recently I found my vaginal opening is getting rather tight and small. There is no pain or odor. Because of this, my partner feels difficult to have sex. This went on for almost two months now. When we did finally, my fluids were clear with lots of tissue-like substances. It looks like pieces of wet tissue paper. It appeared only during sex. Should I be concerned? Is this normal? Doctor: Hi. I do not see any reason for you to worry. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12401, + "tgt": "What treatment can be done for penile infection after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex with my wife and got the infection on my penis two weeks back. The head of the penis became red. I used Quadriderm but it is not helping. Doctor: Hi. It may be due to fungal infection. Clean the area with warm water twice daily. Apply Candid cream instead. Check whether your wife is having a fungal infection or white discharge. You can get back with clear photos of lesions and details for clarification." + }, + { + "id": 3871, + "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": 10306, + "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": 29413, + "tgt": "How to check if I am allergic to latex?", + "src": "Patient: Hi doctor, I had oral sex with a condom. I got a white dot on the top of the roof as well a lesion in the mouth. I have attached the picture. I believe I am allergic to latex. Is this an allergic reaction? Or what can it be? What can I do to make this go away? It has been like this for two\u00a0days. Doctor: Hi. I have seen the picture you have attached (attachment removed to protect patient identity). Here is how to check if you are allergic to latex. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19852, + "tgt": "My 15 month old baby is having difficulty in standing. Should I be concerned?", + "src": "Patient: Hi doctor, My child is 15 months old. He is not standing well. He does crawl and pulls up his knees. When I try to stand him up, he is reluctant and seems to be scared and cries when standing. I am worried. Should I be concerned? Do I need to check his hips? Had appointments with a doctor and he never identified any physiological problems. Doctor: Hi. Most babies take their first steps by their first birthday. Most toddlers have walking unaided, often with uneven steps. Do not worry, if your baby takes a little longer time. Some children do not walk until they are 17 months or 18 months old. You should stimulate the child to get them walking regularly. It will help. You should get the child clinically examined by a Pediatrician. CNS (central nervous system) examination is required to be done to rule out any pathological cause. Visit a Pediatrician for a clinical evaluation. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16430, + "tgt": "What is the quick remedy for wheezing problem?", + "src": "Patient: Hello doctor, I have a wheezing problem. It is like asthma. Can I have a quick remedy as I am in office? Doctor: Hi. The presence of wheezing suggestive of bronchoconstriction induced by asthma or bronchitis. For immediate relief, you can take Salbutamol inhaler two puffs readily. If nebulizer is available then Levosalbutamol and Budesonide Respule can be taken through nebulization. You can consult a pulmonologist for chest examination and accordingly your further management plan." + }, + { + "id": 27508, + "tgt": "My left leg goes numb when I stand. Please help", + "src": "Patient: Hello doctor, My left leg is numb when I stand up and walk, and I feel like there is a bruise when I press it hard. There is also some pain in the knee when I bend it. Doctor: Hello. The information provided is very scanty, and it is rather difficult to give you any important advice. I need more details to be able to help you. Revert with more information to an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22760, + "tgt": "I have PCOS. Do I need ovarian drilling?", + "src": "Patient: Hello doctor, I have PCOS. AMH 7.99, LH 15.6, FSH 5.7. The doctor prescribed me Met and Normoz. After three months, he gave me Genotropin injection 75 ui from day 2 to 6 and Letroz from day 3 to 7. He said they are small-sized follicles, he abandoned the cycle, told me to go for ovarian drilling. I want a second opinion on that, please. Why do I not respond at all? I follow diet and exercise. Doctor: Hello. Your hormone profile suggests PCOD. What is the size of ovaries on ultrasound? If not done, you should do blood tests, sugar PP, TSH, prolactin, and testosterone. Often, oral contraceptive pills like Diane 35 (Cyproterone and Ethinylestradiol) taken for three months help in increasing the size of follicles in the subsequent cycles. If your blood prolactin or testosterone level is high, then you will need medicine to normalize it. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18435, + "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": 10153, + "tgt": "What can I do to straighten my curved lumbar spine and un-cant hips?", + "src": "Patient: Hello doctor,I am a 19-year-old male. Around two months back, I had a hiccup when dead-lifting and my lower back or lumbar spine area had a sharp pain. At the time, I did not think much of it and since then discontinued dead-lifts. Over time, I have developed some sciatica in my left hamstring area. I visited a chiropractor about two weeks ago and he took X-rays of my spine, revealing that my lumbar spine is curved to the right, canting my hips and therefore putting pressure on my sciatic nerve. I went in for three adjustments with him, over a one and half week span. I no longer have access to my chiropractor, being that I am overseas. My question is what can I do by myself in order to straighten out my lumbar spine and un-cant my hips so that my sciatic nerve can get some relief? Am I going to have to find another chiropractor and get more adjustments while I am over here? Note that the discomfort of sciatica only happens with a straight left leg when bending at the waist. Doctor: Hi. Based on what you wrote, it sounds as though you may have scoliosis, a wedged vertebrae in the lumbar spine, a disc issue, or even lower cross syndrome. If there is any way to attach images of the X-rays, that would be ideal (though I know the current situation is not ideal). Assuming it is indeed a scoliosis curvature, I can tell you that you will not be able to straighten your spine (anatomically speaking). If it is a lower cross syndrome, your best bet while you are overseas is to work on core stabilization exercises. Bridge exercises, planks, and clams may all be beneficial to the lumbopelvic-hip-complex. All of these exercises can be found online, but essentially we want to strengthen the weak muscles and relax the overactive muscle. Please get the help of internet resources to have a knowledge of lower cross syndrome to get an idea of what muscles may be overactive and underactive. Without examining you myself, or seeing X-rays, this is about all of the information I can provide. When you return to your place, I would recommend continuing treatment with your chiropractor. For more information consult a chiropractor online.--> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 10567, + "tgt": "Why are there abdominal pain with loose motion and fever?", + "src": "Patient: Hello doctor, There is abdomen pain since three days. Pain is not continous but really painful. Little loose motion, light headache when gets out of bed, little fever on day 1 and 2. Doctor: Hi. Such pain in abdomen with stool discomfort can happen as a result of stomach infection. Important here is clinical examination to know the site of the pain. So it is advisable to see your doctor. If he would feel suspicious, he would send you for an ultrasound abdomen. If all normal, you would be treated with antibiotics like Ofloxacin. Till you get medical help, you may take a combination of Pantoprazole and Domperidone that would reduce your acidity and pain. Take light food and drink plenty of fluids. Stomach infection. Ultrasound abdomen. Colic. Stomach infection. Light food. Review with ultrasound." + }, + { + "id": 7271, + "tgt": "Please advice some ways to improve my body weight", + "src": "Patient: Hello doctor, I weight 55 kg and height 5 feet 10 inches. I want to know how to increase the weight as I had tried so many ways to improve it but failed. Please help. Doctor: Hello. Try the below suggestions if you already have no done it, 1) Try to have a mini-meal or snacks (like boiled cereal sprouts, nuts, etc.) apart from your regular meals. 2) If your level of physical activity is more, accordingly you have to increase your calorie intake. So either limiting the physical activity or increasing the calorie intake necessary to gain weight effectively. 3) Practice drinking some lemon juice before meals, especially for lunch. This can help better absorption of nutrients like iron, protein from the gut. 4) Protein supplement drinks or weight gain supplement drinks like nutrigain can also be tried. 5) Try to eat little extra quantity of food than usual. 6) Sleep is must at least eight hours a day." + }, + { + "id": 24865, + "tgt": "My son was diagnosed with ASPD. How do we deal with him?", + "src": "Patient: Hello doctor, My 23 year old son was diagnosed with ASPD. I have read that there in no cure. How do we deal with him? My local psychologist says he should be kept separate from the family to prevent him being parasitic. What should we do? Doctor: Hello. Antisocial personality disorder is a personality disorder. Those affected may lie, break laws, act impulsively and lack regard for their own safety or the safety of others. The ray of hope is that the symptoms may lessen with age. Therefore you should be always hopeful. Psychotherapy, awareness, psychoeducation to the family members, etc. can effectively be applied to the patient as well as the family members. There is no need to keep the patient away from home if the others are educated. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22208, + "tgt": "Is there a chance of having persistent back muscle pain from running?", + "src": "Patient: Hi doctor, I ran 10 kilometers and when I arrived home, I had a terrible back muscle pain. Next two days, I was better. So, I ran for another 10 kilometers but, this time when I arrived home, it was even worse. There was a shoulder pain, and dorsal muscle back pain when I was walking. Then, it was very hard for me to move, to walk more than one km, and I felt very tired after some walk. Also, when I take a deep breath, I could feel my back muscles in pain. There was a slight muscle pain on the right side of the back in a specific point on the middle side near the spine. I did MRI, chest X-ray, cardio-echography, ENG, and EMG test, and also done a series of blood tests for the rare infections and virus. They found a sign of unknown infection. The leucocyte level was high and after a few days, it became normalized. I also saw a neurologist and he told me that everything is fine from his point of view. In MRI, there were minor changes on the dorsal side of the back, but there was no nerve damage or joint damage. The immunological test and the other results also came negative. This happened two months back and still, I feel weak and have muscle pain in my back, especially when I am doing slight activities. Is there any chance to have persistent muscle back pain from running? I am taking Magnesium, Calcium, Cerebinox, and Propanolol tablets. I had no issues like this before. Doctor: Hello. Post-exhaustion muscle necrosis is a known entity which occurs when the blood supply to the muscle is compromised during the exercise period. It is usually documented by demonstrating the high levels of LDH (lactic acid dehydrogenase) test and CPK (creatine phosphokinase) in the blood. The conditions will recover slowly until the damaged muscle fibers recover and may take months. You need to restart slowly by exercising so that the muscles will adapt properly in a graded manner. I believe your vitamin D and TSH (thyroid stimulating hormone) levels are normal, if not done, do the tests and hopefully, you will recover soon. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 9250, + "tgt": "I am suffering from popping of the upper neck back and forth. Kindly advice", + "src": "Patient: Hello doctor, I have the history of upper neck popping when moving neck back and forth. Numbness on the left side of the body. Back pain from the majority of back preventing me from sleeping. Popping occurs right at the base of the head and neck and can feel something moving. I had an MRI today. Doctor: Hello. There is mild straightening of the cervical vertebrae and might suggest cervical muscle spasm. Vertebral bodies show regular marrow signal changes. No endplate degeneration. The spinal canal is normal. The spinal cord is normal in size and signal intensity. No evidence of intradural or extradural or intramedullary mass lesion. Cervico-medullary and cranio-vertebral junctions are normal.No evidence of Chiari malformation.No evidence of atlantoaxial dislocation.No evidence of syringomyelia. Pre and paravertebral soft tissues are normal. Intervertebral discs, disc height, and hydration are standard. Intervertebral discs are normal. Visualized musculature appears normal. No evidence of cervical rib or mass lesion. Impression, your MRI cervical spine is showing mild straightening, and it can be from cervical muscle spasm. This is not a serious concern." + }, + { + "id": 24449, + "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": 15583, + "tgt": "Kindly suggest any medicine to prevent itchiness due to bumps on legs", + "src": "Patient: Hello doctor,I am inquiring about bumps on my legs (specifically shins) that itch so bad and are always there. Sometimes more than others but always there. It looks like the skin is red and raised around my hair follicle. Is there an over-the-counter cream or moisturizer or soap, etc., that I could use to prevent irritation? Could it be something else entirely? Unfortunately, I am just not one of those people that can live with hairy legs. What to do? Doctor: Hi. I have gone through your case. Yes, these are folliculitis (attachment removed to protect patient identity) and occur when small hair is growing especially when hair removing is not done in a proper direction. When you have a lesion, then mix Fucidin and Hydrocortisone creams in equal amount and apply on red lesions. For prevention, keep your leg well moisturized by applying any oil or lotion and apply only in one direction. Do not rub." + }, + { + "id": 16212, + "tgt": "What are the expected problems during wisdom tooth eruption?", + "src": "Patient: Hi doctor, My wisdom tooth present in the lower left region is growing. I have a sufficient space for it to grow, and it is growing straight. I do not have pain in the tooth and half of the tooth is poking out now. But I have trouble in opening my mouth fully. Doctor: Hi. I can understand your concern. An eruption of wisdom tooth cause difficulty in opening the mouth, fever, swelling in gums, pain and neck swellings. You do not need to worry. Restricted mouth opening will get relieved after a few days. Still, to get relief, you can take tablet Zerodol MR (Acelofenac with Tizanidine) two times a day for three days after taking food. Take tablet Pantoprazole 40 mg one time a day for one week." + }, + { + "id": 26503, + "tgt": "My last flu shot caused all my muscles to jump. Why?", + "src": "Patient: Hello doctor, I have been told not to get a flu shot anymore until I am in my 60's because the last shot I had caused my muscles\u00a0all over my body\u00a0to jump for many months after. Not one doctor has explained why this happened or what the risks are to get flu shots in the future or what this means for other vaccines. Doctor: Hello. For further queries consult a neurologist online -->https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 18820, + "tgt": "Please comment on the abnormal values in my blood test report", + "src": "Patient: Hello doctor,I am a 56 year old male. I got my blood tests done recently. Kindly advice on what is required like medicines or tonics. I am an engineering manager in a\u00a0corporate field. I am not taking any medicines as of now. I am generally healthy and follow a normal office routine of 10 AM to 7 PM daily. Kindly let me know if any other details are required. I am enclosing my reports for reference. Doctor: Hello. I saw your reports (attachment removed to protect patient identity). All these points\u00a0towards a kidney disease. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8874, + "tgt": "Why is there enterococcus fecalis in recent semen analysis recurrently?", + "src": "Patient: Hello doctor, I had a semen analysis done two months ago and they found enterococcus faecalis. What causes this? Urologist put me on Amoxicillin and a month later a 2nd analysis showed the bacteria had gone. Just recently they did a fertility test since I am family planning and everything looked good except the round cells. Seems you should not have more than 1 million and I had 11 million. What does this mean towards family planning? Also, does this mean I have an infection again? If so, why did it come back or be there in the first place? What can I do to fix as it stressed on the family planning aspect? Doctor: Hello. Relax and do not worry. First of all, why did you have a semen analysis done? For what complaints? Enterococcus fecalis is very rare and may suggest contamination. If other parameters like count, motility, etc., are fine then it is nothing to worry. About round cells (sometimes sperms may also look like round cells). If possible, send me printed report of your semen analysis." + }, + { + "id": 9490, + "tgt": "Can catheter open blockage instead of operation for kidney stone stuck in penis?", + "src": "Patient: Hello doctor,My father is a heart patient and his ejection fraction is 35 %. He is now suffering from kidney stone which is currently stuck in the penis. He has heavy pain during urine passage. The urine flow is almost zero. The doctor suggested for the operation with high cardiac risk. Can catheter open the blockage instead of operation because there is a risk of life due to anesthesia? Please suggest. Currently, he is on Ecosprin gold 10, Prolomet R 25 for heart disease. Doctor: Hi. He has a stone in urethra, just proximal to a stricture (attachment removed to protect patient identity). Opening up of the stricture segment and stone removal will be done at the same time. Cardiac risk is a real risk but is usually managed by good anesthetists. Just catheterization may solve the problem temporarily and may be difficult to pass catheter with stricture. At 62 years of age, I would suggest he should undergo surgery at good center with good anesthetist. And the stricture will need repeated dilatation later. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 526, + "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": 14015, + "tgt": "Are there any other options than bypass or angioplasty for blocked heart valves?", + "src": "Patient: Hello doctor, My father is 51 years old with normal weight (fit), yet he has diabetes and now a heart problem. Just got an angina attack. Doctors say bypass or angioplasty are the options since three of his heart valves are 70 to 80 % blocked. He is on a strict diet with no oil at all and only salad. We have recently heard that there is an option EECP, so we were thinking to jump in that instead of the surgery. Since we are scared and not ready for that mindset yet. My question is that is EECP a good option? My father is feeling alright since 3 to 4 days? Doctor: Hi. Science is based on evidence and experiment. As for as three-vessel disease and diabetes mellitus, the evidence favors CABG (bypass) if there are suitable targets (which means vessels can be attached as a bypass). There are many trials which support this decision. Another option is PCI (means angioplasty). So if talking about the treatment of choice in your case, it is CABG. If it is not possible or feasible or desired, then the next option is always PCI. Regarding EECP, it is usually reserved for those patients who are neither candidates for CABG nor for PCI, who are on maximum medical treatment and still have chest pain. In such patients, EECP can be an option. EECP is never the first option in those patients in which CABG or PC is possible. Yet medical ethics says always respect patients choice. If the patient does not want to undergo an invasive procedure, then non-invasive procedures such as EECP and medical management can be kept on top. No doubt, EECP is also effective in treating anginal pain. EECP, in fact, causes turbulence in blood in coronary vessels and speeds up the generation of new blood vessels in the heart, but does not open already blocked vessels. In my opinion, I will put CABG on top, PC on the second and EECP on third. But if the patient and his family want EECP, then I will respect their wish." + }, + { + "id": 7889, + "tgt": "Is it advisable to take anti-malarial drug in a patient with positive ANA and CRP 1. 9?", + "src": "Patient: Hello doctor, I have pain all over my body, positive ANA and CRP 1.9. My doctor thinks I have lupus even though all the rest of the tests were negative. She wants me to take anti-malaria drugs. I am worried she is treating me full force without the proper positive tests. Doctor: Hi. High levels of CRP means that there is an inflammation going on inside your body. What is inflammation? It is a process where our white blood cells who are our protectors are attacking foreign bacterial or viral cells. Sometimes these white cells may turn against our own cells leading to chronic inflammation. That is why you are feeling pain all over. The drug your doctor has prescribed is probably Hydroxychloroquine. We thought this tablet works only against malaria. But it also has other actions like lowering inflammation by our white cells. We similarly thought Aspirin is a drug for headache. But it is now widely used to prevent heart attacks and strokes. Many drugs have multiple actions. So, please consider taking the drug your doctor has prescribed, which has the lowest side effects among antiinflammatory drugs and gives you definite relief on a long run." + }, + { + "id": 23523, + "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": 31044, + "tgt": "My girlfriend shows some behavioral changes. How to get her normal?", + "src": "Patient: Hi doctor, My girlfriend has suddenly shown some behavioral changes. I know that she loves me a lot and I am with her past the 1 year and 2 months. However, some days back, she said that she has fallen for somebody in her office, who is married and has a kid. One fine day this guy from her office asked her why she looks so frustrated and she says that she fell for him since then.\u00a0When I tried to resist, she reacted aggressively to pursue that relation. She said that she will come back to me once she is done with that relation. When I asked her about that guy's wife, she said that it is not her concern. What kind of behavior is this? How do I get her back? She has been having a lot of stress with respect to her career and professional life. Kindly guide me if she needs psychiatric help. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30976, + "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": 14361, + "tgt": "Will stopping Paxil for OCD bring back the symptoms?", + "src": "Patient: Hello doctor, I am a 36-year-old woman and I take Paxil for OCD, 40 mg a day. When I went off the medicines several years ago, I had a long period of time before I had symptoms again, but then they did return. So after some time, I began the Paxil again. I had been very slowly weaning off and I had been taking 7 mg or less per day for five months before I noticed any problems. Before that, I was taking about 14 mg per day for another five months. Is that normal? I mean it makes me wonder if I really need the medication because I had a long time on a low dose or none at all without symptoms. Doctor: Hi. Medicines are prescribed in little high doses to quell the acute symptoms and then maintenance doses to maintain the minimum threshold. Weaning off is to maintain the satisfactory threshold and to stop. But in the majority of the cases, weaning off or rather the whole process of treatment should be augmented with psychotherapies associated with the diagnosed condition. In your case, CBT (cognitive behavior therapy) should be augmented with the medicine. Combining medicines with CBT provides the brain with the much-required equilibrium and help maintain the chemical balance. Thus, when you wean off the medicine, the natural threshold can be maintained without medicine and with CBT. Talk to your psychiatrist or therapist regarding the procedure. Take care." + }, + { + "id": 5558, + "tgt": "I am 17 years old and my retained primary tooth is loose. What to do?", + "src": "Patient: Hello doctor, I am 17 years old. I have a loose tooth that I believe to be one of my primary teeth. My questions are, does that make it an over-retained primary tooth? If it is an over-retained primary tooth, does that mean that if it falls out, will my permanent tooth will grow in or is it possible that I may have something like ankylosis? I feel no pain in the tooth. Please suggest. Doctor: Hello. First of all, based on your age, it must be definitely a retained deciduous or primary tooth as it is mobile, because rarely in this age tooth mobility can occur (unless you have any gum disease). So, the treatment for the retained tooth is removal. Kindly send me a picture of the tooth. If possible a periapical radiograph or OPG (orthopantomogram) to confirm the diagnosis. Regarding your successor or follow up permanent teeth, by this age you must have 28 teeth, apart from your retained milk tooth. The OPG or periapical radiograph will help to check the position of the permanent tooth if it has not erupted, which will help in diagnosing and planning the treatment as well. Coming on to your ankylosis section, since it is mobile, I guess it is not ankylosed. But, in any case, if it is a deciduous tooth, you have to get it removed. Do not worry. You will be fine. You can follow up with the image and radiograph, if possible. OPG, IOPA (intraoral periapical radiograph)." + }, + { + "id": 6875, + "tgt": "I am having eustachian tube dysfunction. What is the role of allergy in it?", + "src": "Patient: Hello doctor, Could you please explain me the role of allergies in the function of the eustachian tube and the state of the middle ear chamber? As potential effectiveness of allergy happens while treating a chronic case of eustachian tube dysfunction, mild approaches to treat this proved ineffective. Doctor: Hello, Welcome to iclinq.com. Eustachian tube (ET) opening allows the passage of air into the middle ear. The middle ear is a chamber that has to maintain a certain volume of air in it for normal hearing function. For the air to go away from the middle ear, it requires further air flow from the eustachian tube. Due to various metabolic activities, there is always a negative balance of air in the middle ear due to air absorption by blood vessels. As for as eustachian tube is concerned, its opening is in the throat, and it is guarded by muscles and cartilages. Whenever any inflammation occurs in the throat or behind the nose, the mucosal covering of the ET gets thickened. Allergy can also cause mucosal inflammation and obstruction of ET. The reversal of ET function depends on the success rate of it." + }, + { + "id": 17158, + "tgt": "What shall I do for acidity and stomach burn?", + "src": "Patient: Hi doctor, I am a 23 year old male.\u00a0I have an issue with my stomach for the last few months. I\u00a0had Ponstan Forte (painkiller) for my headache for almost two years. I used to take the tablet in empty stomach usually and rarely after food. About eight months ago, I had stomach burn near stomach mouth, a point at right side under the ribs. That time I used two or three Omeprazole tablets and it became all good. Then after one month it happened again. I had acidity and stomach burn because I used to stay empty stomach. Along with this, When I sleep I got much saliva in mouth and woke up many times at night to wash it. When I visited a doctor, he prescribed me Omeprazole once daily and Ganaton three times a day for a month. Then everything remained fine for two weeks. Then I took spicy hot soup once in empty stomach and then again the problem started. Then I have remained untreated for three months. When I press my rib cage at right side, I feel sore and slight pain. I do not have any symptoms now. Whenever I skip food, I feel acidity. What should I do? Doctor: Hi. Possibly NSAIDs (nonsteroidal anti-inflammatory drugs) induced. Endoscopy. Revert back with the investigation report to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24838, + "tgt": "I have a red patch on my elbow that turned white. What could it be?", + "src": "Patient: Hello doctor,I have a red patch on my elbow that turned to white. It used to itch but it stopped itching and it turned white after about three to four days (I have it for about a week now) and it got a little bit smaller. Doctor: Hello. I have gone through your files (attachment removed to protect patient identity). It is a type of eczema or LSC (lichen simplex chronicus). It has many causes which sometimes occur due to friction or chronic rubbing against the table as we sit and in most cases, it is spontaneous which means it has no obvious cause. Please try to apply Vaseline or petroleum jelly two to three time a day. Keep it in your pocket and apply as you go. I also suggest applying Clobetasol ointment two times for ten days only. Do not use it for a long period. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Try to avoid itching or rubbing as it will worsen. In case you cannot control it I suggest tablet Cetirizine 10 mg at night for ten days only. Remember to take it when you have pronounced itching only. It will take some time to heal. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26475, + "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": 6791, + "tgt": "How to recover from blood clot in brain?", + "src": "Patient: Hi doctor, My father is in ICU since 48 to 50 hours. Blood clot has formed in vein of the brain. His right side of the body is not functioning. Doctors are saying that he is recovering, but very slowly. Please give your opinion. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1155, + "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": 4794, + "tgt": "Is herpes the only possibility for small cut in the corner of mouth?", + "src": "Patient: Hello doctor, I am worried, that I may have come in contact with herpes. I woke up this morning with a small cut like marking on the corner of my mouth. My top lip has a red patchy spot on the inside of the lip. Last night, I drank a ton of alcohol, smoked multiple cigarettes and took ecstasy. Is the symptom possible from that? Doctor: Hello. I understand your concern. Drugs like alcohol, ecstasy, and cigarettes reduce saliva secretion and blood flow to our mouth, lips, and gums. A dehydrated oral cavity is prone to mouth ulcer, cancer sores and the lips tend to get chapped and cracked. This could be a simple mouth ulcer from dry mouth caused by heat due to multiple cigarette smoking or could also be an HSV (herpes simplex virus) infection. Herpes simplex infection of lips spreads through saliva by personal or intimate contact, sharing cigarettes or drinks with the infected person. A clear picture of the ulcer and lip sore will help to diagnose it. Please visit a dentist immediately and get the ulcers examined. Watch for signs of fever, stinging or burning of the ulcer, mucosa, and gums. Treatment is symptomatic if it is a simple mouth ulcer. A topical anesthetic will help control the pain and burning sensation, if present. After an initial examination, if the doctor suspects HSV infection, he will advise you to get a series of lab tests for confirmation. Meanwhile, keep yourself hydrated at all times and maintain good oral hygiene to prevent further infection of the mouth ulcer. I hope this helps." + }, + { + "id": 9140, + "tgt": "I used hairdryer to dry my private area and had tenderness. Should I be concerned?", + "src": "Patient: Hello doctor, I ran out of clean towels after washing up. I only had my hairdryer and proceeded to dry my private area off with it on high setting. It left my penis and scrotal area somewhat dry. The skin is not red, but a little tender. Do I need to put anything on my penis? Did I figure in a day or two if I just left it alone it should be fine correct? I should not have to worry about any infection, hopefully, because the skin is a little dry? I am also concerned as I hope I did not do achy nerve damage. When I felt it get too hot, I pulled the dryer away. I know this is a strange suggestion but concerned. Doctor: Hello. I understand that you are concerned. As you have described it might be a case of mild inflammation caused by heat to the skin.It should subside in couple of day, just use some moisturizing cream.Skin over scrotum in particular is very thin and soft, so avoid doing this again.If there is any visible redness or skin lesions, you can send me the photographs." + }, + { + "id": 28947, + "tgt": "Why did the doctors ask for my signature during LP procedure?", + "src": "Patient: Hi doctor,My question regarding the LP test of the backbone.\u00a0Why the doctors want my signature for this test? Is there any major risk or side effect in this procedure? The test showed 5 x 5 rings in the brain and rest everything is normal. There is no previous medical history other than a headache, fever, and vomiting. Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17292, + "tgt": "I have recently gained weight. Should my Eltroxin dose be increased?", + "src": "Patient: Hello doctor, I am a 35 year old female. I have been diagnosed with Hashimoto's hypothyroidism and was prescribed Eltroxin\u00a050 mcg. I recently gained 4 kg and have not been able to lose them. I am suffering from chronic constipation and I feel drowsy and tired all the time. I did some blood tests for my thyroid gland function and the results are as follows: T4 free 10.2 pmol/L TSH third generation 4.71 IU/ml Antithyroid peroxidase ab 122 IU/ml Ferritin 24 ug/L B12 192 pg/ml Vitamin D3 33.6 nmol/L I have been on Eltroxin\u00a0for 12 days and nothing has changed. Constipation and the drowsiness are still there and I am wondering if I can increase the dose and if so to how much per day? Doctor: Hello. The labs and symptoms are consistent with hypothyroidism. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 27832, + "tgt": "Will a partial hysterectomy help me relieve severe period pain?", + "src": "Patient: Hi doctor, I am a 22 year old female. Why does the area, which I believe is my ovaries, hurt when I stretch? The pain would be in both the left and right side. When I sit down for a long time or when I defecate, it hurts a lot in the area. During my periods, why do my legs go numb? Every month around the time, I experience leg numbness, back pain, pain in the butt area, and pain my stomach. I understand the stomach pain, but why do I have pain in other areas? When all this pain starts, I get panicked, as I do not know what to do. I try sitting down for a few seconds, which helps but then, my back pain starts. I try to walk, but the pain is not relieved. I start feeling sick and throw up. I start getting suicidal thoughts, and I just want to put myself out of this misery. When I take two painkillers for the pain, I end up sleeping the entire day and get up only to use the restroom. I do not eat, and I would end up going days without eating until I feel better. So, I just want to know what is the cause of this. This will help me explain my physician to help me better. I feel like this would affect me trying to go to work. I am trying to find a job, but I feel that if I take so many days off for the pain, my boss will fire me. I was thinking of getting a partial hysterectomy to stop it maybe, so I will have to deal with the pains, and I can stay on the job. But I am not sure if my insurance will cover it. Do you have any suggestions? Sorry for the long query, I just really need help. The last physician I had could not help me in the way that I needed help, so I stopped going to her. I need more of professional help. Doctor: Hi. From the history you have given, it sounds like something is affecting the neuromuscular area on both sides at the pelvic or may I say the deep groin area. Hope I have been of help to you, 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": 30891, + "tgt": "How to treat my dark upper arms?", + "src": "Patient: Hi doctor, I am a 26 year old female. My\u00a0upper arms\u00a0are so\u00a0dark and\u00a0I also have some\u00a0small sand like bums. I\u00a0noticed this since I was 15 years old. As my skin is quite fair, it looks obvious. Please suggest me some advice. Doctor: Hello,\u00a0 Welcome to icliniq.com. Revert back with clear photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9516, + "tgt": "Why am I having tingling sensation in teeth?", + "src": "Patient: Hello doctor, I have a fuzzy feeling in my teeth. Kind of like a tingling it is not really pain but it sends chills through my gums and it has been going on for like four days. How should I stop it? Doctor: Hi. Try using Sensodyne sensitive or any toothpaste for sensitive teeth. Apply toothpaste on teeth that are giving you tingling sensations for 2 or 3 minutes like cream then after it do gentle brushing, not vigorous one. Follow this routine for two weeks. Use Chlorhexidine mouthwash along with water twice a day for two weeks and then give me followup. If there is no decay and no cavity, just your teeth are getting sensitive then this will be arrested at this stage through it. And yes avoid soda drinks too. Stay happy and blessed. Take care." + }, + { + "id": 7916, + "tgt": "I got some extending scar on my tongue. What could it be?", + "src": "Patient: Hello doctor, A small scar appeared on my tongue with no pain or burning sensation. I tried vitamin supplement, but that has no effect. Now, it has increased to a greater extent. Please help. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 16067, + "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": 14621, + "tgt": "Will myopia -4 in power progress as I am not eligible for LASIK?", + "src": "Patient: Hello doctor, I have myopia -4 in power and I am not eligible for LASIK. I am 25. Is this progressive? What long-term complications can be there as my cornea thickness is too low for LASIK surgery. Doctor: Hello. Even though your power of - 4 is well within the correctable range and your power has been stable for two years, your corneas were too thin on topography maps for surgery (attachment removed to protect patient identity). The doctors deferred surgery because, during the process of LASIK, we will be removing tissue from your cornea and in a cornea not thick enough this can cause problems like for example keratoconus or in severe cases perforation. Regarding the long-term implications, thin corneas are harmless and usually do not progress unless associated with keratoconus or other similar problems. In case you do have keratoconus, it may show some progress in thinning during pregnancy and lactation. In case you still want to be spectacle-free, the option of implantable contact lenses is viable, provided there are no additional problems in your eye." + }, + { + "id": 8296, + "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": 2743, + "tgt": "Is high mean platelet volume of 12. 8 something to worry about?", + "src": "Patient: Hello doctor, I just had my routine medical check-up. And I got my CBC report. My platelet count is 210000 and in range but my MPV (mean platelet volume) is 12.8. Is it anything to really worry about? Doctor: Hello. You need not to worry about your platelet count and MPV. In your attached report, total WBC (white blood cells) count is borderline low and lymphocyte count is borderline high. So it could be a temporary viral infection. You can repeat your CBC (complete blood count) after a few days to check the count again. Do not worry and repeat CBC after a few days. You can revert back once you repeat CBC." + }, + { + "id": 4219, + "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": 20109, + "tgt": "What could be the reason for my chest pain while taking TB medicines?", + "src": "Patient: Hi doctor, I have a stabbing pain in the chest while taking TB treatment with four types of drugs (DOTS) since one and a half months. Please help. Doctor: Hi. This pain can be due to fluid in the pleural space, due to pleurisy or due to a cardiac cause. I suggest you take tablet Combiflam (Ibuprofen and Paracetamol), twice a day for five days. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Meanwhile, get ECG (electrocardiogram) and chest X-ray done and let me know. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13060, + "tgt": "How soon will relapse occur after stopping bipolar medications?", + "src": "Patient: Hello doctor, My bipolar girlfriend just broke up with me. She told me that her medicines were stolen at the beginning of a trip. 75 pills stolen. She started acting differently after about three days. After five days, she broke up with me saying she did not want to drag me down with her. Now she has quit her job and quit school to move away and follow a dream. My questions are that are there bipolar medications that have street value? Can an abrupt stop to medication cause someone to relapse that fast? How long does it take to come out of this episode? Doctor: Hello. Bipolar illness is a severe mental illness. It needs constant treatment. Stopping or switching the medicines on your own can lead to relapse. Medicines are provided by a registered medical practitioner and cannot be sold OTC (over-the-counter). She has to be started on medicines. She cannot come out of it on her own. Without medicines, her condition will worsen." + }, + { + "id": 9109, + "tgt": "If someone with a fungal infection swims in a pool, Will they spread to others?", + "src": "Patient: Hello doctor, I wonder if chlorine levels in a normal swimming pool kill all the microbes. If someone with a fungal infection swims in a pool, won't it spread to others through the water? Doctor: Hello. I understand your concern. Swimming is considered as a safe recreational activity. But that is not totally true. Chlorination of water is known to kill most of the microorganisms (which include bacteria, viruses, fungi and parasites). But there are several factors to be considered like: 1) Type of microorganism (some organisms may be resistant to chlorination). 2) Adequate chlorination (if sufficient chlorine is not added, there could be a chance of acquiring infection). 3) Duration of chlorination (when a microorganism is introduced into the water, the chlorine may not kill the organism right away, some resistant organisms may survive longer in the water). 4) Microbial load (the stage of infection of the infected person is also important, during the acute acute/highly infective stage, chances of spreading infection may be higher). Consult a general practitioner online for further follow up --->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25632, + "tgt": "Can I get rabies just by a dog's lick?", + "src": "Patient: Hello doctor,Last night my friend's dog licked my hand and I ate food with that hand without washing it. The problem is that I also have a bleeding gum. Am I at a risk to contract any infections or diseases specifically rabies? Kindly advice as I am a little apprehensive. Doctor: Hello. Rabies virus is found in the saliva of the infected dogs (not all dogs). Infection can be transmitted through biting of infected dogs where saliva directly reaches our blood. So theoretically you can be infected but in reality, there are very few cases that infection is spread by licking. The crucial issues here are: Regarding other infection, you should not worry. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10553, + "tgt": "My CBC showed 1+ anisocytosis. Any suggestions?", + "src": "Patient: Hello doctor,My recent CBC showed 1+ anisocytosis and 1+ anisocytosis. My hemoglobin is 12.9. The lowest hemoglobin I ever had was I believe post my C-section. I do take multivitamin/ or prenatal almost on daily basis even now. I am concerned with these results: I know in previous blood test it showed some anisocytosis but not +1. My physician did not say anything about this. I found out because I read my tests. I am going back to see him and question these results. Any suggestions? Doctor: Hello. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it is possible that your iron stores are depleted. This can be determined by testing serum ferritin levels. I would suggest that you continue taking the iron and folic acid tablets for another two to three months to bring up your hemoglobin levels and replenish your iron stores. There is no need for you to worry. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21730, + "tgt": "Can vitiligo be treated with homeopathic medicine?", + "src": "Patient: Hello doctor,Vitiligo observed in forehead near eyebrows just a month ago. Eyebrows hairs have also turned white. There is no itchiness there. There was no patch before one month. Also, there is no history of vitiligo in my entire family and ancestors. Please suggest if it can be treated and how? Doctor: Hi. I am very glad to answer your query. Since it is the beginning of the problem, it should not be very difficult to get rid of that. In order to treat such skin disorder, usually, it is important to understand the complete picture of the patient which includes mental, emotional and physical well being. Since I do not have much information about you at this point in time, I will suggest you the most commonly used remedy for this problem. Try following remedies: Try this protocol for one and half month. There should be some reduction in the spot after a month of treatment. Remember you may need some other remedies as well based on the totality of your symptoms and complete history. Kindly seek professional help in order to complete the cure. Kindly report back after a month or any time you have any query. I would be happy to help you out. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 9720, + "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": 4201, + "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": 30883, + "tgt": "What is the best posture to avoid pain in legs?", + "src": "Patient: Hi doctor, I use the computer and sit 10 hours daily in the office chair since last five years. I feel pain in inner thighs sometimes. Since last few days, I have felt severe pain in both inner thighs and have taken one Voveran and Paracetamol tablet. It feels good after taking medicine or applying Voveran gel, but the pain starts after sitting for a long time in the chair. I was using cushion chair earlier. Due to pain, I got shifted to a plastic chair, but the pain has not cured completely. The following are\u00a0some queries in this regard.\u00a0What is the exact problem of pain in inner thighs?\u00a0Which medicine should be taken to prevent this problem? Please suggest in details.\u00a0Which kind of office chair is better, either cushion or plastic? Is seat rest on chair a better option?\u00a0What is the best posture for legs to avoid pain?\u00a0Is there any exercise to avoid inner thigh pain? I am looking forward your reply. Thank you. Doctor: Hello. X-ray pelvis with both hips - anteroposterior view and x-ray lumbosacral region - anteroposterior and lateral view. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10482, + "tgt": "Can witnessing a life-threatening trauma in young age cause changes in behavior?", + "src": "Patient: Hello doctor, I just want to know what kind of mental illness my fiance has. When she was 11, her mom's fiance shot her in front of my fiance and when he turned the shot gun on himself he told her to look. I just want to know if that could be a reason for why she acts a little weird and off sometimes. She talked about her mother a lot too. She misses her. Doctor: Hello. Yes, if she has witnessed such life threatening trauma in her young age, she might act weird sometimes. But that does not mean that she has any psychiatric illness. You should focus on your relationship with her and give her proper time and she will come out of her psychological trauma. But symptoms like hearing things which others cannot hear, or talking to her mom, fear, etc., should be evaluated by a psychiatrist. This could be due to excessive stress or some psychotic issue. This should be ruled out." + }, + { + "id": 3718, + "tgt": "I am an alcoholic and bulimic. What does my report suggest?", + "src": "Patient: Hello doctor, I am a 23 year old female. I am\u00a0bulimic for the past nine years and also suffering from anxiety and depression for the past five years. I like to drink alcohol a lot. I recently had a checkup and I have attached my test reports for your reference. I am just taking vitamin supplements. I have looked up all of these online. My doctor wants me to come back in and get an ultrasound of my liver. I need to know my possible diagnosis.\u00a0Please guide Doctor: Hi. 1. Alcohol induced hepatitis. 2. Viral hepatitis versus fatty liver disease (NASH - nonalcoholic steatohepatitis). 1. Hepatitis B serological panel. 2. Hepatitis C virus antibody (HCV Ab). 3. Fibrosure (non-invasive test to check liver status). 4. Ultrasound of abdomen. 5. HIV test. 1. Avoid sharing razors with family and friends unless the viral hepatitis has been ruled out. 2. Please taper down your alcohol dose and try to quit. Do not abruptly discontinue it. Otherwise, you can go into withdrawal. 3. Safe sex is encouraged. Revert back after the tests to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19954, + "tgt": "When I wiped after urinating, I saw some fleshy mass, 11 months after endometrial ablation. Why?", + "src": "Patient: Hello doctor, Yesterday, when I wiped after urinating, I saw some fleshy bit on the tissue paper. I am unsure where this came out of, as it was just on the toilet paper when I wiped. There was also a piece in the\u00a0toilet. When I wiped the front it was there, so it is most probably not from the rectum. I did not\u00a0defecate\u00a0in this instance, so it had to come from urethra or vagina. I had an endometrial ablation and tubal ligation 11 months ago. I had back pain for a day preceding this incident. I also have headaches and nausea from two weeks. I had a yeast infection five days back. Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6235, + "tgt": "I could not walk and hear after Cortisone shot in knee. Please help", + "src": "Patient: Hello doctor, I had a Cortisone shot in my knee, 10 minutes later started to feel seriously dizzy. I cannot walk straight, cannot hear, my eyes felt so heavy, almost passed out, heart palpation. Doctor: Hi. What is your age? Do you suffer from any medical illness other than your knee pain? Cortisone injection is usually given along with Lignocaine - which is a local anesthetic drug. The dosage of Lignocaine depends on your age, weight and presence of other systemic ilnesses. The drugs are injected into the knee joint and usually do not cause any systemic complications. However, sometimes Lignocaine gets absorbed into the systemic circulation and may cause neurological complications like dizziness, heaviness, unsteadiness, etc. Your symptoms appear to be related to this. However, Lignocaine in the circulation is very short acting and these effects usually wear off in a short time without any further long term implications. Kindly let me know if you need anything else." + }, + { + "id": 17945, + "tgt": "Can urine become dark due to smoking?", + "src": "Patient: Hi doctor, I used to smoke 10 cigarettes daily for the past two years.\u00a0As of now I do not have any problem, except some pain in my throat in the early morning and it stays sore all the time. I want to know, can I have any test to check whether some harm has happened or not? I am very much\u00a0afraid of cancer and I have stopped smoking. My urine also has turned deep yellow for the past six months. I\u00a0have dark circles over a long time, but nowadays it has increased. Is there any connection with cigarettes? Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 25418, + "tgt": "I have pain below ribs on the left. What is causing it?", + "src": "Patient: Hello doctor, I am a 31 year old male. Recently, I have been diagnosed with tubercular lymphadenitis and started the treatment three days back for TB. My USG whole abdomen reveals hemangioma of the liver. I have pain in left side below ribs which radiates to back and a couple of months back on CT scan done for other reasons showed stomach rugae thickening. Now my question is what is causing the pain? Can stomach rugae thickening cause pain in that area? What is the treatment of stomach rugae thickening? Please suggest medicine for it. One of my brothers who is a pharmacist suggested Pantoprazole and Acogut 100 mg tablets. Is it worth taking the medicine for stomach rugae thickening? I need your suggestion. Can bacterial infection like tubercular lymphadenitis cause mild splenomegaly? Doctor: Hello. Rugae thickening by itself is not going to cause you stomach pain. Such thickening is usually normal or a result of hyperacidity, or rarely Menetrier disease. Now, first of all, you need an upper gastrointestinal endoscopy as well as a biopsy to rule our H.pylori infection and other causes. Tuberculosis can also cause such thickening. It is unlikely that tuberculosis would cause mild splenomegaly. However, it is important to see if tuberculosis has involved spleen also. You can take the medicines suggested by your pharmacist but cross check with your doctor in case they have given the same with your tuberculosis medications. I hope it helps you. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9028, + "tgt": "I have phimosis. Will sex be a problem for me?", + "src": "Patient: Hi doctor,I have phimosis. I am ashamed to have sex with my fiance. Will sex be a problem or uncomfortable in future? Is there any solution other than surgery? Doctor: Hi. Phimosis is a condition where the foreskin is tight around the glans penis or the soft tip of the penis. I am sure you have not consulted any doctors for the same. I would suggest you get it examined. The problem is that, when you are aroused at the time of sex, the size of penis increases and the skin will not come up at all. The pleasure of sex is when the glans rubs in the vaginal wall. Your partner will have no problem, but you may not get all the pleasure, as the skin or foreskin covering the glans will block the stimulation of glans. Either you will have premature ejaculation (inability to hold back the semen or control ejaculation) or erection problem. Another issue is that if you or your partner forcibly pushes the foreskin back in the heat of the moment, the skin may get stuck and form a tight ring around the glans just like a bangle at the wrist. The skin may not return, blocking the blood flow to the tip, every minute the glans gradually starts swelling and changing in color to purple or bluish. It is very painful and if left untreated, leads to irreversible damage to the glans. The condition is called paraphimosis. Circumcision or removing the skin over the glans surgically is the best and only solution for phimosis. This is a simple, painless procedure done by a general surgeon. It can be done under local anesthesia, with no blood loss and no need for admission. You cannot have sex till it heals. But after that, your sexual time will gradually increase. For further information consult an Urologist --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9024, + "tgt": "Can disc herniation cause testicular pain and make my testicles to retract?", + "src": "Patient: Hello doctor, I am a 48 year old male. Ten days back, I noticed that my testicles\u00a0has moved up and are receding into my\u00a0groin. I also have a\u00a0dull pain in the testicles. This pain is not always there, but it happens on and off.\u00a0I am worried that this may be a serious condition. Could you please let me know what could be the reason for this condition. Which specialist should I consult in my city?\u00a0 I would also like to point out that I am also suffering from lower back pain for the\u00a0last couple of months. The pain is in the lower back, right hip, and also both sides of the\u00a0lower abdomen. I got an MRI last week, which showed herniated disc in L4-L5 region of the\u00a0spine. The doctor suggested endoscopic spinal surgery. I am yet to take a call on this.\u00a0I am not sure if the above two conditions are related. Are both my issues\u00a0related? Doctor: Hi. Sorry to hear about your pain. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15277, + "tgt": "I have bad breath and smelling mouth. Could tonsil stones be the reason?", + "src": "Patient: Hi doctor, I always have bad breath and a smelling mouth. Recently, I found stinky tonsil stones. Is there any antibiotic or treatment available to cure it? Doctor: Hi. Bad breath or halitosis is a problem where the breath is smelly. It has some causes from food to some disorders. As you have tonsil stones, you can have infections in it. It can be treated by using antibiotics. If you have a recurrent infection in the tonsil, then I suggest you visit an ENT specialist. If you are not allergic to antibiotics, you can take Azithromycin tablet once a day for three days. If the infection persists, continue taking it for six days. Take Montral (Montelukast with Levocetirizine) tablet daily after dinner for seven days. Do mouth gargles using Chlorhexidine mouthwash (1:1) two times daily. Maintain oral hygiene. Brush your teeth two times daily and floss it every day." + }, + { + "id": 17367, + "tgt": "I am passing urine with little strain. Why?", + "src": "Patient: Hi doctor, I am 40 years old. From last two days I am suffering from frequent urination during day time with little bit burning sensation. My blood sugar and BP are normal. Urine flow is not so strong.\u00a0I used to urine by pressing the penis and this is not the first time. As far as I can recall it from age 20, I am often suffer with the same issue. Please suggest me. Doctor: Hi.I have some more queries about your complaints. As male urethra is S shaped some urine gets trapped and milking often clears the trapped urine at the end of urination. The complaints you have quoted may fit into one of the below. BPH usually occurs after 50 years, which is not in your case as you are having these for the last 20 years. Recurrent UTI is a consideration which can be ruled out by CUE (cumulative urinary excretion). For strictures and diverticulum you need catheterization to rule out or radiographic evaluation of urethra with contrast like retrograde cystourethrogram and ultrasound. I would advise you to avoid dairy. 1. CUE. 2. Ultrasonography of abdomen with focus on prostate and post volume. 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": 30243, + "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": 20586, + "tgt": "How can high blood sugar levels be controlled?", + "src": "Patient: Hello doctor, My husband had an issue of multiple urination and high thirst. I checked his sugar, he is 30 years old. His random sugar was 419. I have gone through the various tests. I need a doctor to check the reports and suggest the instant treatment. His fasting is between 218 to 257. Doctor: Hi. I went through your husband's reports, plus from the information you provided. This is my advice. He will need a detailed examination and a few more tests to determine if he is type 1 or type 2 because he is very young. His glucose levels are critically high from my assessment and he needs to start immediate treatment with diet control, a medicine which will include a pill and a short-term insulin once daily until his sugar is under control. He is significantly overweight and will need to lose weight eventually with good diet control and exercise. Until he sees a doctor, the following is my advice. Diet restrictions: He should stop eating any sugar-containing item right away. No cold drinks, no fruit juices, soda, cakes, ice cream or sweets. Cut back on the portion of rice, potato, and bread in food. Medication: He can start medication (Pill)-Glucophage (Metformin) 500 mg, one tablet with breakfast and with dinner right away. When he sees a doctor they can choose to add Insulin or another medication. His cholestrol is very very high. He willl need treatment for that as well. Unless he starts to control his diet no medication can control his blood sugar." + }, + { + "id": 12568, + "tgt": "I have calcified meningioma with dizziness and frequent headaches. Please advise", + "src": "Patient: Hello doctor, I was diagnosed with a 9 mm diffusely calcified meningioma and have been having symptoms such as dizziness, loss of balance, ringing in ears and more frequent headaches. I was told it was a big nothing. But I am not sure. Six months back I went to the ER with a pain in my head around right ear and back of the skull, no one could touch it or me. I had never experienced such pain. Doctor: Hello. I have reviewed your CT scan and it showed a meningioma at the right cerebropontine angle (attachment removed to protect patient identity). This tumor is small however if this cause you dizziness. The best way to approach it is to take medication like Betahistine 16 mg tablet twice a day. It is wiser to observe this tumor if it is not causing harm like compression on the brainstem and cranial nerves. Contemplating on surgery is not a choice at this moment because it is not guaranteed that you will preserve your hearing after the surgery. Waiting for tumor growth outweighs surgery at this time, but if you are worried about it, you can seek to consult with a neurosurgeon and discuss gamma knife surgery wherein it halts the progression of growth. This should help you as your guide." + }, + { + "id": 26912, + "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": 18391, + "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": 15859, + "tgt": "My sugar levels are high along with painful weak limbs. What to do?", + "src": "Patient: Hello doctor, I am having some weakness issue and pain in limbs. I am diabetic for the last five years. My current fasting blood glucose level is 200 and PP is 278. HbA1c is 8.5. Current medicines are Galvus Met 50/1000 twice daily. Diamicron XR 60 two tablets. Pioglit 30 once during dinner. Supradyne once before food. Doctor: Hello. I have seen the details given, including the laboratory reports (attachment removed to protect patient identity). Your blood glucose (both fasting and PP) are high. Fasting is particularly much higher. HbA1c % is also fairly high, both these suggest there is improper control of diabetes. This itself can be the cause of weakness. Ideally in well-controlled diabetes fasting glucose should be <100 mg, PP 150 to 160 mg and HbA1c % < 6.8. Therefore, looking at this situation there is a need for upgrading the treatment with some additional drugs plus there has to be a closer look given to your diet and exercise schedule. So, I would like to know your diet pattern and extent of daily exercise being done. I suggest an addition of tablet Teneligliptin 20 mg plus Metformin daily once just after lunch. I am enclosing the prescription." + }, + { + "id": 29300, + "tgt": "How to treat the lump in my outer labia?", + "src": "Patient: Hi doctor, Initially, I noticed a lump in my outer labia or labia majora. After a month, it grows like a small ball, and I felt hard to walk. Before a while, it accidentally bursts out, and some dripped from it. Since then, I do not have a regular period. What to do? Please help. Doctor: Hi. You have two problems, and they are the lump in labia and irregular periods. Your expected weight for height of 121.92 cm is 22 kg to 26 kg. So, the common cause for both the problem is obesity. Your lump is most probably a sebaceous cyst. It is a gland in the layers of skin, which produces oily discharge and keeps skin moist. It is seen at the base of the hair follicles. When you put on fat, there is a lot of fat deposits on the thigh and the labia. Due to fat, the gland mouth which is very narrow may get blocked due to dirt or sweat or periods blood or tight undergarment. But, the secretions from gland do not stop. They keep forming, and gland gradually swells up. Slowly the secretions become harder like a ball. One point on the surface may give way, and discharge or blood may come out. The solution is to reduce weight, wear a loose undergarment, keep the labial area as dry as possible, do not use powder, oil or lotion to labia. All this will prevent further blocking of any other glands. When you put on an extra pad of fat around the mid-segment of the body, the fat gets converted to hormones, which alter the hormonal balance of the body. Fat around thighs, breast and waist form female hormones, but in larger quantity. You would have seen fat males with breast and it is the female hormone in them. Due to hormonal imbalance ovulation will not occur on time. So, periods will not happen. If you suddenly put on or lose weight, the hormone imbalance can occur. Incidentally, you had that lump bursting with no periods. Solution to both the problems is trying to lose weight. I know it is easy to say, but tough to do. Give it a try and see the difference. Avoid red meat, high calories diet and junk food. Have a lot of proteins, fruits and vegetables. Do aerobic exercise, yoga and brisk walking. Tyr to lose 2 kg to 4 kg per month. If you lose 5 kg, then your periods will regularize, and over time such lumps will not appear. If the present lump is very bothering, you can meet a gynecologist or a surgeon who can just remove it. It is not a major procedure. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26763, + "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": 25101, + "tgt": "Why is my baby's stool foul smelling?", + "src": "Patient: Hello doctor, My baby is five months old. When she passes stool, it is very thin and smelly. She passes stool five to six times a day. This problem has been for two days. Please help. Doctor: Hello. I need to get answers to the following questions. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29682, + "tgt": "According to the report, is it necessary for my wife to take supplements?", + "src": "Patient: Hi doctor,Kindly see the laboratory reports of my wife. She is pregnant. Her age is 30 years. Our doctor has given certain medicines of vitamins, iron, etc. Doctor: Hi. My hearty\u00a0congratulations for becoming a father. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18100, + "tgt": "I am not getting married because of my facial hair. Please help", + "src": "Patient: Hello doctor, I am a 32 year old\u00a0female. I have PCOD. My doctor\u00a0prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please\u00a0suggest me a low-cost treatment. Doctor: Hello. The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30290, + "tgt": "I have got different opinions for my TSH value. Which one is correct?", + "src": "Patient: Hi doctor, I am very concerned about my health. I made an appointment last year with an endocrinologist. I had a laboratory work and my TSH was 3.4. It was considered normal on laboratory ranges. But, my primary doctor said that 3.4 is high on what it should be consider the new normal. My LDL cholesterol was also high. After a year of very good nutrition, I asked my doctor to also check my free T3, T4 and reverse T3. Basically, I did this because of my research. Laboratory work came back as TSH 5.8 (out of the normal) and my doctor said it was fine, again. Free T3 low and he said it was fine. Reverse T3 a little on the high end. Based on the research, when free T3 is low it can affect cholesterol and then both thyroid and cholesterol affect my free testosterone, which is lower now. He just gave me medicine for cholesterol. I went to another doctor and he said that he only considers hypothyroidism when someone is with TSH higher than 10. He is completely different than all information on the internet and books. He said my cholesterol is high, but HDL ratio to triglycerides was good. He thinks that I may be the exception and have a problem with a 5.8 TSH and wants to give me Synthroid. I am planning to go to another doctor. My TSH is high and my free T3 is low. It can be a conversion of T3 to T4 problem. Therefore, in order to solve it, I need Armour or Armour plus Cytomel. But, the two doctors whom I consulted, think that my TSH is fine. They believe TSH is the important part, when everywhere doctors keep repeating to check FT3 and FT4 and reverse T3. I need your opinion. Thank you. Doctor: Hello. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28545, + "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": 27967, + "tgt": "My son has pain in his right knee from one year. What could be the reason?", + "src": "Patient: Hello doctor, My son who is turning 4 in two months, has been complaining about pain in his knee for over a year now. His pediatrician told us that it was growing pains and is normal. However, it has been there for too long and it is always just the right knee. He cries at different times in the day about his pain, mostly at night and after school. He holds on to his leg right under his chin, cries, and does not let us touch him. Some nights he cries himself to sleep from the pain. There is no swelling, bruises, redness, or anything in his knee that looks or feels abnormal. What could it possibly be? Which specialized doctor should I take him to and what tests should I expect him to do? Doctor: Hello. For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 4646, + "tgt": "How to improve my sugar level?", + "src": "Patient: Hi doctor, My diabetes started as gestational diabetes around seven years back. I am taking NovoRapid 24 units three times a day and Lantus 30 units at night daily. But, my blood sugar levels are not at all coming down. Previously, I took tablet Zoryl MV 1 and 2. I am using these Insulin for the past six months, but there is no improvement in my sugar levels. Also, my HbA1C is greater than 9. Please help. Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 13329, + "tgt": "What does HbA1c level of 6. 3 indicate?", + "src": "Patient: Hello doctor,I took my HbA1c blood test and it came back 6.3. Am I diabetic or pre-diabetic? I have brought a change in my eating habits completely and exercising twice per day. Will this reduce my results in six months or I should take diabetic medicines? Doctor: Hello. HbA1c % 6.3 is considered a pre-diabetic state. Following are the criteria to diagnose diabetes: 1. Normal: FBG: 70 to 100 mg/100 ml, PP: less than 140 mg and HbA1c % less than 5.7. 2. Pre-diabetes: FBG: 101 to 125 mg, PP 141 to 199 mg and HbA1c % 5.7 to 6.4. 3. Diabetes: FBG: 126 mg and above, PP: 200 mg and above and HbA1c % 6.5 % and above. Fortunately, when a person is in a prediabetic state, it can be reversed or prevented from progressing to diabetes or progression to diabetes can be delayed for a very long time by adopting a modified lifestyle. Which means taking a properly balanced diet that provides calories just as much required based on ideal body weight and extent of daily exercise. Secondly, exercising regularly for over one hour and maintaining near normal weight. Plus avoiding sweets, junk foods, pastries, bakery items and increasing the intake of fiber-containing foods, green leafy vegetables, salads, and fruits. Refraining from alcohol and smoking is also helpful." + }, + { + "id": 22956, + "tgt": "Are my symptoms pointing towards Crohn's disease?", + "src": "Patient: Hello doctor,I am a 39-year-old female suffering from abdominal pain and intermittent diarrhea. Had a CT with contrast that revealed bowel wall thickening in ascending and transverse colon- possible transmural thickening, that may just be artifactual, but it did show up and warrant GI consult. Abdominal X-ray was negative for obstruction, but there were distended loops of the bowel where the pain is. The main issue at this time is continued pressure and fullness on RUQ and LLQ. Feels like I need to have more bowel movement and have incompletely evacuated. No nausea or vomiting. All labs are normal including ESR. Colonoscopy and upper GI scheduled in few days. How likely is Crohn's diagnosis with these symptoms and workup? Doctor: Hi. You have a suspected thickening of the right colonic wall and features of subacute obstruction (attachment removed to protect patient identity). Crohn's can be a possibility but chances are less. The next step would definitely be a complete colonoscopy. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18420, + "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": 27136, + "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": 27418, + "tgt": "My wife has neoplasia and a fibroid in her uterus. Is hysterectomy the only option?", + "src": "Patient: Hi doctor, My wife is 51 years old, and she weighs 60 kg and 1.58 m tall. She took a Pap smear test and found out that she has neoplasia 3 and a fibroid of 5 to 6 cm. We consulted a gynecologist and, who advised removing the uterus and ovaries. Please advice. Is removing the uterus the only option? Doctor: Hi. Hope I have answered your question. Thanks and take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1805, + "tgt": "How to get rid of redness and facial flushing due to retinol usage?", + "src": "Patient: Hello doctor, I have facial flushing in my cheeks for about one month and have not gone away. It varies from mild to bright red day today. It began after I tried using Retinol and experienced peeling so I stopped after one week. I saw a doctor who said it was contact dermatitis because I used other harsh products during the Retinol treatment. However, I can see broken capillaries on my cheeks. Is this rosacea? How can I make the redness go away? Doctor: Hello. Flushing, persistent redness and telangiectasia could be signs of rosacea. Moreover, retinoids can flare up rosacea. A common cause of rosacea in some individuals is the usage of potent topical steroids on the face. Is there such a history? However, they are not implicated in a large number of cases. I suggest you to use a broad spectrum sunscreen and avoid the sun. Do you also have acne? Why were you using retinoid? What other products you have been using? I request you to kindly upload an image of the skin so that I am able to have a look and guide you accordingly." + }, + { + "id": 2234, + "tgt": "I have a feel of something stuck in the throat after eating bread. Why?", + "src": "Patient: Hi doctor, I was eating wheat bread sandwich last night. After eating, I felt like something was stuck on my throat. I slept on it and the next day, I still feel that something is stuck like a knife feel. I am currently on Effexor 3 mg and Mirtazapine 7.5 mg. Doctor: Hi. The bread could have caused injury to the posterior pharyngeal wall or larynx. Can you send me a picture of your throat?" + }, + { + "id": 8218, + "tgt": "I have dry cough, with loss of appetite and internal body shaking. Why?", + "src": "Patient: Hello doctor, I am experiencing a dry cough, and feel like my body is shaking internally without visibly seeing the shaking. I sometimes feel like I am running out of breath. I can feel my heart beat. I am also being forgetful and lack mental clarity. I have significantly lost my appetite. Please help me understand what I am going through. Doctor: Hello. All your blood and ECG reports are normal. If I were a treating physician, then I would have given you a full antibiotic course like Amoxicillin Clavulanic acid preparation like Augmentin for five to seven days depending on your body weight. Kindly get the prescription from any doctor for that. Antihistamine tablet-like Levocetirizine recommended for three to five days. If you did not get relief from this regimen, I would like to recommend blood culture done. I hope this information helps." + }, + { + "id": 22307, + "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": 4326, + "tgt": "My 7-month-old baby lost her weight after stopping formula milk. Kindly suggest food plan", + "src": "Patient: Hi doctor, We have a baby of 7 months old. I would like to mention the previous history here. My wife does not have breast milk so she cannot feed it. We are offering NanPro-I to the baby. She is very active and smiling all day. Doctor told to start solid to her with cow's milk. Doctor offered a schedule as below, give her mashed rice once a day and cow milk and Nanpro as well. But now we found that her weight is lost by 10 gm compared to the last 15 days weight. Her weight as of now is 6.315 kg which was earlier 6.325 kg (15 days back). My wife has reduced her Nanpro almost all (around 60-90 ml per day is given to the baby) and started feeding her with cow milk for the whole day from the last three days and from the last three days baby is having a very solid stool. She also had pain while doing that. She is also getting irritated for the past three days. Why? We need your guidance. Is it correct to reduce Nanpro while increasing cowmilk? Do we still need to continue Nanpro? How to deal with this solid stool which is giving her pain? She does not have blood or something in the stool but she is having pain while doing it. We are worried about her weight loss as well. Can you please guide us for her food so that it will suit her with weight gain and no pain? Doctor: Hello. Your baby is now 7-month-old, now you can give her food other than milk also. But it should be offered in a way your baby will accept. I mean to say you have to give semi-solid food because your baby cannot chew enough to digest solid foods and some time is needed to get adjusted for both baby and mother. This is the time when feeding difficulty starts. So do not worry. You can offer your baby semisolid foods like mashed rice in milk, porridge made of rice, ragi, etc, mashed potato, and banana. Add more milk to make it less thick. You can offer food six to eight times in a day once or twice overnight (milk for three to four times and semisolid foods rest of the schedule). Give in small quantities at each time gradually start introducing more solid food over the next four to five months. About which milk to use: you can use any type of milk usually what the family consumes add one spoon sugar to 10 spoon milk and feed with a spoon. Never use a feeding bottle, if you have a habit of bottle feeding. Please stop it and never use again. You can add ghee or butter to semisolid foods which will increase the calorie content of food and also make it tasty. Once your child starts accepting these things you can slowly come down on the quantity of milk and change the menu accordingly. About formulas Nanpro, there is no harm using it, but you have a lot of other options from homemade foods itself. Do not worry, your baby will gain back the weight. I hope I have addressed all your issues." + }, + { + "id": 17846, + "tgt": "My father has severe headaches and nausea. I want a second opinion on his MRI of brain", + "src": "Patient: Hi doctor, My father is 70 years old, and he had severe headaches and nausea a few weeks ago, so the doctor ordered an MRI brain. \u00a0Based on the results, he is taking some medications and is doing well. I want a second opinion, just to be sure that there are no other issues. I am attaching his brain scan results. He had an open heart surgery 11 years ago, to remove some blocks. Doctor: Hi. I have gone through your query and the reports (attachment removed to protect patient identity) with diligence and would like you to know, that I am here to help you. Let me know if I can assist you further. Revert with more information to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 10876, + "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": 21257, + "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": 12790, + "tgt": "What is causing gum swelling and bleeding with bad taste?", + "src": "Patient: Hello doctor, I am experiencing swelling of the gum on my molar and bleeding, as well as a bad taste in my mouth. I have a picture and it looks as though there might be some food stuck in my gum or even my wisdom tooth coming in. I am not entirely sure but I would like an opinion on the picture, if possible? Doctor: Hello. I can see in the attached picture (attachment removed to protect patient identity). There is an infection present in your last molar region, most probably it is due to third molar impaction and known as pericoronitis. Sometimes it is also due to abnormal cheek biting. You should avoid spicy and hot food. Make proper oral hygiene, you could also use salted water to rinse your mouth. Please see your dentist for a clinical examination and treatment. A dental X-ray should be taken." + }, + { + "id": 17730, + "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": 13446, + "tgt": "How can I overcome pruritus ani? Please help", + "src": "Patient: Hi doctor, I have a skin condition. As per my research, it could be pruritus ani. But I am sure I would get a proper and accurate diagnosis from your end. I have a severe itchy bum and have been suffering from the same for almost eight years. I have never had the courage to consult a dermatologist in person because of the reason for a physical examination. All I am looking forward is a cure to it as it has been really disturbing lately. I would highly appreciate your suggestions. Doctor: Hi.I can understand your concerns as I have analyzed each detail that you have provided. I have managed lots of cases with matching condition and feel that you too will make good use of the information and suggestions. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch-scratch which is bound to have resulted in thickening of the affected skin." + }, + { + "id": 12390, + "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": 17223, + "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": 3255, + "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": 1188, + "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": 28760, + "tgt": "What are the risks associated with chickenpox during pregnancy?", + "src": "Patient: Hi doctor,My wife is 7 months pregnant. We found red rashes on her body two\u00a0days back. Today, two of them found as blisters. We met the doctor and she said it as chickenpox. Can you advise the precautions we need to take? Also, what are the risks associated with this? She is currently on Amoxicillin and Potassium clavulanate 625 twice daily. Doctor: Hello. The chances are good that your baby would be fine. If you get chickenpox during the first or second trimester, then there is a slight risk (less than 2 percent) that your baby could get congenital varicella syndrome. The risk is highest if you are infected between weeks 13 and 20. You can be given an antiviral drug called Acyclovir within 24 hours of the chickenpox rash appearing. This will reduce fever and symptoms. Acyclovir is only recommended when you are more than 20 weeks pregnant. There is no medication during pregnancy is without its risks, and these will be discussed with you by your obstetrician. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19400, + "tgt": "I have anal bleeding because of piles. What treatment can be had?", + "src": "Patient: Hello doctor, I am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. What should I do? Doctor: Hello. I would suggest the following at this point in time. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This is going to help you a lot. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22849, + "tgt": "I am not gaining weight. Please guide me if I need any check-up", + "src": "Patient: Hi doctor, I am 24 years old male. For the past five years, my body weight is 45 kg and no changes in weight. I look very skinny and sometimes, get heat abscess too (in six months I have got at least 15 to 20 abscess). Kindly help me why I am unable to gain weight. I have no other health issues. I am normal. The only thing which bothers me is weight and abscess. Guide me if I have to do any checkup. Doctor: Hello. First of all, check your blood sugar level as diabetes can be the reason for repeated infection and abscess. So if diabetes present sugar level should be controlled. Investigate with serum TSH (thyroid stimulating hormone) to rule out the thyroid issue. If no any organic cause present than nutritionist help taken to modify diet. Consult a physician for examination. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11716, + "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": 5530, + "tgt": "I feel pain in thigh, back and breast after taking Unwanted 72. Kindly advise", + "src": "Patient: Hello doctor, Me and my fiancee had sex. But there was no penetration and no ejaculation. I ejaculated in washroom and wiped myself with a towel but we did again after 10 minutes. This time also there was no ejaculation. We got scared and took Unwanted 72 within 48 hours. After taking pills she skipped her menses on her due date but on then last day, periods started and lasted for five days with heavy flow. Now, periods have stopped but she still complains about lower back pain, pain in thigh area and breast tenderness. Are these due to pill side-effects? Doctor: Hello. As she had the withdrawal bleeding for five days already after taking the pill, it indicates that she is pregnancy safe. But the present breast soreness, low abdominal and backache is due to progesterone effect and is common due to the high dose progesterone. This shall subside in next 24 hours if she increases her daily water intake to 4 to 5 litres to counter the Progesterone effect." + }, + { + "id": 22478, + "tgt": "Can I travel two days after an extraction procedure?", + "src": "Patient: Hello doctor, I am having two extractions in a few days and I have a three-day beach trip planned two days after the procedure. Is it safe to still go? We will walk around and swim and that is probably all. I have a temporary cover over it because they drilled a hole in the tooth to find out how far the decay went. So, I do not know if I should wait and get it done after the beach or do it before. Two days should be enough time for it to stop swelling, right? Am I alright to go? Doctor: Hello. You need to be very careful for at least 24 hours after the extraction like avoiding rinsing your mouth too hard to running or jogging, eating cold and soft food, etc. Ideally, you should not be having any problem if you follow all the instructions properly 24 hours after the extraction. But some of the things you need to keep in mind for the first week are avoid smoking, brushing on the affected side, and excessive spitting. So, take proper care of your teeth after the extraction and if you feel alright then you can go for the trip. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2687, + "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": 3693, + "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": 14171, + "tgt": "How to correct forward-bent spine?", + "src": "Patient: Hi doctor, My sister is 14 years old. She cannot ultimately stand straight. Her spine bends forward a little near the upper back and shoulders. Could you please suggest me a remedy? Doctor: Hi. Thanks for using this platform. It sounds like your sister has a forward bend in her upper back when you look at her from her side. Is this correct? We give this forward bend a name called kyphosis. While kyphosis can have numerous causes, the most common in this age group is postural. Kids in their early teens develop the habit of stooping forward at their lower neck. This habit is often known to be secondary to sitting in front of computers, laptops, tablets, etc. Constant bending forward of the neck makes the upper back adopt this abnormal posture. Also, the habit of keeping shoulders protracted in a forward position is also common in this age, especially in girls. Very rarely, she may have a structural cause of kyphosis. A common condition in this age is Scheuermann's kyphosis which is due to the collapse of the discs between the thoracic vertebrae. It is, however, more common in the mid-back rather than upper back. Nevertheless, she should be evaluated by a spine surgeon with expertise in spinal deformities to rule this out. If it turns out to be postural, a course of physiotherapy focused on postural training can be helpful. I will be happy to go into details of the exercises and review any x-rays that may have been done already." + }, + { + "id": 19679, + "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": 30006, + "tgt": "My baby's poop is yellowish green. Is it normal?", + "src": "Patient: Hello doctor,My 3 months old baby's poop is yellowish green in color. Is that normal? Doctor: Hi. I can understand your concern towards your child's health. Colonoscopy and ultrasound abdomen. Specific food intolerance. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29271, + "tgt": "Can I take a break in my treatment for depression?", + "src": "Patient: Hi doctor, For the past three years, I have been taking antidepressants. I had Seroxat, Cipralex, Zoloft and Cymbalta after a doctor's prescription. But, I am still depressed. After reducing Cymbalta dose, my doctor advised me to start taking Prozac. I feel so tired with the side effects of those medicines, and I told my doctor that I need\u00a0two months break from these drugs. I would like to have your advice for taking the right decision especially that I am in university and would not want my grades to get affected. Thank you. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18194, + "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": 10322, + "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": 26591, + "tgt": "I have a bony lump on the side of my foot. Could it be malignant?", + "src": "Patient: Hello doctor, I am a 32-year-old healthy woman. A few days ago, I noticed a small bony lump on the side of my foot\u00a0below my ankle, which was not symmetrical on the other foot. It was a small sharp bony protrusion of around 1.5 mm and I could see it through my skin. I am very sure I did not have this thing before say one year ago or so. There was no pain when I touched it and no inflammation visible. I have attached a photo of it as well. You can easily see the pointy bony protrusion from that position. My question is can this be a benign bone spur or is it possibly something more serious? Is that spot on my foot typical for bone spurs? I have been walking a lot\u00a0lately since I have a 10-month-old baby and I did feel my ankles getting a bit strained after each walk. Should I go to a doctor now or can I just monitor it and see what it does? Also, can bone spurs continue to grow or only malignant stuff do? Many thanks for any information. Doctor: Hello. This seems to be benign. So, you should not worry. 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. For more information consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10846, + "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": 5018, + "tgt": "My husband takes Citalopram and Abilify along with alcohol. Will it risk his health?", + "src": "Patient: Hello doctor, My question is actually regarding my husband. He is currently taking Citalopram and Abilify for his depression. He works a manual labor job and is consuming a cup of coffee every morning, two energy drinks, and a five-hour energy during the course of the day. He then comes home and drinks four to six beers and had three to five shots of hard alcohol as well as smoking marijuana all night. He has been diagnosed with sleep apnea and never uses his CPAP machine. I have told him my concerns but he tells me that he is fine. He will not talk to his primary and in fact, lies to him on a regular basis about his lifestyle. What health problems is he at risk with his current lifestyle? Should I contact his primary? I am very concerned about his drinking and lack of sleep are increasing. Doctor: Hello. His lifestyle is detrimental to healthy living. One should never mix Citalopram with alcohol and that too in sleep apnea patient. The center of breathing in the brain in these patients is stressed as the patient is not getting oxygen properly and hence constantly needs to wake the patient in the night to maintain that. Now alcohol and Citalopram will hinder this function which can be very dangerous plus him not using CPAP (continuous positive airway pressure) makes this dangerous. People with sleep apnea remain very sleepy throughout the day and hence he might be taking all those energy drinks which will end up increasing his weight and cause more sleep apnea. I suggest to stop all energy drinks and alcohol completely and use CPAP which will keep him energetic throughout the day as well. Do revert back if you have any further queries." + }, + { + "id": 28136, + "tgt": "Is it safe to wait for more than 12 hours for normal delivery of a dead fetus?", + "src": "Patient: Hello doctor, My sister is 26 weeks pregnant, and today they found that the baby's heartbeat has stopped. It has already been more than 12 hours since the baby passed away, but the doctors are waiting for normal delivery. My sister has a fever now. Is it safe for to wait? The\u00a0doctors are trying to convince us for this. Doctor: Hi. Sorry to hear about your sister's loss. Hope I have clarified your query, do write back.\u00a0All the best. For more information consult an obstetrician and gynaecolgoist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15757, + "tgt": "Why is there high fasting blood glucose level?", + "src": "Patient: Hello doctor,My MPV has been high with a range of 12.1 to 13.9 and my platelets have ranged from 128 to 173 for the past four years. The most recent is MPV of 13.9 and platelets of 157. I also had a high fasting blood glucose this time of 109. This is the first time that I have had a fasting glucose. My fasting glucose level was 91 a few months back. Any ideas or suggestions would be appreciated. I would also like you to note that I contracted Lyme disease from a tick bite in 15 years back. The antibodies were still active in four years back at 2.09. Currently, I am taking Zyrtec 10 mg daily and Clobetasol for skin dermatitis. Doctor: Hi. I must compliment you for the excellent spreadsheet of your laboratory results. Regarding your CBC, we look at all three lines, Hb, WBC, and platelet count. A little variation individual to individual basis and with age is common. I can see that you are pretty young. At this moment I can see that Hb 13.1, WBC is 3.71, and platelet count is 165. I agree with few past reports of variation on platelet count and others cells in your case which happens to all of us (attachment removed to protect patient identity). To me, it is still not clear why you required two units of blood transfusion in the past. However, at this moment there is nothing major concern which I can point out at this moment. In future, if you go anemic, then please get your iron profile, vitamin B12 level, and folic acid level checked (not now). Fasting sugar of 109 is known as pre-diabetes, but that needs recheck which your primary can easily do. Make sure what is your HbA1c level is because greater than 6.5 is required to make a diagnosis of type 2 diabetes. Lyme is not of any issue for you." + }, + { + "id": 25753, + "tgt": "Why is there numbness in the hands after so many years of accident?", + "src": "Patient: Hello doctor, My brother met with an accident 20 years ago. Now, he has some numbness in his hands. We have attached the reports of the scan had recently. Kindly suggest treatment. Doctor: Hello. I have carefully reviewed the uploaded MRI (magnetic resonance imaging) report (attachment removed to protect patient identity). It indicates cervical spinal cord compression in the cervical region. This compression is responsible for his hand numbness. For this reason, I recommend consulting a neurosurgeon and discussing a decompressive surgery and other possible treatment options. Meanwhile, it is necessary holding a cervical collar. At the lumbar spine region, there are also some similar problems. But they are not related to the hand numbness. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25468, + "tgt": "Am I a suitable candidate for bladeless technique LASIK surgery?", + "src": "Patient: Hello doctor, I am interested in LASIK laser. My eye side number is R = - 1.75 and L = -2.25. My cornea focus is 590 590. Please advise me a little bit about what to do about customise Vs. bladeless technique surgery. Doctor: Hello. I think it is a good decision to go for LASIK as your refractive power and corneal thickness is within requirement, ideally, both eye numbers should be same for LASIK but you may ask your LASIK surgeon regarding this. Also, I prefer bladeless LASIK, that is femtosecond LASIK which is much better than using microkeratome. In bladeless LASIK all the steps will be done by LASER. So, it is better than customised LASIK. I hope I have solved your query. Thank you. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6135, + "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": 17684, + "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": 5702, + "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": 11893, + "tgt": "What does streakiness in X-ray of lower lung indicate?", + "src": "Patient: Hello doctor, I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection. I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive? Doctor: Hello. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts." + }, + { + "id": 8223, + "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": 30197, + "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": 4293, + "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": 22066, + "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": 13434, + "tgt": "Is nebulizer a must for bronchiolitis?", + "src": "Patient: Hi doctor, My 9 months old baby had a high fever, cough, and cold. Initially, it was the fever that was concerning. Later the cough was severe and hospitalized for bronchiolitis. He was put on a nebulizer and after three days his condition has improved. So, the doctor suggested moving from the nebulizer to Asthalin huf puf. Later that night, he had a continuous cough for one hour and was then back on nebulizer. He is put on oxygen support as his SpO2 dropped to around 86. We are much worried as he is premature and was formula fed mostly. Please let us know if this behavior is normal with bronchiolitis. Doctor: Hi. The symptoms that your child has been suggestive of bronchiolitis. In bronchiolitis, nebulization needs to be given for five to seven days; usually, the child recovers in seven days. Your child was discharged from the hospital and developed respiratory distress after continuous cough and spO2 has decreased. I think that during continuous cough your child has aspirated the food and this has now led to bronchopneumonia. In my opinion, your child needs antibiotics and nebulization with a repeat chest x-ray to see the extent of pneumonia. I think your child needs admission for a week after which he will be alright. Take care of your child." + }, + { + "id": 6601, + "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": 28608, + "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": 11505, + "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": 5614, + "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": 14202, + "tgt": "What remedy can be used to cure nosebleeds and discomfort due to pollen allergy?", + "src": "Patient: Hello doctor, I have a problem with my allergies. I believe I am allergic to pollen and I have these allergies all year long. I am always snuffing, wiping, started to have nose bleeds recently. I tried every over the counter allergy pill and spray and nothing gives me release. What should I do? Is there a doctors prescription I should take? Or remedies I could do? Any suggestions for anything to stop this discomfort and nosebleeds? Doctor: Hi. Nose bleeds are due to running nose, dryness and crusting, all of which manifest in allergic rhinitis. You need to get a skin flick testing done to check what you are allergic to. Thereafter you should try allergen avoidance, pharmacotherapy and some precautions. If these fail, you can go for immunotherapy. If you need details, you may revert back." + }, + { + "id": 8268, + "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": 29634, + "tgt": "Do you think I would have got hepatitis C or HIV?", + "src": "Patient: Hello doctor, I am concerned as I tried cocaine 10 days ago. I used a bank note to snort it but did not share the note with anyone. There was no visible blood, etc. on the note. I had a cut in one of my nostrils and had an open wound. I was feeling unwell before this, but then got flu and cold a day later and still do not feeling great even after 10 days. Now, I have diarrhea. Do you think, I would have got hepatitis C or HIV? Most forums say that there\u00a0are few chances, but highly unlikely. Please give your expert opinion regarding the same. Doctor: Hi. For further information consult a\u00a0HIV-AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5218, + "tgt": "I am taking i-pill every month and bleeding heavily. Is it due to early bleeding?", + "src": "Patient: Hello doctor, I took a tablet to extend my period during my wedding. After that, I got a scanty one in the same month and took an i-pill end the end of the month. I got my next period within a few days. It was heavy for the first two days and I felt so tired. Again after twelve days, I had bleeding for four days. The next cycle started. I took an i-pill on that month also. Last week I took another i-pill and it started bleeding after four days. It is very heavy. Am I getting an early period or just bleeding or something else? Doctor: Hi. You are probably taking the i-pill again and again which is not right. It has caused hormonal imbalance and disturbed the cycles. It is meant to be taken once only for emergency reasons and not after every unprotected sex. Anyhow the reason for bleeding like this is withdrawal after taking an i-pill. If you take the i-pill before ovulation, then your cycle is likely to get shortened and you get your periods early. But if you happen to take it after ovulation, then the cycle will be prolonged. It will be better if you take regular combined contraceptive pills for 21 days if you want contraception for a few months. This will also regularise your cycles and also control bleeding. However, it will be better if you get one check-up done and get a scan done to see is there any other cause for heavy bleeding." + }, + { + "id": 3060, + "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": 27860, + "tgt": "I am taking medications for ED with no benefit. Should I go for penile injection therapy?", + "src": "Patient: Hello doctor,I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many check-ups in the past have revealed that my lipid profile and fasting blood glucose are normal. I tested low-normal on testosterone on many occasions, around 285 ng/dl to 330 ng/dl. I have recently started using Enanthate 50 mg every third day with 0.25 mg of AI on the day of injections, as taking 250 mg bi-weekly was giving too many highs and lows.\u00a0The decision to self-administer testosterone replacement therapy was made because medications have not been helpful. I am about to get married and would be on short vacation. I do not want to start the consultation at that time and waste whatever little time I will have. I would like to try penile injection therapy. Can I be prescribed that if I visit a specialist in person? Would it be an expensive treatment? Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13158, + "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": 18843, + "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": 16744, + "tgt": "What is epididymo-orchitis?", + "src": "Patient: Hi doctor, My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis. There was a superficial abscess on the right side. Incision and drainage have been performed before two months. Still, I am having some pinching pain and hardness in the spermatic cord. Currently, I take Amoxicillin 500 mg twice daily. In the past, I had Ciprofloxacin, Piperacillin and Tazobactam. I had a CBC, tumor markers, urinalysis, urine culture and biopsy of the wound. All the reports were normal. Doctor: Hello Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair? Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of the epididymis, with or without inflammation of the testes. Chronic epididymitis refers to epididymal pain and inflammation (usually without scrotal swelling) that lasts for more than six months. Symptoms of discomfort and pain at least 3 months in duration in the scrotum, testicle or epididymis are localized to one or each epididymis on clinical examination may be considered as chronic epididymitis. The most common route of infection is local extension and is mainly due to infections spreading from the urethra (sexually transmitted infections - STIs) or from the bladder that is UTI (urinary tract infection) and prostatitis. Your symptoms for the last 5 months can now be considered as chronic or acute progressed to chronic epididymitis. The causes include infections like Chlamydial, tuberculous and also post-infectious. Do you have any history of diabetes, recurrent UTI, BPH (benign prostatic hyperplasia) with prostatitis, cystitis or STDs? For diagnosis, you need to get the following tests: The treatment includes both conservative and surgical. The conservative part includes antibiotics once the culture report arrives, NSAIDS (nonsteroidal anti-inflammatory drugs) or narcotic analgesics like Tapfree (combination of Tapentadol and Paracetamol). The surgical treatment is epididymectomy. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9810, + "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": 25129, + "tgt": "I have whole body itching. Is it anything serious? Please help", + "src": "Patient: Hello doctor, I am a 27 year old male. I have an irregular sleeping pattern due to software job. I do not drink or smoke. Also my job is a very stressful job. I had whole body itching very rarely in the past 3 years, like once I take bath or suddenly during sleep. This never disturbed my lifestyle though.\u00a0 At present, I have frequent bouts of whole body itching (at different places in the body and not always in the same body part) in the past one month. It started suddenly one month back and persisted for 3 days. And then it was very less frequent. Now the itching has again started in the last 3 days. Meanwhile, there are no lesions or any other skin changes in the body. Only itching is present. Is it anything serious?\u00a0Please help. Doctor: Hi. You are suffering from either scabies or urticaria. Since no other skin lesion is present this is going more in favour of scabies. Take the following medications for 15 days and review your condition after that. 1) Calosoft lotion - to be applied on the body twice daily. 2) Tablet Teczine 5mg - to be taken twice daily. 3) HH Mite soap - for bathing. 4) Pernil 5% lotion - apply the full bottle (50mL) once the whole body after scrubbing, in the evening, just like you do an oil massage. Revert back to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6534, + "tgt": "Is it safe to take Ecosprin during pregnancy?", + "src": "Patient: Hello doctor,I am 31 years, obese, and five months pregnant female. I had a miscarriage four years before of six weeks. I am hypertensive and with normal sugar. Now BP is under control 130/80 average with Alphadopa-L 100 mg twice daily. My queries are:The doctor prescribed me Ecosprin 75 mg once daily from now onwards. I am feeling pain in anus portion after taking it. Is it a safe drug?My TSH level comes to 5.38 at this time which was normal earlier. He prescribed Thyronorm 25 once daily. Is it required, this medicine?My level-2 USG and triple test are normal. I was taking Progesterone 300 mg SR once daily. My hCG level in the 16th week was 10000. Please advice me. Should I stop taking Progesterone now? Doctor: Hello. Thanks for the query. You are a case of gestational hypertension and hypothyroidism as I can see. I suggest you continue Ecosprin 75 mg daily as its a blood thinner and is safe in pregnancy. The TSH limit should be between 3.2 to 3.8 during pregnancy and hence 25 mcg daily is the correct dosage for you. Progesterones supplementation should be stopped now after 16 weeks of gestation and has no potential extra benefit. Regards. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13628, + "tgt": "Which medicine is better for fever with body pain and cold?", + "src": "Patient: Hi doctor, This is for my husband. He is a 34-year-old athletic male. Exactly a week back, he got a fever, body pain, cold, and cough. He had a high fever for two days and then a bit high temperature for a day with tiredness. Again he started feeling tired, some fever feeling inside the body (outside no temperature), body pain, throat pain with yellow phlegm and cough. He had Dolo 650. Can you suggest some medicine? Doctor: Hi. I can understand your concern. By your history and description, the possibility of pharyngitis is more likely in your husband. Yellow phlegm is suggestive of bacterial infection. So he needs antibiotic like Augmentin for five days. Please let me know his weight so that I can guide you better about the dose of Augmentin. He should also start an anti-histamine drug like Levocetirizine. I will be happy to help you further." + }, + { + "id": 12883, + "tgt": "What can be done to treat severe nerve pain between left bum and leg?", + "src": "Patient: Hello doctor, I have nerve pain between my left bum and left leg for the past two months. It is so painful that I cannot even walk, sit or lay down. Doctor: Hello. Are you obese? Are you diabetic? Any pain in the lower back? The possible causes are lumbar spondylosis with radiculopathy or compressive neuropathy or peripheral neuropathy or restless leg syndrome or arthritis if knee with bursitis or peripheral vascular disease, etc. You have to get it done, nerve conduction study and MRI of the lumbar spine. If necessary, you need a color Doppler of the lower limb. Use tablet Naprosyn 250 twice a day for five days. If your symptoms do not improve or develop an allergy to the above drug, please consult your physician or neurophysician. He will examine and treat you accordingly. Take care." + }, + { + "id": 9182, + "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": 17179, + "tgt": "I have a rash on my back which gets aggravated when I am in stress. What could it be?", + "src": "Patient: Hello doctor, I have had a rash on my back, neck and chest for over a month. I visited my physician and she thought it could be a fungal infection. She prescribed an anti-fungal medication which I took for 2 weeks. However, the medication did not do anything, and the rash is still present. It gets itchy when I sweat and the biggest portion of the rash is on my back. The rash is slightly scaly, but it does not flake or ooze. It is slightly raised. The rash appears to be a cluster of defined circular patches. Please advice. Doctor: Hi. I have gone through your query and attachments. (attachment removed to protect patient identity) It is not looking like fungal infection. It is more in favour of urticaria. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28386, + "tgt": "Can smoking cause high blood pressure, increased heart rate, and shortness of breath?", + "src": "Patient: Hi doctor,I suffered from bronchitis, four years ago. Since it got cured, I smoked cigarettes for two years and gradually stopped smoking. Recently, I have high blood pressure, increased heart rate, and I have shortness of breath. I started running 2 km daily. Why am I having all these symptoms? Doctor: Hi. Take care. Hope your concern is solved. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 27544, + "tgt": "I felt nothing while having sex for the first time. Is it due to excessive masturbation?", + "src": "Patient: Hello doctor, I am a 23 years old female, and I would like to get advice\u00a0on my health problems.\u00a0I started masturbating\u00a0when I was 12 years old, and I stopped it at the age of 18. That time, I never used to\u00a0penetration. The only thing that I did was to rub my clitoris until I orgasm.\u00a0The first time I had sex with my boyfriend was when I was 20, and I really felt nothing at all, so I thought that maybe it is because it is my first time. But as I kept having sex with him, the same thing happened. Although I had a sex drive, when it comes to action, I completely lose it all.\u00a0So, is there any treatment for that? It has been three years since I experienced that problem. I never wanted to share this with anyone, but now I feel there is no hope. I do not know if there is an appropriate treatment.\u00a0Thank you for your help. Doctor: Hi. Please do not panic. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20276, + "tgt": "Why am I having pain in ear?", + "src": "Patient: Hello doctor, I am 28 years old. From the past two weeks, there is a slight pain in my right ear. I tried Clear Wax ear drops and normal ear drops then there is a relief for a certain period then again mild pain is coming the next day. When I wake up in the morning there is a very slight headache kind on the right side and some sort of discomfort in my right ear. There is not severe pain but certainly, there is some sort of mild pain. I also noticed whenever I tried using earbuds in my left ear to clean then I am getting cough as if some sort of itchiness sensation in the ear is causing immediate cough in the throat and normal again after I take earbud out. I want to know whether I should consult ENT specialist immediately or if there are any ear drops in particular to use before I go to ENT doctor. Doctor: Hello. The cough which occurs during ear cleaning is due to stimulus to your auricular branch of the vagus nerve, which is normal. Now coming to your problem, many times mild pain occurs due to impacted wax or ETD (eustachian tube dysfunction). Both cases it is advisable to consult an ENT surgeon for the proper examination of the ear. Till then, continue the ear drop, do Valsalva 30 to 40 times a day. Never try to clean the ear yourself as it can cause injury to your ear." + }, + { + "id": 1381, + "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": 25542, + "tgt": "I am gay but want to be straight. Please guide me", + "src": "Patient: Hi doctor, I am a 29-year-old male, working in IT firm. From my childhood, I am very soft and gentle. When I was 12, I fell in love with a girl. But, she changed schools. So, when I was 15, I started having sex with boys. After she left, I felt love towards boys and was sexually attracted to boys. I do not feel anything even if I see a girl in nude. I used to masturbate twice a week, by thinking about males. If I see a girl's nude picture I am not feeling anything. I am not a smoker or drinker. So, I think I am gay, but I do not want to be a gay. I want a straight man's life. I wanna be a manly man. I should feel sexually attracted to girls. Help me take a good path in life. Doctor: Hello. I completely understand that you feel concerned about your altered sexual preferences. It is generally due to past negative experiences in life as you mentioned about the early sexual interactions with the same gender partners. Since your first early interactions were with the same gender, it usually becomes a habit or the sexual preference/ orientation. Are you currently engaged in homosexual activities? It becomes difficult to alter your sexual preference if you are engaged in sexual activities with the same sex. Since you are highly motivated to make changes in your sexual preferences, it is the first step towards betterment. Intentionally involve yourself in activities which would help you find interest in opposite gender. For example, Intentionally avoid sexual interaction with the same gender so that your sexual needs find satisfaction with the opposite gender. You may feel disturbed as you do it. Learn to deal with your emotions and state of mind. Suggest positive affirmations for you at the time of disturbance such as I am doing it because I want a straight man's life, I choose to be sexually attracted towards girls, and I like to be a heterosexual (opposite sex) partner. These are instances from what you have already mentioned. Find more positive affirmations for you which will help you become what you want. Make these affirmations a routine in your self-talk. Practicing it daily will gradually make it automatic in your mind, and your brain will start working on the way you want it to be. I hope this is helpful for you. Best Regards. For more information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10524, + "tgt": "My right eye is red and puffy after wearing contact lenses under light. Why?", + "src": "Patient: Hello doctor,My right eye is red and puffy. It hurts when I blink by the top of my iris. It also tears up a lot when it hurts, and when under the light. I use contact lenses that I can use for a week straight, and it started on day three. When it started, it only hurt when I blinked, and the eye would tear up a bit, the next day it was red, puffy and it reacted to light. I immediately removed the contact lenses. What is wrong with my right eye? Doctor: Hello. First of all, I would like to tell you my point of view as an ophthalmologist in and against any contact lens that stays in the eye for more than 12 hours. The puffiness is most probably related to an allergic reaction that your eyes are experiencing, and you should discontinue using these contacts. The redness, the light sensitivity, and even the tearing are all signs of dry eye for which you should start using artificial tears at least four to six times daily, especially if you plan on using contact lenses again. Regardless of what any manufacturer says, you should not sleep with your contact lenses, and I would advise you to use daily from now on. You can use artificial tears while wearing glasses." + }, + { + "id": 4906, + "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": 14508, + "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": 17673, + "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": 15959, + "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": 11589, + "tgt": "What is the possible way to reduce mild vertigo?", + "src": "Patient: Hi doctor, I have mild vertigo for the past one month. There is\u00a0no sweating or vomiting. I do not have any pain in the head and there is no problem of hearing and vision. I am only experiencing some balancing problem. My ENG test is absolutely normal. What will be the possible way to reduce this? Doctor: Hello. I understand your concern. I would like to tell you the causes of unsteadiness or dizziness. They are aural (disease of ear) and extra aural. Under extra aural there comes a long list of diseases. As your electronystagmogram (ENG) is normal, there is likely less chance of aural cause. Please consult your doctor for thorough examination and relevant investigation to reach correct diagnosis that may be managed accordingly." + }, + { + "id": 30888, + "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": 20919, + "tgt": "Can a wisdom tooth cause neck and arm pain?", + "src": "Patient: Hello doctor, Can a possible wisdom tooth cause neck and arm pain? My tooth hurts on the same side as neck and arm. Doctor: Hello. It is not possible. It may cause some throat pain but not arm pain. Maybe you have muscular pain. Just take rest and if your wisdom tooth is not in good condition then it is better to get it removed because it has no use in real world. And if you have any neck stretch then just apply warm water bag and see if there is any change. You can try mouth rinse of salt and lukewarm water for good results. For more information consult a dentist onlline --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2791, + "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": 9622, + "tgt": "Is it mandatory to take medicine for diabetes while controlling it through walk and diet?", + "src": "Patient: Hello doctor, I was feeling angry and very consistent in the urine. I decided to check my blood sugar level. I was in fasting regularly. Meanwhile, I was under extreme stress pressure due to my job problems, I consulted with the doctor and checked the blood sugar level, and it was 391 with fasting which was shocking to me, then I tried some precaution and avoided to take tension and food which is generally known bad for people with diabetes. After four days I rechecked my blood sugar, it was 246, and the third time it was reduced to 194. After this doctor suggests me Hb1ac test and the value was 14.9 against 4.4 normal amount, and he gave me some tables which made me in trouble with an extremely high gastric issue which I stopped to intake immediately. After that I decided not to take the medicine and try to control it with natural way, i.e., walking or jogging, avoid taking tension and diet control, now I feel healthy, and my blood sugar is between 100 to 130 which I am regularly checking since last 10 days. Meanwhile I consulted with a lot of doctors for treatment or getting right knowledge about type 2 diabetes in order take some right decision for treatment, but still I am confused because all doctors have difference in opinion which made me more confused, some are saying I should start tablets immediately, a doctor said I must start insulin otherwise I may have some serious issue with kidney, some are reporting insulin is last stage treatment etc. in my opinion they all are thinking according to their studies, and no one is taking care of my opinion i.e., my blood sugar was high at my worst time once I understand that I facing issues regarding blood sugar and started preventions it is under control somewhat, now my question is what should I do, if my diabetes is under control with walk or diet control should i take medicine or insulin. Please help and guide accordingly. Doctor: Hello. Your test of HbA1c is too high. It is good that you have controlled your sugar with diet and exercise. But you should take some safe medication. But to control your sugar, you need some more lab test. Now you can start a formula of Sitagliptin and Metformin 50/500 one tablet between breakfast and second tablet between dinner. I advise a few tests before breakfast. 1. Lipids profile. 2. Serum creatinine. 3. FBS. 4. Urine for D/R. And avoid deep fried and spicy food. Your complete treatment depends on the test mentioned above." + }, + { + "id": 27063, + "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": 20360, + "tgt": "What can be done for gas and acidity problem?", + "src": "Patient: Hello doctor, I have gas and acidity problem and I do not drink tea more and no smoking and no alcohol and only one cup tea and this cause me a gas problem and then I have pressure and feel very tired and I feel fresh after going to the washroom and then I feel empty stomach. Please tell me the medicine for it. Doctor: Hi. You have mentioned that you have acidity and gas. Even a cup of tea is making your problem worse. You also mentioned that, after going to the washroom and emptying your bowel, you feel better. Gastroesophageal reflux disease. Irritable bowel syndrome. 1. Tablet Nexpro RD 40 mg once daily for four weeks. 2. Tablet Colospa 135 mg twice daily for two weeks. 3. Avoid milk products. 1. Avoid spicy food. 2. Have good sleep. 3. To eat on time." + }, + { + "id": 14135, + "tgt": "Male members of family have low testosterone. Will I too get affected?", + "src": "Patient: Hello doctor, If my dad and just recently my 20 years old brother both have low testosterone levels, what are the chances that I will too? I am 18 years old. Doctor: Hi. If low testosterones are due to secondary (acquired) causes then you are spared. The cause of low testosterone should be ascertained in your father which could be done only after detailed history and physical examination because there are number of causes for low testosterone levels. Congenital causes of low testoserone are Klinefelter syndrome, anorchia (bilateral), cryptorchidism, myotonic dystrophy, enzymatic defects in testosterone synthesis, Leydig cell aplasia, and Noonan syndrome. But these diseases are so severe that they interefere in normal reproduction process which is not the case here. So probably it is some acquired cause for which detailed history and examination is required. I would suggest you to consult your physician who can guide you better after thorough examination." + }, + { + "id": 24285, + "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": 14074, + "tgt": "What is the reason for pus formation in the wound in my leg?", + "src": "Patient: Hello doctor, My left leg suffered from a gigantic wound. Firstly, that looked like filaria but after some time, it became yellow and full of pus. And now pus is flowing. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. As you have developed pus inside your leg that means your leg is severely infected. In my opinion, you need surgical intervention in the form of incision and drainage of the wound. So, I suggest you consult a surgeon as early as possible so as to avoid the spread of infection throughout the body, otherwise, the infection will spread through blood and can cause septicemia which is dangerous. You also need intravenous antibiotics. Please check your blood sugar so as to make sure that you do not have diabetes." + }, + { + "id": 9194, + "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": 9895, + "tgt": "Can allergic reaction occur due to Tylenol 3 or Amoxicillin?", + "src": "Patient: Hi doctor, Yesterday, I had my wisdom tooth extracted. I received a prescription for Tylenol 3 (equivalent to Acetaminophen 300 mg and Codeine 30 mg) for pain and Amoxicillin (500 mg) to prevent infection. I immediately took one Amoxicillin as I walked out of the dental office and for the rest of the day I had no reaction. Later just before going to sleep I took one Amoxicillin along with one Tylenol 3. The next day I woke up with an anaphylactic reaction to the groin and inner thighs. I am trying to diagnose whether it was due to Tylenol 3, the Amoxicillin or may be due to the combination. As there was not that much pain I have decided to halt the use of Tylenol 3 and I am waiting to see if the reaction resolves. However, I do know that many people are allergic to this family of antibiotics. I am wondering if this may be the case for me as well, but I have never had an allergic reaction before. I am sure that I have taken this family of antibiotics previously, though I am not certain. Doctor: Hi. Welcome to icliniq.com. I have gone through your query and can understand your health concern. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 18988, + "tgt": "Is Cymbalta good for depersonalization?", + "src": "Patient: Hi doctor,Is Cymbalta good for depersonalization? I want some tips to overcome this. Also, how to get rid of apathy? Doctor: Hi. I read your query and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 408, + "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": 6286, + "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": 5071, + "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": 8948, + "tgt": "What is the treatment for preauricular sinus infection?", + "src": "Patient: Hello doctor, My son has a preauricular sinus infection for almost 24 days now. He is taking antibiotics regularly, but the infection is still there. Pus is getting produced\u00a0on a daily basis. Twice the doctor brought out pus through a\u00a0syringe. He also made a cut to drain the pus, and then he made that cut a bit big, but it was of no use. The other ENT specialist says he will make a big cut and wash it and then put a dressing inside, and he will repeat this for few days. Is this method safe? Please advice. Doctor: Hello. For more information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25825, + "tgt": "What is the treatment for sudden loss of eyesight?", + "src": "Patient: Hello doctor, My father is 58 years old, one day suddenly in sunlight he lost one eyesight. When we went to the doctor he said that due to some reason, some blood came behind his eye. That is why he is not able to see from that eye. Now, one and a half years have passed, and we continue using the eye drops. But, no improvement is seen. I am enclosing the reports of tests. Please suggest if there is any permanent solution for this disease. Doctor: Hello. I have studied the old records (attachment removed to protect patient identity). His condition is described as old CRVO (central retinal vein occlusion). There is bleeding inside the retina which has almost resolved. He has also recovered around 30 to 40 % of his vision. Unfortunately, this condition is very difficult to treat. There are options like injections of Avastin (Bevacizumab), Lucentis (Ranibizumab), Ozurdex (Dexamethasone). These work only in fresh cases and results are not consistent in every case. For now, I request you to continue the same drops for few months and get a regular follow-up from a retina specialist. Do follow up for any queries. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9828, + "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": 21737, + "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": 3211, + "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": 3323, + "tgt": "I have severe low back pain with fatigue and leg pain. Are the symptoms related to arthritis?", + "src": "Patient: Hello doctor, I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in wrist and fingers, foot pain (left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis but there are occasional lesions in my nose and occasional neck pain. I am currently taking Cymbalta. I have had Arnold Chiari malformation and underwent decompression surgery. Doctor: Hello. I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoimmune condition, degenerative condition and metabolic conditions. I would recommend that you do further testing to understand your condition. I would recommend that you check your CBC (complete blood count), RF (rheumatoid factor), SGPT (serum glutamic pyruvic transaminase) and SGOT (serum glutamic oxaloacetic transaminase), BUN (blood urea nitrogen), creatinine, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), thyroid function test and FBS (fasting blood sugar) as initial tests. In the meantime, I recommend that you undergo a physical therapy program to include ultrasound, TENS (transcutaneous electric nerve stimulation), William's flexion exercise, Myofascial release, joint conservation techniques, range of motion exercises within pain-free range, endurance exercise as tolerated. I would also recommend you take Naproxen three times a day for pain and Ibuprofen twice a day for breakthrough pain. Once you have the results of the tests, please do follow up. I hope this helps. Follow up with lab results." + }, + { + "id": 7854, + "tgt": "Why am I having chest discomfort with swollen lymph nodes?", + "src": "Patient: Hello doctor, I have had chest discomfort for about 2 to 3 months now. It is not really in one particular area, but right now I feel like more on the left side. It is a dull, achy pain that does not really go away. I have also noticed lymph nodes swell up for about a week. I am not sure if this is correlated to the chest since I have had that for months. Doctor: Hi. I understand your concern. Your chest pains seem to be muscular in nature. Another possibility is of acid reflux that can also cause such kind of pains. We should also rule out any cardiac issues in case of chest pains. So, you should get a chest X-ray and ECG done. If the ECG and chest X-ray are normal, the pain is probably muscular or due to acid reflux. For muscular pain, I advise to do hot fomentation over the involved area 3 to 4 times a day. You can also apply Diclofenac gel locally over the involved area. On taking this treatment, this usually resolves in 5 to 7 days. In case you have pain in abdomen, and acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone. Muscular, acid reflux. Chest X-ray, ECG. Conservative." + }, + { + "id": 15681, + "tgt": "Do I have a chance to get pregnant after taking Krimson 35?", + "src": "Patient: Hi doctor, Recently, I had intercourse with my partner. I am taking Krimson 35 regularly, and my partner used a condom also. I have PCOS. Do I have a chance to get pregnant? We are not planning for a child now. Do we have any other tests that can diagnose pregnancy early or should I have to wait for my periods? Doctor: Hi. As your partner has used a condom for sex, then there is less chance to get pregnant. As you are taking Krimson 35 (Cyproterone with Ethinylestradiol) regularly, so there is no chance to get pregnant. Take tablets regularly. Some tests can diagnose pregnancy early such as radioimmunoassay. The best and better way is to wait for periods. If you miss your periods, you can do a urine pregnancy test. If the result is positive, then you can be pregnant. If there is a negative result, then there can be a delay in periods. Wait for ten days after taking the last tablet of Krimson 35, and if you do not have your periods, then you can do a urine pregnancy test. Drink plenty of water." + }, + { + "id": 28498, + "tgt": "Please suggest some treatment for vitiligo", + "src": "Patient: Hello doctor, I have vitiligo on my face, and my skin and hair are turning white. This is a major problem for me. Please suggest some treatment. What should I do? Doctor: Hi. For vitiligo, there are many lines of management. If the patch is unstable, then oral medications can be advised. But if the vitiligo patch is stable, that is no change in the size of the patch over six months, then surgery can be done to re-pigment the vitiligo patch. Suction blister, nonculture melanocyte transfer or phototherapy can be done. Clinical examination of the patch is important before considering any therapy. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20635, + "tgt": "Will iron deficiency improve with supplements in stomach or colon cancer patient?", + "src": "Patient: Hi doctor, A week ago I made a complete blood test to check whether my iron deficiency was improving. I have used B12 and Iron supplements. In addition to this, the doctor told me that I had a UTI and gave me pills. Though UTI did not seem like it has gone away, and another thing is that, after I am done with antibiotics (for seven days) I am seeing white lines on my stool (sometimes), and sometimes those stools are giving a green color to the water even if there are no white lines. If I had stomach cancer or colon cancer, would my results improve with Iron supplements and B12 pills? In the last few days, I lost my appetite (for no reason) though I still can eat food, no vomiting, no blood in stools. I do not know if this is because of the stress since I saw my stool like that. Doctor: Hello. I have reviewed your query and here is my advise. Your attached report (attachment removed to protect patient identity) showing improvement in iron parameters and hemoglobin level. So your anemia is improving. Read below answers for your questions: In stomach cancer, if bleeding is mild then the result can improve with medicines. If cancer leads to more bleeding in stool then only it is difficult to improve results with supplements. Your attached stool image mostly is showing mucus in stool. Stress also can lead to such a presentation like loss of appetite, pain in the abdomen, etc., which is called functional bowel problem. So with yoga and meditation, you can get relief from stress. If needed, you can consult a psychiatrist for counseling. I suggest you investigate with stool routine micro examination and occult blood test for further work up in your case. You can be prescribed probiotic tablet and Rifaximin for your case. If no improvement, then colonoscopy can be planned." + }, + { + "id": 15150, + "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": 4045, + "tgt": "How can low triglyceride level be managed?", + "src": "Patient: Hi doctor, I am a 33-year-old unmarried female with no disease ever diagnosed. I live a sedentary lifestyle with very little or no exercise. I do not smoke, and I do not diet, I am taking normal oily currys with bread. Recently I got my lipid profile done and saw that my triglycrides are 30. Is it severly low? Am I at a risk of heart stroke or brain hemorrhage? Or do I have undiagnosed cancer or just malabsorbtion? Can you tell me which tests should I get done in order to diagnose the cause? Doctor: Hi. Your triglyseride level is too low and causes are low fat diet, hyperthyroidism, malabsorbation syndrome, malnutrition. These all are important causes of low triglyceride levels and minimum level must be up to 145. So how we can increse and what we should do, let us see. Consequences you may have low vitamins absorption that ultimately leads to other disorders. Hyperthyroidism, Low fat diet , Malabsorbation syndrome Vit D3, Vit B12, T3,T4,TSH, CBC ESR, SGOT,SGPT, Bl.Urea, S.creatinine Hyperthyroidism, Low fat diet , Mal absorbation syndrome Hypocholestrolemia After investigations After investigations After investigations" + }, + { + "id": 1696, + "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": 166, + "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": 1461, + "tgt": "Can I consume some powder to gain weight?", + "src": "Patient: Hi doctor, I am a 33 year old male. My uric acid level is 7.2. Can I consume some powder for gaining weight? Sometime, I feel\u00a0stiffness and joint pain. Please help me. Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 27039, + "tgt": "I get negative thoughts periodically. Is this a mental illness?", + "src": "Patient: Hello doctor,I am having repeated thoughts in my head from the last four months. This problem started at the age of 13, but on a periodic\u00a0basis like three to six months. After that, it becomes normal. When I am in this phase, I have scary thoughts, feel like mind is racing, have wavering thoughts and I feel that I am actually in that situation, talking inside my head, and solving a situation which my mind has created. I cannot enjoy the present. I feel stuck with this mental condition. Generally, I avoid some kinds of situations and people, because I feel that if I go to some places or deal with some types of persons, then I might face negative\u00a0thoughts. I do not know what this is called. Is this some kind of disorder or mental illness? Is this a\u00a0rare or common issue? Please guide me on this problem. Waiting for your answer. Doctor: Hello. I wish to ask a few questions about it to clarify things. Revert with more information to a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 8063, + "tgt": "What are the ways to change winter skin-care routine to spring?", + "src": "Patient: Hello doctor, How to do transition of your winter skin-care routine to spring? Doctor: Hello. As compared to winter, in spring season skincare is changed as follows. 1. In winters, an individual's requirement of water becomes less, whereas in spring one should increase the intake of water as insensible loss of water increases from our skin. 2. In winters, skin becomes very dry so we need to moisturize it frequently whereas in spring the moisturizing requirement becomes less. 3. Protection from sunlight is important in both winters and spring but more important in the spring season. 4. Protection from allergic plants becomes more important in the spring season with the eruption of new plants and its different species." + }, + { + "id": 23118, + "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": 26356, + "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": 24006, + "tgt": "Is my dizziness related to any heart problem?", + "src": "Patient: Hello doctor, I feel dizzy the whole day. In the last 10 days, I have consulted three doctors, physician, ENT doctor and also checked audio test of the ear. The ENT doctor said that there is no problem in ears, but my dizziness is continuing. It feels like there is no balance in my body. I cannot sleep or walk, etc. I do not have vomiting. I get relief by eating tablet Stemetil 5 mg. It was given by a physician, but once the effect goes off, the dizziness starts again. Is it related to heart problem? Doctor: Hello. Considering your symptoms and the fact that your symptoms are relieved by Stemetil (Prochlorperazine maleate) 5 mg, I would conclude that your situation is related to an inner ear disorder. Although the doctor has excluded an inner ear disorder, a viral infection affecting the vestibular nerve (balance nerve - vestibular neuronitis) cannot be excluded. You should be patient because it may take one month to recover from this situation. Meanwhile, I would recommend continuing taking Stemetil 5 mg and having some rest. A brain MRI study is necessary to exclude other possible causes. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22323, + "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": 17935, + "tgt": "Can the lower abdomen pain be due to ovulation?", + "src": "Patient: Hello doctor, For the past two days, I am feeling a mild pain on my lower abdomen and having a feeling that my bowels are not getting cleared. I had my last period about two months back. My periods have become irregular since then. Last month, I got examined and was detected having a uterine fibroid. Can the above pain be due to ovulation? Doctor: Hi. The best way to check for an ovulation pain or mittelschmerz is to check for LH (luteinizing hormone) surge with an ovulation kit. If the test is positive, then you are likely to ovulate or have ovulated already. The pain can also be due to submucosal fibroid. I suggest you use tablet Meftal Spas 500 mg (combination of Dicycloverine and Mefenamic acid) twice a day for pain relief. Consult your specialized doctor, discuss with him or her, and take medicine with consent. Hot fomentation to the lower abdomen and lower back can be helpful as well. For further information consult an obstetrician and gynaecologist and online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 727, + "tgt": "How to relax myself during panic attacks?", + "src": "Patient: Hi doctor, I am suffering from depression for the last two years. My doctor had changed my drug recently to a new one, which is Zoloft. I have been taking it for a month maybe. I am traveling now and in the airplane I got tired along with depression and severe panic attacks. Even, after reaching the place I could not settle down. I feel as if my heart is going to stop beating from fear, anxiety and panic attacks. I do not really know the reason. I just need something I can do in order to relax from these symptoms. My flight is after two days and I really do not know how and what will happen. Before a year, when the severity of the depression was stronger than now, I did not breathe and the emergency staff gave me oxygen. How to make myself relax? I am really trying to calm down. I am telling myself not to fear and relax without thinking anything. Please help me. Doctor: Hi. I read your query and understand your concerns. I am glad to know that you are willing to take necessary steps for avoiding similar problems of depression, which had crippled you last year. Although all kinds of behavioral intervention need personal interaction and complete assessment, but deep breathing is the one, which can be used in any situations without much effort. When you feel something is wrong do deep breathing. Allow a single breath of in and out around 10-15 seconds. This will help you to control the tiredness and fatigue. Secondly, keep yourself hydrated. Take at least four to five liters of water every day, including the day of travel. Thirdly, ensure proper sleep if possible. If you are not able to sleep properly without medication, then consult your specialist doctor and ask for a prescription. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 22408, + "tgt": "Why am I having pain in the ear and inflamed tonsil?", + "src": "Patient: Hi doctor, I have pain in my right ear. The pain feels above and below my ear area. It subsides when I grind my teeth but in general, I keep having a light pain and the ear feels like it is closed. I do not have any infection or anything. The only thing at present is I have a slightly inflamed tonsil for which I am using antibiotics. The other thing is I am using antibiotics anxiety tablet Xet CR 12.5 Doctor: Hello. The pain could be referred pain from tonsils or TM (temporomandibular) joint pain or some proper earache. Since you are saying you do not have any infection, I am inclined to diagnose it as referred pain from tonsils. Tonsils and ear have the same nerves supplying them and the pain can get referred to ear from tonsil. If you can send a picture of your tonsils it will be very helpful. You just have to click few pics of good clarity of open mouth taking care to focus on the posterior pharyngeal wall. Additionally, please answer the following questions. Do you have throat pain? Any fever? Any a cough? Any decreased hearing? Any difficulty in swallowing? Any nose block or running nose or a headache or sinus pressure? What antibiotics are you on? Has this occurredbefore? How old are you? What is your work? Do you smoke or drink? For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1983, + "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": 10732, + "tgt": "Will removal of kidney stone improve GFR?", + "src": "Patient: Hi doctor, I am a 26 year old female. I have had a kidney stone in my right kidney for around eight months and now it is relatively large 22 mm. I have attached my report for your reference. I am suffering from recurrent kidney infections in the past couple years and had a stone in my left kidney when I was 15. I have attached my latest blood, urine and CT reports. I am concerned that I have CKD stage 1 from the GFR I calculated using the parameters in these reports. Could you please advise me on this? In general, does GFR improve after a stone is removed through lithotripsy or PCNL? I am scheduled for a lithotripsy in a week. Any information regarding if you think I have CKD and what prognosis will be very helpful? Doctor: Hi. I saw all your reports and your clinical details (attachment removed to protect patient identity). Your tendency for recurrent stone formation which needs to be evaluated. You need not to worry about eGFR (estimated glomerular filtration rate) currently as creatinine is normal. Removal of stone will mostly increase GFR. Most importantly after your lithotripsy please send the stone fragments which comes in urine for stone analysis. From that we will have a clear idea how to prevent their recurrence. Secondly, some general measures which include drink at least 3-4 liters of water and restrict salt in your diet up to 2 g in total. Do not take any calcium supplements and restrict or possibly avoid animal protein that is non-vegetarian food for some years. Take lots of water particularly in evening so that you at least wake up twice in night to pass urine. These all are general measures which really worked for many of my patients for future stone prevention. Do some blood tests like serum calcium, phosphorus, uric acid, bicarbonate and magnesium from any reliable laboratory and send for review. Revert back with the laboratory reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 11103, + "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": 11679, + "tgt": "I am already on Krimson 35 should I take I-pill after unprotected sex?", + "src": "Patient: Hello doctor, I am taking my second-day pill of my Krimson 35 for PCOS. I had unprotected sex with my husband, and we are not planning for a baby now. Should I take I-pill also along with Krimson 35 to avoid pregnancy? Doctor: Hello. Krimson 35 (Cyproterone, Ethinyl Estradiol) is used as an oral contraceptive pill as well. It should be started from day one of the periods. So if you are having periods and started Krimson as well from day one and had unprotected sex, then there are fewer chances of pregnancy or conception. There are fertile periods in each cycle and first five days of periods in which there is menstrual bleed are included in the infertile period of sequence, so fewer chances of pregnancy if you have started Krimson in periods. You can further clarify if Krimson not taken on the second day, then kindly mention which day you have started Krimson. Please have complete treatment of any health issues if you have, follow some recreational activities and quit recreational drugs. Have a balanced diet, weight, and BMI. Send scan and detailed sex hormonal markers reports as well. As above. With detailed history and reports." + }, + { + "id": 13630, + "tgt": "I am 24 years old and I weigh 250 pounds. I need suggestions to reduce weight", + "src": "Patient: Hello doctor, I am 24 years old and my weight is 250 pounds. I have attached the other details. I need suggestions to reduce weight. Doctor: Hi. I understand the stress you would have due to increased body weight and difficulty in losing it, after going through the attached details (attachment removed to protect patient identity). Your BMI (Body Mass Index) is 48. BMI is nothing but a derived value from the weight and height of a person. For your height, your weight should be around 110 to 120 pounds. Normal BMI is around 25. If it is between 25-30, it is overweight. If between 30-35, we call it obesity. Up to 35 BMI, we can reduce weight by exercise, by reducing carbohydrates and by restricted fat diet, etc. If BMI between 35-40, called severe obesity, some tablets like Leptos can be taken along with exercise and diet. But if BMI is more than 40, it is called morbid obesity which cannot be reduced by drugs or exercise and diet. Bariatric surgery should be done to reduce weight which will prevent you from getting diseases like hypertension, diabetes, cardiac disease, kidney problems, and osteoporosis. Your BMI is 48, which cannot be reduced by drugs, exercise or diet. So, please start considering bariatric surgery as an option. I have seen people who shed almost 100 pounds effortlessly after surgery within 3 months. This surgery is completely safe and gives great results and prevents you from getting various diseases which I have mentioned earlier. Think about your heart. It is designed to work for a body which weighs 120 pounds. It is working double the time now, and its life will get reduced. So please consult a surgical gastroenterologist for clinical examination and surgery. All my wishes for your good health." + }, + { + "id": 12102, + "tgt": "There is a constant irritation and sticky tendency in eyes. Kindly help", + "src": "Patient: Hello doctor, The patient is suffering from irritation in eyes for many days. It seems that some pollen is annoying and she rubs her eyes to remove it. She washes with water and uses rose water and Ciprofloxacin eye drops in her eyes. But she is not getting relief. Now her eyes have sticking tendency. Please advise. Doctor: Hello. Pollen has a notorious tendency to cause allergic conjunctivitis. The predominant symptom in allergic conjunctivitis is eye rubbing. When the patients rub their eyes, whatever dust or germs are there on their fingers go into their eyes. Thus setting up an infection. Such infection needs to be treated by a qualified ophthalmologist. In the meantime, please follow these instructions: 1. Continue Ciprofloxacin eye drops six times a day. 2. Wash the sticky discharge with clean running water. 3. Use tissues to wipe the spill rather than your handkerchief as you tend to rub the same infection again onto your eye with a scarf. 4. Avoid eye rubbing. I hope you get well soon." + }, + { + "id": 5177, + "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": 14323, + "tgt": "Will taking 6 to 8 cups of coffee a day create any heart disease?", + "src": "Patient: Hello doctor, I take coffee and tea during the day 6 to 8 cups. Is coffee good for health? What are the cons of coffee over cardiac patient or heart? Does it create heart disease? Currently, I am taking Ascard 75 mg. Doctor: Hi. Coffee in mild consumption is good for health in general. Excess consumption of caffeine increases BP and HR. I do not have any information on your BP. However, the echo shows some changes could be secondary to mild to moderate degree of uncontrolled high blood pressure, the left ventricle wall thickness is 11 mm which is slightly increased. The rest of the echo as reported is good (attachment removed to protect patient identity)." + }, + { + "id": 14539, + "tgt": "Are hair fall, skin infections, and overweight due to hypothyroidism?", + "src": "Patient: Hello doctor, I have hypothyroidism. With that, I am facing hair fall, skin infections, overweight, high cholesterol, and memory loss. Are all these happening because of thyroid or there are other factors involved? I am a firm believer in Ayurveda but can this be treated with Ayurveda permanently? I do not want to pop hormone pills for the rest of my life. More details about the presenting complaint. I used to be a heavy smoker and drinker. I have started following a good diet from the last 2 to 3 months but the effects are negligible so far. Previous history of the same issue. Never got myself tested but I have been facing these symptoms from the last 4 to 5 years. The current medications: None at present. Past medications of the same issue include Medohar Vati, Brahmi, and Panch nimbadi vati. Doctor: Hi. Hypothyroidism may cause these symptoms as you have described. But it is other possibilities too. Hair fall may be due to infection, excessive use of different kinds of shampoo and conditioner, changes in food habits and water, stress, etc. Stress and anxiety may lead to loss of memory. A sedentary lifestyle may cause obesity. But according to your complaints, it seems like hypothyroidism is one of the major cause. It can be managed naturally through ayurvedic medicines and Yoga techniques. Dress, anxiety, changes in food habits, and lifestyles, lack of physical activity, etc. Thyroid profile, lipid profile, blood sugar, blood pressure. Obesity, diabetes. You are taking good medicines, and there is a need to add some other medicines too. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Do regular Kapalbhati and Mandukasana as well as Pranayama like Anuloma vilom, Nadi sodhan, Bhramari, and Ujjaai." + }, + { + "id": 60, + "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": 6962, + "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": 16437, + "tgt": "Can TB be spread by touching hands?", + "src": "Patient: Hello doctor,I met someone yesterday and we were speaking to each other seating closely and touching hands. I came to know later he was advised by doctor for TB medicine suspecting TB in him day before. He was not sneezing or coughing at the time of the meeting. However, since the evening I started having frequent cough and fever in my body. These are some queries about this. Are there any chances of myself getting TB? Which medical test should I do now? What preventive medicines I can take to avoid chances of getting TB? How long it may take to confirm whether I have infected TB? Doctor: Hi. To help you better, I need to know first of all that that person has TB of which organ of body? Like TB lungs, TB bone, TB lymph node?" + }, + { + "id": 10339, + "tgt": "How can I overcome my depression and self-harming thoughts?", + "src": "Patient: Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed? Doctor: Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28779, + "tgt": "What is your suggestion for polycythemia?", + "src": "Patient: Hi doctor, I am a 37 year old male. I am suffering from polycythemia for the last two years. My Hb is 19.17 and HCT is 51.9. The doctors informed me that it is all due to smoking. Is there any serious problem with me? What will you suggest? Thank you. Doctor: Hi. Chronic smoking can lead to heart failure, chronic lung disease, etc., and hence, polycythemia occurs. It is called secondary polycythemia. With the treatment, the prognosis is good in secondary polycythemia. But, polycythemia can occur as primary polycythemia as well, and in that case, the prognosis will not be good as it is considered under myeloproliferative neoplasm. Primary polycythemia called polycythemia vera and for that JAK2 mutation study done by a molecular method to confirm it. For polycythemia, the treatment is therapeutic phlebotomy in which 250 to 400 mL of blood is removed as per needed frequency. Our aim is to maintain HCT - hematocrit of less than 45% in polycythemia male patient. Initially, phlebotomy can be somewhat aggressive with more frequency and then maintained as less frequency. Hydroxyurea drug has proven effective in polycythemia. Consult a nearby physician for examination with keeping all this in mind and stop smoking as soon as possible. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24235, + "tgt": "Is it possible to be pregnant after you get your period?", + "src": "Patient: Hello doctor,I am 23, 51 kg. I had unprotected sex a day before I got my period (on the 38th day of cycle). It lasted for four days (normal). Today is the 13th day from when my period started and I am getting bad backache, my breasts hurt (usually happens just before period) and sticky egg white discharge. Am I pregnant or is it ovulation? I had taken a pregnancy test before I got my period because I was late and it was negative. I have mild PCOS. So, my periods are never on time but happens every month. Is it possible to be pregnant after you get your period? Doctor: Hello. I have gone through your history and understand your concern. This is very unlikely to be pregnancy as a proper period followed and when UPT (urine pregnancy test) was negative just before the period. So, you are at present not pregnant and no chances of pregnancy even with that last unprotected intercourse. The nature of discharge is suggestive of ovulation only. However, if still any doubt in your mind you may take two pregnancy tests - one immediately now and another after a week. If both are negative, you are not pregnant. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11730, + "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": 22533, + "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": 251, + "tgt": "I get palpitation and dizziness with weakness on increasing Amlodipine dose. Can suggest an alternate medicine?", + "src": "Patient: Hello doctor, I am currently taking Amlopin-M at night and Omnitan-H in the morning. My blood pressure taken at home is consistently in the range 140-150/85-90. Last time my doctor increased the medicine dose suddenly and it did not suit me and caused palpitations, dizziness, and weakness. Please suggest appropriate medicines considering these factors. Doctor: Hi. Blood pressure (BP) is controlled with lifestyle modifications and dietary modifications. Following are the measures to control BP: 1. Avoid smoking and other addictions. 2. Reduce salt intake in the diet. 3. Reduce fatty foods, junk foods, saturated fats (Mediterranean diet is the best). 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, atleast 8 hours per 24 hours including atleast 6 hours in night uninterrupted sleep. 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea/coffee 30 minutes before checking BP. Sit on a chair with feet on the ground, back supported, hand supported on table, cuff at the position of heart. Check BP, and repeat after five minutes again. Then check BP in other arm and repeat after five minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your BP. You may take atleast two or more readings and average of readings is your actual BP. What dose you were taking of Amlodipine and Olmesartan when your bp was 150/90? What medicine was changed? Are you taking some other medicines as well such as painkillers or steroids?" + }, + { + "id": 25316, + "tgt": "There is a yellowish tint to my skin. Why?", + "src": "Patient: Hello doctor,I have a yellowish tint to my skin and yellow patches in the outer corner of both eyes. Doctor: Hello. Yellowish skin and mucous membrane indicate conditions with raised bilirubin levels in the blood. You need to get liver function tests done like serum bilirubin and liver enzymes ALT, AST, ALP, and GGT. If you do not have any other symptoms like nausea, loss of appetite, abdominal pain or fever and if this has always been the case with you, it is probably nothing serious. However, you do need to see your healthcare provider for clinical examination if other symptoms develop. And please get those tests done. Hopefully, this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3889, + "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": 9840, + "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": 20250, + "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": 8103, + "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": 7088, + "tgt": "An ant has entered my nose. Is there any possibilities for it to reach my brain?", + "src": "Patient: Hello doctor, A small live ant has accidentally gone into my nose. I tried to blow it out but not sure about it? Can it enter the brain or lungs? And lay eggs there? What are the symptoms? Doctor: Hello. The ant, by all means, will be dead and blown out of your nasal airways because our nose has the following protective mechanisms. 1. Nasal vibrissae (small hairs) which block particles size of an ant. 2. Viscous secretions (mucus) upon which still smaller particles like dust get glued (about the size of 0.5 microns). 3. Sneezing is a protective reflex action whereby foreign bodies irritating nasal mucosa is thrown out vigorously followed by copious secretions which wash out rest of noxious items in the nose. 4. Immunity, specific immunoglobulins, complement proteins, ions, and other molecules. Hence the ant cannot survive inside the nose. Leave alone laying eggs. Now in case, it does survive, next most possible event is it getting washed and glued to the mucus and then swallowed along with saliva and reaching the stomach where the acid will kill it. Nasal secretions follow a natural path towards the throat, then esophagus and finally stomach. If it does make any attempt to pass anywhere else, it will bite you, and you would wince in pain. There is absolutely no possibility of it entering the brain without your having experienced the pain of its biting. There is no direct communication with mind unless it navigates through the skull base (bone). There is no possibility it entering the lungs through the air you breathe because our protective mechanisms prevent particles as small as 0.5 microns. If you are still worried put a few drops of saline nasal drops on either side of nose and rest in flat sleeping position for five minutes. This will add bulk to the mucus (nasal secretions) and wash off the impurities. You can spit what comes into your throat." + }, + { + "id": 24908, + "tgt": "My kid has little bumps on her finger. Is it an insect bite?", + "src": "Patient: Hi doctor,My daughter is 2 years and seven months old. From five days, she has little bumps on her finger and she is having an itching sensation especially during nights. This happened after she played with clay in the garden. I am assuming it to be some insect bite. I am not sure though. Please advise. Doctor: Hello. Yes, there is a strong probability of some sort of insect bite. I suggest giving her syrup Atarax 2 ml (Hydroxyzine) twice a day for two days. Keep watch, she might feel sleepy after Atarax. Apply calamine lotion locally. If the swelling does not disappear in two days, she may require antibiotics to prevent infection. As of now no need. It may be painful, give her syrup Ibugesic 2.5 ml twice a day morning and evening post meal. All medicines to be taken after doctor's consent. For more information consult a paediatrician online.--->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19408, + "tgt": "Are symptoms of pregnancy and premenstrual cycle relatively the same?", + "src": "Patient: Hi doctor, Recently, I had unprotected sex. The first time, we both were drunk, but I know I did not ejaculate. Also, we did not use any form of contraception. She\u00a0was ovulating during the second time and\u00a0I used the withdrawal method. What are the chances that she can get pregnant? Doctor: Hi. Well, ovulation is the period wherein egg is released from the ovary and that needs a single sperm to head towards a pregnancy. There is about 30% chance of getting pregnant following unprotected sex during ovulation. She can have I-pill within 72 hours, preferably within 24 hours or as early as possible to avoid unwanted pregnancy. It is safe and does not affect her future fertility except for mild immediate nausea. I would also advise her to go for a urine pregnancy test about 14 days after intercourse if she does not get her periods. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27683, + "tgt": "After applying Permethrin for scabies my baby got rashes. What to do now?", + "src": "Patient: Hi doctor, My 4.5 months old baby girl was diagnosed with scabies before a month. Her pediatrician advised to apply Permethrin both for mother and baby. After applying she got new rashes all over the body, especially on face, around cheeks and both lower legs, feet and sole. Now on her back three or four papules were developed. What to do now? Doctor: Hi. Please send the photographs of the lesion.\u00a0She might be suffering from atopic dermatitis. I can able to give a definite diagnosis only after seeing the lesion. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1504, + "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": 22860, + "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": 28429, + "tgt": "I developed symptoms of autoimmunity after Hepatitis B vaccine. What to do?", + "src": "Patient: Hi doctor, Before the vaccinations, I was in good health and optimal fitness level. The Hepatitis B vaccine caused me an unresolved encephalopathy and symptoms of autoimmunity. It caused flu-like symptoms, including malaise, sore throat, diffuse musculoskeletal pain, extreme exhaustion, numbness of both feet, abdominal pain, diffuse myalgias, arthralgias, and fatigue. I also had problems with cognition and concentration.\u00a0The mild numbness I had in my hands after vaccination has spread, and I developed burning, lancinating pains in my arms and legs.\u00a0It is painful to even wear shoes. I feel electric shocks in my arms and legs, and heaviness in my arms and legs got worse.\u00a0I feel as if I have the flu every day, and all my muscles hurt. I am dizzy and light-headed. I have intermittent problems with numbness and tingling in my arms and legs, clumsiness in my right hand, trouble running, painful jerking of my right arm, and a low energy level.\u00a0Overwhelming exhaustion that rest does not improve. I also have short-term memory loss, difficulty with attention span, low-grade fever, and rapid heart rate. The shoulder pain inhibits my ability to do chores and to groom myself.\u00a0Afterward, I started to struggle with dressing and lifting my arm. The shoulder pain onset was gradual, and I have body aches, frequent muscle tension, severe muscle weakness, muscle spasms, and soreness across my shoulders. I feel less coordinated, and have pain under my left arm, severe frontal and parietal headaches, and nausea. I feel weak from shoulder to the\u00a0elbow of my vaccinated arm, sweats, chills, joint aches, and stiffness. There are some unusual pains down the sides of my fingers, and inconsistent tremor of my right hand greater than my left. I also have vertigo, abnormal involuntary movements, memory loss, weakness in my left arm and left leg, and an inability to exercise. I get very ill when I try to exercise. According to my doctor, molecular mimicry is a potential mechanism for these adverse events. In such cases, a vaccine specifically activates cross-reactive T cells or antibodies that initiate a process, which ultimately injures the host\u2019s nerve tissues.\u00a0My GP said it is to do with 'nerves' and he referred me to a neurologist.\u00a0The list of investigations that would prove worthwhile is deltoid muscle biopsy, plasma creatine kinase levels, MRI shoulder, EKG, nerve conduction studies, and brain perfusion scan. Should I order any more tests? Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5763, + "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": 10629, + "tgt": "What would cause a dark horizontal line across nose?", + "src": "Patient: Hi doctor,I have a line across my nose going horizontally. This is because I used to push my nose up always. Can u suggest some natural remedy to get rid of it? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24378, + "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": 23357, + "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": 28955, + "tgt": "What does my mother's CT scan suggest about her back pain?", + "src": "Patient: Hi doctor, My mother has been having back\u00a0pain in the area of ribs for the past three months. She had a CT chest, which showed lytic lesions in D9, D10, and L1. She also had a PET-CT. Her ESR, CBP, RFT and LFTs are normal. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26892, + "tgt": "I have severe stomach pain. Please look into my reports and tell me the cause", + "src": "Patient: Hello doctor, I am a\u00a029 year old\u00a0male. I have a severe stomach\u00a0pain on the left side. I went to the\u00a0doctor and they did a USG of the whole abdomen. I am attaching the reports. Please help me. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8460, + "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": 22379, + "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": 26689, + "tgt": "What does waterlike vaginal discharge indicate?", + "src": "Patient: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When she is sleeping or lying on a bed, nothing happens but when she is standing the discharge happens. Please help. Doctor: Hi. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities and their solutions below. Hope I have clarified your query, do write back if there are 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": 4748, + "tgt": "Can GERD cause rumbling stomach and feeling of something stuck in throat?", + "src": "Patient: Hello doctor, I am 33 years old. From the last few days, I am suffering from GERD. I feel something is stuck in my throat and even if I take water this feeling never goes. Also, I feel a loud sound in my stomach before and after lunch and formations of gas. I took Reblet D, Eristozyme tables and Sucral O antacids, but did not work. Please suggest me remedy so that I can get received from GERD and the feeling in esophagus. Doctor: Hi. Not sure whether the diagnosis of GERD (gastric esophageal reflux disease) is made by you or your physician. By looking at the symptoms it looks like there is increased gastric acid secretion which is giving you the sensation of bloating. Diagnosis of GERD is made if you feel that the gastric acid is regurgitating back and you feel soreness in your mouth especially when lying down. This is because of the relaxation of lower esophageal sphincter pressure. As a result, acid is regurgitating into the esophagus. I suggest you to modify your lifestyle as mentioned below. 1. Avoid spicy and acidic foods. 2. Avoid going to bed immediately after food. A gap of at least one to one and a half hours is recommended. 3. Elevate the head end of the bed to about 30 degrees while sleeping. 4. Avoid smoking and alcohol if you do so. 5. Take small feeds or meals and avoid fatty foods and large meals. 6. Avoid coffee, tea, cold beverages like cola, etc., for a few days. Continue tablet Lansoprazole or Pantoprazole 40 mg twice daily for a month. No need to take Domperidone along with these. You can take antacids as and when required but not more than 20 ml per day. If symptoms do not resolve after 30 days give a try for H.Pylori kit (Lansoprazole, Amoxicillin and Clarithromycin) for 14 days. It is readily available with chemists. If the problem still persists, you need to undergo endoscopy to find out the reasons for persistent symptoms and may require surgical intervention. I hope this helps." + }, + { + "id": 26879, + "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": 11600, + "tgt": "My HSV 1 IgG value is 49. 20. Why is it so high?", + "src": "Patient: Hello doctor, I took an STD panel test and got a positive result for HSV-1 IgG Ab test. My result was 49.20, but the reference range was 0.91 for negative and anything over 1.09 as positive. Does my 49.20 mean the infection is a very recent one because it is so high? I am confused about why it is so very high. Should it go down over time? I have also heard that a high IgG could be related to HIV, as I was tested negative for it at day 105 after potential exposure (the last sexual encounter I had was three and a half months ago). Does an HSV IgG antibody test measure for antibodies that are only relevant to HSV, or should I be worried about HIV? Doctor: Hello. HSV (herpes simplex virus) IgG (immunoglobulin G) antibodies indicate previous exposure and HSV IgM (immunoglobulin M) indicates current disease. The positive IgG can become significant only if you have active lesions. The type one usually causes oral lesions which look like small blisters. The HIV testing recommended post exposure is the PCR (polymerase chain reaction) or the fourth generation. Which testing did you get? If the antibodies are negative for three months out it is a good sign. But I would be satisfied if HIV by PCR is obtained. I hope I have answered your questions." + }, + { + "id": 28009, + "tgt": "I have a sedentary lifestyle, and now my heart rate is low. What should I do?", + "src": "Patient: Hello doctor, I am a 19 year old male.\u00a0I am 15 to 20 pounds overweight. My height is 6 foot 1 inch.\u00a0I stopped exercising eight\u00a0months ago. I do not have a\u00a0calcium deficiency. I am currently fasting for religious purposes. I ate a whole wheat bagel with a glass of milk at 4 AM. It is now 10 AM. \u00a0My heart rate is below 60\u00a0bpm. Could I be having a problem with the SA or AV node? Is the sodium or potassium influx or efflux of plasma membranes not enough? I do not know if this is relevant, but I drank one and a\u00a0half bottles of\u00a0Gatorade at 10 PM\u00a0yesterday. What is wrong with me?\u00a0Is it due to my sedentary lifestyle? I spend most of my day studying. Doctor: Hello. This will help you. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29893, + "tgt": "Kindly recommend the best treatment for my father's breathing problem", + "src": "Patient: Hello doctor, My father is 60 years old. Last month, he had some breathing problem and so, we hospitalized him to the\u00a0nearest available hospital. In the hospital, we came to know from the doctors that he is having triple artery blockage. The doctors advised for a\u00a0bypass surgery as his condition was very critical. He had the bypass operation on the next day. He was discharged from the\u00a0hospital about a week back. He was at home for four days. Two days back, he had breathing issues and his sugar was very low as per the doctors. We hospitalized him in the same hospital and now they are saying that my father is having a\u00a0lung infection. My father is having type 2 diabetes for the past six to seven years. Now the doctors are saying that his Hb is very low at 8.5 and there is a\u00a0presence of creatinine traces in blood along with kidney issues. I have attached his discharge reports. My question is what is the treatment that is required right now? Should we shift him to any other hospital? He is having weakness and his health is also not stable.\u00a0Please advise. Doctor: Hi. Kindly share the medical reports again with the latest kidney parameters and the discharge summary along with treatment papers. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23270, + "tgt": "I have a tear or cut in the foreskin. What should I apply?", + "src": "Patient: Hi doctor, I think I have balanitis. I do have a tight foreskin. I usually have a tear or cut in the foreskin. If I apply Tenovate GN, it goes, but comes again. It is slightly less if I apply a moisturizing cream. I am a diabetic (with medicine PP is 160 to 180). I also had HSV type 1 on genitals also. Please advice. What should I apply? Doctor: Hello. Kindly send an image and revert back. Without clinical photographs, it is difficult to comment. In case of a diabetic individual, balanoposthitis is very common. You should not apply Tenovate GN cream (Clobetasol and Neomycin) as it contains a steroid and long-term steroid application can lead to side effects. I suggest using: Clotrimazole 1 % cream twice a day. Fusidic acid 2 % cream twice a day. Consult a specialist doctor, discuss with him or her and start using the medicines with their consent. If it is associated with white discharge then oral antifungal medications should be considered. But do not apply Tenovate GN cream. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2459, + "tgt": "My 3. 4-year-old son breathes through his mouth and snores due to nasal polyps. What to do?", + "src": "Patient: My 3.4year old kid has nasal polyps which is 3/4th coveres into his left nostril and 1/4th covered in right nostril, he always breaths through his mouth, whenever he does some activity he feels little dypsnea, but never stops being naughty, he snores while sleeping which is more concern to me. Till now, he did say any headache or other issues like pain in nostril or something, please please need your help. Due to this lockdown can't visit ent clincs near by. Doctor: Hello, welcome to iCliniq Nasal blockade due to any cause be it adenoids or polyps do cause snoring.It is because any obstruction in the the nasal cavity nasopharynx does alter the normal resonating properties of the nasopharyngeal chamber causing snoring. The masses you are seeing are not polyps. They are turbinates. Turbinates are normal structures. The left one seems to be enlarged though. What problems does your child have ? Does he complain of nasal obstruction? Is his sleep disturbed? He is probably having adenoids. Adenoids usually grow only up to 5 to 6 years and disappear on their own by 9 to11 years. However if it is causing difficulty in breathing , then you can get them removed. However snoring isn't that much a problem. You can use decongestants like Otrivin P nasal drops. that would help relieve the congestion and improve breathing." + }, + { + "id": 11373, + "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": 616, + "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": 18271, + "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": 13863, + "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": 22959, + "tgt": "Is there anything I can do about decompensated heterophoria?", + "src": "Patient: Hello doctor, I have had binocular, horizontal esotropia for two years now, worse on distant gaze. My ophthalmologist diagnosed it to be decompensated heterophoria. Is there anything I can do about it? I spend a lot of time writing and reading on my computer, could that make it worse? Doctor: Hi. Decompensated heterophoria, can result from a variety of decompensating factors. The most notable few are: Refractive errors are easy to detect and correct. You can do a simple test called pinhole test at home to check if you do have a refractive error. Just take any piece of paper and poke a hole in it with a pen. Then try looking at things at least 6 meters away. If you feel things look sharper or better in any way that means that you need glasses, or if you already wear glasses, then the power has changed. The sure shot way to diagnose refractive errors of-course is to get a cycloplegic refraction done by an ophthalmologist. Cases who do not respond may need an orthoptic referral for prismatic lenses. Now coming to your question on writing or reading, there are numerous reports that say near work (reading and writing) are tasks that cause progression of myopia. If there has been any change in your working hours or intensity, this can also cause a decompensation. I suggest that you follow the 20-20-20 rule of taking a 20-second break every 20 minutes and looking 20 feet away while working on the computer, also take study breaks while reading or writing. Glasses with anti-reflective coating and lubricants may also help you work for longer periods with minimum strain on your eyes. With glasses of appropriate power and avoiding overexertion whilst reading or writing, your weakened fusional reflexes should make up some ground. Surgical treatments are considered only for cases not responding to the above measures. In case the problem persists or if you start to have problems like double vision, headache or increasing severity of symptoms, please consult your ophthalmologist. Partially accommodative esotropia with decompensation. Cycloplegic refraction. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2549, + "tgt": "I feel that both sides of my teeth do not come in contact properly after wearing retainers. Why?", + "src": "Patient: hi can u please help me ? I recently got my braces off and got my retainer about a week later I started realizing that my bite was a bit weird before I got my retainer which is the waiting time for my retainer I realized that when i bite both sides of my teeth do not come in contact at the same time ! so after I got my retainer its been almost a week now it is still the same and I think it got worse. when I first got my retainer off I did not have this problem but after a few days I started feeling it and I thought it would get better after I wear my retainer but its still the same! Is this normal??? or should I call my dentist??? At first after I got my braces off I did not have this issue but while I was waiting for my retainer I started feeling it and now even when I am wearing my retainer I still feel it! Should I wait longer? Or is this because my retainer was not done properly?? Doctor:" + }, + { + "id": 6123, + "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": 6678, + "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": 10946, + "tgt": "What is the reason for severe itch in genitals and the surrounding area?", + "src": "Patient: Hi doctor, I am 29 years old. I am suffering from itching genitalia for over 5-6 years and the severity would range from low to medium. It is mostly due to sweating in that area. I used to apply itch guard for a few days and it used to get fine.\u00a0Now, over four to five months I have severe itching on my genitals that is in the penis, testicles and also the area below. I am using\u00a0Candiderma powder frequently. But, when the problem increases I apply Quadriderm ointment at night for 2-3 days.\u00a0There is also a lot of flaking and cracking of skin. I have attached the pictures of it. I\u00a0usually end up itching while sleeping too. What can be the problem? What medication and precaution should I take? Doctor: Hi. Your problem seems to have lingered on to become a chronic hyperkeratotic scrotal eczema. This is a result of your hyperallergic tendency, constant scratching, sweat induced maceration and intermittent but incomplete treatments with suboptimal medicines. Till you revert with the answers, I advice you to do the following: 1. Sweating. 2. Tight undergarments. 3. Constant scratching. 4. Application of inappropriate creams intermittently. 1. Blood sugar levels fasting and postprandial. 2. Serum levels of IgE antibodies. Follow up in two weeks with pictures to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20939, + "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": 1883, + "tgt": "Why does the color of semen differ?", + "src": "Patient: Hi doctor, I am a 25 year old male. I have been dealing with erectile dysfunction for nearly three years now. My sex drives do come and go, but it is based on the quality of my semen comes out. Sometimes, I have a good sex drive along with a good hard and my semen will come out rich white and a normal amount of it. But, those days when I have trouble in getting hard on along with low sex drive semen comes out with a little tint of yellow. Also, my penis is not fully hard, not as sensitive and aroused. I have dealt with anxiety, but later I have been fine. But, this problem is not getting much better nor getting worse. This problem started three years ago. In the past one year, I am also getting some throbbing pains in the vas deferens. I am not too sure of the area, because it is hard to pinpoint. I feel a pain from the bottom near my testicles to my abdomen and sometimes slight pain in the prostate area. It is a pain that I can feel enough to dismiss it and move on. I know I should get checked. But, first, I would like to get an opinion from a doctor. Thank you. Doctor: Hi. Your descriptions are absolutely right. For further doubts consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 12067, + "tgt": "What are the causes of radiating pain in the first metatarsal?", + "src": "Patient: Hi doctor, What are the causes of pain in the first metatarsal that radiate to the entire forefoot? Doctor: Hi. It will be better if your age, other conditions, profession, recreation, alcohol intake and dietary pattern are known. The causes can be divided into two major groups." + }, + { + "id": 18746, + "tgt": "Will antibiotics reduce the effect of Oral Contraceptive Pills?", + "src": "Patient: Hello doctor, I am using OCP Crisanta 21 for the last six months. Two weeks back, I went for a tooth extraction. So, I took antibiotic Magniclav 625 mg for five days. I had two tablets a day from 15th to 20th of last month.\u00a0I started my current Crisanta pack on the 16th of last month. My question is can the antibiotic reduce the efficacy of oral contraceptive? If yes, then what is the solution? After how many days of last antibiotic should I need to take birth control pill?\u00a0Can I solely rely on the contraceptive pill? Or is backup method required? Please explain. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28176, + "tgt": "My husband is abusive and addicted to alcohol. What to do?", + "src": "Patient: Hi doctor, I have been married for eight years, it was a love marriage, and things were fine initially. Three years back, my husband left his job to pursue his passion for becoming an entrepreneur, and I supported him in whichever way I could, both mentally and\u00a0financially. But, things did not go as per the plan. He has always been a very confident person, who has always thought high of himself. So, because of all this, his weekly drinking habit got converted to daily drinking. It has been three years since we had any sexual relationship. When I try to confront him, it only ends up in an\u00a0argument, and he tries to pull me down mentally. Things took an uglier turn when he verbally abused me, and I had to leave the room to protect me and my kid. He keeps abusing me mentally in front\u00a0of our 5 year old son. It is very disturbing to see our kid being raised up like this. It has become a routine for my husband, although lately, he has become very sensitive about me. I told my father about this, and he asked me to come back home. My mother is suffering from blood cancer, and she will live only for 2 to 3 years more. She does not know about all this, if I leave everything today, I may loose my mother way too early. She will not be able to bear it. I am so mentally sick and irritated, and I do not know wat to do. My husband says that things will change. Is it advisable to forget everything and start fresh? My mind is saying no, but I cannot disturb my parents anymore. Please help. Doctor: Hi. I have read your query and understand your concerns. I hope this helps you.\u00a0If you have more questions, feel free to write back to me.\u00a0Thanks and regards. For further queries consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 1778, + "tgt": "My husband is getting peculiar symptoms every six months. What is it?", + "src": "Patient: Hi doctor, My husband had an issue since he was 18 years old. Doctors have brushed him off time and after time. But, I know that his symptoms are very real. He feels hopeless that he will never find an answer. For every four to six months he gets a flare up as we call it. The symptoms are itching (bug crawling sensation), twitching, diarrhea, fatigue, headache, agitation, dry skin, peeling and loss of bladder control. It seems to be inflammation based. We do not believe it as an allergy. He has had Paxil a year before the problem existed. Please suggest me. Doctor: Hi. I am sorry to know that no proper answers were extended by doctors for his condition. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28436, + "tgt": "Is involuntary thumb movement related to seizure?", + "src": "Patient: Hi doctor,I am taking antiepileptic medicine Selzic 300 for three years now, and I have a\u00a0problem with involuntary thumb movement. My doctor suggested Clonazepam along with Selzic, to control this thumb movement. From the last three years, I am fits free, and at the age of 5, I had meningitis. Please tell me if I am at a risk of getting fits. Doctor: Hello. You are saying that you are fits free for last three years. I need more detail. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23200, + "tgt": "What can be done for low Hb, weight loss, weakness and severe cold?", + "src": "Patient: Hello doctor,My dad is suffering from low hemoglobin and weight loss with weakness and severe cold. Hemoglobin level is 5.2. We have consulted a doctor but what all further steps we have to take? He is currently taking iron supplements Absolute 3g omega. Doctor: Hi. The weakness and feeling cold are because of severe anemia. He needs a blood transfusion. Iron supplements are not enough. After that, we have to evaluate the cause of anemia. At his age, we need to get some investigations done to determine if there is any occult blood loss. If he has other symptoms of altered bowel habit or blood in stool we need to get a colonoscopy done. If he has dyspepsia or epigastric pain, then we need to see if he has a bleeding peptic ulcer or anything else. Also, we need to get a complete blood count done to see if there is any parasite infection. Please get the following investigations done after immediate blood transfusion. 1.Malena. 2.Hematuria. 3.Parasites. 1.Colonoscopy if altered bowel habit or Malena. 2.Upper gastrointestinal endoscopy. 3.Complete blood count. 4.Serum creatinine. 5.Liver enzymes. 6.Hb (hemoglobin) electrophoresis. Immediate blood transfusion. For more information consult a family physician online.--->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 213, + "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": 24376, + "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": 19938, + "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": 13871, + "tgt": "Is it possible to get irregular periods with ovulation issues due to hormonal problems?", + "src": "Patient: Hello doctor, I am 24 years old woman. My weight is 95 kg and height 165. I have irregular periods, ovulation problem. I consulted a doctor, she says hormonal problem, I have not produced an ovum, so the ovulation has stopped. Doctor: Hi. Your condition is known as PCOD (polycystic ovarian disease). It has the following features: Ovarian follicles are not fully functional and they do not produce the adequate hormone. This disease also has insulin resistance (a hormone which decreases glucose by increasing its breakdown) which leads to an increase in weight of the patient. Your doctor might be giving you a course of oral contraceptive pills for irregular menses. You should focus on weight loss by a healthy diet and exercise. Your weight loss will increase insulin sensitivity in your body. Please think about marriage and pregnancy before 30 years because PCOD is commonly associated with infertility. Infertility has better results if diagnosed and treated at an earlier age." + }, + { + "id": 20237, + "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": 23105, + "tgt": "What could be the reason for breathlessness after CABG?", + "src": "Patient: Hello doctor, My father had undergone a CABG x3 a year ago, but for the last three days, he is feeling breathlessness. What could be the reason? Doctor: Hello. How much is his ejection fraction in echo? The likely cause for his shortness of breath is an accumulation of fluid in lungs which occurs in patients with heart diseases. This is especially common in patients with reduced ejection fraction. I guess he does not have a history of asthma or smoking in the past. Is there any wheezing like sound whenever he is breathing? In treatment, he should restrict fluid intakes like water and other liquids, and have a low salt diet. We have to initiate diuretics like Torsemide, after seeing his ejection fraction. I have gone through reports, his triglycerides are elevated. He should have a healthy lifestyle like avoiding fatty, oily and sugary diet. Have regular walk. We have to initiate Fenofibrate 160 mg in his current medicines to control his triglycerides if he is not taking. His eosinophils are borderline elevated, but it is fine. Does he have any abdominal complaints like indigestion, pain, etc, for worm infestation which can cause raised eosinophils? So overall, upload his echo report, list of all medicines he is having, and provide some history which I have asked. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15727, + "tgt": "Are the negative HIV tests after unprotected sex confirmatory?", + "src": "Patient: Hello doctor, My age is 26 and I had unprotected oral sex. I licked a sex worker's vagina with a lotion. I had protected vaginal sex. Performed HIV tests on 25th, 42nd, and 70th days. I also did HIV1 PCR RNA qualitative on 76th day. CMIA antibodies on 70th day. Now, we will get the result of p24 on 86th day. All my reports are negative. But, I have rashes and recently got a cold. Are my tests results conclusive? I feel each and every symptom to be related to HIV. Doctor: Hi. HIV can never be diagnosed based on clinical symptoms. Moreover, symptoms of HIV include a generalized lymphadenopathy, weight loss of more than 10 % in short duration, long term diarrhea more than one month, etc. You have done CMIA test after 70 days that detect both antigen and antibody. It gives conclusive result after six weeks. So you may need not worry. However, the guideline says that you should repeat your HIV test after three months of exposure and that too after 85 to 90 days of exposure." + }, + { + "id": 28531, + "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": 9256, + "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": 23677, + "tgt": "My girlfriend had bleeding after taking the i-pill. Is this a sign of pregnancy?", + "src": "Patient: Hello doctor, My girlfriend, a 20-year-old virgin female, and I had sex but no intercourse was made as it was our first time. I ejaculated outside of her. For safe side, she took i-pill within two hours. Later on the 7th day, she started having pain in her lower abdomen and saw a drop of blood. Is it any sign that she will be pregnant? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8836, + "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": 23761, + "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": 26679, + "tgt": "I have stomach pain when I pass stools. Please suggest a medicine", + "src": "Patient: Hello doctor,I have been suffering from a\u00a0disease of the stomach for six\u00a0months now. I feel a pain in my stomach when I pass stools. My stool is like mud or liquid, but not like water. I have consulted many doctors but I do not have relief yet. Please tell me what I should do. I\u00a0am very worried. Doctor: Hello. Your problems are not too worrisome. It can happen normally as well. Have good food and relax. You will be fine. If is not settling with this, please consider a detailed consultation. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15134, + "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": 11850, + "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": 11444, + "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": 25416, + "tgt": "Why do the hands have an itchy rash?", + "src": "Patient: Hello doctor, My partner has had an itchy and an uncomfortable rash on his hand for two weeks. What could it be? I have attached photographs. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) I can see grain like vesicles clustered on the palms and the sides of fingers. It seems like pompholyx i.e. dyshidrotic eczema. I suggest you apply a topical steroid e.g Clobetasol propionate 0.05 % ointment twice daily. In addition, I suggest you take an oral antihistamine e.g Cetirizine 10 mg tablet once every evening for symptomatic relief from itching. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13377, + "tgt": "My son has anal itching as he had more sweets. How to resolve this?", + "src": "Patient: Hello doctor,My son is 3 years old. He eats too much chocolates and sweets. His health is down and having anus itching. He has worms. What to do? I am very sad and upset about his health. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28855, + "tgt": "My wife had two beta hCG tests and the values differ. How to confirm if she is pregnant?", + "src": "Patient: Hi doctor, My wife's period has been delayed for five days. Yesterday we took beta hCG test. The laboratory report says 500 mIU/mL, but they were not sure due to the technical problem. So, they sent the sample to another laboratory, and the result was 0.100. Even our doctor is confused now. Please help us. What should we do now? Doctor: Hi. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12881, + "tgt": "Is surgical correction important for loose vagina with gap?", + "src": "Patient: Hello doctor, I am 21 years old and five months postpartum. I have an embarrassing problem that my vagina is gaping open and very loose. I cannot move without air getting inside. My husband called me an empty pringles can and left me. It is that bad. It actually was that way already before I gave birth and I was always queefing it seems to progress over the years, it started when I was about 12 years old (was not sexually active until 19). Should I get a vaginoplasty and would it last or would it just go back to loose anyway after some time? Doctor: Hello. I have seen the pictures which have been uploaded and there is indeed gaping of the vaginal orifice with perineal laxity and also decreased mons pubis and labia mayoral fat pad (attachment removed to protect patient identity). Ideally, after postpartum, one is advised Kegel's exercises to tone the perineal muscles for 3 to 4 months if surgical correction is to be avoided. In your case, where air is seeping in and it is affecting your personal relationship as well, it is suggested that you should opt for a cosmetic gynecology procedure under aesthetic medicine called laser vaginal rejuvenation by thermiva (instrument name- you may search literature if need be), which can help correct the looseness of the vaginal walls circumferentially. Also, after re-evaluation of the results of the procedure after a month, then you can be considered for corrective vaginoplasty with perineoplasty with bilateral vulvoplasty, which would help you regain the aesthetics of the genital area and also your concerns could be addressed. Post-procedure you would be asked to avoid pregnancy for at least two years which would help the wall to repair and strengthen and results can be followed up in subsequent visits. So please meet a cosmetic gynecologist, get assessed and discuss your options in detail. Do not worry, this is correctable." + }, + { + "id": 20404, + "tgt": "I am not sure my contractions are Braxton Hicks or early signs of labor. Please help", + "src": "Patient: Hello doctor, I am 20 weeks into my pregnancy. I am not sure if what I am feeling is Braxton Hicks contractions or an early sign of labor. Doctor: Hi. The Braxton Hicks contractions are mild in intensity and vague in frequency. These contractions hardly cause much discomfort to the pregnant woman. The labor contractions are dull in nature, to begin with, and go on increasing in intensity. Labor contractions are often associated with a bleeding or discharge from the vagina. This requires attention." + }, + { + "id": 24863, + "tgt": "I experience heart palpitations and skipped beat. Do I need medicine?", + "src": "Patient: Hello doctor, I am 22 years old. I experience heart palpitations with a skipped beat for three years. When I exercise (run), I experience heart palpitations and I cannot breathe freely and naturally (exercise intolerance). I consulted a cardiologist and he says nothing is wrong with my health. After taking echo, I noticed mitral valve prolapse in that echo but he says it does not require treatment but I do not know whether my problem is due to this mitral valve prolapse. Should I take any medicine? How to cure it? Doctor: Hello. Your symptoms could be related to anxiety. I agree with your doctor that mitral valve prolapse is not a serious medical disorder. Anyway, it can trigger ectopic heart beats especially during straining physical activity. Anyway, if the problem persists, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring and some blood lab tests. If all these tests result normal, you should consider anxiety as the main cause of your complaints. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27965, + "tgt": "Why is my 2. 9 year old daughter getting recurrent boils?", + "src": "Patient: Hello doctor, My daughter is around 2.9 years old. She was fine until four months back. Three months back, she got a small boil near her buttocks, so we went to our pediatrician. The doctor gave some tablets, and the boil got healed well. Again last month, she got another small boil on her buttock, then our doctor told this is due to broken skin. He said that broken skin could give repeated boils. She got another small boil yesterday, which seems to heal with prescribed medicines and gel. But I want a permanent solution for this boils issue. What can be done? So far, she has got four such boils. All the boils were small, and they healed with medicines. Are such recurrent boils normal for kids her age? Doctor: Hi. Repeated skin infection (boil) in a span of four months is a matter of concern. The first possibility is that of an allergic rash due to an allergy to some substance or a mosquito bite getting infected due to repeated scratching. This needs to be treated by anti-allergic medicines. The possible allergen has to be identified. Secondly, it can be due to dry skin condition like eczema (atopic dermatitis), which is prone to infections. This needs to be treated by a pediatric dermatologist. The third possibility is a bacterial infection of the skin, which is responding to antibiotics. The cause of recurrent infection is any low immunity states like anemia, malnutrition, vitamin deficiencies, or other rare reduced immunity conditions. These need blood investigations to identify the cause. It has to be managed by a pediatrician to rule out various causes and a pediatric dermatologist to treat the skin problems. Hence, consult your pediatrician first. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19550, + "tgt": "I have sunburns and my legs are swollen. What am I to do?", + "src": "Patient: Hello doctor, I have\u00a0sunburns\u00a0and my legs are swollen. What am I supposed to do now? Doctor: Hi. Sunburns or solar burns can be treated as follows: Do a complete hemogram, blood pressure examination, blood sugar, uric acid level tests, and thyroid profile. Revert back for follow up with the test reports to a dermatologist online--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7920, + "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": 3265, + "tgt": "Will asthma inhaler increase pain in jaw bone after extraction of hypercementosis teeth?", + "src": "Patient: Hello doctor, My mom is above 50 years of age and she has been complaining seriously of pains for about 20 years now and it was recently diagnosed to be hypercementosis. She needs a solution. Also, she is an asthmatic and doctors have also said that the inhaler she uses increases the pain. Just for more clarity see the summary below. Summary: Doctors remove an impaired tooth as they said the root of the teeth entered the jaw bone and over time the jawbone was infected due to infections. The jaw bone where the tooth was removed is still paining and it is swollen. Doctors say that the inhaler she uses for asthma aggravates the pain as the jaw bone is sore. She has taken Augmentin, Dalacin C 150 mg, and others over time. Recently (a few months ago), she is diagnosed with hypercementosis. Status: Looking for treatment (therapy) to solve both asthma and hypercementosis. Doctor: Hello. There is no permanent treatment for asthma. It can be subsided only and if the inhaler is causing trouble you can opt for medicines. Tell her physician all the details your dentist gave her and her physician will surely give medicines. For the treatment of hypercementosis, the exact etiology needs to be diagnosed and removed, whether it is any trauma, any other disease, vitamin A deficiency, or rheumatic fever, or any other cause, which can be confirmed only after tests and observation. I am unable to open your link (attachment removed to protect patient identity), kindly resend the correct link. Else, I have tried to understand your problem, I hope my suggestions were helpful." + }, + { + "id": 9580, + "tgt": "Sometimes, my BP is high and I am getting a pain from spinal to upper neck. Why?", + "src": "Patient: Hello doctor, I am 28 years old, and I am suffering from pain starting from spinal to upper neck for three years. Sometimes BP is little high and that BP was 150/90 four to seven times BP up but now it is normal, but I have still suffered in the neck to upper head pain, discomfort on the left side like my heart is pressed and left shoulder and left leg. Now average BP is 85/125 to 90/130. LDL is 126, and HDL is 43. Doctor: Hello. The pain you are describing is not cardiac pain. Cardiac pain is accompanied by symptoms like shortness of breath, palpitations, etc. You have cervical radiculopathy this can cause pain to radiate to other parts of the body. I advise you to take tablet Ibuprofen 400 mg two times daily for five to seven days and gently trying to exercise your neck by moving it around. If you do not get relieved in a week, see a physician for a physical check-up." + }, + { + "id": 14597, + "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": 28057, + "tgt": "I have a small bubbly rash on my back, which is itchy. Could it be shingles?", + "src": "Patient: Hello doctor, I noticed this itchy, sore and bubbly rash on my back, in the bra strap area. The rash is relatively small\u00a0and oval in shape.\u00a0I have attached an image for your better understanding.\u00a0I have been using tanning beds, so I am not sure if that could have caused this rash. But my mom says this looks like shingles. I am worried, as I have a family history of shingles. I have had chicken pox previously. Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). Shingles is a viral infection caused by varicella zoster. It is characterized by unilateral pain, with multiple fluid-filled eruptions limited to a dermatome. It does seem like herpes zoster, that is, shingles. But, the presence of itching is not a symptom of shingles. Are these rashes unilaterally localized to a particular area of the skin? Do you have any burning pain? If yes, then it is shingles. Then, I suggest taking tablet Acyclovir 800 mg five times a day and 5 % Acyclovir ointment twice daily for five days after consulting your dermatologist. Investigate for blood sugar, HBsAg, and HIV (human immunodeficiency virus) test to rule out the cause of immunosuppression. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4094, + "tgt": "After quitting antianxiety drugs, my partner experience skipped heartbeat on bending. Why?", + "src": "Patient: Hello doctor, My partner recently stopped taking antianxiety medications. He is a severe hypochondriac, specifically a cardiophobe. He has experienced palpitations of various intensities for years. He has had multiple echocardiograms, the most recent one being less than two years ago, all of which cleared him of all and any conditions. But after going off the medicines, he has had a resurgence in the intensity of skipped heartbeats, particularly when bending over. They also sometimes happen when he is climbing stairs. But when he is exercising, they do not happen. Is there a connection between bending over and skipped heartbeats that can occur in people who have no medical condition? Doctor: Hello, Welcome to icliniq.com. Generally, any type of activity could present with a skipped heartbeat. It is just a coincidence that he has heart skips when he bends over. There is no correlation between bending over and heart skip. I advise him to continue exercising and adopt a healthy lifestyle it will go a long way in helping him. Beta-blockers are also a good option if he is not getting better. I hope this helps." + }, + { + "id": 7458, + "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": 20306, + "tgt": "I am using retainers after Invisalign treatment. Should I have to wear them for 12 hours a day?", + "src": "Patient: Hi doctor, I finished my Invisalign treatment and received retainers that look like Invisalign trays. But it is thicker. I am wearing them for the second day. I am wearing it for about 12 hours a day. But I am noticing pain on my teeth now, and they are tight on my teeth. Should I have to wear them for 12 hours a day? Doctor: Hi. I have gone through your query, and I can understand your concern. Retainers are a passive appliance, and they do not generate any force. If you feel a pain on the mucous membrane (oral tissue or gums), it can be ill-fitted. If there is a pain on the teeth, then it can be active (imparting pressure). You do not need to wear them for more than 12 hours, especially when it is painful." + }, + { + "id": 29255, + "tgt": "Could weight be a contributing factor for ankle and knee pain?", + "src": "Patient: Hi doctor, I am a 25 year old female. My weight is 18 stone and height is 5'11\".\u00a0My knees crunch when I walk and often give way. My ankles are feeble, and my feet feel sore.\u00a0I know that I am overweight and currently in the process of losing weight. But, due to the pain, it is getting in the way of my gym sessions. I am worried there could be something underlying due to hurting both my ankles and left knee over the years (really bad sprains). Could this be connected to my weight as a contributing factor?\u00a0Please help. My pain is getting worse. I feel embarrassed going to the doctors due to my weight. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 26187, + "tgt": "What could be the cause of a red rash above the lip line?", + "src": "Patient: Hello doctor, I have a red rash slightly above my lip line. It is dry and sometimes a little itchy. I did not use to have it, but it started around the time my partner got on acne medication and it does not go away, with the exception of when I traveled abroad for vacation. For some reason, it went away when I traveled. I have gone to two dermatologists, but I am looking for an actual solution other than it is stress. I have been stressed before and this did not happen. Doctor: Hello. Your concern is perioral dermatitis. It may be secondary to cheilitis as well. Also, It may be due to: You can try using a hydrating lip balm. I also suggest using a Hydrocortisone cream until the redness subsides. Do not worry. It is curable. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30691, + "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": 399, + "tgt": "I am diagnosed with genital molluscum. Is it related to HIV?", + "src": "Patient: Hi doctor, I was diagnosed with genital molluscum contagiosum (about a month and a half ago). I am being treated now and there are few number of bumps left (less than 5) when it first appeared there were 8-9 bumps. I wanted to ask if this had anything to do with the HIV virus. I have almost never been in a relationship without protection. But that still made me worry for a while. Please let me know if I should panic. Doctor: Hello. Genital molluscum is a viral infection but not caused by HIV virus. It is a sexually transmitted diseases and therefore usually spread from sexual route. Genital molluscum is considered to be a marker of HIV infection. Therefore, it is usually advised to rule out HIV infection in patients of genital molluscum. As you are having genital molluscum does not mean that you are having HIV infection. If you are practicing safe sexual practices then chances of HIV infection is minimal at least not because of sexual route. But to be in safe side I will advise you to rule out HIV infection by doing HIV testing as it is considered in protocol to test for it incase of genital molluscum." + }, + { + "id": 7867, + "tgt": "Will Cilnidipine help to control BP instead of Amlodipine?", + "src": "Patient: Hello doctor, Currently, I am on Telvas AM and BP is well controlled. My question is: 1. I want to shift to Cilnidipine instead of Amlodipine. Heard from many patients and clinical trials that Cilnidipine is useful in sympathetic nervous system hyperactivity as it is dual type CCB. I have that. Will it be a good alternative to Amlodipine? Will Cilnidipine be equally efficacious in terms of BP control when compared with Amlodipine? 2. Is there any difference in efficiency if I go for seperate tablets of Telmisartan 40 and Cilnidipine 10 mg or single pill consisting of both is preferred? Can I take separately? Doctor: Hello. Regarding your concern, I would explain that Cilnidipine is a good alternative for treating hypertension, especially in patients with uncontrolled hypertension or after a stroke. It may be more effective that Amlodipine and with fewer adverse effects (less edema). You may use them (Telmisartan and Cilnidipine) separately or even in the same pill depending on how it is more convenient to you. Anyway, you need to discuss with your attending physician on the maintenance scheme and periodic follow ups." + }, + { + "id": 14295, + "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": 4159, + "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": 12202, + "tgt": "Can I have intercourse after three days of hCG injection?", + "src": "Patient: Hello doctor, I am a patient of PCOD. I had my last periods before nine days. I took tablet Letrozole 2.5 mg from the second day of my periods and continued for five days. My USG findings of today as after ten days is right ovary follicle is 23.4 mm, and ET is 6.7. I will be able to meet my husband only after three days. My query is when shall I take injection hCG, as I can afford to have intercourse only after three days. My second query is with such a background, is there a possibility of cyst formation? Doctor: Hello. As the follicular size has already crossed 22 mm, there are high chances that you would ovulate in the next 24 hours naturally. However, by rule hCG dose is offered when the largest follicular size has crossed 20 mm, so you should be taking it today. After the injection, the ovulation is expected in the next 36 hours after the LH (luteinizing hormone) surge. So we advise intercourse from the very next day of hCG injection daily for the next three days to increase chances of conception. After ovulation, the egg is available for the next 24 hours when fertilization can occur as the egg starts to degenerate post 24 hours of ovulation. It has to be followed daily transvaginal ultrasound to watch for ovulation. If you ovulate by today night and see a ruptured follicle tomorrow then next 24 hours would be crucial for conception. In your case where sex is planned on three days from now if the follicle does not rupture naturally then you can take an hCG injection in the morning before the day of meeting your husband. And you expect egg after ovulation to be viable till that day and the next day when you can opt for frequent sex to increase chances of conception. All this provided follicle does not rupture until tomorrow evening." + }, + { + "id": 3095, + "tgt": "Is it possible to get HIV due to sex during periods?", + "src": "Patient: Hi doctor, I am 22 years old. My height is 5'11\" and weight is 100 kg. I had a condom on and I did not know that she was on her period. As there was blood on the condom, I removed it and had a new one. We had sexual intercourse again and again until she was bleeding badly. As far as I remember, the condom did not break both times. But, she cleaned her vagina and without proper washing she gave handjob and I ejaculated. Can I get HIV from the above act? Is there any possibility that the virus transmitted with her hand to my penis as her hands could have period blood on them and there was no lubricant involved while handjob? If so, what is the risk probability? Can blood on the condom somehow get to the foreskin of the penis? Could that blood transmit HIV? The exposure happened 48 hours ago and started PEP after 7 hours of exposure. I am on Tafero EM and Ritocom. Am I taking the correct medicine? Am I safe? Doctor: Hi. HIV does not get spread through such acts. In case there was any tear in the condom, the blood can seep through and put you at risk. There is a risk in such exposure and it may range from 0.03 % to 0.5 %. PEP (post-exposure prophylaxis) if started within 72 hours, then it would be helpful. Your PEP prescription is fine." + }, + { + "id": 9617, + "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": 5930, + "tgt": "I have swelling and pain five hours after a temporary filling. What to take?", + "src": "Patient: Hello doctor,I got a temporary filling in my tooth today. But there was swelling and pain after five hours. Doctor: Hello. I can understand you are worried about pain and discomfort in your tooth. After dental procedures like filling a root canal, infection and pain are not so uncommon. Many dentists give pain medications and antibiotics before discharging the patient (after the procedure). I would recommend you to consult back your dentist for these medications as he knows your case better. Also, you need a prescription for taking these medications from a pharmacy. For pain though, you may take over the counter painkillers like Ibuprofen or Tylenol after the meals. But this is not a permanent solution as we do not know at this point if there is an infection in the tooth root. Hope it helps. You may add follow up query here if you have more questions. I would be happy to assist. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12755, + "tgt": "What causes numbness in fingers with swollen joints?", + "src": "Patient: Hello doctor, I have been waiting for over a year to meet with a rheumatologist in my area. I am 39 years old, and a year and a half ago I was in the best shape of my life, having 10 % body fat, working out 4 to 5 days a week. I own my company and work on a computer daily, and my hobbies include tinkering with the computer, building guns, and doing a lot of things with my hands that require fine motor skills. I have lost that ability lately, I have lost the sense of feeling in roughly my thumb and index finger. My thumbs are both swollen at the joint, all of my knuckles get red and warm, nothing I take seems to help (although I have not taken any rheumatoid medication yet). I am just getting very depressed, frustrated, and just want some sort of help on easing my symptoms and getting back to a normal life. My knees and ankles occasionally give me issues, as well as my toes swell the same as my hands. I do experience dry eyes frequently. I would like a recommendation as to what I need to tell our local rheumatologist if I ever get in to see one. I have a general practitioner that is working overtime trying to help in the meantime, but she is out of her realm on advising any treatments prior to getting into the specialist. Any advice will be greatly welcomed as I am just at a loss for how everything has changed in the last year and a half. I have taken tons of over-the-counter medicines and nothing works. I just want something to help take the inflammation away so I can be normal again. Doctor: Hi. Yes, the possibility of inflammatory arthritis is definitely there, however that can be confirmed only when a rheumatologist examines you. The other symptoms are prolonged stiffness in your hands lasting more than half an hour, swollen knuckles and tenderness. The pain which is usually worse in the morning and better after rest. This pain usually gets better with anti-inflammatory medicines. This is confirmed by doing a rheumatoid factor, anti-CCP, ESR, CRP done. I suggest do hot fomentation and mild exercises too. Make sure that levels of vitamin D are fine." + }, + { + "id": 28084, + "tgt": "I have a scaly patch on my scalp which does not go away. Please advise", + "src": "Patient: Hello doctor, I have been suffering from a chronic 3 cm patch on my scalp, which has scales in it. If I remove these scales, gum-like liquid forms in that area and it dries to form the scales again. It reduces if I tonsure my hair and increases with hair growth. I do not have similar patches anywhere else in my body. I have tried many medicines, but they were of no use. I am currently using Lobate ointment with no result. Please suggest an efficient treatment for the same. Doctor: Hello. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16263, + "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": 26913, + "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": 17936, + "tgt": "I need help for my rebound nasal congestion", + "src": "Patient: Hi doctor, I am here to get help for rebound nasal congestion.\u00a0Two years ago, I started using Oxymetazoline nasal spray for mild allergy. I continued using it because I thought my allergy is persistent. Recently, I realized that my problem is not an allergy but addiction to nasal spray.\u00a0My symptoms are severe nasal congestion which requires using nasal spray four to five times. I have no typical symptoms of an\u00a0allergy, like\u00a0a runny nose, watery eyes, or irritation. Above all, I become very upset and anxious if I do not use the nasal spray. I tried to stop the usage of nasal spray, and somewhat successful. But at times my congestion is severe and it seriously affects my activities including sleeping. It would be great if you can suggest some alternative for nasal decongestants. I am a\u00a029 year old male, who is under treatment for mild hyperuricemia. Doctor: Hello. You suffer from a condition called as rhinitis medicamentosa. As you have rightly understood, it is due to the prolonged uninhibited use of nasal decongestants. Repeated use of the same causes decongestion temporarily followed by rebound congestion inside the nose. The action of these decongestants is by vasodilation, which lasts for a short duration, followed by reflex constriction of vessels which causes congestion again. This problem causes nose block. It is totally different from an allergy, which has specific symptoms as rightly pointed out by you. You should avoid all decongestants like Xylometazoline, Oxymetazoline, and Ephedrine drops. Do not worry about steroid side effects as the intranasal preparation does not get absorbed into the blood stream. It acts locally on the nasal mucosa which is exhibiting the rebound congestion and rhinitis medicamentosa problem. Do read the leaflet of the spray very carefully and then start using it. Do not inhale deeply after spraying as the spray then gets deposited in the throat, remember it has to act on the nasal mucosa and not anywhere other than that. These medicines will not affect the hyperuricemia problem or interact with the medicines you are taking for that. You may avoid decongestant tablets like Phenylephrine during these medicines. However, if you feel the need for those, you may let me know, and I can assess. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. I would also suggest you avoid exposing yourself to dust, spicy foods, cold foods, and smoke. You may wear a mask while traveling or walking outside. You are advised to take plenty of green leafy vegetables and healthy nutritious diet to help with the healing process. Do revert if you need any further support. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21033, + "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": 8278, + "tgt": "How accurate is Ramzi's method of gender prediction?", + "src": "Patient: Hi doctor, How accurate is Ramzi's method of gender prediction using the side of placental attachment? Do you doctors believe in it? Doctor: Hi. For further doubts consult a radiologist online -->https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 6315, + "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": 23385, + "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": 1992, + "tgt": "I have severe heartburn and acidity with blood in stool. Is this dangerous?", + "src": "Patient: Hello doctor, I am having severe heartburn and acidity issue. Today I got blood in stool and after I felt burn around the anus. Is anything serious? What should I do? Stool antigen (ICT) result is negative. My symptoms are heartburn after eating, bad breath from stomach, sometimes feeling bump on the right side only in throat while eating or drinking water, red bumps on the back of the tongue, tongue with white-coated color or sometimes yellow on the back of the tongue. I also have red acne on back of body, after eating need to go washroom for passing stool sometimes I feel burn while passing stool with more gas issues continuously. I feel burning at the upper side of the stomach when I eat spicy foods it becomes worse. Whenever I think I am having issue in stomach it triggers more burn. When I woke up I feel dryness in throat and smell comes from nose and throat too. Any permanent solution? Doctor: Hello. You have two main issues: 1. The heartburn and all the throat problem is due to reflux disease which aggravated by your hiatus hernia. This disease is controllable with medications but it could not be eradicated. You have to change your lifestyle and use some medications regularly for some time and then as per need. 2. The blood in stool occurs due to hard stool and burning in the anal area is due to fissure. I am giving you treatment and it will help out. GERD (gastroesophageal reflux disease). Anal fissure. Capsule Dextop 60 mg in the morning and evening before meals for four weeks and then only in the morning for four weeks. Syurp.Dijex MP (Alumina magnesia) two teaspoons three times daily after meals for 20 days. 2% Diltiazem gel apply at the anal area twice daily. Fibrocal sachet one sachet two times daily. Avoid spicy and junk food. Avoid late night eating. Elevate the head end of the bed about 5 inches." + }, + { + "id": 12827, + "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": 9962, + "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": 15381, + "tgt": "My ECG report shows a mild blockage in my heart. What to do?", + "src": "Patient: Hi doctor, Recently, I did an ECG. The doctor examined me and told me that I have a mild blockage. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). There is sinus bradycardia with a heart rate of 55 to 60 beats per minute, with a right bundle branch block along with left axis deviation. There are no significant ST-T abnormalities seen. It can also due to age or hypertension-related change. It needs evaluation and echo (echocardiogram) to rule out the possibility of coronary artery disease. So, you should undergo echo, and if it is normal, then stress test like stress thallium or CT coronary angiography can be done to rule out the possibility of structural heart disease. Also, do a thyroid profile." + }, + { + "id": 754, + "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": 7393, + "tgt": "Are there any long term side effects of Dapoxetine?", + "src": "Patient: Hi doctor, I am 21 years old. I have a problem of premature ejaculation. I have read 30 mg Dapox is effective for treatment of premature ejaculation. Can I start with od dose of Dapox? And for how long should I continue the medicine? Are there any long term side effects of Dapox? Can I take Duralast? I am taking Minoxidil for hair loss. Please guide. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14232, + "tgt": "What is causing severe allergic reaction to insect bites?", + "src": "Patient: Hello doctor, I am getting increasingly more severe reactions to insect bites. For 45 years, my body barely registered insect bites, until my hands were bitten a hundred times each by tiny sand mozzies and swelled to triple normal size with great discomfort. Now every bite from mozzie, fly, ant, etc., swells up three or four inches round and half and an inch high. Often to develop a yellow head and linger for many days. The itch and discomfort is unlike anything I had ever experienced before the old bites. What has happened? How do I treat this? Doctor: Hi Welcome to icliniq.com. Most insect bites are harmless, though they feel uncomfortable and unpleasant. But some of the insect-like bee, wasp or as you mentioned sand mozzies may hurt and cause burning, swelling, pain, etc. Some peoples become allergic to such insect poison. They also transmit several diseases like malaria, filariasis, dengue, etc. There is a need to improve your immunity to combat such issues. Insect bites, touch, allergens, etc. Take Tinospora cardifolia, Ocimum sanctum, Albizzia lebbeck, Turmeric each 10 gm and boil with 240 ml water till it becomes 60 ml. Take 30 ml decoction morning and 30 ml evening. It helps to resolve your issues. Protect your self from allergens and insects. Fumigate the house with smoke of Neem, Tulasi leaves, and Guggulu. Wear protective clothes." + }, + { + "id": 23228, + "tgt": "How to verify if surgeon has performed correct root extraction and implant placement?", + "src": "Patient: Hello doctor,I went through root extraction and immediate implant surgery of my front tooth. I am 29 years old, working woman and worried about the aesthetic part of the final dental implant. If the implant is placed too deep in the bone the final tooth might appear longer than other. How to verify if the surgeon has performed correct root extraction that will not lead to cosmetic failure. Also, what is the possibility of rectification? Doctor: Hi. Generally, immediate placement of implant after root extraction is easier compared to placement of an implant in solid bone (because the extraction socket just guides the position of the implant to be placed). Even if the implant is placed too deep, nothing to worry as there will be an abutment placed on it later on and then impressions are taken for the crown. The length of the final artificial tooth will be normal only (not too long if the implant is deep). To know whether your surgeon had performed the correct procedure, usually implant placement will not be done if the root extraction process is not complete. Anyways X-rays would have been taken after the procedure which will tell us about the condition. The best thing is you can directly ask your surgeon as to how the procedure had been. He will definitely give you the prognosis of the treatment. Regarding the failure of this procedure, let us be affirmative and optimistic about it. Generally, the implant procedures are done successfully but as we all know, there can be a failure anywhere. I hope this procedure is a successful one. Just be positive and discuss with your surgeon regarding the necessary and needful precautions to be taken by you to enhance the success of the implant (the implant should get embedded with the bone for the success of it). For more information consult an oral implantologist online --> https://www.icliniq.com/ask-a-doctor-online/oral-implantologist" + }, + { + "id": 9601, + "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": 5528, + "tgt": "What to do for low sexual desire and premature ejaculation?", + "src": "Patient: Hello doctor, I am 30 years old. Recently I got married. I am facing problems in my sex life. I have done intercourse five times in the last 20 days. I found some difficulty in erection. For the last one week, my sex desire has gone. I am facing problems with my penis. Going back to history, for the last couple of years back I have encountered urine infection and due to which I suffered from fever. Subsequently, a few times due to urine infection I had a fever. Nowadays urine has occurred very frequently after consuming any liquid. Coming back to the problem of penis I have early ejaculation, lost of sexual desire, sperms are diluted and sometimes yellowish, crystal clear gel type substance are found in it. Doctor: Hello. I can understand your concerns. I have some suggestions for you which will help. Practice kegel's exercises to strengthen pelvic floor muscles. This will improve erection and time. Eat green vegetables as these act as natural antioxidants. Chocolates and almonds are known to increase sexual desire. Do not smoke or drink alcohol. Do not wear tight underpants. Engage more in foreplay. Drugs like Dapoxetine will help to increase the time of ejaculation. Anyhow, I would suggest you to go for semen analysis. Also, go for penile doppler to know the status of blood flow to the penis. Urine infection does not cause sexual dysfunction. Kindly revert back with the details of the investigations." + }, + { + "id": 27795, + "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": 2361, + "tgt": "I am suffering from BP, memory problems and incomplete bladder emptying. Please help", + "src": "Patient: Hello doctor, I have the following symptoms. Bladder cannot be emptied fully, due to this I frequently go to the bathroom. During urination, I have to do forcefully. BP due to anxiety. Forget learning and memory skill is weak. Before taking medicine for anxiety my heart pounds during tense. After taking medicine I am comfortable. But presentation skill, memory skill is very low. Doctor: Hi. Did you have investigation related urine problem like CBC (complete blood count), renal function test, USG (ultrasound) whole abdomen (to rule our protest pathology)? Did you take any medicine for anxiety? You have mentioned High BP, now what is your BP? Any medicine for this? How long do you have all these problems?" + }, + { + "id": 29621, + "tgt": "My skin produces yellow substance that crusts and it come backs regularly. What is it?", + "src": "Patient: Hi doctor, I have suffered from acne since I was in high school and have used over-the-counter creams such as Benzoyl peroxide. The sides of my nose produce a clear yellow substance that crusts over my pores. When I clean the area and the crust is removed, it then produces the liquid again. I have had this for nine months and whenever it clears, it comes back within a week. Doctor: Hi. It could possibly be an infection of the sebaceous gland. Please provide a picture of your problem. Revert with the pictures to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13452, + "tgt": "What causes low sexual drive?", + "src": "Patient: Hello doctor, I am 32, male. There is a huge problem regarding my sex drive. I do not have till now found the root cause of low sex drive but I feel it is due to masturbation and porn. I used to masturbate from 15 years of age but from the last six months, I am watching porn like daily and masturbating once in 2 or 3 days. I usually masturbate by rubbing hard on bed. I am confused that whether my low drive is related to stress or excess masturbation or porn or some other hormonal imbalance. I am going to get married and that is why I am worried. I tried safe sex with a sex worker previous month but not enjoyed at all because of low sex drive. Could you tell me the reason and remedies for the same? Doctor: Hi. Masturbation is normal. It does not cause physical problems or sexual problems. Also, do not give any importance to the advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Your problem can be due to stress, anxiety or due to a physical cause. For physical cause, you need to do blood tests Hb, TC, DC, fasting sugar, prolactin, TSH, testosterone. Please upload the reports. Depending on the reports, treatment can be decided." + }, + { + "id": 9080, + "tgt": "My blood pressure dropped during C-sections. Is it advisable to get tummy tuck done?", + "src": "Patient: Hello doctor, I have a huge concern. I have been wanting to get a tummy tuck but I am afraid because in the past when I had my three C-sections, my blood pressure dropped. Now that I had been researching, I know that is a side effect but it seems that 10 years back my doctors were not aware because they performed X-rays, blood work, etc., to see what was going on but everything used to come back normal. So I really want to know if I have a tummy tuck, would it happen again. I also got nausea with local anesthesia, is that normal too? Doctor: Hi. By tummy tuck, you mean spinal anesthesia which you have undergone for all the C-sections, right? Note: Even though all your reports are normal, the basic nature of anesthesia is to reduce your blood pressure and heart rate. That is the phenomenon of anesthesia. It can happen to anyone and at any time. So, nothing to worry about it. Your anesthetist can easily manage your BP drops." + }, + { + "id": 27938, + "tgt": "I was born without a sense of smell. Can it be corrected?", + "src": "Patient: Hello doctor,I was born without a sense of smell. Are there any procedures to fix it or gain my sense of smell? Doctor: Hello. For more information consult an otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21487, + "tgt": "I have ear pain and swollen cheek after tooth extraction. Is this normal?", + "src": "Patient: Hello doctor, I had four wisdom teeth cut out and one permanent tooth on the 25th, three teeth on one side and two things on the other side on 28th. My left ear started to hurt and is still hurting but my right ear is not. The bottom of my cheek is sore and still a little swollen and near my teeth on the inside, I kind of feel a throbbing pain. I am on an antibiotic but is this normal or not? Doctor: Hello. Some throbbing pain and discomfort are normal for a week after extraction. If the pain is severe even after five days, it means you may have a dry socket condition. Also, if the ear pain is severe, you may have an active infection. Continue antibiotics. Use warm salt water gargle twice a day for a week. If the pain is unbearable, I would suggest you go for a checkup. if you could send a picture of the area, it will be good for more details and diagnosis. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17420, + "tgt": "I am experiencing itchiness and redness in my eyes. Kindly suggest", + "src": "Patient: Hello doctor, I am experiencing itchiness and redness in my eyes since a few days. I have been administering eye drops twice or thrice a day since two to three days but the problem persists. The redness is more after waking up and it subsides a bit after using eye drops (Itone eye drops). A major part of my day involves using a laptop. The itchiness and redness are slight, not very extreme. Kindly suggest. Doctor: Hello. From your description, I feel that you could have allergic conjunctivitis with some degree of dry eyes. The major symptom of allergic conjunctivitis being itching and of dry eyes being burning sensation. Both conditions cause redness and irritation and are aggravated by each other. My advice to you is: I recommended that you see an ophthalmologist in case of the following - 1. The redness, watering, and irritation are worsening in spite of the above measures. 2. There is a drop in the visual ability/clarity of vision goes down - check each eye by closing the other. 3. Your eyes stick together when you open your eyes for the first time in the morning after sleep. Hope you get well soon. Kindly revert back to me in case you have any further questions. Review after two weeks. Revert after two weeks to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12784, + "tgt": "Is it normal to see light and shape of human body even after losing eyesight?", + "src": "Patient: Hello doctor, I cannot see with both of my eyes but I can recognize the light and can see a dark shape of the human body if anyone stands in front of me. My eye sight was lost on drinking a glass of whiskey where I doubt that one of my evil-minded friends added something in that glass because after drinking that glass of wine I felt pain in my eyes and the next day my eyes lost it sight. I went to the hospital and there I came to know that my optic nerve got damaged. Doctor: Hello. The condition that you are describing is referred to in medical terminology as methyl alcohol or toxic amblyopia. This presents exactly as you mentioned, with patient losing vision after alcohol intake. The course is variable and patients can have a total loss of vision with optic nerve atrophy. The doctors are treating you for this condition to prevent the involvement of the other eye also and to replenish vitamins lost due to drinking. The important thing is we cannot accurately predict to what extent the vision may improve and how much vision can be saved. The only assurance here is that the treatment will be protective for disease in the other eye, so you will not be completely blinded. My suggestion is to undergo alcohol de-addiction and continue with your current treatment." + }, + { + "id": 30284, + "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": 30524, + "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": 28050, + "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": 28250, + "tgt": "After being in the same posture, I heard a loud pop on stretching. Why?", + "src": "Patient: Hi doctor, I was writing hunched over my notebook for about 1.5 hours.\u00a0When I straightened up doing back stretches, it popped loudly. I felt a sudden headache immediately as well as a feeling of confusion and memory failure like losing my mind. Why? Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 12691, + "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": 18667, + "tgt": "Our newborn baby is being fed through external pipe. Will this cause any problem?", + "src": "Patient: Hello doctor, Our newborn baby suffered in first inhalation and his heartbeat stopped one second and then his\u00a0breath and heartbeat\u00a0got restored. But x-ray shows some traces (please refer attachement). His heart is normal and he is in ICU for normal treatment of oxygen and normal feeding through external pipe. Kindly explain the x-ray. Will feeding with external pipe create any problem to the baby (he is just one day old)? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Consult a paediatrician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26359, + "tgt": "Temperature fluctuations after having sex with a CSW. Am I HIV positive?", + "src": "Patient: Hello doctor, I had a protected sexual encounter with a CSW. The very next day I found little white nonraised dots on the head of my penis.\u00a0The dermatologist told me that it was a fungal infection and prescribed Ketoconazole cream and Fluconazole tablet. However, I have undergone HIV antibodies test 10 days later and were non-reactive. In between, the fungal infection got completely eradicated in two to three weeks. I have been recently diagnosed with diabetes two to three months ago. Two months after the sexual encounter, once again I underwent an HIV screening test, i.e., antibodies test. Once again it came as\u00a0negative. As of now, I do not find any abnormalities in the functioning of the body but I have observed that my body temperature fluctuates between 98 to 99.4 degrees Celsius on a normal day and also I have felt numbness in both the knees. The uric acid is 8 and although the WBC\u00a0count is 13 with normal differential counting, I do not find any difficulty in swallowing food nor do I have swollen lymph nodes. The lymphocyte count is 26 from the latest CBC reports. I need your opinion in my case. Doctor: Hello. I hope your query is answered. For more information consult an\u00a0HIV AIDS specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist \u00a0" + }, + { + "id": 6572, + "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": 8135, + "tgt": "My baby has developed a red colored rash around the anus area. What could it be?", + "src": "Patient: Hello doctor, This is for my 22 days old baby girl. In the last 2 days she has developed some red coloured rash in the area surrounding the anus area. She feels irritated while passing stools. I have attached the picture of the same. Please advise. Doctor: Hi. I have viewed the picture (attachment removed to protect patient identity). Management: Consult a paediatrician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6802, + "tgt": "Does blood in mucus from nose mean nasal cancer?", + "src": "Patient: Hi doctor, I am a 36-year-old male smoker. I have mild hay fever but no other medical issues. For the last week, I have been waking up with a one-sided blocked nose and slight throat irritation. The side of the nose blocked changes, I think depending on which side I lay down on. I then blow my nose hard, both sides and the blocked nose seems to disappear until the next morning. Mucus comes out when I blow. A few days ago a little blood streak with in the mucus but not last couple of days. I have been reading on nasal cancers and am really worried. About a week ago when I woke up with a blocked nose, my eyes and eyebrows were hurting. I am sure I had something similar last year. I have heard of MRI for a separate reason around 6 to 7 months ago and they said everything was fine including sinuses. If it were nasal cancer would one nostril be blocked all day rather than just the morning? Also, would it always be the side of cancer (mine switched sides in the morning sometimes right nostril sometimes left)? Are these symptoms ones where I should be worried about cancer? Doctor: Hello. Answering your questions: The explanation for your symptoms: It appears like an acute rhinopharyngitis only. This is inflammation of the nasal and pharyngeal cavities. In the initial stages or when the immunity is good, it affects the way you have described. Mornings congestion of throat and nose block is common with rhinopharyngitis. You have mucus also. Mucus when dries up forms crusts inside the nose and when these crusts get dislodged they cause abrasions inside the nose and that can cause bleeding while you blow the nose. Hurting of brows and eyes could be due to sinusitis which is a sequela of rhinitis due to the block of sinus ostia which open into the nose. Is there running nose, sneezing, decreased sense of smell or facial pressure? Any ear symptoms or a headache? Suggestion: See the quality of mucus, if it is thick yellow and smelly you may need a course of antibiotics. Otherwise nasal decongestants and systemic decongestants would suffice. In either case, avoid smoking till you are completely fine. Take non-spicy warm foods and do not drink till you get better. Avoid citrus fruits also. Drink plenty of warm liquids and water. Can apply few drops of Otrivin nose drops before sleeping in the night. Do not use the nose drops continuously for more than 4 or 5 days. Investigations: I do not feel you need to do any investigations now. But to rule out cancer, you may want to do a CT scan of nose and PNS (paranasal sinuses-non-contrast one). A complete blood count with serum IgE also would be ideal. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4282, + "tgt": "I have retrograde ejaculation and male incontinence. Is TRUP necessary?", + "src": "Patient: Hello doctor, I am pretty sure that I have retrograde ejaculation because when I ejaculate it does not come out at the same moment of ejaculation, but it does come out seconds later and when I urinate there is some sperm. I also have male Incontinence and bedwetting problem since I was young and I am now 24 years old and a couple of times this year I found it hard to urinate, I felt like my bladder was numbed or something. So I went to a urologist and I had my testicles tested because I had pain there and thought it was the reason for all this. He gave me antibiotics I also did an ultrasound on my testicles and to check my kidney stones but everything was fine and after the antibiotics nothing change but the testicular pain. My urologist said he wants to do a TURP (transurethral resection of the prostate) but I do not know anything about the operation and he told me I will feel pain and I am scared of that but I also do not know why he wants to do this operation. I searched online and it says mercury retrograde might be from multiple sclerosis, week bladder muscle, problem with the nerves, a previous operation (does not apply to me) or medication side effect (does not apply to me). So I am not sure what to do? I want to check for multiple sclerosis and also look at my bladder muscles? Could it be a problem in the prostate? And is TURP necessary? I want a urologist who really wants to find out what is with me instead of just doing a test and not listening to what I am saying and then tell me to come back a month later. I have more than one problem and I want to know what is causing all this? Doctor: Hello. I think that there is an obstruction in your prostate gland. Prostate gland store semen. That is why he wants to do this procedure. TURP stands for transurethral resection of the prostate. You must go for it. If you have further questions, do follow-up." + }, + { + "id": 26979, + "tgt": "Are the medicines I am taking for chronic diarrhea effective for my condition?", + "src": "Patient: Hello doctor,My weight is 47 kg, and my height is 5 feet and 9 inches. I was diagnosed with chronic diarrhea. The doctor has suggested medicines like Normaxin, Rifagut 400 and VSL#3. Are these effective for chronic diarrhea and gas? What foods should I take so that I start gaining some weight? Doctor: Hello. Hope I have cleared your concerns. Please feel free to get back as needed. Good luck. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 137, + "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": 22829, + "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": 9639, + "tgt": "Kindly suggest a safe liver supplement as I am already on Evion for last six months", + "src": "Patient: Hello doctor, Can you please suggest a safe liver supplement? I have been eating Evion tablet for the last six months. Initially, my bilirubin got high, but when I stopped drinking, it became normal after one month, but still, I feel my liver has become weak to digest things daily, especially the dairy products. Doctor: Hello. There are no medicines or supplements that can support the liver. The liver does not need any help if it is healthy. Just avoid things that can damage the liver-like excessive alcohol. Difficulty in digesting dairy products may be due to lactose intolerance and has nothing to do with the liver. Milk contains lactose, which is a carbohydrate. To digest carbohydrates, our intestines produce an enzyme called lactose. Some individuals produce very little, or no lactose and the lactose is not digested.Further downstream in the intestines, the lactose gets digested by the intestinal bacteria which results in the release of some gases as byproducts. This causes flatulence, bloating, and diarrhea. In such cases, avoid regular milk. You can use lactose-free milk. Some individuals can tolerate milk products like yogurt and cheese, which have low levels of lactose. Butter and ghee have zero lactose and will not give any problems. I hope this helps." + }, + { + "id": 13379, + "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": 25674, + "tgt": "I washed my penis with Dettol handwash liquid. Will this cause any harm?", + "src": "Patient: Hi doctor,My partner and I had sex yesterday night. I used condoms and after sex, I washed my penis with plain water and not with soap. I rinsed my mouth with plain water, I did not brush. After four hours, I washed my penis with Dettol hand wash. After that, I took a bath tonight. I am worried now. Will this cause me any harm? Should I undergo any test? Kindly let me know. Doctor: Hello. I do not see anything to be worried here unless there are some symptoms you or your partner are experiencing. It is too early to have symptoms. I am not sure if you are worried about sexually transmitted infections. If so, you have used a condom while having intercourse, hence less likely to acquire infections. Do not use Dettol hand wash for cleaning your genitals. Never ever. It might cause irritant dermatitis. If you know your partner very well, if she is free of sexually transmitted infections, then there is nothing to worry. Ask her if she has any concerns regarding this. The great thing is that you used a condom. So, there is nothing to worry, provided there was no condom break during the act of intercourse. Any infection would take at least five days to manifest symptoms, which I really hope you have not got. In case of any ulcer, pain, pus from urethra, you can get back to icliniq or consult your nearby dermatologist. Wish you a healthy skin and healthy life. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 23163, + "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": 551, + "tgt": "Is there a possibility to cure GI bleeding with medicine?", + "src": "Patient: Hello doctor, My mother has been diagnosed with probability of lower GI bleed in proximal jejunal small bowel loops through nuclear scan. She is a heart patient and had been operated in the past and got her two valves replaced. She has to take blood thinning medications like Warfarin. My mother had low hemoglobin due to blood loss in stool. But, it used to get resolved with changing the dosage of Warfarin. But, this time, she is getting blood loss on more frequent duration and thus doctors asked to do nuclear scan to check for any GI bleeding. She has been advised to undergo surgery to get GI bleeding treated. Please advise if there are still possibilities to cure her with medications. If surgery is required as a last resort, then which one would be less threatening? Doctor: Hi. Warfarin induced bleeding. Once stool color changed to normal from black, can proceed with CT scan abdomen to find out the cause. Jejunal ulcer. 1. Medical management, if general condition is stable. 2. If general condition is unstable, then required more than 5 bottles of blood transfusion. If active bleeding is continued even after dosage modification of Warfarin, then consider surgery with high risk. For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 29170, + "tgt": "Can pain from splinter hemorrhages spread to other fingers and increase heart rate?", + "src": "Patient: Hi doctor, I am a 19 year old female weighing 100 lbs and 5.6 feet tall. I have had splinter hemorrhages that started in my index finger and now has spread to my thumb, but the pain in spreading to four fingers of my right hand.\u00a0It becomes unbearable at times when I wake up or when I go into cold environments. I have no heart problems that I know of besides an abnormally high heart rate for the past two years, which has been dismissed by a doctor as nothing serious. I am concerned because of the pain it has caused me, and I am certain I have not had any trauma to my nails. It is spreading with time. I am not taking any regular medicine except Ortho Tri-Cyclen Lo (birth control). Doctor: Hello. There is a possibility of limb ischemia that is obstruction of blood flow to your hand. As it is progressive, it is likely due to an embolus (clot) getting dislodged and landing in your hand or may be due to local clot formation. I suggest you visit your specialist doctor and get the following tests done. Oral birth control pill could have a role to play, as it makes blood thicker. Limb ischemia is an emergency, and it is crucial that we rule out this possibility as the consequences may not be good. So, visit ER (emergency room) and get yourself examined as soon as possible. Is there any discoloration like bluish tinge or erythematous coloration? Can you upload the photo of your hand? Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5731, + "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": 15825, + "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": 25050, + "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": 2860, + "tgt": "I get sudden rashes in body and neck at least once in a week. Why?", + "src": "Patient: Hello doctor, I am a 25-year-old male. My weight is 82 kg. I have sudden rashes on my body and back of the neck. I get this at least once in a week. Please help. Doctor: Hi. You are suffering from urticaria. Since you have not mentioned the duration to say it is acute or chronic. It is of two types exogenous and endogenous. If you can pinpoint any cause like eatable or after wearing some clothes or any contact it is exogenous you have to avoid that. In endogenous it is due to internal factors in your body which you cannot change. But it is sometimes assiociated with some other diseases. So I would advise you about some investigations. 1. Complete hemogram. 2. Thyroid function tests. 3. IgG levels for follow up. Treatment: tablet Bilastine." + }, + { + "id": 1117, + "tgt": "I am pregnant and found some blood spots. Does my ultrasound suggest miscarriage?", + "src": "Patient: Hello doctor, I have a positive UPT and my LMP is 31st March. I have an irregular period at 13th May and I found some blood spots. After that, I go for a TV ultrasound that shows no definite gestational sac, endometrial echo is central and normal in thickness and measures 0.6 cm. Before TV ultrasound, on 8th May, I checked my beta hCG and it is 178 and after 48 hours it is 247. Is this miscarriage or should I go for another ultrasound because after that I do not have bleeding or cramps or anything? Please guide. Doctor: Hello. I have gone through the description you mentioned and understand your concern totally. But the details are a little confusing, it would have been good if you could give details with dates when beta hCG (human chorionic gonadotropin) was checked. I understand that scans were performed and the beta hCG test on 8th May is 178 and on 10th May it was 247. On 13th May you got the scan as you had a spotting, right? See, as your previous cycles have been irregular, it is difficult to predict when you would have ovulated exactly. So we cannot go by your dates to calculate the duration of the pregnancy. May I know when did the urine pregnancy test turn positive for the first time? It would be advisable to recheck your urine pregnancy test now again, as you had spotting, if the levels are falling then it would be suggestive of a miscarriage, and mostly this could be like a biochemical pregnancy, where pregnancy is detected only in the blood tests, but on the scan I cannot find the gestational sac development, which has ultimately got aborted. (As levels you mentioned last were pretty low). Another possibility to be ruled out, more importantly, is ectopic pregnancy or pregnancy at some unknown location. To rule out all these, doing a serum beta hCG will clear your doubts. Serum beta hCG level. Repeat ultrasound after checking the beta hCG value. Report to your gynecologist if you have any sharp pain." + }, + { + "id": 30865, + "tgt": "Is there any medicine to correct height problem?", + "src": "Patient: Hi doctor, My cousin is 10 years old, but he is short for his age. His grandfather, father and sister are also short. Is there any medicine for growth or height problem that occurs due to hereditary? Doctor: Hi. I understood your concern. For further information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 26729, + "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": 1886, + "tgt": "Are injections safe to use for skin itching during pregnancy?", + "src": "Patient: Hi doctor, I have\u00a0red bumps on hands, lower back and legs. It is also itching a lot. In some body portion blood patches had happened due to itching. For this itching Estrogen, LCZ and Lobate are used as current medication, but no use. I am going for liver function test as soon as possible.\u00a0Are injections safe to use during pregnancy for severe skin itchiness? Please help me. Doctor: Hi. I have gone through the pictures (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 434, + "tgt": "Having PCOS since I was young. Will I be able to conceive naturally?", + "src": "Patient: Hi doctor, I am 27 years old. I got married before 1.5 years. I have PCOS since I was young. I remember that I had various types of medication as I did not get my periods regularly in the initial stages. My mother had taken me to many doctors, including ayurveda, homeopathy and allopathy. Before 4 years, my gynecologist prescribed me Ginette 35 and since then, I have been taking this pill. I am now planning for pregnancy and I want to know whether I can just stop taking Ginette 35. Will I be able to conceive naturally? I am also overweight for my height. My height is 5'3\" and my weight is 75 kg. I want to have a baby now and want to conceive naturally without any medical treatment. Is that possible? Doctor: Hello. It is good that you continued Ginette 35 (Cyproterone acetate and Ethinyl estradiol) till date. Your menses would have been regular after being placed on Ginette 35 till date as I presume. If you wish to conceive, then you must stop the pills after completing this pack and wait for the withdrawal bleed or menses. From the next cycle, you may try naturally and also follow up ovulation with ultrasound guided follicular monitoring. Sometimes, initial 1 or 2 cycles remain annular after prolonged usage of Ginette 35 and resumes by third cycle. But, that varies from woman to woman. So, you may try conception from next cycle and do follow ovulation. A fresh hormonal profile would be mandatory after a month along with serum fasting insulin levels to check for the insulin resistance as well and present hormonal status. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 11974, + "tgt": "Is it necessary to exclusively breastfeed a newborn?", + "src": "Patient: Hello doctor,Why more mothers are choosing to exclusively breastfeed? Why does it work for them? Doctor: Hi. Breastfeeding is actually easy if mother has the required amount of milk to fulfill the baby's requirements. Breastfeeding transfer immunity to the baby, prepare his or her body to resist against disease and is sterile as well means no need to prepare it and any arrangements required to prepare it. It has all the necessary ingredients that are easily digestible by just developing a newborn digestive system. Many enzymes and hormones in early days of life are not established to digest food and even just Cow's milk so in this phase breast milk is the best option for a healthy baby as easily digestible and available. Breast milk does not need to prepare and to have arrangements for sterile bottles, boiled water as powder mill requires. Breast emptying is necessary to increase milk production and avoid infection or breast engorgement that is why mothers need emptying both breasts properly. Breastfeeding is a natural way of mother and child bonding that is enjoyed by the mother as well as the baby." + }, + { + "id": 9768, + "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": 4271, + "tgt": "Will Asthalin and Lukast tablet lead to sexual side effects?", + "src": "Patient: Hello doctor, The medicines used are Formoflo inhaler, Asthalin tablet, and Lukast tablet. Will these lead to sexual problems as side effects? Is it reversible? Doctor: Hello. You have given very little information regarding your query. Actually the side effects of every drug depend on age, sex, duration of use, and doses of that drug. However, as all inhalant acts locally it cause very rare or nil affects to the systems. They are usually devoid of any systemic side effects like sexual side effects. So Formoflo inhaler will have very rare possibility of sexual side effects. I think any inhaler can cause these side effects. Asthalin tablet contains Salbutamol which has not reported any sexual side effects. Tablet Lukast contains Montelukast which is an anti-allergic drug used for asthma and never reported to cause any sexual side effects, so it is also not a cause. I would like to mention for sexual problems decrease of sexual desire is an integral symptom of depression and Montelukast reported side effects of depression. If you have other symptoms like low mood, decrease in pleasurable activities, appetite and sleep disturbances, loss of energy, irritable behavior, and restlessness then it could be due to depression because of Montelukast. If you have do not have other symptoms of depression, then it could be an independent sexual problem and not due to any drugs which you have mentioned here." + }, + { + "id": 9431, + "tgt": "I have multiple sclerosis and under treatment. Kindly advice on MRI and the reason for hearing loss", + "src": "Patient: Hello doctor, I currently have MS and receive Tysabri as a treatment. During my recent MRI, several things showed up, which have been dismissed out of hand by my MS Provider. 1. In comparison to previous scans, there is a new focus of increased signal change in the right temporal lobe medially adjacent to the third horn 2. Inflammatory changes noted in the ethmoid and maxillary sinuses with a large polyp or retention cysts in the maxillary sinuses. Do any of these require further investigation and can any of these be a reason for hearing loss? Doctor: Hello. I have read your question carefully, and I will try to answer in detail. I understand your concern. I would like to have additional information please, 1. Since when you have the diagnosis of MS and for how long are you on Tysabri (Natalizumab)? 2. When was your hearing damaged and did you have the MRI for this symptom or any other new symptoms or was it a routine imaging check-up for MS? Actually, the MRI report did not show up a number of new things. Except the tiny new plaque which we expect from time to time in MS (the definition of MS is distributed in time and space). Also, none of the plaques are active. Regarding the inflammatory changes and retention cyst in maxillary sinuses, you shouldn't worry. Most of them are asymptomatic and incidental findings during head imaging (radiography, CT, MRI) and are not related to MS. However if you have symptoms like headache, frequent infections of sinuses, facial pain, etc., then you could consult a maxillofacial surgeon, to evaluate you for possible surgical treatment. I would recommend doing regular follow-ups with your treating physician, and I would not recommend an additional investigation. However, a consult with an ENT doctor is advisable for the differential diagnosis of hearing loss, since the hearing loss is an uncommon symptom in MS. I hope my answer was helpful. Feel free to contact me again with additional information, and if you have further questions." + }, + { + "id": 30848, + "tgt": "While learning sports, I stress myself. Why?", + "src": "Patient: Hi doctor, I have ADHD and I am currently on Vyvanse. I am a football player. I perform badly when I am under pressure. When I get a simple instruction, I feel like it as so tough. But, when I am practicing or alone, I can enjoy myself and play well. Even though I enjoy football and love the sport, I treat it as a job and not a game. I think the problem is because I stress myself out about learning stuff in as much detail. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26021, + "tgt": "My reports say there is protein in the urine. Is it normal?", + "src": "Patient: Hello doctor, I just got my blood and urine tests done and it says I have protein (trace) in the urine. Is it normal? Secondly, I am attaching my reports. Please check and comment. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Traces of protein in the urine might be normal. Kindly note: I suggest the following: For further queries consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16387, + "tgt": "Kindly advise how to fall asleep at night", + "src": "Patient: Hello doctor, I am unable to sleep at night. I tried a lot but cannot sleep at all. It is after 5 AM that I feel like sleeping. Please help me to sleep at night. My age is 19 years. Doctor: Hello. At times, if a day or two we cannot sleep on time say 10 or 11 PM and suppose we sleep at 5 AM, then we will wake up after 6 to 7 hours, that is 11 or 12 PM in the afternoon. So, if this becomes a pattern in some days and our biological clock get adjusted with this new sleep and wake up time, this is called phase delay sleep problem. If you have only sleep disturbance, no other mood or behavior problem, then try sleep hygiene measure. Define your wake up time no matter when you slept, wake up at fix time. Do not drink tea, coffee, cola after 6 PM. Do not use your bed for any other purpose except for sleep. Do not keep tossing and turning in bed if you cannot sleep. Get up, sit on a chair, start reading a book." + }, + { + "id": 11639, + "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": 7748, + "tgt": "Is Garcinia Cambogia a good slimming product? Can you suggest low carb diet chart ?", + "src": "Patient: Hi doctor, I am a 20 year old female. My height is 166 cm and I weigh 77 kg. Actually, I used to take less food only. But, I do not know, how I am getting obese. One of my friend said that Garcinia cambogia is a good slimming product. So, before using that, I thought of consulting a dietician. If it is not going to be helpful, then can you suggest other alternative medicine? Thank you. Doctor: Hello. You need to have low calorie, low carbohydrate and high protein balanced diet chart for your weight loss. According to your height, your ideal body weight should be 63-65 kg. Diet and exercise both are important for the weight loss program. Exercise regularly. Do not give any meal gaping. Meal gaping is one of the reason for your weight gain. Maintain the intake of the foods mentioned in the diet chart. Please share the result after 20 days or a month. If you have any previous or recent medical report for example thyroid, etc., then do share with me. According to the result, I will do some modification in the diet chart again. Garcinia Cambogia or any kind of slimming product or health supplement will not work properly without a balanced diet and proper physical exercise. It is always better to reduce weight by a balanced diet chart to remain fit and healthy. The following diet chart is suitable for you with standard meal timings. Please follow it properly. Revert back after a month to a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 21984, + "tgt": "What is the cause for itching in the whole body?", + "src": "Patient: Hi doctor, I am 78 years old male. I am diabetic. I am facing a whole body itching problem for the past one year. I have done an allergy test, and I am allergic to certain foods like curd, apple, dry fruits, tomato. Now, I have stopped taking these foods, but there is no relief. The doctor advised me to take Fexofenadine 10 mg once a day before sleeping. Please suggest a better medicine for getting fast relief. As my skin was dry, the doctor gave me Venusia cream and Medi oil for use two times a day. My past medication is Loratidine, Alegra and a tablet for stomach worms. Doctor: Hi. In diabetic patients, the skin becomes dry due to shrinkage of sweat glands. Keep your skin well hydrated by frequent application of vaseline lotion. Mix glycerine and aqua rose in equal amount and apply it on your body after bath on a slightly wet body so that the wetness can be retained. Take tablet Ebastine 10 mg one tablet in the morning and one tablet in the evening. Take tablet Cetirizine 10 mg at night. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15968, + "tgt": "I have pain in buttock and unable to walk. How to get cured?", + "src": "Patient: Hi doctor, I have pain in my buttocks. I am unable to walk, and it has been there for a week. I am unable to move my body during sleeping. Please help. Doctor: Hi. The pain can be a musculoskeletal pain. For that, a non-steroid anti-inflammatory drug can be taken for five days. A hot compress can be applied over it. If there is no improvement, you can consult an orthopedic surgeon for a detailed physical examination. If the pain is sharp, then it should be ruled out for nerve compression." + }, + { + "id": 10224, + "tgt": "What could be the painless lump under my skin on my arm?", + "src": "Patient: Hello doctor,I have a lump under my skin on my arm, and it is slight my raised. It is not painful, and it is 5 mm in diameter. It has got a dark center that looks like a bruise. It has not grown in size either. What could it be? 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": 4522, + "tgt": "How to fix procrastination?", + "src": "Patient: Hello doctor, I am 33 years old. I am a typical introvert person. My problem is I procrastinate a lot, sometimes because of social or workplace anxiety but sometimes just for nothing. I have read many online blogs and watched motivational videos about it. I can understand my problem and know what to do but when I think of taking the step I feel pressure inside that I cannot overcome and again I procrastinate. Maybe I need to awaken my willpower but do not know how. I know there are many others like me and maybe it is normal for us. But I really want to change myself. What should I do? Doctor: Hello. Procrastination is a common trait present in almost all humans. You are insightful about your problem and its commendable that you are trying to address it and change yourself. Many people do not even recognize procrastination as a problem. As you know, people who are able to avoid procrastination are more productive. What sort of career you are in? How much is procrastination affecting your daily life? Is procrastination affecting both your personal and professional life? Sometimes when there are more routine and strict deadlines in office, we tend to perform better and avoid procrastination. I will suggest you write down and make a list of things you could have achieved in your life if procrastination was not an issue. Be objective and just make small points. It should serve as a reminder and motivate you further to avoid procrastinating further. Break all work or goals into small multiple tasks. Do not aim too big, even if you take just a few steps, your mind will get a sense of achievement and you can gradually build up the momentum. Do not worry if you have bad days when you are not able to achieve much. Humans cannot be perfect all the time. Make sure your general lifestyle is good. Eat healthily, sleep well and exercise regularly. You mention some anxiety, so try progressive muscle relaxation exercise and deep breathing exercises. Discuss with a trusted family member, spouse, or friend about your struggles and plan to overcome them. They can help you stay motivated. If there are any other problems like low mood, excessive anxiety you can consult your family doctor locally. You are welcome to contact us again if further advice is needed." + }, + { + "id": 19222, + "tgt": "What is the prognosis of recurrent squamous cell carcinoma?", + "src": "Patient: Hi doctor, My father has been a patient of recurrent local squamous cell carcinoma. In the last one and half years, he has been operated for cystoprostatectomy and urethrectomy with an ileal conduit for urine bypass followed by lymphonodectomy. After all these surgeries, he had a recurrence seven months back. So, the sinus tract was operated and second line chemotherapy with Carboplatin and Gemcitabine was given. The MRI showed very good improvement. A week ago, he underwent a penectomy, scrotectomy, and a surgery of the pelvic bone. I have attached the recent biopsy report. How should we proceed? Doctor: Hi. I have reviewed the information and the biopsy report (attachment removed to protect patient identity). I know that is not a good news, but I think you people and your doctor did their best. Revert with more information to a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 5485, + "tgt": "What is the recommended treatment for recurrent anal fissure?", + "src": "Patient: Hello doctor, Four years back, I got constipation for two days and due to that I had some mass near my anal opening, but it does not cause any pain or bleeding while defecation. Doctor told it is a sentinel and no treatment is required. Now two years back I had an anal fissure. It got healed but reappear after every two or three months. I also follow my diet regime and water intake but still, it reappears mildly with mild pain. Will it ever be treated by medicines or I need surgery? Currently, I am not taking any medicines. Please suggest. Doctor: Hi. The sentinel pile mass you have is due to an underlying chronic fissure. The issues with fissure are usually aggravated by constipation. The main factor to avoid fissure is to avoid constipation or hard stools or even straining at stools. When you have a chronic fissure you have to follow these measures. 1. Dietary precautions, avoid constipating foods. 2. Good hydration, drink two to three liters of water. 3. Use laxatives like lactulose syrup as and when needed to avoid constipation. These can be used at night so as to have a good bowel movement in the morning. 4. Anal creams containing Lignocaine (Smuth, Anovate, etc) or Diltiazem (Diltigesic) when you have pain. Surgery is done only when you have acute fissure with severe intolerable pain. Not preferred in chronic fissure as is your condition. Pain occurs due to spasm of the sphincter muscle and surgery aims at its division partly. It will be effective only when it is acute. You can now continue your dietary measures, laxatives, and anal cream as and when needed. I hope this helps." + }, + { + "id": 13386, + "tgt": "How long should I take medicine for depression?", + "src": "Patient: Hi doctor, I am suffering from depression. I consulted a doctor and he prescribed me tablet Nexito and Lonazep. After taking the tablet for a month, I stopped it now. I am suffering with headache again. Should I continue the medication? Doctor: Hi. I can understand your concern. Depression is a mood disorder and the disorder occurs in episodes. The treatment also should be continued for a long duration. Nexito is Escitalopram and the drug should be continued for at least three to six months post remission of symptoms in the first episode. You have stopped taking the drug within a month and that too abruptly. This is the reason you are having withdrawal symptoms in the form of a headache. If the symptoms are persisting and are causing significant distress then, in my opinion, the drug should be continued again. Consult your doctor for reevaluation and start taking tablet again. Do not get feared by the drug. The drug if taken under a proper prescription does not cause dependence and is safe. This will help you to come out of your depression." + }, + { + "id": 28974, + "tgt": "I have been facing a problem with hemorrhoids for the past 3 years. Please help", + "src": "Patient: Hi, I have been facing a problem with\u00a0hemorrhoids\u00a0for the past 3 years. I have been taking\u00a0Anusol suppositories\u00a0inserted directly into my anus as it was advised by the doctor. But to my disappointment it keeps coming back.\u00a0What option can you suggest to get it treated once for all? Doctor: Hi. If your hemorrhoids is persisting with the medical treatment then there are other options for its treatment. The other treatment options are: Consult a\u00a0general surgeon online\u00a0for further management -->https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 22018, + "tgt": "My wife and I have same blood group. Will there be a problem to the baby?", + "src": "Patient: Hello doctor, My wife and I have the same blood group. Presently, my wife is pregnant. What is the problem for the baby's physical body due to this? Doctor: Hello. The same blood group does not lead to any problem. The same blood group people can marry and can produce a normal child. So, as far as same blood group is concerned, do not worry about that. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2240, + "tgt": "My father has CHF with sudden increase in creatinine and uric acid. What could be the problem?", + "src": "Patient: Hello docor, My father is a CHF patient, he always had normal kidney function levels but suddenly in one month, it got increased. Also, recently he was having 100 pus cells in the urine test. He was having burning too. But until last month it was fine and suddenly these numbers. He was admitted for shortness of breath for edema before two months, when he got admitted also the numbers were perfect now suddenly everything increased creatinine, bun uric acid, etc. What could be the problem? They are saying it is because of CHF but suddenly how it gets increased in a few days? Doctor: Hello. Patient with CHF (congestive heart failure) has a baseline tendency for renal dysfunction. Also, the diuretics like Lasix which is on cause renal derangements which are usually reversible. Now in his case, the cause appears to be multifactorial. Over and above the baseline tendency, it is probably a urine infection which has initiated this and his infection was severe. Urine infection alone can cause renal dysfunction and probably it is a precipitating factor. Any infection can worsen CHF, which subsequently needs elevation in dose of diuretics and all of these can cause renal dysfunction. So, it is multifactorial and contribution from all three factors. But good thing is, usually this dysfunction is reversible and settles with time. I hope his urine infection was adequately treated and subsequent urine tests were clear. I hope this helps." + }, + { + "id": 17906, + "tgt": "Are ASD (atrial septal defect) and PFO (patent foramen ovale), two separate problems?", + "src": "Patient: Hello doctor, My 11 year old daughter has been experiencing intermittent chest pains and fast pulse for about 18 to 24 months.\u00a0She has had a normal ECG and physical examination, but echocardiogram has shown a mobile interatrial septum with a left to right flow. It was identified with color flow across a small atrial septal defect, of an approximate diameter of 2.1 mm. No chamber enlargement or increased flow is\u00a0seen through RVOT/PV.\u00a0I have taken these details from my copy of the letter sent from the pediatrician to the pediatric cardiologist.\u00a0I do not know how long we will be waiting for an appointment, and over the\u00a0phone, I was just told they had found a small hole in her heart. While I understand the basic problem, I would like to know the following, are the mobile interatrial septum and the ASD or PFO two separate problems? So, does she have an aneurysm as well as a hole? Does the 2.1 mm mean the actual size or diameter of the hole or something else? Is she safe to do normal things like\u00a0exercise? And we have a holiday booked, is she safe to fly? Doctor: Hello. Sorry to hear about\u00a0your daughter's health issues. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3893, + "tgt": "I would like to know the list of hormonal tests to be done before ICSI. Please suggest", + "src": "Patient: Hello doctor, At the time of marriage, my age is 34 and my wife's age is 29. She is having hypothyroidism. Her thyroid level was high. So, we were regulating with medication. Then she gets some stomach pain. Doctor diagnosed her with gallbladder stone. We did laparoscopic cholecystectomy. After one year of time, we planned for a baby. Her HSG report was positive at that time. Then, after two weeks time, she got a miscarriage. Doctor said it may be a chemical pregnancy. Then we tried for natural pregnancy, but not succeded. So, we did a hysterosalpingogram. We found that one of her tube is blocked. We had hope on the other tube and tried again properly. Then, we did laparoscopy for endometriosis. Doctor cofirmed the blocked tube and the other one was also blocked partially. Now we decided to go for ICSI. So, I would like to know the checklist of hormonal tests to be taken prior to ICSI treatment. Please give me the hormonal test check list (all required test names). Which day of the cycle and when (fasting or non-fasting) this test sample to be given? Doctor: Hi, Welcome to icliniq.com. The decision to go for IVF (in-vitro fertilization) or ICSI (intracytoplasmic sperm injection) as per your history seems to be the right decision. As I can see in history, the age of your wife is now 30 plus. Ovarian reserve becomes an important analysis in the age above 30 years, more so when she has endometriosis. AMH (anti-mullerian test) is the test for it, irrespective of the cycle day. Also, TSH (thyroid-stimulating hormone) and prolactin test should be done. The other tests may vary from center to center, wherever you decide for treatment. The above-said tests are must along with a good 2D and 3D pelvic USG (ultrasound) and semen analysis. See your doctor in person with these reports." + }, + { + "id": 539, + "tgt": "Do you think my head injury is a critical one?", + "src": "Patient: Hi doctor, My head got injured after some part of a concrete ceiling collapse. CT Scan done and I have attached the reports. I was\u00a0hospitalized three days. An\u00a0ENT opinion was taken and also, an audiometry was done. It showed a minor injury in the right ear and less audibility. Now, I have\u00a0some pain in the left side of my head, ear area and heaviness all around the head. Please suggest what to do further.\u00a0Please check the attached histopathological diagnostic reports. Doctor: Hi. Revert back after a week to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1561, + "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": 24961, + "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": 1073, + "tgt": "After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm?", + "src": "Patient: Hi doctor, I was lying on my stomach for about 20 minutes. When I moved to a seated position, I get the most intense painful headache of my life. It was in both my temples and lasted about a minute. Should I worry it is a brain aneurysm? Doctor: Hi. This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them. Is this first ever headache of this kind? Was there nausea, vomiting, and dizziness? Was there any blurring of vision? Are the temples painful on touching? Is there any weakness in limbs or double vision?" + }, + { + "id": 25823, + "tgt": "Do left-sided hand and leg numbness indicate the presence of stroke?", + "src": "Patient: Hello doctor, One week ago, my father detected a gallbladder stone. He is anemic and he has a prostate and a thyroid problem. But, today the doctor told it was a stroke. He had heavy urine for a few weeks. He has left-sided hand and leg numbness. It is little difficult to walk. Today, the doctor prescribed him tablet Ecosprin AV, tablet Amlong, and tablet Urispas. Please help. I have attached reports for your reference. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Yes, on the basis of the CT (computed tomography) of the brain, your father had a stroke on the right side of the brain which controls the left-sided symptoms. He had several other old strokes which probably did not cause any symptoms. The goal is to control the blood pressure better. He does not have diabetes and his cholesterol is within normal limits. His blood pressure is very high and to avoid further strokes, blood pressure needs to be less than 130/80. You should check his blood pressure at home. Continue Amlong (Amlodipine). After a week, if his BP (blood pressure) continues to be high then the dose needs to be increased or another medication should be added. Let him continue Ecospirin (Atorvastatin and Aspirin) as it will protect him from further strokes. Also, he should follow active lifestyle and exercise. Physiotherapy and neurorehabilitation are strongly recommended. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1416, + "tgt": "How to find the reason for the swelling of the feet?", + "src": "Patient: Hi doctor, My wife is suffering from feet swelling for the past four years. We met nearly seven to eight doctors for this issue, but she did not get any relief. Please help. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27680, + "tgt": "My pregnant wife was recommended a gall bladder removal surgery. When can it be done?", + "src": "Patient: Hello doctor, My wife is 13 weeks pregnant. Though she takes Doxinate tablet once a day, she still has vomiting. Also, she often gets a stomach pain which eases in five minutes. We have discussed with the gynecologist about these issues and he had suggested a full abdominal ultrasound. In the\u00a0ultrasound, they found a small sludge in her gall bladder. So, the gynecologist had suggested we consult a surgeon. The surgeon recommended a surgery. If not done, he says the\u00a0mother, as well as the baby, are at risk. My wife is very depressed after hearing this. He has prescribed Rablet-D and\u00a0Ursodiol for 10 days.\u00a0Another issue that she faced is that in the last three days, she felt a mild pain in the lower abdomen. This pain also eases by itself in 30 to 40 minutes. Though we missed discussing this with the\u00a0gynecologist, the USG report shows that everything is normal. I have attached herewith the latest USG, and blood test reports. Please guide us. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). It is good that you have consulted a surgeon and arrived at a diagnosis. It is nothing to panic about. If there are any further doubts you can always consult me. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 768, + "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": 3310, + "tgt": "Underwent bladder surgery before 20 years but could not control urine sometimes. Why?", + "src": "Patient: Hello doctor, My brother having a problem. When he was 3 years old he underwent an operation in the bladder. I have attached all the summary for your reference. Now he is 25 years old, still, he cannot control the urine for sometimes. Could you please suggest what we can do for this? Please help. Doctor: Hi. I have read through your query in detail. Please find my observations below. Your brother was treated for a tethered cord with a lipoma in close proximity to the cord at the sacral region. It means that he had a fat-containing tumor in the lower end of the spinal cord. These are birth and developmental problems that cannot be completely treated. At 25 years of age, he can get another MRI (magnetic resonance imaging) scan of lower back done and discuss it with a neurosurgeon if there is any persisting area where there is pressure on the spinal cord or the nerves. Usually, if any pressure effect on the nerves or cord is present now then they can think of releasing the pressure and this might improve his symptoms. If his condition is not possible to be treated after discussing and doing an MRI scan then the only way is to pass urine at regular intervals and avoiding an over distended bladder." + }, + { + "id": 4758, + "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": 26808, + "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": 29719, + "tgt": "My son is screaming when we step into dentist's office. How to fix this?", + "src": "Patient: Hello doctor, My 3 year old son is with really bad teeth. He is not even letting the doctors near to him. I have to tussle even to brush his teeth. I really need to get this fixed. He has a couple of cavities, decayed tooth and he has broken one when he fell down, being his tooth was probably weak. I have tried stepping into a dentist office, but he started kicking and screaming. What should I do?. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8355, + "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": 10345, + "tgt": "I have itchy painful eczema in fingers. Please help", + "src": "Patient: Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver. Doctor: Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves." + }, + { + "id": 9087, + "tgt": "I am on long time BP medicine. I tried to use Propanolol instead of Metoprolol as it helps my anxiety. But Why getting the feel of sick and dizziness?", + "src": "Patient: Dear doctor, I am on longtime BP medicines, Metoprolol 50 mg and Losartan 80 mg once a day for two years. My BP went up to 145/100 often in the last month. I got a new medication from my doctor, Irbesartan 150 mg and Metoprolol 50 mg once a day. Now the BP is excellent, over the day 125/85. Pulse around 75. Now, my question is I tried to use Propranolol instead of Metoprolol in the same dosage as it helps my anxiety. But I got a general feeling of sick and dizziness. Propranolol instead of Metoprolol resulted in the same BP and pulse. Is there another beta-blocker such as Atenolol which could help my anxiety and not giving me the side effects as Propranolol?Age 41 years, male, height 175 cm and weight 72 kg. Doctor: Hi. Let me tell you very clearly that, Metoprolol is the drug of choice, not just for hypertension but it has shown to have mortality benefits to cardiac patients. It helps for that purpose by : So, I would suggest you carry on with Metoprolol. Now about Propranolol: It is also a Beta Blocker, but it is not \"CARDIO SELECTIVE\" but \"NON SELECTIVE\". I will explain how it is essential. There are mainly two receptors of Beta Blockers - Beta 1 and Beta 2. Beta 1 is for cardiac reception. So, Metoprolol acts on it and has advantages over non-selective. I suggest you take Metoprolol Succinate extended or controlled release since you are taking it once a day. In case if you are not taking, kindly ask your doctor to prescribe you extended release. I prefer to give Metoprolol extended release in twice daily dosing to have good control for 24 hours. You may continue with Irbesartan or Telmisartan. Another concern is that I would like to know if you have any of the following: 1. Diabetes. 2. Any skin disease. 3. Difficulty/diminution of vision. 4. Any tingling or numbness. Get your Serum Creatinine, Urine for albumin, fundus examination, baseline ECG. Now coming to your anxiety problem. We have to deal with it separately. I do not want you to stop Metoprolol, just for anxiety problem. Tell me exactly what feeling you have? Tell me in case you have any palpitations, and sweating, restlessness, breathing problem. Do tell me if you snore a lot in the night, Also how is your sleep.? For your main query, I will say in one line \"You should continue with Metoprolol since you are tolerating it well\". I hope I am able to answer your query, you may ask me if you have any further questions." + }, + { + "id": 4372, + "tgt": "Filling in the root canal treated tooth got dislodged. Can I fill it after a while?", + "src": "Patient: Hello doctor, My tooth filling came out when eating food tonight. There is a hole in the bottom of where the remains of the tooth are and I can see bright pink through it. Gums around the tooth are not swollen, or inflamed. There is no pain when touching them either. How likely is it that I can wait it out till my insurance kicks? Doctor: Hi. I have read through your complaint and the relevant details. Do not worry because it is a root canal treated tooth. There is no pain because during the root canal treatment the tooth pulp would have been cleaned thoroughly. The pink color you see is the root filling material used. Since you have mentioned that your insurance starts from the 1st of the coming month, you got to fill the hole where the filling was lost with some inert material. The best choice would be sugarless chewing gum. Just chew one and pack it yourself with a blunt end of some spoon that can be easily grabbed at the kitchen drawers. Make sure you wash your mouth before you do this and also use cleaned spoons preferably disinfected in hot water for 15 minutes. This can stay for a week's time most probably when packed tight. Later on, visit the dentist and get it filled with proper dental material. I also advise you to get a crown for the root canal treated tooth as a next step. Through this, you can get rid of the tooth filling breakage in case of heavy load. The filling material has lost its strength as it stayed for 10 long years. Heavy chewing load. X-ray to check any fractures of the tooth as a precaution. Follow up after three months." + }, + { + "id": 1478, + "tgt": "Please evaluate my condition from the medical report", + "src": "Patient: Hi doctor,I am suffering from dullness and tiredness all the time. Also, I have anxiety and irritation. My current medication includes Lodoz 2.5 and Cilaheart 5, VALZ 40. My medical report shows some abnormalities. Please suggest. Doctor: Hi. I feel sorry for the dullness and tiredness you feel. It is really troublesome for a patient at this early age. I have carefully gone through your case and thanks for making it easy to evaluate on the basis of the attached reports (attachment removed to protect patient identity). 1. You have a very high body mass index that makes the heart issues justified even at this young age. 2. Your ideal weight for this age and height must be between 60 kg and 65 kg. Above 65 kg means a very high risk. 3. You need to keep a balanced diet intake, physical activity on a regular and healthy pace. Do not go for any heroic measures or faster weight loss measures that may even make you more unhealthy. 4. Your laboratory reports, which are out of range, will be discussed here in detail as you need to know about them. Please follow the suggestions so that you may live a long healthier life. 5. Avoid smoking, alcohol, spices and fried foods, junks and energy drinks. Only a bland diet, homemade and good hygienic. No refined foods. Keep wholegrain foods in your scheduled menu. 6. You have a high level of cardiac marker that shows a risk to the heart due to its own blood supply. In simple words, the pipes which supply blood to the heart's own muscles are somewhat at a high risk of blockage due to the disease inside them. This situation may lead to future heart attacks or pain and discomfort in the chest. 7. Your symptoms also suggest the heart disease related to the muscle's blood supply. This kind of symptoms warrants a prompt, thorough evaluation of the heart from a cardiologist who will need to run a specific laboratory tests on you to see what is happening inside. 8. The cardiac evaluation is also necessary, because sometimes there is not any cardiac disease and the values of the above said test that the hs-CRP is still high. And sometimes, the symptoms you have right now are also due to anxiety and other non-cardiac causes. So, clinical evaluation is the most important next step. Make an appointment as soon as possible to see how is your heart. 9. Fortunately, as for many other tests, your blood cholesterol levels are also very much in the normal range and this is very encouraging sign for your good health. Please keep away from oily edibles and remain physically active. 10. You have high levels of alkaline phosphatase, an enzyme that is high in liver damage and disease related to the biliary system that is attached to the liver. You also have high liver enzymes that once again indicate you have some liver problems, for example hepatitis or other issues. You need to go for a thorough abdominal ultrasound and viral marker test from the same laboratory test for this purpose. 11. Other test derangements also implicate the same liver issues. When you get the laboratory results I mentioned below, come back with uploading the results as you did before. I will review and let you know how to proceed further. 1. HBsAg (hepatitis B surface antigen) and anti HCV (hepatitis C virus), both by ELISA - enzyme-linked immunosorbent assay. 2. Abdominal ultrasound. Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17229, + "tgt": "Can paraproteins fluctuate without treatment?", + "src": "Patient: Hello doctor, Can paraproteins fluctuate (drop) without treatment? Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10903, + "tgt": "Do my insulin values indicate pancreatic cancer?", + "src": "Patient: Hi doctor, My lab tests are as follows: Seven months ago: blood glucose of 105 mg/dl, GTT one hour 160 mg/dl, two hours 118 mg/dl, morning insulin 6.2 \u03bcU/ml, HbA1c 5.2 %, A1 6.1 %. This month: BG 110 mg/dl, GTT one hour 184 mg/dl, two hours 115 mg/dl, morning insulin 5.3 \u03bcU/ml. Every other blood test within normal ranges. I am male 32 years old 1.86 cm 93 kg 13 to 14 % body fat athletic with healthy nutrition habits. No history of diabetes in the family. Could I be having cancer in pancreas judging from the insulin values you are seeing? I have had many years to do a blood test and with this random one seven months ago. I was told by my doctor that I had to keep monitoring my blood glucose since I could develop diabetes later on, and since I have never had a problem with blood sugar as a kid and no family history of diabetes, I was wondering what might be going on cause insulin levels dropped from my last test and since my diet was pretty much same with healthy choices why is this happening. My doctor for the last seven months kept telling me to calm down and that I do not have anything cause stressing is bad for my blood glucose too. Should I be telling him to get a pancreas MRI done? Doctor: Hello. I just read your query and from what you have mentioned I would like to say that the reason that your insulin levels are dropping is because of your beta cells of the pancreas are getting exhausted and are not gradually decreasing the production of insulin. Pancreatic cancer does not have these manifestations at all. So testing for cancer without any strong family history or clinical manifestations is just not recommended. Continue with your healthy lifestyle and try to workout more as they reduce insulin resistance and thereby decrease fatigue of your pancreatic cells. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 9963, + "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": 27261, + "tgt": "From my MRI reports, can you tell me what is the spot near my cerebellum?", + "src": "Patient: Hi doctor,Could you tell me what is the lesion in my clivus or the spot near my cerebellum? My current symptoms are pain, instability, confusion, difficulty in concentrating, thinking and personality changes. I do not know if there is a relation with the lesion in the clivus, or the borrelia infection, the spot near my cerebellum, and the high monocyte count on my blood result (11.8%). Doctor: Hello. I went through the reports (attachment removed to protect patient identity). For further queries consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 1893, + "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": 1540, + "tgt": "I feel pain in my left ribs with breathing difficulty after improper sleeping posture. Why?", + "src": "Patient: Hi doctor, As of now, I am suffering pain in my left rib which results in difficulty in breathing. I suspect this happens when I fall asleep on the sofa in an awkward position and when I woke up, my throat has a little pain but it did not persist but but it started to ache on the left rib part. I feel the pain towards my shoulder. It is almost about two days since I am suffering from this ache. I got breathing difficulty especially when I am lying in bed. But while standing or sitting, I just felt mild difficulty in breathing. Maybe there is an artery that has been damaged or had been under the bone. I am 24 years old. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from difficulty in breathing due to aching of the left rib part that radiates toward shoulder which may occur when you fall asleep on sofa in an awkward position. You think your ribs may hurt from sleeping wrong and aching of the rib may radiate towards its intercostal muscle. You may feel a sharp pain after intercostal muscle strain or sprain due to sleeping in the wrong position. The pain will become worse when you stretch, breathe in deeply, cough, or sneeze. The area of the strain between your ribs may be painful to touch. Again this pain can radiate to shoulders or sometimes side sleeping can cause damage to the rotator cuff and create a lot of pressure in this group of tendons and eventually produce pain. You can take Tramadol as a painkiller, Domperidone, Lansoprazole, and Diazepam as a muscle relaxant with a sleeping pill." + }, + { + "id": 22031, + "tgt": "What possible psychiatric problems can a person develop in the following scenario?", + "src": "Patient: Hi doctor, I do not want a therapy, but I would like your opinion on what kind of personality or problems a person could develop as an adult if the following happened to him as a child. He got sick as a kid from meningitis in the 60\u00b4s. His uncle was a pediatric and placed him on a first check in the hospital to make sure that the child as a patient was calm. He forbade his mother from seeing him in the hospital, and the mother did not come after a dramatic goodbye scene from the kid at the hospital. He was 4 going 5 at that time. In the hospital, he was tied up to make sure the baxters did not get disturbed. At night, his father and the doctor sneaked unannounced to grab him for a spine puncture. As the kid wrestled and cried from the pain of the puncture, the uncle was very angry and said that kids should not cry. So, the next time it happened, the kid shut up an vowed not to make a sound. After seven days at the hospital, the kid was then taken to the uncle's house where his aunt took care of him, and this during a full month. Only after a month, he saw his mother back. Doctor: Hello. I am sorry to hear that you experienced these traumatic events in your childhood. The given events are traumatic. When a person experiences continuous traumatic events in his life, he could develop post-traumatic stress disorder (PTSD). This could happen at any time during his life. During his young adolescent and young adult days, this may not happen. But could happen in later stages, especially in old age. The second possibility is obsessive-compulsive disorder (continuous negative thinking). But, this has to happen during his adolescent age period and should continue further. The third possibility is depression and anxiety. This should also start in the person's adolescent age period and should continue further. The fourth possibility is psychoses, but this incident is rare. You are already sixty. If you have not experienced anxiety, depression, OCD, etc., during your younger age, those may not be due to the incident that happened in your childhood. You could have developed those due to some other reasons now. PTSD is a possibility, but again psychological assessment is needed. The above are all theory and these could happen but not for sure at all. There are many people who underwent continuous traumatic incidents in their childhood but lived unscathed throughout their life. Mental resolve is the key. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24389, + "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": 82, + "tgt": "My hair is thinning out with excess hairfall. How to fix my problem?", + "src": "Patient: Hi doctor, I am a 17-year-old male. Since I started to grow my hair, I began to realize how thin it is naturally. Is there any way to thicken it up? But the main concern is that since I have grown it, I started to experience excessive shedding. By only passing my hand on my head I would get on average 15 hairs. The pattern stopped for a while, but my hair is thinning a lot on the sides. I can see across my scalp easily by lifting the hairs on the side of my head, (lateral sides, on top of ears, and the regular pattern baldness zones). It has become excessively thin. Please help. Doctor: Hi. From the information given it seems you are experiencing the early signs of male pattern hair loss. This is a very common condition and there are many factors responsible, one of them being genetic. If you have other family members with similar patterned hair loss the chances for you to develop it increase too. Due to the effect of the male hormone on the hair cycle, over a period of time, the hair follicle starts shrinking and so the hair which comes out is thinner and more fragile and breaks easily. Also, the growing phase of the hair is shortened, so your hair does not grow as long it used to and becomes shorter and wispier. Being just 17 years old I am sure it must be worrying you a lot. But do not be disheartened. There are several treatment options available and the sooner we start the treatment the better the chances of reducing further hair loss, thinning, and increasing regrowth. A combination of oral supplements to boost hair growth along with application of lotions containing Minoxidil 5% to begin with will be the best course of action in my opinion. Oral Finasteride, which is the male hormone blocker, is used frequently. Applications with Finasteride are available too. This will be prescribed by your treating doctor after assessing the extent of thinning and discussing the side effects, etc. Several preparations of bio-peptides and other natural ingredients like saw palmetto extract, melatonin, etc are also available to boost the hair growth. PRP (platelet-rich plasma) is a popular procedure which is often used in combination with medical treatment to stimulate hair growth further. Usually, a combination of treatments is suggested after the clinical evaluation. But using the applications regularly is the key to good results. Hair regrowth takes a few months to show and you will have to be patient to see the benefit of the treatment. I hope this helps." + }, + { + "id": 11642, + "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": 15441, + "tgt": "What can be done for low blood pressure and heart rate with palpitations?", + "src": "Patient: Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate. Doctor: Hello. I understand your concern. You should know that some palpitations are quite normal in every healthy individual, especially during physical activity and anxiety. Anyway, as you are feeling them more frequently lately, I would recommend consulting with your attending physician and performing some tests like a resting ECG, complete blood count for anemia, blood electrolytes for possible imbalance, thyroid hormone levels, an ambulatory 24 to 48 hours, ECG monitoring in order to examine your heart rhythm trends for a prolonged time and investigate for possible arrhythmia. You should discuss with your doctor on the above tests. Anxiety or cardiac arrhythmia. Holter monitoring, blood electrolytes, thyroid hormones level." + }, + { + "id": 15617, + "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": 1041, + "tgt": "Can missed period mean pregnancy?", + "src": "Patient: Hello doctor, I am 18 (unmarried) and I have missed my periods on first two days and I suppose I might be pregnant (unplanned) as I am not having any symptoms of my monthly periods. Me and my fiance had a pullout in 6-10 seconds after he inserted the penis in vagina but there was just a pre-cum which he had already wipped away and there was no ejaculation taken place (sure). Is it a sign of pregnancy? Can I consult a Gynecologist alone without parents or guardian? Can I terminate the pregnancy by medication as it has been only 6 days? What should I expect? Please help, I am stressed. Doctor: Hello. Please do not get worried or panicked. Get a beta hCG test done. It is a blood test to confirm pregnancy. A value less than 5 means you are not pregnant. Even if it is positive, you do not need to worry. You can get it terminated by medicines (You will need to get an USG done first). You can visit a gynecologist without parents and your privacy will be respected. Please make sure you visit a qualified gynecologist and do not visit quack out of social fear. Gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life." + }, + { + "id": 15421, + "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": 25858, + "tgt": "How to stop dandruff and hair fall?", + "src": "Patient: Hello doctor, I am a 20-year-old female. Since two years, I am getting tiny white balls coming out from my head in comb with dandruff flakes and a lot of hair fall. I took homeopathy medicine and after some time, it came again. Doctor: Hello. I am not very sure what you are referring to by saying white balls. It can be a small piece of dandruff scale forming a ball. To be more precise, I would like to see the picture. For any query, please make it a point to add the clinical picture, which would make diagnosis and treatment easier in the field of dermatology. However, for dandruff, I would suggest you use Salisia KT shampoo. It has Ketoconazole Topical and Salicylic Acid. It is very much effective in controlling dandruff. Use it alternate days to wash your scalp. Talking about your hair fall, losing up to 100 hairs per day is absolutely normal. Hair is the fastest growing structure in the body next to mucosa. Hence it is normal to expect hair loss every day. If you are losing more than 100 hairs per day then it is problematic which needs attention. Again I would like to see the density of hair. You should also do a pull test to determine the cause of hair fall. Most common reason for hair fall in girls of your age is stress like exams. We call it telogen effluvium. Here you will lose hair for three months, later it will settle down on its own. There are other reasons for hair loss, like thyroid hormonal imbalance which require further evaluation. I am just listing out possible conditions because I cannot make a precise diagnosis without seeing you in person. I would suggest you consult a dermatologist if you are losing more than 100 hairs per day.Below mentioned are a few hair care tips: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7083, + "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": 16581, + "tgt": "How can I get relief from dark circles by taking homeopathy medicines?", + "src": "Patient: Hi doctor, I am a 34-year-old male. I did masturbation at my teenage. Now I am married, and I have two children. I suffer from dark circles, eye burning, allergic cough and cold, and PE problem. I want to get cured of dark circles. Please suggest some best medicines. Doctor: Hi. For dark circles, you can take homeopathic medicines. Take Platinum Metallicum 1 M four pills at bedtime (one dose). Take Conium Maculatum 30c four pills in the morning, noon, evening and night. Apply Berberis Aquafolium gel around eyes. Along with medicines, you have to change your daily routine for food and sleep. Avoid taking junk foods. Stop having late night sleeps. Your quality of sleep is also responsible for having dark circles. Having more work on computers also cause eyes burning. Take a gap of 10 to 20 minutes while working on a computer. Your physical activity also affects your health. Once your lifestyle changes, you will see a difference in your mood, sleep, personal life, and dark circles. Have punctuality for taking medicines and have faith in medications which will make a fast recovery along with lifestyle management." + }, + { + "id": 25245, + "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": 14482, + "tgt": "Why am I having swollen gum behind last tooth with cold?", + "src": "Patient: Hello doctor, I have a cold and have lost my voice. But my gum has swollen up significantly behind my last tooth in my lower right side. Doctor: Hello. I have been through your query and I can understand your concern. The swollen gum behind your tooth is a condition called pericoronitis. It generally occurs with the partially erupted last molar or teeth. The food gets entraped between the tooth and gum and it gets infected leading to pain and swelling of the gums. It is also characterized by the pain while opening the mouth. After checking your drug history I would advise you to take antibiotics Metronidazole 400 mg three times daily for three days and also analgesic Aceclofenac 100 mg (Zerodol MR) when you have any pain (if you are not allergic to any of these). Also use Hydrogen Peroxide 0.1 % mouthwash diluted in water (1:1) three times daily for five days. If the problem still persists, I suggest you go to the dentist and get the procedure called operculectomy done. Also, I would advise you to have good oral hygiene from now on and brush your teeth twice daily and floss regularly. Use mouth rinses after every meal." + }, + { + "id": 6777, + "tgt": "Why is there no pain relief even after taking Myospaz tablets?", + "src": "Patient: Hello doctor, Three weeks ago I was involved in a domestic fight and suffered a hit on the area below my right breast. I had a chest x-ray done and it revealed no rib injury. Currently, I am taking Myospaz tablets. Even after taking the medicines for three weeks, I am still experiencing so much pain especially when I sit in a laid-back position and when I sleep on my right side. Kindly advise whether I should seek another opinion. Please guide. Doctor: Hi. Revert back with the x-rays to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23738, + "tgt": "How common is it for a 21 year old to have vaginal cancer?", + "src": "Patient: Hi doctor, I have gotten my HPV shot. I do not smoke. I am a virgin and practice good genital hygiene. But, my vaginal area is very sensitive to soap, and it feels a little bumpy. But, I am not showing any signs of vaginal cancer like pelvic pain or unusual bleeding. Could it be due to some soap allergy? How common is it for a person, who is 21 years old, to have vaginal cancer? Doctor: Hi. Please do not think of such rare conditions for small symptoms. May I give you a few information about cancer of the vagina. Basically cancer or dysplasia has a genetic background. In the case of a few cancers like cervical and vaginal cancers, it is due to HPV infections (human papilloma virus). Also, in oral or lung where smoking is a cause due to repeated injury by the tar. A common thing to note is, be it infection or tar; it causes repeated damage to the healthy tissue. This injury heals before it heals the next injury come and so it goes on till the healing is replaced by cells which are abnormal, which takes many years. Once these abnormal cells come on, they keep dividing into abnormal cells. After many years, these cells dominate to form cancer. Now in female genital cancer, the commonest is uterine, next ovarian, next cervical, then fallopian tubes and the rarest is vaginal. Since it is due to HPV infection, it is seen in those with sex exposure at a young age with compounding sexually transmitted diseases, HIV, multiple sex partners or repeated injury to the vagina. The best part is it has no symptoms. The cases will present with a lot of foul smelling brownish or bloody discharge usually around 50s to 60s as cancer cells take so many years to reach such a stage to be detected. From your history, I do not see even a single risk factor other than that you have a vagina. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17568, + "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": 3397, + "tgt": "I am diabetic and suffering from UTI often. Please help", + "src": "Patient: Hi doctor, I think I have got UTI. I usually have this problem every summer. I am finding it difficult to pass urine since I have a burning sensation. I am diabetic and also suffering from hypothyroidism. I take Diapride 1 mg on empty stomach, Melmet 500 after breakfast and dinner and Thyronorm 50 mcg on empty stomach. There is no white discharge. Please help. It is really bad. My blood sugar levels are on the higher side as shown by my home device. I am going tomorrow to the laboratory for a test. Doctor: Hello. Yes, diabetic patients are very prone to develop frequent UTI (urinary tract infection). Possibility is more if you have uncontrolled blood sugar. Primarily, you need fasting sugar, PP - postprandial sugar estimation and a routine urine examination as well as culture sensitivity to know the nature of organism along with the sensitive antibiotics. This can be done by urine testing tomorrow. Meanwhile, you start taking plenty of water by mouth. I suggest Flavospas or Urispas tablets (Flavoxate Hydrochloride) thrice a day which can relieve your symptom a bit. Ultimately you need an appropriate antibiotic as well as a strict control of blood sugar. This can be done through an appointment with your physician. Please share with me the detailed reports by sending pictures of them. Revert back with the reports to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24964, + "tgt": "What is the lump above my kid's right canine?", + "src": "Patient: Hello doctor, My 6 year old showed us today that he has a lump above his right canine. It is about the size of a small pea. It is red but looks yellowish under the skin. It has a tiny bubble on it as well. While looking, it seems that he has a cavity in a nearby tooth (to the rear). He says it does not hurt. Even lets us touch it. But, he does say that while biting, it hurts a little. Should we take him to the emergency room tonight or just get him to a dentist as soon as we can get an appointment? Doctor: Hi. There is no need for an emergency unless it is painful. You should get him to a dentist as your kid has an abscess due to the cavity of one of his milk tooth. He needs antibiotics for a week and maybe root canal treatment of that tooth so that it can stay there for at least four years more, till its usual shedding time comes. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13688, + "tgt": "I had sex again after 12 hours of taking the first i-pill. I am worried if I am pregnant", + "src": "Patient: Hello doctor, I am 19 years old. I took i-pill after four to five hours of having unprotected sex. I again had unprotected sex after 12 hours of taking the i-pill. I was very tensed and took another i-pill after 56 hours of the second incident. After seven days, I started bleeding. But, it was lighter than the normal periods and it lasted for five days. Then for six days, I had lower abdominal pain, back pain, small acne, and headaches. I took a home pregnancy test after 22 days of the second intercourse and it came back negative. I was normal after that with no pain. There was only a small acne present. Now, it has been exactly a month for the incident to have taken place and I am feeling bloated. I have weight gain and my breasts are a little sensitive. Is this because of the change in hormones? Or are my periods going to come? Or am I pregnant? I am very tensed. A detailed answer would be highly appreciated. Doctor: Hello. First of all, let me tell you that there is no chance of pregnancy. Usually, ovulation occurs between the 12th to the 16th day of periods or better said as 14 days before the periods. Life of egg is 24 hours and that of sperm is 72 hours. So, there was no chance of egg and sperm meeting on the 24th day of the period as the egg would never have been alive for that long. So there was need of a pill at all in the first instance. I-pill is a high dose of progesterone hormone. The same hormone which is produced in your body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus making it unfavorable for a possible pregnancy to implant. As it was a single dose, it had no strength to stand on, so it fell off and you got periods or bleeding from the increased thickness within seven to 10 days of taking the pill. This bleeding would have been thick, in fleshy pieces, dark red or brown, with slight lower abdominal pain until the bleeding is really reduced. So if you take one i-pill, it would make the endometrial lining unfavorable for an embryo to sit there, a second i-pill is never needed. Repeated use of i-pills in such short span will only disturb the hormonal balance and the subsequent periods. If at all the embryo had formed, which is not possible from the calculations you have given, then your urine would have been positive after 14 to 16 days of sex, which you said was negative. All the symptoms you have mentioned are due to the progesterone hormone. This is the i-pill and incidentally the same hormone that supports the pregnancy. So, just forget about it and relax. If you feel that the periods are getting irregular and different in amount then I suggest you just have any of the birth control pills like tablet Ovral-G (Norgestrel and Ethinyl Estradiol) or Dear 21 (Ethinyl Estradiol and Levonorgestrel) or Novelon (Ethinyl Estradiol and Desogestrel) or Duoluton-L (Ethinyl Estradiol and Levonorgestrel) or Intimacy plus 0.03 (Ethinyl Estradiol and Desogestrel) one tab at night for 21 days. I am advising it not for the contraceptive benefit but for its hormonal level correction. You can have it for 21 days and stop and then the next periods will be within four to seven days. Further cycles too will be regular. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. I suggest you can have the same pills cyclically for further contraception. Hope I have clarified your query and do write back if you have any more queries." + }, + { + "id": 11943, + "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": 24175, + "tgt": "When I try to unclog my ear, there is an air passing sound. Please suggest medicine", + "src": "Patient: Hello doctor, I got a slap on my ear and then I also got a bump in my head. After that, when I try to unclog my ear, it gives me an air passing sound and there is a hearing loss also. Please suggest a medicine. Doctor: Hello. The symptoms you are telling about may suggest a possible traumatic perforation of your eardrum. That needs to be ruled out at the earliest by an ENT specialist. Pure tone audiometry. 1. Eardrum rupture. 2. Eardrum trauma without perforation. Traumatic perforations heal by themselves in the majority of cases. The ear needs to be kept dry. Occasionally, antibiotics and antihistaminics are required. Avoid water getting inside the ear. For more information consult an ENT otolaryngologist online.--->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30132, + "tgt": "Does our doctor's prescription say that my daughter has asthma?", + "src": "Patient: Hi doctor, My daughter is 2 year 3 months old. Once she had very bad wheezing and flicking due to wood smoke in the home. Later, I took her to hospital and the doctor kept her in observation. He gave her Levolin for every 15 minutes for three cycles and Montelukast granules. After that, she started coughing only at night. It has been a month. Now, another doctor gave Bactoclav syrup for five days and Ventolin for five days. Her cough was under control. After five days, the same thing started again. Now, the doctor prescribed Levolin syrup and Allegra syrup. Does it mean my daughter has asthma? What should I do to cure her since she is very small? She has also got urinary reflux grade 2. She is on antibiotics from the first month of her life till today. Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 6925, + "tgt": "How to overcome erection problems?", + "src": "Patient: Hello doctor, I am 27 years old, with no chronic health diseases. For the past six months, I have had erection problems. Everything from infrequent morning erections to weak erections while having sex and masturbating. My doctors took a full blood test and everything, including my testosterone levels, came back normal. What is the issue here? I am having trouble figuring out why a 27-year-old would be having his erections change so drastically from what they were before. Doctor: Hello. It is now becoming very common for a young adult with erection problems, and most of the times, blood test are normal. Most common causes are, 1. Work or personal stress. 2. Diet habits. 3. Inadequate sleep. 4. Unrealistic expectations. Body as ages, it will not have the same frequency of erection as in teens age. Good sexual life requires good mental and physical health. Micronutrients vitamin will help in improving sexual life. Changes will be gradual. Along with you have to do active physical activity as it increases neurotransmitters in the brain responsible for sexual act. If you have any more doubt contact me." + }, + { + "id": 580, + "tgt": "I have persistent eye floaters with high refractive error. Please help", + "src": "Patient: Hello doctor, I am having persistent floats on the lower side of the eye. I have consulted a doctor and since the eye power is the same (-4.5) she did not dilate the eye. She told me it is because of the sore eyes and it will get resolved. But I want to be sure, as the floats are more severely occurring in the right eye. Doctor: Hello. See first of all floaters at the age of 21 is not a common condition. It can be due to so many reasons but I feel in your case it is because of your high refractive error that is -4.5 as you said. So my advice is you should be very careful regarding your symptoms if floaters are not much then no need to worry. But when you will have suddenly excessive floaters or if you feel like flashes in your eyes, vision is getting affected then immediately you should consult your ophthalmologist because all these are symptoms of retinal detachment. That is common in high myopia patients. One more thing is you should undergo a complete ophthalmic check up every six months." + }, + { + "id": 10858, + "tgt": "Can I have Estrogen tablets for not being lustful and not getting lubricated easily?", + "src": "Patient: Hello doctor,I am 26 years old. I am not being lustful lately and not getting lubricated easily. So I want to ask that is it fine to have Estrogen tablets. Are there any adverse side effects of it? Doctor: Hello. I can understand your concern about your symptoms. No, you should not use estrogen tablets without an endocrinologist or a gynecologist review. Decreased lust or libido can be due to, 1.\tInfections. 2.\tDiabetes and hypertension. 3.\tHormonal disturbances like low testosterone, low levels of thyroid, and high levels of prolactin. 4.\tObesity, high cholesterol 5.\tChronic disease. 6.\tDrugs and anxiety. You have to do vaginal examination by a gynecologist to rule out local infection. USG (ultrasound) pelvis to rule out pelvis infection and ovaries and uterus abnormalities. Thyroid check-up Free T3, T4, TSH (thyroid stimulating hormone), and lipid profile to know the cholesterol level. Also check blood pressure, and RBS (random blood sugar). Kindly share more details regarding above reason so that we can work on cause and treatment." + }, + { + "id": 5664, + "tgt": "Experiencing muscle and joint pain for 10 years and is getting worse. What to do?", + "src": "Patient: Hello doctor, I am experiencing muscle pain and joint pain for ten years which consistently got worse. The recent diagnosis shows leukocytosis. My WBC is consistently high at around 13000 - 15000. I also suffer fibromyalgia, migraines, TIA, unknown source of seizures, peripheral neuropathy, left hemiparesis, muscle disorder, muscle spasm-paraesthesia, diabetic type 2, AVN of hips, DDJ and DDD disease. I am currently taking Bacoflen 20 mg four times a day, Cymbalta 30 mg once daily, Valium 5 mg, Gabapentine 300 mg four times a day, Humalog, Metformin 1000 two times a day, Bydureon Pen once a week, and Medical Cannabis. I consulted a rheumatologist and a neurologist. Rheumatologist swore it was Lupus. The neurologist swore it was SPS. My recent lab report: Complement component C3C - 188H Range 90-180 (twice tested). Glucose 168 mg/dL. Alpha 1 globulin 4H - Range 0.2 - 0.3. Gamma globulin 7L - Range 0.8 - 1.7. Vitamin D - 18L - Range 30 - 100. C-reactive protein 0.83H. Doctor: Hello. Your main presentation is chronic muscle pain and joint pain. For that specific cause rule out first like connective tissue disorder, muscle dystrophy, neuropathic pain, spinal problem, HIV, thyroid issue, etc. For connective tissue panel testing, CT scan, serum TSH (thyroid-stimulating hormone) estimation, serum T4 estimation like investigations are useful. Here neurologist may perform investigation like NCV (nerve conduction velocity), EMG (electromyography), for finding the specific cause. According to the cause further specific treatment will be given. If SLE (systemic lupus erythematosus) suspected by rheumatologist then it will be confirmed by connective tissue panel testing that includes testing of anti-dsDNA, anti-Sm, etc. You are prescribed Gabapentine, muscle relaxant and Duloxetine drugs and these drugs can cause fibromyalgia or chronic fatigue syndrome. Control your diabetes as it can lead to neuropathic pain and other complications. As per report vitamin D looks out of range that is low, so for that Cholecalciferol sachet can be taken with milk once a week." + }, + { + "id": 2818, + "tgt": "How can I protect myself from sunlight?", + "src": "Patient: Hi doctor, Two years back during my holidays, I developed a large rash over the whole of my legs. It was described as petechiae when I got back to my native. The infection had got into my blood stream and my white blood cell count was extremely high. It took some time for it to return to normal. I always have problems with reactions to the sun. I used to develop rashes, swellings, severe burns even if only going out for five minutes, also fully covered dizziness and tiredness. However, I am again going on holiday later this month. I would like to know how I can protect myself, so this does not happen again. I have been taking antihistamines for two months now. I noted that sunscreens did not help to prevent this last time. Please give some advice regarding this. Thank you. Doctor: Hi. 1. Confine your summer excursions to early in the morning and late in the evening. 2. Wear clothes that cover exposed areas uniformly. 3. Use sunscreens with SPF 50 particularly that which has Zinc in it. 4. I also suggest vitamin D supplement and antioxidants like carotenoids and polyphenols. Consult your doctor, discuss with him or her and take the medicine with consent. 5. Avoid your tour to high altitudes and snowy areas as snow reflects sun and may cause worse sun burn. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26017, + "tgt": "Am I type 1 or type 2 diabetic? How can I treat my hypoglycemia too?", + "src": "Patient: Hello doctor, My doctor whom I had been visiting discontinued her practice. I found a new doctor with whom I am having problems. The doctor diagnosed me with diabetes 24 years ago when I was 39. I was tried on a couple of different types and dosages of pills, but I cannot remember the names and was eventually placed on insulin. Currently, on Lantus and NovoLog. I asked her several times which type I have and she said it was type 1. She got me through a pregnancy at age of 39 and also approximately five years ago I was hospitalized with ketoacidosis. Shortly after my pregnancy, I was diagnosed and treated for Graves disease and I am currently on Synthroid. After having to select a different doctor, he said I could not possibly be type 1 since I was 39 and that I was type 2. He wanted me to stop insulin and try Metformin. I said no to stopping insulin but would add Metformin if he wanted to see what it would do. I took it for one month but I could not tolerate it due to GI issues and refused to continue it. My last A1c was 7.2 one month ago but frankly, I thought it would be higher since the last six months dealing with my mother's Alzheimers and getting her into a nursing home and father getting sick and dying recently and dealing with Medicaid insurance issues with both parents. Things are now beginning to settle down. A1c prior to this last one, six months prior was 6.7. I looked at my lab report in the electronic medical record and am concerned about my kidney function. He told me last year that my kidneys looked fine but the labs show a GFR of 57.51. A repeat GFR in six months was 59.41. He has not mentioned kidney function since. Is not this indicative of chronic kidney disease stage 3? What should I do about it? The previous doctor did put me on Enalapril Maleate, not for hypertension but to help the kidneys. He keeps wanting to stop it since my blood pressure is 90/60. It has always been that as long as I remember. I am also having trouble with not knowing when I am hypoglycemic. It gets down to about 35 before I notice anything. I told him but he did not seem too concerned one way or the other. I have tried to find another doctor but there are not many internal med specialists around here. Kindly suggest me what should be done. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you indeed have type 1 diabetes. Regarding your hypoglycemia, I would suggest that you decrease the dose of NovoLog (insulin aspart injection) by two units in the morning and night. Your kidney function has decreased so I suggest you discontinue Metformin and just take insulin only. I suggest you continue with Enalapril no matter what your blood pressure readings are. It would certainly help with the kidney function improvement. If your blood pressure drops too much then only in that case break the tablet Enalapril in half and take half a tablet daily. If your blood sugar drops again to less than 100 then the next time further decrease the dose of NovoLog by two units. Consult your specialist doctor, discuss with him or her and do all the changes in the medicines with their consent. Hope you find my advice beneficial. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 22067, + "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": 12430, + "tgt": "What has caused delay in my periods after intercourse?", + "src": "Patient: Hello doctor, I am 22. I had an intercourse two months back. I got my period on 13th of last month and I did not get in this month. What should I do? Need your help. Doctor: Hi. Please do not worry. Get a urine pregnancy test done. If it is positive we will opt for medical termination of pregnancy. If it is negative we will give withdrawal. Please note that medicines to induce periods is different in case of pregnancy test being positive and negative. Kindly review with a pregnancy test. UPT." + }, + { + "id": 23480, + "tgt": "How to deal with gastric symptoms after eating very spicy food?", + "src": "Patient: Hello doctor, I have constipation with a stomach ache. I recently had a few meals of spicy food and I am facing the consequences for the last four to five days. The symptoms include constipation, narrowing of stools, pain in lower abdomen (especially the lower right portion towards groin), acidic irritation in the stomach, intermittent fatigue and tiredness. I have not seen any bleeding while defecating, no blood spots seen in the stool, stool color is brown, with no black specks. I am diagnosed with GERD with ulcers in the esophageal sphincter and hiatus hernia. Doctor: Hello. I am worried about the location of your pain. A right lower quadrant pain indicates appendicitis. Constipation can be well managed if there is no evidence of appendicitis. In case of appendicitis, we should be cautious to give any kind of laxatives. So before giving laxatives, we need to rule out appendicitis. Investigations to be done: If there is no evidence of appendicitis, then continue with the below-mentioned regimen: Review back with reports or SOS. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27051, + "tgt": "Shall I try lubricants for painful sex?", + "src": "Patient: Hi Doctor, It has been three years of my marriage and my marriage is still unconsummated as sex is extremely painful for me. I am able to reach orgasm, but not penetration. I have not tried lubricants. Shall I give it a try? Doctor: Hi. I am sorry to learn of your troubles in the sexual area. As you have not tried any lubricant I would suggest you do the following things: If, despite this you have a lot of pain, then please visit a gynecologist to see what the problem is. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2806, + "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": 21448, + "tgt": "Is taking SARM supplement the reason for my back pain?", + "src": "Patient: Hi doctor, I am 60 years old male in good condition. I am not taking any medication. There are ongoing painful back muscle aches apparently from months. I used SARM for workouts. I had poor hydration habits, with too much caffeine and not taken enough water. I stopped taking SARM supplement one week ago. But painful back muscle issue continues, with getting relief only from ingestion of entire bottles of sports drinks. I am having several bottles throughout the day and night. I have difficulty sleeping. I read in a book that SARM has a synthetic steroid properties. I think it has got accumulated in my muscles. How long will I have this? What can I do to get relief? Doctor: Hi. It may or may not be directly related to SARM (selective androgen receptor modulator) use. As a backache is a prevalent problem in this age group and BMI (body mass index) is 39 (attachment removed to protect patient identity) which predisposes to spine problems leading to nerve compressions and muscle aches. Doing heavy exercises like lifting heavy weights may also be a reason. The cause is multifactorial, and it is aggravated by SARM depending upon its additional contents. Is there any tingling, numbness or burning sensation over back or chest? So you should get yourself evaluated with some investigations like X-ray spine anteroposterior or lateral and may need CT scan further depending upon the X-Ray findings (gap because of vertebrae, bony density for osteoporosis, and bony spurs). You should also get vitamin D level done which is usually low in elders. It will settle in a week or two. Also, use topical anti-inflammatory medicines like Diclofenac spray or gel two times a day. You can try hot water fomentation. You need to have Calcium supplements once a day like Shelcal (Calcium carbonate with Vitamin D3). Use muscle relaxants like Myoril 4 mg (Calcium carbonate with Vitamin D3) or Flexon MR (Ibuprofen, Paracetamol with Chlorzoxazone). Avoid heavy activities for a few days at least. So it needs to be evaluated especially at this age group and to rule out the other causes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29558, + "tgt": "Can x-ray differentiate rheumatoid arthritis and osteoarthritis?", + "src": "Patient: Hi doctor, I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly better, especially when raising the foot, although walking is painful and difficult and it is painful at night. I had high uric acid before the\u00a0episode, and it is normal now. So, I suspected gout. I went to the\u00a0doctor today for x-ray result and was told that I have arthritis in some of my joints. I asked if I should see rheumatologist and doctor said it is not worthwhile as they would only be interested in RA. From that, I guess that mine is osteoarthritis.\u00a0The doctor said it is also likely I have gout. This leaves me a little confused. Can the x-ray distinguish between rheumatoid arthritis and osteoarthritis? I am a 42 year old male. What would the prognosis be if it is osteoarthritis or gout? Doctor: Hi. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 13220, + "tgt": "I have bloating after I eat and also constipation. Please advice", + "src": "Patient: Hello doctor, I have gas problem and bloating after I eat any normal size meal. I have struggled with constipation for years, but paid very close attention to that issue. Currently, it is not the problem. I have had colonoscopy and stool tests and they were fine. I did have colitis back due to use of antibiotics but have had no problems since then it was clear with medication. Before 16 years, I had ruptured disc L5-S1, which caused me to have emergency surgery and an acute onset of cauda equina syndrome (CES). The CES caused problems with my colon, rectum, bladder and sex organs. All areas have improved over time, but they are not normal, I also had nerve damage. I have tried everything over-the-counter, all kinds of probiotics, supplements, peppermint tea, but nothing helps. Please advice. Doctor: Hi. These kind of problems are very common due to our dietary habits and sedentary lifestyle. Sometimes it is due to deficiency of enzymes also, this is uncommon and the main factor is lifestyle. The syndrome of bloating and constipation is known as Irritable Bowel Syndrome (IBS). This is a very common problem and involves around 10-30%of population. Stressful lifestyle also causes such problem. You already have one stress due to chronic illness. The management is very simple, it includes avoidance of fatty and spicy meal with plenty of water, regular exercise and alleviation of tension. Treatment of constipation is the key to get rid of these problems. Most of the time it improves after adequate management of constipation. We need to take high fiber diet along with fiber supplement and some laxatives may be needed for short term. Dietary habits, lack of water intake, excess intake of stored food and fast food and stressful lifestyle. It is a clinical diagnosis, investigations are not required. 1. Take high fibre diet. 2. Take plenty of water, a minimum of 4-5 litres per day. 3. Avoid fatty and spicy meal, stored food and fast food. 4. Do regular physical exercise. 5. Take tablet Lansoprazole 40 mg two times a day half an hour before food intake. 6. Avoid charcoal, it may cause constipation. 7. Take methyl cellulose 3 spoon two times in a day. 8. Brush your teeth and then have half a litre of water, before going for defecation." + }, + { + "id": 20805, + "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": 30042, + "tgt": "My friend is not accepting my love. What shall I do?", + "src": "Patient: Hello doctor, I am 27 years old.\u00a0I live with my parents, but I feel very lonely. My long time school friend introduced me to his childhood friend and we have been talking for the past two to three months through mobile.\u00a0I like talking to him and wait for his test messages eagerly. I have started liking him.\u00a0I shared my feelings with him at numerous times, but he does not take me seriously.\u00a0I feel like crying and shouting. I have not slept for a week and still not feeling sleepy. Please help me. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21342, + "tgt": "Will there be hearing loss on using noise cancellation headphones 10 hours a day?", + "src": "Patient: Hello doctor, For my work which needs concentration, I need a noise cancellation headphone which filters out sounds. Is there any chance of hearing loss or impairment with use for 10 to 12 hours a day? Doctor: Hi. Yes, you should not use headphones for more than three hours in your case. It also depends on what frequency and what decibel of sound the noise cancellation masker will have. You can rather use ear plugs. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28409, + "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": 14498, + "tgt": "I noticed a blood streak while coughing. Is this something to worry about?", + "src": "Patient: Hi doctor, I saw a blood streak while coughing into a tissue in the morning for the past three days, occurring only in the morning. I had a cold, but now I have just been coughing for the past 10 days. Please tell me if the blood I see is something to worry about or not. Also, I would like to know what to do about my cough. Doctor: Hello. You have mentioned that you have a blood streak while coughing and only in the morning. You have also mentioned that you have a cold. There are many possibilities as to what caused the blood streak with your cough. As you have been suffering from a cough, it is highly probable that you might be coughing hard to expel the phlegm in the morning due to more accumulation during the night. During the day, you might be coughing periodically, and a light cough would expel the phlegm. Coughing too hard causes minor tears in the pharyngeal lining and a small bleed may occur. This is most likely the case with you. And I assure you that it is a simple issue that will resolve spontaneously. This kind of bleeding does not require any treatment. For the cough I would prescribe:Ambrodil-S Syrup: two teaspoonfuls three times daily after food, for a week. Ambrodil-S is a mucolytic agent, which means that it helps to loosen and clear the mucus from your bronchial tract. Tablet Limcee 500: One tablet twice daily for 15 days. Limcee is a Vitamin C supplement. It will boost your immunity and help with early recovery. Gargle twice daily with warm salt water (a half teaspoon of salt in a glass of warm water). This is a very important step and it should be practiced whenever you have a cold. I thought I would mention that another common cause for blood in the sputum is tuberculosis, but it is highly unlikely in your case. If you want to be tested, you can visit any hospital and have a sputum test done (Ziehl-Neelsen sputum test). You will need to submit two sputum samples to the laboratory. But I would fully expect this situation to clear up soon after following my suggestions, which I would advise you to try first. If this situation persists, then you may want to look into further testing, including possibly a chest x-ray to rule out pneumonia. I wish you an early and speedy recovery. Revert back to a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18329, + "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": 21960, + "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": 4764, + "tgt": "How to remove the black patches and pores on cheek?", + "src": "Patient: Hi doctor, My age is 35. I have black patches\u00a0on my face and pores on the cheek. Black patches first occurred 3 years ago for the first time. How to remove them and get a fair skin? Please suggest. Doctor: Hello. I have read your query. 1. Postinflammatory. 2. UV rays (sun damage). 1. Start applying anti-pigmentary medications like kojic acid (kojivit) or hydroquinine 2%(HH lite) in the night only to the black patches for two weeks along with a sunscreen of SPF 26 and above in the morning to your full face three to four times like at 8 AM, 11 AM and 2 PM 2. Sunscreen can be continued for a long duration. For further information consult a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14403, + "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": 6592, + "tgt": "I am having urinary bladder distention with bladder wall thickening. Will Levofloxacin help me?", + "src": "Patient: Hello doctor, I am a 59 years old male. I am suffering from urinary bladder distension with a bladder wall thickening of about 6 mm. My doctor advised me to take Levofloxacin. I would like to know whether it is the correct medicine to cure my problem. Further, I am having cryptorchidism (both undescended testes). My ignorant parents did not correct it during my childhood, and I would like to know its present risk. Also, I have hypertension associated with hypercholesterolemia and hypertriglyceridemia. I am taking Cilnidipine 10 mg, Rosuvastatin 10 mg, Fenofibrate 150 mg and Clopidogrel 75 mg. I have hepatomegaly also. Please suggest me better alternatives. Doctor: Hello. Do you have any urinary problems like straining, poor flow, etc.? First, about your bladder distension with bladder wall thickening. This might indicate an infection in your bladder called Cystitis. If you do not have any symptoms or problem, then it is better to get 1) urine routine and 2) Urine cultural and sensitivity test. If the infection is present on the above reports, then only you require antibiotics (Levofloxacin), otherwise no need. Regarding your undescended testes, it is of bit concern. Where is it? Is it palpable just above your scrotum or not palpable at all? But undescended testes does carry a risk of malignancy or torsion. Doing surgery to keep the testes in the scrotum will not reduce the chances of complications like malignancy, but it will help to monitor your testes. So incase if any of the complication arises it will be identified early and treated accordingly. If the size of your testes is small, then it is better to remove it, as small testes means it is atrophic and not working with no hormone secretion. You should also do serum testosterone at 8 am. This is to check whether your testes is functioning or not. I hope this helps." + }, + { + "id": 11434, + "tgt": "I am 12 weeks pregnant. Is it safe to take antibiotics for cough?", + "src": "Patient: Hello doctor, I am 12 weeks pregnant. My doctor has prescribed me tablet Moxclav 625 antibiotic for cough and infection. I also take progesterone tablet. Are these tablets safe for my baby? Please advice. Doctor: Hello. Ideally, till 14 weeks of pregnancy, no antibiotics are prescribed. Symptomatic and natural methods of management of cough and sore throat (if present) are advised. This is because these are the organ forming weeks for the fetus and hence all antibiotics are usually avoided as a safety precaution. But if the infection has increased and the situation is such that fever is continuous with a bad sore throat, yellow sputum and cough, then pregnancy-safe antibiotics like Amoxicillin alone without Clavulanic acid combination is considered safe before 14 weeks. Another antibiotic being Azithromycin 500 mg single dose daily can be taken for 5 days safely. Progesterone, on the other hand, is an absolutely safe medication and given during the first trimester to support the pregnancy in the form of adequate placentation into the uterus and sufficient trophoblastic invasion into the endometrium for better uteroplacental flow. So, progesterone at this stage is absolutely safe. However, it is advised that before using antibiotics you may try warm saline gargles thrice a day and steam inhalation twice a day accompanied with adequate hydration as symptomatic management. If this fails, you can then resort to antibiotics." + }, + { + "id": 13381, + "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": 22450, + "tgt": "My leg fell asleep two weeks ago with pins and needles feeling. Please advise", + "src": "Patient: Hello doctor, My leg fell asleep two weeks ago and stayed asleep for days with pins and needle feeling constant. When the pins and needles stopped, the left side of my leg stayed asleep as well as my foot. I have foot drop on that side and it has been almost three weeks with no improvement. I had urgent care ensure it was not a blood clot. it. I have been having increased anxiety and mood swings as well as body twitches. I take Gabapentin for nerve pain in an old T7 compression. Doctor: Hi. The foot drop needs evaluation for the cause. You should get a nerve conduction velocity testing done. NCV test suggests that which particular nerve is involved and treatment would be based on that. My recommendations would be to get NCV first and in case that is normal, go for MRI LS spine. Other blood tests like sugar, thyroid are mandatory. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5253, + "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": 5033, + "tgt": "Can MRSA cause spinal stenosis?", + "src": "Patient: Hello doctor, I have MRSA and severe spinal stenosis. I was in hospital 8 months ago. Since leaving the hospital I have had rashes, burning, itchy and twitching in my face and neck areas. About 5 months after hospital visit I had severe burning feeling in muscles and major muscle atrophy and increasing muscle spasms. A MRI was done on my spine and 3 areas with severe spinal stenosis was found. I first thought it was autoimmune but bloodwork was negative. I then insisted to see an infectious disease doctor who just found MRSA in my nose. Is it possible the MRSA is in my spine causing this stenosis. I am 46 years old and very active and I have never had muscle or back pain and now all of a sudden neurologist is saying I have radiculopathy and MRI showing severe spinal stenosis in multiple places with significant symptoms. So after being active for 46 years I now have these back problems during an 8-month period where I have no activity? Doctor: Hello. MRSA occurs asymptomatically as a carrier in many people. MRSA is not related to your spinal stenosis problem. Kindly tell the exact MRI report as if there are no hyper intensities in spinal cord we will not suspect autoimmune etiology also. Spinal stenosis is commonly caused by intervertebral disc prolapse which causes narrowing of spinal canal and produce symptoms like radiculopathy pain, neurogenic claudication and if severe can cause muscle atrophy. The occurrence of symptoms are not related to your hospitalization and minor symptoms might have been ignored previously. If spinal stenosis is severe, it requires surgery. Kindly consult neurosurgeon or spine surgeon for further management. Iif you are on in my no suppression therapy like steroids or if you are going for surgery then medication for MRSA carrier state may be required, discuss with your doctor regarding this and take antibiotics appropriately." + }, + { + "id": 7279, + "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": 278, + "tgt": "How to stop Heroin safely during pregnancy?", + "src": "Patient: Hi doctor, My niece is pregnant and taking Subutex. She just confided to me that she has also been using Heroin, along with Subutex for the last one month. She is afraid to ask her primary care doctor for advice. Her doctor told us in the beginning that it is more harmful to the fetus if the mother were to abruptly quit using opiates. Now, my niece is afraid to stop the heroin use even though she also has the Subutex, which I thought is supposed to help with this type of situation. How can she safely stop using Heroin? Can she continue her regular dose of Subutex daily and just cut out the heroin all together at once? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18109, + "tgt": "I got urethritis and conjunctivitis after unprotected oral sex. Please help", + "src": "Patient: Hello doctor, I got urethritis and conjunctivitis, at the same time a few months back. I had thick transparent penile discharge with burning and itching sensation. I got this after a week of having unprotected oral sex.\u00a0I have had urethral swab and urine test done, and the reports showed ureaplasma urealyticum.\u00a0I have been treated with Ceftriaxone and Azithromycin for urethritis. And with Azithromycin, Tobrex, and Aureomycin for conjunctivitis.\u00a0 Most of the symptoms disappeared after a week, but since then, I still have the penile discharge throughout the day, the discharge leaves black stains in my underwear. I have a strange sensation of pressure in my prostate, and it burns when I pee. Sometimes, it burns slightly after ejaculation also.\u00a0In the eye, I still have inflammation of both my eyelids and discomfort in one eye. In the past month, I\u00a0saw a urologist again, and I have been treated with Azithromycin and Ciflox for two weeks, Doxycycline for eight weeks, and Flagyl for two weeks, but with no improvement. I also had several swabs,\u00a0urine tests, and a sperm culture, which all came back negative. I got an MRI of the prostate that showed an inflamed prostate.\u00a0For the eyes, I have been prescribed Ciclosporin and Ketotifen for six months.\u00a0I have never had urethral swab after a\u00a0prostate massage because my urologist said it is useless. Now, my urologist thinks of putting me on Cortisone for two months. Do you think it is a good idea? Do you have any explanation for the remaining symptoms? Do you think there is a link between eyes and genital symptoms?\u00a0Thank you for your help. Doctor: Hi. For further queries consult a venereologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 21110, + "tgt": "Why is there continuous pelvic pain that goes away on rubbing?", + "src": "Patient: Hello doctor,My father's age is 56. He is diabetic for the last two years and the only medicine he takes is Metformin 500 tablets daily before meals twice a day. He is been complaining about a continuous mild pain in his pelvic area since last month and he says it hurts more usually after he pees. When he rubs that area he says the pain goes away. Currently, he is taking Glyciphage 500 tablets. Doctor: Hi. I have gone through your query. I would like to know if your father has any difficulty in passing urine like straining, thin stream or whether he has had any fever with burning sensation while urination. It is likely that being a diabetic he has a urinary tract infection which needs to be tested. Also, considering his age he will need a clinical examination by a urologist for his prostate gland to look for any enlargement or infection. If it is a UTI, it can be treated with a short course of antibiotics and he should be fine. I suggest you get an appointment with your local urologist for an evaluation at the earliest." + }, + { + "id": 7639, + "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": 12159, + "tgt": "Why am I not happy no matter what the situation is?", + "src": "Patient: Hi doctor, I am a 34 year old female. I am having a long-standing history of severe depression episodes on and off for 20 years. Despite everything, I have a degree, full-time job and home of my own. I have done really well last few years too after CBT. I have stayed well and even been promoted at work. This year I have gone off track gradually more and more though. What started as stress over work demands, turned into extreme anxiety with disabling effects. Then we found that my mother is suffering from cancer after five years of my dad's death. I had a breakdown but did not tell my family how I had been all this while. I recovered and returned to work, but I have sunk into a deep depression now. I am unable to eat. I do not want to go out or even dress. I stay in bed when I can. The last couple of weeks, I have had strong urges to harm and even kill myself. I am also so agitated at times. My thoughts go on to overdrive. I have been home this week but have to go back to work tomorrow and stress are high there. I am somehow dealing with it. I have been given some tranquilizers on top of my antidepressants, and these have helped quite a bit, but they make me sedated so not good when I am working. I feel so alone too as I cannot tell anyone this stuff. I have also been bloodletting with needles directly into a vein. It relieves pain and suicidal ideas. What can I do? My past psychiatrist has been alerted and wanted me to go to the hospital. I refused, and fortunately, he said he could not force me at present, but that could change. I just want my mind and my life back as this year has been like being tortured. My mother is going to be fine but still undergoing treatment. Sure she knows that I am not well but cannot talk about it. Why cannot I come out of this long dark tunnel and get a grip? I have attached my list of medicines for your reference. Please help. Doctor: Hello. I can understand your concerns. You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression but they are short lived. You had multiple disappointing episodes and some of them were so deep. You feel depressed because you feel so. Many people feel depressed when their near and dear one expire. But they come back unscathed mainly because there is no other alternative. You also did the same. You came back without any problem, but you feel you are depressed. You are having antidepressants and anti-anxiety drugs. Clinical depression and anxiety are usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. I suggest you to get a cognitive behavior therapy. Please consult a psychologist for the same. Also kindly continue the present psychiatrist treatment." + }, + { + "id": 14860, + "tgt": "What could be the reason for sneezes, runny, itching nose, and eyes?", + "src": "Patient: Hello doctor, I am suffering from sneezes, runny, itching nose, and eyes for the past two months. I am not able to relax with this condition. I hope you could give me a better suggestion. Doctor: Hello. Your symptoms are suggestive of acute allergic rhinitis like presentation. For that, anti-allergic medication like Fexofenadine can be prescribed for 5 to 7 days. Steam inhalation done three times a day with lukewarm water also beneficial. Do saltwater gargle with warm water three times a day. Drink lots of water. Take one teaspoon turmeric powder with milk daily. If no improvement, then CBC can be done for further work up." + }, + { + "id": 19275, + "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": 14233, + "tgt": "Why is lymph node growing even when chemo is being given to cancer patient?", + "src": "Patient: Hello doctor, My father was diagnosed with adenocarcinoma of the esophagus six months back, stage II to III with a few malignant lymph nodes. He underwent surgery which was a success. He is taking chemotherapy right now, which is supposed to eliminate the malignant lymph nodes, which have spread to other parts of his body. He has his fourth dose of chemotherapy planned for next week. However, one of the lymph nodes located on the left side right under his neck is constantly growing, so doctors are planning to change the type of chemo after the next PET scan. I have a few questions regarding the condition of my father. The first one is does lymph node growth indicate that the chemo is not working, and the nodes are actually getting bigger? Or it may be something else (like the creation of cysts or capsules around the node)? I know we cannot be sure what is happening until the PET scan, but we would like to know this information so we know what to expect. The second question is when chemotherapy is not working, is it standard to actually try more types before finding one that starts working? I know these are not easy questions to answer, but my father is very anxious and knowing as much as possible would help him immensely with his physical condition. Doctor: Hello. So, I have gone through your queries. I would like to know a few details which will help me in answering your questions. So before surgery what was his stage? What did baseline CT or PET (whichever was done) showed? Did he receive any chemotherapy prior to surgery? Or was the decision taken to go ahead with surgery? What chemotherapy is he receiving? What surgery did he have and what was post-surgery histopathology report? His age, general fitness, and any other illness? Now coming to your questions. LN (lymph node) growing during chemotherapy means usually disease is not responding in 95 % cases. Rarely there are nonmalignant causes (usually infective) which can also cause LN enlargement. So depending on the clinical picture, risk, and possibility of other etiology and imaging, the decision is taken to change treatment. Your physician sometimes may want to be sure that the LN is due to disease only then he can sometimes suggest FNAC or biopsy of LN. When one chemotherapy is not working, we go to the second line. Usually, idea is to start chemotherapy which is standard and which patient can tolerate. So it is not like we try different choices before finding the right one. We start with a standard one and if the patient is not responding we go to the second line. If first-line treatment is not working the chances of next line working also goes down. Also, second line options may have more side effects. This decision is taken usually with patient and physician preference." + }, + { + "id": 9609, + "tgt": "I am suffering from headaches and loud whistle sound in ears. Kindly advice", + "src": "Patient: Hello doctor,I am a 33-year-old male with 5.8\" height and 72 kg weight. Symptoms are frequent pain starts at the forehead, following complete headache, loud whistle sound in ears, lower listening when the headache is high, and nausea. This is for the past three months, and now, frequency has increased. I am currently under, taking Disprine or Nicip plus. Doctor: Hello. The headache you are experiencing could be due to possible, 1. Sinusitis (starting at the forehead) to rule it out you should get an X-ray of sinuses. 2. Bad teeth, get them checked by your dentist. 3. Eye problems, get checked by an eye specialist. 4. For high blood pressure do monitor your blood pressure, record the results for reference, if elevated, should see cardiologist, spondyloarthrosis of the neck area, an x-ray of vertebral spine neck area should run to check it out. 5. Disprine or Nicip plus (Nimesulide) is anti-inflammatory and analgesic drug. As I do not have any of your lab reports, I believe you have been diagnosed with spondyloarthrosis of the neck. Take Betahistine for ear problems, and multivitamin B. I hope this helps." + }, + { + "id": 22523, + "tgt": "Please suggest tests and medicines for recurring allergy problems", + "src": "Patient: Hello doctor, My wife is 34 years old, has thyroid deficiency for which she takes medicines and is under control. But she also has recurring allergy problems, her face cheeks, become red itchy and swollen frequently along with hay fever symptoms. She is very sensitive to facial creams. Please suggest tests, medicines to manage these conditions. Currently, I am taking Thyronorm 88 mcg, Dazit M and Tezine prescribed by skin specialist on the day two of medications. Doctor: Hi. The most effective way to treat the allergic reactions your wife experience is to avoid the allergen (the substance that causes the allergy) like pollen, dust, mites or detergent, etc. If it is difficult to identify the cause of allergy a batch skin test could be done to identify the cause. The medication prescribed is suitable for her condition. A short course of steroid can be tried if the symptoms are severe. Regarding her thyroid condition, follow up with TSH (thyroid stimulating hormone) level (target below 5) is required every eight weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15523, + "tgt": "Kindly suggest treatment for fever, severe cough, and running nose in a child", + "src": "Patient: Hello doctor, My 2 years 10 months old boy is suffering from fever, severe cough, and running nose from the last four days. Then from the last two days, he is having a high-grade temperature like 102, 103 and then started antibiotic from the last two days (Klacid). Fever has not reduced with Paracetamol syrup, so we treated with the help of Voltran suppository. When we give suppository, the temperature will reduce then it again raises after 6 or 7 hours. What can we do? Doctor: Hi. This mostly looks like a viral fever. Viral fever usually subsides in up to five days. Also, the X-ray picture is suggestive of mild bronchitis. For a cough and cold, you can give syrup Asthakind (Bromhexine, Menthol) and syrup Sinarest (Paracetamol, Chlorpheniramine maleate) instead of Tripofed (Triprolidine). Please note Cefpodoxime antibiotic should be used instead of Klacid. Also, I would advice please get a CBC and CRP done to find out the amount and type of infection. Please be watchful of lethargy, refusal to feed and respiratory distress." + }, + { + "id": 4515, + "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": 24386, + "tgt": "Will antirabies injection work seven months after exposure?", + "src": "Patient: Hello doctor,Under the influence of alcohol, I committed a blunder by making intimacy with my own pet dog last year. From that day onwards, I started to develop health problems such as weakness, mild fever, headache, tingling, unexplainable inflammation and burning sensation of the genitals area. I also sense something crawling within my testicle area. I remain depressed, anxious and tense. I have sleep problems too. I have done numerous tests, but urine culture detects only an e.coli infection. I took Ciprofloxacin for ten days. After one month, twice culture was done but it was found normal. The fear of rabies has gripped me under its fist. Are the above symptoms because of rabies? Please suggest a suitable treatment. Doctor: Hello. You underwent many tests and all of them were normal except for some infection and for that, you are having ant-biotic. You can talk to your nearby doctor regarding rabies and can take antirabies course of injections to prevent rabies. Otherwise, you are doing fine. Regarding the anxiety, restlessness, etc., they are due to your health concerns. Your doctors must have told you that there is nothing to worry. Accept it and you will be peaceful. I suggest telephone or video counseling to you. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9315, + "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": 12589, + "tgt": "Is it normal to have mucus covered stool in a child?", + "src": "Patient: Hello doctor, My son is (2 years old) and his poop has a large mucoid wrapped around his stool. It stopped for two days and I noticed it again today. He has not been on any medication. No obvious blood stains and he has been active with no abdominal pain. Please, I would like to know if this is a thing of concern, could it be something from his diet? I am so scared and worried. Doctor: Hello. Yes, I got your concern. Let me help you. From all these available information what I can say is that if he is active, playful, and eating well then just do not worry. Some toddlers have such kind of problems. If he continues to do so then will do stool routine report if anything is there. Give him home food only, monitor his weight. If he develops tummy pain, vomiting, bleeding or fever, go for the nearby medical facility. Meanwhile, check it if he has been deworming Albendazole or not? If not then give tablet Albendazole 200 mg at night and repeat the same dose after a week." + }, + { + "id": 8273, + "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": 25501, + "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": 8927, + "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": 3210, + "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": 12556, + "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": 11616, + "tgt": "How can I get rid of left-sided headache, associated with ear and nose pressure?", + "src": "Patient: Hello doctor, I am having left-sided headache, mostly frontal and behind my eye for a week. I have ear pressure and pressure in my nose while moving and chewing. I have seen my PCP, and I was given Imitrex that does not help. I have tried Aleve, Motrin, and Excedrin. Doctor: Hello. Your symptoms could be related to a sinus infection, especially considering the pressure in the ear, eye, and nose. For this reason, I would recommend performing a sinus X-ray study to investigate the possible cause. Antibiotics and nose decongestants may be necessary in case of sinus infection. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. Sinus infection. Sinus X-ray. Migraine. Sinus infection." + }, + { + "id": 12325, + "tgt": "What can be done to treat continuous itching in a thyroid patient?", + "src": "Patient: Hello doctor, My mother has a big-time issue with itching on all parts of her body. She is 66 years old and has blood pressure and thyroid. Kindly suggest. Doctor: Hello. Itching can be due to dry skin (xerosis), eczema (dermatitis), psoriasis, scabies, liver disease, kidney failure, iron deficiency anemia, thyroid disease, lymphoma or medications. Please get comprehensive blood work done to rule out these causes. Please treat according to the cause. Symptomatic treatment includes using calamine lotion, Caladryl lotion, antihistaminics. Take oil whole body bath at least three days a week since you already have hypothyroidism it may be the cause. Hypothyroidism and high BP can be completely reversed without any medicines because they are lifestyle diseases. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratory will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Take a consultation and try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually." + }, + { + "id": 19427, + "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": 16074, + "tgt": "I took contraceptive pill after unprotected sex. Will I get pregnant?", + "src": "Patient: Hello doctor, Last week, one night, I had unprotected sex twice with my fiance. The next night, I took Escapelle on a full stomach. After two days, I was experiencing cramps and I had noticed a white discharge with a mild scent. This carried on until today. After each meal, I felt extremely nauseous, emotional and tired. Now, I have started spotting and I am feeling extremely nauseous followed by cramps. Is it possible that I could be pregnant even though I took the pill? This is the fifth time I am using Escapelle within seven months. Doctor: Hi. The morning after pills are large dose Progesterone and they can cause irregularity or delay of periods. You have been taking it too frequently and it is not advisable. You should better use condoms as they protect not only against pregnancy but also prevent sexually transmitted diseases. The chances of getting pregnant are less in your case but still, you should go for a pregnancy test after two weeks." + }, + { + "id": 18823, + "tgt": "I had unprotected sex 10 years back. Do I need to be worried about STDs now?", + "src": "Patient: Hello doctor, I had unprotected sex 10 years back. I am just curious if I need to be worried about any STDs, which I might have contacted 10 years back? I am fairly healthy, and I am only a little overweight. The person I had the encounter with has since had two kids. So, I am pretty sure I have nothing to worry about. But, I just wanted to be sure. Doctor: Hi. Testing can only prove your surety of having nothing in the context to Sexually transmitted disease (STD). If you had unprotected exposure 10 years back and no further exposure during subsequent years and you are asymptomatic also, it is unlikely that you will have STD. However, since asymptomatic STDs are also known, I usually recommend my sexually active patients get tested for HIV (human immunodeficiency virus), HCV (Hepatitis C virus), HBV (Hepatitis B virus), chlamydia, syphilis, and gonorrhea. There is no harm to know the baseline status of these. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17930, + "tgt": "There is swelling even a week after a ligament tear. Should I go to the ER?", + "src": "Patient: Hello doctor, I tore my MCL last week and the ER doctor told me to stay off of it for at least three days. I did so, starting to use it three days later for about three hours. The swelling my foot has encountered since then has been extreme. If I elevate and do not use it for four to six hours, the swelling recedes, but if I use it at all, my foot and ankle puff back up. I have been elevating it, icing it, and trying to stay off of it. What should I do? Should I go back to the ER? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11159, + "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": 2629, + "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": 1879, + "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": 29328, + "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": 30217, + "tgt": "What is barrier contraception?", + "src": "Patient: Hi doctor, I had an I-pill after unprotected sex. We have had unprotected sex again after 72 hours of I-pill intake. Do I need to take second I-pill? Kindly suggest. Doctor: Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4279, + "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": 564, + "tgt": "Should I stop my wife from taking dried basil and Acitrom together?", + "src": "Patient: Hi doctor, My wife takes Acitrom 3 mg tablet daily. And, she also takes 1 teaspoon of dried basil with milk. Is it alarming? Do I need to stop her eating basil? Doctor: Hi Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6829, + "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": 9847, + "tgt": "After NT scan, now the doctor has advised double marker test. Is there a high risk?", + "src": "Patient: Hello doctor,My wife is 28 years old and is in her 13th week of pregnancy. We had an NT test a couple of days back. The NT was 1.7mm. Trisomy 21 had an adjusted scale of 1:3428. Our doctor has advised us to go for a double marker test. The results will be out in two to three days. Is a risk of 1 in 3428 considered medium to high, to go for a\u00a0blood test? Is there any relation between double marker test and NT? Is it possible that double marker test results may increase the risk from 1 in 3400s to less than 1 in 300? How are the results of NT and double marker combined? I know it is premature for these thoughts, but the anxiety in waiting for the\u00a0double marker is killing my wife (and me). I thought of having a first cut understanding of how it works. Doctor: Hello. I hope that the above answer satisfies you and your wife. Have patience and faith in the God, so that, positive thoughts supervene. Good luck. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6610, + "tgt": "My face is red and inflamed after a chemical peel I did myself. Please help", + "src": "Patient: Hello doctor,Five weeks ago, I did a much too deep Jessner and a 30 % TCA combination peel myself. I swelled so much 24 hours after the peel that my eyes almost shut. Yes, this was a terrible mistake. My face is still red, but slowly resolving and I have been keeping it constantly moist and have been using aloe to reduce inflammation. I have two areas on either side of my forehead that are starting to worry me. When my skin first peeled they were quite deep red, not bleeding, but almost like a road rash. The rest of my skin was red but not a deep red. These areas healed quickly but now are forming a different texture from the rest of my skin. I can feel the texture difference to the touch. I believe they are starting to form scars. So my question is, Is there anything that I can do to reduce or prevent the scar formation? I have read that massaging the area aggressively helps break down the excess collagen formation, which is what I have been doing (with my fingers), but now the area appears red and irritated from the massage. Before massaging the area, it was not red or irritated. I can definitely see a texture difference. Should I continue with the massage to try to prevent the scar tissue from forming or is this making things worse? Any help would be appreciated. I live in a country where it takes months of waiting to see a dermatologist. I wish I could just walk into an office tomorrow. Please help. Doctor: Hello. I have gone through your query and viewed the images (attachment removed to protect patient identity). Regards. Revert after two weeks to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 25334, + "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": 30489, + "tgt": "Why did my daughter get UTI after ureteric bilateral surgery?", + "src": "Patient: Hi doctor, My 19 months old daughter has suffered with for around seven months. Then, we had an MCU test and it was diagnosed that she had grade 5 reflux in right side and grade 4 in left side. Her ultrasound showed she had 40 cc urine residual. Her doctor suggested ureteric bilateral surgery. She has an open vascular surgery before two months and her stents removed before 20 days. Now, she again had an UTI and reflux problem. Is there any problem? Please guide us. Doctor: Hi. Surgery to correct reflux will not prevent UTI (urinary tract infection). It will only prevent bacteria from reaching kidneys, thereby preventing renal damage. Yes, UTI can still occur after correction of reflux. Other factors which predispose to UTI must be ruled out, like neurogenic bladder, voiding dysfunction, dysfunctional elimination syndrome, etc. If there are no other factors, then the child can be put on prophylactic antibiotics for a few months and this will stop the recurrence. Best wishes for your child. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16147, + "tgt": "I have rash and flaking of genital skin. How to treat them?", + "src": "Patient: Hi doctor, I have an itchy skin rash, and I have flaking of skin in the genital area. I have this problem for many years. Now, it got severe. How to treat them? Doctor: Hi. Please send some photographs taken in natural light and taken from different distances. Please mention about the affected areas." + }, + { + "id": 23150, + "tgt": "Why does my face texture differ from body?", + "src": "Patient: Hello doctor, My face texture is darker than my body texture. I have tried many face wash, face whitening creams and face packs, but nothing seems to work. Please help. Doctor: Hello. I shall explain the treatment and precautions pointwise manner: For further information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 21150, + "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": 8816, + "tgt": "Why is my blood pressure increasing even after taking Tylenol?", + "src": "Patient: Hi doctor, I am having high blood pressure since my ER visit, five days back. I have been taking Tylenol, as per the ER discharge notes, and gradually getting worse since then. My blood pressure was 149/91 mmHg before, and now it is 154/91 mmHg after the visit. I keep having to catch deeper breaths just to breathe. I feel dizzy and have major headaches, that gradually comes and gets\u00a0intense. I feel very fatigued, even after sleeping long enough. And I pass out for few seconds and come back again. I also take Synthroid\u00a0for my thyroid problem. Doctor: Hi. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27917, + "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": 6191, + "tgt": "My left foot big toe is swollen and painful. What is the possible infection?", + "src": "Patient: Hello doctor, My left foot big toe has been swollen and painful for a couple of months. I first thought it was an ingrown toenail. I consulted a doctor who thought it was a fungus or grout. I have checked for both, and they are negative. I cannot get an appointment with the specialist for more than two weeks, and my toe is getting redder, more swollen and painful. I am concerned about possible infection as there is now some throbbing. Please help. Doctor: Hello. It appears from the description that you have an infection in the great toe. the question is which type If fungal culture has been done and found to be negative then remaining options are bacterial (staphylococcus) or gram-negative infection. The treatment is local therapy and antibiotics. Local therapy will include warm soaks with a salt solution. However, if there is throbbing then the likelihood of pus formation increases and you need to get examined by a doctor. In the meantime keep your foot elevated and take anti-inflammatory tablets." + }, + { + "id": 17155, + "tgt": "How long Keppra can be taken by SLE patient?", + "src": "Patient: Hi doctor, I am a-28-year old female diagnosed with SLE six years ago. I was on medication for four years and I stopped the medication when there had been no flare-ups or any syndrome for a while. Three months back, I had a flare up for the first time in three years. The symptoms were low fever, joint pain, and headaches. One night I had a seizure due to the flare up and low blood pressure. The doctor put me back on all the medications plus Keppra. My first question is how long should I keep taking Keppra? When I checked with my neurologist, he said it is supposed to be a lifelong treatment even though the seizure only happened once. All other doctors said it was associated with the lupus flare. I know Keppra can cause side effects so I am wondering if it is really necessary to take this drug for life when I had the seizure only once and it was due to lupus. If the dosage can be reduced (or eventually eliminated), at what pace should I do that? I am currently taking 500 mg twice a day. Doctor: Hello. I read carefully your question and would explain that this is the lowest therapeutic dose of Keppra. So the dose cannot be reduced further. Regarding the period of treatment, I would explain that it is necessary to take Keppra (Levetiracetam) at least three years after the last seizure. After this period of time, we can try to reduce the dose very gradually. If seizures reoccur, treatment should be continued with this dose for another three years and so on. We cannot predict if you will be on this medication for your entire life. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8964, + "tgt": "I am getting chest pain during deep breathing. Why?", + "src": "Patient: Hi doctor, I am a 68 year old male. My height is 5'4\" and weight is 142 lbs. I stopped smoking at the age of 38. I drink on an average of half bottle of beer a day at most. I do prepare my own food, which is mostly organic. I eat meat, egg, little dairy, vegetables, a fair amount of raw food, seeds, nuts, fruit, practically no sugar and very little flour. I am passing regular stools for twice or thrice a day. I am doing about 10,000 to 15,000 steps per day. Six days ago, I got stabbing chest pain on the left side just under the nipple. It was internal and not external. It has happened occasionally all my life, but very briefly and not often. This has persisted for six days. It seems to kick in with exertion, goes away entirely at night. I am mostly free of it all day today, but a very little exertion brought it back even though I walked a couple of miles with no problem. It comes and goes. It does not really hurt unless I breathe deeply. I can cough and sneeze without making it worse. And, there is no external sensitivity. I went to my dentist this week and my BP was 137/82 mmHg and pulse was 79. That was fairly consistent with what I was getting at several weeks ago. My highest BP was about 150/89 mmHg and pulse was 89 bpm. I am not on any regular medication. Doctor: Hi. As your chest pain and heaviness is related to exertion (walking) a possibility that it is of cardiac origin cannot be neglected. A very important feature of stable angina is angina on exertion. The stabbing pain and dull nature, which can better be termed as chest heaviness that starts on exertion like walking or climbing upstairs and goes away on taking rest. Your blood pressure is mostly in prehypertensive state, but your maximum systolic (upper) BP is grade 1 systolic hypertension. Your body mass index is high. Also, you were a smoker till the age of 38. Smoking is a sole risk factor for all sorts of cardiac ailments and especially coronary artery disease. As you have never checked your lipid profile, we cannot comment on your cholesterol and triglyceride level. Your age is in the late 60s and the natural presentation of coronary artery disease starts after the age of 55 in males. In short, your case can be summed up as risk based on the facts of increased BMI, ex-smoker, non-vegetarian and mild hypertension. I would consider it as angina on exertion and associated with on and off dyspnea (breathing problem) on exertion. As you have not mentioned any history of gastritis, heartburn, peptic ulcer, anxiety, lack of sleep, disturbed sleep cycle and muscular sprain (as all of them can mimic the cardiac pain), my suggestion is to get an ECG, 2D echo and treadmill test done. Consult your specialist doctor and take the above medicine. Once it gets confirmed as cardiac origin, then discuss with your doctor and take the medicines mentioned below with consent. Stable angina. ECG, 2D echocardiogram, lipid profile and treadmill test. Angina associated with dyspnea on exertion. Revert back with the reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16614, + "tgt": "Please suggest medicines for parameters out of range in the blood test", + "src": "Patient: Hi doctor, My wife is 36 years old. In one of her routine blood tests, we found a few anomalies. The report is attached. Please let me know your thoughts on the parameters that are out of range in the report and suggest medicines. Doctor: Hello. I have checked the attached photos (attachment removed to protect patient identity). Firstly, urine analysis shows pus cells which points to urinary tract infection. Please let me know if she has any painful urination or frequency. Secondly, the CBC (complete blood count) shows mild iron deficiency anemia which requires iron supplements orally for three months in order to be corrected. Thirdly, there are vitamin B and D deficiency which could be corrected with oral vitamin supplements plus eating a diet rich in vitamin B. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11584, + "tgt": "Is there any finding in my MRI regarding ice pick headaches?", + "src": "Patient: Hi doctor, I have been having ice pick headaches. Hence, I went for an MRI scan and regular blood tests. Now, I am\u00a0wondering whether my report is normal. Can you please guide me? Thank you. Doctor: Hi. The attached MRI images (attachment removed to protect patient identity) showed normal findings. Revert back with the complete pictures to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 10458, + "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": 28329, + "tgt": "I have a red lesion on the back of my head. What could it be?", + "src": "Patient: Hello doctor, I noticed a lesion on the back of my head. It is flat, mostly red in color, and a bit darker red or brown on the edges. It does not itch, and I do not think that it is related to any allergies. What could this be? Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20578, + "tgt": "What is the reason for fever with pain in eyelids and forehead?", + "src": "Patient: Hi doctor, I am suffering from fever for the past three days. I am taking Amoxicillin and Paracetamol as prescribed by the doctor. The temperature reduces for some time. I have other symptoms too. I have a sore throat, pain in both the eyelids and pain in forehead. Doctor: Hi. Fever is a sign of infection or an inflammatory reaction taking place in the body. Infections like flu, or any viral infection, tonsillitis, or any bacterial infections can cause a high fever. Take a complete blood examination to rule out the disease. You may have a bacterial infection, viral infection, pyrexia of unknown origin. Take lots of warm oral fluids, and take proper rest. Take antipyretics like Brufen (Ibuprofen). Change antibiotics to a stronger one if the blood test shows bacterial infection or antiviral drugs if the test shows a viral infection. Take lots of fruits such as oranges and vegetables. Take vaccination annually in case of influenza infection." + }, + { + "id": 11644, + "tgt": "Is Progynova advisable to build up endometrium in a primary infertility patient?", + "src": "Patient: Hello doctor, I am 32 years old PCOD patient with primary infertility. My LMP was 10 days before. I took tablet Letrozole 2.5 mg once a day for five days from the next day of my periods. Today is my eighth day. I had a USG today. Findings are, ET 3.6 mm, right ovary follicle is 11 mm, left ovary follicle is 1.8X1.2X1.8 cm. What am I supposed to do now? Shall I take tablet Progynova to build up endometrium. Is that follicle on left ovary a cyst? Please guide me in the further course of action. You can prescribe me medicines, I can take it, as I am a gynecologist and I need guidance from an infertility specialist. Doctor: Hello. As you are on day 8, ET (endometrial thickness) is low for the day of the cycle. You should be starting on Progynova (Estradiol) 2 mg one tablet twice a day for the next seven days. Your follicular scan days should be on day 11, 15 and 17. The follicles are appropriate for the age in the right ovary and are developing. The left ovary may be a simple cyst or late recruited follicle from the previous cycle but needs to follow-up with scan. At a follicular size of 20 mm, you should be opting for injection hCG 10000 IU intramuscularly for initiating ovulation. If this is a timed intercourse cycle and not an IUI cycle, then intercourse should be started daily from the day of hCG injection, else IUI to be done after 36 hours of injection hCG administration after a TVS scan (transvaginal ultrasound) to confirm rupture of follicle and also endometrial thickness (target 8 to 9 mm). Also progesterone-like tablet Susten (Natural Micronised Progesterone) 2000 mg one tablet twice a day can be started from day 16 for the next 10 days, to support pregnancy if fertilization occurs. On day 14 post ovulation, you may get a serum beta hCG test done to check for conclusive results with regards to pregnancy." + }, + { + "id": 17946, + "tgt": "Is adenomyosis a cancerous tumor?", + "src": "Patient: Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and had a miscarriage at six weeks. When I was pregnant, there was no bleeding but had spotting throughout. Since delivery I am suffering again with irregular and heavy bleeds. It became worse for the past eight months. I\u00a0have IBS which is stress related. I am taking Adalat for high blood pressure, which is under control. I was prescribed Mefenamic acid and Tranexamic acid as I refused coil due to previous bleeding with one and refused Esmya due to side effects. My transvaginal ultrasound found two polycystic ovaries and bulky adenomyotic looking anteverted uterus vascular ++ on anterior wall. The size was 2 x 3 x 0.9 cm. There are no fibroids or polyps or other pelvic masses or free fluid. Then what is it? Doctor: Hi. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of kids you have. We can suggest you some hormonal treatment or surgical treatment based on your age and parity. Revert back with the personal details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22225, + "tgt": "Please go through biopsy report of tongue cancer and advise", + "src": "Patient: Hello doctor, My mother was diagnosed with tongue cancer and the doctor suggested to operate. So, we operated at a cancer hospital and we received a final biopsy report. Squamous cell carcinoma. Moderately differentiated. The depth of infiltration 3 mm. Re-revised base-unremarkable. All mucosal and soft tissue margins are negative for malignancy Lymph nodes (0/13) show reactive hyperplasia. Negative for malignancy. pTNM: T1 N0 Mx. ICD Code: C02.9, M8070/3. Doctor: Hello. I have gone through your report (attachment removed to protect patient identity). As per it, looks like she had stage-I disease. No lymph node involvement. No other adverse factors. I do not think there is any further need for radiation or chemotherapy. Initial three-monthly follow up for recurrence for two years then six-monthly is enough. Did she use to smoke or take alcohol? As these may increase the risk of second malignancy. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 9166, + "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": 23196, + "tgt": "Why is there swelling in neck behind ear and a swollen tooth?", + "src": "Patient: Hi doctor,My father is having a swelling in the neck behind the ear. Also, he is suffering from a swollen tooth. He is now taking treatment of root canal. Can you please suggest the reason for swelling in the neck? Is this a serious disease like cancer? What to do for this swelling? Doctor: Hello. I would like to know few details like: There can be a few reasons for this swelling. Like: What I will advise you is complete the treatment for swollen tooth and also take a course of antibiotics for the same. Of still, the swelling is persistent then you need to get it checked. Best is to show a physician who will examine in detail and also to get basic blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), LFT (liver function test) and X-ray chest. He might also need an FNAC (fine needle aspiration cytology) depending on how his symptoms and reports are. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10390, + "tgt": "Why could be the reason for breathing difficulty in breathing after mitral valve replacement?", + "src": "Patient: Hello doctor,My mother is 59 years old and had undergone mitral valve replacement operation 15 days back. Now she is having breathing difficulty sometimes. SpO2 after exertion is 87 to 89 (without 02), the respiratory rate is around 28 to 30. I have attached the CT contrast thorax. There is no fever and wheezing. The echo shows only mild MR, and TR. No pulmonary hypertension and pleural effusion. She cannot take Duolin nebulization because she is a patient of atrial fibrillation, it increases her heart rate. But atrial fibrillation is under control by medicine. Please suggest the treatment. Doctor: Hello. I have gone through all the history you provided here. Your mother is currently suffering from two different problems. Mitral valve replacement followed by mild MR and TR as well as atrial fibrillation, are distinct cardiac problems. And according to you, she is taking prescribed medicines regularly.After going through the CT scans images (attachment removed to protect patient identity), it looks like she is suffering from some infective lesions in the lungs, most probably pulmonary tuberculosis (PTB). She is having breathing difficulty with low oxygen saturation, probably due to underlying lung infection. To confirm the diagnosis, further sputum tests are advised for sputum AFB (acid-fast bacilli) and culture tests. If no sputum sample is available, then induce sputum by nebulization with saline solution or perform a bronchoscopy. You are advised to consult pulmonologist doctor who will evaluate history and will advise recommended tests and medicines if required. Currently, symptomatic management includes oxygen supplementation with a high protein diet. Continue all cardiac medicines as advised. Depending upon the sputum AFB report, further treatment can be planned. I hope I have cleared all your doubts. In case you have any questions please do not hesitate to contact me again. Infection with PTB. Sputum AFB and Bactec AFB Culture. Depending upon sputum AFB report may require antitubercular treatment. Strictly use a mask while coughing and talking." + }, + { + "id": 4611, + "tgt": "An inflammed tissue in the right side of my throat is irritating. What could it be?", + "src": "Patient: Hello doctor, For the past seven months, I have been having the following symptoms. They have gotten progressively worse, until the point where it is severely affecting my quality of life to where it is hard to function in a normal lifestyle. I have this really irritated, inflamed, and damaged area of tissue on the right side of my throat. The area is white, and it is covering the bottom half of my vocal cords. I taste blood and pus. I have an earache in one ear, the same side that the throat irritation is on. I feel weak, faint, and dizzy. My nostrils are blocked. I do not have a runny nose. I do not have a regular stopped up nose either when I blow my nose nothing comes out. It just feels like the back of my nostrils are blocked. I have a lot of trouble breathing, which causes my heart to beat very fast. I breathe through my mouth, but it is not the same. I have no heart condition, and my pulse never raced before this started happening. My blood pressure is fine. I have tried nose sprays to open up my nose, sinus congestion medications, allergy medications. I do not have any allergies. When the symptoms first started they were not bad, but only got progressively worse. I went to my primary care physician. I was put on antibiotics. While I was on the antibiotics and for about a week after my symptoms disappeared, but then they came back. I went back to my primary care physician. He said that since the antibiotics helped the first time maybe another weeks worth would make the symptoms go away permanently. The same thing happened. While I was on antibiotics and about a week after my symptoms disappeared, but only to reappear again. I went back to my primary care physician. He said that he could not put me on any more antibiotics. He did a blood test to see if I have an infection, the blood test came back negative for infection. He sent me to an ear nose and throat doctor. The ear nose and throat doctor did a fiberoptic laryngoscope. He found the severely irritated spot in my throat. He said it was probably acid reflux. He sent me to a gastroenterologist. The gastroenterologist performed an upper endoscopy. He did not see any signs of acid reflux, except for the severely irritated spot in my throat. I do not have any of the symptoms of acid reflux, even before I started taking Protonix. He put me on Protonix. I have been on Protonix for two months now. The symptoms have only gotten worse. All of the symptoms are hard to deal with, but I could learn to live with most of them if I had to. The main symptom that concerns me is that not being able to breathe good, and my pulse racing as a result of that. I have a lot of questions, but my biggest question is what I can do about my nor being able to breathe well and my pulse racing? I have a picture I can send you of my throat when the fiberoptic laryngoscope was done. I can send you if you think it would help? Doctor: Hi. I went through your symptoms and pictures. (attachment removed to protect patient identity). Your fiber optic picture indeed shows some amount of changes of laryngopharyngeal reflux. So even though you do not have acidity and reflux you still have some laryngeal reflux for which you will have to take a proton pump inhibitor tablet Pantoprazole 20 mg twice a day for one month. The white area in your throat needs to be investigated by a throat swab for culture and sensitivity to know if it is actually a bacterial infection. Regarding nose block, have the ENT surgeon done a nasal endoscopy in your nose. If yes, what did he say? If not done I will suggest go for a CT (computed tomography) scan PNS (paranasal sinus), axial and coronal view to be done to rule out sinusitis, as if sinusitis is too much even then you have these symptoms. I hope this helps." + }, + { + "id": 29876, + "tgt": "How to live with positive thoughts?", + "src": "Patient: Hi doctor, I really need to get rid of all negative emotions and negative content in my head. I want to think positive all the time and live a\u00a0normal life. Please help. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 16477, + "tgt": "I have thigh pain at night. Why?", + "src": "Patient: Hi doctor, I am a 60-year-old female. I am not overweight. I exercise daily. I have episodes of enormous pain in my left thigh under the muscle. It does not look like muscle spasms. It seems to happen when I try to move my knee. It occurs mostly at night time when I am lying down or when I am sleeping. I have the pain for about 10 minutes. During these episodes, the pain starts within a minute and subsides within five seconds. The pain is severe. I am feeling exhausted. Sometimes it happens for a couple of times in a week, and it occurs in between the months too. It seems to get worse when I try to move. I have gone to many doctors and had done three MRI on my back. I have done X-rays, nerve tests, and ultrasound on both the legs. The results came negative. I do not have these episodes when I am at the doctor's office. What could be the reason for having this pain? What is the cause? Please suggest. Doctor: Hi. I have reviewed your query. You can consider doing an epidural steroid injection for controlling the painful episodes. You should discuss the option with your physician for doing it. You can also have a hip joint issues. You can also consult an orthopedist for knowing the cause. I would recommend visiting a gynecologist for proper evaluation and try to have a second opinion on this issue. She would be in a better position to investigate you. There can be an infection or inflammation such as PID (pelvic inflammatory disease) or any other malformations related to female organs. It may also be a cause." + }, + { + "id": 30822, + "tgt": "What are all the reasons for frequent stomach pain?", + "src": "Patient: Hi doctor, I have been having stomach pains. The pain has been on and off and has been ongoing for the past seven months with each period lasting for two weeks. The pain is on the left side, but does move to the middle. This happens immediately after eating. I have lost weight and appetite. My stools are also runny and light in color. I have had blood tests done, but the only thing that came up was a high hemoglobin count. I would like to get an idea about it. 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": 7270, + "tgt": "A 89-year-old has a constant fear and frequently using toilets. Why?", + "src": "Patient: Hello doctor, So we have a little problem with our grandmother, she is 89-years old. Lately, she is acting like crazy, and she is living in constant fear that she will mess up and she visit the toilet in like 10,15, 20 minutes. The morning is starting with toilet and last till she gets tired with that constant going to the bathroom and back to her room, then she goes on half an hour, hour so that continuous going in the toilet with no reason only because of the fear it is stressful and irritating also boring at some point. So the question is is that normal on her age, considering that she has sclerosis dementia, I think. She suffered two brain, and one heart attack should be adapt on her when she is like that and make deals with her because yelling and talking do not have any effect on her mind are focused only on the toilet and on that fear, and it is like a drug to her. It is crazy and funny on the other hand, but in that situation, it is stressful sometimes because it is like dealing with lunation or maniac. Doctor: Hello. I can understand your problem very well and as you have mentioned already here that your grandmother already had two cerebrovascular accident (CVA) or in your language brain attacks and one heart attack and she was diagnosed as sclerosis dementia. As the term suggested dementia it means memory losses, she is suffering from memory disturbances definitely and increase urinary frequency might be due to forgetfulness or it may be due to other neurological deficit which is affecting her bladder also. So first we have to be very, very clear that. Is it urinary incontinence or forgetfulness? So most of the time caregiver became frustrated of these type of symptoms and thinks of craziness or lunacy I believe these are not proper words for your grandmother here. Remember if you are so frustrated because of these symptoms how stressful these for her? In that case, the most important thing you need is a support to your grandmother. The first rule out the cause of increase urinary frequency by making investigations and then will proceed accordingly. So make it clear by consulting her with a good neurologist who can rule out the cause. So before arriving any conclusion, it is very premature for me to comment on current symptoms and treatment option. What I can suggest is environmental support by a caregiver." + }, + { + "id": 30414, + "tgt": "What could be the reason for my high Phenytoin level?", + "src": "Patient: Hi doctor, I am on Phenytoin (Dilantin) 300 mg or 350 mg every alternate days for 4 years and 250 mg and 500 mg Levetiracetam in the morning and evening respectively. I was diagnosed with generalized seizure before 8 years. Then, I had one seizure before 4 years. I am seizure free for up to 4 years now. As part of moving to a new country, I went to the GP to get a neurologist reference and he referred a Phenytoin test before referring to a neurologist.\u00a0In my Phenytoin blood test, the level of Phenytoin is more than 140. Due to the high level of Phenytoin, the doctor sent me to the emergency where everything came out to be normal. I have no problem in doing any activity. However, numbers are too high to be practical for the doctor.\u00a0I have been looking online is regarding information about abnormal high Phenytoin level without any conditions like change in medication or pregnancy or other diseases. Doctor: Hi. I understand your question. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14758, + "tgt": "Why am I not able to have bowel movement for 10 days?", + "src": "Patient: Hello doctor, I am unable to have a BM, it has been almost 10 days. I have no abdominal pain. I am also passing gas. I have been eating a lot of fiber. Doctor: Hi. I am afraid 10 days is too long to go without a bowel movement. I understand that you usually go every couple of days but if it has been that long, you may need to take some measures. Firstly, you need to drink plenty of water and eat whole grain stuff, bulk-forming food, in addition to the fibers for roughage and water for maintaining a soft consistency. If you are not having any abdominal pain yet, chances are you may have it soon unless you clear the bowel soon. You can try glycerin suppository after a heavy meal which includes the things mentioned above and then uses a glycerin suppository. Have you been skipping meals or not eating enough? Have you been anxious or depressed lately? As these things could contribute to chronic constipation like your case. If you still do not get a bowel movement or if there is a pain, you may need to go to the hospital where they may give you an enema wash." + }, + { + "id": 28786, + "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": 27816, + "tgt": "Please help me interpret my latest health checkup reports", + "src": "Patient: Hello doctor, I have been having the following symptoms for the last month or so.\u00a0Difficulty in falling asleep at night. I have witnessed sudden jerks when I am about to fall asleep. After such jerks, it becomes difficult for me to get good sleep. I do not remember having these jerks once I completely asleep. My spouse complains of me snoring afterward and quite heavily in the morning. I have weakness and fatigue the whole day. The weakness is so profound in the morning, that I do not feel like getting off the bed. From last few days, I have been having episodes of low sugar. The sugar level was around 70 to 55 when I checked. I feel very hungry abruptly, sweating on palms, and so weak that I feel like losing balance while walking.\u00a0I have a\u00a0family history of diabetes and hypertension. So, I have becomes anxious, which adds to my symptoms more. I have hypertension tendency.\u00a0I have had hypertension for five years, but I started taking tablets four months back.\u00a0Last week, I had my preventive health checkup done. I have attached the report.\u00a0Please advise. Doctor: Hi. I read your history, and I have\u00a0seen all reports (attachment removed to protect patient identity). I\u00a0am highlighting the abnormal results. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13358, + "tgt": "How can I differentiate normal headache and a migraine headache?", + "src": "Patient: Hi doctor, I am 33 years old, female. I suffer from tachycardia (heart checked, everything is normal) and anxiety and depression, and dizziness only when I am walking. I am not having dizziness when I am lying, and I am a smoker too. I have a headache often but I cannot recognize if it is a migraine or not, and recently have my MRI scan on the brain. Can you please tell me your opinion about the result? This is the impression: T2 FLAIR hyperintensity foci within the white matter in the centrum semi ovale and near the vertex which is more than expected, given patient's age. The distribution is non-specific. Most of this is atypical for demyelination. Doctor: Hello. The tachycardia you are experiencing if the usual cardiac exam and diagnostics were already been done and showed normal result may have been coming from anxiety. This should be well tolerated and cannot produce you any harm. The dizziness and headaches should coincide with the same problem either what comes first will lead to the other symptom. Dizziness basically comes from so many factors like lack low iron supply in the blood or low red blood cell count. Other factors that can precipitate to this is benign positional paroxysmal vertigo or simply BPPV (basically a condition coming from your middle ear). Diagnosis entails having blood exams like your complete blood count (CBC) and otological exam using an otoscope to check for inflammation and infection of the ears (which is a fairly common problem with BPPV. The exact mechanism on this is the head position that you need to identify so as to keep this dizziness to reoccur in certain positions. It would be helpful taking some Betahistine 16 mg tablet twice a day for this bout of dizziness. Headaches, on the other hand, could also be of so many things but usual causes are myogenic in nature. It can range from migraine headaches, cluster headaches, tension headaches, etc., and the treatment entails primarily with a Nonsteroidal anti-inflammatory drug (NSAID) like Ibuprofen taken every eight hours, but remember to take this religiously without fail to keep the drug's potency so as to make it effective. Migraines usually occur with a strong family history. If you have a family member that exhibits this kind of headaches, then possibly you also have it. They are most of the time precipitated with a stressful insult, may it be from lack of sleep, skipping meals to a tiresome job. It is helpful if you could identify this stressor so as to avoid it. It would definitely help you. The MRI findings T2 flair hyperintensities foci within the white matter in the centrum semi ovale and near the vertex are incidental findings that do not correlate well to a disease. This particular signals in the brain are most often than not seen also in normal individuals and does not cause any symptoms at all. To conclude, it is nothing important and will not cause you trouble. This all should help you best as your guide." + }, + { + "id": 23537, + "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": 14257, + "tgt": "How to stay away from stress and tension to gain weight?", + "src": "Patient: Hello doctor, I am a 25-year-old woman. I used to have stress and tension even for single reasons. And my food intake is decreasing and I have lost weight of 4 kg from 40. Kindly help me. And I am very depressed as everyone taunts me for my thin body type. Doctor: Hi. Stress and mental tension are the major causes of loss of appetite which leads to weight loss. You should rule out your concern as soon as possible. You should discuss your issues with your family, friends or near dear. It helps to reduce your issues. Some diseases history also causes such conditions like acidity, indigestion, tuberculosis, diabetes, etc. Stress, anxiety, depression, diabetes, hypertension, etc. Blood sugar, blood pressure, lipid profile, liver function test. Weight loss, emaciation You can take the following medicines. It helps to resolve your issues. Rx, 1. Manasamitra Vati one tablet thrice a day after meals. 2. Stresscom tablet one tablet thrice a day after meals. 3. Kalyanak ghreeta one teaspoon twice a day before food. 4. Ashwagandharistam 15 ml twice a day with equal amount of water after meals. Become familiar with friends and family, share your thoughts and issues. Do regular Kapalbhati, Mandukasana and Ardhamatsyendrasana. Mediation is very helpful in such conditions." + }, + { + "id": 21140, + "tgt": "As I have tinnitus and noise induced hearing loss, can natural sounds make my hearing worse?", + "src": "Patient: Hi doctor, I am a 21-year-old male. I have tinnitus and some hearing loss on the very high frequencies for the past one year. However, my hearing is within a reasonable range of 8 kHz. I can hear up to 16 kHz. But it is much quieter than before. When we have tinnitus and noise-induced hearing loss, can natural sounds make it worse? I am feared that I make my hearing worst, so I wear earplugs 24 by 24. When I take my car, I wear my earplugs. When someone speaks a bit loudly, I wear earplugs. When I am going to a commercial center or supermarket, I wear it too. Can these kinds of sounds hurt my hearing? I stopped hearing loud noises like a music festival. Is it enough? Can I live my life as everyone without losing my hearing? How should I manage my life without making my hearing worst? Doctor: Hi. It is a combination of intensity and duration that causes acoustic trauma or noise-induced hearing loss. If you subject your ears to high-intensity sounds for long durations, then, you are hurting them more. Ideally, you should not submit the ears to more than 90 dB for eight hours continuously. With every 5 dB increase in intensity, the time gets halved. In the case of impulse noises, you should limit the number of times you expose yourself to such sounds like blasts, fireworks, and thuds. You need not wear plugs everywhere you go out or talk to someone. Just keep away from loud noises. Eat a healthy diet. Listen to calm music if you can. The super high-frequency hearing deficit that you have will not affect your day to day life. It is picked up by the audiometry. Tinnitus is a different entity. It requires habituation. You will need to train your ears to accept it and mask it gradually. There are techniques for it. You can listen to white band noise. Listening to calming music and reducing your worries also help a lot in achieving relief from tinnitus." + }, + { + "id": 2986, + "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": 2433, + "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": 5776, + "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": 4206, + "tgt": "Will Eidel induced hypopigmented patch on face fade on its own?", + "src": "Patient: Hello doctor, I experienced a rash after an allergic reaction that spans from my chest, neck, and face. I removed the allergen from my diet and was prescribed Elidel to help clear the rash. However, I experienced over the course of two to three days, white patches which look as there is absolutely no pigment present in these areas. Will hypopigmentation from the use of Elidel fade? I was prescribed Elidel for the first time for a rash on my face. I am pale, but these are extremely white patches reminiscent of acne scars (but being completely flat). Is this likely to be permanent? Will it likely fade? If it may fade, how long would this likely take? What are my potential treatment options? No major injury to the sites was noticed aside from the generalized rash that was being treated. Doctor: Hi. If the patch is secondary to the use of Elidel (Pimecrolimus) fade cream then it is temporary. Within two or three months gradually it will subside. Right now do not use anything else on the face except for sunscreen and moisturizer. If it does not subside even after three months then you can go for the treatment. In treatment there are medicines available which helps in repigmentation of the skin. But right now do not apply any medicines. Let it heal on its own. Post-inflammatory hypopigmentation. Sunscreen and moisturizer. One month." + }, + { + "id": 17349, + "tgt": "Developed with nodular acne on my left cheek. Is this prescription effective?", + "src": "Patient: Hello, I am a male, 24 years old. I have recently developed with nodular acne on my left cheek and visited a dermatologist. The doctor has prescribed the following for 15 days for pimples: Rejuglow face wash gel. Nilac ointment (twice daily). Minoz 50 tablet\u00a0(once daily). He has asked me to come after 15 days for prescription of scars; once pimples are eliminated. Are the prescription mentioned above effective?\u00a0How many days and what ointment/face wash gel/home remedy is effective in reducing the scar faster? (he has told it takes 3 months) Give a second opinion. Doctor: Hi, Thanks for writing to us. Acne treatment depends upon the type of acne lesions. From the treatment provided it seems, you are having pustular (pus filled) or papular (red raised bumps) lesions. In case of nodular acne, lesions are large nodules. For nodular acne we usually prescribe oral isotretinoin in dose of 20 mg to 40 mg daily depending on severity. If there are just one or two nodules then we can also treat the same by intralesional steroid and antibiotic injections. In papular or pustular acne, I prefer tablet doxycycline 100mg twice in a day or minocycline 100mg daily (minoz once daily) along with topical adapalene clindamycin gel like deriva CMS or epiduo gel, once in a night application. Usually lesions subside by two weeks to a month. In case of nodular acne treatment, it needs to be continued for a month or may be more as it is a severe acne variant. For marks and scars, one may use topical creams like glycolic acid, azelaic acid, kojic acid, tretinoin cream etc. One may also take sessions of chemical peels or microdermabrasion. The treatment advised and time required for response depends upon the severity of scar. For further clarification, kindly send us the pictures of the acne lesions and ask a dermatologist or an acne specialist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist/acne" + }, + { + "id": 635, + "tgt": "My grade 3 sprained ankle is paining extremely, and I am unable to bear weight. Why?", + "src": "Patient: I have a grade 3 sprained ankle. Im male, 5\"9, 160lbs. I had severe swelling to the size of a softball the first day, aswell as bruising that started to appear overnight. On day 4 I went to the doctor and got xrays. The doctor determined it was a grade 3 sprain but gave me a projected recovery time of 3-6 weeks which is the recovery time for a grade 2 sprain. Currently I am still unable to bear any weight but swelling is down drastically , bruising is the same, and now if my foot is not elevated, i suffer extreme pain that causes me to often collapse to the floor. If anyone knows why this is happening and if it will heal with the rest of my injury it would be much apreciated. Doctor: Dear, thank you for your query. As per the information provided by you I would suggest you to follow PRICE protocol that is protection,rest,ice,compression and elevation.Also I would suggest you to wear ankle support/brace or tapping the ankle to provide more stability and thus accelerate healing.Also try to move the foot within the brace gradually without stressing much.Avoid weight bearing on the affected foot.Also I would suggest if you do not feel improvement within week kindly meet orthopedic surgeon or physiotherapist. Hope I was able to suggest few helpful information to accelerate your healing. Regards" + }, + { + "id": 30202, + "tgt": "How to correct my wife's irregular periods?", + "src": "Patient: Hi doctor,We got married 9 years back. My wife has the problem of PCOD. We consulted many doctors and tired for IUI and IVF, but no positive result found.\u00a0Actually, my wife's menstrual cycle was fine before and after marriage. After our first anniversary, we consulted a doctor for baby. The doctor said that my wife has a hormonal problem. But, when we consulted another doctor, he denied hormonal problem after seeing her blood test and suggested D and C. We followed as he suggested and tried for next one year. But, my wife did not get pregnant.\u00a0It was observed that my wife's menstrual cycle got disturbed once in a year and she suffered with heavy bleeding for 8 to 10 days. Follicular study was checked by the doctor and it was fine. So, we went for IUI and IVF, but no positive result found. Now, for the last 2 to 2.5 years, her menstrual cycle has got disturbed. Her period is not regular. It comes irregularly with initial spotting and heavy bleeding with clots and many times we need to go to the doctor to stop bleeding. Also, she is getting tired of doing exercise and climbing steps with breathing problems. After checking, the doctors found that she is having a\u00a0thyroid problem and her hemoglobin is also reduced.\u00a0I have attached the various reports. I am very much confused. Kindly suggest me the correct treatment. Actually, at this stage I am less bothering about baby. I want my wife to be healthy. Doctor: Hi. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5481, + "tgt": "My son is taking Levolin, Budecort and Montair LC for lung infection. Will these cause side effects?", + "src": "Patient: Hello doctor, My son is 6 years old. He got lung allergy so the doctor gave Levolin 100 and Budecort inhalers and some syrup like Montair LC kid. So my son is getting free from the fever, coughs, and cold by using these medicines. After completion of these medicines course, he is repeating with the same cough, cold and fever. Where as he will not eat any foods like chocolates and other flavored items, but he eats very rarely. On using these medicines is there any side effect in his growing future? I want to know is there any permanent solution for him without using these medicines and being healthy? And he is getting this problem when there are changes in weather and if he eats any chocolate and other foods. My son gets a fever with a high temperature of 101 and goes to 103 degree celcius. Sometimes we used to give him Meftal 8 ml and P-250 or Calpol for every four hours when the temperature was 100. After giving these medicines he was being sweated a lot specially on his head. Why there is sweating from head? Is this sweating from head cause any problem? How long should he use these mediciens? What are the foods that are good for him and can we give him dry fruits and fruits? Which are best for him? Doctor: Hello. The doctor has given the right treatment and please follow his instructions. The inhalers are safe and do not have any side effects as the dose of medicine is in micrograms which is very small. The allergic problem will resolve by itself as he grows. Sweating when fever reduces is very common and not a matter of concern. After the course of calcium and vitamin D3 sweating problem will also reduce. About the food discuss with your pediatrician as it depends on the individual child. Dry fruits can be given but few children mat have a nut allergy." + }, + { + "id": 18029, + "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": 10968, + "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": 14729, + "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": 106, + "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": 3617, + "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": 26974, + "tgt": "Do cats transmit rabies infection to humans?", + "src": "Patient: Hi doctor, Can rabies transmission occur from cats to humans? If the suspected cat is alive for more than 10 days, is there any chance of infection? Doctor: Hi. Yes,\u00a0rabies\u00a0could be transmitted from cats to humans. The maximum incubation period for this infection is 10 days. So, till that the\u00a0animal should be observed. If you can describe your\u00a0wound and its depth,\u00a0the treatment can be decided. For further queries consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 13356, + "tgt": "Is it possible to get high RBC in blood test due to fasting?", + "src": "Patient: Hello doctor, I had a blood test done two months back and my RBC was 6.0, hemoglobin 17.2, and hematocrit 51, which were all high especially RBC. The blood test was in the morning and I had not eaten or drunk for eight hours before. I am an 18-year-old 130 lb male, and I was wondering if the blood test was high because I had fasting and it was in the morning. My doctor told me it might be polycythemia and to go back for another test in three months. Doctor: Hello. The dehydration for prolonged duration can lead to high RBC count, high hematocrit and high hemoglobin level. But eight-hour fasting cannot lead to such findings. It is advisable to repeat your test after a few days. Until then, keep yourself well hydrated with lots of water. If still, it comes high after a few days, then further workup for polycythemia should be done in form of EPO estimation, chest X-ray, EKG and JAK2 mutation testing as per need." + }, + { + "id": 15037, + "tgt": "What is the reason for green stool after recovering from pneumonia in a child?", + "src": "Patient: Hello doctor, My nephew got pneumonia two weeks back. He recovered but the problem is his stool got green again after medicine and also when he takes a bath it happens. He is 4 months old. Otherwise, he is fine but this problem becomes severe later. So, we are worried. Would you like to prescribe any medicine or tell why it is happening? Doctor: Hello. For pneumonia, if Augmentin (Amoxicillin with Clavulanic acid) given, then this medicine tend to cause loose motion with color variation of stool. If this is the case then you can stop the medicine, if it is continued till now. If the baby is exclusively breastfed, and passing adequate urine (5 to 6 times a day), then no need to worry. At this age, the stool consistency and frequency is highly variable, which is a normal physiological process. Focus on exclusive breastfeeding which is highly recommended. As top feeding also is a matter of concern for loose motion later. I do not think there is a need for any medication, if the baby is fine, feeding well, playful and hydration is maintained (passing urine adequately)." + }, + { + "id": 12172, + "tgt": "Is it necessary to take another birth control pill if vomited after five hours of the first one?", + "src": "Patient: Hello doctor, I am on my second week of birth control pill in my pack and I have not missed any pill since starting but last night I vomited 5 to 5 and a half hours after taking my pill. It was my 11th pill in the pack. Should I treat it as a missed pill and take another? I also had sex without a condom after the incident and I wanted to know if I am still protected and will I continue to be protected? Doctor: Hello. I have read your concern. If you have been on a pill for more than a month and this is your second pack, you have nothing to worry if you just missed out one pill. Since most probably you have vomited out the pill, you can take another pill for today and then continue as once a day every day. You do not have to take a double pill. You will continue to be protected and just continue with the pack. The problem will only arise if you have not been consistently taking it, if you just missed it today because of the vomiting, it will not be too significant. For the vomiting, hydrate yourself and better to take Vitamin B and Advil for your hangover. Hangover. Gastroenteritis. Gastroenteritis secondary to alcohol intake. Hydration, continue with the pill." + }, + { + "id": 32, + "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": 6109, + "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": 9957, + "tgt": "My wife has hemorrhoid. How can she get relief from anal pain and swelling?", + "src": "Patient: Hello doctor, My wife is 28 years old. Her weight is 128 kg and height is 5 feet 3 inches. She has got a constipation problem since last 5 years and she takes Smuth for this. Since last four days, she has been getting severe pain between vagina and anus and that area is swollen. Also, her anus opening is swollen. Yesterday, she was identified to have a small hemorrhoid. The pain is very severe. Please suggest an effective tablet for the pain relief and to cure hemorrhoid. She had Zerodol-SP, Ibuprofen and Chymoral plus, but of no use. Still, she has pain. Also, she takes Himalaya Eve for PCOS and Iron supplement. 10 years ago, she had the same problem. Please provide your valuable suggestion on medication. Doctor: Hi. I have gone through your query and can understand your concern for her health. As you have given every possible analgesic and the pain is not relieved, I think the hemorrhoid has strangulated. It means it is entrapped within the anal sphincter. I suggest tablet Acenac-P (combination of Aceclofenac and Paracetamol) along with tablet Chymoral forte (Trypsin and Chymotrypsin) twice a day for three days. Also, I suggest her apply Diltiact gel (Diltiazem) over the anal area and inside the anus with finger twice daily. I suggest you to consult a surgeon as soon as possible to avoid any complication. She may need some intervention. Also, I suggest you try sitz bath. Take a tub and add warm water in it and a few drops of Dettol. Tell her to sit in that tub for about 20 minutes. It will give some relief. Ask her to drink plenty of water and take more of the fibers in the diet in the form of salads and green leafy vegetables. Avoid tea, coffee, spicy and oily food. Hemorrhoids. For further doubts consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4044, + "tgt": "What causes extremely severe headaches?", + "src": "Patient: Hi doctor, I do have constant headache, sometimes due to toothache (gum disease, no hole) or nothing. Right now my head aches seriously and I have used mixanal 2 tablets, the pain still persists. Doctor: Hello. Kindly tell me which side of head is effected. Usually frontal side of headaches are due to sinusitis, if you have only frontal head ache then do xray skull sinuses. Back side of headaches are occur mostly when blood pressure increases, if you have back side of headache then do your blood pressure checked and then take blood pressure lowering medication. Sometimes headache occur due to stress, in this situation try to decrease feeling of stress. Headache occur due to migraine then it present with nausea, vomiting, blurring vision, sensitivity to light, noise, smell, dizziness. In this scenerio proper course of medicine is prescribed. If an individual is facing headache along with complain of vertigo or ear pain or ear discharge then it is concern to treat ear problem. Sometimes person is sensitive to some smell or allergic to some medicine, it also causes headache. So, kindly give proper history about your headache for proper treatment and prescription." + }, + { + "id": 27636, + "tgt": "I saw blood in my stool, and I have a small lump in my anus. Any home remedies?", + "src": "Patient: Hi doctor, I am a 24 year old female. Last week, I suddenly saw blood in my stool, and I have a small lump in my\u00a0anus.\u00a0I consulted a doctor, and she gave me Dulcoflex and an\u00a0ointment.\u00a0It was fine for 10 days, but now again I feel that lump and saw blood in the stool. What could be the reason? Are there any home remedies for this? I had my periods last week. Doctor: Hi. This is anal fissure, and that lump is an anal tag. I suggest you try doing the following: Do not worry at all. You will be absolutely fine. Consult me again after fifteen days. Revert after 15 days to a surgical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 30175, + "tgt": "Which form of Paroxetine hydrochloride is the best?", + "src": "Patient: Hi doctor,I was diagnosed with depression, OCD and anxiety. My current medications are Paroxetine hydrochloride hemihydrate and Clonazepam. I would like to know if Paroxetine hydrochloride formulation is the same as Paroxetine hydrochloride hemihydrate. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2489, + "tgt": "I have a burning sensation in my throat for a week and no other symptoms. Is it COVID-19?", + "src": "Patient: I have burning sensation in my throat for last 7 days still no other symptoms..may i effected from covid 19 Doctor: Hello, I can understand your concern. As your area is facing more cases of covid19, it is good that you are seeking medical advice for your symptoms. First of all, I would like to say do not panic. The burning sensation in the throat can be due to some irritation that has caused due to especially cold things that you might have consumed as its summer and drinking cold drinks, cold water or ice-cream can cause it. Another reason for this can be nutritional deficiencies of some vitamins like vitamin C, vitamin B. So balance your diet with appropriate foods that are rich in vitamins and minerals. Keep yourself well hydrated throughout the day. Make sure that you don't drink anything that is extremely cold. It should get better in a few days. Now, as you are worried if this is due to covid 19. I would know if you have a recent travel history anywhere in or out of your country? Also, have you come across any covid19 patient recently? I also want to tell you that symptoms of Covid19 are cough, fever, occasional sneezing. In your case, there is just a burning sensation in the throat, so do not panic and keep yourself healthy with proper food. Also, maintain social distancing as well as continue hand-washing before touching your face, eyes, nose when you come in contact with anything outside. If you get the above-mentioned symptoms in the future then do visit your nearest covid19 test center. Hope this helps. Feel free to contact for any further queries in the future." + }, + { + "id": 5822, + "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": 10392, + "tgt": "Please advice on my blood reports", + "src": "Patient: Hello doctor,I did the blood test a few days ago, and the reports state that,1) Monocytes 0.19.2) Red cell distribution width 46.7.3) Platelet distribution width 21.4) Mean platelet volume 13.4.5) Platelet to large cell ratio 50.5.Kindly advice. Doctor: Hello. The test is not specific. You need to specify why it was done and what your symptoms are. The test indicates macrocytosis larger platelet than usual, red cell distribution width is higher than normal (11.5 to 14.5). This indicates that your bone marrow which produces all the blood cells such as red blood cells, platelets and granulocyte white blood cells (neutrophils, eosinophils, basophils) and monocyte is not getting enough vitamin B 12 (cyanocobalamin) and folic acid. I do not know are you anemic since there is no indication of red blood cell count there. The cause can be from not getting enough folic acid and vitamin B 12 in your diet, or your intestine does not absorb enough B 12 vitamin, a condition called pernicious anemia from lack of intrinsic factor needed for their absorption. You may be a vegetarian because if you eat enough meat, you would not be having folate and B 12 deficiency.You may have vitamin B12 and folic acid tablets." + }, + { + "id": 23513, + "tgt": "I have twitching of different muscles. Can I be sure it is not ALS?", + "src": "Patient: Hello doctor,The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from what I can tell. My reflexes are normal except for brisk bilateral patella tendon reflex which I have had all my life. All strength tests are normal. Any idea what could be causing this? Doctor: Hello. Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest a few tests: Review with the reports. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 8488, + "tgt": "Can I take 20 mg of Citalopram with 10 mg of Amitriptyline?", + "src": "Patient: Hello doctor, I currently am taking 20 mg of Citalopram (which I take in the morning, used for my anxiety) but recently my doctor prescribed me 10 mg of Amitriptyline (which I have not taken yet and it is used for sleeping). Anyways, what I wanted to ask was is it okay to take the 20 mg of Citalopram and 10 mg of Amitriptyline? Because whenever I read about it, it said not to take those prescriptions together. Doctor: Hello. Yes, you are right in this regard but clinically it is proven to give if patient's symptoms are resistant on medication but there are few options to try before prescribing this, and for sleep to prescribe Noncrystalline is not suitable decision, rather you can have Mirtazepine low dose which is suitable combination with any SSRI and has no drug interaction which you can search even, and you may need counseling to help to deal with your problems. Remeron (Mirtazapine) 15 mg half tablet in the night." + }, + { + "id": 15810, + "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": 16966, + "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": 3287, + "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": 14186, + "tgt": "Does clear uterus in USG following positive pregnancy test mean miscarriage?", + "src": "Patient: Hi doctor, I am 32 years old, got married seven months back. I had regular 28 days cycle. Two months back, I had amenorrhoea for 40 days followed by urine pregnancy test positive but followed by bleeding and USG pelvis shows clear uterus, after seven days. Following this, I got some brownish discharge like sometimes, increased whitish discharge irrespective of the menstrual cycle. What can I do for this? Doctor: Hi. If the urine pregnancy test was positive then you got bleeding and then, bleeding and uterus empty, then maybe it was a complete miscarriage. Post bleeding, vaginal brown discharge might be infection or remains of miscarriage. To be on safe side have beta hCG and high vaginal swab to exclude infection and pregnancy. Follow with the reports. In case you have pain, immediately report to an emergency gynecologist. Post-miscarriage or infection. HVS, beta hCG. in case of pain, report to the emergency." + }, + { + "id": 483, + "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": 16448, + "tgt": "What can I do to heal a canker sore on my lip?", + "src": "Patient: Hi doctor, I have had a canker sore on the inside of my bottom lip for a couple of months now. It is not really painful, but every time it starts to heal it gets irritated by my teeth, or I bite my lip and it prevents it from healing. What can I do to help the healing process? Doctor: Hi. I have gone through your question. I can understand your concern. Two months of aphthous ulcer in the mouth that too without a pain is not a good thing. You need to upload certain pictures of your sore so that any dangerous lesion can be ruled out today. Also, if your ulcer is associated with any swelling below your chin. Is this ulcer hard or soft in consistency and what kind of color, is it raised or not? Though as per your history the ulcer or sore looks like a traumatic ulcer but to rule out any unusual thing it needs to be evaluated properly. You can use Kenacort 0.1 % (Triamcinolone Acetonide) two to three times daily, it will help you to reduce inflammation. Also, take Vitamin C supplements one tablet daily for a month." + }, + { + "id": 9416, + "tgt": "How can rashes in baby be cured?", + "src": "Patient: Hello doctor, I have noticed rashes in baby since last week. I have applied Sudocream as advised by a doctor. I have also changed the nappy brand. But now there are small bumps on the back too. Here is the photo from one week and today. Doctor: Hello. I understand the situation you are facing with your child. Baby diaper rash is one of the most common problems encountered with the babies. Keep the private areas dry, clean and hygienic. Clean up soon after baby passes stool. Do not allow moisture to build up in diaper region." + }, + { + "id": 28964, + "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": 24397, + "tgt": "I have dark circles, fine lines and aging spots. Please suggest relevant medication", + "src": "Patient: Hello doctor,I had some eye problem for which I was asked to do warm compress around the eyes. As a result, I am suffering from dark circles, fine lines, and aging spots. Please suggest any relevant medication. Also, I am not able to understand my skin structure. In the winters, it is too dry and in the summer it is too oily. Doctor: Hello. I can understand that there has been damage to the skin. White spots on the sides of the right sides are called miliaria crystallina. In simple terms, it is the enlargement and plugging of the sweat glands. You will need to go to a dermatologist to remove the plugs or blockage with a needle. Then it will be fine. It is a very small procedure and takes about 15 minutes for me and not painful also. Another issue is of the skin quality being different for different parts of the face. Trust me, 90 % people have this problem and you are no different. Acne is a result of that nothing else. With daily travel and dust and other environmental factors, this problem becomes bigger. Just use a good gentle face cleanser to wash your face. In your case, I will recommend Avene cleansing foam. Just apply it to wet face and wash away. Do not rub or do anything else. As for the aging problem, a majority has to do with skin damage. Damage makes the skin look more old and tired. I recommend Reverzo undereye cream by Glenmark at night. If you cannot find it then you can use Auriga Flavo-C cream instead. Apply gently under eyes and let it stay overnight. It should improve the quality very soon. Skin of the face is oily near the nose and forehead and cheek and sides of face are dry. Keep this in mind next time you wash face. It is very important that you use a good sunscreen. If the face is oily, then I recommend Isdin fusion water and if it is normal then La Shield fisico (this might be a little oily but for normal skin, it is absolutely fine). Use it everyday after shower and 20 minutes before going outdoors. It will prevent any sun damage that can make the skin look old. Rest all seems fine. I have other solutions too for under eyes but they are more expensive. So, first improve the quality of the skin. It will make a lot of difference. You can revert back if you have any questions. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 7029, + "tgt": "Can we use hydrogen peroxide to clear wax in patient undergone mastoidectomies?", + "src": "Patient: Hello doctor, My 84-year old stepfather had, apparently, two radical left-ear wall-up mastoidectomies in the late 50s and 60s. The second was done to fix the poor job done by the first at a county hospital for the indigent. Recently, caregivers said they were planing on using hydrogen peroxide in his left ear to clear much wax buildup. I learned of these surgeries from my step dad and from reviewing some ancient medical records. As his POA, I need to know of any dangers possible if hydrogen peroxide is administered in such an ear canal that, I understand, is permeable, and leads into his mastoid chamber. Doctor: Hello. As I understand, your father had undergone two ear surgeries when he was in his 30s or so. He would have either undergone canal wall up or canal wall down mastoidectomies. Radical and modified radical come under CWD, and cortical comes under CWU mastoidectomies. Anyways, hydrogen peroxide can be applied in his ear for wax removal if, 1. The ear has been disease-free for many months now, implying, there has been no ear discharge of pus or liquid. 2. No ear perforation, which would have presented with discharge and pain. 3. No raw area in the ear canal. The posterior canal is not permeable. In a wall down surgery after removing the wall, we close the defect with autologous cartilage or some material. Probably in his days, they may have left the cavity open. In either case, it gets lined by the skin, and that will be the case in your father also unless he has any disease or perforation. It is okay to use hydrogen peroxide to clear the wax if it does not come out using probe and otoscope or an endoscope. If an endoscope is put in the ear and under endoscope guidance wax be removed, then that is the best and safest. I hope I have answered your query. Revert to me in case you want any clarification." + }, + { + "id": 15879, + "tgt": "I have high WBC count. Do I have to worry about it?", + "src": "Patient: Hello doctor, I have a high white blood cell count. It is more than usual. I got my blood tested. And the result is I have 12000 white blood count. In the report, it is written that normal count is up to 11000. Do I have to worry about anything? Please help. Doctor: Hello. I have gone through your query. White blood cells are a type of blood cells which are majorly involved in fighting infection in the body and are usually increased in amounts when the body is fighting against an infection and occasionally in certain other conditions. Though 12,000 count is a definitely increased number, it need not be considered very high if there are no associated symptoms or any other medical history. But before that, we need to look into the differential count of white blood cells which means the percentage of various different kinds of white blood cells which are elevated in different kinds of infections and other values in your blood picture report. I need you to answer me questions regarding certain symptoms. Though white blood cells are increased in certain types of blood cancers, the numbers are usually higher than your value. Please get back to me with the detailed differential count of white blood cells, hemoglobin, platelets and peripheral smear reports and also details regarding the above mentioned symptoms. This way we can exclude all the possible causes of your elevated white blood cells. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14730, + "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": 21021, + "tgt": "My 7 year old son is suffering from myopia. Can it be corrected naturally?", + "src": "Patient: Hi doctor, My son is 7 years old with -7 power myopia. Can it be corrected naturally? Doctor: Hi. Myopia is a progressive condition, and the progression depends on the pattern of eye growth and development, which is not predicted accurately. Avoid keeping books, and mobile phones very close to the eyes while reading. Sitting very close to the TV or computer must be stopped. It is a well-known fact that near work increases the myopia progression. Keep the glasses on throughout the day except while sleeping. Young children will be susceptible to a weakness in the nerve of vision called as amblyopia. It can be easily prevented by wearing glasses and treated with patching. A low dose Atropine eye drops (0.01 %) can be used. It is recommended in high myopia and in children who seem to progress in myopia. This drug has minimal side effects, with the most important one being tachycardia and the other common one being an allergy to the medication. In case of any other doubts, please send me a picture of the glass prescription, any other investigations, and the doctor's records." + }, + { + "id": 19722, + "tgt": "I feel as if I am controlling the blood flow to brain. Why?", + "src": "Patient: Hello doctor, I am a 29 year old man. I do not have any health problem other than chronic fatigue. My height is 170 cm and weight is 72 kg. I feel some discomfort inside my brain. I feel as if there is a block in blood flow to the pituitary gland and the hypothalamus. I\u00a0feel that I could lose consciousness if I let this phenomenon in my brain. So, I preferred to ask advice from a doctor. I have seen a neurologist and got an electroencephalogram, which revealed no problem. The source of the problem was that 6 years ago, I had my first panic attack when I was doing shopping for my home. I had this panic attack because I was anxious. I was afraid about the possibility to have a heart problem when I had some pain in the chest, due to a bad habit of arm stretching backward. In the shop, I had my first and very intense panic attack, when I felt that I was very afraid to die or lose consciousness. During this very intense panic attack, I refused to pass out and loses consciousness with blocking this phenomenon of passing out, with blocking it with my brain and my will. I\u00a0want to ask you, is it safe to let this phenomenon of blocked blood flow and huge neuronal, nervous phenomenon to arrive?\u00a0I want to specify you that I am not under any medication and that my doctor thinks I am in a good general health. Doctor: Hello. OCD (obsessive compulsive disorder) Duloxetine. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5241, + "tgt": "I have fear of death with anxiety disorder. Will Escitalopram help?", + "src": "Patient: Hello doctor, I am a 41-year-old male. For a long time and I am afraid of death, aviation and diseases, and despite my only and I fear flying. I always found myself assailed by the fear of death while I pray because of that I am trying to finish my prayer soon to escape from there and heading towards the house. This case has happened for more than 20 times. Eight months ago I experienced a state of severe fear when I am in a barber shop. While I was getting shaved I started sweating and my heart accelerates. I left the shop before my shaving was over. I went to the hospital the next day and they told me that my BP was high and I need medication to lower it. Three days after I visited the hospital after a dizziness in my head and my BP was 160/110 mmHg and they prescribed me a medicine, and after the stability of the pressure to 130/84 mmHg anxiety started again and my previous drug was then substituted by Eisenberg 10 mg but I still have a permanent feeling of fear and anxiety, and currently troubled, because I started to forget some of the names and mention them after some minutes at most times. But rarely I have this a kind of confusion, on seeing somebody and due to fear of getting their names wrong I moved away from them. After this, I have done all blood tests to detect the problem and I decided to go to a psychiatrist and he told me that I have an anxiety disorder. He prescribed me Escitalopram 20 mg. But I did not take it. Please help me I am confused. Doctor: Hello. I read your query word by word and affirm that this is an anxiety disorder. As you are aware that anxiety disorder is characterized by excessive concern about one or another thing. Many of the patients with anxiety problems present with excessive sweating, palpitations or pounding heart and dryness of mouth along with fearfulness or fear of dyeing. As your psychiatrist told you the antidepressant class of medicines are the drug of choice for your problem. Escitalopram is one of the antidepressants which is commonly used for anxiety problem. Ideally, it should be started with 10 mg and should continue with this dose for three to four weeks before increasing the dose to 20 mg per day. During the initial days, it is advisable to prescribe Benzodiazepines group of medicine as Escitalopram takes some time to act. I understand your fear and anxiety but at this moment you need to see a psychiatrist regularly so he can help you to control the progression of anxiety symptoms. The other option for treatment of this condition is talk therapy or psychotherapy. If you find a psychologist in your town then seeking a consultation with him is a good idea. He/she will guide you through the strategies to manage stress. I hope this helps." + }, + { + "id": 19291, + "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": 30921, + "tgt": "Though my reports are fine, I still exhibit fear for so many things. Why?", + "src": "Patient: Hi doctor, I am a 46 year old male. My health is good since my childhood. I am a pure vegetarian. I do not smoke or drink alcohol. I have completed my PhD in plant biotechnology. My mother died when I was 10 due to heart problems. My father died a year back and he was healthy except minor hypertension. I have three brothers and three sisters, who are all healthy.\u00a0I fear for a crowd, water, claustrophobia and height since childhood and\u00a0about health recently.\u00a0I think about my parents and worry a lot. I was very good in studies, very polite, soft spoken and a bit shy. I did not like to get married after seeing my father\u2019s second marriage. Most of my life has been spent alone. Before 16 years, I\u00a0got an offer to work in abroad. I went there and returned back after a month due to unknown anxiety. I wanted to go back, but had severe panic and anxiety problems, unknown fear of health, travel risks, etc. I felt as if I was going mad and getting worst diseases. My physician checked and referred me to a psychiatrist. He gave me 25 mg Clofranil, 10 mg Nitrosun and a digestive tonic. I was sleeping the whole day. Within a week, I felt confidence and courage. But, I started getting severe leg pain, especially during the night and later I came to know that Clofranil has to be started with a low dosage and I was given a higher dose. Within a month, I was fine and started to travel. I enjoyed my travel by air, bus and train. After one month, I stopped the medication abruptly. I got headache and some panic attacks for a week and then I was fine.For nearly 10 years I was normal. Then, six years before, I met with financial crisis due to loss in my business. I got depressed and returned back to my native. Now, I wanted to go back, but I could not get into the flight. All my previous symptoms are coming back. I fear to travel even by bus. Recently, I had a checkup and everything is fine including thyroids. I received treatment from different doctors and had different medicines that include Sizodon, Clonazepam, Clofranil, Propranolol, Fluvoxamine, Trazolan, Serenace, Petril, Etizolam, etc. I have tried ayurveda and homeopathy treatment too, but of no use.\u00a0In my experience with the above medicines, I found Clofranil and Nitrosun gave me better results. Please help with my condition. Doctor: Hello. Multiple phobias. For further doubts consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1560, + "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": 2122, + "tgt": "I am 20-years-old with no periods so far and pain during intercourse. Please help", + "src": "Patient: Hi doctor, I am a 20-year-old female. I never got my periods and it hurts too much to have sex. Doctor: Hi. From the history that you have posted, I believe that you are suffering from a dry vagina due to some reasons. You should get evaluated because you are 20 years old and it is high time that you should start menstruating. Maybe ovaries are not optimally working and hormones like estrogen is deficient and other glands that should act on local genital areas to lubricate it are not working. Sometimes dryness may be due to allergy and anti-allergic medications may help in this. It is necessary to involve in enough foreplay before actual penetration. It helps in stimulating your genital glands to provide proper lubrication for penetration. Normally, the walls of the vagina stay lubricated with a thin layer of clear fluid. The hormone estrogen helps to maintain that fluid and keeps the lining of your vagina healthy, thick, and elastic. A drop in estrogen levels reduces the amount of moisture available. It can happen at any age from a number of different causes. It may seem like a minor irritation. But the lack of vaginal moisture can have a huge impact on your sex life. Fortunately, several treatments are available to relieve vaginal dryness. You can use KY jelly locally in and around the vagina before attempting intercourse. I hope this helps." + }, + { + "id": 26956, + "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": 12528, + "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": 5166, + "tgt": "Shall I use drugs to get sleep?", + "src": "Patient: Hi doctor, I am suffering from glomerular kidney disease. I am facing sleepless nights\u00a0for more than one to two months. Shall I use drugs to get sleep? Doctor: Hi. Revert back after two weeks to consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 29011, + "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": 13592, + "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": 23778, + "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": 11773, + "tgt": "Is it normal to miss periods after taking I-pill?", + "src": "Patient: Hello doctor, We had unprotected sex and after that took an I-pill within an hour. After 6 to 7 days, she had spotting for 2 to 3 days. It is almost six days up. There is no clue for periods and she is also suffering from cramp, vomiting and nausea. But we have taken test for almost four times. It is always negative. Doctor: Hi. I can understand your concern. As she took emergency contraceptive pill within one hour, the possibility of pregnancy is less. The bleeding she got after 6 to 7 days could be withdrawal bleeding due to emergency contraceptive pill. As she disturbed natural cycle by taking pill, now it may some time for regularization of cycles. And next period may come after one month of spotting. Cramps, nausea may be due to some other causes like infection either vaginal or gastric, renal related, etc. Clinical examination and ultrasound will help in finding out the possible cause of the problem and treatment can be taken accordingly." + }, + { + "id": 10387, + "tgt": "Does ill fitting dentures lead to peeling of skin inside the mouth?", + "src": "Patient: Hello doctor, The last week two weeks I have been getting peeling in my mouth like on my cheeks. And I wanted to know if that is from loose fitting dentures or if I have not been cleaning them properly. Doctor: Hello. Usually, vitamin B complex deficiency causes such peeling of the oral mucosa. If you are using dentures for a long time, then it may be the reason for this.Take a multivitamin once a day and eat a good healthy wholesome diet." + }, + { + "id": 24, + "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": 18730, + "tgt": "My age is 26. I have crossed eyes/squint eyes. Suggest me any solution", + "src": "Patient: Hi, My age is 26 years. I have crossed eyes problem. Can it be brought back to normal by a surgery? Doctor: Hi, Thank you for posting your query at icliniq.com. Revert back to an eye care ophthalmologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18357, + "tgt": "How to treat loose motions in a 12 days old baby?", + "src": "Patient: Hi doctor, My 12 days old baby boy has more frequent loose motions of up to 15 to 20 times a day. I am afraid of this. What is the treatment for this? Doctor: Hi. I can understand your concern. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13078, + "tgt": "What are the symptoms of sinus headache?", + "src": "Patient: Hi doctor, My daughter is 20 years old and studying in a hostel. For the last one month, she is suffering from a headache. After taking painkiller it subsides and again it stars on the next day. So after three days, I consulted an ENT doctor and he after examining and after taking X-ray, diagnosed it as sinus headache and gave antibiotics and painkillers for five days. She completed the course and while using the tablets she did not have a headache. Now, again she has a headache. Kindly advise whether the headache is really from sinusitis. Why am I doubting that she has only headache with mild nose block and no other symptoms like discharge or fever. So, my doubt is whether it is sinus headache or not and if it is due to sinusitis even after completing the course why again headache? Doctor: Hi. Headache can be of many reasons but while pertaining it to ENT, it is mostly due to sinusitis. For declaring the headache due to sinusitis you should have got done a nasal diagnostic endoscopy by an ENT surgeon or should get a CT scan of the paranasal sinus. X-rays are of the very very old generation and no one is using it as a tool to diagnose it. But since you have got the X-ray done, kindly share it along with the reports. Kindly understand that if at all the sinusitis persists the medical management which may completely reduce sinus infection is antibiotics up to 4 to 6 weeks (for a permanent cure) along with mucolytics, a short course of oral steroids and nasal spray if the patient is allergic to dust or pollen. If the above medical management fails then the patient has to be subjected to surgery which we can decide with our CT scan. As you have also mentioned regarding nose block a deviated nasal septum can also be a cause for headache. So kindly share the X-ray report." + }, + { + "id": 9544, + "tgt": "Is foamy urine a symptom of any disease?", + "src": "Patient: Hello doctor, I am a 21-year-old male with 60 kg weight and 5\u20196\u201d in height. I had kidney stones two years back with gilbert syndrome. My urine is foamy most of the time from last 1.5 years like alcohol I wanted to know, is this a symptom of any disease? Doctor: Hello. Foamy urine can account to several causes like protein in urine or dehydration or urinary tract infection or diabetic infection in the kidney can also call cause foamy urine. We need to perform a few tests before we proceed to the diagnosis. With this, we will order some tests which will help us to reach diagnosis and also design treatment plan. Only advice is I can give you right now is to keep yourself hydrated and please do not forcefully try to stop urination. CBC (complete blood count) with ESR (erythrocyte sedimentation rate). Urine routine and microscopy Liver function tests and renal function tests. Follow up with reports or as and when required." + }, + { + "id": 19055, + "tgt": "What can I do for scrotal bumps that occur after walking a lot?", + "src": "Patient: Hi doctor, I have these white bumps on my scrotum. They are pretty much like pimples with pus in them. They only show up on warm days and when I walk a lot throughout the day. I am using Calamine lotion at night and in a day they completely go away. They do not hurt, but it just feels like a rash. I work out a lot and have big thighs and pretty big testicles. I guess there is a lot of friction. What can I do for this? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17237, + "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": 2760, + "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": 17350, + "tgt": "Is it safe to take Gabapentin for back stiffness?", + "src": "Patient: Hello doctor, I am a\u00a033 year old\u00a0unmarried male, and I have a back stiffness problem for more than three years. Everyone gives the says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing the x-ray, the\u00a0doctor told that there are some fusions between the bones. He recommended few vitamin tablets for few months, and he asked to do exercise. So, I started swimming, but from the last six months, I am not able to continue because of my job transfer. In the last two years, the condition did not worsen, but the stiffness remains the same. So, I consulted another doctor, who took an x-ray, MRI scan, blood test, ESR, etc., and I have attached my test report. The doctor told this is\u00a0neither spondylitis nor arthritis, and he asked me not to worry. If it is ankylosing spondylitis, then it would have gotten worse in the last two years. He said that there is only mild fusion at present. So, he recommended some calcium tablets and Gabapentin tablet.\u00a0I read a lot of negative reviews on this tablet, with relation to nerves. I am taking this from the last one month. I would like to know your opinion on the following, what is the actual condition and seriousness of this problem? Currently, I am having the stiffness and posture problem. Will it affect me more in the future? Can I take Gabapentin tablet? Is there any solution to improve my posture?\u00a0I have got some suggestions to use hot and cold therapy, can I do it? Thank you. Doctor: Hello. I have seen the attached reports (attachment removed to protect patient identity). Revert with more information to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 7000, + "tgt": "I experienced blood and mucus in my stool. Do I have Crohn's disease?", + "src": "Patient: Hello doctor, One month ago, I had bloody diarrhea, fever, and fatigue. Doctor tested stool for bacteria but found nothing. Bloody diarrhea and diarrhea eventually went away. I am feeling a lot better now. However, some symptoms concern me. My stomach and intestines keep making gurgling and growling noises. They are more noticeable at night when I sleep. They also occur before I have a bowel movement sometimes. I sometimes notice small amounts of blood and mucus in my stool. Blood is present in small quantities, not as much as when I had bloody diarrhea. Blood is on and off. Mucus is present in small amounts as well. My stool also does not look quite normal. There are undigested food particles in my stool, and I normally do not have that. Sometimes it is green or greenish-yellow. No other symptoms are present. Appetite and weight are good and no fatigue. Would blood and mucus in stool signify Crohn's or ulcerative colitis especially with the bowel noises? I am under age 30, so I don't feel at risk for cancer or polyps. What do you think I most likely have? Doctor: Hello. See following an infection of Intestine (that is what you had initially), and there occurs some damage to the digestive and absorptive capacity of the Intestine. This leads to indigestion and malabsorption of food that you consume. But the presence of blood is of bit concern. It may indicate either a repeat Infection or Crohn's or Ulcerative colitis. However, there will be a long duration of the problem in Crohn's or Ulcerative colitis, and they will be associated with pain abdomen rather than gurgling and growling noises. In my opinion, the chances of Infection is higher than Crohn's or ulcerative colitis. I would recommend you to get stool routine and stool culture sensitivity test done and revert with reports. These test will tell if there is an infection or not. I hope this information was useful for you. Any clarifications feel free to ask." + }, + { + "id": 21266, + "tgt": "Is it good to take Yarsagumba for me and my daughter?", + "src": "Patient: Hi doctor, I bought Yarsagumba from my friend. How can I use it for myself and my daughter? Is it good or bad? Does it show any side effects after taking it? Doctor: Hi. It should be taken under a doctor's supervision. On continuity, you can take it for three to seven days. Then you have to reduce the quantity gradually. On using it, it provides strength to the body. It is an immunity booster and an aphrodisiac. It is good. Consult a nearby physician for dosage. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3579, + "tgt": "What can cause white sticky discharge while on birth control?", + "src": "Patient: Hello doctor, I am currently on Microgestin birth control and I have been instructed to take it constantly to have no periods. About a year ago, I was treated for chlamydia and never had a problem since then. About a month ago, I missed my pill for birth control while having the flu and a week back, I have noticed white sticky discharge with no smell and very light spotting. And I am wearing a pad because it is very wet and uncomfortable. There is nothing abnormal other than the discharge. Am I ovulating or going through some sort of cycle? Please guide. Doctor: Hi. I understand your concern. Please get pap smear and update the report. Revert back with the pap smear report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30924, + "tgt": "How to heal the muscle pain over the chest?", + "src": "Patient: Hi doctor, A few months ago, I had pain in my left chest. I was referred to a cardiologist just in case it was the heart problem. All the tests, including CT, treadmill, echo, 24-hours Holter returned negative. I was informed that it was likely being sports injury, possibly tennis and nothing to worry about. This pain has been a kind of on and off and I wonder if there is any way to help my muscle to heal. Should I have this further investigated by a specialist? Doctor: Hello. I have gone through your history. For further doubts consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23540, + "tgt": "My brother has something on his leg since two years. What are they?", + "src": "Patient: Hello doctor, My brother is so worried about some wounds on his leg. I am not sure what they are.\u00a0They are in his leg since two years and did not go away. He told me that it does not hurt. I am attaching a picture. What are they and will surgery help? Doctor: Hello. I have gone through the images attached by you (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 4462, + "tgt": "What causes joint pain with increased CRP?", + "src": "Patient: Hello doctor,It usually pains in joints and happened for some years now. I have shown to various doctors and was told that it is due to a low level of Vit D3 and cured by taking regular Vit D3 medicines. Recently I have noticed pains in my joints in leg, hand, elbow, and foot. The affected area becomes a little red with swelling and pain. I had tested for uric acid and the level is under range. Though after the uric acid test, my doctor suggested avoiding rich protein diet and also drink a lot of water. Currently, I drink 2 liters of water per day.Since with all this, the pain has not completely settled and therefore I have done some more tests - CRP [result-33.6 (normal: under 6)], and other reports RA-quantitative (serum), and ASO are normal. With the increase of CRP, my doctor has suggested consulting Rheumatologist for further advice. Hence, I am requesting your advice. Doctor: Hi. I have gone through your query. Your symptoms typically match palindromic rheumatism. It is an intermittent form of arthritis that can keep throwing joint pains and swelling intermittently initially. CRP done during an episode may have been high. There is a 50 percent chance that it may become persistent and 50 percent it may remain this way. Only one test is missing which is an anti-CCP antibody. Kindly do that and let me know what it says. As for the treatment, I would suggest you maintain a diary of attacks. If joint swelling is persisting for more than seven days, then we need to start treatment or else if it goes off. If you do not get another episode for a month, then we shall wait. Hope the information was useful. ESR anti CCP antibody and ANA(IFA)" + }, + { + "id": 30523, + "tgt": "Please help me with the typhoid report", + "src": "Patient: Hi doctor, The patient has stomach ache and weakness. I have the patient's Widal test report.\u00a0Please help me with the typhoid report. Thanks in advance. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24795, + "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": 20275, + "tgt": "Why does the face of penis bend during insertion?", + "src": "Patient: Hello doctor, I am married for the past six years and stayed with my wife for around two years in these six years due to job location reasons. My wife has asked for divorce now as I am not able to insert my penis into her vagina in these six years. I have done following test up till now: Semen analysis, erectile dysfunction tests, testosterone tests also. I am not suffering from any early ejaculation also. Whenever I try to insert penis into vagina, it is bending at the face of the penis. I masturbate very easily and erection is better while during masturbation as compared to when I try to do intercourse. I am still a virgin at the age of 35. I do not know whether my erection is sufficient to insert it. Whenever I try to insert, the erection does not sustain also for a very long time. I also lost confidence whether I will be able to do intercourse in my life with anybody. Now my wife has left me so I cannot try to insert it at home. Please guide me. Doctor: Hi. I read your query and understand your concerns about ongoing issues with your sex life after going through all the attachments (attachment removed to protect patient identity). Although, it is never possible to comment conclusively, but from the available description, it is clear that you are suffering from erectile dysfunction. Failure to sustain an erection during intercourse and bending of the penis at the base on attempted intercourse indicates that there is a problem. However, the presence of early morning erections, normal biological reports and the ability to have successful masturbation indicates that the problem is psychogenic rather than organic. Considering these two facts I feel you should see a psychiatrist without delay since the problem is psychogenic erectile dysfunction. I understand that you have lost your confidence but I must assure you that the problem is largely treatable and there is little to worry in this era of advanced medical care. In my experience, more than 80 % of individuals with psychogenic erectile dysfunction show good results after a few sessions of psychotherapy." + }, + { + "id": 23555, + "tgt": "My left testis has become very small after an episode of pain and swelling. What to do?", + "src": "Patient: Hi doctor, I am a 24 year old male. Two years back, all of a sudden, I felt a severe pain in my left scrotum, which became more and more severe.\u00a0Then my left testis was hard, and I also think it became a little bigger in size. The size of the left testis has become very small gradually over the past two years. What am\u00a0I supposed to do now? Doctor: Hello. It is good that you have sought advice at least now. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29712, + "tgt": "Is Cystopen the right medicine for frequent urination problem?", + "src": "Patient: Hi doctor, My sister is 20 years old. She has a problem of frequent urination. She has to urinate numerous times. She has undergone cystoscopy and urodynamics test. She has a small and weak bladder with 350 mL capacity. But, the reason behind frequent urination has to be diagnosed still. The doctor has a doubt of IC that is, interstitial cystitis. She is taking Cystopen thrice a day and Cranpac-D once a day for two months. But, there is no significant relief. I want to know whether the treatment is right. Doctor: Hi. I understand your concern.\u00a0I went through your sister's reports (attachment removed to protect patient identity). Urine culture and blood sugar levels. 1. Bladder pain syndrome (interstitial cystitis). 2. Detrusor muscle weakness. To prevent flares of disease, ask her to avoid foods and drinks that make symptoms worse, avoid activities that make symptoms worse and get treated quickly for bladder infections. Revert back after a month to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7158, + "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": 4319, + "tgt": "Can pancreatitis be cured?", + "src": "Patient: Hello doctor, Is Pancreatitis curable? Is it treated as an outpatient or inpatient? If as an oupatient, what medicines are typically prescribed and what is the treatment plan? If as an inpatient, where is a good hospital to get treated? Doctor: Hello. Yes there is treatment for Pancreatitis in Ayurveda. But in your query only daignosis is not sufficient. Depending upon your symptoms we daignose the case according to Ayurvedic view and then will give treatment. Generally all good and experienced ayurvedic doctors can treat your problem. By the time for pain ,burning sensation and swelling you can use following medicines which are safe. Spicy food,smoking,alcohol. Gastric ulcer, Ibs. 1.Shankha vati-1 tab twice a day before food 2.Jeerakarishtam-3 tsp twice a day after food with equal quantity of water 3.Avipattikar choorna-1 tsp twice a day after food with warm water 4.Gulkand(pravalyukta)-1 tsp at bed time Follow Simple non spicy veg diet." + }, + { + "id": 17872, + "tgt": "What can cause itch, redness and pain at the tip of penis?", + "src": "Patient: Hi doctor, I have itchy and reddish private part since last two months. I have pain at the tip of penis and during intercourse. I consulted a doctor, he suggested me AF-Kit. After taking this for one month it was just perfect.\u00a0The symptoms returned again. I tried AF-Kit, but this time, the symptoms did not go off completely. Hence, after 3 weeks again I took AF-Kit, but symptoms still persist.\u00a0Please suggest how to overcome this issue. Thank you. Doctor: Hello. Thanks for your query on this platform. You are suffering from fungal infection candidiasis which is notorious for recurrence. The common causes of recurrence are: I will suggest you to apply Clotrimazole cream available as candid cream twice a day on the lesion. Take your AF-Kit (combination of Fluconazole 150 mg, Azithromycin 1 g and Ornidazole 750 mg) also. In case of severe itching, take some antihistamine once a day. Keep the area dry and clean, wear loose fitting cotton undergarments, do not use perfumed soap, eat healthy and balanced diet and drink lots of water. I would also suggest you to check your fasting blood glucose for diabetes. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21296, + "tgt": "There is sudden loss of erection and weakness due to masturbation. Is it due to venous leak?", + "src": "Patient: Hi doctor, I have a sudden loss of erection. I got weakness in erection due to aggressive masturbation. I cannot maintain it, and my skin also became red. Is the problem due to a venous leak? Doctor: Hi. Masturbation is fine and will not cause any physical problems or sexual problems. Sudden loss of erection is due to some stress in your life. Sometimes, stress can cause temporary sexual weakness. Reduce your stress, be relaxed and do exercises. Venous leak is very rare condition. Your skin may be red due to friction with tight clothes or due to allergy or infection." + }, + { + "id": 19196, + "tgt": "What is the permanent solution for irregular periods?", + "src": "Patient: Hi doctor, My sister is 22 years old. She is suffering from irregular periods. She is taking Diane-35 to get regular periods. If she stops the tablet, then her periods will go missing.\u00a0What is the permanent solution for her? Please suggest. Additionally,\u00a0she has thyroid problem. She is under regular medicine for thyroid. Doctor: Hi. 1. Obesity. 2. Cystic ovaries. 3. Hypothyroidism. Serum LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, TSH (thyroid stimulating hormone), T3, T4, testosterone and DHEA (dehydroepiandrosterone). Also, ultrasonography of whole abdomen has to be taken. Hyperprolactinemia. PCOS. Conservative with exercise, swimming and walking regularly. Avoid junk food, stress and anxiety. Try to reduce body weight. Revert back after a month or after next cycle with investigation reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10289, + "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": 20691, + "tgt": "What is the reason for indigestion and urge to urinate?", + "src": "Patient: Hi doctor, I am 23 years old and 5'11\" height, and weight is 60 kg. My problem is with stomach and urinary tract. My stomatch does not digest food easily. It took so long and feel fatigue mostly, my eyes hurt. Plus I feel the urge for urine and I have to wait too long for a completely empty balder but still, I cannot. Plus while sexually active, my urge for urine increase. Do you have some solution for it? Doctor: Hello, Welcome to cliniq.com. Indigestion is as a result of poor digestion within the digestive system. This starts from the mouth while chewing food up to the stomach, intestines and after the absorption, the waste comes out. So, first chew your food well. Let it be completely soft before swallowing, eat foods that have a lot of greens and fruits and take lots of water. For your urine issues, it seems like you have a urinary tract infection or bladder infection which might require further laboratory tests. Poor eating habits for indigestion, a bacterial infection for the UTI. Urinalysis for culture and sensitivity, stool for ova and cyst. Constipation, dyspepsia, bacterial infection, stress. Dyspepsia, and UTI. Take plenty of water daily, eat foods with a lot of roughage, greens and fruits, and vegetables. Laxatives for constipation and antacids, antibiotics for the urinary tract infection. Proper diet, avoid staying for long without emptying your bladder once full." + }, + { + "id": 10834, + "tgt": "Why am I having extreme bloating, abdominal pain, and fatigue with scaly marks?", + "src": "Patient: Hello doctor, I have been having increased issues with extreme bloating, abdominal pain, fatigue, vomiting a lot of the time, excessive diarrhea, weird tiny patches of scaly marks on my shins, arms, and face. I literally dread eating anything. I am not starving by any means, I have more than enough meat on my bones but eating is worse than feeling pains of hunger. This has been increasing year by year and has been present for about five years now. My PCP is related to stress but I know there is something much more dire going on. I recently did an at home test for food sensitivities and I had reactions to 93 out of 96 foods tested. Does not seem quite right to me and I understand that IgG does not test for allergies. I am highly reactive to citrus as well as baker's yeast. Previously I thought I was having an allergy to the protein found in wheat and I went on and off of a gluten-free diet. I have gone so far as acupuncture to assist with proper digestion because I frequently find myself vomiting up undigested foods at least 7 to 9 hours after consuming them. I am 35 years old, a mother of five and a business owner of three. I do not consume sweets only because I have never taken a liking to them, I do not drink sodas, teas nor do I consume coffee. I also do not consume red meats and I am not a huge fan of vegetables. I have recently regurgitated a pile of blood and every time I eat anything, I am extremely bloated almost immediately. I am getting worried. Please suggest underlying potential issues that I should have tested with my local GP and specialists. Doctor: Hi. To help you better, I need to have a look on your blood reports. Please attach them." + }, + { + "id": 13396, + "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": 17822, + "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": 21438, + "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": 25116, + "tgt": "What could be the reason for my one-sided headache?", + "src": "Patient: Hello doctor, I am a 26-year-old male. My height is 160 cm and I weigh 55 kg. I have a severe one-sided headache. Please help. Doctor: Hello. You seem to have a headache which is located on one side only. According to me, you are having a cluster headache which can be due to many causes of stress, migraines etc. If you can tell me whether it is right or left sided and whether you have any associated symptoms like nausea, watering of eyes, sleep problems, dizziness I can help you better. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9678, + "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": 27997, + "tgt": "I am having fever on and off. Could this be swine flu?", + "src": "Patient: Hello\u00a0doctor, I am feeling feverish since yesterday. My sister is not well, and I was around her during the day. She went to a second doctor after 15 days of\u00a0sore throat,\u00a0pain, weakness, vomiting, fever, cough, phlegm, and breathlessness. Her new doctor asked her to do a chest X-Ray and CBC. He said that the medicines she was taking were not working. He also gave her some syrup and a mild tablet to take until she gets the report. He hinted that, in swine flu cases, it is hard to diagnose. During the time I was around her even two weeks ago, it was like this. I used to get fever starting late in the evening, and then after taking Dynapar, it would go. I am taking Dynapar twice a day. What could it be? What medication should I take? Doctor: Hello. Since these episodes are noticed after an exposure to a\u00a0patient, you need to be careful. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17637, + "tgt": "Uterine fibroid is pushing the endometrial cavity. Can I conceive?", + "src": "Patient: Hi doctor, Recently, I have been diagnosed with uterine fibroid with submucosal extension. Following are the results:\u00a0The Uterus is retroverted and measured 10.9 x 8.8 x 8.7 cm. It is bulky.\u00a0An intramural fibroid of 6.8 x 5.6 x 6.0 cm is also seen in the posterior wall.\u00a0The fibroid is pushing the endometrial cavity anteriorly in the mid segment.\u00a0What about my pregnancy? Doctor: Hello. Since the fibroid is comparatively big in size and bulging into endometrial cavity, it should be removed. Laparoscopic myomectomy is a better option. Chances of conception will be more after removal since it is posterior meaning behind uterus. If it enlarge then your uterus will also retrovert more. So, I suggest you to consult a gynecologist and preferably laparoscopic surgery may be done. For further clarifications consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2738, + "tgt": "Steroids for RA resulted in increased weight. Please suggest diet for weight loss", + "src": "Patient: Hello doctor, I want to lose 50 pounds. I have RA and steroids have caused me to gain a lot in the last six to eight months. I started the keto diet two weeks ago but blood works is showing elevated liver enzymes which are causing issues with a medication I have to take for RA. What diet is best for people who have elevated liver enzymes due to Methotrexate? What can I do? I really need and want to lose excess weight. I am currently taking Levothyroxine, Methotrexate, Multivitamin and Hydroxychloroquine. Doctor: Hi. Intermittent fasting will give rest to the stomach and hence enhance metabolism and use stored fat to energy in the absence of food for physical and psychological activity. A balanced diet with increase of fruits and vegetables is considered to be best or you can try Mediterranean diet. I still need many details for proper medical intervention so that I can provide a customized diet plan. Till then follow these tips: 1. Increase the high protein diet and include six almonds, six walnuts, and two dates per day. 2. Fish, green leafy vegetables, egg whites, and poultry. 3. Do muscle strengthening exercises. 4. Increase fluid intake. 5. Do take eight to nine hours of sleep. 6. Manage stress with meditation. 7. Do breathing exercises. 8. Manage to follow small high calorie frequent meals. 9. Do take 1700 kcal diet. If required need to add a supplement. I hope this helps." + }, + { + "id": 17989, + "tgt": "Do my wife's NT scan and double marker test results show a high risk for Down's syndrome?", + "src": "Patient: Hi doctor, My wife had NT scan and double marker test at 12 weeks and 3 days of pregnancy. The report is as follows,\u00a0CRL is 59.2 mm, NT is 1.45 mm, free beta-hCG is 84.84 IU/L, equivalent to 2.217 MoM and PAPP-A 0.712 IU/L equivalent to 0.282 MoM. Trisomy 21 is 1: 450 1:47 and trisomy 18 is 1: 5315. I wanted to know about if the risk in the first-trimester screening window is positive. Doctor: Hi. I have read your question and understand the concerns. Hope you found the answer helpful.\u00a0Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16844, + "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": 23019, + "tgt": "What is the reason for tinnitus in my ear?", + "src": "Patient: Hello doctor, Recently, my ENT doctor suctioned a lot of fungus from my right ear and it fixed the problem. However, high pitched ear ringing continues to be a problem without any pain. It is more of a pulsating feeling and that synchronizes with my heart rate when I am in the prone position. My hearing is just fine. My only problem is ringing sound in the ear. Is it possible that the fungus could have spread beyond my ear drum into the middle ear? Any help would be much appreciated. I am seriously sleep deprived. The last thing he told me to do was continue with the antifungal for seven days and visit after a month. He mentioned that something in my nose was bent. What is the reason for my tinnitus? Doctor: Hello. You are suffering from otomycosis also known as swimmer's ear. It is the fungal infection of the external ear. The symptoms include itching, ear discharge, ear pain, ear fullness, temporary hearing loss and tinnitus. Although most individuals will get immediate relief from tinnitus following the treatment, some may continue to experience ringing. Standard management includes a course of antifungal drops to be taken five times a day for 1 to 3 weeks. As the name suggests, this condition often occurs due to excessive moisture in the ears. Hence, it is very important to clean and wipe dry your ears after bathing and swimming. Do not clean your ears with bud frequently as frequent cleaning with a cotton bud prolongs the condition. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10244, + "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": 28213, + "tgt": "I have pelvic pain, and my left leg is numb and tingly. Can it be an anxiety attack?", + "src": "Patient: Hello doctor, I have been having some pelvic pain in the lower left side for a couple of weeks. I went to the doctor, and he said everything looked fine. So, I thought maybe it is a muscle strain in the\u00a0groin area. Today two hours back, I was sitting on the floor for 20 to 30 minutes, and my entire left leg went numb and tingly. It almost felt like it went on my left side of the\u00a0face. I did start to panic as I suffer from anxiety, so I cannot tell if the facial numbness was from panic or not. But my left leg two hours later is still feeling heavy and cold. What is going on? Please help. Doctor: Hi. I hope it helps you. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24311, + "tgt": "Why do I have period-like bleeding and leg pain seven days after I-pill?", + "src": "Patient: Hello doctor, The next day of my period, I had unprotected sex. On the 25th hour, I took I-pill. On the seventh day, I again having my period. And now my legs are tired. I do not know why is this. The doctor please help me. Will I become pregnant? Doctor: Hello. Emergency contraceptive pills are hormones and have their side effects as well. One of most common is irregular bleeding. Everyone's body responds differently to hormones, but major effects are the same. Have you any bleeding disorder? Have you been treated for any chronic disease or have been using any medications that can have affect menstrual bleeding? Heavy bleeding causes weakness, anemia, dizziness, and even fainting. So, it is better to have your vitals checked (BP, pulse, respiratory rate). If the pregnancy test is negative and ultrasound normal (no signs of pregnancy), I suggest taking tablet Transamine (Tranexamic acid) 500 mg eight hourly for three to five days to reduce it. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If the cycle remains irregular, do a hormonal profile test on day-2(serum testosterone, serum prolactin, serum insulin, serum LH/FSH, thyroid function test) to be reviewed by your gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20706, + "tgt": "I had bleeding from ear due to q-tip. Is it due to damage of eardrum or bony canal membrane?", + "src": "Patient: Hello doctor, When cleaning out my ear, I forced the q-tip too deep and blood came out. There was no stream of blood, but after mostly lying on my side while sleeping, I found very small dots on my pillow (I would say the size of the tip of a pencil). There is little to no hearing loss after a full night. However, I often have to swallow to pop my ear. I did some research on my own, but I am not certain if this is damage to the bony canal membrane or to the eardrum. Do you think this is an emergency that requires a visit to the ENT or not? Doctor: Hello. Please see an ENT specialist as early as possible to get your eardrum checked. Trauma. Pure tone audiogram and otoscopy. TM (tympanic membrane) perforation. TM perforation. Avoid water entry during the bath." + }, + { + "id": 1492, + "tgt": "What are the preventive measures I should take to avoid pregnancy?", + "src": "Patient: Hi doctor, I am a 22 year old married female. One week before, I had intercourse with my husband and took an I-pill within 24 hours. But, we had unprotected sex on the next day morning. Would the pill be effective even if I had intercourse after consuming I-pill? If not, what are the preventive measures should I take for not getting pregnant? Please explain me. Doctor: Hi. Your question is very interesting. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30104, + "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": 11507, + "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": 22059, + "tgt": "I am 18 years old. Why do I have high blood pressure?", + "src": "Patient: Hello doctor,My blood pressure is 150/90 mmHg and my age is 18 years and there is a pain in the neck and at the top of the head. Please help me. Currently, I am taking Arbitel 250. Doctor: Hi. I noticed that you have grade 1 obesity (attachment removed to protect patient identity). You will need to give more history, for example, do you have a family history of hypertension. The neck swelling needs to be evaluated to rule out a thyrotoxicosis. 1.Urinalysis. 2.Serum electrolyte urea and creatinine. 3.Fasting lipid profile. 4.Fasting blood glucose. 5.Chest radiograph. 6.Urine VMA (vanillylmandelic acid). 7.Neck scan. Rule out substance use disorder. Endocrine cause of hypertension. See a doctor to prescribe antihypertensives. 1.Reduce salt intake. 2.Lifestyle modifications like weight loss, exercise, alcohol reduction, smoking cessation. For more information consult a family physician online.--->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 24382, + "tgt": "What can be done for wrinkled skin on back of right palm?", + "src": "Patient: Hello doctor, The back of my right palm has gotten very wrinkly over the last couple of months. It looks like a 50-year-old's hand. Do not know what the reason could be. I have attached photos of my palm. There are also certain burn marks on my palm as hot milk spilled over it last week. Let me know what the reason could be because my palm is looking ugly. Any medications? Doctor: Hi. I have checked the attached photos (attachment removed to protect patient identity). The wrinkles are due to severe dryness (a type of eczema). The treatment involves: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24609, + "tgt": "Why is my ALT level elevated with liver enlargement?", + "src": "Patient: Hello doctor, I had elevated ALT levels between 50-130 for the past one and half years with slight enlargement. Recently, I have elevated AST levels. There is no hepatitis or inflammatory diseases, alcohol, drug use, or fatty liver, or Addison's. Liver biopsy showed inflammation, but a resolving process likely attributed to a year long Lyme disease treatment with various pharmaceuticals but discontinued two years ago. Liver enzymes dropped to 50 ALT, but have recently elevated to 130 ALT. At this point, there is no known cause. I was told to continue to wait and see. I would like to take a different approach and determine if there is something my hepatologist is not seeing. The current medications are Lamictal and Gabapentin, Trazodone. I had abdominal CT, abdominal MRI, liver biopsy, ultrasounds, and a significant amount of blood work. Doctor: Hi. You should not wait. There is some cause that is creating an issue for the liver. It is continuously damaging your liver. Cause of hepatitis in your case could be drug-induced liver injury (DILI). All these three medications are reported to cause liver injury; though this is more common with Lamotrigine (1% case have hepatotoxicity) and less common with rest two and only described in case reports. To prove DILI, we need to rule out other treatable causes of liver disease, DILI is a diagnosis of exclusion. Most common causes are nonalcoholic fatty liver, alcohol, autoimmune hepatitis, hepatitis B&C, cholestatic and muscle disorders. We need to evaluate as soon as possible to prevent the further damage to the liver. First, we need to diagnose the liver disease. Secondly, we need to quantify the damage severity for prognostication. Probable cause: Drug-induced liver injury, NASH, Autoimmune hepatitis. Investigation to be done: Liver function test, complete blood count with ESR (erythrocyte sedimentation test) and peripheral smear examination, Immunoglobin G, ceruloplasmin, ANA/ASMA/A-LKM/ASLA antibodies, TSH/T3/T4, serum iron-ferritin-total iron binding capacity, fasting blood glucose, HbA1c, CPK (creatine phosphokinase test) total, ultrasound liver, and fibroscan. Differential diagnosis: Drug-induced liver injury, NASH (non-alcoholic steatohepatitis), Autoimmune hepatitis, hemochromatosis, and viral hepatitis (B/C) Treatment plan: The treatment plan will be started after identifying the etiology. Capsule Vitamin E-400 mg twice in a day. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27285, + "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": 22571, + "tgt": "Which is better for tooth abscess in 4 year old- pulpotomy or extraction?", + "src": "Patient: Hello doctor, My 4 year old kid has tooth abscess with pus on the upper arc of front teeth. The pus drains and again comes. We have given antibiotics but the problem again comes. What should we do now - tooth extraction or pulpotomy? Doctor: Hello. Pulpectomy is suggested as the front milk tooth has to remain at the position for about 7 to 8 years till the permanent tooth comes out. Else, the growth will be affected. If the kid cannot remain calm then extraction is possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29765, + "tgt": "When TB treatment was given, my daughter developed hepatitis. Why?", + "src": "Patient: Hi doctor, My daughter, who was a medical college student, was suffering from high fever and the doctor ordered an x-ray and it turned out to be a pleural effusion. Cytology was negative, so was the PCR for TB, the fluid was straw colored lymphocytes rich 90% with some neutrophil and mesothelial cells. The ADA was 40. My daughter has been on clinical rounds at college. TB was diagnosed and treatment initiated. Her fever went away. After five days of INH, RIF, ET and PZ, she developed hepatitis. She complained of severe nausea and vomiting and was admitted subsequently, and all tests for hepatitis A, B and C and ANA were negative. She was discharged when the LFT returned to normal. Her doctor started INH and RIF and 3 days later she started having the same issues of severe nausea and vomiting. She was put on ET, Levofloxacin and Clarithromycin (allergic to Streptomycin). She went for a chest x-ray a couple of weeks later (two months since tapping) and found the effusion has not completely subsided, though it did subside a little bit since when it was last observed (a month earlier). The doctor is starting INH (third time) now. I am worried about the recurrence of hepatitis. I would like to get some advice. Doctor: Hi. We are here to help you. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 2974, + "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": 18862, + "tgt": "My mom suffers with high BP and headache. Is there any heart related issue?", + "src": "Patient: Hi doctor, My query belongs to my mother. She is 73 years old. She is not overweight. Few days back, suddenly she felt heavy headache and after few minutes had\u00a0pain in her throat. We immediately checked her BP and it was high at 180. So, she had\u00a0BP medicine and after half an hour she felt normal. Now I have done a test profile and attached it for your reference. Please advise us if there is any heart related issue. Doctor: Hi. I 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 reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. Coronary artery atherosclerosis but needs clinical correlation through physical examination and the following testing. 1. Fasting blood sugar levels. 2. HBA1c. 3. LFTs (liver function tests) and RFTs (renal function tests). 4. Fasting lipid profile. 5. ECG. 6. Exercise tolerance test. 7. Angiography. 8. Echocardiography. Her cardiologist may advise after careful monitoring and diagnostic tests. Make an appointment as soon as possible with her cardiologist. 1. Ask her to take nutritious food like green leafy vegetables and fruits like kiwi, avocado, banana and orange. Almonds and nuts are also good. 2. Give her Citrucel (Methylcellulose) dietary fiber supplement for good digestion and to control cholesterol. 3. Take 2-3 liters of water daily. Revert back with the investigation reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23298, + "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": 3151, + "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": 16427, + "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": 28217, + "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": 29188, + "tgt": "What can I do to stop the knee cracking sound?", + "src": "Patient: Hello doctor, I am a 31 year old female. My left knee cracks when I bend my legs. The cracking does not happen when I walk, and it occurs only when I am doing a workout. For example, when I use a rowing machine, my knee pops a lot. I would like to know if there is anything to worry about and problematic. If it is a problem, what can I do to stop this? Thank you in advance. Doctor: Hi. Crackling without pain. If you feel any pain revert back to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21628, + "tgt": "Had I-pill after sex, but my period got delayed. Can I be pregnant?", + "src": "Patient: Hi doctor, I had unprotected sex. Within 72 hours, I took an I-pill. Now, my period is late for about 11 days of my actual period date. But till today, I have no symptoms of pregnancy. Can I be pregnant? I had PCOS before six years. I took Ayurvedic medicine to cure PCOS. Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse, there is no chance of pregnancy. The delay could be because of hormonal changes due to the medicine you have taken. So relax and do not worry. However, if you have a doubt, then get a urine pregnancy test done with an early morning urine sample to ensure that you are not pregnant. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25852, + "tgt": "She has missed her periods even after an I-pill. Can she be pregnant?", + "src": "Patient: Hello doctor, My partner and I had sex two months back. She got her period that month but she missed her period for this month. She took an I-pill after we had sex. Could this be her pregnancy? Please help. Doctor: Hello. Basically, she should get SB hCG (serial beta human chorionic gonadotropin) to rule out pregnancy even if you had an intercourse for once or twice in this month (maybe in the fertile period). If SB hCG is negative then hormonal imbalance due to I-pill could have occurred. So, get a gynecological ultrasound to look for endometrial thickness and to rule out any ovarian cysts or abnormalities. I suggest you get a thyroid profile, serum prolactin, fasting blood sugar, and a fasting insulin. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5384, + "tgt": "There is intermittent frontal, occipital and parietal upper sinus pain with dizziness. Please help", + "src": "Patient: Hi doctor, My mother, 72 years old, is having intermittent frontal, occipital and parietal upper sinus pain and pressure with dizziness. I took her to the ER last week because she was having dizziness with blurred vision and the pain. They did a CT scan and it came back negative of any lesions. What can I do to help her? We tried several OTC medications- nothing. The ER doctor prescribed Meclizine 12.5 mg for her dizziness, however the medication makes her feel like she is \"out of her body' and real drowsy and fatigued. She has a follow up appointment with her primary doctor tomorrow. Doctor: Hello. I am giving you some suggestions in the wake of the conversation we had. The symptoms are not classical of ENT sinus headache. It appears more towards neurological. Meclizine is a strong antihistaminic with anti-vertigo properties based on its central nervous system depressant actions. Some people develop hallucinations with the drug. Perhaps your mother also developed the same. Stop the drug. For vertigo administer her Betahistine tablets. 16 mg tablet thrice a day and start tapering after four days. I suggest you give her a course of antibiotics after discussing with your physician to remove any focus of infection that could be present in the sinuses causing pressure and headache. Also try steam inhalation as frontal sinus headaches tend to get relieved by steam. Kindly consult with an ENT surgeon and a neurologist as further consultations. An ENT specialist can help rule out sinus headaches, ENT infections or ascertain ENT cause for vertigo. If no such cause found a neurologist can help find out the cause. Show the neuro your CT report." + }, + { + "id": 30424, + "tgt": "How to proceed with the kidney cyst of my 10 days old baby?", + "src": "Patient: Hi doctor, My 10 days old child has been diagnosed with multiple cysts in his left kidney. His hands get blue and there is a body sensation at times. I have attached the reports here. Doctor: Hi. For further information consult a paediatric surgeon online --> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 11385, + "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": 12466, + "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": 8440, + "tgt": "Please view my mother's CT report taken for headache and explain", + "src": "Patient: Hello doctor, My mother had a headache a long time recently, we did a CT scan, and there is a report of mild diffuse sclerosis on skull vault and bilateral concha bullosa and osteoma and more diagnosis. Can you please explain to me is there any problems or not? Doctor: Hello. Headache does not seem to be related to any structural cause in the brain. The findings mean the following. Sclerosis of skull vault could be age related and benign. However, I need to check the serum ionized calcium level. Sclerosis could be a sign of something abnormal if the serum calcium is abnormal. 1. Osteoma is a benign bone tumor. Nothing to worry and nothing to do. 2. Concha bulls is normal anatomical variation. 3. Sclerosis of mastoid air cells could be normal or sequelae of infection. If you have an earache or ear discharge, please consult an ENT specialist. Essentially, the scan is normal. The headache could be related to migraine or tension headache." + }, + { + "id": 1864, + "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": 18527, + "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": 22105, + "tgt": "I am overweight. Please explain my blood sample reports", + "src": "Patient: Hello doctor, I am a 31-year-old male weighing 100 kg and height 174 cm. I have no health issues except being overweight. Recently, I had taken a general complete blood and urine checkup. Certain readings on my blood sample are not normal. They are as follows: Lipoprotein: 43 mg/dL. Cholesterol (HDL): 55.2. Cholesterol (LDL): 125. Lipoprotein: 43. GGT: 68.8. Homocysteine: 25.3. Hs-CRP: 9.41. Vitamin B12: 147. 25 hydroxyvitamin D: 20.5. Please advice in regards to my report. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Your reports are fine with some derangements. Firstly, your LDL cholesterol is borderline elevated due to which lipoprotein (a) is elevated. So, since it is borderline elevated, there is no absolute need for medicines. You should follow a healthy lifestyle like having less of high-calorie food, low oily and spicy diet. Less of salt, light dinner, and avoiding rice. Regular exercises like running for at least 30 minutes a day. Repeat lipid profile after eight weeks and see for the response. If there is a response, then we will continue the same, and if no response, then we will add medicines. If you think, you are already having the best possible healthy lifestyle then should be started on tablet Rosuvastatin 5 mg bedtime. Your HDL (high-density lipoprotein) is fine. GGT (glucose tolerance test) is borderline elevated and like due to obesity and fat deposition in liver and alcohol intake, weight loss and above lifestyle will help. Also, alcohol consumption should be reduced. Vitamin D is low, so should have tablet Uprise D3 60,000 units once a week for eight weeks and then, once a month for six months after a weekly course is finished. HsCRP (high sensitive C-reactive protein) is also elevated due to obesity and will gradually settle. Next is elevated homocysteine which is likely due to low vitamin 12. So should have tablet ME12 (Methylcobalamin, Folic acid, and Pyridoxine) once daily for eight weeks for that. Also, get folate test done to look for the cause for elevated homocysteine. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12819, + "tgt": "Can Addison's disease be passed on to next generations?", + "src": "Patient: Hello doctor,Is Addison\u2019s disease hereditary? My mother died from complications relating to Addison\u2019s disease and over the last year or so I have been developing symptoms that could be consistent with it (hyperpigmentation, abdominal pain, dizziness). Doctor: Hello, Welcome to iclinq.com. Addison's disease (primary adrenal insufficiency) can be due to many causes. It is like when your adrenal glands are not producing the hormones they usually produce. While in the past, infections (particularly tuberculosis) were the most common cause for the destruction of adrenals, but now the most common cause worldwide is autoimmune destruction of the adrenals. As with other autoimmune diseases, there can be a hereditary component and associated with other autoimmune diseases. Weight loss, fatigue, postural hypotension (feeling dizzy when upright) and hyperpigmentation are the initial symptoms. Among those, you have a few. You should definitely get yourself screened for it, by undertaking a cosyntropin stimulation test. And if that is positive, you should get your plasma renin activity checked, along with serum aldosterone concentration. Also serum ACTH levels. Increased basal serum ACTH concentration, high renin, and low aldosterone will help in making the diagnosis." + }, + { + "id": 19265, + "tgt": "I have a burning pain between my eyebrows. What specialist should I consult?", + "src": "Patient: Hello doctor,I have been experiencing a burning sensation and a pricking pain near my left eyebrow and between my eyebrows. I especially feel it when I am about to cry. The pain makes my eyes burn and no tears come out. I also felt this when I make certain facial movements, cough, sneeze, and when I am going to the bathroom. I have had a history of chronic sinusitis and environmental allergies. Doctor: Hello. For more information consult an internal medicine physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24667, + "tgt": "What could be the reason for occasional breathlessness?", + "src": "Patient: Hello doctor, My son sometimes feels breathlessness. I have consulted the doctor. The doctor asked for chest X-ray and ECG but both are normal. The doctor said that the reports are fine. Please tell the reason and provide the management. Doctor: Hello. There could be multiple reasons for shortness of breath. Usually, lungs or heart problems. Also, low hemoglobin can cause shortness of breath.Now, firstly, after how much exertion he gets shortness of breath? Is this shortness occurs only during a particular time like in the morning? Are there any symptoms other than shortness of breath like wheezing, whistle like sound during shortness of breath? How this shortness of breath begins? Since when is this happening? Does this happen in every winter? So, in short, tell me some more details about shortness of breath as there are numerous causes for shortness of breath. Also, tell what possibilities were kept by your physician? The common cause of shortness of breath is asthma and heart problems where ECG (electrocardiography) can be normal many a times and low hemoglobin. So, since his ECG is normal, the next step is echocardiography. Echo will complete the cardiac evaluation, and we can be assured regarding the cardiac cause. So, get back with some information. Sometimes, shortness can be felt normally also if someone is not accustomed to activities. But, in this situation, we should rule out heart and lungs problem. X-ray is fine for lungs and echo for heart and also hemoglobin. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23554, + "tgt": "I have a raised spot on the shaft of the penis. Could it be syphilis?", + "src": "Patient: Hello doctor,I am a sexually active gay male. I always use condoms for anal sex. I have a spot on the shaft of the penis, which is a little tender to touch. It is raised and smooth with nothing inside. It has been like this for just under a week. Could it be syphilis? I have some acne on my inner thigh. I sometimes have bigger spots around that area that take time to heal but never usually on the penis. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 28359, + "tgt": "How can I confirm if my 4 years old son is a normal or an autistic child?", + "src": "Patient: Hi doctor, I have a 4 year old son, and I am a working woman. Recently, I took my son to a doctor to get him treated for a\u00a0common cold. The doctor asked me about his communication skill as he has doubt that he might be having autism. My husband got angry hearing that there is something wrong with our child. We are still confused. How can I be sure that he is a normal or an autistic child? He grinds his teeth frequently without any reason, and he gets angry if we try to help him fix things like wearing cloth in an improper way. He bites us as a defense for small reasons, and cries and shows stubbornness. His communication skill is poor, as he talks not in a\u00a0sentence but word by word. He sometimes looks at my face and responds when I ask him anything, but if he is playing with a toy, he screams and repeatedly asks for. If he wants ice cream and we do not give him, he repeatedly asks and screams.\u00a0He likes to play with other children and sometimes throws things at them, which hurts them, but he thinks it is part of playing. He understands well and responds properly. His grasping skill is good, and he is very smart. He learns to do things by himself without anyone's help. He is overactive, and he loves watching songs on TV and playing with mobile. Is there anything wrong with him? Doctor: Hi. I can understand your concern. Autistic children exhibit impaired social interaction, impaired language in social contacts, and repetitive behavior patterns. There is a spectrum of disorders ranging from mild to severe symptoms. It may be associated with mental retardation, seizure disorder, and microcephaly. The stereotype behavior starts around three years of age and usually there is impaired social interaction and communication. A definitive diagnosis is made around six years of age. The behavior pattern in your child is slightly towards the hyperactive side. The child should be evaluated by a psychiatrist. IQ levels of the child should be checked. It is very difficult to say that your child has an autistic disorder or not, but the behavior is slightly indicative of autism. So, get your child evaluated at 6 years of age. I hope this will help you. Wishing your child good health. Take care. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2125, + "tgt": "I get recurrent headache and dizziness. Please interpret my CT and MRI report", + "src": "Patient: Hello doctor, My major complaint is headache and dizziness. This has been ongoing for years, despite being to several doctors. I am currently on Levothyroxine for hypothyroidism along with Bisoprolol for IST. I have had an MRI and CT scan done on my head, both of which came back abnormal. My doctor has sent in a referral to a neurologist, but he has yet to look at any of my information. I just want an opinion to begin with. Doctor: Hello. Regarding your concern, I would explain that these CT scan and MRI findings are not related to the headache and dizziness. (attachment removed to protect patient identity). I would like to know more about headaches. Is it throbbing or like pressure? Do you feel nausea during the headaches? How long do they last? Do you tolerate the light during the headaches? In my opinion, considering the location of the headache in half of the head, it could indicate migraine. I would recommend starting therapy with Sertraline coupled with Verapamil. Regarding the MRI findings, in my opinion, they could indicate a normal variation of the brain structures. Anyway, a brain MRI after a year would be necessary. I hope this helps." + }, + { + "id": 10026, + "tgt": "Why is my free PSA abnormal?", + "src": "Patient: Hello doctor, 50 years old, 5.8 inches, 260 lbs. On blood pressure pills. My doctor is out of town for a few weeks. I reviewed PSA test results and apparently I have one abnormal reading out of three. PSA total 0.5, PSA free 0.1, PSA % free 20. The PSA % free 20 is in red indicating abnormal. What does this mean? What causes it to be abnormal? Doctor: Hi. Free PSA should be more than 15 % to rule out prostate cancer. Free PSA is an additional tool used when PSA is above 2.5 and we want to check whether high PSA is due to benign prostate growth or due to prostate cancer. Some laboratories use 25 % cutoff, but most have 15 % cutoff value. Since your total PSA is quite low and free PSA is above 15 %, you should not worry. If in doubt, repeat after a few months." + }, + { + "id": 29777, + "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": 17985, + "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": 29120, + "tgt": "Though my baby is exclusively breastfed, why does he fail to thrive?", + "src": "Patient: Hi doctor, My baby was born at 37 weeks due to growth restriction. His weight was 5 lbs 3 oz. He was in NICU for seven days due to low blood sugar. He is 7 months old and weight 11 lbs 6 oz. He had reflux issues and lip and tongue tie. It was fixed at two months. The reflux was fine after 5 months of age. Initially, he was also constipated for around three months. We started solids at 6.5 months of age, and it made his constipation much worse. He had a barium enema to rule out Hirschsprung, and he was not able to get all the barium out. He is not pooping and refusing any food. He freaks out when I try to nurse him. Doctors are saying it as milk protein allergy, but I do not believe so. What else could be causing constipation and failure to thrive in a breastfed baby? Please help my baby. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15000, + "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": 29000, + "tgt": "Can hypertension cause severe headaches?", + "src": "Patient: Hello doctor, I am a 26 year old male, who weighs 173 lbs. I am having severe headaches for a few days now. I am currently taking Percocet for this\u00a0headache. I was told that I have hypertension. My blood pressure is 168/98 mmHg, and pulse is 120 and steady. Please help. Doctor: Hello. Your headaches are probably caused due to your high blood pressure. A headache can also increase the BP, but not this much. As you are so young, the cause of hypertension should be found out first. So, I suggest you undergo tests like kidney function test, renal artery doppler, serum cortisol, 24-hour urine metanephrines, lipid profile, and sugar level. Do you do any drugs like ecstasy, cocaine, etc.? As it can also cause hypertension. Till you get all the tests done, I suggest you try doing the following. 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": 26402, + "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": 14617, + "tgt": "I have a knot that keeps coming up just on the outside of my vagina. It hurts really bad. Is it something serious?", + "src": "Patient: Hello doctor,I am 34 year old female weighing 300 pounds. My height is 5'2\". I have a vaginal issue that I need advice about. I have a knot that keeps coming up just on the outside of my vagina, and it eventually bursts and bleeds for a while. This has happened twice now, and it has really started to scare me. The knot hurts really bad before it bursts. What can I do for this? Is it something serious that I need to go to the gynecologist? Doctor: Hi. From the description you have given, it appears to be either Bartholin's abscess or a boil. Both cases can be recurrent if immunity is low, most common cause being diabetes mellitus. Following is my advice for managing the symptoms:" + }, + { + "id": 14790, + "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": 22707, + "tgt": "I have hairfall after stopping Finax and Mintop. Kindly advice", + "src": "Patient: Hello doctor,I had a FUT of 2000 grafts eight years back. Initially, I was happy with the result. After a year or so I stopped the medications (Finax 1mg and Mintop). Soon after, I again started balding. Even the transplantation hairs were not visible. So I again visited the doctor. He suggested me to carry on with the medications. My hair has started growing again. But my hair soon started falling again once I stopped using the medications after three years. Hence now I have again started the medications and have been using them for a year or so but this time I am not getting the right result. I am not confident as well as to continue with the medications considering its side effects. I read on the internet but at the same time, I cannot afford to go bald completely. I need a solution to this. Doctor: Hi. Post hair transplantation, you need to continue Minoxidil indefinitely, while Finasteride can be taken as long as you do not experience any side effects. The response of hair transplant depends upon the strict adherence to these medications. It is very common to lose hair once you stop these treatments. In case you are not finding a satisfactory response to 5 % Minoxidil, you can increase the concentration to 10 %. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14538, + "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": 8801, + "tgt": "Having gum pain as some popcorn is stuck. How to fix this?", + "src": "Patient: Hello doctor, A week ago, some popcorn stuck in my gums, and I got it out. But, the pain and inflammation\u00a0are still there. Why? How to fix it? Doctor: Hi. For further information consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 422, + "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": 12064, + "tgt": "What can be done for loosening of teeth after scaling?", + "src": "Patient: Hello doctor, My mother is having tartar buildup on her teeth. She already had scaling done two times by a dentist. This has made her teeth loose and fall out. Please suggest some solution as another cleaning might harm her teeth even further. Doctor: Hello. This time get your mother's teeth cleaned by the dentist and then ask her to brush twice daily. Cleaning by the dentist does not make the teeth fall off, this is a pure myth. The teeth which are weakened by tartar gets damaged from inside so they feel like loose after cleaning and scaling. They fall out due to removing tartar that is supporting them. We must clean them after the dentist has done his work. Also, ask her to follow all instructions properly and place artificial teeth in the place of missing teeth as soon as possible else she might lose other teeth too. I wish you good health and happiness. Keep me updated with the improvements." + }, + { + "id": 1427, + "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": 21397, + "tgt": "I find it difficult to get and keep a strong erection for sex. Is this problem mental?", + "src": "Patient: Hello doctor, I just turned 20 and find it difficult to get and keep a strong erection for sex. I am certain this problem is mental as I feel like I suffer from anxiety and performance anxiety whether it be sex or sports. I am good looking and good with people and girls but do not know how to fix this problem. Please help me. Doctor: Hello. It is most likely that you are suffering from performance anxiety. You need to be confident about yourself. Forget about your last performance failure, or it will start a vicious cycle of performance anxiety and erection failure. Be bold. Spend enough time on foreplay and after play. Take help from your sex partner. Tell her about your anxiety so she does not demotivate and insult you for your failure. When you are going to have sex, actually play at that time and forget everything. Just concentrate on you and your partner. Do not think about the duration of your play but concentrate on the quality of the act. Ask your partner about satisfaction. Her satisfaction is important and not how long you do. Ask her about her likes and dislikes related to sex position, places to touch, places to kiss, etc. It will take some time but you have to be confident in yourself. Spend time on exercise daily for 30 to 40 minutes. Spend time for meditation for 15 minutes, take good sleep for seven hours daily, avoid junk food and eat healthy food, home cooked. Spend quality time with your friends and family. Avoid any type of substance abuse like alcohol, tobacco or any recreational drugs, spend time for your hobbies but active hobbies like reading books, writing, painting, learn to play musical instruments, play outdoor sports, etc. You have a high BMI seems to be obese, you need to lose weight. Obesity is one of the common factors for erectile dysfunction. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24013, + "tgt": "I need a diet chart that includes high-fiber foods. Please help", + "src": "Patient: Hello doctor,I am suffering from fissure, PCOD, and I need to include high-fiber in my diet. I am missing out on breakfasts. I need a diet chart for seven days a week which includes high-fiber food. I need at least 14 g of fiber each day. Doctor: Hello. You should include 200 g of salad in the morning and evening daily. That should contain cucumber, carrots, sprouts, etc. And in the afternoon you should eat 250 to 300 g of ripe Papaya, one hour before food. You can take oats and daliya for meals during any time of the day at least once. This is the simplest diet plan anyone can follow. I am certain you will find this useful. My regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14367, + "tgt": "I want to completely cure paralysis in extremities caused due to stroke. Please help", + "src": "Patient: Hello doctor, I am 55 years old. For the past 20 years, I have been paralyzed in the right extremities. Initially, I took allopathy treatment but it was not helping. So, took Ayurveda and really it helped a lot. My voice came back but with stuttering. When I talk about something I forget some words. My right leg is at the moment fine on the whole but we can make out that when I walk, there is a slight deviation. Now, my right hand has not been in use ever since the stroke. I am now on Ayurvedic medicines Mahayogaraja guggulu 1 - 1, Rasnadhi guggulu 1 - 1, Gandharvahastadi kashayam 15 ml with 30 ml warm water 1 - 1, Triphala churnam 10 gm, for massage Ksheerabala tailum and Valiya sahacharadhi tailum. The results are very slow. I want to ask you to help to vanish my stroke. I am a BP patient also. Doctor: Hi. I have read your query. You have weakness of the right half of body which is more in right arm than in right leg for the last twenty years. There is a history of hypertension. You had a stroke involving left cerebral cortex leading to weakness in the right half of body. I cannot be sure without neuroimaging like CT scan brain or MRI brain whether it was an ischemic stroke (cessation of blood flow to the brain) or hemorrhagic stroke (bleeding into brain substance). Stroke causes damage to the brain due to underlying cardiovascular disease with time damage is permanent. There is currently no treatment for complete recovery after such a long time since the occurrence of stroke. New treatments focus on early thrombolysis when the patient reaches at stroke center within three to four and a half hours of the start of the stroke to receive thrombolysis if it is an ischaemic stroke. The best management plan for you is control of blood pressure and rehabilitation and prevention of further stroke." + }, + { + "id": 13474, + "tgt": "Is there any way to cure GERD?", + "src": "Patient: Hello doctor, I have GERD. Wake up with GERD, have it all day long. I have take HCL with Pectin. My GERD gets worse, burning is bad. I am trying Melatonin 3 mg nightly, no result. My doctor wants me on Prilosec and I refused. Please help. Doctor: Hi. GERD is a condition in which undigested foods mixed with stomach juices reflects to esophagus and produces a burning sensation in esophagus and mouth. Indigestion and acidity is the main cause of this condition. GERD can be managed naturally through changes in food habits, lifestyle, ayurvedic medicines, and Yoga practices. Indigestion, smoking, and drinking, consuming more spicy and fried junk foods, lack of exercises, etc. Acidity. You can take the following ayurvedic medicines regularly for one month and follows instructions. Rx, 1. Avipattikara Churna 3 gm twice a day after meals. 2. Kamadudha Rasa 1 tablet + Prawal Panchamrita 1 tablet + Sutashekhara Rasa 1 tablet twice a day before food. 3. Guduchyadi Kasayam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Drink plenty of water. Avoid smoking and drinking if you have these habits. Do regular Kapalbhati Mandukasana, Anuloma vilom, Nadi sodhan and bhramari." + }, + { + "id": 5292, + "tgt": "My heart rate is 98 bpm. Am I prone to arrhythmia or tachycardia?", + "src": "Patient: Hello doctor, I am a 23-year-old male. I have no symptoms and I am not taking any current medication. Three years ago I once went to the hospital because I felt my heart was beating really fast, and they did some EKG scans and a blood test on me saying that everything is normal. They also gave me the Holter monitor and when they checked the results they said this was normal. I do not smoke or drink alcohol maybe three times a year I will drink. I used to do some shisha but that has stopped for the past three years. Since then I have never been to a hospital for the health of my heart. However, since then, my heartbeat has just been higher than everyone else but I do not get headaches or any other symptoms. I used to stress a lot. However, things are going well now and it has cut down. I wake up at times during the night but fall back asleep very easily. I have done gym and dance classes for over a year and I feel fine when working out. I went to the GP just a week ago due to my girlfriend having some concerns. I asked them to do a regular check and they said my heartbeat at that moment was 98 and he said this was fine. However, my girlfriend gets really worried about this and feels that something will happen to me. She just needs some medical advice in order to get her the assurance. She has been checking online for some answers and it is said stuff like arrhythmia, tachycardia, etc. She also says that the normal is between 80-100 bpm and why is mine on the top end? Is it a serious cause? Or does heart and pulse rate vary? Also, I have been checking the prevalence of heart diseases, etc., online and it is very rare for someone at my age. What more should be done? Doctor: Hello. Palpitations or the feeling of fast heart beat is an extremely common symptom. I understand your GP has done the usual tests and has reassured you. I would need a bit more history. Have you fainted anytime? Have you got your thyroid functions checked? Do you have history of any family member dying suddenly, like in sleep? Is your blood pressure normal? If none of the above mentioned problems are there it is likely that your symptoms are benign. Just watch out for fainting episodes. The heart rate you mentioned is perfectly normal. The best way to get your heart rate even lower is to exercise regularly, athletes have very low heart rates. Also, you have to address your stress levels and need to pro-actively take steps to reduce your stress levels. Only if the palpitations are really persisting and are really disabling we need to do further tests." + }, + { + "id": 8003, + "tgt": "What causes ear pain with mild hearing loss and throat pain?", + "src": "Patient: Hello doctor, I have pain in my left ear with mild hearing loss. Sometimes I feel some sort of blocking sensation. Since two days, throat is also paining. Doctor: Hello. With the details, you have given I understand that you have a throat infection for the past two days and you also have left earache and ear block. Also mild hearing loss on that side. This is most probably a resultant of the throat infection. There is a tube called eustachian tube that connects the back of the nose (junction of the nasal cavity with the throat, called nasopharynx) to the middle ear. All secretions from middle ear drain through this tube and go into the throat along with nasal secretions, etc. Also, this tube helps to maintain equal pressure on either side of the ear drum, that is middle ear pressure is maintained the same as ambient pressure. This is essential for hearing. Due to throat infection, the tube could have got blocked because of which the air pressures are not equalized and secretions are accumulated inside the middle ear. This has resulted in the mild hearing loss and blocking sensation, respectively, that you have described. I suggest the following measures for relief, however, to suggest the exact dose and frequency of the medications, I would require more details as to your age, weight, sex, etc. Also, I would require details about the problems you are suffering from. 1. An antibiotic 2. An anti-inflammatory drug daily twice (depending upon the condition) 3. Decongestant nasal drops daily twice 4. Steam inhalation after putting nose drops 5. Salt water gargling daily three times 6. Avoid Valsalva maneuver till the course of antibiotics is over and after then do Valsalva daily three times for a period of three days. Kindly provide with more details so that we can have a more decisive diagnosis and help you with exact details and suggestions." + }, + { + "id": 30481, + "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": 6142, + "tgt": "I am diagnosed with pneumonia and getting green phlegm even after taking antibiotics. Why?", + "src": "Patient: Hello doctor, I am a 32-year-old male. Before three months, an old woman coughed in front of me, I breathed it in and within a few hours I got a fever and chills. I went to a general practitioner after three days and her diagnosis was pneumonia. I had a Rocephin intravenous there and also a vitamin intravenous. Also, she prescribed Amoxicillin and Ibuprofen. I have been taking Amoxicillin on time as prescribed, but I stopped taking Ibuprofen after two days because it was causing diarrhea. I feel that the antibiotics did not have any effects on the infections. My main symptom now is that I frequently cough up greenish phlegm often the size of a quarter dollar coin. I do not have fever or chills, and my tongue is white. How dangerous is my situation? Considering antibiotics did not have any effect on the infections, what kind of infection is this? What should I do? Please advise. Doctor: Hello. Your doctor has made a diagnosis of pneumonia and has given you antibiotics. Your fever has subsided which means the antibiotics have worked. But since you are having green phlegm we need to find out if you require further antibiotics. For that we need a blood count, and if there is a sign of infection we need to find out which organism is causing the infection, and to which antibiotic it responds. For that we need a sputum or phlegm examination which is called sputum culture. Please get a complete blood count and an x-ray chest done. Also, you can take steam inhalations. The diarrhea was due to Amoxycillin. If your blood count shows infection, then you can get your sputum examined for a gram stain and culture of sputum." + }, + { + "id": 29222, + "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": 17386, + "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": 12917, + "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": 8374, + "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": 19530, + "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": 17131, + "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": 6321, + "tgt": "What to do if the adenoid glands get enlarged and cause air obstruction?", + "src": "Patient: Hello doctor, Do adenoid glands contract after a certain age? Is it natural for all people? What to do if these glands are enlarged and result in air obstruction? Doctor: Hello. About your query regarding adenoids, I would like to say these are lymphoid tissue located at the roof of the nasopharynx and as usual, they are meant to protect the body from infections. They are always found in infants and they are at their maximum size at the age of 5 years, after that, they start regressing in size up to 8 years if the nasopharynx is free from infection. On the other hand, if an individual is having recurrent respiratory tract infections in childhood, the adenoids will grow up to a large size." + }, + { + "id": 15720, + "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": 22952, + "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": 9106, + "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": 3469, + "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": 21290, + "tgt": "Is it normal to have pain during sex and urination after Fluconazole treatment for thrush?", + "src": "Patient: Hello doctor, I went to a doctor because I had symptoms of vaginal thrush, itchiness, and sometimes white discharge. My fiance also had an itchy dick so I thought he had thrush as well. I got prescribed Fluconazole for it and he used a cream for it. Both our symptoms went away so we had sex four days after I took the Fluconazole pill. When we had sex though it was painful and urinating afterward was painful. I also noticed a tiny amount of blood after it. Is this normal with thrush and do I have to be treated again or will it go away? I am 18 years old. Doctor: Hello. A single Fluconazole pill does not treat the thrush completely. As you had painful sex and blood thereafter accompanied with painful urine, indicates that you have developed thrush associated vaginitis, which needs to be treated with both antifungals and antibiotics together in form of vaginal pessaries and oral medications for at least five days." + }, + { + "id": 13413, + "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": 4258, + "tgt": "Do I need immediate attention for the dark patch on my skin?", + "src": "Patient: Hi doctor, I have a dark patch on my skin. It is not itchy, swollen or bumpy. It is just discolored skin. It is about the size of a quarter coin. It is evenly colored. It has been there since about four years and it may have become a little bigger. But, I am not sure. I wanted to know if I have anything drastic or needs immediate attention since I may not have access to a doctor until next month. 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. It is an acquired Melanocytic Nevus. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows sudden increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for skin biopsy. For further doubts consult a dermatologist online ---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15322, + "tgt": "What can be done for hamstrings spasm caused due to exercise?", + "src": "Patient: Hello doctor, Today, I was lifting light weights on squats. As I went down into a parallel position, my back locked up and immediately began to hurt. I tried other lifts (hyperextentions) to loosen my hamstrings. It felt better at the time, but now I am at home and can barely stand and walk. How can I treat this issue? I have taken Aleve, but my lower back is still spasming and very tight. Doctor: Hi. I went through your case, what I found is that you must follow some basic stretching exercises with warm up and cool down phase to avoid tightening of muscles. Do warm-up exercise like static jogging, jumping with hands wide apart. Along with warm-up, 10 minutes of stretching exercises like twisting and turning exercises, with standing and long sitting also. Lie down flat on the mat, bend your knees and bring your bend knees towards your body. Follow the same position with legs extended. Put a towel behind the legs and holding the towel with hands pull the towel towards your body. This will stretch both spine and hams also. Do cat and camel exercises. Come to your quadruped position, inhale and try to put your spine down and head up, then exhale and try to pull up the spineaking a curve with head down. Repeat this 10 to 15 times. It can be done before and after workout sessions. Apply hot pack if possible to decrease the soreness twice daily. Go for a physiotherapy session which should include mobilization of spine and manipulation with TENS (transcutaneous electrical nerve stimulation), 15 minutes 80 hertz." + }, + { + "id": 17975, + "tgt": "Why are my uric acid levels always high?", + "src": "Patient: Hi doctor, I\u00a0have a bad throat, cold and mild fever.\u00a0I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait? Doctor: Hi. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21805, + "tgt": "Can starvation cause decreased blood flow when taking blood sample?", + "src": "Patient: Hi doctor, I want to clarify one thing which has fed a lot of fears within me. When I gave the blood sample today and when the lab technician pierced the needle, the blood flow was very slow and stopped at one time. So the lab technician has squeezed my hand so many times to allow the blood flow into the syringe. I am very surprised by this scenario and fear a lot. And I am thinking like if he reused needle contaminated with any blood and clot and that is why it has not allowed blood to flow fast. Does this scenario happen to anyone? Because I have never seen this to me. I did not eat anything for the last 15 hours. Could this be the reason? But I am sure that they opened the new syringe or needle pack, but I do not know why blood still did not flow properly. This situation is fearing me a lot. Please let me know if this is an abnormal situation. But one request, please explain in detail as this is the most I am fearing at this moment. Doctor: Hi. Regarding your query, it is not contaminated with clots. It has three possible scenarios: So, mostly the problem with experience of technician caused the problem. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15023, + "tgt": "I am facing serious premature ejaculation issues since last 7 years. Suggest a solution for my PE problem", + "src": "Patient: Hello doctor, I am a 25 year old male. I am facing serious premature ejaculation issues since the last 7 years, and it has become worse with time. I have been masturbating five times a week since the last 10 years, but now when I masturbate, I ejaculate within 10 seconds. I also have two huge nerves or veins on my penis. They are quite huge and look odd. The head of my penis has also become huge, and the rest of the penis is getting thinner. If I do not masturbate for a week, l get wet dreams. My body structure is very thin, and I feel weak throughout the day. I want to solve this PE problem. Can I train myself with start and stop technique while masturbating? Will it help? Or should I stop masturbating? Please suggest a solution for my PE problem. I do not want to take antidepressants or SSRIs as they have major side effects. Doctor: Hi. There is no relation between premature ejaculation (PE) and masturbation. Due to anxiety, the ejaculation will happen sooner. This can be managed by calming down and avoiding stress. Think that everything will be fine. It is normal physiology that during erection, veins appear prominent. Penis size varies from individual to individual. For thin people, the penis will appear longer, as the fat in the lower abdomen is less. Getting wet dream is a normal phenomenon, and only if anyone tells that he is not getting it should be evaluated. My suggestion is to distract yourself. Do meditation and yoga. Masturbate whenever you have the urge." + }, + { + "id": 12012, + "tgt": "There is milky discharge from penis with pain in testicle. Please help", + "src": "Patient: Hello doctor, I have been experiencing pain in my urethra while urinating for weeks now. Also, have mild pain in my left testicle. Today morning when I woke up at 6 AM, I observed a milk-like liquid drop at the tip of my penis. Is it a sign of any kind of STD? Doctor: Hi. I can understand your concern for your symptoms. Yes, infection should be ruled out. If you had unprotected sex with someone, then we can think of STD. If yes, give more details for investigation. If not, it can be other bacterial infection. Retrograde ejaculation can also cause this kind of discharge. Do a urine complete investigation for better understanding and treatment regime." + }, + { + "id": 29591, + "tgt": "What is the safe way to ease tinnitus?", + "src": "Patient: Hi doctor, I am getting some sound in both the ears. It continues as a mild sound of high frequency and another sound like humming, vibrating and pulsating sound. This becomes noticeable in the\u00a0quiet zone and less prominent in working or outside areas. It is mild tinnitus, but bothersome in the\u00a0night and silent area. However, I do not face many problems to get sleep. I\u00a0get to sleep at 10 PM. Doctors say that there is no cure. There is a possible relief from Caroverine, but no doctor recommends that. There is sound therapy (experimental), which can cancel out tinnitus sound and after a\u00a0long time neural network stops generating such noises. There are two activities one at auditory cortex and second at cochlear hair cells of the ear. How to make out the location of fault? Please guide me and advise me what to do with this tinnitus sound. Which is the safe way to ease it? What are the recommended herbs or medicines other than vitamins? Doctor: Hi. Yes, you have tinnitus and many medicines are available to cure it. First, get an audiometry done to see if there is any associated hearing loss. I suggest tablet Cinnarizine twice daily for at least three weeks and tablet Vitamin B12 1500 mcg daily. Consult your doctor, discuss with him or her and take medicine with consent. Do not use earphones and even limit your mobile usage. Follow up with your audiometry report. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27398, + "tgt": "When does implantation bleeding occur?", + "src": "Patient: Hi doctor, I have few doubts regarding fertilization and implantation. Is it possible to have implantation bleeding after your period? Is it possible to get an egg fertilized a week before your period? Also, how long does sperm last outside of the body? Is it true that once the ejaculate has dried, so has the sperm? Doctor: Hi. Implantation bleeding occurs only after 15 to 20 days of the period. From day 1 to day 10, it is safe period. There is no chance of pregnancy as there is no ovulation happening during this period. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5669, + "tgt": "After taking I-pill, my withdrawal bleed has not started fully. Why?", + "src": "Patient: Hello doctor, After having I-pill, I had spotting like periods. Then\u00a0I started having Sysron-N for five days and I completed the course six days back. But, my period has not started yet. Is it normal? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27309, + "tgt": "Is diarrhea a side-effect of diabetes medication?", + "src": "Patient: Hello doctor, I am a type 2 diabetic, and today I had a low blood sugar episode. I woke up from a nap and my blood sugar had dropped to 80. My fasting blood sugar is usually around 110. After I ate something and started feeling better, I had bad diarrhea. Is it somehow linked to my low blood sugar? I am currently on Metformin, Levothyroxine, and Kariva birth control pills. Doctor: Hello. I read your query and understand your concern about sugar levels. Feel free to follow up anytime. Stay healthy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23640, + "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": 1385, + "tgt": "Is it normal to feel hot over the hands and vagina with sharp abdominal pain during pregnancy?", + "src": "Patient: Hello doctor, I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest. I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75. Doctor: Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syndrome, it happens in pregnancy due to swelling of tissues. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal." + }, + { + "id": 25634, + "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": 8660, + "tgt": "I have fibrous cortical defect in tibia. Is it completely curable?", + "src": "Patient: Hi doctor, I am suffering mild pain in the middle part of my right leg tibia. An MRI was done and the doctor said that I have fibrous cortical defect. I would like to know is it completely curable. Doctor: Hi. Revert back with the x-ray to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22811, + "tgt": "I have difficulty in having sex due to pain in vagina. Please advise", + "src": "Patient: Hi doctor, I have difficulty in having sex because there is a pain in the vagina. Doctor: Hi. Pain during sex can be caused by many reasons. You have not mentioned much about your problems and symptoms. The information given by you was too general. So you need to find the cause. It can be due to poor lubrication during foreplay, so you need to spend some time during foreplay. Pain can also be due to genital herpes, yeast infection, trichomonas infection which can cause pain during sex. Endometriosis can also be a problem, and it requires a surgical procedure to manage it. Also sometimes, there is muscle spasm whenever one thinks of sex, a psychological problem called vaginismus. Now, you need to consult a doctor in person to find the exact cause of pain. In general, relaxation techniques like yoga, exercise can help a lot. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27101, + "tgt": "What are the preventive measures I need to take to control my high BP and diabetes?", + "src": "Patient: Hello\u00a0doctor, I am a 70 year old. I have issues with high BP and diabetes.\u00a0The doctor has given me a medicine for the heart and cholesterol. Are these good medicines? Is\u00a0there\u00a0any prevention I need to take? In some reports, it says that something is passing through the urine. I do not understand clearly but, the doctor has not given any medicine or preventive action for this. Can you suggest something from your end? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Regarding your urine doubt, I did not find anything in the urine report and there is nothing abnormal mentioned regarding urine. So, please see to it and reupload the report if available. Secondly, your blood sugars, blood pressure, and ECG show abnormalities. You need to be on medicine for it. Your cholesterol is also slightly elevated. Being a diabetic and hypertensive, you are at a risk for coronary artery disease. Also, your ECG (electrocardiogram) is showing some changes. So, the next thing to do is, you should undergo an echocardiography and if abnormal, then you will need angiography and if normal, then you need stress thallium or CT coronary angiography. So, you need to be evaluated for it. Importantly, your BP and sugar should be controlled. So, if you have bought those medicine, please upload the photos of the strips or the name of the tablet. You should have a healthy lifestyle: 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": 29721, + "tgt": "Are these symptoms of a menopause?", + "src": "Patient: Hello doctor, I am 32 years old. Last year,\u00a0I had a cyst on my ovary and I had to undergo an operation to remove it. The doctors ended up removing both my ovaries. I was told to take Microgynon to balance my hormones. I have been very forgetful with my intake of the\u00a0tablet for the whole year and have not been consistent. Now recently, as usual, I forgot to take tablets for a few days and started bleeding. I was worried it could be something more serious, but doctors told me that it was fine and it was because of the missed tablets. I have gained weight and my stomach appears bloated. At one point I was convinced that I was pregnant as I felt weird movements. The doctors did a scan and there was nothing wrong. I also went through a phase of fatigue. I sometimes get pain in my lower abdomen. I went to another doctor for advice as my cyst was never tested for cancer. He told me to go for thyroid, menopause and cholesterol test. I have not done them yet. They said that it\u00a0may be the symptoms of menopause. I just wanted to enquire about my health, whether if this is really a menopause and the further steps to be taken.\u00a0Please advise. Doctor: Hi. Yes, it is right. You can have these symptoms if you are going through a menopause. As both your ovaries are removed, you are going to end up in menopause. This is called surgical menopause. To decrease the symptoms of menopause your doctor prescribed you Microgynon (combination of Ethinylestradiol and Levonorgestrel). This is called hormone replacement therapy. Because of the absence of both the ovaries, the hormones are not produced in your body. Hence, it is replaced from outside in the form of tablets. Since you are not taking it on time, you are experiencing these symptoms. Thyroid problem and cholesterol levels are the other correlated problems that can be associated, so your doctor has asked you to do these tests. So remove your confusion. If both the ovaries are removed, then you cannot be pregnant. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24428, + "tgt": "How can the penis foreskin be brought back to proper place?", + "src": "Patient: Hi doctor, Yesterday my penis foreskin suddenly moved back and did not come back to proper place. Glans is still open and pain is there. Please suggest the way to restore that. Please guide me on how to pull it back. Doctor: Hi. This condition is probably paraphimosis and it needs urgent treatment. If you are not able to pull back it by yourself then consult a surgeon or doctor as soon as possible. He may correct it immediately as of now and may recommend surgery for further depending on the severity. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26100, + "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": 11586, + "tgt": "Why is the hCG not raising although the endometrium is thick?", + "src": "Patient: Hi doctor, In the home test, I observed a faint pink line on five days overdue of periods, kept checking and a faint line got a little bit darker in 2 to 3 weeks. But not exact darker as it was during my first baby time, who is a healthy boy of 10 months. I am now at six weeks four days pregnant. I took 3 to 4 hCG blood tests and the results were 400 (previously 150 and 350). I was precribed to take Duphaston due to some spots, now I am asked to stop due to hCG not rising properly. On TVS, I was told to have a thick endometrium of 20 mm. My doctor asked me to wait till next ultrasound. Also, I have been a PCOS patient and treated and delivered a healthy baby. I cannot feel any symptoms of pregnancy as I felt last time. What do you feel about my condition and advise, please? I am taking only Folic acid and asked to wait if period comes or not. Stopped Duphaston two days ago. Doctor: Hi. I have read a detailed description of your query. Beta hCG should increase around 66 % after every 48 hours in a normal healthy pregnancy. Have a strict check on your symptoms. Beta hCG if shows increase but less then 60 %, then ectopic should be excluded by having transvaginal scan and symptoms. In case of a suboptimal increase in beta hCG, actually happens in pregnancy outside the uterus. In your case, beta hCG is very less, not even above 500 and should be followed strictly. Symptoms could be abdominal pain, bleeding, etc. It is better to repeat beta hCG after 48 hours and have a detailed scan with expertise hands. Follow beta hCG scan, check in detail and report symptoms that you have to an emergency gynecologist. Ectopic. Beta hCG, a detailed transvaginal scan. Ectopic, early pregnancy. Have beta hCG and detailed expertise scan with a local examination. Strict check on symptoms and report." + }, + { + "id": 15299, + "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": 5016, + "tgt": "Can swimming pool water cause brownish patches with dry skin?", + "src": "Patient: Hello doctor, My brother was a varsity swimmer at his high school four years ago, but had to quit when it appeared that the chlorine was causing skin irritation. Ever since, his skin condition has persisted, which involves dry, brownish patches under his armpits (he has white skin), a cracked, scaly pattern of dry skin on his lower back, and dry skin patches all over his torso (reminiscent of desiccated ground pattern in a desert). He has been to many doctors, who have all prescribed various creams, none of which seem to work. I will attach a photo. Have you seen anything like this before? Doctor: Hello. I have reviewed the details and the attachment sent by you (attachment removed to protect patient identity). I have had the opportunity to examine and treat at least a hundred patients of similar description in the last five years related to allergy to swimming pool water intolerance. In the case of your brother, I think it is due to the hypersensitivity caused by chemicals used to disinfect water. The most common chemical used is bleaching powder that releases chlorine which is a powerful skin irritant. There are several measures that will need to be put in place simultaneously to help your brother's skin ailment. 1. Firstly, he must refrain from further exposure to swimming pool water or chlorinated water in any other setting. 2. At this stage, using topical steroids is the best option but any creams containing potent steroids should be avoided. Hydrocortisone is likely to proven better choice. 3. Once he feels and looks better, the same cream as described above can be diluted in a sequential manner to reduce the proportion of active steroidal agent and substituted by either a cold cream or moisturizer. This tapering may take up to and beyond a couple of months as the element of chronicity has crept in due to use of various preparation over the last few years. 4. For symptomatic relief, he might like using antiallergic. 5. He should be advised to use a mild soap sparingly and not try to rub the scales off but use liberal quantities of moisturizers as and when needed. I am sure that like other patients of mine, your brother will have a rewarding experience." + }, + { + "id": 15258, + "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": 26530, + "tgt": "My underarm is too dark. Please give me a solution to this problem", + "src": "Patient: Hello doctor, I am 23 years old and I have this problem for the last three years. My underarm is too dark and I cannot wear sleeveless\u00a0tops.\u00a0I am getting married soon and am really embarrassed because the sensitive area is also with dark skin and I really need an absolute solution. Doctor: Hello. I have noted your concern. Regards. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 30727, + "tgt": "Sometimes, my BP falls than normal. Should I continue BP tablet?", + "src": "Patient: Hi doctor, I am 35 years old.\u00a0I got mild hypertension during my pregnancy and it continues still. My usual blood pressure will be 140/90 mmHg. Both my parents are with high BP.\u00a0I have taken my blood tests and urine analysis. Everything is fine, including my ECG.\u00a0Last year due to improper posture, I had muscle spasms. I was scared and my anxiety increased. Hence, my BP shot up to 150/95 mmHg. My doctor prescribed me Nebiqol 5 mg (Nebivolol), which has kept my BP in control. Sometimes, after taking the medicine by BP falls low at home to 105/65 mmHg. So, I am afraid to continue the tablet daily. But, my doctor says it will optimize the pressure and it will not go down. Kindly advise. Doctor: Hello. I had 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": 18805, + "tgt": "My 3 year old son has fever and cough for more than a week. Please help", + "src": "Patient: Hi doctor, My 3 year old son\u00a0has a very bad cough with fever of 102 degrees Fahrenheit and above. Since one week, the doctor here has given medication Levolin, Ibugesic and Cetzine along with antibiotics. But, there is no improvement. He still has a fever and a bad cough. Please help. Doctor: Hello. LRTI - lower respiratory tract infection. 1. CBC (complete blood count). 2. CRP (C-reactive protein). 3. Chest x-ray. Pneumonia, either viral or bacterial. I suggest the following medicines. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Ibugesic 5 mL (Ibuprofen) thrice daily for 3 days. 2. Syrup Asthakind DX 5 mL (Dextromethorphan, Chlorpheniramine maleate and Phenylephrine) thrice daily for 7 days. 3. Syrup Cetirizine 5 mL thrice daily for 7 days. 4. Continue the antibiotic as advised by your doctor. 5. Nebulization with Duolin - Ipratropium bromide and Levosalbutamol (1 respule) every 6 hourly, and Budecort - Budesonide (1 respule) every 12 hourly for 5 days. If you find any of the warning signs I have told above, then please take the child to the nearest hospital and admit the child. Please follow up with the reports for any further change in the treatment plan. Revert back with the reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29638, + "tgt": "From the MRI report, what is your opinion about my shoulder pain?", + "src": "Patient: Hi doctor, I am suffering from shoulder pain since five months. My shoulder was dislocated for the\u00a0third time and I took an MRI scan. My doctor said that we need to do surgery. What is your opinion? Doctor: Hi. I have gone through your question in detail. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18300, + "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": 20192, + "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": 17437, + "tgt": "I fear that my ptosis and strabismus cannot be corrected. Please help", + "src": "Patient: Hello doctor, I am 26 years old. I am working in software field. I\u00a0do have problems of ptosis and strabismus in my left eye since birth. I am not able to see with this eye until I\u00a0forcefully close my right (dedicated) eye. I\u00a0got operated for ptosis when I\u00a0was 11, and it got recovered a lot. But,\u00a0strabismus remains the same, and it affects my\u00a0life a lot\u00a0due to the cosmetic reason. I\u00a0could not get socialized and try to avoid society.\u00a0I had a lot of consultations with local doctors. Let me share my last meeting and my conclusion. According to my local doctor, my upper lift muscle is dead by birth, and it cannot be restored ever. I have to stop thinking about fixing it. If surgery fixes it, then it will never appear as parallel as the right (dominant eye). Also, now my\u00a0brain is receiving (single) right eye's image, and after surgery, my brain will receive two images. But, it will be difficult to focus on any of them. He also said that\u00a0superior rectus muscle or inferior oblique muscle of left eye has stopped working or affected after my eyelid operation or those are dead by birth cause, and there is nothing to pull the eyeball\u00a0upwards. The\u00a0eyeball does not move and focus towards upwards and outwards. Also, he mentioned about Brown syndrome. If this is a Brown syndrome, then the left lower eye that is affected, tethered or held down by the tight superior oblique tendon muscle. If this is true,\u00a0then, in this case, the eye neither moves upward nor inwards towards the nose. But, my left eye moves inwards, but difficulty with moving outwards. Please clarify my doubts Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 19078, + "tgt": "My son has social withdrawal and isolation. Yet, he refuses treatment. Please help", + "src": "Patient: Hello doctor, The problem started in 2010. Social withdrawal, isolation, inability to continue at a\u00a0job, negative talk, jealousy, lack of initiative, low self-esteem and fickle minded behavior. What could these point to? The prescriptions are lost in transit. No medicines are being taken. Doctor: Hello. I can understand your concern. The symptoms of withdrawal from society, loneliness, difficulty in continuing the job, negative thoughts, lack of motivation, indecisiveness, etc could be due to some severe underlying mood disturbance. Since the symptoms are persistent and are resulting in impairment they should be evaluated properly. It could be either depressive disorder or bipolar depression. Depressive disorders or bipolar depression can be treated properly with medicines. Most of the newer medicines are safe to use and have no serious side effects. These medicines have great efficacy. So, taking proper treatment would solve your issue. Please describe your symptoms in detail, right from the beginning of the illness: Thanks. Take care. Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8619, + "tgt": "Please tell how Melatonin supplements work", + "src": "Patient: Hello doctor, How do Melatonin supplements work? Does taking Melatonin actually help you fall asleep and stay asleep? Are there any potential side effects or drawbacks to using Melatonin to fall asleep? Are there any health benefits of taking a Melatonin supplement? Is it safe to take Melatonin on a nightly basis? If so, does your body get used to it? Doctor: Hello. Melatonin is a natural hormone found in our body. The Melatonin pill works the same as this natural hormone as per studies. It helps regulate sleep-wake cycles. It also helps fall asleep and stay asleep. It worked for my patients. It is usually safe. I have prescribed for short term only. No side effects so far. If the sleep is improved, patients overall status improved too. Do not recommend to take regular use. Advise frequent consultation and short term use only." + }, + { + "id": 25265, + "tgt": "Kindly suggest a permanent cure for ringworm", + "src": "Patient: Hi doctor, I am suffering from ringworm since last one and a half months. Currently, my arms, legs and face are infected.\u00a0Along with this suffering, I am itching in armpits, leg pits and scrotum only in summer seasons or after sweating. My current medications are\u00a0I Tyza 200 or IT Mac 200 one capsule in a day for the past 45 days,\u00a0Funzi MX cream or Fourderm cream two times a day and I am using it for more than two months and powder and soap containing Clotrimazole (Candid or Clocip Dusting Powder and Candid or Keto soap). I am a 29 year old male. My weight is 69 kg and I am overweight for my height. I do not have diabetes. I am currently in a hot and humid place. I request you\u00a0to kindly suggest a permanent cure for my problem. Doctor: Hi. I have seen your query. You are on the right medicine for ringworm, but there may be chances that you may have a resistant strain of fungus. So, should not use any steroid containing cream. Now, I suggest tablet Trfy 250 mg (Terbinafine) once daily for 21 days and this tablet have both fungistatic and fungicidal properties. Also, I suggest an application of DK gel (2% Miconazole) twice daily for at least two months. Continue using KZ soap (Ketoconazole) and Adzorb powder (Clotrimazole). Consult your doctor, discuss with him or her and take the treatment with consent. Please get review after one month. Revert back after a month to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9269, + "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": 24810, + "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": 13291, + "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": 22264, + "tgt": "Noticed red dry itchy patches on skin. What is it exactly?", + "src": "Patient: Hello doctor, I am worried for my little sister. She is 14 years old and I only recently noticed some red dry itchy patches on her skin (shoulders, arms, and nipples). What is it exactly? Is it some derma disease, is it caused by allergies? Or it is caused by anxiety? Because she worries too much about homework and exams. Also, it is about a year she had them. We took her to the doctors and they prescribed her some medicine to apply directly on the patches but it does not help. Doctor: Hi. Well, these red spots are not due to anxiety but stress really aggravate it (not a direct causative factor). Yes, it is a skin disease and may be caused by allergies to various chemicals, nickel, gold, artificial jewelry, soaps, detergents, cosmetic, dettol, and antiseptics. A patch test is done to find the cause. A biopsy may also be done. At present, the clinical picture is little modified either because of treatment or picture is not very clear. Keep it well moisturized by applying petroleum jelly two to three times a day. Use Clobetasol propionate ointment. Mix in equal parts of petroleum jelly and apply in morning and at night. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 89, + "tgt": "I have pain in pelvic area during intercourse with a history of UTI. Please help", + "src": "Patient: Hello doctor, I only have one sexual partner for almost a year. However, during intercourse, I feel that I am having a pain in my pelvic area and it is a sudden sharp pain. Sometimes it is random or happens during deeper penetration. It feels like pressure and almost seems like it is gas but I am not sure what it is that I am experiencing. A while back, I had a UTI and since then I have been experiencing this at times. Sometimes it does not bother me. I just want to make sure I am fine or see if this is a concern that I need to come in. Yesterday, I experienced the pressure pain on my left side more and it drew enough for concern. I do not know if it is gas or something else. Doctor: Hello. It is important in your case to rule out the possibility of pelvic inflammatory disease. Now points in favor are history of chlamydia and UTI in the past, pain on deep penetration and tenderness on the left side of abdomen. These are the sufficient point to evaluate for the possibility of PID (pelvic inflammatory disease). I guess you do not have any discharge per vaginum may be scanty. One more thing is, just try to see if you are having this pain from the beginning from the intercourse or started after some time. Because if it is from the beginning then this may be dyspareunia and not related to PID. But if it has developed later then it becomes important that you undergo evaluation for PID. You will need an ultrasound of pelvis, CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate), vaginal fluid smear. However, the vaginal examination will also be helpful to see whether there is any cervical motion tenderness, which would give a fair idea about the possibility. It is important to rule out PID because it can have consequences later like fertility issues. So if we get any clues regarding it then you will need a course of antibiotic treatment. I hope this helps." + }, + { + "id": 8039, + "tgt": "Please suggest a medicine for swollen gums near the area of wisdom tooth?", + "src": "Patient: Hi doctor, I am 21 years old.\u00a0I have got a swelling in gums near the area of wisdom tooth for the past three days. Now, it is paining a lot. Please prescribe any medicine. Doctor: Hi. I read through your complaint and the relevant details. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 725, + "tgt": "Other than UTI, what can cause urethral discomfort?", + "src": "Patient: Hi doctor, I am a 24 year old female. I was previously diagnosed with UTI for three to four times in the last two years. Now, I have a frequently occurring problem of itching and burning in my urethra about three to four times in a month. It stays for around 4 to 5 hours and\u00a0slowly goes off\u00a0after drinking lots of water and visiting the washroom every now and then. This generally happens when I miss drinking required amount of water. I drink a plenty of water of more than 8 liters a day. It also happens when I miss going to the washroom if my bladder is full. Kindly help me as my life is getting severely affected by this and I stay quite depressed owing to this. I have taken Urispas when the situation gets worse. The urine culture reports show nothing negative. Is there any treatment for this? What are the necessary precautions? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24534, + "tgt": "Why is there complete paralysis and difficulty in walking after an accident?", + "src": "Patient: Hi doctor, A recent accident happened to my father which makes him unable to walk. A week ago, he suddenly fell on the ground while walking and his right leg was injured. He was transferred to hospital and X-ray indicted his leg is not broken but severely ricked, as a result, it is not moving and will need time to recover. However, the problem is not the injured right leg but the left leg. His left leg is fully functional (i.e., he can move his knee and toes without any pain and numbness) in laying down and sitting position but once he stands up, he can not even rise up his left leg from the ground. Therefore, he is now completely paralyzed and unable to walk. What could be the reason? Here are some details about his medical background. He is about 70 years old. He has been suffering from type 2 diabetes for over 20 years and three years ago was prescribed to use Insulin. Recently, his doctor told him that his blood sugar is under control. He experienced previous imbalance feeling and fell several times while walking in past. Basically, whenever he stood up, he would need an effort to gain his balance. His hands also have been shaking a bit. He had an open heart surgery 10 years ago. He had a back pain (even in laying down position) which went worse after the accident. He has lost a majority of his vision over the years due to glaucoma. His X-ray indicates no broken bone. Doctor: Hello, Welcome to icliniq.com. I read carefully your question and would explain that this clinical situation could be caused by a stroke, which is probably the cause of falling. Another possible cause would be a nerve damage related to the trauma. For this reason, it is important performing a brain CT (computed tomography) scan or MRI (magnetic resonance imaging) to investigate for a possible stroke. If this test result is normal, I would recommend performing a nerve conduction study to examine his nerves. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28107, + "tgt": "My fiance took I-pill after 20 to 22 hours of unprotected sex. Is she pregnant?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex on the fifth and 15th day of her menstrual cycle. On the 15th day, she was on top, and I ejaculated.\u00a0Later we took a bath, and after 20 to 22 hours, she took an I-pill. We later had protected intercourse, before and after this unprotected act too. Her periods was due within the next seven days, but she missed it. We are extremely worried.\u00a0Can she be pregnant? She had not experienced any spotting or mild bleeding as of now, but she has back pain. Please help. Doctor: Hi. How are you doing? Usually, every lady has ovulation around the 12th to the 16th day of the periods. The life of the egg is 24 hours, and that of the sperm is 72 hours. Sex on the fifth day was fine, but it cannot be said about that on the 15th day. The effectiveness of I-pill is maximum if taken within 24 hours of sex. There are two possibilities for no periods now. It could be just the disturbed hormonal balance due to the emergency contraceptive pill. Due to this, the subsequent periods can get delayed. But, she should have had the periods within 7 to 10 days of the pill. She could be pregnant, as the egg would have found the sperms due to the delay of more than 20 to 22 hours. Anyway, have a home urine pregnancy test, with early morning sample urine. If this comes negative, that is, only one line, then have any of the birth control pills like tablet Novelon or Ovral or Duoluton-L or Dear 21 or Intimacy plus 3. I suggest taking one tablet twice a day for 10 days and throw away the 21st pill. No matter what the cause is, except pregnancy, she will get periods within 7 to 10 days of the last pill. Now if her pregnancy test comes positive, then you will have to visit a gynecologist to take the further decision after a scan, two weeks later. 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": 28670, + "tgt": "What is the chance of pregnancy with single embryo transfer?", + "src": "Patient: Hi doctor, I am a 32 year old female. Both the ovaries are 10 cc, polycystic and AMH 7.31. My husband is 33 years old and has erection issues. The\u00a0doctor suggested IUI,\u00a0but husband's motile sperm count only 10 million. The\u00a0doctor advised going for IVF\u00a0with ICSI. Can I\u00a0go for single embryo transfer? I also have 1.5 cm intramural fibroid on the\u00a0posterior wall of the\u00a0uterus. What is the chance of pregnancy with single embryo transfer? Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 27513, + "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": 11539, + "tgt": "What are the causes of increased blood protein levels?", + "src": "Patient: Hi doctor, I went to the doctor for a general physical examination and did the normal blood work. Everything came back normal, except my blood protein was 8.5\u00a0g/dL. She sent me for another blood test today, monoclonal protein test. I am worried sick until I\u00a0get the test results. Should I be concerned if my other results like blood counts and platelets are within the normal range? I read that it can also mean that I was dehydrated. As I had a doctor's appointment, I did not drink and eat much before the tests. I only had half a cup of water since the previous evening before having the blood test. The doctor sent me for a monoclonal protein study today. Please help. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10061, + "tgt": "Can I get pregnant with fingering after he touched his penis?", + "src": "Patient: Hi doctor, I had oral sex, and my partner ejaculated his sperms inside my mouth, and I sipped the sperm that came out. After that he touched his penis, then he grabbed my pants near my vagina twice. After that, he used the same fingers inside my vagina. It was my first time with the oral sex and fingering. I do not know that there were sperms in his hand. We did not have sex. But, can I get pregnant in this situation? I missed my periods this month. What is the cause? Doctor: Hi. In your case, there is a chance that semen might have entered into the vagina. As you have not done any sexual intercourse, there is less chance of getting pregnant. You have to rule out pregnancy by urine hCG (human chorionic gonadotropin) test. You can do this test at home. If pregnancy is not present, then thyroid problem and diabetes should be ruled out. Excess stress, obesity, prolonged fasting can also lead to a delayed period. You can consult a gynecologist for examination if needed. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16211, + "tgt": "What is the reason for having an increased liquefaction time in semen analysis?", + "src": "Patient: Hi doctor, I have given my semen sample for fertility analysis today. But the laboratory technician has advised me to come back with semen sample again after three days as the given semen sample was not liquifying. I am trying for a baby for about four months. Please suggest. Doctor: Hi. The most common cause for having an increased liquefaction time are infection or dehydration. It usually takes less than 20 minutes for the semen to change from a thick gel to a liquid. Having a long liquefaction time may indicate an infection. So you may require a course of antibiotics and repeat sampling after three days for reassessment." + }, + { + "id": 4536, + "tgt": "What can be done for extreme mood imbalance?", + "src": "Patient: Hello doctor, I am a 19-year-old female in college, and I have been struggling with my mood lately. During the day I am super loud, and happy, but when I am alone or bored my mind wanders and I find myself get deeply sad. I also sometimes get irritable and snap at people. I do not know why I get sad or angry. I also sleep all the time. I am on Lexapro for my anxiety. I am worried with how fast my mood changes, and how sometimes I think everyone likes me, and then all of a sudden I think they do not. What is going on, and could it be some other mental illness? Doctor: Hi. I have gone through your query and I must say that it seems you are going through a tough time. For most of the cases who are going through what you are going through, exercising helps. I would suggest you start engaging in some physical activity for your blood flow to increase in all parts of your body and help you remain energetic for a long time. This will help you have an activity in the times you are alone and then make you tired to sleep and rest. Apart from this, also try and find activities that you can do once you are back home so that you can substitute the quite and lonely time with doing a task which interests you. I hope once you start practicing the above mentioned on a regular basis you will feel better. All the best." + }, + { + "id": 16442, + "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": 13148, + "tgt": "How can frequent bacterial infection in vagina be treated?", + "src": "Patient: Hello doctor, I was not having periods on my own. They use to be so uncontrollable and the doctor kept saying wait 10 years and I took myself off all medications that she gave me and went two years without any. I am 27 and I am back to having regular menstruation every month. They not on the same day but they come for 5 days out of the month and are like 27 days apart. But my other problem is bacteria keep coming back why and why have I not got pregnant yet? What would be my next step? Doctor: Hi. First of all, birth control pills itself help in controlling your PCOS with added lifestyle modifications like a balanced diet and physical exercise. So keep up the good effort but now you need to stop the pills. Check if you are ovulating regularly or not with the urine ovulation kits available in the market. If you are still not, you may need some fertility boosting medicines. Secondly, you need to do the following to prevent the BV to recur: 1. Avoid any kind of vaginal douches. These wash away the good bacteria as well, clean with normal water while taking the bath. 2. Have probiotics for two weeks to grow back the vaginal flora. 3. Use cotton panties and avoid using tampons. Use pads preferably. 4. Avoid oral sex from the male partner. 5. Need to use Metronidazole vaginal pessary for a week to clear the BV. I hope these measures help you out well. Do start using Folic acid supplements." + }, + { + "id": 23346, + "tgt": "How does skin removal surgery work exactly?", + "src": "Patient: Hi doctor,I have a question about plastic surgery to remove excess skin. About six months back I got sleeve gastrectomy and lost over 100 lbs. I was 372, now I am 257. I have a lot of excess skin around my abdominal area. Now I have seen stories about getting skin removal and also losing more weight. How does skin removal surgery work exactly? What do the surgeons recommend? Doctor: Hello. That is a really good change you have got after the surgery. Definitely, you can go for the excess skin removal surgeries, which includes tummy tuck, brachioplasty, thigh lift, butt lift and mastopexy to get the skin in good shape. But we do recommend that the weight reduction should come to a static position and maintained for around six months to proceed with the skin excision procedures. That will help in avoiding the same procedures again due to skin laxity with further weight reduction. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 1917, + "tgt": "For the past four days, I have chest congestion and mild chest pain. Is it due to COVID-19?", + "src": "Patient: My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain. So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,, Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones) I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night) Doctor: Hi. Welcome to icliniq. I am Dr Anshul Varshney for your help. What we know about corona with current available experience is that it has presentation in most cases with Dry cough and Fever which may later turn into breathlessness. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good drug for respiratory tract infection. However in case you have any recent contact with corona patient, or there is a community spread in your area, then you should get in touch with your doctor. If he doubts, he would get you tested for COVID. Or you can request him for a Chest X-ray as well as Complete blood count that would help in confirming. So, I hope it helps you. And I wish you as well as the whole world a speedy recovery. Regards Dr Anshul Varshney, MD" + }, + { + "id": 19212, + "tgt": "Could my negative blood group cause any pregnancy complication?", + "src": "Patient: Hello doctor, I am 3 months pregnant. My blood group is O negative. Will I face any complication during pregnancy due to my negative blood group? I consulted with my doctor, and she told me to take Fertigyn 5000 injection once a week for four weeks. Is it safe? Will it make me get a normal delivery or C-section? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11109, + "tgt": "What cause loosening of teeth?", + "src": "Patient: Hello doctor, A few weeks ago I noticed that my bottom front teeth felt slightly loose. I looked up my symptoms and suspected it might be gum disease because I have always had poor dental hygiene and never flossed. Since then I started brushing, flossing, and using a natural mouthwash three times a day, then I went to the dentist and asked about my concerns. The dentist told me that I did not have gum disease and had nothing to be concerned about and the loose bottom teeth were most likely from grinding. I want to believe him but I also want to be sure he is correct. My gums are mostly pink close to the teeth but farther down they are very red and seem decayed. Doctor: Hi. Let me tell you something. Even I have undergone this situation (personally). There are several types of periodontal conditions, out of which, this is called trauma from occlusion due to bruxism, clenching. Your teeth may loose its normal curves or contour and may even get loose. Primary line of treatment involves splint or night guard, along with minor procedures. You can share a picture by following up and attaching a file. I would be glad to assist you. Many a times, such mobility turns out to be more physiological than pathological (as it turned out for me)." + }, + { + "id": 22136, + "tgt": "Are tetanus and rabies vaccine sufficient for scratch by a stray dog?", + "src": "Patient: Hello doctor, I had my thumb accidentally scratched (small to be precise) by a stray dog. While there was no blood, a small scratch remained. I took only one dose of the rabies vaccine and a tetanus injection. Is that alright? Doctor: Hello. Scratches on any region of the body by a rabies animal or suspected rabies animal need to be treated with a five-dose schedule of Rabipur (inactivated rabies virus vaccine) on days 0, 3, 7, 14, and 28. And if that scratch is on regions like head, neck, shoulder, arms, and hands, it must be treated with an additional human rabies immunoglobulin injection (within seven days of the first dose of vaccine) in addition to a five-dose schedule of Rabipur. You have not mentioned how long it has been since you have been bitten and taken the first dose. You should check with your local physician and discuss regarding further doses of vaccine. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4719, + "tgt": "I have a lipoma in my arm. Is there any cure?", + "src": "Patient: Hello doctor, I have a\u00a0lipoma in my arm. Is there any cure? Doctor: HelIo. I have gone through your query and understood your concerns. Lipomas are painless swellings. For lipoma, the best treatment is surgical excision and as it is not a big surgery you can go for it. Consult a general surgeon online regarding the surgical removal of the swelling --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon \u00a0" + }, + { + "id": 29428, + "tgt": "What are the symptoms of blocked fallopian tube?", + "src": "Patient: Hi doctor, My wife has a painful menstrual cycle. Also before marriage, she took Femilon pills for six months for irregular menstrual cycle. We have been trying for a baby\u00a0for around six months. My sperm analysis report is normal. Her HSG abdomen ultrasound is also normal. Is she having any serious type of problem which hinders pregnancy? What are the symptoms of blocked fallopian tube? Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 15860, + "tgt": "What is the treatment for lower back pain?", + "src": "Patient: Hello doctor, There is pain near the lower back portion above the tailbone in the right side, little swelling too. There is no problem in walking but sometimes it pains too much on some jerk or stretch. Doctor: Hi. This seems like coccydynia, pain of coccyx bone or near to it. Did you have a fall on your tailbone a week back? Also, if you had lifted something heavy, this kind of pain may come to lower back and may get radiated to buttocks or lower. Do hot pack for 3 to 4 minutes and ice pack 1 to 2 minutes, at least two sessions in a day. If you have any local pain relief cream, please apply it locally. Those painkillers will not work for this pain. Let me know in five days." + }, + { + "id": 29853, + "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": 7975, + "tgt": "Please tell me about the symptoms of overdose of Podophyllin", + "src": "Patient: Hi doctor, I treated some HPV genital warts using cryogenic therapy, followed by applying a liberal amount of Podophyllin, which I left on overnight. Sometimes during sleep, I became very ill and agitated, had the chills and could not get warm, and when I got up I was very weak and lethargic, no appetite, nausea and diarrhea, swollen throat. I thought it was influenza since the virus is currently being transmitted locally. But upon further reading, the symptoms I am experiencing the textbook overdose of Podophyllin. It has been about 8+ hours and the symptoms have not gotten better, or worse. I washed off the affected area with soap and water with the morning shower. Is there anything else I should do to treat the symptoms, and how much longer are they expected to continue? Doctor: Hi. Your concern is acute systemic toxicity due to Ligans in Podophyllin most probably. Have a single dose (2 ml) of intravenous or intramuscular Pheniramine (Avil) along with a single (2 ml) dose of Dexamethasone intravenous or intramuscular by consulting a general physician nearby you. This will help in stabilizing the symptoms." + }, + { + "id": 4568, + "tgt": "Why do I feel vomiting sensation after having a contraceptive pill?", + "src": "Patient: Hi doctor, I have taken morning after pill after having unprotected sex on my 1st day of periods. Feeling vomiting sensation, but there is no vomit happening. 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": 15891, + "tgt": "Though my interest is good, I am not getting proper erection. Why?", + "src": "Patient: Hi doctor, I am 54 years old. I am a hypertensive patient. Currently, I am taking Telma 20 mg, Metoprolol 25 mg in the morning and Roseday 5 mg at night. My weight is 105 kilograms. I am not getting proper erection nowadays. Though I have an interest in intercourse, I am unable to perform. Before a month, I had a burning sensation after sex which lasted for 30 minutes. I do not have complications like fever, abdomen pain, frequent urination, cloudy or bloody urine, and pain during urination. I consulted my GP, and he gave me a food supplement. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your report shows that you have diabetes, deficiency of vitamin D3 and vitamin B12. Your hba1C (glycated hemoglobin) is in a higher range. Take care of these issues. Have a walk in the morning for at least 30 to 40 minutes every day. Avoid smoking and drinking if you have these habits. Take healthy food and adequate sleep. For erectile dysfunction, I recommend taking Sildenafil 50 mg almost 30 to 60 minutes before having sex. If there is premature ejaculation, you can take Fluoxetine 20 mg or Paroxetine 12.5 mg or Dapoxetine 30 mg one tablet one hour before sexual activity. Try master and Johnson technique for erectile dysfunction and try stop technique or squeeze technique for premature ejaculation if you have." + }, + { + "id": 1358, + "tgt": "I have pain in my fingers, palm, and wrist after working on the laptop from home. Please help", + "src": "Patient: Hi doctor, I am an IT professional, presently working from home for 8-10 hours a day. Six days back my laptop keyboard got packed up. Next three days, I worked with an external keyboard and mouse while sitting on the bed instead of a table and chair. Though I felt strain and discomfort, I somehow continued with it. I felt sharp and dull pains all over the fingers, finger joints, wrist, etc., on the third night. I somehow slept after hot and cold fomentation and had an oral painkiller. From the next day, I am taking complete rest, doing nothing with right-hand fingers. It is almost three days, and still, there is a dull and sharp pain here and there over my right hand. There is no numbness or tingling sensation ever. Also, there is a feeling of discomfort and a sort of weakness in the right hand. Please advise medicine or ointment or exercise. Thank you. Doctor: Hello. Where is the exact location of pain? Is it at wrist or elbow? Is it at shoulder joint too? Are you suffering from hypothyroidism or diabetes? The possible causes are like, 1. Neuropraxia. 2. Carpal tunnel syndrome. 3. Hypocalcemia. 4. Hypokalemia. 5. Viral fever with myalgia. 6. Spondylosis with radiculopathy. 7. Pressure-induced numbness. Use tablet Pregabalin 75 mg once a day for five days and tablet Zerodol MR (Aceclofenac 100 mg + Tizanidine 2 mg) twice a day for three days. Kindly get serum calcium, blood sugar, thyroid profile, and nerve conduction study. If symptoms not improved, then please consult with your physician. He will examine and treat you accordingly. Take care." + }, + { + "id": 27910, + "tgt": "How do I manage my rheumatoid arthritis until I wait for my specialist?", + "src": "Patient: Hello doctor, My primary care physician said that I may have RA. My ESR rate was 27, my CRP was 14.1 and my CCP antibody IgG was 500. What does this mean? I have heard a high CCP result could indicate more aggression in my RA, if that is what I have. Doctor: Hello. I hope that answers your query. Regards. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 27190, + "tgt": "What is the difference between conventional and painless vaccines?", + "src": "Patient: Hello doctor,What is the difference between conventional vaccines and the newer painless vaccines? Which one do you recommend? Doctor: Hello. Ultimately, it is your choice. But, I would recommend the painful one. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21199, + "tgt": "I am in a relationship but now he ignores me. How to face this situation?", + "src": "Patient: Hi doctor, I am a 28-year-old girl. I am working. I am in a relationship with a boy. In our starting years, we both were very well. But now, he has no time to spend with me. When I talk to him, he ignores me. I cannot control myself in this situation. I start crying suddenly. I am sleepless, and I am unable to sleep overnight. The next morning I am busy with my schedule again. I tried to stop talking to him. But I cannot do it. I cannot live without him. What is the solution to my problem? Doctor: Hi. You should have a face to face meeting and clear all your doubts with your boyfriend. You both decide a schedule for each other. Spend at least a half an hour daily with each other. Go for a vacation at weekends. Spend quality time. Spend time with your hobbies like reading books together, painting, playing, sing a song, watch movies together at home, and cook food together. Give some surprise gift or surprise visits. Do not be boring for him. If you both are in love, then you have lots to do together. It is a commitment to give time for your loved ones. Otherwise, there is no meaning of a relationship. Do not get stuck in a toxic relationship if you cannot handle. Life is beautiful if you are in love. But if you cannot enjoy it, then think over it. Live your life. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21763, + "tgt": "Can I take Telmisartan-Cilnidipine instead of Losartan for high blood pressure?", + "src": "Patient: Hello doctor, I have high blood pressure 171/90 with pulse rate 79, blood sugar under control after medication (fasting is 120 and PP is 146). I am taking high blood pressure medicine Losartan Potassium 50 mg. Can I start Telmisartan and Cilnidipine tablets instead of Losartan Potassium with my blood sugar medicine Metformin and thyroid medicine Levothyroxine Sodium 25 mcg? Doctor: Hello. From what you mentioned, you have uncontrolled elevated blood pressure which requires upgrading of your medication. Losartan has the same efficacy as Telmisartan as both are from the same group. I suggest that you change Losartan to Telmisartan/Cilnidipine as the combination is stronger than Losartan alone. We can add other medications in order to achieve the target blood pressure (below 140/90). Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Your blood sugar level is within normal. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1809, + "tgt": "Since I started taking Amlodipine, I have tinnitus. Can I change it with another medicine?", + "src": "Patient: Hi doctor, I have high blood pressure for the last four years. According to my doctor, it happens from genetic since both parents suffering from it. Usually, I have a problem with diastolic blood pressure. It has reached 95, and even more since the systolic stays with 130 or max 140, since that time, I am using Amlodipine 5 mg and Concor 2.5 mg in the morning daily. My pressure is very good with the two pills, and, it is always 110/75. My question is about Amlodipine. Can I change it with another medicine? I am asking this because since I start with it, I started feeling tinnitus in both ears. Is it possible to be the reason? I saw in one report that Amlodipine cause tinnitus some time. Doctor: Hello. It is rare, but yes Amlodipine can cause tinnitus, and it is worthwhile to change it to other medications. The best alternative option is of ARBs (Angiotension II receptor blockers) like Telmisartan. The equivalent dose would be 40 mg once daily, and it would take a week for full effect. And, if blood pressure remains elevated after a week, which is unlikely, then you may need 80 mg. If Telmisartan is not available, then Olmesartan 20 mg is equivalent to Telmisartan 40 mg. It may take a few weeks for it to disappear after stopping it. If it persists after few weeks, then it needs to get examined by ENT specialist for other causes. I hope this helps you and get back if you have any doubts." + }, + { + "id": 1562, + "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": 4454, + "tgt": "Every day I feel intense disgust for humanity and people. What can be done?", + "src": "Patient: Hi doctor, Every day I feel intense disgust for humanity and people. I struggle with sadism, and my last girlfriend broke up with me because that went too far. It has always been a problem in relationships for me. I hate society so much. Every time I see a person I want to torture them brutally. Every house I walk by I want to just kick the door down. I just hate them all. I do not even value my own life. I am nothing. I feel like I was just born for this. Born wrong. Born to be a problem. I tried to fight it too, and I failed. No matter how much I tried to control it, even when professionals were involved, it overpowered me and ruined what little good was in my life. I am no immediate danger of hurting people, but I think one day I am going to really snap. I have built up an intensive library of bad experiences with people, and I do not think I can take much more. People repulse me now. Is there any hope for people whose brains are as warped as mine? I am 31 and I struggle to even hold down a job, because I find I get emotionally exhausted doing things I do not actually want to do. I also have a destructive temper, so that causes trouble at work too. What do I do? I have been through the emotions. You are only another psychiatrist, so I do not know what I am expecting in reaching out again. How can I break the cycle if therapy or medicines, and psych wards have not helped me? I have already tried taking my own life three times. Doctor: Hi. I can imagine how hard it is for you right now, anger, hatred, past traumas and experiences consume us all. In your case, it has gone a little too far. But, the fact that you have reached out even after trying everything is enough for me to see hope and tell you that yes, there is still something that can be done. Change is hard, and it takes huge amounts of strength and struggle but if you have decided that you need to get out of this situation and you are willing to do anything for it, then no one can stop you. I would suggest you to first ask yourself how determined are you for a change. If this is just another call to check if things can work and you yourself have doubts then surely you will fail and everything you try will fail as well. If you decide that you will find a way out, then no one can stop you. I would suggest starting therapy sessions regularly with a psychotherapy expert. If you cannot find one then you can opt for online therapy sessions with me. First, you need to vent out and learn to let go of past traumas. It will be hard and will take time but until and unless you do that, you cannot move forward. Once you are there, that is when we can focus on building new perspective and living a good life. Again telling you, it will be really hard, but it is possible. So find a local therapist or opt for a video consultation and we can talk. I hope this helps. Take care." + }, + { + "id": 17993, + "tgt": "Can DPT vaccine cause neutropenia?", + "src": "Patient: Hi doctor, My son is 15 years. He got his DTaP vaccine two weeks ago and had CBC 20 days later. All came well except neutrophil count, which came back as 800 and total WBC 2500.\u00a0We are going to repeat the test tomorrow. Can the vaccine be the cause for the neutropenia? And if so, how long will it take to recover? Doctor: Hi. Based on your query, my opinion is as follows: If the count continues to be low compared to previous report before vaccination then bone marrow aspiration or biopsy needs to be done. Revert back after the investigations to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15588, + "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": 28994, + "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": 14761, + "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": 9265, + "tgt": "Why am I not able to concentrate while studying?", + "src": "Patient: Hello doctor, I am not able to concentrate while studying. What is the problem with me? Doctor: Hello. There could be many reasons for this issue. If you always had problems with concentration, and not just while studying, but have a short attention span, it could be attention deficit disorder. If the problem is of recent origin and you are getting stressed out with the burden of studies, it could be anxiety. If you have lost interest in studying and some other activities, it could also be depression. Besides psychiatric disorders, being distracted by something else which is on your mind or you do not find the study interesting could be other reasons for lack of concentration. The treatment depends on the exact cause of your problem. Consult me if you feel that any of these explanations could be the cause and you need more help, information, and advice about your problem and medication if needed." + }, + { + "id": 8144, + "tgt": "Can adenomyosis be treated through ayurveda or siddha or naturopathy?", + "src": "Patient: Hi doctor, My wife has adenomyosis and had treatment for it. She had a miscarriage in the fifth month of pregnancy before a year. Myomectomy was done for her and laparoscopic cerclage was done last month. She is now just in vitamin tablets. Can adenomyosis be treated in ayurveda or siddha or naturopathy? Doctor: Hi. Adenomyosis can be treated through siddha medicine by the following therapy. Continue the above drugs for three to six months. During menstrual days, all the above three drugs can be stopped. Once bleeding stopped, then it can be started again. During the menstrual cycle, Malai vembadi thailam (or Kalingaathi thailam) - 15 mL in the morning around 6 AM to be consumed with milk. This may cause vomiting and diarrhea. Only curd, curd rice, fruit juices and tender coconut water should be consumed on these days. This cleaning therapy should be taken for a total of three continuous days during the menstrual bleeding, During these days, she needs to take rest at home. Within three consecutive cycles, most of the uterus becomes normal. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 17341, + "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": 30111, + "tgt": "Is it safe to take four consecutive CT scans?", + "src": "Patient: Hi doctor,The patient met with a car accident and the head bumped on the cemented floor. There is behavior change as if the patient is in amnesia. The doctor repeatedly took four consecutive CT scans as they said that they cannot see the problem with the patient's brain. But, the patient is no more now. Is that fine for a patient to undergo four consecutive CT scans in just eight days? Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16697, + "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": 10653, + "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": 29618, + "tgt": "Shall I get chemical stress test to know the reason for tachycardia?", + "src": "Patient: Hello doctor, I am a 55 year old postmenopausal woman, who is 223 pounds and 5 foot 8 inches height. I have no known heart conditions except for many PVCs and PACs. I was recently diagnosed and picked up on a 48-hour Holter with atrial flutter. My doctor did not say that I had aFib. Doctor wants me to have a chemical stress test for what I have been experiencing now for about a year. Once in every four to seven days, tachycardia wakes me up and it only happens at night time and never during the daytime. In the middle of the night when I am sleeping I feel very hot. And, when this is happening my heart rate shoots up from 120 to 170 BPM and will last anywhere from 5 to 10 minutes and slowly starts to come down. Yes, I do feel anxious when this is happening and I have had panic attacks. Before, they do not feel like panic attacks, but it is still uncomfortable and worrisome. This is driving me crazy. There is no shortness of breath or dizziness. My TSH and T3 are normal. I went to the gynecologist and had a full workup for hormones and all tests were normal. My bloodwork was normal with my cardiologist. My HbA1C was normal. I lost my son before 1.5 years. I cried every day for one full year and I am still heartbroken. Now, I do not want to use that as my reason for tachycardia, because this wakes me up out of a dead sleep. I feel very hot and my skin is red when this is happening. I have to get up and walk around because\u00a0it is bothersome. Any of your answers and ideas would be very helpful. My gynecologist does not think that has anything to do with my hormones. I do not know if adrenalin rises in the middle of the night with postmenopausal women. And, my cardiologist has no idea of what this could be. Doctor: Hello. Episodic tachycardia in the setting of PAC and PVC (premature atrial and ventricular contractions) is suggestive of arrhythmia, may be atrial fibrillation or flutter. We should try to find the cause for it. Do you smoke or have alcohol or any other stimulant drugs? Do you suffer from snoring, interrupted and unrefreshed sleep, daytime sleepiness, headaches, etc? Is there any history of exertional chest pain? I guess, echo must be normal before starting Flecainide. Regarding treatment, I would suggest beta blockers like Metoprolol 25 mg to 50 mg according to heart rate and Flecainide should be pill in pocket approach, that is as and when needed. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1318, + "tgt": "Does normal liver function test assures negative result of hepatitis B and C?", + "src": "Patient: Hi doctor, I just want to know how long do you have to wait to get tested for hepatitis B? I got checked for the first three months and it was negative. I am just nervous thinking was it too early? Six months later I did a liver test and blood test and everything came back fine. I just want to know should I get rechecked or am I good? Are liver tests good enough to check for hepatitis B and C? Doctor: Hi. It is very important to know, why are you willing to get hepatitis B and C tested? If you had exposure, please mention what exposure it was. Also, mention when did you get the exposure and when did you get the test done?" + }, + { + "id": 3131, + "tgt": "Do stings, breast lump, bruise and hair fall predict any sort of cancer?", + "src": "Patient: Hi doctor, I am an 18 year old girl. I am feeling stings in my upper body for\u00a0quite some time. The stings are sometimes in my chest and sometimes in my\u00a0lower abdomen. They last for nearly 40 seconds, but are occasional. And there\u00a0is a lump in my right breast. It is a solid lump and it does not cause\u00a0pain. I have bruises on my legs for three to four months and they are\u00a0not fading. My hairs are falling too much since last month. Do the signs predict any sort of cancer? Doctor: Hi. First calm down and be relaxed. For further information consult a pain medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/pain-medicine-physician" + }, + { + "id": 15361, + "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": 7382, + "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": 8991, + "tgt": "Please suggest a substitute for a condom", + "src": "Patient: Hello doctor, I cannot stay long in bed during sex with husband and condoms is not interesting during sex. What is suitable for precaution instead of condoms? Doctor: Hello. There are several methods as a contraceptive. Such as hormonal and barrier method. Besides this there is a method of safe period. I will explain to you one by one. 1. Hormonal method. a. Daily oral contraceptive pill. b. Three monthly or six-monthly depot hormonal injection. 2. Barrier method. a. Female condom. b. Contraceptive jell. 3. Physiological method, a. Calculation of safe period. b. Coitus interrupts. I think the information mentioned above help you to get your answer. If you want to further detailed fell free to contact me." + }, + { + "id": 24655, + "tgt": "Though there is a delay in period, I am not pregnant. Is that due to hormonal imbalance?", + "src": "Patient: Hi doctor, I am four days late, and today I had some very light spotting mixed with discharge. I have very light cramping and no other symptoms. I had a miscarriage two months ago. Is it related to my hormones being imbalanced? Doctor: Hi. I feel there is some hormone imbalance and it could be the reason for the miscarriage too. Your weight is more than expected. This extra fat will be converted into hormones in the body. This hormone can prevent or delay ovulation, could be the reason for the delay in periods. The inner lining of the uterus will start getting detached on its own. This would appear as bleeding of different severity and as it tries to come out will cause cramps. This is what you are experiencing. You should get bleeding in the coming days, with thick fleshy masses. This is common after miscarriages. So just relax, this will get corrected over next few months. Over these months, try to be as active as possible and have controlled diet. Your weight will reduce over time, and this hormonal imbalance will get corrected. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2880, + "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": 30753, + "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": 15787, + "tgt": "Stomach pain and headache after four days of loose motion. Please help", + "src": "Patient: Hello doctor, My son is having loose motion since last four days. Our doctor gave Rantac, Nutrolin B, and Cyclopam. Till three days his stool was watery but today we observed blood in that and is experiencing acute pain while having loose motion. After that, our doctor suggested giving a half tablet of Lopro and 6 ml Oxaflo 100. After giving this, his loose motion has stopped. But, he is complaining about stomach pain and headache. Please suggest. Doctor: Hello. I understand the situation you are facing. Stomach pain and headache could be related to the infection. Continue giving Cyclopam (Dicyclomine) for stomach ache and Paracetamol for a headache. Also give lots of liquid for proper hydration. If not getting relief with these measures, consult your doctor for reevaluation and further management." + }, + { + "id": 30156, + "tgt": "Will PCV vaccine cause fever?", + "src": "Patient: Hi doctor, My baby boy had his first dose of PCV vaccination. He is suffering from fever now. But, the doctor, who gave vaccination, told me that the PCV vaccine will not cause fever. Doctor: Hi. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 24752, + "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": 993, + "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": 23876, + "tgt": "Which tests should I undergo to determine hormonal imbalance?", + "src": "Patient: Hi doctor, My problem is that I am having man boobs and love handles. They just will not go away. I workout and reduced a lot of fat, but the fat in this area is stubborn. I want to know whether there is any hormonal imbalance in my body like high content of estrogen. What tests should I undergo to determine the hormonal imbalance? I have had this type of physique since childhood mostly after puberty.\u00a0Please check the picture I have attached. Thanks. Doctor: Hi. For further doubts consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 4595, + "tgt": "Kindly suggest an alternate medicine for Indomethacin for joint pain", + "src": "Patient: Hello doctor, I am suffering from chronic gouty arthritis. It started ten plus years ago, and now progressed to every joint in my body with multiple joint attacks at once. I have contant pain in joints, even if there is no attack. The attacks jump from joint to joint nonstop. I have seen many doctors; they can only give me shots and prescription of Indomethacin, which is not working for me as it has been taken for more than 10 years.I have changed my diet to exclude a lot of food and drinks with sugar, purines, citrus, salt, etc. Right now, the pain is in my ankle, knees, and left arm (shoulder, rotator cuff, elbow, wrist, thumb, and neck). I have been very depressed and go to bed in pain and wake up in pain daily. My daily functions are limited. Doctor: Hi. I have gone through your history, and it is a bit unusual for a 40-year-old to have polyarticular gout, that is involving a lot of joints. Firstly, I would recommend you visit a Rheumatologist near you to sort it out. Meanwhile, first, we should rule out if it is gout only or some other form of arthritis, which are intermittent sorts like gout such as Palindromic Rheumatism. I would like to know your last uric acid levels and if you have ever got rheumatoid factor (RF) and Anti-CCP (anti-cyclic citrullinated peptide) done. If it is gout, then Indomethacin is just going to help the attack. You need to start on proper medications. The treatment would be to start tablet Zycolchine (Colchicine) along with drugs like Febuxostat or Allopurinol. 1. 24-hour urine for uric acid. 2. Rheumatoid Factor. 3. Anti-CCP antibody. 4. Liver function tests. 5. Kidney function tests. Palindromic Rheumatism. Zycolchine. High fluid intake. Consult a Rheumatologist at the earliest." + }, + { + "id": 16807, + "tgt": "My lips are swollen. What might be the cause for it?", + "src": "Patient: Hello doctor, My age is 17 years. A part of my upper lip is swollen. There is no pain in it. What might be the cause for it? Doctor: Hi. The swelling of upper lip might be due to allergy, insect bite, or a small trauma. You can take anti-allergy medications to reduce the swelling. I suggest taking tablet Allegra (Fexofenadine) 120 mg has to be taken, one tablet in the morning and a half at night. The total dose in a day should be 180 mg. Consult a specialist doctor, discuss with him or her and start taking the medicine with their consent. If the swelling persists even after taking the medications, consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28597, + "tgt": "Please see the x-ray, and tell me the reason for my foot pain", + "src": "Patient: Hi doctor, I have foot pain, and I want to get some advice on the attached\u00a0x-ray. I have been using moon boot for eight weeks (non-weight bearing), but I had to walk with it over the last couple of weeks. What is the dark area at the base of the first metatarsal area? Should I be concerned about the space between that area? And should I also be worried about the spacing near the cuboid and the fifth\u00a0metatarsal on the oblique view? I do have a fourth base capsular disruption, as per my surgeon. Doctor: Hi. I have seen your\u00a0x-ray (attachment removed to protect patient identity). Please let me know these details. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29448, + "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": 23174, + "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": 21663, + "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": 13121, + "tgt": "I have regular periods. Can I conceive after a miscarriage?", + "src": "Patient: Hi doctor, I had a miscarriage last year. Planning to conceive now. My periods are all regular. Please advise. I hope that it is all well this time when it happens. Doctor: Hi. If regular periods, just have to take precautions. Then those will be helpful for you. As already had a conception, it means can have more as well. Have Folic acid daily 5 mg if high BMI and/or have been treated for any chronic health issues. Have complete treatment of any health issues you have. Recreational activities and quit recreational drugs. Have a balanced diet with less salt, sugar, oil, and spice. Have sex in the fertile period of the cycle with proper penetration, orgasm and rest after sex. Have normal BMI and weight by daily exercise, walk or yoga. I hope things would be better." + }, + { + "id": 26175, + "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": 17980, + "tgt": "The scan says my baby's growth is 10 days behind its age. Please advise", + "src": "Patient: Hi doctor, I am a 35 year old\u00a0female. I am 22 weeks and two days pregnant and was told at my last scan that the baby is about 10 days behind in size. All the other readings were normal, and the growth of the brain was normal for the gestational age. We are not very tall people. My husband is 5 feet and 7 inches, and I\u00a0am 5 feet and 1 inch. My question is, is it normal to be behind by these many days? We were suggested to go for an amniocentesis and have a look for Down's syndrome. I had a nuchal translucency test at week 13, which was 1.71 and the fetal anatomy was considered normal. We are in two minds whether we should go for an amniocentesis or wait until the next scan which is in another 10 days. I have read somewhere that lack of proper nutrients to the baby can also be a cause. Any advice would be appreciated as this our first baby, and we would like some inputs, please. Doctor: Hello. I can understand your concern. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4574, + "tgt": "My father noticed blood in sputum. Is it cancer?", + "src": "Patient: Hello doctor, My father is 55 years old. He is a patient having DM, CAD, CABG, HT, CKD and SHT. Now, he has severe cough for more than 15 days and can see blood occasionally while spitting. He is also undergoing dialysis twice in a week. His present hemoglobin is 8.1, creatinine is 4.6 and urea is 81. I am worried whether it is cancer. Please help. Doctor: Hi, Welcome to cliniq.com. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 10758, + "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": 10251, + "tgt": "Which ayurvedic medicine can give a long time relief from asthma?", + "src": "Patient: Hello doctor, Thank you for giving us the first query free. I am 26 years old male suffering from asthma for the past 14 to 15 years. So, I feel shame for myself when I use an inhaler. I am not able to go on tour especially in winter because I do not want to share my worst condition in front of my known people. I do not need any sympathy faces. Sometimes, I do not feel shortness of breath but wheezing irritates me, and I am unable to focus on work. When people leave me alone, then I take inhaler. When I take a bath in winter, I feel shortness of breath. Right now I am taking Bresol (Himalaya tablet) two times a day for past two months with lukewarm water. This winter I am drinking lukewarm water every time. But the problem is still there. When I go to sleep, I feel wheezing and the same when I wake up. A pharmacist said to use Septilin (syrup) with Bresol and take Bresol thrice a day and Septilin twice, and nobody told me how long I have to take this. I know asthma is not curable. Please give me some good advice and names of medicines (ayurvedic) for long time relief. And also advise regarding Bresol and Septilin (especially how long I have to take this). Doctor: Hello. Regarding the continuation of medicines, you may have to use the multivitamin tablet, Septilin (Tinospora) and Bresol (Turmeric, Vasaka, and Vaividang) for a long time till your allergic condition persists. These medicines are for helping your body develop good immunity against the respiratory problems. These medicines act slightly different than inhalers. Although, I would like to tell you that inhalers are scientific. Ayurvedic medicines may not help to get respite from an acute problem. Asthma is a manifestation of hypersensitivity. It is wise to find the cause of the hypersensitivity. We call the same allergy. Rhinitis asthma is different manifestations of allergy. Allergy is present in the genes, and we may not be able to cure allergy entirely. Allergen avoidance forms the mainstay of the treatment and management of allergy. You should be carefully noting down which areas and circumstances lead to the symptoms in you. Like going to gardens, smoking, pollution, dust, particular smells and fragrances, fumes, effluents, climate, etc. You should also note when the symptoms are more and when they are less. Whether there are any seasonal or diurnal variations. Once you have a detailed diary regarding this, you will be able to make some reasonable conclusions regarding when you have to be careful. Next method of finding out the allergen is allergy testing. The two methods available are skin prick testing and blood immunoCAP method. Both methods are easy and fast, but skin prick testing is more accurate. Once we find out the allergens causing the problem for you, we can give you specific advice on how to avoid these allergens and stay safe. The treatment of Septilin and Bresol that you are taking are to help your body stay healthy, improve immunity, provide all nutrients and micronutrient for the body to deal with offending agents. But these are not the definitive cure for the problem. Hence, it is not possible to say clearly till what time you will have to take the medicines. Additionally, if you get an asthma attack during the course of these medicines, you may still need inhalers or nebulization or medicines on an SOS basis. Do share with us your prescriptions and investigations reports so that we can help you better. Hope to see you healthy soon. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 29770, + "tgt": "Why am I feeling drowsy post lunch?", + "src": "Patient: Hello doctor, My college is in a location that is away from my home. I have joined a mess for having food. There excess soda is used in rotis for profit purpose. Due to which, after having lunch I feel drowsy and is compelled to sleep in half an hour from then. And that is the only reason, my study is pending much more and I have a great desire to overcome it. Please give me some advice. Otherwise, my dream would get diminished soon. Doctor: Hello. Inadequate sleep or improper diet or hectic schedule. Revert back after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10229, + "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": 18969, + "tgt": "Are body pain, headache and skin rashes symptoms of dengue?", + "src": "Patient: Hi doctor, My daughter is 10 years old. For the past eight days, she has been suffering from body pain, headache, and some skin irritation. Her doctor said that it is pitta acidity. There is no improvement till date. Last year, during rainy season, she had some face and body irritation problem, which solved after taking Alerid tablet. Please help. Doctor: Hello. To understand the condition better I need to know the following things. Revert back with the answers to the above questions to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 20910, + "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": 22808, + "tgt": "I had sex on second day after period. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, On the second day after my period, I had sex with my husband. I have taken I-pill within 24 hours. What is the chance of pregnancy? Also is there any chance of bleeding after taking the pill? Doctor: Hi. If you have taken the I-pill within 72 hours of sex, the chances of you getting pregnant are slim. Yes, the I-pill is high in hormones and has side effects like spotting, withdrawal bleeding, delayed period, irregular bleeding, etc. But you must also know that the I-pill has a 0 to 2 % failure rate. So, if you do not get a period for two weeks after your expected date, do a pregnancy test. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13909, + "tgt": "I am not able to penetrate vagina due to insufficient erection. Please help", + "src": "Patient: Hello doctor, I am a male, 23 years old, weight is 65 kg, height is 5'9\". My penis is not getting hard for sex. The penis is getting erect but not getting hard enough. Due to this, I am not able to put my penis inside the vagina. Also, I ejaculate within 10 to 15 seconds (3 to 4 stock). And now I am avoiding sex because of this problem and getting less interest day by day. I do smoke regularly and drink occasionally also. I used to watch porn in excess and masturbate regularly. Please help me out. I am very much tensed about my future sex life. Please consult me what to do I want to get rid of this major issue. I cannot tell this issue to my family or friends also. I do not have enough money to consult a doctor privately. Please look into the matter. Doctor: Hi. I have read your problems carefully. After getting above mentioned history, my assumption is that your problem is psychological rather than organic. But I need some information and investigation reports to confirm it further. If you want to visit any physician, I advise to consult with endocrinologist first and after excluding organic disease, you need a psychiatrist. Masturbation and doing sex are different issues. In the case of masturbation, we try to ejaculate as soon as possible. But in case of doing sex, we try to do sex as long as possible. So there is a psychological issue. Besides this, anxiety also can precipitate this problem. So after doing some investigation and excluding organic cause, I think you need some psychological counseling." + }, + { + "id": 14044, + "tgt": "What are the risk factors of sexual intercourse with type 1 herpes patient?", + "src": "Patient: Hi doctor, I just recently started dating a man that informed me he has type 1 herpes. I want to know the risk factors and protective measures I can take if I choose to start a sexual relationship with him. Doctor: Hello. Type 1 herpes is a sexually transmitted virus. It spreads with contact with an infected person. It can lead to oro-genital infective lesions. To prevent it, avoid any kind of sexual contact with the infected person especially when the person is having active lesions. If you already had the contact, take precautionary prophylaxis of antiviral medications. Yes, you can have sexual contact with the person but there will be minimal chances of getting infected even if the partner is not running any active lesion. Condoms do not prevent the spread of infection in this case." + }, + { + "id": 6892, + "tgt": "My son does not like to do his homework even after requesting him. Is beating advisable?", + "src": "Patient: Hello doctor, My son is 8 years old, and he does not like to do his homework. We requested him to do his homework in a soft voice and tried consoling him to study. Eventually, we gave up and heavily reprimanded my kid almost every day. Sometimes we beat him if things do not happen as expected. Later, we feel sorry for reprimand or beating. But, for the sake of his future, we console ourselves for behaving in such a way. I wanted to ask if we are doing the right thing? Is beating a child advisable? What should be done if he does not study even after requesting him in a soft voice? Please guide me. Doctor: Hello. Your experience with your son is common among many parents. The situation can be managed with appropriate support. Find out the reason why your son does not like to do his homework. Is he lazy or having any difficulties with studying, reading, or maths? Does he have any problems with attention and concentration? Discuss with his class teacher about how he is doing his work at school. If he is able to manage well at school, then learning difficulties are less likely. But if he struggles in school as well, mild learning difficulties need to be ruled out. Also, make sure that his vision and hearing are good. Regarding your questions, beating regularly will never be helpful. It is not easy, and it can be frustrating if the child refuses to do as told, but reprimanding and beating in this situation will not help. It will make your child feel negative, make him more stubborn, and make things worse in the long term. Use positive praise and rewards liberally. You can enforce discipline by using negative consequences if a child is not following rules (like limiting the access to TV, games, etc., for a short period). Follow a carrot and stick approach, which does not involve reprimanding or beating the child. It may take some weeks to see the difference, but both parents have to be consistent in your approach. I hope this helps." + }, + { + "id": 10569, + "tgt": "Can I take Damia drops for premature ejaculation and erectile dysfunction?", + "src": "Patient: Hello doctor,My age is 28, and I think I am suffering from sexual weakness like premature ejaculation and erectile dysfunction. I want my young days back. I think it is just sexual weakness. Can I take Damia drops? What is the dosage and till when I have to take for six months or a year? Doctor: Hello. I suggest you have Agnus castus 200 three times a day at every eight hourly for at least 10 days. This medicine will help with both premature ejaculation and erectile dysfunction problems. Please also inform me if you have diabetes, high blood pressure, or any other diseases, so I will help us to do more and appreciate the treatment. I would also like to suggest you do some physical exercise daily in the morning for at least 30 minutes." + }, + { + "id": 20762, + "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": 1920, + "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": 24238, + "tgt": "Why is there fungus on the nail beds of my fingers and toes?", + "src": "Patient: Hello doctor, Why do I have fungus on the nail beds of my hands and feet? Doctor: Hello. Nail bed fungal infection could be due to either continuous exposure to water or immune deficiency. It is treated with a systemic antifungal for six months and keeping nails dry most of the time. Immune-deficient conditions should be excluded. Please send me a photo of your nails in order to classify how severe it is. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7403, + "tgt": "Is it safe to take both Adderall and Propranolol?", + "src": "Patient: Hi doctor, Is it safe to take both Adderall and Propranolol? I have ADHD and I am taking Adderall. I have been asked to speak about my career, but I get paralyzing stage fear every time I speak in front of a crowd. A psychiatrist prescribed me Propranolol, but this does not seem like a safe combination. It is a kind of like how beta blockers are avoided when people have used cocaine. I spent a year after college as a research assistant in an emergency department. Please help. Doctor: Hi. We are here to help you. The fear and uncomfortable feel of standing and speaking in front of crowd is due to anxiety only, which can be an independent entity or can be associated with ADHD (attention deficit hyperactivity disorder) itself. Propranolol is going to reduce anxiety, but yes it should be avoided if you have been using cocaine or have any respiratory issue associated. In my opinion the best drug for you would be SSRI (selective serotonin reuptake inhibitor) like Paroxetine which will not interact with Adderall (Amphetamine) or even with your cocaine issue. Revert back with the answers to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21776, + "tgt": "Should hypothyroidism medicine be given for TSH level 8. 12?", + "src": "Patient: Hello doctor, My mother aged 75 years has TSH 8.12. She has adrenalism and takes Hisone 12 mg daily. Should she be administered medicine for hypothyroidism? Doctor: Hello. There are higher chances of hypothyroidism in a patient who has hypoadrenalism (Addison's disease). These both conditions can be the manifestation of the same underlying process (autoimmune). If your mother is symptomatic (weakness, dry skin, hair loss, constipation, pedal edema, etc.), then she requires thyroid supplement. To start it, I will need further investigation (free T4 level, anti-TPO antibody reports). Does she have any underlying heart disease? Please provide this information so I can help you in a better way. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6651, + "tgt": "I am having stage fear. Please suggest a solution to overcome it", + "src": "Patient: Hello doctor, How can I overcome my problem of coming up forward for something? The main problem faced by me is stage fear, and I do not know how to cure it. Please give me a solution for it. Doctor: Hello. Stage fear is quite common in your age group and among many adults as well. It can be managed by taking appropriate steps. Do you have any generalized anxiety or social anxiety? It can contribute to stage fear and need to be addressed. You have already taken the first step in acknowledging the problem and trying to get the support. Try to practice relaxation strategies regularly. Practice deep breathing and progressive muscle relaxation exercises daily. You can also try yoga and meditation. Try not to avoid social situations. Avoidance only leads to perpetuating your anxiety. Try to face anxious situations in a hierarchical manner. Start with the least anxiety-provoking situation and gradually work your way up as your confidence increases. For example, start talking to two or three people initially. When you are comfortable, try to address a small group. Then progress to talk to a bigger audience. Take your own time, but try to expand your comfort zone gradually. If you are experiencing any significant anxiety symptoms, you can consult a psychiatrist for further assessment. Counseling and CBT (cognitive behavioral therapy) can be helpful." + }, + { + "id": 14116, + "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": 9941, + "tgt": "When will I get the rubber bands and power chains during the orthodontic treatment?", + "src": "Patient: Hello doctor, I have my braces for three or four weeks I suppose to get spikes because my tongue thrusting I was wondering do I get the spikes when I go to my next visit? When will do I get the rubber bands and power chain? I hope you can tell me some more information I am looking forward to. Doctor: Hello. The time at which the tongue crib appliance is placed is usually in earlier visits at the start of treatment. However, this decision depends on a multitude of factors, along with your orthodontist treatment approach. It varies with each orthodontist. Also, elastics and e-chain are used for many different purposes like correction of bite, closing spaces, aiding in alignment, retraction, etc. So again, it depends on what tooth movement your teeth require. The simplest way of knowing is to ask your orthodontist for these details." + }, + { + "id": 3971, + "tgt": "I have to undergo eyelids lift surgery. Will a tube be inserted inside my throat during surgery?", + "src": "Patient: Hello doctor, I am going to have the muscles shortened in both eyes and then my eyelids lifted. They say I will be asleep when these muscles are shortened and then they will wake me up so I can talk and move my eyes. Will they put a tube down my throat? I am so scared about having this done as I panic when a lot of people get around me. I was in a serious car several years ago and it took for the medical personnel an hour to get me out. Doctor: Hi, Welcome to icliniq.com. As far as anesthesia is concerned in your case, the eyelid surgery may be done under general anesthesia which does require securing your airway safely. Prior to securing the airway, you will be given injectable medications to make you fall asleep so that you do not remember and also you are not aware of the procedure when it is being done. So I would suggest you not to worry. As general anesthesia is a safe procedure when given by an experienced anesthetist. Now let me tell you about either of two tubes that may be used for the procedure are laryngeal mask airway (LMA) and endotracheal tube. LMA has advantages over endotracheal tube of less postoperative sore throat and lesser intraoperative rise in blood pressure and heart rate. This insertion and removal of airway tubes are safely done while you are unconscious so you are not aware of the procedure. So please do not worry. General anesthesia is given meticulously nowadays and patient safety is a primary concern." + }, + { + "id": 2466, + "tgt": "Even after taking Oxidil for injection abscess, pus drainage and redness still present. Why?", + "src": "Patient: Hello doctor, A doctor gives an injection to my mother. After 45 days that starts to pain with swelling and red area of about 7 inches. I checked again. He asked to take Oxidil IV injection. After six Oxidil injections, the pus comes out and the red area decreases. Now pus does not come and we are using a bandage on it. Oxidil was stopped now and after about one week pus comes again today and the red area is about 1.5 square inches. The area below that red is hard. What do you suggest? Should I use some more Oxidil or Augmentin? She is 65 years old and we are trying to avoid surgery. Kindly guide me. Doctor: Hello. I understand the problem your mother is facing. According to the history you have provided I believe she has developed injection site abscess though it is not uncommon in elderly people it can happen. Your doctor has started her on a single antibiotic injection Oxidil (Ceftriaxone) but it is my opinion that it is better for her to undergo incision and drainage procedure. It is a small procedure once wound is opened she will have immediate relief following by antibiotics. If she has no other conditions such as diabetes her wound should heal within a week or two. If you continue to treat her only with antibiotics (Oxidil) I believe it will not subside completely and it will reoccur. She should have also been given injection Metronidazole iv thrice a day if pus is present. If you send a picture of the wound site I can comment further. In my opinion, surgery is still the best option. I hope this helps." + }, + { + "id": 1056, + "tgt": "Can you please review my blood test reports?", + "src": "Patient: Hello ! Can you please review my blood test? My concern are low level of ferritin, high level of B12 and Urine WBC is very high. Doctor: Hi, Welcome to the icliniq Following is my opinion for your asked question. The low ferritn , Low Mcv could be suggestive of early iron deficiency anemia. The common cause for high B12 include supplement intake , Liver disease or Kidney disease. Your liver & kidney profile reports are normal.So don't worry about that. If you have any history of supplement intake than mention it.B12 excreted by urine , so might need not to worry about that.High Non Veg food also sometime can cause elevated B12. For low ferritin no need of any treatment.Repeat your serum ferritin & serum iron after few days. The WBC in urine could be due to urinary tract infection.For that investigate further with urine culture report.Meanwhile take more water & cranberry juice extract tablet.Attach the urine culture report once done. Hope this will help you Regards" + }, + { + "id": 9791, + "tgt": "I am nearing menopause and periods have become irregular. How to manage?", + "src": "Patient: Hi doctor, I am 48 years old. I have been experiencing irregular periods, which I realize as normal as I am entering menopause age. Last month, I did not get my period. But, this month it has been a heavy and lengthy one for more than 17 days now. I felt the normal fatigue and today, I have been feeling lightheaded, short of breath and increased heart rate. I am currently waiting to hear from my referral to schedule an appointment with a gynecologist. Until then, is there anything I can do to minimize bleeding and avoid an ER visit? Doctor: Hi. If you have bleeding and you have to change two to three pads per day, then you do not have to do anything for bleeding on urgent basis. At 48 years of age, if you are bleeding heavily, then better get an appointment and check your cervix and the other things. If required, do a Pap smear or cervical biopsy or dilatation and curettage and send for HPE (histopathological examination) to rule out cervical cancer. If everything is fine, then you can wait for menopause to come and take medication as and when required. If you are passing clots and there is more bleeding, then I suggest you Etamsylate like tablets two to three times a day. Consult your doctor, discuss with him or her and take the treatment with consent. If not controlled or have vertigo and disorientation-like symptoms, then rush to the hospital and get checked immediately. Because, your body can withstand bleeding up to a limit according to your blood hemoglobin level. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14230, + "tgt": "I took Clonazepam for sleep disorder. I am feeling agitated,hyperactive and sometimes suicidal thoughts come in mind. Please help", + "src": "Patient: Hello doctor, It was five years back when I encountered sleep problem for the first time, and at that point, I was doing a night shift. I consulted a doctor, and he suggested me the medicine Clonazepam 0.5 mg. I had continued Clonazepam 0.5 mg for 1 year. After more than a year, I got to know from a medical personnel that, Clonazepam is a sleeping pill, and I immediately stopped taking it. From then onwards, my sleeping problem increased. I was feeling agitated, mentally hyperactive, and sometimes suicidal thoughts came in mind. Sometimes I had difficulty breathing. Suddenly a year back, my work shift changed to day, and I have been able to sleep around 6 to 7 hours, up until two months back. Meanwhile, I also started taking omega-3 health supplement to tackle daily office stress. For a month, I have been able to sleep for 3 to 4 hours only and take a long time to fall asleep. It has been around 3 years that I am frustated with my sleep problem. What should I do? Doctor: Hi. I have read through your query in detail. Please find my observations below. Clonazepam is a benzodiazepine group of medicine and prescribed for psychiatric problems including seizure and panic disorder. Having suicidal thoughts is a known side effect of Clonazepam. You did a good thing by stopping Clonazepam medication after realizing that it should be taken only when required and for psychiatric problems. Since you had a normal sleep cycle from recently, you do not seem to have any serious psychiatric illness. However, with the recent change in work shift pattern, you might have developed what is called shift work sleep disorder (SWSD). This is frequently seen in people who work in shifts and suddenly have to adjust to new work timings. You have to work on two areas to adjust yourself to the present shift timings: To keep yourself alert at work and during travelling please follow the guidelines below: During the day, catch up on your sleep in the following ways: Please try and put the above suggestions in practice for at least 15 days to a month." + }, + { + "id": 24944, + "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": 12937, + "tgt": "I take BP medicines. Does my ECG look normal?", + "src": "Patient: Hello doctor, My ECG is attached (attachment removed to protect patient identity). I regularly have high BP medicines. At present, my BP is normal. Doctor: Hi. The ECG shows that you have a fast heart rate of around 120 bpm (100 is the upper limit normal at rest). This could be because you had the ECG immediately after walking long distance or not had adequate rest before you had the ECG. If this is done at rest (that is at least 10 minutes rest) then you need to start taking some medications to control the heart rate or increase the dose if you are already on one of those medicines. It is worth keeping an eye on your heart rate regularly to make sure that it is not a one off fast heart rate." + }, + { + "id": 13934, + "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": 10816, + "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": 5514, + "tgt": "Can excessive masturbation cause tickling sensation in penis?", + "src": "Patient: Hello doctor, For the past few months I have had a terrible tickling sensation in my penis caused by what I believe to be excessive masturbation, and I have been trying to cut back but with difficulty. I have spoken with a urologist and a neurologist elsewhere but they said it should go away on its own and that masturbation should not cause such a thing, but this answer does not satisfy me as it has yet to cease and has been tormenting me non-stop. I do believe vigorous masturbation to be the culprit hence I try to cut back but with the sensation still continuing. The feeling gets really bad especially when I sit down on a seat or lay on my side in bed. And car rides are the worst. I have studies that I attend to, I stay in those to help get my mind off of the tickling but with no success as the tickling bothers me that much. I have difficulty doing anything, and I am afraid to get a job having this feeling all the time. Exercise and drinking lots of water do not help at all. I tried Azos with no relief so I moved on from that. I had a random urine sample taken at the doctors office and it came out fine but I am not sure what they looked for when they tested it. I had my privates visibly examined and the doctor said everything was fine. Also, I had my hormone, testosterone levels checked and the doctor said they were fine as well. I have not taken any medicines or prescriptions for this condition, and currently I am not taking anything. I am so very tired of this feeling as it has been interfering with the things I love the most. Worst part of all this is that since I feel ticklish down there my mind gets filled with all kinds of sexual thoughts stimulating me to masturbate even more making the feeling even worse and more intense than before, there are times I cannot even sleep at night because the tickling or aroused feeling is so bad. Please tell me if there is something I can take for this and how to get it. Doctor: Hello. I would like to know a few details: 1. Since when this started to happen? 2. Is it persistent or intermittent? 3. Where exactly this tickling sensation happen in your penis? At its tip/ undersurface/ upper side/ at the base of penis? 4. Do you mean tickling feel is different from aroused (erection) or same? 5. What kind of thoughts come in your mind during that feeling? 6. Have you any burning / pain while urinating? 7. What happens to that tickling sensation, immediately after you finish off masturbation and ejaculation? 8. How frequently you masturbate these days? 9. Have you recently done unprotected sex with any girl or guy (prior to start of this tickling)? Please revert with above mentioned details and also send your till now prescriptions and test reports for better understanding and further judgement." + }, + { + "id": 8316, + "tgt": "Is it safe to opt train travel while recovering from a ruptured eardrum?", + "src": "Patient: Hello doctor, I am currently recovering from a ruptured eardrum due to a bacterial infection of my inner and middle ear. I am still oozing a little bit, mostly at night, but the pain has finally subsided. The pain was very bad for about a week. I have finished taking my Amoxicillin tablets, and now I am finishing my anti-bacterial ear droplets until the bottle runs out per doctors orders. As of right now, my doctor advises I not fly for at least another two weeks. I am reading mixed things about ear and pressure when exposed to an airplane or a tunnel, but still very uncertain if the pressure experienced by a tunnel is the cause for enough concern at this point to not to go on my trip. I would like to know whether the train would be fine for me? Doctor: Hello. If the channel tunnel that you would probably take is deep water, then it is best to avoid. Flight journeys and deep-sea pressures expose you to extreme changes of stress, which usually get compensated by a normal functioning eustachian tube. In your case, where you suffered a ruptured drum due to an infection, the middle ear, the drum, and the eustachian tube are slightly going to be inflamed now and still not in the best of their functions. In such a situation, your undertaking such journeys with extreme changes of pressures can cause a rupture of the thinly formed fresh drum. So it is better to avoid it." + }, + { + "id": 18408, + "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": 386, + "tgt": "I have a circular black patch on the back with severe itching. Please help", + "src": "Patient: Hello doctor, I have a black patch on my back which is almost circular and is itching constantly. It has become quite big in the last three to four months. Can you please suggest what it could be and what I can do? It feels good when I put hot water on it. And it becomes very dry. It has a small line on its edges. The itching is happening continuously. It subsides a bit when I apply moisturizer. But the black patch seems to become darker. Doctor: Hi. Can you attach the picture of the lesion for an accurate diagnosis and treatment plan? Please attach a picture of it." + }, + { + "id": 22587, + "tgt": "Could it be an issue of the crown that causes pain in the teeth?", + "src": "Patient: Hi doctor, About 13 years ago, I had an abscess on the right upper first and second molars. The Endodontist has done root canal treatment in these teeth and crowns were placed after the treatment. Recently, I experienced pain around the gums in the second molar and there is a pain radiating to the head. I went to my dentist. He examined and took an X-ray which looked fine. The crown was removed and cleaned by the Hygienist with a Listerine or Peroxide mix. There were food particles and they cleared the food particles present in the crown. My dentist advised me to take tablet Zyrtec every day. The teeth still have a dull type of pain. Could it be an issue of the crown that has not been shown on the X-ray or there is any allergies? Doctor: Hello. It could be mostly due to food impaction causing infection below the crown. So, the dentist might have tried to clean it. If you have X-ray of the teeth please attach it for examination. This pain is definitely not an allergy. Use warm salt water gargle twice a day for a week or two. There will be a relief. If still, the pain persists or increases in future then, you have an option including extraction of the teeth or replacing the crown with a new one causing no food impaction below the crown. You need to take antibiotics for a week if the gums are irritating and if there is a pain. For more information consult an endodontist online --> https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 13392, + "tgt": "Is it possible for benign prostatic hyperplasia to turn into cancer?", + "src": "Patient: Hello doctor, My father aged 54, on USG of whole abdomen shows prostate weight 31 gm. A year back, the prostate weight was 26 gm. He is taking Contiflo Icon 0.4 tablet. The doctor says it is very likely BPH. Can it turn into cancer? Doctor: Hello. This prostatic enlargement if suggested to be BPH after examination by an Urologist to be benign then very unlikely to be cancer. Prostate size growth over one year may be falsely positive due to different radiologist performing ultrasound, some variation. And progressive slow growth is expected. For cancer, have a screening (if family history of father or brother). S. PSA and DRE digital rectal examination if normal then unlikely to be cancer. The duration of treatment for BPH depends on symptoms." + }, + { + "id": 9202, + "tgt": "I am unable to sleep properly because of the window noise and it leads me to stress. Kindly help", + "src": "Patient: Hello doctor,I wake up repeatedly because of noise from the window and bad dreams whenever I sleep alone. My family leaves me forcefully alone at home all night. Then the headache starts. When I cry, headache increases. I have no help. I cannot continue my job like this. I have zero support from family, and I am in stress. Please help. Doctor: Hello. The repeated disturbance of sleep actually can be due to stress and of course, noise from the window can also. This sleep issues can lead to a headache. So start practicing good sleep hygiene. You can search it as it includes going to bed and coming out from bed at a fixed time. Keep your bedroom dark and quiet. Close the window from where noise is coming. Do not nap during the daytime. Avoid watching TV or mobile one hour before going to bed. You can take Paracetamol or Naproxen for headache whenever required. You need to take some time from your busy schedule for yourself. Go for a walk, do some yoga, meditation, or exercise. This will help you to come out of your constant stress. Continue stress can lead to depression, so please visit a nearby psychiatrist for further evaluation. Antidepressants such as Escitalopram or Paroxetine can help you to manage that. This medicine will also help in sound sleep." + }, + { + "id": 3691, + "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": 17766, + "tgt": "I have many lumps in breasts that are painful during periods. Are they fibroadenomas?", + "src": "Patient: Hello doctor, I have many lumps in both breasts for the last few years. All these lumps were diagnosed, and we got to know that these are fibroadenomas. But still, I am tensed. What diet should I take and how to proceed further with the treatment so that it does not turn into something worse? I have pain and tenderness in my breast sometimes. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23796, + "tgt": "Facing issues with fecal incontinence, How to get rid of this permanently?", + "src": "Patient: Hello doctor, I have\u00a0been facing issues with\u00a0fecal incontinence. I am unable to control stools. I also have irregularity in passing stools. It is like, the moment I feel like going to the toilet, I get heavy\u00a0pain inside my stomach\u00a0and after which I am unable to control stool movement. There is also some gas passing through when stools come out. What measure can I take to get rid of this\u00a0permanently? Doctor: Hi. The condition which you have mentioned might be due to constipation. Constipation causes hard stool impaction and around which soft liquid stool percolates. Advice: Report back after 15 days to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 31049, + "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": 12056, + "tgt": "Kindly suggest the foods that can be taken when I am sick", + "src": "Patient: Hello doctor, Kindly tell me: 1. What are some foods that are great to eat when you are sick? 2. How can these foods boost your immune system or promote healing, etc.? 3. Is it important to eat a variety of foods when you are sick, or more important to stick to a few highly nutritious staples? 4. Is there anything else someone should know about choosing foods when they are sick? Doctor: Hello. I just read your query. Yes, food is always important especially when you are sick. Because if you take proper food you will not require medicine. When you are sick you need to take food which should be easy to digest, healthy, maintain fluid and electrolytes balance and have various nutrients. Food items include soups, khichadi (porridge made up of rice and skinned splitmung gram), daliya (cracked wheat), oatmeal, fruits (may vary from condition to condition), coconut water, herbal tea, yogurt, and dairy products (may vary in some condition). As these foods are a source of nutrients and provide fluids and electrolytes so they help in healing from sickness and also improves immunity and provide us energy. You can shuffle food items but it is important to take nutritious food daily. Selection of food items varies from one problem to another like if a diabetic patient will get sick his food regimen will be different from a hypertensive patient or from an otherwise healthy person." + }, + { + "id": 7832, + "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": 71, + "tgt": "Why do I have pain during intercourse, spotting after, and burning on urination?", + "src": "Patient: Pain during intercourse , spotting after, burning urine. Chronic pain, and it is getting worse. I am birth control pills. Went to the doctor about it they said I didn\u2019t have any sti\u2019s or std\u2019s. Doctor: Hello, Welcome to Icliniq. If the infection are ruled out, then the chronic pain could be due to a condition called Endometriosis, where there can be severe pain during periods, and in worse cases it can be a while passing motion or while having sexual intercourse. Please get an ultrasound done to look out for any Endometriotic cysts. Also get an examination done with your Gynaecologist for looking up at your cervix to find out the cause for post coital spotting. As for the burning during urine, it could be due to urinary infection. Please get a urine culture sensitivity testing, and drink plenty of water. You need to start the appropriate Antibiotics after collecting the sensitivity test result. Hope this information help you. Please feel free to consult me anytime with any further queries or for any further information. would be happy to help you out. Have a nice day. - Ultrasound Abdomen and Pelvis - Urine routine and microscopy - Urine culture and sensitivity. ? UTI with ? Endometriosis After thorough evaluation and diagnosis of the condition - Drink plenty of water at least 3-4litres a day." + }, + { + "id": 5756, + "tgt": "Everytime when I urinate some urine get stuck in my penis. Why?", + "src": "Patient: Hello doctor, I am 16 years old. Every time when I urinate some amount of urine gets stuck in my penis and feels like it is just ready to come out. But it does not come out, even shaking the penis does not work. Sometimes when I sit on chair one or two drops come out very rarely after I urinate. I did an ultra sound a few months ago, my prostate is normal and it showed signs of mild cystitis, and bladder infection. I also took medicine, but there is no improvement. Can the urine go back into my testis? I do not have a burning sensation and no pain. I have mild testis pain and it keeps itching. Please give me a cure for this. Doctor: Hello. I just read your query. First of all, if you should go for a urine culture examination. It will reveal if there is some kind if infection. If the infection is present then you need medication according to it. Sometimes infection too may cause cystitis. You do not need ultrasound right now. Wait for one more month if condition worsens, then go for it. Second thing if some urine stuck into your penis then it does not go back to your testes, so do not worry at all and do not keep on scratching your testes as it would not help you cure your problem. Now to improve your problem you have to take precautionary measures. First of all drink plenty of water. As it will help to flush out the system. At least take 8 to 10 glasses of water per day. Take syrup Neeri two tablespoons with water twice a day for three to four weeks. It will help you in cystitis and control your urge of urinating again and again. Take Gokhshuradi kwath 10 ml with water twice a day for two to three weeks. It will help to clean your bladder and help to remove the infection if any. Take syrup Mentat two tablespoons twice a day with water for three to four weeks. It will help you in calming down your mind and help in preventing the urge of urinating again and again. Sleep adequately. Sleep for seven to eight hours at least. If you masturbate excessively then stop doing that. Also, do not take any kind of drugs, do not smoke and do not take alcoholic beverages because alcohol also promotes the urge of urination. Infection if any. Urine culture. After 15 days." + }, + { + "id": 988, + "tgt": "I have depression for 32 years, but I am more depressed with my recent TBS. Why?", + "src": "Patient: Hello doctor, I am 56 years old male and have been treated for depression for 32 years. I have tried numerous antidepressants. I have responded to ECT extremely well in the past but it did not hold me. I could no longer afford monthly maintenance treatments. I have currently started a treatment called Theta burst stimulation. After nine, 3-minute sessions I have had a few normal days but more days where I feel depressed. I am more depressed after I have started this treatment. Is this normal? I am scheduled to have a total of 36, 3-minute sessions. Doctor: Hello. I read your query and understand your concerns. Although it is too early to measure the effect of TBS (theta-burst stimulation) after the nine sessions there is a good possibility that there will be an enduring effect over the coming weeks. My statement is based on the fact that early response (may be transient one) is an indicator of long term response for most antidepressant therapies including medications, TMS (transcranial magnetic stimulation), ECT (electroconvulsive therapy) and now rTMS (repetitive transcranial magnetic stimulation), and TBS. Considering the above fact I like to state that reversal of symptoms after a few days of normalcy at this stage is considered normal and we need to hold on till the completion of therapy. Although this is not the part of the question I like to draw your attention to the suboptimal dose of Effexor for someone who has depression over the 30 years. I rarely see any patient who responds to below 150 mg of Effexor after a prolonged history of depression, say 30 years. I hope this helps." + }, + { + "id": 20533, + "tgt": "I have ear block due to cold. Please help", + "src": "Patient: Hi doctor, I am taking antibiotics for my bad cold. My nasal passages and mucus are getting better. But, my left ear in which I had ear infection is still clogged. It has been clogged for four days and is really hard to hear through. I can pop my ear but then it goes back to clogged shortly after. Please help. Doctor: Hello. The ear block is due to eustachian tube block that occurs during cold or upper respiratory tract infection. Due to the block middle ear ventilation and drainage are hampered. This causes the ear block feeling.You may follow these suggestions. Continue the antibiotics for full course, preferably a seven day course. Take some anti-inflammatory tablets like trypsin-chymotrypsin combination one tablet twice daily before meals for five days. Put nasal decongestant drops (Xylometazoline and Oxymetazoline drops), two drops in left nostril while lying flat on bed with head tilted 45 degree to left side. Put the drops and rest for 10 minutes follow it by steam inhalation. Do not pop the ear till the cold and upper respiratory tract infection is completely cured because when you pop now you are pushing the same infection further up into the ears. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26432, + "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": 28640, + "tgt": "Is Mymox used to stop lactation?", + "src": "Patient: Hello doctor, My wife wants to stop breastfeeding our ten months old daughter\u00a0because our daughter is healthy and weighs 12 kg. We gave her store-bought milk so that she does not form a\u00a0habit of sucking mother's milk. My wife's breast milk quantity is enough to satisfy our daughter's needs. But our daughter has the habit of waking up in the night many times, and she starts crying, my wife has to breastfeed her the whole night. As a result, my wife has lost so much energy and she feels very weak in the morning. My wife is 27 years old, and she visited a local doctor for a consultation about how to stop milk production from the breast. The doctor gave her Mymox 500 mg, and she said that for a couple of days not to feed the breast milk to our daughter nor to\u00a0throw away. And she said that after two days, the breast milk would automatically dry up and then natural milk production stops in the breast. It is becoming very painful for my wife from the past 2 to 3 days. My wife has stored the breast milk from the last 2 to 3 days. Is this medication good? What can be done in this situation? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26880, + "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": 26190, + "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": 11177, + "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": 25225, + "tgt": "I want to die because living is too tiring. Am I depressed?", + "src": "Patient: Hello doctor,I think I might be depressed but I am told it is just my hormones or because of my menstrual cycle. I am tired all the time and I am constantly bored. I do not find enjoyment in anything anymore. I am always so negative too, I cannot think positive. I do not feel intensely sad but I just do not feel happy and nothing is making me happy. I have felt like this badly and not so badly for the last two years. I am not incredibly depressed but it is affecting my life and I want to know if I can get help or if it is just part of life. I have had suicidal thoughts before but I would not kill myself although I want to die because living is too tiring. Am I depressed? Doctor: Hello. If the symptoms are present only at the time of menstrual cycle (a week before or after) then its probably PMDD (premenstrual dysphoric disorder). If it is unrelated to menses then do a self-rating test of depression like Zung's self-rating depression scale which you can easily find online and if its indicative of moderate to severe depression consult a psychiatrist in person for evaluation and treatment. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13723, + "tgt": "My hearing is affected after suddenly waking up in the morning with dizziness and nausea. Please help", + "src": "Patient: Hi doctor, Five days ago (for the first time in my life) I went to the emergency room of the local hospital. I had awakened at 3 AM with severe dizziness and nausea. We determined that it was probably caused from an accidental overdose of Tamsulosin. I have gradually improved but to only about 80 % of my previous stability. I am still a bit wobbly, especially when I am tired at the end of the day. This morning my hearing seems affected. It is kind of like they feel when full of water, the sounds seem slightly muted except for sharp sounds which are almost painful. Doctor: Hi, Welcome to iclinq.com. You need to perform tympanometry and pure tone audiometry to assess the condition of your middle ears, inner ears, and cochlear nerves. The attack which you have experienced can be an acute vestibular attack but the accurate diagnosis needs initially the previous audiological investigations plus videonystagmography (VNG). Before audiological tests, you have to stop any medications for dizziness for three days." + }, + { + "id": 22364, + "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": 17647, + "tgt": "Feeling dizzy after a ladder fell on my head. What to do further?", + "src": "Patient: Hi doctor,A heavy ladder fell on my head. Then, dizziness occurred twice and I have some constant chest pain in the middle of the chest. Also, I am feeling chest heaviness. Please help. Doctor: Hi. Fall of heavy object. 1. CT brain plain. 2. Chest x-ray PA view. To rule out intracranial injury and intrathoracic injury. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Tablet Dolonex (Piroxicam), one tablet in the morning and at night 2. Tablet Myospaz (Chlorzoxazone), one tablet in the morning and at night. 3. Tablet Chymoral Forte (trypsin-chymotrypsin combination), one tablet twice a day in the morning and at night. 4. Tablet Pan 40 (Pantoprazole) once in the morning. Revert back with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11783, + "tgt": "How to overcome my family frustrations and jobless days?", + "src": "Patient: Hello doctor, I m a 26-year-old. I do not have any job now. I worked for a project of a private company. Then I tried some other posts, but nothing worked. I was good at studies, so I decided to prepare for a government job. I have a fiance. He is too preparing for the government job. I do not know what my father needs? He always shouts and this the third time when he beat me. For no reason, he has his inner frustrations. My fiance says I cannot marry you until I get a government job. I like to paint sometimes. What should I do? If you can help, I will be very grateful to you. Doctor: Hello. You should try your freelancer if you can do. Create your own business, do not get worried about a job if you do not get it. Be hopeful and relax. Everything will be fine. Do exercise daily for 30 to 45 minutes and lose your weight which will help for even PCOD. Do meditation for 10 to 20 minutes. Spend time for your creative hobbies for 20 minutes like do painting as you enjoy. Do not overthink. Ask your father about his problem. Now you are not a child, talk openly and be assertive if you need to be. Do not be afraid of anyone in life. Live your life, not just spend. Do not think even about your marriage with your fiance. Just wait and watch. Do not be insecure. Make your self capable enough to do anything." + }, + { + "id": 30772, + "tgt": "What is the reason for my nephew's back stiffness and difficulty in walking?", + "src": "Patient: Hi doctor, I want an opinion for my\u00a024 year old\u00a0nephew. For the past four months, he has been suffering from the following problems.\u00a0He has numbness in both his lower limbs for the past three months and he has total blackout for a few seconds. He has been suffering from constipation for the past three months, poor control of urine for last seven days and urine retention followed by urgency for two months. He also has back stiffness and difficulty in walking for the past 25 days. There are some vibrations like paresthesia in his body in the backside of hip, abdomen and legs. Five years ago, he suffered from hemorrhage in both of his eyes. His ACE level was high and the doctor suspected it as sarcoidosis. But, the level is normal now and all the autoimmune tests are negative. A month back, we had consulted with one of the popular hospital and the doctor suggested steroid 60 mg for six months. Here are the\u00a0reports for your reference. Please suggest some advice. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2091, + "tgt": "My fasting glucose level is 226 mg/dl and PP is 390 mg/dl. How to control it?", + "src": "Patient: Hi doctor, I need a consultation on my diabetes. My fasting plasma glucose is 226 mg/dL and in PP it is 390 mg/dL. I am currently on Diamicron MR, Volix 0.3, and Novomix pen 30/70. Please suggest. Doctor: Hi. Your sugar is uncontrolled and Vitamin D is low as well. You did not tell how much you are using Diamicron, Volix and Novomix. Please let me know the doses. Another thing is you should get checked urine albumin creatinine ratio and I think you may need a change in medication. Your overweight is also due to these medications." + }, + { + "id": 18438, + "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": 156, + "tgt": "I am hearing wind like rhythm in my ears with fullness. What is that?", + "src": "Patient: Hello doctor, I have been hearing a wind like rhythmic noise in my right ear. It also makes my ears feel full. When breathing forcefully it might go away for some time but it comes back again. Doctor: Hello. A ringing sound or wind-like sound in the ear lasting for more than five minutes is called tinnitus. If less than five minutes, it is not significant. This particular sound you are describing can be caused due to dysfunctional eustachian tube, i.e. the tube connecting the ear and the nose. Usually, it is more in quiet environments and more noticeable when you are attempting to fall asleep. Crowded and noisy places serve as a distraction and do not let you notice the sound. Medicines do work, but it takes at least a month for them to act, that too the sound does not vanish until two to three months have gone by. I understand the trouble it is causing you. So what is to be done? 1. Keep a table fan for white noise when you are trying to fall asleep. 2. Try and distract yourself when you hear the sound. 3. Get a hearing test done. You can use an audiometry app and send me the result. 4. Follow the prescription. Saline nasal drops and steam inhalation three times a day for seven days. Fluticasone nasal spray two times a day for seven days." + }, + { + "id": 2536, + "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": 24326, + "tgt": "Are body pain, sore throat and tiredness due to HIV or vitamin deficiency?", + "src": "Patient: Hi doctor, I had unprotected sex with a call girl ten months back. Then after three months, I got my HIV test done and the test was negative. Then again I got the HIV test after six months, the test was negative. Then after eight months, I got my HIV test done again, the test result was negative. I did Elisa test, tri-dot test, Elfa test, finally western blot test. All test results were negative. I am getting some symptoms like body pain, body tiredness, bitter mouth, sore throat, tightness in neck. So, I am fully scared. My question is that are these symptoms related to HIV or again I have to take another HIV test? Recently I did a WBC count test and it is 12000. I have got Vitamin D test results as 16.6 ng/ml. Is Vitamin D deficiency related to my symptoms? I got Vitamin B12 test results as 188 pg/ml. Is this related to the beginning of HIV infection? I am totally confused.Please answer my questions. Doctor: Hello. So whatever symptoms are there, it is due to vitamin deficiency. All tests are negative so it is clear that there is no HIV infection. So do not worry. You can consult a general physician. So he will give you written prescription, even I can but a long treatment is required. You will be all right after taking treatment. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 8478, + "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": 13624, + "tgt": "Is it possible to get grade A embryos from eggs with poor quality after IVF procedure?", + "src": "Patient: Hello doctor, My wife is 33 years old. We had six IVF failures. Recently, she had undergone a third pick up cycle. Nine eggs were retrieved, out of which eight eggs were mature, five were fertilized and three embryos reach day 3 stage with two embryos grade A (eight cells) and one embryo grade B (six cells). I was disappointed to hear that only three embryos are developed because in her previous two pick-up cycles 10 embryos each were developed which were of either grade 1 or 2. However the worst part was our doctor told us that the egg quality was not good and there is very little chances of implantation with these embryos and asked us to go for donor egg. Doctor is planning to transfer our own embryos as well as donor egg embryos in single cycle to enhance success rate. I am surprised to hear this as I believed that grade A embryos have a very good chance of implantation. I would be grateful if you could answer my below queries: 1. Can poor egg quality produce grade A embryos? 2. If yes, does chances of these grade A embryos getting implanted are minimal? 3. What would be your recommendation in our case? Should we go for IVF with our own embryos or donor egg embryos? Doctor: Hi. How are you doing today? I would like to put forth a few facts of IVF or embryology. 1. Your wife is in the perfect age for pregnancy. 19 to 35 years is the best age. 2. Her body weight is normal, so a hormonal imbalance is ruled out. 3. She has given nine eggs, which is perfect. Of course, 15 or so would have been great. But 9 to 10 is excellent. Of these 8 are mature, so it means egg quality is good, otherwise, they would not have matured. 4. Out of 8 mature eggs, only 3 embryos formed, so I would be more concerned about the health of sperms. Some problem in sperm is not allowing good embryos to be formed. The egg has a lot of corrective capacity. Even if the sperm is damaged, it can correct it. Sperm movement and number may be normal, but if the morphology or health is not up to the mark then there is a lot of chances for the sperm factor to be evaluated and treated. Mixing of donor and self-embryos especially if self embryos are good grade is not a good idea. For your queries: 1. You are right. If eggs are not good, embryo quality will be bad, you cannot get grade A. 2. The grade is only to classify embryos. We get a healthy pregnancy from poor grade and no pregnancy from the best grade of embryos. It alone cannot be used to predict pregnancy chances. 3. I would suggest you have semen factor re-evaluated. You need examination, good antibiotic cover and hormonal priming of sperms, then if needed, go for IVF or if no other causes IUI or ovulation induction, try for few months, you never know, she may get pregnant with these simple, small but very effective methods. An indication of IVF also needs to be thought of." + }, + { + "id": 3853, + "tgt": "I had cyst in right breast. Could this be the cause for pain and discharge?", + "src": "Patient: Hi doctor, For the past two months I have had ongoing right breast pain. It first began as sharp stabbing pain that would last only a few seconds. Now I am getting some nipple discharge and burning sensation. When I spoke with my doctor about it, she said it might happen sometimes. I had some blood work done for my hormones which confirmed my testosterone was high. I have attached my hormone test report for your reference. I am taking now Estradiol 2 mg, Progesterone 80 mg and Testosterone 2 mg applying 1 cc to inner thigh daily. My previous history includes complex ovarian cyst, hypertrophy of uterus, dysmenorrhea, menorrhagia and hair loss.\u00a0Should I get further testing from another doctor? Last year it was confirmed on ultrasound that I have two cysts in my right breast? Could this be the cause for my issues? Sometimes, applying a heat pad to my right breast helps. At times it will swell up so large and I feel like it is going to burst. This is concerning me. Please help. Doctor: Hello. Check prolactin level and repeat ultrasound of the breast (if last one was more than six months ago). 1. Hyperprolactinemia. 2. Fibrocystic breast disease. Try Vitamin E and also continue other medications. For further doubts consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2599, + "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": 9467, + "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": 5089, + "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": 11802, + "tgt": "Can lobotomy be done for patients with stress?", + "src": "Patient: Hello doctor, My husband was given Zuclopenthixol injections during his stay at a psychiatric hospital and now he feels he has been done lobotomy and a part of his brain is missing. Like his intelligence, sharpness, cleverness, energy levels, etc. he feels the doctor should have diagnosed his mental state before concluding that he needs such level of treatment. His problems were stress-related. And now he feels he cannot get his brain back like before and feels like there is no point living. Kindly suggest what measures can be taken to help him? Doctor: Hello. Zuclopenthixol is an antipsychotic medication prescribed to a psychotic patient or patient of severe depression with psychotic features. It is commonly used to control aggressive behavior of the patient. A decline in cognitive features, slowly are possible with Zuclopenthixol. One thing I want to clarify whether he is sure that lobotomy was done on him or not? You have also mentioned that previously he was prescribed Risperidone. So I think he might have psychosis. A patient of psychosis can have a depressive episode. If currently, he can tolerate Zuclopenthixol depot you can ask about Olanzapine depot which is second-generation antipsychotics and has a less side effect." + }, + { + "id": 19276, + "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": 24967, + "tgt": "Why am I experiencing memory loss after a head injury?", + "src": "Patient: Hello doctor, Over a year and a half ago, I had a head injury which I did not think was too major back then but it has caused many problems for me over the period of time and it is only getting worse. I have been experiencing a major amount of memory loss such as not remembering what we are learning in class or what I had written down just a day before. This is really starting to take a toll now as I am getting a larger workload and more tests. This is not just with school work but also just in general. Family and friends often like to tell stories about the past that I had no remembrance of at all. I need to know what is going on and if I can fix or improve it in any way. Doctor: Hello. I read your question carefully and would explain that your symptoms seem to be related to a concentration disorder, which is probably associated with a lot of daily stress and lack of adequate physical activity or a poor diet. As you are not concentrated, you do not remember things. The head injury could trigger this clinical situation too (post-concussion syndrome). Coming to this point, I would recommend consulting with a neurologist and performing some cognitive tests and a brain MRI, just to be sure that everything is okay. Meanwhile, I recommend taking a vitamin supplement with Gingko Biloba, vitamin E, Acetyl L-carnitine and Ginseng for memory enhancement and performing a lot of physical activity (yoga, aerobics, recreational sports). Consult your specialist doctor, discuss with him or her and take medications with their consent. A balanced diet is necessary too, rich in omega 3 fatty acids (walnuts, fish, fish oil, olive oil, etc.) and avoid smoking or caffeine drinks. I would also recommend checking vitamin D, vitamin E plasma levels, and thyroid hormone levels. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 216, + "tgt": "I have been tested positive for chlamydia. What are the chances of PID?", + "src": "Patient: Hi doctor, I have recently been tested positive for Chlamydia, which I believe to have contracted around 3.5 years ago. In the past one year, I have been to the doctor for the following symptoms. Increased menstrual pain, dull pain during ovulation, yellow discharge, sickness during menses and one-sided pain for a few days after the menses. At that time, I was given medication to ease the blood flow and pain. However, now I have been tested positive for Chlamydia. Due to the fact that I must have had it for three to four years with no symptoms until the last year, I believe it has developed into PID. I am taking a course of Doxycycline 100 mg and Metronidazole 400 mg twice daily for 2 weeks which my GP gave me. However, he does not believe I have PID. I am going on a holiday next week and will be exposed to sunlight a lot. Should I hold off taking the antibiotics during this time? What are the chances I have PID? I am worried about scarring of the fallopian tubes and infertility. Would an ultrasound detect scarring if any? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6736, + "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": 30803, + "tgt": "Please advise regarding my wife's inflation and painful defecation", + "src": "Patient: Hi doctor, Three months back, my wife had some small wounds inside the anal area. For bleeding, she got Shield ointment from general physician. Lately, a small inflation is seen in anal tract and it is painful while defecating. It has been there for the past three months. Please advise. Doctor: Hello. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21957, + "tgt": "How long will it take to correct PCOD and conceive?", + "src": "Patient: Hi doctor, I had a missed abortion one year back and we have been trying for about eight months for the next pregnancy. My period lags regularly for three to four weeks after the abortion. An ultrasound scan showed typical PCOD on both ovaries with 9 mm follicles and have 5 mm endometrial thickness. My doctor advised taking Glucophage 500 mg for two months. Can I get pregnant soon? How many months should it take to correct my problems and to conceive? Doctor: Hello. You have been prescribed Metformin drug for your case which is prescribed in case of PCOD to decrease glucose level and to regularise the period. If needed, a hormonal pill also can be prescribed. Clomiphene citrate helps in inducing ovulation. So, continue taking the prescribed medication and try to reduce weight if you are obese. Regular exercise will also be beneficial in your case. Take a healthy diet and more fruits. Try to have intercourse especially around ovulation time at around 14 days of menstruation cycle. If you do not get pregnant in a few months, then a USG scan study should be done to detect ovulation and Clomiphene can be prescribed If needed. If no medication helps then assisted reproductive techniques (ART) may be used. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18679, + "tgt": "My HSV 1 and 2 IgG is 3. 5. What should I do?", + "src": "Patient: Hi doctor, I am a 37 year old male. I am about to get married. I have got my STD and HIV tests done and the below mentioned has come as a result. The following\u00a0are non reactive or negative: VDRL, HIV 1 and 2, antibodies screening test, chlamydia trachomatis IgG antibody and TPHA including HSV 1 and 2 IgM. But, HSV 1 and 2 IgG is 3.5. I do not have any symptoms.\u00a0My family doctor has started me on Vivir D pills 500 mg thrice a week for 10 days.\u00a0What should I do? I am tensed. Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20720, + "tgt": "Is it safe to take more than one P2 pill after unprotected sex?", + "src": "Patient: Hi doctor, My fiance and I were fooling around yesterday and I had semen smeared all over my vagina. He was not wearing a condom. We did not have penetrative sex. However, after the encounter, I got nervous and got emergency pills. All this happened about 14 days after my last period. I assumed I was highly fertile and was at risk for pregnancy. P2, I took one about three hours after my vagina was smeared with semen. I took the next pill 12 hours after the first. Here are my questions: 1. I really do not want a pregnancy right now. Is it wise if I take a second dose of the pill to completely reduce chances of implantation? Is it safe to take a higher dose of pills to completely eradicate any possibility of pregnancy? 2. What else can I do to make sure I am completely out of the woods? 3. Also, after seven days, is it okay for me to start taking antibiotics to eradicate any infections passed? Can general antibiotics like Amoxil treat the treatable STI? 4. When is the most prudent time to take an HIV test? 5. How effective is P2 when taken during ovulation? I did a little research and some said that P2 will not help if it is taken during ovulation. 6. How can I (in case I get pregnant) make the uterus inhospitable for the growth of the embryo? 7. When should I take a pregnancy test? 8. What is the safest mode of getting rid of a fertilised egg within the first few weeks? 9. My period should be in two weeks or 15 days from now. Is it guarantee that if it delays I am pregnant? Is it also possible for me to have my period yet still be pregnant? 10. Lastly, what are the chances in terms of percentage that I might be pregnant without necessarily having penetrative intercourse? Doctor: Hi. How are you doing? That is a lot of questions, but all leading to the same answer. An emergency pill is high dose Progesterone, best taken within three days of sex. Best results if taken within 24 hours of sex. Being a high dose Progesterone, the uterine lining becomes very unfavorable for a possible embryo implantation. The lining suddenly becomes very thick. As it is a single dose, the lining cannot stand on its own and it falls off. But you rightly said success depends on which phase of the cycle you took it. If ovulation had just occurred that day, still there are equal chances of pregnancy and miscarriage. About the questions: 1. You should have the second dose. It will improve chance of embryo not getting implanted. 2. Only after you reach the other end you can confirm that you are out of the woods. You will have to wait for the period. 3. You can have antibiotics anyday, Azithromycin, Doxycycline would be a better choice. 4. HIV can be tested any time now and after six months repeated. 5 and 6 already answered. 7. The pregnancy test can be done earliest one day after the expected period. 8. If positive, you will need a scan to confirm intrauterine pregnancy after two weeks, then MTP (medical termination of pregnancy) can be used. 9. Emergency pill disturbs the hormones, so only the pregnancy test will give you some information. 10. Sperms can swim up even from your thighs into the vagina, so the chance of pregnancy is still there." + }, + { + "id": 22894, + "tgt": "I can only bend my knee 30 percent. What could be the cause?", + "src": "Patient: Hello doctor, I dislocated my knee over three weeks. It was put back in place. At moment, I can only bend my knee 30 percent then its starts to really hurt if I try to bend more. What could be the cause and what sort of exercise should I do to get my knee working properly? Are any medicines available that will help me bend my knee? Doctor: Hello. In my opinion, you should get investigations done for your dislocated knee to see the level of damage that happened and also to rule out any avulsion or fracture associated with it. Then coming to your range and movement, it is always possible to get movement completely. So, do not worry about that, just a couple of mobilization of the knee joint will get you full movement and few weeks of rehabilitation will get your knee strength back. Firstly, get your knee properly assessed. Kindly get back to me with the investigation report of MRI knee, then we will plan a further course of action. For now, keep icing frequently like once in every two hours for 15 minutes. Keep moving your knee gradually and gently stretch your muscles. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 744, + "tgt": "I have a small painful Bartholin's cyst with translucent discharge. Is biopsy required?", + "src": "Patient: Hello doctor, I am 44 years old. I have Bartholin's cyst for the past eight months. It is small but painful daily and has a very tiny pinprick hole on hymen that seeps a translucent non-offensive discharge after I bathe or massage the lump. The lump is deep under labia major pea-sized. According to MRI, it is 10\u00d78\u00d74 mm. Will a gynecologist operate on it being so small and do a biopsy due to my age? Doctor: Hello. I have gone through your description, the details you mentioned definitely suggest there must be some infection in the Bartholin's gland. As you have mentioned it has been painful for eight months, I would like to know if you took any course of antibiotics to address the infection. In your case, you can try that as the cyst is still very small. Although the definitive treatment for a Bartholin's abscess is excision and marsupialization of the cyst, for mild cases a course of antibiotics may provide some relief for some time. But there can be a recurrence of infection in such cases in the future. If the lesion is persistent or it increases in size, excision of the same is recommended. And it is usually a very minor procedure and not that painful too. So please do follow up with your gynecologist in case you face any such issues. I hope this helps." + }, + { + "id": 25964, + "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": 7997, + "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": 134, + "tgt": "I have acid reflux problem which is causing panic attack. Please advise", + "src": "Patient: Hello doctor, I am a 53-year-old male. I have been experiencing panics especially when I do not feel better like having acid reflux. Now the gastrointestinal issue becomes regular. The only means to stop it is by drinking alcohol during night time and I feel better and get a good sleep. Please advice. Doctor: Hello. I suggest you to take once a day pill for controlling your acid reflux. Capsule Esomeprazole 40 mg half an hour before meals. You can take it in the morning time before breakfast or before dinner if you have predominant night symptoms. This acid suppressant will control the symptoms of acid reflux and acidic related stomach pain. You can take it regularly for two weeks then take it intermittently whenever you need this. This medications does not have significant long terms adverse effects. Well, I also want that you should know that, moderate alcohol intake is fine which means maximum of three drinks per day. The alcohol can help to make someone sleep but it is something which is beneficial for gastrointestinal (GI) tract. Excessive alcohol has to do with a lot many things in GI than even we doctors know. So just an advise to moderate the intake." + }, + { + "id": 9746, + "tgt": "White patches developed on spots where corticosteroid was applied. Is it vitiligo?", + "src": "Patient: Hi doctor, My daughter has skin lesions that started last year. They are on one side of the body. Initially, she got eczema kind small red rashes for which we applied Corticosteroid and later we observed whitish patches developing on those spots. Initially, the GP thought it could be tinea versicolor and suspected it could also be vitiligo. He referred us to a skin specialist and initially, the skin specialist thought it could be hypopigmentation and after a month, in the next appointment, she thought it could be vitiligo and started with Tacrolimus and Corticosteroid cream. Even before we started applying this Tacrolimus, we saw some repigmentation in some areas but it was slow repigmentation. We were confused as is it vitiligo or not and also as we are applying strong creams for a 6-year-old girl. Any long-term issues? We want to have a second opinion. I live in a city where it is very difficult to get skin specialist appointments. They give for every three to six months. Could you please help us in diagnosing the skin patches and treatment? I can send in the photos. I uploaded the photos: They all are on one side of the body (right side). On the hand, it started four months ago with a small white patch and gradually increased to the size and then we are seeing some repigmentation slowly very slowly to normal skin color. On the chest also, it started around the same time this year and not increased and stable. On the neck, it started early last month and it is not that whitish (like little less brownish). As said, the doctors diagnosed differently (postinflammatory hypopigmentation, tinea versicolor and finally vitiligo) so far and we are confused. Could you please look into this and help us? In all these spots, we applied Corticosteroid last year for eczema (hand, neck, chest and back) at the same spots where the white patches started and then grown big now. The only spot where we have not applied Corticosteroid but observed white patch is on the eye. We started seeing a white patch on the right eye as well from the last three weeks. Doctor: Hi. I have gone through your history and clinical photographs (attachment removed to protect patient identity). From the present situation, it looks to be vitiligo. Since it is on one side of the body, it can be called as segmental vitiligo also. Tacrolimus is the right medication. Wood's lamp examination helps to diagnose vitiligo. Yes, in some places, there is repigmentation which is a good sign. Did anyone in the family have vitiligo? Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 4127, + "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": 24650, + "tgt": "Why is my baby having swollen penis and white discharge?", + "src": "Patient: Hello doctor, My 2 years old kid has had a swollen penis (or erection) since last night. He is in pain when I change his nappy and he would not let anybody touch him there because of the pain. Today though, I have noticed a white discharge dripping from his penis. I took him to the doctor but they are not worried about it and sent me back home. Should I be worried? Doctor: Hello. Having an erection is completely normal for toddlers as this happens to boy babies from the time they are in the womb. His referring to pain may be the new sensation which is not familiar with him and that he does not like it. Sometimes, kids have this five times a day. They will get used to this sensation and start feeling comfortable with it. Next time if he says so, put a wet cloth over the penis so that it calms down. Coming to the whitish discharge. Since you have already taken him to the doctor they must have ruled out any urinary tract infection which is the most common reason for the discharge. It must be the normal body secretions. Nothing to worry. But, if he has developed fever or redness around the area, please consult immediately. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26424, + "tgt": "Family peace has been ruined because of alcohol. What can be done?", + "src": "Patient: Hello doctor, My brother-in-law is an alcoholic.\u00a0He drinks a lot and verbally\u00a0abuses my sister. When he gets back to normal, he says he does not remember what he said or what wrong he did. He is involved in binge drinking and smoking for the last 15 years. He says he wants to quit but is unable to. It has been five years since my sister got married to him.\u00a0My sister gets very disturbed when he returns home drunk\u00a0and in an\u00a0unconscious state. Many times he is found drunk on the roadsides. People bring him home in semi or unconscious state.\u00a0He talks continuously on the\u00a0phone when he is drunk. When he is not drunk, he talks very little and remains silent. Sometimes he weeps a lot and gets emotional because he is not having children and it has been five years since\u00a0his marriage. He is not ready for an IVF. He wants children naturally. There is also a dispute in his house among his brothers regarding a\u00a0property.\u00a0We want him to quit alcohol and smoking. He himself also wants to quit but is helpless. Please advise me on how to\u00a0help him quit alcohol. Doctor: Hello. I read your query and understand your concerns. Thanks and regards. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30044, + "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": 17960, + "tgt": "I am worried about the blood test report of my son. Please guide us", + "src": "Patient: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave his 5 mL of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he was prescribed with\u00a0P 250 and antibiotic pills 100 mg (four tablets). Also, he was given\u00a0Piperacillin and Tazobactam injection (half morning and half evening) for the next three days. My son has become weak, did not eat food and had vomited. After three days of injection, he was little better and had some food. We had another blood test after three days of injection and I have attached the report. Again, the doctor advised us to continue the same injection and he had the same for the next two days. Now, my son feels better and eating all kinds of food. Now, we are yet to meet the doctor for follow up and blood test. I am so worried about his blood test reports. Please guide us doctor. Doctor: Hi. I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity). Arbovirus. Total count, platelet and packed cell volume (PCV). 1. Rickettsia. 2. Malaria. 3. Typhoid. Viral fever. Hydration and Paracetamol. Avoid mosquito bites. For further information consult a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 4019, + "tgt": "Is it possible to get atrial fibrillation due to fasting?", + "src": "Patient: Hello doctor, I have read several studies on the effect of autophagy on aterial fibrilation. I cannot understand most of the conclusions and need some help with this. I basically follow a regime where I eat every other day and fast at least 24 to 30 hours at a time. As I believe, autophagy is activated and can have a positive or negative effect on the heart, in particular, the atrium and remoddeling of electrics. Can you please tell me if you think what I am doing could possible cause afib or remoddeling of my heart? I have no current issues, low cholesterol and BP, no family history and have a structually normal heart. However due to my years of excess I have this fear of getting afib. I am male, 35 years old, mixed ethnicity. Doctor: Hello. Firstly, there is no good evidence for or against this rigorous fasting. Studies atleast have shown no significant increase in atrial fibrillation with such fasting. Practically, we do not have good evidence for it. Now if we consider theoretically, then yes fasting may stimulate autophagy and may have a beneficial effects on heart/ atrial fibrillation. It does improve your lipid profile and risk of myocardial ischemia which is a risk factor for atrial fibrillation. It may also reduce obesity/ bodily inflammation, which is again a risk factor for atrial fibrillation. So, there is no evidence to suggest that it induces afib or remodeling, but such rigorous fasting is not recommended based on current evidence. We are also not sure whether you are meeting the daily requirement of essential nutrients. Dehydration should be strictly avoided. You can share some studies with me so that I can clarify on them. So, fasting for few days say for 1-5 days a month is acceptable." + }, + { + "id": 329, + "tgt": "I have burning chest pain with acid reflux and hot flushes. What should I do?", + "src": "Patient: Hello doctor, I have been having chest pain on the left side since a long time. It feels like burning sometimes and at other times it feels like pressure. I feel really tired most of the time and sometimes I feel a little light-headed, nauseous, irritated, and feel like coughing but I cannot. I also get tired mostly after eating. Occasionaly I get acid reflux like the food does not digested and I wake up in the middle of the night feeling like I cannot breathe and having heat flashes. What should I do? Doctor: Hello. Welcome to icliniq.com. With history, I come to a diagnosis that you have an acid peptic disease (APD). It is a common problem, people face frequently. I would suggest you to take less spicy and peppery food and avoid oily and masala foods. Kindly take plenty of water, vegetables, and green leafy vegetables. I will give you tablets and take these tablets for 10 days and get back for follow up for further evaluation and management. Treatment: 1) Tablet Pan-D (Pantoprazole) 1-0-0 (before food). 2) Tablet Rantac 300 (Ranitidine) OD 0-0-1 (before food). 3) Syrup Sucrafil O (Suclralfate) 10 ml 1-1-1 (before food). I hope this helps." + }, + { + "id": 29942, + "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": 28111, + "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": 12950, + "tgt": "I get a pop in lower back followed by tingling sensation in legs. Please help", + "src": "Patient: Hello doctor, Whenever I pop my lower back, I hear a loud pop and then I feel a relieving tingle going do my entire left legs, all the way through my toes. What is going on? Doctor: Hello. With the history, it appears to be the involvement of the trapped nerve in the lower back which we address it as lumbar spine. Usually, people are prone to have damage of the intervertebral disc at the lumbar spine as it is the weight bearing joint having maximum mobility. The tingling sensation which is radiating down the legs is the classical symptoms of nerve entrapment. How long is this problem been noticed? Any other symptoms along with this you have like muscle weakness or pain in the legs? Now coming to therapy part. I will recommend you take an MRI so we can figure out actually which nerve is getting trapped and what can be the possible muscles involved. Post which I can recommend you some simple exercises which will help you get rid of the symptoms for the long term. MRI. Lumbar spinal stenosis. Exercise." + }, + { + "id": 9563, + "tgt": "My brother is suffering from fever and body pain for past two days. Could it be seasonal fever?", + "src": "Patient: Hello doctor,My brother has a fever for the past two days. And now he has pain in his full body. Is that seasonal fever or something else? Doctor: Hello. You need to get your brother thoroughly checked. A fever profile needs to be done in a season like this mosquito-borne disease are very common. Mosquito-borne disease. 1. CBC (complete blood count) with ESR (erythrocyte sedimentation rate). 2. PSMP (peripheral smear for malarial parasite). 3. Dengue, IgM, IgG 4. Chikungunya 5. Liver profile tests (SGPT, SGOT, GGT, ALP, etc) 6. Widal Test Fever under investigation. 1. Tablet Paracetamol 500 mg thrice a day. 2. Tablet Cefixime 200 mg, twice a day. 3. Capsule Omez (Omeprazole) 20 mg, twice a day. 4. ORS (oral rehydration solution) one pack in one litre water, drink as and when required for all for five days. Drink lukewarm water." + }, + { + "id": 3817, + "tgt": "Why do I get occasional muscle cramp type feeling in the chest?", + "src": "Patient: Hi doctor, Since last two to three years I have high blood pressure ranging 145/95 mmHg. This was mainly due to less physical activity and anxiety. I had medicine Telma 40, Telmaxx 25 etc., only one at a time. But, BP and anxiety did not get controlled. Again doctor advised me for Cilacar 5 mg twice or 10 mg once. I found this effective in comparison to earlier medicine. But, since last two months I was not feeling comfort with my left chest. It is not chest pain, but occasional muscle cramp type feeling. ECG was taken that showed left atrial enlargement. Cardiac blood test taken including lipid profile found to be fine. Doctor prescribed me Cilacar and Ecosprin-AV 150 along with vitamins.\u00a0Now, again since last three days I am not feeling well. Same muscle cramp like feeling in chest (occasionally). I have no issues with my BP. Also, occasional pain in left hand. Again I have taken blood test for cardiac and other. Reports attached for your reference.\u00a0Kindly advise me some best medicine and if anything emergency. Doctor: Hi. I have thoroughly gone through your case and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. Your lipid profile is all fine and there is no risk to cardiac muscles and blood vessels of the heart due to this cholesterol and its counterparts. Index is safe according to the blood work. Your high-sensitivity C-reactive protein is above normal and falls in the high risk group for cardiac blood vessel issues like coronary artery syndrome. But, this test is not that specific. We usually do repeated tests for C-reactive proteins and compare all of them separated apart with considerable time. If there are no other risk factors for heart disease and there are no signs and symptoms of coronary artery disease then we assume this raised result levels to be from some non-cardiac cause. In such a case I preferably suggest you to go for exercise stress test and if this indicates further investigations then proceed with angiography for cardiac evaluation and to see if there is some issue related to the coronary arteries. Perhaps you mean that there was left atrial enlargement. It can be due to uncontrolled hypertension and you need to take medications on time. Your doctor did well by adding Aspirin to the regimen as it reduces the risk for blood clot formation inside the enlarged chamber of heart. We have to keep your blood pressure in limits actually. And if that is fine, then no medications needed until unless proven otherwise after cardiac monitoring with time and some advanced tests as discussed below. 1. Echocardiography. 2. Exercise tolerance test. 3. Angiography. Can be decided on further tests as advised above. Revert back with the investigations reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14784, + "tgt": "I noticed yellowish-white odorless discharge and itchy vaginal. How to cure it?", + "src": "Patient: Hi doctor, I got married a few months back. I have yellowish-white, odorless discharge. It leaves stain and itches quite a bit. I noticed something weird, and after intercourse, my husband could see something similar around his genitals. And that is itchy too. I tried using Abzorb antifungal powder, but no help from that. We are not in our country right now and so cannot get access to most medicines. How to cure my discharge? Before marriage too, I have experienced something similar. I had treatment for that, but do not have that prescription now. Please help. Doctor: Hi. From your history, this is a genital infection. This is not the same that occurs before sexual exposure, as that is not yellow or itchy. These two feature makes infection as the source. It is usually seen as a genital or urinary infection in males, which is not always very evident. When there is a trigger like sex, it appears. As you do not have access to medications, I can only suggest you both to have a lot of water to wash away the infections in the bladder as usually both genitals and bladder get infected together. Use Vaginal washes (V Wash or Intiwash) twice a day and after every penetration into the vagina. Your husband also can use the same. These are not chemicals, and so there is no side effect. Both of you should pass urine after sex, as this will wash out infection in the bladder. If you can get some vaginal suppository of antibiotic plus antifungal, then use it for five to seven days vaginal at night. It is cruel to say to a newlywed couple, but if you can postpone penetrative sex for a few days, the problem will be solved or at least use a condom. It will prevent infection transmission. Vaginal infection is transmitted during sex, so partner is the source. Both have to be treated at a time, or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the innermost vagina (due to inflammation of the structures around the uterus) and pain radiating to the back or thighs. Associated to infection, the bowel movement is affected, and also features of gastritis will be present. Bleeding of periods will be thicker, darker, may smell bad and more days with spotting after the periods too. Pain is throbbing even before periods and last after periods over also. Before treatment confirm that you are not pregnant. Consult your doctor, discuss with him or her and you both take the treatment mentioned below with consent. All these should be taken on the same day by both of you. Later you have capsule Doxycycline 100 mg twice a day for one week, Vaginal wash with V-wash or similar cleanser twice a day and vaginal pessary Clingen forte or Candid-CL or Cansoft CL once at night for five nights. Your partner can have a local application of antibiotic and antifungal cream (Candid B or Candiderma or Lobate GM) on the penis twice a day after wash for seven days. Do not have sex till the infection is entirely gone. Do treat it as delay may send the infection inwards and may affect both you and your partner's future fertility. Hope I have clarified your query, do write back if any more questions. All the best." + }, + { + "id": 469, + "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": 20763, + "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": 15842, + "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": 23632, + "tgt": "Whenever I masturbate multiple times a day I get an allergy on the penis. Why?", + "src": "Patient: Hello doctor,I am having some allergy on the head of my penis and inner skin. I feel very irritated due to this reason. Whenever I masturbate multiple times a day, it happens. Doctor: Hello. Relax and do not worry. If possible send me images so I can see and suggest you properly. It could be a fungal infection. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 26897, + "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": 6973, + "tgt": "Inhaled a substantial amount of sanded grout. Feeling shortness of breath,throat irritation. Can you help?", + "src": "Patient: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge of this toxin can give me some information. Here is my story: I recently worked on a project involving sanded grout that contains high amounts of crystalline silica (40 -70%). Unfortunately I inhaled a substantial amount without realizing the contents of grout and the effects of silica until further research after the project. This was not an ordinary project. I am a photographer and this was a photo shoot at a studio. We used it as powder and threw it in the air to capture the dust clouds in the photos. When we purchased this, it did not even cross our minds how dangerous it was. I poured 3, 25 lbs bags (totally 75 lbs) of polyblend sanded grout on the floor and stood at about 8 feet distance away from the model. She (the model) grabbed handfuls of this stuff and tossed it towards the camera and in other different directions. The grout was tossed in the air towards me throughout the shoot. The air was quite cloudy in the room regardless of the size. I tossed the grout in front of me several times with my bare hands as well. But, I did not have problems of breathing or talking in the room. The shoot lasted for 2 hours and we stayed to clean up for 2 hours afterwards (sweeping). It was 75 pounds of sanded grout and 100 pounds of mortar in a 2100 square feet room with a little fan blowing and with little ventilation. The dust got on everything and the air was thick with dust the entire time. We had about 3-4 hours of exposure to this with no masks. My ignorance has put a huge scare on me. I have been feeling shortness of breath, throat irritation and tightening of the chest. I have been doing some thorough research myself, but the amount of silica inhaled to be considered high concentration (enough to cause lung cancer or silicosis years from now) is a little unclear. Is the amount which I have mentioned, with no respiratory mask, dangerous? I have read that these tiny particles can penetrate through the defenses of the lung and start scarring it in the long run. I have also read that it is possible to have acute silicosis through a single lethal exposure to crystalline silica. I know too much research is bad for a hypochondriac like me, but I would like some honest and thorough explanation of my chances on these long term lung issues. I have attached the details of the polyblend sanded grout and its safety data sheet. After 3 weeks from the shoot, I have been experiencing chest pains, shortness of breath and dry cough. I have had chest x-rays, EKG's and visited urgent care doctors. Everything came back as normal, so I am not sure of what is going on. Instead I was diagnosed with sinus infection and acid reflux causing stomach pain as well. I have requested the doctor to do a PFT (Pulmonary Function Test). I have not been able to eat or sleep properly and I have been worrying about this. Doctor: Hello. I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) Take care and get well soon. Revert back to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 21526, + "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": 26386, + "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": 27007, + "tgt": "I have a concern regarding my Maryland bridge. Please guide me", + "src": "Patient: Hello\u00a0doctor, I am 19 years old. Can a Maryland bridge or any bridge move up, down, right or left? Doctor: Hello. Hope this answered your query. In case you need more clarification, you can reframe your question and get back. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 24065, + "tgt": "I have itchy bumps inside the upper eyelid. What should I do?", + "src": "Patient: Hello doctor,I have had painful/itchy bumps on the inside of the upper eyelid on both eyes (outside corner) for over two months now. They started as red, irritated patches, and now are growths of some kind. My optometrist told me to use lubricating eye drops four times a day. It has not helped at all. What could this be and what should I do? (I am told the bumps are where my lacrimal glands are). Doctor: Hello. I have seen the images (attachment removed to protect patient identity). They do look like chalazia, which are basically an inflammation of the oil glands in your eyelids which pour an oily substance over your eyes to prevent dryness. Sometimes they do respond to hot fomentation along with an antibiotic eye drop, but if they are there for a long time, then surgical drainage is the only option. Hope that helps. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9712, + "tgt": "I am having swollen lymphnode in my neck after protected sex. Does it indicate HIV?", + "src": "Patient: Hello doctor, I had protected sex before two years. As I recall she was on the top and then later I was on top of her. During the act, my condom slipped, but there was no exposure to my bare penis. I could not achieve an erection, so she removed the condom and applied lotion on my penis. My question is, 1. Can her vaginal fluids enter my exposed penis as she applied lotion, making me infective (unknown status)? 2. I had two p24 tests done at four and nine weeks. Both came negative. Should I go to 12 weeks or is this conclusive? Is there any chance of turning negative to positive? 3. I feel swollen lymph node in my neck which occurred close to 12 weeks now. Am I HIV infective? Please help with your reply, and I am getting stressed. Doctor: Hello. Answers to your queries are, 1)This is not a likely situation of entry of HIV through the vaginal fluid. Acquisition of HIV in this scenario is non-existent. Your fears are unwanted. 2) It is good that your p24 test is negative at four and nine weeks. Majority of the individuals (approximately 97 %) turned positive after an HIV exposure in two to eight weeks, and a very few take six months for the test to become positive. As per the recommendations and I also suggest you undertake a repeat HIV antibody test at three months and if negative then at six months. You need not repeat it in between. 3) Enlargements of lymph nodes can be in multiple conditions. Get it evaluated. Lymph node biopsy helps in establishing the diagnosis. I hope your queries are answered, but if you still have, feel free to ask." + }, + { + "id": 1341, + "tgt": "I am having cough, sore throat, and get headaches for many years. Is gastric issue the cause?", + "src": "Patient: 1) I'm having cough & sore throat for many years. sometimes I cough after I wake up from sleep & sometimes I just start coughing randomly. My throat will be itchy sometimes, but no pain. 2) suddenly I get headache Star at the back of my head until my shoulder. I get this headache often. It just start randomly for no reason. I have gastric issue, is this the cause of this pain? Doctor: Hi, There are two possibilities for the problem your having 1. A chronic gerd with lpr( gastroesophageal reflux with laryngopharngeal reflux). Basically over here acidic gastric contents have a faulty reflux into your throat and this can be the reason of feeling something stuck in your throat or just a itchy discomfort. You will not have any difficulties with swallowing as such. Inflammation around the throat often results in a irritative cough. 2. A chronic allergic pharyngitis can also be another reason, there could be exposure to some irritative substance indoors itself which can irritate the throat and again be the cause of intermittent cough. What can be done? 1. Avoid exposure to any irritative substance, the best thing to counter this is to wear a n95 mask. 2. Gastric issues have to treated seriously with medications and precautions with more emphasis on the later. You can follow the advice mentioned below. I think this should suffice and keep your symptoms at bay! Hope this helps! Get well soon!" + }, + { + "id": 4552, + "tgt": "Pelvic ultrasound suggest endometriosis and adenomyosis. Will they cause infertility in long run?", + "src": "Patient: Hello doctor, I am a 32-year-old female. I had my second baby via c section. A couple of months after, I started getting pelvic pain. The pain is across my whole pelvic area and lower back and some times in my thighs too, very similar to menstrual cramps. Occasionally, I would get a sharp pain on either side of my pelvic area, especially on the right side. I also get pelvic cramps every time after sexual intercourse and occasional pain when I go to the toilet. The pain is bearable and when it gets a little worse I can manage it by taking pain killers. I get the pain almost every single day as well, not just when I am on my period. My periods have always been very heavy and painful from the beginning but have been able to keep it under control by taking the combined contraceptive pill Gedarel 30/150 mg and Mefenamic acid which I have been taking for many years. I have also been getting headaches and I am always very tired due to the lack of sleep I get from these pains during the night. Half the time I feel very stressed out because of the way I am feeling and it is not easy being a mom of two young children as well and having to manage with the pains, etc. I eventually visited the GP and had some tests done such as smear tests, infection swabs, blood tests and an ultrasound scan. Everything was normal but the transvaginal ultrasound showed I have endometriosis and adenomyosis. I was referred to a specialist gynecologist and although he has given me a course of action to follow for the next six months I felt that the appointment was a bit rushed and I had a lot of questions to ask regarding the two conditions. I would really like to ask a few questions regarding the conditions as soon as possible because my next appointment is not for another six months and there are a few things I would like to know about how these two conditions will affect me in the long run. I just need some answers for peace of mind. Nothing specific to me but more about the disease itself. The doctor has advised to take the combined contraceptive pill for another six months without a break and to take pain killers as and when required. The consultant also mentioned progesterone based methods but we had to rule that out as it causes hair loss and I have been through years of a form of alopecia and have just managed to get my hair back. I have tried asking doctors online and have been conned by them because they have taken money from me and just copied and pasted answers from other places online which made me quite upset and furious. Hopefully, someone from here can give me proper and professional answers. These are the following questions I would like to ask: What causes these two conditions? I am aware that these two conditions cannot be 100% diagnosed via imaging methods and laparoscopy is the only method that provides a definitive diagnosis, so how can a clinician be sure that they are treating me for the right condition and it is not something worse? How will these conditions affect me in the long run if they begin the progress? Which out of the two, endometriosis or adenomyosis is more severe and serious? How will they affect my fertility and what would happen if I wanted to have another baby in the future? Will it be hard to get pregnant? Will it cause problems to either me or the baby? Is there an increased risk of miscarriages and preterm labor and if so how likely is this? What if I were to come off the pill for whatever reason? How can I manage these conditions? Are there any other methods or a form of lifestyle I can follow to help such as certain dietary intakes, etc? How can I prevent getting pain when I go to the toilet (mainly passing stool) and help with sleep? Any other information will be greatly appreciated. Also, are there any online groups or support websites for these conditions? Doctor: Hello, Welcome to iclniq.com. I have read your query. Both problems, more or less will have the same effect. In the long run, it might affect you getting pregnant. But if you get pregnant then symptoms of endometriosis subsided. May be for ever. It does not have any effects on pregnancy and baby. No risk of preterm delivery or anything. The permanent solution for this condition is the removal of uterus and ovary. But not recommended if you have plans for further pregnancy. OC (oral contraceptive) pills can help you in disease suppression. Some GnRH (gonadotropin-releasing hormone) injection are also available but they have side effects so not recommend for long-term. OC pills can be taken for years. If you miss OC pills for two to three months or so then endometriosis should not return back immediately. So any time if you want to stop it for a few months definitely you can do that. Talking about the sharp pelvic pain, it could be because of fibrosis after cesarean section. You can do some moderate exercise on a daily basis which can help you. There are no specific dietary things which can help." + }, + { + "id": 27739, + "tgt": "Please suggest a diet plan for hypothyroidism and high BP", + "src": "Patient: Hello doctor, I am a\u00a050 year old male. My height is 6 feet and my weight is 90 kg. I take regular medications for\u00a0hypothyroidism and high BP. I am attaching my latest reports. Please suggest a low-carb high-fat vegetarian diet. Doctor: Hello. I have read your query and gone through your reports (attachment removed to protect patient identity)." + }, + { + "id": 5633, + "tgt": "I have a painless lump on my penis and it is continuously growing. What is that?", + "src": "Patient: Hello doctor, I have a lump growing on my penis foreskin for the last seven to eight months and it is continuously growing in size. Since it was painless I ignored it till now thinking that it will go away, but it started paining and looking at its size I am worried now. A similar one started just near it a few months back, but that region used to get rubbed while masturbating. I think that is why that one did not grow and went away. Please help. Doctor: Hello, Welcome to icliniq.com. I have seen the pictures. (attachment removed to protect patient identity). This appears to be a sebaceous cyst of the penile skin. I would like to know if there is any pain or pressure sensation associated with this lesion. By the look, the lesion appears to be benign, and the best treatment would be surgical excision of this mass followed by a histopathological examination to confirm the nature. The surgery is simple and can be performed in local anesthesia. It will last for about 15 minutes. Sebaceous cyst, Fibroma. Sebaceous cyst, Fibroma. Sebaceous cyst." + }, + { + "id": 14540, + "tgt": "How to treat canker sores with pus in them?", + "src": "Patient: Hello doctor, I have a couple of canker sores and two are on my lip and has pus in them and two on the bottom. Can you tell me what to do with them? Doctor: Hello. I have been through your query and I can understand your concern. Canker sores are a characteristic feature of syphilis. This syphilis is a sexually transmitted disease. Purulent pustules are generally seen which burst to form canker sores. You should get yourself tested for the syphilis infection as soon as possible because syphilis should be treated immediately. Otherwise, it can lead to some of the serious complications to the brain, heart, nervous system, etc. However, you do not need to worry as once detected it can be completely eradicated from the body. I would advise you to have a visit to your nearest dentist and also make an appointment with the general physician for eliminating any other cause for the same. If you were my patient, after detailed drug history, I would have prescribed you antibiotics like Penicillin and topical analgesics (if the pain is in the sores) for the infection elimination. I would also advise you to adhere to not having sex during this period as it can spread through having sex. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly." + }, + { + "id": 22362, + "tgt": "I have nearsightedness but why everything close to me is blurry now?", + "src": "Patient: Hello doctor,I am 18 years old and I have been nearsighted since I was 12 and all weekend my eyes have been hurting and making me dizzy and giving me a bad headache. When I woke up this morning and looked at my clock across the room I could read it but everything close to me was blurry. It was like that for the whole day and it seems that I am farsighted now. Doctor: Hello. You are a myopic patient (farsightedness). Due to your vision problem, your eye is under strain which leads to spasm of a muscle inside your eyes which causes a problem in reading. You can go to the nearest ophthalmologist and get your dilated examination for the power of your eyes. Do not worry. This happens in farsightedness. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4851, + "tgt": "My brother with OCD is scared and homesick. How to help him?", + "src": "Patient: Hi doctor, My 19-year-old brother was suffering from OCD and it started kicking back in, for the past 20 days. He basically has a checking problem. He is currently a freshman at a University and was doing well for the first two months. Last month he went back home and was returning back to the University and that is when he started feeling homesick. During the journey, he felt for a moment that he going back to an unsafe place. This feeling was because of a crime movie that was shot in the city his university is in. That made him feel uncomfortable and at the same time the results of his mid term were told to him and he misinterpreted them and thought he scored less, but the real scores were very good and he did the best among his class. But he was affected by all these thoughts throughout the journey and right now he fights homesickness and is scared about the place he lives in and also checks continuously if he is able to understand what he is being taught in the class rather than listening to the class. I am scared for him and his future. Doctor: Hi. His current symptoms are also probably due to OCD (obsessive compulsive disorder). He has fear due to a crime scene of a movie and is feeling very homesick. This is happening because of severe anxiety due to OCD. If he has never consulted a psychiatrist then he should visit for evaluation. Fluoxetine or Fluvoxamine which are SSRI (selective serotonin reuptake inhibitor) drugs are the drug of choice for severe OCD. The drugs help to control OCD symptoms in about four to six weeks. For very severe symptoms low dose antipsychotics can also be used. Visit a psychiatrist for help." + }, + { + "id": 20242, + "tgt": "We went for a regular check up and reports suggest leukemia. Can you help?", + "src": "Patient: Hello doctor,I went to the hospital for my father's normal check-up. He is 61 years old. His report looks like this: WBC 43000, platelets 1.2 L, and lymphocytes 88 %. To get it cross-checked, we went to another lab the next day and here are the counts: WBC: 38000 (Reduced by 5000), platelets 1.5 L (increased by 30000) and lymphocytes 84 % (decreased by 4 %). I am assuming that this is a good sign where WBC count has gone down by 5000 in one single day and platelet count has gone up by 30000. The doctor has recommended chronic lymphocytic leukemia which is kind of scary. This will take three days to come. My father is physically active and no medical conditions. He works out as well and walks a lot. I have seen him going up and down the stairs (fifth floor) twice or thrice a day and he does not feel any weakness. No smoking or drinking habits. He is a pure vegetarian. No fever or pain. We went for a regular check-up just like that and that is when this report came up. No history of any such disease in his family tree. Other reports are fine. Doctors did not find any alarming symptoms. He had gone through angioplasty eight years ago and since then he is visiting his cardiologist every six months but never got his blood checked. Can you please help? Doctor: Hello. Your father has absolute lymphocytosis. Repeat CBC (complete blood count) after one week along with complete peripheral smear examination to look for abnormal malignant cells like blasts. If the count does not come down, then investigate with flow cytometry examination to rule out lymphoma or monoclonal B cell lymphocytosis. Hope your concern is solved. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16690, + "tgt": "Please suggest some ayurveda medicine for chikungunya?", + "src": "Patient: Hi doctor, My mom and my 15 year old sister are suffering from chikungunya.\u00a0Please suggest some ayurveda remedies or medicine for chikungunya.\u00a0Also, please suggest any preventive medicines as well. Doctor: Hi. Mosquito bite. 1. Amrutharishtam 30 mL two times a day after food. 2. Yograj guggulu two tablet with water before food. 3. Amruthotharam Kashayam 15 mL with 60 mL water 30 minutes before breakfast and dinner. 4. Avipathy choornam tea teaspoon with one glass warm water at bedtime. 5. Kottamchukkadi thailam (oil) application to all over the body and take hot water bath after 30 minutes. Avoid cold breeze and air conditioner after oil application. 6. Treatments like Abhyangam (ayurveda massage) and pottali massage can help. 1. For adult - Amrutarishtam 30 mL daily after dinner ans For 15 year old - Amrutarishtam 20 mL daily after dinner. 2. Yoga and pranayama helps to improve your immunity. For further information consult an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12786, + "tgt": "Please tell me about the management of depression and anxiety", + "src": "Patient: Hello doctor, I have depression, anxiety, lack of confidence, social anxiety, sweating and fast heartbeat, suicidal thoughts, weakness for the last 15 years. I am 38 years old, male and started masturbation at the age of 18. After some days, I started feeling nightfall regularly. I feel I ruined my life and went to a local doctor and they said that masturbation creates weakness in you. I was shocked and afraid and went into a deep depression thinking that I have destroyed my life. I avoid to meet people and soon had a lack of sleep with low energy. I lost my confidence and deeply regret and this phobia causes me depression and anxiety. I had taken so my ayurvedic medicine but no result. Finally, I tried lots of psychiatrist but medicine made me less active and I was not able to come out of my depression and anxiety and weakness. Then I went to meet a psychiatrist. They prescribed me Nexito 10 mg in the morning and Buspar 5 mg day and night. Presently I am taking these medications. But there is no proper improvement. In the past, I have taken lots of psychiatric medicines like Mirtaz 15 mg, Paxil, Prestiq, Stablon but no result. Please suggest should I go with my current treatment of Nexito 10 mg once and Buspar 5 mg twice or I should add other medicine or should I increase my dose of current medicine. I also feel sexually weak. Please help me with your expert advice. Doctor: Hi. Let me make it very clear. Masturbation is a completely harmless and natural sexual act. Almost 100 % of teenagers masturbate. Nightfall is a natural phenomenon and occurs to everyone in adolescence. Physical power and energy have nothing to do with masturbation. If you want to get fit, start exercising. Now, as you have been slipped into depression because of guilt and self-reproach, you first have to believe that you are just as normal as any random healthy guy. To get out of this depressive episode you need to take antidepressants in a sufficient dose and duration. The antidepressants you should take must be devoid of sexual side effects. The commonest sexual side effect of Nexito (Escitalopram) is a loss of libido. Moreover, the drugs you were given were not in a sufficient dose. I suggest you meet your psychiatrist and ask for drugs like Bupropion (starting dose 150 mg and to be increased to 300 mg). You may have an option to increase the dosage of Nexito to 20 mg in two divided doses. Buspar (Buspirone) is an antianxiety drug whose effective dose is 20 mg to 40 mg. Along with medication, you may go for psychotherapy." + }, + { + "id": 21608, + "tgt": "Why am I having pain in back tooth and gums?", + "src": "Patient: Hi doctor,I am 25 years old. I was three months premature baby and I have an organic brain disorder, high blood pressure, and anxiety disorder. I take Lamictal, a blood pressure medicine and an allergy pill and Trileptal and Fluoxetine 20 mg. My back tooth hurts. I think it is infected. I also have yellow places on my gums that hurt when I eat, brush teeth. My gums bleed a lot. I have gingivitis too. Salt and baking soda are not helping. Please advice. Doctor: Hi. I have gone through your question. I can understand your concern. But because you are having certain special issues, you need to visit a dentist personally. Your pain needs antibiotic medication that you might be allergic to, the pain in your tooth is because of pulpitis and needs an antibiotic course like Amoxicillin-clavulanic acid. Before taking any medicine make it sure you are not allergic to it. Any case take medication under medical supervision. The other spots you mentioned must be the aphthous ulcers. For bleeding treatment, get an oral prophylaxis (teeth scaling) done. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14542, + "tgt": "How are Meprate and intercourse related? Please explain", + "src": "Patient: Hi doctor, I am a childless woman for the past six years after marriage. Recently, we went to an IVF center. All my reports and my partner's reports were normal. The doctor prescribed me medicines such as Letrozole, Metital, Supradyn, Folmet, and Meprate. I am confused about Meprate. I am maintaining a calendar to track my menstrual cycle so that intercourse during ovulation can increase the chances of pregnancy. How are Meprate and intercourse related? Please guide me. Doctor: Hi. Most of the medications given in the process of treatment help in having a regular menstrual cycle, regular ovulation, and to get rid of irregular periods and to support conception. Meprate is progestin. It will act as progesterone which reduces the overgrowth of endometrial thickness, and they help in ovulation. They are given in patients having irregular cycles. After ovulation, it helps in conception. For quitting the medications, you have to consult your treating doctor. Have folic acid regularly." + }, + { + "id": 18944, + "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": 12619, + "tgt": "How can I treat the front tooth being lower than other teeth?", + "src": "Patient: Hello doctor, One of my front teeth is lower than the other and my orthodontist told me I am getting my braces off tomorrow. What should I do? Doctor: Hi. Please ask your dentist to take this into consideration. If there is only 0.5 mm difference or very negligible then ask him to level it off by slicing the tooth a bit. But if it is prominently below the level of occlusion then he must reposition the bracket and give it some time like two weeks or a month more to intrude the tooth and then give you fix retainer after it. Discuss it properly with the dentist before removal. Stay happy and blessed. Take care." + }, + { + "id": 6493, + "tgt": "I am 30 years old female with normal HSG report. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, I am a 30 years old female, trying to get pregnant. I have done the HSG test, and the tubes are normal and not blocked. Doctor: Hello, Welcome to icliniq.com. I have seen your reports, and they seem to be normal. (attachment removed to protect patient identity). I would suggest doing proper ovulation monitoring for one month, starting from the 9-10th day to 16-17th day, until the egg gets ruptured and plan accordingly. Also, do semen analysis for your partner. If your periods are normal, try conceiving this way at least for three cycles. Followed by IUI (Intrauterine Insemination)." + }, + { + "id": 13481, + "tgt": "Apart from diet,how can I reduce belly fat?", + "src": "Patient: Hi doctor, I started going to the gym a few days ago. Comparatively, I am taking good diet now. But, my belly fat is increasing. Currently, I am under the following diet, 7 AM:- Breakfast with two boiled eggs; 10:30 AM:- Two boiled eggs; 12:30 PM:- Lunch; 4 PM:- Two bananas and by 4:30 PM I go to the gym. After the workout, two boiled eggs, two bananas with 400 ml milk. By 8:30 PM:- Dinner. What should I do to reduce my belly fat? Please suggest. Doctor: Hi. Your breakfast is fine. You should not take too many eggs. You should not take again the same two boiled eggs at 10:30 AM and after working out. Instead of egg, you can try sprouts, green peas, stew, milk 200 ml, oat, and dalia 100 g approximately. Take vegetarian/non-vegetarian as good quality in a sandwich, add butter, sweet two pieces. Add in 100 gm salad and a small cup of two fruits like one citrus and the other fibrous. To reduce belly fat you should come down with your outside foods mainly avoid junk and readymade food, soft drinks/hard drinks if any. No excess for biriyani, fried rice, and fried foods. Do free hand exercises like chest, lower limb, and upper limb. Go for a 2 km to 4 km run or jog in the morning. Along with this do yoga for more benefit." + }, + { + "id": 22672, + "tgt": "Is it anything serious when there is high level of lymphocytes?", + "src": "Patient: Hi doctor, I took CBC test before six months. My WBC is 8970 cells/cmm and lymphocytes are 45.4 % 4080 cells/cmm. Yesterday, I took another CBC test. My WBC is 7.5 cells/cmm and lymphocytes are 46.4 %. Is it anything serious when there is a high level of lymphocytes? I have GERD like symptoms. Yesterday, I took an endoscopy and everything is fine. Doctor: Hello. Lymphocytes are usually increased following a viral infection, some bacterial infections and also in conditions of stress. If you have a cold, it might be due to viral infection. The percentage of increase in your lymphocytes is not very high. Continue taking medication that has been prescribed for GERD (gastroesophageal reflux disease). You are slightly anemic and try to have food items like green leafy vegetables which are rich in iron to prevent iron deficiency. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20280, + "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": 5627, + "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": 5345, + "tgt": "I am unable to do intercourse as I could not retrct my foreskin. Is circumcision necessary?", + "src": "Patient: Hello doctor, I am 31 years old. I am married for the last two years, but still, I am not successful in doing intercourse with my wife and I am really frustrated. Also, my foreskin on the penis does not draw back when tried. I want your help in doing successful intercourse with my wife. When I consulted a sexologist, he says that I need to do circumcision, as the foreskin does not draw back. When I try to insert the penis, it is not getting inside her vagina, but shrinks and stays at the head of the vagina only. Please help. Doctor: Hello. I understand your concern. You are having phimosis. In phimosis, the foreskin does not role back and it is difficult to do intercourse. The other thing which can cause foreskin not to roll back are genital candidiasis but as per your description, you are having phimosis. You should do circumcision, it is the best treatment available and it is very effective. You should consult a general surgeon or urologist, they will do the procedure in your penis. Do not worry circumcision is a minor procedure done under local anesthesia and it is an out patient procedure. It will take only two weeks to recover completely and it will solve your problem permanently and also it will help you to enjoy sex also. I hope this helps." + }, + { + "id": 7358, + "tgt": "I feel stressed due to broken relationship. How to get rid of it?", + "src": "Patient: Hello doctor, I stress and overthink a lot, and after my breakup and I am facing this for a year. I am hardly able to concentrate I am always involved in thinking about my past. The guy always tries to defame me and speak rubbish about me, I being an introvert I am unable to talk to a lot of people and he takes advantage. Doctor: Hello. 1. It is common to feel stressed following a break-up in any relationship. Usually one gets better with time, but you are reporting the ongoing stressful situation. It will get better with support. 2. Have you spoken about your difficult situation with any family member or friends? Try to open up and have an honest discussion with a trusted person who can understand and support you. 3. It does not help that the ex-guy is trying to defame you. Try to ignore him and see whether his actions die off. Block his contacts. Try to stay off social media for some time until everything calms down. If he continues to harass you, try to warn him formally. Take help from family and friends instead of handling it alone. 4. Try not to worry about the current stressful situation. You will come out of it as a wiser person. Try to stay positive. Focus on long term goals. Try to exercise regularly to help you to relax. Distract yourself by listening to your favorite music, watching TV, movies, etc. 5. If you are continuing to feel emotionally distressed, you can consult your doctor for further assessment and support. I hope this helps." + }, + { + "id": 11461, + "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": 19795, + "tgt": "I have excessive thirst and frequent urination. Are these due to my medications?", + "src": "Patient: Hello doctor,I have been on Lithium for bipolar disorder for over 20 years. From a blood test two years ago, I noticed that my GFR was below 40. So, I gradually started switching from Lithium to Epilim to avoid further damage to my kidneys. But now, I experience excessive thirst and I wake up at night to pee and drink more. I have transparent urine with bubbles, and I also feel quite tired. I would like to know what are your suggestions for these issues. Please find attached my blood and urine results chronologically ordered from the last two years. At the end of this month, I will do a kidney scan but, I have not seen a nephrologist until now. Doctor: Hello. I have seen your detailed reports (attachment removed to protect patient identity). Revert with the above reports. We can decide the further steps based on that. For more information consult a nephrologist online --> https://icliniq.com./index.php/ask-a-doctor-online/nephrologist" + }, + { + "id": 3815, + "tgt": "My 5 months old daughter did not roll since yesterday. Is it normal?", + "src": "Patient: Hi doctor, My daughter is 5 months old. She started rolling at her fifth month birthday. She rolled for two or three days. But, she did not roll since yesterday. Is this normal? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10493, + "tgt": "Is there a permanent remedy to get rid of psoriasis?", + "src": "Patient: Hello doctor, I would like to know a few details of the tablets which\u00a0I have been taking for my scalp psoriasis. Winolap 5mg once in a while when itching is too high (without doctor's prescription). Isotretinoin drugs/other drugs (with doctor's prescription). I have been taking these medicines on a regular basis and were very effective. But only till I take them. If I stop the medication, I have to visit my doctor again and start medications again to get some relief from itching in scalp. I want to know if these medicines will cause harm/side-effects in future? Can these be taken continuously? Doctor: Hello. Isotretinoin is a potentially dangerous drug and in many countries there are very strict guidelines over its use. It basically contains retinoids which in simple language is a derivative of vitamin A. It is primarily used to treat severe cystic acne and I fail to understand why your doctor has prescribed it to you for psoriasis. Its side effects include: Well, I need some more information: 1) For how long have you been suffering from scalp psoriasis? 2) Exact name and exact dose of the medicines which you are taking? 3) For how long have you been taking each medicine (in detail)? 4) Any medicine which you had taken in the past but not taking now? 5) Do you feel any side effects which I have mentioned above? 6) How much relief have you got in your scalp psoriasis from these medicines or no effect at all yet? 7) Do you have psoriatic lesions anywhere else on the body or just on scalp? Kindly provide these information, so that we can evaluate your case in detail and prescribe you with the best possible treatment. Revert back to a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12084, + "tgt": "Does drooping eyelid mean Horner's syndrome?", + "src": "Patient: Hello doctor, I am a 37-year-old, healthy male. I have attached three views of my eyes. The top one is 13 years old, the middle one and the bottom one are from today. As you can see I always had a bit of droopy left eye lid and its prominence depends on the angle of the view. Do you think this is consistent with Horner syndrome? I have no neurological symptoms or health concerns. Doctor: Hello. Horner syndrome is characterized by myosis (small pupil) and enophthalmos (eye turned inside) besides ptosis. It is usually associated with other symptoms like severe headache, dizziness, etc. So, I definitely do not think that you have this syndrome. As you do not have any other symptoms, there is no reason to worry about. In my opinion, it could be a normal face asymmetry. If you have double vision, especially at the end of the day, or if the ptosis is more visible at the end of the day compared to the morning, I would recommend performing nerve conduction studies in order to investigate for myasthenia gravis." + }, + { + "id": 24618, + "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": 25322, + "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": 339, + "tgt": "Is it possible for skin tags developed from healed fissures to recur after surgery?", + "src": "Patient: Hello doctor, I have two small anal skin tags developed from healed fissures. Physically they do not bother me much but mentally I do not like to have them. I consulted a doctor, he said he can only remove 90 % of skin tags as removing completely will affect the sphincter muscles. He also said skin tags might grow back in future as skin looses as you age. Is there any side effects of the surgery or should I go ahead with surgery? Do the skin tags reappear after surgery? Doctor: Hello. I will definitely help you regarding your query. Skin tags are formed in long standing anal fissure. These are nothing but accumulated skin due to fissure. Usually nothing to do that but if you do not like them, you can opt for surgery. It is a very minor surgery. No side effects or any problem after removing them by experienced hands. A raw area will form that will heal by its own. It can reappear if you have another formation of anal fissure. So avoid the conditions that will cause it again. So do not worry just go through the surgery if you do not want them." + }, + { + "id": 8761, + "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": 16120, + "tgt": "Is surgery necessary for ovarian cyst?", + "src": "Patient: Hello doctor, I have a right ovarian cyst of 4 cm and left adnexal heterogeneous shadow of 6 cm. What is to be done? Is there anything to worry about? Does it require an operation on an urgent basis? I am unmarried but not virgin and have a regular conjugal life with a single partner. Do I need to stop being intimate? And my weight is 62 kg and height is 5\u20194\u2019\u2019. Doctor: Hi. It is not an emergency as the right ovarian cyst is not more than 5 cm. You do a regular ultrasound to measure the cyst size. If it goes more than 5 cm that we have to operate it. There is no relationship of it with your relationship or virginity." + }, + { + "id": 12935, + "tgt": "What can be done to manage continuous headache?", + "src": "Patient: Hello doctor, My son has a persistent headache since last 15 days. It started with headache. Consulted various neurologist. Got MRI and CT done, all clear. He gave various medicines, even Noxdorm 250, but no response. Doctor: Hello. I understand your concern and would explain that his symptoms could be related to a tension-type headache. Coming to this point, I agree with the doctors prescription about Citalopram and Sibelium (attachment removed to protect patient identity). But these drugs may need up to two weeks to show its effects. For this reason, you should be patient. If the situation does not improve in a couple of weeks, I would recommend trying Amitriptyline and Valproate combination. You should discuss with his doctor about these treatment options. Based on his test reports, I would conclude about a primary headache (benign, related to psychological stress)." + }, + { + "id": 28747, + "tgt": "Is it normal to not want to go anywhere near your husband?", + "src": "Patient: Hello doctor, Is it normal to not want to be anywhere near your husband? He is not abusive in any way, he just belittles everyone around him. I do not want to go to work or anywhere, I just want to stay home while he is not at home.\u00a0I am unhappy and I do not feel like myself. I just want to feel normal again.\u00a0I need advice on what I should do to feel normal again. The medicines I am on are\u00a0Spironolactone, Amitriptyline, Clindamycin gel, Finacea foam, Allegra, and Zantac. Doctor: Hello. I can understand your concern. It is painful to have such feeling. Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12901, + "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": 2244, + "tgt": "As there was no heartbeat in the 9th week, the doctor asked us to abort. What to do?", + "src": "Patient: Hi Dr. My wife is pregnant in her 1st trimester.. Roughly she is in her 8th week of pregnancy.. Lately we went to a gynecologist for Consultancy. During her 6th week we able to see heartbeat but now on 8th week(as per our calculation) but the Dr said its her 9th week and can't see the heartbeat. He said it abnormal growth and asked to abort.. We are in big Confusion now. Can you help us on this. What shall we do.. Doctor: Hello, Based on the description you mentioned , it appears your wife has missed miscarriage. I am really sorry to say that in such case, the fetus fails to grow, as the fetal heartbeat has stopped. Even if you do not take Medications to abort it , it will eventually be removed by the body (as in it will abort itself in due course of time). It upto you, to wait for it to happen on its owns, or you can consider going for the medications for the abortion as advised by your gynaec. In case you wanna wait for it to happen spontaneously, it is advisable to get weekly blood tests monitored as advised below and you can wait for maximum 2-3 weeks for it to expel spontaneously or else it would be better to go for evacuation from your Gynaec. Hope I was able to solve your query. - Blood group & Rh antigen testing. - Complete hemogram with platelets & Coagulation profile weekly once if waiting for spontaneous expulsion. - Condition & Options explained." + }, + { + "id": 17761, + "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": 18778, + "tgt": "I have cervicitis after having Nuvaring for seven years. Is this normal?", + "src": "Patient: Hello doctor,I am a 25 year old female who took Nuvaring continuously for seven years. After my yearly appointment last year, I had excessive bleeding and irritation of my cervix upon examination. I was told I had chronic cervicitis and an overgrowth of tissue on my cervix which would need to be removed by surgery. Since then, I have not been the same. My period is not regular and sex not as enjoyable as it used to be. Is this normal? Doctor: Hello. Nuvaring is a hormone-releasing contraceptive ring placed in the vagina. As it is hormone based, it causes side effects like menstrual irregularities, decrease in libido, vaginal itching, infection, headache, bloating, weight and appetite changes, abnormal hair growth, skin darkening, bloating, changes in appetite and weight, etc. So, all the symptoms you described are side effects of your long-term use of the same method of hormonal contraceptive. My advice would be to try to avoid using the same mode and same hormonal contraceptive for years. Try to have one that suits your body and would have the least side effects. For cervical growth, undergo colposcopy. Repeat Pap smear if it has been more than three years. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24916, + "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": 23297, + "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": 24398, + "tgt": "I took a semen test as my wife is unable to conceive. Kindly help", + "src": "Patient: Hi doctor,I am a 29-year-old male. I took a semen test as my wife is unable to conceive. Kindly help. Doctor: Hi. Your semen is normal (attachment removed to protect patient identity). There is a slight reduction in rapidly active sperms. You can have a course of antibiotics like tablet Levofloxacin 500 mg once a day for 10 days. Any infection causing that problem will be resolved. Kindly see if any of the following investigations need to be done: If all these are normal, there is no chance that she will not get pregnant with God's blessings. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22565, + "tgt": "UPT is positive and I have pelvic pain and dizziness. Please suggest", + "src": "Patient: Hello doctor, My LMP is 20th April. I carried out two UPT last month and the results were negative. Today morning, I again checked and found that the result is positive. I am feeling pain in the pelvic region and dizziness in the morning. Please suggest me what to do. Are there possibilities of medical abortion? Doctor: Hello. The pregnancy symptoms can present with mild lower abdominal pain, especially in the flanks, with occasional dizziness, retching, and nausea, which are the effects of increasing progesterone levels and it is normal. As long as there is no bleeding per vaginum, there is no indication of miscarriage. You should be on Folic acid, antiemetics, and progesterone support. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6089, + "tgt": "What is the medical treatment to cure antral erosions?", + "src": "Patient: Hello doctor,I am suffering from stomach issues from last one year. As per endoscopy report, I am suffering from antral erosions (scattered red erosions). It is resulting in a loss of appetite, stomach fullness, gastric troubles and incomplete evacuation. Kindly advice a proper medical treatment to cure this problem. Waiting for your revert. Doctor: Hello. In addition to a less spicy, fiber-rich diet, you need to take a course of tablet Esomeprazole 20 mg twice daily half an hour before meals for one month. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If symptoms do not improve, you may need to do a urea breath test to see if you have H. pylori infection. If that is positive, you will put on triple therapy regimen which is a prescription medication. If symptoms do not improve at all after that or get worse, please notify for further tests. But this is unlikely. Please keep your stress levels in check as this can aggravate your symptoms. Also, eat on time. Hope this helps. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22524, + "tgt": "Will a low-carb diet cause blood sugar to fall?", + "src": "Patient: Hello doctor, I am 25 years old. I began to follow a healthy diet a couple of months ago. So, I reduced sugars. Sometimes, I feel hypoglycemic and feel uncomfortable rising in the heart/chest area with a little pain. But, when I take sugars in moderate amounts, I feel comfortable in this area. But the effect remains, I do not know. And, I also do exercise and I feel really good when I move the chest muscles during the exercise. But when I stop the uncomfortable feeling is back. There is also a presence of light gas and burning in the stomach and I feel a slight tension in the neck area as well. What is the diagnosis? Doctor: Hello. I went through your post. Your BMI (body mass index) is very low, just lower limit of normal and obviously, your reserve glucose will also be low. You will feel hypoglycemic especially during work out and it will take you months to stabilize at this diet and exercise. However, carbs are important especially when you are doing work out. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20392, + "tgt": "I have herpes zoster. Should I consult a dermatologist or a general physician?", + "src": "Patient: Hello doctor, I have herpes zoster. Should I consult a dermatologist or a general physician? My age is 24. What kind of diet has to be taken? Doctor: Hi. Herpes zoster is a dermatology condition. It is a viral reactivation. It has to be treated as soon as possible to prevent the postherpetic neuralgia (residual pain). It is the varicella virus, not related to diet. You can continue taking your regular diet with 2 to 3 liters of water per day. Need to avoid excessive physical work or exercise. Rest is very important. Can you please upload the pictures so that I can see the area of involvement? Since how many days you have this?" + }, + { + "id": 7691, + "tgt": "What is the reason for two miscarriages in a single year?", + "src": "Patient: Hello doctor,I am 22-year-old female, weight 55 kg, height is 5.6, all reports are normal but two miscarriages in one year. Why? Doctor: Hello, Welcome to the icliniq.com. I suggest you rule out diabetes and thyroid issue first by random blood sugar estimation and serum TSH estimation for primary workup. If both these investigation within range than rule out the pelvic inflammatory disease by ultrasonography examination. Your pelvic examination also needs to be done. If still cause not identified than TORCH investigations ( toxoplasmosis, rubella cytomegalovirus, herpes simplex, and HIV), ANA (antinuclear antibody) estimation and chromosomal analysis have to be done for further workup. You can revert with reports once done. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 20876, + "tgt": "I am in extreme pain and not able to turn my neck to left. Please advice", + "src": "Patient: Hello doctor,Just a few minutes before I was trying to reach my forehead with my left arm and just after that, I think my nerve got stretched in the neck. I am in extreme pain and I am not able to turn my neck to left. When my neck is on right it feels little fine. I cannot do anything with this pain. Please help me. Doctor: Hi. I have understood your concern about pain in the neck region. Do not panic, this is called acute muscles spasm of neck muscles. You need to apply ice over neck muscles where you feel pain. See to that does not apply hot water over that area, otherwise, the pain will increase. You can take physiotherapy treatment in the form of tens and ultrasound therapy which will give you an immediate relief. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 26276, + "tgt": "Have allergy problems. I always have runny nose or sore throat or excessive sneezing and coughing and cannot breathe normally", + "src": "Patient: Hello, I have been having allergy problems for many years. I cannot breathe from my nose even if it is not blocked because I feel like I get less oxygen from my nose. I also have asthma and as the seasons change my allergies react. I always have running nose or sore throat or excessive sneezing and coughing. This would last for a few days and sometimes a week but it goes away and I will be fine for a few months; but this is always building up and now I have sinus due to this. The sinus was not that bad in the beginning but now the sinus has become worse. The mucus is very thick and its color gets yellow and green, my nose gets fully blocked and then my asthma gets worse and I cannot breathe from my mouth or nose. I have tried many allergy medications like singular, zyrtec, claritin, etc. They do not help. So everytime I reach\u00a0chronic conditions, my doctor always gives me some form of steroids and antibiotics to calm down the condition. It helps but provides only a temporary relief and I know it would come back within a next few months. I am looking for a better solution than a temporary relief. Please give suggestion. Doctor: Hi. I totally understand your concern regarding cure of allergies. Unfortunately, allergy of the nose cannot be totally cured, but definitely can be prevented. I would recommend the following:1. Get an allergy skin test done; so as to identify the\u00a0allergen. \u00a0Avoiding the allergen\u00a0is half the solution to the problem. The allergen source could be dust sources like carpets/bedding/mattresses. Avoid indoor plants/pollens. Pet fur/hair is also a common cause. 2. Get a CT scan of your sinuses. You could be having polyps in your sinuses; which may be contributing to your nose block. If so; your ENT doctor may advise you to undergo a surgery to open up your sinuses; to enable you to breathe better. 3. Taking a steroid spray regularly will give relief of your symptoms. You do need to take it for 2-3 months during the season. Taking an antihistamine like allegra with steroid sprays is beneficial in moderate allergic rhinitis. 4. The latest treatment is Immunotherapy; offered in some allergy centres. You can contact your local specialist for the same. It is a permanent cure; but it takes a long time for the immunity to develop. Hope the above helps. If you do have a scan, do share it with me and I can guide you further. Keep your allergies under control; as a neglected sneeze can lead to aggravation of your wheeze. Consult an ENT otolaryngologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12697, + "tgt": "Can hair-in-throat sensation indicate cancer?", + "src": "Patient: Hello doctor,For the last five months, I have had problems with my throat, left side. I have a hair-in-throat feeling that will not go away. I have been to two ENT already. The first one did not do any tests and just prescribed Penicillin, assuming strep. Later on I did develop an infection, which cleared out with Ceftriaxone.The second ENT prescribed Azithromycin, Deflazacort and cleaning with baking soda. Felt a bit better, but feeling is still there. ENT said tissue was swollen, and true enough, I see a part unusually swollen, no pain though, just the annoying feeling. I am horribly terrified of the possibility of this being throat cancer, even if both ENT have ruled it out. Can you please check the pics and give me your opinion? Doctor: Hello. I do not know whether this satisfies you but there is nothing to suggest that you have any growth. It is either LPR, GERD, chronic pharyngitis due to other causes that may be causing these symptoms. At times it can just be globus pharyngeus." + }, + { + "id": 13789, + "tgt": "Will exercise or diet help to maintain lipid levels?", + "src": "Patient: Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of good foods. But he certainly did not avoid red meat, bacon, etc. I am 50, male. I have never smoked. I am 6 feet, 185 lb. I am a teacher, so I am up and about all day. I do not regularly exercise, but I stay busy. My latest lipid is HDL 48, triglycerides 81, LDL 158. I eat pretty healthy, but probably more red meat than I should. My questions are as follows. 1. If my dad had been on a statin all those years, would he still likely be in the hospital recovering from this surgery? And I say likely, as I know you cannot guarantee that answer. 2. If you were forced to advise me at 50, given that I would remain at my current weight (and not start smoking at any point) would you tell me to eat an extremely healthy diet like fish, nuts, fruits, veggies, little or no bad fat, red meat, etc., or would you advise me to start playing tennis four days a week (or substitute any exercise similar to that like cycling, rowing, running, etc.). You have to advise me to do any of the above, not both, please. Doctor: Hi. There are three things you are asking, statin, diet, exercise, right? 1. Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged 40 or above, in familial cases even before 40, a lipid profile should be done. If LDL is above a certain threshold (different threshold in presence and absence of risk factors and family history), the statin should be started to prevent coronary events. If your father had started statins early, chances for the current condition was less likely. 2. Diet: Healthy diet is something like a prerequisite for preventing heart diseases, and it is must at all ages. 3. Exercise: Regular aerobic exercise of at least moderate intensity is must for all ages to prevent heart attack and stroke, etc. Two and three, both are must simultaneously, and both must be advised, if not enforced. If I have to advise only one, I would advise exercise. If still any concern, I will be happy to clarify." + }, + { + "id": 25141, + "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": 23527, + "tgt": "Why is there white and red discharge after unprotected sex?", + "src": "Patient: Hello doctor, My fiancee usually gets her periods at the end of every month. We indulged in unprotected intercourse ten days back and within six hours, she consumed an I-pill. This was the date she lost her virginity. Yesterday, she noticed a white and red discharge on her private parts and today she was experiencing a burning sensation while urinating with a little pimple sort of bubble on her private parts. Is there anything to worry about? Will she get her periods soon? Also is this little pimple caused due to having sex for the first time? What is the cause of this white and red discharge? Please clear my doubts. Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. She will definitely get her periods. So relax and do not worry. The discharge could be because of hormonal changes due to the pill you have taken. The burning while passing urine could be because of urinary infection. There is nothing major to worry about. 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 you use the 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": 19586, + "tgt": "Protection broke during insertion and I pulled out. Can STDs be passed in this period?", + "src": "Patient: Hello doctor, I had protected intercourse with a CSW, but the protection broke at the tip during insertion and I immediately pulled out. Enough space was left at the tip for semen to collect and I do not know whether the tip of my penis has come in contact with some vaginal fluid. I am totally stressed out after the incident and do not know whether STDs can be passed in this period of one to two seconds. After a week, I am experiencing some pain below my armpits but no lymph node swelling. Is that due to stress that I feel the pain? I am totally stressed out and your support would be extremely helpful. Doctor: Hi. Even a minute touch of an infected vagina can spread STDs (sexually transmitted diseases). As partner status is unknown and has high-risk factors, it is better to use prophylactic treatment. Secondly, pain in armpit has almost no relation to STD. It is probably myalgia and it may be exaggerated by stress and fear. Are you having any ulcers on the penis or surrounding skin or had shaved before the act? These acts or ulcers can increase the chances of transmission. You can use prophylactic antibiotics to restrict STDs. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11923, + "tgt": "What causes frequent urination?", + "src": "Patient: Hello doctor, I have to go to urine a number of times especially in the night and that was beyond control. I am male, age 56. Doctor: Hi. Are you having diabetes? If sugar is high in blood, this complaint will be there. If the prostate is enlarged and inflammation of the prostate is there, then urination will be uncontrolled. Go for the following test: 1. Blood sugar fasting and post-prandial. 2. Urine analysis and culture and sensitivity. 3. Ultrasound abdomen to rule out enlarged prostate." + }, + { + "id": 26443, + "tgt": "What medicines can be had for low serum folate and low vitamin D levels?", + "src": "Patient: Hello doctor, I have had a PFA and a full body checkup. I have attached the report. Please guide me to understand it. Doctor: Hello. Regards. For more information consult a\u00a0general medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 6019, + "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": 6978, + "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": 26600, + "tgt": "I have severe difficulty in passing stools. What should I do?", + "src": "Patient: Hello doctor, I have a\u00a0difficulty\u00a0in passing stools and a clogging where the stool passes from the sigmoid colon to the rectum to execute a bowel movement. I just spent several hours of discomfort feeling constipated and as though I needed a bowel movement, only to pass a stool the size of a pea as I began to sit down. I have a big problem with getting anything to pass from the sigmoid colon to the rectum. Doctor: Hello. I have carefully reviewed your health query and can understand how worried you are about your health. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14605, + "tgt": "I have pain in left arm along with feeling of sickness. Why?", + "src": "Patient: Hi doctor, I just wanted an opinion on what I need to do. I have been having pain in my left arm along with feeling like I am going to get sick and tired. My mom passed at 34 with a heart attack. Then presently my younger brother has a blockage. I am wondering if I may be over-reacting or should I go to the hospital? Doctor: Hi. You have a strong family history of premature coronary artery disease, you are also at risk. Modify your lifestyle. Maintain weight with BMI less than 25, avoid tobacco and alcohol products if you consume. Reduce salt intake, and avoid fatty meals and fast foods. Have an ECG and echo done. Have fasting lipid profile done. Followup with reports. You have to manage it aggressively. Lipid profile, renal function test, ECG, echocardiography." + }, + { + "id": 868, + "tgt": "I have burning sensation in legs with numbness and sweating while sleeping. Please help", + "src": "Patient: Hello doctor, While sleeping at night I having burning sensation on legs and sweating all over the body and having numbness all over the shoulder and head ache. It lasts for 5 to 10 minutes. I have a feeling of pain while passing urine. I am 48 years old and I have removed my uterus eight years back. Please help. I am currently taking Diacardus, Cifran 500, Raceclo, Xykaa and Telvas 20. Doctor: Hello. I have read through the description you mentioned. There are multiple issues I will tackle one at a time. I would like to know if your ovaries were preserved when you underwent hysterectomy eight years back, and if yes, probably the symptoms of sweating all over for few minutes could be a sign of hot flushes, which is a post-menopausal symptom. And the numbness and pain could be due to some nutritional deficiencies which need to be evaluated. Your gastric symptoms of burping and pain and the gurgling sounds are suggestive that you may be having gastritis or acidity issues. Try eating small meals at frequent intervals and avoid prolonged gap between meals. Avoid spicy foods totally. Sometimes antibiotics also can cause too much acidity, and also the analgesics (NSAIDs - Aceclofenac), etc., may also precipitate gastritis. Pain while passing urine can be a sign of urinary tract infection. Try to get the urine routine microscopy and culture sensitivity testing to look for the infective agent so that antibiotics could be given accordingly. Please drink plenty of water at least 3-4 liters a day. Urine routine and microscopy. Urine culture and sensitivity. Tablet Pantop (Pantoprazole) 40 mg daily once in empty stomach 30 minutes before breakfast for seven days. Try eating small meals at frequent intervals and avoid prolonged gap between meals. Avoid spicy foods totally. Please drink plenty of water at least 3-4 liters a day." + }, + { + "id": 2872, + "tgt": "Is there any natural therapy to enhance blood flow to glans penis?", + "src": "Patient: Hello doctor, I am a 34-year-old male in good general health. Until 20 years of age, I never experienced any issue with erections or sexual health. When I turned 20, I had an episode with my girlfriend where over two consecutive nights, we had no sex, but rather very prolonged foreplay. Due to the prolonged arousal, my erection stayed for most of the night, without ejaculation. This episode of two prolonged erections and arousal obviously hurt my penis as it went through some visible changes back then, both in shape and feeling. While it was not painful, it lost some thickness and the side erectile tissue eventually lost some elasticity, becoming somewhat hardened in a flaccid state. Since a slight curvature initially appeared, I can only guess this was Peyronie\u2019s. Eventually, in the course of some years, it did recover partially and as of now, there is practically no curvature at all. However, the erectile tissue is still not as it used to be, somewhat hardened and when I have an erection, the blood seems to get trapped in a way in both sides of the penis, while the glans have difficulties getting sufficient blood and arousal and often remains softer. I have no problems getting and maintaining an erection myself, but when being with a partner, it tends to be more difficult and the erection often goes away quickly if not actively stimulated. The softer glans often leads to less control and premature ejaculation. I assume I may have gotten some degree of penile fibrosis, which was triggered by the episode of prolonged erection when I was 20. My question is, would there be a (natural) way to help reduce this tissue hardening and enhance regular blood flow, particularly to the glans. Since this is not a serious issue and it seems the damage was not that substantial (I still have morning erections for example, and the feeling is often close to normal), I would be looking to some natural therapy with as little side effects as possible. I read about some allegedly very good results of combining L-arginine and pine bark extract when it comes to enhancing erection quality overall. Would you happen to know about this or could you recommend some other natural treatment options, which would not cause any other health issues? My main concern would be getting priapism due to some medicine like Viagra, as it was exactly the prolonged erection that caused my problems. If Arginine and pine bark extract are overall safe, I would be glad to opt for this. Doctor: Hi. From the events you described, you had normal erection and ejaculation but over the years it has reduced. You have difficulty in maintaining erection and premature ejaculation. Have you recently changed the partner or stress in relationship? How much time do you take before ejaculation (intravaginal)? Natural extracts are effective but the effect may not be titrated as per the dose and excessive may lead to possible priapism. With progressive exposure to more sexual experience, the quality of erection goes down, but a person becomes more confident to satisfy a female. For a female, the way of doing sex and getting her to orgasm is more important than the penis solely. For you, I would suggest Tadaflo 5 mg (low dose Tadalafil used in BPH patients) as you do not have erectile dysfunction but need to support erection for a few days. Premature ejaculation if persistent problem, I may treat that later. Tablet Tadalafil 5 mg on alternate days evening." + }, + { + "id": 16865, + "tgt": "Are children with VSD more prone to infections?", + "src": "Patient: Hi doctor, I have a 6 week old child with a VSD. He has had nasal congestion for over a week and developed wet cough 3-4 days ago. Since then, it has alternated between being wet and dry. His nasal mucus has continued to be present. He grunts or yells sometimes when he coughs and coughs 3 or 4 times in a row. Due to which his face turns red. He is presently taking Lasix. He has been to urgent care who diagnosed him with a URI. I would like to have a second opinion regarding the same. Please help. Doctor: Hello. I can understand your concerns. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 14739, + "tgt": "My kid has diarrhea and has no strength or stamina. Please help", + "src": "Patient: Hello doctor, What is wrong with a junior school child who has diarrhea and either stopped drinking or is unable to. He has eyesight weakness and now wears glasses. He worries a lot and despite a good appetite does not put on weight. Has difficulty in reading and writing. He has no power, strength or stamina. Thyroid tests are all normal. Has he some other congenital disorder? Because there is definitely something wrong and we are guilty of not observing him fully and properly. Doctor: Hi. Causes of diarrhea and poor nutrition at this age might be due to celiac disease (an autoimmune disorder), worm infestation, IBD (Inflammatory Bowel Disease). I suggest: Revert back to a paediatrician online with reports and details for definitive treatment --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22897, + "tgt": "Is there any risk of overdose with rabies vaccine?", + "src": "Patient: Hello doctor, What are the initial and common symptoms of rabies? Is there any risk of overdose with rabies vaccines? I have taken 10 in four months. Doctor: Hello. First of all one rabies vaccine will give protection for around ten years, no need of revaccination if you get vaccinated once and later get bitten by a stray dog later in next ten years. For some unknown reason even if you are vaccinated more than once no problem since it is a protein subunit vaccine and side effects are limited. Initial symptoms of rabies are hydrophobia, disturbed sleep, agitation, and restlessness. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 10519, + "tgt": "Having pubic hair with white coating. What is it?", + "src": "Patient: Hi doctor, I have been getting pubic hair with a white coating under the testicle area. It almost looks like the hair is coated with white conditioner. I have also noticed that the area seems to be sticky when I sweat. I shave the pubic hair off, but it comes right back. I have been checked for STDs and I have none. Is this from my partner since it keeps coming back? Or is that it is deeper than shaving the hair off? Is there any creams I can use? Doctor: Hi. I have seen your query and concern. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27490, + "tgt": "I took post exposure prophylaxis. What are the chances of HIV?", + "src": "Patient: Hello doctor, I have done some stupid things in my life. I had safe sex, but with many different girls. There was never a condom fail and each time I used a new condom. When I did it with the fourth girl, I noticed that the condom tip was broken. After that, I took PEP. On the 26th day post exposure, I had sex twice with another girl both times with protection and on the 30th day of PEP, my DNA PCR was not detectable. After 26 days, I again tested for HIV with RNA PCR and my result was not detectable. Again, I had sex with a girl twice. The exposure lasted only for a minute and soon I ejaculated inside a condom. Now, I am taking PEP. Please let me know what are the chances of me getting an HIV infection. 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. Thanks and regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 23944, + "tgt": "What can be done for the permanent stains on my teeth?", + "src": "Patient: Hello doctor, I have these terrible permanent stains on my teeth that literally will not go away. They are very noticeable on my two front teeth and on another tooth and also on my back teeth as well, I brush my teeth every morning and every night for a good two to four minutes or more times when they still feel unclean but it has gotten to the point where they literally ruin my day to day activities because I do not like talking to people as they might be in plain view. Growing up I did take a lot of medication for my asthma like Ventolin, Seretide and other medications which may be the cause for these horrid stains, but all I really want to know is how to get rid of them? Doctor: Hello. I understand your concern about the stains in your teeth as it really affects the confidence of a person. Stains can be caused due to a number of reasons both intrinsic and extrinsic. Intrinsic stains can be caused due to internal factors like a few medicines, genetic disorders, etc. Whereas the extrinsic stains are caused by external factors like colored food items that are coffee, cold drinks, plaque, smoking, not maintaining the oral hygiene well, etc. Since you have not sent any pictures of your teeth so it is difficult for me to find out the exact cause of the stains. But there are a number of treatment options available to correct these stains. Two of the best ones are scaling and polishing the teeth. The second one is bleaching. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14289, + "tgt": "Can Aspirin reduce the risk of stroke during flight travel in a patient with high RBC, Hb, hematocrit?", + "src": "Patient: Hello doctor, I am a 49-year-old male, 6'4\" and 300 lbs. I take very low doses testosterone, an estrogen blocker, and HGH. All very low dosages. I will be on a six hours international flight tomorrow and I am concerned about some health risks. I have high levels of the following: RBC of 6.61, hemoglobin of 19, hematocrit of 57. I tried to have blood drawn today but the facility cancelled the appointment. Will aspirin help reduce the risks of stroke? Doctor: Hi. I agree with you. There is a risk of leg vein thrombosis in deep veins of legs due to prolong sitting. Aspirin do help according to some studies, might be not as beneficial as full anticoagulants like Heparin, etc., but take Aspirin 325 mg (not 75 or 81 mg) one hour before flight with meal. Walk during flight in aisles frequently. Keep yourself hydrated. I believe you will be fine." + }, + { + "id": 477, + "tgt": "I am a 13 year old male. How to assess my present stage of puberty?", + "src": "Patient: Hi doctor, I am 13 years old. I have been curious about puberty and height. I am currently 5 feet 6 inches and really insecure about my body and height. I feel very hairy and fair. I have been researching tanner stages of development and I am around tanner stage 4. I have hair around my inner thighs, I can grow a slight mustache in three weeks, I have line of hair from my testicles to my belly button forming. I have little hair around my nipple and some hair on my underarms. I have lots of leg hair and a medium amount of arm hair, my penis is 6.5 inches erect and 4 inches flaccid. I have attached a photo. I wear a shoe size of 11. How tall can I expect to be and how far into puberty really am I? I also have hairy parents. Doctor: Hi. I appreciate your efforts of going into the details about puberty and its effects on the body. You have done quite a bit of research. You only need to understand a few more things. First, not everybody\u2019s body responds the same way to puberty. The genetic makeup has a big influence on it. Your final height depends on your parents\u2019 height, lifestyle diet, physical exercise, and also mildly influenced by the mindset and environmental factors. Generally, boys grow up to 18-20 years of age unless the growth is arrested by early puberty. By your description, your puberty is just setting in, which is normal for the age. Now, your final height will depend on your diet and physical activity. It is possible that you might add another 4-5 inches to your height." + }, + { + "id": 2022, + "tgt": "I have milky white vaginal discharge with itching. What is my problem?", + "src": "Patient: Hello doctor, I am a 17-year-old female. There is a milky vaginal discharge that I have been experiencing every day for six consecutive months. The first time I went to a doctor was when I was experiencing a cottage cheese like white discharge with super itchy feeling and burning sensation when urinating. The doctor gave me Itraconazole Sporanox and Imiquimod Aldara. It got better. My white discharge started after that. But I did not mind it because it was not accompanied by itching. I went to a different doctor again because I was experiencing a cottage cheese discharge again with itching, she gave me Clotrimazole vaginal tablet. The only problem I have now is I am having a white milky discharge every day. It does not seem normal to me. Doctor: Hello. Some amount of vaginal discharge is a normal phenomenon. But if the discharge is thick white like curds and offensive in smell or is associated with itching then it is candida or yeast infection. If you again having the cottage cheese like thick discharge with itching, you start taking Clotrimazole vaginal tablets for seven nights along with a tablet Fluconazole which you need to take by mouth (single tablet). Maintain a good genital hygiene. Try to change your undergarments twice daily. If there is no itching and not a thick curdy white discharge then rest assures it must be a normal vaginal discharge. Check your blood sugars (fasting and Postprandial). Tablet Fluconazole 150 mg by mouth (single dose). Clotrimazole vaginal pessary for seven nights continuously." + }, + { + "id": 7886, + "tgt": "My son has retractile testicles. Does he require surgery?", + "src": "Patient: Hi doctor, My son is 3 years old and has retractile testicles. Is surgery generally required for this condition? Doctor: Hi. For retractile testis, we can wait up to the age of 8 years. Usually, the testis descends by that age. If there are no complications and it is a proper retractile testis and not an undescended testis, then you can wait till the above age. However, continuous monitoring with USG (ultrasonography) is required every six-monthly. However, if the testis is completely undescended, then it is advisable to do orchidopexy surgery before the age of 2 years." + }, + { + "id": 24469, + "tgt": "Why have the feet and hands not grown in an 18 year old male?", + "src": "Patient: Hello doctor, Basically, my current height is 5 feet 7 inches, and I am 18 years old, for which my doctor said I am only taller than 25 % of my age group. I have not hit my second main growth spurt I believe. I have been growing really slowly over the years, even when I was 14 years old, I was not growing much. I have reached puberty, a good amount of it, but for some reason, my feet have not grown much either, nor have my hands, and my face still looks young. Am I just a late bloomer when it comes to growing, but not puberty? I am waiting on growth plate and bone age results to come back to see if I am still able to grow. So, I wanted to know, in case I still have time to grow, who would qualify? I am also getting bloodwork done to see my HGH levels. I have a really strong appetite and difficulty concentrating. Doctor: Hello. Your current height will be based on a combination of your genes and environmental factors. If your parents are tall, you will also reach a good height eventually in most of the cases. A good diet rich in carbohydrates, proteins, vitamins, minerals and all micronutrients is required to help you attain your genetic potential for height. Let us know the reports of your blood investigations and X-ray. Start doing good stretching and cardio exercises. Do sports, pull-ups, and push-ups. Avoid excessive weights as weightlifting during teens tends to cause stunting. Regarding your face looking young for an 18-year-old, that is just a matter of time before your facial muscles get sculpted, bone gets remodeled and facial hair develops to give you a more masculine look appropriate for your age. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30640, + "tgt": "Could radiation therapy cause T-wave inversion?", + "src": "Patient: Hi doctor, The patient is a 65 year old, hypertensive and diabetic female with T-wave inversion V1 to V6 on ECG. ECHO and TMT have done to evaluate further, which was reported to be normal. The patient is on Metformin XR and Tazloc-H. The patient is asymptomatic. Six months back, ECG did not show these changes. She is hypertensive for 15 years and diabetic for the last 10 years. What could be the cause of these changes? Please advice. Doctor: Hi. Global T-wave inversion carries a very little significance (attachment removed to protect patient identity). I would suggest repeating the ECG again in six months if the patient is asymptomatic. If otherwise, you can get a CT coronary angiography to rule out any CAD (coronary artery disease). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11425, + "tgt": "I have crackling sound and soreness in my TMJ area. Will it go away by itself?", + "src": "Patient: Hello\u00a0doctor, I had pain in my left ear and I went to an ENT specialist. He said that my ears are fine and there is no infection. He said that I have soreness in my TMJ joint as I have a tendency to sleep on my left side with my left arm tucked under the pillow. That puts pressure on my TMJ joint and the pain is radiating to my ear. He gave me a cream (Voveran) and a muscle relaxant (Etoshine MR). The pain has subsided, but I get a clicking or crackling sound in my ear sometimes when I am relaxed and doing nothing or sometimes when I swallow. Is the crackling because of the TMJ soreness? Will it go away on its own? There is no wax in my ear. My ears are cleaned. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24703, + "tgt": "Why are there drops of blood when I pass stool?", + "src": "Patient: Hello doctor, I forced stool and fart at the same time and that caused some pain in my anus. Thereafter, there were some drops of blood when I passed stool. My stool was slightly covered in blood too. I cleansed my anus with water and wiped it. Then, there was no sign of blood. Doctor: Hi. From what you mentioned, you have an anal fissure which is a cut injury in the anal canal. Most commonly due to constipation and hard stools. They cause severe pain during and after bowel motion (may last for hours). If not treated appropriately, it could become chronic with recurrent pain and bleeding in the future. My advice would be to treat constipation with laxatives and stool softners and local GTN (Nitroglycerin) will be helpful. The other possible cause is bleeding piles. For further advice, I highly recommend that you follow up in order to set the appropriate management plan. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 6816, + "tgt": "Are skin peeling procedures effective in treating dark underarms?", + "src": "Patient: Hello doctor, I am a 24 year old female. I have dark underarms. I used hair removal cream when I\u00a0was a teenager. I went to a dermatologist and she suggested a skin peeling treatment. It is expensive. So, I just wanted to know if such procedures are effective and for how long? Or are there any creams available to treat this problem which I\u00a0can buy and use? Doctor: Hello. I have noted your concern. Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 23725, + "tgt": "Can rubella of 3 IU/mL affect my pregnancy?", + "src": "Patient: Hello doctor, My rubella is 3 IU/mL non-reactive and I am six-weeks pregnant. Do I have rubella infection? Are there any chances of any birth defects? Doctor: Hello. Rubella is a serious infection to affect pregnancy. Your blood report only states that you had a rubella infection only some time in life. It does not seem to be an active infection. You get it only once. So all you need to know is that that was an infection that happened long back and will not be present in the body now to affect the baby. So you do not stand a chance of rubella-induced malformations. For your information, rubella is like a common cold. You could have had it any day before pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3484, + "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": 12598, + "tgt": "Is stroke along with bleeding inside brain worrisome?", + "src": "Patient: Hi doctor, I got a stroke but I do not know how to explain it. Twice I was bleeding along with the stroke. One type of bleeding was chronic and the other one was acute. I would like to know which type of bleeding\u00a0is dangerous? And also explain the reason for the same. Doctor: Hi. An acute hemorrhage is for a short duration but very dangerous. The reason being a sudden build up of pressure in the brain. In case of chronic bleeding it is not so dangerous but it will remain for a long period. In this case there is a gradual increase of pressure in the brain. Patient goes to a doctor only when the bleeding is significant in case of stroke. I would like to have a look of your MRI brain scan to get a detailed view of your bleeding. If you are feeling better then no need to worry." + }, + { + "id": 15227, + "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": 13882, + "tgt": "Kindly advise treatment other than medicines for AFib, thick spot and fluid in heart", + "src": "Patient: Hello doctor, What medications would you prescribe if someone has a part of their heart that is not working, AFib, an EF of 25, a thick spot in the heart and is having fluid build up? Is medication the only hope? Doctor: Hi. From your query, it appears as if the patient has severe LV dysfunction and on top of that atrial fibrillation. Hence, I would prescribe drugs like beta blockers, ACE inhibitors, aldosterone antagonists and also Amiodarone if the atrial fibrillation is running at a fast rate. I would also like to rule out any reversible cause of the poorly functioning heart like blocks in the blood vessels supplying the heart, alcohol abuse, and rectify that, if possible. Beyond medication, there are devices like cardiac resynchronization therapy, but only a few patients are suitable for that, and finally heart transplantation." + }, + { + "id": 4252, + "tgt": "Can creatinine levels vary in healthy adults?", + "src": "Patient: Hello doctor, This person is 43 years old and male. He takes weekly urine screen at the same time of each week. The screen measures creatinine in mg/dL and the previous creatinine results are as follows: 117, 221, 179, 88, 147, 235, 201, 173, 100, 92, 123 and 142. About a year ago, he had levels as low as 17 and 22. Are these normal range of numbers? If not, what might explain this person's wide range in creatinine? The tests are to monitor for alcohol use and I believe there is a possibility that this person is falsifying the tests. If you know any studies, then you could point me to that to have a look at creatinine variations in healthy adults that would be helpful. Thank you. Doctor: Hello. This is a quite interesting query. For further clarifications consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 22857, + "tgt": "Is there any connection between cough and OS ASD?", + "src": "Patient: Hello doctor, I am a 26 year male. I have done echo and tee test. The result is ACHD, SS, LC, 30x28 mm OS ASD~2:1 L-->R SHUNT, PV AND IVC rim not clear, good BV function, mild PAH, no HF, SR and FCI. Cardiology doctor suggested open heart surgery for correction of ASD and another doctor said that catheter procedure is not suitable for my ASD. Is it a dangerous situation? Is surgery needed? What if it is not cured? I have a chronic cough for the last six months. The respiratory doctor said that it is an allergic symptom. Is there any connection between cough and OS ASD? I am so worried. I request that you please reply and give me proper advise. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). And from the reports, ASD (atrial septal defect) surgical closure is advised. Device closure is not suitable as rims are inadequate to hold the device and chances of device slipping are more. So, you should undergo surgery and it is a must. If surgery is not done, then there would occur irreversible damage to heart and lungs which has not yet occurred. It is not an emergency, maybe within the next six months, you may have it. Your respiratory symptoms are likely related to ASD only, due to increased pulmonary blood flow. You should get prescribed diuretics like tablet Dytor plus (Torasemide and Spironolactone) 10/25 mg to be taken at morning 8 AM from your specialist which hopefully will resolve your respiratory problem. This medicine should be taken until surgery. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5045, + "tgt": "My checkup result shows 0 station with mild contractions. Is this false labor pain?", + "src": "Patient: Hello doctor, I am 31 weeks pregnant. I have been having contractions for six days straight now. They started at 20 minutes apart, then got closer. They have been two minutes apart lasting an average of 54 seconds for three days. They have not let up or have stopped. I went to the hospital and they said there has not been enough change in my cervix and sent me home and said not to come back unless I start bleeding. During the last checkup, I was 100% effaced, 2 cm, and 0 stations. I have been leaking clear fluid like crazy, but when I called they said it was probably a discharge. My legs and feet are very swollen. I know something is not right, but they refuse to run any tests because they believe it is false labor. What do I do? Doctor: Hello. Braxton Hicks contractions do occur about six weeks prior to labor but are generally not associated with effacement. If they were real labor pains you should have started fetal descent from 0 stations by now as well. Now, if the intensity of the pains are increasing between contractions then they are true labor pains and if not they are false labor pains. Ladies tend to gain weight because of hemodilution and edema in pregnancy i.e. swelling of the feet, it is a normal part of pregnancy. Leaking per vaginum is again significant. If it looks like water and starts suddenly, I would request you to reach the nearest hospital as soon as possible. I would finally suggest you meet your gynecologist and request NST (nonstress test) for the fetus and examination of the cervix. I hope this helps." + }, + { + "id": 2934, + "tgt": "How to correct hypermetropia?", + "src": "Patient: Hi doctor, Before three years I had Lasik surgery for my eyes, which were -7 in both.\u00a0Afterwards I started developing hypermetropia reaching +1.75 L and +1.5 R.\u00a0Recently, I started losing focus and binocularity when dealing with near objects and my left eye tends to shift away from my nose that is exotropia. To fix this I have to put some strain to regain binocular vision.\u00a0My doctor told me to keep wearing my glasses which I always do and I have continuous mild headache and dull aches around my left eye. Besides, I developed floaters, afterimages and halos around light. I got my vision acuity intraocular pressure and fundus examination, which were normal. Kindly let me know the proper management of my case. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3703, + "tgt": "My wife is having bilateral pneumothorax and mediastinal emphysema. Please suggest", + "src": "Patient: Hi doctor, I am looking for a specialist in pulmonology. My wife has been diagnosed with pulmonary fibrosis. She is having a small rim of pneumothoraces bilaterally with subcutaneous disease and mediastinal emphysema. I am attaching here her medical test reports for review by a specialist who can suggest a treatment to manage this condition. Doctor: Hello. I have gone through all CT scan reports and images. (attachment removed to protect patient identity). It looks like this is a long-standing problem and it is progressing as well. But, unfortunately, there is no mention of the chief complaints of the patient and no previous treatment details are available. Before we plan any treatment, it is very important to review previous medicines and see if there was an improvement or not. As per CT scan, it looks like to be NSIP (nonspecific interstitial pneumonia), a chronic type of interstitial lung disease. Also, it is complicating as leakage of air surrounding the lungs and heart. It is very important to see what is the oxygenation status of the patient and other comorbidities. The treatment of NSIP mainly consists of steroids as per the weight. If oxygen saturation is not maintained above 92% on room air, oxygen supplementation either by cylinder, concentrator or NIV (non-invasive ventilation) must be considered. So it is advisable to see a specialist pulmonologist near to you and take medicines and other required treatment under his observation as it has to be reviewed frequently according to the condition of the patient. If the patient is suffering from any other comorbid autoimmune disease, it should be treated simultaneously. Then only the lung pathology will be under control. I hope I have elaborated the treatment plan in detail for you. Autoimmune ILD (interstitial lung disease). Idiopathic pulmonary fibrosis. NSIP (nonspecific interstitial pneumonia). Steroids like tablet Medrol (Methylprednisolone) as per the weight of the patient. Supportive treatment as required. Oxygen supplementation." + }, + { + "id": 16357, + "tgt": "Is it normal to have rapid heartbeat in a Wolf Parkinson white syndrome patient?", + "src": "Patient: Hello doctor, I have wolf Parkinson white syndrome. I was admitted to a hospital last week and was discharged within one day. The doctor said that first, we can check through medicine, now sometimes I am feeling nervous and minute rapid heartbeat. Doctor: Hi. Wolf Parkinson white syndrome is caused by the presence of extra pathway of the heart electricity which causes parts of the heart to be excited before others and sometimes the connection between the normal pathway and the extra pathway cause what is called reentry cycle which causes an attack of tachycardia (rapid heart beats). Treatment options include medical and ablation. Medical: Propafenone 150 mg tablet every eight hours (control heartbeats). In severe cases ablation using a catheter is required. Beta blockers like Metalor is not suitable as it blocks the normal pathway and enhances the extra abnormal pathway. I recommend that you follow up and send me your ECG and echocardiography report in order to identify the type and severity of the arrhythmia." + }, + { + "id": 3411, + "tgt": "Why does my daughter's asthma flare up even after Albuterol treatment?", + "src": "Patient: Hello doctor, My 4-year-old daughter has asthma. She was diagnosed with a moderate asthma flare at urgent care four days ago. Flovent was increased to 88 mcg twice daily, Albuterol 2.5mg every four hours for 48 hours and Prednisolone 15mg/5ml one and a half tablespoon once daily for five days. She seems to be having retractions at night between 10 PM and 2 AM like clockwork. They are not severe as her respiration rate is 22-28, pulse oximeter reading is 96-98%. Pulse is elevated at times due to Albuterol and the highest recorded is 160 with no fever. She is tired and is pale in the face with dark circles under her eyes. I followed up with the pediatrician yesterday and he diagnosed her with an ear infection and put her on Augmentin. He listened to her lungs and said they sounded fine. She had an Albuterol breathing treatment about one hour prior to her visit. These symptoms that comes on night are scary. Productive cough and the sound of occasional constriction in the throat causing a gag, with these mild subcostal retractions. It is hard for me to determine do we go to the ER or not? It is hard to justify a trip to the ER with normal vitals and these sets of symptoms. Wanting suggestions regarding is my daughter on the right treatment? Could this be something other than ear infection and viral illness causing asthma flare? She has been sick with a stuffy nose, postnasal drip, and mild cough for three weeks. She is also taking Claritin, Singulair, OTC Tylenol or Ibuprofen for ear pain and Mucinex. I also have a video clip of these retractions and I am attaching it. Doctor: Hello. As per your history, it is very clear that your daughter has asthma exacerbation. It can be because of an ear infection or viral infection in the airways. As you said in spite of antibiotics, oral steroids and frequent nebulization it is not under control. She needs urgent hospitalization to give her urgent care and to find out other problems if any. This flare up is a valid justification for her hospital admission. As she is very young child she needs treatment under observation. The very fact that oral treatment being not effective. She needs intravenous drugs and steroid nebulization, x-ray and other blood tests. So I advise you to go to the hospital for admission without wasting much time. This will help to recover her fast and find out the exact cause for her flare-up. Once she is settled and the acute problem is under control. She can continue with her inhaler medicines as advised. I think this explanation is enough for you to explain her situation to you. I hope this helps. Ear infection or viral infection. X-ray, blood tests. IV antibiotics, steroid, and Levoalbuterol nebulization." + }, + { + "id": 8085, + "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": 3377, + "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": 8494, + "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": 17186, + "tgt": "I get stomach pain when I have acidity. What to do?", + "src": "Patient: Hi doctor, I am suffering from stomach pain. I am taking Sucramal syrup and A-Spas tablet. I have an increase in stomach pain when the acidity condition increases. I have done a scanning. But nothing was shown. Doctor: Hi. Your stomach pain can occur due to gastritis, or you can have a small stomach ulcer which may not be seen in ultrasonography. You can take Rabeprazole 20 mg for one time a day for one to two weeks to heal the inflamed stomach mucosa. Avoid taking spicy foods. Cooked oatmeal can help in soothing the stomach. Take soft and bland diet more. Avoid having heavy, fatty foods. Elevate your head while sleeping. Avoid taking excess tea, and coffee. If you have the habit of smoking, please avoid it." + }, + { + "id": 5225, + "tgt": "I get recurrent red bumps on my penis with positive HSV 1 and 2 antibodies. Why?", + "src": "Patient: Hello doctor, It has been six months that I have been getting small red bumps on my penis which come and go and it is always in the same area. I had four events during the last six months. I was afraid of herpes, so I went and got a blood PCR HSV test which came negative (this is after my first encounter with pimples and have not had sex ever since). However, my antibody HSV 1 and 2 were positive. Since I did not have any major symptoms I assumed I do not have herpes. About two months ago I started getting a bump in my pubic area that kind of looked like vesicles. It was not painful or itchy and it went away by itself after 10-12 days. However, it left its mark and again two days ago it came back the same kind. About seven days ago I got a pimple on my penis and two small pimples between the penis and the pubic area. They were not painful however, they were extremely itchy. I let them go and they scabbed by themselves. The one on the penis its the same at usual place but this was the first time that it is actually itchy. I feel like every time the symptoms become worst and worst. It was the first time I saw those two small pimples in that area between my penis and the pubic area. I went and did a swap of it and nothing grew on the culture so it was negative for herpes. And now two days ago I got the pimples (vesicles) that I had one and a half months ago. What is wired for me is the bumps on my penis and between my penis and pubic area. They are all in different stages, the one on the pubic area just started and the other two are in the stage of healing. I am extremely confused and I do not know what else it can be except herpes? Although I still have not ruled out herpes maybe all my lab results were false negative. I am attaching the pictures. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). This is a classical herpes genitalis. A positive antibody test for HSV 1 and 2 substantiates that. The virus causing herpes stays dormant in the nerve cells, causing no symptoms. In most people, the virus becomes active from time to time, traveling from the nerve cells to the skin and causing repeated blisters and sores (recurrent outbreaks). Negative blood, PCR (polymerase chain reaction), HSV (herpes simplex virus) tests do not rule out herpes. The gold standard for diagnosing herpes is a test done on a sore (either a viral culture or PCR testing), and not a blood test. I would suggest an oral antiviral Acyclovir Or Famciclovir for the episodes of herpes. However, if you are having frequent recurrences, you may be a candidate for suppressive treatment." + }, + { + "id": 21283, + "tgt": "What can be done for paper cut on foreskin in a phimosis patient?", + "src": "Patient: Hello doctor, I am 21 years old male, 5'10\", 135 lbs. I have pinhole phimosis. Currently doing stretching exercises, but I recently got a bad paper cut on the foreskin and it has affected everything. Doctor: Hi. I have read through your query in detail. Please find my observations below: I hope you have consulted the urologist and discussed your condition in detail with a clinical examination. Though stretching exercises done using lubrication jelly might help you to some extent, regular review of your condition is important to know if you require any curative procedure. The bad paper cut on foreskin needs to heal before you can start doing stretching exercises again. Please wait for about a week to 10 days and continue with stretching exercises only when you do not have any pain due to the cut. Wash your genitals daily with warm water and wipe it dry to prevent secondary infection due to cut in foreskin and phimosis." + }, + { + "id": 7033, + "tgt": "I am having red circle on my back. What could it be?", + "src": "Patient: Hello doctor, Two weeks ago, I noticed a small red circle on my back. I figured it could be a rash due to me using a bar of new laundry soap. However, within a few days, I noticed the same red spot on the upper part of my stomach (below my chest). When I looked to the rash in my back, it had doubled in size. Presenting a red or pink circle and was itchy. I immediately assumed it was ringworm and began to apply Lotrimin two times daily. However, within a week, the rash has now spread to my stomach area and onto my breasts. The itching has gone, but I am wondering if it could be a ringworm or pityriasis rosea? Doctor: Hello. Yes, these are typical lesions of pityriasis rosea (attachment removed to protect identity). Annular plaques with scaly edges and free at the center. These are not ringworm infection because the center of lesions are filled, whereas, in ringworm, the center is bright. Kindly follow the prescription, 1. Tablet Erythromycin 500 mg four times a day. 2. Apply steroid lotion (like Hivate) plus Calamine lotion (mix both of them and apply bd). 3. Take antihistamine tablet once a day. Maintain hygiene of area, wash with soap and water. Pityriasis rosea." + }, + { + "id": 8347, + "tgt": "What are the treatments for bifid uvula?", + "src": "Patient: Hi doctor, My daughter is 1 year 5 months old.\u00a0She has bifid uvula. Doctors observed her and said that she has to undergo surgery. As she is too young her doctor said we can do this at any time at any of her age. We are worried with the term surgery.\u00a0I would like to know, is surgery the only option for her? Do we have any other alternative method to treat it? Doctor said that she can speak well but will have issues only while speaking some characters. How is this surgery? Will it be panic for baby or a simple one?\u00a0Need your help. Thank you. Doctor: Hi. Bifid uvula alone is not uncommon and it does not require treatment unless it is causing problems like altered or difficulty in speaking, usually few words. But, let me tell you that not all children with bifid uvula have such problems. Most important is lesion which can co-exist with bifid uvula, like cleft palate and others. I am sure that your doctor must have looked for those, and nothing must be there. So, nothing to worry about it as of now. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29592, + "tgt": "Please suggest some methods for a successful pregnancy", + "src": "Patient: Hello doctor, My wife wants to get pregnant. Last month her period was 12 days late from her original period's date. This month she has not got her periods. Please give your expert opinion on the issue. Tell us how to confirm her pregnancy? Doctor: Hi. Please get a urine pregnancy test done. You can get a urine pregnancy kit from the pharmacist and test at home itself. If there are two pink vertical lines that means your wife is pregnant. If the test is negative you can wait for about a week and take medicine for getting periods. I suggest your wife takes tablet Deviry (Medroxy progesterone acetate) 10 mg twice a day for five days. Then she will get her periods after six to seven days of stopping the drug. Please consult a specialist doctor, discuss with him or her and take medicine with consent. Also get a thyroid profile test and ultrasound scan done to know the reason for delayed and not getting the periods. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22798, + "tgt": "There is 5. 2 cm kidney stone at VUJ. Can this be treated with medicines alone?", + "src": "Patient: Hi doctor, Today I had a back pain and went to a doctor and they said it could be due to a kidney stone. I have done my CT scan and confirmed that I have a 5.2 mm kidney stone at left VUJ. Please check the attached report and let me know whether this can be treated with medicine or is surgery the only option. Please check the report and let me know all available options. As of now, I am not having any pain. Doctor: Hello. I have seen the reports sent by you (attachment removed to protect patient identity). There is no need for urgent surgery. 70 percent chances that it will come out with medicines. Surgery only if severe intolerable pain or fever high grade. I suggest you take one tablet Veltam (Tamsulosin) 0.4 mg at night time for seven days, two tablets Pan 40 (Pantoprazole) in the morning for seven days, and three tablets Voveran SR (Diclofenac) when you have pain. Drink plenty of water. You can wait for 10 to 15 days and repeat the sonograph or CT scan. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13353, + "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": 12514, + "tgt": "Is it normal for a newborn to have constant hiccups soon after burping?", + "src": "Patient: Hello doctor, I would like to ask that what causes constant hiccups soon after burping my son is just 3 weeks old and he constantly has hiccups soon after meals and he swallows too much air during feeding. What should I do to help stop them? Secondly, he throws his head and trunk back a lot and his chest is always pushed is it normal? Doctor: Hello. Congratulations for the baby. Well, I got your concern. It may be due to GERD (gastro-esophageal reflux disease). Do as I say. Do proper burping after each feeds, minimum 10 minutes. Make him sleep in somewhat high head position 10 to 20 degrees maximum. Watch for his weight gain. If he is not gaining weight then consult a pediatrician. Many time these things can be controlled with simple measure only. In some cases, we need to give Lanzoprazole but for now, let us wait and watch." + }, + { + "id": 26311, + "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": 9993, + "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": 12893, + "tgt": "Why is there blurred vision after using laptop for long hours?", + "src": "Patient: Hello doctor, I play games on my laptop for hours a day and after a few hours, my eyes become little blurry especially my left eye. It is not that I cannot see a thing but I cannot see clearly either as compared to my right eye. I can see fully clear when it is about 5 to 10 cm from my eye (letters) but it became blurry when the distance increases. Right eye is pretty fine but left eyes are not proper as right. So what kind of medication do I need? Doctor: Hi. If you having blurring of vision in one or both eyes first thing to do is get your eyes checked for refractive error, you might need glasses. And glasses will solve your problem. Other cause of blurring after an excess laptop or digital devices use may be dry eyes. People who sit in front of screens have a greater risk of having dry eyes. In such cases, artificial tears are needed. So, the first thing to do is visit your eye doctor and get your eyes examined for glasses and complete eye examination including the retinal exam." + }, + { + "id": 29523, + "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": 30695, + "tgt": "How to correct curved penis?", + "src": "Patient: Hi doctor,I have curved penis, which bends towards left side. The bend is on higher end than what it should be of normal one. I feel difficulty with intercourse. However, there is no pain during ejaculation. I did not have any injury. I have attached the picture for your reference. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29010, + "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": 11299, + "tgt": "Kindly advice about the possibility sinus exposure on my X-ray taken to view third molar", + "src": "Patient: Hello doctor, Please review the attached panoramic X-ray and advise of any health concerns. I have been advised to remove all four third molars. Is there a possibility of sinus exposure? Doctor: Hello. Yes, you have impacted molars (attachment removed to protect patient identity). One of the upper molars has proximity with sinus, but it will not cause any complication or sinus exposure. Sinus exposures are a complication to disimpaction, but it is not necessary to happen in your case. You need to go ahead and get them removed. The possibility is least as per the radiographic relation between the sinus and upper molars." + }, + { + "id": 6669, + "tgt": "Kindly explain if chewing nicotine gums increase blood sugar levels in a diabetic", + "src": "Patient: Hi doctor, I am a diabetic. Does chewing nicotine gum will increase sugar level? Does stress in the heart increase the sugar level? Doctor: Hello. I went through your post. Nicotine chewing gum causes dental issues and sometimes hair loss and flushing. However, it does not increase blood sugar. So, you can take that it is 1000 times better to take nicotine chewing gum than cigarette especially once you have diabetes." + }, + { + "id": 5771, + "tgt": "My 3 months old baby has 6 mm ostium secundum ASD. Will it close without surgery?", + "src": "Patient: Hello doctor, My baby boy is 3.5 months old. He was diagnosed with VSD when he was 2 months and his cardiologist asked for followup after a month. On out checkup his 3 mm VSD was closed, but the doctor discovered 6 mm ostium secundum ASD. He said that it can close spontaneously just like the VSD, so we have to check it after three months. We needed a second opinion so we consulted another cardiologist who echoed my baby and found out the same results, but he said that it is 6 mm superior secundum, but it will not close on its own cause of its position. Is it really true that my baby can get it closed only by open-heart surgery? I am worried about the scar and the side effects on my baby. Doctor: Hello, Welcome to iclniq.com. I understand your worries. No need to worry all will be fine. From my experience, ASD (atrial septal defect) of 6 mm can still close by itself regardless of its position. I will advise you to wait till your baby is 6 months old to have him checked again before a decision can be made to operate on him. It is safer operating on older children than infants. If it does not close, later on, scars would not be a problem. Scars will be minimal and be eliminated using cosmetic or plastic procedures. There is hardly any effects after surgery, he will live a normal life. I hope he gets better soon." + }, + { + "id": 20815, + "tgt": "A pimple popped out on my face and looks like it is infected. What do I do?", + "src": "Patient: Hi, A pimple popped out on my face yesterday. Now it has become bigger. Are there any chances of it getting infected? What do I do? Doctor: Hi. First thing is that you should never touch or squeeze a pimple. Wash your face three to four times a day with soap and cold water. Apply Clindamycin ointment three times a day for a week. This is a topical antibiotic and this helps in preventing the infection. If the pimple does not subside even after a week, consult a dermatologist online to know if you have to take oral antibiotics. --->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30467, + "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": 6830, + "tgt": "Is it safe to withdraw 37. 5 Effexor by replacing 2 mg Abilify?", + "src": "Patient: Hello doctor, Can Abilify (2 mg) help me get off 37.5 mg Effexor? That is what my psychiatrist prescribed. Doctor: Hello. You are taking a minimum dose of Effexor on alternate days, and it is relatively easier to get off from this dose. But you are not able to get off from the drug. Abilify is Aripiprazole and is an antipsychotic drug. In a low dose, the drug might help to ease withdrawal if you suffer any. But since the drug is different from Effexor in pharmaco-dynamic actions so I do not think the drug can help in reducing the severe withdrawal symptoms. Taking low dose Klonopin (Clonazepam) along with Abilify should help to minimize the anxiety due to withdrawal, and you should give it a try." + }, + { + "id": 18112, + "tgt": "Are my lymph nodes swollen due to an allergy to fried foods?", + "src": "Patient: Hi doctor, I am a 35 year old male. I had a fever of 37.8oC on the eighth of last month, which only lasted for a day. But the fever was followed by few symptoms. After the fever, my lymph nodes at the back of my ear were\u00a0swollen. I also had a sore throat and mouth ulcers. My body felt itchy, and I got a rash for two days. All these symptoms got cured after two weeks, except the lymph node swelling. Is it because of fried food allergy?\u00a0I have an\u00a0allergy to fried foods, it makes me have ulcers and get a sore throat immediately. Recently, I had some fried chips. Doctor: Hello. Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 17380, + "tgt": "How to manage heavy menstrual flow?", + "src": "Patient: Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and capsule Zevit. I am also having a urine infection now. For this, I am drinking plenty of water and other fluid. Please help. Doctor: Hi. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three days and also tablet Regestrone (Norethindrone) 5 mg thrice a day for 5 days. This will certainly control the bleeding. Also, start some Iron preparation if it suits you. By that time send your ultrasound report. It can be a fibroid uterus or abnormal uterine bleeding due to endometrial hyperplasia and need to be followed further. Also get your CBC - complete blood count, coagulation profile and thyroid function tests done. For UTI (urinary tract infection), you are already taking antibiotics. After finishing its course, get a routine urine examination again to see if pus cells are present or not. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23589, + "tgt": "Kindly suggest me a better and effective medicine for cold", + "src": "Patient: Hello doctor,I am suffering from cold from the past two to three days. It includes sneezing, running nose, etc. The basic Cetirizine tablets never work for me. By the way, I do not have any chronic cold issues till now. It just pops up once in a while (once in three or four months) and I depend on Cheston Cold or Allercet cold tablets for two to three days and the issue gets resolved but my situation is different for me now. Even these tablets are not helping me now. Previously, I used to take Avil 50 once whenever I had cold and it used to work like a miracle. So, I thought it would be wise to take an ENT specialist's advice in this case rather than depending on general physician. I do not have fever. So I request you to let me know if you could suggest me a better and much much more effective medicine which I can use anytime whenever I get cold. I am currently taking Allercet cold (thrice a day for cold), Azithral 500 (once in a day, for two days for minor throat infection), Bepozic (antihistamine) ( once in a day for acute urticaria on my body which is almost recovering). Doctor: Hi. I would like to know few details regarding your symptoms. One more thing, you should never take Azithral (Azithromycin) for two days. You should take it for at least three days (for minor as well as severe infection). Taking antibiotics for lesser days will make you resistant to it. You can continue Allercet (Cetirizine) cold as of now, and watch. Simultaneously you start taking steroid and Azelastine nasal spray that is Duonase nasal spray (one puff each nostril twice daily for three weeks and then one puff each nostril once daily at night for another three weeks). Consult with your specialist doctor, discuss with him or her and take medications with their consent. I strongly feel that you have allergic rhinosinusitis based on your history. Please give a detailed history and also investigations are needed to come to the final diagnosis. Taking random medications will not help. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3846, + "tgt": "My pregnant wife was scratched by a cat. Do I need to be worried?", + "src": "Patient: Hello doctor, My wife who is 5 months pregnant was slightly scratched by a cat. Almost half a drop of blood was visible on one of the scratch. Cat is not vaccinated. It just sleeps and eats in our house. Please help. Doctor: Hi. Avoid handling cat litter. Follow up in two weeks to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2716, + "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": 5727, + "tgt": "How to get rid of glasses?", + "src": "Patient: Hi doctor, I am 24 years old. I have vision problem. I am unable to read books for more than half an hour. Also, I am not able to read for 10 minutes in computer. In my right eye the cylindrical power is -1 at axis 130 and in the left eye the cylindrical power was -0.75 at axis 40. What is the best way to recover my eyesight? Currently, I wear glasses and so I am not getting any headache. But, I do not want to use glasses. Kindly tell me some advice to recover my eyesight. Also, recommend the diet, which will be more helpful to improve my vision. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29488, + "tgt": "Though I am on regular medicine, my stomach pain is present. Please help", + "src": "Patient: Hello doctor, I have been dealing with a stomach issue for almost four years. It originally was extreme pain and tarry stool once. It was first diagnosed as an ulcer as I was negative for H. pylori. I was given antibiotics just in case, PPIs and H2 blockers. Since then it has gotten worse, gotten better and so forth. I do drink a good amount of alcohol, although I stopped cold turkey two months ago because it was causing pain. I am currently taking Carafate; several PPI's a day\u00a0and H2 blockers. I eat\u00a0extremely low-fat diet, I have lost 20 pounds in the past two months. I eat a low acid diet, no caffeine, no alcohol, I take my PPI's on time, as well as Carafate, and as directed. I have no pain during sleep. Once I awake, the pain comes back in flat position. If I get up, it does not or is less pain. The pain is in one point upper abdomen, center, directly below or behind the sternum. It is helped by drinking cold water. Sometimes, it goes away after I eat. Made worse if I eat fatty food, even moderate amounts of fat. The pain is very close to the surface of the abdomen, and it does not go to my back. I have had sore throats as well. I would imagine that it is from acid reflux. I did have acid reflux for 8 to 10 years, off and on, and I did not do a good job of controlling it at first. I have taken Prilosec, Nexium and recently Dexilant. A year and a half ago, I had a cat scan with fluid drank before hand (I believe it was called a HIDA scan) and an ultrasound. The only thing that was found was a fatty liver, and no other problems were found. Is there any other type of prescription or medication I can pursue? Doctor: Hello. Reflux. Repeat USG (ultrasonography) abdomen and upper GI endoscopy. Gallstones. Hiatus hernia related GERD. Revert with the report to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21331, + "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": 8349, + "tgt": "Can excess intake of vitamin C induce periods?", + "src": "Patient: Hello doctor, I am a 24 year old female. I am approximately 95 kg weight. I am in need of emergency contraception due to failed birth control. I will be ovulating tomorrow, so I am at a high risk of unwanted pregnancy. I obtained and took a 1.5 mg dose of Levonorgestrel (Plan B pill); however I have been reading online that this method of emergency contraception is ineffective because of my weight. I cannot obtain an IUD and do not wish to wait and see. If I am pregnant, then the only option is to go for abortion. I have a friend who induced her period early by taking an excessive amount of vitamin C. I am aware of the risks of taking an excessive amount of vitamin C, but I am planning on pursuing this method. I have read that vitamin C aids in inducing a period by increasing the amount of estrogen, promoting the growth of the lining of the uterus and eventually leading to the shedding of that lining. I intend on consuming 3000 mg of vitamin C for a period of three days. Is there any way that the Levonorgestrel pill would have a negative reaction with the Vitamin C? Is there any other alternative to induce a period or prevent conception other than an IUD or this Vitamin C method? Thank you in advance for your help and concern. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17844, + "tgt": "In thalassemia minor, is HbA1c test a reliable one?", + "src": "Patient: Hi doctor, I am diabetic since last 9 years and thalassemia minor as well. Recently, the fatigue symptoms have increased, especially when I am not able to sleep properly. I am 45 years old. My height is 167.5 cm and weight is 85 kg. Being thalassemia minor, is my HbA1c test reliable to decide my diabetic medication?\u00a0If doctor increases the dose of medication, then my sugar levels drop below 70.\u00a0Rarely, in the last 9 years my blood sugar level has crossed 200 in some two or three occasions. My fasting sugar level is normally between 130 to 140 or less.\u00a0Postprandial is also surprisingly the same.\u00a0Owing to HbA1c test, the doctor changed my medicines three days back and prescribed\u00a0Glycomet GP 2 forte,\u00a0Zemiglo 50 and\u00a0Voglibose 0.2.\u00a0Earlier, I had Glycomet GP 2,\u00a0Voglibose 0.2 and\u00a0Janumet 50/500. I have also attached my recent blood test report. I also have BP problem since last four months and on medication too. Can you please elaborate what should I do?\u00a0I have read HbA1c test in thalassemia minor is not reliable.\u00a0I am a female and heading towards menopause. I have undergone gallstone surgery 20 years back. The symptoms of fatigue have increased and it has started hampering my physical activity, which is must for diabetes. Please help. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26607, + "tgt": "My gum is tender from an extraction done two weeks ago. Please help", + "src": "Patient: Hello doctor, I got my first molar removed nearly two weeks ago. \u00a0It is healing, but I notice a yellowish color inside and my gum around the area is a little swollen. I am not in so much pain. But, it is definitely tender and I\u00a0just have a slight pain in that area. It was a difficult tooth extraction. There was a\u00a0lot of hard pulling involved. It has been about 11 days now. My throat was a little sore this morning. So, I started a course of antibiotics (Cefalexin). So, if it is an infection will this help? Also, I have been rinsing my mouth with salt and warm water as many as four to five times a day since the second day of extraction. Should I be worried? Will this all disappear in time without getting worse? I\u00a0do not want to stress anymore. Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 13570, + "tgt": "What is dermographism? Is that similar to hives?", + "src": "Patient: Hi doctor, I went to a dermatologist last week, and she told me that I have dermographism. It started last month. How long does it take to go away? I have little bumps in my stomach such as hives, just like a pimple. I have a doubt, can hives pop like a little simple bump or only occur in clusters? I just wanted to know some information about the condition. Doctor: Hello. I have read about your query. Your condition can be acute urticaria/ hives. It usually presents with itching. Dermographism (dermatographism) is an exaggerated urticarial response which is also called skin writing. It is usually seen in young adults with a fair complexion and it disappears in 6-8 hours. It usually gets off course as the age progresses and it is just of a cosmetic concern. Usually, dermographism does not give any symptoms and usually has a trigger like stick injury, pressure, etc. Complete blood count with differential count and IgE. 1. Acute urticaria. 2. Dermographism. 1. Antihistaminics like Fexofenadine, Levocetirizine. 2. A moisturizer can be applied. 3. If it does not come down, then you can take a week of low dose steroid like Prednisolone 5 mg in the morning before food." + }, + { + "id": 27110, + "tgt": "Is my missed period due to stress?", + "src": "Patient: Hello doctor, I am a 35 year old female who weighs 139 kg. I am concerned about my periods. I had my last period two months ago, but have not had one since then. I feel that I ovulated on time after my last period, and have basically had PMS ever since. I have very tender breasts, lower left sided abdominal pains from time to time, lower back ache to a lesser extent, and am feeling very emotional, just like my period is about to arrive. But, there is no sign of it. I have had four negative pregnancy tests over the last couple of weeks including two home tests, one urine\u00a0test, and one blood test. My GP had carried out full blood work and everything came back normal. I know I am very overweight. However, I had never had a period problem before. I have been under some stress this year. So, I wonder if that is the cause. But, I am very concerned in any case. I am due to attend the hospital for a transvaginal ultrasound scan soon, to find out the cause of the lower left abdominal pain\u00a0but, wondered if you had any further ideas as to why my period may have stopped, even though I feel that it is about to arrive. Doctor: Hello. The problem was bound to start sooner, if not later. For more information, consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29785, + "tgt": "I have been getting recurrent UTI. Please help", + "src": "Patient: Hi doctor, I am a female of 23 years old. I have been getting recurrent UTIs for the past two years. My urine culture at first showed bacteria, but now they are not showing that I have an infection. I also used to be pain-free for one to two days after starting antibiotics. But, during the last three episodes, it has taken around 8 to 10 days to be out of pain. The most recent one did not show as UTI, but I was treated with Bactrim anyway. I got better after seven days, but then got yeast infection two days later and I was treated with Fluconazole. Once the yeast infection was gone, I started getting pain in my bladder, similar to UTI and it felt better when I empty my bladder, but not pain free. It is really bad first thing in the morning. I have an ache all day and it hurts more when I bend over. I have not had sex since the first UTI. Uristat, Tylenol and Ibuprofen did not help with the pain. I have also started to get a burning sensation when I urinate. Myself and my partner has been tested for Chlamydia and Gonorrhea within the last two weeks. It has been four weeks of dealing with this and I am getting worried that it is something other than a UTI because it came back without even having sex. Doctor: Hi. You are a known case of recurrent urinary tract infection. Both the partners have to take treatment. My advice is to drink plenty of liquids and eat citrus fruits like lemon, orange, musambi, kiwi, gooseberry, etc. Avoid spicy, fried and junk food. Take light blend diet and maintain regularity in food habit. Wash external genitalia with lukewarm water and two spoonful of Betadine solution for three to five days. You need to get an ultrasound of whole abdomen with a full bladder and after emptying bladder to know the amount of residual urine, complete urine examination and microscopy every 10 days and culture and sensitivity after a month. I suggest you the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21966, + "tgt": "My homocysteine and lipoprotein values are elevated. Is it worrisome?", + "src": "Patient: Hello doctor, I have homocysteine value 23.6, and lipoprotein 31.5. ECG and TMT are normal. Is it serious? As I smoke, is it normal because of my smoking? Do I need to visit a doctor? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at least 30 minutes a day. Lipoprotein correlates with cholesterol. So, once you should get your lipid profile done. Homocysteine is elevated to some extent which is usually due to vitamin B12 or folate deficiency. So, you need to get the level of vitamin B12 and folic acid done, and supplements, if either one is deficient. Thirdly, you have mild prolapse of the mitral valve in echo which is not usually worrisome but should be kept under observation. So, you get echo done every two to three years. So overall, it is not worrisome, but smoking is always injurious to health. It increases the risk of many illnesses. So, effort should be always to cut down on smoking and it is best to avoid it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5319, + "tgt": "Is there any treatment in ayurveda for stage 4 endometrial cancer with lung metastasis?", + "src": "Patient: Hello doctor, Is there any treatment plan for stage 4 endometrium cancer with lung metastasis. The uterus is removed but it recured in the lungs (but no recurence at the surgical site). Please suggest. Doctor: Hello. As per the information provided it seems stage 4b of endometrial cancer. Which is clinically the last stage. In allopathy, treatment choices depend on many factors including age, associated medical conditions, the general condition of the patient and other diseases patient may be suffering from. One thing is common that surgery is not an option. The available option is chemotherapy. Many drugs are recommended for this stage including Cisplastin, Paclitaxel. Multiple drugs can be combined. Since uterus has been removed already so hormonal therapy will not help. But whether chemotherapy should be given or not, if yes then which drug to use, depending on the other factors mentioned above. If the patient's general condition is good and age is less and there are no other associated and co-existing diseases then we should consider chemotherapy. But if the age is above 60 and/or there are other co-existing diseases like diabetes or renal diseases then we should not consider chemotherapy. In Ayurveda, there are some medicines but they are not clinically proven. But in such patients basic treatment as per Doshas (Vata, Pitta, and kapha) help is giving relief and can help in decreasing clinical symptoms. Technically, I will need many details regarding his body composition and clinical symptoms before I can advise any treatment plan. Grossly, Since it is a disease originated from Vata sthana and spreaded to Kapha sthana and due to time effect usually all three doshas are disturbed. Sadabahar has been used in such cases with considerable success. Guduchi is also used. Cow urine has been proved to help in such cases. Final treatment depends on a detailed assessment of the body composition and doshas." + }, + { + "id": 15611, + "tgt": "I have fever with rashes spreading in my body. Please help", + "src": "Patient: Hello doctor, I am an 18-year-old 155 lb 5'5\" female that has a fever of 101\u00b0, chills, chest pain, congestion, coughing, and rashes spreading to every part of my body. Doctor: Hi. By the symptoms you have stated, you probably have a viral infection. Take bed rest, plenty of oral fluids, symptomatic treatment (Paracetamol or antitussives, decongestants, analgesics, moisturizer cream, etc.,) according to your local availability. If not decreasing with these measures or any serious problem arises, you can immediately consult nearby health center for further treatment." + }, + { + "id": 6812, + "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": 7773, + "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": 30259, + "tgt": "Had a blood and urine test for high fever. Please clarify it", + "src": "Patient: Hi doctor, I have fever and severe body ache, headache and back pain. The body ache is present since five days and I have a fever from yesterday. My fever reached 103.8 degrees Fahrenheit and then got controlled by Paracetamol. Now, the minimum temperature goes around 101. I am a diabetic patient. I am a 50 year female. I have attached the report, please have a look. Doctor: Hi. I read your query and understand your concerns. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6271, + "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": 15041, + "tgt": "Had Medroxyprogesterone after a negative scan and now I am getting positive UPT test. How?", + "src": "Patient: Hello doctor, I am 26 years old. I went to my PCP for a pregnancy test and it was positive. Had an ultrasound a few days later and the technician said he did not see pregnancy in my uterus so he performed a transvaginal ultrasound to see if I was pregnant in my uterus but I was not. I took a pregnancy test there it was negative. I went back to my PCP 10 days later for blood work to see if my hormone levels are going up or down. Two days later she told me I did not need to come back in for a second bloodwork because I definitely was not pregnant. So she prescribed me Medroxyprogesterone 5 mg for 10 days to restart my cycle because I still have not. I am on day 7 and I took a pregnancy test yesterday night and it gave a visible faint line positive result. So I tested again this morning and I still have a positive result. Could this be because of the Medroxyprogesterone? Doctor: Hi. How are you doing? You are about 14 weeks gestation, based on your last menstrual period. At this size, the embryo is easily visible. The blood test will also have high hormonal levels. Pregnancy hormone detected by scan and urine is serum beta hCG. If the fetus is healthy, the levels of this hormone increases exponentially. So if it is 2 Iunits today, in 48 hours it will be 4 IU, and so on. So by 14 weeks, the levels should be very high and easily seen on the scan. Mostly doctor noted a very low level of this hormone. It takes a few weeks for this level to fall to below detectable levels. If you want to still confirm the health of the baby, ask the doctor for the beta hCG result. After 48 hours of the test, check the same beta hCG. If the embryo is healthy, the level of hCG will double. If the baby is unhealthy, this level will fall or rise, will be less than double. So, Medroxyprogestrone acetate will not cause pregnancy hormone reaction, so this hormone is not causing pregnancy hormones. If your doctor feels that levels are very low. I would advise you to wait for 10 to 14 days. You will have periods, if the baby is not there." + }, + { + "id": 22210, + "tgt": "Why did my right eye get smaller than my left eye for a few seconds?", + "src": "Patient: Hello doctor, Suddenly, my right eye got smaller than my left eye for a few seconds (15 seconds) and then it came back to normal. It has happened a few times now. Why is this? Doctor: Hello. I have gone through the picture (attachment removed to protect patient identity). As per your age and as it is occurring for the first time, I want answers to the following questions. Revert back as soon as possible. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9606, + "tgt": "What does it mean when my plasma levels are raised when compared to LH?", + "src": "Patient: Hello doctor,I had a fertility blood test and scan. All came out fine except it said I had slightly raised plasma levels in comparison to LH. Does this mean I have problems, and what does it mean? Doctor: Hello. Raised plasma levels of LH or Leutinizing Hormone indicates a premature ovarian failure in women less than 35 years. And in a woman above 40, it indicates perimenopausal status (if she is still menstruating) or menopausal (is she has not menstruated for a year). However, one needs to be transparent with regards to the day on which the blood sample was collected. If it was received on day 12 to 16 th day of your cycle, then this could be an ongoing LH surge before ovulation. But if it is on day 2 of your period, (the day on which test should ideally be done), then it gives a status of your ovarian functionality. Please share your reports if possible and mention the menstrual day of collection of your blood sample." + }, + { + "id": 12644, + "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": 22334, + "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": 10633, + "tgt": "Is it possible to treat AVN without hip replacement?", + "src": "Patient: Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and suggest me to go for core decompression and Osteofos 70 mg daily. 1. I want to know, is it possible to treat it without hip replacement? 2. Will core decompression help in my case? 3. Is Pamidronate injection helpful in my case? 4. Any medicine which can stop or delay the progression? Doctor: Hello. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perform your activities of daily living comfortably? What do you do?" + }, + { + "id": 5063, + "tgt": "Ultrasound for urine issue shows gallbladder polyp. Will it turn into cancer?", + "src": "Patient: Hello doctor, I had an ultrasound abdomen done due to some urine issues. In the findings, they observed gallbladder polyp. I am very scared as I read online that these may turn into cancer in the future. Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). As per them, there are multiple polyps measuring 1 to 3 mm. And as per history, you are asymptomatic. Usually, polyps larger than 2 cm are almost malignant and need surgery. While polyps less than 6 mm are usually cholesterol polyp. They usually never turn malignant. As per the study of around 150 patients with polyps less than 5 mm. Only 13 needed surgery for pain and none were malignant. Almost all remained stable in size or decreased. So for your case, I think there is no need to worry. Just you can do follow up USG (ultrasound) after six months to look for size. Also as per your records, your BMI (body mass index) is on the higher side as per Indian standards. As obesity is also a risk factor for cholesterol polyps. Weight reduction by 4-6 kg and diet modification to reduce fat intake is desirable. Cholesterolosis of gallbladder. Follow up USG at six months. Weight reduction, low fat diet." + }, + { + "id": 5007, + "tgt": "I came in contact with dried blood. Am I at the risk of getting HIV?", + "src": "Patient: Hello doctor, I am a lab worker, at the time of the incident I was standing in front of an empty centrifuge and as I held one of the tube inserts upside down to clean it, speks of dried blood fell out of it. I am not sure if any of it went into my eye and I am worried. I wanted to ask if HIV can survive in those dried blood flakes.I am really stressed, it has been 2 weeks since the incident. I am up to date with my hepB vaccinations. At the moment I have a bit of sore throat and 37.1 degree fever and I am really scared. I did see a doctor on the day of the incident who reassured me that I am not in danger, I also wanted your expert opinion. Doctor: Hello. Good that you have got hepatitis vacine. In dry bood, HIV virus does not survie. Hence, any contact with dried blood will not transmit HIV. Do not worry, you are safe." + }, + { + "id": 2110, + "tgt": "Can Progesterone injection cause miscarriage?", + "src": "Patient: Hai... past underwent 3 miscarriages after taking inj.progestrone. 2 were chemical pregnancy and 1 is sac was formed but miscarriage happened. now I am having the pregnancy symptoms my last LMP was on 40 days back. Doctor: Hello, Welcome to Icliniq. Based on your obstetric history , it is necessary to evaluate the cause for your recurrent miscarriages. But please don't be disheartened if sometimes no cause is found which happens quite a lot of times. Dear, Progesterone injection will never cause miscarriages as progesterone is the hormone that is required for the continuation of pregnancy and act as a support for pregnancy. So the most common causes for recurrent miscarriages can be either Thyroid hormonal abnormalities or impaired blood glucose levels, or sometimes immune causes like APLA syndrome. As per your LMP, you are exactly 6wks pregnant today, so try to get a scan to check if this is a viable pregnancy and also for dating and localisation of pregnancy, so that if viable we can start with progesterone support in the form of oral progesterone supplements to sustain this pregancy. Also I have mentioned the blood test that you need to undertake apart from the routine Antenatal investigations to look for any abnormalities I mentioned above. Please do get them done. Please feel free to contact me in case you have any queries. - Blood group and Rh Typing, - Complete hemogram, - Hb Electrophoresis, - Urine routine and microscopy, - LFT/ RFT - 75 g Oral Glucose tolerance test ( in each Trimester). - HbA1c level, - HIV, VDRL, HBSAg, Anti HCV. - APLA work up that includes 1) Lupus Anticoagulant, 2) Beta 2 Glycoprotein IgG & IgM, 3) Anti cardiolipin antibodies IgG & IgM. - NT scan (11-13weeks), - Dual marker test ( 11-13weeks). - Level 2 Scan (18-20weeks) - to look for any structural or developmental anomalies in the fetus. - To consider progesterone supplements (either oral, vaginal or injectables) after checking viability. - Low dose aspirin or Heparin may be considered after Ultrasound for viability & the blood tests evaluation. - Avoid intercourse in the first trimester. - Small meals at frequent intervals to avoid nausea or bloating." + }, + { + "id": 29278, + "tgt": "I do not have any friends and feeling alone. Please help", + "src": "Patient: Hi doctor, I feel that I cannot make friends. My friends keep themselves away from me. They get bored of me and avoiding me. I feel lonely and depressed. What to do? Doctor: Hello. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7788, + "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": 2585, + "tgt": "I get recurrent vaginal cyst. What is the recommended treatment?", + "src": "Patient: Hello doctor, I have an abscessed Bartholin's gland cyst. This is like my 10th go around with this thing. I had marsupialization a few years ago. It did not work the way I was told it would but it did make it so afterward every one. I would have got pus drain and go away easier but this one is not draining. I am in pain. I have no insurance and now I am out of work so I have no money. Please give me some antibiotics. I am currently on Levothyroxine. Doctor: Hi. It needs marsupialization or complete removal. And if there is recurrence so many times mean you are not following proper hygiene and precautions told by the doctor. You can take Amoxicillin and Clavulanic acid 625 mg like combination two times a day and Metronidazole 400 mg two times a day, both for five to eight days. You can take a painkiller along with it. But if there is pus then it should be drained. Or the best thing is to reoperate. Drink more water. Keep the vaginal area as dry as possible. Hot water fomenting may help. If increasing more than need a clinical examination and also require to send pus for culture sensitivity test to find out which antibiotics work perfectly on it. And according to the report antibiotics should be taken. Also, complete the course of antibiotics. Send some photos to see at least how severe is the infection. I hope this helps." + }, + { + "id": 6641, + "tgt": "I am having acne for longer period. Will chemical peel be helpful in treating acne and its scar?", + "src": "Patient: Hello doctor, I am an 18-year-old male and suffering from acne since I was 14. I have tried a retinoid, Doxycycline, countless topical creams and scrubs, a six-month course of Accutane, and nothing seemed to work permanently. Accutane was the most effective drug at preventing my acne but, two months after I stopped it, my acne came back, not as severe, though. I believe that signifies the acne I suffer from is hormonal, so I just have to wait until the testosterone I produce stops affecting my sebaceous glands drastically. But I wanted to know if there is anything else I have not tried because my face looks horrible, and I have severe hyperpigmentation from the past pimples. I was looking into a chemical peel because I was told it would make your face produce less sebum in addition to inducing collagen production. More information about my skin is that I am white, light-skinned, and about 150 lbs. Doctor: Hello. It seems like you have had really bad acne and have been trying hard to improve it. I would suggest you not to stop the treatment abruptly as it usually leads to a flare. Instead, once the acne is controlled, you should reduce the frequency to a maintenance dose, such as weekly once or twice, for a longer-term. Salicylic acid peels do work well for acne and oily skin when applied correctly. You may need four to six sessions, with monthly one session frequency. Chemical peels even help to lighten your post-acne pigmentation. Do not prick your acne as it leads to infection, scarring, and pigmentation." + }, + { + "id": 9204, + "tgt": "I have a shaking tooth in the bottom jaw. What should I do?", + "src": "Patient: Hello doctor, I am 17 years old. I am facing a shaking tooth in my bottom jaw. What is the solution for this? Doctor: Hello. Shaking tooth means tooth mobility. Causes are various like periodontal (means your gums are loose not enough to support the tooth, or because of less oral hygiene). Other reason might be trauma, broken, and shaking (mobile) tooth. Iopa. Proper oral hygiene." + }, + { + "id": 2275, + "tgt": "What causes pain and swelling in sublingual and submandibular area?", + "src": "Patient: Hello doctor, My sister, a 15-year-old female patient complains of intermittent pain on R sublingual area and neck (submandibular area) graded 6/10 at rest and aggravated when eating to 8/10. Past medical history: She developed fever recently and was diagnosed with UTI and was given cough remedy. Persistence of cough prompted us to another MD consult and was diagnosed with pneumonia of the lower lobe. She was on antibiotics for 10 days. She started complaining of the pain on March 25. MD thought of tonsilitis and was asked to gargle warm water with salt. Up until now, there is still pain on the area. Grade 1 tenderness on the R submandublar triangle area, no fever, mild cough still, feeling of lump on the R sublingual area, pain when tongue presses on the area. Patient complies with MD recommnedation of drinking a lot of water and gargling. Doctor: Hi. It is 23 days now since the infection started, that is quite a long time. Her chief complaint is pain in the submandibular and sublingual region which can happen due to tonsillitis as well as infection of the salivary gland which is located in that region. Typically these are both treated by Antibiotics. The best way to differentiate is take a look inside her mouth with a torch and see if there is reddness in the tonsils. However, the treatment you need is a proper course of antibiotics and pain killers with antiseptic gargles and chewable Vitamin C. Acute tonsillitis, acute sialadenitis. Tablet Amoxicillin and Clavulinic acid 625 mg twice daily after food for 7 days. Tablet Pantoprazole 40 mg in the morning half an hour before meals for 7 days Lactobacillus or curds everyday Chewble Vitamin C 500 mg twice daily for 7 days to suck on Povidone Iodine gargles 5-6 times a day 1 ml diluted in 1 ml of water Tablet Paracetamol 650 mg twice daily after food Avoid cold foods, cold environments, oily foods and spicy foods." + }, + { + "id": 8911, + "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": 6469, + "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": 16465, + "tgt": "Are my symptoms due to PMS or pregnancy?", + "src": "Patient: Hi doctor, I had my period on the 29th of last month. It lasted for six days (usually seven). The cycle is usually 30 to 33 days. I had unprotected sex on the last day of my period (4th of this month). He did not penetrate deep and did not ejaculate inside as well. I usually get acne, but now it is slightly more on my face. My breasts are aching, not the nipples though. I am not sure if these are because I am closer to my period or if I could be pregnant. Doctor: Hello. You had sex on day-6 of your cycle. According to your cycle length, your fertile days start from day-10 to day-20. This could be because of premenstrual symptoms. But, sometimes, the cycle length can vary. So, if you did not have sex after that, then the chances of you getting pregnant are least in this cycle. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11977, + "tgt": "There is irregular bleeding from vagina. Kindly help", + "src": "Patient: Hello doctor, There is irregular bleeding from the vagina in varying amount. Before that, there were no periods for six months. Kindly help. Doctor: Hello. You have to go for an ultrasound and some blood test in two to three days. If you are sexually active then vaginal examination must also be done." + }, + { + "id": 29454, + "tgt": "I cannot move my eye outwards. Do you think it is sixth nerve palsy?", + "src": "Patient: Hi doctor, Last week, I started experiencing double vision. I went to the ER and was told that I need to see my eye doctor. The next day, I went to the eye doctor, and he did a field test. He told me a nerve was messed up in my eye due to diabetes. He said it could take a few months to heal and that I could wear a patch or a prism until then. I decided on the prism, but recently it does not seem to be working as well as when I first got it. My eye doctor did not tell me the specific name of what I have. I have done some research online, and it sounds like 6th nerve palsy. My eye will not move to the outside, and it looks like I am slightly cross-eyed when I look straight. I have not had any symptoms other than double vision. Sometimes, I am getting little headaches from straining my eye, but nothing serious. Do you think it is 6th nerve palsy? Is there any type of exercise to speed up the healing process? Doctor: Hi. Revert with the photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25623, + "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": 16319, + "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": 27881, + "tgt": "Are my symptoms normally seen in peroneal neuropathy?", + "src": "Patient: Hi doctor, I got peroneal neuropathy after bariatric surgery. I have lost 97 lbs in the last six months, and all of a sudden, I was diagnosed with peroneal neuropathy in my right leg. My right leg was numb from the knee down all through my toes, but now the numbness has subsided and only my big toe and a little bit towards my ankle are numb. I still cannot lift my foot, and I am scared to death that there is something else wrong with me. I have a lot of pain down my buttocks and outside of my thigh down my calf and my ankle. Does this sound like normal symptoms of peroneal neuropathy? I have had an MRI of my lower back that showed slight bolds disking on the left side and spinal stenosis on both sides of my lower back, but the neurologist said that he did not think that could cause the foot drop. I also had a nerve conduction test and an EMG. I am just so scared that I have ALS even though both neurologists told me I do not have it. Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14203, + "tgt": "I have been feeling pain in my chest. I am a regular smoker. Please advice", + "src": "Patient: Hello doctor, I am 25 year old male, my height is 5'10\" and I weigh 73 kg. For the last two days, I have been feeling pain in my chest (left side). Since then, I have been feeling tired and sleepy all day and unable to concentrate on my work. Pain is not so frequent, but when I take a deep breath, I feel pain. Also, I have the problem of morning cough. I have a history of regular constipation. I also have a history of increased cholesterol level in my body, which is fine now. I am a regular smoker (6 to 7 cigarettes a day) and a social drinker. Please advice. Doctor: Hello. It looks like you have pleuritic pain. This refers to pain due to inflammation of the covering of your lungs. You will need a course of antibiotics. The reason why you are getting such chest infections is your smoking. So, I actively encourage you to quit smoking. There are courses of medications available to assist you to quit smoking. Take lots of fiber-rich food to get rid of constipation. You can buy an over the counter laxative to overcome constipation if required. If the chest pain persists after the course of antibiotics, you would need an ECG and chest x-ray." + }, + { + "id": 16240, + "tgt": "Does frequent eye flashes mean retinal tear?", + "src": "Patient: Hello doctor,I sometimes see flashes or running light in my eyes since last one and a half year. They come once in 3 to 4 months. I can see only flashes for 10 minutes, after then my vision is back to normal. I consulted a doctor around a month back she even checked my retina and vision both were fine and gave no medicine. After that, four days ago, it happened again. So, I consulted a new doctor. He prescribed Toba DM and Flur eye drops. I am 18 years old boy, 5\u20194\", weight 45 kg. I am fearing about whether it is a retinal tear. Doctor: Hi. Flashes are seen in retinal tears, but they are also seen in various other conditions. It is great that you have got your retina evaluated. But in the prescription (attachment removed to protect patient identity), there is nothing mentioned which requires Toba DM or Flur for management. I would recommend that you discuss with your doctor why those medications have been started or you stop using them immediately. Long-term use of steroid drops may lead to high intraocular pressure and damage to vision due to glaucoma. Take care." + }, + { + "id": 26215, + "tgt": "My blood group is A+. Will my child suffer Rh incompatibility if I marry someone who has A-?", + "src": "Patient: Hello doctor, I am a 30 year old male. My blood group is A positive. I am going to marry and I am looking for a suitable match now. I wish to have two children in future. I have two questions: As my blood group is a positive and if I marry someone who also has A positive blood group, then will there be any problem during pregnancy or after pregnancy? Does the child have any potential for deformity, low IQ, mental illness, anemia or any kind of physical problem or will the child be healthy? If I get married to someone who is A negative and if the child is A positive, then I have heard that there is potential for problems, for both child and the mother during gestation. It may also cause problems during second pregnancy due to antibodies created during first pregnancy. What are the treatments available to prevent this? I have heard that some injection is used. Please let me know how do the doctors deal with the issues of Rh incompatibility? Will the child be healthy, both mentally and physically? Please let me know. Thank you. Doctor: Hi. I have read and understood your problem. You are A positive and if your partner will also be A positive, it means both of you will be carrying Rh positive factor. So, there is no ill effect in marrying someone with your same blood group. If you marry someone Rh negative, be it A, B, AB, O and if the baby is Rh positive then the risk is present as you have mentioned. Doctors deal with the issues of Rh incompatibility by giving injection Anti RhD after first delivery or abortion. The child is healthy if prophylaxis is given. No physical or mental issues will occur due to this. Best wishes. Consult an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3823, + "tgt": "Even though investigations are normal, I am getting chest pain. Please help", + "src": "Patient: Hi doctor, For the last two years I have been suffering from severe chest pain. The exact location is behind the breast and the pain radiates to the left hand. I have done enough of evaluation like TMT, 2D echo, lipid profile, MRI thoracic area, MRI cervical, CT chest with contrast and other blood test. None of these reports are positive or identified any issue or problem. I have visited cardiologist, neurologist, psychiatrist and general medicine doctors. Everyone tried to give me some painkiller and that works for a week. And then the pain will be back after a week or so. Over last three months the pain is so severe and I am rushing to the nearby hospital. They used to take an ECG and give me three to five injections through IV to control the pain.\u00a0I am sick and tired in finding the root cause and also very depressed because of this pain. I am unable to bear it most of the time. Please help me out in directing a right specialist or doctor to visit who can get me some relief from this pain. As I am unable to concentrate, my professional and personal life is on stake because of the pain. I am looking forward for your quick response. Doctor: Hi. We are here to help you. Revert back with the endoscopy report to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19224, + "tgt": "I got a PFT done. Kindly check and guide me if the values are fine", + "src": "Patient: Hi doctor, I have a signal arthritis. Rib cage hurts when I breathe. I had a clear COPD four years back and normal PFT. I stopped smoking ten years ago. I am a swimmer and have breathing problem. I also have suspected connective tissue disease. I am currently taking Humira, Methotrexate and daily I take Nexium. I recently did PFT tests. FVC is 126 %, FEV1 is 126 %, FEV1/FVC 99 % predicted, RV/TLC is 100 %, DLCO/VA 100 % predicted. Are these results fine? Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20157, + "tgt": "What is the treatment for dengue fever?", + "src": "Patient: Hi doctor, I am suffering from dengue fever. My consecutive platelet results are as follows. First day morning the platelet count was 85000 and the same evening it dropped to 64000. The next day it was 56000 in the morning and 62000 in the evening. Again now it dropped to 53000. What shall I do now? Please help. Doctor: Hi. I assure you not to worry as all things may get settled with proper care and follow up. Dengue fever is of two types: 1. Classic type. 2. Dengue hemorrhagic fever. In both the cases we have to keep the treatment strategy in different ways. There is no definite cure for the disease and it is self-limiting. People usually get better in a few weeks. 1. Take plenty of fluids and water to replenish electrolytes and keep you hydrated. 2. Take fever reducing agents like Tylenol (Acetaminophen) but no Aspirin. 3. Take complete bed rest. 4. Keep an eye on your body and body openings. If there are any signs of petechiae, blue spots, bleeding from orifices, stool color darker brownish black or red, urine color change or anything that may give a suspicion of bleeding, call the emergency service right away. It is because it may be a bleeding due to reduced platelet counts and blood or platelets transfusion may be needed right away to get better and to save you from life threatening bleeding. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11075, + "tgt": "Is there a possibility that antidepressants can cause absence of sex drive?", + "src": "Patient: Hi doctor, I am 19 years old. I do not have any\u00a0sexual desire\u00a0or\u00a0libido. I am not getting normal erection. I have done a hormonal test to see if something is wrong. Currently, I am on antidepressant. The clinic said that the results are normal. But, I have a feeling that something must be there. Kindly can you check the results and let me know if they are normal or not. Thank you. Doctor: Hello. Your submitted blood work (attachment removed to protect patient identity) looks normal. I do have some questions for you though. Did you have normal puberty as compared to your peers such as height, shaving, pubic hair, etc? Did you have normal sexual desire and libido in the past? How long has it been since you lost interest? Have you had mumps? Or any other medical problems? Have your thyroid function and prolactin levels been tested? If not get them done. What kind of antidepressant are you taking? Talk to your doctor who is prescribing the antidepressant to see if the symptoms are related to depression or due to the medication you are on." + }, + { + "id": 29673, + "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": 26287, + "tgt": "Can I take anxiety medicines in pregnancy?", + "src": "Patient: Hello doctor,I am 18 weeks pregnant and have symptoms of severe anxiety and insomnia. Can I take anxiety medicine in pregnancy? Please help. I used to take Melzap 0.25 mg and Etilam\u00a00.25 mg. Doctor: Hello. Melzap (Clonazepam) and Etilam (Etizolam) which is used for anxiety are not really safe during pregnancy. But, the benefits of taking the medicine, have to be weighed against the effects of anxiety over pregnancy, if not treated at all. This has to be done by you and the treating doctor where the severity of your anxiety matters. So, I suggest you consult a psychiatrist in reach of you, as, if at all you start the medicine, it should be started with a low dose and regular follow up. Also, I suggest you try relaxation exercises to control your anxiety. Regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 28007, + "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": 27177, + "tgt": "Please suggest a remedy for fever, cough and green sputum", + "src": "Patient: Hello doctor, I have pain all over my body. Last night, I had chills with chest congestion and green sputum. The physician gave me Avelox\u00a0and Medrol dose pack. Would that be fine? Doctor: Hello. I hope it helps. If you have any further queries, please ask me. For more information consult a critical care physician online --> https://icliniq.com./ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 10644, + "tgt": "What is the treatment for numb and painful hands and fingers?", + "src": "Patient: Hi doctor, I am 58 years old and currently working in a meat shop, working always in frozen foods. My problem now is about my hands (fingers). It is numb and painful. I always feel this everyday and wake up with numb and pain. Any medicine or vitamins aside from Vitamin B1, B6, B12? Doctor: Hi. Long time keeping hand in freeze or ice cold things, your blood vessels constrict to avoid heat to escape from the body. Continuously blood vessels constriction will not allow blood to reach to the hand tissues and nerves. So, numbness and pain comes. If you are diabetic or hypertensive, condition will be worse. So, in between your work just rinse your hand and fingers in warm water, not very hot. Use thick rubber gloves to avoid direct cold to your hand." + }, + { + "id": 18523, + "tgt": "I am on OCP. Is there a chance to get pregnant?", + "src": "Patient: Hi doctor, I am on OCP for last five to six months. I was fine. What happened this month is, due to worry, I have overdosed myself with OCP.\u00a0I took, 3 OCPs last Wednesday 3 OCPs last Friday 2 OCPs last Saturday 3 OCPs last Sunday by 7 PM Yesterday (Monday) I took only one OCP at 1:30 PM but I took an i-pill around 1 PM. I had sex on Saturday afternoon. Today is my last day of OCP cycle. I found little brownish discharge this morning. I am worried. 1. What could be the cause for this spotting? 2. If I take another i-pill today would it be helpful for me or worsen the matter? Please\u00a0suggest what to do. Doctor: Hi. I have read and understood your problem.\u00a0I am really concerned about your anxiety. Normally, there is no chance of getting pregnancy.\u00a0But, you have taken 12 OCPs in six days Wednesday to Monday and one i-pill too. \u00a0Due to the excessive dosing, there is spotting. Even if you do not want pregnancy taking another i-pill today will not help you. Today is your last day of OCP, so in next few days you will get a normal bleeding/menstruation. After which you can use a progesterone containing intrauterine contraceptive device\u00a0(IUCD) inserted by a gynaecologist. Also I understand that you have excessive anxiety and fear of pregnancy. So, I suggest you should consider counseling by a psychiatrist/psychologist. But be assured that you are fine and do not take unnecessary extra doses, because one OCP daily is enough. You may put a mark on the calendar as soon as you take the daily dose. For further queries consult an obstetrician and gynaecologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14916, + "tgt": "Can bumps in throat after sex be due to HIV?", + "src": "Patient: Hi doctor, I had protected sex with a male prostitute. I did not receive it, I was giving and later I received it from the prostitute. This occurred before five months. I got tested at the health department for HIV and ECT and they came back negative. I looked at the symptoms and I am panicking. I have had a sore throat, runny and stuffy nose, lower back pain. I stand up at work all day (if that has something to do with it). My throat is red and I have had a bump on the back of the tonsils and it was white but it went away and today I now have bumps and kind of white-yellowish bumps. I have had diarrhea one day and I was feleing warm. All of those other symptoms that happened have gone. Just today, my throat is making me scared. It does not hurt or anything. It is just how it looks and the bumps. Doctor: Hello. I can understand your anxiety but anyways sore throat and tonsillitis can happen to a normal person also. You have tested for HIV and that test has come negative. You need not worry as that test came negative which has a good sensitivity. Pictures you have sent (attachment removed to protect patient identity) shows redness and swollen tonsils but that is not to worry about. Do not panic, just take rest, drink plenty of liquids, do saline gargle twice to thrice a day. You shall be alright within a couple of days." + }, + { + "id": 13424, + "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": 2476, + "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": 11489, + "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": 29478, + "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": 5909, + "tgt": "I broke a big part of my tooth and it smells and looks pale brown color. Is it infected?", + "src": "Patient: Hello doctor, I broke a big part of my tooth, and I cannot get to the dentist as I have no money and no medical insurance. Now it smells, and looks pale brown color. I am scared, is it infected? Doctor: Hello. Breaking of a part of the tooth is termed as tooth fracture. There are a number of types of tooth fractures. A few of them are symptomatic and cause pain. These require immediate attention. A few other types do not cause pain immediately. But they might show color changes, tooth mobility, swelling of gums, pus collection, abscess, bad breath (halitosis), and tooth migration later in life. In your case, the tooth would have become non-vital (dead) and hence the pale brown color change. The causes of bad breath are either abscess formation associated with pus collection or food lodgment in the fractured tooth. Kindly attach intraoral photos and give a detailed history of the trauma to the tooth for further follow-up. Tooth at this stage can be saved. If delayed you may lose the tooth and will have to replace it with an artificial tooth." + }, + { + "id": 25307, + "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": 28572, + "tgt": "I am seeking your help regarding my MRI report. Kindly guide me", + "src": "Patient: Hi doctor,I am suffering from the seizure disorder.\u00a0I am seeking a neurologist help on my MRI report.\u00a0I had two episodes of seizure before three years and then, no episode. I had Folic acid 150 mg and Sodium dilunte\u00a0300\u00a0for the last three years. For the last two months,\u00a0I am not on any medicine. Doctor: Hi. I have analyzed your MRI brain report (attachment removed to protect patient identity). For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2315, + "tgt": "I have tingling sensation in my neck and back which reduce on stretching the neck. Why?", + "src": "Patient: Hello doctor, About a week ago, I started to notice a fuzzy tingling sensation going down my neck and back when I look down at the floor. If I continue to stretch my head forward and back, I no longer get the sensation down my back and neck, but this sensation will come back after I have not looked down for a while. The closest thing I can find that matches my symptoms is the L\u2019Hermitte sign. I do not have any other symptoms, my vision is fine, I have no problems with balance or anything else associated with MS (as L\u2019Hermitte is typically found in MS sufferers) but this was the only disease I could find that fit my symptoms best. Nothing is painful it is just a weird sensation. I have had no accidents or traumas to my neck or anywhere, and I do not take part in any aggressive physical activity. I am otherwise active and healthy, BMI of 26.2. I am a 25-year-old male. Just to mention, I do have a bad back posture if this is contributing? Doctor: Hello, Welcome to icliniq.com. Your query will be addressed properly and you will be provided with best of the treatment, I assure you that. Now Coming to your condition, your BMI (26.2) comes in preobese category which could be one of the cause of tingling sensation because weight puts more pressure on your spine and your bad posture may add up to your condition. Do you spent lots of time in front of screen like mobile or laptop? Given your medication history, are you taking it for asthma? Which other medications have you taken for it before? Is it under control? I can prescribe you proper drugs and exercise, but I have a few questions about your condition that need to be asked. If you can join me for the follow up, or hotline chat, it will help me to analyze you properly and you will be fine with proper guidance. follow up with details." + }, + { + "id": 16375, + "tgt": "I have extreme pain in the root canal treated tooth. Will I lose my tooth?", + "src": "Patient: Hi doctor, In root canal treatment, even after temporary filling, pain is still present. If something touches the tooth, there is extreme pain. Is it normal or do I need to get the tooth removed? Doctor: Hi. Root canal treatment involves three main steps namely: Temporary filling which you mean is just the superficial one. Pain may persist after the first two steps and before completion of the third step. The pain might be due to: The above-mentioned pain will disappear soon after the third step, once the remnants are removed and the infection subsides. As of now, do not bite on any hard food substance with the treated tooth. In case the pain remains even after the root canal filling is done, then re-root canal treatment might be needed after seeing the x-ray. There are various methods to save the tooth and hence you may not require extraction of the tooth. For follow up, kindly attach pictures of the treated tooth and also the pre and postoperative x-rays and consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29129, + "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": 23356, + "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": 17157, + "tgt": "Please suggest a tablet for loose stools that is safe to use when trying to conceive", + "src": "Patient: Hi doctor, I ovulated on day-14 and the\u00a0follicle size was 24 on day-13. I had intercourse with my hubby during the fertile days. From day-15, I have very loose stools.\u00a0I took one Eldoper tablet on day-15,\u00a0and was alright, but it started again on the next day. I feel really tired and have no interest in doing work. My appetite is also poor. Are these early signs of pregnancy? I am really confused. I never experienced this before. I request you to help me and suggest which tablet can be used for loose stools while trying to conceive. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19110, + "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": 2930, + "tgt": "Is injection Penidure LA safe during pregnancy?", + "src": "Patient: Hello doctor, Initially, my wife was having few joint pains in her knees and shoulder. Last year, she was diagnosed with high\u00a0ASO level in blood with 800 (positive). At that time the medicine physician has prescribed her to inject Penidure LA12 (Benzathine Penicillin) injection at every interval of 21 days for at least five years. Accordingly, since then my wife is continuing with Penidure LA12 injection till date and by now she has already completed two years of Benzathine Penicillin injection. Presently, a month back, her latest blood report the ASO level is reported negative with 175. Also, now my wife is 3 months pregnant and is under the supervision of a gynecologist. The gynecologist has prescribed her with Susten SR 300 two tablets per day intravaginally and ALL-9 one tablet after food at night. Also, the gynecologist advised her to continue with Penidure LA12 and having the opinion that Penidure LA12 is safe during pregnancy and may be continued. Shall I continue her to inject Penidure LA12 injection during her present pregnancy stage? Or should I stop it? And also let me know, whether this injection will have any adverse effects on the baby.\u00a0Lastly, for how many years actually this injection has to be taken by her? She has already completed two years. Thank you. Looking for your advice at the earliest. Doctor: Hi. Revert back for further information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12251, + "tgt": "What can be done for oily head and dry cheeks?", + "src": "Patient: Hello doctor, I have skin issues. My head is a little bit oily but my cheeks are dry. My complexion is fair but white layer occurs on my cheeks after the bath. No cream suits on my face. Please suggest me some tips. Doctor: Hello. For you oily scalp skin, first of all, you need to wash your scalp daily. I will prescribe one shampoo which you can use on alternate days with your normal shampoo. Getting whiteness after washing face is a symptom of dryness. Try avoiding harsh facewash or soap. I will write a face wash and a moisturizing cream for the same Xerosis plus seborrhea. 1. Silkin shampoo for the scalp. 2. Max rich cream after face wash. 3. Moisturex clenz face cleanser for face wash." + }, + { + "id": 14812, + "tgt": "What is the reason for PCOS affecting fertility?", + "src": "Patient: Hello doctor, I have two kids and recently diagnosed with PCOS. My last ultrasound showed I had 30 follicles in my left ovary and 25 in my right, with only one mature follicle, we have been trying medicated times intercourse with a trigger shot and it is not working. I am not getting pregnant. Why does PCOS affect with fertility so bad? Took Letrozole 2.5 mg three tablets once a day from day 3 to 7 and then did a trigger shot a week back- Ovidrel. Doctor: Hello. PCOD is a polycystic ovarian disease which causes increase testosterone levels in women with androgenic features and multiple small cysts in ovaries. It is one of the most common reasons for irregular menses, especially oligomenorrhoea and primary or secondary female infertility. The increased androgen feels do not allow the follicles to mature and hence ovulate and also if delayed ovulation occurs, the quality of the egg is not optimum to fertilize and lead to pregnancy. You shall need to be placed on low dose oral contraceptive pills with Myoinositol supplementation with a reduction in weight with exercise and diet modification (majorly) and increasing your daily water intake. All these for 3 to 6 months have been advocated for treatment of PCOD." + }, + { + "id": 14059, + "tgt": "I want to buy some medial device to prevent snoring during sleep. Please help", + "src": "Patient: Hello doctor, I want to buy some equipment or medial device to prevent snoring during sleep. It should be safe and be able to buy online, preferably FDA approved. Doctor: Hello. Snoring while sleeping is usually associated with sleep apnea syndrome. Sleep apnea is a sleep disorder in which pauses occur in breathing during sleep. Symptoms usually occur due to obstruction of the airway.For the treatment of snoring, we have to treat the sleep apnea first. Few such devices which I would suggest are: Before purchasing them, do consult a sleep medicine specialist in person for clinical examination." + }, + { + "id": 21729, + "tgt": "Why is there pain in neck when I move it?", + "src": "Patient: Hi doctor, I turned my neck quickly to the right, and I felt pressure on my neck. Then my neck was stuck to the right for three seconds. When I was able to put my head looking straight, it came back to normal. It was painful. I had a weird taste in my mouth. I also felt dizzy and weak after it. Doctor: Hi. You have neck muscle dystonia which causes severe pain especially when you move your neck. I recommend you use local deep heat cream (Propylene glycol and Lanolin) thrice daily for one week and use Ibuprofen 400 mg as a painkiller for a few days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24443, + "tgt": "There are pigmentation points on cheeks during pregnancy. Kindly advise", + "src": "Patient: Hello doctor, The patient is my wife. She is 30. She is seven months pregnant. This is the second pregnancy. She complains of pigmentation points on cheeks and hair loss increased as pregnancy is progressing. Her diet is alright. Endocrine reports are fine. Face pigmentation and hair loss is causing a lot of concern for her. Kindly advise. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I suggest her to use a broad spectrum sunscreen such as Sunstop 30 or Suncros soft sunscreen. Reapply every two to three hours throughout the day. At night, she may apply Aziderm (Azelaic acid) 20 % cream on the affected areas. Rub it in gently. For hair loss, I suggest her to continue with Iron and Folic acid supplementation. In addition, she may use Bontress hair serum on her scalp, twice daily. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26642, + "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": 25917, + "tgt": "I have high blood pressure. Can I work out at a gym?", + "src": "Patient: Hello doctor, I am checking my blood pressure for a week now and it is mostly about 134/94. A physician asked me not to work out at the gym. Can you please advise if I can join a gym? My parents and a few other relatives had high BP. I have done an ECG and chest X-ray last year and both were normal. Please provide your opinion. Doctor: Hello. Your BP readings are definitely on the higher side. Initially, you should get evaluated for high BP (blood pressure). You need to have other investigations like ABPM (ambulatory blood pressure monitoring), echocardiography, serum creatinine, serum electrolytes, and TSH (thyroid-stimulating hormone). After investigations, if you find any cause, treat it to control your BP. If you do not find any cause then do dietary and lifestyle modifications like low salt diet and see how your BP responds to it. Coming to your main concern, the gym. Before starting a gym, get evaluated as said above. With this level of BP, you may join a gym only after getting evaluated. Because evaluation will guide us the level of activity you can perform in gym depending on the cause of high blood pressure. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27367, + "tgt": "My daughter got hit on her head with a wooden swing. What to do?", + "src": "Patient: Hi doctor, My daughter got hit in the head with a wooden swing by my other child. It hit above the eye between eyebrow and temple. She is acting fine. It is very swollen and bruised, like a very large goose egg. Do you think that calls for a trip to the doctor or just more ice packs? It has been about three hours since the injury. Doctor: Hi. Review back with the\u00a0x-ray. Revert with more information to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 26875, + "tgt": "My son has a sharp pain in the temple area if he moves his neck. Please advise", + "src": "Patient: Hello doctor, This question is regarding my 10 year old son. He takes professional coaching for badminton and plays for almost four hours daily since the last four months. Ever since he started playing badminton, he complains of occasional neck pain, shoulder pain, and back pain. His coach said that it might be due to his posture. He has a habit of slouching forward when he walks. Four days back, he complained of ankle pain, and I made him put his ankle in ice water for 30 minutes daily for the last four days. Though he said it did not improve things, he just enjoyed playing in the\u00a0water. Today morning, when he got up and moved his neck slightly, he experienced sharp pain in the head (temple area) even if he moved his neck slightly. And suddenly the pain area started changing to shoulder, knee, thigh, thumb, back to neck, eyes, head, etc. The pain at each place stayed for one or two seconds. The next location of this shifting pain is totally unexpected. Can you please advise me on these two points? The first is regarding a neck, shoulder and back pain since four months of playing badminton. And, the second is\u00a0regarding the shifting nature of pains that started just today. Is it due to the ice bath, or other reasons, and what to do about it? Doctor: Hello. For further queries consult an orthopedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19087, + "tgt": "Had only spotting and menses are delaying. Pregnancy tests are negative. What could be the reason?", + "src": "Patient: Hello doctor, I am a 24 year old female. My weight is 170lbs and my height is 5'8\". I am currently on Advair and Albuterol inhaler. After urinating and wiping (last Wednesday morning, April 1st) I had a spot of blood on the toilet paper. I thought it was my period, so I just put on a tampon and went on about my day. When I got home from work, I took out my tampon and it was still \"clean\". Nothing was on it. I did have mild cramping that whole day and the next two days after that but it was weird to me because, when I get my period I get cramps so bad that I have to take prescription medication. This was not the case at all. Since then, I have felt dizzy, nauseous and more tired than usual but I do not know if it is work related or something else. It is already more than a week and still no period. I have taken two pregnancy tests on different days and both were negative. I am supposed to start my cycle again on the 11th. I am just waiting for that day. But I still do not understand the one time spotting on that Wednesday morning. Please advise. Doctor: Hello. It is assumed from the history that you normally have a regular period and this has been the first time that your periods had been delayed. The spotting which you experienced on April 1st was probably scanty menses in the form of spotting and it was associated with premenstrual symptoms and also it was your natural due date. Sometimes menses are delayed or women experience reduced flow due to stress induced hormonal imbalances which can affect the cycle during the month. The stress factor can be physical, social, emotional or psychological and all have a bearing on the hormonal balance. So it is fairly common though that progesterone withdrawal was not initiated adequately and that the next menses may be heavier if at all. As the pregnancy has been ruled out completely, the reason is stress induced. I suggest you to get an ultrasound pelvis done to check for endometrial thickness of the uterus and if it is more than or equal to 10mm, then you may opt for a withdrawal bleed with progestins (available on prescription) to resume your menses within 7 days of taking the last dose. Following which you may practice or incorporate stress busting techniques in your lifestyle to reduce the stress like meditation or yoga which are known to be helpful. That should keep your hormones in balance and such episodic delays with regards to menses which can be further distressful, can be avoided. Wish you good health. Revert back with your ultrasound pelvis reports to an obstetrician and gynaecologist online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28568, + "tgt": "My kid has a milestone delay. Why?", + "src": "Patient: Hi doctor, My kid has a developmental delay. He is missing his milestones. He is 1 year 10 months. He does not walk or kneel or speak yet. His TMS and GC-MS reports showed negative. We started Levi Pil syrup (Levetiracetam) based on the attached EEG report. 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": 23169, + "tgt": "I have been having chest pain and palpitations. Can it be coronary artery disease?", + "src": "Patient: Hello doctor,I weigh 197 but was 224 three months ago. I am 5'8\" and have no history of heart disease in my family. My blood pressure is a little high and my cholesterol is normal. My LDL was 120 three months ago before I started losing weight. I have been having chest pain for three months now along with palpitations. The palpitations seem to get worse a day after I do any exercise. In the three months, I have gone running once and when I ran that time the chest pain increased and felt like an ache on the left side of my chest. I have had 6 kg numerous blood work, an echocardiogram, a stress test, and a stress echo test that all came back normal and I did not feel any chest pain during the stress and stress echo. The chest pain seems to come after I have walked a while or when I am stressed even though I have not felt the pain much since I got my result for my stress echo I would say because I have been calmer and also when I wake up some morning I can feel the ache right below my chest. The situation has completely taken over my life as I worry day and night. What are the chances of it being coronary artery disease? Doctor: Hello. It is unlikely to be a coronary artery disease. Firstly, considering your age, it is very unlikely. Next thing, your stress test is normal and you did not have any pain during a stress test. Pain should be uniform of cardiac blockages, and you should have got it while testing as well. So the first possibility in you is gastroesophageal reflux disease, which can explain all your symptoms. You also have epigastric pain, right. Do you also have nausea, vomiting, bloating, burping, throat or chart-burning, these may be the associated symptoms. So you should have a trial of antacids like Pantoprazole or Lansoprazole. Does this pain increase on applying pressure over the chest area, if yes then it is likely a musculoskeletal pain and unlikely to be heart-related? Also, if your pain is persistent even after antacids as well, I would also like rule out a myocardial bridge in you which can cause exertional pain. However, we would expect some changes on the stress test. Did you undergo you treadmill test or just stress echo? So just go through it and let me know some more details. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20785, + "tgt": "What is microcytic hyperchromic moderate anisopoikilocytosis?", + "src": "Patient: Hello doctor, My daughter is 18 years old. She is diagnosed with microcytic hyperchromic moderate anisopoikilocytosis. Please tell me, what it means and what is the condition. Doctor: Hello. What you have described above is a description of red blood cells seen on a peripheral smear. This means red blood cells are smaller than normal with less hemoglobin in them and there are variations in their size rather than them being uniform. A complete blood count and good peripheral smear can help in this. This picture is usually due to iron deficiency anemia which is common in the young adult group. And it is often gets reversed with iron supplements. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18432, + "tgt": "What do you suggest for high 17-OHP in a baby?", + "src": "Patient: Hello doctor, My 4 month old baby was born preterm and detected with high 17-OHP levels. The details are as follows:\u00a0Baseline level on screening 196 ng/mL. Two other tests showed 20 ng/mL and 10 ng/mL. The recent test showed 5 ng/mL. As per consultation with my doctor, high 17-OHP is due to preterm. Also, note that my baby is on formula milk. Please advise. Doctor: Hi. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 12370, + "tgt": "Will I get pregnant after taking the emergency pill within 24 hours of having sex?", + "src": "Patient: Hello doctor,What are my chances of getting pregnant after taking the emergency pill within 24 hours of having sex? Doctor: Hello. Your chances of getting pregnant after taking the morning pill are very low. But it also depends on what day of the cycle you had sex and how long is your cycle and was it the only episode of unprotected sex in this cycle. Your period might get delayed or you might experience spotting with morning pill." + }, + { + "id": 25620, + "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": 13939, + "tgt": "Is it normal to observe light spreading out on seeing bulb after wearing Toric lens?", + "src": "Patient: Hello doctor,My site vision is -4. I have been using contacts for the last six years. This time, I tried the Toric lens. After using them for a week, I noticed the light used to spread out when I see the bulb. Now today my one eyeball color is a bit faded from the top. Also, I have a migraine. Doctor: Hi. From the information you have given, your vision prescription is -4. You have not specified whether it is a spherical, cylindrical, or a compound power. You are also using a Toric contact lens, for the first time. The reason for seeing light spreading can be due to a faulty fitting contact lens, because, the Toric lens has to be perfectly fitting, since they carry an axis power. The other reason could due to corneal edema, again due to a faulty fitting contact lens. Take care." + }, + { + "id": 12005, + "tgt": "How to treat spasmodic dysphonia without surgery?", + "src": "Patient: Hi doctor, Few years ago, I had spasmodic dysphonia. My voice was husky and high pitched. I took medicines and speech therapy. There was slight improvement in my voice but after that my voice is high pitched. I want deeper voice that is manly voice. What should I do? Is there any way to get deeper voice, except surgery? Please suggest. Doctor: Hi. Spasmodic dysphonia is one of the difficult conditions to treat and patient motivation is most important. Speech therapy is tried always and some benefit is there. Botox injection in spastic muscle will give best results, but speech therapy has to be followed. Botox has certain duration of action, so the results may last around 6-12 months. In that time, if the cause of spasms is known, that should be tried to be eliminated permanently." + }, + { + "id": 19628, + "tgt": "Why do I develop infection in mouth after oral sex?", + "src": "Patient: Hello doctor, I am 33 years old. I weigh 50 kg and my height is 163 cm. Currently, I am not taking any medication. I develop infection (inflammation) in mouth whenever I do oral sex with my husband. Water also comes out from mouth. Kindly suggest effective medicine for the same. Thank you. Doctor: Hi. Revert back with the photographs and asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28694, + "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": 26925, + "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": 19783, + "tgt": "What treatment choices do I have for fused front teeth?", + "src": "Patient: Hello doctor, My front teeth are fused together. Even smiling properly is an ordeal. What treatment choices do I have? Is there anything which is not so invasive like veneers? If extraction turns out to be the only option, will my teeth be removed from the roots? Is anything else possible? I really do not want something as invasive as extraction. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15918, + "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": 412, + "tgt": "What causes redness in the eyes?", + "src": "Patient: Hello doctor, I have redness in the eyes for 3 days already after moving the eyes very quickly from side to side for a long period of time. The eyes are sore to move. Please tell me what it is. Doctor: Hello. Kindly attach the image of your eye for further diagnosis." + }, + { + "id": 23953, + "tgt": "What antibiotics are recommended for chlamydia in an HIV positive?", + "src": "Patient: Hi doctor,I tested positive for chlamydia IgA IgG. Negative IgM. I am HIV positive but undetectable viral load and CD4 724. Recommended antibiotic? Thanks. Doctor: Hello. A high title of IgA and IgG antibodies to chlamydia generally indicates active infection but it is an auxiliary test and should also be supplemented by a more specific nucleic acid amplification test (NAAT) on a urine sample. A NAAT test specifically detects chlamydia antigen. Do you have any symptoms such as burning sensation on passing urine or urethral discharge? I suggest Doxycycline 10 mg, twice daily for seven to 10 days or Azithromycin 1 g single dose as the drug of choice for treatment of chlamydia. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 9719, + "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": 12899, + "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": 18034, + "tgt": "Is it normal to have yellowish discharge after Clingen insertion?", + "src": "Patient: Hi doctor, I was diagnosed with candidiasis and my doctor gave me Clingen 3 for insertion. I used to get this candidiasis infection every month and it will get well on its own. For the first time I have consulted a doctor. At present, I am not having any symptoms and decided to take the medication course, which also included Fluconazole 150, for the first time. I inserted the tablet and slept. The next morning, I found slightly yellow discharge running down quite fluid. There is no burning or itching. Is it normal after inserting this tablet? I had such a discharge for the first time now. What caused this? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22583, + "tgt": "Are angiography and stent good for ischemic heart disease?", + "src": "Patient: Hi doctor,My mother got a sudden heart pain. I took her to the hospital. After ECG And further processing, we came to know that she got ischemic heart disease and her two valves of the heart are closed. She has diabetes and blood pressure problems due to which atherosclerosis occurred three days ago. The doctor told him for angiography. Are angiography and stent good for her? Please also tell me about everything related to heart problems cure and heart diet. Doctor: Hi. An angiogram has to be done in your mother's case to know the extent of the blocks. Also, since she has blocked valves as you said, open heart surgery and valve replacement will be an option for her rather than stenting. In terms of diet to prevent heart disease, it is useful to avoid excess fried foods and red meat. Lean meat like chicken and fish are beneficial. Cook food in oils like sunflower oil or groundnut oil rather than coconut oil. If she is diabetic, make sure the diabetic control is strict. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19799, + "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": 11834, + "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": 25001, + "tgt": "What is the treatment for alcohol and smoking addiction?", + "src": "Patient: Hello doctor, My husband is addicted to alcohol and smoking. What treatment is recommended? Doctor: Hi. First of all, treatment for alcohol addiction and smoking is a self-decision and self will. If he is willing to stop, then you can take help from de-addiction centers for medicines. To reduce alcohol craving, I would suggest Acamprosate along with Etizolam for withdrawal symptoms. For smoking cessation, Buspirone can be helpful. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Again the only concern is that the person should be willing. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3229, + "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": 30780, + "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": 17091, + "tgt": "What care and precautions do I need to take for the cylindrical vision?", + "src": "Patient: Hi doctor, My son is 4.5 years old. He is having a cylindrical vision with -2.75 power on both the eyes. What care and precaution do I need to take? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4700, + "tgt": "Kindly explain whether Diclofenac solution can affect the baby during pregnancy or not", + "src": "Patient: Hello doctor, My husband uses Diclofenac solution (topical) for his neck pain. I am 28 weeks pregnant. He also uses a neck pillow after applying it. Will it affect my unborn baby? How long will it take for the solution to be fully absorbed in his body? I am scared that the Diclofenac solution will be absorbed in my body and will hurt the baby. Also if we have sex and he touches that hand in my vagina, will the Diclofenac solution spread into my body? Should I be worried? Please give me some advice as I am scared. Doctor: Hi. You are in the last trimester (7-9 month) of pregnancy. Most of the organs in the fetus might have developed and now it is growing. Thus, care should be taken in food and lifestyle. The rate of absorption of Diclofenac solution into blood from skin is very very less. Even if you apply the solution on your own body skin for long hours, the absorption will be less. If it is absorbed, it stays in the blood for 2 hours. At the end of 2 hours, 50 % of the drug from the blood gets excreted through urine. Remaining 25 % will get excreted in fourth hour. Remaining 12.5 % gets excreted in sixth hour. It means, if the solution reaches blood at 8 AM, it gets completely excreted at 4 PM. Note the point that the external solution does not get absorbed through skin into blood. Thus, need not to worry. Be careful with your vagina or oral. Because the vagina or oral is made by mucus membrane containing rich minute blood vessels. Vagina is different from skin. In vaigna, the absorption rate is higher and the Diclofenac drug may reaches the blood. Better to avoid, direct applying of Diclofenac solution to vagina or nearby vagina or touching (hands) solution to vagina. This carries some (less) risk to fetus. If the solution is less, no issues. If the solution applied is more, then little amount enters into your blood. If more drug reaches fetus, it inhibits prostaglandins in fetus heart, which lead to unwanted problems in the heart. You can involve in sexual activity, then your husband can apply the drug. Or wash the hands with soap thoroughly before involving in sex. I hope you could understand what I want to say." + }, + { + "id": 828, + "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": 6666, + "tgt": "My vomit was red colored after having red wine. Is it something serious?", + "src": "Patient: Hello doctor,I am 26 years old female. The day before yesterday night I drank alcohol for the first time. I had whiskey and my last drink was one glass of red wine. After coming back around half an hour later I felt sick and I puked. Now my worry is my vomit was red colored like there were not red specks of blood. The whole vomit was red colored. Now I do not know if it was the red wine coloring it red or it was blood. It was a lot of vomit but I did not feel dizzy or anything after puking. I slept and I was absolutely fine the next day. One of my doctor friends asked me to keep a check on stool color the next day just to be safe and I did and it was normal yellow color. I wanted your opinion as to what to do next. I am otherwise healthy with no other complaint. Doctor: Hello. The red vomit is likely due to red wine only. Alcohol causes gastritis and vomiting, and you likely vomited red wine out. I guess you did not have abdominal pain. The bloody vomitus is brown in color rather than red. Was the color of vomitus matching with wine, if yes it further suggests it is wine. Also, stool will turn blackish, foul smelling if it was blood. So continue to observe the stool for another 2 to 3 days. Overall, does not look like a matter of worry. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26803, + "tgt": "My 9 year old son has wheezing problem. Suggest treatment", + "src": "Patient: Hello doctor, My son is 9 year old and developed the problem of\u00a0wheezing\u00a0when he was 3 years old. My father is\u00a0asthmatic\u00a0and I had wheezing when I was a kid (2-3 years of age). We were residing in an area where the industrial pollution is very high and he used to get wheezing more frequently there. In the less polluted parts, incidences of wheezing was much lesser. We shifted to another city 3 years back and the city is highly polluted. The weather here also\u00a0is\u00a0very erratic like dull, cloudy, occasional rains and sunny in between. My son had several incidences of wheezing initially though it was never serious to get him admitted. We have a\u00a0nebulizer\u00a0at home. We used to give him asthalin before, but now it is either\u00a0Levolin\u00a0or\u00a0Budecort\u00a0or a mixture of both for nebulization when wheezing is bad. My son was given\u00a0Omnacortil forte\u00a0syrup and tablet (10 mg - two tablets per day) for the first time last month. The duration of medication was for 5 days. This year the weather here has been very bad and hence incidences of wheezing have been higher. As per the advice of the doctor, we give him\u00a0Budecort 50 mg inhaler\u00a0twice a day as a preventive measure (for 2-3 months in winter but this time in monsoon too) and\u00a0Levolin inhaler\u00a0two puffs each 3-4 times a day as and when needed. We have been doing this for more than a year now. This time during the period of wheezing, he complained of\u00a0chest pain\u00a0for the first time. We noticed that when we gave him inhaler, the pain reduced. The doctor told that it is related to wheezing and there is nothing to worry. Still we got the\u00a0chest x-ray\u00a0done and he is fine. But he regularly used to complain of the chest pain, especially when he stood for long in assemblies. Sometimes we felt that he was making it up to draw attention/to escape studies. Now the weather is warmer and he is fine and there is no trace of chest pain. My younger son who is six years also has had wheezing instances but only 3 times during the past 3-4 years. We also give him Budecort 50 mg inhaler now twice a day. Please suggest a\u00a0routine management for wheezing. Secondly, should we try to find out any other possible\u00a0heart problem\u00a0for chest pain? Thirdly, is it fine to give Budecort continuously/intermittently for 4-5 months in a year at a dosage of 100mg per day? Doctor: Hi. First of all, I am replying to your main 3 questions as follows:1. Routine management of wheezing: 2. Should we try to find out possible heart problem for chest pain? 3. Is it fine to give Budecort continuously/intermittently for 4-5 months a year at 100mg per day? I want to clarify a few points here: Hope above information and suggestions will solve your queries.\u00a0I would like to add further suggestions for both of your children: Hope above suggestions will be helpful to both of your children. For further queries consult a pulmonologist online\u00a0-->\u00a0https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12365, + "tgt": "I have burning and itching sensation with vaginal soreness. Kindly advise", + "src": "Patient: Hello doctor,I had a yeast infection weeks ago and I am starting to get the symptoms all over again but now I have a blister and soreness along the labia minora. I have a burning itching sensation and my vagina is sore. It burns a little when I pee and it hurts to wipe. My vagina looks red like it is irritated. I am afraid that it could be herpes. Doctor: Hello, Welcome back to icliniq.com. Herpes may present like small vesicles with clear fluid. If they rupture and have a red base. Also, the other possibilities like chlamydia or trichomonas infection, etc. Get these done: Vaginal secretions culture and microscopy. Use Candid B PV gel local application. Please consult your doctor he will examine and treat you accordingly. Take care." + }, + { + "id": 1028, + "tgt": "How to manage unilateral paralysis of the diaphragm?", + "src": "Patient: Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help. Doctor: Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist online.---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10996, + "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": 22913, + "tgt": "Is there treatment for hepatocellular carcinoma? Also, advise on survival chance", + "src": "Patient: Hello doctor, My father\u2019s CT scan report says there is a solitary hepatic lesion consistent with neoplasm. The possibilities reported in the CT scan are: HCC - hepatocellular carcinoma. Metastases The CT scan was advised when his blood test result showed high alkaline phosphatase with a count of 700 and alpha-fetoprotein count was 1600+, an ultrasound scan showed that there was a tumor in his liver. After seeing the CT scan report, the doctor confirmed it and said it is about 15 cm big and there is no cure at this stage. I can share the detailed CT scan report. Can you please advise me if there is a treatment at this stage and what are the chances? And I would like to know the chances of survival, any ways to reduce the pain when he starts to show the symptoms. Any help will be really appreciated. Thank you. Doctor: Hello. All the investigation are more in favor of locally advanced hepatocellular carcinoma. In such advanced cases, usually, the patient is planned for palliative treatment in the form of oral medication Sorafenib, which is used under the observation of an oncologist. Also, another additional option to oral medication is transarterial chemoembolization which is done by an interventional radiologist. I am sorry to say that even if all the management is done, the survival is still poor. For further queries consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 2884, + "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": 3638, + "tgt": "What causes headache after dialysis?", + "src": "Patient: Hello doctor, My dad has been on dialysis for 2 years and has only recently been getting pounding headaches 1 hour into dialysis. He says they are pretty painful and it only occurs in his forehead and just to the right of the forehead. It does not make him sensitive to light, sound or any vision changes. He was in the hospital a month ago for a left leg amputation and while in the rehab unit, he had a seizure that we witnessed and it took him 2 days to wake up from it. The MRI showed Posterior Reversible Encepholopothy, caused by very high blood pressure. Luckily, he is almost 100% neurologically and memory regained. I bring that up because only after the seizure and PERS MRI result is when the headaches started on dialysis. He never had headaches before on dialysis prior to the seizure/headache. The doctors did not put him on any new medications after this and tylenol helps the headache greatly but it still bothers him, and I do not like him taking tylenol almost every day. He is on Metoprolol 50MG Extended Release 1x per day usually in the morning and his blood pressure is fairly controlled (usually in the 130's/70's) however sometimes it gets high during dialysis . I have an appointment with a neurologist in January, as that was the first available. Any answers? Doctor: Hi. Having headache one hour into dialysis suggest either it could be related to transient increase in blood pressure or changes in electrolytes during this interval. Is his BP monitored during dialysis and where do they stand. One way to get around is by slowing the dialysis speed which will help in slower change in electrolytes and body fluid thus preventing fluctuation in BP. See if has BP fluctuation during dialysis and his nephrologist should be able to help you. Metaprolol is also a migraine prophylactic medicine, thus it should help with headaches. There are other medications also but will discuss once we are sure its not related to BP. Taking Tynelol daily is not good. It can cause rebound headache the day you dont take it. Limit its use to 2/day or max 2-3/week and/or max 8-10/month. How is his MRI brain now. He had PRES but has it completely resolved, not just clinically but also radiologically. Is he on any anti-seizure medication post seizure. How was his EEG. Is it normalized?" + }, + { + "id": 17596, + "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": 15614, + "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": 3020, + "tgt": "My aldosterone to renin ratio is 33. 3. How likely is this to be primary hyperaldosteronism?", + "src": "Patient: Hello doctor, I have fluid retention and high blood pressure which caused me multiple strokes and TIAs. My plasma renin activity is 0.12 and my aldosterone-to-renin ratio is 33.3, which qualifies clinically as primary hyperaldosteronism. My aldosterone LC/MS is 4. My potassium level 4.0. CT scan of my abdomen did not show my adrenal glands. How likely is it that I have primary hyperaldosteronism? I am currently taking Crestor 20 mg, Amlodipine 10 mg, and Aspirin 325 mg. Doctor: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you do have primary hyperaldosteronism and it is a very high likelihood for it to be a possibility based on your results. You can try MRI (magnetic resonance imaging) scan for proper visualization of your abdomen. I hope this helps." + }, + { + "id": 23992, + "tgt": "Is it a good idea to have filling material applied to receding gumline?", + "src": "Patient: Hello doctor, Is having a filling material applied to the gumline where it is receding a good solution? What are the risks with such a procedure? I have receding gums on three upper teeth and three lower teeth on the left. I have no pain or problems. I have all my teeth and they are generally healthy. Doctor: Hi. I have read through your medical history and the present complaint as well. First of all, I would like you to know that receding gums is such a normal thing to happen especially at your age. You have also mentioned that there is no pain or decay in those teeth you point out. Ideally, filling procedures do not work for gum recession problems but only for decay or abrasions close to the gum lines. The reason why fillings are not recommended is that you lose normal shiny tooth surface and the bulk while the cavities are prepared and there are many chances that the filling material might show microleakage hence paving way for tooth decay. There are as such no particular risks for this kind of procedures with your medical history kept in mind. But I also would like to take a look at those teeth which are of concern in order to help you with a better treatment plan. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 22428, + "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": 24163, + "tgt": "What is the irreversible side effect of Prucalopride and Metoclopramide?", + "src": "Patient: Hello doctor, I have been prescribed a medication for a gastrointestinal problem (chronic constipation - perhaps as a result of a restricted fiber diet due to slow stomach activity which was possibly caused by some damage to the vagus nerve due to a food poisoning incident but we are not sure). However, I have some questions about the anti-constipation drug that I would like answered from a neurological point of view. The drug is called Prucalopride and is described to be a selective, high affinity, serotonin 5-HT 4 receptor antagonist with enterokinetic activities and alters colonic motility patterns via serotonin 5 HT-4 receptor stimulation. One of the common side effects can be a headache (among a few other things but that is the one I am particularly worried about) in the initial stages of taking the drug, but I just wanted to check that if I did experience such a side effect and it continued while taking the medication past the initial stages, that would it cease if I stopped the medication. I just worry about irreversible side effects with prokinetic drugs and drugs which work as serotonin receptor antagonists in the gut as I discovered that another prokinetic drug I was prescribed to speed up stomach emptying (Metoclopramide), which I did not end up taking as it had some irreversible side effects such as a condition called tardive dyskinesia and other serious side effects. What I was most worried about is that there appears to be some similarity in the mechanism of how Metoclopramide and Prucalopride work. The pharmacodynamics of Prucalopride is a serotonin 5-HT4 receptor antagonist and Metoclopramide states that Metoclopramide appears to bind to dopamine D2 receptors and is also a mixed 5-HT3 receptor antagonist/5-HT4 receptor antagonist . I referred to an extract in Wikipedia in the pharmacology section on the page about how Metoclopramide works. I noted how Prucalopride is also said to be a 5-HT4 receptor antagonist. I assume that however, they do not carry the same risk of tardive dyskinesia as I have not seen it documented so far for Prucalopride even though there seem to be some similarities in their mechanism of action. So in short, this is what I wanted to check before taking Prucalopride that it did not cause these similar irreversible conditions and side effects as Metoclopramide and that if Prucalopride did cause me to get headaches, would this stop if I stopped taking Prucalopride. I have one more question. Sometimes, off and on, over the last couple of years, I experienced a kind of noise in perhaps my ears but in the head area anyway, particularly after vomiting a lot due to the slow stomach emptying. I assume this was from some nutritional deficiency, perhaps an electrolyte imbalance, it seems chloride deficiency caused this. I am unsure if I have a chloride deficiency, but I do have low ferritin levels which can cause noises apparently. It seems to have gotten a lot better and sometimes is not there at all. The vomiting has largely stopped so I assume that is why, although it sometimes reappears if I am very stressed. My next question, therefore, is that I just wanted also to check if it was alright to take Prucalopride having had or sometimes still have this situation. Also, because it does state that one must not take Prucalopride with a neurological disorder. I do not know which one is correct. Doctor: Hello. You should know that Prucalopride has a different mechanism of action compared to Metoclopramide. So, it does not cause the same adverse effects. Its effects are on 5-HT4 receptors, which are mainly in the gut. These receptors are rare in the central nervous system. There are no contraindications to Prucalopride in patients with any neurological disorders. If you experience headache, it may be a temporary effect and the drug should not be stopped, as the situation is going to improve in the next coming weeks. Only if diarrhea or abdominal cramps occur, the drug should be stopped. This drug does not cause any irreversible neurological disorders. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3519, + "tgt": "What drug can be administered through spinal catheter to control post-operative pain in spinal surgery?", + "src": "Patient: Hello doctor, I am undergoing major spinal deformity surgery next month, anterior and posterior. I am 50 years old and this is my fourth scoliosis surgery. In recent years, I have developed a sensitivity to Morphine and I cannot take Dilaudid (Hydromorphone) because it gives me terrible headaches. What other options are available to put into my spinal catheter for post-operative pain control in the hospital? I know that Fentanyl is short-acting and they do not use Demerol any more in my place. What can be done for me? Also, I am currently on 50 mg Oxycodone per day and Zohydro 80 mg for pain so my tolerance for opiates has gone way up. Doctor: Hi. From your brief history, I can sense that you have already become tolerant to opioids. Once tolerance develops to one group of opioids, simultaneously other opioids also develop the same way. I would suggest the addition of Clonidine, Dexmedetomidine through your spinal catheter since opioid-tolerant patients do have good postoperative pain relief with this drug. Multimodal analgesia with intravenous Ketorolac, Buprenorphine through the spinal route can be another option. But I do not know whether your anesthesiologist is comfortable with these drugs. Kindly have a discussion with your physician." + }, + { + "id": 19753, + "tgt": "From the MRI, kindly explain the severity of my low back pain", + "src": "Patient: Hi doctor, I have low back pain, spasms, leg weakness, and neuropathy. I had an exacerbation five years before, and the current one is severe. I had MRI and blood tests. The reports are enclosed here. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11415, + "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": 10122, + "tgt": "My intraocular pressure is getting high in the last six years. Why?", + "src": "Patient: Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help. Doctor: Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion." + }, + { + "id": 24665, + "tgt": "What can be done to manage dry and itchy skin?", + "src": "Patient: Hello doctor, I am having itching and dry skin all over my body. Specifically on legs and hands for the last two weeks. Now, I observe red patches on the thigh, and they burn and itch a lot. Moisturizer soothes for very less time. I took Cz-3 for three days and using Atogla lotion. Doctor: Hello. I have noted your concern, and I have viewed the images (attachment removed to protect patient identity). You seem to have eczematous dermatitis. Underlying dry skin or xerosis and dry, cold weather could be the most likely reason for eczematous dermatitis. I suggest you to apply a moisturizer frequently to the whole body. In addition to this, you may apply a potent topical steroid, for example, Clobetasol propionate 0.05 % cream (Tenovate cream) or Halobetasol propionate 0.05 % (Halovate ointment) twice daily for the patches. You may also take an oral antihistamine, for example, Cetirizine 10 mg tablet once every evening for symptomatic relief from itching. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1, + "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": 14975, + "tgt": "Is it possible to have increased pain after taking homeopathic medicine for anal fissure?", + "src": "Patient: Hello doctor, I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else? Doctor: Hello Can you please mention the name of the homeopathic remedy taken? The increased pain after an immense relief can be due to two reasons. The first, the given remedy acted superficially hence you noticed immediate relief. However, since the action of remedy is not completed it stopped working at a certain point where you started getting pain again. The second reason is the aggravation of homeopathic remedy which occurs if the remedy is taken too often in large doses. It is important to know how many doses and in which potency the remedy was taken. If this is an aggravation of remedy, stop the remedy, the pain will subside slowly over the time. If the pain does not subside completely, you can take Nux Vomica 200C one dose (four pills or two drops in a spoon of water) once a day for three days. This remedy will help to reduce the aggravation. Also, it is important to know if the fissure has started to heal in the last 20 days or has it got worse. This can be determined by the physician who will perform the physical examination. Hence, I would advise you to consult a physician and get it checked." + }, + { + "id": 12954, + "tgt": "I have a hard lump on bikini line. Is it something serious?", + "src": "Patient: Hello doctor, I had a small lump on bikini line for six months and did not think too much of it. It is now grown to about an inch or so. It is slightly oval in shape, feels hard, rubbery, and is fixed in one spot. I am unsure if it is a deep, infected ingrown hair, or a swollen lymph node. It is located directly between my thigh and vulva. I was also diagnosed with gutate psoriasis last year and have had a mild rash or skin discoloration on my back ever since (during the original outbreak the spots were all over my torso and some in the pubic region). I read that psoriasis can be linked to lymphoma, so that is what worries me most. Doctor: Hi. I have gone through your case. Yes, in very rare cases psoriasis and lymphoma can be correlated but it occurs very rarely. In lymphoma, lymph node becomes enlarged and that do occur in your whole body. In those cases, lesions are not inflamed, not red as is your lesion right now (attachment removed to protect patient identity). In my opinion, it looks to be due to local infection like hair follicle infection. Take capsule Amoxil 500 mg three times a day. Tablet Brufen 400 mg two times a day. Apply Fusidic acid cream three times a day. Hopefully, it will settle in a week. All this medicine is for a week. Just relax clinically, it is not a sign of lymphoma. Take opinion after a week of treatment." + }, + { + "id": 13128, + "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": 30904, + "tgt": "Please explain my mother's MRI findings", + "src": "Patient: Hi doctor, My mother has been suffering from acute back pain and leg pain for the past one year. She is unable to stand or walk for a long time. She is 73 years old. Also, she has type 2 diabetes and high BP. Her MRI revealed a\u00a0diffuse bulge of L4-L5 disc with ligamentum flavum hypertrophy causing severe canal stenosis with compression over transversing and existing nerve roots. What is the meaning of above? What treatment is necessary for her now? Doctor: Hello. The following is a radiological report (MRI) of her intervertebral disc status. Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30338, + "tgt": "Why was I advised to take Simvastatin?", + "src": "Patient: Hi doctor, I am a 55 year old female. My HDL is 70, LDL 207, cholesterol 288, AST 35, MPV 4.5 and monocyte auto 1.4. All my other readings in my health check are normal. My doctor has prescribed 10 mg of Simvastatin. I do not know whether I should take it or not after I read the side effects. I am on no other regular medicines. I exercise regularly. My height is 5'5\" and weight is 140 pounds. I need your help. Doctor: Hi. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30663, + "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": 3698, + "tgt": "I took Mensovit plus after unprotected intercourse. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, I am a married woman with two kids and a regular cycle. My first day of last period was on the 7th of last month. On 26th I had intercourse and took Mensovit plus on 30th and 1st and yet to get periods. Please advise. I have not done any family planning post my second delivery, but we are having our intercourse safely. This time I am a little worried as I have no plan for a kid now. Doctor: Hello. This seems you have sex on the 19th day of your cycle. This could turn you pregnant and as such why don't you opt for a pregnancy testing now? Mensovit plus is a hormonal nonspecific medicine but not protective of pregnancy. So, do a test first and let me know the result." + }, + { + "id": 29117, + "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": 13672, + "tgt": "What is the recommended diet post angioplasty?", + "src": "Patient: Hi doctor, My father had an angioplasty before two months. He is fine now. But, he is getting restless in eating by avoiding most of the food. Please instruct me the food items which my father can eat. Doctor: Hi. Thank you for the query. Your father can eat all fruits, dry fruits, vegetables, low-fat dairy products including milk without cream, one whole egg or two egg whites per day, fish, chicken, salad, pulses, lentils, and legumes. Limit red meat and salt to minimum. Spices can be taken to add flavor to food if low salt diet tastes unpalatable. Avoid processed foods, canned foods, sweets, and soft drinks even if not diabetic. Eat fish at least twice per week. If he has diabetes, then keep fasting sugar below 130, and random sugar below 200. Avoid sedentary behavior, do regular aerobic exercise, take all medicines, and follow-up your cardiologist regularly to adjust the dosage of drugs." + }, + { + "id": 20198, + "tgt": "Can you suggest if Unwanted 72 can be taken in my case or not?", + "src": "Patient: Hi doctor, I am 28 years, married for two years now. My LMC was 17th to 22nd. My husband and I had unprotected sex on 10th. We do not wish to plan our family as of now. Can you please suggest if or not to take Unwanted 72 pill. I have heard it tends to delay periods. Please help. Doctor: Hello. You can use it only in an emergency and for occasional use. Take it within 72 hours of last intercourse. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6638, + "tgt": "I do not experience orgasm inspite of good sexual drive after stopping Cipralex. Why?", + "src": "Patient: Hello doctor, I was taking Cipralex 20 mg before 15 months and was fine, and my sex drive is good even with Cipralex. I went to the doctor before five months, and she said to stop the medicine, so I was lowering the dose to 5 mg. While doing intercourse or masturbating, I am so excited, and my sex drive and erection is good. But when I ejaculate, I feel no pleasure, and I do not have a good feel. It seems like my brain not connected to pleasure nerve or something. I went to the urologist and he checked and says everything was fine. He gave me Gentaplex. I tried it for one month and had more power in sex, but there is no pleasure when I ejaculate. I went to the psychiatrist again, and she told me that she does not know what to do in this condition. So I do not know what to do. It is 4-5 months since I stopped taking Cipralex, and I still have this problem, and I am so much worried about it. Please tell me what to do. Is there any other medicine should I take? Doctor: Hello. You are probably experiencing orgasmic anhedonia, which means you are not able to experience pleasure when you reach orgasm. Your sexual drive will be normal in this condition. It can be due to either physical problem or psychological problem. It is good that you have already consulted a urologist and no physical cause has been found. Have you been on any other medication apart from Cipralex? Have you been using any street drugs? Did you have a blood test to check your testosterone and prolactin levels? If all examination and blood tests are normal, then orgasmic anhedonia is possibly linked to psychological issues. Is there any underlying depression or anxiety? Are there any unresolved psychological conflicts? You will benefit from consulting a sex therapist for a comprehensive assessment following which therapy or sex therapy can be considered. Also lifestyle interventions like eating healthily and regular exercise will be helpful. Try not to think excessively and worry about this condition. It will get better gradually with support." + }, + { + "id": 24681, + "tgt": "Can I use Evion 400 for dry skin and hair?", + "src": "Patient: Hello doctor, My skin and hair have become very dry. Someone suggested taking Evion 400 capsules orally daily. Can you please suggest if I can take these capsules? Will they help in getting rid of dryness? Are there any side effects? Doctor: Hi. Evion capsules will not help much with the dryness. For the skin, I suggest the following: For the hair, I suggest you try doing the following: Hope all this helps. Do get your TSH (thyroid-stimulating hormone) and fasting sugar levels done. As diabetes and thyroid dysfunction can be a cause for dryness. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18602, + "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": 25973, + "tgt": "My fingers are numb and my feet have a burning sensation. What could it be?", + "src": "Patient: Hello doctor, I am a 19-year-old male. A week ago my thumb became numb below the fingernail. It was numb for two days and this went away. Now my left middle finger and the ring finger are numb and my right thumb feels sore. I also have a burning sensation in the feet, sometimes it feels like there is water or ice on my feet. My right knee feels stiff and then I switch to my left knee. My doctor looked confused and said it was all anxiety. Really, I do not think so. Could this be an early sign of diabetes? Doctor: Hello. I have read through your question and I would like to tell you that peripheral neuropathy can happen in a patient with diabetes which does present in the form of burning sensation in the feet and neuropathic pain. At your age, type 1 diabetes that is insulin-dependent diabetes mellitus is more common. It can be diagnosed by a blood sugar profile. I would advise you to get an ESR (erythrocyte sedimentation rate), RF (rheumatoid factor), and CRP (C-reactive protein) done to diagnose the cause of the stiffness. If these tests come clear then most likely it a neuropathic pain caused due to a nerve compression for which we may need to get an MRI (magnetic resonance imaging). In the meanwhile, I suggest you can start taking tablet Neurobion Forte (multivitamin supplement) and let me know if you feel any improvement. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Thank you. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 154, + "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": 21180, + "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": 355, + "tgt": "Is it normal to get sharp shooting chest pain with increased heart rate in a patient with AR?", + "src": "Patient: Hi doctor, My history: I am a patient of aortic regurgitation (moderate-severe) with a bicuspid valve. SB III (as per my last checkup). My question is, many times I feel a sudden sharp shooting pain in the middle and slight left of the chest which shortens the breath and gets normal within a few seconds (drinking water helps in to be able to breathe at this time). Also, I wear a MI fit to track the heart rate while walking. Even when not walking too fast, my heart rate touches 165 bpm. Is this normal? I am suggested to take Amtas 2.5 but I have not too it so far. Please help. Doctor: Hello. Firstly it is a moderate to severe AR (aortic regurgitation) with normal heart function and normal LV dimension. So there is no significant damage to the heart. And also since you do not have symptoms of aortic regurgitation like palpitations or shortness of breath with exertion, serial monitoring with echo would be enough. Now regarding chest pain, it is unlikely to be cardiac. It is likely related to acid reflux which is diluted by drinking water. So you may have some antacid medications like Rabeprazole, Domperidone or Pantoprazole and Domperidone combination before breakfast for few days. You should also avoid spicy, oily, and hot foods as much as possible. Have light meals and walk for sometime after meals rather than resting immediately. Avoid too much tea or avoid caffeinated drinks. Now regarding heart rate, it is unusual for heart rate to go up this much with simple walking, however, with running it is expected. Also, one would certainly feel palpitations at this high heart rate. And arrhythmic tachycardia would have other associated symptoms like dizziness, shortness of breath, chest pain, etc. So it is probably an artefact, which is read as heartbeat by watch. It is better if you can wear a watch which also shows ECG tracings to confirm it or have 24-hour Holter monitoring to confirm it. Amtas is for blood pressure, not to control heartbeat so if your blood pressure is elevated then you may have it. So in a nutshell, it is probably artefactual rather true tachycardia, as it is unlikely for the heart rate to go above 150 with just walking. However, if one is too breathless during walking or has severe low hemoglobin or hyperthyroidism with baseline elevated heart rate of more than 100 bpm then it may or otherwise not. I hope this helps." + }, + { + "id": 3507, + "tgt": "Can bladder prolapse surgery be done under local anesthesia?", + "src": "Patient: Hello doctor, I have a stage 1 to 2 bladder prolapse. I would like to get the surgery but I am suffering from anxiety and panic attacks. I am terrified about getting the surgery. In my mind, it got fixed that if I go there I will die from that surgery. It is said that it will be done through the vagina and she will fix it to the solid part of the pelvis. No mesh will be used and it will be by spinal and not general anesthesia. I am someone who does not tolerate the medication. I always have bad reactions even if it is Demerol, Morphine or Codeine. It does to me the opposite effet that it is supposed to do. Could you tell me more about the surgery? What are the risks? Will I die from getting the surgery? I do not even have a date for it and I think about it all the time. I am terrified. I do not want to die. Can it be done by local anesthetics only? Doctor: Hi. I have gone through your question and understand the concerns. Vaginal surgery for the bladder repair is safe and there are no major risks associated with it. Complications like bladder injury can occur, which is not at all life-threatening and can be surgically managed. Spinal anesthesia is safer than general anesthesia, and all the vaginal surgeries are done in it. It cannot be done in local anesthesia. You should consult a psychiatrist and get properly treated for panic attacks and anxiety, before going for surgery. Bladder prolapse cannot be treated medically, and surgery is the only option. I hope this helps." + }, + { + "id": 5651, + "tgt": "I have AF with serious left atrium dilation. What is the level of risk for life?", + "src": "Patient: Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120 and bradycardia with up to two seven second pauses per night, but it was stable before one year. My ejection fraction is normal (60%). I have booked to have an ablation. Could you please describe what is the level of risk to life of such serious dilations, and what can be done to get them back to normal? Doctor: Hello. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism producing a stroke. We normally perform transesophageal echocardiogram to rule out the presence of thrombus before considering for DCC (direct current cardioversion). So if the size is more than 4.5 cms and some consider more than 5.5 cms there is a need for anticoagulation (blood thinners) to prevent thte stroke. Some may consider left atrial appendage closure device or surgical removal so that the chance of stroke decreases. So you need to discuss these issues with your consultant cardiologist who is planning ablation. I hope this helps." + }, + { + "id": 2156, + "tgt": "Can someone with psychiatric problem enjoy married life?", + "src": "Patient: Hi doctor, I am concerned about one of my relatives. She may have some psychiatric problems. First she faced a problem in her life before 10 years. She believes in different sociology and culture. She has a fantasy of smoking, drinking and living together. She does not believe in marriage. She becomes angry if someone tries to correct her. After that she had taken care by several doctors. But, the problems never uprooted. For one and a half year she is running through the treatment. She made the first visit only. After that her parents are visiting with those doctors. As a witness, I noticed some irrelevant behavior 10 days ago, which makes us very annoying. I have a chronological prescription. My only question is, at this moment is she able to enjoy her marriage life? If she gets married, will she able to get pregnant? Please describe the family life difficulties, including sex life. I will be very thankful to you. Doctor: Hi. I will summarize the clinically relevant aspects of her case. The illness started early around the age of 17 years. It has not cleared completely until yet and she has not returned to her previous personality. The symptoms are suggestive of paranoid schizophrenia or bipolar disorder, though more information and detailed history will be required to confirm it. These factors suggest a poor prognosis and incomplete recovery from the illness. Her future will be decided by how much her symptoms improve. If she visits the psychiatrist regularly and takes electroconvulsive therapy if the doctor suggests, then her situation is likely to improve. But at the current situation, she does not appear to be mentally fit for marriage or children. Marriage is stressful in itself and she might not be able to handle the stress. Though there is no direct effect of the disease on her ability to get pregnant, a mentally healthy mother is required to take care of herself during pregnancy and the baby after childbirth. She currently does not appear to be capable of handling the stress of pregnancy and childbirth. Besides, pregnancy and delivery are stressful and might worsen her psychological condition. Also, the medicines that she takes might affect her ability to get pregnant and maintain a healthy pregnancy. I would like to recommend a course of electroconvulsive therapy. It works better than most medicines in such cases. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24483, + "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": 24423, + "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": 8699, + "tgt": "What is the cause and the treatment for vomiting and loose motion in an 3. 4 year old kid?", + "src": "Patient: Hello doctor, My 3.4 years old baby had vomiting two times yesterday, and we gave him Ondem now he seems to be fine from vomiting. But he has now little loose motion. He did a toilet in bed two times while sleeping at night. And today while urinating, he had loose motion at the same time. But his stool is still a bit solid with some quantity of loose stool. Please advice me about medicine. Doctor: Hello. Please take my advice very seriously and if you bottlefeed your child anything like milk, juice or water you must stop bottle feeding and instead, feed on a cup with a spoon or without a spoon. Even if you argue about boiling or sterilizing the bottle, the feeding in the bottle causes many diseases like this. Stop it and give Vizylac syrup 5 ml (Lactic acid bacillus) twice a day a for normalizing the intestinal bacterial flora. Now every time he passes a motion, you give ORS (oral rehydration solution) or rice water in a glass. You should aim to avoid dehydration, and he will be alright in three to four days." + }, + { + "id": 19916, + "tgt": "Should I avoid sun exposure to prevent scar pigmentation?", + "src": "Patient: Hi doctor, About three months ago, a bathroom wall mirror fell on me and sliced my left cheek open. It resulted in a pretty deep cut on cheek about 6 cm of my cheek. I got stitches in an hour and it has been healing well I think. I have also been massaging the scar every day for 10 minutes with Cicaplast for over a month. I was told to completely avoid the sun on my scar. I wear SPF 70 sunscreen every time I leave my home and I simply do not let it get exposed. I use whatever is on my hands to cover it. The only thing is that it is getting very complicated. I am in college and cannot do anything because I am too afraid to be in the sun. My question is, do I still have to cover my scar or is sunscreen enough?\u00a0I really miss being able to just walk to college without fabric on my face. Please help. Doctor: Hi. I have read about your query and the history. For further information consult a dermatologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30911, + "tgt": "How to treat the whitish mark on the inner cheek?", + "src": "Patient: Hi doctor, I have a whitish mark on the inner cheek. I am also experiencing pain in the wisdom tooth. I used to eat betel nuts, but now I have stopped it. How to get this treated? Doctor: Hi. I can understand your concern regarding to dental health. X-ray of painful wisdom tooth. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21317, + "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": 3394, + "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": 23841, + "tgt": "Why am I having difficulty to cope after separation from my girlfriend?", + "src": "Patient: Hello doctor, I am a 28 year old man. My girlfriend left me last month and I am going through severe heart pains and anxiety. My heart pounds and beats very loudly. I cannot concentrate on anything. I am having this constant urge to call her and I am not able to control myself. Due to my constant calling, she threatened me to change her number. But, still I feel like I should call her. I feel as if my hands and legs pulling me to pick the telephone and call her. I am becoming like mad. She said I have turned psycho and she cannot trust my mental condition. I forced her to be with me and she said she hates me and threatened me. I was not like this before, rejection turned me into a psycho. We used to talk daily on phone and I was really addicted to her. Now, she informed me that she is getting married. I am going through disbelief and lot of pain. I feel as if I am useless.\u00a0I feel anger. I feel guilt. I feel why did this happen with my life? I cannot sleep properly. I am currently at home after my MBA and will be joining my job in some days, but I do not feel motivated. Please help. Doctor: Hi. All the very best. Have a bright future.\u00a0Try to follow my suggestions and take medication for 14 days. It will definitely help you. Review after two weeks to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9543, + "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": 13623, + "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": 20448, + "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": 26567, + "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": 7599, + "tgt": "Some words are coming in my mind and not allowing me to concentrate on work. How to get rid of it?", + "src": "Patient: Hello doctor,I feel like somebody else is there within me. I am feeling like this because some words are coming in mind like somebody is saying within me. These words are horrible and hurt me a lot. And things are being done which I do not want to do in mind without my control. Time after time, problems are increasing.During the starting stage, I heard vulgar words. But after some days other problem which is more horrible. Due to this, I cannot concentrate on my studies. Please tell me what the problem is? Give me a clear idea of the issue. And how to diagnose it? Please help. Doctor: Hello. You might be having hallucinations (auditory) which happen due to imbalance in your brain neurotransmitters. It is a good thing that you can understand at an early stage that this is not normal, first treatment gives better results. I would suggest meeting a psychiatrist as soon as possible who will start you on some medicine. Please do not worry, and it is manageable with medicines. Do you have any family history of psychiatric disorders? I would suggest mentioning it to the doctor as well. I hope this helps. Let me know if you need anything else." + }, + { + "id": 5178, + "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": 14657, + "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": 13376, + "tgt": "What are the ways to manage cold and fever?", + "src": "Patient: Hello doctor, I am suffering from cold and fever and something that I do not know of. Doctor: Hi. The disease in which there is continuous flows of secretion from nose is rhinitis. It may be due to inflammation, infection or allergies. The symptoms may be sneezing, malaise, nose congestion, itching, fever, heaviness, etc. Infections, inflammation, allergies. CBC. It can be managed after taking some ayurvedic medicines like Shitopaladi Churna, Laxmivilas Rasa, Shring Bhasma, etc. Avoid spicy and fried junk foods. Protect yourself from cold weather and cold drinks as well as allergens." + }, + { + "id": 26196, + "tgt": "My USG says there are only two vessels in the umbilical cord. Is it worrisome?", + "src": "Patient: Hello doctor, I am a 33-year-old lady and five months pregnant. In my ultrasound report, it says the baby has two vessels in the umbilical cord. Rest of the reports are normal. The doctor suggested me that everything is fine. But, I am worried regarding the complications due to two vessels. Should I go with further examinations or follow the doctor? What may the complications be? If it is there, then does it affect up to birth or after birth? Doctor: Hello. How are you doing? Hope I have clarified your query. 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": 6062, + "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": 18401, + "tgt": "10 year old is suffering from diarrhea. What medicine can I give?", + "src": "Patient: Hi doctor, My daughter is 10 years old. She has been having diarrhea since today morning. What medicine or drops can I administer? Doctor: Hi Welcome to icliniq.com. A 10-year-old child's average weight is 30 kg. Hence, I suggest the following medicine. Consult your doctor, discuss with him/her and take medication with concern. Give him half tablet Norflox TZ (Norfloxacin, Tinidazole and Lactobacillus) and twice a day for three days, Syp Zn 20 (5 ml /20 mg - zinc) 5 ml once a day for 14 days, Sporlac sachet one sachet bd for five days and ORS 200 ml per loose stool (oral rehydration solution). In diet give coconut water, curd, and banana." + }, + { + "id": 23222, + "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": 20799, + "tgt": "Do my symptoms indicate vasculitis?", + "src": "Patient: Hello doctor, I am a 51-year-old woman with an eight-month history of: persistent fever. shortness of breath on exertion. suffocation feeling. barking cough, sometimes productive cough with yellow sputum raised resting heart rate. tachycardia and palpitations with mild exertion. I am status post sudden onset of joint pain/headaches, adipose-derived stem cells, and rapid atrial fibrillation. I have done p-ANCA test with a background of positive Lyme testing with positive babesia and equivocal mycoplasma pneumonia. I am worried about having vasculitis. I would like to know how is vasculitis diagnosed and if I fit the symptom picture? I am currently on doxycycline 100 mg a day. Doctor: Hello. The manifestations of vasculitis in general are: Investigations will reveal high ESR (erythrocyte sedimentation rate), positive CRP (C-reactive protein), high platelet count, protein in urine along with RBCs (red blood cells). The other manifestations depend on the type of vasculitis. However, you do not seem to have manifestations of vasculitis. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 6820, + "tgt": "I have a fleshy growth on labia majora. What could it be?", + "src": "Patient: Hello doctor, I saw a fleshy growth on my labia majora. I am worried about it. Can you explain to me what is this fleshy growth? Doctor: Hello. This appears to be a very small papule or bartholian cyst. It is hard to tell without a direct examination but both of these conditions are not dangerous. Please keep an eye on it, it is supposed to dissolve by itself in the next few weeks. You can use warm compressions if you have pain. No other therapy is required if the size is not increasing or it is not changing color or shape, in this situation you may have to see your Gynecologist. Make sure to get your papsmear." + }, + { + "id": 23782, + "tgt": "I have a white circle at the site of spider bite. Please help", + "src": "Patient: Hello doctor, I got bitten by what I am thinking a spider a week back. I figured since it seemed to have a little white and liquid coming out. So, I squeezed it. It has been four days and the bite is painful. Now I have a white circle where it once was just red and oozing. I have tried Cortisone but I do not see it getting better. Doctor: Hi. It got infected now with necrotic material inside. Cortisone is not helpful, it may worsen the infection. You need antibiotics, I would say topical antibiotics if necrotic material and redness is not there. But now you need oral antibiotics. Consult your doctor. He may prescribe you Augmentin or Doxycycline or other antibiotics for a couple of days. Redness is there, it is a sign of spread. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20500, + "tgt": "Will typhoid be cured on its own if there are no complications?", + "src": "Patient: Hello doctor, I have typhoid, IgG and IgM are positive even after taking the antibiotic for 14 days. So, even now I have a got fever on and off. Can typhoid be cured on its own if there is no complication? Doctor: Hi. I understand all your concerns. Typhoid fever is a common serious infection that requires specific treatment after diagnosis. The causative organisms are either salmonella typhi or paratyphi. The definitive diagnosis is through isolation of the organism by culture in the first ten days. The drug of choice is Ciprofloxacin for 14 days. Please let me know when the symptoms started and the name of the medications you have taken. Typhoid fever can be chronic if not treated properly. For further advice please do not hesitate to contact me." + }, + { + "id": 16485, + "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": 7052, + "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": 13683, + "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": 16169, + "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": 5455, + "tgt": "Removing the excess filling in a tooth causes gap between tooth and bleeding. Is this normal?", + "src": "Patient: Hi doctor, I have gone to see a different dentist after I retire. My first appointment with the new dentist, they took x-rays, and the dental hygienist started to clean my teeth. She noticed an excess cement that was from my crown procedure a couple of years ago and stated that it had to be removed because it is irritating the gum in between my crown and my other tooth. By the way, when I was young, they could not save the tooth, so when they extracted it, the tooth or molar next to it started shifting in an angle creating a hole in between the two teeth. Food gets stuck in there, but when my dentist replaced the crown two years ago, I started getting relief. Until now when I went to the new dentist and her dental hygienist told me that she would remove the excess cement. That is where it started going bad and annoying. Food was getting stuck in between the teeth again. My question is, do you think my previous dentist did the crown like that in purpose (putting excess cement to somewhat cover the hole ), or is the dental hygienist right about her findings or diagnosis? Mind you, I did not get examined by the new dentist until after the hygienist cleaned and removed the excess cement. It took her awhile to remove it and my gum was terribly bleeding. I was not hurting, but it was definitely unpleasant. Please advise. Doctor: Hello. I understand your concern. I saw the attachment you provided for example and got your point. (attachment provided to protect patient identity). Removing excess cement stuck in between the crown and natural tooth is a correct procedure. This excess cement flow happens during crown fixing. This should be removed during the crown fixing appointment or the review appointment. But sometimes, this cement flows, very deep into the gums which cannot be seen clinically and easy to miss during crown fixing appointment. It can only be seen in the x-ray. This excess cement irritate the gums constantly and pushes the gums still further down thereby increasing the space between the two teeth. Your gums should be inflamed in that region due to constant irritation. That is why you had gum bleeding in that area when the cement is removed. Please have your next appointment with the dentist. A clinical photo or your x-ray is required to determine the next procedure to stop your food lodgement. Depending on the amount of space present, gum height in that region, your dentist may recommend you to use a periodontal proxy brush (if the space is more and cannot be closed) or close the space by a filling to the nearby tooth, or advise a new crown to compensate the space created by the previous cement flow. And please do note that advice has been given with the details provided and present clinical photo. The x-ray of the current clinical scenario is ideally required for a correct diagnosis and treatment planning. I hope this helps." + }, + { + "id": 747, + "tgt": "I am having vaginal burning and white discharge. What to do?", + "src": "Patient: I am observing viginal burning and not regular but white discharge also. I am having cramps after having orgasm, very uncomfirtable feeling in my lower body. What to do? Also please suggest some hime remedies to help more.. Its been more than 6 months earlier i didnt left pain after having intercourse but now i am feeling pain i dnno why which is why i have become scared to do any further . Im feeling like vaginal burning , cramps after orgasm even though its been 2 months i hadnt done any sexual activity. And uncomfortable feeling in my lower body.. Gender- female Age -26 Height- 5.6 Weight -72 kgs Thanks Doctor: Hello, Welcome to Icliniq. Based on your symptoms, it appears you are suffering from genital tract infection. I would like to the if you have any offensive odour of the vaginal discharge, or associated itching. I can prescribe some Medications for the pain relief. But for definitive treatment with antibiotics more details would be needed. Please consult me for a detailed discussion so that definitive treatment can be given. Ideally, you should be visiting a Gynaecologist to have a physical check up and a pap smear. Please revert back to me with further details and for definitive treatment. - Ultrasound Abdomen and Pelvis. - Pap smear. - Tablet Meftal Spas SOS after food for pain relief. - V wash for local cleansing. - Avoid Sexual intercourse till symptoms subside. - Avoid vaginal douching. - Change Undergarments frequently. Follow up for further discussion and definitive treatment." + }, + { + "id": 8576, + "tgt": "What causes stains in upper teeth of a baby?", + "src": "Patient: Hello doctor, My baby girl is 17 months old and started showing some stains on her top teeth. They also look a bit transparent in the part not stained. She is on Formula milk for a few months and was breastfed before that and also was late in eating. I am just worried that those stains might be a sign of a health issue or are they just milk bacteria accumulating. Doctor: Hello. The stains seem to be the onset of early childhood caries which usually starts on the four upper front teeth due to improper brushing (attachment removed to protect patient identity). Try to brush at least two times after feeding. If possible, wipe the front teeth after every feeding using wet cotton to remove all sticky milk from the teeth. As the babies usually drink milk in lying down posture, milk accumulates between upper lips and front four teeth causing milk sticking to them for a long time. It is better if you can go to a dentist and get a fluoride varnish to prevent the breakdown of those teeth in the near future." + }, + { + "id": 4870, + "tgt": "What is the prognosis of hypertrophic Hashimoto's thyroiditis?", + "src": "Patient: Hello doctor, I have Hashimoto's thyroiditis and I felt like a lump in my lower throat. The doctor did a physical examination and noticed two nodules and sent me for an ultrasound. The result came back that the thyroid as a whole was hyperemic and heterotrophic in the background appearance. The left lobe contained two nodules for which he then sent me to an ENT to do an FNB. Right now, usual symptoms of hypothyroidism are present like extreme fatigue, dry hair. But in the last couple of weeks, I have not been able to sleep on my back or side or put my chin down as it feels like the air is restricted. My question is, what does this sound typical of thyroid cancer or a goiter? I am not an over reactor, I just wish I had more information or know the prognosis of cases that were similar to mine. Does this sound at a higher risk of cancer or more like a goiter? and if I am already on thyroid medication, what can they do to treat it? Doctor: Hello, Welcome to icliniq.com. I had gone through all the data posted. From the details posted it appears as autoimmune hypothyroidism (Hashimotos). Kindly tell us the thyroid blood reports to know the control. Do you hear any sound while breathing (stridor) which indicates pressure on trachea? Breathlessness on lying back or on the side is unlikely due to thyroid unless it has retrosternal extension significantly which needs to be decided by clinical examination. Do you get breathlessness while taking the stairs? Since how long do you have Hashimotos? Since how long you have noticed the increase in the size of swelling? Do you have a family history of thyroid cancer? For definitive distinction of benign vs malignant FNAC (fine needle aspiration cytology) is important. If we have any doubt on FNAC we go ahead and do thyroidectomy and send thyroid tissue for histopathology examination which is the most confirmatory test. Ultrasound is not so sensitive to differentiate benign vs malignant. So kindly wait for the FNAC report. Kindly get a complete physical examination in view of symptoms of shortness of breath before attributing those to thyroid problems. Kindly review with further details so that I can help you better." + }, + { + "id": 18394, + "tgt": "Can psychiatric drugs induce constipation?", + "src": "Patient: Hi doctor, My father has motion problem. For the past one month he is taking psychiatric medicines. Motion problem is there for the past 10 days. Actually he goes motion daily but only very little. Rarely twice a year he gets this problem but after taking medicines it will get cures. But this time still it continues. He is taking Ramistar for BP, Gride M forte and Galvus 50 for sugar, Stamlo 5 mg, Ecosprin, Quetiapine and Daxid for anxiety and Softovac SF for three days. Please guide me. Doctor: Hi. Please try the following combo to get rid of constipation: For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22211, + "tgt": "What is the cause for hair loss and hair thinning?", + "src": "Patient: Hi doctor, I am working in an oil plant and suffering from hair thinning and hair loss for the past one month. I am extremely healthy with a clean diet and exercise (non-smoker and no alcohol). Is this due to desalinated water and heat? Is this permanent hair loss? What can I do to prevent further damage? Doctor: Hello. Use coconut oil mixed with castor oil on your hair. Give a gentle massage. Use a filter or soft water to wash hair. Do not wash hair frequently. Use a mild shampoo. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2675, + "tgt": "I am diagnosed with lattice degeneration with visual aura on alcohol consumption. Please help", + "src": "Patient: Hi doctor, I am 35 years old. I have experienced visual auras (migraine aura) for the past three years, maybe once every two to three months (it often occurs after alcohol consumption). I have eye floaters and have experienced seeing streaks of light, a speck of light with closed eyes, and sometimes light sources are burned into my vision for about 10 minutes (I have noticed it is mostly in the right eye). I got examined and diagnosed with lattice degeneration, right. But never really understood what it means, or if any other reason for my visual phenomena are still there. Doctor: Hello. I understand your concerns and would to let you know that lattice degeneration is a symptomatic condition. That is to say that lattice degeneration by itself will not cause any symptoms whatsoever. To put it very simply, lattice degeneration is an area of thinning in the retina (the nerve which helps you see). If left alone there are chances that this weak area would give way and tear lead to a serious condition called retinal detachment. Most doctors leave lattices along but sometimes they will have to be lasered. As far as your other symptoms, please continue with your migraine medication. For the sensation of floaters and streaks of light please keep follow ups with your ophthalmologist at least once every year. I am not very convinced about what you have mentioned about light sources being burned, although this is a very common normal condition we see in normal people, I doubt that it would last as long as 10 minutes. In case you could, please get in touch with me about this issue. Other than that, I feel that you do not have much to worry as lattices are easy to monitor and laser if needed. I hope this helps." + }, + { + "id": 3509, + "tgt": "Kindly advise me how to manage anxiety", + "src": "Patient: Hello doctor, I am not on any medicicnes but yes I have tried before. I am very active, successful and driven. My world is just a dark place and I really do not know why. There is no reason for it to be, but it just is. It has gotten worse over the years and now I cannot deal with the anxiety, I cannot deal with the lows and I contemplate leaving away for good so many times. Doctor: Hi. I am sorry to hear about this, I can understand how hard it is for you right now. Personal beliefs and thoughts are formed through our experiences, social background, parenting and family structure., during our childhood. As you have mentioned, that you have always felt this way, this means there are subconscious thought patterns, called cognitive distortions in technical terms which are faulty and dysfuctional and are clouding your thinking. I would suggest you to start Psychotherapy. There are various techniques through which these fixed beliefs can be brought to conscious understanding and then changed and learn to cope up with. Then work is done to find out where and when in your past experiences you picked up these beliefs and you can remove your emotional blocks away and get past these. Sometimes high functioning depression or anxiety presents like this. Please do not delay, this can be resolved and there is hope. Take care of yourself." + }, + { + "id": 23611, + "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": 27611, + "tgt": "Can I discontinue my thyroid medicines if the level is corrected?", + "src": "Patient: Hello\u00a0doctor,I pass stools five to six times a day, and I feel very weak. I am suffering from thyroid issues. So, I took Thyrox 50 and then the levels got corrected. So, I stopped taking them. Yesterday my thyroids were tested again. I am attaching those reports. Should I restart the medicines and if so, in what dosage? Doctor: Hello. I just read your query and went through the reports (attachment removed to protect patient identity). Hope you find my advice of some benefit. Good luck. For further queries consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 24492, + "tgt": "Why is there hair thinning and loss of density after delivery?", + "src": "Patient: Hello doctor, I am 28 years old woman. I have two kids. After my second delivery, my hair became so thin. I lost my hair density. Before my delivery, my normal hair will be so thick. Thyroid, sugar level, hemoglobin are normal. I am taking Vitamin supplements also. There is no improvement. Why have I lost my hair thickness? Please give some solution. Doctor: Hi. Perhaps you have androgenetic alopecia. Androgenetic alopecia mainly affects the front, mid and vertex part of the scalp. In this type of alopecia, there is hair loss and thinning which manifests as reduced hair density and volume. Minoxidil and oral Finasteride are approved remedies for androgenetic alopecia. I request you to kindly upload a few images of the affected area on the scalp so that I can confirm and guide you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6567, + "tgt": "I consumed alcohol and walked for one hour, my heart rate increased. Why?", + "src": "Patient: Hello doctor, I had wine and beer at a dinner party, after which I decided to go for a walk for about one hour. While walking, my heart rate increased to 133 bpm, then lowered to 116 bpm. I went home and sat down, waiting for my rate to recover under 100 bpm. It was 112 bpm after two to three minutes and dropped to 103 bpm. Then it took 17 minutes to drop down to 93 bpm. I did stress echo, echo, ECG, full blood panel and holter monitor. All results are clear. Doctor: Hello. This is likely due to the effect of alcohol, coupled with your baseline anxiety and activities. Normally, the heart rate goes up whenever one does activities like walking. But due to the effect of alcohol, heart rate elevation was persistent. Also, there must be some component of anxiety, as well. So mere heart rate elevation does not suggest any particular abnormalities. Most of the times, this is physiological and in response to the bodily factors. However, alcohol may cause cardiac arrhythmia like atrial fibrillation, which also involves heart rate elevation. But it is unlikely to be fibrillation because fibrillation involves sudden elevation and sudden offset rather than gradual onset. One would have palpitations and irregularities in heart beating in this case. It will not follow activities. It would be associated with other symptoms like dizziness, chest pain, sweating, or shortness of breath.So, I do not think there is anything to worry about it. If you also have a baseline elevated heart rate at other times as well, then you should do regular exercises to increase the vagal tone and lower the heart rate. I hope this helps." + }, + { + "id": 5980, + "tgt": "My 2 months baby suffer from cold and cough. Is it necessary to get any diagnostic checkup?", + "src": "Patient: Hello doctor, My 2-month-old baby girl child is suffering from cold for the past four days. There is a very little bit of coughing occasionally. There are some wheeziness from the nose also. She is moving her neck very often to both sides. I used Mucolite drops eight drops BD, Etolin PD syrup - 1.5 ml BD, and saline nasal drops. I used Sinarest AF drop for two days and stopped now. Please suggest to me is there any need for a diagnostic check up? What these symptoms could be? Doctor: Hello. I just want to know a few more information. Is your daughter feeding well? Does she sleep well? Did you notice any change in her breathing pattern like fast breathing? If she is feeding well, sleeps well and no breathing difficulty, then it is a simple common cold for which no medication is required at this age. The only thing is to keep the nostrils clean and open. I suggest normal saline nasal drops two drops every four hours for three days. Keep her head end a bit low while instilling nasal drops, and continue breast feeding." + }, + { + "id": 16555, + "tgt": "What can be a good snack for diabetics?", + "src": "Patient: Hi doctor, What can be done for diabetic headache? Are diabetes friendly biscuits useful in maintaining sugar levels? Should these biscuits be preferred eating? What can be a good snack for diabetic patient? Doctor: Hello. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 11884, + "tgt": "What should I do when I miss my regular contraceptive pills after having unprotected intercourse?", + "src": "Patient: Hello doctor, I use a combined contraception pill. In this cycle, I forgot to take the 8th and the 13th. I further forgot the 15th but consumed it in the morning and on the same day on time consumed the 16th. On the 14th I had unprotected intercourse. Should I now take the pill after, or wait? And in the case of pregnancy do I have to consume the abortion pill? Doctor: Hello. Since you have missed pills in between, it is better to take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have a doubt then get back to me." + }, + { + "id": 2239, + "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": 22731, + "tgt": "Please suggest Ayurvedic treatment for obsessive-compulsive disorder", + "src": "Patient: Hello doctor, Actually, I am suffering from the symptoms of the obsessive-compulsive disorder. But it is not that I am not having this disease. I am only having these symptoms. The peak symptoms are depression most of the time, constant headache, constant heavy head, irregular heartbeat constant, very less brain power (mostly concentration, focus), increased urination, unwanted repeating thoughts, going deep into thoughts unwantedly, panic attack due to side effect of allopathic medicine sometimes but life threatening, confusions. I am suffering from these symptoms from last two years but the intensity of these symptoms is such high that I am not able to do any work in life like studying or job but I can do the work which requires 5 % concentration from 100 % means less brain usable work like playing mobile games, ludo, sleeping, walking, typing just like now, etc. I want Ayurveda treatment because now I cannot trust allopathic medicines anymore because allopathic medicines show me huge side effects like paralysis type thing on the right side of the body, panic attacks (life threatening), stomach bloating, etc. Doctor: Hi. I have read your complaints carefully and understand your concern. According to Ayurveda, your all complaints fall under Manas Roga. This condition mostly occurs due to severe stress and depression. Patient unable to concentrate his mind, always in restlessness but unable to do his routine works. It can be managed naturally through ayurvedic medicines, procedures like Shirodhara and Yoga practices. Apart from medications, it is very necessary to know the causes of this condition and try to resolve the issues. It is better to discuss all issues with your Ayurveda consultant. It helps to understand your concern, diagnosis and best management plan. Now according to your present complains you can take the following medicines and Yoga. 1.Brahmi ghrita one spoon twice a day before meals. 2.Manasamitra Vati one tablet twice a day with normal water after meals. 3.Jatamansi Churna tablet one twice a day after meals. 4.Saraswataristam and Ashwagandharistam 10 ml each twice a day with an equal amount of water after meals. 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking if you have these habits. 3.Eat fibrous foods and fruit as well as green leafy vegetables. 4.Do regular Suryanamaskar, Kapalbhati, Mandukasana, Vajrasana, Anuloma vilom, Nadi sodhan and Bhramari. 5.Meditation is also very helpful in such conditions. Do these things regularly for one month and provide your valuable feedback. For more information consult an ayurveda specialist online.--->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25906, + "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": 5873, + "tgt": "I have stomach pain and sweating in the head after gay encounter. Am I at the risk of HIV?", + "src": "Patient: Hello doctor, I am a 32-year-old male. I had a gay encounter with four men in a massage parlor in three different days. In all the four cases we have used condoms but once the condom slipped. In my second and third encounter, I got a lot of blood and that too very dark color blood and something else also came. I was under the guy. I had a word with my doctor he has asked me to get it tested. After three weeks of my encounter, I have done the test for HIV 1 and 2 antibody screening serum test, VDRL RPR serum test and both results are non-reactive. After 35 days, I did HIV-DUO (fourth-generation test) which is also negative. After 70 days, I have again done HIV 1 and 2 antibodies screening serum, VDRL RPR serum and both result are non reactive. Again after 75 days, I have again done HIV 1 and 2 antibodies screening serum, VDRL RPR serum from the different lab and both results are non-reactive. Again after 91 days, I have again done HIV 1 and 2 antibodies screening test serum, VDRL RPR serum (from the different lab), and both results are non-reactive. I have weakness from the last two months and also painless ulcers from six weeks which are going now, then, I showed it to my doctor he says everything is fine. From the last one week I have continuous low level pain in my stomach and a lot of acidity, and also going to the toilet around four times. I also had a slight headache and sweating in the head. I have been taking a lot of medicines related to the stomach from the last two months. I am taking Pantacid, Rebagen, Turminice, Stablon, Nurdac, and Nurokind tablets. I did my other tests like vitamin B12 which is 281, vitamin D is 12.02. Please advise. Doctor: Hello. HIV infection has a window period of one to three months during which the test results can be a false negative. Homosexual exposures have a higher risk of HIV transmission than other modes. According to WHO (world health organization), all test results of HIV are considered conclusive at 12 weeks after the last exposure. As your last test at 91 days after the exposure is negative, it can be concluded that you have not acquired HIV. You should consider yourself really lucky as you have had a high-risk exposure in the form of receptive homosexual anal intercourse. Kindly refrain from all such activities in the future too. With regard to your complaints of acidity and stomach pain, it is advisable to get your stool tested for any other infection. Do not take any further stress as your HIV result is definitively negative. Stool for culture, ova and cysts." + }, + { + "id": 12014, + "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": 96, + "tgt": "Why does my boyfriend have extreme pain in the upper right abdominal area on breathing?", + "src": "Patient: My boyfriend has extreme pain when he breathes in his upper right abdominal area. This is the third time this month and it started at around 7 pm last night and he went to the hospital last night at 1am. They told him they couldn\u2019t find anything on the xrays or blood work. He woke up this morning and his pain is still extreme. Can you offer any insight please? Doctor: Hello Dear. I welcome you to icliniq. I feel very sorry for his pain. The causes of severe pain in upper part of the abdomen are gall bladder stones common bile duct stones-stones within the bile duct which drain bile (a yellow secretion) from gall bladder to small bowel peptic ulcers - ulcers within stomach and/or small bowel pancreatitis -inflammation of the pancreas a gland over the back of our abdomen. I think he already been advised some medications for that. But I just write here in case they are not given Cap Esomprazole 40 mg now and half hour before meals. Cap Tramodol 100 mg now. It may or may not be OTC. in case not available give him Cap celecoxib 100 mg now. Do not give any other painkillers because they may worsen pain of peptic ulcers if present. Syp Gaviscon 15 ml now and half hour after meals for 4 times in a day. If you want to provide more information about his pain I may suggest some investigations to rule out above possibilites. I hope the medicines will help him to control his pain. Take care and have a good day peptic ulcer disease gall stones cbd stones pancreatiris intusscception volvulus serum amylase ultrasound abdomen follow to discuss and provide more information" + }, + { + "id": 8924, + "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": 7268, + "tgt": "Are you supposed to feel a heart beat on the right side of your chest?", + "src": "Patient: Hi doctor, Are you supposed to feel\u00a0heartbeat on the right side of your chest?\u00a0I hear heartbeats on both right and left side of my chest and I feel that I have two hearts.\u00a0Give me your advice. Doctor: Hi. You could feel the extra heartbeat, if you are having palpitations. Palpitation can occur in many conditions. It is mostly due to stress or anemia. It can also occur in some cardiac conditions which can be diagnosed only with a proper history of your symptoms, your family history and a thorough cardiac and general clinical evaluation. There is a rare condition called dextrocardia, where the heart or any other abdominal organs may naturally be on the opposite side. This condition can be diagnosed only after a physical examination, and if necessary need an x-ray or a scan. If you have any further questions revert back to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28075, + "tgt": "I am an HBsAg carrier. Is there any treatment for it?", + "src": "Patient: Hello doctor, I am an HBsAg carrier, and I want to travel abroad\u00a0for a job. I came to know about my status during a medical checkup, and after that, I got my complete blood test done. I am scared after reading about it on the internet. I have attached my test reports for your better understanding. I would like to know about my health status as per my report. Is there any treatment for this? Doctor: Hi. Thanks for your query. I have seen your report (attachment removed to protect patient identity). If you have any further query, feel free to ask. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16933, + "tgt": "I have a tooth abscess and the pain is getting worse. Should I look for another dentist?", + "src": "Patient: Hello doctor, I have an abscess in the lower molar. There is much pain, swelling, painful jaw and lymph nodes. The dentist prescribed Amoxycillin and extraction scheduled for nine days from today. I have been on the antibiotics for 48 hours. The pain is getting worse, not better. Should I look for another dentist who has an opening for an extraction sooner? Doctor: Hello. I can understand your problem. A tooth abscess is a painful condition and needs antibiotic cover along with painkillers for relief. So, first of all, please let me know if are you advised any painkillers along with Amoxicillin. If yes, please write the name of the painkiller. Please revert with answers. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 22137, + "tgt": "My HIV duo test was negative on 20th day after exposure. Am I safe?", + "src": "Patient: Hello doctor, I had an exposure two months back. I received a blow job from a sex worker. The activity I indulged in was blowjob and kiss, no penetrative sex was done, and I did not give her oral either. I was so tensed that on the 20th day of exposure, I had HIV 2 plus p24 antigen tests which came negative with an index value (.1) and index value greater than one are positive according to the report. I am so depressed and will go for testing after three months. Is my exposure high risk? Which test should I do now? And what are my chances for other STDs? Doctor: Hi. First, I need to inform you that, the oral cavity has the lowest viral load and the possibility of transmission is least to none. Secondly, the HIV virus has an envelope that is made of fats which will be digested by salivary enzymes. So, HIV survival is least in saliva. But, only indication to count is injury or ulcer in the oral cavity. Thirdly, coming to your scenario, oral sex cannot transmit the infection even if she had HIV infection considering she had no oral ulcers and you had no ulcer on the penis. You are not at risk of acquiring HIV. HIV has a window period of 45 days to three months. So get western blot test after 45 days to completely rule out HIV infection. Coming to STD, yes, you may get and chances are high. The infection can be HPV (human papillomavirus), HSV (herpes simplex virus). No need to have any measures at this stage. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5124, + "tgt": "My 26th week ultrasound shows collection of fluid around the heart of the fetus. Is it dangerous?", + "src": "Patient: Hello doctor, I am 26 years old, currently pregnant with my second child for 26 weeks and 5 days. I just left the doctor's office having done an anatomy ultrasound. The doctor said there is a little fluid around my baby's heart, but not to worry. I have been scheduled in three weeks for the same ultrasound and also have been scheduled I believe for an abnormalities test. Even though the doctor has told me not to worry I am just freaking out and have been crying all day. It would be nice if I could get an answer as to what may have caused small fluid around the heart? What would the worse outcome be and what I can do now with my everyday habits if that makes sense, as I will be stressing for three weeks about this? Any information would be helpful. Doctor: Hello. I understand your anxiety. Let me clear you some facts. A basic anomaly scan is done at 18-20 weeks and if that was normal, it shows that no structural anomalies are there. Secondly, this scan was done at 26 weeks and 5 days when the fetus is half developed. As far as the fluid is concerned around the heart, it is the pericardial fluid. The fluid inside the pericardial layer covering the heart to initiate smooth functioning. It is around 5 ml in adults with progression in pregnancy it would regress and my advise would follow it up with serial ultrasounds. Unfortunately, every day habits cannot make a difference. I would like to suggest you not to be worried and stress yourself. All is well. Just get three weekly serial ultrasounds to follow up on the fluid level. Baby's growth is not affected as I learnt." + }, + { + "id": 2135, + "tgt": "I get severe stomach pain. Is there any medication to overcome it?", + "src": "Patient: Hello doctor, My stomach hurts really bad, whenever it hurts it is very severe. Do you have any subjugation for me? Doctor: Hello. You have given nonspecific history as it hurts either every day or occasionally, it has any relationship in empty stomach or after taking a meal? Is there any relieving factor or triggering factor? Your daily bowel habit? Your drinking history? Your smoking history? Is there any surgical history? Are you relieved after vomiting? Your family history of any disease? Your age? Are you sexually active or not? Duration of your abdominal pain? Menstrual history or fever, etc? You should undergo USG (ultrasound) that will reveal any abdominal abnormalities like PID (pelvic inflammatory disease), cystitis, cholecystitis, pancreatitis, ovarian cyst, pregnancy, etc. CBC (complete blood count) will give some idea about your abdominal pain like increased ESR (erythrocyte sedimentation rate) will suggest appendicitis, increased WBC (white blood cells) will suggest of infection, etc. Urine R/M/E will determine urinary tract infection. Again you can also undergo endoscopy of upper GIT (gastrointestinal tract), serum amylase, serum lipase, etc. You can follow tablet Visceralgin (Tiemonium methylsulphate) three times a day, in case of abdominal pain tablet Domperidone 10 mg three times a day for ten days, capsule Omeprazole 20 mg twice daily for 10 days. In the meanwhile, please perform your investigations and inform me the results, then I will be able to diagnose your cause that is responsible for your abdominal pain and vomiting and treat the cause." + }, + { + "id": 19577, + "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": 1726, + "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": 15078, + "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": 29799, + "tgt": "Will surgery help my sciatica?", + "src": "Patient: Hi doctor, I have left leg sciatica. There is no back pain, but there is a referred pain down to the heel. I have recurring flare ups once in every six to eight months. I am currently taking Advil 3200 mg per day and ice. I feel great once the Advil kicks in. I got a selective nerve block on L5-S1 before two months and it did nothing to me. I cannot do anything during the period of flare up.\u00a0I am 46 years old and in great shape. I had an MRI lumbar spine without contrast. The findings are as follows: The vertebral bodies are of normal height and marrow signal intensity. Small hemangioma noted within the posterior aspect of L5. The spinal cord is normal in morphology and signal and the conus medullaris terminating at L1. L1-L2 and L3-L4 there is neither central canal narrowing nor neural foraminal stenosis. There is mild facet arthropathy. The impression was L4-L5 paracentral and posterolateral disc protrusion. This preferentially narrows the left lower recess and abuts the descending left L5 nerve root. L5-S1 broad based left posterolateral disc protrusion. This preferentially narrows the left lower recess and abuts the descending left S1 nerve root. Mild to moderate central canal narrowing at L3-L4 secondary to diffusely bulging disc. I afraid that surgery (discectomy) will not fix as this recurs. What is your opinion doctor? I was a geriatric speech pathologist (retired), so I know it is difficult to say without seeing the patient and how they present. Please do your best. Doctor: Hi. I understand your symptoms.\u00a0Before we go ahead and discuss the MRI, I\u00a0would like to know some more clinical details. Revert back with the details to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 11950, + "tgt": "My baby has flaky white patches on forehead. What can it be?", + "src": "Patient: Hi doctor, My baby is four months old. He has white patches on his forehead and around his eyes. They are flaky and little skin peels off. I am much worried. Please help. Doctor: Hi. It may be due to seborrheic dermatitis (itchy red rash with flaky scales) or atopic dermatitis or simple dryness. Please consult a dermatologist for examination and management. Use mild soap or cleanser for face wash. You can also use a moisturizer." + }, + { + "id": 5073, + "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": 26308, + "tgt": "I had an ACTH stimulation test today. Should I get any physical reaction when the ACTH is in?", + "src": "Patient: Dear Doctor, I had an ACTH stimulation test today. Should one get any physical reaction when the ACTH is in? If one have a physical reaction is that good or bad? Or do the people who do not get any reaction are the ones who get the bad results? Doctor: Hi. Thank you for posting your query. For further doubts consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17148, + "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": 26821, + "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": 30398, + "tgt": "I have herpes. Will it affect my pregnancy?", + "src": "Patient: Hi doctor, I am in a need to take steroids for IVF due to autoimmune issue. But, I have herpes\u00a02. Will it affect my baby? Doctor: Hi. The biggest concern in a pregnant genital herpes patient is that the infection is transmitted to the baby during labor and delivery, which can be devastating. This can happen if you are contagious or shedding the virus. There is no way to know for sure if you are shedding the virus or not. But, if you have herpes before you got pregnant and you have no symptoms of an outbreak or an impending outbreak when your water breaks or your labor starts, then you will be able to go for vaginal delivery and the risk of transmitting the disease to the baby will be less than 1%. As you develop antibodies soon after you are first infected and you pass these to the baby through placenta on the other hand, if you are having an outbreak or an impending outbreak when your water breaks or when you go into labor, then you need immediate cesarean delivery. This is the case when you have any visible sores on the cervix, vagina or external genitalia or any symptoms such as tingling, burning or pain that signal an imminent outbreak of herpes. To improve the chance of being able to deliver vaginally it is recommended that pregnant women with recurrent genital herpes will be offered oral antiviral medications from 36 weeks till the delivery. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21200, + "tgt": "Other than surgery, is there a treatment for my mother's femoral neck fracture?", + "src": "Patient: Hi doctor, My mother is suffering from a left femoral neck fracture. Is there any other treatment other than surgery? Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The age of the patient is 72 years. At this age and with this fracture, there is more harm in not doing surgery as compared to doing surgery. Such patients can develop respiratory difficulties, bed sore, and infection due to immobilization. Hemiarthroplasty is a good option at this age, but in some conditions, a total hip replacement would be ideal. But it is decided after seeing the patient. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16993, + "tgt": "My jaw is stuck and I am unable to close my mouth. What should I do?", + "src": "Patient: Hello doctor,My upper jaw is stuck and I am unable to close my mouth. Do you have any advice? Doctor: Hello. I have gone through your query and understand your concern. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 26863, + "tgt": "I have a painful wisdom tooth. Should I wait for it to erupt?", + "src": "Patient: Hi\u00a0doctor,\u00a0 I am experiencing pain because of my erupting wisdom tooth. It is very painful.\u00a0I have to take medicines to be alright. After two weeks, the pain got\u00a0subsided, but my wisdom tooth did not erupt. In the place of my wisdom tooth and the tooth beside it,\u00a0there is a persistent\u00a0swelling. It is not painful, but I have a tingling feeling. I feel a tooth underneath it. Should I\u00a0wait\u00a0for it to erupt? Is it a serious problem?\u00a0I hope you can explain to me my case. Thank you. Doctor: Hi. Regards. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 28815, + "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": 25089, + "tgt": "I have discomfort in my lungs after some strenuous work. What can I do?", + "src": "Patient: Hello doctor,I am 50 years old, 210 lbs. I fixed an issue in my attic on Sunday. The work was strenuous but lasted 10 minutes. I did not wear a mask. My home dates from 1923 and the insulation in rock wool. All unchanged since being built, the mold and or fibers deeply penetrated my lungs and I have severe discomfort deep in my lungs. I hope I do not have mold infection and or damage from fibers. There is an infection in my lungs as I can hear a sound and wheezing when I breathe. What can I or should I do so this does not persist or become something more serious six months from now? Doctor: Hello. I understand your concerns. From what you mentioned, most likely you have an allergic reaction from the materials you have been exposed to. You should not worry about it as a permanent effect is less likely as you have not been exposed for a prolonged period. Exposure for years could cause permanent changes not just few minutes. I suggest that you take some medications for few days and perform chest X-ray to make sure that everything is okay. Is there any fever? Coughing with phlegm? Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I suggest: Revert after a week to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28101, + "tgt": "Can ayurvedic medicines relieve all my health issues?", + "src": "Patient: Hi doctor, I am a 41 year old female, and I suffer from a\u00a0lot of diseases. I gave birth five years back, and at that time, the doctor told me that I have diabetes. My blood sugar level is high even after delivery, and I also have vitamin D deficiency. Currently, I take 80 units of Insulin daily, and I take approximately 16 to 18 tablets daily. Now, I started having pain in my foot, which is unbearable. I am frustrated with taking medicines. Can ayurvedic\u00a0medicines relieve all my health issues? Thank you. Doctor: Hello. I just read your query. Do consult me after three weeks with complete medical history, current medications, and all blood tests. You can also consult a nearby ayurveda physician if you want.\u00a0I hope you find my answer helpful.\u00a0Thank you. Revert after three weeks to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14696, + "tgt": "My daughter swallowed a button cell. Will it come out through waste?", + "src": "Patient: Hi doctor, My daughter aged 10 years had swallowed button cell accidentally. In the x-ray, it is in the intestine. Will it come out through waste? Doctor: Hello. I can understand your concern about your daughter's health. Yes, button cell would come with stool generally. But sometimes it get stuck at the junction of the large intestine and small intestine. In such a case, she might require a colonoscopy or surgery to remove the cell. But the possibility for such a scenario is very rare. You should give her a soft, semi-solid diet which is good in digestion and also facilitate intesine movement." + }, + { + "id": 4635, + "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": 12666, + "tgt": "Male donor is kell positive. What are the associated risks to the surrogate?", + "src": "Patient: Hello doctor, My husband and I will be using a surrogate to have kids. My husband is kell positive (heterozygous). What are the risks to this that the surrogate would need to be aware of? Doctor: Hello. Few points include: 1. As per medical facts, the first pregnancy remains silent. In your case surrogate is kell negative it means her body is still not exposed to kell antigens which are good, so this pregnancy will be safe. 2. As the husband is heterozygous, it means he has only a 50 % chance of having baby kell positive. In the rest 50 %, there is no risk of complications. So, theoretically, this pregnancy should go silent without complications. But then surrogate will be exposed to kell antigen from your husband, she should be aware of this risk which can create trouble in future pregnancies if the male is kell positive." + }, + { + "id": 12515, + "tgt": "Can shoulder joint pain indicate the recurrence of Still's disease?", + "src": "Patient: Hello doctor, I am 48 years old, male. Two years back I was diagnosed for Stills disease and treated with steroids. Then it was under control. Now for the last four months, I am having severe shoulder joint pain restricting my left-hand movements MRI done shows mild arthritis, frozen shoulder, etc. No medicines are taken, only some exercises prescribed by physio are being done. I am afraid whether there will be a recurrence of Stills disease and I am scared. Please suggest some remedy. Doctor: Hello. Do not worry, Still's disease is only on clinical diagnosis present like intermittent fever, arthritis, and rash (not itching). Usually, there is no confirmatory test for this. Depending upon joint pain long lasting more than six weeks, with rash, pleurisy and body pains, etc. Before confirming it is one more episode of Still's flare-up. You may evaluate for rheumatoid arthritis, Gout, hypothyroidism, and frozen shoulder. So get it done ESR, CRP, Ra factor, ANA and hemoglobin status. Use tablet Naprosyn twice a day for five days. Use tablet Pantoprazole before breakfast for one week. If symptoms not improved please review with above reports or consult your physician he will examine and treat you accordingly. Take care." + }, + { + "id": 15586, + "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": 16330, + "tgt": "I cry almost every night and I am paranoid. Is there any chance that I have depression?", + "src": "Patient: Hello doctor, I am a 14 year old boy. I usually live by routine, but whenever I find free time, I usually become very sad until I cry. This happens almost every night before I sleep. Yesterday night, I thought of going out with my friends, until one friend said he was going to watch a movie with his parents and the other friend said he was going to pack for a vacation. I got super paranoid thinking that they were hanging out behind my back and I ended up crying myself to sleep. I take no medication. Is there any chance that I have depression? Doctor: Hi. You have mentioned that you are experiencing low mood, crying spells, and paranoid thoughts. You are not in a depression. Teenagers might experience certain mood swings due to hormonal changes in the body. You are going through the same. With the mentioned symptoms, you cannot be diagnosed as having depression. The incident you quoted is related to your feelings of sadness and low self-esteem and might be due to loneliness. Suggestions to overcome this: For further follow up, consult a psychologist counsellor online --> https://www.icliniq.com/online-psychiatrist-psychotherapy-counseling" + }, + { + "id": 3909, + "tgt": "I often get bad breath with swollen and bleeding gums. How to eradicate this?", + "src": "Patient: Hello doctor, I am facing a bad breath problem. Sometimes gums get swelled and bleeding happens. I do not feel comfortable speaking to someone because of the bad breath issue. What can I do to eradicate this problem? Doctor: Hello. I understand your concern. Gum bleeding, gum swelling, and bad breath are the signs of gum condition called gingivitis. Gingivitis is the inflammation of the gums caused due to constant irritation by tartar or calculus (hardened yellow deposits on the tooth). Food deposits or plaque that settles on the tooth get calcified in the long run and become hardened calculus deposits. Constantly irritated gums become weak and start to bleed when we brush or in the morning time after waking up. A professional scaling and polishing procedure is done by an ultrasonic scaler instrument to remove that calculus. Once removed, the gums take a day to heal and the gum bleeding and gum swelling will resolve the next morning. You will also see an improvement in your bad breath issue. Please visit your dentist and get this procedure done. This procedure can be done once in six months if required. Although we do a proper brushing every day, there are certain spots between teeth where the bristles fail to reach. Hence a professional tooth cleaning is always advised once in a while. There are certain brushing techniques that can be followed to prevent calculus accumulation. Get to know that from your dentist and please do follow them. And you should start cleaning the tongue with a tongue cleaner or by using the back of the brush. This will be effective in reducing the bad breath issue. I hope this helps." + }, + { + "id": 21335, + "tgt": "Why am I unable to move my hand after trauma in humerus?", + "src": "Patient: Hello doctor, I am 47 years old male. I had a nasty fall and MRI established post-traumatic injuries in right humerus head and shoulder. I took medicines for two months. The doctors said it has healed but I am unable to move my hand rear side. It is paining a lot. Unable to pick even a small weight. Please advise. Doctor: Hello. The probable causes are: Your MRI report is incomplete (attachment removed to protect patient identity) and does not describe the initial except for showing hyperintensity. I suspect that you dislocated your shoulder and the humeral head has a Hillsach lesion. I will recommend getting a fresh X-ray to rule out a non-union. Has your MRI been reviewed by another radiologist to getting a more clear diagnosis? You can upload your MRI films for me to see. Finally, you should see a good physiotherapist for a frozen shoulder who could help. I will recommend that you can get the diagnosis before you proceed. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1419, + "tgt": "A few reddish spots have developed on my baby's head. Are they harmful?", + "src": "Patient: Hi doctor, My baby boy, who is 8 months 14 days old. His weight is 7.6 kg and height is 27 inches. He is taking Arbivit-3 and Zincovit drops daily according to the doctor's advice. Are his weight and height fine? From few days, there are some reddish spots developed on his head and in some parts of the body. It is gradually increasing and there is no secretion from this spot. What are these spots? Are these harmful? What is the treatment? Please explain me. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2596, + "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": 23536, + "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": 20513, + "tgt": "Do I have to take medicine for ankylosing spondylitis whole life?", + "src": "Patient: Hello doctor, My age is 27 now. When I was in 14 years old, a severe hip joint pain started and the doctor diagnosed it as septic arthritis and operated right hip joint to remove fluid. Then the pain was gone. After three years, again pain started and I was diagnosed with ankylosing spondylitis by blood examination HLA-B27 positive. From then, I am taking Saaz DS 1 gm daily from the last 10 years. Shall I continue it till lifetime or is there any alternative treatment for this? Doctor: Hi. This is an autoimmune disorder which actually has no treatment. You need to take medications when there is a flare-up of the disease. In between when you have no symptoms then you can stop the drug. You have not mentioned about your hip pain right now. You need to keep doing regular general conditioning exercises and stretching exercises to keep your body flexible otherwise this disease will affect your flexibility very fast." + }, + { + "id": 20030, + "tgt": "How to make sure that I do not have any cancer cell in my body?", + "src": "Patient: Hi doctor, I was diagnosed with T2 N2 nasopharynx cancer, a non-keratinizing disease. I had two chemotherapy and then had an MRI scan. There is no tumor in the nasal area. Do I need IMRT radiation? Doctor: Hi. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20315, + "tgt": "Kindly help me in reducing my weight", + "src": "Patient: Hi doctor, My weight is 133 kg, height is 171 cm, male, suffering from obesity problems. Kindly help me in reducing my weight. Doctor: Hello. Most important thing is to balance your eating and drinking with a good physical activity. Start the day with warm water with lemon juice and one teaspoon of honey. Followed by another glass of warm water. Then, have breakfast, toast with boiled egg, or rice. Have some fruit at 10 AM. Have lunch at 1 PM, vegetable soups with a slice of wholegrain bread, and keep drinking water. Snack time at 4 PM greek yogurt with fruits or nuts, Dinner at 6 PM, soup or rice or spaghetti with meatballs. Keep drinking water throughout the day. Do some jogging after large meals (lunch or before going to bed)." + }, + { + "id": 28083, + "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": 26253, + "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": 18814, + "tgt": "Taking Modalert. Now feeling weakness in my hands and getting thoughts like suicide. Please help", + "src": "Patient: Hi, I am taking tablets Prodep 60mg, Modalert 200mg, Oleanz 5mg. I know you would not recommend me Modalert 200mg, but I have tried it as I am much concerned about concentration and cognitive enhancement. By god's grace now Modalert 200mg suits me and there are no side effects as such. Moreover, I feel improvement in my doubts and nonsense thoughts. There are two major problems for me: Once in a week there is an attack of thoughts that life is very bad. Thoughts like suicide come to my mind. By god's grace I have not tried suicide. These thoughts leave my mind after two days. I am taking Modalert 200mg since 10 days, but I feel no improvement in cognitive enhancement and concentration. There is weakness in my hands since 5 days. Is this symptom of any medicine which I am taking or is there any other reason for this?\u00a0 Please give your valuable suggestion regarding when will Modalert 200mg give me improvement in concentration and cognitive enhancement. Doctor: Hi. Revert back to a\u00a0psychiatrist online\u00a0for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23251, + "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": 13835, + "tgt": "Can tablet Percocet cause seizures?", + "src": "Patient: Hello doctor, Can tablet Percocet cause seizures when taken in proper dose for pain? Will the seizures occur while I am sleeping? Doctor: Hello. Percocet is a tablet with a combination of two medications namely Acetaminophen and Oxycodone. This drug is commonly prescribed for the relief of moderate to severe pain. It is advisable to use this medication only in the prescribed dosage and for the prescribed time. The most common side effects of Percocet are: However, there are a few other rare side effects like (in such cases, it is advisable to visit the doctor immediately) A typical seizure would be something like this: A period of unconsciousness with uncontrolled contraction and relaxation of your muscles (often all of them) along with involuntary or unconscious passage of urine and stools and may also be associated with vomiting and often associated with tongue biting. One who has suffered the episode will usually have no recollection of the event. Once the person gains consciousness, he/she feels exhausted and only a witness could provide the observation of the symptoms. There may also be injuries over the body.If a seizure occurs during sleep, then it could be life threatening as the vomitus may be aspirated into the air passage (trachea and lungs) and may cause difficulty in breathing. However, if you have observed any such symptoms, it is advisable to visit your treating doctor and get your medication reviewed.If you are sure that it is a seizure that you had, then it would be a good idea to stop the medication right away and also get a complete evaluation by your doctor to identify the cause of the seizure." + }, + { + "id": 24570, + "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": 19519, + "tgt": "What type of medicines can cure tension-like headaches?", + "src": "Patient: Hello doctor, I am a 30-year-old female in good health. I used to get frequent tension-like headaches and migraines with aura when I was a teenager that went away over time. I recently started getting them again. The aura lasts 20 to 30 minutes with blurry vision, patchy spots in my vision, loss of peripheral vision on the right side. It is followed by an intense headache for most of the days even after taking medications. Tthe part that worries me is that once 10 years ago and once again yesterday after the aura subsided, the fingers on my right hand went numb, one at a time, starting with the pinky and ending with the thumb. On both occasions, it followed the exact same pattern. The only medication I take is birth control. In the past, I have been on Imitrex on a p.r.n. basis but no effect. I am a non-smoker and my BP is always in the 90s/60s range. Recent blood work has also been normal. I had an MRI seven years ago when I was getting the migraines with aura often and it was normal. Is there a test that can tell me something that the MRI did not? Thank you for your time. Doctor: Hello. Revert to me with answers for a better help. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18129, + "tgt": "What medicines can I take for painful urination?", + "src": "Patient: Hi doctor, I am a 24 year old male. From the last 15 days, I have pain at the time of passing urine. So, I went for a urine test of complete urine examination and urine culture. There was nothing wrong with the complete urine examination. But, in the urine culture, at the bottom of the report, they mentioned one comment: 'occasional inflammatory cells seen'. Kindly correlate clinically. I am attaching the files. Please go through the files and suggest medications, please. Doctor: Hello. I have seen the reports sent by you (attachment removed to protect patient identity). It shows urine infection with E.coli type of organism. Inflammatory cells are seen due to the infection. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Repeat the urine culture tests after eight days to check if the infection is gone. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 17668, + "tgt": "After taking ECP, when should I expect my next periods?", + "src": "Patient: Hi doctor, I am a 32 year\u00a0old female. I have a regular menstrual cycle, and I get my periods on the fifth of every month. Last month on the eighth, I had unprotected sex with my fiance. I took Unwanted 72 (ECP) within an hour. As I took an ECP, when should I expect my next bleeding?\u00a0Is there any chance to get pregnant? Today is the tenth day, and there is no sign of bleeding.\u00a0Please tell me in detail. What should I do? I am very tensed. Please help me. Thanks. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20357, + "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": 21294, + "tgt": "Shall I take Azithral for throat itching?", + "src": "Patient: Hi doctor, For almost a week, I have throat itching and some blood coming out of it. I had throat infections in the past and was smoking back then. Now, I do not smoke and it has been more than two and half months that I had a smoke. Could this be because of Nicotex 2 mg that I have been chewing to keep the cravings away? Also, my friend, who is a doctor, suggested me to take Azithral 250 mg three times a day after meals. Please suggest if I should. Doctor: Hi. For one event of little blood, you need not have to panic. In my opinion, I do not think it is due to Nicotex (Nicotine) and hence you can continue using Nicotex. Most likely you are having throat infection and most of the times it is due to viral infection and it does not require antibiotic such as Azithral (Azithromycin). My recommendation is as follows: Wait and observe for three days. If still the soarness persists or you experience fever or too much of cough, then in that case you can start antibiotic Azithral (Azithromycin) 250 mg two times a day for five days as per your friend's advice. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10899, + "tgt": "What type of cancer is a germ cell tumor?", + "src": "Patient: Hello doctor, Recently I came to know that my ward has a germ cell tumor. He is undergoing surgery for the removal of right testes today. It is unknown whether he is affected with cancer if so, what is the type and whether it is curable or not? How long will this take and what are the steps should be considered for the treatment? Please help me because I am depressed. Doctor: Hello. This is a high-grade testicular germ cell tumor (attachment removed to protect patient identity). The molecular markers such as hCG (human chorionic gonadotropin) and LDH (lactate dehydrogenase) are high. Also its spread to the liver and adjacent lymph nodes. Ideally, the primary tumor in testis has to be removed and then treated with a chemotherapy called BEP (bleomycin, etoposide, and cisplatin) regimen for the rest of the metastatic disease. If after surgery, his markers fall, and if he responds very well to chemotherapy, we can expect a cure where we could do a stem cell transplant in the future. But for now, his plan would be a surgery followed by chemotherapy. Also, consider semen preservation before surgery and chemotherapy." + }, + { + "id": 14649, + "tgt": "Can children develop hypertrophic scars after scar excision?", + "src": "Patient: Hello doctor, My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him. Doctor: Hi. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done. Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring." + }, + { + "id": 29455, + "tgt": "Is it common to have sexual thoughts during fertile period?", + "src": "Patient: Hi doctor, Is it common to have intrusive and persistent thoughts about potential sexual or romantic partners during the fertile period of the menstrual cycle? It happens to me every month and always about men I know and see constantly. It is like my hormones have suddenly taken control of my thoughts and are analysing the potential mates. It is not a particularly troublesome thing, but it does make me uncomfortable and worried about relationship decision as it feels like I might not be completely rational. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5737, + "tgt": "What is the treatment available for pain in tooth while tapping?", + "src": "Patient: Hello doctor, My upper right one tooth (front tooth) is painful to touch from the front. It is sturdy and does not move at all. It also is not painful to push from the inside out. It does not hurt to bite down at all. It simply hurts to tap the front of the tooth. Any ideas on what this could be? Doctor: Hi. Pain on tapping have two differential diagnosis. It could be a sensitive tooth. Enamel of tooth is weak that is why it is having greater amount of sensitivity on touch and pressure. If this is the case then veneering is done on the front surface of the tooth and this complain goes away in a week. The other reason could be there is some infection in the underlying tooth. Periapical, periodontal abscess or infections do not need caries or cavities to cause infection. They occur at root and bone part of tooth and usually occur silently. Once they start to aggravate, they cause such symptoms of pain on tapping only. Get X-ray done of the tooth in question, send me its picture and clinical picture of tooth also. If this is the case then root canal treatment is recommended. Give me its followup once you get radiograph done. Stay happy and blessed. Take care." + }, + { + "id": 25419, + "tgt": "I have white patches on the tongue. What medicines should I take?", + "src": "Patient: Hello doctor, I am having white patches on the tongue. They are round patches along with a lesion similar to canker sores. Normally, I get canker sores but this time this lesion seems to be little more enlarged. Is this a precancerous condition or if not then what meds should I take? Doctor: Hello. I have gone through the image (attachment removed to protect patient identity). Do not worry. It is not any type of precancerous lesion. Such patches usually come when you are not taking good balanced diet and take lots of snack items. So reduce snacks and very hot and spicy food. Have more of fruits, vegetables, and meat (only if you are non-vegetarian). Such ulcers come when there is lack of a vitamin B complex in the body. It lasts for around 10 days and will then heal fast of which three to four days may be painful. You can use capsule Becosules (B complex) once daily for 15 days. Use warm salt water gargle twice a day for healthy gums and tissues. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6057, + "tgt": "My grandfather is throwing up with cold, chills and coughing up phlegm. What should we do?", + "src": "Patient: Hello doctor, My grandfather is 92 years old. He had been throwing up with cold chills, hot flashes, coughing up lots of phlegm, sore throat, back, and stomach pain. But there is no fever. What should we do? What could it be? Doctor: Hello, Welcome to icliniq.com. After going through your query I must admit that the first possibility is of pneumonia or lower respiratory tract infection. As he is having all signs of pneumonia other than fever. It should be ruled out with a chest x-ray and complete blood count. With the advancement of age, it is common for a person to present without fever or even hypothermia in case of chest infection. The other possibility in your grandfather is of abscess in an abdominal cavity particularly sub phrenic area. It can be detected with the help of abdominal ultrasound and complete blood count. In case if there is associated urinary frequency, urgency or burning of micturation present with all these symptoms then the urinary tract infection should be ruled out. I request you to get the following details from a nearby laboratory. 1. Complete blood count. 2. Urine microscopy and culture with sensitivity. 3. Chest x-ray. 4. Blood widal. At the same time, you are requested to visit your primary care physician as soon as possible. The presence of infection at this age may have grave consequences including acute confusional state and death. Before you can get an appointment with him, give him anti-emetics, antipyretics and lots of fluid. I hope this helps." + }, + { + "id": 6278, + "tgt": "I pass 10 to 15 ml of blood after I urinate. What it could be?", + "src": "Patient: Hello doctor, There are 10-15 ml of blood after I urinate, and I have burning sensation also. This has been going on for a few years now. What medications can assist this? Please advise on the possible diagnosis and treatment of this. Doctor: Hello. I want to know about you, your age, and sex. And before we reach to any conclusion I want to tell you something about hematuria (blood in urine). 1) Blood at the beginning of urination (called initial hematuria) typically indicates a lesion in the urethra. 2) Hematuria at the end of urination (called terminal hematuria) often suggests prostatic or bladder cause as I do not know whether you are male or female. 3) Hematuria during the entire urinary cycle (total hematuria) may indicate disease within the ureter or kidney. Here you must have to clarify your gender and if you are a female then it may be related to some bladder cause and painless bleeding after urination may have so many cause right from some urinary bladder stone inside to serious causes. What I need is: 1) Get a complete urine examination done. 2) USG (ultrasonography) of abdomen. Till then I suggest consuming plenty of fluids in the form of lemon water, coconut water, fruit juices, and other liquids in plenty. Take syrup Alkalizer (urinary antiseptic) two teaspoon full with one cup of water thrice daily. But this is a temporary or conservative treatment as I never misguide my patients. So you are requested to respond back to me with all details as soon as possible followed by your USG (ultra sound) report." + }, + { + "id": 27378, + "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": 4661, + "tgt": "My daughter is very thin. Please suggest few weight gaining products?", + "src": "Patient: Hello doctor, My daughter is 21 years old and is very thin. Her weight is only 33 kg and height is 5'4\". Since her birth she is of low weight and does not have any medical problems. Kindly advice some treatment plan that would help her to increase her weight. How long will it take for her to gain weight with medicines? Kindly suggest few weight gaining products suitable for her. Doctor: Hello. Other options for her are: Revert back for further details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8686, + "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": 3628, + "tgt": "I took OCP after unprotected intercourse and bled after five days. Is this implantation bleeding?", + "src": "Patient: Hello doctor, I had unprotected intercourse two days after my period. The first time we used the condom, the second time without and did the withdrawal method. I took the action about one and a half an hour later. I do not know when I was ovulating and did not think it could be my fertile week. I started bleeding five days later and it was light and pink then has gotten heavier and turned red and moderate enough to soak a panty liner. I have taken HPT twice and both showed negative. Is this implantation bleeding or withdrawal bleeding? Doctor: Hello. If it was your second day of your period and you take an emergency pill after intercourse that it is withdrawal bleeding and due to the tablet. Your period can be irregular this time and may take two to three cycles to get regularize and maybe the next cycle will be normal depends on your body's own hormonal cycle. If HPT (home pregnancy test) is negative then no need to worry, you are not pregnant and the second day of menses is counted as safe days of any cycle. So you cannot be pregnant during that period because of no ovulation during menses. Drink more water and wait for your period and do not get much stress. Everything is fine and under control. And if you get your period for three to four days and if you have intercourse two days after that, also you had taken the precautions like condom, withdrawal and at last emergency pill and it also comes in safe period. So do not worry. More chances that it is withdrawal bleeding and sometimes ovulation bleeding. In both cases, you do not have to worry because if it is ovulation bleeding then it is happening now and no need to worry about before. I hope this helps." + }, + { + "id": 10459, + "tgt": "I hit my forehead against a wall and got a scar. Can I treat that scar?", + "src": "Patient: Hello doctor, I hit my forehead against a wall and had a small cut on my forehead and now it has healed and it looks like a scar. Will I have a permanent scar? Doctor: Hi. First, you need to understand that scar treatment depends on its depth and lenght. Whether your scar is permanent or not, it is very important to evaluate it. Mostly scar lightens and becomes equal to the surrounding skin with passage of time. However, scars which are deep becomes permanent. Such scar will not go away with any creams or gels. Best treatment for permanent scar is reversal by plastic surgery or it could recover to some extent with C02 laser." + }, + { + "id": 4122, + "tgt": "What will happen to the focus if correction lens are placed for mixed astigmatism?", + "src": "Patient: Hello doctor, Please help me with my assignment. I am an optometry student. My question is what will happen to the foci when correction lenses are placed in the case of mixed astigmatism that has one focal point in the front, which is nearsighted and one behind the retina which is farsighted? Will they merge as one when you give spectacle correction? Or the focal points will remain at their own places even though there is correction already? Please reply. Doctor: Hello, Welcome to icliniq.com. The condition of one focus in front of the retina and another behind arises in mixed astigmatism as you have already mentioned. To correct this we prescribe toric lenses to the patient which as you must already know, have spherical and cylindrical components with opposite signs as we are treating mixed astigmatism. The process of how a clear image is formed in this case will be illustrated using a strums conoid. This image is easy to find online or can be seen in a lot of basic ophthalmology textbooks. Here the different meridians come to focus on the retina such that they produce a circle of least confusion this makes the image of the object form with any distortion on the retina. Anywhere in front of or behind the circle of least confusion, the image will be defocused. I hope this helps." + }, + { + "id": 9961, + "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": 17573, + "tgt": "My TSH value is 13. 38. Am I suffering from thyroid?", + "src": "Patient: Hi doctor, My\u00a0TSH value is 13.38. Am I suffering from thyroid? Please suggest me. Doctor: Hi. Revert back with the required details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12128, + "tgt": "How can a fungal infection be cured?", + "src": "Patient: Hello doctor, I am suffering from fungal infection from the last two years, continuously used many ointments but no benefit observed such as Ketoform, Dermiform, Sertaconazole, Luliconazole, Ring ring , Btex, Ring Guard and currently using Dermex cream. Please give me appropriate medicine name or advice. Doctor: Hello. You have tinea corporis. The creams that you have used are steroids that are not to be given for fungal infection. Application of these creams has aggravated your situation. Topical treatment can be used for relief but you need to be started on oral medicines for complete relief. To start you on oral medicines, you first have to get LFT test done and then follow up with the report. Meanwhile, you can use the creams mentioned below for now. Tinea corporis. LFT. 1. Lulifin cream twice a day, Amlorofine cream twice a day. tablet Levocetirizine 5 mg twice a day for itching." + }, + { + "id": 29749, + "tgt": "When I get cold, my sinus goes crazy and I get bloodshot eye. Please help me", + "src": "Patient: Hi doctor, I have an issue that has been ongoing now for six months. It all started 4 years ago when I woke up with my right eye blood shot. I was not hit or I do not recall any type of injury that caused this. My eye doctor sent me to a specialist. They could not see inside the eye for the blood. I left with eye drops for inflammation and for light sensitivity. About 10 days after I woke up with the bloodshot eyes, my eye pressure was really bad. The specialist had to go in surgically to remove the pressure. All went well and things seem to get better except for my eye would never clear up from being blood shot. About 1.5 months later, I got what I thought was a cold. After fighting it with over-the-counter stuff, I went to a local clinic to get some antibiotics. A month later, I got a cortisone shot and more antibiotics and that did it. I got well for the rest of that year. I continued to use the eye drops, but could not get rid of the bloodshot eye. A year later I got sick with a cold again, and this time, at the same clinic, they gave me a cortisone shot right away with the antibiotics. This did the trick again for another year. Now, when I get the cold, my sinuses go crazy with running nose and bad eye watering. I lost the vision in my right eye when I woke up that morning that started all of this. The right eye was a lazy eye all my life, so at best, I had 20/300 eye sight, legally blind. I had a little peripheral vision at best. Now also, when I get a cold and my sinuses are going crazy. My good eye is very sensitive to the light. As the cold seems to happen more and more, my eyelid has dropped and looks like it is almost closed like it did when I was a kid. I have been fighting this sinus thing now. I hate taking antihistamine and over-the-counter stuff to combat this. I have been to an allergy specialist and I was borderline allergic to a couple of things, but was not allergic to anything in particular. I had a prosthetic eye put in to help hold the lid up and make the right eye look close to the left eye, esthetically speaking. None of this has stopped the sinus from going crazy or stop me from taking antihistamine. Have you heard of anything like this? Could it possible that sinus next to my eye is causing this? I can put spray in my nose on my right side and almost taste it right away. When I put the spray in the left side, I do not taste the spray like that. One last piece of information for you. When I got my tonsils out as a kid, I had a polyp taken out of my sinuses. Doctor: Hi, Welcome back to icliniq.com. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 5770, + "tgt": "Can teething cause diarrhea?", + "src": "Patient: Hi doctor, My baby is 6 months old.\u00a0For the past couple of days, he is suffering from diarrhea (watery stools and green type stools) five to seven times a day.\u00a0His gums are also hard and red, may be teething.\u00a0Currently he is on antibiotics, multivitamins and some medicines for diarrhea. I would be grateful for your advice on him. Doctor: Hello. Revert back after 15 days to a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 25344, + "tgt": "My son is active but his weight and height are of major concern. Kindly help", + "src": "Patient: Hello doctor,My child is 3 years 1 month now. His birth weight is 2.7 kg. At the end of the first year, he was 7.5 kg. At the end of the second year, he was 9 kg. Now he is 11 kg. He is extremely active and thoughtful but his weight and height are our major concerns. Kindly help. Doctor: Hello. I understand your concerns. From what you mentioned, your son is underweight. I suggest that you perform stool analysis in order to exclude any parasitic infection. Also, a hemoglobin test is required to exclude possible anemia. I suggest Dexorange syrup as a multivitamin. Please provide me with more information regarding his dietary habits. Follow up is required. Wish you all the wellbeing. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 888, + "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": 15822, + "tgt": "I am not willing to wear regular dental braces. Is there any other option?", + "src": "Patient: Hi doctor, I am 23 years old. I have a baby tooth. My mother also had a baby tooth when she was 19 years old. My doctor advises me to remove the baby tooth. I am not willing to have braces. Is there any option for me to have Invisalign or braces that cannot be seen or do I need to use regular braces? Doctor: Hi. Dentistry has a lot of development over these years, and there are a lot of options available. First of all, to get your braces, you need to extract your baby tooth. Apart from metallic braces, there are other types of braces also. For example, ceramic braces, it is a tooth-colored material. There are lingual braces too. It is placed on the inner surface of the tooth, and it is not visible from outside." + }, + { + "id": 10884, + "tgt": "Would vagina close due to psychological reason?", + "src": "Patient: Hi doctor, I noticed that for the past three months, I have had vaginal infection. But, all the tests were negative including vaginal swab and urine, which was done last month. I would like to know whether the vagina closes due to psychological reason. For example, when one do not want to have sex with someone. Please explain. Doctor: Hello. It is called as vaginismus. It is muscle spasm causing contraction of vagina. It happens due to various psychological issues. It could be due to guilt of sexual activity and some unconscious unresolved issues. It could also be due to dislike of partner. It needs counseling and medicines." + }, + { + "id": 24325, + "tgt": "Please explain molecular karyotyping report taken after miscarriage", + "src": "Patient: Hello doctor, I had a miscarriage and vacuum Aspirin procedure a month back. The miscarriage was mostly due to low FHR as evident in the report (bradycardia at 6W3D). I had spotting around 10th week and doctor reported it as a missed abortion. I also had high TSH around 6.7 and was on 25 mg Thyronorm every day. Please let me know your detailed view based on the molecular karyotyping report. It has been around two weeks since the procedure. I am feeling better; however, do not feel completely normal or energetic yet. I get exhausted after few hours of going out (without any strenuous activity). Initially, had pain in the waist and abdomen. Now I feel like my waist is still fragile and not sure if I should start normal exercises or still be cautious. I am not working currently for some time and taking adequate rest. Given my age, TSH count (was almost 6.7 TSH last month) and other reports need your complete guidance on how to proceed further. I take 50 mg of Thyronorm every morning on empty stomach and 1 folic acid 5 mg (Folivate) late evening after dinner. The course of medicines after the miscarriage has been completed (five days course). Bleeding is almost negligible these days. My Vitamin D levels are low so should I again continue with Uprise tablet once every week along with Becosule tablet? I have migraine issue for the past three to four years. It is more in control since last two years; however, I still need to take 1 Naxdom 500 (once every three to four days average) which is an emergency painkiller. In terms of general health, normally I tend to get exhausted or tired or fatigued or sleepy very soon. All this combined with the tendency to get highly stressed out frequently. The conditions demand some kind of special medications for sure I feel for my future normal pregnancy. Please note that my AMH was pretty low as well a few months back when I got tests done. Are there good books or online websites you can suggest that also act as a guide for me, please? Please suggest me all the possible tests I should get done at this stage to be absolutely sure of any complications that we should be aware of. Given my age and general health, I want to take all possible measures. The laboratory tests performed are molecular karyotyping, general blood, thyroid, pregnancy tests, AMH, Vitamin D. Doctor: Hi. How are you doing? I am very sorry for your loss and do understand the mental stress which you are presently suffering. But let me start on a positive note that you are fine and will surely have a healthy pregnancy. Do not worry about your age and do not feel you are aged, up to 35 years you have a very bright chance of pregnancy. Many get married at this age. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 15263, + "tgt": "I have an abscessed tooth. How long will it take to spread?", + "src": "Patient: Hi doctor, I am 26 years old female. I have an abscess in my tooth for over a year now. I am getting it infected for the second time now. The previous infection was before six months. It is present at the bottom of one of my lower molars. It hurts me a lot. How long will it take to spread throughout the body? Doctor: Hi. There is a less chance to have the infection spreading to the whole body. But, sometimes, it happens when the swelling gets increased and when the fever becomes uncontrollable for two to three days. There is a chance to have a cystic lesion due to the chronic infection. You can treat it either by doing a root canal or get it removed as soon as possible. During the meantime, take Augmentin 625 (Amoxycillin with Clavulanic acid) twice daily for five days. It will eradicate your infection at this stage, and it prevents further spread." + }, + { + "id": 12003, + "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": 5857, + "tgt": "Kindly explain the management of self-hatred and low self-esteem", + "src": "Patient: Hi doctor, I am concerned about my friend's self hatred. She is 23 years old. The problem with her is that even though she is a really helpful and benevolent person she hates herself and her existence. She always wants to stay sad so that she does not have to fall to low when a sad event occurs. This causes her to stay isolated at times and stay in the corner of a room for prolonged period of time. But yes normally she does not let other people understand this and acts as if she is not sad. Deep inside she thinks she is a burden and a worthless person and hates herself for not being better. She is sort of a perfectionist. She also feels insecure about almost everything in her life. This condition leads her to develop insomnia, and she drinks a lot of coffee too. She eats hardly once every 24 hours and hates doctors so never vistis them. I am seeking help on behalf of her. I need to know professional opinion on what should be done to save her from this loop of selfhatred and sadness that has been adversely affecting her life for more than 4 years. Doctor: Hello. It is heartening to note that you are actively trying to support your friend. From your description, it is possible that your friend is experiencing some depressive symptoms. Cognitive distortions, thinking errors can be present in these situations which can lead to vicious cycle of emotional problems. Does your friend have any stressors or adverse life events which could have lead to her low self-esteem and self-hatred? She will benefit by opening up and talking about her issues with a counsellor and/or a psychiatrist. She will benefit by getting an objective professional opinion and develop better coping strategies. Obviously your friend needs to accept and consent to seek professional help. Meanwhile try to continue supporting your friend. Talk to her regularly. Minimise her self-isolation. Try to not take things personally if she gets irritated. Gently persuade her to take up regular exercises. Start off by walking regularly for 15 to 20 minutes daily and gradually built up physical activities. Encourage her to eat healthy and regularly. Avoid too much coffee as it will not be helpful. Try to schedule regular fun activities like watching movies, playing together. Encourage her to seek professional help. She can talk to the counsellor." + }, + { + "id": 1350, + "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": 20504, + "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": 11956, + "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": 6560, + "tgt": "I am getting cramps after intercourse. Is this a sign of pregnancy?", + "src": "Patient: Hello doctor, I am planning my second baby. We had unprotected sex. My last month periods were twelve days before that. Two days after the intercourse, I got cramps. I visited the doctor, and she said you are ovulating. Still, some cramps are there, and there is a white watery discharge. My periods are due on the 13th of next month. I do not know if I am pregnant; only my breast is getting heavy a bit. Doctor: Hello. It is true that you should have some pain while you are ovulating. But ovulation pain mostly lasts for four to five hours only. If it is from seven to eight days, then it can be due to some other reason like acidity or stomach infection, which leads to some cramps. White discharge is normal, but it may suggest infection due to which you are having pain. If you are planning for pregnancy and pain is tolerable, then I would suggest not to take any medicine for it. Wait up till 13th, and if menses do not come, then do a urine pregnancy test after three or four days. Heaviness in the breast is maybe normal before menses. If you still doubt that something is wrong and you have minimal bleeding on the last menstrual period then do urine pregnancy test today itself and not to wait up to 13th of next month. And if the pain is not tolerable, then you can take Paracetamol like tablets as a painkiller." + }, + { + "id": 8372, + "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": 11288, + "tgt": "Is the red spot on my nose something serious?", + "src": "Patient: Hi doctor, I have had a red like spot on my nose for a few months and would like to get it looked at. It does not bleed or change shape. I think it has been there for a couple of months. Doctor: Hi. I have gone through your case. Well in my opinion this red spot does not look ordinary to me (attachment removed to protect patient identity). It is highly suspicious lesion as its margins look rolled up and it is present on sun exposed site as well. I am not scaring you but in my opinion it should be biopsied as early as possible as unfortunately my differential diagnosis is basal cell carcinoma untill ruled out on biopsy. Do not scratch it or apply anything. Just regularly apply any sunblock during daytime. And get your appointment done with your GP or local dermatologist as early as possible. Take care. 1.Sun exposure. Skin biopsy Sunblock." + }, + { + "id": 30344, + "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": 21011, + "tgt": "How can we treat a bloated stomach present with loose stools?", + "src": "Patient: Hi doctor, I am a 43-year-old female. I have bloating and loose stools for the past two days. There is no cramping and vomiting. I do not have any other issues. Please advice. Doctor: Hi. Most likely, you are suffering from viral diarrhea. Take a combination of Pantoprazole and Domperidone once daily for three days. Take a probiotic like capsule Vizylac (Folic acid and Lactobacillus sporegenes) twice a day for three days. Drink plenty of fluids and oral rehydration solution. This type of viral diarrhea usually does not require antibiotics and settles within three to five days." + }, + { + "id": 7473, + "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": 13090, + "tgt": "Is surgery the only option to treat prostate cancer?", + "src": "Patient: Hi doctor, My father is 58 years old. He suffers from frequent urination and urgency to urinate. An ultrasound, blood tests, biopsy, and a bone scan was conducted. Bone scan did not show any metastasis. He was advised to take a pelvis MRI 15-20 days after the biopsy. He was diagnosed with prostate cancer. Initial PSA was 45.4. It was suggested that a radical prostatectomy should be performed. I am in need of a second opinion now. I would also like to know the difference between open surgery and robot-assisted surgery. Doctor: Hi. From the reports submitted (attachment removed to protect patient identity), it is clear that your father has prostate cancer. From MRI, we can know the exact size of the tumor. It will also help in staging and we can get to know is there any spread to the nearby lymph nodes. As the bone scan is normal, there are no distant metastases. Plan of treatment is usually drawn after MRI, but it is most likely that your father has a localized, moderate grade prostate cancer (based on ultrasound report). The best option would be surgery that is the removal of the prostate and pelvic lymph nodes which can be done by open or robotic methods. The robotic method has the advantage that it gives better access for the surgeon with magnification and so the chance of complication is less, but it also depends on the surgeon. If the surgeon is experienced and well trained in a robotic way, then it is better to go with it or else open method of surgery can also be done. By chance, if the MRI reveals extension of cancer beyond prostate, surgery may not be possible, and radiotherapy would be preferred." + }, + { + "id": 17883, + "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": 139, + "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": 12738, + "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": 27572, + "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": 22506, + "tgt": "Will frequent masturbation cause any effect in sex life?", + "src": "Patient: Hello doctor,I am frequently doing masturbation daily. Due to that, I am suffering from back pain and also a pain in my penis. Is there any effect in sex life? How to overcome this and what ayurvedic supplements are used to gain and improved sex life? Please help out this situation. Doctor: Hello. I just read your query. See you can overcome the problem of excessive masturbation only with your strong willpower. So be determined that you will not do it excessively. Try to distract your mind with the help of other positive things. Back pain can be due to many causes so visit a nearby physician and ask for the examination and take treatment accordingly rather than taking random treatment. You do not require any supplements right now to increase your stamina. Do not take anything without any indication because it can affect you in the future. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16340, + "tgt": "I have low temperature. Is it a matter of concern?", + "src": "Patient: Hello doctor, I am an 18-year-old female, approximately 5 feet, and weigh 115 pounds. I have not been feeling myself the past few days. So, this morning I checked my temperature and it was 97.5, and now it is 96.1. This worries me as my temperature normally stays around 98.9. I am feeling worse today but cannot pinpoint exactly what is wrong. I just generally feel bad. Is this something I should worry about? Doctor: Hello. If the core body temperature drops below 95 degrees Fahrenheit it is a potentially serious condition and immediate treatment must be sought. If you already feel unwell it would be a good idea to go to the ER now given the temperature is 96 or dropping. Also, keep yourself warm. If you have been cold lately, this could be a cause. If this often happens you might want to get your thyroid and adrenal hormones checked out. Exposure to cold weather. Keep yourself very warm and go to ER if temperature does not rise or continue to fall as soon as possible. Stay away from the cold." + }, + { + "id": 20687, + "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": 912, + "tgt": "I am allergic to almost all foods with swelling in the back of the mouth and throat. Please help", + "src": "Patient: Hello doctor, I am having severe allergic symptoms to almost every single food I eat and not really sure what to do. For the last year, I have been developing what seems like IgE type allergic reactions to literally every single food I eat. It is getting really bad. These potatoes I have been eating for the past month now cause swelling in the back of my mouth and throat that makes me choke so I had to stop eating them. Other foods cause different types of reactions like frank diarrhea. Please help. IgE, IgG and IgA antibodies normal, IgE skin prick testing normal, C1 inhibitor slightly low, cortisol low (ACTH stim test not performed), fasting hypoglycemia (testing for insulinoma negative so far), and I have mild heart dysfunction (diastolic). Doctor: Hello. I have gone through your query and can understand your concern. As you rightly said there might be an allergy for a particular type of food you eat. You may have allergy probably to one particular type of food. You need to observe keenly over getting symptoms after eating a particular type of food. You have been eating potatoes for a month and then getting symptoms is little unlikely. If at all it is because of potatoes you should get it immediately after eating and not after eating for a month. Most of the people will have an allergy to milk and milk products or lactulose intolerance. Most common food products that cause allergy are milk and milk products, eggs, fish, nuts like almonds, cashews, peanuts, walnuts, soy, or wheat (as seen in patients with celiac disease or non-celiac gluten sensitivity). Have you been evaluated for other gastric disorders by a gastroenterologist? It would be better if I could see all your reports and treatment given so far by your doctor. You need to observe keenly about the food type that is causing the allergy. Avoiding the food that is responsible is the best way to avoid allergic reactions. Make sure you have always with you all emergency medications needed to be taken in an emergency. As anaphylaxis and other allergic reactions can be dangerous at times. Kindly get back with the above details, your further queries and reports if available for further discussion and management." + }, + { + "id": 26752, + "tgt": "I observed small painless dots in the penis. What could they be?", + "src": "Patient: Hello doctor, I recently observed small painless dots in the\u00a0penis. What could they be? Doctor: Hello. Revert with more information to a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 9743, + "tgt": "Why is there pain in lower back when I lie on a sofa or bed?", + "src": "Patient: Hi doctor, I have pain in the lower back when I lay on a sofa or bed. When I stand, I have the pain in my back. This symptom appears only in the evening. It never happens in the morning or afternoon. I have taken X-ray and analytics. The results are: SV 1 spina bifida. There is a mild tilt of the lumbar spine to the left side. ESR for the first hour is 42. The second hour is 79. ASO: Negative. CRP: positive 15.2. RF: Negative. I took medicine to cure sedimentation rate for only a month before two years. Doctor: Hi. I understand your concern and would explain that your symptoms (local back pain when laying) could be related to the spina bifida. I do not think that there is any bulging disc or nerve compression. Anyway, I would recommend performing a lumbar spine MRI (magnetic resonance imaging) study to examine the spine better. I would recommend performing physiotherapy to improve your situation. Local warm packs can also be helpful too. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8511, + "tgt": "Could wearing glasses with some change in power cause headache?", + "src": "Patient: Hello doctor,I have been wearing the same eyeglasses prescription for a few years now. I recently had another eye exam, and not much has changed. However, every time I put my current glasses on I starts feeling dizzy. My vision does not seem quite right, and it is giving me headaches. They did adjust my glasses as they thought they were off a bit. That has not seemed to help so curiously what your thoughts might be on this. Doctor: Hello. Eye strain after a change of glasses might be due to over or under correction of glasses or improper spectacle frame and centration. So you need to recheck your refraction and lenses whether they are dispensed according to your prescription. If you are having trouble in near-vision or near work, then it might be due to presbyopia. Presbyopia usually starts at 40, but some people might have problems after 35. Other symptoms like headache, neck tightness, and shoulder pain might be due to other causes like glaucoma. So you need a complete eye exam and intraocular pressure IOP check along with the retinal exam. Your doctor might suggest a few investigations if required. You are most welcome for any queries." + }, + { + "id": 30570, + "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": 19541, + "tgt": "Why am I having gums and face swelling with pain in capped teeth?", + "src": "Patient: Hello doctor, I have two capped teeth in the top right back of my mouth, and they hurt for three days, but on the fourth day, I woke up and my face and gums were swollen. On the fifth day, I woke up and it was swollen double the size. There is no pus bubble, the gums are just swollen. The pain is unbearable. Doctor: Hi. I have gone through your question. I can understand your concern. As per your history, it looks like you are having buccal space infection because of the concerned teeth. The infection is spreading and it needs immediate management. You need to take the following medication, tablet Augmentin 625 (Amoxycillin and Clavulanic acid) twice daily for five days, tablet Zerodol SP (Aceclofenac and Serratiopeptidase) twice daily for three days. Kindly send me a picture to help you further. Secondary caries. OPG X-rays. Acute apical periodontitis. Buccal space infection because of the apical periodontitis. Medication as mentioned above." + }, + { + "id": 22078, + "tgt": "Are my diarrhea and fever due to HIV or food poisoning?", + "src": "Patient: Hello doctor, I am having some queries on HIV. I had protected sex with a call girl four weeks back and do not know about her HIV status. I heard from her, she lost weight in recent months and also has cough. After two weeks, I got diarrhea, itching and feverish feeling. I then consulted a doctor and he said it is food poisoning. I checked HIV through P24 combo test and the result was negative. Again, on the 23rd day, I checked through Rapid test and result is negative. From the last four days, I am having itching, twice bowel movement, and headache from yesterday. Again, the doctor told it is food poisoning. I am worrying, is this sign of HIV? When do I need to be tested again? What are the symptoms? Doctor: Hi. Call girls are high-risk group for HIV infection. Your complaint of diarrhea and fever may be due to anxiety causing increased bowel movements and increased core temperature causing fever. Rapid tests will be negative for 45 to 90 days. It is too early to have diarrhea and fever from HIV infection. Get tested for fourth generation HIV tests after 45 days. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7740, + "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": 15448, + "tgt": "What is the reason for right side chest pain with heaviness and burning sensation?", + "src": "Patient: Hello doctor, I am experiencing right side chest pain for the past four weeks. The pain originates just below the right-hand side rib cage. The pain never occurs on both the areas simultaneously (right side below the last rib and the other area right upper chest). Pain, heaviness, burning sensation moves from one area to the other area (as mentioned above). USG upper abdomen reports say hyperechoic area 4.7 mm is seen in the right lobe of liver suggestive of calcified hepatic granuloma. Blood test, urine test, PFT test reports are normal. The same pain I had experienced two years back. Earlier reports also uploaded. It lasted for about 1 to 2 months. But this time the intensity of pain is more (just below the right rib). Doctor: Hello. From your clinical history and attached report, there is no obvious cause of your severe pain. Calcified granulomas usually do not cause pain. Although looking at your old CT chest and current USG (attachment removed to protect patient identity), I would want to investigate more for tuberculosis (as a separate issue, not as a current cause of pain). Coming back to pain, it sounds like it may be musculoskeletal in origin or acid peptic disease. Particularly if the pain is more on moving, it may point towards musculoskeletal in origin. I would also suggest an EKG to be sure we are not missing anything cardiac. With discussion with your doctors, you can discuss regarding acid suppression therapy along with some muscle relaxant for few days if it helps." + }, + { + "id": 11442, + "tgt": "Other than Elocon, which ointment can I apply for rosacea?", + "src": "Patient: Hi doctor, I have steroid induced rosacea. In my childhood I was prescribed Elocon and ever since I have been using the same for my entire skin problem. Hence, if I did not use then my skin starts reacting with itchiness, redness and flushing.\u00a0I am having this problem for than 10 years. Also, I am allergic to dust.\u00a0I want to get rid of Elocon without any oral medicine. Please help. Doctor: Hi. Revert back with the photos to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14795, + "tgt": "Why is my CBC showing increased eosinophil count?", + "src": "Patient: Hi doctor, I took a CBC test a few days back. Is everything normal? My eosinophil count has increased from 3 to 6 and I am worried as the normal range is 1 to 6. Can you please get back to me on this and if it is fine? Absolute is slightly high but within range. Please let me know if everything is alright. Doctor: Hello. I have seen your complete blood count report and understood your query regarding about eosinophilia (attachment removed to protect patient identity). First of all your reports are normal and counts are also normal, no need to worry regarding this. Your absolute eosinophils count 480 is within the normal range, and of course, in percent form, it is higher normal levels up to 6 %. If we will talk about eosinophilia if more than 500 cells divide into three categories of mild, moderate and severe. It is called eosinophilic syndrome when it is more than 1500 cell for more than six months. If we talk common cause is a simple parasitic infection, any allergy like rhinitis or skin eczema, up to blood malignancy. So you do not have to worry as you said your eosinophils count has increased from 3 to 6 % until you have any symptoms like rashes, pruritis, breathing difficulties, diarrhea, arthralgia. Repeat your absolute eosinophils count after three months, or if you have any symptoms above, then contact me. Otherwise, it is not significant." + }, + { + "id": 6970, + "tgt": "I have pink eye. Can I have sex?", + "src": "Patient: Hi doctor, I have pink eye. Can I have sex with my wife as we are trying for pregnancy? Please suggest. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2887, + "tgt": "I take Fluvoxamine for OCD and do not get sleep with scary visions. Please help", + "src": "Patient: Hello doctor, I have been diagnosed with OCD. My doctor also briefly talked to me about schizotypal personality disorder. I am currently taking Fluvoxamine 200 mg at night, Risperidone 2 mg at night, and Modafinil 100 mg in the morning. It has been well controlled for more than four months now. (90% reduction in symptoms). For the past two days, I have not been able to sleep because I have been seeing shadows moving at the periphery of my vision. It scares me so much and when I try to close my eyes I can hear certain noises like laughter or someone moving around. This only happens when it is mostly dark at night. For this reason, I have not slept the first night and somehow fall asleep very late (3 AM) the second night. Can you tell me what is causing this? Doctor: Hello. What you are experiencing is called hypnogogic hallucinations which occur normally when sleeping sometimes, but in your case, it is due to the Modafinil. It is known to interfere with sleep and also cause hallucinations. Also, the metabolism will be slowed by Fluvoxamine and it lasts longer. You should not take it. It does not affect OCD (obsessive compulsive disorder) and I would just advise you to stick to Fluvoxamine and Risperidone and if possible, do some sessions of CBT (cognitive behavioral therapy) from a clinical psychologist. Also, it is advisable to not suddenly reduce the Modafinil, but taper it slowly. Take 150 mg for three or four days. Then 100 mg for a week and then 50 mg and then stop. Also, with 90 percent improvement, you can consider either reducing the dose of Fluvoxamine or also try taking 50 mg in the morning and 150 mg at night, instead of 200 mg all at once. It will give you better results." + }, + { + "id": 16256, + "tgt": "What are the available options to treat acne scars?", + "src": "Patient: Hi doctor, I have acne scars. What are the treatments followed to make the acne scars go away? Doctor: Hi. Acne scar treatment depends on the type of scar. Boxcar scar is a superficial one. It can be treated with microdermabrasion combined with peel, and dermaroller. Ice pick scar is a small deep scar. It can be treated with TCA CROSS (Trichloro Acetic Acid chemical reconstruction of skin scars) procedure. Rolling scar needs subcision (minor surgical procedure) and fractional Co2 laser. Hypertrophic scar requires treatment using an intralesional injection of Triamcinolone acetonide to flatten it. Please attach your clinical picture soon so that I can guide you further." + }, + { + "id": 5375, + "tgt": "I have blurred vision, pain in eyes and swelling on the right cheek. Am I having sinusitis?", + "src": "Patient: Hello doctor, I have a blurry right eye, pain in eyes and slight swelling on the right cheek for a week. Can this be a sinusitis issue? Doctor: Hello. Sinusitis complications can result in cellulitis around the eye, pain and decreased vision. Mostly ethmoidal sinusitis can cause this problem. Internal to cheek is maxillary sinus which if infected normally does not cause visual disturbances. However, any maxillary sinus mass pushing the globe of the eye upwards can cause visual problems. To be sure of the same we need to take a CT (computed tomography) scan of paranasal sinuses to see the exact anatomy of your sinuses and also any pathology present in the same. For how long have you been having the cheek swelling? Do you have pain? Any loose tooth, painful tooth, or infected tooth? Any difficulty in swallowing or breathing? Any color change of the overlying skin of cheek? Have you suffered a sinusitis problem before? Do you get headaches or facial pains? Have you had any treatment for the same before? Regarding eye problems, I suggest you consult with an ophthalmologist in our panel for the best treatment. Meanwhile, kindly elaborate on the details I have asked you so that we can find if indeed you have a sinus problem that might be causing the blurry eye. I hope this helps. CT scan PNS (paranasal sinus). Complete blood count. Avoid dust smoke winds. Take plenty of warm water. Take food rich in all nutrients required by the body. If any previous prescriptions or hospital discharge cards or investigation reports are present, and if relevant to this problem, kindly attach those with the next query." + }, + { + "id": 7215, + "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": 15047, + "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": 19811, + "tgt": "Please suggest some medicine to improve premature ejaculation", + "src": "Patient: Hi doctor, I am a 36 year old unmarried male. I have been suffering from premature ejaculation for the past 12 years. As my friend suggested, I am using Suhagra 50 mg pill before intercourse and had good erection. During my first time intercourse, I had very quick ejaculation. I was able to hold my ejaculation for the second time. I feel I am not getting full erection and the size also got reduced compared to earlier. Even though I spent more time on foreplay, I am ejaculating quickly. Right now, I stopped using Suhagra 50 mg. I have also\u00a0undergone hair transplantation a year back and taking Finax 1 mg and Biotin daily.\u00a0I have tried ayurveda medicine too, but no improvement. Please suggest me some medicine to improve my sexual health. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6847, + "tgt": "To cure brain tumor, does it require to undergo multiple surgeries?", + "src": "Patient: Hello doctor, Based on a review of the attached file or report, kindly clarify the following queries: 1. Is it non-cancerous? 2. How severe is it, and will it require multiple surgeries? 3. Is it completely curable with medicines, as my doses are reducing? 4. Are there possibilities of reformation of tumors or any other issues due to surgery in the future? 5. Are there any serious side effects of these medicines, and do the medicines need to be changed in case of marriage? 6. What are the implications of chronic SDH, which is mentioned as a new finding in the latest MRI report? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). The answers to your questions are as follows: 1. Central neurocytoma is not a cancerous tumor. However, depending on the grade of the tumor, it can have a recurrence. 2. The goal of surgery currently is to achieve safe maximal resection of the tumor. If some portion of the tumor is left behind, it can be addressed with adjuvant therapy, such as radiotherapy. Again, the histopathology will guide us on whether adjuvant therapy is required or not. 3. The medications provided are not to cure the lesion. There is no medicine to cure this tumor. 4. And there are possibilities for recurrence of the tumor. 5. There are side effects of the prescribed medicines. But, generally, the medicines are safe except for the women intending to get pregnant, and the medicines need to be changed in case of marriage. 6. There are no implications of chronic SDH (chronic subdural hematoma), which is mentioned as the new finding in the latest MRI report." + }, + { + "id": 24429, + "tgt": "The fourth generation combo test is negative. Am I risk-free from HIV?", + "src": "Patient: Hello doctor,I had protected vaginal sex and unprotected oral sex with CSW and for peace of mind, I tested with HIV fourth generation duo combo (Ag/Ab) test and RT PCR viral load test at 23 days from exposure. The fourth generation combo test came negative and RT-PCR viral load came below the detectable limit. Can my test be conclusive? Am I risk-free from HIV? Doctor: Hi. Protected sex is safe as far as risk of HIV is concerned. Insertive or sex has a negligible risk of transmission of HIV. As far as testing is concerned, only a four-week fourth generation HIV screening test is considered reliable. Though even that has to be followed up by a 12-week screening test for a conclusive result. RNA PCR (polymerase chain reaction) is a very sensitive test early on after possible infection. A negative test at 23 days is fairly conclusive. A fourth-generation HIV screening test has a window period ranging from 18 to 45 days. Whereas RNA PCR has a short window period of 9 to 13 days. Therefore both the tests taken together reliably excludes the risk of HIV. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 26367, + "tgt": "I have pain in the whole eyeball and I have blurry vision. How can this be treated?", + "src": "Patient: Hello doctor, About 45 days ago, I received a trauma to my right eye in a street fight, after which a large part of the cornea became blood red. After three weeks, the redness went away and the eye started looking normal, but I am still having a lot of discomforts. I am listing all the symptoms below. There is a pain in the whole eyeball and sometimes in the bony region surrounding the eye. A mild dull pain which goes away on some days. It is particularly noticeable after spending a few hours looking at the phone or a computer screen. There are difficulty and mild pain in eye movement and focusing. There is a\u00a0slightly blurry vision and increased watering of the eye. There is a feeling of something caught in the eye. Photo-sensitivity in the affected region of the eye especially noticeable upon opening the eye first time in the morning. A tiny light grey scar in the affected area of the eye. Awareness of the affected eye. It also feels like I am seeing with only the unaffected eye. The eye becomes slightly red after taking bath or splashing water and remains so for about an hour.\u00a0None of the above symptoms were present before the trauma. The unaffected eye is free from all those symptoms. Both eyes look perfectly normal and white except for the tiny scar in the affected eye, though I am not sure if it is a scar. I went to an ophthalmologist earlier this month and he said that there was swelling in the eye and everything would become normal soon. He prescribed two eyedrops which I am attaching here. After the\u00a0treatment, the symptoms became milder and less noticeable than before but did not heal completely. So, I went to another ophthalmologist two days back. He examined the eye and said it was normal and only prescribed artificial tear drops. He checked power too\u00a0and said there has been no vision loss in the affected eye but things do look more blurry with that eye. I was not convinced with his opinion because I am feeling all the symptoms I listed above. I do not\u00a0know what to do. Please help. Doctor: Hello. I went through the attachment\u00a0(attachment removed to protect patient identity). For more information consult an\u00a0eye care ophthalmologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14366, + "tgt": "Which drug can be advised to a hypertensive in whom spasmodic foods raise BP?", + "src": "Patient: Hello doctor, I have hypertension. 138 mmHg systolic, 80 mmHg diastolic, 82 heart rate. Spasmodic foods (like yogurt) make higher hypertension. Antispasmodic foods (alkali, basic foods) do not cause higher hypertension. Which drug can I take? 57 years old, 72-kilogram weight. Doctor: Hi. BP of 138/80 is considered as high normal BP. You did not mention any other cardiovascular risk factors which put you in the low-risk category. In the first instance, I recommend lifestyle changes with regular exercise such as 40 minutes brisk walk on daily basis, reduce salt and caffeine, and smoking cessation (if you smoke). If after three months of lifestyle changes your BP remains above 130/85 then we can consider adding tablets at this stage, you do not need any tablets." + }, + { + "id": 3393, + "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": 25162, + "tgt": "Can Loratadine help treat runny nose in a pregnant woman?", + "src": "Patient: Hello doctor, I am a 33-year-old female and I am pregnant. I have a cough and runny nose for four years. I am taking Loratadine only. Kindly suggest me an antibiotic. I am currently on tablet Loratadine, tablet Aldomet and multivitamins with folic acid, and tablet Aspirin. Please help. Doctor: Hello. It seems you are allergic taking Loratadine. You need to consult with your doctor. If bacterial lung infection is confirmed then you can start antibiotics. Apply Menthol Balm on the chest and shoulders to ease stiffness. Aerosol therapy can help together with multivitamins supplements. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1554, + "tgt": "I have mucus in throat and wet cough without throat pain or fever. What could cause this?", + "src": "Patient: Hello doctor, I have mucus on my throat resulting in wet cough especially at wake up. I observed no pain on the throat, fever, and sneezing. I am not taking any medicine but I am regularly taking steam, ginger, or black tea. I getting relief only in the chest but not effective on the throat. Kindly recommend medication. Doctor: Hi. You are probably having what we call as allergic pharyngitis where you usually do not have classical allergic issues such as sneezing, watering from the nose, but only having mucus and phlegm formation in the throat which causes stickiness, irritation, and sometimes cough. What can be done? 1. Avoid dust, smoke, or any irritative substance entering into the nose by wearing an n95 mask. 2. Salt water gargling at least 8 to 10 times a day for two weeks. 3. Keep sipping boiled warm water every two hours. 4. Avoid cold, spicy, and oily food for the next one month. 5. Any gastric issues have to be treated in a proper manner. You can take tablet Allegra M (Fexofenadine and Montelukast) one tablet two times a day for 10 days, tablet Mucomix / Mucinac 600 mg one tablet twice daily for 10 days." + }, + { + "id": 9549, + "tgt": "Is it safe to take alpha-lipoic acid and L-lysine together?", + "src": "Patient: Hello doctor,Can I take alpha-lipoic acid and L-lysine together? Also, does L-lysine help in dizziness? Doctor: Hello. I understand you are concerned about the drug to drug interactions and also L-lysine role in helping dizziness. L-lysine has no established role in helping with dizziness. Although there are some studies showing benefits to some extent, in patients with chronic anxiety, especially when taken with L-Arginine. Because there is no reported interaction between the two drugs, you are concerned about alpha-lipoic acid and L-lysine. We cannot say for sure if an interaction exists or not. It may be because no much research is conducted on these two chemicals. Lysine, however, can increase the amount of calcium absorbed in the body, so avoid taking large amounts of calcium supplementations along with lysine. Anti-diabetes drugs have strong interaction with alpha-lipoic acid, and anti-cancer drugs (chemotherapy) has mild to moderate interactions reported. I hope it helps. Ask more if you need further assistance. I would be happy to help." + }, + { + "id": 22157, + "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": 12792, + "tgt": "What is causing pain in left abdomen?", + "src": "Patient: Hello doctor, I am 35 years old, female. I went to the emergency room a few days back. The CT scan was done to check my ovary and when I look at my blood work for the past few years, I was wondering if there was any relation between some of the rising levels especially if anything is not functioning apparently. I keep getting dismissed as if there is nothing wrong. I am pushing for MRCP, but I keep losing weight and most of the pain is on my left side even though my dysfunctional gallbladder is in the right side but I know this pain is on the left side. Would you be suspicious of cancer, based on these results? Doctor: Hello. Your attached reports are not suggesting any specific cancer (attachment removed to protect patient identity). The left-sided abdominal pain could be due to gastritis or diverticulitis. For that, fiber diet can be taken more and antacid like Rabeprazole can be prescribed. Avoid the intake of excess spicy foods. If you are taking excess stress, then weight loss can be due to anxiety. So rule out anxiety problem as well. Your urine report shows the presence of blood in the urine. So, urine routine microscopic examination should be done to rule out urinary tract infection. PT, APTT, BT like primary coagulation study also can be done. As your spleen is mildly enlarged, I recommend you to consult nearby MD internal medicine specialist for your detailed evaluation. As far as the attached report is concerned, it does not suggest any specific cancer." + }, + { + "id": 12317, + "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": 7768, + "tgt": "Why are there redness, inflammation and swelling in my glans penis after intercourse?", + "src": "Patient: Hello doctor, I hope someone can help me. About 20 days ago, I started feeling pain after sex. I noticed part of glans penis and foreskin (near frenulum) is red, inflammed, and swollen. I thought the problem could be caused by hard and vigorous sexual acts (protected sex) I had in the previous days and weeks. I received oral sex (without condoms) with some girls in the previous days or weeks. In the 1st case, the friction of sex could have irritated skin of my penis. In the second case, I guess the pain and the red spots could be related to infection (bacterial or viral). The first doctor I visited (general practitioner) told me to apply Canstean cream and use Ciprofloxacin to treat urinary tract infections. After two days, I felt sick and pain in the testicles. Also, the cream did not improve the conditions of my penis. So then I visited the urologist who told me to interrupt Canesten and Ciprofloxacin and to use a Zinc oxide cream. I applied that on foreskin and glans. After two days the problem got worse because the cream was too thick and I felt pain just touching that area. I called the urologist who suggested me to stop with that product and to use a cream that contained Chlorhexidine. After one week, the problem was not solved. The urologist suggested me to contact a dermatologist, and that is what I did. He noticed just like a cordon in the foreskin, near the frenulum and so he told me to apply advanced cream that is a topical corticosteroid for two weeks. Moreover, the doctor prescribed an echo to check the cordon. The echo was negative. Even if I was told, this examination is not complete. I should have done a penile ultrasound with a penis in erection. Next week I consulted a dermatologist again, but the situation is still bad. What can it be? Doctor: Hello. I have gone through your case. In my opinion, your first treatment with Ciprofloxacin and Canesten (Clotrimazole) was fine, but it should be taken at least for five to seven days, and some oral antifungal has also been added for proper cure. Ultrasound will not help in diagnosis and treatment.Please follow this treatment for five to seven days. I Hope you will be fine. 1. Tablet Ciprofloxacin 500 mg two times a day for seven days 2. Mix Canestan cream with Advantan (Methylprednisolone) cream in equal amount and apply two times a day for 14 days. 3. Take capsule Fluconazole 150 mg once in a week for two weeks. 4. Drink plenty of water. 5. Maintain good hygiene. 6. Avoid rubbing and sex for next two more week 7. Avoid sweating." + }, + { + "id": 12384, + "tgt": "How to get treated for mental fatigue and tiredness?", + "src": "Patient: Hello doctor, I finished my MBBS and attempting to get a PG seat. I have the below mentioned problems for more than eight years and hence I am unable to get a PG seat. I am taking tablet Venlafaxine 300 mg for past seven months. Three weeks back, as I have few clinical symptoms of hypothyroid my physician suggested me to take tablet Thyroxine 25 mg. I feel 40% happy and better after using the tablet Venlafaxine. But that is not enough to crack the PG seat. My first issue is mental fatigue. When I study more than 4 hours or a new topic I feel more tired and have difficulty to wake up. I cannot squat or keep the hand raised or lift moderate weight for few seconds above the shoulder for some time. Lack of concentration or difficulty to mingle for some days after this attack. Back muscle ache and always seeking support for sit and do work. Easy propensity to go for sleep in morning hours during OP times. Also, afraid of PG due to this problem as sleep may attack while reading also. I get sleep while read and jump to some other topic in few seconds after coming out from that nap . If I read when I am alone then more tendency to go to sleep. Finally, more waste of time as I do not get sleep. If I go without sleep, more tiredness and severe discomfort. This fear gradually decreases over some days and again I will study and same steps are repeating. During morning times I hesitate to stand for some time and avoid those situations. Sometimes this becomes a problem as emergency patient needs my standing attention. If I read aloud less sleepy than when read inside but study rate is slow. Morning times feeling 40% weakness or loss of interest or loss of energy or sleepiness. Also if I stay alone the work or study productivity is not increasing. Sometimes somebody should stay with me to finish my tasks. Is this a kind of dyslexia? The second issue is physical fatigue and myalgia. Sometimes the body will be ready to meet the demands and work for more time, and I demand more work from staff at that time and other time I am in town and cannot ask others to work even too. Regarding neck pain, if I do any work on a laptop in my lap within 30 minutes, I am getting neck pain (last 5 years). Also, the same with a gold chain around the neck and legs in sitting position. Legs feeling so tired. So the fatigue, neck muscle strain, leg muscle ache while semi-stand or squat can give us the best guess to diagnose the problem. Burning of eyes is also observed during studies or excess physical work or excess protein content taken. I am suffering from on and off Plantar fascists of left foot from last 7 months. Why is it not decreasing fully? Doctor: Hi. I understand what you are going through. First, keep calm and patience. Be positive in your approach. Keep all doors open for opportunity. Accept the fact that cracking PG (post graduation) seat is not only because of hard work but 90 % luck. I have gone through your problem and can guide you on experience. Please accept whatever and whichever branch you get because later you might not get this also. Understand the ratio of seats to students appearing. Look for other options like DNB, diploma, family medicine, hospital management, emergency medicine, etc. No branch is good or bad but the thinking makes it so. You can excel in any branch with hard work and dedication. In today's world with much exposure and vast health industry, any of the fields can get due respect and recognition. Get yourself investigated. Consult a doctor personally. Please do not take any medication like that unless and until the reports confirm the diagnosis. Take a second opinion of a specialist doctor. Do take out time from study schedule to relax your mind and body. Too much stress and exertion can only reduce the final outcome and result. Walk in the fresh air. Do regular exercise. Listen to music. Watch a movie once in a while. Catch up with friends for a coffee, movie, etc., that is, do whatever activities relax you from stress. It is more about retaining what you read rather than the number of pages of books completed. It is a blind game. You never know what comes and from where. Since there is no syllabus so it is dicey to rely on. Take a healthy balanced nutritional diet." + }, + { + "id": 28541, + "tgt": "I masturbate daily. Is it safe?", + "src": "Patient: Hello Doctor, I masturbate daily. Is it safe ? Will it cause any problem? Doctor: Hi Consult a sexologist online with all the relevant details for further help --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7419, + "tgt": "Is there any medication to lower the triglyceride level?", + "src": "Patient: Hello doctor,I am a 40-years-old male, 171 cm height, 78 kg weight, went to annual body checkup, no symptoms, in the ECHO report it says mild PAH 45 mm hg, RVSP, TMT report is negative, and other heart reports are also normal. All other report blood report, X-ray, PFT, kidney, liver, ultrasound, reports are normal. Though I suffer from high triglycerides (200 to 300) since last five years, and before I took the echo test, I did TMT (treadmill test) 30 to 45 minute before, can it be as cause for mild PAH? How can I lower triglycerides, is there any medication which I can take for some time. Doctor: Hello. I guess you do not have any respiratory symptoms like cough, shortness of breath, etc. Mild PAH (pulmonary arterial hypertension) is unlikely to be related to exercise during TMT, as 30 to 45 minutes is enough time for the body to recover. However, since echo is an observer-dependent investigation, I would advise getting it repeated from DM cardiologist, if not done by one. I guess you do not smoke, which may cause similar changes. If repeat echo confirms PAH, then you ll need evaluation for the same. The assessment included a VQ scan (ventilation-perfusion scan), HRCT (high-resolution computed tomography) chest for the cause of PAH. Regarding triglycerides, besides a healthy lifestyle like avoiding oily, fatty, high-calorie diet, and regular exercises, you should have tablet Fenofibrate 145 mg once a day bedtime for six to eight weeks. I hope this helps you and get back if you have any doubts." + }, + { + "id": 22713, + "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": 8483, + "tgt": "What causes swelling and pain in DIP joints?", + "src": "Patient: Hello doctor,I have had pain and a tiny bump on right pinky (DIP) for over six months, only when I touch it. Now I have slight stiffness in two other DIP joints and one PIP joint (same R hand which I use a lot on the computer, maybe two hours a day). Also one DIP joint other hand. It got much worse with my allergies this month, and I have had a lot of stress in the past few months.I also have pain in my left toe and possibly have Morton's neuroma between toes 3/4. But I have terrible flat feet and was walking a lot for three weeks with sandals. I have been home for three weeks and it is not better. So, I went to my doctor and he thinks I have rheumatoid arthritis. He says it starts in the feet and hands. Blood workup is totally normal for RA factor and inflammatory markers. This is causing me severe anxiety. He did not take X-rays but says he can see changes in my hands. They look the same to be as I am petite and have always had bony hands. He is a rheumatologist but did not even touch my hands to examine them. I have had no fevers, tiredness, anemia, etc. Just now a lot of anxiety over this.Can this be allergies with some slight osteoarthritis? Stress inflammation? Also, I am starting menopause as I am 48 years old, no period since last month. Hormones? I do have a slightly swollen gland under right ear and right side of throat is sore from postnasal drip, also had cold sores in the mouth. I do not know if a virus can affect this also. I will upload the blood report. Doctor: Hi. Well, as per your clinical history and symptoms it does look like nodal osteoarthritis of the hands. My point in favor: 1. DIP joints are never involved in rheumatoid arthritis. If they are inflamed we have to think of alternative diagnosis. Either OA or psoriatic arthritis. But from your history, it seems more like nodal osteoarthritis with Herbedens nodes and Bouchard's nodes. 2. If it was rheumatoid even if seronegative ESR and CRP should have risen but they have not. So, it is unlikely there is any inflammation going on. 3. As per your feet, it looks like you developed plantar fascitis. Would recommend you to start wearing sports shoes and do some compressions in a hot water tub. That should help. Apart from it, the swollen gland may be due to a viral infection only which I am hoping should settle in due course. But yes, if you need a final confirmation, best is to ask for an ultrasound of hands and feet that would tell us if there is inflammation or not as X-rays may not pick up early changes. Ultrasound of hand. OA of hands." + }, + { + "id": 29710, + "tgt": "Kindly provide your guidance for fitness", + "src": "Patient: Hi doctor, I\u00a0am a 26 year old female working with a private company and staying away from family. I need your guidance and opinion for fitness and nutrition. I have started gaining weight on the belly, thighs and butts. So, I have recently started running, stretching, jogging and a few of abdominal exercises. Please suggest me with the post and pre workout meal. Is it a necessary to be taken care? Also, please let me know a few fitness do's and dont's. I also have acne issues. Currently, I\u00a0am taking vitamin E, zinc acetate and vitamin D supplements. Are supplements required? What other supplements need to be added in daily routine? Since being away from home, I did not get the complete nutrition. I have heard about Omega-3 fatty acids. Can we get Omega-3 from a natural source or we need to take a supplement for this? Which oil should be used for cooking? Doctor: Hi. I went through your query completely. I feel that you are genuinely very much health conscious and I like such people. Even though you stay away, you have a lot of things that can be done for a healthy leaving. First of all, vitamin D supplements are sometimes necessary for women because of loss of energy due to work life balance. So, you can continue taking vitamin D supplement, but three to four times a week is sufficient. Before a workout, have milk or milk and banana together in the morning, especially working out rigorously is not required and instead keep rest between three to four repetitions. Focus more on core muscles because these are the primary supporting muscles. Weight loss workouts should be done moderately. Go for morning or evening walk if possible, which is more efficient than a workout at the gym. Revert after three months to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 15333, + "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": 24273, + "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": 390, + "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": 22280, + "tgt": "What can be done for ulcer caused due to back bottom tooth touching cheek?", + "src": "Patient: Hi doctor, I have a tooth at the very back bottom left side of my mouth that looks like it has grown into my cheek. When I move my cheek out the way it looks like there is an ulcer. It aches and I am struggling to brush my teeth properly. I also have come down with flu symptoms. I do not know if that is related to the tooth or separate. Doctor: Hi. How are you doing? I have seen your image (attachment removed to protect patient identity). This is pericoronitis (inflammation of gums surrounding the wisdom tooth). Your wisdom tooth does not have enough space to come out completely into the mouth and hence a part of it is embedded in bone and covered by gums that have got inflamed. Right now, since you have pain, do lukewarm salt water gargling to help with the gum inflammation healing. For severe pain you can take Ibuprufen 400 mg thrice daily after food for three days. If you have acidity, take Pantoprazole 40 mg half an hour before food once daily (preferably night). Do you have any lymphadenopathy (painful swelling) below the angle of lower jaw? Do you have difficulty in mouth opening? Kindly answer these and send me your X-ray (OPG or IOPA) of that tooth to guide you precisely. Since you have flu-like symptoms, you should also have antibiotics (Amoxicillin 500 mg thrice daily for five days). Take that painkiller only when you have pain, otherwise not required, but finish the antibiotic course completely. You can also apply Dentogel topically over the ulcer half an hour before food so that it does not hurt while eating. Kindly tell me if you have any medical condition or drug allergy to guide you with proper medicines according to your condition. If you have no medical condition or any drug allergy, then you can go ahead with these medicines. Coming to the treatment, it is advisable to get it removed as this tooth is not much useful in chewing. Instead, it will cause problems only and as you said brushing is also difficult there. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28237, + "tgt": "My cousin has limited himself to his room. He does not talk for days together. What could it be?", + "src": "Patient: Hello doctor, My cousin is a 23 year old student who is\u00a0good at academics. He has limited himself to his room. He is not going out at all. Nowadays his exams are over. He does not talk with our family members. He does not have food for days together. If anyone, even his mother tries to talk with him, he shows\u00a0aggressiveness\u00a0or sometimes\u00a0weeps. He is not sharing any of his problems rather states he is fine. It has been very hard to convince him to visit any counselor or doctor. But, he is in touch with some of his friends alone. He does not pick call from anyone. This problem has been persisting for about six months. Please advice about the kind of problem he is experiencing. What should we do? Doctor: Hi,\u00a0 Welcome to icliniq.com. Depending upon the symptoms you have described, in 23 year old student, there are two possibilities: 1.\u00a0Psychic breakout: 2.\u00a0Psychosis:\u00a0 Consult a\u00a0psychiatrist online\u00a0for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30096, + "tgt": "I had OCP once and facing periods issue. What to do?", + "src": "Patient: Hi doctor, I had an oral contraceptive pill three months back, which caused a three week delay in my periods and my cycle was for only 3 days compared to normal 5 days. After that, we have not had sex. I still have not got my periods of this month, which is due. I feel puckish and dizzy most of the day. I tried the home pregnancy test and the results are negative. What do you think?\u00a0I have a thyroid problem and recently changed my dose from 100 mcg to 75 mcg. Doctor: Hi. I have gone through your query and can understand your health concern. If you have taken the oral contraceptive pill within 72 hours of sex, then no need to worry. As you got your periods after that though they are delayed there is nothing to worry. As you have mentioned that you have thyroid problem also, I think it is due to hormonal imbalance as thyroid problems can also cause irregular menses. Your symptoms can be due to PMS (premenstrual syndrome). Still, I suggest you to check your serum beta hCG (human chorionic gonadotropin) levels to make sure that there is no pregnancy. I suggest you to consult a gynecologist if serum beta hCG comes to be high and periods get delayed further. 1. Premenstrual syndrome. 2. Hypothyroidism. 3. Ectopic pregnancy. For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20397, + "tgt": "I have the feeling of loneliness. How to deal with it?", + "src": "Patient: Hi doctor, I have a mind flip problem. My emotions get changed every hour. I am studying and living in a hostel. I have the feeling of loneliness. I do not want to be alone. I do not know how to deal with it. Doctor: Hi. Mood swings with frequent low mood episodes can occur due to lots of causes. If there is variation in a menstrual cycle, it can be a premenstrual syndrome. If you have a predominantly low mood, it can be dysthymia which is a low grade chronic long-term depression. As you are living in a hostel, it is very obvious to lack proper family support. You should have adequate talk to your parents. I know it is tough to visit your home frequently as you are studying. Try to share your thoughts with your friends. Make such friends who listen to you and take proper care of you. If still, you face the similar problem, I would suggest you visit a psychiatrist for appropriate assessment. Do not worry. I am sure that you will be fine with a proper friend and family support. You do not require antidepressants or mood stabilizer drugs." + }, + { + "id": 16699, + "tgt": "Why do I get frequent pricking type of pain around the left upper chest area?", + "src": "Patient: Hello doctor, I frequently get a pricking type of pain on the left side, around the upper chest area, particularly behind the arm pit area. And sometimes behind the shoulder blades and in the chest area adjacent to the nipple. I have done TMT, ECG, and echocardiogram tests, and they are all normal. Only my blood cholesterol is borderline high, LDL is 156, triglycerides is 140, HDL is 40, and total cholesterol is 230. I have attached all my reports.\u00a0What might\u00a0be the underlying causes? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Your vitamin D is on the\u00a0lower side, so your present problem of pricking pain can be due to this. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14384, + "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": 17902, + "tgt": "I hit my elbow and now have swelling and pain. How to make it better?", + "src": "Patient: Hello doctor, I am 20 years old, female. I hit my elbow at work the night before last, and it hurts to straighten my arm. I can do it, but it is painful. And randomly, I suddenly have shooting pain in my arm. It is swollen, and there is a small lump where I hit it. I also fractured my elbow in the same place when I was a child. I do not know what to do to make it better. But I am having trouble sleeping and I have to go to work tomorrow, and I need to be able to work without pain. Doctor: Hello. From your history, it looks like a blunt injury with a hematoma at the site of injury. I suggest getting an X-ray of the elbow to rule out a fresh fracture. If there is no fracture, then use an arm pouch and keep the elbow at 90 degrees flexion in the arm pouch for three weeks. I also suggest taking Chymoral forte (Chymotrypsin and Trypsin - enzymes to breakdown hematoma and swelling) and analgesics like Tramadol-Paracetamol combination for acute pain. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Give cold compression at the site of injury and swelling. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 25956, + "tgt": "Can an air purifier harm the natural immunity of a child?", + "src": "Patient: Hello doctor, I have a 3-year-old daughter. I am planning to buy a non-ozone based air purifier for her. I want to know if an air purifier harms or impacts the natural immune system of a child? Doctor: Hello. Air purifiers are used for the purpose of filtration of particulate matters which are not filtered by the lungs. They actually purify the air and avoid the harmful dust. So, I suggest you can use. However, consult your specialist doctor, discuss with him or her and with their consent use it. The studies show that air filters reduce the oxidative stress the children have. So, it is good. Regards. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 123, + "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": 21219, + "tgt": "My sister is diagnosed with IDC. Please advice", + "src": "Patient: Hi doctor, My sister is diagnosed with IDC measuring 0.5 x 0.5 x 0.2 cm. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The biopsy report has confirmed the diagnosis of breast cancer. The next step will be staging for the disease. For that, she will be adviced to do a CT scan for chest, abdomen, and pelvis with isotope bone scan and mammogram of the bilateral breasts. Once the staging work is completed, she will be planned for the oncological treatment. Various treatment options are available for breast cancer like chemotherapy, radiotherapy, surgery, hormonal and target therapy. They are planned after the completion of staging workup, and after the pathological and molecular details of a tumor are available. The low-risk breast cancer or good prognostic breast cancer depends upon the following factors like stage 1 or 2, hormone receptors are positive, HER-2/neu (CD 340) negative, lymph nodes negative for metastasis, Ki-67 (protein) low, and postmenopausal status." + }, + { + "id": 24050, + "tgt": "I have two fibroids about 5 to 6 cm. Could that cause preterm labor?", + "src": "Patient: Hello doctor, I had a preterm labor and my baby was born at 27 weeks but unfortunately had a brain bleed and passed away. I have two fibroids about 5 to 6 cm. Could that cause preterm labor? Doctor: Hi. Preterm labor can be the result of many reasons like intrauterine infection, cervical incompetence, fetal anomalies, intrauterine growth restriction, high blood pressure, abnormal placentation, trauma, multiple pregnancies, maternal uterine anomaly, prelabour preterm rupture of membranes, etc. In pregnancy, if not multiple seedling fibroids in grand multipara with soft and weak tissue texture of uterus (dangerous for post-delivery bleeding), normally one or two fibroids of 5 to 6 cm should reduce in size naturally. Fibroids locations if it is present at cervix can affect labor, can weaken cervix that lead to preterm labor or middle pedunculated fibroid which is distorting uterine cavity can also need myomectomy before conception. I do not have any idea about fibroids locations in your case but it is better to have a re-scan for size and location and discuss here or with your treating gynecologist. Some locations and sizes need intervention before pregnancy to have a good outcome. Have Folic acid 0.4 mg daily if not having any chronic disease. Have full treatment of any disease that you and your partner have and discuss advised medications effects on pregnancy and conception. Quit recreational drugs and have recreational activities both of you. Daily exercise, healthy nutritious diet, balanced BMI (body mass index). After scan and detailed discussion regarding fibroids size and location, you can retry for conception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17138, + "tgt": "Is there any home remedy for irritation and pain in vagina?", + "src": "Patient: Hello doctor, I am experiencing irritation and pain in my vaginal region on the inside. I think it is just two bumps that have formed on the inside but I am not sure. If there is any home remedy I can do to get rid of them, I would like to know what I can do. Doctor: Hi. It seems like you have folliculitis or some vaginal infection which is causing the problem. Please get yourself checked by a gynecologist and get a 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 you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 13451, + "tgt": "What is causing breathing problem with tightness in lungs?", + "src": "Patient: Hello doctor, I am having a breathing problem. I feel like something has tightened my lungs. Please advice what should I do. Doctor: Hello. I just read your query. See if you do not have any other symptoms like fever, cough with sputum and pain in the chest, etc. Then you can take steam of plain water and can add two to three drops of eucalyptus oil in it. It will help you. But if you feel some serious problem, then visit a nearby physician immediately because it could be due to some serious problem which is excluded with the help of clinical examination." + }, + { + "id": 1502, + "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": 10102, + "tgt": "I am suffering from chest pain and I heard a sloshing in my chest. Why?", + "src": "Patient: Hello doctor, I am an 18-year-old female, taking no medications, and I am 5'3\" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be? Doctor: Hello. Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation. Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease). Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days." + }, + { + "id": 3662, + "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": 24548, + "tgt": "Why are teeth chipping, cracking, sensitive and sore since pregnancy?", + "src": "Patient: Hello doctor, Since I was pregnant with my 1-year-old son, my teeth have been chipping, cracking, very sensitive and very sore. I noticed even today. My gums are turning white. Kindly help. Doctor: Hello. From the picture which you have sent me, what I can see is that your teeth are not in a very good condition. You are suffering from a condition called fluorosis, which is caused due to the excessive deposition of fluoride in the teeth, which ultimately leads to weakening of the tooth enamel and caries. Moreover, your gums swelling could be due to plaque and tartar deposits, leading to gingivitis. My suggestion to you would be to visit a good dentist as soon as possible to get your treatment started. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7188, + "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": 7770, + "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": 4806, + "tgt": "Can I be pregnant after missing one shot of Depo-Provera?", + "src": "Patient: Hello doctor, I am a 27-year-old female. I have been on Depo-Provera for six years. I am not taking any other medications. Lately, I have been experiencing severe mood swings and have not been myself. One minute I am dancing around the room and could not be happier, the next I am either crying or very angry. Normally, I do not cry and I am usually pretty laid back. I have also been getting dizzy mostly when I stand up or walk up the stairs. I have trouble sleeping and or sleeping too much. I am hungry all the time, however, when I do eat I feel nausea. I have done some research and have found that these symptoms are both common with the injection and also with pregnancy. How do I tell, if these are pregnancy symptoms or if it is because of the Depo shot? I did miss my last shot three months ago. Last month I took a home pregnancy test it came back negative. Will a home test be enough to tell if I am pregnant or not? Doctor: Hi. The home pregnancy test is fairly sensitive and very unlikely to miss pregnancy (except in very early pregnancy). If you suspect pregnancy strongly, you can repeat a home pregnancy test again after a week if period does not start. Most of your symptoms can be either due to indigestion or hormonal imbalance (hypothyroidism or estrogen deficiency). You can take antacids Pantoprazole for three to four days and see if symptoms resolve. If your symptoms do not resolve and pregnancy test comes negative, you can do TSH (thyroid-stimulating hormone) test to rule out hypothyroidism. As you have taken depot for a long time, estrogen deficiency is likely, which can cause all of your symptoms. If possible shift to oral pills for contraception for a few months to avoid the same. I hope this helps." + }, + { + "id": 6319, + "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": 26073, + "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": 24218, + "tgt": "What is the risk of trisomy 21 from my NT scan and double marker test?", + "src": "Patient: Hi doctor, I had an NT scan and a double marker test at 12 weeks and five days of pregnancy. The report is as follows. Maternal serum screen 2: Dual test. (CLIA) HCG, Free Beta 69.00 ng/mL equivalent to 1.81 Corr.MOM's PAPP-A 1.40 mIU/mL equivalent to 0.36 Corr.MOM's Disorder screen positive cut off Trisomy 21 (Down) 1:250 Trisomy 18/13 1:100 Ultrasound DATA CRL 62.9mm Gestational age by CRL 12 + 4 Gestation age on the day of serum taking 12 + 5 Nuchal Translucency 2.00mm NT'Mom's 1.23Mom Nasal Bone Present Measured by a radiologist. Trisomy 21 Screening Screen positive 'The calculated risk for Trisomy 21 (with nuchal translucency) is above the cutoff, which indicates an increased risk. After the result of the Trisomy 21 test (with NT) it is expected that among 156 women with the same data, there is one woman with trisomy 21 pregnancy and 155 women with not affected pregnancies.The PAPP-A level is low.The calculated risk by PRISCA depends on the accuracy of the information provided by the referring physician.' I wanted to know about the risk if in the first-trimester screening window is positive. Please suggest. Doctor: Hello. I have gone through your question and understand the concerns. I have reviewed the report. It shows an increased risk in the first-trimester screening. You should go for amniocentesis at 16 weeks gestation to rule out any chromosomal anomalies in the fetus. Hope you found the answer helpful. Regards. For more information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 18292, + "tgt": "How do I know if my penile ulcerations are from herpes or candida?", + "src": "Patient: Hello doctor, What is the difference between the penile ulcerations caused by herpes and the ones caused by candidiasis? How can I know the difference between the two?\u00a0A person who has many ulcerations on the penis is likely to have herpes or a candidiasis? Doctor: Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a venereologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 20728, + "tgt": "Can I take Zylopred drops in stead of Vigadexa for the viral infection in my eye?", + "src": "Patient: Hello doctor, My eye had a viral infection but the doctor gave me Vigadexa, Flur, and Ara drops and infection has been under control after 10 days of medications. Now, there is no discharge, no pain, no red eye but suddenly my vision from the infected eye get severely blurred. As per the doctor, the vision will be restored after two months. Also, he changed me to Zylopred drop in place of Vegadexa drops. I am confused why it happens and when would my eye be almost healed. Doctor: Hello. I hope this helps. Regards. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 559, + "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": 26004, + "tgt": "Can CMV and Epstein-Barr virus cause genital ulcers?", + "src": "Patient: Hello doctor, I have three questions. 1) Can cytomegalovirus and Epstein Barr virus cause genital ulcers? 2) My immunoglobulins were low for IgM at 25 and high for IgE at 151. Could there be anything to worry? 3) I am sending a picture of something that appeared in my mouth. Could that be candidiasis? Of note, I have been on antibiotics for 15 days. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12957, + "tgt": "What are the methods to manage oral aversion in a baby?", + "src": "Patient: Hello doctor, My 7 months old daughter was on NJ tube for four months and now asked to change to G-tube. All her tests came normal including swallow study, abdomen ultrasound, etc., came normal. She developed oral aversion about one month back. When she was having bottles, she used to vomit all the food. We have tried PPIs and gastric emptying medications, which have not helped. Do you think we still need to do Gtube for her or what are the other suggestions? Doctor: Hi. You can use NJ tube in the meanwhile till the problem persists. With the growing age, eventually, things should be fine. The other options that you can discuss with your treating physician are: 1. Thickening of feeds. 2. Using Gaviscon (an antacid medication that creates a layer of foam above the ingested food and reduces the discomfort of the child). 3. Use of Mosapride (to be done as last resort). The above medications must be given with PPIs (proton pump inhibitors) and gastric emptying medications for better effects. You can start intermittent oral feeding and NJ tube feeding for some time and observe how things go. The most important thing to monitor would be the child's weight and the bouts of vomiting or coughing she has. Maintain a diary for the same to monitor if the above techniques are causing improvement and worsening. (It may be a bit tedious but I assure you, you shall get a better idea of the direction where things are moving)." + }, + { + "id": 4355, + "tgt": "Why am I having spotting after taking Femosten Conti?", + "src": "Patient: Hello doctor, I have been on Femosten Conti for several months and have changed from a different HRT medication which was also the brand Femosten, but I cannot recall its name. I commenced on the first medication to manage menopausal symptoms. It has certainly helped with the symptoms, especially the Femosten Conti. I have noticed some spotting on occasion. It is very minimal. I wear panty liners so note any discharge or bleeding. It is what I would describe as infrequent. I am not sure if I should see my GP about this. Doctor: Hi. Thank for the query. I can understand your concern. Femoston conti contains Dydrogesterone and Estradiol hemihydrate means combination of progesterone and estrogen to treat the symptoms of menopause. Usually prolonged use of hormone replacement therapy is not recommended. If using for prolonged periods, then regular general checkup is advised to diagnose any problems related to hormonal use. Irregular spotting after menopause should be considered seriously as sometimes it may indicate some problem. Usual causes are atrophic endometrium, cervical erosion, increased endometrial thickness, etc. HRT is not advisable in case of unknown cause of pelvic bleed usually. So, please consult your gynecologist once, get examined and go for pap smear test and ultrasound with this workup the possible cause of your problem can be identified and treated. If symptoms of menopause are minimal, then herbal extracts like Estro G are better with less side-effects. Hope I have answered your question. I will be happy to answer any further follow up questions. Take care. Increased endometrial thickness. Pap smear, and ultrasound. Side effects. Increased endometrial thickness. To be evaluated. Better to avoid prolonged use. If needed." + }, + { + "id": 14868, + "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": 128, + "tgt": "Kindly explain the reasons for missed period", + "src": "Patient: Hello doctor, I am currently 25 years old and this the first time that my period is late and it has been over 35 days. I am not married, I do not have PCOS. It is just that my period was never late and now I am worried sick. Please I need your advice. Doctor: Hello. Do not worry about the periods, as you are aware that delay in periods can be due to obesity as you had suffered last time, however my compliments to you for reducing 14 kg of weight (attachment removed to protect patient identity), so we can conclude that delay is not due to being overweight. Then delay can be due to hormonal changes due to various medications specially birth control pills, etc., which you are not taking. Stress is also one of the major reasons these days due to Corona and associated problems. Pregnancy can be a reason but only if one is sexually active, and you are out of that risk as well. May be the cramps you had are signs of periods onset, we can wait for 2-3 days and may be then start with medication." + }, + { + "id": 3929, + "tgt": "How to control my heavy mood swings and short-temper?", + "src": "Patient: Hello doctor, I am suffering from heavy mood swings. If something is happening against my will, I lose my patience and I am not able to tolerate this. That phase is very short like for a few minutes, but in that short phase, I threw something or grumble my teeth or utter bad words to anyone who is in front of me. After this stage is gone, I am extremely normal and start feeling guilty of my actions. I am facing this problem for the last seven to eight years. I am becoming very short-tempered. Are there any medicines which can help me to get out of this situation? I have tried yoga, meditation, but nothing helped me. Please help. I am a software engineer with a profession. My age is 27 years. I am a sole child. My dad is no more and my mother and I stay at different places. I am a bisexual top. I have a girlfriend and a boyfriend too. Many times, I broke with my boyfriend over pitty issues which spoils the entire relationship. Doctor: Hello. I read your query and understand your concerns. First of all, I must assure you that there are multiple medications which can be used to control anger. Most of these medications stabilize your brain and help in controlling mood swings after a trivial incident. The options include Sodium valproate, Lithium carbonate, Propranolol, Topiramate, atypical antipsychotics and lot more. I need to acknowldge here that there is no universal medication for control of anger and every patient responds differently to each medication. Before selecting a medicine for an individual it is important to have complete details about the patient. Regarding the efficacy of medications, as per my experience patients report 60-80 % reductions with different regimens and report a great improvement over a period of time. I hope this helps." + }, + { + "id": 2023, + "tgt": "I have throat pain that gets better with antibiotics and then comes back. How to cure this?", + "src": "Patient: Dear sir, I have right side throat pain from last 1 months. When I take the antibiotics then pain is gone. When I stopped antibiotics it will start again. Doctor said it is pharyngeal wall congestion. How I can cure from this disease. Kindly help me. Doctor: Hello. Good to hear from you. I understand your situation. The typical recurrent pain you complain might be because of the following most common causes.. 1. Chronic tonsillitis/pharyngitis 2. Chronic gastritis. 3. Persistent post nasal discharge. As you say it\u2019s subsiding with antibiotics it might be because of a recurrent infection. Whatever be the reason firstly, start yourself on the medication I suggest. Later make certain lifestyle changes. Medication: 1. Tab amoxyclav 625 mg twice daily after lunch for 5 days . 2. Tab aceclo plus twice daily for 5 days 3. Tab pantop dsr once daily before breakfast for 15 days 4. Betadine gargle, 10 ml in 150ml of Luke warm water thrice daily after food for 5 days. Life style changes: 1. Avoid cold food 2. Make sure the food and water you take are hygienic. 3. Avoid Spicy food 4. Eat on time. Don\u2019t let your stomach be empty for more than 2 hrs. 5. Do not sleep soon as you eat. Infection \u00a0|\u00a0" + }, + { + "id": 4685, + "tgt": "What causes extreme lows and highs and anger control issues?", + "src": "Patient: Hi doctor, I have recently noticed that I have been having a pattern of symptoms since I was a teen, which have gotten worse in recent years. I have extreme lows and highs, unstable relationships and anger control issues. I have noticed that I do not react to bad news the way people around me do. I tend to scream, harm myself and substance abuse. I have been to my GP twice and both times they have said they cannot refer me to a psychiatrist because my symptoms are not severe enough. I feel like I have a personality disorder but I want to have a diagnosis. This is proving impossible for me. Can you shed some light on this? Doctor: Hello. You are reporting symptoms like mood fluctuations, unstable relationships, anger control issues, self harm, substance abuse, etc. I can understand why you feel like having a personality disorder but these symptoms can also happen in people without personality disorders. You may be probably having traits but whether you will reach the threshold for referral to specialist mental health team/psychiatrist will be best judged by your GP based on your history and clinical presentation. I will advise you to maintain a log of your symptoms on a regular basis like a diary. Record significant events like self-harm episodes.You can use a mood diary online and share it with your GP during your next review. I note that you are on Prozac (Fluoxetine) for just over a month (attachment removed to protect patient identity). You should be able to see therapeutic response by around 6 -8 weeks. If there is no signficant improvement, request a review. Also, you will benefit by having some talking therapy if you have not already had it. You can request your GP or self- refer to the local IAPT service (Improving Access to Psychological Therapies). You will be seeing a therapist with whom you can discuss further about your concerns and they will feedback into the system about any recommendations. If at anytime you are not able to cope or manage the situation, speak to a trusted family member/friend and contact emergency services." + }, + { + "id": 5599, + "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": 12420, + "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": 25404, + "tgt": "Is nerve compression seen on my MRI or was it assumed because of pain?", + "src": "Patient: Hello doctor,Ten months after hemilaminectomy at L4-5 level, I suffer from severe pain in the lower back which lately started radiating to the left leg. I have a diagnosis of arachnoiditis, arthritis and low lying conus with fattening of filum terminale. Due to increasing pain and neuropsychologist recommendation, I was sent to do a new Brain and L spine MRI and I would like to hear your opinion on it. Doctor: Hello. I observed your scan (attachment removed to protect patient identity) and I agree that the conus is low lying at L2-L3 level (normally it should end at L1 level). Facetal joint arthropathy is seen at multiple levels in the lumbar spine. Post-contrast images show abnormal enhancement of the anterior subarachnoid space consistent with arachnoiditis. However, the cause of your left side radiating pain is due to left para-central disc bulge at L5-S1 level narrowing the neural foramina and compressing the L5 left exiting nerve roots. These changes are probably due to adjacent segment degeneration. In my opinion, the MRI scan needs to be repeated post-therapy to see interval resolution of arachnoiditis. And also, if you can follow up with the clinical notes of the consulting physician the imaging can be correlated to clinical exam findings. Regards, \u201cThis is only a second opinion platform. This professional advice provided by me stands subject to the examination of report/ image and is based entirely on inputs provided to me. It should be correlated with clinical findings.\u201d For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 19169, + "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": 9243, + "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": 18722, + "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": 22308, + "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": 9327, + "tgt": "I have uneven pupils. Could this be anisocoria?", + "src": "Patient: Hello doctor,One of my friends recently pointed out that my pupils are sometimes uneven. I searched and got many scary possibilities. However, I did look at pictures from years ago and noticed different degrees of anisocoria. Now that someone has pointed it out, I obsess over it and see it a lot. It only happens periodically (at various times during the day), no other symptoms. What could cause anisocoria that is occasional and been going on at least three years as indicated by pictures? I am on medications for gastroparesis and generalized anxiety like Zofran, Phenergan, Pantoprazole, and Paxil. I read Paxil could potentially cause anisocoria. Doctor: Hello. There are different pathological causes of anisocoria, as you mentioned that you are taking medications, including Paxil (Paroxetine). It means drug levels are changed in blood and its effect on pupil size. If you are not having any problem, there is nothing to worry about as you know that its due to drugs or medications you are taking. If you notice any other changes like blurred vision, severe headache, or any neurological defect, then you should consult your doctor. You are alright and do not worry about scarce things. Just relax and enjoy life. You are most welcome for any queries." + }, + { + "id": 8644, + "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": 23913, + "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": 22389, + "tgt": "I am not having bleeding after taking Cytotec. Can I insert another one?", + "src": "Patient: Hi doctor,I am 27 years old. My weight is 65 kg. Height is 1'6\". At 9 AM I took three tablets of Cytotec drugs orally and inserted one. But have been having cramp and diarrhea but no bleeding just sign of small blood when I urinate. Please can I insert another one this night? Doctor: Hello. The abortion procedure depends on the age of gestation. Cytotec contains Misoprostol and it is used for the abortion procedure. For the first trimester, abortion Mifepristone should be given orally as 600 mg dose and than Misoprostol orally or vaginally inserted after 72 hours. If no induced bleeding, then repeat the dose if needed. You have no induced bleeding, so the abortion process might be incomplete. According to my opinion, you have to consult your gynecologist for examination and transvaginal ultrasonography (TVS) will confirm whether the pregnancy is intrauterine or extrauterine. In only intrauterine pregnancy, abortion procedure is carried out in this way through medication. So do not try any self-medication for abortion. Consult the gynecologist for examination and discuss your further management plan for carrying out abortion. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4396, + "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": 10254, + "tgt": "Having melasma on face. Can Kojivit Gel be used and how to use it?", + "src": "Patient: Hello doctor, My mother is having melasma on face. Can she use Kojivit gel? If yes, please suggest whether it can be used at night time or otherwise? Doctor: Hi. I have few questions for you to suggest the most appropriate treatment. Also, please get her hormonal tests done to ensure that it is not hormonal (FSH and LH). And please do follow the below suggestions: Avoid sun exposure - Use a sunscreen (UVA and B) minimum 30 SPF. (Neutrogena is good but you may use any as per your skin or requirement. Even shalaks pharmaceutical has a good sun cream- UV AVO) If she has to go out or even indoors, she must clean her face and then apply sunscreen." + }, + { + "id": 15752, + "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": 18079, + "tgt": "Why do my blood sugar level keeps dropping?", + "src": "Patient: Hello doctor, Blood sugar keeps dropping even though I eat small meals every couple of hours. I am not diabetic. My HbA1c is 5.7 mmol. I am 28 years and weigh 145 pounds. Why does it keep dropping? I know it is because when I eat I feel normal again. It only lasts for a couple of hours before I start feeling tired and lightheaded again. How can I stop this? I eat brown bread every day, plenty of protein. I have never checked my blood sugars when this happens because I am not diabetic. Doctor: Hello. Do you think you drink enough water? Dehydration can cause symptoms similar to a low blood glucose level. Please try to drink at least two liters of water a day, that is around eight glasses of water. Sometimes thirst can mimic hunger. So the next time you feel tired, try drinking plain water and see if that makes you feel better. If water is not helping you, it might be a good idea to use a glucometer to check your blood sugar level at home whenever you feel light-headed or tired. If the values are low, you can talk to your GP to get the necessary blood tests done." + }, + { + "id": 11441, + "tgt": "There is a red spot on the white area of my husband's eye. What do we do?", + "src": "Patient: Hi doctor, My husband's eye got hurt with my finger accidentally. Now his eye hurts and can barely open. There is a red spot on the white area of his eye. What do we do? Please help. Doctor: Hi. Your finger might have hit the eyeball blood vessels. These vessels can bleed due to trauma and can cause a subconjunctival hemorrhage (bleeding behind the conjunctiva thereby causing a red eye). This does not cause any major problems and resolves on its own in a week. Other possibilities for not opening the eye can be an injury to the cornea, which can have an epithelial defect. This causes a lot of pain and watering, and he may not be able to open his eyes due to pain. For this, he has to use antibiotic eye drops, and artificial tear drops to prevent infection and pain. There can be a possibility of orbital edema which can also cause difficulty in opening eyes. This will resolve in a week; just give cold compress. Please attach pictures of the affected eye for a detailed evaluation and diagnosis." + }, + { + "id": 2124, + "tgt": "Is irregular period a common entity in breast cancer patient under chemotherapy?", + "src": "Patient: Hello doctor, My wife is in remission from stage 2 breast cancer. She underwent chemotherapy and radiation last year. As a result of her treatment, she did not have her period for roughly 13 months. Her period returned last month, but she seems to have missed her period this month. My question is, Are irregular periods normal after what she has been through, or is it more common for her cycle to be regular? Doctor: Hello. Loss of ovarian function can happen temporarily or permanently depending on the dosage of the chemotherapy. This happens due to the damage to the immature ovarian follicles containing the immature eggs by the chemotherapeutic agents. So the chances of resumption depend on the ovarian reserve left undamaged. So usually post chemotherapy, a woman may resume her cycles anywhere from a few months to more than a year. Some women may even develop premature ovarian failure. As per your query, irregular cycles are quite common post-chemotherapy once the periods are resumed. But I need to know one more important thing that is the hormone receptor status of the biopsy and whether your wife is on any medication called Tamoxifen. If she is on such medication, then bleeding needs to be monitored by an ultrasound scan to look for the uterine lining thickness. I hope this helps. Ultrasound abdomen and pelvis (in case on any abnormal bleeding pattern). - Keep a track of menstrual cycles. Please connect with me through chat in case you have any further queries on periods." + }, + { + "id": 3330, + "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": 2382, + "tgt": "I have chronic kidney disease with a history of UTI. Please suggest treatment", + "src": "Patient: Hello doctor, I have chronic kidney disease and wanted to know about the treatment. Before they consulted doctors for nearly six months for prostate that is urine infection they were told it is urine infection and were under medication and taking painkillers. More but recently, they come across these kidney problems which is serious. Doctor: Hello. Have you done any KFT (kidney function test) before? From the reports (attachment removed to protect patient identity) and diagnosis, it seems you have underlying kidney disease which got aggravated by urinary tract infection. You have received appropriate antibiotics and hopefully, it will improve. Regarding dialysis, you would need to continue it and monitor kidney function tests. Also, you have anemia for which you are getting injection Anfoe which should help. You would need to make AV (arteriovenous) fistula at earliest. Also, tell me what was your serial kidney function tests for the last six months." + }, + { + "id": 15555, + "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": 4585, + "tgt": "Had safe sex on expected day of period. Is there a chance to get pregnant?", + "src": "Patient: Hi doctor, My girlfriend was expecting her periods between 3rd and 5th of last month. We had protected sex on 3rd, after 2 hours she took an i-pill. Then again on 4th we had protected sex and after 10 hours she had another i-pill. Now it is 12th and she has not had her periods but only spotting is there. Are there chances of pregnancy? Doctor: Hello. Thanks for using this platform. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26343, + "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": 8434, + "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": 5418, + "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": 12314, + "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": 27756, + "tgt": "My son throws up every time he has milk. Please suggest a treatment", + "src": "Patient: Hello doctor, My son is three and a half years old. From\u00a0the past 12 days, he vomits four or five minutes after drinking milk. This happens only in the mornings. He is fine if he drinks it at night. Please suggest a cure. Doctor: Hello. Review after two days. I hope this will help you. Take care. Revert after two days to a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 10162, + "tgt": "What are the ways to control anxiety while driving?", + "src": "Patient: Hello doctor, I have been suffering with obsessive compulsive disorder- OCD, fear of germs, ordering things, obsessive thoughts. I also have anxiety while driving car at higher speeds. I have been diagnosed with Fibromyalgia which is lined to general stress, anxiety levels, which causes the muscles to be held tight. I have been able to accomplish most of the daily tasks and be successful in life. However, the anxiety while driving is troubling me. I need to reduce anxiety while driving, while also maintaining focus. Also, the general level of anxiety or stress is causing other physical ailments. Due to muscles being in constant state of tension. Currently, I do not take any medication. Only supplements 5-HTP (Seratonin) and one sleep aid (Melatonin). Doctor: Hi. I understand you experience OCD symptoms, general anxiety symptoms and specific driving anxiety and some anxiety related physical problems. What is your current profession? Your job timings? Family members? For how many years you are having 0CD symptoms? GAD symptoms? Stress? Why? Exercise? Relaxation? Any therapy? Family support? Any other anxiety triggering factors than driving? Sleep? Physical intimacy? Please reply. Take care." + }, + { + "id": 21986, + "tgt": "How can we treat acne?", + "src": "Patient: Hi doctor, I have acne for the past one year. It has got worse in the last few months. I am using Clindamycin cream. Doctor: Hi. You can get cured of from acne with your Clindamycin Gel. Use it in the daytime. You may experience frequent exacerbations due to stress or hormones or periods. Apply Adapalene gel only at night for two hours. Use it only on the pimples in a small amount because it may cause burning. Use Cetaphil cleanser. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3770, + "tgt": "After getting braces, I developed a high pitch sound in my right year. Why?", + "src": "Patient: Hi doctor, I have been wearing braces for teeth alignment. I am towards the end of my treatment and have developed a high pitched sound in my right ear. I consulted with my orthodontist and temporarily removed the wires on two occasions. Both times, the ringing went down after some weeks. When I put on again, the sound started. One ENT I consulted said it could be an allergy to dust in the area I live in. Based on the information I received and the symptoms, I am not sure how to proceed. What is the cause of this issue? Doctor: Hi. Tinnitus due to braces is not possible. Tinnitus can be due to many reasons like hearing loss, or nerve loss, or any loud noise exposure, or trauma to the ear, or even nasal infection, or some medicines. Please tell me do you have any relevant history? Dental procedures that involve the use of dental burs can cause tinnitus but not just the braces. You should get pure tone audiometry done and follow up with the required information so that I can suggest you better." + }, + { + "id": 26481, + "tgt": "Is it safe to get my son's dental treatment done under GA?", + "src": "Patient: Hello doctor, My son, 2 years and 10 months, has been suggested RCT (pulpotomy). Background: My son is breastfed and still feeds during sleep. He has complained of pain once or twice in the last three to four months. His oral habits are not good. He cries his heart out when we brush his teeth (normally once a day). He likes shakes and juices. He is on an antibiotic and analgesic course currently. He does not speak much. So, communication is a problem for him. Questions: Should we go for RCT directly after the first round of complaining and medication or should we wait and see? What alternatives do we have? Is GA safe for such young kids? Does it have any impact on his future teeth? What can we do to improve his oral health irrespective of whether we opt for GA or not? Doctor: Hello. I have seen the image sent by you (attachment removed to protect patient identity). Formore information consult a paediatric dentist online --> https://icliniq.com./ask-a-doctor-online/pedodontist" + }, + { + "id": 29833, + "tgt": "What are the treatment options for erectile dysfunction?", + "src": "Patient: Hello doctor, I am 33 years old.\u00a0My height is 182 cm and weight is 90 kg.\u00a0I do not have the habit of smoking, but I drink.\u00a0Please go through my blood reports.\u00a0I have been facing erectile dysfunction for the last one year.\u00a0I have tried Megalis (Tadalafil) and Manforce\u00a0(Sildenafil citrate). When I am\u00a0using the medicines, it gives me erection, but leads to anejaculation (no discharge). One of the doctors advised me to get my testosterone checked and when I got it checked it was low. The\u00a0doctor prescribed me tablet\u00a0Unidep\u00a0SR 150 mg, two tablets in the morning and injection\u00a0Cernos 1 g deep intramuscular.\u00a0I think my doctor is leading me to a testosterone replacement therapy.\u00a0Is there any other medicine that I have to try instead of testosterone replacement therapy? I am afraid of testosterone replacement therapy due to its side effects. The doctor has prescribed me Cernos 1 g, which I think is too\u00a0much after having researched on the internet. I got to know that 400 mg bimonthly is a\u00a0good dose. Cernos\u00a0come in a 4 mL vial. So, can I take about 2 mL every fortnightly? Is that a correct calculation for about 400 mg?\u00a0What does\u00a0Unidep\u00a0do and why this was prescribed to me? I heard while taking testosterone my estrogen can increase and it will not resolve my erectile dysfunction. So, how to control that? Doctor: Hi. Revert back with the details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14, + "tgt": "My braces are not activated by power chains and creating gaps. Please help", + "src": "Patient: Hello doctor, Why my ortho does not put brackets in power chains while missing one or two spots? I have straight teeth and I am in the sixth year with braces. I think instead of closing gaps, this is creating gaps. Please help. Doctor: Hello. There are different types of power chains that are available for the treatment depending on the interlink space. 1. Short (connects every alternate bracket). 2. Long (connects every third bracket). 3. Closed (connects each bracket). So depending on the stage of your treatment, either of the types can be used which may or may not connect individual brackets. Also, we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion. Complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual. Also, the density of your alveolar bone and your body's bone remodeling rate affects the duration of final results. So in order to give a definitive diagnosis, we would require your treatment history which includes - 1. Preoperative and post-operative clinic photographs (intraoral and extraoral both). 2. Preoperative dental x-rays (OPG and lateral cephalogram). 3. Treatment history including the types of malocclusion, brackets used, wires used and the movements caused. 4. Oral hygiene maintenance routine that you follow during the braces treatment. Waiting for your reply. Brush twice daily with flouride containing paste. Use of salt water gargles everyday especially after meals.Tongue cleaning on regular basis. A periodic check up with your dentist once every 6 months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. After providing the required information." + }, + { + "id": 7004, + "tgt": "I am suffering from cough, sweating, wheezing, etc. What is the treatment?", + "src": "Patient: Hello doctor,I am 22 years old female, with 5'5\" height and I weight 60.5 kg. I have been sick for the past seven days, and my symptoms have not seemed to have gone away. I was given antibiotics (Amoxicillin) as well. I was to know where to go from here I can tell you what my symptoms are,1. Coughing fits that make me cough up mucus, yesterday and today I started finding some blood in my mucus.2. Sweating and temperature rising caused by my coughing fits.3. Wheezing in my breathing.4. Shortness of breath.5. I am an asthmatic.6. Feeling weak.7. Lost in appetite.8. Lost in weight.9. Chest pains.I wonder what steps I can take from here? And also do you have any tips of soothing my coughing fits. I cannot sleep with them. Doctor: Hello. From your history, it is evident that you have bronchial asthma. In asthma, there is reversible airway obstruction, the airway becomes swollen and narrow, and this is the reason for wheeze and cough. But coughing out on blood indicates that your lung going on for some other medical change and chest pain is an emergency where you have to visit pulmonologist. As you have blood in sputum, loss of weight and appetite, which are uncommon in asthma have to be evaluated further to know the underlying cause. Kindly do the following tests. 1. Complete hemogram. 2. Chest X-ray. 3. Pulmonary function test. 4. Montaux test. Get a pulmonologist advice. Taking Amoxycillin alone will not help, also take Tablet Deriphyllin one tablet twice daily for five days." + }, + { + "id": 15695, + "tgt": "How to reduce my sex appetite?", + "src": "Patient: Hi doctor, I know my partner for ten years. I am living with my partner for a year. We have not done sex. But now, we may have sex once a month. He does not have a feel like me. It makes me feel depressed. I tried to talk to him about this, and I wanted to make him understand. But it feels like he is not ready to get fixed. I do not know what to do at this point. Please suggest. Doctor: Hi. Planning to have sex on a regular basis with your partner is perfectly a regular thing, and there is nothing to feel ashamed. But sexual appetite between two peoples may vary. You may feel which is less can be a sufficient one for your partner. So the key is communication. Hammering him about sex every day will not help you. Make an effort to spend time with him by doing activities, and gradually you can approach about this. You can take a short trip and explore. Be sensitive if he is facing issues at work or with his family and if he is preoccupied with it. If nothing works, please see a counselor." + }, + { + "id": 26360, + "tgt": "Completed a course of Azithromycin but no relief. What can be done?", + "src": "Patient: Hello doctor, I have had a throat infection with mild coughing and no sneezing and fever. I took Azithromycin 250 mg twice a day for four days and stopped. After three to four days, it came back again. Kindly advise me on the medicine. Doctor: Hello. Regards. For more information consult an\u00a0ENT Otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18888, + "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": 16821, + "tgt": "I was put on Yaz recently and have not stopped bleeding at all. What can I take?", + "src": "Patient: Hello doctor,I am an 18 year old female. I was recently put on the contraceptive pill Yaz for 12 days and have not stopped bleeding in that time. The blood varies from dark red and stringy to black and is reasonably heavy (about the same as the first few days of period). Is there anything I can do to stop the bleeding? I was on Levlen before and was taken off because I had continual bleeding for the whole month on it along with severe stomach and abdominal pains where I was admitted to ER and placed on Tranexamic acid. I have leftover Tranexamic acid. Would it be safe to take? Doctor: Hello. How are you doing? You can definitely have tablet Tranexamic acid, but I do not think it will stop the bleeding. To immediately stop bleeding, I suggest you take tablet Norethisterone 5 mg (Primolut-N or Norgest or Regestrone or Regulate or Carina-NCR). Have two tablets thrice a day till the bleeding stops. It will surely stop in one or two days. Then have two tablets twice a day for two days. Then have one tablet twice a day for 18 days.You will have your periods after the last pill. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Once the bleeding has stopped, you can get an investigation for the reason for the bleeding. Have thyroid profile and serum prolactin. Do an ultrasound scan to look for any problem inside the uterus. If you are sexually active, have a local examination by the doctor to rule out any cervical erosion or polyp. Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1699, + "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": 13969, + "tgt": "What is the treatment for a broken back tooth of a 10-year-old?", + "src": "Patient: Hi doctor, My 10-year-old daughter's back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow? Doctor: Hi. If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 years of age. If it is molar, it is some serious issue. Get root canal treatment or filling done because this is the primary molar that will aid in chewing for your daughter's entire life. If it is deciduous or milk tooth then you need not to worry. A permanent tooth from beneath might have given pressure for the eruption, and so milk tooth will be wearing off after becoming hollow. A hollow tooth is caused by cavities or a broken part of tooth. I can tell you a better exact diagnosis if you can provide me with clinical picture of your daughter's teeth. If it is painful right now, you can give simple Brufen syrup (Ibuprofen) 8 hourly for three days. Stay happy and blessed." + }, + { + "id": 24458, + "tgt": "What can be done to relieve intermittent headache?", + "src": "Patient: Hello doctor, I have a headache and feel like head is spinning for about two to three times in a day. I have weakness. I have no gallbladder and have acidity. I am currently on homeopathy medication. Doctor: Hi. Welcome to icliniq.com. To help you better I need to know the following, Revert with more information to a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29701, + "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": 18068, + "tgt": "What can be done for low vitamin D levels?", + "src": "Patient: Hello doctor, My Vitamin D is very low. Should be between 30 to 100 but it is 5+. What is your recommendation to get it to normal? Doctor: Hello. I just read your query. Your Vitamin D level is very low and you should definitely start supplements under supervision. Along with oral supplements, you require supplements through injection too. Also take diet which improves Vitamin D level like fortified dairy products, fortified orange juice, fortified cereals, fatty fish as tuna and salmon, egg yolks, etc. Spend some time early in the morning in sunlight. All these things will help you in improving Vitamin D level. Poor eating habits and improper lifestyle. Blood test for vitamin D." + }, + { + "id": 22327, + "tgt": "How to get proper sleep with medicine during depression?", + "src": "Patient: Hi doctor, I began taking Valium 5 mg for the past 40 years for the depression. It gradually went up to Valium 10 mg taking three to five tablets every night. Later on, I took a psychiatric advice. The doctor told me to quit the tablet but I was not able to do it. Now, the present doctor says, it is impossible for you to quit Benzodiazepine medicine. He has advised me two tablets of Etilaam 0.5 mg every night. I am taking four tablets of Etilaam but still, I am not getting proper sleep due to depression. Doctor: Hi. Etizolam is a mild Benzodiazepine and the drug cannot help in sleep on considering the long-term use of Diazepam. To get sleep, you can think of taking Clonazepam for some time. Since you are on Etizolam 2 mg now, so in this state, an equivalent dose will be around 1 mg of Clonazepam. You can take 1 mg of Clonazepam for sleep for around six weeks and then reduce to 0.75 mg of Clonazepam for the next six weeks followed by 0.5 mg of Clonazepam for around 12 weeks and if needed, the dose can be reduced further to 0.25 mg of Clonazepam. Such slow dose reduction can help you in reducing the dose of Benzodiazepine. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18737, + "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": 9078, + "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": 17854, + "tgt": "I have blurred vision due to blood clot in my right eye. Is it something serious?", + "src": "Patient: Hi doctor, When I woke up suddenly yesterday, I saw a spiral black cloud in my right eye. I can see through the cloud hazily and there is no pain. When I consulted my doctor, he said that I have a blood clot. Is it something serious? Doctor: Hi. If it is small, it will resolve on its own. You can wait and watch. If it is large and not resolving, it needs to be surgically removed. Revert back with photographs to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26228, + "tgt": "My HbA1c level was found to be high. What should I do next?", + "src": "Patient: Hello doctor, I am a 31 year old. For the last two to three weeks, I was feeling very low, a sort of weakness, and I felt that there is something wrong with my body. So, I went to a clinical laboratory for HbA1c test and got the result as 10.50 %. The person at the clinical laboratory told me that this is a high percentage and to consult with some experts. Now, I need your expert opinion as I do not know what to do next. Doctor: Hello. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 14682, + "tgt": "I am having fear about something bad happening along with crying. Why is it so?", + "src": "Patient: Hello doctor, I am a student. l am from a very poor family, preparing for the entrance exam and need selection to help my parents. I live alone, away from my home for study. From the past four months, I am struggling with a continuous fear, that my house is weak and it may break and my parents may get attacked by it. I am unconsciously feeling this fear all the time crying, and weeping. I have pain in body, neck, acidity, and memory loss and am under medication for depression for the past two years. Doctor: Hi. Your history is clear that you have relapse depressive symptoms along with anxiety symptoms. You have obvious reasons for your symptoms like you live away from your home, poverty, basic needs of life like home and your sensitive personality like you are most of the time uncertain that worse could happen. I would suggest you should start antidepressants as soon as possible. 1.Tablet Escitalopram 10 mg at night daily. 2.Capsule Dexlansoprazole 30 mg two times a day for your acidity. If symptoms do not get better or get worse, kindly visit mental health service nearby." + }, + { + "id": 10208, + "tgt": "Am I having recurrent BV because of unprotected sex?", + "src": "Patient: Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get rid of it? Doctor: Hi. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26019, + "tgt": "There is a slight drop in my ejection fraction from last year. Should I be worried?", + "src": "Patient: Hello doctor, I am a 57-year-old male and the results of my recent annual resting echo showed the following: Tri-leaflet aortic valve with well-compensated moderate regurgitation (2-3/4) as well as mild aortic sclerosis but no stenosis. Normal size left ventricle (130 mL) and no evidence of hypertrophy or remodeling. Low normal systolic function with an ejection fraction of 54. A normal right ventricle size and function. Mildly dilated left atrium. Mildly dilated aortic root (41 mm) and ascending aorta (41 mm). In addition, it is noted that my resting ejection fraction last year was 64 and my stress echo taken this year (for atypical chest pain) was 62. My cardiologist says all my echo parameters are stable and he does not want to see me for another year. Despite my cardiologist reassuring me and I having nothing to worry about, I remain a little concerned about the drop in my ejection fraction from last year to this year. Should I be worried about this or is it still in the normal range? Doctor: Hello. So, due to all the above reasons, I think this borderline value of ejection fraction is due to a measurement variation. I do not think it has dropped significantly and there is no need for excessive worries. At this stage of regurgitation, it only needs monitoring. Surgery is considered in case of severe regurgitation, significantly enlarged ventricles along with low ejection fraction. So, no need to worry and the future plan should be monitoring with echoes. Hope this helps you. Get back if you have any doubts. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 8674, + "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": 26665, + "tgt": "Can I undergo banding for bleeding internal piles?", + "src": "Patient: Hi doctor, I\u00a0am\u00a0a 27 years old unmarried girl.\u00a0I have bright red blood in the stool. I have consulted three doctors each of them did proctoscopy. \u00a0They said that I have one or two internal piles. I also have pain during and after defecation in the anal and buttock area. I have always been a chronic constipation sufferer since my teenage. The doctors had given me medicines, to stop the bleeding. It stopped\u00a0for few days and started again. Now, the doctors suggested banding procedure. It\u00a0is the second time my piles have recurred. I was first diagnosed at the age of 24, around three years back. I recovered after taking the medicines for\u00a0five days. Since three years I had no problem. But, for the past four or five\u00a0months, I\u00a0am again facing the bleeding pile\u00a0issue. This time I have taken one-month medicine course. But the bleeding did not stop.\u00a0The doctor said it is a second-grade pile, and I have to undergo banding. My question is, does piles bleed daily? How successful is the\u00a0banding procedure? How much pain is involved in it? Doctor: Hi. Do review as required.\u00a0If you need further guidance, please consider a detailed consultation with me. Hope your doubts are clarified. For further queries consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4073, + "tgt": "I have a bite wound inside the cheek for a month. What to do?", + "src": "Patient: Hi doctor, About a month ago,\u00a0I bit my cheeks while eating.\u00a0I still have a small gray circular spot\u00a0inside the cheek. It has lessened in color and size, but is still there. It does not hurt and is not a lump. What is it? Should I be worried? It feels like the rest of my cheek except it has a faint gray color. Doctor: Hi. Revert back for further doubts to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6269, + "tgt": "I am experiencing tiredness, weight gain and insomnia after surgical removal of both thyroids?", + "src": "Patient: Hello doctor, I had both my thyroid glands removed eight years ago, and a small amount was left (in the size of half of my small nail). Since then, I am getting my blood test done every year, which comes back normal. I do not understand this as everybody needs two thyroid glands to work properly, and a small amount of the gland is not enough to do the job. I suffer from tiredness, weight gain, and insomnia over these years. Doctor: Hello. It is not the size of the thyroid gland, but it is the function that matters. In most of the thyroid gland removal, the left over gland will start hyper functioning and hence will take over the body function. So, if your blood work is normal means that a small part of the thyroid is working well. Now coming to your problem, it might be due to either calcium or vitamin D deficiency which can happen because of your thyroid removal. I advise you to get serum D3 and calcium levels tested. Revert back with reports. Weight gain could be due to physical inactivity, excess of cholesterol or even diabetes or adrenal problems. I advise you to get serum lipid profile. Serum Cortisol. FBS (fasting blood sugar), and PPBS (postprandial blood sugar)." + }, + { + "id": 9343, + "tgt": "I am having hair loss, and dysentery with loss of appetite. Kindly help", + "src": "Patient: Hello doctor, I have been recently suffering from hair loss, loss of appetite, and two to three times motion (soft kind of motion) in a day. I have added my blood test report for reference. Please suggest some remedy. Doctor: Hello. You seem to have a liver problem that is causing these gastroenterology issues. You may also have a deficiency of specific vitamins and zinc, which is due to malabsorption in your gut and makes hair fall worse. These could be due to the high bilirubin in your liver profile and may cause you to get worse if not treated.However, these blood tests are not sufficient for making the diagnosis of the exact liver issue and require an ultrasound screen of the abdomen to look for the cause. Please consult a gastroenterologist with the reports of the ultrasound exam and follow-up. Take care and get well soon." + }, + { + "id": 22729, + "tgt": "How long will it take I-pill to work and cause withdrawal bleeding?", + "src": "Patient: Hello doctor, I had intercourse with a man who used a condom and he also made sure not to ejaculate inside my vagina despite wearing a condom to avoid the risk of pregnancy as much as possible. However, to be extra safe, I wanted to take an I-pill. Unfortunately, I could not take it right away and took pill on the third day (by the 72nd hour within which the pill could be still effective). How long would I have to wait for the I-pill to work and also cause bleeding? Would I need to take another one just in case? and what about the probability of being pregnant if he has used a condom which has not expired and by not ejaculating inside me while wearing the condom? Doctor: Hello. You are safe and you really need not worry as the condom used was new and there was no rupture at all. Also, you have taken an I-pill within 72 hours. It is actually effective until five days post intercourse. The withdrawal bleed is expected in next 3 to 5 days and once it arrives you can be doubly sure that you are not pregnant. So you need to be patient and wait for the bleed. The chances of pregnancy are minimal. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14351, + "tgt": "I get loose motion and stomach upset whenever I eat watermelon. Why does this happen?", + "src": "Patient: Hello doctor, Yesterday during lunch, I ate drumstick leaves curry. Whenever I eat that, in an hour or two, I go to the toilet (little loose stools) two times. Is this normal? Yesterday I had the same, further after about 5 hours, I ate grapes. After an hour, I had to go to the toilet often (loose motion). Why does this happen? Did I eat anything in the wrong combination? I also get loose motion and stomach upset whenever I eat watermelon after food, especially it becomes severe and affects for two days. Am I sensitive to any such components? I understand that eating fruits after food can cause indigestion, but my friends seem to be not affected, even if they eat a lot of melon after lunch. Doctor: Hello. You seem to have allergy to some food products. You should do an allergy sensitivity test for food products and fruits. This test will tell you which food and fruits you are allergic to and you should avoid having those foods. What is your age? Did you have any fever or rash on your body? For now, try tablet Levocet (Levocetirizine) twice a day for 5 days. Also, take tablet Loperamide 2 mg twice a day for 5 days. Take care." + }, + { + "id": 30401, + "tgt": "How to manage my mother's plantar fasciitis?", + "src": "Patient: Hi doctor, My mother, who is 50, is suffering from plantar fasciitis. She lives in a remote area and so, regular physical and ESWT therapy is not feasible. I am planning to buy a portable ESWT device.\u00a0Will this be helpful and feasible to use them at home without any assistance?\u00a0Is there any side effect associated with these portable devices? Please advise. Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 3653, + "tgt": "Can HIV be transmitted if there is no ejaculation in unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected intercourse but no ejaculation was done. I have a fear of being exposed to HIV. What necessary steps should be taken earliest? Doctor: Hi. Unprotected sexual intercourse is a risk factor for STDs (sexually transmitted disease) including HIV, however, the risk is very low (0.03%). There is no reason to panic at the moment. If possible, please get the partner tested first. If she is a known case of HIV then it would be advisable to consult the nearest dermatologist for post exposure prophylaxis (PEP). In case if this is not possible, it would be advisable to weigh the risk benefit ratio for PEP in your case. High-risk exposures such as homosexuality, contact with blood during intercourse, sex with a commercial sex worker may warrant a need for PEP. 1) HIV by Elisa at 1 and 3 months after exposure. 2) HBsAg (hepatitis B virus antigen). 3) Anti HCV (hepatitis C virus). 4) VDRL (veneral disease research laboratory). If high risk exposure then consider PEP." + }, + { + "id": 21734, + "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": 22700, + "tgt": "There is no erection when I go near a female. Is it curable?", + "src": "Patient: Hello doctor, I am male 30 years old and unmarried. I am suffering from erectile dysfunction. There is no erection when I go near a female. When it comes to masturbation, erection is there, just timing is very short. Moreover, many drops and colorless viscous fluid appears after urination. Is it curable? Please help. Doctor: Hello. This is not a problem. The discharge of sticky fluid is nothing but precum discharge. This will not cause any weakness. Since you have an erection during masturbation but are losing during sex, this is probably occurring due to psychological reasons. You should seek an opinion of a psychiatrist for treatment. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26151, + "tgt": "I have pain and hear popping noise in the labrum region. How can it be treated?", + "src": "Patient: Hello doctor, I strongly believe I have a slight hip labral tear which is devastating me mentally. I intend to become a professional dancer very soon as my main training is almost over. I can walk and do everything as normal but I hear pops and I have a slight vague pain which is not really bad unless I dance especially when I have to twist. I had this problem earlier this year but got rid of it with physical therapy thinking it was a regular strained hip flexor. I really need to know because all I have done in my life is dance and fitness training and could never do without it.\u00a0I had a \"strained hip flexor\" earlier this year by doing a breakdance move called the windmill for a long period of time. There was no trauma and stretching it out seemed to work but now it is back and is affecting me.\u00a0Can therapy cure this or will surgery or prolotherapy have to be done? Doctor: Hello. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2337, + "tgt": "After recovery from strep throat, I feel chest heaviness while breathing. Is there any problem?", + "src": "Patient: Hi doctor, I had consulted earlier here. I had complained with issues of cold and strep throat. Doctor had prescribed Azithromycin, Crocin, and Fexofenadine. The strep throat is recovering. I no more have running nose but I feel that my chest is heavy while breathing. Could you please tell me what it is?Nothing to worry right? Doctor: Hello, Welcome to icliniq.com. According to your statement, you had a strep throat and now your chest is heavy while breathing. Upper respiratory tract infection is very common complication of untreated or partially treated strep.throat it makes your chest heavy while breathing due to thick mucus production. You do not mention here about your fever or joint pain or shortness of breath or chills or cough, etc. Again strep.throat can cause several complications like pneumonia, bronchitis acute and chronic, streptococcal toxic shock syndrome, rheumatic fever, etc., which associated with chest pain, heaviness, fever, cough, etc. You are on medications like Azithromycin, Fexofenadine, Paracetamol, etc. You can add Montelukast, nebulizer with Salbutamol three to four times daily with mucolytic agents like Mucinex, Carbocysteine, Bromohexine, Pulmozyme, etc., to make your thick mucus loosen and remove easily through coughing. You should undergo CXR (chest x-ray), CBC (complete blood count, ECG (electrocardiogram), etc., to find out the cause and carry on your medications. If any complications occur inform me I will help you to treat further." + }, + { + "id": 24061, + "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": 9902, + "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": 17043, + "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": 28415, + "tgt": "Why do I have a raspy voice from childhood?", + "src": "Patient: Hello doctor, I have a question about my voice. As a kid, I had a raspy voice the entire time until puberty. After I hit puberty, I do not think my parents noticed anything, but people have said I sound like Kermit the frog or that I need to stop mumbling. The problem I have is that I have to try quite hard to speak in a normal tone, and I am extremely self-conscious about the way I sound. I breathed through my mouth my entire life until I had a septoplasty three years back. Now I can breathe through one nostril, which I guess is 60 % open, while the other one is always 100 % blocked. What is happening, that is making me sound like this? I know I was not meant to sound this way, there has to be something causing some problem. Any idea or suggestion will be appreciated. Doctor: Hi. If your nose is blocked then you may have nasal polyps or some nasopharyngeal mass like adenoid or may have deviated nasal septum. For that, an endoscopy or CT scan is required. It may alter the voice. After ruling out these possibilities, you can consult a speech therapist. According to me, you should meet an ENT specialist and get a nasal endoscopy and laryngoscopy done. Following which, a CT scan can be done, if needed. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6410, + "tgt": "Can abscess be closed with sutures after drainage?", + "src": "Patient: Hello doctor, I had a boil on my left labia, and I had that same boil for 2 years, because my doctor was saying it will go away. But, it did not, and last week I went to hospital and the doctor drained the boil with anesthesia, and then he closed it with stitches, now it is still hard and smells like pus. So my question is why he closed it with stitches? Is that ok? Because the incision was small (1 cm), should it be left open to completely drain? Can I still have abscess left? I asked the doctor and he is saying everything is fine. I am so scared, I would appreciate if anyone can help. Doctor: Hi. I totally agree with you. After draining a boil the doctor should have not closed the skin with stitches because how much ever adequately anybody drains the pus, some pus will be left behind for which anti-septic and antibiotic dressing has to be done and a repeat examination and if required drainage has to be done after 3 to 4 days. Well, there is a good chance that some pus might be remaining in your case, I advise you ask your doctor to open up the stitches and re-explore the wound." + }, + { + "id": 26947, + "tgt": "Can my fibroid be the reason for delay in conception?", + "src": "Patient: Hello doctor, Please guide me regarding fibroid treatment as I am trying to conceive since the last four years. Doctor: Hello. Fibroids are the most common benign tumor in the uterus. It occurs in 40 % of the women. They can cause infertility, but not every fibroid causes infertility. They can lead to an altered sperm movement if present in the cervical canal, causing infertility. What does your report read? Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3977, + "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": 1007, + "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": 27072, + "tgt": "Can you interpret my blood report and advise me further?", + "src": "Patient: Hello doctor,I am a 35 years old male. My BP is 130/85. I am taking Calaptin SR 120 mg twice a day for idiopathic RVOT NSVT which has been controlled by RF ablation procedure and under this continuous medication to control further ectopic beats. Under the\u00a0continuous care of my cardiologist, this situation is under control. Recently I had my blood work done proactively to take stock of my health. There were no symptoms that drove me towards this. Blood results showed an elevated SGOT, SGPT and severely deficient vitamin D and phosphorous. This is my limited interpretation of the report with the help of the internet sources. So, I request you to please go through the attached report and advise me further on other parameters as well. I was diagnosed with fatty liver during one such routine checkup 10 years back as well. Are my numbers correlating? Is there any\u00a0medication advised for vitamin deficiencies based on my reports? Doctor: Hello. I went through your post and the investigations you have posted. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14454, + "tgt": "I am having red papules from fingers to arms. What can be the cause?", + "src": "Patient: Hello doctor, I have some red papules on my fingers to arms for the past one day. I am so worried. What is the cause of it? Doctor: Hi. I can understand your concern. I have gone through the images you have attached (attachment removed to protect patient identity). The possibility of allergic etiology is more likely. So apply Mometasone cream thrice daily. Drink plenty of fluids orally and keep yourself hydrated. Also, take Fexofenadine (120 mg) and Montelukast (10 mg) combination once a day at night before going to sleep. Do not itch. You can apply moisturizer lotion or Calamine lotion. Do not worry, you will be alright with all these in 1 to 2 days. Do let me know if you have any allergies. Skin allergy. Mometasone cream and Fexofenadine plus Montelukast combination." + }, + { + "id": 3404, + "tgt": "I am 17 years old and I weigh 300 lbs. How to reduce my weight?", + "src": "Patient: Hi doctor, I am 17 years old, and I weigh almost 300 lbs. I absolutely hate my weight and body so much as I always wanted to be skinny. I lift weights four times a week at my school's weight room. I am a diver on my school's girls swim and dive team, and I am a thrower on track and field team. I guess you can get me why I always hated my body. I need to lose weight and keep it off. I have tried so many times just to find how to do this, but it is completely hard just to find guidance. My mom scheduled me an appointment with a nutritionist. I am currently on Elinest birth control. Doctor: Hi. There are a few things that need to be addressed here. Please be happy about who you are as an individual. Do not judge yourself with the weight. Nobody can mess around with you. There are certain things that you are doing wrong here. If you want to lose weight: 1. Stop lifting heavyweights. 2. Stop using birth control pills (if they are being used for therapeutic reasons please find another alternative). 3. Do more of a cardio workout like the treadmill and the step climber. Lift the lightest weights possible with up to 20 reps per set and three sets per exercise. 4. Continue swimming. 5. Consult a nutritionist for advice on nutrition and follow those orders like word of law." + }, + { + "id": 19210, + "tgt": "Is it fine to start treatment for TB before the test report comes positive?", + "src": "Patient: Hi doctor, My father aged 62 had undergone the kidney stone removal on both the kidneys. But, after one week of removal he suffered frequent urination with heavy pain. We have tested urine culture report and result is negative. Again we took an UV scan and come to know that the\u00a0bladder size is reduced in size. He has frequent urination for 30 minutes once but only little that too very pain while releasing.\u00a0I would like to know the reason for reduction in bladder size.\u00a0Doctor suspect that this could be\u00a0due to TB and he said we continue the treatment with TB medicines.\u00a0We gave AFB urine stain and culture for confirmation, but we will receive the result only after 6 weeks. Since my dad suffered with severe pain he told us to start TB tablets. I\u00a0have attached the tablets he gave. Please provide your suggestion. We are so confused regarding the treatment. Shall I start giving those medicines? If AFB result comes negative what are all the side effects? Please clear my doubts. Doctor: Hi. I went through the reports and prescription (attachment removed to protect patient identity). Urinary tract infection. 1. Urine PCR for TB (tuberculosis). 2. Need MCU (micturating cysto-urethrogram) if bladder capacity continues to be low 1. Capsule Terol (Tolterodine) 4 mg at night. 2. Tablet Urispas (Flavoxate hydrochloride) 200 mg twice a day. Revert back with the investigation reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27769, + "tgt": "Kindly comment on the results of my semen analysis", + "src": "Patient: Hi doctor, I am 34 years old. I have been\u00a0trying for a baby for the past three months. Regarding my semen count, I have a few doubts. I do like to know if it is normal. If not, then how to improve it? After abstaining for one week, the semen sample was given. The result showed grayish white, alkaline, 3 cc, perm count 7 million/cc, active motile 10%, sluggish motile 20%, dead 70% and pus cells 2 to 3 cells/hpf. After two days, I had a test in another laboratory. The result showed\u00a0pale opaque, alkaline, 2.5 cc, total sperm count 25 million, active motile 20%, sluggish 30%, non-motile 50% and pus cells 4 to 5 cells/hpf. Kindly comment on the results. I have no issues with erection or coitus. What should I do to improve the count? Doctor: Hi. Revert back with the test reports to an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 16020, + "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": 97, + "tgt": "My dad saw blood in his urine after taking a walk. Is it due to kidney stones?", + "src": "Patient: My father is diabetic and have kidney stones. Recently he saw blood in his urine after walk(exercise) what's the reason behind it??? Doctor: Hi thank you for consulting me Kidney stones can have different presentations it also can cause blood in urine after exercise and stones should be evaluated properly and treatment Your father have diabetes and might have other medical issues so proper evaluation before intervention is required I need more follow up with you to get more detailed history from you about your dad then I will order Ultrasound blood tests to check on his kidneys as for now then will proceed further Hematuria due to stones Fbc creat urine analysis and culture + ultrasound KUB Renal stones, urothelial / kidney tumor Urolithiasis To be decided after investigations Hydration and observation if persistent gross hematuria admission and evaluation as inpatient After 4 days with requested investigations" + }, + { + "id": 26068, + "tgt": "Too much stress causes my BP to go low. Is that something to worry about?", + "src": "Patient: Hello doctor,I am 25 years old.\u00a0I have a 90/60 blood pressure. I feel really low and nausea. I want to know if my blood pressure is something to be worried about. It is frequent. I feel like too much stress causes my BP to go low. Doctor: Hello. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 13411, + "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": 19129, + "tgt": "Shall I use Oculosan eye drops for red eyes?", + "src": "Patient: Hello doctor, I used contact lens after a long time and after that I have got red and tired eyes. My white portion of the eye has red lines.\u00a0I went to a chemist and he gave me Oculosan eye drop and it has Zinc sulfate and Naphazoline.\u00a0Is it safe?\u00a0I am also using Refresh tears eye drops. Doctor: Hello. Revert back with a photo to an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13095, + "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": 6322, + "tgt": "My nose is growing towards the left side. Will rhinoplasty help?", + "src": "Patient: Hello doctor, I am a 24-year-male. My nose is growing towards the left side, and I want to know about rhinoplasty. Doctor: Hello. You said that your nose is growing towards the left side. For your information nose does not grow after the age of 16 years. If you are right then you need to show your nose to a plastic surgeon to check whether there is any pathology or not which is unlikely. Nose can be deviated to the right or left side and it can be corrected by rhinoplasty. Rhinoplasty corrects your dorsum and deviation of nose. You have to discuss with your plastic surgeon. After surgery there will be swelling which will settle in few weeks. I hope this helps." + }, + { + "id": 19251, + "tgt": "Was my circumcision botched?", + "src": "Patient: Hello doctor, I am a 25 year old male, and I was circumcised as a baby, and I noticed years ago that all around the base of the head of my penis, there are small holes. Every few months I can squeeze a small amount of smelly white stuff, from some of these holes. Was my circumcision botched when I was a baby? The underside of the head of my penis looks normal, you can see the full head of the penis where it looks like a mushroom. When I get erections, it feels tight on the top of the head of my penis, and I think it is preventing my penis to extend to its full length. And if I do\u00a0not wash it very well, then it smells quite bad where the holes are. Does this sound like anything you have heard before? If so, what is going on? And is there a fix for this? Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18548, + "tgt": "How to get pregnant with PCOD?", + "src": "Patient: Hello doctor,I have PCOD. In spite of that, I want to get pregnant soon. I took the PCOD medication for six months. I was using Krimson and due to uneasiness, now I am using Deviry. Please suggest the ways to get pregnant. I am eagerly waiting for your reply. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6133, + "tgt": "Is it possible to get pregnant without penetration?", + "src": "Patient: Hello doctor, I and my fiancee messed up. Because she did not want penetration so I just asked her to do the hand job and I ejaculated after. I wiped the fluids that was out in my penis, after a few minutes like 2 to 3 minutes. It was her turn to get satisfied so I just let her do what she wanted to do. She sat on me, we both naked. She rubbed her vagina in my penis without touching the head, she was so wet, no penetration happened. After that day she felt guilty that she might get pregnant for that, so she decided to drink Parsely 2 to 3 times a day after a week we had the fun. She drank it almost four days, the purpose to that was she wanted to get early menstruation. It did not work so she tried next week for a ginger tea 3 times a day for 3 days. I think still did not work, tried the Parsely tea again together with the Vitamin c, both three times a day for 7 days, did not work. Until she felt back pain in her lower back and cramping on her lower abdomen too, also when she urinated there were tiny white mucus in her urine. There were days she felt a fluid is getting out of her vagina, seeing her panties it is just a white fluid, thought she will get her menstruation back but no. Still she keeps on drinking the tea and taking the Vitamins hoping for her menstruation to come, everytime she is in pain she does warm compress on her lower abdomen and back hoping to induce her menstruation. Still no menstruation. So is she pregnant? What should we do to get her menstruation back? She is so worried. Or is this another problem? Doctor: Hello. Well, in this case I see that her guilt is pushing her to undergo a lot of ordeal. I feel she has contracted a urinary tract infection secondary to vaginal candidiasis which is the cause of flakes in urine and the white discharge per vaginum with lower backache and abdominal ache. If there has been no penetration, unlikely that she is pregnant, only a remote chance that sperm would have travelled from her thighs to the vagina while she was on top. My advise would be do a urine pregnancy test to confirm if there is a pregnancy. If negative, then she can take tablet Medroxyprogesterone acetate 100 mg twice a day for five days and then her menses would resume within 10 days of her last dose of Meprate. For UTI, she can start tablet Fluconazole 300 mg once a week for three weeks along with tablet Norflox-Tinidazole twice a day for seven days, with special care to drink 12 to 15 glasses of water daily. Stop using alternative methods like tea, ginger, etc., they will not help. If the menses not resume, or if the pregnancy test is positive contact me for further advise." + }, + { + "id": 19676, + "tgt": "Please advise management for high triglyceride level", + "src": "Patient: Hello doctor, My triglyceride is 600 plus. Please advise any medicine. I do running for 45 minutes. Doctor: Hello. Triglyceride levels are very high. I think you might have any metabolic or hormonal problem. I advise starting immediate healthy changes in your diet and lifestyle regimen. Take supplements containing plant sterols, red yeast rice, omega-3, co-enzyme Q10, etc. Fibrates to start but need a prescription from your caring doctor." + }, + { + "id": 13659, + "tgt": "Please do check my blood reports and let me know if I have any abnormalities", + "src": "Patient: Hello doctor, I have weight loss, cholesterol problem, and low vitamin D level. Please do check my attached blood reports and let me know if I have any other problem. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Based on your query, my opinion is as follows: Alcohol might be a cause for the liver related changes. Nothing major to worry for now. You will have to repeat the tests especially lipid profile and liver functions tests after 6 months to look for any changes. Avoiding alcohol should help." + }, + { + "id": 15930, + "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": 12726, + "tgt": "Do I need pacemaker based on my EKG reports?", + "src": "Patient: Hi doctor,I am a 37-year-old female, 140 lbs 5\u20195\". I saw a new cardiologist yesterday and my EKG results. Results said left axis deviation, LAPB, RBBB. I asked her if I have a bundle branch block and she said no because only the two heartbeats show it and the rest of the EKG was normal. I am worried whether I need a pacemaker if I have blocks now. What is she trying to say? Doctor: Hello. I guess you mean LAFB and not LAPB. According to you, you already have RBBB and this time the EKG strip read LAFB. Many times the EKG strips read the EKG strip wrongly. You should believe in your cardiologist as humans are needed to interpret the EKG with some specific criteria, to fit the EKG as normal or some pathology. While LAFB stands for left anterior fascicular block, there is no term such as LAPB in my knowledge. The other term is LPFB, which stands for the left posterior fascicular block. The LPFB is extremely rare and usually occurs in isolation. It would be nice if you could post the picture of your EKG so that I could give a second opinion. Also when RBBB is present in combination with the other two (either LAFB or LPFB) is called bifascicular block. If the bifascicular block is present chronically in a patient it has a relatively low risk of progression to a high degree block." + }, + { + "id": 28976, + "tgt": "How can I reduce the pain around Insulin injection site?", + "src": "Patient: Hi doctor, I am suffering from type 1 diabetes. My HbA1c is too high. I have been on Insulin for around seven years now, and I am trying to lower it. I have a few questions. I keep getting Insulin bumps and lumps every time I choose the abdomen for an injection site. How can I ensure adequate insulin absorption? Also, how can I reduce the pain produced around injection site? I get morning hypoglycemias very often despite how early my last shot the day before was or how elevated the glucose reading was before going to bed. It is often so extreme that I lose control of my awareness and overeat, causing an acute elevation in blood glucose. How can I control that fluctuation? How can I figure out the suitable Metformin (was prescribed to treat insulin resistance) as well as Insulin dosage for me? How do I identify the causes of my blood glucose elevation if I knew it was not food? I am planning to start going to the gym. How can I use that to my advantage and not the other way around? Doctor: Hello. Let us go step wise just like your concerns. For further doubts consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 5121, + "tgt": "I have a sharp stabbing pain in left flank with no kidney stone. Is it related to spinal nerve?", + "src": "Patient: Hello doctor, I am a 48-year-old male in reasonable health other than a back problem that leaves me unable to sleep. I am having sharp stabbing pain in my left flank, only when I lay in bed and change positions. I am negative for kidney stones, so assume it is spinal nerve related. I only get relief when I take 30 mg immediate-release Oxycodone and have been obtaining them illegally. I have no health insurance and would like a legal alternative for obtaining this medication. I do not use them recreationally and only take a maximum of two per day. Do you have any advise? Doctor: Hello. I have studied your case. There is a possibility of spinal disc bulge leading to back pain. I will advise you to do MRI (magnetic resonance imaging) spine to see for any disc bulge or spinal canal stenosis. And also check your vitamin B12 and vitamin D3 levels. Medication like Methylcobalamine and analgesic will reduce pain. You can continue yoga exercises and focus on spine extension exercises. Some exercises which can be done include spine extension exercises, lying on your stomach flat and lift the leg six inches from the ground, do it for other leg. Now lift both hand and leg simultaneously, six inches off the ground and stay. Position for around ten breathes. Core stabilizing spine exercises will help. You may consult a physiotherapist for guidance. He may start TENS (transcutaneous electrical nerve stimulation), or ultrasound which is helpful in your case. If not relieved you can take an epidural injection. You can cure the disease by doing all modalities with balancing your posture habits. I hope this helps." + }, + { + "id": 31015, + "tgt": "My dad has cancer and low sodium. Is it advisable to give him more water?", + "src": "Patient: Hi doctor, My dad has been diagnosed with aggressive mesothelioma cancer. He is very frail and on leaving the hospital, he suffered with low sodium. He constantly asks for water and I am not sure whether we are giving him enough to drink or giving him too much. His urine output is usually from 500 mL to 1000 mL. Is this normal? I am concerned for two reasons. If we did not give him enough water, then he may get dehydrated. If we give him too much water with his condition, then his lungs will get filled with water and he will have to get a drainage. Please help. Doctor: Hello. The water he drinks will not affect the drain output until and unless the heart failure component is there. However, when sodium is low we usually restrict water intake depending on the cause of less sodium. Has he received chemotherapy? Sodium could be lower because of the cancer itself. Your intake should be based on output and sodium levels. If he is too frail, then it is suggested to make him comfortable. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25100, + "tgt": "Will hypertension cause early death?", + "src": "Patient: Hello doctor, I am a 40-year-old male with a weight of 98 kg and a height of 185 cm. I felt choking last month and I rushed to the hospital. It was there I got to know that my blood pressure was very high. In fact, I have been hypertensive for some time now. I did a series of tests including lipid, ECG and echo. The cardiologist told me that I have left ventricular hypertrophy which has got me scared to death. The following are my echo results. The chamber summary is normal except dilation of the left atrium but the LAD is 30.4 mm. IVSD 13.8 mm IVIDD is 50.8 PWD 12.3 mm IVSS 16.3 lVIDD 34.6 EDV 130 9ml ESV 41 5 mL SV 89.4ml EF at 68.32% FS 35.82% IV mass 337.3 g IV Mass - c 270.4g LAD 34.6 mm RVD 34.6 mm Both diastolic and systolic functions are normal. The wall motion of left ventricle and contractibility are normal. Aorta valve is normal. Mitral valve is normal. The pulmonary valve is normal. IVC is normal. Pericardial space is normal. Tricuspid is normal. The cardiologist did not tell me the kind of hypertrophy I have and I want to know it, please. Am I likely to drop dead? I am on aggressive blood pressure control taking Losartan 50 mg and Carvedilol 6.25. Blood pressure is always under 120/80. I eat a lot of fruits and vegetables and also have 30 minutes of walk four times a week. Please, will LVH recess over time and can I live for another 40 years? Doctor: Hello. You are not likely to drop dead. You are hypertensive for a long time and that is why you are having left ventricular hypertrophy due to left ventricular remodeling. If you control your hypertension there can be reverse remodeling of your heart and your LV (left ventricle) will normalize in time. I suggest you take medications as prescribed consisting of ARB (angiotensin receptor blocker) and beta blocker that will make your heart normal again in time. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27704, + "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": 10483, + "tgt": "Kindly explain about the diastolic heart failure", + "src": "Patient: Hello doctor, I am a 41-year-old male with 5'11\" height and weight 214 pounds. Multiple sclerosis and bipolar disorder are co-morbid conditions. I was recently admitted for a heart catheterization to check for any potential blockage after an abnormal ECG, chest and chin pain, months of breathlessness, and a very strong family history of cardiovascular disease. Fortunately, no blockages were found. However, my cardiologist informed me that I had diastolic heart failure. To be clear, he did not say diastolic dysfunction, and he said heart failure. My high blood pressure has always been controlled. My reports say, 1. Moderate tortuosity of epicardial vessels consistent with hypertension. 2. Hyperdynamic left ventricular ejection fraction of 75 to 80 %. 3. Moderate to severely elevated left ventricle end-diastolic pressure 24 mm Hg. My cardiologist never gave me a prognosis. He told me to eat a low sodium diet and to get checked for sleep apnea (which I will do), but he never gave me a prognosis. I have dealt with health problems for a very long time. It is essential for me to know what a diastolic heart failure diagnosis means for my lifespan. I am married and have five children, and it would be nice to know what I am looking at. Kindly advice. Doctor: Hello. I am sorry to hear that you did not receive any detailed explanation of your condition. Diastolic dysfunction is the inability of the heart to relax, which can be diagnosed with echocardiogram or with evidence of high pressures inside your heart chambers, as evidenced by the increase LVEDP (Left ventricular end-diastolic pressure) in your cardiac cath (it was 24 mmHg, and normal is considered less than 15 or 18 mmHg). The term diastolic heart failure is used when we have evidence of diastolic dysfunction as above in addition to symptoms of heart failure (the shortness of breath you described). There is some belief that diastolic heart failure is more benign than systolic heart failure, but in reality, that is not the case. They have similar prognosis when compared in general. However, patients with advanced systolic heart failure have a worse prognosis than those with diastolic heart failure. The complicating aspect is that there are no many proven therapies that work for diastolic heart failure, other than low sodium diet, diuretics, exercise, proper eating, and lifestyle modification. To provide a more precise diagnosis, it would be essential to understand how is your exercise tolerance, however that can be challenging with your multiple sclerosis. I hope this information helps. I do not want you to feel discouraged but instead focus on lifestyle modification. Eating well, stress reduction (mindfulness or mediation can help) and practice physical activity. Hypertension, and obesity. Possibly an exercise stress test to objectively assess your exercise capacity, sleep study, and probably a Holter or event monitor (to assess for arrhythmias or atrial fibrillation)." + }, + { + "id": 17593, + "tgt": "I am continuously taking Nilavarai choornam. Is there any side effect in taking this choornam?", + "src": "Patient: Hello doctor, I am continuously taking Nilavarai choornam (2 grams after food in the night). I have been taking this for the past 2 years.\u00a0Is there any side effect in taking this choornam? Doctor: Hi. I appreciate your regularity in taking Nilavarai choornam regularly. You need to have a break in between in taking this choornam. If you continuously take, it may alter (destroy) the intestinal beneficial bacteria, which are essential for producing some vitamins and help in local intestinal immunity. This 'purgative abuse' may also injure your intestinal villi, which will lead to malabsorption and improper digestion. The anthroquinone present in the senna plant (nilavarai) can cause black pigmentation in intestine or other mucosal parts. It also can cause inflammation in the colon. Hence, my advice is as follows; Hope this helps. Revert back to a siddha medicine specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 19059, + "tgt": "Is there any skull fracture seen in my father's CT head report?", + "src": "Patient: Hi doctor, My father had a CT scan for head injury. I have attached the two CDs for your reference. One important thing is different in the reports. It is about a crack of parietal and temporal bones. Could you take a look and describe them to me? Doctor: Hi. I have seen the images of CT scans (attachment removed to protect patient identity). Revert back with the answer to the above question to a\u00a0radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 13737, + "tgt": "Is there any medicine to lower BP other than diuretic?", + "src": "Patient: Hi doctor, A 50-year-old type 2 diabetic male with HBP and dry eye disease and diabetic retinopathy. Medicines: 100 units of slow Insulin, Valsartan 320 mg, Amlodipine 10 mg, Escitalopram 10 mg, Xiidra eye drops. After years of high HbA1c of around 10.5 last year has averaged around 6.5. HBP runs around 150/105. I have managed to radically improve glucose control over the last year but my blood pressure has remained the same. I have some retinopathy issues and my ophthalmologist and optometrist want my glucose to stay at or below 6.5 and my BP to be 120/70. I have tried a variety of diuretics like HCTZ, Spironolactone, and Chlorthalidone, each for about 3 to 4 months but I suffer from severe dehydration whenever I take a diuretic. My eye doctors also tell me that diuretics can worsen the inflammation associated with both my dry eye and retinopathy. To add insult to injury, when I was taking the diuretics, my BP was still running at about 150/105 with no real noticeable difference. My question then is relatively simple. I need to lower my BP to a safer rate but my doctor has run out of ideas for a third BP medicine that is not a diuretic. Can you suggest something (no-diuretic) that I could suggest to him? Doctor: Hi. Reduce salt intake. Avoid alcohol and caffeine and nicotine in any form. Take plenty of fruits and vegetables. Reduce weight, do daily exercise. Take sleep of good quantity and quality, at least six hours uninterrupted sleep at night and 1 to 2 hours at day time. If you snore, treat it. It is one of the main cause of resistant hypertension. Then, you may take beta blocker as next addition such as Metoprolol succinate 50 to 100 mg per day, Atenolol 50 to 100 mg per day or Nebivolol 2.5 to 10 mg per day. Then you may add Hydralazine 25 mg thrice a day to 75 mg thrice a day. Also, the option is for alpha blockers such as Prazosin, Terazosin, and Doxazocin. Also other options. Consult your primary doctor with these ideas. If still BP is not controlled, follow-up with me." + }, + { + "id": 5249, + "tgt": "My mother has knee stiffness and pain during physiotherapy after replacement surgery. Is it normal?", + "src": "Patient: Hello doctor, My mother had a total knee replacement two months ago. Doctor suggested to put knee splint for nearly a month, and after that, she went to physiotherapy and her knee is very stiff now. She could not able to bend her knee, and having excess pain. Almost her BP is raising during physiotherapy and the pain stays for a day. Is this normal? Doctor: Hello. You have mentioned that your mother had her knee replaced two months ago. I am assuming it is a primary rather than a revision. I will be concerned as much as you are as by six weeks we expect at least a 0 to 90 degree knee bend. By this, we mean that the patient can bend her knee sitting on the edge of the chair and have her foot planted on the ground comfortably. If this is not the case then we need to look at her progress with physiotherapy. If this is slow but steady and the patient is making satisfactory progress weekly and is able to actively participate in the physiotherapy without much post-therapy pain, then I will recommend continuing with physiotherapy but keep a strict eye on the developments and progress. If it is neither i.e. range of motion is less than 0-60 and the patient is struggling with physiotherapy then you seriously need to go and see your surgeon. And I will recommend a MUA (manipulation under anesthesia) which will improve her ROM (range of motion) and make her life with physiotherapy much easier. Also, if you wish you could upload her x-rays post-operatively and a picture showing her ROM and may be I can help ou further and will be able to guide you towards the next steps that you need to take. In the mean time ice the knee after each physiotherapy session." + }, + { + "id": 3373, + "tgt": "What to do for wisdom tooth pain?", + "src": "Patient: Hello doctor, I am in major pain now. I noticed that my wisdom tooth is coming in about a week and a half ago. Since then I have been having this pain in the lower corner of my left mouth. It is located right where the gums and my mouth meet and resembles a cut. It is a slit with yellow and white outside and a brown on the inside. I would like to schedule an appointment as soon as possible. I would very much appreciate a reply soon because this thing made me stressed out. Thank you. Doctor: Hello. For further information consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29276, + "tgt": "From the MRI, can you tell me what is the reason for my back pain?", + "src": "Patient: Hello doctor, I am a 33 year old unmarried male. I have back pain problem (stiffness) for more than three years, and everyone gives the feedback that my posture was not proper while walking. Two years before I consulted a doctor. He suspected ankylosing spondylitis, but HLA-B27 was negative. By seeing the x-ray,\u00a0the doctor told some fusion happened between the bones. He recommended a few vitamin tablets for a few months and asked to do continuous exercise. I started swimming, but l am not able to continue for the last six months because of my location transfer.\u00a0In the last two years, the condition did not make worse, but the stiffness remains the same. So, I consulted another doctor and had a new x-ray, MRI scan, blood test, ESR, etc. I have attached my scan reports here for your reference. The doctor told that this is neither spondylitis nor arthritis. He asked me not to worry. He said that if it is ankylosing spondylitis, then with the two years of history the condition would have been worse and currently there is only mild fusion. He recommended some calcium tablets and Gabapentin tablet. I read a lot of negative feedback about this tablet wth respect to nerve issues. I am taking this for the last one month. \u00a0I would like to know your feedback on the following. From the MRI, what is the actual condition and seriousness of this problem? Currently, I am having the stiffness and posture problem. Will it affect me more in the future? Do I need surgery for this condition? Can I take Gabapentin tablet? I \u00a0read this tablet causes erectile dysfunction. Is it so? I have got some suggestions to use hot or cold therapy. Shall I go ahead? Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8713, + "tgt": "Can you help treat ringworm on my leg and penis?", + "src": "Patient: Hello doctor, I have ringworm on my leg and the upper side of my penis from one month. I have taken antibiotics like Terfaze. Please help. Doctor: Hello. Kindly send image and revert back. Without clinical photographs, medications cannot be advised. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21656, + "tgt": "My dad has age-related diffuse cerebral atrophy. Will he forget everything, even me?", + "src": "Patient: Hello doctor, Recently, a doctor said to my father that he has got age-related diffuse cerebral atrophy and it will affect the memory. Please explain what it is. Will he forget everything, even me? His age is 59. I am very frightened. Doctor: Hello. Regarding your concern, I would explain that your father's symptoms and MRI findings are indicative of dementia or Alzheimer's disease. This is a progressive disorder with progressive memory problems. Unfortunately, there is no cure, but there are some drugs which can help improve his situation. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26415, + "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": 10212, + "tgt": "I have diarrhea following constipation for a long time. Why?", + "src": "Patient: Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anymore). Then after that month, things flipped and now for the last four weeks at least, I have had movements that are almost diarrhea (very soft, formed only slightly). Colour does not seem abnormal and there is not a bad smell and I do not see oil drops in the toilet bowl. Every morning I have this. I also am having increasing stomach reactions. Every time I put food into my mouth, the gurgling starts. I am not feeling this is a food intolerance as it happens instantly no matter what I eat. I also get a lot of bloating due to the gas. I will, of course, be following up with my doctor, but wanted to ask here. I have a history of breast cancer, so I easily get concerned about cancers (I realize that breast cancer does not often spread to the bowels, but I am still worried about another cancer). I am not a person with a strong history of gastrointestinal upset. I did go through about 7 to 8 weeks of something about seven years ago and never really had a true explanation. Those symptoms accompanied many other symptoms such as nerve pain, twitching, cramping. I felt as though I was having an autoimmune type reaction and am now wondering if it was tied to hormonal changes as my periods changed at the very same time as I had those symptoms (perimenopause). I am currently on Letrozole for hormone positive breast cancer targeted therapy. I had my ovaries out two years ago. So my body is definitely experiencing a massive drop in estrogen over the past two years. I am wondering if you have any thoughts on what this could be? No blood in the stool. Doctor: Hi. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, to take a soft and bland diet, to walk after all meals. I would also recommend you to get your thyroid profile checked." + }, + { + "id": 5060, + "tgt": "My hCG level raised to 12 and dropped. Is pregnancy possible?", + "src": "Patient: Hello doctor, Currently trying to conceive and two months in a row my hCG levels rose to a 12 then dropped. My doctor said he has only seen this in one patient ever. I am scared I will not be able to have kids. Both months it happened. I also had positive home pregnancy tests. It is not normal for hCG to rise in non-pregnant women. My big concern is not ever being able to conceive. I have not found anyone who has been through this. Doctor: Hi. Do not worry. I do not see any reason for you to be concerned. For urine pregnancy test to be positive, Beta hCG has to be more than 25 mcg. From your short history I could only gather that your weight is slightly high. Weight has to be ideally: Height in cm - 100 = Weight in kg. Just 2 months is a very short period for you to decide your fertility potential. Just check if following tests have been done. Husband - blood sugar, semen count, motility and morphology at least twice 1 month apart. Semen culture and sensitivity is doubtful. Wife- blood sugar, pelvic scan, tubal patency, serum FSH , LH, AMH day 3 or 4 of period. I am sure you will be fine and will get positive results. All the best." + }, + { + "id": 2712, + "tgt": "I feel itch and tenderness in penile head and foreskin. Is it fungal infection?", + "src": "Patient: Hello doctor, I was struggling with reddening, itching, and tenderness on the penis head and under the foreskin. I self-diagnosed a fungal infection and started applying Candid B cream twice a day for a week. With a slow recovery, I decided to take oral medication for the same. My pharmacist suggests Fluka 150 (Fluconazole) oral tablets. I took the medication for four days daily, single dose. Yesterday, after drastic improvement in my symptoms, I discontinued taking Fluka. Now I am having abdominal discomfort, passing excess gas, and feeling slight anxiety Should I continue the medication? For how many days? Is it possible I misdiagnosed my condition? Doctor: Hello, Welcome to icliniq.com. Get physically examined and investigated to rule out any medical condition and treat accordingly. Take medicine only under prescription and close observation of the doctor. Check vitals. Drink plenty of water and fluids. Maintain strict hygiene. Wear loose cotton comfortable clothes and underclothes. Avoid sexual contact if any for a while. Avoid cream lotion salon treatments, cream lotion oil massages, perfumes, etc. Take tablet Rantac twice daily unless otherwise contraindicated with water for three days before meals. Feel free to follow up anytime. Follow diet modification." + }, + { + "id": 21269, + "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": 26149, + "tgt": "How common is it to have a -12 eyesight in a 19 year old?", + "src": "Patient: Hello\u00a0doctor, I am only 19. I am -12.00 in both the eyes. It is even higher than my mom's. Is this common, and is it very high? I saw the eye doctor and he said my eyes were healthy but the high prescription is worrying. I do not believe I see anything different other than some floaters when I turn my head sometimes. I am afraid I will suffer from a retinal tear at some point. How rare is that for someone with my kind of eyes? Could it just happen anytime? How safe am I from something like that? Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23667, + "tgt": "I have irregular heavy bleeding. Is something wrong with my uterus?", + "src": "Patient: Hello Doctor, I am an 18 year old female. I had my normal period last week and it lasted for 7 days. Then three days after this it started again and was really heavy.This happens almost every month. Is something wrong with my uterus? Doctor: Hi. There can be so many reasons for irregular heavy bleeding. It can be a part of Abnormal Uterine Bleeding which has to be found out. You need to get routine blood investigations including thyroid profile and a basic pelvic scan done. Also take regular iron to correct anemia due to heavy blood loss. This is not normal and needs treatment. If no reason is found, simply correction of anemia and progesterone support can help. Revert back with your reports to a gynaecologist online to rule out the causes for abnormal bleeding --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25801, + "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": 15408, + "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": 14965, + "tgt": "I am suffering from eczema of cheeks. Are there any side effects in using Corticosteroid?", + "src": "Patient: Hi doctor, I have eczema. There is redness in my cheeks. I have used Corticosteroid cream for six days. Are there any side effects in using it? Doctor: Hi. Corticosteroids should never be applied without a doctor's advise. Also, there are certain steroids which should never be applied on the face. If you could send me photos and details, I will be able to give you proper suggestions. Till then, do not use anything on your own. It does more harm than good. Consult a dermatologist online for further treatment --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1269, + "tgt": "Will you recommend fusion surgery for disc extrusion?", + "src": "Patient: Hi doctor, Four years before, I met with a car accident with no external injury. After a week, I started getting pain in my right buttock and calf area. Later, I was recommended for an MRI and found it was L4-L5 disc extrusion. I underwent the microscopic discectomy the same year. Now, for the past one month, I am having severe pain in the same area. I consulted my surgeon and took another MRI as recommended. This time as well, I have the disc extrusion in the same disc. This time he is recommending for fusion. I am attaching the MRI reports for your kind advise.. Please check and advise whether I need to go for it. My current medications are Renerve plus and a painkiller. Thank you Doctor: Hi. A few observations are as follows. Evocative discogram proceed transforaminal endoscopic discectomy. 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": 24754, + "tgt": "Is it healthy to take ayurvedic medicine Anuloma for constipation?", + "src": "Patient: Hello doctor,I am constipated regularly and have stomach pain occasionally. Sometimes, I take Anuloma half a tablet once a week or one day, and then I feel fine for a few days. I have a good bowel movement when I drink lots of water, but sometimes I am constipated as well. Is it healthy to take Anuloma from time to time? Doctor: Hi. There are several causes of constipation and irregular bowel movements like lack of exercises and physical work, sedentary lifestyle, obesity, taking more oily, fried junk foods, consuming alcohol and smoking habits, etc. Sometimes, it is due to neurological issues. Drinking lots of water stimulate bowel movement which facilitates motion. You can take Anuloma (Senna) tablets. It is a good laxative medicine, but along with this, you should change your food habits and lifestyles. Here are some useful tips which help you to improve your concern: You should take some ayurveda medicines too along with your change in lifestyle like Panchasakar Churna (Svarna Patri, Sunthi, Misreya) 3 gm twice a day with warm water after meals, Arogyavardhini Vati (shudha Mercury, shudha Gandhak, shudha Gaggul) one tablet twice a day with warm water after meals, Abhayaristam (Abhaya) 15 ml twice a day with the equal amount of water after meals. Do these things and follow up after fifteen days. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1647, + "tgt": "Will protein powder enhance children's height?", + "src": "Patient: Hi doctor,I have a son and a daughter. My height is 5.7 and wife is 5.1. I am extremely worried about my children height as we are short. My daughter is now 3 years 10 months old and have 14.5 kg weight and 38 inches tall. She had seizure thrice and taking some sodium liquid medicine for the past three years. My son is 1 year old and 10.2 kg weights and 28 inches tall. I\u00a0want to know what would be the appropriate height of my children as per current status. Is there anything I can do to increase their height? I want my daughter to be 5.6 tall and son to be 6 ft tall. Will giving protein powder make any difference? Kindly do the needful. Doctor: Hello. I understand your concern. I will try to sort it out for you. We can add some calcium supplements. Revert back with the answer to the above questions to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8041, + "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": 21031, + "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": 24390, + "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": 12879, + "tgt": "Is it advisable to use lemon juice for pimple?", + "src": "Patient: Hello doctor, So I used the juice out of fresh lemon to treat a minor acne spot on the side of my face (cheek) last week. I applied the lemon just overnight. After two days, I saw a small white scar. Therefore, I decided to stop doing this. Is this permanent and will this prevent hair growth on my face? Doctor: Hi. Can you forward a few pictures of the affected area to guide you through precisely." + }, + { + "id": 13073, + "tgt": "I have cold with chest pain and fatigue. Can it be due to pneumonia?", + "src": "Patient: Hello doctor, I am an 18-year-old female. I have a cold with chest pain, fatigue and difficulty breathing for three days up till now, without physically consulting a doctor. I have had pneumonia last year and I am afraid that I might get again as I am starting to show some symptoms of pneumonia. Should I be concerned? Doctor: Hi. Just saw your letter that you been having a difficulty breathing and you are concerned about pneumonia. I would like to get some more information in terms of fever, difficulty breathing, bringing up sputum. Is it yellow color or white color. If you are having all the symptoms you have to get chest X-ray and medications. We will have to take Paracetamol 650 mg three times a day, antibiotics Amoxicillin-Clavulanic acid 625 milligrams twice daily for five days and take a tablet Fexofenadine 120 milligram at night for five days. In addition, you can take tablet Pantocid 40 mg 30 minutes before food for five days. Despite all this medication, if you continue to have a fever and the symptoms are not better, seek medical attention from a nearby doctor." + }, + { + "id": 28862, + "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": 29796, + "tgt": "I am getting nervous and start sweating when I meet new people. Why?", + "src": "Patient: Hi doctor, While talking to people like in the office, with my boss or a new person I am getting nervous and start sweating. How to stop that nervousness and sweating? Because of this fear, I am avoiding official meetings and personally meet with people around me as well. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 25422, + "tgt": "Why does the right side of my face look weak and uneven while the left looks fine?", + "src": "Patient: Hello doctor,My nose for some reason seems to always be clogged after I wake up and I have noticed that my nose is uneven along with my eyes. The left side of my face looks strong and healthy while the right side looks weak and uneven. Doctor: Hello. As far as the picture is considered, there is some obvious deformity on the right side. The alar curvature is increased which makes it look like it is uneven. You said you have clogging of the nose which means there might be a slight collapse of the internal valve on that side as well. Also, the eyelid is kind of drooping compared on the other side, which can be confirmed on examination only. And if I am not wrong there seems to be a small lesion near your right clavicle area as well. So it is all the more safe to clarify the above-said problems to get to know the options of their correction. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 28293, + "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": 8055, + "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": 21106, + "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": 18638, + "tgt": "Having a wound on my scrotum. Is that herpes?", + "src": "Patient: Hi doctor, I have an open wound or ulcer on my scrotum. I afraid that this might be herpes. However, the day before this wound I played football for 2 hours. I took a shower, but put on the same underwear and sprayed body spray on my boxers entirely before putting them on. I wore those boxers for the remaining of the day and did not take a shower until the following day. It was the following day where I noticed a red spot on my testicles as if dry skin and the skin cracked and the wound appeared. Doctor: Hello. Revert back with the photo to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18519, + "tgt": "My dad had a heart attack. Can we wait for 2 to 3 days to do bypass surgery?", + "src": "Patient: Hello doctor, My father, who is 61 years old, suddenly had chest pain, excessive sweating, and vomiting, yesterday at 6 AM.\u00a0Currently, he is fine, but he is still having chest pain, so the doctor gave him oxygen today. As per his doctor, he had a\u00a0heart attack, and the pain will go away after some rest. He has kept my father under observation for another day. We stay in an isolated village, so there are very less medical facilities available\u00a0here. Please suggest any other option. Doctor: Hello. If he had a heart attack, then it is better to shift him to a higher center with facility for cardiac care like angiography is available. He will need further management like echocardiography, angiography, and stenting if significant blockages are there. Also, medical treatment needs to be optimized. Enquire if troponin test is positive or not. I also want to know his CK-MB levels, which indicate heart damage. If possible, ask for clinical summary and reports including ECG (electrocardiography), the treatment he is receiving, and you can upload it here for a better opinion. Hope this helps you, and get back if you have any doubts. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13030, + "tgt": "Does delayed speech development mean cerebral palsy?", + "src": "Patient: Hello doctor, My daughter is 18 months of age. She was born at 38 weeks due to placenta failure and oxygen issues. She was 5 lbs 10 ounces at birth and was healthy (did not have to stay in the NICU). She hit all of her milestones in terms of rolling over, crawling and walking (walked at 14.5 months), but is a toe walker. Her left leg (to us) is weaker than her right and her left leg does not bend as much as her right leg. She began to speak around 10 months of age then her speech left. We came to find out she had chronic fluid and a month back she had tubes placed. I am hearing more vowel and consonants now but no true words yet. She makes fine eye contact. Her non-verbal communication is good. She responds to her name but not always. She is beginning to learn more of what we are saying, she plays with some toys, is not terribly social. We are thinking that she may be on the autism spectrum and we have an evaluation soon to determine that. But my question is, could this be cerebral palsy? Doctor: Hi. I understand the situation you are facing with your child. As there is no history of perinatal insult and NICU stay at birth, cerebral palsy could be less likely at this early age to diagnose. The description you made is more of a like to be an autistic spectrum disorder. But this could be just a small delay in catching up all milestones. Some kids learn early and some little late. So, observe over a period and if no improvement is seen, then consult a pediatric neurologist and developmental specialist for further evaluation and management." + }, + { + "id": 29250, + "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": 30651, + "tgt": "What could cause throbbing tooth pain?", + "src": "Patient: Hi doctor, Recently, I have been under tremendous amounts of stress and following that, I have started to notice my bottom front tooth has started to feel slightly abnormal. It sits further back from the rest. Recently, it feels like something has trapped between the teeth and throbs now and then. The tooth looks to have receded slightly, but my dentist did a deep clean and removed the enamel months ago. The gum looks fine and there is no swelling or redness. It did bleed slightly this morning, but not for long. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18282, + "tgt": "Why am I having dizzy spells and pulsations in back of head?", + "src": "Patient: Hello doctor, I am 39 years old, severely obese. I have been experiencing dizzy spells and pulsations in the back of my head. The pulsations are severe when I am sleeping. There are shocks in the head occasionally but more while sleeping. Doctor: Hi. We need to do an MRI brain with MRS (spectroscopy), MRA (angiography), MRV (venography), MRI cervical spine with MRA neck vessels with whole spine screening for evaluation of dizzy spells, pulsations in the back of the head. Obesity or overweight can be due to four main causes: 1. Primary genetic insulin resistance. 2. Not doing physical work and being the so-called couch potato (sedentary lifestyle). 3. Diseases related to fat metabolism (dyslipidaemias). 4. Eating too much (also called gluttony). Of these, if your obesity and overweight are due to a sedentary lifestyle, you can reduce your weight and waist circumference by walking, jogging, running, swimming, cardio, lifting weights, etc. If your obesity and overweight are due to eating too much, you can reduce your weight and excess fat by eating less. If your obesity and overweight are due to dyslipidemias, you can reduce your weight and excess fat by appropriate treatment. But, if your obesity and overweight are due to primary genetic insulin resistance, the only way you can reduce weight is by taking a low carbohydrate diet. Running miles on treadmill or starvation will not solve your problem. Before you start low carbohydrate high fat diet, we need to know what all you can take and what all you have to avoid. For this, a series of blood tests are needed. These are available as a package called metabolic profile A. If you have already done this, please send us the reports. If you have not done this, please do it. The technician will come, collect blood and you will get the report the next day by mail." + }, + { + "id": 2265, + "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": 2783, + "tgt": "I am unable to penetrate properly as my hardness goes down within minutes. Please help", + "src": "Patient: Hello doctor, Hardness is going down very fast within two minutes after intercourse. I am unable to penetrate properly with this problem. I want to harden it for some time to penetrate and release properly. I also used Sildenafil personally. But if I use this drug the semen is not releasing properly. We are trying for a baby. I have one baby girl already. I have IBS-D. I will get bloating while doing sex. Doctor: Hi. Erection problems can be due to many causes including stress and physical causes such as diabetes, hypertension, and endocrine problems. So first visit a doctor to rule out the physical condition. You can try Tadalafil instead of Sildenafil as it has lesser side effects and see does it suits you or not. Also, avoid alcohol and tobacco products. Do regular exercise or go for a walk at least 45 minutes daily. Take healthy food. Spend enough time in foreplay. I hope this helps." + }, + { + "id": 29059, + "tgt": "Will my family support me if I change my career?", + "src": "Patient: Hi doctor, I am an engineering graduate. I am unemployed and\u00a0fed up with everybody's reaction regarding my career. So, I avoid family gathering or party.\u00a0I did not get a\u00a0job yet, and it makes me frustrated. I am not able to find a right path and feel like crying. I am not happy with this situation. Sometimes, I doubt myself. Should I do something else now? Will my family support me if I change my career?\u00a0I get a headache when I think about all my friends, who have a job or do\u00a0business. Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29134, + "tgt": "My 2 year old son's teeth are exposed and are sensitive. Please help", + "src": "Patient: Hi doctor, I have a 2 year old son, who was born through a c-section. One out of his\u00a0six teeth is\u00a0actively disintegrating. The enamel has come off, and the inner part of the tooth is exposed and sensitive to cold drinks. What should I do? Doctor: Hi." + }, + { + "id": 17636, + "tgt": "Blood sugar fasting 97, HbA1c 6. 89 and mean blood glucose 144. Why?", + "src": "Patient: Hello doctor, I got my blood test results today. My fasting blood sugar is 97 mg/dL. But, my HbA1c is 6.89 with mean blood glucose at 144.\u00a0I am going through premenopause and I am 49 years old female. Please help. Doctor: Hi. I have read your message. I think I can help you. Revert back after the tests to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 16531, + "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": 8759, + "tgt": "Kindly suggest treatment for acne", + "src": "Patient: Hello doctor, Acne started getting bad on and off for the last 2 to 3 months, always had the occasional pimple but now it is all over my face. The dermatologist prescribed Doxycycline after Minocycline, it did not work. He also prescribed Sulfacleanse to use in the shower and Benzoyl Peroxide, Clindamycin mix, and Adapalene three gels. I found that all of that made my face worse so I used Sulfacleanse in the shower and after that, I used rose water toner alcohol-free, then hyaluronic serum then either tea tree oil, Adapalene or Benzoyl peroxide then Proactiv green tea moisturizer. I used that for a week and my face cleared up a bit then I went back to the dermatologist and he said not to use my stuff and only BP and Adapalene and that made my face break out again so I am back on my routine for three days now and noticed a bit of clearing up. I eat very healthily and I am also using supplements. Doctor: Hello. I understand your concern. You have grade 2 acne vulgaris and definitely, need oral antibiotics. The thing with anti-acne medications particularly retinoids like Adapalene is that initially, you might feel that acne is flaring and people stop them. But in time they get better. Use the following medications: Tablet Azithromycin 500 mg three consecutive days per week for four weeks. Adapalene plus Benzoyl Peroxide gel apply once at night on acne and wash after one hour and do not rub it. Benzoyl Peroxide face wash continue using the moisturizer in the morning review after one month. Besides medicines, you can do certain other things like changes in diet, which can help in curing acne. Avoid foods with high glycemic index particularly milk has been found to be associated with increased severity of ane. Also, avoid chocolates and sweets if possible. Avoid picking and scratching the lesions as it increases the chances of scarring and pigmentation. Acne medications need to be used at least for 8 to 12 weeks to see good results. So, be patient. Take care." + }, + { + "id": 29914, + "tgt": "What do you recommend for my father's cellulitis leg?", + "src": "Patient: Hi doctor,My father got a wound in his leg in a small accident. He is a diabetic and because of this reason, cellulitis has occurred in his leg. We took a treatment for that, but the treatment is somewhat doubtful to us. He is on Distaclor CD 375 and Debridase ointment. Please give us a suggestion. Doctor: Hi We are here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4557, + "tgt": "Is systemic hypertension the same as high BP?", + "src": "Patient: Hi doctor, I am a 45 year old male. My weight is 96 kg and my height is 184 cm. My symptoms are breathlessness on exertion, neck constriction while walking, as well as on and off chest pain in the mornings that are unconnected with exertion. I am also suffering from severe sleep apnea. I had TMT positive 8 METs, 6.3 minutes and ST depression of 2.5 to 3 mm in inferolateral leads.\u00a0I underwent coronary angiography last week. Fortunately, no significant blocks were found. Doctor said many small blocks are there, which do not restrict the flow of blood. The diagnoses are minor coronary atherosclerotic disease and systemic hypertension.\u00a0The report says only minor plaques in LDA and LCX. Does this mean angiogram is negative, I mean normal? If so, are my symptoms non-cardiac in nature?\u00a0Can I ignore further chest pains? Or where should I go to treat them?\u00a0Am I right in thinking that this report means I am unlikely to have a heart attack at least in near future?\u00a0What are the chances that these minor plaques may progress and become bigger or serious?\u00a0How will I know if and when the blocks become bigger; since my stress test was already positive, false positive?\u00a0Is systemic hypertension the same as high BP? My BP was only 130/80 at the hospital. My home BP machine often gives 150-160/90. How did they diagnose systemic hypertension? Being a wonderful doctor I need your help again today. Doctor: Hi. I am really thankful for your kind comments. You have always been so nice and a health conscious person. I want to assure you do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine health concerns. Thanks for attaching the supporting documents (attachments removed to protect patient identity) for a thorough insight on the issue. You had an unremarkable angiography. It was a very good and a bold decision to go for a timely angiography. I appreciate that you did as advised. Now at least we have got a direction to move on. Now I will reply every part of your query in the order. The report actually means that we do not need to go for angioplasty or stent placement or CABG (coronary artery bypass grafting - bypass operation) today. But it does not give any guarantee for future. You need to adapt a good lifestyle. Keep the hypertension in control. Take a good healthy diet. Do proper physical activity on a regular basis. You have to keep your lipids and cholesterol in limits too. This is the meaning of all what is written in your angiography report. If not controlled right now and not taken good care of, it may lead to enhanced and widespread coronary artery disease and may lead to blockage of vessels in the years to come. Yes, ignore the chest pains. They are nothing and will not pose any harm right away. You need to act upon my advice rather to remain healthy forever. There are least chances for a heart attack right now, but I have explained about the future consequences of the issue if not handled with care. These minor plaques may get definitely big problems if not dealt with care. Let me explain a little more about arteriosclerosis so that you may get better insight. Hypertension makes the arteries stiff and they cannot expand in case there is a need for some increased blood flow through them. No definite answer for future events as it will all depend on medical and personal care. Your blood pressure, lifestyle and diet will all be the main determinants. But if you feel unexplained weakness, tiredness, sleepiness even with a good sleep, restlessness, difficulty on exertion first and with passage of time difficulty in breathing even without exertion; it all means that, you have a bigger issue with the coronary arteries. Your stress test was not 100% false positive. It had some relevance and clinical significance. It is called early stage of coronary arteriosclerosis manifestations. Systemic hypertension is a word to differentiate it from other hypertension like portal hypertension. And, yes it means the same as you said the high blood pressure. Hypertension is one of the main causes of the coronary artery disease especially when there is no other major contributing factor. Also they have had monitored the blood pressures during the angiography and also during indoor stay in hospital. Mainstay of treatment is lifestyle modification as aforementioned. Keep away from smoking and alcohol. For further information consult a cardiologist online.--->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23909, + "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": 2137, + "tgt": "I have swollen and painful foreskin post circumcision procedure. Please suggest treatment", + "src": "Patient: Hello doctor, I have a problem with my foreskin swelling and also experiencing pain. I am a 37-year-old male and had my circumcision done seven years back. There were some inflammation and occasional pain through these years but recently have been experiencing more inflammation and pain in that area. Please advise on the treatment for this. I am currently using anti-inflammatory medication and a corticosteriod cream to the inflamed area. Siloderm mixi, Augmentin 625 mg and Lytix-D tablets. Doctor: Hi. The treatment you are taking is perfect. Since how many days are you taking these current medications? Based on the information you already gave, I recommend you to add on to this treatment. Xylocaine jelly 2% or Lidocaine spray local application twice a day, tablet Pregabalin 75 mg OD for four weeks and see for the results. Any history of exposure to a new partner or unprotected sex? Are you a diabetic? Have you ever been checked for the same? It will be great if you can upload a picture depicting your swollen glans. I am asking the picture because the swelling and inflammation you are talking off may not be actually the same, instead, you might be having hyperesthesia or neurogenic pain. So, in that case, we might have to revise the treatment." + }, + { + "id": 23496, + "tgt": "What could cause the eyes to go around as if spun on a chair?", + "src": "Patient: Hello doctor, My son is 4. He was diagnosed with vertigo. It started when he was playing on his gadget. We have found that when he plays an action game, he becomes extremely scared and points to his head. When it first started, I saw his eyes going aro, nd and around as if someone spun him in a chair. He can watch TV, videos with no problem. Yesterday he was playing virtual games with his sister, the game with bowling, tennis, baseball, and boxing. He was boxing and had another episode. It is after the episode that varies. When it started, he either vomited or fell asleep. Now that it has been several months, yesterday's was not so bad, no vomiting, he did not sleep. However, later that night when he was in his bed with no other distractions, he would kick his legs and move quickly, it felt like a residual episode. I am not sure how to explain it. We have treated him with Dramamine and an antihistamine through the doctor. He has had a brain scan which was negative. A full blood panel. All the numbers were nominal. We know what triggers it. Is this something that will go away in time? Would seeing an ear, nose, throat specialist be beneficial? Doctor: Hello. Your son's symptoms could be related to epilepsy seizures. For this reason, I recommend performing an EEG (electroencephalogram). Starting an antiepileptic drug may be needed. In case this diagnosis will be confirmed, this situation may last for some years, depending on the possible causes. Regarding his blood lab tests, they are within the normal ranges (attachment removed to protect patient identity). Hope you will find this answer helpful. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 4582, + "tgt": "The sight of blood worries me. Please help", + "src": "Patient: Hi doctor, I am a 23 year old man. I am working in a hospital cafeteria. When I was washing a cart for coffee, I saw a red spot. I freaked and I became worried. It was blood and I have a few cuts on my hand. I did not wear gloves. Now any time I see red color\u00a0I have phobia. I am worried whether I will develop some infection. Please help. Doctor: Hi. Revert back for doubts to a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 2197, + "tgt": "I get recurrent pain in wrist after some small movement. Why?", + "src": "Patient: Hello doctor, I have a wrist pain on the top of it. Usually, when I use it in daily life it is all nice but as soon as I even swing a tennis racquet soon afterward pain develops. The pain is on the top and prevents my wrist from pronating. Whenever I play tennis it is usually only for five minutes. The pain goes away in a few days but recurs as soon as I even swing a racquet. What is the problem? Doctor: Hi. The wrist pain that you are experiencing could be due to the following reasons. 1) TFCC (triangular fibrocartilage complex) injury. 2) DRUJ (distal radioulnar joint) instability. 3) Carpal tunnel syndrome. 4) Osseous (bone) injury. 5) Cartilage injury. If you are having a history of trauma, there are high chances of osseous or ligamentous injury in and around the wrist joint. I would like to suggest you to get an MRI of the wrist joint to get a detailed understanding of the intraarticular and extraarticular pathology causing the wrist pain. Wearing a brace would definitely help you when the pathology is acute, but since you are experiencing this pain for the past three years and it is not subsiding I recommend further investigations." + }, + { + "id": 8802, + "tgt": "Why am I having a severe headache after taking Monit GTN?", + "src": "Patient: Hello doctor, I am a 57-year-old man. I had an angioplasty a year ago and had one stent placed. After the treatment, the following medicines were prescribed (listed below). After having the medicines, I am having a severe headache. Please suggest if the medicines prescribed has any role in the this. Tablet Ecosprin 75 mg OD Tablet Plavix 75 mg BD Tablet Aztor 40 mg Tablet Cardace 2.5 mg OD Tablet Metolar XR 2.6 mg Tablet Nikoran 5 mg BD Capsule Pantocid 40 mg OD Doctor: Hello. The drug Monit GTN 2.6 mg (Nitroglycerin and Glyceryl Trinitrate) which you are using for ischemic heart disease causes vasodilatation and gives a severe headache. The starting of this may give rise to more problems as compared to after few months. You may need simple painkiller like tablet Ultracet (Paracetamol and Tramadol) at the starting of your treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Sometimes it may cause hypotension which may cause giddiness. It is dangerous if you use drugs for erectile dysfunction along with this drug. Around 60% to 80% of people who are using this medication may experience a headache. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13992, + "tgt": "What does pain in hand starting from shoulder to elbow indicate?", + "src": "Patient: Hello doctor, My mother got pain in the right hand, severe pain starting from shoulder backside to elbow for the past 4 to 5 months. She could not lift her hand, drag the things with her hand. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine concern. Pain and limited range of movement of the shoulder joint can be due to various reasons like fracture of the bones forming the joint, injury to the joint capsule, injury to ligaments of the joint or any muscular injury or spasm or injury to any nerve supplying the joint. The other causes are frozen shoulder, less frequent use of the joint due to pain or injury or some chronic disease. Your mother's symptoms appear to be like frozen shoulder where joint becomes stiff, painful and there is a limitation of the movements of the joint. Frozen shoulder can develop by less use of the joint because of pain, injury, after surgery, chronic diseases such as diabetes or stroke. Frozen shoulder is a self-limiting condition, it nearly always gets better with time. It is diagnosed by physical examination. X-ray can help to see whether symptoms are from other conditions like fracture or arthritis. I suggest you consult an orthopedician. You can follow the mentioned instructions. Apply hot water bag over the joint for 15 to 20 minutes 3 to 4 times a day. You can give her some analgesic, anti-inflammatory medicine like any of the NSAID. Physiotherapy will definitely help. Gentle stretching. It can be prevented by gentle stretching of the joint and using joint more often. Check her random blood sugar. Some severe cases may require surgery also, so I suggest you take orthopedic opinion also. Frozen shoulder or fracture of the humerus. X-ray right shoulder- AP and lateral." + }, + { + "id": 20248, + "tgt": "I have pain due to RA in spite of taking medicines. Please tell me what I can do", + "src": "Patient: Hello doctor, I was diagnosed with RA two years back and I am taking treatment for the same. My left knee is affected badly and the swelling is not coming down. Initially, I was not able to walk,\u00a0but now I can walk slowly but cannot climb the\u00a0staircase or fold my left leg completely. Recently I am getting a pain in my left wrist as well. I have attached the files. Doctor: Hello. I went through your post and have seen the reports (attachment removed to protect patient identity). Your rheumatoid arthritis is not controlled which is evident from your high ESR (erythrocyte sedimentation rate) of 60. The reason for this is that you are not adequately treated. Regards. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 20743, + "tgt": "My father is having negative thoughts and vivid dreams. Why?", + "src": "Patient: Hi doctor, My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during sleeping. He can identify people. But, he is unable to remember what happened before five minutes. He is completely confused by his dreams and reality. These problems have started in my father after a traumatic event in which my father has lost his brother and two sons of his brother in an accident that happened before three months. He has a previous history of Bell's palsy, a little hearing loss, and was also diagnosed with a small lesion in the hypothalamus which is not cancerous. I want to know whether these traumatic events have played a part in these symptoms or its due to the lesion. The MRI of the brain shows the possibility of glioma. Please suggest. Doctor: Hi. Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can give him Sertraline 50 mg daily and Clonazepam 0.5 mg at night for the sleep. We need to re-evaluate him after 10 days and manage the dose. Your father has symptoms both due to the brain lesion and PTSD (family member loss). If your father starts to have psychotic symptoms due to gliomas, then you can give him a small dose of antipsychotic in the future." + }, + { + "id": 27892, + "tgt": "From the reports, can you tell me if I have ARMD or CSR?", + "src": "Patient: Hello doctor, I am 44 years old. 15 days ago, my left eye vision started getting distorted. I have no pain, and I never had any eye problem nor did anyone in my family. I went to the doctor, and the doctor did not give me any diagnosis so far. After a few scans, first one was taken 10 days ago and the last one today, he could not decide between wet macular degeneration, as he spotted a small blood spot in the center of the macula, and central serous retinopathy. He suggested the treatment with injection. I am very scared and very frustrated as I\u00a0do not have a diagnosis yet. Can you please help me with a second opinion? Thank you so much. Doctor: Hello. Regards. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14275, + "tgt": "Why am having red lesion in multiple areas of mouth with pain?", + "src": "Patient: Hello doctor, I have been under a considerable amount of stress. I have been biting my lip a lot lately. However, I notice more and more odd things occurring in my mouth. Unsure if normal or is a cause for suspicion. There is a red bump on the hard palate on the grooved surface, mildly irritating or with pain. The lesion is in the corner of the mouth and is a red dot. It is mildly bothersome. Achy front teeth- gum flap in between teeth. Mild to moderate pain lesion is there in cheek and there has been receding gum for a while. It is annoying with no pain or irritation. Doctor: Hello. Such multiple lesions usually can occur either in vitamin deficiency or even herpes simplex and a few other conditions. In your case, it appears that you need Multivitamin capsules. Take a Multivitamin capsule with Vitamin B complex once daily for 15 days. Since how many days, have you started seeing these lesions? Use warm salt water gargle twice a day for a week or two. Start taking a balanced diet with a lot of veggies and some meat and egg products. Avoid snacks and spicy food too. Can you explain your typical weekly diet?" + }, + { + "id": 23958, + "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": 25329, + "tgt": "I feel itching inside the penis. What should I do?", + "src": "Patient: Hello doctor, I feel itching inside my penis for few days. Please advise what to do. May I consult a urologist? Doctor: Hello. I have gone through your query. I would like to know a few more details too. The most possible reason would be either a urinary tract infection or infection at the top of the penis. This can be confirmed by a urologist on clinical examination and urine tests. A 29 gram prostate is slightly enlarged for your age. However, if you have no urinary complaints then it would not require any further treatment at present. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 359, + "tgt": "Kindly explain about dry socket", + "src": "Patient: Hello doctor, I got my back right wisdom tooth removed today. How often do people get dry socket? How long until I will know I have it? Is there any way to check if the blood clot is missing? Doctor: Hello. As a specialist in third molar extraction, I will guide you through. See what happens not only third molar, any tooth extraction carry the risk of a dry socket. It is nothing serious just unhealed extraction site. Upon extraction healing takes places by the blood clott that stays in the socket post extraction.That clott dislodges if rinsed vigorously by the patient , so as a precautionary measure I make sure to advice each of my patients not to rinse forcefully for atlest 24 hours and after that warm salinge gargle gently, just to remove if any food lodgement to the socket. Symptoms of dry socket is very painful area of extraction, pain similar to the day after it was done and no such relief upon medication. Bone is visible at the extraction socket with no signs of healing. This was all about the dry socket. It is not like it a sureshot or rare thing its totally based upon how a patient manages himself 1-2 days prior extraction. Now coming to the management it is simple too. Nothing to be worried about, You will have to visit your Dentist, he/she will clean the socket to remove if any food partice and then place a gauze mixed with medication and pack the area of the socket . Due to placement of the gauze the area gets secures from further food lodgement and heals itself in 1-2 weeks to be maximum. To ckeck, it is better you send me an image of the extraction site, I will have a look and let you know. It is better this way to avoid any confusion. I will be waiting for your response so kindly upload as soon as possible. Medications that you got Along with warm saline gargle 2-3 times a day to wash off if any food lodgement at the site but do it gently and not forcefully." + }, + { + "id": 26431, + "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": 6459, + "tgt": "Whenever I drink alcohol, I feel itchy. Why?", + "src": "Patient: Hi doctor, Whenever I drink alcohol, I am getting itchy in my scalp, face and behind the ears. What could the reason? Please explain. Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22644, + "tgt": "TSH and TGAB are high. Could this be Hashimoto's disease or cancer?", + "src": "Patient: Hi doctor, I have done all thyroid tests and worried about the results.TSH is high at 4.56 milli international units per liter and thyroglobulin antibodies were high 2.8 IU/mL. TOP, T3, and T4 were normal; TPO 14 IU/mL and T4 free 0.95ng/dl. I am having throat pain and I feel like my glands are swollen, along with extreme tiredness. Could this be Hashimoto's disease or cancer? I am really worried. Doctor: Hello. Antithyroglobulin antibody can be positive in autoimmune thyroid problem. So, it can be a positive result to have hashimoto's thyroiditis and grave's disease. But, your thyroid hormone level is within range and TSH (thyroid stimulating hormone) not much elevated. So, clinical correlation is necessary with thyroid palpation and USG (ultrasound) scan. Your throat pain can be due to thyroid inflammation or from posterior pharynx infection that is pharyngitis. In such inflammation, glands can be enlarged as generalized infection. Your physical examination and posterior pharynx examination should be done. An analgesic or an antibiotic if needed can be prescribed. If glands get enlarged persistently, then FNAC (fine needle aspiration cytology) can be done for further diagnosis. Do not think of malignancy. Consult otorhinolaryngologist for examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19271, + "tgt": "I have non-alcoholic fatty liver disease. Is light beer bad for my liver?", + "src": "Patient: Hello\u00a0doctor, I was diagnosed with non-alcoholic\u00a0fatty liver disease last year. My liver enzymes are very high. I used to drink champagne, wine, and other hard liquor, a few times a week. But now, I switched to light beer. Is it bad for my liver? 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": 3314, + "tgt": "Prostate biopsy shows reactive and atrophic acini. Is that a precursor of prostate cancer?", + "src": "Patient: Hello doctor, Prostate biopsy was prompted by rising PSA over several years (20%-25% per year) reaching over 4 this past year (spiked at 7.3 which I think really is why they wanted the biopsy but I expect it to come down since then). 12 core came back benign, but I do not understand the implications for some of the additional descriptive language and why I need continued six months follow-up. DRE had nodules and TRUS shows calcification and volume of 27cc. Path description says reactive and atrophic acini and focally reactive. Does that mean BPH or prostatitis, or is that a precursor to PCa? I have no symptoms of BPH or prostatitis, other than getting up between 3 AM and 4 AM every morning. I think it is just an age factor. I am not interested in the DREs and TRUS procedures if it is not going to tell anything new, and I can have bloodwork done without the time and expense of a doctor's visit. Doctor: Hi. I have studied your reports and consulted with my pathologist. (attachment removed to protect patient identity). As per her advice and mine too, your reports are normal, the biopsy changes are age related. In the biopsy no carcinoma is identified. Doing DRE (digital rectal exam) and TRUS (transrectal ultrasound) again will not be beneficial as biopsy has already been done. And results are negative for cancer and BPH (benign prostatic hyperplasia). Biopsy was done because in benign prostatic hypertrophy and prostate cancer calcification occurs in 10% of cases. And your biopsy is normal. Biopsy is the choice of diagnosis. And your biopsy is normal. Your doctor has asked for the followup to see the changes in prostate calcification. Yes, TRUS and DRE will only show if the calcification and volume are increased or decreased, nothing else. Rest you can discuss with your physician for diagnosis and management." + }, + { + "id": 24241, + "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": 3987, + "tgt": "How do stress affects a man's sexual life?", + "src": "Patient: Hello doctor, My partner and I have not had sex for quite a few weeks. I have talked to him about it around three times and each time he tells me that he wants sex and wants to have more of it and that he will try to push away the thoughts of the stress he is going through that keep him from getting an erection. I can understand but why he cannot? I have needs too. I am currently taking Mono-Linyah. Doctor: Hello. Libido can be decreased if a person is undergoing stress and can affect sexual performance. I would recommend that he should either visit a psychiatrist and take some medicines if his stress is affecting his personal, social, and occupational life. The doctor will place him on some medicines which should help with the stress part. In addition to that, you can give him some medicines like Sildenafil 50 mg or Tadalafil 10 mg to take one hour prior to having sex, provided his blood pressure is fine. This will help him achieve an erection. Stress. Erectile dysfunction secondary to anxiety or stress. Tadalafil 10 mg or Sildenafil 50 mg one hour prior to sex upto a maximum of twice a week. Discontinue in case of headache, chest pain, or dizziness. Also do an internet search and start doing Kegel's exercises which will help improve the muscles at the base of the penis and improve the strength of the erection. Can follow up after one month if needed." + }, + { + "id": 3700, + "tgt": "Will hitting the head twice lead to concussion?", + "src": "Patient: Hello doctor, I hit my head twice this week and wondering if I should see a doctor. I am a 29-year-old female. The first hit was four days ago on the top right of my head when standing up underneath something metal. It was a pretty hard hit. It hurt on and off for a day, just the spot itself on my scalp. I did not have a headache or nausea, or any other symptoms. Today I leaned forward quickly and bashed the front top of my head onto a wooden dresser. It hurt pretty badly and I felt my teeth chatter. I do not have a headache now other than the spot itself hurting. I am not nauseous, nor do I have any other symptoms of concussion. I have read that if you hit your head twice, two concussions within days, you should go to a doctor, but I am not even sure these are concussions. I am not sure when a simple bump actually is a concussion, or really how to tell. Do you have any advice? Doctor: Hi. I have carefully and thoroughly reviewed all the details related to your case and feel sorry for the health issues you have. There is no major harm to the brain when hitting like this even twice in quick succession. Your concerns are notable but that worrisome situation is when someone gets an impact harder enough to cause some signs of real concussion like nausea, vomiting, getting unconscious, severe headache, vertigo, etc. You did not have that large impact in both cases and there is no need to go for immediate medical care. You need to handle it at home. Take Ibuprofen for pain and apply local painkiller and anesthetic ointment on the scalp if needed. These are available over the counter at any pharmacy. Apply heat to the site of impact and take care of yourself. Remain vigilant on your moves and be safe." + }, + { + "id": 7720, + "tgt": "Why do I have a painless crepitus in my right neck?", + "src": "Patient: Hello doctor, The back of my right neck where the bottom of the skull is, I feel a lot of crepitus. This has been going on for a year and a half, after my face and cheeks became thick (and hard), fat, and bloated (unevenly) for some reason (only my cheeks, everywhere else, I was as thin as before) for some time (now it is back to normal since about a year). The crepitus is painless, but it feels like my neck vertebrae and skull are grinding every movement. And whenever it is at the peak, I feel very congested and frustrated. Also, a lot of times when I look up at the ceiling, my neck in the skull base area audibly cracks (I can feel something snap), which has not happened before this. I am not sure what the problem is, kindly help. Doctor: Hello. I read your concern. In my opinion, you should get a proper investigation of your upper cervical area. Crepitus could be due to any bone on bone rubbing due to improper positioning of your vertebra (improper alignment) caused due to bad posture. Do not worry if you could be sure if there are no other complicated issues associated with an MRI neck, you can do stabilization exercises and get back regularly. Kindly get an MRI neck and revert. Keep icing your neck frequently and stretch your neck muscles gently. I hope this is helpful for you for now." + }, + { + "id": 16498, + "tgt": "Does shortness of breath indicate any kidney issue?", + "src": "Patient: Hello doctor, I am a diabetic since I was 30 years and have heart issues from 15 years. Had bypass done eight years back. Now, lVEF is 25 %. Now, if I walk 50 to 100 meters, I feel breathless and after motion or urine, again feel breathlessness. Is it related to any kidney issues? And also, please suggest can angiography and angioplasty can happen without any risks? Recently, was admitted due to fluid retention in lungs. In 15 days after discharge, I feel same breathlessness and eructations, burps start continue for 15 to 20 minutes. Kindly let me know is this a heart block or kidney issue. Doctor: Hello. I reviewed your ECG and would explain that it indicates left bundle branch block. Regarding the shortness of breath, it is related to heart failure. Of course, the renal function may be compromised (as it is very common in heart failure). I would like to know your current therapy. The fluid in the lungs is another common feature of heart failure. An optimization of your therapy could help improve your situation. Regarding angiography or angioplasty, it can be performed in this clinical situation safely, if it is indicated by the doctor. But, first, it is necessary to evaluate your kidneys, by performing renal function tests, in order to be sure that there is no risk from IV contrast." + }, + { + "id": 26335, + "tgt": "My poop is normal but I am worried about the frequency. Please advise", + "src": "Patient: Hello doctor, I have been defecating four to five times a day for the last four to five months. I have not sensed any symptoms like fatigue, weight loss, or blood in the stool. The poop is completely normal. I am worried about the frequency. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24787, + "tgt": "Can you suggest a medicine for wet feeling in the anus?", + "src": "Patient: Hi doctor, I have some wet feeling in the anus for the past one year. I had both colonoscopy and sigmoidoscopy. The doctor said everything is fine. They said probably the wet feeling is due to sweat. But, I feel it is some liquid discharge from the anus skin. Can you suggest some medication? Doctor: HI. I have read your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12028, + "tgt": "What is the treatment for ED and teratozoospermia?", + "src": "Patient: Hello doctor, We are trying from past two years for a baby. I am facing an ED problem, and I am advised to take Penegra 50mg tablet. I also, have vitamin D deficiency and taking Eficent plus tablets. And taking Paternia tablets, for less sperm count. I have teratozoospermia. Kindly advice as we are planning for the second baby. Doctor: Hello. Please share your semen analysis report as that would help evaluate your teratozoospermia and the degree of it. Unless teratozoospermia is treated the chances of pregnancy are limited." + }, + { + "id": 6732, + "tgt": "I am having pain and irritation while passing urine. Why?", + "src": "Patient: Hello doctor, I am having pain and irritation while passing urine. My urine report says my blood cell count is more than 100. My ultrasound report is normal. I feel shy to tell the doctor about my problem. I do masturbation once or twice a week, but nothing ever happened. Now my urine color is almost red, and pain is unbearable. Please suggest me the solution to my problem. Doctor: Hello. The most common cause for your problem must be urinary infection or a stone in the kidney tube. Since sonography is normal, infection is more likely. Do a urine culture sensitivity test and start an antibiotic. I suggest tablet Nitrofurantoin 100 mg twice daily for seven days consult your doctor for the same. Drink plenty of fluids. If the blood does not clear in one or two days, you may need a CT (computed tomography) scan and cystoscopy." + }, + { + "id": 19197, + "tgt": "Mine and my wife's blood group is B. Will it cause any problem in our married life?", + "src": "Patient: Hello\u00a0doctor, My wife's and mine blood groups are the same. Both of our blood group is B. Will there be any problem in our married life? Doctor: Hi. There are two major blood group systems. You have not mentioned the Rh grouping. You both have the same blood group and can conceive without any fear. There is no worry regarding same blood group. The point that should be kept in mind is if your wife has a negative group and the child is Rh positive, then to prevent hemolysis in the second child, an anti-D injection is given. It is good that you are alert regarding pre-conception counseling. You and your wife need to do CBC (complete blood count) with PS (peripheral smear). I am advising this because if there are microcytic hypochromic red blood cells and the RBC mass is high, then HPLC (high-performance liquid chromatography) should be done to rule out hemoglobinopathy, especially thalassemia minor. If you both are thalassemia minor, then fetus amniocentesis needs to be done to rule out thalassemia major in the baby. Take care. Hope your concern is solved. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 7823, + "tgt": "Can I cover up my birthmark with a tattoo?", + "src": "Patient: Hello doctor, I am attaching a picture of a mark. Can\u00a0you tell me if this is a melanoma? It has been that size for a long time but, it looks a little weird. Doctor: Hello. From your description and the given picture (attachment removed to protect patient identity), it seems you have a mole or melanocytic nevus. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows a sudden increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for a skin biopsy. If you want to get it removed for purely cosmetic reasons, then you may choose any of the following: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19962, + "tgt": "Does white cell count variation cause serious problem?", + "src": "Patient: Hi doctor,I just got blood test results. There are a few high levels like cholesterol, uric acid. What concerns me is my WCC. It is normal 7.6 but my lymphocytes are 4.6. They were 4.3 on a test done three months back. My neutrophils are 2.66 now and were 4.07 three months back. I have been checking for information and worked myself into a frenzy with the information online that is blood cancer, hepatitis, HIV, etc. It is so confusing. I do have health anxiety issues as my husband died from bowel cancer three years ago. I also had diarrhea and a sore throat a few days before the recent test. Any help would be appreciated. I also have fibromyalgia. Currently, I am taking Duromine 40 mg and Ibuprofen. Doctor: Hi. Thanks for your query. I am really sorry to hear about your loss. I have checked the attached files (attachment removed to protect patient identity) thoroughly. Apart from high normal cholesterol level, there is nothing to worry about. The white cell count is within normal limits. Regarding the lymphocyte count, it is very unlikely to indicate a serious condition as it varies with simple viral infections. For the high cholesterol, I recommend Atorvastatin 10 mg once daily before dinner. Follow up cholesterol level will be required after one month of initiating the anti-cholesterol medication. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22147, + "tgt": "The skin of my penis is peeling. Could this be a lube allergy?", + "src": "Patient: Hello\u00a0doctor, I am a 25 year old male. I am uncircumcised and recently I have noticed the skin of my penis is peeling in certain areas. If I stretch the skin, it is more visible in the folds of my skin. If I rub the area with the peeling, it does not hurt or itch. I am not on any medications. I have no discharge or burning sensations when urinating. I used a lubricant for the first time during sex a few weeks ago. I am not sure if that is causing the problem. Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28507, + "tgt": "For treating crowded teeth, is it necessary to get four teeth extracted?", + "src": "Patient: Hello doctor, My son\u00a0has crowded upper and lower teeth. So, I have been to two orthodontists yesterday, and I got different opinions from both of them. One said we do not need to remove any teeth, however, his upper teeth will come little forward and will not cause much deformation in his face. The other one said, I would not take the case unless you agree to remove four teeth, which I have marked in red, in the attached x-ray. As per him, there is no way to make these teeth straight without removing the teeth. I am really confused on who is correct. Can you please provide your opinion? Doctor: Hi. I can understand your state of confusion. I have seen the x-ray (attachment\u00a0removed to protect patient identity). It can be quite difficult to decide. So, I will give you information about both line of orthodontic treatments and the reason behind them. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 6861, + "tgt": "I feel pain in a particular spot under my right knee. Would a brace or anti-inflammatory help?", + "src": "Patient: Hello doctor, I have knee pain for the past one week but not much pain. Yesterday I went to the gym, and something triggered the pain under my knee. Since then under my right knee, I get a pinching pain now and then. If I rub, there is a pain in a particular spot. Would a brace or anti-inflammatory help? My main concern is the cartilage, as my dad has a problem with inflammation. I would like to know what is the best action to take. Doctor: Hello. Pain may be due to sudden lifting of heavyweight, which resulted in compression and tissue swelling. If the duration of injury is within two days, then apply ice and from the third day, go for physiotherapy treatment like ultrasound therapy on the back of the knee. Do not worry much about the pain, and just keep strengthening your front and back thigh muscles like the hamstrings. This will help with the knee pain." + }, + { + "id": 24103, + "tgt": "I ejaculate very fast during sex. What can be done?", + "src": "Patient: Hello doctor, I am having ED issues for a long time. I recently got married and I feel so depressed in the nights. I am getting the erection during masturbation and sometimes during sex too. But the only thing that keeps me off is sometimes I fail when I am ready to start and it is making my wife cry. Doctor: Hi. I have gone through your query. I would like to know a few more details. How long have you been having this issue for? Are your erections during masturbation rigid or still soft? Have you been able to have penetrative intercourse? The fact that you are able to achieve erections though maybe during masturbation, indicates that there is nothing structurally abnormal. I would suggest that you visit your local urologist for a detailed clinical examination and to ascertain how good your erections are. If there is nothing abnormal, he may suggest a psychological evaluation to rule out any mental blockade as the cause. If they are good then you may be prescribed on medications to enhance your erections on demand. As a precaution, I would also like to know your blood sugar levels and cholesterol levels also. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11522, + "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": 20340, + "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": 3781, + "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": 12675, + "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": 19582, + "tgt": "Can masturbation cause negative thoughts?", + "src": "Patient: Hello doctor, I masturbate daily. I have problem of negative thoughts and going through little depression. Some links says that it is due to masturbation. I am already taking homeopathic medicine for my depression. Please suggest some medicine for depression. I am taking homeopathy medicines for the past six months but did not get any relief. I am currently taking Tranquil, Kali phos 200, Gelsemium and ADEL 51 and R-14. Please help. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5164, + "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": 21214, + "tgt": "Due to negligence, I did not get RCT done and have pain now. Has the infection spread?", + "src": "Patient: Hello doctor, I had my tooth checked up last year, and the doctor told me to go for an OPG as he was planning for a root canal therapy. But due to severe negligence and work, I could not do that. It is almost a year now, and tonight I am having a painful time. Please tell me whether there is a chance of spread of infection. Please help. My infected tooth is the right first molar of the lower jaw. Doctor: Hi. As per your history and associated symptoms, it looks like you have now acute pulpitis leading to acute apical periodontitis. That means because of open pulp chamber, it is now infected. You need to take antibiotics and analgesics for this one. In case you do not have any medical, allergic or any other systemic condition, I suggest: Also, visit a dentist again and get it checked if there are any chances of RCT to save this tooth as soon as possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11454, + "tgt": "I have swollen ankle joints. Kindly give your opinion on my Doppler report", + "src": "Patient: Hello doctor, I am a 39-year-old male with a history of hypertension. My BP medication was changed for the past six months and doctor put me on Metosartan 50, and Amlodipine 5 mg. For four to five weeks, my ankle joints are swollen. I went to an orthopedic, and he asked for a venous Doppler lower limb. Other results CRP, vitamin B12, ANA, uric acid, are normal. ESR is 20. There are remarks in venous Doppler, and he suggested for a physician opinion. I am attaching the Doppler report. Please give your opinion. Doctor: Hello. I have gone through your Doppler report (attachment removed to protect patient identity). Before making the diagnosis, I want a few things pertaining to your problem, like your complaining of swelling of both ankles joints like on and off. 1. Do you have a fever with regards to swelling? 2. Do you have any history of injury? 3. Whether the swelling is continuous or is there any joint pains? 4. It is better if you can attach your picture of ankle joint. And do you a history of varicose veins? From the above Doppler, I can make an inconclusive diagnosis. Bilateral inguinal lymph node signifies infection that can be treated with proper antibiotics. And another one with prominent perforators of GSV (great saphenous vein) as it means initial stages of developing varicose veins might eventually lead to swelling of the leg." + }, + { + "id": 28795, + "tgt": "Kindly help me to fix the jaw pain from clenching", + "src": "Patient: Hi doctor, I clench my jaw a lot, and my mouth hurts quite a bit from doing so. I need to fix the pain from clenching. Kindly help me. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6363, + "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": 14407, + "tgt": "Should I take B12 supplement for folic acid deficiency?", + "src": "Patient: Hi doctor, I took a blood test and found out that there is a folic acid deficiency. What is the standard dose taken for the folic acid deficiency? Should I have to take a B12 supplement along with it? If so, what is the dosage? Doctor: Hi. For folic acid deficiency, you can take a dose of 5 mg per day for three months. For vitamin B12 deficiency, you can take Mecobalamine 500 mcg once a day for three months. Did you test for vitamin D deficiency?" + }, + { + "id": 23585, + "tgt": "Have doing Ph. D, unable to concentrate on my thesis and am fatigued. What should i do?", + "src": "Patient: Hello doctor, I am a Ph.D. student. I am struggling to write my thesis. I am trying hard to get it done and have progressed only little since many months. I am all time anxiety driven and I feel fatigue. Every day, I start with a hope to make progress but cannot take a single step. I lie on the bed, feel like to sleep or just waste time on social media or anything but do not do my thesis writing. I am tired of myself now. No one can understand this. My mind is full of negative thoughts whole day and I feel guilty. I have already spoilt my relations with my supervisors as I have not been able to adhere to the deadlines. In short, I have anxiety, fatigue, feeling lethargic, and lack of concentration. What should I do? Doctor: Hello. From the available description, it appears that there is a primary anxiety disorder associated with amotivation. Other symptoms such as fatigue, loss of interest in activities which require consistent attention and concentration, lethargy, excusing yourself, spending time on activities with least importance are symptoms of anxiety as well as maladaptive behavior arising from anxiety. First of all, I like to assure you that it is a treatable problem and there is need to see a psychiatrist in your city without delay. In addition, you need to develop more healthy choices like regular exercise, healthy eating, avoidance of junk foods, plenty of fluid intakes, use of steam inhalation, deep breathing exercises to control anxiety symptoms. Although it is not possible for me to prescribe medication but I feel Prozac (Fluoxetine) with Modafinil will solve most of your symptoms. Both the medications are prescription only. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 12362, + "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": 25950, + "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": 385, + "tgt": "I get widespread muscle twitching with anxiety and OCD. Should I worry about ALS?", + "src": "Patient: Hi doctor, I am a 20-year-old male. For the past seven months, I have had widespread muscle twitching. The most annoying ones occur in my eyelids. I am diagnosed with anxiety and OCD, and I took Lexapro for 90 days. A couple of days ago, I was instructed by my doctor to stop the Lexapro due to the feeling of being off-balance and some minor changes to my vision. I am terrified of having ALS (amyotrophic lateral sclerosis). Within the past few days, I have had the urge to clear my throat every few minutes. I do suffer from health anxiety. Please help. Doctor: Hi. I would like to know how it started and progressed in detail. How it was with the said medicine? Please answer a few more questions. Is there any weakness of hands or leg or anywhere? Is there any abnormal sensation or loss of sensation? Is there any loss of muscle mass? Is there difficulty in swallowing, chewing? In which part of the body fasciculations started and then migrated to which part? Or it started all over the body simultaneously? Do you take any CNS stimulants such as coffee or any addiction or abuse of substance? What were the components of blood work? What is the content of medicine Lexapro? And how you were with Lexapro in terms of fasciculations?" + }, + { + "id": 19357, + "tgt": "How can red spots on the head of my penis be treated?", + "src": "Patient: Hello doctor, The head of my penis is itchy and there are few red spots in certain areas on the head. This has been happening for the past week or so. I have stopped applying soap to the area and I wash it with lukewarm water twice a day and apply Candid-B thereafter. The itchiness went away after three to four days but as I stopped doing that, the itching has been back. Initially, I had some pain while retracting my foreskin and my foreskin was kind of swollen but there was no pain and swelling. At times, I find a white substance around the foreskin when I try to retract it. Should I continue applying Candid-B for few more days? And what other precautions should I take so that it does not happen in the future? Doctor: Hello. With your description, I feel you are suffering from a fungal infection of your genitalia. Kindly stop Candid-B cream (Beclometasone Topical and Clotrimazole Topical). It has steroids in it. This gives you temporary relief from itching but promotes fungal growth. However, I cannot precisely diagnose your condition without having seen your clinical picture. I would suggest you attach a clinical picture along with your query. I would suggest you use For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22914, + "tgt": "A puncture wound in foot developed an infection. Are Fluoroquinolones necessary?", + "src": "Patient: Hello doctor, I am a 62-year-old male. A puncture wound in the ball of my foot developed an infection. I have had two surgeries to clean the wound out but a localized Mycobacterium fortuitum or peregrinum infection has developed. One of the surgeries was left open to drain. I have been on a course of antibiotics for five days. Sulfamethoxazole-TMP 800-160 two tablets twice daily. Clarithromycin 500 mg once daily, and Levaquin 750 mg once daily. The Levaquin is causing tremors, coordination problems, insomnia, and nightmares when I do finally sleep. My physician is an infectious disease specialist. I have informed them of my symptoms and have been instructed to keep taking the course of Levaquin or I will lose my foot. Are Fluoroquinolones essential to treating this type of infection? I am concerned the drug is causing neurological damage. Doctor: Hello. I went through your post, you have two questions one are quinolones important for treating your infection the answer is yes and these drugs are a cornerstone in treating your infection. Yes, they cause insomnia in 4 % of patients and tremors. The solution is taken in two doses half morning and half evening that will decrease both tremors and insomnia and there is nervous system damage the side effects are temporary and will go in few weeks time and do not cause any permanent effects. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29215, + "tgt": "How serious is a triple valve disease in a smoker?", + "src": "Patient: Hello doctor, I am a 42 year old\u00a0male. I smoke 30 to 40 cigarettes per day. I was admitted into a hospital last week with chest pain\u00a0and underwent angiography, which showed triple vessel disease. ECG was showing normal rhythm with no evidence of acute ischemic changes. Troponins were mildly elevated at 21-30-22 ng/mL. Total cholesterol was 5.7 mmol/L and LDL was 3.8 mmol/L. I was discharged with medications (please see the attached pictures). My general practitioner told me to stay at home for at least a week. My main question is how serious does my angiography look? I was told by my doctor, that all three major vessels are affected. Does it need any surgery or can I stay just on medications? Can I continue working? I was told to stop smoking, but I cannot stop smoking immediately. Is e-cigarette good substitute or not? How long can I live with a disease like this? Doctor: Hi. For further information contact a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11964, + "tgt": "My Hb level is low along with giddiness,headache and delayed periods. What to do?", + "src": "Patient: Hello doctor, I am 25 years female. My HB level is reduced to 9 grams percent from 10 grams percent. I have a habit of eating raw rice and cardamom. I feel giddiness and headache and blackout of vision and my periods are delayed by one month and 20 days. And I am not pregnant. Doctor: Hello. You are anemic which can cause headache and blackouts in your vision. The consumption of those food products could be a sign of pica which is common in people with iron deficiency. It can take many weeks to build your iron levels back up with oral iron. If you are not pregnant, the delay in your menses is likely due to not ovulating with your previous cycle. I would advise further evaluation with laboratory work and to follow up your primary physician for the other symptoms you are having." + }, + { + "id": 15965, + "tgt": "What can be done for frequent urge to urinate?", + "src": "Patient: Hello doctor, I am 22 years old, 5.4 feet and 75 kg man suffering from a repeated urge to urinate in every one hour. This problem is occurring from childhood and is the same till date. No changes in this time interval. Doctor: Hello. You are having repeated urination problem. For that, you need to investigate as follows. Serum random blood sugar estimation to rule out diabetes, urine routine microscopic examination to rule out any infection, if present, ultrasonography pelvis to look interior of bladder and kidney, if no cause identified then urodynamic flow study can be done. You can consult a urologist for examination and discuss all these." + }, + { + "id": 3506, + "tgt": "Is it advisable to give antibiotic course twice in a month for a 10-year-old boy?", + "src": "Patient: Hi doctor, My son is 10 years old. He had cough and low-grade fever. Five days later, I showed him to a pediatrician. She advised Augmentin 625 mg, Mucolite and Duolin nebulizer. The next day my son has symptoms of reaction with Augmentin like diarrhea. So my doctor switched to Azee 250 mg. After 10 days, my son still has a little wet cough that only interferes a little at night with no fever. His chest is clear but the doctor has advised Zocef 250 again and she says though the chest is clear, productive cough is there. Please advise me what should I do? Should I give him antibiotics again? Doctor: Hi, Welcome to icliniq.com. Your 10-year-old son had a cough and fever which required Augmentin and nebulization, this means that the child has got wheezing with lower respiratory tract infection. Augmentin contains Amoxycillin and Clavulanic acid which may cause diarrhea in some children so rightly the antibiotic needs to be changed. You have been given Azee which contains Azithromycin antibiotic, which has made the system better. Now, there is a mild cough but it is wet or productive. A productive cough may persist for some time as the infection which was earlier there in the chest of your child has formed mucus or phlegm which needs to come out from the body. This productive cough will persist for some time even if you take an antibiotic. In my opinion, there is no need for any antibiotic now and you should only give cough syrup. This productive cough will subside in one week. Just protect the child from cold temperature. Avoid cold drinks and ice cream. I hope this helps." + }, + { + "id": 28071, + "tgt": "Kindly suggest a diet chart for a kidney transplanted patient", + "src": "Patient: Hi doctor, Four years before\u00a0I had a kidney transplant. My weight is 79 kg and height is 164 cm. My current medication is immunosuppressant. Please explain me the diet chart. Doctor: Hi. I am initially guiding you, but I always advise you to take a personalized diet plan. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 25273, + "tgt": "Lipid levels are above normal from three years. What ayurvedic remedy might help?", + "src": "Patient: Hello doctor, I am a 39 year old male. I tested blood for lipid profile and found: total cholesterol 224, LDL cholesterol 144, and triglyceride 135. I do not have any other problems like diabetes, BP, etc. I want to make my lipid levels normal and make my heart healthy. Since from the last three years, my lipid levels are above normal, I am afraid now that does this cause any blockages in the heart? Doctor: Hello. The most important aspects for lipid control: Diet - avoid non-vegetarian foods. Eggs are fine. Avoid fried food. Exercise - for a minimum of 30 minutes daily. Sleep - minimum of eight hours daily. Medicine - Shilajitwadi lauh vati one tablet twice a day. Home remedy - drink two to three glasses of warm jeera water daily. Three glasses of water boiled with three teaspoons of jeera for five minutes. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18142, + "tgt": "Is there a natural way to reduce the chance of surgery for thyroid nodules?", + "src": "Patient: Hello doctor, I am a 41 year old male. My weight is 89 kg and height is 6 feet. I have nodules in the thyroid gland since last two years. Initially, it started as a feeling of imbalance in the head about two years back. The initial assumption was vertigo and later it was found to be a small nodule in the\u00a0left lobe.\u00a0The blood test performed about one and half years ago revealed T3 104 ng/dL, T4 6.60 ug/dL and TSH 0.04 mU/L. The blood test performed about a year ago revealed a TSH of 68 mU/L. The blood test performed 10 months back showed T3 108.8 ng/dL,\u00a0T4 7.2 ug/dL,\u00a0TSH 0.73 mU/L, cholesterol 196 mg/dL and blood pressure\u00a090/130 mmHg. The blood test performed about two weeks ago showed\u00a0T3 128.5 ng/dL,\u00a0T4 8.8 ug/dL,\u00a0TSH 0.73 mU/L, blood pressure 100/140 mmHg, cholesterol\u00a0\u00a096 mg/dL, cholesterol\u00a0serum 235 mg/dL, triglycerides\u00a0193 mg/dL,\u00a0LDL 143 mg/dL,\u00a0HDL 53 mg/dL,\u00a0VLDL 39 mg/dL and\u00a0FBS plasma 96 mg/dL.\u00a0The present signs and symptoms include trembling hands, high tension, anxiety, weight gain, blood pressure, kind of numbness in head and a type of balance missing (not giddiness). Currently, I am not taking any medicines. I wanted to know whether\u00a0my problem is hyper or hypothyroidism. Should I need to do FNAC again? As the nodules are increasing, should I start taking iodine food supplement? I have read both to avoid iodine supplement and to take it (case to case). Whether the iodine supplements will help to reduce nodules? Is there any\u00a0natural way to reduce the chance of surgery? Are there any diet control suggestions for the condition? Is\u00a0there any detailed specialist checkup needed? I am also attaching the previous four USG reports, biopsy report and HRCT of temporal bones. Please help me. Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 13968, + "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": 11128, + "tgt": "I am under Doxycycline for burning sensation in my penis but no improvement. Kindly advice", + "src": "Patient: Hello doctor, I had a sexual encounter before 11 days. She gave me only a hand release and used her finger on my prostate with a glove on. After a day, I started urinating extremely and frequently. No burning with urination but after urinating, there is a slight burning sensation in my penis, and outside of my anus. This burning occurs mainly while sitting down. I do not frequently urinate anymore, but I still have the slight burning sensation after urinating and while sitting. I got tested for STD, and it was negative. My doctor prescribed me Doxycycline before three days. There is no noticeable difference yet. Doctor: Hello. You have acute prostatitis. This could be due to various reasons including retrograde ejaculation, delayed hypersensitivity to the gloves used or bacterial infection. Was your semen or urine tested for a culture?" + }, + { + "id": 862, + "tgt": "I am diabetic and hypertensive and on medication. Can I go for fasting along with medication?", + "src": "Patient: Hi doctor, I am a 45-year-old female. I have hypertension for four years, and I take Co-Diovan 80/12.5. In the past days, I performed blood sugar tests on Accu-check device and got the following results respectively in four days after eight to ten fasting hours: 283, 364, 420, 483. After the lock-down I will go to a doctor, my question is can I go on fasting and taking the same medicine? What can I do these days to lower the sugar levels? Doctor: Hi. You have diabetes mellitus and your weight is high as well. If you do not have symptoms you can go for fasting. You need to do HBA1c (glycated hemoglobin) which will show your average sugar over two to three months previously. Check your eyes for retinopathy. Kidney function test with urine albumin creatinine ratio. Check your feet and blood sugar frequently when fasting. Lifestyle modifications are the best treatment of diabetes. Low carbohydrates diet and no added sugar, no sugary juices, no bread, rice, pasta, and potatoes. If you cannot stop at least take as little as possible. Take more vegetable salads and consume fruits only as a sweet dish. Do not take mango, grapes, and banana. Apple not more than one piece. Strawberries and other berries are fine. Fasting will also help you to control your diabetes. Drink more water at night. Sleep well. Do regular exercise at least walk 30-40 minutes daily. The more you practice these things the better will be your control. You may not need medication even. But if u cannot take Glucophage (Metformin) 500 mg in the morning and evening. Check your sugar frequently. Your fasting target should be 90-130 mg/dL, and two hours after eating should be 150-160 mg/dL." + }, + { + "id": 19160, + "tgt": "My platelet count, uric acid, SGOT, and SGPT are deranged. How can I be treated?", + "src": "Patient: Hello doctor, I am a 29-year-old man and I weigh 115 Kg. My preventive health checkup results show\u00a0the following irregularities:\u00a0Mean platelet volume 12,\u00a0CHCM 31.8, mean platelet volume at 12, total cholesterol 200.6, serum uric acid 7.8, globulin 3.7,\u00a0SGOT 93.27,\u00a0SGPT 213.87, and vitamin D total 25- hydroxy at 5.05. Kindly advise me on the lab results. Doctor: Hello. I will explain the\u00a0above one by one. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1239, + "tgt": "I have constipation due to intake of Calcigard retard. What should I do now?", + "src": "Patient: Hello doctor, I have a constipation problem. I think my constipation is due to calcigard retard 20 mg. Other medicines are Trental 400 mg twice daily for the past twenty years for Raynauds. Five years back I underwent surgery for CSF rhinorrhea. For BP, I am taking Telsartan 40 mg and Ecospirin 75 mg. Doctor: Hello. Since how long you have this issue of constipation? And how frequently do you pass stools per week? Is passing stools painful? Is there any blood in your stools? Do you strain while defecating? Does anything come out while defecating? Is there any abdominal pain associated with it? I will suggest laxatives to you but it will be better to consult your cardiologist too, for the shift of Calciguard retard to another drug because calcium channel blockers can frequently cause constipation. Drug-induced constipation? TSH (thyroid-stimulating hormone). Blood sugar. Serum calcium. Polyethylene glycol sachet in one glass of water once daily (you can increase the dose according to response). Ispaghol husk two teaspoons in a glass of water twice daily. Increase water intake. Daily exercise 20 - 30 minutes." + }, + { + "id": 26759, + "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": 23312, + "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": 29412, + "tgt": "I am pregnant and having some pain in my left ovary. Please help", + "src": "Patient: Hi doctor,I am a 26 year old female. I am currently 19 weeks pregnant, and this is my third pregnancy. I just had an ultrasound done. According to the test results, I do not have any ovarian cysts. I have been having pain on my left side of my ovary for about a month now. And it is only the left side, and I cannot figure out the results. But, sometimes, I cannot walk right or hunch over. It is a stabbing, serve pain and also when I am trying to pee I feel a lot of pressure. I do not know what is going on and whether it is\u00a0serious. I have no bleeding or\u00a0leakage. Please help me. Doctor: Hi, Welcome to icliniq.cm. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8503, + "tgt": "What are the ways to manage keratosis pilaris?", + "src": "Patient: Hello doctor,I really have a big skin problem that has ruined my life. I have keratosis pilaris for years and as I have a tic that is to pop up the buttons of my keratosis pilaire, it relieves me when I do that but I am sick of seeing scars everywhere. I visited three dermatologists. The last one gave me medication, at first that disappeared and I was too happy but towards the end, they came back again and I started to burst these buttons. I am fed up. Please tell me what I need to do. How can theses buttons and scars disappear? Doctor: Hello. The keratosis pilaris cannot be completely cured and it will have a recurrent pattern of coming. Keratosis pilaris is a common, harmless skin condition that causes dry, rough patches and tiny bumps, usually on the upper arms, thighs, cheeks or buttocks. The bumps generally do not hurt or itch. Keratosis pilaris is often considered a variant of normal skin. While there is no cure for keratosis pilaris, these products can help treat those pesky red bumps that show up on the arms and legs. But these red bumps on the skin are very often keratosis pilaris, a harmless (albeit annoying) skin condition caused by a buildup of keratin in the hair follicle. Take care and have a nice time." + }, + { + "id": 28036, + "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": 21476, + "tgt": "How can I heal the scar on my face caused by spectacle lens?", + "src": "Patient: Hi doctor, I got a laceration scar on my face by a cut from my spectacle lens. The scar looks bad. Please help me to get rid of this scar entirely as soon as possible. I am using Mupivate and Mupirocin ointment. I am using it for many days. But it does not work. Doctor: Hi. What is the duration of the scar? Can you please upload a few pictures? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16264, + "tgt": "I am having mouth ulcers after protected sex. Why?", + "src": "Patient: Hello doctor, I had a protected sex with a sex worker two years back. Tested for almost everything, all are negative. But I am having severe mouth ulcers. Also had neuropathy kind of thing after two months of exposure. Had a DNA PCR test also which was negative. Kindly suggest. Doctor: Hello. Do not worry much. I have seen your blood reports (attachment removed to protect patient identity), which states that you are negative for HIV, HCV, syphilis, herpes and other sexually transmitted diseases. As you are explaining, you have a recurrent mouth ulcer and neuropathy like sensation can be explained by mineral, vitamins deficiency, crohns diseases, anemia or any local cause. As u have been tested for all but did not see your complete blood count report and we do not want to miss common cause for that. Kindly follow following instructions. Do CBC, LFT, RFT, AEC, vitamin B12 test. Take tablet Vitamin B complex, crush in water and make mouth gargle 3 to 4 times a day. Tablet Supradyn (multivitamin) twice in a day. Stop smoking, chewing tobacco, hot tea, if you are taking. Use mouth jelly for local applications. Orajel (Benzocaine) ointment for mouth ulcer." + }, + { + "id": 14381, + "tgt": "I get irritated and I do not get along with my mom. Please help", + "src": "Patient: Hello doctor, I have a burning sensation on top of my head. This happens after my mom disturbs me whenever I try to study. I get irritated and I do not get along with her because she does not encourage me to study. How can I get rid of this feeling? Please help me. Doctor: Hello. First of all, you need to relax about your studies that for sure you will be able to manage it and be confident about yourself. The second important thing is that whenever you feel your mother is disturbing, you need to take a break for 15 minutes, go out to an open place and take deep breaths for 5-7 minutes and avoid thinking about your mother and continue study at that time. This will help you to vent your feelings out. You need to do deep breathing exercises four to five times a day which will include: Within 21 days, this will definitely help you." + }, + { + "id": 2492, + "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": 751, + "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": 9333, + "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": 1001, + "tgt": "Why do I face difficulty in losing weight?", + "src": "Patient: Hi doctor, I am a 35 year old woman. My height is 5'3\" and weight is 147lbs. I do not have a child yet, but will be trying to conceive soon. I am a vegan and eat healthy. I workout five days a week and sometimes will go for a 5 km runs around two to three times a week as well. I went off my birth control pill about three months ago and have not had a period since. I was diagnosed with PCOS when I was 15, but after going vegan two years ago, doctor said it definitely helped with symptoms. I have been eating right and working out for the last three months, and my weight has not budged. In fact, it seems I have gained numbers on the scale. Three months ago, I was 139 lbs. Is there anything in my report that could be the reason for not being able to lose weight or abdominal fat? Is there anything in the infertility test portion that could indicate the issues in trying to conceive? I would like to get a professional advice on my blood work results. I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight. Please help. Doctor: Hello. I have gone through the 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": 13032, + "tgt": "Does ligament laxity occur as a side effect of Sevoflurane?", + "src": "Patient: Hi doctor, I am a 36 year old female. My height is 164 cm and weight is 48 kg. I was healthy with fine ligaments. Two years back, I had spine surgery for a herniated disk at the level of L5/S1. Soon after the operation, I got something like sleep myoclonus. The neurologist said that as benign, but I did not have anything like before. I am suffering from loose and weak ligaments in my spine and elsewhere. I am also having TMJ dysfunction, sacroiliac joint dysfunction, and ligament laxity. During anesthesia, I was given one dosage of Midazolam 2 mg, Propofol 200 mg, Cefazolin 2 mg, Atropine 1 mg, Fentanyl 0.3 mg, Rocuronium 40 mg, Neostigmine 2.5 mg, and Sevoflurane 63.05 mL. The operation duration was around 2 hours and 34 minutes. I do not have any drug allergy. But, I did not receive any inhaled anesthetics before. Does ligament laxity occur as a side effect of Sevoflurane? Doctor: Hi. I have read through your query in detail. Please find my observations below. Myoclonus or muscle twitching is a known side effect of Sevoflurane use, and it is not a serious concern. Sevoflurane does not cause laxity of ligaments. Very common side effects of Sevoflurane occurring in more than 10 % of patients are nausea, vomiting, hypotension, bradycardia, cough, and increased agitation. Common side effects occurring in 1 to 10 percent of patients are increased salivation, tachycardia, hypertension, laryngospasm, airway obstruction, breath holding, apnea, respiratory disorder, somnolence, dizziness, shivering, fever, hypothermia, headache, increased fluoride in blood, abnormal liver function test and abnormal blood glucose level. Uncommon side effects occurring in 0.1 to 1 % of patients are dry mouth, arrhythmia, ECG abnormalities, increased sputum, hypoxia, wheezing, bronchospasm, hyperventilation, pharyngitis, hiccup, hypoventilation, dyspnea, stridor, hypoxia, asthma, crying, nervousness, confusion, insomnia, confusional state, syncope, hypertonia, taste perversion, asthenia, pain, fluorosis, increase in AST (aspartate aminotransferase), increase in ALT (alanine transaminase), bilirubinemia, increase in LDH (lactate dehydrogenase), increase in alkaline phosphatase, hypophosphatemia, acidosis, hyperglycemia, increase in BUN (blood urea nitrogen), increase in creatinine, glycosuria, albuminuria, amblyopia, conjunctivitis, urination impaired, urine abnormality, urinary retention, oliguria, pruritus, and rash. Rare side effects occurring in less than 0.1 % of patients is malignant hyperthermia. Female hormones progesterone (before menstruation) and relaxin (during early pregnancy) cause joint hypermobility and ligament laxity. But, it is difficult to predict whether these factors are causing your symptoms or not. People with connective tissue disorder also might have laxity of joints." + }, + { + "id": 23139, + "tgt": "Having acne problem on the face and back since last 15 years. Is there any solution?", + "src": "Patient: Hello doctor, My 32-year-old brother has acne problem on the face and upper back since the last 15 years. He does not smoke or drink. Doctor: Hello. From your description, he is suffering from acne vulgaris. As it is spreading to the upper back, it is problematic. Here are some tips for facial hygiene which he can follow: Regarding treatment, I suggest the following: For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 7124, + "tgt": "I have poison ivy rashes. Can I go swimming?", + "src": "Patient: Hello doctor, I have poison ivy rashes on various parts of my body with no open blisters. Can I go swimming in a creek? Thank you. Doctor: Hi. I have seen your query, and I understand\u00a0your concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23714, + "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": 8309, + "tgt": "I am suffering from many health issues. Will infertility treatment work for me?", + "src": "Patient: Hello doctor,I am 35 years old, and suffering with multiple health problems like hypertension, high tgl, sinusitis, sleep apnea with insomnia (a big problem), hemorrhoids, hydrocele, migraine, gastric ulcers, weakness during daytime, severe eye pain, difficulties in urine like feeling not easy, frequent urination, yellow coloured urine since three months, and now I want to go for infertility treatment, will it work? Doctor: Hello, Welcome to the icliniq.com. Yes, infertility treatment can work in your case. The all mentioned condition is treatable, and they have no direct correlation with infertility treatment. For gastric ulcer, antacid can be prescribed like Rabeprazole. For hemorrhoids, if medical management like stool softener failed, then surgical management can be done. For hydrocele also surgical correction needed. For hypertension, if no secondary cause found than antihypertensive medication can be prescribed. For migraine, Rizatriptan or Ibuprofen can be specified during an acute attack. I hope this will help you." + }, + { + "id": 29396, + "tgt": "I got splint for ankle fracture. Is this the best treatment for my injury?", + "src": "Patient: Hi doctor, I am a 48 year old male. I had an x-ray of my right ankle. The technique used was three view exam. The findings are as follows: Spiral fracture of the distal fibula. This is anatomic in alignment.\u00a0Cortical avulsion of the medial malleolar process. The cortex of the malleolus at the deltoid ligament attachment has been avulsed. There is a nondisplaced posterior tibial malar fracture.\u00a0The talus appears to sit somewhat posterior in the ankle joint on the lateral view that could be a\u00a0rotation.\u00a0I believe there is an incidental fibrous cortical lesion of the lateral surface of the tibial shaft just above the ankle joint. Note that for thoroughness.\u00a0Hard half splint applied in ER and that same splint remains on after a visit with an orthopedic surgeon. I have a follow-up visit in a few days.\u00a0My concern is, was this the best course of treatment for this injury? I was told that I could bear weight as tolerated but that is nearly impossible due to the amount of discomfort. This damage was caused by a fall. I have attached my x-rays here. Doctor: Hi. Minimally displaced bimalleolar fracture ankle. Revert for further information to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14290, + "tgt": "Kindly advise the measures to be taken to manage OCD and PTSD patient?", + "src": "Patient: Hello doctor, I have a friend who is in very much need of an expert. He has been living with his abusive mother his whole life, she even tried to kill him multiple times. Her behavior shows symptoms of OCD, PTSD, and even bipolar. He even tried to take her for counseling, but that made matters worse. As his friend, I am really worried. And I would really appreciate your guidance and help. Doctor: Hello. Your friend's mother is showing an aggressive and abusive behavior which indicates serious mental illness. There can be an element of delusion of persecution that is suspiciousness of being killed by her son, which is making mother so violent. I would advise you to tell your friend that he should consult a psychiatrist, his mother may require in-patient treatment. We have very good medicines available nowadays which can control every patient. More the time lapse without treatment, more resistant will be the disease. So it is better to start the treatment as soon as possible." + }, + { + "id": 25984, + "tgt": "What pills would help my erection last longer?", + "src": "Patient: Hello doctor, I want some pills which will help to last my erection for long during the intercourse. Please suggest some pills which are available in local medical shops. Also, please list if there are any side effects of taking them. Doctor: Hello, Welcome back to icliniq.com. I have gone through your problem and understand your concern. Drugs from the SSRI (selective serotonin reuptake inhibitor) group has the side effects of delayed ejaculation. So I suggest you take tablet Paroxetine up to 25 mg once a day or tablet Fluoxetine 20 mg once a day or tablet Dapoxetine up to 60 mg one hour prior to sexual activity. The first two drugs need to be taken daily while the third one can be used on an as-needed basis. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. These drugs take time to show their effect and the effect may be seen after few weeks, However, the third tablet may show some immediate response. All these drugs are prescription only drugs. There are behavioral methods to increase the time and energy. These are stop-start technique, squeeze techniques etc. You can search these techniques on the internet and practice how to use it. Partner cooperation is required. Please try the behavior methods first before starting the drugs. Hope this helps you. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5480, + "tgt": "What are the expected symptoms of alpha thalassemia Hb constant spring mutation?", + "src": "Patient: Hello doctor, The attached PDF are the results from CBC tests and Hb electrophoresis of a girl baby. The first CBC was done in one month, and the following CBC and Hb electrophoresis tests were done in two years of age. The tests seem to indicate that the girl is (at least) a carrier of the alpha thalassemia Hb constant spring (CS) mutation. I have two questions related to this. Is it possible to say from the test results which of the following Hb genotypes are possible? a)\t3 normal, 1 CS. b)\t2 normal, 1 CS, 1 deletion. c)\t2 normal, 2 CS. d)\tSomething else? What is the difference between a, b and c above in terms of expected symptoms later in life? Additional information: weight, height, and head circumference are normal. (14 kg, 88 cm, and 51 cm). She is taking Budesonide 200 ug and Montek 5 mg once per day. Doctor: Hello, Welcome to icliniq.com. Hemoglobin constant spring is non-deletional alpha thalassemia. This abnormal hemoglobin results from point mutation at the stop codon of the \u03b12-globin gene (TAA > CAA) which leads to the addition of 31 amino acids to a normal \u03b1-globin sequence. The heterozygous of Hb CS (hemoglobin constant spring) is clinically and hematologically normal with mild anemia in some cases as it appears to be in this case. Heterozygous cases have a good prognosis and a fairly normal life expectancy. The genetic abnormality can only be confirmed by genetic testing." + }, + { + "id": 11890, + "tgt": "My period has not started even after taking Regestrone. Please help", + "src": "Patient: Hello doctor, My pregnancy test is negative. But my period is not coming. I checked my pregnancy five times with pregnancy kit. Every time it shows negative. But my period has not started. I take Regesterone 5 mg for three days. I took my last dose two days before but not yet got my periods. So what should I do now? Doctor: Hello. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. After taking Regesterone it will take a week or so to get your periods. So relax and do not worry. Wait for a week or so and if you do not get periods by then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further on." + }, + { + "id": 2145, + "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": 6721, + "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": 20765, + "tgt": "Feeling shaky and hand tremors and unable to do simple tasks", + "src": "Patient: Hi doctor, I am 31 years old. I am a known diabetic. I have been experiencing perioral movements and tremors in hand. I am on Seroquel for depression. Please help. Doctor: Hello. \u00a0I understand your concern and need more information to suggest better. Revert back with the answers to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4772, + "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": 15031, + "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": 15326, + "tgt": "My penis could have touched vaginal fluid in the condom. Is there any chance for HIV?", + "src": "Patient: Hello doctor, After I had sex with sex-worker, I put my penis inside underwear before removing the condom. Her vaginal fluids would have spread in my underwear. After one minute, I removed the condom and put it back in the underwear. The penis could have touched vaginal fluids in the underwear. Is there any chance to transmit HIV by this? Doctor: Hi. The answer to your question is simple. How long do you live in water? The same is applicable to HIV virus too. How long HIV virus survive in outside environment? Here the answer is a minimum of eight seconds and a maximum of 30 seconds owing to environmental temperature. So, in your condition, even if she is infected, having a virus in vaginal fluid and then on your underwear, the virus is not able to survive in the outside environment and again virus has no capabilities to breach skin and pass into the body. So, the chance of acquiring HIV in the context you explained are not valid for transmission in any way. So, nothing to worry." + }, + { + "id": 25375, + "tgt": "I got itchy red patches on my buttocks, penis, and scrotum. What should I do?", + "src": "Patient: Hello doctor,I got some red patches on my buttocks, penis, and scrotum. It is too itchy. I consulted a doctor and he diagnosed it as scabies and advised to use Lindane Lotion. I used it for three days but the redness has not gone. The itchiness has reduced but not gone completely. My doctor is currently out of city. Can you suggest me what should I do? Doctor: Hello. Yes, it is nodular scabies. Now do not apply Lindane lotion. Consider the application of Flutibact cream twice daily for seven days. (Fluticasone and Mupirocin). Tablet Levocetirizine 10 mg at bedtime. It takes time for nodular lesions (inflammation) to subside. For future reference, if one has scabies consider a single application of Permethrin 5 % cream below the neck overnight. Do not use it now. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5819, + "tgt": "My 2. 5 year old daughter is diagnosed with ITP. What to do?", + "src": "Patient: Hello doctor, My daughter is 2.5 years old. She is diagnosed with ITP last month. Initially, she had minor itching near armpits but now she is fine. She is eating well, and her weight is constantly 12.5 kg for the last one month. She had a little fever with cough and cold three days back, but now the fever is no more. She is now having a little cold and cough. Her blood platelet level has increased from 28000 to 150000. But the CBC report taken last week shows, she has a high WBC level of 25000. While the sample was collected, she had little fever and cold. DLC report are within the normal range. RBC and hemoglobin levels are also normal. Doctor: Hello. I read her reports. (attachment removed to protect patient identity). The latest report shows the normal platelet Count. So no need to worry regarding any bleeding. The total WBC (white blood corpuscles) count is high, but it could be due to an infection of the upper respiratory tract probably viral which is common in young children. Her CBC (complete blood count) needs to be repeated after the resolution of cough and common cold. Meanwhile, give her more water and fruit juices. So high WBC is due to upper respiratory tract infection according to the mentioned history. I hope this helps." + }, + { + "id": 13156, + "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": 29675, + "tgt": "I had spotting three days before my period. Why?", + "src": "Patient: Hi doctor, I had a brown spotting for around four days. This happened just three days before my period for the first time. Is it ovarian cancer? I\u00a0felt bloated in the morning for almost a week. Doctor: Hello. I can understand your concerns. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26902, + "tgt": "What could be the reason for bleeding of glans after intercourse?", + "src": "Patient: Hi doctor, About two weeks ago, I noticed a cut in the glans area of my penis, on the underside, just below the end of the meatus. It was bleeding a little bit, which I guess was brought upon by the starting of intercourse. Upon looking closely, I also noticed some white deposits on the glans felt like wet tissue paper which rolled off with soap and water. As I was travelling, I did a quick check with my GP, who suggested applying an antibiotic ointment. He also suggested seeing a urologist in case it did not get alright by the time I get back. Over the next few days, I applied the ointment and washed the penis regularly, as the smegma, which is what I am assuming after checking online, was still there. After about five days, it started looking clean and the cut seemed healed. Also, I was able to get back to intercourse. Over the next 10 days or so, I probably had intercourse about four times and there was no problem. Well, there was a slight occasional itch sometimes. The smegma seemed to come back to some extent, if I skipped cleaning any particular day, but if I washed regularly, then it was fine. The last night, I had intercourse and there was some discomfort at first, but it went away. Later, I noticed a significant amount of blood. There was a cut in pretty much the same place as before and there had been a lot of bleeding from that. When I checked closely, there was some smegma again. I am still traveling. I am wondering if there is some cause for serious concern here and whether I need to see somebody locally right away. Is there something I can do right away to allay or solve the problem? Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7405, + "tgt": "Please advise the best medication for creatinine level of 2", + "src": "Patient: Hello doctor, My creatinine level is 2.0. What is the best medication? Doctor: Hi. This indicates diabetic nephropathy (attachment removed to protect patient identity). It means your kidneys have been affected by the long standing diabetes and you need to avoid drugs which are primarily metabolized and excreted via kidneys. Metformin should be avoided in near future and consider replacing it with Insulin shots. Consult your Nephrologist to streamline your drugs and dosages and dietary modifications as applicable and remain on follow up." + }, + { + "id": 15847, + "tgt": "Kindly advise treatment for hoarse voice, nasal congestion, cough, and sore throat", + "src": "Patient: Hello doctor, My conditions are serious from a few days. My symptoms are hoarse voice, nasal congestion both nose and ear, coughing, sore throat. Please suggest me. Doctor: Hello. You seem to be suffering from acute viral upper respiratory tract infection which is a common type of nose and throat infection in this season. You need to take antibiotics, anti cold medicines and decongestant nasal drops for a few days. I am going to prescribe generic names of the medicines so that you can get it in your place. Tablet Cefixime 200 mg two times daily after food for five days. Tablet Chlorpheniramine maleate and Phenylephrine, Paracetamol (fixed dose combination) three times daily for three days after food. Xylometazoline nasal drops three drops three times daily for three days. You can do steam inhalation two times daily for a few days for faster recovery." + }, + { + "id": 18550, + "tgt": "How is the efficacy of Vraylar for negative symptoms of schizophrenia?", + "src": "Patient: Hello doctor, I am a 34 year old. I have no allergies to medications. I am schizophrenic. I take Abilify 20 mg and Solotik 200 mg. But, I suffer from negative symptoms (amotivation, alogia, etc.). I heard about a new drug Vraylar\u00a0(Cariprazine). I would like to know from a specialist about the efficacy of Vraylar for negative symptoms, especially amotivation and alogia. Doctor: Hello. Tablet Vraylar (Cariprazine) is a new drug which was approved for use last year. It was found to be effective in negative symptoms of schizophrenia. However, only a few studies are available for its comparison with Abilify (Aripiprazole). These studies indicate that it is more effective in negative symptoms compare to Abilify. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 18653, + "tgt": "As I am going to get married, kindly guide me with your expertise advise", + "src": "Patient: Hi doctor, My age is 25. My height is 180 cm and weight 84 kg.\u00a0I am going to get married in the next six months. What should be the frequency of sex after marriage? My penis is about 11 cm while erect. Is it normal? What is average intercourse time? I can only hold up to 3 minutes. Is it normal?\u00a0I am confused with so many questions and think its better to get a guidance from experts. When I searched on the internet, there are different views. Please guide me. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20217, + "tgt": "Is erectile dysfunction related to my thyroid disease?", + "src": "Patient: Hello doctor, I am a 72-year-old male with a height of 5 feet 6 inches and a weight of 78 kg. I have been on Eltroxin 100 mcg and Amloz 5 mg for two years for hypothyroidism. I am feeling fatigued and have an intense appetite. I have lost fertility for the last one year. My ESR value is 41. I also have COPD. Please advise what should I do. I have been on a thyroid medicine for three years. I have attached reports. Doctor: Hello. I had gone through all the details and reports (attachment removed to protect patient identity). The TSH (thyroid-stimulating hormone) report is not available. So kindly review the TSH report again. Coming to ESR (erythrocyte sedimentation rate) at 41, it need not be taken seriously unless you have other complaints. Are you having unintentional weight loss? The complaints you told were more like inadequate thyroid supplementation so kindly review with the TSH report again so that I can tell you better. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19262, + "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": 18386, + "tgt": "I have pain in my left testis. Is it due to the use of vacuum penile pump?", + "src": "Patient: Hi doctor, I have a strange feeling in my left testicle. I ordered a vacuum penile pump, and I used it only for two days. After that, I threw it away fearing an injury, as it turned my urine red. After five days, I went to a doctor, because I had a strange feeling in my testes, but I did not have pain. The doctor gave me tablet Diclofenac 100 mg and Cystone tablet. I started taking these tablets, but after two days, I have pain in my left testis and pubic area. I also had pain on the base of my penis and erection problem. So, I went back to the same doctor, who gave me Paracetamol and Nimesulide. I got a little relief, but after a month, I still have little pain. My testes are red, and I have pain in my pubic bone area. My erection is normal now. Is this because of the injury from the penile pump? I am attaching my ultrasound report. What should I do? Please help. Doctor: Hi. Thanks for your query. I have seen the attached ultrasound (attachment removed to protect patient identity). Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29875, + "tgt": "Do you have any thoughts on promising drugs for dry AMD?", + "src": "Patient: Hello doctor, I am 63 years old. I was diagnosed with dry intermediate AMD about five years back. The VA then was\u00a020/25 and now it is 20/60. I am currently on AREDS. I am a\u00a0non-smoker. I have an excellent health otherwise. The Amsler is normal. The recent OCT showed no fluid. Do you have any thoughts on promising drugs like Fenretinide, statins\u00a0or others\u00a0under trial or research? Doctor: Hi. For dry AMD (age-related macular degeneration), the recommendations mostly include AREDS2 (Age-related Eye Disease studies 2) formulation. The other recommendations are quitting smoking (in case of smokers), controlling hypertension, lipid level, diabetes and regular checking with an Amsler chart to pick early conversion of dry AMD into wet AMD. There are more treatment options available for wet AMD as it is a vision-threatening condition. There are options of intravitreal injections and lasers (PDT- photodynamic therapy). I would advise you to stick with the current therapy of AREDS and keep testing with Amsler. Keep in touch with your eye doctor about any new modality introduced for dry AMD. He will inform you. Dry AMD. AREDS and keep testing with Amsler. Stop smoking, control BP, blood sugar and lipid level. For further queries consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24354, + "tgt": "Why is there numbness in left side of chin in a metastasizing breast cancer patient?", + "src": "Patient: Hello doctor,I am a 61-year-old with breast cancer metastasizing to the liver, nodes, and bones. I am currently on Abraxane and Herceptin. I was diagnosed 19 years back and had 15 years of no cancer. Metastasis to a few nodes was noted four years back. I have been on Taxol, Taxatore and now Abraxane. I morphed into triple positive a year ago. I know my chance of getting brain metastasis is high. A few days back at work I noticed the left side of my chin was numb. I looked it up and read horrible information that it is from the mandible or cerebellum. And the outlook was ominous. I am so frightened. My question is how serious is numbness in this condition? I can feel pain when I pinch and poke at my chin. It does not feel like when I get Novacane at the dentist. I do get Xgeva every three months, have bad sinus and vertigo problems (just recently) and am depressed and have horrible anxiety which I try to control with Xanax. I will see my oncologist in a few days for treatment. I just need some reassurance, I guess. I have no pain from any of my metastasis. Just side effects from chemotherapy. I had laboratory tests done weeks ago. I am anemic due to chemotherapy. My liver panel is normal. I am currently taking Lotrel and Zoloft. Doctor: Hello. You have been living with this cancer for a long time and have a lot of information about it. This numbness on your chin can be a side effect of your chemotherapy but without MRI (magnetic resonance imaging) of the brain very difficult to say you do not have any brain metastasis. But be assured cerebellar metastasis usually have the problem of maintaining of balance rather than just sensory disturbance. You are getting best treatment trust in your creator and be bold. If you have done any radiology to rule out any brain metastasis. And if done and is negative then relax and pray and hope for a long life. I wish you a long productive life and I hope I answered your questions. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 12386, + "tgt": "Why do I have pain in both knee and ankle with swelling?", + "src": "Patient: Hello doctor, I am 60 female, having pain in both knee and ankle, swollen up, does not bend knee, the pain starts from upper thigh to knee. Doctor: Hi. I think you should get your blood test done for cholesterol, uric acid, and blood urea. Apart from this, you should always wear a knee cap. Put your feet in a bucket of warm water with salt and sit for half an hour daily. It will sooth down the pain and swelling. Please do the same exercises of the knees and legs so that the circulation does not stop. Take Shelcal 500 daily and Vitamin B12 also for boosting up the immunity." + }, + { + "id": 12223, + "tgt": "i am having white vaginal discharge with weight loss and pimples. Please help", + "src": "Patient: Hello doctor, I have white discharge problem since 3 to 4 years. I tested vaginal swab and my reports showed staphylococcus aureus isolated. I have weight loss and pimples problems also. Doctor: Hi. White discharge is a common problem among sexually active females and there are a few things to be kept in mind. 1. Do not take extra care for your private parts by using intimate washes, perfumes, and douches. They wash away your normal protective vaginal flora. Just wash the area with water during bath time. 2. Have yogurt every day to incorporate probiotics in the diet. 3. Use cotton undergarments. 4. Avoid oral sex if the partner has dental issues. 5. Rule out latex allergy and change to pads if using tampons. 6. Have proper sleep, maintain a regime. 7. Avoid stress. 8. Eat healthy and drink water in adequate amounts." + }, + { + "id": 11491, + "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": 7631, + "tgt": "What causes continuous dry cough for a month?", + "src": "Patient: Hi doctor, I am having continuous dry cough for a month. I took antibiotics and cough syrup, still no improvement. What should I do next? Need to undergo TB test or X-ray. Please advice. Doctor: Hi. I have read through your query in detail. Please find my observations below. In the pictures sent, there is no obvious large abnormality seen (attachment removed to protect patient identity). However the X-ray image quality is not very clear and if you are having dry cough not responding to antibiotics therefore more detailed investigation is required. TB usually causes chronic cough with fever and weight loss and should be confirmed clinically. Right now I suggest you get a CT scan of chest done to investigate for causes leading to cough for more than a month. Complete blood count is also important to know if you are having any infection or allergy." + }, + { + "id": 8361, + "tgt": "Will complete blood count show HIV infection?", + "src": "Patient: Hello doctor, Will complete blood count test show HIV infection? Will the WBC be increased or decreased? Doctor: Hi. Hope your query is answered, but if you have any other question, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18392, + "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": 27179, + "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": 29336, + "tgt": "Got a cut on the penis and it healed as something white and hard. What is that?", + "src": "Patient: Hi doctor, About three years ago, after a stint of frequent masturbation, I got a cut on the penis due to lack of lubricant. The cut healed as some hard white thing. I tried cutting it away with a scalpel, but it just grows right back. Four months ago, I went to a urologist, and he said it was probably a wart and proceeded to cut it out. When it healed, it I ended up with the white stuff covering the whole area the doctor cut. I have not had sex in the last three years and would like to know what is this (picture attached). Is there anything I can do now? I want your opinion before I go to a doctor again. Thank you. Doctor: Hi. Post-traumatic fibrosis. Wait and watch followed by reassessment later. Revert after six months to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15806, + "tgt": "How to cure the pain present in crowned tooth?", + "src": "Patient: Hi doctor, I had a cavity in my lower front tooth. I filled it and placed a crown over it. After a month, I started to have pain and sensitivity. The X-ray was normal. Yesterday, I had pain again. The X-ray was quite fine and healthy. I also have soreness in my gums and pain in the chin. Please advice. Doctor: Hi. I have gone through your query (attachment removed to protect patient identity). Yes, it looks like stress related periapical periodontitis. You may need to readjust the crown if you feel muscle heaviness on the same side or opposite side. Please upload a picture of your X-ray so that I can guide you further. To prevent the further spread of infection, you need a course of antibiotics." + }, + { + "id": 16897, + "tgt": "Why is my kid suffering from cough for more than 10 days?", + "src": "Patient: Hello doctor, My baby has got cough for the last 10 days. He is fine during day time. But, at night while lying down, he is again coughing. It looks like a dry cough. We are now giving Levoline and Mucolite as suggested by our family physician. Still, he is not fully recovering. Please give some suggestions to cure it. Doctor: Hi. Cough while lying down is mostly due to cold (post nasal drip). As you have mentioned dry cough and if he does not have breathlessness, you can only give anti-allergic syrup along with honey. No need of giving Levoline and Mucolite. When cold will get over, his cough will subside. For more information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 11420, + "tgt": "Can high blood pressure be the reason for the bloody mucus from my throat?", + "src": "Patient: Hello doctor, I had mucus from the throat, and it had minor blood in it. I went to the ER, and the blood pressure was 190/110. The doctors told the bleeding had to do with the blood pressure as the bleeding stopped as soon as blood pressure reducing pills were given orally. I had blood tests done today, and everything came out normal. Can high blood pressure be the reason for this bloody mucus from the\u00a0throat? I am feeling very anxious about this. PTT tests were done, and they were normal as well.\u00a0ECG and echo were done, and both were normal. I have attached the images of the reports. Doctor: Hello. I have gone through all your reports you sent (attachment removed to protect patient identity) and they are normal. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17451, + "tgt": "What causes cold hands and feet along with fatigue?", + "src": "Patient: Hi doctor, I am having cold hands and feet. I\u00a0also have little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your reference. Please guide. Doctor: Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Nutritional. Thyroid hormone profile. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17217, + "tgt": "My baby was born with twisted legs. Can it be treated through surgery?", + "src": "Patient: Hello doctor, I have a 21 months\u00a0old baby, and she was born with twisted legs, which resulted from the cord around the neck issue during pregnancy. She was diagnosed with nerve atrophy in her legs. They said she might recover if the atrophy of her legs can be treated. She underwent motor nerve conduction study at the age of 6 months, and only the left leg showed a response. At the age of 13 months, they redid the same study and reported that the right leg started to show some response, which gave hope that her legs may get treated through physiotherapy. They recently did an MRI for the brain and reported that her brain is fine. The doctors recommended showing the case to an orthopedic, as her issue is not neurological. Can her twisted legs be treated through surgery or some other way rather than physiotherapy? I have attached the CT scan, MRI of the brain, and some pictures of the baby's leg. Please help. Doctor: Hello. I have seen all the attached reports and photos (attachment removed to protect patient identity).\u00a0As I have not examined the child, I will not comment on the current issues. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 13608, + "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": 10112, + "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": 22844, + "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": 21715, + "tgt": "I feel like my erections are very soft and ejaculate too early. Please help", + "src": "Patient: Hi doctor,I am very worried that my penis is not working properly. I am 21 years old and I masturbate a lot. I have been masturbating since I was 13 years old and ever since then I have been masturbating 2 to 3 times every single day. Now for the past 8 to 10 months, I feel like my erections are very soft and I ejaculate too early. I was also in a very serious relationship and I broke up with my girl about two years ago and I have been very depressed and stressed because of that. I used to smoke a lot which I have cut down almost completely. Also, I have an eye floater in my left eye which I have recently discovered and is caused by excessive masturbation. Now my main question is that, do I have erectile dysfunction? If so, is it because of the stress and depression or is it because of excessive masturbation? Also, I have been taking supplements called Alpha Mars to boost my testosterone level because I feel I have not enough testosterone. It is all natural, is it safe? Can a penis pump improve my erections or cure erectile dysfunction? Please tell me if my problem can be reversed or not. Also, tell me ways to improve my erection. Doctor: Hello. It is likely due to stress and depression which is the most common of sexual dysfunction nowadays. In you as well, it is likely to be related to same. So you need to stop worrying about it and have a stress free life. Regular exercises are very important for erections so try to do regular exercises. Also, you should not do masturbation so frequently, as it also affects the sexual function. It reduces the sensitivity of penile nerves and may cause dysfunction. This is all temporary and resolves with time. Also, with masturbation, there is a release of prolactin which antagonizes the effect of testosterone, which is physiological. So, avoid so frequent masturbation and can do it twice or thrice a week. Alpha mars (Shilajit, Tong Kat Ali, etc.) are usually safe, but you should not have as it is unlikely to be related to low testosterone unless we test for it. So, you may get yourself tested for serum testosterone levels. So, have a healthy lifestyle, try to reduce stress in life, regular exercises, and I think you should avoid Alpha mars at present. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8204, + "tgt": "My upper teeth barely shows while talking or smiling and it is looking odd. Why?", + "src": "Patient: Hello doctor,I have an inquiry regarding my upper teeth. I recently have noticed then when I am talking or smiling, my upper teeth barely show at all, so it looks odd when I talk because you can only see my bottom teeth. I was wondering what caused this? Because they were not like that when I was younger. Doctor: Hello. 1. I have read through your complaint and the relevant details. 2. The possibilities for your upper teeth not visible during talking or smiling are a short upper lip, short upper teeth, and most rearward upper teeth. 3. The imbalance between any of the above is the reason for this esthetics problem. 4. And these are the permanent teeth now where the changes are very much possible. Because when you were younger, you had only the milk teeth. 5. Now, considering your age, the treatment plan would be either, orthodontic treatment (braces), or lip lift surgery (esthetician treatment), or combination of both." + }, + { + "id": 7922, + "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": 16332, + "tgt": "Is it normal to observe weight loss while undergoing treatment for ovarian cysts?", + "src": "Patient: Hello doctor, I am a 44-year-old woman. I am taking treatment for a cyst in the ovary and irregular cycle for the last four months. I am given Cabergoline tablets to be taken once in a week. My weight, in the beginning, was 71 kg. Today I checked weight to be 66 kg. I did nothing for weight loss except used two staircases of 10 steps each at the workplace. Being a teacher I am bound to use staircase more. Having done nothing I am confused about the reason for weight loss. Doctor: Hi. Everything is fine. Just because your cyst has disappeared as your hormonal level becomes normal and you keep exercising, so not to worry. Your weight was high just because of hormonal imbalance. Since you have taken treatment for that, your weight reduces. It is a good sign. Not to worry. Just have protein rich and fibre rich diet. Avoid fats." + }, + { + "id": 3635, + "tgt": "What are the symptoms of mercury toxicity?", + "src": "Patient: Hello doctor, I have multiple questions. Recently, I might have been exposed to mercury vapor in a hotel room I was sleeping in for around 6-10 hours the room was small and the type of mercury was unknown. I remember the one type of chemichal was clear liquid watery substance and the other onces was more clay grey wich dissolved in water. I left the room around 6-10 hours later and did not touch anything but I might have breathed in the vapors in this small room. I also washed away the crystals that has landed on the carpet. All of these substances I have no clue about what was, except when I asked I was told mercury. 3.5 months later I got a pins and needles feeling in arms and feet wich has lasted a month, but no other symptoms until now I feel like I have some kind of internal vibration in my feet and my knees are shaking when I stand up like I am freezing or have done a hard workout from time to time. I went to the doctor in my area and told him about what had happend and showed him pictures of the various substances and I took a urine test and a blood test and this was made around 130 days after possible initial exsposure and the test came back at normal levels, but can it be that I had a toxic exsposure and the mercury has already settled in organs and therefore do not show in blood or urine I am not sure about the half life times in these metals or can I settle down and accept the test results are final and that mercury levels do indeed declear that I have not had an exsposure of toxic levels and that my symptoms might be of other cause? 2. If not number one is the cause then, a few months before that, I got an acute pins and needles feeling in hands and feet (paresthesia) which continued untill today and it increased over the one month before it stabilized a little, it went from pins and burning sensations different parts of the hands, and pins feeling in the legs. A few times I got shooting pain from a finger and up my arm but very rarely which has not returned. After alcohol consumption one weekend it went from stabilized to worse and I also noticed my knees shakes a little when I stand still but not when I am walking, the feeling can be compared to when you are freezing or after a hard workout on your feet. It started with a sensation under my feet like I was standing on a vibrating phone and then moved up to my calves which felt like they were bubbling inside and now my knees which shake when I stand, but the vibration under the feet is gone. My hands also one week felt like they was shocked and they turned red and stiff, the kind of feel like I put my hands down in hot water and then removed them, red spots on my hands underneath the skin appeared and the closest thing i found resembeling it was purpura when I looked up causes online, my hands are much better now but it still feels like some areas are \"sunburnt\" and my fingertips are peeling, but I think that is because of winter and dry weather (the red spots remains) I have taken multiple blood test for vitamins deficency and other things which turned out normal besides vitamin D which was a little to low and neurolgical test like standing on one foot with eyes closed and finger pointing and sensation test of sharp/cold/hot which all was normal. I am taking a MRI next month to check for MS and other conditions. Sorry for making this text so unclear and poorly written but I have no idea of what this might be. So Doctor do you have any ideas about what this can be? Doctor: Hello. I read carefully your question and would explain that your symptoms are not typical of mercury intoxication. Anyway, I would recommend performing nerve conduction to in order to examine your nerves and a brain MRI in order to examine your brain. As the neurological exam is normal, I do not think it the brain MRI will result abnormal. A cervical spine MRI may be necessary too, in order to exclude possible spinal cord compression in this region, due to a bulging disc." + }, + { + "id": 9763, + "tgt": "Shall I go with compression wrap for wrist sprain?", + "src": "Patient: Hello doctor, I had a mild sprain while using a punching bag. But, it does not hurt at all in my two days off work. Now I am back to work, on day three since my injury, and it hurts really bad. I am locked in for the next several hours and I can tough it out. Obviously I am going to be doing some hot treatment. Is it too late in the game for a compression wrap? Will that help with the irritation from small movements? Please guide. Doctor: Hi. Better late than never. Go for compression wrap (active type or elastic wrist splint). Rest your wrist. If pain does not go down or increase in spite of all the measures and medication in two to four weeks then go for MRI wrist. Do specify your complaints more elaborately as mentioned below: Sports injury. MRI wrist. 1. Tendinitis. 2. Tenosynovitis (inflammation as well as swelling of a tendon). 3. Bursitis. 4. Hair line fractures. 5. Arthritis. Ligament sprain. 1. Rest. 2. Cryotherapy or ice packs. 3. Compression wraps. 4. Elastic bandage. 5. Pain therapy with tablet Paracetamol 650 mg thrice a day if not relieved local colonial spray and systemic medication with tablet Aceclofenac taken twice daily. 4. Joint immobilization. Avoid physical exertion and all activities that exacerbate pain for two weeks. Revert back with the asked details and the MRI wrist to an general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 3717, + "tgt": "Am I taking the right medicine for ringworm infection?", + "src": "Patient: Hello doctor, I had ringworm problem for the past three to four months. I\u00a0used Abzorb - Clotrimazole powder and Betnovate GM cream. It did not stop, but increased spreading to other areas. Then I went to a doctor and he diagnosed it as tinea incognito. He prescribed Terbinafine 250, Levocetirizine dihydrochloride daily at night after dinner, Upcan 150 twice a week in the evening, Ketoconazole cream and Keto plus soap. After two weeks there was very less improvement and he added Itraconazole twice a day along with same cream and soap. It has been a week and improvement is very slow and at times it itches very much. In between, two days I missed Itraconazole during the morning. Can it cause itching? Doctor: Hi. If you are having ringworm infection then you are going on right track. You have applied Betnovate cream (Betamethasone), which is a topical steroid. It usually suppresses or hides your lesion. That is why it gets converted into tinea incognito (fungal infection masked due to application of a topical steroid). Now, you are using two oral antifungals simultaneously. One Terbinafine 250 mg which usually requires three weeks and Itraconazole 100 mg once daily for 28 days or twice daily for at least two weeks. Use certain general measures for fastest recovery like: Use of topical steroids Betnovate. Skin scraping for KOH (Potassium hydroxide). Follow up till lesions completely regress to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20886, + "tgt": "Why is there swelling in lips after taking OTC medications?", + "src": "Patient: Hi doctor, My lips have got swollen. It happened around last year too. From night, my lips got huge, even after I took OTC allergy medications. I woke up in the morning. I felt nauseous, but my lips got little smaller. I continued to use OTC medications. Doctor: Hi. According to the history, (attachment removed to protect patient identity) you have an allergy disorder, and so the lips can be swollen. Now, your allergy is being subsided as there is an improvement seen with an antiallergic medication. So you can continue with antiallergic medicines if there is improvement present. For allergy Levocetirizine and Fexofenadine can be taken and if the allergy is severe, then a short-term steroid course is given. In such an allergy problem, it is advisable to investigate with CBC (complete blood count) and AEC (abnormal eosinophil count) investigation to check if there is eosinophilia present. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16828, + "tgt": "Is it advisable to take Amoxyclav for infection and swelling in foot?", + "src": "Patient: Hello doctor,I have got an infection in my foot and it is on my right foot above the ankle. That particular part is a bit swollen and sometimes pus and some blood come out when I clean it. And because of that infection, my foot is swollen and I am experiencing pain while walking. I am going to a clinic tomorrow but till then is it advisable to take Amoxyclav 625 (one tablet) to reduce the swelling? Doctor: Hello. Yes certainly, you will need antibiotics to kill the bacterias. So Amoxyclav 625 (Amoxicillin and Clavulanic acid) is a good choice. So you need to have it three times a day for five to seven days depending on the response. You can certainly take it now and it should be taken after food and it is better if you have it with some antacids like Rantac 150 (Ranitidine) or Pantoprazole or Rabeprazole. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, it will not act immediately to reduce the swelling but its action will take 24 to 48 hours. For immediate relief, you need to have some painkiller medicine like tablet Diclofenac or Ibuprofen, or Paracetamol 500 mg whenever needed. Also, you need to apply some powder like Neosporin thrice a day till the wound heals. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30934, + "tgt": "I had phenyl and suffering from throat inflammation. Please help", + "src": "Patient: Hi doctor, I drank about 5 mL of white phenyl disinfectant. Following which I had a headache and took Allegra and Avil tablet. There is inflammation in my throat and ear. Today, I took Pantos tablet, Sucralfate and Oxetacaine suspension and Ultracet. What shall I do now? Doctor: Hi. For further information consult an\u00a0internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2823, + "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": 6828, + "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": 2835, + "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": 29034, + "tgt": "Does my 2. 6 months old daughter need surgery for a small gap in the soft palate?", + "src": "Patient: Hi doctor, My 2.6 months old daughter was born\u00a0with a soft cleft palate and was operated when she was 2 years old. After the surgery, her speech has improved, and no solid food or water is coming out from her nose anymore. Rarely, just a single drop of milk comes out of her nose. Recently, I noticed a small gap at the end of the soft palate on the left side. We do not remember whether this was already present or got formed after the surgery. Even though the gap is tiny, I am anxious that my daughter might need surgery again. Why is this small gap still seen? Does she need surgery again?\u00a0I am not able\u00a0to click a photo of her mouth, but I am attaching a picture from the internet that I modified. In the\u00a0image, the white colored part is where she has a small gap. Doctor: Hi. After going through the photo (attachment removed to protect patient identity), this is what I suggest. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20985, + "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": 4208, + "tgt": "What causes high systolic BP inspite of normal diastolic reading?", + "src": "Patient: Hi doctor, I have been getting unusual readings tracking my blood pressure on my Omron 10 series. I have been following the instructions to try and ensure accuracy. Over the past several days, I have captured readings with extreme isolated spikes in diastolic pressure that coincide with my machine notifying a detectable irregular heartbeat and my diastolic pressure is normally within a very tight range. However, I am consistently getting readings that jump dramatically as high as 135 mmHg. When this occurs my systolic reading is not significantly affected. From there I take a follow-up measurement, a minute later, diastolic reading normally is lower but still greatly elevated to my normal range. The first few times this has happened I ignored it, but it is occurring more frequently over a period of several days. Otherwise, I do not have any noticeable symptoms. Should I be concerned? Doctor: Hello. I understand your concern and would like to explain that those abnormal diastolic BP value spikes could be due to erroneous readings of automatic Omron BP equipment in the settings of episodic cardiac arrhythmia (probably extrasystolic arrhythmia, atrial fibrillation, etc.). Coming to this point, probably it would be more appropriate to use a manual sphygmomanometer device several times and get an average value. I would also recommend discussing with your attending cardiologist on the possibility of investigating your heart rhythm through an ambulatory ECG (electrocardiogram) monitoring test (Holter). In addition, thyroid, renal, and adrenal function tests should be tested to rule out possible organ dysfunction. I hope this helps." + }, + { + "id": 24009, + "tgt": "My right testicle is itchy and dry. Please suggest a solution", + "src": "Patient: Hi doctor, I am a 29 year old and I have an allergy on my right testicle. It is itchy and dry. Please suggest the solution for this problem. Doctor: Hello. You are suffering from lichen simplex chronicus of the scrotum. I suggest using Mometasone cream twice daily for 10 days and tablet Teczine M (Levocetirizine) twice daily for 10 days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Review in 10 days. Revert after 10 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2626, + "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": 3755, + "tgt": "I developed headaches, dizziness, and nausea soon after taking PPI's. Why?", + "src": "Patient: Hello doctor, A few months before, I developed a gastric issue that required treatment with PPIs. Soon into using the drugs I developed headaches, dizziness, and nausea. I changed the type of PPI three times but the symptoms persisted. The symptoms included a feeling of pressure above my right ear and behind my right eye. Later, I came off the PPIs and after using over the counter headache painkillers for three days the severity of the headaches eased. But the feeling of pressure remains to this day on the right side of the face. I often feel heavy head or even light-headed with a slight dizziness, often as if I am hung over. The symptoms come and go, but are there every day for differing periods of time. And the constant is this feeling of slight pressure on the right side of my head above the ear and extending sometimes down to the cheek and behind the right eye. Doctor: Hello. I read carefully your question and would explain that the dizziness does not seem to be related to PPI adverse effects, as it would have disappeared now. For this reason, I would recommend consulting first with an ENT specialist in order to exclude a possible inner ear disorder, which could trigger this clinical situation. It is also necessary to perform a sinus x-ray study, inflammation tests (complete blood count, PCR, ESR) and thyroid hormone levels, in order to exclude a possible thyroid gland dysfunction. If all the above tests result are normal, I would recommend consulting a neurologist for a physical exam. A brain MRI may be necessary. I hope this helps." + }, + { + "id": 3205, + "tgt": "I observe white smegma at the penis head and my foreskin is rough. Please help", + "src": "Patient: Hello doctor, I have observed a white smegma on my penis head. There were irritation and red bumps on it before, but I oiled it so now I do not have any pain or irritation. But in the morning the white smegma is still there and my foreskin is hard and rough. What should I do? Please help. Doctor: Hello. If your foreskin is hard and rough you may get benefit from removing the foreskin i.e. circumcision. I suggest you show it to the urologist nearby and get it done." + }, + { + "id": 3514, + "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": 26726, + "tgt": "I am having shocks from my new dentures. What treatment do you suggest?", + "src": "Patient: Hello\u00a0doctor, I have an intense shocking pain around the bottom two teeth from a partial denture with wires. My X-rays show no cavity. I suspect enamel erosion. I have only five teeth. Do you recommend Valplast partials, teeth bonding, using fluoride, or another option? Doctor: Hello.I have read through your complaint and the relevant details. I suggest you consult\u00a0a dentist for a thorough check-up and choose the new dentures wisely. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14337, + "tgt": "Had unprotected sex on the seventh day of period. What are the chances of pregnancy?", + "src": "Patient: Hello doctor, My wife had unprotected sex with me last night and it was her seventh day of the period. So should I give her Unwanted 72 or is there any chance of getting pregnant and can you tell me the side effects which she will face after taking Unwanted 72? Doctor: Hi. It is better if you send me her detailed gynecological, obstetric, medical, surgical, drugs history. If she has short irregular cycles of 28 days or less, then it is better to have Ipill as in regular cycles of 28 days there is a fertile period from day 8 to day 13. So, better to have I-pill within 48 to 72 hours post-sex without vomitings. She can have withdrawal bleed within 1 to 2 weeks post-pill and then next cycle could be irregular or unpredictable but as soon as the body gets rid of hormonal effects of externally induced contraceptive, cycles could come back to the previous pace. I hope you get my point. For regular contraception, you can have combined oral contraceptive pills for three months or implant or injectable or Mirena intrauterine device, etc. But, mind it that all contraceptives are mostly hormonal and their long-term use can give short and long-term side effects that could differ a bit from person to person according to the body response of the individual. Beta hCG if not taken Ipill and missed periods." + }, + { + "id": 23970, + "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": 12311, + "tgt": "How to get TSH level control in a diabetic?", + "src": "Patient: Hi doctor, My dad is 67 years of age and my mom is 63 now. I have got general health checkup done for my parents. I am uploading the reports here. Kindly check and let me know if anything needs our immediate attention. Thanks Doctor: Hello. I have seen all the reports (attachment removed to protect patient identity) of your parents. Your mother is diabetic and she is controlling her diabetes good. She has a mild increase in her leukocyte count, it is due to infection. Did she get any fever in past weeks? Or did she have a sore throat? Is she taking any thyroid medication? If yes, which one and what is the dosage? Her TSH (thyroid stimulating hormone) is high which means there is thyroid disorder, but to be hundred percent sure you need to do TPO (thyroid peroxidase antibody test) it will tell us what exactly the problem is. Your father probably does not have diabetes as you have done HB1AC (glycated hemoglobin) and FBS (fasting blood sugar) test first time on him. But I think he is a little obese. He should go for a walk for 30 minutes and reduce the fat and oil from his diet." + }, + { + "id": 30706, + "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": 26700, + "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": 18883, + "tgt": "My whole body aches after visiting the amusement park. How can I get better?", + "src": "Patient: Hello doctor, I am a 20 year old female. Two days ago, I went to an amusement park. Yesterday, it felt more or less like my body ached, but I still went to my spinning class in the evening. Today, when I tried to get up in the morning, I struggled with lower back pain, and my arms hurt. It hurts to sit and walk, I am so uncomfortable and aching all over. Is this because of the amusement park? What can I do to get better? My exercise has never caused me this pain. Doctor: Hello.\u00a0 For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 15464, + "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": 8299, + "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": 25374, + "tgt": "I have itching on my arm and chest. What is it due to and what is the likely treatment?", + "src": "Patient: Hello doctor,I have itching on my right arm and chest. Doctor: Hello. I have seen the images (attachment removed to protect patient identity). Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 742, + "tgt": "Can cancer recur within six months of operation?", + "src": "Patient: Hello doctor, My brother-in-law gone through CA tongue right side operation followed by radiation and chemotherapy before six months. From last two weeks, he is getting pain on the left side of the tongue and we consulted the doctor again. Doctor said that there is no possibility for further operation and radiation therapy. He suggested that he needs to go for chemotherapy only. Though we opt to go for chemo, his body is not able to support. He became very weak as he underwent surgery, radiation and chemo already. This also has more side effects and with this he will be unable resist. Also, the doctor said that there is no scope in curing. And, he advised to go for medicine, which is equal to chemo. I kindly request you to give best possible solutions to save his life. Is there a possibility of recurrence of cancer in the left side within this short period? What is the stage of cancer before and after operation? I have attached his current medication. Is it fine to continue? Doctor: Hi. I understand that your brother-in-law has undergone treatment for tongue cancer. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 8546, + "tgt": "What medicine shall I use for inner thigh infection?", + "src": "Patient: Hi doctor, Due to excess sweat, I have some infection in my inner thighs. It seems like a layer of skin is out of my testes. It is paining a lot. What shall I use for relief? Doctor: Hello. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2553, + "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": 30361, + "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": 21746, + "tgt": "My platelet count has been reduced. What can be done?", + "src": "Patient: Hello doctor, I have ITP problem when I was 3 years old due to any viral infection, now I am 31 years old female. I was always at 100000 above platelets counts from last many years without any medicines except Prednisone in some adverse situation but suddenly nine months back, my platelets count went down to 15000 and this month it is at 10,000 only. Now I am on medicines Dexamethasone 40 mg after a meal for four days and Pan 40 before a meal. What should I do now? After four days of medication, what step should be taken? My weight is 50 kg and height 5'3\". Doctor: Hello. You have been prescribed high dose steroid as your platelet count are very low so the risk of bleeding can be present. You should take this medication for a prescribed duration of at least 1 to 2 weeks. Then if platelet count raised then no active treatment needed and monitoring of platelet count done at regular intervals. But if after one or two-week course of high steroid, platelet count not raised than low dose steroid can be continued for two to six week to improve platelet count. Other options of treatment are immunosuppressive drugs like Azathioprine and Thrombopoietin receptor agonist like Romiplostim like drugs. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25494, + "tgt": "Can I lead a normal life with just one testis?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I have only one testis. I have sexual feelings as a normal man would do. I am masturbating about once every week. Will a single testis cause any problem in the future? Recently, I had my first sex with my partner. At that time I was tensed and also had difficulty while penetrating her vagina. Please help. Doctor: Hello. It appears you are having a condition called cryptorchidism in which one of the testes is not present in the scrotum. There could be one of the two possibilities, either your testis has not developed at all or it has developed normally but has failed to move into the scrotum. At your age, if your sexual desire is normal and your secondary sexual characteristics like facial hair, pubic hair growth is normal then your testosterone production is normal. Your reproductive ability will depend on the number of sperms produced by your normal testis. I would suggest you visit your local urologist for a complete evaluation and identify the type of cryptorchidism you have. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 7774, + "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": 1643, + "tgt": "How to manage a tear in the knee joint?", + "src": "Patient: Hi doctor, I have a small tear in the knee joint, but the doctor advised me for arthroscopy. How to manage this problem? Please suggest. Doctor: Hi. Revert back after one week with the report to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20612, + "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": 4901, + "tgt": "Will iron tablets cause constipation?", + "src": "Patient: Hi doctor, My wife who is 40 years old has\u00a0hemoglobin level of 8. Which iron or other supplement should she take immediately? She regularly feels quite tired. She had the same issues during her college days too. Also, can iron tablets cause constipation? If yes, kindly suggest remedial measures. Please guide. Doctor: Hi. Revert back after the tests to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28275, + "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": 22349, + "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": 8510, + "tgt": "I experience rapid heartbeat on using homeopathic HGH. What can be done?", + "src": "Patient: Hello doctor, I am 65 years old and have taken armor thyroid for years with great results. I had been taking 90 mg daily. Last year I started using a homeopathic HGH but did not notice that it had homeopathic thyroid in it too (Somaderm). After a few months, I saw a rapid heartbeat. I went to the doctor and found I had an arrhythmia. Took a blood test and T3 was 4.7. Other thyroid numbers normal. The most significant change was VLDL went from 51 to 15. LDL from 130 to 89. Triglycerides from 253 to 76. I stopped my thyroid medicine in half. A couple of months later, I took another thyroid test, and my T3 was down to 2.4. Other thyroid numbers are still normal. I have started taking iodine. Again doing half the dosage of armor and using homeopathic HGH. I do not know how much of each thing I should be using or how to determine what I should do? Doctor: Hello. The problem with natural medical products is that even when they are useful, they are not in an exact dose which could be provided in the newly manufactured products. For instance, armor thyroid is extracted from porcine thyroid gland which contains both T4 and T3 usually in the biological ratio, but their concentration may vary depending on the type food of these animals are fed, especially iodine concentration in the food. This is the product responsible for your new symptoms, which are that of over replacement of thyroid hormone, and you did the right thing by having the dose. But whether you are being over replaced or under replaced should be determined by periodic thyroid function test, if a single hormone, then TSH which shows amplified suppression and elevation of both T4 and T3 in hyper and hypothyroidism (here I presume, as you are being replaced, you initially was diagnosed as primary hypothyroidism, which is the most prevalent thyroid disorder). Serum TSH (thyroid-stimulating hormone from the pituitary) should be done four to six weeks to adjust the dose till the appropriate treatment has been settled, and then, every six months to one year. Manufactured proprietary tablets are more comfortable to change the dose with since they have exact dosage preparations, 25, 50, 100 or 150 micrograms, and they and they have only Levothyroxine (T4), no rapidly acting T3. So, sudden alteration of biology is unlikely. The dose has to be adjusted by 25 to 50 micrograms each time. Carefully, half of that change for adjustment in heart disease and the elderly. Some essential clues (better confirm by TSH), under replacement (hypothyroidism) weight gain, coarse and dry skin, slow heart rate, constipation. Over replacement (hyperthyroidism) weight loss, sweaty warm skin, palpitation fast heart rate (tachyarrhythmia AF and sometimes heart failure), hyper defecation (increased number of stools) and sometimes diarrhea. As your symptoms are clearly from thyroid over replacement, I would not elaborate on other products. Though my general comment on natural products would apply. Moreover, growth hormone (GH) in excess may cause diabetes, hypertension, sometimes enlargement of organs and other musculoskeletal features. For the current problem, focus on the thyroid." + }, + { + "id": 3876, + "tgt": "My mom took 40 mg of Geodon accidentally. Please help", + "src": "Patient: Hello doctor, My mom took 40 mg of Geodon accidentally and has also taken the following medicines that are on severe interaction list with Geodon in the last 24 hours. Zithromax, Codeine, thyroid medicines, Omeprazole, Triamterene and Hydrochlorothiazide. She is sleeping now for 3.5 hours after taking Geodon 40 mg orally and having stomach ache. She also used Albuterol and steroid inhaler. She has prescription for Medrol Dosepak, but has not yet taken. She also takes Vistaril, but her last dose got over 72 hours back. Please help. Doctor: Hi. For further clarifications consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 14380, + "tgt": "I am just 14 years old and I experience extreme pain in my hip. What could it be?", + "src": "Patient: Hello doctor, I am a 14 year old female. My height is 5'5\", and I weigh about 140 pounds. I experience extreme pain in my hip. It is difficult for me to walk or climb stairs. Also, it keeps me awake at night. Please help. Doctor: Hi. My worry here is that you may have a Slipped Capital Femoral Epiphysis (SCFE) and you need an urgent orthopedic opinion to help rule this out. The reason I say so is that the pain and limp from the hip in an adolescent has only a few causes one of which is SCFE. The other cause is an infection and it is equally important. I hope you ask your parents to arrange a visit to an orthopaedician for physical examination at the earliest. This will certainly help, as a full examination of the hip and x-rays and blood reports will help clear any doubts." + }, + { + "id": 9320, + "tgt": "Food gets stuck in my throat. What could it be?", + "src": "Patient: Hello doctor, For over four years, I have\u00a0had problems swallowing my food. I get the sensation that the food is stuck in my throat.Usually, it clears when I\u00a0drink water and it pushes the food. Without water,\u00a0I\u00a0feel like I am\u00a0choking up to maybe half hour with intense pain in my throat and upper abdomen.\u00a0There is also burning in my stomach.\u00a0I have a history of bulimia and I\u00a0threw up every day for over a year and multiple times a week for the last four years. I am on\u00a0Wellbutrin, Naltrexone, and Nexium\u00a0as needed.\u00a0I get stomach acid coming up to\u00a0my throat almost every day\u00a0with or without eating. What could it be? Doctor: Hello. Hope your queries have been cleared. For more information consult a\u00a0medical gastroenterologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 23526, + "tgt": "Are knee weakness and hand tremors GAD-related?", + "src": "Patient: Hello doctor, I am a 23 year old male in good health.My knees feel stiff and weak when walking. It also happens on my finger joints. Also, I sweat a lot and my hands start shaking (fine tremor) with light activity. I do have a generalized anxiety disorder. Are my symptoms GAD-related? This started a month ago. Doctor: Hello doctor. Generalized anxiety disorder is one possibility, but also we have to exclude other organic causes like for example hyperthyroid disease (by testing TSH, T3, and T4). If you have performed any blood tests please send a copy of them. One thing that differentiates between anxiety and thyroid symptoms is night symptoms that are present in thyroid and not in GAD. Symptoms of hyperthyroid may include also: diarrhea, racing heartbeats, weight loss and/ or insomnia. So, if you experience any, do not hesitate to inform me in a follow-up query. Hope you find my answer useful. Your feedback will be appreciated. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21477, + "tgt": "Does taking Pregabalin for a long time cause increase in B12 levels?", + "src": "Patient: Hello doctor, I was taking Pregabalin for a long time. I got my blood test done and B12 has come 1993 pg/ml although the LFT and RFT are normal. Should I stop the intake of Pregabalin immediately and wait for fifteen days to get the B12 test once again? Doctor: Hello. Pregabalin medication is used for neuropathic pain. It does not lead to the elevation of B12. So, you can continue with this medication. For high B12 level, you have already ruled out liver and kidney disease by their subsequent reports. So, I suggest you investigate with CBC (complete blood count) and peripheral smear examination blood report for further work up. B12 is a water-soluble vitamin and it can readily be excreted through the kidneys. So, do not worry about that and investigate with CBC and peripheral smear examination report as suggested. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18671, + "tgt": "I am 25 and my partner is 72. Can I get pregnant?", + "src": "Patient: Hello doctor, I am 25 years old female and my AMH level is 1.12 and my partner is 72 years old. Can I get pregnant? Doctor: Hello. You are young and your AMH (anti-Mullerian hormone) is borderline, not very low. So, you can become pregnant. Check if your thyroid and prolactin are normal. Check for tubal patency. If everything is normal, you can try IUI (intrauterine insemination). If your husband's semen analysis is normal, you can have IUI with it. If his semen analysis is abnormal, go for ICSI (intracytoplasmic sperm injection) or IVF (in-vitro fertilization) with donor sperm. Let me know the above reports so that I can treat you. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28875, + "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": 20506, + "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": 26035, + "tgt": "I cannot stop talking to myself. What should I do?", + "src": "Patient: Hello doctor, I am 22 years old. Recently, I have noticed that I cannot stop talking to myself. I start conversations and even arguments with people that I create in my mind. I not only talk to them but also get certain mannerisms and facial expressions during the arguments as if it was absolutely a real one. Moreover, I cannot cope with my life and reality as well. I am almost always considering suicide or self-harm and I fear I will do something bad. I feel like screaming really loud and punching everybody and everything. Then, I just want to lie down, listen to music, put myself in imaginative situations where I am the most excellent, powerful person. Sometimes I wake up at night and the voices in my head wake me up. I feel angry at myself and want to strangle my brain. Please help me. Doctor: Hello. I understand what you are going through. Hope this was helpful. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26843, + "tgt": "How to improve the chance of pregnancy in case of a semen infection?", + "src": "Patient: Hello doctor, I am a 45 year old male, and my wife is 26 years. We have been trying to have a baby for the past seven years. I had a sperm analysis in 2011. My count was 68 m, all the parameters were good\u00a0except the presence of Proteus spp. bacteria. The doctor injected me with gentamycin once, and nothing more.\u00a0In 2015, I had another sperm analysis. The parameters were still good. The count was 75 m, but pus\u00a0was\u00a0seen, and the\u00a0doctor gave me Ciprofloxacin 500 mg and Tinidazole 600 mg for seven days.\u00a0Just a week\u00a0ago, I got another sperm analysis test with sperm count 70 m, but abnormal form 18 % with epithelial\u00a0cells, bacteria and a moderate growth of staph aureus,\u00a0sensitive to Rocephin and Augmentin. My wife's hormonal assay says prolactin is 34 ng/mL when the normal range is 5-25. Also, the vaginal swab shows creamy, non-crystalline, pus cells 3-4, HPF epithelial cells, yeast, bacteria, gram positive, moderate growth of staph aureus, sensitive to Rocephin\u00a0and Augmentin.\u00a0Also, my wife was prescribed\u00a0Parlodel\u00a0drug\u00a0(bromocriptine) to\u00a0normalize her prolactin. In what dosage and for how long should she take this?\u00a0Is there an alternative\u00a0that is better than Parlodel?\u00a0Also, can\u00a0it be taken together with the prescribed Augmentin\u00a0and\u00a0tablet Pan 40?\u00a0Please advice. Should I take some sperm-boosting tonic occasionally?\u00a0What are the antibiotics each of us should take? Should we both take Rocephin and Augmentin simultaneously for it to be more effective? In what dosage, and for how long? We are confused and yet to start taking the medications.\u00a0Is it safe to make love when we are still under medication? She will be ovulating again from next week. \u00a0Also, they put both of us on 5 mg Folic acid and her on Ovacare and me on Addyzoa. Should we discontinue these when we take the course of antibiotics? I have attached mine and my wife's reports for your consideration. Doctor: Hello. How are you doing? I have seen your reports (attachment removed to protect patient identity). Let me start on a positive note by saying that she stands a very good chance of pregnancy, but there are some small issues in your infertility treatment which I will try to clarify. Let me explain. If all this is done and found to be\u00a0normal, then nothing can stop a pregnancy with God's will. Let me again reassure you that you will get God's bundle of joy, a baby. Be patient and never lose hope. Hope I have cleared 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": 28978, + "tgt": "I feel worried after receiving my blood report. Please advise what to do", + "src": "Patient: Hi doctor, Recently, I had a blood test. The report shows, TSH is 14.2, cardiac risk factor 7.1, high cholesterol and low iron and hemoglobin. At the same time, I have periods for the last 20 days. So, I had Destrogen twice a day. Now, I am taking Iron, Calcium and cholesterol tablets after dinner. I am getting hot flashes and I am suddenly feeling very confused. My\u00a0ECG shows palpitation.\u00a0Please advise me what to do. I am a single, 48 years old working woman with kids. Doctor: Hello. First, do not worry as everything is very well treatable. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13947, + "tgt": "I have oily skin with dark complexion. How can I treat it?", + "src": "Patient: Hello doctor, My skin is a bit oily and I had a really fair complexion but nowadays it has become dark. So please tell me a solution to get fairer complexion. Doctor: Hi. You can do the following for tanning. Use a very good sunscreen. The proper method of using sunscreen is to use a sun protection cream. Sunscreen or sunblock with SPF of at least 30+ daily. If you are going to be outdoors for a long time you can use SPF of 50+. The sunscreen has to be applied every 3 to 4 hours, as the protection only lasts for 3 to 4 hours. The sunscreen has to be applied liberally onto areas of exposure from face, ears, and neck to arms and feet. Apply the sun protection at least 20 minutes before stepping out. Time is required for the absorption of the sun protection cream or lotion. The sun protection cream is the last layer to be applied. All other creams or lotions should be applied beneath this. You can apply a talcum powder over it if it appears too oily. There are many options available. Creams, lotions, gels. If you have oily skin, use a lighter formulation like lotion or gel, for normal to dry skin use a cream. You can also use an anti-tanning cream like BAN-A-TAN all over the face at night." + }, + { + "id": 9026, + "tgt": "I feel a hole in the tooth after root canal treatment. Should I worry about infection?", + "src": "Patient: Hi doctor, My upper incisor has a fracture. So, I had a\u00a0temporary crown and then a couple weeks later I had a root canal completed. And today, I had my crown lengthening done to prepare for the permanent crown. My dentist mentioned to me that I would feel a hole in the back of my tooth, which I do. And that it would even heal over. But, what does that mean? And how long does it take?\u00a0I am worried about food particles, etc., getting in there and infecting the area. I was given mouth rinse, T3 and Ibuprofen 600 mg. I would like to know if this is all normal. Should I be worried about infection of the hole? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9877, + "tgt": "I am suffering from knee joint swelling in my right knee. Kindly advice", + "src": "Patient: Hello doctor,I have knee joint swelling in my right knee for 15 years. Corn in my left leg near thumb bone and it is troubling very much. Since three years in summer, it bothers me. After taking some Homeo medicine, I feel relieved, but next summer, it starts troubling. Please advise me Doctor: Hello. As far as right knee complaint is concerned, it must be physiological and age-related. So you need to take general precautions the avoid the overuse. Corn in the left leg is something which can recur as you may be tending to regrow to it due to some precipitating factors. You need to check is the skin hardness around it is bothering you and from inside the corn site. Walking on hard surface with bare foot. Improper care of the soles. Recurrent Corn on Left leg Recurrent Corns Avoid more pain-killers in case of pain and go for external application with hot water fomentation and ice packs. Use soft soles to avoid further damage. Visit Homeopathy doctor to understand the extent of the corn and get treated. Never ever surgically get it removed Avoid more strain on to the right leg. Restrict lifting and bending activities. Use support wherever required. Try to ensure that the sole is soft and you use soft slippers or shoes for better comfort. The flooring in the house also can create a problem for it." + }, + { + "id": 12016, + "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": 15048, + "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": 11855, + "tgt": "What are the ways to control farting at night?", + "src": "Patient: Hello doctor, My problem is related to gas. I have farting at night. Doctor: Hi. Please provide me details of your symptoms. Exactly what symptoms you have and since how long?" + }, + { + "id": 23425, + "tgt": "Doctor advised taking Insulin injections instead of tablet. What do you suggest?", + "src": "Patient: Hello doctor, I am 33 years old. One year back, my HbA1c result was 8.2. Then, I started to take medicine Dailyglim M1 for three months and started some workout and took light food. Then, my sugar level came down. Fasting and PP result were in 105 and 160 range respectively. But, after some time it went bad again and I started to take Dailyglim M2 twice a day since the last two months. One week back, my HbA1c result was 6.7 and my fasting 105 and PP (without tablet) was 180. I consulted a doctor. She told me to take Insulin 10 units two times a day. She said this is better than taking tablets. Please suggest what to do. Doctor: Hi. I can understand you are hesitant to use Insulin. But what she has said is right. Finally, Insulin is what controls your blood sugars. Since people are hesitant to use it, we usually do not prescribe it as a first-line treatment. Oral medications help the pancreas to produce insulin. So in case, your cells are not producing any insulin at all, they would not be useful. Also, in the future, you would require using Insulin once your cells are exhausted of insulin. Your body is still responding to medicines. So, if you want, you can tell her that you would like to use oral medications and see how your sugar levels turn up. Or else, you can give Insulin a try and see. Regards. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27016, + "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": 19211, + "tgt": "I am taking Atenolol from six years. But, now I feel dizzy when I take it. Why?", + "src": "Patient: Hello\u00a0doctor, I have been on Atenolol for the past six years. I was prescribed this for a high heart rate. It worked well the first five years. But, from the last year, it has ruined my life. I have no energy. I get light headed and dizzy. I am on 100 mg a day. I am not sure what to do. Doctor: Hello. 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": 13470, + "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": 25391, + "tgt": "What is the reason for blabbering irrelevant things?", + "src": "Patient: Hi doctor, My father had a long two months of hospitalization after a bypass surgery, where he developed sternal infection and later developed hyponatremia (low sodium). Since he was not in his senses for quite some time, a neurologist diagnosed him as a probable case of extrapontine demyelination. Although after some time, he showed better signs of consciousness and within next 15 days he was back home and went from being bedridden to doing everything by himself after some help from physiotherapy. Although after he realized he spent almost three months in hospital, he started getting depressed. Nowadays, he stays in a kind of crying mode (no tears), does not talk properly (talks in a weepy tone), has no confidence in himself and says he cannot even move by himself (although he can). He even does not want to go out anywhere. At times he blabbers weird things. Also, at times he does not realize about the nature calls and poops in his pants. I am not really sure whether to take him to a psychiatrist or a neurologist. Who should I consult and what should be my next step? How do we take care of him now? Any advice related to neurologist or psychiatrist. What kind of treatments should we go for now that would be helpful? Please guide. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10932, + "tgt": "What kind of problem will arise from an extra drop of OPV?", + "src": "Patient: Hi doctor, My son is 20 months old. In polio campaign he was given 3 drops of OPV instead of 2 drops.\u00a0I am worried about the extra drop given.\u00a0I could not find any recommendation of WHO or UNICEF for minimum and maximum dose of OPV drop in the internet. Please\u00a0help me in this matter. Thank you. Doctor: Hi. An extra drop of OPV (oral polio vaccine) should not cause him any problem. These are live attenuated vaccine and thus virus does not cause any illness. Case report of them are very rare and usually with faulty vaccine preparation. Also, this was his booster dose. It would only help in giving immunity to polio." + }, + { + "id": 26056, + "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": 4946, + "tgt": "Can myopia with cataract cause blindness?", + "src": "Patient: Hello doctor, I am 18 years old and I am in the computer field and have myopia (-10) and cataract in both eyes, will it get stable with time or are there any chances that I can go blind. I am in depression thinking about I might go blind. Doctor: Hi. I will first of all say that myopia is correctable and cataracts are curable, so there is no need to worry about blindness as long as you are attending your follow ups regularly. You have mentioned that your power is -10 but I want to ask you how much your vision is with the -10D, it is usually written as a fraction Ex:6/6, 6/12 etc. If your visual acuity is above 6/9, your eye sight is as good as normal and there will cause you problems with your work. In case it is anywhere less than 6/12, means - 1. Your cataracts are in the stage to be operated. Or 2. Your high power has cause a few degenerative changes in your retina. Unfortunately, your eyesight cannot be improved further is you have the latter, but in case of the former, you have no reason to worry. Like I have told you, cataracts are curable and after the surgery, as we would have put in a intraocular lens inside your eye, you will not need to wear any glasses either. You can enjoy spectacle free good vision for the rest of your life. There are no home remedies or special diets that can make the cataracts or a power of -10D come to zero. If you can scan and send me your doctor's notes, I can give you more clarity as to what is exactly going on. Congenital. B-scan. Fundoscopy, B-scan, OCT macula." + }, + { + "id": 29411, + "tgt": "Kindly explain my wife's health problem with the help of echo report", + "src": "Patient: Hi doctor, I am 23 years old, I am a married female and has one kid. My symptoms are shortness of breath (since a year), severe chest pain a month ago, numbness in the left arm since one month and fatigue with little exertion. There is no previous history of the same issue. Kindly explain the attached echo report. Doctor: Hi. Congenital. TEE. ASD with left to right shunt, hemodynamically significant. TEE followed by either percutaneous or surgical closure. Revert with the report to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2370, + "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": 8358, + "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": 30953, + "tgt": "How to fix the gap between the front teeth?", + "src": "Patient: Hi doctor, I was looking into veneers and invisalign to fix the\u00a0gap between my front teeth. I am not sure what would fix them. So, I am looking for some initial advice. I have attached a picture for you to view. Thank you. Doctor: Hi. I have gone through your query and attached photograph (attachment removed to protect patient identity). OPG (orthopantomogram) to check the condition of the roots of the upper front teeth. For further doubts consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2081, + "tgt": "For the past year, my skin allergy does not heal fully and keeps itching. Why?", + "src": "Patient: I have developed some skin allergy on my back and it itches a lot and sometimes uncontrollably. The allergy is fading but the burning and itching is still there. The affected skin area has got rough and it feels weird also. For the past year I have realized that all my wounds never recover fully and they keep itching forever. I have had scratches from 8 months ago and they still itch. The affected skin area is rough just like the one I have developed now and by the looks of it, it seems like its a burn or something. All my wounds/scratches turn into something horrible and don't recover. What could be the reason? Please help me It's frustrating, especially now since all the clinical are shit and I can't go consult someone or get it fixed. Thanks, Taha Doctor:" + }, + { + "id": 29469, + "tgt": "I am bleeding only for two days. Will it affect my fertility?", + "src": "Patient: Hi doctor I am 26 years old. My concern is about my periods. Over the last one year, I am having bleeding only for two days on average when compared to three, four and five days in my early age.\u00a0I request you to please suggest me if this is fine for my age or something is not good for conceiving a baby in future. We have decided to plan baby by next year. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9390, + "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": 19573, + "tgt": "I passed a lot of bright blood with stool today. Should I be worried?", + "src": "Patient: Hello doctor, I was constipated yesterday full day. When I went to the toilet today, there was quite a lot of bright red blood. I went again and sat on the toilet without actually doing anything, and there was more blood. I have had cramps as well. Should I be worried right now? I have had bowel problems for like three months. Doctor: Hello. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11538, + "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": 8515, + "tgt": "Could you please explain the reason for pain in my penis?", + "src": "Patient: Hi doctor About 11 weeks ago, I had unprotected sex when drunk. I have been tested and all clear. But, from the next day I had throbbing, dull ache on the penis. Then after two weeks, I realized a vein under my shaft on the right side had become inflamed. I can no longer masturbate or touch it without feeling intense pain. It hurts and does not feel right since the incident. In the mornings, I feel a dull ache as soon as I wake up. I am afraid that I will never be able to have sex or masturbate again as it is so much bigger than the other side. It does not match up its kind of look. I have read about Mondor's disease and varicose veins. I was freaked out, because there is no cure for varicose veins. Could my penis really be damaged forever? I am so lost and upset. Can give me some advice based on the pictures? Thank you. Doctor: Hi, For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 10220, + "tgt": "One liter water bottle has fallen on my 5. 5 months old baby. What should I do?", + "src": "Patient: Hello doctor,My baby was 5.5 months old. One liter water bottle fallen in my baby's head, and that place became reddish. Already she was suffering from fever too. Kindly help. Doctor: Hello. Please apply cold water bag to the reddish area. Also, you will need to start the child on drops crocin based on the current weight of the child (is it 2.72 kg? 2.72 kg is too less for a 5.5 months old child). Dose for 2.72 kg is 0.3 ml of drops crocin (100 mg/ml). Also please document the fever with a thermometer. If it is above 100 degrees Fahrenheit, it is advisable to get the child evaluated physically by a pediatrician. Also, if you feel the child is lethargic, has a convulsion or his refusal to feed, it is best to go to the nearest hospital." + }, + { + "id": 21193, + "tgt": "What are the tests to rule out HIV and STD after protected sex?", + "src": "Patient: Hi doctor, I had sex with a sex worker. I used a condom but I am still worried that I may get HIV or any STD. I did not see condom after intercourse whether it tore or not but I think the head of the penis was covered well. Am I safe? What are my chances of getting HIV? Doctor: Hello. As you have had protected sex, no chance of HIV, STD, or HSV may be there. If any symptoms appear then think about the test. At present, no need for ELISA (enzyme-linked immunosorbent assay) in 7 to 10 days. or RNA PCR on the 15th day or fourth generation CMIA kit test for HIV on 28th day. You can get any one test done. The last one is the best." + }, + { + "id": 29729, + "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": 18118, + "tgt": "Is movement of penis skin below and above ring after circumcision normal?", + "src": "Patient: Hi doctor, I am a male, 25 years old, not married. Recently, I had a circumcision (seven weeks back) surgery because of phimosis. The foreskin was removed till above the ring of my penis head. During sleep or when it is erected, skin is automatically moving below the ring and automatically coming back to normal position. Here are my questions. Even after circumcision, does moving or retraction of the skin below and above the ring matter? I am having a little bit difficulty to move the skin to below the ring with my hand, during masturbation. Even sometimes it is moving on its own when erected. Is it okay? Will this affect my sex life in future? I am doubtful that I might be having less natural lubricant under the skin of my penis. Because of that, I see some pain if I hardly rub my penis during masturbation. Can we hardly rub the penis during masturbation? If yes, is this pain common? Do I have natural lubricant issue under the skin of penis? Please clarify my questions in detail, as I am shy to ask these questions to a doctor directly. Doctor: Hello. Relax and do not worry. After circumcision, you will not have any skin on your penis head. If you pull also, it will go back to the ring of the penis head. So, that is normal. Also, as penis head is a sensitive structure, you will have a feeling of dryness for some weeks. So, nothing to worry. If you are feeling too much dry, then you can just apply two to three drops of coconut oil. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2560, + "tgt": "I have lip infection with bump. Please suggest remedy", + "src": "Patient: Hello doctor, I have lip infection with a bump. Lip cracks are already there over a year and consulted a doctor from icliniq. They suggested me Chaptex lip balm but no more good result now a bump has appeared about one day. Doctor: Hello. I have gone through your query and attachment. (attachment removed to protect patient identity). I can understand your concern. This bump on the inner side of your lips is called aphthous ulcers (simple mouth ulcers). So many factors can cause ulcers in the mouth. It could be because of vitamin deficiencies, hormonal changes, psychological stress, allergies, accidental injury during brushing, by food poking or bacterial infection. This may take a week to resolve. This is absolutely normal. 1. Avoid hot and spicy foods until the ulcer heals. 2. Do warm saline mouth rinses thrice daily. 3. Rinse mouth after every meal. 4. If required, if it hurts, a topical anesthetic like Dologel or Hexigel can be applied over the ulcer with a clean finger. Maintaining good oral hygiene and following the above said instructions will prevent further infection of the ulcer and promotes faster healing. Chapped lips occur when 1. Our body becomes highly dehydrated. 2. We are exposed to long term cold weather or air-conditioned environment and direct sun. 3. Constant lip licking/wetting habit (which makes our lips even drier). 4. Mouth breathing habit. (if constant nose blocks occur). This can be taken care of by following simple tips at home. 1. Drink lots of water and keep yourself hydrated at all times. 2. Use honey or sugar to exfoliate the dried skin over the lips. Applying lip protection creams over dried and flaky skin will have no effect. So rub those over the lips to remove dried flakes of skin and then apply lip protection creams for best results. 3. You can apply coconut oil over the lips for faster healing. 4. If present, it is best to break the lip licking and mouth breathing habit. I hope this helps." + }, + { + "id": 6297, + "tgt": "Food gets stuck while entering my stomach. Why is it happening?", + "src": "Patient: Hi doctor, Whenever I eat, the food gets stuck while entering the stomach. I have to drink water to flush it down. Sometimes, I am not able to swallow the water also. I have to throw up to breathe. Why is it happening? Please help. Doctor: Hi. Revert back with the x-ray to a medical gastroenterologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1843, + "tgt": "For cylindrical power of -0. 5 and -1. 25, should I wear glasses all the time?", + "src": "Patient: I have cylinder power,from past 10 months-first my power was 0.5 in right and 0.75 in left but now I have in my right eye is -0.5,axis is 180 and in left eye -1.25,axis is 180..Do I need to wear glasses all the time?Can I wear lenses for this power?and also can I go for lasik surgery?please reply..and my eye power got increase within 5-6 months..is it possible to increase power grastically?and also even if I wera spex I fell so uncomfortable may be dry eyes and am using eye drop too..even though I feel blur/not clear/uncomfortable in my left eye with power -1.25 cylinder power..any natural treatment is there to reduce the power like exercise,food? please answer Doctor: Hi. Welcome to Icliniq. I will try to answer all your questions one by one. So first of all cylinderical change from -0.75 to -1.25 is not significant and most probably it was due to interobserver variation. Usually refractive error does not change after 20-22 years age and as you are 27 so less chances are that there is any change. 0.5 change can be observed between 2 exams even on same day. so dont worry. If you feel comfortable with glasses then you should wear otherwise this is very small error you will be able to do most of your tasks without glasses. thats upto you. yes, you can use lenses. No, Lasik is not suggested for such a small number. Because even after that you might have error of 0.5. So Don't go for any surgery. You are almost normal even without glasses. change in power already explained above. If you are not comfortable with -1.25 then you should use again go with -0.75. Probably that was your correct preacription. No such diet/food available that corrects refractive error. I hope you i have answered all the questions and haven't missed any. You are most welcome for any further queries. Have a nice day. GOD BLESS YOU" + }, + { + "id": 5405, + "tgt": "I had oral sex with a sex worker. Is there any chance for me to pass herpes to my wife?", + "src": "Patient: Hi doctor, I was on a business trip and my friend and I went to a high-end brothel. My friend hired two girls and brought them back to the hotel. He had to take a phone call and while the girls were waiting for him they performed oral sex on me for a few minutes without a condom. They had no symptoms in their lips and facial region. I am worried, I contracted herpes. I got tested for chlamydia, syphilis, gonorrhea, hepatitis, and HIV and they came up negative. It has been four weeks since the incindent and I have no herpes symtomps. What are my chances of having herpes? I know people might not show symptoms. I am married and I felt very guilty for what I had done and told my wife. We are planing to have kids. What are the chances of her getting herpes and passing on to our baby? I appreciate all your help with my concerns. Doctor: Hi. I can understand your concern. There are very fewer chances of you having herpes since four weeks have passed and you have not developed any symptoms. But yes, herpes can even occur as sub clinical infection without presenting with any signs and symptoms. I would recommend you go for an ELISA (enzyme-linked immunosorbent assay) test for herpesvirus that is HSV 1 IgG and HSV 2 IgG and HSV 1 IgM and HSV 2 IgM. These tests are confirmatory in herpesvirus infection. These will tell your herpes status. If positive there are chances of passing the infection to your wife but not very high since you are asymptomatic. I would recommend you to first get the tests done and find your status. Then we can discuss further possibilities. I hope this helps." + }, + { + "id": 26066, + "tgt": "I do not have any systemic issues but still gaining a lot of weight. What can I do?", + "src": "Patient: Hello doctor,I am becoming overweight day by day. I do not have any problems with thyroid or any other systemic issues. So, what can I do now? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have a weight gain related issue. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 26057, + "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": 29135, + "tgt": "Please guide me whether a girl with low WBC faces difficulty in getting pregnant", + "src": "Patient: Hello doctor, I want to marry a girl, but she has low white blood cells range. My family is not allowing me to get married to her. They are saying that she is unhealthy and cannot get pregnant. Please guide me. Doctor: Hi. For further doubts consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 12634, + "tgt": "What is the recommended dosage of Meftal for fever?", + "src": "Patient: Hi doctor, My son is 3 years 3 months old and weighs 14.1 kg. His fever, cough, and cold started from 100.3, so we gave Crocin 240 mg / 5 mL syrup 4 mL every 6 hours on the first day. As it was a viral fever, it was 103.5 at night. The doctor told us to continue 4 mL for 4 hours and give a sponge bath, and if the temperature is more than 102, Meftal-P 100 mg suspension 6 mL is prescribed. Today at 10 AM it was 102.5 (it was 101.3 4 hours back ), so we gave Meftal 6 mL, and within 30 min he became active. The dose is not printed in bottle unlike in Crocin, so I want to double check the dose 6 mL for every 4 hours if it is 102.5. Doctor: Hi. Please give Meftal 5 mL (6 hourly) if the temperature is above 101 F or if not controlled on Crocin (Paracetamol). You can give Meftal (Mefenamic acid) 4 hours after giving Crocin." + }, + { + "id": 28448, + "tgt": "How to proceed with the treatment for blood in stool and bloated stomach in ayurveda?", + "src": "Patient: Hi doctor,My abdomen has been hurting for the past three weeks. Just before that, I had bright red blood in stool, which often comes and goes every six months or so. I also have a sharp pain on right hip and very feel sore under right rib area. It hurts when I press around the lower abdomen and feels like small lumps. I feel bloated after eating just a little and feel fatigue all the time. Doctor: Hi. I just read your query. Revert with the reports to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21128, + "tgt": "Will my husband's heredomacular degeneration affect my children?", + "src": "Patient: Hello doctor, My husband is suffering from heredomacular degeneration. And I am pregnant and have one daughter. Will this problem also affect my unborn and daughter? Kindly suggest me. Someone told me it is a genetic disease. Doctor: Hello. Heredomacular degeneration refers to a broad collection of diseases which affect vision by causing problems in the macular region of the retina. Some of these diseases are known to have a hereditary predisposition. The pattern of the precise inheritance can be known if you can provide details of the eye examination and the exact diagnosis made. Coming to the question of your daughters, I am afraid they too are at risk. The best way to deal with the situation is to have regular visits to your ophthalmologist, preferably a retina specialist with a decent setup of retinal diagnostic equipment. Home monitoring: The best time to do this would be while they are watching TV or doing some work requiring visual attention, attention is required if they may object to closing one eye/ go very close to the TV/ hold books or mobiles very close to their eyes. Children need at least one ophthalmologist visit a year to screen for and pick up problems at the earliest. The earlier the problem gets detected the better is the position we will be in to prevent irreversible problems." + }, + { + "id": 10129, + "tgt": "Kindly have a look on my chest X-ray and explain", + "src": "Patient: Hello doctor, I had severe cough and mucus formation which was in yellow. The doctor had prescribed antibiotics, Salbutamol tablet and allergy tablets. Now that cough has reduced but I feel some heaviness at the back right hand side and when waking up in the morning. While I had visited the doctor they had adviced me to take an X-ray. Later they said there is slight pneumonia and to continue antibiotics (Azithromycin) for five days. Also, I have completed my antibiotics dose for four days, still left with one more day. Cough is not there currently and better. I am attaching X-ray that was taken for your advice. Would like to have a second opinion on the X-ray report. Doctor: Hello. In attached X-ray report (attachment removed to protect patient identity), there is presence of slight consolidation in right side. So, it is suggestive of pneumonia like infection. For that, you need to complete antibiotic course. If clinically improved well, then no need for further work up." + }, + { + "id": 18465, + "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": 3865, + "tgt": "I am unable to have sex due to condom allergy. How to get it treated?", + "src": "Patient: Hi doctor, My husband often goes on long trips for work. We have sex normally in an interval of 15 to 20 days. We are together for two years, but I still cannot satisfy him. The problem is whenever we have sex the first time it goes smoothly, but after that I have so much trouble to get intimate. I have allergy of condoms. Whenever we use them I get rashes in my vagina and it hurts so badly. It burns like hell. Because of that I cannot get involved with him. Even without condoms, I get that bruises on my vagina after two or three sessions. And so I cannot have sex due to pain. How to treat this situation? Is there any problem with me? Do I need any checkup? Please let me know. Thank you. Doctor: Hi. 1. Condom allergy. 2. Psychological reasons. For further doubts consult a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3358, + "tgt": "Where would the blood drain when the mesentery and pancrease has a big bleeding tear?", + "src": "Patient: Hello doctor, I did see the facts I was looking for on your site. Maybe you can answer some questions the best you can. This is about a 16-year-old female. If the mesentery and/or pancreas has a tear in one or both and if that tear was big enough to bleed, where would the blood go? Would it go through the tract of the vagina or rectal tract to seep blood out of the body? How long does it take the body and skin to show bruises or an area that has been injured somehow? When you cut let us say your arm or leg with some kind of tool. After the cut, when does the blood start clotting? If someone was sexually assaulted and have tears from stretching or penetration. When do the tears start healing? How long will it take minutes, or hours, or days, or months? Doctor: Hello. Pancreas is highly vascular and is surrounded by major vessels. Hence pancreatic trauma may be associated with life-threatening hemorrhage and shock. Pancreatic injury or pancreatic trauma can be as follows. Due to blunt trauma as well and car accidents when the internal hemorrhage ensues into the peritoneal cavity it leads to peritonitis or retroperitoneal hematoma. When it is because of sharp penetrating injury as in stabbing external hemorrhage the wound occurs. A bruise is bleeding under the skin and is due to the rupture of vessels in the skin due to blow or any impact. The timeframe for the appearance of bruise is in relation to the amount of the injury. In case of significant trauma it appears immediately. The classic feature of the bruise is to change its color. The force that is enough to rupture the skin capillaries is all that defines the bruise. When you suffer a cut your body immediately reacts in seconds to stop bleeding by hemostasis. Your blood should clot with in one to nine minutes by primary platelet plug formation. Again the time is variable as it depends on the nature and depth of the wound. If it does not clot in nine minutes, it should be evaluated for platelet dysfunction. Vaginal tears like any other wound start healing immediately after the injury. But again time for healing is based on the degree of the tear. First degree or second degree vaginal years usually heal within seven to ten days. Third and fourth degree may take months to recover. Any vaginal tear longer than an inch requires suturing. I hope this helps." + }, + { + "id": 2280, + "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": 28610, + "tgt": "Why do my hands tremble and pain while writing?", + "src": "Patient: Hi doctor, My hands tremble a lot, only when I write something. It causes a pain in my hand, so my handwriting is changing. So, I am not able to write properly during my exams, which is becoming a big problem for my studies. Please help. Doctor: Hi. I read your query and understand your concerns. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1610, + "tgt": "I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary?", + "src": "Patient: Hello doctor, I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this? Doctor: Hello, Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary." + }, + { + "id": 28236, + "tgt": "Are there any side effects in taking Ponnavarai Choornam continuously?", + "src": "Patient: Hi doctor, I am suffering from constipation, and I tried a lot of tablets for this problem. I started taking Ponnavarai Choornam from a month.\u00a0Can I take Ponnavarai\u00a0Choornam continuously? Is there any side effects? When I take this, I have pain around my stomach. I am afraid to take it because I am scared if it creates liver or stomach problems in the future. I have a doubt whether it cleanses our body or not. What does it actually do? Doctor: Hi. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult me. Thank you. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5997, + "tgt": "I had burning sensation and spotting after urination. Is that implantation bleeding?", + "src": "Patient: Hello doctor, I woke up suddenly at 1'o clock in the night to urinate. I have a burning sensation after that. I woke up once an hour until about 5 am and having the same problem. There was only little urination, and the burning sensation started to decrease after each time I urinate. At around 4 am, I noticed light pink spotting on the toilet paper after the first wipe. It has occurred all day and at 6 pm the burning has almost completely disappeared. I am due for my period in seven days and I had unprotected sex eight and 13 days ago. A little concerned, I had UTI in the past and never had any spotting. I have googled, possible implantation bleeding, and took an EPT two days ago, and it turned out negative. I want a little more possible explanation. Doctor: Hello. This can well be an implantation bleed considering you have had unprotected sex recently unless proven otherwise. The EPT (early pregnancy test) test is not sensitive enough during the cycle at all, and can only detect the hCG levels on the seventh day post missed period. The pregnancy can be rather confirmed with a blood serum beta hCG level, which if found to be raised indicates pregnancy. If this test is negative and pregnancy is ruled out, then the spotting can be attributed to breakthrough bleeding due to lower levels of progesterone immediately after delayed ovulation as in this case possibly causing a small scanty withdrawal bleed. You need to furnish details about your LMP (last menstrual period) and regularity of cycles to comment further." + }, + { + "id": 51, + "tgt": "I am getting acne on my face everyday. How to prevent getting it?", + "src": "Patient: Hello doctor, I am getting increasing acne day by day. How to prevent them from coming on my face? Doctor: Hi. Acne is very common in one's teens and twenties. Some continue to have breakouts even later in their life especially if there are some underlying hormonal issues or genetic predisposition. Pimples develop because of increased sebum secretion, inflammation, and bacteria residing on the skin called P. acnes has an important role to play. Treatment requires knowing your detailed history, any hormonal issues, any treatments you have taken in the past, products you use on your face, etc. Oral medicines and creams/gels are used for the treatment of acne. For mild eruptions, creams containing Clindamycin and Nicotinamide may be used. Benzoyl peroxide and Adapalene are other commonly prescribed anti-acne applications. But it is important to discuss with a dermatologist to decide on the correct line of treatment. Meanwhile, eat healthily, avoid excess milk and dairy, chocolates, and junk food. Exercise regularly and sleep well. Also, avoid using oil or greasy applications on the scalp and face and keep cosmetic use to a minimum. I hope this helps." + }, + { + "id": 23135, + "tgt": "I have white tiny particles on penis skin. What is the cause?", + "src": "Patient: Hi doctor, I am suffering from white tiny particles on penis skin and itching forehead skin. What is the cause? What is the solution? I am currently applying Candid B. Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). You have Fordyce spots. These are sebaceous glands without an opening and appear as yellowish white granules on prepuce undersurface. It is just a sometimes concern and does not require any intervention. Itching may be due to a yeast infection. I suggest you take oral Fluconazole 150 mg tablet once a day for three days. Topically, you may continue with Candid B (Beclometasone and Clotrimazole) cream, twice daily for a week. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9466, + "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": 28631, + "tgt": "Please tell me the pros and cons of taking Cortisone injection for tennis elbow", + "src": "Patient: Hi doctor,My mother is 71 years old, and she is suffering from pain in the right arm for more than a month now. She has pain in the elbow, shoulder, wrist, and fingers. She is not able to grip even light objects with the fingers. We consulted an orthopedic doctor, who is suspecting tennis elbow. He gave her Emanzen D, Disperzyme, and Pentab DSR. She took these medicines for six days, but there is no improvement.\u00a0She is also undergoing physiotherapy as advised by the doctor, but there is only\u00a0a mild reduction in pain during the procedure and the pain increases soon after.\u00a0There is a\u00a0slight decrease in pain when she takes rest, but it aggravates when she uses the arm.\u00a0I have heard about Cortisone injections, which can be giving locally for tennis elbow.\u00a0Please tell me the pros and cons of taking this injection for her condition. Doctor: Hello. For further queries consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 989, + "tgt": "I have pimple in my inner ear with pain. Please suggest treatment", + "src": "Patient: Hello doctor, I have this pimple in my inner ear and it has been eight days but until now it is still hurt. I am currently taking Mefenamic acid. Doctor: Hi, Welcome back to icliniq.com. There could be an infection of the hair follicle in the ear as a result of which it can create excruciating pain. Besides the wax would have further got pushed toward the ear drum causing severe pain. Plain use of antiinflammatories like Mefenamic acid alone will not bring much benefit. You will have to take antibiotics as well to handle the infection. I suggest taking tablet Ciprofloxacin 500 mg one tablet two times a day for the next 1 week. Please take an antireflux tablet such as tablet Pantoprazole 40 mg once in the morning before breakfast. Along with this, I suggest you to apply Candid ear drops three drops thrice a day. Continue Mefenamic acid one tablet two times a day. Keep your ear dry and do not allow water to enter the ear. Stop swimming for another two weeks until the ear completely heals. Please do not attempt to clean the ear at any cost as the infection can further flare-up. I hope this helps." + }, + { + "id": 19041, + "tgt": "Do vitamin B12 shots cause derealization symptoms?", + "src": "Patient: Hi doctor, I have been suffering from the derealization symptoms for the past 5 years. I believe they were caused by B12 shots I was taking to treat autism. After my brain scan I got to know that my inhibition was too high. I do not find any safety net to keep my mind from deconstructing things. A\u00a0part of me have a dislike for anything involving neuroplasticity. There are too much dichromatic thinking and lack of magical thinking. Currently, I am on Adderall and Prozac. Doctor: Hi. I read your query and understand your concerns. I am sorry to know that you are suffering with multiple problems related to thinking and inhibition. Before saying anything I must assure you that vitamin B12 is not known to cause any of the mentioned symptoms and we need to find out the alternative reason for causation of these symptoms. They can be due to autism itself or may be due to other psychopathology that has been arising due to autism. It is also possible that you are excessively sensitive to minor changes in thinking process. Before we make final decision, I would request you to post follow up query with the following details. I will be glad to assist you in recovering from all kind of problems related to mental health. Revert back with the information requested above to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2046, + "tgt": "I was diagnosed with tension headaches, but could my headache be due to some other disease?", + "src": "Patient: Last monday, we went to the hospital to check what's on me. Before we go there, i feel that for 3days long. I search about the symptoms and the internet says it's MIGRAINE. But when the doctor have checked me, they said it's just a TENSION HEADACHE. He gave me a 2 medications. Openadrine Citrate Paracetamol for my headache and Benadryl for my night sleeping pattern problem. I have taken these medicines for 3 days now. I can say that these meds aren't enough to deal woth headache and also with my sleeping. Day 1 after the check-up. (Afternoon )I eat food that triggers the migraine, they said its a tension headache so i thought there's no effect for me. I also take the meds they recommended to take those meds every 6 hours or 12 hours. Sadly, it triggers me to the point that i slept with the pain. I end up being awake in the evening around 8:30-9:00pm. (10 pm) I tried to eat but not the foods that triggers migraine because i know that it happens again if i try again. After i eat, i take the my meds. 1 for my headache and 1 Sleeping Pill/Medicne just to feel sleepy. It takes 2 hours when i get to sleep. It's 12 when i fall asleep. But i wake up again at 2am. After that i can't sleep again and i feel the pain in me, i feel fatigue in my whole body and a mild headache that different headache that i feel compare to the previous headaches i felt. I spend the night sad, feeling nervious and confused. All i want to do is to cry and i can't stop myself. DAY 2 It's 6am when i feel better, i tried to eat for my meds. It feels like the pain is like already gone but i still took my med for assurance that i'm okay. so i take my meds around 9am-12nn. After i took my med i feel something a mild mild headache so i end up go to bed and sleep to not feel the pain. When i wake up around 6-7pm, i feel hungry and its different from the days before i checked up by a doctor because before, when i eat more the more the headaches occurs, but that time its different because i feel hungry and that caused the headache. After i eat i took my meds and this time i took my meds earlier to make myself sleepy before 11pm so took my meds 9pm and i sleep around 11pm-1am that caused me stressed and i end up crying again. I feel so hot and outside the body and inside the stomach, i dont know what to do that time. After that i tried to make myself busy to elimiante stress. I tried to watched a drama even though i know that it also triggers me everytime i feel sad or happy or highly emotion in the drama. But that night it was different, i spent the night with that drmaa from 3am to 8am. Day 3 Again, i feel okay. I try to ride a bike to excerise my body to get tired to help my sleep pattern be normal. So i ate breakfast before i ride a bike. It feel like normal and ieat alot compare to the other days. I stop exercise at 10am. And i took a bath because i'm smell bad. After that i watched a drama again from 11pm, i dont know why but i feel that my stomach is still full. So i continue watching until 2:30pm. I took my lunch even i still feel im full cause my tummy says i'm hungry. So i took my lunch and i didnt take my meds cause i know it still gives me headaches. So i dint take it. I don't feel headache but i feel my stomach looks like burning cause its hot inside so i search it on interenet and its say stomach burn. This was the point when i realize that i have this last night and today. I was hoping if its still just a TENSION HEADACHE or it turns out into other decease. I have seen some information to the internet about MIGRAINE + STOMACH BURN/ACID REFLUX. They said it was a Gastric Headache. I want to know your approval if what is true about what i supposed to do now..... thank you Doctor: Hi The difference between the pain of migraine and headache are that migraine pain has a throbbing quality, and many people report even slight physical exertion (such as walking up a flight of stair case) may worsen the pain. in contrast the pain associate with tension type headache tends to be more chronic and steady also in migraine one can feel aura, means person knows that he or she is going to get headache. I think you have provided non of such details so I am assuming on bases of your history that it looks like tension headache. Take care" + }, + { + "id": 588, + "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": 19228, + "tgt": "How to regulate high blood sugar?", + "src": "Patient: Hi doctor. I am suffering from type 2 diabetes. My last blood sugar level was 400 mg/dL. I am on Insulin. But it is not coming back to normal. What shall I do? Doctor: Hi. Since you have not mentioned the duration of diabetes, I have to assume that you may be having it for a minimum of 5 years. Coming to your values, your blood pressure (BP) looks fantastic and you have excellent weight for height. We will control your sugar in stepwise fashion. I think you are taking only Glimepiride. Change this to Glimepiride plus Metformin combination. Go for Euglim M2 one tablet in the morning before food and one at night before food. Insulin resistance. 1. Urine routine. 2. Lipid profile. 3. ECG. Uncontrolled diabetes refractory to treatment. 1. Diet. 2. Exercise. 3. Altering drugs. 4. Control of complications. Absolutely no sugar should be added in diet. Avoid chocolates, sweets and rice at night. Reduce the intake of oily foods. Revert back with the answers for the above questions to a diabetologist online.---> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 15565, + "tgt": "I have a gap between my two front teeth. How to correct them?", + "src": "Patient: Hi doctor, I am 18 years old. I have a gap between my two front teeth, and I am very conscious about it. I hate to smile, and I have a feeling like as if my teeth are at the center of attention wherever I am. I suffer from anxiety and panic attacks. I am always worrying about it. Doctor: Hi. You must undergo orthodontic treatment for a better smile. This is the right age to get orthodontic treatment. Please visit your nearby dentist and ask for treatment options. Your oral look is essential for having better communication with the people you meet. Get it done soon for the betterment of your conscious behavior." + }, + { + "id": 2033, + "tgt": "I have back pain that radiates to my right leg, hip, knee, and foot. Please suggest some exercise", + "src": "Patient: Hello Doctor, I have a back pain that earlier moves to my right leg through hip, knee and upto downside of foot. For last one year it has been started in left leg also. Though left side pain doesn't move to foot but at hip it pinches like a needle while driving specialy. Now during lock down due to excess use of mobile and sitting etc pain and stiffness has been started in my neck that moves from left back side of neck to head sometimes. Though I have started some Yogasans with help of Utube but have no relief rather it is increasing I think. Earlier I had taken physiotherapy for 1 month but all in vain. Kindly help me and suggest me some exercise or Yogasans, if possible online. Doctor: Hi. i got your point and understand how you feel when it pains. as per MRI reports you mentioned, its a LBA (low back ache) which radiated to leg and now shifting to left lower body as well. and about your cerical problem may be there's a nerve compression and that neck pain radiating to shoulder if ignored it will pass through arms. so i suggest you some best and pain relieving exercise and plz follow it if you want to reduce and stable the pain. actually you need IFT and ultrasound theraoy for 2 weeks with immediate effect but may be not available due to lock down, but at home you can try the following which is also very effevtive in reducing pain. Apply diclofenac ointment in the area of pain mainly at lower back, neck, shoulder and knees and cover it for 10 - 15mins with a cloth. then clean it with warm water following hot water fermentation. repeat this twice a day and if laun is severe you can take Zerodol-P tablet once a day. EXERCISE'S TO BE DONE ARE AS FOLLOWS. 1. Lower Tummy strengthening. It is important to strengthen your lower tummy muscles because these muscles work in partnership with the lower back. 2. Deep Abdominal strengthening. 3. Bridge 4. Pelvic tilts. 5. Lowe back stretch 6. leg stretch 7. Piriformis stretch. these exercise's need to be done daily once for first week. each exercise 10 times and two sets of each. and for cervical do the following. 1. neck stretch 2. neck tilt 3. neck turn 4. head rotation. these exercise will help in reducing cervical pain and strengthen muscles. please do not over pressure while doing it as it may increase pain. so do all the exercise gently and in a proper posture. if you can get a MRI report it will be very helpful to study further about the condition. as you pain history is long so it takes easily 3-4 months to complete the treatment. hope you'll follow the treatment plan as adviced follow up after 4 days over audio call if possible. take care thank you. stress improper posture MRI LS Cervical pain disc bulge exercise and medicines ( zerodol, diclofenac ) no forward bending, no heavy object lifting 4 days" + }, + { + "id": 21459, + "tgt": "What is the treatment for penis pain due to balanoposthitis?", + "src": "Patient: Hello doctor, I had mild penis pain below the glans. The doctor checked and informed minimal balanoposthitis. I took Microdox 100 for 15 days, Zocon for seven days, Gabapentin for 15 days. There was a relief. He asked me to apply Onabet cream for 15 days. When I apply Onabet cream it relieves me but if I skip it I start feeling pain in the same area. Doctor: Hi. Your concern is balanoposthitis by your description. It is due to a candidial yeast infection. Which will flare according to our immunity. It is not contagious and not harmful. Get your fasting and postprandial blood sugar and TSH (thyroid stimulating hormone) levels done in any standard diagnostic center nearby you and take appropriate action after the report. Avoid stress. Continue Onabet (Sertaconazole) cream twice daily after washing with Cetaphil cleanser for 30 days. Do not use soap for washing the genital area. This will help you. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14026, + "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": 22449, + "tgt": "Why is APTT prolonged in a patient with acute vein thrombosis?", + "src": "Patient: Hello doctor, A 49-year-old patient presented with acute vein thrombosis of the lower extremities. He was admitted for acute bilateral swelling following a three-month course of hematoma formation and one episode of spontaneous hematuria. On admission, the patient is pale with multiple cutaneous hematomas in the right forearm, posterior aspects for both lower extremities are swollen and a positive Homans sign is elicited upon palpitation of the gastrocnemius. WBC is 5.5, the differential count is all normal except neutrophil is increased, lymphocyte is decreased. Hematocrit is 49 %, platelet is 56,000, coagulation studies shows prothrombin normal, APTT prolonged, fibrinogen 177 mg/dl, FSP/FDP positive, mixing studies no correction. I would like to ask help for the exact diagnosis and the treatment. Also, I want to ask for explanation or discussion on the diagnosis. Doctor: Hello. The APTT (activated partial thromboplastin time) test is positive (attachment removed to protect patient identity). So three causes should be ruled out: Mixing test for APTT is not corrected, so lupus inhibitor seems to be more likely. For rule out above causes factor 8 and other intrinsic factor coagulation assay, antiphospholipid antibody estimation can be done. For an acute thrombotic event, low molecular weight heparin is prescribed. Then oral anticoagulant like Rivaroxaban can be prescribed as maintenance therapy for two to three months. You should consult a hematologist for examination and coagulation profile workup should be done. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 9077, + "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": 11615, + "tgt": "I had retinal detachment and having problem with depth perception. Is this normal?", + "src": "Patient: Hello doctor, I had retina detachment in my left eye before three months. I have silicone oil in the eye. Vision is not bad, but I have a problem with depth perception. Everything is smaller in the bad eye. I see people with small heads and big bodies. Is this normal? Doctor: Hello. I understand your concerns. The main problems you mentioned are depth perception problems, and distorted images also called metamorphopsia. Depth perception occurs when both the eyes see well, it is hampered when one eye has blurred vision or squint. Metamorphopsia happens when the central area of the retina (macula) is affected or the retina becomes edematous due to the effects of surgery. These problems can be troublesome but do not indicate any specific information regarding the progression or recurrence of retinal detachment. I suggest reviewing with your ophthalmologist to clear your doubts. I hope this helps you." + }, + { + "id": 21695, + "tgt": "What can be done for elevated ferritin levels in a 50-year-old?", + "src": "Patient: Hello doctor,I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from 100 to 104. I was tested for hemochromatosis and results are negative. My doctors keep telling me that we will just watch my ferritin level and I have bloodwork done every six months. I was diagnosed with fibromyalgia last year. I am looking for some answers and some help. Doctor: Hello. Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehydrogenase), reticulocyte count normal and HB (hemoglobin) also within range, so excluded. If you are having repeated blood transfusion history then provide history regarding that. I suggest you investigate with transferrin saturation as well next time when you investigate for ferritin. Do not worry about high serum ferritin as all other related parameters are also within range. If ferritin constantly remains elevated than phlebotomy can be done to decrease the ferritin level. Once transferrin saturation investigation has been done, provide history regarding that. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2665, + "tgt": "I have knee problem with hand and shoulder stiffness. Could this be RA?", + "src": "Patient: Hello doctor, I am a 28-year-old female currently under investigation for RA and have been for a while now. I began having knee problems at the age of 15 (my mother\u2019s problems began in her knees at the age of 13) and the problems remained there for a few years. In the last three to four years my symptoms have massively progressed to my hands, fingers, shoulders, hips, toes, and ankles making daily chores quite painful. It sounds silly but when the blood tests came back and did show inflammation I was bizarre, pleased. I had been made to feel like I was over-exaggerating a lot so to have it proven was one step in the right direction. The private doctor I saw was the one that recommended medication. I take Celebrex 200 mg in the morning with 15 mg Lansoprazole as previous medication has upset my stomach. This medication seemed to be working until eight months ago. My blood tests showed my inflammation levels rising again. Recent stressful situations have, I think caused quite a bad flare and I am taking Paracetamol more religiously than I would usually. Small tasks like doing a jigsaw were causing my shoulder to ache. I recently got a new set of blood tests done and the results, along with results from the last 1.5 years have been included. I would appreciate any advice you can give me. I also hand scans of my knees and hips done. The scans came back showing effusion in my knees, I was told it is nothing to worry about at the moment as the fluid buildup is at a level that could be absorbed back in by the body. If it were to get worse though, I was told I would need it drained manually. My hip scans came back normal but at the time of the scan my hips had only been part of the problem for maybe a year whereas my knees had been bad for the best part of 10 years. I am getting frustrated with myself because of my inability to do simple tasks some days. I know it is no fault of my own but that does not help when your only 28 and cannot wash the dishes or mop the floor because something will start hurting and I will have to stop. I have also progressed quite badly with hand issues. I have had occasions where my left wrist and hand will start shaking. I have also regularly found myself dropping things like pans, cups, my cell phone, my medication among other things. My left side of my body has always been worse than my right side although my right side is slowly catching up. I am unsure whether to mention my condition while looking for future work. At the moment it is not preventing me from working. I have had to occasionally, wear braces on my knees or wrists and my current job is aware that if I am sitting down in class it is medically necessary. I am aware that compared to some people my inflammation levels, when looking purely at bloodwork are very low but the actual pain I am in is very real and I would very much like some advice on how to proceed. Primarily, I am looking for a more effective way to manage my pain levels so I can get back to doing more things typical of a 28-year-old rather that sit with a hot water bottle on my back and Paracetamol at the ready. I have attached a blood tets. Doctor: Hi. I have gone through your query and blood reports. (attachment removed to protect patient identity). I do have a few queries to help you reach the correct diagnosis. I want to be really sure we are dealing with inflammatory arthritis and so we can modify your medicines accordingly as Celebrex 200 would not be a solution for a long term. Do you experience early morning stiffness and swelling? If yes for how long? Are these pains intermittent in nature or persistent? How is the sleep pattern? Do you have early morning fatigue as if you did not sleep well? Any recent complaints of irritability and forgetfulness? Any persistent headaches? Any bowel upsets like increased frequency of stools? Do let me know these answers. Because for pain there are many reasons. If inflammation is one we should act early." + }, + { + "id": 6767, + "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": 16673, + "tgt": "Noticed strange peripheral flashes and eye floaters. Why?", + "src": "Patient: Hello doctor, For the past three weeks, I have had my normal right eye floaters seem strange. I noticed peripheral flashes when blinking and walking and quick black narrow lines. I saw an ophthalmologist. He found the retina to be fine. I now have some flashes around peripheral in the right eye and a new large annoying floater, no curtain or loss of vision. Talked to an ophthalmologist last night. Said not to move eyes much. Should I go to ER? No vision loss. Just flashes and fast moving stringy floaters and flashes when moving eyes and walking. Doctor: Hi. The hollow of the eye is filled with vitreous jelly. With aging, the jelly starts to liquify and separates from its attachments to the retina. This results in a little tug on the retina, resulting in flashes. This phenomenon is known as posterior vitreous detachment or PVD in short. The large floater appears when the PVD is complete, that is, it detaches from its final strong attachment on the optic nerve head in the retina. What you are experiencing is normal aging of the vitreous jelly. Now in this process, sometimes breaks may form in the retina leading to floaters. Floaters may be due to the cells from the back of the retina gaining access to the vitreous cavity through the breaks in the retina. Sometimes floaters may result when the break involves a retinal blood vessel. It is extremely important to get a dilated fundus examination done on an urgent basis to rule out any of the breaks. If found, they can be lasered to prevent further progression to complete retinal detachment. So kindly do see a retina specialist. Let me know how it went. Take care." + }, + { + "id": 574, + "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": 27192, + "tgt": "I have a swaying sensation as if the entire earth is a boat. What could it be?", + "src": "Patient: Hello doctor, Have you seen any long term damage caused by cephalo-antibiotics? I have a\u00a0debilitating balance issue\u00a0and dizziness that feels like the entire earth is a boat. It had been like this for two and a half weeks after two of the 1 g Ceftriaxone injections. Please assume that I\u00a0do not have an infection and it was a last resort to see if I had a long-term infection causing another issue. I am concerned I have vestibular damage. I cannot find any information on the internet but I am wondering if it is a possible autoimmune or ototoxic condition even though it is not reported. Please help. I can barely sit up or walk. My skin also feels weird and my legs feel weak. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25361, + "tgt": "While on PEP, is HIV RNA PCR test conclusive?", + "src": "Patient: Hi doctor,I am a 28 year old male and had unprotected anal-vaginal intercourse with a sex worker, me being the active partner. I was put on PEP immediately within 11 hours post exposure and the first dose of PEP was the tablet TLE (Tenofovir/Lamuvidine/Efavirenz), given to me on the morning of 10th. I was asked to follow up the next day with an HIV specialist and she changed my PEP regime to a combination of Tenofovir/Emtricitabine and Dolutegravir as they are more effective. As I was worried and had fever for two days, I did an HIV PCR RNA test qualitative exactly after 10 days from exposure. The results came back 'not detected'. Doctor: Hello. I have noted your concern. Perhaps your question was not completely typed. Anyways, your PEP regime of Tenofovir/Emtricitabine and Dolutegravir is recommended one. Continue with it for 28 days. As far as the HIV PCR RNA test is concerned it is not a reliable test while on PEP. You need to wait for your PEP to be over before testing. Regards. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17496, + "tgt": "I had a laparoscopic removal of a chocolate cyst. Is it possible for me to get pregnant?", + "src": "Patient: Hello doctor, I am a 23 year old female. I am not yet married. In October 2013, I\u00a0had a laparoscopic removal of a chocolate cyst measuring 10cm. The doctor suggested me tablet Ovral-L. But, after that I had aneurysm and could not take those tablets. Now, when I got scanning done 4 days ago, they found 2 chocolate cysts size 4cm and 3cm. What should I do now? Is it possible for me to get pregnant after marriage? Doctor: Hi. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). You can get your ovulation study done to see the number and size of developing follicles and their rupture, which means ovulatory cycles. If you are planning for a pregnancy then best will be to get a diagnostic laparoscopy done which will confirm the actual status of the cyst along with tubal patency, etc., and so many other things. Revert back to an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9272, + "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": 17662, + "tgt": "Is hair transplant the only option for baldness?", + "src": "Patient: Hi doctor, I am a 28 year old male. I have been\u00a0suffering from hair fall for the last 5 years. I had consulted a leading trichologist chain for treatment and to some extent it did help in controlling the hair fall. But, I have lost a great amount of hair from the front and back. I want to know, what can be done to get back the lost hair? Is hair transplant the only option? I have heard that to effectively perform this, the entire hair has to be shaved off once. Request you to guide me the best way. I have a\u00a0dry scalp and thin hair. I have uploaded pictures of my hair for your reference.\u00a0Thank you. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26411, + "tgt": "How can the white patch on my forehead be treated?", + "src": "Patient: Hello doctor, I have had a growing white patch on my forehead for a month now. I visited my PCP and she thought it was either vitiligo or a fungal infection. She gave me a Ketoconazole shampoo and ointment. Then I visited a dermatologist to see if it was vitiligo. She used a wood lamp and she confirmed that it was not vitiligo and said I had seborrheic\u00a0dermatitis. She gave me a steroid called Desonide. She also told me to keep using ketoconazole. I used the steroid and the whiteness of the spots went down but still, they are slightly present. The next day I shampooed and my patch had intermixed normal pigment and white spots in the same areas again. Now it has been a day since I showered and the white area is back to its original. The dermatologist asked me to come after four to six weeks. Currently, I am on\u00a0Losartan 50 mg once a day, Ketaconozole 2%, and Desonide cream.\u00a0All the blood tests have been performed three months ago and my vitamin, thyroid, and kidney reports are all good.\u00a0However, I am concerned about\u00a0the physical appearance and I feel like the patch is growing down on the sides of the\u00a0hairline. I have attached few images for your reference. What do you think this is? Doctor: Hello. I have noted your concern and I have viewed the attachment images\u00a0(attachment removed to protect patient identity). Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18604, + "tgt": "Is my nasal allergy pointing to rhinitis?", + "src": "Patient: Hello doctor, I have nasal allergies which can trigger sneezing and a runny nose along with sneezing when I come in contact with dust. However, I constantly have thick post nasal drip mucus that covers my vocal chords and makes my voice very weak all the time. My nose has not felt 100 % open in years. Also, I have trouble hearing because of trapped fluid in my ears. Does this mean I could have rhinitis on top of my allergies? I am a singer and used to have a very loud resonant voice and now I struggle to even achieve even a portion of that resonance. Currently, I am doing saline cleanse. Doctor: Hi. Your symptoms point towards chronic rhinosinusitis superimposed or worsened by allergy. All symptoms can be explained by this. Singers are more troubled by this condition because they require clear sinonasal cavities for good voice and resonance. I suggest you get some investigations done and I will tell you why. Complete blood count to detect any infection. Total serum IgE to check for allergy (type 1 hypersensitivity or atopy). Non-contrast CT (computed tomography) scan of paranasal sinuses to check for sinus inflammation or fungus or any other condition inside sinuses causing constant secretion of mucus and post nasal drip. A laryngoscopy can also be done to throw some light into the vocal cord and understand if there is any local pathology in vocal cord secondary to the sinus disease or de novo. If you were to come to me, in addition to the above advice I would start you on the following medicines. An intranasal steroid spray to be taken twice daily in each nasal cavity. An antihistaminic with Montelukast combination taken once daily. A Mucolite medicine to help lighten the mucus and bring it out better. An antacid medicine like Protonix (Pantoprazole) to reduce acid secretion in the stomach and also reflux laryngitis due to it. Lastly, some dietary and lifestyle modifications will also be required. Desist from gargles and steam inhalation. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 277, + "tgt": "What could be the reason for blurred vision following a hit on the eye?", + "src": "Patient: Hi doctor, Two days back, I got a hit in my eye with a ball. Still, it is paining with blurred image. Please help. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13977, + "tgt": "How can I get rid of chicken-pox scars?", + "src": "Patient: Hello doctor, I am 18 years old. I had chicken pox before one and a half month. After the chicken box was gone, I had some scars. So I went to a dermatologist to give me a medicine to clear the scars, he gave me new gel E. I had some pimples on my forehead so he advised and wrote for me a face wash and an antibiotic and a day lotion and a night lotion. So, in the first five days I started using these, small pimples appeared in my cheek beside my nose and mouth so I stopped the medicines because I never had such thing and now there is like 10 of small pimples on my right cheek beside my mouth, what shall I do to get rid of them? What is the best medicine to get rid of scars (pimples and chicken pox scars)? Shall I stop from eating some kind of food to get rid of the pimples? Does dairies affect pimples? Is there a diet that would help me? It is really embarrassing and I become stressful from it. Doctor: Hi. Acne is a very common condition occurring in teenage years due to hormonal changes. There is no need to worry or be embarrassed by it. Chances are that even after treatment you may get another bout of acne. It will reduce with age. Acne (grade 1) and chicken pox scars. For acne: 1. Combination gel of Adapalene and Benzoyl peroxide gel on the pimples in a very small amount. 2. If dryness occurs, use a good moisturizer. 3. Dairies do not cause pimples, but you can avoid high sugar containing food. 4. Eat lots of fruits and vegetables and avoid junk food. 5. Do not fiddle or press the pimple, it may leave dark pigmentation and scars. For chicken pox scars: As you have not attached a clearer photograph, it is difficult to see the scars and give a definite treatment. Still, treatment of scar may range from scar revision, needling, chemical peeling, CO2 and Er YAG laser therapy, depending on the severity and depth of the scars." + }, + { + "id": 8837, + "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": 22385, + "tgt": "I lost my period while trying to reduce weight. How can I get my periods back?", + "src": "Patient: Hello doctor, When I first got my period I was 14 years old and weighed about 40 kg. Four months back, I weighed 56 kilos and I decided to drastically change my eating habits to the healthier side since my cholesterol levels were a bit high. I also decreased the calories I consumed from 2500 to 1000 or 1500 because if I was not going to eat junk food, why eat so much? Well, I lost my period and in the span of 2 to 3 months, I lost about 8 to 9 kg. I realized my mistake was the drastic change in eating habits and calorie intake and not so much the less eating since when I first got the period I ate very little in general. I have stabilized my weight and eating habits for about two months and still no period. I am extremely worried that I may become less fertile or even completely infertile because of this. What do you suggest that I do in order to get my period back? Also, some days ago I decided to try herbs, more specifically Vitex agnus-castus, for 3 or 4 days and even though I have not read online anything about side effects I got eczema on my arms. I have a past with eczema. First, when I was a baby it was a bit serious and I had to get medication (Cortisol). Recently, two months ago, I got very little on one arm but it was gone in a week. Now it is the third time and it is a mild case on my arms. I know that I will have to consult a dermatologist to get rid of the eczema but I felt like you had to know this in order to give me more accurate advice. Please help me. Doctor: Hi. How are you doing today? By reducing Weight you have definitely improved your fertility potential. But you have overdone it. For a height of 173 cm, ideal weight is 73 to 76 kg. A minimum weight is needed for regular periods. When you suddenly reduce too much weight, the condition called anorexia nervosa occurs. Your brain controls the hormones needed for regular periods. So, when that balance is distributed, no ovulation occurs, so no periods. The sudden weight loss may reduce your immunity too. I am not advising you to put on weight. Avoid junk food and overeating. Have lots of healthy diets, no fried items or sweets. You can have vegetarian or non-vegetarian, but not fried, no oil. Have lots of protein, egg whites, fish, nuts, sprouts, and so on. Most importantly, have lots of aerobics, exercise. Then eat more. Over time your health will improve. To have regular periods, have any of the birth control pills, once at night for 2 to 3 cycles. This will regularize your hormones. Gradually you can tide over that allergies too. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28793, + "tgt": "Do you think that my mom needs surgery for her benign brain tumor?", + "src": "Patient: Hi doctor, My mom was admitted to the hospital due to an extreme headache, clicking sound in the head and high blood pressure. CAT scan revealed that she had a benign brain tumor and no surgery will probably be needed. After making an MRI, another neurosurgeon said she would have to remove it as\u00a0it could lead to blindness and difficulty talking and moving. After contacting another neurosurgeon for advice he said no surgery is needed.\u00a0I would appreciate if you could take a look at the MRI images and give me advice because they are already preparing her for the surgery this week and I am not even sure if it is necessary. Thank you. Doctor: Hello. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9044, + "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": 23769, + "tgt": "Any help or suggestions to prevent the loose stools ?", + "src": "Patient: Hi doctor, My mom is 83 years old. She had a bad fall 1.5 years ago and suffered with a head injury with little internal bleeding and a broken arm. While in hospital, she contracted C.diff and has had several recurring bouts with it. She has had a transplant and so far she is doing well with no recurrence. She also has a fistula near the rectum from an abscess. They put in a tube to keep it open and flowing. She has always had bouts of constipation and diarrhea for years before the accident. Her cognitive functions have been diminishing. One of my brothers is living with her and care taking her for full time. She is very weak, but can walk with the aid of a walker. Before the accident, she was fine. But, she may have shown a few signs of slight memory issues and balance prior to the accident as well. Our main issue right now is loose stools with some fecal incontinence. The doctor said that the fecal incontinence is because of a weak rectum that will not hold back fecal matter. Also, the fistula is always draining. When her stools are normal, she has good energy and cognitive function. When she has loose stools, she is very weak and can hardly stand or walk. Her cognitive function is a lot worse. She gets very confused about daily items and memory issues. We are looking for supplements to keep her regular and avoid the loose stool episodes. These are recurring every other week. Being so weak at the time of an episode, the toilet and the surrounding area get very filthy. She has little control and not able to clean herself properly. Her diet is pretty good. We are trying to keep dairy items away, limiting sugar and some carbohydrates as best as we can. We are giving her Metamucil when she has loose stools as well as some ammonium. This seems to have very limited success. She is on a blood pressure medicine as well as on Coumadin. So, we have to watch for interactions between everything. Regarding supplements, right now she is taking Alpha-GPC, Prevagen and multivitamins B for cognitive help, Fish oil, turmeric and Centrum multivitamins. Any help or suggestions to prevent the loose stools without creating constipation would be appreciated. I would also like to increase her core energy, so she will feel more like moving around. We have a physical therapist at once a week. Doctor: Hi. I appreciate you seeking help for your mother. Well, after having gone through the case history as described, it seems her fecal incontinence is mostly of neurological origin. In the given context, I would advise that she would be clinically examined by a neuro physician first and treatment recommended appropriately. Also, self-administration of any supplementation should be avoided. For her cognitive, memory, weakness issues and health balance you can include a BRAT (banana, rice, apple, toast) diet, which will likely help improve her present diarrhea or fecal incontinence issue. Make sure that she stays well hydrated too. WHO (World Health Organization) recommended electrolyte drinks can be of help. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 23753, + "tgt": "What treatment can be had for scratch marks in a 4-year-old?", + "src": "Patient: Hello doctor, My daughter who is 4 years old had got a scratch mark three months ago. It has left a brown mark. It is a little white in the middle. Is it a scar? Will it go away soon? I have attached few images for your reference. Doctor: Hello. I have noted your concern and I have viewed the images\u00a0(attachment removed to protect patient identity). Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26775, + "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": 16249, + "tgt": "I have blisters on my finger, nipples and around my eyes. Why?", + "src": "Patient: Hi doctor, I have a blister on my finger, nipples, and around my eyes. I have a problem in my immune system for about a week. I have eczema. I am taking Triamcinolone ointment. Doctor: Hi. I have gone through the query (attachment removed to protect patient identity). Your eczema is in active form now due to the depressed immune status. Please mix Hydrocortisone and Clotrimazole cream in equal amount and apply it over the lesions for two times a day. Take tablet Cetirizine 10 mg at night. Avoid using Dettol or other antiseptics." + }, + { + "id": 25216, + "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": 28528, + "tgt": "How to overcome insomnia and memory problems?", + "src": "Patient: Hi doctor, For the past three months I have been suffering from worsening insomnia. I fall asleep with great difficulty. I used to get a light fragmented sleep, where I wake up several times and have many dreams. In fact do not even know if I have fallen asleep or not. I just know that time has passed by looking at the clock. I am also having muscle twitches all over my body; I can see the muscles moving. I sweat a lot in armpits and feet. I am having memory and attention problems as well. My personality seems to have changed and I cannot focus most of the time. I have been aggressively searching up symptoms of fatal insomnia and I am so scared that I might have it. I am just 26 years old and I have no family history of this disease. Are there people who had these symptoms and survived? I need some assurance as I am really worried. I went to my doctor and he only prescribed sleeping pills. Please help me out. I feel tired and fatigued throughout the day. Doctor: Hi. I have gone through your complaint. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29086, + "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": 10763, + "tgt": "I am suffering from severe stomach pain after having medications for headache. Kindly advice", + "src": "Patient: Hello doctor, I had a constant headache for two days then I visited a close-by pharmacy and I was asked to treat malaria. I was given Metherine Forte tablets (Artemether 80 mg and Lumefantrine 480 mg tablets) and two cards of Paucofenacmol Caplets. Two days after taking the drugs as prescribed by the pharmacist, I started having some stomach bites, serious ones which tended to go down after I eat. It made me eat often. I went back to the pharmacy and was given worm drugs Tindex 500 (Tinidazole Tablets 500 mg) and Wormplan (Albendazole tablets 400 mg). I took those worm drugs in the morning today, yet my stomach pains are still severe. Doctor: Hello. You have a persistent headache in the frontal part of your head. Was there fever, chills, and rigor, were you feeling like vomiting, after taking those drugs prescribed for you? Did your headache subside? The medicines given at the pharmacy are fine for malaria, but it may not have been malaria, but it could be Salmonella typhi infection, which causes typhoid fever. Worm medicine is fine in the case. I will advise you to go to a lab and do blood film for malaria parasite, do Widal test and stool microscopy culture and sensitivity. If there is salmonella infection E coli or any enterobacteria infection, the stool MCS will detect it. If there is worm infestation such as hookworm or tapeworm, it will also pick it in microscopy. You can take tablet Buscopan (hyoscine butylbromide) 10 mg thrice daily. Then get tablet Ciprofloxacin 500 mg bd (twice daily) take them for five days. You can add tablet Rabeprazole 20 mg bd in case if there is any peptic ulcer since the description of the pain and the location in your abdomen was not very precise. Enteric fever. Malaria. Intestinal spasm. PUD(peptic ulcer disease)" + }, + { + "id": 24712, + "tgt": "What are the causes and treatment for premature ejaculation?", + "src": "Patient: Hi doctor, I ejaculate too early and I ejaculate about 2.5 ml. Is that normal? What should I do to raise sperm volume? Doctor: Hello. Within how much time do you ejaculate? Volume is fine. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 8065, + "tgt": "What are the ways from which the Vitamin D affects the skin?", + "src": "Patient: Hello doctor, How could Vitamin-D affect my skin? Please explain. Doctor: Hello. Vitamin D is a fat-soluble vitamin whose primary function is to maintain calcium and phosphorus levels in our body. Vitamin D is present in certain foods like eggs, liver, shiitake mushroom. Vitamin D Synthesis also occurs in our body that starts in the skin in the presence of sunlight. In the skin, this vitamin help in scavenging free radicals. The significant effect is on bones and musculoskeletal system. The only skin manifestation is alopecia if vitamin D is not adequately present in our body. The daily recommended intake of vitamin D is 200 to 600 IU." + }, + { + "id": 26889, + "tgt": "The dentist removed an extraction site stitch, an hour back. Can I swallow and drink water now?", + "src": "Patient: Hi doctor, I got a lower left wisdom tooth removed, and I went to a dentist after four days. And he removed the stitch and put Alvogyl. I am at home, and it has been an hour, and I have saliva in my mouth. Can I swallow it and drink water? I am not sure if they said after 40 minutes to rinse or not to. Doctor: Hello. Wish you good health and happiness.\u00a0Keep me updated with the improvements. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28424, + "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": 3669, + "tgt": "Kindly explain whether kissing babies is deadly", + "src": "Patient: Hello doctor, Is kissing babies really deadly? I am sure you have seen the story in the news today about the newborn baby who is in critical condition after contracting meningitis from someone kissing her (according to her mother). I am working on a follow-up story on whether parents really do need to shield their babies from kisses/contact with other people. Specific questions: 1) Do new parents really need to worry about someone making their baby very sick by kissing it? 2) How common are occurrences like the ones in the news today? 3) What should parents allow/not allow in terms of people having contact with newborn babies? Doctor: Hi. I do not recommend kissing a new born baby. Firstly, a newborn baby's immune system is not fully developed and is prone for infections. Secondly contact with the baby can transmit many types of bacteria and viruses which can cause various infections. Hence hand washing before touching the baby, handling only by mother and a couple of caretakers is ideal. When a baby is kissed there can be transmission of various bacteria/germs which are normally present in the mouth of people.These generally do not cause any infection in healthy people who have a strong immune system. But these can cause infection in people who have low immunity and newborn baby is one among them. Kissing cannot cause meningitis per se but can transmit few bacteria which can first cause a mild respiratory infection which can spread to brain especially in low immunity people like newborns. Kissing can transmit viral infection like herpes simplex and infectious mononucleosis. Hence it is better to avoid kissing the baby especially by friends and relatives, etc. Even parents should avoid if possible." + }, + { + "id": 10871, + "tgt": "Can long term usage of Ismo trigger low blood pressure and vertigo?", + "src": "Patient: Hello doctor, I am a 75-year-old male. I had IHD 40 years back. 23 years back, my doctor asked me to add Ismo 10 mg twice a day. Since then, I am taking it twice a day uninterruptedly. Then I was 54 years old. My BP has always been normal in all these years. Maybe 150/80 or 140/90 till a few years back. Now it is in normal level say 120/80, 120/73, 115/70, etc. Since a year, I am experiencing low blood pressure at times, giving me vertigo-like dizziness for 1 hour or 2 only in the early mornings and when I take Vertin, it subsides after 1 or 2 hours. Recently, I went to a well-known cardiologist in my area. He checked me and said that I have systemic hypertension and I need not take Ismo any longer as I do not need it. The BP at that time was 130/70. Before my going to the above cardiologist also I have experienced these levels like 120/70, 110/69, 125/75 likewise. He further said after stoppage of Ismo, the BP levels come to normal levels and I will not experience dizziness anymore. But, I am afraid of stopping the Ismo abruptly for fear of getting an anginal attack, which I have never experienced. I am afraid whether to ask my doctor about this. So, I have stopped taking one dose of Ismo 10 mg during the night. Slowly I shall stop the other doses also in due course. Kindly give me your valuable advice about Ismo, about stopping Ismo and dizziness. Is there any harm if I stop one dose? Does long usage of Ismo trigger low blood pressure and vertigo? Please enlighten me on this subject. Doctor: Hello. Firstly, Ismo (Isosorbide Mononitrate) is given for angina or chest pain. If one is not having it without Ismo then it may be stopped. So it is not an absolutely necessary medicine in absence of angina. Next thing, it can cause low BP, and low bp can cause dizziness. But, you mentioned, the lowest BP recorded was 110 systolic, and it is not too low to cause dizziness usually. Have you checked your BP while you being dizzy? So this BP can cause dizziness but not usually. Next thing, you said the response to Vertin (Betahistine), which is not likely in Ismo or hypotension induced dizziness. Vertin is for vertigo induced from the internal ear which is a very common problem. Also, importantly. dizziness induced by hypotension or Ismo will occur on standing or walking, but not while lying down or resting. So if it occurs on lying down as well or on neck movements then it is likely from the internal ear. Next, you should get one echo done to rule out the decrease in heart function as BP is remaining on the lower side. So overall, just go through the above description, and try to decide whether it is Ismo induced or from the internal ear, and you may stop Ismo as advised by the local cardiologist. Also, echo is necessary." + }, + { + "id": 4230, + "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": 13539, + "tgt": "I got heavy bleeding after taking Krimson. Is it normal?", + "src": "Patient: Hello doctor,I have PCOS and I visited a dermatologist for acne and hirsutism profile. She suggested me Krimson 35 for 21 days and Aldactone 50 for three months. I am on my fourth day of my periods and my bleeding had reduced but when I consumed Krimson 35 before going to sleep my bleeding increased. I had clitoris simulation after taking Krimson. Is it because of that I have high bleeding or is it usual to have it while taking Krimson. Please help. Doctor: Hi. Krimson is an Estrogen-Progesterone medicine. It requires some time to balance your hormones. Relax, do not worry about the bleeding until it is heavy like changing pads often like two hours. Instead, clitoris stimulation may have caused some mild uterine contraction, amounting to squeeze out of some blood remnants inside the uterine cavity." + }, + { + "id": 21662, + "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": 27842, + "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": 16479, + "tgt": "Chest pain on taking deep breaths while sleeping on back. Please help", + "src": "Patient: Hello doctor, My ECG is normal. When I sleep on back and take deep breaths, I feel pain in the chest. I am BP patient. After delivery via C-section, I am taking tablet Almovas 2.5. Please advice me. Doctor: Hello. I read carefully your question and would explain that your symptoms do not seem to be related to the heart. Gastro-esophageal reflux could be the most probable cause of your complaints. Coming to this point, it is necessary performing a fibrogastroscopy to investigate for this disorder. An antiacid or PPI (Omeprazole, etc.) can help improve your situation. Regarding Amlodipine, it can exacerbate acid reflux as a common adverse effect. For this reason, it may be necessary to switch to another anti-hypertensive therapy (ACEI or ARB drug)." + }, + { + "id": 7220, + "tgt": "My scrotum and penis have become black. How can I manage it?", + "src": "Patient: Hello doctor, What is this black mark and white spot? I am 22 years old, virgin and really worried about this. It is not itchy or painful but whatever it takes I want to get rid of it. Also, my penis and scrotum have turned very dark, therefore, I want to get back my original color. Also, I see some pimples kind of thing on my scrotum. And the whole area has too much foul smell. So, I need to get that cleared too. Please help. Doctor: Hello. Any history of injury over the white area? Since how long have you noticed it? Any itching or other symptoms? Secondly, The dark color is normal. It gets darker in teenage with hormonal changes (attachment removed to protect patient identity). I would suggest not to use anything to lighten it as it can have side-effects. Use Cetaphil cleansing lotion to clean the affected area once daily. Apply Phytoral dusting powder once daily." + }, + { + "id": 7173, + "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": 24851, + "tgt": "Are Wysolone, HCQS, Saaz and Shelcal safe during pregnancy?", + "src": "Patient: Hello doctor, My wife is 26 years old and she is suffering from rheumatoid arthritis for the past one year. Now, she is pregnant. Her tablet pattern is Wysolone 2.5 mg in alternative days, HCQS 0-0-1, Saaz 1-1-1 and Shelcal 0-0-1. The lab tests performed were ANA 1+, RA factor less than 20. Are the above-mentioned drugs safe during pregnancy? Doctor: Hi. HCQS (Hydroxychloroquine sulfate), Prednisolone (Wysolone), Shelcal (Calcium carbonate and Vitamin D3) are relatively safe in pregnancy and your doctor will stop Saaz (Sulfasalazine) and if possible, Wysolone too. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 10825, + "tgt": "What does my FNAC report of breast indicate?", + "src": "Patient: Hello doctor, I am waiting to be booked for what my doctor calls a core-biopsy and it is taking too long. As I wait I would like to research and gain more information. I would like an interpretation of this report please. These are the results of a fine needle aspiration on left breast: The smears are highly cellular. Cohesive branching monolayers of mildly pleomorphic ductal epithelial cells are present in a background containing frequent bare bipolar nuclei, occasional macrophages and some myxoid stroma. Within the epithelial cell aggregates, nuclear streaming and an admixed myoepithelial cell population is revealed. No dissociated malignant cell population or true papillary epithelial cell aggregates with fibrovascular cores are identified. Doctor: Hi. This is a picture suggestive of a fibroadenoma. It is not a malignant bump. But, FNAC identifies only the part that has been included in that needle. So to confirm, we do a trucut biopsy which tests the entire lump and is conclusive. 99 % this is a non-cancerous lump." + }, + { + "id": 14544, + "tgt": "Can stiff neck and pain in arm be due to carpal tunnel syndrome?", + "src": "Patient: Hello doctor, Six months back I was diagnosed by two doctors and tests with carpal tunnel syndrome. The suggestion was to go for an operation which regretfully I delayed until recently. The symptoms got worse. Now I have an appointment next month with a specialist. Meanwhile, I have pins and needles in the most upper part of my arm, basically in the shoulder for 15 to 20 minutes. They come totally unexpected, whether I move or not. They appear up to 15 times, typically in the morning when getting up. There is no pain, it is just very unpleasant and frightening since I cannot control it. Secondly, during the night when in bed my neck becomes very stiff, causing pain to wake me. A new medical cushion has not helped. My question is that are both symptoms related to CTS since I always thought this is located to the hand only. Can I expect relief after the operation or could this be something different? Currently, I am taking Atorvastatin, Atenolol, Exforge, Tamsulosin, Allopurinol. Doctor: Hi. Carpel tunnel syndrome will not cause any symptoms in the upper arm. However, it could be due to cervical nerve compression. This could be associated with or without the carpel tunnel syndrome independently. In my opinion, you should go for nerve conduction velocity NCV testing to be sure." + }, + { + "id": 22013, + "tgt": "I have PCOS and not able to conceive. What is the treatment in homeopathy?", + "src": "Patient: Hi doctor, My age is 32 years but still, I am not getting conceived. When I went to the hospital, the doctor checked and said suffering from PCOS. I have to reduce the weight and it was an irregular cycle and more than three months delay. I do not know which is the best treatment for this. Please help me. Doctor: Hello. I understand that you have been suffering from irregular periods due to PCOD (polycystic ovarian disease). In order to get homeopathy treatment, it is very necessary to understand your complete history in detail so that a homeopath can prescribe you the correct remedy. The information you have provided here is very less. Based on that information, I would suggest you to keep exercising and try to lose weight. For irregular cycles, you can take Pulsatilla (Pasque flower) 30 drops- five drops in half cup of water once a day for five days. This will help to regulate your cycle. But you will need some other homeopathic medicines also. So I would suggest you meet a good Homeopathic doctor, either online or in person and get treatment from him or her. For more information consult a homeopathy physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 16879, + "tgt": "Does normal diet cause edema in a liver cirrhosis patient?", + "src": "Patient: Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema? Doctor: Hello. I had gone through the details posted. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30002, + "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": 27697, + "tgt": "I have lower back pain and numbness of feet. Please help", + "src": "Patient: Hello doctor, I have had lower back pain since the last one year. I got an MRI done and it is attached below. I saw a radiologist and he did not advise me much.\u00a0I have a sitting job. Will running\u00a0be\u00a0beneficial in this situation? Do I need to take analgesics? I cannot sleep at night because of the numbness I get in my feet, and if I do sleep, sometimes I wake up because of it. Doctor: Hello. I read your query and understand your concerns about an ongoing lower back ache. I have seen the reports that you had attached (attachment removed to protect patient identity). I hope this helps you. Feel free to write back to me if you have more questions. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 26250, + "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": 9887, + "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": 27751, + "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": 24416, + "tgt": "What prenatal vitamins can be taken for conception in low progesterone patients?", + "src": "Patient: Hi doctor, I want to ask about the prenatal vitamins that I can take for conception, considering the case of low progesterone level. The laboratory tests performed were progesterone 0.19 ng/ml, testosterone 1.10 ng/ml, LH 17.26 miu/ml, FSH 21.11 miu/ml, and prolactin level. Doctor: Hi. Preconception vitamin that has been advised universally is Folic acid 0.4 gm per day for normal ladies who wish to conceive and not have any chronic disease like epilepsy (need 5 gm per day) before conception. You did not mention which day of menstrual cycle you did the investigations. That also affects the results. How long have you been trying to conceive? Have you been on any medications or treatment for primary or secondary infertility or had an ultrasound? Your weight is a bit towards higher side, so better to have a healthy diet with daily exercise to reduce some weight as it increases chances of conception. Have regular sex activity in fertile period 8 to 13 days of the regular menstrual cycle. If cycles are not regular, consult again with full history and laboratory reports on the second day of menstrual cycle (serum testosterone, serum insulin, FSH (follicular stimulating hormone), LH (luteinizing hormone), prolactin, thyroid function test, and transvaginal ultrasound). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3299, + "tgt": "Do my ANA report shows any concerning issues?", + "src": "Patient: Hello doctor, I have a positive ANA. ANA titer: 1:640 AC-1, Homogeneous ANA titer: 1:640 AC-2, 4, 5, 29, Speckled. RNP antibody: positive 1.5. All other antibodies are low. Serum cortisol: high 30 at 8:15 AM. Symptoms: Pulse races sometimes (can control with breathing exercises), especially when nervous. Vague muscle aches and pains, bilateral, that come and go. It could last a day or two and then leave. I also have muscle fatigue. The symptoms tend to be very vague and come and go. No Raynaud's, no swollen hands or fingers. Sedimentation rate: 2 CRP: 2.4 mg/L. Does this sound like anything to be concerned with? I am anxious about the antibody findings. I am currently taking Nexium, Clonapin .5 mg at night. Doctor: Hi, Welcome to icliniq.com. I would need to know first of all the symptoms for which ANA (antinuclear antibody) test was done. Any joint pains, facial erythema, or any fever? Revert with the asked details for better help." + }, + { + "id": 22481, + "tgt": "I experience lot of hair fall. Am I suffering from androgenic alopecia?", + "src": "Patient: Hi doctor, I am 26 years old, 5.5 height with 70 kg weight. My hair has always been thin with oily dandruff-prone scalp. However, last year, due to some mental stress and trauma, I experienced a lot of hair fall. My hair fall stabilized from March this year. At present, there are a lot of new hairs on my crown, but I see quite a lot of them falling as well. Also, my hairs do not seem to grow longer than my waist. My mom has thyroid-induced alopecia. My thyroid is fine. Three years ago, I was diagnosed with PCOS-like symptoms without cysts. My condition is better now. I am worried if I am suffering from androgenic alopecia. Doctor: Hello. In your photo (attachment removed to protect patient identity), there is certainly hair loss at a particular area but rest of the scalp has good density of hair. You can have androgenic alopecia although it is not common in females. I would suggest you get a blood check up to know hemoglobin because less hemoglobin is the most common cause of hair loss in females. I also suggest a few medicines. I shall review your case after 20 days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a hair transplant surgeon online --> https://www.icliniq.com/ask-a-doctor-online/hair-transplant-surgeon" + }, + { + "id": 19833, + "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": 28658, + "tgt": "Since we started trying to conceive, my menstrual cycle has gotten longer. Why?", + "src": "Patient: Hi doctor, I am a 25 year old female, and we are trying to conceive from the last six months, but so far no luck. But, I have noticed a change in my menstrual cycle, it used to be very regular and last for 28 days. But, since we started trying for a\u00a0baby, my menstrual cycle has gotten longer (35 to 40 days). The pregnancy tests were negative. It has been 48 days now, but I have not taken the pregnancy test still. I am scared that it will show negative again. What could this be? My gynecologist says that everything is normal. Doctor: Hi. Let me start on a positive note, a young lady of 25 years, whose gynecologist says there is no problem, means she has very high chances of pregnancy. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8132, + "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": 5764, + "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": 14413, + "tgt": "My vagina is very tight and I do not get any secretion during intercourse. Is this any health related issue?", + "src": "Patient: Hi doctor, Initially, before having intercourse with my husband, I used to get some secretion from my vagina and post that we used to have intercourse. But these days, I am not getting that secretion. I feel that my vagina is very tight and a lot of times, we find this issue while having intercourse. I have PCOD. Is this any health-related issue? Are there any tests to do for further management? Doctor: Hi. Do you mean to say that you had secretions from the vagina before attempting intercourse in the past but, you are not having that in recent time? If yes, it indicates that you are not devoting sufficient time for foreplay (activities before intercourse like kissing, fondling, caressing). Foreplay is essential to get aroused and have secretions. Proper secretion does not occur many times when one or both of you are not interested in sex but, to please the other partner you carry out sexual activity. In conclusion, having proper intimacy and time devoted to sexual activity is important to get secretions from the vagina. Once you lose that intimacy, getting aroused becomes difficult and extra effort is needed from both partners. In my opinion, this is not a health issue but a relationship issue. Your feeling that the vagina is very tight again points out that there is a lack of proper lubrication. I would like to inform you that despite being small, a vagina can accommodate any size of a male penis. It is because of the fact that vagina is surrounded by soft tissue which has great stretchability. I hope you are taking treatment for PCOD although, there is nothing to do with sexual pleasure and PCOD." + }, + { + "id": 23180, + "tgt": "Why is there bleeding after taking I-pill?", + "src": "Patient: Hello doctor,My fiancee had period five months back and then we had unprotected sex three days later. She took I-pill within six hours. Four days later, she had bleeding again but not like the normal period, it was different. What is the problem? And how long will this bleeding continue and when the normal periods will come? Please help. Doctor: Hello. I just read your query and from what you have mentioned it appears that your fiancee is experiencing withdrawal bleeding and it happens after taking I-pill as it causes progesterone withdrawal and that is what is expected. She will get her period after a month after the discontinuation of the current bleeding which should be like 5 to 6 days approximately. If it is too much bleeding to handle then have a visit to a local gynecologist. Test for pregnancy after a month in spite of this. No one can be too sure. Use a proper contraception next time. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16981, + "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": 6066, + "tgt": "I feel hot sensation in stomach and lightheadedness. Why?", + "src": "Patient: Hello doctor, I am feeling sick in the stomach with some lightheadedness for three days. It started with a very hot sensation in the stomach which seemed to go up to my head. This occurred two to three times before three days in the evening. I felt very lightheaded when this occurred. Following this, I have just felt ill in the stomach with occasional lightheadedness. Bowel movements are normal and there has been no vomiting, although I did feel like I would vomit. I felt better yesterday, but today it is worse. I am currently on medications for blood pressure and anxiety. Please help. Doctor: Hello. Is this only a recent onset event? It seems to be like gastritis, but since you have hypertension, it is necessary to rule out the cardiac cause as well. Do you have any history of similar events in past? Is there any burning sensation which gets relieved with antacids or cold milk? Do you have any history of addictions? Are you on aspirin? Need your vitals and follow up with the tests below. Dyspepsia, Cardiac ischemia, Peptic ulcer disease. CBC (complete blood count), Stool for occult blood, PT INR (prothrombin time in international normalized ratio), USG (ultrasound) abdomen. Pantoprazole 40 twice daily, Mucaine gel (anesthetic antacid) syrup 15 ml thrice daily, avoid spicy food, and stop alcohol if already taking. Review with the history and advised investigation." + }, + { + "id": 29570, + "tgt": "Please explain the benefits of breathing through the nose than mouth", + "src": "Patient: Hi doctor, Please explain the benefits of breathing through the mouth and breathing through the nose.\u00a0Is one better for the body than the other? Does it depend on activity that is, exercise? Doctor: Hi. For further information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 9806, + "tgt": "Getting pimples after using Differin. Is this the acne purge following retinoid use?", + "src": "Patient: Hello doctor, My daughter has been using Differin for five weeks now every other night and now has pimples all over her forehead. Is this the acne purge that happens using a retinoid? Doctor: Hello. Please send a picture of the pimpels over your forehead. Could be acne purge but should have a look at the pimples myself." + }, + { + "id": 1648, + "tgt": "Will Tranexamic acid help to stop bleeding after frozen embryo transfer?", + "src": "Patient: Hello doctor, One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occasions. She was given Tranexamic acid for three days on two occasions and this time also advised to take the same. She is advised to stop Aspirin and Enoxoparin which she was on even prior to embryo transfer. Her scan is showing gestational age of 8 weeks 2 days with fetal heartbeat and SCH of 3 cm. She is on Duphaston 10 mg QID, Susten 400 QID, Progynova 2 mg QID, Folic acid, Mecobalamin, Aspirin and Enoxaparin 60 mg (daily which she stopped today). Please advice further management. Doctor: Hello, Welcome to iclinq.com. I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg along with the medication. She is already on medication for five days to avoid infected subchorionic hematoma (as its big 3 cm) nothing more could be done. Let her stay at rest with a sound and a happy mind. Threatened abortion. Threatened abortion. Reassurance, continue the same treatment with just an added antibiotic. Rest and stay positive." + }, + { + "id": 21339, + "tgt": "What is the non-itchy, non-scaly goosebumps like rash in my neck?", + "src": "Patient: Hello doctor, I have been having goosebumps like rash on my neck but less dense and a bit bigger than a goosebump for almost a year now. It is non-itchy, non-scaly with skin color and without associated symptoms. It is harmless except the look. I have tried antifungal, anti-allergic, and antibiotics but did not help but taking corticosteroids clears it but comes back again. Doctor: Hi. It looks like keratosis pilaris. In most cases, it is genetic in nature and there is no permanent cure. Urea-lactic acid based exfoliant (XERINA) can temporarily help. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7019, + "tgt": "Is there a chance of HIV transmission after open mouth kissing or hand masturbation?", + "src": "Patient: Hello doctor, Do I need post-exposure prophylaxis for HIV after the following exposures: 1) Open mouth or french kissing. 2) Handjob and hand masturbation. Have there been known cases of HIV transmission after such exposures? Doctor: Hello. I have noted your concern. There is no risk of HIV transmission from the open mouth or deep kissing or skin to skin contact as in a handjob. They do not qualify as a risk for HIV transmission. Hence there is no need for post-exposure prophylaxis." + }, + { + "id": 12457, + "tgt": "Does missed period after taking Z pack mean pregnancy?", + "src": "Patient: Hello doctor,My last period started a month back. The next week I was on a Z pack for a throat infection. I have not gotten my period this month. I am 7 to 10 days late. Took six different brands, etc. Pregnancy tests are all negative. What could be causing this late period? I am under a lot of stress also. Doctor: Hello. The fact that urine pregnancy test is negative, and as this is the first time that your menses have been delayed and there is a likely cause present- the throat infection and the stress factor during this month. So, stress as we know that it can easily cause hormonal imbalances which can delay menses, you are likely experiencing a stress delay. As you are already delayed by 10 days you can either opt for a withdrawal bleed with Progesterones now or wait for a week to allow menses to return naturally and if not, then use Progesterone pills for withdrawal bleed to initiate menses. Please maintain a menstrual calendar for the next three months to understand the pattern of your menses to ascertain the need for treatment for oligomenorrhoea." + }, + { + "id": 11388, + "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": 19288, + "tgt": "Please suggest ayurvedic medicine for depression, OCD, and hair loss", + "src": "Patient: Hello doctor, I am writing some details before asking my question which might help you while answering. I am male, 29 years, 5\"10', 80 kg, good physique, sharp mind (according to my colleagues, teachers and academic performance), extrovert, suffering from moderate hair loss (genetic), family history of heart diseases and hypertension (though my BP is absolutely fine as I regularly exercise), suffering from OCD and moderate depression for last one year (due to career and some personal reasons). I am taking Paroxetine for this and that has been helpful, the condition has improved. I am prone to gain weight easily, sometimes suffer from constipation, prone to acidity, prone to anxiety, cannot remain hungry, become irritable when hungry, maximum hunger in the morning, always take heavy breakfast, regularly do exercise. Now my question. Please suggest some herb, capsule or ayurvedic remedy which can act as a general body tonic in long-term, desired effects, anti-aging, maintaining youth, stamina, strength, sexual power, muscle building, avoiding diseases which people generally get in the 50s, means something which is very good for overall physical and mental health. You can tell me any herb or capsule, or multiple capsules. This is my main question and if you wish, you can tell me something which can help me with OCD and depression. Earlier I used to get increased pitta as my dosha (when I was suffering from hair loss 2 to 3 years back), but now I get increased vata dosha (for last year since when I am suffering from OCD and depression), some give me a mix of increased pitta and vata doshas. Doctor: Hello. I just read your query. See let me tell you one thing first that your mind is under your control. If you cannot change anything then there is no need to crib on it. So first of all, let go of the things which make you angry, sad or affect your mood. Because one single negative thought is enough to spoil a day. One day has gone and it will happen again and again, and as a result, you will get some psychological problem. As you have asked about herbs which can help you in remaining healthy forever, so let me tell you stress and depression play a major role in your physical fitness too because in depression, at the hormonal level and chemical level many reactions occur which refrain your body from doing many good things. So try to remain positive as much as you can. Now come to medicine, as you have moderate depression and you also want something which has anti-aging effects and good effects on sexual power, etc., start taking capsule Ashwagandha two capsules two times a day with water after food for one month. It has multiple benefits according to your problems. Ashwagandha will help you in depression as well as improve your physical health. Along with this, take capsule Brahmi two capsules two times a day with water after food for one month. These will calm your mind and body. It will help you in OCD (obsessive-compulsive disorder) and depression. For hair loss take Mahabhringraj oil and do gentle massage with it on your scalp on every alternate day. Wash your hairs with mild herbal shampoo. Take Asthiposhak tablets two tablets two times a day with water after food for one month for hair growth. Add curry leaves, figs, raisins, in your diet for hair growth. Take one glass of lukewarm milk at bedtime and add some almond powder and some cardamom powder and a little bit of honey in it. Avoid TV, laptop and mobile one hour before sleeping because their blue light hinders normal sleep pattern. Try to do meditation daily as it is beneficial for mind and will stabilize your mood. If you can spare some time then you can go to a nearby Panchakarma center and ask for procedures like Shirodhara, etc., which have good results in depression. Try all these things regularly and you will feel positive results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby reputed ayurveda physician too. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8287, + "tgt": "I have irritability, anger, and mood disorder inspite of having medications. Why?", + "src": "Patient: Hello doctor, I am suffering from irritability, anger, and mood disorder. Now I am taking Qutan 25 once at night, but the improvement is not good. Please help. Doctor: Hello. I understand it must be difficult for you. But it would be helpful if you could elaborate more about your irritability and anger, i.e., since how long you have had this problem. Do you get irritated due to some reason or nothing at all? Why exactly would you say you have a mood disorder? Is your mood too low or too happy? How are your sleep and appetite been? Do you have any other medical illnesses along with this? You are taking Qutan 25 mg. Has it been prescribed for you or you have started on your own? With this dose of Qutan, you may sleep better and feel less anxious. But it is not sufficient for your irritability and anger. Please let me know the details of your problem to help you better." + }, + { + "id": 18607, + "tgt": "Despite ovulation induction, I did not get pregnant. What to do now?", + "src": "Patient: Hello doctor, I am 24 years old. My height is 5'1\" and my weight is 61 kg. I am a bit overweight. I have pcod problem. I got married 2 years back and I cannot get pregnant. I had Clomid and hCG injections twice. Both were failed. But, doctor said that my egg growth is good. I have attached my hormonal test report here. Kindly go through it. Currently I am taking Glycomet 500 mg, Livogen-Z and Folic Acid. Can I follow Paleo diet while planning a baby? Thank you and looking forward for your reply. Doctor: Hello. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 29111, + "tgt": "I am having excruciating pain in the right breast. Could it be a cancer?", + "src": "Patient: Hi doctor, I had a mammogram done a\u00a0few weeks ago. I am having excruciating pain in my right breast. It hurts when I move, or lie down to reach up any movement or touch of that breast and It makes me sick to my stomach. I have had a kind of loss of\u00a0appetite. I got a callback and the person who did my mammogram saw some images, so they have scheduled me to have an ultrasound done. I am scared, but also in tremendous pain. What could this be? Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28343, + "tgt": "My gums are bleeding, and I have bad breath. What should I do?", + "src": "Patient: Hello doctor, I am a 26 year old male, who weighs 60 kg and I am 5.8 feet tall. I am facing problems like bleeding gum, bad breath, and also my gums are getting separated from the teeth. What should I do? My gums bleed on brushing, so I tried using lemon for it. Doctor: Hello. The problems you are suffering from are common among people, but you need to know the reason behind it. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27084, + "tgt": "I have constipation and a burning sensation in the anus. What should I do?", + "src": "Patient: Hello doctor, I am a dental student doing my internship. I am suffering from constipation from the past one week. I have a burning sensation in\u00a0the anal region which I am unable\u00a0to tolerate. Sometimes, there is severe itching and pain as well. I stay in the hostel. So, can you suggest me some tips to reduce the pain? Doctor: Hello.I appreciate you seeking help. Hope this helps you to get better soon. Do take care. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 5842, + "tgt": "Is it possible to have heavy menstrual bleeding because of fibroid or peritoneal dialysis?", + "src": "Patient: Hello doctor, My wife, 46 years old is having constant menstrual bleeding for the past 15 to 20 days. Mostly mild and sometimes heavy and she is also doing peritoneal dialysis because of kidney failure. Gynecologist suggested for ultrasound and they found small submucosal fibroid and the doctor said no need to do anything. We are wondering whether bleeding more than normal is due to fibroid or PD dialysis. Any help is appreciated. Doctor: Hi. I have gone through your history and understand your concern. There are a few reasons of her symptoms. It could be due to hormonal imbalance caused by premenopausal stage and fibroid. As she is on dialysis, it could be due to dialysis also (because of anticoagulant use during dialysis). You can take Trapic tablet to stop bleeding and see your hemoglobin also." + }, + { + "id": 17220, + "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": 8260, + "tgt": "Should I be concerned about my meatal tear?", + "src": "Patient: Hi doctor, I am 26 year old. I did not have any physical relationship till date.\u00a0My meatus got torn from bottom of around 1 mm three weeks back due to masturbating on bed in jean. The meatus was swollen and looked like lips. I felt continuous need to urinate every 10 minutes or so. The urine was also dark yellow in color but would get transparent if I drank water properly. It has been three weeks now and the feeling to urinate has reduced. The swelling also has gone and the burning sensation has reduced. But, I feel slight irritation when the mouth rubs against my clothes.\u00a0One more thing I noticed is that regularly I am dripping transparent thick liquid, and when exited, it drips a lot. This was not the case before the injury.\u00a0I would like to know few more things.\u00a0When will I get healed? What precaution or medicine or cream should I use? My main concerns are will the meatus get to its original size again? Is there a possibility to become weak and tear more ahead in life?\u00a0If there are chances of more tear after marriage during physical relationship, what precautions can I take?\u00a0What is the transparent thick liquid dripping? Should I be concerned about it?\u00a0Thanks Doctor: Hi. Trauma. Meatal tear. Observation. For further information consult a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 10030, + "tgt": "Are my symptoms due to HIV infection? I had a high-risk exposure 15 months ago", + "src": "Patient: Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are: severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back. I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you. Doctor: Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22675, + "tgt": "What should be the target heart rate during physical activity?", + "src": "Patient: Hi doctor, I am a 49 year old female. My resting heart rate is 69 bpm. What should be my target heart rate during physical activity? Doctor: Hi. The resting heart rate can vary among the population, and it is usually 72 +/- 6. With exercise, it may go to 180 or more depending on the nature of the training, exercise tolerance, fitness, the age of the patient, etc. The fitter you are, lower your resting heart rate. Also, the ability of the heart to tolerate stress will be better. We aim to keep the heart rate during exercise within 80 percent of your maximal heart rate, which is calculated by the formula (220 minus age ). In your case, 80% of 170 is 36. For further information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 24134, + "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": 17313, + "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": 19119, + "tgt": "My testicles are slightly hard and firm. Should I be worried?", + "src": "Patient: Hello doctor,I had an enlarged painless testicle and I visited a urologist. They confirmed that it is a hydrocele and said it would go away on its own. However, now my testicles are slightly hard and more firm. But there are no lumps or imperfections. Should I be worried? Doctor: Hi. Get an ultrasound done. It will clarify the picture. Sometimes, a fluid-filled tense cyst may also feel hard. It transilluminates well with torchlight. It will not go away with any medicine rather it will remain like that if it is a hydrocele. The main problem with hydrocele is appearance and dragging pain. If not bothered by these factors, no need to operate. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3448, + "tgt": "Will taking L-Theanine pills for anxiety make us addictive?", + "src": "Patient: Hello doctor, My friend is 21 years old and suffers from anxiety. He feels like it is getting in the way of his daily activities and interactions with people. He used to get attacks more often but that is a lot better now. He decided to start taking L-Theanine pills or supplements. I would like to know more about these pills. How safe are they? How long or often should they be taken? He currently takes them with caffeine (200 mg of supplement for every 100 mg of caffeine) average of 400 mg L-Theanine a day. Could they become addictive? Does it have any side effects? What more should we know? Doctor: Hello. L-Theanine is an amino acid synthesized from tea. It helps with reducing stress and anxiety and induces a sense of calmness by increasing serotonin and dopamine in the brain which are the feel-good chemicals. As such, it is a supplement and not a medicine per se, so there are no fixed guidelines issued by any regulatory authorities. Normally people do get relief with 200 to 600 mg. Since it is synthesized from a stimulant (tea) it is advised not to combine with other stimulants like caffeine. It can increase anxiety once the effect of caffeine wears off. Apart from that, there are no side effects as such and not really addictive. If the anxiety issues are troubling, it would be advisable to visit a local psychiatrist and take a short course of SSRI (selective serotonin reuptake inhibitors) class of medicines which will help with this problem. Also, consider doing deep breathing exercises or yoga or meditation." + }, + { + "id": 16238, + "tgt": "Will taking Lonopin cause any complication in a pregnant HIV patient?", + "src": "Patient: Hello doctor, My sister is 6 months 20 days pregnant with ART. She is having premature ovarian dysfunction. She was on Lonopin 40 mg with Ecosprin tablets. She had undergone two time ART procedure. All her reports were fine, but the fetus had no pulsations. So, she underwent two times for abortion. Now this time everything is fine, and her doctor advised to stop Lonopin. He said nothing to be worried about and no need to take an injection. Do you think she needs to take these injections and if she takes these injections full time, can it bring some complications? Doctor: Hello. No, she should not stop low molecular weight injection and instead take a good brand either Enoxaparin or LMWX and tablet Ecosprin 150 mg, as her previous history is such that we should not ignore it. If not taken, then she is at high risk for early development of high BP, slow growth of the baby, water level around the baby remains low and some time bleeding can occur during pregnancy. So you have to be very careful." + }, + { + "id": 13694, + "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": 25961, + "tgt": "How to resolve vaginal itching and dryness?", + "src": "Patient: Hi doctor,I am suffering from itchy and dry vagina for the past six months. It has been on and off. Because of that I do not feel good and always in a frustrated mood. Please help me. Doctor: Hello. This could be due to fungal infections or any type of infection inside the vagina. This also can occur if you are on birth control pills as well as if nearing menopause. Keeping these in mind, first do a vaginal swab test. Then, I suggest applying candid vaginal cream (Clotrimazole) at bedtime and take plenty of yogurt with breakfast. Let me know the swab test report as well as other parameters as enquired by me. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25466, + "tgt": "Does redness along the gums indicate any gum disease?", + "src": "Patient: Hello doctor,I am a 49-year-old female, weighing 79 kg with a height of 165 cm. I have gum disease and I am attending the dentist every three months for a clean in the hope of stabilizing my gums. My gums can appear red and I have noticed redness adjacent to my missing back tooth. I have redness along my gums which has been a long-term issue. I am just not sure about the redness near the missing tooth. Perhaps it has been there for some time. Would it be gum disease? I had an infected abscess in that spot two years ago. I have attached photos. Doctor: Hello. I feel the gum disease has caused a periodontal abscess. It is an infection with a collection of pus around gum tissues. You need to show to a dentist and get it treated. I feel along with periodontal therapy, the dentist may also prescribe some antibiotics to you. Your pictures (attachment removed to protect patient identity) are not really clear. You may also try to send me better snaps for clarity in diagnosis. Scaling and root planning need to be done with antibiotics. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20963, + "tgt": "Please guide me regarding endometrial cancer for which I underwent hysterectomy", + "src": "Patient: Hi doctor, I am a 58 year old female. I am suffering from both blood pressure and diabetes. I was diagnosed with endometrial cancer and undergone hysterectomy. I have also attached my reports. Please guide me. Doctor: Hello. I had verified your report (attachment removed to protect patient identity) and I must say that you have undergone hysterectomy which is the best-known treatment for grade 2 endometrial cancer. I advise you to consult your doctor regularly even after surgery and do not forget to take adjuvant therapy which is very important to prevent cancer in the future. For blood pressure and diabetes, I hope you will control them with medication and lifestyle changes. For further information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 24741, + "tgt": "I have sore throat and weight loss. Do I need to test again for STD?", + "src": "Patient: Hello doctor,I had a test for STD and the results came negative for all tests. I received an oral sex from a spa therapist eight weeks ago. I tested for STD at six weeks. But I have a sore throat for one month and there is weight loss. Today I could see tiny rashes on my genitals. I tested again for HIV yesterday and it came as non-reactive. Do I need to test again for STD? Could you please help me with this? Doctor: Hello. I have noted your concern and I have viewed the attachments (attachment removed to protect patient identity). Receiving unprotected oral sex though much less of a risk as compared to unprotected vaginal or anal sex, is still not entirely safe. There is a possibility of acquiring herpes simplex infection, gonorrhea and chlamydia through oral sex though HIV has a negligible risk unless the person performing oral sex has oral sores or bleeding gums. As far as testing is concerned HIV has been convincingly ruled out in you at six weeks. Even CDC says a negative HIV combo test (antibody and P24 antigen test) is conclusive at six weeks. Though your HSV, IgG, and IgM are negative at six weeks a 12 to 16-week negative HSV, IgG would be more reliable as IgG may sometimes appear later. A negative IgM is not very reliable in ruling out HSV as it is short lasting even though it appears quite early. Chlamydia has been adequately ruled out. Gonorrhea is mostly symptomatic in males. So, if you still do not have any symptoms of gonococcal urethritis like pus discharge from the urethra and burning on micturition, it suggests that you do not have gonorrhea. So to summarize, you just need to repeat HSV IgG at 12 to 16 weeks. Rest all the STDs have been ruled out. HCV (hepatitis C) and HBV (hepatitis B) is not a risk through oral sex. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3981, + "tgt": "What causes tiny bumps in hand, finger and feet?", + "src": "Patient: Hi doctor, My son, who is 10 years old, is suffering from skin problem like a tiny bumps in hand, finger and lower part of feet. There is mild itching. The old eruption dries and disappear. There is no fluid sac in the new bumps. Earlier we applied Ascabiol lotion for 5 days and then started Permite lotion. Also, given half tablet Levocet and applied Lactocalamine after a bath. Doctor: Hello. I have read your query and seen the attached images also (attachment removed to protect patient identity). I understand your concern for your son. As per details, there are the following possibilities for your son's condition: 1) Scabies - It is characterized by fluid-filled lesions or red bumps or excoriated marks over the body. You have given Permethrin lotion for the same. However, itch and symptoms may persist for a month or so. 2 ) Atopic dermatitis - It is an allergic condition of the skin characterized by a variable rash. In this, the child has sensitive skin leading to the appearance of rash with an itch on exposure to allergens. I would advise you to apply a cream containing antibiotics and steroid-like Futop B cream (Fusidic acid) over the affected area. Avoid the use of harsh soap or chemicals to avoid precipitation of allergic reactions. You should visit a dermatologist in person for proper examination and evaluation. You may discuss my opinion with him." + }, + { + "id": 29445, + "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": 23868, + "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": 24089, + "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": 15165, + "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": 28081, + "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": 24126, + "tgt": "If I stopped taking contraceptive pills 10 days after sex, could I still be pregnant?", + "src": "Patient: Hello doctor, I might be a hypochondriac, and I do have quite severe OCD. What I wanted to ask was if I had sex while still being on a strong pill and then around a week and a half later I stopped taking it (my doctor said it is active for quite some time after quitting it) could I still be pregnant? Even if eight pregnancy tests were done in a span of three months said it is negative and I had my period as regular? I am 21 years old, always had digestive problems and a bloated belly, which is why probably I am being driven crazy but still want a professional opinion. Doctor: Hi. At the time of sex, you were on the pill so the chance of pregnancy is nil. Because sperms usually do not survive in your womb for more than three to four days after sex, and during that time you were on the pill. Moreover, eight pregnancy tests done in a span of three months were negative and you had the period as regular. So relax you are not pregnant. For digestive problems, you can do ultrasound test of the abdomen. Also, I can suggest chewing cardamom as a whole to reduce bloating. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4707, + "tgt": "On using Epiduo for acne, my skin burnt terribly. Why?", + "src": "Patient: Hi doctor, I am using a treatment on my acne called Epiduo which was prescribed by my doctor. My skin has very bad hyperpigmentation and acne. I have been using the treatment for three days and on the second day it itched and burnt a little and I thought it was just working and all was fine. But on the third night I put it on and my skin began to burn terribly and it was unbearable. It blocked me from breathing and I nearly passed out. I did not wash it off because I found when I did that on the second night it made it worse and when I woke up today I had terrible chemical burns all over my face. My hyperpigmentation and acne had become worse and it is causing immense pain and discomfort and it really does look terrible it is similar to the worst kind of sunburn ever and the skin is plastered and dry too. I do not know what I can do? Is there some sort of treatment I can do in a cosmetic skin clinic? Or something I can use on the burns and the acne and the hyperpigmentation? Doctor: Hello. You have developed contact dermatitis to this Epiduo (Adapalene and Benzoyl peroxide) which you were using for treatment of acne. Now your skin has two problems. It needs to be treated in two steps. First, we have to treat contact dermatitis. Do not use Epiduo now. Wash your face with mild soap and water. Take tablet Azithromycin 250 mg twice daily for the first three days then on alternate days for three weeks. Apply sunblock of SPF 60 (sun protection factor) from morning till evening. Use good moisturizer four to five times a day. When your skin improves from this contact i.e. burned condition then, step two of treating acne and leftover pigmentation will be done Contact dermatitis and acne vulgaris. Apply a sunblock of spf 60. Take Azithromycin 250 mg bd for the first three days then on alternate days for three weeks. Apply moistuerzer four to five times a day. Wash face with mild soap and water. Avoid using Dettol and other irritants. Avoid scratching or pricking up the leison. Follow up at three weeks." + }, + { + "id": 1372, + "tgt": "I am unable to focus on studies because of the fear of not being the topper again. Please help", + "src": "Patient: I was topper for 3 semesters and I have fear that I will be not topper for 4th semester because of this fear i am unable to focus on studies Doctor:" + }, + { + "id": 24078, + "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": 22991, + "tgt": "There is bleeding after I-pill. Am I pregnant or not?", + "src": "Patient: Hello doctor, I had I-pill on the next day of my sex, but now there is bleeding on the eighth day. What does that mean? Am I pregnant or not? Doctor: Hello. Since you have taken the emergency pill within 72 hours of intercourse, there is no chance of pregnancy. This is withdrawal bleeding because of hormonal changes due to the pill you have taken. 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": 19433, + "tgt": "Please suggest the best treatment for baldness", + "src": "Patient: Hello doctor, I am a 36 year old single male. I have severe hair fall and I feel that I am going bald. You can see in the attached pictures. Around two years back, hair fall started and the volume reduced to half of my original hair. Now, I feel almost all hair has gone.\u00a0I am taking\u00a0antidepressant\u00a0medicines Daxid 200 mg, Maxmala 50 mg and Olanzapine 2.5 for the last 10 to 12 years of stress, anxiety and eating disorder problem. I have male baldness pattern. My father and grandfather got bald at age of 35 and I feel that baldness is in my gene. I have used Minoxidil 5% for approximately seven months, but did not find any good results. So, I stopped taking it before three months. Now every day about 100 hairs are falling and crown, forehead, upper and middle head has become completely bald. I took multivitamin, Biotin and Androanagen tablets for a few months, but had no use. Please suggest me some ways to save the existing hair. Also, suggest me some fast method of therapies to regrow hair as I am looking for a life partner. Please suggest treatments without side effects. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11949, + "tgt": "I am a diabetic since 8 years. Will me being diabetic affect my baby?", + "src": "Patient: Hi doctor, I am a 51 year old man and my wife is 28 year old. I would like to have a baby. I have normal sex life. I have been having diabetes for the last 8 years (hereditary). No BP or heart problem. Occasionally, I have kidney stone issue. I do not smoke or drink.\u00a0I have a few questions:\u00a0What are the tests to be conducted for checking the quality of sperm for having baby?\u00a0Any effective medicine for increasing the quality and motility of sperm?\u00a0Is there any chance that my diabetes will affect my baby?\u00a0If so, can I have any medicine or treatment by which the diabetes does not affect my baby? Please advise Doctor: Hello. Thanks for posting your query. See if you have a normal erection and ejaculating normally, then I do not recommend any tests unless you have been trying for a baby for the past one year and there has been no result. In that case first get semen analysis with culture test and revert back with report. If this test shows abnormality then you need to undergo further tests which I shall recommend if needed. Yes there are effective medications to improve sperm condition but let me see your report first. Diabetes can be due to both hereditary and nonhereditary. Nothing can prevent your child if it gets as hereditary. A good lifestyle can definitely delay the onset of diabetes. Do not worry about that." + }, + { + "id": 14787, + "tgt": "I am a PCOS patient with high LH. What is the chance of ovulation and healthy pregnancy?", + "src": "Patient: Hello doctor, I am 32. I have PCOS for past seven years. Now planning to conceive with Gonadotropin injection and timed intercourse. But my day two blood work shows FSH 4.7, LH 11.2 and prolactin 9. Due to high LH will I get ovulation and if so, how will be the chances of having a healthy pregnancy? Two years back, I got pregnant with Gonadotropin injection but had many complications and pregnancy went on till 35 weeks, then fluid leak and baby passed meconium and was alive only for 15 days, later died at NICU. Three months ago, was pregnant again with Gonadotropin injection but no heartbeat for five weeks, five days. Had missed abortion. Doctor: Hello. The LH levels are more than 10 as expected in PCOD, ideally should be less than 7, but still on the lower side. You can continue with the protocol and ideally LH surge occurs at 20 and usually the follicle is matter at 18 mm size. So, pertaining to your query that whether you shall ovulate or not depends on the follow up of LH surge with LH kit from day 10 of your cycle daily to check for positive result. Once positive test is achieved, the follicular scan be done to check for size of follicle and if more than 18 mm, it is mature, then hCG injection can be offered for ovulation." + }, + { + "id": 2545, + "tgt": "I am just 27, and my vaginal walls are lying outward. Why?", + "src": "Patient: My vaginal lips are falling out and my age is just 27 any reason why the vagina walls are lying outward. Its just because of sex or some hereditary issue Doctor: Hi, Hope you & your dear ones are doing fine. I would like to put forth few features / symptoms to differentiate normal from pathological labial hypertrophy/ vaginal wall enlargement. 1. If wall prolapse is painful/ tender, associated with excessive vaginal discharge, especially yellow or greenish color, foul smelling & with itching. If swelling increases after sexual exposure . Around the time of periods discharge increases with all above features. Associated mild feverish feeling around periods, cramps in lower abdomen before periods. All these suggest that it could be infection in vagina , following sexual exposure. You need to meet your gynecologist & use medications for yourself & for your partner. 2. If the lips of vagina are not not tender & free of the above mentioned symptoms, then this could be just hereditary as you mentioned. Then it needs no treatment. Hope I have clarified your query, do write back if any more queries & for your feedback All the best" + }, + { + "id": 148, + "tgt": "Will prolong usage of foley catheter for urinary retention cause bladder weakness?", + "src": "Patient: Hello doctor, I have been on a foley catheter since two. COVID prohibited the procedure at that time. I am having a cystoscopy on the 18th of this month. If all is well, will my bladder be too weak since it has been on the foley for so long? Foley has been a pain and I am on Xarelto and Plavix which causes intermittent bleeding during the day. But I do not have any infection. I am also a diabetic and I cannot self cath. What do you think they will recommend? I am currently on Flomax and Finesteride. Doctor: Hello. Coming back to your query, you need to answer some of my questions first. When the catheter was put how much urine came in the first 15 minutes (did your bag get filled fully, half or what)? Were you on a floral Finastride combination before you were put on a catheter? For what reason you were catheterized? Was it retention of urine? Any abdominal ultrasound done till date which mentions prostate size? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning, or micturition before catheter was placed and how long you were having them if any? Is your diabetic status under control? Any HbA1c report?" + }, + { + "id": 23403, + "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": 30814, + "tgt": "Other than painkiller, can you suggest some option for knee pain?", + "src": "Patient: Hi doctor, My mother has been suffering from knee OA. It is more on the left than the right. Her age is 54. She feels pain while walking and as a result of that she is unable to reduce weight. Currently, she is taking Jointace tablet, but there is no relief. Can you suggest some alternate option other than painkiller? She is also on Ecosprin, Rosuvas and Telma. Doctor: Hi. Degeneration of knee. 1. Calcium and vitamin D supplementation. 2. Co-Rosiflex Sachet one per day for three months. 3. Viscosupplementation injections. 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": 24884, + "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": 7428, + "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": 24584, + "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": 22742, + "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": 9459, + "tgt": "What is the difference between steroid-induced rosacea and normal rosacea?", + "src": "Patient: Hello doctor,I wanted to ask that what is the difference between steroid induced rosacea and normal rosacea? Doctor: Hello. A steroid is a medicine used for many dermatological conditions, available in various concentrations and potency. When potent steroids are used on face, it makes the skin thin (atrophy), making it more sensitive. It also makes the tiny blood vessels within the skin more visible which are usually not visible (telangiectasia). When such skin is exposed to sunlight, skin becomes red with burning sensation. In few cases, there can be red bumps and pustules. This is called steroid induced rosacea. Rosacea as such is an inflammatory condition of facial skin with genetic influence, aggravated by the overactive demodex folliculorum mite, which are otherwise silent in normal skin. Rosacea becomes worse on exposure to sunlight. The skin becomes red and hot on eating spicy foods, upon going near a hot flame, during anger and grief. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 425, + "tgt": "My breast milk is not ample. Which milk shall I feed my newborn, cow's milk or formula?", + "src": "Patient: Hello doctor, My child is one and a half month old. Which milk is better for him, cow's milk or artificial milk (as breast milk is not enough)? Doctor: Hello. Please know that until the baby is 6 months of age, there is nothing better than mother\u2019s milk. If you feel mother\u2019s milk is not enough, there are medications to increase mother\u2019s milk. Has it been tried? How frequent are you breastfeeding? What exactly is the mother\u2019s psychological status (I mean willingness to breastfeed, notions about mother\u2019s physique deteriorating by breastfeeding, not actually able to feed because of other medical conditions, mother being tensed about the happenings in the family or anything that she is really concerned with). Also know that the amount of milk secreted depends on: 1. How frequently the baby is offered breastfeed. 2. How well the baby is sucking. The milk secretion increases according to the baby\u2019s demand. More sucking- more milk. 3. Mother\u2019s diet. 4. The medications that the mother and baby are at present. Kindly give me the above details before you decide to stop breastfeeding completely. If you still want to know the best formula milk, there are many in the market like Cerelac, Lactogen, Nan, etc. Any of them will do. You should know the correct dilutions before feeding. Please know that if a baby is given breast milk for 6 months he/she will have better immunity, better mental abilities, and psychological strength compared to babies fed on formula milk. Please do not start Cow\u2019s milk, or buffalo milk, or pasteurized milk so early." + }, + { + "id": 8574, + "tgt": "My cholesterol level is low with high triglycerides. Is there a need to increase my statin dosage?", + "src": "Patient: Hello doctor, I am a 76-year-old male. I have the following conditions. 1. IHD for many years (T wave inversion). Recently undergone TMT and 2D echo. Both are negative. 2. Mild BP is normal and under control. 3. Thyroid under control. 4. Diabetes for five years and under control. 5. Prostatomegaly for five years is normal and under control. I am taking the following medicines, Betacard 50 mg, Glycomet 500 mg twice, Atorva 10 mg, Amtas 10 mg, Thyronorm 75 mcg, Deplatt 75 mg, Urimax D 0.4 mg. I have attached my lipid profile as well. I observed that though my cholesterol levels showed a decrease over two years, there is a marked increase in triglycerides from last year. I have been taking Atorva or some other statin right for 13 years. The apparent reason for me is recently I have been taking some snacks (like mixture, save, etc.) quite often. Besides that, I take biscuits two pieces twice a day besides some bakery products. Apart from that, I do not eat much-fried foods. I do not take ghee or vanaspati. I regularly walk for four km at a stretch. I am not sedentary. I do not drink or smoke. Now my question is whether I have to increase my statin dosage from 10 mg to 20 mg or so. Or does 10 mg is sufficient for these levels? My attending doctor did not say anything. Also, I have been taking Clopidogrel. Two years have been passed. Can I stop or do I have to continue. If so, how long? Please advise on Atorva and Deplatt. Doctor: Hello, Welcome to icliniq.com. I have gone through your explanation in detail. Your triglycerides level is at borderline, not high. You do not have to increase the Statin dosage all you need is to readjust your diet. Reduce the snacks and eat more vegetables and fruits. You should continue taking the Clopidogrel, it will reduce your chance of a heart event, so you cannot stop it. You might need to take it for as long as possible. Continue with the Atorva (Atorvastatin) and Deplatt (Clopidogrel) too, once you are not experiencing any adverse reactions from use. They could be a substitute, or the dosage can be increased if after you changed your diet, yet the triglycerides level keeps rising. I hope I was of help to you." + }, + { + "id": 11661, + "tgt": "My right eye pupil neither dilates or constricts. Why?", + "src": "Patient: Hello doctor, I am 17 years old. In my right eye my pupil is barely visible in the centered, but it never dilates or constricts, most of the pupil seems to be covered by my iris. My left pupil is perfectly fine and dilates and constricts according to the amount of light. I can see out of the affected eye but it is not as clear as my other eye. I have this condition since birth, and it is not anisocoria. Kindly help. Doctor: Hello. I understand your concerns and have seen your photo attachment (attachment removed to protect patient identity). From the image you have attached, I can say that this may be a persistent pupillary membrane. It is a disorder of eye development that occurs during embryonic growth and development. A condition such as this is usually asymptomatic except for the appearance, but if thick can obstruct vision. There are various treatment options, including laser iridotomy which can be done as an outpatient procedure, which will change the appearance. In case you need further information, please let me know." + }, + { + "id": 23630, + "tgt": "Why did I have blood clots and brown discharge during periods?", + "src": "Patient: Hello doctor, The period was two days late. When it started, it was watery. Then on the second day, it had some clots. Then it thinned up again and ended with brown blood. Why? Doctor: Hello. How are you doing? The possibilities for this periods are: For normal bleeding, you need a normal hormonal support to the endometrium, ovulation and the proper and complete bleeding. But, in your history I note your BMI (body mass index) is very high, Your expected weight is 52 to 56 kg. This extra fat is converted to hormones in the body which alters the normal hormone balance, leading to the poor formation and improper bleeding, which can appear as such a brown discharge, fleshy mass, and mucoid discharge. This needs only weight reduction by at least four to six kg. Any sudden increase or decrease in weight can affect these hormones. Another possibility is an infection around the uterus. If you have any yellowish or white or grayish discharge with or without itching or foul smell especially after sex and periods, pain in the lower abdomen before periods, feverish feeling, this could be an infection in the inner lining. So, the bleeding will be lesser in amount with fleshy masses, brownish and painful. This needs an evaluation by a gynecologist and a good course of antibiotics and antifungal medicines for you and your partner. Periods plus or minus seven days the expected date is normal, so two days is alright. Hope I have clarified your query. Do write back if any more queries. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30905, + "tgt": "Am I suffering from a mental problem?", + "src": "Patient: Hello doctor, I am a 42 year old married male. I have two daughters and a son. I have a good job and works as a manager in the engineering sector. During the past two years, I noticed myself with down health. One night, I suffered dizziness in my head and felt cold in my limbs. I almost lose consciousness and after reviewing the doctor turned out that I have a rise in pressure and cholesterol. After follow-up, the consultant decided to spend a medicine to pressure and settled pressure after a period of time. As a result of this incident, I am with fear and anxiety. Now, I cannot focus and lasting grief. I have forgotten the names and sometimes I confuse myself. I am reluctant as I feel the rapid fatigue and lack of energy. I have nervous and acidity that does not rest with sleep. I always think that I have an undetected disease and visited most of the clinics in various disciplines. All my laboratory tests are normal except vitamin D, which is slightly low. Currently, I am on Enalapril, Natrilix and Atorvastatin. Am I suffering from any disease? How can I find out whether it is organic or psychological? Most of the time I am upset, thinking about my situation and not enjoying my life. I am thinking as if I got Alzheimer's disease. Please help me. Doctor: Hi. \u00a0I have carefully reviewed your health issues and want to add that, this actually is a painful situation for a person like you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2740, + "tgt": "Amoxicillin is not helping my tonsillar enlargement with pus. Why?", + "src": "Patient: Hello doctor, I am a 37-year-old female. For about a month, my tonsil (left side) has looked enlarged and irregular. If I press on it I will sometimes see a little pus (or white fluid) coming out from behind it. It occasionally feels just a tiny bit scratchy. I did see our urgent care and they prescribed Amoxicillin. Finishing the script (875 mg for 10 days) did not rectify. I have an in-person ENT appointment within two weeks. However, with everything going on, I am nervous that I would not get in. I would also just love some reassurance if this is not wildly abnormal. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). Tonsillar surfaces are irregular normally due to the presence of crypts. The tonsil does not appear to be grossly enlarged, however, a better picture showing both tonsils would be of help. Pus discharge from tonsils can happen in both acute and chronic tonsillitis. However, in acute, there will be fever, sore throat, dysphagia, etc., and in chronic, there will be vague irritation in the throat, recurrent sore throat, and bad breath, or halitosis. In either case, since it is exuding pus you need a systemic antibiotic as you have already taken. You also need topical antiseptics like Chlorhexidine or Betadine gargles, plenty of fluids and analgesics for pain." + }, + { + "id": 11797, + "tgt": "Can you give a permanent solution for abdominal water retention?", + "src": "Patient: Hello doctor, I am a 33 year old male. I am having regular water retention problem, specially on the abdomen region. It fluctuates quite a bit and so does my weight on the scale. Sometimes there is a lot of discomfort to even wear normal trousers on certain days. This however is most prominent on the days after consuming alcohol the previous night. This has been there for the past 3-4 years, but recently I have observed that this swollen abdomen region remains for couple of days. I have had a thyroid test last month which was normal and general health checkup every year including ECG has always been normal. I am not under any medication and no known ailments. I should also add that my LFT test was done about a year back and that was normal as well.\u00a0It is just too uncomfortable on certain days to wear the usual clothes (trousers) and I would like seek a permanent solution to this problem.\u00a0Kindly advise.\u00a0Thank you. Doctor: Hello. First of all we have to find the cause for this. If no cause is found then we would call it idiopathic. I would recommend you following investigations: You should avoid alcohol, take low salt diet and do regular exercises." + }, + { + "id": 20132, + "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": 29543, + "tgt": "I have testicle infection. Will it get spread to my partner if I do sex without a condom?", + "src": "Patient: Hi doctor,My left testicle is swollen, and it pains sometimes. Doctors say that there is some infection. I was prescribed with AKT-4. Three months back, my semen analysis report showed pus cells 2-4 hpf and RBC 2-4 hpf.\u00a0My present report showed pus cells nil and RBC nil. Semen culture report showed no significant growth. Now, I have been prescribed with AKT-3. Still, I do have swelling and pain in the testicle.\u00a0Are there any chances of spreading the infection to my partner if I do sex without a condom? Doctor: Hi. I read your query and understand your concerns. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 16150, + "tgt": "Is it safe to do strength training for osteoporosis?", + "src": "Patient: Hi doctor, Is it safe to do strength training for osteoporosis? Does strength training improve the bone mineral density? What type of exercise or movement are good for osteoporosis? Which one has to be avoided, and why? What are the signs and symptoms seen in osteoporosis? When it has to be diagnosed in everyone? Doctor: Hi. Strength training is not safe, and it is highly recommended in osteoporosis. It helps to increase the bone mineral density. Do workouts that keep the spine straight such as squatting. Try to strengthen your back muscles. Have workouts on your hip and spine. Do cardio exercise along with these workouts. Have a regular walking. You have to avoid activity that involves the bending of the spine. Avoid doing the heavy lifting. Osteoporosis has to be screened in persons who reach menopause, persons having a history of fracture frequently after 40 years of age and persons with family history. Individuals having back pain, pain in the knee joint, and having fractures frequently has to be screened for osteoporosis. It has to be tested for men above 60 years of age and women above 45 years of age." + }, + { + "id": 17081, + "tgt": "I had intercourse for the first time and now there is spotting. Is it pregnancy?", + "src": "Patient: Hi doctor, My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy? Doctor: Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17775, + "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": 14453, + "tgt": "Is it advisable to take Kalarchika for PCOD?", + "src": "Patient: Hello doctor, Can we take Kalarchika during periods as I have PCOD? I started to take it two weeks before but yesterday I suddenly had mild pain in the lower left abdomen. Kindly advice. Doctor: Hi. Kalarchika or Kalchikai is a well known Siddha medicine to manage PCOD. In Ayurveda, it is identified as Kuberaksh or Lata karanja. It helps to reduce the size of an ovarian cyst and regulates hormonal imbalance. You should continue this even in periods too. Pain or cramps may be due to irritation or constipation. It can be managed by symptomatic treatment. Hormonal imbalance, pelvic inflammation, constipation, etc. USG abdomen, thyroid profile, FSH, LH. You can take Kalarchika powder 3 gm twice a day with warm water after meals. If bleeding is there then you can take Styplon two tablets twice a day after meals. You should take proper line of treatment of PCOD. Avoid spicy and fried junk foods, eat fibrous foods and fruit as well as green leafy vegetables. Do regular Kapalbhati and Mandukasana." + }, + { + "id": 15690, + "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": 18053, + "tgt": "Should I avoid coffee while taking ayurveda medicines?", + "src": "Patient: Hello doctor, I am taking Manasamitravadakam and Ashwagandharishta along with Indukantham kashayam and Pancatipakkinic chooranam\u00a0for depression and insomnia. Should I avoid coffee when I am under ayurveda\u00a0medications? How are Indukantham kashayam and Pancatipakkinic chooranam\u00a0beneficial? Doctor: Hi. I just read your query. Lifestyle related or hereditary. Revert back after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21130, + "tgt": "My 2 month old baby has a temperature of 97. 9. Should I give Crocin?", + "src": "Patient: Hello doctor, My two and a half month old son is having a cold and I am giving him T-minic medicine. I checked his temperature and it is 97.9 in his underarm. Should I give him Crocin or not? If yes, then what should be the dosage? Doctor: Hello. No need of giving Crocin since temperature is below 100 F. If you need to give Crocin, please give Crocin syrup (100 mg/ml) 0.5 ml SOS if the temperature is above 100 F. Continue T-minic (Chlorpheniramine and Phenylephrine). If cold persists, please get the child evaluated physically since it is a very small child." + }, + { + "id": 22288, + "tgt": "Which specialist would perform surgery of a galactocele?", + "src": "Patient: Hello doctor,My wife stopped breastfeeding our\u00a0third child five months ago, after a lot of sucking difficulties and painful nipples. Because of that, her breasts plugged and did not empty properly. She has tried breast pump without any luck. She has now developed painful galactoceles on both her breasts. How long does it take before these galactoceles disappear by themselves? They have not declined in size since all this time. Is it necessary to go for a surgery? If so, what specialist would perform this kind of surgery? Doctor: Hello. A galactocele is a milk filled space inside the breast. Breast problems are common after childbirth in those women who had stopped breastfeeding or experienced sucking difficulties. Firstly, I hope you are sure that it is truly a galactocele and not any other swelling. Probably it was diagnosed by mammography already. If not, you have to get it done first to assess the nature of the swelling. However, considering this as a galactocele, I understand your concern, as five months has passed without any regression of size. Now, as per my opinion, there are limited options for conservative therapy. Let us hope that it might resolve on its own. There are two options available. The first one is to go for aspiration of the cysts under ultrasonography guidance. If this fails, the second option of open surgery should be considered for drainage. And a general surgeon can perform these procedures after a proper diagnosis, and few preoperative investigations. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20318, + "tgt": "What is the treatment for Crohn's disease?", + "src": "Patient: Hello doctor, I am 33 years old. I have an early stage of Crohn's disease. Do you have treatment for Crohn's disease? Is it a curable disease? Doctor: Hi. I can understand your concern. Crohn's disease is a psychosomatic disorder. Its management depends on the condition. If it has no complications, then it can be managed naturally through ayurvedic medicines. You should share your detailed disease history and all relevant investigation reports and medications history regarding this concern. I would like to help you." + }, + { + "id": 9591, + "tgt": "I am afraid of flu and skin rashes I had after oral sex. Please help", + "src": "Patient: Hello doctor,I received oral sex from a sex worker without condom and sex with a condom. After two weeks, I got flu (no fever), then I was panic, too much stressed and worried. And I had body burn like sunburn about a week. I have a skin rash on my backside and a few spots. I worry about this problem. I have it for the past 22 days. Kindly help. Doctor: Hello. 1) Oral sex is a less risky activity, but, that does not mean that it is risk-free. 2) The likelihood of HIV transmission from a person with HIV to a non-HIV infected individual depends on the type of contact involved. 3) The risk of HIV transmission during oral sex, i.e., seminal or vaginal fluid with HIV finding it is the way in non-HIV person is more likely if there is associated inflammation, cuts, sores present, presence of an infection in throat or mouth which will cause inflammation. 4) Bad oral hygiene and taking ejaculate (cum) in your mouth is a bad combination which can turn your low-risk activity to high-risk behavior. 5) The risk of becoming HIV infected through unprotected oral sex is lower than that of the unsafe sexual act. 6) Studies have shown that if you are using condom consistently \u200band correctly, and if the condom did not break while the sexual act, HIV risk would essentially be nonexistent. 7) Skin rash, body burn, and flu can have multiple causes. At the same time, I also suggest that there is no harm in knowing your HIV status. For that, you need to undergo HIV rapid test at any accredited lab, one at this time, and if negative a repeat test at three months and then at six months of exposure. I hope your queries are answered but if you still have, please revert." + }, + { + "id": 16013, + "tgt": "My pubic area smells terrible. Please help", + "src": "Patient: Hello doctor, I am 29 years old and I have been diagnosed with PCOS. I have a drooping bladder and I cannot take this smell. My vagina stays dry and sex is painful and hurting. I have the sex drive of an 80-year-old instead of a person in their 20\u2019s. Also, my husband\u2019s semen interferes with my pH balance and makes my vagina have a terrible smell. My husband has these knot-like bumps in his groin area. They appear to be raised or badly infected hair bumps or keloids. Similar bumps are seen around his beard towards the neck area. I am trying to conceive. Is this possible? I had undergone tests for STDs and those screening tests are all normal. I use deodorant right under my belly to try and control the irritating smell. I have also tried waxing or removing the hair in the pubic area, but nothing helps. I lose my bladder even after I just emptied it. I continue to get UTI and yeast infections. I have a pus pocket on my tonsils that stays infected. Another issue I am having is that I am overweight for my height. And I feel extremely tired and fatigue. I have been having headaches. My memory is also slipping away. Vitamin B12 is not helping. Please help. Doctor: Hi. It looks like you are struggling with a lot of medical conditions. But the good news is that all of these are easily treatable. Do not worry. PCOS is treated depending on the symptoms. If you are overweight you need to stick to a diet plan, exercise and manage stress to keep this condition under check. It may be a good idea to check your thyroid and prolactin along with sugar and lipid levels. Anything that is prescribed to control your unwanted hair will interfere with pregnancy except Metformin which can help reduce weight, help you conceive and help reduce unwanted hair. Using deodorant directly on the pubic area is not safe. Every woman has a specific odor. You cannot completely take away that odor. For yeast infections, you need local creams/pessaries and if recurrent fungal infection persists, you may have to take oral antifungal medications. If your partner has similar symptoms, he needs treatment as well. Same applies to UTI (urinary tract infection). Your husband needs to get his groin and beard swellings checked. Attach photographs of the swelling for further follow up regarding the swellings. It is better to avoid sex until all these infections are completely cleared. Later on, you can use a water-basedlubricant for dryness of the vagina. UTI may be a reason for poor bladder control, so wait till the UTI is cleared. You can learn to do pelvic floor exercises for bladder control. If your periods are regular you can try for pregnancy naturally after three months. For tonsil infection, you need to take antibiotics. Headaches could be a result of sinusitis along with infected tonsil. For further follow up regarding conception, consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24930, + "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": 20067, + "tgt": "I got flu-like symptoms for two months in a row. What to do?", + "src": "Patient: Hello doctor, I am a 20 year\u00a0old male, who weighs 175 lbs and I am 5.11 feet tall. I had flu-like symptoms\u00a0last month, which lasted for about three days. And I just had flu-like symptoms again this month. It started three days back, and it is not as severe as the first time. First time I had a fever, chills, headaches, pain and sore throat. The symptoms this month started with a sore throat, then I got a fever of 101 F, followed by a\u00a0headache and back pain. Doctor: Hello. I have gone through your query, and I can understand your concerns. The symptoms you have mentioned are suggestive of pharyngitis (a sore throat) along with a common cold. You do not need to worry regarding this as it is highly curable and complications are rare. I suggest you consult a general practitioner and get the following things done. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4666, + "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": 10850, + "tgt": "I am worried and emotional most of the time. Kindly advice", + "src": "Patient: Hello doctor, I am constantly worrying about little things and I am emotional most of the time. I feel tired all day. Please advice. Doctor: Hello. Generalized anxiety, social anxiety, and related low mood symptoms are quite common in adolescents. It is positive that you are insightful about your symptoms and seeking help. Have an open talk with your parents and trusted family members about your worries and difficulties. It is important not to isolate yourself as it will worsen things. You can practice some self-help interventions to manage your anxiety like, 1) Try progressive muscle relaxation exercises. 2) Deep breathing techniques. 3) Exercise regularly for at least 15-20 minutes daily. 4) Eat healthily and sleep regularly for at least eight hours. 5) Develop some relaxing hobbies like listening to music and watching exciting programs on TV can help to provide a useful distraction. If anxiety is persistent, you can consult a doctor locally and have some counseling or talking therapy to manage your anxious thoughts and develop positive coping strategies." + }, + { + "id": 21363, + "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": 20261, + "tgt": "My daughter froths while sleeping. What is her problem?", + "src": "Patient: Hi doctor, My three and a half year old daughter froths while sleeping. What can be the problem?\u00a0This has been going on for the past two months. Please see the one minute video I have attached. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10757, + "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": 26612, + "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": 30805, + "tgt": "Can Epilim cause bleeding during pregnancy?", + "src": "Patient: Hi doctor, I am 13 weeks pregnant. I am on 800 mg Epilim per day that is 400 mg in the morning and 400 mg at night. I have had threatened miscarriage and more spotting. Can Epilim cause bleeding in pregnancy? Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26646, + "tgt": "I cheated on my wife and am really worried about HIV. Please help", + "src": "Patient: Hello doctor, I am a 35 year old male. I cheated on my wife and I am really scared that I\u00a0may have HIV. When I\u00a0say scared, I\u00a0mean night terrors, huge anxiety, and no appetite (lost 15 pounds in three weeks). I\u00a0cannot work and it is all I\u00a0think about. The circumstances are as follows. I performed oral sex on a female. I then fingered her and then masturbated myself with the same hand. I have asked a few professionals and they say I am only at risk theoretically but have no real risk of contracting HIV. However, my body tells me differently. I have had a sore throat for 20 days, no appetite, pain where my liver and spleen are, weakness in my legs that come and go and a hint of nausea every now and then. I have night sweats that awaken me but they are accompanied by panic. My heart feels like it is going to burst. My tongue and mouth burn, but I\u00a0think that is acid-related because my breath is awful, no matter how much I\u00a0brush. I had an Alere combo HIV\u00a0test at 25 days and that was negative. I have never had a fever, rash, swollen nodes, or any of the common symptoms. My questions are what is my real risk of contracting HIV? The health department said I do not need to retest and that 25 days was enough time for accurate results with that type of test. Is that true? Could this all be anxiety and guilt? Doctor: Hello. I understand that you are worried but it is not the end of the world. Hope this helps.\u00a0Take care. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist \u00a0" + }, + { + "id": 29492, + "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": 9420, + "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": 23506, + "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": 15106, + "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": 27989, + "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": 9498, + "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": 30992, + "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": 24373, + "tgt": "Report says breast nodules are fibroadenoma, but I am terrified. Please help me", + "src": "Patient: Hi doctor, They found two solid nodules around .09 cm on my left breast, one of which was suspicious finding BIRAD 4. On the ultrasonography, it looks black inside, wider than tall. Please help me out. I am terrified. The report said although it could be a fibroadenoma, it is still suspicious. Doctor: Hello. I have gone through the ultrasound report of the breast (attachment removed to protect patient identity) which is showing two suspicious solid nodules. Now, it is highly recommended to take a biopsy from both the solid nodules to confirm the diagnosis. Biopsy report will clear all the doubts and will show whether it is fibroadenoma or any other benign lesion or malignancy. The major risk factors for developing breast cancer are: In case you have any family history of breast cancer then you must go for genetic counseling. If you have any further questions revert to me. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25282, + "tgt": "High fever and swollen lymph node. Is it a bacterial or viral infection?", + "src": "Patient: Hello doctor, My son has been sick with a high fever (between 101.7 to 103) and swollen lymph node on one side of his jaw right beneath his left ear, complained of pain in the neck, and pain inside his mouth. I took him to his pediatrician the following day and was prescribed Clindamycin 150 mg three times a day for 10 days. His doctor made a big mistake by not doing any throat culture for a definite diagnosis of what she suspects as a strep/staph bacteria on his lymph node. I did not doubt the doctor then and gave him the antibiotics as prescribed. I took him back to the office on Tuesday to be seen by another doctor in the facility to do a rapid test for strep which of course came out negative since he was already taking the antibiotics. He was not getting better but worse the following days with fever not reducing, worse pain inside his mouth, not eating, skin over the lymph node turning red, and also generally feeling ill. I thought the antibiotics were not working after three days of taking Clindamycin. So, took him to the ER. ER doctor gave him one dose of Clindamycin through the IV and although his fever was still present, the redness on his lymph node diminished a bit. He had an ultrasound and they said it was not an abscess. They drew some blood to also check for mono which we do not have the result in yet. They sent us back home and told us to continue with the antibiotics until the mono test comes out positive. He is acting a bit better today (six days after onset). However, still running a fever at night 101.7 and his swollen lymph node slightly came down in size but not completely. The inside of his mouth is still painful. He does not eat much or drink much. He has been complaining of his belly feeling weird and slept a lot yesterday. We went back to our pediatrician for a followup today and our doctor suspects that he has mono due to his higher liver level but of course, we would need to confirm that for the real result. We are still told to take the Clindamycin until we hear back about the result. I am just really concerned with his past infectious disease history. He was hospitalized with Kawasaki six years ago. And with his natural immunity so low I am concerned if the Clindamycin is doing more harm than helping him at this point. If I can turn back time, I should have asked the doctor to swab his throat before prescribing him the antibiotics but it is too late now. I cannot make him stop taking his antibiotics just in case he does havea bacterial infection. Is it possible to find out after taking his antibiotics halfway, to find out if he has the bacterial infection for sure? And what should I do if the mono comes out positive? I am afraid to stop the medication in case he both had a bacterial and viral infection and make things worse by stopping the medication without any medical proofs that he should. But I am also afraid to continue the medication in case he only has mono and the medication is making things worse on him. Would it? If he only takes the Clindamycin until Monday, which would be full seven days, is that sufficient treatment time for strep in case he had it too? I want to get your opinion on this. Please answer ASAP. Doctor: Hello. Here are the points I would like to bring across: The lymph node is quite inflamed as per the picture (attachment removed to protect patient identity) that you sent. It may be inflamed in the event of any infection be it viral or bacterial. Your reports are showing a high WBC count with high neutrophils and also a high CRP which is more suggestive of bacterial than viral infection. Hence the doctor was right in prescribing Clindamycin. However, since the infection load is very high maybe an additional drug may be required or we may need to change the drug based on the response. Another last resort, if all fails, is to do a biopsy and find out what the lymph node actually contains. However, this is an extreme and painful step and should be reserved for the last. As per what you are describing it may also be mono but even if it is mono you do not need to worry, it is self-limiting. Continue the medications as advised. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11691, + "tgt": "Why do I have painful red spots and skin cracks on my penis?", + "src": "Patient: Hello doctor, I saw red spots, and skin crack on my penis head. Sometimes, it become painful. Urine open area is also painful and open like a lip. Doctor: Hello. You may be suffering from balanitis or pearly penile papules or sexually transmitted disease. If you have any sexual contact with an unknown person, then we can think of HPV warts (human papilloma virus) which comes under sexually transmitted diseases where you need investigation and start you on antiviral and surgical removal of the wart. If you had sex with a known person, maybe you would have caught simple infection and that can be treated. If it is due to condom allergy, balanitis inflammation due to painful sex, simple antibiotics and anti-inflammatory will help you. Another condition is pearly penile papules where there is no need to worry about infection. Sometimes it will heal on its own, or you need to meet a dermatologist to confirm the diagnosis for its removal. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 30199, + "tgt": "I think I swallowed some particles of rat killer cake. What to do now?", + "src": "Patient: Hi doctor,As the rats were troubling me, I bought a rat killer cake. I just sprinkled the cake like powder in air. I think a particle could have gone into my mouth. After that I did not swallow anything. Please help me 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": 26792, + "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": 5125, + "tgt": "I have chronic sinusitis with smell and taste disturbance. Can it be reversed?", + "src": "Patient: Hello doctor, I was diagnosed with chronic sinusitis last week. I have a very weak sense of smell and taste, tinnitus, post-nasal drip, and congestion. My sense of smell is also getting weaker for the last five days. Can chronic sinusitis permanently damage my sense of smell at this time? Or can it be reversed? I have used nasal sprays, antibiotics, and Prednisone to no avail. This has lasted nine weeks. Doctor: Hello. Chronic rhinosinusitis is a chronic inflammation of the nose and sinuses where there will be significant dysfunction in sinus physiology. This causes swelling of the nose tissues leading to symptoms such as nasal congestion, nasal discharge, post nasal drip and heaviness of head. Decreased sense of smell or loss of sense of smell is also one of the symptoms of chronic rhinosinusitis. Disturbance in sense of smell in chronic rhinosinusitis is usually due to mechanical obstruction to the passage of air to the nerves which carry the sense of smell rather than actual injury to the nerves. Usually, there will be recovery of sense of smell and may take a few months with treatment for rhinosinusitis. You may need to take better antibiotics such as Clarithromycin for a week, along with a repeat course of steroids. Nasal washes with saline mixed with steroid respules are also useful in reducing the swelling and improving the sense of smell. I can say that permanent loss of sense of smell is very unlikely in chronic rhinosinusitis. Treatment of rhinosinusitis either by medicines or surgery usually brings back the sense of smell. CT (computed tomography) scan of paranasal sinuses, diagnostic nasal endoscopy. Clarithromycin 500 mg once daily after food for seven days. Montair LC (Montelukast and Cetirizine) once daily in the night for a week. Wysolone (Prednisolone) 10 mg two times daily for five days. Nasowash saline washes two times daily (mix two respules of Budecort to 500 ml of solution for washing). Pan 40 (Pantoprazole) once daily before food for seven days." + }, + { + "id": 9634, + "tgt": "What does increased echogenicity in liver with coarse echotexture in abdominal ultrasound mean?", + "src": "Patient: Hi doctor, I had an upper abdominal ultrasound. Report stated very suboptimal scan, bowel gas shadowing and patient habits and subcostal position of organs. Visualized sections of liver are increased in echogenicity and a coarse echotexture. Portal vein demonstrates hepatopetal flow. Liver enlarged 18.6 cm. Both kidneys, aorta and spleen are satisfactory. I am very worried. Can you give a second opinion? I have scan images too. Doctor: Hi. Your ultrasound does show hepatomegaly with fatty infiltration. No focal abnormality can be seen in the images provided (attachment removed to protect patient identity). However, ultrasound has its limitation and is not able to see through the bowel gases and fat depth which is why your radiologist has mentioned to avoid over diagnosis. If clinically indicated, they would recommend you a CT scan or MRI." + }, + { + "id": 15380, + "tgt": "I can see new moles on my face, chest, back and neck. What to do?", + "src": "Patient: Hi doctor, I am 30 years old. I can see a lot of new moles on my face, chest, back, and neck. Two to three of them are slightly asymmetrical too. All the moles are less than 5 mm. Please suggest. Doctor: Hi. I have read the query and seen the pictures attached (attachment removed to protect patient identity). These moles look normal. If there is any sudden change in size, shape, pigmentation, or any bleeding, then a dermoscopic examination or biopsy can be done by your local dermatologist. Avoid going out in sunlight, as it reduces the occurrence of moles over the covered areas. Apply sunscreen over the exposed areas twice daily and regularly." + }, + { + "id": 19725, + "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": 15422, + "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": 27564, + "tgt": "I have breathing trouble and cough in spite of taking TB medicines. What should I do?", + "src": "Patient: Hello doctor, I have tuberculosis and have been taking medicines for three and half months. \u00a0Now, I have a breathing problem and cough. Doctor: Hello. Follow up after 10 days with the test reports. Revert after 10 days to a pulmonologist online --> https://icliniq.com./ask-a-doctor-online/pulmonologist" + }, + { + "id": 17355, + "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": 8098, + "tgt": "I lost interest in everything along with anxiety and fear of moving out. Kindly advice", + "src": "Patient: Hello doctor, I have anxiety, fear of going outside, and get panic when there is any discussion on going out. Sometimes my chest feels heavy. I feel sad most of the time. Lost interest in everything. Please help. Doctor: Hello. It seems that you are suffering from depression and anxiety because the symptoms you mentioned indicates it. 1. Take adequate sleep. 2. Do regular exercise, i.e. go for a morning walk daily at least 45 minutes. 3. Take a healthy diet and avoid any substance like alcohol or tobacco. 4. Do breathing exercises or Jacobson progressive muscle relaxation. You can search for it and learn how to do this. Do things you like. Take active part for going outside, start slowly and steadily. For example, first, take an active role in the discussion and then go out for only a few minutes then increase gradually. Whenever you feel panic, later try taking a deep breath and feel the moment and keep your thoughts to the present situation. You need to be persistent with these as these take time to overcome your fear. Also, medicine from SSRI (selective serotonin reuptake inhibitor) group such as Sertraline or Paroxetine can be helpful. Before starting medication try non-medical things as mentioned above. Visit a nearby psychiatrist for discussion regarding the drug. I hope this will help you." + }, + { + "id": 22255, + "tgt": "Mom has brain hemorrhage and is unconscious. Please comment", + "src": "Patient: Hi doctor,My mom has a brain hemorrhage. She has been unconscious. It has been two days since she is in ICU with artificial oxygen. Can you please comment more on this? Doctor: Hello. I have seen the report (attachment removed to protect patient identity). Your mother has pose a danger on the left side of the brain in a very critical area. The most common cause of this bleed is high blood pressure. In such a situation, patients take a long time to recover. The fact that the bleed is on the left side puts her at high risk of residual disability such as speech disturbance, memory disturbance even if she regains consciousness. The bleed is pretty bad and causing increased pressure within the skull which might pose danger to the remaining normal functioning brain. In such a situation, a decompressive craniotomy surgery may also be required. In the long term, she will take a long time to recover which can be up to six months. Whether and when she will regain consciousness, cannot be accurately predicted and depends a lot on her neurological status and co-morbid conditions such as control of diabetes, hypertension and heart disease if any. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 2561, + "tgt": "I have high protein leakage with no noticable symptoms. Is kidney biopsy necessary?", + "src": "Patient: Hi doctor, I am a 24-year-old female. When I was 18 I went to the doctor and they said I was leaking high amounts of protein. Also, I had some bacteria showing up in my urine so she gave me medicine for that which I had to stop taking before the dosage was out because I reacted badly to it. Then she sent me to a kidney doctor who ran a bunch of tests and found nothing wrong. He said I might have autoimmune deficiency and they might have to do a biopsy it scared me and I never went back. Six years later and I feel perfectly fine no frequent urinating or none of the symptoms I looked up. I was always been in shape even though I do not eat healthily. I was wondering after all these years should I be concerned about my kidneys? I do not want to have kidney failure also my mom has the condition sarcoidosis which I know causes protein and a bunch of other stuff to happen. Doctor: Hello. Going by the history given by you, it seems that you had proteinuria (that is protein leaking in the urine due to some defect in kidneys). There are multiple conditions which can lead to proteinuria. The treatment varies depending upon the cause which can be established by kidney biopsy. There are a few causes which can resolve spontaneously which most probably happened in your case. Still, I would advise doing a kidney function test (urea, creatinine), urine routine, urine protein creatinine ratio (spot). If these investigations show any abnormality we should proceed with a kidney biopsy to guide further management. Also, please check your blood pressure as well." + }, + { + "id": 18484, + "tgt": "I have brown patches on my neck which comes off as dead skin. What is it?", + "src": "Patient: Hello doctor, I have brown patches all around my neck and on my chest. On closer inspection these patches are actually made up of small brown or black spots. On my chest, they feel rough and have a matt texture. On my neck they are pretty much noticeably raised from the skin surface if I feel it with my hand. After a bath, if I rub them with my hand very thoroughly or if I scratch them with my nails when wet,\u00a0they come off pretty much like dead skin. There are loads of skins that I shed when I do that. It does get lighter and much less noticeable, but never gets removed. They grow back in just two to three days. I have had this issue for more than two years now. I tried taking antifungals and applied Fluconazole cream for a week, but nothing seemed to help. I have been to quite a few dermatologists who seemed to have different opinions. I read it could be pityriasis versicolor. Please help me. Doctor: Hi. Revert back with the asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21235, + "tgt": "Kindly help me get rid of pain in testis", + "src": "Patient: Hello doctor, I am suffering from epididymitis problem. Sometimes I am having pain in testis while having a gastric issue as well. Kindly help me to get rid of this Doctor: Hello. Testicular pain with these doppler findings (attachment removed to protect patient identity) shows some infection of the epididymis. If it is a recent onset symptom, I suggest: Have you been prescribed any medicine for this ailment? Any associated urinary symptoms? How is the flow of urine? Please attach the urine analysis report. Relief of pain will take some time and swelling may take three weeks to subside. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20631, + "tgt": "Why is my pregnancy seen on UPT but transvaginal ultrasound reads negative?", + "src": "Patient: Hello doctor, This is my 6 weeks and 4-day pregnancy. My pregnancy is seen on UPT but not on ultrasound. My Hb level reads at 9672.7 miu/l. I have done a transvaginal ultrasound and it reads negative pregnancy. I am panicking now. What can I do? Doctor: Hi. Something is missing or not investigated or reported properly. Are you having some pain, bleeding, etc.? If beta hCG is 9672.7 miu/ml and seven weeks scan has no pregnancy-related findings, then it is indicated that there is something missing in the scan or in beta hCG. It is better to repeat beta hCG after 48 hours of above one to check how much it is increasing and have one scan with a senior specialist to check any intrauterine honey-comb appearance (suspected of abnormal conception and need detailed investigations) or any mass outside the uterus (alarming pregnancy outside uterus that needs emergency intervention). Check whether in both described cases, there is no healthy pregnancy seen or any developing pregnancy with irregular periods. In case of bleeding, pain, fainting, or dizziness, immediately rush to gynecology emergency. But still, you need to repeat beta hCG level and transvaginal scan to clear the situation. Do laboratory tests and discuss here or with a local gynecologist." + }, + { + "id": 25836, + "tgt": "Is there a chance to increase height after 18 years of age?", + "src": "Patient: Hello doctor, I am an 18-year-old female with a height of 153 cm and weight of 45 kg. I got my period at the age 11. My parents' heights are about 156 and 165 cm. Is there a chance that I can increase in height? Doctor: Hello. It appears that you have already surpassed your predicted height of 149 cm based on your parental height calculation. After 18 years of age in females, there is usually a very slight chance of growing further. You can try to exercise like cycling or playing sports to grow further. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7098, + "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": 26894, + "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": 28187, + "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": 27972, + "tgt": "My boyfriend treats me as an option. What to do?", + "src": "Patient: Hi doctor, I am a 24 year old female. I am in a relationship since three years. I am not treated with the same love and dignity by the person. In this duration of our relationship, he left me twice for two months without communication, and he used to text when he needed anything. It is always me, who has to give and make efforts. Whereas on the other end, he seems happy, and he does not bother nor miss me till he wants to have fun or money. He often treats me as an option. If I call, he gets irritated, and if I message, he just ignores them. I think it is time\u00a0to put a stop to this. He does not give any commitment. He often says that some day our paths will be different. He wants\u00a0materialistic things from me, rather than wanting me. Whenever I talk about marriage, he says that his family will not\u00a0support\u00a0us. Still, he wants to keep a relationship with me. I have left my close ones, and I have changed my personality for him. He was good before, but now I do not recognize him. I feel like a beggar, who begs for his time. I know that I am holding on to someone whose does not even care about me, but I am unable to get over it. I tried to divert myself with my hobbies and interests. I left my job, and now\u00a0I do\u00a0not have money. And he is earning well now. All this frustration is ruining me. I have insomnia, and I cannot sleep at nights. I have got hypothyroidism. This lonely feeling is eating me. I have many things to do, but I am not able to work on anything. Though I train myself to be strong, ultimately I land up getting fooled by his messages or the thought of seeing him with somebody else. But, I cannot take this kind of behavior from him. Please help. Doctor: Hi. I read your query and understand your concerns. I hope this answers you.\u00a0If you have more questions or need to discuss in details about anything related to it, feel free to write back to me.\u00a0I will be glad to assist you.\u00a0Thanks and regards. For more information consult a psychologist counsellor\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27631, + "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": 7461, + "tgt": "Can I take Melatonin while on Lisinopril?", + "src": "Patient: Hi doctor, I am currently taking Lisinopril for high BP. May I use a salt substitute\u00a0to reduce magnesium level? Can I take Melatonin while on Lisinopril? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24692, + "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": 28220, + "tgt": "I am pregnant, and I went into a temperate pool, which was 98 F. Will it affect my baby?", + "src": "Patient: Hello doctor, I found out that I am pregnant, and the next day I went to a spa. Knowing that hot tub and sauna are not good for me, the lady at the spa told me to go to the temperate pool, which was 98 F. I went for five minutes, and now I am so scared. Did I do something wrong? Please help. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10891, + "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": 4864, + "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": 17865, + "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": 17390, + "tgt": "If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?", + "src": "Patient: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests\u00a0high RBC, hemoglobin, and PCV. Though it reduced slightly from last year, it is still high. From the past 15 days, I completely quit alcohol and cigarette. Will the RBC, hemoglobin, and PCV come back to normal? If so, how much time will it take approximately? Last year, my hemoglobin was 20.1 g/dL, but now it is 17.4 g/dL, PCV is 55, and RBC is 6.72. Please help and suggest some treatment. Will it ever be normal? I have attached my reports. Doctor: Hi. I have gone through your attached reports (attachment removed to protect patient identity). Hope your concern is solved. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16170, + "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": 28150, + "tgt": "Is heart attack genetic?", + "src": "Patient: Hi doctor, I am a 30 year old female. My father who is 65 years old has suffered from two very severe heart attacks, one recently and another two years back. His father and brother both died in their 50s from heart attacks. Is heart attack genetic? Should my son and I get tested? Doctor: Hello. Yes, heart attack has a genetic component coupled with environmental elements like lifestyle, etc. Your chance of acquiring it depends on both of your parents. Likewise, your son acquiring it depends on you and your husband. But you are at an increased risk, so you should get periodic health checkup done. Especially blood pressure, lipid profile and blood sugar. I suggest you follow a healthy lifestyle as follows. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8567, + "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": 24108, + "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": 22191, + "tgt": "What is the cause for getting stye?", + "src": "Patient: Hi doctor, My daughter is getting stye in her eyes for the past six months that too very frequently. So, I consulted an ophthalmologist, and he suggested her glasses with a cylindrical power of -0.75 for both eyes. Her vision is six by six in axis 180. Should I make her wear glasses, or stye can be cured by following a proper diet? Doctor: Hello. It is not wrong to correct the vision. You have to learn, or your daughter has to learn how to clean her eyelids and eyelashes every night before sleep. She can use a small piece of tissue, wet it by sterile water and then gently wipe the edges of the eyelids so close to the roots of lashes, this must be done daily as a daily habit. After that, she can put an eye ointment after cleaning the eyes on the edges and lashes. The eye ointment should be Tetracycline or Fucithalmic (Fusidic acid) used for one month. Then stop using it for three months. After that, you can use it for one month. Then stop using them for six months. Then use them for one month. But, do not leave them unclean. If the stye comes again, continue what I have explained above. If the stye come due to infection, you must discuss with an internal doctor to search for the cause. Your daughter should always avoid the sun (put sunglasses), the dust and all other allergic factors. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20026, + "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": 5453, + "tgt": "My uncle has been diagnosed with cancer. Please give suggestion on palliative care", + "src": "Patient: Hello doctor, My uncle has been diagnosed with cancer. I am looking for treatment options and advice from an oncologist. The current doctor who has been treating him has suggested we stop all treatment as he may not have much time left. I am looking for other options or opinions this is what one of the doctors said on seeing the biopsy. \"It appears like rectal malignancy but a PSA value and PSA stain of the biopsy tissue would rule out prostate cancer. It is not a good prognosis if it is rectal cancer given the stage but I think a PCN will only help to improve him temporarily with improvement in creatinine and possibly avoid dialysis. I guess you need an oncology opinion to give palliative care to keep him comfortable ie.. free of pain, eating and breath easy.\" I can provide you with some status, but since I am not sure how to distinguish between prostate cancer and rectum cancer. I would need help from a professional to differentiate. Additionally, he has two bags attached to his body now, one for stool another for urine. He got operated for rectal dysfunction about 18 years ago and has had been using a stool bag since. Due to his recent kidney stone issue, a urine bag has been added as well. Please help. He is really suffering, and I do not know how to help. Doctor: Hello. I have seen the reports. (attachment removed to protect patient identity). It is quite sad that your uncle has advanced stage of cancer. As you asked me how to differentiate between prostate and rectal cancer. There are three possible ways. 1. Serum PSA (noninvasive). 2. PSMA PET scan (noninvasive). 3. TRUS guided biopsy (invasive). Doing a PCN (percutaneous nephrostomy) is a very good option as a tumor of such kind usually obstructs the ureter. And depending upon whether it is a prostate or rectal primary. Palliative radiotherapy along with metronomic chemotherapy is a good choice at this stage. But this will improve his condition on a temporary basis only. And if it is a prostate cancer then he can be started on hormonal therapy. Serum PSA (prostrate specific antigen) levels, PSMA PET (prostrate-specific membrane antigen) scan, or TRUS (transrectal ultrasound guided) biopsy. Ca rectum. Ca prostate. Based on histology or PSA (prostate-specific antigen) level but with palliative intent only." + }, + { + "id": 10174, + "tgt": "I am having PCOS, and trying to conceive for eight months. What is the treatment?", + "src": "Patient: Hello doctor, I am 33 years old. I have been trying to conceive for eight months from now. I have monthly periods and positive OPKs and BBT shifts, but periods are also very light, basically spotting. I had an Ultrasound which showed a few cysts, had mildly elevated testosterone, normal LH and FSH, normal estrogen, low progesterone. My PCP is not convinced. I have PCOS but I am wondering if that is still a possibility and what I should anticipate for treatment in the future (clomid vs. progesterone therapy, etc.)? Doctor: Hello. The fact that you are getting positive OPKs each cycle indicates that you have an anovulatory cycle or in simple terms that you are ovulating regularly. PCOD (polycystic ovarian syndrome) cannot be diagnosed alone with just small cysts in ovaries, rather one should have around 10 to 12 multiple small subcenterimetric follicles lining the periphery of the ovary during midcycle scan, one should have featyres of clinical hyperandrogenism like acne, hirsutism (excessive facial and body hair), acanthosis and most importantly oligomenorrhoea or irregular menses. Testosterone alone does not justify the diagnosis. However, if o e needs to be sure, then AMH (ante Mullerian hormone) test can be done, which is more than four indicates PCOD. As mentioned that you are on thyroid medications, I believe your TSH levels are less than five. Please share your ultrasound and hormonal profile reports for review. Now, it would also be essential to check for your partner's semen analysis for quality and quantity of sperms. I am not sure if you have any kids before or not as you have not mentioned, but if you do not yet, then semen analysis of your partner would be mandatory, as your reports are relatively normal. Progesterone deficiency can be treated, and even Clomid can be contemplated only of the male infertility factor has been ruled out first." + }, + { + "id": 19407, + "tgt": "How do I sustain penile erection?", + "src": "Patient: Hello doctor, I am a 67 year old retired IT professional. I am a non-diabetic. My weight is 74 kg and height is 174 cm. My BMI is around 24. I am fully active with every day 8 to 10 km walk without fail. I did not visit doctor in the last 50 years for any major illness. My CBC count is normal and no issues with cholesterol. I am a BP patient for more than 11 years. Now my BP is normal with tablet Temsan 80 one a day. 11 years back it started with 40 and has gone up to 80 now.\u00a0I am a non-smoker and non-alcoholic. I have been enjoying normal sex life.\u00a0Since 21 days, I am getting penile erection but not able to sustain the same for longer time to complete the intercourse.\u00a0There is no other medical condition or problem. I sleep well at night for six to seven hours and also used to have a nap for one hour in the afternoon. There is no tension or anxiety in the day-to-day life.\u00a0List of medicines I take every day are Temsan 80 one tablet, Citracal 500 one tablet and vitamin supplements two gummies.\u00a0Please let me know your comments. Thank you. Doctor: Hi. I have read and understood your problem. Revert back with the asked details to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5655, + "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": 2281, + "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": 17912, + "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": 161, + "tgt": "My mother feels heaviness in the stomach and has a mild fever. What should we do?", + "src": "Patient: My mother's age is 58, height is 5 feet, weight around 50 kg. She suffered a stomach tumour more than 20 years back, which was to be operated upon. 13 years back, she suffered a brain stroke because of the clotting of a vein inside the brain. She is diabetic and has hypertension too. Since then she is on continuous medications. Her prescription includes : Tab Ecosprin 150 mg Cap Gemcol DS Tab Glide 5 mg Tab Volix 0.3 mg Tab Cobadex CZS Tab Storvas 10 mg Tab Covance 50 mg Tab Eslo 2.5 mg Nowadays she is suffering from some problems. Sometimes she has a mild fever, which usually comes in the evening. She is suffering from pain in waist where the pain originates from the back side of the waist and then come in the front part. She is suffering from pain on the right side of her face specially the right side of the forehead. She has this feeling of heaviness inside the stomach which is very uneasy. She sometimes suffers from pain in the stomach near the navel. Her stomach does not get clear in the morning. Pain in the bone of the right side of forehead, light headache. So, what should we do? Doctor:" + }, + { + "id": 21797, + "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": 26949, + "tgt": "Can I delay my period by seven days?", + "src": "Patient: Hello doctor, I am going on a holiday in a couple of months, and my period is due in the last week of the holiday. Is there any way I can delay my period by seven days? Thanks. Doctor: Hi. How are you doing? 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": 26794, + "tgt": "My grandmother is having lower back pain after a fall. What to do?", + "src": "Patient: Hi doctor, My grandmother aged 91, fell in the bathroom about a month back. She was able to walk and did not have any major symptoms. Since two weeks, she has had difficulty walking and lower back pain. She had an x-ray two days ago. As she is in complete bed rest, developed bed sores. I need a review on the x-ray and help with the treatment. Doctor: Hello. For me to help you with your query, I need to see the x-ray of the lower lumbar area. Kindly attach the x-ray and follow-up with the same. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 931, + "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": 19132, + "tgt": "As I feel nauseous, can I split the daily dose of Paroxetine?", + "src": "Patient: Hi doctor, I am taking Paroxetine 20 mg tablet daily for my anxiety. Initially, I have been having half a tablet for a few months and have been told to now take the full tablet. However, I get very nauseous on taking the full tablet. So, I was wondering if I could take half in the morning and a half in the evening to avoid feeling horrible. Shall I? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22657, + "tgt": "Why am I having red rashes on my body?", + "src": "Patient: Hello doctor, I am having red rashes on my body over my two sides of tummy, over two arms and forearms, calves also. This issue started before eight months. Started taking medicine and after two weeks it started showing symptoms of getting cured but when I stopped medicine it again started.Other than this I have rashes over my penis also which also was completely cured after taking medicine but now it again started. Doctor: Hi. I can understand your concern about the skin lesion. It is a condition called lichen planus and it will take few months to subside. The treatment you are taking is good. Apply Clonate (Clobetasol propionate) cream twice daily on every rash. Are you still taking Predmet? If not we can consider about taking oral steroids again for a short period (Predmet 8 mg twice daily for seven days, then once daily for another seven days and taper further depending on the response). Continue Laveta (Levocetirizine). Lichen planus can occur in skin, genitalia, mouth, and nails. Usually, takes 18 to 24 months to subside. I would like to get a blood work including your count and blood sugar. Follow up in two weeks after starting treatment. Do not take Predmet for longer periods without follow up. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23171, + "tgt": "There are white deposits on skin around vagina. Is it RVCC?", + "src": "Patient: Hi doctor, I am 37 years old and diabetic. I had dengue two years back. Since that time (I feel) I have itching around my vagina and also itching around the urinal area. No pain or itching while urinating. There are white deposits on the skin around vagina including clitoris and urethra, redness, itching, and swelling. I doubt it is recurrent vulvovaginal candidiasis (RVVC). It is worst only in the night times. I took Fluconazole for once in a week for three weeks. Please do help me. Kindly let me know if you need any more details. Doctor: Hi. You are diabetic that is why you are getting repeatedly vulvovaginal candidiasis. You have to control your blood and urine sugar first. If it is not under control the fungi will grow again and again. Apply Clotrimazole ointment on affected area on the outer side and keep Candid vaginal pessary in the vagina for seven days daily at night. Consult your gynecologist immediately, check your sugar might be it is not controlled well. First, control your sugar. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26076, + "tgt": "I accidentally put some weight on my injured ankle and it hurts. Please help", + "src": "Patient: Hello doctor,I broke my ankle two weeks ago and had surgery. I went for a checkup after two weeks and the doctor took off the cast and put me in an airboot. But, when I was out, I\u00a0accidentally put a bit of weight on the ankle with the boot on. It did not hurt that much at that time. After getting home the other day, I took off the boot and took a shower. But, when I put the boot back on, the left side of my ankle started hurting. When I take the boot off, there is less pain. But, when it is on, there is way more pain. I have been taking Ibuprofen for pain (three times a day every six hours). Doctor: Hello. Since you put weight on it, you need to get a check X-ray done. 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 an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21184, + "tgt": "Why do I feel like something is stuck in my throat after a tonsil infection?", + "src": "Patient: Hello doctor, I was suffering from an infection in my tonsil for the past four days. I went to an ENT specialist four days ago. He told me there is an infection and advised me antibiotic. Now my pain in the tonsil has gone, but I am still feeling something stuck in my left side of the throat where there was tonsil pain. I do not have any problem with swallowing. Kindly advise me the needful. Doctor: Hello. Probably the infection got resolved, but the enlargement and hypertrophy of tonsils remain. You need to take a picture of the open throat showing both tonsils and send to us. If the enlargement is very big and causes significant symptoms recurrently, we can remove the tonsils by tonsillectomy operation. In some individuals after infection, the tonsils remain slightly big giving a feeling of something stuck down the throat. You will need some decongestants and anti-inflammatory drugs in that case. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28928, + "tgt": "Is there a way to lose the leg fat without dieting?", + "src": "Patient: Hello doctor, My legs are very fat, and it makes me uncomfortable. Overall I am fit, but only my legs are fat. Is there any way of losing the leg fat without dieting? Is there any workout for better cardio and also to achieve six pack abs? Doctor: Hello. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 15827, + "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": 10096, + "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": 21407, + "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": 3278, + "tgt": "When will the cognitive function get back to normal after sports concussion?", + "src": "Patient: Hello doctor, My daughter suffered a concussion 16 weeks ago. She is still struggling with several symptoms like constant headache, fatigue, trouble falling asleep, feeling weird and occasional dizziness. She does feel a little better compared to a couple of weeks after it happened, but unfortunately, she still feels pretty bad. She has taken the impact test with her doctors twice since it happened, just to track her progress. The first one she failed, but she just took another one this week and passed. Her score was back to baseline. How can her cognitive function be back to normal when she still feels so bad? Does she need to continue to rest as she has been for four months? Does she still have a concussion? She has special accommodations at school right now. Should those continue? Her case is being referred and sent to a neurologist as the pediatric concussion specialist does not specialize in post-concussion syndrome or symptoms and he wants her to get the best treatment possible. We are awaiting that appointment so I do not currently have a doctor who can answer these questions. The only medication she has been taking is Naproxen (Aleve). The doctors have not allowed anything else, but we are hoping the neurologist will prescribe something. She is also taking a lot of vitamins to try and help her energy level. I have attached a file. Doctor: Hi. I can completely understand your concern for your daughter's illness. I have seen the attachment. (attachment removed to protect patient identity). Sports concussion injury is a new concept in medical sciences. Concussion is basically a very mild injury to the brain which impairs the basic mechanism in which a brain functions under normal circumstances. Concussion can be caused by a direct blow to the head or by indirect blow, for example, when an athlete is sprinting very fast and suddenly stops or changes direction leading to the sudden change in movement of the brain tissue leading to a friction between the brain tissue and inner surface of the bones of the skull. Let us discuss the queries asked by you one by one. Regarding how can her cognitive function be back to normal when she still feels so bad? Well, at present her problem is not concussion brain injury because concussion brain injuries usually heals within a few days. Various scientific studies shows that 90-95 % of concussion injuries heals as fast as within eight to nine days after the injury and only 5-10 %,injuries take more than 10 days. So medically and technically it is post concussion syndrome which she is presently dealing with. Post concussion syndrome can develop in a person with a very mild concussion and on the contrary, do not develop in some patients who suffered a major injury which in turn means that development of post concussion syndrome does not depend on the severity of brain injury, it happens in some and do not happen in others. But the good thing is that in sooner or later the person gets cured with time. 90% cases of post concussion syndrome resolves in two to three months and 10% resolves six to eight months after the initial injury and very rarely it may take maximum upto one year but the point is that almost 100% cases get resolved maximally within one year after the injury. Regarding does she need to continue to rest as she has been for four months? Yes, as she is still having symptoms of post-concussion syndrome i.e headache, fatigue, dizziness, sleeping disturbances, etc., she needs to continue both physical and mental rest till all the symptoms go away. The medical reason behind recommending both mental and physical reasons is that doing physical activity the heart starts beating fast and more forcefully leading to increased blood flow in the brain which inturn can exacerbate the symptoms of post-concussion syndrome and can cause the symptoms to reoccur. Similarly performing cognitive activity and even mental activities like thinking use energy in the brain and can slow the recovery process of post-concussion syndrome Regarding does she still have a concussion? No, she does not have concussion now. As I have already explained that in almost all cases, concussion injury heals within 10 days. Her primary concussion injury has healed and presently she only has the symptoms of post-concussion syndrome. Regarding her special accommodations at school right now. Yes, she should continue and follow those special accommodations till all her symptoms of post-concussion syndrome subside and go away, otherwise as I explained above, any physical or mental stress can delay the recovery and can re-trigger the symptoms repeatedly. I hope this helps." + }, + { + "id": 352, + "tgt": "Why do my 4-year-old daughter gets frequent nose bleeding only from her left nostril?", + "src": "Patient: Hi doctor, My daughter who is 4 years old had a frequent nosebleed in her left nose. First was last Thursday, then the second was three days later, and today also on her left nostril. I do not know if she pricked her nose, but when I asked her she said yes. I am a bit worried since it has been three times already, but she gets bleeding only on her left nostril. PIease advise me on whether I really need to have it check physically by an ENT because I am afraid of the COVID 19 situation. Doctor: Hi. The most common reason for nose bleeds in children of this age group is 1. Frequent nose picking: We need to ascertain the cause of the nasal bleeds as the most common cause is secondary to dry nose and crusting which in turn causes irritation. Dry nose can be treated by using saline nasal drops four drops six times a day to ensure that the child's nasal mucosa is kept moist and does not dry up. In addition, I would also recommend the child not to get directly exposed to AC / fan as it can also dry up the nasal mucosa often. 2. Adenoid hypertrophy: Usually the adenoids increase in size and they can also be a reason for recurrent nasal bleeds. The child can be put on Mometasone nasal spray two puffs two times a day for the next coming three weeks. 3. Infection in the nose: This can also be another cause of recurrent crusting and inflammation in the nose which results in nasal bleeds. You can give her syrup Augmentin (Amoxicillin and Clavulanic acid) 228.5 mg 4ml three times a day after food for the next one week. It is better to treat all three possibilities for long term relief from the symptoms. All three aspects are extremely common and there is nothing that you need to worry about as it is very common for children to present with such a problem. I hope this helps." + }, + { + "id": 15723, + "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": 29649, + "tgt": "Please help me to overcome my exam phobia?", + "src": "Patient: Hi doctor, I am 18 years old and studying for my final exams. My problem is exam phobia. I am so scared of failure during an exam and due to this, I am unable to concentrate on my studies. I am suffering from this issue for the past two years and it really affects my studies. Please help. Doctor: Hi. I completely understand that you feel concerned about your performance during exams. It might be due to the experience of failure in an exam or due to any negative experience related to your academics or school. Psychological assessment by a psychologist is needed to confirm the diagnosis and investigation related to anxiety during other social or performance is required. You need to go to a psychologist for complete psychological assessment. Then, you need counseling or psychotherapy sessions to overcome your phobia and anxiety related to exams. I appreciate that you consulted at this state of extreme anxiety. You urgently need psychotherapy sessions to prevent your symptoms increasing by the time. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 30584, + "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": 9762, + "tgt": "From my MRI, kindly explain about my knee pain", + "src": "Patient: Hi doctor, I am a runner, and I am facing knee pain on my left leg since the last two months. I consulted an orthopedician and got an MRI as well, but there is nothing abnormal. But, I still have pain. I am a diabetic and on medicine for that alone. I have attached the MRI reports for reference. Doctor: Hello. Revert with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27050, + "tgt": "How to reduce the level of triglycerides?", + "src": "Patient: Hi doctor, How can I reduce triglycerides? I have been checking my lipid profile over last seven years. Every time it comes back\u00a0normal except triglycerides\u00a0which are between 250 and 400. Kindly do the needful. Doctor: Hi. Triglycerides are the final products of fat metabolism in body. They are actually getting deposited over the hips, thighs and belly fat. They come directly from dietary fatty meals and also formed de novo from other sources like proteins and carbohydrates. Hypertriglyceridemia. I would like you to start with diet and lifestyle modifications first. If it works, then I will add up medications. 1. Avoid sedentary lifestyle. 2. Start jogging. 10,000 steps daily at a healthy pace. Better is to join a gym. Your BMI (body mass index) is high. It means your weight should have to be in limit related to the height and age. 3. Avoid fatty and high protein meals such as chicken, egg, fish and meat. 4. Avoid sugar of any kind and extra salt too. Please answer the following questions to get more effective treatment plan: 1. Are you diabetic? 2. Do other family members or parents have the problem same as you have now? 3. Do you smoke and drink alcohol? How is your diet? Revert back with the answers for the above questions to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2425, + "tgt": "Is there any chance for recurrence of GBS?", + "src": "Patient: Hi doctor, My girlfriend suffers\u00a0from a very rare disorder called GBS (Guillain-Barre syndrome). Initially, she was attacked by the virus three years back and was treated successfully. Now, it has relapsed before two days. I want to ask how this is going to affect our future married life. Is there any chance of recurrence? Doctor: Hi. I have read your question with care and understood your concern. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26958, + "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": 15585, + "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": 5119, + "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": 13243, + "tgt": "Is it possible to get bald spots with Doxycycline?", + "src": "Patient: Hello doctor, I was taking Doxycycline for three months. After I got a haircut in third month, I noticed that I had two bald patches (it is not actually bald, they were just super thin with a little bit of hair). I got a haircut again today, and the same problem occurred. I am almost positive that the problem is alopecia areata, and I also have the symptom of nail dystrophy (it appeared around two weeks ago). Do you think Doxycycline caused this issue? How can AA be treated, and how long should I expect for my bald spots to have normal thickness again? Doctor: Hi. Doxycycline is Tetracycline antibiotic that can cause photosensitivity and photo-onycolysis (nail dystrophy) but alopecia areata is not linked with this medication. On the other hand, nail problems are common with alopecia areata. Autoimmunity, drug induced. Alopecia areata, drug induced photo-oncolysis. Alopecia areata. Apply steroid preparation over bald patches BD. Oral steroids may be required in future. Maintain hygiene of the area, wash with soap and water, use vitamin containing shampoo preparation." + }, + { + "id": 21060, + "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": 25831, + "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": 19021, + "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": 28459, + "tgt": "It has been six days since I stopped taking Deviry tablet, but I still did not get my periods. Why?", + "src": "Patient: Hi doctor, My periods are irregular. I have a holiday planned, so I wanted to prepone my periods. My last periods was exactly a month and a half\u00a0back. So, I started taking Deviry tablet, twice a day for five days before my period was due. It has been six days now, but I still did not get my periods. What am I supposed to do? Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27557, + "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": 5578, + "tgt": "My 10 year old boy's height is only 125 cm. How to increase his height?", + "src": "Patient: Hello doctor, My son is 10 years old. But his height is a great concern for me as he is only 125 cm and weighs about 27.3 kg. Recently he got an x-ray of his hands to know his bone age. The x-ray revealed that it is 9.4. Please comment. Doctor: Hello, Welcome to icliniq.com. I do not think you should be worried off as he is still 10 years old and has still more years left for growth. Generally, height is a genetically programmed component, it depends on both parents height. You can calculate the expected height of your child with a formula for mid-parental height. I agree he is below the normal height level for his age, you can consult an endocrinologist and get him evaluated. Meanwhile, encourage him to participate in sports and do stretching exercises. Avoid carrying heavy school bags, definitely he will start gaining height. There is much variation in growth from child to child, few have fast growth in initial years, and few have in later years but before attaining 18-21 years." + }, + { + "id": 16300, + "tgt": "How can I shrink my uterine fibroid naturally?", + "src": "Patient: Hi doctor, I have 6 x 7 x 8 cm myoma. It causes heavy and prolonged periods. How can I shrink my fibroid naturally? I do not want surgery. Please help me. Doctor: Keyword: Uterine fibroid Hi. Animal foods are estrogenic so that a vegan diet can be followed. Avoid eating meat, alcohol, coffee, chocolate, sugar, hot sauces and spicy foods, fried and fatty foods, processed food to reduce inflammation. Try to take liver cleansing foods such as beetroots, carrots, artichokes, lemon, parsnips, and dandelion greens. Try to take magnesium-rich foods and turmeric in your diet. Take juices of carrot, spinach, cucumber, and lemon juice in warm water. Take Turska or Turska's revised formula. Take 40 drops in a small amount of warm water three times a day between the meals. Apply natural progesterone cream two times a day on the skin. Take Omega 3 (high potency) 3000 to 6000 mg with food in divided doses daily. Try to take iron-rich foods and elemental Magnesium per day." + }, + { + "id": 5982, + "tgt": "I feel lazy, dumb and my brain is foggy. Is it due to side effects of smoking weed?", + "src": "Patient: Hello doctor, I have a huge problem. In highschool, I smoked weed a couple of times when I was in 16-18 years of age. But now I feel lazier, dumber, my brain is constantly foggy. I am less human and less connected to the world. It feels like I am playing a video game through my eyes. I think it has something to to with my neural receptors. I want my old life back, I was smart, loved the world and a quick thinker. Now I have a hard time remembering even large parts of my life. Please help. Doctor: Hello. How long ago was the last time you smoked weed? Did you use any other street drugs? Sometimes using marijuana can cause depersonalization-derealization symptoms. You seem to experience something like that. It can happen to anyone. Smoking weed is one of the possible causes. Usually, these symptoms will fade away with time. Do not worry. If these symptoms are persistent and affecting your normal functioning, consult a psychiatrist in your city for evaluation. Psychotherapy like CBT (cognitive behavioral therapy), can be helpful. Sometimes, if there is any associated depression or anxiety, medication can be prescribed. Avoid smoking cannabis again. Keep yourself active, do exercise regularly and eat healthily. Cannabis induced depersonalization." + }, + { + "id": 627, + "tgt": "How to find that I am allergic to Hydroxychloroquine?", + "src": "Patient: Hello doctor, I am allergic to Quinolones, Metronidazole, Ibuprofen, Diclofenac, and Aspirin. Please tell me whether I am allergic to Hydroxychloroquine or not. If yes, then please tell me ways to how to develop my immunity? Food that I should eat and should I drink hot or cold water? What all the special precautions that I have to take to fight Corona? Doctor: Hello. It is less likely you would be allergic to Hydroxychloroquine. However, allergy is not the only criteria. A detailed physical examination along with an ECG (electrocardiography) report will have to be done to check if your body can tolerate the medication or no. There is no specific food for immunity. Any home cooked food that is not processed will do. You can drink hot water that is bearable. Important precautions for COVID 19 are: 1. Social distancing. 2. Use of mask whenever outside the house at all times. 3. As soon as you come from outside have a bath and keep clothes for washing without touching anything in the house. 4. Do not touch your face, eyes, ears, or nose when you are outside. 5. Hand hygiene is very very important. Keep your hands clean by rubbing with soap and water whenever you touch anything that is not yours. You can use a hand sanitizer when outside in this regard. 6. If you get any symptoms of fever (100 F or more in the thermometer) with cough or cold, please report to the nearest health facility." + }, + { + "id": 28200, + "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": 12403, + "tgt": "Is 20% bone union after a fracture enough in a kid?", + "src": "Patient: Hello doctor, My 4 years old son fell in the play area and got his left arm fractured (ulna and radius). We went to ER and doctors did alignment and put him on cast and sling. I am attaching the X-rays before and after alignment. In the X-ray after alignment, one of the bones was not aligned properly. The doctor said that it is fine if it is aligned more than 20 % in kids. I am attaching both the X-rays. Can you please check and confirm if it is fine? Also, since he is 4 years old, he is not keeping the sling all time and while playing (with toys inside the home), the sling is getting loosened. My worry is that will it delay the healing process. Does the kid always need to be in a sling while in the cast. Please advise. Doctor: Hello. The reduction is not appropriate in this case, the bone might join in a 4-year-old child but this is certainly taking a risk. The child requires removal of the cast, reattempt at the closed reduction, application of slab for one week followed by checking of X-ray elbow with the forearm with wrist-anteroposterior and lateral view to confirm reduction is maintained or not. If the reduction is maintained, then to undergo cast immobilization. Children do not require sling at all times. Role of the sling is to prevent edema of the limb by keeping it elevated and gives support. The child can play with well-fitted cast provided there is no fall on the limb, the cast is not soft and broken. If there is anything else, feel free to discuss further." + }, + { + "id": 19170, + "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": 20241, + "tgt": "My latest pregnancy scan showed hydramnios with breech presentation. What to do?", + "src": "Patient: Hi doctor, I am a 29 year old\u00a0female, and I am 34 weeks pregnant. This is my first pregnancy. My recent scan report shows AFI 24 cm, FL 7\u00a0cm, AC 30.9 cm, BPD 9.3 cm, heart rate 149 beats per minute, the fetal moments are normal and the fetal weight is 2.7 kg. The impression of the report shows hydramnios and a big head with breech presentation. Will there be any complication to my baby? I used Atarax 25 mg tablets for a rash on my foot, for 20 days. Is this drug safe during pregnancy? Doctor: Hi. How are you doing?\u00a0Let me try to explain the findings of the scan. So, just relax, for the time being, pray well. The baby will be fine.\u00a0Hope I have clarified your\u00a0doubt, do write back.\u00a0All the best. For more information consult an obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7310, + "tgt": "What can be done for dysphoria and transgender symptoms?", + "src": "Patient: Hello doctor, I am struggling with depression and anxiety and have been taking Prozac for about four months or more now. The symptoms are beginning to fade. As well, I am also dealing with dysphoria, transgender symptoms and would like to get on Testosterone. Doctor: Hello. It is good to know that depression and anxiety symptoms are fading and you are feeling better on Prozac (Fluoxetine). You need to continue taking Prozac till further advice by your prescribing doctor. Regarding gender dysphoria, you will need a comprehensive assessment by a specialist team following which you will be put on a step-wise treatment approach. Assessment will include the age at which you started having gender identity issues, nature and severity of symptoms, history from parents, etc. So, I will advise you to discuss with your parents, family and see your doctor who can refer you on for further assessment at gender clinic." + }, + { + "id": 8560, + "tgt": "Kindly suggest the treatment options for sudden deafness of ear", + "src": "Patient: Hello doctor,I am a 32-year-old male with a height of 170 cm and weight 50 kg. I had sudden deafness of left ear last year. No infection, no injury, no other disease. Treatment started with Mecobalamin, Dexamethasone sodium phosphate, and some other medication through IV. Also treated with mouse nerve growth factor and hyperbaric oxygen therapy. Oral Mecobalamin and B complex for a month. Now there is still some low-frequency hearing loss of the left ear and mild tinnitus. I am seeking for more treatment options and advice which may improve the hearing function. Doctor: Hello. As per reported by you, there is an improvement in the left ear however, in spite of all the treatments done, sometimes the loss is not entirely reversible. Thus there are high chances of the damage in the left ear to be the same, which is mild at low frequency. The main rates responsible for speech perception are that of 500, 1k and 2 k which are mild. However, your right ear will compensate so there would not be much problem in communication. Regarding tinnitus, you can consult an audiologist for TRT, which is called tinnitus retraining therapy from where you might get some results for tinnitus. If you want, you can ask an otolaryngologist for low-frequency hearing loss for further treatment. If your tinnitus is reduced, you will hear much better." + }, + { + "id": 1098, + "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": 5534, + "tgt": "What causes body pain during pregnancy?", + "src": "Patient: Hello doctor, This is my 34th week of pregnancy and I recently started having pain in numerous areas. For one when I sit down it is difficult to get back up due to sharp pain in my lower back. Then I have pain in my upper abdomen which seems to last 20 to 30 minutes. I do not want to go to the hospital for these pains and get sent home. So are they normal? Doctor: Hi. I do not see any reason for you to worry. Let me explain. Delivery is not a single day phenomenon on that end of 10 months. Your body is gradually relaxing, which includes all the muscles, ligaments, joints for that moment of relaxation and expulsion of the baby. Even a hormone called relaxin is released to do this job. So this will cause back ache. Also the baby head which becomes harder and heavier, the bones of skull being ossified, will compress on to the nerves and ligaments of the pelvis. This will create ache, sometimes very severe, but only the delivery of baby can relieve you of this pain. To have relief from this pain have good posture while sitting, standing, do not lift weights in back bend position, avoid soft beds (use the firm coir mattresses which do not bend as per your back shape), try some back stretching exercise (hold the head end of cot and try to touch the foot end of cot with toes, or go further till you stretch your back), can have some local application of painkiller oinments). As the baby grows, the stomach and bowel are pushed up, so you will have gastritis and irritation in upper abdomen. Now the only four reasons you will need to consult the doctor or hospital are (I hope you have no other medical or obstetric risk factors): 1. If you have severe lower abdomen pain- starts within 1-3 secs and gradually increases in frequency and severity, associated with it the uterus becomes hard or tense, you will not feel the body parts. Do not panic, even if it is the real pain, delivery will be 10 to12 hours later (if this is your first baby). 2. If you find the water just flowing down your leg, just as you are peeing on yourself, it will be a warm water. 3. If the baby movements are reduced- baby has to move at least 4 times after each meal- so 12 per day. 4. If you see any sort of bleeding." + }, + { + "id": 15063, + "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": 18063, + "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": 8888, + "tgt": "Can stimulant medication be prescribed after an episode of psychosis?", + "src": "Patient: Hello doctor, Is it ever appropriate to prescribe stimulant medication after an episode of psychosis? I am a patient that has done well on them in the past and is struggling to mange my ADHD without them. The psychosis happened last year during a period of social isolation. Doctor: Hello. You have raised a very pertinent question. Stimulant medication can raise the risk of relapse in psychotic symptoms. If psychotic symptoms were clearly treatment-emergent, generally it is not advisable to try stimulants again. If ADHD symptoms are problematic, you can discuss with your doctor about trying non-stimulant options like Intuniv (Guanfacine XR). Also, try to follow behavioral strategies to manage ADHD symptoms." + }, + { + "id": 2874, + "tgt": "Can Coronavirus cause itchiness in throat and shortness of breath?", + "src": "Patient: Hello doctor, I am a 23-year-old man. I have anxiety and depression but no immunodeficiency disorders or chronic diseases. First, I wanna know if my immune system is weakened and how likely am I to die of Coronavirus. Second, I have itchiness in my throat and shortness of breath. I always have it because of anxiety but now it is more persistent than before. I also feel a very subtle feeling of pain, burning sensation and itchiness in my chest. I did not go out during the past ten days and have not been in contact with someone with positive Covid. And I quit smoking past week. Down to one or zero cigarettes from 20 a day. Why am I feeling itchiness and pain and burning sensation? How likely am I to have Covid-19? And how likely am I to die from it? Doctor: Hello. Anxiety can manifest itself in physical or psychological symptoms or both. The irritation sensation you are experiencing is a part of your anxiety. Also please do not believe the hype about covid. It has a low mortality rate, of 2-3 percent, that too mortality is very high in people above 60-70 years with other co-morbidities. You do not have any such disorders and you have not even been in contact with anyone, so do not worry. Please continue to take your medicines for anxiety if you are taking them, if not, please consider visiting a psychiatrist and get started on some low dose SSRI type of medicines. Also, if needed a low dose Benzodiazepines can be added temporarily. Also, please do some deep breathing exercises, or progressive muscle relaxation. You can also take some honey with water to reduce the itching in the throat and also try doing some gargles with lukewarm salt water." + }, + { + "id": 29291, + "tgt": "Although urine tests are negative, why am I having pregnancy symptoms?", + "src": "Patient: Hi\u00a0doctor, I am 11 days late for period. My husband had snip two years ago. I am having pregnancy symptoms although the tests are negative. What could be the problem? Thank you. Doctor: Hi. Pregnancy changes are due to the progesterone hormone produced from the remaining of the ruptured follicle, also due to the hormonal imbalance caused by the hormones. When you do not have periods, it means you had an anovulatory period. It means no ovulation, This would also alter the normal hormonal balance and you get the pregnancy symptoms. After the age of around 35 years, you may not have ovulation every month. This problem of anovulation can be seen earlier if you have any of the following reasons. Weight gain, especially around your mid-segment of the body, thighs, waist and breast. Try to reduce weight by regular exercise, aerobics, yoga, swimming, etc. Follow a strict diet with low calories and no fasting. Avoid junk foods and red meat. Try to reduce 2 to 4 kg per month. Target weight should be weight (in kg) = Height (in cm) - 100. You had any surgery or radiation treatment in the abdomen. Another common cause could be thyroid disorder, So, have a thyroid profile and serum prolactin level early morning in the empty stomach. You can meet a gynecologist who can give you a course of oral hormone pills to have withdrawal bleeding. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4109, + "tgt": "My daughter experience intermittent ear pain with clogged ears. Please help", + "src": "Patient: Hello doctor, My daughter is 17 years old. She had a cold for about four days when she started complaining of bad ear pain. She was seen in urgent care a week ago and was diagnosed with a middle ear infection. The APRN noted her ear was pretty angry and prescribed Amoxicillin 500 mg. She is supposed to take two pills in the morning and two at night, which she has. She also suggested to continue Mucinex D (which is how I was treating the cold). Her severe ear pain did resolve in a day or two, but she still complains of ear pain intermittently. I am worried about taking Mucinex D for so long, but even if she does not take it she complains of ear pain. She is also saying that she cannot hear out of the ear. To be fair, she says the pain is not as bad initially, but I am still worried. I gave her a Claritin last night thinking it may help, but it just made her stuffy. I know we still have three days on the antibiotic, but should it be completely cleared up by now? Should I take her back to the doctor? Or try something else? Doctor: Hi, Welcome to icliniq.com. Complete the course of antibiotics. Take Mucinex D (Guaifenesin) once or twice a day, like how you have been taking for another three to four days. If Mucinex D has an antiallergic component then no need for Claritin or Allegra. Otherwise, add either of those to be taken once a day. This will help to clear out ear secretions. Let water not enter the ear while bathing. Let her take rest and refrain from going to school or playing until she is better. After the course of antibiotics gets over it will be prudent to show the ENT specialist once so that he can look into the ear with an otoscope and check if the problem has resolved or not." + }, + { + "id": 21355, + "tgt": "I have a mild painless sensation near the tonsil. Is it candidiasis?", + "src": "Patient: Hello doctor, I am a 31 year old male. I have attached a picture of my mouth's inside. I wish to know if this is oral candidiasis or not, please? If yes, what may be the likely causes? If not, what could this be and what may be the likely causes? I have been a regular smoker for the past 12 years, smoking about five to seven cigarettes daily. I hardly consume alcohol, very rarely if at all. No other addiction. But I normally chew a chewing gum/mint/lozenge every time after smoking but spit it out after chewing very briefly. For the past few days, I have been experiencing a very mild, subtle painless sensation deep inside my mouth on the right side almost on the tonsil or near to it. I do not know if the same is related to this candidiasis. No problem at all in swallowing though or gulping down water. No other apparent symptoms. Another query, is anything alarming visible in the picture? Please help. Doctor: Hello. In the attached picture (attachment removed to protect patient identity), there is no indication of candidiasis anywhere including tonsillar area. There is a lot of nicotine staining of teeth as well as the mucosal membrane. There is slightest whitish tinge near the tonsillar area, and also the abnormal sensation in the area could point to the development of future leukoplakia. So this could be the precursor of leukoplakia. Leukoplakia is a whitish lesion which occurs due to chronic irritation like smoking, etc., which has a risk of cancer development. So, at present, there is nothing alarming, but it could become in due time. So, this is the perfect time to take action and reduce smoking gradually. You can use nicotine gums initially to reduce the smoking. Everyone may not tolerate smoking that well. 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": 15079, + "tgt": "Why is Paracetamol prescribed, if fever is an immune response of the body to act as defense mechanism?", + "src": "Patient: Hello doctor, Is fever an immune response of the body to act as defense mechanism against infection, why is Paracetamol prescribed to reduce temperature?What will be happen, if not used? Doctor: Hi. Very much impressed by your query. Yes as you said, fever is an immune response of the body to act as defense mechanism against infection. Most of the time Paracetamol is not needed if body temperature is not crossing >102 degree F. But any temperature >102 degree F causes many biochemical and physiological damages to the body, such as: Because of all this Paracetamol is used. But definitely not required for a low grade fever. For further queries, consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23566, + "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": 10499, + "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": 9747, + "tgt": "I have white spots on my face every summer since childhood. How to get rid of it?", + "src": "Patient: Hello doctor, I am 19 and I have white spots on my face. Actually, I have this problem since childhood. The spots occur every year on my face, especially in summer. But this time it has been two months and they are still present in my face although I am applying sunscreen and keep my face moisturized. I have not ventured out in the sun for these two months. But, I really do not like it when everyone asks me what happened to my cheeks. Can you please tell me the way to get rid of it? Doctor: Hi. The white spots you describe can be due to various causes. It may be due to a fungal infection called tinea versicolor which usually occurs in the summertime, or it may be an allergic reaction to the sun. I suggest using an antifungal cream like Clotrimazole 1 % cream twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Follow up with a photo of the rash. Continue sunscreen. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17651, + "tgt": "Baby had loose stools with mucus and pain in abdomen after given Augmentin. What to do?", + "src": "Patient: Dear Doctor, My 5 year old daughter suffering from fever with running nose since 10 days now. After giving\u00a0Augmentin, she is having loose stool almost 10 times a day, watery with mucus. What to do? Doctor: Hi, Thanks for posting query on icliniq. Let me explain about pathophysiology about your child's illness: 1) After reading the description of your query, it seems that initially your child had viral illness that is common due to change of season. You do not need to give antibiotic for this; but you have given Augmentin. Anyways that is not the issue right now. 2) Now your baby had loose stool with mucous and pain in abdomen. It indicates infective diarrhea (Not diarrhea due to Augmentin -- that would be painless and no mucous). Now let me discuss about treatment plan of your child: If any time deterioration occurs, contact for admission in nearest hospital. Hope your baby will be fine in next 48 hours. Take care of your daughter and revert back to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3374, + "tgt": "Are bilateral congenital cataracts familial?", + "src": "Patient: Hi doctor, I have bilateral congenital cataracts with no other issues. My parents do not have them. Please let know the percentage of passing this to my kid? I knew that is autosomal dominant. But, what is the possibility of this to become familial? Is my kid 50 % prone to it? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2011, + "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": 13061, + "tgt": "Is sudden seizure common in elderly people?", + "src": "Patient: Hi doctor, I am an 86 year old healthy male. I had sudden seizures. What is the reason behind it? I have attached my MRI brain with this. Please explain. Doctor: Hi. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There are mild age-related changes like prominent markings on the surface of the brain, prominent ventricles which are fluid spaces and periventricular hyperintensities. This is expected at 86 years of age. There are few small hyperintensities on T2 and FLAIR (fluid-attenuated inversion recovery) in the white matter which is probably due to small vessel ischemic changes and is acceptable at this age. Mild bilateral maxillary sinusitis is noted. This is not related to the seizures and is an incidental finding. There is no tumor or bleeding in the brain. There is no obvious acute infarct. Cerebrovascular disease, infections, primary neurodegenerative disorders, brain tumor, traumatic head injury, stroke, and acute metabolic disturbance are the most common causes of seizures in the elderly and no specific cause has been found in this scan. Sometimes early scans can be normal. It is important to know if the patient has any medical condition (though it is mentioned normal health) and whether any abnormal laboratory tests have been found. Seizures can happen due to sudden abnormal electrical activity in the brain. Keeping in mind the seizures it will help to do electroencephalography (EEG) to know the probable site of abnormal brain waves which triggered the seizure." + }, + { + "id": 28777, + "tgt": "My wife is pregnant. How to know in which week she is?", + "src": "Patient: Hi doctor, My wife's hCG result showed 8000 mIU/mL. I understood that she is pregnant. But, how to make make sure the current term of pregnancy? I do not know in which week she is now. Please guide. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24461, + "tgt": "I have visual disturbances when I move my head. Kindly help", + "src": "Patient: Hello doctor, I have been having transient visual disturbances (looks like moving or static bubbles) around the periphery of my vision in my right eye that lasts a few seconds every time. The vision also sometimes grays out then comes back seconds later. This happens dozens of times a day, every day. Often they are caused when I stand up or move my head around. I first noticed the symptoms when I had a sinus infection and was on Doxycycline three months back. I had pain in my right eyebrow that went away after antibiotic use, but the visual issue stayed. I had an eye exam with an ophthalmologist who told me he did not see anything wrong and that it was ocular migraines. I have since had recurring headaches that are persistent, but the visual disturbance does not change whether or not I have a headache. I have an appointment with a neurologist in three weeks, but I am wondering if it is safe to wait that long. Ibuprofen helps with the headache and reduces visual disturbances. Currently, I am on Lexapro 10 mg. Doctor: Hello. Regarding your concern, I would explain that your symptoms could be related to optic nerve damage or low blood pressure. As standing up triggers these symptoms, orthostatic hypotension cannot be excluded. Coming to this point, I would recommend measuring your blood pressure in sitting and standing up position. I think there is no need to go to the ER (emergency room). When consulting with a neurologist, I would recommend discussing the possibility of a brain MRI (magnetic resonance imaging) to examine your brain and optic nerve. Other tests to consider would be: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14579, + "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": 13130, + "tgt": "Please suggest me the right way to get rid of snore and cough", + "src": "Patient: Hi doctor, From last few days, I have been facing cold. Cold is my common friend due to allergy. The friendship is almost 8 years old. I have been using tablet Levocetirizine when required. In this recent episode of cold attack, I am having irritating cough. It even wakes me up at night. At the time of sleep, some sort of snoring sound comes out from my chest. I can feel that it is due to cough. I am attaching the sound. The mucus is dense and pale yellow in color. Please suggest me the right way to get out of this. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I appreciate you for uploading the sound clip (attachment removed to protect patient identity) which is a really helpful move. You are having the typical symptoms of asthma and the sound clip showed that you have \"expiratory wheeze\". When the airways are narrowed due to some reason, it makes difficult for air to pass in and out of the lungs and creates such noises as you can hear in this sound clip. Cough is a part of acute exacerbation of the asthma attack. You need to have proper medicine for sometime to get rid of the situation. You need reliever medicines to give you ease right now and also some long term relief medicine named controller medicines. Keep a follow up for better outcome. 1. Pulmonary function tests. 2. Allergy test for asthma. 1. Combivent inhaler - combination of Albuterol and Ipratropium bromide. You use this when you feel shortness of breath or the sounds like you have right now with respiration. It means you will need it as needed. 2. Prednisone by mouth 20 mg twice daily for two weeks. 3. Azithromycin 400 mg once daily for 10 days. 4. Ebastine 10 mg twice daily for 10 days. 5. Ibuprofen twice daily for a week. 6. Cough syrup available over the counter." + }, + { + "id": 1364, + "tgt": "I have thalassemia minor. Is there a treatment for it and how to improve my health?", + "src": "Patient: Health Query : I have thalassemia minor in the blood and I would like to know if there is a final treatment for it and if not, then what would you advise me to improve my health? Symptoms : Paleness,Hair loss&Rapid Fatigue Medication : Folic Acid tablets & Vitamin D capsules (Would like to know how much IU vitamin D is suitable) Gender : Male Age : 20 Height : 172 cm Weight : 70 kg Doctor: Hi Welcome to icliniq, Well according to your history and complaints I would like to ingorm you that a sure shot cure for this for thalassemia minor is not there at present but yes many treatments for major thalassemias are there which are not at all needed in minor forms. Yes symptomatic treatments and supportive therapy are adviced but nothing is sure shot. To improve your health it is recommended ypu must live a balanced life and acquire healthy habits like Adequate work and rest, adewuate balanced diet, mild exercise but with utmost care, be vigilant about any new or worsening signs of symptoms, I also recommend you to be in touch with your treating doctor and get yourself checked periodically incl. blood tests. RDA of Vit. D is minimum 600 IU/day for healthy individuals and minimum 1000 IU/ day eith ostroporosis. Although getting Vitamins B and D levels checked and then to discuss the amount with your doctor is advised. Take Care. Have a nice Day." + }, + { + "id": 21374, + "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": 18248, + "tgt": "Why do I have low LH and fishy smelling vagina?", + "src": "Patient: Hello doctor, I was just diagnosed with PCOS. I am 38 and have always had irregular periods. I have two sons and I have brown light spotting all month every month. I have no pain. My LH was 5.8 and FSH was 8 eight months back. Four months back, LH was 12.9 and FSH was 9.4. I do not have extra hair growth or any pimples. So I am looking for a second opinion. I do know that my pap smear a few months ago was good. He wants to give me BC but I do not want it because I am worried that it will cause blood clots. Also, another thing is when I eat fish, my vagina smells fishy. I do not know why. Doctor: Hi. Please get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause of brownish discharge. The fishy smell of vagina is mainly because of some vaginal infection. 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 you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 26771, + "tgt": "I have recurrent infections due to preauricular sinus. What should I do?", + "src": "Patient: Hello doctor, I have a preauricular sinus on my left ear. It has not really caused any problems, until\u00a0recently when I started experiencing recurrent infections. During the first infection, I took Ornilox, and it really worked. However, with subsequent infections, it has not really helped. Can you please advise me on which antibiotic to use or what to do? Doctor: Hello. Do revert back if you need any further support. I will be happy to help you. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24251, + "tgt": "I have a moving water sensation and ringing feeling in my ear. Will this go away?", + "src": "Patient: Hello doctor, I think I have water trapped in my left ear. I feel a moving water sensation in my left ear. I have a ringing sensation in my left ear after water got trapped in the ear. Will this ringing go away if my ear is dried? If the water is removed, then will the ringing sound stop? I do not have any ear pain and ear discharge. And also, I do not have any hearing loss. Please help me. Doctor: Hello. Please tell me from how long have you been having these symptoms? Any history of nasal or throat infection in the recent past? Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18860, + "tgt": "My breasts are dry, itchy and painful. Please help", + "src": "Patient: Hello doctor, I am a 36 year old unmarried girl. I am experiencing itching and pain in my nipples and areola upon scratching. During my periods, my breasts pain for a day or two and the pain subsides by itself. Now as it is winter, my breasts were dry, and I applied cold cream and vaseline. They are itching and become painful when I scratch. Please help. I am not on any medication. My height is 5'5\", and weight is 65 kg. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10905, + "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": 7219, + "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": 28109, + "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": 10418, + "tgt": "I have eczema only in my legs. What to do?", + "src": "Patient: Hi doctor, I am aware that I have eczema. But, everything I try does not work. I have been having severe eczema since I was 8. I am about to be 19 now. I have tried using unscented lotions, dermatology approved lotions, organic oils and even all of the ointments doctors prescribe me with. The only thing that the lotions and ointments do is calm the irritation. Over the years, I have learnt to resist the urge to scratch unless it becomes unbearable. But, I always find myself sleep scratching. Yeah, I said it sleep scratching. I wake up with tingling legs and can see how hard I have scratched in the middle of the night. I moisturize all the time. Yet nothing works. I am getting to the point where it is starting to interfere with my life. I am young. I want to wear shorts and sundresses whenever I want. But I cannot because of the ugly scarring I have on my legs. I forgot to mention that my eczema is only active on my legs. Occasionally it occurs in my hands and rarely on my arms. Sometimes I even get it on my face. I have tried keeping my nails short so I do not have gross scratch scars but it does not work. I get my nails done because it does not leave scratch scars but it leaves bruises. And do not get me wrong the ointment is the best thing that works but I do not want to have to be wearing that ointment as a lotion. I have to leave to the ladies room about every hour so I can moisturize my legs to prevent the itching from happening but honestly who wants to live a life like that? It has begun to affect my life emotionally and I do not know how much more I can take of it. Doctor: Hi. I can understand your concern. Being a dermatologist observes in day-to-day activity few diseases have bad impact on lifestyle, out of which eczema is one of them. But, with your descriptions it seems to be atopic dermatitis, which becomes better as age progress. In adults, it involves the flexural surface eventually localizing to the front of elbows and behind the knees. You need not have to worry that much. Besides medicine, you should do some yoga exercises, which will help you much. Few general measures you have to follow are: In case of oozing, avoid ointment or cream, corticosteroids in lotion form may be used. When there is no oozing or in dry eczemas, corticosteroid cream is to be applied locally twice a day. Local antibiotic cream with or without corticosteroid is helpful where bacterial infection is present. Skin biopsy needs to be done to confirm the diagnosis. Atopic dermatitis. Revert back for regular follow up to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23284, + "tgt": "Please suggest some medicines for severe left-sided headaches", + "src": "Patient: Hi doctor, I am a 25 year old female, who weighs 70 kg and I am 5.3 feet tall. I have severe headaches in the left eye and ear. I consulted a general physician, who diagnosed it as a migraine. I have a thyroid\u00a0problem and I am highly constipated. I take Laxopeg for constipation. Please suggest some medicines. Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15402, + "tgt": "Kindly advise a diet plan that can be followed by an athlete as an everyday routine", + "src": "Patient: Hello doctor, I am an athlete (sprinter). I do not exactly know what diet plans should be followed basically as an everyday routine. So please suggest me a perfect diet plan of the day. Doctor: Hi. As an athlete, you should be having a very light body and flexible enough for playing games. Jogging is a must every day, morning and evening (static and dynamic). Have milk, banana and brown bread in the morning before working out. Always have a water bottle with you so that you do not dehydrate yourself while working out. You should never workout empty stomach. Post workout, have a nice breakfast with fruits, toast, banana again, sandwich. Lunch should be more carbohydrate, more protein, and less fat. Three chapattis with half plate rice with green vegetable curry and salads like a carrot, cucumber, onion, and tomato. You can have daal like green gram, yellow daal. Evening snacks should be walnuts or almonds (3 to 4) in number. You can have milk and cornflakes, baked cookies, tea if you like. Dinner should be protein rich with pulses and cereals of any kind, with two chapattis. You should have your dinner two hours before sleeping. Drink lots of water. Never skip meals but should be very light." + }, + { + "id": 21893, + "tgt": "How can we treat PCOD?", + "src": "Patient: Hi doctor, I have PCOD for the past one year. Please advise what has to be done. Doctor: Hi. Please provide more details about the symptoms and investigations. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22819, + "tgt": "My feet and wrist are very sensitive to touch. Kindly help me", + "src": "Patient: Hello doctor, I am a 41 year old male with height 5 feet10 and weight 84 kg. I am having a health situation for the last two years where the top of my feet (the area covered under the shoe) gets very sensitive to touch. Even a touch of the cotton pajama feels irritating. My left hand (below where we tie the watch) occasionally burns and has the same 'sensitive to touch' feel as the feet. Sometimes, I have felt the same kind of sensitivity on my nose-tip and edges of the lips. Recently, I am noticing that the finger pads on both the hands have become too sensitive to pressure and the reddish and painful mark remains for a long time even after applying a bit of effort like turning a key in the lock. I am attaching my blood test report from the last month. Kindly help me as this is a very irritating situation and I am finding it difficult to concentrate on work because of this. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Your uric acid is slightly increased. So, avoid red meat and recheck uric acid after three months. Most of your symptoms point to a neuropathy. So, you need to get a nerve conduction study done. It is done by a neurologist on an OPD basis. Low calcium levels can cause some of these symptoms. So, I suggest starting tablet Shelcal 500 mg (Calcium and Vitamin D3) once a day for three months. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Also, check serum vitamin D levels if symptoms do not improve in the month's time. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3651, + "tgt": "My lowered left brow is causing droopy eyelids. Will blepharoplasty help?", + "src": "Patient: Hello doctor, I always had a lower left brow causing the lid to appear more droopy than the right side. However, the skin on the left side has recently become thinner in the past year I would say, causing less of my lid to appear and I feel a sensation now on that eye like something is sitting on my lid. I am only 18 so I feel like I should not be having any issues with my eyes yet. However, I did have Hashimoto's and thyroid cancer and got the thyroid removed and all of my thyroid levels have been stable since then. However, the skin on my left lid never went back to normal. Also, I feel like I might have a little bit of ptosis in both of my eyes, but it does not obstruct my vision. When I look back at old pictures when I was a baby up until the age of 12, my eyelids appear much more open. So is it normal for eyelids to droop as we age? I am currently on Synthroid. Doctor: Hi. You have explained your history nicely. You have not mentioned about photos. Both are recently taken or different. (attachment removed to protect patient identity). In the photos attached first one which is showing your lower lids down seems to be taken in a slightly down gaze. That is a normal thing. When we look down lower lid goes down with the eye. While in the second picture light reflex is central in both eyes and lower lids are in normal position. Your both upper lids are in a normal position. Normally upper lids cover 1-2 mm cornea superiorly. I would not say these as droopy lids. While in cases of thyroid disease skin changes occur like skin thinning and dryness. So these sensations could be due to hypersensitive skin. For dryness of the skin around the eye or dry eyes, you can use artificial tears. It seems you are thinking too much about it. No significant changes are seen in your eyes or lids after seeing these photos. Just relax. Nothing to worry about and you are absolutely fine. If these are older photos you can send the latest ones. And do not take photos yourself (selfies) because it is not taken in primary gaze (looking straight). I hope this helps." + }, + { + "id": 7921, + "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": 1753, + "tgt": "I have a pink-colored patch on my bikini line which hurts on pressing. Please help", + "src": "Patient: Hi doctor, There is a sort of pink-colored oval, slightly raised, flat patch on my bikini line, and it is very painful. I do not know what it is, and I am terrified. I get cysts on my bikini line quite often, but they always go away. It does not look like a cyst, and it just appeared like one or two days ago. Sometimes, it hurts to walk. I was on my period last week, so I wear different type of underwear and maybe that was too tighten on my bikini area. Also, I have been lying down on my side for an extended period of time due to social distancing. The lump is not really feeling over the area, just raised and flat. I have not had this issue before. The cyst only started to hurt when the side of my underwear pressed against it hard. Please help me. Doctor: Hello. I have read through your problem thoroughly and seen the pictures too (attachment removed to protect patient identity). To me, it looks like an inflammatory boil with some induration (thickening of the underlying skin) due to some skin infections. It is mostly a folliculitis, hair follicle infection in the skin. It will mostly go away in two to three days. You can take some analgesics for pain relief and use some antibiotic cream for local application to prevent it from getting infected. Just keep the area aerated and change your undergarments frequently. Avoid shaving the bikini like till it heals, or else it may get infected. 1) Tablet Combiflam (Paracetamol + Ibuprofen) SOS after food for pain relief (if too painful). 2) Sitz bath (a small tub of lukewarm water with some Betadine solution or a spoon of salt) three to four times a day for pain relief. 3) Clean the genital area gently after using the restroom and apply the antibiotic cream to the affected area only (Clindamycin gel or Soframycin cream-Framycetin). Change undergarments frequently. If the lesion becomes like a collection of pus, as of now does not seem to have formed pus, you can take oral antibiotics." + }, + { + "id": 17007, + "tgt": "I feel that my right-sided abdominal pain is not due to UTI alone. What can it be?", + "src": "Patient: Hello doctor, Five days ago, I had sudden pain in my lower right abdomen, along with nausea, vomiting, and fever. The pain subsided to a dull ache, which I still have now, the pressure is bad at the moment. I have been to the doctors twice, and I have had a urine test, which came back positive for a UTI. I am on Trimethoprim for three days, and the pain has not gone. As well as this, I am finding it very difficult to pass gas and stools. I am not convinced this is just a UTI. Any advice? Thank you. Doctor: Hello. I went through your post. You have pain in right lower abdomen along with the\u00a0history of vomiting. The differential diagnosis are many, but I will mention two important diagnoses: Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24996, + "tgt": "I have intense pain in the back of my head. Is this something dangerous?", + "src": "Patient: Hello doctor,I have had an off and on intense pain in the back right of my head (not at the base of my neck. In the occipital area). It started a week ago. It comes and goes very quickly, feels like a very intense stabbing feeling, then stops. It can happen a few times or several times in the day. I do not have any other neurological symptoms. I have had occipital neuralgia after a car accident before and have a history of tension headaches and this does not feel like either of those. In the past year I have had an MRI (for vision issues) and I think it was with contrast dye, but I cannot remember. I have also had a CT scan after I had melanoma removed. No dye with that one. I am afraid I have something dangerous in my head because I have this intense, localized, intermittent pain in the same spot. Doctor: Hello. Your symptoms are not suggestive of any serious medical disorder (including a brain tumor). You should know that a brain tumor, usually does not cause intermittent sharp pain (which is typical of a nerve pain), but progressive headaches mainly during the night and in laying down position, with nausea in the morning. Other symptoms like blurring vision, gait problems, etc. may be present. So, you can understand that it does not seem to be your case. Occipital neuralgia seems to be the most probable cause of your complaints, although you say to have a different type of pain. Coming to this point, I suggest taking Indomethacin twice daily (if no contraindications) for some days, coupled with an antiacid or PPI (Omeprazole) to protect your stomach. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27427, + "tgt": "I have severe anxiety, and taking Celexa does not seem to help. What else can I try?", + "src": "Patient: Hello doctor, I currently have severe anxiety due to a recent health scare. I currently take 40 mg\u00a0of Celexa daily. The Celexa is not helping the anxiety at all. What else can I take to ease the anxiety? I have Xanax and can take 0.25 mg every four\u00a0hours. That helps, but I still have extremely\u00a0severe anxiety. I have never actually had to take my Xanax until now. What do I do? I just want it to go away. Doctor: Hello. I can understand your concern. You are taking a sufficient dose of Celexa (Citalopram), and if the 40 mg dose is not acting properly. the symptoms should be re-evaluated properly. The addition of some another antidepressant as an augmentation agent can help control the persisting anxiety. Bupropion is a good option. The drug can help control the anxiety and will supplement the actions of Celexa too. For health anxiety, proper reassurance and psychotherapy also help to a great extent. For symptomatic exacerbations, you can take Xanax (Alprazolam) on an SOS basis. There is no harm in taking this drug. Talk to your doctor about the changes I have suggested. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5380, + "tgt": "I have severe cough with phlegm and breathing difficulty even after taking medicines. Why?", + "src": "Patient: Hello doctor, I am having this problem for more than two months. I have severe cough, the whole day I used to spit phlegm normally and suddenly dry cough starts mostly in the night. I face difficulty in breathing and less spitting of phlegm. My blood test report shows AEC 532 cells/mL. ESR-07 mm/hrs. HB-15.2 g%. TLC- 7600/cumm. I have taken a number of medicines, but the problem remains the same again. Now what I have to do? Please suggest. Doctor: Hello. Many patients come to me with similar complaints. Especially during the winter season when it is windy. As per your description, you seem to suffer from bronchitis. The presence of thick phlegm indicates it is a bacterial infection. The values of hemoglobin, ESR (erythrocyte sedimentation rate) and TLC (total leukocyte count) are within normal limits. Absolute eosinophil count (AEC) is slightly towards the higher side. High AEC is mostly due to the infection that you are suffering from. For these complaints, I would suggest a course of antibiotics which have good action on the respiratory system, a course of anti-inflammatory tablets, mucolytics and antihistaminics for a week. During the course of treatment please refrain from smoking, going out in dusty weather, drinking or eating spicy, cold, and oily foods. Take steam inhalation thrice a day and drink plenty of warm water. A small chance is that it could be due to asthma or allergy. For the same, you need to take a course of the above medications and see if still no respite then we can give you specific treatment for allergic bronchitis or asthma. I hope this helps. Allergy, infection, hypersensitivity. I suggest you the following measures, kindly follow those and let me know how you feel. Course of Levofloxacin 500 mg one tablet per day for five days. Chymoral Forte (Trypsin/ Chymotrypsin) tablet before food twice a day for two to three days. Accocontin tablets (Ambroxol hydrochloride) twice a day before food for five days. Montec-LC (Montelukast and Levocetirizine) in the night for five days. Brodil (Levosalbutamol) cough syrup 5 ml thrice a day for four days. Steam inhalation. Avoid smoke, dust, and cold weather. Avoid cold foods, drinks, and spicy foods. Take plenty of warm water. Do contact me if you need further support. If above measures fail we can do some investigations and check for an allergic etiology in you." + }, + { + "id": 24701, + "tgt": "There is a swelling even after the throat ulcer has healed. Why?", + "src": "Patient: Hello doctor, I do not have tonsils. They were removed a year ago. Three to four days ago, I got an ulcer in my throat. It hurt for two or three days. The ulcer is healed now but it has this mass or inflammation under it. What is this? I have never seen this with an ulcer. Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). You are having an ulcer on the posterior tonsillar pillar. It looks like a benign ulcer. The protocol is medicines must be given for the ulcer to heal. If the ulcer persists in spite of medication, a biopsy must be taken from the ulcer margin. As you have mentioned that the ulcer is just a recent one and is healing, it is a good sign. Please tell me what medicines have you been taking so far so that I can suggest you accordingly. Any history of tobacco use? Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8594, + "tgt": "My sister is only 4'5\" even at 18 years. Is GHRP advisable?", + "src": "Patient: Hello doctor, My sister is 18 years old, and her height is too short (4.5\"), and my father is 6'3\", and mother is 5'7\". But still she is 4'5\", and her height is not increasing, and as a girl, she faces too many problems because of her height. Will GHRP (HGH) work? Doctor: Hello. Expected height of your sister should be, 2.54x (75+67) /2)-6.5(+/-)10 cm = 173.84 (+/-) 10 cm = 5'8.44\"(+/-) 3.9 inch. Girls usually acquire their final height by the age of 16 years. So your sister has a short-stature. The commonest cause of short stature in growing age is hypothyroidism, which is also associated with impaired intelligence, constipation, and weight gain (your sister is slightly overweight). There may be disproportionate body habitus. Treatment is a replacement, cheap and effective. In GH (growth hormone) deficiency intelligence, body habitus is normal. Treatment is a replacement, costly, and valid only when given timely (before puberty). In achondroplasia or hypochondroplasia, intelligence is average, and body habitus is disproportionate. Malnutrition, chronic diseases, and a few other rare syndromes (if appearance suggests) should also be excluded." + }, + { + "id": 13544, + "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": 10545, + "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": 3808, + "tgt": "Why does my pain radiate from back to thigh?", + "src": "Patient: Hello doctor, I am a 28 year old woman. I am suffering from a radiating pain that spreads from back to the lower half of the body.\u00a0I have this issue since a year.\u00a0It aggravates when I ride bike. Occasionally, the pain may also radiate upward.\u00a0If I keep hard item then I get some relief. I am taking muscle relaxants for pain relief. Please help. Doctor: Hello. Revert back after the investigations to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 9038, + "tgt": "Why do I feel a bubbling sensation in my chest while sitting or lying down?", + "src": "Patient: Hi doctor, I am a 32 year old male, I have been to the ER twice in the past two weeks for a bubbling sensation that starts at the base of my sternum and goes up my esophagus, mostly when I am sitting or lying down. On the\u00a0first visit they did a complete blood workup, EKG, and x-ray, everything was normal. They said it was GI related. I went back to the ER today because I had the same feeling. They took my vitals which were fine, and I had no pain when they pressed my stomach. I was prescribed Omeprazole 40 mg twice daily and Citalopram\u00a020 mg once daily.\u00a0Two weeks ago, when I was monitoring my neck pulse, I could not feel the pulse when I had the bubbling sensation. Once the feeling is gone, I can feel my pulse again. I am also under medication for anxiety disorder and acid reflux. What is wrong with me? Doctor: Hello. Revert back with more details to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19777, + "tgt": "Please suggest some medicine to reduce pain in the palate", + "src": "Patient: Hi doctor, I am having cold and severe pain in the upper part of my palate. The pain is worse at night. I used to get this once or twice a year, but this time it is so severe. My current medication includes, Amoxicillin 500 mg thrice a day and Sodium diclofenac 50 mg. I have taken the tablets for three days, but still I have pain. Please help. Doctor: Hi. Revert back after two days to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28740, + "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": 16399, + "tgt": "Please advise management for excessive sweating in feet of bromhidrosis patient", + "src": "Patient: Hello doctor, I just wanted to ask I have a condition called bromhidrosis. I do not have excessive sweating but my feet tend to smell lot even when I have washed it and dried it off. I have foot odor and do not know the main cause of it. I have tried every product medically or non-medical ones but nothing is working. It is affecting my life daily and I feel embarrassed wherever I go even with my friends and family. Therefore, I have stopped going to places. I need your help with this. Doctor: Hi. Excessive sweating is always associated with feet odor or it can be due to hormones and bacterial reaction. Obesity, diabetes, thyroid, etc., also will cause this. As you are overweight must check thyroid and diabetes. Sometimes, it is natural and not associated with any disease. You can try Aldry lotion (Aluminium Chlorohydrate) which has anti-sweating property. Use deodorants and perfumes. Avoid fatty and spicy food and also avoid tight shoes and occlusive socks. Botox (Botulinum toxin) is one of the most popular treatments nowadays. We inject this over feet which cause sweat glands paralysis and totally stops the sweating and so odor." + }, + { + "id": 10334, + "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": 24689, + "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": 8396, + "tgt": "How can intruded root canal treated tooth be managed?", + "src": "Patient: Hello doctor, My upper front tooth with root canal has moved inside because of an injury and it is bleeding. Doctor: Hello. If it is just pushed inside or back due to falling and is not mobile, either go to a dentist soon and ask him if he can position it urgently. A clear picture would have helped in giving an exact treatment plan. Nothing else can be done for now. Allow the wound to heal, apply ice for one hour at least. Take some painkillers for three days. Try to eat liquid or semi-solid food so as the tooth gets time to heal. Later after two weeks or so you can get a new crown made over the teeth." + }, + { + "id": 17539, + "tgt": "I have non-healing pimples. What can they be?", + "src": "Patient: Hi doctor, I am a 23 year old male. What seemed as a common pimple to me some months ago is causing me a great problem now. I had a few pimples on my face around 4-5 months back. I remember trying to put pressure on them and I messed it up. I had pimples all over my face. Then, I consulted a doctor and he suggested a cream (Epiduo gel, Benzoyl peroxide). It helped initially, but the pimples never really healed completely. And in the recent few weeks they have become more pervasive. I use to clean my face regularly but every day or two, a new pimple pops out. I have attached a picture for your reference. I would like to mention that I have dandruff in my hair. Kindly suggest a treatment. Doctor: Hello. I had a look at your photographs (attachment removed to protect patient identity). 1. Drink lot of water. 2. Constipation can give rise to acne. 1. Avoid having coffee. 2. Stop smoking. 3. Avoid harsh soaps for washing your face. Revert back after 12 days with the photographs taken from front, left and right side for clear understanding to a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28017, + "tgt": "Can inguinal hernias lower testosterone levels and decrease ejaculate volume?", + "src": "Patient: Hello doctor, While having sex with my wife six months ago, I had a severe pain in my stomach, which seemed to have originated from my testicles. The pain has never happened again. I live a pretty much normal day to day life.\u00a0Since then, I have noticed a decrease in semen volume considerably. Now, I also feel that my testosterone levels have lowered, and I have low sex drive, difficulty concentrating, and lower back pain. It also seems that my testicles are riding a bit higher. All my blood reports are normal. What is the cause? Please help. Regards. Doctor: Hi. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 26558, + "tgt": "How do I use the MTP Kit? Is it effective?", + "src": "Patient: Hello doctor, The period cycle of my fiancee falls on the 1st of every month. We had sex on the 13th and the 14th. She missed her periods this time and had a pregnancy test, which came back positive. She took a single tablet of\u00a0Mifepristone at 2 p.m.\u00a0The medical person asked her to take the first pill at 2 p.m. and then another one after 55 hours at 9 p.m. and then again\u00a0two\u00a0tablets\u00a0after 12 hours at 9 a.m. and then the\u00a0remaining\u00a0two pills. Is this right? Doctor: Hello. There are two types of medicines in the MTP kit (medical termination of pregnancy), one is Mifepristone, and the other one is Misoprostol. They are not always successful. There are 4 % to 5 % chances that one may require a surgical evacuation. You should have got an ultrasound before starting this medicine to confirm if the pregnancy was intrauterine or outside the uterus. Only after it is confirmed that the pregnancy is intrauterine and less than nine weeks, you can take the MTP kit. It has two types of tablets. One is Mifepristone 200 mg which is to be taken immediately. The other one is the Misoprostol tablet and 800 mcg of it has to be taken. That is, all the four tablets are to be inserted in the vagina after being slightly soaked in waterdrops to dissolve easily after 24 to 48 hours of the first medicine taken. Lie down for one hour after the vaginal medicines. You will start bleeding after four to six hours of inserting Misoprostol. It may result in bleeding more than your periods, which will last for five to six days. I suggest you get an ultrasound done after two weeks to look for any retained pregnancy remnants. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10027, + "tgt": "I have frequent urination and minimal calcification. Does it mean prostate cancer?", + "src": "Patient: Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the calcification has nothing to worry as it was not that serious and my doctor (internal medicine) also did not care about it. But I am still worried as what I have read is that even at a young age you can have prostate cancer. Though I am still experiencing frequent urination (I am now drinking a lot of water 2 to 3 liters a day) now, my creatinine is in normal level and KUB is all normal. Doctor: Hi. I have gone through your query. It is extremely unlikely for you to develop prostate cancer at your age. Even in families with hereditary prostate cancer, the usual age people develop cancer is above 40 years of age at the lowest, though it is usually between 50 to 60 years. That said, in your case, it is too early to jump to conclusions of having prostate cancer in your family. The most likely explanation for your symptoms could be a mild urinary tract infection or even your increased fluid intake. Prostatic calcification is commonly seen and does not imply anything significant to worry now. If you are concerned, you can do a PSA (prostate-specific antigen) test and a prostate exam at 40 years. If normal, then you can repeat it after three years interval. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8589, + "tgt": "Why am I having ulcers that come and go in different sites inside mouth?", + "src": "Patient: Hello doctor, I have something in my mouth on my tongue. Sometimes it is inside my cheeks as well. It comes and goes in different spots. Doctor: Hello. Mostly these things are fungal ulcers. Repeated attacks means low immunity which appears after emotional and psychological stress. Are these ulcers painful or tender for foods and drinks? Do you have reflux? Do you have psychological stress? Anyway until answering my questions you can use Nystatin oral drops with oral antifungal gel." + }, + { + "id": 5828, + "tgt": "I have vision loss in right eye, and scissoring reflex on retinopathy. Please interpret my MRA findings", + "src": "Patient: Hello doctor, I am looking for a detailed read and interpretation of the MRA. Please be as detailed as possible with any abnormal findings you may see. My symptoms are progressive vision loss in the right eye, temporal headaches, and tenderness on the right side, headache on back of the head (right side), scissoring reflex via retinoscopy. I have attached my files. Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). MR arteriogram shows The intracranial parts of both internal carotid arteries appear normal in caliber. There is hypolplasia of the A1 segment of the right anterior cerebral artery. The proximal left anterior and bilateral middle cerebral arteries and the arteries of the circle of Willis are normal in caliber. The right posterior cerebral artery is hypoplastic. The vertebral, basilar and left posterior cerebral arteries and their branches appear normal. No aneurysm or dissection or vascular malformation. There is no obvious vascular looping around the bilateral trigeminal nerves in the cisternal parts in the given images." + }, + { + "id": 22235, + "tgt": "Please provide medical advice on reports, especially liver profile", + "src": "Patient: Hello doctor, I am a 27 year old male. Recently, I have gone through a full body check up and I am attaching the reports of that. So, kindly go through all the reports and provide your sound medical advice based on reports especially on the liver profile, ultrasound, and chest X-ray. Also, advice about the type of food which should be taken and what are the things need to be avoided. What are the medications to be taken to improve the health? I was having some pain in lower stomach parts while traveling, also some pain is chest area. So, I have gone through all the tests. Doctor: Hello. I have reviewed your detailed query and all supporting documents (attachment removed to protect patient identity). There is nothing wrong with the blood and urine tests at large. Your heart is working perfectly normal and there is no abnormality found in the heart. Blood sugar is all normal and working fine. Your lipid profile is a little out of range but this is manageable with a change in lifestyle. You need to start working out (better would be to join the gym and do treadmill and cardio exercises under the supervision of a gym instructor). Take healthy and natural diet. No junk food and lazy habits. Remain active and keep calm. ESR (erythrocyte sedimentation rate) is high and the reasons can be discussed with your treating physician. Causes of high ESR can be inflammations and infections in the body. Your chest X-ray shows infection (bronchitis) and that may be a causative factor. Hope it helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11111, + "tgt": "Can angioplasty and ring fixing be done in an 80-year-old with history of four heart attacks?", + "src": "Patient: Hello doctor, My mother\u2019s age is 80+ and she had heart attack four times. Two attacks in quick succession a year back and two attacks quick in last one month. Her heart pumping capacity is about 35 % with kidney creatinine 3.4 mg/dl. But it is decreasing now. She never had diabetes. But always when admitted to hospital for heart attack treatment, her sugar level increased a bit and hospital always started giving her Insulin. Last one and half year her cardiologist never advised her to go under any aggressive treatment like doing angiogram and then further treatment like angioplasty and ect. If we go for angiogram followed by further treatment like angioplasty and ring fixing. Will it be safe for her? Will she be able to survive? Traditional angiogram or CT angiogram and then angioplasty or ring. Doctor: Hi. Although bypass or angioplasty can be done in old age, if the health of patient is promising, but if other health issues are present then it becomes a high risk case. As your mother's kidney function is poor, it becomes very risky to have an angiogram done because even non-ionic contrast medium is detrimental for the kidneys. One possibility is that have her 1 or 2 sessions of dialysis done first, then go for angiography and angioplasty and again have one or more sessions of dialysis in close liaison with good nephrologist. If this is done safely, then next risk is of bleeding. After angioplasty, blood thinning medicines are given for long time, this may cause bleeding problem in old age. Regarding bypass, it is a major surgery and needs general anesthesia, although not impossible in old age but, it depends upon overall health and organ functions of body. Cardiac anesthetist will fully evaluate her before bypass. Third option is to keep her on medicines only without going for any intervention. In my opinion, consult a nephrologist that is there any chance of recovery of kidney function, if no then periprocedural dialysis can be considered." + }, + { + "id": 29192, + "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": 25027, + "tgt": "My eyes twitch a lot. Can you help me with this?", + "src": "Patient: Hi doctor,My eyes twitch a lot. I started experiencing it last year. It lasted for a good three months and then subsided on its own. This year it has started again. It is very annoying and hampers work. I wear spectacles and got my vision tested a while back. So my power is correct. Can you please help me on this? What medication should I use to make it go away? Doctor: Hello. Do you feel any kind of fatigue also along with the twitchings? Did it start last year after any kind of systemic illness like viral fever or any trauma? Any kind of treatment you take for any disease? Your symptoms may purely be due to weakness without any associated pathology but may be associated with some local or systemic disease like blepharitis, or myasthenia gravis. You can try using multivitamin specifically rich in vitamin B12 and Folic acid. You can also use lubricant eye drops three to four times and do warm compresses. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21165, + "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": 1265, + "tgt": "Shall I take Septrin forte for prostate infection?", + "src": "Patient: Hi doctor, I have Morganella morganii infection in the prostate.\u00a0For the past 15 years, I have been\u00a0getting blood in semen. I had a short course of\u00a0antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics. Doctor: Hi. For further information consult a\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 10747, + "tgt": "I got scratched by a nail of the dog. What should I do?", + "src": "Patient: Hello doctor,I was scratched by a nail of the dog a week back. Do I need to do anything for that? The dog died today, probably due to some other reason, and the dog was not vaccinated. Doctor: Hello. Are you sure the dog scratched by nail or teeth? Is any open wound or bleeding present at the time? Did the dog die due to rabies or any other cause? So many questions there. Better get ARV vaccination (anti-rabies vaccine). Since dog died, the reason not known take human rabies immune globulin (HRIG) administered only once first, if you are previously unvaccinated. Then take ARV prophylaxis." + }, + { + "id": 20611, + "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": 26565, + "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": 29295, + "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": 8575, + "tgt": "Kindly explain the reason for heavy bleeding after taking abortion kit", + "src": "Patient: Hi doctor, I am 20 years old. I had an unplanned pregnancy. I and my partner decided to have an abortion. I was not sure whether I am pregnant or not because I did not take a pregnancy test. Without taking the pregnancy test, I took an abortion kit, which is similar to Mifegest kit, on the third week. On the second day, I had heavy bleeding and I saw a piece of flesh. I wanted to make sure that whether I was pregnant or not. It has been a week after taking the abortion pills, I am still having bleeding. Doctor: Hello. You should have confirmed intrauterine pregnancy and then after doctor's advise, abortion kit can be used. Anyway, now you can get checked your blood beta hCG level to confirm whether you were pregnant or not. It can be still elevated slightly if you were pregnant. For your heavy bleeding, Tranexamic acid tablet can be prescribed. I suggest you investigate with transvaginal ultrasonography just now as it is necessary to confirm whether complete abortion occurred or not." + }, + { + "id": 22595, + "tgt": "What can I do to reduce my chest and stomach fat completely?", + "src": "Patient: Hi doctor,I have a fat issue in my body. I have chest and stomach fat in my body. And for that, I am too much worried that how to reduce chest fat (basically this is too much irritating for me) and stomach fat and becoming a fit and healthy person. Please give me some suggestion what to do so that I can reduce my chest and stomach fat completely. Morning normally I have breakfast as milk and cornflakes, as lunch I have food in office and weekend is PG food and at night rice, curry and fish or egg or chicken as dinner and one or two times per day drinking juice. Doctor: Hi. You need not worry as your BMI (attachment removed to protect patient identity) is in the normal range as per WHO standards. You may need to work on spot reduction with some ab workouts. Your diet plan is fine you may require to include two mini meals of some fibers like fruits or vegetable salad mid-morning and late, filling water and drink for the whole day. This crush will help you to improve metabolism and antioxidants. You can use daily new herbs to enjoy taste like one-day cumin or peppermint or ginger or fennel seeds. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17078, + "tgt": "I have a pain on the right side of the thigh after a fall. How can it be treated?", + "src": "Patient: Hi doctor, I had a fall recently. The doctor gave me a painkiller injection on my buttocks. Now, I have developed a pain on the right side of the thigh. There is pain only when I touch it, and there is a pain in the place where the injection was given. Doctor: Hello. You had a history of fall. So, you are having a musculoskeletal pain problem. A non-steroidal anti-inflammatory drug like Ibuprofen can be taken for five days. A hot compress can be applied. Avoid movements that cause pain. Take rest. If there is no improvement, then, further workup is needed. Consult an orthopedic surgeon for examination, if required. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1457, + "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": 7727, + "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": 28177, + "tgt": "My BP and cholesterol are high, and I had an episode of sweating and vertigo. Is it normal?", + "src": "Patient: Hi\u00a0doctor, I am a 26 year old male, and I work as an\u00a0engineer for a consultancy firm. A few weeks back, I noticed that my blood pressure is slightly on the higher side. I checked my BP every day at night for about 2 to 3 weeks and found that 90 % of the time, it is in the\u00a0range of 135 to 150/80 to 100 mmHg.\u00a0Also, I noticed in this period, that sometimes I feel mild pain on the left side of my\u00a0chest. Mostly, the pain is on the lower left side and sometimes on the\u00a0upper center. The pain is radiating type, and I feel discomfort on the\u00a0left side of my chest.\u00a0Two days ago, I was in the office, and suddenly I felt a cold sweat running through my body along with vertigo. It continued for about 4 to 5 minutes, then things were normal. Searching my symptoms on the internet made me even more scared, and I decided to go for a blood checkup.\u00a0 I received my blood test reports today, and I found that my homocysteine, total cholesterol, and CRP, are slightly on the higher side. Vitamin D and folic acid are below normal.\u00a0Please advise whether there is some serious underlying problem. What should I do? I am attaching my reports.\u00a0My other problem is chronic tension-type headaches, since the past six years and IBS, which was diagnosed eight years ago. Also, I do get a\u00a0lot of acid reflux problem and take Digene frequently.\u00a0Also, I would like to point out that, for the past 1 to 2 months, it has been very stressful for me. My sleep is also not proper, as I get only 5 to 6 hours of sleep on weekdays. I feel drowsy during the day. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). You BP (blood pressure) is on the higher side as per current international guideline. It may be due to persistent anxiety. Cardiac pain is mostly seen as central chest pain and increases on exertion and reduces on rest. The kind of chest pain that you are experiencing might be due to acid reflux. High cholesterol may be due to the intake of junk food. Vitamin D deficiency is because of less exposure to sunlight. CRP (C-reactive protein) isolated has no significance. I suggest you do the following things: Coming to the medicines, I suggest you try the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. After a month, you can review for further treatment. Hope you get some relief. The cause of the problem is anxiety, sedentary lifestyle, and taking junk food. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17798, + "tgt": "Missed or delayed periods after taking I-Pill? Is it due to pregnancy or amenorrhea?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend and she took I-pill within two hours. She had bleeding for three to six days after having sex and she missed her periods till now.I have heard about the disease amenorrhea, it might also be the side effect of I-pill in some cases. Is this a pregnancy or a disease amenorrhea? If amenorrhea happens, then can it be easily cured or not? How she can have her regular periods? Is it a matter of fear or a common disease?Please help us. Doctor: Hi. Amenorrhea is not a disease. Amenorrhea is simply absence of the menstrual cycle. A lot of females have missed periods for one or two cycles after taking I-pill and this is normal. In most cases cycle resumes after one or two missed periods. So, no need to worry. Within one to two months her periods will resume. So, no need to do anything. As she bled three to six days after taking I-pill, there is no risk of pregnancy. The amenorrhea is the side effect of I-pill only. It is not a matter of fear. No need to do anything. Just remain relaxed and wait for her periods to resume. For further information consult a Ob/Gynac Doctor Online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30892, + "tgt": "Could my seizure have been provoked?", + "src": "Patient: Hi doctor, I had my first tonic clonic (grand mal) seizure seven days ago at work. It lasted 1 minute 30 seconds. I bit my tongue badly, but did not have any incontinence. Beforehand, I was shaking, had a loud beating heart and had a feeling of vertigo and anxiety. Afterwards, I was confused for approximately 15 minutes.\u00a0I was being very active at the time and was bending down and rising several times to tidy up a room, which may have contributed to feeling faint or having a head rush. I am a 27 year old obese woman. My height is 5'6\" and weight is 266 lbs with untreated bulimia that comes and goes in phases since the age of 15. For the previous three months, I alternated between low carbohydrate days, the days I accept as good days and bad days where I may binge and purge up to three times a day.\u00a0I vomited 12 hours before my seizure and did not eat or drink anything after that. I had 5 hours of sleep and then drove an hour to work.\u00a0After my seizure, my employer, who happens to be a doctor, gave me lots of water and tea and sent me to a GP. An hour later, I had a blood test and the results came back all normal, but borderline low potassium. My ECG scan is normal and nothing wrong with reflexes or balance. I do not have diabetes. I have also seen a neurologist, who has put the seizure down as isolated and unprovoked. I have not told my GP or my neurologist about my bulimia. My MRI and EEG scans are pending, but my neurologist said that they will probably come back clear. I have never felt my aura before as any indication of epilepsy, minor seizures or myoclonic jerks. I have also scared of my bulimia now, which is a positive.\u00a0I realize that I am probably clutching at straws or in denial that I may have adult onset epilepsy. My question is that could my seizure have been provoked? Thanks in advance. Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. From what you have narrated, I am of the opinion that your seizures were provoked or brought on by a combination of non-diabetic hypoglycemia, lack of sleep, dehydration, messed up electrolytes or even hypoglycemic unawareness. Your neurologist has labeled this as unprovoked seizure since he was not aware of this. Because of this, they may diagnose this as epilepsy, when it is all the more possible that you had a episode of fits due to hypoglycemia and messed up electrolytes due to bulimia. By hiding your bulimia (eating disorder) to the neurologist and GP, you make it a risk of another worse diagnosis of epilepsy. Bulimia is a much simpler disease than epilepsy. My suggestion would be to tell the GP and neurologist the truth and get treated for bulimia and save your future. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11316, + "tgt": "How can I make the hypertrophied scar in the base of my nostril look better?", + "src": "Patient: Hello doctor, I met with a mountain biking accident about two years ago. What I believe is I have a hypertrophic scar from the base of my nostril to my upper lip, which is about 3/4 inches. It is flattened a lot and is no longer red. Can I make it even better? Doctor: Hello. Yes, it is a hypertrophic scar (attachment removed to protect patient identity). It still looks bumpy and elevated in the picture, and it can be flattened with intralesional Kenalog (Triamcinolone Acetonide) injections. You may need two to three sessions to bring it to the skin level. There are scar gels like Serica (Pracaxi oil), you can use it along with intralesional Kenalog injections to improve the texture. Microneedling with radio frequency (MNRF) is an effective procedure for this type of scars, after getting it flattened using intralesional Kenalog." + }, + { + "id": 29359, + "tgt": "Could you advise a possible treatment for my sleep problem?", + "src": "Patient: Hi doctor, I am a female of weight 60 kg and height 176 cm. I have been having extreme trouble with sleeping for about 18 months now. I struggle to get to bed, and when I finally do, I wake up once in one and a half hour or so and feel like the sleep is not a deep one. I feel like I have a restless night sleep every night. I am currently taking 0.5 mg of Cabergoline a week for a benign pituitary gland tumor. My specialist has ruled this out being the cause of sleep trouble. I have tried supplements like magnesium, which did not work. I also have a set bedtime routine to help relax before sleep and limit phone use before bed. I have also tried things like warm milk before bed, which also has little effect. Could you please advise on other causes and possible treatment? Doctor: Hello. From your limited history, two plausible causes of your insomnia can be made out. For further information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 20749, + "tgt": "Please let me know my HIV status based on the test reports", + "src": "Patient: Hello doctor, What do this reports indicate? After one-year exposure, following tests were taken HIV 1 and 2, western blot, which was negative. HIV-1 RNA PCR qualitative- non-detectable. Please let me know whether I am positive or negative for HIV. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). It is a confirmatory test. It is done after one year of exposure. You are free from HIV. You can allay fears of HIV from that exposure. Forget about the incident and lead a normal and safe life. You can get back for any clarification." + }, + { + "id": 16200, + "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": 15572, + "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": 26412, + "tgt": "There is pain on the right side of my scrotum. What could it be?", + "src": "Patient: Hello doctor, For about two weeks, I have a slight discomfort on the right side of my scrotum when the testicles are retracted.\u00a0It is an uncomfortable pain.\u00a0When the testicles are warmer and the scrotum is down, I\u00a0feel no pain at all. I am currently on\u00a0Zyrtec.\u00a0I have done a self-examination and the testicles seem no different than before. There are no lumps seen.\u00a0There is no discharge in my urine or sperm too.\u00a0I have an appointment with my primary care doctor in three days but I am quite nervous now. What could it be? Doctor: Hello. Regards. For more information consult a\u00a0urologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2390, + "tgt": "I applied Clotrimazole for penile yeast infection but no improvement. Why?", + "src": "Patient: Hello doctor, I am suffering from penile yeast infection since a week (candidal balanitis). Due to lockdown I could not see a doctor and researched online and used Clotrimazole cream IP but no betterment. Since yesterday, itching and pain has increased. Can you please help me out with this. Doctor: Hi. Candida infection present as a whitish membrane over the penile head with reddish mucous. It is very itchy. I hope it is diagnosed by a dermatologist only. Clotrimazole is effective in most of the time. Candida is a normal commensal in our body but in some it causes symptoms and balanitis. Aggravating factors are diabetes, moisture, and some are allergic to it. So first thing is wash with mild soap and dry always after intercourses. If you can keep your penile foreskin retracted, good that will keep it dry. But if not possible, as it is painful if you are not used to it make sure it is dry. Take capsule Fluconazole 150 mg once daily for seven days. One single dose for your sexual partner, tell her to keep dry especially during menses. Miconazole gel (DK gel) twice daily for seven days, tablet Fexofenadine180 mg once daily for itching. Keep dry. It will cure it. Follow up after seven days. Candida. Blood sugar. GTT (glucose tolerance test). Candida allergy. Candida balanitis. Antifungal. Keep dry as far as possible. Always send a clear image with symptoms." + }, + { + "id": 2709, + "tgt": "My dentist did not wash his hands before putting on gloves. Could he have infected me?", + "src": "Patient: Hi, I just went to the dentist for a general cleaning. My dentist is great and very hygenic. Today when he came in the room he washed his hands and put on gloves. Half way through he needed to go and check on another patient. He took his gloves off and ledt the room. I dont know his he needed to treat or just talk to the other patient. He came back in my room and put new gloves on but didnt wash his hands and continued. He off couse may have washed his hands in the other room. I have anxiety about my health and worry about contracting something like HIV or Hepatitis. During my cleaning my gums were bleeding and I\u2019m worried that maybe there was cross infection. Am i right thinking that it would be unlikely that he could have infected me with something like HIV/Hepatits this way? Doctor: Hey, That is great that you are cautious about hygiene. But its perfectly fine. Your doctor would have definitely washed hands before wearing gloves. Secondly, HIV/Hep C viruses don't act at other person in seconds. It takes months or years to become active and then start with some symptoms after years . This won't be the case you are healthy mA. Bleeding during scaling is very common when tartar is removed at boundaries of gums. It promotes a healthier gums production later. For being having no doubts about any viruses you can get your relevant blood tests done. Like CBC, Hiv tests done 6 monthly that will definitely rule out this thing in your mind. Take care.Stay blessed and happy. Feel free to ask any further queries. Dr. Tooba" + }, + { + "id": 18032, + "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": 13256, + "tgt": "How can I cure gas and hemorrhoids?", + "src": "Patient: Hi doctor, I have hemorrhoids and a lot of gas build up that triggers it painfully, constantly. I have no relief with the constant gas no matter what I do. I tried liquid Kombucha for a few months and found relief but when a hurricane struck us, I had to go without it and went back to square one. In an effort to not be so reliant on it, I am trying probiotics with no luck. Would you recommend any topical treatment as well as probiotics to help treat the gas and hemorrhoids? Doctor: Hello. First of all, stop all spicy, junk and fermented food. Consume fruits like banana, papaya, pomogrenate, grapes. Avoid green chilli completely. Take one cup of water, add 1/2 teaspoon of jeera and boil it, do not filter and add 1/2 teaspoon of ghee. Drink warm daily once for 10 days. Have buttermilk daily before lunch. Apply Pilex or Pilorid ointment twice a day on anal region. If still problem does not get solved, consult any ayurvedic doctor face to face. Sometimes patients are telling hemorrhoids but it may be fissure or fistula." + }, + { + "id": 27987, + "tgt": "I am noticing bloody stools from three days. What could be the reason?", + "src": "Patient: Hello doctor, For the last three days, I have noticed blood in the stools. It is not noticeable at first until the stool starts to separate. It is not thick mucousy, but it is red and mimics blood. I do not have any pain or strain. Doctor: Hello. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24995, + "tgt": "My glucose is normal, but my insulin seems too high. Is this of concern?", + "src": "Patient: Hello doctor, I have recently done a glucose tolerance test, where insulin levels were measured on 0 minutes, 60 minutes, and 120 minutes. The results are: 0 Minute: Glucose 4.74 mmol/l, Insulin 11.2 uIU/ml. 60 Minure: Glucose 8.71 mmol/l, Insulin 104.3 uIU/ml. 120 Minute: Glucose 5.07 mmol/l, Insulin 13.16 uIU/ml. I can see that the glucose is within normal reference numbers, but on 60th minute the insulin seems too high. Is it? What are the reference numbers for insulin on the 60th minute? Is this a sign of insulin resistance? What would you recommend as a treatment? Doctor: Hello. I would like to see the image of your reports and would also like to know, have you undergone the HbA1c test. How long you have been diabetic, have you been on oral antidiabetics. Revert with more information to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 4756, + "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": 28798, + "tgt": "Is tinnitus a side effect of AZO?", + "src": "Patient: Hello doctor, I began exhibiting symptoms that I would describe as tinnitus from a week. I get a loud noise or ringing in my left ear, although it also happens in\u00a0the right ear. One fine day the tinnitus actually went to the other ear (my right ear), my tinnitus since then has not been focused in a single ear, but seems to alternate.\u00a0I had to leave work three days back, as I had a sudden nauseous feeling. Since then, I have experienced random rushes of sensation that go throughout my body, which\u00a0most of the time are accompanied by temporary nausea. This feeling I can only describe as a \u2018wave\u2019 passing throughout my body. In my past, I have taken MDMA (ecstasy)\u00a0and would experience the same sensation then. I have heard people, remark about how this could be vertigo, but after reading descriptions I do not think it is. I do not feel like I lose control and balance, at least not significantly. I went to an urgent care physician to discuss my symptoms. The doctor listened to my ideas on what it was, but did not seem very knowledgeable on ototoxicity and assessed the situation saying I may now have tinnitus and this is something I will learn to deal with. He did remove severely impacted ear wax from my left ear\u00a0and was unable to finally remove all from the right ear. Upon removing the left ear wax I did feel a relief in the volume of the ringing. Since then, I have noticed that the tinnitus feeling seems to feel more internal than external.\u00a0My doctor prescribed me Acetic acid drops for my left ear\u00a0since there was slight bleeding during micro-suction. He also prescribed me Meclizine for vertigo\u00a0and Ondansetron for nausea that could accompany that. I went to a dermatologist and had a mole removal with local anesthesia. During this time I was also taking AZO, which is over-the-counter bladder calmer. Throughout the past four years or so, I have taken AZO over periods of time. I had issues with urinary incontinence and I took this\u00a0without input from a physician. There were periods where I took it for five days of the week, for maybe three months total. I originally took two pills at once, and then later took a pill at a time. It has been some time since I have taken AZO\u00a0before I took it again. I was completely unaware that AZO (Pyridium) can be ototoxic as it was near impossible to find this listed as a potential ototoxic medication. I never before exhibited any symptoms like this, and although while I began getting tinnitus that weekend, I did not stop taking it every day as I was completely unaware this was related in any way.\u00a0 In my past, I have also taken ecstasy (MDMA)\u00a0on a regular basis or in large amounts. I have not ever experienced any negative long-term effects from this but that does not mean that damage was not done because of it. I have also smoked marijuana, drank heavily, tried cocaine a handful of times, as well as mushrooms, and ketamine a handful of times.\u00a0I know it is dangerous to self-diagnose because you can create problems out of nothing. My fear is that\u00a0I will put additional harmful substances in my body exacerbating the symptoms of what I am experiencing. I took one Meclizine to help with the uneasiness and I believe that the tinnitus has changed, it now moves in a cascading change in pitch. I now hear a\u00a0constant noise, but it changes in sound (high pitched always, sometimes slowly rising and falling in pitch in the higher frequencies or it subsides quickly while another high pitch replaces it). I still experience the waves of tingling sensation that move throughout my body, and it seems more random and the frequency alternates (which could be a balance related issue or something else entirely). Doctor: Hello. While you have elaborated on your symptoms very meticulously, I still require some more details. It is true that MDMA (3,4-methylenedioxy-methamphetamine) can cause tinnitus and worsen noise-induced hearing loss. However, it will be related to an episode of taking the drug. It is possible that regular use of the drug could have made the inner hair cells more susceptible to noise-induced trauma and would have manifested on someday when you subjected yourself to some noise (acoustic trauma). AZO (Phenazopyridine hydrochloride) is not a proven ototoxic drug. But since you are saying you have been using it, I suggest you stop that and consult a physician for the urinary symptoms. I suspect Meniere's disease, which is an inner ear problem and also ototoxicity. So, get the following tests done. In your next query, please attach the reports of the above. The above tests are necessary to find the cause of the problem and also arrive at the right diagnosis. Only after that, we can give a definitive treatment for you. Ear wax can cause tinnitus and aural fullness manifesting as imbalance, but the same will not be as severe as described by you. If the abrasion inside the ear has healed, you use some wax dissolvent to remove the wax. It will make it more soluble, and an ENT can remove it easier. Also, continue the medicine Meclizine, till we get the diagnosis right. I suggest you refrain from party drugs, alcohol, smoke, and dope. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30065, + "tgt": "My vaginal discharge is yellowish green with occasional blood. Why?", + "src": "Patient: Hi doctor,My vagina is producing yellowish green mucus. That sometimes has blood in it. It also smells horrible. It had been going on for about two weeks, but recently started to have blood in it. I am on regular Zoloft and Melatonin. Doctor: Hello. Yellowish green discharge may be because of vaginal infection. You said that you have blood in between. If blood comes during menstruation (monthly), then it is normal. And if it is not a menstrual bleeding, then you have to be checked by nearby gynecologist to rule out cervical bleeding or other. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19488, + "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": 26767, + "tgt": "Can you tell me the cause of my severe hair fall?", + "src": "Patient: Hi doctor, I am a 29 year old female. I have\u00a0severe\u00a0hair\u00a0fall. I take multivitamins and iron pills daily for iron deficiency. I have\u00a0tried biotin, expensive shampoos, conditioners, leave-in conditioner, etc. Nothing seems to be working. I wash my hair every other day because it tends to get very oily. I have not styled my hair with heat for almost a month.\u00a0I still have significant hair loss. Two days ago, I counted 85 hairs, and today it was over 100 hairs right after a shower. Every\u00a0time I run my fingers through my hair, I lose one or two. The hairs are not always long, sometimes it is shorter (as if it is just breaking off). It is concerning. Naturally, I have thin hair, and I feel like my hair is thinning quite a bit. I never had any major medical issues. Can you tell me the cause of my hair loss? Doctor: Hi. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 5116, + "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": 26353, + "tgt": "My girlfriend took Levonorgestrel tablet after sex. Can this prevent pregnancy?", + "src": "Patient: Hello doctor, My friend took 2.7 mg of Levonorgestrel tablet within two days of unprotected sex. She had taken 0.6 mg on the first day within 12 hours. When she took the second course of 0.6 mg after exactly 12 hours, she vomited the tablet immediately. So, she took 1.5 mg in 28 hours. Again,\u00a0she took the second course of 0.6 mg in 34 hours as she wanted to complete the course. She is very worried whether a heavy dosage can cause pregnancy. Please help. Doctor: Hello. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16181, + "tgt": "What is the reason for delayed periods if pregnancy test is negative?", + "src": "Patient: Hello doctor, I am 41.5 years old female. I always get periods on time. My cycle is of 24 to 25 days. But this time it is late by five days. I have not got my periods yet. I have checked pregnancy test today but it shown negative. What could be the reason for delayed periods? My tummy remains bloated like a ballon. Please suggest. My last date was on 23rd and today it has been 29 days. Doctor: Hello. I have gone through your history and understand your concern. I will try my best to help you. Do a repeat pregnancy test with urine pregnancy kit, if its negative, wait for period for at least seven to 10 days. If period does not come repeat it again after one week. As your pregnancy test is negative and this is happening for the first time, it is not a serious issue. Just wait and watch. The period will come naturally in another one or two weeks. You should take medicine to bring period only if it is not possible for you to wait. Otherwise, it should be avoided. I also want to know if you have taken any hormonal pill in the recent past or if you are a patient of thyroid disorder. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17095, + "tgt": "My blood pressure is up to 197/100. My doctor keeps giving me Bystolic. Is that safe?", + "src": "Patient: Hello Doctor, My blood pressure is up to 197/100 mmHg. My doctor keeps giving me tablet Bystolic and asked to take\u00a0it for 10 days. Is that safe? I am a 53 year old male, usually great health. Doctor: Hi. Revert back to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19310, + "tgt": "I have small red rashes on my glans penis. What could be the cause?", + "src": "Patient: Hi doctor, I have small red rashes on my glans penis.\u00a0It started as a small blister.\u00a0When cleaned, it peeled like skin. However, if it is not cleaned, white discharge gets in and around the site. I am not taking any kind of medications. Doctor: Hello. Please revert with an image. Revert with more information to a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 29161, + "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": 12612, + "tgt": "Can Redux cause pulmonary hypertension?", + "src": "Patient: Hi doctor, Around 15 years ago, I had Redux for three months. Some 10 years back, I had an echocardiogram. The finding was very mild mitral valve regurgitation and everything else was good. Three years back when my brother had heart bypass, my doctor advised me to undergo some heart tests. I had them and they were fine. Even last year, my echo and stress were fine. I went in today for my yearly follow up and the doctor said that he wants to do a follow up echocardiogram. Because, some value on my last year echo was 58 and it is not supposed to be over 25. He said few reasons, but I did not really understand. Then he said something about checking for pulmonary hypertension. I read about that on the internet; as it is a fatal disease, I am frantic now. When I asked the nurse, she said his notes say that I have no symptoms and no other indications too. I have attached all my echo reports. Could Redux be the reason for pulmonary hypertension? The nurse said that my last year echo was normal except for the 58 value. Please clear my doubt. Doctor: Hi." + }, + { + "id": 13500, + "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": 11845, + "tgt": "What are the benefits of using krill oil for brain and heart?", + "src": "Patient: Hello doctor,I am using a high dosage of krill oil to combat concentration problems. It seems to work on the cell membrane and it appears to improve the electrical signaling because electrical signals pass the cell membrane. However, if I improve the electrical signaling, will this impact the heart? Will my heart pump stronger if the electrical signals from the brain to the heart become stronger? Do I need to monitor my blood pressure for example? Or does the krill oil only work on the brain's electrical signaling and not the heart? Doctor: Hello. I passed carefully through your concern and would like to explain that krill oil is a good source of omega-3 fatty acids, which have proven beneficial to the brain and nerve endings activity. But, it shows only mild beneficial effects on the heart. Anyway, it has no adverse cardiac properties and you should not be concerned about any cardiac issues while using krill oil. It will not significantly affect your blood pressure or heart rate. You may follow a normal daily activity without any need to monitor specific cardiac parameters or blood tests." + }, + { + "id": 3973, + "tgt": "Can blood in urine indicate cancer?", + "src": "Patient: Hello doctor, I am a 30 years old, male. No smoker. A blood and urine test was done for me recently and the blood test was all fine, but there was blood in my urine (Ur RBC 155 Cells/uL), a more specific urin test was done after still showing (66 Cells/uL) of which 97% are isomorphic and of which only two were white blood cells. Further a CT urogram was done, were no stones were found or anything else suspicious. What could be possible reasons? There are still a lot of other explanations, but cancer, right? What should be my next steps? I do not know of any of the following things can be related: I had a kind of a cold for months already, but nothing seriously. Mostly just a runny nose and a bit tired. I had my ankle hurt a month ago and on and off it still hurts and gets swollen again. I feel slight discomfort around my bladder and urethra but mostly since, I got these results and maybe I just paying too much attention to that part now. Doctor: Hello. Firstly, likelihood of any malignant cancer is less likely because you do not have risk factors, no symptoms, young age and CTurogram in normal. Within three months period cancer would have increased in size and became detectable. So you are probably having some benign cause and most probably some arteriovenous malformations, venous lesions or small mucosal bleeds, calcium and uric acid in urine. Next step is your 24 hour urinary calcium and uric acid levels, and also urethroscopy and cystoscopy which will complete the evaluation and usually yields the diagnosis in most cases. Urologist does these tests. You continue to drink plenty of water and liquids." + }, + { + "id": 24190, + "tgt": "Please suggest a cure for breathlessness while sleeping", + "src": "Patient: Hello doctor,My nephew 16 years old is getting breathlessness for 10 to 15 seconds while sleeping for the last 20 days. Our doctor prescribed a course of antibiotics and it is finished. The problem is still the same. Our house is located just beside a busy and dusty road. Please help and give your valuable suggestion. Doctor: Hello. I understand your concerns. From what you mentioned, most likely your nephew has sleep terror disorder in which he experiences attacks of racing heart eats, rapid breathing, and may be sweating. It is important that he has no memory of it and he is difficult to be awakened during the attack. Generally, treatment is behavior change like continuous reassurance and avoiding any family disputes in front of him and not to watch TV late in the night. In severe cases, some medications may be required. It is important to exclude any associated medical problem. Is he epileptic? Asthmatic? I recommend that you follow up in order to exclude serious conditions and to confirm the diagnosis. Wish him all well-being. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29021, + "tgt": "Is it normal for a 2. 5 year old toddler to sleep too much?", + "src": "Patient: Hello doctor, I am a little concerned that my 2.5 year old toddler has been sleeping too much lately.\u00a0He woke up at 4 AM the day\u00a0before yesterday,\u00a0but he\u00a0was fine yesterday. We went to the regional center yesterday, where he played and we reached home by 2 PM. He went to sleep at 2.30 PM and has been sleeping since. He wakes up for a while and goes back to sleep. Is this normal? He has not eaten anything since 2 PM yesterday. We gave him water, as it is a hot day. He was prescribed Cefalexin, but he started having diarrhea, so the doctor told me to stop it. He had a cough and runny nose, for which the doctor gave him an injection three days back. Doctor: Hi. I can understand your concern. I hope this will help you. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28770, + "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": 30965, + "tgt": "What is wrong with my liver?", + "src": "Patient: Hi doctor, I am having\u00a0some pain in my back. The same thing happened a year before and it was diagnosed to be some liver infection. I had Liv 52 at that time and it got cured. I have attached my recent reports for your reference. Please help with my suffering. Doctor: Hello. I had gone through all the reports posted (attachment removed to protect patient identity). Revert back after 10 days with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1313, + "tgt": "I am experiencing pain under right nipple. Is this a sign of breast cancer in males?", + "src": "Patient: Hello doctor, I am a 32-year-old male. I have no previous conditions or problems, and I take no medications. For the last two months, my right nipple (probably under the nipple) I experience pain to the touch. Some days it seems a bit better and some days worse. I have stopped doing weight training due to quarantine, but I am not sure if this is related to my problem. What should I sign up to check me? Or will this just go away? Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from pain on your right breast that probably under the nipple and it is painful to touch. Some medical conditions can cause breast pain. When abnormal growth and swelling of breasts in men caused by excess amount of estrogen and less amount of testosterone production is known as Gynaecomastia. Cyst is a lump under the skin, and they contain fluid or air. They can cause breast pain. Putting extra pressure on the muscles can cause a strain. Fat necrosis occurs where fat tissue becomes damaged. Fibroadenoma is a non-cancerous lump and can be developed in breats and occur rarely in males. Breast cancer is rarer but can occur in males. Again chest or cardiac abnormalities, acid reflux, back, neck, or shoulder pain may cause breast pain. Treatment depends on the causes. You should undergo some investigations like mammogram, ultrasound scan, CT scan, biopsy, ECG (electrocardiography), CXR (chest x-ray), etc. To find out the underlying the causative culprit for your sufferings and treat them accordingly." + }, + { + "id": 25206, + "tgt": "My 5 year old has continuous stomach pain, especially at night. Why?", + "src": "Patient: Hi doctor, My son is 5 years and 2 months old. He has got continuous stomach pain, especially at night time. During the day he is fine. Can I give him Albendazole? Doctor: Hello. You can give a dose but that is not the main cause of his stomach pain. Most of the kids have stomach pain due to constipation. They say they pass stool regularly, but stool keeps getting accumulated. To confirm, you can just take an X-ray of the erect abdomen. We can see the fecal loading of the colon. I suggest giving syrup Looz 10 ml (Lactulose) twice daily till the stools become soft. Hope this will definitely help you. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2882, + "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": 17215, + "tgt": "Do I need to continue Arpizol and Pacitane for schizophrenia?", + "src": "Patient: Hi doctor, I was diagnosed with schizophrenia before 7 years. I used to take Sulpitac early in the treatment and then I was prescribed Nexipride for a year. For the last three years, I am taking Arpizol 10 mg and Pacitane 2 mg. My age is 30 now and I want to get out of schizophrenia as soon as possible. My parents are worried about my marriage. Every time when I ask my psychiatrist, he says keep taking Arpizol and Pacitane. I am tired of this. Is the treatment right? Doctor: Hi. I can understand your concern. Schizophrenia is a chronic neuropsychiatric illness with changes in behavior, thought, perception and a lot of other psychiatric symptoms. Sulpitac (Amisulpride), Nexipride (Levosulpiride) and Arpizol (Aripiprazole) are antipsychotic drugs and help to treat psychotic symptoms. If you are symptom free with Arpizol for the last few years, then in my opinion you can consider reducing the dose of the drug. There is no use of continuing Pacitane (Trihexyphenidyl) with Arpizol because the drug at this dose does not cause extrapyramidal symptoms. Consult your specialist doctor and ask for re-evaluation and get your dose reduced. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25019, + "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": 24019, + "tgt": "My 70 year old mother has constipation. Please suggest any tablet", + "src": "Patient: Hello doctor,My mother is suffering from constipation and not cleaning motion. My mother is 70 years old. Please suggest any tablet. Doctor: Hi. Usually, a Glycerine suppository is enough if it is uncomplicated constipation. You can give it a try. However, if your mother suffers from frequent constipation or a recent change in bowel habit, other than just treating it, you must get her thoroughly evaluated. But if it is infrequent constipation, for now, a glycerine suppository should do. Eating dietary fibers and plenty of fluid (unless kidney conditions are present, in which case, do not take excess fluid) will help. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12662, + "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": 25042, + "tgt": "My daughter has swollen lymph nodes and positive ANA. Please provide opinion", + "src": "Patient: Hello doctor,My daughter, 15 years, has swollen lymph nodes. Biopsy done. It is non-malignant. No TB. But ANA has come positive. I would like to share the reports and take your opinion. Doctor: Hello. There is a possibility of autoimmune disorder with underlying ANA and large lymph nodes. It is a good thing the malignancy is ruled out. But I would like to see the detailed biopsy report as well to be sure where we are heading. As for ANA positive, I would like to know if she has any other symptoms as well: What about the routine blood tests like CBC, liver function, kidney function, and ESR? We need to put it all together before starting her on treatment. Her ENA shows only one antibody which may not be very specific to her symptoms.Do let me know these queries. Revert with more information to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 17522, + "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": 19607, + "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": 26835, + "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": 2901, + "tgt": "I have shin pain which gets relieved on ice pack. What could it be?", + "src": "Patient: Hello doctor, I have pain in my shin. There is one spot that in particular hurts. It hurts no matter what I am doing. The pain started when I started jumping rope yesterday. Earlier in the week, I started doing snatches for the first time and I may have not had proper form. I have now stopped. The only time I get some relief is when I put ice on it, and the pressure that the ice packs give help a bit. The pain is only in my left leg on the bottom half. Sometimes the pain moves into my foot in the area on the foot bone between my big toe and second toe. My height is 5' 6\" and I weigh about 140 kg. Doctor: Hello. From your description, the likelihood of a stress fracture is minimal unless you are grossly Vitamin D deficient. There is a good chance this is tendonitis or periostitis which are both inflammatory conditions as that arise in the tendon and lining of the bone respectively. The fact that rest and ice help favors the above two conditions. I suggest that you stop skipping at the moment. Take NSAID (non-steroidal anti-inflammatory drugs) as available. Ice the area regularly three to five times a day and see how you are at the end of next week. If pain is better then gradually return to physical activity. If no improvement then seek professional help for a complete examination and suitable blood tests." + }, + { + "id": 14814, + "tgt": "Kindly advise the treatment for sensitive tooth", + "src": "Patient: Hi doctor, I am having sensitivity in the upper right tooth. There is no ditch or cavity but I feel the sensitivity while eating sweets. What could be the treatment option for it? Doctor: Hi. Sometimes any cavity or decay is not seen clinically but there can be some infection or carious activity going on inside the tooth that can be detected in X-ray or on examination. Considering the symptoms following could be the treatment options. Filling of the tooth if there is some carious activity diagnosed internally. Varnish on the tooth if there is no carious activity seen and there is just wear off of enamel seen. Root canal treatment if carious activity inside the tooth has involved the root." + }, + { + "id": 9583, + "tgt": "What is the way to solve NPH problem in an 85 years old?", + "src": "Patient: Hello doctor, My grandfather is 85-years-old and had got an NPH problem, and we do not know in which way we can solve the problem? Shunt or is it safe for him to do that his age, I got a CT and MRI scan for any future help. Doctor: Hello. I have read your concern, and I have seen the imaging studies (attachment removed to protect patient identity). If before the problem your father is 85 years old active, can walk, can change clothes by himself, can eat by himself, then a VP shunt insertion would help. The imaging shows hydrocephalus, and some of the symptoms of NPH may come from this. However, there is an obstructing tumor in the posterior fossa. As I see, this may be a metastasis of an epidermoid tumor. I would suggest further investigation with your neurosurgeon on this matter. For the question of a VP shunt (ventriculoperitoneal shunt), the answer is yes, and this could help your father even if he is 85 years old. You need to have medical clearance from your cardiologist and pulmonologist to undergo the operation." + }, + { + "id": 7833, + "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": 7568, + "tgt": "What can be the reason for lower leg swelling?", + "src": "Patient: Hi doctor, I am a healthy and active 17 year old female. I have swelling in my right calf or lower leg when sitting. There is no foot swelling. The swelling is present in the calf and it goes away within an hour if I move around. I do have night sweats. I get easily bruised, feel constantly cold and fatigue. I was ruled out for circulation problem and varicose veins. My blood tests show positive ANA, slightly low WBC and RBC, and slightly anemic. This leg swelling has been happening for the last two months. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15856, + "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": 21349, + "tgt": "I am suffering from health anxiety and scared of ALS. Please help", + "src": "Patient: Hi doctor, I am suffering from health anxiety, and I am scared of ALS. I started getting muscle twitches all over my body about six months ago. It started after I stopped taking Valium 10 mg daily for seven months (in suppository form). However, they still occur. I have discontinued Benzodiazepines (Valium and Xanax) for about seven months. I am very focused on my every movement. I have done two neurology exams (one by a psychiatrist and one by a neurologist). Both were normal. I also did two EMG on the same day. The psychiatrist did an EMG, a paraspinal EMG and tested 28 muscles altogether. His impression was healthy except for isolated fasciculation potentials in the right medial gastrocnemius. However, the above muscle was silent at rest with standard motor unit configuration and usual recruitment pattern. He said the study was healthy and did not suggest any motor neuron disease. The neurologist tested again because I made him do it. He did the nerve study and EMG directly on my right hand and arm where I am complaining as well as left hand, left arm, and left leg. He did not find any fasciculations and said it is all normal. The doctor told I do not have ALS. Both the doctors said there is no need to repeat the test. My questions are: Would the EMG directly pick up on the right hand if ALS were present? Should I be concerned about these fasciculations which can turn into something? If the fasciculation is due to ALS, will they show any other issues on the EMG? Can anxiety make fasciculation worse? Is it possible to focus on a body part so much? Doctor: Hi. Your symptoms could be related to benign fasciculation syndrome, which is associated with multiple muscle fasciculations in the absence of any neurological disorders. Of course, anxiety can trigger this clinical situation. As your EMG (electromyography) was normal, we can exclude any possible ALS (amyotrophic lateral sclerosis). ALS patients also have an abnormal physical exam (neurological signs). So, I do not think that you suffer from ALS. I would just recommend performing further tests: If all these tests results are normal, I would recommend discussing with your doctor on the possibility of starting Clonazepam, which is a Benzodiazepine which can help reduce anxiety and fasciculations. It is better tolerated when compared to Diazepam when used for a long time (it does not lead to addiction and tolerance). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7807, + "tgt": "Will hepatitis E cause any complication in a diabetic?", + "src": "Patient: Hello doctor, I am a 55-year-old male. I have diabetes and currently suffering from jaundice with hepatitis E positive 10 points. I got tested for ANA and the report shows weak positive 1:100. What will be the complications? Is it life threatening? Doctor: Hello. Usually hepatitis E is not life threatening in most of the patients. It significantly impairs the life for two months. The complete recovery occurs within one or two month. There is no residual complications as well. You need to take rest until you improve clinically. Take more fruits like apple juice, sugar cane juice, coconut water, etc. Do not take excess fatty foods. Your ANA can be false positive due to hepatitis infection. I suggest you repeat ANA once infection is over." + }, + { + "id": 1835, + "tgt": "Due to stress and thyroid issue, I get a lot of hair fall. Shall I use Rogaine foam?", + "src": "Patient: Hi doctor, I have a lot of stress issues and thyroid which causes my hair fall out a lot. I came across Rogaine foam 5%. I am wondering if it is safe to use it for me? I do not have any patches just hair loss and thinning. Doctor: Hi. Hair loss occurs due to a variety of reasons. Most commonly at a young age is it occurs due to androgenetic alopecia, it is a type of alopecia due to the sensitivity of our frontal scalp hair to the androgens which increase during puberty. It appears at frontal areas and progressive gradually according to the genetic makeup of a person, in females it is in the central part of the forehead. Other type of alopecia occurs due to chronic illness, chronic stress, chronic drug treatment like chemotherapy and it commence three months after the inciting illness. So to treat it we have to rule out any disease in the body, stop any drug which may be causing their fall if possible. Avoid smoking, alcohol, and do mild exercise. Take a balanced diet and keep yourself stress-free. Medical treatment includes Minoxidil 5% twice daily over the scalp. Tablet Calcium pantothenate and Biotin preparation daily. Rogain also contains Minoxidil. Foam preparation better but costly. This treatment initially is continued for six weeks then we review the progress. In androgenetic alopecia, it has to be continued until you need hair to be normal because genetically those hairs have to be fall. With medical treatment, we are only stopping them. Associated disease or stress should be treated accordingly. Initially due to Minoxidil, there is increased hair fall because the hair which will be weak suddenly fall and strong and dense hair at the place grow which takes time and maximum improvement is seen after eight months of the treatment. Hair loss has multiple factors so try eliminating all in addition to testing your thyroid. I hope this helps." + }, + { + "id": 30081, + "tgt": "Please advise about my mother's condition from the CT scan", + "src": "Patient: Hello doctor, My mother's present complaint is weakness. She is also suffering from diabetes, blood pressure, CKD and heart problem.\u00a0We have done the CT scan. The CT scan shows shortness of breath in the lung. I am sending the report of a CT scan and other prescriptions.\u00a0Please advise. Doctor: Hi. I have read all the reports attached here (attachment removed to protect patient identity). For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12735, + "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": 18495, + "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": 25915, + "tgt": "Can an I-pill prevent pregnancy if sex is had in the fertile period?", + "src": "Patient: Hello doctor, My partner and I had unprotected sex 10 days ago. She took an I-pill the very next day. Two days after the first sexual encounter, we again had sex and she again took an I-pill the very next day. Her LMP was a week before the first sexual encounter. She is also having a vaginal infection. Will she get pregnant? Will she get her menstrual periods on time? Doctor: Hello. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. She can have late or delayed periods because of hormonal changes due to the pill. But definitely, she will be getting her periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26608, + "tgt": "Please comment if my RTA injury is a permanent one", + "src": "Patient: Hello doctor, I had an injury in an automobile accident. Please address if this is a permanent injury. I have an MRI and medical examination. Since the accident, I can no longer sleep on the left side or use the left arm under normal conditions without pain. Doctor: Hello. I have gone through all the six attachments including the MRI report (attachment removed to\u00a0protect patient identity). For more information consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14277, + "tgt": "Why is there a swelling at the site of wisdom tooth removal?", + "src": "Patient: Hello doctor, I just had my wisdom tooth removal surgery 10 days back. The surgery was on the lower right side as my wisdom tooth was impacted and was inside the bone. Hence, I had to remove it as there was some TMJ discomfort. My recovery is going fine there is no numbness and I just want to take your suggestion on one thing. I still have a swelling type thing on my right side jaw where surgery happened, though my right cheek is fine. I just want to know, in how many weeks my jaw will be fine as there is something that I can feel like swelling or a hard lump near to my surgery area. When I do open my mouth there is pressure on my right side jaw. Since there is no pain, I just want to know that when can I expect my jaw swelling or hard lump in the surgery area to be fine? Doctor: Hello. I have been through your query and I can understand your concern. Post-extraction swelling is normal as the tissues require a conducive environment for healing. Normally, an extraction site shows almost complete healing after 21 days provided you do not have any negative habits like smoking and have followed the instructions perfectly. In your case, it seems there was surgical removal of the tooth which requires an incision, bone cutting and sutures. If that was the case, it would take roughly around 4 or 5 weeks for the wound to heal completely. The swelling will also subside with the coming days. I would suggest you to wait and follow the instructions of your dentist. However, if the swelling continues to remain there for even longer time, and if you feel discomfort then I would suggest you to go to your dentist at that time. I would also suggest you doing normal saline oral rinses with warm water but very gently (in order to not destabilize the clot of the wound). Maintain good oral hygiene. Follow up after 15 days for the results." + }, + { + "id": 28337, + "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": 18971, + "tgt": "I have been trying to conceive. I stopped birth control pills. I have spotting. Please help", + "src": "Patient: Hello doctor, I have been trying to conceive since 9/11/2014, which is when I stopped birth control pills and started prenatal vitamins. My cycles before BCP (Birth Control Pills) were always regular, about 30 days +/- 1 day with a 7 day period. And on BCP, my cycles were always 28 days, with a 5 day period. When I stopped BCP, I had a 5 day period, which began my first cycle of 31 days. The next cycle began with a 6 day period and the cycle lasted 37 days. Then this current cycle, which began with a four day period, a bit lighter than normal. I am currently on CD 27 and I believe I ovulated 3-4 days ago. So, the problem here is that I start spotting on CD 25, along with light cramping. It was only a very little bit of light brown blood, so I did not think much of it. Yesterday, CD 26, I had a little more throughout the day, then quite a bit right before bed. This morning, I am still spotting but much heavier than the past two days, and am starting to get a little alarmed by this. The blood is still brown. Any ideas on why this is happening, presumably 3-4 days past ovulation? Is this cause for concern? I have never spotted ever before. Also, I started taking Vitex at the beginning of this cycle in hopes of shortening my cycle a bit. Thank you in advance for any advice. Doctor: Hi. This could be ovulation bleeding. Usually it may take about 6 months to conceive after stopping the birth control pills. But your cycle has become irregular after stopping the pills and it is difficult to predict the ovulation time now. If spotting does not stop or if you experience pain, then you should get an internal scan done to see the cause of spotting. There is possibility of DUB (Dysfunctional Uterine Bleeding) or ectopic pregnancy or threatened abortion. It can be seen once your period date is over. Or you may get beta HCG levels tested to confirm this along with the scan (TVS - Transvaginal Scan). If everything is fine, then you may take progesterone support in the second half of cycle to clear this. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19995, + "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": 18160, + "tgt": "Why am I not able to sustain my erection?", + "src": "Patient: Hi doctor, I am getting erection, but it gets disappear in a few seconds during intercourse. I also feel that my erection is not 100% hard. I do not get a full erection without blowjob. I have been having this problem since last two years. I have one kid and I do not have any issue with my sperm count. I used to take Viagra, which help me to get hard and longer erection. Doctor: Hello. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14537, + "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": 23518, + "tgt": "What precautions to take when flying with a three month old baby?", + "src": "Patient: Hello doctor, I want to fly with my three-month-old infant. What are the precautions to be taken while flying? Should I carry any medications with me? Doctor: Hello. I have reviewed your query and can understand the sensitivity of the situation here. If your infant is on no medications right now, has no allergies, or disease, there is no need to worry about. No special precautions are needed in that case. I would recommend Acetaminophen (Tylenol) to be kept with you in case the baby needs it for any reason. Otherwise, nothing much is needed. The flight safety precautions can be obtained from the airline website and it would be better to get a bassinet for the baby. Hope it helps. Feel free to ask me more questions if you need further assistance. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9240, + "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": 27143, + "tgt": "Can I donate blood if my Hb value is high?", + "src": "Patient: Hello doctor, I am 34 years old. I went to donate blood today. But, the hospital rejected me as my Hb value is 16.9. Is this level abnormally high? Do I need to get any tests done? Doctor: Hello. Yes, your hemoglobin value is high and needs to be investigated. Let me know if your hematocrit values were checked. If it is high as well, the condition is polycythemia. The cause for polycythemia may be secondary to chronic hypoxia due to a chronic heart failure or chronic lung disease. If no secondary cause is present, then primary polycythemia can be evaluated through molecular testing for JAK2 mutation. For polycythemia, phlebotomy and hydroxyurea therapy are the treatments of choice. Get your blood pressure checked. I suggest the following investigations to rule out secondary polycythemia: If you have polycythemia, you cannot donate blood. Take care. Hope your concern is solved. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18007, + "tgt": "My bottom teeth have receded. How can I fix this without a gum graft?", + "src": "Patient: Hello doctor, The dentist said I should get my bottom two front teeth looked at by a periodontal expert but I wanted to get a second opinion first. My bottom teeth have receded due to having a tongue ring previously. How can I fix this without doing a bridge and gum grafting? The doctor also said that the gum grafting not always works. Should I continue to gloss and brush gently? I feel it is getting crooked due to other teeth pushing them in. It has just been getting worse over the past two to five years. Kindly advice. Doctor: Hello. I\u00a0have gone through your query and here is what I\u00a0suggest you. Regards. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27109, + "tgt": "Are herbal medicines effective in curing erectile dysfunction?", + "src": "Patient: Hi doctor. I am 32 years old. My weight is 72 kg. I am not able to get full erection. I was on L-pride (Levosulpiride) and Nuanxit (Flupentixol) and I stopped it before a week. I do not have any problem like sugar or BP.\u00a0Even if I get full erection, I ejaculate very early. What could be the problem? Is my testosterone level low? Sometime I use to have normal sex with full erection but in between for a month or two I have been facing this problem. My sex frequency is once in five days. Please help. Doctor: Hi. Drug induced hyperprolactinemia. Serum prolactin and testosterone, if needed. Wait and watch. If needed, PDE-5 (phosphodiesterase-5) inhibitors can help. For further information consult a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20960, + "tgt": "What can be done for moblitiy and pain in tooth due to biting hard?", + "src": "Patient: Hello doctor, For the past three days, I ate something solid and it hurt my front teeth and since that day they are hurting and moving. What should I do? I do not wanna lose them. If I go to the dentist, what will he do? Doctor: Hi. I have gone through your question. I can understand your concern. The loosing of your teeth can be because of biting on hard object or fruit. You need to restrict yourself from eating things that may loosen them more. If the loosing happen on its own it can be because of bone loss. Mostly the bone loss may be due to deep bite (malocclusion), that may need orthodontic treatment (braces). If you can upload some pictures of your teeth in open as well as in closed position I will provide you with the better treatment options available for the dentist. Deep bite or overbite, trauma. IOPAR (intraoral periapical radiograph) X-ray. Grade 1 mobility. Mobility because of bone loss. Splint or orthodontic treatment. Avoid hard foods." + }, + { + "id": 13062, + "tgt": "How to get my hair fall under control?", + "src": "Patient: Hi doctor, I am a 20 year old boy. I am suffering from hair fall. How to get it cured? Please advice. Doctor: Hi. It is very normal for around 100 hairs to fall each day. We do not notice this because all of those do not fall at once. Second of all, I would like to ask you whether is it hereditary on your maternal and paternal side? It is called androgenic hair loss. With these major queries ruled out, I would shift the focus on diet and sleep. Diet should be regular with a lot of greens and milk. Eat a good amount of protein as this should reduce the rate of hair fall and also provide a good body to your thinning hair. Hair is precious and does not play with it by trying out new brands with overwhelming claims. Stick to a gentle daily cleanser, medicated products are much more quality assured than fancy brands in the market. Hence, I suggest you use products like Kerawash shampoo and a good conditioner. Washing your hair at least three to four times a week is mandatory. Conaderm (combination of Ketoconazole and Zinc pyrithione) is good for dandruff. But if there is no dandruff and simply continuing with the anti-dandruff shampoo will eventually cause hair loss on chronic repeated use.Any medication beyond a particular time period will cause a side effect. So, stop using it if the desired result has been achieved. If not then treat dandruff first. The only shampoo will not help. You have to take medicines and use an anti-dandruff shampoo at the same time. The proper way to use an anti-dandruff shampoo is to apply it on scalp rather than the hair and once desired foaming is achieved, let it stay in the head for 2-3 minutes so that the medication has got sufficient time to act on your scalp. Observe good hygiene wherein you wash your pillow cover every four to five days in summer and seven to eight days in winter. Because the germs causing dandruff can be inside the pillow cover and after you shampoo and clean your hair, it can come and sit there again when you sleep so the treatment has got no effect overall. If it is a hormonal problem, then we need to start the medicine as soon as possible so that to control the effect of hormones on your hair.Once desired control is achieved over a period of two months then we can shift the focus on regrowing the lost hair and cover the bald patches.Send me some clear pictures of your scalp of different parts and we can start treatment as soon as possible. Do not worry, it is just a matter of time before we control your hair fall and you can have your desired hairstyle done. Stay positive." + }, + { + "id": 23279, + "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": 19543, + "tgt": "I am always getting some swishing noise in my ear. Why?", + "src": "Patient: Hi doctor, I have this insane swishing noise every time I move my head or eyes. I feel like I am going to pass out. Even opening some doors does it, if they create pressure from pulling. Doctor: Hello. Since the movement is worsening the symptoms, it must be an inner ear problem. There could be additionally middle ear block or eustachian tube block as the pressure change worsening it. However, since you have not mentioned the duration, I am mentioning all possible differentials. Recurrent vertigo lasting under one minute is usually benign paroxysmal positional vertigo. A single episode of vertigo lasting several minutes to hours may be due to migraine or transient ischemia of the labyrinth or brainstem. The recurrent episodes of vertigo associated with Meniere's disease or recurrent vestibulopathy also typically last hours, but can be briefer. Further evaluation need local examination by an ENT surgeon. I suggest you Betahistine 8 mg three times a day for symptom relief. Consult your specialist doctor, discuss with him or her and take the medicine with consent. It may cause gastritis. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17958, + "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": 17289, + "tgt": "Please suggest homeopathy medicine for urticaria", + "src": "Patient: Hi doctor, I am a 30 year old male. Recently, I have been diagnosed with having urticaria (burning, itching sensations throughout the body from head to toe). It started out in an acute way but is turning out to be chronic. It has been more than two and a half months and I am still suffering from it. FYI, my blood test is very clean and good. PFA. In the past two months, I have been using Bepozic tablet twice or thrice a day on a dermatologist's advice, but all I observed is that medicine is just soothing me a bit from having any itches but is not fighting with the root cause of it. For that reason, I keep getting this burning itching sensation again and again if I stop taking the medicines and on the other hand, I do not want to run myself on medication for months and years. I researched a bit online and surprisingly, found out that allopathy has no perfect cure for it but homeopathy does. That is the reason I wanted to try homeopathy treatment this time. Here are my following questions: I read that homeopathy treatment takes a while to cure. So, can I use these Bepozic (antihistamine) tablets twice a day, so that I do not have to worry about itching? Is it safe to use homeopathy medicines with other generic medicines like Paracetamol, Cetirizine, Benadryl, etc.? I just want to be sure if I can take them along with homeopathy medicines, just in case I encounter any of those in the near future? How long does this treatment take to cure, from your past experiences or consultations? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity), your thyroid profile is normal, and serum triglycerides level is a little bit high. For urticaria, in homeopathy, we have best remedies. So, you need not worry about your problem. Your blood reports are not related to your problem. While using homeopathy, you need not use antihistamine medicines. Homeopathy can solve your problem. Homeopathy is the best and no side effects. And along with allopathic medicines you can use homeopathic medicines. Due to urticaria, the eruptions like hives occur. The range of size from a few millimeters to several inches in diameter. It is caused by allergic reaction. You may have acute urticaria. Before getting this problem, have you used any medicines for other problem? Some foods also cause urticaria. Some bacteria like streptococcus and Helicobacter pylori also cause urticaria. Symptoms of urticaria are intense itching, burning, and sense of heat. According to your symptoms, the homeopathic drug ARS ALB 200 is the best remedy. I suggest 10 pills once for three days only. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 17541, + "tgt": "is there any medicines for dysmenorrhea ?", + "src": "Patient: Hello doctor, I am a 24 year old female, who was diagnosed with dysmenorrhea about two years ago. Last year I was given Mefenamic acid by my doctor to take for the pain and nausea. But, the medicine is not helping me, I still\u00a0have pain and vomiting. Is there anything else I can take for this? Doctor: Hi. Dysmenorrhea is not a diagnosis, it is only a symptom. Let me put few possible causes and their evaluation and treatment forward. At this young age, the most common cause is spasmodic dysmenorrhea. The cervix is tight and the blood when trying to make its way during periods, will stretch the canal and cause pain. Pain is only during periods, on day 1 and 2. After that, the main bleeding is over, and pain disappears. If the amount of bleeding is more than normal, you can get a scan to rule out any masses or adhesions. The pain can be controlled by taking birth control pills for six months or more. It will stop ovulation, reduce the amount of blood loss and has no side effects, and it can be taken for any number of years. If you are sexually active, then it can be infection around the uterus know as PID (pelvic inflammatory disease). Vaginal infection is transmitted during sex, so both you and your partner have to be treated at the same time, or else you will get infected again. You may have white or yellow or grayish discharge with or without itching, foul smell, pain during sex. Before treatment, confirm that you are not pregnant. I suggest you try taking the following. Do treat it, as delay may send the infection inwards and may affect both of you. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Another possibility is endometriosis, every month the blood flows out, but a small fraction also flows into the abdomen through the tubes. This can settle around the uterus and cause adhesions onto the surrounding muscles, ligaments, and bones. This causes throbbing lower abdomen pain before periods, which gradually increases and stays even after periods are over. Sex is very painful. A scan can be done and the restricted mobility of uterus can be seen. This can be solved by reducing flow or stopping periods with hormone pills. Get an ultrasound scan of the pelvis, to rule out any uterine polyp or fibroids. There may be nothing but pain only, gradually increasing every month. Hope I have clarified your doubts, do write back. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23455, + "tgt": "Why am I having nosebleeds and dryness?", + "src": "Patient: Hello doctor, I am a female, 22 years old, 110 pounds (50 kg), and height 160 cm. I rarely have nosebleeds, but I had one two days back and again this morning. It woke me up before work. The last lasted for 10 minutes (it seemed like a normal nosebleed). The one this morning lasted around 45 minutes and I have felt a trickle of blood going down my throat all day. I do feel dry (weather). I am not taking medications, except for iron pills (I have an iron deficiency). Doctor: Hi. Mostly the bleeds are due to dryness. Since you have iron deficiency you must be more careful. To stop nosebleeds pinch the nose for three minutes gently so that it gets occluded. Apply ice packs in either side of nose while keeping your nose pinched. Elevate head end of bed in night while sleeping. Check your vitals and BP (blood pressure) should not be high. To prevent this apply some lubricant cream inside the nose to keep it moist. Keep some steamer inside the room to produce enough moisture inside the room. If using air-conditioner keep the temperature at a moderate level like 23 to 26 degrees Celsius and make sure the air is not dry. It should be moist. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22051, + "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": 29553, + "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": 30272, + "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": 11215, + "tgt": "Kindly tell the treatment to cure the eruptions on my forearms", + "src": "Patient: Hi doctor, I have been having these eruptions on my forearms since past two months. They are not painful and cannot be popped. But they take a long time to disappear and look prominent. What are these and can they be stopped from re-occurring? I had them last year too during summers and they disappeared after 4 to 5 months. I have severe keratosis pilaris on my forearms and back, can they also be keratosis pilaris? Doctor: Hi. From these two photos (attachment removed to protect patient identity), it is visible that lesions are little inflamed and red. It is indicating folliculitis. Non-bacterial folliculitis can be non painful. Specially pityrosporum folliculitis. Keratosis pilaris is a condition where you may have dry hard covering surrounding hair opening. Sometimes it may also get inflamed, so it can be related to this also. Arms are common site for such bumps. You need capsule Doxycycline 100 mg twice a day for 14 days, Clindamycin gel local application morning and evening, tablet Fluconazole 400 mg stat. For keratosis pilaris, you will need moisturizer. 14 days, it should subside." + }, + { + "id": 11623, + "tgt": "Kindly suggest medication other than Enterogermina for gas problem in a 11-month-old", + "src": "Patient: Hello doctor, My son is 11 months and 25 days old. He has some gas problem for last one week. And he is not eating properly, breastfeeding is done during night and one to two times in the afternoon. He does one potty a day, sometimes four potty, and watery potties also. He releases gas very often. Potty smells very bad sometimes. Can I give Enterogermina respules twice a day for two to three days? Our pediatric doctor prescribed it before two months and also before four months. He mostly has this type of gas problem. Is any medicine available for daily medication purpose to get rid of it?He is not gaining weight for about the last three months. He is always between 7.4 to 7.6 for the last four months. Pediatric suggest Hemsi-D drops twice a day. We are giving it for the last two months but not getting results. Kindly advice. Doctor: Hello. I got your concern. No need to give Entrogermina (Bacillus Clausii) and Hemsi-D is tonic, is not for weight gain. At this age, he is more active than before so weight gain will be slower. Monitor his weight regularly give home food and breastfeeding. Give Albendazole, and do one stool report. Indigestion. Stool routine report. Syrup Albendazole (200/5) 5 ml stat at night. Follow-up after a week." + }, + { + "id": 15834, + "tgt": "Why do I have pain in jaws after a filling?", + "src": "Patient: Hi doctor, I had a bad cavity, and I filled it. After doing it, I started to have pain on my jaws and the areas around the tooth. My dentist is not available for a few days. What can I do now? Doctor: Hi. I have gone through the query (attachment removed to protect patient identity). I can see high points. The uneven pressure on the tooth causes tenderness in your jaw. You have to reduce the high points present in the filling soon and make it as even. You can take Paracetamol 500 mg for the pain until you visit your dentist." + }, + { + "id": 27991, + "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": 8200, + "tgt": "May I know the set of tests to be done for gonorrhea and chlamydia?", + "src": "Patient: Hi doctor, Please explain the laboratory tests to be taken for gonorrhea and chlamydia. Is there any test other than urine and throat swab test? If I go for testing what should I ask? How much will it cost? 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. Both gonorrhea and chlamydia are sexually transmitted diseases and are screened in a suspected patient through few tests which are, 1. Urine tests for both chlamydia and gonorrhea. 2. Swab test from the inner side of the urethra for both diseases and also from the throat in case where there is suspected throat infection. Other than the two, serum IgG and IgM antibody test can also be tested for chlamydia. From the reports (attachment removed to protect patient identity) I got to know that you are IgG positive. So, consult a doctor for physical evaluation. For the price of the test, call the front desk of the laboratory you want to choose, and ask for the same. I preferably write down the name of the tests for you as: Nucleic Acid Amplification Testing (NAAT) for chlamydia and gonorrhea. Specimens collected are, 1. Urine sample. 2. Swab from inside the urethra. 3. Swab from the rectum. 4. Swab from the throat. Results will be available within 72 hours depending on the laboratory selected for testing. It is a DNA test and very accurate for testing dead or alive pathogens. Depending on your NAAT test report, I will guide you with next management plan. Revert back with your laboratory test reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13836, + "tgt": "My perineal area burns while urinating. What can I do to ease this?", + "src": "Patient: Hello doctor, I am a 35 year old woman. My perineal area burns if my urine touches this area while I urinate. Having sex is also very painful. Should I be concerned and what can I do to ease this? Doctor: Hello. Your complaints are burning sensation around perineum whenever urine touches it, painful sexual intercourse and raw areas. It looks like that you might have a genital infection. To be more specific, if you have reddish colored lesions, erosions/vesicles over genitals, painful to touch, mucoid discharge along with above-mentioned complaints, then most likely you have contracted genital herpes. Genital herpes is caused by a virus named herpes simplex, contacted by having an unprotected vaginal/ anal/ oral sex. Usually, the first infection is severe as compared to recurrent infection. The frequency of recurrent infection is high. Diagnosis can be confirmed by ELISA detecting viral antigens. Treatment involves the following: I would suggest you consult a venereologist in person, before starting this treatment, to get a screening done for other sexually transmitted diseases as well." + }, + { + "id": 25916, + "tgt": "What could the speckled cloudy areas on each side of my skull X-ray be?", + "src": "Patient: Hello doctor, I have attached an AP view of X-ray of my skull. On each side of my skull from the rear canals down are speckled cloudy areas. Do you know what can cause this? Doctor: Hello. I have seen your report (attachment removed to protect patient identity). The speckled cloudy areas on each side are your mastoid air cells that are filled with air and hence give such an appearance which is normal. However, I observe haziness involving your frontal sinuses and subtle involvement of sphenoid sinuses also which can cause a headache and cold on and off. Other features appear within normal limits. This professional advice provided by me stands subject to the actual examination of the 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": 11709, + "tgt": "What are the causes for a painless,non-itchy bumps on penis?", + "src": "Patient: Hello doctor, I was hoping someone could help me determine what these newfound bumps on my penis are. I have not been sexually active for the past eight months. But recently I have seen three bumps appeared on my penis. They do not cause any discomfort or itching, but I am concerned. They are not in the form of clusters, and there is no discharge from it. But they appear to be red. Doctor: Hello. Please send a few more good quality photographs. It could be molluscum contagiosum." + }, + { + "id": 5746, + "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": 21668, + "tgt": "Can diabetes medication cause exhaustion and weakness?", + "src": "Patient: Hello doctor,My mom is a diabetic patient. She is given Glimser forte 1 and Glytrin met 1000 for her current blood sugar condition by a diabetologist. From last two days, she is feeling exhausted and very weak. Is it because of the tablets or any other reasons? Doctor: Hello. If she has started feeling so after the medicines have been started, it is as the dose might be high for her and her sugar levels are going too low. You can check it on your glucometer if you have one. Please meet your diabetologist for dose adjustment as soon as possible. Also, when she experiences such episodes, immediately give her some sugar or hard candy. Just as high sugar is not good for the body, very low sugars are also not good. So please do not delay and meet your doctor at the earliest. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 23768, + "tgt": "Will adhesiolysis helps to conceive?", + "src": "Patient: Hi doctor, Previously, my wife had D and C twice. Also, she consulted doctor a few times for her gynecological problems. At present, she is unable to conceive. I am enclosing the preliminary reports (USG) for your opinion and suggestion. Here, our doctor advised hysteroscopy and adhesiolysis through laser surgical treatment. Kindly advise whether the findings and treatment are going in the right direction. We have one daughter. Doctor: Hi. I have gone through your wife's 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": 17884, + "tgt": "I am a meth smoker. I get severe stomach pain, vomiting almost with any food, and feel lumps in stomach", + "src": "Patient: Dear Doctor, I am a regular meth smoker. I get really bad stomach pain, vomiting almost with any food, and feel lumps in stomach.\u00a0What should I do? How does smoking meth affect stomach? Does smoking meth cause gastritis? Doctor: Hi. Methamphetamine is a stimulant. Excessive brain stimulation causes hyperactivity of muscles. Because of this, hyperactive muscles can go into spasms and that is the reason you are getting vomiting and feeling lumps. My advise is stay hydrated, drink plenty of water, take foods rich in potassium like banana, tender coconut water etc., and of course start reducing your meth dose. Hope it helps. Consult a general medicine physician online for further help --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 238, + "tgt": "What is my stool test result showing?", + "src": "Patient: Hello doctor, I just got my stool results, and I would like to ask a doctor to interpret it for me. Lysozyme * 674 \u2264 500 ng/mL, Butyrate\u2021 4.5 0.8 \u2013 4.0 mg/mL, Total SCFA's\u2021 17 5.0 \u2013 16.0 mg/mL, Occult Blood Positive Negative. Doctor: Hello. What are your symptoms? What was your dietary intake in 1-2 days prior to test? Amy family history of major gastrointestinal diseases? Now stool SCFA and butyrate are slightly out of range which is fine to have. Also, lysozyme is slightly elevated and it is a marker of inflammation in bowel which may be due to multiple reasons like IBS, IBD or diarrhea, etc. So it' is a nonspecific marker. But important factor is stool for occult blood, which is positive. So there is some minor bleeding is going on within a bowels. This is the abnormality which should be evaluated further. This has multiple causes ranging from IBD to polyps, etc. However, some dietary factors like some fruits, vitamin C, iron supplements, nasal bleeding, hemorrhoids, etc, can give positive results. Now, we would like to get total of 3 samples for occult blood testing and if it remains positive subsequently then needs endoscopy, or even if having symptoms then still need endoscopy. So, the concerning factor is stool for occult blood, rather than rest three, and needs further evaluation." + }, + { + "id": 28708, + "tgt": "How to find whether the seizure is due to brain tumor or from recent brain trauma?", + "src": "Patient: Hello doctor,I am an epilepsy patient. I got seizure before three weeks. There was a brain trauma nine months back. The CT and MRI showed only tumor and no other problem. Last week, the EEG report showed normal.\u00a0How to find whether the seizure is caused by the\u00a0tumor\u00a0or by the trauma or both? Doctor: Hi. I read your query and understand your concerns. The establishment of the cause depends on the clinical history and location of the tumor as well as trauma. The nature of seizure varies from different areas of the brain. After identification of the affected area, we can know the exact cause of the seizure in most cases. I request you to post videos of any seizure event along with CT scan, MRI scan, and EEG report. I will be glad to assist you. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30703, + "tgt": "What could be the reason for variation in home pregnancy test results?", + "src": "Patient: Hi doctor, Before eight weeks, I had a urine pregnancy test through home pregnancy kit and it was positive. But, I never get a positive result after that until yesterday. I am noticing only a faint line. I have also used different kits and the answer is always negative. What could be 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": 10926, + "tgt": "MRI shows stroke and brain changes. Is it due to untreated sleep apnea?", + "src": "Patient: Hello doctor, The patient underwent extensive routine physical examination including MR/CT imaging and laboratory analysis earlier this month. The MR Brain shows evidence of lacunar stroke and ischemic brain changes. Please advise if these might be connected to untreated obstructive sleep apnea (more than five years). If so, some recent research indicates that these cerebral changes might be partially reversible with CPAP treatment. Please let me know your professional opinion and suggested investigations and/or treatment. Patient history: She is a 63-year-old\u00a0businesswoman with a history of breathing difficulties such as allergies, and bronchial inflammation diagnosed by sputum analysis. It is moderately well controlled by inhaled medication (Ciclesonide and Salbutamol). She has untreated sleep apnea for more than five years and no other chronic illness. Imaging: MR upper abdomen: non-alcoholic fatty liver, right renal cyst.MRCP: normal. CT thorax: suspected tracheal diverticulum. MR brain: lacunar stroke, ischemic changes. Laboratory: Laboratory investigations are all within the normal range.\u00a0Physical: BP: 148/78.P: 113.SO2: 98 %. Doctor: Hello. I carefully went through your question and the patient's medical history. I reviewed her medical report and the uploaded brain MRI study (attachment removed to protect patient identity) and would explain that those changes are indicative of small vessel disease, which means chronic gradual blockage of small vessels inside the brain. I agree with you that untreated sleep apnea, for such a long time, can lead to these brain changes. On the other hand, you should know that other risk factors such as uncontrolled high blood pressure, dyslipidemia, diabetes, age, migraine if present, smoking contacts, obesity, sedentary life, etc., also contribute to these changes, besides sleep apnea. Unfortunately, these brain changes are irreversible. This means that adequate treatment of sleep apnea and a better control of blood pressure values or blood lipid profile, will not make them vanish. But, all these measures will help stop the progression of this disorder and prevent further changes to the brain. You should know that sleep apnea is a known cardiovascular risk factor, which means that it contributes to uncontrolled hypertension and atherosclerosis process (generalized narrowing of blood vessels in the brain, heart and other organs). So, I am sure the CPAP (continuous positive airway pressure) device will help stop the progression of these changes. These brain changes in later stages can lead to dementia and depression or gait disturbances. That is why, it is necessary to keep under control all the above-mentioned risk factors (including sleep apnea), in order to stop the progression of this disorder. I would also recommend checking fasting glucose and blood lipid profile every six months, to be sure that she does not suffer from dyslipidemia or diabetes. It is also advisable to take daily Aspirin of 80 to 100 mg (if there are no contraindications to this drug), in order to prevent the progression and further small strokes in the future. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Hope you will find this answer helpful. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 16031, + "tgt": "Will I develop latex allergy if I use rubber yoga mat?", + "src": "Patient: Hi doctor, I am a 19-year-old male. Currently, I have a dust allergy. Sometimes, I have a sinus problem. Can I develop latex allergy if I use yoga mat made up of natural rubber material? Doctor: Hi. Allergy is genetically determined, and it can be identified by doing allergy testing. We cannot say whether you can develop an allergy or not. Even a skin prick test or a blood allergy profile can tell you whether you are sensitized to that particular allergen, or not and it is not confirmatory. Regarding the current allergies you have, dust allergy is a misconception. Anybody will sneeze when they inhale dust or polluted air. That is not an allergy. Sinus problem occurs due to allergy. Most common allergies occur due to pollens, house dust mites, and molds. Molds play an important role in allergy and chronic sinusitis patients." + }, + { + "id": 12984, + "tgt": "Should I be concerned about my pelvic scan?", + "src": "Patient: Hi doctor, I am currently awaiting a call from my doctor on my ultrasound results. However, I am concerned about my ultrasound report and I am impatient now. The radiologist's notes on my pelvic ultrasound were as follows. CX appears WNL AS VIS. ENDOM appears thickened, complex with increased vascularity and could not define any solid mass at this time. Left ovary with hypoechoic area. Right ovary appears WNL AS VIS. Blood flow to the bilateral ovary. No FF seen. Does it seem like a normal prognosis? Or do I have a reason to be concerned? Doctor: Hi.I have read through your query in detail. Please find my observations below. The cervix appears normal. This is the mouth of the uterus and is normal. The inner layer of the uterus is called the endometrium. It is thickened but there is no measurement given. It is also described as a complex appearance with increased blood flow. The left ovary probably shows a follicular cyst and is normal. The right ovary is normal. No free fluid is seen in the pelvis. This is a normal finding. Keeping in mind the increased endometrial thickening with vascularity, many possibilities exist including the following If there was a pregnancy sometime in the past, less likely since your test is negative, then retained products of conception might be considered in the differential diagnosis." + }, + { + "id": 16956, + "tgt": "How to get treatment for my memory and concentration problem?", + "src": "Patient: Hello doctor, My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that. I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly. Currently I am on Wellbutrin for anxiety, Plaquenil for lupus, Procardia for Raynaud's, Lialda for colitis, Lisinopril for high blood pressure and Alendronate for arthritis. I have been taking the same medication for the past six years. Please help me. Doctor: Hello. I can understand your concern. The symptoms like forgetfulness, lack of focus, poor concentration, memory issues, etc., are seen commonly in depression and should be evaluated properly. You have mentioned that you also cry for no reasons and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia start with memory issues in day-to-day thing. Mood symptoms, crying, focus issues, etc., are seen commonly in late stage of dementia. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25914, + "tgt": "I have a red lump on my thigh near the anus. Can I be infected with HIV?", + "src": "Patient: Hello doctor, I had sex with a CSW last night. I only had a receiving unprotected sex for one to two minutes. We did not use any protection. We did not do anything other than that. I did not ejaculate in her mouth. I do not know about her HIV status. I am scared if there are any concerns about HIV or STDs as today morning I noticed a red lump on my thigh near the anus area. I was not sure if it was there earlier. But I am pretty sure that that part was not exposed to oral sex. Could you advise me what should be done? Doctor: Hello. The red sore is just a skin crack. I suggest you use triple antibiotic Neosporin (Bacitracin, Neomycin, and Polymyxin B) ointment twice daily. Unprotected sex is never safe though oral sex is still safer as compared to unprotected vaginal or anal sex. Nevertheless, there is a risk of transmission of herpes simplex, gonorrhea, and chlamydia if she had throat infection with gonorrhea or chlamydia Therefore you must screen for STDs (sexually transmitted diseases). Do you have any symptoms of burning micturition or urethral discharge? For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15376, + "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": 12778, + "tgt": "Will antibiotics help to improve IBS?", + "src": "Patient: Hello doctor,My mother is now 55 years and has been suffering from irritable bowel syndrome (IBS) for over a year. Her condition was not so bad before. She was diagnosed with intestinal disease and was given some antibiotics like Flagyl or Metronidazole. After she took those pills for a month, she had frequent loose or watery stool (without blood) and could not eat spicy or fatty food, sugar or any foods containing lactose. I found a probiotic supplement called Bifina, which helped a lot in controlling her toilet routine and her diet but needed to use together with Smecta. She still cannot eat spicy or fatty food, but she can have a drink or juice with an acceptable amount of sugar, which serves as a rehydration drink. She no longer has loose or watery stool. Once in a while if she reacts with a kind of food or eat more sugar than necessary, her stool will be softer with a few bubbles. In general, her bowel movement is under control.She is starting to recover but her long-term IBS resulted in her exhaustion. As I previously mentioned, she is now still using the probiotic supplement, Bifina, which helps a lot with the intestine treatment makes her easily feel tired or a little dizzy. I asked for support from a relative who works as a nurse because the doctors in my neighborhood just told her to get a rest and give her pills that did not help a lot. So, the nurse frequently gives her some vitamin B12 shots, Glucose 5% intravenous infusion and lactated Ringer's solution 500 ml for injection. This proves to help, but she tells me that she do not have enough energy. We went back to phlebotomy department to have her blood tested. It turned out to be fine, but every time her scores were very low. We thought the hospital could give her any session like fluid infusion or blood transfusion because she had diarrhea for over 10 months. It just stopped about 2 months ago and really has worn her out. But, they just informed me to go to another department like division of general internal medicine. We have already been there and have checked everything like x-ray, heart, liver, and kidney. Attached below are some images of her test results. Could you tell me if we are right to say she needs blood transfusion to help her recover better? Or she needs another solution? Or just stick to what we are doing now? I express a huge thanks for being patient and reading for so long now. I appreciate every answer. Thanks again. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). I can understand your concern. As you told that your mother had IBS (irritable bowel syndrome), I want to tell you that antibiotics are not the treatment for IBS. Probiotics can help. She might have developed antibiotic induced diarrhea after taking tablet Flagyl (Metronidazole). I have seen her reports and they seem to be normal except ultrasound which is difficult to interpret as it is not clear. No need to worry she might have developed malabsorption syndrome because of chronic diarrhea as she cannot tolerate lactose containing food. There is no need to give excess vitamin B12 unless there is deficiency. Your mother needs proper evaluation and blood transfusion is not required. Get her serum vitamin B12, folate, serum calcium, vitamin D, stool routine and occult blood checked. Consult a gastroenterologist. As she had chronic diarrhea she needs colonoscopy also. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19614, + "tgt": "Is having severe leg pain during pregnancy normal?", + "src": "Patient: Hello doctor, There is a complaint of severe pain in both the legs in my wife who is 14 weeks pregnant. She is unable to sleep due to the pain. All ANC check and blood tests are fine. This is the second pregnancy. She has complaints of a lot of pain in her legs on both sides, more on the right leg. She says she is unable to sleep due to pain. We complained to her obstetrician and she at that time said that such a pain is not expected. However following two to three days, now the pain is persisting and making her life difficult. We have now temporarily traveled away from her doctor. So, I need some help. She has some tenderness in the lower back though not significant. These are similar but less severe complaints before pregnancy. Kindly suggest treatment. Of note, she has taken Paracetamol once, but with minimal relief only. Doctor: Hello. To tell you the truth, I need more information or examine the patient to come to an accurate diagnosis. Differential diagnosis includes vascular problems for which we can consider a venous/arterial doppler. Probable diagnosis is a pregnancy-related lumbar strain which is less likely. We need to check for her peripheral pulses and also need to do some basic blood tests to check for any inflammatory markers. She needs CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), uric acid, calcium, RA (rheumatoid arthritis) factor, RBS (random blood sugar), RFT (renal function tests), vitamin D3, vitamin B12, and MRI (magnetic resonance imaging) of the lumbar spine (If required). Firstly, we need to check if the leg pain is associated with any tingling or numbness. If her mild back pain with both side leg pain is associated with tingling and numbness, it could be a lumbar disc problem/herniation. For this, we need to consider a lumbar spine MRI (magnetic resonance imaging). Secondly, if it is mainly leg pain, we can treat it conservatively with medications and physical therapy. So once the pain settles, she can learn pregnancy-related lumbar stretch and gentle back strengthening exercises from a good physiotherapist. She can continue tablet Paracetamol 1000 mg twice a day one in the morning and evening after food times one week until the pain subsides. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. She needs to prevent lifting heavy weights, bending forward, jerky travel and strenuous work. She needs a firm bed mattress. Followup depends on improvement. If she does not improve, she needs to consult a pain management or an orthopedic doctor. For more information consult a pain medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/pain-medicine-physician" + }, + { + "id": 8581, + "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": 25810, + "tgt": "Can Tolsama be used to correct sodium levels?", + "src": "Patient: Hello doctor,My mother suffers from low sodium levels. Although she tries to maintain them through a sodium-rich diet, she loses the levels when she is affected by any ailment. One doctor suggested her to use Tolsama on alternate days and monitor the serum electrolytes to check the levels and stop when they are in good range. I need a second opinion. Doctor: Hello. I need more information to know the main diagnosis. I would like to know why is she having low sodium levels. As per the suggestion for Tolsama (Tolvaptan) by your physician, I assume the diagnosis to be SIADH (syndrome of inappropriate antidiuretic hormone secretion). The first line of treatment in SIADH are For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16982, + "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": 24332, + "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": 29187, + "tgt": "Why do I have frequent and painful urination after scratching myself, while using a tampon?", + "src": "Patient: Hello doctor, Yesterday I scratched\u00a0myself, while I was using a tampon. Now I have a pressing urge to use the bathroom every 10 minutes. Every time only a little pee comes out, it stings a lot and has a bit of blood in it. Is this a vaginal scratch or a yeast infection? Should I see my doctor? I feel uncomfortable even during sleep, and I took two Ibuprofen for pain. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22833, + "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": 26728, + "tgt": "My 3 month old baby vomits every time he has a bout of cough. Please help", + "src": "Patient: Hello doctor, My son is 3 months old. Three days ago, he had a fever\u00a0with cold and cough. Due to the\u00a0cough, he had severe vomiting. On the next\u00a0day, we consulted his\u00a0doctor, who prescribed Emeset, Crocin, Meftal\u00a0spas, Ascoril D, Ecobion, and ORS. The same night he had a fever again. He felt better yesterday, but again at night, his temperature was quite high. Doctor: Hello. Kindly get back to me with all the answers as soon as possible. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8131, + "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": 24845, + "tgt": "Why am I having problem in understanding what others are saying?", + "src": "Patient: Hello doctor, I have a problem in understanding what others are saying. I can hear sound but cannot understand words. I have done hearing test many times in the hospital recommended by the doctor but the doctor always said that my ear is fine. This problem is there always. I do not understand what others are saying. I recently read an article on high frequency hearing loss. Can I have this problem? If yes, then what is the treatment of this problem? Doctor: Hi. Your problem is not related to hearing loss, nor it is high-frequency hearing loss if your audiogram is normal. It is related to a problem in one center in your brain which makes you understand what other person speaks. I would advise you to consult a neuro physician for the same. Also, if possible, please share your audiometry report with me. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28391, + "tgt": "What can I do to relieve the ear pain that appeared after I used ear scoop?", + "src": "Patient: Hi doctor,I am 18 years old. Last night I used an ear scoop and scratched the inside of my ear too hard. I saw a little blood. It was a little sore, but now 24 hours later there is an\u00a0unbearable pain in that ear. I could not sleep. I cannot access to the hospital until late tomorrow. Can I do anything to relieve the pain? Please assure if it is not going to make me deaf. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 24063, + "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": 7702, + "tgt": "Kindly view my reports and advice what is the next step to be followed", + "src": "Patient: Hello doctor, I know about breast cancer stage cT2N1M0 doctor is done mm, after this treatment, what is the next step to be followed? Doctor: Hello, Welcome to the icliniq.com. I think you are talking regarding your self according to history. The TNM staging is showing lymph node involvement also. So after modified radical mastectomy breast removal, you need to investigate with IHC of your breast mass. The immunohistochemistry is to be done for at least ER, PR, and her neu. According to these histopathology and IHC reports, your further chemotherapy treatment will be planned. You can discuss all these with your treating doctor/oncologist. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 6137, + "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": 10970, + "tgt": "Kindly explain the ways to get through depression", + "src": "Patient: Hello doctor, I have been depressed since a few months and I want it to end. I am really tired of it and I feel like I am a failure. How can I get through depression? Doctor: Hello. Do not worry, treatment is possible. Daily excercise and a balanced diet rich in antioxidants and omega fatty acids is known to help. Share your feelings with family and close friends as sharing helps a lot. Meditation daily for at least half an hour in the morning helps you relax and eases your anxiety. Consult a psychiatrist in person for detailed evaluation and treatment." + }, + { + "id": 14996, + "tgt": "NT scan shows placenta is fundo posterior lower edge reaching internal os. Is travelling fine?", + "src": "Patient: Hi doctor, Our 12 weeks NT scan indicates developing placenta is fundo posterior lower edge reaching internal OS. The doctor advised 30 days complete bed rest. I need your opinion on the same case and also doing an ultrasound scan after two weeks. This scan was done 10 days back and since then I am on bed rest. I have a family vacation (one hour flight) planned to travel in 15 days. Is this something possible and non-risky to do? Doctor: Hello. At 12 weeks gestation with placenta fundo-posterior with lower edge reaching internal is a fairly acceptable finding for early pregnancy. It does not really call for bed rest if there has been no episode of any bleeding per vaginum. The safest distance of placenta is more than 2.5 cm from internal os but that is in the third late trimester when the lower segment is formed. The placenta tends to climb up by 32 to 34 weeks and the present low lying status shall change. However, care should be taken to avoid intercourse completely throughout pregnancy and not to lift the weight of any kind which can cause an increase in the intra-abdominal pressure which can cause bleeding. She can walk and do her daily chores with care. Travelling is advised even in normal pregnancy after 18 to 20 weeks when the placenta matures and the fetus has become resilient to any pressure changes with an increase in amniotic fluid. Unless it is absolutely necessary, she should not be traveling as a precautionary measure." + }, + { + "id": 9882, + "tgt": "Are all NABL and CAP accredited labs of same quality?", + "src": "Patient: Hi doctor, I have a generic query. Can we trust the NABL and CAP accreditation laboratories in terms of reliability and accuracy? And what does they mean? And all NABL and CAP labs are of same quality? Please explain in detail. Doctor: Hello. It is good that you are noticing such accreditation. NABL accreditation laboratory definitely has good quality work and is more reliable. NABL is not compulsory to all laboratory but its accreditation ensures that the laboratry is following standards set by NABL board to provide good reports to the patient. So, yes you can rely on NABL accrediated laboratory. Take care." + }, + { + "id": 11022, + "tgt": "Is surgery the only option for knee buckling?", + "src": "Patient: Hello doctor, I am a 36 year old male. I have\u00a0been having knee buckling problem for\u00a0some time. The problem started in the right knee about four years back and since then I have stopped sports. However, at times during some movement or jerk, I get this buckling problem and pain for two to three days. About two weeks back, I had a\u00a0similar problem in my left knee as well while trying to jump and take a photograph. It is paining since last two weeks. I have attached the MRI and CT scan reports. Do I have to go for a surgery? Or can it be cured with exercise and physiotherapy? My weight is 97 kg and height is 5'9\". Doctor: Hi. I have gone through your history and the reports attached here (attachment removed to protect patient identity). For further information consult an\u00a0orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22758, + "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": 5329, + "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": 26923, + "tgt": "My period bleeding always lasts for seven days. Is it normal?", + "src": "Patient: Hello doctor,I have a question regarding my period. It lasts up to seven days. My period is heavy the entire time. And, I spot on the last two days. What can I do to make my period shorter? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18570, + "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": 4295, + "tgt": "Is internal vascularity in thyroid a concerning issue?", + "src": "Patient: Hello doctor, I want to know what this report means so I can list my questions. I am concerned about the internal vascular nature of this report. I am attaching my last three ultrasounds. I am looking for your interpretation of the report and want to know if there is anything worrisome. I have attached two of my previous reports for comparison. Doctor: Hello, Welcome to icliniq.com. From your attached ultrasound reports (attachment removed to protect patient identity), I understand that you have a thyroid swelling (goiter) with multiple tiny nodules for which you undergo regular followups. I can also see that these nodules are quite stable and have not undergone any worrisome change, nor have any cervical lymph nodes been found enlarged. But you are presently concerned about the structure with internal vascularity, which is a newer statement. It is quite natural to be worried about such a finding, but give me the pleasure of saying that it is only one of the four parathyroid glands that are attached very close to the thyroid. The internal vascularity is only an identifying point of parathyroids rather than any clue to an abnormality. The size of the parathyroid may raise suspicion as to whether it is enlarged, such as in parathyroid hyperplasia, adenoma, or carcinoma. However, parathyroid hyperplasia is accompanied by a finding of calcification in the gland, while carcinoma (cancer) is characterized by invasion into surrounding organs (your report says \u201cwhich appears to be separated from \u2026\u201d). As for parathyroid adenoma, please be assured that this disease manifests itself quite clearly in clinical and labaratory features, such as abdominal pain (due to the formation of gallstones, renal stones), bone pain, abnormal calcium and phosphate levels, and altered parathormone. Therefore, considering all points, I would like to assure you that \u201cinternal vascularity\u201d is not a cause of worry, and the parathyroid even if it is marginally enlarged should also not create anxiety unless your doctor finds features of hyperparathyroidism in your clinical or lab findings. Since I do not know your clinical or lab findings mentioned above, I suggest that you may clarify the matter further with your respective doctor during your next scheduled visit. I hope this helps." + }, + { + "id": 13448, + "tgt": "I am suffering with premenstrual syndrome. Please help", + "src": "Patient: Hi doctor, I am a 33 year old female. I am married. I have two sons. I was diagnosed with hypothyroidism over ten years ago and I am on medication. I am having a horrible time with pms over last few months. I used to have terrible headaches and irritability before few days of my periods. Now it has been two weeks as my period is ten days late. I am having the worst time in my life right now. My headache and the pressure drive me crazy. I am having hard time. I am getting into deep depression. I do not know how to get through this. I cannot stop crying. I have an appointment finally with an endocrinologist in two weeks. Whenever the thing gets worse my gp will increase the dosage of my medicine. My hair is falling out. I am not the same person at all anymore. I feel like this is killing me. Need some help. Doctor: Hi. I went through your query and I can understand your condition. First of all, I need to know whether your hypothyroidism is under control or not. Kindly upload your recent TSH (thyroid stimulating hormone) report. Now we need to see whether your headache and irritability is due to your PMS (premenstrual syndrome) or if there are some other reasons. Your endocrinologist will evaluate for that. But a simple way to know is to halt your periods for two months and observe what happens. Ask your general practitioner to prescribe you certain oral contraceptive pills. This shall halt your periods for a month or two and if you feel better then it is due to PMS. But if there is no improvement then other evaluations have to be done including your blood pressure testing, eye check up and if necessary brain scan. If there is an improvement then you can take the contraceptive pills for three to four months and then stop and observe." + }, + { + "id": 18949, + "tgt": "What is the remedy for swelling that developed after 10 days of injection?", + "src": "Patient: Hi doctor, This query is for my relative. She is 51 years old. Her height is 5'1\" and weight is 65 kg. She had an injection before 25 days in her buttocks. We do not know the medicine name. She had an issue of excessive menstruation and she consulted our family doctor and had the injection. Now she is under hormone tablets. She is also taking half tablet daily at night for depression. At the injection site, she developed a swelling after 10 days of injection. As per doctor's advice she gave hot and cold fomentation alternatively. She does not have severe pain in the swelling, but she has pain on touch. Now, it looks like the swelling is pointed and she has mild itching on the swelling. What could this be? How to treat this?\u00a0We will be able to meet our doctor only after two days. Is it fine? Or this is an emergency? What is the immediate remedy, as of now? Please help. Doctor: Hi. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13065, + "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": 19950, + "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": 28579, + "tgt": "Is lupus causing all my symptoms?", + "src": "Patient: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargement, bronchiectasis, and a history of pneumonia. For about twelve years, I have had kidney pain that was mistaken for gallbladder disease, gastritis, etc., this past year, protein was found in my urine twice. Recently, I have been experiencing shortness of breath and wheezing. For most of my life, I was told that I had asthma and treated accordingly. Now, however, the asthma medications (Dulera and Ventolin) are not working. I also have a nebulizer, which is of little help, as well. I am under the care of a pulmonologist who is reticent to believe that I am indeed an asthmatic; so, now I am confused, breathless, and a little scared. Is this lupus doing this? I have been experiencing widespread inflammation, malar rashes, and a weight gain of approximately fifteen pounds over the past week. I have some personal problems, and the stress and fear just sank into me like poison. I could feel myself grow weak in the hours that followed. Before this, I was feeling pretty good. I am taking Enbrel and Plaquenil, both of which have been about as effective as sugar pills lately (although the Enbrel does give me a little bit more energy). My vision has also been worsening. My rheumatologist is almost a hundred miles away and nearly impossible to get an appointment. My primary care doctor is\u00a0telling me to try harder to see the specialists. I am lost, and I do not know what to do. Any advice would be appreciated. Doctor: Hi. I hope it helps you. For further queries consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 5054, + "tgt": "Is it advisable to use stem cells to grow taller?", + "src": "Patient: Hello doctor, I want, prior to anything, thank you for the time you are going to take to answer this question. I have been told by my basketball coach, in order to grow taller, to undergo the following kind of intervention, but my question is, where and how to undertake such a procedure. This is the procedure: Lase the legs' growth plates to zap them away, and then inject treated stem cells from new growth plates in their place. These then respond to cytokine (chemicals) from genetic engineering, that cause growth. And I have been told that I can avoid acromegaly by having the new stem cells only responding to a unique chemical variation of human growth hormone that has no effect on other than engineering new growth plates. So, how and where can I do this? Doctor: Hello, Welcome to iclinq.com. Stem cell transplantation is a highly specialized procedure and is generally done for specific indications. Almost all such procedures are conducted by the Surgical Oncology Teams (Specialized Cancer Hospitals). Stem cell tranplantation are generally done in patients with hematological malignancies after total body irradiation so that their bodies can generate new blood cells from the transplanted stem cells. Recently, it is also being used for advanced organ failure but such use remains experimental and is limited to research centers. Having said that, let us come to your particular case. Well in all honesty even if such a treatment is contemplated; it would be totally against current guidelines and ethical norms and probably no one will be willing to do such a procedure in your particular scenario. It has been done for increasing height in children suffering from blood cancers following total body irradiation but other than that absolutely no other indication. That too has been done at research centers with mixed results. With regards to your questions. It is extremely unlikely if not impossible that you will find anyone offering such treatment anywhere across the globe, legally. Yes, the last word is important as many things happen in shady markets but then all those procedures are illegal, unethical and should not be done. The suggested treatment is absurd, highly questionable and unethical is all respects. Additionally you should also know that Stem Cell Transplant is a transplant and it has serious potential for life threatening complications. Just to name a few, infections, bleeding, acute and chronic rejection, graft vs host disease and so on. The million dollar question is not that where you can get this done; the question is whether you should even think about it and the answer is an \"absolutely not recommended\". Take care." + }, + { + "id": 17372, + "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": 28930, + "tgt": "My husband has extreme shivering and profuse sweating at night. Should we take him to the ER?", + "src": "Patient: Hi doctor, My husband was in a\u00a0below-freezing weather all weekend, day and night, for military training. Nine of the men he was with went to the hospital for various cold weather injuries. Since coming home, he has been suffering from what seems like a cold in the daytime, but at night, he has extreme shivering and profuse sweating. The whole bed shakes, he has been having this for two nights in a row. Multiple sheets, blankets, and towels get soaked in his sweat. He does not have a fever during this, and his body temperature is a bit low every time we check. His daytime symptoms consist of a sore throat, fatigue, aches, and congestion, but very rarely chills or sweating. He is currently taking steroid inhaler for lung scarring. We have a doctor's appointment tomorrow, but should we take him to the\u00a0ER today? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29238, + "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": 9987, + "tgt": "Can I become HIV positive from a handjob?", + "src": "Patient: Dear doctor, I am currently paranoid about HIV. Recently, I had an encounter in a massage parlor, where the masseur gave a full body massage with a handjob. I never had sex, this is the closest thing I have come to sex. When she massaged my penis, I felt her hand quite rough, not sure if she had any cuts. She was fully clothed and I was naked. No vaginal, anal, oral, mouth kissing involved. Am I at risk of HIV? Based on your experience, have you come across anyone, who is positive due to handjob? I have consulted a local GP after a day of exposure. He told there was no risk whatsoever and told no need of testing. According to him, no one was infected with HIV through masturbation in any situation, in 40 years of this epidemic. He refused PEP prescription as well. I just wanted a second opinion. Doctor: Hello. HIV (human immunodeficiency virus) infection does not spread through masturbation. As described in your case, there is no risk of acquiring HIV. A handjob is not considered an exposure, thus ruling out the chance for any STDs (sexually transmitted diseases). You could relax totally and let go of your fears of HIV. PEP (post-exposure prophylaxis) would not be needed for you. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 29509, + "tgt": "Why was I prescribed with Folic acid, Glycomet and Oosure for delayed period?", + "src": "Patient: Hello doctor, I am a 29 year old female. I am trying to conceive for the past one year. Four months back, my period was delayed for 12 days, and so I got a consultation. My doctor advised me to take Folic acid, Oosure and Glycomet without any medical test like an\u00a0ultrasound, etc. She told to continue them for three months. This is my last month and this month also my periods delayed for 13 days. Today, I got my periods with vomiting sensations. Why? Can I still be pregnant? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4774, + "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": 12168, + "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": 27325, + "tgt": "Does laser surgery cause dry eyes?", + "src": "Patient: Hello doctor, I had laser surgery on both my eyes 15 years back, and it was not very\u00a0successful. My eye sight power came back along with the cylindrical power. My power has been stable for the last 10 years.\u00a0Now my vision has become 6/4.\u00a0But, I found out that I have dry eyes ever since. If I use a lubricant, there is some improvement but, by morning I am unable to open my eyes.\u00a0Also,\u00a0my eyes are red often.\u00a0Is it due to my increased screen viewing?\u00a0What can I\u00a0do to completely cure my dry eyes? 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": 2375, + "tgt": "My urine test shows presence of pus cells and RBC. Please explain my result", + "src": "Patient: Hello doctor, I want to know what is wrong with the test results. I have done blood test, urine, liver, and kidney function tests. Urine test shows pus cell 4-6 and RBC 1-3. Doctor: Hello. I have reviewed the lab results (attachment removed to protect patient identity), that you have sent and I see that the urinalysis shows RBC 1-3 and pus cells of 4-6. But there were few epithelial cells seen. May I ask how did you get the sample? Did you get it midstream? Because a poor catch may yield unreliable results. Your CBC (complete blood count) also showed relative lymphocytosis but aside from that, all rests are within acceptable limits. Any recent history of cough or colds? In addition to that, may I also know your symptoms and why were the tests requested? Do you have painful urination or back pain? Any other medical condition such as hypertension or diabetes? I would be needing this to clinically correlate your test results." + }, + { + "id": 28351, + "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": 21418, + "tgt": "Penis is small and thin. Are there any medicines or surgeries for growth of penis?", + "src": "Patient: Hello doctor, I am a 27 year old unmarried male and my penis size is too small and thin. In the normal position, it is 3 inches, when it gets strong it is 4 inches. Are there any medicines or surgeries for the growth of penis? Also, my penis is not getting strong even when I am in sex mood. When I shake it with my hand, it slowly gets strong. Due to this problem, I am feeling tensed about how I am going to move with my wife after marriage. My marriage date is getting close. Doctor: Hello. Kindly investigate your serum testosterone and serum luteinizing hormone level, length and girth can only be increased if these levels are low. But, in those individuals in whom the testosterone level is normal, let me tell you one thing that, there is no medically proven treatment for increasing the length and girth the of penis. On erection, the normal size varies from 3.5 inches to 5.5 inches, and normal vaginal size is also between 3 to 4 inches. So, any erected penis of size more than 2.5 inches is able to satisfy both the partners. Orgasm in both the partners is independent of size, girth, and length of the penis. Thinking about penis size is a common feature of Dhat syndrome which is very prevalent in your subcontinent and is due to widespread prevalent myths regarding sex, semen, and sexual organs. So, my advice is to decrease your weight, do regular exercise, drink lots of water and do regular meditation. This can do wonders for your sexual life. For increasing the stamina, you can take herbal supplements like tablet Tentex Royal or tablets Staminex once daily. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26497, + "tgt": "I have sharp pain in my stomach after an appendectomy. Is this normal?", + "src": "Patient: Hello doctor, I had an appendectomy about two weeks ago with no complications, but since then I have been having sharp pains in my stomach similar to how the appendicitis felt. Both on the lower right and left. My back has also been sore and I have been severely constipated with sometimes green or yellow stool and pain when I try to use the bathroom. I am just wondering if this is all normal or do I need to see the doctor. Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26440, + "tgt": "Is it possible to have morning sickness symptoms this soon?", + "src": "Patient: Hello doctor, I am a 28-year-old female. I have been having lower back pain and cramps for two days now, but my period is not due until a week and a half away. I have a regular 28-day cycle and I think I ovulated between the 18th and 23rd of this month. I\u00a0have been having a little bit of upset stomach, but I think if I was pregnant it would be too soon to be having morning sickness. Is it possible to be having symptoms so soon? Doctor: Hello. For more information consult an obstetrician and gynecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28194, + "tgt": "Please see the attached reports, and tell me if I can continue my fasting", + "src": "Patient: Hi doctor, I am in consultation with another ayurveda specialist in icliniq\u00a0for skin rashes and itching, and I am taking the medicines as per the doctor's recommendation. I also did all the tests which she suggested. But, she is not available now, so I want your\u00a0opinion on my test reports. The frequency and intensity of itching and rashes have decreased. As I will be fasting for this entire month, what should I do? Please suggest. Can I continue my fasting? I am attaching the past and current test reports with a summary sheet for your reference. Doctor: Hello. I just read your query and saw all your reports (attachment removed to protect patient identity).\u00a0 I hope you find my answer helpful.\u00a0Thank you. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7049, + "tgt": "What is lacquer crack?", + "src": "Patient: Hi doctor, My eye doctor found\u00a0small lacquer cracks near the center of my right eye. What does it mean? What are the risks? I am very nearsighted. Please explain. Doctor: Hello.\u00a0 For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3937, + "tgt": "Though both partners are non-reactive to HIV spot test, is it necessary to do other HIV tests?", + "src": "Patient: Hello doctor, I did protected sex with a known lady two times, (65 days before and 36 days back). She has breast milk, I swallowed a couple of drops at that time. I felt fatigue, and a couple of bumps on the back of the neck after five days of second exposure. I got tested HIV duo combo after 28 days of the second exposure. Both the antibody and antigen are non-reactive. On 36th day, I and that lady got tested with HIV spot test it is non-reactive for both. However, I can feel burning sensation on some parts of the sole of feet, and left palm. I am concerned about this, do I need to take any other tests? Please suggest. Doctor: Hello. Thanks for sharing your medical info with us. In terms of HIV detection tests, ELISA (enzyme-linked immunosorbent assay test) is the first test to be done and then if positive, western blot is recommended. You and your partner have both tested negative with rapid HIV test which guarantees the exclusion of HIV. You mentioned burning sensation on soles and palms. I am wondering if you also have lesions in these areas. The bumps you are experiencing are however, due to some other etiologies most likely molluscum contagiosum. These lesions have an umbilicated appearance they might itch and sore. They are extremely contagious but fortunately, they resolve on their own without any treatment. You might or might not have these lesions at the moment. Keep in mind these lesions could also be stress rashes, common after sexual activities. If the lesions still exist and hurt and do not have the typical umbilicated appearance. I recommend taking a biopsy so investigate the pathology. If they do not exist at the moment, plan on taking a biopsy when they reappear. The burning sensation you feel in your palms and soles is due to a different pathology, most likely a neuropathy. Further information needed to put the right diagnosis on these symptoms, most importantly a detailed history of when and how they started? And how long have you been experiencing this burning sensation? Do you have any medical history or family history of diabetes? Nonetheless, these symptoms are not related to HIV infection. All I can recommend for assuring a reliable HIV test result is to repeat the test three months after exposure and see if you are still test negative. (Rarely antibody formation might take longer than usual)." + }, + { + "id": 4277, + "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": 11878, + "tgt": "My baby is 10 month old. Can I start solid food now?", + "src": "Patient: Hello doctor, My baby is 10 months old, and he is two months premature. If I feed him with solid food, he does vomiting. Is it not safe for him to feed with solid food? Doctor: Hello. I just read your query. I advise you to try giving some soft and semi-solid foods to your baby right now. Once he starts digesting these then move on slowly towards other food items. Moreover, some babies do not take solid food properly until they develop teeth. But if your baby does not digest semi-solid foods too, then you need to visit a nearby child specialist. Because it can be due to some other underlying cause which needs to be ruled out. I hope you understand my point." + }, + { + "id": 3264, + "tgt": "I get excess sleep with shortness of breath, and waist pain during exam period. Why?", + "src": "Patient: Hello doctor, I am a 17-year-old male from India. At this time my exams are going on so I cannot visit any doctor. Kindly help me. I am feeling some health problem symptoms for about a week like excess sleep, short breath. When I lie down on the bed it get worse some times. I have a feeling of rubbing of knee bones while walking and also have waist pain. Yesterday, I took Modafinil 100 mg tablet as suggested by my friend. But my symptoms gone worse. I have trouble breathing lying down, throat pain and breathing trouble, high blood pressure, blood in stool, pain in backbone, excessive waist pain, muscle and joint pain. Today I got relief from some symptoms, but still, I am feeling breathing problem, back pain, rubbing of knee bones, sweating, tiredness, sleepiness, mind goes blank and black in front of eyes when I standup suddenly. Please help. Doctor: Hello. Well, from the information it appears you have an acute stress reaction. But I need more data before reaching that conclusion as you are experiencing breathing problems on lying down and blood in your stools. Did you experience similar symptoms in the past? Do you have any past medical history? Are you feeling stressed out due to exams? Breathlessness on lying down persists for how long and how is it relieved? Do you use any recreational drugs? And most important of all do not take any drugs like Modafinil without prescription it could be dangerous. Do you experience these symptoms during each exam? because it appears your symptoms are related to stress and anxiety of exams. Please tell everything, hide nothing it will be confidential." + }, + { + "id": 5850, + "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": 2830, + "tgt": "I am having muscle weakness from childhood. What to do further?", + "src": "Patient: Hi doctor, I am 21 years old. I have muscle weakness in both arms and legs since childhood. I cannot climb stairs without support and I feel tired most of the day. I cannot stand for long and also cannot run or walk. My legs and feet always get numb. I have decreased sensory sensations in both feet. A few months back, I was diagnosed with hypothyroidism and vitiligo. I visited a doctor last month. My EMG and nerve conduction study shows symmetrical sensory motor demyelinating polyneuropathy with clinical diagnosis of CIDP. CPK is 227 (reference range 24-195 U/L). I am on Prednisolone 45 mg, Levothyroxine 100 mcg and multivitamins for the past 17 days. Please guide me about my disease, prognosis and any rehabilitation that might help. Doctor: Hi I have read your question with care and understand your concerns. My opinion is as below: You are having both myopathy and neuropathy. You need to get treatment for both. Hypothyroidism and vitiligo are may be signs of abnormal functioning of the pituitary gland. You have to do a complete pituitary hormone profile along with thyroid profile. Please also do a diabetic profile and lipid profile. The further course of action can be decided based on the reports. 1. Complete pituitary hormone profile along with thyroid profile. 2. Diabetic profile. 3. Lipid profile. Revert back with the reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18909, + "tgt": "Are STI tests on day 42 conclusive or do I require further testing?", + "src": "Patient: Hello doctor, I took the following STI tests on day 42 post a possible exposure and the reports show the following: HIV DUO (4th Gen) (CMIA) - Non Reactive (0.16) Syphilis Antibodies (Treponema) (EIA) - Negative (0.64) TPHA - Negative RPR - Non-Reactive HSV 1 & 2 - IgM antibody (EIA) - Negative (0.64) Chlamydia Trachomatis - IgA (EIA) - Negative (0.10) Are all these results at day 42 conclusive? Is any further testing required for any of these tests? Kindly provide a detailed explanation. Doctor: Hello.\u00a0 I have gone through your query and I have noted your concern. For more information consult a venereologist online --> https://icliniq.com./ask-a-doctor-online/venereologist" + }, + { + "id": 4618, + "tgt": "Can laughing fits preceding panic attack be gelastic seizure?", + "src": "Patient: Hello doctor, An 18-year-old female lying in bed with no stimulus like TV and has a laughing fit. She cannot stop laughing, then could not breathe, so she had a panic attack and began crying. She has had similar situations about once per year for the last four to five years. Can this be a gelastic seizure? She is underinsured and would like to do nothing, but if it is likely something dangerous causing it she will have to see someone. Medications: Depo shot q three months for birth control, Vyvanse (Lisdexamfetamine) for ADHD taken in the past sometimes prescribed as high as 90 mg per day. She is not taking now as she has graduated high school and does not think she needs it when not in school. Doctor: Hello. I would like to know if she has strange behavior during all the time, fluctuations in her mood, sometimes cries and sometimes feels euphoric? If she stays alone time after time feeling depressive and other times trying to attract the other's attention, being euphoric and impulsive? In such a case, I would think about a psychiatric disorder. Otherwise, I would recommend performing an EEG (electroencephalogram) in order to exclude possible elastic seizures. A brain MRI (magnetic resonance imaging) would be necessary too. I hope this helps." + }, + { + "id": 30204, + "tgt": "I have lost the purpose of my life and like to be alone. Why?", + "src": "Patient: Hi doctor,I do not know what it is, but I feel as if I have fallen too hard. After a lot of try I got a job in a bank. It has been six months and suddenly I have lost all interest to go. I am on leave for the past one week. I feel like quitting my job. I feel like I lost the purpose of my life. I am in a relationship with a guy for past 8 years. I am in a live-in relationship with him for the past one year. No one knows about this except one of my close friends. Everyone thinks that we are married. He has promised me that he will marry me by next year. But, my mom does not like him. She does not know that I am staying with him. I do not know what I am going to do in my life. I have a good name at work. Now, after an uninformed absence of a week, I am scared to go back. I do not pick up calls anymore. I have uninstalled all the social networking sites now. I am not in touch with anyone and I do not want to be. I look around and see everyone happy. But, I do not feel that with myself. I cannot seem to at least try nowadays. I feel like no one understands me. I have hurt myself before. I want to die, but if I die I will never be able to prove myself to anyone. Please help. Doctor: Hi. I read your query and understand your concerns. From the available description, it appears that you are having depression, which is often characterized by sadness, decrease interest in almost all activities, including pleasurable one, indecisiveness, poor attention and concentration in addition to sleep and appetite disturbance. Most persons with depression feel miserable without any reason and that distinguishes it from normal sad experience. The presence of conflict with mother in regard to ongoing relationship could be the trigger for the onset of depression. In my view, you should see a psychiatrist without delay. He will ask you more questions to confirm the diagnosis of depression and to rule out other disorders presenting in a similar way such as bipolar disorder. Post evaluation he may prescribe medication or offer you psychotherapy after discussing with you. I must assure you that in current times depression is completely treatable illness and there is an excellent hope to recover from it. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30875, + "tgt": "Kindly explain the reason for my scalp tenderness", + "src": "Patient: Hi doctor, I am suffering from localized tenderness in scalp. I also have left thigh numbness. My doctor diagnosed it as mild meralgia paresthetica. He prescribed Pregabalin, but I did not take due to concern of dizziness and drowsiness. I always have a fear that antidepressant medicine can cause cancer in later stages of life. I have attached my medical history for your reference. Please help. Doctor: Hello. Thanks for giving such an elaborate information and history (attachment removed to protect patient identity). Poorly treated migraine or irregular treatment. 1. Nerve conduction study of bilateral lower limbs, including bilateral lateral cutaneous nerve of thigh. 2. MRI brain and MR angiogram intracranial vessels with contrast. 3. ANA (antinuclear antibody), ESR (erythrocyte sedimentation rate), HBsAg (hepatitis B surface antigen), Anti HCV (hepatitis C virus), CRP (C-reactive protein) and fundus examination to look for papilledema. 1. Migraine headache leading to chronic daily headache. 2. Giant-cell arteritis (temporal arteritis). 3. Insomnia due to chronic daily headache. Migraine headache. Get nerve conduction study as advised above. If it suggests meralgia paresthetica, then try Gabapentin in place of Pregabalin. Rule out other causes of scalp tenderness by MRI and blood tests. If the tests come out be normal, then start appropriate prophylactic medications for migraine. 1. Avoid trigger factors of migraine headache. 2. Do not wear tight belt at waist. Revert back with the test reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10058, + "tgt": "Is it likely for HIV symptoms to show up after 5 to 6 weeks of possible exposure?", + "src": "Patient: Hello doctor, I am a 31 year old male, and my query is regarding possible HIV exposure. Four months back, I had a sexual encounter with two female partners. I had insertive vaginal sex and received oral sex. Intercourse had lasted for about five minutes twice with each partner. Condoms were used throughout and were changed for every partner. I do not recall any of the condoms breaking or slipping off completely. About a week or so after the encounter, I experienced some health-related concerns, one after another.I got an eye stye, inside of the eyelid, which was little painful and irritating. It went away in a week. I got a boil, nearly an inch in diameter, in the lower abdomen, which subsided in a week. I also got a white area behind the wisdom tooth. This area was painful during the initial 3 to 4 days, then the pain subsided, and the white area started growing bigger. OPG and clinical examination suggested impacted wisdom tooth and trauma caused by friction of upper and lower wisdom teeth. So, I got both the wisdom teeth extracted. Now, it is normal.I also had a skin tag in the underarm area, which turned painful, hard, and dark purplish. One or two light reddish spots in the adjoining area. They resolved in 7 to 8 days. I have high blood pressure and triglycerides. My triglycerides were 292, which dropped to 195 after 10 days without medication. I got a severe headache one night, which went away next morning. I feel light-headed while walking, staring at the computer, etc., but not when lying down for 5 to 6 days. This happened concurrently with the diagnosis of high triglycerides and BP. I also have diarrhea type condition, that is, I have bowel movements thrice a day, which lasted for 9 to 10 days. My gastroenterologist remarked \u2018no abnormalities detected.\u2019 I took antibiotics and other medicines for the dental problem few days before this.I do not have a fever or any unusual skin rash. I do not have unusual body ache or weight loss or loss of appetite. I also do not have any apparent swollen glands. My creatinine and TSH test reports are normal. My LDL is normal, and HDL is little lower than normal. Assuming either of my partners was HIV positive, what is the chance of me contracting his? Does any of the above health concerns related to HIV? Does HIV symptoms, if any, appear together or can appear one after another? What is the most likely period after exposure when symptoms appear, if at all? In other words, is it likely for HIV symptoms to show after 5 to 6 weeks? I realize HIV infection can be confirmed only by a test. However, I sincerely request a prompt and clear response to the above queries, which will help me cut down the fear. Thank you. Doctor: Hi. The answers to your queries are as follows: Hope your queries are answered, but please do not hesitate to ask or call anytime for any further query. Best wishes." + }, + { + "id": 10894, + "tgt": "What causes upper stomach pain, nausea, loose stools, fatigue, and gas with vomiting?", + "src": "Patient: Hello doctor, I am having upper stomach pain, nausea, loose stools, fatigue, gas. I had one episode of vomiting (regurgitation) about five days ago, and the symptoms all went downhill from there. I am taking Aspirin, Zoloft, Prednisolone, Cellcept, Hydroxychloroquine, Amlodipine and Clonidine. I have lupus (SLE), anxiety, and GERD. I am also 18 years old and 200+ lbs. Doctor: Hi. The symptoms that you mentioned are consistent with acute gastroenteritis. Please follow the following diet, take the following medicines and do the following investigation. Diet: BRAT diet which is short for banana, white rice, apple sauce and white toast (bread). Stop eating all vegetables and fruits except bananas and potatoes. Drink ample fluid. Avoid dairy products, caffeine drinks, spicy food, food from outside, fried food, sweets. You can eat poultry or meat but cooked blandly. When you start to get better, introduce normal diet bit by bit. Feco-oral. Stool analysis, stool C and S. Acute gastroenteritis. 1. ORS one sachet in 1/2 cup water every four hours for four days. 2. Metoclopramide (Primperan) tablets one tablet two times a day for three days. 3. Eucarbon (Carbon) tablet two tablets three times a day after food for five days." + }, + { + "id": 2605, + "tgt": "My son has pain in ear with yellow discharge. Please suggest treatment", + "src": "Patient: Hello doctor, My son is 10 years old. He is having a problem in the left ear where a yellow liquid comes out with pain for the last three days. Please suggest. Doctor: Hi. I can understand your concern. The possibility of left ear infection is more likely. I would like to know, Is there any fever? Any reduced hearing in that ear? Please reply, so that I can guide you better." + }, + { + "id": 27613, + "tgt": "Is it possible to have testicular cancer for five years and be unaware of it?", + "src": "Patient: Hello doctor, Is it possible to have testicular cancer for five years and not know it? I have had a small lump near my right testis for five years now and my doctor says it is nothing to worry about. However, my lymph node on that side is swollen and I have frequent stomachaches. But it has been this way for five years. What could cause this? Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 6323, + "tgt": "I need a guidance on rehabilitation for grade 2 hamstring strain. Please help", + "src": "Patient: Hello doctor, I am looking for a basic example of a six weeks rehabilitation program for a grade 2 hamstring strain. Like for example: Week 1: rehabilitation and stretches. Week 3: rehabilitation and stretches. Week 6: rehabilitation and stretches. Please suggest. Doctor: Hello. Hamstring strain can be resolved easily with exercise rehabilitation and ultrasound therapy. As you mentioned I am giving such a protocol that you can follow. Week 1 rehabilitation and mild stretches, warm-up, and ice therapy. Week 2- 3 rehabilitation and mild stretches, warm-up and cool down with IFT (interferential therapy) and ultrasound therapy, with hamstrings curls. Week4- 6 rehabilitation and plyometric stretches, progressive resisted exercise, and hamstrings curls with weight cuffs. I hope this helps." + }, + { + "id": 21618, + "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": 13348, + "tgt": "How can excessive gas and belching that feels like choking be controlled?", + "src": "Patient: Hello doctor, I am having excessive gas and belching to the point where it feels like I am being choked. My stomach area also feels tight, but that might be from the bloating. Doctor: Hi. The symptoms look more from gastritis and acid reflux. You need to modify your dietary habits as well as add a few medicines. Practice small frequent feeds rather than heavy meals. Avoid excess water when you eat food. Avoid talking while having food as this leads to aerophagia. Practice being in erect position for at least an hour after food. Avoid foods which worsen acid reflux like coffee, excess spicy foods, etc. You can add tablets like Pantoprazole 40 mg in the morning with Domperidone 10 mg twice daily 30 minutes before food for two weeks. Follow these dietary measures consistently for a month and see the response. If symptoms are not improving, you need to consider an evaluation." + }, + { + "id": 24097, + "tgt": "HIV DNA PCR negative at 10 and 13 days. Should I go for more testing?", + "src": "Patient: Hello doctor,I have had unprotected oral sex for three minutes and she was not bleeding at the time from what I know. I got tested for proviral DNA PCR qualitative test at 10 days negative and duo test at 13 days negative. Should I go for more testing or consider it conclusive? Doctor: Hello. Yes, you need further testing at four and 12 weeks. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 27848, + "tgt": "Can rabies spread through food licked by a cat?", + "src": "Patient: Hi doctor, I am having some doubts about rabies. Will rabies spread through food, which is licked by a cat? Will rabies virus die on heating? Doctor: Hi. I am giving you my opinion regarding your doubts. Take care.\u00a0Hope your concern is solved. For more information consult a general practitioner\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2609, + "tgt": "After every meal, I feel soreness at the root of my tongue. Why is that?", + "src": "Patient: Hello! I'm 28 years old and currently have a medical issue. Every time after a meal I feel this sort of soreness in the root of my tongue. It feels like the root is pushing the tongue up. The same happens when I drink coffee and coca-cola. I was wondering if I could get some help diagnosing the issue. I'm an asthma patient but don't feel like the two are connected. Thanks. Doctor:" + }, + { + "id": 11796, + "tgt": "What are the long acting drugs advised for anxiety?", + "src": "Patient: Hello doctor, I have been experiencing anxiety for a few years now. It started with a few random anxiety attacks, and soon it spread. I find it hard to leave the house on my own due to this. I feel ashamed, and my self-esteem is very low. I am usually a proud person, very independent, determined and self-sufficient, but this issue has impacted my life negatively. I find it hard to socialize now due to shame about the anxiety symptoms showing up and this led to shyness. I feel depressed and have low energy. I do not enjoy the things I used to enjoy anymore. I had some significant losses and failures in my life in the past few years, and I think this might also be the cause for all this. The anxiety symptoms are pretty much like panic. I get heart palpitations, cold hands and lots of muscle tension, especially in the neck, face, and eyes. If I feel very nervous, my neck gets so tense that it twitches. I also experience lots of self-criticism and guilt because of this. I have high expectations of myself and consider this problem to be unacceptable. I tried many of the common homeopathic remedies for this (such as Ignatia, Staphysagria, Arsenicum, Sulphur, Graphites, Pulsatilla, Calc Carb) and nothing seems to help except for Aconite 200. The problem is that Aconite only helps temporarily. I need something that works more long-term. Is this something you can help me? Doctor: Hello. After Going through the details, I could narrow down to three medicines namely, Ambra Grisea. Hyoscyamus. Baryta Carb. I suggest you start with Ambra Grisea 1 M one dose and wait for 7 to 8 days. If you feel a change, then you can wait and repeat the medicine only when required. Also if it helped and then stopped working, then you can go for higher potency like 10 M. If it does not help then go to the Hyoscyamus and then Baryta Carb the same way as the first one. If in case it helps. I would surely like to know the follow-up. With regular follow-ups and it can be managed more efficiently. Some losses in the past few years. None advised. Ambra Grisea, Hyoscyamus, Baryta Carb. Regular follow-ups about the action of the medicine are appreciated for at least at 10-15 days." + }, + { + "id": 6085, + "tgt": "Is it safe to take Gelusil and Emeset when pregnant?", + "src": "Patient: Hi doctor, My wife is 7 weeks\u00a0pregnant\u00a0now. Currently, doctor has suggested some tablets and her reports are attached for your reference. From yesterday, she feels gas and wants to take Gelusil. Is it safe to take Gelusil with these medicines?\u00a0She also complains of vomiting sensation especially in empty stomach and takes tablet Emeset only on alternate days. Previously, she used to feel her appetite as heavy even after food. But, after this\u00a0gas issue she takes less food. Please guide me how to take care of this situation? Doctor: Hi. I went through your prescription (attachment removed to protect patient identity) and your query. I will try and make things slightly simpler for you. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2107, + "tgt": "I get recurrent protruded mole on my leg that grows and falls off on its own. Is it melanoma?", + "src": "Patient: Hi doctor, I have a protruded mole on my leg (light color but it will become black if in contact with water), it lasts for about two or three years or more. I have no symptoms other than it will fall off as time pasts and grow back itself. I was wondering what would it be as I am worried if that is some kind of melanoma? Doctor: Hi, Welcome to icliniq.com. I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed seborrheic keratosis or a mole. Do you have this mole since birth? Nothing looks like melanoma. Shave excision with the histopathological examination is a good option in your case because it is curative and diagnostic both." + }, + { + "id": 10910, + "tgt": "I have ringing in ear post ear infection. Why?", + "src": "Patient: Hello doctor, I had an ear infection but my ear infection has gone now but very low pitched ringing in my right ear is not stopping. Doctor: Hello. The symptom you are experiencing is called tinnitus. Tinnitus is not always due to a sinister cause. Simple conditions of the ear like wax or ear infections both of external ear canal and middle ear can cause it. First and foremost you must know that tinnitus may be aggravated by apprehension and anxiety. You have to make a conscious effort to ignore it. Most of the times, it does not need any treatment. So be assured most likely to be a benign condition. I would like to know the duration of symptoms and whether it is unilateral or bilateral. Are there any symptoms of hearing loss and giddiness? Did you have any earache and prior history of upper respiratory tract infection? you may do a hearing test which will give us further insights. For now, you may just wait and ignore it. It might resolve in a few days." + }, + { + "id": 8559, + "tgt": "What can be done to reduce the gap that occurs due to spondylosis?", + "src": "Patient: Hello doctor,My mother is 44-years-old and has spondylosis for past two years. What should I do to decrease this gap in her neck? She has started physiotherapy from eight days ago. Doctor: Hello. The spondylosis has caused a reduction in the intervertebral spaces. This occurs due to the weakness of the muscles of the neck. I will advise following the exercises which help regain the muscle strength and improve the space in the intervertebral cervical region. Activities include static neck exercises and neck stretching exercises." + }, + { + "id": 5932, + "tgt": "How long should I continue Levocet M for itchy throat?", + "src": "Patient: Hi doctor, I had a problem of nose block and my ENT surgeon suggested me to go for a\u00a0nose operation. As per doctor instruction, operation of my nose was carried out before three months. Now my nose is almost fine, but still I feel that something is there in my throat. I also feel itchy throat and every 10 minutes I need to make a sound to get relief of this itching. After nose operation, my ENT surgeon suggested Levocet M for my throat problem. He advised me to take daily one tablet at night for six months and slowly throat problem will be cured. I am taking Levocet M for the last three months, but still my throat problem remains the same. Please suggest me whether should I continue or stop this tablet. Is there any side effect if I am taking this medicine for a long time? Please suggest me what should I do. Will you recommend me to take any other medicine? Doctor: Hello. Your symptoms seem to suggest that you are suffering from allergy. Levocet M (Levocetirizine and Montelukast) is given for the same purpose. It is true that the medicine should be taken for a few months regularly. It has minimal side effects, like dryness of mouth, drowsiness and daytime sleepiness. It is advised that you take Levocet M in the night and avoid driving after taking the medicine. Ideally, I would like to see your nose using nasendoscopy, which is an office procedure. Also, I would like to know more details about the surgery that was done. If you have the papers, then you may please scan the same to me in a query as this will let us diagnose your current condition. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18183, + "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": 11891, + "tgt": "I lack concentration in my studies. Kindly help", + "src": "Patient: Hello doctor, I have always been naturally motivated to study, and I used to be able to concentrate and focus on my studies exceptionally well. Last year, I joined college, and the schedule was very hectic. Classes were from 6 AM to 6 PM, and then I used to study till midnight. This was my schedule. But in the last three months, I have no motivation to study and even if I sit to study, I am not able to concentrate for even 30 minutes. I used to study for three to four hours at a stretch just four months ago. My exams are nearing, and I need to get a move on. Kindly guide me. I also need to mention that I took Modalert 100 mg with breakfast this morning, but I am not been able to see the results. Doctor: Hello. Is there any precipitating cause for such problem like loss of money, relationship problem, family issue. Have you started Modalert before your concentration problem have arisen? It is an activator type of drug but create an anxious feeling and can decrease concentration. What about your current pattern of sleep? So the management plan will be like, 1. Remove any causative problem if present. 2. If your problem is without any cause, then it might be performance anxiety. It may need treatment for the short term. 3. Yoga, moderate exercise, meditation can help you. 4. Psychotherapy." + }, + { + "id": 15938, + "tgt": "What is the reason for headache, sore throat and swollen lymph nodes?", + "src": "Patient: Hello doctor, I have been having some headaches not bad but off a year now and on. I have a sore throat now and then my lymph nodes in the back of my neck for about three weeks. Now, I have pain in my lower back and my feet get weak every morning as I get out of bed. I have a wheezing on my chest. Could you tell me what is causing this? I did an HIV test last year and I did one more this year, they were both negative. Doctor: Hi. Let us talk about your symptoms one by one and then see if we can get to a single diagnosis. Headache: if it can be controlled with overthecounter painkillers for less than two times a week, it could be lack of sleep or some stress. Sore throat and lymph nodes: If they are less than 1 cm in diameter, hurt when you move them and are not growing, you could have had a viral infection. Another important thing here is to know if you have been having fever, night sweats or lost some weight. If you have one of these we might need some laboratory tests. Lower back pain: the most common cause of this is having a bad posture while working or studying. Another cause might be you lifted a heavy object or made an abnormal or quick move involving your back. For this you can take an analgesic with a muscle relaxant (for example Methocarbamol with Ibuprofen) three times a day for five days in a row. Weak feet: How long does this last in the morning? Seconds, minutes, hours? This may be caused by a lesion in you back. Let's see if it gets better with the treatment for back pain I just told you about. Fever, weight loss or night sweats? Infectious, allergic. Metocabamol 500 mg, Ibuprofen 400 mg, three times a day for five days. Observate lymph nodes since they should get smaller in less than a month. If symptoms continue or get worse we need to take a look at those nodes and the weakness on legs in order to decide if you need laboratory tests." + }, + { + "id": 19671, + "tgt": "What causes itchy spots with pus?", + "src": "Patient: Hello doctor, My 15 month old baby is having spots with pus. It is itchy and scaly. The spots have increased in a week. It seems to heal, but then they appear in other region. I have attached the photos. Kindly check them. Thank you. Doctor: Hello. I have gone through the photos (attachment removed to protect patient identity). You child has atopic eczema (atopic dermatitis). He scratched it a lot and so the lesion got infected. Basically, two things have to be in mind. Atopic eczema is very common problem, as age increases it goes of itself. Keep the skin moisturized. Use some good moisturizer and apply it four to five times in a day. More the skin is hydrated lesser the itching. Avoid exposure to dust, chemical, powder, irritant clothes, spicy food and sea food. Cut the nails and keep body clean. Avoid over use of soap and shampoo as these are too chemical only. Use steroid cream like Diprovate (Betamethasone dipropionate), Clonate (Clobetasol propionate) over itchy eczema. It should not be applied on infected, crusted and bled part. Antihistamines are a must. Give syrup Atarax (Hydroxyzine) 2.5 mL thrice a day. For crusted and infected area use T-bact cream (Mupirocin ointment) twice a day. Let it heal. Continue it for months till allergy subsides. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5330, + "tgt": "My daughter has got two blister of chickenpox. Does it imply enough antibodies against chickenpox?", + "src": "Patient: Hello doctor, My twin daughters, age is 17years. One of them got the first blister of chicken pox and totally she got 30-40 blisters a few on back, hands, scalp, chest and 4-5 blisters on forehead. Now since yesterday, they have formed a scab. Second twin got the first blister on the chest five days later, and the second blister after that, a total of two blisters and till now no scab is formed. They both got vaccination when they were small. My question is whether the second twin who got only two blisters, has she got enough antibodies of chicken pox so that she is safe not to get it again in the near future? Doctor: Hello. You need to understand that chicken pox (varicella) vaccine does not guarantee that one would never get chicken pox. It tries to give control over it and if it fails, chicken pox occurs. Most of the times the severity is low, as the person already has pre-formed antibodies against it. As far as scab formation is concerned, they would surely appear if it is chicken pox. This is because any chicken pox infection heals by scab formation. The formation of scab may vary form person to person and in many people, they may appear late. Now, as far as your particular query is concerned, the scab formation or lesions are not markers of developing antibodies or immunity. It is usually seen that a person who develops chicken pox once does not get it again. But we have seen people and it is now well accepted, that a person who has got chicken pox once may get it again in the life time. I hope this helps." + }, + { + "id": 10652, + "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": 29261, + "tgt": "Could you let me know the reasons for excessive white vaginal discharge?", + "src": "Patient: Hi doctor, I am getting excessive white discharge out of my vagina. It is leaving white streaks in my innerwear. It has has a minor yeast smell. But, I do not feel itchy or burning sensation. Please help. Doctor: Hi. It would have been better if you had given a few more details like your age, menstrual cycle, any other medical problems and sexual history. I will give the list of possibilities and their management here. It is most probably a candida infection, thick white curdy discharge that increases after sex and periods. It will be associated lower abdomen discomfort before periods and after sex. Your partner may also have a burning sensation at the tip of the penis or on passing urine after sex. Diabetes is another reason for this infection, so kindly rule it out. If you are using tampons, then this infection may increase. This infection will have a rotten or fishy smell, as you say. It could be an erosion of the surface of the cervix. The raw area can get secondarily infected and keep exuding watery or white or yellowish fluid with or without itching. Excessive discharge could be remains of any vaginal pessary or medication if you are using. So, you need to change the medication. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12210, + "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": 14391, + "tgt": "What can be done to manage an aggressive patient who speaks loud and beats?", + "src": "Patient: Hello doctor,My father is 69 years old. We live in a one room small house. He continuously speaks loudly the whole day long. He beats my elder sister and always argues with everyone at home. Every other day there is quarrel in my house. He is not an alcoholic but he never understands others. He always mentally tortures us, taunts us. It has been impossible for me to live there. This excessive mental torture is too much for me. I am totally frustrated. Please suggest me something otherwise it will be not possible for me to live life. He is rude to us only and listens to the radio. He is suffering from thyroid and taking 50 mg medicine for this. Doctor: Hi. I understand the problem you are facing, your father has some definite problems. If this behavior is since long like from his middle age then it may be a bipolar disorder. If this behavior has occurred during old age then it is pathological means he needs to be examined and investigated properly for all health-related test for diabetes, hypertension, cholesterol, liver function test, renal function test, test related to prostate and most importantly the MRI brain which may reflect the sings of dementia and Parkinson's disease. His memory needs to be assessed and related to his mental condition. He immediately needs some psychiatric medication to control his behavior which may be mood stabilizers and/or psychotropic medication, it would be multidisciplinary approach means physician, neurologist, and psychiatrist." + }, + { + "id": 15162, + "tgt": "Having bleeding along with urination after sex. What causes it?", + "src": "Patient: Hi doctor, My partner has a problem while urinating. She gets blood coming along with it and also, has pain while doing it. She has this problem after having sex. I think that her private parts got injured and so, she has bleeding while urinating. Please suggest something to get relief. Doctor: Hi. If there is bleeding in urine, then consult a doctor soon and test her urine. If there is blood, do not take it lightly and it may require sonography and other tests to find out the cause. If it is bleeding from a private part and if it is not related to urination, then give time for healing and do not have sex for at least four to six weeks. If the bleeding is not stopped, then consult a nearby gynecologist to see the source of infection clinically. If she has bled every time after having sex, then consult a nearby gynecologist and check for a cervical lesion clinically." + }, + { + "id": 24763, + "tgt": "I have no STD symptoms. Should I still get tested before I meet my wife?", + "src": "Patient: Hello doctor,Due to work, I have been away from my wife for more than two years. I had a few sexual encounters with sex workers here. I had unprotected oral sex and protected vaginal sex twice last year, protected oral sex and protected vaginal sex once last year, unprotected oral sex and protected vaginal and anal sex early this year, and protected oral and vaginal sex last month. I am going to visit home soon and I am very worried about passing on any infection to my wife. During the period of these encounters, I had a severe rash\u00a0on my chest eight months ago. I have seen a dermatologist and she ordered a blood test and then treated me with two anti-allergic shots. I had this before as well. The skin allergy is a problem I had for years, but usually in the belt area. I was reading online regarding the potential risk of STDs like herpes, syphilis, gonorrhea, HPV, and viral hepatitis. I am really concerned now and want to go for a full test, but this is pretty expensive. So, do I need to get tested considering I did not have any symptoms but the rash I mentioned above? Doctor: Hello. I read your query and understand your concerns. 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": 17888, + "tgt": "I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back", + "src": "Patient: Hi, I was suffering from\u00a0tuberculosis (Koch's disease) a year back which got cured. And now I think, I am getting the same disease back. What should I do? Doctor: Hi. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12775, + "tgt": "Is it fine to have hepatitis B symptoms for a week only?", + "src": "Patient: Hello doctor, Please, I was diagnosed with hepatitis B positive last week. I had the symptoms for about five days but now I am feeling better without any symptoms. What does that mean? Doctor: Hello. I need to know these things first. 1. How did you come to know about having hepatitis B, usually HBsAg (surface antigen) is detected in the routine kits? 2. Had there been, any past history of jaundice? 3. Were you immunized for hepatitis B in the past? 4. Were there any other tests performed to check for chronicity of hepatitis B? What happens in hepatitis B is if the virus is not acquired by birth (like acquired during adult life), the body can clear the infection in about 90 to 95 percent of the patients, but in about 5 percent cases the chronicity develops. But, if the virus is acquired from mother at the time of birth, then the chances of hepatitis B, being chronic are very high. If one has been immunized for hepatitis B in the past and active immunity has developed, then even if the body gets an infection from hepatitis B, the body can eliminate the virus on its own. You should get yourself tested for chronicity for hepatitis B, for that get yourself tested for IgM anti-HBc (antibody against core antigen), if it is positive there are high chances you had an acute infection which your body can fight out most of the time (~95 %), but, if it is negative then you need to get yourself worked up for chronic hepatitis B, and if eligible, should start treatment." + }, + { + "id": 17506, + "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": 25430, + "tgt": "Watery semen leaks out automatically. Is it due to excessive masturbation?", + "src": "Patient: Hi doctor, I am 29 years old, male, unmarried. I was doing masturbation for 10 years. I became so addicted to it that every day I was doing it and sometimes I am doing it more than once a day. I know it is dangerous to my health. So, in between, I have controlled for some time and then I break my rule myself. This time, I have decided I will do it only once a month and decided to not watch any sexual videos. I had ASD issue in heart, it has been closed by device last month. Now I am alright but having Aspirin tablet once a day by doctor's prescription. Nowadays, my sperm automatically comes out (I could see in my inner). And my semen amount has become very low and decreased in density. Nowadays it looks like water. I am afraid because within six months my marriage. I know I have done a very big mistake. Please help me. And I promise I will not do this again. Doctor: Hello. I would like to tell you that masturbation is a safe and healthy habit. Most of the males masturbate and this is normal. Masturbation does not cause any weakness or loss of fertility or any other harmful effects. Even if you masturbate daily even then that is normal. You have stopped masturbation and are not engaged in sexual intercourse with anyone so spontaneous leak or nocturnal emissions will occur normally. This is a normal physiological response of the body to get rid of the semen formed in the body. This is not a reason for weakness. Everything is in your head only. You can masturbate once to twice a week and in some days the problem will be solved and the concentration of semen will become better. No need to worry about that. Just remember this is normal and you have not made any mistake. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10262, + "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": 8525, + "tgt": "What are those linings I have on both sides of inner cheek?", + "src": "Patient: Hello doctor, I have white\u00a0lining on both sides of inner cheek between lower and upper teeth from the last three months. l feel raised line when I wake up in the morning. Please help. Doctor: Hi. For further doubts consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23907, + "tgt": "I have numbness, weakness, and tingling of limbs and face. What can it be?", + "src": "Patient: Hello doctor, I am 32 years old. I am very worried. I have symptoms like numbness, weakness, tingling in my limbs, head, tongue, and face. I have tooth print on my tongue sides. I have soreness behind the ears and on the eye. I can see black spots with one eye. I went to the eye doctor. He said everything is fine. I have all these symptoms for nearly two months. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to a metabolic disorder (thyroid gland dysfunction, vitamin deficiency, etc.).For this reason, I would recommend consulting with your attending physician and performing some tests to investigate for the possible causes: If all these tests result normal, I would recommend as follows performing a brain MRI study. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26448, + "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": 23367, + "tgt": "I have straining tugging pain coming from right knee on the inside. Please help", + "src": "Patient: Hello doctor,I am 18 years old girl and normally squat reasonably heavy 65 kg. These past weeks I have been feeling a straining tugging pain coming from my right knee on the inside. I think it is the MCL. It does not cause me any problems in day to day life but hurts a decent amount when I squat even with no weight. I am worried if it is serious. I have been doing no weight this past week and using the band to strengthen my hip flexors and stuff. I am on a cut at the moment so I do not want to be stopping exercise. Please help. Doctor: Hello. I read your concern. In my opinion, you would have a VMO (vastus medialis oblique) issue which may be tender and stiff since it is involved in the final degree of knee locking and will come into play during locking of the knee. And also when adductors made to get tighten to support the transfer of load on the knee. So do not worry. I recommend you to do: For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 16963, + "tgt": "My TSH level was 11. 768 U/mL, do I have to start taking Synthroid again?", + "src": "Patient: Hi doctor, I had a thyroid test three years back, and my levels were 7.043\u00a0U/mL, so I was put on thyroid medication for hypothyroidism. After experiencing some side effects from the Synthroid drug, I discussed alternatives with an endocrinologist. He advised me to stop my medication and retest after six weeks. When I retested, my levels were 2.7 U/mL. My primary care doctor advised I test once per year, just in case. I had a test this month, and the levels were at 11.768\u00a0U/mL. I do not want to take pills again if this is just a random fluctuation. Why would my levels fluctuate this way and what do you suggest my course of action be? I started my period the day of my blood test, could that have affected the levels? Synthroid made my hair fall out, and I do not want to take it if I do not have to. Please advise. Doctor: Hello. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 15061, + "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": 28637, + "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": 29686, + "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": 11853, + "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": 7186, + "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": 3132, + "tgt": "Will I get benefit from sinus surgery?", + "src": "Patient: Hi doctor, I snore and wake up tired daily. Sometimes, my nose is runny all day. I have attached my CT report for your reference. I just wanted to know if surgery necessary. Will it benefit me? Please explain. Doctor: Hello. We are happy to help you. Your CT scan (attachment removed to protect patient identity) concludes that you have retention cyst inside both maxillary sinuses and the right frontal sinus. Retention cysts form when fluid collections in the sinuses get covered with a mucus lining. These cysts produce nasal symptoms of obstruction or running nose, which can cause a blocked nose in the night and thus mouth breathing. Mouth has lot of soft tissues (unlike the nose) which vibrate while breathing and produce snoring sound. Yes, you will get benefit from surgery. An endoscopic clearance of the pathological sinuses will remove your nasal symptoms and help you breathe through the nose at all times including at night by avoiding mouth breathing and snoring. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27539, + "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": 27131, + "tgt": "I have a pain in my lower abdomen during every other period. Is it normal?", + "src": "Patient: Hello doctor, I am a 20 year old female. I have had a pressure or weight on my lower right abdomen for around a year. That side of my body hurts during every other period like it is alternating with my ovaries. There was no pain at first but, more recently my menstrual cramps have become worse and so have my backaches. I have had an ultra sound and a CT scan with and without contrast that have come back clean. My doctor told me to begin taking Miralax and using the bathroom every day. I have no problem with bowel movements and feel that I have just been blown off. I have never heard of a blockage that could last an entire year. 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": 23366, + "tgt": "I feel bloated and breathless. Is this normal?", + "src": "Patient: Hello doctor, I have been having stomach problems for the past three days and I have been trying everything and not seem to work. Today I tried Zantac 150 and I feel really bloated and feel like I am out of breath. Is this normal? Please help. Doctor: Hi. I understand your concern. Bloating could be due to indigestion issues. Zantac (Ranitidine) will help reduce the acidity of the stomach but not immediately. Take antacids after the meal and at bedtime. Plus, take enzyme digest to help ease digestion, together with Simethicone. If still no improvement, should consult further with a gastroenterologist and run a few diagnostic tests as follows: For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19181, + "tgt": "What to do for my partner's delayed period after taking I-pill?", + "src": "Patient: Hi doctor, I had sex with my partner. It has been five days now. She has not got her periods. She took I-pill within 75 hours of sex. I need suggestions. How to deal with this issue? Doctor: Hi. Taking I-pill within 72 hours of unprotected intercourse reduces the risk of pregnancy by 88 percent. When was her last period? Periods may be late due to I-pill." + }, + { + "id": 29344, + "tgt": "Will irregular period affect my fertility?", + "src": "Patient: Hi doctor,I am having irregular periods since six months. My age is 25. My period lasts for only one or two days with brown blood discharge. My weight is 100 kg and height is 5'6\". Doctor: Hi. All these problems of periods are due to overweight. Your expected weight is around 55 kg to 60 kg. It is easy to say just to reduce. But, it is quite impossible to reduce so much. Please put some effort to do it for at least 2 to 5 kg per month. It is a start. Reduce all high calories diet and junk bakery food. But, you should not fast. Have regular exercise, especially for the middle segment of the body like aerobics or brisk walk. All the fat in the body gets converted to hormones. You would have seen big men having breast as their fat is producing the female hormone. This hormone will affect the normal cycle of ovulation, and you will not get the periods regularly. Your fat distribution will be mainly around mid-segment such as thighs, breast, back and hip, but not below knees and elbows. Also, there will be black discoloration behind the neck, side of breast and inner aspect of thighs. Kindly get a scan to check polycystic ovaries. In the meantime, also check your empty stomach early morning, thyroid profile and serum prolactin. These hormones can also affect your periods and can be corrected. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26349, + "tgt": "What treatment can be had for pain in the foot along with bruising of the toes?", + "src": "Patient: Hello doctor, I have a painful foot after dancing the whole night. It has\u00a0bruised toes along\u00a0the area of my big toe on the inside of my foot. It is painful\u00a0to touch and walk. Any idea what is this? Doctor: Hello. For more information consult an\u00a0orthopaedician and traumatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7462, + "tgt": "Despite taking Lisinopril, there is no improvement in BP. Why?", + "src": "Patient: Hi doctor, My blood pressure is 160/100 mmHg. There is no improvement even after I take Lisinopril 20 mg? Please suggest me some advice. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19840, + "tgt": "Can vitamin D3 deficiency cause pain in different parts of my body?", + "src": "Patient: Hi, I am a\u00a041 year old male weighing 79 kg.\u00a0I have vitamin D3 deficiency for the past two years and for which I had Vitamin\u00a0D3 tablets for three months. Since one year I have\u00a0pain in my arms, fingers and many parts of the\u00a0body.\u00a0Please go through my attached test reports and advice some treatment. Doctor: Hi.\u00a0 For further queries consult an orthopaedician and\u00a0traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 28025, + "tgt": "I often wake up at 3 AM dreaming about a woman I do not know. Why?", + "src": "Patient: Hello doctor, I do not know whether this query is relevant here, but I am vexed seeing a woman in my dreams for many years. I do not know what she looks like. I never saw her facial features but noticed that she is of an average physique. She does not leave me, and sometimes I am even scared of her. A peculiar thing about having such a dream is that, whenever I wake\u00a0up terrified, I open my eyes, and look at the clock, it is 3 AM without fail. Also, I get this dream when I feel the most peaceful, calm, and relaxed. Doctor: Hello. I can understand your concern. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27660, + "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": 4207, + "tgt": "Will septate uterus show false positive pregnancy?", + "src": "Patient: Hi doctor, I recently visited a gynecologist as I missed period. I visited for the confirmation of pregnancy. She tested my urine sample and confirmed that I am seven weeks pregnant. She prescribed some medicine and asked for my symptoms. I said there are no symptoms like nausea and I only bared sharp stomach pains sometimes. She suggests pelvic ultrasound at that time and I went for a pelvic ultrasound. He tested twice and he says he did not find any gestational sac and also he puts a question mark? He mentioned septate uterus in the scanning report. I was worried and my doctor saw that report and asked to do the test after one week. I am really worried. Do I have septate uterus? Why he puts a question? What is their opinion? I do not know. what should I do next? Please suggest. Doctor: Hello. The report shows (attachment removed to protect patient identity), ? septate uterus, but no intrauterine pregnancy as per written reports. Please share your ultrasound pictures for review of septate uterus. As far as pregnancy is concerned, get a serum beta hCG (human chorionic gonadotropin) test done first and if positive then repeat scan for ruling out an ectopic pregnancy." + }, + { + "id": 13811, + "tgt": "I had a miscarriage one month ago and I am still bleeding. Is it a symptom of cancer?", + "src": "Patient: Hello doctor, I had an abortion a few months back but retained the gestational sac. After 39 days, I had my periods. Again I conceived three months back and had a miscarriage 5 weeks later. I am still bleeding and it is heavy bleeding with lots of blood. The blood is bright red in color. Along with the blood, there are large clots and tissues along with it. I do not feel any pain except when there is heavy bleeding I feel pain in my vagina. Is it a symptom of cancer? Doctor: Hello. The fact that your bleeding has not stopped even after a month of miscarriage, indicates that there is all likelihood that you may have retained products of conception. It is mandatory to get a transvaginal ultrasound pelvis to check for endometrial thickness and for possible retained products. If the products are not seen and the endometrium is thickened, then you should opt for dilatation and curettage (D and C) for controlling bleeding. I also assure you that this is not endometrial cancer, as it is uncommon at your age and you have an inciting cause (miscarriage) which initiated the heavy bleed. So, USG is a must." + }, + { + "id": 7069, + "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": 24991, + "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": 15201, + "tgt": "I am suffering from piles. Suggest some homeopathy medicines", + "src": "Patient: Dear doctor, I am suffering from piles. Taking aloes and Aesculus daily. It completely disappeared after taking this for 14 days. But it came back again when I was travelling long distance by car. How to cure it permanently? Suggest some homeopathy medicines. Doctor: Hi. Have lots of water and fiber-rich fruits to help regular bowel movements and avoid constipation. For the piles problem, I would advise you to take three doses of Nux Vomica 200 every three days. Hope this helps. If the problem persists, consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 3711, + "tgt": "Is Staphylococcus infection dangerous?", + "src": "Patient: Hi doctor, I had unprotected sex two months back and developed Streptococcal infection within a day. I took Amoxicillin to get rid of it. Within five days developed yeast infection and got treatment for that. Now, I have reactive arthritis. I got two painless red bumps on the back of my hand and I do not know whether it is related to reactive arthritis. My urine sample was negative for chlamydia. But, doctor found gram positive Staphylococcus and said it was normal. He suggested Loxonin which is a NSAID. Is Staphylococcus infection dangerous? I had CBC and got the result as monocytes and CRP were elevated. In a gap of two weeks time repeated CBC again and everything was normal. Now, the urine test came out as gram positive. I am suffering from\u00a0multiple joint inflammation, lightheaded, fatigue, upper respiratory difficulties, papules, conjunctivitis and gram positive Staphylococcus. What is the solution? Doctor: Hi For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 20589, + "tgt": "Why is there shivering for a couple of seconds only while sleeping?", + "src": "Patient: Hello doctor, My father, age 67, while sleeping has shivers for a couple of seconds. This happens after an interval of 1 to 2 minutes. Is it something to be worried or concerned about? He is consuming BP control medicine Amlong 0.5 mg daily. No other ongoing health problems apart from his knee pain. Just curious to know what is happening and why is it there only while sleeping? Doctor: Hi. I understand all your concerns. I have checked the attached files and videos thoroughly (attachment removed to protect patient identity). I can reassure you that these movements are due to hypotonia during sleep and not due to medical disease, nothing to worry about. I have noticed that he has a high lipid profile (high cholesterol and high triglycerides) which increase the risk of cardiovascular diseases. Please let me know if he follows a healthy diet and takes lipid-lowering medications. In patients with hypertension, controlling lipids is important in order to prevent serious complications. Wish him all well being." + }, + { + "id": 19120, + "tgt": "Does HSV positivity indicate risk of HIV?", + "src": "Patient: Hello doctor, I am a 28 year old male. I had\u00a0an exposure with a CSW and precaution broke during the act. I do not know the HIV status of the girl. Four weeks later, I got a light fever which subsided in a week. I got a blood test that showed 11500 WBC with a bacterial infection. But, I have leg pain and stuffy nose from the last 30 days. I went with the following test. 28 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 37 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. HIV RNA PCR (quantitative test) undetectable. 42 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 49 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. Serological test for syphilis nonreactive. Herpes simplex 1 and 2 IgM reactive. Herpes simplex 1 and 2 IgG reactive. What are my chances of being infected with HIV? Since herpes simplex is reactive, does it mean that I am infected with HIV? Doctor: Hello. Awaiting your answers to the queries. Follow up with reports. Best regards. For more information consult a cosmetologist online -->https://icliniq.com./ask-a-doctor-online/cosmetologist \u00a0" + }, + { + "id": 12482, + "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": 3833, + "tgt": "At what interval should I repeat my lipid test?", + "src": "Patient: Hi doctor, I got my lipid test done. My\u00a0cholesterol was 224 and LDL was 124.\u00a0After how long should I get the test again? Please guide. Doctor: Hi. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3795, + "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": 7275, + "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": 29057, + "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": 2475, + "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": 8786, + "tgt": "What are the ways to control emotions?", + "src": "Patient: Hello doctor, I am extremely emotional. I cannot control my feelings and always feel like a victim. How can I be more responsible and in control without constantly feeling hurt? Doctor: Hi. First of all, I appreciate you for your strength to be able to recognize your own nonhelpful thoughts and behavior. It takes a lot of courage. Self-victimization often is seen with people who have had a childhood in a nonnurturing or dysfunctional family. It can also be a part of a personality disorder, what you can do is find a therapist, a counselor and start taking sessions so you can work on your impulsivity and the therapist will further help you recognize your subconscious thought patterns leading you to behave and feel this way. You can find a counselor in your city or there are many online sites providing the facility. If you cannot do that either, start with journaling, keep a mood journal and start writing what happened and what made you feel bad or when you reacted in a wrong way, what went through your mind. If you do this regularly, you will be able to recognize patterns in your behavior and situation which is your triggers, which you can avoid." + }, + { + "id": 29552, + "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": 7482, + "tgt": "What are the treatment options for subacute appendicitis?", + "src": "Patient: Hello doctor, I am having pain in the right lower abdomen for a week. Ultrasound suggests subacute appendicitis. CBC, LFT, and KFT are normal. I do not have a fever. What are the treatment options? Is surgery necessary? Can this be treated with medicine only? Currently taking Oflox 200 twice a day. Will Oflox 200 cure this? Please advise. Doctor: Hello. Subacute appendicitis is the inflammation of the appendix. The usual treatment is surgery after a course of antibiotics. The best judge of this is a surgeon who has examined you as clinical signs of local guarding and peritonitis are of utmost importance for the timing of surgery. Treating only with antibiotics gives a possibility of not recurrent symptoms. Untreated appendicitis and partially treated also has its complications. So my opinion would be to be in touch with your doctor who can examine you to see signs." + }, + { + "id": 28499, + "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": 16789, + "tgt": "Missing periods after having sex on first day of cycle. Please help", + "src": "Patient: Hi doctor, I had intercourse with my girlfriend on the fourth day of her cycle. The next morning she took Unwanted 72 (emergency birth control pill) since it was unprotected. After one week around she had light periods, which continued for three to four days. The next month she got a delayed period. Now,\u00a0on the first day of her cycle we had intercourse again. This time too without any protection. But this time she did not take any pill and did not get periods yet. She took home pregnancy test twice, but it came as negative. First one was three days after intercourse and the second one three days after her due date of periods. Both of us are tensed now. Please suggest. She is 25 years now. Is there any chance for pregnancy? Or any other complication is waiting? Doctor: Hi. I have gone through your history and understand your concerns. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1625, + "tgt": "My tracheostomized sister needs frequent suctioning due to breathing difficulty. Is it an emergency?", + "src": "Patient: My sister is tracheostomized and bedridden after her fourth surgery done for foramen magnum meningioma. She has drooling and now saliva is coming out under the tracheostomy plate. She asks for frequent suctioning as she feels difficulty breathing . Her saturation is above 90 after suctioning. Since it is lockdown we are worried to take her to hospital. Is this an emergency? Doctor: Hi! If the patient is tracheostomised and if your really SURE that the secretions from the tracheostomy tube is saliva, then there is a possibilty of developing a fistula(an abnormal connection) between the food pipe(Oesophagus) and the trachea called as tracheosophageal fistula. In such a condition we first need to heal the fistula and it can be done by following below mentioned advice 1. There would be a cuff inflator pipe through which air can be inflated and deflated in and out from the cuff. Even though the inflated cuff prevents faulty aspiration of fluids from the mouth while swallowing, it can also create a necrosis around the trachea thus causing the oesophagus to get connected to it. You to need to suction the tube and deflate the cuff every 2 hrs for 15mins so that this raw surface connecting the two heals and saliva from the tube stops coming. 2. For few days, the patient might be stopped orally and a ryles tube might have to be inserted to feed the patient. Repeated swallowing can again infect the area and might lead to leak of food also through the tube. ( you can go to the emergency of any hospital to get this tube inserted in case its not there!) I hope this answers your query. You can consult me for any further clarifications. Warm regards!" + }, + { + "id": 577, + "tgt": "Is it possible for the menstruation to start in an 8-year-old?", + "src": "Patient: Hello doctor,I have an 8-year-old daughter. Yesterday, there was a faded blood in her panty and we thought that it was the start of her menstrual period. However, the menstruation did not show after she changed her panty until now. Please advise. Doctor: Hello. 8 years is too early to start menses. I would like to know does she have her secondary sexual characters developed? As in, does she have the breasts developed and axillary and public hairs? If not , then mostly she is yet to achieve her puberty. Many a times the minimal bleeding or spotting could be either due to local genital infections or some ulcers or trauma. Sometimes even a piles problem or fissures bleeding may be confused as vaginal bleeding. If you observe the bleeding again, you can visit a Gynecologist for general examination to look for any local cause. As of now I would advise to wait and watch, if you do not feel any signs of infection like burning itching pain, etc." + }, + { + "id": 30944, + "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": 6704, + "tgt": "Please help me in identifying the cause and treatment of sinusitis", + "src": "Patient: Hello doctor, I have suffered from sinusitis for the last five years. I used to live in a house that had mould issues, and I am not sure if this brought on the sinusitis. I have been using Avamys nasal spray and Texa allergy tablets. For the last three weeks, I have developed a new symptom. I am having a problem with breathing at times. It varies between blocked sinuses to being unable to take full breaths. I have limited mucous discharge and do not know the reasons for the new issues I am having. I have consulted with a cardiologist, and he has found no issues. I do have a ct scan detailing issues with my sinus, but my doctor did not feel it severe and prescribed diet and Avamys nasal spray. My doctor also prescribed Topzole tablets believing it could be acid reflux as I was getting a burning sensation on the upper center chest area. I do also suffer from mild trigeminal neuralgia in the cheek area. Another medical issue is neck and lower back pain related to discs. The symptoms tend to get worse at night. I sleep on my left side, and as soon as I lay down, I am unable to breathe. I can now only sleep either on my right or on my back. Unable to breath makes me anxious and results in not being able to get much sleep. Also, it is hard getting used to sleeping differently. It has been frustrating for me the last three weeks as I am unable to find a solution or the cause of this problem. Please, I need advice in identifying and treating this issue. I do have a ct scan for the sinuses, and chest scans, etc. if needed. Doctor: Hello. Firstly I will brief you on what you are suffering with, 1) You have an allergy, which is a disease in your blood to which your body reacts to foreign materials, and the symptoms are shown as sneezing, different in breathing, nasal discharge, watering of eyes, and the complications of these are sinusitis and asthma. 2) So now, the plan of action is I need to see your blood and CT reports whatever has been done so that I can prescribe you the additional tests and treatment plan. 3) 60 to 70 % allergic Pt convert into asthmatics, so I want you to get treated before that. 4) Coming to the breathing problem, as I can access your scan, I can tell whether it is because of a deviated septum or extreme allergy or due to asthma." + }, + { + "id": 15534, + "tgt": "I have oily face. What can I do to manage it?", + "src": "Patient: Hi doctor, I am 32 years old. I have oily skin on my face. I need a treatment for oily skin. I want medicine or cream to reduce the problem. Doctor: Hi. You have not mentioned the duration of the problem. I am giving a simple step, but it is beneficial. Take 10 grams of besan atta and add 3 grams of turmeric powder. Mix it properly and prepare it as a paste with warm water. Now apply it on the face and keep it for one hour. Do this in the morning and evening. After cleaning the face, apply Boroline cream (Boric acid with Zinc oxide). Consume Triphala churna 5 grams at bedtime with warm water daily. Continue these steps for three weeks and revert me." + }, + { + "id": 3864, + "tgt": "Please get a solution for my memory problem", + "src": "Patient: Hi doctor, I am suffering from memory problem. I am in 12th grade now. My aim is to get into MBBS. But, I do not remember anything that I learnt in 11th grade. I do not even remember what I studied a week before. Please get me a solution. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 18474, + "tgt": "Why do my total cholesterol and triglycerides level keep fluctuating?", + "src": "Patient: Hello doctor, My recent lipid profile showed borderline cholesterol and triglycerides. My total cholesterol is 207 and triglycerides are 324. From the past seven years, my cholesterol is fluctuating. The cholesterol keeps fluctuating around 200 and triglycerides between 180 to 300. My echocardiogram and TMT came back normal last year. My cardiologist told me to take Rosuvastatin 20 mg, once a day for 30 days. Should I take this medicine? For my condition, do I need to take statins or only diet control will be helpful? My troponin and homocysteine levels were normal. Doctor: Hello. I hope this helps. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5081, + "tgt": "I have dry, itchy and painful penis after a while of intercourse. Please help", + "src": "Patient: Hello doctor, I am a 28-year-old male. I had sex with my partner two months ago, about a week later my genitals were itching and achy. I went and got tested and was negative on chlamydia, syphilis and gonorrhea. I had no bumps, pus or anything like that. My family doctor said it could be a yeast infection. I have been applying antifungal Lotrimin for 10 days now and the symptoms have not gone away. I am lost at what to do. My penis itches and occasionally aches and my testicles are itchy. It is a little red and is fairly irritated at the urethra. Please help. Doctor: Hello. It is more likely a fungal infection by the description given. It is prone to recurrence. Please keep the area clean and treat the partner also. Avoid intercourse. Use condoms if needed. Both take treatment simultaneously. Get back with details and photos." + }, + { + "id": 9260, + "tgt": "I am unable to handle the withdrawal effect of Zoloft. What should I do?", + "src": "Patient: Hello doctor, I have been on Zoloft for 14 years. I am on the maximum dose of 200 mg. I have been struggling with anxiety due to menopause. My general doctor thought it might be a good idea to switch my medication. She recommended that I go down to 100 mg a week on the Zoloft and then go to Pristiq. The problem is that the with drawl is so bad at the 100 mg I cannot handle it. So I started over going down to 175 mg and then to 150, and it was awful. I was in such bad shape I could not do it. Can I go from taking a select to write into the new prescription? Doctor: Hello. As you are having severe withdrawals and discontinuation symptoms even after lowering the dose to 175 mg, I would suggest you consult a psychiatrist in person for evaluation, and then you can discuss with him or her regarding the following, As the reason for the change of medicine is anxiety during menopause, i.e., a new issue besides one for which you were taking Zoloft (Sertraline) (and it was working fine), instead of cross tapering you can go for augmentation. Mirtazapine or Celexa (Citalopram) is a few options to go with adding a short term Benzodiazepine like Ativan to help you with withdrawal symptoms. Also, do practice relaxation techniques like breath relaxation exercises daily as it will help you relax and eases your anxiety. Checking your thyroid status is also necessary. I hope this solves your query. Feel free to ask if you have any further questions. TFT (thyroid function test)." + }, + { + "id": 22195, + "tgt": "Is there any chance of getting rabies when licked by a street dog?", + "src": "Patient: Hi doctor, A dog licked my leg on the street. I have no wounds on the leg. When I came home, I washed my leg with soap and then I found out that I had a little scratch near my hand nail (I did it when I was doing manicure). Is there any chance to get rabies in that way? Doctor: Hi. I will recommend you to follow the dog's trails. If it is normal, then there is no problem. If you have any feeling of doubt, then you get a rabies vaccine. Licking an open wound can transmit the virus if the dog has a rabies infection. But, if the dog is good and if you do not have any open wound or scratch on your leg where the dog licked, get relaxed. You will be fine. But if you are anxious, then consult your general physician for further approach. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18285, + "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": 21507, + "tgt": "How can we treat a tumor in breast?", + "src": "Patient: Hi doctor, Before a few months, my mother-in-law has got a tumor in her left breast. There is no pain. It had started growing recently in the last four to six weeks, and we consulted oncologists. The results of various tests are out. I wanted to get a second opinion. I have attached reports to you to have a look and send me your advice. Doctor: Hi. I have gone through the query. But before going ahead with treatment decisions, I need to know a few details: She will fit into a category of locally advanced breast cancer. Her disease is localized. If her age is not considered, then the plan would be chemotherapy followed by surgery and radiation depending on the type of surgery. She will also need a FISH (Fluorescence insitu hybridization) testing to decide whether another targeted therapy like Trastuzumab is required or not. Type of surgery depends on whether she wants to preserve her breasts or not. As the tumor is large (attachment removed to protect patient identity), she will need chemotherapy to reduce the size and then surgery. But, all this is done depending on the patient's general condition. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 6650, + "tgt": "My depression is getting worse and do not want to live. What to do?", + "src": "Patient: Hello doctor, I have depression, and it is getting worse. I do not want to live anymore. I just want to go to sleep and not wake up. I do not feel I will be a happy person ever. I can not live like this anymore. I am currently on Duloxetine medication. Doctor: Hello. Your words are reflecting your distressed mental state, and it is obvious that you need more support to get over this difficult period. How long have your depression symptoms been getting worse? Is anything stressful happening recently? Do your family and friends know the extent and severity of your depressive symptoms? Cognitive distortions related to depression can make you isolate yourself. It will help you to open up and have an honest discussion with a trusted family member or friend. As you are reporting thoughts of not wanting to live anymore, it is important to reach out and get professional support. Contact your psychiatrist for an early review. If you are not able to cope, contact the crisis team or go to the nearest ED (emergency department). How long have you been on Duloxetine? The dose may need to be optimized. If not effective, the doctor will consider switching to another antidepressant. Also, counseling and psychological therapy will be helpful to manage depressive cognitions and develop better coping strategies. Always remember depression will get better with time and appropriate support. Look after yourself by eating healthily, sleep adequately, and try to do exercise at least for 20 minutes daily. I hope this helps." + }, + { + "id": 29190, + "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": 19732, + "tgt": "Please explain the best way of intercourse to have a baby", + "src": "Patient: Hi doctor, I am 29 years old and my wife is 26. We are married for around one and a half years now. Over five months we are trying for baby and still no success. As some doctor suggested tablet Ovacare for my wife and Fertisure M for me, we are using these since last 5 months.\u00a0The problem is that I cannot ejaculate when I am doing sex. Many times I failed to ejaculate into the vagina and my penis is no more harder after 3 to 5 minutes of sex. However I can ejaculate by masturbation. So some time we tried masturbation method for ejaculation in her vagina. What should I do to increase my stamina and sex drive to easily ejaculate? We used to have sex on ovulation date. If you can guide regarding the best way of intercourse and sex drive it would be beneficial. Doctor: Hello. I understand your concern is that you lose erection inside vagina and hence ejaculation is not directed. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23948, + "tgt": "Why have I not got my periods yet?", + "src": "Patient: Hello doctor,I am having a concern. I was supposed to have my periods a week back but so far I just received a brownish discharge like old blood but it is just spotting. When I take a bath it is as if I just finished my periods. I have a pain in my lower back like period pain but I have not started yet. What could be wrong? Doctor: Hi. Are you on any hormonal medications or started or quit any medications? Check for the following factors: If you have always experienced regular cycles and only this time there is a delay, then observe coming cycles and activities and above-given factors for the previous cycle. Have a healthy diet with regular exercise and normal BMI. Try to discuss medications and side effects before taking if you have been taking for any problem. Observe for weight gain or abnormal hair growth. If irregularities are observed or any abnormal symptoms you feel in coming months, you might need investigations. Think positive. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3837, + "tgt": "How to cure dry cough which disturbs sleep?", + "src": "Patient: Hello doctor, My mother is suffering from thyroid, high uric acid (6.8) and BP. Due to which she is not able to sleep and has cough from two weeks. She has been taking the medicines recommended to her. Please help. Doctor: Hi. Revert back with the asked details to a general medicine physician online\u00a0-->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 9537, + "tgt": "Kindly suggest treatment for ringworms and jock itches with dandruff on scalp", + "src": "Patient: Hello doctor, I have ringworms and jock itches and dandruff on sclap and even I am not able to sleep properly at night due to jock itches. Please suggest me the best homeopathic medicine which can provide me relief. Doctor: Hi. Ringworm and jock itch problems mainly occur due to excessive sweat. In such a case, it is necessary to keep the parts dry and maintain proper hygiene. You may take Sulfur 30 C four pills once a day for three days in the evening. Avoid eating or drinking anything 30 minutes before and after taking this remedy. Please do repeat this remedy frequently as it may cause unnecessary changes. Let me know if you have other questions. Report back in seven days." + }, + { + "id": 1256, + "tgt": "What could cause hearing loss?", + "src": "Patient: Hi doctor, My mother-in-law is suffering from hearing loss for the last 10 days. There is no pain in the ear, but sudden hearing loss. She can hear, but hearing capacity reduced by more than 30%. Please tell me some solution for this. Thank you. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13847, + "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": 18680, + "tgt": "After pilonidal cyst surgery, how many days of rest do I need?", + "src": "Patient: Hi doctor, I am a high school senior and about to graduate in two months. On the other side, I have a pilonidal cyst. I know that surgery is required to cure the infection on the inner side. My question is that after surgery, how many days of rest do I need? In short, how many days I have to miss? My symptoms include pain and a little blood sometimes. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 24059, + "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": 23503, + "tgt": "Is there any medicine to reduce throat tightness?", + "src": "Patient: Hello doctor,Is there any medicine to reduce throat tightness? I am suffering from the last four days. It seems like something is tied around my neck. I do not sense it when I am lying down. But, once I am up, I can again feel this tightness. Attached are my reports. I was suffering from a cough and cold when I was traveling where I had taken over-the-counter medicines like Tylenol, Advil, and Benadryl for temporary relief. I got back home last week with a cough for which I visited a doctor and he gave me meds like Switch CV 325, Odimont LC and Mucovisc which I took for six days. Now, from the last four days, I am feeling a tightness in my neck area. I have done all the said tests, and everything came normal. I am not sure what is causing this. Can you advise any meds for fast relief? Doctor: Hello. For complaints of tightness in the neck area, ensure you rule out thyroid disorders. Regarding cough and cold since your return, I suggest you start tablet Amoxyclav 625 mg (a combination of Amoxicillin and Clavulanic acid) twice a day for five days, tablet Mucinex (Guaifenesin) once daily for seven days and syrup Sucralfate twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do saltwater gargling every day. Some questions: Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5753, + "tgt": "I have anxiety, and panic disorder. Is it recommended to take antidepressant during exams?", + "src": "Patient: Hello doctor, I am 18 years old. Today I finally got the courage to talk to my doctor about the stress obsessive thoughts, and the physical harm it does to me. I got an appointment with a psychologist. She diagnosed me with anxiety, panic disorder, and being severe hyperemotional. The doctor did not want me to go to a psychiatrist because he might give me medication that would be addictive, and affect my learning skills. I have exams very soon, so they try to help me in some other ways, but I tried these before without any good. What should I do? I cannot deal with the obsessive feelings, crying, trembling all the time, digestive problems, and everything that comes with these disorders every day. Doctor: Hello, Welcome to icliniq.com. First of all, I am so sorry to hear about your problem. I can imagine how hard it is for you, especially when you have so much to deal with. Although therapy is essential in treating anxiety, medications are a must to control the physical symptoms. You have not mentioned when your exams are, what you can do is mention this to your doctor so they will give you non-sedative medicines. So you will not feel very sleepy, but these medications will definitely help you perform better, and help you to cope up. About therapy, I would recommend you should continue, and if you do not find the local therapist effective, we can start it online via video consultation. Lastly, please always remember, nothing is more important than your health. Do not ever judge your worth based on your exam scores, you already have so much going on, just do as much you can and do not burnout yourself. On your own, try box breathing, progressive muscle relaxation and start maintaining a journal. It will help you out." + }, + { + "id": 20563, + "tgt": "Do we require vitrectomy to recover lens from vitreous along with endophthalmitis infection?", + "src": "Patient: Hi doctor, What is the next step done after cataract surgery when the cataract is falling into vitreous? Does it require vitrectomy surgery to recover lens from vitreous followed by streptococcus bacteria causing endophthalmitis infection and multiple antibiotic injections? The doctor examined and told me that my retina looks attached and my pressure is 13. My cornea has hypopyon. My iris has opacity, and I can see only a distorted and lighted background. My doctor recommends a cornea transplant for viewing and vitrectomy. Please suggest. Doctor: Hi. The lens falling into vitreous followed by endophthalmitis requires intravitreal antibiotic injections, and if the patient's visual acuity deteriorates further, then vitrectomy is necessary. Regarding the corneal transplant, it is usually done in a disease entity called bullous keratopathy. But it can also be done for a variety of other reasons. Endophthalmitis is a very troublesome problem and needs a lot of patient cooperation with medication compliance and follow-ups." + }, + { + "id": 817, + "tgt": "I have aneurysm, is it safe to take Viagra for erectile dysfunction?", + "src": "Patient: Hi doctor, I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas. I have had occasional erectile dysfunction. My testosterone level is low and I am on TRT. Is it safe for me to use Viagra or similar drugs for ED? Doctor: Hi. For further information consult to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18659, + "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": 22439, + "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": 9852, + "tgt": "Why do I always feel nauseous after smoking cigarette?", + "src": "Patient: Hi doctor,I have some major problems with my small intestines. I have cramping pain in my lower abdomen, and I suffer from indigestion, bloating, burping, and nausea. Nausea seems to originate from my lower intestine. If I smoke, it makes me nauseous. I have a constant feeling that something in my lower intestine is irritating. I do not have diarrhea or constipation. I go to the toilet every morning, and the stool looks normal. I\u00a0feel my appetite has gone down because of all the air in the intestine. I cannot digest fatty foods, milk, and some fruits. I know it is not IBS. If I massage my belly, I\u00a0get a burning pain\u00a0in my\u00a0lower abdomen. I feel like there is some obstruction in my intestine.I did an upper gastrointestinal endoscopy, and it is fine. The ultrasound showed the ileum is full of air and there are no visible thickening. Then, I got UTI, and I was given Macrobid antibiotics for it. This antibiotic helped my stomach also, as the burping had stopped. But, the symptoms started again when I stopped taking the tablets. It always feels like something inside is irritating, and I saw fresh blood in the stool one time.\u00a0Probiotics do not help much, and I cannot sit for long because it feels like my anus will explode. The food is not passing normally through the gastrointestinal tract.It all started after taking some Magnesium pill. I felt as if something was swollen from the inside, and I passed less stool. Then I was given PPI, and it made things worse. Bending over makes me nauseous. All this is going on from the past three months. I even stopped smoking, but it is not getting better. Whenever\u00a0I smoke, I start feeling nauseous again.\u00a0I know it is not stress-related or IBS.\u00a0How much of small intestine is seen using colonoscopy? What could this be? I lost weight due to poor absorption. I do not think it is cancer, as I had a colonoscopy two years ago, and it was fine, but back then, I had no such problems. What test needs to be done? Will an x-ray with barium show if there is an\u00a0ulcer or inflammation or obstruction? What do you suggest? It is ruing my life. Doctor: Hi. Greetings of the day. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1605, + "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": 8679, + "tgt": "Being a PCOS patient, how to have safe sex with my partner?", + "src": "Patient: Hello doctor,I am a 21-year-old female. I have a polycystic ovarian syndrome. Ever since 14 years right now I am taking medication such as Provera (Medroxyprogesterone) 10 mg x 5 doses OD if ever I would miss my menstruation since I have an irregular menstrual cycle. My problem is how to have safe sex with my partner? Which method should I use? Yes, we use condoms, but I do not want to use pills. Is there any other method like a calendar method I can use? Please help me. Doctor: Hello. The best option is low dose contraceptive pills it will help to regularise your periods. And also you will not require to use Provera (Mehydroxyprogestrone). Try to control weight by diet and exercise to prevent PCOS. Avoid oily and spicy foods and butter cheese, potatoes, high carbohydrate diets. Avoid smoke and alcohol. Try to do training for 40-45 minutes yoga or jogging or cycling or gym or swim or dance or aerobics after you get regular menses than you can use a safe method for 100 % effectiveness. The best time is the initial first eight days and at last nine days of a monthly cycle for contraceptive purpose." + }, + { + "id": 9618, + "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": 18780, + "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": 24702, + "tgt": "Can you suggest some medicine to reduce my weight?", + "src": "Patient: Hello doctor,I am a 28-year-old female and I am breastfeeding my 8-month-old baby. My periods have got delayed and I have increased my weight to 80 kg. I am unable to lose fat despite proper diet. Can you suggest some medicine to reduce my weight? I am on Deviry 10 mg. Please help. Doctor: Hello. Medicine to reduce weight is never recommended especially if you are breastfeeding until and unless the weight is causing problems to maintain good health. Diet and exercise are best. Fresh fruits, nutritious diet, sprouts are best. Avoid junk and fast food and oily food. Exercise in any form like running, skipping, jogging, aerobics, yoga to keep yourself active can help. Usually after six months of childbirth weight starts reducing and you can achieve the pre-pregnancy level in a year. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25999, + "tgt": "What could a bump on one side of rib cage be?", + "src": "Patient: Hello doctor, Just this morning my brother told me he had pain in his ribs the day before and it seemed a bit weird this morning too. But, he did not have any pain. There seems to be a weird bump on one side of his rib cage. What could be wrong? Doctor: Hello. This could possibly be a collection of fat cells called lipoma or collection of a mass of nerves called neuroma. Another possibility is that it could be an inflamed muscle or a bone spur. A clinical examination would be extremely necessary. A biopsy may be needed based on clinical examination findings. Hope it helps. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 685, + "tgt": "I get chest pain and burping after each meal. What could be my problem?", + "src": "Patient: Hello doctor, I am 17 years old and I usually suffer from chest pain, and burping after eating something or drinking. I do not know what is this, sometimes shortness of breath occurs for a short period of time. I am a little worried about this. When I searched this on google there were things like GERD, acid reflux, heart attack, and all. Can you please help me out with this problem? Doctor: Hi. I see you are worried about your chest pain. Do not worry, your symptoms particularly relating to food connects your chest pain to a gastric related problem. And it fits into GERD (gastroesophageal reflux disease) in which there will be acid reflux, which in turn causes pain due to intolerance of food pipe to the acid. GERD. Tablet Pantoprazole + Levosulpiride 1 tablet twice daily half an hour before food for two weeks, syrup Sucralfate + Oxetacaine 10 ml one hour before food three times a day for two weeks. Avoid spicy food. Avoid heavy meals. Do not lie down immediately after taking food." + }, + { + "id": 1453, + "tgt": "I have pain in ear after getting a slap on my ear. What damage could it caused?", + "src": "Patient: Hello doctor, I have semi acute pain in my left ear due to someone slapped in my ear while ragging last year. I did not visit a doctor because I feel uncomfortable about discussing this issue. But nowadays I feel a sound that is like when water enters our ear. Now, I have feared of phonophobia. Please suggest. Doctor: Hi. You might have developed an eardrum hole i.e. perforation since the eardrum is a very delicate structure and cannot tolerate a high volume and high impact gush of air. In such a circumstance, you will definitely have symptoms such as ringing sensations, feeling of air coming out, irritation, unable to tolerate loud sounds, and even decreased hearing. There is nothing to worry as the eardrum heals on its own in four to six weeks provided you follow certain precautionary measures. Precautionary measures include not allowing water to enter the ear. Place sterile cotton in the outer ear and wear a shower cap as well while having a head bath. Cotton places have to be changed every six hours during the day. There is no medication as such required unless your ear has got infected and there is discharge. In such a situation, the healing process might take even more time or sometimes if adequate care and hygiene are not maintained, the hole or perforation might not heal at all and might require surgery to get it closed. I hope this helps." + }, + { + "id": 19568, + "tgt": "Can an ulcer cause severe stomach pains?", + "src": "Patient: Hello doctor, I was diagnosed with an ulcer a couple of years ago. I watch what I eat so not to aggravate it, but I woke up early this morning having horrible stomach pains all over the midsection. What could be going on? Doctor: Hello. Your stomach pain is mainly due to the stomach ulcer. Based on the location of the ulcer in the gastrointestinal tract, it can be classified into two types: I request you to attach a copy of the endoscopy report to have a proper idea about it. I suggest taking syrup Sucralfate 10 ml early in the morning before food and tablet Pantop (Pantoprazole) 40 mg once daily early in the morning after getting up from the bed, as these will reduce the acid secretion. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 6551, + "tgt": "Kindly give a diet plan to regulate my creatinine, uric acid and protein", + "src": "Patient: Hi doctor, I am 55 years old and I am a diabetic patient with high BP. In a recent test the creatinine, uric acid and protein found to abnormal. I have been advised the following diet plan like protein 0.9 g per kg per day, diabetic, low potassium, low urate and low phosphorus. I am a non-vegetarian and often eat fish and chicken. Explain me the diet plan. Can I take fish and other non-vegetarian foods? If so, how much often can I take? Please advise me. Doctor: Hi. The following diet chart is designed for you according to your reports (attachment removed to protect patient identity). Please follow it properly. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 25804, + "tgt": "What do HbA1c of 8 and fasting glucose of 140 signify?", + "src": "Patient: Hello doctor, My HbA1c is 8 and fasting glucose is 140. My urine microalbumin to creatinine ratio is 116. What do these values mean? Doctor: Hello. You seem to have diabetes because both blood sugar fasting and HbA1c (glycated hemoglobin) are in the diabetic ranges. You also have microalbuminuria. You have not mentioned what medications you taking because both blood sugar and microalbuminuria can be controlled with medicines. Kindly mention what medications you are taking to make any change or modifications. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28840, + "tgt": "I drank cold drinks before going to my dentist. Could it prevent my tooth from getting numb?", + "src": "Patient: Hi doctor, I broke a tooth, so I went to the dentist, and I was very upfront about not having a root canal treatment. I preferred to get it extracted rather. She numbed my tooth\u00a0and said she was going to fix it. After she had finished, she said I was going to need a root canal treatment. Now my tooth hurts, I went back there after four days to get it extracted. But, even after eight injections, the tooth did not get numb. So, I was sent home, and I was given Amoxicillin. I went back after a week, and the same thing happened again. I do not know how much more I can handle. Would drinking a few cold drinks prevent my tooth from getting numb? Doctor: Hi. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16246, + "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": 14641, + "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": 9229, + "tgt": "What should I do for hair loss problem?", + "src": "Patient: Hello doctor, I have hair loss problem. Please advice. Doctor: Hello. Hair fall is a very common issue nowadays. There are several causes for hair fall. It may be genetical or acquired. Acquired hair fall may be due to changes in food habits and lifestyles, using excessive shampoos and conditioners, using hot water to wash hair, direct exposure to sunrays, consumption of salty and sour foods, etc. Some diseases like diabetes, hypothyroidism, chemotherapy treatment also lead to hair fall. Raised DHT hormone level is also responsible for hair fall. So there is a need to know the exact cause of hair fall and try to resolve them physically or medication. Blood sugar fasting and PP, thyroid profile, DHT, lipid profile. Apply Baidyanath Mahabhringraja oil in hair roots and do gentle massage with finger tip for 10 minutes daily at night and in morning wash it with Himalaya gentle protein shampoo. You should shampooing alternate day. Orally you can take Follihair tablet one tablet once a day after meals. Do these things regularly for two months and provide your valuable feedback." + }, + { + "id": 25070, + "tgt": "Why do I have itching and burning sensation on my penis?", + "src": "Patient: Hello doctor, I was taking Oxra 5mg tablet for diabetes and due to which I had excessive urination. I got fungal infection on the skin of my penis with burning sensation and itching. I had got this problem two weeks ago when I was on Oxra. I consulted a skin specialist and he prescribed Itraconazole 200 mg for five days and Lulifin cream to apply twice a day. I took the whole course and all cleared up until after two weeks ago when I had sex with my wife. I started getting the burning sensation and by the next morning, it was itching badly. I then applied the Lulifin cream. Should I go back on the course of tablets too? Why has it recurred? I stopped the Oxra completely when I started the course. Currently, I am on Carbophage G 1 for diabetes. How can I be helped? Doctor: Hello. Candidal balanoposthitis is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at least two weeks including strict sexual abstinence. The partner too would need treatment in case of any existing vaginal discharge. Kindly upload appropriate images of the present clinical lesions so that we could suggest treatment for you accordingly. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15445, + "tgt": "Why is there stomach pain and vomiting sensation with missed periods?", + "src": "Patient: Hello doctor, I am suffering from stomach pain for 15 days. I have missed my periods. I feel like having vomiting sensation and nervousness. Blood test and urine test for pregnancy was negative. What is the problem? I am 22 years old, married. Doctor: Hi. How are you doing? Hope you had the tests for pregnancy recently, as you have missed periods for two months. If they are recent and surely negative, then this pain is the tendency for impending periods. For a young lady of your age, BMI of 17 is very low. For your height of 158 cms, expected weight is 58 to 62 kg. A minimum weight is required for regular periods. When you have weight, fat in the body, it is a store for a time of possible emergency or fasting, etc. Now your body is running short of energy source, so it is not spending it on periods, which is like a drain out of energy. To have periods now, have any of the oral birth control pills or contraceptive pills or 21 pills packet of tablet Novelon or Ovral-G or Dear 21 or Intimacy plus 3 or Duoluton-L one tablet twice a day for 10 days (throw away the 21st pill), no matter what the cause is (except pregnancy) you will have periods within 7 to 10 days. You can keep having the same pills cyclically for 3 to 6 months to have regular cycles and take that time to improve your health. I do not advise you to have binge eating and put on weight. Have lots of fruits, vegetables, high protein diet like egg white, milk, meat (not red meat), sprouts, protein drinks, so on. Your improving health will help you in the future to have a healthy pregnancy too, poor health can affect pregnancy in future causing abortions, growth restrictions in baby, preterm labor pains." + }, + { + "id": 19252, + "tgt": "Please explain my ultrasound report", + "src": "Patient: Hi doctor, I would like you to take a look at my ultrasound report from today.\u00a0The region of interest he indicates superficial to the left parotid corresponds to a 12 x 14 x 5 mm focus of echogenic soft tissue, possibly representing accessory parotid tissue. Within it are some small rounded hypoechoic foci. No increased vascular flow. Multiple normal lymph nodes are noted elsewhere. Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 18986, + "tgt": "Can inhaling acid fumes affect baby in the womb?", + "src": "Patient: Hi doctor, I am three months pregnant. Today, I have used acid to clean the washroom. I got lot of cough after this. I am still feeling uneasy. Is this a serious issue? Will it affect my baby? Please guide. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16563, + "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": 5162, + "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": 15733, + "tgt": "Can blood in sputum be due to cancer in a chronic smoker?", + "src": "Patient: Hello doctor, My brother just turned 26 years old three days back and he is a smoker from last seven years. On an average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. Appetite is excellent. Stamina is very good. No weight loss. He has had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer. Doctor: Hello. It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him." + }, + { + "id": 3855, + "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": 23954, + "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": 21472, + "tgt": "Is it safe to have surgery or oil treatment for DCIS?", + "src": "Patient: Hi doctor, My partner has DCIS. The doctor advised for surgery. She has been taking full extract Cannabis oil for six weeks. The initial pathology report and the follow-up reports seem to be different. The surgeon knows what my partner has been taking. I have sent both the pathology reports. I need some advice, and I need these differences explained to me. So, we can decide on doing surgery or continuing with the oil treatment. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Do not try Cannabis oil as a remedy for your lesion. Your report is suggestive of ductal carcinoma in situ. You are right, in the second report, it is given that necrosis is not evident. The necrosis could not be there because, in a repeated biopsy, that necrotic portion might not be biopsied. But in both the reports, nuclear changes are suggestive of a malignant process is given. So, your report indicates ductal carcinoma in situ, and it is advisable not to take a risk. It is better to undergo surgery. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 9868, + "tgt": "What are the ways to manage generalized anxiety with DPDR and muscle stiffness?", + "src": "Patient: Hello doctor, I have severe generalized anxiety that started 10 years ago and it has become very severe now. I have anxiety attacks, DPDR everyday, muscle stiffness, shaking hands and legs. I had changed four medicines, first on Sertraline no effect, then on Fluoxetine, it works only on specific region. It cures my DPDR, nothing else, then Venlafaxine for six months. It relieved my half GAD and now on Nexito 10 for 18 weeks. It works but not full. I am already having moderate anxiety. Doctor: Hello. I can understand your problem. Anxiety in day to day situations, even without any cause is seen in generalised anxiety disorder. Nexito, Sertraline and Fluoxetine all are SSRI drugs and have great efficacy in anxiety. I personally prefer Escitalopram or Nexito for my patients. You are on 10 mg dose and are seeing some improvement but still not complete relief. One option for your persisting symptoms is to increase the dose of Escitalopram to 15 mg. This should provide more relief to your anxiety. Apart from this, addition of Buspirone is one another option. Buspirone if taken twice a day along with Escitalopram will help to reduce the residual anxiety and will also augment the actions of Escitalopram. You can talk with your doctor for this. Anxiety takes time to go and you should understand this. With proper medicines you will be alright. Do you have any unwanted thoughts which produce anxiety? Is there any ongoing stress that is aggravating anxiety? Any symptoms like low mood, bad thoughts, negative thoughts, poor motivation, etc.?" + }, + { + "id": 24882, + "tgt": "What is the soft, white, non-itchy lump in my penile shaft?", + "src": "Patient: Hi doctor, I am 31 years sexually active gay male with one partner. Four weeks ago, I got a soft white color lump in my penile shaft which was not itchy or painful. Three days ago, I got another one with same features. I am worried about warts. Please help me. Doctor: Hi. I saw the picture. It looks like a flat genital wart (attachment removed to protect patient identity). Usually, the wart will have a rough surface with multiple finger-like projections. Sometimes it is difficult to appreciate finer details in pictures, making dermoscopy examination necessary. Another possibility is molluscum, a viral infection which presents with a white bump with a central pit. Looks like, the newly appeared small bump has a pit in the center. These two conditions can be differentiated by using dermoscope. Dermoscope enhances the features of the lesion. Both are viral infections and need to be treated. Please meet your dermatologist for appropriate treatment. Treatment options include liquid nitrogen cryotherapy, electrodesiccation and curettage, Podophyllotoxin application and application of Salicylic acid and Lactic acid combination. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7830, + "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": 30694, + "tgt": "My sister got her periods after six months. Should she visit a doctor?", + "src": "Patient: Hi doctor, My sister is 12.6 years old. She got her\u00a0first period about six months ago. Just about four weeks ago, she got her second period. I know when you go through your first menstrual cycle it can be on and off, so that did not really bother me. But then, her second period just keeps coming back every day. Some days, it would only be blotchy and very dark. The other day, she bled heavy in bright red with severe cramps. It usually starts and ends at the same time every day. It starts around 10 AM and ends around 3.30 PM. She has PE in school three days a week and she would get plenty of exercise. My mom thinks that she has been taking Guanfacine and it has something to do with my hormones. Do you think that she should go to my local Endocrinologist? What do you think could be wrong? My mom heard of people taking low dosages of birth control medication. Is it advisable for my sister? Doctor: Hello. Hypothyroidism, hyperprolactinemia, bleeding disorders and PCOD (polycystic ovarian disease). Puberty menorrhagia. Hemostats and Progesterone if required. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1241, + "tgt": "Why does my blood sugar level go up even without doing anything?", + "src": "Patient: Hello, I have been a diabetic for about 20 years. My recent A1c is 6.4. From last few days, I have been noticing that my fasting sugar readings are really high like 140-180. There have been no changes in the diet. Interestingly enough, within 1-2 hours it goes up by another 20 points without doing anything. Another strange thing is before I go to bed, it is in the range of 110-130, but in the morning it is always > 140. Please help me understand this strange phenomen. I am taking 1000mcg Metformin twice a day. Doctor: Hi Thanks for your query It\u2019s good to see ur sugars are good with HBA1c 6.4. Blood sugars go up and down not only with meals but there are many other factors associated as well like other Harmon levels in the body. For example if ur stressed mentally or excited ur cortisol and catecholamines also increase and thus may lead to increase sugar levels as well Same way if u will do exercise it will decrease ur sugar as well as use of alcohol. May be ur eating habits didn\u2019t change much but other factors have something to do with these levels. Sleep is also important. Along with medications I always advise for intermittent fasting and low carbohydrates with least grains. Exercise even if it\u2019s just walking 45 minutes daily is beneficial Thanks" + }, + { + "id": 11172, + "tgt": "How can I control the hairfall and initiate regrowth?", + "src": "Patient: Hello doctor, I am a 54-year-old woman. Around four to five months, I have been experiencing heavy hair fall in the frontal and lateral region. Since the past one year, I am also experiencing thyroid conditions (hypothyroid 6.40) along with stress and menopause (menopause onset was seven months before). I can notice new hair follicles but very less in number compared to hair fall (more than 100 at times). I have taken multivitamin tablets for a month. Now, I am taking menopause tablets. I have been applying onion, aloe vera, and ginger oil for the past two to three months. Also, I am consuming yogurt, milk, dry fruits. Kindly suggest some measures to arrest the hair fall and initiate hair growth. Also, suggest dietary restrictions and additions if any. I am a housewife and mainly do household chores, though nothing significant. Doctor: Hello. I understand your concern. Thyroid issues and stress causes hair to fall. Please send me images of your scalp to assess your hair loss better and help you accordingly. Meanwhile, you can start using this. Kindly consult your doctor to discuss and take the treatment with consent. 1. Anaboom anti-hair fall serum on the scalp once a day. 2. Tablet Keraglo Eva once a day. 3. Keraglo-AD shampoo thrice a week apply on the hair for 10 mins and wash off. Also, get the following tests done 1. Hemoglobin. 2. Serum ferritin. 3. Vitamin D levels." + }, + { + "id": 2009, + "tgt": "I have premature ejaculation with ejaculating period less than a minute. Please help", + "src": "Patient: Hello doctor, I am 30 years old. I am facing premature ejaculation and my ejaculation time is less than one minute. Please help. I am currently taking Prodep capsules daily. Doctor: Hi. Do not worry. It is completely curable. You need to send me a detailed history of your condition including the onset and progression, dietary habits, and addiction. Then we can proceed with your treatment. And please stop Prodep (Fluoxetine), because it will do more harm than good. Follow up after two days with detailed history." + }, + { + "id": 7330, + "tgt": "My father has bladder spasms after a bladder scraping. How to get rid of it?", + "src": "Patient: Hello doctor,My dad had a scraping of his bladder two months ago, it was extremely painful afterward, supposed to be a day surgery, he had to spend next two days in the hospital, with horrific bladder spasms. When he came home, he has had numerous, constant UTIs and also a kidney infection more weeks going to the hospital for IV antibiotics, and now again on antibiotics at home for another UTI. His bladder cancer is in the earliest of stages.His surgeon most likely wants to scrape 1 or 2 more times. He said he maybe got 70 percent of it the first time. I do not wish to my dad to go through more pain and complications. What can you recommend? Should he be monitored and if it gets into the wall later have his bladder removed? Doctor: Hello. The bladder spasm could be due to infection, coexisting enlarged prostate, or any intra-bladder chemo medicine given after surgery. Treating his disease is the first step. Urine cultures will help. Giving anticholinergics is next step to relax the bladder. The third will be to do a uroflow if not done and treat his prostate if there is any obstruction to flow. You may send any reports if you have them. Removing the bladder is a valuable exercise and is the last resort for superficial tumors. For deep tumors or recurrent tumors, there is no other option but the removal of bladder or radiotherapy. Better to preserve the bladder and treat tumor endoscopically if it is not deep or aggressive. For symptomatic relief, you may ask for Pyridium tablets (Phenazopyridine) or Amitryptylline as a temporary measure to reduce the burning." + }, + { + "id": 9668, + "tgt": "My baby suffers from cough the whole night. Should I give Levolin syrup?", + "src": "Patient: Hello doctor,My 26 months old baby suffers from cough the whole night. She has a cold as well but no fever or spasm of the chest. Should I go for Levolin syrup? Doctor: Hello. It is better not to give it. It contains only Levosalbutamol which acts as a bronchodilator which is useful in bronchial asthma or bronchitis, etc. There is no mucolytic or antihistamine in it. It also causes palpitations and tremors. I suggest using Flucold syrup. It contains Paracetamol, Phenylephrine, Chlorpheniramine, and Sodium citrate. It acts as a decongestant and antihistamine. Depending upon the weight of your baby, you can use the above syrup. Consult your specialist doctor, discuss with him or her and start giving the medicines with their consent. Use water vapor inhalation and salt water gargling. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2044, + "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": 28591, + "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": 23318, + "tgt": "I was diagnosed with AFib . Should I be on beta blocker?", + "src": "Patient: Hello doctor, I was diagnosed with AFib four months back. My heart rate was not elevated. I had controlled AFib. I went on blood thinner Eliquis for four weeks and had a successful cardioversion. I stayed on Eliquis until I met my doctor 20 days back. He took me off blood thinners and put me on beta blocker Bisoprolol (2.5 mg once per day). My blood pressure and heart rate are much lower. I am dizzy upon rising and my heart rate is only 48 sitting here at work. My resting heart rate was 60 to 65 before Bisoprolol. My blood pressure is now on average 110/70. It was 135/85 before Bisoprolol. Should I be on a beta blocker? Also, I am going on holidays in six weeks. If I have an afib attack now I have time to go back on Eliquis to thin my blood and get cardioverted again before my holiday. If I go into AFib closer to my holiday there will be no time to go on Eliquis to thin my blood to have a cardioversion and my holiday will be ruined. I am thinking that I should go on Eliquis now so that if I have an AFib attack just before my holiday I can be cardioverted right away. What do you think? Doctor: Hello. I guess you must have undergone echo in order to find out the cause of atrial fibrillation. Now, regarding your doubt, as such the risk of stroke is not high in you so blood thinners are not absolutely necessary for you. Now, if AFib is of less than 48 hours duration, then we do not need blood thinners to be started so long prior to cardioversion and we directly proceed with cardioversion with blood thinners started just before. So if you are able to access healthcare facility within this time then such long blood thinners may be avoided. Also, even if you remain in AFib throughout the holiday, it is not life-threatening. Next thing, regarding the strategy mentioned by you, this is not approved by any guidelines or authority. But, yes, it can be adopted and no harm in that, but I or any other medical personnel cannot advise such strategy to save the holiday as there is no medical ground for that. Also, If you are planning some risky activities which may involve injuries then it will increase the risk of bleeding. So you need to consider all these factors. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12721, + "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": 8334, + "tgt": "I have prickling and stinging sensation in arms during withdrawal of Prozac. Is this normal?", + "src": "Patient: Hello doctor,Is it normal to get prickling stinging sensations especially in arms as a startup a side effect of Prozac? I see it can happen in withdrawal but not a startup. It is scaring me to continue. I have only been taking 4 mg for four days. Doctor: Hello. 1. Fluoxetine (Prozac) induced abnormal skin sensation like pricking, tingling, or numbness feeling have been occasionally reported. They are not common but can happen and are usually only for a short period. 2. It is also possible that the pricking and stinging sensations are due to anxiety itself and not related to the medication. This can happen, especially when hyperventilation happens related to stress. 3. It is good that you are only on a low dose of 4 mg once daily. So your response and any side effects can be carefully evaluated. When are you due to being reviewed by your prescribing doctor? 4. If the symptoms are mild and not progressing, you can wait to be reviewed by your doctor as per plan. If symptoms are progressive and getting worse, see your doctor at the earliest. I hope this helps." + }, + { + "id": 718, + "tgt": "Am I under the right treatment for cough?", + "src": "Patient: Hi doctor, I am having cough\u00a0for two to three weeks now. It is mostly dry and frequent throughout the day. I am getting two to three\u00a0coughs at one time and then it continues. Currently, I am taking Piriton-CS, Pantocid and Montek-LC. I had bronchitis problem a few years back wherein I used to get frequent cough. Please help. Doctor: Hello. I had gone through all the details you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4174, + "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": 7360, + "tgt": "I am 42 years old and weighs 65 kg weight. Is it mandatory to have Nutrigain?", + "src": "Patient: Hello doctor,I am a 42-year-old male, having normal physic, weight 65 kg. Do you recommend Nutrigain to build my muscle? How should I use the granules and capsules together? Doctor: Hello. Based on your age, this is the normal weight. Increasing weight after this age is not advisable. Because of the risk of developing diabetes, blood pressure, and cholesterol complications. If you feel that you are not able to do your work efficiently or you think you are weak, then you can start using these products to build your weight. You have not mentioned what capsule and granules you are using. So, I am giving general instruction. You can add granules (5 gm or one spoon) in boiled cow milk and stir with a spoon. It can be consumed morning and night before food. During your routine tea time itself, granules can be taken. The capsule can be consumed after food in the morning and night. Usually, Ayurvedic herbal pills are one to two can be consumed at a time. Read the instruction on the capsules or show nearby Ayurvedic physician to get to know. Please avoid vigorous exercises at this age. Daily walking is the best." + }, + { + "id": 21360, + "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": 26652, + "tgt": "My husband's blood sugar level is always high despite the medicines. Please help", + "src": "Patient: Hi doctor, My husband has diabetes for the\u00a0last\u00a010 years. He is currently on Amaryl M1. He is living a sedentary lifestyle. For the past few months, the sugar level is always high despite the medication. The fasting blood sugar value was around 169, a week back. His other tests like\u00a0triglycerides,\u00a0vitamin\u00a0D,\u00a0vitamin\u00a0B12, etc.,\u00a0were also affected now.\u00a0His major symptoms are tiredness, unable to do heavy work, frequent half-side headache (back side) mostly when the food time is upset, high BP (140/90), loss of memory, bones seem to be shrunk a bit, short temper, and irritability. Herewith I am attaching his latest blood reports. Kindly check and guide us the treatment plan so that we can treat the root cause. His mother and brother also have diabetes. Doctor: Hi. I went through your post and investigations (attachment removed to protect patient identity). I would suggest a stepwise approach. Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27037, + "tgt": "What can cause sudden jerks when under medication for Alzheimer's?", + "src": "Patient: Hello\u00a0doctor,My mother aged 85 years is taking drugs for Alzheimer's for over six months. She suffered sudden jerks of hands and legs. She was admitted to the ICU and is now shifted to a room. She was treated with antibiotics and given sedation drugs. Will the jerks come back? She is taking medicines for diabetes and thyroid as well. 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 neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 17594, + "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": 10013, + "tgt": "Why is there a continuous rise in temperature despite taking antibiotics?", + "src": "Patient: Hi doctor, My\u00a0father is 71 years old. He had a\u00a0fever for a week, and the temperature raised up to 104 during the\u00a0night along with frequent urination. Two days ago, the fever came down to 98.4 for five hours\u00a0but again increased to 102.3 despite taking the\u00a0same antibiotics. He is taking\u00a0tablet Gudcef-CV 200 for five days and injection Monocef, twice a day for four\u00a0days. His TLC was 18,000 last week. Please give your opinion. Doctor: Hi. I went through your post and investigation (attachment removed to protect patient identity). Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19070, + "tgt": "Do constant sore throats, extreme fatigue, and swollen neck indicate tonsil cancer?", + "src": "Patient: Hi doctor, I have had sore throats on and off for a couple of years now. One of my tonsils is bigger than the other. I have not been feeling well lately. I get constant sore throats, extreme fatigue, headaches, swollen right side of the neck, some minor difficulty swallowing, a\u00a0low-grade fever, and not hearing well.\u00a0I have been beyond tired. Recently, I have had things that look like mouth ulcers. I am worried about tonsil cancer. Does this look like it? I am currently taking Zoloft and Adderall. Doctor: Hello. Chronic tonsillitis is a recurrent infection of the tonsils. Tonsils are lymphoid tissue present in the throat. They act as drainage points of various structures in the throat. When they get infected, they cause pain, soreness, headache, fever, and malaise. Tonsils drain into jugulodigastric nodes in the neck. Hence, an infection swells up the neck nodes as well. Malignancy will cause loss of appetite, loss of weight, in addition to a lack of fever or pain. Unilateral tonsil swelling points towards cancer. However, in your case, the findings of congestion in tonsils, congested anterior pillars, congested pharyngeal structures, and swollen nodes point towards tonsillitis rather than cancer. I hope you have understood what I have explained. Do revert if you need any help regarding anything. You will get better soon. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19099, + "tgt": "What is the exact cause for my knee pain and swelling?", + "src": "Patient: Hi doctor, I am a 40 year old female. My height is 5'4\" and my weight is 64 kg. I am suffering from left knee pain\u00a0with some swelling and stiffness for the past three years. I am taking Sazo 2000 and OXC 200 for two months, but had no relief. I have ANA 48.5 and CRP 7.9. My MRI showed no tears, but some fluid or effusion. Doctor: Hello. I had gone through all the data posted. Kindly tell me more details about your problem. 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": 2618, + "tgt": "What can be done to manage sinusitis with ear blockage and nasal drip?", + "src": "Patient: Hello doctor, I am female, 25 years old, 159 cm and 52 kg. I have experienced sinusitis last year, I felt pressure behind my left eyes and it went away after 4 days. Then I noticed my left ear is slightly blocked and slight post nasal drip, I went to a ENT specialist at my vacation destination and was given Amoxicillin for 3 days, and later Augmentin and Amoxicillin for 5 days. I felt my ear was getting better but it did not fully recover. Back in my country, it is dificult to see a specialist so I finally went to onenext month. Eardrum normal, hearing test came back normal and I was given Nasonex and Loratadine and was told to give it sometime and wait for the next appointment. I went to another specialist and was given another course of antibiotics and oxy-nase for 2 weeks and was told to do the exercise of pinching my nose and swallow. Due to covid19 I am unable to visit the doctor again. Recently I found out if I lay on my left side for a period of time my left ear will feel more blocked and a slight hearing loss, it goes away 5 to 10 mins after I sit upright. When I am bloated in the morning after waking up, my swollen left eye would go away slower than my right eye. What is wrong with me? Doctor: Hi. I can understand your concern, happy that you could connect over here, in times of outbreak when going outside will not be safe. I have read your query and you have mentioned everything so clearly. Now coming to the point of your query, the symptoms you are experiencing is due to middle ear infection, one thing I would still need to know that if the doctor had a look inside your ear and told there was no rupture of tympanic membrane, if not, then this can be purely middle ear infection and may take some time to subside. Other reasons can be sinusitis, wax impact, which can take longer time to recover. Although clogged ear can be annoying, here are some tips that can help alleviate the symptoms. Continue to do Valsalva maneuver, inhale steam, take OTC medicine as advised by your doctor. Do not use earplugs, earbuds, avoid any kind of water going to ears. Resting or sleeping sitting up rather than lying down can help fluid in your ear drain. This could ease pressure and pain in your middle ear. Prop yourself up in bed with a stack of pillows, or sleep in an armchair that leans back a bit. If all of the above things are helping alleviate the symptoms, then I would not worry and only give time for sinusitis to resolve. Please feel free to reach out in case of any doubt" + }, + { + "id": 27077, + "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": 16960, + "tgt": "Does Cabergoline increase prolactin secretion?", + "src": "Patient: Hello doctor, I am a 26 year old female. My periods were slightly irregular, so I checked in with a gynecologist who prescribed blood tests. My TSH, FSH and LH were at normal levels, but my prolactin was high at 72 ng/mL. I have been taking Domperidone prior to the test for 15 days. My doctor suggested that I should stop this for a month and he prescribed me 0.25 mg Cabergoline for a month (8 doses). I got stomach pain and my periods are more delayed than usual after taking this tablet, I took four doses. Should I complete the course or stop the tablets? Please guide. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18191, + "tgt": "Which acne cream is causing dry, flaky skin around eyes and burns on cheek?", + "src": "Patient: Hi doctor,Recently I have been prescribed Tretinoin 0.25 cream and Benzaclin gel for my mild acne but ever since I started I have been getting dry and flaky skin around my eyes and mouth and burns on my cheek. Which cream is causing this? And how do I continue using them, if so? Doctor: Hi. I have gone through your case. Actually, it is a very common side effect of Tretinoin cream and sometimes Bezclin (Clindamycin and Benzoyl peroxide) also cause it. My opinion is to stop both medicines for a week. If you have severe burning use Hydrocortisone cream only on burning areas for seven days only and then stop it. Also, use Vaseline lotion. First, apply on your hand and then tap your face with very little lotion in order to make your skin soft. If you apply more lotion then it will make your skin oily. After one week when your redness settles down then start with Bezclin gel only and apply only on lesions. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20975, + "tgt": "Why is there nose bleeding after feeling nauseous and stomach pain?", + "src": "Patient: Hello doctor, An hour ago just like started feeling nauseous like he wanted to throw up, and a lot of pain in his stomach. Shortly after that started, his nose started bleeding for some reason. Doctor: Hello. He is having two different issues. 1. Nausea and stomach pain can be because of inflammation of gastric mucosa called gastritis. From that, he can be prescribed antacid and antiemetic drug. Cooked oatmeal will help in soothing the stomach. Curd can be included in the diet. Heavy fatty foods should be restricted for a few days. Avoid excess spicy foods. If no improvement, then antibiotic course prescribed and endoscopy planned if needed. 2. For nose bleeding, if one episode then it can be neglected. Or else rule out the underlying cause by measuring blood pressure, rhinoscopy nose examination, etc. If there is a history of trauma to nose then also bleeding can occur. You can pinch the nose with thumb and index finger to stop bleeding." + }, + { + "id": 25670, + "tgt": "Is it compulsory for my child to take Menactra vaccine?", + "src": "Patient: Hello doctor,My son is 26 months old. The doctor has advised taking Menactra vaccine (Sanofi). Though this vaccine is not listed in IAP compulsory immunization schudule, is it necessary to take this? What are its side effects? Doctor: Hello. Menactra Vaccine (Meningococcal Vaccine (Group A, C, Y, and W-135)) is given to prevent meningococcal disease. It is not mentioned in IAP (Indian Academy of Pediatrics) compulsory immunization schedule. But in some places where meningococcus is prevalent, this vaccine is generally advised to be administered. This vaccine has some side effects like low fever, redness or pain at the site of vaccine injection and irritability. But these are very mild in nature and can occur with other vaccines also. In my opinion, it would be better if you give the vaccine to the child because meningococcal is a fatal disease and management is very difficult if the disease occurs in a child. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 11060, + "tgt": "Does increased eye pressure result in glaucoma?", + "src": "Patient: Hello doctor,I have a few questions about glaucoma. I recently had my yearly eye check-up, and my doctor told me that my eye pressure is slightly above average. I know that having a high eye pressure can cause glaucoma, and it leads to permanent blindness. I do not have any pain in the eye, and also there is no family history of glaucoma. So my question is, how do I know if I have glaucoma, and what are the chances of actually getting diagnosed with glaucoma?Is there any home treatments I can do to reduce my chances of getting glaucoma? Any eye drops I can use or any pills or vitamins I can take? My doctor said that just because my eye pressure is slightly above average, it does not mean I have glaucoma. My doctor also said there is nothing to worry about, but I need a second opinion. Doctor: Hello. Over the years, glaucoma definition has changed. Glaucoma is damage to the optic nerve with visual field defects, and intraocular pressure (IOP) is one of the risk factors. Only with high IOP, we cannot label that someone has glaucoma. Because some people have IOP more elevated than normal but still that is not damaging (called ocular hypertension), and some people have normal IOP, and that is damaging for them, so that is labeled as normal tension glaucoma. So IOP only is not determining factor to label glaucoma other important factors are there. Glaucoma evaluation needs some tests like visual fields and OCT (optical coherence tomography) and optic disc. After seeing all test, diagnosis of glaucoma is labeled. Complete eye exam and analyses are needed for diagnosing. Pain is a feature of one type of glaucoma that is angle closure, and most of the patients of glaucoma would never have pain and will be diagnosed accidentally or through routine eye exam or with decreased vision. No medication is needed until the diagnosis of glaucoma is made. Risk of glaucoma is still there even if family history is negative. Especially after 40 years of age, people having glasses (myopes or hypermetropia) are at risk. So I would advise you not to worry and let your doctor decide. If he or she thinks you need some tests, they will advise you and then determine whether you have glaucoma or not. Otherwise, relax and enjoy. You are welcome for any queries." + }, + { + "id": 9171, + "tgt": "Is it a must to stop Adderall while getting anesthesia?", + "src": "Patient: Hi doctor,My female friend, who is 28 years old, is on Adderall for ADD and scheduled for hip surgery. Should she stop Adderall before surgery? Is there adverse interaction with anesthesia and Adderall. She had a long-term (eight months) adverse reaction to general anesthesia after surgery on the other hip last year. It appeared to be post-anesthetic cognitive dysfunction. Only recently, she has been able to function more normally. She is concerned about both these issues, and did not get a real answer from her surgeon. Is there any research to help her. Doctor: Hi. For further information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 14268, + "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": 15170, + "tgt": "Can I take I-pill for the second time within four days?", + "src": "Patient: Hello doctor, I had sex four days back with my husband and the condom leaked. I took I-pill on the same day at night but yesterday the same thing happened again. During intercourse, condom leaked. Can I take I-pill again for this? Doctor: Hello. You can take. But there is no guarantee because there is no study that two tablets in one cycle are how much effective. And secondly, if your age is 42 years then there is a decreased chance of pregnancy. So take tablet and wait for menses. Or consult a nearby gynecologist. You can put Copper-T as emergency contraception now. In two days, it will be effective. Otherwise take tablets and wait for your menses. Drink more water. And take precautions properly. Change the brand of condom you are using now. One plus thing is nowadays many condoms comes with spermicidal liquid so even if it breaks, the chance of pregnancy is less." + }, + { + "id": 28063, + "tgt": "Apart from surgery, please suggest a permanent solution for disc bulge", + "src": "Patient: Hello doctor, I have a disc bulge at L4, L5, and S1. As a result, I have back pain. Physical therapy or painkillers do not work. I read that there are some types of injections, which help with the pain. Some of these injections give permanent relief, and some give temporary relief. Can you please list these injections? Instead of operation, what is the best permanent solution? Doctor: Hi. Hope it helps you.\u00a0Let me know if you have any other questions.\u00a0Regards. For more information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 11056, + "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": 22809, + "tgt": "Creatinine levels went from 4. 8 to 4. 4. Does it indicate future improvement?", + "src": "Patient: Hello doctor, My creatinine levels decreased from 4.8 to 4.4 in the last one month after starting medication for blood pressure and changes to the diet plan avoiding high potassium and sodium. I am just wondering if it indicates any improvement and chance of getting it further lower with medications. I am not using any other medication right now except the blood pressure pill. Thanks in advance and your site is very helpful. Doctor: Hello. Continue taking medication for high blood pressure and avoid high potassium diet. The reversal of kidney function is dependant on many factors like blood pressure level, blood sugar level, USG finding of kidney, GFR value, clinical symptoms, urine protein level, etc. In few patients with control of blood pressure and control of diabetes, reversal can occur Nephropathy developed by high blood pressure might lead to high creatinine level. So, if with treatment, creatinine level does not fall down and clinical symptoms worsen, then dialysis might be needed. It is good for you to consult a nephrologist for examination and further discussion accordingly. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3307, + "tgt": "I have occasional numbness of foot and neuralgia above collar bone. Does it signify MS?", + "src": "Patient: Hello doctor, I have been experiencing numbness in my left foot. It comes and goes sometimes throughout the day and sometimes it is completely normal. This has been happening for the past year. At night, when I lay down the back of both my calves feel like they are rhythmically pulsing only when lying down. I am freaking out that it might be the start of MS. I am a 36-year-old female. I have also had a mild case of mono (age 20) and have read that can increase my chances as well as being of Scottish descent. I very occasionally have neuralgia in a spot right above my collar bone and it is always in the same spot and very random. The shock lasts for about a few seconds then disappears. This has been happening for probably for the past seven years. I have also read this can be an MS symptom. I am trying to decipher if my symptoms are anxiety-related or if I truly need to be concerned with MS? Doctor: Hello. Your symptoms are not typical of MS (multiple sclerosis). The numbness in your leg may be related to a pinched nerve. The pulsating feeling in your legs may be psychological or related to venous insufficiency. Regarding the pain in your face, it is not typical of trigeminal neuralgia which lasts for minutes and irradiates in the nerve branch territory. I recommend consulting with a neurologist for a careful physical examination. If suspicions are raised, a brain MRI (magnetic resonance imaging) may be needed. I also advise performing a nerve conduction study and a Doppler ultrasound of your legs to exclude the above-mentioned disorders. I hope this helps." + }, + { + "id": 17595, + "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": 8793, + "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": 14804, + "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": 21918, + "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": 21831, + "tgt": "I have a red blister on my inner thigh. Is this related to HIV?", + "src": "Patient: Hi doctor, Before five months, I had unprotected sex with a sex worker. I did both oral and vaginal sex. I had done an antibody test (ELISA) for HIV 1 and HIV 2 at the 13th week after exposure, and the result was nonreactive, the value observed was 0.295. Again, at the 20th week, I had done an antibody test for HIV 1, and HIV 2 which also came nonreactive and the value was 0.385. Does this mean that the HIV antibody is building up gradually? I have a red blister or boil (red non-itchy, no pain, no puss, not like pimples) on my inner thigh. Is this related to HIV? It came in two months after exposure, and till now it remains there for three months. Any chance of being positive later? Is my test conclusive? Should I get tested? I am getting married next week, should I need to postpone my marriage? Worried about the boil in my inner thigh? Should I need to do p24 antigen test? I am taking tablet Finasteride for hair loss and Vitamin supplements. Doctor: Hi. I have noted your concern, and I have viewed the image (attachment removed to protect patient identity). Your tests are conclusive. An intervening period of 12 weeks between exposure and screening test is considered good enough for it to be reliable. The index value may vary slightly between tests on different occasions but that does not mean it is going to cross over from a non-reactive result to a reactive result. The raised lesion on your thigh is most likely a dermatofibroma. It is a benign lesion and is not an STD (sexually transmitted disease). For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2479, + "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": 6399, + "tgt": "I am having problem with erection and it does not last more than a minute. What to do?", + "src": "Patient: Hello doctor, I am married for two years now. I have problems with erection for the past few years. I took Confido tablets for a month and found some improvement. But it has stopped working now. I can start with intercourse 50% of the time without any problem, but I lose my erection within a minute. Remaining time, I do not have hard erection enough to start with intercourse. I have done a testosterone level, random glucose, and Penile Doppler test, and it is normal. I smoke every day but drink hardly once in three months. I am currently on Confido, Multivitamin tablets, and Ashwagandha. Doctor: Hello. The fact that you can start intercourse with a hard erection itself is an indication that the erection mechanism is not bad. However, there is what is called Flaccid penis syndrome, which describes your condition. You can start with tablet Tazzle (Tadalafil) 5 mg once daily in the night. On the day of planned intercourse, you double the dose to 10 mg in the night. Try doing this for four weeks and get back to me. Along with this I suggest taking one Eract X (Pyridoxine Hydrochloride and L- Arginine granules) sachet with a glass of milk every night for four weeks. Please get back to me after four weeks." + }, + { + "id": 26399, + "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": 2506, + "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": 15674, + "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": 21901, + "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": 12338, + "tgt": "Can psychiatric medicines cause high blood pressure?", + "src": "Patient: Hi doctor, I am 24 year old and weigh 70 kg. My blood pressure is on a higher side with readings around 150/90 always. I have a history of depression and ADHD (attention deficit hyperactivity disorder). I am currently on medication for depression and blood pressure and have been prescribed Nexito Forte, Skizoril 12.5 mg for depression and Nexovas 10 mg and Nebimac 5 mg for BP by my psychiatrist. Now, I have been referred to a cardiologist by my psychiatrist for further investigations for high blood pressure. Could the high blood pressure be a side effect of my psychiatric medicines? Or is it something else? I have been under psychiatric medicines for the past 10-12 years. Thank you. Doctor: Hello. You are already on blood pressure (BP) medicines tablet Nexovas (Cilnidipine) and Nebimac (Nebivolol). Tablet Nebimac controls heart rate. Psychiatric medicines may affect heart rate, but not that significant to affect BP (BP=Cardiac output x heart rate). And the benefit of psychiatric drugs is more important than small side effects. Maybe your cardiologist will the increased dose of Nexovas or add some other drug. But at 24 years, the cause of high BP is not like high BP of old age which is mostly idiopathic (unknown cause due to aging). At a young age, there can be a secondary cause for high BP like renal hypertension. Go for regular jogging or brisk walk 20-30 minutes every day and avoid a sedentary lifestyle. To know that, I would suggest you get a few tests:" + }, + { + "id": 16378, + "tgt": "Will multiple fibroids and HBsAg cause premature rupture of membrane?", + "src": "Patient: Hello doctor, I had premature rupture of membrane. I lost total amniotic fluid like a gushing flow, that time actually I was in the toilet for elimination. I have multiple fibroids, and HBsAg positive, but I do not know what is the reason for the fluid leak. The doctor said it is because of HBsAg. Please tell me what is the reason behind this. Termination has been done. Prescribed for myomectomy surgery. Can you tell my possibilities of pregnancy and precautions for next time? And one thing, my body temperature in both palm and the sole is high compared to others. I do not have any fever. Doctor: Hello. The leak can be due to many reasons. The most common is due to some contraction of the uterus and may be due to a weak membrane and or more baby movement, sudden irritation, and strong contraction, due to some infection and many more. If you have one pregnancy with fibroid then there can be a pregnancy with fibroid and you can also go for myomectomy and then pregnancy. The only thing you should do is to take more care and more rest next time. and take medicines regularly with a regular check-up. Only these things are in our hands. The temperature of the palm and sole, is mostly because of your body nature and not related to any other thing (individual variations)." + }, + { + "id": 17839, + "tgt": "Can Unwanted 72 cause early and abnormal periods?", + "src": "Patient: Hi doctor, My wife took Unwanted 72 eight days back, and she got her periods after five days. The bleeding is not normal, and her period was not due. Please help. Doctor: Hi. Unwanted 72 is a high dose of progesterone hormone, which is the same hormone produced in the body in the second half of period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17841, + "tgt": "What is a benign mole?", + "src": "Patient: Hi doctor, I am concerned about a lump or bump that appeared under my mole.\u00a0One day, I woke up with inflammation around my mole. As there were no changes in my mole, I thought it was a pimple and I applied some skin cream. It stayed inflamed and swollen for around five to six days and then it became a lump under that mole. After two weeks, I\u00a0went to see my GP and he told me that it is a benign mole. What is it? Also, he said he will get it removed for me and referred me to a clinic to get it done. I doubt whether it is a tumor. Does it have cancerous cells? It is there over a month now. I have also realized that it moved slightly down from my mole and as far as I remember it shrank, but a little. I do not know what it is. When I search on the internet, it always pops up the symptoms of a melanoma. Could you help me with this? Doctor: Hi. With your descriptions, it seems that you are having a mole with secondary infections. If you can send pictures of this, then it will be better for me to suggest diagnosis, treatment and alleviate your anxiety. Mole, so called melanocytic nevus, if you frequently touch your mole it may get infected. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows sudden changes, such as increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for a skin biopsy. But, in your case, it initially requires oral antibiotics like tablet Azithromycin 500 mg once daily for three days and topical cream Fusidic acid local application twice daily for five days. Once infection gets controlled, then you can go for removal. For removal, you may choose any one of the treatment options. Shave excision under local anesthesia by a dermatologist, TCA (trichloroacetic acid) cautery, radiofrequency cautery or laser treatment. Frequent touch of mole with finger. Mole excision biopsy to rule out any malignant changes. 1. Infected melanocytic nevus. 2. Melanoma. Infected melanocytic nevus. My advice is not to touch the mole frequently once infection get controlled. Revert back with the picture to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21571, + "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": 18383, + "tgt": "How long can a double J ureteral stent be left inside?", + "src": "Patient: Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six\u00a0months ago. I have not removed my stent, is it risky? How long can I let the stent inside? Due to some problem, I am not able to go for the\u00a0checkup. Doctor: Hi. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21605, + "tgt": "My lower tooth started moving after wisdom teeth removal. What should I do?", + "src": "Patient: Hi doctor, Around six months ago, I removed four wisdom teeth (one tooth per month). I remember the first two were not very painful, but the third and the fourth ones, especially the fourth, gave me really bad headaches and it even made my whole cheek swell for a few days. Anyways, I also noticed this one tooth from my lower teeth started moving after all of my wisdom teeth were removed, and so I started putting on my retainers at night, but the problem is that in the morning when I eat, that tooth starts moving again and I get a headache eventually during the day. My orthodontist told me that there is nothing wrong with my retainers and that this headache could be caused by me grinding my teeth at night. I have also been told to do a CBCT scan. Any suggestions on what I should do? Should I go back to wearing braces on my lower teeth? Doctor: Hello. Braces are not good for the time being. Allow the molar tooth to become firm. Get an X-ray done to confirm whether there is any periodontal recession. The bone support may be very less at the area behind where the wisdom tooth was removed, hence more mobility to front tooth. You may need periodontal surgery along with root canal treatment to make it firm. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13973, + "tgt": "I am having spotting randomly every few days after abortion. Please advise", + "src": "Patient: Hello doctor,I had an abortion four months back. My period returned seven weeks later and ever since then I have been spotting randomly every few days. I was 13 weeks pregnant at the time of the procedure. Is this normal? If not, what could it be? There are no other symptoms aside from very very light cramping. Previous history of the same issue: I did have the Nuvaring before I got pregnant and was taken off of it due to an estrogen-induced stroke. I then tried the mini pill. Current medications: Sertraline. Doctor: Hi. Please ensure if you had a complete abortion or there are still bits of retained products of conception in your uterus by doing a transvaginal scan. Since it was a second-trimester pregnancy, there may be chances of RPOC, which can lead to irregular spotting or bleeding. In such case, you may need a D and C (dilatation and curettage) to get rid of RPOC. Secondly, Sertraline reduced the efficacy of birth control pills, and hence failure rate increases. So ensure to take additional precaution using condoms, if possible." + }, + { + "id": 7973, + "tgt": "How can osteolysis surrounding artificial disc in spine be treated?", + "src": "Patient: Hi doctor, History: C4/5 and C5/6 disks removed three years back. C5/6 has been fused, and the C4/5 was replaced with an M6 artificial disc. Surgery was conducted by a surgeon. Around two years later, intermittent pains were occurring, with spasming flaring up about once a month. Neck pains, trapezius muscles, upper back constantly very tight, restricting the range of motion. Pain levels ranging from 2 to 8. The same surgeon has now informed me that there has been a malfunction in the M6 prosthesis, and there is now osteolysis that is dissolving the bone surrounding the artificial disk. Questions: 1.\tIs the diagnosis correct? 2.\tWhat is your recommended solution? 3.\tHow soon would you recommend I do something about this? 4.\tHow long would recovery take? 5.\tWould you recommend physiotherapy? What type and for how long? 6.\tHow long would it be before I could take a flight home? 7.\tWould you recommend that the same surgeon do the procedure? Or would any good surgeon be able to do it? 8.\tAny other recommendations or things I should consider? Doctor: Hi. I have gone through your query, medical history, and attached reports in detail (attachment removed to protect patient identity). There seems to be significant osteolysis around the M6 prosthesis. His diagnosis is indeed correct and I would suggest you to go for physiotherapy session initially instead of going for a re-surgery. Though the results would be unpredictable, still it will give better results as compared to a re-surgery. You can take approximately one-month of physio (Laser, SWD, traction, neck exercises). You should wait for a month or so before you take a flight back home. You should consider another doctor, preferably a physiotherapist." + }, + { + "id": 4352, + "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": 4313, + "tgt": "Will wisdom tooth erupt at the age of 13?", + "src": "Patient: Hello doctor, Does every wisdom teeth start growing partially erupt or do I percent have something wrong with me? My gum is half on my wisdom teeth (which is now starting to grow) are a bit swollen but the teeth does not look slanted or impacted so far, it hurts a little though. I just wanna know if wisdom teeth always grow half erupted and then slowly fully erupted? I cannot chew very hard or a lot because it will hurt, there is nothing wrong with my gum it is just on the top of the teeth and swollen but besides that looking normal. The teeth are on the right-hand side bottom of my mouth and I brush my left-hand side of my mouth a lot more than the right so it could be an infection, I am 13, my wisdom teeth probably should not be growing yet, my wisdom teeth on the bottom left side is also half erupted but does not hurt at all. I do not know if it is swollen. I am using numbing cream as of now. Doctor: Hello. Most third molars or wisdom teeth grow half erupted or becomes impacted in most populations. Sometimes, normally erupting teeth can cause pain and swelling. This could probably be your second molar tooth. We will have three molars on each side. The age of eruption of wisdom tooth is 17 to 21 years whereas second molars erupt between 12 to 13 years. This pain and gum swelling could mostly be due to its eruption. This is quite normal. You can do warm saline mouth rinses thrice daily to manage pain or can continue the same numbing cream to relieve the discomfort. The gums over the erupting tooth will generally be loosely attached, hence they attract food. Food particles get trapped between the loose gums and the tooth thereby causing gum swelling. Do rinse your mouth after every meal to remove food deposits. This should settle in a couple of days. But if the swelling and pain are not coming down in two to three days, you should visit the dentist and get the swelling examined. I hope this helps." + }, + { + "id": 11498, + "tgt": "My marriage life is getting affected due to the loss of my sexual drive. What can I do?", + "src": "Patient: Hello doctor, I am a 31-year-old female. I have lost my sexual drives, and it is affecting my marriage life. Kindly advice. Doctor: Hello. If you have a low sex drive, then this should be evaluated properly. Medical causes like diabetes and hypertension should be ruled out. This might be due to hormonal issues. Your serum prolactin and progesterone levels should be checked. Normal levels will rule out the hormonal cause. Do you have pain during sex? Because pain could be one reason for low sex drive. Using a good lubricant during sex will reduce pain and will also help to increase pleasure which in turn will improve the drive with time. You should spend more time in foreplay. This will increase the chances of good orgasm which will make sex more pleasurable. This will also increase sex drive with time. As such there are no specific drugs for female sex drive. Drugs containing L-Arginine have some roles in improving drive. L-Arginine in a dose of 500 mg per day help to increase engorgement of the clitoris which will increase sexual pleasure and drive with time. I hope this helps. If you have more doubts, please let me know." + }, + { + "id": 25060, + "tgt": "Is there a way to prevent little moles from coming all over my body?", + "src": "Patient: Hello doctor,I am an 18 year old girl and I am starting to notice little moles all over my body. Nothing unusual or worrisome. My mother and grandmother are also covered in moles so I guess I should have expected it. My question is, is there a way that I can prevent them from coming in or at least slow down the process? I am most concerned about the ones on my face. I have a number of them under and around both of my eyes. They are still in the \"beginning stages\" I guess. They have not risen and you can only tell if you get close to me. But I am afraid that over time they will grow in and be harder to look over. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). These are not moles. These are called dermatosis papulosa nigra (DPN). It a genetic condition, runs in families. These have to be removed individually. Options are: Schedule an appointment with a dermatologist for this procedure. I am very sorry there is no measure to prevent it from appearing since it is a genetic condition. However, gentle facial scrubs may help some individuals. Take care. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25530, + "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": 21864, + "tgt": "I have ganglion cyst on palm side of wrist. Is it malignant?", + "src": "Patient: Hello doctor,I am 37 years old. I have a ganglion cyst on the palm side of the wrist in right hand since three months. The cyst is solid. This cyst does not cause any pain since now. I have contacted with a surgeon, he has advised for surgery of this cyst. Is there anyway except surgery? Like medicine? Is this cyst malignant? If it is operated, can it be further developed in future? Doctor: Hello. Relax and do not worry. Yes, it is a ganglion cyst. It is very common and not malignant. It will not regress with medicines. It requires surgical removal as suggested by your doctor. Go ahead and get the surgery done. Recurrence chances are one percent. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 13708, + "tgt": "How can I cure soreness and tightness of foreskin?", + "src": "Patient: Hello doctor, A widower, 81 years old. Of late my foreskin has become sore and slightly tight to retract. I am a diabetic person for last seven years. But the sugar is normal but occasionally sugar goes up to 170/180. Doctor: Hi. A slightly tight foreskin has difficulty to retract over the glans penis. It is commonly known as paraphimosis. It needs surgical removal of the foreskin which covers the glans penis. Now you can use Jatyadi ghritam externally as a lubricant to move foreskin. 1. Apply Jatyadi ghritam externally under foreskin to move foreskin. 2. Slightly try to dilate foreskin through cleaned finger. 1. You should try to control your blood sugar and take medicines properly. 2. Do Yoga and Pranayana to correct your metabolism which helps to improve your concern." + }, + { + "id": 6517, + "tgt": "Fasting Blood Sugar: 145 and Postprandial Blood Sugar: 209. I am on Insulin. Please advice", + "src": "Patient: Dear Doctor, My blood sugar report says that I have readings of Fasting Blood Sugar: 145 and Postprandial Blood Sugar: 209. I am on insulin. Please advise me as early as possible. Doctor: Hi. You don't need to panic. This is not something serious. For a good effective treatment, I need to know what medicines you are taking along with insulin. Also, there are 100 kinds of insulin, which one are you currently taking and in what dose. It might be just cured with giving some additional medicine or increasing the dose of insulin. There are chances that, it might be a case of insulin resistance which can be broken down. Consult your local doctor or ask a doctor online with all details\u00a0-->\u00a0https://www.icliniq.com/ask-a-doctor-online So that the doctor can set your treatment effectively." + }, + { + "id": 21107, + "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": 3248, + "tgt": "Can you help me understand my blood results?", + "src": "Patient: Hi doctor, I was diagnosed with anemia due to heavy periods. I was told to double up my Iron supplements. My iron is already high and ferritin is low. My binding is not even registering. My results are as follows. Ferritin 8.0 ng/mL, iron 333 ug/dL, iron binding capacity and transferrin saturation not calculated due to unsaturated iron binding capacity of less than 55 ug/dL.\u00a0Can you help me understand my results? Thank you. Doctor: Hi. Based on your query\u00a0my opinion is as follows: 1. Continue iron supplements, until ferritin becomes normal. 2. Repeat biochemical tests after three months. If early tests needed, reticulocyte count will be more helpful. Revert back after three months to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26235, + "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": 28715, + "tgt": "My vision is hazy with contact lens. Why?", + "src": "Patient: Hi doctor, I am a contact lens and glass user. I had not worn my contacts for three days but changed the solution each day. I put my contacts on today and noticed that it looked like I saw a white haze. The weird thing about it has I only noticed it when an area is not well. I thought that it is because of the bright lighting. I do not see a white haze when I am wearing my glasses; just if I look up at a light, it looks hazy. I am experiencing the white haze more with my contacts lenses. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30025, + "tgt": "Kindly suggest me a therapy to overcome fatigue and body pain", + "src": "Patient: Hello doctor, The primary concern surrounding my inquiry is body pain and fatigue. I have lymphedema in my lower legs since eight years. Intermittently, the condition is mediated with compression stockings, massage therapy and occasional stationary exercise. The swelling persists with activity, just to a lesser degree as long as garments are applied. At this point, there is slight pitting. The tissues from the calves down to the feet are consistently engorged and tough. Extensive rest is required to adjust leg shape from the calves down from columnar to moderately curve. The condition has limited impact on my physical activity and energy. It manifests as pain and hence, there is related slowing down after cardiovascular sports. Before six years, I began experiencing upper respiratory infections several times a year, coinciding with or without any flu or cold, requiring days of rest and OTC medication to recuperate. The timing coincided with a change of place and so, I presumed climate adjustment may have been the culprit. But, the symptoms have persisted ever since, with or without vaccinations. I had signs of anemia since my young age and got to know the diagnosis in after a year following the testing related to a women's wellness examination. A year later, lethargy and moderate pain of the lower extremities became a regular occurrence regardless of the physical activity. The symptoms would subside over time with rest. Migraine pain also emerged that year, seeming to coincide with sinus activity, due to the pain's concentration around the forehead and eyes, and required the use of OTC pain relievers. Migraines had not been a concern prior to that point. Then, the lethargy and body ache became a more persistent fixture, occurring several days a week, weekly, subsiding on its own, regardless of the amount of rest. Last year, the lethargy overwhelmed the physical pain and is remaining at the same frequency, but coupled with a spike in symptoms of anxiety, such as difficulty in concentrating, aphasia, heightened fear around mundane circumstances and nausea. Additionally, during winter a brief exposure outdoors at night resulted in Raynaud's disease in the fingertips of both hands for about a month, until it started to warm outside. Since the beginning of this year, the ongoing fatigue has occurred daily\u00a0and the body ache\u00a0occurs throughout the day, regardless of rest or activity. The pain is usually dull all over, but also presents with inflammation around the joints (knees, elbows, wrists and ankles) and muscle soreness primarily of the mid and lower back. Daily use of extra-strength OTC pain reliever is now necessary, though I try to refrain from every day use as much as possible. Dull headache pain, in the front region occurs several times a week, as do issues of concentration and mental fog. Additionally, twice this year I have experienced syncope. I am attaching the results of recent blood work, which was completed during my menses. Previously, I was taking Acetaminophen. Currently, I am taking Aspirin. Please help with my condition. Doctor: Hi. Revert back with more details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27787, + "tgt": "My fiancee has nausea after unprotected sex. Could she be pregnant?", + "src": "Patient: Hello doctor,I had unprotected sex with my fiancee on the 27th\u00a0of this month. Her period was due on the 29th. She has a yellowish-white discharge for the past few days. Does it means she is pregnant? When will she get her periods? Doctor: Hello. This really does not mean that she is pregnant. It is possibly due to PMS (premenstrual syndrome), which is indicative of forthcoming menses. But, as the sex was unprotected and considering the possibility that she may have had a delayed ovulation, an emergency contraceptive pill is recommended. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8537, + "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": 20693, + "tgt": "What can be done for plantar wart other than freezing?", + "src": "Patient: Hi doctor, I have been getting treatment for a plantar wart for a year now. Freezing it every two weeks at the clinic and then scraping the skin at home three times a week. However, I am still not getting rid of it. I have read that the treatment usually works way faster than that. Doctor: Hi. Plantar warts are hard to treat. Unfortunately, that is the truth. Because feet are always under friction and the skin is very thick compared to body skin. Treatment modalities are cryotherapy which you are undergoing, electrocautery removal procedure depends on the size of wart and depth. If the wart is big, it will leave a big open wound that may take months to heal. Topical application of Trichloroacetic acid (TCA) 100 %, needs more session similar to cryotherapy. Immunotherapy- Intralesional injection of MMR vaccine, BCG vaccine, candida antigen, autoinoculation of the wart. Topical application of Diphenylcyclopropenone. Intralesional injection of Bleomycin. Please discuss these treatment options with your Dermatologist. Response to the treatment is also dependent on the body's immunity. A multivitamin supplement will be helpful." + }, + { + "id": 24591, + "tgt": "Is sore penis from excessive masturbation and vigorous sex a permanent damage?", + "src": "Patient: Hello doctor, I have a very sore penis from excessive masturbation and vigorous sex. The shaft of the penis seems to be less firm that it was in the skin and appears to be stretched out near the head of the penis. There is no pain but mild soreness. There is some soreness if I try to play with it. There are no signs of bleeding or bruising that I can see. The penis seems to be numb and unresponsive to touch and also very hard to achieve and maintain the erection. I am currently on Seroquel Restoril and Nortriptyline. Is it permanent damage to the penis? This issue has been quite worried, and I am not able to sleep well. Doctor: Hello. The penile soreness is probably due to infection as penis appears to be reddish, due to this it feels soreness. It is not permanent damage and will be normalized once treatment is taken, which includes antibiotics. Antibiotics are to be chosen after culture and sensitivity test. Also, the drug you are taking currently, namely Seroquel (Quetiapine) and Nortriptyline also affects the sensation as that have some sexual side effects. Hope this helps you to decide further course of action. For more information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10778, + "tgt": "Can Trintellix cause lump in throat?", + "src": "Patient: Hello doctor, I started Trintellix yesterday for panic, anxiety attacks and today I felt like a lump in my throat, almost like someone is choking me. I am not sure if this is due to the drug and if this is something to worry about? Should I take my next dose today? Doctor: Hi. Trintellix is a type of selective Serotonin reuptake inhibitor which work by increasing serotonin levels in blood. The serotonin further treats the anxiety and panic attacks but sometimes SSRI may cause activation like rapid increase of serotonin in blood, which may lead to temporary increase in anxiety. To solve the issue, you can start with half tablet, a dose of 2.5 mg for initial five days, then make it 5 mg and continue it further. If it also does not help you, then contact your psychiatrist." + }, + { + "id": 3753, + "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": 23512, + "tgt": "My friend did not have any bleeding after taking an I-pill. Is there anything to worry?", + "src": "Patient: Hello doctor, My friend and I had sex on the 29th of last month. Her last periods started on the 15th of last month. We used a condom the whole time, but I was worried there could have been a leak and got her an I-pill within 18 hours of intercourse. She has had no bleeding whatsoever since then and not even had her periods yet. Is there anything to worry? She normally gets her periods in 28 days. Please help. Doctor: Hello. How are you doing? The act of sex was on day-15 of the period, that is, very close to the ovulation date. But as you said that a condom had been used all the time and you only have a doubt of spill, the chances of a pregnancy is very very low. As the pill was taken within 24 hours of sex, its success is also very high. This pill is a progesterone hormone in a high dose. So, the period would be slightly delayed. Some do get their periods within 10 days of the pill, but I would suggest you wait until seven to 10 days of the expected date. So, wait until the 25th of this month. She should get her periods by then. If still no periods, it is due to the deranged hormonal levels due to the pill. If still doubtful about condom failure, have a home urine pregnancy test. Once confirmed as negative, have tablet Duoluton-L (Ethinylestradiol and Levonorgestrel) or Intimacy plus 3 (Ethinylestradiol and Desogestrel) or Novelon or Ovral-G - one tablet twice a day for 10 days (throw away the 21st pill). No matter what the cause is (except pregnancy) she will have her periods within seven to 10 days. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23570, + "tgt": "There is high PSA level but no symptoms. Is biopsy really necessary?", + "src": "Patient: Hello doctor, My husband needs help. He is a 68-year-old male with a high PSA level of 8.65. It has gone from 5.3 to 8.65 in a year. Now, let me give you the facts. We believe at his age, he might have an enlarged prostate, but none of the two doctors he has seen in the past one year has told him so. We also believe that because of his acidosis, the inflammation in his digestive system may have also contributed to this high number. He takes a lot of herbal supplements, about 15 per day, and this too may have attributed to his high number. Because of the acidosis, he has developed gluten problems and just does not eat like he used to, so he lost 25 pounds in the year. He was tested this past year and his prostate number was 6. They did a DRE test and found a nodule for which he had a transrectal ultrasound and sonogram of his prostate, liver, and kidneys, and all were alright. They just put on the report that maybe he should have more tests run. His current doctor only wants to discuss biopsies and will not listen to the reasons we have listed below. He is healthy and has no symptoms. I just need another opinion because I do not want my husband to have unneeded biopsies. We will consider an MRI, but what we want to know is this. Does it make a difference if his free PSA percentage score is 32 % as we read if it were over 25 %, chances are he does not have cancer and does it not seem plausible with the transrectal ultrasound and sonogram that he does not have cancer? Please advise. Thank you so very much for being out there for us. Doctor: Hi, Welcome back to icliniq.com. I have gone through your query and would like to know the size of his prostate on the ultrasound scan. An increase from 5.3 to 8 in a year is significant and so is a nodule in the prostate. A free PSA (prostate-specific antigen) test can give an idea of the possibility of it not being cancer, but it is not foolproof and cannot confirm. So, I would not make a decision only on the basis of that. At your age and the given PSA levels and nodule in your prostate, you definitely need evaluation to rule out prostate cancer. An MRI initially is now becoming an option, but again a negative MRI is not sensitive enough to rule out prostate cancer. I too agree with your urologist that you need a biopsy, though it may be negative in 25 % of cases, it is for early detection of prostate cancer which gives you much better outcomes. Hope this was helpful, feel free to revert back with any questions. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9030, + "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": 11203, + "tgt": "What is the difference between left and right bundle branch block?", + "src": "Patient: Hello doctor, Can you please tell me the difference between left and right bundle branch block? And why is left considered far more dangerous? Doctor: Hi. Heart needs current to beat. Current is generated in sino-atrial node. It is like electric generator. It travels via bundle branches, which are like wires. Current goes from SA node to AV node via atrial bundles. Then from AV node to a small bundle called HIS bundle. Then goes to right ventricle via right bundle branch and to left ventricle via left bundle branch. Then it further divides down. When there is interruption in right bundle, it is called rbbb and same for left bundle branch. Right bundle branch may not always be dangerous because right ventricle is a low pressure chamber, pumps blood to lungs which is also low pressure. Left ventricle has to pump blood to whole body, it has to force more. When lbbb occurs, left ventricle is contracted via current coming from right bundle branch and it takes some time to reach left side although only milliseconds of difference but that is significant. Thus, there is dys-synchrony between ventricle which may lead to ineffective output from left ventricle, because whole vascular circuit is interconnected and should work in rhythmic synchronized way. Moreover, lbbb usually occurs due to heart attack. But all this is not as simple as mentioned. It is more complicated. It needs much time to make you properly understand the whole working of heart and its connections. Hope you got a little idea about lbbb and rbbb." + }, + { + "id": 2487, + "tgt": "I feel itchy over my face, neck, chest and arms after sex. Please help", + "src": "Patient: Hello doctor, My whole body gets itchy after sex. Earlier it used to be random, but now it is almost every time. My face, neck, chest, legs, even hands, and arms are involved. I am 29 years old. Doctor: Hello. According to your statement, you are suffering from allergy just after sex. You did not mention here whether your partner uses condoms or not. You may be allergic to the condoms or any added ingredient like spermicide that you or your partner used. Although it is possible to be allergic to any type of condoms. Latex is the main common culprit. Between 1-6% people of your race are allergic or sensitive to latex like you. Again, spermicide are commonly used in gels, suppositories, and lubricants. Nonoxynol-9 is the most common active ingredient in spermicide is known to cause irritation or allergy to some people especially when used frequently. By using skin prick test, RAST test, etc, it can be determined which ingredient is responsible for your allergic reaction. Latex causing allergy will be subsided with one to four days. Your partner can use condoms of latex-free ingredients. You can also take anti-allergic medication too." + }, + { + "id": 13213, + "tgt": "I got pregnant recently after getting MMR shots. Please advise", + "src": "Patient: Hello doctor, I have been in combination birth control pills for over a year and recently got MMR shots. I had a fever and diarrhea and got pregnant during the symptoms. Is this an issue? Will the MMR cause birth defects? Doctor: Hi. MMR is measles, mumps and rubella vaccine. Rubella specifically has a hazardous effect on pregnancy if occurs during the first trimester. If the shots were more than a month from your last period date, then you should not worry so much, as the antibodies are already formed, but if it is less than a month between the shots and a missed period, I guess it becomes risky. Please revert back with your vaccine date and last menstrual date. Congenital rubella can cause cardiovascular defects, congenital cataracts and hearing issues in the baby." + }, + { + "id": 14199, + "tgt": "Do pain under arm pits and in knee after sex indicate HIV?", + "src": "Patient: Hello doctor, I have potentially been exposed to HIV. 20 days back, I had protected sex with a sex worker and at some point during the intercourse the condom broke exposing my entire penis. I do not know how long this exposure took place. Three days later, I started experiencing a fever. The fever lasted up until a week approximately. I returned home and had swollen lymph nodes below my jaw on both sides. I went to my doctor the next day, and told her what happened and my worries, she prescribed me Doxycycline for the lymph nodes. Within a few days, the left lymph node had completely gone down but the right one still remains. The doctor also had me test for STDs (syphils, gonorrhea, and HIV, all negative). I am now experiencing tenderness and slight pain under my arm pits and behind my left knee, there is a pain when I walk or stretch that leg. Are these the symptoms of early HIV infection? How worried should I be about the lymph nodes? I am also experiencing intermittent tingling in my feet and hands. Doctor: Hi. I have read your query in detail. Early symptoms of HIV (flu like symptoms) usually appear after two weeks of HIV infection. The symptoms of swollen lymph nodes, fever, pain behind ears or legs can be no way attributed to the exposure you have had. These could be due to anxiety or some other cause. You can take tablet Paracetamol 500 mg as per your need. If these symptoms persist, you can visit a general physician. Also, I would suggest you to repeat fourth generation HIV after four to six weeks of exposure." + }, + { + "id": 24445, + "tgt": "I have irregular heartbeats, especially when I exercise. What could be the problem?", + "src": "Patient: Hello doctor, I have been having irregular heartbeats for quite some time. I get palpitations and a feeling that my heart is missing beats. I get breathless and dizzy when this happens. Sometimes, the trigger is exercise, either walking or climbing stairs, other times it occurs when at rest. I am currently taking Aripiprazole and Citalopram. The heart problem began before I started taking these medications. I was recently given a heart monitor to record episodes. I can send you pictures of the episodes for you to read if possible. I would like some answers as my local cardiology department is taking some time. Doctor: Hello. I understand your concern and would recommend performing some tests to investigate for possible cardiac arrhythmia or other metabolic causes that may trigger this situation. If these tests result normal, you should consider anxiety as the main cause of your complaints. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8762, + "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": 9913, + "tgt": "My father is diagnosed with viral fever and had delirium after consultation. Please advice", + "src": "Patient: Hello doctor, My father is 57 years old. He is having 102.3 fever and also some confusion and disorientation. The physician he consulted did blood work and concluded it to be viral but the delirium started after the consultation. Getting worried. I can send the blood reports across. Please help. Doctor: Hello. If he has a fever and is delirious, it is not something that should be managed at home. Delirium can be due to toxic reasons (toxins can be substances released by microorganisms during an infection, prescription medicines or illegal drugs) or metabolic reasons (low or high blood glucose, electrolyte abnormalities, etc.), ischemia (lack of blood flow), etc. So, I suggest that he should be seen again by his physician. The alternative would be to get him hospitalized. In the meanwhile, give him Acetaminophen (Tylenol) to keep the fever down. 650 mg can be given four to five times a day. Temperature itself can cause delirium. Please upload the blood work, so that I can take a look at them as well." + }, + { + "id": 22019, + "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": 21953, + "tgt": "What is the cause of fever, fatty liver and upper abdominal pain?", + "src": "Patient: Hello doctor, Could you please let me know the underlying cause of fever, fatty liver progressing from 1 to 2 and upper abdomen ache. I had GERD earlier and now I am taking Pan D and Udiwok 300. Doctor: Hi. I will answer you in detail but first answer me the following: Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4203, + "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": 21365, + "tgt": "If my treadmill test with echo comes normal, can I stop worrying about my PVC and PAC?", + "src": "Patient: Hello doctor,I am 43 years old with PVC and PAC's. Very mildly elevated cholesterol. I had a treadmill test and it said borderline ST segment changes. So, my cardiologist had me do a treadmill with echo (I do not have the results yet). My question is if I get back the treadmill with echo results and everything is normal, can I stop worrying? I have had a coronary calcium score test. Currently, I am taking testosterone replacement and supplements (Magnesium, Zinc, Probiotics, Vitamin D, and Fish oil). Doctor: Hi. If treadmill with echo report comes normal, it rules out major blockages in your coronary arteries. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16021, + "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": 13640, + "tgt": "What can be done for a cyst associated with root canal treated tooth?", + "src": "Patient: Hello doctor, I have the first upper molar root canal treated 15 years ago. It has undergone two root canals treatment but does it seem incomplete? I did a CBCT and it shows a cyst and sinusitis although I have not that much pain. I am 41 and the dentist told me that I have bone resorption at the upper left maxillary region and I also have been recently diagnosed with Hashimoto thyroiditis. Should I get the tooth extracted? Should I try again for a new third root canal? What about periodontitis which is at the beginning? Doctor: Hello. At first, I appreciate you because you have so much awareness of your oral health. The life span of normal root canal treated tooth is 5 to 6 years. If you have 15-year-old treated tooth, it means you are so health conscious and take care of your oral hygiene. My opinion is you should go for extraction along with cyst removal because third-time root canal of the same tooth is not a good idea. Periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene. Bone resorption is a kind of bone loss due to demineralization. There are many things which are responsible for that like age factor, some diseases, calcium level, gingivitis with periodontitis is also a cause of bone loss." + }, + { + "id": 17167, + "tgt": "Whom should I consult for my neck pain?", + "src": "Patient: Hi doctor,I am a 45 year old\u00a0diabetic woman. Since past two months, my right-hand thumb is paining.\u00a0I am unable to hold or grip anything. From past one month, I am having pain in the neck and headache as well which is not going. Now since last week, the pain in my thumb spread to my pinky finger, and now my whole right palm is slightly swollen. I am unable to make a fist properly. Could you please advise me. I am very much tensed. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17612, + "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": 6030, + "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": 4600, + "tgt": "I get whitish pus at the end of my tail bone. What is it?", + "src": "Patient: Hi doctor, I am a 20-year-old male. A few months ago I noticed a small lump on my skin directly on my tailbone. I picked it and it formed into a small dent. I did not think anything of it but for the past one week the same dent has become inflamed on the outer edge and extremely painful to touch. I struggle to get up when I sit down as it is painful. When I touch it after standing up it feels wet. I have just asked my partner to look at it (as I cannot see for myself) and I gently opened my cheeks. She told me that a thick white pus substance was coming out in large amounts. I felt again and when I looked at my hands a small amount of white pus was on my nail. Whenever I have an infection in a scab my pus usually turns out to be a yellowish-white or a yellow color so I am quite worried. This color is not normal for me. Please help. Doctor: Hi. From your description, you could be suffering from a pilonidal sinus or cyst. Color of pus, yellow or white is not of great concern. What can be concerning is a large amount of pus. Kindly try to quantify it, may be in drops or teaspoon measures. It is a disease of young men, mostly hairy and sedentary lifestyles. Professional Drivers also get it in higher proportions. Going to see a doctor at local surgery is a good decision. The best way for pain relief is surgery to drain it properly and clean it. It can require to be completely removed in some complicated cases. Wash the area with soap and water daily. Try to avoid sitting for long periods. In case you are worried about the possibility of cancer, it is extremely rare in a pilonidal sinus. This is a common problem and only a handful of cases have been reported in the world of some cancer developing in it; that also after years of inflammation and without treatment. But kindly confirm with your local doctor that it is in fact, pilonidal sinus and not anything else." + }, + { + "id": 24948, + "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": 374, + "tgt": "Can ear drops cure an infection in the inner ear wall?", + "src": "Patient: Hi , MY query is i suffer from chronic ear infection. This time when ear infection started i started taking ear drops preemptively which worked for me. But the problem is infection is in the inner walls which keeps coming back after out walls are healed and i stop taking drops for 2 weeks. Now i want to ask can ear drops cure inner infection too if i keep taking my drops. Dexatob/Clotrim Doctor: Hi, There is a possibility that there is a chronic infection in the middle ear which is located beyond your ear drum. In such a situation plain ear drops will not treat the infection completely. You will require oral antibiotics to completely treat the infection failing which the ear discharge will keep recurring again. I recommend you to start the following treatment Make sure you keep you ear dry and don't let any water to enter. Place a sterile cotton in the ear entrance of the ear canal and change the cotton every 6 hrs. Make sure you don't clean the ear using ear buds or any foreign object as it can introduce infection into the ear. I hope I have answered your query. If there is anything you need to know or want to enquire, please do let us know and we will get back to you ASAP. Warm regards!" + }, + { + "id": 4541, + "tgt": "I am getting periods once in three months. Will it affect my fertility?", + "src": "Patient: Hi doctor, I am a 17-year-old female. I am not getting my periods regularly and they occur once every three months and sometimes even six months. I did not have sex ever still I am not getting my periods. I started getting my periods in my eighth grade, since then they have not been regular. Please do tell me the reason why am I not getting my periods regularly? I consulted with two of the gynecologist. They prescribed me some medicines which were having very bad side effects on me. So I stopped taking them. I still had to know that will I be able to get my periods regularly like every month? And will it affect my future in any manner? Doctor: Hi. Do not worry, this is all normal. Now you are in a period of adolescence. Your hormonal levels are not fully mature. By around 20-21 years of age, you will have regular periods. In a normal cycle, you should ovulate around the 14-15th day of periods. Always 14 days after ovulation you will get periods. In the initial few years, the hormones controlling this ovulation are not fully normal or mature, so you do not ovulate. So the bleeding which occurs every three to six months is not real periods. It may be light bleeding or heavy clots with pain or no pain at all. I hope you have got thyroid profile and serum prolactin done (both in empty stomach, early morning sample). These hormones can affect ovulation. Even if not overweight try to reduce any mid-body obesity around waist, thighs, and breast. These fats can convert into hormones and affect ovulation. Do not bother for a scan at this age. To control weight have regular aerobic exercise and brisk walking. Have regular dieting and high protein food. No fasting, no junk foods. Your weight should be height in cm -100 (for example: 156 cm - 100 = 56 kg). Do not worry about future problems. I hope this helps." + }, + { + "id": 16022, + "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": 21516, + "tgt": "What are the white patches on the inner side of the mouth?", + "src": "Patient: Hi doctor, There are white patches on the inner side of my mouth. There is irritation while taking chilly and hot food. I am consuming a non-tobacco pan masala for six years. Doctor: Hi. You should stop taking pan masala. The white patches look like leukoplakia (attachment removed to protect patient identity). You should consult an oral surgeon and get evaluated. A biopsy can be done. For now, apply Kenacort ointment (Triamcinolone). For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27188, + "tgt": "Can you look into my back MRI and tell me what I should do next?", + "src": "Patient: Hello doctor, I have a back and related pain\u00a0since five weeks. I had a discotomy 17 years ago and have had ongoing pain since but never lasted this long.\u00a0Please could you look at the results of my MRI scan and explain to me what it means and what I should do next? My current medications include Cod IPA right and Vimovo. Doctor: Hello. I read your query with keen interest and reviewed the attached MRI report. 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 neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 4263, + "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": 23006, + "tgt": "I have neck stiffness and gastric problem. Please suggest treatment", + "src": "Patient: Hello doctor, I am 45 years. I am feeling stiffness in the neck for the last two years. Now, there is pain in the throat, some gastric problem also. Please suggest treatment. Three to four hours after having food, gas starts coming from chest to throat. Sometimes, I have change in voice, shortness of breath and problem in speaking comfortably. Doctor: Hello. So, your neck stiffness is likely a cervical spondylosis. You should get X-ray cervical spine AP/ lat view and further may need MRI. You need to visit physiotherapist after X-ray for physiotherapy. I suggest you have tablet Neurobion forte once a day which is a nerve vitamin. Also, Diclofenac gel for local application whenever needed. If stiffness is too much, you may have tablet Myoril (Thiocolchicoside) 4 mg whenever needed up to two to three times a day for stiffness. If this is not helpful then I suggest tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer. This can be added later if needed. For your gastritis, 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. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg or Esomeprazole-Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate) or Gelusil (Aluminium and Magnesium antacid) two teaspoons three times a day for a week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24200, + "tgt": "I have spotting with headache and dizziness. Can I be pregnant?", + "src": "Patient: Hi doctor, I have my cycle of normally 42 to 45 days. Last time, it was 55 days. This time on 47th day, I had spotting with headache, back pain, dizziness, low BP, and HR around 110 and BP around 70/100 pregnancy test are negative and it is seven days after we had unprotected sex. My question is, can I be pregnant? If not, why am I having all the pregnancy symptoms like headache, reflux, dizziness, and back pain? Doctor: Hello. According to your history, you are a 39 year old lady with a BMI of 28.4, having long cycles of 42 to 55 days. You had unprotected sex activity seven days back (do not know which day of the cycle you had activity) but on the 47th day of the cycle, you got spotting with dizziness, headache, and backache. You did a pregnancy test (do not know when, but it was negative). Regarding past medical/surgical/menstrual and drug history, you did not mention anything. My advice is to have blood pressure, pulse checked in a nearby health center with random blood sugar level and one serum beta hCG (pregnancy hormone). It will the clear situation. If spotting/bleeding continues even mildly, repeat beta hCG after 48 hours as well. If it is decreasing, it means pregnancy is subsiding. But if increasing, it means you have pregnancy (more than 60 % increase after 48 hours is in healthy pregnancy and less than 60 % means unhealthy or pregnancy outside uterus alarming). Transvaginal ultrasound also may help but need specialist hands. But first most important that your vital signs should be normal. In case of abnormal vitals, you need emergency detailed evaluation. If vitals are normal with no pregnancy you can be advised for day-2 menstrual cycle - I hope you understand my point. I will wait to hear from you. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1564, + "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": 15210, + "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": 29226, + "tgt": "How to confirm pregnancy after embryo transfer?", + "src": "Patient: Hi doctor, I had my (frozen) embryo transfer 15 days ago. I have gone through ICSI and having PCOD. I am using Progesterone six tablets orally and two\u00a0Gestone tablets vaginally. My doctor advised me to take a complete bed rest for a few days.\u00a0But, my situation cannot support me to have rest. I am taking preg test since four days.. Till now, I did not get a positive result. I am scared about it. I am feeling tensed and about to cry. I am trying to conceive for four years. I am having menstrual cramps for the past five days. There is a sharp pain in the abdomen, and I am feeling tired. I did not notice any spotting. Is there anything to worry? Doctor: Hello. First, let me say do not get so tensed about the result. We always hope to be within that 40% to 45 % positive cases, but always be ready for the remaining 55% to 60% negative too. After embryo transfer, the best method to confirm is serum beta-hCG on day 13 or 14 after transfer. Even if the smallest of pregnancy, you will have values above 10-20 mIU/mL. Higher the value is the better. If below 10 mIU/ml, then it is mostly negative. If you are still on those progesterone medicines, you will not get periods. You will have cramps and discharge. I would advise checking beta hCG tomorrow. If you get a negative value, then stop all medications and you will have periods may be heavy with clots and painful for a few days. If positive, then continue medications for another two to three weeks and have a scan to see the baby. Get back to routine activities. Latest studies say that no rest is needed after embryo transfer. It will make you feel more sick. Even if negative do not worry. It is not the end of the road; you can transfer any more frozen embryo left. Never lose hope. You will get pregnant for sure. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19306, + "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": 11922, + "tgt": "What is the cause for my shoulder pain?", + "src": "Patient: Hi doctor, I have been having left shoulder pain and it really hurts. I have not had any injury in that shoulder. I had an injury on my right shoulder in the past where the bones had got separated. I had Ibuprofen once but it did not help. Please help. Doctor: Hello. Kindly let me know the full symptoms and their increasing or decreasing factors. Do you get pain while sleeping on the same side of the painful shoulder? Any specific movement that worsen it or any sound from inside the shoulder? You might have a rotator cuff tendinitis or mild impingement for which hot water fomentation and analgesic like tablet Ibuprofen 400 thrice a day for three days will help. If the pain does not improve, kindly consult your local orthopedic surgeon for further physical evaluation. 1. X-ray shoulder - AP (anteroposterior view). 2. True scapular lateral. 3. Ultrasound of shoulder." + }, + { + "id": 17257, + "tgt": "Can my single squint eye be corrected surgically?", + "src": "Patient: Hi doctor, I am a 20 year old male. I am having squint in my right eye. It is turned inwards by birth and I have no vision and also cannot see anything in my right eye. My left eye is 100% perfect.\u00a0I met an eye specialist. He checked my squint and told that my vision is not recoverable. I have no pain or headache. I do not have any other health issues. I have not been taking any medicines or using spectacles too. Next year, I am planning to get married. My eye looks bad, but I am not worried about my vision even now as I have one eye to see the world. My main concern is\u00a0can something be done to correct the squint? I just want both my eyes looking straight with eye movements like a normal human. Can my squint be corrected surgically just for cosmetic purpose? I have attached my eye photos and medical test reports for your reference. Kindly help me. It is a matter of my life. Without cosmetic eye correction, I cannot marry my girl. I am waiting for a positive response. Thank you. Doctor: Hello. I have gone through the pictures of your eyes and old records (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17680, + "tgt": "I have small red dots around the vaginal area. Please help", + "src": "Patient: Hi doctor, My problem is I have irritation and small red dots all around the vaginal area. It is like razor burn. This happened a year ago when I used an electronic hair removal device in the pubic area. I got some sensitivity and redness, and I ignored it thinking it to be an irritation that gets to the skin after shaving. But it did not disappear. I used some disinfectants, creams, exfoliating and peeling, and continuous moisturizing, but no development whatsoever. There is no itching or anything, but I only have redness and irritation. Sometimes, I feel a burning sensation when I\u00a0exfoliate or moisturize. I have attached a photo of the same issue. Doctor: Hi. You should not use any exfoliating agent in the pubic area when there is already contact dermatitis. It leads to more inflammation, erythema, and burning sensation. Please send good quality clinical photograph and revert. Please mention what creams you have applied. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21038, + "tgt": "Is it safe to take antibiotic for Klebsiella infection during pregnancy?", + "src": "Patient: Hello doctor, I am 15 weeks pregnant and have been suffering from urinary tract infections on and off for the last month. I gave my urine for culture and it showed up Klebsiella one lakh count. My gynecologist advised to take Norfloxacin 400 mg twice a day but the internet has a mixed review of the same with concerning how it will affect the fetus. Is it safe to consume the antibiotic? Doctor: Hi. I went through your query. Norfloxacin can be given in the second trimester of pregnancy that is after 13 weeks. Your urine culture report shows that it will be sensitive to Norfloxacin. Klebsiella is a very resistant bacteria. You will need a prolonged treatment with Norfloxacin. Also, please do ensure to repeat the culture after treatment is complete to make sure that the bacteria is completely gone because at times it needs extended treatment to completely cure the problem. Complete eradication is necessary as Klebsiella in pregnancy is not a good thing. It can cause abortions and pain." + }, + { + "id": 9090, + "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": 13051, + "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": 11997, + "tgt": "Kindly advise ayurveda treatment for uterine fibroid", + "src": "Patient: Hi doctor,I have a fibroid of 9.6 \u00d7 6.9 cm. It is an intramural fibroid. I have heavy bleeding and back pain during my periods. I also have PCOS. I am taking Rasagandhi mezhugu. What medicine should I take along with Rasagandhi mezhugu for fibroid? Since the size of my fibroid is big, please give me some strong medicine to reduce the size of the fibroid. Also, because of this, my Hb level is low. My BP, sugar, cholesterol and thyroid are normal. Doctor: Hi. To stop the bleeding, I suggest the following: Tablet Ashokadi vati - two in the morning after breakfast, two in the afternoon and two after dinner. Continue this till the bleeding stops. If you do not get the above tablet, buy Ashoka pattai (bark) choorna. Take 1 g thrice a day. Another option is Ashokarishta, mix 30 mL with 60 mLof warm water and take three times in a day as mentioned above. Aloes compounds two tablets in the morning and two tablets in the evening after food. Banana flower, it can be prepared as a fry, or vada or kashaya. It is a good food to stop excess bleeding. Jambu tree bark kashaya (50 g bark + 400 mL water to be boiled in mild flame to reduce it to 100 mL). This is at one time. Prepare three times in a day and drink it in empty stomach. It is also a good home remedy. All these drugs to be continued until the uterine bleeding stops. Simultaneously, you can have tablet Chithiramoola kuligai or tablet Tumowin one tablet in the morning and one in the evening after food. Continue this for one month. Then, leave a gap of 10 days and again start for one month. Like this, continue for six months. It is a drug to reduce the size of fibroid and PCOD. You continue Rasagandhi mezhugu for next six months. To increase Hemoglobin take tablet Haemwin two tablets in the morning, post lunch and dinner. If you get some other iron based ayurveda tablets in your place, that is also fine. Continue the tablet until your Hb becomes normal. Once your bleeding stopped, then you will be continuing the following drugs: Aloes compounds and Tablet Chithiramoola kuligai and Rasagandhi mezhugu. These are the three drugs for your fibroid and PCOD. If you can collect tender leaves from pipal tree, take two leaves and grind to make a paste. Mix with cow milk or buttermilk and consume it. It has to be taken for two times a day. It can be continued for six months. It is the natural remedy for a healthy uterus. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10193, + "tgt": "Though the cholesterol is normal, is it necessary to take Ecosprin AV?", + "src": "Patient: Hi doctor, Sometimes, my father used to get chest pain.\u00a0Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is\u00a0normal. His\u00a0BP, blood sugar and cholesterol are normal.\u00a0After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol.\u00a0Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now.\u00a0So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts. Doctor: Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22711, + "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": 4800, + "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": 13375, + "tgt": "I have recurrent Klebsiella infections. Please suggest a treatment", + "src": "Patient: Hello doctor, I am a 19 year old\u00a0female. I have been having a mucus infection since two years. Early last year, after a sputum culture test, it was found out that I suffer from a Klebsiella infection. I have been receiving Ceftriaxone injections thrice a month for the last six months and in each case, the infection subsides but comes back after two weeks. I am now taking Ciprofloxacin for a week, but still, the infection is present. I do not know what to do. Doctor: Hello. 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": 2964, + "tgt": "Will irregular paleo diet result in low vitamin D and B12 levels?", + "src": "Patient: Hi doctor, This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm. The abnormal values are as follows: 1) Serum globulin 4.2 gm/dl - High (normal range 2-3.5). 2) T4 - 11.46 ug/ml - High (normal 4.6 - 10.5) whereas T3 and TSH are normal. 3) Vitamin D - 9.65 (low). 4) Serum HDL 34.9 (low) other triglycerides and LDL values are normal. 5) Vitamin B12 - 144 (low) (normal 180-914). Also, I attached his ECG where it was mentioned unconfirmed report. Please check and let me know the outcome of the report. He is an athlete who is active in a cycling race, running and swimming. But, he was out of the sport for one year and hence gained weight around 75 kg from 68 kg. Now, again he reduced 4 kg in the last three months. But he is following bad diet plans such as paleo one week, intermittent for the next week, proper balanced normal food for one week. Hence, I am really worried about his health. Doctor: Hi. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps." + }, + { + "id": 12215, + "tgt": "Tooth abscess has not gone away even after taking medicines. Kindly advise", + "src": "Patient: Hello doctor, I went to my dentist a few days back with the discovery of an abscess which was connected to a broken tooth. It then spread to my cheek and got swollen. I am on Amoxicillin and Flagyl for five days. Today is my last day. Unfortunately, the swelling has not entirely decreased, I am still left with a small hard sack of presumable pus. How can this be removed or will it go away naturally in a few days? Doctor: Hi. I had gone through your question and I can understand your concern. It looks like the infection is over if there is no pus and pain anymore. The swelling if hard remains there is called antibioma and it may take some time to get fully over and will not need any further antibiotic medication. In case the swelling is tender on touch, there is a pain still, you may need medication for two more days." + }, + { + "id": 1499, + "tgt": "Sompraz for duodenal ulcer is causing gas problem. What to do?", + "src": "Patient: Hello doctor, My husband had duodenal ulcer two months back and was treated immediately by a gastroenterologist. For the past 70 days, he is taking Sompraz 40. But sometimes he has wind formation in his stomach. He is very nervous and believes that he might have developed cancer. He always does this whatever disease (thinking about cancer). Please let me know about the seriousness. Doctor: Hello. Any ulcers in the duodenum, can cause the feeling of wind anytime. Proper treatment is required to get rid of it. Only Sompraz (Esomeprazole) will not solve the problems. You have to give some other medicines to him. Avoid fatty and spicy food. Do regular walk and exercise is a must. Let done USG (ultrasound) whole abdomen to exclude other problems. USG whole abdomen. Syrup Gelusil 2 tablespoons TDS, syrup Sucral two tablespoons TDS, tablet Normaxin (Clidinium bromide and Dicyclomine) 1 BD. Take all these for seven days. After seven days." + }, + { + "id": 12651, + "tgt": "How to manage heavy periods with clots?", + "src": "Patient: Hi doctor, I am having a lot of clotting bigger than quarter size back to back, filling my tampon or pad in less than an hour. I am not on any medications and there is no bad medical history. Doctor: Hello. If this is the first time that you are experiencing excessive bleeding and clots are being passed, then you can opt for antifibrinolytics for controlling the bleeding presently. You can choose for an ultrasound pelvis once the bleeding stops to look for an organic cause. A single episode can be more likely to be due to stress-induced hormonal imbalances. You may maintain a menstrual calendar for the next three months and see if the pattern persists. If it does, you may be required to be placed on oral contraceptive pills for at least three months to control such menorrhagic episodes." + }, + { + "id": 10643, + "tgt": "I have a male pattern hair loss. Please suggest if Finasteride can help in hair sustenance", + "src": "Patient: Hello doctor, I am suffering from male pattern hair loss for a long time. I had tried saw palmetto for a short duration and got a decent result (as suggested by a trichologist) but did not continue due to lack of information on long term effects. Please suggest if Finasteride can help in hair sustenance? Doctor: Hello. Can you please upload a few pictures if possible to advise the appropriate treatment. Are you married? If yes, did you complete your family?" + }, + { + "id": 68, + "tgt": "I have swelling and boil on my left leg where medication did not help. Is surgery necessary?", + "src": "Patient: Hello doctor, My brother has swelling on his left foot. He has a boil on his left inner leg 4 inches above his left ankle inner bone. The doctor he visited gave him medicines for his boil and said the boil will come out in some days. The swelling in his foot has increased and so he visited the same doctor the next day and was advised to see an orthopedic. The orthopedic doctor did not diagnose it but referred him to a general doctor who again did not diagnose it but said there is pus buildup inside the foot and it needs surgery. My father who accompanied my brother asked the doctor whether it will subside with medicines or if surgery is needed. The doctor simply said you can use the medicine or you can do the surgery. I am out of the country and feel the doctor may have not specified the situation correctly to my father and also may have not clearly explained why he suggested the surgery. I needed a second opinion, as I want my brother to receive proper treatment and identify if it is a serious condition and I need to know the best solution. I also want to know why the doctor mentioned surgery for a pus buildup and what is the diagnosis of the foot condition. I can provide pictures of my brother's foot if needed. Doctor: Hello. He is having diabetes? If yes, what is the sugar level? If yes, first you have to control the sugar level. He is having a deep infected ulcer with cellulitis. What medications he is on? Since it is a deep and swelling extended up to the foot better open the wound and drain pus and send it for pus culture and sensitivity. Meantime, start tablet Pan 40 (Pantoprazole) one-two times daily before food, tablet Ciprofloxacin 500 mg two times daily, tablet Combiflam (Ibuprofen) one tablet twice daily, and tablet Chymorol forte one tablet thrice times daily for five days after food, and wound dressing with T Bact ointment." + }, + { + "id": 8714, + "tgt": "There is a yellowish brown coating on my pubic and underarm hair. What could it be?", + "src": "Patient: Hello doctor, I am a\u00a025 year old female. I noticed a yellowish-brown coating on my pubic hair and underarms. The affected area is smelly too. Is this something to be worried\u00a0about? What medicine should I take? I have uploaded an image that is very similar to my condition. Doctor: Hello. I have seen the image (attachment removed to protect patient identity) and understand your concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23676, + "tgt": "I have a painful, dry and flaky patch of skin above my eyes. What is it?", + "src": "Patient: Hello doctor, Please help me. I have unbelievably dry, flaking, painful, itchy, and now folding skin above my eyes and it is driving me crazy. It looks awful and is affecting my self-image. Every day I moisturize, multiple times, from coconut oil to rosehip, Vaseline, even hydrocortisone to no avail. I have tried removing gluten and yeast from my diet and it is still just as painful each morning. What is happening to me? Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 24339, + "tgt": "I have white rashes on my throat and also fever and throat pain. Please advice", + "src": "Patient: Hi doctor, My throat is showing white rashes all over. I do not know what that is. Now, I have fever and throat pain also. The ear is closing and opening sometimes. I consulted a doctor earlier. She prescribed me Metorda 500 antibiotics for bacterial infection. Doctor: Hello. Your symptoms are fever, throat pain, and ear blockage. Your clinical findings according to you are white rashes all over the throat. The two most probable causes in your case seem to be: I suggest: Other possible causes include: You may continue with the prescribed antibiotics. Additionally, Paracetamol for fever/pain and warm saline gargle may help. Also, your ear blockage suggests you are having nose blockage/discharge too which is causing your eustachian tube to get blocked. So a Xylometazoline nasal drop in both your nostrils may help. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Avoid having cold drinks or exposure to cold air for a few days. Be sure to drink plenty of water. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10610, + "tgt": "Why am I having painful wound with itching in penis after sex?", + "src": "Patient: Hi doctor, I am 36 years old, male. I am traveling and had sex two weeks ago without condom. After two days, I felt itching and pain while peeing. Now, two weeks later, I have white painful wound on my penis. I visited a doctor yesterday and received an injection and two pills antibiotics. He said gonorreah. I am scared that he could be wrong. Please help me. Doctor: Hello. You have developed ulcers after two weeks. Usually, in gonorrhea you will have painful white discharge from penis. In syphilis, ulcer will develop after 10 to 14 days, painless single, button like ulcer. Painful genital ulcers in this case are may be herpes simplex, chancroid, and syphilis (from your picture) (attachment removed to protect patient identity). What medication he gave? Will you please give names of the drugs? Better do VDRL, TPHA, HIV and HSV2 investigation, smear study from penis discharge to rule out above STD." + }, + { + "id": 25724, + "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": 18001, + "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": 22538, + "tgt": "Is it possible to start or continue chemotherapy at very low WBC counts?", + "src": "Patient: Hello doctor,I want to have an opinion about my daughter's (8 years old) chemotherapy treatment for B-cell acute lymphoblastic leukemia. I want to know that is it possible to start or continue chemotherapy at very low counts of WBC and WBC differential. Doctor: Hello. Your child is having B-cell acute lymphoblastic leukemia. In that case, to induce remission, induction chemotherapy should be given to restore normal bone marrow. After induction, maintenance chemotherapy also to be given. Your total count might be low because of chemotherapy but your daughter was having 87 % blast so chemotherapy should be given. You can investigate further with a molecular study of different translocation which reflects prognosis in case of ALL (acute lymphoblastic leukemia). So consult your hematooncologist for examination and under the guidance of the oncologist, chemotherapy should be given. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11778, + "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": 15411, + "tgt": "Can severe anxiety be cured completely without any medication?", + "src": "Patient: Hello doctor, I have been experiencing severe pain in the back of my head and neck region with dizziness since six months now. I went to physiotherapy and took some muscle relaxants but with no effective relief. With anxiety tablets like Amitriptyline, it felt better for a few days but again it came back when I quit taking that medication. At nights, I feel burning and tingling sensation in the legs. I am suffering from an anxiety disorder since a long time around 10 years now and took several medicines in different times like Amitriptyline, Duloxetine, Pregabalin, etc. for different time lengths whenever I feel very anxious but never in medication more than a month. I did a blood test and an X-ray and MRI (magnetic resonance imaging) of the cervical spine and all are normal as per the doctor. But in the MRI, there seems to be a minor left-sided disc bulge with nerve root compression at C5-C6 with no radiculopathy symptoms and the orthopedic doctor suggested to take a muscle relaxant and simple exercises to cure it. He ruled out that my back and head pain can be created due to this. I also recently consulted a neurologist because I started feeling nausea and blurred vision and loss of focus. He prescribed me Nuhenz and Symbal tablets. With two days of medications, I felt better with the head pain but I still have dizziness and nausea. My questions are: Are my health symptoms pointing to severe anxiety and is there a way to test the anxiety level? Are the problem of burning legs and back and head pain related to severe anxiety? Can severe anxiety be cured completely without any medication? Should I see a psychiatrist and be on a long-term medication given the fact that I am extremely worried about my health issues and all this started to hamper my daily life now? I can provide all the test reports if required. Doctor: Hello. I have gone through the clinical description and attached reports (attachment removed to protect patient identity). My answer to your questions is that we do not have anything to gauge your anxiety with some instrument but it can be detected with a complete history and physical examination. At this level, there is indirect evidence to suggest that your symptoms are largely due to anxiety than anything else. This is evidenced by a good response to almost all anxiety medications in short duration. It is often stated that any symptom related to any system of the body can be explained on the basis of anxiety. The criteria in favor of anxiety are the absence of anything else to explain the system and same is true in regard to your back pain and other symptoms as MRI (magnetic resonance imaging) is quite clear and it cannot be the cause of your symptoms. Yes, it can be treated without medication with the use of cognitive behavior therapy provided you have access to the clinical psychologist in your city. However, I like to make it clear that CBT (cognitive behavioral therapy) is not for everybody and psychological mindedness is a pre-requisite to have a useful CBT. I think you need proper assessment for evaluation of the severity of your anxiety disorder. Then, it will be worth to discuss the need for medication. In fact, your psychiatrist will be glad to discuss these important details which will be useful for long-term care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21042, + "tgt": "Can HIV be transmitted through vaginal fluid during oral sex?", + "src": "Patient: Hello doctor, I am a 25-year-old male. Recently, I went for a trip and ended up in engaging in sexual activity with a female sex worker. I first did a vaginal intercourse with a condom and then oral sex using the same condom (with the vaginal fluids). After 15 minutes, I got an unprotected oral sex from the worker. Could this lead to HIV transmission because the initial vaginal fluids may be present in her mouth? Before the act, both had a shower and mouthwash. Should I start the PEP medication? Doctor: Hi. First, protected sexual activity carries negligible risk. Protected or unprotected oral sex carries no risk as HIV transmission through oral sex is none considering she has no oral bleeding or ulcers and you have no ulcer on the penis. Shower bath will not protect from HIV and vaginal fluids in the mouth during oral sex carries no risk as these fluids will be neutralized by lipases in saliva. PEP (post-exposure prophylaxis) is indicated only within 72 hours of the act and not effective after that period. You have a very negligible risk (0.01 %) of transmission considering she might be reactive." + }, + { + "id": 26617, + "tgt": "Took unwanted 72 after having an unprotected sex. Will I be pregnant?", + "src": "Patient: Dear Doctor, I had unprotected sex. She took unwanted 72 within 12 hours. Will she be pregnant? In case she becomes pregnant, suggest any options other than abortion. Doctor: Hi, Thanks for posting your query at icliniq. You have taken emergency contraception as advised. That is very good. 99% of the times this will work well, but her menstrual period may be delayed. At this point you do not have to do anything. If the periods are delayed more than a week then you have to check for pregnancy. If positive we have to deal with it then. Either way, it is better to follow some form of reliable birth control to avoid this situation in the future. Also emergency contraception is for once a cycle use only. In case her periods are delayed, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1698, + "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": 24296, + "tgt": "I have enlarged liver with grade 3 fatty changes. Is it life threatening?", + "src": "Patient: Hello doctor, I am 51 years old and have been diagnosed with an enlarged liver showing fatty changes grade-3. Is it life threatening? Doctor: Hello. Fatty liver change is a progressive condition that leads to liver cirrhosis after years if not managed properly. Risk factors include obesity, high cholesterol, and alcohol. Please provide me with your alcohol intake history and your lipid profile and liver function tests. I suggest: If you have any questions, please do not hesitate to ask. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20444, + "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": 3076, + "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": 13103, + "tgt": "Why am I having diffuse hair fall after taking Finasteride?", + "src": "Patient: Hello doctor, I have been on Finasteride for three months now. Recently, I have been having a huge shed of around 100 hairs a day, up from 5 to 10 before the treatment. The hairs I shed are thick but half the length of the rest of my hair. They are also thin at the base of the hair. This hair loss is in a diffuse pattern on my whole head rather than just at the temples like before. Is this sort of hair loss normal for this point in the medicine? Doctor: Hi. When Minoxidil is started, it can lead to hair loss at first because it regulates hair cycle and all hairs go into one phase leading to diffuse shedding of the hair. But eventually it stops. Ensure proper diet with Vitamins and Minerals. Take Biotin supplements along with it because Biotin is very important in hair growth." + }, + { + "id": 2705, + "tgt": "I get sudden shortness of breath with wheezing and sharp pain. Could it be COPD or PF?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I am 185 lbs and 5 feet inches in height. I have never had allergies or asthma. About six months ago, I started having shortness of breath, wheezing and the feeling that my air was not catching. I have sudden sharp pains that feel like something wanting to burst when I breathe in that double me over. I immediately quit smoking cold turkey and drinking energy drinks. I used to be a pack and a half a day smoker and drink about three energy drinks a day since 15. The ER diagnosed me with a panic attack which I knew was wrong as I was no breathless from panic I was panicked from breathlessness. I then made an appointment and the doctor heard the wheezing and diagnosed me with walking pneumonia. She gave me antibiotics and Albuterol which did nothing. My sputum test came back normal even though it is black and brown gelatinous and sticky. And so I did my two chest x-rays. We have no pulmonologists or respiratory therapists in my town. I made another appointment and asked my doctor about Chlamydial pneumonia (not the STD). Turns out he was a physician assistant, had to google what it was and then gave me Hydroxicycline mono and more Albuterol which I am currently on. Still no relief at all. I am worried I have PF or COPD and have had a miscarriage from coughing and so depressed for the last six months because I cannot think or focus on anything. I constantly feel like I am just catching my breath like the edges of my lungs are not getting any oxygen. It is noticeable when I try to have a conversation, eat or drink, or do anything. It is ruining my life but what it is and I do not know what tests to ask for. I am terrified of having chronic adult-onset asthma or other COPD or something irreversible. I am worried that even if it was reversible, to begin with after six months of being put on my clinics merry go round with no diagnosis it is probably irreversible now. Which I try not to think. What does this sound like? What are the chances it is a curable issue? What tests should I ask for? Could the energy drinks have caused heart damage? Please help. Doctor: Hi, Welcome to the icliniq.com. Before labeling dyspnea from a panic attack (psychological cause), all organic causes need to be ruled out. Your chest x-ray (attachment removed to protect patient identity) and sputum examination are normal, hence, infective etiology is less likely. To rule out any organic cause your work up needed as follows: 1. Auscultation for rhonchi if heard. 2. CBC (complete blood count). 3. Pulmonary function test. (If you have asthma or COPD then PFT will rule out it). 4. EKG for cardiac evaluation. 5. And finally, your calf should be examined. If calf swollen with inflammation is present then D dimer done. From these investigations your diagnosis will be clear. If no organic cause found then panic attack can be considered as etiology for your condition. For doing PFT pulmonologist is needed. So try to make a visit to nearby pulmonologist in another city for examination and doing PFT. If panic attack is the diagnosis (after rule out other causes by the above investigations) then yoga, meditation are beneficial and suitable medication will be started by the psychiatrist." + }, + { + "id": 5908, + "tgt": "I have symptoms of foot drop. Will previous multi-ligament knee injury be the cause?", + "src": "Patient: Hello doctor, I have a chronic onset of symptoms of foot drop, diagnosed by podiatrist last month. I would like to know if this could be caused by the original knee injury, which was diagnosed as a severe multi-ligament knee injury. Is it possible for a severe multi-ligament knee injury, with a complete tear of the ACL, to cause \"foot drop\" to develop years later? I am currently taking Naproxen. Actually my original knee injury happened in 1969 and got repaired in 1980. Knee remained unstable and worn a brace since 1981. I have consulted many orthopedic surgeons, who all state that repair of the ACL is not possible. Doctor: Hello. I understand that the ACL (anterior cruciate ligament) surgery was done in 1980 whereas the injury was in 1969. It must be ACL reconstruction surgery or some other augmentation surgery. The original ligament cannot be repaired after 11 years. It will be beneficial to know about the procedure performed which can suggest what was done. In some cases foot drop may present after the procedure but it may be immediately or within the first few week or a month. It is unlikely to get recent onset foot drop due to the surgery performed in 1980. There might be some other cause of foot drop if it is recent. I hope this helps." + }, + { + "id": 12532, + "tgt": "Is my toothache during root canal treatment due to calcium hydroxide allergy?", + "src": "Patient: Hello doctor, I had a crown in one of my teeth on the lower left bottom. The crown came off. I went to the dentist who suggested root canal even when I did not have any problem. The root canal was completed and the crown was placed. After a few days, my teeth used to pain only on consuming hot water. I went to the dentist and she performed RCT again and now she has left it open because now I have a constant pain which is there a from two weeks. The dentist said I might be allergic to calcium hydroxide and then she said it could be an infection. I am not sure what is happening. Kindly help. Pain is unbearable. Doctor: Hi. I had gone through your question I can understand your concern. The pain may be because of post RCT infection or because of the accessory canal in the root that becomes sometimes difficult to manage. In case it in infection you need to take antibiotics and that will help you. If you had antibiotics and pain still persist, please let me know about the name of antibiotics because you may be resistant to it. You can also upload the pictures of X-ray done during root canal treatment so that I can tell you, if RCT is done properly or not. An allergic reaction does not precipitate in the form of pain only there could be certain associated complications too." + }, + { + "id": 28601, + "tgt": "My husband was diagnosed with hepatitis B. How to proceed further?", + "src": "Patient: Hi doctor, My husband was\u00a0diagnosed with hepatitis B. What will I do now? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28510, + "tgt": "I took an I-pill, and I am having breast tenderness and nausea after a month. Am I pregnant?", + "src": "Patient: Hi doctor, I took an I-pill after I had sexual intercourse, a month back. My period came seven days before the expected date. The bleeding was brown in color, and it lasted for two and a half days. After that, I did not get my period next month. I am experiencing tenderness in the breast, frequent urination, and nausea from few days. But now, I feel no tenderness. I took a\u00a0urine test on the day of my missed period, but it was negative. Am I pregnant? Doctor: Hi. It is unlikely that you are pregnant. This often happens after taking I-pill. Nonetheless, I would suggest you confirm the presence or absence of pregnancy by doing a blood test namely the serum beta hCG and share the reports. If it is negative, then repeat the test after a week, if it is still negative, then no need to do anything. Use protection during sexual intercourse in the meantime, your periods will start eventually, and then your menstrual cycle will become regular. Once your cycle is regularized, I would suggest you think of getting regular oral contraceptives pills, as I-pill is not meant to be used except in an emergency If you have any doubts, please let me know. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3648, + "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": 7103, + "tgt": "What is the treatment for cold sore in children?", + "src": "Patient: Hello doctor,Someone with a cold sore kissed my preemie baby, and she has been spitting her bottle out and crying what should I do? Doctor: Hello. Your baby seems to be on oxygen. You have not mentioned how old is the baby? For how long she has been in the hospital and are there any other problems with the baby. Or was she because she came into contact with a cold sore? Cold sore infection can sometimes lead to contamination of the mouth or lungs, occasionally other organs like brain, etc. It depends on the extent of the spread of infection and the severity. Being a preemie (preterm birth) always puts babies at risk of disease. Your baby needs injectable antibiotic medication for the cold sores, for a specific duration depending on the extent. If vomiting is because of it, it will gradually subside. If she is spitting up due to other causes, which can happen on the premises, your doctor would explain that. The sores are painful, and some topical applications would be useful to relieve the pain. You can discuss the extant of infection with your treating doctor." + }, + { + "id": 28118, + "tgt": "Why are my blood sugar levels fluctuating so much?", + "src": "Patient: Hello doctor, I am a 60 year old working woman, and my weight is 80 kg. I am not diabetic, but my recent reports showed my fasting blood sugar level to be 105 and HbA1C was 6.2. After seeing the report, I got scared, so I redid the test after a week. This time, my fasting blood sugar was 143 and postprandial was 103. I am anxious, so please tell me that how come a nondiabetic patients sugar level is lower on one day and another day, it jumped to 143. What should I do now? Thank you. Doctor: Hello. Hope you find my advice of some benefit. Good luck. For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 20993, + "tgt": "I see a white or yellow odorless discharge. Is this normal before a period?", + "src": "Patient: Hi doctor, My period is due sometime this week and I am seeing a white/ yellow discharge odorless. Is this normal? For sure, I am not pregnant because last time I had sex was over three months ago and I got my period every month after that. What can this be? Should I be worried or is this normal before a period? Doctor: Hello. The symptoms are suggestive of PID (pelvic inflammatory disease) which is quite common in sexually active women. It is advisable to have USG abdomen scan to rule out any other possibilities. Did you have any history of fever or any itching like sensation? Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29763, + "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": 20420, + "tgt": "How can I increase my height?", + "src": "Patient: Hi doctor, I am 16 years old. I look short. My parent's height is 5'3 and 5'4 feet. How can I increase my height? Doctor: Hi. The actual height of an individual depends to a greater extent on genetic factors. If your body is designed genetically to grow to a certain height, it is difficult to change it. You can boost your height by indulging in physical activities like skipping and playing games like basketball. The usual growing period for males is between the age of 13 to 18 years. On considering your age, you can still indulge in physical activities. It can keep you healthy and may help in gaining height. Also eat lots of natural foods like raw vegetables, fruits, and sprouts. Try to maintain a healthy weight. It can make you look lean and fit." + }, + { + "id": 3974, + "tgt": "Should I get hip replacement done to correct leg discrepancy?", + "src": "Patient: Hello doctor, Got surgery done for \"fracture neck of femur\" five years back. Now living life with 1 inch leg length discrepancy. Highly demotivated. Hip replacement is suggested by surgeons but not now ,as I am 30 years old. As per them a revision surgery is recquired after 15 years or so. My question is if I go for hip replacement ,will my leg gets normal? Why revision surgery is only after 10-15 years and not after 35 years(though some doctor say that they do hip replacement and acetabulam remains for 35 years, is it possible? How can I compromise leg length by using Shoe lifts (will limping be visible after that or not) Kindly help. Doctor: Hi. I can understand that limb lengthening can be of concern but you can ealisy wear a heel raise on the normal side of just 1.5 cms (not totally correcte to 1.5 inches, it should always be undercorrected by 1 cm), limping depends upon you abductor hip muscle strength- so you need to do exercises. Regarding hip replacement - if you have an avascular necrosis with a painful hip - only then you require a replacement , otherwise not, And the timing is not fixed - hip replacement can be done at a time when you have excessive pain not relieved by medicines, After hip replacement - you hip should be near normal. I suggest you to uplod your latest hip X-ray so that I can see and accurately suggest treatment methods, and provide you more information, Query regarding hip replacement Follow up with latest xrays" + }, + { + "id": 11959, + "tgt": "Kindly explain the treatment for hair loss and irregular periods", + "src": "Patient: Hi doctor, I want to ask a question about my hair loss. I am a teenager and I have a problem with my hormone since last years which means my period stops entirely for six months because of my poor diet. Everything went well after I stopped the restrictive diet. A week later my appetite increases drastically. I crave sugar and carbs and notice that I have gained a pound. I binging nonstop. I honestly became bulimic myself. Then I notice a severe hair loss that my hair can be pulled out so easily. I grew panic when I saw a bald spot. So I bought a product named Audace hair reactive and hairfall control tonic. I actually was very curious about this product because of some bad reviews. I just got my period back earlier after taking a medicine. Is it safe to use this tonic and what should I do to stop my hair from falling out? Doctor: Hello. 1. Your condition is known as telogen effluvium in which large amount of hair falls after body being in sudden stress due to surgery, any illness, street or crash dieting as in your case. 2. In telogen effluvium hair loss may continue for a few weeks to up to six months. 3. The good thing is that all hair regrow once you remove the precipitating factors in your case dietary improvement and when hair fall stops subsequently. 4. These serums will not harm you if not help. The only thing you need right now is good protein rich diet and fruits and vegetables and milk. Eat well basically." + }, + { + "id": 6255, + "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": 19887, + "tgt": "Why does my friend have numbness after hemilaminectomy surgery?", + "src": "Patient: Hello doctor, I am inquiring for a friend who underwent L4 - L5 hemilaminectomy surgery. He is recovering except for the persistent numbness, pins and needles and swelling in his left foot. It is more pronounced in the afternoon to evening. He is a teacher by profession. He has reported this to his doctor, but his doctor has no answer to the numbness, etc., and just asked him to report to him every now and then and wait for complete recovery.\u00a0This is why we are reaching out at least to get an opinion or advice what could the symptoms be. Is it normal and how long will he have this?\u00a0Meantime, what can he do to ease the symptoms? Many thanks. Doctor: Hi. Surgical retraction of nerve that may have caused it to bruise. None, if symptoms are not progressively worsening. Recurrent disc herniation. Gabapentin or Pregabalin and NSAIDs. For further doubts consult a spine surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 26138, + "tgt": "Can you suggest a skin whitening cream that does not contain steroids?", + "src": "Patient: Hello doctor, I am a\u00a027 year old female. My skin appears very dull. Can you suggest a whitening cream that does not contain\u00a0steroid, which I can use on a regular basis? Doctor: Hello. You can take an oral Vitamin C supplement every day. I suggest taking one sachet of Ener-C 1000 mg in a glass of water. Use sunscreen in the morning. Apply Golite skin lightening cream over the face at bedtime. For more information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3798, + "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": 27525, + "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": 2286, + "tgt": "My 3-year-old daughter has stuttering problem. How to correct this?", + "src": "Patient: Hi doctor, My daughter is 2 years 8 months old and she is stuttering a lot for the last four months. Initially, it used to come and go but in the last three weeks we are noticing it very constant and she is struggling a lot to speak. She never used to have this problem before and she is a very talkative person. We wanted to know if this is temporary or it will be permanent and do we need to go for any speech therapy now itself? Doctor: Hi. Being parents overprotective is a common phenomenon that is observed. Do not point out the mistake like you have pause, oh see you struggled, by this the little one will be more conscious and surely avoid talking. Better talk to her in a normal way. Follow these points. 1. Tell her to inhale then say two to three words then again inhale to say some more. 2. Finger tapping while saying, one word one tap. 3. Tell her to count backward (20,19,18, etc). 4. Tell her to stop where she is feeling problem without trying to say it with stress. Stop then relax again start saying. Most important: It is not stuttering, it is a part of developmental process called normal non-fluency." + }, + { + "id": 6396, + "tgt": "I am having severe breast pain radiating from left shoulder. Is it a cancer?", + "src": "Patient: Hello doctor, I am a 25-year-old single female. I am in a painful situation. For the past two years, I have left side back pain starting from shoulder to bottom, and it is very painful like vein tightening. That pain continues and reaches my breast. My breast size is very small. I am afraid of breast cancer. I can not sit or stand anywhere. What can I do? How can I increase my breast size? I am very sad as my pain is increasing day by day and I am tensed. I am thinking about suicide. My marriage is fixed, but my mind is full of tension and thought that I could not live anymore. Please help. I am using pain relief ointments, Evion 400, Imol plus tablets. Doctor: Hello. If you have that much pain, then you should consult any surgeon nearby. Get mammography done for both breasts along with sonography of both the breasts. You can take painkillers. But let the surgeon examine first and decide is there any chance of malignancy or not. From the reports, there will be some guide towards whether there is cancer or not. And if nothing is there and it turns out to be normal, then you have to consult with an orthopedic and a neurophysician for their opinion about your pain. Do not think negative. Everything will be fine. Just be positive. First of all, you have to diagnose what it is and why the pain is there. Once the diagnosis is made, the doctor will tell you what to do and what to expect. Once this part is over, and pain is decreased or the problem is solved, then you can think of increasing the size of the breast. The plastic surgeon will help you with that. So do not worry. But do mammography and sonography of both the breasts. Take the pain killer and consult a surgeon nearby. He may advise you other blood tests and may CT (computed tomography) or PET (positron emission tomography) scan." + }, + { + "id": 6535, + "tgt": "I have been diagnosed with fatty liver grade 3. What should I eat and drink?", + "src": "Patient: Hello doctor, I have been diagnosed with fatty liver grade 3, so my doctor told me to correlate clinically. My SGPT and SGOT levels are normal and within limits. So, the doctor, after doing a physical examination, said that there is no need of fibroscan. He told me to eat everything but exercise a lot. And he asked me to take Zevit and Evion. I started walking 7.5 km and stopped taking nonvegetarian food, wheat, and rice. I\u00a0only\u00a0eat boiled vegetables. I am not alcoholic or diabetic, but I have hypothyroidism. What should I eat and drink? Doctor: Hello. I can understand your concern. If you have any further doubts, I would be happy to help you. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1938, + "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": 8022, + "tgt": "Can excess gas be a reason for floating stools?", + "src": "Patient: Hi doctor, I am a 47 year old male. I have noticed floating stools for about two months. This may have been going on longer, but I just noticed two months ago and historically, this is not normal for me. Consistency is solid with somewhat limited quantity and more like you would expect with constipation about 70% of the time. It is soft, but not loose at all. Color is normal brown. The only other symptom I have noticed is that my stomach is quite noisy right after eating or drinking. I have no weight loss or pain. I eat low-carb most of the time, but not all the time. I recently had a checkup including basic blood work. My doctor said this is usually caused by excess gas and did not give it a second thought. Should I ask for more tests? My father died at the age of 52 from pancreatic cancer. So, I have some worries about this. I have attached all my reports for your reference. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4209, + "tgt": "What is this condition where I can retract only half of my foreskin?", + "src": "Patient: Hello doctor, I can retract my foreskin in flaccid state, but in erect position I am not able to retract it. Sometimes, I can retract it up to half of glans, but then it starts hurting. What is this condition called? Should I go for circumcision or any other surgery? Or can this be treated by medicines? Doctor: Hi. Revert back with the details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 617, + "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": 9582, + "tgt": "What can be done for red, swollen, and painful bump on palm?", + "src": "Patient: Hello doctor, I have a bump on my palm that has been there for about a month and a half. It is red, hurts when I press on it, swollen, and kind of burns every once in a while. Doctor: Hello. First, I need to know if you have been dealing with any chemicals that might have caused allergy and changes in the local skin. Plus, any new cosmetic started recently? Stress? If nothing, then, it is a case of atopic dermatitis. But first you should determine the primary cause. For the moment, I can only advise to: 1. Wash with warm water and soap. 2. Soak in warm water, vinegar, baking soda for at least 15 minutes. 3. Rinse well, dry well. 4. Apply tripple antibiotic ointment in the morning and at bedtime, during the day, apply hand moisturizer lotion . Looking forward to get the required additional informations." + }, + { + "id": 9892, + "tgt": "Is Augmentin 625 safe to take during the third week of pregnancy?", + "src": "Patient: Hello doctor, I am three weeks pregnant, and I am suffering from a\u00a0chest infection. So an ENT specialist doctor prescribed Augmentin 625\u00a0tablet. I wanted to know if it is safe to use this antibiotic, as I am pregnant. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 197, + "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": 26846, + "tgt": "From the attached reports, please tell me if I need angioplasty", + "src": "Patient: Hello doctor, I have breathlessness while walking or taking stairs, chest congestion at times, and sleeplessness. I am diabetic and take Insulin twice a day. Please find the attached reports of ECG, echo, and angiography. Is angioplasty required? Can blockage be tackled with medicines alone? Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). 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": 30168, + "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": 27395, + "tgt": "Kindly help me in analyzing my blood reports", + "src": "Patient: Hello doctor, I did my preventive blood checkup and there are abnormalities in the lipid profile, liver profile and CBC profile. I am attaching the report. Doctor: Hello. I have seen your reports (attachment\u00a0removed to protect patient identity). Hope this helps. Do write back. Revert\u00a0after two months to an internal medicine physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1233, + "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": 7750, + "tgt": "What can be done for swollen, bruised, and painful toe?", + "src": "Patient: Hello doctor, I fell this morning and I am pretty sure I broke a toe. It is a bit swollen, bruised, and painful. I landed on my knee and top of my foot. My knee is fine but the top of my foot is a little tender. It has a small bruise. My other toes are getting numb. Do I need to see a doctor? Doctor: Hello. I have gone through your history, as you have stated that you are having pain, swelling and bruising on dorsum (top) of foot region. In that event, I advise you to get: X-ray of affected foot (AP and oblique views) because we have to rule out any bony injury as management changes if there is a fracture. Do not put weight on affected foot as your swelling might increase further. Intensive ice packs need to be applied (10 to 15 minutes every 2 to 3 hours) to keep swelling to bare minimum. You can take OTC analgesic like Diclofenac, Ibuprofen, Paracetamol whichever is available and is not a contraindication for you. Keep your limb elevated over pillow at night while sleeping. Please contact me with X-ray of affected part and I can guide you as to further course of action." + }, + { + "id": 20559, + "tgt": "I am not sure if I have rosacea. Please help", + "src": "Patient: Hello doctor, I am a 25 year old male. I am 6'1\" tall and I weigh 170 pounds. Often, I get red cysts of some sort on my face beneath the skin that take a while to heal. I have oily skin, and get whiteheads as well. I have fluid-filled boil-like lesions on my face. I have been to a few dermatologists and one of them said that I have rosacea. I do not believe that I am allergic to any food. I take more than enough of my vitamins and minerals. I eat very healthy and do not mess around with any junk food. I do not smoke or drink. I am a writer, and I tend to sit down a lot, for the majority of the day. I do not have triggers that make me flush. I am beginning to suspect that I do not have rosacea. My skin is not really sensitive. I am not sure if I have the regular acne as other people do. Is it any other skin disorder? Please help. Doctor: Hello. Rosacea is a skin disorder that affects people above 30 years. Other than acne-like lesions, people with rosacea have redness of the face and dry skin associated with burning sensation. They also have redness and irritation in the eyes. The redness of the face is aggravated by triggering factors such as weather changes, stress, alcohol consumption, exercise, and spicy food. Your clinical condition is not rosacea since your history is contradicting with the above-said information. You seem to have acne. The cysts are a part of acne. Acne varies in severity from individual to individual. Some may have mild acne which may come off and on. Others may have an almost incessant eruption of acne, which may leave behind post-acne hyperpigmentation and acne scars. For acne, you need to be constantly taking care of your skin until the tendency for new acne formation dies down. Topical treatment of acne mainly revolves around topical antibacterials (Clindamycin gel or Nadifloxacin gel), Benzoyl peroxide and topical retinoids. Topical retinoids are comedolytic thereby preventing new acne. For inflammatory acne (papules and pustules), I suggest starting with one of the oral antibiotics either Azithromycin, Doxycycline or Minocycline. Cystic acne is an indication for starting oral retinoids. They are the most effective drugs for acne and are usually the first choice in severe acne or cystic acne or moderately severe acne or acne not responding adequately to traditional anti-acne medications or acne significantly affecting the quality of life of patients regardless of severity. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. You could also take a few peeling sessions like Salicylic acid peels from a dermatologist. Salicylic acid peels are specific for acne. Acne is a recurrent condition and once your acne is brought under good control with oral and topical anti-acne medicines, you should still continue to use a cream/gel (topical retinoid) for maintenance of improvement. Topical retinoids are ideal for maintenance of improvement because they are comedolytic as well as anti-inflammatory, thereby preventing the formation of new acne. For further follow up consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12167, + "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": 26694, + "tgt": "What could be the reason for my neck and backache?", + "src": "Patient: Hi doctor, Before four months, I did a couple of heavy things, about a week later, when I put my head down or looked down, I noticed a twinge in my back, on the left side of my right shoulder blade. As weeks went on, it became awful and more painful. I also had spasms on the right side and under my right rib cage. At times it is unbearable. The right side has improved a bit. Now, I feel pain and catch on the left side of my spine. I also have pain in my whole upper back and underneath both the rib cages. It even hurts to cough, walk or move. I have no fever or\u00a0problem in breathing.\u00a0My appetite is good. I do not have insurance. What could be the reason? Doctor: Hi. For further queries consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 12855, + "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": 10066, + "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": 6248, + "tgt": "I had unprotected sex on my 24th day and took i-pill within eight hours. Am I safe?", + "src": "Patient: Hello doctor, I am 23 years old. I usually get my periods in 23 days cycle. I had unprotected intercourse on my 24th day. I took an i-pill within eight hours of intercourse. Should I take a pregnancy test? Am I safe? Doctor: Hello. If your periods did not start by 23rd day, and you had intercourse on the 24th day and took an i-pill after eight hours, then, your cycle would be in the secretory phase, and i-pill would initiate bleeding within 72 hours of intake. If you do not get your periods in another one week, it would be advised to do a pregnancy test to confirm pregnancy or not. Secondly, i-pill may have a secondary effect of delayed periods as well. So pregnancy test is advisable after a week. Mostly you should be safe 99%. For further details, please mention your LMP (last menstrual period) and date of i-pill consumption." + }, + { + "id": 29275, + "tgt": "How to confirm whether my friend is free of RPOC or not?", + "src": "Patient: Hi doctor, My friend had MTP and passed the lumps. But, her second scan showed RPOC. The doctor gave her Misoprostol 200 mg two doses for three days. After taking medicine, she has not bled. Is that fine or should we worry? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19088, + "tgt": "How to improve low sodium levels after a brain aneurysm repair surgery?", + "src": "Patient: Hello doctor, My father underwent a brain aneurysm repair one and a half years ago, after which, he is having a constant loss of sodium. He is taking one Tolsama 15 mg tablet every alternate day to stabilize his sodium levels. He is also currently taking Encorate Chrono 500, Absolut 3G, Nexfolin and Tamlocept D. I enquired with the neurosurgeon about this, as it is unusual for the sodium loss to\u00a0continue for such an extended period post-surgery. I was told to contact an endocrinologist for my concerns. What do you suggest to reduce this prolonged sodium loss? Doctor: Hello. I would like to add that these tests will only confirm his diagnosis and the treatment plan is likely to be the same. Hope this helps. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8877, + "tgt": "What causes shrinkage of endometrium on 13th day of cycle?", + "src": "Patient: Hello doctor, I am on a 13-day cycle. My endometrium has shrunk to 7.7 which was 7.9 on 11th day. I am on Ecosprin 75 mg, Progynova 2 mg twice a day, Estrogen cutaneous cream. I was on Viagra vaginal insert for five days from day two. Now it has stopped. So, my question is why is my endometrium shrinking to 7.7 from 7.9? So my RE said will take a call after two days TVS. So, can you tell me what is going on? Doctor: Hello. A change of endometrial thickness from 7.9 to 7.7 mm is minimal and can be due to measuring bias. However, an ET of more than 7 and less than 8.5 mm by mid-cycle is an acceptable thickness for implantation. The medications that you are on are fine and should be continued. There is nothing wrong unless you develop irregular shedding or spots which can justify the loss of endometrial thickness otherwise the likely cause is USG measurement bias. Advise is to get a TVS repeated." + }, + { + "id": 5975, + "tgt": "My 11-year-old daughter is unable to control the urge to urinate. What to do?", + "src": "Patient: Hello doctor, My 11-year-old daughter has been unable to tell when she has to urinate until she starts to urinate. Before, she was able to stop and run to the bathroom. However, in the past couple of weeks, she has been unable to stop herself and keeps urinating. Her mother and I just found it out this evening, since she can not hide the small anymore. Doctor: Hello. Please get the child evaluated physically for urinary incontinence. A USG (ultrasound) abdomen may be required along with urine routine and microscopy. If all reports are normal, fluid intake and urine output dairy may need to be maintained to see what can be altered without using medications. Desmopressin may need to be started on SOS basis. Imipramine also can be started by a pediatrician after a detailed evaluation." + }, + { + "id": 10507, + "tgt": "What is the degree of burns in a baby injured by boiling water?", + "src": "Patient: Hello doctor, 1 year and 10 months old boy got injured by boiling water, the doctor pricked some of the blisters. The hospital could not say which degree of burn it is, so we are concerned and want to get a second opinion since he is crying a lot and is in pain, the doctor did not advise anything further. He is around 10 kg. The genital parts also have some blisters. Picture has been attached. The white area on the picture is Flammazine cream that the doctor prescribed. Should we find another hospital, is it serious? Doctor: Hi. This qualifies for approximately 9 percent burns (attachment removed to protect patient identity). The child will need to take some painkiller medications like syrup Crocin DS (250 mg/5 ml), 2.5 ml thrice a day for 3 to 5 days to reduce the pain. As regarding the cream, it is good, please continue using it. Unfortunately, I will not be able to judge from the picture if the child needs Bactigrass application or no to the burn site. This can only be assessed by a surgeon. Hence, it is advisable to get the child physically evaluated by a surgeon as early as possible. If required, the surgeon will clean up the wound and debride or leave the skin as it is and can assess if the child needs Bactigrass sheet application or no." + }, + { + "id": 15068, + "tgt": "Can chest pain have other reasons than heart attack?", + "src": "Patient: Hello doctor, My mom had chest pain yesterday evening at 3 PM. It was mild pain on the left side. Today morning she also had mild pain three times. I had contacted a cardiologist yesterday. He asked me to perform an ECG test. After seeing the ECG report, he said there is little issue in ECG line. Then he provided tablet of Aspirin and one injection. Then he asked for a few blood tests. After seeing the blood test report he said it is not a heart attack and provided Ecospirin for seven days. Sometimes she is still having mild pain. Please tell me is there anything to be worried or everything is normal. Doctor: Hi. Good news, there is no heart attack. It is normal. If there is recurrent chest pain especially with exertion or chest pain that relieves with rest and recurs on walking, climbing stairs, etc., then to be on safer side, have an ETT (exercise tolerance test) done. In this test, your mom will be asked to walk on a graded ramp and simultaneously ECG will be done. If there are no changes in ECG, non-cardiac chest pain will be confirmed. TSH (thyroid stimulating hormone) and lipid profile are normal as well (attachment removed to protect patient identity)." + }, + { + "id": 1507, + "tgt": "Why do I get chills without any trigger or cold climate?", + "src": "Patient: Hi doctor, I am a 23-year-old female. I have severe chills that I needed to wear thick sweaters and jackets at home without AC or fan. I do not feel the heat. And just cold water or slight cold breeze in the morning makes my head frozen or close to shutting down and it is getting worse. It always starts with the nose and then my head. Sometimes, I have to sleep to make the symptoms less severe. I am not under any medications nor do I have any medical condition. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from severe chills that you needed to wear thick warm clothes at home without AC or fan in summer now. Chills are the sensation of feeling cold. Chills are caused by rapid muscle contraction and relaxation. They are the body's way of producing heat when it feels cold. They often occur alongside a fever which is when the person's temperature is higher than normal. However, a person can also experience chills without a fever like you and there can be many different reasons for this. Possible causes include hypothyroidism is when a person's thyroid gland does not produce enough hormone that regulates their metabolism. Some people like you are more sensitive to the cold and may feel chills more frequently. Any type of viral or bacterial infection sometimes produces chills before a person gets a fever. Chill is a classic symptom of Malaria. It can have three stages. 1. Cold stage where a person experience chills. 2. Hot stage where they have a high temperature. 3. Sweating stage. Anemia may develop due to poor diet, age, chronic illness, medications, gynecological diseases, etc. Most common symptoms include waking up tired, looking pale, and always feeling cold with chills. Hypothermia can be resulted from dropping body temperature below the normal range due to any causes. Hypothermia can be dangerous especially when your body temperature falls further. If the temperature falls below 96 degrees you should seek medical care immediately. So you should monitor the body temperature with a thermometer during chills. You can do some investigations like CBC (complete blood count) with PBF (peripheral blood film), thyroid function test (T3, T4, TSH), RBS (random blood sugar), etc. Treatment depends on causes. So we should find out the exact causes of your suffering and then treat them accordingly. I want to add that dehydration, anxiety, panic attacks may cause chills too. When your body does not have enough fluids it is hard to maintain regular body temperature and this can lead to hyperthermia and fever like symptoms including chills. Again anxiety is more often associated with feeling sweaty than feeling cold but sometimes it can cause a chilly feel as well. And if you have panic attacks you might experience full body chills according to the National Institute of Mental Health (NIMH). In order to cope up with your chills, you can do the following \u2022 Drink lots of fluids including oral rehydration saline and plenty of rest. \u2022 Sponge with lukewarm water. \u2022 Don't bundle up in blankets or use AC or high speed fans. \u2022 Enjoy a warm soup and drink warm beverages. \u2022 Use a humidifier. Please inform the results after undergoing the investigations." + }, + { + "id": 495, + "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": 23896, + "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": 28606, + "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": 846, + "tgt": "Do people using tanning beds end up with melanoma?", + "src": "Patient: Hi doctor, From when I was 17 years old I have used tanning beds on and off up until I was 22. I was not aware of the risks. Through the internet I learnt about the risks. I got to know that it is inevitable and that will develop melanoma at some point. Do most people who use tanning beds end up with melanoma? My skin looks and feels healthy and I only have about four to five moles on my body and a few freckles. Melanoma does not run in my family. I have green eyes, but tan very easily. I rarely ever burn. Are my risks still very high from my tanning bed use? I did not notice any change in my moles at all and I now use sunscreen every day. Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29277, + "tgt": "What could be the reason for constant feeling of nausea and abdominal pain?", + "src": "Patient: Hi doctor, I am a 20 year old female. My height is 5'1\", and weight is 120 lbs. I have been getting a constant feel of nausea for over a year along with abdomen, chest and back pain. The chest pain is sharp in the place of the heart. The back pain is right down the middle of my back, starting at my shoulder blades and ending near the center. The abdominal pain is right down the middle of the torso and extends to the sides near my belly button. I feel nauseous all the time and have lost over 70 lbs in six months. I feel bloated, and my lower abdomen is tender to touch. I had an upper endoscopy, and nothing found abnormal besides irritation from the vomiting. I had blood tests, urine test, gall bladder test, liver and kidney tests. All the tests came back normal. I am currently on Zofran and Zantac for nausea. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22283, + "tgt": "I have CT heart artery scan results. I would like it analyzed for blockages", + "src": "Patient: Hello doctor, I have CT heart artery scan results. I would like it analyzed for blockages. The report says 100 % occluded RCA and some LAD blockage. Doctor: Hello. I passed carefully through your uploaded coronary angio CT images (attachment removed to protect patient identity) and would like to explain that there is extensive calcification inside the RCA (right coronary artery) that seems to produce important coronary narrowing. In addition, calcified lesions appear in the proximal portion of LAD (left anterior descending artery) and some scattered calcification inside LCx (left circumflex artery). Coming to this point and considering also the presence of coronary risk factors, the best strategy is to proceed with coronary angiography exam. This will definitely clarify all the present coronary lesions and the ongoing management strategy as well. You should discuss with your attending cardiologist on the above mentioned diagnostic strategy. Hope to have been helpful to you. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28960, + "tgt": "Why do I have a constant feeling of anxiety and negative thoughts?", + "src": "Patient: Hello doctor, I am a 24 year old\u00a0female, and I am a doctor myself. I just graduated from college and got a job.\u00a0I have this constant feeling of anxiety, and my heart rate does not seem to get lowered. I cannot shut my mind from worrying about what might happen in the future, I always think of the worst. I have this constant feeling that I have no friends and I would not be able to marry my boyfriend, because of some reasons that do not even exist right now. I feel that being happy will only lead to being sad, so it is better to be sad. I think I should reach for help, but I am apprehensive as to what my parents will think. I feel I am holding back on my happiness. Not enjoying my current achievements at all, and only worried about the future and what all is lacking in me. It is taking a toll on my studies. Doctor: Hello. I can understand your concern. A lot of individuals at your age suffer such anticipatory anxiety and stress about future. Follow these steps, and I am sure you will see improvement in yourself. Believe in yourself, and hard work will reduce any anticipatory anxiety. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14549, + "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": 26952, + "tgt": "Had sex after 15 days of her periods. Would she be pregnant?", + "src": "Patient: Hi doctor, My girlfriend had morning after pill and got her period a few days later. Then we had sex after 15 days of her periods\u00a0and I did not ejaculate inside her but still no period. Would she be pregnant? Doctor: Hi. Considering that her withdrawal bleed after the morning after pill would have started, so this shall become her fresh menstrual date and if her cycles had been regular and 28-30 days cycle then by the time you had sex she would be in her fertile period or in her ovulation period. So, having unprotected sex during this time, even though you ejaculated outside, still the chances of precum inside her vagina remains. Precum contains live sperms and hence there may be a chance that she may get pregnant. So, the best way to rule out pregnancy at present would be to get a serum beta hCG test. If the hCG levels less than 5 ng/dL, that indicates negative result and she is not pregnant. In that case, the deal in menses is due to the morning after pill as it is a side effect. Menses shall resume in next few days and one can wait safely. So, at present please get a serum beta hCG test done. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11020, + "tgt": "I am having minimal bibasilar atelectasis. What can I do to treat it?", + "src": "Patient: Hello doctor, I had a CT scan done yesterday for something else (nothing serious). They did say there was a 0.3 cm superior right lower lobe pulmonary nodule. Minimal bibasilar atelectasis. No focal consolidative opacities and no acute abnormality in the lungs. The doctor said since I am not at high risk due to size. I have never been a smoker, and because of the tiny size he did not think I need a follow-up, just with PCP. I wanted a second opinion on this. Doctor: Hello. Any past history of pnuemonia, bronchitis, or any history of tuberculosis? Connect me with details for full evaluation and management." + }, + { + "id": 6229, + "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": 8891, + "tgt": "How can I get attracted to my wife sexually again?", + "src": "Patient: Hello doctor, I have lost sexual interest in my spouse and I do not get an erection at the thought of making love to her. Otherwise, I have no issues with erection. I masturbate daily and do online sex chat. Please advise how to bring back the lost sexual interest in spouse. Doctor: Hi. As you are addicted to online sex chat and masturbation, thus lost interest in your wife. Your sexual needs are fulfilled by that. So, first stop sex chat and masturbation for a week and spend time with your wife, and take her to romantic date or dinner. Try to remember the quality time you spend with her in past. Talk to her as you talk on online sex chat that will stimulate you. Also try to find the reason that why you lost interest in your wife. Ask your wife to change her dressing sense and visit a parlor. Spending enough time with your wife and taking her to short weekend romantic trip will help you to find interest in her. Try to do these as much as possible. Go for evening walk with your wife." + }, + { + "id": 12821, + "tgt": "Will taking laxatives help in relieving constipation?", + "src": "Patient: Hello doctor, I am a 29-year-old male. I have been experiencing something like constipation for the past one week. I have had no abdominal pain, but I feel like I need to go to the bathroom. I have a bowel movement in the morning, but I feel constipated the rest of the day. I took some stool softeners a couple of days which helped, but I am still experiencing the need to evacuate my bowels. Also, I am passing some gas, but it is coming in little blips. Should I take a laxative or could it be like hemorrhoids or something? Doctor: Hello. I have read your complaints and what I feel is you might have irritable bowel syndrome (IBS) but before I could make this diagnosis, I need to know, do you have abdominal pain along with your constipation part? Do you feel relieved after defecation, by relief I specifically mean relief in the pain? Does this constipation sort of thing keep on recurring along with some episodes of diarrhea? Did you ever have complaints of blood or mucus in stools? If the answer to the first three questions is yes and a no to the fourth one, then it is more likely to be in favor of IBS. The cause of IBS is not known, but this I related to some sort of stress at work, studies, etc. You could try laxatives and modify your food in terms of food low in FODMAP. FODMAP is an acronym for fermentable oligo, di, monosaccharides, and polyols. You should avoid high FODMAP diet." + }, + { + "id": 9680, + "tgt": "Taking Evecare for third time did not help bring back periods. Why?", + "src": "Patient: Hello doctor,I am 22 years old and I missed my period in two years back. Then I started Himalaya Evecare two tablets daily for four months and then stopped it. My periods were regularized then. Again a few months back my periods did not come and again I started Evecare and periods came for three months. Then again I missed my period and I was still taking Evecare. This time Evecare did not help bring back my periods. May I know what is happening? Doctor: Hello, Welcome to the icliniq.com. For the delayed period, rule out the cause and after consulting gynecologist only, treatment can be taken. Thyroid problem, excess stress, obesity, starvation, ovarian problem, diabetes, etc., like causes, should be ruled out. For that serum random blood sugar, serum TSH (thyroid stimulating hormone), USG (ultrasound) abdomen, etc., like investigation can be done. According to the cause, specific treatment can be given if needed. Do not try any self-medication. If you have a history of unprotected intercourse then rule out pregnancy by urine hCG (human chorionic gonadotropin) card test. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5689, + "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": 3564, + "tgt": "What is the treatment option for Bartholin's cyst?", + "src": "Patient: Hi doctor, My wife is suffering from Bartholin's cyst. The problem is on the left side of her vagina for the last one month. She does not experience any pain in the cyst currently. The cyst is lengthy in shape and not circle. We got married last month. But, before intercourse only she found that she had a cyst and since then we have not involved in sex. Her age is 22 years and weight is 48 kg. She has taken medicines for about two weeks but it does not help the cyst to sit completely. Now we have consulted three doctors and everyone is saying for a surgery. I am afraid of some points.\u00a0Will it affect our future sex life?\u00a0Will there be complication at the time of pregnancy? Will it recur in future?\u00a0Is it easy for her to recover from the surgery? Will it be painful for many years?\u00a0Should we wait for some more time or go ahead with the surgery?\u00a0Can you please advice for some medicines or home remedies for cure? Thank you doctor. Doctor: Hi. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11106, + "tgt": "I am suffering from chest pain, back pain, arm pain and shortness of breath. Kindly help", + "src": "Patient: Hello doctor, I have chest pain, back pain, left arm pain, and slightly shortness of breath for the past two years. The pain remains constant all the time. I also have irritation and tingling for the last two years continuously. I have done ECG, echo, TMT, and CT angiography twice, and everything is normal. What should I do? Doctor: Hello. Your symptoms do not seem to be due to a heart problem. Tingling sensations, irritation, etc., are not caused by the heart. Your symptoms more or less seem to be due to some nerve irritation which may be localized or generalized. I advise you to consult a neurologist for proper evaluation of symptoms. Sometimes nerves got entrapped between bones in the neck or vertebral column that causes pain, tingling, numbness in fingers, arms and hands. If you are a pure vegetarian, there may be vitamin B12 deficiency, which can cause such symptoms. Apart from these, there may be a problem in the peripheral and central nervous system. Therefore I advise you to have a visit a neurologist." + }, + { + "id": 15709, + "tgt": "Can the new lesion in liver be due to recurrence of ovarian cancer?", + "src": "Patient: Hi doctor,I was treated for ovarian cyst which was initially diagnosed as CA ovary, but post-operation one was like CA and other was identified as a lesion. Now, in my CT PET scan, I have a lesion in the sixth segment of liver and metabolic activity in the para-aortic lymph node. Doctors are saying it is a recurrence of cancer but I want to check what kind of issue it is. Will it be really cancer recurrence? Doctor: Hi. According to your history and complaints, I can tell that the CT and PET scan you underwent detects exactly where the cancer cells are spreading and macro and micro-localization of the spread. Sometimes after removal of the cancerous growth, some cells which are cancerous might stay or circulate in spots undetectable at that time. Thereby, mutating the others and multiplying afterward which gets detected afterward. I recommend you to promptly start the treatment according to your doctor's advice without wasting much time as here time is precious while treating. All the best. Do not worry, you will be fine. Take care." + }, + { + "id": 7195, + "tgt": "I am suffering from redness and itchiness in eyes from several days. Please help", + "src": "Patient: Hello doctor, I have eye redness and itchiness for several days. Kindly help. Doctor: Hello. 1. Is there any pus stained discharge, especially in the morning on waking up? 2. Is your vision normal? 3. How much is the pain? 4. Start Moxifloxacin eye drop six times a day for seven days. 5. FML (Fluorometholone) eye drops three times a day for seven days. 6. Ocupol eye ointment (Polymyxin B, Chloramphenicol) at bedtime for five days. 7. Refresh tears eye drop one hourly for seven days." + }, + { + "id": 2796, + "tgt": "I feel muscle and joint pain with lower abdominal discomfort. Is this kidney or heart problem?", + "src": "Patient: Hello doctor, I am a hypertensive person and I take medicine Olsar H 20 occasionally. From the past two weeks, I am feeling muscle pain in hands and knee joints with headache backside. Sometimes while lying down to sleep I am sensing fluttering in my chest left side for which I feel afraid and sit for a while and sleep on the right side. For the past one week I am sensing a lower abdomen pain as well both right and left. Also, I have kidney stones measuring 3 mm and 5 mm in the left and right respectively as per the test I did about six months back and was advised for Noculi suspension in water and which I took for two months. I am afraid as I am away from home. Is this any issue related to my heart and kidneys? Please advise what immediate action I need to take? Is any serious issue? Doctor: Hello. Firstly, this does not appear serious to me. However, you should get yourself evaluated. This does not appear to be related to kidneys. Your ECG (echocardiogram) is normal and lipid profile shows elevated cholesterol level, which would increase the risk of heart disease in the future. So to reduce it, you should have healthy lifestyle like avoiding fatty oily diet. Less of non-vegetarian foods and regular exercises like brisk walking or running according to the capacity. Have less fast and fried food. You should try a healthy lifestyle for eight weeks and repeat lipid profile after that to see for the response. If there is a response then it is fine or else you will need to start medications. Regarding heart fluttering, this may be an extra beat which are usually benign or may be enhanced awareness of normal heartbeats. However, to be sure you should undergo Holter monitoring which is 24 your ECG monitoring, because ECG taken during the symptoms can only reliably rule out cardiac arrhythmia. Alternatively, you may attach mobile based ECG monitors like Kardia device or other devices. Another thing, you should take BP medications regularly as you are not measuring BP all the time and BP may go up during that time, which would damage the internal organs. Also, measure BP frequently. You should also get your Vitamin D and thyroid tested for body aches." + }, + { + "id": 23700, + "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": 23855, + "tgt": "Why do I need to remove glasses while reading?", + "src": "Patient: Hi doctor, I had a recent eye checkup. There is no change to the prescription of varifocal lenses. Why do I need to remove glasses for reading? Would single lens solve the problem? Doctor: Hi. If you were wearing glasses for near and now you do not need glasses for near, then that means you are getting index myopia due to changes in your natural lenses. That is an early sign of cataract changes that you can see without near glasses and it is called second vision. As you are 70 years old, there must be some early cataract changes. If you are fine with glasses for distant vision, then it is fine until your vision is further deteriorated. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7160, + "tgt": "Will barometric trauma cause hearing loss?", + "src": "Patient: Hello doctor, I tried scuba diving last week for the first time (did not go all the way underwater for a very long time) but tried the breathing. Then my ears were hurting as I was going underwater, and I came back above surface and stopped. Now, when I swallow, there is a slight clicking sound in my right ear precisely, and hearing is muffled. Is this permanent ear damage? Have I lost my hearing forever? I went to a doctor today, and they diagnosed me with barometric trauma. She has given me some nasal spray and some prednisone which she said should heal the pressure and clicking noise and remove the drainage in the throat. But I read that barometric trauma can also cause hearing loss. Also, I have small eustachian tubes. Please help. Doctor: Hello. Do not panic these issues mostly end safely, especially with the nasal sprays and Prednisone you are taking. Avoid straining, vigorous sneezing, or coughing. If you have to sneeze or cough you should open your mouth while doing it be calm even if your drum has ruptured it can heal again your problem is not permanent. After two weeks of treatment, you can perform a tympanometry and pure tone audiometry to assess the condition of your eustachian tubes and your hearing." + }, + { + "id": 2826, + "tgt": "Why am I having suicidal thoughts and nervous breakdown?", + "src": "Patient: Hi doctor, I was injured at work before four years and till date I have not received any treatment. In the course of trying to get medical help, I have been suffering with severe pain and have been on strong pain medication for over three years. I also had two surgeries earlier for disc herniation. Before two years, I was diagnosed with major depressive disorder and severe anxiety due to pain. I am fighting for my treatment. There is no support and I lost my career in 29 years of age. I lost my home and I am living alone. I have begun to have what I would describe as a nervous breakdown, with thoughts of suicide, overwhelming feelings of terror and hallucinations.\u00a0I am on Klonopin, Buspirone, Risperidone, Hydromorphone and Oxycodone ER. I also have been diagnosed with narcolepsy. I am taking Dexedrine for narcolepsy and I am unable to drive.\u00a0These horrifying feelings of abandonment, a conspiracy involving my workers claim, loneliness, depression and anxiety is so bad and paralyzing. I need to know what is wrong with me as my psychiatrist does not seem to put much urgency in my treatment. Please help. Doctor: Hello. I can understand your concern For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14193, + "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": 18830, + "tgt": "After urinating, I feel some amount of urine is retained in my penis. Can I take Gokharu Kadha?", + "src": "Patient: Hello doctor, I am an 18 year old\u00a0male, and I am having frequent urination. Every time I urinate, there is some amount of urine retained in my penis, and it does not come out. It is causing discomfort, and when I sit down on the toilet, then 1 to 2 drops of urine comes out, but it still does not come out fully. I have done a urine culture, analysis, and ultrasound of my abdomen, which showed no obstruction and stones and no prostate problems. I am confused as to what is causing the problem. My doctor told me to go to an ayurvedic shop and ask for medication. So, my father brought Gokharu Kadha three days ago, and I am taking two teaspoons of the medicine with little water. Still, my problem is not that improved, and I still feel little urine is stuck in my penis. It hurts when I laugh or\u00a0cough after urinating. Can it be a pelvic floor issue? From the last two days, I also have incomplete bowel moments. Is Gokharu Kadha good? Should I stop taking it? Doctor: Hello. I just read your query. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24565, + "tgt": "How to cure my baby's cough and cold?", + "src": "Patient: Hello doctor, I have a girl child, and she is 1 month and 16 days old. She is suffering from a cough and cold. This is to inform you that there is no pediatrician in our city. There is a medical practitioner who prescribed some medicine like Moxikind CV, Bro Zedex syrup, Asthakind syrup, and nasal drops and the illness is not cured. She is also releasing sound from her neck and feeling uneasy because of the problem and crying for the whole night. I am looking for the favorable response to my query from you. Doctor: Hello. Baby is very small. Medicines may be given. Provide the warm environment and keep the baby warm. Use the vaporizer and give indirect steam. You may keep a pot of roasted ajwain and garlic near the cot of the baby, the smoke or the fumes help in relieving blocked airways. Continue breastfeeding; it provides hydration and antibodies to fight infections. Handwashing is essential to maintain hygiene. Anybody in-house suffering from cold may stay away from a baby. Keep baby head slightly elevated while feeding. If a baby has difficulty in breathing or sucking or has the fever it is better to consult Paediatrician. For more information consult a pediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21878, + "tgt": "What is the growth on the corner of my eye?", + "src": "Patient: Hello doctor, I am concerned because I have a growth on the corner of my eye that you can see when you pull my eyelid to the side. It has been there for a long time. I do not even remember the first time I noticed it. It is a pinkish color. It does not move with my eye so it does not seem like it is attached. I also have been getting a lot of floaters. It has been there for at least six to seven years. Doctor: Hi. The swelling that I can see in the photo of yours (attachment removed to protect patient identity) can be one of the two things: Given that it has been there with you for seven years, tells me that it is a benign swelling. You will need to see a doctor about the swelling if: Regarding the floaters, I suggest you see a doctor as soon as you can. They are suggestive of posterior segment disorders and will need to be examined after dilating your pupils. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6921, + "tgt": "I am suffering from anal, stomach, and muscle pain. What could be the cause?", + "src": "Patient: Hello doctor, I have anal issues, stomach, and muscle pain. Please help me. Doctor: Hello. Please explain your symptoms in detail." + }, + { + "id": 27005, + "tgt": "What are my chances of becoming a father?", + "src": "Patient: Hello doctor, I am a 32 year old male married for five years. My\u00a0wife and I are trying for a baby for the last two and a half years with no luck. My wife had gone for an HSG and other tests and her reports are all good. My semen analysis was fine too. We had gone for IUI thrice with no luck. Now, four days back, I had gone for a computer-assisted semen analysis (DFI) and the results were\u00a0shocking. I was diagnosed with asthenoteratozoospermia. Please find attached my detailed report. Please let me know if there is any chance of me becoming a dad. I am heartbroken. I did doppler scrotal, anti-sperm antibody,\u00a0testosterone two years back and the reports were alright then. Should I take Zinc or Vitamin supplements? How is my chance with ICSI (IVF)? Should I do any chromosome related screening test? Please advise. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). As per your report, you have asthenoteratozoospermia. For more information consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 18807, + "tgt": "Will my PCOD get cured with homeopathy treatment?", + "src": "Patient: Hello doctor, I have PCOD for about 15 years.\u00a0I have all symptoms of pcod and irregular periods problem. I had one miscarriage 5 years ago due to cervical incompetence. I just started\u00a0taking Kalarchi choornam for 48 days and facing some side effects. My body is developing heat and I have got some pimples on my face which are painful. Please suggest remedy. Can I continue taking that choornam? Will my pcod get cured? Doctor: Hi. Kalarchi choornam can be continued for a minimum of 3 months and to a maximum of 6 months. The heat and pimples might be due to PCOD itself. Some people develop flatulence (gas trouble) due to Kalarchi choornam. This can be prevented by consuming the drug along with (or after) food and by taking more curd or buttermilk. I would advise the following drugs in addition for treatment of PCOD (Polycystic Ovarian Disease): I hope this will be helpful to you and my wishes for better health. Revert back to a homeopathic physician online for further queries --> \u00a0https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 27047, + "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": 5149, + "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": 26758, + "tgt": "What could be the white spot on my tonsil?", + "src": "Patient: Hi doctor, I observed a single white spot on my tonsil\u00a0yesterday, and it is painful. What could it be? How to cure it? Doctor: Hi. Thanks. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14849, + "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": 27593, + "tgt": "I have pain and swelling in my right wrist. Is it due to rheumatoid arthritis?", + "src": "Patient: Hi doctor, I am a 27 year old\u00a0female, and I was diagnosed with RA late last year. It has been persistent in my wrists this year. I was told to take Zycel 200 mg, but I feel something else could be wrong, as the pain and swelling are only in the wrists, more in the right hand. In my country, we do not have doctors to help. I read about carpal tunnel syndrome, and I need your help on it. I had\u00a0sudden joint pain two years back, and it lasted for four months negative for RA and pain suddenly stopped. And last year, I had sudden migratory joint pain with stiffness and swelling. I tested negative for RF then, and recently my RF factor was positive, so they put me on Zycel. From the beginning of this year, the pain has been persistent on my right wrist only with swelling and stiffness, which affects the fingers too. And on a few occasions, it attacks the left wrist or leg joints only. Doctor: Hi. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 17524, + "tgt": "My friend suffers with low heart rate after head injury. Why?", + "src": "Patient: Hi doctor, This query is with regard to one of my friends. He got an accident five months back. He was hospitalized in ICU. Blood came from his ear and so had a CT scan done. An ENT doctor said that his ear is fine and no hearing problem. Later he was shifted to his native. He was in ICU there. His oxygen level is up to 97% and heart beat 50 bpm. He is in conscious state of mind and understands everything. He recognized everyone. Also all kind of bleeding has stopped. He is with saline and local antibiotics only. A neurosurgeon advised for an operation now. So, I need a second opinion here. Thanks in advance. Doctor: Hi. We are here to help you. Probably your friend has got head injury that is causing the brain edema which is causing the low heart rate known as bradycardia. He should get a repeat CT done. We usually give saline, antibiotics and Mannitol to reduce the swelling that is in brain edema. If no relief or edema increases that is determined by clinical signs including both the pupils we go ahead for surgery. Revert back after the repeat CT scan to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15086, + "tgt": "I have swelling and pain in elbow area after an accident. Why?", + "src": "Patient: Hello doctor, I was involved in a car accident which my vehicle ran reverse on my left arm and got swelling and bruises all over my arm and now when I try to lay my arm down on something, there is a lot of pain in the elbow area and around the top of the elbow area and the doctor says there is nothing broken. I am just wondering what I should do. It is warm to the touch. Doctor: Hello. There must be crushing of the tissues and what is called internal degloving and a collection of blood called a hematoma and that causes the part to be swollen and warm to touch. As long as there is no fracture then you do not need a plaster but a sling to rest the arm is mandatory till the pain comes under control and the swelling reduces. The sling will also enforce rest to the part and will help keep the forearm from swelling up. Ice the arm and elbow 20 minutes for five to six times a day. Elevate when in bed on two pillows. If no better in a week then re-visit a doctor for a review." + }, + { + "id": 21536, + "tgt": "What is the blister-like bump in gums causing occasional pain?", + "src": "Patient: Hello doctor, I found about a week ago this slightly raised bump in the gums between my two front teeth (front and back). It does not look like there is puss in it. The first two days were very painful and hard to eat. The next couple days after that, there really was not any pain. It is just a really annoying feeling to have these kinds of blister-like bump behind my two front teeth. I do not have any sensitivity to hot or cold when I mess with it. It just bleeds a little. I do not know what it is or how to get rid of it. It is incredibly annoying. Doctor: Hi. I have gone through your question and I can understand your concern. Most probably it can be because of hormonal imbalance at this age. This is called age-related gingivitis and it will heal with time. Do not mess with it too much. For relief and quick control, you can use Chlorhexidine mouthwash twice daily. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18188, + "tgt": "What could be the reason for constant dull pain in head and neck?", + "src": "Patient: Hi doctor, I have been getting a sudden radiating pain like a wave from the back of the head up to the forehead. It is worse on right side and radiates to left side. It comes suddenly and is dull, but about 7/10 in pain scale. It goes away almost as fast as it starts. It happens multiple times a day when I am standing or sitting. And, it does not occur when I am lying down. Also, I have a mild constant dull ache in my head and moderate neck pain, which is worse on the right side. I feel that I have multiple trigger points and can sometimes replicate the pain when I hit them, but not always. Do you feel this pain could be from the trigger points? Is this something my chiropractor can help with? I have not seen him for about two months and this pain started about a month ago. I am in a desk job and I do work for around 40 hours a week. I never had headaches like this before. I am currently taking Ibuprofen for pain. Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25146, + "tgt": "If both the testes have reduced blood supply would it increase the risk of mutation?", + "src": "Patient: Hello doctor, If both the testes experience a reduction in blood supply (and thus oxygen and hormones), in the long run will it increase the risk of more spontaneous mutation present in sperms as lesser blood supply will affect the DNA replication and repairing ability of spermatogonial cells? Doctor: Hello. I have gone through your query. What you have mentioned is theoretically true, however reduction in blood supply and hormones will lead to atrophy of the testis and a decrease/ absence in sperm production eventually. Also right now it is clinically impossible to assess the presence of specific mutations in single sperm. What is measured is indirectly the levels of DNA damage. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 4101, + "tgt": "I do not have occlusion in one side of my crown with eating difficulty. How to manage?", + "src": "Patient: Hello doctor, I am 71 years old and I am in the process of getting major work done throughout my mouth. At the moment, I have only three grinding teeth on my upper. Two on the left and one on the right (numbers 4, 12 and 13). 11 days ago, the dentist reinstalled the crown on number four, but when I left his office there was no contact in number 4. There was only contact (occlusion) on 12 and 13. Of course, it was very difficult eating with only two teeth that had full contact. After a few days, I started to get a lot of pain in my neck and behind my ear and up almost to the top of my head on the side of number 4 (right side) and there was numbness in the area of my jaw joint (in front of my ear). I saw the dentist again four days ago and he added some type of material on top of number 4 to achieve occlusion there. I still have the pain constantly and it is pretty unbearable. 800 mg of Ibuprofen and Aspercreme on the area help me somewhat. I called the dentist and he said that the pain was related to some nerve problems inside the number 4 tooth. I have been thinking maybe there was some damage in my jaw or something because of my jaw having had overwork trying to make on the right side while eating. What do you think? Doctor: Hi I have read through your complaint and the relevant details. Firstly, I would like to ask you for what reason was the crown was placed for tooth 4. And usually, when there is no occlusion on one side, you will get pain and soreness on the opposite side. If the occlusion is high i.e. too high crown, the pain and soreness will be on the same side. Repairing the crown with extra material would not be ideal. If the occlusion is not there, the dentist must have given you a new crown in place. Were there any x-rays taken for the same tooth? In that case, any nerve problem can be easily identified. Please do not worry that you got a jaw problem. It is with the construction of the occlusion which helps you to do normal function. Ibuprofen 400 mg thrice daily should work well for this kind of pain. Heavy doses are not advisable. I reckon you check with the x-ray for that tooth if you have not had any before and forward it to me. I also request you to send the picture of the teeth so that I could arrive at a better diagnosis." + }, + { + "id": 11549, + "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": 7426, + "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": 11376, + "tgt": "If I not wear my specs for some time, will it affect my eye power?", + "src": "Patient: Hi doctor, As I use glasses continuously whenever I put them off, my eyes start asking for them, and I feel discomfort. For some time it will be fine to put eye lens for 2-3 hours. If I do not wear specs for 3-4 hours, will it affect my power? Doctor: Hello. From what you describe, you have become addicted to your glasses. Your age permits you to wear lenses, and that will provide you with even better correction and vision. But, to better evaluate your condition, I require to know your refraction and the power of your spectacles. It would be informative to know your visual acuity without and with spectacles." + }, + { + "id": 3882, + "tgt": "Kindly explain the reasons for pimples in a patient undergoing anti-TB treatment", + "src": "Patient: Hello doctor, I am 25, female suffering from intestinal tuberculosis and got operated three years back. Now I am undergoing medical treatment for that but I was experiencing huge hairfall and I got a good and effective solution from here. I am totally satisfied but I have one more query about my skin, I am getting too much pimples and glow is totally vanished. Doctor: Hi. Are you on any medications at present? If yes, please mention the medications. Depending on grade of acne, further medications can be decided What is your daily skin routine at present? What products do you use?" + }, + { + "id": 15152, + "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": 2921, + "tgt": "Why does my chapped lips not healed on using moisturizer?", + "src": "Patient: Hello doctor, For the past two months, I had severely chapped lips from the cold weather. I tried O\u2019Keefe's, Blistex, La Roche-Posay cicaplast lips, Vaseline, coconut oil and plain slices of cucumber, all of which resulted in burning itchy lips. I then decided to stop using anything at all for the last month and although the chapped lips have gone. The itching has started again and I really do not know what to do. I have atopic dermatitis and I am nervous about putting anything on my lips again in case it flares up and I have to wait another month for it to heal. Any advice would be greatly appreciated. Doctor: Hi. This condition is called cheilitis. It is due to vitamin B deficiency, low level of iron and zinc. Also, environmental exposure, licking your lips, eating spicy foods, cold, dry weather may lead to chapped lips. Vitamin B deficiency. Low iron and zinc levels. Cold dry weather. Lip licking habits. Allergy to saliva, spicy foods. Environmental exposure. Hemoglobin iron levels. Lip lick dermatitis. Angioedema. Angular cheilitis. Cheilitis. Apply good quality lip balm with sunscreen. Moisturize the lips. Proper lip hygiene. Becosule capsule for 10 days. Drink lots of water. Exfoliate dead skin of lips with warm water and moisturize your lips. Do not lip lick. After 10 days." + }, + { + "id": 2676, + "tgt": "Why am I not bleeding even after taking four pills of Misoprostol for abortion?", + "src": "Patient: Hello doctor, I am O negative and my husband is Rh-positive. I have a baby of 1.6 years old, Rh-positive. Now I am pregnant of six weeks and do not want to continue so I take an abortion kit but after taking all four Misoprostol pills bleeding not started yet and it is almost 24 hours gone. What to do now? Do I have life threatening risk? I am worried. Doctor: Hi. You need to do one ultrasound scan to confirm the pregnancy. If you had done scan before taking pills then wait for 12 days and if no bleeding then repeat ultrasound scan. And if you did not do ultra scan then get it done. You should bleed. But if not then either you had wrong pills or pills did not work. And will require surgical abortion. You need to consult a nearby gynecologist or abortion center. One rare chance is to have an ectopic pregnancy if you did not do an ultrasound scan. But if it was there then you should have more pain in the lower abdomen on one side. It will clear in the next ultra scan. In that case, treatment may vary. After bleeding starts you should take Rh anti D 150 ug injection within 72 hours because we do not know the fetus blood group. Do drink more water. And if you did not do ultrasound scan then you can repeat the urine pregnancy test also. Because sometimes kits also come faulty and give false-positive results. So to compare or confirm you can repeat." + }, + { + "id": 15809, + "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": 12948, + "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": 14955, + "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": 28555, + "tgt": "My 4 year old has stomach pain. What is he suffering from?", + "src": "Patient: Hi doctor, My son is 4 years old. He has had pain above his belly button for two days. He only wants to sleep. He is vomiting and not eating anything. Why? What is he suffering from? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 49, + "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": 16374, + "tgt": "I felt lower back pain while lifting weight. Is it disc problem?", + "src": "Patient: Hello doctor, I am a 25 year old male. My height is 177 cm, weight 63 kg. I have started workout since six months. I felt lower back pain while lifting weights. Is it a disc problem? Doctor: Hello. There are chances of disc prolapse if the following conditions are associated with the lower back pain: If these conditions are present, get an MRI scan done and revert back to an orthopaedician online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14748, + "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": 8211, + "tgt": "When should I remove my dressing after extraction?", + "src": "Patient: Hello doctor,I had a tooth extracted yesterday from the upper right side. Last night the blood clot fell out, so I was worried about getting a dry socket. I went back to the dentist this morning, and he said I did not have a dry socket and packed it with a nasty tasting dressing. I do not know what it is, so am I supposed to remove it after a while? Doctor: Hello. 1. The dressing packed in the socket should be a medicated one containing Zinc oxide eugenol. 2. This has to be wisely removed by the dentist in three days. And by fact, it is the dressing placed for dry sockets. 3. I advise you to continue with the antibiotics and pain killers if prescribed and revisit the dentist to get the medicated cotton pellet removed. This is also to ensure that the socket is healing well. Meanwhile, if the cotton pellet gets removed with your routine oral hygiene procedures, please do not worry. You will be completely alright. 4. Also, please follow the post-extraction instructions as well." + }, + { + "id": 24543, + "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": 8177, + "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": 27874, + "tgt": "The 22nd-week ultrasound showed single umbilical artery. What to do?", + "src": "Patient: Hi doctor, A single umbilical artery is observed in 22nd week L2 pregnancy\u00a0ultrasound. All other parameters are fine in relation to the growth of the fetus. I want to know how to deal with this. Can we go for amniocentesis or chromosome study? I also have a low-lying placenta with 15 cm distance from the os. I am so confused. I have seen a child, who was born with intestine issues. The child's stomach was stitched to the mother's skin after birth. Please help. Doctor: Hi. I have gone through your question and understand the concerns. Hope you found the answer helpful.\u00a0Regards. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2149, + "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": 15662, + "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": 1814, + "tgt": "My son has trouble sleeping with gasping for air at times. Please help", + "src": "Patient: Hi doctor, My 2-year-old son is having a lot of trouble sleeping. He snores every night and tosses and turns and has trouble breathing through his nose. His doctor says he has enlarged tonsils and adenoids. I think he has obstructed sleep apnea because I hear him gasping for air sometimes. We did a sleep study and the night of the sleep study he slept well. But every night at home he has a lot of trouble sleeping. He wakes up a lot, talks in his sleep has nightmares and I think he has sleep apnea because I hear him gasping for air sometimes. The doctor said we could try Flonaise to help him. But we read that Flonaise can stunt a child\u2019s growth. The doctor said he could grow into his tonsils. And I also heard that 2 years old is very young for tonsil surgery. My questions are how worried should I be about his troubled seeping? I am not getting any sleep lately because I listen to him all night. Is it dangerous to let him go on trying to sleep and have so much trouble breathing each night with possible sleep apnea? Please help. I am very concerned. Doctor: Hi. If symptoms are too severe we can go for tonsil and adenoid surgery now also. Flonase is a steroid and it does not affect growth as it will be administered inside the nostril and will have the action only there. There will not be any systemic or bloodstream absorption. How much worried you should be about his tonsil and sleep apnea problem are: 1. Change in facial features producing adenoid facies. 2. Irritability of kid. 3. He cannot hear properly due to adenoids blocking ear tubes. 4. Ear discharge. 5. Reduced development of speech. Do not get worried just because of the snoring and sleep apnea. Give him nasal steroids and antihistaminic syrup (like Zyrtec or Allegra syrup) of appropriate dosage. In some cases, we even give oral steroid syrup. It does not cause any stunting the way you have understood. Once you exhaust the above medical treatment option and find no or not much benefit we can discuss about the surgery. Your doctor is right in giving the medicines Flonase, etc. That is the protocol. We can follow the same here. The decision to operate may vary with different surgeon. Take a pediatrician opinion as well. Do revert back to me if you need more support." + }, + { + "id": 9596, + "tgt": "What is the treatment for high cholesterol, high triglycerides and high blood pressure?", + "src": "Patient: Hello doctor, I have high cholesterol, high triglycerides and also high blood pressure. Please help. Doctor: Hi. I have seen your reports showing increased liver enzyme with dyslipidemia with macrocystic RBCs (attachment removed to protect patient identity), it indicates early liver diseases. Kindly follow the following instructions: Stop alcohol if you are taking. Tablet Udiliv 150 mg PO BD. Tablet Atorva 20 mg PO OD. Alcoholic or diet induced. LFT. Dysipidemia. Alcoholic liver disease. Tablet Atorva 20 mg PO HS. Stop alcohol and fatty diet." + }, + { + "id": 4722, + "tgt": "Can high cholesterol with palmar erythema mean liver damage?", + "src": "Patient: Hello doctor, I was diagnosed with palmer erythema last year. I am 28 years old, however, I started drinking moderately from 16-20 then stayed sober for a year and a half. However started drinking again at 22 and have been more of a binge drinker consuming on average of 20-50 drinks a week over the last 5 years. I never drank everyday usually 6-10 one day during the week but would drink alot on Friday annd Saturdays. Since my PE diagnosis I have had my liver enzymes checked 3 times along with CBC and autoimmune diseases and just about every kind of blood work that could cause along with an ultrasound and everything has came back normal except my cholesterol and triglycrides were a high. Since I have gotten my triglycrides in healthy range but cholesterol is still a little high. My question is how accurate is all of this in detecting liver damage. I do not have any symptoms of disease except the red palms. And should I be concerned? Since I am now sober as I have talked to several people in the cirrohsis and and fatty liver disease community and it definitely scared the heck out of me how dangerous alcohol really is. So I am just hoping to get some advice and if there is anything else I can do to be certain? Or what is your opinion on my story? Definitely never drinking again and totally not worth the risk of developing some kind of liver disease. Doctor: Hello. Do not worry. You may have anxiety more than disease itself. For raised total cholesterol you may take low cholesterol diet with regular exercise. Quitting of alcohol may be useful. Get it done ultrasound abdomen and liver scan. Avoid alcohol intake. Use tablet Pantoprazole before breakfast for one week. Eat green leafy vegetables, do yoga and meditation. Be happy and do not worry. If cholesterol is still high, then you may take antihyperlipidemic drugs. Please consult your physician, he will examine and treat you accordingly. Take care." + }, + { + "id": 22941, + "tgt": "Is surgery possible for cryptorchidism in a 25-year-old male?", + "src": "Patient: Hi doctor,My husband and I have been trying to have kids. He has cryptorchidism. He did some test already they said the undescended testes is better than the descended on and it has a good blood supply. Is the surgery still possible? He is 25 years old now. What are our chances of having a baby after the surgery at 25? Doctor: Hi. Undescended testes should be corrected in infancy actually. Mode of correction depends on the type of undescended testes. There could be chances of malignancy and infertility if a correction does not occur in infancy. But the positive point here is that your husband having one side undescend and other side, not undescend but other side having a varicocele (attachment removed to protect patient identity). It is not clear in research as well how much chances of fertility correction after correction in the age of 25 years but their could be intrauterine semination, other IVF options always there if just one or two normal sperm could be detected from semen. Better to consult good fertility advisor or IVF center and surgeon as well for your conception issue but before that have proper investigations and correction of varicocele and undescended testis as well. You need multidisciplinary care and approach to find a correct solution as he needs surgery urgent or not. Before surgery, you can have IVF or IUI or after. All these points need investigations and discussion among all above-mentioned specialist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19688, + "tgt": "Is a negative HIV screening test at 36 days conclusive?", + "src": "Patient: Hello doctor,I had a low-risk event (no penetration but exchange of fluids through fingering and immediate masturbation). At 26 days, I received a PCR/RNA test that came back undetectable. At 30 days, I felt a small posterior cervical lymph node which I know is connected to HIV. At 36 days, I received an ab/ag test (blood drawn from a vein) and that too was non-reactive. Would you consider these conclusive? I just cannot get over the lymph node and after digging have found two more small ones in my cervical chain. Should I get tested again? I have a family and want to protect them. Doctor: Hello. I have noted your concern. A fourth-generation HIV screening test (antigen /antibody) is considered conclusive at four weeks. So, a negative test at 36 days is conclusive. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6460, + "tgt": "What is the prescribed dosage of Naxdom during pregnancy for migraine?", + "src": "Patient: Hello doctor, I am 32 years old. I have been suffering from a migraine for over five to six years or more. I have been sensitive to light since childhood. I used to take Migranil initially. Around two years ago, I met a neurologist and he advised me Amitone at night and Naxdom 500 in case of emergency (at the onset of a headache). It had given me a substantial relief but then I had to take Naxdom almost every other day. I have been trying to taper off but have been unsuccessful. I still have to take Naxdom 500 every three days (on average) else I just cannot carry on with my day. I do not take Amitone anymore as it had started making me extremely sleepy in the morning and working hours as well. When I have a migraine: I suffer from a throbbing pain usually emerging from the left side of the head and it keeps spreading. The pain grows into nausea and vomiting sensations. High intolerance to light (sunlight feels impossible to tolerate), sound, any distinct smell, non-cotton clothes. I am not able to handle even minor stress somehow which definitely does not feel normal. Naxdom is the only medicine that helps in such a case but how long can I keep depending on such painkillers? I had suddenly gained weight and had developed hypothyroidism in between. Can these medications be a culprit? Also, I want to know all the possible side-effects of Naxdom and Amitone, please. Kindly note, I have hypothyroidism as well. I have recently gone through a miscarriage and will be trying for pregnancy soon in approximately three to four months. But, at least for a month or so I want to get rid of my migraine issues. When I was pregnant, my doctor had said if it feels absolutely necessary I can take Naxdom at times. I had it only twice though during my pregnancy. What is the prescribed dosage of Naxdom during pregnancy in such an inevitable case? Also, please note even without a migraine attack, am generally very very prone to nausea and exhaustion since years (when it is hot, when I am stressed, long working hours or just for no plausible reason). What safe medications can I take to get rid of these nauseous feeling and vomiting tendencies and any tests I should get done? All these factors have been affecting the quality of life adversely and I do not feel these are normal symptoms as I have tried multiple solutions so far. Doctor: Hi. Your symptoms are classically suggestive of a migraine only. Now, migraine can be well controlled with medicines and lifestyle changes. My choice remains Amitone (Amitryptiline) along with Flunarizine. Side effect profile of Amitone contains mostly sedation and weight gain. Otherwise, it is safe to take. Naxdom is a painkiller and should be taken in only severe headaches. Now, point is that you want to conceive now, so in pregnancy, we usually advise our patients to take Paracetamol for headaches. A lot of people get their migraine resolved during the pregnancy period. However, in cases where we need to give medicines, the recommended drug is Propanolol, which is relatively safe in pregnancy. So, if you wish to start treatment, then discuss with your doctor to start you on Propanolol. This drug can be continued even if you conceive. For more information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 10788, + "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": 3458, + "tgt": "My baby is turning 6 months. What food shall I give him?", + "src": "Patient: Hello doctor, My baby is 5 months old now and turning 6 months in four days. He had loose motion three days back. Since yesterday he is better, but he has lost his appetite and weight as well. He used to have 120 ml of formula milk in three to four hours gap. But now he is having only 60 ml of milk. Now, what can I give him as he is turning 6 months soon? Doctor: Hello, Welcome to icliniq.com. For loose motion give Walamycin DS (Colistin sulfate) 5 ml twice a day for five days. Syrup Vizylac (Lactic acid bacillus) 5 ml twice a day for five days after meals. According to me after completing 5 months stop milk from 8 AM to 8 PM and give semisolid diet like dal, dalia, khichdi, alu, kela, rice, apple, upma, halwa, patola, rab, kadi, idle, poha, satu, custard, etc, and from 8 PM to 8 AM mother's milk is preferable, if not give top milk without water and add sugar as per your taste. To start with stop milk for four hours for 15 days and give a semisolid diet, then for the next 15 days stop milk for eight hours and give a semisolid diet. Lastly, stop milk from 8 AM to 8 PM and give a semisolid diet. For your knowledge 100 ml milk gives 70 calories of energy, 100 ml juices give 55 calories of energy and 100 gm of semisolid diet gives 350 calories of energy. According to me give following supplements Vitanova D3 drops half ml once a day, Zincovit drops 1 ml once a day, Feris drops (Ferrous ascorbate and Folic acid drops) 1 ml once a day and syrup Ostebon (calcium and vitamin D3) 5 ml twice a day. Continue all the above supplements for at least 1 year of age." + }, + { + "id": 13210, + "tgt": "I have a pimple on my foreskin. Please help", + "src": "Patient: Hello doctor, I had a pimple on my foreskin around 15 days ago. I squeezed it and applied an antibacterial cream, but there was very little improvement .\u00a0From the same day, I am having some stomach problem and anxiety. So, I visited my physician today, and he prescribed Vapal\u00a0150 and Cufix\u00a0200, and asked me to follow up after five days. I have attached a picture for your consideration. Doctor: Hello. I read your query and understand your concerns. I hope this helps you. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20702, + "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": 27214, + "tgt": "Can stress cause tightness in the chest?", + "src": "Patient: Hello\u00a0doctor, I have had sensations of tightening in my head, face, chest, and abdomen on and off several times a day. I\u00a0had them last week and it lasted a couple of days and went away for a week until\u00a0now. Today, I have them more. It is like a light contraction feeling that lasts\u00a0for a few minutes. Doctor: Hello. But, if you could provide some more details, I can help you. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19263, + "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": 27763, + "tgt": "Can I give Zinc to my son for loose motions?", + "src": "Patient: Hi doctor,My baby is 14 months old. He has been suffering from loose motion for the past six days. I have given him Zinc sulfate, but not found any improvement in him. Please suggest me something for him. Whatever he is eating, he has to go through loose motions. At night, he started crying a lot. Please help me. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26650, + "tgt": "The skin in my groin is rough and dry. Please suggest a cure", + "src": "Patient: Hi doctor, I used to wear tight underwear and sometimes used ones a lot. Two days back, I observed that my groin skin is rough and dry. I do not feel any itching. Sometimes I keep my underwear on through the night. Is it the cause? Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 27978, + "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": 17942, + "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": 8878, + "tgt": "Lyrica is not helping to manage chronic nerve damage. What can be done?", + "src": "Patient: Hello doctor, I have severe chronic nerve damage pain in my right elbow and arm. I am having issues with nerve damage, Lyrica has stopped working, I take 150 mg in morning and 300 mg at night. Still not helping. I feel like I am getting worse. Struggling to hold things, pain in right arm and elbow, struggling to manage from day to day activities. I need help with managing the pain. Doctor: Hello. You are suffering from severe chronic neuralgic pain in the right upper limb. You are taking an optimal dose of Lyrica but as per you, it is not working now. I will request you to share your previous investigations or laboratory and neuroelectromyographic reports to me. Why I am asking about this because of chronic nerve damage due to what and how much nerve damage occurred that we have to clarify. If we can treat the root cause then why should we focus on pain? Still, we gave many options for pain relief. I will suggest Gabapentin 400 mg + Nortriptyline 10 mg once daily for three days, then twice daily. And if still, it is not working, then I will add Duloxetine 30 mg once daily. But, my advise will be to go for a complete evaluation, if not done and if evaluated completely then you can start Gabator NT." + }, + { + "id": 10454, + "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": 22279, + "tgt": "Is my vomiting because of food poisoning or virus?", + "src": "Patient: Hello doctor, Two days ago, I had what I thought was a standard case of food poisoning, mild diarrhea, and vomiting for around eight hours. By the next day, I was feeling fine and was able to keep all liquids and food down. Now, over 24 hours later, the vomiting has reoccurred. Should I be concerned about my vomiting pattern? Is it a virus or food poisoning? I am a female, 29 years old and no other medications. Doctor: Hello. You have developed transient gastritis due to food poisoning and it may take few days to settle. You need to take PPI (proton pump inhibitor) Pantoprozole 40 mg for few days and an antiemitic (Ondansetron) for a day or two. It is not virus, you need not worry about it. It is temporary, I can assure you that. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12565, + "tgt": "There is a white patch behind my baby's ear. Is it curable?", + "src": "Patient: Hi doctor, My son is 14 months old and a normal baby. He has developed white patches or spot behind ear and back of the neck. According to my knowledge, it is present since birth or from the time he was three months old. My father has eczema in his leg. The patches do not spread but with time, they seem to enlarge. I am much worried. I want to know what is that patch. Is it curable? Are there any chances of it spreading and becoming a permanent patch? Is there any way to cure? I have attached the pictures for your reference. Please help. Doctor: Hello. Thanks for sharing the photographs (attachment removed to protect patient identity). I can notice the patches are forming lines. They are identified as birth marks. Just the way there are black moles present, similarly white moles are there. These birth marks do not cause any health problem. They do not have any symptoms and will remain forever. Since it is not present on face, it will not affect cosmetically. Keep a record of photographs taken regularly and observe the change in size and color of the patch. For better analysis, get it checked with a dermatologist." + }, + { + "id": 15635, + "tgt": "I have redness and burning sensation in my face. Is it curable?", + "src": "Patient: Hi doctor, I have severe redness in my face. I also have a burning sensation in my face. What is it? Is it curable? Doctor: Hi. You are suffering from rosacea. It occurs due to solar damage, and it leads to vasomotor instability causing erythema on the face, and a tendency to flush easily. Identify the triggering factors and avoid it. The common triggering factors are hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, emotions, and topical products. For red areas, you can apply Brimonidine gel twice daily after consulting your GP (general practitioner) or dermatologist. Use broad-spectrum physical sunscreen like Sun cross soft gel (Zinc oxide with Alkyl benzoate) with SPF (sun protection factor) 50 daily. Use it all over the face in the morning. You have to repeat it once in four hours." + }, + { + "id": 9519, + "tgt": "I am taking Ecosprin for LAD bridge. Will it be helpful?", + "src": "Patient: Hi doctor, I have occlusive muscle bridge in LAD 50%, which was detected by angiography. I am on Ecosprin AV 75/20. Will it be helpful? I am 29 years old. Sometimes, I feel pain in my chest. Doctor: Hi. I have gone through your angiography (attachment removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8541, + "tgt": "Why do I get recurring canker sore at the same spot on my lip?", + "src": "Patient: Hi doctor, I have a recurring canker sore occurring at the same spot on my lower lip. I am getting it for the past one year. It recurs every two weeks. It gets healed by itself after five to seven days. I am using Sensodyne toothpaste and Listerine mouthwash. Doctor: Hi. These are self-healing, and they do not need any sort of medical intervention. These are associated with either vitamin or folic acid deficiency or any other particular food or even constant irritation. These ulcers remain for a specified period or age and will disappear totally. You need to keep a watch over it to identify what triggers it and avoid it. In case of pain, use Lignocaine gel twice daily for pain relief. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2287, + "tgt": "Will UTI result in uneasy feeling around the waist?", + "src": "Patient: Hello doctor, I feel a little uneasy sensation around my waist (kidney area). I got my complete blood checkup done that included KFT and CBC. In it my red cell distribution width, mean platelet volume, and eosinophils are little high and absolute basophil count is low. Due to this I also got my UTI test which is normal. Can share both test results. Please guide me with the reasons behind these and advise me on good medication. Doctor: Hi. Results are normal need not worry. (attachment removed to protect patient identity). Do you have any pain in and around the pelvis area or back? Is uneasiness present always or intermittent? Passing stool freely, no constipation? Do US (ultrasound) abdomen. Now you can take tablet Pan 40 (Pantoprazole) one tablet before breakfast, syrup Sucralfate 10 ml tid after food. Review with the US abdomen report." + }, + { + "id": 14378, + "tgt": "Is it advisable to consume brown rice by a diabetic taking Metformin and Glimepiride?", + "src": "Patient: Hello doctor, My sugar level is 190. Metformin 500 with Glimepiride 2 is my daily medicine. I take half twice daily. Can I eat brown rice regularly? Doctor: Hello. I understand your concern. You can safely eat brown rice or whatever kind of rice or grains that your ancestors have been eating. However, it is important to control the sizes of your food portions. I recommend that you use a measuring cup of whatever size you want. Use this same cup to measure your food at every meal. Start your meal by eating one full cucumber. Then you can eat your meal which should have one cup of rice or grain and three cups of vegetables (all measured in the same cup). Finish your meal with 250 ml of thin buttermilk. You should make sure that you eat all this in one meal. If you think it is too much to eat, reduce the size of the cup. You will be amazed at how little rice you really need to sustain yourself." + }, + { + "id": 4549, + "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": 18516, + "tgt": "I am suffering from body lice in the groin area and waist. What should I do?", + "src": "Patient: Hello doctor, I am suffering from\u00a0body lice. I found some lice in the groin area and waist. I take bath daily. I washed\u00a0my clothes and bedding using hot water (of temperature 75\u00b0C). Even then I am unable to get rid of them. What should I do? Doctor: Hello. I have gone through your query and the pictures (attachment removed to protect patient identity).Your suspicion is correct and this condition is known as pediculosis.\u00a0The lice are an infectious condition and need to be eliminated. Fortunately, it is not difficult. You simply follow the suggested measures and you should be well again. You should be in perfect health very soon. For further follow up, consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30427, + "tgt": "In case of myoglobinuria, should I worry about my kidneys?", + "src": "Patient: Hi doctor, High abdomen exercise resulted back and thigh stiffness and pain. For pain, I had\u00a0heat application, but no medicines. It was bearable. I ate five to six mangoes at night. My urine and other things were normal. The next day, I had Diclofenac in the morning as muscles were more stiff at thigh and back. After two hours, I had a dark brown urine. Then, I took lots of water and urine color came down to normal pale yellow or white. I visited a urologist. He\u00a0checked and said it seems to be fine, but since I have muscle pain to rule out 1% possibility of myoglobinuria. He suggests sonography, CBC, urine test, creatinine and plasma glucose. My sonography was normal and the blood test results are pending. I keep on drinking water and the urine is normal. Should I worry about my kidney?\u00a0I am worried if my muscle stiffness may create problem in kidney.\u00a0Please guide me. Doctor: Hi. Do not worry, nothing will happen to your kidneys. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21166, + "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": 27369, + "tgt": "Please suggest some permanent solution for balanitis", + "src": "Patient: Hi doctor,I am a 28 year\u00a0old\u00a0male, and I have been suffering from balanitis for more than two years. I have itching under my foreskin of the penis and very small red bubbles on the penis head. Initially, I had pain in the groins, but now there is no pain. I do not have pain on urination and no fluid discharge. A doctor told me to use Panderm cream.\u00a0When I use this cream, I feel comfortable, and the red rashes disappear. But after some days, they start again. I do not have any other health problems. Recently, I underwent all tests, like HIV, diabetes, BP, hepatitis, etc., and all were negative. I am uncircumcised. Please suggest some permanent solution. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19625, + "tgt": "What is macular degeneration?", + "src": "Patient: Hi doctor, I am 68 years old. I have just been diagnosed with macular degeneration. The doctor basically stated that there was nothing that could be done as this was just a part of aging. He did suggest to eat more green leafy vegetables. When I suggested Kale and dark leaf vegetable powder, he laughed and called me a dreamer. I simply cannot believe that there is anything else I can do. I am healthy with low blood pressure and a good weight. I would appreciate your medical opinion. Thank you. Doctor: Hi. As you stated that you have been diagnosed with macular degeneration that is ARMD (age-related macular degeneration). Now, let us know what ARMD is. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30886, + "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": 855, + "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": 16737, + "tgt": "Would braces close wide gap between front teeth?", + "src": "Patient: Hi doctor, I have a wide gap between front teeth\u00a0that was due to short upper and lower frenulums, which were removed nine years back. I also treated for periodontal disease as a result of these gaps.\u00a0Now I have recessions (pockets), exposed root of that front tooth and also it is deviated. Do I need surgery for correction? What type of surgery?\u00a0The lower front two teeth also have little recession. Please advice. Doctor: Hi. For further information consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 14416, + "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": 12255, + "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": 10869, + "tgt": "Why do I feel weak with low BP and inability to stand properly?", + "src": "Patient: Hello doctor, I am a 27-year-old man. Sometimes, I feel very weak. My BP goes down and I am unable to stand properly. Also, there is a pain in my foot. Please tell me the treatment to cover this type of problem. Doctor: Hello. You have two main concerns. The weakness is not due to low blood pressure. The low blood pressure can lead to dizziness and inability to stand as described by you. For that try to maintain hydration with lots of water and whenever you feel dizziness take salted food and fruit juices. You can check your blood sugar level as well. For tiredness, I suggest you investigate with serum potassium, serum sodium estimation, serum TSH (thyroid stimulating hormone) estimation, CBC (complete blood count), liver profile, and kidney profile. You can revert back with reports. For pain in the foot, avoid prolonged standing or walking. It is advisable to investigate with X-ray foot for further work up. You should get checked your serum calcium and vitamin D level as well." + }, + { + "id": 1731, + "tgt": "I get recurrent folliculitis in my upper leg and pubic hairs. Please help", + "src": "Patient: Hello doctor, I have recurrent folliculitis. The most common areas are in my upper legs and skin where my pubic hair lies. I hope you can help me out in explaining why this happens to me. I have this for almost two years now. I was given antibiotics once in the past. Doctor: Hi. Recurrent folliculitis occurs in people who has deficiency to fight staphylococcus aureus bacteria. These are small boils which occur repeatedly at multiple sites of the body. Antibiotic heals them but they again appear after a few weeks or days. It can develop any time during life and may vanish within a short period. Repeated antibiotic courses has to be done but precautions which I am writing down if taken properly mitigate this problem. First thing is you have to take an antibiotic course for the presenting complaint. Take Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) thrice daily for five days and Mupirocin ointment twice daily. This has to be continued for a longer period of up to 1 month. Apply it inside the nostril, in the axilla, in the pubic area, in umbilicus daily twice. Use antibacterial soap like Cetrilak (Cetrimide). Do not touch the parts of the body repeatedly like scratching, as it also transmits this bacteria. In some people, if Amoxiclav does not work we give other antibiotics but you have to try this first. Review after four weeks." + }, + { + "id": 3054, + "tgt": "Will SVF fat cell treatment for OA result in chest tightness and COPD?", + "src": "Patient: Hi doctor, I am a 50-year-old female, with a history of childhood asthma, that was virtually a nonissue in my adult life until three weeks ago. I had a recent SVF adipose stem cell treatment for OA with a cold on board. I felt tight chested then but not bad enough to take my Ventolin. A few days later, I developed a persistent tight chest and difficult exhalation that led to a respiratory admission for ?asthma or reactive airways. In spite of Prednisolone, Seretide, Ventolin, and Atrovent, I do not feel better. I am unable to work and doing very minimal things around the house because of the severity of the symptoms. My mother had COPD. I am frightened this is COPD and I am terrified actually. I am also scared that maybe the stem cells have caused an adverse lung reaction. I cannot continue to live like this. I have had a normal CTPA, normal CXR, normal echo, no growth in my sputum, and apparently a normal-looking lung function test that might be indicative of asthma (different people tell me different things). Please help. Doctor: Hello. I have gone through your symptoms and investigations thoroughly and your treatment records. (attachment removed to protect patient identity). First of all, it is not a COPD (chronic obstructive pulmonary disease) and asthma as suggested by normal pulmonary function tests and normal chest x-ray. It is also very unlikely due to stem cell reaction as chest x-ray is normal. I have reasons to suspect that symptoms are not due to lungs rather due to heart the condition is known as cardiac asthma. I want to know one thing do you have swollen leg on both sides and are you on any antihypertensive agent. Congestive heart failure. ECG, Echocardiography. Atypical lung infection Cardiac asthma. Tablet Aldactone 50 mg (Spironolactone) one tablet thrice a day for five days. Tab Monteluekast 10 mg 1 tab once a day at bed time for 2 weeks. Raise your head side while sleeping. Upload your echo and other reports." + }, + { + "id": 308, + "tgt": "82 years old lady is having swelling of foot with bluish discoloration. Is it due to blockage of blood vessel?", + "src": "Patient: Hello doctor, Patient is an 82-year-old female. She weighs only about 45 kg. No BP, no diabetes. She is having inflammation and swelling in the right foot. It seems to be a blockage somewhere in the right foot blood vessel and it appears bluish one month back. And now it subsided a bit but the swelling is there. She is on Neurowin injection, Ecospirin, and Zerodol SP. She is moving comfortably now but the swelling is there and the bluish color has reduced a bit. Doctor: Hello. Her foot appears to be in good condition now (attachment removed to protect patient identity). The likely cause for bluish discoloration is blockages only and is called peripheral arterial disease. So of she should be treated on the line of blockages itself. Now blockages in the foot raise the strong possibility of blockages elsewhere in the body like heart, brain, and its fortunate that she did not suffer any consequences due to that. So she should be evaluated with few investigations, like ECG (echocardiogram), Echo, Fasting lipid profile (sugar if not done recently). Also, to confirm the diagnosis, she should undergo CT (computed tomography) angiography of both the lower limbs. Now coming to the treatment part, obviously, the best would be to open it with stents. But as of now, she will need some more medications than what she is having. You may continue with Neurowin or better to have it in a tablet form once daily, and it is just a multivitamin supplement. She should also continue plain Ecospirin and dose should be 75 mg only at bedtime. Now in my opinion, she should additionally have tablet Rosuvastatin 10 mg bedtime once daily and tablet Cilostazol 50 mg twice daily after food. She should also have some antacids along with these medications like tablet Cyra 20 mg (Rabeprazole) once daily before breakfast. So these three medications should be added additionally until her evaluation is completed and probably will need to continue for the long term. Zerodol SP should be avoided as it may harm her by causing bleeding or raising blood pressure. Plain paracetamol is allowed. She should be encouraged to move and walk atleast 30 minutes a day as it would improve blood flow. I hope this helps." + }, + { + "id": 20025, + "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": 3502, + "tgt": "How can low platelet levels be improved?", + "src": "Patient: Hello doctor, Male, 55, 170 cm, 60 kg, non-smoker, non-alcoholic ,vegetarian. Day before yesterday nose and ear bleeding was there in the early morning. Done blood test and found platelets count 24000 only. The doctor suggested to take rest for 4 days. Doctor: Hi, Welcome to icliniq.com. Following is my opinion for your case. Your platelet count is low and suggestive of severe thrombocytopenia (attachment removed to protect patient identity). The bleeding could be due to that. The reactive large platelet also seen in smear. So platelet destruction might occurred in your body. Dengue and viral infection are common cause for that. Your platelet count need to be monitored at 48 hour interval. Drink lots of water. If platelet count still go down and bleeding does not stop than platelet transfusion might given. You can rule out dengue by Elisa or Rapid card test." + }, + { + "id": 15344, + "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": 26319, + "tgt": "My finger joints are stiff every morning. Is it a type of arthritis?", + "src": "Patient: Hello doctor, I get stiff joints in the fingers (like an elastic effect) when I get up from bed in the morning. I\u00a0also get ankle pain. After a\u00a0few movements, I am fine. I consulted a rheumatologist who mentioned that it is psoriatic arthritis. My joint pain is very mild and comes only when I am idle for a long time. Please let me know why I have this joint pain and what type it is. Doctor: Hello. I went through your post. Regards. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 26302, + "tgt": "What medicines do you suggest for severe cough that developed after a cold?", + "src": "Patient: Hello doctor,I am facing this severe and acute cough for the past three days. I am constantly coughing. It started with a cold and running nose. I took Zyrcold tablet for it. It helped with the running nose, but since then I am coughing constantly. There is no fever now, only persistent cough. Please provide good medicines for this dry cough, which is very acute. Doctor: Hello. I went through your post. It should settle your issue. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7114, + "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": 14781, + "tgt": "I have acute pain on the right side of right leg knee. I am not able to walk as usual", + "src": "Patient: Hello doctor, I have acute pain on the right side of my right knee. I am not able to walk as usual. The local doctor diagnosed it as a ligament tear. He suggested to take rest and wear a knee pad. One month is over, and there is no improvement seen yet. There is also little swelling and pain. I am not able to balance while walking. It pains when I walk. I have attached my x-ray. Doctor: Hi. You have not mentioned your age, profession, and how you developed the pain (like after a slip or after a fall or just by itself). When you have a limp that has not settled over one month and you do not have balance when you walk then it is not normal. You have to be personally examined, and if necessary, an MRI scan of the knee has to be done. You could have a problem in the meniscus (a washer-like structure between the bones) or the ACL, PCL, PLC, etc. (ligaments or cords that connect the two bones). These are best seen only on an MRI. Meanwhile, please continue rest, splinting, and analgesics." + }, + { + "id": 2648, + "tgt": "I get recurrent white patches at the back of the throat with swollen lymph nodes. Why?", + "src": "Patient: Hello doctor, My symptoms are distinct white patches on the back of the throat, persistent swollen lymph node in the neck (for at least a week, possibly longer), slight soreness in throat near the node. No fever but have had headaches. Throat flared up in soreness about a week ago then subsided though lingered and lymph node has stayed swollen. Preceding this flare-up was a long period of post-nasal drip and feeling something thick in the back of the throat. Looking at photos of my throat from 2015, it looks like I had very similar white patches on the back of my throat then as well, so it is not clear if they are there permanently or chronically. I cannot find many images online that correspond to this particular shape and pattern of white blotches at the back of the throat. Please advise. I am a male of 39 years old. I take 100 mg Sumatriptan when needed. Doctor: Hello, Welcome to icliniq.com. What you are seeing are enlarged lymphatic channels in the back of your throat. (attachment removed to protect patient identity). This condition is called cobblestone throat. It is a term we use to describe irritated throat with visible bumps and lumps at the back. Remember that these bumps are due to enlarged lymphatic tissue in the tonsils and adenoids. These are small pockets of tissue in the back of your throat which when you get irritated due to allergies, postnasal drip or infection can become large and obvious. You do not have strep throat or fungal like picture. I would suggest trying anti-histamine and Tylenol for the next few weeks and see if it improves. If not consult an ENT. I hope this helps." + }, + { + "id": 17778, + "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": 4789, + "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": 24699, + "tgt": "I had a tiny cut on the shaft three hours before the act. Is HIV transmission possible?", + "src": "Patient: Hello doctor,I had protected sex with a sex worker. First, she started off with a protected blowjob followed by protected sex which lasted no more than 30 seconds.My concern is that three to four hours prior to sex, I shaved my penis and got a tiny cut on the shaft. Although during the entire activity I made sure that the cut was covered with the condom, but still wanted to check if this was a risk situation. I am worrying a lot. Please help. Doctor: Hello. I have noted your concern. Protected sex is safe as far as risk of HIV is concerned. However, there is still a risk of genital herpes, HPV infection or warts as a condom does not cover the entire penis and there is some uncovered skin at the base of the penis for a skin to skin contact. If the cut was covered, it obviously does not increase the risk. Even if it was exposed, then HIV is still not a risk as it has to be a fresh actively bleeding cut for the virus to pass through. A paper thin cut that is a few hours old is self-sealing. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 13785, + "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": 23463, + "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": 4286, + "tgt": "Why do I get shock sensation during sleep with restricted body movement?", + "src": "Patient: Hi doctor, I had a very weird experience last night. I woke up suddenly, I am guessing I was in the middle of a dream and felt an electric shock type sensation going through my body, and I could not move. The closest thing I can think of close to it was when I was a kid and touched the metal water hose handle during a storm and felt a current move through me. It is extremely strange and I am not sure what to make of it. It lasted about 5-10 seconds. I am currently on Wellbutrin XL 150 mg once daily, Straterra 40 mg once daily. I just started a B complex supplement yesterday morning before this occurred last night. Doctor: Hi. From your history, it looks like a sleep parasomnic event. It mostly happens in the REM (rapid eye movement) phase of sleep, which is a deep sleep phase. In that phase muscle tone of the whole body is reduced and if someone awakens prematurely in this phase will be unable to move body muscles and feels like paralysis of the whole body, and unable to speak but it is transient and benign in most of the cases. Many times it can happen due to Straterra (Atomoxetine) but very rare. B complex cannot produce such symptoms, but still better to stop it if not a genuine deficiency state. In my opinion, no need to evaluate further except recurrence or disturb your sleep. Many times it is physiological so no need to worry. Maintain sleep hygiene. Take seven hours of sleep in 24 hours. Regularize the sleep cycle. Do not take coffee or tea or neuro stimulant before sleep. Do not do exercise three hours before sleep. I hope this helps." + }, + { + "id": 25740, + "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": 16001, + "tgt": "I feel incomplete bladder emptying and urge to pee. Why?", + "src": "Patient: Hi doctor, I am 42 years old, and I had a bacterial infection. I took anti-bacterial and anti-fungus medication. Now, I have a burning sensation while going pee and I feel like I have an unemptied bladder. I have an urge to pee. I also have a feeling of having leakage. I am taking the following medication for other causes such as Zyloric, Aspirin, Zantac, Coversyl, and Hypothyroid. Please suggest. Doctor: Hi. You are suffering from recurrent urinary tract infection. Please explain about the bacterial infection you had and about the medication taken. Please explain the reason for taking Aspirin." + }, + { + "id": 22588, + "tgt": "Can you suggest a vegetarian diet plan for getting a healthy and fit body?", + "src": "Patient: Hello doctor, I am a pure vegetarian. I have been hitting the gym on a regular basis during morning hours. I could feel the change in me but not the kind of lean body which I am looking for. I am a foodie and I love to eat everything which is vegetarian. Lots of fat is accumulated in my face and stomach rather than the other parts of my body. Can you suggest a diet plan for the whole day? From 11 AM to 6 PM, I have to sit at my office. So, there are no physical activities involved during that period. Doctor: Hello. Based on your current height and weight, your BMI (body mass index) is in the normal category. In order to give you a personalized diet plan, I need more information about: If you can send me your accurate 24 hours diet and activity diary, I can make a plan which fits in your schedule and is easy to follow. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17695, + "tgt": "After 7 years of knock knee surgery, I am getting pain again. Why?", + "src": "Patient: Hi doctor, Before seven years, I got surgery for knock knees. Now, for the past one year, I have been suffering from knee pain. Also, I have pain in the foot, ankle, chest and back. I am not on any regular medication. I am only doing some exercise to get relieved from the pain. Doctor: Hi. Knock knees under investigation. Revert with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29637, + "tgt": "Please explain my mental pressure in professional point of view", + "src": "Patient: Hi doctor, I am not sure if I should be doing this, but I am worried. I really want to die. I have always considered it, but I have goals like seeing my books published. But, for the past few months, I have cared less for the books and more for how to die. I am trapped in school to study engineering when I am an artist. I hate school and studying engineering made it 200 times worse. Slowly, I started to lose myself. I would be so weak and tired. I would stay in bed for days and afraid to get up. Soon, I started playing how to die. I saw everything and wondered that how it could kill me. Then, I thought I needed help. I have always been afraid. I have had anxiety for years. Whenever I see a classroom; I go straight into a panic. After years, I have learnt to panic inside, scream in my head and smile even if I am crying. These days, all my hard work to make sure people cannot tell something is wrong seems to be going out the window. I scream for hours when my panic hits. Nowadays, I avoid people and so, they do not know that something is wrong. Also, I did not say anything to my parents yet. I know that no one will admit their madness, But, I was to make sure from a profession point of view. I need better mental exercises to keep it all in and be like everyone. Please give some idea. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30471, + "tgt": "What do you suggest for vaginal itching in a 3 year old?", + "src": "Patient: Hello doctor, My daughter will be 3 by next month. There is itching in her vagina and she scratches it once or twice in a week. Her hygiene is good so far and we are not sure why this is happening. We have not done any deworming so far, and therefore, we are trying for that now. The moment we think of going to the doctor it goes away and she is alright. This has happened for a couple of hours only. Also, there is no redness or any other sign in her stool or urine.\u00a0Please advise. Doctor: Hello. Urine routine, microscopy and culture. Revert back with the test reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29430, + "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": 6880, + "tgt": "I am using Kojivit gel. Please suggest a better sunscreen gel or lotion for sensitive skin", + "src": "Patient: Hello doctor, I am using Kojivit plus gel as a face cream at night. Can you please suggest me a better sunscreen gel or lotion for sensitive skin? Doctor: Hello. As your skin is very sensitive, I suggest you use Himalaya herbals protective sunscreen lotion. It can be applied for half an hour before going outside. Use it always before going outside, whether it is a sunny or shady day. Because even in shady days, the ultraviolet rays can harm your skin. Drink plenty of water to keep your skin hydrated. Drink a glass of water before going outside on sunny days whenever possible it will help to reduce dehydration of your skin. Consume healthy foods and fresh fruits as that will be beneficial for your skin. You have been using Kojivit gel. It is used to lighten the skin color, you can use it if your skin is not getting irritation from it. Environmental or lack of healthy food." + }, + { + "id": 28980, + "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": 8504, + "tgt": "What does my blood report for autoimmune disease show?", + "src": "Patient: Hello doctor, I received CBC and CMP blood test results. Info points to kidney issues but dismissed as nothing by my doctor. I would like your opinion. Key points outside normal range: WBC 12.66, hematocrit 45, eosinophils .5, absolute neutrophils 8.76, absolute monocytes .91, BUN 26, creatinine 1.4, calcium 10.6, EGFR 58.29. Note that tests were performed for autoimmune disease. Doctor: Hello. Attached investigations do not show evidence of autoimmune condition (attachment removed to protect patient identity). But it shows some impairment in kidney functions as GFR is lower than normal and creatinine is 1.4. This could be an effect of longstanding hypertension or due to another factor. My opinion is to investigate this renal impairment further by doing the albumin/creatinine ratio in urine and kidney ultrasound. Make sure you are hydrated well and try to lose weight as osteoarthritis may come also from obesity." + }, + { + "id": 4514, + "tgt": "Can hormonal imbalance cause bad stomach cramps?", + "src": "Patient: Hi doctor, I am 13 years old. I get horrible stomach pains and my doctor thinks I have acid reflex my mom thinks because I have a hormonal imbalance that I am getting bad stomach cramps. She thinks it is the hormones that are doing it but I do not think so. I think it has to do with that it is so bad that sometimes I am breathing fast and it hurts really bad like I am getting stabbed. I have joint pain in my hip and my knee and like every joint in my body crack sometimes, and almost every day one of my knees feels like it needs to pop and it bothers me and I have to pop it and it feels better. One day it felt like one of my tentacles blood vessels or something got tangled and my nervous system like overreacting or something and I was walking and it started hurting really bad and then it shot right down my leg and it was my nervous system. I fell down because it hurts so bad that I could not walk on it. So I laid down and it still hurt really bad it did not go away and so I crawled a little bit to a chair and it still hurts and then it just disappeared. Last night I crack my neck but it was like one that does not sound right. I had neck pain and today and it is sharp neck pain in my cord for a second then it left. If I am laying down and keep my butt and shoulder down my lower spine feels like grinding or cracking. I know I have a lot of problems. I had ADHD hormonal imbalance. Doctor: Hello. Well, you have multiple problems. I want to ask you a few things. Since how much time you are suffering from pain in the stomach? What is the exact location of the pain? Above umbilicus, or around the umbilicus, or below that? Is there any association of meals with pain? Does pain associate with vomiting or loose stools? Is this pain occur during your periods (menses) or all the time? What is your body weight? I suggest taking capsule Omeprazole 20 mg empty stomach once daily in the morning, tablet Dicyclomine and Paracetamol (SOS) when required during pain. If you do not get relieved then get an endoscopy and ultrasonography of abdomen done. For the pain in hip and knee, get an x-ray done first only then we can reach to any conclusion. Take some Calcium preparation available in your country along with some multivitamins. For pain in the neck, get an x-ray cervical spine done AP (anteroposterior) and lateral view. Get following hormonal test done: 1. FSH (follicle stimulating hormone). 2. LH (luteinizing hormone). 3. Prolactin. Advice: Do morning walk and meditation. Take plenty of vegetables and fruits. Avoid spicy and junk foods." + }, + { + "id": 19294, + "tgt": "Why is the heart rate hitting 130 with pacemaker?", + "src": "Patient: Hi doctor,My mother had pacemaker operation six months back. From past five days, her heart rate is hitting 130 very frequently (when she is not idle) every 20 minutes or so. She is feeling a discomfort because of this. When we met the doctor with the pacemaker test, he told everything is normal. My question here is if everything is normal why heart rate is hitting 130 frequently? It is on every activity she does like walk, bath, etc. Please kindly advise me on this. Doctor: Hello. Although it is difficult to answer without knowing the exact diagnosis, if pacemaker/ AICD is working well per interrogation, she is safe in terms of fatal arrhythmia or dangerously low heart rate, as her device will kick in if it detects any abnormalities. This arrhythmia may be sinus tachycardia or may be dehydration. My advice would be to hydrate her well and ask her cardiologist to go up on beta blocker dose if her blood pressure tolerates. I can give more specific answers, provided knowing the diagnosis, device she is having, and her current medications. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11270, + "tgt": "What is the management of sore in the foot?", + "src": "Patient: Hello doctor, I am a 30-year-old female with weight 95 kg. I have a sore in the right foot in which the skin is coming off and is irritating. Also I have a slim like substance that builds up. The smell is really bad. Doctor: Hello. I understand your concern. This condition is known as pitted keratolysis (attachment removed to protect patient identity). It is a superficial skin infection, caused by Corynebacterium species. Take the following treatment. Kindly consult your doctor, to discuss the suggestions and take the treatment with consent. 1. Cream Mupirocin apply once at night. 2. Benzoyl peroxide 5 % gel apply once in the morning. Do this for three weeks, and try to keep the foot dry, avoid tight-fitting footwear, basically try to minimize the sweating on the occlusion part." + }, + { + "id": 16206, + "tgt": "Does my NT scan and dual marker test show any risk in pregnancy?", + "src": "Patient: Hello doctor, I am 35 years and in my 13th week of pregnancy. This is my first pregnancy and acheived through ICSI. I had my NT scan and dual marker test was done a week back. The results for the same are NT: 1.10 mm, CRL: 68.2 mm, PAPP-A: 0.18 MOM/0.66 mIU/ml, free beta-hCG: 46.5 ng/ml. I have been given a trisomy 21+ NT risk of 1:72 and I have just given my blood sample today for NIPT. I have multiple fibroids which are mostly located posteriorly. I am really worried and want to know about the level of risk my pregnancy has. Doctor: Hi. Your previous obstetric, gynecology, medical, and drug history matters. Have you been on folic acid daily? If you had any medical issue, was it treated and checked properly? Your nuchal translucency is normal. PAPPA more than 0.5 MOM is normal but you have 0.18. It is less. Free beta hCG is fine. It would be better if you would send me your report. As per your description, your risk for Down syndrome is 1:72. Then you have an estimated chance of having a baby with Down's syndrome as 1 in 72 babies. Your age limit has the risk of anomaly moderately. Check NIPT report and have detailed anomalies scan at 20 weeks with expertise hands. Multiple fibroids can give you painful antenatal period as in pregnancy degeneration occurs at a more higher pace. Have a strict check on the scan, NIPT report and discuss here or with a local treating gynecologist. If you do not have a family history of a congenital anomaly then the risk would be less as this also count to calculate risk. If the above two investigations come normal, then in future, the baby will need strict monitoring of fetal heart sound, movement, and growth. Have regular antenatal visits and in case of any bleeding or pain report immediately to tertiary care gynecology emergency." + }, + { + "id": 10860, + "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": 10069, + "tgt": "Despite negative pregnancy test, I did not get my periods. What to do?", + "src": "Patient: Hi doctor, I had unprotected sex with my husband after five days of my last periods and took an i-pill immediately. I did not get my periods yet and my two home pregnancy tests were negative. My periods are always regular prior to this. I am under regular medication of Eltroxin 100 mcg. Please help me. Doctor: Hi. Revert back after a week to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14131, + "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": 29438, + "tgt": "From my reports, do you think that there is hope for me to get pregnant?", + "src": "Patient: Hi doctor, I am 29 years old. My height is 5'3\", and weight is 57 kg. I got married for four years. I have an irregular period of 30 to 41 days cycle. I am trying desperately for baby from the last nine months, but there is no success. I did a\u00a0follicular study last month, and they gave hCG 5000 IU injection, and in the next scan, they said follicle ruptured, but I did not conceive and in fact got periods after 46 days. So, we started follicular study again this month. Do you think that there is hope for me to get pregnant or regular period? Please do suggest any medicine which you feel can help me. I am currently on\u00a0APCOD sachets, Siphene 100 mg from day 2 to day 7 and\u00a0Ovacare.\u00a0I am getting depressed every day and a lot of pressure from family. Nowadays, I have seen a sudden increase in hair fall. My husband's semen report is excellent. I have attached my laboratory reports for your reference. Please help. Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 11603, + "tgt": "Kindly suggest Ayurveda treatment for sensorineural hearing loss?", + "src": "Patient: Hello doctor, I am a 41-year-old female. I am suffering from sensorineural hearing loss. Is there any Ayurvedic treatment for this? Because I do not want to use hearing aids. Please help. Doctor: Hello. Sensorineural hearing loss cannot be reversed or cured. Scientific evidence about preventing it from causing further damage due to age also is not very sound. However, what is the cause of neural loss? Is it present in both ears or only one? Can you upload your audiometry to check? Was an MRI scan done to rule out neuroma of the eighth nerve? Ayurvedic medicines rely on improving the nerves so that their functioning stays sound. It will not help in overcoming the loss. It may, however, prevent further deterioration of hearing in that ear due to aging with time." + }, + { + "id": 21332, + "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": 12797, + "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": 8929, + "tgt": "Can I take Megest 10 mg to postpone my period?", + "src": "Patient: Hi doctor, I wanted to postpone my period\u00a0date. So,\u00a0I have started consuming Megest 10 mg\u00a0from 22nd day.\u00a0Will it be effective? Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26806, + "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": 20062, + "tgt": "I was left with a hole in the skull after hematoma evacuation. Is it safe?", + "src": "Patient: Hi doctor,Seven months ago, I had a serious head injury. That time, I was left with a small hole in the skull after extradural hematoma evacuation. Then, I had no discomfort in the head.\u00a0Now, I have terrible tension around the back of the head and dull pressure and pain next to the hole. I feel hyperemotional, frightened, extreme anxiety and jaw clenching. I had none of these for seven months post surgery. Is it safe to live with this hole? What is underneath it? Will it affect my life? Why am I getting sudden extreme head tension and dull aches? From yesterday, I am taking beta blockers for stress and tension. My neurologist said that I am free from brain damage. But, I need more advice. Doctor: Hi. A small piece of the skull bone could be cut and the hole in the bone was made. According to the reports (attachment removed to protect patient identity), there is no residual brain damage. Under these circumstances, I can explain your headache as follows. The pain around the burr hole may be due to fibrosis and scar formation, which makes the scalp tough. Skin traction around the burr hole may be due to this scar formation. Treatment is usually symptomatic with pain medications. The headache may also be related to post-traumatic stress disorder. You should see a psychiatrist for diagnosis and therapy. Treatment may include antidepressants and behavioral therapy. Given that there is no evidence of residual head injury, your headache may be unrelated to the prior injury. It may simply be tension headache, which is very common. Treatment is with pain medications and avoiding the stressors. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19969, + "tgt": "Can I take BP, cholesterol and uric acid tablets together?", + "src": "Patient: Hi doctor, I am suffering from high BP, high cholesterol and elevated uric acid. My doctor prescribed Corvadil-A, Rosuvas-F and Febuxostat 40 mg. Is it fine to take all tablets together? Please suggest. Doctor: Hello. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15049, + "tgt": "Will BP tablets cause high uric acid level?", + "src": "Patient: Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do have hypertension for which I take daily tablet Metpure XL 12.5 mg. Being pure vegetarian, I feel uric acid is very high. Has this to do anything with my BP tablet? Do I need to do any extra test regarding kidney or anything? What all vegetarian food do I need to avoid? Doctor: Hi. You seem to have high uric acid levels but asymptomatic hyperuricemia does not need treatment. You may have a family history of hyperuricemia which explains why you have it despite being a vegan. Also, being obese or losing too much weight can increase blood uric acid levels. Your blood pressure medication is not causing this unless you are taking Thiazide diuretics. Please keep an eye on your uric acid levels and serum creatinine to check renal function. You may want to check your thyroid hormones as well as hypothyroidism can also cause hyperuricemia. Please do the following investigation and keep us posted on the results. Serum creatinine, thyroid function tests." + }, + { + "id": 679, + "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": 30541, + "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": 22637, + "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": 18502, + "tgt": "How to confirm if my heart is in good condition?", + "src": "Patient: Hello doctor, My problem is little strange. I am 23 year old obese guy. My father expired two years ago due to cardiac arrest. I always have the fear that I might get heart problem anytime. Even my heart rate remains 90 to 100 bpm. After consultation, my doctor said it is just because of overweight and no need to worry. But, I feel like I would get heart problem.\u00a0I always have the fear that I will die. I feel like I would get heart attack or injury in night as I feel my heart is not well.\u00a0Few days back, I have gone through few tests, which I am enclosing with you. Please tell me the reason or test which should I go to clarify my doubt that I have a healthy heart or not? Also sometime I feel the heartbeat with the vibrating sensation very fast and sometime I feel like pain in chest may be because of winter. Please help me. Doctor: Hello. Revert back after the investigations to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20872, + "tgt": "My RBC, WBC, and hemoglobin count are low. Is it something serious?", + "src": "Patient: Hello doctor, I am a female aged 44 years and height 5'4\", weight 100 kg. Current medications Potassium Chloride four times a day, red blood count of 2.2, a white blood count of 3.5, and an HB of 10.2. Is there something to be concerned about? My doctors are not concerned but it seems a little low to me especially since I am someone who used to have a WBC of 6 to 9, an RBC of 4.3 to 4.7, and an HB of 13 to 14.7. I do not know if some of my worsening health symptoms are from this or not. Also can a vitamin deficiency cause those readings? I have heard everything from deficiency to blood loss to lupus and am not even sure how to try to address this and what is the main cause. Doctor: Hello. Yes, you should be concerned about it. It is showing a decrease in all the three cell lines so it is moving towards pancytopenia. I guess there is no history of such problems in the family. There are multiple causes for this, and common is vitamin B12 deficiency and followed by bone marrow problems, lupus, and others. You mentioned lupus. Is it a confirmed diagnosis in you? Were you evaluated for this with blood test like ANA (anti-nuclear antibody), Anti-dsDNA, etc? Your symptoms may be explained by low hemoglobin. Now, for chest pain, due to pain on exertion or at rest, for how long does it persist? Any relation to meals, deep breathing, etc. It may occur due to gastroesophageal reflux disease. So firstly, along with hemogram you should have peripheral blood film done, which would show the morphology of cells. Also, the values must have been mentioned in current hemogram like MCV, MCHC, MCH, etc. So, please attach your report for analysis, which would point towards the cause. So investigations needed, peripheral blood film, thyroid profile, vitamin B12 and folic acid, serum iron studies, vitamin D, which will help in finding the cause." + }, + { + "id": 391, + "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": 4513, + "tgt": "Will quitting Ecosprin cause heart attack?", + "src": "Patient: Hi doctor, My mother is 47 years old. Firstly, I want to tell you that (at present) my mother has a uterus tumor and kidney calculus. Last year her triglyceride was 402, cholesterol was 260, ECG was normal and TMT was showing negative. But the doctor said that she has a minor blockage that the machine is not showing. After that, she was taking Starpress XL 100, Rabiros 20 and Ecospirin AV 150/20 for one year. Now for the past two months, she is taking Starpress XL 100, Rabiros 20 and Ecospirin AV 150. But she is facing some problems. During this time period (approximately 18 months) she often feels severe hurtburn and sometimes severe headache. For this problem, we consulted many times, but the doctor does not do anything. Why does she this problem? Her TMT was going to be done this year but that time her Hb was 10 g/dL. Doctor asked her to consume juice and jaggery, but nothing happened. After that, he gave Biofer XT and also consumed juice but her Hb is still the same 10 g/dL. If she consumes pomegranate juice and Biofer XT daily she gets loose motion that is why she left some dose of Biofer XT. Now, she is not feeling any chest pain and because of these problems, she wants to reduce Ecosprin dose every three days. She wants to quit it and wants to take Ayurvedic treatment but the doctor is not allowing her to miss even a single dose. And I also read from the internet that if we leave Aspirin dose it may cause heart attack. Please suggest what to do? Doctor: Hello. I want to see the lipid profile, ECG (electrocardiogram), TMT (treadmill stress test) and echocardiography report of your mother to guide you better but still, I recommend you the following: Your mother is taking a high dose of Aspirin i.e. 150 mg (a component of Ecosprin). It may cause heartburn. Reduce it to 75 mg. Another component is Atorvastatin 20 mg. That is fine. Rabiros 20 mg (Rabeprazole) used for heartburn is fine. Reduce the intake of tea and coffee, avoid spices in food. For Hb (hemoglobin), eat healthily. She is taking iron supplements that may also cause heartburn. Take iron supplement after two hours of Rabiros 20 mg to decrease heartburn. Take iron for three months and repeat CBC (complete blood count). Take all the medicines daily, without interruption. Repeat the lipid profile after three months. Reduce weight, adopt active lifestyle, and do exercise. I hope this helps." + }, + { + "id": 25148, + "tgt": "Can you interpret MRI reports post pituitary macroadenoma surgery?", + "src": "Patient: Hello doctor, This query is regarding my husband's health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 9 kg in three months, though he eats very little. Yesterday, we took the third month follow up MRI scan and I wanted to share below findings in the MRI report. Post-operative changes noted in sphenoid sinus and sellar fossa. Pituitary stalk mildly deviated to the left side. No evidence of enhancing residual and recurrent tumor seen. Polypoidal mucosal thickening noted in bilateral maxillary, ethmoidal, and right frontal sinuses. Also when I look at the scan films, near the pituitary gland few residual part of the tumor is seen. I am requesting you to have a look at my query and respond me how the report looks like. I am more anxious to know about this. Please help me to understand the current status of my husband's health. Doctor: Hello. The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hydrocortisone) is a steroid supplement for hormonal imbalance which may occur after pituitary surgery. The so-called 'residual tumour' which you have interpreted, may be postoperative changes which is common after pituitary surgery. If the four points that you have written is what was written on the report, then you should not worry. Meet your operating surgeon for further advice regarding Hisone which may cause weight gain. Best wishes. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 8607, + "tgt": "How can I tell whether my period is normal or not?", + "src": "Patient: Hello doctor, How to tell if your period is normal? What are the signs that your period may not be normal like what are the hallmarks of a regular period and what does it mean if you have a short or long cycle, heavy or light flow, PMS or cramps, spotting, etc. Doctor: Hi. A normal menstrual cycle is with a cycle length of 21 to 40 days and lasting for 3 to 4 days to a week. Any deviation from this could be because of hormonal changes, low blood count or thyroid disorder. Passage of clots, changing more than 5 to 6 pads per day, severe dysmenorrhoea, should be treated. In case of any deviation, it is better to get checked once by your Gynecologist and get a pelvic scan done. Lifestyle modifications, deep breathing exercises, Multivitamin supplements, yoga and timely visit to your Gynecologist will help you." + }, + { + "id": 4542, + "tgt": "What is the pregnancy possibility with precum?", + "src": "Patient: Hi doctor, I and my partner had unprotected sex. She is a virgin. We tried intercourse three times and each time it was not even more than 15 seconds. As she is a virgin she is getting huge pain when I insert into her vagina. Moreover, as it is hurting her, I not even inserted my organ completely into her vagina. I have inserted only half of my penis and not more than that. I have not even rubbed to and fro in her vagina and there is no chance of ejaculating inside her vagina. I do not know exactly whether my precum existed or not, because I thought that it will not cause any pregnancy. But while going through on the internet the next day, I found that precum may also contain a small amount of sperm which also cause pregnancy if they are alive. Moreover, I washed my bud and shaft with soap before intercourse. After reading the article the next day I was so scared that she may become pregnant. So I asked her to take an i-pill in less than 24 hours. She took the pill between 22-23 hours after our intercourse. She does not have a regular cycle of periods. It varies each time and it was a 22 day usually. Now I am afraid that her ovulation took place exactly on the same date of our intercourse. I am also afraid that she may become pregnant. Will the pill work or will she become pregnant if it was exactly her ovulation date even if she took an emergency contraceptive pill? Can she become pregnant even with my precum without ejaculating inside her? Will the pill work for all cases? She is experiencing vaginal dryness from the date of intercourse until today. Is that any symptom for anything or is it just the pills side effect? Please help. Doctor: Hello. I do not think you have to worry about this. Let me explain each one by one. If periods are irregular you can never predict when ovulation is. It is always 14 days before the periods. So even if it is 22-day cycle, ovulation will be on the third or fourth day. Life of egg is only 24 hours, then it dies. Emergency contraceptive is very effective if taken early. Earlier the better. So even if the ovulation has occurred, pills will not allow the pregnancy to settle. Dryness in the vagina could be due to lack of lubrication caused by any infection, anxiety, or due to hormones in the pills. Even if you did not have good foreplay, her vagina will be dry. Being a virgin, she is prone to have abarations, or scratches in the vagina in the first act of sex. It will resolve on its own. Seminal fluid is the clear white fluid before semen ejaculation. It contains a high concentration of sperms. It need not enter the vagina. Even if semen falls on the thighs, it can swim up because of chemical attraction. This fluid is formed only when you have the sexual arousal or touch sensation from the partner. It is always better to have safe sex with a condom, to avoid all these moments of anxiety. If still, you are anxious you have to wait until the date of periods and check urine for pregnancy." + }, + { + "id": 29760, + "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": 19910, + "tgt": "I have fever and gurgling sensation near the liver area. Please advise", + "src": "Patient: Hello doctor,I am having a persistent fever of 99.5 since one and a half months and gurgling sensation near the liver area. I also had slight burning sensation when passing urine. I am hypothyroid since 10 years, on 50 mcg. I am also pre-diabetic. I was asked to do CBC, liver panel test, thyroid test and urine analyses. Attached are my reports. Doctor: Hello. I went through your post and investigations (attachment removed to protect patient identity). You have low hemoglobin and low T4 which meant you are having iron deficiency and your dose of Thyronorm is low although TSH is normal. Ideally, when TSH is normal T3 and T4 has to be normal but in your case, you need to be investigated for secondary hypothyroidism by doing a pitutary profile. For the time being, I suggest you increase the dose to 75 mcg Thyronorm. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Start taking iron supplements (such as tablet Levogen Z) morning and evening. You can take alkalizer for urine symptoms (Liq K Cit) two teaspoons with a glass of water in the morning and evening as there is no urine infection on your one examination. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24254, + "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": 14562, + "tgt": "Is it necessary to take another dose of I-pill if vomited after first dose?", + "src": "Patient: Hello doctor, I took an I-pill immediately after unprotected sex. After five hours I had a reflux sort of vomiting, very little but now I do not know if I should take another pill or not? Doctor: Hello. Usually, it is not necessary to take an additional pill if one vomited after three hours. If just vomited a little then it is not necessary to take an additional pill. Then also confirm whether you had 0.75 mg or 1.5 mg tablet. If it was 1.5 mg then it is not necessary. However, if you have consumed 0.75 mg then it is better to take an additional 0.75 mg after 12 hours. So, overall it is not necessary to take any additional dose, just confirm the above factors for additional surety." + }, + { + "id": 9208, + "tgt": "Sometimes, I feel my chest is swollen and painful to touch. Why?", + "src": "Patient: Hello doctor,Some times my chest is swelled, and some times it is normal. If I pressed that it is hard and gives pain. What could it be? Doctor: Hello. According to your age, there must not be any cardiac anomalies. But we should also rule out, as sedentary lifestyle nowadays. Need for a proper description for swelling like size, when increase or decrease, soft, hard, pulsatile, any associated symptoms or not, pain, burning sensation, etc.As of now, with such brief history, we can suspect a muscular change such as increasing in size and giving rise to pain, for that symptomatic treatment to be given. chest X-ray and USG thorax. Tablet Buscopan 1-0-1 and as and when required for excessive pain. Volini gel for local application two times a day. Avoid heavy weight lifting." + }, + { + "id": 29537, + "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": 12942, + "tgt": "Kindly explain about splenic hamartoma and left renal angiomylipoma", + "src": "Patient: Hi doctor, My wife had stomach pain and we had done an ultrasound and the doctor said to take a scan. On CT scan result it is showing splenic hamartoma, left renal angiomyolipoma. What does it means and what treatment we have to follow? Doctor: Hi. Please attach the report of CT scan. Let me first evaluate it. See splenic hamartomas are usually benign that is non-cancerous. Similarly, are renal angiomyolipomas. They are removed with surgical excision if they are causing any hematological disorders, a decline in renal functions. A lot of surgeons recommended the removal of these structures. A lot may not recommend you. At this point of time, your wife needs further evaluation. Meet an oncologist, vascular surgeon and get further tests done." + }, + { + "id": 11882, + "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": 19243, + "tgt": "Suffering from acid reflux and bloating for the third time in a year. Why?", + "src": "Patient: Hi doctor, I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have\u00a0severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that? Doctor: Hello. You described two different entities here. CT scan of abdomen and upper gastrointestinal (GI) endoscopy. 1. Indigestion. 2. Hiatus hernia. 3. Esophagitis. GERD with gastritis. Continue treatment for gastritis. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19768, + "tgt": "Are chest pain and breathing problem common in pregnancy?", + "src": "Patient: Hi doctor, I am 21 weeks pregnant. I am having chest and lung pain on the right side along with trouble to take a deep breath. I am suffering to catch my breath. I went to the ER and they did a blood test called D-dimer. It came back positive for a lung blood clot\u00a0on the left side. But, the doctor said it could be false because of my pregnancy. Please help. Doctor: Hi. I understand your concern. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8070, + "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": 4657, + "tgt": "I am having problems with my whole skeletal system. Please help", + "src": "Patient: Hi doctor, I am a 20 year old male. My height is 6'3\" and weight is 180 pounds. I am having problems with my whole skeletal system. My right knee snaps when I extend my leg and my left hip has some pain. My left foot appears longer from heal to big toe and my right leg appears longer from the knee to the ground. I have been diagnosed with minor scoliosis and one shoulder appears higher than the other. I have minor neck pain plus my calf muscles get so tight and they hurt. Doctor: Hi. Revert back with the asked details to a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 28910, + "tgt": "I am losing weight continuously from the past couple of weeks. What to do?", + "src": "Patient: Hi doctor, I am a 20 year old male, and I am losing weight continuously from the last 18 to 25 days. I weigh 48 kg. I feel hungry, but do not feel like eating anything. What should I do? Doctor: Hello. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30499, + "tgt": "Do I need any medicine for my thyroid level?", + "src": "Patient: Hi doctor, I am a 27 year old male. My weight is 92 kg and height is 5'9\". I got tested for cholesterol and thyroid today. I am attaching my report for your reference. I want to know whether I am suffering from hypothyroidism or any other thyroid disorder. Do I need to start any medication for thyroid? I have a\u00a0weight gain problem since one month, feeling exhausted and lethargic most of the time. Also, I want to know if my cholesterol levels are high. Also, please explain the necessary steps to control it. Doctor: Hi. Revert back after three months to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13629, + "tgt": "Can anal fissure cause itching and infected skin between anus and genital area?", + "src": "Patient: Hello doctor, I have got some itching and infected skin in-between anus and genital area. It started more than a year ago near the anus and it is increasing its area slowly. White dry dead skin comes at the surface of the infected area when not lubricated. I thought it will heal in some time by applying some antiseptic cream but it is not improving at all. Please suggest me whether it is a chronic anal fissure or some kind of infection. Doctor: Hello. You seem to have a fungal infection. I suggest you take Itraconazole 100 mg capsule (Ceastra XL 100 mg), twice daily for two weeks. In addition, I suggest you apply either Loceryl cream or Fungicros cream, twice daily for four weeks. You may also take an oral antihistamine like Cetirizine 10 mg tablet once a day for symptomatic relief from itching. Take care." + }, + { + "id": 10752, + "tgt": "My anal yeast infection disappears away with cream but comes back when I run out. Kindly advice", + "src": "Patient: Hello doctor,I am looking to get a prescription for Clotrimazole-Betamethasone. I currently have one, but I am almost out. I have been dealing with anal yeast for around 10 years. Now it goes away with the cream but comes back when I run out. I do not wish to see any more doctors. Doctor: Hello. I presume that this recurrent anal yeast infection is candidiasis, and you have been using a topical mixture of antifungal and corticosteroid cream over it. Have you checked for immune statuses like HIV, and blood sugar level to rule out diabetes? Then if you have been using a steroid medicine for a very long time, that can also depress your immunity. If all these tests have been done and are negative, and you are not on prolonged use of the steroid, then I will prescribe an enteral antifungal together with the topical cream. Get Fluconazole tablet 200 mg daily for two weeks that will kill the candida from inside. You may also continue your Clotrimazole-Betamethasone cream till the yeast disappears. I want you to run a test for HIV and blood sugar." + }, + { + "id": 11180, + "tgt": "Are Elisa, RNA PCR and Tri-Dot sufficient to rule out HIV?", + "src": "Patient: Hello doctor, I had unprotected sex with a girl, but a sperm has not come because I was inactive as I have drunk. This happened last month. After 23 days, I had RNA PCR, and ELISA both came negative. Then after 7th week, I had antigen, antibody test, which came back negative. In the 10th week, I went for Elisa test 0.4, and it was non-reactive. After completion of the 11th week, I went for Tri-Dot and that also came negative. Should I wait for one week, or is it sufficient for me? Please help me to come out of this situation. Doctor: Hello. Guidelines says that you should repeat the test after 12 weeks of exposure, but because you have undergone test many times, you are almost sure that you do not have HIV. But it is better to repeat once after 12 weeks. You need not be anxious as most likely it turns to be negative as there is no hint of any symptoms and on previous test results." + }, + { + "id": 21092, + "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": 31016, + "tgt": "Please suggest some exercise and supplement for weak bones", + "src": "Patient: Hi doctor, My\u00a0shoulder bone was dislocated before six months.\u00a0I can move my hand upright, but while sleeping it is paining. What kind of deficiency can be there? I am eating non-vegetarian food regularly from childhood. Please\u00a0suggest me some exercise and supplement as my bones are weak.\u00a0Thank you in advance. Doctor: Hi. I have understood your concern. For further information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 17486, + "tgt": "I do not have bleeding even after taking Primolut-N. Do I need to worry about pregnancy?", + "src": "Patient: Hello doctor, I had unprotected sex with my partner on the 25th two months ago, and the expected date of my period was on the 19th of the same month. I gulped down an I-pill within six hours. Later, I had withdrawal bleeding on the 1st of last month. The bleeding lasted for three days. This month, my period was late. So, I went to a\u00a0gynecologist. She prescribed me Primolut-N for three days and told me to wait for a week. My HCG test was negative, but my periods have not yet started. Do I need to worry about pregnancy or is it just hormonal imbalance? Doctor: Hello. Regards. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 6916, + "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": 29364, + "tgt": "Please explain my thyroid FNA report", + "src": "Patient: Hi doctor, Please find the attachments of my thyroid FNA report. The result showed suspicious of malignancy. I hope you explain to me further. Thanks in advance. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 10348, + "tgt": "My penis size is smaller than normal, will it be a problem during sex?", + "src": "Patient: Hi doctor, I am 25 years old and my penis size is 2.2 inch in flaccid state and 5 inch in erect state. I would like to know that, is it a good size because I have read somewhere that 6 inch is normal size. My penis size is smaller than the standard size. What to do now? Do girls think about penis size?\u00a0I also have a small testicle and read that a small testicle cannot produce enough sperm, is it right?\u00a0I am noticing one thing in the morning. When I get up, my penis is in erect state. Is there any problem about that? Please give me some advice because I am planning for marriage soon. Kindly clear my doubts. Thank you. Doctor: Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8123, + "tgt": "Why is the tip of my penis turning white?", + "src": "Patient: Hello doctor, The skin at the tip of my penis is becoming white from the past three months. There is no pain or any other problem due to that. I feel pressure to urinate, but while urinating the flow is slow.\u00a0I do not know why my penis has become white. Kindly advice. Doctor: Hello. Please send me an image. It might be vitiligo or balanitis xerotica obliterans. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 147, + "tgt": "Omeprazole taken for burping is causing muscle weakness, headache and shortness of breath. Why?", + "src": "Patient: Hello doctor, I have been experiencing acid problems. I keep burping after eating. I started to take 20 mg Omeprazole. I have been taking it for three days, once daily but I experience side effects such as muscle weakness, headache, and shortness of breath. How long should I take the medicine? And can I switch to Esomeprazole? Doctor: Hello. I will definitely help you with your problem. Burping after eating is a very common problem. It is known as gastroesophageal reflux disease. I will suggest you some precautions to prevent it. Eat less quantity of food every time than before. You may eat five to six times a day but with lesser quantity. There should be a gap of two hours in the night after eating and go to bed. Walking for sometimes is a must after every eating. Avoid spicy and fatty foods as much as possible. You may switch to Esomeprazole it is more effective. Also add one more drug Levosulpiride for 15 days. You should take syrup Sucralfate two tablespoons three times a day. It will help to heal ulcers and for fast recovery. I hope this helps." + }, + { + "id": 24797, + "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": 30256, + "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": 30678, + "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": 10226, + "tgt": "Can I use Benzodiazepine for a longer period?", + "src": "Patient: Hello doctor, I am 29 years old male, with height 5' 10\" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extreme irritability, anger, and so on. So for that, I have been prescribed with the above medicines for the past seven months. Came to know that Benzodiazepines like Clonazepam should not be consumed for more than a month, but in my case, I have been drinking it for more than seven months. The doctor is not tapering off the dosage either. So is it safe to continue? What shall I do? Kindly help. Doctor: Hello. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical practice, we have to give it for an extended period, depending upon the patient diseases. If you have no anxiety or sleep disturbance, then you can taper off your way. You can make it half of your tablet for two weeks then take half tablet alternate day for two weeks and then you can stop it." + }, + { + "id": 26768, + "tgt": "What is the maximum iron intake for a man?", + "src": "Patient: Hello doctor, I am a 31 year old male, who is 1.8 m tall, and I weigh 106 kg. I have a problem recently. I went to a dentist for an abscess, and I had blood a bit removed, so I felt a bit weak. And finally some days after, I felt I needed iron supplements. I took one 100 mg and then took another 100 mg. And I took Amoxicillin antibiotic of 125 mg not more like 1 to 2 hours after, as I was under antibiotics. The antibiotics I had were 1000 mg, but I was not taking 1000 mg I took 500 mg or less or rarely 1000 mg for five days.\u00a0But I took the iron supplement on last day of my antibiotic before having the tooth extraction. I also took another split of 100 mg, but not 100 mg but like 75 mg split into two. What is the maximum iron intake for adult men? What must I do if I took an overdose?\u00a0Does taking LiverCare help? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2547, + "tgt": "I am gettting pus after breast abscess I and D. Will breastfeeding affect my baby's health?", + "src": "Patient: Hello doctor, Before two weeks, I have undergone I and D for breast abscess, from that day I have stopped feeding my baby. On 21st of March doctor checked and said no need of dressing and there is a small lump still present keep warm compress it will go and told me not to feed the baby. I am keeping warm compress daily once but no result. Yesterday, the wound completely healed and there was no leakage of milk from the wound. So I started feeding my baby. In the night I fed my baby on the wounded breast but in the morning I observed swelling again on the breast. So I kept hot compress and started pumping. Then I observed a very thick pus on my nipple just a drop. After that, I am trying to hand express and pumping but the pus is not coming out. Now I am very afraid that my gynecologist may again suggest I and D. In the present scenario it is very tough for me to go hospital every day for dressing carrying a small baby. Please tell me whether it can be healed by antibiotics? Can I feed my baby? If I feed baby will that pus affect my baby? Doctor: Hi. Please do not worry. A single episode of a small amount of pus exudation may occur. Ideally, you should have pumped away the first set of milk and then started feeding. But please do not get distressed now. Keep breastfeeding your baby keeping following things in mind. After feeding from the affected side, use the breast pump to evacuate any residual milk (Do not worry your body will generate enough milk for the baby). Keep hot compressing twice a day. Maintain proper breast hygiene. Do visit your gynecologist if you develop any fever or rise of local temperature." + }, + { + "id": 3773, + "tgt": "Am I getting facial tightnesss because of anxiety?", + "src": "Patient: Hi doctor, I am a 25-year-old male. I do not have any medical history. Been always healthy. For the past 3 months, I have been experiencing this facial tightness which comes pretty often throughout the day with different intensity. The facial tension usually comes half an hour after I leave the bed. The tightness on my face happens to be on both sides of my face but usually more intense on the right. At times, I can feel it from my neck all the way up to my face. As of recent, I have been feeling this slight burning sensation on my chest to my shoulders as well. Prior to this facial tightness, I have been suffering from this burning feeling on the centre of my chest for about a month. It was my first time experiencing heartburn and I thought it was heart related. Went for X-rays and echo heart ultrasound. Everything came out fine. I have a healthy heart. What made the burning chest sensation go away temporarily is lying down, eating, exercising and drinking alcohol. And the weird part is the same thing helps me relieve my facial tightness temporarily is the same thing as that for the burning chest sensation; lying down, eating, exercising and drinking alcohol. Since having this facial tightness, I have paid numerous visits to different doctors, even the neuro-specialist and they all said it was anxiety. The doctors did facial senses test where they take a piece of fine cotton to touch different parts of my face. I had to close my eyes and tell them where the spot is. I have no troubles at all. I did blood test. It came out normal. They told me I do not need to do any scans and that it was merely anxiety and it will go off by itself. I convinced myself that I had anxiety because of the one month heartburn ordeal that I was suffering from. Even though the facial tightness was there, I tried my utmost best to ignore it. I do not think that I have any anxiety in me now as I try not to think of the weird tightness sensation. However, it has been 3 whole months and now I am getting alarmed and worried that it is still here and with newer sensations as I described above. In all honesty, I do feel that the intensity of the facial tension as compared to I first experienced it, is less. However, it is always there even as when I am typing this. I do not see any physical change on my body. Not sure if it is neuro damage. I am worried sick. Hope I can get some form of advice and diagnosis. Doctor: Hello. I read carefully your question and would agree with your Doctor on the fact that all your symptoms are suggestive of anxiety. The fact that your symptoms are relieved by lying down, alcohol or physical activity is another argument in favour of anxiety. Anyways, before coming to this conclusion, I would recommend checking vitamin D plasma levels for possible deficiency and blood pressure for possible imbalances. It is also necessary performing a cervical spine X-ray study, in order to exclude any possible bulging disc in the cervical vertebral column, which could lead to burning sensation in the neck and shoulders. In the meantime, I would recommend taking magnesium supplements, to help relieve the muscle spasm." + }, + { + "id": 676, + "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": 24767, + "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": 29860, + "tgt": "Can you give some advise on how to pursue with my son's unusual behavior?", + "src": "Patient: Hi doctor, My 7 year old son has displayed a very disturbing sexual behavior. As far as I know, the incident was isolated. I am unsure if this is a usual behavior for his age group or not. I thought he was playing video games when I grounded him from them, because he was up in the playroom very quiet. So, I snuck up on him, expecting to catch him playing games. When I looked around the corner, I noticed my son petting our pet cat, with his pelvic area against the cat. I was not sure what I was seeing and I was confused at first. But within a couple of seconds, he started to pull his pants down. He clearly did not know I was right there. He was erect and I am unsure what he was planning on doing. I just shouted and interrupted whatever he was planning. He got scared, was clearly embarrassed and ran to his room immediately. When I tried to talk to him about it, he would not tell me what he was doing. Instead, he just cried and said he did not want to tell me. The only thing I managed to get him to tell me was that he had a funny feeling down there. I am worried that this is a sign of something more extreme, maybe he has been abused. This seems like extremely unusual behavior. He does not have any other signs or symptoms of abuse and this is the only time something like this has happened. I do not know what to do. I told him that he has to keep his body parts to himself. If he has a funny feeling again, then he should never touch anybody or anything with it. Can you give some advice on where to go to get him help? Should I even pursue further help? Or should I just keep an eye on him and continue to talk to him about keeping our body parts? I do not know what to do, as this is unusual. I am embarrassed to ask anybody about this. I feel as though this is something that should not be overlooked. This does not seem like a typical situation. Please help. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10405, + "tgt": "Can Homeopathy help in masturbation problem?", + "src": "Patient: Hello doctor,I have some health issues that I would like to address. I have depression, fatigue, low energy, tiredness, and red eyes when I wake up, and I feel exhausted after masturbation. I have a history of masturbating for eight to nine years since I was 12 years old. The first few years, I was continually masturbating with lots of pornography. I am now masturbating one to two times a week yet still feel exhausted and fatigued daily and even watch porn one to two times a week. I have trouble with morning wood maybe once a week. What can Homeopathy offer me to heal from masturbation and get back to being healthy? Doctor: Hello. I understand that you are concerned about various health issues, and it seems most of the symptoms are related to over masturbation. Masturbation at the teenage is prevalent. Homeopathy has a vast number of remedies to heal this issue. However remember that masturbation was is not bad, but overuse is something that causes health issues, twice or thrice a week is not bad.Homeopathic remedies will help you to deal with this habit, and you would be able to concentrate more on other things in life like a career or job, etc. Homeopathic remedies are prescribed after taking your mental, emotional and physical health in to the consideration. Based on the little information you provided here you can start Lycopodium 30c four pills once a day for five days. Then begin with Kali Phos 6x two tablets twice a day for 15 days.These pills and tablets usually dissolve as soon as you keep them over the tongue. Hence there is no need to swallow these with water or anything liquid. Kindly report back on15 days. I hope you start feeling better. Let me know if you have any questions. I would be happy to answer." + }, + { + "id": 7549, + "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": 16303, + "tgt": "How to cure allergic rhinitis when having high TSH and hemoglobin level?", + "src": "Patient: Hi doctor, I am suffering from allergies rhinitis. My TSH level is high, and my hemoglobin level is high. How to cure it? Doctor: Hi. For allergic rhinitis, you can take Fexofenadine for getting relief from congestion. If you have a repeated history of allergic rhinitis, then allergic testing can be done. An alteration in TSH can be seen due to inflammation. You have to redo your TSH (thyroid stimulating hormone) after the inflammation subsides. I have gone through the attachment (attachment removed to protect patient identity). Additionally, your CBC (complete blood count) shows a high level of hemoglobin and high level of RBC (red blood cells) and HCT (hematocrit). So it can be secondary polycythemia. Sometimes, dehydration leads to these problems. For that, you need to maintain hydration and repeat CBC after one week. If still, if it remains high, then investigate with EPO (erythropoietin) estimation for further work up." + }, + { + "id": 12290, + "tgt": "I have pain in the left last lower tooth region. What is it?", + "src": "Patient: Hi doctor, I am suffering from pain in the left lower jaw. I do not have any tooth pain, but the skin surrounding the last tooth is troubling me. Please help. Doctor: Hello. I think it can be due to pericoronitis. This is a condition where the tissue over the erupting wisdom tooth will get inflamed. Apply anesthetic gel in that area. Do lukewarm saline mouth rinse three to four times a day. If possible attach a picture for better diagnosis." + }, + { + "id": 18164, + "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": 14409, + "tgt": "Is it possible to get pain under the breastbone and abdomen due to GERD and hiatal hernia?", + "src": "Patient: Hello doctor, I have had a painful abdominal feelings lately. The last few days I have had a dull pain on the right side of my belly button a little higher. This morning I woke up to sharp, on and off, needle pains in my upper right abdomen, right below my rib cage. That resolved in half an hour. For the past few hours, I have had sharp shooting pains right under my breastbone. I had never felt the pain before, I do have GERD and a hiatal hernia that is small. Doctor: Hi. The right side upper abdomen pain has many causes like ulcer up to the hepatobiliary. Kindly follow the following instructions. Go for USG abdomen to rule out any hepatobiliary cause. LFT, stool culture, ESR, serum amylase, lipase to rule out the pancreatic cause. Take tablet Udiliv (Ursodeoxycholic acid) 150 mg postoperatively once daily for 10 days. Stop eating oily foods. Take tablet Pansec D (Pantoprazole and Domperidone) once a day on empty stomach. Get back to me with reports." + }, + { + "id": 17711, + "tgt": "I missed my pills on two consecutive days. Should I stop or continue the pack?", + "src": "Patient: Hello doctor, I am being treated for PCOS. My gynecologist prescribed me Irozorb syrup, ovacare tablets, and Sysron-N. I started taking them on the fifth\u00a0day of my last period. I missed my Sysron pill on the 22nd and 23rd. I took my usual dosage now today. I got my period. Should I continue the tablets or stop the dosage and consult my doctor? My period cycle is 25 days. Doctor: Hello. For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16318, + "tgt": "I have cough with white sputum. What is it?", + "src": "Patient: Hi doctor, I am a healthy person. I have a cough with white sputum production. I do not have a fever. I have done sputum culture. The result showed a presence of Pseudomonas. Do I need an antibiotic? Doctor: Hi. If there is a presence of Pseudomonas, then there can be an infection. Since you have a productive cough, you may need to take antibiotics. Please repeat the sputum culture if possible. Also, get a chest X-ray and full blood count done. It could help you to identify the infection." + }, + { + "id": 205, + "tgt": "There is a painless black growth on my knee. What could this be?", + "src": "Patient: Hi doctor,I am a 56 year old male. On the left knee, there is a painless black growth and that has been there for around 2 years now. In a recent visit, my doctor advised to use Lactic acid plus Salicylic acid based topical lotion. This reduced the size of the growth a little bit. However, after stopping the lotion for 15 days, it grew back to its original size again. But, it did not become bigger than before. I have attached the pictures for your reference.\u00a0Could you please advice as what this could be? Also, what treatment would one need for this? Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8331, + "tgt": "I had a crush on a guy and getting nightmares about him recently. Please help", + "src": "Patient: Hello doctor,I had been crushing on a guy for nine years now, and he did not know about it till for the last month when I confessed. He told me that I have to forget about him because we will never be together. So I tried to forget him by trying other hobbies that can distract me and with the help of friends. Meanwhile, he and I are talking since I confessed and till now, as friends, we mostly speak every day, for a month now.I am getting nightmares about him for this month, and they are all about him being harmful or he getting harm. Whether it was physically or psychologically (he causes damage, or he gets hurt by having accidents or fighting or insulting, etc.). Why do I keep having nightmares? Why are all of them are about him by keeping in mind that I only had very few dreams about him for the last nine years (except for the previous month, mainly)? Doctor: Hello. Dreams do not have any relations with the future. Or at least there is no evidence for that as of now. But dreams have always related to your unconscious or conscious mind. If something troubles your mind, it could manifest as dreams. That dreams may not be having the same subject.For example, when you run a fever, it possible that you dream about some natural calamities or some wild animals or even harm to our house structure. The dream about your friend being hurt may not have anything to do with the future. But it shows that you have something stressful in your thinking about him. You are stressed or worried about your relationship with him. You even could have a fear that this friend may not last. The more you worry about these dreams, the more dreams come. Because you are stressed more, so stop worrying about those dreams." + }, + { + "id": 20151, + "tgt": "Can I take Herbolax tablet after consuming alcohol?", + "src": "Patient: Hi doctor,Can I take Herbolax tablet to regulate my bowel movement? I consume alcohol regularly, as a result, I have constipation. Doctor: Hello. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5860, + "tgt": "Kindly check the dosage of my thyroid medicine for hypothyroidism", + "src": "Patient: Hello doctor, TSH is 5.59, T3 2.7, T4 1.3. Current Thyroid dosage 6.25 mg Monday to Saturday, 32.5 on Sunday. Is this a correct dosage? Patient is on dialysis as well for kidney failure. Doctor: Hello. I just read your query and from what you have mentioned it appears that you are having CKD and hypothyroidism and your thyroid test results show that it is still uncontrolled. You must take Nature Thyroid 32.5 mg two days a week Saturday and Sunday, and for the remaining five days weekly Monday to Friday take 16.25 mg. Repeat your thyroid function test after six weeks and then we will review again." + }, + { + "id": 30490, + "tgt": "What is the reason for absence of period after delivery?", + "src": "Patient: Hi doctor, My wife had cesarean delivery 12 months ago. She has uterine tumor of 2.2 x 1.6 cm in myometrium. After delivery she had been continuing periodical discharge for two months. Period has been stopped since last 10 months. My wife is still breastfeeding our baby (son). The doctor has advised to stop breastfeeding to start menstruating. If she did not get a period, then what problem can occur? Please explain me in detail. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17500, + "tgt": "Are there any medicines available to cure multiple cysts in ovary?", + "src": "Patient: Hi doctor, My niece aged 14 years weighs 60 kg.\u00a0Recently her monthly cycles are not proper and she is having heavy pain at times in a day in her lower area. Recently we consulted a gynecologist and recommended to go for ultrasound scan of whole abdomen.\u00a0In the scan report under ovaries section it was mentioned as RO 16 x 12 cm and LO 4.3 x 1.4 cm. Both ovaries show multiple cysts measuring 6 x 6 cm noted 10 to 15 in number in periphery with echogenic stroma. Cystic lesion noted in RO measuring 16 x 11 cm. No septa, solid or nodules detected.\u00a0Please suggest me how to come out of this problem. Is there any medicine or exercise required which help us more and bring happiness in her life? Doctor: Hi. I went through your query. I am really sorry to know your niece is suffering from stomach and irregular cycles. I understand it can be a very annoying problem. By the ultrasound report that you have given here, it seems your niece has PCOS (polycystic ovarian syndrome). It usually presents with irregular cycles and excessive weight problems. Other problems which also may be seen are acne, pimples, dark pigmentation on certain areas like neck and in between fingers, excessive hair on face, chin and other body parts, etc. To confirm her diagnosis you get a serum LH (luteinizing hormone) or FSH (follicle stimulating hormone) done. If ratio is of nearly 2:1 or greater it confirms that she has PCOS. PCOS is a very common but complex hormonal problem. She would really need to work hard to lose weight. As weight loss itself would help her achieve normal regular menstruation. Also I suggest you get a thyroid function test done because PCOS is also many times associated with thyroid problems. For the issue of painful and irregular cycles, it would be a good idea to put her on regular low dose hormone pills for three months and watch her response. It should help her out. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6230, + "tgt": "Which mouthwash is better to combat bad breath in a smoker?", + "src": "Patient: Hello doctor, Is there a difference in alcoholic and non-alcoholic mouthwash. Which is better at combating bad breath due to smoking than alcoholic? I am in a hygiene school and want to know whether or not to recommend non-alcohol mouthwash for the complaints of bad breath from smoking. I have recommended tongue scraping, alcoholic mouthwash. Anyways, they are not going to stop smoking or drinking. I was looking at a way to have them not dry out the tissues, but stopping the obvious factors do not seem to be an option. Doctor: Hello. You can definitely prescribe alcohol-free mouthwash in such cases, in fact they are better in the patients who consume alcohol and smoke. Alcohol-free mouthwash should not contain Benzalkonium chloride (allergen), Sodium lauryl sulfate, Saccharin, or alcohol. On the other hand, it should have Sodium benzoate, Sodium bicarbonate, and other ingredients that actually help to eliminate bacteria from the mouth. You can check the commercially available mouthwashes in your country." + }, + { + "id": 2612, + "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": 9091, + "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": 13561, + "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": 980, + "tgt": "Can general dentist replace braces and filling?", + "src": "Patient: Hi doctor, I have fillings on the buccal surface of some of my upper incisors and regular metal braces attached currently. I believe when I chewed some crackers one of my fillings got loosened. I can feel pain and sensation from exposure to water. However, as my braces are still attached I cannot truly know where and how the filling has been loosened. Whom should I visit first, either my general dentist who did my fillings or the orthodontist? Can my general dentist be able to remove the braces and do the refilling? Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11550, + "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": 27174, + "tgt": "Is it alright to have sex three days after a laser eye surgery?", + "src": "Patient: Hello doctor, I had a\u00a0pan-retinal photocoagulation laser (PRP laser) in my retina about three or four days ago. Can I have sexual intercourse after this treatment or is it safer to wait? Doctor: Hello. I hope this helps.\u00a0Regards. For further queries consult an eye care\u00a0ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4346, + "tgt": "Is there any home remedy for hemorrhoids which interrupts sitting with occasional bleed?", + "src": "Patient: Hello doctor, I am 24 years old. I have an external and internal hemorrhoid. I guess but I am not sure. I have a lump near my anus and it hurts a lot when I sit and walk. Sometimes it bleeds as well. There were two external hemorrhoids, but one was gone by itself and one remained and it has been there for more than 15 months and it is still there. I also noticed a color change near my butt area. I have attached a video. I want to know what actually it is and how can it be gone forever? Do I need surgery? (I do not want a surgery) Can it be cured by a home remedy? Doctor: Hello. Did you attach any video? Here only pictures are available. (attachment removed to protect patient identity). Do you feel difficulty in passing stools? Any blood after stools? Does the area of lump itches or always seems to be wet? It does not seem to be like a typical external hemorrhoid. It needs a physical examination to confirm the diagnosis. Actually these are a collection of engorged small blood vessels and nearby soft tissue which occurs due to the pooling of blood due to prolonged constipation, straining, etc. Hemorrhoids can be avoided by encouraging more oral fluids, avoiding constipation, straining exercises especially abdomen, fiber-rich diet, etc. You most probably need to visit a general surgeon. Also, you might just need a minor surgical procedure. You no need to get worried. You can get discharged in two to three days from the hospital. I believe home remedies would not be helpful at this stage." + }, + { + "id": 10213, + "tgt": "I have acne. Can I use Pantoprazole with Cutein?", + "src": "Patient: Hello doctor, I have acne for around five years. Now I am using Cutein tablets. I suddenly got a burning sensation in my stomach. So, now I am using Pantoprazole tablets along with Cutein. Is that effective or injurious? Doctor: Hi. Cutein tablet contains Iron as one of the ingredients, along with some other vitamins. The iron tablets can give increased acid in the stomach and indigestion. But, if you take both Cutein and Pantoprazole tablets together, the iron will not get absorbed. Therefore, first take Cutein tablet on empty stomach in the morning, and then 30 minutes later take Pantoprazole." + }, + { + "id": 8304, + "tgt": "I had diabetes during pregnancy but levels were normal later. Why is it high again now?", + "src": "Patient: Hi doctor, Four years ago, I had pregnancy diabetes. Once I delivered my baby, the blood sugar levels were normal. I used to check the blood sugar levels and they were normal all these years. But since nearly six months, my levels started rising again. Usually, my fasting levels are high now and they fall during the day. My levels are between 200 and 300. What should I do? Doctor: Hi. It is well known that diabetes during pregnancy is a forerunner for diabetes in later life. It is good that you checked your blood levels faithfully after your delivery and that is why you were able to identify the high levels. Having found out about these high levels, it is time for you to meet a physician or diabetologist to start treatment. The target sugar level for fasting is 100 and for two hours after a meal is 140 mg/dL. Adhering to a strict diet and regular exercise may reverse diabetes completely in the early stages. You have not mentioned your age or desire for future pregnancy. In either case, I can suggest accordingly. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 4786, + "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": 1121, + "tgt": "Will previous chlamydia infection have harmful effects in fertility of males?", + "src": "Patient: Hello doctor, I am a 36-year-old male. I previously had a chlamydia infection and was successfully treated. Will such previous infection interfere or affect my fertility? I recently had a scrotal examination and the results were normal. Doctor: Hello. Chlamydia infection persistence or recurrence can definitely cause an apparent increase in the pus cell and WBC count in the seminal fluid which can easily decrease the total sperm count and its quality. If you have been treated it is good, but again it takes 90 days for new spermatids to form adults and become functionally mature for fertilization. It is always best to get a repeat semen analysis and culture done to be sure that there is no repeat or recurrence of chlamydia infection if you have been sexually active post your previous examination or if your partner was not treated along with you." + }, + { + "id": 13894, + "tgt": "Is it safe to give measles vaccine when my child has chickenpox already?", + "src": "Patient: Hello doctor, My baby is 9 months old. His measles vaccine is pending and he got chickenpox just 10 days before. Is it safe to give measles vaccine today? Doctor: Hello. Chickenpox and measles are similar kind of diseases, categorized as viral infections with a rash. In such a scenario, it is better to give measles vaccine one month after full recovery from chickenpox. It is not a problem to give measles vaccine after a month. Until then see that your child is not exposed in public places, or other kids with infection do not come near him. Nowadays, the vaccination schedule has changed to MMR, instead of measles vaccine at 9 months." + }, + { + "id": 20862, + "tgt": "Can a gray-blue mole on shin be a melanoma?", + "src": "Patient: Hello doctor, I had a mole taken off my shin. It was gray-blue. The dermatologist said it was a blue mole. He said they are mostly benign and that I should be fine. He removed it and sent it for a melanoma check. Should I be worried? Doctor: Hi. Was there any symptom in it? Was excisional biopsy done? How long had it been there? What was the progression? Any other site affected? Looking forward to your response in order to help you." + }, + { + "id": 28893, + "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": 6582, + "tgt": "I maintain my erection for only for three minutes. Do I need treatment?", + "src": "Patient: Hello doctor, I am not able to do intercourse with my wife for three months. My erection lasts only for three minutes, and then it will come down. How to increase erection for a longer period to have proper intercourse. Should I need to take any treatment? Please guide. Doctor: Hello. As you mentioned, three minutes erection is within normal limits. So you do not need any medication for this. However, you can do lifestyle modifications to manage your high blood pressure, and it will also help you with this problem. Do regular exercise. Take a healthy diet and avoid any substance use. Some exercise such as kegel exercises (pelvic-floor exercise) is also helpful; you can read about this and can start practice. I hope this helps." + }, + { + "id": 24062, + "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": 9958, + "tgt": "Please suggest whether I need Accentrix injection for my eye problem", + "src": "Patient: Hi doctor, I see wavy lines in my right eye. I was asked to do an OCT. After OCT, my doctor advised Accentrix injections. I am attaching my OCT here for your reference.\u00a0Please suggest if there is any other option. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9074, + "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": 3741, + "tgt": "How to cure chlamydia infection?", + "src": "Patient: Hi doctor, Yesterday, I was diagnosed to have chlamydia. I am freaking out because I want to get it cured as soon as possible to prevent damage to my ability to have children later in life. Unfortunately, I am not able to get treatment from the nearby hospital for a couple of weeks. I was wondering if there is another way to get the treatment sooner if possible. The clinic offered free treatment, but my peace of mind and less damage done is worth me paying for the prescription as long as I can afford it. I just do not know where to go or if the clinic could fax the results somewhere. Thanks for the help. Doctor: Hi. I can understand your concern. Chlamydia trachomatis is a STD (sexually transmitted disease). You have got the infection from your partner so you both should be treated. Ideally, a vaginal swab test should be done to confirm the diagnosis. You have not mentioned whether you have taken the test to confirm chlamydia infection. First line agent for uncomplicated infection in non-pregnant patient is Ceftriaxone with Azithromycin 1 g orally for one dose or Doxycycline 100 mg orally twice daily for seven days. If you can share your vaginal swab test with cultural and sensitivity then I can suggest you the right treatment. Do not panic. It will be cured once you take proper treatment. Revert back with the swab test report to an general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18136, + "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": 4035, + "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": 969, + "tgt": "Please explain my ankle MRI report", + "src": "Patient: Hi doctor, I am a 38 year old male. I have ankle pain for the last nine months. But, I have no problem in walking. My ankle x-ray is fine. The MRI report summary is as follows: Subchondral cystic changes seen in the medial and lateral aspect of talar dome with adjacent marrow edema and overlying hyperintensity and irregularity. It is suggestive of stage II A osteochondral injury of talus. No evident separation of the osteochondral fragment or loose body formation. Mild ankle joint effusion. No evident of ligament sprain or tendon tear. Please explain. Doctor: Hi. For further information consult an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16533, + "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": 20087, + "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": 21508, + "tgt": "I feel depressed and anxious in a new social situation. How to overcome this?", + "src": "Patient: Hi doctor, I am a 22 years old girl. I feel nervous, anxious, and my heart rate increases whenever I am in a new social situation. I have a fear of being embarrassed and judged all the time even for the smallest day to day activities. I always feel as others treat me as low in their comparison. I tremble while giving a speech and my voice also falters. I felt nervous during my practicals all the time. It has been from childhood since the sixth standard. Although I am a dancer, participated exclusively throughout my life, been on stage, but certain situations make me very anxious and depressed. I feel unhappy throughout and have very low self-esteem. I am undergoing treatment for UTI. I have UTI for the past nine months. Please help. Doctor: Hi. Take tablet Paxidep CR 25 mg (Paroxetine) half tablet in the morning and one tablet at night. Do meditation daily. Before a stage performance or when you are going to meet a new person take tablet Betacap TR 20 mg (Propanolol) one tablet one hour before the meeting. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 439, + "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": 11209, + "tgt": "Why am I having uneasiness in breathing?", + "src": "Patient: Hello doctor, I am an asthmatic for 15 years. Right now I am using Foracort 400 mg since three years. I am also hypertensive and using Telma-AM. Since past six days I am facing uneasiness in breathing and because of that maybe my BP has raised. Last week before all this happened I got a master health checkup done and my uric acid level was 9.1 and traces of albumin were there. Just to mention, that was my sixth day of keto diet when I got the checkup done. Later, I stopped Keto. Kindly guide me. Doctor: Hello. As you know, asthma is the chronic inflammatory airway disease with waxing and waning episodes. If you have asthma, your airways are always inflamed. They become more swollen, and the muscles around the airways can tighten when something triggers your symptoms. This makes it difficult for the air to move in and out of the lungs, causing symptoms such as coughing, wheezing, shortness of breath and chest tightness.There is no permanent cure for asthma, and current guidelines suggest to keep it under control with the inhaler medicines. Foracort 400 mg is the best inhaler, and you should continue using it two puffs twice daily. As far as the diet is concerned, diet can increase or decrease inflammation in the airways, depending on what you eat. But the ketogenic diet per se is not responsible for worsening underlying asthma. Rather in some cases, it seems beneficial for the patients. So, the ketogenic diet is not at blame for asthma worsening. Might be there is another reason for the change in asthma pattern that is causing uneasiness or difficulty in breathing. So, it is advisable to see your treating physician and get the necessary investigations done to find out exact control of your asthma. Also as you said, the master check up uric acid value is high and needs evaluation by the doctor. Environmental changes as high pollution, colds, drop in temperature might cause asthma flare-up, and you may need to take inhaler like Levolin (Levosalbutamol) for the time being. So overall, only after proper physical evaluation, we can decide the exact cause of your discomfort. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 9395, + "tgt": "Is there any exercise to tighten the bulbospongiosus muscle?", + "src": "Patient: Hi doctor, I heard of kegel exercise in women for tightening the pelvic floor muscles.\u00a0It mainly describes about tightening of pubococcygeus muscles in the pelvic region. My doubt is that, is there any exercise to tighten the bulbospongiosus muscle which lies at the opening of vagina as like that of tightening of pubococcygeus muscle by doing kegel exercise. Because, when I do kegel exercise I am not able to observe any movement in the bulbospongiosus muscles or I can say, there is no movement near the vaginal entry. Is it possible to contract bulbospongiosus muscles intentionally as like of uplifting or squeezing pubococcygeus muscles in kegel exercise? Kindly suggest. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11825, + "tgt": "What do high readings in kidney function tests indicate?", + "src": "Patient: Hi doctor, I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood urea nitrogen (BUN) 25, creatinine level 1.3, calcium 10.3 and Na is 148.\u00a0Is this anything should I be concerned about? Should I see a nephrologist prior to the ESWL? Or do you think that it is fine to proceed with the treatment as planned? Doctor: Hello. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. This is the reason for the stone need to be removed else it would cause permanent kidney damage. I suppose there is no need to see a nephrologist at this point. Once your stone is removed, your kidney function would dramatically improve within a matter of few weeks. However, I would still need to know the location of the stone? What is the size of the stone and any hydroureteronephrosis associated? If possible just attach your ultrasound or CT report. I will get my answers from the report and would help you with my final comment." + }, + { + "id": 13149, + "tgt": "I have swallowed a square magnet. Please help", + "src": "Patient: Hello doctor,I swallowed a square magnet. Will it harm me? Doctor: Hello. You should get an upper GI endoscopy done, if the magnet is in the reach of the endoscope, it should be removed on an urgent basis. According to you, it is a single magnet. A single magnet will rarely cause symptoms, but if you have ingested multiple magnets or magnet along with a metal object, you need to get them removed as soon as possible. For the single magnet, the size of the magnet will decide the course if it has reached into the stomach or small intestine, if it is less than 2.5 cm in all dimension, it should pass down in stools (there are 85 percent chance that it will pass down). Just check your stools for the next 24 to 72 hours. If it does not pass for more than 72 hours or size is larger than 2.5 cm, or the longest dimension is more than 5 cm, you should reach out an endoscopist to get it removed with a grasping forceps. 1. X-ray abdomen erect to look for the location of the magnet. 2. Upper GI endoscopy, if it is in reach of the endoscope (that is till first or second part of duodenum)." + }, + { + "id": 14751, + "tgt": "What are the day-to-day habits that could affect the teeth?", + "src": "Patient: Hi doctor, What are the everyday habits that could affect our teeth? I want to get some insight on how certain practices such as smoking, biting nail, opening things with the mouth, etc., affect the teeth. Doctor: Hi. Smoking adversely affects the gum health as the gum disease becomes less apparent in smokers and they show symptoms once the condition becomes severe. Secondly, it can cause pigmentation leading to smoker's melanosis (brown to black pigmentation of gums). Other ill effects can be oral and lung cancer. Opening things using teeth can make them attested gradually by making them sensitive and more prone to decay and fracture. Holding needles and pins in between teeth can cause notching of teeth which disturb the appearance as well as cause sensitivity of teeth. Tobacco chewing habit can cause teeth staining, per cancerous conditions like leukoplakia, oral submucous fibrosis, and even the deadly oral cancer. High sugar intake can cause an increased incidence of tooth decay." + }, + { + "id": 16815, + "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": 23889, + "tgt": "Will it be harmful if I use the glass power of the normal eye for lazy eye?", + "src": "Patient: Hi doctor, I had cataract operation four months ago. My left eye vision has improved from +5.0 to +2.5 with glasses. My right eye vision is +7.0. My right eye is a lazy eye, which my brain does not use. I only look through my left eye. Since I do not use this right eye, can I make the right lens of my glasses +2.5 like the left eye? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18318, + "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": 21690, + "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": 2328, + "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": 215, + "tgt": "Some gum-like fluid is coming out of my ear. Please help", + "src": "Patient: Hi doctor, Some gum-like fluid is coming out of my ear.\u00a0I have this problem for almost two years now. Please help. Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22856, + "tgt": "I have lightheadedness and nausea. Will MRA test help?", + "src": "Patient: Hello doctor, Extreme lightheadedness (not vertigo), sometimes a feeling of nausea, and feeling like I am going to black out any second. These symptoms hit me in very intense 20 to 30 seconds waves and then go away. I get these episodes about 7 to 10 times a day and they completely stop me in my tracks when they happen because I feel like I am seconds away from blacking out. These episodes come completely random and are not provoked by postural changes or anything else specific. All my blood work including vitamin levels and hormone levels have been normal. Cardiac: I have had numerous EKGs, two D-Dimer tests, an echocardiogram, a carotid doppler, and a 30 day event monitor. All was normal. Neurologic: Basic in-room neurological exam by the neurologist, head CT no contrast, MRI focused on brain and inner ears no contrast and an EEG. All normal. ENT: Basic exam of ears and sinuses with a scope, VNG vestibular testing. All normal. When I get these episodes, my blood pressure and oxygen levels are normal. I am not dehydrated, not diabetic, not anemic, and electrolytes are normal along with all other blood work. Kindly suggest what has to be done. Doctor: Hello. I read carefully your question and would explain that considering your performed cardiac tests, many disorders have been excluded (an inner ear disorder, epilepsy seizures, a cardiac disorder, thyroid dysfunction, etc.). Coming to this point, I would recommend performing a head-up tilt test to investigate for possible orthostatic intolerance. If this test results negative too, I would recommend considering panic attacks as a possible cause. You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5064, + "tgt": "I get excessive tears in my eyes after Biotin intake. How to reverse it?", + "src": "Patient: Hello doctor, For the past 17 years of my life, I had perfect eyes. I had a slight sinus allergy but nothing else. During high school I took a 500 mg Biotin pill in hopes to stimulate hair growth and the next day my eyes began to tear excessively. The following day my right eye stopped but my left eye continued. It has been almost two and a half years now and my left eye waters excessively to the point people think I am crying. This ordeal is really depressing. Especially, since I have been to four eye specialists and they are not able to help me. One said I had dry eyes, other said I had blocked tear duct, and other said I do not blink. I am currently on Restasis and still no improvement. Please help. This may sound foolish but could it have been the pill? If so is there something I can do or take to reverse it? Doctor: Hello. First of all, do not get depressed. Depression leads to a lot of other serious health issues. Now coming to your problem, I do not think your problem is related to Biotin use (at least not directly). Biotin is a vitamin, part of vitamin B-complex, which is required for many things (i.e. its deficiency in the body leads to a lot of problems). If you have taken antibiotics for a long time then you might have had a biotin deficiency. This deficiency might have resulted in conjunctivitis, which may cause excessive tearing of eyes. And the treatment is regular supplements of vitamin A and B complex. The other cause and this is one of the most common causes is a blocked nasolacrimal duct. See allergies often leads to swelling of tissues around it and thus the ducts get blocked. When the allergies resolve the ducts open by themselves. But sometimes infection or some other cause may keep it blocked. Thus causing excessive tearing. I do not think other causes of excessive tearing are relevant in your case. You should get your eyes checked by an ophthalmologist. Ask him/her especially to check for nasolacrimal duct blockage. Alternatively, you can also do a warm massage. Massage your part of the nose, on the side of the eye in which excess tearing is there, from the portion near eye to downwards 1 cm for 10 minutes every few hours, if possible with a warm cloth. This might relieve your blockage to some extent. Take care not to injure yourself. I hope this helps." + }, + { + "id": 4496, + "tgt": "Is hysterectomy necessary for uterine fibroid?", + "src": "Patient: Hello doctor, I need a consultation to decide on a health issue. For the past four and a half years I have been suffering from menorrhagia and metrorrhagia due to a fibroid. I tried ayurveda for three years and homeopathy for almost a year. Ayurveda did not work only with medication and they suggested to go take panchakarma treatment. Homeopathy started working for four months and the prolonged heavy bleeding stopped now. The bleeding was there for almost five years on each and every day with few months stopped now and then. At this juncture, I just got an endometrium biopsy and an ultrasound to monitor the size of the fibroid. My gynecologist suggested immediate hysterectomy to remove the uterus and my Homeopathy doctor asked to try for three to four more months and if homeo treatment fails, then go for surgery. This gynecologist does not believe in any alternative systems. I sent my reports to my ayurvedic doctor too, and he said surgery is not needed. The biopsy report says 'simple hyperplasia without atypia'. Because of prolong non-stop bleeding for years, now I have anemia and went for infusion. I need a second opinion on hysterectomy if it is needed or not. In case if it is needed, when can I go for it? Doctor: Hi. Failure of conservative treatment and dropping your hemoglobin level to that extent indicates the urgency of surgery. Where is your recent CBC report? If your level of hemoglobin is less than 8 gm/dL then you are at the risk of several diseases affecting the cardiovascular system." + }, + { + "id": 20718, + "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": 26109, + "tgt": "What are the treatment options for Internal Hemorrhoids?", + "src": "Patient: Hello doctor, I could feel a lump near my anus from around 5th of December. About 3-4 days back it burst and I could see blood coming out while cleaning after passing stools.Now the bleeding has reduced, but I can still see blood oozing while I wipe the area with a tissue.I was diagnosed with internal hemorrhoids about 2 years back (had one instance of bleeding).But the doctor said I did not need any treatment then.Can you please see the picture (attachment removed to protect patient identity) and suggest the required treatment? Doctor: Hi. In this type of hemorrhoids (internal hemorrhoids), we first give medical treatment and if the condition does not improve, then we can consider for endoscopy and surgical treatment. Advice: Provide details about any other illnesses (if you have) because, we need to identify the causes of this problem. The lab tests that have to be done are CBC (Complete Blood Count) and LFT (Liver Function Test). Revert back with the reports and a detailed history to a medical gastroenterologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24850, + "tgt": "How can this patient manage her loose motions?", + "src": "Patient: Hello doctor, The patient is suffering from loose motions. Kindly help me to deal with it. Doctor: Hello. How many motions are you having in a day and since how many days? It is likely to be enteritis. Most importantly have ORS (oral rehydration solution) 100 to 200 ml with each stool and keep yourself rehydrated. Drink liquid as much as possible. You should also visit a hospital to assess hydration status and whether you need IV fluids. You should get prescribed capsule Vizylac or Sporulac sachet three times a day for five days, tablet Norflox TZ (Norfloxacin and Tinidazole) two times a day along with some antacid like tablet Pantoprazole before breakfast once a day for five days. If stool frequency is too high, we can also start some medicines for reducing stool frequency. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9869, + "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": 18740, + "tgt": "Is hemoglobin level of 17. 1 normal?", + "src": "Patient: Hi doctor, I am a 27 year old male. My hemoglobin level is 17.1. Last month when I donated blood I came to know that this. Again this month, when I checked, the level remains the same. I would like to know whether it is normal. If it is abnormal what should I follow to bring back that to normal? Doctor: Hi. Based on your query, my opinion is as follows: Hemoglobin level of 17.1 is near normal. Increased hemoglobin can be seen in conditions, where oxygenation is less, like hilly areas, lung disorders and the air you breathe is low in oxygen. To compensate red blood cells increases and hence the hemoglobin. In these conditions, hemoglobin can be more than 18 g% and we call this condition as polycythemia. At present, for you it is not polycythemia. Unless it is more than 18 g%, there is nothing to worry. No need to return it to normal. Few books do say that the range between 13.5 and 17.5 is normal in male. At present, there is nothing to worry. Blood donation is good and do continue it. For further information consult a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24943, + "tgt": "There is a hemorrhage in the eye and a cotton wool spot. Is this serious?", + "src": "Patient: Hello doctor, I have recently had an eye test done and it revealed that I have astigmatism, also there is a hemorrhage 2 DD superior to macula 2 DD in the left eye and a cotton wool spot 2.5 DD supero-temporal to the optician's disc in the right eye. I am hypertensive but my BP is under control with medication.My question is could this be related to my BP and what degree of urgency would this be? I have been referred to an eye hospital. Doctor: Hello. Yes, this probably is related to hypertension. You are currently suffering from hypertensive retinopathy. Now your BP is under control but previous longterm episodes of uncontrolled BP has led to the narrowing of blood vessels in your retina and this has led to a response from your retina which led to the formation of new and leaky blood vessels. These vessels leak blood. Also, cotton wool spots indicate that it is hypertensive retinopathy. Now, coming to the treatment part: Both these tests will confirm if there is fluid accumulation inside the retina and also areas with these new vessels. In this treatment, you have to get pan-retinal photocoagulation plus I suggest you get injection antiVEGF substance. Along with that kindly see your specialist doctor to revise your antihypertensive treatment. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1296, + "tgt": "Is something wrong with my 4-month-old daughter, or am I overreacting?", + "src": "Patient: My daughter is 4 months old and this is what's been going on with her need answers or if over reacting. When she eats and even for long time after she is constantly puking. Sometimes white foamy puke. She makes a weird breathing sound when eating. And just regular breathing. Her nose is always running or full of snot. She has always got excess salava coming out of her mouth. She always sticking her toung out or moving it side to side. She acts like she's constantly choking. She has weird poop and seems be constipated alot. She isn't very alert like normal And it's like she can't talk laugh or cry anymore.. help plz Doctor: Hi , Choking like act, not laughing or crying well is something need a careful & detailed evaluation that she might be having delayed milestones and that can have multiple causes. If you can connect with me on video chat , I can have a look at your baby to confirm it is something to be of concern or not . Considering your baby is other wise normal with normal events during delivery & after delivery -- Small small amount of puking is normal which can be due to swallowing little more air during feeding. You Wrote - \"while eating\" , Just to re-confirm , have you started on solid food? Noisy breathing during feeds is due to running nose and she is having nose block so she feels difficulty while swallowing. Use Normal Saline nasal drops to keep the nose clean & open. Excess salivation at this age is normal for a well healthy baby ." + }, + { + "id": 3464, + "tgt": "I had sexual encounters with sex workers and now getting thread like appearance in penis. Why?", + "src": "Patient: Hello doctor, I had a sexual encounter with CSW which was protected and I have no symptoms. After six months I have another sexual encounter with CSW which was also protected. After a month a weird thread-like thing started appearing in my penis and it got disappeared in a few days. Now, again I get this same thread appearance and it keeps multiplying in different areas in the penis. Also, I am having intercourse with my wife (unprotected). She has no symptoms and she is breastfeeding. Is there any possible risk for her or for the baby. Let me know if anything else is required. Also, I think it is high time to have a full STD test. I had one last year and it was clear. Doctor: Hi. Please attach photographs for further guidance." + }, + { + "id": 12306, + "tgt": "Why is there pain in filled teeth?", + "src": "Patient: Hello doctor, About a month ago, I got a filling on one of my front teeth, they called it a surface cavity but filled it like a normal cavity. For the first two weeks, I could barely drink room temperature drinks without being in agony. I made an appointment after two weeks to have my dentist look at it to make sure it was not cracked or anything. He never even looked at it, he gave me an antibiotic and said if it did not get any better, I would need a root canal. A few days later the sensitivity went away and I thought it healed. Last week, I noticed the gums above it have changed color. They are a slight red, purple and the gum itself is very sensitive. Under my nose and some of my cheek, I can feel where it is swollen (the gum). It also throbs sometimes. Should I take the antibiotic that my orginal dentist prescribed or should I just wait it out until I see the new dentist to see what they say? I am just scared. Is it an abscess and I do not want it to become more infected. Doctor: Hi. Unfortunately, your doubt is true about it. The swollen gum and change in its color right above the tooth in question indicate that your tooth is infected and you need a root canal treatment now. Immediately, start taking the antibiotics from now, before starting take a picture of the color of gums and tooth so that you may show it to the new dentist that at this condition you started with antibiotics to avoid severity of infection and he might not give you this antibiotic coverage again and start treatment from the next step. Feel free to ask if you have any further question in mind. Stay happy and blessed. Take care." + }, + { + "id": 12998, + "tgt": "Kindly explain any abnormality present in my blood and urine reports", + "src": "Patient: Hello doctor, Based on the health check reports attached, please confirm if any of the parameters are our side range which needs to be monitored, especially the ones marked as L or H (RDW, total blood count, lymphocytes, indirect bilirubin, potassium serum, etc). This is for a 33-year-old female. Doctor: Hi, Welcome to iclinq.com. I just went through your blood reports and urine protein examination in blood reports (attachment removed to protect patient identity). Your hemoglobin level seems to be normal 12.5 also and then other components like white blood cells, red blood cells platelets all are within normal limits. Your liver function test is also quiet normal, nothing is to be worried. Coming to your kidney function your creatinine also seems to be quiet normal. Except your potassium level is 5.14 which seems to be little high normal needs to be taken care of. Avoid drinking tender coconut water, avoid eating bananas and avoid anything that is rich in potassium. Normal level is 3.5 to 5.5 so you are close to the high normal, so avoid foods that are rich in potassium. The next thing is your thyroid function is very normal, no need to be worried. Vitamin D is on the low side. It is 15, so what I advise is take tablet Calciquik 60K units calcium once a week for eight weeks followed by one tablet every month for the next 10 months. Your serum vitamin B12 also seems to be normal everything is normal except for your low vitamin D and potassium is on the higher side." + }, + { + "id": 28563, + "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": 17530, + "tgt": "Is it safe to go under anesthesia if I have bifascicular bundle block?", + "src": "Patient: Hello doctor, I am 60 years male. I have a BMI of 33. I have bifascicular bundle block. I take Salbutamol and Fluticasone (Relvar) puffers for asthma, which is lifelong. I have seen my GP and my cardiologist and been cleared for bariatric (gastric band) surgery next week, in order to expedite some weight loss, as my asthma has prevented me from much exercise. However, I am nervous about the anesthesia given my bundle block and I am here seeking informed discussion and expert counsel. That is, I am here seeking a basic outline of what will be the anesthetist's approach, given bifascicular block. I am an academic and I have a reasonable understanding of basic medical issues as found in peer-reviewed articles which I have read via my university. But obviously, I lack the medical training to be able to figure out the anesthetic procedure and peri-operative risk by myself. I am making this inquiry so that I might discuss this with my anesthetist in a more informed way before I meet him tomorrow. Doctor: Hello, Welcome back to icliniq.com. Bifasicular block is commonly RBBB (right bundle branch block) with left or right axis deviation. I need to explain to you that patients with this block are safe to undergo anesthesia. I would have been happy if an ECG was attached. If LBBB (left bundle branch block) is associated with the bifascicular block, only then the risk increases, which is complete heart block which needs a pacemaker. In brief, there is no added risk due to bifascicular block. Please tell the anesthetist about this condition so that he keeps a temporary pacemaker ready if the need arises. There is just a 1 % chance of complete heart block. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 4803, + "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": 1379, + "tgt": "Can schizophrenia be inherited and pass down to next generation?", + "src": "Patient: Hello doctor, I am a 28-year-old male in good health. I have suffered bouts of depression for the past few years along with anxiety and OCD. I am on Zoloft every day and am doing well for the most part. I am staying active and keeping busy. The reason why I ask this is, that on my mother's side there are two stories of people with suspected schizophrenia. My maternal grandmother's mother was said to have been institutionalized for her life because of it, and my maternal aunt (mom's sister) is a paranoid schizophrenic, according to my grandma. Does this skip generations? Neither of my parents or siblings has this condition. What are the chances of becoming a schizophrenic? Do I have anything to worry about? Doctor: Hello. Based on the history provided, I see that you do not have any first degree relatives with schizophrenia. So the risk is not high. This condition can run in families, but the risk is more when you have first degree relatives with schizophrenia (like parents, siblings). Schizophrenia is relatively rare affecting about 1% of the general population. So anyone in the world has a 1 in 100 chance of developing schizophrenia. Your risk will be the same as the general population ( ~1%), possibly marginally higher due to extended family history. You need not worry unnecessarily as the risk is not substantially higher than anybody else in the world. To give you an idea about the genetic risk of schizophrenia, look at these figures. If there is a first degree relative with schizophrenia, the risk increases to 10 %. If both parents have schizophrenia, the risk increases to 50 %. If there is identical twin, the risk can increase to about 50 to 65%. You do not fall into these categories. You may be aware that genes play a role in the etiology of schizophrenia but they alone are not responsible. Schizophrenia is caused by a complex interaction between genes, environment, and psychological factors. Environmental factors like illicit drug use and high stress levels play a huge role. Since there is a possible history of schizophrenia in the extended family, it makes sense to avoid any risk factors like illicit drugs use (weed, cocaine, etc). Continue an active and healthy lifestyle. Continue appropriate treatment for depression, anxiety, and OCD (obsessive-compulsive disorder). If you have any other concerns, you can contact your psychiatrist for a review. I hope this helps." + }, + { + "id": 6127, + "tgt": "I have yellowish teeth. Please suggest a toothpaste or toothpowder to make them white", + "src": "Patient: Hello doctor, Which toothpowder or toothpaste do you people prefer for a yellowish teeth to make them white. I am using Patanjali toothpowder this time and I have done scaling also. Doctor: Hello. Using toothpowder is not good for teeth as toothpowder contains a higher amount of abrasives and will abrade your teeth. When teeth get more and more abraded it gets more yellower day by day due to loss of enamel and exposure of dentin, which is more yellowish than enamel. Colgate toothpaste is enough for normal brushing two times a day, along with scaling every six months if possible. Slight yellowish teeth are normal. Do not use mouthwashes and toothpowder and strong toothpaste like Sensodyne or Sensodent." + }, + { + "id": 29862, + "tgt": "Is it fine to repeat I-pill within a short interval to avoid pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex on day 13 of my cycle and had an I-pill a day later. Again, I had sex in a gap of three days after the intake of tablet. I am really worried if I should take the pill again. This was a terrible mistake. Please help. Doctor: Hi. I am assuming that you have regular monthly periods. In that case, it is the time where you are going to ovulate. So, it is an unsafe period to have sex. And, if you have once unprotected sex and have taken I-pill (emergency contraceptive pill) once, then why to make mistake for the second time. Because, I-pill in itself is not 100% effective even if taken once. There is no study about two times taken I-pill. It works with two mechanisms. First of all, it will delay ovulation and second, it brings bleeding. So, if pregnancy happens, it resists implantation. In your case, if I believe that ovulation is delayed while you have taken the tablet, then it is good. If you have taken the tablet for the second time, then the ovulation is more delayed and period will be somewhat late with more chance of avoiding pregnancy. The second thing is that with I-pill your period cycle can become irregular. The chance of that increases more if you have taken two times. Because, it is a chemical (hormone), which is produced in your body to maintain your regular cycle. And, when you take it from outside it can disturb your normal cycle. If you do not want pregnancy in the first place, then either use condom or other method as preferred by you both after discussing with your doctor. I-pill is an emergency contraceptive and not a regular contraceptive pill that you can take as and when required. It should be taken when fear of failure of normal contraception is more. So, make the thing clear about whether you want pregnancy or not and go for a solution which helps you in future. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10966, + "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": 1764, + "tgt": "I am stressed and worried because my vagina lets out air almost like a fart. What to do?", + "src": "Patient: Hi Doctor, I gave birth normally to a 3.2 kg baby boy however with a small cut that was stitched and healed. Its now coming to four months ever since I gave birth. My problem is that my vagina let's out air almost like a fart though not smelling. It could happen even during day time when I had just produced. But now only comes at night around 3:00AM. Am stressed, worried, and I don't really what to do. Am asking for help on what can really be done. Am tired of this situation in my life. Thank you doctor. Doctor: dear!! welcome to iclinq! saw your concern!! I can understand you completely... first of all make it clear that gas from vagina is ( queefing / vaginal fart) NOT a pathology!!!! it's because the roomy vagina holds air and during the rigorous act of coitus or ant bit strenuous work or excersises it passes out with a sound just similar to fart ( as it's from a hollow organ) as u had mentioned it's not associated with smell it's unlikely to be a fistula.....( rectovaginal fistula) .So just relax!!! nothing can be done to prevent it!! may be some positional changes.. avoid more of butt up in air positions both during work, excersises n sex... if you just understand that it's normal u would laugh it out!!!! regards & best wishes....hope you find it useful!! physiological, due to roomy vagina vaginal fart reassurance revert back, if any queries.." + }, + { + "id": 7100, + "tgt": "A 19-year-old girl's brain is same as that of a newborn. What to do?", + "src": "Patient: Hello doctor, I have a sister who is 19-years-old, fully grown physically and healthy, but she has no knowledge. She cannot talk, she does not have any idea, her brain is the same as that of a newborn baby. Do we have any treatment regarding this, please help with some suggestions. Doctor: Hello doctor, Your sister has developmental delay and predominant speech delay the cause of which could not be identifiable unless we go deep into history. How was her birth? Was she born under normal delivery? Her birth weight, how long she was in the hospital at the time of birth? Is she able to walk and recognize all? To look more details, MR brain is needed, but unfortunately, nothing could make her normal. But with physical therapy and speech therapy, she might improve. Possible anoxia at birth. MR brain. Idiopathic. Developmental delay. Speech therapy and physiotherapy. To be assessed by rehabilitation team" + }, + { + "id": 19977, + "tgt": "Can dry eyes cause sudden vision obstruction?", + "src": "Patient: Hi doctor, I feel a strange glitch in my vision. It is quite big and takes up a large portion of my central vision. It is neither a shadow nor a flash, it looks like a greasy fingerprint smudge in my vision which disappears quickly.\u00a0It happens when I blink, but mostly occurs when my eyes move quickly.\u00a0I have had it for the past few days and I do not know if it is anything to be concerned about. Please help. Doctor: Hi. As per your description of symptoms it looks to be non-pathological.\u00a0It can be due to dryness in the eyes. It will occur when a thick eye secretion covers the cornea, once you blink it will get clear. This needs to be treated with artificial tear drops used hourly.\u00a0 Other possible causes can be, As these look to be less likely in your case, you\u00a0answer the following questions to get a clearer picture, Revert back with the answers for the above questions to an eye care ophthalmologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23628, + "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": 25538, + "tgt": "I have applied more Lignocaine gel than advised on my kid. Please help", + "src": "Patient: Hello doctor, My 2-year-old son has hard motions. He has just had his circumcision surgery. My friends advised me to apply Lignocaine Hydrochloride gel between his buttocks. By mistake, I applied more. I am very much worried. I hope it is not harmful. Please advice. Doctor: Hello. Lignocaine (Lidocaine Topical) gel is a local anesthetic so even if you have applied more there is nothing to worry. If he is having constipation, I suggest you give him syrup Looz (Lactulose) 10 mL twice daily. This is a stool softener and you can give him until his stools become soft. You can stop it after four to five days. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3840, + "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": 26037, + "tgt": "I feel full quickly and I am tired very much. How can I be treated?", + "src": "Patient: Hello doctor, I am a 39-year-old female. I take Nature-Throid for hypothyroidism and Wellbutrin for anxiety. I have recently been feeling full quickly and tired. My blood work came back normal. An abdominal CT scan was clear and a vaginal ultrasound was clear. What could be causing this? Doctor: Hello. I have reviewed your health query and can understand your worries. Hope this helps. Please feel free to ask more if you have queries. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25323, + "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": 8641, + "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": 15217, + "tgt": "My eosinophil, WBC and vit B12 are high. Could excess intake of supplement be the reason?", + "src": "Patient: Hi doctor, Recently, I did a full blood workup, and my eosinophil count, WBC, and B12 levels are high. I am a chronic sufferer of pouchitis. My creatinine and Bun levels are normal, like all other levels. I often take many supplements daily. Can you please help me? I am scared. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your B12 level can be high due to an intake of many supplements that contains B12 within it. Your eosinophil count can be considered very high. Usually, it is elevated in the case of allergic inflammation or hives like a problem. Chronic skin lesion like eczema or parasitic infestation can lead to such presentation. So consult a nearby physician for detailed evaluation. You can take anti-allergic medication like Fexofenadine and Levocetirizine combination for seven days. Then, you have to repeat your full CBC (complete blood count) with peripheral smear examination." + }, + { + "id": 11169, + "tgt": "I did not follow drugs as suggested by the doctor for abortion. Will it lead to infection or infertility?", + "src": "Patient: Hello doctor, I had an abortion a week ago, and the doctor suggested me to take two pills at a time, but I have taken one tablet at each time. Will I be having any problem in future like infertility or infection? Will my uterus get cleaned due to this? Doctor: Hello. The question is not entirely clear. Have you already aborted or yet to bleed, and what is the name of the pill? Any pill used for abortions are safe and have to be taken in full and advised doses to get the best results. They never affect the uterus adversely. They are usually hormones, so do not stay in your body beyond the particular cycle. They do not affect your health or your future fertility potential or future pregnancies. You will continue to have periods, as usual. You can have a normal sexual life, and healthy pregnancies in the future. If bleeding has stopped, have a pelvic scan to confirm if the uterine cavity is empty or any tissue is left over. I hope I have clarified your query, do write back if any more questions, and for your feedback." + }, + { + "id": 10261, + "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": 9855, + "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": 17028, + "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": 8239, + "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": 14991, + "tgt": "What medicine can be taken for premature ejaculation?", + "src": "Patient: Hello doctor, My age is 28 years old. My body weight is 80 kg and height is 5 feet 11 inches. I am facing a premature ejection problem. When I start sex, I discharge within one minute. Please kindly give me any medicine for treatment or guide me what I can do. Doctor: Hi. Quick discharge or premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes. However, there may be a problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also, there are exercises to control it. You can learn to control quick discharge by doing this exercise. Pull your muscles that you pull at the end of urination for few seconds then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex." + }, + { + "id": 20063, + "tgt": "Why am I having water like discharge after anal fistula surgery?", + "src": "Patient: Hello doctor, I was operated for anal fistula four months back. I was made to take sitz bath and antibiotics. The wound is all right and there was no problem till 15 days back when I started feeling waterlike discharge from anus especially when I walk for a distance. There is no foul smell. Sometimes I also feel a slight pain in the anus in the area of operation. Please suggest if it is fine or some problem is there. Doctor: Hello. You must know and remember that anal fistula is a condition which has got fairly high recurrence rate, meaning it has a tendency to occur again after the operation. Complete cure is very difficult. I strongly suspect that you have got fistula-in-ano again. Please consult your treating surgeon for the same. There can also be some conditions in which there is a high rate of recurrence of fistula if not treated primarily such as tuberculosis, Crohn's disease, malignancy, etc. You can ask your doctor regarding the same. 1.Failure of operative treatment. 2.Underlying secondary causes. 1.MRI fistulogram. 2.Investigations for suspected secondary causes. 1.Recurrent fistula-in-ano. 2.Perianal abscess. 1.Investigate the fistula. 2.Rule out secondary causes. 3.Treat the underlying secondary cause if any. 4.Operate if fistula persists. 1.Maintain anal hygiene. 2.Regular sitz bath. For more information consult a general surgeon online.--->https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 16741, + "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": 26426, + "tgt": "What medicines can be taken for migraines and how are they prevented?", + "src": "Patient: Hello doctor, I am 54 years old and I am having migraines for the last 32 years. They are increasing day by day and always shifting from right to the left side. I have had an MRI, CT scan, EEG, and echo and all are normal. I have tried Ciplar, Sibelium, Betacap, and\u00a0Zoly Plus etc. for migraines. These all have helped, but they lead\u00a0to\u00a0depression. I then have to take medicines for depression and they do not suit me and I have side effects.\u00a0Currently, I am on\u00a0Rizact\u00a010 mg for\u00a0migraines\u00a0and Pan-D.\u00a0I am unable to understand what type of medication will suit me as I am having migraines four to five times in a week. Please advice. Doctor: Hello. For more information consult a\u00a0neurologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14934, + "tgt": "Had an appendectomy last week, they started me on antibiotics, Flagyl, through an IV. Would this affect my birth control?", + "src": "Patient: Hi doctor, I had an appendectomy last week and they have started me on antibiotics, Flagyl, through an IV. Would this affect my birth control? Should I be using other protection? Doctor: Hi. Flagyl (Metronidazole) as such has no effect on birth control. You need not take any extra precautions for the sake of Flagyl itself. But, if you were on pills earlier and had to discontinue due to surgery, then, of course, you need other protection. To know the methods of birth control consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23635, + "tgt": "Suffering from depression & taking medicines, how long will the treatment last?", + "src": "Patient: Hi doctor, My son, who is 15 years old, started studying at a renowned entrance exam coaching center from last year. His mother has accompanied him since then. However, we noticed that he is suffering from depression. Immediately, he was referred to a psychiatrist. He also underwent some counseling sessions by an expert counselor. For about 2 to 3 months, his studies were almost none, although he used to attend the classes. In the meantime, he was also averse to attend the classes. Gradually, he started attending the classes regularly. Later on, apart from attending regular classes (5 to 6 hours), he studies for about 2 to 2.5 hours per day regularly. Now, it seems that he is alright. But, still, he is not that dedicated to studies\u00a0the way he was used to before the depression. As per our perception he is alright now and should gradually devote more time to study.\u00a0His treatment is still going on. Now, we are skeptical about how far the treatment will last. Is it because of the pills that he is not that much interested in studies? The doctor is not properly guiding us. What we should do? How far this treatment will still go on? Where to stop this treatment? Is this treatment on right track? Please guide us. The case papers are attached herewith. Thank you. Doctor: Hi. I can understand your concern. Your son is a 15 year old student and has been diagnosed with depressive disorder for the last one year. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6451, + "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": 14503, + "tgt": "I am taking Triphala churna twice a day. When can I take Bramha rasayan?", + "src": "Patient: Hello doctor, I am taking Triphala churna in morning empty stomach and in at night bedtime for constipation. Now my problem is at which time should I take Bramha rasayan. I have to take Triphala two times for constipation and digestion issues. Please suggest me the time for Bramha rasayan. Doctor: Hello. I just read your query. See if you have mild to moderate constipation then take two teaspoons of Triphala powder at bedtime with lukewarm water. Do not eat anything after taking Triphala powder. You do not need to take it two times if it is solving your problem. So you can take Brahma rasayan in the morning one teaspoon or as advised by your physician half an hour before breakfast with lukewarm milk or lukewarm water." + }, + { + "id": 22670, + "tgt": "Does a contraceptive pill affect periods?", + "src": "Patient: Hi doctor, Are contraceptive pills safe to take? Does it affect periods?\u00a0Does taking contraceptive pills completely reduce the chances of pregnancy or is there still some chance?\u00a0Is it completely safe to take it even if having intercourse very occasionally? Or is there some other better way to avoid pregnancy without using condoms? Please suggest. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7989, + "tgt": "Could you comment on the rashes my partner has on his body?", + "src": "Patient: Hello doctor,My husband is not willing to go to the doctor because he says it is a heat rash. It is there all the time. Could you please give me an idea of what we are dealing with. It does seem to get brighter when he is hot, but he also is a drinker. Doctor: Hello. I have noted the details about your husband and seen the photographs (attachment removed to protect patient identity). I think your husband is suffering from modified tinea or ring worm infection. This is a fungal condition which is commoner in the hot climates. It also tends to invade surrounding areas. It can be itchy in some patients, and alcohol use is known to be one of the factors that can increase the probability of an individual to catch such an infection. Under these circumstances, the following measures best help my patients, 1 To minimize sweating or working conditions in which sweat tends to accumulate over the skin. 2 Antifungal creams help invariable, and these usually contain Clotrimazole or Miconazole. 3 Anti allergic-like Cetirizine for itching. 4 Use of loose garments is recommended as these facilitate evaporation of sweat from body areas. 5 Finally, the role of good hygiene should not be underestimated. I am sure with these facts available to you, and you are in a better position now to help him recover fast." + }, + { + "id": 23450, + "tgt": "Is cervical mucus an important criteria for fertility?", + "src": "Patient: Hi doctor, I am trying to conceive. I have very less cervical mucus. Am I infertile? Please help. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30792, + "tgt": "How long will it take for a fracture to heal and function perfectly?", + "src": "Patient: Hi doctor, Three months ago, I fractured my left clavicle. The bones were displaced and the doctors advised to heal it conservatively. They used sling and the figure of 8 brace for six weeks for the same. No retraction for alignment or surgery was performed. It has been three months and still I have slight pain in the joint. There is an obvious bump. In x-rays, it still looks like a fractured bone with no joint in between.\u00a0It pains to lift the hand sideways and while lifting weights.\u00a0I am a pilot. I need this fracture to heal perfectly and the full functioning of the shoulder also has to be restored to start flying. How long will it take? Doctor: Hello. Revert back with the x-rays to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 924, + "tgt": "I am having bloating, stomach cramps, and pass stools 3 to 4 times a day. Why?", + "src": "Patient: i am 40 yrs old . My digestion is always a concern for me but since last month i am having bloting , stomach cramps , stool discharge 3-4 times a day. medicine taken rifagut, actigut for 5 days , meftal spas continuous , pentaprazole - 20 days till nw . at present bloting reduced but stomach cramps , stool discharge 3-4 times a day still persisit . USG abdomain found \" minimal edamatus wall ( avg 3mm) noted in sigmoid colon. \" rest is ok. as per stool test macrophagus present - a few . Kindly advise Doctor: Hello. I welcome you to icliniq. I can understand you must be very upset about your problem. Well the symptoms you mention seem to be occurring due to irritable bowels. The irritable syndrome is a gastrointestinal entity where patient has abdominal pain which change with physiologic activities such as defecation, belching. This abdominal pain can accompany diarrhea, which is called as Irritable bowel syndrome (IBS) diarrhea (D) predominant (IBS-C) to be precise. The blood test, urine test, and Ultrasound abdomen that you shared are very much within normal limits. So don't be worry at moment. You said stool test contain macrophages, but I can't see any stool detail report among files you uploaded. Well macrophages or leuckocytes can be present in stool harmlessly and does not suggest any diagnosis by its own. I would recommend you to get some more stool test that can determine it clearly. So the IBS usually affects small and large bowel; and it is not uncommon to have concomitant stomach irritation which is called functional dyspepsia. So part of your symptoms such as stomach cramps, bloating are secondary to stomach irritation. You are on lots of medications, many with similar drug class, that does not seem a wise to continue for now. I just recommend you some medication you can use them and let me know in one week time how that work in your case. Please find below investigation and treatment plan. good day Irritable bowel syndrome with functional dyspepsia Stool for H pylori Stool for fecal calprotectin Stool For Detail report, for ova and parasites, and for giardiasis stool for fat globules, reducing substance, and Stool spot Na and spot K levels Serum TSH, FT4 and FT3 Random blood sugar and HbA1c Inflammatory bowel disease Endocrine disorders Diverticular disease of sigmoid H pylori gastritis Gastroparesis IBS-D plus FD Tab Rifaximin 200 mg thrice daily for 3 weeks Tab Mebervine MR 200 mg twice daily Reduce some weight Avoid gas producing diets such as nuts, peas, cauliflower, cabbage, certain cereals which you think causing increasing bloating Follow up after investigation" + }, + { + "id": 18387, + "tgt": "Will taking Sysron NCR prevent pregnancy?", + "src": "Patient: Hello doctor, I am 36 years old. I am taking Sysron NCR 10 mg for heavy bleeding. I had unprotected sex on the 12th day of my periods. How to prevent my pregnancy? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22817, + "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": 13650, + "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": 17195, + "tgt": "Please suggest some ayurveda medicine for IBS", + "src": "Patient: Hi doctor, I am getting\u00a0diarrhea for five days in a month. Also, I always have loose stool.\u00a0When I consulted my doctor I came to know that it is irritable bowel syndrome. I would like to get it cured through ayurveda medicine. Please suggest me a treatment. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28388, + "tgt": "I get a sharp pain in my tailbone if I sit even for 30 minutes. What is the reason?", + "src": "Patient: Hello\u00a0doctor,I am a 25 year old female, and I weigh 175 lbs and 5.7 feet tall. I have noticed for the past few months, that sitting is becoming increasingly uncomfortable. I get a sharp pain in my tailbone if I sit for even 30 minutes to an hour. The pain when I straighten up again can cause me to double over when it is at its worst. I went to the movies this week, and it was almost unbearable to sit through, which seems odd for someone my age. I am fairly active, although I do have a part-time job that somewhat frequently requires sitting for a few hours. I have been told that the bones in my back are a bit smaller than normal due to my long torso, but I am otherwise healthy.\u00a0When I was 13 or 14, I fell off the back of a dirtbike directly onto the\u00a0pavement, and I landed on my tailbone area. I never went to the doctor about it. Is it possible that an injury like that from so long ago could be causing me problems now? Other than that occasion, I have had no recent trauma to that area.\u00a0Either way, whether the old injury is bothering me or it is coming just from added sitting at my job, is there anything I can do to relieve this pain? Doctor: Hello. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23505, + "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": 14622, + "tgt": "Please explain the CBP blood report taken for fever in a child", + "src": "Patient: Hi doctor, I would like to know more about my kids CBP blood report. Her age is 6 years. Last month she got a viral fever and we got her tested for CBP along with other tests. As part of that, we found that she has less absolute neutrophil count. Though pediatrician said it is fine, we were worried. So, repeated test after one month and looks this time some other values are in not expected range. We see she is having frequent colds but she is very active. Doctor: Hello. I have checked your attached reports (attachment removed to protect patient identity). Your latest reports show absolute neutrophil count slightly low. But your count improved as compared to the last month report. The frequent cold might be the reason for low absolute neutrophils and high lymphocytes. The peripheral smear examination report is normal and any specific abnormality is not mentioned in the peripheral smear report of WBC. So, you may need not to worry about your CBC report as per my opinion. If your kid has clinically improved, then no need to worry." + }, + { + "id": 17632, + "tgt": "How to avoid early morning erection?", + "src": "Patient: Hi doctor, I am 20 years old. My penis is 9 inches in erected state. Is it abnormal to have penis of such length? I get my penis hard very easy and fast. I end up masturbating 1 or 2 times a day. Is it normal?\u00a0At times, I am able to masturbate without my penis being fully erect also. Few mornings I wake up with erect penis which is embarrassing. Please suggest a solution to this.\u00a0In adult movies, they show when men masturbate a lot of cum comes out of the penis. Whereas in my case not much cum comes out.\u00a0Please address my queries. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6951, + "tgt": "HIV RNA was negative on 21st day? Can it be positive later?", + "src": "Patient: Hi doctor, I had unprotected sex with a woman for two to three minutes around four weeks ago. I took HIV 1 RNA test on 11th day which was negative. Again I took complete STD panel tests on 21st day with HIV-1 RNA and HIV fourth generation tests, all of the results were negative. But, I can notice small rashes near tip of my penis which are appearing and going away for the past couple of days. Am I HIV positive? I am worried. Can HIV RNA be positive after negative at 21st day? Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 21222, + "tgt": "I have a yellowish bump in the conjunctiva and redness around it. What do you suggest?", + "src": "Patient: Hello doctor, There is a yellowish bump on the conjunctiva, near my cornea in the left eye. After waking, both eyes are red, especially around the bump. Also, it seems that in both my eyes, towards the nose a brown margin emerges from the limbus. What treatment do you recommend for that? Doctor: Hello. From the information provided, it looks like a pinguecula (occurs most commonly in people working in the sun, or in dry, hot weather conditions). It is harmless and sometimes can be inflamed leading to pain and redness (rarely occurs). I would suggest you use lubricant eye drops (it would soothe the eyes). If you still feel it should be removed for aesthetic purposes, then you can consult an ophthalmologist and it can be done as a minor procedure. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22702, + "tgt": "I get up in the morning with whole body pain. What is going on?", + "src": "Patient: Hello doctor, I am a healthy 65 year old female. For the past six months to one year (approx), I have been getting up in the morning with lower back pain, and all around body pain. I teach yoga, so really I am fine. I have started doing some spinal twists in bed before getting up and forward bend at the side of the bed. This works wonders and I am usually good to go then. But what is going on? Is it my bed? I have gone through two different beds during this time. Sleep should be a restful thing, and one should get up without pain. Please help me. And thanks. Doctor: Hi. Morning stiffness and pain following a period of prolonged rest are suggestive of wear and tear process or osteoarthritis. Wear and tear is an age-related condition. As long as this pain is not affecting your lifestyle (I understand that you wake up with pain but sleep soundly, also you have the insight to act positively to control your symptoms through yogic postures), we really do not need to change anything at present. Please get your vitamin D levels tested along with ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), and CBC (complete blood count) to rule out inflammatory conditions and vitamin D deficiency. Hope this helps. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 24321, + "tgt": "Why is there pain and itching in the tip of penis and foreskin?", + "src": "Patient: Hello doctor, Since a week or so, I have started to feel pain and itching in the tip of my penis and the foreskin. It is painful to pull back the foreskin. Also when I have passed urine, the head and the foreskin tip feels very itchy and I get burning sensation. The head looks discolored. Kindly help. Doctor: Hi. With your descriptions, it seems either you have balanitis or urethritis. Do you have any history of unprotected sex? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3766, + "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": 24769, + "tgt": "I have a constant urge to urinate. What could be the reason?", + "src": "Patient: Hello doctor, I am a\u00a031 year old\u00a0woman.\u00a0This problem started about four years ago around the same time I was diagnosed with Hashimoto's thyroiditis. And, I suffer from a constant and persistent urge to urinate concentrated in my urethra. Sometimes, it is accompanied with pressure, discomfort, slight pain, twitching, or spasming. My urine flow is weak and hesitant, and I have to strain or push to empty my bladder, and sometimes I feel that I have not completely emptied my bladder. The urodynamics study did not show an overactive bladder, and my urogynecologist told me that it showed that my bladder did not mount a good contraction. Please advise. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 24978, + "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": 976, + "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": 17062, + "tgt": "Do I need hospitalization for psoriasis?", + "src": "Patient: Hi doctor, I am suffering from severe psoriasis. I also have something else going on along with the psoriasis. My skin is red, swollen, pus filled and large yellow scales of skin are coming off. I cannot touch anything on my skin as it causes extreme pain. It is also hot to touch. I picked all the scales off. As soon as I apply lotion the scales will be back within one hour or so. I can hardly touch my skin to apply the lotion. About 60 % of my body covered with these scales now. It just started a little less than two weeks ago. I was completely covered in sheets of psoriasis within a week or so. When I visited my dermatologist he said there is nothing much more that he can do for me. I am on Remicaid every six weeks infusion. I have tried Humira, Enbrel, Methotrexate, steroids and topical creams. I would like to get a second option as I feel I should be hospitalized. Thank you. Doctor: Hi. I have read your query in detail, saw the pictures (attachment removed to protect patient identity) and do understand your concern. This pus filled lesions is a form of psoriasis called pustular psoriasis. Also you seem to be going into psoriatic erythroderma that is involvement of more than 90 % body surface area, which is an indication of hospitalization. For pustular psoriasis, Acitretin is the preferred form of treatment. Cyclosporine can also be started and gives good results. As you know, psoriasis is a chronic disorder for which medicines are prescribed whenever condition worsens. These listed treatment options will depend on any associated disease, hepatic and renal profile, dose of drugs already taken, etc. You can discuss about these treatment options with your dermatologist who is the best judge since you are suffering from this problem since a long time. Avoid stress and alcohol. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1954, + "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": 6374, + "tgt": "My eyes injured accidentally by a pest spray and I rinsed it immediately. Will it affect my vision?", + "src": "Patient: Hello doctor, I accidentally got Amdro indoor pest killer in my eyes. I immediately rinsed it out and continued to do so for 15 minutes under the tap water. Will the spray affect my vision? Doctor: Hello. It seems from the history that a pest killer went into your eye, and you have immediately washed the eye for 15 minutes. It is a good thing you have done by washing the eye. This is the first line of treatment, and you have done it. The next mode of treatment depends on the symptoms. The general treatment is the use of antibiotic eye drops and artificial tears eye drops. If you are having symptoms of pain, irritation, redness, discharge, watering, blurring of vision, then you need to consult your doctor for an examination to assess any damage to the cornea and other vital structures and treat accordingly. Hence as of now, you can use antibiotic eye drops like Ciprofloxacin and artificial tears eye drops like Refresh tears and do consult your eye doctor for further examination and treatment. If you have washed the eyes immediately following fall of pesticide and if the quantity of the pesticide is small no problem will occur and it will not affect vision. I hope this helps." + }, + { + "id": 7060, + "tgt": "After PPP removal, my penis head has become red. What to do?", + "src": "Patient: Hi doctor, I am 24 years old. Six months ago, I had PPP removal from my penis head (uncircumcised) with CO2 laser. Two months ago, my penis head started to become red and now, almost half of my penis head is red in color. I noticed that there is a lot of dryness. Though I do not have PPP, sometimes, it hurts a little after sex or masturbation if I do not use oil lubricants. I went to dermatologist visit here and she prescribed me to use Travocort cream twice daily for 10 days and then Canesten cream in the night for a month. I have done it and did not observe any change. It remains the same. I will attach the photos of my case here. Thank you doctor. Doctor: Hi. Penile pearly papule is just a normal variant. It is not a disease, so no treatment is required for it. But, you got it removed by CO2 laser. Penis skin is very sensitive area and CO2 laser always gives redness of skin. Not only penile area, but even in the normal skin redness comes and persists for four to six months. In your condition, the best way of treatment is just wait and let the skin heal from inside. Canesten cream (Clotrimazole) is an antifungal and it will not use here. Travocort (Isoconazole and Diflucortolone) has steroid, which you have used 10 days. But, it is a very mild steroid, so it may not subside redness. I suggest you Flutivate cream (Fluticasone) for 10 days over the red skin. Consult your doctor, discuss with him or her and take the medicine with consent. Avoid friction and use lubricant. Just wait for a month and the problem will subside itself. Actually, intense treatment is not required in your condition. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5778, + "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": 17699, + "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": 10568, + "tgt": "Is it mandatory to remove the premolars for my orthodontic treatment?", + "src": "Patient: Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth. Doctor: Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case." + }, + { + "id": 16852, + "tgt": "My wife has urticaria. Please help", + "src": "Patient: Hello doctor, My wife has been getting a rash which the doctor has termed as\u00a0urticaria. What could have caused this? I feel she could be having a\u00a0yeast intolerance. Please help. Doctor: Hello. Your wife has been treated for urticaria. I would keep a possibility of idiopathic urticaria/hives. It presents as sudden skin welts/swellings, which can be distributed all over the body. Itching is usually severe; however it is subjective in individuals. The causes of urticaria includes various factors such as infections (bacterial, viral or fungal), drugs like painkillers and also certain foods, additives and preservatives. Physical urticaria can occur due to cold temperature, heat, dermographism, etc., and cholinergic urticaria will occur in response to strong emotions, exercise, spicy food, etc. Autoimmune urticaria associated usually associated with autoimmune disease such as thyroid, rheumatoid arthritis, systemic lupus erythematosus, etc. The most common one is idiopathic urticaria, where there will be no underlying identifiable cause. Regarding treatment, I suggest oral antihistamines like Montelukast and Levocetirizine once daily. Also she can take tablet Allegra 120 mg (Fexofenadine) once daily. Treatment may sometimes last for months or years. A topical soothing lotion like calamine would help her symptomatically. Kindly get the food allergy tests and thyroid tests to rule out yeast intolerance. Revert back with the reports to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15665, + "tgt": "Kindly explain the growth cycle of a female child", + "src": "Patient: Hi doctor, My daughter is nine years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty stage. I have another daughter. She is 13 years old. She does not have these problems when compared to my younger one. Please help. Doctor: Hi. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the next one is menarche. In this one, there is an onset of menses. In between thelarche and pubarche, there is a growth spurt. So all these occur gradually. It is normal for your child to have this development. You can consult a doctor when there are secondary sexual characters like breast development and growth of pubic hair before eight years of age in a female child." + }, + { + "id": 24268, + "tgt": "What is the reason for blurred vision and sensitivity to light?", + "src": "Patient: Hello doctor, I was born half blind in one eye. I have been through a stressful few months and it has all caught up with me now with headaches and anxiety-like symptoms, etc. I noticed during this time, that my \u201cgood eye\u201d became hazy/blurry and became quite sensitive to light. This has gone back to normal vision. I noticed that it is now affecting my \u201cbad eye.\u201d I woke up a few days ago quite dizzy and did not know what was going on. I am wondering if it happened then? As I have gone my whole life like this so maybe my body is confused? I am also worried because I am unsure of whether the vision in the \u201cbad eye\u201d will return to its normal state. This makes me dizzy at times and I think it gets worse when I am nervous about it which might be why I get dizzy? Doctor: Hello. The symptoms of photophobia and blurry vision points out to the following possibilities: Given that there is a history of congenital impairment of vision in one eye, this tips the diagnosis towards glaucoma or corneal dystrophy. But to diagnose them with certainty you will have to undergo tests like: Until then, I suggest you start Carboxymethylcellulose plus Naphazoline eye drops four times a day. Nepafenac eye drops every morning. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30649, + "tgt": "How can I remain fertile for a longer period?", + "src": "Patient: Hi doctor, I have so many issues to discuss with you. Let me explain you one by one. Even though my scalp is very oily, the upper surface of the hair becomes quickly damaged and dry. I also have enough hair fall. I tried using a conditioner after shampoo and that helps certainly, but not much.\u00a0I need soft, shiny, smooth and bouncy hair.\u00a0Also, sometimes I get gassy stomach and acidity.\u00a0I need brighter fair complexion. I also need weight loss remedy. My menstrual cycle has been started after eight months of first delivery. I wish to get a second baby after a few years. But, at that time my age will be more than 37. I got my first baby at the age of 33. I have heard that after 35 fertility starts declining. Please give me good health remedy so that my fertility remains at a good state as I guess women with good fertility can conceive at late too.\u00a0Also, suggest a diet to boost my immunity. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15934, + "tgt": "What are the ways to reduce PP blood sugar and HbA1c level?", + "src": "Patient: Hello doctor, My age is 49 years, and I am a male. Height is 160 cm, weight is 80 kg. FBS is 78 mg/dL , PP is 178 mg/dL, HbA1c is 7 %. Am I a diabetic? How to reduce my PP blood sugar and HbA1c level? Should I follow a restricted diet low on rice and bakery products? Doctor: Hello. I understand your concern. You are not diabetic but your blood sugar levels are in the pre-diabetes range. Your weight also seems to be on the higher side, so lifestyle changes can help you in a number of ways. Avoid outside food as far as possible, and eat home cooked food. I recommend that you avoid all forms of processed sugar (please read the labels on any packed food item to look out for added sugar). You can take sugar in its natural form (fruits), kindly avoid fruit juices (packed or fresh), eat the fruits in their natural form. If you are eating too much rice, you can try to reduce intake, but there is no need to avoid rice completely. Try to eat three portions of vegetables for one portion of rice in every meal. You can measure this out using cups. Drink lots of water to avoid confusing thirst signals for hunger. Exercise daily. Do whatever type of exercise you like walking, jogging, yoga, gym, aerobics, dance, any exercise is good. But do it for 45 minutes at a stretch for at least five days in a week. Eat lots of raw vegetables in the form of salads. Regulate meal times, eat at the same time every day. Finish dinner two hours before you sleep. Regulate sleep time. Sleep and wake up at the same time every day. Reduce screen time. Switch off all electronic gadgets, phone, TV, etc., one hour before you sleep. Follow these tips for two months. Then tell me about your weight loss success and your blood sugar returning to normal. I wish you all the best." + }, + { + "id": 27002, + "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": 13463, + "tgt": "Does peanut butter pose any allergy threat?", + "src": "Patient: Hi doctor, Is that fine to bring peanut butter (PB) on an airplane? I would like to know the ways that bringing PB on a plane might or might not pose a threat to others? What should you do if you are bringing PB and if you have an allergy and want to keep safe in case someone else brings some on the plane? Thanks. Doctor: Hi. You have asked an interesting question. Peanut allergy is one of the most severe food allergies. It can cause itchiness, urticaria, swelling, eczema, sneezing, asthma, abdominal pain, drop in blood pressure and cardiac arrest. It may even result in anaphylactic death if not controlled at the right time. The routes of exposure of the allergen are mostly the accidental ingestion of peanuts or PB by the concerned person (who is hypersensitive to peanuts). Air-borne particles in a farm or factory or crushing environment may cause respiratory symptoms in allergic individuals. However, the odor of peanut butter or its mere proximity has not produced any allergic symptoms in various studies conducted. Hence answering your questions." + }, + { + "id": 28053, + "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": 13486, + "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": 30903, + "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": 17161, + "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": 21994, + "tgt": "I have taken three Unwanted 72 tablets in a month. Is it serious?", + "src": "Patient: Hello doctor, I have taken three times Unwanted 72 pregnancy tablet in a month, and I am unmarried. I want to know that what are the side effects of it if we take it one or more times. Help me, please. Can I regularly take this type of medicine? Doctor: Hello. The emergency contraceptive pill should not be taken more than once in a month, because it causes a withdrawal bleed in next 7 to 10 days and hence by consuming continuous pills, the bleeding may not occur at all. If sexually active, then there are high chances of pill failure and continued pregnancy. Also, the cycles are changed completely. There is a chance of heavy bleeding during menses as well. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1373, + "tgt": "Should I be concerned about fertility and pregnancy complications due to bicornuate uterus?", + "src": "Patient: Results from an HSG procedure showed that I have a bicornuate uterus or a thick septum. Both Fallopian tubes are patent. But there is an abnormal position of the uterine body, possibly due to a cystic nodularity in the right adnexa, displacing the entire uterine body toward the left side of the pelvic cavity. Currently trying to conceive and I'm pretty concerned about the complications with both fertility and pregnancy due to the potential above diagnosis. Further clinical evaluation is recommended. What can be done to fix this and/or make the changes for a healthy full-term pregnancy? Thanks! Doctor: Hi Thanks for your query woman may never need treatment for a bicornuate uterus. If it is required, the surgery is known as a Strassman metroplasty. This surgery may be recommended if a woman has repeated miscarriages and bicornuate uterus is thought to be the cause. Performing this procedure, as a solution to infertility, is controversial, as the majority of research carried out suggests that having a bicornuate uterus will not affect a woman\u2019s chances of falling pregnant. Some evidence suggests that problems, such as miscarriage and early birth, are more likely in women with the condition, though it does not rule out a successful pregnancy and natural delivery. Women with a bicornuate uterus who do become pregnant should have additional monitoring and checkups throughout their pregnancy, to minimize risk and identify any problems early on. It\u2019s not necessary that all those with this condition will get problems with fertility or pregnancy but the chances are more especially if it\u2019s septate uterus where there\u2019s full septum diving uterus into two. Sometimes it can\u2019t be established on imaging and laparoscopic view may be necessary." + }, + { + "id": 19705, + "tgt": "I took i-pill yesterday and then accidentally had an unprotected sex today. Should I take another i-pill?", + "src": "Patient: Hi Doctor, I took i-pill yesterday night and then accidentally had an unprotected sex today evening at 5 PM. Should I take another i-pill?\u00a0If yes, when and any side effects? Doctor: Hi,Welcome to icliniq.com. As you took an i-Pill one day before having sex, no need to take it again. i-Pill has something around 72 hours of action. No major side effects. Your periods may get delayed for a week. Hope it helps. Revert back to an obstetrician and gynaecologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30035, + "tgt": "I have frequent gnawing pain when stomach is empty. Why?", + "src": "Patient: Hi doctor, I have frequent gnawing pain when stomach is empty, which is relieved after eating. There is a continuous mucus accumulation in the throat throughout the day, which obstructs proper breathing and flares the nose nostril followed by dry mouth. It is particularly in the early morning hours. If light food is taken at dinner, discomfort in the stomach during midnight and whole body feels dry and no proper bowel movements the next morning. Most of the time, stomach gets bloated after eating. When the stomach is empty, nose flares up and breathe is very abnormally hot. Doctor: Hello. Hiatus hernia. Upper GI endoscopy. Helicobacter pylori infection. GERD. Treatment for acidity. Revert back with the reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18758, + "tgt": "Why do I feel dizzy and light-headed when I stand up?", + "src": "Patient: Dear doctor, I am a 54 year old male. I do not smoke or drink. I do regular exercises. For the last seven years, I was suffering from sudden sleep disturbance with following symptoms: Breathlessness. Palpitation. Chest congestion. I underwent the following tests: ECG, chest X-ray, echocardiography, exercise stress test, pulmonary function test, VIDAS PL, MRI scan of brain and sleep apnea test. All the above tests were normal. At last, I was diagnosed as having acid reflux symptoms and accordingly on doctor's advise I took proton pump inhibitors for about four months (Topacid 40 mg, Nexapro 40 mg, and Perinorm CD). The medication is discontinued and with the change of lifestyle (like light dinner, breathing exercise, etc.) I was able to control the symptoms effectively. But, occasionally I was experiencing irregular heart rhythms and on a medical Specialist's advise I took Prolol TR 40 mg for two months and after a satisfactory result, the specialist advised me to discontinue the medicine. Now, the present episodes (as described below) compelled me to seek opinion and advice. Occasionally, I am feeling dizziness, breathing difficulty on a lighter side, blurriness on the eyes, chest congestion, etc.These symptoms are quite evident when I bent my head while doing exercise (not always). Last week, while doing a breathing exercise on a sitting posture and when suddenly changed the posture by getting up, I almost fainted, but recovered instantaneously. But afterward, I felt weakness in the legs and arms, cold, breathlessness, etc. I play badminton for one to two hours daily without any problem. My B-12 and hemoglobin levels are satisfactory and BP is normal in the range 85 to 130 Hg for the last five years without medication. There is no history of diabetes or cholesterol. Doctor: Hello. I have gone through your details and I have the following inputs: First of all, you have gone through a lot of tests which were not needed in your case, but since everything is normal, that is reassuring. Your symptoms can be related to a few problems as I understand. The first one is, of course, GERD (gastroesophageal reflux disease) for which you have taken treatment. The problem with your treatment was - Perinorm is a medicine which is not used these days due to its side effects called as extrapyramidal symptoms. It causes dizziness and imbalance in some people. So, your present symptoms might be an after effect of that medicine. You should continue PPI (proton pump inhibitors) because once you have GERD, it would never get normal and the medicine should be continued for very long. You have mentioned that you have irregular heartbeats. This is a serious and complicated issue if this really is seen. You might be \"feeling\" this but if we can see this in our tests then this should be immediately treated. How to catch this? A normal ECG will not tell irregularities if it is sub-clinical or if it is occasional like in your case. We have to study the ECG (electrocardiogram) patterns of one full day continuously to find this out. So, go for a test called as Holter study to find if you have dysrhythmias of any kind and once treated, your symptoms will vanish. You have mentioned that you feel dizzy and faint when you stand up and then recover. This is a typical symptom of orthostatic hypotension which means, your BP falls as soon as you stand up and then the heart recovers it in seconds. This is a common problem and we need to find the cause for this. It can be age-related or organ related, or it can be due to a blockage in carotid arteries, etc. It is difficult to pinpoint the cause till we examine you and then the tests are done according to what we find. I would suggest that you take a print of these points to a cardiologist in your area and tell him to look for all this. You will surely hit the correct diagnosis and get treated easily. None of the above problems are tough to treat. Hope that was helpful. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29913, + "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": 18976, + "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": 19498, + "tgt": "Which contraceptive method is the best for me?", + "src": "Patient: Hello doctor,I am a\u00a028 year old female and I have a 2 year old\u00a0baby. I do not want another baby for few years. I have taken Femilon tablet for a month. It was prescribed by my gynecologist. I wanted to know if copper-T would be a better option for me or may I continue the birth control pills? I am scared that birth control pills would cause me to gain weight. I heard that hormonal IUD also causes weight gain. Does IUD also cause weight gain? Please suggest. Doctor: Hello. How are you doing? Hope I have clarified your query. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28890, + "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": 13886, + "tgt": "Swaddle got undone and covered baby's face. Will this cause any brain damage?", + "src": "Patient: Hello doctor,When my son was about three weeks old, I woke up to see that his swaddle had come undone and was resting over his face. When I picked him up he was beat red in the face and sleeping. It took him a little to wake up but was fine when he did. I did not check for breathing at that exact moment because I was so anxious to wake him. I am very worried I may have caused him brain damage. Can a baby get brain damage from this kind of incident? I feel misinformed and uneducated on this topic. Like how it occurs and when it occurs. Also, how do you know if it had occurred? Please help me. Doctor: Hi. If the child has reduced oxygen supply due to such an incident, it may lead to brain damage which will be manifested in a day or two post this incident as a convulsion. That is how you will come to know that this kind of event has taken place. When a baby rests over his face, the nose and mouth may become blocked which will lead to air hunger which causes hypoxia which may cause damage to the brain." + }, + { + "id": 9340, + "tgt": "What should I opt for a nervous person a nerve block or general anesthesia?", + "src": "Patient: Hello doctor,I want to know what procedure is better for a nervous person? Twilight with nerve block or general anesthesia? Doctor: Hello. Fibula is lower leg bone for that usually they will give anesthesia called spinal anesthesia in which injection is given to your spine at your lower back, that is simple, and pain free surgery can be done and only your two legs will have anesthesia another full body will have senses you can see, feel, talk and everything will be normal after four to five hours your legs will lose anesthesia, and you can start feeling them. If you are terrified and having the anxiety of operation, you can ask for spinal anesthesia and sedation so that you can happily sleep. General anesthesia for this surgery is not a good option because they will anesthetize full body and you will be connected to an artificial ventilator, and it will support your breathing. My choice is to go for spinal or block." + }, + { + "id": 23572, + "tgt": "I get unwanted erections in sleep. Please suggest Ayurvedic remedy", + "src": "Patient: Hello doctor,I am 58 and I experience unwanted erections in sleep. There is no sexual desire despite erection. This started six months ago. This disturbs my sleep. I have to get up and wait for two to three minutes for the erection to subside. I take hypertension medicine. Doctor: Hello. I just read your query. The problem you mentioned here is very common and teenagers and adults face it frequently. At your age, it is still normal because erection is related to testosterone hormone (male sexual hormone) and your body is still producing it and when you sleep you may feel erections. Just as in women menopause occurs, in men, male menopause occurs where testosterone formation decreases with age. It may occur at different age groups from person to person. These all things will help you a lot. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1505, + "tgt": "I am bleeding heavily with clots after using emergency contraceptive pills. Is it worrisome?", + "src": "Patient: Hello doctor, I am a 23-year-old female who is currently struggling with the unknown of what is happening to my body. Since I first started menstruating, I have always been heavy and longer than average. My normal periods last for 8-10 days, and I use typically 1.5 complete boxes of tampons during a cycle. I am in a long term relationship and have only had this singular sexual partner since 2017. I am not on birth control of any means and in some cases, I have had to use emergency contraceptives post intercourse. In the past two months, I have used contraceptives twice, once in the end of March, and most recently about two weeks ago. Since then, and this is the first time experiencing this, I have had dark brown, clumpy discharge, the closest comparison would be like damp coffee grounds. Within the past week, I had also gotten a thing flesh-toned or white clot with blood on it, about 2.5 inches in length. I am started to feel concerned as the discharge has not stopped and I believe that is occurring rather than a menstrual cycle, at the time I am writing this I should have had my period cycle now, but instead, I have this dark brown discharge. At this time, I fear the idea of going to a doctor\u2019s office for the safety of myself during this pandemic but also do not want to prolong any critical issues I may be facing. I have taken photographed images of all of this in worry that the typed description does not come across correctly. Please help. Doctor: Hi. Do not be stressed, I am here to help. According to your history, you have not got periods this month and you are having some abnormal discharge. I saw the picture. (attachment removed to protect patient identity). My first suggestion would be to do get a urine pregnancy test. I understand that you have used emergency contraceptive but sometimes it fails. We need to know whether you have a pregnancy in which cases sometime the discharge is of nature as you described. You may be in the process of a miscarriage. If this is negative, then the next step would be to get a pelvic ultrasound done because the discharge seems unusual. But let me assure you that there are more chances of you having a miscarriage due to the failure of emergency contraceptives. In case your urine pregnancy test is positive you need to take proper treatment like pregnancy termination kits or Misoprostol tablets depending on the condition of the conceptus (baby) at this time. In case your pregnancy test is negative you need a pap smear, ultrasound, and sos biopsy of the tissue you are discharging. Whatever it is, it can be managed properly if it is addressed on time. There is no need for panic. Please follow up with your pregnancy test results. I hope this helps. Failure of emergency contraception. Pregnancy test. Endometrial hyperplasia. According to the test results." + }, + { + "id": 21841, + "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": 6091, + "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": 12139, + "tgt": "What is causing loose motion and stomach ache along with fever?", + "src": "Patient: Hello doctor, For the last two months, a few symptoms are there in me like a frequent fever. And just after the fever, loose motion. But since yesterday, after fever, stomachache started. Doctor: Hi. There is one issue. What about your appetite and weight in the last two months. If there is a loss of appetite and decreased weight then we will consider a chronic infectious or inflammatory disease. If not, then we will look for acute gastroenteritis causes. For diarrhea part, you take prescribed medicines. We will do some investigations, revert back with reports. CBC, LFT, KFT, stool routine and microscopic examination. Tablet Norflox-TZ one tablet two times a day for five days." + }, + { + "id": 11909, + "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": 9777, + "tgt": "Kindly suggest the OCP to be used for long-term in PCOS", + "src": "Patient: Hello doctor, Which OCP is better for long term use in PCOS? Krimson 35 or Crisanta 21, as my endocrinologist prescribed Krimson 35 with Glyciphage 500 twice a day for six months and my gynecologist prescribed Crisanta 21 with Glyciphage 500 twice for two years. I was very confused and started Krimson last month but I have been continuously bleeding from 5th to 6th day after starting Krimson and it is not spotting. It is flowing kind of bleeding. Sometimes, heavy bleeding. Please suggest. I should have started Crisanta. Should I switch to Crisanta from next pack? Which one is better for hirsutism and weight control? I have hair growth on the chest and stomach, weight is 64 and height 5.8. Doctor: Hi. Both Krimson 35 and Crisanta 21 are used in PCOS for long term regime. Please check if you are taking the pills at the same time or missing them? Any vomiting, diarrhea, fever in the last few days? As per various studies, Krimson has shown better control over hirsutism and acne while Crisanta has a better effect on weight control. So, it depends on what symptoms are you concerned about? As per figures, your BMI is around 21, so it is within the normal range. The irregular bleeding shall subside with regular pill usage. For heavy bleeding, you may use tablet Tranexamic acid 500 mg thrice a day for two days. It reduces the flow." + }, + { + "id": 14930, + "tgt": "Can excision biopsy remove the nodal metastasis in nasopharyngeal carcinoma?", + "src": "Patient: Hi doctor, My son was recently diagnosed with nasopharyngeal carcinoma stage 3. He had undergone 35 sessions of IMRT as well as six sessions of chemotherapy. Three more sessions of chemotherapy have been prescribed and the first one was completed last week. Two more to go in three weeks time. Recently his treating doctor found more lymph nodes in his jugular and submandibular regions. FNAC reported a highly suspicious deposit from a malignant carcinoma and excised biopsy was recommended. Is it safe to perform the biopsy? Will all the lymph nodes be removed during the operation? Patient is underweight and not eating well, will anaesthesia be performed in such cases? Will IMRT be required again and is that even possible to do it again? What are the options? Doctor: Hi. First of all, based on the reports, the patient is hypovolemic (low BP). He needs a good oral diet and maybe if required admission and supportive care in the form of IV fluids. It looks like a recurrent disease in sub-mandibular nodes. It needs to be evaluated whether the nodal levels were included in the radiation therapy field or not (in-field recurrence vs out-field recurrence). In-field recurrences are difficult to treat and second-line chemotherapy or surgery can be planned (depending upon the response at the primary site: nasopharynx). Out of filed recurrence can be treated by radiation dose only if the meaningful dose of radiation has not been delivered in those regions. The biopsy can be performed if FNAC results are doubtful. You have not mentioned the date of completion of radiation therapy. Further course of action will also depend on that." + }, + { + "id": 4492, + "tgt": "I missed my period even after using vaginal pill and i-pill. Am I pregnant?", + "src": "Patient: Hello doctor, I am 17 years old. I had sex with my partner on the 24th day of the menustruation cycle. I used Today vaginal pill before intercourse. On the next day i.e. 25th day, within 30 hours, I also took i-pill to be sure not to be pregnant. Now my period which was on due is still missing. What are the chances of my pregnancy? What should I do to terminate it, if I am pregnant? Kindly help me out. Doctor: Hello. I have reviewed your query thoroughly. I-pill or emergency contraceptive pills have very minimal chance of failure if taken immediately after intercourse within 24 hours and chances of failure gradually increase after that even if taken within 72 hours. There is about one to two percent chance of failure of an emergency pill or i-pill in your case. But we can be quite sure of its success if withdrawal bleeding occurred within four to five days after taking the pill, confirming the shedding of layer of the endometrium. Based on the dates given by you, today must be 8 days following the date of the intercourse. In that case, to find out if you are pregnant, you can get a serum beta hCG (human chorionic gonadotrophin) testing done. For the urine pregnancy tests to show the result if pregnant, it must be at least 10 to 14 days following intercourse. If you want to know urgently whether you are pregnant, you can get serum beta hCG testing. If you can wait another week, you can get a urine pregnancy testing, which if positive must be followed up by ultrasound imaging. Only after then and after consulting an obstetrician, should the abortion be planned under guidance. Furthermore, if you are sexually active regularly, it is better to choose other regular contraceptive methods after consulting an obstetrician and gynecologist instead of i-pill. I-pills are meant to be taken only in case of unexpected accidental unprotected sex, but not on a regular basis." + }, + { + "id": 11495, + "tgt": "Why do I have burning sensation in my vagina after sex?", + "src": "Patient: Hi doctor, I am currently pregnant and still used to have sex with my husband. After sex, there is a burning sensation in my vagina that last for minutes to hours. The thing is, it only happens after he ejaculates inside me. Please help. Doctor: Hello. Thanks for choosing this platform. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12626, + "tgt": "Is endoscopic bariatric surgery safe?", + "src": "Patient: Hi doctor,I am considering an endoscopic bariatric stomach surgery procedure for weight loss. It is called the accordion procedure, which has only been around for about five years. Do you think such a method done on a stomach is safe long-term? Thank you for your help. I appreciate it. Doctor: Hi. I have gone through your query. The Accordion procedure is an endoscopic sleeve gastroplasty. It has been around for some time; a few case series and related data are available. It is useful in helping in weight reduction up to 17-23 % weight loss in six months with not many serious long term adverse effects. A few people might end up gaining weight after 4-5 years (which is comparable to laparoscopic sleeve gastrectomy). The safety data shows it is safer than laparoscopic sleeve gastrectomy in the short term. If you have further concerns, please do get in touch." + }, + { + "id": 23256, + "tgt": "What are the non-itchy spots in my genitals?", + "src": "Patient: Hello doctor, I am having spots on glans since I had a risky unprotected oral sex. After few days, they seemed to be normal. Again about one month and 15 days after the intercourse, while checking my penis underskin, I saw multiple tiny white dots (not on glans this time). They are not itchy but a week ago had little sporadic tingling feeling. I got tested for herpes 1/2, syphilis, hepatitis B and C just to be sure. I will get the results in a few days. Please help me. I am very concerned also because I have a regular partner that also gave oral sex recently (just before I noticed the dots). Doctor: Hi. I have gone through your question and I understand your concerns but these dots are not consistent with the usual symptoms of any of the sexually transmitted diseases (attachment removed to protect patient identity).This is more consistent with a bacterial infection, probably a Staphylococcus aureus infection. So, I would recommend that you apply an antibiotic ointment three times daily for one week after cleaning the area. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29029, + "tgt": "As I had colostomy, should I be concerned about the rectal leakage now?", + "src": "Patient: Hi doctor, Before three years, I had a colostomy. After that, I never had any problem. Last week, some feces leaked out of my rectum. I\u00a0did not think much of it as I know that sometimes there could be a mucus discharge, although I never had it. Last night it happened again, but it was more and had a potent smell. I do not have any pain, and the bag seems to be filling as normal. Should I be concerned? I am a 36 year old female with no history of other medical conditions. I had transverse myelitis before four years. Doctor: Hi. Revert with more details to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 20810, + "tgt": "I am having problems with erection and sexual interest. Please help", + "src": "Patient: Hello doctor, My age is 40. Currently, I am having less erection when trying to have sex. Sometimes, not able to get an erection at all. It is a very embarrassing situation. I am married for the last 11 years. We were having great sex before our marriage. After marriage and with our kid, sex has become boring. Now when I am trying to have sex, I am not getting enough erection. Sometimes, it is zero. In between, I tried Manforce 50 and after that DT Manforce 100. Sometimes, it works and sometimes not. I do not have diabetes or hypertension. I do not have any bad habits. I do not smoke and I drink once in six months. My doctor has advised me to take Nano Leo capsules twice daily after food and tablet Duroplus twice a week 30 minutes before sex and go for sex after two hours. I am taking these pills for last 25 days. Duroplus I had only taken twice. My problem is previously my erection was less but when erected, it used to last long. Now I am getting erection immediately and it is hard erection but not able to maintain it. Now I am able to get my morning eraction sometimes. I have checked my testosterone level. It is 501. Please suggest medication and let me know whether I need to stop Nano Leo tabelt or not which I am taking right now. I am doing some regular workout 45 minutes to 1 hour per day. Eating healthy diets, avidoing junk food, spicy food. Taking almonds, wall nuts, lemon, honey, banana, resins, cummins, ginger, onion, garlic, pomegranate, apple, carrort, spinach in more quantity in my food. What else life style modifaication and diet I can follow? Please advise accordingly. Doctor: Hello. I can understand your concern. Nano Leo consists of L-arginine and is a good supplement. But with the drugs, you are not maintaining the erection. This could be due to a short duration of action of drugs. Dura plus consists of Dapoxetine and Tadalafil 30/10 and helps to increase the duration of action. If with these drugs the problem is persisting then we can think of changing the prescription. If I was your doctor I would have stopped Nano Leo and would have started tablet Tadalafil 5 mg per day (5 mg is difficult to find and in that case 10 mg every alternate day or half per day). On SOS basis Dura Plus can be used. This will help to solve your problem. Your testosterone levels are normal so no need to get worried." + }, + { + "id": 15658, + "tgt": "Does extraction of tooth cause any effect on breastfeeding?", + "src": "Patient: Hi doctor, I have pain in the second tooth from my wisdom tooth. I have the pain for a month. I want to pull it or remove it. But I am scared. I gave birth to my child before six months through C-section. Is there any other option available to remove the tooth? Does it cause any effect on breastfeeding? Doctor: Hi. I have gone through your question, (attachment removed to protect patient identity) and I can understand your concern. You have a grossly decayed infectious tooth which needs removal. Visit a dentist soon and remove it promptly. It does not affect your breastfeeding. You can avoid taking too much of painkillers and medications prescribed by the doctor. Dental extraction is a simple procedure, and there is no issue to be afraid of it. In case, if you do not want to get it removed, then you can take Amoxicillin 500 mg for five days, and it will treat your infection. I suggest you get it removed if it is so grossly decayed, or root canaled." + }, + { + "id": 16489, + "tgt": "What does rashes on penis foreskin in an HIV positive mean?", + "src": "Patient: Hello doctor, I am HIV positive. These days I am having rashes on my penis foreskin (it is bad sometimes). I am on ART. But, the foreskin infection these days scare me. My foreskin seems to be rough, reddish, broken sometimes and even I do not masturbate. Please guide me. Doctor: Hi. I have gone through your query, and I have noted your concern. Firstly, I request you to kindly upload an image of the affected area so that I can have a look at the skin and guide you accordingly in the best possible way. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6975, + "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": 12086, + "tgt": "How can fever with green diarrhea be treated in a 2-year-old child?", + "src": "Patient: Hello doctor, My 2-year-old daughter has raspy breathing, and a rough cough followed with a runny nose for the past two days. Today started running a slight fever of 100.3 with green diarrhea that has turned yellow that smells very bad. She also keeps pointing to her belly as it hurts. Kindly advice. Doctor: Hello. I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food. If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments. For diarrhea, you can give ORS (oral rehydration therapy) as much as she wants and if she requires a need to start Zinc syrup. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup. For cold and runny nose you can give Cetirizine syrup 2.5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician. If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician. Stool routine. Dysentery. Viral gastroenteritis. Oral rehydration therapy, Paracetamol, Dicyclomine, Cetrizine and rest. Prevent dehydration. after two days." + }, + { + "id": 30382, + "tgt": "Rash on the penis for second time. I am scared of penile cancer", + "src": "Patient: Hi doctor, For the second time I have suffered a rash on the glans of my penis in this year.\u00a0This time the rash was more intense in color. There has never been any itching or pain associated with this rash. But, just a scary looking color.\u00a0I was tested for all STD and STI infections before a month and it was negative for HIV, chlamydia, gonorrhea, syphilis, HPV, etc. This was completed by full blood test and urine sample.\u00a0I am 36 years old and married. My sexual partner has been the same for the last 10 years.\u00a0I do have a tight foreskin, which cannot be retracted the whole way over the head of my penis, but can come back about 75% of the way. Over the past three weeks, the rash has subsided and the redness is slowly going away. I have used Hydrocortisone 1% for two days and Canesten cream for two days. I also have Trimovate cream, which was prescribed to me for the first occurrence of this rash earlier this year.My main concern is penile cancer, although rare from what I have read, it worries me that this could be a tumor of some sort. Or is this a case of balanitis?\u00a0The other concern I have is the white markings on my penis, which have developed over the past one month. My personal hygiene is excellent. I do not use soaps on my penis glans and just warm water twice a day.\u00a0I have attached some images of the rash. I would appreciate any advice. Doctor: Hi. Fasting blood sugar, postprandial blood sugar and HbA1c levels in blood. Revert back with the reports to an andrologist online.--->https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 14122, + "tgt": "Can root canal treatment help reduce swelling around infected teeth?", + "src": "Patient: Hi doctor, I have placed caps in my two teeth. Now, I got swelling around the teeth. X-ray has been taken. The doctor told me that there is some infection in the teeth, so it needs a root canal to be done. I do not have any pain in the teeth. I have only swelling in the teeth. Please suggest what to do? Doctor: Hi. Pain will come back after a few days if the root canal treatment is not done for the infected teeth. It is better to do a root canal treatment in the teeth as soon as possible as the pain can become unbearable. Such swelling come due to nerves that get rotten inside the teeth due to various reasons like putting a cap over it. You will need antibiotics and painkillers. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29303, + "tgt": "From the photos, kindly explain the rash that I have recently got", + "src": "Patient: Hello doctor, I have recently developed a rash on the inside of my left leg. It looks like multiple bite marks from something or a rash; I am not sure. I thought that it might be due to bed bugs and the next day the same bumps or bite marks appeared on my stomach. It is even more around my right, and nothing is crazy or itchy. I am worried as I am not sure of what it could be. So far, it has been a total of three days now. Initially, I noticed it on the right side of my body. Please help. Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11524, + "tgt": "Can emphysema result from RCT treatment?", + "src": "Patient: Hello doctor, During root canal treatment does air spray over CaOH filled canal cause emphysema on soft tissues of the face? How can one distinguish emphysema from flare-up? Doctor: Hello. I appreciate your question. Emphysema of the face is directly linked with air trap under your skin. It gives a crackling sensation because of the air pressure underneath and looks like a smooth swelling of the face. Root canal flare-up might result in swelling but with severe pain. Visible periradicular changes start two to three days after endodontic treatment. To my knowledge, air trap in a medicated canal would not directly cause complications but the major reasons are improper canal irrigation, preparation, and over instrumentation. It is most commonly seen in upper canines and centrals. Antibiotics are advised for treatment." + }, + { + "id": 18423, + "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": 22220, + "tgt": "I have pain before I get my period. What is happening?", + "src": "Patient: Hello doctor, After my second child (born three years ago) I had PPH. It was a terrible experience and my ob/gyn literally had to pull the clots out with his arms while two nurses held me down. It had to be done so quickly. And now to this day, I always have pain before I get my period, and at random times it is so painful. Do you have any thoughts on what could be happening? He has requested a gynecological scan but when I book it, it needs to be within a few days of my period ending. I would really appreciate this as I am wondering if I am not really able to have any more kids? I am not sensitive and am happy to hear the truth. Doctor: Hello. Do not be stressed and think positive. It would be better if you send me your complete history of menses, gynecological, obstetrics, medicine, and medications you had ever. As far as I could understand, you had postpartum bleeding (after delivery of your second child). For that, clots were removed manually and it is a source of anxiety for you still. Postpartum hemorrhage (bleeding after delivery) could be mostly due to four 'T's: tissue, trauma, thrombin,and tone. For you, it was some retained tissue that caused bleeding and that removed even manually as well. I do not know your circumstances and situation of that time but it is past now. So, now think positive for future. Pain, before menses is part of the premenstrual syndrome or only pain, can be observed by normal females. I suggest having tablet Ponstan (Mefenamic acid) 500 mg eighthourly as per need. You can have from day two to five or total five days even. It will not only reduce flow but also pain. I do not have your complete history and reports. What I could understand, I am trying to help you. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28189, + "tgt": "I am getting a cold sore in the same spot on my cheek. What treatment do you suggest?", + "src": "Patient: Hi doctor, I was told that this thing on my cheek is a cold sore (photo attached). It comes in the same spot on my cheek every time. It has been coming and going for several years. Now, it showed up last week and progressed to this level. What is your opinion on this? I know you probably cannot tell by a picture, but I figured I would show you what it looks like.\u00a0It itches a little bit at times. My glans are swollen and are tender to the touch on my right side (same side as the outbreak) and also my ear aches on the right side. Also, you can tell the right side of my face is a little bit swollen. It blisters and oozes, and at that point, I cover it with a band-aid if I have to work or if I have to go out into the public.\u00a0I have a perception for Valacyclovir twice a day. I put clean and clear persa-gel on it at night to help dry it out, but I do not use anything during the day unless I have a band-aid over it like today and I put Apexicon cream on it.\u00a0Please help I can't except that this is a cold sore. I have also been told it is a Staph infection and treated for it, but it kept coming back in the same spot. I was supposed to get a biopsy, but my dermatologist is faithful it is a cold sore and refused to do one. Doctor: Hi. I suggest the below prescription for a week. Consult your specialist doctor, discuss with him or her and take medicine with consent. 1) Tablet Pantoprazole 40 mg once daily before breakfast. 2) Capsule Doxycycline 100 mg twice daily after food. Continue Persol gel at night. Do not prick at it and no repeated touching of the face. Also, avoid nose-picking with fingers. Revert after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30997, + "tgt": "Is prostate cancer hereditary?", + "src": "Patient: Hi doctor, My father was detected to have prostate cancer, but they did not give any stage of his cancer. I am worried about his prognosis. How long he would survive? They have removed his testes and advised him to take Andro Block for life time. They used the term highly suspicious of prostate cancer. The Gleason score was given as 3+3, PSA 7.09. We do not have a family history of prostate cancer or any other cancer. Is it hereditary?\u00a0I am attaching my father\u2019s report here for your reference. Is there a chance for me to get cancer in the future?\u00a0I have taken my PSA and it is 0.8. Should I regularly do PSA? I am 38 years old. All my tests, including DRE are normal. I do not have symptoms as such. Should I go for a biopsy? Doctor: Hi. I sympathize for the medical condition of your father. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27810, + "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": 2282, + "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": 21416, + "tgt": "Does muscle twitching along with tingling mean motor neuron disease?", + "src": "Patient: Hello doctor,Six weeks ago, I started to get muscle twitches all over my body and tingling sensations in my skin. This is still happening. I visited my GP four weeks ago who immediately prescribed anti-depressants. I have suffered from health anxiety for the last seven years. It comes in waves. The GP did not even check me over and told me not to worry as he had no concern. I am worrying about motor neuron disease. However, deep down this is unlikely because someone with this illness could not go to the gym (run and push weights). I would like an opinion from an expert. Doctor: Hello. I read carefully your question and would explain that your symptoms are not typical of motor neuron disease. You are right to say that this disorder is associated with other symptoms besides muscle twitching. From the other hand it does not cause sensibility problems or tingling. Coming to this point, I would recommend performing some tests to investigate for possible causes: Nerve conduction studies may be needed. You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23852, + "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": 5550, + "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": 27899, + "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": 25707, + "tgt": "Can reduction in blood supply to testes lead to de novo single gene mutation?", + "src": "Patient: Hello doctor, Can a slight reduction in blood supply and poor blood circulation in both testes increase the risk of de novo single gene mutation present in a normal motile sperm? Will fertilization of this type of sperm result in a child with de novo single gene disorder with the sole reason being lesser oxygen, nutrients, and hormones being supplied to the testes? Doctor: Hello. What you have mentioned is correct. However, since the paternal DNA (deoxyribonucleic acid) is normal, the mutation will be affecting a single sperm or those derived from a single germ cell in the case of single gene mutations. It is impossible to know whether the genetic mutation has any functional significance. The scenario you mentioned is entirely possible but given the number of sperms in the ejaculate, the probability of such an event is low. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 741, + "tgt": "Can an 80 year old undergo surgery for fracture?", + "src": "Patient: Hi doctor, My grandmother is 80 years old.\u00a0Her left side is paralyzed. She is incapable of holding or carrying any weight or exert pressure by her left arm for more than 15 years. Now, she met with a fracture in the same hand. I have attached the x-ray of her\u00a0left arm. If the fracture and dislocation of elbow remain uncorrected, will there be any problem? Please advice. Will it fuse or calcify in some position? Now, she is using an arm pouch sling and feeling no pain in her arm. Doctor: Hello. Thanks for posting your query along with the x-ray image (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5949, + "tgt": "I have undergone acid reflux surgery for burping but still suffering from same problem. Is this Meganblase syndrome?", + "src": "Patient: Hello doctor, I am suffering from lots of burping and trapped gas and acidity from four years recently. The doctor has done acid reflux surgery and paraumbilical hernia surgery, but still, sometimes I suffer burping and shortness of breath, I fell my gas trapped, when I pass gas I fell good sometimes so much excessive burping. I think it is a meganblase syndrome, I read your article on meganblase syndrome and I felt precisely the same symptoms like meganblase syndrome-like bubble in stomach and so much burping and shortness of breath that time, please guide me and give me treatment because after acid reflux surgery also I have the same problem other problems like acid reflux now stop but excessive burping sometimes and gas trapped sometimes. Doctor: Hello. I can understand your concern. In my opinion, you should do the following things for better symptomatic relief. 1. Start esomeprazole and levosulperide combination instead of Pan D. 2. Do regular exercise. 3. Go for walking after meals. 4. Avoid large meals, instead, take frequent small meals. 5. Avoid oily and spicy food. Please let me know, 1. Do you have a stressful life. 2. Do you smoke or drink alcohol? Please reply to me answers of above-asked questions, so that I can guide you better. I will be happy to help you further. I wish you good health." + }, + { + "id": 22694, + "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": 2978, + "tgt": "My 9-month-old daughter has rashes in legs and lower back. Could this be Amoxicillin allergy?", + "src": "Patient: Hello doctor, My 9-month-old daughter had a rash for three days. It started with small, discreet spots on the legs and lower back. The next day she had a rash on her face and body. These are red, flat spots. It itches. She has no fever and is in good general condition. We consulted a doctor who was thinking about the onset of chickenpox. But the evolution of the rash does not seem to go in this direction. The doctor cannot give us any other diagnosis. We fear an Amoxicillin rash. The rashes first appeared as small spots, and our daughter finished an 8-day treatment for otitis. Do you think that is possible? What else could it be? Doctor: Hi. I have gone through your case. In my opinion, there are two to three possibilities for the rash. First yes, it could be drug eruption as the rash is itchy and appeared after she took treatment for otitis. Drug rash can either occur immediately or even after six weeks. Second, it could be due to any viral or bacterial infection which first caused otitis and then the rash. But as she did not have a fever and there are no vesicles so in my opinion, it is not chickenpox. Third possibility is insect bite or papular urticaria. Last possibility is Gianotii crosti syndrome. It is common in children of this age group and rash in it is itchy. Please apply 1 percent hydrocortisone cream on lesions two times a day for 10 days. Rash will disappear in two to three weeks." + }, + { + "id": 10272, + "tgt": "I am taking Foracort for asthma. Will it give complete cure?", + "src": "Patient: Hi doctor, I am 21 years old now. I am suffering from asthma for more than 17 years. It was horrible until my 15 years of age. It was pretty bad. But the severity has reduced now. It usually occurs at night time. Sometimes it happens in the daytime too. Wheezing is present, and there is chest tightness. I am taking Foracort 400 Rotacap during breathlessness. I am taking the tablet for the past four to five years. Doctor: Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart." + }, + { + "id": 18113, + "tgt": "Can Pentavalent vaccine cause loose motion?", + "src": "Patient: Hi doctor, After taking Pentavalent vaccine my 2 month old baby is having loose motion for the last five days with tummy problems. Doctor suggests\u00a0Ornidazole-Ofloxacin and Racecadotril suspension. Is it safe? Doctor: Hi. I see similar cases in my clinic every day. For further queries consult a paediatrician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10145, + "tgt": "I have a strong history of cancer. Should I concern about the sore in my leg?", + "src": "Patient: Hello doctor, I have sore on my leg for a long time. More than a year, I did shave part of my leg at one point. It became like a sore, but I have a strong history of cancer. Doctor: Hello. I have gone through your case. In my opinion, your lesion should be biopsied as early as possible as you have a long-standing history of cutaneous cancer, and I fear it could be slow-growing skin cancer. I have two to three differential diagnosis. 1. Nodular squamous cell carcinoma. 2. Nodular non melanocytic melanoma. 3. Basal cell carcinoma. 4. Keratoacanthoma. 1.Sun-exposed area. 2.White race and, 3 Past history of cancer Biopsy. Need excision as early as possible." + }, + { + "id": 2252, + "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": 5986, + "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": 11646, + "tgt": "Why does MRI shows sequela of lacunar type infarction with gliotic changes?", + "src": "Patient: Hello doctor, I am a 53-year-old male with 6'2\" height and weight 220 lbs. My HbA1c is 8.5, high triglycerides, vertigo, and some gait issues. I had a massive pulmonary embolism two years ago, not on any blood thinners, and sometimes I have high blood pressure. Contrast MRI shows a small focus of T2 prolongation present within the medial right cerebellum just posterolateral to the fourth ventricle measuring 5 mm which is also T1 hypointense and nonenhancing. This could represent sequela of an old lacunar type infarction with surrounding gliotic changes. Should I get the GGT blood test done? What is the cause of this problem? Doctor: Hello. MRI findings are compatible with an ischemic stroke in the brain. The stroke could be related to atherosclerosis and diabetes. HbA1c is high, indicative of diabetes. For this reason, I recommend physiotherapy and take daily baby Aspirin to help prevent a future stroke. It is also necessary performing a Doppler ultrasound of the carotid arteries or a carotid and vertebral artery angio CT scan. It is also essential to check your blood lipid profile. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 12279, + "tgt": "What is the treatment for recurrent gingival polyp?", + "src": "Patient: Hello doctor, I have a gingival polyp that has been removed three times but keeps growing back. Do I have to live with this or is there a way to permanently remove this? Doctor: Hi. I had gone through your question I can understand your concern. No, you do not have to live with it throughout your life. Make sure you get the polyp excised from a periodontist or an oral surgeon. There are chances of recurrences sometimes and because of your bad luck, you fall among them." + }, + { + "id": 15520, + "tgt": "My eyes are red and warm. What could this be?", + "src": "Patient: Hello doctor, My eyes are red and warm since the last four days. I wear spectacles. What could this be? Doctor: Hello. You may be suffering from conjunctivitis or some other eye infection or it might be some allergy which is common. You should wash your eyes with warm water mixed with a pinch of salt (similar to one prepared for gargling, but with lesser salt). Do this every two to three hours for three to four times in 12 hours. If redness is reduced, then most probably you have conjunctivitis. In any case, you should consult an ophthalmologist personally for a checkup, as redness and warmth may mean a lot of things and can be diagnosed better with a thorough examination. Follow up with an eye care ophthalmologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12658, + "tgt": "Why am I feeling sick even after three times of blood transfusion?", + "src": "Patient: Hello doctor, I recently had my third blood transfusion a week back. However, it is a week later, and I still feel unwell. Is this normal or what should I do? I feel tired and weak with zero energy. Doctor: Hello. For severe anemia, you had given a blood transfusion. The clinical improvement depends upon hemoglobin value. Usually, if your weakness is due to anemia then with normalization of hemoglobin level, symptoms will improve. If no improvement, then other causes for weakness need to be searched like low vitamin D, low calcium, electrolyte dost urban, liver and kidney disease, etc." + }, + { + "id": 20300, + "tgt": "How to treat dark circles and frizzy hair?", + "src": "Patient: Hi doctor, I am 17 years old. I have frizzy hair and dark circles. Doctor: Hi. For dark circles, avoid having stress. Have eight hours of sleep every day. Apply vitamin C serum at night. For frizzy hair, mix one tablespoon of Betamethasone lotion with two tablespoons of olive oil and apply it on the scalp twice a week at night." + }, + { + "id": 24707, + "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": 14411, + "tgt": "I have twin baby girls. One of them is not gaining weight. Please help", + "src": "Patient: Hi doctor, I had a month old twin baby girls. They were born in the 34th week of pregnancy. One baby was 2.2 Kg, and the other was a little weaker weighing 2 Kg. Since there is not enough mother's milk after several attempts, I had to go for artificial milk powder. Initially, as suggested by the hospital pediatrician, they were given Dexolac Special Care, but after 20th day when their weight was around 2.4 Kg, they were given to Dexolac Premium 1. Out of the 2 babies, the weaker baby is responding well and quickly gaining weight (taking around 75 ml milk every 3 hours). But the baby which was born stronger is not drinking sufficient milk (45 ml in one feed, at an interval of around 3 hours), and is taking around an hour to take one feed. Also, she is having issues of gas and constipation. Because of constipation, she keeps crying. Now, this baby is not gaining weight and seem to be weaker. Please suggest what we can do in this case and shall we switch her milk to Lactogen or some other company? Doctor: Hello. Keep trying to give breastfeeds as much as possible till 6 months completion. Different brands of milk powder have different tastes. So, you can change what they like (as advised). Do not dilute more or give more concentrated milk. Usually, dilution mentioned on the package can be followed, that is, 30 ml for 1 scoop for most of the brands. But check with the manufractures' note. Do not use feeding bottle. Use bowl and spoon.You can use undiluted dairy milk (pasteurized). Check with your local pediatrician for supplements if needed. Check if there is adequate weight gain. Maintain proper hygiene while feeding, when using formula feed or top milk. Do not compromise on hygiene. I would like to know the following: Finally, breastfeeding is the best for the babies." + }, + { + "id": 2082, + "tgt": "I have deep crack in only one nail with yellow discoloration. Please help", + "src": "Patient: Hi doctor, I have a deformation on one of my fingernails with a deep crack and it is a bit yellow on a small part near the skin at the start of the nail. Please help. Doctor: Hi. I went through the photo you sent. (attachment removed to protect patient identity). Most probably it is a fungal infection of the nail. But I want to confirm a few things before. How long it is there? Any history of trauma? Are you having high blood sugar or any other disease? Is it painful? Please answer these questions in the follow up because the short duration and more pain will be indicative of bacterial infection. For fungal of the nail, take capsule Itraconazole 200 mg twice daily after meals for seven days per month. (seven days then no dose for three weeks, then again seven days like this). Continue for three cycles then review. Fungal or bacterial or growth. GTT (glucose tolerance test). KOH test. Acute infection secondary to trauma. Beau's line due to internal disease. Onychomycosis. Antifungal for one week per month for a minimum of three months. Avoid wet work. Keep hand dry." + }, + { + "id": 16623, + "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": 21482, + "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": 17587, + "tgt": "I have missed periods. Is this pregnancy or a disease amenorrhea?", + "src": "Patient: Hi doctor,I had unprotected sex at 11 PM but took I-pill the next morning at 9 AM. I have missed periods. I have heard about the disease amenorrhea. Is this pregnancy or a disease amenorrhea? If amenorrhea happens, can it be easily cured? How she I have regular periods? Is it a matter of fear or a common disease? Please help us. Doctor: Hi. Most probably, missed periods in your case, is because of I-pill. Please tell me the last periods date, date of intercourse, and usual cycle length so that I can guide you precisely. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23108, + "tgt": "I am 18 years old and diagnosed with PAPVC. How can I fix it?", + "src": "Patient: Hi doctor, I am a 18-year-old girl who was diagnosed with a PAPVC defect on the left upper pulmonary vein seven months back and have had symptoms for quite a while like poor circulation, exercise intolerance which seems to get worse even as I gradually try to build up endurance and my current cardiologist does not. I should explore the idea of fixing it even though my MRI shows that even with just one vein my blood ratio on one side to the other is noticeable and borderline. I have an appointment with a electrophysiology because I seem to be tachycardic quite often even though my pulse used to air in the 70\u2019s also because I have been having episodes they think could be an arrhythmia and possibly related to the defect. Doctor: Hello. Do you get frequent respiratory tract infection like pneumonia since your childhood? Please upload MRI and echo reports. Is your hemoglobin fine? Usually, with single vein shunt is not significant, and severity of shunt can be seen on echo as well. So in small defect surgery is not considered unless shunt ratio is more than 2:1. As there is no effect of surgery on survival so it is not done. So if reports are not showing any evidence of damage to heart then surgery may not be done. However, you should be given a trial of low dose diuretics like tablet Torsemide 5 to 10 mg and look for a response in term of exercise tolerance. Hemoglobin should be corrected if it is low at it can cause these symptoms. You should try to exercise and gradually increase the exercise without thinking about the defect. Yes, a cardiac arrhythmia may be associated with the defect. Since you are having frequent palpitations, you should have Holter monitoring done, which is 24 ambulatory ECG monitoring, which will detect the rhythm during palpitations and confirm whether arrhythmias is there or not. In treatment part, you should be given beta blockers like Metoprolol after we rule out or rule in diagnosis for palpitations. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3162, + "tgt": "I have constant muscle twitching in feet and legs with no difficulty in walking. Is it ALS?", + "src": "Patient: Hello doctor, I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet, in both legs, both forearms, and even my stomach for almost two months now. I am scared of ALS diagnosis. I do not have any muscle weaknesses or balancing problems. I can lift 40 lbs dumbells with no problem and still do push-ups and other exercises with no problems and sprint and run without falling or tripping. I have had some sort of issue for almost a year where it feels like I am not getting a satisfying breath from time to time so I bought a spo2 meter and my O2 level fluctuates between 95%-98% with an average of 97% most of the time. I am just freaking out because everything I search for comes back to ALS. I even watched a similar story last night and I had a panic attack afterward. I guess I am just looking for a little reassurance to calm down. Doctor: Hello. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, thyroid gland dysfunction, benign fasciculation syndrome, vitamin B12 or vitamin D deficiency, low calcium or magnesium levels, etc. As long as there is no progression, no weakness, no muscle wasting, there is no reason to panic about ALS. I would recommend performing some tests: 1. Thyroid hormone levels. 2. Blood electrolytes. 3. Vitamin B12 and vitamin D plasma levels. 4. Complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. Nerve conduction studies would help to completely exclude ALS and thus put your mind to peace. I recommend discussing with your doctor on the above tests. I hope this helps." + }, + { + "id": 13856, + "tgt": "I am suffering from erectile dysfunction due to atherosclerosis. Is it manageable through siddha medicines?", + "src": "Patient: Hello doctor, I am suffering from erectile dysfunction due to atherosclerosis causing less blood flow to the penis, this may be due to family history of high cholesterol. The allopathy medicine suggested for this is Tadalafil 5 mg every day (vasodilator). Is it manageable through Siddha medicines? I am 33 years old. My height is 176 cm, and I weigh 76 kg. I have borderline high cholesterol, and I do not have high blood pressure or diabetes. I do not have the habit of smoking or drinking. Please go through my blood reports. Doctor: Hi,Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). As per your blood report, your cholesterol profile is above the upper limit. This might be the cause for the penile artery blockage (atherosclerosis plaque). But, I think the other possible reasons for erectile dysfunction may be: For cholesterol, you consult a general physician and they would prescribe Simvastatin. This will reduce your cholesterol and reduce the plaque. If you wish to have sexual intercourse, on that day, take one tablet of Tadalafil before sexual activity. Otherwise, do not consume it regularly. It has many side effects. In Siddha, cholesterol, trauma or unknown cause induced erectile dysfunction can be treated using the following drugs: Last two drugs can improve the vascularity to the penis and reduce further worsening of atherosclerosis complications." + }, + { + "id": 20308, + "tgt": "What is the recommended level of alcohol intake?", + "src": "Patient: Hi doctor, I am 24 years old. Is it safe to consume alcohol in moderate level? What is the moderate level recommended? I am concerned about my health. Please help. Doctor: Hi. Drinking 1 to 2 drinks per day is recommended for men. Drinking one drink per day is recommended for women. It is the moderate level recommended for alcohol consumption." + }, + { + "id": 367, + "tgt": "I have decay in the front tooth with gingival recession and bleeding. Please help", + "src": "Patient: Hello doctor, For the past one month, I am facing a frontal tooth decay with receding gum. Sometimes, I have bleeding gums. Please help. Doctor: Hello. I went through your query. As an endodontist, I would like to assure you there is no major issue with your gums and teeth. Just minor caries in upper left lateral incisor and bit of inflamed gums due to deposition of tartar and improper brushing techniques. First, try to brush in a proper technique that is in soft vertical strokes (from gums to teeth edge) and not a forceful horizontal motion. Improving these habits will solve your issue 30%. Rest you need scaling to remove the already accumulated tartar and also the issue of bleeding gums. Betadine mouthwash gargle in lukewarm water two to three times a day. You have a very minor caries, please do not call it a decay. It will need a small restoration and you are good to do. Gingivitis (gum bleeding and recession). Caries in upper left lateral incisor. Gingivitis and Irreversible pulpitis. Improve the brushing technique. Get a scaling. Avoid sticky or sweet or cold food items until then. Let me know if any further query. Just post it and I will take care of it." + }, + { + "id": 14395, + "tgt": "What can cause sores in the mouth with tooth pain?", + "src": "Patient: Hi doctor, I am concerned about sores in the mouth with a tooth pain. Doctor: Hello. I have been through your query and I can understand your concern. The multiple sores you referred to surrounding your back tooth are the sinuses from the periapical infection (attachment removed to protect patient identity). This occurs when there is infected pulp tissue (inner part of the tooth) and there occurs pus formation at the bottom of the root of the tooth. Now when this pus gets more and more formed, it tries to push the surrounding tissue to come out of the tissue. This leads to the formation of the sinus. It is characterized by sore mouth taste frequently and also if the infection is acute, there may be a pain in the tooth. Here the filling you have in the tooth might be the cause of the infection as sometimes the fillings when old and not routinely checked to develop cracks (especially amalgam or silver metal fillings) which lead to the entry of microorganisms into the inner tissue of tooth leading to pus formation. I would advise you to have a visit to your nearest dentist and get an X-ray for the tooth. The tooth may require a root canal treatment (confirmed on the X-ray). Meanwhile, you may take an analgesic for the pain and an antibiotic for the infection for three days. If you were not allergic to these medicines, I would suggest you take Aceclofenac 100 mg when there is a pain in the tooth, and Amoxicillin plus Clavulanate 625 mg two times daily for three days and then visit a dentist. Also, maintain the good oral hygiene by brushing, flossing and using oral rinses regularly." + }, + { + "id": 7741, + "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": 8639, + "tgt": "I have spots of white powder like substance on my head. What is it?", + "src": "Patient: Hi doctor, On my head some four to five spots of\u00a0white powder like substance is forming. Initially I\u00a0had it only on two spots but now it became five spots.\u00a0If it is dandruff entire head part will occur but mine is different. I have lost some hairs on surrounding affected spots. Please tell me what has happened. What treatment I have to take? Kindly suggest. Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24142, + "tgt": "Baby has thin white line surrounding the eyeball. What is it?", + "src": "Patient: Hello doctor, My 1 year old baby is having a white thin line surrounding the black area in the eyeball in the left eye and the white part is little red. Doctor: Hello. From the pictures you have sent (attachment removed to protect patient identity), there are two possible diagnoses. Although I feel this is more a picture of keratitis. I suggest starting Vigamox eye drops (Moxifloxacin) four to six times a day along with Homide (Homatropine) eye drops daily. Also, Tobramycin eye drops three times daily. Consult an ophthalmologist nearby, discuss with him or her and start taking the medicines with their consent. Please do follow up with me after the visit. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9043, + "tgt": "I am trying to conceive and had a light bleeding earlier than my usual date. Is this due to pregnancy?", + "src": "Patient: Hello doctor, My last period started a month back and I have a regular cycle of around 32 days. I am trying to conceive and I also noted date during ovulation and implantation dip but suddenly a few days back, I started to bleed which was dark brown in color initially and the amount was less than periods. Next day, some more bleeding with clots and on the third day. I had very dark little spotting and in my life, I never had my periods earlier than the date. What can I conclude from this? Doctor: Hello. If you are trying to conceive, there is always the possibility that you are indeed pregnant. However, it is just a month and at this point, it is too early to tell what is going on for sure. The light bleeding could be implantation bleeding or it can be regular periods, just a lighter version. However, it can also be a chemical pregnancy that did not last. What I am going to suggest is that you wait a few more days and get a home pregnancy test done. If you experience symptoms of early pregnancy like feeling tired, abdominal pain, feeling dizzy, nausea or more bleeding, get a USG done." + }, + { + "id": 12211, + "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": 21987, + "tgt": "Why am I having hair fall and body aches?", + "src": "Patient: Hi doctor, I had a history of thyroid issue before pregnancy. Currently, I have an issue of hair fall and mild body aches. Doctor: Hello. The likely cause for hair loss is low hemoglobin and also for body aches is low hemoglobin and low vitamin D. Your ESR (erythrocyte sedimentation rate) is elevated which is due to low hemoglobin (attachment removed to protect patient identity). Your thyroid is fine. So you should have Iron supplements like tablet Fericip XT (Iron and Folic acid) twice a day after breakfast and after dinner. This may cause some gastritis. Also, you should have tablet Uprise D3 60,000 units once a week for eight weeks, followed by once a month for next six months. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4981, + "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": 9138, + "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": 22564, + "tgt": "I have white patches in the throat and reddened soft palate. Is it oral cancer?", + "src": "Patient: Hello doctor, I have been having oral symptoms for the last six months or so. I also have been a heavy drinker for the past seven to eight years. I discontinued this in January of this year. Started in the fall of last year with allergy, cold symptoms and has continued to the present day even getting worse. Every day without relief. I noticed the white patches in the throat and reddened soft palate. I have also had irritated scratchiness in the palate as well. My concern is oral cancer. I have had one of the white patches biopsied and it was diagnosed as follicular lymphoid hyperplasia. Everyone says the soft palate is normal but I am not convinced because of the length and duration. I underwent allergy testing of which I had none. Also, I had an endoscopy to check for reflux which also was negative. The last doctor I saw said he would remove my tonsils. I have had imaging tests of which nothing has shown up. Could something be hiding or could this be precancerous? Also, I get white pimple sores that pop up and then go away only to come back again in the same place. Not sure what I need to do next but my prior alcohol abuse has me concerned with these symptoms. I realize these symptoms are all over the place but it seems oral cancer can vary quite a bit. Can you advise, please? Doctor: Hello. It is good that you stopped drinking. Meanwhile, I do not find any cancerous lesion in the pictures you sent (attachment removed to protect patient identity). However, none of the pictures show the posterior pharyngeal wall. If you can take a better picture it will be appreciated. Can you detail your symptoms more? Can you share the reports of your allergy testing? Did you change your place of stay or work recently? Your symptoms seem to suggest an allergic cause and the constant allergy can be a cause for the chronic inflammation of the throat. Please revert to me with all details. Please upload the CT and MRI reports as well as the biopsy report. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22297, + "tgt": "Manometry shows weakness halfway down the esophagus. What could it be?", + "src": "Patient: Hello doctor, I have had dysphagia for a few months. My endoscopy and barium swallow had been normal. The manometry showed weakness halfway down the esophagus. The pH test for 24 hours showed GERD. I tried eating a burger, and every bite of it got stuck. After that, I had a hoarse voice for a while. What is causing this if all tests are normal? I have attached the reports for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). The manometry and pH (potential of hydrogen) tests are not normal. The pH shows a gastroesophageal reflux and the manometry shows some weakness in the mid esophagus. You need to take antireflux medications and make some dietary and lifestyle changes to overcome the problem. That should help. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If with those measures, the problem does not resolve then we can do a CT (computed tomography) scan to see if there is any other pathology. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19831, + "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": 15285, + "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": 14749, + "tgt": "I am 43 year old male, experiencing chest congestion", + "src": "Patient: Hello doctor,I am a 43 year male. I experienced chest congestion in the first week of last month. I have consulted a cardiologist at a hospital. I have undergone TMT, 2D echo, and ECG. The doctor prescribed Modlip ASG 75. I am diabetic for past 12 years with good control (HbA1c is below 6 for past 8 years). I am 5 feet 6 inches tall. I was 68 kg 12 years back, and I am 54 kg now. My serum cholesterol is 107, triglycerides is 44, HDL cholesterol is 44, and LDL cholesterol is 54.I had ulcers in the intestine. My chest congestion cleared after 10 days of Modlip ASG 75. I have developed backache (just at the back of the heart). I have never experienced backache in that area. It develops and increases with physical or mental strain. Is it due to the side effect of Statin or problem with my heart? Is it safe to use Aspirin with Statins, as I am underweight and have ulcers? The doctor advised me to take Modlip ASG lifelong. Is angiogram required in my case or will any cardiac MRI show actual condition? Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Echo and TMT (Treadmill test) are normal. Your backache is not due to a heart problem. You can stop Aspirin and continue Statin. I suggest doing periodical Echo and treadmill test once a year. At present, an angiogram is not needed." + }, + { + "id": 29028, + "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": 9037, + "tgt": "Why do some women prefer using interlabial pads?", + "src": "Patient: Hi doctor, Please explain about interlabial pads. How is it used? Why do some women prefer it? Doctor: Hi. Interlabial pad is a modified version of the traditional sanitary pad. It is petal or leaf-shaped, and it is highly absorbing. It is designed in a way to have a direct menstrual flow to the center and prevents the blood leaking to the surrounding. It also prevents the blood flowing into the gluteal fold. It is worn within the two labia. Women would like to wear it because it is highly absorbent and it prevents moisture build-up and fungal infections. It is worn externally, and the chances of getting bacterial infections in the urinary tract and pelvic inflammatory diseases are low. It is small and comfortable. The doctor prescribes it to the women having stress or urge incontinence. There is less chance of getting a toxic shock syndrome." + }, + { + "id": 22968, + "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": 24815, + "tgt": "What are the white and black-headed spots on my penis skin?", + "src": "Patient: Hello doctor, I have these white and black-headed spots on my penis skin, and I was wondering how can I remove them. Are they bad? I can push some of them out when I do that something like the spots come out of the face. The thing is when I push them they get smaller but do not disappear. After a few weeks, they get back to normal size again. Please suggest what has to be done. Doctor: Hi. I request you to kindly upload a few images of the affected area so that I can guide you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8401, + "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": 23517, + "tgt": "I am not able to get over the fact that the girl I loved cheated on me. Please help", + "src": "Patient: Hello doctor, I know it is too common a topic for you all, but I am not able to come out of this. I was in love with a girl very sincerely and deeply and she cheated on me. Being a boy, I cannot cry or breakdown in public or in front of anyone, but in the end, I am a human being. It has been two years, but I cannot recover from it. I have kept myself away from drug abuse completely but I need calmness in my life. I feel depressed and cannot accept the fact that she cheated on me. Please help me. Doctor: Hello. Firstly, it may be common for all of us to listen to such issues what you are going through, but each one of us can realize the pain only when we personally face such a situation. The fact that the girl cheated on you, does not make you responsible for her betrayal. You as an individual, did all possible things to maintain a pure relationship. So, it is her loss in the end. Also, I usually suggest not to try and stop thoughts about her. People might say 'stop thinking about her'. But, I will not suggest the same. Instead, let us follow a simple technique called 'Time Out'. Whenever you decide, during your day, spend a specific amount of time thinking about your memories with her. But, it has to be timed. Let us say, for 20 minutes. Then, keep a timer and when the alarm rings, stop there. Remember, it is hard to fight yourself, but surely it is not impossible. You will require at least a week, to master this time out technique. Some additional questions: If you answer me, I shall be able to help you out more. Have a great blessed life ahead. Take care. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13946, + "tgt": "What can cause the stool to float and change color?", + "src": "Patient: Hello doctor, About 18 months ago, my stomach distended, and my stool turned from brown to light brown and eventually yellow. After that, I started to lose weight at a rapid rate, 40 lbs in 15 months. I was given multiple blood tests, an upper endoscopy, and abdominal ultrasounds. The only thing of significance was minor gastritis and some gallbladder sludge, nothing else. I have no hepatitis or autoimmune issues. I do not have Wilson's disease. 11 months ago, I had a blood test showing elevated ALT liver enzymes and slight liver enlargement. Total bilirubin was elevated as well. I had more ultrasounds, a liver biopsy, a colonoscopy, abdominal CT scan and MRI. Nothing was out of the ordinary with the imaging, except more sludge and possibly small stones. The biopsy showed 'minimal portal and lobular inflammation' with an indication of a resolving process. My liver enzymes continue to be elevated, my stool is constantly yellow and now for the last six months, it floats. At this point, the doctors continue to investigate, but cannot figure out what is happening. I do not drink, use drugs or anything of the sort. I am seeking advice as to what the doctors might not be seeing. I do not seem to have any type of GI or surrounding structure cancers. What else could cause ALT liver enzymes to elevate? Lastly, what would cause a sudden change in stool color and eventually floating? Is there any connection with the liver or vice versa? Could that help explain the weight loss? I cannot gain the weight back no matter what I do. I have stabilized at 196 lbs and I am 6 feet. Any help you can give would be much appreciated. Doctor: Hello. The cause of your weight loss could be maldigestion, malabsorption or systemic illness. Floating stools point toward fat malabsorption syndrome in your case. High liver enzymes can be due to fatty liver or infection of the liver. We need reports to differentiate between these disorders. Investigations to be done: I think you have already done the investigations. Kindly provide the details and reports. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19885, + "tgt": "What is the best treatment for Burkitt's lymphoma?", + "src": "Patient: Hi doctor, My 60 year old uncle is diagnosed with Burkitt's lymphoma. His report\u00a0says MYC-IGH fusion signal was detected in 45 % of the cells. The sample is positive for t(8;14). Could you please suggest whether it is curable and if it is curable then what is the best treatment? Doctor: Hello. Wish him good health. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15307, + "tgt": "Feeling depressed and getting suicidal thoughts due to poor erection. Please help", + "src": "Patient: Hi doctor, I am 28 years old, and I got married before two years. From the day of my marriage, I started to have an erection problem. After two days of marriage, I went to a doctor, and he gave me an injection. I had a good sex power with satisfaction. Now, I am not getting a proper erection for about two months, and my penis size has got reduced. Even the thickness has also got reduced. I have depression, and I am taking Nexito 10 and Amisant 100. I am planning to do suicide. My partner is not satisfied with me. When I start to have intercourse, I have a low erection, and within two minutes, I finish it. Before marriage, I usually do masturbation daily for twice a day. I made a huge mistake in my life by doing this act. My penis size has got reduced, and it makes me cry. I think about suicide, and I have low concentration power. I also have a tummy. I feel weak, and I have acidity. Even after taking good healthy food and a healthy drink, I feel tired. Please help me and give me a good medicine without side effects. Doctor: Hi. Do not worry much about this problem. It happens to many people due to lack of self-confidence. It is not a significant issue, so do not think for suicide. You can start taking these medicines which will surely help you. Take these medicines punctually and have faith in yourself. You can take Conium Maculatum 200 five pills in the morning, noon and night. Take Argentum nitricum 1M five pills at bedtime (one dose on alternate days). Take Ginkgo biloba mother tincture ten drops in a half cup of water in the morning and at night. Have a follow up after a week. Do not think of suicide. God has given you a beautiful life and birth as a human being. So do not have negative thoughts. Everything has solutions. Do not be frustrated. You will become fine by taking these medicines. Have a proper follow up to decide the duration of treatment and further medication." + }, + { + "id": 16290, + "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": 6146, + "tgt": "I got my periods before five years and I have hirsutism and acne. Is it due to PCOS?", + "src": "Patient: Hello doctor, I am a 27-year-old virgin female. I got my period five years back and then again 40 days after that and no periods after that. My prolactin was 30.8 and insulin was 10 (within range). My TSH was also normal when I got it tested. Also, I had PCOS. Ultrasound and everything are normal. I have mild hirsutism and I am having acne. My hair is becoming brittle. What should I do? Doctor: Hello. I understand your concern. Your prolactin is normal and also it is a good sign that TSH (thyroid-stimulating hormone) is normal. What I did not get from your query though, was whether you have PCOS (polycystic ovary syndrome) or it has been ruled out. Because all your symptoms match more like PCOS. If you do have PCOS, you need to exercise regularly, modify your diet, and if required take Metformin for preventing diabetes. Since most women with PCOS get obese, have very irregular periods and also have hirsutism. If it does not get normal, then hormone replacement therapy has to be considered and also Clomiphene can be given for three to six cycles for regular ovulation. I will advise a gynecologist opinion as soon as possible and I will also request you to send your reports to me." + }, + { + "id": 12575, + "tgt": "Why is there recurrent pain behind ear lobes?", + "src": "Patient: Hello doctor, For almost a week now I have had recurring random pain just behind both of my ear lobes. It has been almost three weeks since I stopped Lyrica, Pregabalin completely for back pain. For the last week I have been experiencing something different which can be best described as random pressure or light pain almost behind both the ear lobes, sometimes the feeling is localized just there other times it travels towards the neck, occasionally towards the mastoid bone or it extends towards the lower jawline. I have been crazily searching to see if this is a result of any swollen lymph node fearing cancer but I could not find anything out of the ordinary on the body. Very rarely I feel this pressure going upwards to the ear and even more rarely a sudden pain arises inside the ear too but I hear no ringing or sounds. The weirdest thing is today I woke up with this sensation and I could feel heaviness behind my ears. This has come after an acute sinus infection, cough, night sweats (for which I had to take antibiotics) that hit me when I started tapering off Lyrica last month. I have had chronic sinus issues in the past too but this one was different, never had it progress to this level. I have uploaded an image of where exactly the pain or pressure originates but right now the pain or pressure is pretty spread out randomly across the neck. Can you please tell me what is going on and what could be the cause of this pain or pressure? Medicines: Although the sinus problem seems to be resolved now I am still taking Loratadine D, Xynosine nasal spray and Librax for IBS related issues. Doctor: Hello. Pain may be due to mastoiditis seen in chronic allergy or middle ear infection or eustachian tube block patients. Get it done CT brain or X-ray of the mastoid. Avoid cool drinks and freeze water. Use water vapor inhalation and salt water gargling thrice a day for five days. You may use Montelukast and Levocetirizine once a day for five days. If symptoms are not improved please consult your ENT specialist, he will examine and treat you accordingly. Take care." + }, + { + "id": 18811, + "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": 8708, + "tgt": "Can I take Orofer XT instead of Orofer?", + "src": "Patient: Hi doctor, We were prescribed Orofer but got Orofer XT for iron deficiency. Is it fine to have Orofer XT instead of Orofer? Doctor: Hi." + }, + { + "id": 21800, + "tgt": "My HbA1c is 11. What is the best advice to keep normal sugar level?", + "src": "Patient: Hello doctor,My fasting sugars are 180 mg/dl, post lunch is 250 mg/dl, HbA1c is 11. I am presently on Metformin 1000 mg twice daily. Human mixtard 30/70 morning 30 units, evening 20 units. My age is 50 years, male. I have diabetes for two years. What is the best advice to keep sugars normal? Doctor: Hi. From what you mentioned, you have uncontrolled blood sugar level. This could cause a lot of complications. Fasting should not be higher than 110 and post-prandial should not be higher than 140. HbA1c should not be higher than 7.5. My advice is as follows: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17897, + "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": 12022, + "tgt": "There are red spots on the penis with no itching. Kindly advice", + "src": "Patient: Hello doctor, Male received protected oral and gave protected anal sex to a sex worker. She sat on his chest. It was a licensed establishment which claimed she had been tested regularly. Three days later ended up in the hospital with diarrhea (yellow with mucus) and intense fatigue like never before. They performed many tests and found nothing. Symptoms cleared. Ten days later did STI and STD tests which found nothing. After three weeks he started getting intermittent red spots on the penis. Now balls are very red with no itching. Doctor: Hello. According to your description, it can be a bacterial infection (other than STD as tests are negative). An infection acquired through gastrointestinal tract can present like this. The antibiotic course was done for diarrhea or not? Yes, the skin of the scrotum is very red and inflamed (attachment removed to protect patient identity). And indeed requires the antibiotic course for it. Kindly follow this prescription. 1. Tablet Co-Amoxiclav 1 gm BD for one week. 2. Tablet Metronidazole 400 mg TDS for one week. 3. Apply Fusidic Acid ointment BD over the area. 4. Apply Vaseline (Petroleum Jelly) three times. 5. Maintain hygiene of the area. 6. Wash with mild soap and water. 7. Avoid irritants over the area." + }, + { + "id": 16231, + "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": 404, + "tgt": "I have heel pain if I walk without shoes. Why?", + "src": "Patient: Hi, i am patient of hyperthyroid. My weight was 52kg cause of hyperthyroism, but i start my medicine from 1 and half years before and recovering from thyroid, and now my weight is increased to 73kg and that why i am facing heel pain but with sport shoe i can walking exercises but without shoe i feel heel pain and i feel difficultie for walk,and in the morning when i wake up, its very difficut for heel to walk so help me for my heel pain and is it ok to walking exercise? Doctor: Dear, Sending Love and healing energy from here! Looking into your problem ,one of the reason you have yourself mention that weight increased and had heel pain . You have said you were having hyperthyroidism and after medication you got recovered. Those patient having hyper also tend to go into hypo too. Since you were hyper and after medication your level decreased might be normal and with meditation it must have gone below the normal . In hypothyroidism, you may be gaining weight.You may fail to lose weight despite ramping up exercise and reducing calories. Neuropathy: Low levels of thyroid hormone can result in nerve damage, called neuropathy\ufeff characterized by tingling and numbness in the extremities. A painful foot condition known as plantar fasciitis may also develop in your feet, caused by edema (fluid buildup) around the nerves. So i recommend you to do X ray of foot to see any bony spur . Check thyoid level TFT Precursor 1)Use Silicon Heel pad in your shoe to support your heel ,it helps reduces friction . I will follow up and plan treatment after those reports. Thank you" + }, + { + "id": 4226, + "tgt": "What can cause swelling in the middle of the neck?", + "src": "Patient: Hi doctor, I am 22 years old. I have swelling in the middle of my neck\u00a0since last two months. I do not have thyroid and I got it tested two months back. The result was negative. I have consulted a doctor and he prescribed me Monti FX and Lugol's iodine solution and it helped me a little, but after 10 days I started having loose motion. So, I just stopped the medication. What should I do now? Please help. Doctor: Hi. For further information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22337, + "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": 13634, + "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": 26709, + "tgt": "My father has fever as well as cold hands and feet after a long flight. Please advise", + "src": "Patient: Hello doctor. Doctor: Hello. Please let me know your health query. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26824, + "tgt": "Will taking pain medicines during pregnancy affect the baby in any way?", + "src": "Patient: Hello doctor, I am currently 30 weeks pregnant. I am scheduled to get my wisdom tooth extracted in a few days. My obstetrician gave my dentist the approval to prescribe analgesics for pain. But, I am worried since I have not taken anything for the pain my entire pregnancy besides Tylenol for headaches. My obstetrician also says Oxycodone is safe to take as I am allergic to other medicines. My question is if I take any pain medication during recovery, will it harm my baby?\u00a0Will it affect the labor and delivery in any way? Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28138, + "tgt": "Why do my lips get tender and swollen every two months?", + "src": "Patient: Hi doctor,I would like to give an insight into my problem, with started ending of last year. I noticed that I have some dry skin on my lower lip and a very small scab just underneath it. I ignored the same and thought it is due to winter. Five months back, I had a tender lower lip, which eventually dried off and the old skin peeled off. It left a scab on my lower lip border.\u00a0I had a\u00a0fever due to weather change, and as soon as my fever went off, I had a tender,\u00a0fluid-filled lower lip.\u00a0It became so tender due to the fluid beneath it and as usual, the scab formed underneath it at the border. But this time, it was bigger than before. Usually, I cannot feel any blisters being formed on my lower lip border because I keep a beard so I cannot notice my chin and it is never painful either. In fact, I never get any\u00a0blister on my lip, and the lower lip always gets tender.This time, I went to a dermatologist and asked if it is herpes\u00a0because\u00a0I started checking my symptoms online. The doctor told me that it is a cold sore, and I was advised to have Acyclovir for seven days. The doctor did not examine it and was just listening to my symptoms. I would also like to tell you that since past five months, my chin area stays red and a bit flaky, and sometimes I feel like there is some wound. The doctor prescribed me antibiotics and fungal creams, but nothing happened.Four days back, I had a stomach infection and had a\u00a0fever, which went away after two days. But my lower\u00a0lip border area started itching and then my lower lip was swollen. Later, only the lower lip and its border got soggy and tender this time. And no blisters were formed.\u00a0This time I visited a senior doctor, and I told him the entire scenario, He asked me to get few test done, like\u00a0IgM test for herpes, ELISA test, IgG test for herpes, urine test, TLC, etc., when I told him that it is happening for the fourth time.\u00a0The thing is that\u00a0all the herpes test came negative. The urine test came back normal, and even TLC and DLC is balanced and normal. All reports were concluded to be normal. He asked me to have Valacyclovir for two days. I would also like to tell you that whenever this thing is going to happen, I get ulcers in my mouth a week or 10 days before this happens. I have always taken pictures of my lip from the first instance to latest, which I am attaching. What is this thing which keeps reoccurring on my lip in every two months? What is the redness (like whiteheads) on my chin, which sometimes dries up like flakes and again returns? Do I have herpes or something else? And this process usually last not more than seven days. Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21975, + "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": 14931, + "tgt": "Why have I not got withdrawal bleeding after taking Unwanted 72?", + "src": "Patient: Hello doctor, I had unprotected sex 15 days after my last menstrual period and took Unwanted 72 after seven hours. Till now did not experience any bleeding. What are the chances of pregnancy and when should I conduct a pregnancy test? Doctor: Hi. As you have taken Unwanted 72 within seven hours there are no chances of pregnancy. This pill does not always result in withdrawal bleeding but can as well delay the periods depending upon which phase the pill has been taken that is the first phase (estrogenic phase) of the menstrual cycle or second progesterone phase. Wait till your period date or even later as they may get delayed for about two weeks and maximum. There is no need to do a urine pregnancy test in between if they get delayed by two weeks. Later you can do if no periods after that." + }, + { + "id": 17308, + "tgt": "Do cholesterol medications cause an increase in creatinine values?", + "src": "Patient: Hello doctor, I am taking Lipicard 160 mg and Atorlip 10 mg for controlling triglycerides and cholesterol. Both are now under control but, my serum creatinine value is 1.2. Is the value higher than normal? If so, is it due to my\u00a0medicines or could there be any other reason? Doctor: Hello. 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": 8527, + "tgt": "What are the side effects of crushing and taking Seroquel XR tablets?", + "src": "Patient: Hello doctor, I have been on 200 mg Quetiapine IR for some time. Finding it after years of medication tweaking to truly keep my bipolar II symptoms in check, with no significant side effects. I ran out while traveling abroad. Though\u00a0I have no means of obtaining a new prescription, I do have plenty of Seroquel XR (in 50, 150, and 200 mg dosages) with me.\u00a0For two nights, I have tried taking a 200 mg XR pill in the evening. Unfortunately, I have gotten little to no sleep and am very concerned about sleep cycle disruptions, as they have always led to more severe symptoms in the past. Moreover, I feel the sedative effects throughout the following day, an impairment I simply cannot afford to deal with right now, as well as a more persistent general sense of anxiety and agitation. If I were to simply crush these pills into a powder, would I be able to take them as though they were immediate-release of the same dose? Or would doing so alter the medication's properties? I am aware of the medication guide's instruction against chewing or cutting the sustained-release pills in any way, but I wish to know what the actual effects of doing so would be. Any suggestions on minimizing related risks, like food or water consumption tips, titration from a lower dose, etc.? Thanks. Doctor: Hello. Let me enlighten you with the concept of IR and XR medication. IR medications mean immediate release; once you take the drug, its effects come in minutes and lasts few hours only. Most of the drugs are in IR form until we need them for some specific purpose. IR medications have a shorter half-life and need to be taken in multiple dosages in a day. XR medications mean extended release; once taken, the drug will be released slowly over a period so that a plateau state for serum drug level can be achieved for a longer period. XR medications have a gastro-resistant coating over it, which prevents them to get dissolved in gastric juices immediately, hence resulting in delayed release of the drug. XR medications have a longer half-life and can be taken once a day. However, breaking an XR drug into powder state will result in erratic release and erratic blood level. Hence, variable effects along with more side-effects. I can understand your problem, sleep disturbance is considered to be the utmost important early warning sign in bipolar disorders, and it needs to be treated as early as possible. In your case, you can opt a short acting benzodiazepine for sleep induction, as you have difficulty to fall asleep. Once sleep is induced, it can be maintained by Seroquel XR (Quetiapine) as well. Zolpidem 5 mg is a good medication for sleep induction. Besides this, you can try Nitrazepam 10 mg for the same purpose. Though Zolpidem has the least dependence potential, and it is the preferred choice. Besides this, follow sleep hygiene measures, they will be helpful over a long run and will help in maintaining healthy sleep-wake cycle without medications. Thank you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1463, + "tgt": "Is salt therapy beneficial for non-specific interstitial pneumonia?", + "src": "Patient: Hi doctor, What is non-specific interstitial pneumonia?\u00a0Is salt therapy beneficial for non-specific interstitial pneumonia? Please explain. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 7590, + "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": 22572, + "tgt": "Is it possible to maintain our body after PAD?", + "src": "Patient: Hi doctor, I had PAD before 20 years and I am able to maintain my body by exercising. When I get tensed, it comes back. Again, I have to begin exercising and gradually it gets better. This time, I had a bout of depression and I am not able to do exercise, so, it has taken longer time than usual to get the results. Now, with new blood-thinning medicines and exercise, I am starting to see good results. The doctor wants to do an angiogram next month, after that stents or surgery on my lower legs. I have two stents near my heart. One was placed, when I had an infarction 19 years ago and another one was placed after eight years. They seem to be good and I am afraid of another procedure. Now, I am willing to get a second opinion about this condition. Doctor: Hi. It is very good to know that you are doing well with medications and exercise. The development of collateral blood supply in the lower limbs is a good option. You could discuss this with your doctor and postpone angiogram and stenting. However, it is important to realize that collateral vessels are small and do not provide the same amount of blood, as the normal vessels do. Besides, peripheral angiography and stenting are safe procedures. So, I would advise angiography to see the state of the blood vessels and collaterals and then, you can decide for stenting. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23685, + "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": 7154, + "tgt": "I am suffering from arm pain. Does it indicate heart attack?", + "src": "Patient: Hello doctor,I am a 43-year-old. I have some not so mild pain in my right arm for the past two days. Since yesterday, I have some pain in my chest, towards the right. It pains when I cough or clear my throat. Pain is not unbearable but not mild also. Two days back, I felt a bit weak in my right arm, and it felt slightly less responsive when I tried to lift my arm.Now it feels normal, but the pain is still there. I do not have any problem with doing regular activities. I also exercise at least every alternate day. Heart pain could be gas, yes, but I am a bit worried. Three people from my department, one junior and two seniors had heart attacks in the past four to five months, and one passed away.I get echo and TMT tests done every year, and all is normal. I do not have BP or sugar or any other problem. But the colleagues who had attacks also had normal echo and TMT during their annual check-up before five months. So, should I go for checking whether my arteries have any clogging? Is it needed? If yes, how to get it done? Doctor: Hello, Welcome on icliniq.com. I passed carefully through your medical history and would like to explain that your clinical symptomatology does not seem to be cardiac-related. Pain modulated by coughing or body posture modulation goes in favor of an extra-cardiac cause, most likely a respiratory inflammation or infection. I would recommend discussing with your attending physician (GP or internist) on the possibility of performing a medical examination and additional tests (complete blood count, PCR for detecting possible inflammation, chest X-ray study and other tests if necessary). In case you have difficulty getting out sputum, an expectorant could help. Anti-Inflammatory medication and if the bacterial infection is confirmed, antibiotics medication would be required to solve your actual health issue. I hope to have been helpful to you. In case of any further questions, feel free to ask me again." + }, + { + "id": 10765, + "tgt": "Which fruits are safe to have to protect self from Nipah virus?", + "src": "Patient: Hello doctor, Just for precaution which fruits are safe to have to protect self from Nipah virus? Coconut water and citrus limetta, are safe to take? What to eat to detect Nipah virus? I heard there is a homeopathy medicine already invented to combat that virus? Is that true? Gelsemium 200 is the name? I have no symptoms and fit and fine. Just asking for precaution Doctor: Hello. To prevent Nipah virus, maintain good hygiene procedures like frequent hand washing and cooking food properly before using is the best procedure. It is a brain damaging virus spreading through vertebrate animals to humans and also human to human. Prevention: This virus also shows meningitis symptoms. Homeopathic medicines for prevention: To detect the virus ELISA and PCR tests are useful. Symptoms of a headache, fever, nausea, fainting. In severe cases drowsiness and disorientation, and coma. In some cases blurred vision, vomiting, choking, fatigue and abdominal pain. According to symptoms, we can give Gelsemium and Eup per also can be given. For more information consult a homeopathy physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 14862, + "tgt": "Does high intake of protein powder affect the kidneys?", + "src": "Patient: Hi doctor, I heard that a high intake of protein powder will affect kidney functions (by forming kidney stones). Is it true? Doctor: Hello. Too much of any nutrient is not good for the body. But when you say 'high amount', it is a relative term. What seems 'high amount' to you may not be really high. If you think you are taking too much protein, please do mention what kind of protein you are taking and in how much quantity. Because it is also important to know the quantity and quality of protein you are consuming. As a thumb rule, it is good if your diet consists of 30% protein. If you can explain your usual food and exercise routine, I may be able to guide you better. Revert back to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25790, + "tgt": "Why are my medial malleolus and calcaneus swollen?", + "src": "Patient: Hello doctor,My medial malleolus and calcaneus are swelled. Please help. Doctor: Hello. The common cause of swelling in the area of medial malleoli are ankle sprain and strain. Gout needs to be investigated with the help of serum uric acid and by having an X-ray. I suggest you apply Crepe Bandages and take Naprosyn (Naproxen) 500 mg twice daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Give rest to the ankle. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 9710, + "tgt": "My son stuck a raisin up in his nose without any symptoms. Kindly advice", + "src": "Patient: Hello doctor, My 3-year-old son stuck a raisin up his nose. My wife and I are physician assistants. We went to the pediatric ED after attempting multiple positive pressure techniques without success. The pediatrician ED doctor was unable to visualize with a nasal speculum and was failed to pass an NG tube. The ENT who was consulted wants to go under general anesthesia to remove it tomorrow morning. My son is entirely asymptomatic, can we wait till we get back to our home after two days? Doctor: Hello. It is better to remove it as early as possible. It is an organic material trapped in a place full of bacteria so rhinosinusitis can occur quickly with the formation of pus. I do not advise you to wait to remove it as soon as possible. Also, you have to be afraid of his Inhalation while sleeping. Remove it under general anesthesia as the ENT specialist said." + }, + { + "id": 17202, + "tgt": "From the last 10 years, I am suffering from allergies. Please help", + "src": "Patient: Hello doctor, From the past 10 years, I am suffering from an allergy. The doctors informed that due to allergy there is an excess histamine produced in my body. My allergic symptoms are nasal congestion, sneezing, anxiety, frequent throat infection, shortness of breath, and some kind of discomfort. I am having these symptoms from past 10 years. The doctors told it is due to not maintaining hygiene and low immunity. I am making lifestyle changes and yoga to get rid of allergy. But monthly three to four days, I need to do presentations in my office, and due to the allergy, the quality of my work goes down. Presently, I am using some herbal medicines, that is, turmeric for reduction of histamine and it works a little and reduces a few symptoms. I am requesting you to provide me the tablet for reduction of excess histamine in the body or medicine to prevent the\u00a0production of histamine in the body. If histamine level is normal in my body, I can experience calmness and happiness. But if histamine levels are increased due to allergy, I feel some kind of discomfort. So to avoid discomfort asking medicine to reduce histamine levels. Doctor: Hello. I can understand your concerns. Having allergy can cause a lot of discomfort in life, affect the\u00a0quality of life, and result in anxiety and depression eventually. But, you need not worry. We have solutions for allergy. Revert with more information to an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 4791, + "tgt": "Why bisexuality among men stigmatized in the past?", + "src": "Patient: Hello doctor, As bisexuality is defined as attraction to both men and women, however, many men who feel that way tend to not identify as that. Please explain why this is? And, why bisexuality among men has been so stigmatized in the past? And why it has not seemed to improve, even as people become more accepting of homosexuality? Doctor: Hello. Bisexuality is common and a lot of men and women have bisexual orientations at some point in their lives. This does not mean that a person will have homosexual relationship with same sex partner. A person who is happily married might have likings for same sex too. But this has been stigmatized in the past and because of cultural beliefs people never thought of accepting this in public. Since birth an individual is conditioned to behave in a particular manner like boys are supposed to be more active in competitive sports, they are encouraged to be masculine while girls are supposed to be delicate, sophisticated in most countries and most cultures. If a boy behaves like girls he faces many issues like other peers make fun of him. This conditioning is the basis of sexual orientations too. Boys are supposed to have girlfriends and girls have boyfriends. Homosexuality was considered as sin and even a lot of countries still consider homosexuality a crime and is stigmatized. Even these days media and the internet are working to reduce the stigma but in society, people make fun of homosexuals (especially of men). This is the reason things are improving but still, people do not look at bisexuality with good intentions." + }, + { + "id": 15820, + "tgt": "What is the cure for piles?", + "src": "Patient: Hello doctor, I am 18 years old. I had a symtoms of piles. I think there must be a little growth of substance. Is it very serious? What can I do for it? And tell me some practices to control it. Doctor: Hello. First of all, do not worry too much. It does not seem you have complicated piles since this presents with sudden and intense local pain (in which case you should go to a surgeon). It seems you have a mild disease. There are various recommendations for this problem. You should poop without difficulty. I recommend Psyllium Plantago (oral powder) one spoon in a glass of water every morning. Sitz bath with warm (not too warm) water two times a day (for 20 to 30 minutes). Diltiazem ointment, place a small amount in the affected \u00e1rea two times a day (after you do sitz bath). Continue this for at least six weeks and you should get very good results." + }, + { + "id": 20653, + "tgt": "Why do I feel pain and burning sensation during sexual intercourse?", + "src": "Patient: Hi doctor, I am a 26 year old female. I feel pain and burning sensation during sexual intercourse. I can allow only 5 cm of penetration and it becomes more painful with pressure. Please help me. Doctor: Hi. I can understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16274, + "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": 6397, + "tgt": "I am having chronic dry mouth. What is the treatment?", + "src": "Patient: Hello doctor, I have a chronic dry mouth. I have consulted two ENT specialists and looking for another opinion. Two years ago, I started to get a dry mouth when I was nervous (it is soon after I got a hair transplant, and I was very conscious of my image and recovery). That was the first time I ever experienced a dry mouth. Unfortunately, the dry mouth had developed into a more prominent and chronic issue (even when I am not nervous or anxious) and is now present almost all of the time. Generally, it feels like I do not have enough saliva, or it is foamy. I am very conscious of it when I talk, and it does prevent me from talking a lot. If I sweat more than usual, my mouth will become dry. I try to drink one to two liters of water a day, but it does not make too much difference. The only time I do not have a dry mouth is when I am eating or drinking, and for about 15 minutes afterwards. I have got many blood tests done, and all are in range except for neutrophils, which is slightly below range at 1.5, but this appears to be normal for me, and the hormone estradiol is also below range. The doctor has ruled out Sjogren's syndrome or autoimmune also. Both ENT doctors said that this would clear up by itself, and that was possibly anxiety related. I did go on SSRIs for one year, but this made my dry mouth much worse. One of the ENT doctor said to try lemon and lime juice three times a day to encourage the salivary glands to start working properly again, but I have not noticed any difference. I have tried most of the salivary substitutes and gum, but most of them are just temporary fixes. Is there anything else I should do to find the cause like an MRI or CT or any other avenue I should explore? Doctor: Hello. Dry mouth can be a very distressing thing. However, I need to know certain details. Kindly be as objective as possible when you answer. 1. When the SSRI (selective serotonin reuptake inhibitors) started for this purpose? Do you have a doctor's prescription detailing the same? 2. Are you still on SSRI? 3. Is there any other sort of anxiety or worry? 4. Is there any difficulty or burning sensation while chewing or swallowing? 5. Is there any lump sensation or choking feeling in the throat? 6. Do you get a good sleep in the night? 7. What is your height in centimeters and weight in kilograms? 8. Do you snore? 9. Have you tried saliva sprays? 10. Do you smoke or drink or use any drugs? Do you smoke weed or chew tobacco? 11. Do you suffer from diabetes or blood pressure or hypothyroidism for which you have to take medicines regularly? 12. Is there any oral sexual practice that might be causing such a dryness? 13. Could you take a picture of an open mouth showing details of the oral cavity and send me? We shall help you find a solution to this problem. But please provide as many details as possible so that we arrive at a decisive diagnosis. If possible, kindly upload the opinions of previous ENT specialists." + }, + { + "id": 30698, + "tgt": "We are not sure about my friend's diagnosis. Kindly help", + "src": "Patient: Hi doctor, I am a general practitioner. I would like to consult with you regarding my friend, who has a normochromic normocytic anemia. His hemoglobin is currently 7.5. His diagnosis is not clear. I have all his laboratory data and bone marrow biopsy as well as aspiration if you want. He used to take corticosteroid with moderate response, but he developed diabetes and that required Insulin to be controlled. I have attached his current medication list for your reference. I would be grateful if you could help me. Thank you for your attention in advance. 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": 14301, + "tgt": "Will plaster reduce swelling occurred due to vaccination in a 3-month-old baby?", + "src": "Patient: Hello doctor, My baby is 3 months old. She is suffering from swelling on thigh due to vaccination. Can I use plaster to reduce it? Doctor: Hi. I understand your concern. Local swelling after vaccination is the known side effect. Just apply ice over it for 3 to 4 times a day. No need to rub or massage, just apply ice. No need for plaster. It is local swelling, not a fracture where plaster is needed. It shall go over time and may take 7 to 10 days. If the swelling is persistent and painful, then you need to show the doctor." + }, + { + "id": 8042, + "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": 6750, + "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": 25755, + "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": 29308, + "tgt": "Could you please explain the result of my comprehensive stool analysis?", + "src": "Patient: Hi doctor, Could you have a look at my results of comprehensive stool analysis and parasitology. Please let me know if you think there are any issues. Thank you. Doctor: Hi. We are here to help you.\u00a0I have studied your report (attachment removed to protect patient identity). Revert with details to a medical gastroenterologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19213, + "tgt": "How to cure Moraxella catarrhalis infection?", + "src": "Patient: Hi doctor, My daughter is 2 years old. Eight months before, she had ear discharge. It was diagnosed as acute otitis media and she was treated with antibiotics such as Lindacin, etc. A week after the completion of antibiotics, again\u00a0she had the same problem for about three months. Then, the ENT specialist decided to clean the mastoid. Since then, she has been getting fever once in every month. It has been six months now and the 6th time\u00a0she is taking antibiotics. The blood results are always showing that there is a bacteria, but never detected the location. The fever goes up to 40 and 40.1 degree Celsius. In addition, Paracetamol does not lower the fever and Ibuprofen keeps her only three hours. So, I normally do the rotation with Voltaren. We recently got a strep test for mouth, ear and nose. The nose strep had a bacteria called Moraxella catarrhalis.\u00a0Would this bacteria cause such a problem? Would the CRP be so high due to this? How is it possible that such bacteria was not cured taking so many antibiotics for such a long time?\u00a0Can you please advise me what should I do further? I am really worried. Doctor: Hi. Co-trimoxazole and Tetracyclines are the drugs of choice in Moraxella catarrhalis as the rate of resistance to these agents is currently less. For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30209, + "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": 14745, + "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": 26322, + "tgt": "My 6-year-old has too much hair fall all of a sudden. Why?", + "src": "Patient: Hello doctor, My daughter is 6 years old. All of a sudden, there is too much hair fall. There are no lice or eggs. Her hair is clean. But for the past 10 days, she has a\u00a0severe cold with a\u00a0cough and running nose. Suggest some remedies to overcome this hair fall problem. What could be the cause? Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 21542, + "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": 27580, + "tgt": "I took two I-pills after unprotected sex. When can I expect my next periods?", + "src": "Patient: Hello doctor, I had sex with my fiance two months back. I had taken two I-pills in a span of one week. Generally, I get my periods on the first of every month. Last month, I got my periods on the first, and it lasted for 5 to 6 days like my normal periods. Although, I am not sure whether it was withdrawal bleeding or regular periods. My concern is that\u00a0it is 14th already, and I still have not got my periods. I did two home pregnancy test, and both of them were negative. And I used the first-morning urine. Is there a reason to worry? When can I expect my next periods? I am really worried. Can you please help? Doctor: Hello. I-pill protects 95 to 98 % of pregnancies, however, once one takes I-pill, the period may either come a week before or a week later. I do not think you are pregnant because I-pill causes hormonal irregularities and has caused a delay in periods. You should go for pregnancy test again after a week. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27258, + "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": 24160, + "tgt": "How can I manage burning sensation associated with urinary infection?", + "src": "Patient: Hello doctor, I had a urinary infection (buring sensation while passing urine) for past one month. The urine culture test revealed Proteus mirabilis 100000 colonies/ml grown. Since all of the tablet-based antibiotics came resistive, the doctor prescribed Amikacin 500 mg injection 1-0-1 which came as sensitive. I took 10 injections in five days in this month. I also did a general health check-up 15 days back in which abdominal scan showed no problems. The creatine was within the range. However, urea in serum was 17.12 mg/dl whereas the normal range is 19 to 43 mg/dl and blood urea nitrogen (BUN) was 8 mg/dl, whereas the normal range is 9 to 122 mg/dl. However, the buring sensation continued and again took the urine culture 10 days back, and the result came today with Escherichia coli 10000 colonies/ml grown. The antibiotics which showed sensitive are Ertapenem, Meropenem, Amikacin, Tigecycline, and Colistin. Rest of the antibiotics were shown as resistive. Please let me know what I should do. Doctor: Hello. As per your latest report (attachment removed to protect patient identity), you still have E-coli urinary tract infection. I would suggest you take injection Meropenem 1 gm i.v. twice daily for five days. Of all the antibiotics, Meropenem is the most sensitive. I would not prefer Amikacin as it was already taken before. But, you can take Amikacin 500 mg i.v. twice daily for seven days if you do not want Meropenem. Also, take syrup Cital (Disodium hydrogen citrate) 10 ml in the morning and evening in a glass of water for 14 days and, tablet Flavospas 1 tablet in the morning and evening for 14 days. This will reduce your burning. Your other reports are fine. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2029, + "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": 16376, + "tgt": "Can urine be foamy due to any kidney issues?", + "src": "Patient: Hi doctor, My father has suffered from a stroke 12 years back (left hemisensory infarct) and four years back has undergone CABG. He is also a diabetic for the past 27 years. Three days back he developed high fever 103.5 with stomach ache and chills. 650 or Meftal forte SOS for high fever. He is better now but during that time he noticed frothy urine so we got his urine microalbumin test done. The levels are a little high. Six months back they were within range. He has no other problem like swelling, etc. His BP is also under control. Also, his other parameters like creatinine, etc., done two weeks back are fine. Only his HbA1c is 7.8. My query is that since the tests were just the next day after fever can they be incorrect? Can the urine be foamy due to fever? Will better sugar control help to resolve this problem? When should we repeat this test again? His current medications are Mixtard Insulin 30/70 - 48 units morning, 13 units night, Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar XR 25 1-0-0, Dynapress 0.4 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0. Doctor: Hi. Yes, an acute infection is known to cause protein in the urine that can cause frothy urine. Moreover, urinary tract infection can also cause this. I would recommend you to get his urine test repeated after two weeks. A strict blood sugar and blood pressure control would control proteinuria." + }, + { + "id": 6817, + "tgt": "How to cure premature ejaculation,erectile dysfunction and lack of sexual urge?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation, erectile dysfunction, and lack of sexual urge. I am newly married and thus living a very distressing life. How can it be cured? Can it be curable? Please help. Doctor: Hello. I can understand that premature ejaculation can be a very serious problem for a newly married couple. Premature ejaculation, erectile dysfunction, and lack of sexual urge are all three different problems. Most of the problems can be overcome by simple techniques. Try to have a good amount of intimacy with your patner, which is called foreplay before going for intercourse. Stop smoking if you are one. Try an exercise like running, lower abdomen, and leg exercise. It helps. Talk with your partner and try different options. If nothing works, then do meet a doctor for some investigations. It can be cured." + }, + { + "id": 12521, + "tgt": "How can eosinophilia be treated ?", + "src": "Patient: Hello doctor, My eosinophils are increased to 7. It is very difficult to breathe. An effective treatment to eosinophilia may be communicated. Doctor: Hi. High eosinophils are found in conditions with allergic reactions. I would recommend you to please see your doctor and if your chest is congested, they would help you with antibiotics, short steroids, anti-allergic, and nebulizer. If you are asymptomatic with just mild cough, a short course of two weeks with antiallergics like a combination of Levocetirizine and Montelukast works wonders." + }, + { + "id": 19657, + "tgt": "Will harmoni-f pill prevent pregnancy after having an unprotected sex?", + "src": "Patient: Dear Doctor, Will harmoni-f pill prevent pregnancy if taken continuously before and after having an unprotected sex? Doctor: Hi. Harmoni-F is a contraceptive or birth control pill that needs to be taken daily to give the desired contraceptive effect. It is not an emergency pill as you have been thinking.\u00a0 Please use additional protection to avoid unplanned pregnancies. If you have any further questions, feel free to ask an obstetrician\u00a0and gynaecologist\u00a0online\u00a0-->\u00a0https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12010, + "tgt": "Is there a natural way to cure black and sensitive tooth?", + "src": "Patient: Hello doctor, The tooth has become black and feeling sensitivity while chewing and when having some cold and sweet feeling like it is due to the cavity. Can I reduce it naturally? Doctor: Hi. I had gone through your question and I can understand your concern. As per your history, it looks that you are having reversible pulpitis, that means there is a cavity in progression. If you will get it filled, sensitivity will go and there will be no further decay. If you left it as it may lead to your infection, then you have to get it root canaled or extracted. You can use desensitizing toothpaste but this is temporary. You can also avoid it by not taking hot or cold or sweet food but all these are temporary provision. My opinion is to visit a dentist and get it filled as soon as possible." + }, + { + "id": 13122, + "tgt": "What can be done for forgetfulness and low confidence?", + "src": "Patient: Hello doctor, I am 30 years old, male. I am suffering from two problems mainly which I often noticed. One is I forget always names of person, place, etc., while talking with someone. However, I have remembered a lot of things of pasts but while talking about it, I often forget the names especially. The second problem which I used to face is the confidence problem. As my nature, I want to do any work either perfectly or do not do it. When I start to proceed for something, it can be anything like going from anywhere, studying, traveling, working, etc., my mind happens very unconfident for self-preparation and I do check my pockets in my pant that is anything here? When I find nothing is in my pocket, but I check again the same and I am irritated. After many times doing the same known thing (checking my pockets), I check it again and again and I am finally unable to make my mind understand that I have not had anything in my pocket. So, you may have understood my problem. Please suggest me what should I do. Doctor: Hi. Do not worry, I have understood your problem. Let me talk about the second problem first, because it needs to be solved as a priority. Your repetitive thoughts and behaviors seem to be of an obsessive-compulsive type. That is why you are aware that you are getting useless thoughts but you are unable to stop them. And that gives you a lot of stress and even guilt and self-doubts. These thoughts occupy most of your mind and energy, and that is why you are having difficulty to remember routine things. The reason why your old memory is intact is the problem is not in the memory part of your brain. The problem is: 1. Because of constant unwanted thoughts, your attention and focus in not good. That is why your brain is facing problems in registering and recalling information. There is no problem with the storage function. 2. Because of constant stress, your mind is not able to feel relaxed and fresh properly. That is why it is not being able to manage other functions properly. So, for these problems, I would request the following treatments. 1. Relaxation techniques: There are various relaxation exercises available. Progressive muscle relaxation is easy and effective. You can also try Sudarshan kriya or meditation. 2. Behavior therapy: Therapy of systematic desensitization helps a lot with this problem. 3. Medicines: Medicines are very effective in treating the part of the brain that is producing unwanted thoughts repeatedly and producing thoughts. It is not possible to teach the therapies through messages. It can happen through a phone call or meeting. You can decide about therapies and write me back in three days." + }, + { + "id": 14788, + "tgt": "Why am I having head spinning and vomiting issues quite often?", + "src": "Patient: Hello doctor, I have a constant problem with my head spinning and vomiting. Recently, this has started (during the last three months). Suddenly, it feels that my head is spinning and then after a few minutes I feel to throw up. I almost require a support during my head spinning. Afterward, (after I lay down in bed and within a few minutes), the head-spinning is gone and I just feel a slight headache. It occurs almost twice a month. Often it is accompanied by stomach pain but not always. However, I do not feel any chest pain or any other problems. Doctor: Hello, WeIcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). ECG and 2D echo which are showing no heart disease and cardiac output are also good. Now, we will come to your complaint. Spinning followed by vomiting, the first reason may be due to orthostatic hypotension when you suddenly get up, you feel spinning due to reduced blood pressure. It shows autonomic failures. The second cause can be vestibulocochlear neuritis that is in the ear, they maintain our body balance, but due to swelling, they cannot maintain and you feel spinning sensation and vomiting. For this, you can take tablet Vertin 16 mg once a day and once visit ENT doctor nearby and check your BP at lying and sitting position." + }, + { + "id": 26486, + "tgt": "I have weakness and pain in the arm. Should I anticipate surgery?", + "src": "Patient: Hi doctor,I recently had an MRI\u00a0on my neck. I have a 75 % weakness and pain on the left arm (tricep). Should I anticipate surgery? Doctor: Hello. I am sorry to hear this. I have gone through your reports (attachment removed to protect patient identity). Wishing you a speedy recovery. Best wishes. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 6769, + "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": 26464, + "tgt": "How to differentiate between scabies, flea bite, bed bug, and folliculitis?", + "src": "Patient: Hi doctor,I am a general practitioner. I struggle to differentiate these conditions: scabies, flea bite, bed bug and folliculitis. I would really appreciate your clinical knowledge and goodwill in enlightening me about this, so I can provide\u00a0better care for our patients. Doctor: Hello. I have seen your query. Scabies is caused by mites. In this, the patient presents with nocturnal itching with burrows over the web space of hands. In flea bite or bed bug bite, you may find itchy erythematous papules that may be localized or generalized depending upon the hypersensitivity reactions. Folliculitis is the inflammation of hair follicles and always presents with pain. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 6345, + "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": 16574, + "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": 30268, + "tgt": "What does ballerina foot mean?", + "src": "Patient: Hi doctor, I have been told that I have ballerina foot. Is this dangerous? Does it mean I have a heart disease? Or is it a common finding? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20786, + "tgt": "I am tensed about my exams that are approaching. How to deal the situation?", + "src": "Patient: Hi doctor, I am tensed about my board exams that are approaching. I have much fear and stress. I can understand whatever my teacher teaches. But after some time, I forget everything. I can understand my theoretical questions. But I am unable to express them in words. Doctor: Hi. You lack confidence and self-esteem. Do not get stressed. It is one of the exams you are going to approach. You should make a schedule for your reading. You need frequent revision to remember. Do lots of practice that will help you to build confidence. Spend time for some extracurricular activities like playing outdoor sports, and do daily exercise for 30 minutes. Do meditation for 15 minutes. It will help to reduce your stress. Go for a walk. Eat healthy home cooked food, and avoid junk foods. Take at least seven hours of sleep, and eat fruits like a banana which is a natural mood stabilizer. Drink warm milk before sleep which is a natural sleep inducer. Take a cold shower in the morning to reduce stress. To remember titles, make some pneumonic for it, and some tricks for it. Visualize all the diagrams, make some flowchart, sticky notes and stick them on your doors, cupboard, and mirror. When you read, make some pattern to remember the reading material during the exam. You need the practice to express words. Practice 100 times. Do not be afraid. Do smart work. Do lots of paper practice before your actual exams. You may get a low score, but it will help you to know your weakness. If you want to succeed, you need to fail many times. When you fail, you need to make a lot of attempts (practice). Be confident. Talk to yourself. Make eye to eye contact by looking into the mirror and talk to your self. Make daily goals and achieve it." + }, + { + "id": 22270, + "tgt": "Do I need to take I-pill everytime I have unprotected sex?", + "src": "Patient: Hi doctor, I had an unprotected intercourse last week. At that time, I took an I-pill. After a week, I got my periods. Now, again today I had an unprotected sex. Should I need to take I-pill again? Doctor: Hi. I have reviewed your query. You have taken I-pill before 10 days (before periods), and you had your menstrual cycle last week. So, I-pill will not work for you in this intercourse. If you want to avoid pregnancy, you can take another I-pill again today. But, I-pill is an emergency contraceptive pill, so it used in emergency conditions. Because of its side effects, it must not be used every time after unprotected sex. It is not a regular contraceptive pill. To avoid pregnancy, if you are sexually active, it is better to choose other alternative contraceptive methods which can be used regularly with few side effects and even lesser failure rates compared to I-pill (like oral contraceptive pills or even copper-T insertion after taking a gynecological consultation). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26162, + "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": 13503, + "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": 23814, + "tgt": "Can precum cause pregnancy?", + "src": "Patient: Hello doctor, I had sex with my girlfriend seven days ago. I did not enter my penis into her vagina, but I rubbed my penis and a little amount of precum was there in her inner wear. Later, she washed her vagina with water. Is there a chance for pregnancy? Can precum penetrate and cause pregnancy? Currently, she missed her periods. She has thyroid problem and polycystic ovarian syndrome. She is under medication for thyroid. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17065, + "tgt": "Why am I not losing weight in spite of regular exercise?", + "src": "Patient: Hi doctor, My usual weight is 58 kg. But, in spite of regular rigorous exercise in the past two months I am not able to lose even half a pound. It has lowered my stamina and I feel lethargic. Please let me know why is it so? I am Currently on Thyronorm 100 mcg for hypothyroidism and homeopathic medicines for low BP and anemia. I have also started on Lorazepam before five months. Please help. Doctor: Hi. Neglected daily exercise. BMI and regular weight assessment. Metabolism change. Weight management. Exercise, yoga and pranayama practice. For further information consult a fitness expert online.---> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 19947, + "tgt": "My husband had Losar Beta H twice by mistake. Will it cause any side effect?", + "src": "Patient: Hi doctor, My husband used to have Losar Beta H for his BP in the morning and Storvas 10 mg at night. But, mistakenly, he had Losar Beta H again at night. Will it cause any side effect? Should he have Storvas now? Doctor: Hi. Do not worry. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15889, + "tgt": "Should I take an emergency pill if I only had foreplay?", + "src": "Patient: Hello doctor, I had foreplay with my partner yesterday. We both were having some fun. He actually inserted a finger into my vagina though not deep. He was not sure if he had touched his precum or not. Also, his penis touched my vagina two to three times though he never inserted. Should I take an I-pill to avoid the low chances of pregnancy due to this act? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20000, + "tgt": "What can I do for a ringworm infection?", + "src": "Patient: Hi\u00a0doctor, I have ringworm from past three months. I have taken Sebifin for two months and Fungicros cream. But the fungi do not go away completely. It has started blooming in new places. Please help. Doctor: Hello. Please provide me with more information. These days, fungi have become very resistant to routine treatment. So, if you send the above information, I can suggest a higher level of therapy. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 26593, + "tgt": "Why do I have pain in my left lower abdomen when I slouch?", + "src": "Patient: Hello doctor, I am 27 years old. I\u00a0have a pain in my left lower abdomen region, above the\u00a0waist and below the lung, for a\u00a0long time now. I can feel this pain when I slouch, and this pain is like someone pinching my abdomen. When I\u00a0sit straight, I do not feel this pain. But if my back is slightly tilted for a\u00a0longer time, the\u00a0pain starts. I have gone for an ultrasound, the reports of which I am attaching herewith, which shows a normal result. Kindly advise suitably. Doctor: Hello. I went through your post and the ultrasonogram report (attachment removed to protect patient identity). \u00a0There are three structures which can give pain in the\u00a0left lower abdomen: For more information consult an internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3424, + "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": 13732, + "tgt": "What causes dizziness and blackout with swollen throat?", + "src": "Patient: Hello doctor, For a couple of days now I have been ill and the symptoms are getting worse. First, it started off with a swollen throat (which I still have but is not as bad) which gives me a phlegm cough but has reduced. I constantly have dizziness and blackouts with pulsating sensations not only going through my head but sometimes my body too. I am finding it very difficult to concentrate on anything and bright lights hurt my head too. Doctor: Hi. Based on descriptive history, I come to the conclusion that it started off as a viral infection (a sore throat) and has progressed to a secondary bacterial infection which has manifested as a cough with phlegm and due to phlegm accumulation in your sinuses, you are experiencing strange sensations in your head. I would advise you to go for saline gargles (lukewarm water with a pinch of salt added) and Betadine sore throat gargles alternatively till you get your throat clear. Try swallowing a tablespoon of honey twice a day to soothen your throat. Start a course of Azithromycin antibiotic as it is the best suited for such respiratory infection and you will only have to take three tablets in a total of 500 mg once a day for three days. And start an expectorant cough syrup which has Guaphenisin in the contents, take 10 ml each thrice a day, it will relieve you of the phlegm. Take care." + }, + { + "id": 1724, + "tgt": "Why do I get recurrent urinary tract infection within short duration?", + "src": "Patient: Hello doctor, I have a urinary tract infection again. I had it two times within past two months. It is the second time. I took Sefdin, and megatas but still no improvement. Please assist me. Doctor: Hi. I think there has to be some cause due to which you are having recurrent UTI (urinary tract infection). Do not worry, you will be alright. First I will write a prescription which you have to start. Tablet Levofloxacin 500 mg for five days. Syrup Alkamax /Citraalka 10 ml TDS for two weeks. Tablet Pyridium one tablet TDS for two weeks. Tablet Utwell/Cranpac (cranberry extract) twice a day for two weeks. Do a sitz bath twice a day for 15 minutes. After five days of Levofloxacin, you have to start tablet Niftas (Nitrofurantoin) 100 mg for four weeks. Next is you have to get some tests done. 1.Urine culture. 2. Ultrasound abdomen with PVRU (postvoid residual urine). 3. RFT (renal function test)." + }, + { + "id": 19368, + "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": 28744, + "tgt": "My mother lost most of her teeth. What best can be done?", + "src": "Patient: Hi doctor, My mother is 53 years old. Almost all her\u00a0teeth\u00a0have been fallen, and she feels difficult to chew. What best can be done? Is there is any possibility of fixing new teeth? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29041, + "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": 30391, + "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": 6998, + "tgt": "What is the treatment to reduce CPK level?", + "src": "Patient: Hello doctor, My husband is a 30-year-old. Last week, he went to the gym the first time after a year and did heavy biceps exercise with high repetitions. After two days, his arms were swollen, and he was not able to make his arms straight. Yesterday we consulted with a nephrologist, and he told to do tests for CPK and serum creatinine. The CPK level was 15850 which is very scary to us, and when the doctor saw reports, he said that it is a muscle breakdown but did not tell us to have an IV therapy and asked to drink lot and lot of water. We are quite worried about the kidney failure thing and wanted to know that is there really no need to admit in the hospital? Symptoms, 1. After a day of rough biceps exercise, arms were stiff and swelling, which has resolved 40 % by now. 2. Urine is clear, and the color is almost like water. The average urinate time is 10 to 15 seconds. 3. No other symptoms of pain other than both hands which have a dull ache. His report says, Yesterday CPK was 15850 and creatinine was .96. Today it was 15400 and Creatinine was .86 My question is, should we get IV, or it will it decrease over time? How is his kidney doing? Doctor: Hello. My opinion is that he should be admitted to the hospital. Good that he has enough urine output so far. But it can decrease any time, and kidney functions will start to drop. The best is to admit him for close intravenous hydration and daily monitoring of kidney functions and CPK (creatine phosphokinase). Also to guard against high potassium hazards. Rhabdomyolysis. CPK, kidney functions, electrolytes. Admission, IV hydration, close monitoring." + }, + { + "id": 30900, + "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": 22979, + "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": 11358, + "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": 24500, + "tgt": "I have sinusitis and feel like something is stuck in my neck. What can be done?", + "src": "Patient: Hi doctor, I have got chronic sinusitis diagnosed by ENT doctor. I am suffering from difficulties of swelling for months, feel like something is stuck in my neck like sputum or something else that is moving up and down, especially while eating or having flu. Do you think it is related to ENT or I have to do a gastric endoscopy? Otherwise, I am healthy. I used a nasal spray (Cortisone) for the same. Doctor: Hello. In such a patient what we would do is a laryngoscopy. Just to rule out any growth or inflammation. Chronic sinusitis due to contact post nasal drip tends to cause reflux-related symptoms and globus feeling. Secondly, we need to check your hemoglobin status to rule out Plummer Vinson syndrome. Chronic sinusitis should also be evaluated using a non contrast CT scan of sinuses and a nasal endoscopy. Thereafter once we know the exact etiology of the problem, we can direct the treatment accordingly. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15621, + "tgt": "How to manage the painful infected tooth?", + "src": "Patient: Hi doctor, I have a lot of pain on my right side upper and lower jaw. I have a wisdom tooth on the upper jaw. Before two days, the tooth directly below the wisdom tooth got broken, and it is causing pain. I am scared of going to the dentist. What can I do now? Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an infection in the pulp in the lower right last tooth. It has caries, and there is an inflamed tissue present around it. In the case of partially erupting upper tooth, you can also feel pain in the ears. You have to visit a dentist without fear because dental procedures are never fatal. The doctor will use local anesthesia so you will not feel pain during treatment procedures. You can do either root canal treatment or extraction of the tooth. Both the procedure is always done under local anesthesia as it involves multiple appointments. For pain, you can take tablet Augmentin 625 mg (Amoxycillin and Clavulanic acid) twice a day for three days. Take tablet Aceclofenac 200 mg two times a day." + }, + { + "id": 11162, + "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": 697, + "tgt": "I have pain in joints with bad flares in hands, knees, and hips. Please suggest possible diagnosis", + "src": "Patient: Hello doctor, I have been to six different rheumatologists. One of those rheumatologists said I have fibromyalgia and I still do not agree with this diagnosis. My labs come back normal. My radiographic test concludes osteoarthritis in both knees and thumbs. I have pain in these joints and have a bone island in my right knee. I am under pain management, but I just feel like we are missing something. My body feels way off and I am almost positive with seronegative RA. I just feel like the physicians are in someway scared to conclude this diagnosis. I have bad flares that are bilateral on my hands, knees, hips, and between my shoulder blades. I have swelling and fever in these joints. I have no idea what to do but I am progressively getting worse. Please help. I am currently taking Nucynta ER 150 mg, Xanax 1 mg, Lyrica 100 mg, HS Tizanidine 2 mg, and Synthroid 25 mcg before meals. Doctor: Hi. You seem to have multiple joint arthritis. Since CRP (C-reactive protein), R factor, Anti CCP (cyclic-citrullinated antibody) antibody, and ESR are normal no one is going to conclude this as rheumatoid arthritis or seronegative arthritis. I need the following details: Since how long are you suffering from it? Do you have an increase in pain and stiffness in the morning when you get up or is it the same throughout the day? Within how many minutes to hours of getting up in the morning you start feeling lesser stiffness? Do you have pain and swelling in distal interphalangeal joints of hands?" + }, + { + "id": 14926, + "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": 8893, + "tgt": "May I know whether being disorganized and forgetting things easily mean ADD?", + "src": "Patient: Hi doctor, I have never done this kind of thing before so let me just start from the beginning. I am a female, 18 years old. I started ADD medication in 8th grade. Then I fell into depression and had severe anxiety which I believe the ADD medications had a big contribution to, so I went on antidepressants. I also had OCD at the time. After a year of all the medicines, I went off all of them because I thought that they were ruining my life. Now I am entering the senior year of high school, and with all the applications I have to do for college, I really need to be able to focus. Now, every time I take the medicine, my anxiety gets worse and I feel down, helpless, overwhelmed and unable to do anything I need to do, even though I am stressing out about it, like I am avoiding my fears. I did some research online and I saw an article saying how anxiety disorders can be mislabeled as ADD. I have always had a procrastination problem, not so much focusing. I am very disorganized, forget things easily, restless, etc., but can those symptoms be from an anxiety disorder? I am notorious for not getting tasks completed simply because I am overwhelmed by the idea of it. I want to get them done, but my mind is so scared that it refuses to go near the subject. It seems like every time I take any kind of ADD medicine, my anxiety worsens, and so I cannot do anything like sit down and study. I am overall confused about if I have ADD, an anxiety disorder, or am just a lazy or emotionally weak person. Doctor: Hi. Yes, you are right. People misinterpret anxiety as ADD. First thing is that anxiety disorders are much more common than ADD in the adult population. Adult ADD is usually the residual or continuation of childhood ADD. So, if you did not have childhood ADD then there is very less chance of you having ADD. The restlessness of anxiety has a cognitive component in the form of frequent worries, apprehension, etc. So if there is a cognitive component as well then there is a chance of you having an anxiety disorder is more. A detailed diagnostic workup is essential to confirm the diagnosis. You should take a psychiatric consultation again." + }, + { + "id": 12065, + "tgt": "What is the treatment for nose bone injury of a kid?", + "src": "Patient: Hi doctor, My nephew is 3 and a half years old. He fell from the bed and hurt his nose around 7 or 8 months back. Now, as the doctors have said, his bone there is moving in the wrong direction, that is towards inside. What is the best course of action for him? Should he go under the knife? I am pleased for your advice. Doctor: Hi. He has got his nasal septal cartilage fractured and due to that there is misalignment of the septum. You need to consult an otorhinolaryngologist for evaluation or you may also go for plastic and reconstructive cosmetic surgeon for better results. It is not like going under the knife. It is very sophisticated procedure and is done with an endoscope and is very successfully done in a matter of minutes with minimum cut and patient can come home after 40 minutes of surgery." + }, + { + "id": 19122, + "tgt": "What can cause sudden blank out in a diabetic patient?", + "src": "Patient: Hi doctor, My father is 77 years old and a known diabetic for over six years. His height is 170 cm and weight is 65 kg. This is regarding his recent angioplasty. He got it done before three months when he had a kind of seizure or fix. He was hospitalized for a week and got discharged with stable condition. One month back, again he dropped unconscious while having lunch. He remained unconscious till he reached hospital. He does not remember anything what had happen to him. In the hospital, they did CT scan, EEG, ECG and Holter monitoring. Everything was normal. The doctors are not able to find the cause for his blank out. Please advice. Doctor: Hi. I 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 history, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. CT scan shows no significant lesion in brain and no focal hemorrhagic bleeding event which is one of the main causes in many cases. Heart diseases can also cause unconsciousness. In such cases, we monitor indoor patients on Holter monitor for any kind of rhythmic change in heart beat and to see if there is any atrial or ventricular fibrillation. Your father did not have a positive sign there. His heart rhythms are normal. Sometimes there is an imbalance in the serum electrolytes and fluid; electrolytes imbalance may lead to unconsciousness and syncope. But, your father is fine on that too. Your father's angiography for single artery occlusive disease went eventless and normal flow to heart was restored with stent deployment. My final impression is:- Patients with diabetes also sometimes get unconscious due to the low glucose levels in blood and due to low supply of glucose to the tissues. For example as in case of type II diabetes, they get low insulin levels that cause them to get problems with taking glucose into the tissues from blood. No need to worry as this may be anything that is not so obvious and so minor and a single event that is unable to get revealed on investigations. In such situations, usually there is no harm to the patient. Patients after angiography may sometimes get such an issue due to manipulation of the heart in angiography. But, this is not a major issue of medical concern. There is no problem with his heart and the stent is not displaced from the site which may be a source of tension for the patient. Your father is totally alright. I have scanned and observed deeply all the reports and he is fine in every respect. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13820, + "tgt": "Is it normal to have high pulse rate without breathlessness after a brisk walk?", + "src": "Patient: Hello doctor, I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 pulse without any issue that means my heart is in perfect condition? Doctor: Hello. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary in you, you may undergo screening CT angiography or TMT in a few years just be on safer side considering the risk factors. Rest continue with a healthy lifestyle and medicines." + }, + { + "id": 14718, + "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": 16232, + "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": 18881, + "tgt": "I have a scar in my kidney. Will my problem deteriorate if not monitored?", + "src": "Patient: Hello doctor, I have been diagnosed with a scar in my kidney. My creatinine level was reported 1.13 to 1.43 on routine examination. I underwent renal scan, ultrasound and other tests. My nephrologist says that the infection in kidney is the old one and only need monitoring. He prescribed me Reno care and Cudo forte as precaution measure and KFT test in every two months. Is there any other method to overcome or prevent the problem?\u00a0I want to know whether my problem will get deteriorated or can be prevented or minimized. I do not have high BP (115/83 mmHg) or sugar issues. Please advise as I am very much worried. I am a 48 year old male and having lots of responsibilities. I am attaching all my reports. Please guide. Doctor: Hi. We are here to help you. I have gone through your reports (attachment removed to protect patient identity). For further doubts consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 27535, + "tgt": "I have pain under my right rib. Is it due to drinking alcohol?", + "src": "Patient: Hi doctor, I am an\u00a018 year old male, and I weigh 90 kg and 178 cm tall. I have pain under my right rib, and it hurts while breathing. I hope it is not liver related from alcohol. I had two drinks in the last few days, but those are the only drinks I have ever had. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19336, + "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": 8969, + "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": 26631, + "tgt": "My kid has dark stools when she drinks soy milk. Why?", + "src": "Patient: Hello doctor, My kid is 19 months old and she has asthma. We are giving her 200 ml of fortified soy milk twice a day as she is not interested in drinking regular milk. She has dark stools when she drinks soy milk. Is it safe to give soy milk to kids? Doctor: Hello. For more information consult\u00a0a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 7888, + "tgt": "What should we do when a person is mentally unstable due to some past event?", + "src": "Patient: Hi doctor, What should we do when a person is mentally unstable because of something that happened in the past? How can he get over it? Doctor: Hello. Your post does not have many details, but I presume that you are seeking advice for someone who has been emotionally disturbed by some past traumatic event. Usually, people recover from emotional trauma with support and passage of time. It depends on the severity of symptoms and the trauma involved. Family and friends should offer the patient psychosocial support. Support the person to look after themselves and provide a listening ear whenever needed. Try to distract them from pensive thoughts by joining in music, movies, plays, etc. Encourage them to go exercise regularly. Patience and perseverance are needed in helping them to recover. If the person continues to be mentally unstable despite family support, you can consult a doctor for further assessment of mental health and support accordingly. Take care." + }, + { + "id": 7204, + "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": 4747, + "tgt": "What is the expert's review on natural remedies for chapped lips?", + "src": "Patient: Hello doctor, What are the benefits of natural remedies for chapped lips? Can almond oil, cucumber, lemon juice, coconut oil, a humidifier, sugar and honey, green tea bags and olive oil be used as natural remedies for chapped lips? I would like to know the skincare expert's view. Please suggest. Doctor: Hello. For chapping of lips, the following can be used: 1. Coconut oil has a good emollient effect and forms a barrier over the lips that prevent further chapping. It can be used two to three times a day. 2. Olive oil is another option to treat chapped lips and help in retaining the moisture within the lips preventing further damage. It is used after washing and taking a bath. 3. Rose petals and rose water another important remedy for chapped lips. It has antioxidant properties and due to its fragrance, it is cosmetically acceptable. It can be applied three to four times a day. 4. Lemon juice is full of vitamin C that is ascorbic acid and being a very good antioxidant. It is very important in treatment of chapped lips It can be used by mixing in few drops of water. 5. Aloe vera is another very important home remedy for treatment of chapped lips. It can be used along with vaseline. 6. Vaseline (petroleum jelly) is a very good and cheap method for the treatment of chapped lips. It gives good protection and provide a barrier and retain moisture. 7. Almond oil and shea butter both can be used for the treatment of chapped lips. 8. Honey has a lot of benefits for skin, apart from wound healing and its antiinflammatory properties it has hydrating and moisture retention qualities which makes it excellent for treating chapped lips. It can be applied twice a day. 9. Green tea bags can also be used because their ingredients have antioxidant properties and helpful in improving the chapping." + }, + { + "id": 20051, + "tgt": "Is there any way to reverse my child's eye power?", + "src": "Patient: Hello doctor, My daughter is 8 years old and she has -8.5/-5.5 and cyl 3.5 on her right eye and -4.5/3.5 and cyl 3.0 on her left eye.\u00a0Is there any cure by which the number can be corrected or be blocked from increasing further? Please guide. Doctor: Hi. Revert back with the pictures of eyes to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2861, + "tgt": "Mom takes Duloxetine for fibromyalgia and is worried about its devastating side effects. Please help", + "src": "Patient: Hello doctor, My mother is 53 years old, nondiabetic. She is hypertensive (150-100) and having all over body pain, fatigue and morning stiffness. We consulted a neurologist and she was diagnosed with fibromyalgia. She was going about daily activities by using painkiller every day (Innova-MR, Diclofenac, Paracetamol, Chlorzoxazone) before the diagnosis. The prescription for fibromyalgia was Formylin (Methylcobalamin, Pyridoxine H, Folic acid) one tablet in the noon, Duloxetine (gastro-resistant Duloren) 20mg, (Duloxetine 5 mg (0.25 tablet) for first 5 days, 10 mg for the next five days and 20 mg there after). Our main concern is Duloxetine. She has started 5 mg per day dose for a week but is scared to take this medicine as we have come across online references where Duloxetine, Cymbalta actually aggravated the problem, like Duloxetine changes a person's behavior for worse like the person taking it does not remain the same anymore after taking it for few months, becomes emotionally vulnerable and may have suicidal tendencies, etc also. Duloxetine has severe withdrawal problem, the dose has to be tapered very slowly. Changing to different medication becomes very difficult. Is it true? Duloxetine damages critical organs like liver also can cause serotonin syndrome (she is not on any other SSRI, SNRI, psychotropic medicine) For how long she has to take Duloxetine? Will she be ever off on it once she feels better? If the medicine is to be continued, do we have any other safe pharmaceutical alternatives to Duloxetine? Would you recommend any supplements for fibromyalgia? Since it is SNRI, will it adversely affect her blood pressure? She is taking Atenolol 50 mg per day, currently and her BP under control with it. Please advise regarding the safety and efficacy of this drug as there are countless negative reviews about it on youtube and social media. Doctor: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that morning stiffness is not a typical sign of fibromyalgia, but it could indicate a rheumatological disorder. Coming to this point, considering her slightly elevated erythrosedimentation, I would recommend performing other tests before concluding about fibromyalgia. In this regard, I would recommend performing rheumatoid factor plasma levels, ANA (anti-nuclear antibody) and ANCA (anti-neutrophil cytoplasmic antibody) titer. A nerve conduction study is also necessary to exclude possible neuropathy, although she does not have diabetes. If these tests result normal, she can continue taking Duloxetine and gradually increase the dose up to 60 mg daily (which is the maintenance therapeutic dose). You should not worry so much about this drug. It can be stopped gradually (like the way she is starting it). If it is started slowly, it does not lead to serotonin syndrome, as long as she is not taking any other SSRI (selective serotonin reuptake inhibitors). After stopping this drug, other drugs may be tried like Pregabaline, etc. Anyway, the internet is not the best doctor to ask, because the information is very wide and nonspecific. Every drug has adverse effects, but they usually occur in a low percentage of patients, especially when high doses are used without starting slowly. I hope this helps." + }, + { + "id": 19569, + "tgt": "Does my back pain sound like a strain?", + "src": "Patient: Hi doctor, I am getting recurrent back pain and I believe that the pain is in my rhomboid muscle. Usually, this happens after sitting for a while or while changing the position. Most of the time it occurs from a normal movement. I feel that after some movement the pain starts almost instantly. I cannot tell if I am straining it every time or if it is just knots and trigger points. So, I do not know whether to apply heat or ice. I am just taking Ibuprofen. A few years ago, I pulled that muscle pretty badly. It took a few weeks to heal. Since then, I have had these flare ups. It is never as bad as that pull and they have lasted now for two to five days.\u00a0This morning, while getting out of bed, I felt the spasm or a knot or strain. I tried to ice it, but I think it made it worse.\u00a0Is hot fomentation safe? Does it sound like a strain or pull or a recurring knot? Doctor: Hi. 1. Repetitive strain injury of the rhomboids due to continually working with an outstretched arm similar to working with a computer mouse. This especially when the mouse is far off on the table. 2. It may be due to a faulty ergonomic posture adopted by you during some work that resulted in a rhomboid muscle strain. 3. It may be due to referred pain from stomach problem like ulcers. 4. May be a strain in the corresponding thoracic segment of the spine. Usually not needed in the early stages of treatment. Rhomboid muscle strain. Thoracic segment of spine strain. Rhomboid muscle strain. 1. Apply heat in the part as ice pack does not make you comfortable. 2. Take the medications regularly. 3. Strengthen the rhomboid muscle group after the pain comes down to rest and medications. A theraband strengthening program for the rhomboids will help especially with the easiest color red. 4. Taping to prevent overstretching of the rhomboid muscles and to provide proprioceptive feedback will help. 5. Rest the part. 1. Do not massage the painful part. 2. Ensure that you keep your elbow close to your waist as you position yourself to do any activity. That will safeguard your rhomboids from further injury. 3. Do not try to examine yourself about the pain in the rhomboids. Your attempts may make it worse. For further information consult a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 22586, + "tgt": "My 18 months old baby has been passing light colored stools. Is it normal?", + "src": "Patient: Hi doctor, My daughter is 18 months old. For many months, she has been passing stools that are white or very light yellowish brown or chalky color. I have seen my GP in the past and with just a feel of tummy they tell me everything is fine. I feel there is something else and just cannot seem to settle. Her belly is very large considering she has such a small frame and feels this may have some part to do with it. When passing stools, she can often leak out her nappy because it is so loose. She has been on solid foods since she was 6 months old. She has full fat cow milk morning and night. When friends or family look after my daughter, I get comments of she done a dirty nappy, but it was really chalky. Is that normal for her? It is worrying me. She\u00a0also holds her breath when worked up. This has happened since birth. It takes up to a minute for her to come round. Her tummy hardens and is solid throughout and then she projectiles. The doctors had seen this and just told me that breathing spells are common. But, with the way these bowels are, I am concerned whether this is related to. I am very stressed out and feel that I need a second opinion. Doctor: Hi. 1. SGPT. 2. Serum bilirubin. 3. CBC. Revert back with the reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 11579, + "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": 20737, + "tgt": "Is such a high dose of Levofloxacin necessary after implant placement?", + "src": "Patient: Hello doctor,I have just had a sinus lift graft and implants placed. The dentist has prescribed 500 mg of Levofloxacin every 12 hours for 10 days, plus Augmentin, plus Ibuprofen and Dexamethasone. My question is whether the Levofloxacin is necessary and why is it such a high dose? I have read it should not be taken with Ibuprofen and Dexamethasone. My dentist said it is fine, but I am very worried as I have heard this antibiotic is very toxic. What is your advice concerning this issue, please? Doctor: Hello. In usual cases here, we just give Augmentin (Amoxicillin and Clavulanic acid) 625 mg twice a day for a week or two which is more than enough and Levofloxacin is not required. Maybe your dentist is being extra sure that you do not get any infection at the site. The dosage is fine, and if your dentist is an experienced one, you should go with his prescription. Taking just one course of Levofloxacin is not going to harm you in any significant manner. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10599, + "tgt": "Ears feel clogged while in a closed room. Why?", + "src": "Patient: Hello doctor, Why do our ears feel full or clogged when we are in a closed room? Are these because of air pressure and ambient noise? Doctor: Hello. Rather than a closed or open room, this is related to outside and inside ear pressure. There is an air cavity in our ear called a middle ear, and there is a membrane which separates this cavity from the external environment called a tympanic layer. So, there is air on either side of the tympanic membrane. So, when pressure on either side if high, then the membrane gets fixed and cannot move properly, giving the feeling of a clogged ear. And there is a connection between the middle ear cavity and our throat which equalizes pressure within the ear cavity and outside environment. So, whenever one gets an infection, then this tube blocked and there occurs a mismatch of pressure leading to clogged ear. And also swallowing movements opens this tube temporarily, which helps in equalizing the pressure leading to relief. Similar things occur when one travels in an airplane. So pressure changes are decisive in this. I hope this helps you and get back if you have any doubts." + }, + { + "id": 29001, + "tgt": "How to know the reason for blood in my stool?", + "src": "Patient: Hi doctor,I got blood in the stool. I was doing a job in night shift and daily I ate guava and papaya. Please help. Doctor: Hi. Revert with the reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28698, + "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": 12296, + "tgt": "Other than BCP, what can I opt to control menstrual bleeding?", + "src": "Patient: Hello doctor, I am a 53-year-old female who has been on a low dosage of BCP continuously for past 17 years due to periods that never stopped and was bedridden for six months due to having no more blood left to pump my heart. Secondly, I was hospitalized and had three blood transfusions. Medically I was unable to have a period due to the issues. Now I have a new doctor and wants me to go off the BCP. I want an opinion on what to do as I cannot have a period. I have had other options done as well and none worked. Can I stay on them? Doctor: Hello. As you are 53 years now and your primary concern was menorrhagia (heavy menstrual bleeding) which causes anemia and other issues. If it has been controlled with birth control since the last six months, then this indicates hormonal imbalances. Now at 53, you should be expecting your menopause soon, which cannot be found out if you remain on birth control, hence you can opt to stop them for two cycles and watch for bleeding. If any, then either you can restart or simply opt for hysterectomy (surgery to remove a part of the uterus) for failed medical management for menorrhagia, as fertility is not a concern in your case." + }, + { + "id": 21891, + "tgt": "Why am I having irritation in my penis head?", + "src": "Patient: Hello doctor,From the past two days, I am feeling some kind of irritation in my penis head. At a normal time, I felt like something is stuck inside the penis. During urination also I felt itchiness. I observed penis but did not found anything wrong in the tip but saw some small white pimple like swellings in the lower area of the head of the penis. So, I started using hot water to wash but no change. Today I can see the tip of the penis is swollen and a white color coating on the tip. Also same irritation and a foul smell is their. What may be the cause of this disease. What precaution and medicine should I take? Doctor: Hello. Proper hygiene to be taken by both if you are married. Soap and water, Savlon and water. It seems fungal infection (attachment removed to protect patient identity). Fluconazole 150 one per day for five days, capsule Doxycycline 100 once for seven days, tablet Montelukast one at night for itching for three to five days or as required. Locally apply Betnovate N and T-bact OIN (Mupirocin) two times in equal quantity. You can consult a skin and venereal disease specialist. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 20666, + "tgt": "Kindly guide me about gum bleaching process for esthetics", + "src": "Patient: Hello doctor,I have a question about gum bleaching. I was just wondering the price range of undergoing this process. My gums cause me no harm whatsoever, by the way, just appearance purposes. Doctor: Hello. You are talking about gum bleaching but I feel it is tooth bleaching and you have a problem with the esthetics of teeth. There can be several reasons for esthetics which are mainly due to discoloration due to stains from tea, drinks and syrups, drugs as used in asthma. It can be due to poor oral hygiene leading to calculus formation around teeth. Teeth in a particular region can also discolor to brownish tinge due to trauma in any part of life with teeth. Teeth can be naturally discolored from birth due to various reasons related to developmental disturbances and use of drugs like Tetracyclines. So as for your issue is concerned, you have esthetic concerns and you are interested in bleaching but before going for bleaching it is better to do a general examination with a dentist to find a probable cause. Bleaching is a costly procedure. You may not need that, instead, get scaling and polishing process which is comparatively cheap. You are requested to send an attachment photo of your teeth if possible. Nonvital teeth, stains and developmental disturbances. Stains, calculus, developmental disturbances, fluorosis. 1.Scaling and polishing. 2.Bleaching is the last option using chemicals to whiten teeth like Hydrogen peroxide. 1.Brushing daily. 2.Rinsing mouth after taking fluids like tea, coffee, drugs, and syrups." + }, + { + "id": 21436, + "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": 10305, + "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": 27336, + "tgt": "Is HIV a curable disease?", + "src": "Patient: Hello doctor, I had unsafe sex with a lady four days ago. I am worried I could be infected. I just want a\u00a0consultation. Till date, I have no symptoms, but there is a fear in my mind. Please advise. Doctor: Hello. Hope this was helpful. Please let me know if you have any other specific question. Regards. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 24904, + "tgt": "Can Metrogyl cause tingling sensation in hands and feet?", + "src": "Patient: Hello doctor, I took the antibiotic Metrogyl for a bacterial vaginosis infection. It was a 7-day course which I completed four days back. Since then, I have had a tingling sensation in my hands and feet and a sort of achy numbness in my arms and legs. I had a blood test a week ago for something else and it all came back negative for liver, kidneys, HIV, thyroid etc. I am very concerned about this symptom and wondered if it could be linked to the antibiotic? Doctor: Hi. Regarding your concern, I would explain that your symptoms could be related to Metronidazole adverse effect. You should know that this drug can cause neuropathy as a possible adverse effect. For this reason, I recommend consulting with your attending doctor and performing a nerve conduction study (electroneurography) to investigate for this possible disorder. I would also recommend performing inflammation tests (PCR, sedimentation rate) and blood electrolytes in order to investigate for possible electrolyte imbalance. You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27034, + "tgt": "What can I do to get my erection back? I do excessive masturbation. Please help", + "src": "Patient: Hi doctor, I am a 20 year old male. My erection does not last long. I get an erection, but I lose it within seconds. I think it is due to excessive masturbation. What can I do to get my erection back? Please help. Doctor: Hi. Thank you. Revert with more information to an\u00a0ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20493, + "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": 28574, + "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": 18616, + "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": 26827, + "tgt": "How to get an inguinal hernia treated?", + "src": "Patient: Hi doctor,I have been diagnosed with a right inguinal hernia. It is 2.3 cm with a protrusion on the omental contents for the past two weeks. I have consulted a\u00a0doctor, who advised surgery. Is this possible to cure without surgery? How long will it take to heal? What should I do? Doctor: Hello. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult.\u00a0Thank you. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30897, + "tgt": "How to find out the reason for shortness of breath and extreme fatigue?", + "src": "Patient: Hi doctor, My mom, who is 76 years old, has a transferritin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely fatigued, short of breath and arthritic pain. She cannot tolerate oral Iron. She has had iron infusions before, but do not last long. What to do? This problem has been there for a long time. She has had a cardiac work up, which was good. Currently, she is on blood pressure medication and pain medicine for arthritis. 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": 2183, + "tgt": "Does sugar level of kids differ from adults?", + "src": "Patient: Hi doctor, My son is 5 years 6 months old with 92, 87 and 90 as fasting blood sugar level in last two months. Is it a normal range? Does sugar level of kids differ from adults? Please explain. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 5886, + "tgt": "I had pain in my upper chest which does not hurt on taking deep breath. Please help", + "src": "Patient: Hello doctor, I had a pain in my upper part of the chest for the last three weeks. It does not hurt when I take deep breaths but it is constant pain. This pain sometimes will move from the upper part of my chest to the bottom part of my chest. Can you help me and put my mind at ease. Doctor: Hello. There are a lot of causes of chest pain. Chronic pain is indicative of a more muscular pain etiology also known as Costochondritis. Pain around the left side of the chest, associated with gastric symptoms such as reflux, and acidity indicate GERD (gastric esophagal reflux disease). And then there is an anginal pain too. However, anginal pain is severe and it does not seem to be the case for you. I will advise you to take Brufen 400 mg twice daily for three days after food, and also Omeprazole 20 mg once daily before breakfast for the same duration. If the pain still persists, just to be on the safer side get an ECG (electrocardiogram) done and follow up with me." + }, + { + "id": 19300, + "tgt": "Shall I take Lysine for herpes infection?", + "src": "Patient: Hi doctor, I have herpes. It was diagnosed around 2 years ago. I had a breakout and took some antiviral Acyclovir pills. I am\u00a0starting to have outbreaks again on my lips. I have both types of herpes. I have heard that Lysine fights herpes and so I am taking some vitamins too.\u00a0I would like to know the amount of Lysine I can take per day. Also, at what time of the day can I have Lysine and vitamins? Is there anything you can recommend for oral herpes breakouts? What is the most effective medicine to avoid oral herpes?\u00a0What is the most effective medicine for genital herpes?\u00a0I am in a relationship and I got my partner infected a long while ago. I am scared, sad and depressed to tell him. I feel like I will not be able to living with herpes. I feel a very deeply anxious way. Please help. Doctor: Hi. You need to understand the basic pathology about herpes. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8834, + "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": 18162, + "tgt": "Noticed a broken blood vessel in my baby's eye. Should I check out immediately?", + "src": "Patient: Hello doctor,My son is 10 weeks old. Today I have noticed that he suddenly got a broken blood vessel in his right eye. It never happened before. He did cry and possibly scratched his eye right before it appeared. But, he did these things on multiple other occasions as well and never had a broken vessel before.\u00a0Before this today, we went out for a ride in a car, and the road was occasionally bumpy. The baby was in his car seat, and he might have been slightly shaken.\u00a0Is this broken blood vessel something that I should check out immediately or more likely nothing to worry about?\u00a0The baby seems normal and sleeping now after a good meal.\u00a0Thank you. Doctor: Hi. Do not worry. It is something that will heal.\u00a0Here are a few points that I\u00a0would like to mention. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4015, + "tgt": "What causes cloudy urine even after UTI treatment?", + "src": "Patient: Hello doctor, I had a bad bout of UTI (Male 72) which started around last month, and I started antibiotics a week later (by that time there was very heavy blood in the urine and was getting severe chills). I took the antibiotics for 9 days. Everything cleared up, and then I traveled, and upon my arrival here had cloudy and slow urine with some sensation in the urethra. No other symptoms. Do not feel I have a fever, I am feeling reasonably lively and reasonable appetite. This latest bout of cloudy slightly smelly urine has been going on now for 5 days. It seems to be unchanged. A urine test shows high leucolytes, pH around 7+Glucose negative to normal, Nitrite positive, Protein, Bilrubin, Urobiinogen and blood Ery/ul seem fine. Maybe miniscule amount of blood. Doctor: Hello. I have gone through your queries. You had recurrent documented UTI with history of hematuria. As you are 72 now, and you had hematuria, you must undergo clinical examination and few investigations. You should contact your local urologist. He will examine you clinically. Will do a digital rectal examination to look for prostate size, consistancy, presence of any suspicious nodule, etc. You need a few investigations also. USG KUBP and PVR, urinalysis, urine CS, uroflowmetry, serum PSA, urine for malignant cells for 3 days, last but not the least, you need one CPE (Cystoscopy) to look for any urinary bladder pathology. Hence you please do not be late to attend office of your local urologist. UTI may be the manifestation of other pathology. When you find UTI in male person you have to find out the cause. In your case prostate pathology may be the cause." + }, + { + "id": 5772, + "tgt": "My mother is 60 years old and could not see anything in right eye. Why?", + "src": "Patient: Hello doctor, My Mother is 60 years old. One month before she was not able to see anything in the evening from right eye so she washed it with water and pour some eye drop into the right eye. She felt burning sensation too. Next morning she was not able to see anything clearly the vision is blurred. Upon checking with eye specialist, the doctor told that there is a rupture inside the retina which cannot be cleaned from outside and the veins connected to this is drying too fast. Ten years back she fell on the floor unconsciously and the doctor told it as hemorrhage. Please suggest. Doctor: Hello. This sudden painless loss of vision prompts the possibility of central retinal vein occlusion (CRVO). The thing that has happened here is a vein carrying blood to the retina is blocked and it got burst releasing blood inside as well as outside retina which leads to blurring of vision. Now as per the investigation the disease has progressed to an advanced stage. Here is what we can do: Fluorescein angiography of the eye to identify all culprit areas. By a laser, we will have to burn those areas which are causing the problem. We have to inject some anti-VEGF (vascular endothelial growth factor) inside her eye so that swelling comes down. But if blood is too much we have to go for surgery. Consult the retina specialist in your town. For the time being start her on Timolol eye drop twice daily. Put two to three pillows and tell her to rest on it (i.e) propped up position. Hypertension. fundus fluorescein angiography, OCT (optic coherence tomography). Diabetic vitreous hemorrhage. CRVO. Spikes in blood pressure to be avoided. Kindly also visit a cardiologist." + }, + { + "id": 9410, + "tgt": "Why has my spurts of semen reduced?", + "src": "Patient: Hello doctor, I am a 47-year-old male in good health. Within the last six months when I ejaculated, I only had one to three large spurts. Previously, I had about four to six. The volume is still good. I am on Prestiq and Xanax. Is this problem reversible and is it a sign of more problems to come? Doctor: Hello. I have gone through your query. I would like to know whether there is any decrease in your sexual drive or erections. If there is not any then as long as your semen volume is normal, I do not think there are any concerns as of right now. If the problem persists, I would suggest you visit a urologist for a complete clinical examination. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21574, + "tgt": "How can I get rid of marks on my chin?", + "src": "Patient: Hi doctor, I had a burn on my chin before 20 days. The marks are not going. What should I need to apply? Please suggest. Doctor: Hi. I would recommend you apply Kojiglo Forte cream (Kojic acid with Hydroquinone two percent) on the marks at night along with an application of a broad spectrum sunscreen on the entire face like Faceguard gel (Ethylhexyl Methoxycinnamate 7 % with Titanium dioxide 1 %) during the daytime. Continue for three weeks and revert. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14701, + "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": 23793, + "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": 2702, + "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": 24617, + "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": 25470, + "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": 16338, + "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": 21515, + "tgt": "Is it normal to have a lot of free fluid in POD while trying to conceive?", + "src": "Patient: Hi doctor, I am 32 years old female. I went today for the third follicle scanning on the 18th day. It showed the rupture of follicles, and there was a lot of free fluid seen in a POD. But in my second follicle scanning, on the 14th day, it showed no free fluid. Is it healthy to have free fluid or something wrong? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your follicles have ruptured, and hence today you have free fluid in the pouch of Douglas on the scan. You should have intercourse today to become pregnant. Were you given any tablet for the first five days or injection for the rupture of follicles? Let me know the treatment you have received in this cycle, for better guidance and treatment. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5140, + "tgt": "Why am I feeling hungry always?", + "src": "Patient: Hi doctor, I am 32 years old. My weight is 88 kg and height is 5'8\".\u00a0I am feeling hungry always and gaining weight too fast. Is there any medicine to curb hunger? Please guide. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21127, + "tgt": "Why are some of the results in blood test reports highlighted?", + "src": "Patient: Hello doctor, Below is the results of some of the tests and few results are highlighted. Can you please let me know why these are highlighted and what do they mean? Doctor: Hello. I have gone through your reports (attachments removed to protect patient identity). In the first image, your lipid profile is absolutely fine and need not worry about the bold figure which is a ratio of two. Next, your vitamin D is low, so need to have supplements for it. You should sit in an early morning sunlight and have tablet Uprise D3 60,000 units once a week for eight weeks, then once a month for next six months. This will correct your vitamin D deficiency. In the third image, your eosinophils are mildly elevated, and RBC count is fine. Eosinophils may be elevated if you are having any allergies or if not then it may be due to worm infestations in intestines. Then it is better to deworm yourself once with tablet Albendazole once bedtime and repeat it after two weeks. Repeat eosinophils count after 2 to 3 weeks." + }, + { + "id": 265, + "tgt": "Please help me come out of my anxiety, stress and forgetfulness", + "src": "Patient: Hi doctor, I am suffering from severe anxiety and heart attack like debilitating panic attacks when presented with work deadlines, enclosed spaces such as subways, elevators and small airplanes. I have relationship fears.\u00a0Nothing in my life provides me joy or relieves me of my symptoms. I had the same feeling six years ago after a break up. Now, symptoms return easily when in fear of life.\u00a0I had Zolpidem for depression before to get sleep, but I stopped because of the side effect of brittle bone.\u00a0I am fuzzy headed, stressed, forgetful, regretful of any decision I make and I cannot make decisions without fear. I do not have any friends. I do not belong anywhere. I am not a part of anything.\u00a0I exercise outside every day.\u00a0I eat only healthy foods. I am underweight. Please help me to come out of this. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2722, + "tgt": "My 5-year-old son has allergic cough with occasional sneezing. Please suggest treatment", + "src": "Patient: Hello doctor, My boy is 5 years and 8 months old. He is having allergic sneezing, on and off cold from the past eight months (my wife has a regular allergic sneezing regularly). He is good, but since three days he is having occasional cough and sneezing occasionally (especially in the morning). I have been consulting a pediatrician regularly but cold is always keeps coming back. So, we have been using homeopathy medicine for him for the past two months. The problem cold and cough has not gone, it is less. But now, since there is a lockdown everywhere and he is coughing, I am just worried. Kindly suggest allopathic treatment for my son. Doctor: Hello. It looks like allergic rhinitis. You should give an anti-allergic syrup. I hope that there is no fever." + }, + { + "id": 18978, + "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": 11317, + "tgt": "I am pregnant and I have itchy and burning bumps on my vagina. Kindly advice", + "src": "Patient: Hello doctor, I have found small bumps on the outer edge of my vagina. They are itchy and sometimes burning. Once in a while they leak a little blood but mostly yellow discharge. Also I am 34 weeks pregnant and currently on some medicines for UTI. Doctor: Hello. I have not seen your problem and nature of the bumps, but from the symptoms you mentioned I suspect that this could be HSV (herpes simplex virus), but I am not sure about it. As you are pregnant, I would suggest you contact your local doctor and have it assessed urgently. Because if it is HSV, then it could be harmful to your baby as you need to plan safe delivery of the baby timely. And I must say that this is something which must not be ignored because especially you are approaching near term now. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 22438, + "tgt": "What results in urinalyses determine whether I have a chronic kidney disease?", + "src": "Patient: Hello doctor, I have diabetes type 2. I have had two out of three abnormal urinalyses in the last six months. Six months back results were albumin 332.0, creatinine 297, ratio 111.8, glucose 3+, gravity 1.039, protein 1+ and everything else within the normal range. Two months back results were creatinine 164 and everything else within normal range. This month results are as follows albumin 177, creatinine 419, ratio 42.2, urine dark yellow, glucose trace, ketones trace, protein 1+, squamous epithelial 39, microscopic urinalysis, urine mucus 3+, hyaline cast 21 to 50, gran cast 3 to 5, renal EPI absent. What results should I focus on to determine if this is a chronic kidney disease? I have also had gout for the past year. Is it possible the kidney is having problems getting rid of uric acid. Are there specific questions or test I should be asking my primary care doctor about my urinalysis? I am currently taking Lisinopril, Metformin, Glipizide, Lipitor, and Aspirin. Doctor: Hello. Relax and do not worry. You have uncontrolled diabetes mellitus. HbA1c should be less than 7. Regarding urineanalysis, ACR (albumin-creatinine ratio) should be watched carefully. Less than 30 means normal. 30 to 300 means microalbuminuria means starting of CKD (chronic kidney disease). More than 300 means macroalbuminuria risk of CKD is very high. So keep your diabetes and ACR under control. In gout, the problem is not with the kidney. So now your kidney excretes normal uric acid only. So focus on ACR. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30600, + "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": 28752, + "tgt": "Please suggest some lotion for even skin tone", + "src": "Patient: Hi doctor, I am a 25 year old woman. I like my skin tone very much. But, I have pigmented skin. I see a lot of discoloration in my face, near my eyes and near mouth.\u00a0I have consulted a dermatologist and he recommended Vichy cream overnight, which helped me a lot in getting an even skin. But, the wrinkles around my eyes are still there, which make me look aged. I\u00a0have very much deep tan on my hands, neck and feet area.\u00a0Please suggest me some body lotion to get even skin tone. I have been using cucumber on my eyes religiously but still no results. Hence, I am requesting for a dermatology recommended eye, face and also body cream. If u can suggest something for daily routine also would be great. I have a dry sensitive skin. I am using Emolene moisturizer and Neutrogena sun block which works well on my skin. I am using Vichy cream at night. Should I include anything more to get even skin? What facial can I go for? Please help. Doctor: Hi. I have gone through your history and seen the photographs (attachment removed to protect patient identity)\u00a0you have attached. 1. Hormonal. 2. Genetic. 3. Sun induced. Perioral and periorbital pigmentation. Revert back after four weeks for follow up to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20421, + "tgt": "My mother underwent a breast surgery for breast cancer. Please explain her pathology report", + "src": "Patient: Hi doctor, My mother underwent a breast surgery for breast cancer recently. I have attached her pathology report. She is taking medicines for cholesterol. Please explain it. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Please answer my questions. What type of surgery was done? Is it MRM (modified radical mastectomy) or breast conservation. Also whether the reports of ER, PR (estrogen and progesterone receptor) and HER2 (human epidermal growth factor receptor 2) are available? She has early breast cancer stage 1. T is the tumor size which is less than 2 cm, which is T1. N is the lymph node. N0 means there is no involvement of lymph nodes. M is the metastasis. Mx means it is not yet known. For which she needs to undergo a bone scan and USG (ultrasonography) of the abdomen. NPI (Nottingham prognostic index) is a prognostic score for a long-term outcome. With a score of 3.04, she has 85 to 90 % survival for five years. DCIS is ductal carcinoma in situ which means that the cancer is still limited to the lining of breast glands. But there are foci of invasion which indicate that it has invaded some places of the breast tissue also. There are no lymph nodes involved which mean that there is no need for surgery in the axilla. Depending on the type of surgery, she may need radiotherapy to the breast. And also depending on the hormone receptor status, a decision for chemotherapy is taken." + }, + { + "id": 20952, + "tgt": "I noticed blood in my cough. What should I do?", + "src": "Patient: Hi doctor, I am having cough since 5 days. I have noticed little blood in my cough. I am worried about it. What should I do? Doctor: Hi. I would like to know the following information in order to rule out other possibilities. As you have said you had cough. I would like to know more about your cough. My advice to you is drink plenty of fluids. It helps break up your congestion, makes your throat moist and will keep you away from getting dehydrated. Gargle with warm salt water. It moistens your sore or scratchy throat and brings temporary relief. Try half teaspoon of salt dissolved in a glass of warm water four times a day. You can try OTC (over the counter) drugs like Chlorpheniramine maleate, Dextromethorphan and Cetirizine. If fever is present then have antibiotics like Amoxicillin or Moxclav (combination of Amoxicillin and Clavulanic acid). Do not worry. It seems like you noticed blood because of irritation or inflammation of your airways due to ongoing common cold or flu. Revert back with the information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29210, + "tgt": "Why do I keep getting a lot of negative thoughts about my health?", + "src": "Patient: Hello doctor, I am a 47 year old\u00a0healthy female. My problem is that I think too much and I get a lot of negative thoughts about my health throughout the day. I always feel that something is wrong with me. Apart from that I have a healthy lifestyle and go to the gym regularly. These thoughts keep occurring more before my menstrual cycle, and I feel feverish. Doctor: Hello. These kind of ruminations are quite common, especially in premenstrual period. The things that will help you are as follows. If these things do not help even after two weeks, then consult a psychiatrist. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 896, + "tgt": "I get electric shock like sensation in neck due to prolonged use of tab. Please help", + "src": "Patient: Hello doctor, I am a 16-year-old male. For the past few months, I have been getting sudden electric shocks (a little bit more than calm) in my neck when I move it. These are not at all frequent. I get them once in a while. I am not that fit and I use my tab (for studies) while sleeping a bit relaxing almost 4-5 hours a day. Please help. Doctor: Hi. As you described, using the tab for 4-5 hours a day will make your neck bent forward to see the tab continuously for long hours. That might be the reason for your neck pain. As all elders advice, sit straight, keep your books or tab at an elevated location while reading so that you need not bend your neck much. And do some exercises for your neck daily while sitting free. Move your head up and down, sideways, and slow rotatory movements clockwise and anti-clockwise. Neck sprain. Neck exercises as advised." + }, + { + "id": 24933, + "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": 5883, + "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": 10892, + "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": 10059, + "tgt": "My period has been late by 13 days. What could be the reason?", + "src": "Patient: Hello doctor, I am a 24 year old female.\u00a0My period has been late by 13 days.\u00a0I am sexually active.\u00a0I took a home pregnancy test but that was negative. My period has been fairly regular in the past with them happening 4 days prior or after my date.\u00a0I have taken emergency morning after pill in the past (thrice in the last 4 months).\u00a0 What could be the reason?\u00a0Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort? Doctor: Hello. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles. As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out. It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a withdrawal bleed with progesterone pills to resume your menses. As pregnancy test is negative, you can rest assured and wait for another week safely. For further queries, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13679, + "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": 12703, + "tgt": "Can back injury cause pain in head and neck?", + "src": "Patient: Hello doctor, I have been suffering from headaches and pains in my head and neck for almost two months now. I originally thought it all came from a back injury that caused a lot of anxiety as I have an anxiety disorder. I was even treated for a sinus infection because it has been so long since the headaches started. I am looking to see how I should go about treating this and if it is something I should be worried about. Doctor: Hello. I understand that you had a back injury, which you feel has been causing headache and neck pain. I agree with you, a back injury can lead to neck pains, which can give a feeling of a referred headache. The best way to fix this would be to see an orthopedic specialist. They will then examine you and if necessary, run tests to see if indeed the back injury is the cause of your headache. Coming to the question, could this headache and neck pain be caused by a problem in your eye, again I would say it is possible. But you would definitely be experiencing eye-related symptoms like eye redness, watering, pain, blurred vision, etc. A headache or neck pain caused due to an eye problem with no eye-related symptoms is quite a rare scenario. In my opinion, the best way to treat this headache is to find its cause which would mean seeing the orthopedic, ENT or ophthalmologist. The most common cause of headache in the patients who come to see me in my clinic is sinus disease." + }, + { + "id": 21774, + "tgt": "How can we manage the pain and bleeding after taking Mifegest kit?", + "src": "Patient: Hi doctor, My relative has taken Mifegest kit. How will she handle the heavy bleeding? Is there any medicine to reduce the pain and heavy bleeding? Doctor: Hi. After taking Mifegest Kit (Mifepristone with Misoprostol), it is normal to have pain and bleeding. If she is one to two months pregnant, she will have heavy bleeding for two to three days with the passage of products of conception followed by minimal bleeding for a week. If she is more than two months pregnant, she may have heavy bleeding for a week also. It is advisable to take medicine under the supervision of a doctor to avoid complications. She can take tablet Hyocimax MF (Hyoscine butylbromide with Mefenamic acid) three times daily for pain. Take tablet Pause 500 mg (Tranexamic acid) three times daily for heavy bleeding. Consult your gynecologist if she develops problems. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29713, + "tgt": "How can we prevent pregnancy without a condom?", + "src": "Patient: Hi doctor, We are newly married and going for honeymoon. I want to know some preventive measure except condom.\u00a0My dates are not regular and I have PCOD. How can we get intimate without a\u00a0condom? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14214, + "tgt": "Is hepatomegaly with fatty changes, hydronephrosis, and SOL serious?", + "src": "Patient: Hello doctor, My mom has a severe abnormality in the lower abdominal part. On doctor's consultation, we have done USG. In the report, the impression shows that mild hepatomegaly with grade II fatty changes, right-sided mild hydronephrosis, bulky heterogeneous uterus with multiple SOLs. What does it mean? Is there anything serious? Which type of specialist we should consult in this case? Doctor: Hi. There is nothing to worry about. For hepatomegaly, you will have to lose weight and avoid oily foods. Mild hydronephrosis could be because of some infection in the kidneys which may require antibiotics. There is mild SOL (space occupying lesion) in the uterus which could be because of hormonal changes. Please get yourself checked by a gynecologist with the reports. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 5543, + "tgt": "I am depressed because of my overweight. Will Duromine help in weight reduction?", + "src": "Patient: Hello doctor, I have been struggling a lot with my weight for the last two years. I consulted a dietician a few months ago, I have been on a balanced, calorie-controlled diet and I have also joined the gym. I am on a quest for a healthy balanced lifestyle. However, I am really struggling to get some weight off. My current weight is 90 kg, and I am 163 cm tall. I am very depressed and sad because of all the hard work I put in without results. This is really taking its toll on my personal life. My dietician suggested that I can consult a doctor to see if there is anything that could be prescribed to help me. I have used 20 mg Duromine before, when I was younger, for three months and I really had great results with it. I thought that maybe I should try it again to get the kick-start I need and to boost this new journey. I am currently taking Cyclidox. Please help. Doctor: Hello. I am sorry to hear that you have struggled so much with losing weight and have started to feel depressed from it. I must, however, commend you on the great work you have done so far, trying to take control of your health and owning a more balanced future. I have recalculated your BMI (body mass index), and it works out to 34 rounded up, with an estimated body fat of around 40%. I must stress that I am not a dietician or nutritionist and these are the people often best placed to help with weight control and living a healthier lifestyle. As a doctor, I would always advise having investigations done for conditions that may contribute to an inability to lose weight. These conditions are often endocrine in nature. An initial assessment can be done by a general practitioner, who will then refer you to an endocrinologist if necessary after some blood investigations have been done. Only once these have been excluded then we begin to suggest using medication such as Duromine (Garcinia Cambogia). Duromine is an appetite suppressant as you may already know, and the key to weight loss is not to starve your body but to give it the nutrients it needs and deserves while being aware of the macronutrients and calories you are absorbing. Doxycycline has a tendency to make one retain water when taking it for a long time (which in turn causes water weight), do you mind me asking what you are taking this for? You are quite young, and still have a lot of time to settle into your body. Weight loss takes time and effort that I understand you have already put in, but I can help by advising some investigations and only after then we will suggest medication that helps to reduce the amount of fat being absorbed after consumption (not Duromine). Caloric intake and burning mismatch. Some medications like antidepressants, hypoglycemics, corticosteroids. Endocrine conditions like hypothyroidism, Cushing's syndrome. If you are happy with the response, then please let me know so we might be able to order blood via a pathology lab and assess those. I can liaise with your dietician, make a solid plan and we will take it from there." + }, + { + "id": 6840, + "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": 26282, + "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": 19130, + "tgt": "How to get rid of lower back pain post pregnancy?", + "src": "Patient: Hi doctor, My baby is 5 months old. My back was fine before delivery. Now my lower back\u00a0just above my butt really hurts and feels weak when I stand up after lying down on my stomach. I do not get any such feel when I stand from lying on my back. Also, after giving birth, I noticed my lower back sticks out more than it used to. Could you recommend any exercise or tips for my issues? Doctor: Hi. \u00a0 Post pregnancy. Core stability exercises. Jogging. For further information consult a chiropractor online.---> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 393, + "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": 22868, + "tgt": "Is I-pill safe while breastfeeding?", + "src": "Patient: Hi doctor, Is I-pill safe while breastfeeding? If not, then what are the alternative measures? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3438, + "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": 2862, + "tgt": "What does symptoms like sore throat, cough with phlegm, ear pain and ringing indicate?", + "src": "Patient: Hello doctor, I am a 16-year-old female. I have been sick lately (sore throat, coughing up yellow, green stuff, etc) but this morning I woke up with my cough worse and my ear aching and ringing and throbbing. Anything I can do to make it stop? Doctor: Hello. This appears to be an upper respiratory tract infection leading to throat congestion and blocked eustachian tube leading to symptoms. You should have Augmentin 625 mg (Amoxicillin and Clavulanic acid) three times a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. Also, have Betadine gargles four times a day. For cough, you have syrup Ascoril two teaspoon whenever needed up to three times a day and also have anti-allergic tablet Allegra 120 mg once a day for three to four days. Also, have decongestant nasal drops Xylometazoline drop two times a day for two to three days. For pain, you could have tablet Acetaminophen 500 mg whenever needed. Have steam inhalation three to four times a day. Avoid cold food items. I hope this helps." + }, + { + "id": 27256, + "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": 14630, + "tgt": "Is it possible for E-coli to cause infertility?", + "src": "Patient: Hi doctor, I (34) and my wife (30) have been trying to conceive for about 15 months. Due to a slightly low AMH for her age (16 pmol) my wife was recommended to go straight to IVF from our fertility clinic. With all of the above, no issues were found and we are diagnosed with unexplained. My wife went for vaginal swab testing in preparation for the IVF where although no major STDs were found they discovered a large amount of E.Coli bacteria colonized within the reproductive tract (presumably vagina and cervix). There was a small number of leukocytes found too. The doctor wrote a prescription for antibiotics which he said should clear it out. Our concern now is, could the E-coli be the reason for infertility? My wife has not taken antibiotics for a long time and we are presuming that she could have had the bacteria there for a long time. I have read that E-coli does pretty much clump sperm together and stop them from moving. Do you have any advice on the matter? Doctor: Hi. Since the vaginal swab shows E-coli (attachment removed to protect patient identity), it would be better to undergo a course of antibiotics for you and your wife in order to improve chances of IVF. If you wish you can request your doctor to go for IUI if both fallopian tubes are patent." + }, + { + "id": 2039, + "tgt": "I masturbate using a fabric and it caused small rashes in pubis. Can this be herpes?", + "src": "Patient: Hello doctor, I have small rashes in pubic area. I masturbate with a fabric usually so thinking this might have irritated it in small scales. I used Neosporin on it and it healed. I just heard people can get herpes with mild symptoms or be asymptomatic. The itchiness at first is what worried me. No blisters or lesions just white scaly flat skin. Please suggest. Doctor: Hi. Scaly itchy rash in your pubic area is fungal infection exacerbated by irritation due to fabric. You have to be gentle with yourself and use ample lubrication like oil and it should not be irritating. As it is going on since 1 year as I can make out from the history you have given and it responded to Neosporin, there may be a secondary bacterial infection. As you worry about herpes, herpes simplex do cause lesions in genital area but lesions are different. They occur recurrently like every month or every two or three months in susceptible individuals. The lesions in you are not suggestive of herpes simplex. They are like blisters. Even if you may be infected with herpes simplex if you do not have lesions, you need not worry you will never have. You are actually immune to herpes but still can transmit to others. For the present lesion, I advise you not to irritate the area, do not use infective things over the area and keep it clean and dry. Do not use any harsh soaps or solutions which may irritate. For fungal infection I advise you tablet Terbinafine 250 mg BD for two weeks with meals. For itching, tablet Loratadine 10 mg OD for 10 days or when itches, Terbinafine cream twice daily for two weeks, Mometasone cream once daily for five days, Mupirocin ointment twice daily for five days. Review after 2 weeks. Fungus. Koh scrapping. Herpes genitalis. Tinea cruris. Antifungal and general measures. Avoid irritants. Use moisturizers, be gentle." + }, + { + "id": 5549, + "tgt": "I have blurred vision and dizziness on exertion. Is it due to hypoxia caused by asthma?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I have asthma and hypotension. I am below average weight (5'10'', 117 lbs). Over the last few months, any time I exert myself beyond normal. I get really dizzy and my vision blurs and tunnels and my lungs hurt badly until I take my inhaler. About 60 seconds later, my head started to hurt. Lung pain decreases over the next 20-30 minutes. I take two inhalers, Salbutamol and Fluticasone, regularly. Is this hypoxia caused by my asthma? Is my steroid inhaler not doing its job? Doctor: Hello. As you said you are asthmatic and taking two inhalers. But you suffer exertional dyspnea and fatigue also hypotension and all this is because of hypoxia. Your asthma is not under control. So you need to increase the dose of Fluticasone inhaler or take a combination inhaler of Fluticasone and Budesonide (Symbicort 320). Your doctor will help you to give you the proper inhaler with standard strength. Using Salbutamol frequently is not good as it worsens your asthma. The goal of asthma management is no day time symptoms, no night time symptoms and able to do daily activities without symptoms. So I advise you to see your physician at earliest to increase the dose of your inhaler. I hope this helps." + }, + { + "id": 24228, + "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": 29, + "tgt": "My braces are not activated by power chains and creating gaps. Please help", + "src": "Patient: Hello doctor, Why my ortho does not put brackets in power chains while missing one or two spots? I have straight teeth and I am in the sixth year with braces. I think instead of closing gaps, this is creating gaps. Please help. Doctor: Hello. There are different types of power chains that are available for the treatment depending on the interlink space. 1. Short (connects every alternate bracket). 2. Long (connects every third bracket). 3. Closed (connects each bracket). So depending on the stage of your treatment, either of the types can be used which may or may not connect individual brackets. Also, we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion. Complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual. Also, the density of your alveolar bone and your body's bone remodeling rate affects the duration of final results. So in order to give a definitive diagnosis, we would require your treatment history which includes - 1. Preoperative and post-operative clinic photographs (intraoral and extraoral both). 2. Preoperative dental x-rays (OPG and lateral cephalogram). 3. Treatment history including the types of malocclusion, brackets used, wires used and the movements caused. 4. Oral hygiene maintenance routine that you follow during the braces treatment. Waiting for your reply. Brush twice daily with flouride containing paste. Use of salt water gargles everyday especially after meals.Tongue cleaning on regular basis. A periodic check up with your dentist once every 6 months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. After providing the required information." + }, + { + "id": 5356, + "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": 28884, + "tgt": "I had two episodes of high BP and fall. Am I at the risk of stroke?", + "src": "Patient: Hi doctor, I had a stroke two weeks ago. Today morning, when I got up off the table, I nearly fell twice and had trouble speaking. My BP was 220/110 mmHg. They took me to ER and the telemetry unit.\u00a0I got an MRI with contrast this morning.\u00a0Am I having a stroke? Doctor: Hi. I read your query with keen interest and understand your concerns. The onset of problems in the early morning, blood pressure in a range which can cause stroke and difficulty in speaking along with two falls point towards the high possibility of stroke. The above things can present in both hemorrhagic as well as ischemic stroke affecting the left side of your brain. I must acknowledge that post-menopausal age and recent history of stroke adds to the risk of stroke and I do not think we should take it lightly. Kindly post your recent MRI reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5921, + "tgt": "There are itchy cracks on my scrotum. What is it?", + "src": "Patient: Hello doctor, I have a skin problem on my scrotum. I am having this issue since six months. It itches every time and there are cracks on my scrotum.\u00a0I am using Betnovate. When I use the ointment, it goes away and when I stop it, it recurs.\u00a0Previously, I had a skin disease, which I think as keratosis pilaris. Please help. Doctor: Hi. I have read your query in detail and do understand your concern. From your description it seems that your symptoms could be due to: 1. Scrotal dermatitis. 2. Second possibility is fungal infection. You may put up two to three pictures of the affected area for better evaluation, guidance and to differentiate the conditions. 1. For scrotal dermatitis you can take antihistamines like tablet Levocetirizine 5 mg twice daily. 2. You can use a combination of Sertaconazole and Beclomethasone cream (Onabet-B cream) on the affected skin for four to five days when dry itchy skin occurs. 3. Apply Elovera cream (Aloe vera and Vitamin E acetate) twice a day. 4. Use a medicated gentle cleansing lotion on your skin for bath like Cetaphil cleansing lotion once a day. 5. Avoid soaps or perfumed cosmetics or creams on the affected area. 6. Wear cotton clothes. Revert back with the pictures to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25411, + "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": 23036, + "tgt": "I have colorless and odorless discharge. Is it due to hormonal imbalance?", + "src": "Patient: Hello doctor, I am a 30 year old female. I am suffering from white discharge since the last four months. It is colorless, odorless with no itchiness and the quantity of the discharge is more than normal. Two years back, I had a similar problem for which I was advised to take Fluconazole 150 mg three tablets for three weeks and it was cured after that. So, this time again I took the same medicine but it did not help. One more thing I have noticed is that I am getting a lot of acne on my face since that time, and a little bit on the back too. I got my thyroid function test and blood sugar test done recently, both of them are normal. I would like to bring one more thing to your notice that I am a married girl, but my husband and I are staying separately for work commitments, so in these last four months I have been to his place thrice and whenever I visit there, there is no white discharge. I have a very low libido and that affects my married life too. I have been married for the past one and a half years. Is my problem of white discharge due to hormonal imbalance? Doctor: Hello. I suggest starting FAS-3 kit (Fluconazole, Azithromycin, and Secnidazole) weekly, one tab eight hourly for three weeks. Then insert Canesten (Clotrimazole) vaginal cream internally for seven days. Then Candid (Clotrimazole) dusting powder externally. Start tablet Yaz (Drospirenone) for less libido for four to six months at a fixed time. Do not miss a single tablet once started. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9112, + "tgt": "My teeth are wearing away and roots are exposed. What do I do?", + "src": "Patient: Hello doctor, My two front bottom teeth are wearing away from the inside (from below upwards). They will soon have the roots exposed and then I will surely lose them. Is there anything I can do to slow down the process? Brushing now seems to accelerate it with chunks coming out!! I have not been to the dentist in the last 20 years because I am afraid the first thing that he would do is scrape the area, and the teeth might fall out. Please help. Doctor: Hello. Attach the pictures for further follow up with a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14160, + "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": 3649, + "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": 27459, + "tgt": "What are the chances of HIV transmission through mosquitoes?", + "src": "Patient: Hello doctor, Regarding the transmission of HIV by mosquitoes, I have following query. I know the virus does not survive in insects,\u00a0but what if some mosquito\u00a0bites a very high viral load HIV-infected person and then bites an\u00a0uninfected person on his wound, who crushes it on his wound. If the above situation happens at three or four places on his body simultaneously by an HIV-infected mosquito, what is the\u00a0possibility of HIV transmission by this method? Doctor: Hi. It is good that you have an interest in HIV transmission. Hope your query is answered, but if you have any other question, please do not hesitate to ask or call anytime. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 540, + "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": 8696, + "tgt": "Do antidepressants and birth control pill affect libido?", + "src": "Patient: Hello doctor, I need your comments on the medications that affect libido. Mention some common drugs, such as antidepressants and birth control pills that can affect the sex drive. Doctor: Hello. Antidepressants and antipsychotic medication are known to decrease libido, causing low sex desire." + }, + { + "id": 25697, + "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": 6761, + "tgt": "My newborn passes loose stool during or immediately after breastfeeding. Is this condition normal?", + "src": "Patient: Hello doctor, My new born baby passes loose stools during breastfeeding or just after breastfeeding for the past three to four days. Sometimes it is very small amount. But he passes stool daily for about 10-15 times. Sometimes it is in the form of foam. Yesterday onwards, I am giving him probiotic. But still no improvement. He is suffering from blocked nose also. What to do for his condition? Doctor: Hello. Newborn babies may pass stools immediately after feeding. This is a normal reflex. If your baby is passing stools quite often and is feeding well, has got sleep after feed and passes enough urine, i.e., six to eight times in a day and gaining weight, then you need not worry. For the blocked nose, you may clean frequently or use saline drops. Probiotics are usually not of much help in this age group; breastfeeding is recommended. If the baby has a fever or poor feeding or a large number of stools or less urine or weight loss, anytime you feel baby is lethargic or looks sick, please consult your pediatrician." + }, + { + "id": 30355, + "tgt": "Can you suggest an ayurvedic remedy to prevent UTI?", + "src": "Patient: Hi doctor, My 1.7 months old baby was affected by urine infection twice in the last 10 months. So, the doctor suggested an MCU test and DMSA. In MCU, it was detected that she had grade 5 reflux on right side and grade 4 on the left. In DMSA, it was detected that she had multiple scars on the right side kidney and the total kidney function was 37 63. Then, she had an open vascular surgery before three months and her stents were removed 45 days ago. Now, again, she had a UTI. The culture report reported that the organism was Klebsiella. After 25 days of hospitalization with catheter and central line, she was cured. She also has urine retention problem. Around 25 cc of urine noted residing. Can you suggest any ayurvedic remedy to prevent UTI and for urine retention? Doctor: Hi. 1. Boil 3 to 5 Gokshura (a herb you can purchase at raw drug selling ayurveda shops) with half a liter of water and give it to the baby whenever the baby needs water. It will not taste bad. 2. Punarnavasavam 5 mL with 5 mL of water in the morning and evening after taking any food. It should not be continued for more than three months. You can restart it after a month of gap. It has a sweet taste, so baby will not refuse it. Maintain high level of hygiene. Revert back after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20007, + "tgt": "What shall I do to regularize my periods?", + "src": "Patient: Hi doctor, I have been\u00a0having PCOD since last 14 years. I started treatment before four years with Bigomet SR 1000. After continuing it for eight months, I had periods with more gap compared to earlier. Then, I had periods only with the help of medicine and so, I left the treatment. I started my treatment again before nine months and had regular periods. I dropped the treatment again. I have to regularize my periods now using medicines as I am planning for pregnancy. I am taking Myotol-F and Folvite for the last one month. During this period my doctor gave me three tablets and said after 10 days my periods will occur. Now, it is more than 10 days and no periods yet. I have attached my laboratory test reports for your reference. Is there any other problem? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) and in your case, PCOD (polycystic ovarian disease) is not a problem for delayed menses, but high prolactin levels due to hyperprolactinemia. PCOD can be controlled with diet, exercise and weight loss and even with Cyproterone oral contraceptive pills, but menses would not regularize and ovulation would also be irregular if the prolactin levels are not under control at all. I suggest you dopamine agonists like Cabergoline, twice a week for three to four weeks to bring down the prolactin levels. Presently, I believe you have been given progesterone pills for initiating withdrawal bleed, but just mere 3 pills of even Primolut-N are insufficient to initiate a bleed. Hence, you have not received a withdrawal at all. Wait for another five days and if menses do not occur, then you should be started on Primolut-N 5 mg twice a day for five days at least and then withdrawal should be expected in the next 5 to 7 days from the day of the last pill intake. Consult your specialist doctor, discuss with him or her and get the dose altered. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25474, + "tgt": "Should I take bath if I am down with chicken pox?", + "src": "Patient: Hello doctor, I am 18 years old. I am down with chicken pox from yesterday, I wanted to know if I can have a normal bath. And also, I have a rash that is probably something fungal near my genitals and I have noticed that the pox is very crowded in that patch. Any advice? Please reply soon. Doctor: Hello. Yes, you can take bath with lukewarm water, avoid hot water. Do not use harsh soap or scrub. You can use dove soap. Since it is winter, normal soap will make your skin drier and will irritate the chickenpox blisters. But the best thing will be to have luke warm sponge bath, take clean cotton cloth, dip in luke warm water, use that cloth to wipe your skin gently. This will be helpful during initial days of chicken pox rash, once there is scab formation, you can resume your normal bathing. I am sorry I am not able to view the picture you have attached along with your query. I cannot comment on crowed blisters near your genitals which you have mentioned above as I am not able to see the picture. I would suggest you apply Dermadew caloe lotion. It is a combination of calamine and aloe vera. It keeps the skin moisturized and reduces irritation. Hope you have consulted a dermatologist in person and taken prescription medication (Valacyclovir) for your chicken pox. I wish you a speedy recovery. Take care. Try to attach your clinical picture in the feedback so that I can have a look and guide you. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18892, + "tgt": "Why does my eye hurt after wearing contact lens?", + "src": "Patient: Hi doctor, I put in my contact lenses in the morning and everything is fine. But, a few hours later, my left contact moves and slides. When I take it out, my eye hurts for a while. Why? Doctor: Hi, Welcome back to icliniq.com. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 379, + "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": 4581, + "tgt": "My USG of 36 weeks showed big head with mild prominence. What to do?", + "src": "Patient: Hi doctor, My earlier ultrasound mentioned big head. But, my present ultrasound done in 36 weeks says big head with mild prominence of bilateral lateral ventricles. My radiosonologist did confirm big head but on part of hydrocephalus she was not sure. I have attached the report for your feedback. Doctor: Hi. I have checked the attachment (attachment removed to protect patient identity). MRI brain. Revert back with brain MRI to a paediatric surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 22448, + "tgt": "Should I get PRF for whiplash injury to C2 to C7?", + "src": "Patient: Hello doctor, I have received whiplash from a motor vehicle accident a year back and over the past year have had regular physio, pain medication, facet joint injections and now have been recommended to have C2 to C7 pulsed radio-frequency neurotomies (PRF) L and R as I still have severe neck and back pain and migraines. I am just looking for a second opinion on the procedure and any advice or recommendations on whether to go ahead from any experience you may have or have heard about, as it is hard to get long-term results where we live. I am female, 33 years, 58 kg. Currently, I am taking Temgesic 216 micrograms and Buprenorphine hydrochloride twice daily. Doctor: Hello. Kindly answer these questions and follow up as I need some more details to give an accurate advice. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29751, + "tgt": "What may be the possible cause for my 3 year old son's stomach pain and vomiting?", + "src": "Patient: Hello doctor, My 3 year old son is having stomach pain and vomiting. The vomiting is at regular intervals. As soon as he eats or drinks, he throws out everything. He feels like vomiting every 15 to 20 minutes, but only spits out. He is on glucose and he did not have anything for\u00a0a day. Yet, he had a little large vomit with some brown particles in it. The blood report shows very little infection.\u00a0His pain is a little better after the big vomit. Please advise. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25396, + "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": 9778, + "tgt": "Will surgery for gallstones relieve my abdominal and back pain?", + "src": "Patient: Hi doctor, I am a 34 year old female, who weighs 97 kg, and I am 5.9 feet tall. I have extreme pain in my upper abdomen and back. I also feel nauseous. I have a fatty liver and pancreas, and gallstones. Please help. I am attaching all my reports. Doctor: Hello. I have seen all the attached reports (attachment removed to protect patient identity). Hope this helps you to some extent at least. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25607, + "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": 7870, + "tgt": "I am having calf pain after walking around the mall and it hurts when I stretch my leg. What to do?", + "src": "Patient: Hi doctor, I just came back from a day walking around the mall. I am having cramping pain in my left calf. It feels like a rubber band is wrapped around my leg. It is better when sitting but hurts when outstretched. I am on Enbrel and previous medical history includes low blood pressure and low cholesterol. My recent blood work is normal and only a little thing off was anion gap. Doctor: Hi. I am glad to answer your query. I would have appreciated a reason for having ENBREL (Etanercept), whether RA or ankylosing spondylitis or psoriatic arthritis. The drug have some known neurological side effects along with increase susceptibility to infection. Your condition might be just tiredness from exertion while walking around the mall. If you are a patient of rheumatoid arthritis or ankylosing spondylitis, then you should give some rest to your legs. soak them in lukewarm water, clean the feet and rest your legs with pillow beneath the calf muscles muscles. If you have psoriatic arthritis do not soak feet in warm water. just give some rest. Your pain should subside in a day or two. If there is no relief or decrease in intensity of pain after rest for a day or continuous increase in pain should warrant a physical examination. I have good hope that this treatment shall be enough to help you get rid of the pain." + }, + { + "id": 12913, + "tgt": "What is causing back pain in me?", + "src": "Patient: Hello doctor, I have recently been experiencing lower back problems on the right side of my back. I work out a lot and have been working out for some time now and I generally do a range of heavy to mid-weight sets quite often. I remember initially feeling this pain immensely while squatting (was wearing a belt). Which I thought was just a muscle strain so I reverted to doing other back exercises that day. After leaving the gym, I remember the pain and soreness (I would say more soreness than pain) persisting for about a day and did not feel anything after. However, recently, I was walking and somewhat slipped on some ice. I never fell, but because of the sudden jerk, I felt that pain in my lower back on the right side immensely once again. This pain generally always comes and goes and it is usually during back exercise or sudden jerks. Therefore, I was wondering if in your opinion do you think this would be a problem regarding a strain of a muscle or a disc problem in my lower spine. If so, should I have an X-ray done to confirm? Doctor: Hello. Thank you for providing a brief history. As per me, it looks like the paraspinal muscles are getting over excited to safeguard the spine and the ligaments of the intervertebral joints are also getting over excited due to the weight lifting. There should be a proper guiding before doing any kind of heavy weight lifting and also there should be enough of the core muscles strength before doing one. This pain which is on and off is a red signal for the spinal column. Taking up and MRI should be really worth rather taking up an X-ray. As this pain is only while doing movements I will highly recommend to take up the MRI and get back with the reports. Gym. MRI. Sacroiliitis. Degenerative disc disease. Stop the gym for a week." + }, + { + "id": 16771, + "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": 6833, + "tgt": "My tonsil stones are recurring even after using Augmentin. Why?", + "src": "Patient: Hello doctor, I have recurring tonsil stones and was on Augmentin for two weeks. But it did not help. I feel like a tonsillectomy is overdue smelly when I swab with a cotton pick. Please help. Doctor: Hello. Recurrent tonsil stones not relieved by antibiotics is an indication for tonsillectomy. It is a safe surgery with definite benefits. The surgeon may use the coablation technique, which causes the least post-operative pain and minimal bleeding. For now, complete the course of antibiotics, take some anti-inflammatory medicines like Chymoral Forte or Disperzyme in an empty stomach and also do betadine gargles. Once the acute episode is resolved, you may review it with your ENT for surgery. Revert to me if you require further support on this." + }, + { + "id": 25583, + "tgt": "Is locked-in syndrome treatable?", + "src": "Patient: Hello doctor, I am a locked-in syndrome patient. MRI report indicates marked hydrocephalus, diffuse cerebral and cerebellar atrophy, attenuated blood flow in the cerebral vasculature, and hypoxic encephalopathy. I cannot move or do anything but I react to pain. Please help. Doctor: Hello. These MRI (magnetic resonance imaging) findings are indicative of chronic severe changes in the brain. Unfortunately, the clinical condition of locked-in syndrome is very serious and the prognosis is really reserved. In most of the cases, patients with this syndrome do not improve and die from complications of cardiac arrest, pneumonia, decubitus, pulmonary embolism, etc. I would just recommend discussing with a surgeon about the hydrocephalus. If it is acute, a shunt may help. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28981, + "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": 28915, + "tgt": "Is there any serious problem in my blood test report?", + "src": "Patient: Hello doctor,I am a male, who weighs 49 kg and I am 5.6 feet tall. I got my blood test done, and the report showed that my TLC is 5800, neutrophils is 80, lymphocytes are 17, monocytes is 2, hemoglobin is 9.1 g/dL,\u00a0PCV is 27, total\u00a0RBC is 3.8, and platelets is 2.3 lakhs. Is there any serious problem? Doctor: Hi. Consult a physician for examination, while keeping all this in mind. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26756, + "tgt": "I fell sick on a trip abroad. What should I do?", + "src": "Patient: Hi doctor,I am currently abroad on a trip. Suddenly, I got cold sweats, headaches, and phlegmy coughs. I then puked and got mostly better. I just saw blood in my stool, but I feel fine now. What to do? Doctor: Hello. I have gone through your question and understood your concerns. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13800, + "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": 13227, + "tgt": "What is the treatment available for cramps in legs and hands?", + "src": "Patient: Hello doctor, My mother is 80 years old. Height 5\", weight 40 Kg. No history of sugar or BP. The respiratory system is normal. Diet is normal, two or three chapatis. She is suffering from cramp in legs and hands for the last one year. She is advised for Methylcobalamin 1500 OD with Becozinc multivitamin for the last six months. There is a relief of about 20 % by this treatment. Will you please advice any other medicine? Doctor: Hi. I read about your mother's complaint. I would advise you to have a basic blood investigation to look for serum potassium level. If potassium is low, she will need extra potassium in her diet like tender coconut water and other dietary supplementation. You will also require a complete physical examination. She has been taking Vitamin B12 which is fine in case of neuropathic pain but here she might be beneficial if she takes some muscle relaxants like Myoril 8 mg twice daily for three days." + }, + { + "id": 15353, + "tgt": "Can I increase my height by dancing everyday?", + "src": "Patient: Hi doctor, What can I do to increase my height? Does dancing help in increasing height? Doctor: Hi. To increase your height, you should eat a healthy diet and more fruits. It is advisable to do regular exercise like cycling, walking and running. Dancing does not help much in increasing height. You have a young age, and your height will increase gradually. If there is no improvement in height, then you can consult a nearby doctor and check your thyroid hormone profile." + }, + { + "id": 20730, + "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": 22100, + "tgt": "I had given a wrong dosage of Albendazole to my baby. Is there a problem?", + "src": "Patient: Hello doctor, My baby is 1 year 2 months old. The doctor prescribed Albendazole 5 ml-5 ml two doses in half an hour interval but by mistake, I had given 10 ml-10 ml dose of Albendazole. So, is there any problem? Doctor: Hello. The recommended dose below 2 years of age is only 200 mg. Albendazole is an anthelmintic or anti-worm medication. It prevents newly hatched insect larvae. You have over dosed your child. As such child may be fine, keep a watch for adverse symptoms. If any, visit a Pediatrician for a clinical evaluation. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7703, + "tgt": "My 16-year-old daughter is experiencing mid-cycle spotting and it is increasing. Why?", + "src": "Patient: Hello doctor, My daughter is 16, and she has been having periods since she was 10. They always came regular, but she almost always has mid-cycle spotting (around ovulation). Recently the spotting has become heavier (she has to wear a panty liner). She has been stressed out, and she lost some weight (on purpose) we joined weight watchers. She has also been exercising (including running). We are very close, and I am 100 % sure she is not sexually active. She is overweight started at 240 lbs and now is down to 224. Does this sound normal? Or does she need to be seen? What can we expect at the visit? She is scared. Doctor: Hello. With the symptoms mentioned here, I do not see any problem with her periods as long as she is having spotting for 1 to 2 days, and I suppose she is not bleeding like periods. And regarding her weight, reducing weight is good for cycles and getting overweight sometimes interfere with cycle regularity, but she must make sure that her BMI remains within reasonable limits as excessive weight reduction will also result in her cycle disturbance. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 30973, + "tgt": "Please suggest some remedy for my mom's low back pain", + "src": "Patient: Hi doctor, My 62 year old mother has been experiencing lower back pain for the last two to three days. She did some heavy work in the kitchen a few days ago and developed these symptoms. She has been taking one or two Crocin a day and using a hot bath, but that does not help much. Please suggest a suitable remedy. She prefers to take common painkillers like Brufen, Tylenol, etc. Also, she is on the\u00a0following medicines currently for various health conditions. Esam 5 mg, Clopitab CV, Noe-Mercazole, Shelcal HD and Becoset-Z. 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": 7425, + "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": 7932, + "tgt": "What causes lot of white pimples on buttocks?", + "src": "Patient: Hello doctor, My buttocks got some skin disorder. It is filled with a lot of small white pimples and it gets dead and skin became very bad. It looks very dirty and I feel very uncomfortable. No itching no pain sometimes rarely feels itchy. In my teenage, it stared I guess. Now, I am 28 years old. Please suggest to me and near the anus area I mean where buttocks meet, the skin is discolored. Please suggest to me. Doctor: Hi. I have seen your query and concern. I have examined your picture (attachment removed to protect patient identity). It seems you have tinea incognito with superadded folliculitis. Follow certain general measures. Do not keep the area wet at all. Use Clotrimazole powder frequently to keep it dry. Change the undergarments regularly. Avoid excessive sweating and wet clothes. Do not apply any general or Steroid creams like Betnovate, etc. Do not stop the medicine once you cure. Continue medicine for a long time to completely kill the fungal. Check diabetes and thyroid it is really recurrent even after proper treatment. Treatment: Apply 2 % Sertaconazole (Onabet) plus Fusidic acid (Fucidin) cream local application twice daily plus tablet Azithromycin 500 mg once daily for five days. Get review after five days for further course of action." + }, + { + "id": 23030, + "tgt": "Is it possible that my calcium level is shortening QT interval?", + "src": "Patient: Hello doctor,Is it normal to have QT Interval of 320 ms on frequency 76 bpm for a 20-year-old male? Is it possible that my level of calcium is the thing which is shortening my QT? My calcium is 2,54 mmol/L. Is it too less? I still feel something around my heart, mainly when I am in stress. Currently, I am taking Metoprolol. Previously I used to take Amlodipine. Doctor: Hello. I have gone through your ECG (attachment removed to protect patient identity). I do not think, you have SQTS (short QT syndrome). I guess you do not have any family history of sudden cardiac death or ventricular tachycardia or of electrical shocks for cardiac reasons. Your calcium is normal. Although there is no exact cut off for the diagnosis of short QT syndrome, it is usually seen in patients with QTc of 360 msec ( not in all patients with this). And most patients with SQTS have QTc less than 340 msec (range 220 to 340 msec). Yours is 367 msec (QTc). Also, according to Rautaharju's formula, your QT is borderline (which is nearly 88 percent of predicted, short QT is less than 88 percent and very short is less 80 percent). So your QT is borderline and does not entirely qualify for short QT syndrome. So I do not think, there is much need to worry about it. Even in patients with short QT or very short QT, all will not have short QT syndrome. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 543, + "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": 29182, + "tgt": "Passed a large number of clots on my regular period. Could it be a miscarriage?", + "src": "Patient: Hi doctor, I am 26 years old and sexually active. Last month, I anticipated getting pregnant and hence, was sexually active during my ovulation. I started having funny symptoms like bloating, cravings and headache. I so much felt like I was pregnant. A day before my expected date of the period (27th day of the cycle) I did a pregnancy strip test, and it turned out to be negative.\u00a0On the 28th day,\u00a0I got my period and had a\u00a0large number of blood clots than the normal bleeding. I feel like I was pregnant despite the fact that my period\u00a0came on the expected date.\u00a0Is it possible that it could be a miscarriage? Doctor: Hi. The symptoms you mentioned could be due to pregnancy which may not have been healthy, and we cannot predict. If it had been healthy, you would have had a weak positive urine pregnancy test. So, most probably you were not pregnant. We have other possibilities like pelvic infection and polyps or fibroids. Regarding pelvic infection, sexually transmitted infection around uterus will cause discharge from the vagina, yellow or white or grayish, with or without itching or foul smell, more after sex or after periods. Throbbing pain in the lower abdomen before periods, bleeding is reduced, dark red or brownish color, with fleshy masses or clots, pain at the end of sex. It This would need an evaluation by gynecologist and treatment with antibiotics and antifungals to both you and your partner. The less common cause at this age would be polyps or fibroids, and it needs a scan. If you have been trying for around one year to get pregnant, then you can plan to get investigated for a cause. Kindly see if the following checklist of investigations is done. It is a must to confirm tubal patency. The tube is the connection between uterus and ovaries. It is a bridge where sperm meets the egg and forms a baby. It is in size of a hair follicle and cannot be seen on scans. Being such a small opening, the tube can get blocked easily. So, check with HSG (hysterosalpingography - x-ray with dye) or SSG (sonosalpingography with dye) or laparoscopy. If all the above are found to be normal, then nothing can stop you getting pregnant. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25251, + "tgt": "My eardrum burst after the flu. Should I wait or see the doctor?", + "src": "Patient: Hello doctor, I am 31 year old male. My eardrum burst after coming down with the flu. It has been leaking this watery bloody substance. This happened about four hours ago. I was in pain till it burst. Seems like all the pressure went away and was a huge relief. My question is do I let it heal on its own or should I go see a doctor? Doctor: Hello. Small perforations of tympanic membrane heal on their own, particularly if traumatic. However, you say that it happened after a flu. You may need to see an otolaryngologist to determine if you have any infection in the middle ear. If otitis media is present you will need a prescription medication to treat that. For now, do not put anything in your ear. While taking a bath, make sure no water gets in. Hope this helps. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2894, + "tgt": "I have severe tonic-clonic seizures and get sudden cardiac arrest. Is it anoxic brain injury?", + "src": "Patient: Hi doctor, Does the length of time in critical care always reflect the severity? Is the length of time on a ventilator depend more on the cause i.e. longer if lung infection rather than neurological, etc? Can you have severe illness complications and still be in ICU for a short while? When I was 21, I had severe uncontrolled tonic-clonic seizures (constant on and off for a day then last over an hour and a half) apparently I had every medication could have if the last drug did not work then there was nothing else I could have. Apparently, I then had a cardiac arrest where the doctor had said it was very difficult to get me back tried for a long time my heart was struggling and was not breathing. I was anesthetised and on a ventilator. I had blood gases showing acidosis, high lactate, also ECG showed ST changes and right axis deviation. Echo showed dilated cardiomyopathy and right ventricular dilatation (this was not there just weeks before), no urine output apparent renal insufficiency, blood glucose in the 30's mmol. EEG showed non-reactive background alpha. Cat scan showed low attenuation temporal lobe. MRI showed matter changes. My family were told to come in immediately in the middle of the night as doctors felt I might not make it and if I had another seizure would not be able to stop it. I had a do not resuscitate order put on. Why did they put do not resuscitate order on me at 21? I hear of people who were in critical care for much longer. I have memory flashbacks and cannot figure out why the length of stay does not relate to severity. I was on a ventilator for 12 hours and sedation coma reduced over two days. I was in for three to four days. I feel it was rushed and if it had not been then I may have not got the lasting problems I have now. The word anoxic brain injury has been mentioned. After in ICU I have had many problems seizures, ataxia, very brisk hyper reflex is reflexes more in legs than arms, Babinski reflex, tremor, myoclonus, altered sensation, numbness of arms down to feet especially back of hands. I have memory problems and a different personality, I find it hard to learn new things, etc. Are these common symptoms of anoxic brain injury? Doctor: Hi. I am so sorry that you went through so much and I am glad to know that you have made it. You are extremely lucky to have survived all this. It seems like after persistent seizure you developed acidosis that pushed you in cardiogenic shock. Very few people come out of it. You are the second case in my 12 years of experience that I have seen communicating. Ventilators has its own complications and they can lead to mortality and morbidity which are more difficult to battle than the real problem, therefore it is always recommended to wean as soon as possible. Anoxic brain injury occurs right there an then when the event occurs. Ventilators could only prevent part of it and not the entire process. I was curious to know what brought it on in the first place? Why did you had the seizures like did you had the seizure disorder or an infection process? Anoxic brain injury can have various consequences and yes it can cause different psychological, motor, and cognitive deficits depending upon which part of the brain was involved. I hope this helps." + }, + { + "id": 30843, + "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": 17757, + "tgt": "My son occasionally complains of burning sensation during urination. What to do?", + "src": "Patient: Hi doctor,My son is 5 years old. He occasionally complains of burning sensation in urine. Before five months, he complained of burning sensation, and we did a urine test which showed pus cells 2 to 3 and albumin haziness. The doctor said that as fine and just advise to give more fluids. We did two more urine tests in the following three months, and they were normal. He occasionally complains about burning and sometimes, has puffy eyes in the mornings. I searched on the internet and got scared. Please advise if there is any need of worrying. Doctor: Hi. I understand your concerns. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8178, + "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": 2715, + "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": 6263, + "tgt": "I want to pursue my education after having second baby. Is it fine?", + "src": "Patient: Hi doctor, I am 27 years old, with two daughters. My life seems like sucked up, no income as I decided to go to University last year, as I could not finish 6 years ago. Feeling like a loser, hating myself as after giving birth to my second daughter (she is 7 months now) have become very fat and ugly. Was it a right time going back to university with my small child? Will my husband still love me? Will I be beautiful again? Will I succeed? Doctor: Hello. You are motivated and want to work towards a better life but looks like you are troubled by self-doubts and confidence appears to be low at present. You have already taken the important first step in acknowledging the problem and trying to get some advice. You have the drive to succeed in your endeavours. It is natural to feel stressed trying to balance family life with university commitments on a tight budget. Anyone in your position will feel the same. Try to get some support to help you look after your children. Can your husband or grandparents help? Do not feel guilty or think it is wrong about going back to University. You are doing it for better long-term prospects for yourself and your family. Just try to get some practical support. Always spend some quality time with children and have fun daily. Try to exercise atleast 20 minutes daily. It will help you to regain your physical fitness and also improve your confidence and emotional wellbeing. Keep having regular talks, discussion with your husband about your feelings and aspirations. Also talk to a trusted friend and family member who can understand your journey and mentor you towards a fulfilling life. Take care." + }, + { + "id": 16694, + "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": 15006, + "tgt": "Having low platelet-8000/cumm. Testing of dengue, NS1 is negative", + "src": "Patient: Hi doctor, My father is admitted to the hospital as his platelet count is 8000/cumm. The tests for dengue and NS1 are negative. After injection of 4 units of platelet, his platelet count is 12000/cumm. Then after administering 2 and 4 more units, the platelet count was 23000/cumm and 22000/cumm respectively. Is it normal? Doctor: Hi. This is definitely not normal. Even though dengue antigen is negative, the low platelet count gives suspicion of dengue. The line of management is on the right way. So do not worry. Once the platelet count crosses 25000, we can stop the platelet transfusion. Only frequent follow up is needed. He will recover soon." + }, + { + "id": 3440, + "tgt": "I get deep pain in chest and both arms with normal EKG. Is it back muscle problem?", + "src": "Patient: Hello doctor, I have been having infrequent deep chest pains, along with pain in my left arm, right arm, and legs at times. The pain mimics that of a heart attack, but I had an EKG, echo, blood, and CT everything has come up normal so far. When I am on the computer I usually slouch and have poor posture. Could my pain be related to the back (like the thoracic spine) and is there any way this could be diagnosed or a chiropractor could do about this? Doctor: Hello. You have already ruled out the fearful cause of such pain, so the second most common cause of such pain is improper posture. More than a chiropractor you need to understand the need for correct posture as you have to continue working in a similar environment for the next 40 years. Proper working table and chair are a must for good posture. The chair should be stable and adjusts easily for the height and tilt. Chair with a backrest that supports the curve of your lower back should be used. You should sit back in the chair when you work on a computer. Thighs should be horizontal with your knees and hips at the same level. Feet should rest comfortably on the floor or on a footrest while seated. The height of the desks is at about elbow level when sitting down. The chair should be adjusted such that back can rest against the chair while working on the computer. Your elbows should stay near your body in an open angle allowing circulation to the lower arms and hands. Your arms are nearly perpendicular to the floor. Your wrists are nearly straight. Along with this regular muscle stretching and isometric strengthening exercises for the neck, shoulder girdle, and lower back must be done to avoid such pain. Acute pain such as in your case requires analgesics (narcotic), hot fomentation, TENS (transcutaneous electrical nerve stimulation), ultrasound by a physiotherapist and alternative treatment modalities like acupuncture for immediate relief and yoga and meditation for long term benefits. I hope this helps." + }, + { + "id": 23598, + "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": 28103, + "tgt": "Is there any way to prevent eye damage during radiotherapy for nose cancer?", + "src": "Patient: Hi doctor,I have nose cancer, so I am going to get radiotherapy. The doctor said that the radiation might touch the eye, which may lead to loss of vision and eye removal. Is there any other way to prevent this? Please help. Doctor: Hi. For more information consult a radiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/radiotherapist" + }, + { + "id": 2515, + "tgt": "My mother has got typhoid for the 12th time. How to proceed further?", + "src": "Patient: Hi doctor, I am an MBBS student. My mother aged 47 years is suffering of typhoid which is a case of relapse and this is the 12th time. She is having a temperature nearby 102-103 degree Fahrenheit. Three years before, she was given Ceftriaxone IV 2 g twice (BD) and after that she was given Ampicillin 500 mg thrice daily for the treatment of typhoid. Now, after three years she is again detected with typhoid. Kindly suggest me how we should proceed. Doctor: Hello. Revert back with the more detailed history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17433, + "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": 6697, + "tgt": "Will my wisdom tooth cause throat pain?", + "src": "Patient: Hi doctor, I have been suffering from throat pain, red tonsil and entire jaw and neck pain. My wisdom tooth also paining for the last two to three months. When I visited an ENT doctor for my throat pain, he said that I do not have any problem inside the neck. He also advised me to visit a dentist. I had medicine antibiotics for throat pain, but still pain is there.\u00a0Can you please help with that?\u00a0Is that wisdom tooth causing pain in my throat? Doctor: Hi. I have gone through your query and photograph (attachment removed to protect patient identity). X-ray of painful wisdom tooth. Revert back with the x-ray report to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24622, + "tgt": "What can be done if my wife behaves indifferently to my child?", + "src": "Patient: Hi doctor, My wife is indifferent to child health issues. She controls the child with threatening words. The child cannot cry or weep even with an extreme reprimand by her. She makes the child sleep under extreme pressure. Sometimes, the child wets the bed. She then becomes furious with him. All this has led him to be a withdrawn child and always compromising. Please suggest me. Doctor: Hi. Too harshly treated or neglected child care can lead to a psychological and developmental issue in the child which includes depression, conduct disorder, post-traumatic stress disorder, social withdrawal, academic underachievement, and aggressive behavior. So, you need to explain these things to your wife and with the help of yourself/psychiatrist/psychologist, she may be able to change her behavior. She can also be relieved from the stress that she is feeling now. To reduce the demand for care by her, other facilities such as day care or housekeeper can be made use of. Provide the emotional support she needs. Encourage her to take training for planning and meeting the needs of children. Also, resolve the issue of any psychological problems she is suffering, with the help of a psychiatrist by in-person consultation. Hope this helps you decide further course of action. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25531, + "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": 19307, + "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": 14029, + "tgt": "Kindly describe about the tests to be taken before having unprotected sex with lesbian partner?", + "src": "Patient: Hello doctor, I would like to ask some questions that I am sort of afraid to ask my gynecologist because I am not sure if she is tolerant of homosexual people and that is holding me back. I would like to know what kind of health tests should I run to make sure I can safely have unprotected sex with my exclusive lesbian partner? During my last visit at the gynecologist I had cytology and now I am waiting for results. If that comes back clean, does it mean fully that I am free of any sexually transmitted diseases or HPV or do I still have to have some other tests to run? Is it appropriate to ask to have those tests made at a clinic or only if I show any worrying symptoms? I have had only one sexual partner before I engaged with my current girlfriend. We were each other's, first partners. The last question I have is, is it irresponsible to have unprotected lesbian sex in a committed relationship if both people are tested? Are there still any health risks? Doctor: Hi. Homosexuality is a choice of self-identity of sexuality, which does not need to be judged. It is always fine to ask questions. You are conscious about your health and that is commendable. Firstly, you need to rule out diseases like HIV, hepatitis B and C (HBsAg, anti-HCV), syphilis (VDRL), gonorrhea (smear test), chlamydia (smear test), herpes (IgM and IgG) which are commonly sexually transmitted via the respective blood tests. Cytology or pap smear is just screening for cervical cancer irrespective of HPV or any other sexually transmitted infection. You can check for HPV-DNA, chlamydia, gonorrhea test from the vaginal aspirate. as well as a throat swab. It is perfectly normal to have any kind of sexual relationship, keeping into account both partners are stable in their relationship and are tested for STD. It prevents any health risk." + }, + { + "id": 23862, + "tgt": "Can infection be contracted from unsterilized makeup brushes?", + "src": "Patient: Hi doctor,I want a professional and honest answer. I suffer from anxiety and OCD. Yesterday, I was dealing with patients post them having cosmetic injectables. There was pinpoint blood from the needle insertion points. I am thinking the worst case scenario and not saying this happened, but my mind is playing with me - what would happen if I then applied makeup to that person with a brush and double dipped into the color without sterilizing, then used the brush again on another person and so on? Could that contract an infectious disease? I am worried sick. Doctor: Hello. Our main concern here is regarding the transmission of HIV (human immunodeficiency virus), hepatitis B and C. Now, in the scenario you are explaining, it is less likely for any virus or infectious disease to transmit to other, but small risk of transmission remains. There are two reasons. Considering you are applying makeup on intact skin, so in that case, it is unlikely for any infection to transmit. Secondly, if you are applying it on the skin where you have given injections, then a small possible risk is there, but risk is further reduced by the deactivation of viruses by colors. So overall, there is a minute risk may be less than 0.1 percent, which is really small. So, I think you should stop worrying about it and use a separate container from next time. Hope this clears your doubt 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": 28019, + "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": 2877, + "tgt": "What could be a pimple-like dot on cheek in molar region with no pain?", + "src": "Patient: Hello doctor, Recently, I have noticed two little white pimple-like dots next to my molar tooth on the cheek and there is no pain. I was wondering what it could be and if it is serious? Doctor: Hello. Is your lower wisdom tooth removed? It seems to be a mild epithelial injury which occurs during chewing at the corner of jaws where last wisdom teeth meet. No need to worry about it, as it usually will go away on its own in a week or two. Use warm salt water gargle twice a day for a week or two and if need apply an antibiotic gel at the spot three or four times a day. If it does not go away, show to a dentist to check if the upper wisdom teeth are causing the problem and need to be removed." + }, + { + "id": 6008, + "tgt": "My baby is suffering from cough, vomiting and flatulance for three days. What to do?", + "src": "Patient: Hello doctor, My girl baby is 3 years old and weighs 17 kg. She does not eat properly and will not have any alternative food also. She has vomiting, for three days and vomited once or twice. She has flatulence and cough for two days. Doctor: Hello. I can understand the concern of a mother regarding a child who is not eating. Presently she is having a mild cough, which can be due to a mild sore throat or common cold and she might be vomiting due to this illness. The weight of the child is very good so do not worry. I suggest not to force or behind her to eat. Let her be comfortable with whatever she feels to eat or not to eat for a few days, meanwhile, take care of her cough. Start her on this medication and watch for her motions if she develops diarrhea, connect with me again. Syrup Loratidine (Lorin 5 mg/ 5 ml) 3.5 ml once daily for three days. I hope this helps." + }, + { + "id": 5245, + "tgt": "My mother's vitamin D is 28 and calcium level is 10. 7. Is it hyperparathyroidism?", + "src": "Patient: Hello doctor, My mother is 71 years old. She started having joint and bone pain. She has osteoporosis and she recently took retest last year. Her doctor did some blood tests and then sent her to see both an endocrinologist and a rheumatologist. He thinks it is hyperparathyroid. The rheumatologist gave her a shot for her hip pains and said she had bursitis. She also told my mother to make sure the doctor test her vitamin D levels as this could be the cause. My mom got excited as it did not seem serious. But then the endocrinologist called back and said she has hyperparathyroid and she should consult with a surgeon. I spoke to her primary doctor to ask some questions. Her vitamin D level is 28 and her calcium level is 10.7. From the doctors website information it seems as if she has hyperparathyroidism. However, I have read some conflicting reports and wanted to see if my mom should get a second opinion. It also seems to contradict what the rheumatologist said. My question is do you think she has hyperparathyroidism from the calcium and vitamin D levels? Also, after reading the website, it seems there is quite a lot of variability in the quality of the surgeon. Is this something I should be concerned about? It seems that the surgeon should be able to find the bad hyperparathyroid gland before the surgery? Doctor: Hi. Joint pain, bone pain and osteoporosis are very frequently seen in hyperparathyroidism. But the very essential component in the diagnosis of hyperparathyroidism is serum parathormone (PTH) levels which need to be elevated. It can be normal in the case of secondary hyper parathyroidism. So I want to know what is her PTH level. Calcium levels can be normal or elevated in hyperparathyroidism. It is difficult to tell only on reports on calcium and vitamin D levels as calcium levels depend on serum albumin levels also. But I personally feel she has hyperparathyroidism. Now coming to the surgery, hyperparathyroidism can be due to tumors in parathyroid glands which requires surgery but there are other causes of hyperparathyroidism which do not require surgery. Ask your endocrinologist, has he evaluated the cause and then referred to a surgeon? If not I advise you to get nuclear medicine scanning with radiolabeled sestamibi of Parathyroid glands and revert back to me. If you could upload all the reports done till now it would be very helpful and I can advise you even better." + }, + { + "id": 21937, + "tgt": "I have an itchy and swollen rash that leaks straw-colored liquid. Please help", + "src": "Patient: Hello doctor,I have had the rash for about a week and taken antihistamines. I saw a pharmacist today who said she had never seen something like this before so I was sent to a minor injuries unit who told me to come back in two days if it had not gone. It leaks straw colored liquid and is very itchy and swollen with raised bumps almost like blisters. I do not really have fever symptoms. I am just very tired. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). It is infected eczematous dermatitis (IED). I suggest you take an oral antibiotic like either Amoxycillin 500 mg or Cephalexin 500 mg, thrice daily for a week. In addition, I suggest you take an oral antihistamine like tablet Cetirizine 10 mg once a day for a few days. I also suggest you apply a potent topical steroid like either Mometasone furoate 0.1 % cream or Clobetasol propionate 0.05 % cream, twice daily for a few days. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30048, + "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": 8833, + "tgt": "My single vaginal hole has two different sections inside. Why?", + "src": "Patient: Hello doctor, I have my one vagina hole, but it has two different sections inside. Like there is a skin inside, and a penis or finger can either go left or right, and I do not know if this is normal or not. Doctor: Hello. I will feel sorry that you have the congenital disability of your reproductive tract, the vagina, and it is called a septate vagina. Only surgery can cure it. You need to see your gynecologist as soon as possible. If the defect is only in the vagina, you need not have to worry much, and it can be cured easily by a simple surgery. Whereas if the internal organs are also duplicated, you need to do a series of surgeries and treatments." + }, + { + "id": 1213, + "tgt": "Due to excess intake of vitamin D and calcium, I feel weak, dizzy, and tingling. Please help", + "src": "Patient: Hello doctor, I started taking Vitamin D and calcium more than I should have in the beginning of the year. Later on, I started to feel weak and dizzy at work, my feet and hands tingle and would go pale and my neck in the thyroid area started to hurt. I have been to the doctor to have blood work, but they say there is nothing significant enough to be concerned, but I still have the same symptoms. What to do? Doctor: Hi. In your attached Hb electrophoresis report (attachment removed to protect patient identity), abnormal hemoglobin is not present. So you are not having any abnormal hemoglobinopathy. Your main complaint is weakness, dizziness, and tingling. So anemia, B12 deficiency, thyroid issue, liver disease, renal disease, vitamin D deficiency and peripheral neuropathy should be ruled out. I suggest you investigate with serum B12 estimation, CBC (complete blood count), serum TSH (thyroid-stimulating hormone) estimation, SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic oxaloacetic transaminase), serum urea and creatinine estimation for further work up. To rule out peripheral neuropathy, your neurological physical examination should be done. According to cause specific treatment can be given. I suggest you rule out diabetes as well by random blood sugar estimation. Meanwhile, you can be prescribed Riconia forte like multivitamin tablet for your problem." + }, + { + "id": 23051, + "tgt": "Is it possible for genital warts to appear 14 years later?", + "src": "Patient: Hello doctor,My husband and I have been in a monogamous relationship (I believe) for 14 years. We had sexual partners before this. A few weeks into my first pregnancy, he and I have just broken out into HPV genital warts. Is it possible for warts to appear 14 years later? Is it more probable that my partner has been unfaithful? Doctor: Hello. I have noted your concern. Most HPV infection is self-limited. Most of the infected individuals are able to eradicate the virus within 20 to 24 months of infection. However, HPV infection can persist and it is possible to develop genital warts years after infection. Therefore it is hard to know when did one acquire the infection if he or she has had more than one sexual partner. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30880, + "tgt": "Am I suffering from colon or rectal cancer?", + "src": "Patient: Hi doctor, I am a 47 year old female. My weight is 95 kg. My symptoms are blood in stools and stomach bloating. Initially, we suspected piles. But, the doctor said it may be colon or rectal cancer. Colonoscopy, blood tests and CT scan are done and I have attached the reports for your reference. I would like to know the actual problem. How serious is it? Doctor: Hi. For further information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 29887, + "tgt": "Why do I feel giddy while standing or walking?", + "src": "Patient: Hi doctor, I am a 56 year old male. I am on BP medicine Cresar 40 since a month. Prior to that, I was on Aten 50. Now, my BP is around 130/100 mmHg and before it was 160/106 mmHg. When I take my walk or I am standing I feel giddy, probably for less than a second. It is more prevalent when I turn my head or look up suddenly. What can be the cause? Doctor: Hi. This is called postural hypotension. It is very common in hypertensive patients. I suggest you Telma H (Telmisartan and Hydrochlorothiazide) once daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11301, + "tgt": "What can cause sudden tingling and itchy sensation?", + "src": "Patient: Hi doctor, Two months ago I started feeling tingling and itching sensation between my thighs and then up to my chest. I just took the most painful shower ever (warm water). It stung and I wanted to scratch my skin off. At first there was nothing visible, just itching, now you can see red dots here and there on stomach. In addition, I have a bump on each thigh that has recently surfaced, maybe from scratching. I also feel this intense itching on penis that gets inflamed with intercourse.\u00a0A doctor looked at it and said it was probably an allergic reaction to something new. But, there has been nothing new, not soaps, not detergents and no new clothes. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16040, + "tgt": "Kindly tell me the ways to gain weight", + "src": "Patient: Hello doctor, I am 25 years old having 61 kg and 173 cm in height. How can I gain some weight? Doctor: Hi. You should focus on a balanced diet. Start having protein, carbohydrate-rich diet. You can take a banana shake in the morning. It will give you instant energy as well as help in weight gain. Start taking milk and milk products. You can have pulses, beans, legumes, fruits, and vegetables. Apart from the exercise, you should be active physically. Go for a walk or do some exercise on daily basis to increase your stamina and muscle building. Thyroid test, CBC (complete blood count) test. Underweight." + }, + { + "id": 26982, + "tgt": "Is there a problem with my son's personailty?", + "src": "Patient: Hello doctor, My son is a college student. He is 21 now. He has depression from about three years and has been seeing a\u00a0psychiatrist for a while. He has been missing assignments and classes and got put on probation and withdrawal. And, he lies a lot. For instance, he signed a waiver to his college and I had access to his reports. He knew this, but he still lied to me about his grades. Sometimes, I feel it is not just depression but there might be some other problem with his personality. I want to know what we shall do as his parents. Shall we ask him to live with us so that we can watch him go to therapy periodically and have a healthier lifestyle? Shall we talk with him if we know he is lying? Doctor: Hello. Depression is now common in 2 % of the children and adolescents. Its cause is not specific, but a combination of multiple factors such as environmental, biological and psychological. Firstly, we have to look for any specific underlying causes for his depression. And then, we have to remove the underlying causes of depression. There are mainly two major ways to treat children's depression: If your child has symptoms of depression such as helplessness, guilt, hopelessness, irritability, loss of energy, sleep problems, etc. you should consult a pediatric psychologist for assessing the root of this problem. The causes could be hypothyroidism, drug abuse, bipolar disorder, etc. Please do the needful. For more information consult an internal medicine physician online -->https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5670, + "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": 25409, + "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": 27432, + "tgt": "My partner's nipples feel different. Is she pregnant?", + "src": "Patient: Hello doctor,I had sex without protection but, I did not ejaculate inside her vagina. She had an I-pill within three hours. It has been 13 days and still, there is no bleeding. She says her nipples feel tight. So, does it mean\u00a0she is pregnant? Doctor: Hello For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10245, + "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": 15055, + "tgt": "After going gym, I started to have pain in the knee. How to fix it?", + "src": "Patient: Hi doctor, I started with the gym last week. I trained myself at home for a few weeks. After going to the gym, I began to have pain in the knees. It hurts me a lot. I am unable to do squats for a week. I tried to fix it, and nothing helped me. I do not know what to do. Please help. Doctor: Hi. It is common to have pain when you start an exercise programme after a gap. You can try icing the sore parts after doing exercise as well as do gentle stretches in leg muscles. If you are sore, take NSAIDs (Nonsteroidal anti-inflammatory drugs) for a few days and then start again. Knee pain may occur due to chondromalacia patellae, and this may need more attention especially if the pain does not settle after a course of an NSAID." + }, + { + "id": 28001, + "tgt": "I feel like something is stuck inside my throat. Please advice", + "src": "Patient: Hello doctor, For few days\u00a0now, I have a feeling of a lump in my throat, on the right side. It feels like a piece of food or a pill is stuck there, but I know there is nothing. When I press on the outside of my throat, there is a spongy and almost crackling quality to it that does not occur on the unaffected side. Doctor: Hello. The feeling will subside in few days. For more information consult an otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8192, + "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": 19926, + "tgt": "I have cut myself accidentally with broken glass. What can I do now?", + "src": "Patient: Hi doctor, I am 18 years old female. I have got cut myself accidentally with broken glass from an old picture frame. I am concerned that I may contract tetanus. The cuts are minor. Currently, I am taking birth control medication and anxiety medication. Doctor: Hi. You have a cut from a glass of some frame. Hence, you have to clean the wound with an available antiseptic solution like Betadine or Dettol whichever is available. You can consult a general surgeon for the examination of the cut. To be on the safer side, you can get an injection of tetanus toxoid for developing immunity against it. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14841, + "tgt": "How to select a protein powder?", + "src": "Patient: Hi doctor, I am 24 years old male. My body weight is not proportionate to my age and height. Please let me know the proportion that has to be noticed while selecting the best protein powder to gain weight? Doctor: Hi. I would suggest you the following proportion to keep in mind while selecting a protein powder: Typically, it is good to include this in between the meals. Wishing you good health. For further guidance feel free to ask a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 10125, + "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": 19645, + "tgt": "I develop sinusitis and severe cough in winter. I also have hair fall problem. Kindly advise", + "src": "Patient: Hello doctor, I am a 30 year old male. I have sinus issue and severe cough in winter season. I also have hair fall problem. Kindly advise. Doctor: Hi. It is important to get your sinuses and nose clinically examined for any conditions that might require treatment. Some people also develop allergy and this happens more often in the winter season. To make a diagnosis of possible allergy, a Complete Blood Count (CBC) is suggested and high eosinophil count is an indication of allergy. If your severe cough is due to high eosinophil count, then you should take particular medications to suppress the allergy. Hair fall commonly occurs due to any stress and also if it runs in your family. For hair fall please consult a dermatologist and take a prescription for Minoxidil 5 percent solution that can be applied in small amounts of 1 to 2 ml each day for hair growth. For further queries, consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10139, + "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": 21819, + "tgt": "Why do I have abdominal pain, low back pain and difficulty in urinating?", + "src": "Patient: Hi doctor, I have some health concerns. I am 47 years old. I take hypertensive medications. Lately, I experienced abdominal pain accompanied by lower back pain and every morning I have experienced difficulty in urinating that started four days from now. I have no edema. Thank you. Doctor: Hello. It seems you are a hypertensive patient as you are taking Losartan but the side effect of Losartan is abdominal pain and diarrhea but in your case situation is different. You have difficulty in urination and if you have lower abdominal pain then my straight diagnosis is renal and ureteric calculi. It means there may be some stones in your excretory pathway. So, for that, get an ultrasound of abdomen done and drink plenty of water. To prevent infection, take tablet Oflox OZ (Ofloxacin and Ornidazole) 650 mg one tablet three times per day plus tablet Pan 40 (Pantoprazole) one tablet three times per day for seven days but be sure to get an ultrasound of your abdomen done. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10960, + "tgt": "I am having incomplete evacuation of bowel with abdominal pain. Why?", + "src": "Patient: Hello doctor, I have been suffering from alternate loose stool and constipation, with the feeling of incomplete evacuation of bowel with abdominal pain for the past five to six months. I feel it is IBS. Kindly guide. Doctor: Hello. Indeed, your symptoms seems to be IBS (irritable bowel syndrome). However, further consultation with a gastroenterologist, running colonoscopy, and abdominal ultrasound are highly recommended to rule out organic problems first. Stool analysis, culture, and sensitivity testing are recommended to rule out candida overgrowth or other infectious diseases. With regards to treatment strategy, until you get the tests reports, I can only suggest to," + }, + { + "id": 27792, + "tgt": "Will antibiotics affect the sputum report?", + "src": "Patient: Hi doctor, I have cough for about a week. It is a mild one with a bit sore throat. So, I did my sputum test in a laboratory and the following are the results I received today. Acid fast bacilli smear - acid fast bacilli not detected. In sputum culture and sensitivity, culture - negative, organism - no pathogen isolated. Normal respiratory flora grown after 48 hours on incubation at 37 degree Celsius. Many gram positive cocci seen in gram stain.\u00a0Few pus cells seen and few epithelial cells are also seen.\u00a0Please explain me what is the exact result from the above details. Do I have any illness? Is there any need to take medicine? Doctor: Hi. We are here to help you. Revert back with the asked details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11282, + "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": 30263, + "tgt": "Should I worry about my father's blood sugar level?", + "src": "Patient: Hi doctor, My father is diabetic and was taking Glycomet 500 mg once daily. 20 days ago, His blood test showed increased sugar level and liver parameters. He was then advised to take the medicine twice daily. LFT and blood sugar tests were repeated before three days. There is not much change in sugar level, though liver parameters have shown decreasing trend. I have attached the reports for your reference. Please advise. Doctor: Hi. Revert back after two weeks to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8787, + "tgt": "Kindly look at my brain MRI and explain", + "src": "Patient: Hello doctor, I had an MRI of the brain and received the following finding: Questionable punctate area of altered signal gray-white matter interface left parietal lobe. What does that mean? Doctor: Hi. Punctate areas could indicate many things like hemorrhage, chronic infarct, etc. Can you please mention a few things? What was the indication for MRI? In the report, they must have mentioned the area to be T2W hyperintense or hypointense, better if you can share a copy of the report. I will be glad to help. Take care." + }, + { + "id": 3037, + "tgt": "Is it possible for me to get pregnant with negative urine and HCG tests?", + "src": "Patient: Hello doctor, I had unprotected sex on 1st of last month and missed my period on 20th. I did a urine pregnancy test on 3rd of this month, it came negative and then I took Regestrone 10 mg for five days one tablet each day from 3rd to 7th. Then on 8th, I did a bhCG which came negative and today I got a slight spotting and when wiping a little brownish kinda discharge came. Am I pregnant? Doctor: Hello. No, you are not pregnant as urine pregnancy test and HCG (human chorionic gonadotropin) test are negative. You have taken Regesterone so your period is delayed more. Your period should start now. It normally takes two to seven days after the last Regesterone tablet. So do not worry you are not pregnant because it is already more than 30 days after unprotected sex and all tests are negative. Brownish discharge can be the starting of menses. You are definitely not pregnant. Do not take much stress." + }, + { + "id": 17227, + "tgt": "Please suggest an ayurveda remedy for tight foreskin", + "src": "Patient: Hello doctor, I am a 24 year old male. I have a tight foreskin. When my penis is erect I can pull down the skin completely without any problem, but when it is normal, it cannot be pulled down completely. Sometimes, I can, but not always. I do not want to go for surgery. Is there a natural way to heal myself? Doctor: Hi. For further doubts consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 254, + "tgt": "Which is the best recommended treatment for femur fracture?", + "src": "Patient: Hi doctor, I had a\u00a0double fracture in the femur following an accident. In 24 hours, I got intramedullary nail insertion. But, it did not heal even after seven months. I have started walking on leg before a month to induce self heal, but nothing happened. Either bone graft or plate and nails, which is the best recommended treatment? Doctor: Hi. Nonunion shaft femur with intramedullary nail. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10448, + "tgt": "What are the ways to control schizophrenia?", + "src": "Patient: Hello doctor, My son aged 32 years is suffering from schizophrenia for the last six months and not accepting any treatment and since the last 10 days his symptoms got worsened and became violent and today he tried to get injured and he is suspicious on everybody thinking everyone is talking about him and plotting to harm him and asking us to kill him by giving poison and today he became very violent and after consulting a psychiatrist doctor today we gave him Risdone liquid 2 ml by mixing with fruit juice. Now he is sleeping calmly tonight. Please help us for further treatment. Doctor: Hello. I can understand your concern. A lot of patients of schizophrenia or other psychotic disorder refuse to take medicines and this becomes difficult in treatment. Risperidone liquid is tasteless and odorless and can be given without knowledge to the patient. But keep one thing in mind that he should not become suspicious that he is being given medicine by mixing with food. Most of the patients come to know about this. You will have to remain alert for this. This should be followed strictly. In coming days he will become ready to take medicines by own. Till then you can give him Risperidone liquid. He is on 2 mg per day and if needed, the dose can be increased to 3 mg per day. The second option in his case if he refuses to take even food or juices from you is long-acting injectables. Long-acting injections of Haloperidol or Fluphenazine or Risperidone or Paliperidone are available. These have actions for around 15 days and can be given to him if he refuses to take medicines. This can make treatment easy for him. You can discuss with his doctor for this treatment option." + }, + { + "id": 24100, + "tgt": "What should be done to increase hemoglobin content?", + "src": "Patient: Hello doctor,My wife who is 42 years old has low hemoglobin content in her blood and it is 10.5 gm %. The report is enclosed. What should she do to increase the hemoglobin content? What tablets to take and what are the dietary supplements? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). She has low hemoglobin and deranged lipid profile. The lipid profile is mildly deranged and she should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Regular exercises like brisk walking, jogging according to her capacity atleast 30 minutes a day and five days a week. Get her BP checked once if not checked. She should repeat the lipid profile after eight weeks of healthy lifestyle. For her hemoglobin, which is likely due to iron deficiency only, we should get iron profile test done. I suggest she start iron supplements like tablet Fericip XT twice a day after meals. There should be a gap of atleast two hours between iron and calcium tablets. Repeat her hemoglobin after four to six weeks to see for an increase. The medicines should be continued at least six months after hemoglobin is corrected in once-daily dosing to replenish stores. 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": 28860, + "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": 9859, + "tgt": "What could the lump on my tarsal foot bone be?", + "src": "Patient: Hello doctor, I am concerned about a bone lump on my right foot in the tarsal area, probably talus, or calcaneus. I am not really sure. It is located on the right side of my right foot below the ankle joint. I am attaching pictures of me pointing at the spot. There is a small ganglion near it but I am not concerned about that. The bone lump is what that is troubling me. There is no pain at all almost. It is there mainly when I drive and use the gas pedal a lot. I know about it for more than half a year, but it was there probably longer. It is smooth when I press on it and kind of round and hard as a bone. I have had some x-rays done on my feet, it was some time ago but the lump was there back then. My biggest concern is that this could be some kind of bone cancer. I am also sending the x-ray files of both of my feet. Could you have a look at them? Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) I understand that you are concerned about a lump in your right midfoot on the outer side. The probable cause is a benign bony prominence. However, differential diagnoses include a calcified ganglion, accessory ossicle, a subluxed peroneal tendon, ankle ligament sprain, and tarsal coalition. You described the lump as a hard lump with a smooth surface. The pictures you sent suggest that it is around 2 cm long and 1cm wide. Investigations that need to be done include anteroposterior and lateral and oblique radiographs of the right foot. The fact that it has been there for a long time and that there is no pain is reassuring and goes against cancer. However, it is important to know if there have been any recent changes. Prevention measures include wide comfortable shoes with good padding. The attached files only contain clinical photographs.There are no radiographs to comment on. Kindly upload the reports. You need to contact a doctor if the lump changes or becomes painful. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19361, + "tgt": "Does thyroid problem delay pregnancy?", + "src": "Patient: Hi doctor, I am a 27 year old unmarried female. Before six months, I was diagnosed with hypothyroidism. I have been taking Thyronorm 100 mcg. Recently, I had TSH test and the level was\u00a00.47 U/mL, which is considered as hyperthyroid. When my doctor asked me the previous dosage, by mistake I told her 150 mcg, but my actual dosage was 100 mcg. So, she suggested 125 mcg.\u00a0I tried to contact my doctor, but could not reach her. Shall I take Thyronorm 75 mcg? When will my thyroid levels become normal? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2524, + "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": 19651, + "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": 5283, + "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": 20263, + "tgt": "I feel ashamed when I fart in public. Please help", + "src": "Patient: Hello doctor, I am a 43 year old female. I am having flatulence problem. I feel ashamed when I fart in public. Please help. Doctor: Hello. Flatulence is a real big problem, especially if you are working and out and about often. Excessive flatulence can indicate indigestion. I advise you to incorporate walking in your daily routine for 30 to 45 minutes. Also, avoid food items that are too spicy, oily or fatty. I suggest taking tablet Pantoprazole 40 mg, one tablet before breakfast, on empty stomach for two weeks. Also, take tablet Unienzyme one tablet daily before sleeping at night. You can also try the herbal medicine Gasex syrup by Himalaya. It helps in digestion and relieves excessive flatulence naturally. Revert back to a family physician online after two weeks --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27606, + "tgt": "From the photo, can you tell me if the lesions are shingles?", + "src": "Patient: Hi doctor, From what was being thought to be muscular inflammation of the back under the shoulder a week ago with constant pain since last week. I have lesions in my body, which look like shingles. I am attaching a photo of these lesions. Doctor: Hello. Your main complaint is pain under shoulder and you are suspecting herpes zoster (shingles). Herpes zoster begins with pain along the affected root of nerve followed by an appearance of the rash. The rash is painful and progresses over 7 to 10 days. The pain starts decreasing and the rash subsides. The characteristic feature is it involves only one nerve root. It is a self-limiting condition usually precipitated by stress, fever, and sometimes associated with diabetes. Pregabalin or Gabapentin is helpful in reducing pain. Regards. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25553, + "tgt": "Are medications needed to rectify my lipid profile values?", + "src": "Patient: Hello doctor, Kindly see the test report and advice what precautions or medications are required especially in the lipid profile section. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). From your lipid profile test, variables like your total cholesterol, triglycerides, LDL (low-density lipoprotein), and HDL (high-density lipoprotein) are slightly either increased or decreased. All this is a reflection of being obese. But for now, I will recommend exercise and diet. You need lifestyle modification. No medications are needed. Start gym and get a trainer. So he can start you on a training exercise of at least three times a week. Start dieting, eat more fruits, vegetables, whole grain rice, etc. Eat and drink healthy for a better life. It would be best if you could get a nutritionist to make a diet plan for you. Best regards. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17201, + "tgt": "Suggest any remedy to reduce my grandma's high blood pressure", + "src": "Patient: Dear Doctor, Suggest any remedy to reduce my grandma's high blood pressure\u00a0who is going to undergo cataract surgery\u00a0soon. She is 72 years old and has diabetes too. Doctor: HiWhat is her blood pressure? Depending on her BP, you can give her one of the below medicines: Consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4843, + "tgt": "Does Entocort intake cause severe anemia?", + "src": "Patient: Hello doctor, I am a 62-year-old female. I was diagnosed with collagenous colitis following colonoscopy biopsies. I started on Entocort, three days later I have severe swelling in feet and ankles. I am fatigued the next day. On the seventh day, I had swelling of lips and a strange feeling in the throat. I called the doctor and he stopped the medication. My blood report shows: Hemoglobin - 3.6 g/dL, RBC - 1.38 million/mm3, Iron - 11, Saturation - 3. Fecal stool sample postive. I went to the ER, I was given two units of blood. My hemoglobin raised to 7.5 the next day. I was discharged. Endoscopy was performed and my biopsy report is negative. I had minor stomach inflammation. My next bloodwork shows Hemoglobin - 8.1 g/dL, RBC - 3.05 million/mm3, Iron - 51, Saturation 12. Vitamin B12 - 648. Immunoglobulins A and G are pretty low. Gastroenterologist says need to do small cap endoscopy to see if there is bleeding in the small intestine. My new stool sample results are not back yet, but stools have not been dark. What other tests need to be done to determine the cause of anemia? List the possible that medication caused anemia since I had such a severe reaction. Current medications: No prescription, only supplements. Vitamin D3, CoQ 10, Methyl B12, and Curcumin. Doctor: Hi. Entocort (Budesonide) is a corticosteroid. It is very unlikely to cause anemia, especially to the extent that you had. What was your hemoglobin prior to the colonoscopy? If it was near normal and then dropped to 3.6, that would be a huge drop. If you had gastrointestinal bleeding leading to such a huge drop in hemoglobin in a short span of time, I would expect that you would have noticed the blood in your stool. Minor bleeding over longer periods can lead to anemia, and in those cases, serum ferritin (a storage form of iron) would be low. Acute blood loss anemia usually does not cause serum ferritin to drop. Did you have a serum ferritin level done along with your other iron studies? If the serum ferritin is less than 15, it is almost definitely iron deficiency. Iron deficiency is either due to dietary reasons or blood loss. Dietary iron deficiency is rare in developed countries. So, blood loss has to be ruled out. If no obvious reason is identified on upper GI endoscopy or colonoscopy, then small bowel pathology has to be ruled out by capsule endoscopy. Other reasons for a rapid drop in hemoglobin would be hemolysis (where the red blood cells are destroyed for various reasons). This would be diagnosed by tests like: 1. Peripheral blood smear 2. Serum haptoglobin 3. Direct and indirect bilirubin 4. Direct Coomb's test 5. LDH (lactic acid dehydrogenase). Please attach any reports you have with you. That may help me give you a better answer." + }, + { + "id": 14425, + "tgt": "Is it fine to have immediate denture over implant for a month to promote healing?", + "src": "Patient: Hi doctor, What are the ramifications if you lose 20 pounds with new dental implants? I have lost seven pounds since this month. Also, having immediate dentures over implants, my dentist gave me a water pik and said it is fine to leave the immediate dentures in for a month while my extraction area is healing. I am worried that it is too long and infection could set in. Lastly, she also said having a few drinks was fine. Is it so? They are mini implants I had put in (six of them) with new immediate upper dentures. Doctor: Hello. I have been through your query and I can understand your concern. Regarding weight loss with respect to the dental Implants, I do not see any reason from your query that could lead to the weight loss. Dental implants do not lead to weight loss. However, what I could comprehend from your query is that you have been too much thinking about the weight loss due to implants which has set in the anxiety complex in you. Anxiety might be a cause of weight loss. And in response for the immediate dentures, yes they can be kept for weeks and if kept clean for even some months. Immediate dentures are fabricated in such a way that they enable the healing of the extraction site and will not lead to any discrepancies during the fabrication of the implants. They protect and preserve the bone where the implants are to be inserted. Regarding infection to the extraction site, there should not be any infection as long as you keep the mouth hygiene good and clean regularly as advised by your dentist. If you feel any pain or discomfort, then you can approach your dentist for the same. However, that is unlikely if you maintain good oral hygiene. Also, the alcohol or drinks as you call, if you have done your extraction within a week, I would advise you not having an alcoholic drink but if the extraction is done past a week, then I can allow you for a drink or two but not too much as the extraction site would not have healed properly and could lead to the insult of the injury causing pain and discomfort. However, I guess your dentist has done a good job as I can understand from your query. I would just say that you follow your dentist\u2019s advice and visit her on the scheduled date." + }, + { + "id": 2271, + "tgt": "Whenever I blow my nose, I have nosebleeds. What can I do?", + "src": "Patient: Five days ago I had thick mucous in my nose and from the carving of my nose I had a wound without special nosebleeds ... I put Vaseline and it stopped the next day but the mucus continues. they are yellowish sticky and odorous and every time I try to blow my nose I bleed again. I put only rinopanteina when I see bleeding. what can I do? Doctor: Hello, welcome to iCliniq Can you tell me if this discharge is unilateral or bilateral. how profuse is it? do you have any nasal blockade or obstruction of any type? Do you have cold? how is your smell? Do you get sneezing? Is your nose tender?" + }, + { + "id": 22706, + "tgt": "Had blood in discharge after I-pill, but my periods have not come. Please help", + "src": "Patient: Hello doctor,My last periods ended on the 1st. I had sex on the 5th. After 34 hours of sex, I have taken Unwanted 72 and again after nine hours, I took I-pill for more safety. But after that, I have no bleeding or vomiting but on 18th and 19th, I had a little blood in my vaginal discharge. Today is the 29th but my periods have not come. I have done urine pregnancy test on 28th but it was negative. But still, my periods have not come. I do not want a pregnancy. Please help. Doctor: Hello. The bleeding that you had on 18th was your withdrawal bleed, but it was scanty because you took two emergency contraceptive pills in a gap of less than 48 hours. The urine pregnancy test is negative which is done today on 29th, rules out pregnancy. However, the best way to conclusively rule out pregnancy is a serum beta hCG test which if less than 3 mIU rules out pregnancy conclusively. Your next menses now is likely to be delayed, probably after 18th of the coming month, if we consider 18th as the day of your withdrawal bleed. This can again be correlated with an ultrasound pelvis which can show us the endometrial thickness. If the endometrial thickness is less than 7 mm then you are in the proliferative phase of your new cycle already and menses would be around 18th. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13903, + "tgt": "I have yeast infection. Is it fine to have sex with condom?", + "src": "Patient: Hello doctor, I have a yeast infection. Can I still have sex if my partner uses a condom? Doctor: Hi. Yeast is not a sexually transmitted disease. It is present everywhere, just that it shows its presence when the good bacteria cannot keep its growth in check. It is fine to have intercourse with your partner. My suggestion would be using a condom during every coitus, as it reduces the risk of other STDs. Some infections cannot be seen but may get transmitted, like herpes, syphilis, HIV, etc. Please reply, if you have the following: 1. Washing the private parts often with intimate washes. 2. Using some deodorant. 3. Using tampons for a long stretch. 4. Recent use of antibiotics. 5. Eating sugary items very often." + }, + { + "id": 3556, + "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": 30729, + "tgt": "Can I conceive naturally after endometriosis surgery?", + "src": "Patient: Hi doctor, I am a 30 year old female. I have been\u00a0trying to conceive\u00a0for a year with endometriosis on ovary. My husband is 32 and normal. My AMH is 1.85. I am planning to get laparoscopic surgery. Can laparoscopic surgery reduce my AMH further more? What should I do? Doctor: Hi. The laparoscopic surgery will definitely reduce your symptoms and the endometriosis of the ovary will be taken care of. Since AMH (anti-mullerian hormone) is a hormone, post surgery the effect of it would be a little difficult to state now. Please get your surgery done and then repeat the test. Once the problem is solved, the body will take care of the hormone. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16912, + "tgt": "What causes bleeding after sex?", + "src": "Patient: Hi doctor, Last night I had sex with my wife. It was the last day of her periods. She bled\u00a0light red color with some watery fluid in it. I would like to know, is that\u00a0from menstruation or virginity defloration? Does she lose her virginity? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27431, + "tgt": "How soon should I expect a withdrawal bleed?", + "src": "Patient: Hello doctor, I am a 25 year old female.\u00a0I did not have\u00a0any withdrawal bleeding. It\u00a0has been two days since I took Unwanted 72. I took it within an hour of having unprotected sex. Is withdrawal bleeding necessary after taking the pill? Please advise me as I am concerned. Doctor: Hello. However, if you have a doubt then do 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": 11757, + "tgt": "At what circumstances does black circular patches occur in the leg?", + "src": "Patient: Hello doctor, My mother is having black circular patches on her legs. What could be the reason? Someone said it could be due to improper circulation of blood in the lower part of the body. It usually happens when the blood becomes thick. Can you please help me to understand the reason behind this? My mother is suffering from a cervical problem also. Please share your valuable advice and opinion. Doctor: Hello. The most common cause is old age. In old age, small vessels become fragile and rupture, leading to blackish bruises, common in lower limbs but can occur anywhere in skin. Another cause is medicines. If a person is using drugs called steroids or anticoagulants or antiplatelets, then such bruises can occur. Another cause is trauma. In old age, an only minor injury can cause bruises as vessels are fragile. No relation to what you called thick blood or so. Rare causes are some disorders of the coagulation system, platelet function, etc. Is she suffering from any chronic disease or is she using some medicines? Please give a complete history and also send pictures of bruises so that I may guide you properly." + }, + { + "id": 1168, + "tgt": "What is the definitive test for MND?", + "src": "Patient: Hi doctor, I have recently noticed a lot of wrinkling of my skin on both my thenar muscles of the thumb. I just noticed it a month ago. I also have a dent or atrophy on the back of my right hand between the little and middle finger. I am not sure whether this is new as it seems to appear in a video of myself taken before three months.\u00a0I am a 35 year old male. My grip strength seems good. I recently did a personal best hang test of 1 minute 20 seconds.\u00a0Two years ago, my neurologist told me that I had cramp fasciculation syndrome as I had a lot of calf and feet twitchings.\u00a0I am concerned now that I may have MND. Please help. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28503, + "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": 27314, + "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": 12322, + "tgt": "Kindly explain about the normal blood sugar level in a heart surgery patient", + "src": "Patient: Hello doctor, What is the normal blood sugar level for open heart surgery patient in the morning test before fasting and after fasting? Doctor: Hello. Normal fasting glucose levels are the same for all types of patients, persons of different age group. The range of fasting glucose is 70 to 100 mg/100 ml (earlier upper margin was allowed up to 110 mg). The usual levels measured are fasting (10 plus hours after dinner) and after food or PP level ( two hours after food). Your terminology is not correct (before fasting and after fasting). Normal PP (postprandial) level is less than 140 mg/100 ml for all persons including one going for any surgery." + }, + { + "id": 23088, + "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": 8845, + "tgt": "Is it possible to check the percentage of brain being affected by panic attacks in CT or MRI?", + "src": "Patient: Hello doctor, I am having panic attacks. Can it be seen in the MRI or CT scan for how many percents of my brain is being affected by it? Doctor: Hello. Panic attacks are due to molecular disturbances (in medical term known as neurotransmitters disequilibrium) in the brain. It is due to some stress or some time normally seen in type A personality or many times it is associated with people with migraine. It cannot be seen in the CT scan or MRI. It can be seen in a special type of MRI brain but it is used only for research purpose only in this time. Might be in future it will be available for routine clinical use. Now we will discuss clinical part. Panic attacks can be controlled easily with simple medications courses 1 to 2 months course for each clusters with proper mind relaxing exercises and Yoga Pranayam." + }, + { + "id": 17691, + "tgt": "Please have a look at my MRI and explain the treatment for back pain", + "src": "Patient: Hi doctor, Previously, I contacted you with the following issue. I got a back muscle spasm\u00a0with lumbosacral spondylosis. Posterior central disc bulge at L4-L5 and L5-S1 causing thecal sac indentation. Also, bilateral neural foraminal narrowing. I am having groin, LBA and leg pain for the past two months. More details about the presenting complaint are as follows. I have groin, hips, coccygeal and lower back pain. The pain started after starting yoga two months back. The pain has been there even after discontinuation of the same. I am also having pain and stiffness in the neck as well. I am doing desk job and walking for around 150 minutes every week. My\u00a0USG and MRI pelvis show small multiple fibroids. They are not likely to cause LBA as per gynecologist consultation. I am on SOS anti-inflammatory, calcium and vitamin D3. For the above posted query, the answer given by you was the following. What is the intensity of back pain on a scale of 1-10?\u00a0Apart from pain in the back region, is there also associated pain radiating down into the legs? If yes, which leg and what is the intensity?\u00a0Is there any associated numbness or weakness in legs?\u00a0How much distance can you walk on a daily basis and what are your analgesic requirements on a daily basis?\u00a0Ideally, before prescribing you any medications, I would like to know your neurological examination in the form of assessment of motor power, sensory examination and evaluation of deep tendon reflexes of your lower limb.\u00a0Also, I would like to see your MRI images and one x-ray (LS spine lateral - flexion and extension views) to look for any bony instability, if present.\u00a0Once I have all this information, I can then make an idea and prescribe you on what needs to be done.Also, you said that a lot of patients have a degenerative disc, but that may not be very symptomatic. So, we prescribe gentle anti-inflammatory medications, intensive physical therapy and adequate calcium and vitamin D intake to keep bone metabolism healthy.\u00a0Anyways also briefly let me know about your medication history and any associated history allergy, etc. Now, my complaint is\u00a0lower back pain and pain in the coccyx, buttocks and groins radiating to the legs for the last two months. I have attached the MRI spine and pelvis here for your reference. Doctor: Hello. 1. Early disc degeneration. 2. Improper posture at work. 1. X-ray lumbosacral spine (anteroposterior and lateral - flexion and extension views). 2. Blood investigation includes CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), serum electrolytes, serum vitamin D and B12 levels. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18715, + "tgt": "What can be the reason for back pain and stiffness?", + "src": "Patient: Hi doctor, My\u00a0middle back is slightly painful and stiff.\u00a0I\u00a0have taken some medicine and it decreased, but not completely. Also, I feel some heaviness in the forehead. Please suggest some treatment. Doctor: Hi. From the way you described, it seems that you have a locked back.\u00a0So, you need a few medicines and physiotherapy.Instructions to reduce back pain and stiffness are as follows: 1. Locked back. 2. Ankylosing spondylitis. Revert back if stiffness persists even after seven days to a orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29845, + "tgt": "We are confused with my wife's TSH reports. What is your opinion?", + "src": "Patient: Hi doctor, I would like to ask a question for the thyroid disease. My wife was suggested to get a blood test,\u00a0including TSH, T3 and T4. The report showed TSH level 14 and T3 and T4 as normal. After two days, she had a second set of test, which showed TSH level 2.58. After three days, her third test showed TSH 12 and fourth test taken three days later showed TSH 7.\u00a0I am confused and concerned about these four different reports by four different laboratories. We are planning for our first baby. In your opinion to achieve and maintain a healthy pregnancy, should she be on any medication? Doctor: Hi. Revert back with the reports to an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 11496, + "tgt": "Skin of penis is peeling a day after sex. Can it be yeast infection or STD?", + "src": "Patient: Hello doctor, My partner and I had sex and a day after, the skin on his penis was peeling. I have no clue what it means. It is still peeling and we had sex a week ago. I went to get it checked out I have not heard anything yet. He said he got checked two weeks ago and I got checked a day after. Please note, I had chlamydia two years ago. Doctor: Hello. The peeling of skin after sexual intercourse occurs in 3 to 5 % of men. The most common cause is allergic (contact dermatitis), followed by fungal infection and STD like chlamydia or gonococcal infection. However, STD is associated with pain and dysuria. The other two are possible causes in your case. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26545, + "tgt": "Why is there a cut on the foreskin of my penis?", + "src": "Patient: Hello doctor, I had sex with my wife for the first time day before yesterday. The foreskin of\u00a0my\u00a0penis\u00a0got cut\u00a0from inside, or there was something on the left side which started hurting. So, I\u00a0applied Savlon\u00a0last night and slept. Today morning, I saw a white substance at the tip, and so I\u00a0cleaned it with cotton and Savlon again.\u00a0But, I think it is a cut, and it still hurts\u00a0there.\u00a0My penis is thick, and my wife's\u00a0vagina is tight. Is this the cause of the cut? Or will\u00a0it happen after one has had sex for the first time? What should I\u00a0do? Please help. I am attaching the picture of my penis before and after cleaning. Doctor: Hello. I\u00a0have seen the images sent by you (attachment removed to protect patient identity). Regards. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23349, + "tgt": "I have a hard lump in the jaw. Is it a lymph node?", + "src": "Patient: Hello doctor,I have a hard large lump on left side of the jaw that was shown to be a lymph node 6.6 mm for six months now. First appeared after major facial swelling that went down after 10 days of Augmentin but the lump stayed the same. CT scan also showed two other masses one 7 mm and one 9 mm. Wondering if it is something to be concerned about. I am 32 years old, female. I had very itchy feet for two years with no relief from medication, last couple months very fatigued and loss of appetite. Doctor: Hi. It looks these lesions are reactive non-cancerous lymph nodes (attachment removed to protect patient identity), which may occur sometimes after a throat, oral, sinus or ear infections. Do you have any such history of infection? Do you smoke or take alcohol? I will suggest you to visit an E.N.T specialist and have an oral and throat examination done. If needed they will take FNAC (fine needle aspiration cytology from these lymph nodes, which will clear all the doubts. These nodes are not so large and are less than 1 cm in size. If it would have been cancerous they will not stay at the same size for a long time. Regarding itchy feet that may be related to skin problem dermatitis. If you can send me CT scan result reports and laboratory results also. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 5075, + "tgt": "My leg and knee muscles are stiff with restricted walking due to arthritis. Please advise medicine", + "src": "Patient: Hello doctor, I am suffering from arthritis for about a year. Due to arthritis, I am almost on the bed for six months. Now I am fit but as I was on bed for six months my leg muscles (behind the knee) was badly stiffed and band to 90 degrees. I cannot stretch my legs straight, because the leg muscles which is behind the knee is hard and badly stiffed. I cannot walk. My doctor advised me to exercises, but I do the exercises for the past two months but there is no satisfactory relief. Now please advise me on any medicines, topical ointment and multivitamins or anything, so that I can recover fast. Doctor: Hello. I have studied your case. As per your symptoms you need to do physiotherapy and knee exercises to improve the range of motion. You need to consult a physiotherapist for proper rehabilitation. Initially, quadriceps strengthening and range of motion exercises are important, later on against r\u00e9sistance theraband exercises. You can flex and extend your knee while lying supine flat on the bed with the foot resting on the bed. With standing position, you can lift your patella superiorly as you do in quadriceps strengthening exercises. You can also squat with support of a wall to back and gradually increase your knee range of motion. CPM (continuous passive motion) physiotherapy machine will help for knee range of motion. Mobilization under anesthesia may help if not recovered. I hope this helps." + }, + { + "id": 5811, + "tgt": "Are results of HIV tests with p24 conclusive after 28 days of exposure?", + "src": "Patient: Hello doctor, I am a 30-year-old man. Recently, I was tested for complete STD checkup with TORCH test. I have a few doubts: Are HIV 1 and 2 with p24 duo test after 28 days window period conclusive? My result is nonreactive. I got a positive result for rubella. CMV and HSV 1 and 2 IgG positive but IgM negative. Am I an eligible person for marriage and sexual relationship? What is the treatment plan for those TORCH IgG positive results? Of note, I had unprotected oral sex twice and protected vaginal sex three times in the last two months. Doctor: Hello. Fourth generation p24 anti-HIV (human immunodeficiency virus) antibody is conclusive after a window of two to three weeks. So a negative result at 28 days is reliable. A positive IgG (immunoglobulin G) for HSV (herpes simplex virus) 1 and 2 means you have an old infection with herpes 1 or 2. HSV type 2 commonly causes genital herpes and HSV type 1 causes orolabial herpes. There is a risk that you may pass on the infection to your sexual partner. CMV (Cytomegalovirus) positivity is quite common in general population. It is a common viral infection and does not cause any issues in immune competent healthy individuals. HSV needs to be treated only if there is a clinical episode. There is no need to treat CMV. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 28031, + "tgt": "Why is my CK value out of range?", + "src": "Patient: Hi doctor, I really have long term pain now for almost three years. It is mostly in the legs and arms. It sometimes gives me heat on the skin and it pains. It is so sensitive even when you pour on water. I visited several specialists in my country and had several tests and finally they used to say that my results are normal. The tests I have done include complete blood count, sickle cell test, HIV 1 and 2, ECG, echo , calcium, ANA, Rh factor, Hepatitis B, glucose, U&E, CE , p-GluR-1, ESR, Hep B rapid. Among those only creatine kinase was out of range. I am really worried. I even no longer do work out. I feel some pain while running. Please help. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7724, + "tgt": "Having refractive error of more than 6 in both the eyes. Suggest me treatment options", + "src": "Patient: Hi doctor, My wife is having a refractive error of more than 6 in both the eyes. Please suggest various treatment options available. Doctor: Hi. There are many treatment options available for management of this condition. The most popular and most frequently done are laser refractive surgeries like LASIK. The surgery is very safe and you can undergo the surgery to get rid of refractive errors. Please mention her full refractive power, whether it is plus or minus and age of the person so that I can advise if she is fit for the surgery. Consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4741, + "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": 13565, + "tgt": "Can you tell me if there are signs of cancer in my mother's MRI?", + "src": "Patient: Hello doctor, I need to have my mother\u2019s MRI read by a radiologist. Her doctor ordered her to have an MRI done and she had one done yesterday. My mother has had neck pain for at least a year now and her doctor believes the problem is arthritis, but not sure. My mother went to a physical therapist and had several shots in her neck for pain, but that did not solve the problem. I have sent the files of the MRI. Doctor: Hi.I have read through your query in detail and have gone through the MRI (attachment removed to protect patient identity). Please find my observations below. In conclusion, pain in the neck is possible with this kind of an MRI finding and might be considered a finding that is to be managed medically. Surgery is not required in this case as the findings are mild.Physiotherapy and nerve pain relief medicines are the first treatment of choice." + }, + { + "id": 20463, + "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": 18831, + "tgt": "As me and my fiance are carrier of Hb E beta thalassemia, we need your valuable advise", + "src": "Patient: Hello doctor, Recently, I found out that I am a carrier of Hb E beta thalassemia. The problem is that my fiance\u00a0is also a carrier and he is carrying Hb E trait. We do not want to separate. If you can give us your valuable advice, then it will be a great pleasure for us. Doctor: Hi. For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17064, + "tgt": "I have some blister-like bumps on the white of the eye. What are they?", + "src": "Patient: Hi doctor, I have some mild generalized pain in the left eye, which is noticeable when blinking or moving the eye. There\u00a0appear to be a few small blister-like bumps on the white of the eye. There is some slight yellowing in the area of the bumps, and red irritated looking blood vessels surrounding that. I have attached a picture of my eye. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21979, + "tgt": "Why is there pain in buttock and thigh in an IBS patient?", + "src": "Patient: Hello doctor,This case of suspected IBS is related to my wife who is 34 years old. Symptoms mentioned below in sequence since seven months back are:Stabbing pain in lower part of left butt only which radiated down to the knee. The timing of pain occurrence is not specific, sometimes during the day, suddenly while getting down from the car, while walking along the road and then would go off suddenly.At times, the pain was severe that made her stay awake at midnight and she could not walk properly. This happened for one week, this would not be eased with Voveran gel or other oil massages. No morning stiffness observed.Abdominal pain and bloating followed in the morning.Often all the above symptoms would lessen after passing stool or gas and would worsen with a treadmill exercise (pain would start).She was taken to a GP who treated her for gastritis but symptoms of stabbing pain were not relieved which also occurred in the daytime but did not happen night but the abdominal pain was there with bloating.She also visited a gastro, who suspected IBS. Gave medicine for nerve pain (no NSAIDs), symptoms of gas, etc., reduced. Stabbing pain relived mostly, no abdominal pain.X-ray of SI and spine were fine.ANA was fine.Only ESR was high 74 but three months later it was 54.Currently, she is taking Levosulpiride, Esomeprazole Domsta, and Lactifiber NP. Doctor: Hi. Her symptoms suggest either meralgia paresthesia or nerve compression of L4 L5. Yes, IBS (irritable bowel syndrome) or gastritis may be associated.In such case, my recommendations would get her an MRI LS spine. Most of the time X-rays do not show nerve compression. I would recommend only the following medications: Get her MRI and write back to me with reports. For more information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 6819, + "tgt": "What are the ways to reduce uric acid level?", + "src": "Patient: Hello doctor, I am suffering from gout. My uric acid level is 6.9. I am suffering from back rim pain, leg pain. How can I reduce my uric acid and what kind of food diet I should follow and which food will reduce my uric acid? Doctor: Hi. Well, to be honest, uric acid of 6.9 is not very high and moreover in females it very rarely causes arthritis unless it is post-menopause. Secondly, the pain due to uric acid are different and very unbearable. It usually causes swelling of one joint, associated redness and warmth and the pain is such noone ever forgets. So we need to look into other causes of your pain. As for the uric acid of 6.9, best you can do is diet control and adequate water intake. Amongst the diet, avoid red meat sea food, soft drinks and liquor. Increase the dairy products intake, more of water, brocolli, ginger. At this stage, I do not feel you need medicines for uric acid as we normally do not treat it till 9. And we need to investigate you for the reason for back pain and leg pain." + }, + { + "id": 6203, + "tgt": "I am having headache even after taking Prednisone pac. Why?", + "src": "Patient: Hello doctor,I am 70 years old, male with history of migraine for 40 years. The last few years for stress, I have taken 60 mg Cymbalta twice daily. My headaches sometimes give me the aura and sometimes slight dizziness for 10 to 15 seconds with headache to follow. Over the years I have tried all kinds of medicines like Paxel, Topamax, etc. Maxalt and this sort of medicine have not worked. My headaches were pretty well controlled with Cymbalta and Gabapentin twice per day. I went off the Gabapentin three years ago and only experienced 3 to 4 migraines per year. My headaches have a history of pain 3/4 on 10 but long duration 7 to 30 days. A few years ago a headache specialist prescribed Prednisone pac which generally works. I have had two migraines this month, this one started with mild dizziness for 10 seconds followed with headache. I started with three Prednisone for four days and restarted the Pac beginning with 6 tablets day one, five tablets day two, four tablets day three, etc. Also had Toradol shot three days ago. Headache is mildly better but not gone. Any ideas to abort? Doctor: Hi. First of all, one needs to confirm that it is indeed migraine. I would recommend the following: 1. Do MRI brain. 2. If MRI is normal, ask the neurologist to consider starting Valproate 500 mg once a day. If the migraine is resistant to all medicines, occipital nerve stimulation can be considered." + }, + { + "id": 16761, + "tgt": "What causes burning sensation of legs in an arthritis patient?", + "src": "Patient: Hello doctor, My mother is 80 years old. She is suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She is having NSAID and other general medicines since five years. Her ESR level suddenly rose. From last few months she felt extreme burning sensation at both of her lower legs especially after taking lunch. Since, she is unable to walk properly due to her disease and also due to severe pain, we are facing problem to take her to a doctor like before. I would like to know which medicine will be helpful to control the burning sensation. I am attaching the MRI report for your reference. Please guide. Doctor: Hello. I have gone through the MRI report (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27504, + "tgt": "Why does my daughter get bumps on her buttocks when she sweats a lot?", + "src": "Patient: Hi doctor, My child keeps getting these bumps. The doctor tested for bacteria and fungus, but both were negative. Any ideas on what this could be? It does not bother her at all. It is itching now, but it goes away when I put Triamcinolone ointment on it. But, I do not want to keep using that since it thins the skin. Any thoughts on this? The child is highly active. She plays hockey and sweats a lot. It seems to be worse after hockey. Doctor: Hi. I need the following information: Regards. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 1242, + "tgt": "I feel pain at my lower left side of the abdomen, and it burns while peeing. Is it due to urolithiasis?", + "src": "Patient: Hello I feel pain at my lower left side of abdomen,, Also It\u2019s hard to pee ( feeling burning) the symptoms looks like I have Urolithiasis. I need to make sure Doctor: Hi, I understand your concerns. You are finding it difficult to pee and there is a burning sensation. These may be due to urinary tract infection (more likely) or stones. In your urine report there are a few microorganisms and red blood cells are also present -these are suggestive of urinary tract infection. Please get an urine culture sensitivity report and an ultrasound of kidney,ureter and urinary bladder. Plenty of fluids is advisable and antibiotics have to be taken on basis of your culture report. Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine. Diagnosis of stones is based on urinalysis and radiologic imaging, usually noncontrast helical CT. Treatment is with analgesics, antibiotics for infection, medical expulsive therapy, and, sometimes, shock wave lithotripsy or endoscopic procedures. Hope this helps. UTI UTI Urine Culture sensitivity Ultrasound of kidney,ureter and urinary bladder. Urolothiasis UTI Plenty of fluids And antibiotics according to urine culture report. Plenty of fluids,genital hygeine." + }, + { + "id": 239, + "tgt": "Is it necessary to have crutches for ankle pain after an injury?", + "src": "Patient: Hello doctor, My ankle started hurting last week, and it has gotten worse, it is very painful and uncomfortable to walk. My question is, do I need crutches? I am a girl. Doctor: Hi. Looking into your problem it seems you are badly in pain and looking for things can help you walk so you remember about crutches. As simple protocols use simple formula RICE rest, ice compression and elevation of your feet are key sutra. For severe sprains, you might need a brace for protection and stability its good to use ankle brace having binder together in it. You may need crutches until you can walk without pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help to control pain and swelling. We need to evaluate ankle with Grade II or Grade III sprains. Grade III sprains with complete tears of the ligaments even might need surgery to repair the injured ligaments. One thing to remember is that always in most cases, follow-up rehabilitative exercises are to restore strength and range of motion in the sprained ankle-also help to prevent future ankle injuries. If it is not healed ,think of doing X-ray of ankle, you might not know sometime there can be hairline fracture too (stress fracture)." + }, + { + "id": 18792, + "tgt": "There is no improvement in my father's cough. What to do?", + "src": "Patient: Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to severe chest pain. His\u00a0EKG was apparently unconcerned, chest x-ray was clear, CT scan of the chest was normal and all the laboratory tests were normal. He was given Morphine and Nitro and the chest pain got resolved. He was sent home the same night with Nitro prescription and an appointment to see a cardiologist. He saw\u00a0cardiologist one and a half weeks ago. His cardiologist said that his EKG reveals AFib and not happy with a CT scan of the chest due to poor timing of filming versus contrast injection. He\u00a0placed him on Diltiazem, Eliquis and Nitro prn. Also, he placed him on a cardiac monitor at home and given a follow up in two weeks.After the cardiologist appointment, my dad started getting a horrible dry, hacking cough, which gets worse every day. He is unable to sleep. He can only sleep on the chair here and there. Strangely, when he lies down, the cough subsides. It resumes immediately on sitting up and walking around.\u00a0I finally convinced him to call the cardiologist about severe unrelenting cough since being put on new medicines. Then, we met the cardiologist and had a heart monitor read. As the cough still persists, chest x-ray was ordered and no pneumonia, but fluid was found around his heart. So,\u00a0the cardiologist has placed him additionally on Digoxin, Lasix and Potassium along with Cardizem, Eliquis and Nitro prn. He is asked to wear monitor longer and given next appointment after three weeks.Now, he is on the third day of medication and no change was observed in cough or inability to sleep. It even got worse now.\u00a0He has never had heart issues before.\u00a0I need your help on my father's cardiac illness and diagnosis. Doctor: Hi. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typical when lying down, since the position of the heart changes then. My advice is to consult your cardiologist to revise the dosage of Lasix (Furosemide). Furosemide is the only medicine that will help the water to clear out, it also might cause a bit of the cough, which was the reason for changing of the medicines by the cardiologist initially, due to the side effects of cough. I understand your concern, but according to me, the treatment is fine, except maybe he might now need a higher dose of Lasix or admission to get the Lasix IV administration. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15869, + "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": 16496, + "tgt": "I have bloated stomach and dizziness. Please help", + "src": "Patient: Hello doctor, I am feeling dizzy and bloated in the stomach. I do not have tendencies to vomit but have mild headaches. I am preparing for a big exam so I am under some good amount of stress. I am burping a lot. Doctor: Hi. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand, the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation. In order to relieve yourself, you need to do the following. Avoid spicy food, take small but frequent meals. avoid long gaps between meals. Avoid alcohol intake (if it is a part of your habit). Take Prilosec (Omeprazole) once daily before breakfast. Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like Isabgol or psyllium husk or senna. I would insist you to increase your dietary fiber intake. Regular morning walk and exercise to keep the bowel movements proper. Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. Stress reduction has a very important role to play. Yoga and meditation should help." + }, + { + "id": 28144, + "tgt": "I have a bad relationship with my parents. What to do?", + "src": "Patient: Hi doctor,I have a bad relationship with my parents. We do not understand each other, and I do not know what to do and what not to do. It is frustrating me. Please help. Doctor: Hello. Thanks for this query. Hope my answer helped you.\u00a0Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10729, + "tgt": "Velocity E is 84. 2 cm/s, and the MVA max velocity is 133. 5 cm/s. What does it indicate?", + "src": "Patient: Hello doctor, I was diagnosed with diastolic dysfunction. The report says velocity E is 84.2 cm/s, and the MVA max velocity is 133.5 cm/s. What does this mean? Doctor: Hello. Diastolic dysfunction means there is dysfunction in cardiac relaxation. This is not a worrisome thing and quite common in elders, overweight and patients with hypertension, and other diseases which must have been ruled out on echo and ECG. However, this may cause symptoms like shortness of breath, pedal edema, etc. Needs to have a low salt diet and low dose diuretics like Torsemide for shortness of breath. I Hope this helps you and get back if you have any doubts." + }, + { + "id": 19596, + "tgt": "My 13 year old has grade-1 fatty liver. What should I do?", + "src": "Patient: Hello doctor, My son is 13 years old. He has grade-1 fatty liver. SGPT 149 and SGOT 70. His cholesterol is also high at 230 and triglyceride is 200. LDL 140. Blood pressure around 150/87 but varies a lot and comes down to 125/80. Pulse is always above 90. His height is good around 5 feet 7 inches and weight 84 kgs. Looks overweight. He exercises around 45 minutes five days a week and eats junk only twice a week. Please advice. What should I do about the above? Doctor: Hi. All of these symptoms are suggesting metabolic-X syndrome. In the long run, if not controlled then there is a high risk of developing complications, like diabetes and heart problems. The best suggestion I can give is to see a good endocrinologist and follow up with him, as he needs to be tested for hormones like cortisol, thyroid, androgens. Cut back on junk, not even once a week. It is poison for him. Continue exercise, fast walking, not jogging. With this weight, jogging can be harmful for joints. Anti-cholesterol medications are usually started after 18 years of age, I would not recommend starting right away. Fatty liver grade 1 is totally reversible with weight management, I would suggest do caloric count per day. Do not let him take 2000 KCal in a day, Everything more than that gets deposited in form of fat. Use more proteins than carbohydrates. Repeat ultrasound liver in six months to see the resolution of fatty liver status. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 20597, + "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": 15430, + "tgt": "Why is there a big hole at the site of tooth extraction? Do I need to worry?", + "src": "Patient: Hello doctor, I got my tooth pulled six days ago and it still hurts really bad. There was something in my gums that is no longer there and now it is a big hole. What to do? Do I need to worry or it is just the process of healing? Doctor: Hi. Your extraction socket has lost the blood clot that is responding for healing and it has led to dry socket formation. Due to this, there is a pain. You should consult your dentist and get evaluated. He can clean the extraction socket with antiseptic solution and place medicated dressing like Zinc oxide eugenol that has pain relieving and healing action. The dressing should be changed every alternate day till healing is considerable. Along with it a course of antibiotics and painkillers will help. For now, take painkillers like Ibuprofen to relieve pain. Loss of blood clot. Dry socket." + }, + { + "id": 20592, + "tgt": "Why is there a thickening of the skin on toe?", + "src": "Patient: Hello doctor, I have noticed thickening of the skin on the right toe which is a little darker than the rest of the skin. There is no irritation, or any other issue. I have been applying moisturizer to keep it softer. What are the cause and remedy? I am a diabetic aged 52 years and diabetes is under control with medication. HbA1c was 6.7 % 20 days back. Doctor: Hi. Since how many months you have noticed this? Do you have similar lesions anywhere else? Knuckle? Neck? Possibilities are frictional hyperkeratosis or acanthosis nigricans. Most likely it is frictional hyperkeratosis, could be friction from the footwear, since it is localized and involves single toe as per the picture (attachment removed to protect patient identity). The other possibility is acanthosis nigricans, thickening, and darkening of skin over the neck, armpits, knuckle, toes, common in diabetes. Frictional hyperkeratosis responds to topical corticosteroids with Salicylic acid combination ointment, like HH Salic ointment, mix it with Xerina cream (moisturizer with Urea and Glycolic acid, helps to smoothen and lighten the skin) in 1:1 ratio. Apply a thin layer to the affected spot only at night. Make sure not to apply on the normal skin. Use it for two weeks. Use soft footwear that does not put pressure on the toe." + }, + { + "id": 28690, + "tgt": "Why are my eyes extremely sensitive to neon green?", + "src": "Patient: Hi doctor, I am a 26 year old male, who weighs 240 lbs and I am 6.3 feet tall. My eyes are extremely sensitive to neon green, and it is so severe that I develop physical discomfort and loss of visual acuity when exposed to large amounts of it. Why is this? Doctor: Hi. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21974, + "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": 24038, + "tgt": "I am 11 weeks and 4 days pregnant. Are my blood sugar levels normal?", + "src": "Patient: Hello doctor, I am 11 weeks and 4 days pregnant. I have done glucose challenge test (GCT) one hour and the result was 174 and glucose challenge test (GCT) two hours was 174 with 82.5 grams glucose but fasting plasma glucose was 82, HbA1c 5.5 and estimated average blood glucose level was 111.15. But I did these tests at 10 weeks and our doctor said this is high sugar and sent to an endocrinologist to show our test report but when we met with him during consultation he said this was not appropriate time (10 weeks) for glucose test as you did this earlier and he recommended to do the same test only at 24 to 28 weeks, and there is nothing to worry he said. I am worried about this confusion as both the doctors gave different advise. Kindly help me to overcome this situation and what to do next for my baby and for me. My doctor also said to go for NT scan and double marker test. Kindly reply me I am waiting for your fruitful advice. Doctor: Hi. How are you doing? Let me start by saying that you are absolutely fine. Your endocrinologist has given you the right advice. Let me give you a few facts as per WHO and world standards: You and your baby are absolutely fine. You do not need to worry. Trust me you are absolutely fine, nothing needs to be done. Hope I have clarified your query. Do write back if any more queries and for your feedback. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8125, + "tgt": "Can I take Augmentin during pregnancy?", + "src": "Patient: Hi doctor, I am 33 years old with a\u00a0weight of 74 kg. I am 3 weeks pregnant. I have a severe chest infection. Is it fine to take the antibiotic Augmentin Duo 620? Thank you. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15978, + "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": 19166, + "tgt": "What ayurvedic medicines can help cure boils around my buttock area?", + "src": "Patient: Hello doctor, I am a 32-year-old man. I have been suffering from recurrent boils and folliculitis on and around my butt area since two months. It comes and goes. Sometimes, it lasts for three days and sometimes seven days, but never more than that. This time I got one on my hipline and it lasted for around three weeks. Since then I got more on the other side which again lasted for around two to three weeks. The size of the first one was approximately 0.7 cm. At present, there are two on the left side and one on the right. Surprisingly, one day I was unable to sit properly because of pain and the next day there was no pain and this continued for some days and then I got relief for three to five days and suddenly felt pain the very next day. They occur almost at the same place. I suffer from tiny ones from time to time, but they vanish in three to five days and are never an issue. Also, I sit for a prolonged period of time all day long. I have heard that it happens because of that as well. Is it true? I do not want antibiotics. Can it be cured without them? How do I make sure if it is caused by bacteria or something else? Doctor: Hello. There are small boils around the anal area, recurrent formation and inflammation mostly occur in the anal fistula. But it needs physical examination to know the the exact diagnosis. Prolonged sitting, driving two-wheelers, chronic constipation as these are the causes of anal fistula. Inflammation, recurrent boils around the butt area may also be due to an allergic condition. We need more details about this and pictures of the affected areas to know better diagnosis and treatment. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14283, + "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": 2083, + "tgt": "My wife has pain in right ear on reclining with a feeling of something inside. Please help", + "src": "Patient: Hello doctor, My wife is feeling pain inside her right ear. According to her, she feels the pain more when she lies on the bed or recline her head for any purpose. The intensity of the pain is also showing up around her ear too. It is her feeling that there is something inside the ear, which may be water or something like that. All these have started the day before yesterday. Please help. She used Paracetamol for the same. Doctor: Hello. Your problem could be due to an infection inside the ear or secondary to nose and throat problem. I would like to know if she has any nose block, excessive sneezing, or throat irritation? Any ringing sensation in the ear or giddiness? Any discharge from the ear, if yes, for how long? Any relief after taking Paracetamol? Please get back to me with the reply." + }, + { + "id": 575, + "tgt": "What causes itchy skin rash around genitals?", + "src": "Patient: Hello doctor, I have a super itchy skin rash around my genital (not on my genital) and on hip. It has been there for a few months now. First it was around my genitals and hips but now it is on my hips only. Whenever I used to scratch, dead skin and dry blood comes off. At first I thought it was just a rash and will go away but now it has been a month and it is not going anywhere. It is continuously itchy. Doctor: Hi. It seems the rash and itching in the groins and waist area could probably be due to a fungal infection of the skin. This is very common especially in tropical countries and more so in the hot humid summers. To accurately diagnose the same further information like images of the affected area, total duration of the rash, any other areas affected, any discoloration of nails, etc., is needed. If it is indeed a fungal infection the following can be kept in mind: 1. Treatment of fungal infections includes applications which contain Ketoconazole, Sertaconazole, Luliconazole, etc. Oral antifungals like Terbinafine and Itraconazole are often used in combination for better clearance and reducing recurrences. 2. Local hygiene is very important. Taking bath daily, drying the skin folds after bath, keeping soap and towels separate and drying your clothes in sunlight and ironing them before wearing will help to kill the fungal spores. So, I will recommend evaluation by a dermatologist to decide on the treatment. If you have any queries please feel free to reach out. Hope this helps." + }, + { + "id": 12018, + "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": 1967, + "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": 26348, + "tgt": "How can I deal with aggressive behaviors of my sister?", + "src": "Patient: Hello doctor, I have a sister and we are living together after my mother's death. We are living in a country where there are more traditional aspects. The problem is that my sister has some aggressive behaviors. An unsuccessful love affair has turned her to have more aggressive personality. She has been always fighting with my mother sometimes throwing and breaking things. My mother even had serious injuries. She never accepted to take any advice and told us that she was very healthy and normal. She is totally a different person outside the house usually very shy and not a friendly person. My mother always kept a\u00a0secret and never told anybody whatever she did to her. I was the only person who knew about the abuse. I lost my father at a young age. Now that my mother has gone, she is behaving with me in the same way and I do not know what to do. I know she will never accept to take any professional advice. I am afraid that she will hurt me if I tell her to do that. She has also bullying-like behaviors and is always trying to make me angry whenever she wants by distorting words and humiliating me. I do not\u00a0know how to deal with this.\u00a0I am feeling anxious, nervous, and frightened. I really need advice for myself how to deal with this kind of person. I will be thankful if you could help me. Doctor: Hello. I suggest the following: Regards. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17401, + "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": 13382, + "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": 30160, + "tgt": "I had two CAT scans with and without contrast. Which is reliable?", + "src": "Patient: Hi doctor, I had a CAT scan done two weeks ago with dye. It showed that my liver was normal.\u00a0I had another one done yesterday as I am having problems with diverticulitis with dye and oral white drink.\u00a0This one showed subtle roughness of liver, suggesting cirrhosis.\u00a0I have had elevated liver enzymes for years and was told I had a fatty liver. Why did not my earlier scan show the same finding? But, these scans were\u00a0done at two different places.\u00a0Any information that you can give me would be greatly appreciated. I have been on Cymbalta for approximately 12 years and now I am being taken off due to elevated liver enzymes. Doctor: Hi. Your question is really genuine. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19511, + "tgt": "I started taking prenatal vitamins to conceive. Can it mess up my hormones?", + "src": "Patient: Hi doctor, I am trying to conceive from the age of 31, and I just turned 37. When I started keeping track of my menstrual cycle, it was a 37 days cycle, but now from few months, it is a 30 days cycle.\u00a0Around that time, I began taking prenatal vitamins,\u00a0Myo-inositol, and CoQ10, to help my old eggs. My cycle after I took these medicines progressed, and I noticed it messed with my ovulation day. Then I did not get my periods until the 37th day of my cycle, so I stopped taking the vitamins.\u00a0And just when I was going to go to the doctor, after 58 days my period dribbled in weakly. The period itself was odd and concerning, I bled for 11 days, and the last five days being very heavy. I have never bled more than seven days before.\u00a0Now, I am on the 37th day of the cycle but still did not get my period. I am getting nervous.\u00a0Could my hormones still be messed up from the supplement, that I stopped a month ago? I have also been off my antidepressants (Wellbutrin and Lexapro) for a month, after taking them almost half of my life. Could that affect my cycle? Am I going into menopause on the strike of my 37th birthday? Can it be a cyst or cancer? Doctor: Hi. In the meantime, please stay calm. Being anxious will not help at all, everything has a solution, and we will find the best possible one for you. Revert with more information to an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 13583, + "tgt": "Is it advisable to not use Nuva ring for seven days in between menstrual cycle?", + "src": "Patient: Hello doctor, I am on the NuvaRing and this is the 7th day of it out because I was trying to have my period. Should I put it back in today? This is my first month on the NuvaRing and it is to regulate my period and I started my period a few days back. Prior to the NuvaRing, I did not have a period for over a year. Doctor: Hi. The NuvaRing is to be worn for three weeks, while off for one week. If today is your seventh day, insert it tomorrow. Mark it on the calendar, and count it as the first day of your next cycle. Wear it till 21st day, remove it on 22nd day morning till the 28th day. The 29th day is again your first day of next cycle." + }, + { + "id": 13642, + "tgt": "Do Levofloxacin and Azithromycin tablets cause any side effects?", + "src": "Patient: Hi doctor, I am a 19 year old male and I weigh 46 kg. Over the last seven months, I am suffering from fever along with chest and back pain. I also have body ache and little blocked nose but not runny nose. The mucus keeps coming out from my mouth. I have headache and I feel very tired. My stool is also not regular. It happens in every 3 days and I have no appetite. I visited a doctor, who examined me and suggested Levofloxacin and Azithromycin tablets for 5 days, Nam Cold for 10 days, pre and probiotic capsules for 10 days, Pantoprazole and Domperidone tablets for 2 months along with a cough syrup, if necessary. My question is this that I have searched about Levofloxacin and Azithromycin tablets online and found these tablets have very bad side effects. It is mentioned that it increases the risk of death and serious cardiovascular disease. So, I am very afraid to take these antibiotics. Will it increase the risk of death? I do not know what to do. Please tell me what I need to do. Is there any alternative medicine. And if I take this, will it affect my health badly? Is there any alternative home remedies or antibiotic medicines that prevents bacteria? I have not took any medicines yet. Please suggest. Doctor: Hi. I have read through your query in detail. Please find my observations below. It is right that tablet Azithromycin might cause heart disorder like increased abnormal rhythm and this is seen usually in the elderly age group. At 19 years of age and if you have no known cardiac disease then you might take tablet Azithromycin. Tablet Levofloxacin is a safe antibiotic in adults. In your case the doctor has given a combination of tablet Levofloxacin and tablet Azithromycin. Since mucus is coming out of mouth, you probably have a bacterial infection in the throat. There are alternative antibiotics like tablet Augmentin (combination of Amoxicillin and Clavulanate) or tablet Cefixime which have been used to treat upper respiratory infections. However, these medicines require prescriptions and to be taken in recommended dose. If you have started taking tablet Levofloxacin and tablet Azithromycin, then you can continue it for five days without any significant risk. If you have not started the medicine then you can talk to your doctor and ask him to give tablet Augmentin for five days. Tablet Nam Cold (Pseudoephedrine) is to reduce cold symptoms and some people might feel drowsy after taking this medicine. Therefore, please avoid driving after taking this. Pre and probiotic capsules will help in digestion. You do not have gastritis and vomiting therefore taking tablet Pantoprazole and tablet Domperidone combination for two months is not required. You can take this also for ten days and then stop. Please have your meal on time and include vegetables and fruits. Your diet must include 2200 kilocalories daily with vitamins and minerals. When you get up in the morning you might drink a glass of warm water and this will help in proper stool habit. Cough syrup is not required for you. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18250, + "tgt": "I have excessive body hair and obesity. Please help", + "src": "Patient: Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the medications had little to no effect. Recently, I was referred to an endocrinologist and it was discovered that I have a missing 21 hydroxylase enzyme. Other tests were done but were normal. My cortisol was fine. However, my testosterone levels were high and it was found that I was indeed Insulin resistant. The endocrinologist has put me back on Metformin 500 mg, three times daily and has requested that I return and see them in six months. I suffer from severe hirsutism, thinning of hair on the scalp, and obesity. Despite me being active and having a fairly good diet, it has been extremely difficult to lose weight. I cannot help but think that they have missed something. Can you have adrenal hyperplasia with insulin resistance? They have said no more to me with regards to the missing enzyme. None of the doctors seem to be able to treat my condition. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resistance as well. The treatment of Metformin is alright, but you also need oral contraceptives to combat these excess androgens produced. The missing enzyme cannot be replaced. Only the resultant issues arising from its deficiency can be dealt with. Since your cortisol was fine, the doctors are not worried about the missing enzyme anymore. Yes, you can have adrenal hyperplasia and insulin resistance together. Please try to exercise as well as to lose some weight as it helps with your symptoms. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 11341, + "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": 30824, + "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": 9089, + "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": 8831, + "tgt": "Red rash on the glans keeps coming back after sex or masturbation. Please help", + "src": "Patient: Hi doctor, Over the past three months, I have been experiencing some penis problem. I have a consistent red rash on the front of my penis glans that can go away and come back daily. After sex or masturbation, the rash will get brighter and red, unraised dots (not itchy) will appear all over my glans and foreskin. They will usually disappear on their own within three to four days. My penis glans are also very dry and have a wrinkled look to it, and the foreskin can stick to the penis glans and have a 'bandaid' effect when retracting the foreskin down. However, by applying Vaseline twice a day I have noticed the dryness to subside, although the red rash will typically remain. I have been tested for STD's and have had a yeast swab test all come back negative. The doctor ruled out herpes by looking at it and said it was mild balanitis (inflammation of the glans). However, I have been washing with just warm water daily (ruling out any allergic reactions to soap) and keeping the area dry. This is more an esthetic issue than functional and it is ruining my confidence with my girlfriend. Why do I always get balanitis after sex or masturbation? The symptoms seem like yeast, but my swab test was negative. Please help. Doctor: Hello. I have noted your concern. On and off rash suggest that it is some sort of a skin condition like a noninfective balanitis, if not a yeast infection. Moreover, the swab test may sometimes reveal the yeast on a repeat test so that can be considered along with a fungal culture. I also request you to kindly upload an image of the affected area so that I am able to guide you better. Regards. For more information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6051, + "tgt": "I developed rashes all over the body which looks like typical sun allergy. What could it be?", + "src": "Patient: Hello doctor, I started developing a rash all over my body. It first started on the lower parts of my legs and looked like ingrown hair or small goose bumps with very tiny white or skin-colored little bumps that do not itch. In the areas where it is more concentrated, it looks more like dermatitis but very small, so it is not very obvious at the first look. I also had areas on my arms. Yesterday, it also started to develop very strongly on my chest area where it itches a bit and also has reddish bumps and it looks like a typical sun allergy. Today, I even see the same rashes developing on my toes and in all the rash has spread all over my body now. Although it is not itching, I feel very uncomfortable because it feels like I have a very rough skin surface. What could this be? Doctor: Hello. I have gone through the details of the history of your problem provided to us, as well as the clinical photos. (attachment removed to protect patient identity). As per the history, distribution of lesions and appearance of lesions on the photos appears to be Miliaria Rubra (in layman terms-prickly heat), which has additionally become flared-up due to sweating, sun-exposure and possibly some local applications. To be able to confirm my doubt about this condition, I would need you to answer my small queries: 1) How is the prevalent weather in your city as of now and as per your daily home and office routine, do you think you may have sustained a lot of sun exposure and sweating or high temperatures of late? If yes, then it goes in favor of this possibility. 2) Is it too itchy? Or itches more on sweating? 3) What kind of fabric do you prefer to wear? It is better for you to stick to pure cotton as of now. 4) Has any procedure such as waxing been done recently? Waxing or any temporary hair removal method may also result in such bumps or may exacerbate heat rash. Based on my presumption that we are dealing with a flared-up version of prickly heat, I would like to suggest the following to you: 1) Try to keep yourself in cool, air-conditioned environment. 2) Take frequent baths with cool water and non-medicated soap. Something like Dove soap would be ideal. 3) Prefer wearing pure cotton and loose garments, to prevent the accumulation of sweat. 4) Apply a soothing Lacto calamine based lotion three to four times a day. It will give you a soothing feel and also expedite the resolution of your bumps. 5) Since it has spread to quite an area of the body, you would additionally need anti-itching drugs by mouth. I would suggest you procure and take Cetirizine 10 mg. Take one tablet daily after dinner for 10-15 days. Although drowsiness is seen in very few patients who take cetirizine, beware of its remote possibility. 6) I would also like to recommend the application of a mild steroidal lotion over the affected parts for at least 7-10 days to expedite the resolution of your symptoms. Apply Desowen (Desonide) lotion over the affected parts twice a day for five days followed by once a day for another five days, and then stop. I hope this helps." + }, + { + "id": 4871, + "tgt": "What causes numbness in hands?", + "src": "Patient: Hi doctor, I have been experiencing some very unusual problems at the moment and I am getting a bit concerned about them. I have not gone to my doctor about it yet. It is hard to explain but I will try. It is as if the connections between my hands and my brain become muddled and I have trouble telling which part of my fingers or hands is being stimulated. It all kind of blurs into one numb sensation. My hands feel heavy and become harder to move as if I am trying to move them through a viscous fluid. This weird experience has been happening mainly when I am at work and when I am stressed but I am noticing it now slightly as well while typing this. It is a really bizarre feeling and it can extend through my arms and my legs when it gets really bad. I also have a constant tinnitus but I only notice it at night when trying to sleep or if I am in silence. I also feel that my heartbeat has started to become irregular and I always feel tired and dizzy at the moment. I went to my doctor about the dizziness about 6 months ago and got a blood test done and that was fine but he said my blood pressure was slightly high for my age. Two years ago I very stupidly took a legal high BK-2cb and I had a full blown visual and auditory trip that lasted about 18 hours. Once it wore off I was fine but then about 6 weeks later I started to have visual problems. I had really bad after images and reality just looked very strange to me especially when looking at other people. These visual symptoms seemed to have faded now but I still have brain fog and after images. I am just messaging because I am concerned about the problems I am having with my sense of my hands in particular and I am wondering if it has anything to do with the stupid mistake I made 2 years ago when taking that drug? Doctor: Hello. The sensation in your hand can be because of: 1. Compression of the nerve at elbow while typing (but it is unlikely to spread to your legs). 2. Stress/anxiety can cause such symptoms. Tinnitus at night when it is very quiet outside is common and normal phenomenon. But when it is present when you are in a noisy environment that is abnormal. Dizziness and tiredness may be a part of your stress. Slightly high blood pressure will require regular blood pressure checks and there is nothing to worry about on that front. Drug effect does not last for 2 years. If you have taken it for a very long time the it can cause psychiatric problems but I do not think your problems are related to that. I would suggest you take a psychiatric consultation because I do not feel it is a neurological problem and there is nothing to worry about." + }, + { + "id": 27663, + "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": 20080, + "tgt": "Is it necessary to terminate second pregnancy in Rh-negative mother?", + "src": "Patient: Hello doctor, My sister-in-law is six weeks pregnant. Five years ago, she gave birth to a boy who was healthy and is to this day. She is Rh negative and her husband is Rh positive. At the birth of her first child, she was advised that she should not breastfeed the baby and so she did not. I did not understand why. She went to the doctor's appointment a couple of days ago she was advised to terminate the pregnancy. I do not understand the details but they said she has an antibody titer level of 100. I have read a good deal on this and now assume she has Rhesus D alloimmunization (although I am unsure of the quality of the lab results). She has never had anti-D immune globulin. I do not know the quality of the medical attention she is getting and would like to help. Can you please tell me what information I should gather to be able to get an opinion on this? She would very much like not to terminate the pregnancy if that is a reasonable thing for her to do. Doctor: Hi. Some more points regarding her situation and previous history are needed actually. She is Rh negative and husband Rh-positive but is it known that he is homozygous or heterozygous for anti-D allele? If homozygous, then the baby would be Rh-negative and more chances of complications but if heterozygous, need more chorionic villus sampling or amniocentesis to know child's blood group. Was the previous child's blood group known? Was it positive or negative? Antibody titer 1:4 considered as alloimmunized where as needed monthly antibody titer whereas antibody titer of 1:16 need strict monitoring. The baby has more chances of having fetal anemia, hydrops fetalis, jaundice, etc., and need twice weekly titer. Any chronic health issue she has? If yes, have a complete check-up and treatment for that as well. It is better to discuss the case with titer report and repeat it again from authentic laboratory so that you can have more genuine results. Serial scan and antibody titer in pregnancy with anti-D advised in 28 and 32 weeks and in case of fetomaternal hemorrhage as well is advised actually. The serial scan also gives an idea about fetal condition more clearly in the second trimester." + }, + { + "id": 30864, + "tgt": "Is mood swing a genetic problem?", + "src": "Patient: Hi doctor, My husband has mood swings. He feels either depressed or very much excited. He is very irritable and gets angry for small things. This has started before four to five years. He sleeps for very less hours. He also drinks alcohol daily and goes for late night party\u00a0in the weekend. Currently, he is out of a job and trying to start a new business. Does he need psychiatric help? His father is also under psychiatric treatment. Is this genetic? Doctor: Hi. I read your query and understand your concerns. The information provided is not adequate to make a diagnosis. If he had frequent mood swings and lost his job due to mood swings or irrational decision, then there is a possibility of bipolar disorder where you have extremes of mood including depression and mania. The possibility of bipolar disorder is high as there is a family history and a history of substance abuse (alcohol), which compounds the problem. Out of 100 % with mood disorders, there is at least 50% have a family history of mood disorder. So, it can be said that this problem is half genetics and half environment. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15587, + "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": 917, + "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": 6760, + "tgt": "What is the life expectancy of my uncle who was diagnosed to have heart failure?", + "src": "Patient: Hello doctor, My uncle is 68 years old. He got a myocardial infarction 23 years back, and another one before 13 years, he had four bypasses that year. In the same year, he was diagnosed with NYHA 2; he also had diastolic dysfunction, aortic sclerosis and akinesia in LV. Now he has shortness of breath, swelling in the abdomen and feet, wheezing, and coughing. Is he now in stage D? And what is his life expectancy after 13 years of diagnosis of HF? Doctor: Hello. This does not mean stage D. This is likely stage C. However, he has to undergo echo for ejection fraction, which would tell us regarding stage. If, despite all medical treatment, he remains symptomatic and not able to do any activities then may be considered stage D. Such intermittent worsening of symptoms may occur in heart disease, which gets settled with medicines. You should get his medicine optimized. His life expectancy also depends on ejection fraction. I hope this helps." + }, + { + "id": 5409, + "tgt": "I had fracture in T2 and T4 vertebrae due to car accident. Will it heal like a normal fracture?", + "src": "Patient: Hello doctor, I am a little stressed as I headed a car accident a week ago. I have a fracture in my T2 and T4 vertebrae. Doctor send me home with no brace and asked me to just take it easy. They advised me not to lift heavy weight and it will heal in six weeks. I am feeling good but there is a little sore. I did not have any pain killers for three days now. Will they heal like a normal fracture? Doctor: Hello, Welcome to iclniq.com. You have mentioned a car accident about a week ago in which you fractured T2 and T4 vertebrae. For any spinal fracture, opinion is based upon: 1) Detailed neurological examination of the patient. 2) x-ray and if needed MRI (magnetic resonance imaging) of the involved region of the spine to know the status of the bony alignment and the spinal cord. Since you have been advised six weeks of light work, not lifting any heavy weight, etc, it appears that you just have a very minor crack of the involved vertebrae. But I will reserve my opinion once I have all the information in the form of clinical examination findings and related investigation reports. Also if the fracture is minor or undisplaced then sometimes doctors do not prescribe braces because rib cage provides enough splintage. Car accident. X-ray and MRI dorsal spine with images. Rest or mobilization with a brace (further opinion reserved until I can see the fracture configuration). Do not bend forwards acutely. Do not lift any heavyweight. Follow up after three to four weeks with x-ray images." + }, + { + "id": 21386, + "tgt": "My period has not come. Should I take Misoprostol kit?", + "src": "Patient: Hello doctor, I had sex on the first day of my period which was on 28th two months ago. As it was unprotected, I took the morning after pill within 24 hours. My next period was expected on 28th last month but it has not come yet. I have also done home pregnancy tests three times - the first one after one week of missed period, and the rest two after one week of the first test. All came negative. It has been 42 days now. Should I take the Misoprostol kit? Please note my current medication: Medroxyprogesterone acetate 10 mg. Doctor: Hello. As the pregnancy test is negative, there is no need to consider Misoprostol kit at all. The delay can be a side effect of the morning after pill in itself which is quite common where the next one or two cycles are delayed or get regular. You can opt for progesterone withdrawal to initiate your menses. I believe you are already on Medroxyprogesterone acetate. The day you shall stop it, in the next five to seven days, you shall get your menses. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15104, + "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": 24020, + "tgt": "I see swollen lymph nodes on baby's neck even after antibiotics. Please suggest", + "src": "Patient: Hello doctor, I happen to see swollen lymph nodes at the back of the neck in my 1 year old baby. I have consulted a doctor last month. He gave antibiotics for five days. But still, I see the swelling (from last month 20th, he has boils like prickly heat on the head, forehead, and hands which heals but comes back. I am very worried. Please suggest something. Doctor: Hello. Prominent lymph nodes are common in children below the age of 6 years. As long as the child is not chronically ill, is gaining weight, feeding well and not having any other problems, you need not worry. Also, as regards to the lymph node, you should keep a check if the size is increasing or decreasing and if there is any sinus (hole) formation on the skin overlying the lymph node and report to the doctor. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19214, + "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": 29306, + "tgt": "I am getting back pain when I try to move or sit down. Why?", + "src": "Patient: Hello doctor, I have a bit of back pain in my left side when I sit down or lean forward or try to move side to side. What could this be? It has been three weeks already. I do not smoke or drink. The pain I can feel is just under my shoulder plate. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6519, + "tgt": "I have swelling and pain in the penis after having sex for the first time. Is it normal?", + "src": "Patient: Hello doctor, After I had sex for the first time, there is a piece of skin on the side of the penis. Is it normal? It is very sensitive and uncomfortable. I have attached a picture. Doctor: Hello. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19984, + "tgt": "I am 18 years old. Is it fine to take Elvina for Yasmin as birth control pill?", + "src": "Patient: Hello doctor,I am 18 years and I have been taking the birth control pill Yasmin for three months now. Today, I went to the pharmacy to go get another three months supply of Yasmin but the pharmacist gave me Elvina and told me it was the equivalent to Yasmin but I am worried to take Elvina because my body is used to taking Yasmin. I am wondering will it be fine to take this? Doctor: Hi. It is nice to hear from you that you are concerned about medication type before its use. You are a teenager, still under development stage of the reproductive system. Yasmin (Drospirenone) already you used and are satisfied as well. Elvina is also a combination of two hormones (Drospirenoneone, Ethinyl Estradiol and folate). It has been used for premenstrual syndrome, patients need folate, teenagers above 15 years of age with acne, etc. It is up to you either you want to continue with Yasmin or Elvina. But consider one point regarding contraceptives that it is better to avoid similar contraceptive for a long time to reduce side effects like short term and long term like mood variations, cycles irregularity, headache, high blood pressure, stroke, clot formation, endometrial hyperplasia, and breast cancer, etc. The side effects differ in each individual. You can exchange Elvina if you want for your satisfaction as both of these drugs are combinations of hormones with more or less similar side effects. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16679, + "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": 8421, + "tgt": "Can naked body to body massage spread HIV?", + "src": "Patient: Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vagina came in touch with my penis. And also I ran my fingers on the vagina. I did not have any kind of penetrative sex, frottage or deep fingering or oral. After that episode, on the eighth day, I had a fever, body pains, and chills for two days. After two days of fever, I had some rise in temperature in the afternoon and used to get normal in the evening which lasted for two weeks but had some body pain and weakness. After two weeks, I had some sweats in the night with no fever for a week. Now I do not have any other symptoms but for the last few days, I started having some pain in thigh muscles. When I stretch my legs, I do not feel any pain but when I bend or sit in the chair, I start feeling some kind of soreness and sharp pain in thigh muscles and suddenly in around groin area and inner thigh. When I press the area where I have pain, it becomes normal. I work out a lot and stopped for the last five weeks due to the illnesses. I am a little worried. I have been reading a lot of ARS symptoms on the internet and it is making me restless and I am suffering with a lot of anxiety. Now I am in the week six after the episode. Doctor: Hi. HIV is only transmitted through direct unprotected sex that either involves contact with infected genital surfaces or through the exchange of infectious genital secretions like semen or vaginal fluids. Skin to skin contact as in body massage is absolutely safe. Mere contact of the outside of vagina with your penis without any penetration and running your fingers over vagina is not a risk for transmission of HIV. Moreover, the symptoms that you have are non-specific and could be seen in a common viral infection. I suggest you take symptomatic treatment like an OTC (over-the-counter) painkiller like Flexon (Nickel Titanium) tablet or Combiflam (Ibuprofen and Paracetamol) tablet, for symptomatic relief, if you feel any muscle pain." + }, + { + "id": 25885, + "tgt": "Can my ribs pop out because of doing chiropractic exercises?", + "src": "Patient: Hello doctor, I am 50 years old with a height of 5 feet 2 inches and a weight of 110 pounds. I recently started chiropractic treatment for my back and neck pain. My chiropractor also taught me exercises that I should do at home daily. After about two months of two chiropractic sessions per week and daily exercises, my neck and back did get better. However, I realized that one of my ribs about two inches below my collarbone was popping out. I had trouble with breathing for about two days since my rib popped out. After about two days, the breathing problem subsided and there was no pain in the area. It did not hurt when I pushed down on it. I consulted my chiropractor about this problem and he said that my ribs were misaligned due to one of my daily exercises that I was told to do. That particular exercise involved pulling on a band with my shoulders. I feel like my ribs were misaligned due to the chiropractic sessions when he was pushing with pressure on my back and not the daily exercises. My chiropractor said that this could happen and there was nothing for me to worry about. He also said that I should continue doing my daily exercises. I do not know if I should continue to trust him or consult another doctor. Can my ribs really pop out because of shoulder exercises with a band? Doctor: Hello. Ribs or for that matter any bone is unlikely to pop out by simple exercises as the exercises are done for a short period of time and any displacement that would occur due to exercise is small and lasts the time you are exercising. Prominence and associated pain are more significant. Please send me a discrete photo of the swelling as the location helps to assess the cause. Most likely your rib swelling is located at the costochondral junction where bone and cartilage meet. I reassure you that this will settle with time and ask you to refrain from any resistive exercises at present. You need to ice the area nicely. For more information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 24349, + "tgt": "What might help a person with difficulty in processing information and direction?", + "src": "Patient: Hello doctor,My son is 21. His weight is 130 lbs, and his height is 6'6''. He has been having difficulty with memory and getting direction and information properly. I did a neurotransmitter test for him. The result came GABA 1.04, serotonin 54.36, and glutamate 10.34 which is low. What kind of treatment does he need? Will vitamins be sufficient? Does he need medication? Where can I get help for him? What kind of doctor will treat this? He was diagnosed with ADHD by a doctor, but others said he does not have it. Doctor: Hello. These findings indicate low neurotransmitters (serotonin, GABA) which may be responsible for his problems. These findings could also indicate anxiety or depression. I suggest doing complete blood count and checking thyroid hormone levels. Considering his young age, I would first recommend taking a multivitamin supplement daily and performing a lot of physical activity (aerobics, recreational sports, running, etc.). Consulting with a psychotherapist can help too. If these tips do not improve his situation, I would recommend consulting with a psychiatrist. An antidepressant may be needed. Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13944, + "tgt": "Why is there a continuous pain in my first molar?", + "src": "Patient: Hi doctor,My first molar is paining. I am applying clove oil and had Aspirin. What is the treatment? Doctor: Hi. I have gone through the case and it seems you have an inflammation of the pulp tissue inside the tooth (the sensory area inside the molar). This condition is usually known as caries tooth, bacterial infection has broken the hard tissue of the outer layer of the molar and entered the middle area called dentin. It is the sensitivity area and so there is a constant pain. I suggest you to visit a dentist near to your place in order to clean your tooth from that bacterial infection and to seal it by permanent filling." + }, + { + "id": 8458, + "tgt": "Why am I having severe eye pain with fever, throat pain and dry mouth?", + "src": "Patient: Hello doctor, I am suffering from fever since last three days. I got Lanol ER 650 mg tablet three times for fever, and Rantac medicine two times as an antibiotic. I am not getting any better with this. My throat has some pain and my mouth is going dry even if I drink water, and yesterday my eyes started paining and since this morning, my eyes are paining. I am making a huge effort to move my balls. My head is also feeling heavy from the back. Please help me out. Doctor: Hi. You are using a Paracetamol tablet to decrease fever and inflammation. You are also using Rantac that is antacid and not an antibiotic. Your symptoms are suggestive of viral pharyngitis most likely. I suggest you take Levocetirizine 5 mg OD for five days to relieve congestive symptoms. You should also take Limcee which contains Vitamin C 500 mg and it should be chewed rather than swallowing. Do salt water gargles three times a day. Do not take excess spicy foods. Drink more water. You can also do diluted Betadine gargle instead of saltwater gargle. If no improvement in the next two days, then I suggest you investigate further with full CBC and throat swab culture or ASO titer. The weakness and tiredness can develop a constitutional symptom in viral fever." + }, + { + "id": 21372, + "tgt": "What is the cause of overactive bladder?", + "src": "Patient: Hi doctor, I am 53 years old male. I am suffering from prostate and overactive problems for the past eight years. I did many time ultrasound and cystoscopy. I have inflammation in bladder and prostate. I feel the inflammation and a burning sensation in the urethra. My bladder is overactive. I took many antibiotics, prostrate and overactive medicine for the past eight years. But there is no improvement. One time the doctor injected botox injection into my bladder. But there is also no improvement. The doctor is giving medicine for one week to one month. But my infection is recurrent. At night, I am urinating for every 30 minutes to one hour while sleeping. During the day I urinate every one and a half to two hours. Every time I feel the discomfort and burning sensation in the bladder and urethra. When I have a prostate infection, I have pain and discomfort from rectum to penis. Last week, I checked my PSA value it was 0.36 ng/mL. I am taking tablets Vesicare, Ditropan, Omnic, Unoflox, Spasmic, Cipram, Levocin, and Urispas. Doctor: Hi. You are having a severe case of overactive bladder. From your history, it appears that you have tried out almost all the available treatments for overactive bladder. At present, botox therapy is the least invasive and most efficient in the management of OAB (overactive bladder). It is essential that you should continue conservative approaches like fluid restrictions and medication. If the symptoms are bothersome, you can consult your local urologist regarding the availability of neuromodulation in your area. It is the current recommendation for patients not responding to any other measures. It involves sending nerve impulses through your pelvic nerves with an implant which will regulate your bladder contraction. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24224, + "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": 5079, + "tgt": "Can herpes cause rashes on scrotum?", + "src": "Patient: Hello doctor, I have rash on scrotum with 2 bumps that did not become truly visible until I shaved. Could this be herpes? Doctor: Hello. I would require a photograph so that I am able to guide you better." + }, + { + "id": 6273, + "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": 10576, + "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": 8701, + "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": 3144, + "tgt": "I have a cyst and suffer irregular period. Can I take I-pill?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend. But I have not ejaculated in her.\u00a0Is there any\u00a0chance for pregnancy?\u00a0Some yellow substance was there on the tip of my penis. What is that? Doctor: Hi. The process you have adopted while performing sex is termed as withdrawal method. Though this is a commonly practiced method, there exists reason for failure. The cause is some of your sperms could be present in your precum that is some amount of clear secretion from penis before the ejaculation. It could cause a pregnancy. Contrary to your belief, no sperm will be present in the yellow deposit termed smegma. Finally, you have to consider in which day of her period you had sex. If she is in between day 8 to day 17 of her cycle, chances are high. Otherwise, there is no such apparent risk. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26985, + "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": 18411, + "tgt": "I have undergone cesarean for delivery of my baby. When do I start normal sex life?", + "src": "Patient: Hi doctor, I have undergone a cesarean section for delivery of my baby two months ago. I need some guidance. Is it fine to continue my normal sex life from now onwards? What kind of precautions should be taken into consideration? Is it required to take any medicine to avoid pregnancy? Perhaps the chances of getting pregnant during this time are high. Any other suggestion or inputs from your side? Please help me with your valuable advice. Doctor: Hi. I would answer your question in the order you asked them. Normal sex life can be resumed six weeks after a cesarean section. However, it is better to consult your gynecologist before commencing sexual activity. Consult your gynecologist for a reliable birth control method. Choose whatever method suits you, right from condoms to birth control pills or the Depo shot (Progesterone). You would require reliable birth control, even if you are breastfeeding and not having your periods. Avoid lifting heavy weights, but you can resume exercise safely two months after cesarean section. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9264, + "tgt": "After wearing a particular innerwear my vagina became red, and swollen with cotton cheese discharge. Why?", + "src": "Patient: Hello doctor,My vagina is red and swollen with cottage cheese discharge. Rashes extend to my buttocks area. All this showed up after I wore an innerwear. Kindly advice. Doctor: Hello. I understand your problem. What you describe is a classic case of yeast infection of vagina extending up to your anus. You need oral antifungal tablets weekly for three weeks alone with local antifungal ointment. The condition is very much infectious, so I suggest you avoid any sexual contact for the time being. I also would suggest you wear cotton panties to prevent a recurrence. Your current undergarments need to be washed with antiseptic in combination to your usual detergent and need to be sundries nicely to remove all traces of spores. If you can discard them, it would be wonderful. I hope this helps you." + }, + { + "id": 24827, + "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": 7958, + "tgt": "How can I feel stronger and healthy after viral infection?", + "src": "Patient: Hello doctor, I was really sick this summer in the hospital after being diagnosed with a viral infection that put me out for a month and a half. I lost a lot of weight and strength. My doctor told me to start off with walking, which I did as I got better near the end of summer. But now I am back at school and have been trying to exercise to get stronger and tone up because I struggle walking to class over the hills and long distances. But when I exercise, like with weights or even a bicycle or rowing machine or 1-minute job on the treadmill, I start to hurt. I will either get sharp stomach pains where my pancreas was swollen or the area below my armpits in my upper ribs will ache. Or my body will start to tremble and I will pass out. But I have only tried 10 to 15 reps of low weights, going slow, only exercising 10 to 15 minutes at a time. I eat extremely healthy because I have a strict diet focusing on cutting out foods causing inflammation so I make sure I get my healthy fats, proteins, and veggies. I would like to tone my body, but I am more concerned with getting stronger and feeling healthy. But I do not know how. Could you help me or give me some advice? Doctor: Hello. After such a severe infection, the recovery is going to be prolonged. My recommendation is to do aerobic mainly mixed with a small amount of strength training 90:10. Once you are able to go 30 minutes in one session without feeling faint and this may take time. Also check with your doctor the intensity he recommends as only fat-burning intensity is recommended, not any higher. The passing out and chest pain are worrisome, again check with your doctor. You are eating healthy which is good to eat more portion of proteins and healthy fats than carbohydrates." + }, + { + "id": 18839, + "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": 27951, + "tgt": "What does my father's echo report indicate?", + "src": "Patient: Hello doctor, My father had an echo test. The report says 'Mildly dilated LA.\u00a0Normal LV size, with moderately reduced function. Mild MR. LVDD II'. What does it mean? Doctor: Hello. Did he have any chest pain or heart attack in the past, or is he diabetic? To summarize the report, it says there is a decreased functioning of the heart, which most commonly occurs due to coronary artery disease or sometimes due to the weakening of the heart muscle. So, he should get his evaluation done, ECG (electrocardiogram), lipid profile, sugars both fasting and post lunch, and angiography. He should be on medicine to prevent further decline in the heart functions which includes Aspirin, Clopidogrel, statins like Atorvastatin, beta blockers like Metoprolol, ACE (angiotensin converting enzyme) inhibitor like Ramipril, and diuretics like Spironolactone, etc. 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": 1849, + "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": 9843, + "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": 21125, + "tgt": "My daughter is suffering from tonsillitis on a regular basis. What is the treatment for it?", + "src": "Patient: Hi doctor, My 16 years old daughter is suffering from tonsillitis on a regular basis. She was prescribed antibiotics recently. After a few weeks, it became sore and swollen again. For the past few years, my daughter has ragged tonsils with continuous tonsil stones, bad breath, and sore throat. She is struggling each time, and I am worried about her future health as it is a chronic condition. She is taking Ibuprofen and Paracetamol currently. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The tonsils are congested. The crypts are deep, and it is natural for her to get tonsil stones. If it is causing recurrent symptoms, you need to get the tonsils removed. They do not serve any purpose after 10 years, and it is safe to get removed." + }, + { + "id": 13929, + "tgt": "I am a diabetic. Help me control my blood sugar", + "src": "Patient: Hello doctor, I am a diabetic patient and under insulinfor the past 5 years. So, please help me to control it. I recently did a medical checkup. I have attached my reports here. I want you to suggest yoga remedies as well as home remedies (I am a pure vegetarian). Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity) in detail, and my observations are: Your blood sugar level is much higher than normal. This can be seen from the HbA1c and average blood glucose values. It is important for you to get back to your doctor and start insulin on a sliding scale. You are a young person, and if you do not control from now, then there might be serious complications after 15 to 20 years. Blood counts and homocysteine are almost normal. Please do yoga or physical exercise for 30 minutes daily and maintain your body weight in the normal range. I hope your query been answered." + }, + { + "id": 6298, + "tgt": "Taking Quitipin, Licab XL for bipolar disorder. Can taking both tablet is advisable?", + "src": "Patient: Hello doctor, My grandmother aged 80 years has depression from the past 25 years, and she has been taking Lithium tablets since then. However, recently as advised by a psychiatrist, she started taking Qutipin 100 mg and stopped Licab XL. Now she is taking Licab XL along with Qutipin 100 mg, as she was exhibiting nonsensical talk and behavior. But now with Licab XL and Qutipin, she is exhibiting violent behavior like shouting at people for no reason and nonsensical talk. I need suggestions if taking both Qutipin and Licab XL is advised? Thank you. Any other solution is also welcome. Doctor: Hello. I read your query and understand your concerns. There is no harm in taking both Lithium (Licab XL) and Quetiapine (Quitipin), as they are commonly used treatment for bipolar depression and can be used at the same time. In fact, I have at least 15 to 20 patients with the same combination and do not find any difficulty in form of increased aggression. I also like to inform you that your grandmother suffers from some other disorder, rather than pure depression as the current treatment is rarely used in pure case of depression. It is possible that she suffers from bipolar disorder. Regarding further management, I do not think I am in a position to advise you the next course of action. It will be appropriate to see her doctor again. In case you need a second opinion you may approach me. I will be glad to assist you. For further queries consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 22911, + "tgt": "The deep cut in foot is still red and painful. Do I need more antibiotics?", + "src": "Patient: Hello doctor, Eight days ago, I had a deep cut in my foot from a puncture. I got five stitches. A couple of days later, it got infected. So, I went to the doctor and was prescribed antibiotics for five days. While it seems like it is doing better, the redness is not completely gone and now I just took my last antibiotic pill today. Should I go get more antibiotics? Doctor: Hello. Usually, a five-day course of antibiotics is enough for wound infection. I suggest you send me some photos of the wound in order to give you a better advice. Is there any pain, pus, or redness in the wound site? I suggest taking Ibuprofen 400 mg tablet every six hours for few days if there is pain. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28470, + "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": 1961, + "tgt": "I have terrible back pain two years post spinal fusion surgery. Will it last forever?", + "src": "Patient: Hello doctor, I had a spinal fusion surgery down my entire back about two years ago when I was 17. I never had terrible back pain but as of recent, it is been somewhat bad. I feel like a 97-year-old woman. I have difficulty in sleeping because some positions just make the pain worse. Will this last forever? Doctor: Hello. I read your concern. In my opinion, post-surgery you should start work on a little bit of rehabilitation to strengthen the spinal muscles. That would have prevented these kinds of issues. Do not worry. I would like you to have a good recovery session frequently inside a pool and stretch your body to work on whole body flexibility within the limits it allows and progressively extend more. Do not try to push too hard as it will increase tightness. I would like to know if you have any sort of pain and spasm or pins and needle sensation or tingling sensation anywhere in the upper and lower body. If so get yourself properly checked up with your surgeon. I would also recommend you to be active. Keep moving around and hydrate yourself properly. Have good food and support yourself in every position properly especially those positions you are required to maintain for a longer period. Kindly try these things and then let me know how you feel after three days. I hope this helps." + }, + { + "id": 21225, + "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": 14757, + "tgt": "What is the effective treatment for receding gums?", + "src": "Patient: Hello doctor, I want to ask you about the problem of the decline of the gums. Is there an effective treatment? Doctor: Hello. Yes, there are following treatment options for your case. Scaling of all teeth and then follow medications. You should get mild scaling treatment for teeth and then start using Chlorhexadine gluconate mouthwash for two weeks twice a day. Do saline water mouthrinses (take a cup of lukewarm water and add 1/4th teaspoon of salt in it) once a day before you sleep for two weeks or start using mouthwash and doing mouthrinses without scaling but it will delay the healing of gums. I would recommend you first option as in your case I can see in anterior teeth gums are receding (attachment removed to protect patient identity). After scaling, the dead tissue of gums get shredded away and new healthy gums come over after 14 days and receding is stopped right there. Do give me followup after two weeks. Stay happy and blessed." + }, + { + "id": 1377, + "tgt": "I have tinnitus, small bursts of light and burning at the back of throat. Are these signs of brain tumor?", + "src": "Patient: Hello doctor, I am a 30-year-old healthy woman. I am diagnosed with anxiety disorder 10 years ago. For the past year, I have been experiencing crippling health anxiety. I have experienced a number of frightening symptoms, including brain zaps, weakness in legs, body twitching, dizziness, etc. Last year, I had a CT scan, and MRI of the head and neck. I consulted with a family doctor and neurologist, terrified of MS. All scans came back clear. My doctor said this was all a result of my anxiety and also said he thought I was suffering from GERD or acid reflux. I felt better for some time but for the past two weeks, I started experiencing very strange symptoms that I have never before felt in my life. I get on and off tinnitus in my right ear, seeing small bursts of light once or twice a day, and feeling of spice/burning in the back of my tongue while eating bland nonspicy food. I have called my optometrist who did a full workup less than a year ago. I have 20/20 vision and no eye conditions. I explained the small bursts of light and he was not too worried and simply told me to keep track and let him know if they are increasing. So far they are not. But these small bursts of light coupled with the tinnitus and also the tongue burning sensation has absolutely terrified me. I am terrified I have a tumor or brain cancer. This fear is crippling me and I can hardly think straight. Should I be concerned? I am on the verge of running to the ER every night and begging for a CT scan. Please help. Doctor: Hi. So the problem here is right ear tinnitus. Regarding this I need to know is there hearing difficulty in the right ear? What type of tinnitus, swishing, or continuous? How long it lasts? Is there any vertigo associated with tinnitus? Is there any discharge or fullness of the right ear? Regarding bursts of light, Which eye? Single eye or both eyes? At the same time of tinnitus or at a different time? Are flashes colored or black or white? Is burning on the back of tongue one-sided or both sided? Is there any redness on the tongue? Is there hoarseness of voice or throat pain? Please answer all these questions." + }, + { + "id": 29545, + "tgt": "Following paralysis, my uncle's right side vision is not clear. How to improve that?", + "src": "Patient: Hello doctor,Four years ago, my uncle had a paralysis attack on the right side of the body. He has recovered now, except his right eye vision. He can clearly see straight and left, but not the right. He cannot see full 180 degrees. His age is 48 now. Is this a permanent disability or it can be cured? Doctor: Hi. Visual field test or HVF for both eyes. NAION (non-arteritic anterior ischemic optic neuropathy - loss of vision due to insufficient blood supply). Consultation with a neurologist or cardiologist to prevent stroke recurrence. Revert with the reports to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 23426, + "tgt": "I have four big fibroids. Is there any ayurvedic medication to shrink them?", + "src": "Patient: Hello doctor,I have four big fibroids. Two intramural 12 cm and 10 cm each and other two 4 and 10 cm each which are subserous. I do not have any symptoms except for frequent urination. My periods are also regular. Is there any medication to shrink the fibroids? Doctor: Hello. According to your condition, along with Ayurvedic medicines you also require panchakarma procedures like Vamana or Virechana. Vaman is emesis therapy and Virechana is purgation therapy. They are done under the supervision of a physician. They will help you in removing excess toxins from your body and also will help you in fibroids. Along with that, you can take Ayurvedic medicine for fibroids. Rather than taking medicine alone take panchkarma therapy along with it. So I advise you to visit a nearby reputed Ayurveda physician and ask him regarding this. For more information consult an ayurvedic specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10371, + "tgt": "I had two menstrual cycles in one month. Is it something serious?", + "src": "Patient: Hello doctor, I had two menstrual cycles in one month, two weeks apart. I have not had an intercourse for two months. Should I be concerned? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29948, + "tgt": "Kindly advise the treatment for my wife's neck pain", + "src": "Patient: Hi doctor, My wife had frozen shoulder last year and cured by exercise. She is 50 years old. Now, she has some burning type of pain in the side, back of the head, above the neck and also in the knee joint. She feel sleepless. She has her uterus removed for fibroid around five years back. Her height is 5 feet and weight is 60 kg. Her cholesterol is 242. Please advise regarding her sleeplessness and head pain. She is currently on Natrilix SR for BP, Stator 10 mg for cholesterol and Calcium tablet. 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": 28836, + "tgt": "What are the causes of reoccurring swelling of the right testicle?", + "src": "Patient: Hello doctor, I am a 16 year old, I have a reoccurring swollen right testicle since I was about 12 years old. Whenever my right testicle swells up, I feel a\u00a0tension in my lower abdomen, and it becomes difficult to perform any physical activities. Whenever my testicle is not swollen, it feels as if it is being held up by an extra muscle that flows from my lower abdomen to my testicle area. My left testicle hangs freely, while my right testicle is higher up and feels like it is being held up. When I flex my abdomen, my right testicle goes up by about an inch or so. This swollen testicle occurs a couple of times a month but is completely random with no patterns that I have observed. About a year ago my right testicle swelled up bigger than it had ever happened before, about three times the size of my left testicle. I went to the hospital that night, and the doctor performed an ultrasound on my testicle. He said that my epididymis was filled with fluid and that it was most likely a hydrocele. He put some pressure of my right testicle(which was swollen at that moment) with his hand, and I began to tear up because it was so painful. But I had no pain before or after he put the pressure. He then checked my left testicle, which was completely fine. He concluded that I had no hernia, they performed nothing on me and just put an ice pack on my testicle and slept. When I woke up my testicle was no longer swollen. About a month or so later I went to a urologist, and she told me nothing other than my issue was going to stop by only waiting. I still have the same issue as before. I have done some research and never found anything about a reoccurring hydrocele. Mostly, I just read about guys who dealt with a swollen testicle and simply got surgery for it, but their hydroceles were not reoccurring. They were permanent. Please help. Doctor: Hi. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13469, + "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": 25734, + "tgt": "How can headaches associated with sinus infection be treated?", + "src": "Patient: Hello doctor, I am a 29-year-old male and I have headaches with sinus infection symptoms. There is a scar inside my nose. The headaches are on one side of my head. It started about one week ago. I had this scar inside my nose about nine months ago. Also, the headache started about nine months ago too when I started sports. There was nothing until then. Please help. Doctor: Hello. The headaches due to sinus infection are most likely to be more severe in the morning and when you lean forward. Also, you will have tender bones of the face. So do you have any of these symptoms? It is treated with a course of antibiotics for one month like Augmentin (Amoxicillin and Potassium Clavulanate) 1 g every 12 hours plus Paracetamol 1000 mg three times per day. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If you suspect any complications or in order to classify the severity of the condition, a CT (computed tomography) of the paranasal sinuses is required. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25647, + "tgt": "I feel a little flesh near the anus. Is it piles?", + "src": "Patient: Hi doctor, I am a 35 year old male. The problem is that for the last 6 months or so I feel a little flesh near the anus area. There is no pain or itch and I do not experience any bleeding or discomfort. Sometimes, it is virtually suppressed and sometimes I can feel it. I am afraid that it is something related to piles.\u00a0Regarding my diet, I am a non-vegetarian. Before two years, I used to have alcohol daily. I left it completely for a year. And for the last one year, I used to have beer occasionally. For high blood pressure, I am taking Metzok 50 mg and Lonapam 0.25. Doctor: Hi. I have gone through your complaint. I would suggest you the following which will definitely help: I would suggest you to consult a surgeon for further assessment. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 598, + "tgt": "What is the possible treatment options for acid reflux?", + "src": "Patient: Hi doctor, I want to inquire what are the causes and possible treatment for acid reflux? Doctor: Hello. Welcome to icliniq.com. The common causes of peptic ulcer disease are H pylori infection, Non-steroidal antiinflammatory drugs (NSAIDs), drugs other than NSAIDs such as Tetracycline, Iron tablets, potassium supplements and Bisphosphonates, Zollinger Ellison syndrome, and carcinoid tumors. The treatment is according to the cause. For H pylori, the treatment is combination antibiotic therapies including Amoxicillin, Clarithromycin, Levofloxacin, and Metronidazole adopted in different first and second line therapy. The world common treatment is Clarithromycin based triple regimen including Amoxicillin 1 gm twice daily for 14 days plus Clarithromycin 500 mg twice daily for 14 days plus any acid suppressant such as Omeprazole 40 mg once daily for six weeks. This is the first line therapy. There is a long list of second and third line rescue therapies for H pylori infection. Treatment for NSAIDs is simply stopping the medicine and due course of Omeprazole for 8 weeks. The treatment of the rest of the above condition is variable which could not fit in this single page answer. I hope this helps." + }, + { + "id": 17116, + "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": 15005, + "tgt": "I am suffering from headache from the last 20 years. Please advise", + "src": "Patient: Hello doctor, I am suffering from a headache from the last 20 years. I am a male, 40 years old, 65 kg, smoker (four cigarettes per day). I am taking Saridon per day two tablets. Doctor: Hello. It looks like you are having a chronic headache which was not resolved by Saridon which are painkillers. Chronic headaches can be one of the disabling problems. You have to see a doctor for an evaluation if your headache is of the following nature. You usually have two or more headaches a week. You take painkillers for your headache most days, the headache pattern changes or it gets worse, the headaches are disabling, the headache is accompanied by fever, neck stiffness, numbness, difficulty speaking. Chronic headaches causes include the following. Brain tumor, Inflammation or other problems with the blood vessels in and around the brain including stroke especially considering that you are a smoker, infections such as meningitis, traumatic brain injury, high blood pressure, chronic migraines. It is important to be evaluated as this may lead to depression, anxiety, sleep disturbance, and other psychological issues. Treatment of your headache will depend on the cause. Tests and scans need to be done to get a clear diagnosis. In the meantime, please also consider stopping smoking as it might be related to the cause of your headache. Also keep a headache diary which will help you determine what triggers your headache, wherein the head is the pain, when it started, and how long it lasted. Best wishes." + }, + { + "id": 12690, + "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": 8739, + "tgt": "Shall we give Levolin or expectorant syrup to treat our baby's cold and cough?", + "src": "Patient: Hi doctor,My 3 year old baby is suffering with cold and cough. Our doctor suggested her Budecort and Asthalin. I am giving them for the last one week, but no improvement. Shall I give Levolin syrup? Doctor: Hello. I would like to ask you a few questions before I can suggest you anything. Please provide me answers to the above questions, so that I can suggest you something." + }, + { + "id": 19998, + "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": 22158, + "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": 24171, + "tgt": "Can unprotected sex after four days of period lead to pregnancy?", + "src": "Patient: Hello doctor,I had unprotected sex after four days of the period this month. He did not ejaculate inside but I am not sure about pre-ejaculation. Within an hour after intercourse, I took unwanted 72 and I had bleeding for only one day. Is there a chance of pregnancy or not? Is it a withdrawal bleeding? My mensuration cycle is 30 days. Does it come under safe days or not? Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. Yes, you had intercourse during your safe period, which is from day 1 to 10 of your period. Yes, the bleeding is withdrawal bleeding. There is nothing to worry about. So relax and do not worry.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": 22156, + "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": 1801, + "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": 24048, + "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": 27477, + "tgt": "I get joint pains, 3 to 4 times a month. What to do?", + "src": "Patient: Hi doctor, I am suffering from joint pains from last two years. I get pain in fingers, palms, knee joints, heels, and soles. I consulted doctors few times, and they tell me to take Colchicine, Dolo, Myotop, and\u00a0Nucoxia, whenever I get pain. But these days, I am getting the pain very frequently, like 3 to 4 times a month.\u00a0I do not know what to do. Can you please suggest what to do? I have attached my reports for your reference.\u00a0Thanks. Doctor: Hi. Revert with more information to an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24319, + "tgt": "How can I prevent reflux in an 18 days old baby?", + "src": "Patient: Hello doctor, My daughter is 18 days old. Yesterday she vomited out milk three times in a day. Also sometimes she coughs for four to five seconds several minutes after the feed. She arches her back and folds her leg when I lay her on the bed. She is more comfortable lying on my chest and tummy all the time. She is exclusively on breastfeeding. Tell me how to prevent reflux. Should I make her sleep on sides as that way she is more comfortable? Doctor: Hi. This usually happens due to inadequate burping after the feed. After every feed, you should keep baby upright, at least for 15 to 20 minutes. Make sure baby is latching to the breast properly as improper latching leads to air swallowing, which can lead to gas or colic pain, and baby gets uncomfortable. It is good, keep baby exclusively breastfeed. Sleeping on inside is not recommended as it can lead to aspiration. Feeding gap should be maintained as much as possible, two hours so that you get time to rest, and milk secretion improves. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29515, + "tgt": "Which cream should I try for dry and peeling skin?", + "src": "Patient: Hi doctor, I am a 52 year old male with type II diabetes. For the past few weeks, I have had extremely dry skin\u00a0around my eyes, particularly on the corners and on my eyelids. Lotions tend to make my skin red rather than resolve my issue. When the lotion dries, it cracks and peels again. The problem started about the same time as my cat scratched my shoulder (picture attached). The scratch turned into a patch of red skin that has slowly spread despite the use of Hydrocortisone USP 2.5% cream. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13926, + "tgt": "What does bleeding after 16 days of taking emergency pill indicate?", + "src": "Patient: Hello doctor, I had unprotected sex with my fiancee on the seventh day of ending her period and she took the emergency pill within 12 hours and her period cycle is around 33 days. After 16 to 17 days of having pill she got light bleeding that lasted for around five days. Are there any chances of pregnancy? Doctor: Hi. I just want to be clear that no birth control pill or any family planning method that can give 100 % assurance that you will not get pregnant. It only decreases a significant percentage of the chances. So yes, she can be pregnant but if she took an emergency pill then it gives her only 75 % chance of getting pregnant. The spotting after ECP (emergency contraceptive pills), usually 5 to 10 days after is what we call withdrawal bleeding. This is expected since the hormone Progesterone in the emergency pill is so high, it can cause spotting or bleeding after. I suggest you take a pregnancy test after one week and if it is negative, then you are safe." + }, + { + "id": 31006, + "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": 1036, + "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": 23178, + "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": 16816, + "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": 21968, + "tgt": "Please go through reports of 10 year old child and comment", + "src": "Patient: Hello doctor, What does this report mean? The report is of a 10 year old child. Growth hormone 0.2 ng/ml children (0-16). Doctor: Hello. I have seen all the files attached by you (attachment removed to protect patient identity). All the reports are in the normal range except for TSH (thyroid-stimulating hormones) values which are low. That means the baby is hyperthyroid. It can happen in many conditions and needs a physical examination of the thyroid gland. Kindly go to an endocrinologist for further treatment and he will put the baby on antithyroid drugs. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4074, + "tgt": "I have a surgical site infection. Can I travel?", + "src": "Patient: Hello doctor, Two and a half weeks ago, I underwent an exploratory laparotomy that resulted in an appendectomy. Yesterday, I went to see my primary care physician who diagnosed a surgical site infection. I was given Cephalex three times per day for ten days. My question is about traveling with my current condition. In a few days, I am scheduled to chaperone high school students in a four day trip. We are traveling by charter bus, which will take eight hours. There will be considerable walking. Due to my current condition, would you recommend me to attend this trip? Do you think it will not cause more harm and be reasonably safe? Your response is greatly appreciated. Doctor: Hi. For further doubts consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 1035, + "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": 20470, + "tgt": "Are the flat bumps on forehead indicative of warts?", + "src": "Patient: Hi doctor,My daughter is 16 years old. She has bumps on her forehead. They are flesh toned (flat top). They do not hurt or itch. They have been there about 2 years now (sometimes it seems they are more prominent than other times). She is at an age where they are starting to upset her from an appearance perspective. Two of the formations are actually linear. They almost appear to be a scar until you get close and realize it is a series of bumps in a line. She has never been on medication for them. She uses Proactiv for face washing purposes. Extensive research seems to indicate flat warts. Just trying to get any additional insight prior to our appointment. Doctor: Hi. They are flat warts, warts are an infection caused by human papillomavirus, it is contagious, better to get it treated soon. Linear pattern is called Koebners phenomenon, it is the formation of warts along the line of trauma or scratch. There is a major role of immunity in the resolution of warts, good sleep, eating nutritious food, vitamin supplements are helpful. Treatment options for warts are topical application of Retinoids that helps to exfoliate the skin, cryotherapy, topical application of Trichloroacetic acid, and radiofrequency." + }, + { + "id": 28501, + "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": 25158, + "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": 787, + "tgt": "I get anal pain due to a flap in anal region. Why do I get this pain?", + "src": "Patient: Hi doctor, For the past one month, I am having pain in my anus. It pains while throwing waste and even while sitting. There is a skin flap that has appeared at the end of the anus towards the outer side. There are two flaps one is more white in color and the other is reddish. It is not bleeding however, I am having pain. I am not taking any medication for that as I could not go and see a doctor and thought that it will be cured on its own. It actually started at the time of my period when my stomach got disturbed with hard stools. Please help. Doctor: Hi. The picture (attachment removed to protect patient identity) and the symptoms suggest you have an external pile mass. The pain is due to an underlying fissure, or simply a crack at the anal opening. These usually result from hard stools or constipation. You need to start on dietary measures aimed at making stools soft as well as stool softening medicines. Also, topical medicines to apply at the anal orifice will also help in relieving the acute pain. I hope this helps." + }, + { + "id": 30588, + "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": 8381, + "tgt": "Please suggest a non-vegetarian diet plan for diabetes", + "src": "Patient: Hello doctor, I am a 37 year old female. I am on diabetic medication since two years. I have attached my reports. Two months ago, my blood sugars were\u00a0149 FBS and 154 PPBS. The doctor had prescribed Istamet 50/500 (1-0-1), Gliclapack 30 mg (1-0-0), and Benipack 4 mg (1-0-1). Last week, the sugars were 97 FBS and 100 PPBS, and urine microalbumin\u00a0was 34 mg/L. The doctor changed the medication to Istamet 50/500 (1-0-1), Gliclapack 30 mg (1-0-0), Benipack 4 mg (0-0-1) and Olkem 20 mg (1-0-0). My BP was 140/90 mm/Hg. He has asked me to do a full diabetic health check up after three months and revisit him. So, please advise the appropriate diet plan. Doctor: Hello. The diet plan for you is as follows: For further queries consult a nutritionist online --> https://icliniq.com./ask-a-doctor-online/nutritionist" + }, + { + "id": 27079, + "tgt": "My son is vomiting everything he eats. Please help me", + "src": "Patient: Hello doctor, My 2 year\u00a0old son is suffering from fever. The temperature right now is 100.4 degrees. He is vomiting every thing he is eating. Doctor: Hello. I suggest the following: I am worried about his tongue color. If it is cherry red, then the possibilities could be different. Provide a clear picture of the tongue and BCG vaccine site (upper part of the left arm). Revert with more information to a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8599, + "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": 20307, + "tgt": "I am suffering from knee pain. Please help", + "src": "Patient: Hi doctor, I am a 47-year-old male. Now, I have pain in my knee. I have taken a lot of painkillers to get relief from it. But it comes back again. I am unable to run fast. I cannot walk fast. I have numbness in my right leg. Please help. Doctor: Hi. For knee pain, you can investigate with an X-ray or MRI (magnetic resonance imaging) scan of the knee joint. If there is any ligament injury in the knee joint, then it will be seen in the X-ray or MRI scan. You can consult an orthopedic surgeon for an examination. For numbness, you can investigate with serum B12 estimation, serum TSH estimation, random blood sugar estimation, SGOT (aspartate transaminase), SGPT (alanine transaminase), urea, and creatinine. If there is a need, NCV (nerve conduction velocity) study can be done." + }, + { + "id": 25526, + "tgt": "My penis is bent to the side after a long session of masturbation. Please help", + "src": "Patient: Hello doctor, Recently (within the past month) my fiance had flown back to a different city where she is now currently having to live, and I ended up masturbating for a rather long time about a week after she had left. The time that this lasted for, I would say was anywhere from three to three and a half hours. This is far longer than I have ever masturbated before by a substantial amount, and when I finally allowed myself to climax I noticed that I had some pain in my penis and it was still kind of swollen. Initially, this did not disturb me, but then the swollenness did not go down immediately and only after about an hour or so did it finally subside. I had taken some Ibuprofen immediately when I noticed it may have had inflammation. And I just figured that it would go away overnight, but it did not. I have now had pain in my penis on and off for the past two weeks since the incident and it is really starting to concern me. I know there are certain things that can happen. And Peyronie's came to my mind. As of now, if and when I get an erection, it seems like my penis is bent to the side slightly. I guess my biggest concern is if it was the beginning of Peyronie's, would it develop slowly as the scar tissue developed, or would the bend be more abrupt? I currently do not have health insurance as I have not needed to go to a doctor for years, and I do not know what to do at this point. I have pictures showing the bend and also what seems to be some sort of bump or vein on my shaft that was not there before. Doctor: Hello. Had you taken any erection enhancing drug so that your erection lasted long? It should not be left erect for hours, like four hours and more. The image shared (attachment removed to protect patient identity) is an acceptable shape of the penis. I do not think you should be concerned about Peyronie's disease. Veins or slight swelling seen are also normal. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14661, + "tgt": "Fasting sugar is 297. But still there is no weakness or tiredness. Please help", + "src": "Patient: Hello doctor, My father's fasting sugar is 297. But my father is feeling better, no weakness, not feeling tired. Why? Doctor: Hi. Blood sugar levels fluctuate in the body every minute. If sugar level continuously remains on a higher level, then it is very dangerous to the body because it can create some serious health issues like diabetic neuropathy, nephropathy, retinopathy, ketoacidosis, and coma. So, kindly start him on treatment either oral hypoglycemic agents or human Insulin. Take medicines regularly. Low insulin level in the body. Fasting and postprandial blood sugar level, HbA1c. Diabetes mellitus, hyperglycemia. Diabetes mellitus. Tablet Metformin 500 mg BD. Avoid sugar added foods and drinks." + }, + { + "id": 4090, + "tgt": "I am having trigger issue in middle finger of both hands. What to do?", + "src": "Patient: Hi doctor, I am having trigger problem in the middle finger of my left hand over a year. But, the same finger of my right hand has now developed the same problem. They are especially bad in the morning and it is difficult to straighten them. I can feel a very heavy click when I do it. I had blood tests to test for arthritis and they came back clear. I was diagnosed with breast cancer last year and treated with chemotherapy, mastectomy and radiotherapy. I have mentioned the problem about my fingers to each of these specialists and none of them had an answer. Everyone said that it is not a side effect of any of the treatments. Currently, I am taking Aromasin inhibitors and Triptorelin. I am very much worried and confused at the moment. I cannot seem to find any answer as to know what it is. Please help. Doctor: Hi. 1. Rheumatoid arthritis (could be RF positive or negative). 2. Psoriatic arthritis (may occur before the rash). 3. Gout. 4. Pseudogout (form of arthritis, swelling of joints last for some days or weeks). 5. Osteopenia or osteoporosis causing atypical fractures. 6. Less likely metastatic disease. X-ray of hands, vitamin D levels, ANA, Anti-CCP (anti-cyclic citrullinated peptide antibody), rheumatoid factor and CBC (complete blood count). Rheumatoid arthritis and psoriatic arthritis. 1. It will depend upon the results. I would suggest using 2000 IU of Vitamin D and calcium 800-1200 mg per day. 2. Take Ibuprofen 400-600 mg twice daily for pain with food. If possible get a splint to minimize active movement. Revert back after a month or sooner once the information available to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1452, + "tgt": "I have painful pea-like lump on labia. Will it go on its own?", + "src": "Patient: Hello doctor, I am having a pea-like lump in my labia it is not visible but it is like a ball and painful. I have started having Ciplox 500 and applying a warm compress. Please help as I am very scared regarding what is it and how will it go away? Doctor: Hi. Your history suggests a Bartholin abscess or maybe a fungal growth. The growth actually needs to be seen before I can give you any coherent advice. But I definitely suggest personal hygiene, wearing cotton underwear and preferably sun drying your underwear to prevent any infection. Good diet and exercise goes a long way to provide immunity against genital infections too. For relief, I suggest you start a warm sitz bath and avoid intercourse for a few days. Any over the counter painkillers like Paracetamol can be taken if you have no known drug sensitivity. But if still your symptoms do not subside you may have to take antibiotics. I hope this helps." + }, + { + "id": 30434, + "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": 14669, + "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": 2892, + "tgt": "I have low vitamin B12 with high hemoglobin and high hematocrit. Is it polycythemia?", + "src": "Patient: Hello doctor, Last week I went to the doctor for several reasons like headche, weakness, tightness and pressure in the head and body pain. He ordered some blood work and chest x-ray. Doctor told me that chest x-ray report is good and he just told I have low vitamin B12 level and I have bacteria in stomach. He prescribed me Omeprazole, Clarithromycin, and Amoxicillin and I took five shots of vitamin B12. But still, I feel tightness in the head and several headaches. My hemoglobin and hematocrit level is too high. My bowel habits is also changed. I pass stools right after eating three to four times a day. All my symptoms meet cancer. Do you think I have polycythemia or polycythemia vera? Do you want me to consult hematologists? Please give your opinion. Doctor: Hello, Welcome to the icliniq.com. I have gone through your history and reports. (attachment removed to protect patient identity). You had a complaint of left side abdominal pain with a headache. Hence gastritis can be the possibility and for that antibiotic and antacid course are prescribed. Sometimes upper gastrointestinal infection can lead to poor absorption of vitamin B12 and so deficiency can occur but here your B12 value is borderline in the report. So further work up can be done at that time by measuring homocysteine and methylmalonic acid measurement for confirming B12 deficiency. Anyhow you completed the course of B12 injection so no need for measurement of homocysteine. Your stool frequency is increased and it seems to be stress-related irritable bowel syndrome (stress, anxiety lead headache as well). Yoga, meditation, and exercise will be beneficial in reducing stress. Consume more fruits and green leafy vegetables. If needed psychiatrist help can be taken. If stress and anxiety are not related then USG (ultrasound) abdomen or endoscopy like workup can be planned only if gastrointestinal symptoms worsening. In your attached CBC report values are within limits. In polycythemia (which you are suspecting) Hb is greater than 17.5, WBC count and platelets also can be high, RBC values are high and HCT is more than 55% usually. So here polycythemia is not the possibility. Repeat CBC after completing your antibiotic course. Lack of sleep, hypoglycemia, smoking, stress, irregular meal habit, migraine, etc., are some other causes for headache. I hope this helps." + }, + { + "id": 3567, + "tgt": "Is there a chance for pregnancy even if HPT was negative 2 days back?", + "src": "Patient: Hello doctor, It has been 27 days since I missed my periods. My last period was almost two months back. I was feeling sick and slight spotting was noticed for three days. I had breast pain for more than eight days, but now the pain has reduced. 19 days back doctor said follicle is observed. So, periods may commence in a week's time, if not he advised me to go for a pregnancy test. Two days back I took a home pregnancy test (HPT) turned out to be negative. I am feeling very uneasy. Please help. Doctor: Hi. I have read your problem. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13563, + "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": 3883, + "tgt": "I have traces of sugar in urine. Does it mean diabetes?", + "src": "Patient: Hi doctor, I am a male of 59 years. Diabetic for 7 years and hypertensive for 19 years. My HbA1c always will be below 7 and creatinine at 0.9 that is minimum. Recently, I undergone microalbuminuria spot urine test which showed 141 mg/L, and complete urine analysis showed all the parameters negative including protein in the urine, but traces of sugar. From this, should I be worried about kidney disease? Please comment. I am currently taking the following medicines. Vog GM 2 morning and night, Zita Met plus morning, Olmezest beta 50 one in the morning, Olmesar 20 mg night, and Ecosprin AV 150 mg at night. Doctor: Hi. As you said your HbA1c is below 7, so it means your mean blood glucose level must be less than 180 mg. If it is so then your kidney is having the power to excrete the sugar. But, you stated there are traces of sugar in your urine. If you had done your HbA1c more then 60 days back then please get it done again and check what is your mean glucose level. It is always mentioned below your HbA1c reading and if less then 180 nothing to worry. But, if it is more then 180 then you need to control your sugar level. Please go through as advised below. Uncontrolled diabetes. Renal profile and HbA1c. Early renal involvement. Type II diabetes mellitus. Continue with the same medicines you are taking. It can only be changed once we get the tests done. Increase your physical activity. Do walking about 3 to 5 km per day. Avoid all type of sweets. Learn to say no when visiting your relatives or friends when they offer any sweet. Please consult once tests done." + }, + { + "id": 1628, + "tgt": "My wife does not sleep thinking about this coronavirus pandemic. Please help", + "src": "Patient: Hi, Due to this Coronavirus Pandemic, My wife is very scared about the health concerns of our family. Sometimes she is not able to sleep at all. although none of our family is suffering from diseases. she is overtly anticipating dire Consequences of this Coronavirus and obsessively Clean. this is happening after the pandemic has started.. No amount of reasoning, love , patience, sensibility is not working. Please Help No other illness . Age : 33 Hieght : 5'7 wieght : 58 Kg Doctor:" + }, + { + "id": 10189, + "tgt": "What is the harm of stopping Veltam plus in a person with BPH?", + "src": "Patient: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s. Doctor: Hello. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus. So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection). Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible. Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30357, + "tgt": "Is Alzheimer's disease curable?", + "src": "Patient: Hi doctor, My dad is 82 and has a loss in his memory.\u00a0Our doctor reported him as an Alzheimer patient (G1). Is that curable? Doctor: Hi, Welcome back to icliniq.com. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21579, + "tgt": "Is it advisable to give LMWH to treat PVT?", + "src": "Patient: Hello doctor,The patient was diagnosed with autoimmune hepatitis for 27 years and portal hypertension for at least 10 years and was recently diagnosed with portal vein thrombosis (almost complete thrombosis to the level of confluency) through a CT scan. The patient takes Azathioprine for treatment for the past 15 years and was previously on steroids when first diagnosed. Liver cirrhosis is present, AFP levels are normal on the last check (four months ago) and have always been. Her PT is normal and albumin levels are low. Now for the treatment of PVT, what is advisable? LMWH or something else? Doctor: Hi. The information given here (attachment removed to protect patient identity) shows that she has liver cirrhosis. Also, she has portal hypertension. In this setting, treatment should be directed at liver cirrhosis which has ultimately resulted in portal vein thrombosis. The reports are negative for underlying tumor (which needs the CT image to be seen). She may benefit from LMWH (low molecular weight Heparin) if other liver parameters are fine. Else the best option ahead would be liver transplant. I would like to see her complete reports for a detailed discussion. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 2659, + "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": 15483, + "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": 28950, + "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": 11787, + "tgt": "Does getting acne have anything to do with my periods?", + "src": "Patient: Hello doctor, I am a 19-year-old. I have never had acne problems. Recently I can see acne around one side of my mouth. It has been going on for a few months. I have tried every face wash, creams, toners, etc. I have an extremely irregular period. I am not on any medications. Does it have anything to do with my periods? Doctor: Hello. 1. Yes, it can be related to your irregular cycles also. 2. For that, you should consult a gynecologist. I am writing you the medications for this for now. A. Capsule Doxycycline 100 mg once a day. B. Adapalene and Clindamycin gel apply once at night on acne, do not rub it and wash after one hour. Do this for 15 days." + }, + { + "id": 8565, + "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": 24287, + "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": 20169, + "tgt": "Other than braces, how to close the gap between two front teeth?", + "src": "Patient: Hi doctor, I have a gap between my two front teeth. I feel insecure to the point where I do not smile with my mouth wide open. I told my dentist about this. She said she cannot give me braces. What should I do? Is there anything else I can ask my dentist to give me other than braces to close my gap? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4703, + "tgt": "What causes bruising over the joint after ligament reconstruction?", + "src": "Patient: Hi doctor, I had ligament reconstruction on my ankle 6 months ago. The surgery went well and my stability is back to normal. However, when my surgeon did the athroscopy, he noticed mild damage to the joint, however, he said that this should heal by itself. I saw my surgeon 2 weeks ago as I have still been getting a lot of pain where the ankle joint is. Since seeing him, I have been getting bruising over the joint with no injury and I currently cannot bare any weight on the ankle. When I saw him, he recommended more physiotherapy and said that the main reason was likely to be linked to the surgery I had and it should go away within time. I am currently using Cocodamol to manage the pain as normal pain relief is not helping. I would just like to know if there could be any other reasons why I could be getting this joint pain? And if it is worth me arranging to see my surgeon again if it carries on after giving more physiotherapy a try. I am 18, 64 kg and 5'7\". Doctor: Hi, Welcome to iclinq.com. After reviewing your information provided and the picture (attachment removed to protect patient identity). There are two concerning things: 1. Are you trying not to move the leg at all? (Could be a cause of one sided cold foot). 2. Are you getting this bruise after resting the ankle on the side of bruising? In that case it could be a pressure sore developing. Here also physiotherapy will help. I think you should continue with physiotherapy as advised by your doctor. Physiotherapy can help in the following manner: 1. Reducing pain of movement and strengthening muscles for weight bearing. 2. Maintaining full movement of the joint. 3. Improving the circulation and helping with this kind of pressure sore development and also cold foot. Regarding other causes of pain, discuss it with the surgeon who did the arthroscopy (depends on the findings). Definitely see your surgeon till you are able to bear weight and do your daily life activities well. If you have cold and painful sensation in both feet or arms. or a family history of such problems, discuss with your GP, the possibility of vasculitis. Be very careful with the Cocodamol, it can be habit forming. You should not be requiring (or using) this medication for a long term. Hot fomentation can help reduce the pain as well. Please discuss with your Physiotherapist or Orthopedic surgeon." + }, + { + "id": 14285, + "tgt": "My 4 year old son has a broken ulna and radius. I would like to know if my son has received proper treatment", + "src": "Patient: Hello doctor, My 4 year old son has a broken ulna and radius. They are broken in the middle of his arm. The x-ray shows that the broken bones are displaced. The doctor did not perform a reduction and ordered a full arm cast. He stated that the bones will set themselves as my son grows. Is this true? It does not make sense that reductions are performed on some children being that \"the bones will set themselves as a child grows\". I would like to know if my son has received proper treatment. Doctor: Hello.I have seen the x-rays of your child (attachment removed to protect patient identity).To be very honest, I am not happy if this is the position which has been accepted after the cast has been put. It is true that fractures remodel in children very well and that they also unite very fast. But in your child's case, I am unhappy because : It is also known that serial x-rays have to be done because the position in a cast can change and lead to unacceptable malalignment. In any case, I will advise you not to panic. It would be better to go for closed reduction and above elbow cast under sedation. Take care." + }, + { + "id": 16090, + "tgt": "Is it normal to have numbness in tongue and jaw after wisdom tooth extraction?", + "src": "Patient: Hello doctor, My lower right side impacted wisdom tooth has been extracted a week back. Till now my half tongue and jawline of the right side are numb or I am not feeling hot or cold at that side. I am so much worried. Is that normal or is it a concern of worrying? I am panicking for getting sense in my tongue back. Please advice. Doctor: Hello. If the tongue feels numb even after a day, then you may have a condition called paresthesia. It occurs when the injection injures the nerves. and such numbness can remain for a week or two, sometimes even for a month. But it will go away as the nerves heal slowly. Take capsule Becosules (Vitamin B1 and B2) once daily for 15 days. But it is better if you go back to your dentist to show him first." + }, + { + "id": 20246, + "tgt": "I am pregnant. What precautions should I take?", + "src": "Patient: Hi doctor, I had my periods last month and I missed my periods of this month. My urine test shows a positive pregnancy result. How to know that when I got pregnant? How long it have been that is, how many days or weeks? What are the precautions should I take now? I am living in an area where I could not get medical assistance easily. I have attached my monthly period dates for your reference. Please help. Doctor: Hi. According to the dates you have mentioned (attachment removed to protect patient identity), you have conceived during the last week of the month, as it was the fertile period for you. And, you are almost 6 plus weeks pregnant now. Please get a scan for an early pregnancy to ensure your date and fetal cardiac activity. Also, get started with Folic acid supplements with consent. Avoid having sex, lifting heavy weights and stressful exercises. Regarding food to be avoided are pineapple and papaya. Rest all vegetables and fruits you can have. Take plenty of fluids, vegetables, fruits, iron-rich foods, milk and milk products. Have a regular follow-up with your gynecologist. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3747, + "tgt": "My taste buds are blunt and could not feel the taste. Does this imply recurrence of Bell's palsy?", + "src": "Patient: Hello doctor, I had Bell's palsy before few months, and it resolved within two months. I was treated by a neurologist then. But now I feel that my taste buds are blunt and I cannot taste very well, within the past day or so. I have no other symptoms of Bell's palsy yet, but this is how it started back. It was on my left side. I am worried that I am getting Bell's palsy again. Is it possible to get it so soon again? And if I feel it is, what shall I do? Shall I start my steroids and Acyclovir again? Doctor: Hello, Welcome to icliniq.com. I can understand your concern. Try finding any other cause of taste loss like consumption of any drug like Metronidazole. If you are sure that no other cause explains it then I will suggest to get NCV (nerve conduction velocity), EMG (electromyography) test because it can pick up delay in nerve conduction earlier than the symptoms. Results are available by the same evening. Bell's palsy prophylaxis is not recommended anywhere. However, if I imagine myself in your position I would start the medication by the time all these investigations are done. You can also get a detailed neurological examination. Many a time clinical signs can be seen when a patient cannot appreciate symptoms. If it proves to be Bell's then we will have a discussion for further causes of recurrent Bell's." + }, + { + "id": 2400, + "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": 28979, + "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": 17285, + "tgt": "Is surgery necessary in treating varicocele?", + "src": "Patient: Hi doctor, I am a 35 year old\u00a0male, who is suffering from infertility. I got married three years back, and we have tried to conceive ever since. Recently, I consulted a \u00a0urologist here, and he asked me to get a semen, Doppler scrotal, and thyroid tests done. I am attaching the reports. I took the scans and consulted him again.\u00a0The sperm count is 1 million, and one year back it was around 9 million. My right testis volume is 10, and the left testis volume is 8.\u00a0I do not have any thyroid problem, sugar, or BP issues. After seeing my reports, the\u00a0doctor told me to go for varicocele operation. I would like to know if this is a major issue? Do I really need to go for this operation? Can this be cured without surgery? Please let me know your suggestions on this. Thank you. Doctor: Hi. I read your query and understand your concerns about low sperm count and bilateral varicocele. 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 sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6622, + "tgt": "What causes pain after masturbation in a patient with epididymitis?", + "src": "Patient: Hello doctor, I have epididymitis and I am taking Ciprofloxacin for it. I was feeling better but then I masturbated and all the pain is back. Doctor: Hello. How long have you been taking the Ciprofloxacin and at which dose? Are you taking any medications for pain?" + }, + { + "id": 19919, + "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": 16641, + "tgt": "Chest pain, arm pain, and shortness of breath worsening with time. Please advise", + "src": "Patient: Hello doctor, From past one month, I am suffering from chest pain, left arm pain, jaw pain, shortness of breath, sweating and weakness. Day by day, it is worsening and my fear is also increasing day by day. I am 19 years old with no bad habit and with a healthy diet and BMI. I used to go to the gym but due to this problem, I am not able to do all my activities. Recently, I had ECG, echo and stress test and blood tests all tests were normal but after 15 minutes of stress test I had chest pain five minutes and sweating for 20 minutes. My resting heart beat has also decreased. I was in anxiety two years back but my ECG at that time was better than this time. Doctor: Hello. I noted your symptoms and reports (attachment removed to protect patient identity). Frankly, they are all normal. I would like to suggest the following medicines and to see if the problem persists. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Please inform your blood pressure. Good day. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30567, + "tgt": "Please explain my hearing problem from the audiogram report", + "src": "Patient: Hi doctor, I am 24 years old. I am having trouble with my left ear hearing. But, I never took much care to sort it. Lately, I found it is little awkward. I am having an old audiogram result with me. Please look through it and tell your advice. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13027, + "tgt": "What can be done for blood while passing stools without pain?", + "src": "Patient: Hello doctor, I a male, 27 years old. I got blood while pooping without pain today morning twice but without any pain. Doctor: Hi. Blood in stools can have multiple reasons from simple hemorrhoids to some serious ailments. I would advise you to visit a gastroenterologist and get a sigmoidoscopy done. It is a simple test and takes hardly 10 minutes. It involves passing a small tube-shaped soft camera from the anus into the large intestine and trying to find the source of bleed. It is a painless procedure with the only sensation being mild bloating." + }, + { + "id": 20814, + "tgt": "My strep result is positive, but my symptoms are like viral. What to do?", + "src": "Patient: Hi doctor, During my travel I had a sore throat, 102 degree fever and back aches. I did not have a stuffy nose or congestion. I previously had bladder infection three weeks ago and the doctor whom I visited in that place prescribed me Levofloxacin. I think he was treating me for a kidney infection, but due to language barrier I was not sure. I took the five day course of antibiotics and felt better. Three days later the sore throat came back, but no fever. As I came back to my town, I visited my regular GP. She did a throat culture and prescribed Amoxicillin. Before starting Amox, the sore throat went away and a cough developed with green mucus. Not sure whether it comes from the lungs or sinuses. I got my strep results today and it is positive. So, I am trying to figure out what is going on. Instead of strep, my symptoms are like a viral infection. Should I need the second round of antibiotics? As a biologist, I tend to overanalyze my sicknesses, some times, but I am trying to understand this better. Due to the studies of the irreparable damage to the GI tract of antibiotics, I do not like the idea of being on my second round of antibiotics if this could be viral. And if it was a viral case, is it bad to stop the antibiotics? Please explain. Doctor: Hello. Strep pharyngitis is usually graded by modified center criteria. I do not have all the elements to plug in the numbers. Classically, you should have fever, exudates on the tonsils and posterior pharynx, cervical lymph node enlargement and absence of cough. Your positive culture might be representing that you harbor Strep in your pharynx. Now that the symptoms of sore throat are gone and I would not suggest getting treatment for that reason. Now, the productive cough with green phlegm does not always mean that you have a bacterial infection. By the book when you have symptoms of sinus pressure, congestion and or fever for a week not improving with conservative treatment that is when we treat with Amoxicillin. If you have any of the mentioned symptoms, then you would benefit from treatment. If you are having chest congestion, which is not improving with conservative treatment getting a chest x-ray and CBC (complete blood count) would be a reasonable option. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2602, + "tgt": "How to treat plugged ear and vertigo?", + "src": "Patient: Hi doctor, I have had one ear plugged completely with limited to no hearing on that side. I have been to the doctor and received Amoxicillin and steroids for it as well as Ciprodex ear drops and a Bromide nasal spray but my ear is still plugged. I woke up last week with this condition and debilitating vertigo as well. This is the first time I have had such debilitating vertigo in general. I went to urgent care and received a shot of Zofran to stop the nausea and purging. The dizziness has tamed down a bit, but still, I get woozy when I turn my head or look up and down. I am worried about the lasting condition of my ear and would love some help as I have not been to an Otolaryngologist yet. Doctor: Hi. Your ear bulging is mostly because of eustachian tube dysfunction and middle ear inflammation. Use nasal decongestant drops as Otrivin while lying down on your back and your head is lower than your whole body (Trendelenburg position). Chewing gums may help in opening the obstructive eustachian tube too. Now about vertigo, it is now related to certain positions as looking up or down. So, this type of vertigo is related to your inner ear. Many drugs can end this vertigo but it has a dramatic side effect as it destroys the normal compensatory mechanism of your vestibular system. So, the best choice is to get help from an audiovestibular specialist who can help you performing a maneuver (something like physical therapy) in the form of 1 or 2 visits after which the vertigo can be completely treated." + }, + { + "id": 6944, + "tgt": "Could positive Romberg and tremor be due to multiple sclerosis?", + "src": "Patient: Hello doctor,My GP\u00a0referred me to a neurology due to positive Romberg, equivocal Babinski and an intention tremor, which is getting worse. I have been having severe tingling in my legs for months. Recently, the pain in my legs is terrible at night, and my right eye goes blurry with heat. Are you aware of any neurological condition that these symptoms could relate? Could it be multiple sclerosis? Around six years ago, I had an MRI and was diagnosed to have essential tremor. Doctor: Hi. 1. MRI whole spine. 2. NCV of all four limbs (nerve conduction velocity). 3. Serum vitamin B12. 4. T3, T4 and TSH (thyroid-stimulating hormone). Spinocerebellar ataxia. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10196, + "tgt": "Why am I having itching and burning sensation in eyes while using contact lenses?", + "src": "Patient: Hello doctor, I have contacts on and they bother me so much. If I take them out I want to scratch so bad, my eye burns and itches. Doctor: Hi. If you are having trouble with your contacts, you should discontinue wearing contacts and consult an ophthalmologist for an eye exam. Discomfort with contacts may be due to allergy to contacts or lens solution or it may be due to dry eyes (due to contacts) and in such cases contacts can make abrasions, ulcer on your cornea that would need a treatment. So, get your eyes evaluated from an eye specialist to diagnose the exact cause and get it treated appropriately. You are welcome for any queries." + }, + { + "id": 25822, + "tgt": "I have skin rashes with swelling of lips and eyes. What could it be?", + "src": "Patient: Hello doctor, I am a 20-year-old man. For past three months, I am suffering from rashes on my skin. It is usually occurring at night. I have seen two dermatologists. Both of them have not been able to identify the cause. Now I am in a big trouble that I am getting irritated. Sometimes my lips swell. My eyes also swell. It is occurring as red bubbles which are big in size. The bubbles are like ant bites. I have been tested for allergies and thyroid. But, the results were good. So, the doctors were unable to identify the cause. Now should I conduct any further tests? Is this any serious skin problem like skin cancer? I am very tensed. I am not able to concentrate fully on my studies due to this. Please help me. I have attached pictures for your reference. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity) Your clinical diagnosis is urticaria. You have mentioned that you have this issue for three months. So, to be more precise it is chronic spontaneous urticaria. Most common causes of urticaria are infection anywhere in the body, dental infection, urine infection etc., infestation with worms in stool, common in children, indigestion of any medicine, food intake which you are allergic to, any injection or insect bite medicine, or any implants like tooth implants. But most of the time, the cause will be not found, it is called idiopathic urticaria. You need detailed investigations because you are noticing swelling of lips and eyes. This is called angioedema. You need an antihistamine or an anti-allergy medicine round the clock, and to suppress the rashes and swelling, you need corticosteroids. I would suggest you consult a dermatologist in any good medical college where there will be all investigations available. If you are experiencing swelling of lips and eyes, please do not delay, visit a medical institute. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4292, + "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": 16279, + "tgt": "Can Nitroglycerin patch prolong life of an elderly person?", + "src": "Patient: Hello doctor, My 96-year-old mother is getting to where she only eats breakfast. She has hearing loss and is blind. Does the Nitroglycerin patch she is using will prolong her life? She is miserable and ready to go. She is sleeping a lot and had three seizures two weeks back. She has refused to go to the hospital. Doctor: Hello. As you mentioned, your mother has deafness and blindness, you did not mention why she is using Nitrogen glycerine patches. It is only useful when the patient is suffering from heart disease with recurrent anginal chest pain (heart attack), but it is used to reduce BP also. It is for symptomatic uses, related only with the condition, cannot use without indication. If you will give me details about her diabetic or hypertension status and current BP, pulse rate, then I can help you in a better way." + }, + { + "id": 13932, + "tgt": "What causes swollen tonsils with fever, body aches and runny nose?", + "src": "Patient: Hello doctor,I need to know what I should do. I have been sick for four days now. I have two swollen tonsils (left side I noticed white spots on it). I have had fevers, body aches, body chills, runny or stuffy nose, vomiting and difficulty breathing. Doctor: Hello. With the details, you have provided you seem to be suffering from acute tonsillitis. It is an infection of the tonsils and the pharynx, mostly bacterial looking at the associated symptoms you have. You must take an appropriate antibiotic for the same and in my office, I usually empirically start my patients on Amoxicillin 500 mg thrice a day for five days. Also, I give them symptomatic treatment, Paracetamol 650 mg taken SOS for fever and pain, Levocetirizine 5 mg taken once a day for a runny nose, Phenylephrine 10 mg taken once or twice a day for the stuffy nose (Note: There are combinations of Paracetamol, Phenylephrine, and Levocetirizine). Good supportive treatment comprising hot water gargles, plenty of warm water to drink, avoidance of smoke, dust and cold foods, avoidance of oily-spicy foods during the course of treatment and a healthy nutritious diet will help remove the infection faster. The white or yellow spots on the tonsil are due to obstruction of small crypts due to the infection. It is a common finding in follicular variety of tonsillitis. You may also gargle the throat with dilute Chlorhexidine mouthwash if there is any bad smell emanating from the mouth. Do revert back to me for any further query or clarification. I will be happy to help you. Hope to find you in good health soon." + }, + { + "id": 23096, + "tgt": "Are my blood report results showing something serious?", + "src": "Patient: Hello doctor, I recently had my annual exam done and have some odd results. Vitamin B12 was over 2000 ng/ml ref range was 200 to 1100. I do not take any b12 or multivitamins. Globulin was 1.8 g/dl ref range 1.9 to 3.7. Albumin/globulin ratio 2.7 range was 1.0 to 2.5. AST 41 u/l ref range was 10 to 40. ALT 83 u/l ref range 9 to 46. Hemoglobin 17.4 g/dl ref range from 13.2 to 17.1. Is this a serious sign of something wrong? I have noticed. I do not feel that great these days. My doctor has put me into getting an ultrasound on my abdomen. Doctor: Hello. Your B12 level is very high. Liver disease, kidney disease, myeloproliferative blood neoplasm, etc., are some of the causes for elevated B12. Your ALT (alanine transaminase) is high, so for liver disease do further work up in form of USG abdomen and viral marker study. Your hemoglobin is mildly high, the proper workup should be done for that in form of full CBC and peripheral smear examination. Also check serum urea, creatinine for checking kidney profile. Investigate with these reports for primary work up. We can discuss further if needed then. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16139, + "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": 12147, + "tgt": "Kindly suggest what can be done when a person fainted and bumped her head", + "src": "Patient: Hello doctor, I need advice about a person who just fainted and bumped her head hard on concrete. Should she go to the emergency room? Doctor: Hello. I would like to know her age, other medical conditions, and present medicines. Fainting needs to be evaluated as it can recur and cause serious problems. If she is still feeling unwell, or having giddiness (a tendency to fall), or lost consciousness, you should get her to the emergency room. In the emergency room, they will be able to check your blood pressure, heart rate, and basic blood tests. If you are back to normal, then you can meet your primary care physician in the clinic at the earliest. You can also call your primary care physician office to check with them as they will be aware of your previous medical issues and current medicines. I hope this helps." + }, + { + "id": 5571, + "tgt": "I get gas often and it bothers me. Is it due to lactose intolerance?", + "src": "Patient: Hello doctor, I get gas when I eat anything and I mostly notice it when I am in a quiet room because I get nervous and try to hold it in. I have to pass stools every morning to get it out of my system as best as I can. This sounds gross but it has been bothering me for three and a half years. I think I am definitely lactose intolerant because I get gas and pain when I have dairy. But some days I have fruit, vegetables, and bread and it still happens. I have a lot of exams coming up and I am so nervous, I do not want to fart in the test hall and I do not want to hold it in. I literally have to squeeze my butt so tight and my whole body tightens when I feel it coming. I get so embarrassed just thinking about it. I feel like I am the only person with this problem. Doctor: Hello, Welcome to icliniq.com. I had gone through all the data you have posted. Sorry that you are going through all this. Some points to be made clear are if you were congenitally lactose intolerant these symptoms would have been severe during childhood, as they are for three years this condition is unlikely. Secondary lactose intolerance is more commonly associated with bacterial overgrowth which ferments and produce more gas. Avoid dairy products and take Rifaximin 550 mg 1-0-1 for seven days, this helps to clear the bacteria form gut and may help to decrease farts. If this does not help then, you need a detailed evaluation. Secondary lactase deficiency. Tablet Rifaximin 550 mg 1-0-1 for seven days. Avoid dairy foods. Kindly tell me the response after five days." + }, + { + "id": 1228, + "tgt": "What is the possibility of previous staph infection causing septic shock?", + "src": "Patient: Hello doctor, I had a staph infection and I took antibiotics a month ago. I had been in the sun a lot recently and I am feeling symptoms of heat exhaustion, but I am worried that the staph infection is causing septic shock? Is this a possibility? Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from a feeling of heat exhaustion as you were more exposed to the sunlight and worried about Staph infection that may cause septic shock. You had a staph infection one month back and you took antibiotics for that. So I think your previous staph infection was well eradicated by taking antibiotics. Even without treatment, it can be eradicated within 10-20 days. Staph infection may cause life-threatening condition like sepsis. Clinical features of sepsis are high fever with chills and rigors, rapid pulse rate, rapid breathing, hypotension, vomiting, diarrhea, etc. When staph bacteria enters a person's bloodstream and develop an infection that may affect the entire body and cause death is known as sepsis. You are not mentioned here that you are affected by sepsis-like clinical features and no history of having sepsis in the past. So now you are free from staph infection and no chance of sepsis caused by staph infection. I hope this helps." + }, + { + "id": 19338, + "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": 30540, + "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": 10868, + "tgt": "Why is there pain in heart in a hypotensive patient?", + "src": "Patient: Hi doctor, I have low blood pressure and am suffering with low pain in the heart for the past two days. Doctor: Hi. We define low blood pressure if the reading is lower than 90 mm Hg systolic or 60 mm Hg diastolic or if the patient has symptoms which are lightheadedness, dizziness, fainting, blurred vision or lack of concentration. These symptoms are most prominent when individuals go from the lying or sitting position to the standing position. The causes of low blood pressure could be endocrine problems, dehydration, blood loss, severe infection (septicemia), severe allergic reaction (anaphylaxis), or lack of nutrients in your diet. My advice to you is to eat a diet higher in salt, drink a lot of fluid especially in hot weather and while sick with a viral illness. And for your case, try to measure your blood pressure before and after taking normal saline. If there is no change, you can talk to an endocrine specialist. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 2667, + "tgt": "What is the possibility of miscarriage after negative urine pregnancy test?", + "src": "Patient: Hello doctor, My partner had a miscarriage unknowingly that she was pregnant five to eight weeks maybe? She had negative home pregnancy tests, a negative test at the doctor, and had a miscarriage the next day after doctors test. My question is, could it be possible there is another fetus remaining inside? I only ask because we each have one parent that is a twin. Please advise.She thought she was on her period the entire week. Bled for seven days. She attributed it to the Plan-b pill she took several weeks back. We had unprotected sex but I still pulled out. She is on birth control and used a Plan-b pill. How is any of this miscarriage stuff possible especially after just seeing the doctor the day before miscarriage? Doctor: Hi. If Bhcg (beta-human chorionic gonadotropin) test or urine pregnancy test says she is pregnant then we can say she is pregnant. And if Bhcg test is positive and healthy if it is decreasing with the history of bleeding then we can say it was a miscarriage. Or we find a fetus part in ultrasound scan or test bleeding parts then we can say that it was pregnancy. It can be possible. The twin part, I cannot say. Need to do an ultrasound scan to check the status of pregnancy. Sometimes early there is implantation bleeding only." + }, + { + "id": 2377, + "tgt": "Mole in my son's hand is 5 mm in diameter and is growing with no pain or itch. Please suggest", + "src": "Patient: Hi doctor, My son is 6 years old. He has one black mole on the left hand measuring about 5 mm in diameter with some elevated surface. It is from the last about one year and looking growing but can not sure about the growth. He has no complaint of itching and pain but when asked yesterday about this, today he is complaining of some itching and pain. I have one photograph of this for your review. Please advice. Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). This is a mole in medical terms it is called melanocytic nevus. Majority of them are benign and go through growth cycle of inapparent to getting dark and with age slowly losing the color. But in some rare cases, they do have inflammation and can have itching or pain. In some patients there are numerous melanocytic nevi over the body in those there is a risk factor of melanoma. Moles which is present with itching and inflammation are not necessarily melanoma, but to be on a safer side they need to be removed and sent for histopathological examination to rule out any malignant changes in them. If your child has only one nevus and it is having inflammation but no sudden increase in growth it can be safely treated with anti-inflammatory cream. But if inflammation or increase in size or different color on different parts of the mole appears you should immediately remove it and send for pathological examination. You should share the histopathology report examination with me because some melanocytic nevi they do present histopathologically as malignant but actually are not so that has to be reviewed clinically. Histopathology report will be of malignant changes but only with clinical consultation and growth parameters, we decide whether it was melanoma or not. For the time being you can apply Hydrocortisone cream twice daily and Fusidate cream twice daily for five days. Give syrup Citizen one teaspoon once daily if there is itching. I advise not to irritate it or fiddle with it that will lead to more irritation. Kindly review after five days, if inflammation persists or there is an increase in size, it needs to be removed and sent for histological examination. By the time lockdown will also be over so you can always do that it will be a minor procedure and will be done under local anesthesia can be completed within half an hour. Genetic. Excision biopsy. Excision. No fiddling. Five days." + }, + { + "id": 11394, + "tgt": "How to stay out of binge eating?", + "src": "Patient: Hi doctor,I am a 17 year old female struggling hard with bulimia and binge eating. My mom is anorexic, and so is my grandmother. I suffered from low weight until I started binging which has been going on for almost a year. I purge sometimes, and I am terrified of how much weight I continue to put on, yet I still regularly binge. I try everything to stop. I try new methods all the time and constantly research, but I keep hearing the same things. I lie to my parents a lot, and we both feel helpless. I guess I do not know what I am expecting because I am already on CBT treatment (which I do not think to help me), Prozac and Wellbutrin, but I need reassurance and some help with these extreme and constant binges. Doctor: Hi. According to your height, your weight is average. In bulimia, CBT (cognitive behavioral therapy) is helpful. If Prozac (Fluoxetine) is not working, then you have to increase the dose of Prozac or shift to another medicine. It is a learning process so that you have to change this to a better one. Continuous thought of purge will come to mind, but you have to stop the though by not reacting to that. Have patience because learning is a prolonged process and as age grows it is challenging to change the previous learning method. You can respond in another way rather than purging. I hope you understand." + }, + { + "id": 5331, + "tgt": "I am unble to sleep after taking Control tablet for allergy and wheezing. Why?", + "src": "Patient: Hello doctor, I am having wheezing for the past two weeks. I had visited a doctor regarding this, he told it is because of allergy so he told me to take a Control tablet and cough syrup. But when I stop taking that tablet, I am not able to sleep at night because of blocking and it is very difficult to breathe. I am not having any oily foods and even drinking hot water regularly but it is of no use. Can you please suggest me what to do? Doctor: Hello. I have read your query in detail and understand your concern. You seem to be suffering from allergic Bronchitis. This is also a type of allergic response. I would advise in such a scenario: 1. Hemogram with ESR (erythrocyte sedimentation rate). 2. Chest x-ray. Your doctor would evaluate you clinically. If you do not have severe chest congestion, he would treat you with anti-allergic drugs like Levocetirizine and Montelukast. He may add Deriphylline or Doxophylline for the chest spasms. If your chest congestion is very severe and there are wheezes and rhonchi's, then inhalers containing bronchodilators like Salbutamol would be required. You might also require a short dose of steroid inhaler like Budenoside. Share my opinion with your doctor before acting upon it. I hope this helps." + }, + { + "id": 26818, + "tgt": "Is a BP of 99/68 normal in case of a liver failure?", + "src": "Patient: Hello doctor,Is a BP of 99/68 good in case of stage-4 cirrhosis and liver failure? I am currently on Dopamine, Potassium chloride and Albumin human 25. Doctor: Hello. Overall, it is a good one. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12161, + "tgt": "In nephrotic syndrome, protein leaks from the larger filter of kidney. Is it true?", + "src": "Patient: Hi doctor, I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When a child grows, does the filtering unit become smaller? And what happens to the remaining 5 percent? I have anemia, but otherwise normal. Only albumin comes in urine. I also heard that kidney biopsy is done for nephrotic syndrome. But no doctor advised me for biopsy. Do I have minimal change disease? Doctor: Hi. Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophosphamide and Azathioprine. Renal biopsy can be performed but since you are on steroids the reports may be altered. You need to get C3 (complement component 3), C4 (complement component 4), ANA (antinuclear antibody), ANCA (antineutrophil cytoplasmic antibody) and urine protein to creatinine ratio." + }, + { + "id": 8295, + "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": 19595, + "tgt": "Is there any medication or laxatives to cure constipation?", + "src": "Patient: Hello doctor, I am suffering from constipation. Stool is so hard and has got stuck in the colon. I am on keto diet. So, fiber intake is low which may be the reason. Is there any medication or laxatives that I can take? Doctor: Hi. You seem to be suffering from constipation, and you should increase fibers in the diet. I would advise you the following: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22612, + "tgt": "A 5 mm file was left behind during root canal. Will it cause any problem?", + "src": "Patient: Hi doctor, Yesterday, I underwent a root canal treatment and almost 5 mm file was left behind. Will it cause any problem? Doctor: Hi. How are you doing? The file is completely sealing the root canal till the working length (the exact length of the canal till which the root canal is done). So, it is not a problem. I hope the doctor had cleaned and shaped the canal, and the file was sterile before the breakage of the file. And trust your dentist, if it was to create any problem, they would have informed you and tried to resolve it. Still, there is a minimum chance to get mild discomfort in future and since yours is exactly in the working length range (no over or under extension), the chance of further complication or discomfort can be brought to very minimal. Do not worry. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10333, + "tgt": "What will be the prognosis of nerve regeneration after a surgery in a 10-year-old?", + "src": "Patient: Hello doctor, I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd). Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon. Doctor: Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply." + }, + { + "id": 17332, + "tgt": "Is there a permanent cure for premature ejaculation?", + "src": "Patient: Hello doctor, I have a problem of premature ejaculation. I want to make it perfect. My sex time was just 10 to 20 seconds. Please help. Doctor: Hi. I have read and understood your problem. Premature ejaculation is very common. It is usually not associated with any disease, but may be PE due to anxiety. However, there may be problem with prostate gland and thyroid hormone. You can learn to control PE by doing this exercise - Pull your muscles at the end of urination for few seconds then release, repeat this several times daily. Another method is stop-start technique: When you feel that you are going to ejaculate, stop the sexual stimulation and divert your mind, the penis will relax. After sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. Most often it is a chronic problem; you have to take medicines in between and period off medicine. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17948, + "tgt": "How can I overcome the warming effects of Ashwagandha?", + "src": "Patient: Hello doctor, I am a 38 year old male. I started taking Ashwagandha 500 mg per day, a\u00a0few months ago, and it improved my memory, attention, etc. But after a month, I began to have night sweats, agitation, weird sensations in the neck area and protruding eyes. I have read that Ashwagandha is excess pitta, I am new to ayurveda but also converted because Ashwagandha works wonders for me. I have some symptoms of overactive thyroid from it, but I really cannot quit it, because it has made me feel so good. It has improved my life considerably. I suffer from OCD combined with BDD (body dysmorphic disorder) and depression. I am not producing enough serotonin, and my receptors for serotonin are also dysfunctional. In the last ten years, I have tried to keep myself aloft without psychiatric medication. Because it was not successful in my case, and they have some unwanted secondary effects. I take Omega 3, Vitamin\u00a0E, Vitamin C, Zinc, Vitamin D, Inositol, 5-HTP and lately Ashwagandha, and I cannot have a decent life without these supplements. I will never quit Ashwagandha again; I really cannot live without it. I have tried ghee, but it is not cooling enough. I also tried taking Shatavari and Bacopa, but I have some weird feeling, so it is not working. I also tried Triphala and Amla for a month but was also feeling weird from it so gave it up. Now I take Ashwagandha on alternate days.\u00a0Please help me adjust the warming effects of Ashwagandha. Doctor: Hello. I can understand your concern. I have carefully read all the details provided by you and here is the solution. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22122, + "tgt": "What are the chances of getting HIV after unprotected anal sex?", + "src": "Patient: Hi doctor, I had an unprotected anal sex for a small duration with a guy before two days. Now, I am worried about HIV and other STD infections. So I would like to know about the chances that how could I have gotten HIV infection from him if he was positive? When can I have my tests of HIV and STDs done? Doctor: Hi. Unprotected anal sex carries a high risk of acquisition of HIV. You are still in the window period, where the post-exposure prophylaxis can be given as it can be initiated within 72 hours of last exposure. HIV test can be done now. This will help you to know about your pre-existing status. Get the first test done at four to six weeks of the last exposure. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4084, + "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": 12009, + "tgt": "What can be done to conceive again after miscarriage?", + "src": "Patient: Hello doctor, I am 39 years old and I miscarried last year at 14 weeks. I still have not conceived. Should I try a medication? Doctor: Hello. Was it a missed abortion or a spontaneous miscarriage? Do you have kids now or this was the first pregnancy?" + }, + { + "id": 30910, + "tgt": "Can I wear fixed retainer during scaling and root planing treatment?", + "src": "Patient: Hi doctor, I have just been told that I have gum disease and 3 mm to 6 mm pockets. And, my wisdom teeth have 8 mm pocket. I have braces on now and I am due to have them off next month. I need to get scaling and root planing treatment to treat my gum problems. Can I still wear a fixed retainer?\u00a0I really do not want my teeth to shift after all this time\u00a0with my brace. Please suggest. Doctor: Hi. For further doubts consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 28215, + "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": 15276, + "tgt": "How can I stop smoking?", + "src": "Patient: Hello doctor, I have a smoking habit for the past eight years. How can I stop smoking? I have used Nicotex to relieve this issue. Please explain. Doctor: Hi. I have gone through your post and understand your concern, Let me assure you that quitting smoking is not that difficult as people believe if you have a strong will, there are many treatment options. I would suggest some of them. You can start Bupropion sustained release tablet once a day before stopping smoking for a few days and then once you start to feel disliking smoking, stop cigarettes and take it twice a day. You can chew Nicotine gum if you feel an urge at any point in time. However, as I said strong will for quitting is important." + }, + { + "id": 30545, + "tgt": "What has caused this swelling on my face, insect bite or allergy?", + "src": "Patient: Hi doctor,I have some skin issue on my face. It looks as if some insect has bitten on it and a bit swollen. Is that due to some allergy? 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": 30943, + "tgt": "What causes abdominal swelling after Hirschsprung disease operation?", + "src": "Patient: Hello doctor, My son is 2 years old. He had a problem with stool passage and Hirschsprung disease. Last month, with the guidance of doctor laparoscopy and colonic biopsy were done under trans and endorectal pull-through operation. But, for the last two weeks, he is suffering from abdominal distention that is colon distention. His symptoms are vomiting (sometime blood is also coming), swelling on intestine and failure in transitional stool.\u00a0Doctor said that some stool has got stuck in the intestine and we have to do surgery again. Currently he is hospitalized and antibiotics are going on. What is the problem and what we should do now? Kindly guide us. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) and your history as well. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15886, + "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": 3701, + "tgt": "Though I am on medications for depression, I have some impact in the morning. Please help", + "src": "Patient: Hello doctor, I have been using Fluvoxin 100 mg, Oxetol 450 mg and Quetiapine 100 mg for depression and OCD for five years. My problem is I am not regular to work as I do not feel to go to work. I feel like this only in the morning. I want to be in the bed. I do not feel it is because only of sleepiness. I do not understand the reason as well. I have lost 12 jobs in the last five years all because of the irregularity. Please find the reason for my problem. I am extremely upset with my behavior as my family depends only on my salary. I am facing extreme financial problems because of frequent job loss. Please help. Doctor: Hi. It seems that your depressive symptoms are bothering you. It may be helpful to increase the dose of Fluvoxin (Fluvoxamine) and reduce the dose of quetiapine, so discuss with your psychiatrist for increasing the doses of antidepressant Fluvoxin. Do regular exercise, or go for a morning walk at least five times a week." + }, + { + "id": 9991, + "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": 3472, + "tgt": "I missed my period and I am not pregnant. Should I consult a doctor?", + "src": "Patient: Hello doctor, I missed my period but I am not sure why. I am not pregnant. My last period was on 14th of last month and my period is due on 10th of this month. I do have a lot of disturbed sleep due to my 18-month-old baby who does not sleep very well and wakes at night. I am always very tired. My weight has always been the same. I have not had this problem before with a late period unless I was pregnant. Should I go and see a doctor or be worried? I do no do any exercise nor under contraception. Also, I am not sexually active for the past three months. Doctor: Hello. If you have missed your menses and the home pregnancy test is negative as on date then the most common cause of delay in menses during this cycle would be stress-induced hormonal imbalance. However, if you are breastfeeding then sometimes irregularity in menses is possible as well. Next, the best thing to do in your case would be to wait for another five days and if no menses then repeat the urine pregnancy test and then if negative again, then opt for a transvaginal ultrasound to check for endometrial thickness. If the endometrial thickness is more than 9 mm, then you can opt for a withdrawal bleed with progesterones to resume your menses. Keep your daily water intake to three to four liters as it is the best anti-oxidant and de-stressor considering your disturbed sleep pattern. This would help regularize cycles naturally. Maintain a menstrual calendar for the next three months to understand your fresh pattern of bleeding and if no change and this being a singular episode then no apparent need for any medications for regularization of cycles would be required." + }, + { + "id": 1950, + "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": 25782, + "tgt": "Why is there a muscle tension in my shoulders, arms, and hands?", + "src": "Patient: Hello doctor, I have problems with clear thinking. When I am in a wrong position, there will be tension in my shoulders and arms, and in my face muscles, but also I cannot think clearly anymore. It is like a blackout. When I bend my head forward for a few seconds, my body reacts with sweating, rapid breathing. My chiropractor thinks it has to do with the absence of lordosis in my neck. When I bend my neck forward, there will be pressure on the brainstem. The result is a fight/flight reaction. My symptoms are a headache between my ears and above in my neck and earache after an hour of thinking. So I am not able to do my job anymore for nearly two years. I have trouble with clear thinking. The biggest problem is that sometimes I feel muscle tension in my shoulders, arms, and hands, and in my face. In that case, my consciousness is impaired. I visited a neurologist, but she could not explain it. Can you help me? Of note, when I was 12, I broke my nose. My current medications are Paroxetine 10 mg twice a week and Ibuprofen and Paracetamol. Some weeks ago, I had an MRI of the cervical spine and it showed spondylosis at C4-C5. Uncovertebral osteoarthritis. No significant neural foraminal bony stenosis was seen. Degenerative changes in the atlantoaxial joint.I also had an MRI of the cerebrum that showed no relevant MRI for comparison. Current research concerns an MRI of cerebrum according to standard protocol. The results were as follows: There were some punctiform supratentorial white matter abnormalities, a specific but most likely on the basis of microangiopathy. These are not striking for the age. Normal aspect of the basal nuclei, brainstem and the cerebellum. Normal grey/white matter differentiation and gyri/sulci patron. Slim/slender ventricular system and peripheral liquor areas. Results of the MRI of the cervical spine were: Modic-2 endplate changes around the anterior intervertebral spaces C4-C5. Degenerative changes of the atlantoaxial joint, with known osteophytes, in accordance with the CT CWK from 2007. C2-C3: Free from significance. C3-C4: Uncovertebral disc disease and osteoarthritis. Combined bony/discogenic narrowing of C3-C4 neuroforamen left, possibly with the involvement of root C4 left. No significant spinal canal stenosis. C4-C5: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic neuroforamen C4-C5 on each side, possibly with the involvement of root C5 on each side. Mild to moderate spinal canal stenosis with reduced liquor signal around the myelum, but with no obvious compression. C5-C6: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic narrowing of C5-C6 neuroforamen on each side, possibly with the involvement of root C6 on each side. C6-C7: Disc disease with posterior bulging. Uncovertebral osteoarthritis. Combined bony/discogenic neuroforamen C6-C7 on each side, possibly with the involvement of root C7 on each side. C7-T1: No abnormalities of any significance. Conclusion: Intracerebral are free from abnormalities of any significance. Degenerative disorders of the cervical spine, however without significant spinal canal stenosis or demonstrable cord compression. I have attached all the reports for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). From your complaints, it looks like you are having tension type of pain. Actually, it occurs because of tensed tightened neck muscles. Some patients also feel similar pain in temples. You also have some anxiety component. I suggest you start on tablet Tolperisone 150 mg twice a day for 10 days and tablet Naproxen 500 mg twice a day for a week. I suggest you continue Paroxetine. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. I think you should be fine. There is nothing much to worry about all the investigations done. For more information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 16000, + "tgt": "When I concentrate on plain walI, I see tiny dots and fuzziness. Is it due to vitreous liquefaction?", + "src": "Patient: Hi doctor, If I concentrate on plain wall or dark surface, I can see tiny dots and fuzziness sometimes. I have consulted eye doctors, and the test results are fine. I have been observing this from my childhood, and I am not taking medicines for it. Is it due to vitreous liquefaction? Does it happen to everyone? Doctor: Hi. You are right. It happens due to vitreous liquefaction with aging. The condition you are describing is known as floaters. They are perfectly normal. It occurs earlier in myopes or people using minus power glasses. They are a matter of concern only if you see a sudden shower of floaters. It may be due to pigment release from a hole or a break in the retina. In that case, a dilated retinal examination is required to be done by a retina specialist." + }, + { + "id": 287, + "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": 21527, + "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": 3788, + "tgt": "What can be done for blood pressure with anxiety and extra heartbeats?", + "src": "Patient: Hi doctor, I am a 37-year-old police officer who has been in the job for over 19 years, I have seen tons of tragedy in my career. I have always been a hypochondriac and ultra-sensitive to any irregular heartbeats or heart-related issues. I grew up around a family who always helped each other out and was cared for by my grandmother (mom and dad always worked). The older family members have all since passed away but I think growing up with them and my job has done me more harm than good. I now constantly question every single thing I feel going on with my body. I am 5'6\" and weigh 170 lbs. I do not typically work out since we have a ton of animals at my house so I am doing an activity with them daily, I would not call it a workout but it is me moving around. I am currently on several medications since I have high blood pressure and anxiety. I take Lisinopril, Inderal, Hydrochlorothiazide, Asprin, fish oil, and Nexium. A few years ago I had one brief episode of A-Fib, they believed it was holiday heart syndrome, my rhythm reset itself and never had that issue again. So with that being said, lately I have been feeling down and out about my health, I bring a laundry basket from my basement up to my second-story bedroom and I am out of breath. I constantly think about having a heart attack, I am so worried that it makes me sick to my stomach and also my anxiety starts to give me symptoms. I have been so worked upon certain occasions that I actually went to the ER and they said nothing was wrong. I do not know what to do to stop thinking about this and worrying it is going to happen to me. My family does have hearth issues but all lived well past their 80's. I had an episode a few months ago where I started to get really nauseous and felt like my heart was skipping a beat when I felt it skipping a beat is when I felt the overwhelming nauseous feeling. I went to my cardiologist and he gave me a monitor to wear, he did notice that I had an extra heartbeat from time to time and said it was completely normal, I told him I can feel this each time and it gives me extreme anxiety, I am afraid it is just going to stop beating. I had a stress test was done about 5 months ago and all normal. Another one of my big fears is that my arteries are clogged or getting clogged, I wish there was a non-evasive way to test this so that I can ease my mind, that is what I need a way to ease my mind that everything is working as it should and no issues. I know it may sound weird but I just need peace of mind. I don't know what to do at this point, I do not want to have a heart attack and I want to stop thinking about it all the time. What can I do? How do I know that when I feel these extra heartbeats it is normal? I have never had an abnormal EKG besides when I had the 1 round of A-Fib. This is most likely why I have high blood pressure and anxiety. Is there any hope for me getting over this fear, I do not want to be the 37-year-old that has a heart attack. Doctor: Hello. I appreciate your detailed write up. It made it easy for me to understand what the problem might be. I really do understand your situation. Having to constantly live with fear of having a heart attack can weigh you down. But I assure you everything is fine. The extra heart beats you feel are called palpitations. They are harmless and do not pose any harm. Stress, caffeine, smoking, sleeplessness are often the cause. - The EKG, stress test, lipid profile tests are enough to tell us if you have a chance of heart attack to some extent. You are fine since these results are normal you should avoid from fear of a heart attack. Most likely the cause of your high blood pressure is because you are overweight. At 37, high blood pressure is quite common amongst overweight people. I advise you start a proper workout for atleast 3 times a day for 30 minutes to an hour. This will help your palpitations and will bring down your weight. Get sufficient sleep, avoid smoking or caffeine and diet. These will reduce the rate at you get palpitations. Avoid worry, it kills faster than any disease. Your test results are enough to prove that you do not suffer from heart disease." + }, + { + "id": 4005, + "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": 14846, + "tgt": "Is it advisable to take Unwanted 72 after four days of sexual intercourse?", + "src": "Patient: Hello doctor, I had sex with my fiancee on the 11th day of her cycle and only once. Are there any chances of getting pregnant and today is the 4th day. Can she have Unwanted 72? Does that have any effect on her and what is the medication to be followed in case of pregnancy to avoid it? Doctor: Hello. If her cycle is regular of around 28 days, there is 20 to 25 % chance of pregnancy. Unwanted 72 does not work effectively after 72 hours of unprotected sex, so no point in taking it now. If she misses her next period and pregnancy is confirmed, you need to consult a gynecologist for medical abortion as such medicines are not available over the counter and need a prescription. There is nothing right now (except for Cu-T insertion, which is invasive and unlikely to be acceptable), so you can just relax and wait for next period." + }, + { + "id": 28814, + "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": 14999, + "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": 12470, + "tgt": "Is it possible for a HIV patient to lead a normal life without transmitting the infection?", + "src": "Patient: Hi doctor, One of my relatives is HIV positive. He says that it is functional and the virus is not affecting him in any way and he will not transmit the infection to anyone. As per him he does not require the antiviral medicine also but taking it as he is extra cautious. 1. Please help me on how can I be sure of his claims as truth in this relation is very important for me. 2. Also, can you please let me know the prognosis of this disease. As per him, he will live a normal life and there is no threat of developing AIDS as he is a special case. Please let me know if this is true and how can it be proved. Doctor: Hi. There is nothing like functional HIV infection. Confirm, whether he is HIV 1 or 2 because HIV 2 is less infectious and less violent than 1. If he is infected with 1, then there will be slow progressor or rapid progressor. If he is rapid, then he will have a low CD4 count below 350 by two years, and if he is slow progressor then it will take 4 to 5 years but inevitable to land in AIDS if he will not take medicines. 1. Get his viral load and CD4 report to know the current status to assess his claims. 2. Prognosis is very good at current age owing to very good use of HAART medication. They can live a normal life with medicine." + }, + { + "id": 28753, + "tgt": "Following head injury, my daughter was unable to sit and speak properly. Why?", + "src": "Patient: Hi doctor, My 4 year old daughter hit her head against a wall and was not speaking properly for half an hour. She is not sitting properly. She is feeling drowsy. We took her to a doctor, who said she is in a shock and there is no need to worry. Then, she had\u00a0milk, talked for a while, and we observed some normal behavior. And then, she slept. Is there anything to worry? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 8256, + "tgt": "What can be the reason for bad taste in my mouth coupled with constipation?", + "src": "Patient: Hello doctor, Two weeks ago, I started Wellbutrin SR. I started with a dose of 100 mg in the first week. In the second week, I went up to 200 mg following doctor's orders. The doctor also prescribed Trazodone 100 mg at night when needed for sleep. I stopped taking Trazodone because I felt drained and exhausted all day. The next day, I was also taking Wellbutrin in the morning. Once I stopped the Trazodone, I immediately felt a difference. I was not exhausted and I was not irritable. It has been five days since I started experiencing a bad taste in my mouth and overall I am not feeling good. I have also been taking Phentermine 37.5 mg for weight loss for the past two weeks. I am also on a birth control pill. Could this be the cause of it? I have a bad taste in my mouth, constipation, headaches, and a stomachache. In the past, I have taken Lexapro for depression. I have gained weight of 20 pounds in three months, have lost the sexual drive, and I have exhaustion and I am irritable. What can be done? Doctor: Hello. Your unpleasant taste in the mouth could be due to one of the two reasons listed below: Are you a smoker? Which type of OCPs are you taking? Do you have any family history of blood clots? Did you have any blood clots in the legs or lungs? I suggest you try Omeprazole 20 mg once daily 30 minutes before breakfast daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Preventive measures include the fact that the combo of Phentermine and Wellbutrin together can increase the risk for seizures. If you are prone to seizures, have only one of these drugs. You need to reduce spicy and sweet foods intake. You should also avoid eating in the last two hours before bedtime. Follow up as needed. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13433, + "tgt": "What is the treatment modality for stage 3 angiosarcoma?", + "src": "Patient: Hi doctor, My mum has angiosarcoma in the leg. Amputation would be the only option. But she is not a suitable candidate for surgery. Will radiotherapy help in this condition? Please suggest. Doctor: Hi. The usual treatment for angiosarcoma is the removal of the cancerous tumor by surgery. However, in those patients who are unfit for surgery, radiotherapy and chemotherapy are alternatives. Radiotherapy involves the use of radiations to dissolve the tumor and chemotherapy involves medicines for the same. Both these nuclear medicine treatment modalities are palliative. They may help control the spread of the tumor and also to a certain extent shrink it. However, the prognosis of these treatments depends on the stage of the disease." + }, + { + "id": 8453, + "tgt": "Does strange sensations in my leg indicate MND?", + "src": "Patient: Hello doctor,I have a strange sensation in my leg for around two years. It usually only affects the lower half of the left leg and foot but has recently encompassed the upper sections. This is accentuated when walking and more so when the pace gets quicker. The feelings feel as if my lower leg and foot are quite light on the lift and not entirely under my control.The foot can feel as if it wants to turn in when I am running but never does, almost like a buzzy electric wave feeling. There is no weakness of the leg itself. I have suffered from cold feet over the years, and these can be pronounced, making the foot very stiff so that wiggling the foot and toes can be quite difficult.It can occasionally feel as if there is a block in the leg. The same sensation with a feeling there is a block can be felt in the forearm also. There are icy hands as well, which can affect ability with the thumb numbness now and then. When sitting, the feet feel as if they are stretching out with light relief available when I do. I am worried about MND. Doctor: Hello. I read your query. As per your symptoms, there can be chances of MND. In MND, there are also other symptoms, and there are chances of underlying sclerosis. But you can not rule it out on your own. You need a clinical examination by a trained physician. So I advise you to visit a nearby reputed physician and ask for the complete examination. Once a proper diagnosis is made, only then start taking treatment rather than taking random treatment. I hope you understand my point." + }, + { + "id": 5327, + "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": 22980, + "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": 26887, + "tgt": "How do I get rid of my gag reflex?", + "src": "Patient: Hi doctor, I have a gag reflex, which is really bad. I am going to the dentist next week, and I might even get braces. Do you know how I can get rid of my gagging reflex? Doctor: Hello. Gagging is very common. Do not be scared or tensed, as it can be controlled. Wish you good health and happiness.\u00a0Keep me updated with the improvements. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19656, + "tgt": "How to cure ringworm?", + "src": "Patient: Hi doctor, I have ringworm in my thigh area for the last four months. It is itching very badly. What shall do to get it cured completely? My age is 42 and my weight is 82 kg. I am currently on Terbinafine 250 mg, Candiforce 100 mg and Clocip powder. Doctor: Hello. Ringworm infection in the groin is known as tinea cruris. It is a recurrent fungal infection. The treatment for tinea cruris includes topical application of ointment Miconazole sparingly to avoid maceration twice daily for minimum two weeks about 2 cm beyond the borders of the affected area. You may use Candiderm powder (combination of Beclomethasone dipropionate, Clotrimazole and Gentamicin sulfate) in the morning if application of ointment is inconvenient. Also, oral antifungal tablet Fluconazole (Diflucan) 150 mg once a week for four weeks should help you. For itching, I suggest tablet Levocetirizine twice daily. Consult your doctor, discuss with him or her and take the medicine with consent. For prevention, do not ever scratch the lesions as this may lead to superimposed secondary bacterial infection that further complicates the situation. Do not share your clothes. Wash your clothes and linen in hot water with antiseptic lotion or fungicidal soaps. Moist environment should be avoided that is refrain from wearing wet clothes, undergarments and socks. It will take minimum two weeks for the infection to regress. As already stated it is a recurrent infection and hence you need to strictly adhere to the advice elucidated above. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13053, + "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": 13144, + "tgt": "How can the feeling of pressure inside the ear be relieved?", + "src": "Patient: Hello doctor, I am a 21-year-old female and 160 pounds and at a height of 5\u20196\". I have been having a problem with my left ear. I woke up one morning and felt that it was clogged and made the mistake of using a Q-tip which resulted in my being unable to pop my ear. That was over a week ago. I have tried wax softener drops and a saline spray to try and clean my ears out but it has not worked. Now there is a pressure inside my ear. I am not sure what to do. Is there anything I can do to fix this? Doctor: Hi. Possibilities are impacted wax, ear canal infection, middle ear infection, eustachian tube catarrh. Unless one sees inside the ear using an otoscope or endoscope it is difficult to diagnose. However, a course of antibiotic with decongestant and keeping ears dry till you get better can work in an empirical way for most of the diagnoses listed above. If you need more information on that revert back to me. One can buy ear cameras and they do help in cases like yours where you are not able to go to an ENT. You can take pictures of the inside of the ear and share with us online and we can guide you on what is to be done." + }, + { + "id": 30642, + "tgt": "Other than Femilon, what is the treatment for adenomyosis?", + "src": "Patient: Hi doctor, I am a 46 year old female. I am suffering from extreme rage and irritability for the past two years. I am on Femilon for three months for adenomyosis and adenomyoma. I feel desperate. Please suggest some medication for my rage. Doctor: Hello. You can change the medication for adenomyosis. You can opt for Mirena insertion (levonorgestrel-releasing intrauterine device). It is a progesterone intrauterine device. It is a device that looks like and is inserted like a copper-T. It releases the drug locally into the uterus thus avoiding the side effect of the drug in the brain. The procedure of insertion is simple and takes about 20 to 30 minutes and once inserted it remain effective for 5 years and after which you do not need medication anyway. You can consult your specialist doctor and discuss the above. I suggest tablet Alprax 25 mg (Alprazolam) for the time being and do get a consultation with a psychiatrist in person. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10692, + "tgt": "I am a PCOS patient and my prolactin level is 42. Kindly explain", + "src": "Patient: Hello doctor,I have PCOS, and my recent report says that prolactin level is 42, what does it mean? Otherwise, my period is normal. Doctor: Hello. The serum prolactin levels are high, which indicate hyperprolactinemia. This can cause hypomenorrhoea or shortened menses even though the cycles may be regular. The PCOD (polycystic ovarian syndrome) element further adds to insulin resistance and putting on weight. The aim of the treatment should be the PCOD regimen and Dopamine agonists like Cabergoline tablet to control and treat both PCOD and hyperprolactinemia, respectively. The classical sign of hyperprolactinemia is the discharge of watery substance from breast nipples, also known as galactorrhea. This often leads to breast heaviness and tenderness." + }, + { + "id": 3459, + "tgt": "Will cholesteatoma cause damage to middle ear structures?", + "src": "Patient: Hello doctor, I have had an ear infection (right ear) for the last several months, including fullness, pain in and behind the ear, and foul-smelling discharge. Recently I completed the 10 days dose of Ciprodex drops, and the discharge has cleared, but fullness and pain have not reduced. Recent hearing test also showed mild-moderate hearing loss in the right ear and tinnitus. I have a history of cholesteatoma in the left ear. Doctor noted visualization of granular tissue in the attic during the last appointment and ordered a CT scan to rule out cholesteatoma in the right ear. Is there anything remarkable in either ear on these scans? Any evidence of cholesteatoma? If so, has it done any damage to the middle ear structures? Also, can you tell me what surgery they did on my right ear? Doctor: Hi. I have seen the CT report. (attachment removed to protect patient identity). There is a residual soft tissue density in your right middle ear, likely granulation tissue. Additionally, there is right mastoid effusion, meaning air cells in the mastoid bone filled with fluid, Combination of mastoid effusion and middle ear soft tissue results in fullness and may explain the pain. Soft tissue around the middle ear ossicles results in conductive hearing loss. It is expected that you have a mild or moderate hearing loss. Good news, it is usually reversible with regression of granulation tissue. Regarding granulation tissue, it usually regresses and your symptoms usually get better with time. Regarding evidence of cholesteatoma, there is no evidence of bone resorption. Especially scutum is very well preserved. Unfortunately, this granulation tissue may progress to cholesteatoma, you understand that if your symptoms get worse. On the left ear, there is evidence of cholesteatoma surgery, partial mastoid resection. Mastoid cavity looks clean. Very minimal soft tissue in the left middle ear. Bilateral inner ear, meaning the sensorial part looks good. Additionally, minimal mucosal thickening in right posterior ethmoidal cells are present. I hope this helps. Right middle chronic otitis without evidence of cholesteatoma. Follow up if symptoms get worse, repeat ENT examination and scan." + }, + { + "id": 18366, + "tgt": "What is the treatment for paracetamol poisoning?", + "src": "Patient: Hi doctor, My friend took 4 g of Paracetamol yesterday morning for back pain. Then, he visited the hospital yesterday evening for Paracetamol poisoning. What is the treatment for this situation? Doctor: Hello. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8863, + "tgt": "Is it unsafe to reduce calories while reducing weight?", + "src": "Patient: Hi doctor, Recently I started losing weight. I cut my calories to 1200, and this worked well for a couple weeks. But now I am stalling and I am afraid to make my calories lower, I have heard this can be unsafe. What should I do? Some people say I should increase my calories again since my body might be in starvation mode, while others say I should further decrease it. Doctor: Hello. You are in the spiral that many dieters find themselves in after strict low calory diets. I will not recommend that you starve yourself as you are likely to enter starvation mode. This will also mean long-term consequences to your general health. Please exercise and stay healthy and aim for a healthy rather than a weak body. You should aim long-term weight loss rather than the short term as your weight will bounce back if you stick to this regime." + }, + { + "id": 23271, + "tgt": "From the reports, please tell me whether I am at risk of heart attack", + "src": "Patient: Hello doctor,I am 41 years old, single, non-smoker, and I do not have any illnesses or physical symptoms. Just I have chronic anxiety and I take permanent medications for 10 years for that under health care which are Zoloft 100 mg along with Buspar 30 mg daily. I have made a checkup and ECG and everything is normal and I have no abnormal symptoms. I have attached complete blood tests to take look at it since my query related to this results. My weight is 105 kg and the length is 173 cm note that the weight gain regarding side effects of constant medications especially Zoloft. The blood pressure is 140/82 and sometimes 150/90 and rarely became 159/110 as maximum reading. My questions now:I scare and worry always about heart attack and clots because of the following indices: my platelets are always 450, blood pressure borderline or mild high always, lipid profile borderline always and CRP high always. what do you think, please?To protect myself and encounter these risk early could I need regarding those values one of the following strategies. Note that I changed my lifestyle many times but no point because of the side effects of Zoloft and Buspar as weight gain.Taking cholesterol-lowering medication like Lipitor (Atorvastatin)?Taking blood pressure lowering medication like Cozaar (Losartan)?Taking baby Aspirin daily as 81 mg?Taking Metformin for encounter the weight gain resulting of Zoloft? And is it correct this medication can cause lactic acidosis poisonous by the time?Are the medications Zoloft and Buspar the reason of those abnormal values of lipid profile and elevated of blood pressure? Please let me know what is the correct and best options regarding your experiences or do you have any other options? Doctor: Hello. You have been taking Sertraline and Buspar drugs for chronic anxiety. These medications should be prescribed under the guidance of psychiatrist and for behavioral counseling you can consult a psychiatrist. Hereby I am giving you opinion for your questions: Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2938, + "tgt": "Why does blood accumulation occur after trab360 surgery?", + "src": "Patient: Hi doctor, My dad had trab360 surgery, a relatively new technique for glaucoma, done on his right eye.\u00a0When he initially got the surgery he still had vision in his eye afterwards. But, the next morning the vision in that eye got very blurred. Now, there is blood accumulation in the iris as well as some fluid. His eye seems to be getting more blurred and not better after two days. The recovery period is supposed to be only three days. It seems that his eye is getting worse rather than better. Should we be concerned? Doctor: Hi. Please do not panic. Revert back with medical records to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29487, + "tgt": "Suffering from pain near the shoulder joint. What to do?", + "src": "Patient: Hi doctor,A few months ago, I pulled some heavy object very hard using my right hand. Now, I\u00a0am facing sharp pain for a very short period, maybe once per day near the shoulder joint. Also, I am having difficulty in moving that arm. I have my exams coming up. I want to know what can be done now. Doctor: Hi. Thanks for the query.\u00a0I need to know a few things before answering your question. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11055, + "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": 16989, + "tgt": "I have burning, swelling, peeling, and bleeding of lips. Please advice", + "src": "Patient: Hello doctor,Something is wrong with my lips. It all started a couple of days ago- burning, swelling, peeling, oozing and bleeding. There are also tiny, fluid-filled blisters. I went to the doctor today, but she wasn't sure whether there was a bacterial infection. She prescribed me antibiotics just in case. Should I take them? I also have another question about my clitoris. For over two months the skin has been peeling off under the hood, leaving it like raw, itching wounds and some kind of red dots. What could this be? Currently, I am taking Somac and Klonopin. Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). It could be an allergic reaction to some lip cosmetics or it could be a sun-induced eruption that is a phototoxic reaction. I suggest you use a topical antibiotic like either Neosporin ointment Or Mupirocin ointment 2 % on lips Or maybe a mild OTC (over-the-counter) topical steroid like Cortisone cream (Hydrocortisone) would be a better option. Do not yet take oral antibiotics. Avoid sun. The rash on the clitoris seems like a yeast infection. I would suggest Clotrimazole 1 % cream, twice daily for a week or Clotrimazole vaginal tablets for a week along with an oral antifungal like tablet Fluconazole 150 mg, single dose. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19019, + "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": 22730, + "tgt": "Is dip in WBC after mediastinal nonseminomatous germ cell tumor surgery serious?", + "src": "Patient: Hello doctor, My 15-year-old son recently completed treatment for a primary mediastinal non-seminomatous germ cell tumor. He completed 4x VIP and surgical resection with NED 20 days back. He had one transfusion of red blood cells and platelets two months back after round 4. This month, one-day post-sternotomy surgery his WBC was 7.610 x10 E3/microL, hemoglobin 8.7 g/dL, platelet count 131x10 E3/microL. He had 1 to 2 bags of red blood cells during the surgery. Two weeks post-surgery, his WBC is 2.62x10 E3, hemoglobin 11.2, and platelet 232. On the same day, he had mild splenomegaly (13.5 cm). My question is should I be worried about his bone marrow function with the slightly enlarged spleen and dip in WBC? I know this chemo regimen and type of tumor has been linked in rare cases to blood disorders and cancers (I worry). Doctor: Hello. Your child is having a rare entity of non-seminomatous germ cell tumor and common extragonadal site for it is mediastinum. Mild splenomegaly is because of malignancy related process and no worry about that and nothing extra treatment needed. Second, only WBC count is slightly low according to history so it can be because of bone marrow suppression temporarily by malignancy or chemotherapy induced. If clinical improvement present than no need for doing any other investigation. Repeat CBC (complete blood count) after few days and if still, WBC is low then you can consult your oncologist for examination. If any sign of infection occurs like respiratory tract infection (cold), skin infection, etc., then consult the doctor as persistent low WBC count can lead to infection in some cases. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10638, + "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": 17087, + "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": 30546, + "tgt": "Shall we go ahead with GA for dental procedures of my 2. 6 years old?", + "src": "Patient: Hi doctor, My son is 2.6 years old. His four front teeth look black now. The enamel did not form in the front teeth when it erupted. Also, the molars have very deep cavity as can be seen in the image and there are other small cavities too. His teeth were crooked and got decayed so fast. The pedodontist suggests that the front four teeth will be taken out and RCT will be done on the two molars and the cavities have to be filled. All this will be done under GA. I am afraid as there has been cases where child died because of improper dosage of anesthesia. Please help as I am not sure of what to do now. Should I go ahead with the procedures? Or should I wait for some time? Doctor: Hi. For further information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 14765, + "tgt": "Hb is reducing in beta thalassemia minor patient who is pregnant. Why?", + "src": "Patient: Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great. Doctor: Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child." + }, + { + "id": 26218, + "tgt": "Whenever I eat something spicy, I get pimples overnight. Please suggest a remedy", + "src": "Patient: Hello doctor,I am a 26 year old male. Whenever I\u00a0eat something spicy like patties\u00a0or any hot food, overnight I get\u00a0pimples\u00a0on my cheeks.\u00a0They are the red and yellow type and\u00a0do not\u00a0fade away easily. Sometimes, I\u00a0have to compromise on my favorite dishes. Please suggest a\u00a0remedy. Doctor: Hello. Pimples are hormonal and due to oily skin. For treatment, I suggest: For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 18163, + "tgt": "Why am I getting chest pain while having food?", + "src": "Patient: Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help. Doctor: Hi. There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problems and myocardial infarction needs to be ruled out. So, I suggest you to get an ECG done (electrocardiogram) and consult a physician as soon as possible to make sure there is no heart problem. You can take some antacid syrup 10 mL thrice daily for five days. You can also take some antacid drug twice daily on an empty stomach for five days. Consult a gastroenterologist in person for a physical evaluation. Avoid tea, coffee, oily and spicy food. 1. Esophagitis. 2. Peptic ulcer disease. 3. Esophageal spasm. 4. Heart related problems. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19016, + "tgt": "I am an alcoholic. Do I have the risk of liver cancer?", + "src": "Patient: Hello doctor, I am a 34 year old male. During recent times I am feeling a fear of having liver cancer due to my history of heavy alcoholism. I have mentioned my risk factors below: My body weight is 89Kg and my height is 166cm. I had mumps at an age of 5 years. I have kidney stones (as per the reports attached). I had hepatitis A in 2004. I was a heavy alcoholic from 2008-2012 with a daily intake of almost 300mL hard spirit daily. I reduced alcohol intake after being diagnosed by grade 1 fatty liver in 2013 October. Presently, I have pain or sensitivity on the upper right quadrant, a day after drinking alcohol. I have alcohol weekly twice and the pain goes away after 3-4 days of abstinence from alcohol. High calcium level as per attached blood report. Low vitamin D level as per attached blood report. I have sensitivity in the neck area. Although I have been having a good appetite, I still feel that I may have a very initial stage of HCC (Hepatocellular carcinoma) or any other liver complication. My questions are: What is your opinion towards the risk factor of having HCC on the basis of attached reports and above mentioned risk factors? I am using Livatone plus since last 4 months, one capsule 2 times a day. Do they interfere with alcohol drinking 2-3 times in a week? I have recently started to take multivitamin tablets\u00a0(Ranbaxy Revital) once daily, without any prescription, after feeling tiredness and fatigue. Is it fine to take these tablets? Is tiredness and fatigue a cause of long term alcohol abuse? Do you suggest any further test and if yes, then within what time limit can I do it, as I am planning to go for a whole body check up only after 3 months due to insurance restrictions? If I have very initial stage cancer, will it reach to a complicated level after 3 months? I feel breathless after having food, is this due to the reason I am asthmatic as this symptom relieves once I take a puff of Asthalin?\u00a0Or, is it due to any liver complication? I feel darkness under eyes, is it due to any liver disease which may be progressing? Do my high albumin level and low alkaline phosphatase levels signify any liver complication? Does a normal LFT rule out HCC or Cirrhosis at early stage? Doctor: Hi. Final advice is just forget alcohol and any other bad habits as well as HCC. Revert back to a medical gastroenterologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16661, + "tgt": "Kindly suggest an ointment for quick relief of these itchy bumps", + "src": "Patient: Hi doctor, I have this skin reaction for around a month now. They are itchy, red and tiny bumps. My doctor gave my Zatamil ointment to use but after that ointment I feel it as spreading. Is there any other ointment that can help to get rid of it quickly? Doctor: Hi. I feel sorry for this situation. 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": 1985, + "tgt": "Is it safe to use Kojitin gel for melasma for a longer period?", + "src": "Patient: Hello doctor, I am a 46-year-old female. I have been suffering from melasma for the last four years. It is only small patches on the cheekbones but very dark. I have been told it is dermal which is very stubborn and does not go easily. I took lots of treatment from good dermatologists like used topical creams like hydroquinones, retinoids, etc. Few chemical peels are done but no effect and that area became thin and wrinkled. What treatment should I go for? Currently, I am using only Kojitin. Is it safe to use it for a long time? I hope it will not make my skin thinner. Doctor: Hi, Welcome to iclniq.com. I have seen your query. With your descriptions it seems you have developed dermal melasma. Kojivit is safe and it is non steroidal. It does not cause thinning of skin, and safe for long term use. Beside this must use sunscreen like Blynds sunscreen daily during morning and use Dermadew glow face wash twice daily. Also take antioxidant tablet once daily. Protect from UV (ultraviolet) radiation, and repeat sunscreen after four hours if you are going out." + }, + { + "id": 28398, + "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": 21732, + "tgt": "My penis looks thin after masturbation. Why?", + "src": "Patient: Hi doctor, I am a virgin. Yesterday after masturbation, I noticed that my penis meatus looks like very thin. But, on erection this disappears. Please tell me the reason and cure. Doctor: Hello. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23812, + "tgt": "What can be done for severe low back pain and shoulder joint pain?", + "src": "Patient: Hello doctor, I am writing this on behalf of my wife, who is 56 years old. She has been suffering from severe low back pain since last 8 to 10 years and left shoulder joint pain since last one year. Please find the enclosed reports, for your kind perusal. We shall be grateful for your valuable opinion and advice about further treatment and management, at your earliest convenience. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence and would like you to know that I am here to help you. She has got cervical spondylosis. This probably causes the shoulder pain rather than a problem in the shoulder. Avoiding forward bending will help relieve her pain. For that: There is a disc prolapse which causes back pain. Surgery is needed for this. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14972, + "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": 8656, + "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": 5170, + "tgt": "Can single dose of cocaine result in blood in urine?", + "src": "Patient: Hello doctor, My step daughter who is eight years old had belly pain, blood in anus and urine. Her organic father is a drug addict; we think he gave her Cocaine to eat. Would there be symptoms of having Cocaine? Please guide. Doctor: Hi. I can understand your concerns. Revert back with the above reports to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 19367, + "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": 7163, + "tgt": "What are the possibilities of successful pregnancy with a 7. 3 cm intramural posterior fibroid?", + "src": "Patient: Hello doctor, Is it possible for me to have a successful pregnancy with a 7.3 cm intramural posterior fibroid? I would rather not have it removed. Doctor: Hello, Welcome to iclinq.com. Probably it is possible as many women conceive and have successful pregnancies. But on the other hand, it is also a risk factor for the miscarriages, and it may or may not interfere with implantation though miscarriages are higher with submucosal ones. But it is not like that you cannot conceive or have successful pregnancies. You have the chances to get pregnant. Most of the intramural fibroids are notorious for making labor process complicated, but as far as implantation is concerned, they do not interfere much with it. I hope it has helped you. Should you have any further queries, please do not hesitate to contact me." + }, + { + "id": 22805, + "tgt": "My friend and I have similar birthmarks. Is there a chance of them turning cancerous?", + "src": "Patient: Hello doctor, I have a facial birthmark. I searched it up and it seems like a nevus spilus/ speckled lentiginous nevus. I read that it can turn cancerous! My parents never told me this and when I told them they told me I was just being paranoid for nothing. My friend also has a birthmark that seems like a nevus spilus. Hers is on her leg. Can you tell if they are both nevus spilus? I will put a picture of hers too. I read that there are two types of nevus spilus. A macules and papules. Which one is mine? What about my friend's? Which seems like it has a higher chance of turning cancerous? Neither of our parents believe our birthmarks are a big deal. They will not take us to a dermatologist. What do we do? Should we continue worrying? How rare is it for them to turn dangerous? Should we just move on and embrace our birthmarks? Doctor: Hello. I appreciate you deciding to go an extra mile in gathering information about your and your friend's problem. In answer to your problem, chances of it to turn malignant (cancerous) are remote but nevertheless cannot be ruled out. As such, birthmarks tend to be deeper than acquired sunspots or other similar malignant lesions. Plus they also show signs that might suggest its change to a cancerous one. It is best if you avoid direct sun exposure on the affected side and see a doctor for a close-up examination. I would suggest a removal after a common consensus from your family's side. As for your friend again, I think from the photograph that it looks like Becker's nevus. Laser treatment followed by a minor skin surgery will cure it for life. Nothing to worry about in either of your cases. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22120, + "tgt": "Why am I having painful and itchy rashes on my forehead?", + "src": "Patient: Hi doctor,I am having a severe rash on my forehead which is painful and itchy. Can you kindly take a look and advise the treatment? I fear that this may be a sign of skin allergy or maybe the onset of cancer. I have tried to use Fluticasone propionate, Flutivate and also tried Ketoderm-Hydroval Cr AA 50:50 gm cream. Doctor: Hi. Kindly upload the images so that I can have a clear 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": 5131, + "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": 15101, + "tgt": "Kindly tell me the treatment for frizzy chemically treated hair with hair fall", + "src": "Patient: Hello doctor, My hair is breaking recently a lot on the top. It is quite embarrassing. I use sulfate free shampoo and mine is chemically treated hair. Hair is so frizzy. What is the solution? Doctor: Hi. Chemical treatment is a common cause of hair brittleness as it breaks disulfide bonds that gives strength to hair. This would take some weeks time to resolve. I suggest you take an oral Biotin supplement like tablet Revilus once a day for six months. In addition, I suggest you use a serum Q-sera serum. Use it on scalp skin, twice daily. Take care." + }, + { + "id": 29818, + "tgt": "What could be the reason for my grandfather's shoulder and joint pains?", + "src": "Patient: Hi doctor,My grandfather is 75 years old. He has severe pain in his right shoulder joint and bilateral wrist joints, especially more at night for the past two months. Just before a month, he was diagnosed as diabetic. His C-reactive protein level is 64 (reference value 0-6). Is it possible to have such a high value? Please explain his problem. He cannot lift his shoulder more than the medium height. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 5301, + "tgt": "My physique is not improving even after taking sufficient intake. Please help", + "src": "Patient: Hello doctor, I am looking very thin by body, face, etc. My physique is not getting improved even after taking sufficient and proper meals, fruits, milk, egg, etc. Please suggest. Doctor: Hello. First I want to know whats your height before determining whether your weight is less or normal. Also how old are you? Many people up to the age of 25-26 will not gain weight and look slim and later they start gaining weight without doing anything. The simple principle of weight gain is you have to consume more calories. Take more fatty food like red meat, cheese, ghee, nuts, etc. Also, eat two eggs daily that will help. I advise you to do some exercise daily initially aerobic exercise like jogging and after a few weeks start gyming. Also, get these blood tests done to know whether are you losing or not gaining weight because of some diseases. 1. Fasting Blood sugar. 2. TSH (thyroid-stimulating hormone), done in the fasting condition." + }, + { + "id": 18454, + "tgt": "Is non-ossifying fibroma cancerous?", + "src": "Patient: Hi doctor,I have a pain in my ankle part. My doctor asked me to take an x-ray and it stated there is a cystic lesion. So, he asked for an MRI and it showed fibrous cortical defect and non-ossifying fibroma. Can it be cured? Doctor: Hi. Avoid high demand activities. Revert back with the x-ray to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1430, + "tgt": "Please give some advice on HRT for male to female transition", + "src": "Patient: Hi doctor, I am a 28 year old transwoman. I am looking forward to start HRT. I need some advice from you to start on HRT for male to female transition. Thank you. Doctor: Hi. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18530, + "tgt": "My friend took abortion pills and is now bleeding heavily. Does she need a D and C?", + "src": "Patient: Hello doctor,A 29 year old female had an abortion through pills. She took Mifepristone initially, and Misoprostol\u00a0tablets 800 mcg sublingually 26 hours later. She had severe pain and contraction immediately after taking Misoprostol. Two hours later the placenta and blood clots came out. She had heavy bleeding. So, I thought the abortion was over, but two days later, the fetus came out in a rotten stage with a bad smell. Please help. I am worried about an infection. Doctor: Hello. The dosing schedule was wrong. The basic mistake was you did not know the age of the fetus. This medical abortion is recommended for pregnancies that are less than 63 days. Now, you definitely need an ultrasound of the lower abdomen. It is fortunate that she is not having any fever, bleeding or abdominal pain. I suggest you meet a gynecologist as quickly as possible. He/she will advise you after a clinical examination. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11804, + "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": 25704, + "tgt": "What could this line going down my tooth be?", + "src": "Patient: Hello doctor,I have a line going down my tooth that can only be seen under direct light. It looks a bit like a crack. I cannot feel it when I run my finger or tongue over it. Should I be worried? Doctor: Hello. The line which you have mentioned can be a fracture line which is sometimes very superficial. I would like to know about any pain or sensitivity associated with the tooth. If it is a deep fracture, it is generally painful and sensitive. On the other hand, if it is a fracture line, it can be caused by various hard foods. In case you have any associated symptoms, you can visit a dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6490, + "tgt": "I have occasional twitches on fingers and toes. Is this a sign of Parkinson's disease?", + "src": "Patient: Hello doctor, I am a 48 years old male. A couple of months ago, I was diagnosed with a bulging disc in C6 and C7. I had pain and weakness associated with such a problem, and after some treatment, the pain subsided. Since then, my left index finger developed a twitch. Always at rest and occasionally twitching on and off most of the day. Some days I would hardly notice it at all if any. Now my left middle finger is starting to twitch the same as my index finger, and I do not notice the twitch in my index finger as I did before. And I also noticed an occasional toe twitch on either foot before falling asleep at night. I could blame the finger twitching on the, disc, but the toes on each foot make me concerned. I am concerned about Parkinson's disease. I researched all I could online. I do not have any of the other symptoms associated with the disease. I also tried to figure out the difference between tremor and twitch. It seems Parkinson's tremors are very rhythmic while mine are more sporadic twitches. I have attached a video of my index finger for your review. Doctor: Hello. I watched your uploaded video and would explain that your symptoms are not suggestive of Parkinson's disease. (attachment removed to protect patient identity). This kind of twitching is usually related to different causes like: 1. A pinched nerve, 2. Thyroid gland dysfunction, 3. Electrolyte imbalances, 4. High uric acid levels, 5. Anemia and 6. Vitamin D or vitamin B12 deficiency, etc. For this reason, I would recommend performing nerve conduction studies and some blood tests: Complete blood count, PCR (polymerase chain reaction), Thyroid hormone levels, blood electrolytes, Vitamin D, and Vitamin B12 plasma levels and uric acid plasma levels. I hope this helps." + }, + { + "id": 26778, + "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": 15892, + "tgt": "I am bleeding after taking Unwanted 72. When will I get my normal period?", + "src": "Patient: Hi doctor, Is having bleeding after ten days of taking Unwanted 72 normal? I have light bleeding for four days. When can I have my normal period? Doctor: Hi. After taking Unwanted 72 (Levonorgestrel), you can have a withdrawal bleed within one to two weeks. After getting withdrawal bleeding, your body needs some time to get rid of the hormonal effect. Getting a period after having withdrawal bleeding is unscheduled, and gradually the body returns to normal." + }, + { + "id": 11220, + "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": 22503, + "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": 3894, + "tgt": "Though my cramps and bowel movements become normal after GERD medicines, should I get gastroscopy?", + "src": "Patient: Hi doctor, I have had severe tummy cramps, just under the ribs. For about a month some days I cannot keep any food or drink sown, but other days it is tolerable. I have not been doing much bowel movement and feel constipated, but when I do go it is still soft. At first, it was thought to be GERD, but the medication did not help and has lasted over a month now. My doctor has booked me for an endoscopy to check for gall stones or ulcers. I have not had any pain in the last few days and doing more of BM. Does this mean the gallstones have passed? Do I still need the gastroscopy done? I do not want to do any unnecessary tests. The pain has been pretty severe but at the moment it is not too bad. I am confused. I am currently taking Nortriptyline, Seroquel, Lamotrigine, and Metformin. Doctor: Hi. It seems you are suffering from acid peptic disease or acid reflux disease. This usually presents with pain in the upper part of abdomen. However, I would like to rule out any evidence of gall bladder stones that can cause pain. If you have any hunger pains, any fullness of stomach or gaseous distension of the abdomen after taking meals, you should go for: 1. Upper GI endoscopy to rule out peptic ulcers. 2. Ultrasound abdomen to rule out gall bladder stones. I would advise you to take a combination of Pantoprazole and Domperidone and to take antiflatulent and antacid syrup like Digene or Gelusil for symptomatic relief. Do not consume any alcohol, as even a small amount of alcohol can precipitate that. There is an infection called H.pylori infection which causes recurrent gastric and duodenal ulcers and such episodes of acidity. So, if during an endoscopy your doctor finds ulcers, he would take a biopsy and rapid urease test done for H.pylori infection and to get it treated. Share my opinion with your doctor before acting upon it. I hope this helps." + }, + { + "id": 28990, + "tgt": "I feel severe pain from tummy to vagina. What can it be?", + "src": "Patient: Hello doctor,I am having severe pain from my tummy to my vagina and anus area. I feel exhausted, and my hands are cold. My flank hurts on my left-hand side, and the pain radiates to that area too. What can this be? I am also having vaginal bleeding. My symptoms are chronic, and the pain is on and off. A couple of weeks ago, I had this sharp pain in my belly, but I never did anything for that. I had pain medicine, but they did not seem to work. My urine test was normal. Please help. Doctor: Hi. Revert with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14363, + "tgt": "I have tooth pain and a white lump on my upper gum. What could it be?", + "src": "Patient: Hello doctor,I recently started having tooth pain and it has not gone away. I do have a white lump on my upper gum but I have had it for a while. Sometimes, it goes away and then comes back. My tooth pain almost feels like a cavity but I am not sure. Doctor: Hello. It seems your tooth is having a chronic abscess due to infection reaching the pulp and beyond the roots of the tooth and the white swelling is an abscess. I suggest you consult your dentist who will take an X-ray of the tooth and will confirm the diagnosis and explain the treatment and prescribe the medication. Mostly, if the case is of abscess and if there is enough tooth structure, you will have to go for a root canal treatment followed by a crown. So, do not worry. Another possibility can be a gingival abscess, but in this, pain on chewing is rare. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28347, + "tgt": "What are the dark grayish colored patches on my upper four teeth?", + "src": "Patient: Hi doctor, I am a 24 year old female, and I have dark grayish colored patches on the crown of my four upper teeth along the gum line. I can send pictures if you want. Is it periodontitis? I am very scared. Doctor: Hi. Thank you for your query. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21478, + "tgt": "I am not able to sit because of hemorrhoid. Please help", + "src": "Patient: Hello doctor,I am 27 years old and it has been four years since I have had hemorrhoid and a year later I could not even sit for five seconds. Doctor: Hello. I am sorry for the problems you are having with hemorrhoids. They are really fastidious. But, in your case, they ended to cause you problems with sitting now. So, this makes me think they are huge. As this has been going on for four years now, I think it is time you should see a proctologist (surgeon specialized in hemorrhoids). I think you need surgical treatment. Keep good local hygiene. Can sit on warm water for 15 minutes (also called sitz baths) several times a day especially after having a bowel movement. Apply hemorrhoid cream (Prep H: Phenylephrine) locally several times a day, especially after having a bowel movement. Take plenty of fiber, water, and laxatives to prevent constipation (ease bowel movement). Can apply aloe vera directly to hemorrhoids. However, I still think you should get further checked by a proctologist. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13601, + "tgt": "How can I make my period regular after taking Primolut N?", + "src": "Patient: Hello doctor, I am 29 years old. I had a small issue. I have used Primoult-N for 20 days due to vacation. After stopping the medicine, the mensus was as usual but this month mensus started but only once there was a little spot of blood and later it was only black spots. Please provide me a solution for this. I have my marriage on the 10th of this month. If it is abnormal, it will be a problem. Doctor: Hi. This could be because of hormonal changes. There is nothing to worry about. 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. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 130, + "tgt": "What causes pain in throat while singing high notes?", + "src": "Patient: Hello doctor, I am a singer, but in recent times, I have not been able to sing high pitch. I develop pain in my throat while singing high notes. I want to show you what happens when I sing using a sample song. Can you diagnose and give treatment after listening to my song? Doctor: Hi. I treat a lot of singers, so I totally understand what you are going through. To answer your first question, yes it is totally possible to diagnose based on an audio clip of you singing (attachment removed to protect patient identity), though a better method would be a scopy of your voice box. However, I am guessing there are breaks or voice gaps in certain parts when you hit a high note. This is common among male singers. The issue here is that your voice box has 2 vocal cords that vibrate when you sing. The slightest inflammation or irregularity in these vocal cords can produce noticeable changes in a singers voice. The problem here is that the slightest change in the singing voice makes the singer more anxious and he tends to practice harder. Doctors typically prescribe steroids, but that will not help unless you give your voice a rest. Give the vocal cords enough time to heal. There is a lot more I would like to say, but I will try and summarize my advice for you. 1. Total voice rest for 7 days. No speaking, no whispering. 2. Daily concentrated salt water gargles. 3. Steroids (Betnesol) 0.5 mg 2 times a day for 5 days. 4. Pantoprazole 40 every morning for 7 days. 5. After 7 days, try afresh and record the audio, I would love to hear the before and after. Hope you become a star singer one day." + }, + { + "id": 11088, + "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": 19970, + "tgt": "Please suggest an ointment for anal pain and bleeding", + "src": "Patient: Hi doctor, I had anal bleeding and pain for a year. My doctor said that it is just because of a small crack at rectal opening and there is nothing to worry. He has given a cream for anal fissure and one tonic for stool smoother to reduce pain while going to the bathroom. It cured me completely in two to three days and I stopped using it. Now, I am facing the same problem again for the past two days and I lost the prescription. Please suggest me an ointment for my problem. I am sure that it is because of a small crack at the rectal opening. My bleeding and pain need to be controlled. Also, please suggest a stool softener. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25811, + "tgt": "I want to get pregnant very soon. Can I take clomid for ovalution?", + "src": "Patient: Hi doctor, I want to get pregnant very soon. Last year, when I was pregnant I missed it in three months. After that I am trying for the same. I am going through regular treatment with my gynecologist. I have done all tests and everything is fine. I am frustrated now. My partner did not undergo any test. Is it required? Can I take Clomid for ovulation? Doctor: Hi. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 8860, + "tgt": "Can I get fitted with pessary on the day of confirmation of vaginal prolapse?", + "src": "Patient: Hello doctor, If I have vaginal prolapse, will I be fitted with a pessary the day of discovery or will I be told to return another day? I am not really sure if you have a uterine prolapse but I seem to have several similar symptoms which includes, the feeling that you are sitting on a ball, increased discharge, constipation (what I believe to be the leading cause, since I have had chronic constipation as a child), a pulling or heavy feeling in the pelvis, the sense of something coming out of my vagina (when I checked with a mirror it looked like something was right at the entrance of my vagina). I have already made an appointment to consult my gynecologist. However, I just wanted to know how long it would take to treat this problem. Doctor: Hello. Yes, they may treat prolapse with pessary on the same day. As this is not a lengthy procedure, pessary insertion takes a few minutes to be done. But delays can be expected just in case a right size and shaped (according to your vagina size) pessary is not available right at the time of your presentation to the clinic. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 21392, + "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": 3476, + "tgt": "How to manage anxiety and mood swings during periods?", + "src": "Patient: Hello doctor, It would be very useful for women to know how to have a better period. For instance, are there foods that can lessen the bloat? Are there any techniques that can relieve cramps? Are there any approaches that can help with the anxiety and mood swings associated with our cycles? Please explain why the technique works. Doctor: Hi. There are a few things that you can try before the period starts, which would help to make it less painful and some which you can try during the period. When you are not having a period include physical exercise (at least 30 minutes) to increase the strength of your body. Eat healthy food, less fried foods and gradually reducing the portion of each meal. So instead of three big meals, have five small meals. Yoga poses such as child pose, knee to chest pose, camel, resting corpse are a few which help a lot in menstrual cramps if done regularly. Have enough sleep. During the menstrual cycle, the warm water bottle is always the easiest way to soothe the cramps, keep it handy. Having lighter and warm meals like soups or porridge instead of heavy like bread is a better choice. Hydrating yourself is essential and will keep your energy levels high. Avoid caffeine, eat more fruit and vegetables. Do light exercise, take a warm bath, and get enough sleep (6-8 hours). Track your period, if possible, start eating smaller meals at least a day or two prior to start of the period, it helps a lot." + }, + { + "id": 11927, + "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": 1382, + "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": 16830, + "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": 25965, + "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": 20941, + "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": 23792, + "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": 3252, + "tgt": "My lesion turned black after application of cider vinegar. What to do now?", + "src": "Patient: Hi doctor, I have ringworm on my arm. I used Daktarin and that did not work. Then I used cider vinegar and it has turned black. Should I be worried? Doctor: Hi. I have read your query in detail and do understand your concern. Also I have viewed the attached pictures (attachment removed to protect patient identity). This is irritant dermatitis which has developed due to the use of vinegar. It is very less probable that the fungal infection has been cured. Proper oral and topical medicine for one or two months is needed to cure your disease. Remember to wear loose cotton clothing especially when at home. Avoid hot humid climate, keep the affected area dry and avoid synthetic innerwear. If any other family members are affected, they must also be adequately treated to prevent recurrence. Also get your blood sugar levels tested. Meanwhile, you may apply antifungal cream such as Clotrimazole twice daily over the lesions of ringworm. Revert back with the answers for the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9644, + "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": 6580, + "tgt": "A 72 year old diabetic patient had heart attack with multiple blocks. Is bypass advisable?", + "src": "Patient: Hello doctor, The patient is 72 years old male and moderately active. Symptoms: Initially, the patient reported moderate pain in chest and weakness. The patient was given medicine for gas. Since the symptoms continued for a couple more days, he also felt pressure and discomfort in the chest, he was referred to urgent care for cardiac evaluation. Diagnoses: 1. NSTEMI heart attack. 2. Troponin-I was 9.14. 3. Angiogram revealed a TVD (Triple Vessel Coronary Disease). 4. LAD has 80% stenosis in the ostioproximal part with 90% distal disease. 5. LCx has 95% stenosis in its mid part (nondominant). 6. LMS has a mild disease in its distal part. 7. RCA Dominant with a moderate disease in its proximal part. History: The patient does not have any history of heart disease and not ever flagged with any heart-related issue in past routine checkups. Risk factor: DM (Hba1c 8.2 ). A few months ago, Hba1c shot up to 11 / 12. Medicine was adjusted to pull it back to a reasonable range. HTN, the patient had a change in the job a couple of months ago, which added moderate stress. CKD (managed with borderline creatinine). Recommendations: CABG (Bypass surgery). Is CABG the preferred option for this case over angioplasty and stenting? What are the pros and cons of these options? We are told to perform the operation in two weeks. What is the risk of waiting longer? Assuming going with CABG, we also need to decide where to perform the procedure, in the local cardiac facility, or more reputed internal hospital within 3 to 4 hours of flight. How are the factors to consider? Is CABG a fairly common procedure with similar regimens? Doctor: Hello, Welcome to icliniq.com. Considering the blockages at multiple sites, which will require multiple stents to treat and his diabetic status says, the life of the stent is relatively shorter. CABG (coronary artery bypass grafting) is a preferred option. CABG involves the major surgery where risk is higher, say around 4 % (varies from center to center), and recovery takes longer. Stenting has a lesser risk of around 1 % but with a shorter life of stents. So CABG is the first choice, but stenting is an option if you are not willing for CABG. It is better to get it done early as there is a risk of a repeated heart attack. However, the risk of such attacks is minimum with medicines but not eliminated. CABG is a fairly common procedure nowadays and considering his age, it is better to perform at a higher center. So both options are available, but CABG is preferable. I hope this helps." + }, + { + "id": 1053, + "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": 7264, + "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": 28588, + "tgt": "Kindly see the MRI images, and tell me the reason for the sudden development of tinnitus", + "src": "Patient: Hello doctor, I developed tinnitus all of a sudden last year. I am attaching the last year MRI images for your evaluation. Of late, I have some muscle pull in my calves. I am waiting for your evaluation. Doctor: Hi. I have analyzed your MRI images (attachment removed to protect patient identity). There are age-related minor changes in the scan. But nothing is alarming in the scan. The tinnitus which you have can be because of isolated eighth nerve or inner ear involvement. Regarding the muscle pull in the calves, I would like to know further. Please let me know the answers to all of the questions, so that we can discuss further. Revert with more information to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 25656, + "tgt": "Is it safe to have unprotected sex after missing two birth control pills?", + "src": "Patient: Hello doctor, I am on birth control pills called Yasmin for around four months. I take pills daily at night after sex that is anytime between 10 p.m. and 12.30 a.m. In the current cycle, I missed the pill twice but took it immediately the next morning and then took the normal pill of that particular day at night as well. I want to check can I have unprotected sex (without a condom) and still be safe from pregnancy? Can I have unprotected sex and take an emergency contraceptive pill? Should I stop the pills now so that I get periods immediately (even though my period is due this week) and when periods start, the same day I start my fresh pack of pills? Will this ensure safety if I plan to have unprotected sex this week? Doctor: Hello. As you have missed two pills from your schedule, you need to have a backup protection like condoms to prevent pregnancy and unprotected intercourse is not advisable. It is advisable you continue the pack of your pill daily until completion and then stop for your withdrawal bleed and then can restart the next pack from the second or third day of your periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6562, + "tgt": "I am having some dark marks on my stomach. Do I need surgery for this?", + "src": "Patient: Hello doctor, I had marks on my stomach for the past six months. I am scared that they will spread and never go away. I consulted a dermatologist, and she said it is noncancerous. Do I need to get surgical treatment for this? I have been applying steroids for the last two months but no changes. Please help. Doctor: Hello. I have gone through your case. In my opinion, the dark marks on your stomach are post-inflammatory hyperpigmentation or lichen planus. It does not require surgical intervention at all. But it is important to know if other body areas are also involved. Did you have any other previous lesions in the same area? Did you ever have pustules or any itching or burning symptoms? If you do not have any symptoms, then relax, it may regress after some time. Regarding treatment steroid alone is also fine. But treatment applying a mixture of 1 % Hydrocortisone cream with 2 % of hydroquinone at night for three weeks will also help. But it may take a prolonged duration to cure. I hope this helps." + }, + { + "id": 1161, + "tgt": "Having on and off heavy bleeding other than normal menstruation. Why?", + "src": "Patient: Hi doctor, I am 24 years old. I am not on any sort of birth control pills. I had a normal menstruation\u00a0in the starting of this month and normal bleeding. After six to seven days, I started bleeding again. The bleeding was not very heavy, but lasted on and off for about six days. Now, after a gap of four days, I have got heavy bleeding again. It is not brown blood as I normally see during my period. It is dark red, much thinner and flows readily like a liquid. I feel pain in the lower abdomen whenever I get this bleeding. I also feel weak. There is no pain on urination or sex. I do not have a history of any infections. Also, I am not on any other regular medication. I am pretty sure that I am not pregnant. I have got a GP appointment in a week, but it is really worrying and painful sometimes. What could this be? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3142, + "tgt": "Please help with my non-radiating chest pain", + "src": "Patient: Hi doctor, Since five days, I am having non-radiating chest pain after having a cup of coffee. There is no palpitations, sweating or other symptoms. My BP is right now 100/76 mmHg. The pain is tolerable, but occurring on certain movements and also when lying down it occurs. There is no past history of such a kind of pain and no family history. I do not have any general allergy or for drugs. While having food too it is little bit paining while the food is passing through trachea. I think it may be due to gas and took Rantac but that did not help. It is happening on certain postures and movement only. It is a kind of annoying to me. Please help as soon as possible. Doctor: Hi. I understand your concern. ECG and chest x-ray. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9891, + "tgt": "I lost a crown and waiting for implant replacement. Will the waiting period change the shape of my face?", + "src": "Patient: Hello doctor,I recently lost a crown, and as a result, I have to get the tooth out, and I have to get an implant. I have two teeth missing on the other side already for the last 10 years. They are all are molars, top, and bottom on the other side. I read that this can change the shape of the face, and I am worried even though it did not affect the other side. Kindly advise. Doctor: Hello. Please do not pay attention to such misconceptions. The treatment has now become very aesthetic and sophisticated. You should not worry at all about aesthetics." + }, + { + "id": 3919, + "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": 5122, + "tgt": "My skin is rough with small red bumps on cheek. Why?", + "src": "Patient: Hello doctor, I have noticed that whenever I get out of the shower I have these small red bumps on my cheek bones and around my eyes and eyebrows. They usually take hours or the entire day to go away. Also, recently my skin has been very rough and makes makeup application very difficult. I am assuming it is just from the cold and dry weather, but I have been using the same face wash and moisturizer for years now and have never encountered these issues. Any help would be greatly appreciated. I am on birth control and Spironolactone. Doctor: Hello. I appreciate you asking about your concern. You have very good skin in terms of tone and quality for your age. I would like to draw your attention to a few things though. Well, as you mentioned the hormonal pills can make your skin behave funny. It pops open the pores and makes your oil glands work overtime. Also, the hot shower makes your oil glands secrete more oil. Ergo only luke warm to cool water for the face. Hence you lose all oil stored in the skin when you shower. Thereby rendering your skin dry throughout the day. Apply a good oil control moisturizer like the Avene cleanance moisturuzer right after the shower. Never rub your face during a facewash. Wash it off immediately. I feel when you correct these practices and stop the medicines your skin will return to normal. Always use a non-alcoholic make-up remover and just apply organic make up very light if you have to. I hope this helps." + }, + { + "id": 7053, + "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": 21094, + "tgt": "What is the treatment for runner's knee?", + "src": "Patient: Hi doctor, I am suffering from runner's knee. I am wondering about taking a break from training. Please suggest. Doctor: Hi. You are suffering from runner's knee for which you should get investigated with knee joint digital X-ray. Take rest. Avoid actions that aggravate pain like running, prolonged standing, and sitting. Nonsteroidal anti-inflammatory drugs like Ibuprofen can be taken for pain and inflammation relief. Ice can be applied to get relieved from pain. A Physiotherapist can guide you with stretching exercise. I suggest you consult an Orthopedic surgeon for an examination." + }, + { + "id": 7847, + "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": 8637, + "tgt": "Fasting glucose 131 and post lunch glucose level 121. Am I diabetic?", + "src": "Patient: Hello doctor, My wife's\u00a0fasting glucose is 131. Her post lunch glucose level is 121 and urine does not contain sugar. Her HbA1c is 6. 2. Her height is 5.4 and weight is 68 kg. What to do now? Doctor: Hello. Revert back with the asked details to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27976, + "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": 12275, + "tgt": "Is it fine to use Nilavarai powder for constipation in a pregnant woman?", + "src": "Patient: Hello doctor, I am 27 years old, female. I am taking Nilavarai powder continuously for constipation. I am 47 days pregnant. Can I continue this powder? Doctor: Hi. Nilavarai is commonly known as Senna or Sonamukhi in Ayurveda. It has laxative property. After taking for a long time, it makes habitual and mildly irritating. If you are pregnant then you should avoid taking it for a long time. You can take Haritaki powder 3 gm twice a day with warm water after meals to remove your constipation. It is completely safe to you in pregnancy too." + }, + { + "id": 17686, + "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": 24901, + "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": 17799, + "tgt": "What should I do to make my son grow taller?", + "src": "Patient: Hello\u00a0doctor, My son is 10 years old. His height\u00a0is only 125 cm, and he weighs 27.3 kg. I am worried about his short stature. We recently got an x-ray of his hands taken, to know his bone age. The x-ray revealed that it is 9.4. Does it have any relation with his femur length and humerus length when he was a fetus? Please comment in detail. Doctor: Hello. Hope you find my advice of some benefit. Good luck. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14177, + "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": 18703, + "tgt": "Can I get my acne scars permanently cured without any medication?", + "src": "Patient: Hello doctor, I am a 20-year-old boy with a face full of acne scars. I have it for the last two years. I have tried many home remedies but did not consult a doctor. They got cured to some extent in the last two to three months or so but have now started reappearing. I want a permanent cure without any medication. Please help. Doctor: Hello. Nowadays, acne is considered physiological and a natural phenomenon rather pathological. Around 95% of the world population would have acne at some point in life. Getting into your case, you are 20 years old, it is the active age of acne. It starts at teenage around 13 and lasts until 30 years of age. No one can cure acne with medication. So it is very remote possibility that it gets cured without medication. Acne can be controlled, but cannot be cured. Acne is due to overactive oil-producing glands present in the skin called sebaceous glands. In order to cure it, all oil-producing glands need to be removed which is impossible. There are also hormonal and genetic factors involved in it. There are very few effective medications available for acne which can control the recurrence of acne. Medications depend on the grade of your acne. I cannot prescribe you medicine without seeing your clinical picture or in person. However, I would like to give you some skin care tips to keep your skin healthy. I would suggest you get back to me with your clinical picture so that I can prescribe you medicines or you can consult your dermatologist for treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18472, + "tgt": "How to treat gum swelling and bleeding?", + "src": "Patient: Hi doctor, Since two to three weeks I have been experiencing buccal bleeding. I have inflamed gingiva behind one of the upper teeth. I can sense the lump with my tongue on the gum.\u00a0I went to the dentist and he told me that it was gingivitis and he gave me a special mouthwash for gingivitis. But, I do not see any improvement since two weeks even after using the mouthwash. Every one or two days that inflamed part of mouth start bleeding and I have to spit and start suctioning with my own mouth to get all the blood off and then the bleeding stops. I manage to take some pictures with my phone. Please help. Doctor: Hi. The photos are not at all clear to give exact diagnosis (attachment removed to protect patient identity). For further details consult a periodontist online --> https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 26458, + "tgt": "I suffer from neck and shoulder pain from three years. What do you suggest?", + "src": "Patient: Hello doctor, I am a 21-year-old female. I have been suffering from neck and shoulder pains almost every single day for about three years now. It occurred suddenly one day very mildly. I just assumed I 'slept wrong' and thought it would go away on its own. The pain has been more on my right side. It has progressed very slowly but I feel like it just gets worse each day. I have an appointment with a chiropractor in four days. I believe I have mild scoliosis from my own observations of lower right shoulder and neck pain.So, I have always noticed for some years now that the vein on the right side of my neck (I think it is the jugular vein) bulges from time to time when I am straining, yelling, coughing, etc. But, I never paid much attention to it since I thought it was normal and never had any issues or concerns. Now, from the past few days, I have been feeling a lot of discomfort along with my usual neck and shoulder pain. I can feel it bulging with a minimal amount of strain. I am very worried, but since it is only about a 1 or 2 on a pain scale from 1 to 10, I am not sure if it is too serious. I am not experiencing any other symptoms aside from this pain. That area of my neck looks normal for the most part except when the vein bulges. I currently do not have any health insurance and do not want to go to the hospital for something minor. Doctor: Hello. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 26519, + "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": 17498, + "tgt": "I have a crush on an actor. How to come out of it?", + "src": "Patient: Hello doctor, I am married with two kids and a loving husband. I quit my job a year ago and started selling clothing online.\u00a0I love watching movies. And recently I have a crush on an actor in a movie\u00a0that is about cross country sport.\u00a0Since I was young I used to get easily attracted to people who are good at sports. Hence, suddenly I am totally starstrucked by the lead character. And I follow the Instagram of the actor and I am trying to get to know about this actor. He is totally a good, charismatic person and have that odd looking feature. That is the thing I love about him. Now,\u00a0every single second I cannot stop thinking about this actor. I cannot do my job well because I would go viewing his instagram and watch his videos most of the times.\u00a0When I was young it was normal to have a crush, but now? I really feel my life is so complicated. I cannot stop thinking about the actor. I cry every time I had to watch him on television or view his Instagram and not doing my work properly. At this time I just hate myself. Please help me. Doctor: Hi. Firstly, I must say it is very courageous of you to share your concerns here and I would thank you for doing so. 1. Celebrity obsession. 2. Anxiety. 3. Depression. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14656, + "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": 23094, + "tgt": "Is it recommended to do optic nerve sheath fenestration after VP shunt surgery?", + "src": "Patient: Hello doctor,My sister suffered intracranial hypertension six months back and she became blind a few weeks after. A lot was done (lumbar puncture, etc.) to bring back her vision but in vain. Recently she has had VP shunt surgery and there is another plan to do optic nerve sheath fenestration. I would like to ask you whether it is recommended to do optic nerve sheath fenestration a short time after VP shunt surgery was done. Secondly, I have attached the recent visual tests (VEP and optical coherence tomography) reports so that you can help me with interpretation. Doctor: Hi. I have seen the scans and the VEP (visual evoked potential) report you have sent (attachment removed to protect patient identity). In the OCT (optical coherence tomography) the optic nerve heads do seem bulged out. Was an MRI done? VP (ventriculoperitoneal) shunt surgery is done to make an alternate drainage path for the CSF (cerebrospinal fluid). An optic nerve sheath fenestration is done to relieve any pressure on the optic nerve due to the raised CSF. Your doctor must have seen some kind of a pressure build-up which could jeopardize the optic nerve further, hence he has planned the fenestration procedure. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1159, + "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": 20511, + "tgt": "Why am I not able to ejaculate during sexual intercourse?", + "src": "Patient: Hello doctor,I am 70 but until recently have been very sexually active with my wife. I am in good health overall but have suffered from anxiety and depression my entire life. That usually has not interfered with my sex life. I have had a penile implant several years ago so getting an erection is not an issue. But for the past couple of months, I have not reached orgasm and ejaculated except when my wife tries through hand jobs to complete the orgasm. Even that is very delayed and seems like it takes forever. Sometimes I just give up because my wife gets weary and I feel guilty. My libido seems to be mostly in low gear but sometimes I am desiring but it does not work. I just had my testosterone level checked. It is in the mid 500. For 30 years, I have had to inject Depo-T 5 mil per week because I had low T related. I think of the long-term use of Prednisone to treat Crohn's. It has been in remission for 10 years but I still take 10 mg Prednisone daily because my adrenals no longer function. My penile implant was due to Peyronies disease. For my depression, I am on 450 mg of Bupropion and just 2 mg of Abilify. I exercise one hour a day seven days a week, mostly swimming. But lately, during my sexual efforts, I sweat and get tired fast. I had a stress test and did great. So I am now desperate to be able to ejaculate during intercourse. Doctor: Hello. You are in good health and has no serious co-morbid issue. You have main problem of delayed or no ejaculation. This could be occurring due to poor erection or reduced libido or anxiety. You are not on any anti-hypertensive so we can think of adding Sildenafil to your prescription. You can take 25 mg tablet and this should help in hard erection and should help in ejaculation. You should talk to your doctor before starting this drug." + }, + { + "id": 17439, + "tgt": "I had a possible rubella infection during early pregnancy. Will my baby's health be affected?", + "src": "Patient: Hello\u00a0doctor, I am a 27 year old\u00a0married woman, who weighs 75 kg, and I am 5.6 feet tall. I am trying to conceive from last year, but ever since I started to try, my regular menstrual cycle of 28 days got delayed by 6 to 10 days. During my last periods, I noticed\u00a0some red rashes on my face and upper part of my\u00a0body, with a fever of 100 oF. I did not go for any test, but I took two anti-allergic tablets, which I bought previously for an allergy from chili and hot food. After taking the tablets, I was fine in two days. But, I missed\u00a0my next period, so I went for an ultrasound. And it confirmed that I was pregnant and detected a single live fetus of approximately seven weeks.\u00a0However, my doctor advised me to undergo rubella IgG test along with certain other routine tests. All other test reports were fine, except rubella IgG test showed the result to be positive. My doctor told me that I was immune to rubella, so no need to worry, and I should not go for rubella IgM test, as I\u00a0recently had a history of red rashes.\u00a0I was not satisfied, so I went for both rubella IgG and IgM tests, and the result was negative.\u00a0However, I was perplexed, and I wanted to be sure about my rubella infection, so I repeated the tests again. This time the reports said rubella antibody IgG as 291 IU/mL, reference range used was 15 IU/mL, positive.\u00a0It also detected rubella antibody IgM as positive. I have attached all my reports. Do you find any inconsistency in the reports of different labs for tests done on different dates? Why is rubella IgG, which stays lifelong unchanged is decreasing? Was I immunized against rubella when the infection happened? Why did then new infection occur? And the most important question is, will my baby be affected by this infection which occurred in early pregnancy? I do not want to give birth to a disabled or abnormal child. It is my first pregnancy. What should I do? Should I go for an abortion? Doctor: Hi. I can understand your concern, and I have seen all your reports (attachment removed to protect patient identity).\u00a0 Hope it will help you. Feel free to contact if you have any further query. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15221, + "tgt": "Due to poor memory, I failed in my exams. Please help me to improve my memory", + "src": "Patient: Hello doctor, I have memory problems or I do not know why I am not able to remember. I have failed most of the subjects in college. I am taking Abilify 5 mg for the past four years and it is OD and I am regularly taking it. I took medicines because I had thoughts of being watched by every person passing me and also dreamt of hi-fi things. I am restless, thin, not gaining weight because I am poor in studies. I also am separated from batchmates. Doctor: Hi. You have cleared many exams before to reach till college, so it means you are not a person with low IQ. It does not matter how many times you have failed in the exam. Initially, everyone gets problems if they fail. It does not mean they have lost everything. Actually, you do not have a memory problem, the difficulty is you are not able to concentrate because of all these failures. Failure is the first step to success. Do not get hopeless, it is normal. Stop imagining hi-fi life in the present. Forget what happened. Start with new confidence. Never lose confidence. Your friends will be yours besides all these passes and fail. Ignore these and work hard. Take part in other activities also. Nobody cares what you are doing. So do not think what he thinks what he says, just do what you want to do. Build up your confidence." + }, + { + "id": 17122, + "tgt": "What is the best treatment for sebaceous cyst?", + "src": "Patient: Hi doctor, I have sebaceous cyst in my face near cheeks. It is painless and about 0.5 cm in size. It looks awkward in my face. I need to remove it. Please suggest me the best treatment for the same. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15154, + "tgt": "Can hearing deterioration and vertigo be due to acoustic neuroma?", + "src": "Patient: Hi doctor, I have no current medications. Over the past 2 or 3 years, my hearing in my left ear only has deteriorated significantly. I would say it is less than half as good as my right. I went to an ENT doctor, with an audiologist appointment. The audiologist said I had a moderate hearing loss in my left ear. I wish I had the results of the exam for you, but they are around 300 miles away at the moment. After that exam, the ENT doctor said it sounded it was unlikely but I may have a tumor, an acoustic neuroma I believe. He said I should get an MRI or a CAT scan, pretty sure MRI, that would make more sense right? Also, I told him that I have had significant tinnitus for a while and that if I tilt my head to my right side but not my left I get mild vertigo. It seems like I may have misunderstood him and it is likely that I have an acoustic neuroma, but I am curious if there are ways I can rule out other maladies. For instance, I think the hearing loss was significantly worse after I had significant ear pain during an airplane flight. I did not notice any fluid or blood drainage but was wondering if something like an eardrum perforation could have occurred, or just if there are other diagnoses I could test for without paying for an MRI for an acoustic neuroma. Or if there are other roads I could go down beside paying for an MRI for an acoustic neuroma. If it is likely I have an acoustic neuroma, I get an MRI, it confirms I have one, I have already ha ad significant hearing loss for at least a year, can anything even be done to improve my hearing? Doctor: Hello. To rule out acoustic neuroma we do need an MRI scan. Acoustic neuroma is a tumor that grows inner to the inner ear where there are a lot of nerves passing by. If the tumor grows and involves the nerves it can cause palsies of the nerves which may be irreversible. The hearing loss you have said does not let us conclude whether it is a conductive hearing loss or a neural. This is also important. If someone can click a picture and send to you it will be really helpful. In addition, I would like to know if you have any vertigo, nausea, a fullness of ear, facial weakness, ear discharge or an earache. It is advisable to get the MRI done without much delay. If the otolaryngologist has suspected acoustic neuroma then it is better to haste the process." + }, + { + "id": 7765, + "tgt": "Is it normal to get white particles in urine after treatment of UTI?", + "src": "Patient: Hello doctor, I am male having UTI from 10 days. First I took Cefixime 200 two times for five days, after seven days symptoms reappeared. Then I took Levoflaxican 500 for 4 days, all symptoms had gone but more white particles are coming in urine. What should I do? Will it go away in 10 more days? Doctor: Hello. You have to do a urine routine microscopy and urine culture test for confirmation of eradication of all infection if there is residual infection left it may cause recurrent UTI. The cause of white particles are not clear, but it is rarely a cause for concern as it most probably is either pus flakes or mucosa from urethra or bladder, neither of them requires any special treatment. If your culture is suggestive of infection further antibiotics will be required depending on the report." + }, + { + "id": 28185, + "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": 19524, + "tgt": "What causes white lines in the nails?", + "src": "Patient: Hello doctor,There are small white lines in my nails of the hand. One of my friends told me it is a symptom of calcium deficiency. Please help me with this issue. Doctor: Hello. White spots or streaks are normal and nothing to worry. But, parallel white lines that extend all across the nail known as Muehrcke's line are a sign of a low level of protein in the blood. Low levels of calcium which is termed as hypocalcemia has symptoms mainly of neuromuscular like cramps, tingling sensation, numbness, perioral anesthesia, etc. So do not get confused about it. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17620, + "tgt": "How to gain weight as I am underweight and more vulnerable to climate change?", + "src": "Patient: Hello doctor, I am 32 years old. I am underweight and my BMI is low (below 18). I do not have any other medical issues. But, I used to get vulnerable cold and cough to climate change. Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 17470, + "tgt": "Is it safe to give Ostocalcium and Cholecalciferol together to a baby?", + "src": "Patient: Hi doctor, My daughter is 10 months old. She weighs 8 kg now. When she was 5 months old, her pediatrician suggested the following: 2-0-2 mL of Ostocalcium per day and\u00a0one Cholecalciferol IP 60000 IU granules per month, from 5 month to 12 month of age that means 8 dosages in 8 month. Now my questions are,\u00a0My wife, who is having history of kidney stone, is taking calcium tablet 500 mg and she is feeding breast milk to baby. Is it safe for my baby to give Ostocalcium 2 mL per day and Cholecalciferol IP 60000 IU granules per month? Or will\u00a0it make any problem for kidney or any other complication? Is it mandatory to give? Can I stop it now as we completed 6 month of dosage as of today? Doctor: Hi. Vitamin D, calcium, CBC (complete blood count). For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27643, + "tgt": "What is the difference between 0. 018 and 0. 022 orthodontic brackets?", + "src": "Patient: Hello doctor, I have spaces\u00a0in the upper and lower front teeth, and I am about to get my braces treatment started. I going to buy braces online, so I\u00a0want to know what is the difference between 0.018 brackets and 0.022 brackets? Please just clarify my doubt. Doctor: Hi. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 2538, + "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": 22466, + "tgt": "Should I get a bone marrow biopsy to rule out possible MPN?", + "src": "Patient: Hi doctor, I am a 49-year-old female who has chronic health problems going back for awhile. Originally, I was told I had lupus but now I am beginning to think it is something else. Nine months back, I consulted an orthopedic surgeon due to suspected necrosis in left hip, after an arthrogram was done it revealed I had severe bone marrow inflammation in my si joint and was referred for a diagnosis of ankylosing spondylitis, that brings me to now. I have severe hip and leg pain, it aches constantly, severe fatigue and itching, bad headaches and migraines. I just feel like crap and I am not getting any better. I am on Plaquenil 200 mg daily, Duloxetine 60 mg, Monica, Dexamethasone as needed, usually three days a month, Oxycodone 30 mg as needed, Imitrex as needed. Not sure how to post a copy of my lab but my RBC is 5.3 but my MCH is low 26.9, my hematocrit is 44.2. My hs-CRP is high at 6.6. My calcium and protein are both borderline high. My ALT and bilirubin are also high. My UA shows high for ketones, WBC, leukocyte, esters and hyaline cast. I tested negative on the HLA-B27 DNA test. My sed rate was borderline high at 19, I was negative for Sjogren's antibody as well as sm and sm/RIP antibodies. At this point, I am not sure what is going on. Should I push for a bone marrow biopsy to rule out a possible MPN? I desperately want answers as to why I am in such pain and ill health. Doctor: Hello. I have checked your blood tests (attachment removed to protect patient identity) and read your complaints about your health. Apparently, you have a rheumatic disease. It does not seem to be lupus or rheumatoid arthritis at first sight according to the laboratory reports. In the MRI of the hip, it actually seems to be better than the last time. I saw that you may have a urinary tract infection according to the urinalysis you provided (do you have a burning sensation during urination). You should follow up with a rheumatologist to further characterize your pain. Regarding pruritus, there is some test that should be done. A sonogram of your liver and some laboratory reports as well to rule out hepatic disease, blood disorders, parasitic infections in your bowels, etc. You should also get an MRI of your brain and cervical spine for a better understanding of your headache. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15354, + "tgt": "Do my symptoms and HIV tests show any correlation to ARS?", + "src": "Patient: Hello doctor,I am a male, 26 years old. My HIV tests were negative and I have attached them. There is a mild rash on face and upper arms (non-itchy red spots), little fatigue (all from three weeks and still there even after eight weeks). Are all the above tests conclusive? Further testing required? If it was ARS symptoms, results should have been negative right? Does antibody production get delayed due to various reasons and the same applies to p24 antigen? WBC count and Lymph % that was 4400 and 29 % during 2 to 3 weeks are not 5500 to 6500 and 39 % during the eighth week. Doctor: Hello. You go for the required test every time. All times all the test are negative. No more tests are available. When all the above-mentioned tests are negative, there is no meaning of the p24 test. Sometimes the virus remains in a dormant stage, but if you take good diet regularly, you do not have to worry. Citrus fruits like lemon, orange, kiwi, gooseberry in any form are very good. A balanced diet with protein, carbohydrates, etc., in balanced proportion, must be taken. Walking briskly for three km is the best exercise, five days in a week. Treatment for rashes is tablet Ketasma (Ketotifen) 1 mg one at night for ten to fifteen days or more or whenever required. Seven sea cod liver oil pearls are advisable and give fantastic result one per night or two times a day for fatigue part, I hope this is enough to settle down your problem." + }, + { + "id": 18967, + "tgt": "What is the reason for pain while passing urine?", + "src": "Patient: Hi doctor, I am a 50 year old male. My weight is 84 kg and 5 feet 10 inches tall. I am experiencing\u00a0pain while urinating in the outlet of the organ. This is the first time I am getting such a pain. Please help me. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. 1. Urinary tract infection. 2. Calculus in bladder or urethra. 3. Any local pathology in urethra. 1. Complete blood count. 2. Urine routine examination. 3. Ultrasound of abdomen and pelvis. Revert back for follow up along with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8579, + "tgt": "What could be the side effects of terminating Convulex retard and Seroquel?", + "src": "Patient: Hello doctor,Are there any dangerous side effects, if we stop taking Convulex retard 500 mg and Seroquel XR 300 mg? I used to take these medications for five years. Now my doctor has recommended decreasing the dose slowly to end it. Doctor: Hello. Convulex retard (Valproate) and Seroquel XR are an effective medication used in different conditions like mood disorders, neurological problems, etc. You have not mentioned the reason for taking these medications for five years. If you are clinically better and are no longer having any symptoms related to your diagnosis in the past few years, it makes sense to gradually decrease the dose of the medication to stop it completely. Dose reduction needs to be done under close monitoring and supervision so that the schedule can be adjusted according to your response. Please continue to follow your doctor's advice. I hope this helps." + }, + { + "id": 8953, + "tgt": "I see a fan-type rotating thing when I close my eyes. Is this normal?", + "src": "Patient: Hello doctor,Sometimes, if I take a nap or close my eyes, I see a fan-type rotating thing in my eyes which goes in one minute. If I close my eyes, I can see that. It is a black-colored fan-like thing rotating. Is this normal? I am myopic and my retina was tested last year. Doctor: Hi. From what you have mentioned, you may have experienced a certain physiological entity called \"phosphene\". This is nothing to worry about. I suggest that you see an ophthalmologist in case you have the following: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20476, + "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": 5590, + "tgt": "I have bilateral leg pain, burning sensation and numbness in feet post fusion surgery. Why?", + "src": "Patient: Hello doctor, Four months post fusion surgery, I am having bilateral leg pain, burning sensations in legs down to feet, and nerve-like jolts in the left leg and numbness in toes and bottom feet. Wondering possibly arachnoiditis? Doctor: Hello. Spine and lower back surgery is a procedure that can have variable post operative outcomes. It is found that in approximately 40 percent of patients, the symptoms are completely relieved after surgery. In another 40 percent, the symptoms might show mild improvement. In 20 percent of patients, there is a minimal improvement and the pain might even worsen after surgery. The above is only an estimation and does not question the surgical skills of the surgeon in any way. The problems with pain after surgery can be due to many reasons. It is possible that there is granulation tissue formed in the surgery area which is causing pressure on the nerve. Arachnoiditis is a less common complication and is likely only if there is a dural tear during the surgery. If your surgical notes do not mention any dural tear then arachnoiditis is unlikely. Usually, a repeat MRI (magnetic resonance imaging) spine of the involved area is required to know the cause of pain and burning in your case." + }, + { + "id": 25119, + "tgt": "Which antidepressant is less likely to cause hyperhidrosis?", + "src": "Patient: Hello doctor,Every antidepressant I take causes me a lot of hyperhidrosis. Which one on the market is less likely to cause hyperhidrosis? Fluoxetine? Doctor: Hello. Though the propensity of an antidepressant medicine to cause hyperhidrosis differs on a patient to patient basis, Mirtazapine and Bupropion are less likely to cause it. You can also discuss with the treating psychiatrist regarding adding Cyproheptadine or Benztropine for hyperhidrosis. Hope this solves your query. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11767, + "tgt": "Is the antibiotic prescribed to my dad appropriate?", + "src": "Patient: Hi doctor, My father is 76 years old. He has been in ICU for two days as he was\u00a0diagnosed with LRTI (CAP - community acquired pneumonia). Four years back he had TB. His vitals such as BP, temperature, renal and heart tests are fine. He is not responding to antibiotics and his condition is deteriorating. His saturation has dropped to 82% and put on oxygen. On the third day, he was given Amoxicillin 1000 IV and 5x nebulization and then switched to Piperacillin-tazobactam IV which I have read is for Pseudomonas. Pseudomonas\u00a0aeruginosa is a commonly acquired hospital bacterium. Doctors admit they have not identified the bacteria yet from the sputum culture and told it will take more than 5 days to identify the bacteria. Please help. Doctor: Hello. Your father is suffering from acute exacerbation of COPD (chronic obstructive pulmonary disease) with CAP (community acquired pneumonia) and sepsis. Currently he is on appropriate antibiotics. But, he needs systemic steroids to cope up the exacerbation along with inhaled steroids. Though his x-ray (attachment removed to protect patient identity) appears normal, CT thorax is suggestive of bilateral consolidation. Sputum culture should ideally tell us the exact bacteria and sensitive antibiotics for it. Supportive treatment like nutrition, supplemental oxygen or noninvasive ventilation must be given. There is no worry as other vital organs are functioning normally. But, definitely he will take time to recover from this exacerbation. He also had tubercular effusion 5 years back, but now it does not seem to be a relapse of TB (tuberculosis). So, no anti-TB medicines are required at present. Definitely it is CAP with COPD exacerbation. Even after he gets well, he should take consultation from pulmonologist for inhaler treatment. Sputum culture report should be sought for at earliest or if not available, fiberoptic bronchoscopy can be performed for taking endobronchial sampling for cultures. Steroids should be tapered in appropriate doses. Bacterial Infection. Sputum culture or bronchoscopic sampling for culture. CAP with sepsis. COPD exacerbation." + }, + { + "id": 25806, + "tgt": "How do I improve my low sex drive?", + "src": "Patient: Hello doctor, I am a 57-year-old white male. My only medication is Metformin for a pre-diabetes watch. My blood sugar when I wake up is 100 to 121. I take it daily. I do not take metformin daily. My sex drive has dropped off to zero nine months ago. When I have sex, the quantity of semen is very less. Now when I go to the restroom, a lot of bubbles are created in the urine. It just started two weeks ago. My PSA is 3.1 and the urologist says I am fine. But, I know I am not fine. Please help. Doctor: Hello. I would like to know a few more details. To answer your query, Metformin has no role in reduced sexual drive and the bubbles in the urine. It could be an early sign of proteinuria seen in diabetics. I suggest you get an ultrasound and uroflowmetry to check for your prostate size, flow rate and estimate residual urine. I suggest you also check your testosterone levels to look for the reason for your reduced sex drive and then we will evaluate further or treat based on the results. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25111, + "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": 11820, + "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": 30478, + "tgt": "I need a second opinion regarding my kid's clavicle fracture", + "src": "Patient: Hi doctor, My 1 year old kid fell down and had clavicle - collarbone fracture. I have attached the images.\u00a0On the image it looks like the bone is apart. Doctors told to leave it as such and it will be fine in a three week's time. But, I am looking for a second opinion as the bone is apart and I am not sure how it will become normal.\u00a0If the bone joined, will it look different from the normal bone? Will it\u00a0have any impact in the future while lifting weights, playing, etc? No medication was given. A plaster was pasted around the shoulder. Doctor: Hi. I have seen the attached images (attachment removed to protect patient identity). For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7238, + "tgt": "Do I need crutches for grade 1 ankle sprain?", + "src": "Patient: Hi doctor, I had a basketball game, and someone landed on my leg. Now, I have a grade one sprained ankle. I have a basketball game next week. I want to play, and I am wondering whether my ankle will heal soon? Or if I want to play, should I need to use crutches for a bit? Currently, I am taking tablet Melatonin, Concreta, and Lovan. Doctor: Hi. Crutches are advised if you cannot be able to beat the weight. If it is the case, then you will be having more than a grade 1 sprain. I will advise you walk without crutches, ice the area, elevate and use a compression bandage. Also, take anti-inflammatory tablets. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 9290, + "tgt": "Will excess masturbation affect weight?", + "src": "Patient: Hi doctor, I am 27 years old. My weight is 55 kg and height is 5.8 inches. I am very thin. My weight is not appropriate according to my height. My weight is only 55 kg, and it is neither increasing or decreasing. I also have a good habit of eating everything almost. The\u00a0primary concern is that even though I eat almost the same as my friends or family, why I am so thin? I do have a habit of masturbation since I am 13 or 14 years old. I tried a lot to stop this practice but after two or three days I failed. In between somehow, I managed to keep myself away from this habit for one or two months, but from last month again I started to masturbate. Is it the reason for low weight? If so, then please suggest how to get rid of this habit? Please suggest how to improve my weight. Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 11074, + "tgt": "Though my diet is nutrient-rich, I have hair fall. Please help me", + "src": "Patient: Hi doctor, I am 25 years old. For the last one month my hair has been falling out a lot. My diet is vegan. I am eating a wide variety of foods, getting all my nutrients and not lagging in anything. I have\u00a0got new hair growth on the top of my head and I am not losing it in patches. The loss is all over. Please\u00a0help me. Doctor: Hi. Please answer the following questions for more information. Is there any recent stress either mental or physical? Are hairs falling from whole scalp or sparing any area like only in occipital area? Please send the photographs of scalp. Are you on any medication?" + }, + { + "id": 21248, + "tgt": "I have pelvic pain with mild foul smelling watery discharge. Will this affect my fertility?", + "src": "Patient: Hi doctor, Before two years, I got married. I have pelvic pain for around seven months. I also had back pain. But I neglected it, thinking that it might be some digestion issue. Now, I am getting a mild foul smelling watery discharge for the past one month. Will this affect my fertility? Last month, my periods were also delayed. I had a urinary infection before seven years. Doctor: Hi. You are suffering from pelvic inflammatory disease secondary to recurrent vaginal infections. Presently, foul-smelling watery discharge indicates a bacterial vaginosis infection which is a deterrent for the fertility indeed and needs to be treated first. Ideally, both partners should be tested and treated. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2266, + "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": 7654, + "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": 10841, + "tgt": "My left hip is completely fused. Can we have a healthy baby?", + "src": "Patient: Hi doctor, I have severe ankylosing spondylitis since 19 years. I am a 28 year old male, married and would like to have a baby now. I am taking Indomethacin 75 mg and Omeprazole twice a day. My left hip is completely fused, but I have no pain. There is pain in right hip and lower back. Please let me know, can I have a healthy baby. What should we do to get healthy, fit and fine baby? I do not want baby to be defective. Kindly give me suggestions to improve my health. My wife is completely fine and healthy. I have attached my Hb, CRP and ESR reports. Please guide me. Doctor: Hi. Do not worry about your condition and your future baby. You are fine and your baby will also be fine, as genetic transmission is rare in this case. Again you should change the painkiller if you are not responding to it. You can start tablet Rofecoxib 50 mg daily for five days and let me know the condition of your pain. Apply Dolopar gel (Diclofenac) topically. Go for active physiotherapy exercises. Take a capsule Nutrolin B plus (multivitamin) daily for 15 days." + }, + { + "id": 20351, + "tgt": "After a hard bite, my front tooth is moving. What to do?", + "src": "Patient: Hi doctor, I have bitten an olive pit accidentally, and now, one of my front teeth is moving. There is no pain, and I have a slight sensitivity to cold and hot foods. But now I cannot bite anything using my front teeth. Please advise. Doctor: Hi. It is a case of mobility due to trauma on the teeth. The sensitivity and mild pain are due to inflammation around the teeth. Follow these medications. Take tablet Acelofenac 100 mg along with Paracetamol 500 mg two times a day for five days. It reduces the swelling, and it helps to stabilize the teeth back in the socket. If it is not more mobile, then it will get healed soon within 15 days. If it is fractured or more mobile, then you may need other procedures like splinting using wires to fix the teeth. If it is broken anywhere, then you may need RCT (root canal treatment)." + }, + { + "id": 7885, + "tgt": "Fetal ultrasound revealed some heart size defect. Is my baby in danger?", + "src": "Patient: Hi doctor, I am 8 months pregnant. My obstetrician did an ultrasound, and according to her, my unborn child's heart size is at 64% when it should be less 50%. She advised me to have a 2D echo done, and I have not received the result yet. Is my child in danger? Doctor: Hi. Thanks for the query. Fetal echocardiography is not 100 percent reliable, so cardiac defects cannot be solely decided on imaging. Comprehensive patient history, other illnesses, medicines taken during pregnancy, and family history are important. If the fetus is normal with regular movements and growth, and no signs of fetal stress, then one should be satisfied about the fetus. Only a reliable diagnosis can be made after the birth of the baby. Echocardiography is repeated after birth if pre-birth echocardiography is abnormal." + }, + { + "id": 28477, + "tgt": "My 14 year old son has severe knee pain daily. Why?", + "src": "Patient: Hello doctor, I am a mother of a 14 year old son. Over the past couple of months, my son has severe knee pains daily. He has vitamin D deficiency, which I\u00a0have been told may cause it. The pain usually starts after being in one position for too long. It only lasts for about a minute but the pain is bad and sharp. Doctor: Hi. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24101, + "tgt": "I experience burning sensation while urination. Is it UTI or STI?", + "src": "Patient: Hello doctor, I experience a burning sensation while urination. I have taken the antibiotic course. It is still not relieved completely. It has been four to five months now. I have indulged in oral sex in this period. So, it is a UTI or STD/STI? Doctor: Hello. As per your reports (attachment removed to protect patient identity), urine culture is sterile. You can repeat urine routine and urine culture with midstream urine sample. Take a urinary alkalizer for three to five days. That will relieve you of burning sensation. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23915, + "tgt": "Should I still have wisdom tooth extracted when another tooth is infected?", + "src": "Patient: Hello doctor, I am scheduled to have the two wisdom teeth on my right side extracted tomorrow. While waiting for the appointment, I developed pain in my right upper jaw which became increasingly worse over a few days. I went to see the dentist who found out I have an infection in my first molar (upper right) which is a tooth that has been root canal filled for about 20 years. I started Penicillin for the infection but after three days with no improvement, I switched to Clindamycin 24 hours ago and I am still not sure if that is working either. My first question is, should I still have the wisdom teeth extracted as scheduled even in the presence of infection in that other tooth? The dentist made it sound like it would not be a problem but I am very nervous especially since I am already in quite a bit of pain. The second question is: should I have that tooth retreated as she suggested or am I better off extracting it and getting an implant? Thank you in advance. Doctor: Hi. I have read through your complaint and the relevant details. Penicillin and Clindamycin are the antibiotics and are usually prescribed for a course of five to seven days. These drugs reduce infection but not the pain. So, you might not notice a big change in how you feel. It is the painkiller which makes you feel that the drug has worked. Answering to your first question, in my personal opinion I would treat the tooth which is painful at the moment and only then jump on to the wisdom teeth extraction. This is what is ethically right too. I would not want you to be extremely painful for so many reasons. Coming to your second question, the treatment procedure for your upper right first molar totally depends on the X-ray. If it is ideal to retreat with root canal therapy (I mean an uncomplicated one) and the longevity is guaranteed, please go ahead. Extraction followed by an implant is not a short procedure and cost-effective. So please discuss with your dentist regarding this in detail. I can also help you with this provided I see a picture of the tooth\u2019s condition and the X-rays. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15451, + "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": 11421, + "tgt": "I have ringworm infection in the groin. Kindly suggest Ayurveda medicine", + "src": "Patient: Hello doctor, I have chronic fungal ringworm infection in the groin region. Please suggest some Ayurveda medicine. Doctor: Hi. Ringworm is a skin disease fungal infection. Mostly occurs in wetty areas. Its common symptoms are red skin rash that forms a ring-like structure. That is the area with itching and dryness. Infection of tinea group of fungus. Generally not recommended. Scabies. 1. Gandhaka Rasayana one tablet thrice a day after meals. 2. Sinduradi lep- Apply externally three times a day. Keep the affected area clean and dry. Wear cotton undergarments." + }, + { + "id": 15651, + "tgt": "What medicine to give a kid with vomiting and loose motion?", + "src": "Patient: Hi doctor, My daughter is ten months old, and her weight is 6.7 kilograms. She has vomiting and loose motion from the morning. We are giving her ORS. What is the medicine given for vomiting and loose motion? Doctor: Hi. Giving ORS (oral rehydration solution) is good. It will treat dehydration and try to make them in the right concentration. Try to have one sachet in one-liter water. You can give her syrup Zincolife 5 ml (Elemental zinc) once a day for 14 days, and syrup Ondem 2.5 ml (Ondansetron) can be given for vomiting. But if there is persistent vomiting and if the child is dizzy, lethargic, with, decreased urination, then you can consult a pediatrician soon." + }, + { + "id": 4235, + "tgt": "Despite using Esiflo, my son has breathing problem. What to do?", + "src": "Patient: Hi doctor, My son is asthmatic since childhood. For the past five months, he is having\u00a0breathing problem. Currently, he is using Esiflo every morning.\u00a0But, he is still having the problem. Please help. Doctor: Hi. I would like to know more about you as follows: Revert back with detailed answers to a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 11041, + "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": 7326, + "tgt": "I am suffering from swelling that occurred after ACL reconstruction surgery. Kindly help", + "src": "Patient: Hello doctor,I had the ACL reconstruction surgery of my right knee before five years. At the same time, the medial meniscus was completely repaired and lateral meniscus partially repaired. After some time doctor opened my bandage and the knee was healed nicely. I had been advised to do some physical exercise (such as extension, flexion, etc.) and I was doing the same correctly up to nine days.But unfortunately, my knee started swelling, and the doctor advised not to do any physical exercise and did some medical examination. As appeared from the report, there was no infection found from culture and sensitivity tests of fluid. Although it is found that my ESR was little high, i.e. 40 and C -Reactive protein was 14.5. However, the latest medical examination revealed that ESR is 35, and C-Reactive protein is 2.5. Doctor advised me some antibiotics (Ciprofloxacin and Flucloxacillin), and I took the same. It has seven (07) weeks have passed. Still, there is swelling in my knee, and I could not do any exercise. Now, I feel stiffness and move with the assist of an elbow stick. My daily activities are hampering a lot, and I am getting frustrated day by day. Therefore, I would earnestly request you to advise me proper medications so that I can get back to daily life properly. Doctor: Hello. Firstly were you running fever three weeks post-surgery? Secondly, your first ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) were raised, but within my comfort zone as post-surgery, they will usually be built up to six weeks to three months. The second report showed a good downtrend. Additionally, the culture was negative. I would not have started you on antibiotics unless you had, 1) Wound discharge. 2) Fever more than 101 F. 3) Redness and swelling and pain are worsening with each day. 4) Fatigue and loss of appetite. I would have ICED the knee and put you on a gentle ROM exercise program to combat stiffness and asked you to keep the compression bandage on when not exercising to get the swelling down and kept you on anti-inflammatories till your knee subsided and then started strengthening exercises. Seven weeks down the line stiff knee and no proven infection, you have an uphill task now to combat stiffness, and at the same time, you are worried if the swelling will return. My worry here is are we sure that the repair is good and nothing is loose and floating in the joint and causing the symptoms. Also is the ACL repaired in the right place as misplaced ACL will lead to pain and swelling if it in the right place. Please upload your MRI and latest post-op AP and lateral digital X-rays of the knee to get some idea about the tunnel placement." + }, + { + "id": 1745, + "tgt": "I have pain in gum and lower teeth with redness in tongue. Please help", + "src": "Patient: Hello doctor, I have pain in the gums and lower teeth. I also note some redness at the base of the tongue. Please suggest. Doctor: Hello. I read your query and also saw the image you had sent. (attachment removed to protect patient identity). You have pain in the gums and teeth, also redness at the base of the tongue. Causes for the gum pain are: 1. Improper oral hygiene because of which you have gum problems and also the recession of gums. 2. Badly decayed teeth (in the image), I can see some teeth are decayed. Because of these, you have an infection in gums and the redness. You have to visit the dentist for full mouth rehabilitation, means you have to take 1. Radiograph of all teeth. 2. Detection of caries. 3. Checking mobility. Treatment plan: Visit the dentist for full mouth cleaning. Maintain proper oral hygiene by following: 1. Two times brushing with a soft toothbrush. 2. Use Chlorhexidine mouthwash twice a day after brushing. 3. Use can use Metrogyl gel to massage the gums. For pain, take tablet Ketorol DT (Ketorolac) twice a day for three days, capsule Amoxicillin 500 mg two times a day for three days and antacid before meals tablet PAN D (Pantoprazole) two times a day for three days. After three days." + }, + { + "id": 2032, + "tgt": "MRI brain shows fluid retention in sinus with pressure behind eye and neck. Please explain management", + "src": "Patient: Hi doctor, For the past eight months, I have been struggling with brain fog, tension headache, fatigue, and inability to concentrate. I have been trying to identify the source of my problems with no luck. An MRI of the brain coincidently showed fluid retention in the left maxillary sinus, so I have done a CT scan of the sinuses to confirm the findings. I need to mention that I smoke water pipe (shisha) and after smoking, I find mold growth in the humid parts of the shisha, so I thought this must be fungal sinusitis. In addition to the previous symptoms, I sometimes feel pressure behind my right eye, and I always feel sputum in the back of my throat. My doctor thinks that the sinus in the CT scan is minor and would not have contributed to my issues. Please suggest an opinion. I am currently taking Lexapro 10 mg. Doctor: Hello. As per your CT scan (attachment removed to protect patient identity), there is some mucosal thickening in the left maxillary sinus and some inflammation in both posterior ethmoid sinuses. The nasal passage are very much compromised. The turbinates are hypertrophied. This may be due to sinusitis as well as your smoking shisha. The findings explain the dullness you might be feeling behind the eyes and on cheeks, the occasional headache, and pressure behind the eye. This, however, does not explain the brain fog, tension, and fatigue. You will be benefited from some sinus medications. You should quit shisha. You will need to use steroid nasal spray for many weeks. You will need an antihistaminic also. However, since the nasal passages are obstructed the medicines may not reach the destined areas. If we encounter that problem we will have to think of surgery. But for now, you start on a steroid nasal spray and antihistaminic." + }, + { + "id": 8620, + "tgt": "What kinds of pain need immediate attention?", + "src": "Patient: Hello doctor, What are the common pains that should not be ignored because they may signal bigger health issues? Doctor: Hello. Headache- Rule out eye and retina and CT head to rule out any internal illness. Body ache bony pains- Rule out calcium and D3 deficit. Abdominal pain acute or chronic must be investigated, examined and treated and not taken OTC pain killers as they can temporarily suppress the pain. I had a case where she complained of chronic off and on pain around umbilicus and kept taking pain killers from pharmacy locally and when she came to me and I got her USD, it showed ruptured appendix." + }, + { + "id": 4935, + "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": 11237, + "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": 20794, + "tgt": "I am having headaches, dizziness, and palpitations. What could be the cause?", + "src": "Patient: Hello doctor, I have been having headaches, dizziness, cold, feeling hungry at times, bitter taste, palpitations, and feeling sleepy. What would be the possible cause? Which tests should I undergo? Or which medicines or diet should I take? My age is 22 years. Currently, I am taking Magnesium sulfate suspension. Doctor: Hello. You are having a common cold problem and it can be a viral upper respiratory tract infection. But still, streptococcus infection can be ruled out by ASO (antistreptolysin O) titer, CBC investigation. Levocetirizine 5 mg OD for five days can be prescribed. Salt water gargle done with warm water three times a day. Take one teaspoon turmeric powder with milk daily. Diluted Betadine gargle also can be done. Avoid excess spicy foods. If no improvement then throat swab can be taken for culture and antibiotic can be taken. May I know how much fever is present? If not known measure it by a thermometer. Your auscultation also should be done. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16230, + "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": 6022, + "tgt": "How do girls maintain glowing skin?", + "src": "Patient: Hello doctor, What are the 10 rules girls with glowing skin follow? Doctor: Hi. 1. They drink plenty of water that keeps skin hydrated and fresh. 2. Fresh fruits and antioxidant diet. 3. Avoidance of sunlight and proper sunprotection. 4. Use of Vitamin C cream on regular basis. 5. Good moisturizer application to prevent from capping and weathering condition. 6. Avoidance of cheap fairness creams from market. 7. Use of good cosmetic products and its removal followed by cleansing of skin. 8. A good sunblock in daily routine. 9. Exfoliation and massages to remove dead skin. 10. Stress free and anxiety free life style with proper sleep." + }, + { + "id": 30682, + "tgt": "What is the difference between nephrolithiasis and soft tissue calcification?", + "src": "Patient: Hi doctor, The findings of my 12 year old daughter's x-ray showed a cluster of 3 mm density overlying the right kidney, which may represent soft tissue calcification versus nephrolithiasis. I would like to get a clear understanding of the difference between soft tissue calcification and nephrolithiasis. Thank you Doctor: Hi. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 30200, + "tgt": "Kindly reassure if my baby's eyes are normal", + "src": "Patient: Hello doctor,I have a question regarding my 4.5 months old baby girl, who occasionally has an eye that turns inward. Sometimes, she crosses her eyes when she is tired or when she looks at her hands or something close to her face. When she looks at a distance, her eyes are normally aligned. I asked a pediatrician and he said it as normal until 6 months old. But, I would like to get reassurance from you.\u00a0Thanks in advance. Doctor: Hello. I understand your concern. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14434, + "tgt": "What is the normal LH and FSH value on day 2 of periods?", + "src": "Patient: Hi doctor, I had a biochemical pregnancy before seven months. One month later, when I took a scan it showed a simple right ovarian cyst measuring 33 x 27 mm. I took Meprate tablet and got my period. Then, my cycle was regular for a month. Then, when I tried again for pregnancy, I did not get my period and PT also came back negative. Again, I took Meprate tablet and got by period. I had LH and FSH test on the second day of my period. LH is 11.93 and FSH is 5.96. RBC and thyroid test are normal. Is this LH value an issue? What should I do to overcome this? When can I try for pregnancy again? Doctor: Hi. Regarding the simple cyst and its size, there is no matter of worry. The normal value of LH on day 2 is 2-18 and the normal value of FSH on day 2 is 1-18. Both of which fall in the normal range and so you need not worry. You please start on Folic acid supplements and also meet your gynecologist. The growth of the follicles can be studied in detail and then we can know the day of ovulation and plan for pregnancy accordingly. Usually, if you try from day 12 to day 22 of your fertile period, the chances of you getting pregnant are more. So, please take those supplements and plan on these days for better results. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6605, + "tgt": "I have a surgery tomorrow morning. I have taken meth. Please advise", + "src": "Patient: Hello doctor, I have\u00a0a surgery for\u00a0rolando fracture tomorrow morning. I am a bit worried about this. I was given meth during a dance festival, day before yesterday evening. I went and got a drug test just to make sure and have been up since then and am hoping I can fall asleep at least a few hours tonight. I had quite a crazy first experience but am very ready to be down and have surgery at 10 AM in the morning. I do not want to take any risk, as it is obviously not worth it. It would have been about 18 hours since the last use of meth. At the time of surgery should I tell anesthesiologists about this? Is it safe to undergo surgery? Please advise. Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. Hope this answers your question.\u00a0 Consult an anesthesiologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 17581, + "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": 30314, + "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": 27057, + "tgt": "Which antibiotic will be effective for typhoid fever?", + "src": "Patient: Hi doctor, I am a 36 year old male patient. I have been\u00a0suffering from typhoid for the past one month. After getting my pathology report, the doctor advised me to take one week medication of tablet Cefuroxime 500 mg twice a day. Before this, I had Azithromycin 500 mg. Is the advice given by doctor correct? Which antibiotic will be effective for me? I have attached my pathology test report for your reference. I shall be grateful for your kind reply. Doctor: Hello. I had gone through all the details posted (attachment removed to protect patient identity). Kindly tell me some more details about your illness. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15764, + "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": 23652, + "tgt": "Why do I have itchy, small lumps in vulva?", + "src": "Patient: Hi doctor, I\u00a0have been having a problem since two months. At first I thought it was a yeast infection and tried over-the-counter topical creams, but it did not help. I went to the hospital, but when I was there all my symptoms seemed to disappear. I am not sure if the air-conditioned room eased it. I have been using the internet to figure out my problem. The only thing that I found was I have been getting a Bartholin's cyst. But, it only lasts for a day and disappears. Then it comes back a few days later for a few hours at a time. Also, occasionally I get small lumps around the vulva area and some tiny cuts. Sometimes, I get thrush of a lot of really thick white substance that comes out; it makes me itchy, burn slightly and smells bad. Please help me, as I am unsure what could be the problem because of so many symptoms.\u00a0All my symptoms are constantly changing. My current medication is Gyna guard intimate wash and it gives only a temporary relief. Doctor: Hello. You are suffering from mixed vaginosis (mixed yeast and bacterial vaginosis infection), with typically itch, cuts and white discharge from yeast infection and smells from bacterial vaginosis with burning sensation while urination. You should ideally get a high vaginal swab culture to confirm and isolate the causative organisms. Once confirmed, then I suggest antifungal and antibiotics vaginal pessary like tablet Clingen vaginal pessary (Clindamycin) once at night for next six days. Keep the local vulval area dry and avoid moisture. Avoid tight undergarments and wear loose clothes to keep the area airy. You consult your specialist or primary care physician, discuss with him or her and take the medicine with consent. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20354, + "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": 24442, + "tgt": "Is brushing teeth within half an hour of acidic beverage consumption harmful?", + "src": "Patient: Hello doctor, Please tell me if this statement is true or not. I have been told that if you brush your teeth within a half hour after drinking or eating anything acidy, such as coffee, beer, or tea, it could actually brush the acid into your teeth, causing more damage than brushing. The problem is that after each meal, I usually have the time to brush my teeth. A half-hour later, I am involved with something else and my teeth are the last thing that I am thinking about. Neither my dentist nor anyone else has directly answered my question. Doctor: Hello. There is no problem in brushing immediately after a meal. Such acidic foods damage teeth only if they remain in the mouth more than half an hour which cause some surface calcium loss due to the formation of calcium carbonate after salivary acids and other acidic foods react with tooth calcium. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14192, + "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": 17661, + "tgt": "Will recurrent fever occur in a patient with gastritis?", + "src": "Patient: Hi doctor, I am a medical student and my query is regarding my father. My father is suffering from fever, chills and rigor every month along with gastric problem. For gastritis, I am treating him with PPI and Sucralfate. He had similar attack 15 days back. Since I had no clue about the cause, I gave him tablet Ofloxacin 200 mg twice a day. He usually develops gastric problem followed by fever with chills and rigor. I also got his ultrasound done, but there was no gallstone or appendix problem present. Now I have started giving him injection Ceftriaxone. His leukocyte count is 8600 and eosinophil count is 13%. Please help me to find the cause. Thank you in advance. Doctor: Hi, Welcome back to icliniq.com. Revert back with investigation reports to an internal medicine physician online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24783, + "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": 29946, + "tgt": "Is it possible to cure encephalomalacia with surgery?", + "src": "Patient: Hi doctor, My child is 5 years old and his MRI shows the following.\u00a0Extensive destructive cystic encephalomalacia involving the near entirety of the supratentorial region. Will he become fine after having back surgery? Is his brain condition very bad? 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": 13280, + "tgt": "Both kidneys are hyperechoic in a fetal ultrasound. Why?", + "src": "Patient: Hello doctor, What does both kidney slightly hyperechoic in an ultrasound indicate? I am 19 weeks pregnant and very worried about my baby. Doctor: Hi. Hyperechogenicity in kidneys is seen in some congenital polycystic renal diseases leading to renal failure in late childhood or adulthood. But in fetuses, this marker has been studied sparsely. These studies have shown that if the amniotic fluid around the baby is adequate as per gestational age, outcomes are favorable like no kidney impairment. Please follow up with USG growth scan every three weeks to note the fluid level and liver echogenicity as well. If follow up reports remain within normal limits, it is just a normal variant. No need to worry in such conditions." + }, + { + "id": 961, + "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": 17698, + "tgt": "What to do for prominent vein on the top of penis?", + "src": "Patient: Hi doctor. I am 24 years old. I am really scared when I saw a vein more prominent on the top of the penis. It does not cause any pain or irritation, but looks ugly. Is there any issue? What to do for this? Doctor: Hi. For further doubts consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 8482, + "tgt": "After shaving, I had few red bumps and rashes around and between the anus. Why?", + "src": "Patient: Hello doctor,I had shaved my pubes and hair between my anus two days ago. Few hours after shaving, I experienced severe itching, so I applied moisturizer and baby powder. But today I noticed a few red bumps and rashes around my penis and between my anus. Also, the skin on my balls has become dry and is peeling off. Please help. Doctor: Hello. Some skin types are sensitive to blades, and the reaction that you described looks like hypersensitivity of your skin to the blade. Also, it could be because of using an unclean blade. I suggest you use the Montair LC tablet Levocetirizine, Monteleukast) two times a day for three days for controlling the skin rash. Also from the next time consider using a trimmer instead of a blade. Please get back to me if you have more questions." + }, + { + "id": 19754, + "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": 18111, + "tgt": "What are the specific measures I should follow before surgery?", + "src": "Patient: Hello doctor, I am having surgery next week for reflux, Nissen fundoplication and hiatal hernia repair. A week before surgery, what can I do to improve my chance of success and limit the chance of complication? Can I take my Nexium (PPI) on the day of surgery or should I stop now? Doctor: Hello. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 14891, + "tgt": "I had a breakup, fighting with people and irritated with my job. Please help", + "src": "Patient: Hi doctor, I have a problem. I am getting frustrated with a silly thing that is my job. I had a breakup, I am fighting with people on small things. What to do? Doctor: Hi. I understand your concern. Did all these problems start after break up? If it is so, this is commonly called as an adjustment disorder. If severe it could lead to depression too. My advice will be to first understand that you are experiencing this problem and it is due to certain chemical changes probably triggered by stress. Your change in behavior may be the result of this. Try to distract yourself from situations which make you upset and keep yourself engaged. Try to plan a new resolution and work towards it. Try daily exercises or yoga. Try meeting new friends and take a break from your schedule. Try out doing something which you always wanted but never did in the past. The symptoms you are experiencing is temporary and it will pass. If nothing is helping you and you are experiencing low mood, sleep disturbances, etc., then a small dose of antidepressants like Escitalopram at around 10 mg dose will help you a lot." + }, + { + "id": 19634, + "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": 23103, + "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": 19610, + "tgt": "Is surgery the only option in case of a heart defect such as ASD?", + "src": "Patient: Hello doctor, I recently\u00a0went for an\u00a0annual health checkup. I was diagnosed with a heart defect (ASD) and was recommended a surgical closure. In this regard, I need\u00a0your opinion and guidance. Doctor: Hello. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 24121, + "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": 21856, + "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": 1581, + "tgt": "On shifting from cow milk to formula milk my baby gets fever and vomiting. Why?", + "src": "Patient: Hello doctor, My baby is 11 months old. On starting of 10th month I had a problem in my breasts and stopped feeding by doctor's advice. I thought cows milk is better than formula because it is natural so I am giving it for the past one month in very diluted form. Four days before we switched to the formula since cow milk is not available. After that he passes stools many times for two days and got fever. When consulting a pediatrician he advised not to give cows milk and suggested only formula. But now after giving for a day, he passed mucus in stools. Is my baby allergic to formula? He is fine with cows milk, can I give the same? Please help. Doctor: Hello, Welcome to icliniq.com. Cow milk should not be given until 1 year of age usually, as it may cause calcium and iron deficiency. Any change of feeds in babies can cause some change in stool pattern. Which formula are you giving and how do you prepare it? Proper concentration is very important. Have you started weaning? And how many times the baby is feeding milk? If only two or three times then you can continue with cow milk but do not dilute it." + }, + { + "id": 18207, + "tgt": "The girl used her spit for lubrication. Can I be HIV positive?", + "src": "Patient: Hello doctor, My question is regarding a possible HIV exposure six weeks ago. The condom protected vaginal and oral although she did masturbate me without a condom and used spit for lubrication.\u00a0I took the fourth generation ELISA at four weeks and five weeks and both were negative. I was on a testosterone cycle and stopped two weeks prior to the meeting. I would like to know if my tests are conclusive. Would spit cause concern? Would my previous testosterone cycle have affected my tests? I would like to hear from you soon. Doctor: Hello. I am pleased to help you with your concern. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician \u00a0" + }, + { + "id": 17967, + "tgt": "How to get rid of the spots on my penis?", + "src": "Patient: Hi doctor, I have been getting spots on my penis. I do not remember that I had them as a kid. I know it has been getting more over time, but really slow that I do not realize it. I remember that the doctor messed up my circumcision and my parents were going to sue the doctor for that thus the skin around it looks like that. What are the dark spots? Is there a way to get rid of them and the excess skin on the side of my penis? Please help. Doctor: Hello. I have gone through all your photos (attachment removed to protect patient identity). Basically you have two queries. First the extra skin which you want to remove. That can be possible by surgery but if you do not have any problem with that then you avoid surgical procedure now. Second are the patches. Well, let me tell you that your skin is totally normal but you have white patches. I mean to say your penis skin is little dark and that extra white patch is the main problem. This is type of penile vitiligo. In vitiligo the skin loses its normal dark pigmentation. It is not a dangerous problem and it is not going to impair penile function in future. This problem could be triggered by circumcision or maybe not. Use Tacroze 0.03% cream (Tacrolimus) once at night over white patches. I again want to emphasize it that the white patches are the problem not the dark one. As I have seen many cases, I am able to identify it. Continue this cream for 20 days and let me know the effect. Revert back after 20 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1841, + "tgt": "I get recurrent unbearable pain in ears with hearing capacity of only 15%. Please help", + "src": "Patient: Hello doctor, For the past three days, I am having unbearable pain in my right ear. I doubt somehow in the meantime of bath some water must have gone through it. And by my right ear, I could not able to hear anything. My right ear hearing capacity is 10-15% and it is closed. I have faced this issue twice already. Please help. Doctor: Hi. There are three possibilities for your problem. First is, impacted wax can be there which can create lots of pain, ear fullness, and decreased hearing. You can use Soliwax drops three drops thrice daily for five days. Second possibility is a fungal infection which usually presents with ear fullness, itching, and pain. If there is no itching and mild discharge then there is very less likely to have a fungal infection. Third possibility is a eustachian tube catarrh wherein the pain is not as much, but your main symptom will ear fullness, decreased hearing, feeling of water inside your ear, history of recent upper respiratory infection, or history of previous allergic symptoms and there is usually no itching associated here. You can take a tablet containing Paracetamol, Levocetirizine, and Phenylephrine combination whichever is available in your country. One tablet twice daily for five days. If the ear fullness does not come down, you have to get your ears cleaned by an ent specialist." + }, + { + "id": 16591, + "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": 22783, + "tgt": "I sometimes have a weird heartbeat that feels like a big thump. Should I worry?", + "src": "Patient: Hi doctor, I am 25, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I am bloated, after a huge meal. I went to the hospital for that/chest pain, and racing heart, got an EKG and blood tests and the doctor said that my EKG was all clear. I have also had four EKGs in the past (one last year), blood test for my heart, and they all came back clear. Should I be concerned? Doctor: Hello. Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problems may aggravate these. Since these are not frequent, ECG may be normal. So, in that case, you will need 24-hour Holter monitoring which can diagnose these. You should also get a thyroid test done. You will need beta blockers like Metoprolol to keep these under control. Discuss with your doctor about this. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1327, + "tgt": "My 6-month-old baby gets diarrhea on taking new formula milk. Why does it happen?", + "src": "Patient: Hello doctor, My baby just turned 6 months. I gave him Nan Optipro One for his 1st to 6 months, now I gave him the follow up milk which is Nan Optipro Two. After two days of drinking, he is suddenly having diarrhea now (five times a day). I tried reaching out for a pediatrician in our area but they are not accepting the appointments. He is also irritated because of his blooming teeth and he is eating oatmeal with banana puree. I wanted to ask if it is just his tummy adjusting or is there any underlying problem? Doctor: Hello. I appreciate your concern regarding your child. I would like to advise that transition can cause diarrhea but it should settle within four to five days. If it does not then we should change the feed. Ensure hydration, give him ORS (oral rehydration solution) solution (dissolved one packet in one liter of water). She must take 90 ml of this solution after each loose stool. This ORS contains electrolytes that have lost by stool. Give it until loose stool subsides. Syrup Zinc 5 ml once a day for 14 days, it will fulfill zinc deficiency in your child and prevent further episodes of diarrhea and pneumonia also. Give him semi-solid food more along with curd (this will help to improve the digestion). During this illness watch for any color change in urine output or decreased urine output, and any lethargy. In case they come please consult." + }, + { + "id": 12562, + "tgt": "Experiencing relapse of severe anxiety since past 3 months. I am 24 weeks pregnant with my first baby", + "src": "Patient: Hello doctor, I am 28 years of age and 24 weeks pregnant with my first baby. I have had two miscarriages in the past. I am experiencing severe anxiety from the past three months. I developed this problem four years back, and I was put on a few medications which are in the attachment. I took them for around two months and felt better. But now it has returned, and I am feeling completely helpless. I stay in a remote place with my husband. I am scared of everything. I feel detached from the environment. I am restless with intrusive thoughts. Now I am not attached to my baby too. I do not have any future plans. I love my husband, but I am scared to live with him. I am not on any medication as I am pregnant. I will sit on the internet to find some solution but reading horror stories about anxiety making me crazy. Please help me Doctor: Hi. We understand your problem. The symptoms that you have told fit into generalized anxiety disorder with depressive symptoms. You had treatment in the past, and you were better with that. This time because of your pregnancy, things are not that straightforward. Still in my opinion, after evaluating risk and benefit, you should have both medications and psychotherapy. Initially, you can try tablet Clonazepam (Clonotril 0.25 mg twice daily). It is low dose only and safer after 3 months of pregnancy. Also, you should have your thyroid function and CBC test done. You can take an appointment for sessions, in which we can have detailed evaluation and management. Just remember you became better last time and this time also you will be better soon." + }, + { + "id": 3513, + "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": 7072, + "tgt": "I can feel the pressure behind the eyes in sinus. Could this be vertical heterophoria?", + "src": "Patient: Hello doctor, I went to an eye doctor and did an eye examination because I started feeling dizziness, loss of concentration, neck and shoulder pain, anxiety while driving, in crowds. Dizziness also rises when I am in bed and driving. Not painful, but I can feel the pressure behind the eyes, in the sinus areas. But sinus doctor said nothing is wrong. So I read about vertical heterophoria, and all the symptoms are the same as I have. So I wanted to ask is there a particular test for that? Is there any other ways to relieve while I eventually get the check up again besides prism glasses. Doctor: Hello. I understand your concerns, vertical heterophoria is a disorder of the mechanisms which maintain the balance of the eye muscles, keeping them on target. Although rare, these can lead to significant distress and dizziness as well. The best test to see if you have heterophoria in any direction is the cover or cover-uncover and alternate cover tests. These should be done with glasses first and then without them. You need the help of another person while doing this at home or can be quickly done at the doctor's clinic. 1. Cover test or uncover test - close one of your eyes with your hand while trying to look at an image around six meters away first and then held at 50 cm apart, with both your eyes, then take away the covering hand. If you see the eye that was covered moving, then you have a phoria in the direction opposite the direction in which the eye moved. 2. Alternate cover test - is the same as the cover or uncover tests, only that the covering hand is rapidly moved from eye to eye. This gives a more accurate picture of the type or magnitude of the heterophoria. These are two of the best, safest and economical tests that you can use to diagnose heterophoria. In case you need more information about heterophoria or tests or management options, please send me a scanned copy of your doctors reports and test results. I will do my best to help you with this. I hope you get well soon." + }, + { + "id": 22925, + "tgt": "Why do I have severe headache while bending down?", + "src": "Patient: Hi doctor, Since, ten days, I have been suffering with flu and headache. I took tablet Zifi 200 mg and tablet Sinarest. But, nothing seems to be working. After taking the pills, the flu and headache disappeared temporarily for just one day and got back immediately. My wife too is having the same problem. Please help. Thank you in advance. Doctor: Hello. I went through the details you have given. You seem to have a sinusitis infection. Well, for me to be sure, if you are having sinusitis, I would like to have some more information. You are complaining of headache. Is it like a facial pain? Or like a brow ache? Is there any headache while bending down? If all the above conditions turn out to be positive, then for sure, you are having sinusitis. For allergy, I would prescribe you to use Mometasone furoate (Nasonex) and Fluticasone furoate nasal spray. To check for bacterial infection, a diagnostic nasal endoscopy must be performed. This test will in turn help us to get information regarding the pathology inside the nose and give us a clear idea as to what is causing the infection to not heal. Finally, a CT scan of PNS (Paranasal Sinuses) should be taken. It will show the ostiomeatal complex and sinus drainage pathways and also show if any abnormality is present. Some of the general measures you need to follow to get rid of headache and flu are: Wish you a speedy recovery. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 21264, + "tgt": "My husband abuses me both physically and mentally. What is happening to him?", + "src": "Patient: Hi doctor, My husband abused me emotionally and physically for five years. He feels very low, sad and feels negative towards everything. He has self-pity. It happens for a few days to few weeks. After that, he starts having anger. Finding fault in everything especially in me. He has the habit of doing emotional abuse which again goes on for a few days. On following it, he becomes aggressive and then there is physical abuse too. Then, he becomes ordinary. He is a very loving, and a caring spouse. He is dependent on me. Then again the whole thing gets repeated. What is happening to him? He had taken Fluoxetine for eight months before 15 years. Doctor: Hi. Your husband may have depression or anger outburst problem. If your husband is abusing any substance like alcohol or cannabis, it can also cause the above issues. Your husband needs face to face psychiatrist consultation. His symptoms can be controlled with medication and need to stop abusing alcohol or cannabis. Try to find out if your husband has any social, financial or work problems. Help him. You must spend quality time with him. You must take dinner or at least a one-time food together. Try to go for walk together daily after dinner or early morning for 30 to 40 minutes. Give him surprises or try to make him happy. Fluoxetine is one of the right options for your husband. It will help him to manage the depression and anger outburst. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28255, + "tgt": "My face color has turned black after taking Betnelan, please suggest some treatment", + "src": "Patient: Hi doctor, I am a 21 year old male, five years back, I started taking Betnelan 0.5 mg for\u00a0asthma. After 5 to 6 months, my body was swollen, and my face color has turned black after two years of consuming this medicine. I reduced taking the medication slowly, and my swollen body has recovered. But, my affected face has no improvement sill. I have consulted many dermatologists,\u00a0but they all failed to treat me. They think the change in my face color is due to a sun tan, and that medicines cannot affect the face. Please suggest some remedy for this. I have started taking an\u00a0inhaler for asthma. Doctor: Hello. Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 7314, + "tgt": "What test should I do to confirm narcolepsy?", + "src": "Patient: Hello doctor, I am 17-year-old with height 5'8\" and weight 118. My doctor has clinically diagnosed me with narcolepsy. He said that I show every sign and symptom I did not meet the requirements on the MSLT. He believes that I still have it. He did blood work, and my iron and vitamin C came back low. He wants to do a spinal tap, if that comes back fine does that mean I do not have narcolepsy. Also, what does clinically diagnosed mean? Doctor: Hello. Most of the diagnosis is made based on the patient's history of complaints, examination done by the doctor and supported by investigations. The investigations most of the time play a crucial role for example if I suspect diabetes in a patient and his blood sugar test reports come normal, then my diagnosis needs to be changed. But for certain diseases, there are no tests which will confirm or refute the diagnosis. Narcolepsy is one such disease. So what your doctor is doing is he is testing for other illnesses which mimic as narcolepsy. And if tests come normal, he concludes as narcolepsy based only on your symptoms and his examination and not on test reports. That is the meaning of clinically diagnosing. If you can tell me your symptoms, I can help you in diagnosis." + }, + { + "id": 22405, + "tgt": "I have scratchy throat and joint pain. Can these be symptoms of HIV?", + "src": "Patient: Hello doctor,I am having a scratchy throat and constant clearing throat, cough and slight joint pains from the past two weeks. I had unprotected sex 24 days ago and I am frightened that this might be the symptoms of HIV. Please clear my doubts. Doctor: Hello. I have noted your concern. These are not specific symptoms of HIV infection. Anyways I suggest you screen for HIV by a fourth generation HIV screening test at four weeks because unprotected sex is a risk for transmission of HIV. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 14746, + "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": 7781, + "tgt": "Can you suggest medicines for loose motion?", + "src": "Patient: Hi doctor,I am suffering from loose motion since two days. Please suggest me medicines. Doctor: Hi. For further queries consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 6340, + "tgt": "I have burning sensation in my waist. Why?", + "src": "Patient: Hello doctor, I have a burning sensation in my waist. I want to know the cause and the treatment for it. Doctor: Hello. Burning sensation in and around the waist or torso can indicate a lot of things. It can indicate an allergic reaction, but that seems less likely in your case. Mostly it can point to nerve weakness, which occurs due to vitamin deficiency. I will advise you to get your B12 levels checked as soon as possible. Rarely, the burning sensation can be attributed to kidney stones, however, we will cross that bridge when it is required. For the time being, I will advise you to start taking some multivitamin supplements such as tablet Cobadex or Neurobion Forte one tablet daily before sleeping. Once you get your B12 levels evaluated, you can post the details and I will assist you further." + }, + { + "id": 26245, + "tgt": "Do the white patches in my mouth suggest some kind of cancer?", + "src": "Patient: Hello doctor, I have developed white patches in my mouth from a few days. The images are attached herewith. There is a\u00a0pain some days and other days there is no pain at all. There is no bleeding either.\u00a0Recently, I visited an ENT specialist. He referred me to a dentist. The dentist advised me to remove the upper third molar as there was no place for it to grow which impacted and had caused this. When I enquired about the healing time of these patches, the\u00a0dentist told that they would not heal unless the wisdom teeth are removed.\u00a0Is it some kind of oral cancer? I am a non-smoker and a non-drinker. I have never chewed tobacco. This lesion has been there for about 45 days. This lesion is on both the sides of my gums near the wisdom teeth. There is no history of a toothbrush trauma too. But, there might be a chance of cheek biting at the same position. Are there any medications available for this condition? Doctor: Hello. I have gone through the images (attachment removed to protect patient identity). Wish you good health and happiness.\u00a0Keep me updated with the improvements. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13321, + "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": 12216, + "tgt": "How can poor concentration and nail biting habit be cured in a child?", + "src": "Patient: Hello doctor, This query is about a healthy, happy boy who has poor concentration and cannot stop biting his nails. My 11-year-old son has had a nailbiting habit on and off since toddler years. We recently moved and started school (was homeschooled before). He has always been easily distracted when doing written sit-down work. He enjoys his new school and is making friends, he can read and listens and recalls story details, good in math. Not hyperactive, just spaces out, daydreaming. Other seemingly unrelated issues: Occasional headaches, outdoor allergies with sinus infections yearly (better since the move). We are a vegetarian family but eat eggs and dairy. He is a very social person, likes building and creating things, enjoys music and dancing. Doctor: Hello. This needs medication which I will be prescribing." + }, + { + "id": 14970, + "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": 29393, + "tgt": "How to control my son's behavioral problems?", + "src": "Patient: Hello doctor, My son is\u00a05.5 years old with developmental delay, speech delay and poor motor skills. He is always hitting, biting and scratching other kids or me when he is upset for any reason. I do not know how to deal with this. I have tried many things, but nothing works.\u00a0Also, he has a 9 year old brother who is saying that I\u00a0hate him because he is always hitting and destroying my things. Also, for the extra attention given to his brother. Please advice. Doctor: Hi. I understand your concern. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16310, + "tgt": "Is my MRI for headache showing any critical issue?", + "src": "Patient: Hello doctor, I have regular headaches and I have done a consultation with a doctor and he advised for MRI. Please check my reports and let me know the reports. Is there any critical issue? Doctor: Hi. Your MRI is grossly normal with some evidence of ethmoid and frontal sinus mucosal thickening suggestive of frontal and ethmoidal sinusitis. These can cause your symptoms of a headache and are probably due to chronic allergic rhinosinusitis. Furthermore, you might also have a migraine as you have been put on Sebilium. You can continue Cetirizine and use FluMist nasal spray (live attenuated influenza vaccine) in case you have a nasal blockage." + }, + { + "id": 29282, + "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": 19486, + "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": 23489, + "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": 11140, + "tgt": "What can I do for swollen feet and ankles during pregnancy?", + "src": "Patient: Hello doctor, I am six months pregnant. I have swollen feet and ankles. It hurts when water runs over them. I also have lower back pain and some dizziness. Kindly help. Doctor: Hello. A pregnant woman usually has edema (swollen lower extremities) especially if she has been standing quite long. However, it is never tender but just heavy. It spontaneously resolves when she places her feet at least two pillows higher than her body or only by little elevation. In your case, we must rule out the possibility of cellulitis. Its is a condition such as how you described, swollen feet or ankle, usually pinkish or erythematous and tender to touch, sometimes warm to touch. Your symptoms are not the usual finding on a pregnant woman and must be seen immediately at the emergency room to give you first aid of a possibility of infection. It is also best that you have your blood pressure taken since the pregnant patient with edema usually has elevated blood pressure." + }, + { + "id": 26493, + "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": 7605, + "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": 24926, + "tgt": "There are no symptoms of periods. Is there any reason to worry?", + "src": "Patient: Hello doctor, I am 42 yrs old. I had my last period on 3rd. I had unprotected sex on 21st. I had an I-pill on the same day. My usual menstrual cycle is 26 to 28 days but there are no symptoms of periods. Is there any reason to worry? When will I get my periods? Doctor: Hello. Since you have taken an emergency contraceptive pill within 72 hours of intercourse, there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. So relax and do not worry. However, if you have a doubt then get a urine pregnancy test done with early morning urine sample to ensure that you are not pregnant. Do get back to me with reports so that I can guide you further. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20289, + "tgt": "My son inhaled a fly. Will it get trapped in the cilia of the bronchial tree and end up causing illness?", + "src": "Patient: Hi doctor, My 27 year old son inhaled a fly. He is in good health with no respiratory distress. Will it get trapped in the cilia of the bronchial tree and end up causing illness? Doctor: Hello. You have mentioned that he has no associated respiratory distress after inhaling the fly. Nothing major can happen since his breathing is fine. It is very unlikely that the fly may go into airway as there is a protective mechanism at the throat level. Hence, the fly may go into his stomach and will be digested there. So, there is no need to worry. For further clarifications consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 25333, + "tgt": "From parents' height please suggest the probable height that can be attained", + "src": "Patient: Hello doctor,My sister is 14 years old. She is 4 feet 10 (148cm) and weighs 77 pounds (35 kg). She started her period when she was 12. She grew 12 cm from 10 to 12 years and 5 cm from 12 to 13. However, she stopped growing from 13 to 14. Our mother is 5 feet 2 (157 cm) and our father is 5 feet 8 (172 cm). How tall will she be? Will she still grow taller? Are there any ways for her to grow taller? Doctor: Hello. I understand your concern. Her expected height will be from your parents' height, 165 cm approx. Yes, after 12 years of age the growth rate is slow. But, she will grow. Meanwhile, she can do stretching exercises to enhance her height. Chronic illness can halt growth, I am sure she might not have such illness. Ask her to look after her nutrition as well especially vitamin D, calcium, and protein requirement. Her BMI is towards higher range. This can also affect growth rate. Try to maintain around 20 to 22. Do X-ray of the wrist with fingers, so that we can assess the need for Growth hormones. Try these options and reviews SOS. For more infomration consult a paediatician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16098, + "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": 17252, + "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": 25989, + "tgt": "My kid is suffering from cough and cold. What should I do?", + "src": "Patient: Hello doctor, My 2-year-old baby is suffering from a cough and cold. What should I do? Doctor: Hello. Is the baby having running nose or blocked nose? If there is a blocked nose, I suggest you put Nasoclear nasal saline drops two drops in each nostril three times a day. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Keep a humidifier in the room.That will help in expelling the mucus Give warm liquids like milk with turmeric, soups. If the symptoms increase, see a pediatrician. Take care and regards. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25876, + "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": 27864, + "tgt": "I have fever, red rashes, and low platelet count. Is it dengue fever?", + "src": "Patient: Hi doctor, I am a 25 year old female, who weighs 24 kg and 5.3 feet tall. I have had a fever since last week. The fever was between 38 to 40o C. I also had headaches and lower back pain. Today I got tested for dengue, but that was negative. However, on my torso, neck, and face, there are these red rashes. The rashes are not itchy and flat, and they appear to be under the skin. Also, my platelet count was 79,000. I am currently taking Ibuprofen. I was wondering if it is possible that I tested too early for dengue and that it is possible that it is still dengue. If it is however not dengue, what could it be? Please advise. What to do? Doctor: Hello. 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": 17542, + "tgt": "How to protect myself from STD?", + "src": "Patient: Hello Doctor, I am a 33 year old unmarried, healthy male. I have a steady girlfriend with whom I have sex regularly, as well as casual one night stands with other girls. I always practise safe sex, i.e, a) always use a condom b) never have uncovered oral sex (c) never have anal sex (d) always keep my penis covered with my undergarments till I put on the condom (e) always ensure that I pull out with one hand on the condom so that it does not slip out. I wanted to know what else can I do to prevent myself from any STD. 1. What are the chances of kissing my partner causing STD and should I avoid this? 2. I heard that a person can get herpes just through skin contact. Is this true and if so, what precautions can be taken for this? 3. Is there any vaccine I should take for herpes, hepatitis A and hepatitis B? 4. I do not use a lubricant, but use lubricated condoms. Is this the correct thing to do? 5. Can I try anal sex with my girlfriend. Is it safe? 6. Is it better to wash the penis immediately after intercourse to reduce the risk of STDs or should I just wipe the penis with a dry cloth after taking out the condom? Doctor: Hi. I appreciate that you are very much conscious and alert while having sex and take all preventive measures. 1. Kissing can spread some diseases only if the other partner is infected .These diseases spread through saliva . There are so many diseases which spread through kissing like mononucleosis, certain kind of viral infections and sore throat and some other. I guess you are much concerned about STDs (Sexually Transmitted Diseases). HIV is present in saliva but till now no HIV case had been reported through kissing. But hepatitis B cases are reported and well documented and hepatitis A & C as well, so here I will advise you not to kiss women about whom you are not aware of their health status. 2. Herpes viruses are of many types and can spread through skin contact also. Here I think you are concerned with genital herpes virus which causes STD. This usually spreads via sexual intercourse but can also spread through body fluids like blood, saliva, oral sex (without a condom) if your partner is infected. 3. No, there is no vaccine available for herpes. But you must get hepatitis B vaccination done as it is a fatal disease. 4. If you are using lubricated condoms then no need to use a lubricant unless your partner is not comfortable without a lubricant. 5. Anal sex is usually not advisable as it can cause intense pain and injury inside your partner's anus and not safe for her. But if you insist and want to do, then apply a lubricating gel and can do at your own risk. 6. Washing genital organs after having sex is advisable. For further queries, consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12904, + "tgt": "Will taking Carloc and Cardace for CABG lower BP?", + "src": "Patient: Hello doctor, My wife was operated for CABG a year back and is taking Carloc 3.125 mg and Cardace 2.5 mg twice a day, among other medicines. Presently sometimes her BP goes down to 100/60. Is it due to the above-mentioned tablets? Should the dose be halved for relief? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Firstly, her heart function being low 25 to 30 percent, she has the tendency for low BP. So her BP will remain low. Over and above, Carloc (Carvedilol) and Cardace, both lower the BP. But, in her case, these medicines are necessary in order to prevent further decline in heart function. So, if she is not having symptoms like dizziness, excessive fatigue, they should be continued with the same dosing. Usually, more than 95 to 100 systolic is fine if not symptomatic." + }, + { + "id": 14766, + "tgt": "Kindly interpret my cardiac MRI that I had for chest pain", + "src": "Patient: Hello doctor, I had a cardiac MRI done and wanted to see if you can interpret it for me. I am worried. Doctor: Hi. We are here to help you. I evaluated your report (attachment removed to protect patient identity), and it looks normal to me. Your report does not signify the presence of any ischemic heart diseases to you. It means your cardiac functions are good as per the report. Now, to help you further better this report needs to be correlated clinically. So, I need to know your symptoms for which this MRI was performed. Also, mention if you have any pre-existing disease." + }, + { + "id": 2034, + "tgt": "We did MRCP test as my mother's bile duct is dilated. Can you please interpret the report?", + "src": "Patient: Hello dear doctor. my mother had a issue about her abdomen.it has been 1 or maybe nearly 2 month she is felling an unusual pain in the abdomen Which is accompanied by bloating and severe intestinal gas. we saw an expert doctors.one of them said The gallbladder is oily after After seeing the result of the ultrasound and another doctor said The bile duct is dilated and due that he recommend us to take MRCP image and we did that and recieve images but due to corona virus outbrteak and especially my mother age which is 54 years old we afraid to go to hospital and show that to the doctors which recommend us to do MRCP and we cant make online contact with him. maybe to be helpful and For more information, my mother has been using opium for 25 years.i will realy appericiate if you help us. Thank you for your attention. Best Regard Doctor: Dear, Great to meet you, welcome. I reviewed the history and MRCP report of your mother. Oily liver or gall bladder is not an issue.Her Biliary ducts are dilated but ther e is no obvious cause of dilatation.There is no stone or tumor in it.It may be secondary to chronic use of opium but It will needs further evaluation by endoscopic procedure called ERCP but in my opinion that is not an emergency. Meanwhile start using following treatment and it will help out in her symptoms. Opium/ Periampullary lesion ERCP LFTs CBC Periampullary lesion Opioid induced Opioid Induced SOD Dysfunction Tab.Levosulphride 25mg three times before meals. Tab.Rifixamine 550mg two times after meals PEG Sachet 1 at night time. Use these medication till you follow your consultant. Meanwhile do the advised laboratory tests and let me know, I will guide you about ERCP needs" + }, + { + "id": 24789, + "tgt": "Please explain whether having sex will increase weight in women", + "src": "Patient: Hi doctor, Does having sex increase estrogen hormone? Will it result in belly fat and sagging breast in women? Is it true or a myth? Please explain. Doctor: Hi. All these are false beliefs and let me explain it to you. Whether you have sex or not any lady who puts on weight will have sagging of breast, belly fat, and increase of hormone estrogen. When you have sex, only testosterone hormone is increased in females, which gives a final orgasm or pleasure of sex. Due to the manipulation of the breast during sex repeatedly, the shape of the breast may change, and it will sag. When a lady puts on weight, the typical obesity is called \"lemon on toothpick\" appearance. Fat is mainly around thighs, breast (one more reason for sagging breast), waist, lower abdomen or belly and upper arm. The hands ( below elbow) and legs (below knees) will be thin. This fat gets converted in the body to estrogen - the female hormone. You would have seen obese men developing breast, which is the fat converted into estrogen and forming breasts, so also girls at younger age develop periods at the younger age if they are obese. So, sex has nothing to do with any of these features. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10967, + "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": 22429, + "tgt": "Does grinding cause loosening of teeth?", + "src": "Patient: Hi doctor, I have noticed that my first molar is loose. I keep pushing it with my tongue and clenching a bit against it and I just noticed that it has become loose little more. I have my wisdom teeth and I think it might be applying pressure forward on these teeth. I read in a book that day grinding can cause a teeth to loosen, which is easier to treat. There is no pain and the teeth look healthy. I always clench my teeth but it never caused any looseness. Doctor: Hi. I have gone through your query and you are having a habit of grinding your teeth during the night, that is called as bruxism and the symptomatic treatment for that is the use of mouth guards. I recommend you visit a dentist and get it checked. Your treatment depends on the grade of mobility. So, I am not quite sure about what grade of mobility you are having. The mobility can be in grade 1 or grade 2. If it is in grade 1, it will resolve on its own and if it is in grade 2, you need to go for scaling and root planing that is a 15 minutes procedure done only in the surgical environment. You can get mouth guards for your nightwear at any sports shop or get customed ones by giving an impression of your dental arch at the dental clinic. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17874, + "tgt": "Is it rare to see sickle cell anemia and beta thalassemia together?", + "src": "Patient: Hi doctor, My friend is 26 years old. He has sickle cell anemia and thalassemia together.\u00a0His recent spleen health was good and the proportion of blood and iron was moderate. He does not need to increase the blood. Is it rare to see these two together? What is the average life expectancy of these patients? Doctor: Hello. Revert back with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16834, + "tgt": "I have been getting period cramps but have not got periods. What can it be?", + "src": "Patient: Hi doctor, I am a 20 year old female. My period is delayed and I am sexually active. I have not had unprotected sex. The problem is 2 years back I was diagnosed with fibroadenoma . No biopsy was done but doctor told it was probably that. Now when my period got delayed, I started having period cramp like pain. I get lots of pain in the right pelvic region. When this started, I noticed I got pain in same place in my breast when I was diagnosed with fibroadenoma and now the pain is also in the other breast and I have been getting abdominal pain as well. The breast pain is only felt when I touch the area. I was also diagnosed with ovarian cyst once. Currently I am taking Sodium valproate for depression. Please help. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11541, + "tgt": "What are the causes of missed period?", + "src": "Patient: Hello doctor, I am 26 years old and I have missed my period this month. Last period was on 19th of last month. Few days ago, I vomited two times, so I have checked urine test a few days back. There was a faint line. Again I checked it in the evening on the same day, the result was faint line. But when ultrasound and T.V.S. test were done then result was negative. The doctor has suggested me to keep in touch and again check up after a week. Please suggest me what to do. Doctor: Hi. I can understand your concern. Urine pregnancy test may give faint line during early pregnancy. And also in ultrasound it may take around six weeks for visualization of gestational sac. So, you better go for blood test for pregnancy which will give accurate result compared to the urine pregnancy test. Beta hCG levels above 25 indicates positive result for pregnancy. Take care." + }, + { + "id": 7343, + "tgt": "I have foot ache and tingling sensation for the last couple of weeks. Why?", + "src": "Patient: Hello doctor, I am a 37-year-old female. For the past couple of weeks, I have foot ache and feel a cold tingling sensation on and off. My blood reports and ECG are normal. I have no health issues. But I have a cheek tingling occasionally. Doctor: Hello. You seem to have mild neural pain. It could be due to the gentle compression of nerves. Please take Vitamin supplements and if persisting, Pregabalin after an evaluation by neurophysician. Please feel free to question me in this regard." + }, + { + "id": 14209, + "tgt": "I catch cold every morning after I wake up. Is it normal?", + "src": "Patient: Hello doctor, I am 21 years old. I am having a cold every morning when I wake up and as the day goes by it continues to reduce simultaneously. This has been happening to me for the past two years. I need some lifetime precautions for this. For the past two years, I have been taking Marijuana daily. Doctor: Hi. As you said you are suffering from the cold in the morning only and it subsides in the day, it means you are allergic. You should improve first your immunity as it plays an important role in the allergy. It is the best way to fight allergy. I am prescribing you a remedy for such an allergy. At night before going to bed take a glass of milk, add half a teaspoon of turmeric powder and a half pinch of black pepper. In it, boil this mix and when it remains half, take this in warm temperature. Do not take water after this. There are some medicines also which enhance immunity but you should take the whole treatment at least for 2 to 3 months. If interested, then, can ask in next follow up. Have a citrus Vitamin C rich fruit daily. As much as you eat fruits and veggies, your immunity will be improved and reduce allergic condition. Allergic rhinitis." + }, + { + "id": 857, + "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": 1861, + "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": 20110, + "tgt": "I had unprotected sex and got ulcer in scrotum and mouth. Will it be herpes?", + "src": "Patient: Hi doctor, I am having 101 degree fever daily for past four nights. Two days back, I got some white spots on my scrotum and lots of ulcer in my mouth. I am not sure whether the white spots are\u00a0ulcers\u00a0or not, but they do not pain or itch.\u00a0The fever is intermittent, mostly during evening or night. I do not have any running nose or loose motion. I am starting to get a sore throat. I have very mild night sweats and chills. I did not take any antibiotic yet. But three tablets of Paracetamol (650 mg) daily since last four days. I do not have any photosensitivity or joint pain. My skin is pretty oily and I have acne in my face. Please let me know your suggestion. Doctor: Hi. I 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. The scrotal issues are due to the dryness of the skin and skin hair follicle infection. There is hyperkeratosis on the scrotal skin. All of these issues develop due to unhygienic urogenital habit and unhygienic skin condition of the areas of the external genitalia. No need to worry as I am suggesting very effective remedies for you to get better in a short period. The mouth sores are due to throat infection and it looks like a mixture of bacterial and viral infection. So, you need to start the treatment immediately. For genital skin issues:- 1. The most important medical remedy for you is to shave the area completely including scrotum, pubic area, and the groins with a blade. Make it a habit to do undershave (armpits and the genital area) before the hair grow very tiny. 2. Keep the area clean and dry and apply Hydrozole (combination of Hydrocortisone and Clotrimazole) cream on the whole of the genital area including scrotum. 3. You should take a prescription for Amoxicillin. Keep taking Paracetamol every 8 hourly until you no more have fever. 4. Apply some gel like Orajel (Benzocaine) on the mouth ulcers and stay for 5 minutes. Then rinse with tap water. 5. Do gargles with Scope mouthwash. Take plenty of water and proper rest. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1444, + "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": 26666, + "tgt": "I am experiencing a lot of skin changes. I want to get back my appearance. Please help", + "src": "Patient: Hi doctor, I have been experiencing the skin and facial changes for more than a year. It has not resolved since then. I am also experiencing very uncomfortable sensation\u00a0in my face, especially around the eyes. My skin is thin, fragile and\u00a0mottled. It is shiny, though no oil is produced. Eyes seem sunken, and face looked a bit odd and dilapidated (not sure how else to describe). It looks very different than normal, definitely not in a right way. I have been asked thrice by other people whether I am critically ill or fine. I do not look like myself at all. I have trouble in sleeping because of the\u00a0sensation and pressure on my face, and it gets worse when lying down. It is almost unbearable. I\u00a0am wondering what is going on and how to get back my previous appearance. The dermatologist gave me short term hydrocortisone cream, which did nothing for me. Both endocrinologist and gynecologist performed extensive lab tests, which were all normal. I am attaching the before and after pictures. Please help. Doctor: Hi. I understood your concern. I have seen your\u00a0pictures (attachment removed to protect patient identity). Hope you understood my explanations. Please contact me back with your diet pattern, food habits, medications. You are always welcome for further follow-up. For further queries consult a naturopathy specialist online --> https://icliniq.com./ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 12615, + "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": 7995, + "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": 77, + "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": 3614, + "tgt": "My granddaughter is 17 months old but her anterior fontanelle is still not closed. Why?", + "src": "Patient: Hello doctor, My granddaughter is 17 months and one week old. She was a term baby born out of a normal vaginal delivery. She weighed 3 kg during birth and was 2.8 kg when we were discharged from the hospital four days later. She was exclusively breastfed for six months, after which we introduced solid foods (in addition to breast milk, which is still continuing). She is a very bad eater, however, we are managing to feed her protein-rich food thrice daily using a lot of diversion tactics. My questions are: Why her anterior fontanelle is still not closed? Still, there is a little bit of space left. She seems otherwise healthy and active, and seems very intelligent in the way she grasps things through books, remembering every single thing. Her weight also seems normal, although she is not overweight or chubby. Is it normal for the fontanelle to still remain open a little bit? I know it is supposed to close completely by 18 months, but I am wondering if it will close in the remaining three weeks. Suppose it takes longer than 18 months to close, is it fine? Please let me know. Doctor: Hi. From what you mentioned, your kid seems completely normal you do not have to worry. You should add supplemental calcium, and Vitamin D drops. Also by 17 months, she should be able to walk. Warning signs that you should watch for are persistent vomiting, fits or delayed motor development. Just follow up and the fontanelle will close within a few weeks. I hope this helps." + }, + { + "id": 7067, + "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": 752, + "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": 22060, + "tgt": "I cannot run, stretch, move or straighten my leg. Please help", + "src": "Patient: Hello doctor, I have been experiencing mild to moderate pressure from the bottom of my right bum cheek to the middle of my leg and I cannot seem to put pressure on my right leg at all. Could you tell me what this is or could be? I am taking 50 mg of Sertraline for anxiety, Thiamine twice a day and various other Vitamins. I cannot run, stretch, move in bed, straighten the leg fully, bend downwards, touch my toes or do practically anything without there being a distressing pain from the hamstring (the top of it). Doctor: Hello. I read your concern. I would like to know if you ever had back pain or had a fall on your back. In my opinion, you should work a bit on back stability and core stability. I would like to recommend you to get a thorough investigation like an MRI lower back and hip, which will help you to exactly locate the source of symptoms as sometimes disc irritation and facet issues can produce similar symptoms. I recommend you to keep icing frequently. Stretch gently. Do stability exercises. Revert back to me with full details of your problem. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 13359, + "tgt": "There are red lines on my neck that look like stretch marks. What can be done?", + "src": "Patient: Hello doctor, My neck has weird red lines all over it which seems to me as stretch marks. I am currently 18. Is there a way to cure this? Doctor: Hello doctor, The pictures uploaded did not show the said stretch mark (attachment removed to protect patient identity). However, what readily comes to one's mind is that it may be spider veins (widened tiny blood vessels just below your skin). The doctors call such condition telangiectasia. Use of corticosteroids, certain abrasive creams, and soaps, alcohol abuse, pregnancy, increasing age, hardening and contraction of the skin, inflammation of the skin and the muscle under it, systemic lupus erythematosus, or it may be part of HHT-hereditary hemorrhagic telangiectasia. Investigations to rule out underlying disorder include clotting profile, CT scan, MRI. Spider angioma, Sturge Weber disease, hereditary hemorrhagic telangiectasia. Spider veins- telangiectasia. Treatment options include sclerotherapy, laser therapy, and surgery. Cut down on alcohol, avoid working outdoors for long, shed weight- not applicable to my index patient, avoid misuse of corticosteroids, reduce prolonged standing." + }, + { + "id": 4336, + "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": 24549, + "tgt": "I experience premature ventricular contractions. Will it ever go away?", + "src": "Patient: Hello doctor,Since approximately eight months, I experience premature ventricular contractions (feeling of heartbeat skipping). I never had shortness of breath, severe chest pain, heavy sweating/dizziness, or like I will pass out. It also never goes on for several minutes, just around 10 to 20 a day. I went to see a cardiologist, who did an ECG and echo - said there is nothing to worry and this is normal. He said to call him when more per minute (so a lot of PVC each minute). He also said it is not stress related, but I have highly stressful work. I am still little worried. Will it never go away and can it, in the long run, hurt me? Doctor: Hello. I passed carefully through your question and would explain that some PVC or ectopic heartbeats are quite normal in every healthy individual during emotional stress or physical activity. Anyway, a cardiac arrhythmia cannot be excluded either. Coming to this point, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring (Holter) to examine your heart rhythm trends for a prolonged time and investigate for possible cardiac arrhythmia. Some blood lab tests are needed to exclude some metabolic disorders which may trigger this clinical scenario: If all these tests result normal, you should consider anxiety as a possible cause of your complaints. In such case, consulting with a specialist in this field (physiotherapist, psychiatrist) would be needed. If the situation persists, a low dose of beta-blockers (Metoprolol) could help reduce the ectopic heartbeats. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28664, + "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": 13599, + "tgt": "Can you suggest a medicine for Loose Motion?", + "src": "Patient: Hi doctor, I am suffering from loose motion since today morning. Can you suggest a medicine? Doctor: Hello. Loose motion usually spontaneously subsides within a day or two. Usually people who travel more frequetly will get affected easily and hence it is adviced for them to take ORS with them. Let's have ORS (oral rehydration salt) solution, and take a few sips for every few minutes. And after loose motion, wait for a while and then have ORS to compensate for the water that is lost. Eat bland diet. Avoid milk, spicy and fatty food. Preferably eat bananas, rice and other light food. Loose motion should subside by this. However, if it is not controlled in a day or two, take tablet O2 (Ofloxacin and Ornidazole combination) twice a day for 5 days. This is an antibiotic which is useful in bacterial infections. If the infection is viral, antibiotics have no role. It needs to be just treated by ORS solution itself." + }, + { + "id": 7338, + "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": 6402, + "tgt": "I am overweight with umbilical hernia. How to reduce my weight?", + "src": "Patient: Hello doctor, I am 33 years old with a weight of 63 kg, and my height is 153 cm. I am feeling overweight. My stomach is big, and I am having an umbilical hernia. How to reduce my weight. Doctor: Hello, Welcome to icliniq.com. Nowadays this problem is very common, my advice is to try to go for proper diet planning and increase energy expenditure as there will be an imbalance between food intake and exercise. So there is a need to do more exercise and control over your food. You must follow a strict vegetarian diet and do regular aerobic exercises, yoga, pranayama, and meditation also, which will help you to be more energetic and enthusiastic. I insist you to join the Art of Living Happiness workshop near your city, which consists of all exercises, asanas, good pranayama and meditation also. It will help you to decrease weight, and other benefits also are there. I hope this helps." + }, + { + "id": 19537, + "tgt": "Kindly explain the possible reason for continuous fever in a 7 months old", + "src": "Patient: Hi doctor, My son is 7 months old. He has had a fever for 8 days. His body temperature started from 105 degrees Fahrenheit on the first day and now it has gradually reduced to 100 degrees. This is the first time he is having fever. I am giving him Crocin drops and Ceftriaxone. On the first four days, the fever was occurring every four to five hours and now after taking antibiotics, it is once in 10 to 12 hours. But, the fever does not stop.\u00a0The blood culture and urine culture reports show no growth in 48 hours.\u00a0Blood report shows some kind of infection, with CRP 75 and now reduced to 55 in two days. I wanted to consult a doctor to understand the problem and possible cause of continuous fever. Doctor: Hello. I have gone through the reports and history of your child given by you (attachment removed to protect patient identity). SGPT, SGOT and chest x-ray. More tests may be required as per the condition of the child. 1. Kawasaki disease. 2. Viral infection. 3. Soft tissue sarcoma. Continue the treatment that is going on. Please admit the child and evaluate if the above symptoms I mentioned are present. Revert back with the reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26680, + "tgt": "Can you go through my NT scan and double marker reports and tell me if I am risk?", + "src": "Patient: Hello doctor, I am a 31 year old female. I am 12 weeks pregnant. I have received my NT scan and double marker reports. Below are the details: NT 0.70 mm, trisomy 21 and NT 1:675, trisomy 13/18. Doctor: Hello. How are you doing? Let me start by saying that you and your baby are absolutely fine. Hope I have clarified your query. Do write back if there are any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24532, + "tgt": "Would hormone therapy shrink a large breast tumor in a 79 year old?", + "src": "Patient: Hello doctor,I have a patient who is female, 79 and has a large breast tumor. Rather than give chemo, I personally would like her to try out hormone therapy. Would hormone therapy shrink a large tumor? Your advice would be greatly appreciated. Many thanks. Doctor: Hello. Hormone therapy will shrink the hormone-sensitive mass, but by how much is difficult to predict. It is really helpful if the patient has poor performance status and significant comorbidities. For further queries consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 1880, + "tgt": "I have thick brown discharge and no bleeding during periods since a miscarriage last year. Why?", + "src": "Patient: Hi I had miscarriage & then abortion in hospital a year back. After that till now I have periods every month same timing like 26 days. But no bleeding at all. Only thick brown discharge 2 drops in a day and it only lasts 2 days. I used to have very heavy 5-6 days periods. I am 37 years old. I done all tests with doctors no internal & external uterus tests. Nothing found then doctor suggested me to me take contraception pills for 3 months for thinning lining. Doc said it may be because of it. But after 3 months treatment of contraception pills nothing improved. What I can do ? Thanks Doctor:" + }, + { + "id": 24411, + "tgt": "Is the small growth on shaft of penis a genital wart?", + "src": "Patient: Hello doctor, I wonder if I have genital warts. I have one small growth on the shaft of my penis. Doctor: Hi. The lesion in the picture (attachment removed to protect patient identity) does have a verrucous surface, and most likely is a genital wart. It is a viral infection and can spread to multiple new lesions. The treatment of choice would be removed using electrosurgery or Podowart (Aloe Vera, Benzoin) for local application. In case of any high-risk sexual exposures in recent past, it is advisable to get yourself screened for HIV by Elisa, HBsAg (hepatitis B surface antigen), anti-HCV (hepatitis C virus), VDRL (venereal disease research laboratory test). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9533, + "tgt": "What can be done for pain in the sole of both the feet?", + "src": "Patient: Hello doctor, I have been feeling pain in the sole of both the foot (in the ball area). Probably, this is because I did boxing with no shoes and after that, every time I step on hard surfaces or uneven surfaces there is excruciating pain in my third and fourth toe. I thought they were calluses so I tried to remove them but the result is I punctured both the sole of my foot (using a nipper) because I thought my body would react to and make the recovery faster but it has only gotten worse. Doctor: Hi. This is known as corn and it usually happens after repeated pressure at the same point. You can use either corn tape or Salicylic acid paint over it. you need to apply it daily and that extra skin will peel off daily. The only problem with this is the recurrence. If it reoccurs, then you can get it removed surgically. You need to remove the cause. Use good shoes." + }, + { + "id": 3277, + "tgt": "I am 34 years old. Will intercourse on ovulation day help me to conceive?", + "src": "Patient: Hello doctor, I am a 34-year-old married woman. I had physical intercourse on the day of my ovulation. After that, I am having cramps in my lower abdomen specifically pelvic area. Also, yesterday I had an indigestion problem and I am feeling sleepy for the entire day. My last ovulation date was five days ago. But my pregnancy test showed negative results yesterday. What are the chances of pregnancy considering my age? Doctor: Hello. If you had unprotected intercourse around your ovulation period then there is 40 to 50 % chance of getting pregnant if everything is fine. Ovulation can be plus or minus and we have to calculate it retrograde after getting period. If you have a regular period then there is more chance that your ovulation date it to be final. Even if there is pregnancy it takes 14 to 15 days to turns urine pregnancy test to be positive. You have to wait for those days. Age is important but more important is hormones releasing in your body and the quality of ovum produced in this cycle, which is more important than anything else. There are hundreds of factors that can affect the course. But at last, we have to wait for 15 days. You can do bHCG (beta-human chorionic gonadotropin) blood test after 10 to 12 days. But you have to repeat to see whether the pregnancy is there and it is growing or not. Pelvic pain and indigestion problem can be due to stomach infection or urinary tract infection. Do drink more water. During later half of the cycle, weakness can be due to progesterone releasing in your body. As I said there are many things and many explanations. So the best thing to do is to wait for 10 to 12 days and do bHCG blood test or wait for 15 to 16 days and do a urine pregnancy test. I hope this helps." + }, + { + "id": 12499, + "tgt": "What are the chances of getting internal bleeding with Excedrin and Citalopram?", + "src": "Patient: Hello doctor, I am 31 years old, female and I am currently taking Citalopram 20 mg daily and take Excedrin periodically usually around the cycle when my HAS start but in the last four weeks, I have only not taken Excedrin for 10 days. Some days I only take one tablet, but never more than two tablets in a 24 hour period. Is this safe and fine to do? I was just wondering because someone told me that the Excedrin with Citalopram could cause internal bleeding and I never knew that and just want to know if that is correct or not? Current medications: Citalopram 20 mg, Excedrin as needed, Vitamin B12 1000 mcg daily, prenatal Vitamin, Proair inhaler as needed. Doctor: Hello. I understand your concern and agree with you on the fact that both Citalopram and Excedrin increase the risk of bleeding. But the main problem is that taking Excedrin so frequently may lead to drug-induced daily headaches. From the other hand, Citalopram does not seem to be really effective in preventing headaches. For this reason, I would recommend discussing with your doctor on the possibility of switching to another medication for the prevention of headaches. In this regard, I would recommend switching to low dose Amitriptyline. I would like to know more about the description of your headaches in order to be able to suggest more treatment options." + }, + { + "id": 29919, + "tgt": "Kindly give your expert opinion regarding heart surgery", + "src": "Patient: Hi doctor, My relative has got heart attack some days before. I have his reports. We need a second opinion about surgery whether he should go or not. His presenting complaint includes chest pain and high blood sugar. He is under diabetes medicine. Doctor: Hi. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13792, + "tgt": "Why am I getting severe itchy skin eruptions?", + "src": "Patient: Hello doctor, I am a male, 70 years old with worsening skin eruptions, on upper right arm, and across the chest. It has also moved to the neck and jaw area. Extreme itchiness, which increases late at night, early morning. I have some photos. Unknown cause. Have tried some topicals, but no improvement. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity). Your concern may be Pityrosporum folliculitis or Miliria rubra or cholinergic urticaria, atopic dermatitis. You can try Levocetirizine 10 mg any brand tablet once daily bedtime and Loratidine 10 mg any brand tablet once daily after breakfast. Apply Cetaphil restoring moisturizer twice daily after bath and dust Clotrimazole dusting powder twice daily after applying moisturizer. Apply any brand Calamine lotion as on required. Avoid too hot water baths and prefer citrus fruits for sake of Vitamin C. Prefer room temperature around 25 to 30 degrees centigrade." + }, + { + "id": 16394, + "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": 25648, + "tgt": "For uncontrolled diabetes, is Glycomet-GP2 better than Glycomet-GP3?", + "src": "Patient: Hi doctor, I am a medical student doing my internship. My father has been suffering from fever since seven days up to 101 F. I have given him Ofloxacin 200 mg 2 times a day. But, the cause of the fever is unknown. All the blood reports are negative. He is a known diabetic since 20 years and his blood sugar is not under control.\u00a0His fasting sugar level is 200 mg/dL and after meals 400 mg/dL. He was taking Insulin 2 times a day in the morning and at night. Since his sugar is not under control he is taking it thrice a day now. I have decided to give Metformin 500 mg with insulin in morning and Glycomet-GP 2 during lunch and Insulin as well as Metformin 500 mg in the night. Sugar level is getting controlled to 108 mg/dL fasting and 256 mg/dL after food in the morning but in dinner before food it comes to 333 mg/dL . I have decided to change to Glycomet-GP 3. I need your opinion. Please tell me which antibiotic to be given for fever? And which anti-diabetic to give to control blood sugar? Thank you. Doctor: Hello. Parasitic infection or a viral infection or occult bacterial infection. 1. Please have a discussion with his treating doctor and get any specific tests done to confirm a suspected clinical diagnosis. 2. Any change in antibiotics can be done only after close clinical evaluation. 3. Get a complete blood count and peripheral blood smear done. 4. Chest x- ray. 5. Ultrasound scan of abdomen. 1. Confirm the diagnosis of fever with specific tests. 2. Antibiotics to be changed after isolating organism and doing culture and sensitivity. 3. Diet should be strictly followed. 4. Close monitoring of blood glucose level to be done at specific time every day. Revert back after investigations to a general practitioner online.--->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2071, + "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": 10655, + "tgt": "I am seven weeks pregnant. Can I take both Susten and Duphaston?", + "src": "Patient: Hello doctor,I am a 24.5 years old female. I am seven weeks pregnant and have a history of ectopic pregnancy and two miscarriages. My doctor has prescribed Folic acid, Duxil, Susten 200 mg, Duphaston, and Ecosprin. All tablets once a day. Should I take both Susten and Duphaston or just Susten is enough? Also till what time am I supposed to have these? Doctor: Hello. As you had previous miscarriages and ectopic pregnancy, your doctor might have prescribed all these tablets for the maintenance of pregnancy and to prevent abortion. As Susten (natural micronized progesterone) and Duphaston (Dydrogesterone) both are progesterone with the same action, you can go for any one drug. Susten is preferable as it is natural micronized progesterone and category B drug in pregnancy. You have to take these tablets until the viability of pregnancy that is around 28 to 30 weeks." + }, + { + "id": 3802, + "tgt": "What is the life expectancy in case of mucinous cystadenoma?", + "src": "Patient: Hi doctor, I am 31 years old and weigh about 54 kg. I underwent appendix operation before four years, and the histopathology came as appendix with mucinous cystadenoma. After a few months, I started getting stomach pain and constipation, and doctors used to give me stool softners. My stomach pain became severe before two years and I got admitted to the hospital. They did a colonoscopy and said everything is normal but my problem did not go off. Recently, again I got admitted in the hospital due to severe pain and they did right hemicolectomy and said I have a mucinous carcinoma and it is not curable, only death can be postponed by giving treatment. Kindly advice and help me. Doctor: Hi. I have read your query and seen the attached files (attachment removed to protect patient identity), but nowhere is it documented that it is mucinous carcinoma and that it has spread. The uploaded colonoscopy was not done recently, what was done after that till now? Please upload all the doctors' notes and recent investigation reports for thorough advice." + }, + { + "id": 17429, + "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": 29162, + "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": 4730, + "tgt": "Can anxiety cause increased heart rate and chest tightness?", + "src": "Patient: Hello doctor, I have been to four different hospitals over within a year multiple times due to health anxiety and fear of heart failure, heart attack, etc. I am dealing with a lot of muscle tension, all my muscles are tight and I am always checking my heart rate constantly. For some reason, at times like standing, walking or in the shower, my heart feels like it is beating harder than normal, and faster at times. I am not sure if a tight chest makes heart beats feel more intense or if there is a problem. I have had EKG, chest x-rays, and blood work to rule out serious heart conditions. Everything was fine except blood pressure. I have been really stressed, scared and constantly on edge. So they think my blood pressure is due to stress as I was having a panic attack when it was taken, and when I was relaxed it started going down. I am extremely scared to do anything because my chest, neck, and back is so tight and when I feel my heart beat fast things get tighter, spasm and lock up. What is going on? What is the remedy to this? Is this really anxiety? Can the muscle tension make my heartbeat feel stronger than normal? Doctor: Hello. Your symptoms seem to be due to anxiety. If all your workup is normal, there is nothing to worry about. I advise you to eat healthily, avoid fast foods, alcohol, etc. Do regular exercise, flush all the worries out of your life. There is nothing to worry about, always chill, you have your life and you have to make full of it. Always care for life as it is precious so you are too. Take part in healthy activities. If these measures does not solve the problem, pay a visit to the psychologist. In my opinion, you are fit and healthy and nothing to worry." + }, + { + "id": 14136, + "tgt": "Kindly explain my dual test taken for pregnancy", + "src": "Patient: Hi doctor, I just did a dual test. I am worried right now, please help. Gestational age is 12 weeks and 6 days, crown-rump length 64.8 mm, nuchal translucency MoM 1.7 mm, nasal bone is seen, hCG, free beta 60.47, PAPP-A 6020. Method: ECLIA (fully automated electrochemiluminescence system). I have attached the report. Disorder screen positive cut off: trisomy 21 (Down)\t1:250, trisomy 18/23\t1:250. Doctor: Hi. I can understand your concern. According to your test results (attachment removed to protect patient identity), negative factors are: PAPP-A levels are elevated. Beta hCG levels are low. Positive factors are your age is below 30 years and nuchal translucency is normal. Now the possible steps can be followed are as a dual test can be performed till 14 weeks, better to repeat the test after 48 hours preferably in a standard laboratory. If the results fall in a normal range, repeat the ultrasound after one week. If everything is normal, you can continue the pregnancy. If on repetition also test gives screen positive, the possibility of the chromosomal disorder is more and you may need to terminate the pregnancy after confirming with your doctor. Take care." + }, + { + "id": 15310, + "tgt": "I have a low grade burning sensation in the right thigh near groin. Why?", + "src": "Patient: Hi doctor, I have a low grade burning sensation in the upper thigh on the right side, near the groin. I have the same burning sensation in the left arm, below the shoulder to forearm. I have heaviness in my legs with a sharp pain in the feet. It got started after taking Ativan. This burning is pretty new to me, and I have this problem for a week now. I also have loss of circulation in my left arm at night during sleep. What can I do now? Doctor: Hi. Your symptoms are related to anxiety or peripheral neuropathy. I have reviewed all your tests, (attachment removed to protect patient identity) and they are perfectly normal. You have vitamin B12 level in a higher range, and it is not a problem. Coming to this point, I would recommend performing nerve conduction studies to investigate for neuropathy. I would also recommend checking magnesium plasma levels. If all these test results are normal, you can consider anxiety as a possible cause of your symptoms. In such a case, I would recommend adding Pregabalin or Gabapentin to your current therapy. You should discuss with your doctor on the above issues." + }, + { + "id": 4602, + "tgt": "Why am I not getting my period even after taking i-pill and Meprate?", + "src": "Patient: Hi doctor, I had intercourse (he did not ejaculate) and took an i-pill the next day. I am suffering from PCOD and by doctor's prescription, I took Meprate for seven days twice daily. But still no sign of periods. What can be the causes? Also, after taking the i-pill there is no withdrawal bleeding. My last period was before two months and it is causing stress and I am overthinking. Please help. Doctor: Hi. Do not worry, you have nothing to worry about. As you have PCOD (polycystic ovarian disease) your ovulation will not be on time. As you mentioned that he did not ejaculate and you took i-pill within 24 hours, chances of pregnancy are very low. Meprate is a hormone pill that increases the inner lining of the uterus and when you suddenly stop, it cause withdrawal bleeding. Usually, you can wait up to 10 days after stopping. Because you had I-pill and Meprate your period would have got postponed. So I would advise you to wait for periods till 10 days after the last day of Meprate. If still no periods, just for confirmation get urine pregnancy tested. I bet it will be negative. Then take any of the oral contraceptive pills like Novelone, or Ovrel G, or Dear 21 or Diane 35 or Intimacy plus 3 twice a day for 10 days, throw that extra last tab. You will surely get periods within the next 10 days. If you get periods in between just stop the pills. In PCOD the inner lining of the uterus may not be thick enough, so your periods will be light sometimes with pink discharge only, so no withdrawal bleeding with Meprate. These pills will increase the thickness. Next time onwards never have unprotected sex, to avoid these anxious moments. I hope this helps." + }, + { + "id": 24674, + "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": 15181, + "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": 11176, + "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": 1878, + "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": 24638, + "tgt": "Why do I have numbness in hand and legs?", + "src": "Patient: Hello doctor, My left foot got numb, then my left hand, and now my right leg as well. The doctor did diabetes, cholesterol and thyroid tests. All the laboratory reports were clear. There were no issues. Vitamin B12 was fine as well. Then, he performed nerve conduction studies and he told me that everything is clear. Now, please tell me what could be the issue. I am currently on Vitamin D and Calcium supplements. Doctor: Hello. Considering your symptoms, I would recommend performing a brain MRI (magnetic resonance imaging) study to investigate for possible multiple sclerosis. If the brain MRI results are normal, then you should consider anxiety as the main cause of your complaints. I would also recommend performing a cardiac ultrasound and a resting ECG (electrocardiography). You should discuss with your doctor on the above tests. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2151, + "tgt": "Shall I reduce the dosage of Clonafit according to panic attack symptoms?", + "src": "Patient: Hello doctor, I am suffering from panic disorder for the past four months. Initially, when I got my first panic attack, I just suffered without taking medical help since I am frightened to take medicine. This made matters worse and I started to have almost regular panic attacks followed by mild depression a month later. I am a 37-year-old healthy male with no diseases. I used to regularly jog or workout in the gym. I eat a healthy mostly homemade vegetarian diet in limits. I never drank alcohol or smoked. I was happy with my life and had no regrets. But after I got my first panic attack I got so scared that I started to research internet furiously and overthink a lot. This made matters even worse for me and finally, I consulted my local GP. He prescribed me with Stalopam 10 mg at night and 0.5 mg Clonafit twice a day. I was afraid to take them and finally after my panic was getting bad enough to cause insomnia, reluctantly with GPs persuasion I started to take the medicines. I took Stalopam daily but disregarding my GP I took only 0.5 mg Clonafit at night as I heard it can cause addiction. Initially for two to three weeks, I felt a little depressed every now and then but the panic attacks intensity decreased immediately. Though I got the attacks they were not scary. After the first month the depression too became better. Then I halved the Clonafit and started to take only 0.25 mg at night. It has been now two and a half months and I am feeling a lot better. Though some days I get anxiety episodes, it is not disturbing and depression too has gone. So I requested my GP to stop it. Accordingly, he asked to me take 5 mg Stalopam with 0.25 Clonafit for 30 days and stop completely. Do you think it is right on my part or would it be advisable to continue the standard dose 10 mg for a few more months until anxiety completely disappears? Doctor: Hello. It is good to know that you are feeling better and the medication have been helpful. Regarding your query about medication, it is advisable to continue Stalopam 10 mg (Escitalopram) for at least six months even if you are feeling better. Stalopam is an SSRI (selective serotonin reuptake inhibitor) which is effective in treating anxiety disorders, panic symptoms and depression. If you are not experiencing any side effects, Stalopam is safe to continue for a longer term. Clonafit (Clonazepam) is meant for short term use. I agree with your plan to take 0.25 mg at night only. Cut down to half the dose again for four weeks and then stop it. It can be used sparingly as needed if you feel anxiety is high. You also need to consider managing any underlying issues which precipitated this panic attacks. Was there anything stressful happening in your life during this period? Share any difficult feelings with a trusted family member or friend. If needed, consider counseling. Develop self-help interventions to manage stress and prevent relapse of anxiety. Regular exercise helps. Cut down on coffee, tea, and alcoholic drinks. Take up yoga if feasible. I hope this helps." + }, + { + "id": 16215, + "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": 28167, + "tgt": "Will angioplasty of the leg affect my mother's kidneys?", + "src": "Patient: Hello doctor, My mother has developed gangrene in her left leg, which pains a lot\u00a0when she walks for more than two minutes, from past\u00a0two weeks. So, we got an MRA of the leg, which showed no blood circulation in the left leg. As a result, the doctor suggested an angioplasty and amputation. She is diabetic and hypertensive patient, and she is under medication. Also, her creatinine level is 3.4. I was told by a few doctors, that if we get the angioplasty done, there are chances of kidney failure. If my mother's kidneys do fail, can they recover? Is permanent dialysis required? If yes, how safe is that? What are your suggestions on angioplasty when the patient is not having good kidney condition? Can the kidneys be treated before the angioplasty? Can you give your opinion on the same, as we are planning the procedure soon? Doctor: Hi. I hope this helps you.\u00a0If you have any further questions, please feel free to ask. For further queries consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 22014, + "tgt": "Will taking Fluconazole hinder the ability to conceive?", + "src": "Patient: Hello doctor, I had my menstruation ten days back and supposed to ovulate tomorrow but I had sex with my husband yesterday after taking Fluconazole (because I was having a burning sensation after urinating and sex at my vaginal area). Would taking Fluconazole have hindered my ability to conceive yesterday? I am trying to conceive. I took Genevin in the past, which was a wrong prescription out of assumption). Doctor: Hello. According to many researchers, Fluconazole 150 mg single dose is not too harmful to pregnancy but it is better to avoid it. The drug is antifungal if you have taken it and had sex no particular action on sex actually and on sperm and its way to cover path inside the femalebody. But if pregnancy happens, then you should not have fluconazole as medication so no more tablets till you confirm you are pregnant or not. If no pregnancy then only you take this tablet. Otherwise better to have Canesten (Clotrimazole) pessary vaginally on alternate nights for two nights. The infection will come out vaginally. Fluconazole should not interfere in conception actually. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27375, + "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": 19551, + "tgt": "I often feel dizzy and palpitate when I drink caffeinated drinks. Why?", + "src": "Patient: Hello doctor,I am 19 years old. What does it mean to have a low blood pressure? I often feel dizzy and I also palpitate whenever I drink caffeinated drinks or when I use the stairs. Doctor: Hello. It could be a number of things, most commonly for someone your age, anemia. It could also be something along the lines of adrenal insufficiency or something more serious like a heart condition. However, anemia is the most probable cause of your symptoms unless proven otherwise. Hence, we need to rule this out first. If you are not moderate to severely anemic, you should not have these symptoms unless the underlying condition is something else like I mentioned above. Please get the following investigations done to confirm the diagnosis. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10002, + "tgt": "Kindly explain about Beta Strep", + "src": "Patient: Hello doctor, My culture from my gynecologist came back, showing that I have a yeast infection as well as Beta Strep. I was hoping for more information on Beta Strep. I have never heard of it, and there is a lot of information when I searched that is making me confused a little. I am not experiencing any symptoms, either. I feel perfectly fine. Doctor: Hello. There are lots of bacteria and other organisms that colonize healthy skin. Yeast a fungus also is a commensal in our body. Just the presence of these organisms is of no significance. The colony count is needed, which is high, will need a course of antibiotics, which can be decided by culture and sensitivity. But after a surgery like what you had, or any significant stress or use of lots of antibiotics (as would have happened after surgery) or use of steroids or diabetes, all infections show an altered balance between good and bad bacteria. You do not need any treatment for this. Just wait for your body to develop those good bacteria, and gradually, all tests will come negative. If you have any symptoms, treat as per need. Avoid unnecessary antibiotics use. They will further delay the recovery. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 9587, + "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": 7222, + "tgt": "Due to excessive sweating flies are always around me. Kindly help", + "src": "Patient: Hello doctor, I am suffering from a sweating problem. Due to this problem, flies are around me. I am so shamefully in place. I bath every day two times by soap, and I clean my private parts also. But I do not understand why to create this problem. Even if I do less work, like walking sweat problem arises. Please help. Doctor: Hello. I understand your concern. Your problem can be due to excess sweat or a particular smell which comes in the sweat of some patients, which is known as bromhidrosis. You can use the following medicines to help you, 1. 5 % Benzoyl peroxide soap, leave the lather for 10 minutes and wash off. Use for bathing once a day. 2. Clindamycin 1 % gel for local application once a day." + }, + { + "id": 18114, + "tgt": "Can Diane 35 be taken for a longer period?", + "src": "Patient: Hi doctor, I have been having shooting pain in my legs after two hours of Diane-35. I have also read about the risk of blood clots on this pill. I was prescribed this pill because the previous birth control pill was causing hair fall. Can Diane 35 be taken for a longer duration like three years? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28861, + "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": 2852, + "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": 24212, + "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": 27529, + "tgt": "I get horrible intrusive thoughts. Is it due to anxiety and OCD or schizophrenia?", + "src": "Patient: Hello doctor, I have been suffering from anxiety, panic disorder, and perhaps OCD as well (but I have not been diagnosed with that yet) since I was 11. However, I had been completely anxiety-free for about four or five years until three months back, when I got a horrible panic attack that started it all. Technically, I had some weed muffins last year, and I got a panic attack from which it took me over a week to recover, but I was fine again afterward. Anyway, first I was obsessively worried about my physical health, but that has now shifted to mental health. I have also been suffering from derealization on and off. Anyway, just a couple of days I got this horrible intrusive thought like 'what if I got psychotic and heard voices that would tell me to hurt my family or my dog or myself' (note that I love my family, I love my dog, I love myself, and I hate and despise violence of any kind. I have never acted violently in my life) and basically, since then, I have been feeling worse and worse. I read a lot about schizophrenia, mainly real life stories and experience of people, which at first made me go 'okay, now I certainly do not have this,' but as time progressed, I started getting more and more intrusive thoughts. Like 'what if I start being paranoid, what if I start believing that the posters in my room are real people, etc.' Occasionally, I ask myself 'what if these people are not real, what if I am not real?' I have also had a blank mind, pretty much unable to think of anything else, since I got this bad last week. I get this constant picture of myself, confined to the bed and crying somewhere in a white room, all by myself. I have also been feeling this kind of gut-fear since then. On the outside, with other people, I behave normally, much kinder, actually, I think. I am a bit slower and find it a bit harder to concentrate on two things at once, which had never been a problem before, but that could as well be due to anxiety.\u00a0Anyway, my question is, could this be indicative of actual psychosis or prodromal stage of schizophrenia? Or is it more likely just anxiety and OCD? Thank you very much for your response. Doctor: Hi. Remember every problem has a solution you just need to try solving it and help is just a step away. 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": 1898, + "tgt": "What is the success rate of IVF?", + "src": "Patient: Hi doctor, I am a 30 year old female. Actually, I have hormone problems. I have periods problems and without medicine I will not get periods. My uterus and ovaries were smaller in size. Now, with artificial hormones the size of the uterus has become normal. Can I get IVF? Will it be successful? Doctor: Hi. Revert back with the answers to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22074, + "tgt": "Can tridot test help in detection of HIV?", + "src": "Patient: Hi doctor, I had unprotected sex with an unknown person before 35 days. After 30 days, I did a tridot test, and it showed me a negative result. But I have a sore throat and white tongue for the past three weeks. Can it be the symptoms of HIV? Doctor: Hi. First, it is a bad practice to have unprotected sexual activity with unknown persons. Second, 30 days is too early for the tridot to be positive. You need to wait for at least 45 to 90 days. Tridot test is an antibody test, and HIV antibodies will not form within 45 to 90 days. A sore throat is not a symptom of HIV as it is a common upper respiratory tract infection. A white tongue is not a common symptom, and it should be ruled out for candidiasis. The symptoms of HIV needs time to form around one and a half to three years. Finally, get fourth generation HIV test done after 45 days for the final confirmation. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19005, + "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": 12331, + "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": 10253, + "tgt": "Kindly suggest a permanent cure for penile yeast infection", + "src": "Patient: Hi doctor, I have a yeast infection in my penis for the last two years. I have tried all natural medicines like coconut oil, yogurt, etc. Also, if apply Panderm plus or FourDerm or Candid cream daily, then I feel normal. Otherwise, I am getting inflammation and swelling of the penis.\u00a0Kindly suggest a good medicine for permanent cure. Thank you. Doctor: Hi. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry. If you are uncircumcised, then clean under the foreskin. If it recurs after stopping the treatment, then continue the treatment once in a week regimen after consulting your dermatologist. If none of these works, then go for circumcision. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4476, + "tgt": "Will allergic treatment cause fatigue and weakness?", + "src": "Patient: Hello doctor, I am facing constant tiredness, fatigue, lack of energy and weakness. I had left the non-vegetarian diet for a year or two. But now I am consuming it. I have recently treated for allergies and had a phase of amoebiasis. I had to consume outside food for about two months recently due to relocation. Please suggest something. I have done a urine and blood test yesterday. There was a lot of over exertion due to relocation for the past two months. Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). Your urine and blood report are normal except for the presence of ketone bodies in urine which is usually absent in urine. The reason for that usually are diabetes ketoacidosis, starvation ketoacidosis, etc. Check your random blood sugar level to rule out diabetes. The increased metabolic activity also can also lead to the appearance of ketone bodies in urine. So check hyperthyroidism also by serum TSH (thyroid-stimulation hormone) estimation which also can lead to weakness. For weakness, anemia and liver doses has been ruled out here through reports. Check for serum urea and creatinine to rule out kidney disease. If you are drinking alcohol then provide history about that. And finally, you can check serum sodium, potassium and calcium levels as well. If all these are normal then over exertion due to the relocation can be the possibility for your tiredness. For amoebiasis, get treated by Metronidazole. I hope this helps." + }, + { + "id": 24204, + "tgt": "My kid has trauma due to braces. Should I get the brackets removed?", + "src": "Patient: Hello doctor,My 8 year old daughter had braces on Tuesday. Almost 24 hours later (on Wednesday) she had 103\u00b0 temperature and the doctor at urgent care said she had trauma from the braces. I then met with the orthodontist and told her that the urgent care doctor said my daughter had trauma due to braces and that my daughter was in severe pain screaming and crying for the past 24 hours. She offered to only take the wires in the springs off but I said I wanted everything off including the brackets/windows. She said that removing the brackets would cause even more trauma. Is this true? Doctor: Hello. Braces for an 8 year old is quite rare. They are still in the development and eruption period. Removing the brackets will not cause further trauma. But it will be a total waste. Ortho treatment initially causes discomfort, but it will be alright in time. I suggest you to let the brackets be there and the tissue trauma caused by brackets can be avoided by keeping wax over the sharp points or edges of the brackets. You can ask your dentist for a wax sheet. Ask your kid to maintain oral hygiene with orthodontic brushes and gargling (lukewarm water and salt will be better) after every meal. If there is severe pain, you can go for Paracetamol, but with the doctor's consent. For ulcers, you can apply Dentogel topically just before a meal. I would like to know why this brackets treatment has been started. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5318, + "tgt": "Can I take Diane-35 continuously without 7 day break to skip period?", + "src": "Patient: Hello doctor, I started to take a birth control pill. The pill name is Diane-35, it is taken for 21 days and seven days for rest. I have just finished the first pack of 21 pills, and as far as I understand, that my period should come in these seven days, right? And also I have read on the internet that if you do not wait for seven days to start a new pack and instead immediately start a new pack, you will miss your period, is it true? Is it fine to do if it is the first pack I have taken, will it mess with my cycle as I am still adapting to the actual pill? If no, is there any other way to delay or miss a period, because I really need to? Doctor: Hello. Yes, it is correct that if you have taken these pills for 21 days, your periods are expected to come in the next few days, as it will cause hormonal withdrawal which leads to cause bleeding. It is true that if you continue to take these medicines your periods will be delayed. And if you want to delay your periods, continuing these pills without any break for the next 21 days is the best option. The only problem which you may face with this is heavy bleeding when you will stop these after the next 21 days. You will not be messing it up with your normal cycle if you continue it for the next 21 days. Just keep one thing in mind that you should not miss any pill as this can cause bleeding or spotting in between the cycle." + }, + { + "id": 27297, + "tgt": "Please suggest a treatment for oral thrush", + "src": "Patient: Hello doctor, Can you look at the picture and tell me if I have an oral thrush? Doctor: Hello.\u00a0 For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30244, + "tgt": "Can hit in the back of the head may cause vision problem?", + "src": "Patient: Hello doctor, Tonight, I was doing sit ups in a group. It was a competition, so we were doing them very quickly. One person was doing them behind me and we did not realize we were in such close proximity and we banged the back of our heads together pretty hard. I am not sure exactly where I got a hit in my head, but I remember it hurting. I did not lose consciousness or anything like that. I just rubbed it off and kept going. I have a headache now. I am wondering how hard I need to have hit the back of my head to do damage and if I will be fine. I have also been told that getting hit in the back of the head can cause major vision problems. Is any of this possible with my situation? Or do you think I will be fine? Doctor: Hi. I understand your question. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5577, + "tgt": "I get sudden pain in the left ribs which seems radiating from abdomen. Is it due to pancreatitis?", + "src": "Patient: Hello doctor, I am a 32-year-old female. Last night out of nowhere I started having a pain suddenly under my ribs on the left side. About an hour later pain developed in my upper back on the left side. I did not fall or lift or hit anything that would cause this pain. Currently, there is no nausea or vomiting. I know this pain is much different from any other pain I have felt. The pain seems to be connected as it is wrapping or radiating around from the abdomen to back. While the pain is not yet excruciating it is still very bothersome and uncomfortable. I could compare the feeling to beg deeply bruised. It almost feels like I was kicked hard in the abdomen and back. I am dealing with something autoimmune but right now it is labeled as UCTD (undifferentiated connective tissue disease). I think it could be related. My concern is that it could be pancreatitis. Do I need to go to the ER? Does pancreatitis progress slowly? This is day two and I do not want to get to the point of excruciating pain. Doctor: Hello. I read through your concern. The pain what you experience may not be due to pancreas as you feel as usually it will get referred to the right side. There is something like spasm between your intercoastal muscles that will lead to same symptoms and pain that you described, and limited movement of ribs to give rise to associated stiffness and pain in thorax and abdomen. So, I recommend you to keep icing over the painful area. Drink plenty of water with ORS (oral rehydration solution), keep sipping water. Stay calm and relax. You can lie down if it is comfortable. As you take medication dehydration can occur leading to cramps and spasms. I hope this helps." + }, + { + "id": 17787, + "tgt": "All my reports are normal except for bilirubin levels. Why?", + "src": "Patient: Hello doctor,Can you go through the test reports and suggest why the bilirubin is high? Doctor: Hello. Take care. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2544, + "tgt": "Is it fine to have sex without bleeding?", + "src": "Patient: Hello, I am an 18 year old female who is currently sexually active. Last year, I had sex multiple times with only one person and everything was fine. Recently, I had sex with a my new partner. During intercourse I started to bleed. I went to see a doctor and she said it could be the result of getting my period. She also said that my vagina just looked irritated. The day after that there is no sign of blood. I was just wondering what is actually wrong with my body. I got tested for gonorrhea and chlamydia and both were normal. Is it fine to have sex without bleeding? Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16689, + "tgt": "I have recurrent problem of acidity and throat pain. Please help", + "src": "Patient: Hi doctor, I am a 31 year old male. I had mild pain at the right side of my throat. I had pain while chewing something or when throat muscles contracted like while brushing teeth or touching the innermost tooth with tongue. It subsided after 15 to 20 days; I took homeopathy medicines for infection. But now, after about seven days I am feeling pain in my Adam's apple. I felt the pain while swallowing saliva only and not much while swallowing food or drinking water. I have an allergy for heat and humidity and that causes lots of sneezing and cough problem. I also have a recurrent problem of acidity. I do not smoke or drink. Please advise me on this. What should I do now? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6200, + "tgt": "I suffer from congested sinus, tonsillolith, ear pain and bad odor for long period. what could be the cause?", + "src": "Patient: Hello doctor, I am a 25-year-old female. I am experiencing the following symptoms: Congested sinuses for about three years. I am on Fluticasone Propionate for this purpose (two sprays, twice a day), swollen tonsils for about one and a half years, tonsilolliths sizing from about 1-2 mm for about one and a half years, consistent sore throat (dry, feels swollen and difficult to swallow) for about four to five months, ear ache (particularly in my left ear) for about four to five months, bad breath for about one to two years. It is getting worse but I do brush and floss regularly. I am consulting the dentist every six months, and have tried mouth wash to resolve the issue, but the problem seems to come from the back of my throat and cannot be resolved. Consulted a doctor about one month ago for these symptoms and she gave Omeprazole 40 mg for nausea and heartburn. She mentioned that I have an eustachian tube dysfunction, which combined with my sinus issue and cause earache. She prescribed Fluticasone Propionate two sprays twice a day. My sore throat and earache have not gone away, I realized that the doctor did not check my throat. Can you please review the picture of my tonsils and let me know the cause of this discomfort? Doctor: Hello, Welcome to icliniq.com. I have read your symptoms in detail and also saw the picture that you have sent. (attachment removed to protect patient identity). We need to understand that the nose and throat are connected to the ear by eustachian tube. In your case tonsils are enlarged and have deep crypts which cause repeated tonsillolith and bad mouth odor. The congestion in sinuses leads to features of fluid in the ear which leads to pain and sometimes blocked sensation. My advice is: 1) If tonsillolith has been for long and repeated mouthwash does not take care of them then it is wise to undergo tonsillectomy. 2) As of now, your throat shows congestion as well so you will need a course of antibiotics like tablet Amoxyclav (Amoxycillin and Clavulanic acid) 625 mg twice a day after food for five days. 3) Your ear ache can be explained due to the recurrent sinus and throat infection that you are suffering. Once both are treated, your ear will be cured. Meanwhile, you will need Paracetamol and decongestant combination twice a day, and steam inhalation twice a day. 4) Regarding the sinus issue, Fluticasone spray will be effective if minimal tissue is present. For proper diagnosis, I will need a CT (computed tomography) scan of PNS (paranasal sinus), axial and coronal view. Based on its report it can be decided whether you need any endoscopic sinus surgery for the same. I hope this helps." + }, + { + "id": 26541, + "tgt": "Halitosis is ruining my personal life and career. Please help", + "src": "Patient: Hi doctor, I have suffered congestion, brain fog, and extreme halitosis for five years and I have extremely thick mucus (liquid) with air bubbles in it. One side of my head is worse than the other. I have been to two ENTs. I have had CT scans of brain and sinus and they are all clear. Could it be Sjogren's disease, salivary gland disease, and adenoid disease? I have had the yellow tonsil stones, but it seems like they came from my throat. My throat always smells like tonsil stones, and sometimes like contaminated saliva. I have lost jobs\u00a0and relationships over this. This has ruined my life. Please help. I am currently on Azithromax, but I do not think it is having an effect. Doctor: Hello. Do revert back with details and we shall try our best to get you back in form. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12468, + "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": 7965, + "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": 534, + "tgt": "What is the significance of increased creatinine level in a diabetic patient?", + "src": "Patient: Hello doctor, I am a 56 year old male. I was told that my creatinine level\u00a0is 2.3 after my last HbA1c. I am type 2 diabetic. I am now on Atkins diet to reduce dramatically lower carbohydrates. What is the significance of increased creatinine level? What is considered as a critical level? Please explain so that I can get some sort of a deeper understanding. I have also increased drinking water. I do not smoke or drink. I am not using any drugs too. Thank you. Doctor: Hi. We are here to help you. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13890, + "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": 10595, + "tgt": "What are the measures to lose weight?", + "src": "Patient: Hello doctor, I want to lose weight. Kindly advice. Doctor: Hello. You can surely lose weight with the help of homeopathy. Do you have any medical conditions that may be causing weight gain or taking any medication? In the meantime try taking Natrum Phos 6x two tablets twice a day 30 minutes before taking any meal (empty stomach).Try this for 15 days. In the meantime, please answer the following questions so that I get a complete overview of your problem. Kindly answer these questions." + }, + { + "id": 25097, + "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": 29109, + "tgt": "I am a 22 year old male, with a body structure of a 15 year old boy. Why?", + "src": "Patient: Hi doctor, I am a 22 year old male, who has a body structure of a 15 year old boy. I do not have a beard or a mustache. I have thin hands and legs, small face, low IQ level, and small rib cage. I have acidity problem and pass semi-solid\u00a0stool. Doctor: Hello. For further queries consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 22000, + "tgt": "Is it alright to use Cartilage type-II capsules along with prescribed medicines in OA?", + "src": "Patient: Hello doctor, My mother has knee joint pain issue. We consulted a specialist a month back, he said that the cartilage in the knee joint has become less in one side of the joint and he suggested few medicines for pain relief and cartilage renewal namely, Calcium (Celedol -100, Jointac C2, and Osteodon). I read about Cartilage type-II that it helps very well in cartilage improvement and pain relief. I just want to ask you whether we can use this Cartilage type-II capsules along with the above-mentioned medicines for fast recovery of the cartilage? Or should we use only Cartilage type-II capsules without using ' Jointac C2? Doctor: Hello. Whatever you use, whether cartilage supplements or Glucosamine, it will not help in moderate to severe osteoarthritis. Only in the very early stages of OA, it helps. ' If she is not diabetic, I suggest she can take intra-articular steroids or if affordable, intra-articular viscosupplementation. Continue quadriceps exercises, avoid squatting and sitting cross-legged. Weight reduction also helps. If X-ray shows advanced stage, only joint replacement helps. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12667, + "tgt": "How can I avoid getting bad smell from foot?", + "src": "Patient: Hello doctor, I am 30 years old. I am so hearted psychologically because of the bad difficult odor which comes from my foot. When I wear shoes, my feet immediately feel warm and release a bad odor in just a few minutes. The worst thing is that it also has a smell without shoe whether I washed or not. This made me stay far from my friends, co-workers, family, and from my society almost. I tried some medication from nearby health centers such as Flucanozole, Decozol, Aquax and so on still using but no change. I lived with a problem for more than 10 years. Please, could you suggest me something? Why my foot smells badly with no shoes and even affect my neighbors? Doctor: Hello. Yes, this condition is called bromhidrosis, the abnormal odor is due to local bacterias. Follow this prescription. Maintain hygiene of area and wash it with mild soap and water. Use Silver Zeolite powder on your feet after drying of feet. Try to avoid closed shoes or condition of humidity. Use local antiseptic solution like Povidone Iodine at one time daily to kill the bacteria (it can make your skin dry, so use Vaseline (Petroleum jelly) if it gets dry. Avoid garlic from your diet." + }, + { + "id": 12997, + "tgt": "Is it possible to cure neck pain due to degeneration of cervical spine?", + "src": "Patient: Hello doctor, I am facing acute neck pain since last three months and have been diagnosed with moderate degeneration in the cervical spine. Hands get pins and needles feeling sometimes during sleep. Legs get pins and needles feeling if not moved for say more than 10 minutes. Earlier arms were also paining but that has subsided now. I am male, 45 years. I also take 50 mg Thyronorm for hypothyroidism. Doctor: Hello. You may have cervical osteoarthritis. It is due to cervical spine degeneration. It is due to the wear and tear of cartilage and bones, which are present in the cervical spine. It causes chronic, severe pain and stiffness. Actually, it is age-related problem. Causes for this are bone spurs, dehydrated spinal discs, herniated discs, injury, ligament stiffness, etc. You need homeopathic medicines with physiotherapy. Cervical X-ray AP and lateral. Cervical osteoarthritis. Bryonia 30 daily 10 pills for 15 days, Calcaria flour 6X daily two tabs three times, Nyctanthus Q daily 10 drops with cup water two times daily. Heat pad apply or cold pack, use neck brace or soft collar." + }, + { + "id": 5617, + "tgt": "28 year old unable to sustain respiration off the ventilator, why?", + "src": "Patient: Hi doctor, My query is regarding a female patient aged 28 years. She has been\u00a0on ventilator by means of a tracheostomy for 50 days. She has been on CPAP mode for two weeks, but unable to sustain respiration off the ventilator. Please help. Doctor: Hello. Revert back with the asked details to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 155, + "tgt": "I have a small dark spot on my thigh with anxiety and OCD. Is it melanoma?", + "src": "Patient: Hello doctor, I found a very small dark spot on my thigh today. To the best of my recollection, I have never seen it before. Now, of course, I am thinking the worse and believe I have melanoma. I am olive-skinned. I have never had an issue with moles or dark spots before. My mom had a pre-cancerous growth removed from her face years ago and she is fine. She goes to her check-ups and applies sunscreen all the time. When I was a kid, I never saw my mom applying sunscreen. It was the 70's and it was just something we did not do. She just turned 76. I attached a photo. I am sure you will think it is something that should be looked at and so do I. I am going to make an appointment with a dermatologist. But I also suffer from health anxiety, depression and OCD so I am convinced it is melanoma and I am feeling very depressed right now. Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (benign). For your confirmation, you can go for an excisional biopsy of the lesion. Histopathology reports will confirm that the lesion is benign or malignant. Do not worry it is normal nevus due to melanosis (increase in melanin pigment)." + }, + { + "id": 11546, + "tgt": "There is no yolk sac and fetal pole in gestational sac. Is it something serious?", + "src": "Patient: Hi doctor, I am six weeks and six days pregnant. My urine test is positive and beta hCG is also increasing but I am very upset about my ultrasound report. There is gestational sac in my uterus but from last week there is no yolk sac and fetal pole. I have a dark brownish discharge from six days with no cramps. Do not know what is going on with my pregnancy. This is my first pregnancy after 10 months of marriage. The doctor suggested me to wait for two more weeks. The wait is going to be long. Can someone please tell me what would be its result? Your answer will be truly appreciated. Doctor: Hi. You are receiving enough supportive treatment. In case of discrepancy between dates and scan, yolk sac and fetal pole could appear but there is continuous brown discharge which is risk actually. Have a complete avoidance of restricted activities that can trigger a miscarriage, like stairs, stress, sex, abnormal blood pressure, sugar levels, thyroid levels, hormonal imbalance, etc. Have a strict check on symptoms like the passage of clots, bleeding with or without pain, etc. In case of miscarriage request to send expelled product for histopathology. Complete treatment for any health issue you have, recreational activities and quit recreational drugs, balanced diet, weight, and BMI. Scan after 10 weeks. Threatened miscarriage. Scan after 10 days. Report symptoms immediately to gynecology emergency. Restrict activities. Continue medications as before. Complete treatment for any health issue you have. Recreational activities and quit recreational drugs." + }, + { + "id": 24999, + "tgt": "Can HLA B27 positve male with ankylosing spondylitis affect his children?", + "src": "Patient: Hello doctor, I am 26 years, I had a hip resurfacing surgery eight years back. I am an HLA B27 positive, even my father is also positive. I have joint pain since last fourteen years. Now, I wish to know that, if I marry and have children will this pass on to them? What measures should I take to ensure that it does not pass on to the next generation? I am at crossroads, I need to take a decision based on the reply. Please give me the solution. Doctor: Hello. About 80 % of people with ankylosing spondylitis have HLA B27 positive and only 1 to 4 % people with positive HLA B27 develop ankylosing spondylitis. That means out of 100 people with positive HLA B27 only one to four can develop ankylosing spondylitis and 96 to 99 are normal. The chances of your children to have positive HLA B27 is about 10 %. Now I do not think you should worry about your kids having ankylosing spondylitis or HLA B27. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 1751, + "tgt": "I have extreme hairfall along with painful boils and dandruff. Please suggest solution", + "src": "Patient: Hello doctor, I am suffering from extreme hair fall and boils on my scalp. Hair is falling from the root for the last couple of years. These boils come with pus and they settle down, become dry and turn into dandruff. It is quite painful when the boils are in full swing as if someone is pulling your hair. I have had this problem earlier also and I have seen many doctors. They have loaded me with medicines and supplements. Every time I consulted a doctor, I would have their medicines for a month or two and then stop thinking it has not suited me or I find no difference. They use terms which confused me more than giving me confidence. I tried allopathy, unani and yoga for blood circulation. One doctor even suggested mesotherapy, serums, etc. But now the hair fall has been so bad from a normal sized clutch I have started using two sizes smaller and even that pokes. There is hair everywhere when I do shampoo, or comb when I just run my hands through it. There are a lot of gaps. Literally it pulls down my confidence. I am currently on Revital woman once daily, Btn forte once daily, D-rise sachet once a week with milk. Doctor: Hi. I went through all your pictures (attachment removed to protect patient identity), investigation, and detailed history. Recurrent boils on the scalp can be a continuous problem for many people. It can also be pre-runner for seborrheic dermatitis. Minoxidil should not be used irregularly. Once started with minoxidil the result will be after six months and you should not stop in the middle. Otherwise, it will be followed by severe hair fall. Your vitamin D is low but you are already on medication. Hemoglobin is also very low. Please start iron supplements along with fresh vegetables, dates, and fruits rich in iron. Keep your dandruff under control. Continue BTN Forte (Biotin forte) and Revital. For iron, take Zincofer tablet daily. Please start on Microdox LBX (Doxycycline and Lactic acid bacillus)100 mg once a day for two weeks. Do not scratch the area. Use Scalpe shampoo. Dilute it with water, and make sure of 10 minutes contact with the scalp. Then wash off. Second-line antibiotics to be changed only step by step." + }, + { + "id": 18928, + "tgt": "What medicine should I avoid while taking Lithium and Quetiapine?", + "src": "Patient: Hi doctor, I am on Lithium 600 mg per day and Quetiapine 300 mg per day.\u00a0I would like to know what kind of food, beverages and medicines I should avoid. Doctor: Hello. Regarding Lithium: Regarding Quetiapine: For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27953, + "tgt": "I lost interest in my husband after getting involved with another man. Please help", + "src": "Patient: Hi doctor, I have a problem in my married life. I have lost interest in my husband. Whenever he tries to make a physical contact with me, I do not like it. Sometimes, I do it just for the sake of it.\u00a0During this time, I came in contact with another man, and now I am very much physically involved with him. He satisfies me in every way.\u00a0I do not know what to do. I want to come out of this situation. Please advise. Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18016, + "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": 26238, + "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": 5915, + "tgt": "My chest x-ray shows increased interstitial markings. Is CT needed for further investigation?", + "src": "Patient: Hello doctor, I am a 72-year-old female with breast cancer. I underwent mastectomy twice for both the breasts. Right breast mastectomy was done with radiation and a few years later left breast mastectomy was done without radiation. A 4 mm size lesion on my left lung has been watched for two years with no changes. I have been having pain on the right side and in my arm and back. I also have shortness of breath. Recently chest x-ray showed increased interstitial markings on the right side. Should a CT scan be recommended to investigate this further? Doctor: Hello. Reading in between the lines of your query, your worry about having cancer for the third time stands out clearly, and very naturally so. The language of your query also reveals how scrupulous and conscientious you have been in terms of follow-up. It is a pleasure to be talking with such a sincere patient. Here, I will try to explain your present situation and alleviate your worries as best as I can. Since the left lung lesion has been unchanged for two years, it is unlikely to be related to your previous history of cancers. So, if it is still unchanged, it should not be a cause of worry. The \"increased interstitial markings\" may or may not represent lymphangitis carcinomatosa (LC) a type of lung cancer. Although this condition is mostly seen in addition to pre-existing cancer in the lungs or elsewhere, and there are also be some other findings on the chest x-ray, such as pleural effusion (collection of fluid around lungs), hilar lymph nodes (which appear as round masses in between the lungs). The chest x-ray may even be normal in 30 - 50% cases of lymphangitis carcinomatosa. However, increased interstitial markings may also represent a lot many other conditions unrelated to cancer and so, your treating doctor may want to first treat the condition like infection and go for the CT scan afterward, if the markings persist after treatment. Since the additional findings (effusion, lymph nodes, etc.) are not seen, and since you do not have a diagnosis of or complaints related to underlying cancer at present, I would say that you may first follow the treatment regimen planned by your treating doctor, and may go for the CT scan if the marking persist after that treatment. I hope this helps." + }, + { + "id": 13581, + "tgt": "Kindly guide me about beta thalassemia", + "src": "Patient: Hello doctor, Is beta thalassemia trait a serious case? Doctor: Hi. Let me explain you about beta thalassemia trait. It is good that you are aware of using online health portal. Beta thalassemia trait is the heterozygous condition and the patient can live a normal life. If nutrition is not maintained properly and if any unusual excess bleeding occurs because of some reason then sometimes Hb can be decreased and the patient feels weakness because of that. But as such thalassemia minor patient have no any problem which hampers usual lifestyle. You have to take precaution while doing marriage. Before marriage, your fiance thalassemia report should be done. If she is also having thalassemia minor then the chance of the baby having thalassemia major is 25 %. And thalassemia major is danger condition. Hence just keep in mind that before marriage your fiance should also be checked for thalassemia minor. If you are not having thalassemia minor then no need for further testing of your fiance." + }, + { + "id": 1153, + "tgt": "Do I need antibiotics for diarrhea?", + "src": "Patient: Hi doctor, Four days ago, when I was away from home for some work, I felt sick and my hands and feet were numb for several hours. Then, I had fever for three nights with soaking sweats followed by continuous diarrhea for the last four days. I am going nearly 8 to 12 times a day. I read the symptoms on Campylobacter and it seems pretty similar. Do I need antibiotics? Does it go away by itself? I assume that I should not take medicine to stop the diarrhea. I did have chicken before all of this started. Not sure if that is connected. Thank you Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17624, + "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": 20135, + "tgt": "In social situations, I give an awkward half-smile. Will Botox help?", + "src": "Patient: Hello doctor, I wanted to get your opinion on my situation to see if you guys might be able to help. For several years now, I have had trouble with smiling fully in certain situations. Generally, in social situations, it is almost like I give an awkward half-smile. It is hard for me to smile fully. This does not really occur when I am alone, only when I am in a social setting around people. Needless to say, I also suffer from OCD, which seems to have gotten worse over the years. But it really just involves me checking things several times. The smile issue is affecting my life way more. However, I want to know if it is more of a physical thing\u00a0or a mental thing. What leads me to believe it is physical, is that I have tried exercises like smile practice, in which I hold a smile in the mirror for about five minutes. About three minutes in of holding the smile, I feel a tightness in the cheeks area, and then right after that my smile feels normal, almost as if I have released tension in a muscle or something. This does work, but constantly having to do this multiple times a week is super annoying. This led me to look into Botox, specifically the DAO procedure, which essentially freezes up the depressor angularis oris\u00a0muscle in the face, which prevents frowning, and allows people to smile a lot easier. I went to two local cosmetic surgeons, but they said they were not too familiar with this procedure, and that they felt that it might work or might not, but did not feel comfortable doing it. This problem is really ruining my life\u00a0and has been for years. Being able to only give a half smile in social situations is embarrassing and something that everyone notices. This often leads me to take MDMA in social situations, which makes me really happy, and not care about my smile. However, I know that I ca not keep doing this. It is not a sustainable way to cope with this issue. I wanted to get your thoughts on my situation.\u00a0Thanks. Doctor: Hi. Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 19539, + "tgt": "A tender bump on the side of my nose is causing painful headaches. What is it?", + "src": "Patient: Hello doctor, I have a tender bump on the side of my nose, which is slowly getting bigger. It is on the right side of the bridge of my nose, and it is hot to touch. It does not look red, but it is extremely painful. My eyes and forehead also hurt and is causing a very painful headache. I have chronic migraines, so this does not help. I also have a sore lymph node under my chin\u00a0and a bit of a sore throat. This all started two nights ago. I am worried as it is extremely close to my brain, but I do not want to waste people's time at the ER. But I am worried because it is not getting better. It is slowly getting worse. There is no open sore on my nose or any drainage from anywhere. It is really painful. Doctor: Hello. I went through your post, but it would have been better if you had posted a photograph of the lesion. There are three possibilities: The last two will settle with antibiotics like Flucloxacillin, but the first one will need antiviral like Acyclovir. I would suggest you consult a physician for physical examination. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10443, + "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": 25721, + "tgt": "Please suggest formula milk for weight gain and overall development", + "src": "Patient: Hi doctor, My baby has completed four months. Please suggest the best formula milk for weight gain and overall development. Doctor: Hello. I am assuming you are asking for formula milk for a four-month-old baby. May I suggest: The best thing will be to continue breastfeeding until six months of age. For a full term baby, I suggest Nestle NAN1 range - Nan Optipro HA 1 Gold. For a preterm baby Nestle Pre Nan. Give breastfeeding as a priority. For overall development, no formula feed can replace it. Every child is different. So, formula milk cannot be the best. It usually is a trial. Other is from Abbott - Similac 1. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26346, + "tgt": "I am bitten by something and the area looks red. How can I be treated?", + "src": "Patient: Hello doctor, Three days ago, I think I was bitten by something in my sleep. It does not\u00a0seem to subside on its own so I am not sure what to do. The area looks red and is kind of warm. It feels like a bruise. I do not have any fever or weakness. I feel like this is something serious but I am not sure how to take care of it. What do you recommend? Doctor: Hello. Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20311, + "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": 18961, + "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": 16621, + "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": 26088, + "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": 3156, + "tgt": "When I pass urine, it ends with so much pain. Why?", + "src": "Patient: Hi doctor, I am having painful urination. When I pass urine only 5-10 mL of urine I pass and then end up with so much of pain. The pain is like something stuck in my penis or like some wound inside the penis. And I am also getting blood in urine. This is happening to me for the last two days. Please help me. This is the first time and I am drinking as much water as possible. Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25248, + "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": 15636, + "tgt": "Why do I have pain in breasts?", + "src": "Patient: Hi doctor, I am 19 years old, and I am not sexually active. I have pain in the breast on both sides. It got started before few days, and my left breast has got changed in texture close to my nipple. It is too sore. The breast pain is not constant. It happens when I wake up, when I run or when I press them. I have not got my periods this month. It is not abnormal. I got a heavy period last month, and I have pain in my lower abdomen for a few months. It is always sudden and sharp. It is not constant. I do not know the reason for having this problem. I had vitamin D deficiency before few years. Please suggest. Doctor: Hi. There are many possible causes for having breast pain. Hormonal fluctuations related to menstruation or pregnancy are often responsible for breast tenderness. Having some degree of swelling and tenderness just before a period is reasonable. The common causes of breast pain are menstruation and pregnancy. Breast pain is common during the first trimester. Breast pain also occurs when having a pregnancy at a young age, and when having puberty in both girls and boys. The other reasons can be breastfeeding, fibrocystic breast changes, and mastitis in which a blocked and infected milk duct have some redness. It is usually associated with breastfeeding and during premenstrual syndrome. Please say whether you had any discharge from your nipples, like blood or pus. Please tell if you had any breast infection with localized redness, pus or fever. Please say whether you had any new lump associated with pain. You have to wear a well-fitting brassiere for support, especially if your breasts are large. You can have lower abdominal pain due to some reasons ranging from caliculi to appendicitis. Vitamin D deficiency does not cause these symptoms. You can apply ointment over the breast if you have any superficial infection." + }, + { + "id": 24808, + "tgt": "I have rashes over a year after exposure. Do I have HIV or can I get married?", + "src": "Patient: Dear doctor,I participated in unsafe sex with a girl and after one and a half years, I have been tested with CMIA test rapid antibody test and ELISA test and all results are negative for HIV 1 and 2. But, the tension in my mind was not cleared and every day I am suffering from this thought did I get infected with HIV. This is because I am getting skin allergy on my shoulders and chest. Shall I go for marriage or not? These questions are running through my mind every day. Are these tests enough to confirm that I am not having HIV? Shall I start my personal life? I will be very thankful to you. Doctor: Hello. I have noted your concern. I request you to kindly upload a few images of the allergy/rashes on your shoulders and chest so that I am able to have a look and guide you better. As far as your HIV screening is concerned your test results are conclusive. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 14252, + "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": 10479, + "tgt": "I am underweight and my BMI is 16. 5. How to improve my weight?", + "src": "Patient: Hello doctor, I am underweight and my BMI is 16.5. Kindly help me to put on weight. Doctor: Hello. First, you explain about your daily routine, and like and dislike foods." + }, + { + "id": 23671, + "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": 14013, + "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": 1773, + "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": 1971, + "tgt": "My son stays up all night and sleeps whole day. Please provide your expertise here", + "src": "Patient: Hello doctor, This is for my 19-year-old son who has been struggling with not being able to regulate his sleep schedule for several years. He is up all night and sleeps all day. He consulted a sleep specialist once. He suggested sleep modifications but they did not work. This has really not allowed him to graduate or be involved in life at all. I believe it is also making him withdraw and depressed. I am very scared of medications, side effects, and becoming addicted to them. Can you suggest any advise to help him? Doctor: Hello. Sleep disorders to the extent like your son which is continuing for so long and it is not getting better need a evaluation in my opinion. 1) Thyroid function test. 2) Serum vitamin B12 are the basic blood tests need to be taken. Sleep modifications is must and do not worry about medicines and their addiction or side effects because his future life is more important than any medicine side effect. Also, nothing is addictive if it is taken under the supervision of a qualified doctor. You can choose to give him over the counter hormone called Melatonin in doses between 3 mg - 9 mg to induce sleep in night. This hormone is produced by the body naturally to induce sleep. Once your son has a good night sleep, his sleep cycle would be fine and his issues will solve." + }, + { + "id": 4266, + "tgt": "My wife has calf pain that aggravates in the night. Why?", + "src": "Patient: Hello doctor, My wife, who is 30 years old, having pain in both legs\u00a0in the calf area. She is having pain throughout the day, but seems to be aggravated during night. It started two to three weeks back, but it has become severe now. She is also having pain in both heels.\u00a0Please help. Doctor: Hi. I have gone through your query and can understand your health concern. For further clarifications consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21967, + "tgt": "How can we treat alcohol red flush?", + "src": "Patient: Hi doctor, I am suffering from alcohol red flush. Please suggest some treatment. Doctor: Hi. I can understand all your concerns. You are having an asian glow. As there is a lack of some enzymes, the toxic substance of acetaldehyde accumulates, after a few alcohol drinks. Unfortunately, there is no cure. But some tips can help to reduce the issue: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1563, + "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": 22927, + "tgt": "My pupils are big after cataract surgery. Why?", + "src": "Patient: Hi doctor, I had cataract surgery. I can see objects only with the rigid lens and it is blurry. I cannot read anything. My eyes still get hurt by bright light and my pupils are big. Why? Doctor: Hi. After the cataract surgery, pupil may remain dilated due to surgical trauma to constrictor pupillae muscle or iris is damaged and becomes atrophic. Some drops also cause pupil dilation. Make sure you are not using any dilating drops with red caps such as Tropicamide, Cyclopentolate or Atropine. There is also a condition called Urrets-Zavalia syndrome in which pupil remains dilated after any kind of eye surgery. So, pupil is actually just like the shutter of the camera that controls the amount of light entering into the eye. When the pupil is dilated more light enters that cause photophobia or blurring. Blurring may also be due to intraocular edge effect. Other causes of blurring could be astigmatism. You have not explained when the surgery was done and which procedure was done? Please mention whether it is phacoemulsification or extra capsular cataract extraction with IOL or without IOL (intraocular lens) and whether the surgery was normal or complicated. So, the first thing is refraction has to be checked to know whether your vision improves with glasses and contact lens or not. Complete eye examination needed for other causes of blurring like postoperative inflammation or any other complication. So, I would advise you to get your eyes examined and get refraction. To solve the dilated pupil problem some surgery may be done or you may use colored contact lens. Colored contact lens will do the same job as a pupil. Revert back with more detailed history to an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 653, + "tgt": "What could have caused stomach bloating and alternative bowel movement in a diabetic?", + "src": "Patient: Hello doctor, My mother is 65 years old diabetic. She has hypertension, hypothyroid, and thalassemia minor. She is anemic too. For 10 days, she has been having alternately bloated stomach, diarrhea, constipation, and lower back pain. What could these be symptoms of? Doctor: Hello. I can understand you must be very upset about your mother for her troubling symptoms. You know diabetes, hypertension are chronic ailments that can affect every system of the body. Some of these effects, particularly of diabetes, are related to the gastrointestinal tract (GIT). Certain conditions like diabetic gastropathy (involving the stomach), diabetic enteropathy (when involving small bowel) can cause bloating, alternate diarrhea with constipation such as in her case. It is highly likely that she has one of two of above-mentioned conditions, but to be on the safe side I will suggest you some tests, as we can rule out anything other than this. Meanwhile, start her on tablet Digestine (Metoclopramide) 40 mg once daily half an hour before meals. Start her on tablet Rifaximin 200 mg thrice daily for three weeks. This is a safe antibiotic which will correct her abnormal bacteria within the small and large bowel. This will help her control her production in the long term. Use Fibrocol or any other fiber which is available two tablespoons full with water once daily with water. And the most important of all, tight control of her sugars. Since the problem is secondary to diabetes, once diabetes is controlled fairly enough, her symptoms improve itself. I hope this helps. Diabetic gastroparesis. Diabetic enteropathy. Small intestinal bacterial overgrowth. Functional bloating and gas. Complete blood count (CBC). HbA1c (glycated hemoglobin). TSH (thyroid-stimulating hormone), FT4, FT3. Vitamin B12, and RBC folate. Serum albumin, bun , creatinie, electrolytes, calcium, phosphorous, magnesium, serum CRP. Stool for ova and parasites. Stool for fat globules, and reducing substance. Stool for C difficle. Stool for fecal calprotectin. Stool for H pylori antigen. Follow up after 1 week of use of above medication to see how she respond. Meanwhile get above mentioned investigation. Please do not get frightened seeing list of investigations, they are just a through overall assessment of her condition. If she already had some of these tests before, then please do not get those." + }, + { + "id": 29207, + "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": 1832, + "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": 13228, + "tgt": "Does excruciating back pain in a 37-week pregnant woman mean labor?", + "src": "Patient: Hello doctor, I am 37 weeks pregnant and I have been having excruciating back pain since last night. It does not seem to go away no matter what I do. It hurts to move or do anything. Could I be in labor? And do I need to go to the hospital? Doctor: Hello. The sudden onset back pain in a full term pregnant patient is likely to be due to lightening when the baby's head goes down in pelvis and the sacrum and coccyx bone extend to accommodate the presenting part. If there is no abdominal tightness and contractions which are of increasing intensity and lasting for more than 15 to 20 seconds each, then unlikely that you are in labor. But it is always recommended to go to the hospital and get yourself evaluated by the obstetrician." + }, + { + "id": 29811, + "tgt": "How long will my dad be on ventilator after a brain surgery?", + "src": "Patient: Hello doctor, My dad had a brain hemorrhage surgery last week. He is still on the\u00a0ventilator and is just having body moment. There is right side paralysis and left side head surgery. There is no eye moment. My father also has high blood pressure. What should I do? Please help me. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6478, + "tgt": "I am suffering from anxiety and PTSD. Is there any alternative for Benzodiazepines?", + "src": "Patient: Hello doctor, I am 26 years old and suffer from severe anxiety and PTSD. For about five years, I have been on a variety of Benzodiazepines. Right now, I am on 2 mg Xanax four times a day. It is better than nothing, but I have built up such tolerance benzodiazepines hardly work for me. I know the only way to lower that tolerance is to go without benzodiazepines for a while. However, I do need something for my anxiety. The only thing I can think of is Barbiturates, which I know are similar to Benzodiazepines but are no longer medically common. Are there any alternatives or advice? Doctor: Hello. As you rightly commented, Xanax and other Benzodiazepines are not helpful in the long term management of anxiety as they cause dependence. You become tolerant, and they do not work. At best, Benzos can be used sparingly for the short term only. Barbiturates are no longer indicated in this situation. If you are continuing to have severe anxiety and PTSD (post-traumatic stress disorder), medication like SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin and norepinephrine reuptake inhibitors) will be a much better choice for long term management. Also, psychological therapy like CBT (cognitive behavioural therapy) and EMDR (eye movement desensitization and reprocessing) will be effective in managing your symptoms. Following a psychiatric review, your doctor will be able to advise you of appropriate options. Also, it is important that you do not stop Benzodiazepines suddenly after taking high doses for a long period. You need to taper down gradually with medical advice to minimize unsafe withdrawal effects. I will advise you to consult your doctor for support in tapering Xanax and to consider other treatment options for your condition. I hope this helps." + }, + { + "id": 11530, + "tgt": "Is pregnant woman at high risk to acquire Zika virus?", + "src": "Patient: Hello doctor, My husband and I are currently trying to conceive, and hope to be pregnant in the next few months. My in-laws are planning a trip after three months, and I am trying to verify if there is still a risk for pregnant women in regards to the Zika virus. The CDC states to consult with our physician, which I, unfortunately, do not have one currently, especially a gynecologist. I am hoping to get even just pointed in the right direction if it is safe for a newly pregnant woman to travel for a week as I have read that pregnant women are at the highest risk during the first trimester. Kindly advice. Doctor: Hello. Yes, Zika virus is affecting pregnancies and does have adverse effects on your baby if the mother gets exposed to it in her first trimester or either later in pregnancy. Unfortunately, no precautionary measures are available other than avoiding the exposure to it. I would suggest you to better avoid it in the first place rather than having remorse afterward. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 2069, + "tgt": "I have slight pain and irritation in throat which aggravates when I speak louder. Please help", + "src": "Patient: Hello doctor, I am a 55-year-old male. I am having a slight pain in the middle of my throat (Adam's apple), as if some small inflammation is there at the end of the tongue or neck for the past one week. I am not having any difficulty in speaking or eating but some kind of irritation prevails. I tried salt-water gargling twice or thrice a day and feel relief to some extent. It is to state here that about five days back, I was reciting slokas a little loudly for about one hour and I had the pain. I stopped reciting in loud and the pain came down. Yesterday, when I recited slokas a little loudly, my pain returned. No cold, no cough, no fever and no difficulty in breathing. My hearing is good. No reduction in appetite or in taste. I feel comfortable when I take warm liquids. I have (long) belching for at least five to six times after intake. Since lockdown is continued, I am unable to visit an ENT specialist now. Can you please assist me? Doctor: Hello. You might have caused some mild injury to the vocal cords while reciting the slokas loudly. You need to give your vocal cords rest by not talking or singing for a few days followed by restricted use of voice for the next week. You must not sing or speak loudly or in unnatural frequencies. You should not shout or whisper also. You will need medicines for stopping belching and acidity. Antiallergics and antacid syrup may help. If there is any nasal complaining please let us know as we would have to give some medicine for that too. Do revert back if you need details." + }, + { + "id": 29820, + "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": 7047, + "tgt": "Can vitamin D supplement worsen constipation?", + "src": "Patient: Hi doctor, I am a 30 year old male. I have vitamin D deficiency of about 6.51 ng/mL. Also, I am suffering from severe constipation\u00a0with very slow bowel movement. Currently, I am taking ayurveda medicine for the fissure. Can vitamin D supplement make constipation worse? Please help me. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16108, + "tgt": "I suffer from gastric problem, stomach pain and headache. Please help", + "src": "Patient: Hi doctor, I am 47 years old. I have a gastric problem, stomach pain, and headache. Please help. Doctor: Hi. As per your clinical history, please do an endoscopy and ultrasound abdomen to know the exact status of your GI (gastrointestinal) tract. Regarding medications, you can take Clarithromycin, Metronidazole, and Pantoprazole. You can have lifestyle modifications. Try to avoid drinking alcohol, smoking and having painkillers. Wash your hand before eating anything. Try to reduce your stress. Take vitamin B complex tablets regularly. Try to eat small meals and avoid taking spicy, and fried fatty foods." + }, + { + "id": 17099, + "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": 9404, + "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": 28318, + "tgt": "Is there any medicine that I can take to gain weight?", + "src": "Patient: Hi doctor,I am a 22 year old\u00a0male, and I am very thin. So, I want to gain weight. Is there any medicine that I can take to gain weight? If yes, then please tell me the name. Doctor: Hi. Kindly remember that gaining weight is a time taking process. So, do not expect any result within a\u00a0fortnight. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 20045, + "tgt": "Are my symptoms due to mold allergy?", + "src": "Patient: Hello doctor, I am a 58 year old woman (previously healthy) having breathing problems, chest soreness, sore throat, and nasal stuffiness (among other symptoms). These four main symptoms all take place at the same time and have been enduring for months. On multiple occasions, the symptoms have become so severe that I have had to go to the hospital/ER. I have seen many doctors and I have had many tests done and nobody can figure out what is wrong with me. The symptoms came on acute starting four months ago. The four main symptoms definitely appear to correspond with and be exacerbated by my eating and they come on severe after eating certain foods or big meals (but I cannot figure it out). For the record, here are all of my symptoms: daily debilitating shortness of breath that fluctuates in severity (worse with humidity or any kind of exertion), chest soreness, intermittent sore throat, intermittent nasal stuffiness without phlegm, jitteriness, anxiety, panic, jaw clicking, depression, hair falling out, poor attention span, inability to concentrate and confusion, weakness, extreme fatigue, excessive morning urination, intermittent stabbing back pain and head pain, occasional entire body itching, previous cough and congestion, previous trouble swallowing, nausea, and severe weight loss in 11 weeks (32 lbs).I have been to the ER three times in 90 days with suspected pneumonia, swallowing problems, two seizures (from mixing the medicines with my Dilantin) and suspected heart attack (which the head doctors at Franklin Square disagree with each other about. I had slightly elevated troponin levels when I had my seizures. The head cardiologist says the elevated troponin levels were from my seizures, and the head neurologist says seizures cannot cause elevated troponin levels.) I also had a cardiac catheterization and afterwards, the surgeon came out and made it very clear I did not have a heart attack. These are all the tests I have had done (all these tests came back negative while some showed a small issue here or there): Swallowing test (all fine).Strep test (all fine).Thyroid test (all fine).IgE Test (all fine).Pulmonary function test (all fine).Flexible fiberoptic laryngoscopy (all fine except some vocal folding).Chest X-ray (all fine). (it looked like there was a prior infection in the lower left lung).CBC (all fine). (cholesterol was high, has since gone down a little).Head and chest CAT scans (all fine). (3 mm triangular pleural-based nodule of the right upper lobe. This likely represents an intraparenchymal lymph node. Diffuse thickening of the adrenal glands, likely related to hyperplasia. In addition, there is an indeterminate 1.5 cm nodule. The left adrenal gland. Left adrenal gland nodule of indeterminate nature. This may represent an adenoma, though would be more definitively evaluated with adrenal protocol MRI or CT).Cardiac catheterization (all fine). (Surgeon: no heart attack. Paperwork: acute non-Q wave myocardial infarction).Endoscopy w/ biopsies (showed mild esophagitis and duodenitis).Hypersensitivity pneumonitis (showed elevated penicillium levels. I am allergic to penicillin).EKGs after seizures (normal sinus rhythm, pulmonary disease pattern, left axis deviation, RSR\u00a0or QR pattern in v1 suggests right ventricular conduction delay, incomplete right bundle branch block, left anterior fascicular block, ST and T wave abnormality, consider anterior ischemia, abnormal ECG).Family History: Father: Heart Disease, Diabetes.Mother: Hypertension, Diabetes.Siblings: Four Siblings Diabetes.I have been seen by two internists, two GIs, two ENTs, two pulmonologists and a neurologist. I have been prescribed PPI\u2019s, Zantec, Dilantin, Xanax, Lexapro, Prednisone, three inhalers and OTC\u00a0Gaviscon, Tums, Benadryl, Tylenol, and Ibuprofen. Currently I am only taking three medications: Xanax (0.25 mg/day), Lexapro (10 mg/day), and Dilantin (400 mg/day).I used to think all this was from severe acid reflux (GERD), but my latest theory is that it is all from mold exposure (and I am quite convinced about this). I got sick at my workplace two years ago with four respiratory infections in three months when the old HVAC system was jerry-rigged by technicians. At that time, my employer installed two air purifiers and I covered the vent with multiple layers of cheesecloth. Since then, the workplace was tested for mold and they reported two colonies of Penicillium. I have written proof from the DLLR that I was exposed to the mold Penicillium at my workplace (where there was a substantial water leak in the ceiling above my head). I am allergic to penicillin. Four months ago, I removed the cheesecloth to replace it and was not wearing a mask. This is when all this started. What do you think? Please let me know if you believe this could be from the mold, or if you have any other theories. Doctor: Hello. Take care. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6114, + "tgt": "My uvula gets hurt only when I pretend to swallow. Why?", + "src": "Patient: Hello doctor, I am a 17-year-old female. The back of my uvula starts to hurt since yesterday. It hurts only when I pretend to swallow. But when I swallow water or food, it does not hurt. It hurts only on my left side. I have checked, and it was not swollen and looks normal. I tried touching it and scratched it. Also, when I yawn or open my mouth widely, the pain slowly goes away but after a while, it comes back. Are there any home remedies to cure it? Doctor: Hello. Went through your symptoms, it would have been great if you could click a photograph and send as sometimes few minor changes go unnoticed. However, I believe that the uvula is not swollen. In this case it appears as a case of an aphthous ulcer on the uvula. It may not present directly in the way of food so it does not hurt on eating, but dry swallowing leads to stretch and movement of that part and so it causes pain. Remedies that I may suggest is: 1) Drink lots of water, just sips but frequently. 2) Avoid oily and spicy food for five days. 3) Take some multivitamin with zinc combination (zevit). 4) Start Mucaine gel 10 ml take it in the mouth and keep for 30 seconds and then swallow it. Do it three times a day. 5) Apply Amlexanox ointment all over the uvula twice a day. 6) Take some anti-inflammatory like Ibuprofen 400 mg twice a day for two days." + }, + { + "id": 22766, + "tgt": "Why is my baby having red pimples in a cluster on both cheeks?", + "src": "Patient: Hello doctor, My baby (one and a half months old) is having red pimples in a cluster on both cheeks. It is very rough to touch and skin appears dry in that area. It does not cause him itching as far as I can see and it is not bleeding or oozing. It has black dots (like when a wound heals) in some areas. Is it a long lasting skin problem? Doctor: Hi. Babies at this age might suffer from seborrheic dermatitis over scalp, face and upper trunk and the most probable cause is maternal androgens hormones. And skin in such cases are dry, flaky, erythematous and somewhat oozing. However, there is nothing to worry about the condition as it will subside by itself within a few weeks to months. Please apply Vaseline two to three times daily or use baby oil. If it does not improve, only then I will advise you to use 1 % hydrocortisone cream otherwise do not use it for the baby at this age as it is a steroid. Avoid antiseptics like dettols or safeguard. Avoid rubbing vigorously. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5143, + "tgt": "Could delayed periods be a sign of early onset of menopause?", + "src": "Patient: Hi doctor, I am a 53 year old female. My periods have been delayed for two weeks. Till now they are normally regular. Could it be the early onset of menopause or they will eventually come? Doctor: Hello. If you have been regular with your menses these years and this is the first episode at 53 years of age when the menses have been delayed by two weeks, the causes can be a possible initiation of perimenopausal stage where menses are often delayed for a month or two and slowly tend to stop in next one to two years. Perimenopausal stage can be verified with the hormonal FSH (follicle stimulating hormone) and LH (Luteinizing hormone) levels which if high shall indicate an onset of perimenopausal stage. However, it is suggested that pregnancy should anyways be ruled out and if negative then you can wait naturally for your menses to resume. Hence, try maintaining a menstrual calendar and keep a mark for your dates, duration of flow and quantity to evaluate the possible onset of a perimenopausal state. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5973, + "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": 20686, + "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": 22437, + "tgt": "Will taking anabolic steroids affect 75 mg Clopidogrel?", + "src": "Patient: Hello doctor, Will taking anabolic steroids affect 75 mg Clopidogrel? I have been prescribed 75 mg Clopidogrel for a stent I have recently had fitted in my heart. I am a bodybuilder and so I wanted to know if taking anabolic steroids, T3, Clenbuterol, and Accutane will reverse the effect the Clopidogrel is having and put me more at risk of having a problem with the stent. Doctor: Hello. Here the relationship of Clopidogrel is not straightforward. Firstly, I would like to tell, little data is available on this topic as such patients are very less, so definitive answers are available. Now, regarding anabolic steroids, there is no randomized control available to tell us the straight forward answer. However, anabolic steroids are known to be thrombogenic and may increase the risk of clotting. This is study proven. Also, has got other cardiac effects like hypertrophy, dyslipidemia. So it is better to avoid anabolic steroids use as it may antagonize the effect of Clopidogrel. Regarding T3, it can increase the heart rate and increased myocardial oxygen demand so it may be deleterious if there is ongoing ischemia or significant blockages left in some arteries. However, may have it with proper monitoring in optimum dosage. Again, Clenbuterol should not be taken in excess as it can also lead to an increase in heart rate at a higher dosage. Accutane again has got some cardiac adverse effects but may be taken in optimum dosage, but lipid profile should be monitored and as less duration as possible. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27961, + "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": 10886, + "tgt": "What can cause weakness in postmenopausal period?", + "src": "Patient: Hi doctor, I have been in menopause for 6 years now. Over three months I have been having bouts of weakness in shoulders, arms and sides of stomach. I feel very weak and strange. I do not feel dizzy. Sometimes it starts with a hot flash. Or else I will stay awake with this terrible feeling and will have hot flash at the end of it. I had CBC. As my symptoms become worse I went to an urgent care and the doctor took 6 vials of blood. He checked many things including EKG, which is normal. My fasting finger prick was 74 and HbA1c 5.6. I have attached the rest of the blood reports. Doctor: Hi. I have gone through the details provided by you. All investigations are normal (attachment removed to protect patient identity) such as hemoglobin levels, non-diabetic, with normal resting EKG. So, these are not issue in your case. However, the following are the possibilities. Post menopausal hormone imbalances - You might have increased spurts of estrogen production which are causing the hot flashes. This is common in such menopausal age and requires only mild treatment if there is evidence of the increase. For this, get the following tests done - FSH (follicle stimulating hormone), LH (luteinizing hormone), estradiol and progesterone levels in blood. Hypertension - Get your BP monitored on daily basis at different times of the day and see if there is increase in levels at any point of time. This is again a reason for hot flashes, anger and weakness. It can be cured with mild medicine if found to be present. Check for your thyroid levels. Since you are overweight, there might be a possibility that you are suffering from hypothyroidism. Vitamin D3 levels - this is another reason for general weakness. Now if we go to further serious reasons, then one probability can be TIA (transient ischemic attack), there can be slight loss of blood supply to the brain which might be causing weakness in limbs. I am not sure if this would fit into you as coming to a conclusion requires medical examination which we cannot do online. I would suggest that you send us all reports as mentioned above and also go to a doctor to get full examination done. Only then we can comment on what is the right treatment in your case." + }, + { + "id": 3720, + "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": 2429, + "tgt": "Took placebo a week before my first mini-pill. Will it work?", + "src": "Patient: Hi doctor, I am switching from a combined pill to POPs. I am switching due to a history of chronic migraines and the estrogen in the combined pill was not helping my migraines. I was instructed to take the placebo pill a week before starting the POPs, so I did. But now, after taking the first mini pill, I am reading that I should have started before the placebo week. I have already started my first week of POPs. So, how will they be affected? Will they still work? Should I use a backup method for a few weeks? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4908, + "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": 18242, + "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": 10419, + "tgt": "Why do white spots appear on teeth?", + "src": "Patient: Hi doctor, I have two small white spots on the lower portion of my front tooth. Can it be removed by\u00a0microabrasion? Is the procedure worth? Please guide. Doctor: Hi. There are several reasons for the white spots on your teeth. Usually, white spots appear when the mineral content in the outer part of the teeth (enamel) is less. White spots could also occur due to high fluoride level in the drinking water or nutritional deficiency during teeth development and infections to name a few. Are the white spots only on the front teeth? Or do you have them on other teeth as well? Microabrasion certainly does not help whatever the cause of the white spots may be. It just makes the surface of the teeth rough and gives rise to other problems. You could consult your dentist and ask whether bleaching can be done. There are other options like placing a veneer on the surface of the teeth. However, a small part of the tooth surface needs to be abraded to place the veneer." + }, + { + "id": 22518, + "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": 8435, + "tgt": "I have rib cage pain whenever I take a deep breath. What could be wrong?", + "src": "Patient: Hello doctor, Every time\u00a0I am sitting down and taking a deep breath, the left side of my rib cage hurts. Even when I bend over to take a deep breath, it stills hurts and it only happens when I am sitting down, bending over or I am laying on the left side. What could this be? It also feels a little sore. Doctor: Hello.\u00a0 Take care. Have a nice day. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6251, + "tgt": "I feel short of breath after walking a short distance. Please advise", + "src": "Patient: Hello doctor, I am a 60-year-old female, type 2 diabetic. Over the past few months I have become increasingly breathless when walking a short distance even on flat surfaces. Can you please give me some advise? Doctor: Hello. This is likely a cardiac issue. There is a possibility of ischemic heart disease. So, you should get your cardiac work-up done. You need to have ECG and echo, and may need further investigations based on the results of these. Diabetics are more prone for ischemic heart disease and may have atypical symptoms like shortness of breath rather than chest pain. Also, examination by local doctor will help to rule out respiratory problems. So, you should visit nearby doctor for these investigations." + }, + { + "id": 17077, + "tgt": "I have lost 13 kg due to ulcerative colitis. Please suggest an ayurvedic cure", + "src": "Patient: Hello doctor, I am a 39 year old male. I have ulcerative colitis since last year. I have lost 13 kg in the last 18 months. I was previously 73 kg. I now weigh 60 kg. I have frequent motions, even up to\u00a0six times a day. But, the consistency of the stools is alright. I also have stomach pain sometimes. I have been taking the following Ayurvedic medicines along with my allopathy medicine of Mesacol 2.4 mg since the last six months. Vivaldi Gulika, once a day, Guloochyadi kashayam\u00a010 ml in the morning, Kalasaakadi kashayam\u00a010 ml morning, Panchathikthakam grutham, and Manasamitravatakam tablets, two tablets before sleep. However, I do not have complete relief.\u00a0I still have to go to the toilet five times a day. I pass motion twice in the morning before breakfast as my stomach does not get cleaned with once, and then once in the evening, once before going to bed and once in the\u00a0middle of the night.\u00a0Kindly advice some medication and diet for reducing the frequency of the motions and gaining weight. Doctor: Hello. If you follow all these suggestions it will\u00a0be cured easily. Revert after 15 days to an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25671, + "tgt": "What does my lower back MRI indicate?", + "src": "Patient: Hello doctor, I have had a lower back pain for the last couple of years. It all started after I lifted a stone at a cricket ground. A little amount of physiotherapy helped after the doctor's advice. I have consulted three doctors in two years and a doctor advised MRI this week. My doctor is out until next week and I am very anxious to understand the MRI report. Kindly help me understand the report. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Your MRI (magnetic resonance imaging) is showing herniation of an intervertebral disc that is displaced from its position and impinging in the nerve. However, this is only an MRI impression. MRI is a sensitive investigation that picks up clinically insignificant findings so it is important to get clinically examined and see if these findings reported by MRI are actually the reason for pain or not. Secondly, whether the condition requires surgical management or will it be treated by conservative treatment alone. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21495, + "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": 6967, + "tgt": "I am suffering from left side upper back pain as well as left sided chest pain. Please help", + "src": "Patient: Hi, I am suffering from left side\u00a0upper back pain\u00a0as well as\u00a0left sided chest pain\u00a0for the past one year. Day by day it has been increasing. I underwent ECG, Echo and TMT eight months back. All the tests were normal. My lipid profile is as follows:Tryglicerides - 276,\u00a0LDL - 85, HDL - 28 and total cholesterol - 180. At present I am suffering from\u00a0giddiness\u00a0and\u00a0drowziness. No steadiness when I am walking. Please suggest me treatment to overcome this.\u00a0What are the tests that I should perform? I do not smoke. I do not drink alcohol. My height is 5'10\" and I weigh 75 Kg. Doctor: Hi. Your upper back pain and left sided chest pain might be due to a condition called cervical radiculopathy. It is a condition where the nerves at your neck level get compressed between the neck bones and causes pain in the back of neck or upper back or arm or shoulder or hand or chest. For the diagnosis of this condition you need to get an MRI cervical spine done. Till then do slow rotational exercise of neck. Now coming to your giddiness, drowziness and unsteadiness while walking, this needs evaluation. It could be due to inner ear problems, vitamin B12 deficiency or brain problems. First you get checked by an ENT doctor for any inner ear problems. Also get serum vitamin B12 levels done and revert back. Kindly get this scan done and revert back to an orthopaedician online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14119, + "tgt": "Fourth ultrasound after IVF has no signs of fetal pole. Please help", + "src": "Patient: Hello doctor, I have a question about my pregnancy and my IVF transfer. I had an ultrasound five days back with my IVF doctor. They are calculating my pregnancy at seven weeks. I had a five-day embryo transfer last month and found out that I am pregnant. However, after my fourth ultrasound yesterday she said the sack stayed the same and was just black inside with no sigs of a fetal pole or anything else. She advised me to stop my medications and schedule a D and C. So, I stopped taking the medicines yesterday. All day yesterday and today I am having a constant spasm of my lower abdomen. I need advise on what could be going on? Currently, I am just taking Estrace and Progesterone oil shots. Doctor: Hi. It seems it was anembryonic pregnancy means the sac was formed but without a fetal pole. Sac is not growing inside to have a fetal pole and gradually towards further stages of pregnancy even after hormonal support. It is a bit depressing but if you want to wait for some time more to have nature to react rather then your own initiative then you can quit hormonal support and wait. Cramps indicate that natural miscarriage is soon to happen. Be positive. Things that meant to come to you will come to you. It is your decision that you want to wait or want evacuation now. In case of bleeding, severe abdominal pain or dizziness report to the hospital. After this pregnancy, start folic acid daily 5 mg if you want to try again for IVF (in-vitro fertilization). Have healthy nutritious diet with daily exercise and some relaxing recreational activities. Quit recreational drugs if you want to conceive again as these reduce fertility. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11789, + "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": 6859, + "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": 3757, + "tgt": "Will taking a contraceptive pill delayed by an hour of regular time pay way for pregnancy?", + "src": "Patient: Hello doctor, This is pertaining to my period and my birth control. I had my daughter a little over two months ago and started my birth control last month (I was still having on and off bleeding but it stopped about a week or so after taking my birth control). I started my period on the 3rd of this month and it stopped completely yesterday until I had sex last night. When I went to the bathroom after the fact I was bleeding as if I were on my period and my vagina hurt and burned a little (not when I urinate, just in general). Is this normal? Am I still on period? Next is my birth control. As I stated in the first question I started my birth control last month. Well, I still have one more pill to take out of it and I had unprotected sex last night. I take it at 7 PM every day. Never missed one but we are late taking a couple especially yesterday. I was late by an hour taking the pill. Am I able to get pregnant immediately due to the fact it is still my first month on it and I only have one pill out of the pack? Doctor: Hi. What I could gather from the information you gave was that you are on birth control since last month. What I would want to know is what was the mode of your delivery, vaginal or operative? It has a bearing on the answer. Also what kind of pills are you on? Are they continuous pills without a break or like three weeks on one week off pills. Were you still taking pills when you had your periods on the 3rd? If it was a vaginal delivery, sudden bleeding could be due to vaginal laceration. If the bleeding was while on pills, it could be a breakthrough bleeding. If only one pill is left and you have been taking it for more than two weeks regularly, pregnancy seems unlikely. Being late for pill by one hour does not decrease its efficacy. If you are breastfeeding your child, chances of pregnancy are even lesser. I would suggest you to see your doctor and understand clearly how and when to take pills to avoid such problems in the future. I hope this helps." + }, + { + "id": 30277, + "tgt": "I need a second opinion for my skin pigmentation", + "src": "Patient: Hi doctor,I am seeking a second opinion on an issue. Recently, a doctor at a skin cancer clinic observed my hands and arms and noticed sunspots on my hands. I have something similar on my right inner forearm. In the past, I have noticed a spot growing adjacent to this. Another, dermatologist felt this was due to the lotions I have been using. I do have sensitive skin prone to rashes and breakouts and so, he recommended to stop using lotions. What is your opinion here? Doctor: Hi. 1. Macular seborrheic keratosis. 2. Solar lentigo. 3. Elastosis secondary to aging. 4. Stellate pseudoscars and pigmentation of aging Sunscreen with SPF greater than 30 in the morning and good moisturizing lotion at evenings. 1. Avoid occlusive cosmetics. 2. Consume vitamin C rich foods. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12580, + "tgt": "Why does the top skin of penis not retracting and gets swollen with white discharge?", + "src": "Patient: Hello doctor, The top skin of my penis is not coming back while masturbation or sex. It is not fully closed from the top but still, it is painful to push it back. If I try it forcefully then after some hours, it gets swollen from the top and some white hard substance comes from inside. Doctor: Hi. The white hard substance is actually the cause of the problem. It is called smegma and is formed of dead cells, bacteria and secretions. It collects under the foreskin if you do not keep good genital hygiene. You should daily retract your foreskin and wash it thoroughly. If you do not do it, the smegma will keep on collecting and cause inflammation and fibrosis of the foreskin and as a result, it becomes inflexible and inelastic. Now you should better get rid of the foreskin by surgically removing it. That will not only keep your penis clean but also reduce the risk of sexually transmitted diseases and cancer of the penis." + }, + { + "id": 19673, + "tgt": "TSH value during pregnancy is 4. 5. Will baby in womb have any problem?", + "src": "Patient: Hi doctor,My wife was suffering from thyroid. TSH value initially (eight weeks pregnant) was 4.98. Now all the tests are good. We are using Thyroxine tablet early in the morning. After 10 days, once again we went for the test. Now TSH value is 4.5. Can you please explain is there any problem occurring to the baby in the womb? Doctor: Hello. Your TSH (thyroid stimulating hormone) is 4.5 which is within range. But in pregnancy, thyroid hormone requirement is increased and so it is advisable to maintain TSH between 2 to 3 in a hypothyroid patient. In pregnancy, TSH monitoring is advisable at one monthly interval. You can increase the dose of thyroid supplement to bring TSH more down. I suggest you consult an endocrinologist for examination and get prescription accordingly. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3109, + "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": 22357, + "tgt": "I have pain in the throat during swallowing. Is this respiratory tract infection?", + "src": "Patient: Hi doctor, I am returning back home from vacation and I am experiencing fever and body aches. I think my tonsils and throat are swollen. I am experiencing pain and discomfort in my throat. I have pain in the throat during swallowing. Doctor: Hello. It is likely an upper respiratory tract infection, probably viral. You may need antibiotics like tablet Azithromycin 500 mg once a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. Also, you can take Betadine gargles four times a day. For a cough, you can take syrup Alex (Chlorpheniramine maleate, Dextromethorphan, and Guaifenesin) two spoons whenever needed up to three times a day. You may have Paracetamol for fever, and body pain. Avoid cold food items. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1714, + "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": 14075, + "tgt": "How can I manage cold and cough?", + "src": "Patient: Hi doctor, I am feeling too cold, and a cough is there. I am 27 years old, 169 cm height, blood group A+, and weight 61 kg. Doctor: Hi. I have read your query. It looks like you have a common cold. Please do saline water gargles several times a day to give you relief from the cough. Drink warm beverages. Keep yourself hydrated by taking plenty of fluids. You can also do steam inhalation to get relief. Take one tablespoon of Benadryl cough syrup once a day preferably before going to bed as it causes sleepiness. If there is a cough during the day, you can take one tablespoon in the day too. Please check for the fever with a thermometer. Fever is body temperature above 100.4\u00b0 F. If you have a fever, please take tablet Paracetamol (500 mg) whenever you have a fever. The gap between two doses of Paracetamol should be 6 hours. If the symptoms do not subside, you need to consult a local doctor who will prescribe you antibiotics." + }, + { + "id": 680, + "tgt": "I get pain in my lower ribs while coughing and taking deep breath with history of AS. Please help", + "src": "Patient: Hello doctor, I have been having pain around my lower ribs towards the back side (left side) since the past eight days. The pain gets worse while lying down and trying to change sides in the night. It also hurts while sneezing or coughing (feels better if I cough or sneeze by holding the area with my hand). It hurts a little sometimes while deep breathing. While sitting or standing straight, the pain is almost not there and also it does not hurt while bending forward or backward. But it hurts a little while bending sideways. I did a course of Hifenac Max for 5 days and the pain did come down slightly. However, it again got bad last night. I was diagnosed with ankylosing spondylitis in 2009. Since then I have had two episodes of severe pain in my lower back right side (sacroiliac joint). But it has never pain in the area of ribs like what is happening now. I have also had multiple episodes of uveitis over the past eight to nine years. I am HLA-B27 positive. I do not have any other symptoms. My appetite is fine and I do not feel any other discomfort. My motion is regular. Also, I am not on any regular medication. My BP is normal (measured using an electronic commercial machine at home) and my vitals were mostly normal (apart from slightly high cholesterol) when I did my health check up 3 years back. Doctor: Hi. In the light of the fact that you are HLA B27 positive, the pain that you are experiencing is due to the same problem. This is called enthesitis, and it occurs due to inflammation at the attachment of muscles to bones. So the treatment also remains similar to that of AS. You need to take a full dose of NSAID (non-steroidal anti-inflammatory drugs) whichever suits you best. For the present, you could take Voveran sr 75 twice daily with an antacid like Pantocid. If things still bad, Sulfasalazine may be added. Calcium and Vitamin D must be continued. Regular physical exercise is a must to control this disease. Please make sure you follow this. I hope this helps." + }, + { + "id": 913, + "tgt": "After passing stools, I get mild to intense abdominal pain with no fart. How to fix this?", + "src": "Patient: Hello doctor, This morning I woke up and passed stools and had mild abdominal pain in the center of my belly. I went about my day and the pain is getting more intense. I defecated again and it still hurts. The pain feels like the worst gas of my life but I am not farting. I cannot afford to go to the hospital especially if it just ends up going away. Is there anything I can do to fix this? Doctor: Hello. Well, the onset of pain with a feeling of bloating, and change in intensity after passing stools suggest it is related to gas. You probably had something last night, or a few days back, which has caused you to this gastrointestinal upset. Well, this does not seem alarming in any way. I suggest you to take Simethicone suspension /or capsule (whatever available OTC pharmacy) 60 to 125 milligrams (mg) four times a day, after meals and at bedtime for two to three days. This medication will break the gas bubbles and will help you pass the gases easily. It has side effects of excessive burping/belching, and farting. But use temporarily until the time you feel better. If symptoms do not improve in the next 48 hours, and if the pain increase in intensity or you started feeling vomiting and complete loss of flatus, I suggest you to contact me immediately or get yourself checked to the nearby clinic. Gas and bloating. Simethicone 60 to 125 milligrams (mg) four times a day, after meals and at bedtime. Follow up if no improvement in pain, or unable to pass flatus." + }, + { + "id": 7827, + "tgt": "I have pimples at the back of my tongue. Why?", + "src": "Patient: Hello doctor, I am 20 years old. A\u00a0month ago, I noticed few small pimples at the back of my tongue and I thought that they will get alright on their own. But, they have been there for almost a month. \u00a0And, I have\u00a0halitosis too. I often have a sore throat as well, but it is not severe. Doctor: Hello. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 11364, + "tgt": "Why is my baby's poop dark green?", + "src": "Patient: Hello doctor,My baby is three and a half months now. Since he completed three months, he is more on formula milk than breastfeeding due to supply issues. He poops every alternate day. I am concerned as his poop color is dark green and at the end of the process a slight yellow poop comes. I have learned that babies on formula milk poop green but it is dark green. That is the reason I am concerned. Please suggest. Also, I would like to add that the consistency is normal, not too hard or too watery. Doctor: Hello. The color of the poop does not matter much unless it is dark black, which is a possible sign of occult blood. Usually poops in babies on formula feed is dark green. A breastfed baby will have golden yellow poop. So, do not be worried at all. I also suggest you take some medicines to increase your milk supply as every mother gets milk at least until the baby is six months old. You can try supplements like Lactare or Lactonic granules in milk. If this does not work, I suggest trying Domstal (Domperidone) tablet and it will surely increase milk supply. I hope you use a breast pump too at home. The more you pump and stimulate your breast, the more milk you will get. Hope this answers your queries. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13593, + "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": 2270, + "tgt": "After doing some neck stretches, my left shoulder went completely numb. Why?", + "src": "Patient: Hello, I\u2019ve been having symptoms for a long time now, about 6 years. Something constant that I feel is a \u201cpressure\u201d or imbalance on the upper left side of my body. I get brainfog frequently. Other symptoms come and go. Sometimes my upper rib feels tight when inhaling, sometimes I get dizzy and heart races/palpates. I\u2019ve had some exams done recently and found out I have an inflamed supraspinatus tendon. Since that, Ive tried doing exercises and stretches but they haven't helped that much. I\u2019ve even tried palpating the tendon but it doesnt even feel tender. Recently I\u2019ve tried doing some neck stretches and the next day my upper left shoulder went almost completely numb. One thing I feel I have to mention is before these symptoms starting appearing, I had an incident at the gym where I pushed too hard doing an exercise and something happened that my vision went dark and I had constant pain on shoulder/neck area for a few weeks. I apologize for the wall of text but I\u2019m at a standstill. Whatever this is, it\u2019s keeping me from being able to function in everyday life. I\u2019m currently a shell of my former self. Doctor: Hello, After going through the detail you provided, its clearly a symptom of jerk you felt at the gym while excercise. i advice you to stop doing any excercise related to shoulder or neck. take accelofenac paracetamol tablet twice a day fir 3 days and consult in person with any physiotherapist near you. you need personal attention and proper treatment. a physiotherapist will guide you during this time on how to perform excercise properly during pain and if needed he will apply IFT and ULTRASOUND to reduce pain and for relaxing muscles. stay safe. thank you." + }, + { + "id": 29110, + "tgt": "Please check my report and let me know if I am a diabetic", + "src": "Patient: Hi doctor, Please check my report and advise if everything is normal or not. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15034, + "tgt": "Why are there acne scars and acne pits on my cheeks with uneven skin tone?", + "src": "Patient: Hello doctor, I have acne scars and acne pits on my cheeks as well as uneven skin tone. What should I do? Doctor: Hi. Acne scar treatment depends on the type of scar. Boxcar scar is superficial one-time, can be improved with microdermabrasion combined with peel, derma roller, ice pick scar- small deep scars, improved with TCA CROSS procedure, rolling scar- needs subcision (minor surgical procedure), fractional carbon dioxide laser, hypertrophic scar-intralesional injection of Triamcinolone acetonide to flatten it, then any of the above mentioned treatment modality depending on the result obtained. In your clinical picture (attachment removed to protect patient identity), I can see you have a few ice pick scars and boxcar scars. Boxcar scars can be improved with a few sessions of medium depth chemical peels. Meet your dermatologist and discuss these options, you can choose which suits you best according to downtime of each procedure, number of sessions, cost. For dark spots, Use Kojic acid cream, apply on top of dark spot at night. It helps to lighten the pigmentation. Use a good sunscreen with SPF 50 in the morning to prevent further darkening of spots." + }, + { + "id": 1470, + "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": 21706, + "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": 2867, + "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": 6239, + "tgt": "I am having kidney stones and it is increasing in number. Please give your opinion", + "src": "Patient: Hello doctor, I am having kidney stones. Multiple calculi are seen in both kidneys. These kidney stones are there for the past two years, which were smaller in size and were two, and now the number has further increased. I am currently on himalya tablets, Neeri Syrup. I have attached the lab report for your reference. Doctor: Hello. I have seen your report. (attachment removed to protect patient identity). It is a case of bilateral kidney stones that are non-obstructive. Ultrasound is usually operator dependent, and the findings are not always accurate. Hence you have to undergo NCCT KUB (noncontrast computed tomography for kidney, ureter, and bladder) for definitive diagnosis. If that also gives similar findings, then you can either undergo medical management if the CT suggests stone of uric acid composition or surgical management if the composition of stone is non-uric acid.There are a few surgical options, which can be discussed following NCCT KUB. Please get back to me with NCCT KUB." + }, + { + "id": 10622, + "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": 20518, + "tgt": "How can I overcome focus and verbal understanding issues?", + "src": "Patient: Hello doctor, I am female, 21 years of age and as weird as this sounds, I always feel like I am so overfocused that I cannot really focus. I am very slow when it comes to verbal communication, it is something I have struggled with ever since I was a child. So when someone is verbally giving me instructions, from something as simple as sending an email to someone to passing on a long message to someone else, I just zone out or like I said at the beginning, so focused on what's being said that I forget, like I was not even listening. I always ask for the person to repeat, but it usually takes four more repeats for me to at least get the gist of the conversation, which obviously leads to people getting frustrated. I was screened for any learning or hearing disabilities when I was a child, but the counselors at school could not find anything wrong with me. This is extremely frustrating for me and gets in the way of my social and work life. I would like to know if it could be some kind of attention disorder or something else? I do not know if the following info helps but I have always been a sensitive child. I could not stand going to the theater or concerts until I was 14 years old and very intense smells make me cry, regardless whether it smells good or not. I am also extremely hyperactive. I get so restless that I walk and run around the house, but I know how to control it when I am in public. I was also bullied all throughout middle school, it stopped mid-high school when I finally stood up for myself. Doctor: Hi. It seems from the information you have provided that you might be suffering from an adult variant of attention deficit hyperactive disorder, inattention type. Do you also have symptoms like repetitive acts or rituals, urge to repeat words or images, repetitive handwashing or checking repeatedly. If these symptoms are present, you might be suffering from OCD (obsessive compulsive disorder). But still, I think the first provisional diagnosis is an attention deficit hyperactive disorder, inattention type. You may get relief by medicines like Methylphenidate or Methamphetamine." + }, + { + "id": 19030, + "tgt": "Is stammering a genetic problem?", + "src": "Patient: Hello doctor, I am in love with a girl, and we got permission from both the family for our marriage. But, my parents are in some hesitation as my girlfriend's mother is stammering. My parents think that if we both get marriage and our child also could get this stammering problem. I want to know whether stammering is a genetic problem. If we both get married, then is it possible that our child gets this issue? What is the percentage? In my girlfriend's family, only her mother is stammering. Please help and give the answer in detail. Thank you. Doctor: Hi. For further information consult an family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2464, + "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": 20783, + "tgt": "My baby has got soft teeth that chip on biting. What am I to do?", + "src": "Patient: Hello doctor, My baby is one year old. She has soft teeth in the front and she is not able to bite anything with the upper teeth. If she bites, the teeth start chipping. What am I to do? Doctor: Hi. If the enamel matrix formation is deficient, it will result in soft teeth that chips and/or decays easily. It may also result in an atypical or abnormal tooth shape. This is called enamel hypoplasia. Treatment for this dental condition includes removal of the very soft enamel and placement of a white tooth-colored filling in that area. Occasionally, the aberration or deviation from normal growth in the enamel is extensive enough that we recommend a white stainless steel cap as a temporary crown during the growing years. Maintain proper oral hygiene of the child by wiping the teeth with a soft cloth or a very soft brush. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9012, + "tgt": "After receiving tattoo, should I be concerned about HIV infection?", + "src": "Patient: Hi doctor, I received a tattoo recently. The artist used a new needle, a new tune and a new ink pot. The ink was poured directly into the ink pot from a larger bottle, and he throws the ink out after each tattoo. He did not clean the gun grip. He did clean my arm before the tattoo was applied and again when he was finished, along with various points throughout the tattoo. He did have me lay down on a sheet which he washes between clients. He continuously applied Vaseline to my skin throughout the tattoo, which had already been used for another client. From any of the above, is there a risk for HIV? Even though the needle was new, is there any chance of infection from the gun grip or Vaseline or even anywhere else in the process? Around 4 days later, I had extreme fatigue, nasal congestion, muscle aches and weakness in my lower legs. After 9 days, the fatigue went away, but the nasal congestion and muscle ache stayed. After 15 days, the muscle aches switched to the upper portion of my legs and I started getting pain in my neck. At the time, I had on and off sore throat and headache. I have not had any fever. Is there any reason to be concerned over a possible HIV infection here? My mono test and CBC came back normal after 20 days. I have been very stressed and worried. I really appreciate any advice on this matter. Thank you so much for your time and help. Doctor: Hi. \u00a0I have read your query in detail and do understand your concern. For further doubts consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12696, + "tgt": "What is causing raised blood pressure with nausea and dizziness?", + "src": "Patient: Hello doctor, I am 70 years old. My blood pressure is usually normal. However, it spikes. This morning I woke up feeling nauseous, dizzy, cold feet, shaky and it is 146/86, pulse 84. Why does this happen? Doctor: Hello. After reviewing your medical history, I would like to explain that you need to closely monitor your blood pressure values for a couple of days (several times daily) in order to conclude on your average BP trends. It seems that an abnormally elevated high BP value may have caused your complaints. Anyway, it is necessary to discuss with your doctor on the possibility of performing a medical checkup, including a careful physical exam and some laboratory tests like complete blood count, thyroid, renal and liver function tests, fasting blood glucose level, blood electrolytes level, an ECG at rest. In case several BP values result abnormally high you may need to start an anti-hypertensive therapy. You should discuss with your attending doctor on the above-mentioned issues." + }, + { + "id": 701, + "tgt": "Is there any possibility for me to get hepatitis C if condom tears during vaginal sex?", + "src": "Patient: Hi doctor I have question about hepatite C I had vaginal sex with condom but unfortunately the condom was torn during the sex and I stopped it. Is there any possibility for me to get hepatite C in this way?(actually I didn\u2019t know her) I have tested for HCV blood test 60 days after exposure and it was negative. If I test one more time at 90 days ,it will be conclusive? Or I should repeat the test more?thanks for your help. Doctor: Hello. I welcome you to icliniq. I want to know which test did you do to check Hepatitis C? If this was a high quantitative PCR test and if it was negative, then you are completely safe. If it was antibody test, and was negative, then I suggest to confrim with quantitative HCV PCR test. The antibody response to HCV viral infection is slow, hence a negative antibody tests does not confirm absence of infection. Means it can be falsely negative. Quantitative HCV PCR if negative then it can confirmly rule out the infection. For example if you were exposed, then PCR test can come positive as earliest as 1 to 2 weeks. Do scree yourself for other sexually transmitted disease, HBV and HIV. I hope this will help you understand things. Good day Risk stratification for HCV exposure Risk stratification for HCV exposure Follow if required." + }, + { + "id": 14798, + "tgt": "Echocardiogram shows grade 1 diastolic dysfunction. Kindly advise", + "src": "Patient: Hello doctor, I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal. Doctor: Hello. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight." + }, + { + "id": 8040, + "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": 398, + "tgt": "What causes severe pain in the lower chest while coughing?", + "src": "Patient: Hello doctor, I recently fell off a roof. After ER visit w/ct scans and X-rays I received 7 staples in my head and was discharged. Prescribed Cephalexin and Percocet I went home for recovery. Two days ago while coughing I felt an excruciating pain what seemed to be under and behind my lowest rib on my right side. This pain continued only when I strain myself such as with a cough or sneeze, etc. Since beginning this pain has gotten more intense with each involuntary strain. Doctor: Hello. Have you undergone any chest X-ray? While coughing is there any sputum? Have you feeling any pain in the abdomen? Is there any blood in urine? Did you land on head or abdomen during fall? If possible, answer above questions please." + }, + { + "id": 11774, + "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": 12543, + "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": 25933, + "tgt": "What ayurvedic medicine controls heart diseases better?", + "src": "Patient: Dear doctor,An acupressure therapist told me that I have a small problem in the right chamber of my heart and irregular heartbeat. But, I have taken an ECG report recently and found no problem in the report. If it is true, can I take Arjunarishta for that? Can I take Arjunarishta or Himalaya Abana for heart disease? Which one is better and will it cure/control any type of heart disease alone without the help of any allopathic medicine? Doctor: Hello. There are several causes for irregular heart beat. You should go for a routine heart checkup to rule out any abnormalities. I suggest tests like BMI (body mass index), lipid profile, cardiac profile, blood pressure, blood sugar and color Doppler. If any cardiac issue finding is there, then medicine should be started accordingly. Arjunaristam and Abana are good medicines to provide strength to cardiac tissues. You can take both medicines at a time. Arjunaristam 15 ml twice a day with an equal amount of water after meals and Abana two tablets twice a day after meals. Further, if you have any queries regarding this concern feel free to revert back. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17281, + "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": 30188, + "tgt": "Should I be concerned about my son's behavior of pulling his shirt constantly?", + "src": "Patient: Hi doctor, My son, who is 7, pulls his shirt constantly. He keeps his face that he does not realize what he is doing. Should I be concerned? Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 9409, + "tgt": "Why do I have a burning sensation and red sore at the tip of penis?", + "src": "Patient: Hello doctor, I have a burning sensation in my penis for a few days. It has been on and off, and I recently noticed a red sore at the tip. I am very clean all the time and with a single partner. I drink a lot of water and stay clean. This appears to be infected, and it burns when I urinate and until I wash the area thoroughly. I am currently on Candid-B. Doctor: Hello. Burning sensation in the tip of the penis can be due to balanitis, and it causes irritation and itching. If there is any growth, it can be due to PPP (pearly penile papules). Also, check for diabetes, and for investigation, you need to do random blood sugar, and a swab of the penis. If Candid-B (Clotrimazole, Beclomethasone) is not working, you can use Lobate GM (Clobetasol) ointment, and tablet Candiforce (Itraconazole) 200 mg once a day for five days." + }, + { + "id": 29917, + "tgt": "I feel anxious and depressed following my husband's death. Please help me", + "src": "Patient: Hi doctor, My current issues are depression and anxiety. Honestly, it all started when my husband passed on our son's 1st birthday. I have just let it build up and now I cannot control the way I feel. I cry over crazy things and I get mad over little things. I cannot sleep at night, because I have nightmares and panic attacks. I do not feel like doing anything and I have very low self-esteem. I am happy for some time and then I feel angry without any reason. I am currently on Prozac, but does not help me. Please help me. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9094, + "tgt": "Am I taking the correct medication for diabetes and hypertension?", + "src": "Patient: Hi doctor, I am a 46 year old male. My height is 165 cm and weight is 65 kg. I am a known HTN since 3 years. My medications were Olmezest 10 mg once daily in the morning and Prolomet XL 50 mg once daily in the evening. Now I am diagnosed with type 2 diabetes. My readings are FBS 141, PPBS 236 and BP 130/80. My physician has prescribed me Gemer 1 twice daily and Tazloc-H 40 mg once daily. I heard that Metformin ER has to be taken daily once but he asked me to take twice daily. I would like to know whether my medicines are fine or not. Do I need any more medicine? Also my heart rate was higher earlier but is under control with the use of Prolomet XL. Now the Prolomet is replaced by Tazloc-H 40 mg. Will it be a problem? Please help. Doctor: Hi. Previously, you were on tablet Olmezest (Olmesartan) and tablet Prolomet XL 50 (Metoprolol tartrate). Now you are on diabetic medication and tablet Tazloc-H 40 (Telmisartan). Tablet Olmezest and tablet Tazloc are similar kind of drugs. So, taking one drug is enough. I think you are taking tablet Tazloc-H alone now. It is a good tablet. It prevents heart problems, kidney failure and will make you to pass more urine. Take one tablet after breakfast regularly. You were taking tablet Prolomet XL. We usually prescribe this for severe hypertension or tachycardia (increased heart rate). Since you have both hypertension and diabetes, I request you to buy one blood pressure machine and glucometer. Please check your pulse rate four to five times a day and record. It can be done by using a BP machine or you can check yourself manually. Just put two fingers in left wrist, far left side. See the watch and count your pulse for one minute. It should be less than 90. If your pulse rate is more than 90 per minute regularly, then we can start back tablet Prolomet XL. Similarly, if tablet Tazloc-H is not enough to control BP, we can start tablet Prolomet XL. Your fasting blood sugar (FBS) and post prandial blood sugar (PPBS) are both high. As you have started the diabetes drugs recently, we can check FBS and PPBS after 15 days of drugs and can adjust medications. The maximum dose of the tablet Metformin ER (extended release) is about 2000 mg. So, we can safely prescribe two 1000 mg ER morning and night. True, tablet Metformin ER works for 24 hours. So, we can take up to 2000 mg ER once a day. But, if we take in two doses (500/850/1000 mg) there will be a constant presence of Metformin in blood. So, no need to worry. For urine infection, drink plenty of water. Take syrup Urikind (Potassium magnesium citrate) 10 ml mixed in one glass of water three times a day. Diabetes can cause urine infection and controlling blood sugar will reduce the frequency of getting urine infections. Summary: Revert back after 15 days for follow up to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13584, + "tgt": "What should I do to get glowing fair skin?", + "src": "Patient: Hi doctor, My face and body color are different. My face is getting dark and black day-by-day. What should I do to increase my fairness and get glowing skin? Shall I use some night cream? Doctor: Hi. I have read your problem carefully. What is your nature of work? Will you get exposed to sunlight? Are you allergic to any drug or disease? There are a lot of causes of skin darkening. The most common reason is sunlight exposure. For treatment, 1. You can use a cap or umbrella when you go for an outing.2. Sunscreen (30SPF), 10-20 minutes before an outing.3. Regular washing with good face wash. Please do not use whitening cream. It may cause harm to your skin. Take care." + }, + { + "id": 27006, + "tgt": "Will my blood sugar levels reduce if I exercise and reduce weight?", + "src": "Patient: Hello doctor, I had my blood sugar level tested after nine hours of fasting, and it was 138 g/dL. Am I\u00a0diabetic?\u00a0Nine hours back, I had a cold drink and\u00a0burger, and I am overweight. Will my blood sugar level reduce if I exercise and reduce weight? Doctor: Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 27416, + "tgt": "I have fibroadenomas in my breasts. Do I have to get it operated?", + "src": "Patient: Hello doctor, I have two fibroadenomas in my right breast and one in the left. I am just 18 years old, and I do not want to get them operated so early. Please help. What\u00a0should I do? Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27092, + "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": 27319, + "tgt": "Does ADD medicine cause tiredness?", + "src": "Patient: Hello doctor, I was recently diagnosed with ADD. My psychiatrist prescribed me Concerta 18 mg for a week, then 36 mg for another week, and 54 mg for 16 days. I started to take the pills three days ago but, I am tired, have a lack of motivation and no concentration all day long. I feel no benefits.\u00a0Today I took 18 mg at 10 AM, then another 18 mg pill at 14 PM and one 36 mg pill at 15 PM. But, it still did not work. I have had a nap at 16 PM, and I slept for about two hours. It did not solve the problem. Please help me. Is it normal to feel like this for the first time of taking ADD medication? Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 20494, + "tgt": "My son is suffering from fever. Can I give him Cefpodoxime?", + "src": "Patient: Hi doctor, I have an 8-year-old son who is suffering from fever for the past three days. We have not taken him to the doctor. We have not done any tests. But we believe that it is an enteric fever. So I brought Cefpodoxime for him. My concern is to know the exact dose of it. Please suggest. Doctor: Hi. As a parent, I am sure you have to do the best for your son. It is not right to give antibiotics to him without proper guidance. If it is not a confirmed case of enteric fever, it can also be a simple viral fever which may not even need antibiotics. Sometimes, urinary tract infections also occur with temperature, and the urinary symptoms are not shown. There is a rising trend of antibiotic resistance among people, which means that the necessary antibiotics do not even work for many infections and a higher level of antibiotics are used. This resistance occurs due to indiscriminate use of antibiotics. If this continues, we may face a problem in the future where the infections will not have the ability to respond to any of the available antibiotics. I am advising this because I want to change the way you look at antibiotics. Kindly meet a qualified doctor and do the necessary clinical examination. He will suggest the relevant tests. Please do not start any medicine based on your intuition. Even an experienced physician needs laboratory tests to confirm typhoid. I hope you understand it. If you still want to go for laboratory tests, I recommend the following tests to rule out the infection. They are complete blood count, blood smear for malarial parasite, urine routine, and Widal test (tube agglutination method) for typhoid. I suggest you meet a doctor for a clinical examination before going ahead with these tests. I am sure you will not give any medication to your son without knowing his clinical condition." + }, + { + "id": 23160, + "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": 7749, + "tgt": "How to overcome premature ejaculation?", + "src": "Patient: Hi doctor, I am 28 years old. Suffering from premature ejaculation. I used to ejaculate within a minute. I could not even control it. Feel very sensation in organ after penetration. Please help. Doctor: Hi,\u00a0 Welcome to icliniq.com. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6917, + "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": 15578, + "tgt": "I was prescribed with Dronis for PCOD. Should I worry about my fertility?", + "src": "Patient: Hello doctor,My age is 20 years. I am getting irregular periods for every two months. My doctor suggested Dronis 20 mg tablet for 24 days. My weight is 37 and I did an ultrasound, the report shows PCOD. I am having mild acne on my face. Can I use Dronis 20 mg? Does it have any side-effects such as in future infertility? Doctor: Hi. How are you doing? Let me give you a few facts on PCOD (polycystic ovarian disease). PCOD (polycystic ovaries) is a congenital condition. I mean it is a genetically programmed, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have you seen obese men developing breast and in young obese girls, who develop periods at a younger age, they all have high levels of estrogen hormone or female hormone). In your body too when fat, which is a store for tomorrow, is more than normal, this is converted to the hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused and follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for few months and later heavy periods with clots and fleshy masses, or spotting on and off, thyroid abnormality and prolactin problem indirectly. You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbow and knees. Excessive body hair growth, hair fall, a dark shade over lower half of face, acne, oily face skin, the black skin over the back of the neck, inner thighs and under the surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at a time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be Weight (in kg) equal to the height (in cm) - 100. Once you reduce weight to normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food, fast foods or red meat, reduce snacks between meals. Have low calories food, high proteins, regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking, (swing your hands well), try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes. Even if you are in the normal weight range, try this schedule, it will help. Your scan shows ovaries less than 10 cc (attachment removed to protect patient identity), so it does not meet the criteria of PCOD. Maybe you recently have put on some weight. Dronis (Drospirenone with Ethinylestradiol) will correct your hormonal imbalance and has no side effects. Your acne will disappear. But staying healthy with a regular workout every day is complete treatment." + }, + { + "id": 23947, + "tgt": "I am scared to go to the dentist. How to prepare myself?", + "src": "Patient: Hello doctor, My tooth really hurts but I do not see a cavity and I am really scared to go to the dentist. Doctor: Hi. If you are in tooth pain, you definitely have to visit the dentist as soon as possible. You might not know which tooth does the trouble and it is always better to address at an earlier stage rather than postponing which might lead to a serious trouble or complex treatment. Few tips for the first dental visit are as follows: Dental treatment is not meant to be always under a needle prick. There are so many methods for pain relief where you would not even realize that you got a needle prick at all. For pain relief at the moment, please take tablet Panadol (Paracetamol) thrice daily after food for three days. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14958, + "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": 12104, + "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": 24299, + "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": 11445, + "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": 9567, + "tgt": "Completed three cycles of chemotherapy for mediastinal seminoma. Kindly advice", + "src": "Patient: Hello doctor, Can you interpret this for me? Recently diagnosed with mediastinal seminoma and completed 3 BEP chemotherapy before five months. Doctor: Hello. There are some lymph node-like structures in the chest area which take up radiotracer, and it will help to study the complete series of images of your scan. A diagnosis of cancer always requires a biopsy. No treatment of cancer is justified without biopsy confirmation. Many conditions, including disease and infections and inflammations will take up the radiotracer as visualized in your scan. Even in cancer, the lymph node decrease in number and size is not predictable. If your recent CT scan shows persisting lymph nodes, then another biopsy might help. Please get a second reading of the biopsy slide done if needed." + }, + { + "id": 13485, + "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": 15109, + "tgt": "Is it possible that sex after cocaine consumption will affect baby?", + "src": "Patient: Hello doctor, I had a big night with lots of alcohol and several lines of Cocaine. My wife and I had sex the next day which has resulted in a pregnancy. We are both happy with the news but are concerned about any risks associated with the effects of the Cocaine on my sperm (potential abnormalities for the child, etc). Should we be worried about this? I am otherwise very healthy (good diet, daily exercise). I do not drink that often and the Cocaine use was a one-time thing. Doctor: Hello. The one-time cocaine use will not affect the present pregnancy as the lot of sperms which fertilized the ovum was manufactured three months back, when you were not exposed to cocaine, so unlikely that the present would have undergone any morphological or DNA changes. Nevertheless, medical follow up with NT scan, triple and quadruple marker tests and level 2 anomaly scan would be imperative during the course of pregnancy." + }, + { + "id": 15323, + "tgt": "What is the timeline followed for development of syphilis?", + "src": "Patient: Hi doctor, I am 36 years old, and my partner is 55 years old. We have been in an exclusive relationship for over three years. Throughout the entire relationship, I never had sexual contact with anyone other than him. He got a rash before two months. The GP diagnosed it as shingles. But after seeing the blood reports, he was diagnosed with syphilis. After reading about this condition, I have understood that the stage two symptoms appear after 10 to 90 days of contracting. My partner is persistent that he has not slept with anyone except me. I also understand that syphilis can remain dominant for some time. If he has stage two symptoms, does it mean that he would have contracted it before three months of diagnosis? Is it possible for him to have it before we were together? Doctor: Hi. The median incubation period (interval between contracting infection and clinical manifestations) of primary syphilis is 21 days (ranges from 10 to 90 days), and it rarely exceeds six weeks. Once the primary sore appears, it persists for four to six weeks, and then it heals. Usually, six to eight weeks after healing of primary sore, secondary syphilis becomes clinically apparent. Patient experiences skin rash at this stage. The timeline for the development of rash follows this way. When contracting an infection from a sexual partner, it takes 10 to 90 days for development. In median 21 days, primary sores appear on the genital parts. It persists for four to six weeks, and then it heals. After having healing of primary sore after six to eight weeks, a rash of secondary syphilis appears. Usually, it takes two to eight weeks to heal. So generally, it is unlikely to have the rash appearing after many years of contracting the disease from a sexual partner." + }, + { + "id": 6186, + "tgt": "What are the deep wrinkles under my eyes?", + "src": "Patient: Hello doctor, I have got pretty bad eczema. I have been using Doublebase gel that my GP gave me, but does not seem to be working. What is annoying is that I have noticed very deep wrinkles under my eyes where my skin is mostly dry. Could I get rid of these? I am only 18 and I cannot even look in the mirror or smile because of these lines. I also have allergies and my eyes water and itch a lot usually during the night. I have now tried many creams and oils including coconut oil, cocoa butter, Hydrocortisone, Doublebase gel, E45, baby oil and many more, but none seem to work. I just want answers for these. Hope you can help. Thank you. Doctor: Hi. I have read your query in detail and do understand your concern (attachment removed to protect patient identity). 1. You seem to be suffering from atopic dermatitis. 2. The wrinkles you are referring to could be actually Dennie-Morgan folds (folds below the lower eyelid as a result of edema) seen in atopic dermatitis. They will get better with the treatment of your eczema. 1. Along with moisturizing lotions, you should take antihistamines like tablet Hydroxyzine 10 mg twice daily. 2. If it still does not respond, I recommend mid potent steroids like Mometasone instead of Hydrocortisone to my patients. 3. For your watery eyes, artificial tear drops, like ones containing Carboxymethyl cellulose will be beneficial. 1. Use a gentle soapless cleansing lotion for bathing like Cetaphil cleansing lotion. 2. Wear only cotton clothes. Revert back after two weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20194, + "tgt": "Post HIV exposure, I had rashes, diarrhea and now sinusitis. Have I contracted it?", + "src": "Patient: Hello doctor, Within 24 hours of an exposure to HIV, \u00a0I had itchiness all over my body, especially around the inner thigh, knee, elbow, wrist, waist, and lower abdomen. I noticed a few pimple-like rashes around my inner thigh, probably due to scratching. But, my brother said that it looks like a scabies rash. I had read that scabies usually takes one or two weeks to show up symptoms. Is that right? However,\u00a0it responded well to anti-scabies cream. At that time, I had no other symptoms except itchiness. Also,\u00a0after two months, I had diarrhea one night, with vomiting, abdominal cramps, low-grade fever, and leg pain. These subsided within a day without any medications. Now, seven\u00a0months after exposure I am having a cold and sinusitis. Is it HIV? I am attaching my reports for your consideration. Doctor: Hello. I have seen your reports (attachment\u00a0removed to protect patient identity). Feel free to ask more queries. Take care. For further queries consult an HIV/AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18906, + "tgt": "What does my blood test indicate?", + "src": "Patient: Hello doctor, I am a 48 year old male. My height is 5'5\" and I weigh 80 kg. Currently, I am not suffering with any disease and not taking any medication.\u00a0I am a non-smoker, teetotaler, vegetarian and walk every morning 2-3 km, with three days of 40 minutes yoga practice.\u00a0I require your medical diagnosis based on the recently done blood tests and action to be taken. Any recommendations would be helpful. I have attached my blood test report. Doctor: Hi. We are here to help you. I have evaluated your reports and there are no specific high alarming statuses in the reports (attachment removed to protect patient identity). Revert back with the investigations to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15438, + "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": 5040, + "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": 428, + "tgt": "Do I need to get FNB or biopsy to check lymph node enlargement?", + "src": "Patient: Hi doctor, I am a 32 year old male. My height is 6 feet and weight is 145 lbs. I am facing a significant unexplained weight loss of more than 45 lbs in four months. My normal weight since high school is 185 to 180 lbs. I am having episodes of significant and frequent drenching night sweats. Also, I have chronic persistent fatigue and occasional non-specific itching. I have a family history of lymphoma\u00a0with my paternal uncle and maternal cousin. My ultrasound of lymph nodes has two different impressions. The first one was clear bilateral LAD suspicion of neoplastic etiology seen at level 4 and 5. The second\u00a0opinion was clearly reactive bilateral nodes seen at level 2 and 5. In your opinion, what would be the appropriate course of action? Either FNB or excisional biopsy due to the symptoms and history? Also, if you can interpret films, then I would appreciate your additional opinion. From a differential diagnosis standpoint, what is at the top? Doctor: Hi. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: FNB. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16539, + "tgt": "I was advised medicines after a routine prostate test, but I have no symptoms. Please suggest", + "src": "Patient: Hello\u00a0doctor, I am a 66 year old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: PSA - 9.8 ng/mL. Free PSA - 1.9 ng/mL. Percentage free PSA - 19.4 %. I went back to another doctor a few weeks ago and he repeated the PSA and did a digital exam and the results were as follows: PSA - above 10 ng/mL. Prostate sightly enlarged, preserved median groove, not nodular, feels rubbery. He prescribed Proscar 4 mg daily for a month. I have absolutely no urinary symptoms. What do you suggest that I\u00a0do? Doctor: Hello. After analysis of the history provided, I\u00a0would like to give you a brief idea of the same. Stay healthy and be positive. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 1250, + "tgt": "I have irritation type of headache due to prolonged lying in quarantine period. Please help", + "src": "Patient: Hello doctor, I have a headache in my upper part of the head. I do not know if it is connected with my neck because I had stiff neck due to my sleeping position. Well I lay down to bed most of the time due to quarantine and after I had that stiff neck I had this. It is not actually a headache, I guess it is like irritation in my upper head. I do not know if it should be treated with a pain reliever. As it is not that severe I did not take it. Doctor: Hi, Welcome to iclinq.com. I understand your concern. I need to know more about your headache. How and when does it start? Is it unilateral or both sides? Is it intermittent or continuous or any diurnal variation? Any aggravating or relieving factors? Light or noise sensitivity? Does it associate with nausea, vomiting, or blurring of vision? Did you have a history of migraines or asthma? Any history of fever or sinusitis? You should always note the red flags of headache such as sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness (fever and weight loss), focal neurologic signs or symptoms, blurring of vision. In that case, you need urgent evaluation. If they are absent, you need not be worried. Some times neck muscle tension stiffness may lead to headaches, as in your case. Simple Paracetamol or muscle relaxant will be useful. Adjust your sleeping position, try not to use high pillows. Another most common cause of headache is migraine. Simple Paracetamol at the onset of the headache will be helpful. Also, avoid triggers that lead to a headache. You should have adequate sleep, avoid stress, and take meals on time. I hope this helps." + }, + { + "id": 1688, + "tgt": "I have moderate abdominal pain on left side with white balls in stools. What is my problem?", + "src": "Patient: Hello doctor, I have a gastroenterology issue for over a month. I have a mild to moderate upper and lower abdominal pain on the left side. The pain also extended to my left leg. Also, I pass stool twice a day (diarrhea-like stool) with large white balls in it and I am facing weight loss. I took Trimebutine and Mebeverine for over four weeks (I have IBS), also I am taking probiotics and digestive enzymes. What is concerning me the most are the large white balls in the stool that are not mucus (they are quite firm) and the weight loss. Due to COVID-19, I want to avoid physically seeing a doctor, so please suggest a possible cause and treatment. Doctor: Hello. Yes, you might be having IBS (irritable bowel syndrome) and you might have developed small intestinal bacterial overgrowth (SIBO), with IBS which can occur commonly. In SIBO you get fat malabsorption which can lead to white stools. Can you please tell me whether you get greasy stools and bloating or not? Let me tell you that greasy stools are identified by a foul smell and floating on top of commode water. Also, share how much weight have you lost in how much time? I will start you on the treatment of SIBO, but meanwhile, we have to investigate and rule out other diagnoses whenever feasible for you. SIBO. CBC (complete blood count). C-reactive protein. TSH (thyroid-stimulating hormone). Stool routine, examination, and culture. Stool for fat content. Stool for reducing substances. Colonoscopy or Sigmoidoscopy if needed in the future. Pseudomembranous colitis. Tablet Rifaximine 550 mg thrice a day for 14 days, Mebeverine thrice a day. Oral rehydration solution. Exercise. After two weeks." + }, + { + "id": 22540, + "tgt": "Is it safer to take Zoloft after inguinal hernia operation under general anesthesia?", + "src": "Patient: Hello doctor,I am about to have an open inguinal hernia operation after 15 days. I have been having terrible anxiety leading up to it. I went to my PCP today and informed him of this. He prescribed 25 mg of Zoloft for me. I have read that it takes a month for Zoloft to work. Also, I have read that Zoloft can cause bleeding and complicated risk after surgery. I will be under general anesthesia. Is it safer for me to wait and begin taking the Zoloft after the surgery if I need it? Doctor: Hi. I would like to know that whether your hernia is the cause of anxiety. If anxiety is the case let me assure you that you have nothing to worry from surgical aspect as hernia repair is not a complicated or major surgery. So, the blood loss should not be worrying if you were only on Zoloft. But would like to know if you are having any other medication. Also, since your BMI indicates you are obese, which might be one of the causes for a hernia. Would like to know some other parameters like your blood pressure and sugars, your cardiac status as indicated by ECG and 2D echo. How is your exercise tolerance? Your coagulation profile, other basic blood reports like CBC. How about laparoscopic hernia repair? Or why not under regional anesthesia? Would also suggest yoga and meditation to relieve your anxiety and stress. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 5069, + "tgt": "I get shooting pain in lower back and buttocks. Does it need chiropractic treatment?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I currently have unbearable pain in my lower back and buttocks area. Every time I get up, the pain gets much worse and feel shooting pain down my leg, which gets me to a point that I have to pause two to five seconds. I went to a chiropractor yesterday and he wants me to go for treatment. It is a bit pricey at this point. I do have images of the x-rays and will upload them once I submit my query. Doctor: Hello. I have studied your case. Medications like Methylcobalamine with Pregabalin and analgesic will reduce pain. You can take them consulting your treating doctor. Some exercises which can be done after pain have reduced include spine extension exercises, lying on your stomach flat and lift the leg six inches from the ground. Do it for other leg also. Now lift both hands and legs simultaneously, six inches off the ground and stay. Position for around ten breathes. Core stabilizing spine exercises will help. You may consult a physiotherapist for further guidance. He may start TENS (transcutaneous electric nerve stimulation), or IFT (interferential therapy) which is helpful in your case. If you have started it continue it for a few more days. Some lifestyle modifications to prevent pain: Take a break for every 40 minutes from work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly. I will advise to check your vitamin B12. If no relief with these medications then epidural steroid injection can be given. You may need to reduce weight. I hope this helps." + }, + { + "id": 21003, + "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": 829, + "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": 14422, + "tgt": "What treatment is available to manage deranged SGOT, lead, and uric acid levels?", + "src": "Patient: Hello doctor, My SGOT level is 62.6. Lead level in my blood is 196.96, uric acid level is 7.5. Please suggest me better treatment. Doctor: Hello. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Your uric acid and lead level are slightly high. So I would suggest you drink plenty of fluids orally, take fewer proteins in the diet and get done repeat uric acid and lead levels in one month. Please let me know if you have joint pain. Your SGOT is slightly elevated. Your lipid profile is also showing elevated total triglycerides and cholesterol levels. All these are suggestive of obesity and treatment is weight reduction and lipid-lowering drug (Rosuvastatin 10 mg once a day at night before going to sleep) for two months. Get done repeat SGOT and lipid profile after two months. Diet and aerobic exercise like running, cycling, swimming, etc., are also beneficial for weight loss. Do let me know if you have joint pains." + }, + { + "id": 11814, + "tgt": "How can inflammatory myopathy be cured?", + "src": "Patient: Hello doctor, I am suffering from inflammatory myopathy confirmed by EMG, NCS and biopsy with CPK 2300 range and SGOT, SGPT also were little higher. I have already taken five days 1 g Prednisone steroid injections and later was on oral steroid tablets Omnicortil for 1 to 1.5 months reducing doses gradually starting with 80 mg daily to bi-weekly reducing doses. Along with this, doctor had given Cellcept, 750 mg daily and Vitamin B12 and Vitamin D. Right after steroid that month only I feel little better improvement. After steroids effect or a month later like dilution, it goes away and I am back to my previous difficulty in walking and leg hitting floor condition since 2 to 3 years same. I was thinking inflammatory myopathy was cureable or atleast walking condition would be better and treatment would stay on. I do not see any options and want help in best advice for recovery. Completely confused now. I want other option and for mobility not hitting ground while walking or to have steady balance. Physiotherapy made me very fatigue that I had to stop. Any tablets for balance control or leg devices to help lift little upwards or muscle tightnening substances like enzyme powder Coq10 if any please suggest, any. Doctor: Hi. To be very honest myopathy inflammatory in origin needs lifetime treatment. We just have steriods and other immunosuppressive therapy to control the disease progression. Definitely, Prednisolone works magically but since it has lots of side effects, we taper and reduce it to bare minimum. I would recommend to discuss with your doctor to put you on lowest possible dose of Methylprednisolone based on your symptoms and total CPK levels. Co enzyme Q10 has controversial role. If you can afford you may go ahead with it." + }, + { + "id": 16573, + "tgt": "I have conceived after trying for five years. Should I be on bed rest?", + "src": "Patient: Hello\u00a0doctor,I am a 34 year old\u00a0female in the seventh week of pregnancy. I have conceived five years after we started trying for a baby. My blood, urine, and ultrasound test results are normal. But, my doctor has advised me a complete bed rest till the 12th week. Could you please comment? Is bed rest essential? Doctor: Hello. How are you doing? Hope I have been of help to you. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13408, + "tgt": "How to get rid of dandruff and hair fall through ayurveda?", + "src": "Patient: Hi doctor, I have dandruff and hair fall for a longer period of time. I do not take oil or fried food. My face is full of pimples and visible open pores. I tried many options in allopathy but everything was temporary. Please provide a solution for it. Doctor: Hi. Dandruff, hair fall, and pimples are all interrelated. According to ayurveda, healthy blood will help you have healthy hair and skin. Try the following ayurveda remedies for hair fall and pimple, follow up with me after a month. The medications are available in ayurveda stores." + }, + { + "id": 936, + "tgt": "My 1-year-old son has a fever, cold, and is vomiting. What to do?", + "src": "Patient: 1 yr old son has fever and cold for 3x day he is also vomiting. Temp 39. Doctor:" + }, + { + "id": 8320, + "tgt": "My gums are swollen and painful. Will I lose my teeth?", + "src": "Patient: Hello doctor, I am worried because my gum has been swollen and I was in on and off pain on the left side of my jaw after a filling two weeks ago. Before that two months ago, I had a crown lengthening, and I was supposed to get a crown, but the dentist two weeks ago said it is best to do a filling. Now I have what looks like a pocket or inflammation around the tooth that was placed with a filling. I saw that dentist today to get it checked, and she said it is the gum inflamed, and that I might need to lose the tooth or see the periodontist who might be able to fix it if it does not heal in a week. In that week, she told me to use mouthwash every day, floss extra diligently, and clean the area. Will this help, or am I in significant risk of losing the teeth? If I have to see the periodontist who did the crown lengthening, what would they do? Doctor: Hello. There are two conditions with your teeth, and it might be only due to overhanging filling or due to a pocket surrounding the affected tooth. In that case, you should go to the periodontist first, he will clean the area and give you a better idea of what is happening around the tooth. In the worst cases, it may happen that you will have to get your filling removed and get that tooth root canal treated. But all of this can be clear only after an X-ray. For now, warm water and salt rinse is a good option, no doubt but go to your periodontist as soon as possible." + }, + { + "id": 8224, + "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": 31047, + "tgt": "Is surgery the only option to heal shoulder labrum tear?", + "src": "Patient: Hi doctor, I am a 26 year old female. I sustained a shoulder injury while working out and it turned out to be a labrum tear. I can rotate my arm without any problem. I feel the pain only while playing badminton. The doctor has suggested surgery and I do not want to go for it. Kindly go through my reports and let me know if surgery is the only option for my labrum tear to heal. Also, I would like to continue badminton. Please help. Doctor: Hello. I have gone through your history as well as the MRI report attached to it (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12588, + "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": 12142, + "tgt": "What does HSV 1 greater than 62. 2 and HSV 2 in STD panel indicate?", + "src": "Patient: Hello doctor, I had a STD panel done HSV 1 greater than 62.2 and HSV 2, have a history of chicken pox. Doctor: Hello. I understand from the reports you have sent me that stating HSV 1 serology is positive (attachment removed to protect patient identity). I will need a bit more information before I can advise you how to proceed further. A. Is this HSV 1 IgG or IgM serology? B. Do you have a history of recurrent oral or genital painful vesicles or ulcers? C. If yes, how many episodes and how frequently do you have those episodes? If only the serology of HSV 1 is positive without any clinical symptoms before, you do not require any treatment as it can happen in any past clinical or subclinical herpes infection. HSV 1 serology has no relation with varicella (chicken pox). They are caused by different viruses. HSV 1 serology. No active intervention is required for now." + }, + { + "id": 3601, + "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": 30407, + "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": 13627, + "tgt": "How can I relieve pinched nerve in the neck causing neck pain?", + "src": "Patient: Hello doctor,I have a pinched nerve in the neck. The neck spasm and pain. I have two sides cervical ribs taking ultrasound therapy and IFT for neck and cervical ribs but not of much help. Tell best drugs to release a pinched nerve in the neck. One salon guy twisted my neck in childhood and in a bus, the back side of chair hit me on the neck. Ever since then, I have neck spasm. Tell best drugs, please. I am 43 years old. I have BP and diabetes but normal. Tell the best drugs to increase size and nerves in the penis also, please. Tell also the best drugs to decrease aging. Doctor: Hi. You seem to be having an acute muscular spasm. So to reduce pain and inflammation, I would recommend tablet Flexura D twice daily for five days. Another drug helps a lot in cases of pinched nerves is a combination of Pregabalin and Methylcobalamine (tablet Mahagaba M OD) that to be taken at night. Physiotherapy is the ultimate solution. Please share my opinion with your doctor." + }, + { + "id": 396, + "tgt": "My side facial profile is more forward and thick. Is there any surgery to correct it?", + "src": "Patient: Hello doctor, From my late teens to now (I am thirty), I started becoming very insecure about my face, especially my side profile. It is heavy, thick and my mouth is more forward. I was prettier as a child. I want to inquire about surgeries that can be done to adjust my jaw. Also, I seem to have some degree of overbite. I do not know if it is more about the overbite or that either my maxilla or mandible are too big or forward. I hate taking pictures because I always look ugly and I also have had people make comments about my forward looking mouth. Please help. Doctor: Hello. I am sorry for your suffering. But the picture you sent me is not clear (attachment removed to protect patient identity). Please send close-up pictures of your front face and side face with the mouth in resting position. There is a surgical treatment for this problem. It is called orthognathic surgery. In this procedure, both the maxilla and mandible can be brought forward or pushed backward. But it is is important to decide which procedure is suitable for you. Please send me the pictures and let me help further." + }, + { + "id": 18584, + "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": 2171, + "tgt": "In how many days of pregnancy can I opt medical abortion?", + "src": "Patient: Hi doctor, I have missed my periods, but there are no symptoms of pregnancy. If get pregnant, within how many days of pregnancy can I opt\u00a0medical abortion? What are the tests to be done before medical abortion? Please suggest. Doctor: Hi. Medical termination can be carried out safely and effectively, up to 9 weeks. After nine weeks, you would need to go for a surgical evacuation. This would require you to get an ultrasound scan to see from the gestational age of the baby and a hemoglobin of this patient to check for anemia as these procedures can result in severe bleeding. However, if you have undergone for medical abortion, it would be best to do it under medical supervision as incorrect technique and dosage can result in severe side effects and even incomplete abortion. For further information consult an obstetrician and gynecologists online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17374, + "tgt": "I am a vegetarian. I would like to gain weight without any side effects. Please help", + "src": "Patient: Hello Doctor, I am a \u00a026 year old male. I would like to gain weight without any side effects. My height is 164cm and my weight is 54kg. I am a vegetarian and I do not take eggs. I am a software engineer and my work does not involve much physical movement. Please suggest me a suitable diet plan and exercise. Doctor: Hi, It is very important to gain weight in a healthy way (i.e, gaining muscle and not fat).\u00a0For this, both diet and exercise play a major role. DIET: EXERCISE: Consult a dietician online for any modifications in your diet chart --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 1294, + "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": 3433, + "tgt": "Will elevated creatinine and lipase levels indicate risk of multiorgan failure in diabetics?", + "src": "Patient: Hello doctor, My husband is a type 2 diabetic. As he is a hotelier, the working hours are stressful for him. He has no time for exercise. Also, his meal timings are very odd. He takes his lunch at around 2:30 pm in the hotel cafeteria. And, usually takes his dinner at 12:00 am - 12:30 am at home. He takes Glimy 2 before breakfast and Janumet 50/1000 post breakfast and after dinner. Since his triglycerides are high, he has been taking Stanlip 145. His sugar levels are fine now with HbA1c at 6.74. But, the recent kidney tests show higher levels of serum creatinine at 1.7. Also, his amylase and lipase values are significantly high with amylase at 86.4 and lipase at 98.5. He is just 32 and has been a diabetic for seven years. A general physician says that the elevated levels of creatinine and lipase indicate the risk of the organs malfunction. Also, he says that Glimy 2 and Janumet are to be blamed for the harm. What should we do to protect the vitality of the kidney and pancreas? Kindly guide. Doctor: Hi. Well, I do not think elevated creatinine is due to medications. It is most likely due to diabetes itself. But elevated lipase is due to high triglycerides (apart from high triglycerides, alcohol intake can also cause elevated lipase). For the protection of pancreas, his triglycerides have to be controlled. When was his triglyceride tested and what is the value? He needs to do exercise daily. As of his kidney is concerned his medicine Janumet 50/1000 has to be stopped and instead he can use tablet Galvus 50 mg (Vildagliptin) two times a day. He should avoid pain killers and inform the doctor that his creatinine his on the higher side before any doctor prescribes any medications. Repeat serum creatinine after one month and revert back with reports." + }, + { + "id": 1759, + "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": 2535, + "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": 3524, + "tgt": "I am having occasional erection problem which lasts less than 10 minutes. Please help", + "src": "Patient: Hello doctor, I am a 31-year-old male. I am married for the last six years. Before getting married, there was an incident where I had a sexual encounter with a girl. However, during this, I had erectile dysfunction. So after about one year, I got married to my long term friend. In the initial three to four months I had issues of not being able to maintain an erection. However, over time we adjusted to a pattern and we got over it after about six months. We have been having frequent sex over the last four to five years. However, throughout this time, maintaining the erection for more than say 10 mins has always been impossible. Recently, I had a sexual encounter with another girl but had a lot of problems in getting the erection and maintaining it. I have a well-built physique and do regular exercise and play games. My weight is 89 kg and height is around 5' 10\". I am a heavy nonvegetarian and eat lots of fish, chicken, and beef. After the above incident, I have started doing a bit of diet control along with my regular exercise. I also have an inguinal hernia over the last few years and I am planning to get it operated soon. I have been thinking of buying Tentex royal but wanted to take advice from you before going ahead with any medication. Doctor: Hello. From your query, I could infer that you had difficulty in getting and maintaining an erection with the new girl only. You were able to have frequent and normal sex with your wife before the encounter with the above said girl. It means that the cause for erectile dysfunction at the incident was due to performance anxiety which is purely situational and psychological. Hence nothing to worry much about physical causes and be relaxed and enjoy your sexual life with your wife and masturbation (once in a while). I will not recommend any such enhancers like Tentex royal, as it makes you feel that you lost your vigor and you have regain which is not real. What you lost is your confidence which you need to regain. Exercise, yoga, etc., can make you fit which in turn improves your sexual life. If you are so much worried about physical causes, then you need to do 1. Routine blood and urine test. 2. Serum testosterone (fasting state). 3. FBS (fasting blood sugar) and PPBS (post prandial blood sugar). 4. TSH (thyroid-stimulating hormone). 5. Prolactin. These are basic tests for male dysfunction. Do mention about the frequency of masturbation, erection status during masturbation, early morning erections, etc." + }, + { + "id": 3002, + "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": 26701, + "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": 1002, + "tgt": "What is the reason for continuous eye allergy and irritation?", + "src": "Patient: Hi doctor, I have\u00a0eye allergy for the past 1.7 years. I have consulted many doctors. I am using steroid eye drops too, but my eye allergy is still present. My eye irritates when it contact with blowing air, perfumes, air conditioner, strong odors, when I get cold and sometimes suddenly without any exposure. Occasionally, it causes pain in the eyes and head. I do not know what caused this. What is the permanent solution for this? Is there any other alternate remedy for this? When I take Cetirizine my irritation subsides in 30 minutes. Please help. Doctor: Hi. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27686, + "tgt": "Why has my buttocks turned black after itching?", + "src": "Patient: Hi doctor, I have a skin problem on my buttocks since 4 years. Due to this severe itching sensation was there and also my skin on the buttocks became black. Please help me to get rid of this disease and get back my original color of skin. Kindly suggest me some medicine. Thank you. Doctor: Hi. I have gone through the details (attachments removed to protect patient identity) provided by you. You seem to have a fungal infection of skin called tinea cruris. It is commonly called as ringworm. Due to inappropriate treatment it might have spread extensively. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 112, + "tgt": "My blood pressure is fluctuating with time and high during night. Why?", + "src": "Patient: Hello doctor, I think I have something along the lines of a bipolar hypertension situation. I wake up in the morning, my blood pressure is prehypertension to around hypertension stage 1. Not that bad. But In the evening, to later in the night my BP is through the roof. In the midnight, my BP is measured to be 176/126 on standing. When I lay down on my left side and it is down to 110/60 after a few minutes. I could use some help in figuring this out. I am 20 old. Doctor: Hello. I understand your concern, do not be bothered you will be fine. I advise you to get a pen and paper, write down your blood pressure measurement for three days. Make sure to measure immediately you wake up from sleep in the morning before any activity. Get back to me with the readings, it will help understand what is happening." + }, + { + "id": 4167, + "tgt": "How to treat moderate obstructive lung disease in a diabetic patient?", + "src": "Patient: Hello doctor, My mother is 62 years old. She is a diabetic on OHA and under good glycemic control. She weighs about 56 kg. She is suffering from a dry cough for four months now. The chest x-ray is normal and ENT consultation also ruled out any local cause. She complaints of tickling sensation and coughs following it. Coughing even wakes her from sleep at night. Blood Investigations done had all findings within normal limits except for high eosinophil count. Spirometry was done with the following results: % values pre-inhalation are: FVC 60.47 FEV1 63.18 FEV1/FVC 113 PEF 68.89 FEF (25-75) 59.25. % values after inhalation: FVC 70.60 FEV1 71.72 FEV1/FVC 110 PEF 70.7 FEF (25-75) 54.43. After this, the treatment was started with a diagnosis of moderate restrictive and obstructive lung disease. She is currently on Budamate 200 trans caps one in the morning through lupihaler. Budate 200 and Triohale transcap one cap each through inhaler at night, tablet AB Phylline one tablet daily at 8 PM. But, her symptoms improve intermittently and again recur spontaneously. Kindly suggest what to do? Doctor: Hello. I have seen the PFT (pulmonary function test) report of your mother. (attachment removed to protect patient identity). Let me tell you first that the PFT test is not done properly as post-test is done immediately only after four minutes of the pre-test. Ideally, we do it after 15 minutes. So we cannot rely on this PFT report. Even if we see at the report, it shows moderate obstruction and no bronchodilator reversibility. So it goes more in favor of COPD (chronic obstructive pulmonary disease). The treatment of COPD is mainly bronchodilator drugs by inhaler route. So I suggest to stop Budamate, Budate and Triohale rotacaps. Start Foracort inhaler (400) with Zerostat spacer two puffs twice daily morning and evening, and Duova inhaler with spacer two puffs only in the morning. Continue tablet AB Phyllin 200 one tablet daily. If she feels too breathless after any type of exertion she can take, Duolin inhaler by spacer two puffs as required. Strict sugar control is advised. I hope this helps." + }, + { + "id": 2895, + "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": 1855, + "tgt": "Will medications for Gout interfere with values of liver function test?", + "src": "Patient: Hi doctor, I would like to know what does my lab tells you about my current liver function. I began to struggle with daily gout pain a few months ago and finally gave in to taking the traditional drugs about one and a half months ago. Both allopurinol and probenecid caused worrisome impacts on my body. I began to experience flank pain, confused thinking, and fatigue. Around this time, I was also compelled to have my A1C checked because I was struggling with headaches, insomnia, and various degrees of itching after eating. My A1C turned out to be 5.7. I stopped taking the drugs, and did a lot of research, and was fortunate to find some supplements that seem to be effective at the intersection of both metabolic syndrome and gout. Presently, I have found that Berberine (approximately 1000mg/day) works. Gout pain is essentially gone, and blood sugar seems to be coming under control with each day, though my caloric intake in unsustainably low. Admittedly, I have taken some hesperidin, ALA, chromium, NAC, ECGC, nigella sativa oil, or triple strength turmeric occasioanally if I was having a momentary concern (not all at once), or even all in a day, but occasionally. My concern is for my ongoing liver function. Though things seem to be getting better, as the day goes on and I have taken some supplements, I will start to feel pressure in the middle of my back, kidney area, and left flank discomfort. It tends to have gone away by the time I wake up in the morning. On looking at my labs, the markers for liver function have fluctuated, but my primary care doctor never made mention of them. Is there anything you can tell me about what the changes in these ratios say? Doctor: Hi. I have seen your blood works. (attachment removed to protect patient identity). It is all normal. Usually, during the acute attack of gout, we do not start Allopurinol or uric acid decreasing medications as it can exaggerate the situation. We usually start after the acute situation is treated with drugs like NSAIDs (non-steroidal anti-inflammatory drugs). Allopurinol is started with caution if there is liver disease, kidney disease, diabetes, congestive heart failure, and high blood pressure. Are you pregnant or breastfeeding? Are you receiving chemotherapy drugs? Allopurinol can decrease the number of blood cells in your body that causes blood clot and that help you fight infections, which can make it easier for you to bleed from an injury or get sick when exposed to others who are ill. It can increase liver enzymes to decrease the blood elements. But I have seen your blood works and it is fine. If someone has kidney stones due to increased uric acid, or recurrent gout episodes, or uric acid deposition on soft tissues that is the time usually Allopurinol is started and continued I think you do not have these problems. You need to decrease your protein intake like less meats, fish, lentils, eggs, and avoid diuretics which are used to treat high blood pressure. Alcohol intake to be reduced as well. You told your HBA1c (glycated hemoglobin) is 5.7 that is pre-diabetes or borderline diabetes, so better check your fasting sugar and sugar after two hours of eating. You need to do exercise even if it is just walking for one hour daily. Stop or reduce carbohydrates especially sugar in tea and sugary juices, bread, rice, pasta, and potatoes. Intermittent fasting can also help in decreasing weight and controlling sugar. Lifestyle modifications can help a lot in your case. Have you done any ultrasound abdomen?" + }, + { + "id": 4364, + "tgt": "Is there any medicine to help me quit smoking?", + "src": "Patient: Hello doctor, I want to quit smoking but I cannot smoke. So suggest me some medicine so that I can quit smoking. Doctor: Hi. I hope you are doing well. I read your query and I am very proud that you have decided to take this great step. First of all, you need to understand that there is no medicine available which will make you quit smoking, it is only you who can make it happen. Its not 1 week or even 1 month process, it takes lot of time and courage. I usually recommend following steps to my patient who wants to quit smoking. 1. Set a date. Setting a date has a psychological effect and you can choose any memorable date, your birthday, your anniversary, etc. 2. Tell your family, your friends and your colleagues. Discuss with them. They are the one who will help you late on with the process. 3. Prepare yourself for the upcoming problems. You will face Nicotine withdrawal and problems associated with that. It will be cough, constipation, etc. These are not serious but if you do not anticipate these, such problems will discourage you from quitting and start smoking again. Try to find a friend or partner who also wants to quit. 2 people make it easier for each other. 4. Remove smoking related products (Cigerrates, ashtray) from your house, car, workplace. 5. Now in final step, here comes a little role of doctor. Now you need to understand you have 2 types of addictions, physical i.e. of nicotine and psychological i.e of act of smoking. For physical addiction I would recommend nicotine patches and bubblegum, whatever suits you better. For psychological addiction you have to control yourself, if you think that initially you cannot tolerate that, you can use electronic cigerratte for a month or so and it will help you. This is a workplan I can share with you which will help you in quitting smoking. I would love to see you again and help you step by step in the process wherever you need me." + }, + { + "id": 30435, + "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": 25401, + "tgt": "I have diarrhea, stomachache, and cough after a trip. Please suggest a cure", + "src": "Patient: Hello doctor,From a few days, I have been experiencing a strong stomachache. The pain was mild but now it kind of hurts even when I am moving. It is not super painful but I am concerned because I also started having diarrhea since yesterday evening. The whole stomach aches when I cough. I do not have much cough but since I came back from a trip a few weeks ago I start coughing in the evening. It is not a frequent cough but let us say every 10 to 15 minutes. At the moment, I do not feel appetite and I have a headache as well. Doctor: Hello. Most probably you have traveler's diarrhea caused by bacteria called E. coli. I suggest Regarding coughing, is there any phlegm? If yes, color? We should exclude TB as the country you visited is endemic to TB. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16196, + "tgt": "Can I get a permanent crown for my root canal treated tooth?", + "src": "Patient: Hi doctor, I had a cracked temporary crown in the tooth. I had some decay in the same tooth. I do not have pain in the tooth. But I had a sensitivity. My dentist examined the tooth and told that the decay has extended to the nerve area. My dentist did a root canal in the tooth. Now, I am fine with a temporary crown placed. Can I get a permanent crown now? Please advice. Doctor: Hi. Crown failures often indicate a caries progression below the tooth. The supporting tooth substance which is infected by caries can no longer resist the forces of mastication, and they tend to crack, break and fail. The tooth decay must be removed entirely to protect the tooth. You had tooth sensitivity due to the affected nerve present in the infected tooth. In the root canal treatment, the infected nerve is removed, and it is placed with gutta-percha. After that, a filling is placed to protect the tooth. Now you can go for a permanent crown. As long as the root canal treatment is fine and the tooth substance is adequate, you can proceed with a permanent crown. Please send the X-ray of the root canal treated tooth to guide you further. I would like to see whether the root canal treated tooth is fine and to see whether the remaining tooth substance is sufficient to support a permanent crown. Brush your teeth twice daily and take good care of your crowns and bridges by using interdental brushes." + }, + { + "id": 5861, + "tgt": "I have asthma and nasal polyps. Is surgery essential for it?", + "src": "Patient: Hello doctor, I am 59 years old. I have asthma for five years and taking Seretide for that. Over the last few months, I have been having serious allergy problems (sneezing, runny nose) and for some time I lost my sense of smell but it seems it is getting back after I started taking some steroids (Solone) and Nasacort nasal spray and sinus wash over the last two weeks. I had a CT scan of my face taken last year. I have polyps in my nose as well. I am getting mixed messages from various doctors about what would help me. Some are suggesting surgery. But I am worried about the surgery. Based on the CT scan of the face and the nasal endoscopy (attached), what would you recommend? Is surgery essential? If surgery, what kind of surgery is needed, please mention the names of surgery. Doctor: Hello. I have gone through your complaints and your attachment files. (attachment removed to protect patient identity). This is suggesting allergic polyps in the nasal cavity along with some sarcoidosis pictures in the lungs. Sarcoidosis is a chronic granulomatous condition that can be treated only by steroids that you are already taking. But polyps in the nasal cavity requires surgery to be done to get relief. You require to undergo minimal functional endoscopic sinus surgery which is done using a nasal endoscope. Even though you have inferior turbinate hypertrophy and deviated nasal septum with a spur in septum septal surgery (septoplasty and turbinate resection) are not required in view of sarcoidosis in your lungs. Minimal endoscopic sinus surgery with polypeptide followed by medication will be required for your condition." + }, + { + "id": 11986, + "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": 3444, + "tgt": "Will protein in urine lead to pain in pubic area?", + "src": "Patient: Hello doctor, I have pain in the pubic area. Urine test revealed protein in the urine. But there is no pain while urinating but I get pain only when I touch the area. I am just getting sick and wondering what it might be? Doctor: Hello. Well, the presence of proteins in urine is not a good sign. Let me explain to you in simple words that why it is not a good sign. The whole of the blood in our body flows through both the kidneys in our body and kidney functions as a filter, the harmful substances, and toxic molecules are taken up by the kidneys and are excreted out of the body via urine. Proteins are very essential for our body and proteins are big molecules (in size) so they do not pass through the small filtering mechanism of the kidneys. So the filtering mechanism of the kidneys is such that it allows toxic molecules to pass through the filter but does not allow substances to filter out which are essential for our body. But when the filtering mechanism of kidneys is damaged due to some underlying disease then the proteins also start leaking out, so if there are proteins present in the urine that means that the kidneys are not functioning normally. So I would advise you to get the following tests done so that I can do a detailed evaluation of your reports to make a precise diagnosis and find out the reason which is damaging your kidneys. So please get these tests done. 1) Complete hemogram 2) LFT (liver function tests) 3) KFT (kidney function tests) 4) Blood sugar (fasting and postprandial) 5) Ultrasound KUB (kidney, ureter, and bladder) region 6) Get your blood pressure checked. Once you get these tests done, kindly send me a scanned copy of your reports for evaluation and please do not get panic, everything shall be fine." + }, + { + "id": 25133, + "tgt": "Why is my WBC count persistently borderline high?", + "src": "Patient: Hello doctor, My main concerns are persistent borderline high blood values for the last two years. WBC count 14.5 *10^9/L, neutrophil count 8*10^9 and lymphocytes count 5.3*10^9/L (lab normal for lymphocyte between 1-4.8). Other parameters are mostly normal. Main symptoms are currently upper abdominal pain with frequent indigestion when fatty, oily, or fried food is consumed. Particularly, issues with nuts and dairy products. I previously had IBS like symptoms and was also diagnosed with H. Pylori and stones in the gallbladder a couple of years back, although it was told that the stones were small in size. Please check the attached image for detailed symptoms by period and results of blood tests. I have also been requested for an ultrasound of the abdomen. What bothers me is the referral to a hematologist. Can you please suggest? Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Probable cause is cholecystitis. After reviewing your records, it is noticeable that there is persistent leukocytosis with prevailing neutrophilia and a slight microcytosis that is low MCV (mean corpuscular volume) and hypochromia that is low MCH (mean corpuscular hemoglobin) of RBC (red blood cells). Since your ferritin level is normal and no abnormal hemoglobin was detected, it is safe to rule out the presence of both iron deficiency anemia and thalassemia which makes the aforementioned constellation indicative probably of a chronic infection which may cause an impaired iron turnover as evident from the persistently low MCV and MCH. Now, your primary complaint is abdominal pain, which obviously is a chronic one since it spans around two years. Yet, you do not state whether it is in the left or right abdominal half. The presence of gallbladder stones can cause chronic inflammation of the gallbladder and that condition can cause all related lab abnormalities. You have elevated cholesterol levels and TGL (triglycerides) as well as a BMI (body mass index) which is considered obese. It is highly probable that the reason for these gallstones is the increased concentration of cholesterol in bile. It is advisable to repeat the USG (ultrasound) of gallstones that might have increased. You should be offered a treatment regimen to \"dissolve\" the gallstones starting with the diet such as low fat/cholesterol food, intake of more vegetables and vegetable oil, also increased physical activity; secondarily, if necessary drug treatment or surgery. USG will also yield information regarding your liver and spleen, which is important if one is to suspect a hematologic disorder. In my opinion, there is less reason to suspect a hematological disorder in your case. If such is to be considered, then given the protracted course of two years, this should be either chronic myeloproliferative disorder (such as chronic myeloid leukemia or myelofibrosis) of lymphoproliferative disorder (such as chronic lymphocytic leukemia). Both are diseases of the elderly, then splenomegaly should usually be present. And you should have other symptoms such as nights sweats, weight loss more than 10% for less than six months, malaise, fever. A simple differential blood count could reveal whether that neutrophilia is due to the presence of segmented cells only, meaning - infection or due to the presence of expanded WBC formula that could prompt further testing. As for the lymphocytes, yes, they are elevated, but their number is fluctuating paralleling and inflammatory state. In case there is spleen enlargement on USG and you have enlarged lymph nodes, then further testing may be necessary to rule out chronic lymphocytic leukemia. It is okay to be seen by a hematologist, who can review the differential manually and examine for the presence of enlarged spleen or liver and then consider whether further and more sophisticated testing is warranted. But most probably your complaints are due to the presence of chronic gallbladder inflammation. As for the H. pylori (Helicobacter pylori), a more informative test is the stool antigen test. Serology for H. Pylori is often falsely positive, but the antigen test before and after the double antibiotic course is much more informative. I would advise you to go through with a gastroenterologist once again and in alkaline phosphatase is present to monitor the WBC parameters with its resolution upon appropriate treatment. Investigations to be done include abdominal ultrasound, GGT (gamma-glutamyl transferase) and ALP (alkaline phosphatase). For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17125, + "tgt": "Will scratching a mole affect the biopsy report?", + "src": "Patient: Hi doctor, Six weeks ago, I noticed a mole on my back. There was no itching or redness. But, I scratched it and went to the Urgent Care Clinic. The doctor said it looked like an irritated nevus. Then, during a shower it came off completely and left a flat area. Within a few weeks, it reappeared. Now, it is smaller of about 2 mm and dark brown in color. I went to a dermatologist and explained everything. The doctor said it was a little irregular. He said since he had not seen it before, he could not say if the irregularity was how it healed after scarring or if it was worrisome of something else. So, he did a shave and sent for biopsy. Now, I wonder if I have screwed up the histology by irritating it. Is the fact that it came back very fast, from nothing to a little dark mole within 3 weeks or so worrisome? I have at least a week to wait and I am freaking out a little. Doctor: Hi. I have read your query and concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21070, + "tgt": "How can I stop the habit of alcohol consumption?", + "src": "Patient: Hi doctor, I have severe depression following a bereavement. I started to drink, and it has been a couple of days now. I am terrified of stopping it. I am taking Maxitram and Fluoxetine 60 mg. I took Librium and Omeprazole before few days. Doctor: Hi. The symptoms associated with alcohol withdrawal are managed by Benzodiazepines such as Librium (Chlordiazepoxide) or Clonazepam or Lorazepam. Depending upon the severity of withdrawal symptoms, the doses can be adjusted, so that you will not have the feel of withdrawal symptoms and can safely stop taking alcohol. Usually, Thiamine is advised because alcohol causes thiamine deficiency. So it is advisable to take Thiamine 100 mg three times a day. As you have recently started taking alcohol, so the withdrawal symptoms will not be too severe. Benzodiazepines reduce anxiety symptoms and help you to feel relaxed. Continue taking Fluoxetine for depression. Have an adequate sleep." + }, + { + "id": 18631, + "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": 28214, + "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": 218, + "tgt": "My son is 2 years old and not speaking yet. Please help", + "src": "Patient: Hi doctor,My son is 2 years old and he is not speaking yet. He only used to tell some words like dad, banana, ice, etc. He is not trying to talk a full sentence. Please help. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20660, + "tgt": "I am under ART for HIV. If I test for HIV now, will it be negative since I am under treatment?", + "src": "Patient: Hi doctor, I am under ART for HIV. If I test for HIV now, will it be negative since I am under treatment? Doctor: Hello. Despite the currently available antiretroviral therapy (ART), your HIV detection tests like ELISA and Western blot are not expected to become negative. Till now, there is no medically confirmed and published/acknowledged case in which ART has resulted in negative ELISA or Western blot. The parameters that show improvement are CD4 counts (which increase with ART, indicating a boost in your immunity) and fall of HIV RNA copies (indicating a reduction of viral load). However, it is unlikely that HIV RNA copies will become zero. For further clarifications consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 10280, + "tgt": "Can pain and popping sound during jaw movements indicate osteoarthritis?", + "src": "Patient: Hello doctor, I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same. Doctor: Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard." + }, + { + "id": 21720, + "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": 17105, + "tgt": "What could be the reason for sudden leak of amniotic fluid?", + "src": "Patient: Hi doctor, I have doubt on the thing which happened to me. When I was 33 weeks pregnant, suddenly one day my amniotic fluid started leaking. We rushed to the hospital, and I lost my baby. During pregnancy, my doctor conducted all the tests. My diabetes was negative, and my BP levels were also normal till the day. What could the reason for the amniotic fluid leak before my labor time? Doctor: Hi. Let me just reassure you that it was an accident, which will not repeat. The possible causes of the sudden leak of fluid or PPROM (preterm premature rupture of membrane) are as follows: If any infection enters the vagina, the source could be sexual (if you had sex around that time). It also could be a respiratory infection (if you had a running nose or a cough that time and if after clearing your nose, you had used the washroom and washed your genitals with the same hand, the infection would have transmitted to the vagina). It can also be a urinary tract infection (infection can move from urinary bladder to cervix) or gastroenteritis. All these infections can affect the strength of the membrane and can give way any day. The next possibilities are any congenital abnormalities in the uterus and fibroids in the uterus. When you have reached 33 weeks, the cause of death would be the inability to breathe by the baby. The lung is like a sponge, with lots of air spaces. There is a material called surfactant which keeps the lungs open for air to enter. It is like the glove powder which prevents the sticking of the glove to each other. The fluid has the surfactant. If the fluid leaks out early, the surfactant coat will not reach the lungs. During your next pregnancy, you need to take a few precautionary measures. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25195, + "tgt": "I did not have withdrawal bleeding. Is there a chance I am pregnant?", + "src": "Patient: Hello doctor, I had sex with my fiance 10 days back. It was the 12th day after my last period. I took I-pill within two hours of intercourse. But I did not have withdrawal bleeding. Is there any chance to get pregnant? Doctor: Hello. I have gone through your history and understand your concerns. As you had I pill, the chances of pregnancy are not there in your case. Every person does not have withdrawal bleeding. You just wait and watch for your menses. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12927, + "tgt": "Is there any permanent treatment for toothache related to broken decayed tooth?", + "src": "Patient: Hello doctor, For the past two months, I have had on and off toothache. My gum sometimes hurt. There is a decay where I had broken a tooth and it has just chipped away over the years, is sore as well. I have been taking a lot of Ibuprofen. Is my life going to be in possible jeopardy? Doctor: Hi. If you are not allergic to following medicines, immediately start taking it. Tablet Augmentin 625 mg twice a day for five days, tablet Metronidazole 400 mg twice a day for five days, tablet Brufen 400 mg thrice a day for five days. This will cover your infection. After this, give me followup after three days if you are having improvement. Moreover, for a home remedy, you can put a clove in that place. It is very helpful in releasing toothache or put some clove oil on small cotton and roll it and put it on decayed part of the tooth. But ultimately you have to visit the dentist and get this broken tooth extracted." + }, + { + "id": 9611, + "tgt": "Is the painless lump next to my anus a hemorrhoid?", + "src": "Patient: Hello doctor, I have a blue or grey or purplish raisin sized lump next to my anus for three to four days now. I believe it is hemorrhoid but as I have never had one before and I am not sure. It almost looks as if a small blood clot is inside due to the blueish hue. It is not painful (maybe slightly uncomfortable at worst), it is not itchy, and it does not bleed. I never had rectal bleeding or any blood in my stool, and I have no abdominal pain or discomfort. Several days ago I did strain slightly while passing a massive bowel movement and it was after this BM I noticed a bit of soreness around my anus and then felt and discovered this lump. I have no other symptoms or issues other than this small lump. I am a 31-year-old healthy female with no medical history, I take no medications other than an over the counter multivitamin, and I have no known allergies. Is there a way for me to send a photo for reference? Doctor: Hello. I saw the image (attachment removed to protect patient identity). It looks more like external hemorrhoid with a blood clot within. Is it increasing in size? How are your bowel habits, frequency, and stool consistency? Please revert with details so that I can give a specific opinion." + }, + { + "id": 13808, + "tgt": "How can I stop continuous bleeding after miscarriage?", + "src": "Patient: Hi doctor,I had a miscarriage two weeks ago (three months pregnancy) and I went to the hospital. The doctor told me I have to flush everything out, which I did. But since then I have been having light bleeding with pain until last week. I had a heavy one with a thick clot and something else I cannot really describe. I immediately passed that out, the pain stopped and it was like something left me. But I am still having light bleeding. So I went back to the doctor to explain and he prescribed another drug to me, one will make me bleed and the other will stop the bleeding but I am scared. I do not know what to do again. Please help. Doctor: Hi. You had a miscarriage and it was managed medically. Post medical induction, you can have bleeding gradually but it can be in episodes and can be extended up to 2 to 3 weeks in form of mild spotting. Stopping of bleeding is not the solution actually. Have one transvaginal scan to check if any retained products are there still inside the uterus or not. If products of conception are still inside, this bleeding is in favor of you. As naturally, the body is responding and emitting out conception products. In the case of retained products inside the vagina, you might need evacuation if you observe heavy bleeding or pain or both. Have a complete check if any health issue you have and try to have regular complete treatment. If the uterus is clean with no products of conception inside, have a complete blood count, thyroid function tests and tablet Postan 500 mg and tablet Tranexamic acid 500 mg 8 hourly for 2 to 5 days as per need to stop bleeding. Have laboratory tests as per given scenario and discuss. In case of heavy bleeding and pain, report to gynecology emergency. As a casual protocol of induced miscarriage. Transvaginal scan immediately. Retained products. If retained products are there on the scan, you may need evacuation. So scan has to be discussed with the specialist to decide. If no products of conception, clear the uterus, then have medications as I advised above. Check on any other health issue and try to have treatment for that as well." + }, + { + "id": 10865, + "tgt": "My face is swollen. Shall I visit ER or a doctor?", + "src": "Patient: Hello doctor,In the left side of my face right in front of the ear and around the lower back of my ear is swollen. I had a sore throat a few days before, and I have been coughing hard with lots of mucus. I had also swollen a teary, red, and slightly painful left eye, which started, a week before. What is this? Shall I go to the ER or doctor for my swollen face? I already consulted a doctor two days before the swelling and under antibiotics. Doctor: Hello. There are multiple reasons for what you suffer from, and your case could be one of them. First, that could be part of the illness, which is acute upper respiratory tract Infection (viral or bacterial, usually viral comes with such symptoms). The swelling could be as part of the disease as well which is swollen lymph nodes located around the ear and nothing to worry about as it is part of the infection that can be confirmed by neck ultrasound scan in all circumstances. I suggest you move to the emergency room for further evaluation and clinical examination. Acute URTI (urinary tract infection), reactionary lymphadenitis. Consult the emergency room for further evaluation." + }, + { + "id": 19930, + "tgt": "I have IgA neuropathy, is it normal for the protein and blood levels in the urine to fluctuate?", + "src": "Patient: Hi doctor, I was diagnosed with early IgA nephropathy, about five years ago, and I am on medication. Protein and blood are present in the urine, and their levels have varied over time, ranging from traces to ++.\u00a0My recent urine analysis showed protein (+), erythrocytes (++), RBC (8-10 /HPF), creatinine (1.2 mg/dL), and eGFR (67). Does the fluctuating levels of protein and blood, present in the urine sample considered normal, given that I have been diagnosed with early IgA and undergoing medication? My concern is that the levels tend to fluctuate with every test (which is usually conducted at six monthly intervals). Your advice and views are appreciated. Doctor: Hi. Revert with more information to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 20176, + "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": 1748, + "tgt": "My vaccinated pet dog scratched me today. Should I get the rabies vaccination?", + "src": "Patient: Hi doctor, I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then . Doctor: Hello. Welcome to icliniq. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it\u2019s health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days" + }, + { + "id": 14899, + "tgt": "I get sudden jerks when I am about to sleep. Why?", + "src": "Patient: Hello doctor,I am 31 years old, male. My problem is when I am about to go to sleep then there is a sudden jerk. I asked my wife. I do not jerk while sleeping or in middle of sleep. It happens just when I am about to fall asleep. Suddenly a quick jerk. It happens for a couple of times then finally I go to sleep. It happens during the daytime also if after lunch I go for a nap, there is a sudden jerk when I am about to fall asleep. Once I sleep then no issues till I get up. A few months back I had this then it disappeared and now I am getting it again. CT brain was done a few months back. The report does not have it now. But it was normal. No abnormality. No diabetes, no thyroid. Normal LFT, KFT. I m taking medicine for BP. Nothing else as of now. Complete health check-up was done. I was alcoholic for a few years. If I drink and sleep, no issues. I also have a little bit of depression and anxiety due to business or work issues. Please help me out with it. Doctor: Hi. Yes, you are suffering from hypnic jerks only. This is not a disease. It is a behavioral issue. I have successfully treated my patients with hypnic jerk by following measures. To reduce caffeine intake and particularly in evening. To stop alcohol and smoking completely, a drug known as Modafinil gives me very good response in such patients, lots of exercises. You can discuss with your doctor to prescribe you Modafinil." + }, + { + "id": 17302, + "tgt": "How long should one wait to see the effect of Valdoxan?", + "src": "Patient: Hi doctor, I have been prescribed with Valdoxan 25 mg for depression and anxiety.\u00a0It has been four weeks. Still, I am feeling drowsy and difficulty in thinking straight and finding my words.\u00a0Socially, I am feeling very anxious because I feel dumbed down.\u00a0How long should I take this medication? Is the term of four weeks enough to see any beneficial effects? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3289, + "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": 23561, + "tgt": "What is the reason for my decreasing hemoglobin levels?", + "src": "Patient: Hello doctor,I am a 31 year old female. My hemoglobin is going down after bone marrow aspiration and biopsy or due to the medicines I am taking. I am taking Wysolone 25 mg daily and Danazol 200 mg twice a day since 12 days. Doctor: Hello. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 4623, + "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": 14643, + "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": 4754, + "tgt": "None of the eggs are maturing in my ovary. What to do?", + "src": "Patient: Hi doctor, I am trying to conceive for over a year now, but unsuccessful. I went to a gynecologist and he told me that I have no eggs maturing in my ovary and was given Clomid 50 mg. My eggs did not mature and it only grows up to 10 mm. He asked me to come again to try IUI treatments. He mentioned that my uterine lining is thin. My cycle is regular for the past 4 months. I have 30 days cycle, but I realize that my period is getting shorter and lighter. During my ovulation, I use ovulation predictor kit to track the test, line gets dark between 15-16th day. But, the test line never gets darker than the control lines. So, I assume it as negative. Please help. Doctor: Hi. Revert back with the investigation reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18687, + "tgt": "I have a painful lump in my breast. Are my reports suggestive of a breast cancer?", + "src": "Patient: Hi doctor, I have a lump on my breast that is painful. It is on the right breast, under the underarms. I was given vitamin E medicine, and I was told to get ultrasound and FNAC. I have attached both my reports. The reports say\u00a0FNAC\u00a0smear\u00a0prepared from right breast reveal abundant neutrophils admixed with few lymphocytes and some foamy macrophages. Few groups and sheets of benign ductal epithelial cells with apocrine changes in some of them is noted. Nuclear crowding and nuclear overlapping are also seen in some of these ductal cells. No granuloma or atypical cells are noted. Acute suppurative lesion of the right breast.\u00a0Could you please tell me if the reports are suggestive of a breast cancer? Doctor: Hi. As per your FNAC (fine needle aspiration cytology) reports (attachment removed to protect patient identity), the lesion looks suggestive of a breast abscess and not suggestive of a breast cancer. But FNAC is not confirmatory. Your ultrasound report was not attached. You need a mammogram and ultrasound. The lesion in the breast needs to be scored using BI-RADS (breast imaging reporting and data system). For now, I think you should be treated with a course of antibiotics and a mammogram and ultrasound should be done after two weeks. Please meet a surgeon to get an antibiotic prescription. He or she may also aspirate the lesion for culture. The suggested antibiotic are: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Please share the reports after two weeks. Are you breastfeeding? As that could explain why you have an abscess. A breast abscess can occur even without breastfeeding but it is a risk factor. Also please check your sugars if not checked recently. Revert with more information to a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 743, + "tgt": "I could not bear the pain while doing physiotherapy for leg injury. Why?", + "src": "Patient: Hi doctor, I met with an accident three months before and my left leg was injured. It includes tendon cut and multiple fractures. On the next day, the tendon was repaired through an operation. After 25 days all stitches had been removed and I got plaster on my left leg. And now, the plaster has been removed. Yesterday, when was going through physiotherapy for my left leg, it started paining a lot. My face started sweating and I felt dizzy. Then, I had a glass of water and managed. My question is that why is it so paining? Will I be able to run in the future? Doctor: Hi. Revert back with the x-ray to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6991, + "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": 15284, + "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": 4836, + "tgt": "What could be the reason for clumsy mind and poor eye muscle coordination?", + "src": "Patient: Hello doctor, I am 30 years old. I have always been a bit clumsy and a slow learner. I easily get lost in details given to me and go completely blank. I had a hard time understanding maths but I do alright in languages. As time passes, I have become increasingly clumsy and have poor eye-muscle coordination. This is making me frustrated at myself. What could be the reason? Doctor: Hi. I can only answer in broad terms as there so many things that could lead to the symptoms you are describing. Then I can put you in the direction medically you should follow going forward. 1) The fact that you note you have always been a clumsy person and it worsening now indicates that your problem has been a chronic long term one that seems to be progressively with time. 2)You mention you were a slow learner and that you are still having cognitive (thinking, learning, memory) up unto this day shows me you that there is definitely something wrong and needs to be medically investigated. Some unknown, uninvestigated cognitive problem since early childhood has been missed and caused serious harm to your life. And it is not your fault, you were a child, and it is the clear responsibility of the adults in your life to note the problems and take them further. 3) There is an entire range of things that could be causing your symptoms from undetected, poor hearing, vision or a specific learning disability or attention deficit hyperactivity disorder but also including a huge range of psychiatric, neurological and neuropsychiatric symptoms. 4) Then the fact that your neurological motor or sensory functioning (poor eye muscle coordination) has been affected and your feeling clumsy has also been since childhood. That difficulty (been chronically clumsy) from childhood to adulthood and was never investigated further, should be not an acceptable way of schooling or raising children. 5)So, the bottom line is that now you need to take control and investigate these symptoms. Kindest rest further to at least know the cause of serious problems. The doctor I would send you to first is a neurologist or a neuropsychiatrist. They can examine you for the right medical investigations like blood tests of x-rays and CT scans, etc. They should be able to put a possible diagnosis together and all of these symptoms can be explained and understood. Consult a neurologist as soon as possible. Follow up according to neurologist advise." + }, + { + "id": 10814, + "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": 7647, + "tgt": "How to stop itching due to Fluconazole allergy?", + "src": "Patient: Hello doctor, I am having an allergic reaction (hives) to Fluconazole. What can be done to reverse the side effect of this medication? I already went to the doctor over five times in the last three weeks. This is going on for four weeks. All the doctor does is give me itching medication. I am itching really bad. Doctor: Hello. It can be a reaction to Fluconazole, but we should rule out other causes as well. As you mentioned that you are not responding to itching medicines like antihistaminics, you need to be started on steroids like Prednisolone. But before starting steroids, I suggest you visit a dermatologist for examination, confirmation of diagnosis and get some blood test done like hemogram including WBC count and ANA (antinuclear antibody) levels, liver function test and renal function tests to rule out infection as steroids may be detrimental. Until then you can have tablet Montair LC (Levocetirizine plus Montelukast combination) one at bedtime, which is a higher antiallergic medicine, and Lactocalamine lotion for topical application. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Hope this helps you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24600, + "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": 2277, + "tgt": "I have sinus problem with runny nose in the night. Please suggest", + "src": "Patient: Hello doctor, I am 27 years old. I have sinus issues like night time colorless running nose for about one to two hours. I also have throat pain and sneezing. Problem increases if I have milk or cold food. Doctor: Hello. To start with if you have throat pain with fever and cough or weakness in the body, please consider going to a Coronavirus OPD to get tested. Considering the present times, it is possible. Now assuming that you do not have the above symptoms, it is very likely that you are suffering from allergic rhinitis which is worsening your sinus problem. It typically presents with bouts of sneezing, more at a specific time in the day and related to some material for eg: dust. Apart from dust, there are many other materials that can cause allergic rhinitis also. Patients also may not have itching in the eyes, itching in the nose, eye watering, headache, watery nasal discharge. Since your CT (computed tomography) scan is normal, we can start with treatment immediately. However, remember that allergic symptoms have a high likelihood of reappearing after treatment is complete, so u will have to follow up after 7-15 days. Take tablet Levorid D (Levocetirizine) every night half an hour before sleeping for seven days. Duonase nasal spray two puffs in the morning and night for 15 days and whenever you feel symptomatic thereafter." + }, + { + "id": 7936, + "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": 6296, + "tgt": "What is the white furry looking stuff behind my tonsils?", + "src": "Patient: Hi doctor, I am a 21 year old female, and I thought I had strep throat. I went to the doctor to get a rapid strep test, but it came back negative. I then got a throat culture done, which I have not received. I have white furry looking stuff behind my tonsils. My throat was sore for three days, and my body ached everywhere. I think my last hope is tonsillitis or mononucleosis. I have attached few pictures of my throat. Doctor: Hello. I went through your post and images (attachment removed to protect patient identity). You have a short history of sore throat and muscle pain, and your images show exudative pharyngitis. The most common reason is a viral infection, which will explain the sore throat and myalgias. Infectious mononucleosis is less likely because it is associated with cervical lymphadenopathy and other symptoms like pain in the right hypochondrium due to enlarged spleen. I think you have an influenza viral infection, and it will settle in a week to 10 days. There is no reason to worry. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25025, + "tgt": "I have loss of sexual energy and stamina. Do I need medications?", + "src": "Patient: Hello doctor, I am currently facing the problem of total loss in sexual energy and stamina. The body feels very tired and energy-less. Do I have to take some medicine for it? I have been watching lots of porn for years now but have stopped it. There is no stamina left. Is this something serious or I need some medications? My sexual performance has gone down considerably. Please help me overcome it as it has started to affect my personal life. Doctor: Hello. Yes, you need treatment for this but before that, you need to be evaluated by a doctor to find the cause of it. As medical conditions such as diabetes, hypertension, thyroid dysfunction and psychological conditions such as depression and anxiety can cause such symptoms. So these conditions need to be ruled out first. Watching porn does not cause such issues. Secondly, do you face an erectile problem, poor desire, or premature ejaculation or all of them? I need clarification as your concern does not clarify it. I am offering you a free follow up for it. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26577, + "tgt": "My IOL needs a replacement even after my cataract. Should I go ahead?", + "src": "Patient: Hello doctor, I underwent cataract surgeries in both eyes when I was 17 years old. I am now 31. Two years ago, my right eye lOL was dislocated. Hence, I\u00a0discussed this with an eye doctor\u00a0who advised me to perform the surgery again. The surgery was done, and the old IOL in the\u00a0right\u00a0eye\u00a0was removed. Iris suture fixation of a new IOL was done. The old IOL was a single piece, but the new one has three pieces. Can I know the difference between the two?\u00a0I enquired with my doctor as to why my old IOL was\u00a0removed? He replied that it was due to the\u00a0discrepancy in the size of my\u00a0eye and\u00a0of the\u00a0IOL that the old IOL had to be replaced. Is it possible? Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15961, + "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": 25581, + "tgt": "A pulp is seen in the ear after accidental eardrum damage. What is to be done?", + "src": "Patient: Hi doctor,Five days back, my son put a plastic stick into his ears and the membrane got damaged and blood came out. We went to the doctor immediately. He gave us Azithromycin to give the child and told us to keep his ear safe from air, water and, all other materials. He also told us to watch out for fever. But after five days, a pulp is seen in the ear. Will it affect his hearing capacity? What should I do next? Please give me an answer immediately. Doctor: Hello. Since there was damage to the membrane you need to be careful. It can cause a decrease in the hearing if the damage does not heal properly or get infected. If pus is coming from the ear, kindly consult a nearby ENT doctor and take treatment for the infection. It can take a bit long for the membrane to get healed properly. Until then, you need to be careful and make sure water does not go inside the ear at all. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3671, + "tgt": "Will anxiety lead to imbalance, restlessness and palpitations?", + "src": "Patient: Hello doctor, I took a banana shake and started feeling imbalance so I came back home because of restlessness, imbalance, and palpitations. I vomited that night so the next day I went to the hospital, there intensive care doctor said it is due to high acidity at that time my BP was 150/90 mmHg and pulse 110 bpm. That imbalance subsided in some time and then it occurred once in a week. If there is a little bit of anxious environment it will come back. Since then I had been to cardiologist, MD, psychologist, and ENT all of them brought it down to anxiety. I had done all blood tests, x-ray, and MRI of neck. There was C4-C7 buldge in MRI and mild scoliosis in x-ray rest all tests were normal. My symptoms are imbalance during sitting and walking (feeling best in moving vehicle), heavy head like a tight band at the back of head, restlessness and have started physiotherapy with some relief. Physio is saying nerve compression due to spondylitis. So, he is giving ultrasound, neck traction, and neck exercise and said I do have bad posture too. What is it exactly? Doctor: Hi. I have gone through all your records. (attachment removed to protect patient identity). Symptoms like imbalance while sitting and walking with head heaviness, restlessness and palpitations with stress precipitating them indicate a non-organic or what we call as a functional problem i.e. nothing wrong with hardware, a little software issue. Nothing to worry at all. I have my reservations for associating vomiting with your functional problems which I feel may be due to gastritis. You do not have any issues with your neck. Please avoid traction to the neck even if you are feeling better with physiotherapy since there is no evidence of any root compression in MRI (magnetic resonance imaging). I feel what you can start is Amitriptyline 10 mg every night for a month. Do regular yoga and mindfulness meditation. These things will definitely help you. Do not be preoccupied with your illness. You are absolutely fine. If you have underlying stressors you can contact me." + }, + { + "id": 19531, + "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": 20228, + "tgt": "Will removing wisdom tooth create space for crowded teeth?", + "src": "Patient: Hello doctor, I have high canine teeth due to crowding in my upper jaw. Visually, it appears that space, where my canines should be, is too small for them. However, when I went to an orthodontist, she said that I would need to get my first premolars removed to make room. If I get my wisdom teeth out, should not there be enough room to bring my canines down? I guess it would make a much faster process with braces. Thank you. Doctor: Hi. For further doubts consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 25062, + "tgt": "I have cryptorchidism. Should my testicle be moved or removed?", + "src": "Patient: Hi doctor,My age is 25. Not married yet. I recently observed I am having cryptorchidism. In scan report, it is revealed that my left testis is in iliac fossa. Doctor told it should be removed from the body. My query is, should it be removed? Or it can be moved to scrotum? And, does single testis cause any problem to my fatherhood? Please help me clarify this. Thanks in advance. Doctor: Hello. I want to know the size of the testis. Also, what is the status of opposite testis? Normal and descended completely with normal size? As you are 25 and if your undescended testis is small and atrophy then better remove it. There will be no effect if you remove one testis if the other testis is normal. You can be a father and live normal life. Practically you are on one testis only. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28907, + "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": 13587, + "tgt": "I always stammer while speaking. Please guide me", + "src": "Patient: Hello doctor, I always stutter or stammer while speaking. Please guide me. Doctor: Hello. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence levels. (unless you got any neurological problem, which is usually not). To check for tongue-tie, try to touch your chin with tongue. If you can reach the beginning of chin, then there is no structural problem." + }, + { + "id": 12267, + "tgt": "How should I get treated for my bruising of eyes?", + "src": "Patient: Hello doctor, I got hit on my cheek by a rock while doing some work. The area under my eye swole up and caused me to have a black eye. Now a whole one year two months later, I still feel the bruising of under eye similar to the look of a black eye. Is there a certain term for this? Doctor: Hello. The certain term for this is the black eye that you have told yourself. This is a particular term (black eye) used for trauma to eye area resulting in blood collection around it. Another term used for it is raccoon eyes or panda eyes as it forms a complete ring around the eye. Because the eye area is very thin, the blood gets accumulated in collagen tissue and takes a long time to clear it up." + }, + { + "id": 27350, + "tgt": "I always get cold sores on the left side of my lower lips. What to do?", + "src": "Patient: Hello doctor, I have been getting cold sores for years now, and they are always in the same place on the left side of my lower lip. Two weeks ago, I just got over a cold sore, and about two days ago, a red bump appeared on my skin, which attaches a little bit at the edge the corner of my mouth. So, I decided to try and pop it, but it was not ready at all, so it became infected and open. I have attached a picture of the sore. I have no idea if it is actually just a pimple healing or angular cheilitis or a cold sore. Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28678, + "tgt": "Can a pregnant woman use Paraben containing skin products?", + "src": "Patient: Hi doctor, Can a\u00a0pregnant woman use Paraben containing products? How much Paraben is bad for fetal growth? What are Paraben free skin care products? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6919, + "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": 3352, + "tgt": "What causes loose stools with stomach grumbling and pain?", + "src": "Patient: Hello doctor, I am 18 years old. This all started two weeks ago. I started to have some loose stools, abdominal pain (lasts about two seconds, it comes and goes almost twice a day) and grumbling in the stomach. My doctor gave me a three-day course of Buscopan, charcoal, and Apo-ranitidine after which the loose motions and cramps have stopped. But now the problem is that I have frequent toilet urges and feel that my bowel has not completely emptied. I am also experiencing a lot of gas and grumbling in the stomach. I have had gas problems from childhood but since these two weeks, it has turned a little worse. What am I suffering from and any treatment? Doctor: Hi. Occasional abdominal pain, loose stool, urges for toilet all suggest that you might have irritable bowel syndrome. This is a chronic condition. If you experience worsening of symptoms, change in consistency of stool, any episode of any amount of bleeding along with stool then you might need further evaluation in terms of colonoscopy or CT scan of the abdomen. Primary treatment is medications which you suppose to take for a long time (as prescribed by your doctor). You also need to change some sort of life-style modification in terms of avoiding food which worsen these symptoms and also suggest to take high-fiber, low-gluten diet. Might require a colonoscopy. Indigestion, Inflammatory bowel disease. \u00a0|\u00a0" + }, + { + "id": 18045, + "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": 12475, + "tgt": "Why is there a gap between teeth after cap placement?", + "src": "Patient: Hello doctor, I just recently had an RCT and crown placed on the upper front tooth. Now, there is a gap between my two front teeth. Can the crown be adjusted now? Doctor: Hello. After capping, it is very difficult to adjust the crown because it may lead to misalignment of the crown with respect to occlusion. There is another method by which you can close the gap between tooth like composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure. Please share your pictures of the front tooth which will help me guide you more. Treatment failure. The composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure." + }, + { + "id": 21136, + "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": 17070, + "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": 29995, + "tgt": "Please suggest me a suitable therapy for lower back pain", + "src": "Patient: Hello doctor, I am a 38 year old male. Four months back,\u00a0I was admitted in a hospital for stomach ache. After blood tests, ultrasound and a CT scan, I was diagnosed with liver parenchymal disease, mild umbilical hernia\u00a0and\u00a0grade III varices.\u00a0I have never tasted any type of alcohol or tobacco in my life. The doctor\u00a0suggested me to go for EVL. I was discharged from the hospital after a week. Again, after 15 days, I was admitted for EVL. I was discharged after two days. During the treatment, backache developed. After a month, when I went back for a\u00a0checkup, I complained of a\u00a0continuous backache, which was mild in the\u00a0day and severe in nights. They\u00a0hospitalized me again for a\u00a0further checkup. All tests, including an x-ray, ultrasound and MRI were performed. The\u00a0orthopedician\u00a0told me that there is some problem with my L5-S1 on the right side though it is not that severe. He informed me that I just need exercise. I was discharged after four days.\u00a0I am still suffering from backache. Whenever I am passing stool, I get\u00a0backache. I cannot stand straight because of pain. The pain starts from the\u00a0lower back and goes to both the sides. I also have pain around navel area and that is going down to the penis. I have a history of fatty liver. I am currently taking Pan 40, Udiliv 300 and Lasilactone. Doctor: Hi. Revert back with the reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8763, + "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": 1653, + "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": 6718, + "tgt": "My mom had craniectomy for head injury. When is she expected to get back her conscious?", + "src": "Patient: Hello doctor, My mom met an accident with a head injury. Right FTP SDH and midline shift, craniectomy surgery is done on the same day. But still she is semi-unconscious. There are body movements, but she has not yet opened her eyes. Ventilator has been removed before 30 hours. I want to know when she can open her eyes and how long will it take to become normal. I have attached a recent CT scan. Doctor: Hello. This is the most common question we encounter in our daily practice. One thing I want you to understand is that the surgery which has been performed was a ''life-saving procedure''. If that were not done, we would have lost her; luckily, thank God that did not happen. The rest of the recovery is actually unpredictable. Depending on the extent of the damage, the patient will recover after this sort of surgery. Positive things are she has survived, she is off the ventilator, her injury was more on the right side and not on the left side. So there are pretty good chances that she will improve eventually. If it had been more injury on the left side, we would not have expected her ever to speak again or calculate again. That is not the case with the right side. She would open her eyes in less than a week. Other functions will take time to recover up to six months. The next stage is you have to focus on rehabilitation measures." + }, + { + "id": 9149, + "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": 18946, + "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": 17982, + "tgt": "I am getting hemorrhoids at least twice a month. What to do?", + "src": "Patient: Hello doctor,I am getting hemorrhoids often. Even this month, I got hemorrhoids twice. I would like to know, why is it so often for me?\u00a0I do eat fruits every day, and I do not have constipation. I am 20 years old, and my weight is 59 kg.\u00a0Thank you. Doctor: Hi. Sorry to hear your problem.\u00a0The first thing is that\u00a0I need to know a few more details about your problem. Spicy food and stress. Anal examination by a general surgeon. Fissure-in-ano. 1. Sitz bath. 2. Laxatives. For further information consult a general surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 2386, + "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": 21181, + "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": 23565, + "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": 22452, + "tgt": "My girlfriend's breasts are hurting after an unprotected sex. Is she pregnant?", + "src": "Patient: Hello doctor, My girlfriend thinks she is pregnant. She has not taken birth control pills. The next month she took them. But, due to\u00a0stomach problems, she did not take it regularly. The month following this, she took them correctly. She did a urine test and it was negative for pregnancy. But today, during her bath, she noticed her breast was bigger and hurting. We had an unprotected sex and did some foreplay. I would like to know if there is a real chance of pregnancy. Doctor: Hello. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20113, + "tgt": "Can bowel movements get disturbed after marriage?", + "src": "Patient: Hi doctor, I got married before 10 months and since then my lifestyle has changed. As a result of this, I am suffering from increased bowel movement. Over last three months it has become very frequent for almost two to three times a day. Sometimes they are fine but at times stools are like soft porridge and even\u00a0undigested particles in it. Stomach has become a bit sensitive towards infection. Kindly help. Doctor: Hello. I want to assure you need not have to worry as everything is going to be fine, if proper care and treatment is opted in for. I have gone through your case thoroughly and can understand your genuine health concerns. 1. It can be a gastrointestinal infection and needs care and treatment. 2. Change of diet and emotional changes also play a role in post-marriage stomach upset in some cases. 1. You need to get a complete stool culture and stool culture and sensitivity test done from a laboratory. 2. Once you get the stool laboratory reports, do upload the reports in the follow up question directly. 3. If there is a need to deworm, then you can start taking medicine Albendazole. 4. If you feel good with the above mentioned treatment, then no need for any further investigations. 5. In case you feel nothing is working, then you can consult a gastroenterologist for physical evaluation and get a diagnostic colonoscopy done, if the need arises. 1. I would advise you to have Rifaximin. 2. In case of loose stools take Imodium immediately. 3. Citrucel (Methylcellulose) dietary fiber supplement is good for your health. 1. Stop consumption of caffeinated drinks, beverages, tea, coffee and chocolates. 2. Do not take refined meat and red meat. 3. Take Pedialyte that helps to replenish water and to keep electrolyte in balance. Revert back with the laboratory investigation reports to an medical gastroenterologist online.--->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1900, + "tgt": "Can spotting occur in initial stage of pregnancy?", + "src": "Patient: Hi doctor, I am 34 years old. I always have regular periods with a 28 day cycle. I have pregnancy like symptoms for the past two weeks. I feel nausea, cramps, strong smell, etc. Actually, my period was ahead of due. For the past 15 days I have very light watery bleeding started and is still on. It is not heavy at all and not like my usual periods. Is this pregnancy or any other issue? Doctor: Hello. I had gone through all the data posted. Based on your symptoms, pregnancy is a possibility. But, as you said your periods are due now you can wait for another four days. If you did not get periods, then do a urine strip test for pregnancy. At this time no one can confirm pregnancy, even if you go for a hospital visit and even with ultrasound. The urine strip test will tell us the answer and we need to wait for another four to five days. Once the urine strip test is done, then we can decide further course based on its report. For now kindly avoid unnecessary medications; take proper diet and rest. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25930, + "tgt": "Having pain in left leg, burning sensation in left foot and numbness in the left foot. What it could be?", + "src": "Patient: Hi doctor, I am a 46 year old woman with dull pain in left leg and heat sensation in left foot, which is on and off throughout the day. The problem has been there for the past two to three weeks. I do not recall any injury, which could have led to this problem. It just started suddenly. The heat sensation lasts only for one or two seconds. But, it happens even when I move slightly and there is no such problem on resting. I also have early morning back stiffness for so many years. Please advice on the cause and the remedy for the problem. Doctor: Hi. You have mentioned heaviness in your left leg along with burning sensation, which we call as paresthesia. Also, you have mentioned that you have back stiffness since many years. So, I presume that there could be some nerve impingement and that may be causing these symptoms in your case. Can you tell me whether you have any associated numbness, weakness, etc., in the affected extremity? Also, how much distance can you walk before you start feeling these symptoms? Do you have any associated history of fever, loss of weight, appetite, etc., as well? I can advise you better if I can have an idea about your neurological examination like assessment of motor power, sensory examination. Also, I would like you to get x-ray lumbosacral spine AP (anteroposterior) and lateral (flexion and extension) views, MRI LS spine and a few blood tests like CBC - complete blood count, ESR - erythrocyte sedimentation rate, CRP - C-reactive protein and serum vitamin D and B12 levels. When I have all the above information, I can advise you the best way to proceed. Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20184, + "tgt": "I feel weird after smoking marijuana. Why?", + "src": "Patient: Hi doctor,I smoked marijuana the day before yesterday night. I was all right in the morning. When I went to college, I felt strange to my hands (especially left hand) and both the legs. But, in the noon it disappeared. When I smoked in the noon, that strange feeling came back to me again. From that moment onwards I feel weird. I could not sleep and get bad dreams. Today is the third day, and still, I have the problems. Please help. Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12226, + "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": 19234, + "tgt": "Is it safe to use Glutathione pills for skin whitening?", + "src": "Patient: Hello doctor, Is it safe to use Glutathione pills for skin whitening? Doctor: Hi. Glutathione is used as a health supplement. It has good antioxidant properties. It prevents aging changes. It improves the immune system of the body. It is safe for adults of all age groups. Avoid intake of Glutathione pills if you develop sensitivity to it." + }, + { + "id": 18490, + "tgt": "What medicine can treat my performance anxiety?", + "src": "Patient: Hello doctor, I am married for about six months. I seem to have performance anxiety during sexual intercourse. But I am fine with masturbating though. I have proper erections. But cannot stay erect during intercourse. I have no family problems. I have tried relaxing techniques and all, but no hope. I exercise regularly and I am having no major medical issues. Can you please advice some medicines to treat this and to help get sexual arousal and erections? Doctor: Hello. Performance anxiety is quite common in newly married couples. If you are not getting relief with deep breathing and relaxation, you could try anti-anxiety pills. I would also recommend taking a tablet to help with erection for a few times until you get confident. I would suggest you taking tablet Etilaam (Etizolam) 0.5 mg and tablet Forzest (Tadalafil) 10 mg two hours before sexual activity. Please note that Forzest (Tadalafil) cannot be taken on consecutive days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9682, + "tgt": "Are muscle spasms in left shoulder related to heart condition?", + "src": "Patient: Hello doctor, I am a 31-year-old female. I have been drinking a bottle of wine a day for weeks and not eating healthy. Five days ago, I woke up with a pounding heart pain in my chest. I now have a wide range of symptoms with pain in my left and right arm, pain in my left shoulder, muscle spasms in my left shoulder, a tight feeling in my chest, pains on both sides of my body, shooting pain in armpits with headaches for five days straight, dizziness today, fullness, feeling of indigestion, my arms and legs feel weak and I have a sore back. I went to the doctor and he sent me for blood work and a chest X-ray. I did not get a call back so I assume that is fine. I had an EKG and Holter monitor just over a year ago. I am on 20 mg of Citalopram for anxiety. I am also taking a month's break from fertility treatments. The fertility doctor says my thyroid is a bit high at 6.3 so he is sending me for further testing. I am worried if I am having a heart attack. Doctor: Hello. Well, none of the symptoms warn me of any serious heart issue. When we see the whole scenario, there are different aspects of your health that may have caused this recent accentuation of the issues. High levels of the thyroid have a direct impact on heart rate and its functions as a pump. It also has an impact on overall body functions, for example, digestion, overall well being and mood, energy/power of the body etc. Thyroid drives our body to do daily work. Malfunction of thyroid causes many of the symptoms you observed recently. I know you are on Citalopram 20 mg. Sometimes there is a need to readjust the dosage of medicine. You should consult back your treating physician if there is such a need. Medication side effects may also have contributed to your recent symptoms. When someone goes off of fertility treatment this also contributes to this wide range of symptoms like you are observing. It is due to a change in hormonal balance in the body. But this is temporary and once you are back either on medications or your body's own mechanisms kick into maintaining hormonal balance, you would feel better. Taking alcohol at this stage can be injurious to your health. It also may contribute to the symptoms like you are having. But heart disease is least likely the cause of such issues. If your labs are all normal I am not worried much about it being any serious issue. For a headache, you may take Ibuprofen as needed. Keep taking a healthy and balanced diet. Keep a routine of a workout as it would give you more energy. Follow up with your thyroid doctor is very important. Thyroid issues also contribute to fertility problems. A normal functioning thyroid is a must for anyone. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3966, + "tgt": "What is the possibility of lung cancer in a smoker with family history of cancer?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I am a smoker for 12 years. I am having throat congestion, cold, and now having excess mucus production with no history of weight loss. I have taken a chest x-ray in which there is a white patch on the right side. I wanted to know if it is cancer? My father is a known case of cancer lung. All my blood test reports are normal. Doctor: Hi. I have seen your x-ray. (attachment removed to protect patient identity). The chest x-ray shows a prominent right hilar area most likely due to rotation. I mean you were rotated in position when the x-ray was taken and this might cause a false appearance of right hilar vascular prominence. To me, it does not look like cancer but thought is to be given to your symptoms. If possible please decrease and stop smoking. I will suggest a discussion of your symptoms and clinical examination by your doctor and if there is a need then a CT (computed tomography) chest can be done." + }, + { + "id": 24657, + "tgt": "Why have my periods not started yet after unprotected sex?", + "src": "Patient: Hello doctor, I had a back to back unprotected sex with my partner for three days in this month and my expected period date was six days later. I have taken unwanted 72 on the third day morning after having breakfast. But, still, my periods have not yet started. Can you please help me out with the reason behind that? Doctor: Hi. Since you have taken the emergency contraceptive pill within 72 hours of intercourse then there is no chance of pregnancy. So relax and do not worry. You will definitely get your periods. Do not take any medications without an expert advice. 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": 10491, + "tgt": "Why do I have bad breath after taking the fever medications. Suggest me a cure", + "src": "Patient: Hello doctor, I have severe bad breath problem after taking fever medications for a week. Does it come from my stomach? Please help me, as I am embarrassed. Doctor: Hi. Bad breath is due to the destruction of good bacteria in the intestine by antibiotics. I suggest you try probiotics, such as Lactobacilli, thrice daily for two weeks. You will feel better." + }, + { + "id": 23997, + "tgt": "I have on and off heart palpitations since morning. Should I worry?", + "src": "Patient: Hello doctor,I am having heart palpation on and off all morning on the right-hand side of my chest, and my lower left arm and hand are sore. I am 33 years old, female. I am in good health overall, but I was told I have a heart murmur about a year and a half ago and I am on Sprintec birth control. Should I be worried about this? Doctor: Hello. It does not look like a matter of worry. However, since you told about a murmur, you should get one echo done to look for the cause for it. Have you got hemoglobin checked ever? For palpitations, low hemoglobin can cause it. It can also occur with a valve problem as you told about the murmur. Also, extra beats which are usually benign can cause this. So it does not appear to be an emergency. But, you should get yourself evaluated with an ECG, echo, and hemoglobin. Hope this helps you and get back if you have any doubts or more information to share. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9483, + "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": 1550, + "tgt": "I have high testosterone level with muscle pain, anxiety, and abdominal pain. Please help", + "src": "Patient: Hello doctor, I am a 40-year-old male with abnormally high testosterone. All other lab tests came back negative. What should be my next step? I also have malaise, muscle aches, anxiety, and abdominal pain. Doctor: Hi. You sent me cortisol levels report (attachment removed to protect patient identity), but there is no report for testosterone. Your cortisol is normal. Please send the testosterone report." + }, + { + "id": 18645, + "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": 11276, + "tgt": "Kindly see my ECG report and advice", + "src": "Patient: Hello doctor, Please review my ECG report. I am on Diltiazem. Doctor: Hello. The report on your ECG (electrocardiography) states that (attachment removed to protect patient identity) there is a presence of nonspecific intraventricular conduction delay. Some of the causes of this disorder are amyloidosis, cardiomyopathy, and electrolyte imbalance, etc. Are you experiencing any symptoms? Why did you go for an ECG?" + }, + { + "id": 13237, + "tgt": "Is there any way to get periods earlier than the due date?", + "src": "Patient: Hello doctor, I want to ask that is there any method with which we can have periods earlier than due date? Also, if we can use any tablet to delay monthly periods? Doctor: Hi. There are medicines to delay periods but to bring it early might be dicey, as spotting may stay, finally botching the occasion. Please start taking tablet Norethisterone 5 mg twice a day two days prior to the expected date of periods and continue till the day you want to. Periods usually commence within 3 to 7 days of stopping the medicine." + }, + { + "id": 12801, + "tgt": "Is bariatric surgery advisable for the second time?", + "src": "Patient: Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5'10\" and my current weight is 127 kg. Two years ago, I had sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass surgery. But I am not comfortable with that. I have attached my recent testosterone report. I feel as if I have low testosterone. How to increase my testosterone levels? I have a history of nasopharynx non-Hodgkin's lymphoma and it got treated successfully by radiation. Doctor: Hi. I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, there is nothing needs to be done to increase testosterone. There are medications to increase testosterone levels but it is not needed in your case. You can try some natural methods like doing aerobic exercise, eating more of citrus fruits, eating more of onion and garlic and also wear loose undergarments. While going through your reports, I noticed that your insulin levels and C-peptide levels are elevated. This suggests that you are having insulin resistance which may lead to diabetes in the future. So, kindly start doing aerobic exercise which will reduce insulin resistance." + }, + { + "id": 11544, + "tgt": "How to make sure that I am suffering from toxic shock syndrome?", + "src": "Patient: Hi doctor,I am on new birth control (NuvaRing) and getting some discomfort. When I looked up the side effects of the birth control, it said that all my symptoms could be toxic shock syndrome. I am currently on Doxycycline and Wellbutrin. How can I be sure about the syndrome? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2195, + "tgt": "What is the reason for pain in the root canal treated tooth?", + "src": "Patient: Hi doctor, I am receiving root canal treatment on the right side 5th teeth. Yesterday, my doctor has completed till the second step. Now, I am unable to control the pain even after taking the tablets prescribed by him. Kindly help me. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21421, + "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": 13275, + "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": 21658, + "tgt": "Creatinine level is 1. 12 in a 52-year-old patient. What does it mean?", + "src": "Patient: Hello doctor,I want to ask for my mother. Her age is 52 years approximately. She was diagnosed with high blood sugar level (365) two years back after recovering from chikungunya. We did blood sugar tests every month after that but it was never high less than 98 to 110 fasting blood sugar levels. Due to pain around the ankle, we got uric acid tested that came high around 8.8 with normal blood sugar levels. Then after medication and changes in eating habits with more fluid. last month it came to 3.0. But creatinine levels came at 1.12 (1.10 is normal for women). We do not want creatinine levels to go high. What measures should we take? Doctor: Hi. I understand all your concerns. Fortunately, creatinine 1.12 is within the normal range with no clinical significance. One of the most effective strategies to keep the kidneys healthy is good hydration specially in the summer months. I recommend repeating the test again after three months. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11708, + "tgt": "My postprandial sugar value is less than fasting level. Why?", + "src": "Patient: Hello doctor, I am 43 year old. My weight is 83 kg, and I do not have blood pressure. My fasting sugar is 102 and post prandial is 87. Why is it so? It is happening for the last three years. I am not able to reduce weight inspite of all exercises, and I eat just regular home meals with calorie consciousness. I am currently on 10 mg statin alternate days for cholesterol. Kindly help. Doctor: Hello. There are a few reasons. 1. Pre-diabetes can have such results which means you are more prone to get diabetes. Increased PPBS (postprandial blood sugar) means your pancreas is working very hard to reduce your sugar. It is overworking where it will deplanes beta cells in pancreas soon (beta cells present in the pancreas secrete insulin to maintain blood sugar). 2. Wrong blood report, take the report in a NABL (national accreditation board for testing and calibration laboratories) lab. Regular exercise and diet will help you. Meet a nutritionist and get a diet chart. Get a personal fitness trainer. If these are not working to reduce your weight, then we can think of blood investigation and medical treatment. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 28328, + "tgt": "Why do I get regular mood swings?", + "src": "Patient: Hi doctor,I used to be very kind, warm and confident in life. My mother has been suffering from cancer for the past six years. Now, I feel barren and has become immune to anything in life. I have changed a lot. I get mood swings regularly. I am taking HCG 400 for palindromic rheumatism. Please help. Doctor: Hi. I am sorry to hear about your mother's condition. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23626, + "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": 30945, + "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": 29294, + "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": 3225, + "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": 19047, + "tgt": "What are the causes for continuous chest pain?", + "src": "Patient: Hello\u00a0doctor, I am suffering from chest pain since last three years. About two weeks back, I felt uneasiness, shortness of breath and mild chest pain. The ECG was abnormal. I was admitted to the hospital and was on Lomo injections. They advised me for an angiography and the reports were normal. But,\u00a0CPK-MB was 35 and creatine level was 1.08. After angiography, my doctor discharged me and prescribed Met XL 25 and Mactor ASP 75 for one month. I am still not convinced that they got the actual issue as I am still facing mild chest pain. They told that I have MVP (mitral valve prolapse) as shown six months back in my 2D echo. But, I am not sure why CPK-MB was affected by that. Please clarify. Doctor: Hi. Revert back with the reports and a detailed history to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist\u00a0 \u00a0 \u00a0\u00a0" + }, + { + "id": 27215, + "tgt": "How often do I need a treadmill test?", + "src": "Patient: Hello doctor, I run about five kilometers every alternate day. I recently felt a chest heaviness and a pinching pain. So, I went in for a TMT test. I want to know the frequency at which such tests are to be done. I am attaching the results of my tests. Doctor: Hello. I have gone through your health query and can understand that you are worried about your heart. I have gone through your reports (attachment removed to protect patient identity). Hope it helps. Please feel free to ask more questions if you need further assistance. Regards. For further\u00a0queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8037, + "tgt": "My right testicle and spermatic cord area are enlarged. Please help", + "src": "Patient: Hello Doctor, I am a 42 year old male. In my right testicle, I think spermatic cord is enlarged. I do not have any pain. The right testicle feels firm and spermatic cord feels hard. Doctor: Hi. You seem to have developed funiculitis which is inflammation of the spermatic cord. You will need a course of antibiotics. Please revert back with more details for further guidance." + }, + { + "id": 23926, + "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": 9263, + "tgt": "I am suffering from acid reflux, digestion, throat pain, vomiting and depression. What to do?", + "src": "Patient: Hello doctor,I am having problems with acid reflux, digestion, occasionally mild pain in the throat, feeling like vomiting, and depression. What could it be? Doctor: Hello. I see your problems at two different disorders. First is related to stomach and second is similar to depression. Both of the issues are interconnected. Firstly you have the problem of acid reflux, digestion issues, feeling like vomiting (nausea) and this is causing the mild pain in the throat if the acid reflex is too much. For this issue, I would suggest taking, cap Omeprazole 20 mg one capsule 30 minutes before breakfast daily for seven day This medication will help improve the acid reflux, feeling of vomiting, and throat pain. Secondly, depression is a common cause of stomach problem. I want to suggest you visit a psychiatrist who will see the requirement of medication or you might need evaluation by a psychologist for counseling. Without taking care of depression, your stomach problem might not resolve completely. I hope this answers your question. In case you need any further help, feel free to contact us." + }, + { + "id": 18287, + "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": 3182, + "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": 22785, + "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": 5672, + "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": 11118, + "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": 24309, + "tgt": "Please advise about cavernoma in the pons and the severity of this", + "src": "Patient: Hi doctor,My wife had been diagnosed with cavernomas since she was 15 due a to a gene defect. She had six seizures last week and was admitted to a ward. She was discharged later, only being told she had new cavernomas and the old ones had grown. She never saw a neurologist during her time there. However, today I have been informed she has one cavernoma in her right temporal region which has grown and there is one new one in her pons. I am very concerned about this as we have been offered no advice or anything about the dangers of this and only told we can ask questions when we get an outpatient's appointment which will probably be in a month's time. We are both very scared and concerned about for the prognosis. Can anyone help and give us some advice about cavernomas in the pons and the severity of this, it would be greatly appreciated. Doctor: Hello. Regarding the cavernoma in her pons, it may lead to a low risk of bleeding. It does not cause seizures. The treatment with embolization could be a possible treatment option, but with a high risk because this is a life-threatening region of the brain. Regarding the temporal cavernoma, it is related to seizures. It can also lead to hemorrhage in this region. It can be treated with open surgery or endovascular embolization. Brain angiography is necessary to examine the anatomical features of the cavernoma before discussing treatment options. I recommend consulting with a neurosurgeon about these issues. Monitor blood pressure values and coagulation tests. Take brain MRI with Gadolinium enhancement every year Best wishes. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26317, + "tgt": "I have a reddish hive on my hand from the last 15 years. What is it?", + "src": "Patient: Hello doctor, I have a small red or pink hive from the last fifteen years on my right hand. Doctor: Hello. I have gone through your query and have viewed the image (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 20119, + "tgt": "Why are there faint red spots all over my kid's body?", + "src": "Patient: Hello doctor,My daughter has faint red/pink flat spots all over her body. I first noticed spots on her face a few nights ago. No fever. The only other symptom she has is a wet cough. She has had a cough for two weeks and was diagnosed with tonsillitis almost two weeks ago. Doctor: Hello. With your description, I can list a few possible diagnoses. It is difficult to make a diagnosis without seeing a clinical picture. Can you please add a few clear pictures of the rash so that I can see finer details? Is there a similar rash on the palms and soles, inside the mouth, eye or genitals? Is the rash itchy or painful? Has she taken measles vaccine? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19008, + "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": 28052, + "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": 22393, + "tgt": "I have discomfort and pain in testicles due to bike ride. Please advise remedies", + "src": "Patient: Hello doctor, For the last three days, I am feeling minor discomfort and pain in the testicles. I feel it could be due to my constant bike drive. Can you just advise me what can be the treatment for it? I do not face any problem during intercourse. I do not even see swelling yet when I touch the part, I feel the size of testicles is little bigger. Could you please suggest me some remedies? Doctor: Hello. According to the mentioned history, you are having pain in the testis and slight swelling is there. So, orchitis-like testicular inflammation has to be ruled out and for that, it is better to investigate with ultrasonography of the testis. For pain and inflammation relief, Ibuprofen or similar non-steroid anti-inflammatory drug can be prescribed. According to report further management plan can be decided if needed. I suggest you consult a urologist for an examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4102, + "tgt": "I recently gained some weight even with regular workouts. How to maintain fitness?", + "src": "Patient: Hello doctor, I have been having trouble with my weight recently. I am a female with a height of 5'7\" hoping to be 125 lbs. The lowest I have hit was 126.6 lbs, but that was about a month ago. Now, it ranges from 127-128 lbs. I am eating 1800 calories a day on days I do not workout intentionally (three days a week) and 1900 on days I do. My workout routine is quite different. I do two workouts a day, four days a week. My first workout consists of 70 minutes of brisk walking, and 20 minutes of abdomen exercises afterward. My second workout (which is about six hours later) is 10 minutes of squats, lunges, sit-ups, etc, and 20 minutes of brisk walking. All in all, that is eight hours of exercise a week, not including unintended exercise like skating, shopping, being on my feet all day, etc. I would love to be 125 lbs. My waist ranges from 26 inches to 26.5 inches, but I would love to get it to a steady 26 inches. I have toned my abs, but again, I would love to lose these last few pounds. What do I do? Doctor: Hi, Welcome to icliniq.com. I have understood your concern about losing weight and you are working hard also for that. Your protocol for doing exercise workout is quite satisfactory but you can add 20 more minutes of aerobic exercise and resistance exercise combined. See weight reduction and gaining both depends upon your metabolism and energy intake and expense. Even though you work out well but not maintaining the diet then, you may not get the results that you need. Proper vegetable diet is compulsory. Avoid non-vegetarian diet, bakery items, and outside junk foods which will reduce unwanted calories. Take homemade food whatever and how much ever you want. Just do daily exercise and add yogasanas for 10 minutes, pranayama practice 10minutes at the end of each exercise sessions. So collectively I prefer you need to do daily exercise and pranayama practice." + }, + { + "id": 25894, + "tgt": "I have severe pain in my fingertips and toes. What could this be?", + "src": "Patient: Hello doctor, I have had chronic bloating, indigestion, stomach pain, nausea, and diarrhea for over a month. During that same time, I developed frequent shortness of breath and palpitations with exertion upon waking and after eating. Also, during the same time, I began having severe pain in my fingertips, toes, and elbows that come and go. I just feel very sick. Any idea what this could be? My father had polycythemia vera. My physician assistant did some bloodwork. Monocytes were 10.9, creatinine was 1.6, BUN was 20, and total protein was 8.5. Please provide your opinion. Doctor: Hello. Based on your query, my opinion is as follows: The serum protein and creatinine levels are a bit high possibly due to increased protein intake or associated dehydration in recent times. Monocytes are mildly elevated and BUN (blood urea nitrogen) levels are in the upper normal range. Monocytes may indicate ongoing chronic inflammation. It is only mildly elevated and does not have much significance. For polycythemia vera, hemoglobin levels or hematocrit levels are important. If they are normal, then there is nothing to worry. If the pain is in the fingertips and toes and if there is any associated tingling or burning sensation, we can think of peripheral neuropathy. Vitamin B12 and folic acid supplements should be beneficial. Looking at other symptoms like chronic bloating, indigestion, stomach pain, nausea, and diarrhea, gastritis, increased acidity in the stomach is a possibility. You need to use antacids along with proton pump inhibitors like Pantoprazole to reduce the acidity. You also need to reduce stress, avoid spicy foods, and take regular meals. There are no symptoms of polycythemia vera and more in relation to gastritis. If not checked, check once for hemoglobin levels. Maintain good hydration with at least six to eight liters of water per day. Regards. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 8271, + "tgt": "Why has my belly button popped out after pregnancy?", + "src": "Patient: Hello doctor, I am a mother of two children. After my delivery, my navel has popped out and it has remained so even now. Please suggest some ways to get back my usual naval shape. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12627, + "tgt": "I am afraid of dentistry. Is there a way to heal my cavity without visiting a dentist?", + "src": "Patient: Hi doctor,Today I came to know that there is a cavity in my last molar teeth. There is a pain in that area. Earlier I thought that it is because of new molar teeth coming out, but today I came to know about the cavity. I am afraid of needles, drilling and other stuff in dentistry. Please suggest some natural cure. Doctor: Hi. Unfortunately, there is no some magic cure for the cavities They cannot be cleaned and then refilled by themselves or through home remedies. You should take an appointment at earliest to your dentist and talk to him about your fear. He will deal it politely, you should not be scared. Get it filled else decay will increase and may cause root infection. Meanwhile, if it is paining, take some painkiller. As far as home remedy is concerned, it is clove. Bite clove and put it at the tooth that has a cavity, it will reduce pain, but that is a temporary solution. Also, you can apply clove oil. Put a few drops of clove oil at cotton and put it in the cavity. Stay happy and blessed. Good luck with the treatment. Be strong!" + }, + { + "id": 24146, + "tgt": "What does echogenic endometrium mean?", + "src": "Patient: Hello doctor,I underwent myomectomy surgery five months back for fibroid removal. I am planning for pregnancy now. Recently I did a follicular scan on the tenth day of my period and report showed that I have echogenic endometrium. What does it mean by echogenic endometrium? Does it mean my uterus is not healed completely and still have scars? Endometrium thickness is 8.2 mm. Kindly help me understand this. Thank you. Doctor: Hi. It would be better if you can share black images of ultrasound. It looks like a cyst in one of the ovaries (attachment removed to protect patient identity). For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 21593, + "tgt": "I am implanted with pacemaker and potassium is high. What diet to follow?", + "src": "Patient: Hello doctor, I am implanted with a pacemaker. I am aged 71, potassium 5.1, fasting glucose 273, postprandial 353. What diet should I follow? Doctor: Hello. It needs to be monitored very strictly with diet so that it will help to manage the present condition and avoid kidney problems. Strictly follow a diabetic diet plan with complex carbohydrate diet with a split of seven to eight meals per day. Avoid excess potassium-rich foods like greens, citrus, tender coconut water, ragi in diet till potassium is under control. You can include fruits like apple, pineapple, and guava in diet approximately 100 g per day. For further queries consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 7586, + "tgt": "How to reduce chest fat?", + "src": "Patient: Hello doctor,I am 18-years old male with weight 176.37 pounds, height 68.5 inches. I want to get rid of chest fat and not under any medication. Doctor: Hello. If the chest fat is due to loose skin, it becomes very difficult to get rid of it. The best way to somehow make it proportionate is to work out and get an extensive chest, which will automatically stretch the skin and it will not look like that the fat is accumulating around the nipple area. I will advise you do chest workout three to four times a week although the best workout for chest is still push-ups. I will recommend you to search for chest workouts and start training according to the regimen. It will help you over some time." + }, + { + "id": 10766, + "tgt": "How to know whether I am going to ovulate in this cycle or not?", + "src": "Patient: Hello doctor, I am 28 years old. I had my last period before two weeks. I have PCOS, and the doctor asked me to take Letrozole (3 to 7) 2.5 mg, Clomid (5 to 9) 50 mg, Estradiol 6mg per day (8 to 12) and Metformin 1000 mg daily. I got a positive ovulation test on the 14th day of my cycle, and I went for an ultrasound, and my doctor said I am not ovulating now, so I wanted to know if I am going to ovulate in this cycle or not. Doctor: Hello. It would be helpful if you can share the pictures of the ultrasound you have undergone and also the report which mentions the endometrial thickness on day 14 of your scan." + }, + { + "id": 3281, + "tgt": "I get anxiety attack with sudden chemical depletion. How to overcome it?", + "src": "Patient: Hello doctor, More than 20 years ago, I suffered from anxiety derived from the use of drugs and my family situation, from which I recovered with Deanxit and psychoanalytic therapy. Of course, I quitted cocaine forever. I was in therapy for seven years. At the end I recovered completely, having a full and happy life for more than 10 years. I have a great wife and daughter and very good friends and have a good relation with my family. The fact is that I was feeling very well until about two years ago I began to experiment as if I could not enjoy things. A few months later, being quiet at home at night, an incredible and strong chemical depletion suddenly came over me. It was like a feeling of chemical depletion of the neurotransmitters or something like that in the brain that caused me a downturn similar to when you use drugs. Like when you have a sudden drop of blood pressure. It was not the depression of being crying, feeling of worthlessness, deep sadness. It was these desperate and unbearable feeling. This lasted about 3 days, so I went to my psychiatrist because I could not take that feeling of intense downturn anymore (I have to say that years ago I had already felt those feelings for short periods of time, like a few minutes, and then disappeared, but I did not give them much more importance). He prescribed me Deanxit again two times a day and after four days I was fine. The fact is that he withdrew it a month and the next day I noticed again the unbearable symptoms of the beginning. I went back to the medication and felt good again, but I wanted to switch to a stronger one, following my psychiatrist's advice, because sometimes I was still feeling bad. I tried many others that did not work or made me feel worse. I have tried in between other therapies such as cognitive-behavioral, EMDR, acupuncture and I believe that none comes to the heart of the matter, that it is a serious chemical imbalance that is happening to me and that I cannot overcome and balance. I have also performed neurofeedback, as well as resonance of the head requested by a neurologist and they saw nothing. I am a person who is not obsessed at all with things, very cautious in life and have a successful business for years. I do not usually stress except on some occasions and I consider myself quite rational in general, so I cannot understand why this is happening to me, I am looking for someone who can diagnose my disease, beyond the generic term of depression and anxiety, in which, because of the symptoms that I have explained, I am not reflected. I think that the dysphoria would be the closest, but I also do not feel that irritability that accompanies it. Have you met a patient with similar symptoms before? Or maybe someone to whom you can refer me to understand what is happening here? I absolutely trust science, and I just want to return to the state of normality that I had before all these crises that, I repeat, are so intense and unbearable that I want to die when I suffer them, and that I need to understand what happens to me, having more opinions from other experts. Doctor: Hello, Welcome to icliniq.com. You have actually got everything right with what you think you are experiencing. It is dysthymia. Basically the neurotransmitter deficiency, be it for whatever reason is the cause. In males, it usually appears between 30 to 40s. Also, it is not necessary to have irritability to be called dysthymic. Basically, if you look at a figure of 50 between 0 to 100 as normal and the baseline for mood, you are persistently unable to return to the baseline and are always beneath the normal mood, what people call as mildly depressed. This dysthymic period, when an episode of depression is superimposed, is called double depression which is the episodic problems that sometimes occur. The core of treatment here is the addition of a mood stabilizer, such as Lithium. That in addition to an antidepressant will show you the greatest improvement. Basically the antidepressant will elevate your mood and the mood stabilizer will hold it there. Rest in addition to the medicines, you should continue your therapies as advised. I hope this helps." + }, + { + "id": 23698, + "tgt": "Can you suggest a good anti-aging cream and a breast firming cream?", + "src": "Patient: Hello doctor,I am 40 years old and I have dry to normal skin. Can you suggest a good anti-aging cream and also some breast firming cream? Doctor: Hello. Regards. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 23381, + "tgt": "What is the reason for testicular pain and burning sensation in the leg?", + "src": "Patient: Hi doctor,Actually, I feel sometimes pain in my right testicle for last two months. Sometimes also feel burning sensation, weakness, heaviness in the right leg. For past four months, I was under severe stress, anxiety, and depression due to an unprotected sexual exposure .five months back. It caused self-guilt feeling inside me. Had medications for that. Checked also for HIV (duo combo), VDRL and HBsAg. All were negative till 100 days after exposure. Last month I saw blood in my sperm which got treated and the reason was excessive masturbation because after 15 to 20 days, I masturbated but it was all clear. No issue. For my mind satisfaction, I chose for testicular USG, urine culture and PSA test. All were normal. I want to know if all reports are fine and normal then what is the reason of the testicular pain and burning sensation in the leg. Doctor: Hi. Testicular pain can happen due to any cause like a simple infection of virus or bacteria. So you do not have to worry about it. The burning sensation of the leg could be due to some allergy or something. Your problems are in mind and not the body. You are anxious and guilty as you said. Kindly calm your mind with yoga or meditation. Do activities which interests you and get involved in that. If you still have problems then come for follow up after two weeks to us. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1588, + "tgt": "It feels like some mucus is always stuck in my throat. How to get rid of this?", + "src": "Patient: Hi Dr. I was operated for Nasal polyps surgery 3 years back. From last one month or so, It seems that some mucus is always stuck in my throat and I have to clear it every now and then. This gets worse while lying on bed. I showed it to my ENT specialist and he mentioned that it is GERD and prescribed some antacid tab that did not work. I have no other symptom and I always feel some kind of phelgm in my throat that hardly comes out or go inside while swallowing. This is very irritating. Please prescribe some medicine / any lifestyle changes to get rid of this. Doctor: Dear Welcome to icliniq I reviewed your history and attach file of ENT Surgeon. The problem you described is very typical of two things 1)Postnasal drip or 2)GERD As ENT Surgeon seen you and they ruled out postnasal drip so it is more in favour of GERD and another supporting evidence is its aggravation on lying down. I will recommend to start following treatment and then get back to me after 2 weeks and let me know the response. Antacids will not help in it. GERD Postnasal drip GERD 1. Cap. Deslansoprazole 60mg 1 before breakfast for 8 weeks. 2. Tab.Cetrizine 10mg 1 at night for 2 weeks. 3.Tab.levosulphride 25mg 1+1+1= Before meals for 10 days 1.Try to take dinner at least 2 hours before going to bed 2.Elevate head end of bed about 5 Inch 3.Avoid Smoking and Alcohol 4.Avoid Evening Coffee and tea Let me know after 2 weeks." + }, + { + "id": 13904, + "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": 7436, + "tgt": "Please suggest some back support belt and medication for lumbago", + "src": "Patient: Hi doctor,I am 25 years old and working in the army. I have acute lumbago. The day before yesterday, I had a sudden jerk while playing and continued getting extremely painful spasms that night. I was given covering injections, and the spasms subsided. The pain is still there, and I want to get rid of this. Please suggest me some back support belt and medication. Doctor: Hello. For further information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 3263, + "tgt": "I am not gaining muscle mass though I take fatty foods. Why?", + "src": "Patient: Hello doctor, I eat chicken every week two to three times but I did not get the fat. My weight is 60 kg and my age is 19 years but everything which I eat is like a cold drink which is helpless for me. Doctor: Hello. I understand you want to gain mass to your lean body. A combination of right diet and right exercise can help you gain mass at the right places without becoming fat also. It is important to develop mass at the right place so that you put on weight healthily and look good as well. Your BMI (body mass index) is less than what is required for your physique. However, there is no cause to worry. You are a tall young man in your teens (19 years), hence you would have attained your sudden growth spurt a year or two back. Understand that boys grow suddenly in their late teens when they do not put much weight and hence appear very slim. That is what has happened in your case. For gaining mass, your dietary intake should be more than what the body burns. Also, you must do adequate weight training to improve your muscle strength. To improve your weight follow these suggestions. 1. Take two whole eggs in the morning and two egg whites in the evening. You may increase egg whites in the morning or evenings to a maximum of four or five. 2. Drink plenty of milk and eat nutritious healthy home food. 3. When eating non-vegetarian food prefer boiled meat to fried items. Fish is healthier than other meat. 4. Drink at least four to five liters of water daily, even during winters when you do not feel thirsty. 5. Buy some weights at home and start working out. Find out the right exercises for you, you may find it on the internet various home exercises catering to specific muscle groups. 6. When you exercise one muscle group, give it rest for two days which you may exercise some other muscle group. 7. You may even enroll in a good gym with a physical trainer or instructor who can guide you with exercise machines and what exercises you must do. 8. Before work-out and after work-out take a protein shake (or a milkshake in the beginning days). 9. Incorporate a lot of fruits, vegetables, greens, and salad in your daily diet, so that you consume a balanced nutritious diet complete in every way. You can get detailed advice regarding diet if you contact a dietician who we have in our panel in iCliniq itself. They can guide you with the right protein powders, the ingredients in a diet for gaining mass at your age. I hope this helps." + }, + { + "id": 18215, + "tgt": "Though I had HPV vaccine, I am getting warts. Why?", + "src": "Patient: Hello doctor, I have a\u00a0viral wart on my forehead. Is it caused by HPV? In my teenage, I had warts on my thumb. Even, my doctor gave me vaccine for HPV. Is that worth or useless? Doctor: Hi. Your clinical image (attachment removed to protect patient identity) is confirmative for a verruca plana, which is a plane viral wart. All warts are caused by human papilloma virus (HPV); however the strains causing it are different. On the face, it is usually due to HPV 3 and 10. The vaccines available for HPV are mainly to cover for genital warts caused by HPV 16, 18, 31 and 33. These vaccines do not protect you against the normal skin warts as they are caused by totally different strains of HPV. Taking a vaccine can only protect you against the four strains causing warts on your genitalia. I would advise to go for electrosurgical removal of your wart as it is safe and effective. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30530, + "tgt": "Does spotting rather than normal bleeding indicate pregnancy?", + "src": "Patient: Hi doctor, I am 30 years old and got married a year ago. We are trying for a baby for the last three months.\u00a0My LMP was on the 9th of last month. I never faced issues with my menstrual cycle. It is a regular 29 day cycle. We had an unprotected sex from 17th to 25th for every alternate day.\u00a0I have started getting pain on the right pelvic or pubic bone area from 29th. The pain is not continuous. Sometimes, it was a severe stabbing pain. I have consulted a doctor and performed a vaginal test as well and no abnormalities have been noticed. Also, I have got an ultrasound and thyroid test in the past two months and no abnormalities have been noticed. I got spotted on the 8th and till continued till 10th. It has started as pink and turns into bright red and then dark brown. In the whole three days of my spotting, I had on and off pain. Whenever there is pain, there will be spotting, I can wipe it up with the tissue. On the 8th evening, the spotting continued for 2 hours with 15 to 20 drops and few clots as well. I am sure that was not my menstrual bleeding. I do have proper menstrual bleeding for all these years for three days.\u00a0I have performed a beta hCG test on 10th and the test results came as negative with the value of less than 1. Please clarify my doubt. Doctor: Hello. If the serum beta hCG test (human chorionic gonadotropin) as on 10th is less than 1, then you are surely not pregnant. The symptoms are part of Premenstrual Syndrome (PMS) complex where stress and anxiety can often cause the scanty onset of menses. But, full flow may be achieved in the next few days. There is likelihood that the flow may start in the next few days. Keep a watch, as you are not pregnant during this cycle for sure. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28195, + "tgt": "My 6. 3 year old daughter has breast buds. Will Lupron injections help her?", + "src": "Patient: Hello doctor, My daughter was 6.3 years old when I noticed that she has breast buds. After consulting the pediatric\u00a0endocrinologist, we went for bone age and pelvic ultrasound tests. Both the tests were age appropriate. She is 4.03 feet tall, and I am 5.6 feet, and my husband is 5.10 feet tall. As she has\u00a0bilateral\u00a0breast buds, the doctor wanted to go for monthly Lupron injections, which I\u00a0denied due to all the\u00a0side effects. I heard it causes weight gain, depression, and decreases the bone density.\u00a0Now I am highly confused. Should\u00a0I\u00a0go for the treatment? It has been four months, and I have\u00a0not seen any difference in her breast or any growth acceleration. If yes, then is it worth the risk? Please suggest. Doctor: Hello. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8803, + "tgt": "What could these nonspecific ST-T wave abnormalities on my ECG be?", + "src": "Patient: Hello doctor, I was in ER the other day with tachycardia that started about 20 to 30 minutes after eating. It nearly had the entire day and the next morning I went to the ER. They did some blood work and a chest X-ray and said I was okay and discharged me. The only abnormality on the blood tests was a potassium level of 3.2. All my CMB and CBC were normal. I noticed the ECG had non-specific ST-T wave changes and I told them I was concerned about it. They told me it is nothing and it is not the type of T wave changes they usually worry about. I am not sure they compared with previous ECGs however. I saw their lab write-up later on that they posted and the comparison between the two ECGs as written worries me greatly. They did not post the new ECG but based on the little research I did it seems to me like 3.2 potassium could not cause this great of a shift in the ST-T Segment. What is likely going on here? I am worried this could be ischemia that they neglected to thoroughly analyze because I am a repeat patient and they have not discovered it earlier. I have attached reports herewith. Please help. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) First of all, your ECG (echocardiogram) looks normal to me. But the symptoms you are having may be due to some inherited arrhythmia syndrome or channelopathy. If your symptoms persist, please do 24-hour Holter monitoring and echocardiography and review. Follow up with the Holter report. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1320, + "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": 7243, + "tgt": "I had protected sex with two female partners. Am I infected with HIV?", + "src": "Patient: Hi doctor, I am a 31 year old male, and I had sex with two female partners, three months back. I had vaginal and oral sex. The intercourse lasted for about five minutes, twice with each partner. I had a condom on throughout the time. Starting a week or so later, I had a pimple-like bump at the edge of my\u00a0eyelid, a boil in the\u00a0lower abdomen, an oral infection behind the wisdom tooth. I got both my wisdom teeth from that side extracted. I also got a skin tag in the underarm area, which got sore, reddish, and painful. My blood pressure and triglycerides are also high. I am having diarrhea from the past 8 to 9 days. I do not have a fever, but get headaches at night. I am also getting dizzy from 5 to 6 days. Is there any probability that I might have contracted HIV? Does any of the above health issues indicate HIV infection? Doctor: Hello. The answers to your queries are as follows: Hope your query is answered, but if you still have any other question please do not hesitate to ask. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 962, + "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": 11113, + "tgt": "Can there be rise in creatinine and uric acid during fever and cold?", + "src": "Patient: Hi doctor, I am a 47 year old male weighing 90 kg with a height of 5'9\", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets.\u00a0Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehydration. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports." + }, + { + "id": 2647, + "tgt": "I am pregnant with periodontitis and loose front teeth. What are the treatment options?", + "src": "Patient: Hello doctor, I have seen a dentist recently who said that I have periodontitis. The dentist could not do an x-ray as I am 17 weeks pregnant. The lower jaw front two teeth are lose and I am very anxious whether I will loose the teeth. What treatment options do I have to fix the loose teeth? Doctor: Hello. As per your description, you are having periodontitis, and you are pregnant. It is the inflammation of the periodontal ligament. It should be treated because it may affect the health status. Ofcourse for any kind of second opinion one has to check it clinically or at least have an image of concern area. (you have not uploaded any videos or image of concern area). I would like to tell that it is advisable to do only non surgical procedure during pregnancy if they are needed. During pregnancy, hormonal level also varies so it may also be the reason for your gingivitis. You can read about pregnancy-associated gingivitis or periodontitis. Regarding your lower teeth that are moving, one has to check how much mobility is there and also the bone condition of teeth is important. If grade one mobility is there then you do not have to worry and it will recover, again one has to check clinically. Precautions that you should take are brushing twice daily, gargling after every meal." + }, + { + "id": 9850, + "tgt": "Is there any treatment for reducing creatinine level?", + "src": "Patient: Hi doctor, My mother is suffering from chronic kidney disease. At present her creatinine level is 4.8. Her creatinine levels in the last two years have been increasing in order such as 2, 2.2, 2.7, 3.8 and 4.8 respectively. Her urea level is 114. Is there any treatment for reducing creatinine level? She is suffering from hypertension. Her current prescribed medicines are Cilacar 10 and Met-XL 50 mg. Please guide me doctor. Doctor: Hi. By seeing her reports (attachments removed to protect patient identity), I understand the pattern of rise in creatinine and her condition of chronic kidney disease (CKD). As such there are no medicines to cure creatinine. You just have to make sure that she maintains her blood pressure within normal range so as to prevent further kidney damage. I am sorry to say that she would eventually require dialysis. You can consider her for a renal transplant that would give her a better life. I know you would be disappointed after hearing my answer but your doctor must have said the same." + }, + { + "id": 21377, + "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": 24949, + "tgt": "I had a mole removed which had a darker dot. Was it a melanoma?", + "src": "Patient: Hi doctor, I had a mole removed yesterday from my leg and I am very worried despite my dermatologist saying she did not think it was melanoma. She said she knew I would stare at it constantly and worry and that taking an atypical mole off here and there was alright and saved a lot of anxiety. She knows I have severe health anxiety. This mole was 3.5 mm and the worrisome thing was that it had a darker dot. I was hoping you would take a look. Before I left, I said, \u201cIf it is melanoma -\u201c but she interrupted and said she did not think it was. What I was going to ask though, was if it was, then hopefully it would be early since it is small. Doctor: Hello. I saw the picture (attachment removed to protect patient identity). Clinically, it does not look like melanoma, but it is good that your dermatologist did a biopsy. So, the result will show us if it is a melanoma or not. It may most likely be a dysplastic nevus. I am sure your dermatologist would have looked at the lesion through a dermoscope, which enhances the features, and pattern of pigmentation. I feel it is good to get it biopsied rather than keep worrying about it. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11625, + "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": 24771, + "tgt": "I have severe pain in my shoulder and neck. Please suggest a treatment", + "src": "Patient: Hello doctor, I am a 40 year old female. I have been having pain in the shoulder and many times, this pain extends from the neck to the whole left hand. It pains a lot. I am suffering from this pain for more than six months. It pains so much like I have no control over my body and I get tears in my eyes.\u00a0Please help me get this pain out of me. Doctor: Hello. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 24982, + "tgt": "Does my chest pain sound like a heart attack?", + "src": "Patient: Hello doctor, I have had fluctuating elevated blood pressure for three to four years between 135-180/85-112 mmHg. I did not take any medication. I have had episodes of sudden fainting, pain and burning in the chest. When tested, ECG was fine. But four days ago, it was different. I had felt extremely fatigued for two days, then I felt pain in my center and left side of my chest. My hands seemed numb. I had periodic episodes of cold sweats on the back of my head and neck, as well as a dull ache in my left upper shoulder. The heaviness was there also. This stayed off and on all evening, during which I took two baby Aspirin, which provided a little relief. The next day, I was still very tired and my chest was sore. The pain was sporadic in my chest, like a quick stinging pain. When I tried to do anything, it would try to start again. During this time, my blood pressure reached its highest at 167/112 mmHg. The third day I felt better. I am currently on Zoloft 100 mg once daily. Does this sound like a heart attack? I was terrified. Doctor: Hello. Your symptoms are not typical of a heart attack. They seem to indicate musculoskeletal pain or inflammation. Is the pain triggered by deep breathing or body movements? This would be another argument in favor of a musculo-skeletal pain. The increase in blood pressure values during these episodes is a normal physiological reaction to the pain. So, there is nothing to worry about. Anyways, an exercise cardiac stress test would help reassure you that nothing bad is going on. Regarding your blood pressure values, I would recommend you to measure your blood pressure frequently during a week and write those values down. If blood pressure values are frequently above the normal ranges (140/90 mmHg), antihypertensive therapy may be needed. Some blood lab tests are also necessary to investigate for other possible metabolic causes that may lead to this symptomatology: For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3419, + "tgt": "I am getting hives along with joint pain. Could it be due to allergy or lupus?", + "src": "Patient: Hi doctor, I have hyperthyroidism. I also have tendonitis in both my shoulders. I have been having joint pain for years and I work a lot of physical jobs. Lots of bending, kneeling, lifting and twisting. I hang my hands quite a bit as well. I have been getting hives for the last two months, I have been using tide and gain in my laundry for eight months. My mom is allergic to Tide. My endocrinologist mentioned lupus because of joint pain and hives. I have an appointment with a rheumatologist in four months. I am considering changing my detergent back to see if the hives stop. Could it all be coincidental? How long would an allergy take to show? I have always thought it was the onset of arthritis. I never got a butterfly shaped rash on my face. I am currently taking Methimazole 10 mg, Multivitamins, and Gianvi birth control. Doctor: Hi. Well, the hives do go in favor of urticaria. It can be a part of lupus or can be independent as well. But usually, it is an autoimmune process triggered by some allergen (it is possible it is detergent in your case). But the joint pains you have do not really point towards lupus since it is only restricted to the shoulders. Most of the time, shoulders have a mechanical cause, that is you are overusing it in the wrong way. But never the less, since your appointment is far away, I would suggest you get a few tests done. Even with urticaria, we do these tests. Meanwhile, change your detergent and take a course of antiallergics and see if it improves. You can let me know the results when available. 1. CBC (complete blood count). 2. ESR (erythrocyte sedimentation rate). 3. ANA (antinuclear antibody). 4. CRP (C-reactive protein). 5. Ultrasound of the shoulder. Anti-allergics. With reports." + }, + { + "id": 3381, + "tgt": "What are the best steps to aid healing of ear perforation?", + "src": "Patient: Hi doctor,I have a perforated right ear for more than two years. I do not want surgery. Also antibiotics did not work. What are the best steps to be taken? Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 25590, + "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": 18072, + "tgt": "What are the precautions to take in case of placenta previa?", + "src": "Patient: Hello doctor, My wife is 15 weeks and five days pregnant. Recently, she had an episode of a moderate amount of bleeding per vaginam. We immediately shifted her to the hospital where she was given some conservative treatment, and a USG was done. It was found that the inferior margin of the placenta was covering the internal os. The baby was healthy as per the reports. I am anxious. Kindly advise. Doctor: Hello. However, if you have a doubt, then get back to me with the reports so that I can guide you further. Take care. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17949, + "tgt": "Does oral or genital herpes show symptoms like bloody blisters in mouth?", + "src": "Patient: Hello doctor, I have been getting sores and things that look like blood blisters in my mouth for around six months. I had a swab test and blood work was done to rule out HSV. It came back negative. However, there is still a chance it could be HSV as it takes three to six months to show up in your blood. I am concerned. This is completely out of the normal for me. I do not smoke, drink moderately a few times a week, eat healthily and exercise. Any ideas? Would oral or genital herpes look like this in the mouth? Could it be mouth cancer? Doctor: Hi. Your concern may be oral lichen planus which is an autoimmune issue which is treatable. Or this can be aphthous stomatitis which are oral ulcers and they are also treatable. They flare due to low immunity of any reason, low iron in the blood, B12 deficiency, stress, overthinking, etc. Thirdly, it can be oral herpes which will have multiple ulcers rather than your presentation. The lesion might not be any oral cancer by the pictures (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14947, + "tgt": "Will eating deep fried foods turn to be bad for health?", + "src": "Patient: Hello doctor, I often eat deep fried potatoes with chilly powder. Some say that it will turn into bad materials after they reach the belly. I do not believe it. Is that true? Why is it so? Doctor: Hi. Any food that is deep fried in oil or that contains oil in considerable amounts is not good for your body. Excessive intake of oil might lead to cholesterol deposition in your blood vessels, which in turn can reduce blood supply to the heart. This poses a future risk of heart disease. Moreover, excessive intake of oily food is also a risk factor for obesity. If you indulge in regular physical exercise and control your intake of oily food on a daily basis, you can take a small serving of maybe a small cup of your favorite fried potatoes once a week. This again depends on your age, physical activity, and medical history. Just to stay on the safer side, I advise you to undergo a laboratory test called lipid profile. The blood sample will be taken on an empty stomach. This test will give you an insight into your blood levels of cholesterol and triglycerides." + }, + { + "id": 29243, + "tgt": "I am concerned about my diastolic dysfunction. Please explain it", + "src": "Patient: Hi doctor, I am a 59 year old male. My weight is 230 kg and height is 5'11\". I am suffering from high blood pressure for the last 15 years. I am taking Metoprolol and a combination of Triamterene and Hydrochlorothiazide. I had an echocardiogram before four years. It was mostly normal except for enlarged LA 52 mm and moderate mitral regurgitation. Last year, I had an echo, and the numbers had not changed much. I still had moderate regurgitation, but it showed diastolic dysfunction grade 2 and mild enlarged left ventricle 58 mm. I do exercise and walk for five days a week and have lost some weight, but I am worried about my test results. Nothing was explained much, so I am trying to make sense of this. My EF is 60. I have attached my reports for your reference. There are no regional wall abnormalities. Please explain the condition of my heart. Thank you. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12294, + "tgt": "There is tightness on my calf during sprint after gastrocnemius injury. Why?", + "src": "Patient: Hello doctor, 10 to 11 days ago I had a gastrocnemius injury on my left calf. The first four days the pain was really bad but now there is no pain. I just tried to do a little sprint, run. I can feel tightness but not pain. What do you think this is? Doctor: Hello. Usually, post any sprint or run which is done all of a sudden without reconsidering it as a regular activity there might be doms (delayed onset muscle soreness) and this stays for around 4 to 5 days of time. Post that, the pain reduces in its own without any kind of medication. For now, since the pain is dropped down, do regular exercise which can help muscle stay in the active state so future pains are avoided due to doms and also do hot water fomentation for now for the calf muscle to relax." + }, + { + "id": 14771, + "tgt": "My 13 year old nephew sometimes becomes so angry and beats his younger brother and sometimes when things not given to him he becomes angry and tells he wants to go out of the house", + "src": "Patient: Hello doctor, My nephew is 13 years old, weighs 45 kg, and his height is 135 cms. He sometimes becomes so angry and beats his younger brother and sometimes when things are not given to him, he becomes angry and tells he wants to go out of the house. He likes only his father and not anyone else. We went to a doctor, and she suggested to take medication for that and gave Lonazep 0.25 mg and Sizodon MD 50 mg. He took that for two days. There were effective but were raising his body temperature, and he tells that something is happening in his head. We gave him those medicines without his knowledge, saying that, it is for concentration. I need to know whether he needs medicine or he can be treated through counseling. Also, is this effect because of the medicines he had taken? Doctor: Hi. I would have answered the query more appropriately if you had included a little more information regarding his day to day activities, his academic performance, his peer relationship, etc. Anyways, regarding your query, it can be due to sibling rivalry, or it could be due to adjustment problems or even due to any diagnosable childhood psychiatric problem. If the above problems are just a part of growing up, then psychotherapeutic sessions might be helpful for your nephew. But if these symptoms are due to any underlying psychiatric illness, he might need a psychiatric consultation. About the medicines, the increase in temperature due to medicine is quite unlikely. But yes, it can cause heaviness in the head, which can be perceived as something happening in the head." + }, + { + "id": 11463, + "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": 21148, + "tgt": "What does non-homogenous opacity on X-ray mean?", + "src": "Patient: Hello doctor, My 76-year-old father went for a routine checkup where his X-ray report mentioned non-homogenous opacity in right mid and lower zones. Also, his TLC level was 15.7. I do not want to see him in pain if he would be advised to undergo any surgery or go for chemotherapy. He is old aged and has undergone angioplasty twice. He coughs during the night and sometimes in the day. He is a non-smoker and does yoga regularly and morning exercise. He is fit and does not have a fever. In view of the above description, please advise me the proper course of action. Doctor: Hello. Most probably he has a chest infection or pneumonia which will require a course of antibiotics and a follow-up X-ray after one week. The good news is that he will require no chemotherapy or surgery. Please answer the following questions in order to narrow the differential diagnosis: I suggest the following: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22057, + "tgt": "I have myopia. What can I do to reduce power and quit glasses completely?", + "src": "Patient: Hello doctor, I am a 19 year old boy and I have myopia (2.5 approximately in both the eyes) and I am wearing glasses since two and a half years. Now, I am thinking to quit glasses. What best can I do to reduce the power and quit glasses completely? Doctor: Hello. Myopia is a refractive error. The change in your refractive correction should be checked every six months to note any progression/improvement. Even a fundus examination is necessary. The refractive correction needed can be given either via spectacles or contact lenses. Giving up on glasses will not help. It can further increase the refractive error. If you are not comfortable with glasses, you could switch to options like contact lenses. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16843, + "tgt": "Are OCT results related with light sensitivity?", + "src": "Patient: Hi doctor, Since 5 years,\u00a0I have significant floater 3 to 4 numbers in both eyes.\u00a0I have mild\u00a0light sensitivity\u00a0photophobia. I was on stress medicine Escitalopram (Cipralex) 10 mg, an SSRI, for the past 5 years and presently not taking any medicine.\u00a0Perimetry and eye pressure done regularly every year for the past\u00a05 years. Got an MRI brain and CT scan done two years back and the results were normal. My eye pressure was between 18-20 and the normal vision with floaters is 6/6. Present scenario is recently I have got OCT\u00a0done for eyes.\u00a0Please refer the OCT results and let me know, is there any threat for loss of vision? Are OCT results related with\u00a0light sensitivity? Kindly explain in detail or describe about borderline results of OCT? What does it mean?\u00a0Does Novoret - Lutein, Zeaxanthin, Omega-3 will help to improve borderline thickness region?\u00a0How to improve borderline thickness area? Please help. Doctor: Hi. At the outset I want to assure you that, after going through your history and the OCT results (attachment removed to protect patient identity) there is no possibility of any threat to your vision. I would suggest you to; continue monitoring your eye pressure with periodic OCT and perimetry, preferably automated perimetry. Nowadays there is something called as low pressure glaucoma, the possibility of which should be kept in mind. Lastly, regarding the floaters, fortunately 90% of the time eye floaters are innocent and outcome of the usual wear and tear process. The only time when there can be an indication of something serious is, when there is a sudden sharp increase in their numbers especially accompanied by flashes of light. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12412, + "tgt": "Kindly advise treatment for ichthyosis hystrix", + "src": "Patient: Hello doctor, Please, I need help. My daughter is 10 years old. And she has ichthyosis hystrix in her body's left section, many doctors said that creams are the only treatment for whole life. Please help. Doctor: Hello. Yes, it is ichthyosis hystrix. It is inherited condition and it is in her genes. Unfortunately, it cannot be reversed by any cream or oral medication. However, it can be improved with oral Retinoids and topical Emollients. The drug of choice is oral Acitretin. Apply Emollients like white soft Paraffin plus liquid Paraffin 4 to 5 times a day. The treatment is the same in all the countries. I can understand your concern." + }, + { + "id": 565, + "tgt": "What is the use of Troxipide?", + "src": "Patient: Hi doctor, I am 23 year old male. I am working as a software professional. I recently had some discomfort with digestion. I had severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and he made an endoscopy and endoscopic biopsy.\u00a0The biopsy result is yet to come, but I am scared after seeing the endoscopy report. He said it is not serious and some bacterial infection. The report looks scary to me. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I have attached my endoscopy reports here and I just want to take a second opinion from you. Kindly explain me the problem and give a solution. Doctor: Hi. As your doctor said, there is nothing serious. H.pylori infection and spicy food. 1. Specific antibiotic course for H.pylori for 14 days. 2. Continue your current medications for acidity. Avoid spicy food and take bland diet till the completion of your course of therapy. Also, try to reduce any form of caffeine and nicotine. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10438, + "tgt": "I am getting some rashes after taking Aripiprazole. Should I worry about this?", + "src": "Patient: Hello doctor,I have started taking Aripiprazole 5 mg tablets, after which I started getting spontaneous rashes. My question is, is this effect worrisome (should I go to urgent care)? Doctor: Hello. Aripiprazole can induce skin rashes though it is not commonly reported. It will be safer to get yourself checked to rule out any systemic involvement, especially if you have any fever, pain, signs of the exfoliating rash. Are you on any other medication that can increase the chances of drug-induced rashes? Most rashes are simple and transient, but a few rashes need more urgent attention. So you need to be examined. Depending on the nature and severity of the rashes, you will be advised either to stop or discontinue Aripiprazole. So consult your primary doctor at the earliest." + }, + { + "id": 19051, + "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": 6294, + "tgt": "My right eye is bigger than the left one. Why do my eyes pain and get watery?", + "src": "Patient: Hi doctor, I am a 23 year old girl, who weighs 59 kg and I am 165 cm tall. In some of my pictures, my eyes do\u00a0not look the same.\u00a0The right eye is quite bigger than the left one, but my eye lens looks the same size. Are there any ways to solve this problem? Is there any side effects of this? My eyes pain sometimes, and they feel tired and get watery. Doctor: Hi. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7132, + "tgt": "What is the treatment for constant penile discharge?", + "src": "Patient: Hello doctor,I had gonorrhea or chlamydia five times. I had penile discharge before four months. I started taking Doxycycline, Azithromycin on and off for four months. When I take medicine, the discharge color changes from yellow to clear, and it is not all the time, mostly when I squeeze my penis (very little clear discharge) or in the morning after few hours at work, when I check my underwear, I see few white spots. Lately, I have taken Ciproflaxcin, Cefixime, I was injected with 3g Cefrtiaxone for three days back.I also tried 2G Metronidazole (I thought I had Trachis). I asked a dermatologist that if it is super resistant gonorrhea, he told me it's fungus and he gave me Fluconazole (150 mg per week) and Alka-Ur bags which did not help. I tried to stop Doxycycline for a week, the discharge turned from watery to yellow, and it happens almost all the time. Now I finished 3G Azithromycin (500 mg daily) and 2.4G Cefixime (400 mg daily) and 4G Doxycycline (200 to 400 mg daily). I do not have discharge anymore, but when I squeeze my penis hard, I can see a clear watery line on the tip of my penis. No burning sensation during urination or otherwise. Please advise me on what to do as every current dermatologist I asked does not know what to do. Doctor: Hello. As there are no signs or symptoms like fever, wound, pain, burning micturition, or active discharge, the possibility of an active infection seems to be unlikely. The thin line you are mentioning that appears on the penile tip on squeezing seems more like the lubricating fluid that comes out from penis when stimulated or aroused and is quite normal. It can also be seen on your underwear as sticky spots, which are also normal.To be extra sure, repeat a urine routine and microscopy test and a blood test for STD panel. If they came back negative, it would further strengthen my above statement. Feel free to ask if you have any further queries. Urine routine and microscopy STD panel test." + }, + { + "id": 26375, + "tgt": "I am bleeding after sex. Please tell me why", + "src": "Patient: Hello\u00a0doctor, I am a 24-year-old working girl. Yesterday, I had sex with my partner for the second time after four months. It was my eighth day of periods, that is, one day after my periods gets over. We used a condom for protection. It was a little rough sex as I found that I am bleeding after sex and have some vaginal pain also. I was told that it might be a cut.\u00a0Please tell me can I still be pregnant? I am freaking out because I do not want to get pregnant. This vaginal bleeding, is it safe? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17915, + "tgt": "I have irregular periods and vaginal dryness. Can IUD be the cause?", + "src": "Patient: Hello doctor, I have irregular periods and vaginal dryness. I also have premenstrual spotting, followed by three days of profuse bleeding. I got an IUCD placed ten years back. I use Minoxidil 5 % for topical application, since three months, but I stopped it 15 days back. I have a history of vitamin B12 deficiency, which was treated. I did a test on the third day of my period, and the reports said progesterone is 3.73,\u00a0FSH is 1.52, and\u00a0LH is 1.89. Doctor: Hello. I need more details to understand what is going on. Revert with more information to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 17617, + "tgt": "I feel pain during sex. I tried lubricants. But nothing works", + "src": "Patient: Hello doctor, I feel pain during sex. It has been 5 months after my C-section. I tried lubricants during sex, like lube, vaseline and oil. But nothing works.The pain remains the same. Please suggest remedy for this issue of mine. Doctor: Hi. Revert back with the above mentioned details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4018, + "tgt": "After taking Bupropion, I experience bedwetting. How to control?", + "src": "Patient: Hello doctor, I am 18 years old. The medication I take is Bupropion XL 150 mg. I have not wetted the bed since I was 11 years old, because I used to have problems then. For some reason these past few days I have been wetting the bed again. I am not sure what is going on? Doctor: Hi, Welcome to icliniq.com. I am sorry to hear about your nocturnal enuresis (involuntary urination at night whilst sleeping). Rest assured it is according to evidence most likely not due to a serious cause and should be fleeting: Bupropion is known to rarely cause bedwetting as a side effect, especially in the first six months. Bupropion works therapeutically with your body's neurotransmitters (chemicals used for signaling and sending of specific nervous system messages) and can sometimes cause some of the minor nervous system signals to get confused for a short period, making your bladder muscle contract and urethra relax (for example causing bedwetting). This rare Bupropion side effect do go away within four to six weeks in most patients without specific treatment. The following is what you could do: 1. Apply a few general measures to decrease the risk of nocturnal enuresis like not having any fluids two to three hours before bedtime. Avoiding any caffeinated drinks after 5:00 PM. Take your Bupropion in the morning, relax and take your time to empty your bladder completely at bedtime. Take any other supplements and vitamins in the morning. Make sure your room is properly darkened with no luminescent clock-faces insight, quiet room with soothing monotone white noise, for example, the sound of an air-conditioner in the background. 2. Do not think or worry about whether you might wet the bed. It is a silly transient medication side-effect which is out of your control for now. 3. If you are sleeping well at the moment without having much trouble falling asleep again, some evidence does suggest benefit from setting a relatively soft alarm for mid-sleep. 4. As I mentioned before this particular Bupropion side effect should resolve by itself within four to six weeks typically if however, it does not one can consider changing a second line treatment or adding one of the tablets we usually use to treat primary nocturnal enuresis. This is rarely necessary, however, and there is a high probability that your problem will resolve within a short period of time." + }, + { + "id": 18938, + "tgt": "How to prevent headache in myopia?", + "src": "Patient: Hello doctor, I am suffering from myopia. My vision has been degrading continuously and I have continuous headache. It disturbs me so much\u00a0while studying. What should I do? Will it continue or it can be prevented cautiously? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29947, + "tgt": "My son got a cornea injury. Will his vision be alright?", + "src": "Patient: Hi doctor, My son, who is 6 years old, got an injury in the right cornea by a sharp pencil. The cornea was repaired with six stitches. After 18 days, cataract surgery was done. The next day morning after removing the patch, he saw clearly in open eye. But, from today, he could not see through his right eye. Doctor prescribed Vigamox, Pred forte, Homide drops and Wysolone 20 tablets for seven days. We are feeling completely helpless and afraid. How is it possible? Will his vision be alright? Please give an expert opinion. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16942, + "tgt": "Shall I plan for a baby while on TB treatment?", + "src": "Patient: Hi doctor, Recently I went to doctor as I was coughing up with blood. The doctor prescribed a few tests and x-ray. After that, I got to know that I am suffering from TB. Now, I am on Ethambutol, Pyrazinamide and R Cinex for at least six months. I just wanted to know whether can I still plan for a baby while on TB treatment as I am eagerly waiting to get pregnant. I was on Clomid, Duphaston, and Progynova as I was taking fertility treatment too. But, I recently stopped all fertility medicine when I got to know about TB. I felt that it is worth now thinking of the\u00a0baby. Please help as we are completely confused and so many things in mind making us feel more scary. Doctor: Hi. I can understand your situation For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 8733, + "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": 394, + "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": 8707, + "tgt": "Does my urinary meatus look inflamed or is it an infection?", + "src": "Patient: Hi doctor, From the last five weeks, I have had an irritated urinary meatus opening. My urine tends to leak after I have urinated, and there is a lot of redness inside the pee hole. I have had a full STD test including HIV, and all came back negative, which was done twice. I have attached two photos. There is not much pain to it, just a slightly uncomfortable feeling, and I am not sure if this is due to anxiety. Can you please also tell me if a normal meatus opening should be clear skin or would it be like mine?\u00a0I have noticed a little dark orange urine. My urine culture test all came back clear, but I still have turbid urine.\u00a0I was told from my blood tests that it looked like an infection, so the doctor said it maybe a UTI, and I was given Amoxicillin. But, it has not\u00a0made any difference. Doctor: Hello. I have seen the images sent by you (attachment removed to protect patient identity). Thanks. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1032, + "tgt": "My cheek feels sore after placing a temporary bridge. Why?", + "src": "Patient: Hi doctor, I had a tooth extraction and a temporary bridge on my back upper teeth. The temporary bridge broke and I got another one. After this, I started to have some soreness in my left cheek and left side of my tongue. My cheek feels swollen and sore. I noticed two white bumps on the inner side of my cheek today. Is this from the dental work or something else? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24746, + "tgt": "Can smoking nicotine-free cigarette a day cause hemoglobin to rise?", + "src": "Patient: Hello doctor, I recently was tested for testosterone levels and in addition to a report on these levels, the lab report showed that my hemoglobin was 17.7. This has fluctuated from time to time. Last year, I was referred to a hematologist as my hemoglobin was high and my platelet count was low. With a number of tests over time, including a bone marrow, there was no indication of cancer. At that time, I smoked one cigarette a day and although my usage was light, I thought that it might have raised my hemoglobin so I stopped the smoking for a number of months. About six months later, I started smoking cigarettes that were nicotine free. Although the usage limited to one a day, I am concerned that even this light usage might be causing my hemoglobin count to rise. So, my question is do you think that this smoking of one nicotine-free cigarette a day could be causing my hemoglobin count to rise? My current medications are vitamin supplements, Apixaban 5 mg two times daily, Blast dietary Supplement, Phenylalanine 600 mg one times daily, CoQ10 300 mg one time daily, Fish Oil 1000 mg [300 mg Omega-3] two times daily, Glucosamine HCL 1500 mg with MSM 1500 mg two times daily, Latanoprost 0.005 % Ophthalmic Solution one time daily, Levothyroxine 50 mcg one time daily, Metoprolol Tartrate 25 mg one time daily, Multivitamins one time daily, Mucinex DM two times daily, Niacin 1000 mg one time daily, Palmetto Guard one time daily, Simvastatin 40 mg one time daily, Timolol Maleate 0.5 % Ophthalmic Solution one time daily, and Vitamin D3 2000IU one time daily. I have had the following lab tests and the results are as follows: Hemoglobin is 17.7 H, 13.2 - 17.1 g/dL, hematocrit 51.0 H, 38.5 - 50.0%. Please advice. Doctor: Hello. I have reviewed your complaints and your current medications. From that, I could deduce that you are on medication for hypothyroidism, hypertension, and glaucoma with additional multivitamins. Also, your testosterone levels are slightly elevated. Your elevated hemoglobin levels could be due to many factors which in your case include smoking, hypothyroidism, elevated testosterone and your increased age. All these factors can contribute to elevated hemoglobin levels. Now coming to the question of nicotine-free cigarettes: They have been found to be harmful even if they do not contain tobacco. Any cigarette-like product which requires the user to inhale smoke, the byproduct of combustion, is still subject to unsafe quantities of tar and carbon monoxide. These chemicals lead to lung cancer, mouth cancers, and esophageal cancers. The smoke causes low oxygen levels in the blood which can lead to increase in the hemoglobin level. So I suggest that you quit smoking altogether. You did it for six months and I am sure you can do it for the rest of your life. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 21629, + "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": 21962, + "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": 4421, + "tgt": "Will amylase and lipase levels come to normal if I stop alcohol?", + "src": "Patient: Hello doctor, I am having pancreas enzymes such as amylase and lipase at high levels. I am an alcoholic. I do not have abdomen pain, but I have little high cholesterol. Doctor advised me to stop the drink and maintain low fat diet. Will it reverse to normal if I stop drinking? I have stopped drinking alcohol since the past one month, but I am very anxious about the enzymes. Will they reverse to normal? I am also having high uric acid and gout. I am waiting for your valuable reply. I have attached my reports for your reference. Kindly advise. Doctor: Hi. We are here to help you. I have gone through the report (attachment removed to protect patient identity). For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29718, + "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": 4153, + "tgt": "How can infection spread through sperm in anal sex?", + "src": "Patient: Hi doctor, I am totally new to sexual life and I read a lot about it but have some concerns. First of all my questions would be about gay sex (male with male). Secondly, in my questions I am assuming that no condoms or so protection used. 1. Assume that both parties do not have any disease and one of the cum with huge load inside the ass of other person. Does male semen create or causes any major or minor disease by its own when it is is contacting male ass. 2. Similar to the first question, what if the cum load (semen) was in the mouth. Does male semen create or causes any major or minor disease by its own when contracting mouth. 3. What if 2 male cum at the same time inside the ass of one person does the difference of DNAs in the two different semen cause/create/make any diseases? 4. Why always doctors talk about transmitted diseases but not generated/created/made diseases. When I ask about sex safety I feel like I am getting unrelated answers because I am surely not considering to have sex with someone who is not tested but people always seem to talk about diseases that are transmitted. So please help me to answer based on the case scenario give. Doctor: Hi. I have read your query. As per your scenario the answer is no. Semen in itself cannot harm rectal mucosa or oral mucosa or make a new disease. Only if your partner/s has a disease that is transmitted via body fluids, only then you can get it. Same scenario with two males, their DNAs will not react together to make a disease. But, that said anal fissures can result from lack of lubrication, improper dilatation and improper penetration. However, you end your query by saying you and your partner are planning on getting tested and want to know tests: For this it is better that you both undergo the full panel of STDs and also get tested for Hep B/C, etc." + }, + { + "id": 2311, + "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": 28014, + "tgt": "I have a lot of red spots with pus on my face. Please help", + "src": "Patient: Hello doctor, I have extremely oily skin with large pores, and I have a large wrinkle on my forehead. I also have lots of red spots with pus. Doctor: Hi. I have seen your query and understood your concern. All medicine should be used after consulting your general physician or a\u00a0nearby dermatologist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4193, + "tgt": "Habit and urge of anal masturbation is affecting my concentration in studies. Please help", + "src": "Patient: Hello doctor, I have a problem with sex related to long anal masturbution and it is causing my life at risk. I cannot concentrate properly on my studies. I am feeling constantly with my anus. Please help. Doctor: Hi, Welcome to icliniq.com. I have read your query but it is not very clear. You have not mentioned how many times you masturbate or if it is causing problems other than psychological, and the exact nature of these psychological issues. However, I will address the last part directly where you feel the urge or acting on the urge causes you to lose focus. You can try the following: 1. Divide your day into hours given over to all activities and then try to stay within the allotted time for each (this includes meal times, time allotted for bathroom breaks and masturbation along with different subjects). 2. Do not forget to allot yourself free time to pursue whatever you want even if it 30 minutes per day. 3. If you feel the urge during a time allotted for another activity, it means you have lost focus so shift to another activity and then get back to the remaining time for the former. 4. Try to incorporate exercise in your schedule, endorphins are released in both so that might distract you as well. 5. Last but not least, you do need therapy to figure out which issues bother you anal masturbation, masturbation in any form, excessive masturbation or your inability to concentrate. This can be provided by a school or college counselor as a start if you cannot contact a psychiatrist or psychologist. I hope this helps." + }, + { + "id": 30963, + "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": 3443, + "tgt": "Are hyperpermeable intestines treatable and curable?", + "src": "Patient: Hello doctor, Is hyperpermeable intestine treatable and or curable? Kindly suggest. Doctor: Hi. I hope the following information will help you understand the condition first, and thereafter the possibility of cure and treatment. Together it should help you get your answer. To start with, I am sorry, but your question does not have a simple yes or no answer. Normally, the gastrointestinal epithelium provides a semi-permeable barrier that allows nutrients to be absorbed while preventing larger, potentially toxic, antigenic, or pathogenic molecules or organisms from crossing into the bloodstream. Abnormally increased intestinal permeability allows the individual to absorb the bad food molecules and absorption of bacteria and/or yeast from the gut to extra-intestinal sites, such as mesenteric lymph nodes, liver, spleen, and systemic circulation. This can be also be due to certain drugs, microbial overgrowth, radiation, stress, alcohol intake, enteral/parenteral nutrition, or injury. Increased intestinal permeability occurs commonly with diseases including inflammatory bowel disease, rheumatoid arthritis, ankylosing spondylitis, asthma, eczema, food allergies, alcoholism, trauma, and surgery. Glutamine, phosphatidylcholine, flavonoids, soluble fiber, and fish oil, as well as probiotic organisms, including Lactobacilli and Saccharomyces boulardii, can assist in correcting this abnormal permeability. It would be necessary to avoid triggers like alcohol. And of course, other conditions like rheumatoid arthritis should be looked for. The treatment of cause will help remove the cause. So the treatment and cure would depend on how well one is evaluated." + }, + { + "id": 12885, + "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": 26502, + "tgt": "I missed my periods last month. Now, I have severe pain in my lower abdomen. Why?", + "src": "Patient: Hello doctor, I usually have my periods on the 28th every month. It is regular, but last month, I missed my periods. There was very little\u00a0bleeding in my underwear that looked like an implantation bleeding. So, I thought that I am pregnant because I had all the symptoms such as breast tenderness, tiredness, frequent urination, pain during urination, cramping, some pain like feeling in my lower abdomen, etc. But, I did not do the pregnancy test and did not inform\u00a0anyone. I then had an intercourse with my partner on the 12th of this month. The next morning, at 10 o\u00a0clock, I had a pinkish bleeding and severe pain in my lower abdomen. This bleeding was not like my period, but I used a pad nevertheless. In the last four days\u00a0of bleeding, each day I changed only one pad whereas in my regular cycle, more bleeding occurs. On the 14th, I visited a doctor. She tested me for pregnancy, but the pregnancy\u00a0test was negative. She suspected a urinary tract infection too. Now, I am really confused. I am really scared. Please help me. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9677, + "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": 11992, + "tgt": "I have submucosal uterine fibroid. Will it affect my pregnancy?", + "src": "Patient: Hi doctor, I am a 30 year old woman. I was healthy and normal. But before two months, I was detected with a 2 cm x 1.8 cm x 2 cm submucosal fibroid in the uterus due to which I am feeling very dejected now. Please guide me. Doctor: Hi. I can understand your concern. A lot of females are diagnosed with incidental fibroids and in most cases these can be resected easily. These does not pose serious risk to fertility and do not worry about it. The feeling of dejection can occur due to mild depression or rather I would call this as adjustment disorder. Try to remain relaxed. Discuss the prognosis with your gynaecologist and do not remain dejected. In some case, medicines like low dose SSRIs (selective serotonin reuptake inhibitor) as Fluoxetine or Sertraline can be used. These medicines will help to improve the mood and will help to give you positive mood. Do not remain worried. If there are no symptoms and fibroid is incidental then this would not cause any serious effects on your health. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1538, + "tgt": "I have dysuria with previous history of UTI. How to treat this?", + "src": "Patient: Hello doctor, I am a 25-year-old female. My main concern is dysuria that started the previous night. I also had a history of kidney infection when I was young so I am extra cautious about UTIs. I have had a relatively little intake of water this week. How can I treat this without going to the hospital for a urinalysis? Can you prescribe me something? Doctor: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from dysuria. Dysuria is painful or difficulty in micturition. It can be resulted from urinary tract infection (UTI), STD (sexually transmitted disease), Kidney stone, ovarian cyst, interstitial cystitis, vaginal infection, bladder cystitis, pyelonephritis, urethritis, etc. Treatment depends on causes.so we should undergo some investigations like urine routine, urine R/M/E, USG (ultrasound) of W/A, serum creatinine, urine for C/S to find out exact causes for your dysuria, and then treat them accordingly. As an example, if causes are cystitis, pyelonephritis, or urethritis then they have resulted from bacterial indecision. So anti-bacterial medication should be needed. Take plenty of water and do not hold urine. Take cranberry juice and citrus foods. You can take Cefixime 400 mg (twice daily for 14 days) and abstinence from sexual intercourse during antibiotics." + }, + { + "id": 10406, + "tgt": "Will emergency contraceptive pills work when taken during withdrawal bleeding?", + "src": "Patient: Hello doctor, 1. I took ECP during withdrawal bleeding (as I stopped contraceptives). Will it work? 2. Will this affect my menstrual cycle as I have not got my periods in my due date. I am freaking out. 3. When should I go for pregnancy test to clear my doubt? Doctor: Hello. 1. Usually the possibility of ovulation is less during withdrawal bleeding, so the need for emergency contraception is less. But as you took the pill already, if at all there is any possibility of pregnancy, it can help. 2. Because of high dose of hormone in it, it can affect your periods. Sometimes after taking emergency contraceptive pill, you may see withdrawal bleeding after 7 to 10 days. 3. For accurate result better to test three weeks after having unprotected intercourse." + }, + { + "id": 25776, + "tgt": "What could a cleft-like appearance of the thoracic vertebra in a newborn be?", + "src": "Patient: Hello doctor, My daughter is one day old and on an X-ray, it is showing a cleft-like appearance on the T12 vertebra. The hospital is telling us to follow up with an orthopedic. My question is what can this mean now and in the future? Doctor: Hello. The cleft can be just superficial or deep going up to the spinal cord. If it is superficial then it will not be of a major concern. If its deep then there can be tethering of the spinal cord or bifid cord which can lead to neurological disorders of the lower limbs as the child grows. This can be seen very well on ultrasonography done by an experienced sonologist which will give more information when compared to an X-ray. So the sonography needs to be done which is a safe and easy procedure. Sonography of the entire spine is the next step. This is only a second opinion platform. 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. For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 28502, + "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": 5386, + "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": 7641, + "tgt": "Will a cavitated tooth pain more than a necrotic tooth?", + "src": "Patient: Hello doctor, Will a cavity tooth that hits the nerve hurt worse than a necrotic tooth? I have two teeth that are bothering me but are next to each other. I am getting one pulled, but I am not sure on 100 % on which one is bothering me. I think it is the cavity that has hit the nerve. Kindly advice. Doctor: Hello. Necrotic roots of the tooth cause pain only if the pus formation has increased the pressure inside. The tooth which has a large cavity but nerves are vital is very painful since nerves are stimulated at the slightest touch of fluids etc. You need to ask for root canal treatment on both the tooth as soon as possible. Or else go for extraction. You will need antibiotics and painkillers." + }, + { + "id": 5556, + "tgt": "I have chronic cough. Please explain my CT thorax report", + "src": "Patient: Hello doctor, The CT thorax report for chronic cough in comparison made to chest radiograph. 5 mm nodule seen within the left upper lobe. No other discrete pulmonary nodule or mass is identified. 1.3 cm short axis pretracheal lymph node is identified. Calcifications noted within a normal-sized subcarinal lymph node. No enlarged axillary or hilar lymph nodes are identified. Mediastinum and great vessels are otherwise unremarkable. Osseous structures are unremarkable. Can you please help me to understand the report. Doctor: Hello. I understand from your description that you have a chronic cough and did a CT Thorax, but I am confused as there are no CT images attached. Still, I will try to help you with this report. It says, 5 mm nodule seen within the left upper lobe and 1.3 cm short axis pretracheal lymph node with calcified normal-sized subcarinal lymph node. Rest of the lung parenchyma is normal. I suppose it could be due to an old infection, may be tuberculosis (primary) which went unnoticed and it has nothing to do with the present situation. So you should not worry about this CT findings and try to find out any other cause of chronic cough. You have not elaborated your history in detail to guess any other cause. I advise doing a spirometry test to rule out asthma. It is the most common cause of chronic cough with normal x-ray or CT chest." + }, + { + "id": 13726, + "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": 29606, + "tgt": "Though I am using electronic toothbrush, gum redness is present. Why?", + "src": "Patient: Hello doctor, I went to the dentist before two months. He said that I had good teeth health and gum health. The only thing is for my front teeth on the top and bottom I developed a frayed appearance around the gumline. He said this was from too much gumline and toothbrush contact and that switching to an electric toothbrush would be my best. So, I did, however, change the way I was brushing. Less force, gentle and not as much on the gumline. I recently purchased an electric toothbrush almost a month ago and I do not feel like my problem has changed at all. They still have a frayed appearance and they make me feel self-conscious because I know how pink my gums used to be. When I look at them in the mirror they look red and a little puffy, but not really. It has been almost three months since that dental visit and I am not sure what else I can do to help my problem. If you have any suggestions, then please let me know. I was not told as gingivitis, just a mild irritation due to aggressive brushing. Have I done a permanent damage? It has been present for almost three months. I was taking Chateal birth control pill and stopped it a week before to see if this was a part of the issue. I have attached photos for your reference. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20570, + "tgt": "How to reduce depression with medicines?", + "src": "Patient: Hi doctor, I am having a hard time, and I do not want it to affect my career and social life. I can make the situation better. I am always anxious and suicidal. So I had a thought of taking antidepressants. How can I get them without seeing a doctor and which is good for me? Doctor: Hi. You need to consult a psychiatrist to take medications. Antidepressants are required to be taken under a doctor's supervision. There is no fixed dose for any antidepressant medicines. After taking the medication, the psychiatrist will evaluate the patient's response and depending upon the patient's response, the dosage and various antidepressants are adjusted for the patient. You can try nonpharmacological management to reduce your depression. But you need medication if there is no improvement in four to six weeks. Fix your daily schedule. Take seven to eight hours of regular sleep. Try to do exercise for 30 to 45 minutes daily. Do meditation for 15 minutes. Eat healthy foods. Avoid taking junk foods. Take vegetables and fruits more in your diet. Spend time on creative hobbies like reading good books, writing, painting, learn or play some musical instruments, play outdoor sports, spend quality time with friends and family. Try to stay away from social media. Make a goal for your life and work for it. Live your life. If you want to take antidepressants, then you can take tablet Sertraline 50 mg daily after breakfast or lunch (do not take in empty stomach) and tablet Clonazepam 0.5 mg at night if you have any sleep disturbance. You need to take them for at least six months. But I recommend you visit a psychiatrist face to face." + }, + { + "id": 4232, + "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": 13360, + "tgt": "Is there any way to avoid tightening of calf muscles?", + "src": "Patient: Hello doctor, I feel like my calf muscles are gonna pull and I want to prevent it. It does not hurt, but I can feel the tightness. What should I do to stop this? I am scared. Doctor: Hi. This sounds like calf tightness, but it may be a few other things that are more concerning. If the tightness is only in one calf, you need to get follow up, especially if you are on birth control or have another risk for blood clots. Depending on your age, you may be at risk for problems with your blood vessels that can cause calf pain when walking. Calf tightness is very common especially in athletes and in women who wear high heels and is usually from overuse of muscles that have not been stretched properly, causing inflammation and tired muscles. For treatment, I suggest starting with a massage to the area, which can include rolling your calves on a foam roller or even a small ball. There are specific trigger points that are particularly helpful in treating the knot in your muscles. Do this for several minutes a few times a day. For treatment and prevention, research a few calf stretching exercises and do those several times a day as well. Another important thing for sore muscles is hydration and electrolyte repletion. If you are doing exercise, remember to stretch for 15 to 20 minutes before and after, and ice your calves after exercise. Finding out if your tightness is more due to inflammation or fatigue can be helpful in guiding a more personalized treatment plan, but would require more questions. Also, it would help figure out if you may also have a strain or even small tears that would need to be treated more carefully. Delayed onset of a muscle disorder, muscle strain." + }, + { + "id": 19421, + "tgt": "My father is in coma. Tracheostomy has been done. Is it safe to remove tracheostomy at this stage?", + "src": "Patient: Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage? Doctor: Hi. Consult a criticalcare physician online for further help --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 12015, + "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": 6172, + "tgt": "Does excess clearing of throat cause blood in sputum?", + "src": "Patient: Hi doctor, I\u00a0had pneumonia\u00a0two years ago\u00a0and I have recovered from it after taking antibiotics for 10 days. Two months back, I had bronchitis and a milder form of pneumonia. After a week of antibiotics I felt much better. Now, my main concern is that I have excessive phlegm with some traces of blood as I am doing sports. I am concerned, but at the same time I am not coughing. But I feel the need of clearing my throat quite often. I have good energy and I take vitamins during the day. Could vitamin B12, D complex, vitamin C, NAC and Omega 3\u00a0influence my situation?\u00a0Is this normal? I have attached the x-ray of my lungs, which was done two months ago at the time of diagnosis of bronchitis and pneumonia. Doctor: Hi. Revert with the details to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20304, + "tgt": "I have positive Widal test and high eosinophil count. Please help", + "src": "Patient: Hello doctor, I have a positive Widal test and liver function test showed a high eosinophil count. Anything eaten gets vomited out, intense weakness and fatigue. Please help. Doctor: Hi. You are having typhoid infection of the gastrointestinal tract. For that, it is advisable to take soft and bland diet more like banana, mashed potato, khichadi, etc. Avoid heavy fatty food intake. Take fruit juices more. You should take 7 to 10 days course of antibiotics to kill typhoid bacilli. Drink more water to maintain hydration. You can consult the physician for examination and get prescription of antibiotic like Cefixime for typhoid." + }, + { + "id": 12094, + "tgt": "HSV 1/ 2(IGG) type-spec AB tested positive. Am I contagious?", + "src": "Patient: Hi doctor, I received some routine blood work (annual physical) and my results came in today. I noticed something that made my heart sank. HSV 1/ 2(IGG) type-spec AB tested positive with a reading of 33.10 H. What does this mean? Am I extremely contagious? I have never had a cold sore, nor do I now, and I have no symptoms. Doctor: Hello. 1. In general population, around 50 to 75 % have HSV antibodies in the blood which they might have acquired at some time in the past life due to clinical or subclinical herpes infection. 2. If you do not have any active lesions you do not require any active treatment and neither are you extremely contagious, just as much as those 75 % others. Nothing to worry if only tests are raised and no ulcer or vesicles." + }, + { + "id": 12295, + "tgt": "How can I manage the pressure I feel from the eyebrows that extends till my head?", + "src": "Patient: Hello doctor, I have been having a really strange problem for the past five months. I have been to the doctors and got some blood tests done with some CT scans as well and they told me that they cannot find anything wrong with me. So I am beginning to think that this may be a mental issue and I feel as though it is gradually getting worse. I have a painless tight pressure that starts from the top of my eyebrows and ends at the back of my head, then I start feeling as though I am not an actual person for a moment, I feel as though I am not real. I catch myself just staring at stuff and what worsens my issue is when I look at something, I feel as though I am not really looking at that specific thing. Like right now I am looking at my screen and typing but my brain just makes it feel as though I am not really doing any of that. I have also been very forgetful. It has gotten worse to a point where I cannot remember the things that I did past a minute. I do not even notice or realize half the things that I do anymore, nor can I remember half the things that I do and it just makes me really sad. This all started a day after I finished drinking a Four Loko, a bud light, and a coca-cola all in one night and I stayed up until 5 AM or so. Please help me, I feel as if I am going crazy and I am scared to die even though I feel it is already too late. Doctor: Hello. Your symptoms are suggestive of depersonalization or derealisation disorder (a state in which thoughts and feelings of a person seem to be unreal or not to belong to oneself). It could be part of a broader spectrum of anxiety disorder. You could benefit from both psychotherapies as well as pharmacotherapy. It is important to calm your mind. You can try guided meditation and other relaxation exercises. If it still bothers you, you will have to take medications. Let me know if I can help with anything. Anxiety disorder, depersonalisation or derealisation disorder. Guided meditation, relaxation exercises." + }, + { + "id": 6484, + "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": 12846, + "tgt": "Is it advisable to do weight training after laser eye surgery?", + "src": "Patient: Hello doctor,I have been doing weight training for six months but recently my eye specialist told me to not lift heavy weights because I had laser treatment for retinal holes three years ago. So, should I stop weight training completely or should I drop the weights? Currently, I am doing deadlifts at 20 kg and bench press at 10 kg. So what should be the maximum safe limit to protect retina? Doctor: Hi. There is no limit of weight lifting as such. But usually heavy weight lifting or strenuous exercise is banned if there are untreated breaks. If breaks are secured with a sufficient laser that usually takes 1 to 2 weeks for maximum effect. But there is always a risk of new retinal break formation that is caused by vitreous detachment. If vitreous is detached completely and there is no break, you can workout freely. There is no sharp line of weight. These are just protective measures and varies from patient to patient. That does not stop you from living life. Continue exercise but do not stretch urself too much and protect your eyes from any trauma or injury." + }, + { + "id": 16885, + "tgt": "Is there nothing that can be done about the pain from scoliosis and hypermobility?", + "src": "Patient: Hello doctor, I am a 26 year old female. My height is 5'1\" and I weigh 53 Kg. I have had pain in all joints. I also experience pain in the spine between shoulders and down to my tailbone since 2010, on and off. I have finally seen a rheumatologist. The doctor said I have scoliosis, minor spondyloarthritis and hypermobility. She gave me Sulfazine that did not work and instead I developed nausea. Hopefully in a month, I can start taking an injection which the doctor told will only help with the arthritis pain. I was also told that I need to learn to live with pain and nothing can be done about the pain related to the other disorders. The doctor also asked me to keep taking Ibuprofen. Is there nothing that can be done about the pain from scoliosis and hypermobility? Do I need to learn to live with pain that restricts me from doing any physical work (even cooking and cleaning)? Doctor: Hi. Hope this helps and revert back to a rheumatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 11087, + "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": 14251, + "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": 19248, + "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": 19414, + "tgt": "My blood group is B-positive and fiance has A-negative. Can I marry her?", + "src": "Patient: Hello doctor,I am going to marry A-negative girl. And my blood group is B-positive. So, is there any complication or we can go ahead? Doctor: Hello. I have reviewed your query. To put it simply, persons of any blood groups can marry and have healthy children. But when the female is of negative blood group and male is of positive blood group (as in your case), the baby has a chance of having a positive blood group. This baby blood may pass through the mother\u2019s blood through placenta, leading to formation of antibodies in mother\u2019s blood and posing risk to further babies. But this is not much a problem, because this can be avoided by taking a RhIG injection during pregnancy and immediately after delivery. To conclude, you can marry a negative blood group girl, but you need to mention her Rh-negative blood group to your doctor immediately after the conception of pregnancy so that she can get her RhIG injection during and immediately after delivery. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9769, + "tgt": "What are those white patches I have under my tongue?", + "src": "Patient: Hello doctor,I have three white patches under my tongue. They are in a row right below the side of my tongue, moderate ulcer under one of them and it looks like dead skin, while the other two are not painful. The veins along the sides of my mouth are also white and swollen. Doctor: Hello. It is called the linea alba. These lines most commonly run along with the occlusal plane. Kindly mention if you ever had or currently has any habit or family history of oral or systematic illness or disease. Linea alba is asymptomatic and harmless in itself and resolves on its own. However, if it is persistent for three weeks, the possibility of malignancy should be ruled out by the dentist. The white patch may represent many common lesions of the oral cavity. The most common (and unscrapable) is leukoplakia. Go for Vitamin A chewable tablets and regression must be noticed by the doctor. Ulcers of the oral cavity respond best to Triamcinolone gel applied about four times a day for 4 to 5 days. Regular follow-ups are essential in such cases, to be in regular touch with your doctor." + }, + { + "id": 9564, + "tgt": "I am getting chest pain which is radiating to ribs. Could it be due to liver problem?", + "src": "Patient: Hello doctor, I had hepatitis A last year while I was five months pregnant. Normal liver tests were done in the sixth month. My liver enzymes were high again before a month. Still, I have mild jaundice, tiredness, and itching. History of the bad liver in the family. Reflux and chest pains regularly last for six years. I had very bad pain around the chest, radiating from under solar plexus up till the throat, around ribs. Cannot wear anything tight or have pressure put on ribs as it hurts a lot. Doctor: Hello. The CT findings state that the liver is enlarged. No focal lesions are seen. The portal vein and the branches appear prominent. The splenic vein is also tortuous. However, the spleen is normal in size. These findings are concerning for portal hypertension. Further evaluation with color doppler of the portal venous system is recommended." + }, + { + "id": 29027, + "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": 2058, + "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": 25240, + "tgt": "What medicines can help my bad throat?", + "src": "Patient: Hello doctor, I have had a bad throat maybe because of change in weather as I am traveling. It is like flu with a bad throat and with a blocked nose. Also, my spit is in green color now. Can I take antibiotics? Is it bacterial or viral? I m attaching a picture of my spit. Also, I am on Metformin for weight loss and I am a prediabetic. Please help. Doctor: Hello. If it has just started now you can take antibiotics. I suggest you take tablet Azithromycin 500 mg once daily for four to five days and tablet Hicet DC (Cetirizine and Phenylephrine) one at night for three days. You can also take Xylomist (Xylometazoline) nasal drops three drops three times daily after steam inhalation for your blocked nose. If there is temperature rise, you can take Paracetamol 500 mg three to four times daily. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20555, + "tgt": "What can be done for eczema and itching in a 5-year-old?", + "src": "Patient: Hello doctor, I have a 5-year-old girl that gets severe itching. She has been diagnosed with eczema and scratches until relief. Her skin looks inflammed and pelvic lymph nodes are palpable. Doctors have suggested using the steroid Triamcinolone 0.1 % ointment for two weeks with antibiotic ointment to heal the cuts from scratches along with Aquaphor petrolatum base. We are concerned about using steroid creams. My other son, 18 months, is also getting the same problem. The itching has disturbed sleep habits. It is more pronounced when the kids are not busy. How do we break this itch cycle and what treatments can you suggest both internal and external. My 5 years old was blood tested for allergies and she is negative for dairy, wheat, and rice. Doctor: Hi. The kid has atopic dermatitis. It is a type of eczema that usually starts early in life after three months of age, starts over face in babies, then involves forearms, legs in toddlers. It is very itchy, the erosions from scratching can get infected easily. Most children grow out of by the age of 10. The skin becomes very sensitive, they react to minor triggers like woolen clothes, animal dander, a dye in the cloth. IgE levels indicate the intensity of allergy. It is safe to use Triamcinolone as it is a mid potent steroid, it can be used safely up to two weeks, then skin needs a break from the steroid. Moisturizer is the key to break the itch-scratch cycle. Some moisturizers have ceramide in them, they help to protect the skin barrier. Discuss with your dermatologist regarding Eucrisa (Crisaborole) and Tacrolimus, Pimecrolimus. These are a non-steroid anti-inflammatory medicine that can be used once the rash is under control after using Triamcinolone (steroid)." + }, + { + "id": 3329, + "tgt": "I have burning sensations in the body with numbness and shortness of breath. Please help", + "src": "Patient: Hi doctor, I have been having burning sensations in my chest, arms, and back, numbness in both sides of face, and shortness of breath. I have also been having weakness of the legs. I went to the ER on sunday and they did not know what is going on. Doctor: Hello. I understand your concern and would explain that your symptoms are suggestive of possible anxiety. From the other hand vyvanse can lead to such symptoms as a common adverse effect. Coming to this point I would recommend taking Alprazolam at a low dose for anxiety. If this does not improve your situation I would also recommend performing further tests: Thyroid hormone levels for possible thyroid gland dysfunction, blood electrolytes, vitamin B12 and vitamin D plasma levels for possible deficiency, an exercise cardiac stress test. You should discuss with your doctor on the above tests. If all the above tests result normal I would recommend gradually reducing the dose of vyvanse and see if your situation improves. Stopping this drug may be necessary." + }, + { + "id": 4308, + "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": 1078, + "tgt": "My 1-year-old kid has -3. 5 and -2. 5 refractive error. Do he needs glasses?", + "src": "Patient: Hello doctor, My child is one year old. On routine examination his eye has a power of minus 3.5 and minus 2.5 refractive error. What is the normal refractive error at this age as refraction continues to change? Doctor said to follow up after six months as glasses may be needed if power increases. Please help. Doctor: Hello. First of all, let me tell you that visual development takes until the age of puberty. As your child grows, his vision parameters will change because his eyeball grows with him as he ages. So visual stability will continue to change until the age of 18-20 years old. Normally the child is born with a plus refractive error unlike the case here. Your child has a condition called myopia which is a refractive error with a minus as you said. But that is completely fixable as the child grows whether by glasses, contact lenses, or LASIK surgery if it continues and he needs to take glasses off later. The most important examination in his age is something called a red reflex. You should ask your doctor if he has done it to him. Also, I would ask about the fundus examination too. If both were normal, I would not have any concerns. I want to reassure you that your child's eyes are in good health. He just needs to be examined precisely every follow up every six months as your doctor suggested, just to make sure everything is going right and to treat anything if something happens early. The glasses will not be tolerated by a child as his age is too small, as soon as he can tolerate glasses, put them on. That could happen in two years. If you need further assistance do not hesitate to contact me." + }, + { + "id": 10023, + "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": 22846, + "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": 3964, + "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": 118, + "tgt": "I am in 13th week of pregnancy and experienced postcoital bleeding twice. Is there any problem?", + "src": "Patient: Hello doctor, I am in the 13th week of my first pregnancy. I had two episodes of postcoital bleeding after which USG was done and showed low lying placenta (lower placenta is covering the os). I had been on bed rest and pelvic rest for the past one week and taking Susten 200 BD apart from Folvite. Is it fine for me to go to my work place (I am a pathologist have to sit for three to four hours only)? Any other precaution? Doctor: Hi. If there is no active bleeding you can safely go to work provided the roads and all are smooth and if it is not a very long drive. Please avoid intercourse and vaginal douching. Repeat USG after six weeks for a level 2 scan and look for placental migration. Continue Susten (Progesterone tablet)." + }, + { + "id": 23694, + "tgt": "I have a weird rash. Could it be related to my diabetes or fatty liver?", + "src": "Patient: Hi doctor, I am 31 years old. I was diagnosed with prediabetes at the age of 14. I did not focus much on it until in my 20's when I got diagnosed with actual diabetes with an a1c of 12 or 14. Eventually, I was put on insulin. My first orders were 10 units of Levemir at bedtime and to go up three units every three nights until my fasting blood sugar is below 120. Fast forward to now, I have stopped at 200 units of Tresiba with 15 units of NovoLog with every meal, and 1000 mg\u00a0twice a day. I eat pretty well. No one really eats perfect, but I focus on a\u00a0low-carb and no sugar diet. Also, I have an enlarged thyroid, and my liver is fatty with abnormal things on it. I have neuropathy and a weird rash. Doctor: Hello. Hope you find my advice beneficial. Good luck. For more\u00a0information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 27713, + "tgt": "Am I receiving the correct treatment for my migraine?", + "src": "Patient: Hello doctor, I had a left-sided headache and was advised an MRI. I was told by my doctor that it was a migraine. He prescribed Betacap\u00a0TR in the morning, Tryptomer at night, and Naxdom 500 in the case of a severe headache. But suddenly, there is a left-sided pain with eyes and ear pain. Doctor: Hello.I read your query and understand your concerns. 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 neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13622, + "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": 6896, + "tgt": "I am on antidepressants. Will these medicines have any adverse effect on my sex life?", + "src": "Patient: Hello doctor, My age is 19 years. I am on antidepressant tablets like Paroxetine prolonged-release, Clonazepam, Mirtazapine, and Dosulepin. I have a problem with erection and do not have a sex drive. Will these medicines have any adverse effects on my sex life? What should I do? Doctor: Hello. You are on three different types of antidepressants - Paroxetine, Mirtazapine, and Dosulepin. Clonazepam is meant for short term use. Is your depression better after having these medicines? What is the duration of your medication? Do you experience any other side effects apart from sexual side effects? Mirtazapine is the antidepressant that is least likely to cause any sexual side effects. So it can be continued until your depression is better. Consult with your doctor about gradually weaning off Paroxetine and Dosulepin while monitoring your health. Also, Clonazepam should be gradually weaned off, if using for more than a month. Added to that, seek counseling. Take healthy foods and do regular exercise; it will be helpful." + }, + { + "id": 8145, + "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": 6312, + "tgt": "What is the sound that I hear when I close my ears with my fingers?", + "src": "Patient: Hi doctor, Whenever I close my ears with my fingers, I hear a very faint sound in my right ear from the past couple of weeks. And when I remove my fingers, the sound stops. What is this sound that I hear? Doctor: Hi. For further queries consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15415, + "tgt": "Is Effexor safe for chronic anxiety?", + "src": "Patient: Hello doctor, I am a 34-year-old woman, and I have chronic anxiety that is getting worse and worse as years go by. Yesterday was the first day I went to a psychiatrist. He told me that I have a generalized anxiety disorder, and he prescribed me Effexor, and he said that it is a beta-blocker. He said that there are no side effects or addiction to this drug, and I should take it for about a year. But from what I read online afterward, I read severe side effects, such as constipation, liver damage, etc. and also severe problems when you try to stop it, like brain zaps, losing conscience, etc. Can you give me a second opinion on this drug? I am going to call the doctor that prescribed as well, but I would like to have another opinion. I have a lot of anxiety to the point where my hands-feet-armpits are almost throughout the day sweating. When I am calm, I am not sweating and I do not have hyperthyroidism problems. Six months ago I had a panic attack where I thought I was going to die and it lasted for about three to four minutes. I have tried Minitran. Doctor: Hi. Effexor (Venlafaxine) is SNRI (serotonin-norepinephrine reuptake inhibitor) class of drug that is used to treat depression, anxiety disorder, and panic attacks. This drug is helpful in managing your problem but as you mentioned it has few side effects but usually go away with time and when you try to stop it, you need to slowly taper its dose and then stop. If you stop it suddenly without tapering the doses it causes the discontinuation symptoms as mentioned by you. A similar drug called Desvenlafaxine or drug from SSRI (selective serotonin reuptake inhibitor) class like Paroxetine or Escitalopram are also good alternatives for you. So discuss side effects of these and then decide which drug suits you better, as the efficacy of these drugs is almost equal but side effects are different, so based on side effects profile you need to choose your drug. Hope this clarifies your concern. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10755, + "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": 12090, + "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": 28033, + "tgt": "Can I use these ayurvedic medicines for eczema?", + "src": "Patient: Hello doctor, I am 45 years old, and I am suffering from severe eczema on both legs. I am using Manjishtadi Kashayam, Kaishore Guggulu, and Panchatikta Ghrita Guggulu. Are these medicines fine? Or else, suggest some other medicines. How long can I take these medicines? I have attached pictures of my leg. Doctor: Hello. I just read your query and saw your pictures (attachment removed to protect patient identity). Eczema can be due to allergy or due to some irritant. It can be cured, but it takes some time. All these medicines are very good for eczema, but your problem is very severe. So, either you need to consult a nearby Panchakarma specialist for panchakarma, which will clean your body from inside or a dermatologist, as soon as possible. However, you can take these medicines along with allopathic medicines too if you consult a dermatologist. But you should definitely visit a Panchakarma center or a dermatologist. Otherwise, it will not heal easily. Along with the medicines mentioned above, I suggest applying a mixture of 100 ml neem oil, 100 ml sesame oil, and 50 g turmeric powder. Apply all these on your skin twice a day regularly. Take these medicines for four weeks if you want to wait for some time. Then do consult me after one month for further ayurvedic medicine. I hope you find my answer helpful. For more queries, you can consult me. Thank you. Revert after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4833, + "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": 16155, + "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": 28048, + "tgt": "Are my symptoms typical of an asthma patient?", + "src": "Patient: Hello doctor, A \u00a0couple of months ago, I started feeling tightness in chest, shortness of breath, and overall fatigue. I went to a walk-in clinic, they did an EKG, and everything was fine. They asked me to follow-up with a physician. The nurse conducted a complete blood test and a chest x-ray, and everything came out to be normal. She still recommended me to see a cardiologist for my heart palpitations. I saw the cardiologist, and he did an ultrasound of the heart. He put a Holter monitor on me for a day. All the results came back normal, but I was still having these issues. I feel shortness of breath, chest tightness, and a heavy, dizzy feeling on the back of my head intermittently throughout the day. The heaviness is more pronounced after having meals. Because I felt a bit of reflux too, I went to a gastroenterologist, who confirmed I have acid reflux, and the doctor put me on Omeprazole twice a day. For the shortness of breath issue, I saw a pulmonologist, who said I have asthma after they performed a PFT. He gave me Corticosteroids to use twice daily, and short-acting beta-agonist in the case of an asthma attack. I have been using the Corticosteroids since four days, but I do not feel my condition getting any better. The shortness of breath comes and goes intermittently, and becomes pretty pronounced when I climb a small flight of stairs, or even when I just walk for some time.\u00a0I researched more about causes of these symptoms on the internet, and I found a few serious diseases like pulmonary hypertension and pulmonary fibrosis, which have very similar symptoms to what I am experiencing. Note that till date, I have never had a proper asthma attack. This coupled with the fact that it has been four days, and I do not feel like the Corticosteroids are helping as yet. I am a bit anxious if I have other serious issues like pulmonary hypertension or pulmonary fibrosis. Are the symptoms that I am experiencing typical of an asthma patient? Also, considering I have done a chest x-ray, a heart ultrasound and put on a Holter for a day, is it still possible that the serious diseases would have gone undetected?\u00a0Thanks. Doctor: Hello. 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": 23086, + "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": 19762, + "tgt": "What can be done to improve immunity in 4 years kid?", + "src": "Patient: Hello doctor,My daughter is 4 years and 2 months old. She develops a very bad cough and then along with fever in a day or two. She had a wheezing problem previously so the doctor had prescribed to give Budecort and Levolin puffs or nebulization. So every time when she develops this kind of a dry cough, I am not able to differentiate whether it is just a dry cough or wheezing related. Her cough kind of gets worse in two days and also while sleeping, she coughs continuously. My doctor has suggested giving Ascoril LS and if a cough does not subside then try giving Levolin. What medication should be followed? Also, Metal-P has to be given if the fever crosses 101 but my concern is which thermometer has to be followed. The touch thermometer or the digital one as both show different readings. She gets a fever every six months and we end up admitting her for high-grade fever. What should I do to improve her immunity? She has also started complaining of leg pain once in 2 or 3 months and I was told it is growth pain. Is it of any concern and is there anything that I can follow to prevent it? Doctor: Hello. If you say it is a dry cough, Levolin (Levosalbutamol sulfate) nebulization is not required. This could be allergic also. Also, children have a fever off and on. It could be viral till 5 years of age. After that, their immunity becomes well. Use glass thermometer and follow that only. Do not confuse. Also, if her activity and diet are well, no need to worry. Many allergic children have a cough off and on for 6 years of age. Then they become fine For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25686, + "tgt": "I think I have skin necrosis after a cyst removal surgery. Or is it just infection?", + "src": "Patient: Hello doctor, I got a cyst removed from my breast and now I think I have skin necrosis. It seemed to be healing fine but I thought the stitches dissolved a bit soon. First, I had a huge bruise, then I got a scab off to the side of the incision. The scab went away within a couple days and skin seems to be disappearing now. I have about a 1 inch by 1/2 inch by 1/2 mm deep spot with no skin but instead a yellow film. There is no apparent discharge but appears to be some on band-aid every time I change it. It is itchy, hurts with pressure, and the spot seems to be getting bigger. Does it sound like necrosis or just infection? I have a doctor's appointment tomorrow but, I have anxiety and I just want an immediate opinion to tide me over. Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). It seems like the wound has got infected. I would suggest a course of an oral antibiotic either Amoxicillin or Cephalexin for a week or 10 days. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. In addition, I suggest that you clean the wound with hydrogen peroxide to remove all the slough and dead tissue following which you may use a topical antibiotic such as Neosporin (Neomycin) ointment or Mupirocin ointment, twice daily. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2119, + "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": 3169, + "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": 21503, + "tgt": "What is the white lesion in mouth that started as canker sore and can be scraped off?", + "src": "Patient: Hello doctor, I am seeing white stuff in my mouth. I see more in quantity in inner cheeks and gums when I wake up in the morning. It has been four weeks. It can be scraped off using the finger. I consulted a dentist nearby and she told me it might be leukoplakia and it goes away by itself in a few days but it did not. After a few days, I again visited the same dentist and she told me that it might be precancerous and suggested me to apply ghee on gums every night before bed. I tried everything but it does not go away. I see it every morning and evening. I brush my teeth twice a day. I saw a canker sore in my mouth when it started and I also sometimes feel burning sensation after brushing. Please diagnose and help me out. Doctor: Hello. As I can see you can scrape off your lesions, then it will not be leukoplakia because it is thickened, white patches that form on your gums, the insides of your cheeks, the bottom of your mouth and, sometimes, your tongue. These patches cannot be scraped off. So, I will go with the diagnosis of pseudomembranous candidiasis which will have buring sensation and the lesions are scrapable. Do not worry. It is treatable. Candidiasis can be treated with topical anti-fungal drugs, such as Nystatin, Miconazole, Gentian violet or Amphotericin B. If these antifungal creams are not available over the counter then you can suggest your dentist to prescribe them. Fungal infection. Secondary syphilis. Antifungal creams. For more information consult a dentist online.--->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 22305, + "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": 23114, + "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": 30595, + "tgt": "How to increase my leptin sensitivity?", + "src": "Patient: Hi doctor, I am a 19 year old female. How to increase my leptin sensitivity to increase my metabolism? After losing 12 kg, now I am gaining weight easily. Also, my shape gets ruined as I am gaining weight in the wrong place. 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": 2363, + "tgt": "I have loss of sensation in my penis with difficulty in getting erection. Why?", + "src": "Patient: Hi doctor, So I am experiencing a loss of sensitivity in my penis. I still get erections but it takes way to much effort. I mainly just get them at night. I have no conditions that I know of and I am 24 years old. Doctor: Hello. I have some questions. Do you smoke or drink? Are you diabetic? If not still get your RBS done (blood test). What about your blood pressure? Any sleep disorders? Any previous surgeries? Your cholesterol and testosterone level? Any other mental illness such as anxiety, depression, stress, and relationship problems? Kindly let me know the answers to the above questions." + }, + { + "id": 26811, + "tgt": "I am a diabetic and feel very tired. Please suggest me tests", + "src": "Patient: Hello doctor, I am a 70 year old lady. Over 10 years, I am diabetic. My fasting sugar is 160 and PP 200. I do not have any other complications. I am feeling tired due to insufficient blood. I am having heart palpitations on and off due to insufficient blood. Currently, I am taking Voglinorm 0.3, Jalra 50 mg and Gemer 2 mg once a day. I am attaching my laboratory test results for your reference. Kindly suggest medicines or tests to find out the weakness. Doctor: Hello. I had a look at your test reports (attachment removed to protect patient identity). As a diabetic you need to take care of certain issues: For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 21156, + "tgt": "I have irregular period after unprotected sex. Am I pregnant?", + "src": "Patient: Hello doctor, My periods suddenly stopped after a few hours. Then, it started again the next day and stopped again. I had unprotected sex six days before my periods started. Could I be pregnant? Please reply as soon as possible. Doctor: Hello. If your menses have started after your sexual episode, then it is unlikely that you would be pregnant at all. There is endometrial shedding occurring and hence, you would not be pregnant. However, you may get a serum beta hCG test done to confirm. If the hCG levels are less than 5 ng/dl, then you are not pregnant at all." + }, + { + "id": 7120, + "tgt": "What causes recurrent ingrown nails?", + "src": "Patient: Hello doctor,I have been suffering from an ingrown nail from the past two years. Previously I went to a surgeon and removed my whole pin. But the problem arises again. Doctor: Hello. You can try Graphites 30c four pills once a day for seven days, by stopping taking Hepar Sulph at this time. Along with medicines you will need to make sure that you use open shoes or sandals instead of close tight shoes. Also, soak your feet in warm water twice a day. This will help to reduce the pain and swelling. The recurrent ingrow of toenail commonly occur in diabetic patients, so make sure your sugar levels are under control. If possible, get your sugar levels checked. I hope you start feeling better. Let me know if you have any questions." + }, + { + "id": 18225, + "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": 1556, + "tgt": "I have back pain on standing, sitting and even while sleeping. Please help", + "src": "Patient: Hello doctor, I have back pain on the left side and cannot move on that side. The pain was between my belly and back, but now it is only on my back at the end of the spinal cord. While sitting, standing, or even sleeping, I can feel the pain in this area and it lasts for one week. I am currently taking Ibubrufen. Doctor: Hi. You are very young to actually have persistent back pains. There are many causes of pain in the lower back region. It can be due to faulty posture, related to weak muscles, issues with disc, narrowing of spinal canal, or any bony instability besides many others. So accurate diagnosis is the key to proper management of the condition. You will have to elaborate on your problem of back pain which means the duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs? Please also tell me about any associated symptoms like fever, weight loss, etc. What medications you generally take for your existing problem? If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc, then you can start with following recommendations for an initial period of two to three weeks. 1. Maintain proper posture of your back while working and sleeping. 2. If pain is more then you can take a short course of anti-inflammatory medication like tab Etoricoxib or Paracetamol or one which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and vitamin D intake if levels are low in the body. 5. Ice packs can be applied if your pain is acute, then hot fomentation can be done at home. 6. Analgesic spray for local application can be used and is easily available. 7. Avoid lifting heavyweight or acute forward bending in the mornings, etc. We will observe you for the next two to three weeks on how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation." + }, + { + "id": 30599, + "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": 5748, + "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": 1506, + "tgt": "I have heartburn, dry cough, and nausea for almost a month now. Can you suggest medicines?", + "src": "Patient: Hi doctor, I have been having heartburn, dry cough, and nauseous feel for almost a month now. I have amended my diet for more than two months and have not been eating pork or beef. I am taking veggies and fish now. Also, I am eating small portions already. At the onset, I experience that food has been stuck in my throat, and my stomach feels like it is always full, although I feel hunger. Both my toes cramps at the same time and my toe bumps are also painful. I have been diagnosed with gastritis since a decade ago. I am a 35 years old female and weighs 51 kg. Doctor, can you prescribe me medication? Thank you very much! Doctor: Hi. I reviewed your detailed history, which is more suggestive of reflux disease. I would like to prescribe some treatment at the moment, and I am hopeful that it will get better. There is nothing to worry about and nothing to panic. If you have any other query kindly get back to me. Thank You. No need at the moment GERD (gastroesophageal reflux disease). 1. Capsule Omeprazole 40 mg. One in the morning and one in the evening before meals for two weeks and then only one in the morning before meals for two weeks. 2. Tablet Levosulpiride 25 mg. one tablet two times daily before meals for two weeks. 3. Syrup Gaviscon 10 mL. Two times daily after meals. 1. Elevate the headend of your bed by at least 5 inches. 2. There should be at least 2 hours gap between dinner and going to bed. 3. Avoid smoking. 4. Avoid late-night tea/coffee. Get back to me in a week." + }, + { + "id": 27090, + "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": 28467, + "tgt": "Through histopathology, can we get 100% accurate diagnosis?", + "src": "Patient: Hi doctor, I have a few doubts regarding the pathology reports. Please clarify. It seems like advances in pathology is increasing diagnostic confidence. Can alcoholic liver disease biopsy result ever be 100% accurate by itself? Labeling something as \"consistent with\" could be a real problem for all involved if the patient insists on social drinking history only.\u00a0Would use of chemotherapy for breast cancer and hyperlipidemia prohibit a 100% definitive ALD diagnosis? Doctor: Hi. For further doubts consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 1277, + "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": 3068, + "tgt": "Chiropractic session is not helping my dizziness due to C1 dislocation. Why?", + "src": "Patient: Hello doctor, I am struggling with dizziness due to C1 being out. My chiropractic sessions are not helping. My chiropractor does not hold the C1 itself, but just my head and cracks. Is what he is doing wrong? Should not he grab the out of place bone and crack it? Doctor: Hi, Welcome to icliniq.com. I have reviewed your question. I am sorry you are experiencing back pain and dizziness. Believe it or not, 80% of people will experience back pain at some point in their life. I do have several questions before I can fully answer your question. How do you know C1 is your issue and how do you know it is out? Have you had any other diagnostic tests to explain your dizziness? Any CT scans, MRIs, etc? When did the dizziness start? Have you tried any exercises for this issue? Answers to these questions would be very helpful. Since I do not have the answers to the above questions, I can only say this. Chiropractors are taught to examine the whole spine and evaluate the whole body, symptoms and all. If your chiropractor is not adjusting C1 like you want him to, it probably means that he is finding something else that he believes may be more of an issue for you. With that being said, it is ultimately your decision as to whether or not you continue to see this chiropractor. Without answers to the questions above and without reviewing the chiropractor\u2019s notes, it does not sound like he/she is doing anything wrong by not grabbing the out of place bone and cracking it. I would always encourage my patients to get a second opinion if they wanted. I hope this helps." + }, + { + "id": 859, + "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": 17283, + "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": 5392, + "tgt": "My wife has thoughts of hurting our baby. What has to be done?", + "src": "Patient: Hello doctor, I am in a relationship and I need to give you her background. As a child growing up she was sexually and physically abused. She has a couple diagnoses however today she confided in me that she was having thoughts of hurting people and our one year old daughter. I can guarantee she would never act on it but we have had therapists call child services on us so we are trying not to talk to our therapist about this. She is also off her medication and waiting on her medical Marijuana card to arrive. Over the past three years she has been on 32 different medications and the pot is basically our last ditch effort. I am just looking for advice. It is much appreciated. Doctor: Hello. I would advise you to start her on medications. The thought of hurting your child should not be taken lightly. Ofcourse she would herself never do it, but you have no idea how powerful these thoughts can be. Please make sure she is on medication and in therapy. I cannot warn you enough. Your therapist is not wrong in taking such a step. I can understand it is a difficult spot to be in but, it is the right thing for your baby. Please till the time she is not stable, do not leave your child alone with her and make sure she is on medication and in therapy. Please do not ignore mine or your therapist advice, it is always better to be cautious." + }, + { + "id": 21413, + "tgt": "What causes fever and common cold?", + "src": "Patient: Hi doctor, I am suffering from cold and fever. Please help me. Please tell me some medicines. Doctor: Hi. Fever and common cold come due to viral upper respiratory tract infection. For that tablet, Levocetirizine 5 mg can be taken once a day for five days. Take Vitamin C 500 mg once a day for five days. If the common cold is more severe, then Oxymetazoline nasal spray can also be taken for three days. Investigate your CBC (complete blood count), ASO (antistreptolysin O) titer. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2222, + "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": 3806, + "tgt": "Is it possible that i-pill could stop the period for lifetime?", + "src": "Patient: Hello doctor, I and my partner had healthy sex. The next day she had periods and after six days we had unprotected sex due to which she had taken i-pill on that evening. Two months passed she still did not get her periods. I am worried. Please suggest any solution. Two years back also she has taken i-pill. This is the third time she is taking. Is it possible that she may not have periods for the whole life? Please help. Doctor: Hello. It is unlikely to be caused by i-pill. Does she has any underlying periods problem? It is probably not a permanent problem and she will have her periods soon. At this stage, we first need to rule out pregnancy. She should undergo a urine pregnancy test twice at an interval of 12 hours for confirmation. If it is negative, then she will need a detailed evaluation of the cause. She will need ultrasound pelvis for uterus and ovaries, and hormonal profile like thyroid function test, serum FSH (follicle-stimulating hormone) and LH (luteinizing hormone). She should visit a gynecologist once for examination and for these investigations. Medicine could be initiated after ruling out the pregnancy and finding the cause. I hope this helps." + }, + { + "id": 23791, + "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": 12581, + "tgt": "Can formula be given to newborn baby for jaundice?", + "src": "Patient: Hello doctor, My daughter was born a week back. Upon leaving the hospital her jaundice levels were at 10.2. The follow-up appointment was yesterday and after doing a bilirubin test it went up to 11.2. The doctor stated I should start supplementing with formula as I am breastfeeding. However, she was having 6 to 8 diapers a day with breastfeeding. Please guide. Doctor: Hello. You need to check the weight of the child and the hydration status of the child to comment on the reason for icterus. Also the blood group of the baby and mother should be known along with G6PD status. Another important factor that comes to play is breast milk jaundice which may be caused due to breast milk itself in some children. All the above problems (except the G6PD, blood group mismatch) are tackled easily without any issues when top feeds are given (temporarily). Hence, the doctor may have advised you for top feeds." + }, + { + "id": 208, + "tgt": "I am extremely scared of any noise. Is it due to psychotic illness?", + "src": "Patient: Hi doctor, I am 27 years of age. I had gone to study in abroad. I was extremely lonely there. I am a huge hypochondriac and when I started getting sleep problems, I started thinking I had some fatal disease. Subsequently, just three months ago, I somehow became convinced that I had schizophrenia and vigorously started searching about my symptoms on the internet. I started feeling extremely detached from my surroundings and from everything around me. I also started feeling detached from people. Nowadays, I feel extremely scared of any noise made by inanimate objects around me. Even a running air conditioner scares me, though I know that it is a non-living thing. It seems as if I have lost the ability to process things. A bird chirping scares me. While I know it is a bird chirping, I still get scared of that noise? A newspaper moving in the air scares me, even though I tell myself that it is a newspaper. I know this does not sound good. My question is, is there any possibility this is not a psychotic illness? Could this be anxiety or depression? And if it is a psychotic illness, is it possible that it might go away and not last like schizophrenia? Will I ever be able to work? Please help me. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1948, + "tgt": "I have tooth and gum pain below the right jaw. How to get rid of this?", + "src": "Patient: Hello doctor, I have tooth and gum ache (not sure where it comes) but on the below right jaw. On day 1, the pain was there continuously and used Naproxen. (I was able to have coffee and tea). On day 2, pain was there then contacted physician on icliniq and suggested Ultracet for 3 days. On day 3, I used Ultracet twice a day, pain was there sometimes (continuous pain gone). On day 4, I used Ultracet twice a day, pain was there sometimes (not able to drink hot coffee). If I take coffee pain comes immediately and after gargling with water it goes away. On day 5, today I had breakfast, had one Ultracet tablet. Pain was there for some time after having breakfast and now it is fine. But I am scared of taking any hot coffee or tea. (now I stopped completely). Doctor: Hello. I have gone through your query and attachment. (attachment removed to protect patient identity). I can see some gingival inflammation and also abrasion of teeth near the cervical area. That abrasion is also a cause for severe sensitivity to hot that you are having. Abrasion needs to be treated clinically with restoration. Once this pandemic of Covid-19 gets subside then you can get it treated in a dental clinic. For time being use Sensoform KF toothpaste. First, apply it on your teeth then keep it for 30-40seconds then brush it as you do daily. This is the way to use sensitivity toothpaste. Use mouthwash for gargling at least at night before going to bed after tooth brushing. For pain, if severe you can take Ultracet P or if not severe then can continue with Ultracet when needed. It will be better if you upload images of your teeth from the occlusal surface so that I can see any caries or gingival infection." + }, + { + "id": 11564, + "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": 29521, + "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": 29105, + "tgt": "Why am I having constant headache and hair fall?", + "src": "Patient: Hi doctor,For the past five months, I have had a constant sore head that causes hair fall. Also, by the same time, my eyebrows and eyelashes started falling out. For a few months, it was a very painful headache, and was losing like 10 eyebrows a day on a bad day. The hair often has the white skin follicle attached, and the eyebrows and eyelashes started being as light as my white skin. I have been caring it as much as possible, and I have massaged my head a lot. But, I still can barely touch my eyelashes and eyebrows without them falling out. Doctor: Hello. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13082, + "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": 27729, + "tgt": "Is it safe to take iron supplements for fatigue or can it become toxic?", + "src": "Patient: Hello doctor, I began presenting last fall with some chronic fatigue. The initial blood work showed low iron saturation without anemia. I have attached reports of the same. There were other endocrine-related findings as well. In the course of various endocrine-related treatments and corresponding blood work, I began iron supplementation in the form of ferrous sulfate 143 mg daily. I began this before the blood work was done. So, you can see that that the levels have increased. Subsequent testing, a month later, showed a decline despite continuing treatment. Most recently, you can see that the levels are back up. Note that the ferritin levels began a bit low around 27 ng/mL and had increased to 30 ng/mL. I have received a wide range of conflicting advice about whether low iron levels in the absence of anemia can cause fatigue. I have also received a range of conflicting advice about whether to continue iron supplementation. One doctor told me to continue taking the iron until the ferritin is up around 50 or so. Another said that would be unnecessary and to discontinue it and wait for three months to re-measure the blood work. It is all quite puzzling. Please help me to understand iron's role, if any, in fatigue in the absence of anemia. And help me to then understand the rationale for treatment or lack thereof. And finally, please give me some sense of when iron toxicity emerges in terms of blood work measurements and at what frequency one needs to check the iron levels during any supplementation. Doctor: Hello. You can consult an endocrinologist or a neurologist based on your reports, but iron medication need not be continued as per my opinion. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 944, + "tgt": "I get yellow stool and diarrhea with fatty foods and rib pain. Is gallbladder removal necessary?", + "src": "Patient: Hello doctor, I am a 20-year-old female. I have had bad stomach issues since February. It started with yellow stool, and diarrhea when eating fatty foods. I have pain on and around my right rib cage and in the same spot in my back near my shoulder blade. I have done an HIDA scan and my EF was 68%. CT, ultrasound and blood work was normal. My doctor wants to remove my gallbladder anyway because he says I seem to be symptomatic without test evidence. Have you ever heard of this before? Is this possible? Doctor: Hello. I will definitely help you. As per your history and investigation report your diagnosis maybe some kind of hepatitis in which there is a yellow color of stool and urine without any evidence of any abnormalities in USG and CT scan. If USG (ultrasound) is normal and there is no evidence of gallstones then no need to remove gall bladder as it is a very sensitive investigation for gallstones. I will advise you to do hepatitis A, B, C, and hepatitis E marker tests for confirmation of diagnosis. Please attach all investigation reports for better comments about your illness. I need your liver function test also. I am advising treatment for you please start as soon as possible. Avoid fatty and spicy diet. Drink plenty of water. Hepatitis A, B, C and E antigen. LFT (liver function test). Tablet Udiliv 300 mg BD for 15 days, Pantoprazole 40 mg OD for 15 days." + }, + { + "id": 28239, + "tgt": "Why am I having frequent chest pains and shortness of breath?", + "src": "Patient: Hello doctor, I am an 18 year old\u00a0male, and I am overweight. I have been having sharp upper right chest pains, that are very frequent. I did not have them before, but I started getting them recently. At first, I was having shortness of breath, and it felt as if someone was standing on my chest. But now, I have bad sharp pains at night. They come and go intermittently. My doctor prescribed Baclofen and Omeprazole. Doctor: Hello. Your chest pain is a result of gastroesophageal reflux disease (GERD). Cardiac chest pain increases during respiration and comes with other symptoms like palpitations, etc. Omeprazole and Baclofen that your physician prescribed should reduce the symptoms you are experiencing. I will advise you continue with both medications for a week. If after a week it still persists, report to your physician in case he or she has to adjust the dosage or change the medication. I am a bit worried about your weight, you risk having a major cardiovascular event if you do not start losing weight immediately. Please see a dietician or weight loss expert to help create a diet plan to help you lose weight. I will also advise you check your blood pressure, blood sugar level, and lipid profile and revert, to make sure it is within normal range. I wish you a quick recovery. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23932, + "tgt": "What does my CT scan indicate?", + "src": "Patient: Hello doctor, My CT scan impression is as follows: hypodensity seen in right external capsule - infarct. Diffuse cerebral atrophy. Lacunar infarcts in bilateral basal ganglia, corona radiata and centrum semiovale. Doctor: Hello. Regarding your concern, I would explain that these CT scan findings indicate repeated small ischemic strokes related to uncontrolled high blood pressure. I would recommend performing a Doppler ultrasound of the carotid arteries to exclude any possible significant narrowing. In the meantime, Aspirin is the main treatment to prevent further strokes. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I would recommend physiotherapy and trying to maintain normal blood pressure values (his actual blood pressure values are a little high). Piracetam can help improve his situation after the stroke, as a brain supplement. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5236, + "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": 4495, + "tgt": "What is the possibility for developing a blood clot without hormonal or other risk factors?", + "src": "Patient: Hello doctor, I was wondering if I need to be concerned, or what is the probability if any, would I have at developing a blood clot if I have no blood clotting genetic issues (factor v, etc), not on any hormones (was on birth control pills for 12 years but been off for almost four years), no recent surgery, do not and have never smoked. I am just going to be moving 12 hours away and someone I know developed a blood clot in their leg after a 12 hours drive and did not have any risk factors (smoking, hormones, etc) to their knowledge. I got a little nervous about this possibility because I had a friend who died of a PE. Also, should I take Aspirin before the trip and wear compression socks or would that help? I am a 31-year-old female who only takes prenatal vitamins, Vitamin B12 1000 mcg chewable, Citalopram 10 mg, and occasional Excedrin as needed. Thanks. Doctor: Hi. I can understand your concern. Before I can answer your question, you mentioned that you are taking prenatal vitamins. Just curious if you are pregnant or plan to do so? Do you have previous unplanned or accidental abortions? Please let me know." + }, + { + "id": 5344, + "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": 20669, + "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": 27166, + "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": 28108, + "tgt": "How to get rid of left-sided headaches, which increase on chewing?", + "src": "Patient: Hi doctor, I have left-sided headaches from the last five\u00a0days. I notice it more when I chew food. I have anxiety problems since last two years, for which I take Petril\u00a00.25 daily. Please help me. How to get rid of these headaches? Doctor: Hi. I read your query and understand your concerns. I will be glad to help you further.\u00a0Thanks and regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20673, + "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": 17540, + "tgt": "Why are my WBC, RBC and monocytes low?", + "src": "Patient: Hi doctor, I have some red and purple dots on my stomach and hand. I have been sick for a long time and I lost my weight. My immune system is really bad. I had my blood test done and the result shows that the white blood cells are low at 3.9 and the red blood cells are 3.7. Also, my absolute monocytes are low. I have unknown bruising, bleeding gums, fatigue, throwing up feeling, loss of appetite and weight. What could this be? Please suggest me. Doctor: Hi. Based on your query, my opinion is as follows: Nutritional improvement like vitamin B12, folic acid, iron, vitamin C and protein rich diet For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15661, + "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": 22188, + "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": 25455, + "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": 29198, + "tgt": "What is the risk of HSV encephalitis in a HSV 1 positive person?", + "src": "Patient: Hi doctor, I am suffering from HSV 1. I have a mild recurrence on my mouth and face. Will I get HSV encephalitis at any point of life? My immune system is healthy and I do not have much blisters. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25277, + "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": 22071, + "tgt": "Why is there pain in my parotid gland?", + "src": "Patient: Hi doctor, I have a pain in my parotid gland for about two months. It hurts when I am eating. The first taste of my food was worst. Now, I have a constant throbbing pain throughout the day and have even more pain while eating. I was sent to an ENT who told me to massage the area of pain while drinking water. The pain is almost unbearable. I went to the ER, a week ago for the pain and received some Tramadol, but should I get another opinion? I have done a CT, ultrasound of the parotid gland. Doctor: Hi. I can understand your concern. It may be due to inflammation of the parotid gland or stone in the gland or a parotid abscess. After a thorough examination, we need to follow the following basic investigations to finalize the diagnosis: Depending upon these reports, treatment can be planned. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17679, + "tgt": "Why has there been no bleeding after taking Unwanted 72?", + "src": "Patient: Hello doctor, I had a protected sex with my wife 10 days ago. In order to delay her periods, she consumed one tablet of Primolut N the same day before having sex. By mistake, I touched her vagina after touching my penis. To avoid any risk of pregnancy, she consumed Unwanted 72 within eight hours of having sex. It has been more than 10 days she has neither bled after consuming Unwanted 72 nor has she had her periods until now. What are the chances of pregnancy? It has already been 12 days. Is it possible to test for pregnancy now? If yes, kindly mention the name of the test and any precautionary measures to be taken before going through the test. Doctor: Hello. It is not necessary that there should be withdrawal bleeding after taking Unwanted 72 (Levonorgestrel). They are high dose hormonal pills which may cause delayed periods too. If your spouse has skipped her expected periods, she can check her urine pregnancy test with early morning urine sample to be sure if she is pregnant or not. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13037, + "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": 20303, + "tgt": "Kindly suggest a remedy for chronic rhinitis", + "src": "Patient: Hello doctor, I have been suffering from chronic rhinitis for the past two years. After taking homeopathic help for the past six months, the condition is a bit better but not up to what I expected. The things that trigger my sneezing and cold are a change in the temperature like air conditioners and room temperature, eating orange and lemon, eating anything cold like ice-cream, cold drink, etc. Doctor: Hi. Your rhinoscopy nose examination also should be done to check polyp, deviated nasal septum, etc., like pathology, if present. These conditions can lead to repeated rhinitis. You can avoid cold as you are having an allergy of that. In excess cold climate, you can wear hot clothes. Citrus fruits are good for allergy. You can take one teaspoon turmeric powder with milk daily. During allergic rhinitis, you can be prescribed Fexofenadine tablet course which is an anti-allergic medication. It is better to consult otorhinolaryngologist for examination and accordingly further management." + }, + { + "id": 5996, + "tgt": "Is Prevagen or Prevagen extra strength pills safe for brain boost?", + "src": "Patient: Hello doctor, I would like to know if the Prevagen or Prevagen extra strength pills are safe. I heard that the FDA issued a warning but am not sure if it is true or not. I am in my mid-20s, male with no medical conditions. I sometimes feel mentally tired because of work and responsibilities. I believe I need something to boost my brain to help me function better. I have to wake up at 5:30 am almost every day. Are there any recommendations? What should I do? Doctor: Hello. It is a fact that the FDA (Food and drug administration) has issued a warning because of some potentially serious side effects of Prevagen and in fact FDA is planning to take legal action against the firm who manufactures and promotes Provagen. Provagen is promoted as a brain vitamin which is a myth and moreover FDA has asked the company to label it as a \"DRUG\" and not as a \"SUPPLEMENT\". Provagen contains an ingredient called Apoaequorin. The potential side effects of Provagen include stroke, seizures, emotional instability, behavioural changes, and tremors. I would strongly recommend you stop taking Provagen, and instead of that you should use and adopt natural things like meditation, regular exercise, lifestyle modification, etc., to deal with everyday stress. I hope this helps." + }, + { + "id": 12848, + "tgt": "Will taking two emergency pills within a week cause delay in periods?", + "src": "Patient: Hi doctor, I had unprotected intercourse with my fiance and he ejaculated inside me 20 days back and within 24 hours I took a pill. After a week, we again had unprotected intercourse and he ejaculated inside me and again I took a pill within 24 hours. I have not got my periods yet. Could you suggest what to do? Doctor: Hello. Unwanted 72 has a side effect of messing up periods and since you have taken it twice so probably your periods are delayed due to this reason. I would suggest doing a pregnancy test to be sure and if you vomited the next day, then it had not affected the efficacy of the pill, and your symptoms may be due to anxiety or stress due to delayed periods." + }, + { + "id": 3391, + "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": 10983, + "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": 16042, + "tgt": "Can congenital hypothyroidism lead to brain development issues?", + "src": "Patient: Hello doctor, My girl is 10 months old. Her growth and development are very slow. The test showed elevated TSH level 164.23. Diagnosed with congenital hypothyroidism. I am also hypothyroid but I have been taking my medication Eltroxin 25 mcg properly from the two years. Then why this happened to my daughter? Her development and weight throughout the pregnancy period were normal. Are there any chances of mental retardation or brain damage because hypothyroidism is diagnosed at age of 10 months? At the time of birth, she was healthy. No newborn screening was done by the hospital. Her birth weight was 3 kg 400 gm now she weighs only 5 kg 800 gm. Will she have to take medication throughout life? Doctor: Hello. I just read your query about your daughter's congenital hypothyroidism. I am sorry and I can empathize with you but at the same time, I would like to say that timely diagnosis in an infant for congenital hypothyroidism is very essential and your daughter was diagnosed early on before any damage occurred in the sense for growth and brain development. Congenital hypothyroidism occurs due to an inborn error of metabolism and can be manifested anytime after birth. Yes, there should have been an at birth screening. Your hypothyroidism has only a transient effect to the developing fetus if you are already on treatment. Her weight is increasing so that is a good sign. As long as she is on treatment and at the correct dose then the child can grow normally without any brain development issues. These are the things which happen when the child goes undiagnosed. So please be positive. Your prime responsibility now should be at watching her growth and development. Just monitor the following signs at all times. Decreased activity, large anterior fontanelle, poor feeding, and weight gain, small stature or poor growth, jaundice, decreased stooling or constipation, hypotonia, hoarse cry. T4 (total or free T4) and TSH should be repeated 4 to 6 weeks after initiation of therapy, then every 1 to 3 months during the first year of life and every 2 to 4 months during the second and third years." + }, + { + "id": 4100, + "tgt": "How to treat a lupus butterfly rash?", + "src": "Patient: Hello doctor, Last summer, I sat in the sun for a few hours tanning. Nothing to drink and I used two oils on me. My face and chest have been red ever since. After then, I donated my blood and they sent a letter saying about some blood cells. I had my appointment with a rheumatologist and got blood work done and I guess it had come back stating I had lupus. Everything has cleared up on me with the redness except my so called bufferfly rash. What do I do? I am starting to get annoying also. This week I have also started to notice my hair has been thinning and I have a weird bald spot on top of my head which in fact I have not had my hair cut trimmed in over a year or two. So what would you think about that also? Last year, I had pain in my knuckles in the winter every morning I would wake up but not come back that is the confusing part. I am starting Prednisone tonight to see if that helps and I am on Topamax and Adipex right now those are it. Doctor: Hello, Welcome to icliniq.com. I have gone through your history and images. (attachment removed to protect patient identity). Your rash seems still very florid and the alopecia is setting in. I am not sure about the medications you are taking as it does not show up on the phone app, but you need to increase your medicines. Oral steroids are needed in your case. It will stop the hair fall and improve the rash. Although they do come with side effects of weight gain and increased hair over the face, it will help to stop the disease process. I am sure you are already on Hydroxychloroquine that would continue for a long time. Topical steroids are not recommended for the face as they can cause scarring. Topical Tacrolimus creams are helpful. Lastly, I would like to know if there are any major organs involved in your case. From the history, it looks like minor organ lupus only, but remaining workup is essential to be sure." + }, + { + "id": 22388, + "tgt": "My son has nearsightedness. What can be done ?", + "src": "Patient: Hello doctor, My son is 14 years old. He has nearsightedness with -3 diopter and he goes for computer programming classes regularly. His aim to be a computer engineer. Can he go for it or if his myopia gets worse in future or affects his vision in the future, can he work on computers? Doctor: Hello. Sure, he can go for glasses. Myopia can progress but that may progress even if he is not doing computers. Just make sure he uses his glasses most of the times while using computers also. Get his vision tested regularly at six months. Get his power changed whenever he feels there is any change. Make sure to get the adequate prescription from an ophthalmologist, not from an optometrist only. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22221, + "tgt": "Breast cancer detected two days ago. Please provide expert opinion on treatment", + "src": "Patient: Hello doctor, I need advise from experts about my mother. She is suffering from breast cancer. It was diagnosed two days ago. I want an expert's opinion for future treatment. Kindly guide me. What is the best treatment? Doctor: Hello. I have gone through the attached reports (attachment removed to protect patient identity). Yes, the biopsy report has confirmed the diagnosis of breast cancer. Now, the next step will be to stage this disease. For that purpose, she will be adviced to do a CT scan of chest, abdomen, and pelvis plus possibly an isotope bone scan and mammogram of bilateral breasts. Once the staging work is completed, she will be planned for an oncological treatment. Various treatment options are available for breast cancer - chemotherapy, radiotherapy, surgery, hormonal and target therapy. It will be planned after completion of staging workup and once the pathological and molecular details of the tumor are available. The low-risk breast cancer or good prognostic breast cancer depends upon the below-mentioned factors. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 562, + "tgt": "I am always bleeding while having sex. Why?", + "src": "Patient: Hi doctor, I am 24 years old. I got married 1 month back. I am bleeding after each sex. It happened around four to five times. Also, I get some pain and this is ignorable. Previously, I suffered with period problem, facial hair and PCOS. Please help. Doctor: Hi. As you rightly said, it is due to PCOS (polycystic ovarian syndrome). You need to undergo a gynecological checkup, especially a speculum examination to rule out any abnormalities of the cervix and vagina because of bleeding during sex. If you are not planning for baby, you can be on Krimson oral contraceptive pills under gynecologist supervision. Or else, you need to consult an infertility specialist and take medicines to regularize your cycles and ovulation. Reducing weight also will improve ovulation and periods. I suggest you not to delay fertility in view of PCOS. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13959, + "tgt": "I have little bumps on my genital area. What could it be?", + "src": "Patient: Hello doctor, I have little bumps on my genital area that could be genital warts. How do I know for sure, and what do I do to remove them and prevent infection? Doctor: Hello. I have read your query. I have seen the attached photograph also (attachment removed to protect patient identity). As per details, these are the following possibilities for your symptoms: The confirmation of diagnosis is done by clinical examination and if needed, a skin biopsy is done. Treatment depends on the diagnosis. Broadly, Radiofrequency ablation (RFA) works in all the above-mentioned conditions. You should visit your doctor for clinical examination." + }, + { + "id": 3240, + "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": 10797, + "tgt": "I am feeling muscle and joint pain after playing rugby. Is this normal?", + "src": "Patient: Hi doctor, I am a 22 year old female. I was playing touch rugby two days ago. It just so happens, and I have not exercised in a while now. I am having severe lower back pain, muscular and \u00a0joint pains around my thighs. Today is the second day, and I am still feeling the pain. Is this normal? Do I\u00a0need to seek medical attention? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20122, + "tgt": "My sleeping time is disturbed. Please help me overcome this", + "src": "Patient: Hello doctor, My sleeping time is disturbed. I wake up at 10 AM and sleep around 1.30 AM. I want to be normal again. I know that I am spoiling my health. But I do not know how to overcome this. Please help me. Doctor: Hello. All you need is just to follow a healthy sleep hygiene schedule. I would advice you to follow the above sleep hygiene practices to schedule your sleep wake cycle. If this does not work then you might be in need of therapy in the form of medications, bright light therapy. For further queries, consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 7010, + "tgt": "Can mouth sores occur due to deficiencies?", + "src": "Patient: Hello doctor, My mother is 67 years old with 58 kgs and is about 5' 4\" tall. She is diabetic and hypertensive and also suffered from depression about 6 to 7 years back. And now she is better. Her hemoglobin levels were low when we tested about three months back about 10.9, and the doctor started her on Orofer XT. Now it has come to 11.9. Also, she has been given two vitamin B12 vaccinations in the past four days. She has been complaining of mouth sores on her tongue and under the tongue, which prevents her from eating anything spicy. The dentist two feels that it could be because of deficiencies. I am attaching her latest iron profile and haemogram. Please let us know if all is fine and also can you get slow healing sores due to deficiencies. Doctor: Hello, Welcome to the icliniq.com. I have read the attached reports (attachment removed to protect patient identity). The hemoglobin level, serum ferritin, HCT values, and all iron profile values are within range. So your iron deficiency anemia seems to be treated well with Orofer tablet (Ferrous Ascorbate, Folic acid). The transferrin saturation is slightly low, and peripheral smear examination report shows microcytic anemia. But as all other parameters are within range, no need for further treatment. However, it is advisable to rule out hemoglobinopathy by HB electrophoresis by HPLC method as suggested. The mouth sore could be due to multivitamin, especially vitamin B deficiency. So your doctor has treated you correctly with Multivitamin injection. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 6961, + "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": 709, + "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": 18709, + "tgt": "My TSH - 5. 96, free T3 - 2. 49, free T4 - 0. 76, Age 33. Do I need thyroid medicine?", + "src": "Patient: Hello Doctor, Free TSH 5.96, freeT3 2.49, freeT4 0.76. Age 33 years. Symptoms - weight gain, depression, late periods since second delivery and 2 years back. Do I need thyroid medicine? Doctor: Hi. I would like to know when was this thyroid test done? This seems to be a very mild thyroid dysfunction. Does anyone in your family have thyroid problem? I would recommend you to consult an endocrinologist\u00a0online\u00a0to go for some more testing (like thyroid antibodies and repeat thyroid function test) and initiate thyroid medication if necessary --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5947, + "tgt": "What is pancreatic rest?", + "src": "Patient: Hi doctor, Please find the attachment of the endoscopy report of my wife. She had stomach pain a long time ago, and we did the endoscopy. But, the doctor did not explain the reason to us. Could you please explain to me? What is pancreatic rest? What do you think about the nature of her polyps and the risk of malignancy? Thanks in advance. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9705, + "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": 7263, + "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": 19603, + "tgt": "My ultrasound shows mesenteric nodes in iliac fossa. What is this?", + "src": "Patient: Hello doctor,I recently scanned ultrasound. In the scan report, few mesenteric nodes are seen in right iliac fossa region. There is no evidence of ascites or para-aortic lymphadenopathy. What is this? I am in fear please suggest me. Doctor: Hi. Small lymph nodes do not cause a problem. The common cause of enlarged lymph nodes is tuberculosis or lymphoma or other malignancy. The radiologist (who has seen your nodes) can make better comments (on the basis of the appearance of the nodes). If there are no symptoms (fever, weight loss, pain, external swelling), no need to worry. You may discuss with the radiologist about the appearance of the nodes or may wait to repeat the ultrasound after three months. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1844, + "tgt": "Why does my 3-year-old daughter pass stools once in 3 to 4 days only?", + "src": "Patient: Hello Doctor, My daughter is going to be 3 yrs old soon. She doesn't pass stool on daily basis. After a gap of 3-4 days she passes the stool (with lot of difficulty) which is very hard and sometimes she gets rashes and slight blood stains appear in her potty. She eats everything. We try giving her lots of water. She is also very active. This issue has started from last 2 months of irregular potty. we tried giving her Ayurveda medicine (swauff water) but that too is not making her do every day. Before that she used to do every day without any issue. kindly advice me , what can be done to make her potty loose and the ways i can guide me child to do potty every day. awaiting your reply Thanks & Regards. Doctor: Hello, hope you are safe. Thanks for the elaborate history. I appreciate your concern for your child regarding constipation. First of all include High Fibre in diet avoid milk at night. Start lactulose syrup 5 ml 12 hrly it will help and please be in follow up. May I know the weight of the child. And is there any associated complaints abdominal distention? Is the child passing normal urine? Is there any fever? Regarding diet, if possible arrange a telephonic conversation with me or if not possible I will send a diet chart which will help Regards. Hope my advice helps. Idiopathic Constipation Conservative High Fibre diet After 1 day" + }, + { + "id": 4190, + "tgt": "Do positive MT test confirms the presence of tuberculosis in a kid?", + "src": "Patient: Hello doctor, I need to know whether my child is affected by TB or bronchitis? I have attached his ESR, blood test, TST and chest x-ray. Kindly suggest. Doctor: Hi, Welcome to icliniq.com. I have seen the reports. (attachment removed to protect patient identity). The very first thing why you suspected that your child may have TB (tuberculosis)? What are the problems he is having like prolonged cough, are any swelling in the neck or any contact with a person who is known for lung TB? Looking at his weight, he seems to be growing well. Except for MT (Mantoux tuberculin test) which 15 mm positive, all other tests are normal, x-ray findings are non-specific. Best if you can get his sputum test to isolate germs (in this age group it is done by gastric lavage), or if he has significantly large glands in his neck, then a needle biopsy of the gland which a safe and easy procedure. There is a very fast and accurate test known as PCR (polymerase chain reaction) to confirm the presence of TB germs. If there is a contact with a confirmed case of lung TB, then with this MT result, you need to start medication. I hope this helps." + }, + { + "id": 28313, + "tgt": "My friend's father is in a coma after a road accident. What is the prognosis?", + "src": "Patient: Hi doctor, I need some help with the prognosis of my friend's father, who is in a\u00a0coma due to a road accident, while he was on a\u00a0bike. He is 76 years old, and his heart stopped,\u00a0which was resuscitated after some time. His coma score is minimal,\u00a0and he is in this state from the past 13 days, with no changes. We would like to find out the prognosis and possible likelihood of coming out of the coma. I am attaching all his test reports. Doctor: Hi. I have seen all the attached reports (attachment removed to protect patient identity). Please do write back with more doubts.\u00a0Praying for a quick recovery of the patient.\u00a0Regards. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 17929, + "tgt": "Is my hymen intact?", + "src": "Patient: Hi doctor, I am 26 years old. I am going to get married. My query is regarding my virginity. I do like to know whether my hymen is intact. Will I bleed during my wedding night? Through hymen, how to know my virginity? Your opinion is of great concern for me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16945, + "tgt": "My cough lasted only for a week and the doctor says it is tuberculosis. Please help", + "src": "Patient: Hello doctor, There is parenchymal infiltrate on the right upper lobe of my lung. My doctor said that I have a ptb3, which looks like a serious stage of tuberculosis. I was shocked because I never had a cough since September. Before the month of September, my cough lasted only for a week and then suddenly went off and I feel all right until now. I never had a\u00a0fever or\u00a0cough again. I searched through internet about the symptoms of tuberculosis and I found that I experienced none of those symptoms. Please help. Doctor: Hi.\u00a0 Revert back with the reports to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 6115, + "tgt": "I had a fluid-filled swelling on the gum and metallic taste in mouth. Why?", + "src": "Patient: Hello doctor, Last night I went to bed after feeling fine all day, and when I laid down I got a horrible metallic taste in my mouth. When I felt the bottom gum right at the back there appeared to be a fluid-filled swelling on the top of the gum (there are no teeth in that part of my mouth), and when I looked this morning there seemed to be a whitish cream colored lesion on the inside of the gum and a couple of tiny ones on the top of the gum near to where the swelling is. I contacted my GP, who prescribed a mouthwash over a phone (Benzydamine), saying that it sounded like an ulcer with the constant metallic taste. It kept me awake the whole night. But I am not really sure if I have somehow burnt my gum without even knowing? Doctor: Hello. I read your query. The condition you wrote may be due to several reasons:- 1) Due to burning by hot drink is possible but usually, it is seen in the anterior (front) of mouth. 2) It can be aphthous ulcer which is normally seen in the mouth but they are painful. 3) Are you on any medication like antibiotics not specified in your question? 4) Ulcer may be due to some mouth dissolving medication which might have burnt that area. 5) It may be due to trauma by your toothbrush. 6) Any upper tooth impinging on that area can cause an ulcer. 7) Apply chlorhexidine gel twice or thrice daily locally. 8) Take a B-complex tablet or capsule twice daily for 10 days. 9) Take a proper diet and lots of water, avoiding extreme hot food or drinks. If not resolved, feel free to consult again." + }, + { + "id": 5564, + "tgt": "I have regular cycle with primary infertility and pcos. Is laparotomy necessary to conceive?", + "src": "Patient: Hello doctor, I am 23 years old. I am married for one and a half years, with regular cycles and primary infertility. History of laparotomy for pseudo tumor intestine before 15 years. I had PCOS. We have been trying to conceive for the past eight months. My scan report shows: Right ovary: 6x6 cm with multiple endometriotic cysts 31x44 mm, 15x20 mm, 19x25 mm, also clear cyst 23x24 mm. Normal ovarian tissue present. Antral follicle count 5-6. Left ovary: 8x7 cm, endometriotic cyst 7x4.7 mm, 3.6x3.1 mm, 3.1x4.1 mm. Normal ovarian tissue seen. No antral follicle count. Kidneys: bilateral mild hydronephrosis. My doctor suggested me laparotomy. What shall I do? I do not have any children. Is there any other procedure to get conceive first and after that let me do the operation for my cysts? Is there any medicine so that my cysts become small? Any other option except laparotomy? I need your suggestion. Doctor: Hello, Welcome to icliniq.com. I have gone through your reports. (attachment removed to protect patient identity). It is confirmed that you have PCOD (polycystic ovarian disease) and endometriosis as well considering the large 10 cm cyst in the left ovary. Now, this cyst can be laparoscopically removed under experienced hands and then you can be placed on progesterone-only pills for at least three months for further control of endometriosis, and also on Myo inositol supplements for three months simultaneously to control PCOD as well. Post treatment there would be a good chance to conceive in the next six months with an ovulation induction and an IUI (intrauterine insemination) procedure and may even timed intercourse would prove fruitful. But that endometriotic cyst would have to be removed as that shall not regress with medications, not more than 3-4 cm in the next three to six months. Surgery would be mandatory and I still advise the laparoscopic approach considering primary infertility." + }, + { + "id": 10911, + "tgt": "Why am I hearing metallic scratching sound for the past one month?", + "src": "Patient: Hello doctor, I am continuously hearing a metallic scratching sound for the past one month. Best described as like the sound of cricket insects as heard in the dead of night. I am taking medication, namely, Syndopa plus, Rasalect, Pramipex ER3, Rozucor, and Amantrel for Parkinson for last seven years. Doctor: Hello. I understand that you have tinnitus. Has it been there only for a month? Is it associated with any decreased hearing? Is it there in both ears? Is the tinnitus accompanied by vertigo or vomiting sensation or fullness in ears? Have you done any testing for the same? When a patient comes to us with symptoms like yours we ask for all these details in history to rule out any neuroma in the nerve or age-related hearing loss or Meniere's disease. A basic investigation that we ask is pure tone audiogram. Additionally, I would suggest you get a SISI (short increment sensitivity index) test done. These two should give us a fair idea and help us rule out the above conditions and check for the cause of tinnitus. If the tinnitus does not have any cause we can help you tolerate it using tinnitus matching and masking. Some centers also provide tinnitus retraining therapy. These are useful. Certain medications like Caroverine and Nicotinic acid also are helpful in improving the condition. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9779, + "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": 20644, + "tgt": "Why am I having burning sensation and pain in penis?", + "src": "Patient: Hi doctor, I have had a burning in the urethra now for over 11 months not resolved. The burning feeling is constant and is coming from the urethra part along the penis. The pain is worse after urination or ejaculation. I have had an ultrasound, DRE, urine tests, STD tests, PSA which are all normal. I have seen one urologist six months ago who diagnosed as either chronic prostatitis or pelvic nerve irritation. I have taken Celebrex 200 mg per day, no help. Lyrica 300mg twice per day, did help with pain initially, now not effective. Prazosin 1 mg per day, the only change is urine frequency and dribbling has stopped. Baclofen 5 mg twice per day, has helped with lower back and buttock pain. I am not sure what else to do, nothing is working for the burning in the penis. Any suggestions? Doctor: Hi. Your treatment has happened on the right line, as diagnosed by the urologist you have CPPS (chronic pelvic pain syndrome). This has many components like pain frequency dribbling lower back, buttocks pain which improved but still burning in the penis is persistent. This disease along with medication need regular perineal relaxation exercises. Perform pranayam, mainly practice moolbandh pranayam daily for 15 minutes in the morning and evening. Till the effect of these exercises improves, the sensitivity of your pelvic structures takes the following medication. Capsule Roliflo OD 2 mg (combination of Tolterodine 2 mg with Tamsulosin 0.4 mg) for 10 days. Isabgul powder (psyllium husk) 3 teaspoons HS drink one glass water over it. If Roliflo has started, then you need to stop Prazocin. If improvement is observed, we will adjust doses." + }, + { + "id": 6871, + "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": 16769, + "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": 7527, + "tgt": "After fingering, my vagina is burning a lot and I feel like scratching it. What to do?", + "src": "Patient: Hi, I was fingering my pussy, now it is burning a lot and I feel like scratching it. Please help. Doctor: Hi. Hope it helps. If the problem persists, consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28906, + "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": 2028, + "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": 14016, + "tgt": "Will taking Anardana tablets cause stomach pain in a child?", + "src": "Patient: Hello doctor, My 4.5 years old son has taken 25 to 30 digestive Anardana tablets without our knowledge. From then, he complains about severe stomach pain after 1 to 2 hours. We have consulted the doctor and he gave an antibiotic course of four days which was completed. Problem is still there. We have done ultrasound, blood tests, urine test. All are fine except 1 to 2 pus cells in the urine. Then, we consulted alternative medicine doctor, he says that stop all medicines and only give a small quantity of milk mixed with water to him. Kindly suggest what to do. Doctor: Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Since, it has been four days when your child has eaten Anardana tablets and the ultrasound and blood reports are normal, the child probably has developed acidity. Since you have already given antibiotics for four days, there is no point in continuing antibiotics. In my opinion, you should give Digene syrup 5 ml three times a day for seven days to child and syrup Cyclopam 5 ml for pain on SOS basis. 1 to 2 pus cells in urine is a normal finding and nothing needs to be done for it. A small amount of milk with water also helps in reducing acidity. In all, I think that you should not worry much as the ultrasound report is also normal. Review after two days." + }, + { + "id": 11098, + "tgt": "There are red blisters on the back side of the body. What is the treatment?", + "src": "Patient: Hello doctor,My husband is having some red blisters on the right back side of the body and beside his right nipple for three days. He is having a mild burning sensation when the cloth touches these blisters or rashes. Please help. Doctor: Hello. I have gone through your case. I have two diagnoses in your case. 1. Insect bite reaction, and 2. herpes zoster. Insect bite reaction does not require any treatment, but you need to follow the treatment as early as possible. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Acyclovir 800 mg five times a day for seven days on following timings, at 6 and 10 AM, 2, 6 and 10 pm. 2. Tablet Cetirizine 10 mg at night for seven days. 3. Fucidin cream (Fusidic acid) two times a day. Herpes or insect. Drink plenty of water." + }, + { + "id": 15887, + "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": 10092, + "tgt": "My dad is in coma now. What will be the prognosis?", + "src": "Patient: Hello doctor, My dad is suffering from JE and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition? 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 doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25555, + "tgt": "I have a small hole in the middle of my tooth. What should I do?", + "src": "Patient: Hello doctor, I have a small hole in the middle of my tooth and the top of my tooth. I do not have any other symptoms. The only medication I am taking is a multivitamin. What should I do? Doctor: Hello. As per the explanation, it looks like a tooth decay but does not look deep. So my suggestion is to consult a dentist and get evaluated and if the decay is superficial then filling of the tooth with a tooth-colored filling material will prevent further decaying. Investigation to be done are to take a tooth X-ray for confirmation of the severity of decay. Probable diagnosis is dental caries. Preventive measures include brushing your teeth twice a day, use antiseptic mouthwash gargle and a get a dental checkup done every six months. Follow up with the X-ray results. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9631, + "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": 4377, + "tgt": "What causes toothache once the filling chipped off?", + "src": "Patient: Hello doctor, I flossed by a tooth where a filling almost came out and my tooth and gum have been hurting all night. Also have a tooth that is by this molar that fell or chipped out. I do not know if it is an abscess or an exposed nerve in my molar that is right behind it. Took Tylenol 2 every 6 hours twice. It did not help. Used Benzocaine on the area. Helped 20 %. Do not feel comfortable using it at home. Doctor: Hello. Is the pain sharp or dull? Any gum swelling? If the pain is sharp, lancinating and referring to the same side jaw, temple, ear or throat, then this could be from the tooth with the chipped out filling. Most chipped out fillings expose the underlying nerve which causes severe pain. Ideally an X-ray is required to determine the depth of the cavity and to check for nerve involvement. If the nerve is involved, a root canal treatment and crown procedure will be done to save that tooth. If the pain is from the gums and is dull in nature, this could be an accidental gum injury due to flossing or there is a chance of the attempted food deposit to get deeply pushed into the gums causing this pain. If this is the case, a deep localized scaling should be performed under local anaesthesia to relieve any deeply wedged food deposit. A clinical examination and X-ray is required to diagnose the cause of this pain. I see that taking painkillers and topical anaesthetic in this situation were not much of help to you. Please visit your nearby dentist immediately and get the root cause identified. Meanwhile, try warm saline mouth rinses and avoid hot, spicy foods which may aggravate your pain." + }, + { + "id": 1019, + "tgt": "How to cure mouth ulcer?", + "src": "Patient: Hi doctor, I have a sore in the mouth. I have attached the photos. Please help. Doctor: Hi. Revert back with the answers to the above questions to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25475, + "tgt": "What are the possible causes for fatigue that did not improve with TRT?", + "src": "Patient: Hello doctor, I am a 42-year-old male. I had undescended testes from childhood which went untreated (hence I had always been and am on single testis only). The undescended testis still lies in the groin. I used to feel fatigued most of the times over the years, due to which I had difficulty in concentrating, focussing and managing day-to-day tasks. About a year ago, I started on TRT (testosterone replacement therapy). I used injectables (Nebido) for seven months. TRT worked very well for six months and I experienced positive results in various aspects (better focus, better memory, energetic, improved libido, was able to manage my tasks very well). After six months my hemoglobin increased from 16.6 to 18.5 and hematocrit went up from 46 to 54, and my doctor advised to donate blood. At this point, I started feeling fatigued and headache (typical high hemoglobin symptoms). I donated blood for the first time three months ago. However, after donation, I felt less energy and benefits of TRT also started fading away. Within a month, hemoglobin again went up from 16 to 17.6 and hematocrit was at 51. I went through venesection two months ago to bring it down. From then onwards, on the advice of my doctor, I switched from injectables to gel (Testogel). Hemoglobin and hematocrit again went up and I had to undergo another venesection last month. I was also low on Iron (ferritin - 46). So, I started taking a lot of oral iron supplements (ferrous sulfate - 65 mg elemental iron). I took up to eight tablets per day for three to four days. Iron levels improved (ferritin 118 ng/ml), but hemoglobin also shot up to 17.5 (as per recent report).Questions: What do you think could be the possible reasons for fatigue that I have been facing since last few months? When I started TRT it took six to seven months for hemoglobin to rise from 16.6 to 18.5 while after I gave blood in the first blood donation, hemoglobin rises by similar points in 30 to 45 days only. MCV results confirm that the size of RBC\u2019s is increasing since I am on TRT, it means that the new RBC\u2019s have more iron. However, I have been continuously feeling fatigued before first blood donation till now. My iron stores (ferritin) is still towards low (74) as per latest blood test and I am currently taking iron oral supplements. Do you think that the fatigue symptoms will improve once ferritin comes in the midrange (150 ish)? Doctor: Hello. I would like to know as to why you are receiving testosterone replacement therapy. I know that you have mentioned that you have one undescended testis. But many men do not have any problem even when they have a single functional testis. Testosterone replacement therapy is given only when there are both low levels of testosterone in the blood (less than 300 ng/dl) as well as symptoms of low testosterone. Your elevated hemoglobin is a direct result of the increased red cell count due to the effect of testosterone. Testosterone replacement therapy is contraindicated in people with a hematocrit of more than 50. I would suggest that you speak to your doctor and discontinue the testosterone replacement therapy for a few months and increase your ferritin levels to 100. If your symptoms improve, you need to get your treatment plan reviewed. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13665, + "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": 10806, + "tgt": "What should I do to manage nocturnal seizures?", + "src": "Patient: Hello doctor, For the last seven years, I have been having about one to three nocturnal seizures (tonic-clonic) a year. There was one year in the previous seven years, where I did not have any nocturnal seizures, but I had two to three a year for the last couple of years. I am not on medication, and I have tried to improve my sleeping habits. What do you recommend? Doctor: Hello. I understand your concern and would first recommend performing an EEG (electroencephalography) and a brain MRI to exclude any possible brain lesions that may lead to seizures. As seizures are persistent, I would recommend starting antiepileptic drugs. In this regard, considering your age, and the fact that you are overweight, I would suggest starting low dose Levetiracetam or Carbamazepine. You should discuss with your doctor on the above tests and treatment options. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. MRI brain, and EEG." + }, + { + "id": 11092, + "tgt": "My one month old baby is bleeding from the eyes. Is this normal?", + "src": "Patient: Hello doctor, I wanted to know is it normal for a newborn to have eye bleeding. He is almost one month old. I was surprised that his tears are blood. Should I worry or is that just normal? Doctor: Hello. Such bleeding is not normal. The causes of such an occurrence are varied. A few common causes include a blood clot, a tear in the tear duct, infections like conjunctivitis, and sometimes a cut in the conjunctival lining can also cause this. The best thing, for now, would be not to rub or wipe your baby's eye very vigorously. The pediatrician will evaluate him for bleeding disorders and then have an eye examination as soon as possible. In case you have any further questions please let me know." + }, + { + "id": 16636, + "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": 9624, + "tgt": "Should I pull back my penis foreskin and dry everytime after urinating to prevent infection?", + "src": "Patient: Hello doctor, I am an adult male and not circumcised, do I have to pull back my penis foreskin and wipe or dry (toilet paper) every time I urinate to prevent foreskin problems infections or balanitis? Or just shaking it after urination is good enough? I honestly do not wipe, and I never had a problem. Doctor: Hello. There will be secretions under the foreskin, which is called smegma. These get infected in men with an immune-compromised condition such as diabetes. In others, keeping the undersurface of foreskin clean once a day while having a bath is enough. It is not necessary to pull back foreskin every time you urinate. Even shaking the penis after urination does not affect smegma. In normal persons, cleaning the undersurface of foreskin once a day suffices." + }, + { + "id": 19406, + "tgt": "What could cause recurrent fever and body pain in a 13 year old?", + "src": "Patient: Hi doctor,My son is 13 years old and his weight is 46 kg. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and\u00a0HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. Please help. 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": 19999, + "tgt": "My husband is 35 years old. He is under medication for high BP and cholesterol. Kindly help with the diet", + "src": "Patient: Hi Doctor, My husband is 35 years old. He is on medication for high BP and cholesterol. BP being 145/100, HDL-46, LDL-117.6, TGL-212, VLDL-42.4. Kindly help with the diet plan. Thank you. Doctor: Hi. Diet plan for your husband is as follows: Consult a cardiologist online for further advice --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25262, + "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": 23780, + "tgt": "Does CT scan go through lead aprons?", + "src": "Patient: Hello doctor, I am 32 years old female. I went to the hospital ER for hip or abdominal pain. They ordered a CT scan. During the scan, they used lead aprons on my breast, neck, and abdomen. Does the scan go through these aprons? They found nothing but a nodule on my lung. I am just wondering if it saw my abdomen since the apron was over it. I have a bulge in my left abdomen. Doctor: Hi. The lead guards used during scan prevent harmful radiation effects to your thyroid, ovaries, and breast and hence are used as protection. These aprons do not obliterate the radiations and all the organs covered are visualized minus the harmful effect of X-rays. For the bulge, it can be a small hernia or a lipoma. So you can go back and discuss the area of concern to your radiologist consultant and they would be glad to help I guess. Or else if possible, upload the scan here and I will have a look at your scans for you. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 8045, + "tgt": "What are the ways to increase body weight?", + "src": "Patient: Hello doctor, I want to increase my body weight. I have a loss of appetite. I am staying in a hostel. I am 23 years old. Now I am only 42 kg. Before four years I was 51 kg. I do not get milk, fish. Doctor: Hi. As you say, the loss of weight and appetite is because of less availability of foods you like. Eat an egg every day. Cook it any way you like, do not eat raw egg. Eat less spicy and oily foods, it may cause gastritis and cause you loss of appetite. Are you sleeping well? If you are not sleeping well, it may also lead to loss of appetite. Instead of milk why do you not buy milk powders and mix with hot water and drink? Do it twice a day. Take syrup Longifene DS 10-ml -10ml- 10ml before food for 1 to 2 months. It may increase your appetite. If you are still losing weight, check TSH levels and contact." + }, + { + "id": 20105, + "tgt": "My girlfriend gets blood in stool. How to get it cured?", + "src": "Patient: Hi doctor,My girlfriend has piles. She gets blood along with stool. She is 22 years old. How to get it cured? How to get some relief\u00a0from this? Is piles operation a complicated one? How many days should she need to take rest after this operation? Is there any restriction in food? Doctor: Hello. 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": 23194, + "tgt": "Is Quinine safe in liver cirrhosis patient with low platelets?", + "src": "Patient: Hello doctor,My husband has an advanced stage liver cirrhosis and gets muscle cramps in legs from time to time, at night time or when he wakes up in the morning. Other patients with similar issues recommend drinking tonic water that contains Quinine or taking Calcium Magnesium supplements. He has very low platelet count so is not Quinine dangerous for him? What supplement will you recommend against muscle cramps and in what quantities? Currently, I am taking Propranolol 40 mg and Omeprazole 40 mg daily. Doctor: Hi. Cramps happen in cirrhotics due to nutritional insufficiency, mineral deficiency, mainly calcium and magnesium. My suggestions would be: The brands vary from place to place. But vitamin and mineral supplements are a must. Do consider this and update if any issues or concerns. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3750, + "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": 6199, + "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": 5940, + "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": 13895, + "tgt": "I have testicle pain and low sperm count. Kindly suggest siddha medicines", + "src": "Patient: Hello doctor, I have testicle pain on both sides (more pain felt on the right side). Sperm count is also low. What to do? Doctor: Hi. You have not mentioned your age, marital status, body weight, occupation, how long the testis pain has been there and any swelling in testis. With the available information, the answer is as follows: Kindly follow the below advice:" + }, + { + "id": 17934, + "tgt": "What drugs can help in healing avascular necrosis?", + "src": "Patient: Hello doctor, I am a 24-year-old male and I have pain in hip joints for more than three months. Reports indicate avascular necrosis stage 2. Pain is mostly in the right hip joint. Pain will appear only when I put extra stress on muscles. The doctor has recommended me core decompression and he cannot guarantee whether it will heal or not. I am really scared of this. What if I somehow avoid the surgery? Is there any chance of natural healing? I have attached photos for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) You have avascular necrosis of the femoral head. Most of the surgeons will ask you to get operated for a core decompression or total hip replacement for this but studies have shown that medicines have high possibility to avoid surgeries. You still are stage 2 with edema so there are good chances you will get better with medicines. I suggest you the following: Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. You should use a walking stick. You can walk but do not exercise or do physiotherapy. Follow up with X-rays and MRI (magnetic resonance imaging) images. 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 an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21313, + "tgt": "I have prolonged backache, especially after driving. Please advise", + "src": "Patient: Hello doctor, I am having prolonged backache, especially after driving. I face pain when I stretch and I get a relief when I do it. And when I push my hands on the back towards the front I can hear bone cracking, like when we stretch. Doctor: Hello. In my opinion, with the limited narration that you have provided to me in your query, I feel you have less stability in your core muscles. You should maintain posture while driving which can be achieved by placing a pillow behind your low back (in case you drive the car) or staying erect in case of a two-wheeler. A couple of back strengthening and core stability glute stability exercises will help you fix your back. Kindly provide me with additional details of your problem like how the pain started, what movements are limited, what aggravates the pain, what relieves it, etc. How is your pain at night and early morning, is there any pain radiating down the leg? As of now, I advise you to ice your low back frequently. Back arching will help you feel better too, it can be done as 15 reps of three sets in lying face down position. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 13008, + "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": 23003, + "tgt": "I have dark underarms, upper lips and inner thighs. What has to be done?", + "src": "Patient: Hello doctor,I am suffering from dark underarms, dark upper lips, dark under inner thighs. Also I have darkness around mouth and dark lining around lips. Please suggest me effective medications. I have tried home remedies for the same but I was not able to see visible results, please suggest me effective cream. Doctor: Hi. I can understand your health concerns. Such type of skin discoloration maybe due to a lot of factors. And, these factors may vary for different areas of body. Due to vast variety of reasons better to get an evaluation from an endocrinologist for proper investigation. Some patients give feedback that Palmer's skin success anti-dark spot fade milk tone correcting body lotion is effective in fading out the discolored skin. Changing the hair removal creams helped a lot of women. Switch to a better brand. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19095, + "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": 27805, + "tgt": "Does my double marker test result show chances of complications?", + "src": "Patient: Hi doctor, I want to know about the double marker test results. I am uploading the reports. Doctor: Hello. I have seen the reports (attachment removed to protect patient identity) and understand your concern. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7205, + "tgt": "I had a miscarriage last year. What can I do to get pregnant now?", + "src": "Patient: Hello doctor, I am 23 years old. Last year I got pregnant but happened miscarriage I do not know why. But last three months I visited a doctor and checked ultrasound my doctor says you have right side ovary cyst 4.4 cm \u00d7 4.8 cm fluid and I take citrate de columbine pills for 10 days and know my period five days late for the first time. Yesterday I had sex with my husband after sex having brownish spotting this two days I had cramping breast tender and breast feel sick, white and thickness vaginal discharge, feel sick my heart, tired all the time, morning sickness, vomiting having pain my stomach only right side same times both side. And I test hCG blood test and urine the result is negative can I get pregnant? And what can I do to get pregnant? Doctor: Hello. First of all, miscarriages may be caused due to chromosomal abnormalities, hormone problems, distorted anatomy of the uterus, infective causes, unknown causes. Since you do not have a history of recurrent miscarriages, so you do not need to panic about your next pregnancy. Also, you need to get rid off the cyst, as cysts reduce the efficacy of any fertility medicines. As the size is less than five cm, give it three months to reduce by taking oral contraceptives (Yaz, Diane 35) and folic acid. Once the cyst is gone, Clomiphene can work better, helping you to ovulate. But you also need to rule out other causes of infertility. 1. Are you overweight, BMI>25. 2. Do you have increased facial hair? 3. Check the partner's semen analysis. 4. Check blood for TSH (thyroid-stimulating hormone), free T4, prolactin, LH (luteinizing hormone), FSH (follicle-stimulating hormone). 5. Check both the partner's blood for sugar fasting. The sickness feeling could be just due to Clomiphene overdosage, as Clomiphene is generally given only for five days and a dose of 50 mg to start with. Please mention the dose too.Drink plenty of ORS and Plain fluids, may take some antiemetic (tablet Zofer), etc. check electrolytes (sodium, and potassium). If problems persist, need to see the doctor for physical examination.Please wait till your next periods to check your pregnancy test, because browning discharge could be implantation bleeding. I hope I was able to clear your doubts, for any other query, please feel free to write again." + }, + { + "id": 13277, + "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": 28824, + "tgt": "My father has a blood clot in brain and is recovering slowly. What is your opinion?", + "src": "Patient: Hello doctor, Since two days,\u00a0My father is in ICU.\u00a0He has a blood clot in the brain due to an accident. Sometimes, his half side of the body is not working and also having stroke problem. The doctors are saying that he is recovering, but very slowly. Please give your opinion. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18230, + "tgt": "I am pregnant and having severe body itching. What is the treatment?", + "src": "Patient: Hi doctor, I am currently 26 weeks pregnant. I have developed severe itching all over my body, particularly in palms and soles of feet. I initially did not take it serious and kept applying coconut oil, Lacto calamine, etc., to get some relief. However, I did not get any relief from any of these. Then I got my liver function as well as total bile acid test done and result is as follows.\u00a0AST 199 (normal range up to 32),\u00a0ALT 234 (normal range up to 55) and total bile acid 52 (normal up to 10).\u00a0I showed this to my current doctor as well and she said this is common and does not seem to be concerned too much. She prescribed me Atarax 25 mg once in night for 10 days and Lacto calamine for external use.\u00a0Could you please guide me whether this is a concern and need to be taken care urgently? Or should I continue with what my doctor has prescribed me? Doctor: Hi. You have raised liver enzymes. This indicates that you have a condition called obstetric cholestasis (bile acid accumulation in blood resulting in constant ithcing during third trimester of pregnancy). It needs proper treatment and you need to get LFT - liver function tests repeatedly for every two to three weeks till it gets controlled. If left untreated, then it can even harm the baby. It can result in many complications like early labor, fetal distress, etc. Please visit your doctor immediately for prescription of Ursodeoxycholic acid. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3984, + "tgt": "Am I having erectile dysfunction because of increased LH?", + "src": "Patient: Hello doctor, In recent past I was suffering from ED. I visited a nearby Andrology specialist, he did some tests and found that below values. He stated that LH is very high. Is there any relation of sperm count and ED when we have high value of LH. Is it curable? My LH value is 8.6. Please help me, I am planning for a kid. Doctor: Hi. ED can have many causes. One of them is low testosterone. Whenever the testosterone levels are low, our pituitary gland tries to stimulate testosterone production by producing more LH. I saw your test reports (attachment removed to protect patient identity). Testosterone levels are just below normal and LH levels are just above normal reference ranges. This might be due to diurnal variation. Normally testosterone levels peak during day time around 10 AM. This is called circadian rhythm. It is important to consider this while evaluating borderline variations. Low testerone can lead to reduced sperm counts. Since you are also planning for a child, do get a semen analysis done after 3 days of sexual abstinence. Repeat testosterone and LH levels at morning between 9-11 AM before deciding on treatment. Semen Analysis Testosterone & LH levels" + }, + { + "id": 29547, + "tgt": "Is there any medicine to control anger?", + "src": "Patient: Hi doctor, I am not able to control my feelings and getting so much of anger. My heartbeat is getting increased. I do not know what I a\u00a0doing at that time. I am just scolding my friends, family, etc. But, after some time, I feel regret on thinking about that and will get into depression. Sometimes, there is no proper sleep. I am so much worried about my short temper. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4603, + "tgt": "Do receptive anal sex result in uncomfortable lump at the anus opening?", + "src": "Patient: Hello doctor, I see a lump at the opening of the anus. It is been there for over a week. It is not much painful but it is uncomfortable while sitting. I am a 25-year-old male. It never happened before and no current medications. Doctor: Hello, Welcome to icliniq.com. I have seen the picture you have uploaded. (attachment removed to protect patient identity). It appears to be thrombosed piles. It takes a few days for it to settle down well, but it is not anything sinister. A few things would help to give relief. Take Sitz bath (a large basin to be filled with warm water and a couple of spoons of common salt to be added and sit in it for 10 minutes) twice a day. Take analgesics Ibuprofen or Paracetamol twice a day for five days, laxatives Fybogel for three days, and Laxido before bedtime for a week. These would sort out the pain and discomfort. You have higher chances of developing hemorrhoids (piles) in the long term. Do exercise regularly,eat high fiber diet (no restrictions in having nonvegetarian) and reduce straining while opening bowels." + }, + { + "id": 1488, + "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": 26634, + "tgt": "Are appetite suppressants helpful for overweight people?", + "src": "Patient: Hi doctor, I see a lot of patients, who are slightly overweight. I put them on an exercise\u00a0regime, and tell them to restrict their diet. But sometimes, they are unable to control their appetite and have dinner at night. They ask me for any appetite suppressant to decrease their appetite. They prefer taking medicine and maintaining their weight at least. I know about tablet\u00a0Phentermine and Methylphenidate, but they are not available easily. What medicine should I suggest for such patients? Please help. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5098, + "tgt": "I lost my energy and power due to bad masturbation. How to regain it?", + "src": "Patient: Hello doctor, I am 29 years old. I masturbate badly (without lubricants) for over 13 years. Because of this, my artery becomes loose and both of my scrota are becoming small. When I work I get muscle pain, back, and leg pain. I lost my energy and power. I want to recover my energy as soon as possible because I am going to get married within three to four months. Please help. I have not taken any medication yet. Doctor: Hello. I have understood your concern. I think that losing power, you mean erectile dysfunction.I will answer in detail about erectile dysfunction and masturbation. Masturbation by any method does not cause any physical and sexual weakness. It is not a bad habit. It is a way of satisfying your sexual needs in the absence of a female partner. Losing muscle power, testis is getting small, etc., all are the psychological counterparts of worrying about the masturbation and considering it as a bad habit. When you believe that masturbation is bad, it causes anxiety and all other symptoms. You are completely healthy and sexually competent. You do not need any medications and should enjoy your sexual life about to come. So remove the myths from your mind about masturbation. Erectile dysfunction can be because of so many causes. It can be because of the anxiety arose in your mind because of masturbation. When a person has something in his mind, which continues to bother him then he might be distracted in every activity and gradually lose interest and started feeling sad and this also happens with sex also. Another possibility is a vicious cycle of anxiety and poor sex performance. So when a person has anxiety about sexual performance, he is distracted and may lose erection in between or even complete absence of erection may be there. Social issues which make you anxious and depressed are also interfering in sexual performance. So you should identify your anxiety and try to deal with it. There should not be disharmony between the sexual partners. Sex should not be at places where the fear of being caught is there. Sex should not be in a hurry. Do not compare your physique with those shown in movies. When you have dealt with all the issues, you should spend more time in foreplay before going for penetrative sex. This will increase the duration of erection and foreplay should be continued during penetrative sex also. So finally I would say that you are completely alright. Need not do anything. Enjoy masturbation and your sex life. I hope this helps." + }, + { + "id": 30954, + "tgt": "Please help with my father's hearing loss", + "src": "Patient: Hi doctor, My father has been suffering from hearing loss due to Amikacin injection. Please help. 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": 14058, + "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": 10492, + "tgt": "Should I seek medical help for the side effects of probiotics?", + "src": "Patient: Hi doctor, I had probiotics for two days as I was having issues with constipation and it helped me. Later, I got side effects of nausea, headache, cold and hot sweats, sleepiness, loss of appetite and going to the bathroom more often for the past three days. I discontinued probiotics. Should I seek medical help? Doctor: Hello. Thank you for providing a precise history. 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": 14219, + "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": 7728, + "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": 19711, + "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": 325, + "tgt": "I have third degree burns in right hand with heaviness and pain while letting down. Please help", + "src": "Patient: Hi doctor, I am a third-degree burns survivor. I was three weeks in the hospital before being discharged in the last week of November. My right arm is the one badly hit by the fire. It was a cooking gas explosion that splashed red oil over my body. It is over six months now after my discharge and I have a thick black painful scar from my right arm to my hand. I am also fighting contracture. My doctors think I should let the healing take its full course before anything can be done. The pain is much and the fight against contracture is intense. I am no medication, only apply honey and Dermazin cream on it. I have also stopped taking painkillers. I have serious itching also and it causes me sleepless nights sometimes. I feel slight heaviness when I let the hand down. I have to make a fist if the hand has to be downward. Doctor: Hello. As I saw in the history and clinical photograph (attachment removed to protect patient identiy) that you had suffered severe almost third or fourth-degree burn with a scar and you have a lot of difficulties owing to it. It is almost six months and I think within a few days once COVID infection comes to a standstill you can go ahead with the definite surgery of eschar excision and grafting which might decrease your pain and trouble. Since most of the cases owing to pain and immobility the limb gets into state of contracture so I recommend you to do some kind of physiotherapy and exercise to prevent it. You can definitely go and consult a plastic surgeon and go ahead but I recommend you to wait for some months since due to Coronavirus there are high chance of hospital-acquired infection. You may take painkillers like Tramadol when pain is intense." + }, + { + "id": 29373, + "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": 5222, + "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": 29386, + "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": 9976, + "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": 9210, + "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": 27929, + "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": 15410, + "tgt": "I was advised to take Nano Leo to improve my sexual desire. Will it help?", + "src": "Patient: Hi doctor, I am 52 years old. I have a less desire for having sexual intercourse. I consulted a psychiatrist friend and talked to him about this problem. I felt too shy to speak in detail. He told me to take Nano Leo Total. I found some improvement. I got my blood tested for testosterone which was 313 ng/dL before taking medicine. Now, I have already taken it for about 60 days, and I was told to take it for 90 days. Sometimes, when I talk hot with my partner, I have a feel to go into action. Sometimes, the erection occurs, but it does not last for a long time. On repeating, it picks up again. But the frequency of the desire is very less. Sometimes, I do not like to have sex for months together. Please suggest. Doctor: Hi. Your testosterone levels are in normal range, but still, they are at low normal levels. You are a hypertensive too and also taking antidepressants. Both these, along with age are contributing to reduced libido in your case. First of all, there is no need to feel ashamed to talk about sex. You can speak to the psychiatrist and consult him properly. If there is no improvement on taking Nano Leo (Elemental zinc with Tribulus Terrestris), then you can think of taking PDE5 inhibitors (Phosphodiesterase) like Sildenafil or Tadalafil. Both are good drugs, and they are safe to use. Tadalafil has a long duration of action, and it will provide a good erection." + }, + { + "id": 13342, + "tgt": "Can I conceive again with a history of clots during first pregnancy?", + "src": "Patient: Hello doctor, I was wondering whether conceiving a second child will be safe after having a history of blood clots with first pregnancy and postpartum. Doctor: Hello. You have a history of blood clot in the previous pregnancy. So there is more chance of blood clot in the second pregnancy as well. A thorough investigation should be done like PT, APTT, BT, coagulation profile, cardiolipin antibody estimation, etc., for you. The low dose of low molecular weight Heparin can be given in pregnancy to prevent blood clot as it does not cross the placenta. But you should discuss all these with your treating gynecologist." + }, + { + "id": 2272, + "tgt": "I have a chronic dry cough and mild heartburn from the last five days. Please help", + "src": "Patient: Query regarding chronic cough almost dry not completely dry from last 5 days. Gets more persistent during sleep. No fever whatsoever. Took 1 tab of citrizine on day one thinking its allergic since no fever or stuffy/running nose. So ruled out allergy since then. No medication taken, just some otc antacid \"digene\". Mild heartburn. Twice at night coughing was so strong that I puked. Looks like GERD to me. Non smoker. Male. 25 years old. No history of any other illness. Height 167cm Weight 64 kg Doctor: Dear, Welcome to Icliniq. Thank you for providing a detailed history. I just want to clear one thing what do you mean by CHRONIC cough? The history you provided is of just five days so it is not chronic but you used word CHRONIC which means cough for months or years. So if it is just five days of cough then yes it is suggestive of some reflux episode which is leading to laryngeal irritation followed by cough and occasionally can lead to choking like sensation in sleep. I will like you to start the following medications and it will help out. 1. Cap.Deslansoprazole 30mg 1 cap twice daily before breakfast and before dinner for 2 weeks. 2. Syp. Rondec ( Dextromethorphan) 10ml three times daily for 10 Days. You need to avoid late time eating. Three should be a gap of at least 2 hours between dinner and going to bed. Avoid Smoking. Avoid Evening Coffee or tea. Thank you. Incase of any further query get back to me." + }, + { + "id": 29356, + "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": 6788, + "tgt": "Can Zoloft and Concerta be stopped in depression patient without side effects?", + "src": "Patient: Hello doctor, For the past three years, I have been taking 100 mg of Zoloft and for the past five years, I have been taking 36 mg of Concerta. While taking them, my mood was pretty consistent with only a few times of feeling slightly depressed. But while I took them, I still was overthinking and had stress that consumed my thoughts. But, even when my mood was consistent, I still felt kind of boring. It could be from outside factors like school but I still have excessive thoughts about things outside of school. After taking the medicines for so long and having switched from different medicine before and trying different doses, I thought maybe it is time to cut out the Zoloft altogether. So I went to 50 mg, then down to not taking it at all about a week and a half ago. For the first 10 days I felt pretty much the same but for the past three to four days, I have been very irritable and today especially feel completely numb. Also, today for the first time since stopping Zoloft, I felt the stress and overthinking that I usually felt while taking Zoloft. I have been trying to find the right medicine and amount of medicine for about a total of six years to feel my best. I am not sure if I am just overthinking. Stopping it makes me think that I will be more depressed which makes me actually believe and feel that it is just lack of sleep mixed with female hormones. I really need to find the underlying issue of my feelings and figure out what is best for me. Ideally, I would like to feel my best without medication but the Concerta works well for me. I am not sure if the Concerta plays any role in my mood and stress. I really need guidance. I had Lexapro in the past for the same issue. Doctor: Hello. Firstly, regarding Zoloft (Sertraline), it is an antidepressant medicine which increases the level of serotonin in the brain which in turn aids in a normal mood. If such a medication is tapered suddenly or stopped suddenly then rebound symptoms of anxiety and depression occur. So it is advisable that if these medications are to be tapered then it should be done gradually. Also, these medications should not be stopped till the patient has become totally stable and normal. Even upon reaching normalcy these medications are to be taken in a maintenance dosing course before one can plan on tapering or stopping them. It would be advisable that your main complaints are discussed in detail so that a proper medication regimen can be planned. Now on to regarding the use of Concerta (Methylphenidate), it is basically a psychostimulant which is usually prescribed to children suffering from ADHD (attention-deficit hyperactivity disorder) who have poor attention and concentration span. If it is taken by a non-patient, though it may help in improving concentration and attention. It carries a high risk of addiction. So, it is advisable to stop Concerta. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10738, + "tgt": "My urine and blood tests are negative after taking Nucynta. Why?", + "src": "Patient: Hello doctor, I am a 28-year-old female. I have been on Nucynta for over a year. I take Nucynta ER 50 mg BID and Nucynta IR 50 mg once a day. For the last two months, my urine tests (immunoassay and lab testing) have come back negative. Two weeks ago a blood test was done and it was also negative. I religiously take these medicines as prescribed by my pain management doctor. Due to these negatives he is now refusing to prescribe any oral medications (including my Flexeril, Gabapentin, and oral Ketamine). I understand his need to be able to prove to Nucynta in my system but he is also refusing to try anything else. I am a walking genetic defect. I also have known pharmacogenetic and pharmacokinetic issues. I also have EDS, CRPS, POTS, MCAS, gastroparesis (severe enough that EGD showed food in my stomach 18 hours after last eating), endometriosis. Could any of this be causing the problem? Could any of the medicines I take be causing the problem? My medicines are Lopressor, Trazadone, Fetzima, Zyrtec, Ketamine, Magnesium Citrate pills, Melatonin, Gabapentin, Flexeril, Nucynta, Junel Fe. What suggestions do you have? Is there any research to help me? Doctor: Hi. Nucynta is an opioid analgesic, that has high first-pass metabolism when administered orally. It means only 32 % of orally administered dose reaches blood. After it produces its effect, 97 % gets metabolized in gastrointestine and liver and gets excreted out from body through urine. In your case, you have delayed (slow) intestinal movements, hence the drug may get faster metabolism and faster excretion than a normal individual. Hence, I think it is not detectable in blood or urine. Another possibility is very less amount of drug reaches your blood (less than 32 %) due to intestinal absorption issues. The half-life of this drug is four hours in healthy individual. It means, after oral administration, 32 % drug reaches the blood within 3 to 4 hours. If I draw the blood after four hours of oral administration, the amount showing in blood is expected to be 16 % (50 % of drug gets excreted by four hours). It is in a normal person. In your case, when to draw blood is the question. So, individualistic reasearch could be done for you with special care." + }, + { + "id": 1621, + "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": 23226, + "tgt": "What can be done for progressing bald spot in female?", + "src": "Patient: Hi doctor, I have noticed a progressing bald spot on the top of my head. I am a 33-year-old female. Please tell me why this is happening and how I can fix it. Doctor: Hello. I have viewed the image (attachment removed to protect patient identity). This could either be frontal fibrosing alopecia or androgenetic alopecia or alopecia areata. How long since you have noticed it? Was it gradual in onset or did it appear suddenly as a smooth, bald patch of alopecia? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9750, + "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": 6739, + "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": 8465, + "tgt": "Kindly advice about the ideal moisture level of face", + "src": "Patient: Hello doctor, What is the supposed oil content level? And moisture level in the face that will be considered as normal, low or high? Doctor: Hello. Both dry skin and oily skin are considered normal as long as it is not causing any problem such as premature cellular aging, wrinkles, acne, and the likes. The amount of moisture in the skin, on the other hand, has to be enough to keep your skin hydrated. So there is no definite answer to your question. I am afraid as it depends on individual skin type. As long as your skin is not breaking out in acne if you have oily skin, or getting clogged pores, you should be fine. If your skin is dry but not so much as to give you wrinkles, lines or a dull look, you should be fine. I hope this helps." + }, + { + "id": 23244, + "tgt": "Is Electrophysiological study necessary for heartbeat irregularities?", + "src": "Patient: Hello doctor, I am a 30 year old male, and I have a heart condition from when I was three years old. My heartbeats\u00a0get very fast all of a sudden. What is the name of my heart problem? The ECG report was not normal. I am taking ayurvedic medicines for this problem. A doctor told me to get a surgery done, but I do not want to get an operation. Please help. Doctor: Hello. Your heart condition is a cardiac arrhythmia, which is called PSVT (paroxysmal supraventricular tachycardia), in which heart rate suddenly goes up and also suddenly decreases. The blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, and sometimes syncope. ln order to abort such episodes, you should try to cough hard or do neck massage as advised. There are two options for this as follows. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21759, + "tgt": "How can I get relief from pain in sacroiliac joints?", + "src": "Patient: Hi doctor, I have severe pain in my sacroiliac joints (eight years). The doctors focused only on my lumbar sacral spine, and it has got fused before two years. However, the pain persisted. I found after a surgery that bilateral sacroiliitis showed up on MRI before two years. I saw a rheumatologist for the first time who diagnosed me with ankylosing spondylitis and started treatment. For the past 12 months, we have tried different things to treat it. I also feel so sick on myself. I also have a low-grade temperature, nausea, dizziness, fatigue. Currently, I am taking Gabapentin, Palexia, Midon, Xarelto, Zofran. Doctor: Hi. You have spondyloarthritis. You may benefit from TNF (tumor necrosis factor) blockers. They will help in controlling your disease. What is your HLA-B27 status? For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 916, + "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": 29025, + "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": 815, + "tgt": "Is there a way to get my periods earlier?", + "src": "Patient: Hi doctor, My actual due date of period will be tomorrow. But, I did not see any signs of the period. I did not even have sex. I have to travel in five days and I wish to have period by tomorrow or day after tomorrow. Can you suggest anything to get my period early? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28105, + "tgt": "I have an abrasion on my vagina, with severe itching. Please advice", + "src": "Patient: Hello doctor, There is a purplish red abrasion on my vagina, which is the size of a small coin and it is really swollen. It stings when I urinate and is generally uncomfortable. I have not been sexually active for over a month, but I have had an infection for the past few days. Is this serious? Doctor: Hello. Vaginal abrasions are quite common and can cause a lot of discomfort. Hope this information helps. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11223, + "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": 3426, + "tgt": "Is it dangerous to have sexual intercourse with a heart problem?", + "src": "Patient: Hello doctor, I and my partner have two children. I am 33 years old and she is 32 years. Over the past four or five years, our sex life has almost completely fallen apart. I have several heart issues, right bundle branch block, bicuspid aortic valve, patent formen ovale and high blood pressure. Right now it does not seem they are major issues but just monitoring them. The other night we had sex and I got heart palpitations severe in my throat which was odd but I do not know why. However, her sex drive is very low now and she says she is always tired. She considered hypnosis to change her sex drive but I do not know if that works. Our biggest issue is our 10-year-old daughter, even if we get her to bed at 8 PM she will not go to sleep until midnight and we are too tired then to have sex. Any suggestions? Doctor: Hello, Welcome to icliniq.com. I got your concern. The main issue in both of you is fear, you being a heart patient keeps on having fear which you actually do not have consciously but subconsciously this fear is there. And if these kinds of things when the partner comes to know or if she used to be worried about your health, this fear of doing any thing with you let her desire decrease. And both of you started having mild depression also which is causing both of you tired. But I assure you that with this activity you will not be having any problem. Both of you need to do some regular relaxation exercises and some meditation. And both of you are not old enough that your tiredness cause problem in your personal life. Take some break from your work and spend some time together with free minded without any hurry or work stress and try to feel cheerful and confident that we are young and well even when you do not feel so. I promise that these few steps will add freshness and happiness in your life and if there will be no improvement then I would like to start you on some mild antidepressants. But until that time you please follow these steps." + }, + { + "id": 11518, + "tgt": "From the MRI report, what is your opinion regarding the heaviness of head?", + "src": "Patient: Hello doctor, My mother is currently taking treatment from a psychiatrist for depression. Her major symptoms are heaviness in the head, lower back pain, mood swings, feeling sad, and negative thoughts. Recently MRI and CT scan were done. CT scan was fine. MRI indicates multiple small T2/FLAIR hyperintense foci without restricted diffusion are seen in bilateral centrum semiovale, the subcortical and deep white matter of bilateral frontal and left parietal lobe. No demonstrable signal alteration was seen in the corpus callosum at present. No evidence of restricted diffusion or blooming seen. Features suggest the possibility of demyelinating etiology or pronounced microangiopathic changes. Please suggest what should be done? Either psychiatry treatment, or neurology treatment? Her main issue is the heaviness of head. She wakes up with negative thoughts, feeling like crying and suicidal behavior. She is currently on Ventab Xl, Mirnite, Clonotril, Olimelt, Lupirtin SR, and Sertee. Doctor: Hello. I understand your concern and would explain that your mother's symptoms seem to be related to depression with psychotic signs. The lesions in MRI are suggestive of small vessel disease. I would recommend taking daily baby Aspirin 80 mg to help the progression of these changes. In my opinion, her current therapy is quite complicated, and many interactions between drugs can worsen her situation. I would recommend stopping Mirnite (Mirtazapine) and Sertee (Sertraline) because they both interact with Ventab XL (Venlafaxine). Increasing the dose of Ventab XL may be necessary. Treatment of depression will help reduce the headache. You should discuss with her psychiatrist on the above treatment option." + }, + { + "id": 30650, + "tgt": "Please clarify my mother's biopsy report", + "src": "Patient: Hi doctor, My mother is 68 years old. She is 70 kg weight. A painless liaison has developed on the right lateral part of the tongue. I have consulted with an ENT surgeon and he advised for biopsy. The incision biopsy was done and the report is attached. Please clarify the report. If that is cancer, then what is its stage? What is the treatment? What is the chance of getting cured at this stage? Her tendency of mouth ulcer also increased in the last few years. My mother does not smoke or use tobacco. Doctor: Hi. For further information consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 15223, + "tgt": "I have tooth pain. Should I get root canal treatment for this?", + "src": "Patient: Hello doctor, I have pain in one of the gums near one of the upper teeth. When after eating or having something hot or cold, I feel sensitive and after that, I get pain for some time but the pain goes away automatically. I have gone to one of the dentists and she suggested me to get a root canal treatment done but I feel that the pulp or tissue of that tooth is not yet damaged and can be recovered without doing a root canal. I am attaching a picture of my tooth. Kindly suggest me whether the root canal is needed for this or I can save my tooth using some other methods? Doctor: Hello. If you have pain after eating cold or hot, it mostly means that the nerves inside are infected. It has to be root canal treated. If you are so sure that it can be saved and want to try something else, ask a dentist to just clean the cavity and fill it with a temporary filling. Then wait for 2 or 3 weeks and check if there is pain. If you do not have any pain then get it permanently filled." + }, + { + "id": 29920, + "tgt": "How to find the reason for right lower abdominal pain?", + "src": "Patient: Hi doctor, I am taking some antibiotics (Clindamycin) for dental related issues as well as Acetaminophen. I also tried Ibuprofen and Wellbutrin for unrelated reasons. My bottom right abdomen area is hurting on and off. The pain is also near the liver area and going down to the gut. The pain is not so intense, but it is present. I will not have a chance to see a doctor for a week or two and the fact of liver pain was scaring me. Do you have any ideas on what I can do in the mean time? It is about 7 to 10 days since I started taking antibiotics and pain medicine. I have had this kind of pain before 2 years when I abused over-the-counter medications. I had my liver enzymes tested and everything was normal that time. Doctor: Hi. I can understand your concerns. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17613, + "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": 16611, + "tgt": "I have a discomfort under my sternum when I walk up a slope. What do you suggest?", + "src": "Patient: Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angioplasty. I would like to communicate with a second cardiologist and discuss the possibility of just doing diet changes plus some kind of drug regimen. I am prepared to pay for the consultation independent of any insurance. Two consultations where there was a general discussion about the issue and a second consultation where the physician has reviewed my medical records is what I am thinking might be best. I would like a cardiologist to review the details of my condition and test results and provide a recommendation as to the best course of action for me. Right now I am just trying to understand that this is something that you do and that going forward from here is useful. I would like to be able to see something about the physician who would be reviewing my case. Doctor: Hello. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete blockage) the patient does not feel pain all the times. But when there is more demand (as you walk on the inclined area, do strenuous physical work, climb stairs, etc.), the heart has to pump more and more blood to the body. But there is no much blood supply to the heart's own muscles. This causes a debt of blood and so oxygen to the heart itself and causes ischemic pain in the heart. You feel a discomfort due to all of this (this is the pathophysiology of this issue in simple words). You may feel free to add your latest reports to assist in this case. I would definitely be happy to review and get back to you as soon as possible. We may proceed from there later on. Regards. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14949, + "tgt": "Kindly suggest medication to use long-term for generalized anxiety disorder", + "src": "Patient: Hello doctor,I have GAD problem for more than two decades. Right now I am using Mirtazapine 15 mg and Rivotril 0.25 on SOS. Is there a better medication for long-term use? Previously I used Fludac 20 mg, Trazodone 25 mg and Buspar 5 mg (three times). After I shifted to Mirtaz. My problem is insufficient sleep and some sort of feeling of fear as if it is located in the abdominal area. It starts evening time. Doctor: Hi. First of all, I would like to know how are you feeling now on the medication? I know you are not satisfied that is why you want to take a second opinion but since how long have you shifted on this combination and how much improvement are you experiencing are two most important things I would like to know. Answering your query, yes, there are other options which will be better if you are not getting improved on this medication. You also mentioned a discomfort in the abdominal area. Kindly tell me more about that." + }, + { + "id": 18444, + "tgt": "My 7 year old daughter has repeated urine infections. How to clear it out?", + "src": "Patient: Hello\u00a0doctor, My daughter aged 7 years has a urine infection. We have done a urine culture as well as regular analysis and found that there is an\u00a0infection. She has this problem from a long time. She has a bad habit of holding her urine for a\u00a0long time until she can hold it no more. Doctor: Hello. Once this episode resolves, she needs an ultrasound KUB (kidney, ureters, and bladder) with PVR (post-void residual urine test) and micturating cystourethrogram (MCU). A renal nuclear scan may be required depending upon the result of these investigations. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3124, + "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": 17365, + "tgt": "Does low Hb count cause paleness of nails and tongue?", + "src": "Patient: Hello doctor, I have little spots here and there along with white discharge. I had PCOD problem previously. I took a scan last month and the report was normal. I feel like my Hb count is low. I am feeling very tired and sleepy. Are these spots because of the low Hb count? Prescribe some ways to improve my Hb count. I am attaching my scan report too. Doctor: Hello. I read your query. Your scan report was normal (attachment removed to protect patient identity). Different types of infections may cause itching or an abnormal discharge. These include: Regarding low Hb (hemoglobin), you can treat it, but before that, we need to know the cause to prevent its recurrence. I would like to ask few questions so that I can know the cause of low hemoglobin count. It is advisable to go for a blood investigation before starting the treatment for anemia, or the reports may alter. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18585, + "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": 19173, + "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": 27257, + "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": 28746, + "tgt": "I have urinary retention even after five weeks of giving birth. Why?", + "src": "Patient: Hello doctor, I had urinary retention during pregnancy, so I had a catheter for a week, and I had problems throughout. I gave birth five weeks ago, but whenever I go to the toilet, I still feel like I need to go again. And sometimes, I do not get the normal sensation to urinate, and I have to press on my bladder to know if it is full. I have had hundreds of urine tests and have never had an infection. I had a bladder scan after urinating, which showed I was still retaining 100 ml urine. What could be wrong with me? Please help. Doctor: Hello. Sorry to hear about your urinary problems. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3538, + "tgt": "Kindly provide your opinion regarding my cardiac CT", + "src": "Patient: Hi doctor, Just now I got my cardiac CT report. I seek opinion of my radiology report before I see my cardiologist in a couple of weeks. Conclusion is that the stress test and echocardiogram results were fine.\u00a0The CT cardiac report is as follows: Moderate coronary calcification detected with CAC score of 134 which is more than 90th for his age and gender.\u00a0There is evidence of vessel remodeling with ectasia in all three coronaries without obvious atherosclerotic change in the affected segments. There is a mild to moderate diffuse non-obstructive disease in the LAD and RCA. There is relative non-atherosclerotic luminal narrowing in the distal LAD compared with the ecstatic segment.\u00a0I can provide the detailed report. Is it something that can be controlled with lifestyle change or medications? I am on cholesterol medication and my cholesterol is under control. I am also pre-diabetic, which is borderline. Doctor: Hi. We are here to help you. Your report (attachment removed to protect patient identity) is suggestive of coronary artery disease. But, the good news is that this does not require any intervention treatment if there are no symptoms associated like chest pain on exertion. I would recommend you to do regular exercises and avoid alcohol and smoking in case you do. I would also recommend you anti-platelet drugs like Aspirin for blood thinning and prevention of acute cardiac event. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18525, + "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": 21326, + "tgt": "What tests should I get after an oral sexual encounter?", + "src": "Patient: Hello doctor,Three and a half weeks back I had a sexual encounter with another man that I did not really know. I was on top and used a condom and then I started giving him unprotected oral sex for about 20 seconds before I realized it was a bad idea. Three days after I was tested for gonorrhea and chlamydia and syphilis. The doctor treated me with two different antibiotics and a shot in my hip. Not sure if syphilis was treated but I know the other two were. All tests came back negative. Two weeks after I went to a testing facility and did a 10-panel STD test with four blood samples and a urine sample. Everything can back negative. I am still stressing out about this and keep thinking I feel pain in my testicles and the tip of my penis and also side aches. The pains are infrequent and come and go but seem to disappear when I am able to relax for the most part. Three weeks after I went and did the early detection HIV test with blood taken from my finger and that came back negative. I just cannot seem to stop worrying about this and it is mostly because I got back with an old girlfriend and had sex one and a half weeks after the encounter and am scared I could have passed something on to her. My biggest question I have is from this encounter what do I need to test for and when should I go get tested again so I can clear my mind of this? Doctor: Hello. Only concern is such cases is of HIV, and rarely of hepatitis B and hepatitis C, as other STDs (sexually transmitted diseases) are treatable and easily manageable, not life-threatening. So having antibiotics will cover a majority of STDs and the shot was probably Penicillin which will cover syphilis as well. As you are already tested negative for HIV although early after the encounter, the chances are less. However, to reliably tell that one is negative, test at 12 weeks should be negative. So you should get your HIV combo test (antibody plus P24 antigen, RNA test) at 12 weeks after the encounter. Also, you should get anti HCV antibodies and HBsAg antigen test to rule out other viral infections. So overall, chances appear to be less of any infections as of now (other than herpes), but the negative test at 12 weeks will give additional assurance. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10169, + "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": 14050, + "tgt": "Is it normal to hear voices continuously which others cannot hear?", + "src": "Patient: Hello doctor, My father aged 83 years is physically healthy but he is hearing some of the old friends sound continuously which we cannot hear, for 10 days. So, kindly give us some advice as soon as possible. Doctor: Hello. This symptom of hearing things when there is no sound is known as an auditory hallucination. At his age, there could be a number of causes of the same as: 1. A stroke which has affected the blood supply of the part of the brain responsible for hearing. This is likely if he has untreated hypertension. 2. If there are other complaints like forgetfulness, not remembering names or recent events, or anger and sleep disturbances, along with this hallucination, then it could be dementia. 3. Old age psychosis or depression with psychotic features. This auditory hallucination is just a symptom caused by an underlying disorder. It is advisable that you see a neurologist who will be able to investigate and diagnose the underlying cause and treat accordingly. The treatment will differ depending upon the cause of this symptom. It is advisable that you take treatment from an experienced neurologist because, during this age, the patient is very sensitive to side-effects. Take care." + }, + { + "id": 19230, + "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": 22469, + "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": 13780, + "tgt": "Will doing exercise during growing years help in increasing height?", + "src": "Patient: Hello doctor, How much does lack of exercise during growing years stunt growth? How many inches does it usually subtract from your adult height? Doctor: Hello. As of right now, there are no studies to calculate inches lost by physical exercise. However, height is a function of genetics and your parental and ancestral genes play a major role in your physical appearance, but a small amount of environmental change does affect physical growth, and no exercise can stunt your height significantly but not measurably. Since is are no fixed number, different people have different height ranges. Some are born in tall families and some in short, hence a number for stunted height cannot be calculated based on exercise alone. Nonetheless, physical exercise plays an extremely important role to increase at least two inches of physical height on average." + }, + { + "id": 26796, + "tgt": "Is surgery needed for blocked nose and enlargement of nasal bone?", + "src": "Patient: Hi doctor, My friend has been diagnosed with acute sinusitis. He underwent CT scan of the sinuses and was recommended surgery due to blocked nose and enlargement of the nasal bone. Please recommend if surgery can be avoided. I have attached his CT scan report. Doctor: Hi. Thanks for posting your query. I have seen the attached reports (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": 25244, + "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": 19980, + "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": 17760, + "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": 5999, + "tgt": "I would like to get an opinion on my fiber scan and CT scan which shows NASH with normal LFT", + "src": "Patient: Hello doctor, I wanted to get a second opinion on a fiber scan, and CT scan reports I received. Doctor: Hello. I have seen your reports. (attachment removed to protect patient identity). Your fibroscan result are suggestive of NASH (nonalcoholic steatohepatitis). But there are multiple artifacts in the results so the results could be wrong. To help you better I would need to know, for what symptoms your fibroscan was performed? How about your liver function tests? What is your age and sex? Please provide me the above details to help you better." + }, + { + "id": 1979, + "tgt": "I have right basal pneumonia, then why is my left side hurting so much?", + "src": "Patient: I have right basal pneumonia but why is my left side hurt much? When i cough and taking deep breath its very painfull... I started taking antibiotics yesterday. It will just go away? For how long the pain will ease? Doctor: Hi, I hope you are doing well. I have gone through your symptoms. You are having Pneumonia on the rt side. Pneumonia is inflammation of lung parenchyma. It can result in fever cough with expectoration and breathlessness. Sometimes it can result in pleural effusion (fluid accumulation in between the lung covering) and pleurisy (inflammation of lung covering ). when there is inflammation of lung covering it can cause sharp pain when you take deep breath and cough. It is possible that you are having pleurisy. It is part of early infection to your left side of the lung. This infection could be due to bacteria or viruses. I suggest you continue to take a proper antibiotic in proper doses and proper duration. You should watch red flag signs such as persistent fever, breathing difficulty, increased breathing rate and heart rate. If this happens you should report to your physician. For pain, you should take PARACETAMOL 650 mg twice or thrice in a day as required. You should take this after food. You can also youse Ibuprofen if you are not allergic to it. Regards." + }, + { + "id": 1670, + "tgt": "I was diagnosed with an ulcer, and I have chest pain. What is happening to me?", + "src": "Patient: Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition i\u015f inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me? Doctor: Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. Esophagitis Chronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfast Syp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV" + }, + { + "id": 16092, + "tgt": "What is the treatment for benign prostate hyperplasia?", + "src": "Patient: Hi doctor, My father is 55 years old. Recently, he had done an ultrasound scan where the technician thought that there is an enlargement of the prostate and then he checked my father's prostate. He asked my father to urinate to check for urine retention. He checked my father, and there was no urine retention. He did not say anything afterward. Can it be a malignancy? Please suggest. Doctor: Hi. Benign prostate hyperplasia is a common problem that happens due to increasing age. Symptoms usually start with difficulty in urinating, repeated nighttime urination, and narrow stream. These symptoms can be managed with oral drugs. USG is not a test to detect malignancy, as it will recognize only the enlargement. There can be few signs like invasion or hypoechoic lesion that can point to malignancy. In such cases, we advise for PSA testing and prostate examination followed by a biopsy. Having PSA (prostate specific antigen) at high levels can point towards malignancy. You can do a PSA testing if there is a suspicion seen on USG. If it is normal and there are no symptoms seen, then there is no need to worry." + }, + { + "id": 1038, + "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": 15139, + "tgt": "Please suggest diet to prevent dialysis and control creatinine level in a diabetic", + "src": "Patient: Hello doctor, I am a male, 68 years old, diabetic, with chronic kidney disease, and creatinine level 5.96. What diet should be given to prevent dialysis and control creatinine level? Doctor: Hi. Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea. A safe option is low dose DD-4 or Insulin low dose weight adjusted. Keep diet in moderation for protein, does not need high protein diet and must follow up with nephrology." + }, + { + "id": 15080, + "tgt": "What can be done for sudden chest and back pain?", + "src": "Patient: Hello doctor, I have chest pain, and back pain for the past six months and feeling heavy in the mornings. Feeling like vomiting in the morning, and sometimes, sudden high pain in chest on walking. Doctor: Hello. I reviewed all your performed tests (attachment removed to protect patient identity) and would explain as follows. Your total cholesterol or HDL ratio is high. This means that you should make some diet modifications in order to reduce cholesterol levels. Starting statins may be needed. Your vitamin D levels are slightly low. For this reason, it is necessary to start Vitamin D supplements. Your other tests are normal. But considering your symptoms, I would recommend performing an exercise cardiac stress test to investigate for coronary artery disease and a fibrogastroscopy to investigate for acid reflux." + }, + { + "id": 20902, + "tgt": "Please advise medicines to manage glaucoma", + "src": "Patient: Hello doctor, My father has glaucoma problem. Presently, he is using Xalacom eye drops but still does not have any changes. Please, I would like you to advise any other drugs to manage his case. Doctor: Hello. I understand that your father is suffering from glaucoma and has been prescribed drops for the same. You have mentioned that there are no changes. What changes are you exactly referring to? I will try to explain the essentials of glaucoma treatment to you so that you will be in a better position to understand how the treatment works. Glaucoma is also a long draw out disease and a permanent cure may not be possible in a matter of a few days or months. Depending on the type of glaucoma, patients may have to be monitored twice a year for several years. Treatment also has a very strict and systematic approach and the doctors are not at liberty to make sudden changes if the patient's progress does not demand so. Progression or disease worsening can only be measured by visual field tests. My advice to you is to faithfully comply with your doctors advise and do not skip the eyedrops dosage. Visit your doctor for follow up as and when instructed. You should see your doctor emergently in the following circumstances like if the eye becomes red or severe pain or drop in vision, headache, vomiting, seeing colored halos." + }, + { + "id": 85, + "tgt": "Please suggest medicine for granular pharyngitis", + "src": "Patient: I have Granular Pharyngitis problems 60 days Plz help me medicine name? Doctor: Hi! I had a look at the picture you have sent. This looks like more of a Chronic pharyngitis. The red spot you have pointed out is more of a lymphoid follicle which has slightly increased in size and is present in almost all of us. There is nothing that you need to worry about as this is a very common entity we come across and is treatable. You can consider following the advice mentioned below Drugs mentioned in point 1,2 and 3 can be taken only if there is an acute infection associated with pain while swallowing. If there is no pain or infection the medication mentioned in 1,2 and 3 are not required. Make sure you follow points in 4, 5 and 6 as long as possible as this prevents the possibility of developing a throat infection. There is absolutely nothing to worry about the red spot over there as it doesnt indicate any cancer or malignancy and is only a lymphoid follicle which has increased in size due to possible previous throat infections. I hope I have answered your query in detail. If there is anything more you want to know or enquire, please let us know and we will get back to you ASAP. Please take care Warm regards" + }, + { + "id": 24271, + "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": 13016, + "tgt": "How can itching inside the vagina be treated?", + "src": "Patient: Hello doctor, There is a feeling of little itching inside my vagina. I noticed something weird inside. Doctor: Hi. I have gone through your history and understand your concern. It could be due to vaginitis caused by fungal and bacterial infection. You can 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." + }, + { + "id": 12550, + "tgt": "What can be the cause of burning sensation in eyes after ICL surgery?", + "src": "Patient: Hello doctor, I did my ICL surgery six months back. Now my right eye is burning. What can be the cause of that? Doctor: Hello. A burning sensation is the chief complaint of patients with dry eyes. The causes of dry eye are several in number and ICL surgery by itself rarely causes dry eye. Although there are innumerable causes of dry eyes, the treatment is purely based on the severity of symptoms and usually starts with carboxymethylcellulose acetate 0.5 % eye drops. In case you do want to find out the exact cause of your dry eyes, you would need to get a thorough eye exam with or without eye or blood tests. In case you have any further questions, kindly send me a scanned copy of your doctors report, test reports. I will do my best to help you." + }, + { + "id": 3733, + "tgt": "Need help for a lesion that spreads from inner arms to stomach and back", + "src": "Patient: Hi doctor, It started with a burning sensation on my neck and then I have noticed red dots in the inner side of my arms. Then it spread to my stomach and back. They itch sometimes. I have previous history of psoriasis on my knees, but this is different. I also had shingles when I was 7 years old. Doctor: Hi. I have seen your picture (attachment removed to protect patient identity) and read your given history. Your case looks like a guttate psoriasis. This type of psoriasis occurs in individual who had plaque psoriasis and developed sudden appearance of an outbreak of red drop like lesions all over body. Trigger of the disease is often streptococcal (bacterial). Sore throat followed within two to three weeks by the eruption or chicken pox. Usually this type of psoriasis goes away in a few weeks without treatment. Simply moisturizing the skin may be sufficient. If throat culture comes positive for sore throat then starting antibiotics for the infection will be helpful. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13921, + "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": 28784, + "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": 6680, + "tgt": "Does tingling in my hands and legs mean carpal tunnel syndrome or ALS?", + "src": "Patient: Hello doctor, I have tingling in my hands for a few years, and now I am feeling tingling off and on in my feet and legs with occasional inner tremors. I had all my blood work done to test for diabetes, thyroid, vitamin deficiency, CMP and CBC all came back normal. I had an MRI of the brain that came back normal and an EMG/NCV that showed severe carpal tunnel in both hands. I am currently on Metoprolol and Metformin. I also suffer from anxiety. My question is could these be a sign of ALS? I am terrified of that. Could this EMG report show carpal tunnel to be mistaken for ALS? Would ALS show on this test? I also have my report to include the EMG test. Doctor: Hi. These symptoms do not look like ALS (amyotrophic lateral sclerosis). Moreover, carpal tunnel syndrome (CTS) has been established in your reports. Anxiety and CTS are more than enough to cause these symptoms. So, my recommendation is that you should start on Pregabalin 75 mg along with Nortriptyline 10 mg once at night time for two weeks.The response to medicine would confirm the diagnosis. I hope it helps you. If you have any further query, please ask me. For more queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12592, + "tgt": "What treatment can be done to cure toothache after sinus operation?", + "src": "Patient: Hello doctor, I had a sinus operation last week but have developed a pain in a tooth that needs a root canal treatment. It is extremely painful. Is there anything that can be done? Doctor: Hi. Get an appointment as soon as possible. And take painkiller tablet Brufen 400 mg six hourly if you are having really severe pain, otherwise eight hourly like three times a day for three days. Do not lay down straight at bed at night. It aggravates the pain. Put some cushions and high pillows, raise your back while sleeping. If pain still gets aggravated then you need to go in an emergency room and get chamber of root canal tooth opened in the emergency so that pressure of infection gets released and then you continue with root canal at regular visits later. Stay happy and blessed." + }, + { + "id": 21532, + "tgt": "How should I deal my 8 year old sons's wanking habit?", + "src": "Patient: Hi doctor, I have an 8-year-old son. Recently, I came home from work and found him wanking in the living room. He saw me standing there, and he was not embarrassed that I caught him. He continued to do it, so I walked away and left him wanking. I have not spoken to him about that on that day. Since from that day he has been wanking in front of me. I do not care if he does it in front of me and he does not bother me. Should I let him continue with this behavior or is it wrong and should I need to speak to him about it? Doctor: Hi. If he is wanking most of the days, in front of you, I do not think this is a healthy child behavior. Abnormal behavior of a child should be addressed at the right time. Your son may or may not understand that it is unusual behavior for his age. A lot of stressors can be a cause for the abnormal action of a child. Try to find out the cause. Yes, you should talk to him more positively. So you will be aware of what is going on in his mind. You can seek an expert opinion as well, clinical psychologist or pediatric psychiatrist for counseling as well as a therapeutic intervention if needed. Behavioral remodeling will help. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9656, + "tgt": "Are altered taste and less saliva production related to Bell's palsy?", + "src": "Patient: Hi doctor, I have followed your advice regarding back pain. My pain is minimal, and I am still continuing with the exercise. Now, I have another problem. My appetite has become very poor, and I cannot eat most of the things I used to eat before. This became an issue even before the Bell's palsy problem. Ater that, it became severe. While I was taking steroids, I could eat well. Now, the type of food I can eat is becoming fewer. I cannot eat spicy food, which I love. It seems to me ingredients like lemon or tomato make things more difficult. There appears to be a major problem with taste. My mouth had a strong metallic taste, and I still feel such a taste in my mouth. The saliva produced is very little, and when eating anything, I have to sip water to eat that. I have to get up three to four times to go to the toilet\u00a0in the night as well. I am not sure about the new problem. There is an inability to eat most things because they taste horrible and lack of saliva or very little production of saliva. Is this related to Bell's palsy? Or is this a symptom of any other illness? Should I see a specialist? If so, what kind of specialist? Or is it something you can assist? Should I get any tests here? Many thanks for your advice. Doctor: Hello. I have read your symptoms in detail. For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1458, + "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": 711, + "tgt": "I am ready to help a sex chat agent by giving her some money. Is it right?", + "src": "Patient: Hi doctor, I am having severe mental problems and I cannot concentrate on anything. I am a civil engineer and working in a private firm. I am married and have one child. I am unable to take my wife with me because of financial issues. My wife got pregnant last year and since then I have stayed alone. Due to excessive sexual desire, I have approached many prostitutes, but only after spending lots of money I got physical satisfaction. Mental desire was still unsatisfied. Nearly one year, I went through many troubles in my jobs, including court case and money loses. Since then I have changed three offices, but did not receive proper funding from the company. I was all alone with less or no friends. I searched in dating sites and found a girl, who is a professional sex chat agent. She made a personal contact with me out of her job scope.\u00a0In less than a week's time, I feel like I am in love with her and cannot live without her. Now, she is having some financial problem and seeking money from me for providing sex chat services. She is not a fraud and somehow I can manage to give her that by taking a loan on credit card and something.\u00a0I am in constant touch with her since last 7 days and I have yet not done any sex chat because my mind did not allow me to ask her for sex. I am thinking about her only and not be able to concentrate on my work.\u00a0I cannot get rid of the problem and cannot take myself out of the situation. I am seeking help in this regard. Thank you. Doctor: Hi. I can understand your mental turmoil. I can see that you are deep in trouble. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5295, + "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": 10147, + "tgt": "My problem of bad breath persists even after teeth cleaning. What to do?", + "src": "Patient: Hello doctor,I tried teeth cleaning, I avoided non-veg foods and beverage drinks, which produce gas, and I am eating a balanced diet. My bad breath problem is since for the past five years till now, so in this period I realize that I have a white layer on my tongue and when I smell my tongue then I feel very bad breath. Also, I have a hole on my throat back of the tongue, and something comes through that way like thick water and when I smell it so bad.Another is when I eat something, then that smell lasts for a long time. What to do? I have been spent more money to avoid bad breath, so give me a suggestion to get rid of it. Bad breath is the main reason for my unsuccessfulness. Sometimes thinking about this problem, I become depreciate. I needed your help. Doctor: Hello. The white coating on your tongue is mostly due to bacteria and debris. And, it seems that you might have a dry mouth. All this must be causing bad breath. Clean or scrape your tongue regularly, maintain proper oral hygiene, drink a lot of water and even empty stomach will cause bad breath, so have food regularly on time. Do mouth rinse with lukewarm water and salt or lukewarm water and a bit of mouthwash diluted in the water. But, better to avoid continuous use of mouthwash as this itself can cause dry mouth sometimes, and discoloration of teeth. Get a consultation from a dentist regarding dry mouth, to rule it out. If you have dry mouth, a Sialogogue (to increase salivary flow) will be prescribed by the dentist. Do not worry. You will be fine. If possible, send me a picture of your tongue and teeth." + }, + { + "id": 503, + "tgt": "I have swollen lymph nodes on neck and tonsil with sore throat. Please help", + "src": "Patient: Hello doctor, Recently (the last week at the most) my lymph nodes in my neck have been very swollen. When looking at the back of my throat, I can see small tonsil stones, small, but many. There is swelling which I am hoping is associated with the stones and there is a lot of swelling at the top of my right tonsil. The right side of my tonsil definitely is sore but fluctuates throughout the day. I have used tobacco, tobacco-products fairly consistently for the last two years, smoking at most a cigarette per day, and vaping. There are also flesh-colored bumps on the back of my mouth on the left side, they are not painful though. There is one on the top and one down by the tongue. I have not noticed these previously. My depression sometimes affects my hygiene, so I am hoping that this could be the cause of the stones. I have been brushing twice a day, flossing, gargling with salt water, and mouth wash. Since doing this, I have noticed much less swelling in my lymph nodes and a little less in my tonsils. My diet also has not been the healthiest lately (eating about one meal a day) and my sleep schedule has been a wreck. I am just really hoping it is not cancer but I have yet to go see a doctor. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from swelling of lymph nodes on the neck with swelling of tonsil and sore throat. You lead an erratic life. You are a smoker. You do not maintain your oral hygiene regularly. You also do not take your meal regularly. Your presenting clinical features can result from strep throat, peritonsillar abscess, tonsilloliths (tonsil stone), tonsillitis, Non-Hodgkin's lymphoma or carcinoma, etc. According to your picture that is provided here you may suffer from tonsil stone or peritonsillar abscess. In both cases, treatment are almost the same. You should take a broad-spectrum antibiotic for 7-10 days with gargle with salt mixed warm water, mouth wash, apple cider vinegar, and brush regularly. Usually tonsil stones dislodge themselves over time. If the clinical features such as difficulty in deglutition, difficulty in breathing, breathing difficulty during sleeping, pain radiating to ear, etc., occur consider as a medical emergency and consult with an ENT specialist for tonsillectomy. You should observe your lymph nodes carefully. Any sudden change in size or shape of lymph node, high fever, weight loss, night sweating, persistent fatigue, respiratory distress, etc., should be considered as alarming signs for carcinoma. So do not be worried. Take balanced food and maintain oral hygiene strictly." + }, + { + "id": 13962, + "tgt": "When should I expect ovulation if my cycle length differs each month?", + "src": "Patient: Hi doctor,When should I expect ovulation to occur if my cycles are different each month? It has been ranging from 31-35 days. We are trying to conceive, and I take prenatal vitamins every day. We use Pre-seed lubricant and have been trying for eight months now with no luck. Can I have some advice on how to get pregnant? Doctor: Hi. Generally, the rule of thumb is that ovulation takes 14 days before the next periods. In your case, you can take an average of your last three cycles and check with ovulation kit available in the market, starting from two days before two days after the extrapolated date. For example, if your average comes to be 33 days, just minus 14 days on the calendar. So, it is the 19th day from your last period. Now start checking with ovulation kit from 17th day to 21st day. But, pregnancy is not just timed intercourse. For a successful pregnancy, both the partners need to be in their peak of fertility. Please mention your height, weight, previous significant history of medicines, surgery, hospitalization, any sudden weight gain, facial hair growth, husband's semen analysis, any hormonal test, and radiological tests, if done. After these answers, I will be in a better position to guide you. Please feel free to contact." + }, + { + "id": 23368, + "tgt": "I have frequent urination and severe pain in abdomen. Kindly advise", + "src": "Patient: Hello doctor, I had fever two days ago. Then one day ago started frequent urination and I could not hold it every time it happened. And there was pain during urination. Then started pain in the stomach. Today the urination is not that much but I have severe pain in both sides of my abdomen. I am not able to walk because of pain. Doctor: Hello. You can have kidney or bladder infection or it can be acute urinary tract infection. You get the following tests done: As per these reports, the further management plan can be decided. Take care. You can consult a urologist for the examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21153, + "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": 5414, + "tgt": "My husband feels fatigue with disinterest in activities. Why?", + "src": "Patient: Hello doctor, My husband has been feeling fatigued for the last six months with disinterest in activities. Got his blood tested recently and got some abnormal values. Could you please shed some light? I am attaching his blood test results. Please check those and let me know what is the problem with him. Doctor: Hi. I have seen the reports. (attachment removed to protect patient ability). Based on your query, my opinion is as follows. Blood smear appears macrocytic with ovalocytes suggesting vitamin B12 and folic acid deficiency. Few macro platelets are also noted, which is in line with vitamin B12 and folic acid deficiency. It could be possibly early stages as the hemoglobin level is normal. The lipid profile is a bit abnormal. Weight reduction with diet should be adequate. No medications necessary for now. Repeat after six months to check any improvement. Liver function tests show borderline abnormality. If any specific cause like alcohol or obesity present, it requires correction. Otherwise, not to be worried for now. The thyroid profile is near normal. Nothing to suggest thyroid cause. Requires improvement of nutrition, particularly vitamin B complex supplements. Also good hydration at least six to eight liters of water per day, along with moderate activities and protein-rich diet are necessary. No particular cause present in the tests conducted for any fatigue. I hope this helps." + }, + { + "id": 29737, + "tgt": "My wife has gained weight post pregnancy. How to reduce it?", + "src": "Patient: Hi doctor, My wife is 20 years old. Her weight is 59.5 kg and height is 4'9\". Our baby is 15\u00a0months. His diet includes breastfeeding and solid food.\u00a0My wife has post pregnancy overweight, especially in belly, buttocks and thighs. She eats a lot, but feels tired, exhausted and sleepy. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 8329, + "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": 25921, + "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": 22267, + "tgt": "Nose block increases suddenly with chilled food and cold wind. Please advise", + "src": "Patient: Hello doctor, I have nose block, sneezing, itching in the eye, swollen lightly below eyes, and I am unable to sleep at night. Cold items are fatal as problem increases suddenly by these, even curd, fruits are deadly. Doctor: Hello. You are suffering from allergic rhinitis, which is a chronic condition and is aggravated by cold and foods to which the patient is allergic. There are two options: Antiallergic meds, preferably a combination of Levocetirizine and Monteleukast at bedtime along with Fluticasone nasal spray twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Desensitization, for which you will have to go for a skin prick test to see which things you are allergic to, which then could be desensitized. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15801, + "tgt": "Is it advisable to give Natrum Phos to a 3-month-old for acid reflux?", + "src": "Patient: Hi doctor, My baby is 2.5 months old. He used to spit up a lot so we switched him to Enfamel AR formula. After that he stops vomiting but still spits up through mouth and nose almost once after every feed and whenever he does he wakes up from sleep and screams for few minutes. Spitting up bothers him a lot and it seems he is in pain after every feed. It disturbs his sleep a lot. I found that Hylands Natrum phos 6x helps with this, so I started giving him half tablet with every feed since last night. I have not observed any change yet. Should I keep on giving him? How much dosage? How long does it take to work? Doctor: Hi. Natrum Phos is a good remedy for babies suffering from acid reflux related problems. You can continue giving him one tablet twice a day (one in the morning and one at night). You will be able to see the gradual improvement in next 4 to 5 days. If your baby does not settle down in next seven days then I would advise you to seek the help from pediatrician to rule out any gastric disorder." + }, + { + "id": 15110, + "tgt": "Is it possible to detect interstitial lung disease on a 64 slice chest CT angiography?", + "src": "Patient: Hello doctor,Can an interstitial lung disease be detected on a 64 slice chest CT angiography or a 128 slice 3 mm of the chest with no contrast? For the past four months, I have symptoms of chest tightness, fatigue, anxiety, broken sleep, and low back pain. Doctor: Hi. Interstitial lung disease can be visualized in 64 slices and 128 slice CT machines (attachment removed to protect patient identity). A particular HRCT chest protocol is to be followed. No contrast is needed." + }, + { + "id": 11993, + "tgt": "I am bleeding, four hours after a tooth extraction. What to do?", + "src": "Patient: Hi doctor,About four hours ago, I had a tooth removed. It has started to bleed again, and I rinsed my mouth with water. I read online that you should not do that. My gum is really hurting. Am I going to be fine? Doctor: Hi. Hope this information helps.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19899, + "tgt": "How many days does it take to get cured from peripartum cardiomyopathy?", + "src": "Patient: Hi doctor, My wife is suffering from peripartum cardiomyopathy for the past six months. She is taking beta blockers and diuretic medicine for the past four months. Her heart EF is 38 % with flat T in ECG reports. Her heart function is normal. How many days does it take to get cured? Doctor: Hi. Peripartum cardiomyopathy is a condition with an unknown cause. It follows after delivery for a few days to few weeks and manifests with the symptoms of heart failure. Beta blockers and diuretics are suitable. But the condition is not completely curable. The symptoms can reduce with the medications. Please send the ECG (electrocardiography) and echocardiography report to review it. Some cases can also show electrolyte imbalance like hypocalcemia or hypomagnesemia due to diuretics. It can also affect the ECG." + }, + { + "id": 20697, + "tgt": "Clot came out of socket three days after extraction. Can it cause dry socket?", + "src": "Patient: Hello doctor, I had a tooth extraction a week back and three days later, the clot came out of the tooth. Now I am not in any pain. I get the occasional tingle or slight pain but I am terrified of getting dry socket. I am rinsing with salt water every half an hour or so. Should I be worried about it developing? Doctor: Hello. As your chief complaint suggests that you started slight pain or tingling after two days of extraction, it can be due to trauma during extraction, exposure of bone by not suturing it, if needed, psychological feeling of pain due to fear of getting dry socket, may be presence of small root tip or bony spicule behind. As your attachment photo reveals there are little chances of getting dry socket so you need not worry (attachment removed to protect patient identity). You are advised to keep mouth and area clean by rising after taking food. Avoid blowing anything or smoking. To avoid pain, take Paracetamol 500 mg SOS. Wait for two days. If pain continues, you are advised to do an IOPAR of the concerned tooth, you may need ZOE (zinc oxide eugenol) pack which can be put by the same dentist. A dry socket as I tell you occurs mostly in elderly patients with medically compromised conditions like diabetes, smokers, traumatic extraction particularly third molars but your attachment reveals it is the second premolar. So, there are least chances." + }, + { + "id": 25873, + "tgt": "Can MMR and varicella vaccines cause autism in my 15-month-old kid?", + "src": "Patient: Hello doctor, My 15-month-old son was vaccinated with measles vaccine at nine months. Now, he will be vaccinated with MMR and varicella on the same day. I am afraid of the adverse side effects of the MMR vaccine. My son is not premature nor underweight. But after birth, the doctor treated my son with Gardinal because the nurse told the doctor that the baby was trembling when crying and sometimes when not crying. With regards the family history, my wife's 75-year-old grandmother is now under treatment for a neurological disorder or madness for four years. Sometimes, she has to be admitted to the mental hospital. My 62-year-old mother is suffering from a hearing problem since three years. So, keeping in mind the above things and the data available from the internet about the MMR vaccine, I want to know the chances of being affected adversely by MMR vaccines like autism and hearing problem? Doctor: Hello. As per current recommendations, MMR (measles, mumps, and rubella) and Varicella vaccines can be given to your child at 15 months of age at different sites. There is no association of MMR vaccine with autism. The benefits far outweigh any risks. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4081, + "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": 24094, + "tgt": "Why is one of my legs swollen to twice the size of other?", + "src": "Patient: Hi doctor,My left leg is swollen to twice the size of my right leg. I am 65 years old and weigh 72 kg. I am currently on painkillers as it hurts like hell. Could you please advise? Doctor: Hi. I have reviewed your health query and can understand you are worried about your leg swelling. It can be due to one of the many reasons like: In such a situation the best next step is to go to the hospital for proper investigation of the cause. Management goes according to the cause of disease. In the long run, this is dangerous to the leg tissues (if not treated). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15182, + "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": 9032, + "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": 26884, + "tgt": "My IBS is causing extreme anxiety issues. Please help me overcome it", + "src": "Patient: Hello doctor, I have been having IBS from the last four years. I have symptoms of anxiety, skin rashes, low sex drive, low energy, digestive issues, acidity, and heartburn. An endoscopy and colonoscopy done two years ago came back normal. But, I am following up with my doctor who recently found excess hydrogen in my breath and is treating that. But, I think that my real problem lies somewhere else. I have a\u00a0pulse-like movement in my stomach. It is next to the heart beat. I eat a lot\u00a0but digest literally nothing. I get severe cramps in the stomach. The pain spreads to my entire body at times and leads to me being extremely lethargic and dull. Please suggest what I should do. Doctor: Hello. Please revert with the reports next week, so that I can guide you further. Revert after a week to a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15309, + "tgt": "Is it right to have chemotherapy for stage IV invasive lobular carcinoma?", + "src": "Patient: Hi doctor, The first case of cancer was on stage 3 ER+ invasive cancer of the left breast. Now, it is in stage IV invasive lobular carcinoma, with results of ER positive, PR positive, and HER2 with equivocal recurrent cancer. The site of disease is present on the abdominal lymph nodes and omentum with ascites and pleural effusions. Is the current treatment right? Are there any other tests recommended that helps to find more information? Any further recommendations required? Should we need to try clinical trials or immunotherapy? Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is appropriate to use chemotherapy at this juncture. The HER2 (human epidermal growth factor receptor 2) result is mentioned as equivocal. So please do a FISH test (fluorescence in-situ hybridization) to find out whether it is positive or negative. After chemotherapy, consider doing a maintenance hormonal therapy. Immunotherapy in breast cancer is still in infancy, and promising results are seen in triple negative breast cancer women. I will not suggest a clinical trial at this juncture." + }, + { + "id": 16521, + "tgt": "I would like to have the best treatment for constant running nose", + "src": "Patient: Hi doctor, I have problems with my nose for over 10 years. My nose runs all time every day. I got a surgery on the nasal valve and it got worse. The surgeon told me that it is normal and prescribed me Xozal.\u00a0I am using it for past three months but no improvement with it. I wish to get something prescribed through which I will be able to live like a normal person, not having tissue all day. Doctor: Hi. You seem to be suffering from allergic rhinitis which is a form of hypersensitivity and it causes running nose. However this has an offending agent and when the allergen is avoided, the allergy subsides. To confirm whether it is allergy we can do two tests which includes absolute eosinophil count and serum IgE. The positive signal shows that you suffer from allergy. A negative in the above tests need not always rule out allergy. For allergic rhinitis, the accompanying symptoms are itching of eyes or nose, occasional nose block and sneezing multiple times. Next, constant running nose can be due to nasal polyps, chronic sinusitis, inverted papilloma, nasal malignancy, deviated nasal septum, etc. Please give me details regarding the following too: What is the color and consistency of nasal discharge? Is there any foul smell from the discharge? How you perceive smell? Kindly attach your previous investigations, reports and medical records pertaining to this matter so that we can arrive at a decisive diagnosis and institute the correct medications for you. Allergic rhinitis Ethmoidal polyposis Chronic hypertrophic rhinitis Chronic rhinosinusitis Inverted papilloma Nasal malignancy Revert back with the reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30614, + "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": 7680, + "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": 13941, + "tgt": "I have hypothyroidism. Which diet plan is suitable? Is there any complication?", + "src": "Patient: Hi doctor, My age is 28 and actually, I am suffering from hypothyroidism and my latest TSH is 11. I take Thyronorm 125 mcg daily empty stomach. Please suggest a proper diet plan along with the complications at this level. Once, My TSH had risen to 150, I am not gaining extra weight anymore. Please guide me. Doctor: Hi. Thanks for posting your query. Diet for hypothyroidism is to avoid cabbage, cauliflower, and spinach. Otherwise nothing extra diet is needed. Complications do not happen at any particular level. It happens if the TSH is high for years. Complications are heart problems, slowness in action, high cholesterol and in severe cases coma. I recommend you to increase the dose to 150 mcg and repeat TSH after two months." + }, + { + "id": 9665, + "tgt": "Is there a chance of HIV transmission when condom has moved during vaginal sex?", + "src": "Patient: Hello doctor,I am worried when I use a condom and when condom in vaginal sex a little bit goes up and down on penis, and vaginal fluid is on end of the penis, end of the penis (cca 2 cm) is not always covered with condom then I am in panic and ask my self can I be infected in this way and should be tested on HIV? And I ask my self for vaginal fluid he has at all enough strength to affect a healthy man without sti?I knew it is hard to get HIV in unprotected vaginal sex 0.01 % to 0.03 %, but still, I am worried, and I cannot relax and enjoy in protected sex. Please, can you help me and maybe encouraged me. Doctor: Hello. The virus can not permeate through the intact condom. The amount of protection given by barrier contraceptive (condom) is not only\u200b for HIV but also for other sexually transmitted infections. Research has ample evidence to suggest that condom forms a valuable part of HIV prevention.Only certain body fluids like blood, semen, pre-seminal fluid, rectal fluids, vaginal fluid, and breast milk from a person who has HIV can transmit it (CDC). When there is unprotected sexual intercourse, the virus enters through cuts and sores or directly through mucous membranes\u200b. Mucous membranes are found inside the rectum, vaginal, penis, and mouth. Your risk of contracting HIV when consistently and correctively using a condom, and it did not break while sex, is non-existent. So, relax and enjoy your protected sex. Another thing, there is no harm in knowing your HIV test, for this, you can get HIV rapid test at an accredited lab. I hope my answer could decrease your anxiety but do revert if you have any more question." + }, + { + "id": 14394, + "tgt": "I am diabetic, and I have dry mouth and burning sensation in my feet. Why?", + "src": "Patient: Hello doctor, I am a male aged 29 years 3 months, height is 5 feet 8 inches, weight 77 kg. My doctor checked my HbA1c a year back and found it 4.2. Recently, I was facing little dryness in my mouth and that is why drinking more water too. Also facing some little burn in my feet. Other things are fine till now. Is there any probability that I got diabetes by this time? Should I go for another test? Doctor: Hello. I understand your concern. Your HbA1c report is in the normal range, you do not have diabetes. If your test was done in a reliable laboratory, there is absolutely no need to repeat this. The dryness of mouth can occur due to dehydration. So I recommend that you drink at least 2 to 3 liters of water daily. Burning sensation in the feet can be due to vitamin B12 deficiency. You can get your vitamin B12 level checked by a blood test done early in the morning after 12-hour fasting. That means, if you are going for your test at 8 AM, you should have finished your last meal at 8 PM the previous night." + }, + { + "id": 587, + "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": 12219, + "tgt": "Can high fever and chill occur due to kidney stone?", + "src": "Patient: Hi doctor, I am a 41 year old woman and started having severe lower back pain and nausea about a week ago. Went to the ER, had a CT scan, diagnosed with a 6.5 mm kidney stone in my right ureter with mild hydronephrosis. I was given Percocet and sent home with instructions to see a urologist. I was not able to get an appointment until yesterday. Two days after my ER visit, I began having severe chills and running fever as high as 101.5. The urologist did a UA yesterday and said I did not have an infection. And also he did a KUB, which showed my stone had not moved at all. He scheduled me for lithotripsy next Tuesday. I continue to have severe chills and fever. I called his office today and he says I probably have flu. Is it possible that I have an infection in my right kidney? Because the stone is blocking the ureter. But, urine I am passing is clear and uninfected. Please help. Doctor: Hello. High fever and chill are indicative of infection indeed and as we have a cause rightly evident there are chances that you may be developing hydronephrosis (accumulation of urine in swollen kidney) in the right kidney and a secondary infection following stasis of urine (stoppage or reduced flow of urine) in the kidney leading to nephritis. Though urine culture generally picks up an infection in the bladder, nephritis is more of clinical diagnosis with pain and tenderness in the renal angle and high-grade fever accompanying it. Ideally, you should be started on prophylactic antibiotics to control the infection sooner before septic features or septicemia may occur.I think you should take a second opinion from another urologist too." + }, + { + "id": 16474, + "tgt": "Can my smaller testicles get cured with HCG 5000?", + "src": "Patient: Hello doctor, I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse. Doctor: Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have children? Are you married? I would like you to get a baseline hormonal assay which would help us for future reference. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 237, + "tgt": "My EKG reading shows sinus arrythmia. Kindly advise", + "src": "Patient: Hello doctor, I went to urgent care today because I had bad heart palpitations while taking a walk, along with some cuest discomfort. I have heart palpitations quite frequently but these felt different. They were a but thump behind my sternum, several times in a row. The EKG reading from urgent care says \u201csinus arryhtmia\u201d. I have had many EKGs done before but it has never said that. Is this of concern? Doctor: Hello. Your ECG is fine and sinus arrhythmia is normal phenomenon, where heart range varies with respiration. It may not be evident always or depends on sensitivity of machine, and also it is more pronounced, detectable when one is breathing heavily or rapidly. So it is not a matter of worry at all. Next thing, were you also having palpitations when ECG was taken or subsided by that time? Because considering symptoms of palpitations and chest discomfort, its important to rule out possibility of cardiac arrhythmias like PSVT/ paroxysmal atrial fibrillation, which are intermittent and ECG would be absolutely normal at other time. So normal ECG does not rule out possibility of arrhythmia. So you should either have holter monitoring (24 hour ECG monitoring, but it would detect arrhythmia only if it happened during this 24 hour period) or you can buy simple single lead ECG devices, which would help to monitor your rhythm whenever you are symptomatic. So, basically we need an ECG rhythm during symptoms so as to reliably rule out possibility of cardiac arrhythmia. In a nutshell, your ECG is fine and may need further steps. I would also like to know why are you eliquis, Prednisone. And thyroid problems may cause arrhythmia like atrial fibrillation, so TSH should be monitored." + }, + { + "id": 5896, + "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": 31038, + "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": 9696, + "tgt": "What can cause tingling sensation in muscles?", + "src": "Patient: Hi doctor, Over the last few months, I am experiencing some tingling kind of sensation in muscles on a specific area below the left breast near the rib. I would like to know what it is and the cause for it. I am having that sensation mostly in the evening. Doctor: Hi. This tingling sensation can be due to transient nerve compression. This nerve compression can be due to a muscle spasm or due to abnormalities in the thoracic spine. If back pain still persists, then get back to me as you will require a prescription for medication." + }, + { + "id": 12622, + "tgt": "What can be done to control the feeling of emptiness and emotionally drained?", + "src": "Patient: Hello doctor, I am feeling empty and emotionally drained. I do not feel like living anymore. I am tired of everyone blaming me every now and then for everything for no big reason. Sometimes I do not understand my fault. I feel suicidal many times. Doctor: Hi. Such feelings at this stage of life when we enter our teens is quite common and there are multiple reasons for it, few being changes in our body especially hormonal changes associated with puberty. You are not alone with such feelings of loneliness and suicidal tendencies. But the good thing is most of it is illusional and not true. Contrary to what we believe at this point in life, our parents love us a lot and are very much concerned about us. Talking to them and to teachers, guides, mentors will help you in understanding and overcoming the differences. A visit to a school counselor or a psychologist will definitely be of help. This life is very precious and there are a lot of people who love us. We do not realize how blessed we are. Best wishes for your future." + }, + { + "id": 10343, + "tgt": "Why has my 5-year-old been having eczema since she was 3 months old?", + "src": "Patient: Hello doctor,My 5 years old girl has been having eczema since she was 3 months old. She was scratchy all the time (at least every 3 to 4 hours). Even though we have applied moisturizers such as Aveeno, it was not helping her. When doctors prescribed topical steroids, we used it and she felt better. But as soon we stopped steroids she got the eczema back. As the doctors told we believed that as age progress eczema will subside. But she has even now and in fact it is little worse than before. We stopped steroids about six months back and trying to manage without it. One thing we noticed recently is that when we did not apply any oil or moisturizer (coconut oil or moisturizer never really helped) she did not scratch in the day time. But in the night between 12 AM and 2 AM she has been scratching all the time without sleep and sleep again. We are really worried if she will carry this lifelong and we are stressed. Also, we do not want to use steroid and would like your opinion on that if there is any complication if we avoid steroid completely and just leave her in this routine in the hope of getting better (we do not want her body to get used to steroid).After reading the above points please advise on how we should handle her without much medicine, if possible?Should we avoid moisturizer and oil as she is not scratching in daytime (rough patches still exist though)?When will she get better or at least have less and manageable eczema? Will it be at least at her teenage? Doctor: Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10098, + "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": 13523, + "tgt": "Is it necessary to get rhesus checked during pregnancy?", + "src": "Patient: Hi doctor, What is Rhesus? My wife is pregnant and started clinic today. Doctor: Hi. At first visit, the pregnant lady's blood group needs to be checked. There are many blood groups like A, B, O, AB and another thing which we need to know is rhesus positive or rhesus negative. So on the basis of rhesus, it is A+, A-, B+, B-, O+, O-, AB+, AB -. So, every blood group have rhesus classification like rhesus positive and rhesus negative. A positive and a negative. Rhesus has to be known as there is one issue of rhesus incompatibility. If both mother and father of the child are rhesus positive or both rhesus negative, then no issue. But, if mother is rhesus negative and father is rhesus positive and developing baby is rhesus positive, then mother can develop antibodies against fetal blood that can cause lysis of blood cells most likely in next pregnancy which can lead to anemic baby. Rh negative mothers with Rh positive husbands need anti-D injections. They need to have twice at 28 and 32 weeks of gestation without any cause but in case of bleeding during pregnancy also need injection, after birth also. Check your blood group as well if wife is rhesus negative. She should have regular antenatal visits and in case of bleeding or pain report to gynecology emergency. If wife is Rh negative, have blood grouping of husband. Regular antenatal check-ups in maternal medicine unit if Rh negative and some other complications are related to it. Anti-D injections at 28 and 32 weeks. Balanced diet, weight, and BMI, folic acid. Regular antenatal check-ups. Report in case of any bleeding." + }, + { + "id": 24092, + "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": 18412, + "tgt": "Why am I not able to control my BP with medicines?", + "src": "Patient: Hi doctor, I have a resistant hypertension. Even five drugs failed with a lot of side effects. I was safe on Methyldopa for 2 years with Hydrochlorothiazide. Now, there is no supply of this medicine. I started Nebivolol 5 mg with Chlorthalidone last night. I have the feel of chest tightening and slight giddiness. All my blood pictures are normal, including cardiac markers. What would be the best for me? Telmisartan 80 mg, Metoprolol, Prazosin and Ramipril combination does not seem to work. Blurred and double vision, steatorrhea, giddiness and palpitations were the problems I had and they all went off with Methyldopa. Please suggest any best combinations. Thank you. Doctor: Hi. Most likely pheochromocytoma or renal artery stenosis. Complete cardiac checkup, 2D echo, treadmill test, renal artery Doppler, MRI kidney to rule out pheochromocytoma, serum vanillylmandelic acid and serum metanephrines. Medications as advised. Revert back with the detailed history and reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23547, + "tgt": "What medicines can be taken for vomiting after having had IV Methylprednisolone?", + "src": "Patient: Hello doctor, My wife is a neuro patient and a week ago she was given five days treatment of Methylprednisolone intravenous. After her discharge, she has been vomiting every now and then. The vomiting usually occurs whenever she tries to move about and travel in cars to see her neurologist. Although the frequency has slowed, it has not stopped. After her steroids treatment, the neurologist had suggested for Pan-D once every morning for three days. The neurologist has asked me to seek the help of a gastroenterologist because my wife needs to be administered with Rituximab injection at the earliest. Please suggest some medication as well as the diet she should follow. Thank you. Doctor: Hello. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13514, + "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": 12720, + "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": 29689, + "tgt": "I am getting shooting tooth pain. Shall I opt for extraction?", + "src": "Patient: Hi doctor, I have got problems with four different teeth. My front tooth is extremely sensitive and painful most of the time. A molar has had a deep filling that was done about a month and a half ago. Still, it hurts, and my dentist said it is nothing to worry. It feels as if shooting pains and sometimes, the pain spreads to my jaw, eyes and nose and I cannot eat on this tooth. Shall I opt for the tooth just to be extracted? It causes a lot of trouble. Also, my back two teeth have one complete filling that covers both teeth. It bleeds and hurts very much if I used in between brushes to clean my teeth, which my dentist advised me to use. I just cannot use that because it is too painful. I experience shooting pains in a lot of my teeth and the deeply filled tooth is the worst. If the tooth were to be extracted, is it possible to get a bridge? What is the longevity of dental bridges? Please refer the photos attached. Doctor: Hi. I just have gone through the photos (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8608, + "tgt": "Kindly explain about the health benefits of Mediterranean diet", + "src": "Patient: Hello doctor, In a few sentences, what is the Mediterranean diet? What food categories are typically eaten on the Mediterranean diet? In a few sentences, what health benefits come from the Mediterranean diet? And anything else you would like to add. Doctor: Hello. It is way back to our ancient times we are in diet emphasis on eating a primarily plant-based diet like fruits, vegetables, legumes, grains, and nuts replacing butter with Olive oil using herbs and spices instead of salt. A vegetarian-based, fish and poultry food diet are typically found if you look food pyramid. It has a great impact overall with weight reduction, heart-healthy diet as well to manage HTN (hypertension) and cholesterol." + }, + { + "id": 7133, + "tgt": "Baby has running nose even after having medicines. Kindly advice", + "src": "Patient: Hello doctor, My baby is suffering running nose last 13 days. I consulted my pediatrician before some days, and she prescribed Montair Lc kid syrup three ml for 20 days and also gave Sinarest AF drop once for six days. Before that, she took Sinarest Af and Ascoril ld for 10 days. Apart from this, she suffered a running nose. What should I do? Doctor: Hello. I got your concern. Well, first of all, I am asking you to continue all medications as prescribed by a pediatrician. Babies less than five years often get recurrent cold and cough. There could be many reasons, 1. Post viral infection cough, which may continue for three to four weeks. 2. Recurrent viral infection (due to repeated exposure from family members or nursery students) which may present as cold cough and occasionally fever. 3. Some allergy-like food allergy (cow milk, eggs, etc.) dust allergy, smoking exposure, change in atmosphere, change in location, etc., Mostly they came out from it till five years of age, so continue the same. Monitor growth and height. Make a symptom diary which might help us to rule out other diagnoses." + }, + { + "id": 7378, + "tgt": "I have a small rash on my belt line. Please suggest a treatment", + "src": "Patient: Hello doctor,I have a small rash on my belt line that has been there for a number of weeks. It is red, inflamed, and bumpy. It tends to itch a lot. It is not ring-shaped, more like a razor burn. I take Roaccutane, Aropax, and Valtrex. Please find the image. Doctor: Hello. I have viewed the file (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 10802, + "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": 17449, + "tgt": "How to gain weight?", + "src": "Patient: Hi doctor, I am very thin. I want to gain more mass and weight. For that I am consuming multivitamin tablets and protein powder, but no use. I have a doubt that whatever I am taking is not 100% digesting to supply that energy to my body? What do I do? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18270, + "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": 16331, + "tgt": "Will a dog scratch cause rabies?", + "src": "Patient: Hello doctor, My dog scratched me with its claws. So, what should I do? Doctor: Hello. If your pet dog is vaccinated and if the attack was provoked and if there was no bleeding then you just need to observe the dog for ten days, and chances of contracting rabies are very little or nil. However, if there was any bleeding, the attack was unprovoked and if you do not know the vaccination status of the dog, you must get a full course of rabies vaccine along with tetanus immunoglobulin shot." + }, + { + "id": 31009, + "tgt": "My newborn baby was found to have high bilirubin. Kindly advice", + "src": "Patient: Hi doctor,Our newborn baby was found to have serum bilirubin 20 and direct 18 on the 4th day. Kindly suggest appropriate advice. If we are going for photo therapy, then which light is better? Doctor: Hi. I can understand your concerns. For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9034, + "tgt": "I ejaculate at an extremely swift pace. Please help", + "src": "Patient: Hello doctor, My problem is very common with statistically around 30% of men face, which is premature ejaculation. There is no erectile dysfunction. It is just that I discharge at an extremely swift pace, that is within 30 seconds to 2 minutes of sexual activity. I have tried all techniques like start stop, using a thicker condom, deep breaths, etc., but nothing worked. When I was a child, my prepuce was surgically removed due to some reason, which I assume might have increased the sensitivity. Anxiousness to perform could also be one of the reasons for quick discharge. Kindly suggest me a solution, be it a medicine, pill or lotion that could help me perform better. Please suggest something without hazardous side effects, because this medical glitch is giving invisible dents to my married life. Looking forward to get fruitful advice from your esteemed and erudite panel. Doctor: Hello. There are many ways to treat premature ejaculation if it is not possibly due to anxiety: So, to summarize, if you tried various techniques and still experience premature ejaculation, then the three medical options are, Performance anxiety and extra sensitivity. Premature ejaculation. Follow up if you have any queries to a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26960, + "tgt": "What are the treatment options for nystagmus?", + "src": "Patient: Hi doctor, I am blind in my left eye, and I have nystagmus in my right eye.\u00a0What are the options for nystagmus? Doctor: Hello. Regards. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13472, + "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": 20645, + "tgt": "Had unprotected sex and took I-pill before 40 hours. Are there chances of pregnancy?", + "src": "Patient: Hi doctor, My friend had unprotected sex on the fifth day of her periods and before 40 hours, she consumed I-pill and from the next day, she started taking Krimson 35. Are there any chances of pregnancy? Doctor: Hi. No, if the cycle length is between 22 to 35 days, the fertile period lies between day 8 to 18 and no need to worry if had intercourse on day 5. She will not get pregnant. It is good that she started on regular pills for 21 days and then stopped for seven days. Instead, should not have taken I-pill. But if taken, the next periods might be delayed. You can use these pills as a regular method. If taken regularly for 21 days, it prevents pregnancy but if forgotten to take the pill, efficacy decreases and pregnancy may occur and intermittent spotting may also occur." + }, + { + "id": 14637, + "tgt": "I get cough almost every month. I cannot breathe properly. How can I overcome these problems?", + "src": "Patient: Hello doctor, I am an electrical engineering student. My age is 21 years. I have been facing some problems in the last five years. I get cough almost every month. When I get cough, I feel uneasy. If I do not take any medicine, water comes out of my nose and irritates me. I consulted many doctors. They advised cough syrups. One doctor advised to take a syrup which contains Ambroxol. Another doctor advised to take a syrup which contains Guaifenesin + Pseudoephedrine + Triprolidine HCl. Now when I get cold, I take Guaifenesin + Pseudoephedrine + Triprolidine HCl. I want to know why do I have cough periodically. When I take bath in cold water, I cannot breathe properly. So, I always use hot water to bathe. I consulted a local doctor to solve this problem. But, he advised to take bath in cold water and also said that it is not a problem at all. This also worsened my cough. How do I reduce it? I cannot travel by regular bus. When the bus window is opened and when the outside air circulates and if the air flows through my mouth, my mouth becomes dry and I cannot breathe. So, I always travel by air-conditioned buses in which the windows stay closed. How can I overcome these problems? Please help. Doctor: Hello. It is clear from your case history and symptoms that you are suffering from two disorders namely: Kindly get the following tests done from a good lab so that I can evaluate your reports and prescribe you the appropriate treatment. Do not worry. Your condition is treatable. Hope this helps. Revert back to a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 17021, + "tgt": "What is the solution for segmented sleep?", + "src": "Patient: Hi doctor,What is the solution for segmented sleep? How to get rid of this? Doctor: Hello. For further information consult a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 14799, + "tgt": "Is it hip arthritis? I am having pain above my right hip and little swollen", + "src": "Patient: Dear doctor, I am having pain above my right hip. It feels a little swollen and a little pain in my lower back above the right hip. I can feel the pain more when taking a breath. My lower back feels like it is burning. Give me any advice. Doctor: Hi. I have studied your case. As per your history, there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head (AVN). I will advise you to take an x-ray of hip again and you can consult me with the reports or with your doctor. After clinical examination, if AVN (avascular necrosis) is suspected, then you will need MRI. Till that time, you can take analgesic and cartilage protecting medication like Glucosamine sulfate. For hip arthritis, joint flexion, extension and rotation exercises will help. If required intra-articular injection can be given. Diet rich in calcium and protein will help. If the pain is in pelvis then, ultrasonography or MRI spine may be required. Hope this answers your query. If you have additional questions or follow up queries, please do not hesitate in writing to us. I will be happy to answer your queries. An expert physiotherapist online will help you better to learn more exercises in proper protocol --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 1134, + "tgt": "Due to my IT profession, I have lower back pain and shoulder pain. Please suggest treatment options", + "src": "Patient: Hello doctor, I am running an IT firm for the past four years. Currently, I am having two health issues related to my work. 1. Lower back pain - it started two years back and now it has become worst. Now I cannot ride a motorbike, cannot sit in a normal chair, and cannot even sleep on my sides. I also cannot walk or stand continuously for more than half an hour. Currently, I am using a belt and it is helping a lot. 2. Pain in both the shoulders if they are not in action. Like if I am sitting in the chair for more than an hour without regularly using my hands. The shoulders start paining. This just started a few months back and getting worst. I have not consulted a doctor yet for both of these issues. I wish to book an appointment and it would be appreciated if the doctor knows Malayalam as my English is not up to mark. Doctor: Hi. Well, you have a typical problem with people working in an IT firm. Tell me first how much physical activity you have in your daily routine." + }, + { + "id": 24260, + "tgt": "I am still waiting for my periods a month after I-pill. Will I get it?", + "src": "Patient: Hello doctor, My periods got over on the 7th of last month. I had unprotected sex with my partner on 10th. Within three to four hours, I took I-pill. I bled exactly after one week, that is, on the 17th. The bleeding was there for four days maximum. Now, it is the 12th and I am still waiting for my period. My partner is asking me not to worry but I am still very tensed. Will I get my periods? Doctor: Hello. You had bleeding after sex. So, the chance of pregnancy is nil. Periods may come on time or it may be late due to the effect of the pill. So, wait and relax. The time of period varies from person to person. There is no fixed rule. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5174, + "tgt": "My wife continues to bleed for three weeks after taking abortion pills. Why?", + "src": "Patient: Hello doctor, My wife took abortion pills before three weeks, but still, her periods did not stop. She is getting some fiber along with the blood and we think that this is not normal. Can you please suggest? Doctor: Hi. Her symptoms are suggestive of incomplete abortion. First, you should go for pelvic ultrasonography to see the cause. Then you should consult a gynecologist and get your examination done. If any retained products of conception are there then it can be evacuated by surgical method of abortion (D&C). Please do not worry. Please consult a good gynecologist. It is a safe method of abortion. I hope this helps." + }, + { + "id": 10843, + "tgt": "I am having itching in the penis area. What should I do?", + "src": "Patient: Hello doctor, I have itching in the penis area. Kindly advice. Doctor: Hello. Please wash the area with lukewarm water regularly. Use a mild soap. Do not use the same towel in pubic area that which you use elsewhere on the body. Observe clearly if there is any change in color, foul smell, lesions over the penis. Maintain good hygiene down there. Remove pubic hair and keep the area dry. If you are the type who sweats a lot, then use mild antiperspirant talc over the groin area. If the climate where you live is very sultry, and you may need to bath many times daily. Use a different set of clothes every day. Do not use the same clothes again." + }, + { + "id": 279, + "tgt": "Is it normal to feel pain in the gums after having implants?", + "src": "Patient: Hi doctor,Eight days ago, I had four dental implants placed in the lower jaw. Is it normal to have pain on the sides of the gums where I got implants? Doctor: Hi. I can understand your concern regarding dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 845, + "tgt": "Could you please interpret my friend's breast cancer report?", + "src": "Patient: Hi doctor, I am writing this question on behalf of a friend of mine. She had breast cancer and was operated on for it before four months. She had her tests done again a few weeks ago, but she does not seem to believe the results and wants a second opinion.\u00a0Could you please interpret the reports of her current situation?\u00a0Thank you. Doctor: Hi. For further information consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 20255, + "tgt": "Can testicle pain and difficulty in reaching ejaculation be prostatitis?", + "src": "Patient: Hello doctor, I am a 30-year-old married man and this is my story. Three months back testicle pain and difficulty reaching ejaculation for a few days. Also, a mild pain near the rectum or anus for a few days. A month later received unprotected oral sex from a woman. The very next month started to feel intense burning sensation in the penis (not when urinating, in fact, urinating relieved it). Also, intense pain located in glans to the right, between the corona and the meatus. No discharge. Took 1.0 g of Azithromycin and 1.0 g of Ciprofloxacin, just in case. Gonorrhea. chlamydia, mycoplasma, etc, and urine culture and stain grams all were negative. Two days later I had a lot of urinary urgencies. CT scan revealed inflamed bladder walls, small urine retention, and urinalysis shows WBC count of 2 to 4. I was started on Levofloxacin. Two weeks later the symptoms continued. Urine turned very thick. Urologist says it is urethritis (which I do not think so, because the burning is not when urinating, but mostly all the time) orders another CT scan and MRI. Everything comes out normal, except WBC count in urine 8 to 10. Culture and STD negative again. Two days later the doctor orders four weeks of Levofloxacin, Tamsulosin, and Solifenacin. Also, something for a fungal infection and a pill for if the penis pain was neurological. A week later another urine sample was taken. Everything was normal this time, including WBC count. STD panel negative. Three weeks later the doctor had diagnosed prostatitis and insists on continuing treatment. Symptoms persisted like frequent urination, constant intense burning in penis or bladder, painful ejaculation and a small amount of semen, thick urine, occasional testicle pain. No rash on the penis, no discharge, no lesions, no fever, no joint pain. Could this be really prostatitis? If it is, could it be bacterial from the oral sex episode? Is constant burning in pain more consistent with non-chlamydial NGU (or NSU) or prostatitis? Could it be related to the bladder more than the prostate? Please help. Doctor: Hi. I have gone through your query. I would like to know a few more details to answer your query better. Let me answer your questions one by one. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5851, + "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": 12406, + "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": 7336, + "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": 18315, + "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": 9373, + "tgt": "My neck is stiff and some movements cause neck spasm. Which position should I sleep in night?", + "src": "Patient: Hello doctor,I have a stiff neck, and some movements cause my neck to spasm and feel like something is being pinched. Which position should I sleep in tonight? Doctor: Hello. This appears like a muscle spasm. Doing hot water fermentation and gentle kneading massage should release the neck spasm and make it comfortable to lye down flat without the pillow. With the help of gravity, the stiffness will reduce in the overnight, and you should be fine. Incase if the stiffness is same, please do let us know so we can suggest the other methods." + }, + { + "id": 6735, + "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": 18828, + "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": 12002, + "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": 11191, + "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": 1998, + "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": 16735, + "tgt": "Am I suffering from achalasia or GERD?", + "src": "Patient: Hi doctor, I am a 31 year old male. I recently had a severe chest pain like heartburn and visited a gastroenterologist doctor. I am also suffering from swallowing disorder for the past seven to eight months, especially solid foods and sometime liquids too. It feels that whenever I eat food it stuck somewhere in the chest at the level of the lower esophagus. I need to drink water to take down that food in the stomach. My doctor told me that I am suffering from mild antral gastritis and esophageal candidiasis as per endoscopy.\u00a0Also, the endoscopy finding says that esophagus shows white curdy precipitate with erythema at GE junction and large dilated esophagus. Now, he has suggested for manometry test. I want to know the actual problem with me. Am I suffering from achalasia with GERD? What are the treatment options?\u00a0The medication I am going through is Nexpro-L, Nexpro 40 and Torfix 400 mg.\u00a0Can it be treated with medication or require surgery? Doctor: Hello. Upper GI endoscopy and esophageal manometry. 1. Achalasia cardia. 2. Esophageal dysmotility syndrome. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21971, + "tgt": "My arm still feels tired after donating blood. What is the reason?", + "src": "Patient: Hello doctor,So, last week I donated blood in a blood-letting in my university. The day after the donation, a bruise appeared in the punctured area, and it is a bit painfull. After doing cold and hot compress, the pain in the area disappeared but my donating arm still feels tired. What could be the problem? Doctor: Hi. First, coming to blood donation, you have done a very good thing. You saved one life. Secondly, the bruise may be due to puncture of the vein (double puncture) during needle insertion and it will cause pain and leakage of blood (causing bruise) and this will be healed fast and leaked blood will be reabsorbed. Thirdly, there will be dragging pain and this will take 5 to 7 days to regress. Nothing to intervene. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 7190, + "tgt": "I am diagnosed with NPD and ASPD. How to get it treated?", + "src": "Patient: Hello doctor,I am dangerously sadistic. I enjoy it when others are suffering in any form, from stubbed toes to life-threatening injuries and torture. I have been diagnosed with NPD, though with traits from ASPD. The research on how treatable this kind of thing seems pretty inconclusive. Where do I go from here? Doctor: Hello. First of all, I have to appreciate you for asking this question. It takes a huge amount of courage to question ourselves, and especially in cases of NPD (narcissistic personality disorder) and ASPD (antisocial personality disorder). Where the individual lacks the insight of his issues and often only sees problems in others. Personality disorder, in general, is a difficult entity to be treated, but continuous long term therapy (cognitive behavior therapy) and psychotherapy help wonderfully in stabilizing if not curing completely. Instead of working on changing yourself, you should focus on managing your thought patterns and behavior. The good thing in your case is that you already have some level of awareness, which would help you out. So I would suggest starting therapy as soon as possible. Also, I want to know if you are taking any meds currently? You can follow-up with the same doctor as keep your medicines on track. I hope this helps. I would need more information to help you better and in specific ways which work for you. Let me know if you have any questions." + }, + { + "id": 9053, + "tgt": "My partner had I-pill after unprotected sex and feel some changes in her body. Why?", + "src": "Patient: Hello doctor, I had unprotected sex with my fiance, but we also took care of it by I-pill, but we are still not sure because she is seeing some changes in her body and we do not know if it is due to medicine or she is pregnant? Doctor: Hello. I-pill is quite effective in preventing against pregnancy, so probably there are no chances of pregnancy, but if she is concerned, she can get a pregnancy test. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 16362, + "tgt": "How to reduce the symptoms affecting the mental health?", + "src": "Patient: Hi doctor, I am a 36-year-old male. I suffer from severe fatigue, unexplained weight gain, headache, sleeplessness, cognitive dysfunction, with reduced sex drive for the past three years. I have a blurry vision too. I have gone to many doctors. But, I am not feeling healthy. My testosterone ranges from 176 ng/dL to 325 ng/dL. My endocrinologist says that there is nothing to worry. My estradiol and prolactin levels are normal. My free T4 was .54 ng/ dl, and TSH was 1.69 mIU/L. My memory has become worse, and my head is fully pressurized. I had an MRI, and there was nothing seen on it. I need some help, and I do not know what to do. Currently, I am taking Wellbutrin XL. Doctor: Hi. I have gone through the query and the test results thoroughly (attachment removed to protect patient identity). You have depression. Having depression with moderate to severe degrees result in having all these symptoms. So, it would be helpful to know if these symptoms preceded the development of depression or came along with it. A headache and firm pressure could be a side effect of Wellbutrin XL (Bupropion). Fatigue, weight gain, memory impairment, lack of sleep, loss of libido, and suicidal intentions are all symptoms of severe depression. Treat your depression problem first. You will see your symptoms reducing after taking adequate treatment for depression. I think you need to talk to your psychiatrist to readjust your dose and to add other drugs. If these symptoms came way before the onset of depression, then they are unrelated to it. I suggest you check your adrenal hormone levels like serum cortisol. Please let me know whether these symptoms developed before or after the depression. Also get the following investigations done. So that proper treatment can be initiated." + }, + { + "id": 23123, + "tgt": "What should I do to never get operated again in future for hernia?", + "src": "Patient: Hello doctor,My age is 32 years old and I am operated three times for a hernia two times at left-hand side and one on the right side. First, a hernia operated 20 years back and then seven years back. Both are on the left-hand side and last year on the right-hand side. Now, what should I do so that I never get operated again in the future for a hernia? Doctor: Hello. I understand that you suffered from a recurrence of a hernia. Inguinal hernia recurrence is a very traumatic experience for the patients and it is very unfortunate that you had to experience that. There are a lot of factors contributing to the recurrence and it has to evaluated based on a patient to patient basis. However, there are some general precautions that a patient after undergoing hernia surgery should observe: As I have already said, the cause and prevention of recurrence have to be evaluated on a patient to patient basis. So, feel free to consult us directly if you want to discuss this further. Take care. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 7307, + "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": 27268, + "tgt": "Can you comment on the imbalances in my blood test reports?", + "src": "Patient: Hello doctor, I recently got my routine blood test done. I would like to consult a\u00a0good doctor regarding the imbalances mentioned. Attached is the report. I have a\u00a0thyroid disorder and I take Thyronorm 50 mcg every day\u00a0and 75 mcg on Sunday. I recently recovered from viral flu\u00a0and cold. I have mild joint pains and back pain. Your advice would be appreciated. Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11361, + "tgt": "Can I take Risperidone along with Wellbutrin? Will it be effective?", + "src": "Patient: Hi doctor, I had two psychotic episodes last year and was diagnosed with schizoaffective disorder. I have recently prescribed Risperidone (1 mg) in combination with Wellbutrin (150 mg). One is a dopamine blocker while the other is a dopamine reuptake inhibitor. Would not these cancel each other out? Doctor: Hello. The short answer to your question is no. They do not cancel each other out. You may be aware that Risperidone (a dopamine antagonist) is prescribed as an antipsychotic and also helps to stabilize mood whereas Wellbutrin (Bupropion- norepinephrine-dopamine reuptake inhibitor) is used as an antidepressant. You need to be monitored for any potential side effects when you are taking a combination of these two medications. So kindly follow up with your prescribing doctor who will be able to review and titrate the dose accordingly. Also, inform your health care professionals if you are prescribed any other medication for other reasons. They will need to consider potential drug interactions. Take care." + }, + { + "id": 9371, + "tgt": "Is it normal to have fast heartbeat after endoscopy using local anesthetic spray?", + "src": "Patient: Hello doctor, It was over two weeks ago I had my endoscopy. It was not sedated but they gave me the local anesthetic spray but after I had my endoscopy I feel like my heart is beating faster than normal and I feel like my nerves or you can say muscle are like twitching or throbbing and I went to some doctor and said I do not have toxicity but I got so curious if I actually have toxicity. So is it? Doctor: Hi. Local anesthesia toxicity can happen if the spray is used at high concentrations. Usually, they will have 10 percent Lignocaine spray. They can spray maximum 300 mg of drug but for your procedure, definetly they will use less, do not worry. The other symptoms you had are because of your anxiety, stress because you are not sedated and you are just given local anesthesia, that is why and if toxicity happens, first you will have fits (seizures, numbness over the lips and around mouth)." + }, + { + "id": 12813, + "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": 13893, + "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": 21946, + "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": 7073, + "tgt": "Can masturbation cause tickling sensation in my penis?", + "src": "Patient: Hello doctor, I have a tickling sensation in my penis. I showed to urologists online and they said it will get fine soon. There was no need to take medicines as they said it happened due to continuous and vigorous masturbation. This has been there for the last six months. This triggers my mind as the sensation in the penis disturbs me though it is mild. I am still to come out from this. I think my nerves have gotten loose in the penis so I think the neurologist would help me out of this. I pass my urine nicely without any pain. In the past, I have been on tablet Niftran 100 mg and Urispas 200 mg. Doctor: Hello. This can happen as a result of anxiety that excessive masturbation can cause. Now the treatment I would suggest is to start with capsule Neurokind-Gold (Ginseng extract, multivitamins, multimineral, and antioxidants) once daily for a month and tablet Amitriptyline 10 mg in the night for a few weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8266, + "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": 26468, + "tgt": "My brother's leukocyte count is persistently high. Is it something of concern?", + "src": "Patient: Hi doctor, My brother was admitted to the hospital after he was diagnosed with dengue. However, there was concurrent evidence of severe leucocytosis (WBC >45,000 and neutrophils >70 %) and also few myelocytes and metamyelocytes. The USG of the abdomen area also revealed moderate hepatosplenomegaly. He also had an increased uric acid, SGPT, and LDH level. In the course of time, the leucocyte count was persistently high (>30,000) but with a gradually decreasing trend. The fever gradually subsided. Urine and blood C/S were negative. Yesterday's hematology report was:\u00a0WBC count: 34,500.\u00a0Differential Count:\u00a0Neutrophil: 79 %, lymphocyte: 19 %, monocyte: 01 %, eosinophil: 01 %, basophil: 00 % and peripheral smear: neutrophilic leucocytosis, and few atypical lymphocytes present. Doctor: Hello. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 16980, + "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": 8479, + "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": 20223, + "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": 21582, + "tgt": "Why is there a painful white patch on my tongue?", + "src": "Patient: Hi doctor, There is a white patch on my tongue that started out as a red, inflamed taste bud. It is very painful, and the patch has got bigger. Doctor: Hi. Your history is not clear. If the patch is severely painful and if it is present for two to three days, it can be an aphthous ulcer. If it is having a history of more than a week, it can be a fungal infection. I would recommend you an antifungal Candid mouth paint (Clotrimazole). Use it two to three times daily. Do not eat after applying it for at least 10 minutes. Also do salt gargles twice daily and take multivitamins for a month. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20399, + "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": 12494, + "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": 25809, + "tgt": "Am I prone to lung cancer if I have a strong family history of smoking?", + "src": "Patient: Hello doctor, I am 29 years old and I have smoked three and a half pack years in total. I quit smoking three years ago and I smoked half pack a day from 19 to 26. My great grandmother on my grandfather's side died from lung cancer at 49. She was a very very heavy smoker and so was her husband so she was always around it. Does her dying early increase my risk of getting lung cancer or does it not matter because she smoked very heavily but that is several generations ago. Her daughter who is my grandfather's sister is in her 70s and has COPD. She was also a lifelong smoker. Should I be worried even though I just have 3.5 pack years? I do not know if genetics were still a factor here. Please help. Doctor: Hello. Yes, lung cancer does have a genetic predisposition. However, it is not that anyone who has a family history of lung cancer will get it. Various other factors like heavy smoking, pollution, body immunity also play a role. I do not find any reason to worry if you do not have any symptoms now and if you have quit smoking. However, there is no harm in getting a single chest X-ray done to be sure of the current status. However, if you have any particular symptoms, please let me now. For more information consult a critical care physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 17263, + "tgt": "Is factor V Leiden mutation related to any health issues?", + "src": "Patient: Hello doctor, These are my daughter's bloodwork results that were done nine months back. I was never told about any of these results until I recently asked for copies of her medical record. This year she had irregular and heavy menstrual bleeding and developed a large hemorrhagic ovarian cyst with torsion, which had to be removed/corrected with surgery. Now, she is on Tylenol, multivitamins, omega 3 supplements, Colace (Docusate sodium) for constipation after surgery. Do these results show her to be at risk for any other issues/health problems? Should I seek a second opinion? Prothrombin Time: 13 seconds Activated Partial Thromboplastin Time: 32.6 seconds Functional Protein S: 61% (L) Free Protein S: 92% Total Protein S: 106% Functional Antithrombin III: 140% (H) Factor V Leiden mutation: single R506Q mutation identified (heterozygote) (H) Coagulation Factor VIII Activity: 116% Von Willebrand Factor: 133% Doctor: Hello. Protein S deficiency causes an increased risk of developing blood clotting disorders mainly thrombosis. It can be hereditary or acquired. Acquired protein S deficiency is seen in liver disease or vitamin K deficiency. Your daughter is heterozygous for factor V Leiden mutation which further increases the risk of thrombosis and developing clots. It is advisable that you consult with a hematologist to determine if she might require any monitoring or prophylaxis. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2097, + "tgt": "Is it safe to have sex during early pregnancy?", + "src": "Patient: Hi Doc, My wife recently got pregnant. We checked with my relative sister (who is a Gynae) and her report is attached in the documents My Wife is facing below symptoms due to pregnancy: 1) Tireness/Fatigue 2) Continous Nausea type feeling 3) Lethargy 4) Unable to eat properly/Loss of appetite 5) Minor menstrual cramps 6) Constipation We want to know if we can have normal sex with mentioned condition of my wife. If we can have sex, does it needs to be protected or we can have unprotected sex too or will it affect the baby. Due to corona issue, we are reluctant to go to another doctor with our query and our current doctor is in our blood relation, so we are feeling shy to ask her the question of having sex. Doctor: Hello, Congrats on your pregnancy. Though u have not mentioned clearly how many weeks of pregnancy,I assume in must be within the first 12weeks as u have said she is recently pregnant. The symptoms of tirednes,nausea ,lethargy,unable to eat r very common first trimester symptoms. The key is to eat small frequent foods which r good in protein .lots of fluid intake also is advised . Have u done a first trimester scan?? If not u r advised tobdo the scan to rule out any cause for the menstrual cramps and also the position of the developing placenta. If she has menstrual cramp like symptom ,I would advise to notbstrain yourself too much. Sexual activity is better avoided in the first 12weeks as it can lead to abortions.afterv12weeks if ur scan is normal and the placenta is not low lying ,unprotected intercourse can be done..avoiding penetration would be another way to keep it safe in the second trimester provide all other factors are normal. Hope this helps." + }, + { + "id": 3345, + "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": 6673, + "tgt": "How to clean testicles?", + "src": "Patient: Hi doctor, When I\u00a0was cleaning my testicles with hand rub spirit, I saw that the cotton piece has become black due to dinginess. This is when cleaning is done not after a long time. Why is it so? Also, the spirit causes hotness and burning. Is there any alternative thing available for cleaning? Doctor: Hi. For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6318, + "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": 28376, + "tgt": "How to prevent stroke?", + "src": "Patient: Hi doctor, Kindly give some tips on the ways to prevent stroke. Doctor: Hello. Here are some tips to prevent stroke. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20835, + "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": 6473, + "tgt": "Is it fine to do saline gargling two hours after tooth extraction?", + "src": "Patient: Hello doctor, After tooth extraction surgery, I accidentally rinsed with salt water after two hours of the surgery. Will it effect anything? Doctor: Hello. I have been through your query and I can understand your concern. No, it will not affect the healing of the tissue unless you rinsed rigorously. You should avoid rigorous rinses or gargles because it will remove the clot of the wound leading to dry socket often times. However, if you rinsed gently and still are not experiencing any pain, then the clot is there only and you do not need to worry. You can use saline water (salt water) for the rinses. It is good as it will reduce the swelling and also reduce bacterial load. You do not need to worry about it. You may continue using salt water for rinses but be gentle while doing so. Also, follow your dentist\u2019s instructions. Maintain good oral hygiene as well." + }, + { + "id": 24686, + "tgt": "Is Cetirizine ineffective in AIDS?", + "src": "Patient: Hello doctor, I had suffered from common cold symptoms three months back. It resolved completely in about 18 to 19 days. Started with constant sneezing followed by a runny nose, then nose cleared and sneezing stopped but felt an uneasiness in palate and throat turned sore, getting worse with time and then persistent coughing. I consulted my general practitioner on the fourth or fifth day who prescribed some medications. I started feeling better after the seventh day and the throat improved. But almost the next day onwards I started feeling worse again but this time it was not sore throat or a runny nose exactly, just felt the mucous inside throat all the time. Never felt feverish as such or found raised body temperature (by touching only) and experienced mild body ache here and there. Nevertheless, around 1 month after this resolved totally as said above, since yesterday I have started feeling same common cold symptoms, runny nose (not sneezing or coughing much though) with uneasiness in the palate, no raised body temperature but little feverish with mild body ache here and there.In both the aforesaid cases I had taken a Cetirizine tablet on the same day (but little later in the day) the symptoms started. But the medicine did not work. However, previously whenever I experienced a runny nose and constant sneezing, one Cetirizine tablet helped.In fact, it resolved the problem. Could you please share your opinion on this, please, why the cetirizine did not work? Secondly, I may have had (but I am not sure at all) a possible HIV exposure around 10 months ago. I did not get tested. I have consulted few doctors online who said that the chances of HIV infection is quite less. Assuming I may have HIV, could it be the reason why the cetirizine did not work? I wish to mention here that I had high blood pressure for which I take medicines and last month when I checked, it was under control. Doctor: Hi. Firstly, I do not think it has any relation with HIV status and you should not worry about it. It seems you are quite worried and unconvinced about HIV status. So, I would advise you to get yourself checked. It will help in relieving your anxiety and fear. Unresponsiveness to Cetirizine is likely due to development of tolerance which means some medicine becomes less efficacious if taken repeatedly, which recovers within few months of a drug-free interval. It is not at all related to HIV. You appear to have another viral infection now and I would suggest Tablet Paracetamol 500 mg whenever needed for your body aches, uneasiness and fever if develops. Also, instead of Cetirizine, you can have Tablet Allegra (Fexofenadine hydrochloride) 60 mg twice a day up to two to three days. Its similar to Cetirizine. If you don't respond in 3-4 days then you will need antibiotics as well. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. You keep on monitoring blood pressure and it should be less than 140/90 mmHg. It is not related to your current illness. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7193, + "tgt": "I am suffering from muscle twitches all over my body. Please help", + "src": "Patient: Hello doctor, I am a 48-year-old male in generally good health. For the past year, I have been experiencing muscle twitches all over my body, not all at once. My right thigh may twitch for several days then stop. Then my left shoulder, or ankle, or bottom of my foot. I searched plenty about it and concluded that it probably was not ALS because I did not have any muscle weakness. I used to work out quite regularly but had not in the past couple of years. About a month ago, I decided to get back into my workout routine, and I noticed considerable weakness on my left side while doing a bench press. I get the dumbbells out I curl the same max left, and right arm, shoulder press the same, but tricep- that is where the weakness is. Doing tricep extensions, my right side can do 30 lbs while my left only 15. I had also noticed more twitching in my left tri lately, so I panicked. Went to my general practitioner who referred me to a neurologist for an exam and EMG. The physical exam only revealed slightly brisk reflexes in both legs on the knee test, but he said they were not hyper. All other reflexes normal. No Babinski sign. He could feel that my left arm was a little weaker in the strength test. Next was the EMG which he said was normal, muscle and nerve. Since then, though, my tri continues to twitch as well as below my left shoulder blade on my back, and it keeps me in a state of constant worry that maybe the EMG was done too early and I have ALS. I am continually comparing muscles in the mirror and can see slight areas on my left tri and shoulder that do not match the right. I have started some light dumbbell work on the left tri. When I first noticed the weakness, I could do 30 lbs max on my right, but only 15 lbs max on my left. Within the past two weeks, I have gotten the left side up to 20 lbs max. I am hoping that is a good sign but the twitching, along with knowing it is weak, are about to drive me crazy. What do you think about all of that? Should ALS be on my radar? Doctor: Hello. I am gone through your history. You are having unexplained twisting movements of muscles and weakness on the left upper limb. Your history does not mention any sensory symptoms or urinary bladder symptoms. Hence, I am assuming it normal. You are suffering for a year, but your disease remains almost static. I mean at present it is non-progressive or slowly progressive. You already have consulted a neurologist, and there is no hyperreflexia, wasting of hands or shoulder, Babinski absent, with normal EMG or NCV. Your disease is, at present looks benign. My advice is to look for a metabolic parameter like serum, calcium, thyroid function test, serum sodium, serum potassium, serum vitamin D3 level, serum vitamin B12 level. If above all are normal, then you repeat EMG NCS after three to four-month of the initial test. And keep follow-up with a thorough neurological examination by a neurologist. Ask me if still, you are in doubt." + }, + { + "id": 13673, + "tgt": "If rubella IgG is positive, am I at the risk of TORCH infection?", + "src": "Patient: Hi doctor, I am 4 months pregnant. I had a TORCH test before two years as I met with miscarriage. The TORCH results were rubella IgG positive 19.56, rubella IgM non-reactive, CMV IgG reactive (738.65) and CMV IgM antibody non-reactive. I want to know whether I am at the risk of TORCH infection? Am I TORCH positive? Doctor: Hi. I have gone through the query and images (attachment removed to protect patient identity)." + }, + { + "id": 17623, + "tgt": "Is it true that vitamin supplements help with recurrent vaginal infection?", + "src": "Patient: Hi doctor,I got married seven months back and this is the fourth time she caught bacterial vaginosis (BV). She never had any symptoms before marriage. We have consulted a gynecologist all the four times. She will prescribe antibiotics and other stuff and that successfully treat her for some time.\u00a0I have done some research on the internet and found vitamin B complex help many women. Is that true? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23905, + "tgt": "I have a small pimple in my genitals. Is it herpes?", + "src": "Patient: Hello doctor, I have a small little pimple and I am worried if it could herpes. I have not had sex in about two months and I always used a condom. I never had unprotected sex in my life, but I have seen this little red spot and I am worried if it can be an STD. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). No, it is not herpes. Genital herpes usually presents with multiple, grouped, fluid-filled lesions or genital sores which are quite painful. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26255, + "tgt": "My glans has measles-like red spots all over it. Please suggest an ointment", + "src": "Patient: Hello doctor,I am 52. I noticed my glans penis has some measles-like red spots all over. Overall, the glans penis seem reddish and slightly inflamed. A light irritation is felt. Doctor: Hello. I have noted your concern and viewed the image (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 20309, + "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": 5586, + "tgt": "My mother is suffering from joint pain for the past 20 years. What to do?", + "src": "Patient: Hello doctor, My mother is 57 years old, and suffering from joint pain for the last 20 years and still not able to get rid off it. We just got her full body checkup done. Please help. Doctor: Hello. I understand you told me about joint pain in general. It will be better if you let me know which joints are affected and how severe it is? You can send me the reports as well." + }, + { + "id": 2047, + "tgt": "I have painful bumps at the back of the tongue with swallowing difficulty. Please help", + "src": "Patient: Hi doctor, I have a few small painful bumps at the back (right side) of my tonge on the skin that attaches to the mouth (in front of the right tonsil). Bumps are hard and I have lots of pain when swallowing only on that one side (not throat). I have a burning sensation and swelling. Doctor: Hello. According to your statement, you have been suffering from a few painful, hard bumps at the back right of the tongue, and in front of the right tonsil and feel uncomfortable during swallowing. Usually inflamed papillae or taste buds are small, painful bumps that appear after an injury from a bite or irritation from the hot foods. Herpes is a common viral infection that can develop blisters on the tongue or gums. Oral herpes is contagious and can spread through saliva, direct contact, sexual exposure, etc. Canker sores may appear on the tongue which are red, white or yellow in appearance and can feel raw and very painful. Some foods seem to trigger cankers sore. Again food intolerances and allergic reactions may cause bumps on the tongue and it may swollen. An infection in the mouth or on the tongue may cause swelling and pain at the site of the infection. People with syphilis sometimes develop tongue sore as an early symptom of the disease and can contract the infection through direct contact during vaginal, oral, or anal sex. People with oral thrush usually notice rough white patches on the tongue and there is often redness and a sour mouth as well. It can result from DM (diabetes mellitus), HIV, nutritional deficiencies, some medications like corticosteroid, etc. Even TB (tuberculosis), carcinoma can develop bumps on the tongue. Treatment depends on the causes of the bumps. You can use antifungal medication, antibiotics, antiviral medication, and maintain good oral hygiene. You should provide some additional history like smoking, substance abuse, previous disease, medications, history of sexual activities, fever. etc." + }, + { + "id": 9035, + "tgt": "Does panic attack cause sharp chest pain?", + "src": "Patient: Hi doctor, I am 27 years old. I had sharp chest pain on the bus. I suddenly got off from the bus and rushed to a local doctor. My BP was 150/90 and heartbeat was 140 bpm. Then doctor checked ECG and he said it was due to the acidity that I got pain. I have gone through TMT also and got a negative result. Next day, I rushed to another hospital and the doctor did a series of tests. He also concluded the same thing. I was very anxious because it happened the first time in my life. I was worried that, whether I will have a heart attack in the next coming days and always kept thinking the same. The doctor suggested me to consult a psychiatrist. Psychiatrist termed it a panic attack. Nowadays, I am trying not to get anxious and not to worry about that. Currently, I am taking the acidity tablet twice weekly. But, I still get some sharp pain in the chest. I do not know the reason and it leads to negative thinking. So, I need your suggestion on this matter. Doctor: Hello. Please give me some more information regarding your illness, so that I can help you better. Did you feel suffocated in the bus, with a sort of air hunger (feel of insufficient oxygen)? Did you feel something is going to happen to you? Is there any family history of heart disease? How active are you? Do you exercise regularly? Your tests are essentially normal. Kindly answer these clarifications. After that, I will send you a detailed answer as to how you should tackle this problem. I am sure you would be fine." + }, + { + "id": 954, + "tgt": "Is surgery required for my mother's thumb injury?", + "src": "Patient: Hi doctor, Basketball hit my mother's left thumb and there is a regular pain for some two years now. The skin becomes harder in that area. Also, that arm becomes thinner as compared to the other arm. Please help. Doctor: Hi. Revert back with more detailed history to an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4240, + "tgt": "My mom always feels some irritation in her throat. Why?", + "src": "Patient: Hi doctor, This query is for my mother. All the time she feels\u00a0something stuck in her throat. The test we already done are endoscopy and scan. But, nothing abnormal has been revealed. She is still suffering from throat irritation feeling. Please help. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29337, + "tgt": "How to deal with antidepressant discontinuation syndrome?", + "src": "Patient: Hi doctor, I am a 21 year old female with a history of the major depressive disorder and generalized anxiety disorder, including an extensive family history of both as well. Currently, on 300 mg of Bupropion (Wellbutrin) and 150 mg of Venlafaxine (Effexor), each once daily, taken in the mornings. I have experienced antidepressant discontinuation syndrome twice in the past. Once after missing three days of Cymbalta and once after missing one day of Effexor. The antidepressant discontinuation syndrome is not widely discussed by doctors with patients taking this kind of medication. It presented me with severe nausea, vomiting, vertigo, sweating, shaking, weakness, mood change, cognitive, and sleep disturbances, as well as something commonly known as brain zaps by those who experience it. These brain zaps are not unlike Lhermitte's phenomenon. For the past two weeks, I have been experiencing brain zaps multiple times a day, despite having no changes in medication within the last six months or any history of recent head trauma. While I have had back problems before (two bilateral discectomies at L5-S1), it is quite low on the spine and unlikely to be related to or causing these newer brain zaps. Brain zaps can also be caused by increased stress, depression or anxiety, which would also be likely a culprit. Except that, I actually consider myself to be in recovery and overall experience very minimal depression or anxiety symptoms. I do not experience anything certainly new or increased over the past two months. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10794, + "tgt": "Why do I have a decreased libido, improper erection, and ejaculation?", + "src": "Patient: Hello doctor, I am 50 years old. I have decreased libido, lack of proper erection, and early ejaculation. Please advice. Doctor: Hello. You are 50 years old, and you should get yourself checked by a physician to rule out hypertension and diabetes. These are important causes of erectile dysfunction. Reduced libido could be age-related. But if you have weak erection and early ejaculation, then drugs like Tadalafil can help. The drug will help in making strong erection and will improve the time too. Consult a psychiatrist for the prescription." + }, + { + "id": 8423, + "tgt": "What can be the reason for left-sided headache?", + "src": "Patient: Hi doctor, I have had a left-sided unilateral headache for the last four weeks. The pain varies in place, but it is always centered on my left temporal area. Pain can be on the top of my head, cheek, side of jaw and even chin at times. I have also had momentary ear pain, which is a brief one second flash perhaps inner ear pain for the last week.\u00a0I went to my doctor after the first week of non-stop pain. Ironically the pain had eased that day and I was left with a sense of pressure in my temple area. It was disrupting my sleep. My heart rate was a bit high. He took an ECG there and he was not sure why I had the headache, so sent me to other hospital. He also looked into my eyes and thought I may have a blurred left optical disc.\u00a0I had another ECG at the hospital and my pulse rate was still high, sinus tachycardia. But, the nurse told me that everything else with my heart was reading fine. The treating doctor ran through the usual questions and gave a neurological exam. I passed everything from looking into my eyes with a light to reflex tests and making me push him away with my arms and legs and opening my eyes while he pressed gently on them with his fingers. He also ran blood tests and they came back normal. He was not sure what the problem was and was not convinced that my left optical disc was blurred. As it was 1 AM he suggested me to stay overnight, so that I could see a consultant or specialist first thing in the morning. I had my blood pressure taken once again at around 4 AM and the nurse said it was still a little high, but everything was fine.The next morning consultant or specialist saw me for about a minute. He did not even acknowledge my heart rate, just said that as I was feeling totally normal and had no other symptoms other than the pain it was likely a benign tension headache. I was better off at home rather than stuck in hospital. Based on what the treating doctor said he too was not convinced that I had a blurred left optical disc, but wanted me to see an eye doctor at the hospital. I had an eye examination and everything was fine, other than the fact that I need glasses, which I already knew. No issues were detected and my left optical disc was fine. I was then discharged and went home. I asked a nurse about my sinus tachycardia just before I left hospital and she said that the heart does that sometimes and being in hospital or going to the doctor does not help as I was well and healthy. The first thing I did when I got home was checked my heart rate monitor app that I have on my phone. It uses the torch on my phone to detect color changes in one finger to measure beats per minute. I have read that it is very accurate. My resting heart rate at this time was around 75 bpm. I was relieved and put my heart rate down to the anxiety of going to see my doctor about the persistent headache and then having to unexpectedly go to hospital. In the three weeks since my hospital visit I have still got the headache. The pain is in the same place around left temple area, side of jaw, cheek, top of head. The pain is not severe, but annoying. Lying down to sleep at night is what seems to make the pain worse, even after a pain-free day. The pain would flare up as soon as my head hit the pillow, including at the back of my head and yet when staying with my girlfriend I would not get this when sleeping on her pillow. I decided to see my doctor again yesterday after having a sleepless night. I had 48 hours mostly pain-free and occasional pangs of pain. I slept at home fine, then the next night at my girlfriend's fine and then the next night the moment I went to sleep the pain came on and I could not sleep all night. Painkillers would not help. I was also experiencing a kind of dizziness, unless it is all in my head. Nothing spinning or dramatic, but just sometimes felt a bit odd briefly when moving, only when moving. Balance is fine. I had felt this the day after returning from hospital, but it was gone within 24 hours, so I have been free of it for two weeks.I saw a doctor again. He did not have a specific diagnosis, but backed up the idea that it was a benign headache. I have not been stressed or having personal problems as such, so he ruled out anything there. He said pain at the back of the head when laying down can be quite serious, but could not understand why I get that pain at home but not at my girlfriend's house, so said it could not be serious in that case. I was asked to rate that pain out of ten when I get it in bed, I said it can be about 6/10. He asked about a history of migraines which I do not have. Asked if I had any other symptoms which I did not. He checked my oxygen levels and blood pressure. He said my BP was shooting, but I said it was anxiety because two weeks prior it had returned to normal as soon as I got home from hospital, so I thought it was likely high because I was anxious of being at the doctors. He prescribed me 2 x 28 tablet boxes of Naproxen 500 mg twice a day and asked me to let him know how I was getting on with it after five days. He also checked my jaw, pushed down on my shoulders, etc., and all was fine. He said I would not have been discharged from hospital if anything sinister was considered. I asked if I had more pain whether it was something sinister and he said yes and that they have given me a head scan if they were concerned. I took my third Naproxen pill about an hour ago. I took my first at about 6 PM yesterday and it took care of the pain within about 20 minutes. Because I had not slept at all since the pain came on when I went to bed the night prior I was suffering with it all day, but the Naproxen killed it. It wore off after about five hours and I started to feel the pain come back, but I took two Paracetamol and went to bed. I slept fine and I have had a pain-free day today, although I get very occasional pangs in the left side of my head, but only for a second. I still have the very slight dizziness when I move however. I am not sure whether dizziness is even the right word. I have read that it takes about two weeks for Naproxen to give off a constant anti-inflammatory affect that can break the cycle of benign headaches. Is this correct? I have been keeping track of my heart rate through my phone app. When I am very well rested it falls in the 60s and 70s, but my average resting heart rate seems to be 80-90 bpm. When I stand up and move around a bit it usually falls between 110-115 bpm. Is this normal? I am 25 years old and not overweight, but I do not do any exercise, which I am looking to change. I try not to check my heart rate too often in case I over think it too much, but it only seems to be 65-75 after sleep and I never get it that low again during the day.\u00a0Should I have any other concerns and does everything I have noted sound correct in terms of my headache being benign and my heart being fine? How much can ECGs pick up and detect? Again, based on the hospital ECG the nurse said my heart was fine other than the sinus tachycardia which I read is not harmful anyway. Is the very slight dizziness that has only really just started a symptom of benign headache? Can I expect a generally elevated heart rate from taking Naproxen twice a day? I am grateful for your answers. Thank you. Doctor: Hello. Thank you for such a detailed query. Let us break down your symptoms one by one: For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26753, + "tgt": "My father is having continuous hip pain. How to evaluate this?", + "src": "Patient: Hi doctor, My father is having a continuous pain in his hip for the past four months. The pain can only be ease by consuming painkillers. The pain has prevented him from walking by himself. Most of the time, he cannot sleep throughout the night because of the pain. He is a diabetic and on regular Insulin. He went to the hospital several times and had a hip x-ray. But, there is nothing wrong with his bones according to the doctors. We do not know what to do to help him killing the pain. Please help. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14680, + "tgt": "Can missed period after having sex during fertile period mean pregnancy?", + "src": "Patient: Hello doctor, I have been on Ava 20 (hormonal contraceptive pill) for about three years. I recently just stopped taking it. I had sex about 3 to 4 time in my fertile period. I have missed my period by a few days. So, I took a pregnancy test and it came back negative. I have been having a few symptoms too like sore nipples and breasts, weeing a bit more than usual, acne, fatigue. Doctor: Hi. Since you have been actively trying to conceive and having unprotected sexual intercourse on fertile days does put the possibility of pregnancy high up on the list especially coupled with a missed period. A home pregnancy test can be negative in the first few days after the missed period even in case of successful fertilization owing to insufficient beta hCG hormones. I suggest you take another urine strip test after a week if you still do not get your periods. Or could get a blood test for serum beta hCG in a few days which is more sensitive. In any case, you should treat it as a possible pregnancy unless proven otherwise and take your vitamins." + }, + { + "id": 19806, + "tgt": "Why do I have headache, cold, and running nose?", + "src": "Patient: Hi doctor, From yesterday I have a headache, cold, and running nose. Please help me. Doctor: Hi. Your symptoms are suggestive of acute upper respiratory tract infection. It can be a viral infection too. Symptomatic management is done with decongestant like Levocetirizine or Phenylephrine. Vitamin C is having antioxidant property so it can be prescribed as lozenges. Take one tablespoon of turmeric powder with milk daily. Do steam inhalation three times a day with warm water. Salt water gargle can be done. Drink a lot of water. I suggest following investigations: For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9219, + "tgt": "Why am I getting dark circles in the body?", + "src": "Patient: Hello doctor, Two years before, I got tested my whole body and blood. There are some dark circles that appear on my body and I am getting treated regularly, but still, my blood has some problem. I get PT and INR tests done regularly. Doctor: Hello. I understand from your post that you may have a blood clotting tendency. Have you ever had pain or swelling in your calf muscle and difficulty breathing? You may be prone to blood clots in your lungs which is called pulmonary embolism. So, if you ever experience symptoms such as pain or swelling in your calf, difficulty or shortness of breath or chest pain, you must seek immediate medical help and go to emergency. It would be helpful to know a bit more about your symptoms and your general health now." + }, + { + "id": 22937, + "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": 17255, + "tgt": "My 1. 5 year old baby poured dettol antiseptic over his body. Please help", + "src": "Patient: Hello doctor, My 1 year five month old baby poured Dettol antiseptic over his body. We washed it only after four hours. Later, we found a brown and burnt skin area around the genital organ. Please help. Doctor: Hi. Dettol antiseptic does not cause any burn injury to the skin. It may be that your baby had this skin problem prior to this incident. Babies frequently have these kinds of rashes. Follow these steps: It will be cured in a week's time." + }, + { + "id": 3990, + "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": 13247, + "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": 24509, + "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": 5900, + "tgt": "My son has few spots in his legs and elbows which looks like chickenpox. What could it be?", + "src": "Patient: Hello doctor, One week ago the back of my son's legs became spotty most of the spots became blisters, looked a lot like chicken pox, but some stayed as little spots. He also has a few spots on the outer side in his elbows, but these have not blistered. He is not ill, and not on any medication. Doctor: Hello. I will not be able to diagnose and grade your disease without a photograph, so would you mind in sending the good quality photographs taken in a natural light so that I could prescribe you the best according to the grade." + }, + { + "id": 25899, + "tgt": "Betnovate ointment has not helped my foreskin. What should I do?", + "src": "Patient: Hello doctor, I am not able to retract my foreskin from one month. Applying Betnovate ointment has not improved. Now inside the foreskin has become red and painful. Please suggest me medications. Doctor: Hello. I just read your query. The problem of the tight foreskin is a month old and now it is associated with pain and redness. All the symptoms are indicating towards some sort of local infection. Infection can be any of these like contact dermatitis, sweat dermatitis, balanitis, eczema, or psoriasis etc. The type of infection can be ruled out only with the help of clinical examination. So I advise you to consult a urologist so that he can rule out the type of infection and can make a proper diagnosis. Once a proper diagnosis is made, it would be easier for you to get treatment and you will also come to know about your condition. Maintain local hygiene of penile area and wear comfortable inner garments too. Follow up after three weeks. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11138, + "tgt": "I experience pangs of pain in my lower right abdomen. What could be the reason?", + "src": "Patient: Hello doctor, I am a 50 year old male. My height is 5 feet and 10 inches, and my weight is 260 lbs. I am in good health with excellent vitals. My blood pressure, sugar levels, and cholesterol are in exceptional range. I have never been on any prescription pills. All of my routines have been normal and regular and I am currently working on continuing to lose weight by adjusting the intake of calories, but still eating the full range of foods. It\u00a0has been a\u00a0safe and gradual process and I am down by 35 lbs over the past two years. I do not exercise now, but I stretch every morning for about 20 to 30 minutes. For the last week, I have experienced pangs of intermittent pain in my lower right side. I would approximate the feeling to be about 2 inches inside my side and just about at the lateral side of my body, perhaps a bit more towards the back. The pain is not acute, nor persistent, and it seems more present once I wake up. It does not bother me at all during the night. My own research does not seem to align with appendicitis or something abdominal, and I am beginning to believe it is a temporary muscle spasm of sorts, primarily due to a lousy work chair which has been a recent change. Again, all bodily functions are normal and I have not had headaches or fever or pain of any kind elsewhere. It is localized and randomly repeats only in the lower right, internal area I have described. I would like to know what is on the field of considerations, serious to not, so I can assess the next steps. Doctor: Hello. Good luck. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3282, + "tgt": "Can steroid eye drops raise the blood sugar levels?", + "src": "Patient: Hello doctor, My father had cataract surgery yesterday. His sugar levels were fine before surgery. Today he was given a Dexa injection 2 ml in his eye due to inflammation. After that the sugar levels have stayed between 280 -300 through out. Just before dinner, his sugar levels were 300 mg/dL. As advised by our doctor have gave him 16 units of Mixtard instead of 14 which he takes regularly along with regular sugar medicines. My questions are: Does Dexa injection increase the sugar so much and when will the effect go? In addition, he is also putting one drop of steroid eye drops Predmet every hour. From tomorrow, it will be once every three hours. Can this also increase the sugar level? From tomorrow how should we manage the sugar levels? Will the effect of steroids go away? Please see the attached prescription of all the eye drops after cataract surgery. He is taking Mixtard Insulin 30/70 - 50 units in the morning,14 units in the night, Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg -0-0-1, Metolar 25 -1-0-0, Dynapres 0.4 - 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0, Thyronorm 25 mg one tablet from Monday to Thursday and two tablets from Friday to Sunday, Cap Uprise once a month. Doctor: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that your father\u2019s blood sugar has increased because of steroids. As for your questions let me answer them one by one. Yes, Dexa injection increases the sugar so much and it will have decreased effect once your father is off steroids completely. Yes, steroid eye drops Predmet (Methylprednisolone) can also increase sugar level. Regarding managing the sugar levels, if his fasting is above 250 then increase his evening dose of Insulin by adding two more units. If his dinner blood sugar is 250 mg/dL above then add two more units to his morning dose of Insulin and continue monitoring accordingly. If drops to 200 then do not increase his insulin at all and maintain at that dose of insulin. Keep following his blood sugar closely and watch for any signs of hypoglycemia as well like increase sweating or shivering or headache or hunger or cold skin, etc. I hope this helps." + }, + { + "id": 6684, + "tgt": "I have a cluster of tiny white heads under lip. Why?", + "src": "Patient: Hello doctor, I have noticed a cluster of what looks like tiny white heads under my lip. After a couple days of being there, I tried pooping them but they seem to fill back with pus minutes later. Tired of them being there I kept pushing on them until nothing but clear liquid was coming out, now the area is sore and scabbed. Does this sound like acne or cold sores? I have noticed more of the same clusters on both sides of my mouth now. Doctor: Hi. If possible, forward a few pics of affected area of the lips to help you through." + }, + { + "id": 29667, + "tgt": "I had vaginismus before and now not able to enjoy sex. Why?", + "src": "Patient: Hi\u00a0doctor, We are not able to do the sex till two months after marriage. I have contacted the doctor. She recommended me the physiotherapy for vaginismus and the treatment took two years and eventually finished before six months.\u00a0I met a gynecologist and she prescribed me Xylocaine, Etizola and Caverta 50 to my husband, which were very helpful and we start to do intercourse with the help of KY jelly, a lubricant prescribed by my doctor. We are trying since four months and can do sex most of the times. But, I have just realised last month that I do not enjoy it and do not feel anything during intercourse.\u00a0If you can guide me on how to achieve satisfaction or if you can provide me with any medication, which will help me in gaining satisfaction during intercourse, then it will be very helpful. I look forward to your reply. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9126, + "tgt": "My partner fingered me after touching his penis with precum. Will I get pregnant?", + "src": "Patient: Hello doctor, My fiance and I had sexual intercourse three days after my ovulation day. He touched his penis with pre-cum and then fingered me before we used a condom. Will I get pregnant? Doctor: Hello, Welcome to the icliniq.com. The precum semen fluid contains a high amount of sperms. So as per your history provided you had done intercourse, and semen precum touched to the vagina, so the chance of pregnancy is present. So you are at risk for pregnancy. I suggest you investigate with urine beta hCG card test to rule out pregnancy. The card gives valid result after one week of a late period. So if your period is delayed for one week than rule out pregnancy by urine hCG card test. If you want to check earlier after three weeks than blood hCG estimation can be done. I hope this will help you." + }, + { + "id": 4047, + "tgt": "Is it possible to have strong heartbeat with normal heart rate?", + "src": "Patient: Hi doctor, I am 46 years old, on no medication apart from Zinc daily that seems to help with my low testosterone. BP averages about 110/63 mmHg, resting pulse between 58 and 65 bpm. My height is 5' 10\" and weigh about 75 kg. About five years ago, I noticed odd heart rhythms after playing two hours of badminton. I ignored them for months, but one day after stopping and bending over I had a large clonk in my heart and it took off like a rocket (about 140bpm), after five to ten minutes it clonked back to normal speed. This happened about four times over two to three weeks, and has never happened again for the past four years. I had a stress test, 12 lead ECG and echo and two weeks Holter. All was fine and no more SVT's. I had a repeat ECG and echo a few months ago, and all is well apart from the odd strong ectopic. I do however still have an issue, every now and then (like the past two weeks) for no reason at all my heartbeat becomes very strong (still steady and not fast in the 60's at rest), and I feel it almost all the time to the point I can see my handshake to my heartbeat whilst holding a phone, etc. I feel fine, but it is very hard to relax and sleep as it is banging really hard. I am generally aware of my heartbeat, but this is on a different level. It is not linked to stress or any external influence that I know of, and I have checked my BP whilst it feels strong and it is the usual 110/60. My question is, are there any physical reasons for this (e.g. my dad had angina and triple bypass), and is there anything I can do to help it? Also, if I had blocked arteries would the ECGs, stress test and echo's have picked this up at all? I was offered beta-blockers by my GP which I refused as my heartbeat is not fast. Doctor: Hi. It seems that all the tests you had are reassuring. What you are describing seems to me as ectopics and a small dose of beta blockers could help. But if the resting heart rate is less then 65 bpm then better to avoid them. In this case, if the ectopics burden is very high they can be ablated. Stress tests (except exercise ECG) will pick up old infarct resulted from blocked arteries. I doubt that this is the case here." + }, + { + "id": 14836, + "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": 30937, + "tgt": "Kindly explain the cytology report of my father", + "src": "Patient: Hi doctor, My father aged around 59 years had undergone pleural tapping with pleural effusion around 50 U/L. Please find the cytology reports. What does it signify? Kindly explain. Doctor: Hi. Revert back with more details to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12039, + "tgt": "What are the specific health issues that occur during periods?", + "src": "Patient: Hello doctor, 1. What are some health issues that can crop up during the period? Please explain why this might occur, and if there is anything to prevent it? 2. What specific health issues might be more common during the period? How to keep healthier during this time of the month? Doctor: Hello. Usually, periods are associated with abdominal pain, nausea, vomiting, body pains, headaches, irritability, lack of concentration, mood swings, susceptibility to allergies, cold. All these symptoms are because of the hormonal changes. Yoga, lifestyle modifications, deep breathing exercises, plenty of oral fluids, fiber-rich diet, Multivitamin supplements will help you get relief from the symptoms. Avoid smoking, alcohol, caffeine intake, junk, and spicy foods." + }, + { + "id": 18611, + "tgt": "Do I need vitamin D and iron supplement?", + "src": "Patient: Hi doctor, My 25-OH vitamin D total CLIA test showed result of 13.36 ng/mL. What supplement should I start and for how long? Also my iron is 41.2. Do I need a supplement? 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": 2066, + "tgt": "What does high risk 1:50 trisomy 21 mean?", + "src": "Patient: Hello doctor, What does high risk 1:50 trisomy 21 mean, at an age of 32 and 18 weeks pregnancy? Doctor: Hello. I totally understand your anxiety. But please do not panic. The risk for Trisomy 21 (or in other words Down's syndrome) mentioned is 1:50, which is above the general population risk of 1:250. In other words, if we take a general population, and consider any women in general, there is a risk that one in 250 women may have a baby who is affected with Down's syndrome. But in your case, the risk appears to be increased compared to the general population which needs to be evaluated further. This is a test that determines the risk, which means it is only a screening test and not a confirmatory test. Meaning, the baby may or may not be affected by Down's but the risk appears to be high compared to the normal population. It would have been helpful if you had the shared few more details like your period of gestation of your pregnancy, when and at what gestation was the test taken, and any previous scan reports in the first trimester you have done. Kindly share the reports to guide you better. And, also provide details if you had any previous pregnancy, or miscarriages, etc. Now coming to confirming this, for definitive and accurate methods, it includes amniocentesis with karyotyping and FISH test, which are little expensive tests and not done in all individuals except those with high risk for Down's syndrome. For this test to be done, the water around the baby inside the uterus is taken in a small amount which contains the shed cells of the baby and are cultured so as to do the chromosomal analysis of the cells. This is an invasive test as it comes with the risk of 0.2-1% risk of miscarriage as we are putting a needle inside the uterus. Another recently introduced test which almost as closely accurate to this is NIPT (noninvasive prenatal test), which is again a screening test but highly accurate and involves only testing your blood for fetal cell-free DNA and then they are analyzed for the same. You can consult a fetal medicine expert or your gynecologist for further information on these and necessary timely action. I hope this helps." + }, + { + "id": 26938, + "tgt": "Is it safe to get an X-ray when pregnant?", + "src": "Patient: Hello\u00a0doctor,My wife is seven weeks pregnant. She had to undergo an X-ray and mammogram recently. Is there any risk of radiation to the fetus? Doctor: Hello. Take care. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28756, + "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": 12327, + "tgt": "Can taking Thyronorm for hypothyroidism cause weakness and dizziness?", + "src": "Patient: Hello doctor,I have hypothyroidism for the past two years. I feel very tired and dizzy, current TSH level is 5.56. I am taking 62.5 mg Thyronorm. I feel dizzy and very weak and tired after taking medicine. Should I continue the dosage or decrease the dose? Please suggest the dosage. Doctor: Hi. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Please get educated about your disease first. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratories will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually." + }, + { + "id": 10159, + "tgt": "I have underdeveloped jaw bones, scoliosis, and swollen face. Please help", + "src": "Patient: Hi doctor, I am 20 years old. I have one kid and I am seven months pregnant. Since I started puberty, I got a lot of health problems. The left side of my underjaw is not fully grown. It feels like pieces are missing. You can also see the big difference between the left side of my chin and the right side. My cheekbones are also not fully grown. I have poor blood circulation and my face gets very very swollen. Mostly in the morning, my face looks quite normal and my skin color as well. Later, in the day, my face gets swollen and big and also when I eat and when I eat a lot and unhealthy it gets more swollen. When I lay down the swelling lessens. I also have mental stress and an anxiety and I have a scoliosis. I get tired quickly and my skin is very dry. I have dark or purple undereyes and dark patches on my ankles, knees, etc. Doctor: Hello. I just read your query. See the issues like scoliosis, underjaw shape, and underdeveloped cheekbones are anatomical issues which are related to the natural structure of your body. They can not be corrected with the help of medication. You may take help from artificial modern techniques, which you can learn from a nearby physician. The poor blood circulation, swelling on face, stress and anxiety, tiredness can all be related to pregnancy. I advise you not to take any random treatment or any supplement without consulting your gynecologist. This is the crucial time of your pregnancy. So visit a nearby gynecologist and ask for the help for all the issues you are having." + }, + { + "id": 30192, + "tgt": "How to proceed with my chronic dry cough?", + "src": "Patient: Hi doctor, I am a 24 year old female. I am suffering from cough for almost a month and my abdomen is paining badly due to cough. The cough gets so severe and I end up vomiting, be it early morning or night. I consulted the doctor and was diagnosed with chronic cough. I followed the medicine and it only helped me to decrease the severity of cough and clear the congestion while breathing. So, I visited the same doctor for the second time and he wrote in the prescription as chronic dry cough. Still, I have not recovered completely. My throat is aching slightly. I can see the red portion with small white patches (pimple like structure). Whenever I have something oily or spicy, cough gets severe, especially after dinner and early morning. During coughing, I could not breathe and my\u00a0face turns red and blue. 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": 9841, + "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": 3061, + "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": 7953, + "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": 23344, + "tgt": "I got tested for HIV with CMIA after 250 days of unprotected sex. Is it conclusive?", + "src": "Patient: Hello doctor, A year back I had my first sexual contact. I gave him a blowjob and he did anal to me unprotected. I got tested for HIV with CMIA test two months back and it came out negative and non-reactive. I have heard the window period is 90 days. I tested after 250 days. So is this test conclusive? I do not want to go to test again. I have not had sex since then. Doctor: Hi. Yes, an HIV screening test is considered conclusive at 12 weeks and beyond after risk exposure. So you do not need to test any further. Your test result is reliable and conclusive. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12734, + "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": 3580, + "tgt": "What should I do for itching arms and legs?", + "src": "Patient: Hi doctor, My arms and legs have started itching very badly from last three to four days. First I thought it is happening due to not applying moisturizer after swimming. Now, I am applying all kinds of moisturizer and oils, but no effect. It is not dry but very itchy. When I stretch my arms or legs, it starts itching very badly. What is the reason of this itching and what should I do? Please help. Doctor: Hi. From your descriptions it seems that you are suffering from scabies (swimming pool induced). If you can send some pictures, it will be helpful for me in management part. Scabies is an intensely pruritic skin infestation caused by the mite. The diagnosis of scabies can often be made clinically with a pruritic rash and characteristic linear burrows over limbs. Regarding treatment, you can you use single below neck application all over body of 5% Permethrin cream during night, leave it for 10-12 hours and then take a bath. Also, take tablet Ivermectin 12 mg single dose. Wash your used clothes thoroughly and use fresh clothes after bath and get a review after one week. Revert back for review after a week to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30045, + "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": 13124, + "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": 23137, + "tgt": "I have white, acne like boils on my face. What could it be?", + "src": "Patient: Hi, I have acne like boils on my face. When it comes in contact with sweat and water it looks white. What could it be? Doctor: Hello. This could be an entity called milia. Milia are small white bumps that appear superficially on the skin. There are several treatments for the same. Do not try to squeeze the lesions. It will lead to pigmentation. To confirm if the lesion is milia, attach pictures of the same and consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12898, + "tgt": "There is pain in wrists and ankles. Please help", + "src": "Patient: Hello doctor, Both of my wrists and my right ankle have recently started to hurt when I run or lift weights, but they are not sore. It is in my joints. Doctor: Hello. As per history, I think you should start strengthening the forearm and leg muscles gradually. Please do let me know if you have had any ankle sprain in the past. This will provide more insights. Try doing reverse walking as well. A balance board training for the ankle and wrist should be worth to try with. As this provides more stability to the joint and correction of muscle imbalance." + }, + { + "id": 12479, + "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": 1131, + "tgt": "I get mixed thoughts of anger, self-hurting, and sadness. Am I unstable?", + "src": "Patient: Hello doctor, I feel rather extremely angry than at the same time, very sad. I always have this very gory thoughts that I wanted to kidnap and torture the person I hate and again, at the same time, I want to hurt myself because I am so incompetent and I always feel like all the people think the same way to me, that I am incompetent and that if I die, everyone will be happy. I also started gripping things strongly and I always try to stop when I notice. Am I really unstable? Does this mean I cannot do my work properly? Doctor: Hello. How long have you been experiencing these symptoms like extreme anger, sadness, and other difficult emotions? Has there been anything ongoing stressors in your life that affects you negatively? From the information you have provided, it appears that you are stressed, experiencing depressive thoughts, and need support to cope with the emotional difficulties. Speak to a trusted family member/friend about your difficulties so that they can understand and support you. Do not keep things to yourself as it will add to your stress. Having fantasy thoughts of wanting to hurt the person you hate and self-harming thoughts can happen if you are overwhelmed by your situation and not having positive coping strategies. You need to consult a psychiatrist near your place for a comprehensive assessment to clarify the nature and severity of symptoms based on which counseling or therapy can be provided. With the right treatment, you will feel more in control of yourself and will be able to function normally. I hope this helps." + }, + { + "id": 13115, + "tgt": "Is it normal to have urine dripping even after UTI treatment?", + "src": "Patient: Hello doctor, About a couple of months ago, I had severe pain in my left leg, I went to the doctor and it turns out I have a UTI and there were ketones and my fasting blood sugar was 121. The doctor gave me some antibiotics and some pain killers and Vitamin B. The pain was almost gone but there was some numbness in the same leg and stayed for almost a month but what I noticed is that I kept feeling like some urine in dripping from me, some times I find nothing and sometimes I find something but I am not sure if it is urine or not. A month ago I got a urine tested and there was nothing but I still have this same feeling like urine is coming out of me. I used to not drink water, some days I only drink one or 2 cups and I fear public restrooms so I used to keep urine almost 12 hours, can that be the cause? Doctor: Hi. I read your question that one month ago you had left leg pain and you also have a recurrent urinary tract infection. You are a young woman, no diabetes because I saw your HbA1c report that is less than 6.5 which means you do not have any diabetes mellitus. Coming to your symptoms, left leg pain and dribbling of urine. I want you to get a basic blood test done which is complete blood count renal profile, liver function test, urine routine and also check your vitamin B12 and vitamin D as well. When there is a deficiency in B12, your nerves will lose its functioning normal level. Drink plenty of fluids and water because that will help one from getting too many episodes of urinary tract infections. Drink as much as you can but not more than six liters and eat healthily. Avoid deep fried items like chicken, burger, sauce, chicken fries. Drink tender coconut water, eating banana will also help you get rid of some muscle pain. In order to answer the question perfectly I need to get a basic blood investigation and in the meantime take a regular painkiller like Paracetamol or Acetaminophen 650 mg twice a day whenever needed and you please get back to me if you have your old blood reports, you can send it to me. I will just take a look." + }, + { + "id": 460, + "tgt": "What to do for bleeding piles?", + "src": "Patient: Hi doctor, I had my kidney transplant\u00a0two months ago. Now, I am suffering from piles. Can you suggest me some medicine? Doctor: Hi. Revert back with the answers to the above questions to a nephrologist online -->https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 7514, + "tgt": "Will eating raw rice result in low hemoglobin?", + "src": "Patient: Hi doctor, I am suffering from low hemoglobin levels. I have attached my laboratory test report. I have a habit of eating raw rice, which I am suspecting as the reason for this low count. Kindly have a look and prescribe medicines to increase my hemoglobin levels. I am currently taking Orofer XT one tablet a day. I am a 26 year old male. My height is 177 cm and weight is 67 kg. Doctor: Hello. Revert back with the answers to the above questions to a internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15823, + "tgt": "I have constipation and burning sensation in the anal region. Please help me", + "src": "Patient: Hi doctor, I have constipation, pain in stomach and gas for the past three to four days. I feel uncomfortable. I also have a burning sensation in the anal region. Please help me. Doctor: Hi. You can have stomach inflammation and indigestion problem. For that, you can take Rabeprazole. For proper digestion, you can take Alcid MPS syrup (Aluminium hydroxide with Dimethicone). If the constipation is severe, you can take Bisacodyl. If there is a burning pain in the anal region, then you can do a proctoscopy rectal examination. Avoid taking excess spicy foods. Drink lots of water and avoid having a sedentary lifestyle. You can consult a physician for a physical examination." + }, + { + "id": 12399, + "tgt": "There is no yolk sac but decidual reaction is good in USS. Please advise", + "src": "Patient: Hi doctor, I am 9 weeks pregnant as per my last period date. But in USS, it is showing only six weeks and six days old sac. No yolk sac found, but the decidual reaction is good. My periods were irregular. As the yolk sac is not developed, my doctor advised for abortion. Is there any hope in my case? Doctor: Hello. If someone is having irregular periods then calculating the duration of pregnancy from the last date of the menstrual period is not correct. If ultrasound is showing six weeks then probably that is your right. Duration of pregnancy. I would suggest you repeat scan after a week and also go for two blood tests for pregnancy hormone 48 hours apart to see whether the pregnancy is viable or not. It will help you to determine what to do next." + }, + { + "id": 23457, + "tgt": "What are the dangers of ectasia?", + "src": "Patient: Hello doctor, What do the following mean? Diffuse ectasia at proximal and mid section of LAD. LCX continuing as Om1. Long course of PLV and extending to inferolateral walls of the left ventricle. (super dominant RCA). Doctor: Hello. The LAD vessel, that is left anterior descending artery is showing ectasia which means it is slightly enlarged in caliber, but there are no blockages. Also, other things which are mentioned is description of the vessel, the way they are supplying the heart but there are no blockages or any abnormalities. According to it, right-sided vessel is giving long branches and supplying a large part of the heart, but there are no abnormalities. So overall, other than the enlargement of the vessel, there is no abnormality and it is not a cause for his chest pain. Does he smoke? If yes, he should quit it gradually. The report does not appear worrisome. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11195, + "tgt": "Why does it sting when I pee on my period?", + "src": "Patient: Hi doctor, I have been on my period for 15 days so far, and I just noticed today when I pee it stings first and then goes away. I am a virgin. I also missed my period for a month or two before this occurred due to stress with classes. Doctor: Hello. There is nothing to get stressed. You might be having urinary tract infection, which is very common in girls. You take care of your hygiene, especially during periods and frequent change sanitary towels and wash the area with plain water as many times as possible. Secondly, increase the intake of water and also take cranberry juice three to four times a day. It will help relieve the pain. If this pain does not get relied on by these measures, then you might need antibiotics to cure the infection. But, hopefully, these simple measures would work out for you. Hope it has helped you." + }, + { + "id": 8547, + "tgt": "Though I brush twice, my mouth is stinking with yellow teeth. Why?", + "src": "Patient: Hello doctor, My teeth always get yellow in color, after brushing for two times a day. Also, my mouth stinks. Doctor: Hi. There could be following reasons for yellowing of teeth. There could be yellow or brown layers of tartar at gumline that needs to be taken out so that your actual enamel can be seen. For it, you need to get your scaling done from the dentist and then do brushing twice a day. Your teeth will not get yellow. Scaling (cleaning of teeth) should be done at dental clinic atleast once a year. If your enamel is weaken then you should brush at mild force and once a day before sleeping. As excessive brushing wears off enamel (the white layer) of the tooth and exposes dentin (yellow layer) of the tooth. Start doing saline water mouthrinses two times a day after getting your scaling done. Then it will get you relieved from mouth stinking. For appropriate diagnosis please provide me a few pictures of your teeth so that I can suggest you need scaling or yellowness is due to harsh brushing or any other factor. Stay happy and blessed." + }, + { + "id": 18350, + "tgt": "My periods lapsed after safe sex. What to do?", + "src": "Patient: Hi doctor, I had protected sex using condoms six days before my expected periods, but that was not safe. My periods has now lapsed. What should I do now? Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21705, + "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": 30791, + "tgt": "I have unwanted hairs all over my body. Will laser help?", + "src": "Patient: Hi doctor,I am a 24 year old male. I have hairs all over my body. I need a natural way to permanently remove them at least from my back, arms, neck and shoulders. Will laser help? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3813, + "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": 11318, + "tgt": "Does excess body heat cause swelling in the groin area?", + "src": "Patient: Hello doctor, I have got a swelling in the groin area. I clean the groin area daily. I suppose this is because of excess body heat. It appeared the day after I did a long drive of 12 hours from my home town. And the place was too hot. Doctor: Hello. Do you have itching and a similar skin lesion on another side of the thigh? Is this the first time you are having this problem? In the picture (attachment removed to protect patient identity), it looks like tinea cruris which is a fungal infection of the groin. The picture is not very clear. I do not see any fluid-filled blisters. Is there oozing of fluid from the bumps?" + }, + { + "id": 7560, + "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": 20065, + "tgt": "Can CMV be the cause of echogenic fetal bowel?", + "src": "Patient: Hello doctor, At my 17 week ultrasound, the baby had an echogenic bowel. I was offered for level two ultrasound on the same day. Other than echogenic bowel, I had a normal scan. After that, I was suggested for the quadruple test, which came back low risk (1:2226). At my 19 week ultrasound, echogenic bowel was still present but not that much bright seen than the 17th-week scan. So, we were referred for genetic counseling. Genetic counseller also performed a detailed scan and told that everything was normal but there was mild echogenic bowel present. She told that due to an infection that it may happen. So I had a TORCH test. In that result, everything was within normal range except CMV IgG. My CMV IgG was 83.7. Will this CMV cause echogenic bowel in the baby? WIll it affect the baby's health? I am very much worried about this result. So I did amniocentesis this week. The result has not yet come. Will amniocentesis identify the infection in the baby? Please explain. Doctor: Hello. You have undergone level two ultrasound twice by radiologist and geneticists. So, you need not worry. Your triple marker report shows low risk which means there is 99.99 percent no problem. The TORCH (toxoplasmosis, other infections, rubella, cytomegalovirus, and herpes simplex) test shows CMV (cytomegalovirus) IgG (immunoglobulin G) positive. It is of no significance as it indicates a past infection before pregnancy and you have already gained immunity against that so it is not the cause for any infection. Amniocentesis you have already done it. You can request the generic counselor for karyotype of the sample taken. It will rule out any chromosomal anomaly. It takes nearly three weeks for karyotype report to come. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26717, + "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": 23272, + "tgt": "What is the treatment for gallbladder polyp?", + "src": "Patient: Hello doctor,I have been diagnosed with gallbladder polyp. There are multiple polyps of size 8.7 mm. Please suggest the treatment for it. Doctor: Hello. You need to get your gallbladder removed. Plan to consult a GI (gastrointestinal) surgeon for laparoscopic cholecystectomy. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1811, + "tgt": "For more than four weeks now, my nose, throat, and stomach feels like they are on fire. Why?", + "src": "Patient: Not been feeling to good for more than 4 weeks now, no appetite so have lost weight, night sweats. Whole body feels weak and uncomfortable all day this has gotten worse during the past week and a half. Nose and throat feel like they are on fire, coughing more after eating. Stomach also feels like it's on fire, gets worse after eating. Stomach acid reflux after eating and burping. Burping a lot after eating sometimes burping up acid reflux. Calves have difficulty moving, very tired. No appetite More severe night sweats, wake up every half an hour just about each night. Very tired. Doctor: Hello, I am sorry to hear that you are not feeling so well. Reading about your symptoms the most common differential diagnosis would be GERD or Gastro esophageal reflux disease. It is basically reflux of the acidic content of the stomach into your food pipe or oesophagus that causes all these problems . And to confirm the diagnosis I suggest you to meet a gi specialist after the covid situation settles down who will then do an endoscopy to confirm the diagnosis. Till then try avoiding alcohol, citrus juice, tomato based products and coffee. After meals take a walk inside your premises and wait for 2-3 hours and then lie down. Keep an extra pillow to elevate your head while sleeping . Also stop taking omeprazole and start talking tablet esomeprazole/nexpro rd/nexpro. Have 1tsp of syrup sucralfate 30 minutes before taking esomeprazole. Endoscopy Urea breath test Tab esomeprazole -domperidone Syrup sucralfate" + }, + { + "id": 29795, + "tgt": "From the USG report, is my testicle size normal?", + "src": "Patient: Hi doctor, I am 23 years old.\u00a0I am attaching my USG report, which I had two months before. Is my testicle size normal? Please give me correct answer as I need to go for a medical examination next month. Can I pass the medical exam? I am also attaching medical pro forma. Thank you. Doctor: Hello. I had gone through all the data posted (attachment removed to protect patient identity). For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5931, + "tgt": "Will Asthalin, Levolin and Montek LC help settle dry cough?", + "src": "Patient: Hello doctor,My daughter is 3 years old. She is having a dry cough since four days. My doctor prescribed Asthalin and Levolin along with Montek LC. Will these help in settling the cough? Doctor: Hello. May I suggest: It Seems your doctor is treating her for an allergic lower respiratory tract infection. He is right. It should help in settling the cough. Take extra precaution for dust and stressors. If she does not respond within two days then she will need to be evaluated. Focus on a high protein diet and building immunity to prevent an attack. Avoid eating cold foods. Give warm saline gargles. You can try home remedies for cough. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19853, + "tgt": "Other than acid reflux, what can cause inflammation and irritation of throat?", + "src": "Patient: Hi doctor,I have been having some issues with my throat and esophagus. I have seen an ENT specialist and he said that I had a lot of inflammation in my esophagus, but did not seem to say anything else other than it may be the acid reflux. But, the way I feel and a lot of the other symptoms that have come upon make it seem like it may be something worse. I feel a bad taste in the back of my throat; I always feel some food or something that appears to be caught in the middle of the throat. For the past one\u00a0month, I have had a red tip on my tongue and these red spots near the front of the tongue. It is not a canker and it is painless, but it has not\u00a0seemed to go away. I had a bit of a throat infection when this started happening. It was not strep throat. It seemed like some infection, sour taste, a lot of phlegm and a break in my cough. I do have some tightness in my mouth and jaw and I have had some soreness in my neck like it feels strained. The issue is my neck, throat, mouth,\u00a0tongue and\u00a0esophagus;\u00a0it all seems to be connected. I do not know if it is anything serious, but it has been worrying me quite a bit. Doctor: Hello. Revert with the picture to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9912, + "tgt": "Why do I have blood in my mucus when I blow my nose?", + "src": "Patient: Hello doctor,I have suffered from a problem at the back of my nose for at least 10 years. Sometimes I will get a build up of lots of mucus quite a lot (which I am guessing is from acid reflux which I suffer from) and have to clear my throat. I also get an irritating feeling, a bit tickly maybe, at the back of my nose (not throat) and feels like something is making it feel heavy or maybe inflamed or swollen but not sore.I also occasionally get a funny taste in my mouth. I feel like there is a cyst of some sort and keeps bursting. I also have blood in my mucus when I blow my nose, and it can be dry and mainly blood. I previously went to see an ent doctor around 10 years ago, and he thought it was rhinosinusitis and gave me steroid spray, which helped for a while. It is making me very anxious as it makes me feel like I need to keep clearing my throat and cough. I have been given nasal spray from my doctor, but I think I need a sinus colonoscopy to check what is going on. Doctor: Hello. Your symptoms do suggest like it is rhinosinusitis. It is a chronic problem, and the use of sprays for a small duration will not completely relieve you of the problem. Similar complaints Wil also be present due to acid reflux. I hope you are on proper medications to reduce the reflux. Coming to the issue at the back of your nose, is there any other nasal symptom? Like a reduced sense of smell, regular or recurrent discharge from the nose dripping into the throat? Nose block or running nose or sneezing or itching of eyes or nose or watering of eyes? Do you have any allergy? Do you stay at a polluted area and expose your self to harmful fumes or smoke or dust or pollen? Any seasonal or diurnal variation to your problems? For the time being, I would like to put you on a steroid spray, to be taken two puff in each nasal cavity twice daily. Couple it with an antihistamine like Allegra (Fexofenadine) or Claritin (Loratidine) taken once daily in the evening. Take these two for two weeks and subsequently continue the sprays. Review with us after a week so that we can advise you further. You may require a CT scan of nose and PNS to check if there is any polyp or mucosal hypertrophy or nasal mass that is causing the problem. When you venture outside, try wearing a mask. Take plenty of fluids and warm water. Keep the room sufficiently moist as due to dehydration, the nasal mucosa does not function well. Do revert back with all the details. Do attach any previous blood or radiological investigations so that we can have a better idea." + }, + { + "id": 25145, + "tgt": "In borderline personality, is it possible to tell if one's actions are due to the disorder or not?", + "src": "Patient: Hello doctor, My partner has received a diagnosis of borderline personality disorder. She has been suspended from work on an allegation of serious breach of health and safety which could lead to dismissal. We are trying to investigate whether her diagnosis could have impacted on her actions. She has basically sent a fitness programme to a client for them to carry out at home when the process is for them to come into the leisure center and somebody go through the programme with them. These clients have high-risk health conditions. My partner has done this but in her view was only trying to be helpful to the woman and did not realize that this was not allowed. In your opinion could her BPD have impacted on her actions? Doctor: Hello. I have gone through your problem and understand your concern. Yes, Borderline personality disorder can impact her behavior. Also, there can be micropsychotic episodes in BPD person. If they are present, it can affect her behavior drastically. So, it depends whether she has such an episode or not, also sometimes, the behavior is out of proportion to that situation in BPD person. Hope this helps you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5289, + "tgt": "My wife is having thick red rashes on her face for the past three months. Please suggest a solution", + "src": "Patient: Hello doctor, A 34-year-old female is having thick red rashes on the face. Please suggest. Doctor: Hello. The thick red rashes on the face can be because of many reasons like allergic contact dermatitis, papular urticaria, irritant contact dermatitis, and many more. I need to know more details like for how long are they present? Are they itchy? Are they transient or persistent? Kindly answer my questions and if possible kindly attach a picture of the lesion so that I can see the lesions and help you to my best." + }, + { + "id": 25572, + "tgt": "When will my baby's umbilical cord fall off?", + "src": "Patient: Hello doctor, My baby is three weeks old and his umbilical cord has not shed off yet. So, his pediatrician asked us to get a newborn screening done. The reports will come in two days time, but I am a hypothyroid patient and his TSH at the time of delivery was 12.690 mcgIU/mL. I am just a little bit concerned. I wanted to take a second opinion. Otherwise, he is an active child and on mother's feed. Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 20529, + "tgt": "I have a continuous post-nasal drip and a very sore throat. What is going on?", + "src": "Patient: Hello doctor, I have a question about my ears, nose, and throat. From last year, I am having a continuous post-nasal drip and a very sore throat. I tried taking over-the-counter antihistamines and mucus thinner, but they did not help. I also have clicking in my ear. My voice kind of muffles in my left ear sometimes and when I lay down, my left ear opens and then closes and then opens and closes again. At the top of my nose, there is something soft ball like thing that moves. What is going on? Doctor: Hello. You seem to suffer from chronic rhinosinusitis that is producing constant post-nasal drip from the sinonasal membranes. The post-nasal drip irritates the throat mucosa causing pain and soreness. The mucus trickling down from nose also tends to block the Eustachian tube orifices, which prevents adequate ventilation and drainage of the ears, causing muffled sounds. You need to take a non-contrast CT scan of paranasal sinuses to check the sinuses. You would also benefit from corticosteroid intranasal spray with an antiallergic like Alavert (Loratadine), taken once daily. Metaspray (Mometasone), should be taken twice daily, two puffs in each nostril. Blood investigations mainly to rule out allergy are advised. Complete blood count, ESR (erythrocyte sedimentation rate), and serum IgE would be useful to make the right diagnosis. Do revert with the reports. I would advise you to desist from smoking, drinking and steam inhalation during the course. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11707, + "tgt": "Is it possible to transmit HIV through the cuts in hand?", + "src": "Patient: Hello doctor, I want to ask is it possible for me to transmit HIV through hand cut, (I have attached a picture) because I had anxiety when shaking hands. I am almost certainly HIV negative according to tests, but still anxious. Kindly advice. Doctor: Hello. No, unless you put your hands in HIV positive blood." + }, + { + "id": 17368, + "tgt": "Can you explain the conditions which cause right lower abdominal pain?", + "src": "Patient: Hi doctor, I am having mild pain in my mid and\u00a0right lower abdomen region. When I press, I can feel some gas moving inside. I poked it continuously. I am also burping and passing gas. My doubts are, is the pain due to gas? Or did my constant poking worsen it? Or is it something serious like appendicitis? I have attached my blood reports with this. Please guide. Doctor: Hi. I 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 history and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. The normal CBC (complete blood count) and no raise in white blood cell count says that it is not an appendix pain. So, relax and do not worry much. 2. Pain in this area can be due to the urinary tract infection and that is very common in this age group. 3. Other reasons may be stomach or small intestine ulcers and increased acidity in the stomach but it does not seem to in consistent with your history. Also liver or gallbladder involvement can cause such pain. Complete abdominal ultrasound including kidney, ureter and bladder. 1. You can take tablet Phenazopyridine for pain. I usually prescribe it for only two days. 2. You just keep taking Nitrofurantoin as prescribed. 3. Add cranberry juice which will help you a lot. 4. You should not poke the area and feel relaxed. 5. Take plenty of water and take more of vegetables, salads and fruits in diet. Revert back with the investigation report to an general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 3055, + "tgt": "I have bipolar 2 disorder with more depressive episodes than hypomanic. Please help", + "src": "Patient: Hello doctor, I have bipolar disorder II and diagnosed with social and generalized anxiety disorders. Currently, my medication fails to uplift my depression. I take lithium 3x450 mg, Olanzapine 5 mg, Escitalopram 20 mg. Previously I tried Valproic acid, Carbamazepine, Topiramate, Zoloft, Prozac, Clonazepam, Tranxene, Rudotel, and Lexotanil. I experience more depressive episodes than hypomanic. And I cannot take Lithium anymore due to kidney damage done. What are my treatment options? We are considering changing to Lamictal, and a small dose of Wellbutrin. What do you think about this? Doctor: Hello, Welcome to icliniq.com. Yes, bipolar depression is difficult to treat and it can be persistent. Many people do respond to a combination of Lamotrigine and Quetiapine (popularly called as Lami-quel). It takes time to act, but it is highly effective. Currently, I would suggest that instead of Lithium you use Lamotrigine 25 mg x 2, then 50 mg x 2 and finally 100 mg x 2. Dose titration is every two to three weeks. Instead of Olanzapine, I would replace it with Quetiapine 50 to 100 mg for start and raise if needed based on the sedation. Also, continue Escitalopram if needed or replace it with a TCA (tricyclic antidepressant) class of antidepressants. And yes, do add Bupropion (Wellbutrin). Also, you can consider doing a few sessions of rTMS (repetitive transcranial magnetic stimulation) if possible." + }, + { + "id": 18233, + "tgt": "Are my throat and nose symptoms an allergic reaction to pollution and industrial gases?", + "src": "Patient: Hi doctor, I have throat and nose problems since a year. My throat becomes dry while walking, I feel discomfort while breathing, and I have tiny red spots on the roof of my mouth. These spots become very painful whenever I get a throat infection, which I get twice a year during season change. I do not have a\u00a0cough, sneezing, and bronchitis. My nose is sensitive to smell and pollution. Blood tests like CBC, liver profile, urine tests, lung function test,\u00a0x-ray, etc., are all normal. Is this an allergic reaction to pollution or industrial gases? Doctor: Hello. Hope this helps you. Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 16109, + "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": 7402, + "tgt": "What is NCCT scan?", + "src": "Patient: Hi doctor, What is NCCT scan? Does it have any side effect? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17385, + "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": 3967, + "tgt": "Will paleo diet help in losing weight?", + "src": "Patient: Hello doctor, Is paleo diet really good to lose weight? It appears that the paleo diet does not have anything much for vegetarians. I want to follow a paleo vegetarian diet to lose about 15-20 kg of weight. I am a thyroid patient and taking Thyronorm 50 mcg for the past 15 years. I also have high BP and taking Telma 40 after breakfast and Amlogard 5 mg after dinner. I was affected by Vitiligo about 10 years back and currently not taking any allopathy medication for this. I am taking one ayurvedic tonic called Lukoskin. I have highly irregular periods recently hence taking Ovral L to get periods on time. A few months I stopped taking the medicine and did not get the periods for the past three months. I have started the medicine again for the past 10 days. Doctor: Hi, Welcome to Icliniq.com. Well, paleo diet is good in a sense of restricting your diet, but as you said you have irregular periods too. That means sufficient amount of nutrition might not be reaching your body. So better have some non-vegetarian food products which are excellent source of protein for your body. Fish and egg are good. It sometimes becomes quite impossible to remain away from protein-rich food items. Following a paleo diet with a twist of nonvegetarian foods involved might help. Include non-veg like two pieces of chicken with cabbage or other leafy vegetables and make a salad add olive oil and have it thrice a week. You can follow the same paleo diet the other days." + }, + { + "id": 27601, + "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": 3344, + "tgt": "Why am I having headaches with dizziness and tinnitus?", + "src": "Patient: Hello doctor, I am suffering with headaches, a feeling of pressure in my head, occasional dizziness and tinnitus. I am on the waiting list to see a neurologist, but in the meantime I paid for 2 non-contrast MRI scans 6 months apart, both of which came back normal, apart from the second one picked up a small pineal cyst 6 mm x 3 mm. I would like to know whether these scans are sufficient to rule out a brain tumour, or whether this is still a possible diagnosis given that the scans did not include contrast. Doctor: Hello. I passed carefully through your question and would explain that two MRI are more than enough to exclude any possible brain tumor (attchment removed to protect patient identity). The pineal cyst may be an incidental finding, as it does not seem to be related to the symptoms that you describe. It is strange that it results in the second MRI and not in the first one. Maybe the radiologist did not see it in the first one. I recommend comparing with your radiologist these two MRI in order to compare the presence of this cyst (if it is a new finding, or just was not described in the first MRI). In my opinion, the type of headache that you refer, coupled with dizziness and tinnitus are typical of tension type headache, which is benign type of headache, caused by a wrong posture and psychological stress. So, there is no reason to panic. I recommend you to perform regular physical exercise, trying to avoid staying before your smart phone for a prolonged time and trying to correct your posture. Avoiding caffeine intake will help too." + }, + { + "id": 6428, + "tgt": "My 13-year-old daughter has aggressive behavior and harms herself. How to deal with her?", + "src": "Patient: Hello doctor, My 13 years old daughter is having some aggressive behavior. She often hurts herself cutting her hands with a razor. She also shows indifference towards any advice she gets. She only does what she wants despite talking to her multiple times. Her father had passed away six years ago. She had been very tactful and hardworking in school even after the death of his father for two or three years. But now she changed totally. Her adolescence seems to go much farther than usual. The biggest problem now is that she does not care about any talk or warnings. She cuts her hands aggressively from time to time especially when her mom blames her for something she does. Her school grades and desire to learn had decreased. I would be grateful to know if we need to consult a psychiatrist or do something else. Doctor: Hello. I think your daughter is struggling emotionally and is using self-harm as a maladaptive coping mechanism to deal with her difficult situation. You are reporting that her performance at school has deteriorated in the past two to three years, and she is not able to take on board the family's advice. Minor self-harming behavior is relatively common in teenagers, but significant self -harm happens in children exposed to adverse life events and struggling to manage their life's stressors. How is she getting on with friends at school? Is her eating habits healthy? Is she sleeping well? Is she able to enjoy anything? Does she express thoughts like being fed up with life? As a parent, do you have any lighter moments with your daughter? Are all interactions leading to conflict? Suggestions: Your daughter will need understanding and support to get over this difficult period. It can be stressful and frustrating for parents to deal with this situation. Try to be calm and avoid excessive criticism as it can be counter-productive. Consult a psychiatrist in your city for a comprehensive assessment of her mental state. Some young people who self-harm may have conditions like depression, emotional dysregulation, or emerging personality difficulties, which need to be clarified and supported accordingly. Your daughter will benefit from psychological therapy to help her manage her emotions and develop safer and positive coping strategies to deal with her distress. Sometimes medication will be needed as well. It will take time and support to stop self -harming behavior gradually." + }, + { + "id": 25260, + "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": 3064, + "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": 7801, + "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": 25099, + "tgt": "My full body feels numb when I wake up. What could be wrong?", + "src": "Patient: Hello doctor, I have chronic paresthesia. My full body feels like dead in sleep. When I wake up and reposition myself, it will take time for the blood to start flowing from my leg to upper body. I can feel it flowing and entering my kidneys, liver, etc. I had this issue for a long time but it was not this severe earlier. From the last few months, it is getting worse. Doctor: Hello. I read carefully through your question and would explain that your symptoms could be related to a sleep disorder or thyroid gland dysfunction. A connective tissue disorder (arthritis) cannot be excluded either. For this reason, I recommend performing a polysomnogram and some blood lab tests: You should discuss with your doctor on the above tests. If you have any other questions feel free to ask me again. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11560, + "tgt": "Is there a remedy for gallstones in homeopathy?", + "src": "Patient: Hello doctor,I was diagnosed with gallstones (multiple with largest 14.4 mm in gallbladder lumen). The allopathic doctor says surgery is the only option. Currently, I do not have any symptoms apart from dull ache during daily exercise. Can homeopathy help to dissolve gallstones? Kindly help. Doctor: Hello. Yes, homeopathy can be helpful to you, and you have to take medicines for a long time. At present, if there are no symptoms then do not go for surgery. It will be useful if you can give details regarding, flatulence (gas), acidity, pain site, and constipation. At which time does the pain get increased? Do you have any other health issues?" + }, + { + "id": 5902, + "tgt": "I have anxiety, swollen left lymph node and spasm in calves. Could the reason be ALS or BFS?", + "src": "Patient: Hello doctor, I have a question regarding ALS vs BFS. I have severe anxiety, a kind fo shakes when arms are crossed, swollen lymph node on the left side of neck, sore wrists, muscle spasms in calves, and on outstretch the left arm gets fatigued. I have done MRI, EKG, and MRI cervical spine. Doctor: Hello. I understand your concern and would explain that ALS (amyotrophic lateral sclerosis) does not usually cause just fasciculation. It is usually associated to progressive paralysis and muscle wasting in the hands and legs. Other symptoms like troubles with swallowing, breathing occur later after some months. During physical exam pyramidal signs and diminished neurological reflexes can be seen (by the doctor). So, I do not think that your symptoms are related to ALS. On the other hand the inflamed lymph node in the neck is not related to ALS. Nevertheless, the nerve conduction studies would help to definitely exclude ALS. You should discuss it with your doctor on the above test. I would also advise checking vitamin D and vitamin B12 levels for possible deficiency, thyroid hormone levels for possible imbalances. I hope this helps." + }, + { + "id": 4464, + "tgt": "What are the recommended tests for skin rashes due to allergy?", + "src": "Patient: Hello doctor, I have recently relocated to my workplace. Due to relocation, I had to consume outside food for two months. I had started growing skin rashes. It was diagnosed as an allergy. Two medicines have been recommended by the doctor. Allegra 180 mg and Azithromycin 500 mg. I ate drumsticks today and I got the allergies back. Let me know please what all food should not be consumed? What foods should I consume for regaining proper health that would not be allergic? Also, whenever I keep my body heated, the itching fades away, but when it is becoming cold the allergy is back. Are there any tests to be carried out? Doctor: Hello doctor, Certain cities are known for allergies. Some people who are genetically probing for allergy atopy and hypersensitivity start showing symptoms in certain cities. It is difficult to say what foods to avoid. But I can give you some ideas about it. There could be a food allergy or aeroallergy. Your place has a lot of ethnic trees and pollen-related allergy. The tests you must do are serum IgE (immunoglobulin E). If the levels are elevated that shows atopy and thereafter you will have to do a skin prick testing or blood immunoCAP testing. The latter two tests will clearly show us which substances can cause allergy in you. If you desire you may get serum IgE and one of the tests (either skin prick or blood immunoCAP) done together. Meanwhile, keep away from plants and dust. Avoid smoke. Avoid air-conditioner at home or workplace. Try to keep the temperature at an optimum level and not very cold. Drink plenty of water. Take a diary and note down whenever you eat or drink something different and if you get rashes or allergy. Keep your bed and beddings very clean. Change sheets frequently. Dust the sheets in the balcony or outside the house. Vacuum clean all crevices and corners in the house. Wash curtains frequently. Beddings, curtains, etc., be washed in warm water, soak them for two hours in warm water, about 60 degrees. These are known to harbor house dust mites. Please let us know the symptoms of your allergy-like nasal or skin. Also, let us know if the tablets recommended relieve you of the lesions. If possible take a few pictures of the skin rashes and send to me." + }, + { + "id": 19879, + "tgt": "Why are lots of new moles are developing in my body?", + "src": "Patient: Hello doctor, My wife is 27 years old. She is developing a lot of moles on her body . Every other month few adds to her hand or face or other part of body . Is it something of concern which needs any treatment ? Doctor: Hello. I have gone through your case. There are many different types of moles. First of all you need to understand that not all moles require evaluation as many of them are benign or you can say innocent. Moles which your wife is having are on face and hands and these are sun exposed sites and sunlight produces them or exacerbate them. Moreover, when there is no sun exposure, indoor lights like tube lights also causes them.So u need to apply sun block two to three times a day for two months at least. Even when your wifes stays at home. In addition to this, many harmonal changes like pregnancy and iron deficiency also leads to them. Increase in vitamin C intake as well. This is orange season. So, it increases the chances. For further evaluation please send picture as well and get ur CBC (complete blood count) done. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11967, + "tgt": "Kindly advise the treatment for sore throat with white bump", + "src": "Patient: Hello doctor, I have a sore throat for a month now. It is mostly on one side with pain on the right side. I also have a white bump on the same side on the tongue. It is white and soft to touch. I took antibiotics and also did throat culture but only commensals were reported. Before this, I had body pain and intermittent fever for almost months and heat rash on the skin. Doctor: Hi. It looks like oropharyngitis, but one month is a prolonged phase, so we have to rule out other cause. Kindly tell if you have any history of diabetes or oral ulcer, or prolonged fever." + }, + { + "id": 25350, + "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": 20136, + "tgt": "I have a swelling near Adam's apple associated with pain. What could it be?", + "src": "Patient: Hello doctor, I have a mild swelling near Adam's apple. I have acute pain in the back of my neck and ears. I got the tests done. The report states TSH is 13 mIU/L and Anti-TPO is 209 IU/mL. Doctor: Hi. Swelling near Adam's apple is most likely a thyroid swelling. Normal TSH (thyroid stimulating hormone) level is 0.5-5 mIU/L. Your high TSH level confirms that it is a thyroid swelling. Elevated anti-TPO antibody (anti-thyroid peroxidase antibody) suggests autoimmune thyroiditis. It means your body's protective mechanism is attacking your own thyroid gland. But, there is nothing to be worried. You need to take thyroid supplement daily. I advise you to take tablet Thyronorm 50 mcg every morning on empty stomach. You may require medicines lifelong but otherwise, your life will be pretty much normal. Avoid cabbage, cauliflower, and spinach. Also, repeat the TSH test after six weeks." + }, + { + "id": 17360, + "tgt": "How can the ringing in my ears be treated?", + "src": "Patient: Hello doctor, I have had ringing in my ears for two or three months. My doctor said it was an ear infection in both ears. I had two courses of Augmentin, but it did not\u00a0improve. I had to change my doctor for some reason. The new doctor gave me Soframycin ear drops but when I went back to her for followup, she had changed her location. So, I went to a third doctor who said there were white balls in my ears. She thought it was a fungal infection and prescribed Bactrim DS and Candibiotic ear drops. When I returned, one ear had cleared up. She took a swab and then rinsed out my other ear finding a large amount of white matter like balls. I have just received the results of the swab which says it is not fungal and there were no known bacteria, but there was blood in the sample. So, they now think it is bacterial and want me to go back on antibiotics. The noise is sometimes loud and sometimes quiet, but it is always there. My hearing is not impaired at all but rather more sensitive than normal. My ears burn and throb at times but there is no great pain. Drops of vinegar and water help. I am not sure what to do. Please help. Doctor: Hello. You seem to be suffering from tinnitus which is nothing but a ringing sensation in the ears. There are various causes for tinnitus and the most common among them are a sensorineural hearing loss, Eustachian tube dysfunction, otosclerosis, ossicular discontinuity where ear bones become dislodged from their joints, chronic middle ear infection etc. But, the most common cause for ringing sound in the ear is a sensorineural hearing loss, probably age-related. Even unrecognizable minimal sensorineural hearing loss can cause disturbing tinnitus. Usually, fungal or bacterial infection of the external ear will not cause tinnitus. It is unlikely that it is bacterial or fungal. Infection of the ear canal is causing the ringing sound in the ear. There may be a small perforation of your eardrum or there may be a collection of fluid in your middle ear which can cause the ringing sensation in the ear. There can also be ear blockage. In that case, your symptoms should resolve with antibiotics within a few weeks. You should undergo pure tone audiogram to assess your hearing threshold. If there is a significant change in higher frequency hearing then that is the cause for your tinnitus. If your symptoms persist then hearing aids or tinnitus maskers will help you to overcome your problems. There are other treatment modalities such as a tinnitus retraining therapy which can be helpful in some patients You should consider visiting an audiologist also after consultation with your doctor. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14655, + "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": 19909, + "tgt": "I hear a very faint sound when I close my right ear. What is that sound?", + "src": "Patient: Hello doctor, When I close my right ear, I hear a very faint sound. And when I open it, the sound goes away.\u00a0What is that sound? Doctor: Hello. Any further questions are always welcome. For further queries consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27441, + "tgt": "I do not get erections after being away from my wife. Please guide me", + "src": "Patient: Hello doctor, I\u00a0have been married for two years and I never faced erectile dysfunction with my wife like I am facing now. I went abroad for work and stayed there for six months. After I got back, whenever I try getting intimate with my wife, I do not get erections. Please help. Doctor: Hello. For more information consult a urologist --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3084, + "tgt": "What causes shoulder pain after snowboarding?", + "src": "Patient: Hello doctor, I felt doing snowboarding 2 days ago. My shoulder hurts more and more. My chiropractor gave me a prescription for an X-ray. I have my X-ray but nobody to read it before next week. Can someone read it for me and tell me if I need to go to emergency hospital or it can wait? Doctor: Hi, Welcome to ilciniq.com. I am so sorry for what happened. I can certainly help you to read your X-ray. If you are able to move you arm most probably it is not a complete fracture. Of course there may be incomplete fracture. Need to see the X-ray. Meanwhile try to stabilize your left shoulder and arm." + }, + { + "id": 20159, + "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": 20371, + "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": 11007, + "tgt": "Can stress and anxiety cause joint problems?", + "src": "Patient: Hello doctor,I am a 27-year-old male with no history of joint issues. Can stress and anxiety cause joints to pop? I was okay last month but this month it has been really stressful for me and I know my hands feel stiff and all my joints pop. When I raise my arms, one can hear the tendons stretching like rubber bands. When I rotate my legs, my hips pop. They make pretty loud pop with no pain at all. My elbows sometimes pop, not often. I have no disease that I know of. Can this be caused by stress and depression? Please help. Doctor: Hello. Random clicking and popping joints is a common occurrence and as long as there is no associated pain or swelling, there is nothing to worry about at a young age such as yours. Excessive stress and anxiety can make your muscles taut. This can happen during periods of depression too. When you move any synovial joint around, the taut muscles around these joints cause the popping and cracking. You can try gentle stretching exercises every morning. This will help relax your muscles and subsequently relax your joints. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21934, + "tgt": "Please explain my AFP and serum tumor marker test results", + "src": "Patient: Hello doctor,I had some lab work done and this was part of the blood test AFP, serum tumor marker 1.9, 0.0-8.3 (ng/mL). Can you please explain this to me? Five years back, I had a complete laryngectomy and a flap. So, I breathe through a stoma but my doctor did all the tests and found polyps and liver cyst and I was diagnosed with cirrhosis. Doctor: Hello. I have thoroughly reviewed your query. The laboratory investigation under discussion here is alpha-fetoprotein (AFP), which in your case might have been done to rule out a possible malignancy of liver (it is a common tumor marker used to screen hepatic or liver carcinoma). But at 1.9 ng/ml, your value was within normal limits. Apart from liver malignancy, AFP may also be elevated in various other tumors and also in certain common non-malignant conditions like active hepatitis (liver inflammation), cirrhosis and few other conditions. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8585, + "tgt": "Is there any cure or treatment for calcified granuloma in Ayurveda?", + "src": "Patient: Hello doctor, I am 64 years aged female. Diagnosed with calcified granuloma 1 size 3 mm in the brain (frontal epilepsy 2 to NCC) causing one episode of seizure every two months. Life long daily dose of Lacosamide medicine is prescribed in Allopathy. Is there any cure or treatment in Ayurveda? Doctor: Hello. I read your query and saw the attached files (attachment removed to protect patient identity). Calcified granuloma is challenging to treat when any symptoms accompany it.As convulsions accompany the condition, then you need to take Allopathic management as advised to you. But along with that, you can choose syrup Mentat two teaspoon with water after food for one month. It is helpful in convulsions disorder and also improve brain functioning. Keep some time syrup Mentat (Himalayas) between your Allopathic medicines and syrup Mentat at least of one hour. In case you feel any problem then stop taking it immediately, but in general, it does not cause any problem. You can consult a nearby Ayurveda physician or me after one month regarding improvement and for further management." + }, + { + "id": 506, + "tgt": "I worry that social anxiety will be a hindrance to achieving my dreams. Please help", + "src": "Patient: Hi doctor, I searched the symptoms of social anxiety online and I think I have it. I am a student and it has been affecting my daily life, especially my school life. I struggle to have new friends and do tasks that require social interaction like class presentations. I tried changing my behavior, tried making new friends, talk to people but it only ended up in vain. I thought that if I can't change myself now, what about the future? I worry that social anxiety will be a hindrance of achieving my dreams. If I'm not going to be successful in life, I might as well end this now to not be a burden to the people around me. But I hope that that's not the only solution, doc. Please help me. Doctor: Hello. Thank you for your query This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI type of medicines (such as escitalopram 10mg, or fluoxetine 20mg etc.) which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for 2-4 months and then tapered off slowly and stopped. In addition to the medicines, you can also undergo a few sessions of cognitive behavioral therapy from a clinical psychologist. Also do consider doing deep breathing exercises or progressive muscle relaxation daily. T. Escitalopram 10mg once at night for 30 days" + }, + { + "id": 4096, + "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": 11476, + "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": 11390, + "tgt": "We had unprotected sex on the 22nd day of her cycle. Is there a chance of getting pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex with my partner today. She is on the 22nd day of her cycle. Will she get pregnant? We do not want to have a baby now. What should we do now? Doctor: Hello. If she has a regular cycle of 28 to 30 days, then there are no chances of pregnancy, and these are safe days. So nothing to worry. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 8947, + "tgt": "What can be done for non-itchy painful rash in penis?", + "src": "Patient: Hi doctor, I have a non-itchy but painful penis rash. I am a 47-year-old unmarried, not-sexually active, uncircumcised male, 5\u201910\u201d, 190 pounds. I have a history of ulcerative colitis (which seems to be hereditary). This was corrected 12 years back when I received a total colectomy and pouch replacement (that is bowel removed, and new bowel constructed out of small intestine). That seems all good. For some time (five years), I have experienced a very slight pain or irritation at the base of the glans of my penis. Friction (eg., masturbation) would make it sore, but it was very slight. Some redness in the skin just below the glans, but not always. Did not even consider this a problem (and it might not be the problem, I am just mentioning it). Six months back the glans of my penis became inflamed. This was the start of my problems. No bumps, no itchiness, no scaling skin. Just redness on the bottom half of the glans, and also the tip. It got very sore. If it was never touched, it does not hurt at all. However, it rubs the underwear during the day, and that can be very painful. Not always, but most of the time. The pain can be excruciating. I want to emphasize that the rash has never been itchy. Urinating causes no pain. I consulted my family physician and he did not know what it was but said he could treat it like a yeast infection. So he prescribed some antifungal cream with 1 % Hydrocortisone (Clotrimaderm) and when that did not do anything, suggested the 1 % HC might be getting in the way, so prescribed straight anti-fungal over the counter anti-fungal cream (all the creams I have used twice a day). No help. The 1 % HC did relieve some (a little) of the pain but did not actually fix anything. Thinking maybe the problem was not fungal, but perhaps bacterial, my doctor then prescribed Polysporin ointment. I quite by accident bought the version of Polysporin with Lidocaine. The Polysporin also did not fix the problem, but the Lidocaine brought some relief! The pain was lessened, but as I said, the problem was not fixed. I used Lidocaine for two weeks before going back to the doctor to let him know the problem remained. He then recommended a urologist, so I got a referral to a urologist. The urologist did not know what it was but suggested two possibilities: go see a dermatologist or get a circumcision. My family doctor did not think the circumcision would help, so he referred me to a dermatologist. The dermatologist said the rash was non-contagious and non-cancerous. He prescribed me four creams which I was to try, in sequence one at a time, for a week at a time, and let him know which helped. They were Ketoderm 2 %, Fucidin 2 %, Noritate 1 %, and Hydroval. I tried each of these as directed. None of these helped. The ones with some HC 1 % relieved some of the pain, but the rash is currently as bad or worse than when the problem started. The dermatologist said there was nothing else he could do, and recommended I get another appointment with a different urologist. The dermatologist did a swab and sent it to the lab, and it came back negative. He also had earlier said it was not an STI. As you can imagine, I am not very encouraged. My doctor does not seem to know what is up, and neither does the urologist or dermatologist. Can you give me some suggestions as to the cause and the remedy for my rash? Doctor: Hi. Depending on the symptoms you have mentioned, and all the treatment you have taken with no much help, I can list few possibilities though it is difficult to comment without seeing the picture. Since it is bothering you for few months, I strongly feel this condition would need shave biopsy of skin to know the exact nature of the problem so that treatment can be targeted for the cause instead of treating it with antibacterial or antifungal or topical steroids. Hope your blood glucose is within normal limits, if not it strongly favors candidal balanitis which may not respond to only topical anti-fungal but needs oral antifungal medicine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12536, + "tgt": "What causes two different colors of eyelashes and hair?", + "src": "Patient: Hello doctor, I was born with two different color eyelashes. On my left eye is black and on my right eye is blonde. Also, I have blonde hair streaks on my right side and half of my eyebrow is blonde. What could be causing that? Doctor: Hello. This condition is called poliosis. This may be due to: 1. Wardenburg syndrome. 2. Tuberculosis. 3. Piebaldism, etc. 4. Thyroid problems. 5. Vogt-Koyanagi-Harada disease. Until examination and investigation are done, it is difficult to treat what is the cause. Usually treated with medical or laser therapy or hair transplantation. Take care." + }, + { + "id": 20522, + "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": 20490, + "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": 2059, + "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": 6445, + "tgt": "Kindly explain about cerebral atrophy", + "src": "Patient: Hi doctor, I am 42 years old and suffering from headache in the left side for 30 months and have pain in the left shoulder, left arm, left leg, and left nerves, the spine, and burning foot. My bodyweight is 58 kg and height 5'5\". I decided to go for a brain MRI two months back and the results show diffuse cerebral atrophy. What does it mean? How can we treat this? Please suggest me some medication for this disease. My neurologist prescribed me some medicines and I am uploading these. I have to take these medicines daily. Whenever I miss them, I suffer headache, pain and burning sensation on the left side. It seems I am addicted to these medicines. I need some guidance on the same. Doctor: Hello. I have read your concern. The MRI you had is normal without any problems detected (attachment removed to protect patient identity). The cerebral atrophy means that your brain is smaller than usual. Causes include age-related changes or alcoholism. Perhaps no other modalities can reverse this unless you stop drinking alcohol. If everything you do is within your normal routine, the atrophy will not cause you any problems. This is also not related to the symtpoms you are experiencing. The medications given to you is a combination of anti-hypertensive, pain reliever, mood stabilizer, and vitamins and minerals. You should take all these medications because you need it for your pain and possible anxiety and increase in blood pressure. This thing should help you. I wish you luck." + }, + { + "id": 824, + "tgt": "What is the recommended diet for jaundice?", + "src": "Patient: Hi doctor, I have been\u00a0suffering from jaundice for the past three months. I am feeling fatigued. I have been drinking about 150 mL whisky every day for the past 9 years. But, I did not drink anything in the last three months. I tested for bilirubin, serum, hemoglobin. My liver shrank in size and the spleen is enlarged. My bilirubin 4.20, albumin 2.81, AST 49, ALT 12 and hemoglobin 9.30. Both hepatitis B and C are non-reactive. Kidney and pancreas are normal in size. The doctor suggested for endoscopy. Please suggest the diet and precautions. Is the liver condition reversible? Doctor: Hi. Alcoholism. LFT and upper GI endoscopy. Alcohol induced chronic liver disease with portal hypertension. Continue medical treatment as suggested by doctor. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 350, + "tgt": "I have small white bumps in my testicle. What are they?", + "src": "Patient: Hello doctor, I have small white bumps in my testicles skin like pimples, one or two looks nearly 1 cm size. I am worried about this issue, usually, it will appear and disappear but this time it is not going. Please help. Doctor: Hi, Welcome to icliniq.com. From the pictures I saw (attachment removed to protect patient identity), those are called sebaceous cysts the small ones can disappear with time. Keep in mind you should keep the area clean and dry in summer like you can use powder to keep it dry but the bigger ones need to be removed. Do not worry, removal does not need admission. You just need to undergo small operation will numb the area with injection and remove the cyst putting one stitch then you can go home same day with antibiotic and Paracetamol. Follow up after removal is recommended just to make sure there is no infection on the wound. I hope this helps." + }, + { + "id": 440, + "tgt": "Had outside food and suffering from vomiting and diarrhea. Please help", + "src": "Patient: Hi doctor, I am suffering from severe vomiting and diarrhea. I vomited 5 times in the last 6 hours and visited the toilet for about 30 to 35 times. Yesterday, I had outside food such as burger, pizza, chips, bread, etc. Please help. 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 an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22631, + "tgt": "Should I worry about my testosterone level of 335?", + "src": "Patient: Hi doctor, I am a 26 year old male. My height is 6 feet and weight is 90 kg. My total testosterone level is 335. My other tests were all normal except 25-hydroxy vitamin D, which is 6.83. Should I be worried? 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": 10906, + "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": 17359, + "tgt": "My right ear is slightly blocked. Please suggest a remedy", + "src": "Patient: Hello doctor, Two days back, I had a severe pain in my right ear. One fine evening, the pain went severe starting from the head till the chin. I had visited an ENT doctor who removed a\u00a0lot of earwax through EUM suction procedure. Since then, I got relief from the pain. But, I feel my right ear is slightly blocked compared to my left one. I again visited the ENT doctor who said my ear is clear and there is nothing that I should worry about. Can you suggest any other remedy to follow? I am worried if this block would stay permanent. I had a\u00a0cold that has now resulted in a\u00a0dry cough with phlegm. I will be traveling abroad in two days. Doctor: Hello. Do revert back if you need any further help. Let us know the progress with medicines. If doing the tests, please share the reports. For more information consult an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20845, + "tgt": "What could be the cause for my headache after delivery?", + "src": "Patient: Hello doctor, I am a 29 year old married female. I delivered my baby a year ago. I had post-spinal headache for three days in the hospital. Again, for the last eight months, I have been suffering with severe upper shoulder pain, neck pain and one-sided headache. It started with severe giddiness and nausea. I have consulted many neuro physicians and they prescribed me medicines for migraine along with antidepressants. But, I did not get any relief. A neurosurgeon told me to take Dolo for three weeks and Stalopam 10 mg. That too, did not help me. I got my MRI scan done and was diagnosed to have a small cyst (subependymoma) in my head, which doctors said as non-cancerous and not related to these headaches. I lifted heavy weights in my fourth month after my delivery and I had upper shoulder pain. Later, my neck and head pain started. I guess, pain in my upper shoulder muscle leads to neck pain and headache. Doctors say it as a migraine, but I am not sensitive to light. I started taking Vasograin since five days and feeling good for about 80%. Please help to come out of this terrible headache and muscle pain. Doctor: Hi. We are here to help you. You seem to be suffering from fibromyalgia (muscle pain and fatigue) Fibromyalgia can be associated with migraine headache that presents with one-sided headache. Also, following delivery, females do get these kind of pains and headache due to breastfeeding has led to vitamin D and calcium deficiency causing such pains. Now, I would recommend in such case a test for vitamin D and iron profile. Treatment recommendations would be Amitriptyline and Duloxetine for pain. Vitamin D and iron can be added later based on the reports. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25184, + "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": 12503, + "tgt": "Does a flat brown spot with flaky edges indicate melanoma?", + "src": "Patient: Hi doctor, A few days back, a brown spot appeared halfway on my thigh. By the same night, it grew and it was black. In less than 24 hours. Small brown spot turned black and grew in just a few hours. It is flat. I am writing this a week later. The edges are flaky now. It has a slightly rough texture but the edges are peeling in not picking it. Do you think it could be melanoma? I am brown in complexion but had an aunt who died of skin cancer. Doctor: Hello. The bigger brown patch is cafe-au-lait macule and the small one is probably an atypical nevus (attachment removed to protect patient identity). That is not melanoma clinically to me. Melanoma is very rare at a young age like in your case and obviously very rare in brown skin color. You are doing good that you are doing skin biopsy for tissue diagnosis so that no confusion is left but it is less likely to be melanoma." + }, + { + "id": 6225, + "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": 18544, + "tgt": "Why do I feel uncomfortable among people?", + "src": "Patient: Hello doctor, I feel weird when I am among people. I get scared sometimes. On some occasions, my mind is just blank. I do not know what to say in response, and when the conversation ends, I feel like I should have to say something good. These things depress me more. Doctor: Hello. I understand your problem. You seem to have social anxiety or anxious personality traits. This is one of the most common psychiatric problem people usually encounter but there is always a solution to every problem. Yours also has a solution. There is a therapy called exposure therapy. The more you would be exposed, the less fear you have. Apart from them, learn some soft skills and social skills. They will also help you. If nothing seems to be helping, medicine can be started which would treat all your problem. TSH (thyroid stimulating hormone). Therapy and medicines." + }, + { + "id": 15826, + "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": 14554, + "tgt": "What can be done for lower pelvic pain before periods due to hydrosalpinx?", + "src": "Patient: Hello doctor, I developed right lower pelvic pain and was asked to do an ultrasound and diagnosed with the presence of hydrosalpinx 10 months ago and took antibiotic for two weeks. From then on I am suffering from right lower pelvic pain that pulls my veins till knee. It begins paining 10 days before my menstrual cycle, and I live with pain for two weeks a month until my period gets over. My period lasts for 8 to 9 days. Found with the bulky uterus and several small uterine fibroids also. I would be grateful if you suggest me some treatment that will bring back my regular life. My age is 37. I have two kids. Both are C-section babies. Doctor: Hi. Hydrosalpinx is a fallopian tube disorder. In this concern, fallopian tube blocks distally and forms a sausage-like structure. Sometimes it may become painful. A bulky uterus is due to chronic pelvic inflammatory issues. It may lead to irregular and painful menstruation. Fibroids also lead to such conditions. It may be due to genetical, hormonal imbalances or chronic pelvic inflammatory disorders. USG abdomen, estrogen, thyroid profile, lipid profile. Pelvic inflammatory disorders, PCOS, dysmenorrhoea, menororrhagia. If fibroids are present without symptoms then it can be managed naturally. Its size may change as per menstrual cycle. These ayurvedic medicines may be helpful. Rx, 1. Kuberakshadi Vati one tablet, Nityanand Rasa one tablet, Chandraprabha Vati one tablet, and Pushyanuga Churna 2 gm, Styplon one tablet with warm water after meals. 2. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 3. Varunadi Kasayam 15 ml twice a day with an equal amount of water before meals. 1. Avoid spicy and fried junk foods. 2. Do regular Kapalbhati Mandukasana anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 13765, + "tgt": "Do mild cramps, bleeding and lower back pain indicate miscarriage?", + "src": "Patient: Hi doctor, I am 30 years old and according to LMP, I am 9 weeks and 6 days pregnant now. I had three previous miscarriages (two chemical pregnancies and one at 5-6 weeks). This pregnancy has been really well until a few days ago. Last week I had an ultrasound and the heart rate was 173. That night, I started getting cramp pain. I had mild cramps but noticeable. Cramp intensity was around 3-4/10 at the most. I cramped every day since then and yesterday I started bleeding. At first just brown blood then increasingly heavier. I went to the doctor as soon as I started bleeding (before the clots and red blood) and the baby was fine on the ultrasound, measuring 24-25 mm (so growing) and heart rate was 179. The doctor told me that there is no problem with the placenta which had no bleeding or tears and so this is not a threatened miscarriage. There was some free blood in the uterus which he said may be from further implantation of the placenta. However, I started gushing red blood with clots after an hour with 2-3 bouts of heavy bleeding through the night. This morning it seems to be much lighter but still bleeding. I still have mild cramps, some back aches and lower abdomen side aches. Overall, I feel like I have my period, I have a sensation of inflammation in the uterus, but without the typical period cramping. All through the pregnancy I have taken the following medicine, Prenatal vitamin once a day, Baby Aspirin 75 mg once a day, PTU 50 mg, 400 mg Progesterone vaginally, 3 mg Folic Acid, 2.5-5 mg Prednisone and HCG IM injections every 4 days (5000 IU). I have few questions that my doctor did not answer me. Can this bleeding be caused by implantation? Can takeover of progesterone production by placenta cause bleeding? When does the placenta actually takeover hormone production? Do I still have a chance of keeping this pregnancy? Do the mild cramps and backaches indicate impending miscarriage or are they somewhat normal with the bleeding? If they are normal, should I take Acetaminophen for them? Should I continue to take the Aspirin given that I am bleeding? I have had the APS and thrombophilia panel tests and all are clear. Should I take the Progesterone orally now, while I am bleeding? Is it as effective? And finally, is there any possible explanation for this type of bleeding with a healthy baby with heart beat? If it was immunological (for example NK cells) would that kill the embryo instead or just start a bleeding like this? Please explain. Doctor: Hi. The symptoms you are experiencing come under category of threatened abortion. The clinical diagnosis of threatened abortion is presumed when a bloody vaginal discharge or bleeding appears through a closed cervical os during the first half of pregnancy. Risk of threatened abortion progressing to abortion is substantially reduced when fetal cardiac activity is seen on ultrasound; which is true in your case and is a reassuring fact. This bleeding is not an implantation bleeding. The implantation bleeding happens between 7-10 days after ovulation when baby is burrowing in endometrium which is actually before diagnosis of pregnancy or before a woman misses her period. Placenta takes over progesterone production between 7-11 weeks. But it is just a shift in hormone production and not associated with bleeding. As described above, you have a fair chance of continuing pregnancy (if not already lost), because of heart activity seen on ultrasound. Cramps during pregnancy (unless due to bowel/bladder disturbances) are not normal and indicate threat to pregnancy. Cramps do not always indicate impending miscarriage. Acetaminophen can be taken for relief of cramps; better medicine is injection of Progesterone along with antispasmodics. Aspirin rarely aggravates bleeding and can be continued despite bleeding in most cases. Progesterone when taken orally is less effective than vaginal progesterone, only exception being Hydrogesterone which is effective orally. Normally in such cases we start injection Progesterone 100 mg intramuscularly on alternate days, but there is insufficient evidence to support and refute its effectiveness. In most cases, such bleeding happens due to chorioamniotic separation or subchorionic bleeding that is bleeding between baby and uterine wall. If cause is immunological, abortion may happen with intrauterine demise of baby or it may start with bleeding; both are possible. So, summarizing facts in your case," + }, + { + "id": 2511, + "tgt": "What is the success percentage in IUI?", + "src": "Patient: Hi doctor, I had a first IUI one week ago. The egg was to rupture on the same day. Egg size was 22.5 mm and endometrium size 6.6.mm. Also, for the past one month, I am taking oral Susten 300. How much chance is there for successful implantation? Doctor: Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16814, + "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": 8422, + "tgt": "There is a white raised line on my tongue. What could it be?", + "src": "Patient: Hello doctor, The left side of my tongue has been hurting for a few days, and there is a white raised line on it. What do you think it could be? The image is attached. Doctor: Hello, Welcome to iclinq.com. I have seen the image (attachment removed to protect patient identity). Hope your doubt is cleared. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 11858, + "tgt": "How to get treated for tinnitus?", + "src": "Patient: Hi doctor, I am a 31 year old female. I am having tinnitus in my right ear. My PTA hearing test says R - 17 dB and L - 10 dB. My doctor informed me that there is slight nerve damage and it is causing tinnitus and slight hearing loss. He said that there is no cure for it. Please help. Doctor: Hello. Your PTA (pure tone audiometry) showing minimal hearing loss in right ear and normal hearing in the left. I do not think this minimal hearing loss cause the tinnitus unless the hearing loss is progressive. Tinnitus is not a disease. It is a symptom due to many underlying disease, so we need to exclude the cause for the tinnitus first. Next time please mention whether you are diabetic or hypertensive of having hearing impairment or heaviness in ear. Also mention whether the tinnitus is continuous or periodic or pulsating in nature. For the next seven days do valsalva maneuver 20 to 30 times a day, the procedure of which you can get in YouTube. Then take some medication as written below for seven days. Please get a tympanogram if possible. Tympanogram. ETD (Eustachian tube dysfunction). 1. Valsalva maneuver as advised. 2. Tablet Solvin (combination of Pseudoephedrine and Bromhexine) one tablet thrice daily. 3. Capsule Zincosule-4G (Multivitamin) one capsule twice a day." + }, + { + "id": 2556, + "tgt": "I noticed rashes under the armpit, back, and chest with no other symptoms. What is it?", + "src": "Patient: Notice a couple small rash type about 8 inches under the armpit. Then a rash on the chest and back x3 weeks ago. Red blushes not itchy. It slowly started to cover most of the chest and all of the back. there are just a few on the upper arms. A couple of different types more like pimple types on the buttocks. and a few very small individual rashes to the knee. I have used 1% hydrocortisone cream x2 weeks and has not gone away. Some seem like pimples. Rubbing a finger over top you can barley feel the rashes. I am on 100 mg/wk test enanthate and 25 mgof DHEA and 1/2mg arimidex x 6 onths no issues I changed the dose to 50 mg of DHEA and 1 mg arimidex with 100 mg/wk test enanthate I did how ever take one dose of Test cypionate between Test E. the one week when I started to take HCG and up the dose 50 mg of DHEA and 1 mg arimidex week I stopped all meds 9 days ago and the rash has not really gone done. I am healthy and eat well. No past medical history Sex activity has been protected March 2 and 16 39 yo male Not losing any hair No headaches Don\u2019t recall feeling the flu No mouth issues No cuts or open lesions No pains Doctor:" + }, + { + "id": 29060, + "tgt": "Can you help with my daughter's low platelet count?", + "src": "Patient: Hi doctor, My 12 year old daughter was fatigued and had blue blotches over her body. The doctor locally ordered blood tests, and the results showed low platelet count of 50000.\u00a0They administered Cortisone of 30 mg a day for two weeks, and the count went up to 100000. The doctor reduced Cortisone to 15 g a day. She felt fatigued again, and when we conducted\u00a0the test, the platelet went back down to 50000.\u00a0They have no answers.\u00a0Can you help? Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13456, + "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": 188, + "tgt": "I have red patches on both legs with tingling. Are these early signs of DVT?", + "src": "Patient: Hello doctor, Is red warm patches on both legs, with tingling early stages of DVT? I went to the ER and they sent me home. I am currently on L-carnitine, L-Argentine, Suboxone, Aspirin, Fluoxetine, and Buspirone. Doctor: Hello. No, it is not an indication of DVT (deep vein thrombosis). The earliest symptom of DVT would be swelling, which is usually unilateral associated with pain. Rash may occur but in later stages and associated with swelling/pain, which may occur due to venous congestion. Also, I guess there are no risk factors for DVT like bedridden state, lower limb surgery, long haul flight, etc. So I do not think this is DVT. Now, why are you on Aspirin and other medications? Do you have any systemic disease which could explain these symptoms? Regarding possible causes, these are inflammatory skin rashes, which may be due to due to allergies, insect bites, viral infections, skin irritation due to clothes and more likely possibility is of drug-induced as you are on medications like Aspirin, etc. So try to correlate with the above-mentioned factors. I hope this helps." + }, + { + "id": 2290, + "tgt": "Does absence of nasal bone due to trisomy 21 suggest mental retardation in fetus?", + "src": "Patient: Hello doctor, If nasal bone is absent due to trisomy 21, will that fetus suffer from mental retardation? Can mental retardation or other such problems detected by ultrasound at 30 weeks? Doctor: Hi. Absent nasal bone is a soft tissue in ultrasound to diagnose Trisomy 21. Absent fetal nasal bone is one of the strongest soft markers in the second-trimester ultrasound screening. Detailed prenatal diagnosis is advisable to rule out abnormal karyotype when absent nasal bone is associated with other ultrasound markers of fetal aneuploidy or structural abnormality. Nearly two-thirds of 15-22-week-old fetuses with Down's syndrome lack a nasal bone according to fetal-medicine specialist. For normal fetuses, the figure is 1%. This makes it unlikely that the test would wrongly diagnose Down's syndrome. Mental retardation cannot be diagnosed in 30 weeks scan. But if only an absent nasal bone is there with no other structural abnormality and NIPT (noninvasive prenatal testing) or amniocentesis is normal then please understand that the risk of isolated NB absence compared with non-isolated NB absence is much lower." + }, + { + "id": 16133, + "tgt": "Why does pregnancy trigger sinus problem in some women?", + "src": "Patient: Hi doctor, Please explain the relationship between a sinus problem and pregnancy. Does sinus infection be a reliable sign of pregnancy? Why does pregnancy trigger sinus issues in some women? Doctor: Hi. A lot of women have an increase in sinus congestion during pregnancy. It happens due to the increased level of estrogen during pregnancy which tends to cause vasodilation generally. Hence, they have improved blood flow through the nasal and sinus passages. It leads to symptoms such as runny or blocked nasal passages, congested sinuses, and even sinusitis. It is not a reliable sign of early pregnancy. This symptom comes along with other symptoms to indicate pregnancy. Some women who tend to have sinusitis may not be able to tell it. Women who are not usually prone to sinusitis may have it as a positive sign of pregnancy with few other symptoms." + }, + { + "id": 14961, + "tgt": "What are the best things one can do to get pregnant?", + "src": "Patient: Hello doctor, What are the best things one can do to get pregnant? Doctor: Hi. As with anything, having a planned pregnancy has a better outcome than an unplanned pregnancy. For both partners, adhering to a healthy lifestyle in terms of diet, fitness, stopping smoking and alcohol, and stress management are important. For the woman, in particular, we check blood count, rubella immunity, thyroid levels, sugars if indicated, and advise folic acid supplements to prevent certain neurological defects. If you are at the age of above 35, or having irregular cycles, endometriosis, or have had pelvic infections, you may want to visit your gynecologist to avoid wasting precious time. If your partner smokes or consumes excess alcohol or diabetic or above age 40, it is better to get a semen analysis done. You can calculate the fertile period of your cycle and try to make use of this period. All the best, hope this helps." + }, + { + "id": 8636, + "tgt": "Why is Wellbutrin not showing its effects any more in a depression patient?", + "src": "Patient: Hello doctor, I am 28 years old with height 5'8\", weight 120 kg, and married. I have been suffering from anxiety and depression for the past 12 years. One day I was driving to college and suddenly got a panic attack all of a sudden for the first time. I was really scared and thought I would die. I thought there was something wrong with my brain, so I had thousands of tests and then brain MRI. All was perfect. During that time, I weighed 80 kg. I was so scared that I was totally on the bed for two years. I gained 40 kg in a year by eating all day. I was scared, fearful, and depressed. I tried lots of medicines, but nothing helped. Then a GP suggested me Cipralex and Xanax 1 mg twice a day. Things started getting a little better. Then I decided to lose weight. I lost 55 kg in two years. At that time I was almost 20 years old. I left the university because I was not able to focus. My father is an industrialist, so I joined him and worked very well for three years. When I was 23 years, I was better enough to make friends. I used to hangout and started taking alcohol weekly. I started enjoying alcohol, and the effects of Cipralex were going away with time. After a year or so, I went into depression mode again. Then I consulted a pschiatrist and he put me on Wellbutrin XL 300 mg, Seroxat CR 25 mg, Xanan 1 mg thrice a day and Rivotril thrice a day. After a few weeks the honeymoon period of Wellbutrin kicked in and the life changed. I was focused and powerful. I just did whatever I wanted to. I started earning money. I mean my dad was happy from my work so he used to give me enough to enjoy life. I became an alcoholic. I got married two years back and have a son now. I used to drink all day long even in the breakfast. I build so much tolerance that I would drink two bottles of vodka every day and night, and 15 cans of beer in a day. My weight has again gone back to 120 kg. By the time I increased my Wellbutrin dosage to 600 mg per day on my own to get that honeymoon effect back, but nothing changed. It is now all where it started, lying on my bed, panicked, fearful and depressed for the past 10 days. I left alcohol 10 days back cold turkey. I had an LFT test and the GGT was around 700. I just do not want to die of liver cirrhosis. I also had a CBC test and it was 99 percent normal as well. Hepititus B and C are negative. I had an ultrasound abdomen four months back and at that time, all of the organs were fine except a little fatty liver. Now all I want is to restart my life. I just want that Wellbutrin feeling back. I have build tolerance to Wellbutrin, so it does not work anymore. I just want to restart life. I want to enjoy with my wife and son. I want to go to work the same way I used to when I lost weight. You can understand well. I have increased the dosage of Benzodiazepene all by myself to cope with withdrawl symtoms of alcohol. Currently I am on Wellbutrin Xl 600mg, Seroxat CR 25 mg, Xanan 1 mg four to five times, and Rivotril 0.5 mg four to five times. Doctor: Hi. I have gone through your problem and understand your concern. The doses of Wellbutrin (Bupropion) are towards higher side and dose of Seroxat CR (Paroxetine) is towards lower side, while benzodiazepine is also towards higher side, but it can be gradually tapered to lower side. Once the alcohol withdrawal symptoms decrease, you can lower the benzodiazepine doses. Usually I recommend to my client Seroxat CR 50 mg to manage the symptoms of depression. I would suggest to stop alcohol and continue the same medicine. Of course, increase the dose of Seroxat. Regular exercise is very important, and management of alcoholic liver disease has to be considered. Thiamine in doses of 100 mg three times a day and if required Metadoxine can be used. All these are prescription-only drugs, so you need a prescription for the same. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25286, + "tgt": "Why should blood pressure be taken while rested?", + "src": "Patient: Hello doctor, Why is it that you are supposed to take blood pressure when seated and rested for two to five minutes with your back supported? Is not it important to know what your blood pressure is when you are walking around and going about your day especially if that is what makes blood pressure rise? I never understood and I am really curious. Doctor: Hello. This is because it is a normal response to the blood pressure rise with exercise and such increments are not harmful to the body. Exercise-related blood pressure will vary with the level of exercise so we will not be able to standardize it. On the contrary, baseline blood pressure at rest predicts the future outcome and all studies are done on this basis only. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19117, + "tgt": "My 3 year old daughter failed her OAE test. Is that due to hearing loss?", + "src": "Patient: Hi doctor, My daughter is 3 years old. She failed OAE testing at 3 years of age. She has issues with articulation and has been in\u00a0speech therapy for over a year. Scores are 1% for understandability. Our audiologist did not tell us much. Can I get your insight into my daughter's audiogram? Doctor: Hi. Revert with the details to an audiologist online -->https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 7491, + "tgt": "What is the treatment for cough and cold in a 4-year-old?", + "src": "Patient: Hello doctor, My 4-year-old boy is suffering from cold and cough. His symptoms are, 1) Choked nose (not running). 2) Time to time heavy coughing, 3) No temperature. Suffering from last three days. Started with light cold, but today heavy voice and frequent coughing. Doctor: Hello. It is a common cold due to viral infection, but as you have said that cough is increased now so it may be normal or it may be complications. The common complications are viral pneumonia (self-limiting), and another one is croup. The second one is having problems and characterized by a sick looking child and barking cough. If your child is not sick looking and breathing is normal and no fever, you need to apply nasaoclear drops in the nose every two hourly along with cough syrup (one teaspoon three times a day). It will subside by the time. If he is sick looking and fever is increased breathing, then you need to visit your nearest physician. Then we need to give antibiotics. You can ask specifically if needed." + }, + { + "id": 28957, + "tgt": "Can a back injury lead to scoliosis?", + "src": "Patient: Hello doctor, I sustained a back injury three years ago. I was standing on the staircase of a bar when a large woman lost her balance, she grabbed and twisted my arm while placing her full body weight on my back. I have had recurrent muscle spasms all the way down to my back ever since, and I have to go frequently to a physiotherapist to treat this pain. I had an MRI of my thoracic and lumbar spine last year. I was told that there was mild scoliosis in the thoracic spine and that there was no large disc herniation. Could this scoliosis have been caused by the injury or by the fact that I have pectus excavatum? I have attached my MRI scans. Can you please clarify whether there are any bulging discs which may be causing, or contributing to the recurrent muscle spasms and muscular pain in my back? I have been unable to clarify this issue with the radiologist who assessed my scans. I would also be very grateful if you could advise an\u00a0effective treatment in eradicating these recurrent painful muscle spasms. Doctor: Hi. For further queries consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 9988, + "tgt": "Are my sinus issues and tonsil stones related?", + "src": "Patient: Hello doctor, I have had sinus problems my whole life, getting sinus infections every year or sometimes twice a year, constantly having drainage in the back of my throat) and it was only annoying until a few days ago. Four days ago, I learned I had tonsil stones when I coughed up about 10 (no photos provided). I went to the doctor and she said it was because of a virus causing me to produce more mucus than normal. I was given a medicine and took it and the mucus amount went down a lot and I started feeling better and thought my tonsil stones were gone. However today, I coughed up two more. So,\u00a0I decided to see if there were any I did not find on my previous visit, so I could make sure there were none left. I ended up removing 22 tonsil stones (photos provided to prove I am not exaggerating). While removing one, my tonsil started bleeding. I am not even sure if they are all out since I got the majority of those from one side of my mouth and my throat has hurt after both times I have gotten them out. Anyway, my question is, is there a possibility my sinus issues are linked to my tonsil stones, and would an ENT help me remove them since I have so many? Is there a possibility I have tonsillitis? Doctor: Hello. I understand you want to know if your tonsil and sinus problems are related. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14099, + "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": 29274, + "tgt": "I rarely get erection and cannot involve in intercourse. Why?", + "src": "Patient: Hi doctor, I am 43 years old. I am known type 1 diabetic. I do masturbation regularly. In the last two\u00a0years, I\u00a0observed that I do not get an erection at all. Even if I get after a lot of effort, I cannot involve in intercourse. What to do? Doctor: Hi. I read your query and understand your concerns. Revert with more details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13803, + "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": 21675, + "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": 27802, + "tgt": "Are there abnormalities in my semen analysis reports?", + "src": "Patient: Hello doctor, Please find my semen analysis results attached. Are there any abnormalities? And, if so, what is the treatment to be done? Doctor: Hello. I have gone through your query and understand your concerns. I have reviewed the reports (attachment removed to protect patient identity). Hope you found the answer helpful. For more information consult an obstetrician and gynaecologist online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17035, + "tgt": "I have pain and a white tissue layer forming on my penis. What to do?", + "src": "Patient: Hello doctor,I am a 40 year old male, and I have diabetes. From a week, I have pain in the penis, and a white tissue like layer is formed. What to do? Doctor: Hi. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 15183, + "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": 23802, + "tgt": "Would you suggest the treatment to get conceived ?", + "src": "Patient: Hi doctor, I had an ectopic pregnancy last year and the left fallopian tube has been removed. I have PCOS, but my periods are regular. The doctor did an HSG and a follicular study last month. My report says 'the uterus is anteverted, measures 6.0 by 3.2 by 4.1 cm. The right ovary measures 4.4 by 2.6 by 3.4 cm. The left ovary measures 4.4 by 1.7 by 3.7 cm. The follicles ruptured on the 15th day of my cycle and the endomaterial thickness was 6.8. Today, I got my period with severe abdominal pain and blood clot in the discharge. Kindly suggest a treatment\u00a0to get conceived. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7881, + "tgt": "How can fibromyalgia and neuropathy in hands and feet be treated?", + "src": "Patient: Hello doctor, I am a 31-year-old female, height 5'3\" and 311 lbs. I was diagnosed with fibromyalgia and also small fiber neuropathy in my hands and feet. I am currently on Gabapentin, Duloxetine, and Meloxicam for my condition. The pain is keeping me up at night and I do not sleep well. Also I cannot stand on my feet for more than 10 minutes before I am in excruciating pain. I have recently started a vegetarian diet and a meditation practice too. Please help. Doctor: Hi. I can understand your concern. Fibromyalgia has a condition in which the whole body has pain with fatigue. The patient suffers from difficulty in walking, standing, breathing, etc. Neuropathy is a condition in which peripheral nervous system gets damaged gradually causing tingling, prickling, burning sensation in hand and feet. As per Ayurveda such kinds of symptoms occur in aggravated Vata Dosa and vitiated Kapha Dosha. So you can go through Ayurvedic management to this issue along with your previous medications. Infections, degenerative diseases, surgery, traumatic stress physical or mental, autoimmune disease, uncontrolled high blood sugar, unknown etiology, etc. MRI whole body, serum electrolytes, creatinine kinase, blood pressure, and sugar. Myopathy, chronic fatigue syndrome, ligaments or tendons injuries. As per Ayurveda, whole-body external and internal oileation therapy is required. Now you should take the following ayurvedic medicines regularly for one month along with previous medications. Make at least one hour gap between both medicines Ayurvedic and allopathic. 1. Bruhat Vatachintamani Rasa 1 tablet + Rasaraja Rasa 1 tablet twice a day after meals with cow ghee. 2. Guggulu Panchtikta ghrita 1 teaspoon thrice a day before meals. 3. Amritabhallataka leha 1 teaspoon with warm milk before meal. 4. Dhanvantaram tails 101 10 drops with milk before meal. 5. Mahamasha tail for external application only. Apply lukewarm oil to the whole body. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Avoid cold drinks, soft drinks, ice-cream, tea, coffee, etc. Do regular kapalbhati Mandukasana suryanamaskara and pranayana like anuloma vilom nadi sodhan and bhramari. Do these things regularly for one month and provide your valuable feedback after one month. Further, if you have any queries regarding this concern feel free to revert back." + }, + { + "id": 8663, + "tgt": "The crown and screw came out of my root canal treated tooth 8 days back. When should I visit a dentist?", + "src": "Patient: Hello doctor, I had a root canal done for a tooth, a couple of months ago. My crown came out 8 days back. I did not go back to the dentist, but now a screw came out my tooth. What does this mean? When should I visit a dentist? Doctor: Hi. First of all, I would like to explain the treatment that has been done to your tooth according to the details provided by you: You have to get the screw and crown fixed back in that tooth else it might breakdown more and more.\u00a0The screw was put in place after root canal treatment as your tooth was badly damaged and needed support to place the crown. Since it has broken, it needs to be done again to prevent further damage of the tooth. So, visit your dentist immediately to save your tooth. Revert back to a dentist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16188, + "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": 15262, + "tgt": "Why do I have elevated vitamin B12 and SGOT?", + "src": "Patient: Hi doctor, I am 33 years old male. I have a B12 level of 1800 pg/mL and SGOT of 80 U/L. My SGOT level is within range. I have never taken B12 supplements. Please suggest. Doctor: Hi. Do not be scared. Repeat the tests soon. A raised B12 can happen due to laboratory error. Even after that, if you have SGOT (aspartate transaminase) above SGPT (alanine transaminase), you should do a USG (ultrasound) abdomen. A raised SGOT above SGPT of about 2:1 ratio suggests an alcoholic liver disease. I do not know about your drinking habits. A chronically elevated SGOT above SGPT can also occur due to nonhepatic causes like hypothyroidism and in some myopathies (muscle illness). You should get your tests repeated along with serum TSH levels, complete blood count and kidney function tests. Serum B12 is metabolized in the liver, and its excess is excreted through kidneys." + }, + { + "id": 2181, + "tgt": "What is the treatment for COPD?", + "src": "Patient: Hi doctor, My father has SpO2 level with oxygen is more than 95 and without oxygen is 75-80. He also has COPD. But,\u00a0all tests are normal like CT scan,\u00a0USG and x-ray. Please explain. Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 19712, + "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": 17089, + "tgt": "Is there a treatment for diffuse cerebral atrophy?", + "src": "Patient: Hello doctor, My father is suffering from diffuse cerebral atrophy. He was admitted last week to a hospital where the doctors told me he is suffering from diffuse cerebral atrophy, but there are no medicines for this and there is no guarantee for his life. Please tell me what is the treatment for this? Doctor: Hello. I have seen the report you provided (attachment removed to protect patient identity) and I am afraid I have to agree with your doctor because diffuse cerebral atrophy is not treatable as neurons once dead, do not regenerate. However, there are some measures to control symptoms to some extent and keep the brain functioning to its available capacity like: I am sorry. This is not reversible. However, you need to ensure he gets physiotherapy and cognitive therapy. This may help to some extent. Hope this helps. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30040, + "tgt": "Am I suffering from any autoimmune or neurological disease?", + "src": "Patient: Hello doctor, There is a constant pain that I experience in my left upper abdomen in a specific area while I am seated. Hence, I feel very uncomfortable whenever I am sitting on a chair or a couch or in the bus. I feel the pain is related to posture as the change in posture eliminates it. Hence, I feel that it is muscular in origin. There is absolutely no abdominal pain when I am standing or lying down. No pain medicines have helped me so far. I am sure that the cause does not lie in the digestive tract (stomach, small intestines or large intestines) as I do not have any indigestion problem. My appetite is just fine; I eat well at proper times. I received hepatitis B vaccine on my left shoulder almost four years ago. I was absolutely fine and\u00a0pain-free till I received the hepatitis B vaccine. The pain started post vaccination. I have done 14 blood tests so far, including rheumatology blood tests. The results of all the 14 blood tests came back fine. I did an ultrasound, which showed hepatic steatosis and the rest of the organs were of normal appearance. What autoimmune or neurological problem can this be? Doctor: Hi. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7297, + "tgt": "I have constipation and bleeding after 50 days of delivery. What is happening?", + "src": "Patient: Hello doctor,I had a normal delivery before 50 days. I am still suffering from constipation, during poo little bit blood come from the anus. And also starting of the second month I am bleeding with bright blood up to four days then it stops, and again I am bleeding the same. What is happening? Doctor: Hello. I have read through your query and here is my opinion. Some women do suffer from constipation during pregnancy, and it may extend up to the postpartum period. Proper diet and intake of lots of fluids are essential. Bleeding through the anus is not right, and therefore, constipation has to be treated. If the diet does not help, you may be required to take Laxatives for a few days. You have mentioned that you have to bleed, can you tell me if you are breastfeeding or not. I would be able to give further suggestions accordingly." + }, + { + "id": 25003, + "tgt": "Is it safe for epileptics on valproate to use Orphenadrine and Magnesium?", + "src": "Patient: Hello doctor, Due to muscle spasm, I was given Orphenadrine and Magnesium. Is it safe to use these medications for patients with controlled epilepsy on Valproate? Doctor: Hello. Regarding your concern, I would explain that there are no interactions between Valproate and Orphenadrine or Magnesium. So, it is safe to take all these drugs concomitantly, as they do not interact with each other. Besides, both these drugs (Orphenadrine and Magnesium) do not exacerbate or interfere with seizures. So, there is nothing to worry about. For more information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12713, + "tgt": "What makes me sleepy the whole day?", + "src": "Patient: Hi doctor, I am having issues with sleeping. I am exhausted all day every day, sleep 6 to 9 hours every night and take 2 to 3 hours nap every day. I am unable to control falling asleep. I am not on any medications. Doctor: Hello. The reasons for sleepiness could be many. Firstly, could be related to the deficiency in vitamins in body or iron deficiency. This can be easily tested by blood tests. Secondly, hormonal changes can cause sleepiness, like low functioning thyroid gland, which can also be checked on the blood test. Thirdly, sleep issues like sleep apnea or insomnia can cause daytime sleepiness which will require clinical assessment and sleep study. Finally, low mood or depression commonly causes sleepiness and feeling of exhaustion." + }, + { + "id": 30449, + "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": 27444, + "tgt": "My son often coughs at 3 AM. Why?", + "src": "Patient: Hello doctor, My son is 8 years old. He has dry cough from last three weeks. The doctor prescribed him one week of Erythromycin, followed by one week of Azithromycin. But he still has no relief. The cough increases in the early morning at about 3 AM. Please advice. Doctor: Hello. Revert with more information to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30218, + "tgt": "I am worried about my blood report. Does that indicate anything?", + "src": "Patient: Hi doctor, I have just got my basic blood check done. I am worried about the report, especially the following points. Cholesterol levels, vitamin D deficiency, excess uric acid, platelet, monocytes and basophils. I would like to know whether all these symptoms together are pointing to something else. Can I get healthy without taking medicines? What should I do? In the above, does anything pointing toward kidney or liver disease or cancer? I have been smoking for the past 10 years about 10 cigarettes a day. If I stop smoking, will it help improving the above? Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18239, + "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": 14844, + "tgt": "Baby placed with tracheostomy & gastrostomy tube. Doubt regarding aspiration", + "src": "Patient: Hi doctor, My baby has undergone hospitalization many times since birth. She has been placed with tracheostomy and gastrostomy tube due to which mobility of the baby is not possible. We are consulting with renowned ENT surgeons and pediatric doctors and we had been told that ''the aspiration can be due to poor co-ordination and tracheostomy tube placement for long period. Once decannulation is tolerated by baby, then the aspiration problem will not persist''. Now they have told us to wait and concentrate on the baby's weight gain. But we want to take a second opinion from you. So, please suggest proper steps to be taken from our end. Doctor: Hi. The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight. Once the child gains a proper weight, then decannulation (removing tracheostomy tube) can be planned depending on the child's fitness. Be in follow-up with the doctor. The child will be fine. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13374, + "tgt": "Is it safe to take Omeprazole when breastfeeding?", + "src": "Patient: Hello doctor, I am nursing a 2 month old, and I was told that I need to take Omeprazole. I have gallstones. So, my question is, is it safe to take 40 mg Omeprazole once daily while breastfeeding? My PCP says I\u00a0should not, but the baby's pediatrician said it is alright. So, I am not sure what to do. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8932, + "tgt": "I have a tingling sensation after urination. What should I do?", + "src": "Patient: Hello doctor, I suddenly feel a tingling sensation after urination and a slight prick sort of a thing. I visited a doctor for the same and had been diagnosed with a urine infection. I also have a constant urge to urinate. He gave a dose of antibiotics which I had to take for three days. But I just had it for a day and a half as I felt better and I feel the same again. Is it the urine infection itself which has continued? Also, my doctor told me that it is urine infection only and that I will have to take Norflox 400 mg for five days two times. Doctor: Hello. Based on your symptoms, you seems to have a urinary tract infection. The treatment is a full course of antibiotics which ranges from three to seven days depending on the severity of symptoms. Antibiotics usually give symptomatic relief in 24 hours but it takes minimum three days to clear the infection completely. As you had stopped the medication in between, you most likely have a persistent UTI (urinary tract infection). You will have to finish your antibiotic course and in your case, it is better to take for five days because it is a residual infection. If you still have symptoms after completing your antibiotic course, it would be necessary to further investigate with a urine culture and ultrasound. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5898, + "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": 11054, + "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": 6212, + "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": 13305, + "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": 10849, + "tgt": "Why do I get bleeding from the nose frequently?", + "src": "Patient: Hello doctor, I frequently get bleeding from the nose, but it does not create pain. But some times it flows from my nose automatically. What could it be? Doctor: Hello. Do you have any medical problems that we should know about? How old are you? Are you exposed to any environmental stimulants (irritating chemicals, etc.)? Most often, a bloody nose is not concerning, but it should be evaluated if it is happening regularly. How much blood is coming out? A teaspoon? Is it always one nostril? You can certainly start using a saline nasal spray three to four times a day in each nostril. You can also put some Vaseline in each nose before you go to sleep at night. However, if there are any other medical problems or anything concerning in your history, as I mentioned above, then you should be evaluated in person. You may need to see an ear, nose, and throat (E.N.T) doctor who can take a look in your nose and see if any blood vessels are prominent and can be treated with cautery. Or you may need to see your general medical doctor and have some blood work done, including a full blood count and platelet levels. Please let me know your answers to my questions, and hopefully, I can direct you further." + }, + { + "id": 8020, + "tgt": "I get a short and sharp pain when I touch my premolar. Why?", + "src": "Patient: Hello doctor, I have pain in my left second premolar. The x-rays do not show anything, and it does not hurt if I tap on it or drink cold water. It seems to hurt near the root of the tooth, but only on one side, that is, the side facing the first molar. When I touch this side, I feel a short, sharp pain. If I do not touch it, it feels more like a dull ache. I have been using sensitive toothpaste and mouthwash to make my enamel stronger, but nothing seems to work. I have been cleaning my\u00a0gums as well, and they are not bleeding. What is happening? Any ideas? Doctor: Hello. Thank you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23017, + "tgt": "Lower back pain starts two to three hours after sleeping. Is it serious?", + "src": "Patient: Hello doctor,My wife (29 years old, feeding 8 months baby) has been suffering from severe lower back pain especially during the late night for past two months. The strange thing is that the pain is very mild in the daytime but severe in the night with a headache. She does not have any other symptoms like weakness or tingling or burning sensation in arms or legs. She only has a headache with this pain. The pain starts two to three hours after sleeping. I am very much worried about spinal tumors and cancer. Please help me in this. She has lost weight after delivery. During pregnancy, it was 65 kg but now it is around 55 kg. Doctor: Hi. Such back pains are usually due to the strain in the lower back, that could be due to wrong postures, calcium and vitamin D deficiency. Now, since she has night pains, it is very important to rule out any pathological fracture, nerve compression, or tuberculosis of the spine. I would recommend you the following investigations: Review to me with the reports. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4817, + "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": 30860, + "tgt": "After ureter stone removal, my urine flow has reduced. Why?", + "src": "Patient: Hi doctor, I had a stone in my left ureter. The stone was removed and a stent was placed for two months through surgery.\u00a0After the stent was removed, I noticed a drastic change in my urine flow. Also, I am having regular pain in the lower part of my kidney. I had no issue in urine flow or any pain in my kidney before surgery. Please help. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8351, + "tgt": "Is there any medicine to increase the size of my head?", + "src": "Patient: Hello doctor, I am an\u00a018 year old girl, and I am 5.7 feet tall. My head circumference is 53 cm and only 6 inches long. As you probably understand from those facts that my head is extremely small. Compared to my body my head looks tiny. It also looks small when compared to other girls who are my age. Though my head is small, I do not have any other health problem. I was wondering, is there anything I can take or any methods I should try to increase my head size? Is there any possible way to get a bigger head? I am not disabled, and I do not have mental or physical problems. Any tips or help that you could give me to help increase my head size would be much appreciated. Doctor: Hello. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8779, + "tgt": "What are the chances of infection in a broken discolored tooth?", + "src": "Patient: Hello doctor, I have a discolored broken tooth with a hole. Is there any way I could have an infection, there is no pain in the area, and I can feel the tooth when I press with my tongue. Doctor: Hello. I have read through your concern. I assume all your concerns are based on one tooth. Two scenarios are happening there. 1) The nerve of that tooth might be dead, which is the reason for not feeling any pain and causing discoloration in the same. 2) The nerve is undamaged, and the hole is small with external stains (which causes the discoloration).I would advise you to see a dentist physically and take an X-ray of that tooth, which helps in better diagnosis of the situation. If the nerve is alive and the discoloration is because of the stains, you may need to have a cleaning and fill the hole with dental fillings. If the nerve is dead, you may need a root canal treatment with a crown or filling done." + }, + { + "id": 8881, + "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": 7844, + "tgt": "I am rhesus positive and my husband is negative. Is it advisable to get pregnant?", + "src": "Patient: Hello doctor, I and my partner are trying to get pregnant and he is a rhesus negative O and I am an O. Is there any possibility of getting pregnant or not? Doctor: Hello. Yes, there are high chances of getting pregnant but you must seek medical attention before getting pregnant to optimize your general health up to maximum so that if you end up with a healthy conception and rhesus negative is important if the mother is negative and husband is positive but in your case it is opposite. So, in my opinion, it will not hinder your chances of getting pregnant." + }, + { + "id": 21085, + "tgt": "Having pain in ankle and wrist occasionally. Is this arthritis?", + "src": "Patient: Hi doctor, I get pain in my joints like ankle and wrist occasionally. It goes off when I take Mobizox but comes after a few days again. Also, it goes off when I do massage or when I use compression glove. My uric acid is 10 mg/dL, and it is in a higher range. Does this pain occur due to increased uric acid or it is some kind of arthritis like rheumatoid? Doctor: Hi. You have arthralgia, and it is not arthritis. This condition will have pain along with swelling. It is unlikely to occur due to uric acid. You need to do a few tests which include RF (rheumatoid factor), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), anti-CCP (anti-cyclic citrullinated peptide), vitamin D levels and TSH (thyroid stimulating hormone). There is a possibility of early inflammatory arthritis which can be confirmed by the tests mentioned above." + }, + { + "id": 22024, + "tgt": "Why am I having high TSH, tiredness, weakness and indigestion?", + "src": "Patient: Hello doctor,I am 29 years old and 60 kg, 5.6 feet tall and working man. According to the first time test report, my TSH is 89.47 and HB is 11.1. Currently, I am feeling too much tiredness, weakness, and indigestion. I feel this from last five months but I only cured indigestion. Currently, my doctor recommended Thyrox 100 and some Folic acids. Now, I am too much weak and feeling tired. Please help me. Doctor: Hi. I have gone through your query. As your TSH (thyroid stimulating hormone) level is high, your symptoms could be due to this. Hypothyroidism can cause a lot of symptoms like weakness, easy fatigability, weight gain, loss of concentration, etc. I advise you to continue your medications. Please get your vitamin B12 levels, vitamin D3 and serum calcium, anti-TPO (thyroid peroxidase) antibodies, ultrasound of neck done. Also, you can take some multivitamin supplements. Symptoms due to hypothyroidism can persist for a few days even after starting medication. Take a healthy balanced diet, more fruits. Go for a daily brisk walk for at least half an hour. Do regular exercises. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23800, + "tgt": "Can PCOS cause irregular periods?", + "src": "Patient: Hi doctor, I am a 28 year old unmarried woman. Last month my period was irregular. I got my periods on the 30th of last month and it was already 20 days later from the actual due. Initially, I had spotting for five days, then I bled for seven days and again, had spotting for three days. Now, I am bleeding again from today on the 27th of this month. Please help me out. My height is 155 cm and weight is 63 kg. I have this complaint once since last month. Normally, my periods will occur in an interval on 40 to 45 days. This is the first time I am experiencing spotting, bleeding and delay. Is this a serious problem? Doctor: Hi. Please do not worry. Irregular periods are not an alarming thing to worry about. Irregular periods are due to Please get your complete blood count and thyroid profile done. Also, get a pelvic scan done to rule out the exact cause. Just get your urine pregnancy test done with early morning urine sample, if you are sexually active. If not, then just ignore. Do get back to me with reports so that I can guide you further. Take plenty of fluids, vegetables, fruits, iron-rich diet and exercise. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1217, + "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": 11557, + "tgt": "Does FEV1 71 % suggest COPD in a patient with productive cough?", + "src": "Patient: Hello doctor, I had my first appointment with a new pulmonologist today. I presented with a productive (clear) cough which I have had for two weeks. I am very frightened by them and I am terrified that I have COPD, as it seems to appear from the numbers. The doctor was very non-committal about it, gave me a Breo inhaler and said to come back in a month. FEV1 is only 71%. And can you explain a percentage predicted the result for the FEV1/FVC value? It seems to me that the report is stating that my percentage is only 58 %. Is this low value dangerous? I am terrified right now. Please see the enclosed report and give your impression. Doctor: Hello. Percentage predicted means how much is your observed value to the expected value. The computer predicts based on your height, age and gender and on equations how much your FEV1 (forced expiratory volume) and FVC (forced vital capacity) values should be if you are normal. Then in the test we calculate how much are your actual values. To say as normal in FEV1 and FVC we want your calculated value to be not less than 80 percent of your expected. That is 80 % predicted. Here your FEV1 is 71 % percentage predicted. As per values it suggests COPD (chronic obstructive pulmonary disease). But few observations, 1. This test is not very reliable as your graph picture shown on right hand side is not an acceptable one. So I personally would like to repeat it. 2. I do not see a bronchodilator reversibility test here, which is a must to see if it is asthma. 3. If you were a smoker and have symptoms I would suggest a repeat test with bronchodilator reversibility to get a definitive diagnosis." + }, + { + "id": 15573, + "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": 9389, + "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": 16511, + "tgt": "Is it necessary to take emergency contraceptive pill after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex during the last days of my periods when the bleeding had stopped. After a day, I started bleeding again in spots (not a lot). I have not taken a contraceptive pill yet. I am confused if I should take a pill or not. If I do not take a pill tomorrow, will it lead to pregnancy? Is there any chance of pregnancy or is it nothing to worry about? Doctor: Hi. It is normally happening as in the last third or fourth days the bleeding stops and after 12 hours, some spotting again is observed. It is usual. In case of activity, some pressure also locally develops and it can show spotting if residual is there and that still had to come in form of spotting in recent cycle 's end or in form of brown blood in the start of coming or next cycle. If you have been having irregular cycles and had intermenstrual or postcoital spotting previously then better to take I-pill for your satisfaction as you have not mentioned the complete history. In the case of cervical, endometrial polyp, any cervical pathology or endometriosis can have post-coital bleed, but for that also you have not given history." + }, + { + "id": 9553, + "tgt": "How can acute anxiety symptoms due to fear of exams be managed?", + "src": "Patient: Hello doctor, I have acute anxiety symptoms due to my fear of exams. Currently very underprepared, it is impossible to pass but still my parents are stressing me to give exams even when they know I fear underperformance and not knowing something on an exam. At this stage, I cannot even read words properly in books because of anxiety, short breath and really fast heartbeat. My parents are angry with me on my behavior. I myself feel guilty because I could not study even in given time even after knowing the fact. It is like something took over my head. Whatever I plan for I just could not do it. All the lists. All are incomplete. I do not understand the reason for this. My mind is extremely imaginative and is always wandering instead of doing what should be done. Please help me, since I am a student who would have to give exams for years and years this problem aggravates more and more everytime. Doctor: Hello. Fear of exams and fear of poor performance results in anxiety and this anxiety is resulting in distraction which cause poor concentration in exams and poor focus. This further deteriorates the performance and you feel bad due to exams. This is a vicious cycle and you have to break it. Try to remain relaxed during exams and your performance anxiety will go. Start taking supplements containing Omega 3 Fatty Acids and Vitamin B12 and the anxiety will decrease. If anxiety symptoms persists then drugs like Beta-blockers can be used prior to exams and these drugs will reduce the autonomic anxiety symptoms and you will feel better. Propranolol can be used on SOS basis prior to exams and your anxiety will decrease. Talk to a doctor for this drug." + }, + { + "id": 11038, + "tgt": "I have a vein visible on my penis even in a flaccid state. Should I be worried?", + "src": "Patient: Hello doctor, The last you gave me an answer for my query but somehow I could not send you pictures and I am sorry for that. I have a vein on the left side of my penis which is totally visible. It is not a painful one but its totally visible even in a flaccid state also. I need to correct it before marriage. Please help me. I am sending pictures for your reference. Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28277, + "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": 17610, + "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": 20773, + "tgt": "Why has my left testicle grown big after injection of fat into penis?", + "src": "Patient: Hello doctor, I had a scrotoplasty and liposuction on lower stomach and inner thighs for injecting of fat into the penis. I have had symptoms of pain as I stand. When blood rushes to the genitals, the pain starts to build to the point where I need to lie down. When I lie down the pain goes. While feeling my scrotum, I noticed that the left testicle has grown and is hard since the operation. Maybe two inches long by 1.5 inches wide. It is not painful to touch. I have had no fever or vomiting. I am on anti-inflammatory, antibiotics, and Endone. I am not sure about testicle whether it is edema, orchitis or something else. I am wondering what my next step should be? Doctor: Hello. Considering the absence of symptoms like fever, tenderness, and pain on touching, we can be certain that there is no inflammatory process going on. Likely cause for your pain can be altered anatomical orientation of structures which are causing stretch of skin and compression of testicles. This is probably the cause of pain. This should settle with time as you gradually resume your activities. However, next appropriate step is to get it examined by a doctor and confirm the cause of pain. If something is there on examination, then you may need an ultrasound. You should try to start gradually mobilizing yourself, initially just stand for some time, then walk for some time then stop and this should resolve progressively. So just get it examined once by the doctor to be assured. If the testicle is hard as you mentioned, then you need an ultrasound of the testes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6941, + "tgt": "Is Otomize spray safe to use for ear infection?", + "src": "Patient: Hello doctor,My son has an ear infection, with some discharge. Our local GP tested the discharge and found evidence of several bugs, prescribing Otomize ear spray (Neomycin, Dexamethasone, Acetic Acid). He wears hearing aids, and at his last audiology appointment (three months ago) there was evidence of perforation. The GP examined his ear and could see no evidence of a hole, although we have previously had conflicting information from the GP and audiology about the existence of a perforation. I have reservations about using the Otomize spray as I have read that it is ototoxic, but I am concerned that the infection will cause more damage if left untreated. Should we proceed with the spray? Doctor: Hello. If there is a perforation or even the slightest doubt of it, Neomycin in the optimize spray can enter the middle ear and pass through round window membrane and cause permanent damage to the inner ear and thereby sensorineural hearing loss. Hence that spray is best avoided. You may instill dull Ciprofloxacin ear or eye drops in the said ear. Two drops twice daily. If the ENT has put an otoscope and categorically ruled out an ear perforation, then we need not worry. For our sake, why do not you ask him to put an otoendoscope inside the ear and show the drum in screen and assuage all our fears regarding a hole in the drum?" + }, + { + "id": 6714, + "tgt": "My diabetic mother has excessive pain in a root canal treated tooth. Is this normal?", + "src": "Patient: Hello doctor, My mother is 64 years old and diabetic for 12 years. Recently she visited a dentist to get a denture. The dentist told that two pre-molars (1 up and 1 down on left side) have to be root canalled even though there was no pain in them because those teeth were not in good condition which he said after looking at an x-ray. I do not have any of those x-rays. So, the root canal was done on those two teeth, and cotton was placed there and asked to wait for one week. There is no pain at all. After one week, the cotton was removed, and the cement was placed. Within a few hours, the pain started, and it was increasing pain. The dentist then removed the cement and again placed cotton and asked her to wait for one week. No pain at all. Again on cementing, within few hours pain started a lot. Again cement was removed, and cotton was placed. This cement and cotton alternation has been going on three times (for three weeks), and the dentist says it will work at some point in time, and the cement will be permanent. He says the pain during cement is due to the gas pressure from the gas release by the microbes sitting on the remaining disintegrated pulp. If even finally it does not work and pain does not go away while with cement, he said he would make an antibiotic injection or spray on those teeth. I do not have any x-rays, so this is the only information I can give. My question is, Does this procedure look normal and logical? Doctor: Hello. I need those pre-operative x-ray to make any comment, but as you do not have them, I can only make decisions based on your explanation. Through your explanation, it does not seem normal. There was no need for a root canal; rather, the dentist could use those teeth for denture support. But as she is a diabetic and periodontal loss of attachment is common in diabetics, so maybe those teeth did not have enough strength to support, that is why all this procedure has been done. Be sure before the final cementation of those teeth, cementation should not be done with pain. If pain persists, there is no other solution for a root canal treated tooth other than extraction, and then full mouth or complete dentures will be provided to your mother. Kindly reply me back with the x-ray if you find it." + }, + { + "id": 15967, + "tgt": "What is the ayurvedic medicine available for follicular cyst and PID?", + "src": "Patient: Hi doctor, I had endometriosis before four years. I got it removed, and then I got married. I have a child now. I am having pain in the left iliac fossa. It is diagnosed as follicular cyst and PID. What can I do now? Doctor: Hi. You have pain in the left iliac fossa, and it is diagnosed as PID (pelvic inflammatory disease) and follicular cyst. But several other issues can also cause this condition. It can be due to colitis or constipation. You should take your kind attention to this problem. You should take anti-inflammatory and anti-lipidemic treatment. Take Hyponid charak (Yashad bhasma with purified asphaltum) two tablets twice a day with warm water after meals. Take Yogaraja Guggulu (Yavani with Jeeraka) two tablets twice a day with warm water after meals. Take Prawalpanchamrita one tablet twice a day with warm water after meals. Take Sarivadyasava 15 ml (Sariva with Amla) twice a day with an equal amount of water after meals. Use Nirgundi oil for external application only. Have a check over your thyroid profile and go for USG (ultrasound) abdomen after following these medicines. You should avoid eating spicy foods and fried junk foods. Drink plenty of water and avoid taking cold drinks and ice creams. Do regular yoga and pranayama." + }, + { + "id": 5500, + "tgt": "My period blood entered into rectum while removing my stool out. Will it cause bowel endometriosis?", + "src": "Patient: Hello doctor, I had endometriosis on my ovaries and I did surgery. But I have a problem with my bowel and sometimes I need to wear gloves and use oil with my finger to take the stool out. But a couple of times when I had my periods some of the blood stuck to my finger as I was trying to get the stool out so it entered my rectum. I was just wondering if it is possible to get bowel endometriosis that way? Doctor: Hello. I understand your concern about the problems in bowel movements. I think there is some endometriosis island or adhesions or deep endometriosis in the pouch of Douglas, the lowest end in the pelvis, lying just in front of rectum, anus and behind the cervix. The kinking has altered the rhythmic flow of the bowel contents. You can have injection Leuprolide 3.75 mg monthly once, intramuscularly three to six doses. This will temporarily clear any endometriosis and deep endometriosis. Following this period either have medications to stop the period if you are not planning for pregnancy. If pregnancy is in plan, get pregnant as soon as possible. So periods will stop for 10 months. I hope this helps." + }, + { + "id": 5566, + "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": 8399, + "tgt": "What causes epididymis with pain and swelling in scrotum?", + "src": "Patient: Hello doctor, I have epididymis in the right scrotum. Two months ago it was cured by taking Linezolid and Doxycycline B. Now my right scrotum is paining and swollen. I have a fever also at night. In a week, my lower back pain is increased. I am not able to stand and walk without pain. Report is attached. Kindly guide me. Doctor: Hi. By the description provided by you, it appears you have developed right epididymorchitis this time. As there is fever along with pain and swelling in the right scrotum, you need intravenous antibiotics and need admission as an in-patient in the hospital. Outpatient treatment will not be sufficient as chances of sepsis are very high. Hence, I sincerely advise you to get admitted under a qualified urologist and get treated rather than treatment as outpatient. Wish you a speedy recovery." + }, + { + "id": 14889, + "tgt": "Where does the unreleased follicle eggs go in a PCOD patient?", + "src": "Patient: Hello doctor, I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please? Doctor: Hello. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur. The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free androgen circulating in the body get decreased. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone androgen is increased than estrogen and progesterone. But before starting Yasmin there should be no cardiovascular disorders or gallbladder disease or active liver disease as it is a hormonal pill. It gives protection from breast cancers and ovarian cancers as well. Once periods get regular after three months, Yasmin can be stopped. It has to be taken for 21 days from the first day of the period then wait for periods and again start a fresh pack." + }, + { + "id": 14763, + "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": 3222, + "tgt": "My skin is dry and flaky around my mouth. How to fix it?", + "src": "Patient: Hello doctor, I skin is too oily on my face, but skin around my mouth and nostrils is very dry and flaky. It\u00a0has also been making a ring form around my mouth. It is of different color from the rest of my skin tone. How can I fix this? Please guide this. Doctor: Hello. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12478, + "tgt": "What precaution should I take for 14 days water only fasting?", + "src": "Patient: Hi doctor, I am going to undertake a water only fast for 14 days. Which vitamins and electrolyte should I take and in what dose? Just heard of refeeding syndrome. Any other precautions? Doctor: Hi. It is not clear why you are undertaking water (only) fast for so long as 14 days. In case, you have decided to, I would advise you to do it under the expert supervision of an ayurveda or naturopathy physician who can monitor you closely. While fasting has obvious health benefits, prolonged fasting exceeding a week can have serious ramifications on one's health unless carried out under expert supervision. It is always safer and advisable to have shorter fasts of two to three days maximum, in regular intervals, than resorting to a long duration fast in a single go. Refeeding syndrome obviously is a potential threat with clinical complications because of impaired metabolism owing to severe vitamins and electrolyte imbalance. This can be fatal too. Precautions, that one must take in addition to the ones highlighted above, are as follows:" + }, + { + "id": 22290, + "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": 1365, + "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": 21689, + "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": 15094, + "tgt": "Can having sex soon after abortion lead to pregnancy?", + "src": "Patient: Hello doctor, I recently had a vacuum abortion in the first trimester three days ago and just had sexual intercourse two days later. Currently, I am on my last day of antibiotics given by the hospital and will start on Microgynon tomorrow. I am afraid of getting pregnant again. Do I have to immediately go to the nearest clinic and get an emergency contraceptive? Am I allowed to take that after all that has happened? I am currently on Metronidazole and Paracetamol. Please help. Doctor: Hello. Since you just had an abortion, there is no chance of pregnancy as there is no ovulation happening during this period. So relax and do not worry. You need not take any medication, but be very careful next time. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21620, + "tgt": "I have inflammatory bowel disease. Is my ulcer curable?", + "src": "Patient: Hello doctor,I had abdominal pain six months back. And I did the scanning. It showed inflammatory bowel disease. I did a colonoscopy. It reveals terminal ileal ulcer 4. Biopsy suggestive of non-specific ileitis. I m taking Mesacol 400 mg tablet BD. The doctor told to stop after six months. So, I stopped now. But again I have mild abdominal pain and bloating. No any other complaint like diarrhea, or rectal bleeding. Is my ulcer curable? Doctor: Hello. Considering the inflammatory bowel disease, it seems you have milder form of the disease. This is a chronic disease with periods of remission and reactivation. So in you, it is likely that you may get such recurrences in the future for which you would need repeated course of treatment, but some patients do achieve remission without much reactivation. So course is variable and in you, it appears that it would mostly be non severe. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11413, + "tgt": "My phimotic ring is very tight. How can I make it less rigid and more elastic?", + "src": "Patient: Hello doctor, I am a 55-year-old male. Ever since I can remember I have been able to retract my foreskin fully, all the way to the base of my penis. I have always had a problem with the phimotic ring once it passes the head of my penis it is very, tight around the shaft of the penis which can be somewhat painful when the penis is fully erect. Is there any way to treat the phimotic ring to make it less rigid and more elastic? So, when it is around the girth of the shaft, it is not too tight. Doctor: Hello. By your description, it is clear that you have phimosis along with tight frenulum, which causes the pain during erection and difficulty in retracting the foreskin. It can be easily treated by circumcision, which is a day care procedure. However, you need to undergo an evaluation to rule out diabetes, as phimosis is associated with diabetes and it needs to be treated by medication before surgery. At present, there is no medication to increase the elasticity of the foreskin. Phimosis with the tight frenulum. RBS (random blood sugar). Circumcision." + }, + { + "id": 16708, + "tgt": "Is this treatment sufficient for stroke?", + "src": "Patient: Hi doctor, I had MR angiography of brain vessels. No flow of signals are noted in basilar and left posterior cerebral arteries. And a\u00a0very minimal faint flow signal is noted in the right posterior cerebral artery. I have attached my MRA, current medication list and blood test reports for your reference. Please help. Doctor: Hi. I have seen the attachments as well as the MRA report (attachment removed to protect patient identity). For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21842, + "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": 25612, + "tgt": "Why do I defecate several times in a day?", + "src": "Patient: Hello doctor, I defecate almost five times a day. My stool is hard most often. This caused me an anal fissure which I am currently recovering from. My diet is high in protein. I eat fruits and salad on daily basis. Is this normal? Could it be a sign of colon cancer? I am currently taking Daflon for anal fissure and Dulcolax for hard stools. Please help. Doctor: Hello. Your symptoms are unlikely to be due to colon cancer. Colon cancer can be present with variable symptoms such as constipation, vomiting, bleeding through anus and significant weight loss. Many people experience hard stools as part of irritable bowel syndrome. I suggest you take Movicol (potassium chloride, sodium chloride, and sodium bicarbonate) two sachets per day for hard stools. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23531, + "tgt": "I have chronic nasal congestion, and my lymphocyte count is high. Will you Suggest any solutions?", + "src": "Patient: Hello\u00a0doctor, I am 20 year old male. From the past three weeks, I have nasal congestion, which is not getting cured. I was also suffering from nausea and increased bowel movements. The nausea is cured, but I feel sick from inside. Is there anything serious? In my CBC reports, the neutrophils are 44 %, lymphocytes are 51 %, and platelets are 1.70 lacs. Doctor: Hi. You have not mentioned the medication that you are taking. According to your CBC report, you have high lymphocytes count. It is suggestive of a viral infection of the upper respiratory tract. I suggest you do the following investigations. Meanwhile, I suggest the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. If there is no improvement, and if influenza is positive, then your doctor will give you Oseltamivir like anti-influenza medication. Consult an ENT specialist for examination. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26221, + "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": 4575, + "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": 14532, + "tgt": "How can I cure infected piercing?", + "src": "Patient: Hello doctor, I have an infected piercing. It is already one month since I have got a piercing. My infection is getting worse so I removed it. What should I do to my wound? I removed my piercing. It is my first time to be pierced so I do not know how to clean it and I am using fake pieces of jewelry. I think I am allergic to that earrings. Every day it is getting worse and the hole of my earrings its getting bigger like the size of my earrings. I do not know if it is okay to remove it. Doctor: Hi. I am sorry for the infection site you are experiencing. You need to get evaluated by your physician. I think you need prescription oral antibiotics. Wash with warm water and antiseptic soap, rinse well, dry thoroughly, apply oxygenated water, then apply Betadine. At the end apply Gentamycin or Bacitracin ointment. During the day apply alternating hot and cold compresses locally to ease drainage." + }, + { + "id": 19605, + "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": 11598, + "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": 18231, + "tgt": "Are pomegranate seeds bad for gallstones?", + "src": "Patient: Hello doctor, Are pomegranate seeds good or bad for gallstones? Doctor: Hello. I just read your query. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24468, + "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": 1394, + "tgt": "What can cause knee pain with swelling?", + "src": "Patient: Hi doctor, I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I also get backbone pain in the early morning. I have consulted a specialist and he told to do the attached laboratory tests. I have ASO titer 800 IU/mL and I do not have any tiredness, headache, fever, history of jaundice, joint pain, etc. Please help. Doctor: Hello. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). Anti-DNAse B and echocardiogram. Rheumatic fever. NSAIDs (nonsteroidal anti-inflammatory drugs) like Celecoxib 200 mg, Piroxicam 20 mg twice a day. It can help to reduce the symptoms of pain and swelling. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14125, + "tgt": "I have had multiple heart attacks over several years. Can this cause any complication?", + "src": "Patient: Hello doctor, I was wanting to know the side effects of having multiple heart attacks over several years that is 10 heart attacks and 12 stents in the last 14 years. I would like to have something to read about it. I am currently taking Atorvastatin 80 mg, Metoprolol ER 25 mg, Lisinopril 10 mg, Clopidogrel 75 mg. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. Heart attacks are caused by a blockage in the coronary arteries that is the arteries supplying blood to the heart. Multiple blocks in the coronary arteries at different places reduce the amount of blood supply to a particular part of the muscles of the heart (myocardium). As a result, the heart muscles become weak. Weakened heart muscles do not contract forcefully during cardiac contraction and hence are not able to pump enough amount of blood in the systemic circulation. This condition results in heart failure, as a result of which there will be less amount of blood in the systemic circulation and low blood pressure. Low blood pressure will cause impairment of blood supply to various organs like brain, kidney, liver, muscles, etc., which results in multiple organ failure and venous congestion in various organs. Also, the chances of repeated attacks increase following the first attack. I hope you understood the consequences of multiple heart attacks." + }, + { + "id": 16554, + "tgt": "I have throat pain and an inability to shout. Could this be due to my thyroid issues?", + "src": "Patient: Hello doctor, My TSH level is 6.52. Can you suggest me a medicine to control it? I feel fatigue and cold intolerance. Also, I have throat pain and inability to shout. Are these because of the thyroid issues? Doctor: Hello. I just read your query and from what you have mentioned, it is not clear if you are already taking any medications for hypothyroidism or not. Hope you find my advice of some benefit. Good luck. Revert after three months to an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 5463, + "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": 30993, + "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": 20530, + "tgt": "Is surgery necessary for a nasal polyp?", + "src": "Patient: Hi doctor, I visited an ENT two weeks ago for a check-up after noticing my tinnitus which I have had for more than a decade was slightly worse in one ear. He did an audiogram and balance tests and said my hearing was fine and not affected by the tinnitus, and that the cause was extra-cranial. He suggested taking Betahistine and Loratadine. During the examination, he also looked at my nose and saw a polyp in my left nostril. He then scheduled me for a nasal endoscopy. The endoscopy confirmed the polyp in the left nostril or sinus as well as a deviated septum and enlarged turbinate. I was then referred for an X-ray and CT scan. I will attach the CT scan report. According to the ENT, it is a case of a unilateral polyp and because of its size, it is a surgical case that will not respond to the nasal steroid spray he prescribed after the first visit. He asked if I had any pain or other symptoms and I said no, I have had no snoring, no sleep apnoea, and no pain, only the odd post-nasal drip which I have always had since childhood. Since I have (controlled) hypertension and type 2 diabetes he said the surgery was a risk but he recommended it, but I needed to discuss it with my GP and endocrinologist because of the risks involved. My main worry was that the polyp could be something malignant, but he seems to have ruled this out based on the endoscope and CT imaging. My feeling is that if I am not having any symptoms, and due to the risks of surgery and the likelihood the polyp will return after surgery, it is not a good option for me right now. I am basically looking for a second opinion, taking into account the CT scan results, is surgery definitely indicated now or can a waiting approach be taken? The tinnitus issue sort of fell by the wayside the Betahistine and Loratadine caused headaches. So I have not been taking them. All focus for now seems to be on this polyp issue. Currently, I am taking Nebilet, Dexilant, Glucophage, Victoza, Allopurinol, and Exforge HCT. Doctor: Hi. I have seen your CT scan reports (attachment removed to protect patient identity). I will want to see CT scan films myself. The typed report says that there are extensive polyps for which medical management might not be enough but I want to see films myself in all the cuts (axial, coronal). You have mentioned that you do not have any symptoms like a headache, nose block, snoring, sneezing, but tinnitus can also be due to polyps. Extensive polyposis can block eustachian tube and can cause a ringing sensation in ears (left ear). As of now you send me CT scan films and also you start taking steroid nasal spray twice daily (one puff each nostril) for six weeks (local steroid spray does not have any side effects, so you need not bother about that). For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7224, + "tgt": "What could be the cause for dark patches on my toe nail?", + "src": "Patient: Hello doctor, Brown patch or dark spot in the toenail. I noticed a brown patch or dark spot in my toenail. This is the only toe that is having this issue. I have not had any itching yet on this foot (maybe a little on the other foot, but no dark spots). I would like to know, a) The cause of this and, b) Treatment options. Doctor: Hello. How long it has been there?" + }, + { + "id": 19604, + "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": 16128, + "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": 7311, + "tgt": "I experience difficulty in breathing during orgasm. Please help", + "src": "Patient: Hello doctor, I am a 21-year-old. My question is whenever I have an orgasm, the muscles and veins on my chest goes down, my arms get weaker and give difficulties breathing at night. I am always spitting out bloody snorts and having trouble in swallowing properly for few days, or sometimes even few weeks I thought it was asthma or acid reflux, but been to different hospitals to get a check and neither one of them seem to know what the problem is. I would love to know what is going on if you can help. Doctor: Hello. First of all, I feel that there is some problem in either your lungs, heart, or blood. Weakness with difficulty in breathing after orgasm indicates that your stamina is less. The cause for low stamina can be some problem in your blood or lungs or heart. Spitting out bloody snorts and difficulty swallowing means there is some problem in your esophagus (food pipe) either an ulcer or erosion or vascular problem, for which you shall require an upper gastrointestinal endoscopy. You also need other tests, but I would like to go through the reports of the analysis done on you. Kindly upload the test reports." + }, + { + "id": 16666, + "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": 6804, + "tgt": "What is the best time to eat fruits?", + "src": "Patient: Hello doctor, I want to add raw onions, raw garlic,\u00a0banana,\u00a0pomegranate,\u00a0dates, raisins with water, turmeric powder with water, lemon with peel etc., to my diet. Please suggest me the best time of the day to eat these. Doctor: Hello. Regards. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 25043, + "tgt": "Is it safe for me to use anesthesia if I have sinus issues?", + "src": "Patient: Hello doctor,My question is whether or not it is safe for me to use anesthesia to fall asleep while having all four of my wisdom teeth removed. I am a quiet person and did not ask many questions during my consultation. I cannot breathe very easily through my nose because I have some sort of sinus issues and it is worse when I am laying down flat on my back. I wrote down that I had sinus issues on the papers I filled out but half the time they do not look at them. I know i should have brought it up at the consultation but I was shy and nervous about the whole thing. They said they cannot even do the surgery if I have a cold. Can they do anesthesia if I have sinus issues? I would prefer to be knocked out when they take my teeth out but I am even more worried about not being able to breathe through my nose. As of right now, I am scheduled to have my wisdom teeth taken out at a hospital with many assistants who will monitor everything while the surgeon works. They also said they would be putting a tube down my throat in case I need help breathing. That makes me even more worried because I will not be able to breathe through my nose and my throat unless the people monitoring me are breathing for me the entire time during the operation. That worries me. My question is: Should I be taking anesthesia to go to sleep if I have difficulty breathing through my nose? I am not worried about the surgery itself but being given anesthesia and not being able to breathe once they give it to me freaks me out because of my sinus issues. If I did not have sinus issues I would not be worried so much. Doctor: Hello. You do not have to worry at all. There will be people concerned by you. Having a sinus issue is not a contraindication for anesthesia. You can have sedation supplemented with local anesthetics. In case you need endotracheal intubation, that will be safer for you because your nasal passage will be bypassed and you can be totally knocked off which is called general anesthesia. This will be done by a trained anesthesiologist. So, do not worry at all and leave your worries on your anesthesiologist. You will do absolutely fine. Wish you all the luck. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 10128, + "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": 22531, + "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": 23919, + "tgt": "Why am I having dry eyes after LASIK surgery?", + "src": "Patient: Hi doctor, Seven months ago I had LASIK surgery on my eyes and I still have dry eyes especially after taking a shower everything becomes so dry. My eyes, ears, even nose, and vagina. I went to a dermatologist who prescribed Accutane, Vitamin A for my acne. Then he said that he cannot prescribe it until he makes sure it will be safe for me. So I should consult an ophthalmologist. So please tell me what do you think about it? I am a female, single, 21 years old. I always use moisturizer drops for my eyes maybe three or five times a day. Before LASIK also I had dry eyes. Doctor: Hi, Welcome to icliniq.com. Dry eyes after LASIK surgery are a common side-effect, more so if you have had dry eyes before surgery. You can continue using your moisturizing eye drops for three to five times, it will not cause you any harm. The dryness in your eyes will reduce overtime. In addition, you can use hot fomentation or give heat to your eyelids. Take a clean cloth, dip it in hot water, squeeze out the water and press this cloth against your closed eyelid about twice a day. As your dermatologist has told you, taking Accutane (Isotretinoin) can increase your dry eye, so he will withhold the treatment until your dry eye has improved. So please continue your moisturizing eyedrops and start giving hot fomentation. Hope you get well soon. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14336, + "tgt": "Which medicine in ayurveda is recommended to remove a 26 mm kidney stone?", + "src": "Patient: Hello doctor, In my left kidney, there are multiple stones. The largest stone is 26 mm. And I have got my kidneys operated two times. First was an open surgery six years back and the second was endoscopy three years back. Can the 26 mm stone be removed by any medicine? Doctor: Hi. Cystone and Calcuri (Ayurvedic tablets) can be taken. Two tablets morning and two tablets evening 5 PM can be taken continuously for three months. Then you may repeat the scan. This size is difficult to dissolve within a short period, takes a long time. If you have pain, you may go for lithotripsy surgery and do the chemical analysis of the stone. This will give the type of stones. Based on this we can plan herbal therapy." + }, + { + "id": 5078, + "tgt": "What is my blood report for red and purple dots in the body showing?", + "src": "Patient: Hello doctor, Can you, please, explain results? I also have clusters of red and purple dots all over my body and get winded easy. Results: Lupus Anticoagulant Comp. Dilute Prothrombin Time(dPT) 56.2 High sec 0.0 \u2212 55.0 01, dPT Confirm Ratio 1.16 Ratio 0.00 \u2212 1.20 01, thrombin time 18.1 sec 0.0 \u2212 20.0 01 . 02. Lupus Anticoagulant Reflex 01, PTT\u2212LA 58.6 High sec 0.0 \u2212 50.0 01, PTT\u2212LA Mix 55.3 High sec 0.0 \u2212 50.0 01, Hexagonal Phase Phospholipid 7.7 sec 0.0 \u2212 8.0 01, dRVVT 46.3 sec 0.0 \u2212 55.1 01, Lupus Reflex Interpretation Comment: 01. No lupus anticoagulant was detected. PTT\u2212LA results are consistent with the presence of one or more factor\u2212specific inhibitors. Since the dRVVT was within normal limits, the factors in question are VIII, IX, XI, XII and the contact factors. The dPT was extended but the dPT confirmatory ratio was normal. This is consistent with a deficiency or specific inhibition of one or more extrinsic pathway factors (VII, X, V, II or fibrinogen). Doctor: Hi. You are having multiple petichae (red and purple - healing) spots all over the body (attachment removed to protect patient identity). You are also getting winded possibly due to reduced hemoglobin. You were being evaluated for a possible lupus anticoagulant. Specific test done for lupus anticoagulant like DRVVT is normal. PTT-LA is also another test which is specific for lupus anticoagulant. PTT- LA is prolonged while DRVVT is normal. In the other section PT is also abnormal. The clotting mechanism in our body is divided into extrinsic and intrinsic pathways. Both end with the common pathway and finally clot formation. Totally 13 clotting factors are identified at present. To measure each pathways, specific tests are present. For intrinsic pathway - Factors 8,9,11,12 are usually evaluated. It is measured through a test called as activated partial thromboplastin time - APTT or PTT. For extrinsic pathway - Factors 7 is important. Extrinsic pathway is measured by prothrombin time (PT). Along with it both extrinsic and intrinsic join and form a common pathway which includes coagulation factors like 10, 5, 2 and fibrinogen. As both PTT and PT are prolonged, they are possibly suspecting multiple factor deficiencies. It could be multiple or only common pathway defect as I mentioned earlier. Not to worry about this report. You are negative for most of the tests with mild variation in few tests. This is about your earlier report. At present, in your latest report - Your factor assay, shows most of the values near normal limits. Even your PT and APTT are near normal. Possible mild thromobocytosis and leukocytosis could be commonly due to infection. Without an increased RBC count or hemoglobin, I would not suspect polycythemia vera (for which JAK-2 mutation is being evaluated). Increased neutrophil count usually suggest acute inflammation or infection. Not to worry at present about any clotting disorder. Low hemoglobin or malnutrition should be causing you being winded up easy. Red and purple dots are usually petechiae spots. Need to rule out any viral infections with superadded bacterial infections. Require more detiails, about how they started, since when, from which location and whether it is painful or is it changing colors to comment further." + }, + { + "id": 17657, + "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": 20183, + "tgt": "I am sneezing continuously only in my hometown. Can it be due to climate?", + "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. Do not worry. I worked in such a place for some time. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10628, + "tgt": "What are the chances of me to get pregnant after taking i-pill?", + "src": "Patient: Hello, I had sex and took i-pill. My periods started around 12 days later and lasted for 4 days. I got my periods next month around the\u00a0same date, which lasted for just one day. So,\u00a0I took a urine pregnancy test,\u00a0which was negative. I got my regular periods on the third month as well and it lasted for 3 days. My next periods lasted for just 2 days.\u00a0I have read on the\u00a0internet\u00a0sources that many women get periods during their pregnancy. What are the chances of me being pregnant?\u00a0I am doubtful because\u00a0I always used to have regular periods which last for 5 days. Doctor: Hi. How was your bleeding during the cycles?\u00a0Was the flow scanty when compared to your previous cycle (I am not talking about the duration of flow here)? Revert with the details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17132, + "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": 2691, + "tgt": "My 1. 5 year old daughter has recurrent pimples near underarm area. Please suggest treatment", + "src": "Patient: Hello doctor, My daughter is 1.3 years old. She weighs about 11 kg. She is having pimple type nearby under arm area at the right-hand side. It is newly grown and old ones are blackened and healed. Doctor: Hi. Please get the child evaluated for scabies. The child may need to be started on Permethrin. Please get the child evaluated physically by a pediatrician in order to assess and start Permethrin." + }, + { + "id": 4698, + "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": 16002, + "tgt": "My mother is having mutiple myeloma. Will allogeneic transplantation help her?", + "src": "Patient: Hi doctor, Recently, my mother is diagnosed with multiple myeloma. She had a fast progression. Within a year, the plasmacytoma has progressed to MGUS which resulted in multiple myeloma with severe bone involvement. She got a heart attack at the onset of multiple myeloma. I know that deletion of 17p and mutations of TP53 are associated with worse prognosis. My mother has not undergone cytogenetic testing. My two sons carry a germline (not somatic) deletion of seven genes on 17p13.2. This deletion does not include TP53, but it includes MYBBP1A which is known to regulate TP53 and deletion. It is implicated in some cancers. If my mother has this deletion, what will be her treatment? She is getting ideal treatment for 17p deletion. She takes Velcade, Revlimid, and Dex with Zometa. Germline mutation makes an autologous transplant less likely to help. Can allogeneic transplantation help her? What does a germline mutation mean? Doctor: Hi. The advantage of allogeneic stem cell transplant is that the donor stem cells make their own immune cells. They help to destroy the cancer cells that remain after high-dose treatment. It is called as a graft-versus-cancer effect. Autologous stem cell transplant does not offer the benefits of graft versus tumor (GVL) effect when healthy donor cells attack cancer cells, and they do not carry the risk of transplantation rejection due to graft versus host reaction. They are relatively safe procedures, with low rates of complications and infections compared with allogeneic transplants. Deaths due to the transplant are approximately 2 % to 3 % in patients with newly diagnosed myeloma. In theory, one disadvantage of autologous stem cell transplant is that the transplant can potentially get contaminated with tumor cells when patient stem cells are used. However, recent studies indicate that this is not a significant problem and it is not a significant cause of myeloma relapse." + }, + { + "id": 10425, + "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": 5145, + "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": 30105, + "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": 28612, + "tgt": "My dad's creatinine and urea levels are high due to a congestive heart disease. Please help", + "src": "Patient: Hello doctor, My father is 42 years of age, and he has a\u00a0congestive and congenital heart disease by birth. He visited many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with it. He is now under medications, and he is doing well. The reason I am addressing you is that my father recently found his urea and creatinine to increase a bit, so we consulted a nephrologist. The doctor said that this is because of his heart problem, the blood does not reach his kidneys properly. They think it is because of dehydration and fluid retention, which has caused an increase in the urea level. But from a month, he is feeling extremely drowsy, which he often experiences, as his body retains fluid, but it decreases again through taking medicines such as Lasix. The only issue now, is that his legs and stomach are swollen due to water retention, and he is feeling very drowsy, and he cannot concentrate on his work. How to effectively treat his drowsiness and swelling? Is there any alternate treatment for his condition? Doctor: Hello. Sorry to hear about your dad's health issues. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9552, + "tgt": "Please advise some methods to manage premature ejaculation", + "src": "Patient: Hello doctor, I have a problem of premature ejaculation. I have been masturbating since I was 14. Now, when I masturbate, I am not able to last for more than 30 seconds. I was never able to last more than a minute till now and it has now reduced further. Kindly tell me the cure and immediate steps I can take for correcting this problem. I last for this much time only even if I am not turned on by porn or other stuff before masturbation. Doctor: Hi. I can understand that it is probably due to anxiety and psychological reasons you are having this problem. It is normal during masturbation to see early ejaculation, but the time will automatically increase during sex. No need to worry about that. Time during masturbation has no importance. I hope you are understanding what I mean to say. If still you want to increase the time then you can try some herbal drugs like Confido. It is a herbal preparation and has no side effects and can be used safely. You can start taking one tablet twice a day and take the tablets for at least 2 to 3 months and you will see improvement in time. Try to remain relaxed during masturbation or sex, avoid thinking about premature ejaculation at that time and you will see improvement." + }, + { + "id": 14183, + "tgt": "Experiencing severe back pain following cervical polypectomy. Is it normal?", + "src": "Patient: Hi doctor, I had cervical polypectomy and was told to expect brown discharge. Now experiencing cramping, minor bleeding, vinegar smell, and severe back pain, to the point that I am dizzy and nauseous. A couple of days earlier had a bunch of discharge that looked like dark reddish and orangish skin. I was taking Flagyl 500 mg 2 times a day, just took the last dose earlier. I do not react well to antibiotics, and I am taking 400 mg Ibuprofen every 4 hours today. The back pain is unbearable, and I want to know what could be the problem. Does this sound like something I can take care of with an increased dose of ibuprofen or should I go to an urgent care facility? Is there a better OTC I can take or a combination that might be more effective? Are the above symptoms normal or typical following a cervical polypectomy for a 1 cm polyp or is the back injury separate? Can I expect these symptoms to subside over time? Doctor: Hello. It is normal to experience reddish brown discharge for 4-5 days post cervical polypectomy, but it should not cause any back pain per se unless there has been a secondary infection or vaginitis or bacterial vaginosis which is quite likely with vinegar smell. Flagyl (Metronidazole) as an antibiotic can often cause dizziness if adequate water intake is not practiced, and also as you are not in the habit of taking antibiotics, this can further aggravate as well. Please do not take plain Ibuprofen four times a day as this may cause acidity and increased gastritis without an antacid preparation and can add on to nausea. The back pain can be secondary to an accompanied fresh urinary tract infection which may have developed during these days due to decreased water intake possibly and also due to possible bacterial vaginosis or vaginitis. You need to be examined fresh for a review by your gynecologist again, and a high vaginal swab culture is recommended for a possible change in antibiotics and ruling out bacterial vaginosis. For the pain relief, you may switch to tablet Aceclofenac 100 mg twice a day, as it is more effective and free from side effects. However, a urine culture is also recommended. Please visit your gynecologist for review." + }, + { + "id": 13268, + "tgt": "Is there any specific treatment available for MRSA?", + "src": "Patient: Hi doctor, I have struggled with staph for nine years. I have tested positive for MRSA on at least three occasions in the last 10 years and at least two other different strains of staph. I have taken Doxycycline several times, Bacetrine, and several other oral antibiotics in the past. I have also been given injections in the butt along with taking the antibiotics. After several years of this, the outbreaks are usually confined to my face. Mostly my nose. I use antibiotic ointment a lot but it does not seem to help either. When I take the oral antibiotics they usually clear my face up but the outbreaks keep coming back after I stop taking them. I believe that I probably have staph in my bloodstream and it just sleeps when the antibiotics are being taken and then comes back out once I stop taking them. It usually coagulates in my nose and the outbreaks start there. What is the most effective treatment for this? Doctor: Hi. Thank you for your inquiry. Here are some strategies to minimize the risk of these recurrent MRSA skin infections. 1. Hygiene: The bacteria that cause skin infections are transmitted by skin contact. Wash your hands diligently and frequently to minimize the spread of bacteria to other parts of your body, to other people, and to objects you touch. 2. Decontaminate yourself: Bleach baths are an effective way to reduce the amounts of bacteria living on your skin (see instructions below). If you are unable to do bleach baths, you may use antiseptic wipes (Chlorhexidine) to wash your body daily. Your doctor will give you a prescription for Chlorhexidine if required. 3. Antibiotics: Not all skin infections require oral or IV antibiotics, as many of them are self-limiting. Antibiotics should be reserved for more severe infections. Your doctor may prescribe a topical antibiotic to apply inside your nose to reduce the amount of the skin infection-causing bacteria. 4. Decontaminate Your Environment: The bacteria that causes skin infections also live in your environment. You should routinely decontaminate high contact surfaces, like tabletops, countertops, doorknobs or handles, chairs, handheld devices, etc., with antiseptic solutions. Do not reuse the same towels before they have been thoroughly washed. Clean your linens frequently. Avoid sharing personal items such as razor blades, nail clippers, towels, clothing, etc. 5. Cover open wounds: If you have an open wound on your skin, it is important to keep it covered to prevent the spread of bacteria. Do not participate in activities requiring skin-to-skin contact with others until wounds are fully healed. Do not share personal items that come in contact with the wound. Bleach Baths: Add \u00bc to \u00bd cup of common 5 % household bleach to a bathtub full of water (40 gallons). Soak your entire body, keeping your head above water, for about 10 to 15 minutes. Limit diluted bleach baths to not more than twice a week. Do not submerge your head and be very careful to avoid getting the diluted bleach into the eyes. Rinse off with fresh water and apply moisturizer." + }, + { + "id": 29526, + "tgt": "My 2 year old baby is getting tears while watching TV. Is it normal?", + "src": "Patient: Hi doctor, My daughter is 2 years old, and she always eats food while watching iPad.\u00a0I just noticed that today while watching the cartoon on TV, I could see the tear coming out of her eyes. Is it normal?\u00a0She had cold last week, and even then water was coming out of her eyes that day. What could be the reason? Is it something to worry about? Doctor: Hello. Revert with the answer to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9144, + "tgt": "I have a firm rubbery lump under chin. Is it swollen lymph node?", + "src": "Patient: Hello doctor, I am a 30 year old female, 5' 7\", 130 lbs. Generally healthy. I have a small, but firm/rubbery lump under my chin near the front of my neck (sort of the curve where neck and chin meet). It is the size of a large pea. I have been ill with a cold this week and also have generally swollen lymph nodes on the sides of my neck as well, which is typical for me. I have not, however, noticed similar swelling to this pea-sized bump in the past as the location and consistency of it seem a little different. I have, however, felt the same spot in the past for a while. It just feels bigger/more firm this time. Since I have always noticed the spot I am assuming it is a lymph node but my question is: Is it normal for a lymph node to gain this type of consistency? Typically mine swell in a more generalized/puffy way without being able to feel a defined lump. I also have chronic chin acne and been dealing with chronic mild wisdom tooth infections. I noticed this spot at a time where my tooth infections, acne, and cold symptoms were flaring up. So, I have been inclined to think it is due to infection. But, because it is a relatively different finding for me, I wanted to check and see if it should warrant further investigation. I have firm \"shotty\" lymph nodes in my groin that have always been there. This feels a bit more similar to those. Doctor: Hello. Yes, it is likely related to current infection, either a cold or tooth infection as it is a draining lymph node for both the sites. So, the site may appear unusual to you but it is possible to get enlarged at the site. Consistency may vary with infection, but it should not be stony hard which occurs in malignancies which can be identified very easily. Also, considering your age and other supporting factors like cold, etc., it is likely a reactive node secondary to infection. Also, groin lymph nodes are palpable in a majority of individuals which usually occurs due to noticed or unnoticed infection in lower limbs, genital in the past. So, it is usually not worrisome. The size of lymph node is usually less than 2 cm in the groin and less than 1 cm in the neck region. Also, other than size, the course of lymph nodes is important. So, observe it for a week and if not for rapid increase in size and it decreases in size then needs no investigations. If there is rapid enlargement and change in consistency to a hard one, then get a simple FNAC (fine needle aspiration cytology) which I am not expecting in you. So overall, it seems to be a reactive lymph node and should observe it for a week. Just check the oral cavity once for any obvious unusual lesion. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21028, + "tgt": "Can Polybion L and Trifer syrup be used along with cough medicines?", + "src": "Patient: Hi doctor, My daughter is 1 year 9 months old. She is suffering from a severe cough. We are using Codex plus and Montair Lc kid for a cough. Can we continue to use Polybion L and Trifer syrup along with cough medicines? Doctor: Hello. Please temporarily stop Polybion L (Cyanocobalamin, L-lysine, etc.) and Trifer (elemental Iron) when you are giving cough medications. There is no harm that would occur but the child will be overburdened with medicines. Start these supplements after the child is well and off cough medications." + }, + { + "id": 8998, + "tgt": "Why has my acne problem become worse after using Tretinoin?", + "src": "Patient: Hello doctor, I have been using Tretinoin gel for a while for my back and chest acne, and it has been fine, but one day, I decided to go to the beach and got sunburned. And my doctor prescribed me to put the gel every night so that night I applied it and my skin had a burning sensation for a few second. So I thought it was nothing then I woke up in the morning with red and very irritated skin on my back and chest with an increased amount of acne which was very irritating. And my skin is very rough. What should I do? Doctor: Hello. I understand your concern. Whenever retinoids are used proper sun protection in the form of sunscreens and other measures is necessary, while going to the beach. Use the following medications now for this, 1. Mometasone cream apply twice a day for five days for the acute irritation and stop after that, not to be used more than that. 2. Any sunscreen with SPF more than 50 use it regularly for 15 minutes before going in the sun every three to four hours." + }, + { + "id": 6395, + "tgt": "I have poor bladder control even after undergoing ureter lengthening surgery. Why?", + "src": "Patient: Hello doctor, I have poor bladder control for about fourteen years. I underwent bladder surgery to lengthen ureters at the age of five. Medication for bladder spasms taken as needed. I have frequent bladder infections and poor bladder control when laughing or moving. Sometimes it is impossible to control when laughing. Doctor: Hello, Welcome to icliniq.com. I understand it must be really distressing for you. You have regular cystitis, and incontinence. You also have a history of bladder surgery in the past. Incontinence (poor bladder control) can be due to a lot of causes: neuropathy, stress incontinence, urge incontinence, cystitis, and bladder diseases. But the good news is it can be controlled with some lifestyle modifications. You need to consult a urologist who can guide you with some pelvic muscle training exercises, also famously known as the kegel exercises. You can even youtube it and practice regularly. It is better to get yourself evaluated since the cause has to be located. You can go for a cystoscopy test or an x-ray of the bladder (cystogram), and PVR test (post voidal residue test). All these will give a better picture of why you have repeated infections and also guide in the further course of management. There are certain medicines such as anticholinergics (Oxybutinine), Imipramine (Tricyclic antidepressants), which have some positive effects in incontinence. However, please consult your urologist before taking any medicine. Also, there are some surgical options such as sling procedure, which helps in bladder control, especially in situations where there is some increased abdominal pressure like laughing or straining. So you have plenty of options, but first, get the investigations done and then consult your urologist." + }, + { + "id": 2785, + "tgt": "What are the ways to cure erectile dysfunction and premature ejaculation?", + "src": "Patient: Hello doctor, I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it. Doctor: Hi. Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improving, then okay otherwise go for penile doppler study. For both premature ejaculation and erectile dysfunction, Sildenafil plus Depoxetine may be helpful, take this tablet 30 minute prior to sexual activity. Also try the behavior methods called start stop technique or coitus interruption or squeeze technique. You can read these online and start practicing any one. These methods give good result but you need to do these daily and results are only evident after a few weeks. Also take Vitamin D and Vitamin B12 supplements. Serum testosterone ED and PME sildenafil plus Depoxetine Regular exercise, Avoid alcohol or tobacco." + }, + { + "id": 27962, + "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": 22801, + "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": 10620, + "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": 5893, + "tgt": "I have low T cells with dropping CD4 and CD8. Please comment on my blood report", + "src": "Patient: Hello doctor, Should another consult with hematologist be conducted regarding no improvement on my blood work since last time? It appears that the folic acid and B12 vitamins are not exactly working. Now T cells are dropping as with CD4 and CD8. HIV remains undetectable whereby, I believe that is ruled out? Rae blood cell folate 185.6 ng/mL low Vitamin B12 265 ng/mL Absolute monocyte count (auto) 0.24 low MPV 9.1 low Platelet count 152 low Total T cells CD3+ 761 10E6/L low Total CD4 cells (CD3+ CD4+) 414 low Total CD8 cells (CD3+ CD8+) 348 10E6/L low MCH 33.5 high RBC 4.83 million/mm3 WBC 5.17 HIV-1 RNA VIRAL LOAD (copies/mL). Doctor: Hello, Welcome to icliniq.com. Low CD count can be due to altered immune function or HIV. You have been investigated with the molecular tests for HIV. So after four to six weeks of exposure, it can definitely rule out HIV. If you have investigated early with a provided period then you have to repeat your HIV testing. For low folate, you can be prescribed folic acid tablet for one or two months. For low vitamin B12, cyanocobalamine injection can be prescribed once a week for eight weeks. If you have any specific clinical complaints or history then mention it to give further comment. I hope this helps." + }, + { + "id": 5422, + "tgt": "I gained a lot of weight along with pitting edema in legs, ankles and feet. Is it due to hypothyroidism?", + "src": "Patient: Hello doctor, I have gained 50 lbs in the last six months. I have pitting edema in my legs, ankles, and feet, by the end of the day my feet and ankles are severely swollen and the skin feels stretched. When I go to squat down my legs feel like a balloon that is about to burst. My arms and hands are swollen, I have a ring that I used for eight years and used to be loose on my finger, but now I cannot even get it on my finger. I am so fatigue every day, no matter how much sleep I get. My eyes feel heavy, I find myself nodding off at work. I do not ever feel like hanging out with my friends even. I have major mood swings. I cry about things that normally would not make me cry. I get really uncontrollable anger and find myself wondering why I am so angry but I just cannot seem to control it. I have had very little interest in sex with my boyfriend and I live together and we went three months without sex because I just have not had the interest in it, or felt like I do not have the energy to actually have sex. I get occasional tingling in my hands. I will be sitting and doing my makeup and my hands will start to feel a tingle. Or I will be driving to work and my hands will feel almost numb sometimes. I am so thirsty all the time and I am one of those people who drink the recommended amount of water daily. I am now snoring when I sleep which I never have before. And I feel like I sleep so deeply. Every little noise used to wake me up and now I sleep through really loud thunderstorms, etc. I have battled insomnia for a number of years but now my body is at the extreme opposite. I sleep, but I do not feel rested. I cannot seem to control my own body temperature. I am either burning hot or freezing cold, I cannot ever just be comfortable. Especially at night, I do not even sleep with a blanket and I do not even put the sheet over my legs because my legs especially get unbearably hot. There are a plethora of other random, seemingly unrelated issues, but I will not take up your time with all of those. I have seen my primary care concerning all of these issues and despite my TSH being 5.73 two weeks ago. He was hesitant to call my hypothyroid and still referred to me as sub clinical despite the fact that I am extremely symptomatic. At my urging, he repeated my TSH two days ago and it came back a 3.0. But I know that there is new research showing that anything above 2.0 can be considered hypothyroid when there are symptoms associated. My T3 was 246. My FT4 was 1.1 and I have not gotten my anti-TPO antibody back yet. The basic metabolic panel came back fine-kidneys, liver and heart all checked out fine too. My BP was high 154/93 mmHg when I had an ER visit two weeks ago and then again with my PCP ten days ago, but was back to normal 118/69 mmHg in this most recent visit. I am frustrated because I am almost certain it is Hashimoto's, or possibly even Cushing's disease. PCP ran a random cortisol urine test which came back normal, but I know that test is not exactly the gold standard for Cushing's diagnosis. But my PCP seems completely unconcerned and seems to want to diagnose me as depressed or having some other psychiatric disorder that I do not feel is appropriate. I am the happiest I have ever been with my life right now, I cannot imagine I would be depressed. My gut tells me its thyroid, or something else endocrine-related. The fatigue is worse every day. I am currently taking Ocella. Please help. Doctor: Hello. Well, your weight gain is most probably due to fluid retention in the body and it is the same fluid retention that is causing edema of your legs, arms, and hands. The cause for this fluid retention could be low protein levels, kidney problem or heart problems. I would advise you the following tests: 1. Serum creatinine. 2. Liver function test. 3. 2D echo. Now coming to your fatigue, thirst and tingling sensation it could be due to diabetes, Vitamin B12 and D3 deficiency. Hence, I recommend you to get tested for the above conditions. Coming to your snoring and feeling unrest even after sleep. Probably you might be having a condition called sleep apnea syndrome where you may having obstruction to airflow during sleep causing repeated, transient choking spells and hence you snore and feel drowsy after you wake up. This condition can be confirmed by doing a test called sleep study. Kindly get it done and revert back. The main cause for the Sleep Apnea syndrome is you being overweight. So kindly start reducing weight. As your thyroid is considered you do not have hypothyroidism. But yes Cushing's is a possibility and you are right. You need to get serum cortisol tested at 8 am and 4 pm. But kindly get the other tests advised by me also and revert back. I hope this helps." + }, + { + "id": 30305, + "tgt": "Do I need to get radiotherapy for breast cancer?", + "src": "Patient: Hi doctor,I had pure mucinous right breast cancer and had nipple sparing mastectomy. Do I need radiotherapy? My report showed 0/18 free lymph nodes, free margins, ER 8/8, PR 8/8, HER2 zero and KI67 8%. Doctor: Hi. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29525, + "tgt": "My pregnant wife noticed blood in her vomit. What is the reason?", + "src": "Patient: My doctor,My wife is pregnant and this is her third month. During vomiting, she noticed blood. What is the reason? Kindly suggest me. Doctor: Hi. 1. Vomiting induced esophageal ulcer or tears 2. Acute GERD (gastroesophageal reflux disease). CBP (complete blood panel), ultrasound abdomen and gastroenterologist consultation for upper GI endoscopy. Doxinate-P (Doxylamine and Pyridoxine) thrice a day For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12404, + "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": 11393, + "tgt": "I have bumps on my nose and chin but not sure whether they are pimples. Please check", + "src": "Patient: Hi doctor, I have bumps on my nose and chin. I believe that as pimples but I am not sure. They do not contain any pus or pores because nothing squeezes out. Doctor: Hi. The history that you have given and the picture (attachment removed to protect patient identity) that you supplied makes me inclined to believe that these are what we call closed comedones. Pimples are often referred to as open comedones. Closed comedones occur when cells, oil, and other substances get trapped under the skin without a way to come out, they appear as bumps on the skin that are often painless. Closed comedones can be extracted by a qualified individual, and I would advise you to approach a dermatologist. Dermatology consult." + }, + { + "id": 25219, + "tgt": "How can I be relieved of this sharp lower back pain?", + "src": "Patient: Hello doctor, Last night, I bent over to reach for something and got a sharp pain in the left side of my lower back and the pain is still there. I can hardly move without intense pain. Is there anything that I can do to feel better? I do lift a lot of heavy boxes at work. What should I do? I can bend straight down with slight pain but if I shift to the left or right, the pain intensifies. Please help. Doctor: Hello. The probable cause is IVDP (intervertebral disc prolapse) and iliopsoas strain. I feel that pain could be due to irritation. I would like to you to do a lot of icing on your back once in every two hours. Lie on stomach with chest placed over pillows like in a cobra position for 15 minutes three to four times in a day. Do not lift weights and do not bend forward. If you have anti-inflammatory medications and muscle relaxant tablets prescribed, have them. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You may need to do core and gluteus recruitment program once you recover. As far as possible lie on the bed. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 20133, + "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": 23339, + "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": 27521, + "tgt": "Can alcohol affect HIV results?", + "src": "Patient: Hi doctor, I have read that drinking alcohol affects the HIV test results. Does increased alcohol intake delay seroconversion time? If so, then how long one should wait? Three or six months? For such cases, can we take HIV DNA PCR as a screening test? Whether this test is also affected by much more alcohol intake or not. How reliable is this test? I had oral sex around three years back, and I consume 150 ml alcohol regularly. For such a person, what HIV screening is recommended? For late seroconversion, which test is taken to find out HIV infection? Please explain in detail, as I am obsessed with HIV. Thanks. Doctor: Hi. Hope your queries are answered, but please feel free to ask or call anytime for any further information. Best wishes. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22134, + "tgt": "My erection is fine, but my ejaculation is painful. What is the cause?", + "src": "Patient: Hi doctor, I am perfectly healthy. I never had sex with anyone except my wife. For the past two months, I started having a pricky ejaculation every time when I have sex. My erection is perfectly fine, but my ejaculation is painful. I have consulted a local doctor here. Currently, I am taking Calamox 625 mg twice a day, Safepram in the morning, and Maxit 50 mg twice a day. Since after taking these medicines, I am unable to get a full erection and there is a delay in ejaculation. Sometimes the ejaculation is absent. I am willing to take a second opinion online. I think it is due to the side effects of the medicines. Please help me and advise proper treatment for the painful ejaculation. Doctor: Hi. It seems that the delay in ejaculation and erectile dysfunction is probably due to the side effects of Safepram (Escitalopram), which is an SSRI (selective serotonin reuptake inhibitors). They are known to cause such effects. Painful ejaculation and micturition are most probably due to infection, and Calamox 625 mg (Amoxicillin and Clavulanic acid) will take care of it. You can stop taking Safepram, and these side effects will disappear within two weeks. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28294, + "tgt": "The monocytes and ESR values in my wife's hemogram report are abnormal. Why?", + "src": "Patient: Hello doctor, Me and my wife got an annual blood test\u00a0done. Few of my wife's\u00a0results are off the radar. She is 30 years old, and she had a mild cough when the tests were done. She becomes tired very easily. In the attached hemogram report, her monocytes are 0 and\u00a0ESR is 80.\u00a0Rest of the tests including thyroid, liver function tests, ECG, and lipid profile seem to be normal. Is this a cause for concern? Doctor: Hello. I can understand your concern, but after a\u00a0detailed evaluation of your wife's reports\u00a0(attachment removed to protect patient identity), I would say there is nothing to worry. As soon as you get the reports, please send it to me for evaluation. Do not worry and take care. Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27267, + "tgt": "Will Aspirin affect D-dimer test?", + "src": "Patient: Hi doctor, My pain started behind knee, but now is causing recurrent chest pains and shortness of breath. I could not do much physical activity. There is no previous history of such event. I am currently on Aspirin. I had an EKG, lung x-ray and D-dimer blood test. Is it possible to have a pulmonary embolism with negative D-dimer test? If the clot breaks or moving, then will D-dimer work?\u00a0What else could cause pulmonary embolism like symptoms? Doctor: Hello. I have a few questions here, if you would not mind answering them: 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": 30036, + "tgt": "From my blood reports, please tell me if I am anemic", + "src": "Patient: Hi doctor, I have got a blood test done. Please find the attached reports. Please let me know if I need to take any specific medicine. When I searched on the internet, I found that I may be anemic. Please reply. Doctor: Hi. I have seen the reports attached here (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23471, + "tgt": "Why do medications given after angioplasty make one sick?", + "src": "Patient: Hello doctor,The patient underwent angioplasty two months ago. The medication provided makes the patient unwell and there is a loss of appetite. We need proper medicine advise. Doctor: Hello. I have reviewed the detailed query and the attached picture. I have reviewed the medications patient is taking (attachment removed to protect patient identity). There is no medicine that seems to be unnecessary. All are needed for the patient. That is why the physician has prescribed these medicines. Feeling unwell and loss of appetite have a lot of reasons and can be due to any one of them. The patient's heart is also one of them. Certain medications also have a side effect of loss of appetite and feeling sick. The age of the patient and recent angioplasty adds up to the symptoms. To me, there seems no need for medication change (and this is based on the limited information provided about the patient. I do not have knowledge about patient's past medical history, recent health issues other than the heart, status of kidneys, liver, and lungs. To start or stop any medication we need to know the health status of all the body organs). I would recommend to regularly check the patient's blood pressure, blood sugar levels and other routine blood work. Consult back to his cardiologist in a couple of weeks. This visit is recommended post-angioplasty to see if everything is alright. He would do an echocardiography, EKG (electrocardiogram) and other heart tests to see all is as it should be. Hope it helps. Please feel free to ask more if you need further assistance. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 20277, + "tgt": "Why is there increased lymphocytes percentage in my blood?", + "src": "Patient: Hello doctor, I had a complete blood count test and it seems my lymphocytes % is high. Please help me. Is this something I should be scared about? I was in my period when the blood test was taken in case this has any relation to the results. Doctor: Hello. Your lymphocytes percentage is slight high. Kindly mention your clinical complaints so that I can guide you further. It is not a matter of getting scared as your all other parameters are within range. I suggest you repeat CBC after week. Usually, a temporary viral infection can lead to lymphocytes elevation temporarily. It has no relation to menstruation. If after one-week lymphocytosis persist, then investigate with peripheral smear examination report for further work up." + }, + { + "id": 17369, + "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": 23521, + "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": 9013, + "tgt": "What is the bump that I feel under the skin on my inner thigh?", + "src": "Patient: Hello doctor, I have a little bump under the skin on my inner thigh. It is not visible but I can feel it. Please help. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11786, + "tgt": "What causes pain in penis during erection?", + "src": "Patient: Hello doctor, I am having some internal pain on the penis and it is a bit stronger when I have erection. No bruises, or pus during urinating. I am male, 34, 1.72 m and 80 kg. Doctor: Hi. I can understand your concern for your symptoms. Pain during erection can be due to: 1. Infection - common cause is urinary tract infection, other sexually transmitted infection. 2. Balanitis - inflammation of gland penis, tip of your penis can be due to allergy of infection. 3. Prostatitis - inflammation of prostate gland due to infection or injury or inflammation. 4. Urethritis - inflammation or infection of urethra. 5. Renal calculi can cause painful erection. 6. Peyronie's disease - scar tissue inside the penis causing painful erection. 7. Neuropathy due to diabetes. Kindly share more details regarding above information and we can work on your treatment." + }, + { + "id": 13406, + "tgt": "Is there any way to cure sagged skin in lower abdomen?", + "src": "Patient: Hello doctor,I have sagged skin in lower abs. Please help. Doctor: Hello. Thank you for sharing the pictures (attachment removed to protect patient identity). Definitely, the excess fat in the flanks and the sagging skin on the anterior tummy can be removed. We do call the procedure as a mini tummy tuck. That will help you in getting a good shape for the abdomen." + }, + { + "id": 16015, + "tgt": "Is it normal to have 11 % blast cells in bone marrow aspiration cytology?", + "src": "Patient: Hello doctor, Bone marrow aspiration cytology was done for my father who is 77 years old and the report shows the presence of 11 percent of blast cells (about two months ago). Kindly advice the next line of management. His ninth chemotherapy was completed three months back. Now lab report is showing that his Hb is 6.5 gm percent and platelet 20,000. No chemotherapy was used after that but six units of blood were transfused till a week back. Rest of the parameters are within normal limits. Waiting for your kind response at the earliest for the second opinion. What to do? Whether we should restart Azacytidine and continue or take only supportive measures to increase the quality of life? Lab tests showed severe anemia with thrombocytopenia due to AML-M2. Doctor: Hello. You have not achieved complete remission from chemotherapy. Usually. complete remission can be considered only when blast cells in bone marrow are less than 5 % and platelet count more than one lakh. So, you can go for combination chemotherapy to achieve that target. After you achieve remission, consolidation chemotherapy also can be given. No doubt, chemotherapy has its own side effects but chemotherapy under observation can be given to achieve remission. Usually, the prognosis is good in AML M2. I suggest you consult hematooncologist for your detailed examination and treatment." + }, + { + "id": 20744, + "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": 9978, + "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": 9418, + "tgt": "My partner start bleeding after first unprotected intercourse. Is it normal?", + "src": "Patient: Hello doctor, What does it mean if one has unprotected first-time sex but is not sure whether he discharged inside or not? But his partner starts bleeding day after that. Is it normal? Doctor: Hello. Unprotected first time sex means that both the partner are doing for the first time without using any contraceptive method, i.e., condom during the first time of sexual intercourse, the hymen of the female is intact or may be ruptured prior because of any physical strained. In the first time, sexual intercourse intact hymen may break and that causes the bleeding suddenly or afterward it. So it is normal. First sexual intercourse. Take rest nothing else. If bleeding persists and whether the female partner misses her menses, do follow-up immediately." + }, + { + "id": 22725, + "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": 31032, + "tgt": "I was abused in my childhood and suffering from deep emotions. Please help", + "src": "Patient: Hi doctor, I am an 18 year old girl. When I was 7, my older brother (12) used to molest me. I do not know if it was traumatic as I do not remember crying or anything. Does this count as sexual abuse? Because of the young age of my brother, I do not know if it is related. But, I am extremely emotional, self-harm and do a lot of things without thinking. Sometimes, I think about seeing someone when I am really depressed and feel empty, but this only lasts like a few hours and then I feel fine. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2301, + "tgt": "Though I took medicines for allergic cold and bronchitis, my symptoms still persist. Why?", + "src": "Patient: Hello doctor, I have been taking intermittent treatment for allergic cold and bronchitis with my family doctor pulmonologist and for some time for ET ear problem with a local ENT doctor. I had allergic sneezing and irritation for about 12 days, but no fever or cough. A local ENT gave me Azithral 500 and Nasivion drops for five days. However, as I got diarrhea on the fourth day, I called my family doctor in another city who prescribed Guncef 325 twice for five days, Montair LC once daily, and Formonide inhaler in case of heavy breathing. I have completed four days and infection is better and spitting of whitish phlegm is very less. But I still get nose irritation, sneezing, and intermittent throat sore. I do not have a fever or cough. Kindly advice. Doctor: Hello. From your description, it seems that you are suffering from allergic rhinitis and mild intermittent asthma. From the symptoms, it is very obvious that the symptoms like nasal irritation and frequent sneezing are because of nasal allergy. You have already completed the antibiotic course so it is not advisable to repeat it again. Start Avamys nasal spray (Fluticasone furoate) one puff twice daily in each nostril and continue Montair-LC (Montelukast and Cetirizine) for the time being. Nasivion nasal spray can be taken as required. Formonide inhaler must be continued if you have a cough and breathing difficulty disturbing your daily activities. You should always gargle after taking Formonide inhaler every time. You should try to find out and avoid the allergy trigger responsible for your symptoms. Once you start taking these medicines regularly all your symptoms will automatically get controlled. In case no improvement, you should visit your local pulmonologist to find out any other pathology. Nasal allergy. Spirometry to confirm the diagnosis of asthma. Avamys nasal spray 1 puff twice daily in each nostril, Montair-LC daily once at bedtime, Formonide inhaler as per need, Nasivion nasal spray as per need. Avoid known allergic triggers." + }, + { + "id": 4299, + "tgt": "I have lower back and hip pain. Is it due to SI joint problem?", + "src": "Patient: Hi doctor, I am going to mention all of my issues together since I think they may be related to each other. I have been suffering from lower back, glute, hip pain that radiates down my legs sometimes into my heels even, for around five years. This began after a hard fall onto my right buttock, although weirdly now most of the pain is on the left side. I have also had some foot issues metatarsal pain and now pain on the outer edge of the front of my feet (I have not been diagnosed with a bunion but it is on its way there). I have been prescribed insoles that help with the metatarsal pain but not the bunion pain. When I initially presented with metatarsal pain, the podiatrist also diagnosed me with tight hamstrings which I definitely notice also. Since then, I have done all sorts of physiotherapies aimed at lessening the pain in my lower back/hip. As far as I can tell, it is the SI joint causing me issues. The pain gets worse if I am static in any position for too long (sitting, standing, laying down). I recently decided to investigate further and had an MRI scan which revealed no issues in my SI joint, but showed that my back is fairly straight (as in, not a very pronounced curve) which is probably contributing to the pain in my lower back. The orthopedic surgeon also mentioned that my lower three discs are somewhat degenerated, and bulging a little too. Something that could eventually become a hernia, but is not necessarily the cause of my pain right now. So I don't have any straight answers so far. My plan for the moment is to focus on strengthening my back (my core is quite strong but I will continue to work on that too) and working compression exercises for my lower back into my routine. I think this may help to stop or reverse my bulging disc issue. I have been doing more forward folds than backbends (I practice yoga regularly, and am incorporating more strength training into that routine), so I am reversing that trend now, after learning about my bulging discs. I will also try to strengthen my glutes as I heard this can help with the pain. Having read all of this, what can you recommend? Does my regime sound good? I also have an appointment with a physiotherapist who specializes in backs near where I live, but in the meantime, I would like to hear as much as possible from outside sources about what their assessment and advice would be. Doctor: Hello. Looking at the discs in the MRI that you sent (attachment removed to protect patient identity) I do not think there is a cause of leg pain there. Degeneration of discs leads to overload and pain in the back with local radiation. Leg pain comes from disc pathology with entrapment of the adjacent nerve roots. The second possibility is the SI (sacroiliac joint) joint that you are saying is normal. Core and back strengthening will help always and I will recommend that you do more isometrics of the spine and reduce forward flexion that causes the disc to bulge backward. Gluteal and hamstrings stretches are crucial. Finally, try Pregabalin 75 mg twice a day for three weeks to see if the pain is relieved. Metatarsal pain is just an incidental issue that have happened together with leg and back pain." + }, + { + "id": 27857, + "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": 27469, + "tgt": "Can you clarify the term effaced lymphoid tissue in my pathology report?", + "src": "Patient: Hi doctor, I had an open cervical lymph node biopsy performed about two months ago. They developed suddenly and became quite large over three months. I additionally have lost 35% body weight in a year. I feel incredibly fatigued, unable to eat, developed an enlarged spleen and even showed a sharp drop in my blood counts. The surgeon, who performed the biopsy, indicated that the pathology report was normal. But, after learning that he caused debilitating damage to my spinal accessory nerve, I would like to get a second opinion of the report. Here is what it says. Diagnosis: Skeletal muscle, fibroconnective and fibroadipose tissue with somewhat effaced, but lymphoid tissue with extensive crush artifact.\u00a0Note: Impacted foreign material is also identified. The process appears to be reactive in nature; however extensive crush artifact is present thereby limiting interpretation. Please correlate with clinical findings.\u00a0Was there an antecedent procedure at the site?\u00a0Gross description - Specimen consists of two irregular fragments of tan tissue measuring 1.2 x 1.0 x 0.5 and 1.0 x 0.4 x 0.3. The largest piece has white sutures attached, which are removed. The specimen is entirely submitted in one cassette. The surgeon assured me two months ago that everything looked great and allowed me to read the report.\u00a0Can you clarify the terms effaced lymphoid tissue, impacted foreign material and irregular fragments? Also, in what condition they are commonly seen? What process appears to be reactive in nature? Does the gross description indicate two pieces of lymphoid tissue or two complete lymph nodes? I was told that he removed four complete nodes. Should he have submitted all four? The measurements do not indicate which unit of measurement was used, but do the numbers seem normal? Is\u00a0there any reason for sutures have been attached to the largest piece of tissue? Please explain. Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 24805, + "tgt": "For how long must I take Ayurveda therapy for rheumatoid arthritis?", + "src": "Patient: Hello doctor, I have rheumatoid arthritis and take Trikata, Sinhanad guggul and Shalaki. I also use psyllium and ginger tea. I take massage with sesame oil and maharanayana oil. For how long must I take this therapy to feel better? Is this therapy alright? How is your experience with rheumatoid arthritis? Doctor: Hello. I just read your query. The medications you are taking are all good, but rheumatoid arthritis is an autoimmune disease. So, you have to take medicine for a long term. The effect of rheumatoid arthritis varies from patient to patient. In some people, after taking proper medicine, further damage to joints can be prevented. However, in some, it persists even after taking medicine. So, I advise you to follow your doctor's advise and keep on repeating your investigations after some time. Also, do ask your physician about Panchakarma therapy. It is also very helpful in rheumatoid arthritis. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15906, + "tgt": "Does dark brown bleeding with positive pregnancy test mean pregnancy?", + "src": "Patient: Hello doctor, My LMP date was a month back. Yesterday, I took a pregnancy test and it came positive. Today also I repeated the test and it is also positive but in the afternoon I had dark brown little bleeding like spotting. What does it mean? Am I pregnant or not? Doctor: Hello. As your urine pregnancy test is positive twice after your missed periods, it indicates that you are pregnant. The bleed that you are confusing with your menses is likely to be darkish brown in color unlike normal menses and likely to be an implantation bleed post pregnancy. If you wish to be conclusive, then you may get a serum beta hCG test done. If the hCG levels are more than 5mIU then you are surely pregnant." + }, + { + "id": 3157, + "tgt": "What is the most effective treatment for clogged skin pores?", + "src": "Patient: Hi doctor, Can dead skin and excessive sebum\u00a0buildup\u00a0cause itchy skin? If so then what is the most effective treatment for clogged pores? Doctor: Hi. If you have excess sebum then you can develop acne or seborrheic dermatitis,which can cause itching. The best way to remove excess of sebum is steaming your face which not only open your closed pores but also reduce the chance of acne and other skin disease. You should do frequent face wash with water and use alcohol and acetone free face wash twice. Apply non-greasy moisturizing lotion. Eat healthy diet with lots of fruits and salad. Also avoid oily and spicy food. Take plenty of water daily which hydrate your skin and do regular exercise. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20094, + "tgt": "My friend is an attention-seeker who self harms. What could she be suffering from?", + "src": "Patient: Hello\u00a0doctor, My query is relating to a friend that seems to have a mental health issue. She is 24 years old, 5 feet 10 inch, and is not currently on any medication. She was previously on medication for depression and anxiety. Her behavior is very concerning and tends to center around attention seeking. Usually, it is about she being a victim, and people coming to her aid. She does seem to have a compulsive lying issue about small and major things.\u00a0Manipulation of people is also a regular trait. She tries to play people off against each other and cause friction between them. Some examples of the things she has done are as follows:\u00a0She came to work regularly with injuries stating that her family members had abused her. This was her self-harming and no abuse had taken place. This went on for about six months until she got found. During this time, she would e-mail the HR manager at work pretending to be a protection officer, advising work on how to protect her. In reality, this was her sending the emails from a different e-mail account. She also created legal documents. These papers were all fake and she had sat at home, for hours on end, creating them. Other things she has done include, letting down her own car tyres and ringing someone to come and help her, pulling her door off the hinges and ringing someone to help her fix it, having surgery when there was nothing wrong with her, pretending to be on holiday and sending people photos of landmarks, potential prostitution through escort service, trapping her partner into pregnancy by not taking the pill.\u00a0This is to name but a few. I am just after some thoughts as to whether this sounds like there should be a diagnosis. The NHS has seen her twice, by a junior psychiatrist, and have not given her a diagnosis. Surely the behavior above needs some kind of diagnosis,\u00a0as it is far from normal. There are no childhood factors that would have caused this behaviour. Doctor: Hello. Hope this solves your query. Feel free to ask, if you have any further queries. For more information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 100, + "tgt": "I am trying to conceive for the past one year with autoimmune hypothyroidism. Please help", + "src": "Patient: Hello doctor, I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication. I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist. I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily. Doctor: Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further." + }, + { + "id": 6398, + "tgt": "My 4 weeks old baby has inguinal hernia. What to do?", + "src": "Patient: Hello doctor, I have a 4 weeks old baby boy. He was healthy without any pain or colics. But yesterday I noticed a swelling in his inguinal area, I went to the hospital, and the doctor said he had left inguinal hernia. But it is not bad. The problem is he is not taking feed regularly, and when I try to feed him, he wants to eat only when he is hungry. But he cries. He vomits four to five times or even more after feeding and also has a lot of hiccups. I feed him in the upright position. His stomach looks like a balloon, and he is having a problem to excrete. Can it be a reflux or lactose intolerance? I told the doctor, but he said it is normal. It does not seem to be normal because the baby is uncomfortable and always arch his back, and he is always grunting as he wants to excrete. Doctor: Hello. From the way that you are describing, it looks like this is your first baby. Please note that the weight of your baby is perfect, and all the phenomena that you described are completely normal at this age group. But the hernia is definitely a concern. It is probably because of this hernia the child may wriggle about and have occasional pain and colic. I hope that the doctors have explained and showed you how to reduce the hernia. Please be advised that this hernia would require a regular follow for six months to see if a surgery is required to close the hernia. Do not worry, it is a minor surgery. Normal phenomenon in children up to age of 6 months: occasional cough and sneezing but child is able to feed well, sleeping in the day and staying awake at night, passing gas like a big person, hiccups, occasional small bouts of vomiting but the child is gaining weight, passing stools 10 times a day or once in 2 days. The abnormal phenomenon in children: lethargy, refusal to feed completely, abdominal distention with multiple episodes of large vomiting and not passing stools at all, convulsion, passing blood in stools or completely white or lemon yellow stools." + }, + { + "id": 19484, + "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": 4591, + "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": 22456, + "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": 13827, + "tgt": "What does passage of a clot followed by continuous vaginal bleeding indicate?", + "src": "Patient: Hello doctor, My period came on the first of last month. 22 days later, my breasts were hurting. I was cramping but there was no period. Five days later, I went to the restroom and I wiped and there was light pink blood. The next day still no period or spotting. Two days later, I woke up and blood was everywhere but I did not bleed. Next day, there was nothing. Then, I used the restroom and a big blood clot came out of me and I have been bleeding all night. What could it be? My pregnancy test came back negative. Doctor: Hi. I have read your concern. It is good you have already ruled out pregnancy because, in any type of abnormal bleeding among reproductive age, pregnancy is one of the first condition that should be ruled out. The second most common cause of these types of bleeding is a hormonal imbalance. Theoretically, your progesterone hormone should be elevated on the second half of your cycle and decreases when you are nearing the start of your period. So the amount of this hormone is critical in making you bleed. If there is too slow of a decrease or too abrupt or most the time insufficient amount, then it will affect the timing of the bleeding and will cause heavy bleeding. The treatment for this is oral Progesterone or in the form of birth control pills. The third common cause would be a structural problem, the presence of a polyp, myoma or endometrial lining problem, infection, etc. These situations will need ultrasound and evaluation by an ob-gyn. For your case, I suggest you take first Ibuprofen thrice a day for the first 3 to 4 days of your period. This would help in decreasing the bleeding and at the same time avoid pain. You may opt to observe this cycle of bleeding for another month or it would be more helpful to have a scheduled appointment with your ob-gyn for the next month." + }, + { + "id": 5266, + "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": 24608, + "tgt": "Why there is a continuous pain and sensation in the right side of the body?", + "src": "Patient: Hello doctor, I am suffering from a continuous pain, sensation in the whole right half of my body with an epicenter of this chronic pain somewhat near to my last rib, backside, in right side near to corner end of lung or near to liver. This chronic pain started with a fever eight and half years back since then it has been with me. Sometimes it soars for 10-15 days once in six months. Symptoms are chronic pain, cough and sore throat, pain in the jaw, pain in the eye (burning sensation) like some inflammation starts in right half of my body, fever due to this cough, sore throat (not high but 99-100), the repetitive urge of micturition in worse days. The situation worsens when micturition get delayed due to sleep, in travel or class or meeting, etc. I consulted with a urologist three years back, and he suggested me to go for a cystoscopy, in which I got confirmed as having IC (PBS) (please see reports in images attached). I had Elmiron 100 mg for two months after getting diagnosed three years back. The reports and previous consultation I am attaching herewith. Nowadays it gives me the same pain, but my concern is why it is limited to the right side of the body only? Is there anything we have not diagnosed so far? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity) and I have some questions for you. Do you have the urge to pass urine? If you cannot pass for some reason what will happen? Do you get severe pain? Do you leak urine? I feel you may have an overactive bladder or regional pain syndrome. Again it is a diagnosis of exclusion. I would suggest you start on tablet Soliten (Solifenacin) 5 mg morning and evening for seven days and see how do you feel. Somewhere in your reports, you have mentioned that you have RBC in urine? If that is there, then it is not normal. So do the urine routine and microscopy test. I think regarding your other symptoms like pain in chest and cough or throat pain; they are all related to regional pain syndrome. If you are feeling better with Elmiron then, please continue it. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 555, + "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": 23173, + "tgt": "Can you please suggest how to remove lice and nits from head?", + "src": "Patient: Hello doctor, My daughter has a lot of lice and nits on her head. We tried a lot to remove them. Can you please suggest how to remove lice and nits from her head? She is 7 years old now. Doctor: Hi. Head lice are contagious. She would have got it from school. It is very important to treat the person from whom she got this. Otherwise, she will be getting lice again and again. Just make sure that her school teacher is aware of this. Now coming to the medication part, Perlice (Permethrin) 1 % creamy rinse, shampoo the hair with regular shampoo which she is using, after shampoo, apply this Perlice creamy rinse to the scalp and hair, leave it for 10 minutes, then rinse thoroughly with lukewarm water. After the hair is dry, comb it thoroughly with a lice comb. Repeat the same process after one week. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18421, + "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": 28693, + "tgt": "How to overcome the fear of my boyfriend cheating on me again?", + "src": "Patient: Hello doctor, My boyfriend cheated on me several times when we were dating, and I had no idea about it. But, we patched things up and got engaged. I love and have feelings for him. I keep worrying that he is going to cheat on me again. He is not cheating on me now, but I still have a weird possessiveness building inside me. I think I have gone crazy and in trauma, as I have been cheated several times. I cannot let the fact go that he cheated on me, and I am really freaking out. What is wrong with me? Doctor: Hi. I can understand your situation. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4195, + "tgt": "I am diagnosed with BPH and cannot empty my bladder even after taking medications. Why?", + "src": "Patient: Hello doctor, I am a 60-year-old male diagnosed with BPH for three years now. I have been taking Tamsulosin .4 mg and Dutasteride .5 mg once a day for the entire three years under the supervision of my GP. For the past three months, my symptoms have gotten progressively worse. My bladder does not empty completely and I have to urinate every hour. The longest I have gone without urinating in the last three months is three hours and it is very rare that I can wait that long. I have done some research and see that there are several surgical options. I am looking for a recommendation for the least invasive but effective procedure. On a side note, the only time I can go for hours without having to urinate is if I am drinking alcohol (beer). After three or four beers, I urinate with a very strong stream and for a long time. I then do not have the urge to go again for almost three hours. I realize that drinking beer is not an effective treatment but thought I would mention it in case it is helpful. Doctor: Hi. You will need to see your urologist and get a uroflow test done. If the flow is fair with current medications, and you do not hold much residual urine on sonography, you may consider continuing the same medications and add an anticholinergic to reduce the frequency of urination. If the flow is poor and/or if there is large residual urine or if you are tired of taking medications, you can consider surgery. Prostate surgery is minimally invasive, done through urine tube and usually requires one to two day stay in hospital. The gold standard is TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleation of the prostate). HoLEP is basically prostate surgery done endoscopically with Holmium laser. This reduces bleeding and gives faster recovery compared to the older TURP method. Thulium laser is equally good. Other less invasive options are green light laser, TUMT (transurethral microwave thermotherapy), prostate lift, etc., which are day care but success rates are lower and generally indicated for smaller prostates or unfit patients. Alcohol increases urine formation and so temporarily you feel better flow but it only puts more strain on your bladder. So avoid binge drinking or holding urine for a long. Consult your doctor for the best decision. I hope this helps." + }, + { + "id": 18919, + "tgt": "I had ringworm infection a year ago, and have it again now. Please suggest a cure", + "src": "Patient: Hello doctor,One year back, I suffered from ringworm on the jock and legs. I applied Dermikem OC and it helped. After one year, it appeared again on the same spot. I used the same ointment, but it did not help. It started as a very small circle, and after that, it became very big. I then used Clotrimazole ointment and Fluconazole tablets. For a few days it was fine, and then after stopping it, it came back, this time on the face too. Please suggest me a solution for this problem. I do not have any other health issues. Doctor: Hello. From your description, it appears to be tinea cruris, a fungal infection which increases with sweating. You will need to take oral medication as well as apply creams topically. For topical application, I suggest: The oral medications can be decided depending on the extent of involvement. You will have to send me a picture to enable me to decide. Wash your clothes separately. If not, it can spread to your family members. Keep the area dry. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29636, + "tgt": "How do I confirm that I have got a viral or bacterial infection?", + "src": "Patient: Hello doctor, I had an IV treatment for fever. \u00a0I took four doses of Monocef\u00a01 gm.\u00a0My fever is gone, and I am feeling better. I still have a\u00a0sore throat, and there is a lot of mucus generated. The mucus is transparent. How do I confirm that I have got a viral or bacterial infection?\u00a0Since my fever went down with antibiotics can it be bacterial?\u00a0I asked my treating doctor regarding this and he said it is bacterial? How did he know it? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4296, + "tgt": "What does it mean when alanine transaminase is high?", + "src": "Patient: Hello doctor, I have just done my blood test including liver profile, cholesterol profile, thyroid profile, etc. I have only one concern in the report which is high value of alanine transaminase (liver profile). Two weeks back I have stomach infection with high gastric problem. Gas is passing as burb only and not from the back. So I took antibiotics for this. Also, I have an empty stomach gas problem (sometimes) that cause headache also. I am attaching my report with this. Do I need any medicine or Liv 52 is fine in my case? I prefer herbal or homeopathy medicine. Please suggest. Doctor: Hello, Welcome to icliniq.com. Yes, your liver enzymes are raised which requires evaluation of the cause. Most common causes of such liver derangements are alcohol, viral hepatitis, non-alcoholic fatty liver disease, and drugs. However, the rise is not very high, still we should rule out possibilities like hepatitis B and C because they can later cause liver cirrhosis. I would advise you to get the following investigations done: 1. HBsAg (surface antigen) for hepatitis B. 2. Anti HCV (hepatitis c virus) antibody for hepatitis C. 3. Ultrasound abdomen. A lot many times, liver dysfunction is due to non-alcoholic fatty liver disease (NAFLD). So, if you have any evidence of fatty liver in ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet and if required your doctor may prescribe you Ursodeoxycholic acid for the same. Make sure that you do not take any pain killers without your doctor's advice. I hope this helps." + }, + { + "id": 23066, + "tgt": "What is the treatment for persistent cough?", + "src": "Patient: Hello doctor, I am having a cough for the past 20 days. I took many cough syrups but the problem persists. Now I am taking Clavam 625, Pan 40 mg and Grilinctus syrup. Phlegm gets stuck in the throat so I have to cough continuously to clear my throat. I get a cough quite easily and it does not go easily. Please help. Doctor: Hello. There are two types of coughing. One is a dry cough which usually follows upper respiratory infections and it resolves over time and some medications could improve it and a wet cough which is most probably due to a chest infection. This is more serious than a dry cough if severity may require admission. Please answer the following question in order to determine the diagnosis appropriately: I suggest the following: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5379, + "tgt": "I have dry skin, brittle nails, hair fall and brain fog. Are these due to thyroid problem?", + "src": "Patient: Hello doctor, I am a 36-year-old female. I am inquiring about thyroid issues. I am constantly exhausted (even when I do actually sleep). I cannot seem to lose weight even though I am more active and eat better than ever. I have dry skin, nails are brittle and some ridges, my hair is coming out by the handfuls, foggy brain and memory. My doctor did a thyroid test and these are my results. Thyroid peroxidase autoaby - 12.2 TSH - .70 Free-T4 - .9 Free-T3 - 3.1. She also checked my iron levels, Ferritin - 26. She has advised me that I am in the normal range and my issue is depression and I need to exercise more. She has prescribed Wellbutrin 150 mg. I understand that according to the ranges listed on the results I do fall within normal, but I seem to be on the very low end of the range. Is it possible that my thyroid is causing my issues even though they are in the normal range? Would it be worth getting a second opinion from an endocrinologist? Doctor: Hi. Your symptoms very well fit into thyroid problems but if the thyroid reports are normal (even if it is in the low normal range) it excludes thyroid diseases. One thing that you can do is to repeat TSH (thyroid-stimulating hormone) test after two months. But also get tested for adrenal problems by doing serum cortisol levels in the morning and evening samples. Depression could be the only cause in your case and with continued usage of Wellbutrin (Bupropion) you may notice improvement, but do get these tests and revert back. I hope this helps." + }, + { + "id": 17094, + "tgt": "Kindly guide us with the treatment for my mom's liver disease", + "src": "Patient: Hi doctor, My mom is 70 years old. She has chronic liver disease, cirrhosis, portal hypertension and ascites. Her creatinine is 3. She also has type 2 diabetes. We were informed by her doctor that her liver is not producing albumin and her bilirubin level is very high. Please guide us. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25328, + "tgt": "Bilirubin is high but other liver functions are normal. Should I worry?", + "src": "Patient: Hello doctor, I did blood tests and attached are the reports. Are they alright or do I need to investigate further? Doctor: Hello. I have gone through your test results (attachment removed to protect patient identity) and the only abnormality is high direct bilirubin. Higher than normal levels of direct bilirubin in your blood may indicate your liver is not clearing bilirubin properly. The most common causes are cirrhosis, gallbladder disease, Gilbert's syndrome, bile duct cancer or stenosis due to other causes, hepatitis, liver cancer, sickle cell disease and following chemotherapy. You will need further tests including imaging tests to evaluate your bile duct and the liver to come to a diagnosis. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 4270, + "tgt": "What causes swelling behind the last tooth?", + "src": "Patient: Hello doctor, I have a slight swelling on the skin in my mouth near my back teeth. It is slightly bigger than the other side. It has been there since three days. Though it does not hurt, there is some irritation when I eat or drink. I am not aware whether I bumped it while brushing. If so, then it should have been sore. I do not have any other symptoms. Please help. Doctor: Hello. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15064, + "tgt": "I have red spots on my uncircumcised penis. Please help to get rid of it", + "src": "Patient: Hi doctor, I have candida balanoposthitis. I consulted a doctor, and he gave me Glospor DS 200 mg for a week with Livafin ointment. But still, I am having red spots on the penis. My penis is uncircumcised. Please provide your suggestion. Doctor: Hi. Please say whether you have diabetes. Please tell whether you are sexually active, with a regular partner and whether you use a condom. Please upload the appropriate images of the present condition, so that, I can guide you further." + }, + { + "id": 5378, + "tgt": "I have breathing difficulty on doing strenuous activites. Why?", + "src": "Patient: Hello doctor, I am 35 years old. Before six years I have been using smoke-free tobacco less smoke and I was a heavy drinker and I quited it a year before. That is my story. My question is why can I not breathe as long as I feel normal I guess. But any strenuous activity brings my breathing down quick. I mean as simple as pulling the trash can to the road which is only 40 feet. Making love to my wife. Jogging for maybe two minutes. Please help. I currently take Symbicort twice a day, but I still want my oxygen back. I am only 35 with seven kids. They need me. I cannot leave them. Please give me some advice. I have been to the doctor twice only because I cannot afford to go anymore. One doctor said it could be the first stage of emphysema and the second doctor said it is chronic bronchitis. Please help. Doctor: Hi. Yes, your symptoms are suggestive of chronic obstructive pulmonary disease (COPD). The diagnosis of chronic bronchitis is more likely. See you have been a chronic smoker and even smoking tobacco less smoke cause harm to your lungs. For the sake of your better health, you need to stop smoking right away. You should also start doing spirometric exercises at home. In the market, you can easily get three-ball spirometric exercise system that is also not too costly. You should continue to do walking and jogging. Once you stop smoking you would find gradual improvement in your exercise capacity. Now I need to know the following things: Since how long are you on inhalers? At what age you started getting the symptoms of breathlessness and why was the inhaler stated? Is your hemoglobin high? Any history of diabetes or high blood pressure? Revert with the asked details for better help." + }, + { + "id": 4, + "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": 9456, + "tgt": "How does CBT help in treating electrophobia?", + "src": "Patient: Hi doctor, I am waiting for CBT therapy for\u00a0fear of electricity.\u00a0Getting concerned as no therapist has come across this before. How can they help me as the electricity is everywhere? I am afraid of the electricity in general. If I am being exposed to each appliance separately, that would take a long time. How will this help me with the electricity coming into the property in general? I am so worried that I am not going to get any help. This is such a vast fear to have. Please offer me some hope. Doctor: Hi. For further information consult a psychiatrist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12654, + "tgt": "My Mentzer's index is 21. Will it affect my baby?", + "src": "Patient: Hi, I am 5 months pregnant and my reports say that Mentzer's index is 21. Will it affect my baby? Doctor: Hello. Menterz index 21 means that you have iron deficiency anemia. Yes, it can affect your baby in certain ways if you do not seek medical advice. Anemia may lead to smaller babies, growth restricted babies and also preterm labor ( labor before due date) which can result in delivering baby earlier and complications associated with early delivery. Also, a woman may suffer excessive bleeding after delivery who are anemic. So, I would suggest you see your local doctor, check the level of anemia and get appropriate treatment for that. Hope it has helped you." + }, + { + "id": 1400, + "tgt": "As I am short, I am worried about my son's height. What to do?", + "src": "Patient: Hi doctor, My son is 9 years 1 month old. His height is 119.5 cm and weight is 25.5 kg. He is a very normal and healthy boy.\u00a0My height is 5 feet 5 inches and my wife's height is 5 feet.\u00a0I am worried about his height? Please explain me. Doctor: Hello. Genetic and nutritional. Thyroid profile and x-ray both wrist joints for bone age estimation. Constitutional or genetic short stature. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12758, + "tgt": "Kindly tell me whether sugar level 210 after breakfast is normal or not?", + "src": "Patient: Hello doctor, My sugar level is 210 after breakfast. Is it normal or high? Can I control sugar level? Doctor: Hi. The sugar level 210 after eating food cannot be considered normal. It is suggestive of diabetes mellitus. However, you should repeat your serum fasting blood sugar estimation, serum post-prandial blood sugar estimation, and HbA1c estimation to confirm diabetes. In this early stage, you can control diabetes with weight reduction, less fatty foods, and regular exercise." + }, + { + "id": 11147, + "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": 23188, + "tgt": "My Mom is a CKD patient & having high Blood Pressure. Should I consult a doctor?", + "src": "Patient: Hello doctor,I am a 33 year old male, and I am a software engineer. From the last 3 to 4 days I feel a bit tired and drowsy, and sometimes the back of my head pains. I measured my BP today with a digital meter at home, and it was 127/90 mmHg. I got a blood sugar test two months back, and it was 85. I do not smoke or drink, and I take only homemade food which has less salt or sometimes without salt. As my mom is a CKD patient and having high BP, I am worried whether I have high BP. Should I consult a doctor? If I need to consult a doctor, then should I go to a heart specialist or a general doctor? Doctor: Hello. I understand what you are going through, but there is no need to worry. Hypertension is very common these days, because of the prevalence of bad lifestyle, genetic predispositions, etc. In your case, your mom's history of CKD (chronic kidney disease) increases your chance of hypertension. I suggest you get CBC (complete blood count), lipid profile, urine analysis, and EKG (electrocardiogram), to review your cardiovascular system. To help reduce your blood pressure, changes have to be made as follows. If after three weeks your blood pressure does not normalize, you will have to start taking medications. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29952, + "tgt": "Had test on day 12 of possible exposure. Is that reliable?", + "src": "Patient: Hi doctor, Initially, I noticed four red rashes on my chest and neck. On the next day, I got another four rashes on my face and after two days, I got rashes on my hand and fingers. I also have mild fever and joint pain. All the symptoms have started after my treatment for herpes from a hospital. Do all my symptoms say something about HIV? Previously, I was tested negative for HIV on the 27th day of exposure. Doctor: Hi. Please send a few good quality photographs taken in a natural light to help you better. Revert back with the photos to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15112, + "tgt": "Please advise whether I can take Gestafine and Folvite during pregnancy", + "src": "Patient: Hello doctor, I am 26 years old. I did not get my period for the past five weeks and yesterday I checked for my pregnancy and it turned out to be positive. I called my gynecologist and she suggested me to take Gestafine 200 one at night. And Folvite one in the afternoon. And also, she suggested taking one injection LUPI hCG HP 5000 that I will take it today evening. Is that the correct medication given by my doctor? What other precautions and other things that I have to do now? Please suggest me. And also about the food. Doctor: Hello. In an uncomplicated pregnancy, except tablet Folvite (Vitamin B9), nothing else is required in early pregnancy. The rest can be taken, and safe in pregnancy, but I would not say they are necessary. Secondly, continue tablet Folvite until three months. Then do a dating ultrasound now. Do a nuchal translucency, nasal bone ultrasound at 11 to 14 weeks. You can also do a dual marker testing for Downs syndrome. Then you must continue Iron and Calcium till the end of pregnancy from the third month onwards. At five months, that is between 18 to 20 weeks do an anomaly scan. At 24 to 28 weeks do a glucose tolerance test with 75 gm glucose. You should also take two doses of tetanus anytime after the third month. Take plenty of fruits vegetables and fluids. Take protein rich diet." + }, + { + "id": 26463, + "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": 16706, + "tgt": "Please suggest tips for very dry skin", + "src": "Patient: Hello doctor,I am a 20 year old female. I have too much dry skin. I mean extra dry skin. I use almond oil and moisturizing soap, but it is not effective. Doctor: Hi. The skin has to be moisturized well soon after a shower. Use a moisturizer which has ceramide in it like Eucerine moisturizer. Apply to body as soon as you come out of a shower. Continue using a moisturizing soap. Avoid hot shower, use warm water. Drink two to three liters of water per day, water is very essential. The common cause of dry skin is thyroid disorders, meet your physician, and get it checked. Another cause could be ichthyosis (dry scales). Please attach your clinical picture if you have such scaling so that I can give you specific treatment options. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30430, + "tgt": "My doctor suggested to remove all 4 wisdom teeth. Is that safe?", + "src": "Patient: Hi doctor, I have an infection in my lower left wisdom teeth. The doctor drained my operculum and suggested to get all four wisdom teeth removed. I am freaked out, because the lower ones are not completely erupted. I have attached my x-ray. Can you please tell me whether it is safe to do this procedure? Will I get any complication? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12068, + "tgt": "Is it advisable to get C-section done for low amniotic fluid?", + "src": "Patient: Hello doctor, My gynecologist said that I should opt for a C-section because of the following reasons: Low HB level (9.6 now), low amniotic fluid, fibroids which is at the cervix, age factor. Doctor: Hello. I could not see the fibroid in the cervix in this report (attachment removed to protect patient identity). It says fibroid in anterior uterine wall and size is very small. I do not see any of the above-mentioned reasons to go for a C-section as none of them is an indication to opt straight for operation without giving a trial of labor. Age is not at all a factor to consider for a C-section straightaway neither low HB. As the operation will result in even higher bleeding as compared to normal delivery. I feel vaginal delivery would be a safer option too if everything remains fine." + }, + { + "id": 27827, + "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": 17526, + "tgt": "How can alopecia be treated?", + "src": "Patient: Hello doctor, I have a problem with alopecia for four months. My hair is not growing. Kindly suggest some medicine. I am on vitamins. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). The diagnosis is alopecia areata. The most effective treatment will be intralesional steroid injection. This is the injection given straight to the bald area. You need to meet a dermatologist for this. I suggest you take For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10433, + "tgt": "My girlfriend takes Microgynon for PMS. Is it normal for her to experinece spotting?", + "src": "Patient: Hello doctor, My girlfriend has been taking Microgynon 30 for two months, with two packages back to back. She took Microgynon for suppressing severe PMS. The medicine successfully suppressed the PMS, but there seem to be some side effects. She experienced some spotting for a week, and the other doctor told me that it is normal for a microgynon-taker. Her actual period started the very next day after stoppage of spotting (which is late for two weeks), and it has been lasting for 18 days. In the beginning, the volume is lower than average, but red blood is visible. In recent days, the volume keeps increasing, and it gets me worried about whether some issues are occurring. Should I take her to a gynecologist for a check-up or it is entirely reasonable for a microgynon-taker? We did not have any sexual intercourse before and in the case for an extremely rare accident, she took a pregnancy test, the result was negative. Therefore, pregnancy could be eliminated. She finished her second package of Microgynon around 6/4, and the next day, the blood volume started to increase. One more question, she has a third package of Microgynon and the gynecologist we saw said that she should begin the third package when the second period stops. Is this correct? Doctor: Hello. Your doctor is right in saying that this is normal with the medicine you are taking. Microgynon is progesterone. It is a hormone which builds up and helps in the growth of the inner layer or lining of the uterus called endometrium. Due to overgrowth sometimes the endometrium sheds off and appears as vaginal bleeding or periods. The drug is otherwise safe just that continuous bleeding is a nuisance and may lead to anemia. She must take some iron supplements and wear a panty liner. For PMS (premenstrual syndrome), she can try a few things after the course of medicine is finished. She must stop taking tea and coffee. Minimize her salt intake and less water for a week before her expected periods. Also, PMS is a broad term, and treatment depends on what symptoms bother her more." + }, + { + "id": 5563, + "tgt": "What is the treatment for physical urticaria by heat, physical effort and tension?", + "src": "Patient: Hello doctor, I am 22 years old. I need the treatment for physical urticaria by heat, physical effort, and tension. Doctor: Hello. You told me about your problem of physical urticaria. Tests advised are CBC (complete blood count), ESR (erythrocyte sedimentation rate), ANA (antinuclear antibody), cryoglobulin, HBsAg (hepatitis B virus antigen), anti-HCV Ab (hepatitis C antibody). The first thing you should keep in mind is that there is no cure for cholinergic urticaria, and the treatment options are often limited. It is a chronic condition and will need long term treatment. You can have two or more different types of urticaria at the same time. Physical urticarias by heat, sun exposure are mainly due to cholinergic urticarias. They are responsive to most common antihistamines like Levocetirizine, Desloratidine, and Cetirizine. The first line of treatment and most important is to avoid the triggers and physical agents like chemicals, latex, cosmetics, plants, ointments, and stress. Also try to avoid exercise, heat, high temperature (fever), emotion or eating spicy food. You need to modify your diet and try to avoid hot drinks, hot foods and spiced foods. This gives a lot of relief in symptoms. Even tablet Danazol 200 mg twice daily is helpful in many cases. A dose of an antihistamine just before you do exercise may help to prevent or limit a flare-up of the rash. The use of cooling sprays, ice packs, or other materials may help to quickly resolve oncoming reactiions. Tablet Cyclosporin may be worth trying for antihistamine-resistant DU (demographic urticaria), especially in those patient cases characterized by severe itching. Unlike most other types of urticaria, physical urticaria is not usually helped by steroids. So better you avoid steroids in any form. It is not possible to predict how long the problem will last. In some cases, the condition may last for many years. In most cases, by avoiding the trigger and by taking antihistamines, the condition can be controlled. So a lot of patience is required before you get full relief. Meditation, prayer, or using mental relaxation techniques may help individuals to cope with attacks or the stress of living with the condition." + }, + { + "id": 21634, + "tgt": "Is it normal to have neck pain and headache with CD4 count 466 in HIV patient?", + "src": "Patient: Hello doctor, I was diagnosed with HIV four months back and started ARV immediately by the count of CD4 baseline 466 and been experiencing shingles in the same month. One month before that, my result was NR. Just a week ago, my neck started to pain, accompanied with a slight to moderate headache and my lips are twitching and it is so hard for me to wake up in the morning. What should I do? Is this normal? I am taking LTE and Isoniazid for anti-Tb but I do not have Tb. Doctor: Hi. With CD4 at 466, it is very rare to get brain infections to cause a headache and as you are not having a fever, this headache has no relationship with HIV or OI (opportunistic infection). Neck pain is maybe a sprain or due to HIV induced myalgia. HAART (highly active anti-retroviral therapy) treatment would be sufficient and simple Aceclofenac is enough. Efavirenz has a tendency to cause heavyness in the morning. It is due to a drug. Nothing to worry. Isoniazid is given to clear latent TB infection. Complete the course. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12097, + "tgt": "Please give some tips to maintain dry skin", + "src": "Patient: Hi doctor, My skin on my legs feels dry after washing. I need to apply lotion immediately after I wash. However, after about an hour the skin feels tight and dry again. Is this dry or dehydrated skin? I am using Aveeno, could this be causing it? In the forearm, back of neck and underarms I have the same problem. They hurt at times. I am afraid that my skin or skin barrier is damaged. Please help. Doctor: Hello. I have read about your query. Dryness of the skin depends on the type of the skin individually. Since you are on moisturizer Aveeno, you can continue it with the following tips. Apply a moisturizer within three minutes of your bath because some amount of hydration should be present on the skin for the moisturizer to act fully.If you want to apply over noon and evenings, take some amount of lotion and add a few drops of water, mix and apply it. Please check that the moisturizer has humectants or not. If humectants are present, change the moisturizer with only an emollient content. Because, humectants will act only in humid climates and not in dry climates as it will draw water from the body itself in dry climates and make the skin more dry. 1. Thyroid profile. 2. Fasting blood Sugar. 1. Moisturizer. 2. If cracks and pain are present a mild steroid like Desonide can be mixed with the moisturizer and applied twice daily for two weeks." + }, + { + "id": 21919, + "tgt": "Can my acute pancreatitis become chronic?", + "src": "Patient: Hello doctor, I had acute pancreatitis three weeks ago (probably due to too many drinks on a Saturday although I am not a big drinker generally) and since then struggled with digestion. I am very worried as some of my stools are pale yellow and I have terrible fatigue. My blood tests are now all fine and the CT scan (taken five days after admission to hospital) were all good. My symptoms have changed and are mostly very painful referred pain after eating and fatigue. I am very worried about chronic pancreatitis. My question is, is my system still recovering and could I have these symptoms whilst the pancreas heals without it being now chronic? Doctor: Hello. Generally, it takes time to recover after acute pancreatitis. I suggest you stop drinking alcohol, absolute cessation of alcohol. You are at a risk of developing repeated episodes of pancreatitis and chronic pancreatitis if you continue to drink. Please start enzyme supplements. As the CT is normal, you may not be having chronic pancreatitis but an endoscopic ultrasound is a better investigation to know if you have chronic pancreatitis or not as the CT is normal. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 5148, + "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": 30778, + "tgt": "I need some advice regarding my uterine fibroids. Kindly help", + "src": "Patient: Hi doctor, I am 41 years old. I had two full term normal delivery. I do not have any menstrual problem. My cycle is regular for 28 days with three to four days of bleeding. My last menstrual period was on the 5th of this month. I have been having lower back pain and groin pain for the last 10 days. I feel more pain while sitting and severe on and off spasm in the inguinal region. My TVU showed three small fibroids, two subserosal (2.8 x 2.2 cm and 1.3 x 1.2 cm) and one submucosal (1.5 x 1.2 cm). I have been treated for UTI, but there is no relief. My mom is 66 years old and recently got treatment for early breast cancer. I need some advice on my issue. Please explain whether the cause of the pain is fibroids or not. I need some advice if fibroids could be the cause. Doctor: Hi. The fibroids can cause lower back pain and groin pain, especially around the time of period. However, if you do not have menstrual problems due to it, then no need for treatment. Usually, mild painkiller can be used for the pain at present along with simple home remedies. If the pain persists, then it would be good to get evaluated for other causes of back pain, because symptomatic fibroids would cause menstrual issues as well. For further information consult a obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20319, + "tgt": "Is it bad to have high level of tumor marker?", + "src": "Patient: Hi doctor, My mother is receiving breast cancer treatment for the past five years. Recently, she went for the blood test, and her results for tumor marker CA 15-3 has gone above 500 U/mL. Is it bad? Does her cancer got spread? I am concerned. Please help. Doctor: Hi. I can understand your concern. Cancer antigen 15-3 (CA 15-3) is a tumor marker. Its range is raised. It is alarming and highly suspicious to have the recurrence of the previously treated breast cancer. So it is better to repeat the test. So, she must consult her oncologist soon, and she may need to undergo a series of investigations like PET (positron emission tomography) or CT (computed tomography) scan, blood tests, bone scan, and mammogram. After seeing the results, all the doubts will get cleared soon." + }, + { + "id": 20279, + "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": 29119, + "tgt": "I have developed widespread disabling symptoms after hepatitis B vaccine. What to do?", + "src": "Patient: Hi doctor, About five years ago, I took the hepatitis B vaccine. I developed severe and apparently permanent adverse reactions as a result of this vaccine. I was in good health with optimal fitness before this vaccine, and I have now suffered severe, debilitating autoimmune side effects from this vaccine. I have widespread disabling symptoms as follows. Flu-like symptoms, including malaise, low back pain, sore throat, diffuse musculoskeletal pain, and overwhelming exhaustion that does not improve. I experience numbness in both feet, arms, and legs.\u00a0Abdominal pain and sore throat.\u00a0Diffuse myalgias, arthralgias, generalized weakness, and fatigue. Also, there are some problems with cognition and concentration.\u00a0The mild numbness I had in my hands after vaccination spread, and I developed burning, lancinating pains in my arms and legs. It is painful to wear shoes or walk. My hands feel\u00a0weak.\u00a0Increased fatigue.\u00a0I feel electric shocks in my arms and legs. The heaviness in my arms and legs got worse. I am dizzy and light-headed The shoulder pain onset was gradual. Shoulder pain inhibits my ability to do chores and to groom myself. I struggle with dressing and lifting my arm.\u00a0Shoulder pain and impairment or pain, weakness and loss of mobility, which are interfering with my activities of daily living. I feel less coordinated. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician." + }, + { + "id": 20729, + "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": 29859, + "tgt": "What is the solution for PMS and painful period?", + "src": "Patient: Hi doctor, I am asking you on behalf of my friend. Here are the symptoms, which she had around three to seven days before bleeding. All symptoms of PMS along with occasional migraine with glaucoma, nausea, pain in the lower part of spine and cramps. On the first day of bleeding, she is having painful cramps of uterus, dizziness, breathlessness and nipple soreness. On the second day she will look better, but the pain will still be strong. Sometimes, she complains of right ovary pain. The doctor she consulted earlier said the solution to get rid of the pain permanently is to give birth. Please suggest an alternative solution. Her current prescription is Microgynon 21. Her weight is 44.6 kg and height is 163 cm. Doctor: Hello. This is dysmenorrhea with premenstrual syndrome. If the pains are severe and symptoms are uncontrollable, then please follow the following prescription. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Continue the above medicines for three cycles. Pregnancy once planned shall help decrease dysmenorrhea, but till then she can practice the above medication. Most importantly, keep her water intake high for 10 to 15 glasses per day, as that shall play an important role in keeping the progesterone withdrawal effects down, which lead to PMS and menses. Microgynon 21 (Ethinyl estradiol and Levonorgestrel) is an oral contraceptive pill and not necessarily help with PMS, but it shall control heavy bleeding and provide contraception. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1932, + "tgt": "Is it possible to get sudden allergy to certain foods with no prior episodes?", + "src": "Patient: Hi doctor, I am a 30-year-old male. In the space of two weeks, I developed an allergic reaction to three different foods peanuts, shellfish, and Avacado. I never had problems with either of these foods (or any food for that matter) before and this hit me very suddenly. So far the reactions are mild, just some minor tingling and flushing of skin, particularly on my arms, but they are significant enough to be noticeable. I have always been into health and fitness and take a variety of vitamins and supplements though I am cutting back on those out of concern that they may have aggravated my immune system into producing this allergic response. My questions are: is it normal to develop an allergy to multiple foods simultaneously? And what can I do to prevent the onset of any further reactions developing? I am currently on Memantine and Adderall. Doctor: Hi. First of all, allergic reactions to food are sudden and happen without any prior history. It is very common for people to develop allergies. Yes, it is common to have these kinds of food allergies. Some people have episodic allergies and they subside completely and for few people, it stays. No one can prevent an allergic episode in the future. It is your genetic system that has caused this. You should always keep anti-allergic tablets, steroid tablets, and always have a back up to get a steroid shot for allergies. Because sometimes these might range from basic skin rashes, itching and flushing to life-threatening spasms. Hence should always be careful. When you consume the above foods next time, keep observing for symptoms. I hope this helps." + }, + { + "id": 21879, + "tgt": "I had unusual spotting with NuvaRing. Please advise", + "src": "Patient: Hi doctor, Last month, I had an unusual spotting during the time I was using Nuvaring. That never happened before. So, I decided to take the ring off, but during that time, it was menstruation. I never had a normal flux, just spotting all the time. At first, kind of brown and after, redder and then brown again. Because that was not normal for me, I went to a gynecologist that did a Pap test (I do not know the results yet), but prescribed me a gel for five nights called Nidagel. After a week without the ring, I put a new one and today, a week before the cycle, I notice that the spotting has started again. I am super worried. Doctor: Hello. Nuvaring is Etonogestrel and Ethinylestradiol containing contraceptive. Hormones have its own side effects and appear a bit differently in every individual female. Combined contraceptives have short-term effects like abnormal bleeding, spotting, mood variations, breast engorgement, etc., and long-term effects like stroke, migraine, high blood pressure, venous thromboembolism, breast, and endometrial cancer. You might have bleeding as a side effect of Nuvaring or there could be other possibilities as well. Cervical pathology like dysplasia, erosion, cervical or endometrial polyp, any local inflammatory lesion, pelvic infection, or hormonal effects. It is better to have one high vaginal swab as well to exclude any pelvic pathology. Collect HVS and smear reports and discuss here or with your gynecologist. This brown discharge shows old clotted blood around NuvaRing. Oral contraceptive itself has side effects of irregular bleeding. So, if you have been on Nuvaring for years, I suggest replacing it with other contraceptives. Mirena reduces periods bleed gradually but again hormonal contraceptives have its own side effects. Better to have one local outpatient hysteroscopic examination to clear all local causes. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2253, + "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": 5288, + "tgt": "I masturbate by seeing sexy pictures. Is it harmful?", + "src": "Patient: Hello doctor, I am a 23-year-old male. I am having a problem with masturbation, which is done mainly by seeing sexy pictures and imagining. Two years before, I had a very accident and saved by a neurosurgeon. Please advise. Doctor: Hello. In many parts of the world, sexuality is surrounded by a lot of myths and abnormal beliefs. Masturbation is one of them and it is considered a problem or disease by a large segment of society. In fact, it has no harmful effect if done for a reasonable time. For a 23-year-old male, a frequency of six to eight per week is absolutely normal. If it is beyond this and causes you pain than it needs some intervention. You need to take care of the force that you apply while masturbating. Do not use the rough surfaces to masturbate. If you are already taking care of a few things then you can enjoy yourself to the maximum extent. Regarding your statement about the source of excitement (sexy pictures) that is absolutely fine. Most of us behave in this way only. There is nothing abnormal in masturbating once you get an erection after seeing sexy pictures. By the way, masturbation is natural sex which is practiced mainly because the other partner is not available. This is the way of releasing sexual tension by self. Regarding your neurosurgery incident, I like to assure you that there is no relation in the majority. If you had a gross change in your personality and sexuality following surgery then also you need to be assessed for further management. If you had any change after surgery or your frequency is too high than desirable then book an appointment with me. I will help you with every possible means." + }, + { + "id": 30251, + "tgt": "I have a painful, swollen ankle following an injury. What to do?", + "src": "Patient: Hi doctor, Before seven months, I sprained my ankle due to a track and field injury. I postponed crutches for a week due to a trip the following day, but went on crutches the next week. I never went to see a doctor. I just went through PT with my athletic trainer. I spent three weeks without rigorous exercise and was able to return. The pain finally subsided after three months. But, it is still swollen and sometimes, painful to flex. Why? Doctor: Hello. You have mentioned injury to the ankle region, which has been managed by you and your therapist. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5246, + "tgt": "I found an odd mass in the x-ray of the lower bottom gums. What it is?", + "src": "Patient: Hello doctor, I took an x-ray a few days ago and there is an odd gray mass about the size of a tooth in my gums on the left bottom side. I do not believe. I have been getting discomforts and as a result of that because I am currently getting some pain from my wisdom tooth which is colliding into its neighboring tooth in a slant position. So my dentist wants to send me to a specialist and I am really worried as there is no appointment for a while. Doctor: Hello. I believe you are seeing the gray mass in the x-ray and as such you do not have any swelling over the gums which you can visually see. There can be any of the following conditions according to your symptoms: It can be a benign cyst, which usually occurs below the lower wisdom tooth and can be removed by the specialist through a small surgical procedure which will not cause much discomfort to you in the near future. It can sometimes even be after prolonged infection of any teeth like if the wisdom teeth are slightly tilted, it can cause an inter-dental infection resulting in encystment of the infection causing a radiopaque mass seen in the x-ray. It will heal in the long term after using antibiotics for five days at least, else the same above said procedure would be done by the specialist. It can be also a hard tooth-like odontome which is usually benign and should be removed by a specialist as it can in the future sometimes turn malignant too. I hope this helps." + }, + { + "id": 13513, + "tgt": "Nose bleeding-what could be the major cause?", + "src": "Patient: Hi doctor,My daughter is 9 years old. She gets nose bleeding once in few months and also gum bleeding. She complains about occasional back pain, stomach burning, and hip pain too. My family physician has written down a series of tests and asked me to get opinions from a hematologist, gastroenterologist, and an orthopedic doctor respectively. Doctor: Hi. From the medical history of your child, I can understand that she is having bleeding manifestations with normal CBC (complete blood count) and coagulation workup. I would like to know about the below-mentioned questions, The most common bleeding disorder is a condition known as Von Willebrand disease. I think she needs to be checked for it and the other condition which needs to be evaluated is platelet dysfunction. Investigations suggested are," + }, + { + "id": 25667, + "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": 20524, + "tgt": "Is lightheadedness related to neuro, heart or sinus issue?", + "src": "Patient: Hello doctor, I have recently felt lightheadedness for about a week. I went to the ER and they could not find anything wrong. They did all neuro testing and I passed. Blood work and urine are perfect. Blood sugar and blood pressure were perfect. Ekg came back perfect, no stomach issues. I do not feel like I have to vomit and drinking or eating does not help or make it worse. I have not fainted at all. I do have high cholesterol but I take fish oil every day and red yeast rice as recommended by the doctor. The only thing that makes it go away is if I lay down and sleep for a bit then I feel better. I have had a headache every now and then but it does not last very long. Is this a neuro or heart issue or something to do with my sinus? My ears do pop a lot lately. I do not feel dizzy. The room does not spin. Just a few times I feel like I have to lay down or I will faint. Doctor: Hello, Welcome to iclliniq.com. Probably you have an issue with your ear that may cause a block in the eustachian tube due to allergy or infection leading to vertigo. Other possibilities like acute labyrinthitis or vestibular neuronitis may cause your symptoms. Avoid smoking and caffeine drinks, cool drinks and freeze water. Use water vapor inhalation and salt water gargling thrice a day. If the headache is severe, use Paracetamol thrice a day. If symptoms are not improved please consult your ENT specialist or neurophysician. He will examine and treat you accordingly. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27138, + "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": 20429, + "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": 14910, + "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": 13849, + "tgt": "Is clubbing in chronic smoker something serious?", + "src": "Patient: Hello doctor, I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth's test, I have a very small window. I am really concerned. Could this be early signs? Doctor: Hi. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray." + }, + { + "id": 12224, + "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": 27269, + "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": 16189, + "tgt": "Are uric acid medications and Paracetamol harmful to the liver?", + "src": "Patient: Hello doctor,My father is 67 and a patient of hypertension and hypothyroidism. Recently, he has been detected with elevated bilirubin levels. Here are his recent symptoms: occasional mild fever (99 to 100.5 F). No apparent cold symptom. Typhoid test came negative. Mild nausea (feeling better after using Rablet D) Here are his additional problems (for quite some time): Shoulder ache which feels better with exercise and physiotherapy. Pain in the right toe which is mild to severe (was detected with high uric acid, generally feels better with medication, but also develops side effects. He does not feel well if he continues the uric acid medication for a long time. Doctor: Hello. Hope your queries have been cleared. Please revert if you have any further queries. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16481, + "tgt": "Will diarrhea cause fluid and electrolyte imbalance and fatigue?", + "src": "Patient: Hello doctor, I started feeling fatigued and nauseous three days ago. I threw up once three days and the nausea went away shortly after. Yesterday morning I started having diarrhea. I went to the bathroom 15 to 20 times for diarrhea despite taking Pepto-Bismol several times. I am still having diarrhea today but I only had to go to the bathroom three times in five hours. I am still feeling exhausted and have little appetite. I am a 20-year-old, female, with no other health conditions. I am currently taking Aubra (Levonorgestrel and Ethinylestradiol tablets) 0.1 mg/0.02 mg once daily. Doctor: Hi. You have lost quite a bit of fluid. You need to get rehydrated again. If your loose motion has not stopped, you need to take tablet Loperamide once, and you need IV saline to bring your BP up. It is better to get to the ER and get the IV saline first. Please go to the hospital now or ask someone to come over to your place to give you the IV saline. If you have a vomiting, do not eat anything as this will cause more vomiting and you will lose more fluid and electrolytes." + }, + { + "id": 29794, + "tgt": "My son gets popping sound in knee. Does his MRI indicate any need for surgery?", + "src": "Patient: Hi doctor, My son aged 7 has a snapping sound from the left knee lately without complaining of any pain. He had an MRI done for his left knee. The MRI opinion is as follows: There is a discoid lateral meniscus, significant swelling of the posterior horn of the lateral meniscus and intrameniscal abnormal signal intensity indicating a\u00a0degenerative tear. Does it mean that a surgery is needed to correct this? If yes, then should surgery be done soon? Is there any other possible treatment to avoid surgery? Thank you. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22830, + "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": 1727, + "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": 29350, + "tgt": "Kindly explain the abnormality present in my coronary CT angiogram", + "src": "Patient: Hello doctor, I recently went for a coronary CT angiogram. I received the following report. While my GP explained my arteries were clear, he did not explain the anomaly apparently, which is in the middle line of the page I have attached.\u00a0Should I be concerned about this? What does it mean exactly?\u00a0Thank you. Doctor: Hi. Welcome to icliniq.com. We are here to help you.\u00a0I have studied your report (attachment removed to protect patient identity). For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27355, + "tgt": "The pain is getting worse after a week of wisdom teeth extractions. What to do?", + "src": "Patient: Hi doctor, I got both my wisdom teeth extracted a week ago. My doctor prescribed Ketorol, as a painkiller. But, this medicine is not helping me much and the pain is getting worse after the removal of stitches, which was done today. Kindly advice. Doctor: Hello. I am sorry that your pain has not subsided over this period. Wish you a healthy healing.\u00a0Take care. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10710, + "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": 21161, + "tgt": "What to do to increase mother feeding milk?", + "src": "Patient: Hi doctor, What to do to increase breast milk? Doctor: Hi. First of all, we have to objectively find out whether breast milk is really less than what is required for the baby as I find this to be uncommon. If the baby is active, wetting nappy at least four to six times in a day and gaining weight adequately, these are the indications of adequate breastfeeding. If this is not the case, then we can do the following. Taking a balanced diet including fresh fruits, vegetables and plenty of fluids will help your body produce enough milk. You do not have to actually drink milk to produce milk. Spending more time with your baby will help to bond and make it easy for your body to be in tune with the process of breastmilk production and feeding as well. Demand feeding, that is, feeding as and when the baby feels hungry is a universally accepted method of feeding. This is much better than regimental, that is, scheduled feeding. There are some herbal preparations in the form of tablets or powder which can be taken after consulting your doctor. In spite of all this, if the milk secretion is not sufficient, there are certain medications which we can prescribe for you. If still there is a problem, we have to explore alternate ways of feeding the baby. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27001, + "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": 1642, + "tgt": "What does my SGOT and SGPT value indicate?", + "src": "Patient: Hi doctor, I have tested for SGPT and SGOT. The result indicates that I have SGPT 214 and SGOT 197. Now what shall I do? Please suggest me. Doctor: Hello. There are a few things I am worried here: Abnormal liver function test could be due to hepatitis C infection and non-alcoholic liver disease can occur as a result of cholesterol deposition in the liver or active hepatitis B infection or alcoholic liver disease. Also, you have high cholesterol, low vitamin D and B12. Are you taking any medication for this? 1. I suggest you to do the complete hepatitis B panel including hepatitis E antigen and antibody, hepatitis B core antigen and antibody and hepatitis B surface antibody. 2. Also, I suggest you to do the hepatitis C antibody and an ultrasound of the liver. I suggest you to take 50000 IU of Vitamin D once a week for 12 weeks and get B12 injection or 1000 mg of vitamin B12 daily for a week. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with blood and ultrasound reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28564, + "tgt": "Can extraction of a wisdom tooth cause irritation in the nerve of the head?", + "src": "Patient: Hello doctor, I have pain like irritation of the nerve on the left side of the head exactly on the left temple, in the left jaw, in front of the ear, back and around the ear, below the left jaw, which radiates to the left side of the neck. The pain is constant and irritating. Doing jaw movements helps a little in reducing the pain and relaxing the jaw muscle. But then after few seconds, there is a recurrence of pain and irritation. I had doubt that it could be a TMJ problem, but there is no sensation of cracking in the jaw, but a slight feeling is there when the jaw movement or jaw stretching is done. This pain does not limit the opening of the mouth. Opening the mouth is not a problem. More than the pain, the irritation of the nerve in the above areas is bad. My wisdom tooth was extracted five days back, as it was impacted. Could this be the reason? This problem did not subside even after removing the tooth. Please help. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24448, + "tgt": "How to get someone to stop taking alcohol forever?", + "src": "Patient: Hello doctor,My husband takes too much alcohol daily. I want him to stop alcohol forever. About one week before, we have done a health checkup. His SGPT level has increased by 108. What should I do now? Doctor: Hello. Regarding quitting the alcohol, firstly you need to take him to nearby deaddiction center. You need to talk to him regarding the harmful consequences like liver damage which has now begun. You need to take him into confidence and take him to deaddiction center. There he will get counseling and assistance to quit alcohol. The patients are given medicine to reduce alcohol craving like Naltrexone and also medicines which will produce adverse effects on alcohol consumption, which you must have heard about. This medicine is Disulfiram 250 which you will be provided there which is given once daily. Regarding his SGPT, the best treatment is abstinence from alcohol. Also, other contributory factors like obesity, healthy lifestyle and weight loss will help to prevent further liver damage. At this stage, damage can be recovered but later this may become irreversible. Also, get him vaccinated for hepatitis B if not yet done. Also, he should be given plenty of water, adequate nutrition, fruits, and vegetables. 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": 20995, + "tgt": "I have an abscess due to broken tooth. Kindly tell me the management", + "src": "Patient: Hello doctor, I have a bad infection from an abscess. Due to the broken tooth infection going to my ear, there is a severe pain on the whole right side and can barely open my mouth. Doctor: Hello. The tooth is not in good condition (attachment removed to protect patient identity). Maybe it will go for root canal treatment or will be removed. These are only two options for the tooth. For now, I would suggest you maintain oral hygiene properly and use mouthwash after brushing twice a day. Take any antibiotic twice a day after the meal and for pain take Zerodol SP (Aceclofenac and Serratiopeptidase) tablet twice for three days. But, dental treatment is needed. Food lodgement and chewing habits, improper oral hygiene. Needs X-ray of the tooth to know better. Grossly decayed tooth. Apical periodontitis. As per dental X-ray. Maintain oral hygiene properly, rinse mouth with salt water and turmeric mixture twice a day." + }, + { + "id": 13094, + "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": 12169, + "tgt": "My USG indicates that my cervix is 4 cm with no funneling. Will I have preterm labor?", + "src": "Patient: Hello doctor, I am terrified of preterm labor. I am obsessed with checking for signs that I will go into labor early. I am currently 24 weeks pregnant. I had my last cervix checked maybe three to four days ago through digital examination by a doctor. It was long, closed and thick. Does this mean I am in the clear at least for the next week or so? I also had a transvaginal ultrasound done on the 20th of last month, and my cervix was over 4 cm, with no funneling. Doctor: Hello. Do not worry. You have developed prepartum anxiety, no need to worry, and funneling is not there kindly go for regular prenatal checkups once in four weeks." + }, + { + "id": 3168, + "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": 3173, + "tgt": "Will Tramadol have long-standing effects same as that of Ketamine in major depression?", + "src": "Patient: Hello doctor, My 19-year-old son is suffering from major depression and has been on at least four different medications, ECT and Ketamine treatments. ECT and the Ketamine seem to show the best results so far but are short-lived. And I hate to keep shocking his brain if this is not going to work (He has completed 10 sessions now). All I have been doing is research on how to help him because I know his doctor has only one hour with him every two or three weeks where I am with him every day for hours. I ran across an article about using Tramadol to treat depression and I was wondering if taking this every day would produce the same (or near same) effects that the Ketamine treatments do but over a longer time? Right now he is on Cymbalta 90 mg, Rexulti 0.5 mg, Wellbutrin 150 mg, Hydroxyzine 50 mg (as needed), Clonazepam 0.5 mg (as needed). Doctor: Hello. Resistant or long-standing depression needs treatment with a mood stabilizer that has not been given the list on ongoing medicines. I would recommend that you add a mood stabilizer like Divalproex sodium or Lithium Carbonate. It will help hold the mood in place once it has been elevated by antidepressants. Also, Cymbalta is not a very good antidepressant. It is the least potent among SNRI (serotonin-norepinephrine reuptake inhibitor) class of drugs. Normally, after this you can try using a TCA (tricyclic antidepressants) class of antidepressant and if that does not help then a combination of Venlafaxine and Mirtazapine is highly effective. It is also been evidenced by Star-D trials, the largest clinical trials for resistant depression. This is also my clinical experience. In addition to the primary antidepressant (SSRI or SNRI or TCA), and the mood stabilizer, also an atypical low dose antipsychotic will augment the efficacy of the antidepressant such as 50 to 100 mg of Amisulpride, or 5 mg of Aripiprazole, etc. So, there are a lot of options available which have not been tried and I would request you to consider these first, in addition to the ongoing therapies. And finally, do not use Tramadol daily that would lead to an opioid type of dependence and ultimately worsen his depression." + }, + { + "id": 29828, + "tgt": "Has it been proven that shaving pubic hair is bad?", + "src": "Patient: Hello doctor, I remove my pubic my pubic hair often. However, lately I have come across some information on the internet where they try to give scientific evidence or studies or scientific view on why it is bad to shave pubic hair. Lots of the people have discussed about it, but they have not given conclusive proof of what I understand. One of the doctors said that\u00a0pubic hair is vital for preventing pathogens entering the vagina. Is this just an evidence or actually proven? I would like to know has it been scientifically proven that shaving pubic hair is bad.\u00a0Or is it just own views? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3623, + "tgt": "I experience muscle spasm above lips with no disturbance of other activities. Please help", + "src": "Patient: Hello doctor, I have been experiencing a muscle spasm above my lip on the left side. It is a rapid vibration that I can see when I look in the mirror and feel when I touch the affected area. I do not experience any pain when the spasms are happening and I can still talk, smile, and otherwise move my face. I first began noticing the issue last year. The spasms seem to come and go. For the past few days, they have been occurring at night. Sometimes the spasm is still happening when I go to sleep, but by the time I wake up, the spasms have stopped. Last night, I noticed the spasm started after a workout where my heart rate got up to 171 bpm. I have talked to a few doctors who have recommended magnesium and I have noticed that when I take 400 mg per day dose, the issue does not last as long. That said, the spasms are still happening. I do not drink large amounts of caffeine never more than one cup a day so I do not think it is related to that. A couple of weeks ago, I noticed a similar spasm under my left eye, but that only happened for a day and then disappeared completely. Last winter, I noticed an eye spasm as well, which lasted for a few weeks, but then disappeared entirely. My GP did HbA1c, TSH, T4 free, CK, sedimentation rate, magnesium, basic metabolic panel, and GFR all results came back normal. She provided me a referral for a neurologist and I am working on getting an appointment. There are some long wait times so I am hoping to speak with a specialist in the meantime to get a little bit better of an understanding of what this might be. Doctor: Hi. I can understand the issue. It is basically the facial muscle spasm that you have. In the classical pattern, it involves larger areas of the face and not smaller area or single muscle. The cause for it can be mild compression (more of irritation than compression) over the nerve which runs into the facial muscles. The site of compression can be near its origin secondary to pressure from a neighboring blood vessel. The less common cause can be viral involvement of the nerve in the ear. For that, you should be investigated with the TORCH panel (viral screening test). Depending on results we can plan further management. A short therapeutic course of steroids may help. If it persists for a long time then Botox injection into the muscle to inactivate it will help." + }, + { + "id": 2980, + "tgt": "Why am I feeling low and getting suicidal thoughts?", + "src": "Patient: Hello doctor, I am a girl who has faced a lot of trauma in the past 2 years, I have recently lost a group of my most trusted friends, and after this happened I have been feeling almost numb to emotion, at times I do not care at all, and at times I feel suicidal, I have been eating and sleeping too much and have noticed myself becoming extremely lazy and careless in school, is this serious? Should I consider visiting a doctor? Doctor: Hello. You seem to have a mixed anxiety-depressive symptoms. Your symptoms of low mood, suicidal ideation, loss of energy, loss of interest, sleeping and eating issues, is typical. This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI type of medicines (such as Escitalopram 10 mg, or Fluoxetine 20 mg, etc.) which will help with your problem. It basically happens when some neurotransmitters such as Serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for 2-4 months and then tapered off slowly and stopped. In addition to the medicines, if needed, you can also undergo a few sessions of cognitive behavioral therapy from a clinical psychologist. Also do consider doing deep breathing exercises or progressive muscle relation daily." + }, + { + "id": 3348, + "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": 9788, + "tgt": "Why am I having high uric acid?", + "src": "Patient: Hello doctor, I am a 38-year-old cholesterol patient. I have suffered this problem for the last five years. Now, I checked up my uric acid report. My uric acid report is between 1 to 7 range and sometimes 8.99. I have muscle pain in the hand and legs. I feel sometimes my cholesterol medicine can increase the uric acid. I am currently on Rozat 10 mg, Evion, Vitamin E, Prolomet 25 mg. Please help. Doctor: Hello. A person having high cholesterol levels usually have metabolic syndrome, where they also have a high risk of developing high uric acid, diabetes, and fatty liver disease. The main line of treatment for all the above problems is to have a healthy lifestyle and medicine to keep cholesterol and uric acid levels under control. Mild muscle aches are side effects of cholesterol medicine. You can discuss this issue with your physician who can adjust the dose or change the medicine which can suit you better. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 638, + "tgt": "Is it possible for COVID-19 to worsen asthma?", + "src": "Patient: Hello doctor, I have asthma since my childhood, since last 20 days my asthma is not in control. Is that related to COVID? And I do not have any other symptoms. Doctor: Hi. According to your statement you have been suffering from childhood asthma and for the last 20 days your asthma is totally uncontrolled. Your present medication is Formost 200 respicaps which is a combination of long acting bronchodilator as Formeterol with corticosteroid as Momentasone.and your query is whether you are COVID-19 positive or not. COVID-19 usually attacks the respiratory tract first then eventually other systems. As you are a diagnosed patient of childhood asthma so you are more vulnerable to develop COVID-19 positive. I do not know whether you are quarantined or not. You had exposure history or not. So you should undergo some investigations like antigen test for active infection and antibody test for previously infected by COVID-19. You can also undergo CXR and Pulse oximetry for monitoring of oxygen saturation rate. You can take nebulization with Salbutamol and Salbutamol inhaler 6 hourly or SOS with Fexofenadine and Montelukast along with steroid orally." + }, + { + "id": 19348, + "tgt": "How to know the reason for tiredness and sick feeling?", + "src": "Patient: Hi doctor, I am an 18 year old girl. I have been feeling very weak and tired. I am not getting sleep during the night and so I sleep throughout the day and wake up in the evening. I smoke and drink. Last weekend, I felt horribly sick after drinking. I get major headaches at times on the right side of the corner of my head. I have completely reduced smoking as I feel nauseous after I smoke. I got typhoid and dengue before seven months. I had jaundice 4 years back and since then I get pain in my stomach if I dance or run. I want to get healthier. My weight is 44 kg and my face has literally gone including dark circles. My eating habits are pretty bad and I eat after long hours. I really want to get healthy and look better. I want to have stamina as I have become very weak. I used to workout at the gym, but I would feel sick all the time during that phase. Please guide me. And yes, I go through horrible pain during my periods and I go through bad PMS phase. Thank you. Doctor: Hello. Thank you for the detailed history. CBC (complete blood count), liver and kidney function test, electrolytes, vitamin D and vitamin B12 level, TSH (thyroid-stimulating hormone) and anti-HIV antibodies. I suggest Vitamin B12 1000 mcg daily and Vitamin D 5000 IU daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12867, + "tgt": "Can stress, weight loss or dehydration cause an increase in alkaline phosphatase level?", + "src": "Patient: Hello doctor,I am 36 years old, male, 6'1\", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction. Doctor: Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehydration can sometimes cause the numbers to be slightly up. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on icliniq." + }, + { + "id": 17391, + "tgt": "Pregnancy tests are positive even after taking 2 MTPs vaginally. Why?", + "src": "Patient: Hello doctor, I missed my period 18 days back. As the pregnancy test was positive had one tablet from MTP kit 15 days back. The same day night 2 tablets were given vaginally. On the next day, 2 tablets were given orally. Still I have not got my periods. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23010, + "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": 12434, + "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": 14375, + "tgt": "Kindly advise the management of mammary duct ectasia with chronic granulomatous mastitis", + "src": "Patient: Hello doctor,I am 33 years old female. Before four years, I had a baby girl but she never did breastfeeding on my left breast. Now before one month, I have noticed I have breast lump which is never painful for me. I had reduced my weight to 8 to 10 kg from last 10 months. That is the only symptom that matches here. The doctor suggested mammogram followed by biopsy but the result was active chronic mastitis with giant cell reaction. So, the doctor prescribed antibiotics but after 20 days lump is of the same size. The next visit she suggested was an excisional biopsy of the lump. So, finally, I did an excisional biopsy or removed lump with surgery and then now biopsy report says mammary duct ectasia with chronic granulomatous mastitis. There is no evidence of malignancy in the examined material. Now my doctor is confused about what kind of treatment has to be started here as disease says for chances of repeated again but what kind of treatment will be effective here. Can you please advice here, if possible? Doctor: Hi. First of all, you can relax well as there is nothing to worry with this report (attachment removed to protect patient identity). The breast lump excision biopsy (the removed lump) has no evidence of cancerous tissue. It has evidence of inflammation and infection. Now few changes are noted in the biopsy are also seen in tuberculosis. But there is no strong evidence to suggest tuberculosis. This might have made your treating doctor confused. My suggestions would be you can get the slides reviewed by another pathologist, just for a second opinion. If it is non-specific, you can be just on follow up." + }, + { + "id": 4895, + "tgt": "Why is there a sharp pain near lower abdomen in a pregnant lady?", + "src": "Patient: Hello doctor, My wife is 31 years and she is in her sixth month of pregnancy. For past one week, she is feeling mild pain in her left thigh region near to lower abdomen. Yesterday, she experienced sporadically sharp pain especially while she got up from chair in office and difficulty while walking. Today also similar situation. This weekend we plan to travel by train. What precautions need to be taken? Kindly advice. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26832, + "tgt": "Can I have sex while I am pregnant?", + "src": "Patient: Hello doctor, I am 11 weeks pregnant. I had unprotected sex with my husband. Is it safe to have sex during pregnancy? Doctor: Hello. How are you doing? Hope I have clarified your query. 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": 22094, + "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": 12213, + "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": 23562, + "tgt": "Could it be dry socket even if there is no pain?", + "src": "Patient: Hello doctor, I got four wisdom teeth out last Monday (a week ago), and the pain has been slowly decreasing, except my jaw is still stiff and hurts a little. I looked in my mouth tonight and my bottom holes have not filled, it looks to have white/yellow stuff in it and my breath smells, no matter how many times I brush or use mouthwash. Could this be dry socket even though I am not having any pain in my gums and it is a week from when I got them removed? Doctor: Hello. It might be a dry socket, but usually, dry socket appears just three days after the extraction with excruciating pain and a smelly breath. If that is the case, you need to check with a local dentist stat. However, sometimes what happens is while extracting a tooth, some sharp bony edges might remain which also cause pain post extraction. In this case, you need a radiograph/ X-ray of the involved tooth. But since you have not uploaded any such picture of X-ray, I would advise you to visit your nearest dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27467, + "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": 12427, + "tgt": "Kindly suggest medicines to control fear and anxiety", + "src": "Patient: Hello doctor, Fear and anxiety since last four week. First four days took Alprax 25 mg. No improvements. Then Olanzapine 5 mg for four days but cause strange behavior. MRI of the brain indicates everything normal. Then after changing the doctor, another doctor prescribed Clonazepam 0.25 mg twice daily for eight days. A lot of improvements. So, I thought everything is normal. But after one day again symptoms appear. Then he prescribed Fludac 20 mg in the morning and Clonazepam 0.25 mg daily. I am taking medicines but insomnia is occurring for the last three days. Doctor: Hello. I can understand and empathize you. Fear and anxiety do not come without any reason. You mentioned the duration as one month. So any situations or conditions that provoke your anxiety? Medicines will give you symptomatic relief if the cause is present there. For insomnia, you can take Clonazepam 0.5 or 1 mg SOS." + }, + { + "id": 27404, + "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": 20035, + "tgt": "Why is there no bleeding even after taking Mifepristone and Misoprostol?", + "src": "Patient: Hello doctor, Today is the fifth day after my missed periods. I had Mifepristone and after 25 hours, I had Misoprostol. The abdomen started paining and started with white discharge but no bleeding yet, I had tablet yesterday at 3 PM exact, but why is there no bleeding still? Doctor: Hi. How are you doing today? I hope you had a positive pregnancy test. Or you had a scan showing the gestation sac. I mean to say that I hope pregnancy was confirmed. The ideal step after confirming a pregnancy inside the uterus is to have tablet Mifepristone 200 mg orally. This will dislodge a pregnancy from the uterine lining. You will not have any bleeding, only mild abdominal cramps and features of gastritis. After 48 hours of this pill, that is after complete dislodging of the embryo has occurred, tablet Misoprostol 200 mcg 2 to 3 tablets have to be taken orally or vaginally after wetting it. Bleeding will start after this, it may take 2 to 3 days after the pill. If still no bleeding, you have to doubt if you were really pregnant. Now all you need to do is wait for 1 to 2 days. If still no bleeding, check urine if you are pregnant. (Pregnancy test is positive one day after missed period). Do not take Mefipristone without confirmation of pregnancy inside the uterus, if in the tube, you will bleed internally). Have scan to see for pregnancy inside the uterus after two weeks. Then repeat this schedule." + }, + { + "id": 261, + "tgt": "CT scan shows para-aortic lymph node with constant belly bloating. Please explain", + "src": "Patient: Hello doctor, I am suffering from persistent bloating in the upper stomach soon after my ovarian cyst laparoscopic surgery which I underwent before eight months. Today a local doctor suggest a CT scan of the whole abdomen. In the CT scan it is written that few enlarged lymph nodes are noted in the para-aortic region. The largest lymph node measuring 11 mm in short axis duration. The rest of the report is normal. The local doctor said it may be a serious issue but I read on the internet that 11 mm lymph node in the para-aortic region is normal size. I am not suffering from any infection, fever, or other problems. Please guide me. Doctor: Hello. Do you have any history of weight loss? Any history of blood in stools? Looking at your CT report (attachment removed to protect patient identity) it is quite normal and that para aortic lymphadenopathy without any symptoms is of no concern. It might be due to some infection. Hemogram with ESR (erythrocyte sedimentation rate). CRP (C-reactive protein). UGI endoscopy. Dyspepsia. Enteritis. Antibiotics. Avoid pain killers and spicy fatty meals." + }, + { + "id": 14348, + "tgt": "IVF got canceled due to empty egg syndrome. What should I do?", + "src": "Patient: Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done but could not retrieve any eggs. IVF cycle got canceled due to empty egg syndrome. Now, what should I do? Doctor: Hello. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertilization) could not yield any eggs with agonist cycle, it is suggested that you can be placed on DHEAS (Dehydroepiandrosterone) 75 mg tablet daily for 48 days along with low dose oral contraceptive pill for two cycles and then should repeat your AMH to see if it improves and ovarian reserve is improved and then you can opt for another IVF cycle post that. Discuss with your IVF specialist and take an informed decision." + }, + { + "id": 2325, + "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": 18244, + "tgt": "Can I continue my pregnancy with a high TSH level?", + "src": "Patient: Hello doctor, Recently, I got conceived. My latest thyroid profile report showed the T3 and T4 to be normal and the TSH levels were abnormal at 22.96. We have heard that this TSH value affects the brain development of the newborn and also the newborn will not be mentally good. This is bothering us a lot and now we are in dilemma of going ahead or getting it terminated. Please share us your valuable thoughts on this. Currently, I am taking Thyroxine 50 mg. Doctor: Hi. Yes, you are right. Hypothyroidism can affect the fetal brain development, especially in early pregnancy. Thyroid hormone is normally very important for many functions of the body. It helps in the early development of the fetus. The brain is one of the parts of early organ development. In early pregnancy, fetus mainly depends on mother's thyroid level because fetus itself cannot produce up to around 11 to 12 weeks (three months). There is no data available whether you have taken treatment early and adequately. But yes, there is data that hypothyroidism can affect brain development and function in baby permanently and whatever damage occurs is irreversible. If you are taking Thyroxine (Levothyroxine) 50 mg and the level is this high, then you need to increase the dose. And, if you have started treatment just now, then continue and repeat according to the doctor. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3908, + "tgt": "Can smoking cause chest congestion and productive cough?", + "src": "Patient: Hello doctor, I have chest congestion with heaviness in chest. I also have a constant cough with sputum. I am not taking any medication at present for this. Could this be due to smoking? Doctor: Hello. Your cough and chest congestion is probably due to bronchitis (smoking can be the underlying reason however, at the moment you are experiencing a phase of exacerbation due to infection or an allergic reaction). I would like to know about the onset of your symptoms and how long you have been experiencing these productive coughs and chest pain? Nonetheless, CXR (chest x-ray) is the necessary step before prescribing appropriate medications. Your probable diagnosis is bronchitis (likely an allergic one). I recommend using a nasal corticosteroid to subside the symptoms such as Mometazone or Beclomethasone. You will also benefit from using antibiotics such as Azithromycin. Macrolides such as Azithromycin are not only anti-microbial agents but have some anti-inflammatory effects that are quite impressive in bronchitis. Gargling warm saline along with installing a humidifier in your room will be of great importance. Also, a PPD (purified protein derivative) test is always recommended as a primary tool to screen tuberculosis in patients with chronic cough. Do not freak out about it but it is worth the visit since prevention is always far better than treating a late-stage infectious disease. Allergy, infection. PPD, Sputum test, CXR. Infectious bronchitis. Allergic bronchitis. COPD. Tuberculosis. Pneumonia. Bronchitis. Beclomethasone nasal spray, Azithromycin 1 g on the first day then 500 mg for five days, Theophylline-G suspension, one table spoon every night." + }, + { + "id": 1175, + "tgt": "How long will it take to recover from rheumatism?", + "src": "Patient: Hi doctor, My wife is having\u00a0swelling over the collarbone and back. Our doctor diagnosed rheumatism after blood test. Now, she has pain in ribs when she carries our 2 year old son or any weight. Our doctor had prescribed Bon-DK, Bon-K2, etc. How long will it take to recover? Is this a serious problem? Will this get cured? Please explain. Doctor: Hi. Anti-CCP, ANA and serum uric acid. 1. Rheumatoid arthritis. 2. Soft tissue rheumatism. 3. Seronegative arthritis. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 3881, + "tgt": "I want to know whether the general functions of mitochondria are checked?", + "src": "Patient: Hello doctor, My brother has done a muscular biopsy. I want to know whether the general functions of the mitochondria have been checked and verified in this muscular biopsy. In the hospital, they have checked the muscular biopsy and they are as follows: ATPases (9.4, 4.63, 4.35), menadione, succinate dehydrogenase, DNPH, phosphorylase, adenylate deaminase and\u00a0cytochrome oxidase. Doctor: Hello. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5573, + "tgt": "Will losing weight help in treating stage 4 liver fibrosis?", + "src": "Patient: Hello doctor, Two years back, after a routine blood test I was diagnosed with fatty liver due to raised liver enzymes ALT 53 ALP 66 and GGT188. I later underwent a liver scan and the conclusion was Child A Cirrhosis-possibly secondary to NASH. Advised to lose weight with no medication prescribed. Yesterday, I underwent a FibroTouch scan and result showed liver stiffness of 19.9 kPa and UAP(dB/m) of 279. Meanwhile, for the past one year I have been taking daily supplements of Milk Thistle, Gluthathione and lately Magnesium Bisglycinate, (for cramps and muscle weakness), and Vitamin E. I was also once told that I may have high inflammation due to autoimmune-related problem possibly due to a weak gut (leaky gut). All not really validated through any test. Apart from deciding to go aggressive with my weight loss initiative and eating more plant based food, I am at a loss as to what to do to reverse the stage 4 fibrosis from worsening. I am going plant based because of the testimonies of those who adopted the diet lifestyle and had a change for the better in their conditions. My family is worried that I may not have the chance to live long. I am almost 62 now. What do you advice that I should do to recover from this? Doctor: Hi. You have investigated by fibroscan report (attachment removed to protect patient identity). The 19 kpa is suggestive of grade 4 fibrosis in liver. The fibrosis can from due to chronic inflammation. The NASH is form of hepatitis due to overweight. So, fibrosis can develop in NASH as well and so liver can be more stiff. However, your high kpa and UAP are suggestive of early cirrhosis change. So, you need to lose weight first. The Ursodeoxycholic acid can be prescribed for your condition. You need to be monitored regularly by gastroenterologist. No further aggressive treatment needed just now. I suggest you consult gastroenterologist for detailed evaluation and do regular follow up." + }, + { + "id": 11852, + "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": 27524, + "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": 3010, + "tgt": "Though I stopped using tobacco, my gum turns black. Why?", + "src": "Patient: Hello doctor, I was chewing tobacco for the past few years. And I stopped it forever. But sometimes I have a little throbbing on my gums. And the color of my gums changed to black. Is this any serious disease? Doctor: Hello. It is good that you stopped chewing tobacco. For how many years you had a habit of tobacco chewing? And what was the frequency? At what site you used to keep the tobacco? Does the change of color of your gums is limited or it is generalized? Do you have any burning sensation over that site? Any loss of taste? Above all counter questions are necessary to rule out possibilities, so kindly answer so that we can come to the diagnosis and can plan treatment. I would like to see the images of your concern area that is your gums where you are noticing the change." + }, + { + "id": 10523, + "tgt": "My ECG report was strange. Is this due to anxiety?", + "src": "Patient: Hello doctor,I had a strange ECG from my watch. No one else looks like mine, and my primary doctor said that it is anxiety. Doctor: Hello. I have thoroughly gone through the ECG results there are no specific changes that would indicate any pathological change. ECG results might show different shapes and morphology, but it does not necessarily mean it is abnormal. I have to ask what are you doing about your weight? You are overweight, and it puts you at risk for cardiovascular disease. I hope you have put in measures to help reduce your excess weight like dieting and exercise." + }, + { + "id": 25109, + "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": 14831, + "tgt": "I had oral sex. I am diagnosed with herpes type 1 & 2. I have flu like symptoms. Do I have HIV?", + "src": "Patient: Hello doctor, About 4 weeks ago, I got oral sex from a partner whose HIV status is unknown to me. I did only that with her. I always thought that it represented no risk of contamination to HIV. Now the thing is that about 1 week after that intercourse, I did a general blood test and found out that I have herpes type 1 and 2. I am aware that herpes increases the risk of contamination to HIV. But when I received the oral sex, I did not have any visible sore on my penis. Now about 4 to 5 weeks post that intercourse, I started to have flu-like symptoms (fatigue, sore throat, etc.) and several mouth ulcers. Could it be a sign of HIV or is it nothing as I was not exposed to anything and did not have an open sore on my penis when I had oral sex? Doctor: Hi. Firstly pre-existing lesion of herpes or any genital ulcer on the penis during sexual intercourse or oral sex increases the chances of HIV transmission. Your blood report came positive for Herpes 1 and 2. Herpes 1 mostly causes oral ulcers, and herpes 2 causes genital lesions. And there are two tests, Herpes IgG, which indicates any past infection or subclinical exposure and herpes IgM, which indicates active infection. Please tell me which test was positive in your case. Coming to your symptoms, they may be suggestive of the acute HIV syndrome. To rule out HIV, please get a western blot test done for HIV 1 and 2 at the earliest. ELISA test, which is generally done for HIV will be negative in the window period (4 to 6 weeks after contracting HIV). Also get an ELISA for HIV done 8 weeks after your exposure. If it is negative, get a repeat test done after 3 and 6 months for understanding. Please tell me a few details to help you better. Did you have sexual intercourse also? If yes, you need to get a few more tests done to rule out other STD's. Did the person who performed oral sex have any oral or genital lesions?" + }, + { + "id": 16492, + "tgt": "My stools are hard and dark. Do you suspect stomach ulcer?", + "src": "Patient: Hi doctor, Five days before, I had stomach upset. The doctor prescribed me Pantoprazole, Metronidazole and Albendazole (once) for three days. My acidity, gas and constipation got relieved. But, I still observe a little hard and dark stool. Also, there is a mild pain without blood while passing stool. I am worried about dark stool. Do you suspect stomach ulcer? Doctor: Hello. Dark and hard stool is because of constipation and not ulcer. Gastric ulcer will initially produce burning pain in the middle part of the upper abdomen and in very rare case bleeding occur from ulcer and then only stool become brown colored. Pain around the anus is also due to excessive straining to pass hard stool. In addition to your mentioned treatment, you should add stool softener to relieve strain during passing stool. Consult your specialist doctor and discuss with him or her. Once the constipation is relieved and then also you have dark stool, then you should get a stool examination for occult blood to check the microscopic amount of blood in stool and based on which further evaluation will be decided. Stool occult blood test, digital rectal examination and proctoscopy. Continue the same treatment and add stool softener. Also, consult a general surgeon once if possible to rule out any anal or rectal cause for constipation. Avoid constipation. Revert back with the reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20613, + "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": 7584, + "tgt": "I am suffering from pain near my tail bone. What is the treatment?", + "src": "Patient: Hello doctor, I am facing severe pain near the tail bone, I use a computer daily, and I play badminton. I even applied gels but no use. Doctor: Hello. I have studied your case. Due to microtrauma, there may be fibrosis formation. Do hot fomentation over the sacrum. It will take weeks to months to subside. Use ring cushion and take sitz bath [sitting in lukewarm water for 10 minutes]. Take analgesic like Nucoxia 90 (Etoricoxib) once daily along with tablet Methylcobalamine 1500 mcg once daily consulting your doctor. If not relieved with all these methods, then local injection may be required. You can take this consulting your doctor. Clinically spinal origin of pain needs to be ruled out if required MRI spine can be done. I hope this answers your query. If you have additional questions or follow up queries, then please do not hesitate in writing to us. I will be happy to answer your queries." + }, + { + "id": 12630, + "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": 3056, + "tgt": "I get irregular period with a varying interval each month. Why?", + "src": "Patient: Hello doctor, Actually, I get my periods once in 40 days for one month and within 28 days the other month. It is continuing for a long time. Previously, I had one miscarriage and vaginal infection. Currently, I am on Folinal. Please help. Doctor: Hello. Periods can be irregular. It can be normal. When periods are irregular than there could be two problems. One is difficulty in getting pregnant. And second is more bleeding and the variance cyst. Do FSH (follicle-stimulating hormone), LH (lutenizing hormone), Prolactin level, estrogen, progesterone, serum TSH (thyroid-stimulating hormone), andone ultrasound scan. All these investigations to find out anything abnormal. If anything found then treatment can be given. Or you may require treatment if you want to conceive. If everything found normal and you also do not want to conceive now then there is no need to take any treatment now. Do drink more water. You can elaborate on other problems if you have." + }, + { + "id": 13415, + "tgt": "Is there any way to cure bursitis heel?", + "src": "Patient: Hello doctor, I have bursitis heel for the last seven months not healing in spite of ultrasound, healing creams, exercises, anti-inflammation medicine. Please suggest. Doctor: Hi. This is called Enthesitis and is due to inflammation of plantar fascia. You need at least 10 days of anti-inflammatory medications. Do an ESR, CRP and if possible PDUS of the heel. Start capsule Indocap SR 75 once a day along with Pantoprozole 40 mg morning." + }, + { + "id": 24755, + "tgt": "My eye got swollen after wearing contact lenses all day. Will it heal on its own?", + "src": "Patient: Hello doctor,I have twice in the last two weeks scratched the cornea of my eye. The first time was two weeks ago when I was wearing my contacts for an extended time (no more than normal) and started feeling severe pain, tearing, swelling of my right eye. It felt like the contact in my eye folded over (it was not). Slightly sensitive. It took a couple of days and I was back to normal but had not worn my contacts again until the day before, when I wore for a short time, no problem. Yesterday, I wore them all day and had the same reaction of dry eye, tearing, extreme pain, scratchy eyes, extremely light sensitive and very swollen eye. Do I need to go to a doctor for treatment or will it heal on its own? How long should I wait before I wear my contacts again? Doctor: Hello. It looks like you have a huge epithelial defect due to trauma caused by contact lenses. But the possibility of infection can only be ruled out by examining your eye. It would have been great if you would have attached a photograph but, let me suggest some medication that will cover both the defect and infection, if present. If no relief is obtained in a couple of days, then visit an ophthalmologist. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 986, + "tgt": "I am diagnosed with ulcerative proctitis and suppositories do not work for me. Why?", + "src": "Patient: Hello doctor, I am 26 years old. I was diagnosed with proctitis stage of ulcerative colitis in January. Doctor prescribed Mesalamine suppositories and I was healed. It again started in May. Doctor prescribed me three Mesalamine suppositories a day but the bleeding still continues. Any advice on medicine or diet will be highly appreciated. Doctor: Hello. I can imagine how upset you are about your disease. Thankfully it is limited to the rectum and not extensive to involve the left side of the colon. I am sure that your previous gastroenterologist had done biopsy of the rest of colon to exclude microscopic activity in other segments of the colon. So if suppository is not working I suggest you to use Mesalamine enema. You can use 2 grams enema once a day preferably in morning after passing the first stool. Not thrice a day. The once a day dose work fine. Actually suppositories may not reach up to the extend of disease, hence in such situation enema which are rather liquid preparation would work fine. Plus you should add Hydrocortisone enema 100 mg once daily at night time. You can use Hydrocortisone enema for two weeks and Mesalamine enema regularly. The picture you uploaded (attachment removed to protect patient identity) suggestive of blood with lots of mucus. I also want to recommend to test stool for C difficle antigen, and blood IHA titers for E.histolytica, if any of those infections are found would require antibiotic therapy in addition to the above therapy. You can follow up with me and update me about five days of use of the above regimen, I hope you would be fine by then. I would tell you the long term management of your disease and when exactly you require a repeat colonoscopy. I hope this helps. Ulcerative proctitis. Stool for fecal calprotectin. Stool for C difficle antigen, and blood IHA titers for E.histolytica. Infection colitis superimposed. Ulcerative proctitis. Follow up within one week to update about the symptoms and discuss the investigation that are suggested." + }, + { + "id": 2162, + "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": 30405, + "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": 26479, + "tgt": "I always tend to overthink and imagine the worst. Do I have a disorder?", + "src": "Patient: Hello doctor,I always overthink on things which are really impossible to happen and I feel it becomes reality. I start to panic and feel like I am going to be crazy at any time. I feel like there is no safe place to go and I am shaking. It feels like I forgot to breathe, I cannot even focus on my thoughts. It is like I do not understand what\u00a0people are saying even if it is a simple word. I feel fears eating the whole of me but nobody will never ever notice me. I suffer from this panic attack almost thrice a day. When I was a kid, I almost lost my life when our house got burned. I have not taken any meds. I am just keeping it to myself because I am afraid of what others might think. Doctor: Hello.I understand your problems. Your panic attacks can be controlled by medication. Revert with reports of cardiac evaluation, so that I can help you better.\u00a0 For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 24198, + "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": 29625, + "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": 28151, + "tgt": "I felt lightheaded and like my heart stopped. What should I do?", + "src": "Patient: Hello doctor, I am a 74 year old\u00a0male in excellent health, and I am not on any medications. Recently, I had a strange chest sensation. It felt like my heart stopped or skipped, and I felt lightheaded like I might pass out. I had an EKG, echocardiogram, and a Holter test done. The EKG results were normal. In the echocardiogram, I\u00a0was given a reading of 77 % and was told that my heart was in a very good condition. Holter tests showed supraventricular tachycardia but not extreme. I have only seen the physician assistant as the cardiologist is too busy. I would like to send my Holter test reports to you and get an opinion. I have cut back on caffeine and alcohol, which are the only measures I have taken so far. Doctor: Hello. I understand you are a little worried about your heart and have been on the Holter monitor for a while. I appreciate that you have uploaded the reports in full for my consideration (attachment removed to protect patient identity).\u00a0 Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23296, + "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": 26657, + "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": 23702, + "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": 29931, + "tgt": "Kindly give your advise for my breastfeeding wife's cold and fever", + "src": "Patient: Hi doctor, My wife is breastfeeding our 6 months old baby. She was having fever and cold since yesterday. I need your medical advice. Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 516, + "tgt": "I have itchy and dark rashes in my inner thighs. Please help", + "src": "Patient: Hello doctor, I have rashes on my inner thighs. They are itchy and have infected areas of dark color. There is no pus but just itchiness. Doctor: Hi. It seems the rash and itching on the inner thighs could probably be due to a fungal infection of the skin. This is very common especially in tropical countries and more so in the hot humid summers. To accurately diagnose the same, further information like images of the affected area, total duration of the rash, any other areas affected, any discoloration of nails, etc., are needed. If it is indeed a fungal infection the following can be kept in mind. Treatment of fungal infections includes applications which contain Ketoconazole, Sertaconazole, Luliconazole, etc. Oral antifungals like Terbinafine and Itraconazole are often used in combination for better clearance and reducing recurrences. Local hygiene is very important. Taking bath daily, drying the skin folds after bath, keeping soap and towels separate and drying your clothes in sunlight and ironing them before wearing will help to kill the fungal spores. So, I will recommend evaluation by a dermatologist to decide on the treatment. I hope this helps." + }, + { + "id": 13014, + "tgt": "Will taking Vitamin B12 injections cause any problem?", + "src": "Patient: Hello doctor, My age is 41 years. I have taken Care 3 injections of B12, after seven days, test results are greater than 1500 pg/ml. Before injections 100 pg/ml. Please suggest how to decrease and was it dangerous to my body? Doctor: Hello. Do not worry. It is not dangerous. It is a water-soluble vitamin and will be excreted in urine. You do not need to take any medicines for that, just have plenty of water. Measure level again after two weeks. Avoid injections of Vitamins, just have tablets for both Vitamin D and Vitamin B12, if necessary in future after checking levels only." + }, + { + "id": 17747, + "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": 22749, + "tgt": "There is ventricular bigeminy and ectopics post MI. Do I need a device?", + "src": "Patient: Hi doctor, Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogram and noticed RCA 99 % block, kept stent. After six months, I developed ectopics around 20 per minute. The drugs were changed to Bisoprolol, Metoprolol, Sotalol but there was no use. The cardiologist advised for EP study. What next? Do I need a device? I am sending briefly about my cardiac MR study and Holter report. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (electrophysiology studies), which, if positive, that, induces a VT (ventricular tachycardia) which needs an ICD (implantable cardioverter-defibrillator) implantation. The second option is ablation of these VPC's. It works better if you have a structurally normal heart, but you have LV (left ventricle) dysfunction. Also, ablation is fine if you have recurrent ICD shocks. So summing up, I would advocate an ICD if VT is induced. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18439, + "tgt": "Can I take Primolut N 5 mg along with a regular contraceptive pill?", + "src": "Patient: Hi doctor, I am taking tablet Primolut N 5 mg three times a day for bleeding. I am using it for a short-term period. Once my bleeding stops, I will stop using it. Can I take Primolut N 5 mg along with my regular oral contraceptive pill? Doctor: Hi. Primolut N 5 mg (Norethisterone) is a hormonal medication used to delay periods and after stopping it, it can cause withdrawal bleeding within one to two weeks and can cause unscheduled bleeding or irregular periods or spotting. When you are taking oral contraceptives pills along with it, it can affect your menstrual cycles. Both the medications will interact with each other. Oral contraceptive pills are cyclic combined hormonal contraceptives pills that not only provide contraception but, also gives you cyclic bleeding. You can use both medications separately or one medication at a time. Take Primolut N 5 mg twice daily from the day 4 to 24th day or use only combined oral contraceptives cyclically. It would be better if you send your detailed history. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30796, + "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": 13518, + "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": 16749, + "tgt": "What are the ways to remove acne scars?", + "src": "Patient: Hi doctor, I am 24 years old. My weight is 50 kg and my height is 158 cm. I have severe acne scars on face, back, lower back, below the neck and pimples on face. Even after using Benzoyl peroxide there is no change. I have oily skin. I use to get severe menstrual pain up to 3 or 4 days and for which I am using Meftal spas. I have breast pain mostly except the period days and few days following.\u00a0Also there is a small color difference in the right breast not overall. But, the pain is not specific to this area. I get pain in both breasts. Is it just premenstrual pain or something to be concerned? For allergy, I am using nasal spray and Allegra tablet.\u00a0Back pain is present occasionally and not severe. I have hair fall\u00a0and thinning of hair from scalp and dandruff problem. When I oil my hair for dryness I get more pimples. What else can I do for dry hair, hair fall and dandruff?\u00a0Occasionally, I get a lump below the lower abdomen on the right side. A doctor once made me cough and tested, the lump was not formed. But, he said with symptoms it would be hernia. It follows with a mild pain there.\u00a0Also, at times I feel like I have to give pressure while urinating. Will these be a symptom for PCOS or endometriosis or any hormonal imbalance? What are the ways to help remove acne scars? Is baking soda a good choice? Or any other home remedy? I apply lemon juice on face, even baking soda, but nothing is working for the scars.\u00a0I drink milk twice a day mixing Amul pro whey protein powder. Does dairy product cause acne?\u00a0At times I get a burning sensation on body, especially after afternoon sleep, and also at the back of neck when my hair touches. Is that due to severe back acne scars? How can I take care of the diet for the problems concerned? Can you suggest me a good sunscreen for my skin? Doctor: Hi. For acne, take a course of tablet Azithromycin 500 mg daily on three consecutive days in a week for four to six weeks and continue with Benzoyl peroxide 2.5 percent gel on the pimples in the morning and Adapalene gel at night on the pimples. As far as scars are concerned, you can try using Tretinoin 0.05 percent cream on the scars at night. It will not have significant benefit, but you can give it a try. Otherwise you can consider: Besides this, avoid oiling of scalp, keep your face dry, avoid using creams and moisturizers and reduce the intake of sugary foods. Baking soda and lemon juice will not have any effect on acne scars. So, you can stop using them. Dairy products are known to aggravate acne, so reduce their intake. For dandruff, use a Ketoconazole shampoo every alternate day to start with and then taper slowly once improvement is seen. Along with this, use a good quality conditioner after hair wash and start with tablet Keraglo Eva (gamma Lenolenic acid) once daily for hair fall. This needs to be continued for a minimum of three to four months. I do not think the burning sensation is due to acne scars. You should go for La Shield sunscreen gel over your entire face at intervals of three to four hours during the daytime. For breast changes and lump, I would recommend you to consult a surgeon as he will be able to guide you better regarding these symptoms. For back pain, consult an orthopedician and for allergy consult an ENT specialist. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25937, + "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": 4141, + "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": 25429, + "tgt": "Is Dextroamphetamine contraindicated in heart condition?", + "src": "Patient: Hello doctor,I am a 55 year old woman recently diagnosed with ADHD and prescribed stimulants. I have hypertension and I take Amlodipine 5 mg, Losartan 50 mg and Propranolol (10 to 60 mg) for anxiety which also helps with my blood pressure. My echocardiogram says that my left ventricular wall thickness is mildly increased with grade 1 diastolic dysfunction fo the left ventricle (impaired relaxation pattern) with normal left ventricular systolic function. Everything else on the echocardiogram is normal. Is taking a Dextroamphetamine prescription of 5 mg ER and 5 mg IR a day contraindicated with my condition? This is the weakest prescription of Dextroamphetamine, but it helps a lot with my ADHD and anxiety symptoms. The stimulants do not appear to increase my BP, but my BP is not completely controlled. It is usually about 130 over 85. I am having another echocardiogram next month. Doctor: Hello. So, currently, you do not have any serious heart issues. The impaired relaxation and diastolic dysfunction occur due to chronically elevated BP leading to hypertrophy. It is not serious heart problem and needs no specific treatment. It is similar to the bodybuilding of athletes secondary to increased workload. Now, regarding Dextroamphetamine, the contraindication is not related to your heart but related to high BP. It is contraindicated in moderate to severe uncontrolled hypertension. So considering you are having the lowest possible dose and your observation that it is not affecting BP readings, Dextroamphetamine can be continued. However, keep watch on blood pressure. Now, mentioned BP reading is fine and you should continue the same antihypertensive. If needed, we can increase Amlodipine to 10 mg. Regarding cholesterol, LDL is significantly higher. You should do vigorous lifestyle modifications and if you are already doing then it is better to initiate medicines like tablet Rosuvastatin at bedtime. Otherwise, you should have a healthy lifestyle like avoiding fatty, oily, and high-calorie diet. Also, have a low salt diet. 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. Try to lose some weight and bring BMI down. Recheck cholesterol after two to three months, if there is response it is fine, otherwise, you will need medicines. 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": 22812, + "tgt": "I have had an awful headache for six days. Please help", + "src": "Patient: Hi doctor, I have had an awful headache for six days making me very agitated. Pain is going into an eye and the side of my head feels slightly spongy. I have not banged head at all. Usual painkillers are not working for long. It is driving me insane. Doctor: Hi. I am giving you my opinion as follows. If your pain is throbbing in nature with nausea or intolerance to loud sound then a migraine should be ruled out. Check your blood pressure as high bp can lead to a headache. Provide a history of an ear infection if present for giving more comment. Chronic stress can lead to a headache as well. Hypoglycemia, lack of sleep, smoking, prolonged fasting, etc., contribute to a headache. If no, any inflammation present and no cause identified than CT scan advisable. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14030, + "tgt": "I am unable to exercise after ACL surgery. Will it cause any complication?", + "src": "Patient: Hello doctor, I am 21 years old and had ACL surgery six months ago in my left knee but I am not able to exercise for the previous two months. What will be the consequences? Doctor: Hi. Usually, it takes 1 to 2 months for recovery from surgery and 3 to 4 months for muscles to regain their usual strength after ACL surgery. Since you cannot exercise it means that your muscles have not reached their optimal strength till now. Arthrofibrosis is a common complication after such surgery that can prevent you from exercising. But to know the exact cause, I would suggest you have MRI or bone scan of the knee joint to know the exact cause. Also, I would advise you to have physiotherapy sessions." + }, + { + "id": 25657, + "tgt": "Does my thallium stress test indicate any serious block?", + "src": "Patient: Hello doctor, I am attaching my recent ECGs along with readings of aerobic capacity and VO2 max. The VO2 max and aerobic capacity are estimated low as exercise was interrupted after five minutes in the speed of 2.3 Kmph whereas I could have gone on for at least five more minutes with speed of 3.5 Kmph. I have undergone stenting two years back. There were no symptoms but thallium stress test and then angiogram indicate a blockage. I am also attaching my ECGs of six months back when I have been advised a pacemaker. I did not follow the advice as my ejection fraction was 73% and I did not have any symptoms of blackout or fainting. I am currently on Crestor 5 mg, Telma 20 mg, occasional Asenapine 2.5 mg, Oxetol 1200 mg, Lamitor 300 mg plus some nutritional supplements. Can you tell If there has been any improvement in the ECG. What would my aerobic capacity and VO2 max go up to if I was allowed 10 minutes of exercise on the treadmill reaching a speed of 3.,5? Any other observations or advice on your part. Doctor: Hello. I have gone through your history and your reports (attachment removed to protect patient identity). You are not symptomatic, ECG (echocardiogram) indicated a rhythm block. You are having a high-grade atrioventricular block which is the availability of the rhythm and not the blood flow. You have to assess the blood flow of heart by doing angiography. If the blood flow is good, the pacemaker will regularise your heartbeats. If there is a problem with the blood flow, it has to be tackled first as it can be a cause for this rhythm blockage. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26514, + "tgt": "I got my tonsils removed last year. Now, I have redness on one side. Why?", + "src": "Patient: Hello doctor, I had my tonsils removed last year. Now, on one side, I have this red area. It can get inflamed sometimes and every now and then, I get a cyst or ulcer in that area. Why is this area red and not on the\u00a0other side? Is it due to a lot of blood vessels in one area that used to supply the tonsil or what? Doctor: Hello. I have viewed the images attached by you (attachment removed to protect patient identity). Hope your query is answered. Do revert back if you need anything more. Happy to help you. For more information consult an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27843, + "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": 30030, + "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": 18119, + "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": 13716, + "tgt": "Will post nasal drip cause a whitish lump in throat?", + "src": "Patient: Hi doctor, I have a whitish lump at the back of my throat located on the posterior wall. I suffer badly from post nasal drip but not sure if this is related, doctors seem unsure and I am worried sick. Any input as to what this could be? Suffer from GERD, post nasal drip, have had blood at the back of throat over the area of concern previously (when the lump was not visible). Doctor: Hi. I understand your concern, it is most likely submucosal lymphadenitis of the posterior pharyngeal wall. This may develop secondary to chronic infection of the nose, paranasal sinuses, and throat. To confirm the diagnosis, you may go for MRI neck and FNAC from the lump. Most of the time it is reported as non-specific reactive hyperplasia which is not a problem and maybe leave as such but if anything special comes in FNAC then that may be plan for treatment accordingly." + }, + { + "id": 2318, + "tgt": "I get frequent urination for about a week. Can this be a symptom of ovarian cancer?", + "src": "Patient: Hello doctor, I am having frequent urination for the last four to five days coupled with bloating. I used to have the same problem in the last year also. Please guide. Can this be symptom of ovarian cancer? Recently I lost 6-8 kg of my weight. Doctor: Hi. Do not think of ovarian cancer as such with a single symptom. Frequent urination can be due to UTI (urinary tract infection), cystitis, bulky uterus, or uterine prolapse. It's acute onset points towards infection more likely. Just drink more water that keeps urine clear. Keep the vaginal area as dry as possible. Avoid having sex. You can take liquid Cital 2 tablespoons two to three times daily, tablet Niftas 100 mg two times daily for 15 days. If not relieved then only we have to look for other problems. Right now I am giving treatment and precautions for UTI only. For bloating, it may be due to acidity or stomach upset. Starvations or not walking like home lockdown can also increase the acidity. So avoid spicy and oily food. Do not starve. Do not take stress. You can take tablet Ondem 4 mg like tablets two times a day or Pan 40 once daily. If weight loss is without decreasing food habit and other things then need to do one ultrasound abdomen and pelvis along with one chest x-ray may be required. Means need to investigate for finding the reason. Ultrasound will also tell about any other pathology if you have doubts about your ovaries. And if symptoms are increasing then urine routine test and if pus cells found than culture sensitivity of urine also required. You can start with drinking more water and precautions and other medicines. Will see in two or three days whether decreasing or not." + }, + { + "id": 18377, + "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": 4620, + "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": 11271, + "tgt": "Is it normal to have dizziness after ear infection treatment?", + "src": "Patient: Hello doctor, I had an ear infection in my left ear about a month ago, and my doctor prescribed Amoxicillin twice a day for a week. I went back shortly after and the ear infection moved to my right ear and my left ear was not any better so she prescribed Z-pack for five days. I finished my Z-pack last week and I am better overall, but I still feel a little dizzy when sitting down. When will that go away? Doctor: Hi. Does the giddiness last for long? Is it only momentary? Is it spinning or weakness? Is there any hearing deficit?" + }, + { + "id": 28127, + "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": 8935, + "tgt": "I have pericoronitis and swollen lymph nodes. Can I wait until my appointment?", + "src": "Patient: Hi doctor, I currently have pericoronitis and it has developed over these past two days. The main symptom I noticed was pain and discomfort in my lower right wisdom tooth. The tooth is half in and half out. I scheduled an appointment with my oral surgeon but would like some advice. I noticed yesterday that the lymph node almost behind my jaw on the side of the infected tooth was swollen and painful to touch. Then today, I noticed the lymph node under my chin was extremely large and painful to touch as well. It was not like that yesterday. Because of that, I went into an urgent care and he prescribed me Penicillin and painkillers. I have only taken one Penicillin pill over these past few hours. I started to do more research on the topic and came across multiple reputable websites stating that if you have swollen lymph nodes with pericoronitis to go to the hospital. I am wondering if I need to go this evening or if I can wait until the morning and discuss it with my oral surgeon. Doctor: Hi. Pericoronitis itself is usually painful mainly because of food entrapment between the gums and the half-erupted tooth along with inflammation there. The swollen and painful lymph nodes are nothing but indications of persistent infection. It does not mean that you have to rush to the hospital in this case. Once the infected tooth is pulled out and the gums heal normally, the lymph nodes get back to normal. The only case when you should be much concerned is that big swelling of the cheek which is visible on the face. You had mentioned that you had tablet Penicillin and painkillers. This is alright, it helps the infection go down a little bit while you wait for your appointment. But ideally, active dental treatment along with antibiotic coverage would be most helpful. You could as well continue Penicillin for at least five days three times daily and painkillers whenever you have pain. You can absolutely wait until your appointment for the scheduled extraction. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20804, + "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": 13425, + "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": 7197, + "tgt": "How to get rid of my anxiety problems?", + "src": "Patient: Hello doctor, I am 15 and, I mean I do not necessarily think I have depression. I think I am a teenager dealing with teenage emotions. But I have strong anxiety problems, as does my mom (who has had a history with depression and mental illness). And I was just wondering why I feel lonely even though I am not physically alone? I have a loving family and hang out with friends regularly, but I often feel alone and end up being sad and lonely in my room. I go from happy to sad in the blink of an eye. Going to the gym and working out is a huge part of my life, I do it every day and love it. But recently I have not had much if any drive to go and would rather lay in bed. Should I be worried? Is feeling lonely normal? Am I just going through teenage emotions? I am also stressed about school starting up and have summer homework that is stressing me out. Doctor: Hello. Yes, it is normal if you do not even any strong physical stressor, worry or thoughts or preoccupations. Mood swings at your age are quite normal due to hormonal changes in teens. The important thing is to keep moving on and completing things rather than avoiding it, such as hitting a work out, meeting with friends, etc. Besides, if you ever feel overwhelming emotions or worrying about anything which you think have difficulty controlling than you must visit a counselor and seek help. Sometimes swinging in moods become difficult for young ones and they become apprehensive. Also, to make yourself relax, you can do the following, 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem.I hope it helps." + }, + { + "id": 11244, + "tgt": "Why do I get allergy on having some kind of seafood?", + "src": "Patient: Hello doctor, I am 51 years old. I had a severe allergic reaction when I was 7 years old, after eating a crab meat sandwich. It was made with canned crab meat, and I cannot be sure if it was real or artificial. I found large round red hives all over my body, which turned to rings before healing. I never ate crab or lobster since then. I have always eaten shrimp, scallops, clams, and many other types of seafood without issue. I continue to wonder if my allergy all those years ago was a crab meat allergy. I have been avoiding crab and lobster for no reason. Does all seafood belong to the the same family? Doctor: Hello. Allergy reaction is due to a specific particular protein or substance. Each group has a different type of protein. It varies from each. There are several types of shellfish, each containing different proteins like crustaceans include crabs, lobster, crayfish, shrimp, and prawn. Mollusks include squid, snails, clams, oysters, and scallops. Some people are allergic to only one type of shellfish but can eat others. Other people with shellfish allergy must avoid all seafood. So one may need not get an allergy to all group and family." + }, + { + "id": 1441, + "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": 6385, + "tgt": "I suffer from nightfall and feeling dizzy and tired. Please suggest a medicine to cure it", + "src": "Patient: Hello doctor, I am an 18 years old male. I have been suffering from nightfall for one and a half years. I feel dizzy, tired, and have no concentration. Please suggest me a good medicine to cure it. Is NFcure capsules a good option in curing it? Doctor: Hello. The very first advice is not to worry about the nightfall. According to Ayurveda and Siddha, it is due to the excess heat in gonads. I have treated many patients with the following drugs and advice. 1) Stop drinking water or liquid two hours before sleep. If you are going to bed at 10 pm, then your last drink of water or juice should be before 8 pm. The more fullness of urinary bladder is one of the causes of nightfall. Urinate before bed. In between, if you wake up from bed, pass urine. 2) Try to sleep on the left side of the body or supine (looking upwards). Avoid sleeping on the right side (right-lateral) or facing downwards. 3) Buy Brahmi hair oil or Amla hair oil. Apply ten drops on the top of the head at 6.30 am. Rub with right hand on the head. After one hour, take a bath in normal water. You may use warm water also. This should be done daily in the morning. 4) Shatavari legium 5 gm (one teaspoon) should be consumed in the morning and evening before food for four months. 5) Before sleeping, keep your both feet on the basin containing room temperature water for 30 minutes then wipe with a towel. Then apply cow ghee or sesame oil on the foot. Then go to bed. This practice will reduce the heat in genitals. 6) Drink tender coconut water, cucumber juice, fruit juices. Avoid tea and coffee. This will stop your nightfall." + }, + { + "id": 17464, + "tgt": "Can I give Babygesic drops for fever?", + "src": "Patient: Hi doctor, My baby, who is 1 year old, is suffering from fever. It\u00a0is 104 Fahrenheit from last one hour. Please help me. Doctor: Hello. 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": 22230, + "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": 29563, + "tgt": "Shall I get foam rolling for shoulder pain?", + "src": "Patient: Hello doctor, Once in two days, I get muscle pain or cramps in my rhomboid major. My T4 and T6 is usually pretty bound up. Also, I have minor scoliosis, and one of my shoulder blades is higher than the other. This is causing pain on my right side since that is the lower shoulder.\u00a0I have chiropractor appointments once a week.\u00a0Shall I get foam rolling on my back or two tennis balls taped together? Would doing this with regular chiropractic visits be bad for it? Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 29206, + "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": 9796, + "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": 25449, + "tgt": "Will diet and exercise regress mild concentric LVH?", + "src": "Patient: Hello doctor, I\u00a0am 31 year old, who has mild concentric left ventricular hypertrophy and grade 2 diastolic dysfunction. I was alcoholic and used to smoke from past five years, but now I quit. I am on Nebivolol 5 mg and Amlodipine 2.5 mg medication. The diastolic blood pressure was on the\u00a0higher side, so I quit smoking five days back. Now my blood pressure is around 130-135/90-100 mmHg. I do not have kidney damage, my creatine is 0.88, thyroid is normal, and I am not diabetic. I currently take Nebistar SA. I am obese and my total cholesterol is 213. Will mild concentric LVH regress with diet and exercise? Doctor: Hi. We will review after two months. Revert after two months to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28372, + "tgt": "What can be the reason for the loss of subcutaneous fat?", + "src": "Patient: Hi doctor, I am losing subcutaneous fat from the\u00a0thighs, legs, hands, palms,\u00a0foot soles, face, chest, etc. I also have some swollen nodes.\u00a0I am not diabetic, my fasting blood sugar is between 100 to 107 mg/dL and postprandial is between 110 to 120 mg/dL. But, when I start losing fat, then the fasting blood sugar becomes 133 mg/dL and postprandial\u00a0becomes 154 mg/dL. After taking Surbex Gold tablet, it came back to 110 and 139 mg/dL. What may be the reason for the loss of subcutaneous fat? Doctor: Hi. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19828, + "tgt": "Lifting a heavy object caused a severe stabbing pain in my back. What could it be?", + "src": "Patient: Hello doctor, I am a 17 year old female. Yesterday, I picked up a large heavy object. All of a sudden, I felt an excruciating pain in the center of my back. It almost felt like I was being stabbed in the back with several knives. The pain was so severe I could not get back to my feet. It took me almost five to 10 minutes to stand up after I took some Paracetamol, which had no effect. I then slept on it and woke up with a back pain score of 10/10. I cannot breathe well, I struggle to talk on some occasions and my left arm feels heavy and tingly. I then took a hot bath hoping to soothe the pain which also did not work. I have had a history of back pain and also a pins and needles sensation in the upper left side of my body. I have had numerous tests and MRI scans but, they showed nothing. Doctor: Hello. I read your query. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16011, + "tgt": "Is it advisable to get root canal treatment in a broken tooth?", + "src": "Patient: Hello doctor, I am meant to be having a root canal filling in one of my teeth. I have had it temporarily filled twice and now it has fallen out but it feels like there is only one side of my tooth almost like it has broken in half. Will they still do the root canal filling? Doctor: Hi. I have gone through your question. I can understand your concern. Yes, if the root stem is strong and not resorbed, root canal treatment can be performed, after that, if the crown tissue is grossly damaged they will do another procedure called post and core treatment. So, you need not worry." + }, + { + "id": 24024, + "tgt": "I have a small bump on my head. Is it because my mom was hit when pregnant?", + "src": "Patient: Hello doctor,I am a 19 year old female. When my mom was pregnant, her brother had hit her tummy by mistake with a ball as he was playing cricket. My mom had felt some strong movements at that time and I feel this is the reason why I have a small bump on my head since childhood. It does not pain. It does not cause me any headache, etc. It is in skin color. The only thing is that I can feel pus inside when I touch and as I touch hardly, pus comes out it is slightly yellowish and cloudy. Can it be treated with antibiotics or creams? Doctor: Hello. There is no relation between the ball hitting your mother during pregnancy and the lesion on your head. From your history, it seems likely to be a sebaceous cyst (nothing serious). As there is pus currently, you can use antibiotics. I suggest showing it to a physician close to home and get it examined. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25889, + "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": 22800, + "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": 30774, + "tgt": "From my MRI report, please explain the reason for ankle pain", + "src": "Patient: Hi doctor, I am suffering from left ankle pain. I have soreness and it is bruised. Sometimes, it is difficult to walk too. I am also suffering from lower back pain. I feel the pain from my ankle joint to my hip. I have a history of ankle pain, but it was on the right. Before two years, I had an arthroscopic surgery (OCD MTD) in my right ankle. A month ago, I had an MRI done. Here is the report for your reference. Kindly let me know if you want any other reports as well. From the MRI report, please let me know the\u00a0reason for my left ankle pain. Doctor: Hi. For further information, consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10668, + "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": 18397, + "tgt": "There is brown spotting a week before periods. Is it a sign of pregnancy?", + "src": "Patient: Hello doctor, I took an I-pill after 48 hours of intercourse. Now I am experiencing brown spotting a week before my periods. Is it a sign of pregnancy? Doctor: Hi. As you took an emergency contraceptive pill within 48 hours of intercourse, you can expect around 75 % protection towards pregnancy. The protection rate decreases with a delay in the intake of pill from intercourse. The spotting you had could be due to withdrawal effect of the pill or rarely may be because of implantation bleeding. So, to be sure, if you miss regular bleeding during your expected date of periods, please go for urine pregnancy test once. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8963, + "tgt": "Hearing my own voice and breath sounds. How to overcome those issues?", + "src": "Patient: Hello Doctor, For the last 3-4 years I have been getting occasional autophony. This usually occurs during physical exercises like running etc., or when in college or when I am with my friends. It is very irritating to listen to my own voice echoing in the ear and also I do hear my own heart beat and breathing sounds. But, occasionally when I suspect something has opened in my ear, I hear a mild pop sound. I searched in the internet about the same symptoms and found it to be patulous eustachian tube. And I think that is the problem which I am suffering from. I have seen an ENT doctor and told him about my problem. But I think he is treating me for plugged ears and after about a month of treatment, the autophony is coming rarely. If I stop taking medicines the autophony will start occurring more frequently. Now I do not get autophony because I am taking medicines. But a small sensation of heaviness remains throughout the day. And whenever I yawn, the pop sound occurs giving back some autophony and a lot of heaviness which reduces over some period of time like 20 minutes. If I apply a little pressure by closing the mouth and blowing the nose very slightly, I instantly feel pressure on the ear drums and lot of heaviness in both the ears. What should I do, so that autophony does not start again? I also want to get rid of this little heaviness I feel in my left ear. Doctor: Hello. I read your entire history and understood your problem. Autophony is the unusual hearing of one's own voice and even breathing sounds. You have two issues:- The treatments offered to you also shows the same thing. Let us understand the problem first. Eustachian tube is the tube that connects the middle ear to the throat. Normal functioning of eustachian tube is essential to maintain proper ventilation of the ear. If it does not function or malfunctions, it leads to sense of fullness or heaviness in the ear which you have been having. Patulous eustachian tube is a condition in which the eustachian tube remains open most of the time. It recovers by itself over a period of time. However, if it persists for a long time, in that cases minimal cauterization of the opening can be done endoscopically. But this is rarely needed. Regarding malfunctioning of the tube, a small procedure called myringotomy (surgical procedure of making a small incision in the eardrum to relieve pressure) and ventilation tube insertion in the ear will help, as you are suffering for a long time. In this, the ventilation tube is fixed in the ear and that serves the purpose of ear ventilation. Till then, you will have to continue steam inhalation at least once a day in the evening for 3-4 months. You will also need to take a decongestant tablet. Take tablet Febrex plus one tablet in the evening for 10 days followed by tablet Montair Lc once a day for one month. Avoid exposure to air blast and cold exposure. For further follow up, consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6571, + "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": 15042, + "tgt": "I have pain in the chest and arm though all the reports are normal. Why?", + "src": "Patient: Hi doctor, I have a lot of chest pain and arm pain for the last few months. Especially my underarm and sides of the chest, and under chest worsens when pressed. All my reports are clear (blood and urine test, barium swallow, neck sonography, ECG, chest and arm X-ray). Though arm X-ray had slight calcification on the shoulder. For the last few days, I feel some kind of movement inside my chest whenever I make sudden movements. It also feels like something is moving and popping (majorly) in my left chest, sometimes in the right one, and just under the breast bone. Please help. What could the cause of this be? I did all my tests before this started happening so I do not know what is the next step. Doctor: Hello. From what you have mentioned, most likely you have musculoskeletal pain. Which may be due to trauma or strenuous exercise. Please provide me with a chest X-ray in order to exclude other serious diseases. Musculoskeletal pain is characterised with pain with inspiration plus tenderness when pressing. My advice is to use Voltaren gel thrice per day for three weeks. Deep heat thrice per day for three weeks." + }, + { + "id": 23500, + "tgt": "Why is there a skin discoloration in my back?", + "src": "Patient: Hi doctor, I have been diagnosed with cervical dystonia, a chronic neck disorder for most of my adult life. It is extremely debilitating and treatment resistant. The onset was after car accidents, stress and substance abuse at age from 19 to 21. I am no longer smoke or drink and have stopped before 10 years. I have seen the top neurologists in my country, taken all the drugs and Botox variants and even considered deep brain stimulation. All scans and blood tests have come back with nothing. I also have vague symptoms that my neurologists dismissed out of hand or had no clue about and said as much. The first symptom is a discoloration of the skin from the base of my skull, which runs halfway down my back. It is a pale yellow brown hue, more noticeable in natural light. Aside from my neck spasms, this is the only visual, physical symptom I have, apart from persistent acne on the back.The second symptom I have, which happens once or twice in a year, although less frequently in the last few years, is a feeling at night. It feels like I am going to experience some kind of organ failure in my middle back. This is coupled with breaking out in a cold sweat. I can only describe it as feeling like I am on the verge of dying. It is not a pleasant sensation. I also experience depression and anxiety and an odd lack of pain in most of my body. This lack of pain numbs the excruciating spasms in my neck, but also hinders healing and sensations throughout my body. With all this in mind, my question is, are there any tests the neurologists might have missed that an endocrinologist would usually employ? Does my symptoms sound worthy of further investigation by an endocrinologist? Doctor: Hi. Revert back with the photos to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25008, + "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": 23372, + "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": 19354, + "tgt": "Accidentally, dog's teeth touched me while playing. Should I get vaccine?", + "src": "Patient: Hi doctor,I used to put biscuits for a stray dog in my office. Today, when I saw it, it came to me and started playing with me. Accidentally, one of the teeth touched my finger, but there was no injury or bleeding. Kindly advice if I should take a\u00a0vaccine. Also, two months before I had Rabipur injection since one dog teeth hit my finger and I was injured. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11342, + "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": 28265, + "tgt": "I do not have any symptoms, then why is my prolactin level high and testosterone level low?", + "src": "Patient: Hello doctor, My doctor wants me to get an MRI after my blood work. I wanted to get a second opinion, and I have attached my\u00a0blood results. My prolactin is 20.4 (above normal), total testosterone is 269.3 (below normal), free testosterone is 8.9 (normal), FSH is 3.7 (normal), LH is 2.9 (normal). I have had a history of low testosterone, and it was 150 and 130 in the last two years. This recent test was done this month. I have no low libido or erection problems with my\u00a0wife. I do notice that I am not waking up with a morning erection. But if my wife arouses me in the morning, I immediately get an erection. I must admit that I was eating a lot and not exercising as much, but I started to change that. Do you think an MRI is needed? Should I see another local physician or urologist? Or should I just get medicines to lower my prolactin level? Doctor: Hi. Thanks for posting your query. Hope this information was useful to you.\u00a0 For further queries consult a\u00a0diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 5106, + "tgt": "Can liver metastasis be confirmed in a CT scan?", + "src": "Patient: Hello doctor, Can a CT scan identify liver metastasis? Doctor: Hello. Yes, CT (computed tomography) scan can detect suspected primary tumor or metastasis in the liver. However, it is not confirmatory, a biopsy is needed to say its malignant origin if the primary tumor is not already found in other organs." + }, + { + "id": 24262, + "tgt": "Are my fever and boils due to HIV?", + "src": "Patient: Hi doctor, Last month, I had sex with a third gender. I was little drunk at that time. I used a condom but she did not let me penetrate. Instead, she simply inserted my penis between her thighs and tried to take money from me. During the intercourse, I did not ejaculate and my condom was at the right place. But, when I insisted her to get me to cum, she held my penis and pulled the condom and the condom broke. She then helped me masturbate. After two days, I got a fever. It was gone in seven days. Now, I have a sore throat. I called her so many times for a test, but she is refusing. She claims that she is clean. Please let me know what should I do. I tested myself with an HIV 1 and 2 test and combo test last month and this month for my current HIV status after a gap of 16 days, then 32 days. I do not have any symptoms on my genitals, but do have some small boils on my hands and back due to waxing. Now, these boils have also reduced. All my tests are coming normal except CBC (MCH 26.30) and RDW (16.90). Please help me find my stress buster. All the reports are attached. Doctor: Hello. Your current problem of fever and boils is not due to the recent contact or HIV, but due to other causes. I have seen your blood reports (attachment removed to protect patient identity). There is nothing to worry about. As you are worried about HIV, you can go for fourth generation ELISA test at four to six weeks after exposure and then repeat at 12 weeks of exposure. Good luck. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9372, + "tgt": "I fall accidently when I feel stressed. Please advice", + "src": "Patient: Hello doctor, I am 21 years old. My problem is related to mental issues in which at the moment when I feel more stress, I will fall accidentally at that place. I take medication from a psychiatrist. My problem started before a year, and today I will be in that problem. Please help me to overcome from this problem. Doctor: Hello. I understand that you are facing some distress in your life due to some factors. I am afraid you have not mentioned any stressor specifically. That would be more helpful in advising adequate management strategies. However, in general, stress damages, both physical and mental health. Therefore reducing stress remedies is suggested at both levels, including behavioral changes. At first, you must need to get proper assessment identifying cause of stress, whether its work-related or some personal issue. It can be done by analyzing thought processes when you have any symptom. Other strategies may help, 1. Deep breathing exercises 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling would be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per requirement." + }, + { + "id": 27996, + "tgt": "After a fracture, my finger looks bent and swollen. Should I go for a surgery?", + "src": "Patient: Hello\u00a0doctor, I broke the top joint of my right pinky finger, two and a half months ago, late the night, before I was leaving for a two-month trip abroad. I tried to splint it, but it did not work, and it bent down by about 45 degrees, and now the joint is swollen. After getting an X-ray, now that I am home, the specialist said that I could try to splint it religiously for six weeks, to see if it works, with results of a 10-degree bend and a slight bump. He said it has a 50 % chance of working given the time lapse. If it does not work, I will need surgery, where he will clean up the extruded bone, and put something between the joints, and a pin, that will need to be removed. I will wear a splint for six weeks after and need some physiotherapy. The other option is just to have surgery now, and avoid the six-week test. It seems like the surgery now might be the better option to provide a better long-term solution, versus the results of the splint if it were to work. What do you suggest? Doctor: Hello. Kindly follow up with your X-ray for further discussion. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1031, + "tgt": "How to manage nosebleed?", + "src": "Patient: Hi doctor, My 3 year old daughter has had three nosebleeds in about 3 hours. During the nosebleeds, she said her cheek bone area close to her nose hurts. What to do? Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 22146, + "tgt": "Can mere kissing lead to getting infected with HIV?", + "src": "Patient: Hello doctor, I am a 21-year-old homosexual male. I am not sexually active. However, I kissed someone for 30 minutes. He told me he was healthy. However, I am not sure of his HIV status or if he was on any medications. I suffered mild gingivitis after the event, however, I brushed an hour before. I did not have any noticeable bleeding. I am extremely worried that I could have contracted HIV from the other person's mouth if he had gingivitis. I am so concerned I am taking a rapid HIV test tomorrow which makes the exposure four weeks old. I am on antibiotics for my gingivitis which has now cleared up. I am not sure if it was gingivitis or a throat infection as I was able to bring the tiny spectacles of blood from my throat though now it is gone. Please help. Doctor: Hello. Firstly, your risk is unwarranted in this case. To the best of my knowledge, as per published literature, there is no case reported of HIV (human immunodeficiency virus) through kissing. Saliva itself has very low concentrations of HIV and also contains anti-HIV factors that prevent transmission. However, theoretically, there can be a risk if there is a presence of blood in the mouth of the other person like in the case if there is an active bleeding gums or sores or ulcers. It is good that your HIV test result at four weeks of exposure is negative. I suggest you get a confirmatory test at three months of last exposure. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 14095, + "tgt": "Why are there balancing problems, blurred vision and concentration issues?", + "src": "Patient: Hello doctor, I am facing certain problems which include balancing problems, blurred vision and sometimes, headaches, concentration issues. It has been 2 to 3 months that I am facing all these. Doctor: Hi. I have gone through your case and can well understand your genuine health concerns. The cause of your symptoms can be related to brain disorder or vitamin B12 deficiency or eye problem. In my opinion, you should consult a physician first because you need a thorough neurological examination. These symptoms can be related to cerebellar disease which is a part of the brain. Vitamin B12 can also cause balancing problems, headache, concentration issues, etc. Sometimes, a refractive error in the eyes can also cause balancing problems, blurred vision, headache. I suggest you consult an ophthalmologist also. Get your serum vitamin B12 done. If you have low levels then you may need B12 supplementation. Cerebellar disease or vitamin B12 deficiency, eye problem." + }, + { + "id": 8799, + "tgt": "Are knee cracking sound and vitamin D deficiency correlated?", + "src": "Patient: Hello doctor, My query is regarding knee joint and lower back pain. I\u00a0usually get a cracking sound when I bend my knees and while getting up. The sound is not accompanied by pain. Is this a cause of concern? Please let me know if any test or x-ray needs to be done. I\u00a0am also having lower back pain problem. While bending I experience this pain. I\u00a0am also having vitamin D deficiency, which is 20.80 nmol/L. Do these knee joint sound and vitamin D deficiency correlated? Please suggest some way to treat this deficiency as spending time in the sun can increase the chance of cancer. Or please suggest the right time to be spent in sunlight. Do I need to take supplements for Vitamin D deficiency? If so, then please suggest a good one. Doctor: Hi. Hope this message finds you in good health. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 3422, + "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": 27952, + "tgt": "Why is my 3. 5 year old daughter having irregular bowel movement and mucus in stool?", + "src": "Patient: Hi doctor, My 3.5 year old daughter has irregular bowel movements\u00a0with a recent problem of mucus in stool. Earlier also, she did not poop regularly. I use laxative when she does not poop for two to three days consecutively. Recently, she has a problem of mucus in her stool for approximately a month. She always complains of pain or cramps around her navel before a bowel movement. I got an ultrasound,\u00a0which revealed that she has a mildly enlarged liver. When I consulted a local pediatrician, he stated that mild enlargement of the\u00a0liver might be there in children, and nothing has to be done. He prescribed a medicine named Livosil B. We used it for 2 to 3 days, but my daughter is still suffering from irregular bowel movement and mucus in stool. Please help me. Doctor: Hello. Kindly answer these questions for a better understanding of your child's problem. Regards. Revert with more information to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 30016, + "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": 11533, + "tgt": "How can high platelets count with mild anisopoikilocytosis be cured?", + "src": "Patient: Hello doctor, My wife is having high platelets count, diagnosed with mild anisopoikilocytosis, predominantly normocytic with ovalocytes (RBC), WBC mild leukocytosis is present, platelets: appear increased in the smear. Doctor: Hello. The increased platelet count in your wife case seems to be due to reactive thrombocytosis. The iron deficiency anemia can lead to reactive thrombocytosis and so platelet count can be high. You need to treat her anemia with Ferrous Ascorbate tablet like medication for a month. The high total count along with high neutrophil and lymphocytes need to be treated by empirical antibiotic course. Her diabetes is also not controlled well and with a medication, it needs to be controlled. After a week, repeat CBC to check total count." + }, + { + "id": 29598, + "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": 11701, + "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": 28067, + "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": 16476, + "tgt": "I am having permanent rashes on the sides of my neck. What are they?", + "src": "Patient: Hello doctor, I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached. Doctor: Hi. I have seen your query and concern. Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity). Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scab looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19724, + "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": 18213, + "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": 4196, + "tgt": "How to tighten my double chin and sagging jawline?", + "src": "Patient: Hi doctor, I am 26 years old. I was looking for a professional opinion on treatments to remove a double chin and saggy area around the jawline and if possible some type of restoration to the cheek area. I have sent some pictures. The first five pictures are recent the other two are taken before few years. I am a smoker for eight years. Could this have contributed to the cause? Of note, I weigh about the same weight as I do before a year. Over the past year, I have lost 25 pounds (current weight is 170 lbs) due to exercise and diet, yet double chin persists. Is sagging around the jaw due to loss of skin quality or would more weight loss solve the problem? Doctor: Hi. I have seen your pictures. (attachment removed to protect patient identity). On the detailed analysis of your face, it seems you have a bit of prominence of the jowls. There is no double chin. It seems to be entirely normal but if it worries you, you can go ahead with botox for muscle hypertrophy or thread lift. I would like you to get examined clinically and judge what is required?" + }, + { + "id": 23043, + "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": 20969, + "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": 19448, + "tgt": "Does erythematous gastritis result in stomach cancer issues in future?", + "src": "Patient: Hi doctor, Four months back, I had issues of stomach bloating and frequent bowel movement. My DP did an endoscopy and found out the I had erythematous gastritis. He had prescribed medicine for one month. The issue of stomach bloating and frequent bowel movement issue got resolved. But now and then I keep getting stomach bloating issue. And even if I press my stomach inside below the ribs area and right and left of mid-belly there is a mild pain. Please assist with my below queries: Is erythematous gastritis a serious sickness? Does erythematous gastritis result in stomach cancer issues in the future? Why does my stomach bloating problems occurs now and then? Are there any other tests to be performed to confirm no other underlying issues in my stomach? Doctor: Hi. Erythematous gastritis is simply inflammation of stomach that can occur due to excessive stress, faulty lifestyle, alcohol, and painkiller abuse. Now following are your answers: It is not serious. You just need treatment for long duration. Unlikely to result in cancer. Take a combination of Pantoprazole and Domperidone once daily for a few weeks. You can ask your doctor for tablet Mebeverine. No further tests are required. You need to correct your lifestyle. Walk, exercise, meditation helps greatly." + }, + { + "id": 22058, + "tgt": "Please describe the test reports of a liver disease", + "src": "Patient: Hello doctor,My father has a liver disease. I need the description of the report and the stage of the disease. Doctor: Hello. As per the report, you have attached (attachment removed to protect patient identity), looks like he has hepatocellular carcinoma (liver cancer) and it is metastatic (stage). Another possibility is of cholangiocarcinoma or neuroendocrine tumor. But stage will be same. Differentiation between the above three is important as both have different treatment approaches. If possible, biopsy of liver mass should be done. Otherwise, serum alpha-fetoprotein, CEA (carcinoembryonic antigen) chromogranin and CA (cancer antigen) 19.9 along with triple phase CT of liver would help in differentiation between the two. Based on the report, he also has a chronic liver disease. Was he taking alcohol for a long time? If yes, I would consider HCC (hepatocellular carcinoma) as the first possibility. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 20696, + "tgt": "When and at what dosage should Meftal-P be given for fever?", + "src": "Patient: Hello doctor, My daughter (3 years 11 months old) has a fever for the last five days. My doctor prescribed Calpol syrup for normal fever. If the fever is more, then he told to give Meftal-P for my daughter. When can I give this Meftal-P? Before food or after food? How much mL I have to give and let me know that how many times we have to give? Doctor: Hello. I have reviewed your query and here is my advise. If fever crosses above 101 or 102, then use Meftal P. In syrup 100 mg is present per dose. So 5 ml can be given at one time. It can be given two to three times a day. If the fever does not resolve, then further work-up is needed in the form of CBC (complete blood count)." + }, + { + "id": 20128, + "tgt": "What is the small red spot I am having?", + "src": "Patient: Hello doctor, I have a small red spot since last two days, and I am very worried. Kindly tell me what it is. Doctor: Hi. What is the complaint in it? Is the size increasing? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10716, + "tgt": "What could be the reason for persistent cough and the feeling of having something in the throat?", + "src": "Patient: Hello doctor, I had a cough for six months, and now I have the feeling of something in my throat. I had a sinus X-ray, lungs checked, checked for asthma, swallow test done, and thyroids checked (I have a tiny nodule, in which the doctor said that would not make me cough). Do you have any suggestions on what it could be? I am very tired of coughing. Doctor: Hello. The cough you say is it dry or sputum? Are you losing weight? Is there any drenching night sweat and persistent low-grade fever? Is there any history of contact with someone with a chronic cough in your locality? Do you smoke, is your occupation such that you are exposed to industrial dust, and asbestos? Is there any associated chest pain, any difficulty in breathing, etc. A small thyroid nodule may not make you cough but if the nodule is impinging on your trachea that can irritate which you claim you notice in your throat. The thyroid check you did was it thyroid function test to know the thyroid hormone profile, because a solitary thyroid nodule may be toxic and can be abnormally producing excessive hormones thyroxine which may cause other possible symptoms such as excessive sweating, weight loss, anxiety, intolerance to hot weather, diarrhea, palpitation (as if your heartbeat is audible to you). If non of these is the case, then you have to do screen for TB, do sputum AFB (acid-fast bacilli) and do GeneXpert, that will rule out tuberculosis. If you can help me by uploading some of the tests you did, that would help make a definitive diagnosis in this case." + }, + { + "id": 24691, + "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": 5167, + "tgt": "I doubt this is a nevus, is it so?", + "src": "Patient: Hi doctor, When I go to sauna I do not have goggles on to protect my eyes. Then there is exposure to heat. I have attached my reports.\u00a0I would like to know is it\u00a0a nevus? Should I worry about it? I appreciate your answers. Thanks. Doctor: Hi. I checked your pictures (attachments removed to protect patient identity). Revert back with clear photographs to an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2623, + "tgt": "I have a feeling of something stuck in the throat. Could it be a flap in throat or epiglottis?", + "src": "Patient: Hello doctor, Feeling of something stuck in the throat that comes and goes. It is mostly there all the time but sometimes it will go away. It actually feels more like that flap in my throat is twisted or I am swallowing it or something. I had a scope down by a GI last week and they said they only thing they found was a hiatal hernia. I just did a barium swallow test today. Waiting for the results. A few weeks ago, I had a swallow study done and they could see somewhere food was catching there on my epiglottis. I just do not know how much more of this I can take. I feel like it is a hairball or something stuck there or like a small flap or skin. My question is would not GI doctor have seen it if that little flap in my throat or epiglottis? Or it was messed up or swollen or something? Doctor: Hi. The feeling of something stuck in the throat is usually due to gastric acid reflux causing pharyngeal irritation. Gastroenterologist will definitely see the epiglottis but it is not the pathology. The regurgitation of swallow can be seen only on swallow studies that tell functional problems. Endoscopic examination can tell anatomical causes. Hiatal hernia is a cause for it. Even your swallow study is suggestive of this. You should take some antacid regularly but the best solution for this is surgical correction. This can be done laparoscopically too. I hope this helps." + }, + { + "id": 6909, + "tgt": "In case of broken heel, is it safe to keep the special boot on with the fracture blisters?", + "src": "Patient: Hello doctor,I broke my heel three days ago. The specialist said it is the worst break to get. My question is, should I keep the special boot on even with the fracture blisters. It is painful as it rubs on the boot. Should I keep it on at night also? Doctor: Hello. Plaster or a synthetic boot is designed for walking, and if you have blisters then a boot is not advisable for the reasons that you have found and that also indirectly means that you are allowed to walk but in reality, walking or lowering your leg will make the swelling and blisters worse. You need to be on strict elevation will heel above heart and ice the area 10 minutes at a time till the swelling is down. This also means that most are your activities are to be done on the bed until the swelling starts to recede." + }, + { + "id": 27457, + "tgt": "I have a pus draining pimple on the inner part of the hip. Please help", + "src": "Patient: Hi doctor, A few months back, I have developed a sort of a pimple on the inner part of the\u00a0hip, which later drained and got healed. But later it again opened up with draining pus. And for the last few weeks, it has not healed automatically. I have started taking Augmentin duo 625 from the last three days, but still no visible difference. I have checked my blood sugar also both fasting and PP, which fall in the limits. I feel this wound aggregates more on long driving and with sweat. Please suggest any medicine or dressing. Also, I have H.Suppurativa for 2 to 3 years. Doctor: Hello. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13774, + "tgt": "I have swollen gums near the extraction site. Please help", + "src": "Patient: Hello doctor, Four days ago, I had surgery to remove four impacted wisdom teeth and one molar extraction. Yesterday, I began to develop swelling of the gums near the bottom right incision. Today it has grown up into a bubble covering the top of my back molar. One quarter of the molar is covered by the swollen gum. It is bubble shaped and deep red or white. Most of my pain has subsided but this localized area hurts severely and has gotten progressively worse. I have continued with salt water rinses and the medicated rinse the dentist gave me. All of the other sites seem to be healing just fine. Should I be concerned about infection? It feels like my molar is cutting into this piece of gum and it is a sharp burning pain that is radiating. No fever, is helped by pain medication but pain resumes immediately when the medication wears off. Doctor: Hi. I checked your attachment (attachment removed to protect patient identity), clinically it is a sign of mild gum infection. Now you can do the following steps to overcome this problem: 1. Take Metronidazole 400 mg twice a day for three days, Augmentin 625 mg twice a day for three days and keep taking Ibuprofen 600 mg twice a day to arrest infection. 2. Keep doing saline water mouthrinses at least 6 to 8 times a day. Take a sterile syringe pinch that bubble a bit, let it bleed fresh. (If possible do it by yourself till three days once in a day, if not possible, go to the dentist, he will do it for you) and then wash it with saline water. You can wash this area with pressure with a syringe. Take saline in a syringe and wash this area with full pressure several times, food may be stuck at the back that may cause this infection, syringe pressure may wash it through. Hopefully, this will get better after doing these steps in a week. Keep doing rinses 5 to 7 times a day till next two weeks. Do give me follow up after three days. Take care." + }, + { + "id": 27342, + "tgt": "My dad had a seizure-like attack after a DBS surgery. Can it be treated?", + "src": "Patient: Hello doctor, My father had undergone deep brain stimulation\u00a0surgery for Parkinson's six months ago. I have been visiting his neurosurgeon to fine tune the stimulation. There have been significant changes post surgery. But, his speech is slurred when movements are alright and when speech is fine, his movements become unresponsive. Yesterday while he was sleeping, he was unconscious for half an hour. The doctors confirmed it was epilepsy. But, all the tests were normal. His family has no history of epilepsy. What would you make of this? Doctor: Hello. Parkinsonism is very rarely associated with seizures. If it was diagnosed to be epilepsy, I think he should be started on treatment for the same. I would suggest tablet Valproate 500 mg twice a day. Get an MRI brain done. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 2900, + "tgt": "What does low WBC with low neutrophils and high eosinophil count suggest?", + "src": "Patient: Hello doctor, First of all, I feel just fine. I have no issues with infections, cold and cannot recall the last time when I was sick. I do have allergy-induced asthma and I take Advair and Flunisolide. I had a CBC recently and all values were normal except for WBC which is 3.9. My PCP ordered a repeat CBC with the differential count. This time my WBC is 3.2 Absolute neutrophils 1.54 (reference 1.8 - 7.7). Absolute lymphocytes 1.05 (reference 1.2-3.2). Eosinophil 10.8 (reference 0-3). Monocytes 8.4 (reference 0-8). My nRBC's were 0, immature neutrophils and absolute neutrophils low end of normal. For the past eight years, my WBC's were fine but 9-10 years ago they were 3.9 and 3.5. Your advice is appreciated. Doctor: Hello, Welcome to the icliniq.com. I can understand your concern. Absolute neutrophil count is slightly low as per the provided report. Temporary associated viral infection along with allergic inflammation can lead to low neutrophil count. Here main concern is high eosinophil count. Normally, if allergic inflammation is under control then eosinophil count is not high. You are taking steroid nasal spray and Salmeterol plus steroid combination inhaler. But as eosinophils are high you can be prescribed Montelukast plus Fexofenedine combination drug as an antiallergic medication for seven to ten days. Asthma confirmation and severity can be assessed by spirometry investigation. You can investigate with allergy testing to know the allergen that leads provocation of an asthma attack. Repeat CBC after one week of taking antiallergic medication. Consult a pulmonologist for examination and spirometry and discuss my answer with him. I hope this helps." + }, + { + "id": 26501, + "tgt": "I have been suffering from throat pain, headache, and weakness, sickness since last 2 days", + "src": "Patient: Dear Doctor, I have been suffering from throat pain, headache, weakness\u00a0and sickness since last 2 days. Age-21 years/ female. Give me advice. Doctor: Hi,From your query, I understood that you have simple viral infection\u00a0causing the Upper Respiratory Tract Infection (URTI). If there is no relief with this, you have to do blood test and urine test. For further evaluation, revert back to a general practitioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22769, + "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": 26177, + "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": 3602, + "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": 3351, + "tgt": "What can be done for allergy with noise sensitivity?", + "src": "Patient: Hi doctor, I am 19 years of age. I have been suffering from a kind of allergy for almost 4 years. My mother has been suffering from same kind of allergy but her case is not worse than mine. I feel runny nose, sneezing, itchy nose and eyes, mild rashes after having a shower and breathing difficulty also. My heart beat gets faster and rapid. I am also suffering from noise sensitivity. I cannot tolerate loud voices, my heart starts beating faster and I feel dizziness and headache. In my own residential area, I catch allergy for almost 360 days of the year. I am feeling much suffocation and rapid heart beat. Another thing, whenever I get stuck in some kind of mental or emotional stress, my heart rates becomes faster and irregular and at that point of time I feel suffocation too. A nearby doctor suggested me the treatment of nebulizer, but I am not feeling much better. Doctor: Hi. I have read your query and there are two components so I will deal them separately. First, the increased heart rate in stressful conditions: that is anxiety and not uncommon. You can try breathing exercises but if not controlled/or aggravates to full panic attack, you will need CBT by a psychiatrist or psychologist and medication. Best breathing exercise is placing a paper bag over mouth and nose, and completely inflating and deflating it till heart beat and breathing become normal. Now for your allergy: seems to be allergic rhinitis/sinusitis. You can use a maintenance therapy of Myteka 20 mg once a day with once a day Softin and increase Softin on excessive exposure to allergens like dust, pollen, etc." + }, + { + "id": 9139, + "tgt": "Will a RC treated tooth give pain after treatment?", + "src": "Patient: Hello doctor,I received a root canal treatment on my tooth (#37 tooth), and after 10 months, I have not been experiencing pain. Just this few weeks my tooth hurts every time it comes to contact with another tooth. But it does not hurt when I do not bite on anything. Is my wisdom tooth is growing and gradually affecting the treated tooth? Or is there any possibility that a root canal treated tooth will still give me pain after it was handled? My tooth is sealed with resin composite filling, and my endodontist never suggested if I should have it crowned. Doctor: Hello. The best possible way to find out is to get an X-ray done of the area to find out if there is an abscess related to the wisdom tooth or the RCT treated the molar adjacent tooth. Bite on a pen or pencil on that treated tooth, if it pains then it may be related ot it else the wisdom tooth may be causing a problem. You may need Antibiotics and painkillers, so get a consultation with your dentist and ask for an X-ray." + }, + { + "id": 18427, + "tgt": "I have high prolactin. Will this affect my fertility?", + "src": "Patient: Hi, My doctor said that I have high prolactin, almost 200, but I have regular periods. My periods are regular and usually have an interval of 30-33 days. I do not have any othe menstrual symptoms, other than milky nipple discharge. I take ovulation tests every month and comes back positive on my fertile days, yet I have not been able to conceive. My doctor said that, it is just a matter of time and that I should be able to conceive. I want treatment for the prolactin levels because, I believe that is the reason I am not able to conceive. I just want a second opinion please. Thank you. Doctor: Hello. Revert back to an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10923, + "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": 8259, + "tgt": "What caused a boil on my finger?", + "src": "Patient: Hello doctor, Five days ago, I got a boil between my little finger and ring finger of my left hand. I am not sure what caused it whether it was an insect bite or just a rash. It was itching a bit initially if I remember correctly, but then it stopped. It started as a small boil, but then it got bigger. I tried to drain it by removing the pus, cleaning with Savlon and putting band-aid around it. But for the last 3-4 days it has just remained as it is. When I remove the band- aid, pus started coming out of it automatically. So, at that point I clean it with Savlon, and again put the band-aid on. I have been doing it for three to four days, but nothing has changed.\u00a0This morning, when I removed the band-aid, I saw dark greenish swelling, that again started draining on its own. But, this morning it was greenish pus and not watery one. I also see a dark red spot around the boil. The boil does not itch and there is no pain.\u00a0How can I take care of this?\u00a0Also, on both my feet I have had sort of rashes for several weeks now. I cannot quite remember how they started or what caused them. They itch very much and while taking a bath or while sleeping I somehow manage to peel them off by scratching. They are not going away. I do not know if this is related to the boil on my hand. Please suggest remedies for both and let me know if they are related or not. Doctor: Hi. I have gone through your complaint and seen the pictures attached (attachment removed to protect patient identity). It seems to be either bacterial or fungal infection and best treatment option would be pus culture to look for organism followed by antibiotic sensitivity testing to treat it. Green pus indicates Pseudomonas infection. You need to be put on antibiotics to treat it. You can apply Mupirocin or Neosporin antibiotic (combination of Neomycin, Bacitracin and Polymyxin B) over the boil after cleaning it with warm water. Do not apply Savlon. I would also suggest you to have your blood sugar tested. Itching lesion could be allergic. You can apply Tenovate (Clobetasol propionate) which is a mild steroid cream over it once a day. It will resolve. Revert back after pus culture test to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30957, + "tgt": "Kindly suggest some measures for my headache", + "src": "Patient: Hi doctor, I am a 34 year old male. I am suffering from headache for the last 14 years. In the past, the frequency of headache was less. But recently, it has increased to three to four headaches in a month. I was taking homeopathic medicine for my headache. Also, I took Saridon tablet during headache, which gives me immediate relief or reduces the intensity of headaches. I have noted some trigger points which triggers my headache that are sunlight, hot weather, strong smell or odor, hunger, etc. My mother also has migraine headache since long time. Please suggest me some treatment for my headache. Also, my headache starts with neck pain. As the intensity of headache increases, the neck pain gradually decreases. The headache was always one sided that is either left or right. The headache mostly starts in the afternoon and goes away in the next morning without taking any medicine. It starts with lower intensity and gradually increases and after reaching a peak point it starts reducing. Please help. Doctor: Hi. A few points to be considered for your headache are as follows. Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8729, + "tgt": "What medicines can cure burning sensation in penis?", + "src": "Patient: Hello doctor, I suffer from nocturia. I have had two TURPs done about eight years ago with not much success. Anticholinergic drugs do not work Of recent I was going to urinate about nine times at night with an urge to urinate but little urine coming out. I have been to a urologist and the following were the results: Urine test negative. Ultrasound with no blockages, prostate normal size, bladder emptying with 20 mL remaining. Flexible cystoscopy revealed not much blockage in the prostate. MRI normal after the cystoscopy, I felt burning sensation on the tip of my penis for a couple of days. When that subsided, I decided to have sex after consuming 50 mg of Viagra and while I was erect, I started to bleed. I managed to stop the bleeding. I did not bleed after that incident but I felt burning sensations in my penis and bladder and it has never been the same as before. I took a course of Nitrofurantoin and later the urine test was negative for any UTI. The burning sensation has not stopped and I am taking Imovane for the last month with Diclofenac for the past few weeks just to fall asleep. My GP thought the problem was psychogenic and prescribed Fluoxetine 20 mg because I was having anxiety. I am on fluoxetine for the past week and it has helped my anxiety. My problem is a constant burning sensation in my penis/groin area that increases in intensity after meals. Please advise. Currently, I have been on Nifedipine 20 mg, Ramipril 10 mg, Esomeprazole 40 mg twice daily and Fluoxetine 20 mg. In the past, I have been on Flomax, Cardura, Oxybutynin, Tolterodine tartrate, Mirabegron 50 mg. Doctor: Hello. How is your nocturia now? Have you had bladder diary maintained for nocturia? What is your bladder capacity on ultrasound? Burning sensation appears because of minor trauma during cystoscopy. It will take some weeks to heal. I suggest you take syrup Cital (alkaliser) 10 mL in a glass of water three times a day. This will make urine alkaline and relieve buring sensation. Tablet Flavospas (Flavoxate) one tablet three times a day in the morning, afternoon, and evening. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Drink adequate water. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25009, + "tgt": "I am struggling with the side effects of Tamsulosin. What do you advise?", + "src": "Patient: Hello doctor, I have been on Tamsulosin for enlarged prostate for five and a half years. 18 months ago, I started getting some side effects. I am now getting another side effect, a blocked nose which I am struggling to get rid of. I know all the other prostate medications have the same side effects. I want to stop taking the Tamsulosin but know if I do, I will end up in the hospital not being able to pee and being with a catheter. As I am on Tamsulosin for life, what do you advise? Doctor: Hello. I understand your concerns. Stuffy nose is one of the major side effects of Tamsulosin (Flamox). And, all alpha-blockers could cause the same issue. The medications that could resolve your problem could make the prostate worse. So, I suggest that you change the Tamsulosin into Proscar ( Finasteride) 5 mg after consulting your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. It is very effective but takes time to show effect (up to six months). Also, I would like to know exactly the dose of Tamsulosin. You take as it may be a large dose. I would like to know how severe are your prostate symptoms: do you have difficulty in urinating, weak stream or residual urine? Please send me the report of the urodynamic study. I recommend that you follow up in order to discuss all your concerns. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12319, + "tgt": "My child has developmental dysplasia of hip. Please help", + "src": "Patient: Hi doctor, My 5 months old baby girl has got developmental dysplasia of the hip. DDH was suspected at 3.5 months when there was slightly limited hip abduction and the ultrasound showed signs of physiologically immature hip, Graf type IIa on both sides. In right side, the alpha angle is 57 degrees and beta angle is 59 degrees. Left side, the alpha angle is 58 degrees and beta angle is 57 degrees. We were recommended massage and exercise. At 5 months of age, no frejka splint or pavlik harness was given to control DDH. Our orthopedist said that hip abduction is still slightly limited, but after an x-ray, he reassured us that everything is fine. He advised avoiding sitting until 6-7 months and standing until 12 months. He advised to just do exercises and massage but nothing else. Currently, I am giving her calcium and vitamin D3 supplements. X-ray was taken. I am attaching it for your reference. My questions are, is there DDH and how serious it is? What consequences it will give in her later life? What do you recommend right now? Please help us. We do not have good specialists in my area to consult. We are waiting for your answers with hope. Thank you. Doctor: Hi. Yes, there is DDH - developmental dysplasia of hip but of a mild variety, as suggested by the ultrasound, which suggests an immature hip. X-ray (attachment removed to protect patient identity) features show that the hip is not dislocated, but since it is an immature hip. The recommended treatment given by your doctor is proper, and you should follow that. You should follow up with the doctor every month until one year of age for clinical examination, and at one year another x-ray should be taken and compared. Thereafter, if there is no dislocation, then follow up should be every year until skeletal maturity. You should also do a triple-diaper technique (a technique in which three diapers are put together to keep the thighs apart in newborn) at night only for another six to eight weeks. Complications associated with DDH are epiphyseal dysplasia of the proximal femur and avascular necrosis. The chance of which is very less in this case and these complications are more related to treatment with braces." + }, + { + "id": 29953, + "tgt": "Does my ECG look like I have ever had a heart attack?", + "src": "Patient: Hi doctor, I am a 34 year old man. My weight is 22 stone, but I am pretty active despite my weight. I am neither easily fatigued from being active nor do I ever feel breathless other than normal. There is no history of peripheral artery disease in my family or coronary artery disease and to my knowledge; there has been no heart attack in my family or episodes of sudden cardiac death. I am a non-smoker and I do not drink alcohol. My concern is that I suffer regularly with aches and pains in my legs, soles of feet, arms, shoulders and my chest. I do suffer costochondritis. The pain is never severe; it is more of a dull ache or a pulling sensation. If I had to rate the pain out of 10, I would say the discomfort is not more than 1 or 2 and maybe 3 at the worst. I feel that I have severe health anxiety and I do regularly check my pulse, blood oxygen and blood pressure. I have had numerous ECGs and of which, I will attach three for your reference. I have also had a coronary calcium score before 5 years, which was zero. I have had every blood test, including cardiac enzymes a number of times and my blood work is always normal except for borderline low testosterone. My cholesterol also in borderline and I am managing it through diet. Initially, I had chest pain before six years. I had a consultation with my GP and he organized a coronary calcium score due to a dramatically elevated cholesterol level. CCS was normal and I began a treatment of Atorvastatin. There was no further issue for the next three years. Then, when I was involved in moving a disabled person from a high rise apartment and was lugging furniture and other household items up and down five flights of stairs, I felt unwell, chest discomfort and pain in the arms. Also, I felt dizzy and fast pulse. I attended A and E promptly and they performed an ECG. But, it showed nothing and cardiac enzymes were also normal. The only thing there was an inverted T-wave, which the cardiologist was not concerned with as it was only in one lead. Two years ago, I attended A and E again with chest pain. Another ECG was performed along with a chest x-ray and all of which were normal. I was kept in overnight for routine observation and in the morning I was visited by a cardiologist. He felt that the issue was muscular and not cardiac in origin and I was subsequently sent home. Before 10 months, I attended my GP surgery to discuss my past and was told that it was a likely anxiety disorder. To settle my mind, I asked my GP to perform an ECG and the machine autogenerated a diagnosis of possible peri-infarction age undetermined. This subsequently triggered a panic episode. My GP checked it and said if I had been presented this ECG without the autogenerated diagnosis then he would say it was a perfectly normal ECG. As I asked for a second opinion, he sent my diagnosis to a cardiologist. The reply sent was I find it highly unlikely that this gentleman has ever had an MI. However, if he is still concerned, then consider a referral for stress echocardiogram. I opted for the stress echo. When I met with the consultant cardiologist, he told me that it was not anything to worry about as everything appeared normal and was basically an anxiety based. He advised no further tests necessary and discharged me as healthy with a diagnosis of GAD. Before three months, I attended A and E with chest pain and discomfort following a stressful day. Another ECG was taken and everything was normal apart\u00a0from Q waves in lead 3. A and E consultant examined ECG and reported no change from earlier ECGs. A month later, I had an ambulance call out to the home address. Two ECGs were taken in one hour difference. The first again showed inferior infarction, age undetermined and QRS duration (corrected) 491 ms. Ambulance crew said it is fine and otherwise a normal ECG. All other observations are normal with oxygen 99% and somewhat high BP. It was likely anxiety again. The second ECG showed a normal QRS duration and no other issues. I was advised to see GP for anxiety medicines I visited my GP last month. He repeated ECG again and it was normal. He gave me Sertraline and said based on my entire history that it is definitely not a cardiac chest pain. From last month, I started a new job at the hospital. Due to shoulder pain and leg pain, I attended A and E and an ECG was performed allegedly and it did not show any of the previous Q waves from earlier ECG's and appeared completely normal. The cardiac enzymes were taken and were reported normal. The final diagnosis was anxiety. Yet, again, I attended A and E in the last month as my fitbit showed that my pulse was elevated to 159. When I rushed to A and E, my pulse was 144. On arrival at A and E, I had my BP taken 154/94 mmHg. My spo2 was 100% and pulse was 114. Another ECG was performed and the nurse informed me that everything normal except QTC. So, I was asked to repeat an ECG by the consultant there. The second one was reported to be normal. In the meantime, I had panicked and checked on the internet regarding QTc durations and learnt about sudden cardiac death due to the long QTc syndrome. The nurse very bluntly told me that it was very highly unlikely to happen to me as I had no other symptom. Again, I was just diagnosed with anxiety. I have still been getting the pain in the back of my leg, around the sole of my foot, shoulder and a very slight ache in my jaw. Also, I feel some chest pain, but I relate this to my costochondritis. Please be aware that all the pain mentioned above is the same that I have presented with for a number of weeks or months and have attended A and E. Is it true that all this can be due to anxiety? Should I worry about QTc? Does my ECG look like I have ever had a heart attack? What could be causing the other pains? Sometimes, while taking a rest, my fitbit reports my pulse to be as low as 54 and when walking my pulse tends to be around 114 to 120 bpm. When it is around 120, I can feel my heart beat. One thing that is new and has recently nerved me is the ability to hear my pulse most often after running up my flight of stairs from living room to bedroom. The heartbeat can be heard externally for only a few seconds, maybe 10 at the most and then settles back to normal. This incidence occurs when I am highly anxious, during pre-anxiety attacks and only when I have done something like running upstairs. Recorded pulse during this audible heart beat is usually 120, but then within 2 minutes again that will drop to normal range. In fact, I have clocked my pulse at 136 and after 30 seconds it has dropped to 96. I am just concerned about the actual audible heartbeat. Please help me. Doctor: Hi. It is good to see your detailed history for which I have asked for. Firstly, your ECG is perfectly normal. For anything to be wrong in case of ECG, the changes should be present in at least two consecutive leads at a time. In your case whether it is a T-wave or Q, it is always there in one lead, which does not signify anything. As your stress echo and all cardiac enzymes are normal (far superior to ECG in diagnosing a problem) you are cleared from cardiac side. Secondly, you say that you were prescribed statins (Atorvastatin). One of the most common side effects of statins is myalgia (pain in a muscle or group of muscles). The generalized body ache and dull aching in nature is a characteristic feature of myalgia. I request you to consult your doctor and immediately stop Atorvastatin. Also, get your liver function test done. 1. Myalgia induced by statins. 2. Panic disorders. 3. Obsession induced anxiety. Liver function test. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7947, + "tgt": "Unborn baby is diagnosed with hydrocephaly in the 34th week. Kindly advise", + "src": "Patient: Hello doctor, Our unborn baby is diagnosed with hydrocephaly in the 34th week (now). We were totally shocked because the doctors in the clinic said that this disease must have been detected much earlier (where we live). Unfortunately, on the ultrasonic image the ventricles can be seen filled with a fluid almost entirely. We were told three times that the baby has got a very bad prognosis and yet we still do not know anything. We will have an MR scan in a week and my spouse is going to have a CS in the 37th week and she is very anxious. What can we expect? Doctor: Hi. Please do not be so anxious. A pediatrician and a pediatric neurosurgeon opinion should be taken for the same. TORCH infection needs to be ruled out in both the mother and the baby. If all is well and baby is born, a ventriculoperitoneal shunt operation may be done (based on MRI brain of the new born baby) for the baby to drain the excess fluid. Another possibility would be a vein of Galen malformation, but that would be diagnosed only after the child is born." + }, + { + "id": 5290, + "tgt": "I am hypothyroid and weighs about 100 kg. Can I get pregnant?", + "src": "Patient: Hello doctor, I am 36 years old and weigh about 100 kg with no medical conditions except for hypothyroid. Can I get pregnant? Doctor: Hello. You surely can become pregnant. Keep a watch on your weight and keep thyroid under control by maintaining TSH (thyroid-stimulating hormone) levels around 3.5. Obesity usually is associated with insulin resistance and may be PCOS (polycystic ovary syndrome) in your pelvic scan. First, take a fair trial especially on your ovulatory days (pregnancy days), and work on the above factors. You will have to continue antithyroid drugs during pregnancy also." + }, + { + "id": 5206, + "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": 9444, + "tgt": "What medicine should I take for vitiligo in the lip?", + "src": "Patient: Hello doctor, I am affected by vitiligo disease in the lower lip. The doctor suggested taking Decapeptide lotion Melgain. I also have taken, but it does not work. Now I did not receive any medicine. So which medicine should I take? Doctor: Hello. You have vitiligo as you said, but I need to see your lip lesions in personal. If required biopsy will be done, if it is vilitigo. Then there are lots of options to treat vitiligo with a varying prognosis like, 1. Oral medication. 2. Phototherapy. 3. Surgery. 4. Tattooing. Each procedure has its pro and cons. You have to discuss in details in person with your doctor. With only oral medication, it will not work, need to club another form of treatment in it." + }, + { + "id": 30275, + "tgt": "I feel lost due to my leg pain. Kindly help me overcome this", + "src": "Patient: Hi doctor, I suffer with osteofibroma, which I have apparently had since birth. I have two lesions in my left leg near my knee and one in my lower right leg near my ankle. I get pain on a daily basis in both legs, but more in the right leg. The lesion in my right leg seems to be fairly large in x-ray pictures.\u00a0I was referred to my local hospital where I was told that nothing they could do and they did not want to take the risk of infection. I would have to deal with the pain for the rest of my life basically. I was told that there is nothing to do with the symptoms and if the pain persists or gets worse or stops me sleeping, then I should go back and get checked again. But, I had already stated to them it stopped me sleeping at times and I walk with a limp most days. I am 25 years old and I have a passion for sports. But, due to my condition I cannot do much of it. I cannot stand for a long period and cannot walk long distances. I have had to resign from jobs due to the pain.\u00a0I just do not know what to do or where to go. I have even looked into other people's cases and in which most had them removed or got offered surgical treatment.\u00a0I do not understand why I could not\u00a0get mine sorted. I just feel lost and have no idea about the future. Please help. Doctor: Hi. Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12841, + "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": 1336, + "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": 11408, + "tgt": "What are the treatment options present for a huge uterine fibroid?", + "src": "Patient: Hello doctor, My query is about my sister. She is a 31 year old female who is unmarried. Her height is 5 feet and she weighs 55 kg. She is suffering from huge uterine fibroid measuring 140 x 83 mm arising from the right fundus of the uterus. I would like to know what are the best treatment options available?\u00a0Can natural treatments be tried upon? We have tried ayurveda, which helped only in shrinking bulky uterus but not fibroid.\u00a0How serious is this condition?\u00a0She is pale and underweight. Will surgery cause difficulties? Please guide. Doctor: Hello. As this is a subserosal fibroid, she is unmarried, the remaining uterus is bulky but endometrial lining is normal and there are no other intramural fibroid detected, the best form of removal for this large fibroid would be through a laparoscopic approach. A laparoscopic myomectomy can be performed through 3 hole technique and the fibroid can be removed with the help of a morcellator by slicing it into pieces before removal through the port entry puncture hole." + }, + { + "id": 24852, + "tgt": "Why is my 32 days old daughter not pooping regularly?", + "src": "Patient: Hello doctor, My daughter is 32 days old and is a breastfed baby. She normally passes stool two to three times a day. For the past seven days, she is not regular in pooping. She pooped four times throughout seven days that too like a paste. We consulted a doctor three days before and were told that this is normal and we have to wait for three more days. Today when we consulted the doctor, he told to admit her in the hospital because he will give rectal suppository which needs one-day observation in case if loose stool happens. Then, she will be under medical care. We said we will admit her tomorrow and they prescribed Bifilac sachet 1/2-0-1/2 for two days. Is it normal for babies to have irregular pooping? Baby is normal and she is not continuously crying and on Bevon multivitamin with D3 oral drops. Kindly suggest what has to be done. Should I consult a different doctor? Doctor: Hi. Yes, It is normal for the baby to have irregular pooping for at least three months. If you are saying that the baby was passing stool two to three times a day before, then, I will say increase breastfeeding frequency and duration. Baby passing paste like motion can be due to inadequate breastfeeding. If the baby is fed well, no irritability or abdominal fullness or distension, the baby is playful and passing adequate urine (five to six times a day), then I will suggest you to wait. I do not think there is a need for treatment at this stage. I do not recommend rectal suppository at this early age as the baby is playful, passing urine adequately and there is no abdominal distension. If feeding improves (breastfeeding every two hourly), pooping habits shall improve. You can stop multivitamin and D3 drop till pooping improves. I will encourage the focus on breastfeeding. The mother should take a lot of fruits, vegetables, and enough water. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28874, + "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": 30819, + "tgt": "Can deviated nasal septum cause breathlessness?", + "src": "Patient: Hi doctor, Recently, I have been experiencing breathlessness. It happens mostly when I am idle or lying down. I feel no discomfort while running. But, I feel like I am short of breathe when I sit idle. I am a 23 year old male. I am reasonably fit. I do not smoke, although I drink occasionally and moderately. I was diagnosed with deviated nasal septum a few years ago. Sometimes, I use Otrivin and Nasonex nasal spray when I feel congestion and irritation in my nose. Doctor: Hello. For further doubts consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10053, + "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": 1092, + "tgt": "Is it safe to take Gabapentin for diabetic neuropathy?", + "src": "Patient: hi. I am a male aged 52yrs weight 80kg diabitic my doctor has recently advised me gabapentin nt 400 for neuropathy earlier i was on pregab150 so while checking about the reviews from the patients on net i found that 99% were against gabapentin which confused me and thought to have a 2nd opinion kindly advise Doctor: Hi. Welcome to icliniq. I am Dr Anshul Varshney for your help. It's an excellent drug. Infact it's an elder sister of Pregabalin only. Gabapentin is little more potent then Pregabalin. Only possible side effect of that drug is dizziness but since your mother has been on Pregabalin 150 mg then Gabapentin should suit her. Gabapin NT also contains Nortryptilline, which helps further in neuropathic pain. Dear, if you will check side effects / reviews of any drugs you would get for all. If in doubt, discuss with your doctor once again being empathetic. I use this drug very often and most of the Diabetologists use it. So, I would suggest you to start it and see if she gets any adverse effects, we can go for other options. Though to be very honest we don't have much options other then Pregabalin or Gabapentin in Diabetic Neuropathy. I hope it helps you. If you have any further questions please ask me." + }, + { + "id": 20619, + "tgt": "How can I recover from a heavy head and runny nose?", + "src": "Patient: Hello doctor,I have a heavy head and a runny nose. The day before yesterday I got cold and had buttermilk as well. So, cold happened yesterday and there was cough (not yellow only white and thin like spit) as well but I took medicine from a chemist. He gave me Cinarest, Mox 500, both two tablets. I ate. Now, I have a very little cough (not yellow only white and thin like spit) but my voice is heavy. Now, I have a heavy head and runny nose. I want to recover soon. Please prescribe medicine. My age is 25 years and height is 5.5 feet. Doctor: Hi. For URTI (upper respiratory tract infection), I advise taking an antibiotic like Azithromycin only in case you have a persisting fever. Otherwise, in most cases, URTI is due to viral infection and it gets better within five days. You should take an antiallergic like Levocetirizine which is available as OTC (over the counter) drug. You should do warm saline gargles at least three to four times a day and do steam inhalation. Drink plenty of hot fluids to give your throat soothing and help in pain. Share my opinion with your doctor before you act upon it. I would say you can take tablet Combiflam (Ibuprofen and Paracetamol) for the headache. You can continue his medicines for next three days and do steam inhalation and gargles. You would get fine in next two to three days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4545, + "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": 27886, + "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": 14330, + "tgt": "Took four Yasmin pills and skipped the next regimen. Will it stop unwanted pregnancy?", + "src": "Patient: Hello doctor, My fiancee took four Yasmin pills as emergency contraception. But after that, she felt so weak and had heavy breathing. So due to that, we decided not to take another four pills after 12 hours. Will the first four pills stop unplanned pregnancy? That was taken within less than 30 hours after we had sexual intercourse. Looking for your kind advice. She is feeling better now but I am afraid to continue with another four pills. Also, I have read that Yasmin can increase blood clot which can be deadly. Please advise. Doctor: Hello. Using Yasmin pills for emergency contraception follows the Yuzpe regimen where oral contraceptive pills are used as ECP within 72 hours of last intercourse. As the first four pills have been taken by her after 30 hours of intercourse as per the regimen, so the next should be taken after 12 hours and should not be missed. The side effects can vary from mild nausea to vomiting, headache, bloating, belching, breast tenderness or even spotting. These effects are secondary to Progesterone and Estrogen in the pills. These can be countered by taking an anti-emetic pill like Metoclopramide10 mg, an hour before starting the regimen and also before the second dose after 12 hours. This shall prevent nausea and Progesterone side effects can be countered by increasing the water intake which can neutralize the Progesterone side effects. To help prevent you from feeling nauseous, one should take pills with food. It also helps if she would timer second dose such that she takes it just before bed. That way, she will sleep through nausea. The clotting is a known rare side effect of OC pills if OC pills are being used for years together for contraception, then predisposition for clotting increases. But the regimen needs to be completed as per protocol to achieve the desired result. After taking the second dose, withdrawal bleeding should be expected in next 3 to 5 days and once bleeding is appreciated, it would indicate that there is endometrial shed and chances of pregnancy are minimal and she is likely to be pregnancy safe. The best would have been emergency contraceptive pills like an Ipill or Plan-B, but if it is banned in your country, Regimen is still a reliable means for emergency contraception with OC pills. Emergency contraception through Yuzpe regimen. Yuzpe regimen." + }, + { + "id": 66, + "tgt": "I am having erection problem with reduced morning erections. Please help", + "src": "Patient: Hello doctor, I am a 32-year-old male. I weigh about 80 kg with a height of 5'9\". I am facing erection issues since last week though there is no change in my sex drive. Also, I feel reduced morning erections too. I feel aroused but the erection does not come as it used to before a week. Healthwise, I have sound health and have a moderately active lifestyle and pretty normal sleep pattern. Anxiety level is suboptimal due to COVID19 situation. I was using a semen volumizer herbal supplement intermittently. I am not sure if this plays any role in it too. I drink occasionally in limits and I am a vegetarian. My food habits are healthy and I avoid junk food as such. These erection problems started just a few days ago and now they are troubling me to a bigger extent. Please help. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from erectile dysfunction for the last few days. Erectile dysfunction is usually caused by low blood flow to the penis or problems of nerve of penis which control erections. Most common cause of erectile dysfunction is psychological reasons such as stress or depression. It may have resulted from the hardening of arteries, high blood pressure, high blood glucose, high cholesterol, medications, BPH, prostatitis, hormonal disturbances, etc. Usually, erectile dysfunction is common in everyone's life due to many causes. In most cases, it goes away over time and no treatment is needed. You can do some investments like CBC (complete blood count), urine R/M/E, RBS (random blood sugar), lipid profile, USG of W/A, PSA, etc and hormonal tests such as testosterone, LH, prolactin, thyroid function test, etc., to find out the underlying the causes which are responsible for your present sufferings and then treat them accordingly." + }, + { + "id": 21152, + "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": 2147, + "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": 8740, + "tgt": "Could arrhythmia occur due to stress?", + "src": "Patient: Hello doctor,I am 27 years old, and I have been suffering from OCD and health anxiety for many years. For about a year now I have been having arrhythmia (mostly extrasystoles) they have been chiefly eased up since I started my new job, but something has been going on. I have been feeling angina for over a month now with the occasional extrasystole, and I cannot focus on my job, I had an ECG done five months ago, and it revealed that everything was going perfect. But I did a new ECG two days ago, and now I am super concerned and can only go to the cardiologist tomorrow. It revealed ischemia in the inferior wall, I believe from what I see, the V1. Is this from all the emotional stress I have been through? What can make me calm down and think it is nothing too serious? Doctor: Hello, Welcome on icliniq.com. Regarding your concern, I would explain that it is necessary a direct review of your ECG recordings to accurately judge the clinical importance." + }, + { + "id": 14338, + "tgt": "Can low hemoglobin cause shortness of breath?", + "src": "Patient: Hello doctor, I am 19 years old. For the past one year, I have been experiencing body weakness. I feel tired all the time. And for the past five months, I have been experiencing fast heartbeats and shortness of breath. I mostly experience the shortness of breath in dusty and stuffy environments, but at times even in the open air. I had a spirometry test done, but the results showed no abnormality. I got a chest x-ray done and it revealed that my chest was clear. Then, I had a CBC test done and the result showed that the RDW was high 16.3, low HCT 34.0, low hemoglobin 10.8, low MCH 23.9 and low MPV 7.9. The rest of the results were normal. The doctor told me to use an inhaler, but it is not helping. I would like to know what exactly is wrong with me. Previously, I was using Ventolin inhaler. Currently, I am using Ventolin inhaler and Montiget. Doctor: Hi. The hemoglobin levels and other abnormalities do not explain the severity of the symptoms that you are experiencing. Iron, Vitamin B12 and folic acid supplements along with dietary improvement to improve hemoglobin to 12 to 13 g% is necessary. However, after improvement, if the symptoms improve, then it could be a possibility. Hope your thyroid tests are normal and these are not anxiety or panic attacks. Try some breathing exercises like pranayama and meditation for relaxation. Inhaler maybe useful if there is an allergic reaction or bronchospasm. In case of serious shortness of breath and even if it mildly helpful, better to use during the episodes. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 2910, + "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": 7366, + "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": 24358, + "tgt": "What is the colorless ridge on the roof of my mouth?", + "src": "Patient: Hello doctor, There is a colorless ridge on the roof of my mouth on the hard palate. This thing is troubling me for near about eight months now. It occurs occasionally swells up and burns and then at the end of the day it subsides. It stopped for a month but now again it comes for like a day and then subsides for two or three days. Please tell me what it is. Currently, for allergy resulting in sneezing and cold, I take Duanose nasal spray. Doctor: Hi. It looks likes a bleb which can be due to trauma to hard palate due to spicy and sharp food. You should stop taking hard and spicy food. Do you smoke or consume alcohol? You should start taking antacids and apply local antiseptic and local anesthetic gel over the bleb. Do chlorhexidine mouth gargles. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18398, + "tgt": "Are recurrent anal fissures dangerous?", + "src": "Patient: Hi doctor,I have recurrent anal fissures. When I consulted a doctor, he said the blood loss is very less. But, another doctor advised me to check for CBC. Is this a serious issue? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5317, + "tgt": "My pregnant wife is taking Nurokind-LC twice a day for leg cramps. Is it safe to take this dose?", + "src": "Patient: Hello doctor, My wife is 35 weeks pregnant. She is currently taking iron tablets twice a day (three weeks back she did Hb test, and it was 9 g/dL) and calcium tablets. She has occasional leg cramps, especially when waking up. Last week her gynecologist prescribed her Nurokind-LC twice a day for two weeks (she said leg cramps can occur during labor). As Nurokind-LC is class C, is it safe to take it in this dose? Can we take a reduced dose (one tablet for one week)? Please advise. Doctor: Hello, Welcome to icliniq.com. There is usually dilutional anemia at this stage of pregnancy and the requirement is much more. She has been prescribed Nurokind-LC tablet because of cramps in the legs as it is a neurovitamin and also for prophylaxis of megaloblastic anemia as it contains folic acid and methylcobalamin. You may take it once a day and in addition to that, I will advise you to improve diet containing iron and things that increase absorption of iron in the body. For this, if your wife is a vegetarian then she should take jaggery instead of sugar and things made by that. Beetroot is a very rich source of iron for vegetarians taken as such or in some fruit juice. If non-vegetarian liver and chicken made at home are very good and baked fish for omega3 fatty acids. Leg cramps can occur any time as such also and not only during labor. She should take plenty of fluids including coconut water which is a rich source of potassium and very helpful for preventing cramps. Keep moving her legs and feet and avoid long-standing or hanging feet. As she has already taken a double dose of iron tablets for three weeks you may repeat her Hb (hemoglobin) after another one week and see, or she can be given iv (intravenous) iron after consulting your doctor." + }, + { + "id": 27820, + "tgt": "What will be the best treatment for pulled tendons in the knee?", + "src": "Patient: Hello doctor, I went to a doctor, who told me that I have pulled some tendons in my right knee. It hurts when bent and if I run or walk.\u00a0What would be the best way forward with the healing process? Can I still use the exercise bike at the gym?\u00a0I am currently using Voltarol gel to help ease the pain. Doctor: Hello. As the doctor said, it is a tendon pull, which means it is due to overstretching of the\u00a0tendon.\u00a0So, I suggest you follow the following steps: Follow these instructions for at least a month.\u00a0Consult me again after a month.\u00a0Thank you. Revert after a month to a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 20796, + "tgt": "My molar is slightly wiggly. Can retainers be the cause?", + "src": "Patient: Hello doctor, I suspect that I have receding gums. My molar tooth is slightly wiggly but does not affect my eating at all. There is a black line (kind of denting in) on the side of my molar. I do put on retainers, but not very regularly. Could that be why my molar is shaky? Doctor: Hi. Yes, you do have a little bit of gingival recession (attachment removed to protect patient identity) but it is not too much to be treated with surgical intervention. You need to replace your brush and use an ultra-soft brush. Avoid soft drinks if you are taking too much. You also need to brush properly, check a video of modified Bass technique for tooth brushing online and do brushing accordingly. The black line may be the stain, for that you may need a dental prophylaxis (scaling). For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29775, + "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": 25739, + "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": 16253, + "tgt": "My partner is not getting relief from the cough for a few days. Please help", + "src": "Patient: Hi doctor, My partner is 53 years old. She is suffering from a severe cough for a few days. Though she has the problem for a long time, it always becomes fine after some days. But this time she is not getting relief. She visited a doctor, and several tests were done. Currently, she is taking Periflox, Dioplus, Primcal 500, Livoprim-M, and Doxofon. I need your advice. Please help. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). These symptoms are caused due to the nodule present in the lungs. It could be benign and harmless. But at this age, every nodule must be observed if there are symptoms especially. The nodule must be observed by repeated X-rays and CT scan to see whether there is a change or increase in size. If it seems to be suspicious, a biopsy may be required. Please get the following investigations done. So that, we can proceed with the treatment. Do sputum for AFB (acid-fast bacilli) and microscopy, and tuberculin test. Please send me the results of the tests." + }, + { + "id": 15984, + "tgt": "Kindly tell how someone can be brought out of sorrow of losing a dear one", + "src": "Patient: Hello doctor, My mother lost her father who she loved very much. Though the incidence was about 5 to 6 months back, she is not able to come out of the sorrow. She always remains depressed. We are trying our best to cope with her, but the situation is not improving. Doctor: Hi. It might be that she might be suffering from adjustment disorder due to loss of a loved one because of which you are seeing these symptoms. It happens at a late age when you lose your spouse. But you should be careful that it does not proceed ahead. Also, please let me know if she also has any medical comorbidities like diabetes or hypertension and is she on medicines for any of these, whether she has thyroid issues? As it is known to cause depression-like symptoms." + }, + { + "id": 24632, + "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": 6738, + "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": 19868, + "tgt": "Can I take Navaka Guggulu tablets for Hashimoto's and PCOD?", + "src": "Patient: Hello doctor, I am 25 years old and my weight is 83 kg, height is 163 cm. I am having Hashimoto's and PCOD for last six months. Can I take Navaka Guggulu tablets? Can you suggest the dosage? Currently, I am taking tablet Thyronorm 150 mg and Thyrocal thrice weekly. Doctor: Hi. I can understand your concern. This is the condition of hypothyroidism. It leads to PCOD (polycystic ovarian disease). It can be managed through ayurvedic medicines and Yoga practices. It will take three to four months to recover. You can take Navaka Guggulu two tablet twice a day with warm water after meals. You can also take Hyponid two tablet twice a day along with Navaka Guggulu. Do regular Kapalbhati and Mandukasana. Pranayama like anuloma vilom, nadi sodhan, bhramari and ujjaai. It is very effective in such kind of issues and helps in quick healing. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29319, + "tgt": "Kindly advise the treatment for my daughter's stomach pain", + "src": "Patient: Hi doctor, My daughter is 11 years old. She weighs 94 pounds. She is healthy but has been experiencing stomach pains for about two months after eating or at random times. She visited her pediatrician a couple of occasions and an urgent care nurse, who have checked her out and done a urine test. She tried Mylanta and Tums, but those have not helped. She feels some pain in the lower abdomen or mid-abdomen, switching around on different days and times. It can happen at any random time and wakes her up at night occasionally. She has her periods these days, but her specific stomach pains do not seem to be just that or come at only those times. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16907, + "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": 12442, + "tgt": "How can I treat toothache?", + "src": "Patient: Hello doctor, I have been having an oral problem, most specifically teeth for over 10 years. I have faded gums, beneath my lower pre-molars, incisors and canines are yellow. I have two severe curved molars on my lower jaws which have lasted for 10 years. I resorted to removing but I was advised not to since it could lead to affect rest of the teeth and I would eventually find myself toothless. Minding my food consumption, they have not been itchy. Just for the past few weeks, one of the curved teeth started hurting me severely that I visited my doctor. I have convinced myself that it is the right time to eliminate them. Please advice on this as well how to permanently regain my white teeth. They are not very yellow but partially. Doctor: Hi. Do not worry too much about the color of the teeth. The color varies in each individual from bright white to pale yellow. There are many shades of teeth that can occur due to varied reasons. As long as the teeth and gums are healthy, nothing much to worry about the color. Regarding pain in one of the molar teeth, visit your dentist and get the suggested treatment done. (My advice is not to get the tooth removed). You can get a few sessions of teeth bleaching done to improve the teeth color to a few shades whiter. (This should be done under the supervision of a dentist)." + }, + { + "id": 12618, + "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": 14201, + "tgt": "Both my ears are blocked. I have been suffering a hearing problem too. Please help", + "src": "Patient: Hello doctor, I want some advice on my blocked ears. My ears are also paining since 7 days. Since last week, I have been suffering from cough and cold. As both the ears are blocked, I have been suffering a hearing problem too. I think wax is stuck inside my ears. I have been using an ear drops twice a day. What should I do? Doctor: HiWelcome to icliniq.com.I understand your concern, and most likely you are suffering from eustachian tube catarrh. This is a clinical condition arises due to eustachian tube dysfunction. The eustachian tube is a tubular connection between the middle ear and throat. Main function of this is to maintain air pressure in the middle ear equal to that of the external atmosphere. But whenever this tube gets blocked by cold and sore throat, the patient feels blockade of the ears.I would like to suggest you try: Mostly, the above treatment will solve your problem." + }, + { + "id": 21440, + "tgt": "What is the cause for eye floaters problem?", + "src": "Patient: Hi doctor, I am 56 years old male. I have eye floaters problem. I have blood pressure. I am taking tablets for it. Doctor: Hi. The floaters in the front of the eye indicate disease in the posterior segment of the eye that is retina or vitreous. As you have raised blood pressure, though you are taking medication, you have an increased chance of having retina and vitreous problems. You can get your dilated examination to check the posterior segment. There may be bleeding or swelling in your eye or a degenerative process called posterior vitreous detachment which is common in your age. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16700, + "tgt": "Will I get a sore on my genitals during every HSV-1 outbreak?", + "src": "Patient: Hi doctor, I was diagnosed with HSV-1, but all other tests like HIV, HBsAg, HCV, VDRL, and\u00a0TPHA are normal.\u00a0I got infected with HSV through oral sex. My first outbreak was about four months back, and I got sores in the\u00a0genital area, mouth, head, and my waist. Recently, a sore has erupted in my mouth, but it healed without any medicine within four\u00a0days. I am a healthy person. Is it compulsory to get a sore on my genitals during every outbreak? If I take Acyclovir at the time of symptoms, will I be able to restrict the infection? Does HSV-1 have complications like ocular herpes and encephalitis in a healthy individual? Does diabetes or thyroid increase the recurrence of HSV-1? Doctor: Hello. I hope your queries have been answered. If you still need more clarification, please revert. For further queries consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist\u00a0" + }, + { + "id": 21197, + "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": 27815, + "tgt": "My uric acid and creatinine are raised. Are my kidneys not functioning properly?", + "src": "Patient: Hi doctor, I am a 42 year old male. From the past three months, I was suffering from typhoid. Now, I have pain in knees, sole, back, and wrist joints. The test reports show high sensitivity c-reactive protein (hs-CRP) 7.67, eGFR 68, folate 2, uric acid 7.7, creatinine 1.02, total cholesterol 211, triglycerides 239 , TC/HDL ratio 5.4, VLDL cholesterol 47.8, non-HDL 172.1, alkaline phosphatase 111.7, alanine transaminase (SGPT) 44.1, vitamin D 7.45, total RBC 5.25, MCHC 29.4, SD (RDW-SD) 50.3, RDW-CV 14.1, PDW 16.5, P-LCR 45.8, and MPV 12.5. Doctor: Hello. You mentioned that you had typhoid three months back, and now have features of large joint arthritis. With this profile, it seems to be reactive arthritis. Regards. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 611, + "tgt": "My mother is diabetic as well as hypertensive. Please give an opinion on her retinal detachment", + "src": "Patient: Hello doctor, I am worried about my mother's retinal detachment. She has diabetes and hypertension. I have an x-ray of her eye. She is currently located abroad and I would love to have a second opinion on what process she should be taking. Doctor: Hello. Let me first reassure you, your mother case seems to be not urgent. Judging by the information you gave and the attached O.C.T scan (attachment removed to protect patient identity) you have done: -The left eye seems quite normal. -The right eye has some macular edema. Meaning that there is fluid in the retina that is causing retinal stretching. Also, I can see neurosensory detachment in the retina too, this is probably due to long-standing diabetes. Retinal detachment usually manifests with seeing a bright light and floaters in the visual field as well as a drop of vision. (I will need to know if anything new happened to her vision). In this case, my opinion is: Your ophthalmologist will need to 1. Intravitreal injections of Avastin. This will help absorb the fluid leaking in the retina and causing the stretching. 2. If there is detachment he will need to reposition the retina with a vitrectomy procedure and retinal fixation and implanting temporary silicone. Do not worry this procedure can help maintain vision and maybe fix it for the better. It can be a little bit costly and you have to select an experienced vitreoretinal surgeon. 3. Diabetes control, your mom will need to check her diabetes with an internist. I need to know further information as regards to her vision, previous medical history and operation done. When was the last time she has checked with an ophthalmologist so I can help you and tell you more about her management. Retinal degeneration. Macular edema. Neurosensory detachment." + }, + { + "id": 17040, + "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": 4592, + "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": 8965, + "tgt": "Will my fears get worse due to compulsion disorder?", + "src": "Patient: Hi doctor, I am a 30-year-old woman. I am having OCD since I was 12 years old. I have a strong fear of an event that happened a couple of years ago when a psychiatrist told me that I have a borderline disorder and have no fantasy. I was trying to ask her for years to say me the opposite as a compulsion. She refused to do that, I am not sure if it is because she did not want to change her opinion or it is because she did not want to satisfy my compulsion. My mother was encouraging me to do these kinds of compulsions as she thought it is going to get worse. It was a bad thing as she was validating my fears in this way. I just realized these things now so I started to confront my fears about what the psychiatrist said to me. But I ran into another one which is about what if my mother is right and if I am confronting my fears it is going to get worse. What do you think? Doctor: Hello. My first question is whether you are currently on medication for OCD or not. If your obsessions are bothering you that much, first you need to start medications because the content of your obsessions is a second factor when it comes to treatment, first we need to focus on not having an obsession which will be possible with medication. Secondly about your compulsion to have a second opinion, what you can do is find a therapist which will help you and teach you techniques to overcome this need. CBT is a great tool in that way . Enabling an obsession is never a good idea, you need to learn ways to cope up with them without acting on it." + }, + { + "id": 30594, + "tgt": "How to overcome pain while urinating?", + "src": "Patient: Hi doctor, I am not sure exactly when I started having a split stream urination problem, but I really worried about it recently. I mean, it never really used to bother me besides the occasional mess and I used to think it was more a result of tight underwear or something. My urine basically splits into two streams. In terms of how strong or steady the flow is, it seems normal, just right to get it into the urinal. There are also times that I have difficulty. When I mean difficulty, I mean 10 to 20 seconds of waiting at the very most. That is, some exertion needed to urinate, but this happens on occasion. When this happens, there is some discomfort in the perineum. After I finish, it drips a little. I was just wondering about the dribbling thing. What exactly does it mean?\u00a0Sometimes, after going through several ejaculations, I do experience a bit of pain when I urinate in between. \u00a0Usually, the pain does not last too long and I have premature ejaculation too. Please help. Doctor: Hi. Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12629, + "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": 1274, + "tgt": "Are my ECG reports normal?", + "src": "Patient: Hi doctor, I have attached my two ECG reports here. Are they normal? They\u00a0were taken consecutively, 1 minute apart, the one with 106 heart rate was taken first and the second one with 93 heart rate was taken later). I see some broad peak in the second one. I am not sure if it is an error or something else.\u00a0My questions are as follows: Do both ECG charts represent healthy heart?\u00a0The reason why I went to the hospital is that I felt chest pain and I checked my heart rate by a phone application. It gave a normal reading except for one time it gave 39, but immediately after that it gave 79. Do you think the 39 heart rate is an error?\u00a0Should I feel relaxed and be assured that my heart is fine? What is that broad peak? I\u00a0have very mild mitral valve regurgitation that was diagnosed to not have any treatments.\u00a0Also, before I did the ECG, I just ate and I was very concerned about the chest pain.\u00a0Please explain. Thank you. Doctor: Hi. You may rest assured as I have carefully reviewed your health query, including both the attachments with different heart rates (attachment removed to protect patient identity). For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20020, + "tgt": "Can I get an HIV infection ten years after having unprotected sex?", + "src": "Patient: Hello doctor, I am not gay. But, 15 years ago, I had sex with a man. I\u00a0am not sure if his penis entered my anus or not. I did it again with a man, a year later. And, ten years ago, I had sex with a male for the last time. I have not been involved in any such activities after that. I have got tested for HIV, ELISA, and CMIA several times last year and it all came back negative. Those were done in my teenage. I have turned over a new leaf and realized my mistakes. So my question is, can I get HIV in the future due to this? Is it likely that I am suffering from an STD and am unaware of it? I am unmarried. But, when I do get married and have sex with my wife, will there be a problem later? Doctor: Hello, I understand your concern. You will not get HIV due to past activities. So remain relaxed, you are totally safe and will remain safe. Thanks. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 17100, + "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": 10556, + "tgt": "I have pain,extreme fatigue,unsteadiness and muscle twitching. I do not know if all these symptoms are related to one issue or more", + "src": "Patient: Hello doctor, I have had this problem for 8 years with no proper solutions. Please help. Strange sensations,\u00a0tiredness, feeling of heaviness in the arms and legs. Hands and feet become warm. I have an\u00a0electrical shock like feeling in face. I have\u00a0extreme fatigue, unsteadiness and muscle twitching\u00a0in the arms and legs and my eye often twitches. Now my\u00a0feet and hands itch\u00a0like crazy. Feet are worse than the hands.\u00a0 I take Cymbalta, Lyrica and Levothyroxin. I have had MRIs of the spine and brain, nerve conductivity test, and many blood tests including heavy metals, HIV, syphilis, drug test, vitamin levels test, Lyme disease test, ANA and so many others. The doctors are not able to figure out what is wrong. I had about 25 hours of sleep only this whole week, because I have so much pain. When I do sleep I thrash all over the bed. Going this long without getting much sleep is not normal for me. I usually do get more sleep than this. When all this first started I got very sick,\u00a0lost weight\u00a0(about 40 lbs in two months) and laid on the couch for a year missing out on life because I was too exhausted and sick. I do not know if all these symptoms are related to one issue or more. The doctors thought I had MS, but no lesions. Please help me. Thank you! Doctor: Hi. I read your query and understand your concerns. If your age and other description does not match with the above narration or if you have more questions feel free to write back to us. Consult a neurologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24656, + "tgt": "I am 5 feet tall with underweight 40 kg. How can I gain weight?", + "src": "Patient: Hi doctor, I am a 23-year-old male and am just 5 feet tall with underweight (40 kg) and till now I did not consult any doctor. So, kindly assist me to gain weight. Doctor: Hello. To gain weight in a healthy way, you need to build muscle; I advise you to indulge in regular physical activity and a healthy diet pattern. For a healthy diet, do not start eating oily food or junk food to gain weight, because that would only lead to a gain in fat and lead to health problems, like high cholesterol and heart disease. For a healthy diet, increase the intake of protein in the form of sprouts, nuts, egg white and lean meats like fish and chicken. Follow up your workouts by drinking a whey protein supplement within 10 minutes of completing your workout. Instead of three major meals in a day, divide it into small meals every two hours. That makes it 8 to 12 small meals in a day. For physical exercise, do 10 minutes cardio followed by strength training. Start off by lifting lighter weights. Listen to your body, and when it allows you, slowly move on to heavier weights. You can hire a qualified trainer to help you get results faster, and also guide you to do your exercises correctly. Improper posture and breathing pattern during exercise can lead to injury. Before you start any exercise program, visit a doctor for a proper physical examination, to understand if the exercise suits you and to prevent injury. A good eight-hour sleep and eating meals right on time are very important. Having said this, I would like to say that everybody is born beautiful, inside and out. Beauty lies in the eyes of the beholder. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 3279, + "tgt": "Does slightly elevated RBC with DNA mutations indicate MPNs?", + "src": "Patient: Hello doctor, For three years, my RBC has been slightly elevated (~4.9). My DNA results show a homozygous GG genotype for SNP rs12340895 of the JAK2 gene indicating greatly increased odds of developing JAK2 V617F-positive MPN. I have no symptoms and I am in good health. Should I see a hematologist to establish a baseline and periodically monitor for MPNs? Doctor: Hi. Based on your query, my opinion is as follows: Numerous DNA mutations are always present and it is difficult to monitor for any specific malignancy. However, speaking specifically, the mutation you have described can be seen in 50% of the normal population, which is very high considering the percentage of MPN prevalence. A higher RBC count can be seen due to high altitude, lung problems, smokers, athletes, etc. RBC count above 6 would suggest a possible risk. 4.9 is too low to comment and the only thing, I can comment is it is very good hemoglobin levels. Based on your BMI, I would consider you to be physically fit and this RBC count should be appropriate. Not to worry, no monitoring is necessary for now. Annual checkup of complete hemogram should be adequate. I hope this helps." + }, + { + "id": 8462, + "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": 21773, + "tgt": "My penis head has become black and foreskin is itchy. Please suggest effective treatment", + "src": "Patient: Hello doctor, My penis head has become black. That part, as well as the foreskin, is itchy. I went to a urologist and he prescribed Ciplox 500 mg (1-0-1) for five days and T Bact cream for applying. It was paining a bit at that time. Now the pain is considerably reduced (about 90 %). But still, the black head on penis is still there. Now occasionally it itches. Please prescribe me a suitable and effective treatment. Doctor: Hi. Kindly send good quality image and revert back. Without photographs its difficult to comment. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17117, + "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": 12890, + "tgt": "Can cigarette smoke cause allergy and asthma in baby?", + "src": "Patient: Hello doctor, My son aged 4 years is allergic, asthmatic, as my father-in-law is chain smokers and smokes in the house, due to this he usually gets sick. Now from the past 11 months, he is continuously (except one or 1.5 weeks in a month) taking nebulizers Bedusal 5 mg. Please tell me about his future health. I am very worried and I even do not know what to do in this particular case. Doctor: Hi. I understand your concern. You have a strong exacerbating factor (risk factor) for aggregation of an allergic or asthmatic attack. That is smoke in the house. Unless it is removed no medication will be of use for long term health outcome. Parents need to take a call in this particular situation. If possible take your father-in-law to child specialist. Let the doctor counsel him why smoking in the home is not good for anybody's health especially children's health. Focus on improving your son's immunity by providing a healthy meal and supplementation." + }, + { + "id": 30687, + "tgt": "What shall I do to improve my hemoglobin?", + "src": "Patient: Hi doctor, I have been suffering from bleeding hemorrhoids. My hemoglobin is very low at 5.6. I feel very weak and severe headache for two days. What to do? Please advice. Doctor: Hi. Based on your query, my opinion is as follows: Hemoglobin of 5.6 g% is really low. With this amount of hemoglobin, we put you into the group of severe anemia. Due to low oxygenation, you could be having severe headaches. Painkiller like Ibuprofen or Paracetamol can be taken, however, hemoglobin improvement to 7 to 8 g% is necessary. Improved nutrition with protein, iron and vitamin-rich diet is necessary along with Iron, vitamin B12 and Folic acid supplements. Along with it, adequate rest and possibly packed red cell transfusion will be necessary. Anemia is very severe and any further fall could affect the heart and maybe result in heart failure. Concentrate on diet, medications and improving hemoglobin levels. Until hemorrhoids are managed, weakness would not go. So, get your hemorrhoids managed at the earliest. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10286, + "tgt": "I am getting scared for everything after my delivery. Kindly advice", + "src": "Patient: Hello doctor, I am 27 years old, and I have 1.6 months old baby. After my delivery, I am getting scared for everything. If something bad had happened to anyone, I am scared to talk with that people am thinking that it will happen to me also. If I love to buy any product while taking am thinking that if I take some bad will happen to me like that I am thinking. Doctor: Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months." + }, + { + "id": 18047, + "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": 7538, + "tgt": "I have tooth cavities. How to prevent further infection?", + "src": "Patient: Hello doctor, In my whole life I am known for eating candy and not brushing my teeth as much as I should. Today, I went to the dentist and said that I have nine cavities.\u00a0This concerns me because I am not sure how long I had the cavities. This is my first time I am visiting a dentist. I read an article on the internet about\u00a0how cavities or tooth decay can lead to life threatening bacterial infections if it is not treated. My dentist advised me to get fillings for the decay. If I\u00a0get nine fillings, would that prevent a serious infection or infection from happening? Do serious infections only happen if it is not treated?\u00a0What are the chances of getting a serious bacteria infection after I get fillings and have good hygiene? Would it be rare? Even if I have nine cavities, can I still easily prevent infection throughout my life? How to know that I have an infection in the gum or teeth area before it would spread?\u00a0I am\u00a0going to get my whole mouth cleaning tomorrow.\u00a0Also, I am\u00a0getting an MRI tomorrow for a headache. I am\u00a0afraid that my headache can be the cause of infection from teeth spreading to the brain? Please clarify my doubts. Doctor: Hi. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30376, + "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": 2608, + "tgt": "I have shoulder pain since yesterday after getting up from the bed. What to do?", + "src": "Patient: Hi Doctor, having shoulder pain from yesterday right after getting up from bed. Yesterday it was mild but today it got increased and having pain while moving shoulder and during shoulder movements. Having pain during shoulder movements like lifting and feeling shoulder stiffness. Doctor:" + }, + { + "id": 8009, + "tgt": "Is it safe to use Norditropin Nordilet, in a 10-year-old boy with delayed physical growth?", + "src": "Patient: Hello doctor, It is about my son's health. He is a little over 10 years. At the birth, he had difficulty in receiving oxygen, and ever since he has had occasional seizures and developmental delay in learning. He can walk, talk, and eat like any other normal kid. The problems he has currently are delayed physical growth (height-he is a foot shorter for his age), severely delayed learning skills (difficulty in learning alphabets) and very mild seizures, with occasional rolling of eyes. Only current medication being used is for seizures. A recent doctor visit subjected our family to some agitation. The doctor suggested 1 mg per day of Norditropin Nordilet meant for improving human growth hormone. Now my questions are related to using Norditropin Nordilet, 1) From the information I gathered, it is mostly used by bodybuilders and who are in desperate need of being tall. Will it have any negative impact on my kid, if I start using it because he already has problems such as seizures and developmental delay. Our worry is this injection might interfere with seizure issues he already has. If my kid is ok with being short, can we avoid using this injection? Question is should we use this Norditropin Nordilet or not? 2) Are there any other alternative approach (including suggestions from alternative medicine) for improvement of human growth hormone. I searched for some information, but not confident in applying them. Doctor: Hello. The issue is straight forward, and we need to rule out common causes of short height in the first instance. These include nutritional, familial (may be constitutional) or due to anemia or celiac disease. These kinds of medicines to be used very cautiously, these may lead to hypertension and marrow suppression in some cases and affect pubertal changes as well. My advice will be not to take such medicines and to get done hemogram profile and TTGA (tissue transglutaminase) to rule out celiac disease and TFT (thyroid function test) to rule out a thyroid disorder. We should take care of his seizures, and occasional seizures also cause hamper of development. So kindly provide details of medicines you are using. 1. Nutritional. 2. Celiac disease. 3. Hypothyroidism. 1. CBC(complete blood profile). 2. TTGA. 3. Thyroid function test (T3, T4, TSH). Get done the advised investigations and report back, I hope we can overcome this problem in simple ways. Give him a nutritious diet, and make a diet chart so that we can calculate calorie consumption by him. Report back with details of family height at same age and investigation report as well diet chart whatever he ages in next few days. And also provide the details of the MRI if done and drugs for epilepsy." + }, + { + "id": 23692, + "tgt": "What is the solution for secondary amenorrhea?", + "src": "Patient: Hi doctor,My sister has secondary amenorrhea for the last six years. Her LH and FSH are very low, but AMH is satisfactory. Is there any solution for this? Please suggest. Doctor: Hi. Revert back with more details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17950, + "tgt": "I had a PCL surgery last month. When can I start walking again?", + "src": "Patient: Hello doctor, About a month ago, I underwent a posterior cruciate ligament reconstruction surgery, and the doctors fixed two screws in my body. The doctors gave me a knee brace after 15 days. When can I walk with the knee brace? When can I walk without the knee brace? Are the screws to be mandatorily removed in the future or will they be left there? Can I bear some weight on my knee? Can I join work again soon? I am a chartered accountant. After six weeks,\u00a0can I walk with the help of a knee brace but without a\u00a0walker? Please answer my queries. I have also attached my MRI reports for your reference. Doctor: Hello. I have seen your MRI reports (attachment\u00a0removed to protect patient identity). 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 the clinical findings. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 15297, + "tgt": "Can I have Metformin 1000 mg to reach my Hba1c target?", + "src": "Patient: Hi doctor, I am 46 years old male. I have a weight of 60 kilograms and a height of 164 cm. I am diabetic for the past ten years. I have an Hba1c of 8.3 %, with no other health issues. I do exercise regularly, and I am taking a healthy diet every day. I am using Gemer 2 mg twice a day, and I am unable to bring Hba1c below 7.5 %. I have an FBS of 130 mg/dL and PBS of 220 mg/dL. Sometimes, I sweat in the morning. When I check my sugar levels, I have an FBS of 120 mg/dL. I am not interested in increasing the dose of Metformin to 1000 mg twice as a concern of weight loss. Would a change in medicine help me to reach my Hba1c target? Please advice. Doctor: Hi. You are taking Gemer 2 mg (Glimipride with Metformin) twice daily. Please say whether you take Metformin alone and tell about the dose. If you are on Gemer 2 mg only, then you can take Glycomet 500 mg (Metformin). You do not need to begin with Metformin 1000 mg directly. Diet and exercise help you a lot. Loss of weight will help to control sugar levels better. Your FBS (fasting blood sugar) is fine. Your PBS (postprandial blood sugar) level is high. So, I suggest controlling diet. If there is no improvement, you can consider taking Metformin." + }, + { + "id": 8769, + "tgt": "I missed my period with vaginal discharge. Could it be due to stress or overweight?", + "src": "Patient: Hello doctor, I am 21 years old. I had my last period before four months. I had my last sex (unprotected) before two months. I have a white discharge, sometimes, thick, other times watery. Sometimes it is odorless, other times it has kind of a foul smell. I tried having PT three times, and all were negative. What is going on with my body? Some say it is because of my weight gain, and I gain 10 kg in less than a year, I had anxiety and early depression. Someone said it is because of the stress. Please help me. Doctor: Hello, Welcome to the icliniq.com. The excess anxiety and stress can cause a delayed period. Excess weight gain also can cause a delayed period. So both these factors need to be corrected. You have to lose weight through medication. For behavioral anxiety, counseling will be helpful. However, thick white discharge points towards candida infection as well. Empirically Clotrimazole vaginal tablet can be used. If the discharge does not decrease, then vaginal swab should be taken for culture. I have given you a possible management option for your case. However, for the pelvic examination, it is advisable to consult a gynecologist." + }, + { + "id": 1093, + "tgt": "I am suffering from external piles, and have blood in my stool regularly. Please help", + "src": "Patient: i have blood in my stool but no pain . I m suffering from externally piles. But there is no itching nd pain in that.. Almost from a week blood is regularly going through out stool... Doctor: Hello. I welcome you to icliniq. The external hemorrhoids can cause bleeing and pain when they are enlarged or secondrary to constipation which produces an abnormal pressure over anus causing swelling of piles. The definite therapy is surgery, however if certain lifestyle modification are employed the anal hemorrhoids can reasonably be controlled. These life style modifcations are I hope this will solve your problem. anal hemorrhoids as above can follow up after 7 days of treatment" + }, + { + "id": 214, + "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": 1353, + "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": 12780, + "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": 29078, + "tgt": "My 10 days old baby got a rash on his chin. What can we do for that?", + "src": "Patient: Hi doctor,Our newborn boy is now 10 days old. He drinks soy formula milk because he is allergic to milk. Today, he started having this rash on his chin (photo attached). He wears gloves but likes to touch his chin. What can we do? Doctor: Hi. I have seen the photo of the rash that you have sent (attachment removed to protect patient identity). For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1881, + "tgt": "Will leprosy spread within a family?", + "src": "Patient: Hi doctor, Our close family member has leprosy. Should we need to take MDT? Please explain. Doctor: Hi. I want to share few facts about leprosy. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2579, + "tgt": "After Unwanted 72, I bled for 5 days and missed my period this month. Am I pregnant?", + "src": "Patient: Hello doctor, I had sex on 13th of last month (last period was 31st before). The condom burst inside me and cum went inside. So after five to six hours I took unwanted 72. Then from 17th to 22nd there was bleeding and cramps. But now it is about one month and I did not get my periods. Is there any chance I am pregnant? Doctor: Hello. Yes, there is some chance. Do urine pregnancy tests. If the test comes positive then there is pregnancy. And if the test comes negative then it is disturbed menses due to emergency pills. Here are some detailed explanations: Unwanted 72 is an emergency contraceptive pill and it can disturb your menses. It can disturb the cycle for two to three cycles. You may have irregular periods or delayed periods also. At the same time, it is not 10% effective to prevent pregnancy. There is some chance of failure even if taken within the time period. You have periods on Jan 31st and have intercourse on 13 Feb which is almost near ovulation period. After taking Unwanted 72 there is withdrawal bleeding mostly within seven days. that does not mean period. After that, it is almost a month. So do a urine pregnancy test for confirmation. If it is negative, then you can take tablet Primoult N daily for five days and then wait for periods. It should come in 10 days after the last tablet. In case if the test comes positive then you are pregnant and you can continue or terminate pregnancy. Do drink more water. Can do one ultrasound sonography for other reasons for delaying menses like an ovarian cyst." + }, + { + "id": 10992, + "tgt": "Can you get STD if your partner has never had sex before?", + "src": "Patient: Hello doctor, My question is that if one has sex with a partner who has never had sex before, not using a condom, can he or she still get HIV/HPV or any STDS. Doctor: Hello. No, if you had sex with someone who has never had sex with anyone else before you then you cannot get an STD. STDs are only transmitted from an infected sexual partner. So, if it is the first time sex for someone then obviously that person has never been exposed to STDs. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17672, + "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": 12034, + "tgt": "How can I manage the symptoms of seasonal affective disorder?", + "src": "Patient: Hello doctor, What is seasonal affective disorder and recommend products that can help people manage their symptoms? Doctor: Hello. Seasonal affective disorder (SAD) is a type of depression related to seasonal changes. I would like to call it winter mood changes as it often happens during the winter time. Mostly related to lack of sunshine. During the spring and summer, everything changes and the symptoms are not present. With regards to treatment, often advise increasing lightening of the place where the patient lives. Being in contact with people will help overcome the mood changes. No real cause, mostly related to lack of sunshine (winter). Should rule out other pathologies. Only increase lightening in the place the patient lives. And be involved in social activities." + }, + { + "id": 20238, + "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": 25492, + "tgt": "Does white discharge from the vagina indicate pregnancy?", + "src": "Patient: Hello doctor,I had protected sex with my partner a month ago and two days later I had a pregnancy test which showed negative results. I am having a white mucus discharge instead of periods. Am I pregnant? I have also suffered cold due to change of place and a little stress. I was supposed to have my periods yesterday but all I have got is white discharge. Please help. Doctor: Hello. If you had protected sex then the chance of pregnancy is almost nil. Four days after sex, the pregnancy test will always be negative. Your periods are late by 10 days so you can now do urine pregnancy test. Your periods may be late due to many reasons including anxiety and stress so do the test and relax. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11395, + "tgt": "Is it safe to have Ashwagandha along with Effexor and Trazodone?", + "src": "Patient: Hello doctor, I am on Effexor 187 mg and Trazodone 50 mg at night for depression and anxiety. My depression and anxiety have been worse, and I did not want to keep going up on with more medicines. So I tried Ashwagandha 600 mg in the morning and have seen a great deal of help in my mood and anxiety. I have not even considered if it is safe with my medication. Kindly advice. Doctor: Hello. Effexor (Venlafaxine) and Trazodone are good drugs for depression and anxiety but will have some side effects. You may take Ashwagandha 600 mg (morning and night), Centella Asiatica (morning and night) as a supportive therapy. There must be one hour gap between modern drugs and herbal supplements, to prevent their interactions. Consuming Ashwagandha and Centella Asiatica is safe. On a long term basis, it will reduce the side effects of modern tablets and also stabilize the nervous system functions." + }, + { + "id": 7435, + "tgt": "Is gallbladder surgery a must in cystic duct syndrome?", + "src": "Patient: Hi doctor, My daughter is suffering from abdominal pain due to gallbladder problem. She is suffering from stomach pain for the past one year. It has aggravated recently. She gets pain when she eats green leafy vegetables or fatty foods. She had an antibiotic for a month. Doctors have told that water has formed around her gallbladder along with infection. CT scan, HIDA scan, color Doppler and endoscopy tests all are normal. Is there any dysfunction of gallbladder seen in HIDA test? Or cystic duct syndrome? Is gallbladder surgery compulsory? Please help me. Doctor: Hi. The report says that she has a component of decreased gallbladder motility associated with polycystic changes in ovaries (PCOD). Now, we need to get LFT (liver function tests) done. Did she had pain as well as fever or jaundice? At present, is she symptomatic? Or asymptomatic? Kindly provide details of her weight. Obesity is associated with cystic changes in ovaries. Surgery is not compulsory in this case." + }, + { + "id": 18851, + "tgt": "Can you suggest ayurveda medicine for sinusitis?", + "src": "Patient: Hi doctor, I am a 23 year old male. I have sinus problem since birth. My nose gets blocked as weather changes and remains so for a long time. I am allergic to dust. What food can I take to help my condition? Doctor: Hello. Please Follow these advices: 1. Anu thailam - Ayurvedic nasal drop, apply 2 drops in each nostril before bed and at morning. 2. Nirgundi thailam - apply 10 drops on scalp, top of head and rub with fingers. This should be done at 6.30 AM. Then take bath after 7.30 AM in normal water. 3. Use dried turmeric stick - Take a dried turmeric stick. Show it on the fire in a candle. Once the turmeric stick gets burnt, then blow it to stop fire. Now you can see the smoke coming off from the turmeric. Show this below your nose and take deep breath, so that the turmeric smoke should enter into your nostrils. 3. Do Yoga - Start pranayama (breathing exercise) and yoga practice. These will give a permanent solution for your nasal block and sinusitis. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24522, + "tgt": "Is the cut by the side of penis a herpes infection?", + "src": "Patient: Hello doctor, I have cut by the side of my penis and I do not know where it came from. I found when there was a little pain there. I was wondering if this is herpes. I last got oral sex a few months ago. Doctor: Hello. This is not herpes. This is just irritation induced cuts (attachment removed to protect patient identity). You need to apply Abzorb (Clotrimazole) powder two times a day for a week. Keep the area dry. Also, please upload a clear picture of the same. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10410, + "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": 28266, + "tgt": "I am depressed due to the guilt of ejaculating while sleeping in the same bed with my mother. Please help", + "src": "Patient: Hello doctor, I am a 55 year old male, and I have been suffering from depression due to extreme guilt from 22 years.\u00a0I have been taking allopathic medicines, but my depression bounces back. Actually, my childhood, teenage, and adolescent was disturbing. My father always abused me, and my parents quarrel daily. My father always neglected me and avoided paying my college fees. Other than this, I witnessed my parents having sex many times in the same room where I slept. I felt disgusted and also excited. I wanted to avoid the situation, but I did not have any option. When I was 19 years old, I happened to see my mother taking bath from the keyhole. One day, I slept with my mother in the same bed, and I ejaculated. At the time of ejaculation, my back was towards my mother. I love and respect my mother a lot, and I always feel I am a sinner. I am unable to forgive myself, and I have not able to get over it. I have been living with guilt and feeling bad about myself for 20 years. Please suggest some solution. I am taking Paxinet 37.5 mg, Lithium 800 mg, and Quetiapine 50. Doctor: Hello. I completely understand that you feel depressed and guilty due to past negative experiences in life. I hope this information is helpful for you. Do follow-up if you feel the need.\u00a0Best regards. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 5941, + "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": 8962, + "tgt": "Are the abnormalities in abdomen X-ray stones?", + "src": "Patient: Hello doctor, I am a nurse and I had the stomach flu about a week ago and decided to take a VD pelvis and abdomen radiograph of myself. Upon taking the radiograph, a number of small abnormalities in the pelvis were seen. At first glance, they appeared to be stones, but after taking repeat X-rays, one week later, the small circular spots have not moved at all. A urinalysis was ran and came back completely normal. I suffer from irregular periods but other than that, I am in good health. Doctor: Hi. I assume the radiographs were taken to evaluate any calculus, stone along the urinary tract. However, the small opacities seen in the pelvis are phleboliths within the veins of your pelvis and not stones. These phleboliths would not cause any discomfort to you and are asymptomatic. With irregular periods, I would recommend a pelvic ultrasound with KUB also to evaluate post void residue which can cause recurrent sub-clinical UTI. Take care." + }, + { + "id": 3492, + "tgt": "My left side back got hurt and I feel sharp pain while taking deep breathe. Why?", + "src": "Patient: Hi doctor, I recently hurt my middle left side of my back in wrestling. I pretty much got picked up and slammed on a corner of a table and now I feel a sharp pain in that spot. It is a kind like a black and blue, but there are no visible marks just sharp pain whenever I move. Also, when I take a deep breath I get pain in my left shoulder. Can this be healed on its own? And how long will it take to heal? Doctor: Hi. You have mentioned the injury to your middle left side of the back region. If you have localized back pain with no other symptoms like radiating leg pain, and neurological symptoms like numbness, weakness, paresthesias, etc, then you can start with following recommendations for an initial period of two to three weeks. 1. Maintain a proper posture of your back while working and sleeping. 2. If pain is more then you can take a short course of an anti-inflammatory medication which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and vitamin D intake if levels are low in the body. 5. Ice packs should be applied three to four times a day (10-15 times every time). 6. Analgesic spray for a local application can be used and is easily available. 7. Avoid lifting heavyweight, acute forward bending in the mornings, etc. We will observe you for the next five to seven days how you respond to this conservative management protocol. If you are not feeling better, then we might have to get some investigations like dynamic x-rays of the lower back and few blood tests for evaluation. I hope this helps. Injury. X-ray of the specific region if no relief from pain. As advised." + }, + { + "id": 1711, + "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": 901, + "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": 15493, + "tgt": "Is it fine to wear a cracked Invisalign retainer or should I get it replaced?", + "src": "Patient: Hi doctor, My Invisalign retainer cracked pretty substantially on the seventh day after wearing it. Is it best to keep wearing it or can I switch to next weeks tray now? Doctor: Hi. You should always clean off the last set of aligners and keep them somewhere safe when you move on to your next set. These can be used to maintain your progress if you break or lose your current set. If the crack has not split the tray, and if the tray is holding together pretty well, then you can continue wearing the tray. Be careful while putting the aligner on and off, as the crack can get worse when removing your aligners. Use a flat edge stick to pop off the aligners and reduce bending while taking them off. When putting them back, press evenly and firmly to avoid adding additional stress to the aligners. If the split is bad, and if the aligner cannot hold its shape, stop wearing the aligner. You will not get any benefits from wearing the tray. Go back to the previous tray to maintain your progress until you have a replacement aligner." + }, + { + "id": 956, + "tgt": "How to manage H. pylori infection?", + "src": "Patient: Hi doctor, I am an 18 year old male. I have been experiencing a wide range of symptoms for nearly a year. It all started in the last summer. I started to experience constant vomiting after eating, bloating and weight loss. Then, I was diagnosed with a Dientamoeba fragilis infection and given a course of antibiotics. I thought I would get better after this, but that was not the case. I was treated for the bacteria and I still have symptoms like occasional vomiting, a lot of weight loss (15-20 pounds), bloating and abdominal swelling. The doctor did a bunch of blood tests and said he did not see anything wrong. The vomiting stopped, but I still experience the symptoms and not gaining any weight. So, my doctor referred me to a gastroenterologist. I told him about my symptoms, which are as follows. GERD, weight loss, occasional abdominal pain, abdominal swelling and bloating, malnutrition, alternating diarrhea and constipation, and heart issues like racing heart and heart palpitations. My sister has celiac disease. My gastroenterologist has done an endoscopy and said he does not think that I have celiac and he said Helicobacter pylori might be a possibility. I am really worried because I have got a lot of blood tests and everything came out fine, except Vitamin B12 and D deficiency. So, I just want to know if you think that I could have Helicobacter pylori. I am really anxious. Please explain as soon as possible and share any other possible illnesses that I could have based on my symptoms. Thank you. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30638, + "tgt": "What can cause vaginal discharge after three months of delivery?", + "src": "Patient: Hello doctor, Three months ago, I had a forceps delivery. Now, I am experiencing heavy vaginal discharge. I guess that comes from below my clitoris. I can see mucus like discharge in and around clitoris. When I sit, I feel a gush below clitoris. My doctor said there is no problem and I am normal. But, I am so tensed and the discharge is in light yellow color. I am often affected by urinary tract infection too. Please help. Doctor: Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10994, + "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": 6785, + "tgt": "Can a thyroid patient eat soybean and fenugreek?", + "src": "Patient: Hi doctor,I am a 23 year old unmarried female. I am suffering from thyroid disorder since three years. I am unable to gain weight. My weight is 42 since seven years. My TSH level is always normal, either 3 or 2 or 4. When I\u00a0visited my doctor, he said the thyroid function is fine and no need to worry about weight. I am taking Thyronorm dose of 75 mg one day and 50 mg the other day. I am not feeling hungry. Please let me know whether my low weight is due to thyroid or not. What food should I take to gain weight? Can thyroid patient have soybean and fenugreek? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27233, + "tgt": "I need a treatment plan for hydronephrotic kidney with PUJ obstruction", + "src": "Patient: Hello doctor,My mother has a hydronephrotic kidney with PUJ obstruction. She also has a history of recurrent and severe UTI. I need an expert advice and treatment plan. Doctor: Hello. If possible, send all the reports with images. I need to know the\u00a0severity of hydronephrosis. She may require surgery. For more information consult a urologist online -->https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 26736, + "tgt": "Can I take Malai Vembu for PCOS?", + "src": "Patient: Hi doctor, I have PCOS, and I am 33 years old. I am trying to get pregnant. One of my friends asked me to take Malai Vembu. I took it for three days during my last menstrual cycle, and for the first time after five years of PCOS, I got periods without any medicine. So, I took it again this month. How many more cycles can I take this? Also, please suggest any other herbal medicine to get pregnant. Doctor: Hello. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 27570, + "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": 20085, + "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": 16204, + "tgt": "Why do I have pain in the extracted site?", + "src": "Patient: Hi doctor, Recently, I took out my bottom left wisdom tooth. I have got stitches over the extracted site. I have been taking Paracetamol and Ibuprofen 400 mg. Still, I have pain in the extracted region. There is no pus coming out from the gums. It looks swollen, and it is not red. Is the pain normal? Please guide me. Doctor: Hi. It is not normal, and it is a sign of infection. There can be a root tip or a bony spicule left in the extracted site. Consult your dentist soon. Kindly take a radiograph of the extracted site soon and correct the problem if there is a presence of root tip or bony spicule in the extracted region. You can take tablet Ofloxacin 200 mg and Ornidazole 500 mg two times a day for five days." + }, + { + "id": 23268, + "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": 28283, + "tgt": "Are my symptoms due to alcohol neuropathy or a back injury?", + "src": "Patient: Hello doctor, I am a 31 years old, who weighs 160 lbs and 5.10 feet tall. I drink alcohol on and off since I was 18 years old. Once I got back from deployment, I drank pretty hard with friends. I would say 3 to 8 beers every other night and then 12 to 16 on weekends. I quit drinking cold turkey a month and a few weeks ago, but then I started having weird symptoms. I get panic attacks, my heart would race, and I would get dizzy and light headed. About the same time, I hurt my lower back using an ab roller. Now, my heart still beats faster than it normally does, especially in the mornings when I first get out of the bed. It almost slows back down to normal when my wife and I go on walks though. My back is still hurting as I am waiting for my MRI, but I have been to the ER four times in a month with chest tightness and a racing heart. The last time I went, I was given Morphine, which brought all my vitals back to normal. Am I at risk for alcohol neuropathy or could the racing heart and sometimes shortness of breath be attributed to a potential back injury? Doctor: Hello. After quitting alcohol, many patients get alcohol withdrawal symptoms, but that usually develops within a week of quitting alcohol. Chest tightness and racing heart can be because of some cardiac problem like rhythm disturbance or ischemic heart disease, or it can also be due to severe anxiety or panic attack. But it does not seem to be related to the back injury. Chronic alcoholismis a risk factor for developing heart problem also. For back pain, you can get an MRI of the spine. As you have consumed alcohol for such a long time, there is a possibility that it might have affected your nerves already, which may be subclinical and can be looked for by doing the following tests: If your heart tests come out to be normal, you can meet a psychiatrist for proper de-addiction treatment and also a treatment for your anxiety and panic attacks. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15105, + "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": 18904, + "tgt": "How can I control heavy bleeding during periods?", + "src": "Patient: Hello doctor,I am 25 years old married girl. This time, there is a heavy flow during my periods (nonstop bleeding) but there is no pain and no discomfort. Today is the second day of my periods. What should I do? It does not look like a normal period bleeding that I usually have. Doctor: Hello. When was your previous period date? Did you check HPT (home pregnancy test)? If the flow is heavier, you can take tablet Trapic (Tranexamic acid) 500 mg 1-1-1 for three days. If not, reduce it by three days. Kindly consult a gynecologist in person. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1596, + "tgt": "I am 4 months pregnant with hyperthyroidism. Is PTU good for me during pregnancy?", + "src": "Patient: Hello doctor, I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU. Doctor: Hi. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves\u2019 disease. These antibodies can enter from the mother's blood to the baby's blood and stimulate the baby's thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth." + }, + { + "id": 14110, + "tgt": "How can I attain appropriate height and weight for my age?", + "src": "Patient: Hi doctor, I am 20 years old. My weight is 53 kg and height is 167 cm. I look small for my age. There is no appropriate growth. Can you suggest any medication or supplement for this? Doctor: Hi. I have gone through your history and I would like to suggest you some natural way to increase your body growth. There are many factors that affect the body height and weight such as gender, age, genetics, lifestyle, diet, etc. If there is no weight gain despite eating a calorie rich food, then you should be investigated for a malabsorption syndrome. It is a condition which will prevent absorption of nutrient from food into the body. Your weight is also determined by genetic factors. If you have very slim parents then you too will be slim. I am happy that you are very concerned about your health. It is known that 7,700 calories will put on as 1 kg in weight. You should increase the physical activity as well as your routine diet to increase weight. Dip handful of whole grains (black grams, peas, peanuts and pulses) in a cup of water overnight and eat. Take curd with fat twice a day. Increase the intake of carbohydrate like rice and bread in your food but do not have at late night. You can take cereals, milk and egg for breakfast. I suggest you to start exercise with adequate protein intake. This will help your muscles to build and gain weight. Start with a jog and then mild exercise like cardio, pushups, cycling and swimming. Try out moderate exercises and not the high intensity ones. Along with it have a protein-rich diet including milk, cottage cheese, banana, egg whites and lean meat. Slowly increase your calorie intake by 500 calories every week up to 2000 calories. Have a good amount of water of around 2 liters per day. Do not consume fatty food. It will increase fat deposition in your body and will make you obese. Try this natural way instead of any medication for weight gain. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 16320, + "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": 7559, + "tgt": "Suggest me a harmless over-the-counter nerve soother", + "src": "Patient: Hello doctor, Please suggest a harmless over-the-counter nerve soother. I am stressed, and I cannot destress. I am healthy, but I lack energy and get very irritated. Please help. Doctor: Hi. There is no safe drug nor OTC (over-the-counter) for your problem. I suggest you try Alprax 0.5 mg (Alprazolam), twice daily for two weeks. After that, increase the frequency to thrice daily. Consult your specialist doctor, discuss with him or her and take the medicine with their consent." + }, + { + "id": 28495, + "tgt": "What are the possible types of miscarriage during initial days of pregnancy?", + "src": "Patient: Hi doctor,What type of miscarriage is possible during the first six weeks? What are the expected symptoms? Doctor: Hi. During the first six weeks of pregnancy, if one bleed with cramps then it may be due to threatened miscarriage whereby one should seek immediate medical consultation. This stage can be reverted to normal pregnancy. If one experience some tissue along with clot of blood coming out of the vagina, then the one is probably going to abort. So, the should contact gynecologist immediately. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21627, + "tgt": "Can you suggest some medicine to correct irregular periods?", + "src": "Patient: Hi doctor, I am 36 years old female, and I am married. I am suffering from prolonged and irregular periods. Periods stop and start again for a long time of almost months together. Before three years, I got PCOD problem, but now I have not checked and undergone any medical tests. I took ayurvedic medicines like Aloe vera juice and Amla juice, but still, this problem persists. I cannot go to a doctor because of heavy periods. Periods are with cramps, and sometimes there is thin blood. I used to have two to three pads at a time. There is no pain. I have not got pregnant, and now I am planning for pregnancy. Can you please suggest some medicine? So that once it stops, I can visit a doctor. Doctor: Hi. If there are heavy periods which is affecting your daily activities, then you need to pay attention to it and try to solve the issue as soon as possible. Heavy periods can give you anemia, dizziness, generalized weakness and other long-term symptoms as well. Start taking Iron supplements immediately. Have a full diet of Iron like carrot and apples. Have tablet Norethisterone 10 mg from day 4 to day 26 of every cycle for three cycles to regulate your periods and to reduce irregular bleeding and spotting. On the day two, you can have tablet Ponstan 500 mg (Mefenamic acid) and tablet Tranexamic acid 500 mg which can help to reduce bleeding from the day two to five. Have a healthy diet with low spice, salt, and sugar. Have one complete blood count, thyroid function test, and transvaginal scan and discuss here or with a local Gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22799, + "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": 2500, + "tgt": "Why do I feel itchy after taking bath during hot climate?", + "src": "Patient: Hi doctor, When it is hot I feel itchy after taking a bath. This feeling can last for around 15 minutes. I also feel itchy when I start to sweat but when I sweat a lot after some times the itchiness decreases. I also feel uncomfortable at night sometimes. Using a fan just makes the itchiness much worse. Lastly, there are no visible effects on the skin. Doctor: Hi, Welcome to icliniq.com. You are actually suffering from aquagenic urticaria. Such patients are actually allergic to water content and or temperature changes lead to histamine release thus itching. This condition is most of the time very resistant to treatment. Only treatment is that you take antihistaminics daily. Sometimes in some patients, it resolves on its own after some months or years. Take care to avoid extreme changes in the heat. Take antihistaminic plus Montelukast tablet like Fexofenadine and Montelukast 180 mg daily for four weeks and use calamine lotion. Some people report relief after doing exercise they have an itching for few minutes after sweating due to exercise but during whole of the day then they feel relieved. Different people behave differently according to the level of allergy they have. In your case, according to your description, I suspect that you are allergic to water content and change in temperature. So kindly take care to avoid such situation that is not always possible. So take the tablet and Calamine lotion which I have advised. I hope this helps." + }, + { + "id": 14221, + "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": 17790, + "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": 1523, + "tgt": "My stool is often covered with bright red blood, and I feel fatigued. Why?", + "src": "Patient: Hi Doctor, Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious. Since past week I'd noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood. I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately. My age is 23 and weight is around 77 kg my height is 6 ft. Doctor: Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it's only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives)." + }, + { + "id": 14809, + "tgt": "I have pain in wisdom tooth with restricted mouth opening. Why?", + "src": "Patient: Hello doctor, My lower right wisdom tooth is aching and am taking antibiotics but cannot open mouth all the way. It is too painful. Doctor: Hello. You should also start taking a muscle relaxant (Chlorzoxazone) with painkiller along with the antibiotic for a week. You will need a prescription for it. So, go back to your dentist. Do not delay for long else swelling might increase rapidly. Also, use warm salt water gargle twice a day. You will need to extract the wisdom tooth as soon as possible. Do slight exercises of the mouth after you start taking the required prescription, to loosen the jaw muscles to facilitate removal of the tooth. Did the dentist prescribe you Clindamycin?" + }, + { + "id": 14134, + "tgt": "Can HIV cause cold after sexual intercourse?", + "src": "Patient: Hello doctor, I am a 28-year-old boy. Recently, I had sex with a lady. We are working together, and two weeks before only her visa got renewed. While the visa stamping time, they check all procedures and tests. About her, she is divorced and separated before one year back. Since one year she lived alone and no sexual relations with anybody. About her Ex-husband, his background was not good. He had a relationship with other girls I heard. But right now both of them are living in the healthy conditions. There is no significant medical problems. Past four months, we had a good relationship (sexual). My problem is this, recently I got a fever, and I took medicine. Then I was fine. But the cold is not getting cured. Frequently it is coming. Actually here the weather is a little cold now a days. But no weight loss or no other problems. Just cold and headache. Headace sometimes but cold regularly. Can you please advice, is it related to my sexual life? Should I go for any test? Can the HIV virus be hidden for a very long time? Could you please tell me once it is infected how many weeks will it take to identify? Actually, I am planning to marry her. Doctor: Hi. I have read your query. It is most likely that fever and cough are due to common cold. Please do warm saline gargles several times a day to reduce the throat inflammation. You can also take steam inhalations to get relief. If a cough is persisting you can take the antibiotic. Take tablet Azithromycin (500 mg) once a day for five days. If the symptoms persist, further tests may be needed. For the headache, you could get your eyes tested. Also, get your blood pressure checked. You have asked for advice on HIV infection. HIV infection occurs in three stages. Stage 1: Occurs within 2 to 6 weeks of exposure. Symptoms include a headache, diarrhea, nausea, vomiting, rash, cough and cold. It lasts for a couple of weeks, then goes away. Stage 2: There are no symptoms during this stage. Stage 3: Full blown symtoms of HIV occur due to immunity being compromised. It is important to use a condom as it provides the best protection against sexually transmitted diseases. If you are suspecting HIV exposure, it is important to get one tested. ELISA test is the method used for screening. Rapid HIV tests are also available. These are only used for screening and should be follwed by western blot test which is confirmatorty. Sometimes, a false positive result occurs so it is important to get a repeat testing done. HIV virus takes 2 to 12 weeks to appear in blood so that it can be detected by the test. A person should get their partner tested too if the result comes as positive. Please consult a nearby doctor if symptoms persist." + }, + { + "id": 27033, + "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": 11996, + "tgt": "Please suggest some Ayurvedic medicines to reduce fibroids", + "src": "Patient: Hi doctor, I am a 27-year-old female. Three years ago, I underwent myomectomy, and a large fibroid was removed. After that I was fine. For the past one month, I have bleeding with pain. Now the scan has shown more than three intramural fibroids. There is a fibroid which is large measuring 40 x 35 mm. My uterus is healthy in all the aspects. My thyroid test was also normal. Please suggest some Ayurvedic medicine to reduce my fibroids. Doctor: Hi. The Siddha or Ayurvedic drugs can be taken as early as possible after diagnosing the fibroids. The herbal therapy will ensure the shrinkage of the fibroid with no more growth or new formation and also prepare the uterus for pregnancy. Follow these drugs which are advised to you. Take capsule Rasagandhi Mezhugu one in the morning and one in the evening after taking food. While consuming this capsule, drink one cup of buttermilk (curd with water). Take tablet Chithramoola kuligai or take tablet Tumowin (Carum copticum with Plumbago indica) one in the morning and one in the night after food. Take Van kumari legium one spoon (five gram) in the morning and one spoon in the evening before food. Take tablet M2 tone (Ashoka and Ashwagandha) two tablets in the morning and two tablets in the evening after meal. You can take a banana flower after cooking, and jamun fruits can be consumed more if the bleeding is more. If you can collect the bark of jamun tree, then its kashayam is the best one to stop the bleeding. Make it as small pieces of the bark. Take 20 grams of the cut barks, add 250 ml of water, and boil it in a mild flame. Once the water is reduced to 100 ml, then stop firing it. Filter it, and this is called as jamun bark kashayam. Drink this kashayam every morning. Similarly, prepare a new one every day and drink in the evening before taking food. You can make together in the morning itself. Continue these drugs for three months. Then, take an ultrasonogram of the abdomen to confirm the reduction in size." + }, + { + "id": 20325, + "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": 5722, + "tgt": "My semen appears yellowish. Is it normal?", + "src": "Patient: Hello doctor, My semen appears yellow on toilet paper, but white on the skin. I even tested the color on a plastic object such as a white plastic fork. It still appears yellow. I have this problem for more than five years, but I have no other symptoms. Please see the pictures and let me know if this is normal. I am a smoker. I have not been sexually active for more than a year now. Furthermore, just after I am done\u00a0urinating, there is a little leakage of urine. Doctor: Hello. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11184, + "tgt": "Is it mandatory to get prostate biopsy for PSA 5. 7 with negative MRI?", + "src": "Patient: Hello doctor, I had a 4.4 PSA and had an MRI that was negative. Six months later my PSA is 5.7 and even though the MRI was negative it is suggested that I should have a prostate biopsy. I am a 73-year-old male. I am certainly not that excited to have a biopsy. Any thoughts? Doctor: Hi. I can understand your concern about undergoing an invasive investigation without any symptoms. Let me explain you what does PSA suggest. Basically, PSA is secreted by the prostate as well as some other body tissues. It does not reach circulation and hence remains low in blood as long as the barrier between prostatic tissue and blood vessel is kept intact. Rising PSA is a sign that there is some tissue alteration which has resulted in breach of this barrier. Hence, do not be under the impression that rising PSA always means malignancy. But it is better to confirm the absence of malignancy by biopsy as, at a PSA level as low as 5.7, even in a unlikely event of report being malignancy, the chances of organ confined lesion is very high, which is easy to treat and chances if cure are high. Hence, it is better to undergo biopsy and get your fears allayed. As such, the biopsy is a very small procedure and safe in experienced hands. Wish you a safe biopsy and I hope the results will be benign." + }, + { + "id": 28086, + "tgt": "Is there any side effect free birth control pill?", + "src": "Patient: Hi doctor, I was prescribed to have Levonorgestrel and it does not suit me. Therefore, Diane-35 was recommended. But, it has a\u00a0high risk of blood clot. I would like to know a birth control pill that will not cause hair loss and is low on blood clot risk. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28024, + "tgt": "Why is my eosinophil count raised?", + "src": "Patient: Hi doctor, Please see the attached reports. My eosinophils are 22.1 %, but a year back, it was 11.2 %. I have back pain, and my vitamin D is also very less. The vitamin D level is 12. I had a 3 mm\u00a0kidney stone a year back, but it got removed without surgery. Because of the back pain, I got an MRI done. The MRI showed disk protrusion\u00a0in L1 and L2. Doctor: Hello. I just read your query and the detailed reports (attachment removed to protect patient identity) that you have attached. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Hope you find my advice of some benefit. Good luck. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19320, + "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": 13436, + "tgt": "Can Mifepristone and Misoprostol be taken for abortion after 49 days of pregnancy?", + "src": "Patient: Hello doctor, My fiancee is 59 days pregnant. So we consulted a doctor for an abortion and she prescribed Mifepristone and Misoprostol for the abortion. But the doctor had told this method should be used before 49 days. So if these tablets are taken on the 59th day, how much effective it would be? Doctor: Hi. Medical termination is legal until 20 weeks of pregnancy in some countries. But safety profile says, until seven weeks these pills do not cause heavy bleeding and pain, so can be prescribed by a single doctor. For more than seven weeks, often bleeding and pain is more leading to unwanted hospitalization, that is why dilation and curettage under short anesthesia are preferred. In the end, it is the patient's decision, what she wants." + }, + { + "id": 4739, + "tgt": "After using eye drops for scleritis, I had partial vision loss. Why?", + "src": "Patient: Hello doctor, I saw an ophthalmologist for what I thought was a pink eye infection. The following issues were addressed: Acute (sudden onset) inflammation of the conjunctiva (the membrane that covers the white part of the eye) causing the white part of the eye to become red and irritated with the formation of little bumps inside of the inner eyelid and misalignment of the eyelashes which rub against the eyeball causing irritation. His diagnosis was some type of scleritis. He wrote a prescription for drops with an antibiotic and told me to give it a few weeks to clear up and nothing serious. Within a month there was little marked improvement so I went to see him again. He was amazed that there was no improvement and laughed. He said all of my patients get better with this medicine except you. You should probably check with the pharmacy and see if this was a bad batch. Maybe it got too hot on the truck. I was literally taken back. He took me off of that medicine and told me to get over the counter drops similar to No More Tears, I did and used for one more week with no improvement. I called his nurse at his office and he prescribed Prednisolone acetate drops which did seem to eliminate the white blisters on the white of my eye. However, my eye started to hurt as if someone was stabbing it with a needle over and over at random times. By the next day morning, I lost a part of my vision in my left eye. It was as if someone smeared my lens with vaseline, blurry and looked like I was looking through frosted glass, and also painful. I called his office and he was on vacation so they referred me to the physician on call at another facility. The doctor was shocked that this had gone on for so long. He was afraid my vision was in danger because of nontreatment. He diagnosed me with dendritic keratitis and shingles of the eye (cornea). He did not want me going back to the previous doctor. I have been with him since trying to get this fixed. He prescribed me the shingles medicine Valtrex. The shingles in the eye are getting better now but the damage which could have been prevented has taken its toll. My left eye is left with a smear, haziness, fog or frost vision which makes it impossible to focus especially with both eyes open. I asked him about a possible cornea transplant and he said the damage was likely too deep in the eye to make a difference. In fact, that could even make it worse. Is this true? I now see two blurry red light traffic signals covered in frost or haze. He said the haze would be permanent. My wife and I are almost retired and wanted to travel before this happened. Please let me know what I can do in this matter or any surgical recommendations? The prognosis for full recovery was bleak when talking to another doctor. Doctor: Hello. After going through your history, I understand that you have two concerns. Firstly, what has gone wrong and the second is how to fix it? From what you have mentioned in your query, I can tell that you have at least two problems interfering with your vision. 1. Corneal scarring due to the viral infection of the cornea. This is an end-stage and can be corrected using a corneal transplant. Although the information you have provided is quite detailed, it would be useful to have a photo of your cornea (the round black part of your eye). This is to check for corneal ulcers or scarring. 2. Optic disc damage or glaucoma, I think this may be present as well, it is a common side effect of long term Prednisone and probably why your second doctor said that a corneal transplant will make this worse as the problem is too deep in the eye. Once again, although your description is detailed, glaucoma cannot be ruled out by this limited information. Please send a photo of your doctors reports or at least the intraocular pressure readings. Coming to the cure, corneal scarring can be cured with a corneal transplant. But I am afraid if you have glaucoma, there is no way to get back the vision you lost. All we can hope to achieve is not to let further damage to the disc happen. I hope this helps." + }, + { + "id": 14341, + "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": 11093, + "tgt": "I am uncomfortable due to excessive gas, burping, bloating and acidity. Please help", + "src": "Patient: Hi doctor, I am a 26 year old male. I am suffering from stomach problems like gas (excess condition every time), burping, bloating and pain in the chest (sometimes due to acidity). I always feel uncomfortable because of gas problem. I feel like my stomach is full every time. Please help. Doctor: Hello. I understand your concerns. Most probably, you have irritable bowel syndrome, which is a syndrome of nervous bowels characterized by colicky bowels that may cause constipation or diarrhea. It does not wake you up in the middle of the night. Also, it worsens in times of exams or stress or after meals. It is relieved after motions. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14502, + "tgt": "I have vaginal pain while urinating along with stomach and back pain. Is it fine?", + "src": "Patient: Hello doctor, I have pain in the inside of my vagina when I pee and lower back and stomach pain that comes and goes. Is this normal? Doctor: Hi. It could be sexually transmitted infection or pelvic infection. Have high vaginal swab urinalysis, urine culture. Strict hygiene. Soft comfortable undergarments. Use condoms to avoid sexually transmitted infection. Avoid cosmetics locally, just use a soft razor for hair removal. Lots of water and Cranberry juice to avoid UTI. After collection of the swab, have medications, tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg eight hourly for 14 days. Collect reports and discuss here. STI or PID. Urinalysis, urine culture, HVS (high vaginal swab). UTI or PID. STI or PID. Oral antibiotics." + }, + { + "id": 19231, + "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": 19136, + "tgt": "Please suggest ways to overcome my physical and mental exhaustion", + "src": "Patient: Hello doctor, I was a healthy, mentally sharp and energized person before. But, for the past 12 years, my brain and body get\u00a0tired very easily. I am having mental and physical exhaustion and the condition is gradually worsening. I feel drowsy after studying for some time. With this problem, my studies have dropped a lot. I get very easily fatigued by doing just 15% of normal work for this age. My physical work has dropped because of lower limb dragging while walking or standing for some time for the last 10 years. I am also having neck muscles stiffness while seeing up or down and shortness of breath. I feel a\u00a0sore in my\u00a0lower back muscles after standing for some time. My eyes get strained while\u00a0reading or watching television or browsing internet for very less time. I do get excessive sweating and there is a rise of heart rate for below moderate work since 5 years. I am unable to go gym. I\u00a0fear to do yoga due to shortness of breath, weakness\u00a0and exhaustion. I also have decreased cognition. Due to the mental and physical exhaustion, I am irritable sometimes. I went to all the best doctors in my place and no one was able to find the disease. Even the psychiatry doctors were also unable to find the cause of these irregular symptoms. As\u00a0allopathy doctors were unable to diagnose the cause of my symptoms, I have used some over-the-counter ayurveda medicines.\u00a0Does any ayurveda medicine cause these symptoms after using them for a long time? I am currently on venlafaxine tablet 225mg. Doctor: Hi. Family history or negative thinking or some incident. Bipolar disorder. Psychiatric treatment. Keep yourself busy with productive work and positive environment. Revert back after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12052, + "tgt": "I just got HIV-1 and HIV-2 tests done. Can you help me understand the report?", + "src": "Patient: Hi doctor, I am just done with HIV-1 and HIV-2 test. Can you help me understand the report? Result is 0.03. Notes given regarding this test are this is a chemiluminescent enzyme (CLIA) for simultaneous qualitative detection of antibodies to HIV 1 and 2. A negative result does not exclude the possibility of exposure to or infection with HIV 1 and 2. A positive result is not a diagnosis of AIDS. Supplemental testing such as immunoblot should be done for confirmation. Specimens containing mouse monoclonal antibodies or heterophile antibodies can give falsely elevated or depressed values. Doctor: Hi. In CLIA (Clinical Laboratory Improvement Assessment) test result, a value greater than 1 is considered reactive (positive). Your result is 0.03, which is less than 1. Hence, it is non-reactive (negative). In HIV (Human immunodeficiency virus) testing, it is very important to know how long it has been since your suspected exposure to infection.It can take up to 3 months from the time of exposure, for the virus to be detected in blood. If it has been more than 3 months since your suspected exposure, your result confirms that you do not have HIV infection. In case it is less than 3 months since suspected exposure, I advise you to repeat the test after 3 months of exposure." + }, + { + "id": 19951, + "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": 25840, + "tgt": "How can I prevent the 9-mm thyroid nodule from growing?", + "src": "Patient: Hello doctor, I am a 27-year-old female. Recently, I had a high blood pressure onset that lasted for four days. In addition to this, I am stressed, tired and not looking or feeling well as I have a very engaging and stressful job. During the days of high blood pressure, I went to see a doctor, and she sent me for thyroid check for which I needed to wait a month. My blood pressure went to complete normal from then, but I still went for a thyroid check. I had blood test and ultrasound. The doctor found a 9 mm nodule and send me to gamma screening. After that, my results came and I was prescribed 50 mg of Thyronajod (Levothyroxine and Potassium Iodine) and I needed to take it daily. But, my thyroid test was in the normal with FT3 at 3.6 (normal being 1.8 to 4.2), FT4 at 1.2 (normal between 0.89 and 1.75) and TSH at 1.43 (normal between 0.4 to 4). The only thing it says is that I have \"regressive hypofunctional nodule.\" My general practitioner told me that I need to take this to prevent the nodule from growing. But I am very concerned about this. Why would I be taking this medicine if my thyroid hormones are normal? Will I have to now take this forever? In addition to this, after a month of taking the only positive thing I feel is that I am a bit more alert, but I am feeling very very stressed. My hair is falling down, while my body hair increased, my libido is lower and I am just feeling strange. What is your opinion? Should I continue taking the Levothyroxine for six months or should I stop and look for other opinions? Doctor: Hello. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 6525, + "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": 22511, + "tgt": "Are my HBV and HCV tests conclusive?", + "src": "Patient: Hi doctor, I have attached my three medical test reports, of which, two are for HBV, and one result is for HCV. These results are almost six months old, and they were taken exactly after six months of potential exposure to these viruses. I have not had any symptoms in the past one year, but I understand that most of the people do not either recognize or experience any symptoms. Other than that, I also had a fourth generation ELISA HIV test six months back. What do these results show? Do I need to get tested further? Doctor: Hi. I have seen the test reports (attachment removed to protect patient identity). Here is my interpretation. For hepatitis B surface antibody, a level less than five is considered negative, while a level more than 12 is considered protective. So, you have hepatitis B antibody titer of three, which suggests that there are not enough antibodies against hepatitis B virus in your body. So, you should get hepatitis B vaccination. Regarding hepatitis C virus, it is nonreactive, meaning you do not have hepatitis C virus infection also. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18133, + "tgt": "My 3. 5 months old baby vomits after we feed him formula milk. Why?", + "src": "Patient: Hello doctor, Hope you are\u00a0doing well. I want to ask a question about my 3.5 months old baby. I feed him both breast milk and formula milk. But whenever I feed him formula milk, after 20 to 30 minutes, he starts to cry a lot, becomes fussy, and vomits that milk. \u00a0After vomiting, he feels relaxed. I have tried giving him Similac and Nan Pro 1. Please help. Thank you in advance. Doctor: Hi. I can understand your concerns. I hope this will help you.\u00a0Take care. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 10140, + "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": 1999, + "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": 10227, + "tgt": "What could be the cause for heaviness in the head?", + "src": "Patient: Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows: L1-L2 normal findings. L2-L3 disc bulge with thecal indentation and irrelevant effect. L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly. L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess. Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation. Also, how can we treat the heaviness in the head as is causing difficulty in sleeping? Are there any medications? Also, does the head heaviness got anything to do with this situation? Doctor: Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25313, + "tgt": "What is causing this benign meningioma tumor to grow?", + "src": "Patient: Hello doctor,My father is 87 years old and has been diagnosed with a benign meningioma of his brain. He had an MRI done recently and it showed that the tumor has grown. He is supposed to undergo radiation therapy soon. Do you know what would cause the tumor to grow? What is the prognosis? Is radiation therapy safe and effective in stopping the tumor from growing? What is the percentage? Would he need a certain type of radiation (like proton therapy) so that it would not affect the surrounding brain tissues and cells? Doctor: Hello. I read carefully your question and would explain that we cannot determine what made the tumor grow, but you should know that the growth speed depends on the tumor type. There are different types of benign meningioma, which grow at different speeds. A biopsy would help determine the type of meningioma and the better treatment options. Regarding radiation therapy, I would like to know if he is going to do gamma knife or just fractional radiotherapy. Gamma knife is radiation, similar to surgery. While fractional radiotherapy is usually used after surgery and helps treat tumor residual or recurrence. Open surgery may be at a higher risk compared to gamma knife, considering your father's age. Hope to have clarified some of your uncertainties. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5441, + "tgt": "How can panic attaks due to stress at work place be managed?", + "src": "Patient: Hello doctor, I am experiencing stress at the work place which causes me to have multiple panic attacks. I have file 3 EEO's, and gotten zero results, my previous psychiatrist just medicated me by tripling my dosage verses listening to me, I requested a diagnosis letter from her for my employer and she refused, I need some one who cares and can genuinely help me. Doctor: Hi. Workplace burnout is often unrecognized. When it becomes severe, it causes physical manifestation like anxiety, panic, body pains, feeling of boredom, lethargy, etc. I would suggest you to start counseling therapy sessions, there are specific techniques to combat burnout when learnt and applied will bring your stress level down. Mind body medicine integration is a great way to combat burnout. I need to know details of what exactly you are going through to be able to judge the exact strategies which would help you out in your situation. We can do it over online video session or you can start with a local therapist." + }, + { + "id": 4869, + "tgt": "Ultrasound of my 4-year-old son shows fecaliths with stomach pain. Please advise on this", + "src": "Patient: Hi doctor, My 4 years old son is suffering from stomach pain from the last eight to nine days. He mostly complain about that in the evening time or after mid night. If I massage his stomach he feels relaxed. He underwent an ultrasound along with appendix and some other blood tests including TB. All reports are fine. No complaint of loose motion. He is feeling down from a couple of days and not eating properly. Suddenly he starts to complain of pain in the stomach. But the pain does not remain all day. Even in the school, he sits with his head down in free time. Please advise me on what is the problem and remedies for the cure? He is currently taking Duphalac, Drotin DS, Zentel, and Metrogyl. Doctor: Hi. I have seen the reports. (attachment removed to protect patient identity). The on and off stomach pain is due to constipation. The scan report says few fecaliths are present which means hard stools that are not cleared. I feel this is the reason. Encourage him to take lots of fruits and vegetables along with dry fruits like dates, prunes, dry figs, etc., which will help to make the stool soft. He has to drink lots of water. Avoid junk foods, wheat, and maida products. He is already taking Duphalac which will take about a weeks time to act. Also to clear the fecaliths, please show him to a pediatric surgeon. Once those are cleared and constipation is treated, he may feel comfortable." + }, + { + "id": 29233, + "tgt": "I have a decayed tooth and swollen cheek. How to manage?", + "src": "Patient: Hello doctor, Yesterday I visited my dentist for a decayed tooth and infected gums. The dentist failed to extract\u00a0the tooth, as Novocaine did not work because of the infection. Now my cheek is swollen and painful. I was prescribed\u00a0Amoxicillin and Vicodin. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26484, + "tgt": "My dad had repeated subdural hemorrhages. Is it due to a wrong diagnosis?", + "src": "Patient: Hello doctor, My 70 year old father had undergone left frontal and parietal, right frontal burr hole craniostomy with an evacuation of subdural hemorrhage under LA and sedation last month. Before the\u00a0operation, his right side was not working and the problem was resolved after the operation and the doctor discharged him on the 1st of this month with the following medication at discharge: Tablet Levipil 500 mg: one tablet thrice daily to continue. Tablet\u00a0Cetil 500 mg: one tablet twice daily for five days. Tablet PCM 1 g: one tablet thrice daily for five days. Tablet Pantocid 40 mg: one tablet daily before breakfast for 10 days. Tablet Amlodac 5 mg: one tablet once daily at 8 AM to continue. Tablet Shine 10 mg: one tablet once daily at bedtime for one month. Tablet Solitral: one tablet once daily at bedtime for three months. But, during the checkup (after CT scan study), the\u00a0doctor advised a\u00a0burr hole again as he mentioned in the prescription: Residual Chr. SDH Bh FTP commonly, that is, mess effect'. Then the doctor again told me that he may need a\u00a0third burr hole as well as the problem may sometimes happen. May I know is this due to diagnosis problem or something else? My concern is that it is difficult to go for the same operation again and again. Is there any solution for the hemorrhage problem. If I opted for the burr hole surgery at some good quality hospital with sophisticated facilities, will the problem will be solved completely? Is the recurrence of SDH due to a\u00a0wrong diagnosis? Doctor: Hello. If you are still in doubt, you can consult a neurosurgeon locally or on icliniq. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 23681, + "tgt": "My recent scan showed intrauterine fetal demise. Is there any way to get the baby back?", + "src": "Patient: Hi doctor, I am ten weeks pregnant, and my ultrasound report\u00a0showed a single intrauterine gestational sac in the uterus. A small yolk sac and a small fetal pole\u00a0are seen in the gestational sac, with good cardiac activity. Bilateral ovaries are normal in size, shape, and echotexture, and CRL is 4.53 mm. It said early pregnancy of six weeks, so the doctor said to get HV injections and to repeat scan after three weeks. But, the pelvic ultrasound this month showed a single gestational sac in the uterus. A fetus is seen in the gestational sac, but the fetus does not show any cardiac or somatic activity, and CRL is 6.96 mm. It said intrauterine fetal demise. What should I do? Please help me, I want my baby back. Doctor: Hi,\u00a0 Welcome to icliniq.com. I am very sorry for your loss. Do not lose hope, you have something good waiting. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15646, + "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": 3379, + "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": 20961, + "tgt": "I am always worrying about uncertainty like death or heart failure. Please help me", + "src": "Patient: Hi doctor, I am a 27 year old male. My height is 170 cm and weight is 70 kg. I am worrying about uncertainty like death, heart failure, sadness, weakness, shortness of breath, etc. I am helpless and there is no joy in my work. I am always thinking of my end. Doctor: Hi. The details you provided about your problem are very brief. Although, I can say that, if you have this problem for more than two weeks but not from the days you remember, you are probably suffering from major depressive disorder. Major depressive disorder is a condition in which the patient develops sadness lasting the whole day for at least two weeks. It also involves symptoms like restlessness, flurry, loss of energy, hopelessness, worthlessness, and loss of self-esteem. For your symptoms, you need to meet a psychiatrist in person or online whichever is comfortable for you. S/he will ask you a few more details about your problem including family history. After this, they will decide about the further course of action appropriate for you like medication or talk therapy. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 4865, + "tgt": "Can CKD cause respiratory problems?", + "src": "Patient: Hello doctor, My father is 61 years old known case of CKD with hypertension. He has been on dialysis for a couple of weeks, sum total of ten dialysis have been done out of which one dialysis was done using an online hemodiafiltration technique. His creatinine has subsequently reduced from 8.6 to 6.5, however, he had pneumonia patch in the right lung and took antibiotics and has recovered from that. But he has been coughing quite a lot with only secretions coming out and no sputum. There is some fluid in his lungs for which he has been advised to go for HDF and mild pericardial effusion. AFB for TB is negative. Can you please suggest what can be the cause of severe coughing, shortness of breath and the treatment for the same? If needed, I can send out the x-ray to you for evaluation. He is currently on Flavedon, Minipress XL, Metolar XR, Torsemide 40, Vitamins, and Calcium tablets. His lab report shows TLC is raised to 12 which was earlier 5. Please help. Doctor: Hi, Welcome to icliniq.com. There could be a few causes for the wet cough with phlegm. Despite taking antibiotics for pneumonia, the opacity in the lung takes a few weeks to completely disappear. The cough in such a case can last for a month. If the patient has no fever I will not worry. CHF (congestive heart failure) is also one of the causes in elderly patients in addition to environmental factors. I would advise you to continue supporting treatment for cough as advised by your doctor. If there is fever in such a case you must report back to the doctor to rule out any other cause. If the x-ray reviled plural effusion then probably other continuation like TB (tuberculosis), etc., should be considered. You can send me the chest x-ray to comment better. I hope this helps." + }, + { + "id": 16384, + "tgt": "Why is there increased sensitivity and pain during erection and sex?", + "src": "Patient: Hi doctor, I have been having increased sensitivity and pain (6/10) at the head of my penis during an erection and sexual intercourse. No pain or discharge during urination. I am 48 years old. Medicines include Metformin HCl 500 mg, Atorvastatin 10 mg, Benazepril 10 mg. Doctor: Hi. Pain at the tip during erection can be due to: 1. Tight frenulum: this is skin fold at the tip on the lower side of the foreskin. This needs a frenuloplasty. 2. Partial phimosis: this prevents retraction of the foreskin during intercourse and may cause pain, especially seen in diabetics. It may require circumcision. 3. Peyronie's disease: hardening of penile tissue with pain on erection. This starts with pain and ends in hard plaque felt in penis near tip or shaft or base. 4. Rarely Raynaud's phenomenon. In this, there is also a pain in hands and toes, especially when exposed to cold. I think in your case since you have not mentioned about foreskin issues, it may be early Peyronie's disease. Taking small doses of Sildenafil or Tadalafil helps. You can take 5 mg of Tadalafil daily, provided you are not taking Nitrates. Some people can have mild body ache after initial doses. Take care." + }, + { + "id": 28077, + "tgt": "Is there any ayurvedic weight gain supplement?", + "src": "Patient: Hello doctor, I want\u00a0to gain weight. Is there any ayurvedic weight gain supplement? Can I take Nutrigain? Please help me, Doctor: Hi. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6293, + "tgt": "Why was the period has been very light after abortion ?", + "src": "Patient: Hi doctor, I am 26 years old. I had an abortion 6 months ago using the suction method. Since then, my period has been very light and lasts only a day. I had an abortion earlier too using the same method and did not experience anything as such. What could be the problem? What do you advise for this? Doctor: Hi. I understand your concern. The symptoms you described indicate that it is due to either estrogen deficiency or a condition called Asherman's syndrome (adhesion or fibrosis of the endometrium after dilation and curettage). Though this is uncommon after an abortion by suction method, it is usually seen when abortions are done with metal instruments and done very vigorously. This results in adhesions in the inner uterine lining which result in less blood flow during the period. The other possible reason is decreased estrogen production in your body. This could be either due to stress or mental anxiety. Try a hysteroscopy to diagnose Asherman's syndrome. It will not be diagnosed with an ultrasound. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5545, + "tgt": "Is it difficult to remove roots of teeth which is broken at the gum line?", + "src": "Patient: Hello doctor, Is it difficult for a dentist to remove the roots of the teeth that are broken off at the gum line? And will it be painful when they do it? I think the ones are teeth 12, 13, 16, 26, and 27. If there are any chances for the bones to get broken while they do it? How will they get them out? I am very scared, and how many injections will be given? I think they are breaking it into three appointments. what complications could occur as well? Doctor: Hello, Welcome to icliniq.com. Do not be scared at all. This should be dentist's headache, not yours. All you need to know is that you should take a proper meal at least half an hour before you go for your appointment because after the extraction you will be on a soft diet for a day and should avoid eating till one and a half hour at least. Mild swelling or slight pain is expected post extraction of posteriors, otherwise, it will be a smooth recovery for the rest of broken roots. Take icecreams (if you are not diabetic) and soft diet for a day. After 24 hours of extraction start saline water mouth rinses (use lukewarm water) four times a day for a week compulsorily. It will help in quick healing of the sockets. Now, let me tell you about the procedure, it will not be complicated if the roots are not infected. Local anesthesia will be given then the whole procedure will be absolutely pain-free. You will not feel anything so be happy about it. Be relaxed, if you will be relaxed your dentist will enjoy doing work at ease and comfort level." + }, + { + "id": 30052, + "tgt": "I used a new soap and observed reddish spot around my vagina. What could it be?", + "src": "Patient: Hello doctor, I have been using a new soap for a couple of days and I recently discovered this little reddish spot around my vagina. I have never had this problem before. I am a kind of freaking out. It is like a rash, but they do not itch or hurt or burn. I have not been to my gynecologist in the last three years. I am actually going to meet her by this week. I do not have any STDs. So, I was wondering what this could possibly be. I have been with the same guy for almost 5 years. I have IUD right now, so we do not use condoms at all. Also, I have a small bump on my cervix where my strings are and a little bit of pelvic pain here and there. I also have Fordyce spots as you can see in the picture. Pap smear, HPV, herpes and HIV tests came back negative. So, any of your input would be appreciated. Thank you. Doctor: Hi. I have seen the picture. First of all, do not panic. It is good that you have done all your routine checkups and all are good. First of all, stop using the new soap for cleaning private parts, especially in and around the vagina. You have to understand that there is a normal flora (bacteria, microbes) over vagina, which is required for normal health. By using soap, you are destroying this normal barrier mechanism to prevent other infections and make the skin prone to other infection. Secondly, you mentioned that there is a little burning sensation. If burning is associated with urination, then there is a chance of urine infection. If it is so, then get your urine checked. Ask your husband that he has any health issues at present. You are not using condoms and intrauterine device is there. These both increase the chance of infection. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5847, + "tgt": "I have pain and crunching sound in the shoulder due to injury. How to recover?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I am having shoulder pain (supraspinatus tendinopathy) for eight months, as I got injured while bowling in a cricket match. I am taking Tendowell and Tendocare Forte. The range of motion is better now but there is deep pain in the top shoulder area the shoulder makes a crunch sound when I put my arm across my chest. I do pendulum exercise and scapula retraction. The recovery is too slow. When I will be able to play again? Please guide me. Doctor: Hello. I understand you have ongoing shoulder pain. You have been diagnosed as supraspinatus tendinopathy and have been taking medications. However, if you still have symptoms that are the same and no relief then you should look into the following recommendations. How was the condition diagnosed? Do you have an x-ray or MRI or any investigation which shows this? If there is a partial tear or supraspinatus then MRI (magnetic resonance imaging) will be required to look for it. You have a crunching sound when you place your hand across the chest, this suggests either supraspinatus calcification or acromioclavicular joint problem which are most common. Again here imaging in the form of an x-ray or MRI will be helpful. You will have to continue doing exercises and if your symptoms are better and pain is less then you can start warm-up exercises before getting back to playing. Follow up with x-ray and MRI images to identify the pathology and suggest complete treatment. You can take vitamin C and D along with the above medications." + }, + { + "id": 17414, + "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": 6194, + "tgt": "Will extensor tendon disruption heal on its own and how long will it take?", + "src": "Patient: Hello doctor, Will extensor tendon disruption heal on its own? If so, how long will it take? Is it possible for a tendon to swell? If so, does it heal on its own and how long will it take? Doctor: Hello, Welcome to icliniq.com. Complete disruption of tendons needs surgical repair in most locations (Tendoachilles is an exception) to regain function. These tendons tend to spring back and usually do not heal till the edges are brought back and held in place surgically. The ends if not brought back tend to become bulbous and may appear as bulbs at the ends in a failed process to heal. The second part of your question seems to point towards a swollen intact tendon. If this is what you asked then, yes the tendons sometimes thicken in response to injury or inflammatory condition. This may appear as localized swelling called tendinosis, which usually does not get better unless the root cause is tackled. I hope this helps." + }, + { + "id": 17152, + "tgt": "My fiance has gained 40 kg in less than a year. What could be the reason?", + "src": "Patient: Hello doctor, I am concerned about excessive weight gain by my fiance. He is a 29 year old male, whose height is approximately 6 feet, and he weighs 150 kg. Over the last two\u00a0years, my fiance had lost around 40 kg using the Banting diet, common in our country. It is based on the principles of no carbohydrates, starches or sugars and higher protein, but does allow the odd cheat meal. Since then, in the last eight months, he has had two attempts at quitting smoking and was put on Pendine\u00a05 and Zartan CO for high blood pressure. He has a family history of hypertension. As a result, he has gained weight at quite a quick pace despite sticking to his Banting diet. The meal sizes have not changed, and he has an active lifestyle. We hike or do vigorous walks of\u00a05 to 8 km on most days. At this stage, he has almost gained the full 40 kg back in less than a year, which seems very excessive and way above normal for quitting smoking. I was wondering if perhaps he has some thyroid issues, as his mother has hypothyroidism. Or could it be a side effect of the medication? We need some advice. We are at a loss at what to do. I would like to add that he struggled with weight issues since childhood. Also, we are currently not in his country, so visiting a doctor may be difficult. Doctor: Hello. Keep up the diet and exercise. Do not get disheartened. The tests should shed some light on the cause of the excessive weight gain. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21999, + "tgt": "I have nausea, stomachache, gas and diarrhea. Is it stomach flu?", + "src": "Patient: Hello doctor, I got back from a trip yesterday, and have since had stomachache problems. I have had nausea, a stomachache (which sometimes feels like heartburn in my lower stomach), gas pains (that do not go away permanently), and a pretty severe loss of appetite (although I have gotten hungry and eaten some). I also had diarrhea, which is why I am somewhat worried, as I have not had diarrhea for years, and was somewhat constipated beforehand from eating too much. I am somewhat worried about appendicitis (it does hurt mildly when I push on my lower right stomach), but it could just be the stomach flu. I am also taking Malarone if that is at all relevant. Doctor: Hello. The symptoms you are describing are mostly suggestive of bacterial gastroenteritis (commonly called food poisoning), which is the bacterial infection of the intestine. Stool analysis and culture are required to confirm the diagnosis. Management is with antibiotics (usually a combination of Ciprofloxacin and Metronidazole) for which you will need a prescription. So, please be advised to follow up with the urgent care. Meanwhile, drink plenty of water and electrolyte-containing drinks like Gatorade. Follow a soft diet. BRAT (banana, rice, applesauce, and toast) diet will be easier on your tummy. You can also take Buscopan (Butylscopolamine) 10 mg thrice daily for abdominal cramps. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22487, + "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": 11336, + "tgt": "I have a short and curved penis. How to boost my libido?", + "src": "Patient: Hello Doctor,\u00a0 I have a short and curved penis.\u00a0The curvature is towards left side. How can I make it straight? I\u00a0want to increase its length by around 2 inches.\u00a0How to boost my libido, stamina and erection time without any side effects?\u00a0Are there any tablets or should I just follow a particular diet? Doctor: Hi,\u00a0 Welcome to icliniq.com. Advice: After all these measures, if you really feel that your penis size is very small, then you can increase the size of penis by surgical means. Consult a sexologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5661, + "tgt": "Can a child be frequently nebulized for cough?", + "src": "Patient: Hello doctor, My child is 4.5 years old and very often he suffers from coughing problem which increases as the days passes. This time doctor has given Atarex syrup 5 ml twice a day. I have given one dose but he was coughing badly whole day. Then he has suggested to nebulize him with Budecort 1 mg and Asthalin repsule twice a day and with Asthalin only twice a day. In all four times a day of nebulization. My son is not asthamatic. So is he being given high dose? He has not given antibiotic and said if my son has fever or not eating anything then only he would suggest antibiotic. Please explain whether nebulizing child after 1 month or 15 days is dangerous or not as he suffers from cough very often. Doctor: Hi. I can understand your concerns. If your child has cough for so long time and he is also requiring nebulization, it means that your child has infection. Also, we need to rule out tuberculosis. I suggest you to do CBC with ESR, X-ray chest, Mantoux test to rule out tuberculosis. In my opinion, you should give: 1. Syrup Augmentin duo 5 ml three times a day for 3 days. 2. Syrup Chericof 5 ml three times a day for 3 days. 3. Syrup Monticope 5 ml three times a day for 3 days. Nebulise with Budesal 0.5 mg three times a day for 2 days followed by two times for 1 day. Review after 2 days. Take care." + }, + { + "id": 16582, + "tgt": "Why am I getting pain during pee? Is it due to the kidney stone?", + "src": "Patient: Hi doctor, I am 19 years old. I have a kidney stone of 5 mm in my right kidney. When I had stomach pain, I consulted a doctor before three weeks. He gave some medicines. Since from morning, I have increased pain during pee. Please help me. Doctor: Hi. You may have sudden pain due to the passage of kidney stone from the kidney to the ureter. It also causes difficulty in passing urine. A kidney stone of 5 mm can move out soon by 90 %. Drink a lot of fluids and continue the medication prescribed by your doctor. If the pain continues to be severe or if you have vomiting, or if you cannot pass urine for more than 12 hours, I suggest you revisit your local urologist soon." + }, + { + "id": 3546, + "tgt": "Please help with my partner's extreme anxiety episodes", + "src": "Patient: Hi doctor, My partner has spells that are occurring more frequently and I am really worried. The symptoms start with extreme anxiety and the need to get away and also sometimes dejavu. Followed by numbness mostly just one side of his face and body, but also total body once or twice. He says he can still see, but it is like he is looking at himself. He loses control of his body, but not conscious. This usually lasts for about 30 seconds and when he snaps out of it he starts sweating profusely and intense nausea but never vomits. This lasts for only a minute or two and then he gets better. It started 10 to 15 years ago. He used to get it only once in a couple of weeks and sometime long periods of time without happening. But, it has happened five times today. Your help and information will be appreciated greatly. Thank you. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17151, + "tgt": "What medicines can be had for burning sensation in the anus and vagina?", + "src": "Patient: Hello doctor, I have a sensation of burning in the anus and vagina. An ultrasound scan was done and a urine culture was also done. I have a UTI and a Bartholin cyst. The culture grew E. coli. As regards medicines, I have taken Urispas, Candid-V6 for 10 days. I also took Voveran injections two times because of pain. How can I be helped? Doctor: Hello. I went through your post. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11001, + "tgt": "Is it tough to overcome Benadryl addiction and get a sound sleep?", + "src": "Patient: Hi doctor, I am spending sleepless nights.\u00a0I am struggling to fall asleep and often get disturbed by dreams.\u00a0I feel restless legs throughout the night. The next morning when I wake up I feel fatigue. I am addicted to Benadryl to get sleep. But, I am trying to avoid it now.\u00a0Please guide me for a sound sleep. Doctor: Hello. As per your complaints, it seems that you might have developed dependence on Benadryl. And it is quite possible that due to this dependence you might be having these symptoms. Benadryl is basically a Codeine-based cough syrup, which is an antitussive agent OTC (over the counter) drug used to suppress dry cough. Codeine is a psychotropic substance which belongs to opioid group which is known for its dependence producing properties.\u00a0Hence, due to long-term self-medication codeine cough syrup produces physical dependence. In the absence of it, body will crave for it and will produce withdrawal symptoms in the form of body aches, restlessness, palpitations, sweating, rhinorrhea, lacrimation, agitation, perspiration, vomiting, shivering, yawning and rarely fever with visual disturbances. Hence, in your case there is a strong possibility that you might be having withdrawal symptoms.\u00a0But to confirm that, you have to tell few more details, We can conclude whether it is of opioid dependence or not from the answers given by you to the above questions. If it comes out to be opioid dependence, then we have to start with substitute treatment for opioid in the form of either Buprenorphine or Naltrexone, along with symptomatic management. Revert back with the answers for the above questions to a sleep medicine physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 22786, + "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": 10872, + "tgt": "I have low blood pressure. Kindly advise", + "src": "Patient: Hello doctor, Is low blood pressure of 102/72 anything to worry about? Doctor: Hello. No, low blood pressure is not to be worried much but you should take little high protein diet and sodium diet. Keep an active lifestyle and eat lots of fruits and vegetables to maintain good blood pressure and keep away the weakness. Keep getting your blood parameters checked as it is beneficial for one to stay updated with your vital parameters." + }, + { + "id": 29761, + "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": 8439, + "tgt": "What could be the reason for my intermittent palpitations?", + "src": "Patient: Hello doctor,I have palpitations intermittently while doing my job and during rest for the past two weeks. Also, I have neck pain and phlegm while coughing. But there is no cough always. I have severe acidity too. Sometimes I take Rantac tablets before food. But it is not reducing. I took the ECG when I had palpitation, and the doctor told it is normal. I have tested my blood also. All results lipid profile, electrolytes, thyroid, liver results are normal. Only uric acid is 8.07. I am a BP patient and taking medicine for the past 14 years. Telma 40 mg in the morning and Asomex 2.5 mg in the night. Eight years before I was diagnosed with LBBB. But the doctor told me that it is normal after testing the stress echo method. I am monitoring my BP and pulse at my home, and it is always 140/90 or 150/85. While getting up or resting time, the pulse is very low below 60. But after my morning walk, the pulse will be above 72.I have consulted a cardiologist, and they have asked to conduct echo and holter and recommended me not to do TMT. Yesterday I did the echo and Holter test. I got the echo result only and attaching that. My exercise is brisk walking. I am walking four days a week, around 30 to 40 minutes. That is the only exercise. I am a non-alcoholic and a non-smoker. Could you please give a solution to the issues I am facing now. Doctor: Hello. I read your echo report carefully and would explain that it shows mild changes related to arterial hypertension (attachment removed to protect patient identity) but nothing serious. I would recommend increasing the dose of antihypertensive drugs to have better control of blood pressure. Regarding palpitations, I agree with your doctor on performing a Holter monitoring. You should also know that acid reflux can lead to palpitations. For this reason, I recommend trying an antiacid or PPI (Omeprazole, Pantoprazole, etc.). I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 7613, + "tgt": "What should I do when my three and a half-month-old baby has loose motion?", + "src": "Patient: Hello doctor, My 3 and a half-month-old baby is suffering from loose motion. I am giving Enterogermina, but it is not working. She does potty all the time after feeding. What can be done? Doctor: Hello. Since your baby is just 3 and a half-month-old, I wanted to know whether the child is exclusively breastfed or on any formula milk. If the child is on breast milk, then there is no issue, but if the child is on any formula milk, then there is a chance of contamination leading to stomach infection. Generally, it takes five to ten days for this to settle, meanwhile continue Enterogermina (Bacillus Clausii) and add some Zinc supplement also. It will settle slowly." + }, + { + "id": 4609, + "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": 25393, + "tgt": "I throw out my upper back and neck and it is causing pain. What to do about it?", + "src": "Patient: Hello doctor,I am 20 and about every two months I throw out my upper back and neck causing pain in my upper back, shoulders, neck, and down my arms. I am a waitress and I am assuming that is what is causing my issues but is there something more I should be doing? Chiropractic work seems to help but I feel like at such a young age I should not be having this happen so often. Doctor: Hello. Your description is suggestive of a trigger spot in the upper back and neck. Most likely this is postural and result of your professional requirements. You need to see a good physiotherapist who could help rectify your postural issues. You are already on Fluoxetine and need good NSAID tablets, hot packs or ice and deep myofascial release. For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 13294, + "tgt": "Which medicine can be used to treat stye in a child?", + "src": "Patient: Hi doctor, My son is 5 years old, weight 19.5 kg. He has got a stye kind of boil in his right upper and lower eyelid. Yesterday afternoon, I noticed it in the upper eyelid. I applied the paste of white clay stick and applied oil for his hair to reduce his body temperature. But now, there is another boil coming up in the same eye in the lower lid. It is a bit painful to touch. No fever. He is active as always. I gave a warm application for the eye. What to do now? Can you advise some medicine like eye drop? How to avoid it further? Doctor: Hi. Yes, there is inflammation over eyelids (Stye) (attachment removed to protect patient identity). You can use Toba eye drop 3 to 4 times a day for five days. He can take a plain pain killer like Crocin 7.5 ml thrice a day. Do not apply anything except eye drop. You can use lukewarm water cloth to cover over the eyelid. Keep for 10 to 15 minutes. It will help reduce swelling faster. Do it only if he is comfortable." + }, + { + "id": 441, + "tgt": "Why is my hCG value too low?", + "src": "Patient: Hi doctor, My last LMP was 17th. As my periods delayed seven days, I had a pregnancy test. The beta HCG value was 355.30 mIU/mL. Why the value is too low than the normal range? Is this something to worry? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9873, + "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": 9335, + "tgt": "My wife's benign thyroid nodule shows some changes in scan. Please give your opinion", + "src": "Patient: Hello doctor, My wife got scanned her thyroid by a novice user just for training purposes. She has been scanned in the hospital before, as part of an assessment of an autoinflammatory disease. At this time, they found a thyroid nodule (~12 mm) but no further investigation, as it seemed benign. Now, at the training scan, we observed the nodule had changed in shape, size, and it looks like there are some microcalcifications. But we are not the experts. We noticed it has changed. Could you give your second opinion on the attached images? Doctor: Hello. According to the american college of radiology thyroid imaging reporting and data systems (TIRADS), the nodule falls under category TR4, which defines it as moderately suspicious. However, as you mentioned, there is a change in morphology with the development of microcalcifications. Microcalcifications are the feature of papillary carcinoma of the thyroid, and therefore, it is essential to rule out that for which a fine needle aspiration cytology and biopsy (FNAC-FNAB) is recommended. Further, I would like to know if any necrotic neck nodes were detected. Let me know the results. I hope and pray that the nodule turns out to be benign and not malignant. FNAC-FNAB Ultrasound guided fine needle aspiration cytology and biopsy. Papillary carcinoma of thyroid and benign colloid nodule." + }, + { + "id": 7203, + "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": 3204, + "tgt": "I am pregnant and diagnosed with bronchial asthma. Will asthma medicines affect the fetus?", + "src": "Patient: Hello doctor, I am 6 months pregnant now. Before pregnancy, I have been suffering through allergic rhinitis (sneezing and dry coughing). But as my pregnancy started, I got a cough with white phlegm. I wanted to avoid medicines during the first three months of pregnancy but due to late night coughing and phlegm I went to see a gynecologist. At first, she tried to control my cough through a mild cough syrup with ivy leaves but cough does not go away. Then my gynecologist asked me to visit a pulmonologist after a detailed checkup I was diagnosed with bronchial asthma. He advised me to take Budesonide with Formoterol dry powder inhaler and Montelukast sodium. I am feeling better nowadays. I do not have a cough now. I do visit my gynecologist for a monthly checkup and she knows that I am taking dry powder inhaler for bronchial asthma. This month my gynecologist advised me to take Rejuva tablet that contains vitamin D and K, it is a kind of nutritional supplement for bone health and Fiore-f tablet for iron deficiency. My Hb is 9 nowadays. My question is: Is it safe to take iron tablets and nutritional supplements while taking bronchial asthma medicine? I am afraid that may be due to iron I will get cough again. Secondly, I am extremely worried due to the reason of diagnosing bronchial asthma in pregnancy. I am taking medicine for asthma and I have heard it affect the unborn baby in terms of low birth weight. But my asthma is under control due to this medicine and I am feeling much better nowadays. I visit my gynecologist monthly for baby growth and she says it is perfectly fine. Note: I cannot take dairy products, citrus fruits, and rice because I got cough and throat irritation due to bronchial asthma. Doctor: Hi. You should continue bronchial asthma medicines. As it is required to control your symptoms and to make you healthy. If you do not take it then the effect on baby can be worse than while you are taking. As baby growth is fine do not worry about it. Iron and calcium are also minimum requirements during pregnancy and if you do not take it and your Hb is down during delivery then it can be very dangerous if you bleed more. So it is required during pregnancy. And, mostly it will not have any effect on bronchial asthma." + }, + { + "id": 6835, + "tgt": "Is it normal to experience cramps and pain during third week of pregnancy?", + "src": "Patient: Hello doctor, I found out I am about three weeks pregnant. This is my first pregnancy, so I have no idea what is normal? I have lower abdominal pain, sort of like period cramps, but they more localized to the right side. Is this normal? ER stated they could not see anything on an ultrasound because it is too early in the pregnancy. Doctor: Hello. You are right to be concerned. It can either be a normal pregnancy, or the pregnancy can be ectopic (in fallopian tubes) and thus should be further evaluated. Get a serum beta hCG levels done. It is a blood test that has to be done twice 48 hours apart. If the value doubles (or increases by 66 %), it is a normal pregnancy. If the growth is less than that, there are chances of ectopic pregnancy or missed abortion. Also, by the time the value of beta hCG is 2000 or more, the sac should be visible in the uterus (happens around four weeks or more). Please get the above investigations done and do not ignore the condition. Serum beta hCG twice 48 hours apart. USG early pregnancy when hCG reaches 2000. Ectopic pregnancy missed abortion Normal intrauterine pregnancy. Pregnancy support if required." + }, + { + "id": 18184, + "tgt": "Why do I have bad breath even after maintaining proper oral hygiene?", + "src": "Patient: Hello doctor, I notice I have bad breath no matter how well I maintain\u00a0proper teeth hygiene. What can help me in this regard? Doctor: Hello. Hope this helps.\u00a0Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1722, + "tgt": "I experience vaginal discharge with offensive smell. What is the suggested treatment?", + "src": "Patient: Hello doctor, For over four months, I have been experiencing vaginal discharge that has an offensive smell. I am in the military. I have been to the doctor and they continue to tell me it is just a symptom from my birth control but have not sent me to a gynecologist. The discharge has an offensive smell, white yellowish color with small bubbles in it but not foamy. I have been tested for gonorrhea and chlamydia both came back negative. I think it might be trichomonas or BV. I do not have any other symptoms besides discharge and smell. Doctor: Hello The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection). Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching. (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done. Please abstain for a period of two weeks from sexual activity during the treatment to prevent reinfection. Also, repeated infections would also affect your partner. Blood sugar. Pap smear. Candida. Bacterial vaginosis. Antibiotics. Sexual hygiene. After one course of antibiotics." + }, + { + "id": 3275, + "tgt": "I am diagnosed with TB and depressed with negative thoughts. What kind of illness is this?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I weigh about 52 kg. So from the last one year, right after my graduation, I am at home as I was diagnosed with TB. So being at home I feel depressed. My mood changes every minute. My behavior from the last six months is irritating and arrogant. The people around me make me feel helpless like I am of no use, just wasting my time. I know from inside how much I feel lonely and weak like there is no energy left. Nothing excites me. These days I am noticing that I get so negative. I get very easily attached to strangers. I cannot sleep at night. What kind of illness I am facing? Doctor: Hello. Your description and symptoms are typical of major depressive disorder. This happens very commonly, one in four women can have this at any point in their life. Due to any prolonged stresses, sometimes the stress handling capacity of the brain gets reduced due to the reduction of certain neurotransmitters in the brain. The medicines will just replace these chemicals and make you feel better. Medicines start taking the effect in about a week or so and show full effect in about two weeks. Medicines are usually continued for two to four months and then tapered off. Please consult with a psychiatrist for the same. He will start you on SSRI (selective serotonin reuptake inhibitors) type of medicines such as Escitalopram 10 mg for example and with some other medicines if needed to augment its effect." + }, + { + "id": 12193, + "tgt": "Can nasal blockage occur in a moderate blow to the nose?", + "src": "Patient: Hi doctor, I got my nose injured around 9 years back while playing basketball. I got a deviated septum and sinus problem from that time. I got operated for both around 3.5 years back and I started feeling almost normal and cured. Recently 2 days back I had a moderate blow at the outer bone of the nose. Simultaneously I am also suffering from cold, nasal blockage, and sore throat. Now, this can be coincident as well. I wanted to know, can this be related to blow at the nose? Doctor: Hi. Post-trauma deviation in the nose is expected, but not always does this lead to a sinus infection and recurrent sinusitis. You already had previous surgery for deviation. So it also depends on your previous surgery that was done." + }, + { + "id": 12884, + "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": 12928, + "tgt": "Why is my digestive system weak with underdeveloped body?", + "src": "Patient: Hello doctor, My age is 22 years old. I have many more problems in my body. My digestive system is very weak, my body has not developed. I get confused with dark colors. I get tired very fast. Doctor: Hello. I just read your query. For poor digestion, underdevelopment, and tiredness, you should perform a thyroid function test first because if the thyroid gland is not functioning properly there can be a presence of these symptoms. Take treatment only after proper diagnosis is made. Do not take random treatment. As far as color confusion is concerned, you should consult a nearby eye specialist. Because color confusion can be an underlying symptom of color blindness but diagnosis can be only made after clinical examination. So it is better that you should contact the physician and ask for the clinical examination." + }, + { + "id": 8236, + "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": 9798, + "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": 26121, + "tgt": "I had sex on the fourth day of my cycle. What are the chances of pregnancy?", + "src": "Patient: Hello\u00a0doctor, I had intercourse on the fourth day of my last cycle (I have a 5-day cycle). It is 10 days past the periods due date. Could I be pregnant? I had done two pregnancy tests, and both were negative. Are there any chances that I may still be pregnant? If yes, why both the tests were negative? I had the first pregnancy test after four days of the periods due date, another on the ninth day of periods due date. Please assist. Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22401, + "tgt": "Whom should we consult for backache and extreme fatigue in a 64 year old?", + "src": "Patient: Hello doctor,This is regarding my 64 year old mother-in-law. She has backache and general malaise. She has also had pain in both the knees for a while now. When climbing stairs or walking on inclined roads, she requires support. She experiences extreme fatigue roughly in the evening between 5 PM till 7 PM where she does not feel like getting up. We got some basic tests done. Her hemoglobin appears to be low and the ESR is elevated. Does this suggest an autoimmune disease? What kind of doctor should we consult and which tests would you recommend? Doctor: Hello. Anemia can lead to fatigue as well. Your mother's hemoglobin level is low and iron deficiency anemia could be suspected here. Further work up is needed in the form of serum TIBC (total iron binding capacity), serum ferritin, and transferrin saturation assay to confirm iron deficiency anemia. If confirmed, Ferrous ascorbate tablet containing good elemental iron can be prescribed. ESR (erythrocyte sedimentation rate) can be high because of an inflammation or infection and it is not indicative of any specific disease. For both knee joint pain, osteoarthritis can be the possibility and according to the grade, a management plan is decided. To investigate further, digital X-ray of both the joints, serum ANA (anti-nuclear antibodies) estimation, serum RA (rheumatoid arthritis) factor estimation can be done primarily. Check her serum calcium and vitamin D3 levels as well. These work up just now can be done as primary work up. You can consult an orthopedic surgeon with a specialization in joint and spine for your knee joint problem. For weakness, if needed, a physician can be consulted. In autoimmune diseases, a multisystemic disease involvement is present usually. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1205, + "tgt": "I am diagnosed with grade 2 fatty liver and feel like vomiting even with a glass of water. Why?", + "src": "Patient: Hello doctor, I was diagnosed with fatty liver grade 2 before two years, prior to that I had a cough for almost two years and felt nauseated. I felt like vomiting for four months, that is when I got worried and consulted a doctor. I also suffer from severe anxiety and that has led to binge eating disorder and that is one of the reasons for the fatty liver too. I followed the doctor's advice sincerely and lost weight in a few months and improved my diet. I sincerely followed it for a year but then gradually again my diet started going haywire and now again I am at the same stage where I was before. I was given Pantocid 40 mg twice a day, Lesuride once daily and Ulgel. During the second consultation after a month, I was given Pantocid DSR, vitamin E oil and asked to walk an hour a day with low-calorie diet. I feel like vomiting and cough after drinking a glass water or eating a meal. Doctor: Hello. I have calculated your ideal body weight which is 66.5 kg. However, your weight at the moment is not way beyond limits. If you just do what you were doing already such as low caloric intake and regular exercise that is more than anything. Your doctor gave you vitamin E oil that seems to be good. Since up to now FDA (food and drug administration) has not approved any medication for fatty liver except weight reduction. So taking Vitamin E 400 mg twice daily for six months would control your liver function tests. But I want you to check for other causes for deranged liver function tests such as chronic hepatitis. Do you take alcohol? If not then fine. If yes, how much and how frequently? The blood tests are within normal limits except your vitamin D. You just take one dose of injection Indrop 2 lac units by mouth. Just break the vial and take it by mouth. And try to take milk almost every day. The rest of your symptoms like nausea and vomiting seems to be secondary to anxiety. The anxiety and stress have to do a lot with someone's gastrointenstinal tract. There are certain medication which can control your GI (gastrointestinal) upset as well as anxiety but they are frequently adherent with side effects. I want you to take the following medication for now and let me know if symptom persists. I may consider you giving some medication for that. For now, take the following medications and get these blood tests. I can understand it might be upsetting for you to have a lot many blood tests but I really want to help you. Fatty liver disease. Functional GI problem. HBsAg (hepatitis B surface antigen). Anti HB core total. Anti HCV (hepatitis C virus). Antinuclear antibody profile including ANA, ASMA, and AMA. Overlapping hepatitis Fatty liver disease. Functional GI problem One dose of injection Indrop 2 lac units by mouth, tablet Rifxamin 200 mg thrice daily for three weeks. This is a safe antibiotic, it will balance your gas production within gut. Abnormal gas production is a process in play in your case. Tablet Digestine 40 mg daily before meals to promote your gut motility. You may continue Pantoacid for now and syrup Gaviscon 15 ml four times daily after meals instead of antacid syrup Ulgel. Let me know in two weeks how you respond." + }, + { + "id": 2886, + "tgt": "My hemoglobin is 4 and iron is 7 with 1% saturation. Do I need blood transfusion?", + "src": "Patient: Hello doctor, My platelet count was 974, hemoglobin was 4, sedimentation rate was >140, and iron was 7 with a saturation of 1%. I went to the doctor because I lost vision in one eye for about an hour. They have done and MRI, and EKG both normal. Two units of blood and iron transfusions started in the morning once a week for three weeks. No idea about what is going on. Please help. Doctor: Hi, Welcome to the icliniq.com. Your transferrin saturation and Hb seems very low. If you provide full CBC (complete blood count) report then it can be clear whether it is iron deficiency anemia or hemolytic anemia. Platelet count here can be high as a result of reactive thrombocytosis. It is because of IL 6 release and activation of thrombopoietin in certain conditions like post hemorrhage, inflammatory disorder, infections, in iron deficiency anemia, etc. Your anemia should be treated with blood transfusion as this hemoglobin level is very low. After anemia correction, ESR (erythrocyte sedimentation rate) and CBC report need to be repeated again. ESR is very high in your condition. It suggests some form of infection or inflammation like condition. Here temporal arteritis like condition if needed can be ruled out by biopsy (if clinical examination favors). For visual loss problems after anemia correction ophthalmologist reference can be done here to do direct ophthalmoscopy examination and neurological examination if optic nerve affection present." + }, + { + "id": 6900, + "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": 28120, + "tgt": "I almost fainted and could not feel my legs. Is it because of high blood pressure?", + "src": "Patient: Hello doctor, I am an 18 year old female, and my blood pressure is 148/101 mmHg. I am not on any medication, and I want to change my doctor because my doctor is too far for me to travel. I cannot get an appointment for two weeks. Do I need to go to the hospital to get medication? I am really worried about it. I almost fainted at college the other day, and I could not feel my legs from the bottom of my toes. I have been feeling very dizzy and exhausted recently, even after sleeping for long. 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": 15517, + "tgt": "Is it normal to get pain in back and chest after malaria treatment?", + "src": "Patient: Hi doctor, I recently had malaria and the symptoms I first got was back pain. It stopped for a while. I was given Dynapar and Lonart to keep me stable. That was a few days ago and I have been getting this strong back pain that also hurt the chest. At times, it hurts when I breathe. Doctor: Hi. Every infective pathology after getting resolved creates a post-infectious syndrome. In your case, it is a post-malaria syndrome. You can take painkillers for it. Take tablet Combiflam once or twice a day. Secondly, if it persists long or it is still worrying you, you can have a USG (whole abdomen) done to look for spleen size that sometimes may cause dull-aching pain." + }, + { + "id": 2913, + "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": 25639, + "tgt": "Can scald burns lead to keloid formation?", + "src": "Patient: Hello doctor, I am a 15-year-old male. Two months ago, I suffered second and third-degree accidental burns to my leg from scalding hot water. Burns have healed but the skin remains discolored. What are the risks going forward? Can keloids be formed and what procedures can be done in the future to improve the appearance of the skin? Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). There are more to second degree deep burns. Scald burns heal very efficiently. However, there is a little bit higher incidence of keloid formation. That explains your doubt. But not all are supposed to have keloids and not all wounds. Just to be on the safer side, as the wounds are just three months old, I would like you to take some precautions and measures which will help in preventing the keloids and help improve the look of the scar. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 26555, + "tgt": "What foods can my 6-month-old baby eat?", + "src": "Patient: Hi doctor, My baby has turned 6 months today. For the last 20 days, I have been giving her ragi and half a banana. Now that she is 6 months old, what cereals, vegetables, and fruits can I give her? Can I give her rice? Can I give her ghee and curd? Doctor: Hello. If you have any other doubts, you can contact me. For more information consult a\u00a0child health specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 21764, + "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": 4740, + "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": 9118, + "tgt": "I have dark vertical stripes on my nails. What are they?", + "src": "Patient: Hello doctor,I have a few concerns, got a few lines appearing on my nail, which is dark vertical stripes. Especially the one on my right thumb is in the middle, and it has been here for the last two weeks now. Doctor: Hello. Any symptoms or any other systemic complaints like diabetes or hypertension? And on any medication?" + }, + { + "id": 5799, + "tgt": "Will blood donation affect blood test results?", + "src": "Patient: Hi doctor, I have a few queries about blood donation. I am traveling abroad for joining a new company there and I will have medical tests, which includes blood tests for all lipid profile, cholesterol, liver tests, hemoglobin, WBC, RBC, platelets, etc., and for HIV, hepatitis, etc. I am a regular blood donor and planning to donate blood 10 days before my travel.\u00a0Does this blood donation affect my medical tests? I am having medicine Cernos for testosterone. Does this medicine affect blood for blood donation? Please clarify my doubt. Doctor: Hello. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15570, + "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": 353, + "tgt": "I am having lower abdominal pain and unable to expel gas for the past 3 days. Please help", + "src": "Patient: Hello doctor, I am not feeling well in my large intestine for the past three days. I have abdominal pain in my lower part and it is effecting my bladder too. I feel a bunch of gas in my colon but I am unable to expel it. Please advise. I just used Entamizole tablet yesterday night and today morning but still, I am feeling discomfort. Doctor: Hello. Well, it seems that you have intestinal colic (spasm of intestine). The Entamizole (Diloxanide Furoate and Metronidazole) can work well if you have an infection otherwise not. It may be because of you had something unusual with food that probably has caused increased gas production and or pain. Sometime excessive spices in food can cause this pain. You should start taking syrup Gaviscon 15 ml thrice daily. I suggest you to use syrup Cremaffin if you have constiopation at the moment. Take plenty of water. You can use home remedy for now such as pippermint. This works very well for colic. I do not think that you should continue with Entamizole unless you have blood in stools. I hope this helps. Intestinal colic. Food poisoning. Infection colitis Follow up if symptoms do not improve in two days." + }, + { + "id": 1044, + "tgt": "Can herpes cause cold sore on lip?", + "src": "Patient: Hi doctor, I have had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally 2 weeks course and Acyclovir 2 weeks course to treat it. The actual sore improved, the blister stopped weeping, the scab formed and flaked off within 3 weeks but the redness is still lingering. I rung the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago. I also had a new flare up three days ago. Also on the top of my lip symmetrical on both sides. It looks different to a cold sore in that it was some redness and skin flaking. Home remedies I have tried so far: Aloe vera (not much help), Tea tree oil (irritated it), Manuka oil (helps healing where the sore is but seem to irritate the new flare up), Coconut oil (irritated it), Almond oil (seems to soothening it at the moment). I am worried if this is still unresolved herpes/cold sore and can be transmitted to my partner who does not have herpes. Is it contagious and am I able to kiss my partner? Doctor: Hello. As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hydrocortisone) and just leave it alone for a week. Apply Dologel only. It contains Cholinesalicylate along with certain other ingredients that help to heal. No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for 2 more weeks atleast till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing." + }, + { + "id": 4455, + "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": 5381, + "tgt": "I am positive for chlamydia and having vaginal itch and smelly discharge. What to do?", + "src": "Patient: Hello doctor, During this past summer, I have had one sex partner. Also during this summer, I was told by my doctor that I tested positive for Chlamydia. A day after my doctor's visit, I noticed that on the left part of my upper lip, there seems to be like a rise in the skin. There are no bumps, no burning, or no itching. I have become very stressed about this because as I examined the lips of others, that part of my lip was starting to look strange compared to others. My partner and I both got our treatment for Chlamydia and waited seven days before having sex again. Now I am experiencing a couple of things that I was not before. My partner is not experiencing anything. I noticed that I was experiencing some itching in my vaginal area (at the top where hair grows). It is not a cluster of bumps, but it is white and very noticeable to the naked eye. I am thinking that it is just public lice but not so sure. Next, I have noticed that I have what feels like two cuts (one on each side) near the bottom of my vaginal area. It does not burn or itch, it is just there. I have experienced some smelly discharge but not a lot. I have not been with anyone else except the same guy I had from the summer. Can you tell me if I might have a certain virus or infection? Doctor: Hello. I have read your query. Chlamydial infection is the most common sexually transmitted infection worldwide. You had been advised to take antichlamydial treatment for both the partners and you have taken treatment for the same. But the abstinence period is usually two to three weeks after treatment before any sexual intercourse. Since you are experiencing a mild amount of foul-smelling discharge which is usually present in the chlamydial infection. You are supposed to look to a doctor in your area for the treatment for the specified time and work out on the abstinence period. Viral infection like herpes usually causes painful superficial ulcers over the genital area, and so the little white bumps over your pubic area can be a mere folliculitis. Chlamydia trachomatis. None required. Chlamydia trachomatis infection. Antichlamydial treatment like Azithromycin 1 g for five days or Doxycycline 100 mg twice daily for a week will do. Sexual abstinence for a minimum period of two to three weeks after treatment is necessary. Review two weeks after treatment." + }, + { + "id": 29071, + "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": 10436, + "tgt": "I am worried about my reports. Kindly advice", + "src": "Patient: Hello doctor,I had a seven-day monitor, and I have attached my reports. Nothing has been added about whether I need medication, etc. This sounds dangerous. should I be worried? Doctor: Hello. Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), caffeine, alcohol, thyroid problems may aggravate these. But, considering your age, we should rule out ischemia in you. You should also get a thyroid test done. So should get a stress test like stress thallium or TMT (treadmill test) done. You will need beta blockers like Metoprolol to keep these under control. If there is any evidence of ischemia, then you can opt for antiplatelets and Statin. I hope this helps you and get back if you have any questions." + }, + { + "id": 30960, + "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": 6935, + "tgt": "My wrist is swollen and getting worse. Is it broken?", + "src": "Patient: Hello doctor, My wrist has been hurting a lot for the past week, despite me never sustaining an injury. I went to A and E where one doctor said it was broken but when I went to fracture clinic the next day other doctor said it was fine and sent me home. It is only getting worse and even more swollen. Do you think it is broken? Doctor: Hello. You have mentioned pain around your wrist region for a week without any history of injury to the affected area. Anyways the pictures which you have sent me to show that there is a bit of swelling around the wrist region, but x-rays are required, and clinical images alone are not sufficient. The only thing which I was going across is that you have sustained three or four fractures in the past six years which if there is no significant history of trauma in previous episodes, needs further evaluation, but if there was a history of significant injury then its fine. As for the present condition, I would like to state that in patients with healthy bone metabolism and no underlying pathology, there should not be any fracture without a history of any significant trauma at your age. So, I would advise you for, 1. Crepe bandage for compression, if you can use a wrist brace for two to three weeks, it is even better. 2. Gentle anti-inflammatory medication like Ibuprofen, Paracetamol, etc., can be used for pain relief on SOS basis. 3. Ice packs should be used three to four times in a day, 10 to 15 minutes every time to keep swelling and pain to bare minimum. We can again review after seven days on how are you feeling, but in the event swelling or pain increases, it is advisable to meet up with an orthopedic surgeon and get your x-rays and other investigations done. Do not hesitate to get back to me should you need any further information. Wrist Injury X Ray Wrist - AP and Lateral views As advised Follow up after 7 days/SOS" + }, + { + "id": 9175, + "tgt": "19 months old baby has temperature of 102 and cough from yesterday. Kindly advice", + "src": "Patient: Hello doctor,My wife has a viral fever, and now it is transmitted to my baby girl aged 19 months. She has a fever and cough since yesterday. Today I checked her body temperature, and it was 102. Please advice. Doctor: Hello. Please give syrup Crocin (125 mg/5 ml) as per the weight of the child (4 to 6 hourly if the temperature is above 100 F). You can give syrup Ibugesic (Ibuprofen) as per the weight of the child if the temperature is 102 F and above. Regarding cough, please give syrup Levolin (Levosalbutamol) twice a day as per the weight of the child. Also if the condition of the child is worsening, and if the temperature goes above 103 F, if the fever lasts for more than three days or if the child has lethargy and refusal to feed, please get the child physically evaluated by a pediatrician." + }, + { + "id": 20787, + "tgt": "My son has dark red urine. Is this a medical emergency?", + "src": "Patient: Hello doctor,My son's appendix burst about four weeks ago. On the day they burst, his urine was a thick dark red color. His appendix was gangrenous and the infection had spread to all four quadrants of his abdomen. He had a catheter after surgery which became blocked with the thick urine so was removed. Last few days his urine has turned this dark red color again. Looks like blood but is not every time he wees. It happens about once a day. Is this a medical emergency? Is it related to the appendix or is it a different problem? What could it be? Doctor: Hello. Dark red colored urine means blood mixed with urine and is generally arising from the urinary tract. That means either from urinary bladder (common) ureter (less common) and kidney rarely but cannot be due to appendix unless it has locally affected the above-mentioned organs. Second is it an emergency? Yes, because losing blood is always an emergency and needs to be stopped as early as possible. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13312, + "tgt": "Can antibiotic resistance cause frequent stye?", + "src": "Patient: Hello doctor, Three weeks ago, I had an internal stye and my doctor prescribed oral antibiotics. But, in the end, it became a chalazion, plus some pus was drained. Now, the stye is coming back and it itches a lot (I can see a big white spot in my eyelid margin). It is not as bad as it was before, but I am worried. Why is it happening? Is there a chance of antibiotic resistance? Doctor: Hi. I can understand what you have been going through. Now, as you can see the pus point at the lid margin, it is an external hordeolum or stye. Recurrences can occur with respect to stye. The reasons being multiple. If possible, could you revert back with pictures of your eye so that I could make a more definitive diagnosis? The chances of antibiotic resistance with respect to stye is highly unlikely. Once it is drained, the neighboring meibomian duct might get inflamed resulting in a stye. However, recurrences are common in diabetics, uncorrected refractive error, and immunocompromised states. Kindly revert back with the picture of your eye." + }, + { + "id": 13537, + "tgt": "Can stress cause bowel disturbances?", + "src": "Patient: Hi doctor, I am 44 years old male. I have a good diet. I have been taking good care of my health for the past 20 years as my digestive tract is bad for many years. Can you review my medical records from July and compare it with my CT scan done yesterday? One thing which is confusing me is the prominent lymph nodes in the paraaortic region. I could say neither stress alone is the cause for all my health problems, nor old age. Doctor: Hi. The paraaortic lymph nodes mentioned in the report (attachment removed to protect patient identity) is almost in normal limit. The enlargement will become significant only if you have pain in the abdomen or fever or weight loss. There could be many causes for bowel disturbance example: IBS (irritable bowel syndrome), IBD (inflammatory bowel disease) or reflux of the gastric content that would also cause burning of the chest. In your case, it appears to be benign. We need more information about your bowel habits such as whether you have constipation or not. Stress is a very important cause of bowel disturbance, one should alleviate all kind of stress to get rid of these problems. Treatment plan as advised previously. Preventive measures as advised previously." + }, + { + "id": 15803, + "tgt": "I have a growth near my anus. Please help", + "src": "Patient: Hello doctor, I have a growth near my anus, I think it grew bigger so I checked it the other night. I see there is a tiny lesion that might be caused by the use of toilet paper but not sure. The growth has the same color all around but it is a bit lighter where the lesion is. Lately, I have been placing a Kleenex to keep it dry and help the healing process but it looks the same, no improvement but it does not get worse either. The other day I pressed it and a clear liquid came out of the tiny hole, not much though, it looked like sweat. What could it be? I suffered from hemorroids and IBS so I figured the growth was caused by either but not sure anymore. I will send you some pictures. I took them right after a shower so the growth turned bright pink. Doctor: Hi. The images suggest you have external hemorrhoids (attachment removed to protect patient identity). This has blood clot inside and that is causing it to be enlarged. These usually settle with time. You need to keep the area dry. Avoid constipation by dietary measures to prevent progression of hemorrhoids. Keep a close watch for any new signs in the area." + }, + { + "id": 19261, + "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": 2211, + "tgt": "I get recurrent pus-filled blisters on arms leaving pigmented marks. Please suggest solution", + "src": "Patient: Hello doctor, I seem to get lesions or blisters maybe on my arms. They are usually round with one pus-filled bump and at times it could be many small ones. They rarely itch, burn or anything. They crust over and peel and leave dark acne-like marks on my arms it is so annoying because I am embarrassed by the marks on my arms. I always get at least one of them per month. Doctor: Hi. I saw the photo you sent. (attachment removed to protect patient identity). As you say there is pus formation and you are getting it recurrently almost every month. I like to know a few things before finalizing my diagnosis and treatment. Is there any pain? If pus discharge how much? Do you get them at the same site always or different or in any particular fashion like linear? Are you a diabetic? Since when are you having them any fever associated?" + }, + { + "id": 14148, + "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": 12345, + "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": 3706, + "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": 27896, + "tgt": "Why do I have sharp pains after getting my tooth filled?", + "src": "Patient: Hello doctor, About a month ago, I went to get a filling on my bottom tooth. The dentist noticed two small holes in my top teeth. So, she filled them. Since then, I have had nothing but sharp tooth pains, and have not been able to eat. What can I do? Doctor: Hello. These are the common reasons. The exact cause can be confirmed only with an X-ray. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1791, + "tgt": "What are these red, non-itchy bumps, which started after a mosquito bite?", + "src": "Patient: Hi doctor, I have red bumps, which are\u00a0non-itchy and keep on spreading. Also, I am attaching the picture for your reference. Please explain me. Doctor: Hi. I have read your query and examined your picture (attachment removed to protect patient identity). With that much of the descriptions I can say it may be allergic contact dermatitis or insect bite hypersensitivity or urticarial vasculitis. I suggest you to use Lacto Calamine lotion local application twice daily and one tablet Levocetirizine once daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30281, + "tgt": "My blood test came positive for yeast. Should I be concerned?", + "src": "Patient: Hi doctor, A few months ago, I was seen at the ER. Several days later, I received a call from the ER department and they informed me that my blood tested positive for yeast and suggested a follow up with my MD. I did the follow up and my MD said it is normal and there is no treatment. I am having some odd symptoms lately and decided to look into this yeast in the bloodstream. I am finding every article saying that it is serious and could become fatal. I am having most of the symptoms posted in the articles, such as lack of concentration, brain fog, lack of appetite, fatigue, muscle pain, weakness, urinating may be twice daily, increased anxiety and fungal rash on the back. Should I be concerned? Or am I worrying for nothing? Doctor: Hi. I understand your anxiety. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28133, + "tgt": "I have a purplish rash on my penis. Could it be an STD?", + "src": "Patient: Hello doctor, After a night where I blacked out from drinking, I may have had sexual intercourse with a woman I do not know. Later, I got a purplish rash on the bottom ridge of my penis head as well as some dark spots on the shaft. My scrotum is red except for a flesh-colored stripe down the middle. I have attached an image for your better understanding. I have tested negative for all STDs including HIV. Also, I have been on Ketoconazole cream and pills for four weeks with little change. I stopped taking the pills because of its side effects on the liver. My physician asked me to see a dermatologist but, I\u00a0cannot get an appointment until the next month. I have also noticed that, even after ejaculating, I still get some discharge, which has never happened. I also have these dark-colored veins on my scrotum, which were not there previously. I think it is a yeast infection but not sure why the pills and cream did not work. Doctor: Hello. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30807, + "tgt": "May I know your opinion regarding my CT scan?", + "src": "Patient: Hi doctor, One year ago, the patient had seizure and fits. I have attached the preliminary observation report, which was done by a neurologist. Then, we started the medication as per the prescription. During the course, the patient reported intermittent light headache. A week before, the patient had a\u00a0severe headache with vomiting. The CT scan has been done and the latest observation is also attached. Tomorrow, we are going to have an MRI. May I know your opinion? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. Revert back with an MRI report to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14515, + "tgt": "Is the lesion on the roof of the mouth a burn?", + "src": "Patient: Hi doctor, I have something on the roof of my mouth. I am wondering if it is a burn or something else. Doctor: Hello. I have been through your query and I can understand your concern. From the picture, it seems that it is a burn (attachment removed to protect patient identity). But I want to know how long it has been there and if you had anything very hot liquid or food in the past days. The proper history is a must. Meanwhile, you can have cold water gargles for the relief. If it is a burn it will subside in a few days. Just do not have any hot meal till then. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly." + }, + { + "id": 9531, + "tgt": "What are the health issues that can occur due to molds?", + "src": "Patient: Hello doctor,For many months, we lived in an apartment that was wet and moldy (both black mold and white or gray mold). First, can you tell me what the long-term health risks might be? And also, could the strep throats a family member began having been connected to it? Doctor: Hello, Welcome to the icliniq.com. You are talking regarding health issue related to molds. Let me know you most common problem associated with mold exposure is hypersensitivity allergic inflammation problem in individuals who are susceptible to it. It can lead to allergic rhinitis, pharyngitis, sinusitis, etc., like problems. Your child sore throat can be from this mold allergy or could be from streptococcus bacteria or viral infection. ASO (antistreptolysin O) titer can be done for that. If positive antibiotic can be prescribed, mold is a fungus that can lead to fungal infection on long term exposure. It is better to inform your nearby local authority for cleaning of the apartment. The clean place decreases the chance of bacterial, fungal infections, hence residential site should be cleaned as much as possible. For your child sore throat in additionally decongestant like phenylephrine can be prescribed. Give him vitamin C tablets. Warm water beneficial for soothing. Steam inhalation can be done two to three times a day. I hope I have solved your query. Let me know if you have further questions." + }, + { + "id": 7771, + "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": 21384, + "tgt": "I am having small bumps on penis. What are they?", + "src": "Patient: Hi doctor, I am having bumps on penis and I did not have sex. They are not harming but a little bit itchy in the morning. Previously, I had itching in the inner skin of the penis and it got cured after applying a cream. Doctor: Hi. Pimples on the penis can be due molluscum contagiosum or yeast infection. I would recommend you to upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly. Revert with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8219, + "tgt": "My eyes are teary and painful after driving at night. Why?", + "src": "Patient: Hello doctor, After driving at night, the next morning, my eyes are teary and painful. Even after driving at night and someone brights my eyes cannot handle it. What process will happen at the eye clinic? What tests should I undergo? Doctor: Hello. By going through your query, I could understand that you have difficulty in driving at night, and you wanted first-hand information about the process of eye examination when you consult an ophthalmologist. 1. When you visit an ophthalmologist, you will initially have your vision checkup where you need to read the letters on a chart displayed. The letters on the chart gradually decrease in size line by line, and your vision will be documented, and glasses will be prescribed if required. 2. Next, you will visit the doctor and get your eye examined under slit lamp by the doctor. 3. He will then direct you to the retina examination room where your pupils will be dilated, and your retina examined. 4. Then your intraocular pressure will be checked. 5. Then eye drops will be prescribed if required. 6. As per my opinion, your problem of teary eyes at 26 years needs glaucoma workup, and if this is normal, wearing anti-reflection glasses while driving relieves you of your problem. I hope this helps." + }, + { + "id": 29203, + "tgt": "Is it true that gastric metaplasia is a precancerous lesion?", + "src": "Patient: Hi doctor, After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was treated for that approximately four years ago. My GI mentioned that the pathology report did not specifically say celiac disease as many he gets back to do. Why did they not name celiac specifically? I have read that gastric metaplasia is considered as a precancerous lesion. Is this true? I had a CT scan in before four months, and that revealed extensive mesenteric adenopathy. I was referred to an oncologist, and he ordered for an endoscopic ultrasound with fine needle aspiration biopsy. It was negative and showed some shrinking of lymph nodes, but they were still enlarged. My symptoms leading up to CT were several months of nausea, abdominal pain, fatigue, and weight loss. In the last few weeks, I noticed a small lump on my neck and my GI doctor confirmed in a physical examination this week that I have two swollen lymph nodes in my neck. He wants to see me again in a month or sooner if they get larger. I have attached a copy of my CT scan report. The duodenum biopsy report showed\u00a0active duodenitis with gastric metaplasia in duodenum bulb in duodenum biopsy. Doctor: Hi. For further information consult a pathologist online -->https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 3435, + "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": 28484, + "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": 29084, + "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": 2985, + "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": 25902, + "tgt": "I am an angry and a miserable person. How can I change myself?", + "src": "Patient: Hello doctor, I am an angry and a miserable person to live with. My poor fiance is constantly getting sucked into my expert level fight tornadoes. I am a master at it. It is like I am enjoying every bit of it. I truly do not want to. I wish I could change. I know it is a problem but it is always after the fight. I never seem to intercept my behavior and change it before it occurs. I also know there is likely no black and white answer to my question. I am on a waitlist to see a psychiatrist but it is likely going to be a while. Can you maybe help me find a temporary fix? I do not want to be this way. Doctor: Hello. Following tips can help you tame your anger. We are basically trying to prevent you from acting out. Practice relaxation techniques like breath relaxation exercise daily. Whenever you feel like getting angry, breathe slowly and deeply from your diaphragm. You can either do reverse counting from 20 to zero or imagine a relaxing imagery while deep breathing. Many times logic defies anger. Try to tell yourself that anger is not going to solve the problem. Retrospectively think of an alternative behavior in that situation and try to change it. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28270, + "tgt": "I was diagnosed with hard macular drusen. Can this turn into something serious?", + "src": "Patient: Hello doctor, Two years ago, I was diagnosed with mild hard macular drusen.\u00a0As of last week, my doctor suggested treatment has been AREDS 2 eye vitamins, healthy eating, and cardio\u00a0exercise. I have started everything along with my regular vitamins.\u00a0I do not smoke or drink, and I do not have a family history of a macular generation.\u00a0Can you give me more information? Can this turn into something more serious? My doctor has said that it has been the same for years, and these new treatments\u00a0are preventative. Do you have any additional suggestions or recommendations?\u00a0I am 25 lbs overweight, and I am currently trying to lose weight. So far, I have lost 40 lbs. I am 53 years old, and my height is 5.5 feet. I do not have any other health related issues, but I am pre-hypertensive Doctor: Hello. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18579, + "tgt": "My wife is 8 weeks pregnant and taking Asmita. Can pregnancy be continued?", + "src": "Patient: Hello doctor, My wife had\u00a0irregular periods. We consulted a gynecologist and she suggested starting Asmita tablet for 21 days and Oosure tablet for a month. We started medication from mid of last month. Now, ultrasound says that she is\u00a08 weeks\u00a0pregnant.\u00a0My question is can she continue the pregnancy? Or go for abortion? I do not want any complications for my child. She also has thyroid problem. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3234, + "tgt": "My brother has reddish lesion under his eyes. What is it?", + "src": "Patient: Hi doctor, Two years ago, my brother started noticing a red circle under his eye next to his nose. It was in the shape of a pill. From time to time it causes skin peel. Once he removes the peel it leads to redness and blaze. Also it is growing with time. When he met a dermatologist he gave him some medications. It includes Momenta, Sebodiane DS from Noreva, Kelual DS shampoo from Ducray and Funzol 150, for permanent disappearance. Doctor: Hi. I have read your descriptions and also read the ingredients of medicine which you have used. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24909, + "tgt": "How can I manage chronic idiopathic constipation?", + "src": "Patient: Hello doctor, I am a 69-year-old male with 74 kg weight (constant for 45 years), 174 cm height, BMI 24 and nondiabetic. My blood pressure is under control, i.e., 130/70 mmHg with Temsan 40 mg one tablet a day and Metolar 25 two tablets a day. CBC, urea, creatinine, urine reports are all normal. Chest X-ray is normal along with ECG. I am suffering from chronic idiopathic constipation from the past 12 years. I have managed my constipation with fiber supplements, ayurvedic medicines, regular walk (8 km every day), good diet with fruits, etc., in the past. However, two years back, I had sinusitis and was given a heavy dose of antibiotics Cefuroxime Axetil 500 mg two tablets a day for 10 days. This heavy dose completely disturbed my motion, and I have not been able to pass stool normally for last 15 months even with fiber supplements and ayurvedic medicines. To overcome this, I have taken following medicines prescribed by the doctor: Lactifiber two to three spoons at night in warm water. Pegred 2 spoons at night. PEG fiber powder three tablespoons at night. Ganaton Total. Pruvict 2 mg (Prucalopride). Above medicines were not at all helpful. Then, I was prescribed with the following: Tablet Cremalax one tablet at night. Pruvict 2 mg at lunch. Syrup Lactihep 3 tablespoons before bed. Movical sachet at night with glass of water. The above combination worked like a miracle. I thought that my constipation problem is solved once for all. However, the effect lasted only for 4 to 5 days, and my system is back to abnormal. Currently, I am managing my constipation with tap water enema which I inject through the anus and wait for 5 to 10 minutes for the pressure to get generated and relieved. This allows emptying my bowl very well with great relief and a good appetite. I was in abroad for four months and has gained weight of around 3 kg. I walk every day around 6 to 8 km and do yoga to strengthen belly muscles. My fasting sugar was 65 mg/dl two weeks back. There is no fatigue. I have a good sleep during day and night, and currently, I take Shelcal 500 one tablet a day. Please let me know what course of action comes to your mind. Doctor: Hi. Bowel frequency can vary from 3 per day to 3 per week. It can have individual variation. Its always better to reduce the amount as well as the frequency of laxatives. Dietary changes, liquid intake, etc., should constantly be maintained for sustained response. You need to do a few tests if not done before as follows: Regarding diet, avoid all constipating foods. Keep yourself well hydrated with around 2 to 3 liters of water daily. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29672, + "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": 27849, + "tgt": "I have a constant itching sensation in the penis. Please help me", + "src": "Patient: Hello doctor,I am a 39 year old male. I weigh 89.7 kg. I have a constant itching sensation in the penis. Also, there is dirt around the foreskin. Even though I clean it frequently with fresh water, it is back in two to three hours. The tip of my penis is also redder than usual. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13432, + "tgt": "Please advise about the best way to detect sports hernia", + "src": "Patient: Hello doctor, In your opinion, what it the best of the three to detect a sports hernia? A dynamic ultrasound, A 3T MRI or CT scan? Doctor: Hi. I think a 3T MRI scan will be the best modality to show a sports hernia as any small sprain or tear of the muscle can be seen best on MRI rather than USG or CT scan." + }, + { + "id": 20747, + "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": 153, + "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": 13574, + "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": 10430, + "tgt": "I am suffering from burning sensation and inflammation in anus after intercourse. Will this be HPV?", + "src": "Patient: Hello doctor, I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to feel inflammation and burning sensation throughout my anus sometimes this burning pain moves to my perianal area and maybe in the rectum. As I read about the HPV infection, I got very scared, and I am in a deep depression. I do not know what this HPV or piles are? Kindly tell me what to do as I am in deep agony, pain, and depression. Please help. Doctor: Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. For piles and fissure try these medicines. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Pilex 1 t.i.d (three times a day) for 20 days. 2. Tablet Dulcolax (Bisacodyl) one or two for constipation. 3. Proctosedyl ointment use, as per instructions are given in box for 20 days." + }, + { + "id": 24323, + "tgt": "Is surgery advisable for abductor spasmodic dysphonia?", + "src": "Patient: Hello doctor, I suffer from abductor spasmodic dysphonia diagnosed nearly 11 years ago and I have received Botox injections every three to four months since then. Generally, they did work over the years until the last two years or so outcomes have been very poor. The last Botox shots by GA (six units left side) were a month back and again not successful, leaving me with little or no phonation. Botox is the only treatment offered in my area. Over the years I have tried every possible cure like prolonged speech therapy, laryngeal massage, vocal exercises, transdermal microphone, hypnosis, occupational therapy, and psychotherapy. Nothing proved to be a success. Surgery is the only option at this stage. I have had discussions with various ENT doctors who say they can see the problem very clearly but it will be very difficult to resolve. Two of the consultants strongly suggest thyroplasty type 3. Another suggested arytenoid adduction or coagulation of the PCA muscle by radio frequency. I am asking you for independent advice as to which surgery is best to restore my voice at even a relatively acceptable level. I understand thyroplasty type 3 and arytenoid adduction but should I choose thyroplasty 3 over coagulation of PCA muscle by radio frequency? I look forward to hearing from you. I have got videostroboscopy done. Doctor: Hi. First of all, you have to know that among spasmodic dysphonias, abductor variety is the least common type. In this, your vocal cord is away from the other vocal cord and the muscle is in unrestricted contraction resulting in voiceless or breathy voice. So, the treatment is mainly directed to reduce the contractions or spasms of posterior cricoarytenoid muscle (PCA). This can be achieved by mainly two treatments. One is Botox injection and the other is surgical which is mainly nerve ablation. The main treatment is Botox. Each Botox lasts for approximately six to eight weeks. Last failed botox may be due to fibrosis of muscle due to repeated injections. You can once again repeat the injection. That may be the best option. Surgery in abductor spasm is rarely done and not in literature. Avoid surgery. The next thing you can do is voice therapy. All cases of abductor spasm may have nasal flaring. You can sit in front of the mirror, start with vowels and sentences and try to reduce nasal flaring by looking into mirror. By reducing nasal flare, your voice will gradually increase. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30114, + "tgt": "Do you feel CMIA is better than ELISA?", + "src": "Patient: Hi doctor, My CMIA on 177th day was nonreactive with an index of 1.4. My second CMIA on 181st day was also nonreactive with an index of 0.8. These two were done at different places. If you compare\u00a0ELISA and CMIA combo for HIV antibody testing, which is better?\u00a0What is the maximum window period of forming antibodies and what are the reasons behind the delay?\u00a0If you compare rapid card test with CMIA, which is more sensitive and reliable? Based on my reports, can I consider it conclusively negative? Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: For further doubts consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 9092, + "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": 17284, + "tgt": "My problem is hair loss. The doctor gave medication of minoxidil and finax", + "src": "Patient: Hi doctor, I am having hair loss problem and now it is in starting stage. I have consulted a doctor for this. He suggested Minoxidil\u00a0and Finax.\u00a0I would like to get a second opinion from you. Doctor: Hi. For further doubts consult a dermatologist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15102, + "tgt": "Can a mobile tower harm 3 months old baby?", + "src": "Patient: Hello doctor, We are living in a building. It has four floors. We are on the third floor. There is a mobile tower on the roof. Is there any harm to the baby and us due to the tower? Please advise us if there is any harm, then what to do? The baby is three months old. Doctor: Hi. Normally, it is said that radiations from the mobile tower are not carcinogenic. However, there is no proof for that. This statement is based on research. Currently, there are no guidelines stating that one should stay away from mobile tower radiations, so there is nothing to worry as such. Your child should not be affected by that. No special precautions are warranted." + }, + { + "id": 4812, + "tgt": "Can sudden asphyxia cause brain injury in a child?", + "src": "Patient: Hi doctor, I am concerned about the health of my nephew who has got brain injury during his birth. In the past he had DHA supplements and used to do exercise. I need your consult regarding the extent of injury, effects, solutions and medication. Please guide. Doctor: Hi. Revert back with the asked details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26368, + "tgt": "What tablets can be taken for GERD?", + "src": "Patient: Hello doctor, I\u00a0am a nurse. I had throat burning sensation, nausea, chest pain,\u00a0feeling of a\u00a0full\u00a0stomach, nausea, and reflux\u00a0symptoms\u00a0one month ago and the\u00a0doctor advised me for lifestyle modifications. I stopped coffee, I am sleeping for two hours after dinner and I am eating non-spicy\u00a0food. I was free of symptoms for one month. But, now the GERD has come. It is a little severe. I also have a mild chest pain. Can you please suggest me medicines? What tablets should be had and for how many days? Thrice a week I\u00a0have these symptoms? Doctor: Hello. It seems you have GERD (Gastroesophageal reflux disease), GERD which is the cause of your symptoms. GERD occurs when stomach acid or the stomach content flows back into your food pipe. The backwash irritates the lining of your esophagus and causes heartburn, chest pain, and intense burning sensation. I suggest you start PPI (proton pump inhibitor) and antacids like Pantoprazole and Omeprazole with Domperidone 40 mg twice daily after consultation with your local physician apart from lifestyle modifications. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11573, + "tgt": "Why is there no withdrawal bleeding after taking Unwanted 72?", + "src": "Patient: Hello doctor, There is no withdrawal bleeding after Unwanted 72. Period date: 4th of this month, sex date: 16th and tablet intake: 17th of this month. When will I get my period or withdrawal bleeding and when to have home pregnancy test? Doctor: Hello. It is not always necessary to have withdrawl bleeding after taking Unwanted pill. Some women do not experience that. You should wait for your regular cycle date which might also get a little bit delayed due to intake of pill and if you missed your periods only then you have to do a pregnancy test. Otherwise, if periods start there is no need to go for it. You just relax and calm down. These pills are quite effective in preventing against pregnancy and your periods might start around 3rd or 4th of next month hopefully." + }, + { + "id": 16532, + "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": 10786, + "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": 13749, + "tgt": "Does Azithromycin work the same as Amoxicillin Clavulanate tablet?", + "src": "Patient: Hello doctor, Does (Inozith-250) Azithromycin work the same as (Clavu-nova 625) Amoxicillin and Clavulanate Potassium Tablet USP? I am using to treat a back/chest problem I had two years back which the doctor prescribed Inozith-250 for me. I used the same drug when I had a similar problem and I am well. Doctor: Hello. No, Azithromycin and Amoxicillin plus Clavulanate potassium work via different mechanisms. Azithromycin is an antibiotic useful for the treatment of a number of bacterial infections. Azithromycin is a type of macrolide antibiotic. It works by decreasing the production of protein, thus stopping bacterial growth. That is, it is bacteriostatic. Amoxicillin attaches to the cell wall of susceptible bacteria and results in their death thus it is a bactericidal compound while Clavulanic acid is a \u03b2-lactam drug that functions as a mechanism-based \u03b2-Lactamase inhibitor (an enzyme secreted by many bacteria for their defense against Amoxicillin). While not effective by itself as an antibiotic, when combined with penicillin-group antibiotics, it can overcome antibiotic resistance in bacteria that secrete \u03b2-lactamase, which otherwise inactivates most Penicillins. The doctor may have prescribed Azithromycin 250 mg twice a day earlier to you for maybe congestion or cold or some other problem but I would advise you to visit a physician in person and then take the medication. Then it would be of much benefit to you. For more information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 15702, + "tgt": "Is it advisable to do surgery in an elderly for recurrent parastomal hernia?", + "src": "Patient: Hello doctor, My father is 68 years old and has undergone ileal conduit surgery ten years back. Then parastomal hernia repair seven years back and again four years back. Now he has again developed a parastomal hernia. Now the surgeon is not ready to operate further. Please advice. Doctor: Hi. Sorry to hear about your father's condition. There are two options now. Due to elderly age and recurrent problem and anesthesia risk, we can manage it conservatively trying to avoid complications. It will be a safe position. If you wish to take the risk, we can approach laparoscopically. It will be high risk and technically demanding. We need to shift to higher facility and pose a high risk because of previous surgeries. So, the choice is yours." + }, + { + "id": 18155, + "tgt": "What diet should I take to improve my sexual performance?", + "src": "Patient: Hi doctor, I have been masturbating for 6 to 7 years. I am 25 years old now. I ejaculate within a few seconds during masturbation. Is it a symptom of premature ejaculation? Can masturbation make me weaker? What diet should I take to improve my sexual performance? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2590, + "tgt": "I have GERD and LPR which distubs my sleep with acid reaching esophagus. What to do?", + "src": "Patient: Hello doctor, My condition is GERD and LPR and I am so stressed out with this I cannot even sleep. I take Esomeprazole 40mg per day, but still no improvement. I sleep, but sometimes acid reaches my throat when I wake up. I am on this for one month and I feel every time. I take pills that they remain stuck in my throat like down the esophagus and I must drink a lot to push it down. I am on diet with no spicy, no coffee, no alcohol and I have a list with acidic foods. I am scared about my esophagus to not be very damaged. This will destroy me for real. I am only 24. Should I double the dose? Should I change medicines? Now with the Coronavirus, I cannot find any doctor. I do not feel heartburn, but I always hear my stomach making a weird sound when lying in bed. Please help. Doctor: Hello. I understand your concern and at this point, I would recommend further evaluation in order to better assess your condition. I would recommend a barium swallow x-ray, endoscopy, esophageal manometry, and 24-hour esophageal acid test. I would recommend you shift your Esomeprazole to Ranitidine 150 mg, twice a day for two weeks and Metoclopramide 10 mg, one tablet four times a day for five days. If symptoms persist, worsen or new onset of symptoms such as diarrhea, further consult is advised. I hope this helps." + }, + { + "id": 12941, + "tgt": "What are the ways to strengthen my ankles?", + "src": "Patient: Hello doctor, I am 18 and play hockey 3 to 4 times a week. Three years ago, I sprained my right ankle (inversion), by jumping over a fence and landing on the outside of my ankle. I had never sprained my ankle before, so I did not understand the appropriate treatment and recovery. So, three days later, when I could put weight on my ankle I started playing football again. I sprained my ankle again. This process happened for six months, I would think I had a full recovery, but then I would roll my ankle again. The next year I sprained my left ankle, but I knew the recovery process so it recovered much better than the right one. Although I have not rolled my ankle this year, both ankles feel very weak and I feel it could roll anytime. I change direction during hockey or just simple jogging. Could you please tell me how to strengthen my ankles, so they become normal again? Doctor: Hello. Giving a brief into the ligament injury which happens in the ankle. Usually, ankle injuries are ignored. Also, no proper rehabilitation is done for the same. So ankle becomes prone to injuries again and again. Let me put in this way. Ligaments do not heal as a soft tissue again but a fibrosed one which is more rigid than the original ones. Coming to your concern about the ankle joint stability. I will recommend you to follow the exercise because the ankle is the joint which had to bear the whole body weight. Using the Rocker bottom board initially for correction of the muscle imbalances is the first step to regain stability. This is level one of the training which I follow in my clinics for sports injuries. The next level goes to the wobble board training which is the second level of training and this gives the utmost outcome scores with great stability of the ankle joint and correction of muscle imbalances. You should focus on using this board and do strengthening of the upper limbs and lower limbs along with the core. It is completely a sports rehabilitation program as you are an athlete, so having an injury for you again is not affordable either to you or the game. Sports injury. MRI ankles. Ankle sprain. Sports rehabilitation." + }, + { + "id": 19443, + "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": 17696, + "tgt": "How to cure infection after ear piercing?", + "src": "Patient: Hi doctor, My daughter is 4 years old. After piercing her ear, she is suffering from piercing infection. Her weight is 20 kg. I have also attached the pictures of her ears. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4728, + "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": 1489, + "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": 23182, + "tgt": "What are the black dots on the tongue of a 6 year old kid?", + "src": "Patient: Hello doctor,My daughter is 6 years old. About 10 to 11 months back we saw a very very small dark black colored dot on her side of the tongue. But now there are 4 to 5 similar sized dot around her tongue on both sides. The size has not grown. But it is just that new location has emerged. Lately she is continuously touching her tongue and her tip of tongue appears red. She says she feels like there is a hair on her tongue and there is some sensation on her tongue. I do not know if she is able to correctly describe her feeling. I am more worried about the black spots. Rest she is absolutely fine. Please advice. Doctor: Hi. Thanks for providing good quality images (attachment removed to protect patient identity). These are hyperpigmented macules. Most of the time these are asymptomatic. The cause can be hereditary or acquired (nutritional or poor hygiene or local trauma-thermal or mechanical to tongue). Diagnosis based on current images: mucosal lentigines or melanotic macule. My advice is to keep observation for new lesions. Take tablet Zincovit (Ascorbic acid and Biotin) one tablet daily. Maintain good hygiene. Do not panic about these lesions. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9527, + "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": 23164, + "tgt": "What causes acne when we were on our period?", + "src": "Patient: Hi doctor,What is happening within our body that causes the most stubborn acne when we were on our period? What is the difference between the acne we get while on our period versus off? What are the best ways (besides specific products) to treat acne specifically during that time? Doctor: Hi. During menses, body have spurts of androgen. These androgen causes stimulation of pilosebaceous duct and leads to acne during this period. These types of acne usually appear in chin area may be because of more concentrated pilosebaceous unit localized to this place. Do maintain hormonal imbalance with the help of antiandrogen to reduce acne during these days. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14864, + "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": 1165, + "tgt": "I am having on and off fever for one week. What fever is it?", + "src": "Patient: Hi doctor, I am a 27 year old male. Doctor prescribed me Azithral and Fepanil for fever. But, the fever is on and off for the past seven days. My blood test showed normal no malaria or dengue or typhoid. First, I took Azithral and Fepanil and then the next day doctor added Cefuroxime axetil along with it. As the fever continues, I have got Amikacin intravenous. And now I have stopped all the medicines and still have a fever.\u00a0What fever is it? I had four Fepanil capsules per day for every six hours for the past seven days. My blood report is normal and there is no pathogen for malaria, dengue or typhoid. But, the value of WBC is high with ESR of 50mm showing microcytic anemia with neutrophilia. Doctor: Hello. The possibilities for fever in your case are as follows: For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30749, + "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": 10250, + "tgt": "Can you suggest any medicine to get proper erection?", + "src": "Patient: Hi doctor, I am a married guy of 32 years old. For the past two to three years, I am facing problem to get proper erection. I have already consulted a doctor and he asked me to get some tests done such as cholesterol, sugar and BP. We found that the triglyceride value is more than 350 mg/dL. He advised me to take tablet Lipicard 160 and Nano-Leo total sachet twice a day in milk for a week. He also advised me to do regular exercise and decrease the fatty or oily food. After a week, I found some difference in erection. It was better than before, but still I am not getting a triggering effect like I was having in my younger age. I had Sildenafil citrate in the past. Currently, I am taking Duralast 30 mg. In my teenage, erection used to happen even by thought. But, now I am getting it after struggling on bed. With my partner too the duration is very short. Please help. Doctor: Hi. 1. Hyperlipidemia. 2. Dapoxetine. Erectile dysfunction. Exercise and dietary changes. For further information consult a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23141, + "tgt": "I have severe acne problem. It is increasing by the day. can you suggest some medicines?", + "src": "Patient: Hi doctor, I am a 30-year-old male. I am facing severe acne problem. I am currently using Doxy-1 L-DR Forte Capsule two times a day since 20 days and Persol-plus gel at night and Ahaglow-S face wash. Also, Aziderm cream 20 % and Cetaphil as a moisturizer. But it is painful and with pus. Sometimes, they break out and sometimes they do not. What can be done in such a situation? I have lots of acne marks on my face and a lot of blackheads too. My doctor asked me to use Doxy-1 L-DR Forte for two months then he will do something next. But, it is increasing by the day. I have not used Isotretinoin or peel procedures though I have heard about them. Kindly explain what is that. I am attaching the latest picture. Please have a look and suggest some medicines. Doctor: Hello. All the medications you are on are right. I agree with your treating doctor. Peeling is a procedure where fruit-concentrated extracts are used, such as Glycolic acid and many other (Salicylic acid) which help reduce the activity of the sebaceous glands and in turn reduces acne. This procedure can be done along with your present medications. I guess that is what your dermatologist will do when you visit him next time. The other alternative is taking oral Isotretinoin. It is also a wonderful medication. It is an oral retinoid (basically a high dose of vitamin A), which has a similar action as the peel. So, either a peel or oral Isotretinoin can be considered. Isotretinoin should not be considered if you are planning to start a family. In females, it is contraindicated and in males, it is said that it does not have any known side effects, but is better to be avoided. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 1901, + "tgt": "Which is the best medicine for rosacea?", + "src": "Patient: Hello doctor, I am 32 year old female. My past medical history includes rosacea (15 years), perioral dermatitis (7 years), melasma and hyperpigmentation in the upper cheeks for three years and ADHD. I am currently under Noritate, occasional Elidel during flare up and Adderall 2.5 mg daily.\u00a0My hyperpigmentation on my upper cheeks has been progressively getting worse over the last several months. The pigmentation is well demarcated with areas of normal skin. I work indoors and the most sun I get on a daily basis is my short 15 minutes car ride from home to work. I cannot pinpoint the cause of the hyperpigmentation and melasma. I am not on any type of birth control and do not believe the source to be hormonal. I am hesitant to try lightening agents as I have had adverse effects in the past. I am going to trace back the pigmentation for you and maybe you can help me out.Before three years, I applied Noritate and Ziana to my face. My skin in general was fine.\u00a0I had only one area of pigmentation on my face, right side of face 1 inch x 1 inch. As that was noticeable I asked a dermatologist if there was anything that I could do to lighten it. She gave me Tri-Luma. I decided to put the Tri-Luma on the affected area and also a few freckles on my upper cheeks. The next day I became extremely red and out of fear of triggering my rosacea I dropped Tri-Luma immediately. Then after a month, I stopped taking Ziana, because I moved back to a colder climate and my face was getting too dry.After some eight months, the area of pigmentation (right side of cheek) was started getting darker. So, I decided to give another try for Tri-Luma. I again applied it to the larger area of pigmentation and to the tiny freckles on my upper cheeks. The decision to apply it to the freckles was purely a cosmetic decision. The next day those freckles turned into full blown pigmentation. I immediately stopped the Tri-Luma and the pigmentation in those areas has basically been there up to present day. At that time, a local dermatologist had suggested me to apply some cortisone cream to the areas to lighten them up. The pigmentation subsided very minimally. I did not apply the cortisone cream thereafter.\u00a0The pigmentation from this point waxed and waned in intensity up until two months back. Then, it has remained prominent. There were a few times during this two year span where my perioral dermatitis flared up and I was told to restart Ziana, which also made the pigmentation worse. I was unsure whether the Ziana was bringing the pigmentation to the surface or whether it was in fact making it worse. I went to two dermatologists who had differing views of stop Ziana and keep using Ziana. I decided to stop as it appeared to be getting noticeably worse. Again, I do not know if this was a whole process of bringing the pigmentation to the surface or not. Please share your thoughts. Doctor: Hello. Well, here I discuss everything one by one. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3245, + "tgt": "What could be the acne-like bumps present on my upper arms?", + "src": "Patient: Hi doctor, I have acne-like bumps all over my upper arms. I have tried Retin-A, but it did not help. Please guide me. Doctor: Hi. Is your acne like bumps only localized over arms? Or do you have these kind of eruptions over face, upper back and chest? If yes please review with picture. With your descriptions it seems you are having keratosis pilaris, which usually localized over upper arms. Keratosis pilaris (KP) is a genetic disorder of keratinization of hair follicles of the skin. It is an extremely common condition that manifests as small, rough keratotic papules, often described as chicken bumps, in characteristic areas of the body, particularly the outer-upper arms and thighs. The affected area may be washed once or twice a day with a gentle cleanser such as Dove or Cetaphil. You can try combination product of Lactic acid lotions (AmLactin or alpha hydroxyacid lotions), Glycolic body lotions, Urea cream (Carmol 10), Salicylic acid (Salex lotion), and topical steroid creams (Triamcinolone 0.1%, Locoid Lipocream), Retinoic acid products such as Tretinoin (Retin-A). Best results may be achieved with combination therapy. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25359, + "tgt": "What is causing my kid to wake up at night unable to breathe?", + "src": "Patient: Hello doctor,I just am wondering if someone can look at the X-rays of my daughter for free and explain it to me and tell me if this is sleep apnea or normal. She wakes up at night unable to breathe and her nose seems to get stuffy and I just cannot read this and they never explained it and I am wondering if she has sleep apnea or something else more serious I should be concerned with. Doctor: Hello. Considering the clinical complaints that your daughter has and also with the nose getting stuffy, I suspect adenoid enlargement rather than chest abnormality. This can be checked by a simple nasopharynx X-ray. However, the chest radiograph that you have attached is within normal limits. No significant pleural/ pulmonary abnormality is detected. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 28135, + "tgt": "My 4 months old baby has red rashes over his neck and body. Please help", + "src": "Patient: Hello doctor, My son has rashes all over his neck and body. His neck is very red and wet. I am attaching a photo of his rashes. The doctor\u00a0said he has eczema,\u00a0and he suggested to use Daktacort, Aveeno cream, and Flucloxacillin, but it is not helping. It is getting worse. Please help. Doctor: Hi. I have seen the attached photo (attachment removed to protect patient identity). Hope this answers your query. Take care. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21271, + "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": 20651, + "tgt": "I am having fever, headache and body pain even after taking medicine. Why?", + "src": "Patient: Hello doctor, I am suffering from fever since last five days. I have taken Paracetamol and Azithromycin tablet 500 mg but yet feeling fever, headache, body pain, and vomiting tendency. Doctor: Hello. Check the fasting blood sugar to see if sugars are in control. Is the fever associated with any cold or a cough? Seems to be a viral infection. If associated with cold and cough Azithral (Azithromycin) 500 mg to be taken once a day for three days. The tablets taken can induce gastritis causing vomiting sensation, take tablet Pantop-D (Pantoprazole and Domperidone) once a day for four days half an hour before breakfast. Take tablet Emeset (Ondansetron) twice a day for two days for the vomiting sensation. For fever continue taking Paracetamol 650 mg thrice a day till fever subsides. Keep yourself rehydrated by drinking lots of water. Investigations required complete blood picture, urine routine, fasting blood sugar, and urine ketones." + }, + { + "id": 18501, + "tgt": "Why do I have perioral movements and hand tremors?", + "src": "Patient: Hi doctor, I am 31 years old. I am a known diabetic. I have been experiencing\u00a0perioral movements and tremors in hand. I am on Seroquel for depression. Please help. Doctor: Hello. \u00a0I understand your concern and need more information to suggest better. Revert back with the answers to a\u00a0neurologist online\u00a0-->\u00a0https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14329, + "tgt": "Should I undergo apicoectomy for RCT done shorter than the working length?", + "src": "Patient: Hello doctor, I got my front (upper 12 probably) tooth RCT done six months ago. The RCT was short because I experienced acute pain beyond that point. RCT is about 1.8 mm short. He then suggested getting apicoectomy because RCT was incomplete. From a second opinion, the other doctor recommended a re-RCT. What should I do? Do I need to get the surgical procedure done? I have no symptoms of pain in the tooth. My teeth are generally weak and hence a little pressure is felt. The tooth area is mildly sensitive, but I suspect it to be from other nearby infected tooth. Doctor: Hello. I have been through your query, and I can understand your concern. Endodontic treatment for any tooth when it is not completely done like in your case it is short. It might be that you cannot feel pain or have any other discomfort. But it is highly susceptible to the secondary infection in the root. I would highly recommend going for the re-RCT treatment as it will not require any major surgical procedure and the tooth will be saved as a whole (in retreatment only minimal tooth material is lost). However, sometimes if space is some mm short, then if the root canal is properly sealed, it might not lead to further secondary infection. But that is just one such case. So if you wanna wait for the symptoms, you can but I would suggest you go for re-RCT. Apicoectomy is more invasive and will remove a small unfilled lower portion of the tooth and then accordingly seal the apex of the root. This also is a way to seal off the apex for underfilled root canals in RCT. But re-RCT is more desirable for me if you would have been my patient. Also, maintain good oral hygiene and brush your teeth twice daily and floss regularly." + }, + { + "id": 27389, + "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": 27890, + "tgt": "Does decreased TSH and normal T3 and T4 indicate subclinical hyperthyroidism?", + "src": "Patient: Hi doctor, I am a female, who weighs 71 kg and I am 6.3 feet tall. My TSH was 0.35, and six months later it is 0.73. T3 is 4.9 and T4 is 14.4, which is steady and normal. As I understand it, with low TSH and normal T3 and T4, I am subclinical hyperthyroid, right? My symptoms are anxiety, sweating, weight loss, recurring infections, forgetfulness, really dark and red circles under my eyes. My mother and a great aunt had Graves' disease, I also have a family history of hyperparathyroidism. Any advice is most welcome. Doctor: Hello. Yes, you are right about that, you have subclinical hyperthyroidism. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18880, + "tgt": "My tooth cavity is filled with an inflamed gum tissue. What procedure should I undergo?", + "src": "Patient: Hello doctor,My tooth has a hole in it, the gums are now inflated and it blocks the hole now. What procedure would the dentist do\u00a0in my tooth?\u00a0Also, the placement of the tooth is in the upper middle part. Doctor: Hello. I have gone through your query and understand your concern. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 8854, + "tgt": "There is heaviness in the body with dizziness and gastrointestinal reflux. Please help", + "src": "Patient: Hi doctor, There is heaviness in the body always. I feel like bursting whenever I lay down. I am grinding teeth, have dizziness, and gastrointestinal reflux. Doctor: Hello. The bursting and acid reflux problem can be connected to each other. But dizziness might not be due to acid reflux. For acid reflux, you need to take Pantoprazole like antacid for a week. Avoid the intake of excess spicy foods. Head should be elevated by putting a pillow when going to sleep. It is advisable to go to bed two hours after taking the meal. For dizziness, your blood pressure and sugar level should be checked first. You need to get checked your detailed otological evaluation for primary workup. Beta Histidine can be taken for dizziness. The anemia also can be causative sometimes, so rule out it by CBC." + }, + { + "id": 6894, + "tgt": "I am afraid of taking Venlafaxine due to side effects. Shall I stop the medicine?", + "src": "Patient: Hello doctor, I was recently diagnosed with an anxiety disorder and have not consulted an ADHD specialist. My doctor prescribed 37.5 mg of Venlafaxine for my anxiety and possible ADHD, but it made me feel extremely moody, sad, and sluggish. I have consumed one tablet for two days alone. I am afraid of taking Venlafaxine due to potential withdrawal symptoms. Is it recommended to stop immediately or continue until the side effects subside? Doctor: Hello. You are on a low dose of Venlafaxine (37.5 mg once daily) to manage your anxiety. Usually, the dose will be increased to 75 mg once daily after a week or so. In your case, consult with your doctor about any increase in dosage. It will take one to two weeks for you to get used to the medication, and then you will have the therapeutic benefits gradually. In most people, side effects will wear off when the medication is continued for one to two weeks. If it is difficult for you to manage the side effects or if it does not wear off, consult with your doctor so that he can monitor you and switch to another medication if needed. Follow relaxation techniques like breathing exercise and progressive muscle relaxation. It will help to manage anxiety. I hope this helps." + }, + { + "id": 4832, + "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": 12400, + "tgt": "What can be done to manage pain with fever after tooth removal?", + "src": "Patient: Hello doctor, I had a tooth pulled a few days back. The pain started getting bad the next day. Pain medicines are not working, running a fever and vomiting every day since. Doctor: Hi. It can be the case of dry socket and your tooth area would be naked right now. Send a picture of the area if possible and radiograph if you have. I feel the doctor must have taken precautions as you are on contraceptives which are likely to induce it. Send your details further. I think you should do one thing. Ask the dentist if it is a case of dry socket and place ZOE pack for three days. Home remedies will not help. People stop using mouth gargles. After reading your case history I feel your problem got created because of lack of instructions after tooth removal. It is a case of carelessness on your part as well. You need not try mouthwashes, gargles. These things dislodge your clot and moreover, you are already high-risk patient due to contraceptives." + }, + { + "id": 16846, + "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": 24497, + "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": 5357, + "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": 7970, + "tgt": "Kindly suggest ways to gain weight", + "src": "Patient: Hello doctor,I have a migraine problem but side by side I have a problem of weight loss too. I am married and have two children. Please suggest me how to gain weight. Doctor: Hello. Migraine is such a disorder with some symptoms like headache, nasal, eye, forehead pressure, etc., climate or weather change or allergic prone also. Any time often can be attacked. There fore I think no direct relation with weight. So you have taken both but in a separate way. For migraine, there are some specific treatment and related medicines available. For weight loss, you can gain weight gradually by a consistent effort. Check the following, 1) Blood loss excess with your menstruation may be low iron and folic acid, and RBC. 2) Take CHO carbohydrates like rice or roti little more enriched with protein like milk and milk products. Also, fish and chicken 50 gm at least daily. If non.vegetarian then go soya and soya products, pulses. 3) Plenty of green vegetables, greens, spinach, gourd family vegetable mainly. 4) Take three servings daily fruits like lemon, orange, guava, apple, grapes, watermelon, papaya, and cucumber at any time. Also, go for eight hours rest and deep sleep. And do not take the stress. A lot of things are there to add. You can properly make a diet chart, which will help you." + }, + { + "id": 17282, + "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": 8486, + "tgt": "My penis does not get complete erection during intercourse. Please help", + "src": "Patient: Hello doctor, I am 27 years old. My penis does not get fully erect at the time of intercourse. It remains in semi-erect state. I have desire for sex, but I am able to insert just one third of my penis after several tries. After marriage I have had intercourse only two times, before that I have not had any sexual relation. Before marriage I was masturbating 3 to 4 times in a week. What medicine should I take? My height 173 cm, weight 73 kg, preferred dishes sweet and salty. Doctor: Hi. You had a complaint of erectile dysfunction, known as impotence. Characterized by inability to develop or maintain an erection of the penis during sexual activity. You have to use Cydonia Vulgaris Mother Tincture daily 10 drops with cup of water three times. Masturbation is not a problem. And caused by low blood flow, low hormonal secretion and nerve supply defect. Other causes are like obesity, hypertension, high cholesterol, diabetes, and also caused by psychological causes like depression, stress, fear, poor communication with partner, pressure from partner, anxiety and feeling of failure in the sex are causes for erectile dysfunction. Nuphar luteum 30 potency globules daily 10 pills for one month. Cydonia Vulgaris mother tincture daily three times 10 drops with a cup of water. Alfa tablets daily two tablets three times. Reduce mental tension." + }, + { + "id": 10400, + "tgt": "Will IgG antibodies take care of the secondary infection in a HSV 1 postive patient?", + "src": "Patient: Hello doctor, I recently have had tests done after I was with someone that I do not trust after the fact. The only thing I have come up positive for is the common HSV 1. I remember having one outbreak when I was young and no outbreaks after. I have IgG antibodies present in my blood. I fear that the person I was with carried HSV 1 and reinfected me. I hope that my antibodies reacted and destroyed the second infection. I had a blister present on my skin after being with this friend. But it healed up immediately, more than a regular blister. Is there a chance that my IgG antibodies took care of the second infection? I told this person that I had perfect sexual health, and it was essential to me and the love of my life, which I am hoping to find. So it has hurt me at a phenomenal rate. I think of it daily. I need to know if I had IgG antibodies built up before reinfection, can it destroy the reinfection if symptoms are present? My symptom was present one day before it started healing. On the upside, a doctor that looked at it said it was nothing. Other doctors said it was probably nothing. It has cost thousands of dollars to find an answer. I am looking for a true love to live life out with and this is very important to me. Please let me know if IgG antibodies could kill reinfection if a symptom were only present for a day. It has been about nine months, and I have not had any symptoms. If you can help me, it would mean the universe to me. Doctor: Hello. I understand your concern. Please follow the following facts. 1. Once you get infected with HSV-1 (herpes simplex virus), as you had been in childhood, IgG antibodies remain there in the blood indefinitely or life long. 2. They help in containing further episodes, so subsequent episodes of herpes are always less in severity than the primary one. 3. Usually, herpes secondary episodes last for a few days, can heal in a couple of days also if it is minimal. 4. You are getting worried too much, and please relax, it has been nine months, there is no need to panic now. 5. You did not mention the site of blisters or any photographs you have taken, and it might not even be herpes. 6. There is no sign of HSV IgG in blood, and it just indicates you had an infection anywhere in the past." + }, + { + "id": 13955, + "tgt": "I am worried about my anger and impulsive behavior. Please help", + "src": "Patient: Hi doctor, I am 18 and struggling with anger issues and impulsive behavior which I am unable to stop. I seriously think that I am quickly getting depressed and developing anxiety and repulsive behavior. I have had many past incidents which might have reflected upon my change in attitude change, and so I want to get rid of this. Please help me. Doctor: Hi. I can understand the difficulties faced by you because of the impulsivity. Since you are only 18 years old, I would not consider any medications right now. However, I would advise you first to appreciate the bodily changes that come when you become angry like clenching of teeth, feeling body muscles contracting and increased respiration. Secondly, I would advise you to leave the situation or place which makes you angry. Thirdly splash your face with cold water or take a bath and drink a glass of water. Then you can close your eyes and take deep slow breaths through your nose. While doing so kindly focus on your body muscles individually in a series like the first face then neck then trunk and so on. And also while taking deep breaths, you can count from 1 to 100. By doing so, you can manage your anger and thus your offensive behavior. Thank you." + }, + { + "id": 7198, + "tgt": "I am having symptomless large tonsil, it does not bother unless I look at it. Kindly guide", + "src": "Patient: Hello doctor, I have one larger tonsil and there are no symptoms. It does not bother me unless I look at it. Doctor: Hello. One-sided enlarged tonsil is not a good thing to have. Usually, when both sides are enlarged, it would mean an infection or chronic infections over tonsils and pharynx. Unilateral enlargement needs to be investigated to rule out a tumor or abnormal growth. If you were to show to me, I would go for a tonsillectomy surgery where I remove both side tonsils and send them separately for biopsy (histopathological examination). That will give us a final report on what exactly it is." + }, + { + "id": 23656, + "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": 28812, + "tgt": "I am facing urine dripping problem and frequent urination. Please help", + "src": "Patient: Hi doctor,I have urine dripping problem after urination. I also have frequent urination. I have uploaded all test reports. Please help. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with the answer to the above question to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 10768, + "tgt": "I can see white substance globbed together on my stools after having greasy foods. Please advice", + "src": "Patient: Hello doctor,After eating greasy food, the following day, I pass stool and floating on the top is a transparent white substance globbed together, my stool is not formed usually and is mostly short segments. I often go about four to five times a day, and sometimes less. I am not on any medication. Doctor: Hello. It does not look like an infection to me. Could be due to some undigested food material. However, you have mentioned that a few tests have been performed. I would like to see the report before I comment further." + }, + { + "id": 30032, + "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": 17027, + "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": 6573, + "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": 6954, + "tgt": "I am a 20 year old male. Why do I have pricking pain in my heart?", + "src": "Patient: Hi doctor, I am a 20\u00a0year old male. I have a constant pricking pain in my heart. I feel like a prick with the knitting needle and also like a spark or an electric current in my heart. It started this year and occurred very randomly. I have stomach cramps, and sometimes I feel like my esophagus has liquid in it.\u00a0My health record is clean.\u00a0My blood health record and blood pressure are alright. I do not understand what is wrong with me. I am in a state of\u00a0panic. Please help. Doctor: Hi. For further queries consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30340, + "tgt": "May I know the treatment for vaginal infection?", + "src": "Patient: Hi doctor, I have got some vaginal infection. I feel itching, burning and some kind of cut and marks on my vagina. I would like to know the treatment for this. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13953, + "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": 12092, + "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": 5788, + "tgt": "Can pericoronitis of upper teeth cause brain infection?", + "src": "Patient: Hello doctor, I have been diagnosed with pericoronitis on the upper left side molar tooth four weeks ago. I took Amoxicillin for one week and the inflammation went down in the gum area. During that time, I had pain in my gum area and that would radiate to my head sometimes. I heard that the\u00a0headache can be a symptom. Does\u00a0pericoronitis of upper tooth cause a brain infection? The reason for this question is that I am getting pain in my ears, eyes and sometimes around the head. My doctor said that\u00a0the prognosis for pericoronitis is very good when the wisdom tooth is taken out.\u00a0I never heard a story of someone dying from a brain infection from upper tooth pericoronitis. My gum is not inflamed anymore, so I believe that the infection has resolved or under control. However, should I worry about pericoronitis?\u00a0I heard that majority of people who got pericoronitis do not have any problem after the tooth extraction. Also, I popped a pimple on my right temple and it was bleeding a little bit. Can that cause a brain infection? I visited my doctor thrice for this. He told me not to worry and prescribed an antibiotic cream on it. Now, my pimple is healed up. What are the chances of either of these two things causing an infection or something in my brain? Doctor: Hi. I feel sorry for the health issues you faced. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24476, + "tgt": "Is the lump in breast cancer or cyst?", + "src": "Patient: Hello doctor, I found a lump in my breast five months back. Initially, it was told to be a cyst. I followed up after four weeks, and the cyst was unchanged. My PCP recommended a needle biopsy to be safe. My surgeon felt more comfortable with lumpectomy because I have a family history of thyroid tumors, and I have a pituitary tumor. After the lumpectomy, I have been diagnosed with ER/PR positive, HER2 breast cancer. I am confused with my pathology report. It states DCIS, but also states a test was performed to confirm the lesion was invasive. It also calls it an infiltrating carcinoma. From what I have researched, this is contradictory. Currently, I am on Paxil 40 mg a day, Nexium OTC a day, Trulicity 1.5 mg SQ, Trulicity 1.5 mg SQ a week, Lisinopril 2.5 mg a day, Cabergoline 0.5 mg a day, and Amaryl 4 mg BID. Doctor: I have seen your reports. It looks like early breast cancer, and it is predominantly a cystic lesion. It is staged as pT1c Nx hormone receptor positive and HER2/neu negative. Histopathology is showing low-risk breast cancer as it is predominantly a cystic lesion with a predominance of intracystic papillary components, but there are areas of infiltrating mammary carcinoma and areas of DCIS (ductal carcinoma-in-situ). So, it is an early stage low-risk breast cancer. Have they done sentinel lymph node biopsy to check the lymph node status? You have a family history of thyroid tumors and previous personal history of a benign pituitary tumor. That may be part of some genetic syndrome. For that, you may need to go for genetic counseling. Your breast lesion is showing ER+, PR+ and HER2/neu negative. These are also good prognostic factors in breast cancer. Discuss with your primary oncologist about few points as follows: Overall prognosis is very good in early and low risk breast cancers. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 13906, + "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": 23784, + "tgt": "I do not want to complete rabies booster doses after side effects. Is it dangerous?", + "src": "Patient: Hello doctor, I have been injured by a needle after injecting unvaccinated white mice in my college and I have received two doses of rabies vaccine on the day of exposure and day three but the side effects were severe (hypertension, nausea, vomiting, dizziness) and I do not want to complete the three remaining booster doses. Is that dangerous? Doctor: Hi. Rabies for sure is dangerous. Only one case is reported in the world to be able to survive in your country after having rabies. But, it all depends upon how much chances of getting rabies. With needle stuck I do not believe there are many chances also and chances are high with bite. Also, laboratory mice are not a wild animal. They are grown in laboratory, so very minimal or almost no chances I believe. Also, you can observe mice for a week. If it dies, you can complete vaccination. If it stays healthy, there is no need. Also, your symptoms were likely associated with anti-rabies antibodies that are given post-exposure along with vaccination, with next three vaccinations less likely to have these symptoms. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1792, + "tgt": "How to clear kidney stones?", + "src": "Patient: Hi doctor, I have a\u00a0kidney stone in my right kidney and I have abdominal pain.\u00a0Is there any medicine to clear out the stone or is the operation the only way? Please help me. Doctor: Hi. Revert back with full detail and test report to a\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23627, + "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": 24820, + "tgt": "Something has popped up near my mouth and nose. What could it be?", + "src": "Patient: Hello doctor, Something has popped up near my mouth and nose since today evening. Is there anything to worry or is it just a dry skin? Doctor: Hi. Is it associated with itching or pain? Did you apply any cream or commercial hair dye? Is it present only on one side of the face? How old are you? Are there vesicles? Can you send a good quality image? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6912, + "tgt": "What causes vomiting of blood with stomach pain?", + "src": "Patient: Hello doctor, I have been throwing up blood for over a week now and it is bright red. I have severe pain in the top part of my stomach. The doctor said there is nothing wrong. Please help. Doctor: Hello. What was hemoglobin level in CBC report? If it was less than 10 then you need to hospitalize for supportive treatment, possible blood transfusion requirement and further evaluation. Do you experience difficulty in swallowing, burning type pain in chest? Blood in vomiting need evaluation to find out the cause for it. Bright red blood in vomit associated with any condition of upper and middle part of esophagus (as blood come out in vomit without going into stomach where it reacts chemically and turned out brown colored). Best investigation (after stabilizing condition) is upper GI endoscopy. upper GI endoscopy, repeat CBC (after 7-10 from first CBC) esophageal varices, severe esophgitis medical treatment follow up with medical gastroenterologist for further evaluation" + }, + { + "id": 28269, + "tgt": "I am severely anemic, and the right lymph node in my neck is painful. Is it cancer?", + "src": "Patient: Hello doctor, I am a 23 year old male, and I have Hashimoto's thyroiditis, from the past five years. It is well controlled by Synthroid and natural thyroid. Over the last few months, I have been having some worrying symptoms. I am literally so tired all the time, and I am severely anemic even if I take iron daily. I forgot what my numbers were, but they were at the very bottom, and I eat healthily and workout thrice a week. No matter how much I sleep, I am so tired.\u00a0I do feel better after the gym, but I have to drag myself there, and the workouts are feeling harder to do. I have been getting headaches a lot, and I currently have a painfully swollen lymph node in my right neck area. I am also sore and achy a lot. After doing some internet search, what stood out to me is leukemia or lymphoma. I know my white blood cell count was a little high, just a tiny bit and the doctor said that my body is just ready to fight an infection. But I think my last test was not normal. I think I might have cancer or something else seriously wrong. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24605, + "tgt": "Which eye drop can be used for surfers eye?", + "src": "Patient: Hello doctor, I have had surfers eye for about two years now. I was not given the name of the eye drops to use but have lost it. I am trying to wear UV protecting sunglasses too now. It is lighter during the mornings and after work, but I need to wear them more. But, the lump is not getting smaller. Which over-the-counter eye drops would you recommend? Doctor: Hi. Surfers eye or pterygium can only be corrected by a small surgery. The precaution you are taking are very good, but these are for stopping the growth or stopping the recurrence. It is a small surgery, and you will be fine within few days. Till then, start Moxifloxacin and Ketorolac combination eye drop at bedtime and Carboxymethylcellulose and Naphazoline combination eye drop four times a day. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1472, + "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": 25400, + "tgt": "These two small bumps suddenly turned big. Is this a sebaceous cyst?", + "src": "Patient: Hello doctor,I spoke to a dermatologist on here. I had two small bumps about 2 to 3 mm in size ever since I was younger and I am confident it is not a sexually transmitted disease. They were on the tip of the foreskin of the penis. Just two days ago, they started getting big. It never bothered me before up until now. The dermatologist said it appears to be 'deep seated nodular swellings with redness and inflammation'. He said they might have been two small sebaceous cysts which have now gotten infected. He recommended I take an oral antibiotic Amoxicillin for a week and Ibuprofen. I just wanted a second opinion from someone who is more knowledgeable in this area. Doctor: Hello. I have seen the images sent by you (attachment removed to protect patient identity). Do you have pain or fever? Yes, it definitely looks like a sebaceous cyst. You should take antibiotics as prescribed. When infection and inflammation subsides you will require getting it removed surgically. If swelling and inflammation do not reduce in five days than contact a urologist or general surgeon. You may require clinical examination and they will suggest getting it removed. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21314, + "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": 9472, + "tgt": "I have a tingling sensation of hands and pain in my fingers. Why?", + "src": "Patient: Hello doctor, My MRI scan report shows: Right central disc protrusion causing minimal thecal sac indentation which is seen just abutting the spinal cord at C5-C6 level. Disc protrusion causing subtle thecal sac indentation at C6-C7 level. Disc protrusion causing subtle thecal sac indentation at C4-C5 level. Disc protrusion causing subtle thecal sac indentation at L3-L4 level. Doctor: Hello. I read your query and went through your reports (attachment removed to protect patient identity). It shows there may be a minimal indentation of the thecal sac at cervical 5 and 6 vertebrae, and mild indentation at few other cervical levels due to a disc prolapse, which might cause a headache, a neck pain or a tingling sensation of the upper limbs. And, if the indentation is too severe, it causes vertigo and a reeling sensation. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7814, + "tgt": "Is western blot test accurate and reliable to detect HIV?", + "src": "Patient: Hello doctor, My doctor has recommended western blot for HIV-1 and HIV-2 as a screening test. The RIBA test was negative for HIV, after 16 weeks of exposure. I also had\u00a0a negative CMIA test, after 12 weeks post exposure. Hepatitis and STD panel are also negative. Is a negative western blot 100 % accurate and reliable at 16 weeks post-exposure?\u00a0If western blot is so accurate, why it is not used as a screening test? Is a six months retest required despite a negative western blot at 16 weeks? Which generation is RIBA, and how accurate it is as a stand-alone screening test? Will a recent CMV affect these test results accuracy? Doctor: Hi. Hope your queries are answered, but if you still have any more questions, please revert. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 28102, + "tgt": "Kindly see my blood report, and tell me if something is wrong", + "src": "Patient: Hello doctor, I got a blood test done recently. In the reports, which I have attached, most of my results are fine, but some major concerns are my vitamin B12 level is 1477 ng/mL,\u00a0T4 is 3.8, TSH is 12.63, and platelet count is\u00a0140. Is something wrong going on in my body? Are these indicating some serious problem? I am taking Maxmala\u00a050, Etilaam\u00a020, and Amixide H for anxiety disorder. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). Take care.\u00a0Hope your concern is solved.\u00a0Consult your physician for examination and discuss all these treatments. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15087, + "tgt": "What are some exercises without equipment to lose weight?", + "src": "Patient: Hello doctor, I want to lose my weight. I am very obsessed. I want to get slim. Please tell me some exercises to lose weight. Please tell me exercises that I can do anywhere without any types of equipment. Doctor: Hello. Two very good exercises with which you can lose weight without equipment are as follows. Running is considered the best exercise for improving cardiac status and losing weight. A 30 minutes run each day five days a week. Skipping is also a good exercise that can be done in a room. However, restricted calories are as important as the exercise itself to decrease weight." + }, + { + "id": 26394, + "tgt": "Pregnancy tests are negative, but am still having pregnancy symptoms. Why?", + "src": "Patient: Hi doctor, I am a 27 year old female, who started taking birth control pills eight months back, but I only took it for a week and stopped taking them. In that same week, I had unprotected sex with my fiance, and I had my periods the next day. The next month I got my periods two weeks earlier, and I thought it was because of stopping the birth control pills. But that period was like no other that I ever had in my life. The only time that I would bleed was when I want to go pee, and then a lot of dark red and thick blood would come out. I am having such periods since eight months now. I have also been feeling nauseous all the time, my head hurts, and my lower stomach feels funny. I have back pain, sore breast, the smell of some foods drive\u00a0me crazy, and I feel something moving around in my belly. I went to the doctor, but the pregnancy blood test came back negative, and the home pregnancy tests are also negative. I do not know what to do. I feel like something is going on in my body. My weight is little above normal. Please help. Doctor: Hi. I understand your concern. I see two problems in your history. Let me tell you the reason and solution. Birth control pills come in a pack of 21 or 21 active plus seven dummy pills, or the single dose of an emergency contraceptive pill. Whichever you take, will suppress your body's natural hormones. If you forget to take the pill in between or take it haphazardly, your natural cycle is out of the track, but do not worry as it can be corrected. Get a urine pregnancy test done, if not done recently. Then have the same oral combined birth control pill (21 pills) twice a day for ten days and throw away the last pill. Within next 7 to 10 days you will surely have your periods. All these bleeding on and off will disappear and then from the first day of the bleeding, have the next packet of 21 pills once at night for 21 days. Your BMI (body mass index) is more, which is the bigger problem. From your history I presume you to have PCOD (polycystic ovarian disease), this is usually associated with obesity, irregular menstrual cycles, no periods for few months, followed by heavy periods with clots and fleshy masses, spotting on and off. You develop an extra pad of fat around the mid segment of the body, especially waist, thighs, and breast. Excessive body hair growth, hair fall, dark lower half of the face, acne, oily face, dark skin in the back of the neck, inner thighs and under surface of the breast. PCOS will not allow ovulation to occur at times and so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But, this has a solution. Just delay pregnancy for a few months as your weight has to be reduced. Once you reduce your weight, you would not need any medicine to get periods or to get pregnant, and the pregnancy will be healthy. I suggest you try the following to reduce weight. Try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, as it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14493, + "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": 14145, + "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": 4406, + "tgt": "Why is the pain recurring even after disc herniation surgery?", + "src": "Patient: Hi doctor, Five months ago, my wife had a disc herniation surgery. She was fine for the next two to three months, but again she is getting the pain. Her doctor advised us to go for repeated MRI. We are yet to meet her doctor, But, I am looking forward to know what is going on. I have attached the reports for your reference. Please help. Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. Revert back with the first MRI scan to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 16584, + "tgt": "Is period change normal after an I-pill?", + "src": "Patient: Hello doctor, I had unprotected sex with my fiancee twice this month. She took one I-pill the first time and another I-pill just before she was going to have her periods. Now, she has her periods. But, she did not bleed on the first day. On the second day, there was normal colored blood, but the quantity was less. And on the third day, there was no bleeding. I am worried about her health. Have these tablets damaged her uterus? Doctor: Hello. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7986, + "tgt": "Could the lower back pain I am experiencing be due to periods?", + "src": "Patient: Hello doctor,I am experiencing lower back pain, and it hurts whenever I stand up. I am also suffering from abdominal pain. I do not know if my period is the one that caused it. Doctor: Hello. Sometimes these symptoms can be due to periods in young females, so your gynecologist should be able to give you an insight into this. As far as lower back pain is concerned, if it has been present for a long time even in the absence of your periods time, then it could be due to a spinal issue. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for an initial period of two to three weeks. 1. To maintain a proper posture of your back while working and sleeping. 2. If pain is more, then you can take a short course of anti-inflammatory medication like tab Ibuprofen or Paracetamol or one which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and vitamin d intake if levels are low in the body. 5. Ice packs can be applied if your pain is acute, then hot fomentation can be done at home. 6. Analgesic spray for a local application can be used and is readily available. 7. Avoid lifting heavyweight and acute forward bending in mornings etc. We will observe you for the next two to three weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance." + }, + { + "id": 5117, + "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": 23551, + "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": 6378, + "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": 10751, + "tgt": "Can my cholesterol increase again if I miss Lipitor?", + "src": "Patient: Hi doctor, I have lost my prescription for Lipitor and have been taking it for four days. I will get it tomorrow. I am on 10 mg a day. I am worried, will my cholesterol go up in that time since I am not taking it? Doctor: Hi. The half life of Lipitor (Atorvastatin) is 14 hours in humans (meaning drug is eliminated in about 14 hours). The main effect of Lipitor is to block the buildup and making of cholesterol in body. It does the job together with the help of other active ingredients and its effect on cholesterol synthesis is maintained in the body for about 20 to 30 hours. In this situation, it does not seem an issue if you just missed a dose or so. Do not worry about it. But start taking medication as soon as you get it back." + }, + { + "id": 10879, + "tgt": "What can be done for tender and itchy red spots on hands?", + "src": "Patient: Hello doctor, I have red spots on my hands that started about 10 days ago. I also have a couple of spots on my foot. They are mildly tender and itchy. They have gotten worse but not more that 8 to 10. I have no medical history and do not take any medications daily. I had a cut on my finger from opening a metal box a few days before onset. Doctor: Hi. I saw your pictures (attachment removed to protect patient identity). There are multiple erythematous (red) plaques and papules (bumps) on palms, sole, and wrist. Few lesions do look like target lesions. With these features, I can list a few possibilities as follows: May I know your age? Is there any similar rash inside the mouth? Did you have a fever before this rash or in the past one month? Have you used any topical cream? Is it the first episode? Did you take any painkillers, Ibuprofen, Diclofenac in the recent past? Do you have any history of eczema? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14545, + "tgt": "I have heavy bleeding and spotting at times. Is there a possibility that I might have ectopic pregnancy?", + "src": "Patient: Hello doctor, I am 21 years old. I decided to contact you because I do not know what to do. I had sex with my husband, and then we found out that he had a chlamydia infection. Since then, I am feeling sick all the time. My stomach was hurting a lot, and I had problems with passing urine, and it started to hurt deep inside. I went to a sexual health clinic, and I had a test (it came out as negative after one week), and they treated me for chlamydia. I was told to wait for a week for the symptoms to stop, but it was just getting worse and worse. I had heavy bleeding, spotting at times, and I was not able to move because of the pain. Those are just some of the symptoms I was having. I came back to the clinic, and they thought it could be PID (Pelvic Inflammatory Disease). So, they treated me for that. But those antibiotics did not help as well. I still have abdominal pain. I can feel something moving and kicking inside me. It is there all the time. I was at the clinic yesterday, and I had two pregnancy tests. The results came out the same (one clear line and the other one very light). The possibility of me being pregnant is very less because I was taking birth control pills for 2 years, and we always use condoms. Except for one time which was two months ago, but my husband did not ejaculate inside me. I did not have periods for 2 years, and that is why the bleeding worried me. I stopped taking birth control pills one week ago because I was worried that it could be pregnancy. I have read a lot about ectopic pregnancy, and the symptoms are the same as what I have been experiencing. I did two pregnancy tests at home, and they were negative. The sexual health clinic said that there is a possibility that I might have an ectopic pregnancy. I am very scared. It has been two months already, and I cannot stand it. What do I do? Am I pregnant? Doctor: Hello. If pregnancy is the concern, then the best way to find out is to get a blood serum beta hCG test done. This is a confirmatory test for pregnancy as the urine pregnancy kits may show false positive results. If the level of hCG is more than 1 or raised, then pregnancy is confirmed. If the level is less than 1, then pregnancy is completely ruled out. If the test is positive, then you should undergo an ultrasound pelvis to locate the pregnancy for its site, which could be intrauterine or possibly in the tubes (ectopic). If the USG shows extrauterine pregnancy, then you would require a laparoscopic salpingectomy to remove the damaged tube along with the ectopic pregnancy. If the pregnancy is intrauterine, then you may decide upon continuing the pregnancy. If the test is negative, then the possible cause remains UTI (Urinary Tract Infection) or a possible PID (Pelvic Inflammatory Disease) or endometriosis. Also, stress per se can cause derangement of hormonal balance and can cause heavy bleeding in spite of being on continuous progesterone pills. This can be controlled with antifibrinolytics in the absence of pregnancy." + }, + { + "id": 17633, + "tgt": "Is ASD a dangerous condition?", + "src": "Patient: Hello doctor, My son is 2 years 4 months old. He weighs 11 kg. When he was 4 months old, his doctor recommended me to take echo test. In echo he found acyanotic congenital heart disease. The report showed a small ASD 6 mm left to right shunt RA RV. Normal biventricular function. Mild PS GMAX 20 mm Hg. Doctor informed me that I should repeat his echo after two years. Please tell me the problem. How danger is the condition? Please explain. Doctor: Hi. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9727, + "tgt": "I had mutual masturbation. Do I need a PEP being a hepatitis C patient?", + "src": "Patient: Hello doctor,I am a 31-year-old male with a history of hepatitis C on Harvoni. I was with a lady doing mutual masturbation. I then placed my fingers on her tits and played with them. I then sucked her tits. I have traumatic oral lesions. My concerns that if she has HIV and then I got it to my fingers then to her tits and then to my mouth. That happened two hours ago. Do I need to get PEP? Doctor: Hello. You had negligible to low-risk exposure in this scenario. Mutual masturbation and playing with tits involves no risk. I guess there was no discharge from tits. If there was no discharge, again this was a negligible risk. You had traumatic oral lesions, which was a source of risk to the other person.If you do not know her HIV status or if she is HIV infected, in both situations, your concern of HIV acquisition is unwarranted as HIV cannot be transmitted by touching. Because of no to negligible risk, PEP is not warranted in this scenario. In case, the act was more than that you had described, or there was also fresh cuts or oozing wound on the tits, or you had sucked secretions from the breast, kindly revert. Take precautions in the future. I hope your query is answered, but if you still have any other question, please revert." + }, + { + "id": 14838, + "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": 12940, + "tgt": "What are the ways to increase flexibility?", + "src": "Patient: Hello doctor, 3 to 4 years ago, I remember myself being very flexible, but now I am not. I play hockey five days a week and I am very active. Legs are not flexible and suffer from cramp a lot. Similarly, my lower back always seems to have knots and always aches. I also suffer from shin splints a lot (very common). Please, can you tell me how to prevent these things and increase my flexibility? Aside from this, I have started to lift weights, to try to build up biceps. My wrists seem to hurt whenever I do it meaning I have to stop. Is there any other way of building biceps or is it something else which I am not doing right. Doctor: Hi. You are playing a very active game that requires stamina as well as muscle strength. You need to check your thyroid profile, calcium level, 25 (OH) vitamin D level, serum electrolytes, etc., to comment further. If no specific cause is found, then you should take a high protein diet and under physiotherapist guidance, muscle building exercise can be done." + }, + { + "id": 13075, + "tgt": "What is causing facial flushing while eating food?", + "src": "Patient: Hi doctor, Why sometimes when I eat, my face goes red and I get really bad facial flushing that sometimes lasts for hours? I have had thyroid, FBC, B12, glucose, liver, kidneys, all bloods and all are normal. I am only 26 years old and male. This happens a lot. I do not have any allergies (that I know of). Doctor: Hi. In some individuals, flushing can occur after eating certain foods and even certain drugs. The foods associated with flushing are spicy foods like chilly, pepper, caffeine and alcohol, in vegetable, spinach, lemon, and tomatoes can cause it. Similarly, fish can also cause flushing. To control it first thing is to avoid those things that aggravate or trigger it. Other options available are topical application of Brimonidine tartrate gel and antihistamine tablets." + }, + { + "id": 15405, + "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": 19687, + "tgt": "My father is a known diabetic and hypertensive patient. Now got a sudden onset of double vision", + "src": "Patient: Hello Doctor, My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes. His CT Scan report says:- Impression: Multiple calcified foci as described above. Diffuse cerebral atrophy. Content: Two calcified foci without perilesional oedema are seen in bilateral occipital region. Prominence of cerebral cortical sulci are suggestive of diffuse cerebral atrophy. What dose this mean? Doctor: Hello, It seems from the history that your father is having sudden onset of double vision. He is a known diabetic and hypertensive. The CT scan report you have mentioned here like diffuse cerebral atrophy is not of much significant and they indicate age related changes. The CT scan findings are not significant as a cause for double vision. First the symptom needs to be evaluated to find out whether it is uniocular or binocular.\u00a0Uniocular double vision means double vision with one eye open.\u00a0Binocular double vision means double vision which disappears on closing on eye and present only with two eyes being kept open. The most commonest in this age group is binocular double vision. The most common cause in your father for double vision is nerve palsies which affect the extraocular muscles like 3rd, 4th, and 6th cranial nerves.\u00a0The cause is because of diabetes and hypertension. Most of them recover by 3-6 months. The treatment by vitamin B12 supplements and other vitamin B complex will help to hasten the recovery. Along with this strict control of diabetes and hypertension is required. Do inform me regarding whether it is uniocular or binocular and status of diabetes and hypertension, so that I can guide you regarding further treatment. Hope the information is helpful to you. Consult an ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27573, + "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": 5473, + "tgt": "I experience severe dry mouth and memory problems on taking antibiotics. Why?", + "src": "Patient: Hello doctor, I have a problem with dry eyes, mouth, and vagina. I cannot cry because there is no tear production. I also have episcleritis in my right eye. Now I am afraid that I have sjogren's syndrome. The other thing that is even worse is I cannot tolerate any antibiotics. I discovered that when I had to take antibiotics for UTI, Macrobid, Primatene, and Amoxiclav. They switched so many antibiotics because of such severe reactions, memory problems, not able to concentrate, to think, to remember, then like burning from inside, no salvia, fatigue, etc. I have even done EEG at that time, and it was abnormal. Doctor said that something is slowing your brain. I felt like a toxic reaction, the symptoms lasted for four months. I get the same reaction even from one eye drop named Tobrex. Now I a have few questions. Could this be an autoimmune reaction on antibiotics? I do not have the diagnosis yet, still waiting for results. If that is true how you manage dose reactions on antibiotics? I am afraid of any kind of antibiotics. Is there any treatment that can make me tolerate antibiotics? Or are there some safer antibiotics safer for sjogren's? During childhood days I did not have any reactions to antibiotics. Will they have a major effect on CNS, body, muscles, and nerves? Please help. Doctor: Hello. Please do not panic. Yes, this can be an autoimmune disease. In fact as there are dry mouth and dry eyes, clinical diagnosis is Sjogren's disease as you mentioned which is an autoimmune disease. Sjogren's disease is basically of two types, primary where there is no cause for Sjogren's disease and secondary Sjogren's disease where there is some associated autoimmune disease. I would not say that it is due to the autoimmune response to antibiotics. Toxic reaction to an antibiotic can cause Stevens-Johnson syndrome, but that is a severe disease with the different clinical picture. So to summarize this, in my opinion, it is not due to an autoimmune response to antibiotics. There is no relation between antibiotics and Sjogren's syndrome. It seems you are either multidrug-resistant or there is some underlying autoimmune disease causing all these symptoms. The investigation will help in diagnosis and treatment will depend on the investigation reports. In case a patient is not comfortable with any antibiotics, or if some antibiotics cause unwanted response then we can just stop that antibiotic and treat those unwanted symptoms. Nothing more can be done. If all antibiotics were safe in your childhood then these must be safe now, and so, in my opinion, these symptoms are not caused by antibiotics. I hope this helps." + }, + { + "id": 20353, + "tgt": "Is it bad for the back if I keep high arch during bench press?", + "src": "Patient: Hi doctor, Is it bad for the back if I keep high arch during bench press? Can it hurt the back? Doctor: Hi. When you are arching your back excessively, it reduces the range of motion, and it makes the exercise so easier. The only disadvantage is that you will not use your muscles through a full range of motion, and a less strength is used. Also, remember the principle of individuality during exercise. All the individuals will require a different position to practice a particular group of muscle exercise. Please do these exercise under guidance." + }, + { + "id": 4957, + "tgt": "My daughter has left side spasm with muscle pull and vision deterioration. What could it be?", + "src": "Patient: Hi doctor, I am the mother of a 15-year-old girl who was adopted. She has no family history and no medical history. She started experiencing back pain in her lower central back. The pain felt like sharp jabs at sometimes and dull at others. This pain progressed to the hips and shooting pains down both legs. She was seen by her regular pediatrician who sent her to get an x-ray of her lumbar spine. The test was clear. Her doctor recommended physical therapy. After starting physical therapy she was sent to a podiatrist to see if her flat feet were the problem. They were determined not to be. She has now been doing physical therapy for about three weeks and nothing seems to help. She recently experienced an episode where she was sitting, reading in class when all of a sudden her whole left side jabbed and got spasmed. She felt the pain the whole afternoon as it felt like all her muscles were pulled. She also experienced sudden vision deterioration and has just gotten glass for that. Could you please tell us what you think this could be? Doctor: Hello. I had gone through all the data that you have posted. I can understand your concern being a mother of 15-year-old and facing all this. I will try to help in my way. The first thing is complete detailed neurological examination is very important in this case. Due to the presence of a back problem with sensory symptoms for some time and sudden vision deterioration goes in favor of multiple sclerosis (MS). If the clinical examination reveals some abnormalities kindly go-ahead for MRI (magnetic resonance imaging) spine along with the brain. In MS it is common to have such episodes and more on extending the neck and weakness if any may worse with bath in hot water. Other possibilities include dyselectrolytemia, sciatica. So, kindly consult a neurologist for a detailed neurological examination and discuss possibilities with him and let him decide on further evaluation." + }, + { + "id": 30669, + "tgt": "Is it true that fruits cause acidity?", + "src": "Patient: Hi doctor, After consultation and analyzing Lactulose and MiraLax, I came to the conclusion that fruits are a very good natural regulator of digestion. It turned out that fruits were really the solution to my problem. I have now almost 100% perfect control over digestion and live very happily. I have a tendency to exaggerate a little bit and have too much discipline.\u00a0I am eating a whole large fruit every day. I mean 1 to 2 kg of fruit, which I eat at once. In the morning, I peel and cut them into pieces and when I return home hungry in the evening I eat them.\u00a0The result has been awesome. I am perfectly regular and I do not have any problems during the day. My eyes shine clearly and my voice is crystal clear. However, I wanted to ask if I eat so much fruit on a regular basis will it harm my digestive tract because of the acidity?\u00a0In general, it should be a good thing to eat healthy. One of my teachers once told in the class that every excessive thing is a bad thing. So, the question is will the acidity create ulcers or fistulas or something in the long term?\u00a0Are there any medicines or natural solution as an antacid? How many would I have to take to compensate for 1.5 kg of fruit? I had a severe eating disorder in my younger age. I can still lead a normal and satisfying life, by focusing more on an active lifestyle and being aware of my diet. Please clarify my doubt. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16153, + "tgt": "Will standing bare-foot on rat's blood cause rabies?", + "src": "Patient: Hello doctor, I stood on a rat's blood that my assistant killed about half an hour after the incident. It was hit on the head so I presume there was some saliva in the blood, I was obviously bare-footed and have no open sores on my feet but do have cracked heels. Is there any way I could have contracted rabies if the animal had been rabid? Doctor: Hi. I understand that you are worried but the chances of you contracting rabies from a pool of blood while may or may not have saliva of a bat which might or might not have been rabid are quite slim. However, if your heels are cracked enough to have caused an opening in the skin then I think you could get a rabies vaccine course, just to be on the safe side assuming that the bat was stray. Do not be scared as the sole is far away from the brain so, in the unlikely case of the virus being there, it is still not too late to get the vaccine." + }, + { + "id": 12731, + "tgt": "Will doing gymnastics affect the healing of inflamed shoulders?", + "src": "Patient: Hello doctor,I have shoulder pain. I was told that where my three fibers meet from my deltoid the point is inflamed or something. She told me it would heal in 4 to 6 weeks but it still bothers me when I do gymnastics. I train in gymnastics seven hours a week. Doctor: Hello. As you had inflammation at the junction of the meet-up of the tendon to muscles it takes usually 4 to 6 weeks of time. The doctor was right. Post which you should opt for physiotherapy for better assistance. As there is inflammation and the limb stays immobilized for 4 to 6 weeks for regular ADL it might have some sort of weakness of the shoulder girdle muscles and that need attention. So I would advise you to do exercise which helps in stabilizing the shoulder girdle but that should be free exercise and not of any weights. Continue the same for 2 to 3 weeks and then indulge into weight bearing for 2 to 3 weeks. Post which you can start low-intensity weight training and progress gradually. There is a difference between weight bearing and weight training. Please do not misunderstand that. In my clinical practice of over 12 years, most cases have been reported for similar complaints but with sports shoulder rehabilitation program they respond well. I will advise you the above program and not going straight to high-intensity activities." + }, + { + "id": 28546, + "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": 13138, + "tgt": "What can be done for pain with heavy bleeding during or after sex?", + "src": "Patient: Hello doctor, I have pain and sometimes heavy bleeding during or after sex and I can only do certain positions where I can tolerate the pain. I have already been tested and I am negative for STDs. I also have really heavy periods to the point that I cannot wear tampons because they do not work. What is going on with me? Doctor: Hello. You need to get a pap smear test and a per speculum examination done to rule out cervical erosions or cervicitis which are the most common cause of post-coital bleeding in reproductive age group women. The element of infection present can cause pain during menses and also a pelvic inflammatory disease which can be a cause for heavy menstruation." + }, + { + "id": 17121, + "tgt": "How can we improve the rate of LVEF?", + "src": "Patient: Hi doctor, My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? His blood pressure, cholesterol, and sugar levels are normal. There are no blood clots present. He feels tired if he walks at home even more than 15 minutes. Doctor: Hi. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take drugs like beta blockers, ACE inhibitors (Carvedilol and Ramipril) to improve the cardiac function. What are the medicines given? The other method is to assess if there are any other blocks present in the coronary arteries and get removed either by CABG (coronary artery bypass graft surgery) or angioplasty. But I would suggest first do a myocardial viability study to see if the thinned out akinetic areas have any living muscle present to improve his cardiac function. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28139, + "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": 326, + "tgt": "I have sore throat for the past six months. Please help", + "src": "Patient: Hello doctor, I have a sore throat since january, at first I thought it was COVID-19 and have been self-isolating for a month but no other symptoms have occured. It is nearly June and my sore throat still has not cleared. Doctor: Hello. Please mention the symptoms what you are feeling? Any throat pain? Any cough? Any sputum production? Any nose block? Any chest pain? Any acid reflux? Any fever? Are you diabetic? Any post nasal drip? Send me a photograph of the inner side of your mouth showing posterior part of pharynx in open position. Common causes for chronic pharyngitis is 1. Persistent infection in the nose or ear. In chronic rhinitis and sinusitis, purulent discharge constantly trickles down the pharynx and provides a constant source of infection. 2. Mouth breathing is seen in nasal polyps or adenoids. 3. Environmental pollution: smoky or dusty environment or irritant industrial fumes may also be responsible for chronic pharyngitis. 4. Faulty voice production: excessive use of voice or vigorous clearing of mouth throat in some professionals. 5. Acid reflux due to lower esophageal sphincter leads to acid reach the pharynx cause irritation and pharyngitis. Treatment depends upon the cause. Use salt water gargling thrice a day for five days." + }, + { + "id": 28074, + "tgt": "My mother has multiple myeloma. How to find out the stage of her cancer?", + "src": "Patient: Hi doctor, My 97 year old mother, who is in a nursing home, is more tired and feeling unwell. A blood test has shown she has likely got multiple\u00a0myeloma. She had left-sided paralysis from a stroke six years ago. She cannot speak, and she is slow in understanding and writing, but she has no dementia. She also has atrial fibrillation from 12 years. Usually, she is alert and enjoys life with what she has.\u00a0A bone marrow biopsy would be too nasty and cruel for her, so our physician and I have ruled it out. The physician can only offer palliative care, and maybe a blood transfusion if she gets anemic. I have been researching other alternative supplementation to help her. The physician is reluctant to refer her to a hematologist, but I think she should be referred just to get an\u00a0expert assessment and possibly other tests, even though she cannot have a bone marrow biopsy. Could more be done to help with diagnosis and determining what stage of cancer she is at, or if she has MGUS or\u00a0smoldering multiple myeloma through a hematologist referral? What do you think?\u00a0Do you have a particular view about the blood results? Are there any more interpretations to be had? Weirdly, the physician also says you have to do bone marrow biopsy to refer her to the\u00a0hematologist. But my understanding is the physician refers to the\u00a0hematologist, who then orders bone marrow biopsy,\u00a0right? I think they are just fobbing me off because she is old. Her blood report shows, total serum protein is\u00a083, serum albumin is\u00a027, serum globulin is\u00a056,\tIgA is\u00a01.12,\tIgM is\u00a00.56, serum protein electrophoresis discrete band in gamma region, serum immunofixation monoclonal band of IgG lambda paraprotein band is\u00a026.1, serum TSH level is\u00a01.46, serum free T4 level 12.9, serum ferritin\u00a0is\t30, basophil count is\u00a00.02, eosinophil count is\u00a00, monocyte count is\u00a00.4, lymphocyte count is\u00a04.46, and neutrophil count is\u00a02.71. Her platelet count is\u00a0166, MCH is\u00a031.5, mean corpuscular volume (MCV)\tis\u00a095.1, hematocrit is 0.37, and red blood cell count\u00a0is\u00a03.93. Doctor: Hi. Sorry to hear about your mother's condition. Take care.\u00a0Hope your concern is solved. I wish your mother good health. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 475, + "tgt": "I get popping in ears after frequent flight journey. Is this due to infection?", + "src": "Patient: Hello doctor, I have flown very often in the last few years. I forgot to wear earplugs and slept on a few flights recently. On the last two trips, I had multiple flights connecting. I noticed my ears did not stop popping after a few days. Since my last flight, my right ear has not cleared up. It used to be at night my ear would pop and get better during the day. Now my right ear has lost hearing, I would estimate about 50% and fluctuates between 50% to 75% during the day. When it is totally silent, I think I hear this tone in my right ear. I do not have headaches and can sleep fine. I have gingivitis and bleeding gums, and no other health issues. I was wondering if my ear is infected or not. I know whatever I have is connected to my frequent flying every two months for the last five years. I always wore earplugs and never had this before but forgot the last trip. Should I take antibiotic drops? I definitely have mucus in my sinus and I am not sneezing or coughing in any major way just and not sure if I am infected or not. Would antibiotic drops help me rule out infection? Doctor: Hello. Simply it is a eustachian tube dysfunction. Ear infection which needs an antibiotic must be accompanied by ear pain. Ear drops do not have any role in the treatment of middle ear infections. I think that you need an anti-edematous and anti-inflammatory like Alphintern tablets or Reparil tablets three times daily for a week plus corticosteroid tablets in the dose of 1 mg for each 1 kg of your body weight daily. For example, if you are 70 kg you need 70 mg of corticosteroid per day for 10 days.The most popular corticosteroid is called Prednisone tablets. Chewing gum will be useful for you." + }, + { + "id": 17196, + "tgt": "Could you tell the recovery time for GB syndrome?", + "src": "Patient: Hi doctor, My son is 5 years old. He has been suffering from GB syndrome since a month.\u00a0Now, he is admitted in ITU under ventilation. IVIG has already been given.\u00a0Also, the second dose of IVIG is also started. Could you please tell me the recovery time of this diseases? Doctor: Hi. Your question is very genuine. The family members of every GBS (Guillain-Barre Syndrome) patient do ask us this question. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8618, + "tgt": "What is the normal amount of vitamin that a human should consume a day?", + "src": "Patient: Hello doctor, How many vitamins are too many for a human body? Why should I take vitamins daily, and what are the benefits to daily taking multi-vitamins? Kindly advice. Doctor: Hello. The only problem is when you decide to take Vitamin D and calcium supplements, although in low dosage. This will alter the metabolism, and especially the kidney function leading to stones or precipitating kidney colic. I usually evaluate the foods and drinks what the patients consume, and whole blood levels of vitamins and minerals. Then decide to advise them to start vitamin supplements." + }, + { + "id": 4884, + "tgt": "I bled for six days after taking I-pill and missed my regular period. When to expect it?", + "src": "Patient: Hello doctor, I had sex with my partner. We used the condom but at the end, we found it broken but according to him nothing slipped inside but for safety I took i-pill within two hours. After this, I got bleeding within six days of i-pill intake and it lasted for five days and was the same as regular periods. So based on this I was expecting my second period on 16 th of this month but till date I have not got my second periods. During this period several times I did a home pregnancy test and all found negative. Till today I did not get my period. What is happening inside me? What is the expected date that I can get my periods? Is this a sign of pregnancy? Should I do the test again? Please help. Doctor: Hi. After having sex, five days later you got your periods. This indicates that 100% you are not pregnant. Now the delay in your next periods is due to the effect of i-pill. But there is no need to worry. No need to do any further pregnancy test as there is no chance of pregnancy. Just wait for one or two weeks and you will have your normal periods." + }, + { + "id": 22958, + "tgt": "I am a 25-year-old male with extreme hair loss. Kindly advice", + "src": "Patient: Hello doctor, I am a 25-year-old male with extreme hair loss. I was on Rogaine 5 %, Finax 1 mg, but losing lots of hair from the vertex. Doctor: Hi. With your history looks like you have androgenetic alopecia, which is a genetic and hormonal hair loss. Are you still using Rogaine and Finax? Minoxidil and Finasteride are the medicine of choice for androgenetic alopecia. Can you please upload your clinical pictures so that I can assess the grade of hair loss. Do you have a family history of hair loss? Since how many months you are using Rogaine? For more information consulyt a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 533, + "tgt": "My face and ear area are numb after inflammation in the tooth. Why?", + "src": "Patient: Symptom of numbness in the face and ear area started and spreading begins two days after inflammation in the tooth area. Numbness and itchy in the face area and occasionally in the body. Started like some insect or fly was on my skin, when I Touch it, I realized it\u2019s just me, and symptom turn into numbness. Dentist was schedule to treat it next week after inflammation is better. Don\u2019t know if it related. Doctor:" + }, + { + "id": 2570, + "tgt": "Are there any antidepressants to combat with Adderall for major depressive disorder?", + "src": "Patient: Hi doctor, I am currently on Adderall 30 mg twice a day for narcolepsy with cataplexy and Lexapro 20 mg for resistant major depressive disorder. My previous psychiatric nurse practitioner tried me on many antidepressants that did not work. Lexapro helps some but not much at all. I have very bad anxiety and low mood with irritability. Is there another antidepressant I can take with Adderall (as it interacts with so many). Please help. Doctor: Hello. It looks like you have been tried on several different types of antidepressants already but did not help. Since you are on Adderall for treating narcolepsy, taking antidepressants will potentially lead to an increase in side effects. This applies to all SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) type of antidepressants. So you will need regular follow up by your prescribing doctor to monitor your response to the medication combination. Since you are saying Lexapro (Escitalopram) helps to an extent, it will be worth trying to continue it and have additional psychological therapy like CBT (cognitive behavioral therapy) to manage anxiety and depression. If Lexapro is not effective at all, there are other options like Sertraline and Fluoxetine but they belong to the same class of medicines (SSRIs). Risk of potential interaction applies to these medications as well. Also, ensure that narcolepsy is optimally controlled. It will help to improve your mood and help you to function better. I hope this helps." + }, + { + "id": 9675, + "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": 21709, + "tgt": "I lack confidence in myself and cannot talk to new people. Please help me", + "src": "Patient: Hello doctor, I lack confidence when I am alone. I am always confident when it comes to the public. I really get busted and also I do not know why. I cannot talk to new people or crossgender with an initiative. I even do not know why I always feel lonely like I know I do not have people to talk even though. Please help me. Doctor: Hello. You need to develop confidence in yourself. Start talking with your own self. Stand in front of the mirror and make eye contact with yourself and talk positively and confidently. Be bold. Try to talk with anyone. If you have shyness to talk with the opposite gender, it is due to age-related hormone changes. Do not be shy to talk to girls. When you try to talk to a girl, at that time, do not think she is a girl. Realize that she is just a normal human being like you and talk something different. When you talk with any girl, always make eye contact but just for 15 to 20 seconds, then look away from her, then again make eye contact. Do not look at her body, do not make her uncomfortable, wear good comfortable clothes, stay neat and clean. You need not spend money on expensive clothes and perfumes, just wear clean clothes that do not smell bad. Just enjoy the age-related changes in yourself. If possible go or learn swimming. Get outdoors and do some physical activities, that will make you feel good about yourself. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11369, + "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": 26853, + "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": 17381, + "tgt": "What is the reason for a small, painless lump in the IV injection area?", + "src": "Patient: Hi doctor, I had a fistulectomy surgery. I was given IV for two days. It was attached to my right wrist and it was removed after two days. On that spot, where the injection was inserted, a very small, painless lump sort of a thing formed. It\u00a0is already 39 days after surgery, but that small, painless lump is still there. What is the reason for this? What should I do to get rid of it? Doctor: Hi. Please relax and do not worry. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 19720, + "tgt": "What is an alternative to Lantus in controlling blood sugar level?", + "src": "Patient: Hello doctor, I have moderate NPDR and I am diabetic for the last 15 years. I am 189 cm tall and weigh 89 kg. I was taking fast acting insulin Humalog 25 and tablet Tragenta Duo 1000 1-0-1 for the past 2 years. After I found NPDR, I shifted to Lantus as the doctor said NPDR can cause sudden variation in blood sugar level. I was using Lantus for 10 years in the past and during that time I had no problem. I am taking 25 IU in the morning. However, my body is not responding to insulin. While doing exercise, 12 IU will be enough for me. Sugar level went down below 90 in the afternoon. If exercise is not done, controlling the sugar level becomes a major problem due to insulin resistance. How can I control sugar level through other medicine? My current HbA1c level is 9.1. Doctor: Hi. NPDR (nonproliferative diabetic retinopathy) is one of the common complications of diabetes. We cannot prevent it completely, but we can delay it for years. Our target is to delay the proliferative phase by controlling the blood sugar level. Regarding your medications, they are good but deficient as Lantus (insulin glargine injection) is not advisable to be given alone. Humalog 25 is required before main meals. Trajenta Duo (Linagliptin) 1000 can be replaced with Metformin 1000 once after lunch. The target HbA1c is below 7 in order to be strictly controlled. You are taking a low dose of insulin. So, we cannot consider it insulin resistance. Also, lifestyle modifications can help a lot. My advice : For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12272, + "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": 6184, + "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": 23696, + "tgt": "I took Flagyl for a bowel infection and still do not feel better. Any suggestions?", + "src": "Patient: Hello doctor, I am a 58 year old female. I was seen at the weekend by the emergency doctor and was diagnosed with a bowel infection. I was rehydrated and given IV Paracetamol and sent home with oral antibiotics - Flagyl 400 mg thrice daily and Tavanic 500 mg twice daily. I followed a diet of fluids-only for the past three days. I am worried as I really do not feel that much better and the foul loose stools came back today. I think fever still comes and goes (do not have a thermometer, so not 100 % sure). I am on the last day of the Tavanic 500 mg today. Do you have any suggestions please? I take BP meds.- Metropolol 50 mg morning 50 mg evening, Telmisartan 80/25 one tablet in the morning, Nexium 20 to 40 mg daily (depending on how sliding hiatus hernia is playing up) and Allegron 30 to 45 mg evening (depending on how fibromyalgia is). Doctor: Hello. I hope I was able to help you. If you have any further questions please feel free to message. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 23294, + "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": 18246, + "tgt": "I have severe nasal congestion. Can I use Pseudoephedrine and Otrivin together?", + "src": "Patient: Hello doctor, I am a 22 year old girl. I have severe nasal congestion from a suspected cold or sinus infection (I have not been to the doctor yet). When Pseudoephedrine (Sudafed tablets) was not working, the pharmacist suggested to try Otrivin Plus nasal spray. Both give slight relief but I forgot to ask if I can take both together. Is it okay if I take both simultaneously until I can get to my GP? Doctor: Hello. With the details provided, I understand that you are a 22 year old female suffering from cold or sinus infection causing nasal blockage. Currently you are taking Sudafed tablets and Otrivin plus nasal spray. Presuming that the Sudafed tablets you use contains only Pseudoephedrine, I would say that it is perfectly alright to take Sudafed and Otrivin plus together. Both have similar actions and will act to decrease the nasal congestion and relieve the blocked nose. Pseudoephedrine tablets will get absorbed into blood and act systemically. However otrivin nasal spray being sprayed into nasal mucosa will act only locally with very little systemic absorption through the blood vessels. The two compounds have slightly different mechanisms of action as well and use different set of receptors and messengers to bring about their action. You need to worry about their combined action only if you suffer from hypertension or elevated blood pressure. Otherwise till you meet your GP it is fine to take both together. However, do not take Pseudoephedrine more than twice a day in normal strength. If it is maximal strength tablet then take not more than once a day unless advised by your GP. However follow these general instructions till your GP makes a decisive diagnosis and institutes the most appropriate treatment for you. Consult an allergy specialist online for further follow up --> \u00a0https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 3655, + "tgt": "Will high blood pressure lead to chronic kidney disease?", + "src": "Patient: Hello doctor, I am a 32-year-old male. One month back I checked my BP, it was 120/90 mmHg and today again I checked, it was 140/90 mmHg. Both were done in doctor's clinic. I did blood hemogram and cholesterol tests everything is normal. Two yrs back I did USG of full abdomen it was normal. In my family, my mom is having a high BP due to which she is a CKD patient and on dialysis. That is why I am a bit concerned whether this BP figure indicates that. Should I start the BP medication? I have changed my food habits. Kindly suggest whether I should start the medication so that it does not affect me in my later life as my mom. Doctor: Hi. Blood pressure is different at the same time by different machine or the instrument used previously. Now regarding the value of blood pressure, it is not mandatory that the value is fixed. It is different for different people of the same age. But it depends on weight, height, food habits, regular work out, etc. Take a low salt diet and avoid pickles. Family history did not count but you can prevent it by changing the lifestyle i.e. regularity in food habits, exercise, etc. Avoid consuming alcohol. stop smoking if you do. Avoid or decrease the non-vegetarian diet as it may increase your cholesterol levels and leads to atherosclerosis, heart disease, kidney failure, etc. In nutshell, all organs may be affected. Do not start blood pressure tablets as 120/90 and 140/90 mmHg does not make any big difference. The upper value is called systolic pressure which up to 150-160 is no worry and the lower value is called diastolic pressure in which 90 is the lower limit of high blood pressure. I hope this helps." + }, + { + "id": 26851, + "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": 17572, + "tgt": "I am developing withdrawal symptoms of Paroxetine. Please help", + "src": "Patient: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, and pressure of studies has put me into depression. I was unusually weepy, and it was difficult to concentrate. I saw a\u00a0doctor again, and he put me on Sertraline, explaining that the symptoms were actually due to depression. I was prescribed Paroxetine 25 mg CR by another psychiatrist. I did not take them and suffered from depression for six months. I was finally convinced by a counselor to take the drug. I started with Pexep\u00a0CR 25 mg every night, and I took it for two months regularly. My depressive symptoms were greatly resolved, but my sleep cycle was not helped at all. A few day before, I read about chronotherapy for delayed phase sleep disorder and wanted to give it a try. I practiced the schedule for seven days and was sleeping fine but, I stopped taking Paroxetine after taking half tablets for seven days. From past 4 to 5 days, I have been experiencing vivid dreams with awakenings. While awake, my head seems to spin every 10 to 15 minutes for 4 to 5 seconds, which is disturbing. I am unable to concentrate on studies, which is putting me through anxiety and weepy phases. I know these are withdrawal symptoms of Paroxetine, but I\u00a0do not want to go back to that drug. I am fine, and the only issue I have is delayed sleep phase onset insomnia. Please help me with withdrawal symptoms and treatment for delayed sleep phase onset insomnia.\u00a0Thank you. Doctor: Hi. Thanks for this query. Hope my answer helped you.\u00a0Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5092, + "tgt": "The effect of panic attack was severe than before on using MDMA after treatment. Why?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I keep getting high anxiety and sometimes have anxiety and panic attacks when around a lot of people. I work in a supermarket so I am around a lot of people all the time and interact with a lot of people. Over a year ago, I was sectioned in a psychiatric hospital with drug-induced psychosis because I was smoking weed every night with my friends and attending raves nearly every weekend taking drugs such as MDMA, Ketamine, and Nitrous oxide balloons. When I came out of hospital I was completely fine and I returned to work and going out with my friends as usual, apart from not taking any drugs. About a year passed and I was completely fine so I thought it would be a good idea to do MDMA at a rave again (this was about 2 months ago). I had a massive panic and anxiety attack and had to sit in the car with my best friend who was trying to calm me down but I could not stop as I was still under the influence of MDMA and I could not speak to anyone properly. After this, I was fine in most social situations but in the last couple of weeks I am now really anxious about going out in public and I cannot seem to speak to anyone properly anymore, not even my best friends. I hate going to work, this has only been going on for two weeks now, so I thought I would seek help here. Doctor: Hello. I have understood your query. You have been using drugs previously and after that, you have been diagnosed and treated for drug-induced psychosis. So as per my opinion, even you are better without drugs for so long. You should not try those drugs again because you have faced problems before and again when you use. It will be more than the previous effect and difficult to control. So I insist that you shud not take drugs for the rest of your life. The experience of anxiety and restlessness that you had before 15 days after taking MDMA (3,4-methylenedioxy methamphetamine) was probably the acute effects of MDMA. You might have taken a higher dose of the drug than usual. After that, you have started worrying about that previous episode, so it has started continuous anxiety in you, that you can not identify consciously. And when it has prolonged, it has caused depressive feelings in you. So, in my opinion, you shud not take any medication for these anxiety symptoms at present. Go for exercises, meditation, and relaxation therapies. Do not use any street drugs. If your rave is the problem then you should avoid going there because instead of joy, you are getting drugs there and making problems for yourself. If your current anxious and depressive feeling do not improve within the next 15 days, then seek help from a psychiatrist." + }, + { + "id": 25044, + "tgt": "I coughed blood and am being treated for TB. I need expert advise", + "src": "Patient: Hello doctor,I was positive for hepatitis B four years ago, and recently I was rushed to the hospital for coughing up blood from my lungs. The CT chest shows that there are some bleeding areas in my lungs. The Gene expert test shows that I have very low tuberculosis. My kidneys are normal and my liver is normal except that the total bilirubin is 32 umol/L and conjugated bilirubin is 10 umol/L. My anti-nuclear factor is positive. I am currently being treated for TB. I need expert advise. I have some test results with me. Doctor: Hello. As your gene Xpert report (attachment removed to protect patient identity) shows you have been tested positive for MTB which is sensitive to Rifampicin. Means you have Pulmonary tuberculosis and it is sensitive to first-line drugs. The standard treatment in this case is combination four drug ATT (antitubercular treatment) for two months followed by further to six months of three drug treatment. And periodic sputum culture and X-ray for response assessment. Next problem is you have hepatitis B. And you have not been on any medication for the same. Your OT/PT is normal. I would like to know your HBV DNA levels and HBeAg status as it will help in determining whether you need treatment for hepB also. As far as ANA positivity is concerned, it can be associated with hepB also in about 1 to 2 percent population it can be a normal phenomenon. If you do not have symptoms of joint pain, fever photosensitivity then you do not need to worry about ANA reports. Lastly, I would like to know how was your bilirubin level before ATT as antitubercular treatment can also affect the liver. So if you are having persistent pain or vomiting you need to stop the drugs and visit your physician, as they might need some modification. I would be happy to hear from you again. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4037, + "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": 25812, + "tgt": "How fast do antibiotics relieve asthmatic cough?", + "src": "Patient: Hi doctor, My son is 11 years old. He weighs 22 kg. He has asthmatic type of cough problem. The paediatrician usually gives him an antibiotic for 10-12 days and still if the cough persists he will extend the antibiotic for another 2-3 days. When the cough remains an issue, he gives Azithromycin 300 mg a day for six days. He says that antibiotics can be given for a month and in special conditions like TB it can be given for six months. My question is, is there\u00a0any side effect on continuous antibiotic usage for 15-20 days? He also prescribed Betnelan (Betamethasone) one tablet daily for 6-8 days. Is it fine to give? Doctor: Hi. For further queries consult a paediatric allergy asthma specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 14156, + "tgt": "The hCG report shows serum qual present. What does this indicate?", + "src": "Patient: Hello doctor, What does hCG serum qual present mean? Doctor: Hi. I have read your query. There are two types of tests to check for pregnancy. Serum beta hCG qualitative test and beta hCG quantitative test. The qualitative test detects whether beta hCG is present or not. It can detect beta hCG more than 25mIU/ml. The quantitative test detects how much beta hCG is present. It can detect beta hCG as low as 1 mIU/ml. Result interpretation for qualitative beta hCG test is as follows. If the result comes as positive (present), it means you are pregnant. If the result comes as negative, it means there is no pregnancy. Beta hCG is also raised in certain other conditions like ectopic pregnancy, miscarriage, molar pregnancy, and certain tumors. However, these are associated with other complaints also like a pain in the abdomen or irregular periods or bleeding, etc. Sometimes, false positive tests may occur when certain hormones are increased, such as after menopause or when taking hormone supplements. When the test is negative but pregnancy is still suspected, the test should be repeated in one week. When the test comes as positive, a person needs to go to an obstetrician and gynecologist who would evaluate the woman further. Ultrasound is also done to confirm the pregnancy." + }, + { + "id": 29254, + "tgt": "My problem is over-thinking a situation and also sleeping disorder. Please help", + "src": "Patient: Hello doctor, My problem is over-thinking a situation and also sleeping disorder. During some of my personal issues I am thinking too much. So, this leads to lack of sleep and illness causing other problems. First thing I want to know is how to control my feelings and my mind. Please suggest me a treatment for good sleep and anti-stress medications. Doctor: Hello. I would like to know the answers for the following before treating you. Revert back with the answers to a psychiatrist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25310, + "tgt": "A large flat red rash appeared on both legs. What could it be?", + "src": "Patient: Hello doctor,I am 48, healthy female. A large flat red rash appeared suddenly on both lower legs four days ago. Lower leg swelling and pain. A little itching at times. No lesions no bumps. Doctor: Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). You seem to have small vessel vasculitis. I suggest bed rest, an oral anti-inflammatory such as Ibuprofen, twice daily. In addition, I suggest you take an oral antihistamine such as Cetirizine 10 mg tablet once every evening for a few days. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8225, + "tgt": "What causes severe toothache at night?", + "src": "Patient: Hello doctor, I am facing a toothache problem, especially at night times. There is higher pain from the last three days. Please suggest me a solution for toothache problem. Doctor: Hello. As you are describing it as night pain it looks like the infection in your tooth has reached pulp and now requires root canal treatment. Please get an X-ray done and send the photo of the X-ray as soon as possible. For now, you may take the following medications for three days: Amoxicillin clavulanate 625 mg, twice a day, Paracetamol 500 mg thrice a day, only when pain is there, otherwise take only Amoxicillin clavulanate tablets. Revert back with X-ray. Follow up after two days. Follow up after two days." + }, + { + "id": 5809, + "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": 18863, + "tgt": "I feel lost as my parents are not caring me equal to my brother. Please help", + "src": "Patient: Hi doctor, I am a girl 20 years old. I am the eldest in my family, and I have a 7 year old brother. I am always fighting with my family. My parents nowadays do not care about me, and they were only thinking about my brother. I believe that my brother is the main reason for everything. I want my parents to understand their children and be a friend to them. I do feel at times that I am not their real daughter.\u00a0They never understand my feelings. I am shy, not good in social and have difficulty to open up my problems and feelings. I always think negatively about myself. I have no self-confidence and have stage fear. I get angry easily. Please help me. Doctor: Hello. I understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2559, + "tgt": "My daughter has itchy anus, bloating, and no appetite. Can I suspect tapeworm infestation?", + "src": "Patient: Hello doctor, My daughter who is three years old is believed to be having like tapeworms or threadworms. She usually has itchy around her anus, bloating, feeling vomiting, spitting, and no appetite these days. She is also losing weight day by day. Kindly prescribe medicines to remove the worms and include the required vitamins for her health. Doctor: Hello. With the list of symptoms mentioned, it appears to be due to worm infestation. Any abdominal pain? Restless sleep? Irritable? Did you notice white thread like worms in the potty? Does she eat mud? Any other family member having a similar complaint? Well do this, examine the anal area around the anus in the night two hours after she goes asleep. Pinworms usually come out of anus during the night. This is only for confirmation. Always need to be confirmed whether we are treating the cause as there are many ailments that need to be ruled out for an unintentional weight loss. Treatment includes a single dose of tablet Albendazole 400 mg to be taken by all the family members once irrespective of symptoms at once. If she has severe itching apply lotion Caladryl in and around itchy areas. Now the most important aspect, prevention: 1. Wash her or bathe her immediately as she gets up, as this gets rid of the eggs that have stuck to her butt area with hot water. 2. Change her underwear and bed linens every day. 3. Trim her nails every alternate day. 4. Not to scratch. 5. No nail biting. 6. Wash her and your hands frequently." + }, + { + "id": 24642, + "tgt": "Which is the best diet for someone with thalassemia major?", + "src": "Patient: Hi doctor,I am a patient of thalassemia major. My first blood transfusion was four months ago. There was no need for blood transfusion before that. I have no idea about my disease and now my blood transfusion has reached a count of eight times, meaning eight units in the last three months. I checked three different hematologists and they suggested me different things. So, I am confused. What can I do now? I stopped my blood transfusion last month and my blood level is automatically going up or down. Which is the best diet for maintenance of iron and to increase my blood level? Doctor: Hello. In thalassemia major, there is a defect in the production of normal hemoglobin. This affects the oxygen-carrying capacity of the hemoglobin since it is defective. Regular blood transfusions and iron chelation therapy to prevent iron overload is the main treatment. You are not iron deficient and do not require supplementation. You are receiving the recommended treatment and you must accept the fact that you will require blood transfusions for the rest of your life. A balanced diet with adequate amount of protein is enough. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 29457, + "tgt": "Could lifestyle changes improve brain health?", + "src": "Patient: Hi doctor, I am turning 22 in two weeks, and I am deeply worried about my brain health. On the top of pretty moderate to severe inattentive ADHD and general learning or processing issues, I smoked way too much weed from ages 16 to 20. For all of my life, I spent most of my leisure time zapping my brain in front of the tv or computer due to extensive depression. I did not take part in many hobbies growing up either. I have a pretty good understanding of neuroplasticity, and I can see how these habits have damaged my neurological and thus general, potential. My question is, does my brain still have a chance to be adequate and powerful? I only have three years left of profound brain growth. I live very healthily. I eat small portions and include periods of intermittent fasting. I am currently on a ketogenic diet (no sugar or carbohydrate, high fat, protein and greens) and I exercise high-intensity cardio and weightlifting for three to five times a week. I am doing meditation every day for more than\u00a010 minutes almost for a year now, and I am beginning to engage in meaningful activities such as salsa, yoga or tennis as well as attempting to build friendships and reduce stress levels. Could fundamental lifestyle changes such as the above\u00a0give a neurological advantage compared to those in my general demographic? Thank you so much for your help. It means a lot. 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": 4274, + "tgt": "I weigh only 37 kg and neither of the appetizers work for me. Why?", + "src": "Patient: Hello doctor, My age is 23. But, I weigh only 37 kg for 158 cm height. My parents consulted different medical practitioners, but nothing worked out. Appetizers did not work too. I do not have strong immunity. I get fever often. No one in my family is lean other than me. They all have normal weight. I weighed 3 kg when I was born and it was a normal delivery. Food does not interest me really except sweets and ice creams. 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": 23407, + "tgt": "I am married and now facing pre-ejaculation issue. Kindly suggest Ayurvedic cure", + "src": "Patient: Hi doctor, I am 28 years old male and married. My height is 5'5\" and weight is 73 kg. I am facing a pre-ejaculation issue. Before marriage I have never done, masturbate, most of the time, nightfall happen. Never taken any medicine before. Kindly suggest for Ayurveda medicine to cure this permanently and good tablet to use for sex two to three times in a week and avoid PE, without side effects. Doctor: Hello. I just read your query. See premature ejaculation may have many causes. Sometimes it can be due to anxiety. I will prescribe you treatment according to your problem. Take it regularly for one month and you will feel better results within a month. If you do not feel any improvement then you need to visit a nearby reputed urologist for your problem. But first of all, take this treatment for one month regularly. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24343, + "tgt": "My child is passing stool with bright red blood in evenings. Suggest ayurvedic cure", + "src": "Patient: Hello doctor, I have an 8-year-old girl child who weighs 30 kg. She passes stool with blood in bright red color only at evening i.e., the second time of the day when she goes to the toilet. But in the morning, she do not have any complaint. Some abdominal pain is also there. Her scan report is normal. She does not have constipation problem since birth. What shall we do? Doctor: Hi. If it is before defecation then might be piles, polyp, proctitis, ulcerative colitis, amebic dysentery or a diverticulum. If it is after defecation, then might be a fissure in the anus or foreign body. It would be clear after a physical examination and other details about disease history. Now you can take Styplon (Amalaki, Praval Pisti, and others) 1 tablet twice a day with normal water and Lodhrasava (Lodhra, Kachur, and others) 10 ml twice a day with the equal amount of water after meals. Advice to avoid spicy and fried junk foods. Avoid cold drinks, soft drinks, and ice-cream. Prefer more fibrous food and fruits in her diet. Go for a colonoscopy once. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13388, + "tgt": "Can a nuclear scan detect bowel infection?", + "src": "Patient: Hi doctor, I am a 70 year old female. My height is 165 cm (5'5\") and weight is 70.3 kg (155 lbs). My current medications are Quinapril-HCTZ 20-25 mg and Diltiazem 24HR ER 120 mg. I am experiencing discomfort in the right buttock for the past one year. I had a total body nuclear scan done recently and the narrative is attached. I am being sent for a CT scan. My doubts are, I got a total hip replacement in 2008. Would it be helpful to the CT scan radiologist to see the attached x-ray of the prosthesis since it shows a screw going into soft tissue? As this screw incidentally has been in the same position since 2008 and it has not caused any problem. Would it be helpful to the CT scan radiologist to see the narration of the nuclear scan? Is the CT scan capable of showing a possible bursitis inflammation? Doctor: Hi. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. The x-ray is always useful when reporting a CT scan. It provides a two-dimensional picture of the screw which is seen to be partly in the region of soft tissues. As a radiologist, I will always be happy to see an x-ray if available. The nuclear scan shows that there is no infection around the prosthesis. There is a small amount of suspected infection in the bowel or fallopian tube on the right side of the pelvis. This might help the radiologist to specifically look for bowel infection or fallopian tube pathology on the right side of the pelvis. The narration is beneficial to the radiologist to have a detailed look through your CT scan pelvis. CT scan will show bursitis if it is severe. Recent studies have shown an MRI scan to be the investigation of choice for inflammatory bursitis. In your case, bursitis is less likely because the nuclear scan does not show any abnormality in the region." + }, + { + "id": 27021, + "tgt": "In what conditions can the neutrophil count be at an absolute low?", + "src": "Patient: Hello doctor, What does it mean when neutrophils are at an absolute low (1.3)? Doctor: Hello. For more information consult an\u00a0internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12682, + "tgt": "What causes white scaly patches in the back of my throat?", + "src": "Patient: Hello doctor, I have a weird lesion that I just noticed in the back of my throat a few days ago. For the last couple of months, my throat has felt slightly strained after the normal conversation. I currently take Lisinopril, HCTZ, and Amlodipine for hypertension. My PCP prescribed a Z-pack and referred me to ENT since she does not know what the lesion is. So I am wondering if this is something that I should be concerned about in the meantime. Since I started taking Lisinopril, HCTZ, I have had strong cravings for acidic foods such as vinegar and hot sauce. I initially thought my diet was causing issues with my throat, so I significantly cut down on these types of foods. In addition to the lesion, I have noticed white scaly patches in the back of my throat. Doctor: Hello. The normal pharyngeal mucosa at times has a granular appearance. In addition, it may be present in acute granular pharyngitis. This is nothing sinister. Z-pack with adequate analgesia if you have pain, plenty of fluids and warm saline gargles or Chlorhexidine should help. There is nothing to be concerned about." + }, + { + "id": 21299, + "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": 22084, + "tgt": "Why do I have a right-sided incision for a left tube ectopic pregnancy?", + "src": "Patient: Hello doctor, I have an ectopic pregnancy in my left tube. I had two MTX and because of the embryo's heartbeat, I had salpingostomy six days ago. My questions are: I have a post-operative incision on my right side and nothing on my left side. I do not even feel pain on my left side, only on the right side. Is it normal because I had ectopic on my left side? Can I later have a vaginal birth? I do not know if, by a laparoscopy, the uterus will be cut or damaged. After surgery, I had two days of pink spotting then nothing and from yesterday, I have dark brown discharge, is it also normal? Currently, I am on Ibuprofen. Doctor: Hello. The incision taken is for the surgeon's comfort. A right-handed surgeon will take a right incision. The incision site usually does not depend on the site of the problem. Yes, you can definitely have a vaginal birth in future and there is no doubt in that. Laparoscopy is a very safe procedure and will definitely not harm or damage the uterus or adjacent structures. The spotting is quite normal. However, if you have a doubt then meet up with your gynecologist and get checked once. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25654, + "tgt": "Can medicines reduce heart block?", + "src": "Patient: Hi doctor, My father had a major heart attack 15 days ago. The angiography report showed\u00a0LAD/Diagonal - type III LAD. Mid has 90% stenosis.\u00a0LCX/OM non-dominant. Early OM1 has 90% stenosis. OM2 has 80% stenosis.\u00a0PTCA with DES to LAD has been performed.\u00a0Now, what to do with OM1 and OM2? Please guide. Doctor: Hi. Any blockage of more than 70% if possible should be stented. In your father's case heart attack was due to mid LAD block (left anterior descending coronary artery) which has been treated. OM (obtuse marginal) branches supply papillary muscles and posterolateral wall of left ventricle, these are also significantly blocked but area supplied by them may have collaterals that we cannot say as collaterals are very tiny vessels. But, as he is on antiplatelet medicine now mostly he will not get sudden block of OMs. You can wait and see how he is feeling on walking and exertion. If no pain then ask your consultant for TMT (Treadmill test) and then decide for plasty. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18330, + "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": 2262, + "tgt": "I feel choking with swelling and irritation in the tongue. Please help", + "src": "Patient: Hi doctor, I have had this issue for two to three months now and my symptoms are changing. It started with my throat feeling like it was closing every now and again and between my ears and jaw was sore for weeks. My tongue feels swollen and irritated all the time with little red dots around the edges. My tongue also gets sore around the edges mostly in the morning. I have had blood test and after that one doctor told me it was in my head but my recent GP says it is definitely not. I cannot get to see a specialist due to this Covid-19 mess and my symptoms are worsening and now my throat around my glandular area is sore and throat feels restricted and swollen. I do not have trouble swallowing food or drink but just swallowing saliva sometimes gives a choking feeling. No one so far can tell me what is going on. Please help. I am currently on Pantoprazole 20 mg and Advil. Doctor: Hello. Having read through your symptoms I think, if any of doctors could not find any particular cause it might be what we call as burning mouth syndrome with globus sensation. It may be due to certain local conditions like ill fitting dentures, jagged sharp or carious teeth. It may occur due to acid reflux or in disease like diabetes. Even post nasal drip due to sinusitis can cause burning in mouth.Prolonged intake of any medicine can cause this. However, do you have any of these? Of these gastric acid reflux is often the most important cause. Do you smoke? Can you attach a picture of your throat and tongue lesions." + }, + { + "id": 8725, + "tgt": "My absolute lymphocyte count is high. Can you suggest any Treatments ?", + "src": "Patient: Hello doctor, My absolute lymphocyte count is 4800, so I have lymphocytic leukocytosis.\u00a0I have a dust allergy, and\u00a0I had mild asthmatic bronchitis in the last week. I take tablet Telekast-L occasionally. Doctor: Hello. Provide the\u00a0above information, so we can discuss further. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18030, + "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": 20856, + "tgt": "How can I avoid formation of scar due to popping of cystic pimple on eyebrow?", + "src": "Patient: Hi doctor, I had a cystic pimple on my eyebrow for about a week that just popped under the skin last night. I have never experienced this before. So, I am worried about scarring. Is this something I need to go and check with a dermatologist immediately to clean it out if I want to avoid scarring? What is the best thing to do in my situation to avoid a scar? Doctor: Hi. I have reviewed the clinical photograph attached (attachment removed to protect patient identity). Yes, you have developed nodulocystic acne. What did you mean by it has popped last night? Is this same lesion present for one week or it has subsided now since yesterday? If it has just appeared then you will need a course of oral antibiotics to reduce inflammation and infection. Topically Fusidic acid 2 % cream can be applied twice daily. In most of the cases of nodulocystic acne intralesional steroid injection is given to reduce inflammation and scarring, cryotherapy would also help. Avoid squeezing and touching. In past what medication have you taken?" + }, + { + "id": 30460, + "tgt": "Please advise on my foot x-ray", + "src": "Patient: Hi doctor, I had a fall from a stool almost eight to nine days ago. Since then, I had a foot swelling on the right leg. As I could not get an x-ray at that point of time, it was not diagnosed. I considered it as a sprain and used some natural oil massages and scrape bandage for a while. So, the swelling has gone. I am walking with little limping. However, I have some pain while pressing hard or while doing oil massage and while walking. Today also, I had pain while walking. So, I decided to take an x-ray to check whether it is a fracture.\u00a0Let me know how to manage. I am enclosing the x-ray for your reference. Please let me know your advice and help to deal with this.\u00a0Thank you. Doctor: Hi. Trivial injury. Conservative management. Do not put weight over the right leg for six weeks. Revert back after three weeks to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1763, + "tgt": "I have loose motions and pain in the abdominal area for two days. Please help", + "src": "Patient: i have very thin loose motions , and pain in abdominal area, since 2 days and feeling weakness, taken flaygel medicine today, please recommend any medicine and precautions and diet plz Doctor: Dear, Welcome to.icliniq.com With history of 2 days diarrhea with weakness seems that you are on dehydration side. 1st of all most important step for you is to keep yourself well hydrated and replace electrolytes.Use ORS.Mix in 1 litre water and take as maximum as you can. Avoid spices,fried,outside meals .Take liquid or soft food for 2,3 days At least and eat less. Add yogurt and Ispagul and banana in your diet. continue with flagyl 400mg three times a day.Take ciprofloxacin 250mg after breakfast and dinner for 3 days.Also Take Mebeverine 135mg before breakfast and dinner.Also take antibiotics like Enflor sachet once daily for 5 days. I hope you will be fine soon.In case issue persists after 3 days ,please let me know . Take care !Stay healthy" + }, + { + "id": 24538, + "tgt": "Why would Lexiscan be recommended over calcium scoring in valve problems?", + "src": "Patient: Hello doctor, My dad recently had an echo done which showed valve issues. The cardiologist wants to do a Lexiscan. I thought there are less invasive tests like calcium scoring that would give the same information. Why would the Lexiscan be recommended over other tests? Doctor: Hello. Calcium score is not as informative as Lexiscan. It is a screening test and not a diagnostic. CT coronary angiography may yield a better information, but has false positive and negative rates. However, CT coronary angiography may be used as an alternative rather than calcium score. Also, treadmill test is an alternative to Lexiscan if he is able to perform exercises. Anyway, Lexiscan is much sensitive than calcium score for detection of blockages. 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": 4251, + "tgt": "My period has been late by 4 days. I am trying to conceive. Please help", + "src": "Patient: Hello doctor, I am trying to conceive since seven months. I am on medication for the past one month (Dydrogesterone tablets, Pyridoxine hydrochloride and Folic acid). This month I have not yet got my period and it is four days late by today. I just got a light brown drop on third day of missed period and got negative hCG test. Please help. Doctor: Hello. I understand your concern completely here with regards to inability to conceive. Revert back with the test results to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30325, + "tgt": "How to bring down my daughter's SGPT level?", + "src": "Patient: Hi doctor, My daughter is 8 years old. She is suffering from jaundice for the past four months. Presently, as per her blood test, bilirubin 0.40 mg/dL, conjugated bilirubin 0.10 mg/dL, unconjugated bilirubin 0.30 mg/dL and\u00a0ALT (SGPT) 57.00 U/L.\u00a0The medicines she had been prescribed are\u00a0Junior Lanzol 15 mg capsule 30 minutes before lunch and dinner,\u00a0Ursokem 150 mg tablet 30 minutes before lunch and dinner and\u00a0Cynobac tablets 30 minutes before lunch and dinner.\u00a0She is having boiled vegetables, rice, fish and egg white.\u00a0In spite of taking these medicines, her ALT (SGPT) is not coming back to normal. Please suggest the way to bring her ALT (SGPT) normal. Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 27656, + "tgt": "How soon can I conceive after getting Minerva IUD removed?", + "src": "Patient: Hi doctor, I am having my Mirena IUD removed today. I have had regular cycles the entire five years of having it. How soon can I\u00a0conceive? Doctor: Hi. How are you doing? 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": 21895, + "tgt": "What can small red dots on the feet and back be?", + "src": "Patient: Hello doctor,My mother is suffering from acute severe asthma for the last five years for which she is regularly taking treatment. But, from 10 days she felt some pain in her stomach and there were lots of red dots on her feet and back. Today, we visited a doctor who performed some tests. I am attaching the reports of the same. Kindly advise us on this. What is wrong with her? Doctor: Hello. I went through the reports (attachment removed to protect patient identity). These are called as purpuric rashes. There are a number of causes for this. Was there any fever? Where did the rashes start off? The probable diagnosis given was a meningococcal infection. This can be treated. There is no need to worry. There seems to be thrombocytosis and excess platelet count. Did she have these complaints even before? During this, was she alright or a bit drowsy? What was her consciousness level? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1224, + "tgt": "I have been in quarantine for nearly 12 days for COVID-19. Why is my recovery very slow?", + "src": "Patient: Mild asthma, cough since 2 weeks, and covid-19 patient. I am currently taking Benzo 200mg, famotidine 20mg, and albuterol as needed. Doctor: hello thanx for the query. I can understand ur concern. according to ur statement u have been suffering from cough which is dry in nature and Covid-19.ur past history of having mild asthma and anxiety. ur treatment depends on severity. if albuterol is not able to ur cough then u can corticosteroid inhaler. u should monitor ur oxygen saturation rate by pulse oximetry.it will determine where u need oxygen support or not.as u a patient of Covid-19,so u must be isolated from ur family and friends at least for 14days. gurgle with salt mixed luke warm water 3-4 times daily.u should strictly maintain ur temperature chart. can u provide me the details history like what is the problem now u r facing or what type of advice and help do u need?if u provide me the details history then I will be able to treat u further . if albuterol is not able to control ur cough then u can use corticosteroid inhaler." + }, + { + "id": 29865, + "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": 11972, + "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": 20471, + "tgt": "What can be done for throat infection and unclear sound?", + "src": "Patient: Hello doctor, I have throat infection and sound is not clear. I have pain in left neck and shoulder. Doctor: Hello. You can have acute tonsillitis like infection of the mouth or Ludwig angina like infective etiology. Your posterior pharynx examination and lymph nodes palpation should be done for further work up in your case. It is advisable to investigate with throat swab culture report and CBC as well. According to examination and report, further course of management can be decided. If inflammation is more then, short term steroid course might be needed. Antibiotic is given according to the culture report if needed." + }, + { + "id": 28061, + "tgt": "What could be the reason for my tiredness and lethargy?", + "src": "Patient: Hello\u00a0doctor, I am a 45 year old female, and my height is 5 feet. I have a blood pressure of 140/75 mmHg. I always feel lethargic and sleepy. Whenever I get up after a long nap, I feel dizzy. Sometimes while working, I experience a sudden unbearable headache. \u00a0My period had stopped two years ago. Currently, I am taking medication for hypertension. I have been taking\u00a0Tetan CT 12.5 for more than a year, and I have it once a day. Please advice. Doctor: Hello. I have gone through your query and can understand your concern. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4684, + "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": 12938, + "tgt": "How can I lower my raised cholesterol levels?", + "src": "Patient: Hi doctor, I recently had a full blood count done and would like a second opinion on the results. It was my cholesterol which surprised me. I have never suffered from high cholesterol but over the past three years, it has kept up and recent tests showed serum cholesterol 7 mmol/L/HDL, 1.25 mmol/L/LDL, 5.07 mmol/L, triglycerides 1.5 mmol/L. This surprised me as my cholesterol two years ago was 5.0 mmol/L and I gave up all meat four years ago. I am 45 years old, eat healthy, exercise 3 to 4 times a week. I find it weird that my cholesterol has gone up when I have given up meat though there does seem to be a family trait in my mother's side for high cholesterol. I have also been reading a lot recently that views on cholesterol are changing and studies show that it is not directly linked now to saturated fats and heart disease. The other test I wanted to briefly discuss was my liver results. My doctor said they were all fine. I have looked at them and they all do seem to be fine except I noticed my Bilburin level was up a bit to 24 umol/L which sits just outside of the norm. My doctor mentioned nothing about this. Is it a concern? Doctor: Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Yes, your cholesterol is high especially LDL. This is more worrisome. Cholesterol runs in family. So, despite a healthy lifestyle, some patients fail to reduce cholesterol. Please let me know your weight, your height, any alcohol habit, are you taking any lipid-lowering drug? Please reply me answers to the above-asked questions, so that I can guide you better. For bilirubin, get done ultrasound abdomen for liver and biliary tract. Please let me know if the ultrasound is already done. I will be happy to help you further." + }, + { + "id": 7954, + "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": 20689, + "tgt": "How can I overcome my insecurities?", + "src": "Patient: Hi doctor, I have a lot of insecurities. How to overcome them? Doctor: Hi. You seem to be worrying too much about life. Be clear of one thing. Nothing is permanent in life. So, where is the question of insecurity? Hence, I advise you to live your life to the fullest today. Tomorrow can be faced later. Invest your time in a new hobby. Give time for physical fitness. Focus on your career at present. After all, the life is much more than all these. You can review with me for further follow-up." + }, + { + "id": 29623, + "tgt": "I believe that I have MPD, but my doctor diagnosed it as depression and anxiety. How?", + "src": "Patient: Hi doctor,I believe that I have symptoms of MPD. Some are from my past and some are present. For examples, I see things in black and white, low self-esteem, feeling evil, substance abuse (weed and alcohol), feeling empty, not sure how to react to emotional or social situations and unhealthy relationships.\u00a0I have never tried to harm or kill myself, but I put myself in risk or high endurance situations, depression, anxiety. I was binged and purged between ages 13 and 20. I\u00a0have controlling impulses such as pulling out hair, over picking skin and masturbation. All that started back between the ages of 5 and 11. I also believe it could have something to do with genetics or upbringing because my mother\u00a0and grandmother show these signs as well.I visited a psychologist for the first time last year and he diagnosed me with depression and severe social anxiety. I did not\u00a0get In detail about my past or present problems other than hair pulling and anxiety. He asked me about my history with drugs. At first, I did not mind, but then I started to get embarrassed and had a panic attack. Then, he made his diagnosis. I stopped treatment after a couple of months. I find it is often hard for me to follow through with plans, but I\u00a0would like to try moving forward again. Doctor: Hi. I can understand your concern. Some of the symptoms you have mentioned suggest depression and anxiety. Low self-esteem, feeling low, etc., are classical depression symptoms. Hair pulling is one of the anxiety symptoms. Under unconscious anxiety, individuals develop a habit of pulling hair. You have never developed an idea of self-harm, but there is a practice of putting into a risky situation. This could be a feature of bipolar but should be evaluated. History of abuse of weed also increases such risk-taking behavior. If your day-to-day functioning is impaired, then I would advise you to please get yourself evaluated by a psychiatrist. A proper evaluation will help in making a diagnosis. Mood stabilisers can be used for treatment and will treat the symptoms. Avoid using weed because this might cause the development of acute psychotic symptoms. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2645, + "tgt": "I have breathing difficulty which triggers on eating some spicy foods. Why?", + "src": "Patient: Hello doctor, I am having breathing difficulty for the past four weeks. I went to a respiratory specialist, after doing blood and urine test, and the doctor told me everything shows normal, but due to consuming too much coffee you have too much acid in your body, that is the reason for the breathing issue. For the past two weeks I completely cut my coffee, and tea I feel better but still, I am not fully recovered. Some food and fruits like chilli noodles, red apple, lemon, and any food with preservatives I consumed during this time I could feel that it tightened my breathing flow. I do not have pain or fever. I am a smoker, I do not have asthma, the x-ray shows my heart and lungs are very healthy. The question is how do I fully get rid of this issue? I do not know how much longer it will take or what should I avoid eating? When I drink chocolate milk, yogurt, rice, potato my breathing is normal. My nose also gets blocked most of the time, the doctor gave me Bilastine 20 mg but I never used it. I am a 35-year-old male. Doctor: Hi. Where is the breathing issue? Is it in the lower airways like in the chest or upper airway like in the throat? Is there any blocked feeling or lump sensation in the throat that you are mistaking as breathing trouble? Is there sneezing, runny nose or post nasal drip?" + }, + { + "id": 21741, + "tgt": "Longer cycles and constant spotting. Should I be afraid that I am not fertile?", + "src": "Patient: Hi doctor, I am trying to conceive for the past six months. So, I keep tracking my period on my phone. My usual cycles were around 30 days. Before two months, my cycle lasted for 43 days and I thought I was pregnant. But, I was not and had a period that was heavy and passed several clots. After it was over about two weeks went by and then I started spotting brown. It lasted for almost three weeks straight now and it has not stopped at all. It has remained very light the whole time. Yesterday, it got really heavy and red again, so I thought it was my period coming around but today it has stopped. It is just light spotting. This cycle now has been 46 days long. I am not sure what is going on. I am really worried because before now my cycle was always normal for around 30 days. I had been to a gynecologist for painful periods before and he told me that I had cysts on my ovaries and may possibly be getting endometriosis. Before that I had been somewhere else and he told me that I had hormonal imbalance. Did you get any clue what is going on? Should I be afraid that I am not fertile? The longer cycles and constant spotting really worries me. Please let me know your opinion. Doctor: Hello. You seem to be experiencing periods irregularity since last two months where I believe your stress levels have been high, which could have delayed your menses. The presence of continued spotting from the mid cycle to till date in this cycle is possibly due to serum progesterone deficiency or luteal phase defect (phase after ovulation and before menses). The presence of ovarian pain was probably indicative of ovulation called mittelschmerz, which was normal guess. Anyhow, you need to get an ultrasound pelvis to rule out any adnexal masses or even PCOS (polycystic ovarian syndrome) which can often be a cause for infertility in women of reproductive age. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3674, + "tgt": "What causes facial asymmetry after nose fracture?", + "src": "Patient: Hello doctor, I broke my nose in kindergarten, I am 26 right now and just now realized how my facial features are not symmetrical, how much does a broken nose affect that, as you can tell my right side of my face is more laid back and natural looking even my mustache above my lip, and my left side looks more tight and my mustache and lip does not match the right side. What causes this? Doctor: Hi. Definitely there is a whole lot of asymmetry as you suggested, because of the old broken nose. I can also see that the base of the nose is a bit too broad and gives a feeling of oddly joined fractured segments. This can be confirmed by few X-rays. Further correction if this is as well simple. We call it osteotomy and splitting. That will give you more symmetrical looking sleeker nasal dorsum. It's better if you can get yourself examined by a board certified plastic surgeon." + }, + { + "id": 18181, + "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": 31048, + "tgt": "What is the reason for my headache during periods?", + "src": "Patient: Hi doctor, I am a 36 year old female with no kids. I have a\u00a0history of migraines. I have been experiencing more severe headaches that are lasting more around my period. I am also having cramps, which I have not had since I was a teen, along with being moody and always tired. I had laboratory tests and my estrogen was 567 pg/mL, HbA1c was 5.7 and vitamin D 34. I also get hot at night while sleeping more often. I am otherwise healthy and work out three times a week. Please help. Doctor: Hi. Revert back with the test reports to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22258, + "tgt": "My mind is not stable. I need your help", + "src": "Patient: Hello doctor, I am in depression. Feeling nervous. Feeling guilty. Suffering from over thinking. Suffering from mood swings. I need your help. Doctor: Hi. I guess you did not mention all symptoms. If you did so, then it shows you are suffering from anxiety and not depression as the last one could be more chronic. From my experience, you will need two medications to get better from this situation. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12590, + "tgt": "Is there a way to have a HIV negative baby by a HIV positive male?", + "src": "Patient: Hello doctor, We are a serodiscordant couple and we want our child. Please suggest to us what has to be done. I am an HIV positive man and my wife is HIV negative. I take my ART medicine regularly. We want a healthy child without infecting my wife and my child. Is it possible with natural process otherwise sperm washing process? Please give me information about that if you can help me please respond to me. Doctor: Hi. You have three options. IVF, sperm washing, using pre-exposure prophylaxis. First two are safe but very costly considering technique and your status. Last option is cheap but is a little bit risky and need compliance from your wife. Your wife needs to use medicine regularly and you should be on treatment to reduce viral load. If your viral load is undetectable, and your wife on PrEP, then there is a very good chance of pregnancy without being infected." + }, + { + "id": 7316, + "tgt": "What could be the cause for coma in a two months old baby?", + "src": "Patient: Hello doctor,I know this may be too extreme for this site, but I am seeking all the advice I can get. My two months old baby was normal, healthy, happy, smiling. One fine day morning, I walked over to get him and noticed abnormal breathing inhaling but not exhaling. His body was solid gray and unresponsive.I immediately called emergency service. He was transported to an emergency room. He is in a coma, on life support, the red blood cell count is dropping, fluid on his brain, having seizures, and his blood pressure was at 320 when he was transported. They have run every test for primary infections plus more, and all comes back negative. The pediatric unit has never seen anything like this. They have contacted other specialist, and there has been no diagnosis. If anyone might have any clue of what it could be, please help me. We want him to come home and return to our happy lives. Doctor: Hello. With the information you have given, I would try to analyze his condition. First, turning gray or blue means the oxygen levels in his body are low. Reasons could be many. From what you mentioned. He seems to be bleeding in the brain, that is why his red blood cells are coming down. Bleed in the brain also causes seizures and high blood pressure. Or sometimes high blood pressure itself can cause seizures, but the number 320 is very odd, I do not know if it is that much. This condition could be due to 1) infection, 2) Abnormal bleeding disorders, where the body cannot stop the bleeding process, due to deficiency of some factors responsible for it. It needs special tests. Ex; late hemorrhagic disease, deficiency of factors 8, 9, etc. 3) High BP could be because of the bleed itself, or high BP could have caused the bleeding, then reasons for high BP should be looked for.this needs special tests and scans, hormonal tests also. 4) Bleeding can be controlled by given FFP, cryoprecipitate in specific conditions. I know I can only provide you information, because the condition is serious, requiring a lot of tests, and treatment is not so simple. He needs treatment to control the bleeding, control BP, seizures. It involves a few specialties and can be life-threatening also." + }, + { + "id": 4328, + "tgt": "I get blood in stool with constipation. Please help", + "src": "Patient: Hello doctor, I am 37 years old. I had a problem with bleeding in stool, so I consulted a doctor and he said it is hemorrhoids. He gave me Sitcom 100 mg for one month. I have taken this medicine and blood is not coming now but I have constipation and I took organic psyllium but did not get any benefit. Please advise me on what should I take to get a normal stool. And my 3.5-year-old girl sometimes complaints for stomach pain. I consulted the doctor but he gave only pain relief syrup, but she did not have any benefit. Please recommend any test to know the actual problem. Doctor: Hi. In case of rectal bleeding, there are two possibilities, one is SRUS (solitary rectal ulcer syndrome), this is an ulcer formation in the rectum due to chronic constipation, this causes bleed. Another one is hemorrhoids. I think you have srus, that can be easily treated by Ispaghula and diet modification. We do not do any investigation for this until constipation gets treated and it will not respond. The problem of hemorrhoids is common in the adult age group. Constipation is among the one of the cause. Other risk factors are alcoholic, liver disease, and rectal carcinoma. For constipation, we give Isabgol (methylcellulose) that is a bulk-forming agent. Along with this, you need to take a high-fibre diet and plenty of water. If u have hemorrhoids then in early stage exercise can benefit you. There are two types of exercise, one is to decrease your weight if it is excess (more than 80 kg), second is to do anal exercise in the form of anal contraction for five minutes every hour. Controlling constipation will also decrease your hemorrhoids. Regarding your daughter, I think she had constipation. You should note the duration of sitting in the toilet and that is more than five minutes in case of constipation, and about straining during defecation or passing hard stool. If she has constipation then she needs treatment, her pain will subside after treatment for this. She also does not require any investigation. You should tell about her height and weight if it is abnormal then she requires investigations. Advice: Follow as per discussion for you. Provide details about your daughter. Give her tablet Albendazole 400 once only. Review with details." + }, + { + "id": 26727, + "tgt": "My periods are delayed, and I notice spotting for three days now. Please advise", + "src": "Patient: Hello doctor, I am a 19 year old\u00a0female. I am concerned about my menstrual cycle. About two weeks ago, I noticed spotting in my underwear. It went on for two and a half days. On the first day it was reddish, and on the second day, it seemed a bit brownish. I was supposed to get my periods four days ago. Last week, I felt slight cramping, and I was quite sure that my period would start, but it did not. On the same week that the spotting happened, my boyfriend and I were intimate. He was rubbing my genitals very very roughly, but we did not have sex. He did not even stick his finger in me. I am still a virgin. A little background on my period and my health: I started my first period when I was 13. Since then, I have always had very painful cramps every time. Also, I\u00a0would experience some nausea and diarrhea. The bleeding is somewhat heavy. I cannot remember if I have ever had a light period. My periods are sometimes irregular. But,\u00a0they go back to normal by themselves. They would be late by a maximum of a\u00a0couple of days or a week. I have gotten my blood work done last spring, and everything was normal, except maybe a slightly elevated testosterone level, which my doctor concluded to be normal for my age. I was tested for polycystic ovarian syndrome, and I was negative for that. I was also tested for thyroid problems, and my doctor did not say anything was abnormal. I do not think I am anemic, but it does run in my mother's family. My mother was also diagnosed with stage two breast cancer last year. Other than that, I\u00a0am healthy. I do not feel any other symptoms. I weigh around 51 kg, and I am 5 foot 3. I do not know if this piece of information will help, but I am a first-year medical student, and my stress levels have been extremely high lately. Doctor: Hello. How are you doing? That was an excellent and elaborate history. You will do well in medicine. And, I am happy that I can use medical terms. Let me tell you though that the only significant part of this history was the high-stress levels which you laughed away. 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": 21013, + "tgt": "Anyone I meet or share food with is definitely falling sick. What could it be?", + "src": "Patient: Hello doctor, I was in working abroad until five years ago, where I was infected with fever. Since then, there are a lot of changes in my body. Severe body aches, that too the joints. Acid reflux. Hairy type skin peeling on mouth inner side. Burning sensation under my foot. That too on the back end of the foot. The food when I am sharing with others causes severe viral fever with severe cough to those who are taking that food or using the same utensils uncleaned used by me. When I am near someone they are also getting cough and throat congestion. But I am not having any fever continuously, occasionally in a span of three or four months I am infected with fever. I have taken all the tests including TB but all the results show negative, even the ESR shows normal value.The liver only shows slight enlargement. I am suffering from this since five years and whoever I meet or share my utensils or food with are definitely affected. My liver function test shows slightly increased values. Doctor: Hello. Firstly, do not worry about it. I do not think you are suffering from any major disease. Regarding transmitting the infection to others, I think it is just a coincidence since your ESR and other parameters are normal ruling out active infection and also sharing utensils will not cause coughing and all. It mainly occurs due to airborne transmission, and these viruses are always present in the air which can cause such infection to susceptibles. For body ache and joint pain, you should get vitamin D tested and we shall start supplements after confirming the deficiency. Your other complaints like burning and peeling of skin are likely due to other vitamins deficiency. So, at present, you should have: Tablet Zevit (Zinc and Vitamin B complex) once a day for two weeks. You should measure the body temperature whenever you feel feverish if it is normal then rules out a fever. For your reflux problem, you should avoid fatty, oily and spicy diet. Have a walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, and fruits. Avoid smoking and alcohol, if any. You should get prescribed:Tablet Pan DSR 40 mg (Pantoprazole and Domperidone) or Esomeprazole and domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O or Gelusil two teaspoons three times a day for a week. 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": 21651, + "tgt": "Can I take hormonal tablet for delayed period?", + "src": "Patient: Hello doctor, I am having a delay in my periods. My age is 43 to 44 years and having issues for the past 2 to 3 years. The doctor says have hormones but I am not taking it. I am not having periods for the last 8 to 9 months. The doctor told me to take Clime, a hormone. I am afraid of there side effects as cancer is the main side effect. Having bad moods, poor libido, depression, and fear of death are my feelings. Doctor: Hi. It seems you have a hormonal imbalance or premature menopause. It is better to have investigations and then discuss here or with your local doctor. Your symptoms are more towards premature menopause like loss of libido, depression, mood variations, anxiety, etc. Have FSH (follicular stimulating hormone) and LH (luteinizing hormone) level if you do not want to take medications for bleeding induction. Otherwise, it is better to have tablet Primolut N 10 mg twice daily for seven days and then wait for menstrual bleed for 1 to 2 weeks and then have blood tests on day two (serum testosterone, serum progesterone, serum prolactin, serum insulin, FSH/LH ratio and thyroid function test). These will check your menopausal status, hormonal imbalance, the cause of ammenohrea, etc. Have a transvaginal scan as well. Have results of all the tests and discuss here or with local Gynecologist. Long term hormonal contraceptives have side effects but to regulate cycles and hormonal imbalance you can have for three months only cyclically (combined oral contraceptive pills). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21551, + "tgt": "Why am I having pain in root canal treated tooth?", + "src": "Patient: Hi doctor,I had a root canal treatment performed on one of my molar tooth (bottom right) a few years ago. I have had no trouble with it since then up until now. I have started getting pain which has lasted a few days and does not seem to go away. The dentist who performed the root canal on me had mentioned to me at the time after the procedure that she was not able to remove the last nerve as it was in an awkward position. So my worry is that could that nerve have become infected, hence the pain, or could it be some other cause? Could you please help me as I am in a lot of pain due to it? Doctor: Hello. First of all, you need to start antibiotics like Amoxicillin-Clavulanic acid 625 mg twice daily for a week along with a painkiller three times a day. Mostly, it is due to the infected leftover root canal. You need to see an Endodontist to determine whether he can do retreatment for the tooth. If it is not possible, then you may well have to get the tooth extracted. Else, you can also go directly for extraction. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16227, + "tgt": "Are Glycomet GP 2 and Vobose enough in a diabetic patient?", + "src": "Patient: Hello doctor, I am 38 years old, my weight is 60 Kg. I have diabetes for the last four years with 250 to 350 sugar level, I take medicine tablet Glycomet GP 2 and Vobose 0.3 twice a day. Please consult me these medicines are right for me or not. Doctor: Hello. I understand your concern. You are on the standard medications that we prescribe for treatment of diabetes. But if your blood sugar levels are in the range of 250 to 350 with the use of medicines, then it is on the higher side and you will need a modification of medicine dosage or addition of another new drug. A small dose of insulin may help you a lot in reducing your blood sugar levels. I suggest that you talk to your diabetologist regarding the options available that suits your needs." + }, + { + "id": 26482, + "tgt": "I have pain in the penis after frequent sex. Please suggest medications", + "src": "Patient: Hello\u00a0doctor, I am a 36 year old male. I am married since six years. I went abroad for a\u00a0project for two months. There were no sexual relations in these two months. I just came back from the project and am having sex twice a day for the past three days. Now, I have a slight pain in the\u00a0tip and back of penis (underskin). I also found tiny red rashes under the foreskin and a little bit of smegma. I am cleaning the penis after every act. This is the\u00a0first time I am having this problem. Please suggest me medications. Doctor: Hello. For further queries consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 11668, + "tgt": "I have a scab after removing the wart in my arms through laser. What to do?", + "src": "Patient: Hello doctor, I had a bump on my arm. I thought it was a burn so I broke it and it became more prominent. It was there for almost two months. So I went to a skin doctor, and they said it is a wart from a germ. They gave me three options. Either apply a cream, liquid nitrogen, and laser (C02fl). I chose the third option because they said it is more effective. After I did it, there was a scab remained which looked like a burn. It has been four days now. I have been asked to apply Bactrocin twice a day for two weeks and Derma V10 rescue oil after that. From the third day, I am seeing like something spreading from the corners of the scab which looks like blood inside and it is red. Is this normal? Please advice. Doctor: Hello. I have gone through your case (attachment removed to protect patient identity). In my opinion, it is posted inflammatory scab or crust. You need not to worry about this lesion. Whenever wart is treated either with lotion or with cautery or with CO2 laser, in the end, it similarly forms scab or crust as you are having right now. This shows the germ or virus which was the causative factor has been killed or dead by now. The red area which is lying beneath it is a raw area of skin which will heal once this scab will fall off. Bacitracin ointment is fine. Apply this or apply Polyfax (Polymyxin B sulphate, Bacitracin zinc) ointment twice daily for days. Apply petroleum jelly on it at night. Your lesion is fine. Do not get worried about it. Human papillomavirus. Apply Petroleum Jelly or Polyfax ointment." + }, + { + "id": 36, + "tgt": "My mother has left arm and shoulder pain where she could not even lift it. Please interpret her ECG", + "src": "Patient: Hello doctor, This is about my 69 years old mother, non-obese, nonhypertensive, nondrinker/smoker. She is not on any medication. She is unable to move her left arm for the past three days and also has shoulder pain, especially when not sitting. There was no injury to the arm. And the trouble moving her arms is such that she cannot even braid her hair. Does this indicate heart disease? Can a finger pulse oximeter reading of the affected arm be of any relevance in ruling out a cardiac issue? What about ECG reading? Please reply. Doctor: Hello, Welcome to ilciniq.com. Please attach the ECG report, it is not attached. Please clarify, whether the pain is prominent feature or inability to move the arm, or is it like that she is not able to move arm because of pain or fear of pain. Now, this is not indicative of heart disease. Left arm pain without chest pain is unlikely to be related to the heart. Also, there would not be any difficulty in moving the arm with a heart attack. So it is unlikely to be related to the heart. The possibilities are, one is cervical and second is shoulder problems like frozen shoulder, or arm dislocation, even if there is no history of obvious trauma (frozen shoulder is more lifely). So she will need, 1. ECG (electrocardiography) to be sure. 2. X-ray of shoulder AP/lateral view and maybe cervical spine if having symptoms. Next, the pulse oximeter will not helpful in ruling out heart disease. However, if she has severe shortness of breath and low oxygen reading then this may indicate heart failure, so indirectly we may infer. However, if the pain is mild and weakness is prominent then it is probably either cervical issue or neurological issue. So get her examined by local doctor and x-ray done. You may use Volini spray or Diclofenac spray. I hope this helps." + }, + { + "id": 21444, + "tgt": "Which is better for moderate OS ASD - medicines or surgery?", + "src": "Patient: Hi doctor, Recently, we came to know that my mother has a congenital heart disease (moderate OS ASD with left to right shunt) at the age of 46. And we consulted the doctors. One of them said it can be cured by medicines and another said surgery will be a better option. So, please help us as soon as possible. Doctor: Hello. OS ASD (ostium secundum atrial septal defect) cannot be cured by medicines. Because it is diagnosed at 46 years, we need to close it. If she would be above 65 years of age, we could have left it. If we do not close it now, it will increase symptoms like breathing difficulty, etc. There are two options for closure: For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12845, + "tgt": "Which is the best way to abort pregnancy after C-section?", + "src": "Patient: Hello doctor,I am in trouble. I have two kids, one 2 and a half years old, another 1-year-old. Both are C-section babies. Now, I have missed my periods by ten days and get to know that I am pregnant. Kindly help me and guide me on how can I abort the child. Doctor: Hi. Termination of pregnancy can be done either with tablets or surgical method like D and C (dilatation and curettage). The first one seems easier, but as you have a history of two previous cesareans, I would suggest you choose the later. MTP (medical termination of pregnancy) with tablets may lead to incomplete abortion and torrential bleeding in some cases (chances are higher in previous cesarean cases due to retained products of conception-RPOC). D and C on another hand is a foolproof method without chances of RPOC and severe bleeding, additionally being painless (thanks to anesthesia). Instead, you can get a MIRENA or Copper-T inserted or tubectomy done in the same sitting preventing any further unwanted pregnancies. It is to be done under strict medical supervision, so please visit a gynecologist for the same." + }, + { + "id": 55, + "tgt": "It has been months, and still, my mother's leg wound has not gotten better. Why?", + "src": "Patient: hi, i might need a general surgeon for a consult regarding my mother's wound. she is 81 years old, she's had it since end of last year. She has seen 3 doctors and has gone lab tests. based on her lab results, the first doctor (up to the third) has prescribed Mupirocin ointment, antibiotic (which lasted to 20 days) and mefanamic acid (only if she feels pain). Unfortunately, it has not gotten any better. I hope someone can help. thank you She used to have a wound on the same area when she was young (between 8 years old to 10 years old), but it got better but now it is back. Doctor: hello I will definitely help you regarding your mother's problem I have seen the image and lab report of your mother There is a ulcer in her leg medial aspect. as I can see it is a chronic non healing ulcer because the margins are sharp and base is filled by yellow debris. in healing ulcer ulcers are sloppy and base is filled by healthy and red granulation tissue but in your mother case it is of non healing type. there are many reasons for non healing ulcer like old age, diabetes, hypertension and immunodeficiency. as your mother age is 81 year than it may be a probable cause because blood investigation seems to be normal. one more thing I want to tell you that varicose veins are one cause that may present with this type of ulcer in medial side of leg exactly where this ulcer is located. to confirm the diagnosis of varicose veins I need image of whole leg to see the dilated veins. you may go through color Doppler venous both leg to rule out varicose veins. now the treatment part, no role of antibiotics now as there is no active pus discharge one thing that can be done is scraping of the dead floor and margins of ulcer so healing will fasten.it can be done by local surgeon also. you can apply mupirocin ointment. start vitamin c tablet 1 gram daily it enhances immunity and help in healing of ulcer hope it helps get back to me anytime" + }, + { + "id": 2803, + "tgt": "How concerned are chest tightness caused due to breathing chemical fumes?", + "src": "Patient: Hello doctor, I happened to breathe fumes from chemical exposure two days ago, got tightness in chest sternum and a little shortness of breath. When biking the next day and did fine. After riding a bike I had a little phlegm but now have irritated trachea and still a little tightness in sternum. It has been 48 hours, I can take a deep breath. Should I be more concerned? Doctor: Hi. I can understand your concern. This kind of exposure can cause bronchitis. It is the inflammation of airways. This inflammation causes cough and bronchoconstriction which inturn cause wheezing, breathing difficulty, etc. All these events depend on many factors. But the most important factors are: 1. Amount of exposure. 2. Duration of exposure. 3. Smoking habit. 4. Underlying lung conditions present or not. So please let me know the answers to the above-asked questions so that I can guide you better. I will be happy to help you further. Wish you good health." + }, + { + "id": 694, + "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": 26683, + "tgt": "My 7 week old baby's bilirubin level is 6. 8 mg/dL. Kindly advise the drug and care", + "src": "Patient: Hi doctor, My baby is 7 weeks old. He is totally on breastfeed. Yesterday we noticed that his eyes were yellow and we took him to a doctor today. The doctor advised us a bilirubin test. The reports read as bilirubin total 6.8 mg/dL, bilirubin direct 0.9 mg/dL and bilirubin indirect 5.9 mg/dL. Kindly advise medication and care\u00a0if the baby's jaundice is high. The baby sleeps during the day and is usually awake at night. However, for the past few days, he has been very cranky and cried a lot. The doctor had advised us Colic aid\u00a0if the baby cries a lot and does not calm down after breastfeeding. What do you suggest? Doctor: Hi. Thank you. Have a nice day. For further queries consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 20569, + "tgt": "Is it necessary to get blood pressure checked before dental filling?", + "src": "Patient: Hi doctor, I get really bad anxiety when I have to get my blood pressure taken. I am not really sure why, but it has caused me to stop going to the dentists ever since they started taking blood pressure readings. I have a cavity that I have put off getting filled for a long time because of it. Is there any way I can get around having my blood pressure taken and get this cavity filled? My anxiety brings me to tears. I do not know what to do anymore. Any help would be greatly appreciated. Doctor: Hi. I have gone through your question and I can understand your concern. There is no need of BP reading if you do not have hypertension. Blood pressure reading is nothing but a simple instrument as is your watch. So there is nothing to worry. At the age of 34, you cannot be a hypertension patient. So enjoy the reading. In case you are further apprehensive, tell the dentist you do not want it. There is no need of BP reading in simple procedures like filling." + }, + { + "id": 27883, + "tgt": "I have spotting, and my vagina smells horrible after getting an IUD. Is it normal?", + "src": "Patient: Hi doctor, I got an IUD about four months ago. Before the IUD, I would bleed for 3 to 4 days with no cramps. With the IUD, I spot almost every day, and the days I do not spot, it smells horrible. Then I get the worse cramps ever. Is it normal? My vagina has the worse smell. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7201, + "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": 13209, + "tgt": "The gestational age in scan is different from the weeks when calculated from my LMP. Why?", + "src": "Patient: Hello doctor, I am 27 years old and pregnant. My last period was two months back but the baby only shows six weeks and three days gestation as of today with a heart rate of 77. I have a picture of my ultrasound from today and I was hoping you could explain what it was showing. Doctor: Hi. For a lady, with regular periods previously, generally ovulation occurs around 14th day of the cycle, so fertilization can take place only after that. In your case (if your periods are regular), you ovulated around 22nd two months back and fertilization took place only after that. So originally, the baby will always be two weeks less than what is calculated by LMP. Secondly, first-trimester USG can have an error of up to seven days while second and third trimester up to 2 and 3 weeks respectively, so do not worry if the calculation and USG are not exactly the same." + }, + { + "id": 10020, + "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": 9226, + "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": 8121, + "tgt": "Is it possible to go for vaginal delivery with cervical cerclage?", + "src": "Patient: Hi doctor, My wife had\u00a0cervical cerclage\u00a0at 20 weeks of pregnancy. Now, she is at almost 38 weeks and the doctor is resisting the removal of cerclage. Last time the cervical length measured at 24th week was 37 mm. We suspect that she is doing this to encourage C-section delivery. Should we get a second opinion in this case? My wife does not like to go in for a C-section unless it is extremely necessary. What to do now? Doctor: Hello. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 25878, + "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": 19304, + "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": 26117, + "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": 9812, + "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": 4170, + "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": 22098, + "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": 28914, + "tgt": "My father is an alcoholic and I am depressed with his behavior. Please help me", + "src": "Patient: Hello doctor,I am studying final year petroleum engineering. Nowadays, I do not know what is going on in my life. I was a topper during school days, and at hat time I was in my grandparent's home. When I moved to class 9, I came back to my parents. My father uses to drink a lot. He uses to get home drinking and scold us. It affected my studies a lot, and my grades start to collapse. Now in my college, it became too worst. Today, I had a big quarrel with my father. I was depressed and got suicidal thoughts. I do not know how to control these thoughts. Unknowingly, I even reached a knife today. Soon I realized and came back. I know that I cannot change my dad. Also, I do not want to end up my life. Everyone is expecting more from me. Please help me on how to get rid of these thoughts. My brain is bursting with all these. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16909, + "tgt": "My son has a small epidermal nevus. Should I worry about potential gene mutation?", + "src": "Patient: Hello doctor, You were wonderful in allaying some health anxiety over some skin issues several months ago. So, I thought I would consult with you on another question pertaining to my son. Unfortunately, a combination of my health anxiety and the big mistake of searching online has my mind imagining the worst with regard to my son. My son is 19 years old and has no diagnosed medical issues. I noticed back when he was about eight or ten years old that he had a mark resembling a cafe au lait mark on his back, in the upper shoulder area. I had always asked the pediatrician to look at it during his yearly physicals, and they made nothing of it. Throughout the years it has grown a bit and has become darker and more rough in texture. It is probably slightly less than an inch in length and looks like a few small lesions grouped together. Again, I have brought it to the pediatrician's attention and he was not concerned. Three months ago, I made an appointment for him and my other son with a dermatologist for a skin exam, and I pointed out the spots which I wanted to be checked in particular. We met with the physician's assistant there, and my younger son had a peculiar spot I pointed out, of which the PA conducted a shave biopsy, which came back as a mildly atypical junctional nevus. For my older son, I pointed out the spot on his back/shoulder, and the PA diagnosed it as a linear epidermal nevus. She said the chances of it becoming dangerous are slim to none. It may darken throughout the years, and they will simply monitor it at yearly visits. Unfortunately, I went on to research online about epidermal nevi and of course I ran into information showing a possible link to epidermal nevus syndrome and all of its associated neurological and skeletal defects. As I said, he is 19 and has no medical issues, is extremely intelligent, etc. In your opinion, is it safe to say that I should not be concerned about those syndromes? I presume it is primarily related to the numerous and systemic epidermal nevi, which he does not have, and I would think it would have presented by now? And my last even more neurotic question. My online research led me to some information saying that a certain type of epidermal nevus could be related to a gene mutation that could be passed along to an offspring, with them having possible serious skin scaling conditions, etc. Again, he has just one solitary small epidermal nevus. No biopsy was done, as the PA did not feel it was necessary. Do you feel there is any need for me to worry about that potential genetic mutation? Thank you so much for reading my long query. Doctor: Hello. A solitary epidermal nevus is very common and does not pose any kind of serious health concern. Neither is a biopsy required. You are right. Any associated symptom should have been present since birth or early childhood in this case. Even if it is passed on to the future generations, it is harmless. A yearly medical examination is more than enough for the nevi in both your kids. Good luck." + }, + { + "id": 27173, + "tgt": "Can I try physiotherapy for my shoulder pain?", + "src": "Patient: Hello doctor, After I fell from my bike, sometimes, I have a little pain in my shoulder.\u00a0I feel my shoulder is loose. I got an MRI of the shoulder done, and I am attaching the reports. Can I try physiotherapy for the pain? Or do I need to get a surgery? Please help. Doctor: Hello. I have seen the attached report (attachment removed to protect patient identity). The MRI film is more helpful than a report on its own. Revert with more information to a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 119, + "tgt": "Kindly explain the management for low calcium in a thyroid patient?", + "src": "Patient: Hello doctor, What can be done for low calcium in a thyroid patient? Doctor: Hello. Is it possible you can do histopathology of thyroid gland to rule out? You have many metabolic disorders that you need correction (attachment removed to protect patient identity). Relative hypocalcemia Thyoid Disorder Histopatholgy of thyroid and parathyroid Gland MRI Thyroid Gland Collor Dopller Thyroid Gland Relative Hypocalcemia Thyroid Carcinomatous change Thyroiditis Tab Zecal MAX 1 Tab po od 1 month Salt added food Syp Potklor 10 ml Po bd with glass of juice Steroid Chemotherapy With report" + }, + { + "id": 18457, + "tgt": "Does HPV vaccine cure genital warts?", + "src": "Patient: Hello doctor, I am a 50-year-old male. I had genital warts five years ago, had them removed via cauterization and received three injections of HPV vaccine Gardasil. The doctor said the vaccine would cure the virus, but after a year, warts reappeared and until now they are still in my scrotum, and they are itchy but not painful. My question is that can I have sex with my partner given my current condition? Have I got cured by HPV vaccine? Doctor: Hello. HPV vaccine is not a cure. It is for the prevention of HPV. It prevents the virus from entering in your body. But, it cannot act on cells which are already infected with the virus. About sex, there is a chance that with contact, virus can spread to your partner if not already infected. And being on scrotum, the methods like condom will not help. You would need to get treatment first for warts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19697, + "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": 1936, + "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": 16968, + "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": 26544, + "tgt": "I have crying spells and I get angry easily. Are these symptoms of depression?", + "src": "Patient: Hello doctor, I am going through a\u00a0mental breakdown. I give up on everything very easily. If I am at home, I tend to cry a lot thinking about my future. I am scared that my future is going to be bad. I try making up myself and getting strong. I get angry immediately and hurt others verbally and then feel sorry for my behavior. I am unable to change myself though I know I am wrong. Please help and let me know if I am going through depression. Doctor: Hello. I read your query and understand your concerns. I hope this helps you.\u00a0Feel free to write back to me if you have more questions.\u00a0Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25803, + "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": 19794, + "tgt": "What causes extreme swelling and pain in both legs?", + "src": "Patient: Hi doctor, I have extreme swelling and pain in both lower legs and feet. I also have severe pain in both hands, on\u00a0all fingers, both wrists, both forearms,both elbows as well as both knees. It is extremely painful for me to stand and walk. I had a CMP (comprehensive metabolic panel) and CBC done, which showed a hemoglobin of 10.4 and a sedimentation rate of 21. I have had a positive ANA, high C3, C4, and high CRP. I also had protein testing that showed high alpha 1 and 2 and high beta 1 and 2. My IgG was also high. Uric acid was 5.1. I have a strong family history of thyroid disease, PMR (polymyalgia rheumatica), CMT and Wegener's vasculitis. I am currently being treated for blood clots in both lungs reflux, Barrett's disease and anxiety. I take tablet Prilosec 20 mg, Xarelto 20 mg and Celexa 20 mg each once daily, and 50 mg Tramadol twice daily. My rheumatologist told me there is nothing more he can do for me and he considered my test results to be normal. Can you please tell me what could be wrong with me? Thank you. Doctor: Hello. I have gone through your history and the blood reports (attachments removed to protect patient identity) along with the photographs you have posted. Kindly get the following tests done: 1. Ultrasound of lower limbs. 2. Lupus anticoagulant. 3. Anti-cardiolipin antibody IgG (immunoglobulin G) and IgM (immunoglobulin M). 4. Beta 2 glycoprotein 1 IgG and IgM. Antiphospholipid syndrome (APS). Please start diuretics. Revert back with the detailed information to a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 28490, + "tgt": "I have a lesion on my left leg from the past 15 years. What can it be?", + "src": "Patient: Hello doctor, I have a\u00a0lesion on my left leg from the past 15 years. I have never shown it to a doctor. I am attaching a picture of the lesion. Can you please tell me what this might be? Thank you. Doctor: Hi. I have seen the picture (attachment removed to protect patient identity). I can narrow the diagnosis with the help of further information. Revert with more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25941, + "tgt": "How do I cure my burning upper back pain between the shoulder bones?", + "src": "Patient: Hello doctor, I have a burning like pain on the upper back of my body between the shoulder bones. It happens almost every day after sitting for long or when I lie down for quite some time. What could this be? Doctor: Hello. The burning sensation in the upper back could be due to chronic bad posture and imbalance of the chest and back musculature strength. I recommend you to kindly check your posture and maintain it. Do some retraction exercises to help your upper back and neck. Sometimes this issue can accompany with neck stiffness as well. Do a lot of icing on your upper back and take frequent breaks. I suggest you do some stretching exercises at the workstation and drink plenty of fluids. Regards. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 12684, + "tgt": "Can vision problems be caused due to genetic issues?", + "src": "Patient: Hello doctor,I have a problem in both my eyes, low vision, and the doctor says that it is genetic but I feel the problem for the last two years and I work in computer and also the doctor said that the problem has no medicine or surgery. So, please help what I should do and computer operation is more harmful to my eyes. Doctor: Hello. I have gone through your attachments (attachment removed to protect patient identity). The doctors feel that you could be suffering from a problem of your retina. They are currently unsure about the exact type of disease and have asked you to get a test called the EOG (electrooculogram) done to identify the exact cause. You see, the test you had done with a few wires attached to your face while looking at lights on a white bowl in front of you (ERG), has yielded abnormal results. This puts the site of the defect in your retina, thus the possibility of it being genetic. Such a picture cannot be caused by computer use, it is usually inherited by birth. The next course of action would be to find out the exact cause, by the EOG test. Once the cause is known for sure the exact prognosis and long term outcome can be known. If unfortunately by chance it does turn out to be retinal dystrophy, the vision outcomes over a lifetime are very bad. But there is no way to predict the prognosis. There is although extensive research going on for the treatment of such diseases, given that you are still young, there is some hope that such inventions will be made in your lifetime." + }, + { + "id": 3094, + "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": 12688, + "tgt": "Can scoliosis and neck stiffness cause physical disability?", + "src": "Patient: Hi doctor, I am a 31 year old female. I am in a job for which I will be out of home for at least 11 hours. My problem is stiffness in the neck (in the left side alone) for the past four months. In certain positions of my neck, head trembles, heart beats fast, and shortness of breath is produced. I got my ECG done, and the results were normal. Normal blood pressure 100-110/60-70 and pulse rate 86 to 120. Brain and cervical MRI was done recently. Brain normal and mild scoliosis at C6 and C7 vertebrae. My body vibrates when I get down from the car. I was perfectly healthy 4 months ago. Please help. 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. Your issues are all due to the scoliosis of the cervical vertebra due to which you feel the pain and stiffness in the neck. It causes misalignment and pain due to stretch and pressure on the nerves and the muscular spasms on the neck. 1. Take tablet Ibuprofen for pain. 2. Take capsule Lyrica (Pregabalin) by mouth. 3. Apply Voltaren Gel (Diclofenac Sodium gel) on the painful areas and massage gently. 4. Apply ThermaCare heatwraps on neck and shoulder. 5. Do physical therapy for the neck and yoga will be very beneficial. Avoid same position of the neck like watching television, laptop screen or mobile phone for long time to avoid sprain and muscle strains. If you feel nothing helps, consult an orthopedician for proper physical evaluation and continue treatment accordingly." + }, + { + "id": 25787, + "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": 13380, + "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": 8593, + "tgt": "What should be done for grade 1 endometrial adenocarcinoma in a 48-year-old?", + "src": "Patient: Hello doctor, What is the treatment plan for 48-year-old women with grade 1 endometrial adenocarcinoma and right ovary with endometroid carcinoma well differentiated 4.5 cm? Doctor: Hello. Please also provide me with the following details to provide a treatment plan. 1. Depth of myometrial invasion. 2. Lymphovascular invasion- is present or not? 3. Status of the lymph node. 4. Peritoneal or omental sampling is done or not? 5. Pre-operative MRI findings." + }, + { + "id": 25762, + "tgt": "Why do I have blisters throughout my body?", + "src": "Patient: Hello doctor, I am an 80-year-old male. I have big water or fluid blisters throughout the body. There is also a formation of the skin after the collapse of the blister. The skin is also peeling. It is becoming red, itching, painful and unbearable. I have no sugar. I am on Clobetasol cream, Levosiz (Levocetirizine) and Azathioprine tablets, and Sefdin (Cefdinir) capsules 300 mg. But, to no use. It is still becoming very serious. I have no previous issue except TB. I have been tested for sugar and thyroid and both are fine. Please help. I have attached photographs for your reference. Doctor: Hello. I saw the clinical pictures (attachment removed to protect patient identity). The diagnosis in a broad term is a vesiculobullous disorder of which it is more in favor of bullous pemphigoid or pemphigus vulgaris considering his age. The patient requires detailed full body examination including mouth, eyes, genitals and needs hospital admission. I would suggest you visit a medical institute where they have a facility for investigation and admission. Urgent care is needed. Investigations to be done include skin biopsy, Tzanck smear, and a routine blood workup. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20637, + "tgt": "Why have I missed periods inspite of negative pregnancy test?", + "src": "Patient: Hello doctor,My period is late by eight days, negative pregnancy test, cramps that lasted for about a week. I have been trying to conceive for the past six months. Please help. Doctor: Hi. Have serum beta hCG, blood pregnancy test immediately to know pregnancy status. If the pregnancy test comes positive then congratulations. If comes negative then it could be due to some hormonal imbalance, illness, sudden weight gain or weight loss, strict diet, strenuous exercise, illness, contraceptive, etc. You can have hormonal induction by having tablet Primolute N 10 mg twice daily for five days and can have a withdrawal bleed, (better to have a blood test on day two of periods, serum progesterone, serum testosterone, serum prolactin, insulin, FSH and LH, thyroid function test, etc.). Fertility issue should be treated in detail after proper unprotected sex for 1 to 2 years and then also if you fail to conceive. Have a healthy lifestyle, physical health, precautions, and try with positivity. Have folic acid daily 0.4 mg if you are not having any chronic health issue. Otherwise, you can have 5 mg daily. Do exercise and walk daily to have normal BMI and weight. Have a healthy, nutritious diet with less salt, sugar, spice,and oil. Have sex in the fertile period of the cycle. In case of irregular cycles, you can regulate cycle by having oral contraceptive pills for three cycles but know that these are contraceptive pills. You can not try in these three months if you are planning to take. It is to support your reproductive system to prepare for pregnancy and soon to have conception. One transvaginal scan as well is needed with blood hormonal tests. Quit recreational drug you and your partner are taking as these reduce fertility and increase chances of congenital anomalies." + }, + { + "id": 4211, + "tgt": "Why do I have to constrict my muscles to urinate?", + "src": "Patient: Hello doctor, I am 53 years old with type 2 insulin dependent diabetes. For the past five years, my urine stream has become slow. As the stream is slow, I cannot stand and urinate. But,\u00a0I feel that the bladder is empty after urination. In all scans the prostate is normal including the latest one. It is embarrassing many times; I may not find a western seat. What do you suggest? And what is your opinion about the same. I have to constrict the muscles several times for the urine to come out till the bladder is empty. I am just taking Insulin for diabetes. I am attaching my scan reports for your reference. Please help. Doctor: Hi. I would like to know few more details to help you in a better way. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16931, + "tgt": "Kindly advise some medicine for anal abscess", + "src": "Patient: Hi doctor, I am suffering from an abscess near my anal area. I am having severe pain near my anal area. I had the same two years before. I have been taking Moxclav 625 for the past two days. However, my fever has not come down. Kindly advise. Doctor: Hello. I have read your query and understand your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24877, + "tgt": "What could be the small raise on my vaginal opening?", + "src": "Patient: Hello doctor, A couple of weeks ago I found a very small raise on my vaginal opening much like a skin tag. I noticed the raise because of the burning sensation that was coming from that area. Since then I have noticed that the bump has not grown bigger or smaller but has started burning the day I got my period and the day after sex. The only thing that makes it feel better is a cold rag or ice. What could this be? Doctor: Hi. It could be a boil that is an infection of hair follicle over pubis or it could be due to local irritation. It would be better if you share the images of the lesion so that I can suggest medicine. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12880, + "tgt": "What is the treatment available for eye floaters and halos around the lights?", + "src": "Patient: Hello doctor, I am suffering from eye floaters, halos around the lights, photo after image, ghost image. First floaters started two years ago, then after 6 to 7 months later. I started seeing halos around the light then ghost image and three months ago, I started seeing photo afterimage. I am really scared of this. Please help me to cure this. Doctor: Hello. Floaters, photo after-images, ghost images are usually seen in disorders of the retina. Halos are indicative of corneal edema due to various reasons. There are a lot of diseases which can cause such a picture. At the same time, if you only experience these problems once in a while and have no problems with vision, you could actually have no treatable problems. The best and only way to confirm it for sure would be to visit an ophthalmologist. I would recommend an urgent visit in case you have pain, a sudden drop in vision, part of the image you see cannot be visualized or redness, watering, discharge from the eyes. In case you do not have any of the above, I would say a non-urgent visit would suffice." + }, + { + "id": 28801, + "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": 18564, + "tgt": "Does frequent sneezing cause low lying placenta?", + "src": "Patient: Hello doctor, I am 5 months pregnant.\u00a0I had an ultrasound scan today and my placenta is \"anterior, 2.7cm above the internal O.S\".\u00a0Since a week, I have also developed piles which has subsided a little bit now.\u00a0I travel to work by bus and sometimes by a 4 wheeler auto.\u00a0My weight has been 55 kg since 5 months but the baby's growth is normal as per the scan.\u00a0My doctor has given me progesterone tablets as of now and also an ointment for piles.\u00a0I wish to know if I can continue working. Will travelling be dangerous for my baby? My due date is on November 30th. Will I be able to work till October 30th or should I stop working now? Is there any particular food pattern that I should follow because I have developed piles? Doctor: Hi. I have read and understood your problem. Best wishes for healthy pregnancy. Revert back to an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20023, + "tgt": "Can HIV be contracted by just fingering the vagina?", + "src": "Patient: Hello doctor, Three weeks ago, I met a girl in a strip club and I was fingering her vagina for at least 30 minutes but without any intercourse or kissing or anything else. A week after this, I started having gas in my stomach and feeling strange and this continues till today. Ten days after this exposure and after I drank a liter of milk, I had diarrhea. The next day I ate, 20 minutes later I went to the toilet. Since then, I did not have such problem but whenever I am eating something I have this feeling that I need to go to the toilet and my stomach is \"playing all over.\" But, I did not have any symptoms of diarrhea. Also, I never had a fever during this period. Five days ago, I started having a headache and my nose was full and I was coughing like I had a kind of virus and I did not know if it was correlated with my symptoms in my stomach. I still have the feeling that I need to go to the toilet but when I go, it is either the gas or the normal stool. On day 15 after the possible exposure, I went to a clinic and I had done an HIV third generation test and the result was negative. When I asked the doctor what kind of test was that he mentioned to me the third generation but enforced which is equal or better than the fourth generation and this is what the doctor told me. My worries are if I have been infected with HIV by performing fingering and only that, and if my symptoms are related to that and if not what else might be. I am going today to give a sample of my stool for culture to see if I have any virus or anything else. In two weeks from today, my wife and I have decided to do an in vitro fertilization and therefore I am worried if the above are interlinked and I need to take any other action. Finally, my other question is linked to the latter. If I will take any antibiotics now for my stomach if they find also something in my stool and in two weeks, I need to give semen for the in vitro fertilization is this fine or the antibiotics will affect the quality of the semen? Should I do anything else with reference to my possible exposure to fingering? Doctor: Hello. There is really no chance of HIV (human immunodeficiency virus) infection through just fingering the vagina as the virus is unable to pass through intact skin. There is not even a need to screen for HIV if fingering is the only physical activity that you have performed. Your stomach issues are perhaps due to indigestion and lactose intolerance. Milk and dairy products are a common cause of lactose intolerance. You can avoid dairy products for a while. I do not see any issues with your scheduled IVF (in vitro fertilization) procedure. You can go ahead with it. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5881, + "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": 30732, + "tgt": "I feel hard to breathe after workout. Is this a sign of heart disease?", + "src": "Patient: Hi doctor, A few months ago, I have been having left side pain from my shoulder blade down to my arm till the tip of the last finger. I have had ECGs, blood work, chest x-rays and finally a CT angiogram. All were normal. I am tempted to go to the ER every time this happens, because I think this might actually be a heart attack. I am so frustrated. I have been feeling normal and I am back to my regular daily workouts, which are fine. But, my back always feels very tight after my workout and it takes me a while to catch my breath. From today morning, I have been feeling dizzy at times and my left pinky and back feel tight again the way they had in the past. I feel like I am breathing harder than usual. I have had tests done both in the ER and by a very good cardiologist, including a CT angiogram, ECG and blood work. I have had panic attacks and I fear that this is a real heart issue. Should I go to the ER? I am very concerned that my workout seems to make my upper back feel worse. Is this a sign of heart disease? Doctor: Hi. I appreciate you and have thoroughly worked through your case. I can well realize the sensitivity of the issues you are feeling right now. My discussion today will mostly comprise of reassurance and explaining the things in the best possible way for easy understanding. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 527, + "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": 7793, + "tgt": "Can I take Betnesol during 36 weeks of pregnancy with BP, thyroid and diabetes?", + "src": "Patient: Hello doctor, I am 36 weeks pregnant with LMP. My doctor is prescribing me Betnesol. I have thyroid, BP and GD. They are under control. Sugar levels are also under control. I am little worried about Betnesol. My previous baby was a C-section. I had planned normal delivery (for my first) but had to do C-section since the placenta detached. When I had narrated this to my current gynecologist, she suggested Betnesol. I am little worried about this medicine. Please suggest me if it is fine to go for Betnesol. Doctor: Hello. In cases of gestational diabetes mellitus with gestational hypertension at 36 weeks of gestation, there are chances that there occurs delayed maturation of fetal lungs which can prevent the baby from baby breathing after birth due to immature lungs. So considering your history and placental separation or abruption, Betnesol or betamethasone injections have been prescribed for intramuscular use as a prophylactic measure to promote fetal lung maturity with these antenatal corticosteroids. Ideally, the fetal lungs mature by 34 weeks in a normal pregnancy but in GDM with superimposed gestational hypertension and in IUGR cases, it has been delayed to 37 weeks to 38 weeks, so as a precautionary measure Betnesolinjections are being given for the fetal well-being in case, your condition deteriorates any time hence. These are completely safe in pregnancy." + }, + { + "id": 28908, + "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": 9946, + "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": 13249, + "tgt": "How can severe pain and bad taste after wisdom tooth removal be cured?", + "src": "Patient: Hello doctor, I am 29 years old. I got five teeth extracted, three of them being impacted wisdom teeth, before a week. My jaw is killing me. I have this nasty taste in my mouth. My holes look fine with blood clot present. What could be wrong? I cannot keep taking Ibuprofen and Tylenol, it is making me sick. I am just honestly in pain, I cannot eat. It is really bad. Please help. I do salt water rinses and I brush my teeth and the reason I can eat is food gets stuck in the holes and I hate getting it out, it hurts really bad. How many more days will this be like this? Doctor: Hi. I reckon you had a traumatic extraction experience as you had five teeth pulled out in one go. This will definitely take sometime to get back to normal. The bad taste in your mouth is due to certain fluids oozing out during the healing process. But you have also mentioned, food getting stuck in those holes.This gives me a question of dry socket. Ideally in seven days time, the gums would have shrunk atleast one-third. For severe pain, you might need to get a prescription for Paracetomol with Codeine from your dentist. And possibly take antibiotics as well. Meanwhile, try to rinse out with Savacol mouth rinse two to three times daily (10 ml of rinse in a cup of water) to get rid of the bad taste and clearing off bacteria." + }, + { + "id": 23326, + "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": 28234, + "tgt": "How reliable is rapid HIV test?", + "src": "Patient: Hello doctor, How reliable is HIV rapid blood test after six months of my last exposure? Doctor: Hi. Revert with more information to an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 219, + "tgt": "Had a breakup. Please help me come out of my feeling", + "src": "Patient: Hi doctor, I am 25 years old. My problem is that I loved a girl and now she moved away from me. She rejected my proposal. Now, I am getting suicide ideas. Please help me to come out of this. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 25052, + "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": 24157, + "tgt": "Why do I have pain in my hand and finger joints?", + "src": "Patient: Hello doctor, I am a 69 year old male. I have suffered from many types of infections several times in my life from systemic candida infection, valley fever, fungus infections and so on. I also have RA, have experienced Reynauld's several times, I also have SLE and have tested positive for MCTD. I also have male boobs, wide hips and all around feminine shape. Three years ago, I had a mild myocardial infarction, veins are unobstructed, heart in good shape. I was on meds for about three years, to date no further coronary occurrences, no signs of heart problems. I am down to just aspirin and no additional meds. Currently, I have severe pain in my hand and finger joints and also, in the joints of my big toe on both feet. Recently, I came down with some sort of cold that has turned into bronchitis with a pain on my right side. My doctor has put me on a five-day antibiotic plan again. I had a late start into puberty, started shaving at the age of 25, had small testicles. I worked out with weights for years and was never able to \"muscle up\". I have small bones, long fingers, long legs, short torso. I have never been tested for Klinefelter's syndrome but have been suggested by several doctors that I may have been born with this condition XXY but they seem to be reluctant to test for it. Is it possible that I am not being treated for the right cause of my illnesses? I am not sure what to do at this point, help. Doctor: Hello. Repeated infections with different organisms including fungal infection indicate severe immune deficiency which could be due to the steroid therapy you take for MCTD (mixed connective tissue disease) or due to other condition like diabetes. So, please tell me the following: The other possibility is immunodeficiency due to the autoimmune disease you have. Please provide me with your CBC (complete blood count) lab report. I also suggest that you perform karyotyping in order to diagnose Klinefelter's.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": 377, + "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": 23902, + "tgt": "Which waves in my treadmill stress test indicate problems?", + "src": "Patient: Hello doctor,Attached is a treadmill stress test result. I would like to obtain technical info regarding these results, particularly regarding the infarction. I would appreciate the severity of this infarction and whether it could be a machine error. Could you also tell me by perhaps drawing on the shot what waves and shapes indicate problems? Doctor: Hello. I have gone through your report (attachment removed to protect patient identity). It is unlikely to be a machine error. Errors do not have such patterns and it is suggestive of old infarction only. Its present in inferior leads, which suggests inferior part of the heart is damaged and these are relatively less severe kind of infarction. However, an echo will give a better idea regarding the severity and extent of damage done. So it is better to get an echo done, if not done yet. Now, you can see in lead 1, P wave followed by a sharp spike called as QRS complex followed by an upright wave called as T-wave. So now, you can see in lead 2, 3, and AVF which are inferior leads, showing downward QRS spike instead of upward and T-wave is also inverted suggestive of heart damage. So, the next step is an echo to look for the extent of damage and followed by angiography to see the blockages and if needed then revascularization. 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": 10574, + "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": 24368, + "tgt": "What is an acceptable level of cortisol in someone with PTSD?", + "src": "Patient: Hello doctor, I am a 35 year old male. What is the normal range of cortisol in a 24-hour collected urine probe? Is having too low cortisol levels in 24-hours collected urine probe a clinical matter? In the last six months, I had three urine testings with the account of cortisol between 10-12 \u00b5g/24 hours. I am dealing with PTSD and a distinct fatigue. Doctor: Hello. You have not mentioned why you got your urine cortisol levels checked. The normal cortisol levels vary between 10 to 100 micrograms and vary from one person to another and is affected by many factors. What are the symptoms you are experiencing? Are you having any sleep disturbances? Are you on any medications? Please revert back with the above answers for proper diagnosis. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 940, + "tgt": "Due to wrong twist, my knee got locked in hyperextension. Please help", + "src": "Patient: Hello doctor, My knee is locked in hyperextension. I had an injury on my knee had lateral damage that was fixed by knee scope. This was successful, however, about two months ago, I twisted the wrong way and my knee got caught in hyperextension. I saw my Orthopedic surgeon and he told me I had a high rise patella and Chondromalacia. We did Synvisc and cortisone and physiotherapy. But my knee is still caught in hyperextension and cannot fix it. I am only 32 years old so I need my mobility but now I am in pain and can barely move any thoughts? Right now I am on Naproxen, and Tylenol. Doctor: Hello. From what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee. Can you please elaborate on the range of motion of your knee? If it is barely movable it means that probably some tissue (either meniscus or soft tissue) is stuck causing block to the range of motion. Also are you having hyperlaxity? Generally people who have hypermobile joints tend to go for hyperextension. Also, kindly update the details of your surgery. Was there ACL reconstruction as well? As you pointed high rising patella, patella alta is more responsible for patellar dislocation/subluxation rather than knee hyperextension. Do attach a copy of the MRI you have." + }, + { + "id": 23091, + "tgt": "Why do I have little pain in right abdomen occasionally?", + "src": "Patient: Hello doctor, I have done FIBRO scan and the result was 345 median. Moreover, my bilirubin was 2.12 with SGPT 66. At the time of the test, my weight was 89-kilogram. I have two questions now: My weight is now 84-kilogram. Please tell me why I have little pain in my right abdomen occasionally. Is this gas or my fat is moving from the liver that causes me some time pain? Secondly, does it affect the liver if I do not sleep straight on the bed? Doctor: Hello. The sleep position will not affect the occasional pain. The pain could be from a liver infection. But as it is occasional I do not think you have to worry about it. Reduce weight and bring your BMI below 25. BMI calculator available in this icliniq website and you can calculate it https://www.icliniq.com/tool/bmi-calculator Fruits to be taken more. Sugar cane juice, apple juice, green leafy vegetables, etc., useful for good liver health. Avoid high saturated fatty diet. Alcohol should be avoided. Continue prescribed Ursodeoxycholic acid and Vitamin E tablet. You can consult a gastroenterologist for examination if needed. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18354, + "tgt": "Kindly interpret test results taken after erotic massage", + "src": "Patient: Hello doctor, Can you please interpret my test lab results? I only had an erotic massage a few weeks ago. I did these tests on my own just because of curiosity. The erotic massage was safe. No sex was involved. Just body to body touch. However, I am not sure what they mean. Doctor: Hi. I have gone through your query and the reports attached (attachment removed to protect patient identity). Herpes 1 IgG positive indicates a history of herpes virus type 1 infection which is usually spread by oral contact and causes lesions in the facial region. Active lesions occur during periods of reduced immunity like other viral infections or sometimes spontaneously, rest of the time the virus remains dormant in the body. I would advise you to visit your local dermatologist for a further clinical examination and any treatment if necessary. Positive VDRL (venereal disease research laboratory) test must be taken with caution as there is a good chance of false positive. As the associated TP (Treponema pallidum) antigen test is negative, it is unlikely that you have syphilis. Though your HIV ELISA (enzyme-linked immunosorbent assay) is negative, if you have a suspicion of the possibility of contact then I would advise a repeat testing after six months without any unprotected contact just to be sure. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2881, + "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": 2450, + "tgt": "I have a headache and vomited after coughing excessively. Please help", + "src": "Patient: Hi, I am having having headache generally in the afternoon towards back side of head. Also having cough, today had a vomiting after excessive coughing, could not control it. Need some suggestions Gender: Male Age 24 Height 5 ft 10 inch Weight: 70 Doctor:" + }, + { + "id": 19515, + "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": 7760, + "tgt": "I am suffering from dizziness. Please help", + "src": "Patient: Hello doctor, I am unable to make it physically to an ENT. For the last two years, I have been experiencing what I can only describe as a mixture if dizziness, and my equilibrium is off. It always feels like I am struggling to stand and not fall over, with sometimes full on vertigo setting in if my equilibrium feels bad enough. After laying down for 20 to 30 minutes, I am much better but the next day or two I have to take it east, as it feels worse than usual. I have never been put on Antibiotics, and my doctors do not believe I have an ear infection, but I would love help on this. It becomes a disability at this point. I have seen numerous doctors that cannot seem to figure out what is going on, and any help would be appreciated. Doctor: Hello. Please answer the following as clearly as you can, 1. Is your disequilibrium vertigo? As in, is it rotatory? Do you feel spinning? 2. The spinning of yourself or your surroundings? 3. Any hearing deficit in any ear? 4. Any ringing or roaring sound inside the ears? 5. Any fullness of ears? 6. Associated with nausea or vomiting? 7. Any fever or pain anywhere? 8. Have you done a hearing test?" + }, + { + "id": 8012, + "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": 29861, + "tgt": "What can I do for my abdomen pain?", + "src": "Patient: Hi doctor, I have been in the ER twice in the last two weeks for abdominal pain. The pain is just below my rib cage in the middle of the stomach. It only happens about 2 hours after I eat and lasts for about 6 hours or until the pain medicines they give me. The pain has come like labor pain for hours. They prescribed me Prozantac and Zantac and sent me home. I had to stop eating solid foods for five days. When I eat vegetables or soft food, it mildly made me uncomfortable. I think I may have an ulcer in my intestines. What can I do? Doctor: Hi. We are here to help you. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25748, + "tgt": "I recorded myself sleeping and found I move my legs up and change positions. Why?", + "src": "Patient: Hello doctor,I am a 27-year-old male. Over the past several months, I have had many sleep disturbances. I have recorded myself sleeping. Several times over the last two weeks, I have episodes that last two to three minutes and occur 10 plus times a night. During the episodes, I move my eyebrows up and down, move my nose like I am sniffing something, grind my teeth and open my eyes often looking to one side. I also move my legs up and change positions. I have also woken up with sore arms and sharp pain and numbness in my tongue. In the mornings I am often confused and can feel verytired during the day. The only medication I am currently taking is Lexapro for social anxiety. Doctor: Hello. Regarding your concern, I would explain that your symptoms could be related to a sleep disorder or epilepsy seizures. An electrolyte imbalance or vitamin D deficiency may also lead to abrupt leg movements during the night, but not typically the other movements (teeth grinding, eye deviation, etc.). Coming to this point, I would recommend performing an EEG (electroencephalogram). A polysomnogram would help investigate a possible sleep disorder. It is also necessary to check your blood electrolytes. You should discuss with your doctor on the above tests. Hope you find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7179, + "tgt": "What is the treatment for pain that occurs after bone grafting in implant?", + "src": "Patient: Hello doctor,I started the process of getting four implants. Last week I went for bone grafting. It has been a living nightmare ever since. I was completely fine, pain-wise, until three days after the grafting. Out of nowhere, I was in excruciating pain. Like deep in the nerve type pain. At that point, it was only my lower right side that was in pain. One of my stitches busted, and the bone grafting material was oozing out. The dentist saw me that evening on an emergency basis and cleaned it up and stitched me back up. Reassured me that my pain would end. He also switched me to a stronger antibiotic. Well, not only did the pain not go away, my left side started in on the same excruciating pain on the next day. The pain is that sharp, stabbing, throbbing pain that increase with each heartbeat. Worst pain of my life. It seems to be coming from teeth next to where the grafting was done. I should also add that I have a bridge on my lower front four teeth, with teeth as my anchoring teeth. No one knows where my pain is coming from, so no one knows how to treat me. I am miserable. Have not eaten anything in three days. Talking, drinking, and eating cause immediate, intense throbbing. It feels like nerve pain to me. Similar to the way I have felt in the past when an infection has reached my nerves. I am wondering if something is now touching my nerves in the teeth next to where the grafting was done? I am at a loss and would love to hear what anyone else thinks. Doctor: Hello. Do you have X-rays of teeth that caused you pain? You seem to have an infection either due to bone grafting procedure or abscess of the roots of those anchoring teeth of the bridge. Get an OPG x-ray done to find out more. Continue antibiotics and painkillers. Use warm salt water gargle twice a day for a week or two. Please attach an X-ray for analysis of your problem. You may need root canal treatment. Do not get an implant done until everything clears up." + }, + { + "id": 11084, + "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": 21319, + "tgt": "While breastfeeding, can I get my damaged tooth out?", + "src": "Patient: Hi doctor, I have a 4-month-baby boy. I am doing breastfeeding. My tooth is entirely damaged. So I am planning to remove my tooth. Is it correct or not? I am taking medicine for it. Please tell me a suggestion. Doctor: Hi. It is better to remove a damaged tooth. You can take some antibiotics and painkiller medicines. Take Amoxicillin 500 mg for three days after extraction. It does not affect your kid. Ask your dentist about particular medications while breastfeeding. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13671, + "tgt": "What treatment can be done to cure sore throat?", + "src": "Patient: Hello doctor, I have a sore throat from last 15 days. Medications taken are Amoxicillin and Clavulanic acid taken for five days BD. The next course includes ZOCEF CV 500 BD for eight days. Levocetirizine 5 mg OD at night from the last 15 days and Betadine gargle thrice a day (both Levo and gargle, I stopped three days earlier). Doctor: Hello. You may stop the Betadine gargle and start Benzydamine gargles diluted in water done twice daily after meals. Take a proton pump inhibitor which stops acid production twice daily before meals. Post meals, take an antacid syrup that neutralizes the acid produced. I would suggest you take an anti-inflammatory medicine to remove the congestion and edema inside the throat. The picture clearly shows granules in the posterior pharyngeal wall. If the condition does not improve, we may need to do a throat swab. If you need any further help do revert back. If there is any investigation that you have done please upload it so that we can have a look." + }, + { + "id": 25302, + "tgt": "Kindly suggest ways to remove acne without leaving marks", + "src": "Patient: Hello doctor, I am having acne on my cheeks, forehead, and the back for the past six years. I have red and pus-filled acne. I am using Adapalene gel and Metrogyl gel. But, pimples did not go away and also spreading nearby. I have used Benzoyl peroxide too, but no improvement. I am using Acnestar S face wash twice daily. My face is so oily. Kindly suggest me some way to remove acne without leaving marks. Thank you. Doctor: Hello. I understand your concerns. I have checked the attached photos (attachment removed to protect patient identity). From what you mentioned, you have severe acne that requires oral Isotretinoin for six months. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Double contraception is required for one year if sexually active as it is teratogenic. The treatment should be at least six months. For the first month, the lesion may flare up. So, do not worry. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19133, + "tgt": "Is bilateral papilledema a serious one?", + "src": "Patient: Hi doctor, My wife was recently seen by an ophthalmologist for loss of peripheral vision in one eye and a feeling of something wrong with her eye, as though it were closed. Ophthalmologist diagnosed it as bilateral papilledema and referred to neurologist for immediate follow up. The ophthalmologist insisted the follow up and MRI to be taken immediately. However, at neurologist my wife nervously downplayed symptoms and the doctor, who is overbooked, has her next appointment in two months and the MRI tentatively in four weeks out. Should we seek another doctor? We are concerned that this should be handled more rapidly based on the ophthalmologist reaction. Doctor: Hi.\u00a0Please do not get panic. Papilledema is swelling of optic nerve head due to increase in intracranial pressure. This pressure may be high due to some tumor or blockage of sinuses or idiopathic (without cause). The investigations required are: This is common in young females and even more common if patient is taking oral contraceptive pills. Revert back with the perimetry reports to an eye care ophthalmologist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10536, + "tgt": "I have become extremely anxious after electric shock. Why?", + "src": "Patient: Hello doctor, I am 17 years old and mostly healthy. I had an EEG and an MRI several months back; both came back fine. I suffer from OCD related tension headaches. On the 15th, I was in my father's office looking for something. It was too dark and so I decided to turn on my dad's lamp. It is an archaic thing, built in the 1930's by my grandfather's sister and it is mostly copper. I grasped for the light switch, instead I accidentally touched the copper beam of the lamp. The moment I touched it my hand gripped it. Around four to five seconds passed till I realized that my hand was shaking and got an electric shock. I quickly pulled away. Then, I felt sick, extremely anxious and in a daze. The next morning, I woke up extremely anxious and a tad bit confused. I felt as if I was confused. My parents brushed it off as anxiety and stress. Later that day, I had what seemed to be an allergic reaction to my lunch. I had red blotches all over my chest and neck. My face felt hot. Then, I received a 50 mg Benadryl shot. Almost instantly I felt as if the space around me shifted. I felt taller soon after I got tired, confused and disorientated. By the time I got into the car, I fell asleep, although I was not really asleep. I felt like I was slipping in and out of consciousness the entire way home. It was as if half of my brain had shut off. My muscles were limp and I was thinking strange things as if my mind was thinking by itself and I had no control on it. I then managed to walk into my room without falling and sleep. It was a dreamless sleep. When I woke up, I was irritated. Every voice in the house made me angry and I ended up cursing my brother and mom. I engaged in short nonsense conversations on and off. I would talk about something that did not make any sense and then I forget and ask what I was talking about. My head and neck vibrated. My muscles were weak and my body felt jittery. I wanted to sleep, but I could not. The space around me was fluctuating. Then, I had a large panic attack that lasted till 12 AM and I woke up the next morning around 10 AM with severe confusion and deorientation. I was thinking nonsense and could not construct a sentence. My muscles were weak again and I could not focus on reality and my head was vibrating. Fear sets in again. I do not cry even when terrible things happen as I usually cope, but I could not control my mind and cried a lot. We called the doctor who gave the injection. He told me that I was having some kind of allergic reaction and that I should take Zantac to help the Benadryl move through my system. Later in the day, it seemed to dissipate slightly. But, now (7 PM) it is back and almost as bad as it was this morning. I took another Zantac, but it has not done anything yet. I feel the vibrations most in my teeth and nose. Also, I have a rapid heartbeat. Is this being caused by the electric shock? And if so, will it go away over time? Am I in long term issue? Or is this caused by the Benadryl? It has been over 30 hours and I believe it is only since I was injected. Did this trigger long-term side effects? Do stress headaches have anything with this? Or is this caused by a combination of all three things? I just need help. Please I need to know what is going on. I really do not want to live with this. I am having a very hard time writing this. Thank you so much for your time. Also, my dad got shocked three times by that lamp. Doctor: Hi. I understand your symptoms with chronological order. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29815, + "tgt": "My boobs are more prominent in my body. How to correct this?", + "src": "Patient: Hi doctor, I am 43 years old. I am suffering from many things related to my body. I have been most of my lifetime having man boobs. My boobs are not proportional to the ratio of the fat in my body. I used to go to gym to battle that. This helped in getting my chest in a more firm shape, but never smaller. In my 30s, I kept trying to battle against that only with sport, but the results were always marginal with no real gain. This affected my attraction to women and caused me a lot of depression. Now in my 40s, the problem is getting even worse. They are growing bigger and I am finding it harder to go to the gym because of the shame. Now, I am overweight to some extend and the boobs problem is the most prominent in my body. I read that this could be because of hormonal\u00a0disorder or bad diet system. I changed my diet a few times before and even when I lose weight my chest barely gets effected. I did not try anything with hormones. What could be the reason of this problem and how can I solve it?\u00a0 I hope you can help. Doctor: Hi. Revert back with the photos to a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13740, + "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": 16740, + "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": 17849, + "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": 24347, + "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": 19010, + "tgt": "What is the reason for slow rise of hCG?", + "src": "Patient: Hi doctor, My wife went through sequential IVF 23 days back. I am attaching her hCG reports. Kindly check them. Thank you. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2903, + "tgt": "How to confirm whether my mental issues is due to schizophrenia or anxiety?", + "src": "Patient: Hello doctor, These past few days I have been bad as I have focused back on my schizophrenia obsession. It mainly focuses on times I have been paranoid, or times I have visualized things as something else. Examples: when slacking off at work thinking, what if there are cameras in the office or internet tracking software. When having a bad intrusive thought thinking, what if someone around me can read my thoughts and thinks I am crazy. Seeing the silhouette of something really far away and imagining it is something else like a door stopper from very far away looks like the shape of a bird or a sandbag propped in the shape of a cat. These are just a couple of examples that make me fear I am paranoid/delusional or on the edge of hallucinating things. There are other ones along those same lines that pop up on random occasions that I do not necessarily believe 100% but the possibility still causes me anxiety. Then the fact that they cause me anxiety causes me even more anxious after the fact wondering if these are paranoid or delusional thoughts. I have talked to my therapist about these fears in the past but I may have left something out or not brought up these examples in clear enough detail. She does not believe I have schizophrenia. I also have talked to a psychiatrist and she told me these types of paranoid ideas may occur in anxiety or depression. I am just terrified that paranoia is not a symptom of OCD and my poor vision cannot explain the minor visual imaginings (not even hallucinations just premature constructions of shapes/outlines) and that I am not taking appropriate action to combat a much deeper mental illness. My only issue with my thoughts is that they did not occur after I started fearing schizophrenia. I have always had general anxiety. They all have happened throughout my past. After I started fearing schizophrenia I combed through my memories to try to find evidence that I am developing it. And in that rumination process, I picked out all the times I have had paranoid thoughts. Though I usually do not believe the thoughts or hold them to be true, I still get anxious at 'what if'. I am hoping that is the defining characteristic that proves they are products of anxiety and OCD versus schizophrenia. Am I schizophrenic? Could it be just anxiety? I also have an uncle who is schizophrenic and that always scares me. Does it mean I am too? Doctor: Hello. Thank you for such a detailed history. It makes things very clear. I will sum up the main clinching reason why you do not have schizophrenia. You have insight. Means you know what is wrong with you and you can attribute a reasonable logical cause to this and know where to seek help. This is not the case with schizophrenics. They do not have insight into the paranoia. They will believe it is real. This is an anxiety spectrum disorder and this over inclusive repetitive thinking can also happen in OCD (obsessive compulsive disorder) as well as a generalized anxiety disorder. Treatment for both essentially remains the same, only the dosages differ a little. Do not worry. This is not schizophrenia. Also, do not keep in mind that schizophrenia has a higher chance of transmission from parents. Having an uncle with schizophrenia means you just share some genetic component. Keep in mind that the same gene is responsible for schizophrenia, autism, bipolar disorder, and depression/anxiety. So if your uncle has schizophrenia, that means you can have some sort of mental illness, either something as mild as anxiety, or as severe as schizophrenia. Please get started on SSRI (selective serotonin reuptake inhibitor) or SNRI (serotonin-norepinephrine reuptake inhibitor) type of medicines in addition to your therapy. If you have not undergone some sessions of CBT (cognitive behavioral therapy), please do that with a clinical psychologist since it will help you manage the symptoms of anxiety. Also, please do deep breathing exercises daily four to five times a day. When you are anxious, you can do some more sessions of deep breathing until you calm down. It will reduce the panicked feeling that you have." + }, + { + "id": 29852, + "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": 2490, + "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": 12292, + "tgt": "Is there any way to get rid of post acne hyperpigmentation?", + "src": "Patient: Hello doctor,I need to get rid of the post acne hyperpigmentation that is a year old. I have had post-acne hyperpigmentation on my arm and back since I was 15 years old and have tried everything to fade and nothing works. Doctor: Hello. 1. Post acne hyperpigmentation lasting for so long is not very common. 2. There are two kinds of options for post inflammatory hyperpigmentation. Either using creams at home which I will prescribe you below or going for cosmetic procedures like microdermabrasion, or chemical peelings. You can start with the creams. Use for six weeks and see the results. Post inflammatory hyperpigmentation. 1. Glyco 6 cream (Glycolic acid) apply locally once at night for six weeks. 2. Tablet Limcee 500 (Sodium Ascorbate and Vitamin C) once a day after breakfast for six weeks." + }, + { + "id": 2180, + "tgt": "I have some peculiar on and off skin problem? What shall I do?", + "src": "Patient: Hi doctor, I am a 24 year old female. I have a skin problem\u00a0on and off for the past two years. The doctor said that it is not acne and I had undergone homeopathy. But, I did not get any improvement from that. Also, it is not an allergy. It is so embarrassing to have this type of skin. I also took some acne medicine, but did not suit me and I just started getting chest pain. With this skin condition, I cannot go outside the house. I eat good food and I do not have drinking and smoking habits. Now, what shall I do? Please help me. Doctor: Hi. Revert back with the detailed history to a\u00a0dermatologist online --->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30970, + "tgt": "Contrary to my LMP, why does the scan show only 4. 4 weeks gestation?", + "src": "Patient: Hi doctor,I am 26 year old female. I had my last periods one and a half months back. In between I had Regestrone tablets thrice daily for 3 days and Meprate 10 mg tablets thrice daily for 2 days. Today, I had spotting of reddish brown color. A transvaginal and transabdominal ultrasound was done. It has been 6 weeks since my LMP, but why does the scan show only 4.4 weeks gestation? I have enclosed the report herewith. I have been prescribed with Duphaston tablets. Also, fetal pole is not seen. Is it fine at this stage? Before 10 days my beta hCG was 127.7. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7030, + "tgt": "Is there a possibility to cure cloacal anomaly before birth?", + "src": "Patient: Hello doctor, I have been blessed with a baby girl last year. However, she is suffering from cloacal disease and has only one opening. Doctor has operated her and did way to pass the stools. She is not having her anal opening. During pregnancy, it has been observed that she does not have one kidney, she was not having properly developed back, etc. But it all recovered in 8th-month sonography. Is this a sign of the disease? Is it curable during pregnancy? Is it possible to avoid it before the birth of a child? I wanted to know. Doctor: Hello. I have read your question in detail, and I know that you are very concerned about your child. The absent anal opening is due to a congenital anomaly. Usually, when one congenital anomaly is present, there are chances that other congenital anomalies like absent kidney or cardiac defects are present. It is possible to detect these anomalies during level two scan done during 20 weeks of pregnancy. However, it is unfortunate that it cannot be treated during pregnancy. Medical science is still not that advance to cure these defects while the mother is pregnant. It is also not possible to avoid these kinds of anomalies before birth because these are rare defects and are not related to disease or environment. It is related to genes of mother and father. I hope this will help you." + }, + { + "id": 28551, + "tgt": "What are the effective ways to regain the complexion of tanned skin?", + "src": "Patient: Hi doctor,My face complexion is much darker than my chest. The reason may be overexposure to sun and pollution. Please suggest me ways to get fair skin. Doctor: Hi. Tanning is a common issue in countries with a predominantly longer summer. However, there are many effective ways to regain the fair complexion using depigmentation creams, chemical peels, lasers, etc. In addition to those, the most important step is to use a proper sunscreen with SPF 30. Depigmentation creams need to be decided based on the depth and darkness of the pigmentation. Kindly upload appropriate images, so that we can assess your condition and suggest you the necessary creams accordingly. Photoban 30 SPF lotion 2 mL daily morning for the whole face and it needs to be washed off in the evening. Revert with photos to a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6206, + "tgt": "Dandruff has affected my scalp, eyebrows, and eyelashes. What to do?", + "src": "Patient: Hello doctor, I am having dandruff ever since I can remember. Tried many remedies, but nothing seems to work to get rid of the dandruff. Now it has started to appear on my eyebrows and eye lashes. Could you suggest a remedy, test and treatment? Doctor: Hello. Dandruff or Seborrheic dermatitis is an important cause of scalp itching and increased hair shedding. Controlling dandruff effectively would control scalp itching too. Since dandruff is bound to recur, therefore rather than using a regular shampoo, people with dandruff should use an antidandruff shampoo to keep dandruff under check. If I was your treating doctor I would have suggested you use an anti-dandruff lotion or shampoo. My choice is 2% Ketoconazole shampoo, thrice weekly or even daily, for two to three weeks. However, sometimes a shampoo alone seems insufficient. In such a case dermatologists choose to prescribe a topical steroid lotion like Mometasone lotion (Elocon lotion), to be applied once daily at night, at the scalp skin and eyebrows as well, for two weeks. For the lashes, you can apply a milder topical steroid Desonide (Desowen cream) once daily at night for seven to ten days. The topical steroid lotion can be stopped once the dandruff is well controlled and thereafter the improvement can be sustained by using an anti- dandruff lotion or shampoo, weekly twice. I hope this helps." + }, + { + "id": 1425, + "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": 3077, + "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": 23015, + "tgt": "I have acne and coarse hair on my body. Why?", + "src": "Patient: Hello doctor, I have had hormonal imbalances my whole life. My menstrual cycle has never been regular. I have acne and coarse hair on my body. My gynecologist said that I have severe PCOD and referred me to an endocrinologist. He asked for some blood tests and I need an evaluation of them as he was not of much help. I am attaching the reports. Please have a look. Doctor: Hello. I just read your query about your symptoms and saw your detailed laboratory tests results (attachment removed to protect patient identity). It appears that you have a non-classic congenital adrenal hyperplasia in which there is a partial deficiency of 21 alpha hydroxylase enzyme leading to an overproduction of androgens like androstenedione in your case. Androstenedione is responsible for the symptoms of PCOS, hirsutism an excessive body hair, acne, and oligomenorrhea (infrequent periods). The treatment is Metformin 500 mg thrice a day and tablet Diane (a combination of Cyproterone and Ethinyl estradiol) once daily. Since you have a deficiency of vitamin D and B12, you need to take tablet Vitamin D3 5000 IU once daily for two months and tablet Neurobion forte (Vitamin B complex) twice a day for two months. 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": 25380, + "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": 27088, + "tgt": "Can a migraine and a tension-type headache coexist?", + "src": "Patient: Hello doctor, In short, I have a baby who is now 9 months old. I have started having a visual aura (fortification spectrum) and migraine around two months ago. The aura was almost always on the left side of the vision and the headache (which was quite mild), was on the right side of my head, at the back of my head (occipital area). One day after the migraine, I could feel pain at the back of my head on the right, whenever I leaned forward or shook my head, and then it would go away. I have had around seven episodes so far. Often, between migraine episodes, I also had tension-type headaches which might have been from stress, I do not know. It felt like a bad ache around my head and occasionally, sharp pains in various areas. There was no pain with movement or exertion. I had an MRI (+MRA) one month ago, which found nothing of concern. However, it was done without contrast as they said that the technician decides if the contrast is needed. In the last few days, I have started having this pain at the back of my head, on the left side (not on the right like I have with the\u00a0migraine), whenever I bend over\u00a0or strain when bending over. It is around the occipital area and a bit lower as well. I can also feel it when I shake my head. It is a sharp pain. It started after I went to an aerobics class. I have just started working out again. I am not sure if it is related. It has not gone away though, and I can sometimes feel discomfort and slight pain with various movements as well. I am really stressed out about this. I keep having these headaches and these symptoms (aura) which I have never had in my life, and I am worried and feel overwhelmed and cannot take proper care of my baby. I am always checking myself and shaking my head. I am worried that they might have missed a tumor with the MRI because it did not have contrast. I read that this kind of localized pain on movement and straining can indicate a tumor.\u00a0What do you think I have? Can it be related to something other than a tumor? What should I do? Doctor: Hello. All this will work wonders. Take care. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 11695, + "tgt": "What can I do to get rid of my hair fall problem?", + "src": "Patient: Hello doctor, I am a 23-year-old-female. I have been losing a lot of hair since last year. I do not see any bald patches but I do see my hair thinning over time. I do not understand why this is happening since I have always had a mane full of thick hair. Is there any way I could stop the shedding of my hair? Doctor: Hello. There can be a lot of causes of sudden increased hair fall which can include sudden weight loss, stress, illness, dietary changes like crash dieting, drugs, childbirth, thyroid problems, anemia, etc. If you think you have any of these kindly mention it. Get the following investigations done. 1. T3, T4, TSH (thyroid stimulating hormone). 2. CBC (complete blood count). Take the following medicines after meals for 3 days meanwhile with the consent of your doctor. 1. Tablet Hairfollic woman one tablet a day. 2. Tablet Autrin 1 tablet once a day." + }, + { + "id": 5269, + "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": 10230, + "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": 27180, + "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": 1407, + "tgt": "Should we increase the Insulin to control PP sugar level?", + "src": "Patient: Hi doctor, For the past six weeks, we have been noticing that my father's PP sugar levels after breakfast are in the range of 195 to 250 depending on what he eats. Fasting levels are more or less fine. He had done his laboratory tests before two months and his HbA1c was fine. I have attached the blood reports along with his current medications list. Should we increase the Insulin? Please explain. Thank you. Doctor: Hello. I can understand your concern for your father. For further doubts consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 12711, + "tgt": "What are the ways to treat wisdom tooth eruption pain?", + "src": "Patient: Hello doctor, For the last two weeks, my two wisdom teeth on the right side of my face have been coming in. The pain has been incredibly severe and is almost unbearable at this point. I have been experiencing headaches and tenderness pain in my neck, jaw, and gums. I have trouble moving my jaw and speaking at times due to the pain. My teeth have become extremely sensitive to hot or cold items, my teeth are so sore that I struggle to chew food since my molars cannot touch without resulting in an incredible amount of pain. I do not have any swelling in my jaw or neck aside from my gums. I have been taking as much Advil as is safe in a day and some CBD oil as well. However, nothing seems to be helping. I am really worried that I have an infection and how long I should wait before going to an emergency room. Doctor: Hi. I can understand this pain. It is like erupting pressure pain caused at every 2 to 3 months interval. Since you are done with Advil (Ibuprofen) and it is not going away. Please start taking the following antibiotic regime as soon as possible. Tablet Augmentin (Amoxicillin) 625 mg twice a day, tablet Metronidazole 400 mg twice a day, tablet Brufen 400 mg three times a day. Do a course of all these medicines for 5 to 7 days. An infection will subside through it and hopefully, you will be at peace for a month. You can repeat this course every two months if condition recurs. If the pain does not subside through this course then sure go to an emergency room. Moreover, do salt water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses three times a day. Take mustard oil put a pinch of salt in it, make a paste and apply on swollen areas inside the mouth, at gum line before sleeping. This also helps in reducing swelling. Give me a followup after three days. Stay happy and blessed. Indeed, there comes ease after every difficulty or pain. Take care." + }, + { + "id": 11585, + "tgt": "What is the cause and solution for bleeding gums?", + "src": "Patient: Hi doctor,Every morning while I brush, I notice bleeding from my gums. I do not have any pain. What is the possible cause and solution? Doctor: Hello. I understand your concern. The most common cause of bleeding from gums is inflammation of the gums, otherwise called as gingivitis which leads to periodontitis if left untreated. The reason to develop gingivitis is mostly associated with oral hygiene and oral hygiene habits. You may consult your local dental doctor and get a dental cleaning done and follow up after a week to check if your symptoms have subsided. It is most likely to resolve if associated with oral hygiene. Other factors affecting gum health may be menopause, diabetes, etc. Visiting a dentist every six months for a regular check-up is recommended. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5029, + "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": 1686, + "tgt": "My 9-month-old daughter is having frequent loose motions. How to control it?", + "src": "Patient: Hi Doctor, Kid age 9 months. weight not sure. Since Yesterday, she is having loose motion problem. Today also she is having frequent loose motion. ORS solution and paracetamol syrup given, but got little bit control again started. Doctor: Hello Welcome to icliniq - Loose motion ( diarrhoea) is common problem in young kids. It is very important to make sure that your daughter is well hydrated till she gets better . - It is very good that you are already giving ORS solution which needs to be given frequently. Loose stools can last for some days before getting better. It will help to clear the body of germs & toxins. I need to ask you a few more questions to guide you in the right direction - How many times /day does she have loose stools ? - is there any blood in stool ? - is she is any pain ? does she cry while having stools ? - is there any vomiting ? - is there any fever ? if there is no fever , there is no need to give paracetamol. - any signs of dehydration ( lips & tongue dry, not passing urine as usual) - Is her weight gain good and within normal range ? - is she otherwise her usual self or is she ill looking, crying & confused ? Treatment plan: - Provide your daughter with frequent sips of ORS throughout the day. For every loose stool she needs to be given 10 mls/kg of ORS. Assuming her weight to be 7-8 kgs, you should give 80 mls ORS for every loose stool. ORS needs to be continued till loose stools stop -You can also give tender coconut water if available. - Give bland non-spicy food like plain idli, rice for some days. -If she is still breast feeding, it is good to continue. - If available you can give Enterogermina oral suspension 2 mini ampoules a day for 3 days. You can mix with water and give her. - Zinsy syrup 5 mls once a day for a week - Most common reason for loose stools at this age is viral , so antibiotics are not needed. But if she has fever or bloody mucusy stools she will need to be examined . Otherwise, loose motion will settle in 4-5 days IMPORTANT Due to the Coronavirus lock down, visiting hospital/clinic may be difficult. But if your daughter shows any of the following signs she needs to be taken to the nearest hospital/clinic to be examined by a paediatrician. - looks sick - not drinking ORS - lips and tongue getting dry - not passing urine even once in 6 hrs - looks dull and crying excessively - blood in stoll If you have any further concerns, you can contact us again for further advice Take care" + }, + { + "id": 4530, + "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": 3219, + "tgt": "My unilateral submandibular lymph node swelling does not reduce even after antibiotics. Why?", + "src": "Patient: Hi doctor, I have a unilateral submandibular lymph node swelling on the right hand side of the neck. I had an ultrasound and at this time the lymph node measure 5-6 cm and the onset were sudden with pain. After three-course of antibiotics (Augmentin two doses and Clindamycin one dose), I was referred to have another ultrasound. This was after two months of the initial appearance of the lymph node. This ultrasound scan showed the lymph node had become 3 cm but was still present. So the doctor ordered FNAC. The results of this have come back and there is no sign of metastasis or no sign of TB lymphadenopathy. The doctor has suggested yet another course of antibiotics of Doxycycline and remeasure the Lymph node after three weeks. The FNAC said it was an inflammatory lymph node. Does this mean reactive lymph node? What else could be causing this? Doctor: Hi. I want you to be completely calm because according to the course of the lymph node enlargement, symptoms, and investigations the lymph node enlargement is just an inflammatory reaction. It is not a tumor at all. Just complete your antibiotic treatment then follow up on the lymph node again just for assurance. The lymph node may decrease in size but never comes to its normal size again. This is normal. Now about causes, any neck, mouth, or pharyngeal inflammation can cause inflammatory enlargement of a submandibular lymph node. Even without the previously mentioned inflammations, a submandibular lymph node inflammation can start by itself as the lymph node works as a filter for the blood picking up pathogenic microorganisms." + }, + { + "id": 2371, + "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": 10264, + "tgt": "What is the cause for itching of face and chest after sex?", + "src": "Patient: Hi doctor, After sex, my girlfriend's face, chest and legs burn and itch. What is the cause? And what can we do for it? Doctor: Hello. Kindly revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20884, + "tgt": "A 21 year old male fainted suddenly after a party. Please guide us", + "src": "Patient: Hello doctor, This query is regarding a 21 year old male having no health complications in the past who suddenly fainted after a party. We took him to our GP for the check up. The GP found nothing wrong and advised rest. However, we went to the lab on our own and carried out CBC. WBC count was high in the first report - 11,300, lymphocytes 4,500, and RDW 16 which was indicated as high in the report. The peripheral smear showed: RBC: Normocytic normochromic with mild anisocytosis. WBC: Absolute lymphocytic leucocytosis. Platelets: Adequate. We then went for one more blood test in the following week. This time the WBC was 7100 and lymphocytes 5100. The morphology report says: RBC: normocytic normochromic. WBC: within normal limits. Platelets: adequate on smear. Impression: normal peripheral smear. No hemoparasites seen. The boy has lost some weight. A mild night sweat is there. Please guide us. Doctor: Hello. The diagnosis in your case is lymphocytosis. The underlying cause for the lymphocytosis should be searched for. For that, a detailed physical examination should be done and liver, spleen and lymph nodes should be palpated. Infectious mononucleosis, viral influenza, hepatitis, lymphoproliferative disorders, syphilis, etc., are some of the causes. If any specific clinical complaint is present than provide history regarding that for further discussion. You investigate further according to need like influenza antibody testing, SGPT and SGOT, HIV testing, etc. Your peripheral smear examination reports are normal and are not showing any specific abnormal cells. You have to repeat CBC (complete blood count) again after a week. If lymphocytosis persists for more than three to four weeks then flow cytometry investigation should be done to rule out monoclonal nature of lesion. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10376, + "tgt": "Why is my foreskin not covering my penis properly?", + "src": "Patient: Hi doctor, I am a 21 year old virgin. My foreskin is tight which has not gone down. I had sexual intercourse with my girlfriend yesterday, were my foreskin came far down the penis head that was really paining and hurting me. Now, my foreskin is still back and not going up. My exposed penis is very much sensitive, like even my pants touch them also it is very much incredible for me to bear. The foreskin which has come beyond the penis head is not going back and I do have some scar wounds reddish on my foreskin. The other problem is, if I get erection it is paining for me, I do not really feel comfortable like before. I am also getting some smell around my penis, can it be smegma? What should I do? Is this a serious issue? Why is my foreskin not getting above my penis head and covering my penis like before? Is this normal? Should I go consult a doctor? I am so much confused. Please help. Doctor: Hello. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2128, + "tgt": "I have small granules on my cheeks and corner of lips with a history of smoking. Please help", + "src": "Patient: Hello doctor, I have small spots or granules on both sides of my cheeks and on lip corners for the past eight years. I was a smoker and occasional tobacco user. I quitted this four years back. I have no pain or irritation and I am in touch with a local dentist and taking vitamin D supplements. I need an advice for further treatment. Doctor: Hi, Welcome to icliniq.com. The long term habit of smoking and tobacco chewing has caused this on the inside of your cheek. Good to hear that you stopped the habit. The vitamin D supplement you mentioned is also nice. But it takes time to heal. For years together, the inside of your cheek has been exposed to heat and tobacco which are responsible for such a change. It will heal, no doubt, but it takes time. Be patient, have your dentist consultation regularly and avoid hot foods. Use a medicated mouthwash. The time taken to heal is generally more than the time taken for those spots to appear." + }, + { + "id": 4561, + "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": 15899, + "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": 11226, + "tgt": "Why am I having fishy odor from vagina?", + "src": "Patient: Hello doctor, I have had a fishy odor down there since I was in elementary school. I was not sexually active at all either. Just a couple years ago I realized I might have something called bacterial vaginosis. I went to the doctor for it a couple years ago and got prescribed Metronidazole and it did nothing for me. Ever since then I have not really gone to the doctor about it again. I am worried because I have read that BV left untreated can make you infertile. How common is it that this could happen? And do you have any tips for me? Doctor: Hello. Yes, you have heard right that if vaginal infections are left untreated they may lead to PID and infertility. It is a serious issue which must be dealt with promptly and appropriately. Bacterial vaginosis leads to change in vaginal flora and pH which results in fishy odor and discharge. Metronidazole is the recommended treatment for it but as you say it has not affected you then I would suggest that you must not neglect it and get yourself fully checked by having vaginal swabs tested and getting exact diagnosis and treatment. Secondly, hygiene is of very much importance with regards to vaginal discharge. Some tips are as below: Keep the vaginal area clean and wash with plain water as much as possible. Avoid any cosmetic products over the vaginal area and wear cotton rich undergarments." + }, + { + "id": 27699, + "tgt": "Which formula milk is better, premium or plain?", + "src": "Patient: Hi doctor, Can you tell me the difference between Dexolac stage 1 and Dexolac stage 1 premium? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27178, + "tgt": "My CT scan done for back issues revealed a kidney stone. What should I do?", + "src": "Patient: Hello doctor, On a thoracic lumbar CT scan performed early this month, the radiologist found a 5 mm non-obstructive stone. Doctor: Hello. I hope it helps you.\u00a0If you have any further queries, please ask me. For more information consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 4778, + "tgt": "What is the reason for sudden blurred vision?", + "src": "Patient: Hello doctor, I am 26 years old.\u00a0I have never had any problems with my eyes. I had a perfect vision. But, from yesterday morning I feel\u00a0blurred vision in my right eye.\u00a0I am an informatician, so I am in front of a screen every day for almost 10-15 years and I do not have pain in my eyes when I use it. For past one month I am taking Rhinocort for my nose. Please help me. Doctor: Hello. I reviewed your history. Computer screen. Vision testing. Refractive error. Dry eyes. Artificial tears. Avoid continuous use of computers or laptops. Revert back after a month with the reports to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2224, + "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": 26682, + "tgt": "How to correct my short-sight?", + "src": "Patient: Hi doctor, I have undergone trab surgery for glaucoma nine years back. I did not have short-sightedness before the surgery. But after the surgery, I had to use glasses. Presently, I am having a\u00a0power of around six for the lens. Is there anything that can be done to control this short sight? Is there any laser treatment possible in this situation? Please advice. Doctor: Hi. For further queries consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 3924, + "tgt": "Is it normal to bleed at 6 weeks of pregnancy after IVF?", + "src": "Patient: Hello doctor, I am almost 6 weeks pregnant and today I saw a bit bleed when I wipe it with a tissue paper. FET was done 20 days after my LMP. Three embryos were transferred (blastocyst). My hCG taken between two consecutive days was 494, 886 and 2597 respectively. Is small amount of bleed normal? I am confused. Please help. Doctor: Hi. It could be implantation bleeding. If you are taking any blood thinner like low molecular weight Heparin, Ecosprin then stop immediately. Also inform the hospital where you are taking treatment, so that additional progesterone and hCG support can be added to avoid abortion. Also, take complete rest, do not bend from the waist a lot. Continue taking other medicines and injections except for blood thinner." + }, + { + "id": 9406, + "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": 3161, + "tgt": "Are there any medical suggestions to increase height?", + "src": "Patient: Hello doctor, I am 30 years old. My height is 166 cm and weight is 56 kg. Can you please suggest some medicines (Vitamins, minerals or something) to increase my height by few cm? Can I take some anabolic steroids (for short duration) to increase my muscle mass? At this point I just like to mention that I am diagonosed with Crohn's disease and taking Azoran 100 mg, Folvite and Razo daily. In my breakfast and afternoon snacks I take eight slices of bread, two boiled eggs, two bananas, one spoon of AlbumenCare (protien supplement). In lunch and dinner I eat rice and dal and boiled vegies. I do not take fish or meat. Doctor: Hello. Unfortunately, after the age of 30, it is a little less likely to increase the height further, however doing stretching exercises, using Vitamin D 50,000 IU once a week and B12 1000 mcg daily may help to improve the posture and give you an extra cm or so. Also, remember if you ended up using steroids of any sort then please do get a bone scan to look for osteoporosis (weak bones) which can result in loss of height." + }, + { + "id": 4749, + "tgt": "Please clarify if my dental problem is curable", + "src": "Patient: Hello doctor, My father is 70 years old. He has some dental problem\u00a0and\u00a0that is filled with pus and blood. Local dentist checked it, but the treatment does not provide complete solution. It occurs again and again. Please check the picture and tell me what it is. Is it cancerous? Is it curable? Please guide. Doctor: Hi. A localized radiograph of that region. Inadequate oral hygiene maintenance. Deep scaling and radiograph. Revert back with the radiograph to an endodontist online.---> https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 27425, + "tgt": "I fall sick when I go out in the rain or take cold foods. What is the reason?", + "src": "Patient: Hello\u00a0doctor, I am suffering from an\u00a0allergic reaction whenever I\u00a0drink cold water, go out in the rain, expose myself to the cold breeze, or take a cold water bath. I get relief with cetirizine. Doctor: Hello. Kindly revert with all the answers to help us make a diagnosis and get you the right treatment. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 21828, + "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": 4506, + "tgt": "Is bulky uterus during pregnancy harmful to the embryo?", + "src": "Patient: Hi doctor, My wife is currently 6 weeks pregnant. On USG the following have been found: Uterus is bulky. Well formed gestational sac with a living embryo is there. Yolk sac is seen. CRL=.500 cm Heart rate of embryo 121 bpm Ovaries are normal in size. As prescribed by the doctor, she is taking Duphaston thrice a day, Folic acid tablet once a day and Normozyme syrup twice daily. She is weighing 61 kg, and her age is 27 years. I want to know whether everything is alright? And what does bulky uterus mean? Will it harmful for the embryo? She had an anembryonic pregnancy eight months ago and had undergone D and C. We are very much tensed as well as excited. Please suggest. Doctor: Hi. I see everything is absolutely fine, nothing to worry about. When the baby comes into the uterus, the mother's body has a lot of changes, most important is the excessive blood flow throughout the body. This is required as the baby is a fast growing life. It needs a lot of energy to grow. When blood flow to the uterus increases, the size increases. This is just the beginning. The non-pregnant uterus is only 7 cm long (length of your finger), which has to reach the level of her heart almost. Blood flow everywhere increases face blushes, redness of skin all over, excessive discharge from nose, mouth, stomach and so on as blood flow to these glands increases. Six weeks is the earliest baby heartbeat is seen, so you do see a good sign. Yolk sac (energy store for baby is seen) is a good sign. Well formed sac means no bleeding and the attachment to the uterus is healthy. All the signs are good. She is on supportive medicines. Her age is perfect for pregnancy (19-35 years is a good time). About the anembryonic previous pregnancy, it is due to a genetic abnormality. The best sperm meets the best egg at the right time and sits in the best place in the uterus to form the best baby. Any step wrong in this leads to a bad baby. When you see baby's heartbeat, it means baby is genetically normal. So do not worry about the past. Such abnormal pregnancies are accidents, but accidents do not occur every time. The journey of pregnancy 40 weeks is a long one. There may be problems (every pregnancy can have) but have faith in God, follow doctor's orders and hope for a healthy baby and mother, at the end should be your expectation. Do not think anything that happens is a bad sign. Positive thinking will allay your anxiety." + }, + { + "id": 7704, + "tgt": "I am suffering from dizziness and muscle pain. How to get rid of it?", + "src": "Patient: Hello doctor, I am an athlete have severe dizziness, muscle pain in the neck, and behind the neck. In the upper back vibration of shoulders when I move. Please help. Doctor: Hello. It might be a neurological problem. Due to which there are muscle and nerve involvement. Neurological tests are required to be conducted. Once the exact cause is known, you can go for a physiotherapy session consisting of stretching of the neck and shoulder muscles, deep, transverse friction massage, SWD (short wave diathermy), and neural stretch." + }, + { + "id": 198, + "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": 15044, + "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": 21683, + "tgt": "Why is there breathlessness in a CKD stage 5 patient?", + "src": "Patient: Hello doctor,My father is a patient of CKD stage 5. He is undergoing dialysis weekly twice. Right now he is having creatinine 9.1, potassium 5.2, and hemoglobin 8.9. Yesterday, he was given two units of blood during dialysis. Despite all that he is having severe breathlessness for these two days. Please, suggest me some medicine. Currently, he is taking tablet Nitrocontin 2.6 mg BD, tablet Cilacar 20 BD, tablet Apresol 25 BD, tablet Folvite BD, tablet Tide 20 BD, tablet Concor Cor 2.5 OD, tablet Ecosprin AV only at night, tablet Sorbitrate SOS, tablet Rivotril 0.5 mg at night, on Insulin Novoropid thrice a day three units each. Doctor: Hello. Your father's potassium and creatinine levels are high. The breathlessness may be because of pulmonary edema. There is no specific medicine for these cases, as the best treatment is dialysis. Consider talking to your nephrologist to do the dialysis more frequently, since it seems to not be enough just twice weekly. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 6306, + "tgt": "Will having unprotected sex with dog cause rabies?", + "src": "Patient: Hello doctor, Since last year, I am having a lot of health problems such as back pain, fingers joint dull pain, chest inflammation, irritation at penile area, inflammation inside the penile hole, body irritation, body weakness, fever. I often do sense inside my head, i.e., pricking with pins and needles and flu-like symptoms all the time. The reasons for the above-mentioned problems are due to unprotected sex with a creature (dog). Under the heavy influence of an alcohol, such a blunder was committed. I have an apprehension of contracting rabies from that encounter. Can rabies be sexually transmitted? Please suggest me what test should I need to do to rule out the above-mentioned symptoms. I have great hope in you as you are one of experienced and best doctor cum pathologist. Please advice me the test so that I can perform the test and revert it to you for treatment. Doctor: Hello. Rabies can spread sexually but your symptoms do not classically point towards rabies infection. The neurological symptoms like confusion, nausea, excess salivation, etc., are missing. So the chance of rabies is less as per my opinion. However, for rabies, testing multiple samples like saliva, spinal CSF fluid, etc., like examination are needed. You can rule out leptospirosis by serological ELISA testing as you have a history of sex with the dog. There are many zoonotic diseases which mean those infections which spread from animal to human. HIV also can be ruled out by ELISA testing. So your detailed evaluation is needed to do further work up. For primary work-up, you can investigate as follows. Blood pressure measurement, serum all vitamin B estimation, SGPT, SGOT, urea, creatinine estimation, ESR, full CBC, serum ionized calcium estimation, serum vitamin (OH) D estimation. You can revert back with reports. For your detailed physical examination, you need to consult nearby internal medicine specialist." + }, + { + "id": 19746, + "tgt": "Why am I not getting my regular second menstrual cycle after having sex?", + "src": "Patient: Hi doctor, Before two months, I had protected sex on the 13th day of the cycle, and my partner also ejaculated outside the condom. There was no leakage. I got my regular periods after a month. It started on the expected date and were slightly more massive. They lasted for the average duration, and the bleeding was also usual. But this month, I was waiting for the periods around the same day, but it was about seven days late now. Why am I not getting my second menstrual cycle regularly after having sex? I have white discharge and feeling of periods. But there is no bleeding. Why is it not arriving? I am worried. Can it be an ectopic pregnancy? If it is ectopic, how is it possible to get my periods after intercourse? What will the pregnancy results show now? Doctor: Hi. Since you have got your periods after intercourse, there is no chance of pregnancy. The delay could be because of hormonal changes. 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." + }, + { + "id": 12437, + "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": 276, + "tgt": "What is the reason for dripping of fluid from the stitches?", + "src": "Patient: Hi doctor, I had a C-section before a month. A few days after, it was found that the surgery site got infected with some discharge. All the stitches were removed and the site was irrigated and cleaned everyday for over a week with antibiotics. Two days ago, I went for secondary closure. A nylon thread was used and since then, the stitches dripping out some substance like a mixture of blood and a colorless fluid. We are cleaning the site with medical spirit till now. What is the reason for this dripping? Is it normal? Is that a sign of healing? Doctor: Hi. Revert back after a week to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2748, + "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": 15979, + "tgt": "After two years of facial hair removal treatment, my skin looks worse. What to do?", + "src": "Patient: Hi doctor, I used to take treatments for facial hair removal using a laser, microdermabrasion, and chemical peeling. I did these treatments before two years. My skin has become worse now. I have more dead cells in my skin, and I have darker looking skin. Even my lips have turned dark. My entire upper lip is black. I do not know the reason behind this problem. Do I have this problem due to the laser treatment or due to hormonal imbalance? I am taking medication for thyroid, which is normal now. I am taking Metformin for hormone regulation. I have facial hairs, and it grows faster. I have facial hair above the lips and chin. I use a razor to clear it. Please prescribe me ointments or creams to reduce the problem. Doctor: Hi. You are having hormonal issues. It could be the reason for having pigmentation and excess hair growth. Please mention about the steps taken to maintain the skin. Please send the images of the darkened portion of the skin. I can suggest some remedies after looking at the present condition." + }, + { + "id": 20901, + "tgt": "Can I take honey and chyawanprash for cough?", + "src": "Patient: Hello doctor, I have been suffering from a cough for the last two days. Irritation is there inside my neck. The cough is getting worsened day by day. I am drinking lots of water daily. Till now no medication yet. I am thinking to take one tablespoon of honey. So, I bought it today. Is it good to take honey and chyawanprash? Doctor: Hello. I have reviewed your query and here is my advise. Honey has a soothing effect and it can be taken. You can also mix half teaspoon honey and half teaspoon ginger juice and take it early in the morning. Your cough could be because of posterior pharynx irritation or inflammation. For that decongestant can be taken additionally. If you have acid reflux history then mention it. Salt water gargle can be done with warm water three times a day. You can also take one teaspoon of turmeric powder with milk daily." + }, + { + "id": 27745, + "tgt": "My father has persistent cough. He is unable to eat or sleep. Is it cancer?", + "src": "Patient: Hi doctor, My 62 year old\u00a0father has a cough since one month. It is a nagging cough which started after a fever. It is mostly dry, except for a colorless mucus which comes out sometimes. His CBC, blood test and chest X-ray were done last month and all were normal. He is right now on mild antibiotics and nebulizations. But, the cough still persists. He is unable to sleep and eat properly. He is taking medications for acidity and high BP. The doctor has advised him to repeat CBC and ESR this week. I am worried if it could be cancer. Doctor: Hello. Hope this information was helpful to you. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3878, + "tgt": "What does my PFT report suggest?", + "src": "Patient: Hello doctor, I had a PFT done. When I asked about the results my doctor said they were fine. That was not good enough. I have FEV1/FVC ratio of 64 %. Increase in residual volume to 156 %. What does this mean? My echo is with EF of 50%. I am a 31 year old, non-smoker. I am a wildland firefighter. I am 6'2\", overweight and I have pitting edema in my legs up to my knees for about 3/4 inches deep. I have been using Albuterol every 30 minutes or so for about six months now. Every day is worse and I am so exhausted. I cannot exhale. I am air hungry, but too full to inhale. Sometimes I have a bitter, thick clear jelly when I cough up. There is no pus, green or yellow though and it is somewhat like a sticky jelly. I am currently taking Spironolactone and Advair. Please help. Doctor: Hello. Thank you for writing your query elaborately. Allergy. Avoid known allergen. For further information consult a pulmonologist online.---> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 8617, + "tgt": "What causes frequent colds?", + "src": "Patient: Hello doctor, 1. Why we are getting frequent colds? 2. What can be done to reduce the amount of colds we are getting? Doctor: Hello. There are several causes of getting frequent cold. Some of them are as follows. 1. Increased sensitivity to allergens like pollens, dust, smoke, cold drinks, soft drinks, etc. 2. Reduced body immunity levels. 3. Getting infection like bacterial and viral. 4. Nasal deformities like nasal septam deviation 5. Eye disease related to the nasolacrimal duct. These are some causes which associated with recurrent cold. To manage such kind of issues needs to protect themselves from allergens, which aggravate the cold. Avoid taking heavy meals, alcohol, heavy exercise, coitus, smoking, etc. Need to improve body immunity with the help of yoga and pranayama as well as a food supplement. Take medications like anti-inflammatory, anti-allergic to resolve the condition." + }, + { + "id": 19096, + "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": 5423, + "tgt": "I am 47 years old and getting only 50% of erection. Will I be able to have a child?", + "src": "Patient: Hello doctor, I am a 47-years-male. I am still unmarried and virgin. I am struggling with a humiliating problem and unable to contact any andrologist directly. Hence, I am humbly requesting your kind help with your valuable advice. When I was 27, I was unable to get sexual erection though impulse was there. I contacted a local urologist, he gave me Papaverine injection to my penis and advised to use Libidol tablets at that time. I did not find any improvement. Later, I approached a famous sexologist in our city. He said nothing is wrong in me and wrote Mustang, Alprazolam and Fluoxetine tablets. Accordingly, I used, but no result I observed. My sister is a gynecologist and I gone through her old medical books for sexual impotence and gathered some information on various tests. Later, when I was 29 years, again I met the same urologist and expressed my willingness to go for a Doppler ultrasound test and attended, which revealed that there was arterial insufficiency. Basing on the report, the urologist suggested me to go to a particular place to approach famous andrologist there. I went and met the andrologist. He conducted the Rigiscan test for two days and gave Prostaglandin E1 to my penis and injected some distilled water into my penis through the machine for maximum enlargement of the penis and suggested me to use simply Nuzak capsules (Fluoxetine content) without saying any further. Again I approached our local famous sexologist and showed the reports. He said nothing wrong with me. I asked him whether to go for hormonal tests also. Based on my interest, he suggested me to go for FSH, LH, serum prolactin and testosterone tests. In that hormone test, he identified that the serum prolactin level is more than the specified range (around 1%) and hence suggested me to use Proctinal tablets half tablet a day for 30 days. I followed his instructions accordingly and after some time, I observed good and long-lasting erections and maximum enlargement of the penis when attained erections. Sometimes, due to foreskin, a little bit of discomfort also caused when penis maximum enlarged due to erection. I used to get excellent erections both day time and night time. As I said, still I am a virgin and whenever I failed to control myself, I used to do masturbation. But within 30 minutes, I used to get excellent erections further. This was happened until I attained 43 years. Later, there is a gradual change and now not getting day time erections and during night sleep. I observed though there is an erection, I am getting around 50% hardness only and not getting good erection and maximum enlargement of penis as earlier. I do not have any sugar or BP issues. I never took alcohol and I am purely vegetarian. Now I am getting pressure for marriage. I am unable to take a decision whether to go for or not keeping in view the sexual erection problem. I do not know whether I can make happy of my lady and give birth to a child. I saw that Aswagandha capsules boost sexual erections and hence using for the past one month. Also read in websites that horny goat weed (750 mg) with maca (150 mg) also gives good results in correction of erectile dysfunction and hence, recently bought one and using for the past one week one tablet per day. Some websites also suggesting to use Pycnogenol with L arginine for good erections. However, I would like to have a specialist consultation. Hence, could you please help me by guiding the way I have to follow to get rid out of this embarrassing problem? Also, suggest to me whether horny goat weed with maca is good or bad. If any medication is suggested, I can follow it. Earlier, I gone for self hormonal tests and found all FSH, LH, serum prolactin and testosterone were within the normal range. If you need any more clarification, I can provide you. Could you please also guide me till what age, a person gets strong erections to perform sexual inter course? Doctor: Hi. I have read through your query in detail. Please find my observations below. The normal prolactin levels in males are 2 to 18 ng/mL. If your latest prolactin levels are in normal range then it is acceptable. You have mentioned earlier that there was arterial insufficiency due to which there was no proper erection. It is important to know if there is any persisting arterial insufficiency right now. If it is found then this should be treated first. Surgical treatments are available but non-surgical treatments should be first applied. Following treatment guidelines might be of help to you. Please note that every treatment might not bring about a good results in every patient and one or more treatment options should be used to watch for positive outcomes. The treatment for erectile dysfunction is the following. 1. Life style changes including a healthy diet, free from mental stress and avoiding alcohol and smoking. 2. Physiotherapy and sex therapy (this is only for those who are in a relationship). 3. Any androgen deficiency due to age is to be corrected. For this testosterone levels are to be measured and medicines like L-carnitine or DHEA (dehydroepiandrosterone) are given. 4. Phosphodiesterase type 5 (PDE5) inhibitors like Sildenafil, Vardenafil or Tadalafil might show positive results when given in the recommended dose. 5. If there is hyperprolactinemia then medicines are there to reduce prolactin level. 6. If above does not work then intracavernosal injections might help under medical supervision. 7. The transurethral administration of Alprostadil (Prostoglandin E1) gel also helps many patients. 8. There are special vacuum devices which can be used with intracavernosal injections or PDE 5-inhibitors. 9. Ligation of penile veins and arterial revascularization are the surgical methods used. It is important to know that please try the above methods of treatment under medical supervision one at a time and know which is the most suitable treatment. The sexual performance of a male decreases after 40 years and is more on decline after 60 years. At 47 years, you should get a semen analysis done to know the quality of sperms produced and if it is favorable for pregnancy. The choice of adoption of children is always there if you are not able to have children in the natural method. I hope this helps." + }, + { + "id": 21020, + "tgt": "My father has fever with pain in the abdomen below the lungs. What is the cause?", + "src": "Patient: Hi doctor, My father is 56 years old. He is a diabetic patient. He has a frequent low-grade fever associated with pain in the right side of the front abdomen starting just below the lungs. He also had significant weight loss in the past two months. He has also developed a breathing issue suddenly while talking and gets tired easily after performing minimal tasks. He was recently admitted in a hospital where he underwent all the necessary tests and the USG of the whole abdomen which reported a SOL of size 42 \u00d7 35 mm in the right upper lobe of the liver and no other complexities. Further, he has taken a CECT scan where the report came as mild pleural thickening and minimal effusion seen on the right posterior costal wall of lower thorax and a SOL of size 10 \u00d7 9 \u00d7 11 cm which is hypodense in nature having a rim and a centripetal enhancement seen in right lobe of liver devoid of calcification or cystic or necrotic degeneration in the right lobe and the radiologist commented as the nature of the SOL suggestive of hemangioma. He has undergone an AFP (alpha-fetoprotein) test which gave a reading of 1.28 ng/mL. Also, he had a serum ferritin reading of 864.5 ng/mL. He has also undergone colonoscopy due to occult blood in stool and was found alright. He is discharged from the hospital with some medication. Please guide me with the further procedures as he is still facing issues with his health. Doctor: Hi. Sorry to hear about your father's symptoms. I have checked the attached photos thoroughly (attachment removed to protect patient identity). I agree that his symptoms are due to SOL (space occupying lesion) in the liver which is most likely a hemangioma. I will reassure you that the lesion is not malignant. However, a ruptured hemangioma is a severe condition. Most of the cases, there is conservative therapy for treating the symptoms. It is followed by repeating the ultrasound after one month, three months and then every six months to identify any increase in size. Usually, lesions less than 6 cm are treated conservatively. Surgery is the treatment for the lesions more than 6 cm, rapidly growing lesion, ruptured hemangioma or severe uncontrolled symptoms. I recommend Paracetamol for the pain and fever. Please send me the CBC (complete blood count) report to exclude the ongoing infection." + }, + { + "id": 29730, + "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": 29102, + "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": 18984, + "tgt": "Will prostate enlargement improve with alpha-blockers?", + "src": "Patient: Hi doctor, I have enlarged prostate. Also, my blood urea and creatinine have increased. Will it improve with the treatment of alpha-blockers (Tamdura)? Doctor: Hi. USG KUB, DRE and PSA. 1. BPH (benign prostatic hyperplasia). 2. Hydroureter (dilation of ureter) or hydronephrosis. BPH. Urological intervention. 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": 19385, + "tgt": "Can I go for LASIK with high astigmatism?", + "src": "Patient: Hello doctor, I have -2.5 cylindrical in the right and -4 in the left eye and SPH is 4.75 in the right and 5 in the left eye. Can I go for LASIK? Will it be successful as I have high astigmatism? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13081, + "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": 19301, + "tgt": "I had some tests for my irregular periods and would like to have an overview of it", + "src": "Patient: Hi doctor, I am a 28 year old married female. My weight is 63 kg and height is 5'1\". I have a problem with irregular periods. I was on Ovral L tablet for three months and my periods were regular until last month. Again, I did not have a period of this current month. \u00a0I had some\u00a0tests, and I\u00a0would like to have an overview of it. Doctor: Hi. I have gone through your query and images (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": 1474, + "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": 12126, + "tgt": "Missed periods and pregnancy test is negative. Kindly advise", + "src": "Patient: Hello doctor, I missed my period last month and after the first late day I took a pregnancy test and it said not pregnant. So I waited for a few more days to go by to take another and it said positive so from that day I scheduled a follow-up appointment and when I went to get an ultrasound they told me that there was nothing there. So she predicted that I may be early, so she used the camera and she still did not see anything. She told me to undergo a urine test and it came out negative meaning I am not pregnant. I left there and took another test at home and it said negative. It has been a whole month and I still do not have my period. What could be wrong with my body? Doctor: Hi. Have you done the blood pregnancy test (hCG)? It could have been a chemical pregnancy meaning non-viable early pregnancy. You can take medicines for withdrawal bleeding like Norethisterone 5 mg twice a day for five days. You will get periods after you stop the medicine. The bleeding might start by 4 to 14 days. Did the radiologist mention the endometrial thickness?" + }, + { + "id": 29793, + "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": 20359, + "tgt": "I have lost my tooth filling. Can I have a new filling or a crown?", + "src": "Patient: Hi doctor, I have lost a filling present on my bottom left tooth next to my wisdom tooth. Some portion of the tooth has broken away. I do not have pain in that tooth now. Is it right to have a new filling on that tooth or can I have a dental crown on that tooth? Is it possible to have a crown on that tooth? Is it a complicated procedure? Doctor: Hi. A filling can be placed again, and the tooth is contoured correctly. A composite can be used to build the tooth and then the tooth can be contoured adequately. Then a crown can be placed. If the tooth is not broken much, then a cutting can be done, and a crown can be placed. If the crown of the tooth is broken more, a post and core can be used. All these measures are taken depending on the status of the crown structure. These measures are entirely noncomplicated and can be done without a problem. Please send a photograph of the tooth. It will be easy for me to guide you. If there is no pain, then it is easy to fix the problem." + }, + { + "id": 23976, + "tgt": "I do not get erection needed for sex. Kindly advice", + "src": "Patient: Hello doctor, I am 34 years old (weight 78 kg), married, and my height is 5 feet 11 inch. I feel lack of libido during sex. During sex, I do not feel excited enough and do not get erection needed for sex. I use my hand and erotic thoughts to get the erection first and complete the task somehow as we are planning for a child now. However, after four to five days of daily sex, even this process fails and my desire is lost. I take Revital-H daily. I do not take or have taken any other medicine for this problem. Kindly advice. Doctor: Hi. The causes of these symptoms are multiple including medical conditions as well as psychological in nature. So, we first need to rule out the medical conditions that may be responsible for these symptoms by some investigation such as blood sugar, thyroid function test, serum testosterone, prolactin level and routine blood count as a minimum investigation and also get the semen analysis done. For this, you need to consult a psychiatrist or urologist in person so that he can examine you and advise necessary investigations that may be required. If there is any abnormality detected in these investigations then management includes treating the underlying cause. If everything comes within normal range, then a drug like Bupropion and PDE (phosphodiesterase) inhibitors like Sildenafil or Tadalafil are helpful to manage libido as well as erectile dysfunction. Multivitamin supplements are also helpful to some extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, spend some good time with partner and spend enough time during foreplay. For this, you can take a vacation during a weekend and visit a place you had enjoyed earlier. Avoid any use of alcohol, tobacco or any other substances, and if taking currently then stop. Do regular exercise and get adequate sleep. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11389, + "tgt": "I had circumcision two months ago. How long will it take for the swelling to subside?", + "src": "Patient: Hello doctor, I had circumcision two months ago and still have swelling around my penis. I did a CBC and urine test last week, and all came back normal. The doctor last month said all the incision have healed. Will swelling last this long? How long will it take for the swelling to disappear? Should I be concerned? Will night erections affect healing? Doctor: Hello. The healing looks fine (attachment removed to protect patient identity). The swelling is mostly an extra skin that is bunching up in a non-erect position. When you have an erection, it might be less prominent. If all excess skin were removed, sometimes there would be pain during erection due to the stretching of the skin. I think things will be fine in about another month. Night erections will not affect healing." + }, + { + "id": 25229, + "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": 15895, + "tgt": "Why is there pain in all muscles and joints of the body?", + "src": "Patient: Hello doctor, I am a 41-year-old male. My blood and urine tests are normal. However, I am experiencing tender muscles all over the body. Both in legs, feet, and arms and wrist. I have tried various treatment to treat each one of the individual issues like physical therapy, chiropractic, massage, etc. However, I am concerned that there might be an overall systemic issue. This has been going on and off for the last 10 years. It is primarily a muscle tenderness and pain issue. I have sensitive spots all over the arms and legs. More recently I have joint pain as well (some in knee and thumb, however, this is only for the last year). However, the muscle tenderness has been around longer. I have moderate anxiety (OCD) and mild sadness or depression as well. I also have dust allergies. I had a consultation with a Rheumatologist here and we suspected that it might be fibromyalgia. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity) and found nothing significant. First of all, you need to understand that if any small pain exists in our body for more than three months, then there is also an involvement of psychological factors which reduces our threshold of pain. You need to answer a few of my questions so that I can help you better. What do you do for your daily living? How much physical activity is there in your daily life? How many family members you have in your family? How is your threshold of irritability?" + }, + { + "id": 4024, + "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": 6564, + "tgt": "Is it possible to cure eye focus problem in a child?", + "src": "Patient: Hello doctor, I want to know if it is possible to correct the eyes of a child that does not focus properly. The condition is when the child is looking straight, the eyes appear as if it is looking elsewhere. Doctor: Hello. Your child has squint eyes. This can be due to multiple causes. 1. Refractive error or glass number. 2. Congenital squint due to neurological issues. 3. Retinal or optic nerve pathology. Kindly get your child evaluated from a pediatric ophthalmologist. Initially, they will prescribe glasses and then observe. Occasionally patching therapy may be recommended. If the eyes fail to align after a few months of therapy and after ruling out all treatable causes of squint, surgical correction of squint may be undertaken if needed and desired by parents. It will help if you post a picture of the squint so better guidance can be provided." + }, + { + "id": 20957, + "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": 8900, + "tgt": "What does tear drop cells in CBC report indicate?", + "src": "Patient: Hello doctor, I just saw your pin about tear drop cells. I am trying to understand the meaning of this. Recently my 4 years old son had a CBC and the RBC was abnormal, he has tear drop cells 1+, schistocytes 1+, crenated cells 1+, stomatocytes 1+, schistocytes 1+, macrocytic 1+, microcytic 1+, poikilocytosis 1+, anisocytosis 1+. Please help me to understand this. Doctor: Hello. The presence of crenated red blood cells, schistocytes, tear drop cells and stomatocyte is suggestive of hemolytic anemia. The G6PD deficiency, spherocytosis, immune hemolytic anemia, etc., are some of the causes for that. Microcytes and macrocytes could be due to anemia. It is called dimorphic anemia which might be due to iron or B12 deficiency. I suggest you investigate further with full CBC, reticulocyte count, serum LDH estimation, DCT for primary work up. You can Consult a nearby pediatrician for detailed evaluation." + }, + { + "id": 4065, + "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": 20190, + "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": 24261, + "tgt": "Why are there gray spots between the teeth?", + "src": "Patient: Hello doctor, My daughter is having a strong toothache. I looked into her tooth and found something gray in between two of her upper teeth. It looks awful and I do not know what it can be. Doctor: Hello. I have viewed the image (attachment removed to protect patient identity) and the pain is appearing to be due to tooth decay. Consult a dentist and get examined, also get an X-ray done. If the decay is not reaching the nerves then a filling is sufficient. If the decay is reaching the nerves, then pulpectomy has to be done. For now, you can give Ibuprofen to reduce pain. Consult her specialist doctor, discuss with him or her and start taking the medicines with their consent. Hope this helps. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25179, + "tgt": "Does eating neem leaves affect HIV window period?", + "src": "Patient: Hello doctor,I went to a barber shop to get a haircut. I got a small cut on the back of the ear from a used blade. So, I was very worried. I tested for HIV CMIA combo after 55 days. The result was 'non reactive' and again HIV test ECLIA combi Ag/Ab after 95 days. The result was 'non reactive'. My question is, I have been eating Azadirachta Indica leaves continuously for two years on waking up every morning. Does eating Azadirachta indica leaves affect HIV window period? Doctor: Hello. I have noted your concern. There is no risk of HIV due to a cut from a used blade even if it was earlier used on an HIV positive person and had his infected blood on it. This is because the HIV virus is very fragile and cannot survive outside the body for more than a few seconds. It dies quickly on drying. Moreover, your screening test for HIV CMIA combo result at 55 days is conclusive. This test has a short window period of two to three weeks and it is considered conclusive at six weeks (45 days) as recommended by CDC. Consuming neem leaves does not interfere with the test result. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 57, + "tgt": "I have on and off chest pain radiating to neck and jaw. Please interpret my ECG", + "src": "Patient: Hello doctor, I have chest pain for more than one month, on and off radiating to neck and jaw sometimes. I also get pain in both shoulders sometimes. I am diabetic and hypertensive. Please explain my ECG reading. I am currently on Irbesartan and Metformin. Doctor: Hello, Welcome to icliniq.com. Your ECG is fine (attachment removed to protect patient identity). There are no significant abnormalities seen in ECG (electrocardiogram). Machine generated report mentioned at the top is frequently inaccurate so not to get panic with it. Now in cardiac pain, the pain usually occurs on exertion and relieves with rest. This is very classical of cardiac pain if it persists for a few minutes and does not last round the clock more than 1-2 days. Now if the pain does not have such characteristic then it may either be related to cervical spondylosis or gastric reflux. If you have any bloating, burping, heartburn, or upper abdominal pain, then it may be related to gastric reflux. Or if this pain increases on neck movements, associated with tingling, numbness sensation in arms then it may be related to cervical pain. However, considering the risk factors like DM (diabetes mellitus), HTN (hypertension), it is better to rule out the possibility of cardiac pain. So you should undergo echo and if normal then treadmill test." + }, + { + "id": 9638, + "tgt": "My front tooth is cracked due to fall and the X-ray is fine. Will the cracked tooth fall off?", + "src": "Patient: Hello doctor,Three days ago, I fell on my face and cracked my right front tooth right in the middle, horizontally. You cannot see the crack with your bare eyes, but if you shine a light from the back of my tooth, you will see it correctly. It goes from the right to the left, and it stops two millimeters before the next tooth. I was scared, so I asked many dentists before going to an actual appointment myself.They said it was fine, that it is only on the outer layer. Then, I went to an actual dentist myself, and they did an X-ray test on it. Nothing appeared, and said I would be fine, but gave me no further details. I was still left wondering, is there any way the rest of the tooth will fall out eventually because it is very slightly sensitive to change in temperature. Doctor: Hello. It is one of the most common complaints in routine dental practice. The fracture (hairline crack) might be only in the superficial structure (more likely in enamel than in dentin) of the tooth and not in the pulp (since it does not hurt). It requires minimal attention, and no specific care is mandatory. You may use desensitizing gel (with potassium nitrate) for brushing and also for a massage before having hot, cold, sweet, and sour stuff. I hope it helps." + }, + { + "id": 21356, + "tgt": "Is it normal to have brown discharge 10 days after taking Unwanted 72?", + "src": "Patient: Hello doctor, I had unprotected sex on the 10th and had Unwanted 72 in less than an hour of having sex. And 10 days later, that is on the 20th, I am observing some brown and dark reddish discharge. Is that normal? Also had slight lower abdominal pain. Doctor: Hello. As you took the pill on time, there is no chance of pregnancy in your case. Delayed menses and these symptoms could be due to hormonal imbalance caused by the pill. Get your home urine test if you missed your period by seven days or more. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24559, + "tgt": "I took I-pill within 24 hours of sex and have vomiting and lower body pain. Kindly help", + "src": "Patient: Hi doctor, I had unprotected sex five days back. I took I-pill within 24 hours of sex (this was the first time). Now, I do have flow but no blood stains and following symptoms are there like lower body pain, unable to eat anything, as I vomit after eating anything (it started on the third day), and blackouts. Please let me know should I wait for two to three days more for the pill to show result or consult the doctor as soon as possible. Doctor: Hi. You may have stomach infection if you had unprotected sex before five days only because pregnancy symptoms do take times at least 20 days from unprotected sex to show up. Do urine pregnancy test to confirm after 20 days from the day of unprotected sex. Periods can delay due to I-pill. You may have bleeding within one or two days due to I-pill as withdrawal bleeding and stomach pain may be due to it. Drink more water. If the pain is non-bearable, then consult a nearby gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15320, + "tgt": "Had an allergy blood test. Are the numbers ranging between 0 and 0. 75 kU/L normal?", + "src": "Patient: Hello doctor, I just got results back from an allergy blood test. My specific allergy numbers ranged from 0 to 0.75 kU/L. My total IgE is 241 IU/mL. Does this total number indicate anything? Is the number high or low? Doctor: Hello. Let me help you. The IgE value is within normal limits. Moreover, the total serum IgE values are not very indicative, rather specific IgE levels are important. Specific IgE levels should be inferred in relation to the particular allergen. Each allergen level may be different. Currently, the most accepted form of testing allergy is the skin prick testing which is the gold standard. We do specific IgE blood tests only on those patients in whose skin prick test is contraindicated like pregnant ladies, etc. Your specific IgE levels need to be assessed in relation to the allergen. Can you share with us the whole report? Can you describe your symptoms to us? Have you had this problem since long? What medicines are you currently on? Are your problems seasonal or perennial? Is there breathing trouble or skin problems also?" + }, + { + "id": 29647, + "tgt": "I am experiencing headaches due to light sensitivity. Why?", + "src": "Patient: Hi doctor, I am a 20 year old female. For the past three months, I have been experiencing daily headaches, intermittent dizziness and vertigo, tinnitus and light sensitivity. I have received a diagnosis of a vestibular migraine and my neurologist reports down beating nystagmus while using Frenzel goggles and performing the Dix-Hallpike maneuver. My MRI is clear aside from sinusitis and all vestibular testing came back normal. I have just picked up on a very significant symptom that my neurologist is not aware of. In certain lights like fluorescent lights, if I close my eyes about 10-15 seconds, then my eyes begin jerking uncontrollably and my eyelids flutter or open and close uncontrollably. My eyes also move upwards and into my head during this. This lasts for about 10 seconds at a time, whereby it will calm down and start again at some point if my eyes remain closed. This does not happen when I am in a dark room (such as when going to sleep). I had never experienced this before the above symptoms started. I am wondering if this is a form of nystagmus or some seizure. Doctor: Hi. We are here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9556, + "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": 18180, + "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": 23931, + "tgt": "My pregnancy test remains positive after abortion. Why?", + "src": "Patient: Hi doctor,I had an early aspiration abortion two months back. They found two sacks and that were removed. Last week, I felt weird and took a pregnancy test. The test came back positive. I went into the doctor's office, and they did an ultrasound. They did find some leftover tissue that they removed, and no sack was present.\u00a0I am expected to take a pregnancy test tomorrow to confirm that it is negative. At this point, I am so nervous that it will come back positive. I am looking for a doctor's opinion to tell me the other options if it comes back positive.\u00a0Do I need to worry about an ectopic pregnancy? I have felt no symptoms, but I read that sometimes we do not feel any. \u00a0Anything you can say to help calm my nerves would be very much appreciated. Thank you. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23727, + "tgt": "Can vaccine after seven days of exposure help prevent chickenpox?", + "src": "Patient: Hello doctor, I felt the head of a young girl then hugged her for a second in the same room for three to four minutes. The next day, she broke out with chickenpox. What are my chances of getting the chickenpox and will getting the vaccine seven days later help me? Doctor: Hello. An infectious person becomes contagious one to two days before the actual recognition of chickenpox. The vaccine is more effective within three days. But can be given thereafter too. Any person can get chickenpox after 10 to 21 days of exposure. Chickenpox appears once in a lifetime. Usually, there is no second attack. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18798, + "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": 6197, + "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": 6683, + "tgt": "What can cause itchy bumps on penis that cluster together?", + "src": "Patient: Hi doctor, I am 29 years of age. I had unprotected sex and I am having sex with the same partner for more than a year and a half. Suddenly, I got itching sensation and found that I have got itchy bumps on my penis which started clustering together. Later, it healed automatically. I also found when I run or walk a long distance and feel sweaty, I feel the sensation and I get the bumps again. These bumps are small and shiny at the tip and often get clustered and gets healed. It does not give me a problem but I really feel demoralized and unfit. I do not have these problems regularly. Also for a long time, I have itchy inner thighs because of which my skin turned blackish white and is still itchy. I am not sure whether I am infected. Please suggest me the solution to get diagnosed. I can provide pictures if required. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You have genital molluscum contagiosum. It is an STD (sexually transmitted disease). They can be removed with electrocautery or radiofrequency cautery. Itchy rashes are due to fungal infection. I suggest you apply Candid-B cream, twice daily. You may also take a tablet Cetirizine 10 mg once daily for symptomatic relief from itching. Regards. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 11082, + "tgt": "I got myself tested as I had a blood transfusion before six years. Please explain my report", + "src": "Patient: Hi doctor, I had myself tested because I have had a blood transfusion before six years and visit many hospitals for my job.\u00a0I have no symptoms.\u00a0I just went to the laboratory and did not understand my results. Can you interpret them for me? Also, can you explain the cut-off value?\u00a0Thank you. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12259, + "tgt": "How can tooth sensitivity and bad breath be cured?", + "src": "Patient: Hello doctor, I am feeling sensitivity in my teeth and my mouth smells as well. What should I do? Doctor: Hello. As stated by you this seems to be the case of gums disease commonly called pyorrhoea. There are different reasons of teeth sensitivity. Most commonly sensitivity to all teeth and bad smell from the mouth is caused by gum disease gingivitis or periodontitis. Other cause for sensitivity can be a generalized teeth erosion resulting due to gastroesophageal reflux in which due to acidity, the outer layer of teeth is washed off by acid. This also causes a foul smell. OPG (full mouth X-ray). Generalized teeth erosion due to GERD. Chronic generalized periodontitis. Treatment planning would depend upon the cause. Avoid having very hot or very cold food and drinks. Mention the history of chronic acidity and gastritis. Send an image of the oral cavity (mouth) for better and specific treatment planning." + }, + { + "id": 22550, + "tgt": "Does I-pill cause delaying of periods?", + "src": "Patient: Hi doctor, I had sex on the day before yesterday and took I-pill yesterday. Is there any problem? Doctor: Hi. You have taken an emergency pill within 72 hours of intercourse, so there is no chance of pregnancy. The I-pill will be effective for 72 hours of intercourse. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1029, + "tgt": "What are these white spots on my tongue?", + "src": "Patient: Hi doctor,I have some white spot on my tongue. I researched on the internet and it looks like white oral cancer lesion. Any of your thoughts will be appreciable. I have attached the pictures for your reference. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4471, + "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": 24269, + "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": 9699, + "tgt": "Suffering from autophony. Will tuboplasty provide a permanent relief?", + "src": "Patient: Dear doctor, I am a 19 year old male. From the last three years, I have been facing the symptoms of Patulous Eustachian Tube with the eustachian tubes partially open few times in a day. My own voice becomes distorted and sounds like it is coming from a vacuum. Breath sounds are enhanced and swallowing and chewing becomes disturbingly loud as they vibrate inside my own ears. I had previously consulted a doctor and after following his medication there was a temporary relief but after 3 to 4 months, those symptoms have again started occurring but not severe and, it occurs for a short time and when I suck air by closing my mouth and nose, the heaviness of sound diminishes. The problem with my left ear is more severe than the right one and left ear shows disturbing signs more frequently. Please help. Doctor: Hi. I feel a naso and otoendoscopy is first necessary to confirm the diagnosis. The condition is not dangerous unless it leads to some middle ear problem. If you can manage by doing a manoeuvre like how you described, it might help in symptom control and you may not need any intervention. Tuboplasty can be done for this condition but the diagnosis has to be established and assessed before attempting anything. Revert back to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18469, + "tgt": "What is the role of calcium in blocking blood vessels?Is it reversible?", + "src": "Patient: Hi doctor, My medical condition, background information, current lifestyle and medications are as follows: My cardiac calcium score was over 4,500 before four years and is now over 9,400. Angioplasty before six months revealed mid right coronary artery stenosis of less than 50% and diffused LAD 20%-30% but no focal stenosis visualized. It also shows large diagonal branch from proximal segment of LAD with stenosis of 60%-70%, left circumflex artery with 30% of stenosis at the ostium and 30%-40% of stenosis on its proximal segment and one\u00a0large obtuse marginalo visualized without significant stenosis. RCA is large and dominant. In mid distal segment of RCA there is 70% stenosis. There is moderate degree of calcification in proximal RCA.\u00a0Left ventriculogram showed estimated ejection fraction of 60%-65% with no significant wall motion abnormalities.\u00a0During angioplasty interventionist was unable to place a stent and said RCA was like cement. Subsequent cardiac calcium scan revealed left main and LAD 1575, LCX 1276, RCA 6589.\u00a0In pericardium there is no evidence of calcification or effusion. Enlargement of ascending aorta is 4.3 cm. I am asymptomatic. I use to do exercise daily and have a pretty good diet.\u00a0I do have minor ischemia. I stopped taking calcium supplements after the angioplasty. I take 400 mg of Magnesium glycinate daily, 5000 IU of vitamin D about 4 times a week and 45 mcg of vitamin K2 daily. I use a transdermal Magnesium chloride spray (EASE) on the chest area daily. I am taking a variety of supplements including Omega 3, vitamin C, CLA, L-Camatine, Ubiquinol, Strontium for my senior osteoporosis, Pycnogenol, Mycophyto (combination of 6 mushrooms and garlic).\u00a0I am also taking medications which include Plavix 75 mg daily, Verapamil ER 300 mg, Simcor 500/20 mg and Aspirin (enteric coated) 81 mg. I have been told by three cardiologists that calcification is irreversible and probably genetic. My questions are, Is cardiac calcification an irreversible condition? Does any significant (and accessible) studies prove that? Whether addition of crystallized Magnesium chloride is helpful for decalcification process? If so what\u00a0are the other forms of magnesium can I take along with it? Whether oral chelation (EDTA supplements) is safe and effective in decalcification and recommended doses? Do Aspirin and/or Plavix block GLA and cause calcification? I am pleased for your recommendation. Doctor: Hi. I 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. Cardiac calcification if not yet gone to the level of irreversible stage, can be reversed. But I want to add that we may prevent but not reverse the advanced calcification. Lot of researches available on this topic, some in favor and some against this school of thought. Dr. Dean in her Book The Magnesium Miracle says \"Crush a calcium pill and dissolve it in 1 oz of water, some portion will left over undissolved. Now take Magnesium pill, crush and slowly stir it in that water. Miraculously, undissolved calcium will start dissolve. Same happens inside human body\". Calcium and magnesium are important parts of the body and coronary vessels also have the same salts in it. Calcium if accumulated, Magnesium salts are used for dissolution of the calcium. Same is true with kidney calcium stones. Muscle spasms, hardened vessels in cardiovascular system and even weaker bones and dental cavities can occur if you have less magnesium in the body. Magnesium pushes the calcium in bones and teeth and blood is cleared of the toxic effects of the calcium excess. Bone mineral density is actually under the control of magnesium, not calcium. Very authentic studies have shown all the benefits of the magnesium usage for calcification reduction. The level of your calcification and the triple vessel disease which you have all made the three cardiologists more justified to say it is irreversible. But let me add that it will stop it here (if not genetic predominant) and further calcification will be lowered. Yes, crystallized Magnesium chloride is beneficial. But should not mix it with other forms of Magnesium. This is a good salt and take it alone if prescribed. But you are already taking a good form and that is Glycinate. Yes, EDTA (chelation) supplements are effective to some extent. They actually bind to the extra salts including calcium and chelates them and saves body from side effects and toxicities of overload (orally one capsule a day). No they do not block Gamma-linolenic acid (GLA). There is not much research done and a little data available on this issue. But I usually say that whatever Aspirin/Plavix do to the GLA, they are inevitable and the benefits overweigh the risks. I need some answers, to assist you better. 1. Have you been prescribed Magnesium Chloride (crystallized) and EDTA supplements? 2. Which joints are mainly involved in osteoporosis? 3. What is your lipid profile levels? 4. Are you diabetic and taking medications? But I cannot see about it in the history. 5. How much remains your blood pressure? 6. Do you take some dietary fiber supplement? 7. How much water do you take daily? In a follow up query, please do answer these. Revert back with answers to the above questions to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6412, + "tgt": "I had a fall and got a bruise under the knee cap. Please advise", + "src": "Patient: Hello doctor, Yesterday, I went hiking and was running down a cliff. I was going too fast and landed on both my knees. They looked deformed and have bruising and swelling around the knee cap, on the knee cap, and under the knee cap. One of them has a big looking bruised ball under the knee cap. What should I do? Doctor: Hi. From your description I gather you have had a nasty fall on both your knees with one being more swollen than the other. You have not mentioned but I am assuming that you were able to stand and walk after the fall and did not need to be carried back. Also, assuming you are young and fit, you have not said anything about your age. The correct course of action will be to take an X-ray of the knee which had swollen up like a balloon. This is to be on the safer side. I will also recommend resting the knee till the swelling comes down enough to allow you to start bending it comfortably. Apply ice, put a compression dressing and take some anti-inflammatory medicines. If the knee shows no fracture on X-ray and you continue to have feeling of something not quite right, MRI will be required to rule out a ligamentous injury." + }, + { + "id": 30161, + "tgt": "What should I do to improve my son's concentration in studies?", + "src": "Patient: Hi doctor, My 14 year old son cannot concentrate on studies and struggling in school. He is nervous and shaky, especially in school. He scored 65% overall and 85% in his favorite subjects. He reads a lot of story books. We went to a psychiatrist last year and he said that my son is suffering from anxiety and gave Sertraline 50 mg initially, after 15 days increased the dose to 100 mg and after six months, he increased it to 150 mg daily. He was taking 150 mg of Sertraline for the last eight months. His anxiety gone, but there is no improvement in concentration and studies. He feels tired after 10 to 30 minutes of study. So, he struggles a lot in school. He is a quiet and shy boy. Please help him. There is no assessment done yet as he refuses to go for that. He says that he does not need that. He writes very good English and solves many computer science related issues, but his score is very poor in other subjects. I do not understand what is wrong with him. Is it good to give the medicine to one and a half years? Is that affecting his intelligence? In lower grades, he used to score 80% to 90%. So, he himself worried about his poor marks. He wants to study well, but he is not confident to manage his curriculum. What should I do? We always encourage him and do not stress him on marks. His birth was normal and there is no family history as such. Though he afraid of his father as he gets angry, he has a good relation with him. But he clings to me more. He has very good bonding with his elder sister. He also had a counseling session for nervousness. He had an MRI of brain, blood sugar and EEG. Everything was normal. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 19456, + "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": 2766, + "tgt": "I have swollen joints, hands and feet with pain post fever treatment. Why?", + "src": "Patient: Hello doctor, I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature of 38.1. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 39 degrees C. They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 37 but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 36.3 C. I am just worried about my swollen feet and hands and the pain is troubling. I am currently takin Biogesic Paracetamol. Doctor: Hi. Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal?" + }, + { + "id": 12680, + "tgt": "What does my blood report after jaundice indicate?", + "src": "Patient: Hello doctor,I am suffering from jaundice for last one month. My current bilirubin is 3.1, SGPT 72.4, SGOT 45.8. Can I join the office after four days of bed rest? Doctor: Hello. To answer your question specifically, it is not advisable to go back to work. I have seen your LFT blood reports which are not elevated too high (attachment removed to protect patient identity). I would like to know if you had done any other blood test, urine test or ultrasound abdomen because in jaundice, it is important to treat the underlying cause for it. It might be due to alcohol consumption, smoking habits, liver disorders such as acute or chronic hepatitis, etc. Some complications of jaundice you have to be aware are anemia, bleeding, chronic hepatitis, etc. If you are not vaccinated for hepatitis B or C, please take those vaccines also. If you are taking any tablets for this jaundice, please continue it. If you have not seen any doctor so far, I would highly recommend you to see a doctor first. Try to avoid alcohol or smoking habits, if you are used to it at once. I would recommend you to undergo a further investigation to know the root cause for your abnormal LFT blood test. Alcohol, smoking, acute hepatitis. CBC, urine analysis routine, urine ketones, serum electrolytes, ultrasound abdomen, X-ray chest, and abdomen. Acute hepatitis, fatty liver. Acute hepatitis. I would suggest treatment after seeing the further blood tests advised. Avoid alcohol and smoking strictly. Try to follow up after doing the above investigation advised and list any complaints if you have." + }, + { + "id": 4999, + "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": 5449, + "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": 482, + "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": 220, + "tgt": "My period used to be regular, but has got 7 days earlier this time. Why?", + "src": "Patient: Hello doctor, I am a 42-year-old female. I am facing unexpected suddenly bleeding from yesterday. My periods are expected on 20th and it is always too regular, date to date. I want to point out my periods discharge is always thick, clotty, and very painful for four to five days. This is the first time, it is seven days earlier with no indication, no pain, and no clots too, but feeling heavy in the lower side and painful urine infection. I am also facing itching in that area. Today I consulted a gynecologist in my area. She suggested Pause 500 if needed and also suggested Codex CZ for 15 days. She said not to worry, it may be regular periods. If bleeding continues for more than seven days then go for USG. Please give your advice. Also, I am hypothyroid for the past 16-17 years and taking Eltroxin 100 mg. Doctor: Hi. The medicine your doctor has prescribed is good. Take tablet Pause 500 mg (Tranexamic acid and Mefenamic acid) thrice a day for five days. I hope your doctor also did a vaginal examination and had a look at your cervix to see for any lesion. Though mostly hormonal it may sometimes be due to cervical disease or cancer. If she has not done a vaginal examination I suggest you go to it. Also, recheck your thyroid levels to see if any dose change is needed. Go for an ultrasound seven days prior to your next expected period. It is called a premenstrual ultrasound pelvis. Test for FSH (follicle-stimulating hormone) and LH (Lutenizing hormone) too on day two of your next periods. Consult again with reports." + }, + { + "id": 12656, + "tgt": "What causes sensitive and burning eyes?", + "src": "Patient: Hi doctor, On random days, typically after a long sleep, I will wake up and put in my contacts, and they feel perfectly normal. Then when I go into sunlight, my eyes become sensitive and begin to burn. The burning gets progressively worse, even with a hat or sunglasses. Once this happens, I go home and remove my lenses and rinse my eyes with eye drops. However, they continue to burn. They look very red, irritated and are not improving at all. What causes this? And how do I treat it? It happened probably three times in the last five months. Please help me. Doctor: Hello. The symptoms which you have is usually seen in patients with dry eyes. It often presents with dryness, grittiness, irritation and burning sensation which goes down after washing the face. The best way to treat simple dry eye is to use over-the-counter lubricants, for example, Carboxymethylcellulose acetate 0.5 percent eyedrops. Also, make a conscious effort to blink more frequently. Also, give a \"contact lens holiday\" for a few weeks. If you cannot do without your lenses even for a few weeks, then use drops called Genteal gel (Hydroxypropyl Methylcellulose) or Systane eye drops. These two can be used over contact lenses. Hope this helps you." + }, + { + "id": 10956, + "tgt": "Kindly explain the symptoms of ADHD", + "src": "Patient: Hello doctor, I think I have ADHD. I am a teen and cannot go to a psychiatrist as my family does not believe me when I tell them and even claim I pretend to have the symptoms. I think there is something wrong with me and want to know. Doctor: Hi. To answer your question regarding ADHD: Most people with ADHD will have displayed signs and symptoms of the disorder from a young age, usually before 12 years old. In this case your ADHD will usually have been noticeable and picked up by teachers or parents at a younger age. However, many cases can be missed and only picked up later. In this case I recommend referral to a general practitioner who can more reliably assess the situation. A referral to a psychiatrist can always be made, if necessary. This is also bearing in mind that there can be multiple reasons why you might find difficulties concentrating. Therefore, it is better to proceed slowly and start with a GP consultation before jumping into any treatment of ADHD which can involve powerful medications that can have serious side effects. A screening test for ADHD like the Conner\u2019s test filled in by both the child\u2019s teacher and parents. To be seen for a thorough examination by a family practitioner. If there is evidence of potential ADHD, then referral to a psychiatrist or child and a dole scent psychiatrist would be the next step. As per the findings of the GP or psychiatrist. The young patients symptoms should not be completely ignored and a proper thorough investigation should be done in order that something potentially serious is not missed." + }, + { + "id": 12911, + "tgt": "How can I close the gaps between teeth after orthodontic treatment?", + "src": "Patient: Hello doctor, I had braces on my teeth when I was 15 years old. Now I am 24 and I can see a lot of gaps developing between my teeth. Should I put on braces again or is there any alternative option that I should choose? Doctor: Hi. You must not go for conventional orthodontic braces treatment for such gaps, instead, you should go for clear or invisible aligners orthodontic treatment for it. In it you do not have to get bracketing done but only an invisible tray will be given to wear that will close these minor gaps. Once gaps are closed in 6 to 8 months then get fixed retainers at back of your teeth so your case may not get relapsed. I hope you will be clear about it now." + }, + { + "id": 8904, + "tgt": "What are the ways to reduce whole body swelling after bypass surgery?", + "src": "Patient: Hello doctor, I have an 80-year-old grandmother who went in for a triple heart bypass a year back. But she now suffers from swelling throughout her body. The diuretics will not help. How do we get this fluid out of her? Doctor: Hi. Getting rid of these fluids is dependent on knowing the cause of its accumulation. She may need to increase the dose or change to intravenous diuretics (to be taken in the hospital). We should check also protein levels in the blood and liver and kidney functions. Follow up with cardiologist. Treating the cause is mandatory to prevent further attacks." + }, + { + "id": 7918, + "tgt": "Though I experience pain on my head, why is my MRI normal?", + "src": "Patient: Hello doctor, I am 27 years old and have been experiencing pain for almost a year. I have developed anxiety and at times lead to panic attacks. My doctor\u00a0put me on Sertraline 25 mg. I took it once and never again. After this, I experienced weird symptoms with my head. I feel an electric shock like zap on the right side of my head, sometimes, rarely on the left and constant nerve pain on the right side of my head in one spot. I have the sensation like something is stuck in there and I cannot get it out as it is weird. The pain on the right side of my head started when I was driving home from work and my inner ear became really hot for some apparent reason and it has been going on for a year. Sometimes, it feels like my nerve is sizzling or hardening and the pain is worse with stress. Sometimes, I feel the pain in my upper gums, pressure on the bridge of my nose and above my eyebrow gets numb. I have had a normal brain MRI and now I am waiting for an appointment with a neurologist. What is your opinion? Doctor: Hi. I understand most of your symptoms. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17465, + "tgt": "How to deal with a person obsessed over a girl?", + "src": "Patient: Hello doctor, My 26 year old son has a very volatile open relationship\u00a0with a girl and they are basically friends with benefits. Her family does not like my son and forbids his access to their home. Due to some situations we got to know that she is seeing someone else too. As a result of which, the girl is asking our son to contact the other man to tell him to back off, my son has been threatened. Now we are concerned about his safety. My son has become obsessed over this girl and due to this there has been distance between us. He is not ready to listen to anyone and sometimes acts like a child. We do not know how to handle him now. We are worried because he gets depressed and we are concerned that there are chances he might hurt himself. Because of this problem, our relationship has got affected. We did take him to a doctor, but not of much help. Please help us with some solution. Thank you. Doctor: Hello. It is better that you are concerned about your son and you want to keep your family together. It is a good sign for a healthy family support. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15561, + "tgt": "What is the solution for burning sensation of eyes caused by dryness?", + "src": "Patient: Hi doctor, I have an issue of eye burning, and it occurs due to dryness in eyes. Please suggest a permanent solution for dryness. Doctor: Hi. The dry eye needs evaluation for identifying the cause of dryness. It can occur due to lifestyle changes related to excessive use of digital devices. It may also happen due to a drop in tear production which can be measured by Schirmer's test. It can also occur due to excessive evaporation of tears due to deficiency of the lipid layer, and it may be evaluated on slit lamp examination of the opening of your meibomian glands. I would recommend you see an ophthalmologist. If the cause is treated, the dryness reduces soon." + }, + { + "id": 9254, + "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": 13313, + "tgt": "Is it possible for a woman with bilateral hydrosalpinx to get pregnant naturally?", + "src": "Patient: Hi doctor, I am 28 years old and married. I am trying to conceive for the last four months but not achieved. I have done blood, all hormones and sugar test. They all are normal. But in TVS test, they have diagnosed that I have bilateral hydrosalpinx. From that, I am so tense. Could I get pregnant naturally? Please advise. Doctor: Hello. The ultrasound reports show that you have hydrosalpinx and bilateral endometriotic ovarian cysts (attachment removed to protect patient identity). Hydrosalpinx indicates a chronic pelvic infection which can be treated with two weeks course of antibiotics and endometriosis shall require GnRH analogues for six months to reduce endometriosis, post which a repeat ultrasound and HSG test would have to be performed to check for the latency of the tubes. The infection has to subside. You may follow up with all your reports." + }, + { + "id": 7840, + "tgt": "Does masturbation cause arm numbness and pain?", + "src": "Patient: Hi doctor, I have been masturbating for about 11 years and from a few weeks my right elbow started paining. Numbness had appeared recently. I am a software engineer and I am working with computer for the past 11 years. When I sleep on my back and have my forehands over my chest, they become numb sometimes. So during sleep, I have to switch pose. But in side pose also, if I have my hands bent the forehands become numb after a while. So, consciously I have to keep my hands straight. Apart from this, I also get some pain on my right elbow. Coming to my habits, as I am a software engineer I work about 14 hours on the system per day. I also used to masturbate daily by seeing porn in the mobile.\u00a0For this, I would lie on my back and hold mobile in front of me with right hand. This over time started to cause pain on my right hand especially at the elbow due to mobile weight.\u00a0Also, during long drive my right elbow pains and slight numbness felt now and then. It is not so much intense that I am unable to work, but it is disturbing and I do not know how to put them to rest. I read on the internet as it could be due to ulnar nerve and I seem to have subclinical hypothyroid. I am going to start taking thyroid tablet in the morning. Please help me for my pain. Doctor: Hi. I have read your question with care and understand that you have numbness of your hands when you sleep. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11877, + "tgt": "What causes blisters on the lip?", + "src": "Patient: Hello doctor, Last week I woke up with what appeared to be three to four tiny blisters on my upper left lip, outside of the mouth, not inside. I recently had a baby and have not left the house except to go to a dental appointment one week before developing these small blisters. I went to the doctor a few hours after finding the blisters, and she ran an Ig blood test which came back negative. I also had an HSV 1 and HSV 2 test done before seven months before giving birth that came back negative. So I know I was not a carrier of the virus. After seeing what could be the beginning of primary infection, my doctor prophylactically put me on a dose of Valtrex. Three days before we did a culture swab test which came back today as negative. My question is, are there any possible ailments that would closely mirror a cold sore? I understand that if my primary infection was only two weeks ago, it is possible that it would be undetectable in the bloodstream but I was surprised that the culture swab came back negative as well. Could this be because of the use of Abreva earlier in the day? The blisters never leaked much fluid, so it was quite hard to get a great sample on the swab. After a few days, the blisters never turned into an open sore, just slowly dried and tingled a little. At this point, they appear to be gone entirely. There was never any pain associated with the sore. Doctor: Hello. 1. There can be other skin diseases which mimic HSV 1 infection on lips, but still, it is quite characteristic clinically, things which can sometimes look like are paederus dermatitis, hand foot, and mouth disease, but it is seen usually in children and blisters elsewhere are also present. Candida can be there, but it rarely presents as blisters in adults. 2. To conclude the appearance is quite characteristic and your description of vesicles and their evolution looks like HSV. 3. The serology can take up to a month (average 2 to 4 weeks) to become positive after primary infection, HSV IgM will be detectable at that time in serum. So it might be one of the reasons for that. 4. For culture the sensitivity overall is 50 percent, that is 50 out 100 patients culture will grow the virus. Although in primary syphilis sensitivity is up to 80 percent. 5. When lesions start to heal it is difficult for a culture to get a positive result. Also, fluid will be required for it to be positive. Either fluid from blisters or erosions whatever is present. It will not come positive if the sample is taken from the surface of the vesicle. 6. My advice is to repeat serology after 3 to 4 weeks once again, and even if it is positive, you do not need to get frightened so much as HSV 1 serology is usually seen in 50 to 75 percent cases. It does not mean it will come back again, though being a carrier chance of spread is there somewhat." + }, + { + "id": 16420, + "tgt": "Will restoring diseased tooth cure periodontal disease?", + "src": "Patient: Hello doctor, I have periodontal disease and I do not know what had caused it. I do brush daily, floss and mouth wash. I even had those pink pill that showed if you brushed wrong and the results were perfect every time. So I am wondering what caused it. I do have a dead tooth. So I am wondering if I get that fixed, will my gums be healthier? Doctor: Hi. I have gone through your question. I can understand your concern. As per your history, signs, and, symptoms, it looks like you are having chronic generalized periodontitis. I want to know if you have any loose tooth or teeth, any systemic disease like diabetes, etc. If you are taking any drug for a headache or seizure? You need immediate hand scaling (oral prophylaxis) two three times in six months. Use mouthwash daily, brushing technique (modified Bass). You can take medication like Metronidazole 400 mg three times daily for a week if you do not have any allergic history to it." + }, + { + "id": 20491, + "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": 16132, + "tgt": "I weigh 100 Kg. Can I conceive?", + "src": "Patient: Hello doctor, I am 24 years old. My\u00a0weight is 100 kg and height is 158 cm. I have attached my laboratory reports. I am\u00a0presently taking Metformin 500 mg twice a day and Eltroxin 1000 mcg tablets.\u00a0I stopped taking the tablets two days before the test was done.\u00a0Can I\u00a0conceive with this weight? Doctor: Hello. Considering you are obese, hypothyroid and still on supplementation, it indicates that serum insulin levels are high (attachment removed to protect patient identity). Hypothyroidism and anovulation could be a concern and you may be experiencing irregular menses. You need to get a follicular study done for a cycle to check if your ovaries are producing quality follicles and if they are ovulating by midcycle or not. This can be achieved by transvaginal ultrasound. I hope PCOD has already been ruled out, which can further deter your chances of fertility. You should reduce your weight and aim at 70 kg, else you may always try assisted techniques of ovulation induction if there is any problem with ovulation. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19774, + "tgt": "Is it safe to continue homeopathic medicines for sebaceous granules on glans?", + "src": "Patient: Hello doctor, The sebaceous granules are found on my glans. I am using some homeopathic medicines to remove it. Sometimes redness is found on the affected area. Is it safe to continue these medicines? Doctor: Hello. I have seen your attachments (attachment removed to protect patient identity). Yes, these are Fordyce spots or pearly penile papule and these are harmless and also non-transmissible. The mentioned medicines may be correct if someone has prescribed you by asking you some questions which is called case taking. Because in homeopathy there is some difference, there is no specific medicine for disease, they are specific for a set of symptoms which includes your disease and your basic nature, behavior, liking, disliking as well. If you are taking these medicines yourself then please do not take them, they may harm you in some other way. There is a good thing with these spots that they are harmless and does not transmit if they are not genital warts." + }, + { + "id": 29296, + "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": 3112, + "tgt": "Can bipolar disorder cause increased anger?", + "src": "Patient: Hello doctor, I m female, 21 years old, 4.8 height and 42 kg weight. I am suffering from psychic problem. I think I have bipolar disorder, I get too much angry, anxiety,stress, and get depressed soon. I will break every object when I get angry I will become out of mind in that time, I broke more then 25 mobiles and other things and I repented for all that after some time but I cannot control that behavior every time I do that and I repent after some time. I am fed up with that. I tried commiting suicide also many times once I was saved in difficult situation so I do not have guts to try that again and I do not like to but I cannot live like this. I have less friends, I am creating problem to my parents also. I really tried to change my behavior but I am not able to do anything about it. I beat my mother in angry I am in that guilt currently. I do love my parents but my anger is the main problem. My current mood is I do not want to live and I do not like to die in between this. Please help me to come out of this problem. Doctor: Hello. I am sorry to hear about your situation, I can understand it must be really difficult for you right now. What you are describing looks more like depression with anxiety, for bipolar disorder there has to be episodes of Mania which can be diagnosed after complete evaluation and psychiatry history. First thing you need to understand is that your behaviour is partially in control of you when you have a mental health disorder and the actions that you do because of depression or bipolar, is not much under your control but with medications and proper therapy treatment you can control these. There are two things that you will need to get help with this, starting psychotherapy that is counselling sessions which will help you in controlling your anger and it will also help you vent out your emotions and all the guilt that you are holding which is making you even worse. Secondly you may need medications which can be decided after complete evaluation. Please find a local therapist or a psychiatrist they will guide you. If you cannot find the local therapist we can start therapy online via video consultation. Please do not worry, it might take some time but it is definitely manageable." + }, + { + "id": 23319, + "tgt": "What is the treatment for itchy rashes around anus?", + "src": "Patient: Hi doctor, I have got rashes around my anus. They have grown into serious itch. It has been more than three months now, but I cannot get then treated. I applied Betamil GM, but in vain. Please tell me what to apply. Thank you. Doctor: Hello. Stop that cream immediately. It is a fungal infection and you are using a wrong cream. Also keep the following precautions in mind. Revert back after a month to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19068, + "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": 939, + "tgt": "I get migraine daily but it gets controlled with painkiller. How to manage the same?", + "src": "Patient: Hello doctor, I have migraines daily for the past two months. It gets controlled with painkillers and worsens with movement. Other than that no other symptoms (like dizziness or vomiting) are present. The pain is usually moderate to severe, sometimes one-sided and sometimes full head pain. I am taking Paracetamol or Ibuprofen for pain. Please help. Doctor: Hello. I understand your concern and would explain that considering your aggravated situation, it would be reasonable to start preventive therapy for migraine. In this regard, I would recommend starting Topiramate 50 mg twice daily (it is recommended starting 25 mg daily and increase each week by 25 mg, up to 50 mg twice daily). This will help reduce the frequency and severity of migraine headaches. If you do not tolerate this drug or it does not help reduce the frequency of headaches within the first month, I would recommend considering other treatment options like Verapamil or Amitriptyline. You should discuss with your doctor on the above treatment options. There is no need to perform any tests, as this is a chronic headache, and painkillers still help. I hope this helps." + }, + { + "id": 13287, + "tgt": "How can I reduce my tension and prepare as per my schedule for exam?", + "src": "Patient: Hello doctor, My exams are about to start. I was not serious at the start but from the past few days, I have been working really hard. People near me say it is too late now something worse is going to happen. But the way I have planned things I know I could easily score good marks but the problem is I am not able to do as I thought. I am wasting most of the day wondering here and there. Plus the masturbation has also increased. Please tell me what should I do. Doctor: Hi. From the description, it seems that you had confidence regarding the exams before some days. But it seems that, for now, you have lost your confidence. Why have you lost your confidence? Is it because of other people who try to demotivate you? Is it because you could not perform well in mock tests? In any of the case, do not worry or think too much. The answer to your question is simple. You will score good marks if you have prepared well. You will score low marks if your performance is low and medium marks if your performance is medium. That simple. There is one more limelight. You have prepared 60 % and if almost all the questions are from the portion that you have prepared, there is still a chance of scoring 90 %. So do not be demotivated. You still have time. Last minute preparation provides more insight and knowledge. All the best." + }, + { + "id": 2899, + "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": 11430, + "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": 997, + "tgt": "Is it safe to plan for a baby during the ongoing COVID-19 pandemic?", + "src": "Patient: We are couple married recently. We want to plan a baby. However, due to ongoing covid-19 pandemic, can we plan it now? Is it safe? Doctor: Dear, good afternoon. Coronavirus dont have any known impact on people planning pregnancy. however infertility treatment can be deferred. for your family, I would advice that corona may continue for few more months as claimed by many studies, so u may have difficulty in visiting hospital for routine visits. if you can wait for more time, it will be ideal. there are many tests and medicl conditions or factors which are required to be paid attention to for planning family. you can contact me subsequently for detailed family planning advice. Pls let me know if I can be of any further help. best wishes after 2 days" + }, + { + "id": 19813, + "tgt": "Please advise management for gallbladder carcinoma", + "src": "Patient: Hello doctor,My uncle is 55 years old and is suffering from carcinoma in gallbladder with asymmetric cell development leading to the mouth of the pancreas. The CECT scan report says that G.B. is slightly distended. Gross asymmetrical wall thickening is seen mainly in the fundus of the gallbladder extending up to the neck forming a soft tissue mass. This mass shows poor heterogeneous enhancement and appears to invade the adjacent liver parenchyma. Radioopaque calculus is seen in the GB lumen. This ill-defined mass is seen extending from the neck of gallbladder along the cystic duct into the CBD. Hereby, compressing the CBD, the mass has extended beyond the porta hepatitis to encircle the main portal vein and the common hepatic artery and it is possibly invading adjacent head of the pancreas. The proximal CBD is dilated and mid-CBD is constricted due to the extension of the GB mass. The main portal vein and the common hepatic artery is encircled by the gallbladder mass. The liver is mildly enlarged. Ill-defined poorly enhancing hypodense lesions are seen in the liver adjacent to the GB fossa. Under this circumstance, kindly advice the way out and give your valuable feedback as early as possible so that we can take necessary steps from this end. Doctor: Hello. I have gone through reports (attachment removed to protect patient identity) and history above. Based on which looks like he has metastatic carcinoma gallbladder (stage IV). In general, overall survival in such cases is about six months without chemotherapy and with chemotherapy, it can be extended up to one year. As the disease has spread to the liver and it is encasing, portal vein surgery is not an option. Further plan will depend on how good is his general condition. As the disease is also blocking cystic duct, his bilirubin is increasing and chemotherapy is not possible with rising bilirubin. First step is to decrease bilirubin to normal for which he will require ERCP (endoscopic retrograde cholangiopancreatography) with stenting or PTBD (percutaneous transhepatic biliary drainage. I would prefer ERCP with stenting if possible as it is better tolerated by the patient. After that an FNAC (fine needle aspiration cytology) from gall bladder mass to confirm cancer is advisable. Then he can be started on chemotherapy to keep the disease under check. Meanwhile, he should continue with pain medication and supportive care. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 23990, + "tgt": "The mole on my arm has two different brown shades. Give me your opinion please", + "src": "Patient: Hi doctor,I have got a mole on my arm that measures 5 mm and is flat. I have always had this mole. I have not noticed it changing and it has not bled or itched. I am a bit concerned though that it has two different brown shades in it and would like your opinion on it, please. Doctor: Hi. I have gone through your case (attachment removed to protect patient identity). Yes, I have seen few important things. So, for these reasons, I would like you to have a biopsy to rule out melanoma. A biopsy is the only method to diagnose. Sometimes, it is not necessary to have bleeding or itching. I do not want you to panic, but it is good to have it done as early as possible. You may be aware that it has greater incidence in white people. So, to be on the safer side, visit your general physician. Wish you a very good health. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14691, + "tgt": "I am not able to open mouth wide after wisdom tooth removal. Why?", + "src": "Patient: Hello doctor, I just got my wisdom teeth pulled out. All four of them. I cannot open my mouth all the way to even stick my toothbrush to brush my teeth. What should I do? I got them pulled a few days back and just been brushing the front and sides of my teeth and using a Qtip to wash the back teeth. Another concern I have is that my back teeth have white pus on the top of them. I believe it is the scab from the extraction, it is on my other teeth and I am worried should I try ripping them off. I do not want to hurt myself though or should I just leave it alone? Will it cause any problem like make bacteria grow? Should I try rinsing my mouth out with salt until I can properly brush my teeth? Doctor: Hey. That is perfect you got rid of all your wisdom teeth at once. Now you are facing some temporary postoperative difficulties that will end soon and you will be relieved. It will take most likely a week to open your mouth properly, so it is fine if you cannot brush teeth at back. After a few days, you will be able to do the proper cleaning. Regarding the white scab, it is the dead tissue formed that is not much harmful, it will shred away itself during this phase of healing if you are doing your rinses properly. Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its mouth rinses five times a day. It is mandatory for two weeks. If you will skip it then some re-infection in the bone can happen which is very painful. So, it is better to be safe than sorry. Hopefully, everything will be good soon." + }, + { + "id": 21122, + "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": 13044, + "tgt": "Does shampooing daily and dandruff cause hair fall?", + "src": "Patient: Hello doctor,I have had a dandruff problem for very long. So, I started shampooing my hair every day. Even then skipping even a single day of shampooing leaves my hair full of dirt and makes it completely oily. And an itchy scalp is always there no matter what I do. I have started losing a lot of hair recently and I think it is because of all the above problems I mentioned above. What would you suggest me to do? Doctor: Hello. As you have told, you have a dandruff problem and oily scalp that is seborrheic dermatitis which can be mild or can be severe. And yes hair can fall due to dandruff problem. I will suggest a few things for this. For proper hair growth ensure proper diet with Vitamins and Minerals. For dandruff problem, use Zinc Pyrithione based shampoos. Take Biotin supplements that are very important for hair growth. Apply Zinc Pyrithione shampoo or Selsun blue shampoo three times per week. Take Biotin tablet supplements. Apply shampoo for 5 minutes and then wash it." + }, + { + "id": 13467, + "tgt": "What causes swollen lymph nodes and tenderness in neck with hoarse voice?", + "src": "Patient: Hello doctor, I am not currently taking any medication. I am a female, 18, of a healthy weight as I am very sporty. I woke up at 3 this morning due to discomfort in my throat, yet no actual pain. I also had a headache. Upon waking up again for the second time, I realized that on the right-hand side of my throat, my gland was very swollen, yet still feel no pain. I am not aware that whether I have an infection with no cold and due to feeling no pain, no sore throat. My neck, however, is tender when touched or turning my head or facing upwards. My cheeks have been very red and I have had very short breath all day. The gland is noticeably bigger than the left, and when I look in my mouth it almost looks like there are two glands there, instead of one, on the right-hand side. The gland is noticeable and visible when just looking at my neck also, despite not being too skinny and having quite a chubby neck and face. There is only pain when touched, and only slight discomfort when swallowing food or water. My voice sounds a bit hoarse sometimes. Doctor: Hi. Lymph nodes (glands) are located in many areas all around the body, including numerous nodes in the neck and jaw area. Lymph nodes typically swell or enlarge when there is an infection close by to their drainage area as they form an important part of the bodies immune response by storing immune cells. Enlarged or painful nodes are thus often a sign that one has an infection in the area. From the symptoms, you describe some of the most likely possibilities are: 1. Tonsilitis (infection of the tonsillar glands at the back of the throat). Tonsillitis is quite common and often requires treatment with antibiotics so that the infection does not spread down the airway causing pneumonia. 2. Mumps (viral infection of the parotid gland). Mumps is most commonly caused by a virus and is treated symptomatically and monitored for complications. 3. Other bacterial or viral infection, most likely of your upper airway that might be spreading down your airway. I would strongly advise that you consult with a trusted physician so that he or she can examine you clinically and confirm or exclude any of the above and treat accordingly to prevent complications. Once treated, the glands typically return to normal within a few days." + }, + { + "id": 8327, + "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": 25168, + "tgt": "Please help me figure out the reason for my early cycle", + "src": "Patient: Hello doctor, I am 40 years old. My periods have been very much regular throughout my life and my cycle is about 26 days with 3 days of periods. \u00a0But this time, I got my periods 10 days before the date and stayed for 3 days as usual. But, this time it started again after 5 days of completion and now I am on my second day. I am a\u00a0very active lady into fitness and weight training. I\u00a0am unable to figure out the reason of early cycle and getting periods for the second time in a month. Please help. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29838, + "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": 6360, + "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": 23957, + "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": 24636, + "tgt": "Does rapidly declining memory mean Alzheimer's disease or vascular dementia?", + "src": "Patient: Hello doctor, My father is experiencing rapidly declining memory and cognitive function. He was taken to the hospital a year back due to confusion and memory loss and was treated for diabetic ketoacidosis and had a quadruple bypass performed. They also did various scans and MRIs and found nothing to indicate a reason for the memory issues. They ascribed it to the DKA and lack of oxygen to the brain due to heart blockages and told us his symptoms should subside after his recovery. After 13 months, he is only getting worse. He cannot remember appointments or plans and has to put everything on his phone to remember (including his birthday). He does not remember what he has done the previous day and sometimes believes he did something he did not. He does not remember events of past 10 to 15 years (including forgetting where his house is that he has lived in for 24 years), but his youth is still vivid in his mind. He turns 61 tomorrow, so he is fairly young for this kind of memory loss. Does this point to Alzheimer's, and if so, what stage is he in? Or does this seem more likely to be vascular dementia? Or something else entirely? Doctor: Hello. Your father's symptoms are indicative of dementia. I would like to review his brain MRI report, to give a more professional opinion if it is Alzheimer disease or vascular dementia. As he is diabetic, vascular dementia cannot be excluded. Anyway, you should know that vascular dementia is associated with many small strokes visible in the brain MRI (magnetic resonance imaging) while Alzheimer is associated with brain atrophy in the temporal lobes. I would recommend consulting with a neurologist and performing some cognitive tests to determine the stage of the disease. Based on your prescription, it seems to be an advanced stage, as he forgets about his past too. I would recommend starting treatment with Donepezil or Memantine. Taking Aspirin daily and better control of diabetes and hypertension is necessary to slow the progression of the disease. You should discuss with his doctor on the above treatment options. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24765, + "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": 13728, + "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": 16280, + "tgt": "Which medicine can be used to reduce fatty liver?", + "src": "Patient: Hello doctor, I am a hypertensive and diabetic, FBS 100 to 110, PPBS 120 to 130, HbA1c 5.3 (last measured), taking Glyciphage 1 gm, Telmisartan 40, and Amlodipine 5 mg. Clinical BP 150/100, just after clinic 125/78, at home 115/75. Fatty liver II, prostrate 25 CC (no problem urinating, no burning sensation, etc.,), lipids are under control. I would like to know how to reduce the fatty liver condition from II to I. Is any medicine available? I had suffered from hepatitis two times during childhood at 7 and 10 years of age. No smoking and drinking at all. No pain in the abdomen. The problem faced now are that for the past few days, I am suffering from excessive gas, bloating, and discomfort in the neck and food pipe, as if some air is trapped which is expelled as burps at times and relieved after I took PudinHara and Raciper plus (given to my wife when she was suffering from IBS). No difficulty swallowing food. But a light pain in the neck which is relieved with flushing out the air. Please advise for medication. I had experienced this condition in the past also say 2 to 3 years back and that time it was good using Omez for few days. I am having microalbuminuria sometimes. It is below (UACR values). Doctor: Hi. For the treatment of fatty liver, first of all, I need to know your liver function test. If you have your recent LFT report please attach it. If not done yet, please get it done and write back to me." + }, + { + "id": 28390, + "tgt": "Why is my 28 days old daughter crying a lot from morning?", + "src": "Patient: Hello doctor, My 28 days old daughter has been crying a lot since morning. Even when she sleeps, she gets up within half an hour crying. Her body temperature is 98.4 F. She does not have a cough\u00a0or cold.\u00a0I have a minor throat infection. Is it possible that she might have caught my throat infection?\u00a0I am breastfeeding her regularly. Her urine and stool are\u00a0normal, but she seems very uneasy. Doctor: Hello. Sorry to hear that your little one is not in good spirits today. Hope this is helpful to you. Wish your little one becomes playful and cheerful once again. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6811, + "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": 22425, + "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": 25890, + "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": 26096, + "tgt": "How to lead a better life with paralysis after transverse myelitis?", + "src": "Patient: Hello doctor, I am a 28 year old male. I am suffering from transverse myelitis from the last one year. My total body was paralyzed. Now, some hand movements are possible. I eat by myself. But, I cannot stand and cannot get up from the bed. Please give me some suggestions to lead a better life. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14261, + "tgt": "Will drinking water after C-section cause any problem?", + "src": "Patient: Hi doctor, Are we allowed to drink water after a cesarean section? If not, what happens to the body if you drink water? Doctor: Hi. I have read your concern. Water is not prohibited after C-section. However, drinking water or any fluids is delayed right after CS because you are expected to lie down flat on the bed at least eight hours after the operation to avoid post anesthesia side effect of a spinal headache. With this, since you are in supine and you just got an operation, your bowels are not yet fully functioning. If you drink water lying down, you might aspirate it towards your lungs and you will have a difficulty of breathing. If you take it within eight hours and you raise your head to drink it, you may experience a spinal headache plus you will experience vomiting and possibly abdominal pain because your intestines are not yet ready to take it in. You may try to sip out water with wet cotton just so to wet your lips and quench a little desire to drink." + }, + { + "id": 9742, + "tgt": "Should I avoid folic acid during MTHFR pregnancy?", + "src": "Patient: Hello doctor, I am 5 weeks pregnant and I have MTHFR and PAI mutations. My doctor recommended me to take Folic acid. I read it should be avoided during MTHFR pregnancies. Along with that I am on Prozac and Euthyrox. What do you think? What should I do? Please help. Doctor: Hi. Truly speaking, MTHFR - methylene tetrahydrofolate reductase mutations are widely spread and all most one half of the population is having or carrying these mutations by different extent. By different extent, I mean to say, various levels of affection or involvement that is from very insignificant disease to severe disease. I do want to know that in which category you are now. This is fairly judged by the serum levels of homocysteine, which is the protein that is increased in the blood. If you have a severe MTHFR defect, then you need to avoid Folic acid and also need to screen some fetal congenital defects like spina bifida or anencephaly at an earliest. But, if you do not have any specific symptoms with this mutation, then there is no harm to take these vitamins. PAI mutations (plasminogen activator inhibitor) could result in abnormalities in blood clotting disorders. This actually poses no bar for taking Folic acid in pregnancy state. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24196, + "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": 11455, + "tgt": "Is it normal to have white discharge after unprotected intercourse?", + "src": "Patient: Hello doctor, I am a 20-year-old female. I had my last periods, last month for four days. I had unprotected intercourse on the next day after my periods. But he did not cum inside (not sure about precum). Next month I found some white sticky thing outside my vagina, and there was white discharge (only drops) for two days. My periods were four days late. From the past four days, I am having lower back ache, lower abdominal pain (sometimes cramps), and leg pain. I had done a home pregnancy test yesterday (which is two days after a missed period), and the test was negative. Is there anything to worry about? Doctor: Hello. No, there is nothing to worry about. That was a usual vaginal discharge which usually increases during mid-cycle due to estrogen surge in the body. It is a normal phenomenon. I would advise you to get a regular birth control method for your peace of mind." + }, + { + "id": 7803, + "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": 15394, + "tgt": "Had arthroscopy for ACL injury. How long it will take to recover?", + "src": "Patient: Hi doctor, My sister met an accident before four months. Now, she is suffering from ACL injury. According to the doctor's suggestion, she did POP for a month followed by arthroscopy. She is following the exercise under the supervision of a physiotherapist post arthroscopy. She can find recovery, but it is very little and slow. A slight improvement is seen while bending the legs. But it is not complete. Straight legs are not recognized while walking. How long it takes to have a complete recovery? Please suggest. Doctor: Hi. Usually, it takes three months to have complete recovery after arthroscopy with good physiotherapy done regularly. Physiotherapy includes quadriceps strengthening, hamstring stretching, and strengthening, full weight-bearing walking with a hinged knee brace, and knee bending for three weeks. The treating surgeon decides the frequency of doing exercise. Ideally, you should be able to bend the knee for about 90 to 100 degrees in three weeks post surgery." + }, + { + "id": 28297, + "tgt": "My husband has suprascapular aneurysm. How to reduce the risk of rupture?", + "src": "Patient: Hi doctor, My husband is\u00a030 years old. He is generally in good health. Three weeks ago he noticed a pulsating mass above his clavicle. He has some shoulder pain, but no neurological or other symptoms. He went to his primary care physician and had an ultrasound yesterday, which reported that he has a suprascapular aneurysm measuring 2 x 1 x 2 cm. A referral was made to a vascular surgeon who was unable to look at his file yet. How urgently does this need to be addressed? Can anything be done to decrease the\u00a0risk of rupture? His blood pressure runs 140/90 mmHg, and he does not take blood pressure medication. He is currently on Carbidopa or Levodopa for tremor. Doctor: Hi. Revert with the ultrasound report to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 5800, + "tgt": "How to treat spongiotic dermatitis?", + "src": "Patient: Hello doctor, I have been dealing with spongiotic dermatitis for 17 months now, and I am at my wit's end. I will provide you with as many details as possible so that maybe you could provide some answers on the cause and cure. For 15 years, I have lived in a very dry region, so I have commonly had dry skin, but that is to be expected here. 17 months ago, I returned from a sailing trip to a case of red itchy bumps. Multiple doctors and dermatologists ran tests and determined it was spongiotic dermatitis. I have tried multiple topical steroids as well as oral steroids, not to mention countless over-the-counter treatments, but I had no relief. However, a 21 days prescription of oral steroids has come the closest to getting rid of it but never has completely cured it and it comes back right away. This has been used a couple of times, but it comes right back. Just over a month ago, I went to a naturopathic doctor to see if they could provide answers. I had done an IgE test, but nothing was found. An IgG test showed that my body was reacting to dairy, almonds, and gluten. I went on a three-week elimination diet, along with a multitude of supplements which seemed to help, but it never went away. That time frame coincided with a warmer climate, but at the beginning of a snowstorm, there was a flare up. I am still trying this method, but it is difficult to live a normal life without any of these foods, but since the constant itching continues, I am not really sure if the diet or weather was responsible for the temporary relief.\u00a0What might be the cause of dermatitis and how to get rid of it? Thank you for any insight. Doctor: Hi. I have read your concern. There are two causes of dermatitis, one is exogenous and another one is endogenous. You have tried to rule out maximum exogenous causes, but as you did not get any relief, there might be some endogenous factor causing you the trouble. Some examples of endogenous dermatitis are atopic dermatitis, autosensitization dermatitis, dermatitis herpetiformis, prurigo nodularis, seborrhoeic dermatitis, etc. It can be confirmed by skin biopsy, spongiotic dermatitis is a broader term, you must get repeat biopsy and rule out the cause and get treatment accordingly. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26685, + "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": 9150, + "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": 5274, + "tgt": "I got episodes of Raynaud's in hands and on and off muscle pain. What to do?", + "src": "Patient: Hello doctor, I am a 43-year-old female. About a year and a half ago I noticed Raynaud's in one finger. I had three episodes in two years. I have lost most of my eyebrows. Recently, I got three episodes of Raynaud's in both hands, and most fingers. I have joint pain that comes and goes in all joints. I have widespread muscle pain that comes and goes. The intensity changes. I am fatigued and just noticed that upon awakening, my fingers are a little swollen. I cannot get my ring off until about one or two hours after waking up. I have had plenty of bloodwork ANA's, ENA, Scl 70, centromere, PM Scl, all of the scleroderma and lupus testing along with Sjogren's. ANCA, P ANCA, CPK, ESR, RF, and ds DNA tests. The only test that was abnormal was C3 and C4 decreased and elevated anticardiolipin IgM. My WBC was also low. Since 99 percent of lupus is shown on positive ANA, what could this imply in the absence of a positive ANA? Doctor: Hello, Welcome to icliniq.com. I have gone through your query and what I can convey is that in most of the cases, clinical picture is that of systemic sclerosis, scleroderma, SLE (systemic lupus erythematosus) but as per the reports elevated anticardiolipin IgM and decreased complements can also be found in ITP (idiopathic thrombocytopenic purpura), rheumatic, psoriatic arthritis, primary Sjogren's syndrome and in cases of SLE who are at increased risk of vascular thrombosis, thrombocytopenia cerebral infarct and recurrent spontaneous abortion." + }, + { + "id": 4691, + "tgt": "I have a mild tender lump under the skin of the deltoid muscle. Is that sarcoma?", + "src": "Patient: Hi doctor, I am having a mild, tender bump or a lump or a kind of knot deep under the skin on the deltoid muscle. It is very hard to tell if it is moving under the skin. It has been there for three years. I have not noticed any significant growth in the last three years. I am quite scared after reading about sarcomas. I am 20 years old. Please help. Doctor: Hi. I can understand the anxiety you would be suffering from after suspecting that it is a sarcoma. Here is what I can suggest to you: Sarcoma is an uncommon cause of such lumps, and much more common are some harmless cysts and lipomas. Malignant tumors like sarcoma generally do not stay the same size for three years. Most malignant sarcomas in limbs are not associated with pain. However, there is only one way to find out for sure and that is doing some tests on this lump. You have not mentioned the size of the lump. If it is small for about 1-2 cm in diameter, then it may be possible to take it out and test for malignant cells thoroughly. If it is larger, then an MRI scan and a needle core biopsy can be done to decide the treatment. Whether it can directly be taken out or not will be decided by the size and exact location of the lump. Please send a picture with a scale measure by the side of the lump if you want to follow up. Much more commonly, however, it is a cyst that can be easily taken out without any ill effects. To know if it is a cyst or not, your doctor needs to examine you and maybe, do an x-ray of the limb and an ultrasound examination of the site, but only if required. For now, do not worry. Just see a good surgeon. Most likely, it is a lipoma or a cyst and not a tumor." + }, + { + "id": 12886, + "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": 17692, + "tgt": "Kindly suggest a medicine for my sleep issue", + "src": "Patient: Hi doctor, I have been suffering from depression and anxiety since 10 years. I went to a psychiatrist and he prescribed too many medicines, which made matters worse. My family doctor has put me on Mirtaz 7.5 and due to severe problems of falling asleep I am on Zolfresh 10. My depression is a little better as it has been 15 days, but still I am not being able to fall asleep. We have tried having the medicine earlier in the night so I sleep on time, but it does not help. I face erections problems too. Kindly suggest a medicine that works well with Mirtaz for falling asleep. Doctor: Hi. A number of issues need to be addressed here. Serum TSH (thyroid-stimulating hormone) and hemogram. Depression with insomnia. Mirtazapine and Zolpidem 10 mg with careful instructions. Sleep hygiene. Revert back after a week to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10583, + "tgt": "What can I do to get rid of tapeworms?", + "src": "Patient: Hello doctor, I suspect I may have tapeworms. How can I be sure and what can I do to get rid of them? Doctor: Hello. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the drug that is used to treat tapeworm infestations." + }, + { + "id": 27305, + "tgt": "Are there any clinically proven medicines to increase the height in adults?", + "src": "Patient: Hello doctor, I am 23. I want to increase my height. Is there any medicine for it? I see a lot\u00a0of advertisements about it. But, are there any clinically proven methods? Doctor: Hello. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13826, + "tgt": "Why am I getting palpitations frequently?", + "src": "Patient: Hi doctor, I frequently get palpitations, usually a few times a day. I had a 24-hour ECG a couple of years ago. My general practitioner said it just showed some ectopics. However, I do get runs of palpitations lasting several seconds which make me feel light-headed. I can usually stop the run by coughing hard. Is this anything to worry about? My main concern is that I might pass out or that I might develop a fatal arrhythmia. Doctor: Hi. Yes, I would say palpitations with light-headedness likely indicates some serious kind of arrhythmia. You are lucky that in 30 years, you did not pass out but there is a risk that this kind of arrhythmia can be fatal. I would suggest visiting cardiologist. Repeat EKG and echocardiogram, you might need a Holter monitoring for 24 hours and ultimately might need medication or pacemaker depending on severity and type of arrhythmias. I am suspecting it to be SVT or VT runs." + }, + { + "id": 16495, + "tgt": "Do swollen gums and throat pockets indicate streptococcal infection?", + "src": "Patient: Hi doctor,I have been sick for the past five days. I woke up with very red swollen gums and roof of my mouth. I have white pockets in my throat. I went to the doctor and they think it is streptococcal throat but were not sure about my gums. Could this be linked? Should I be worried? I have never had problems with my teeth or gums. I just had a cleaning done three months ago and everything was perfect. Please help. Doctor: Hi. Got your complaint and checked your attachment photograph (attachment removed to protect patient identity). This is a case of gingivitis brought by streptococcus bacteria. Though it is rarest finding that the bacteria causing sore throat can cause gingivitis. I suggest the treatment tablet Ornidazole 200 mg BD for five days. Chlorhexidine 0.1 \u2105 BD for 15 days. You will get relief in a couple of days. Do not worry." + }, + { + "id": 14695, + "tgt": "For anxiety, should I use SSRI or 5-HTPn?", + "src": "Patient: Hi doctor, I am suffering from panic disorder. I am currently on Paroxetine CR 12.5. For anxiety, should I use SSRI or 5-HTPn? Doctor: Hi. I read your query and understand your concerns. Regarding treatment of choice for anxiety, SSRI (selective serotonin reuptake inhibitor) groups of medicines are very effective when compared with 5HTPn (5-Hydroxytryptophan). In fact, according to available literature, SSRI is the drug of choice for anxiety. 5HTPn is useful for mild anxiety and most individuals fail to respond to it. In case there is mild anxiety, you can proceed with behavioral methods of treatment rather than medication. Talk therapies are equally effective in mild anxiety." + }, + { + "id": 7371, + "tgt": "How to remove a magnet that was swallowed by a 3-year-old girl?", + "src": "Patient: Hello doctor, My 3-year-old granddaughter swallowed a thin magnet 11 days ago. We have been three times to the ER for X-rays. It is in the lower intestine but has not moved for several days. Today at the hospital, the surgeon said they would not attempt a colonoscopy or any procedure. If it remains in the intestine for 30 days, (as long as no infection), then they will remove it. Is this normal procedure for a metal magnet? Doctor: Hello. Yes, what is described by the surgeon is right. However, I would advise for you to feed the child more of bananas so that it may help to push the magnet out. In such a case, we need to watch out for any intestinal obstruction that may result due to the magnet. This can develop at any time and may result in an emergency. The warning signs for you should be abdominal distention, excessive vomiting episodes of undigested or semi-digested food particles and the child not passing stools at all, severe abdominal pain, and the sudden collapse of the child. Any of these signs occur, it is an emergency, and the child should be taken to the nearest hospital immediately. Also, you should watch out for any fever episodes with any form of the clinical worsening of the child's condition. If these signs do not occur, it is advisable to monitor the position of the magnet either daily or on alternate day basis by doing an x-ray abdomen. In most cases, the magnet usually comes out on its own without any external intervention. However, in very rare circumstances, a response based on the position of the magnet in the intestine is performed if the magnet stays inside for long periods or if any of the signs mentioned above develop." + }, + { + "id": 4975, + "tgt": "Ultrasound showing mild hydrocephalus. Should I be concerned?", + "src": "Patient: Hi doctor, My present ultrasound is showing mild hydrocephalus with breech presentation (36 weeks) dilated 13 mm ventricle. No genetic disorder reported earlier done in second trimester. All the previous ultrasound showed normal and sound growth of fetus. Reports attached for your reference. Thank you. Doctor: Hello. Antenatal infection. 1. MRI brain and spine. 2. Ultrasound abdomen and 2D echo (echocardiogram) of the heart. 3. Karyotype. Surgery if required. Revert back after MRI to a paediatric surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 2405, + "tgt": "I have a sore throat for more than two weeks, even after taking antibiotics. Why?", + "src": "Patient: I have a sore throat for more than 2 weeks now and I am done taking antibiotics (dalacin c) for 7 days but it is not going away.. I feel that there's something stuck inside my throat / esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten. I also gargle every 3 hours using difflam - C. Gender : M Age : 36 Ht : 5'11 Wt: 191 lbs Doctor: If this got worse after antibiotics, it is likely thrush (a yeast infection of the throat often found after antibiotic and/or steroid treatment. See if you can get your physician to prescribe fluconazole 150mg daily X 10 days (not 3 days like prescribed for female yeast infections...this would not be long enough. If it got much better after the antibiotic and has stayed level, you might consider that whatever bacteria you had was partially resistant and another should be tried. A good one to consider (if you have not had this yet) is Clindamycin 450md three times a day X 10 days)..if you have had that already, consider Amoxicillin Clavulinic acid 875mg twice a day X 10 days. If none of these are the case, see an ENT to rule out an abscess behind the tonsil, know as a peritonsillar abscess., or some other cause" + }, + { + "id": 5502, + "tgt": "Please suggest ayurvedic treatment for a cyst in the testis", + "src": "Patient: Hello doctor, I am having a cyst in one of my testes, and the nerves in my testicles are swollen. I came to know this through ultrasound. I heard Kalarchi powder mixed with pepper and castor oil can be applied on my testicles to cure the above said problems. Please guide me on how to proceed with this. Thank you. Doctor: Hello. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult me. Revert after a month to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16546, + "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": 22299, + "tgt": "I want to urinate every five minutes. Why is this happening?", + "src": "Patient: Hello doctor,I am 25 years old female. My height is 1.65 m. I want to pee like every five minutes and when I do wipe it is light red, sometimes red grey but not a lot and my last period was almost one and half months back. Why is this happening? Doctor: Hi. It could be urine infection, irregular unscheduled bleeding or some local pathology. All need to investigate. Have investigations, precautions then treated accordingly. Have proper hygiene. Wear soft comfortable undergarments. Use condoms for sex to prevent sexually transmitted disease. Have transvaginal scan, cervical smear to exclude cervical pathology, high vaginal swab, local outpatient hysteroscopic examination by a gynecologist. Complete blood count and thyroid function test also needed. Have tablet Norethisterone 10 mg twice daily from day 5 to 24, then to stop for bleeding. Continue this for total three cycles to regulate cycles, stop the unscheduled bleeding. Have lots of water and cranberry juice to prevent urine infection. Collect all laboratory reports and discuss here or with a local gynecologist. If all reports come normal then you need a uro-gynecologist appointment. If experiencing any other disease better to have full check and complete treatment. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11010, + "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": 16054, + "tgt": "Kindly tell me whether the cramps I am experiencing are due to ALS or MND", + "src": "Patient: Hello doctor, I am a 29-year-old male and in need of some reassurance over my serious health anxiety re MND (ALS). I am not normally anxious or depressed, married with a young daughter and a wife who is pregnant. It stared with an entire all day leg ache (left leg). Two days later my arm started to fell weird, tingles and biceps hurt. Since then (three weeks ago now) I have had the following symptoms. Numb or tingle fingers, feeling of weakness (but not actually weak), pain in hands, feeling of stiffness in fingers, lots of muscle twitches across body but mainly legs, feet, hands and arms, cramp type feeling in both big toes and calf muscles (not full on cramp), nausea and dull headache, dry throat, lump in front feeling, and a scratchy throat feeling. I keep looking for atrophy, though nobody thinks I have that. A sore skin feeling across my lower ribs and upper back like sunburn but without the burn, fatigue. I have seen three GP's. All three have said they think I am fine, they do not have worries and one said I do not have MND. I have had a complete blood test which had come back as normal. At my third GP appointment, I was tested for strength and reflexes. She could find nothing clinically wrong, no weakness but did mention some quite brisk reflexes but they were symmetrical. Is this normal? a referal was made, she said she does not think it is MND or anything bad basically. I was diagnosed with health anxiety two weeks ago and I am currently taking each day 50 mg Sertraline. Can you please confirm that the symptoms I mentioned are not MND or ALS related? That the twitches are nothing to worry about using your expertise? Confirm that the brisk reflexes on both sides (symmetrical) are nothing to worry about. That the type of cramp I am experiencing is not related to ALS or MND using your experience. Doctor: Hello. Your symptoms are not typical of ALS (amyotrophic lateral sclerosis). You should know that at your age ALS is a very exceptional diagnosis. But there are also a lot of other conditions that may mimic this clinical situation. For this reason, I would recommend performing some tests. Complete blood count for anemia, blood electrolytes for possible imbalances, thyroid hormone levels for thyroid dysfunction, vitamin D levels and vitamin B12 levels for a possible deficiency, nerve conduction studies would help exclude ALS and calm your anxiety." + }, + { + "id": 29923, + "tgt": "What are the measures to control increased urine frequency?", + "src": "Patient: Hello doctor, My grandmother is 80 years old.\u00a0Since last two months, there is increased urine frequency. Earlier, she used to have five to six times a day and now, it has become 10 to 12 times in a day. We consulted urology specialists and according to them both kidneys and bladder seemed normal. The KUB x-ray is normal. The doctors have inserted a catheter and want to do\u00a0UDS report to check capacity. Currently, she is on Soliact, Rabium\u00a0DSR, Flavocip, Uriflow and Urifast\u00a0(100). Please give your expert opinion. Doctor: Hi. Relax and do not worry. Revert back with the report to a\u00a0urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1598, + "tgt": "Why am I experiencing brain fog and feel pressure in head and dizziness?", + "src": "Patient: hello doctor, i am experiencing brain fog cannot think properly even a single sentence or a Numerical or Complex problems, feel pressure and blockage in head and dizzy and foggy in Eyes. when i read A Palpitation began to Start in my Head and in Overall Body and Eyes Become Blurred , Frequently Heart Palpitations Became to start Again and Again and i feel Uneasiness in Gut Area . My body is Stiff All the Time ,stiffness in Jaws, Neck And Back Area . I feel Pressure while Speaking and it becomes Uneasiness for me to speak Softly , Aggression in Facial Area and some Uneasiness in Whole Body. I have use Different Psychaitric Medications, Psychotherapy, and Even Homeopathy Medicine but Nothing Works, MRI and EEG is Normal, Blood Tests are Also Normal . Plz Doctor Give me Advice What is Going on With Me , I have sinus Problem Also . Doctor: Hello Dear I am sorry about your health condition. which antipsychotic drugs are you using? Yes sinusitis patients feel foggy mind and heavy ness in the head. The heavyness may aggravated on head bending position. Few anti psychotics usage may also cause cloudy mind with confusion. So for sinusitis use water vapour inhalation thrice a day for five days. Avoid cool drinks and ice creams. Use tablet monterleukast and levocetrizine once a day for five days. Do yoga and meditation regularly. If symptoms not improved please consult with your treating doctor he will change the dosage and treat you accordingly. Take care." + }, + { + "id": 24301, + "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": 4674, + "tgt": "I have swelling in foreskin with itching and pain during sex. Why?", + "src": "Patient: Hello doctor, I am 24 years old, student. Recently, during a sexual intercourse I felt an acute pain after which I suddenly stopped. The next day I had swelling all around my penis. It seems like the foreskin has swollen. I was a bit worried so I visited the GP here who advised me to take anti-bacterial, anti-fungal and anti-inflammatory medicines. The dosage is over but the swelling still persists. The penis and genital area feels itchy at times and sometimes has a foul smell too. The medications recommened by the GP were as follows: Co- Amoxiclav 500/125, Aciclovir, Ibuprofen 400 mg. I have a regular partner with whom I indulge in sexual intercourse. Is this a classic case of balanitis? Please tell me what to do. Doctor: Hello. The foreskin of your glans is edematous and little inflammatory (attachment removed to protect patient identity). This condition may be due to vigorous sexual activity against the dry vagina or may be due to local infection. Possibility of balanoposthitis. So you may check blood sugar levels, complete blood picture. Wear soft cotton related innerwear. Apply Clotrimazole plus Betamethazone gel locally twice a day for five days. Use tablet Fluconazole 150 mg once a week for five weeks. If no improvement get it done local swab culture and microscopy. But do not worry, it is a simple condition, it may subside within one to two weeks. Take care." + }, + { + "id": 21268, + "tgt": "14-year-old has low back ache, fatigue and mild fever. What could be the reason?", + "src": "Patient: Hello doctor, My 14-year-old son is complaining of a low backache. He has fatigue and low-grade fever. Hemoglobin is 12.7 but ESR level is 43. Doctor: Hello. A low backache in children at this age associated with low-grade fever and ESR 43 could be due to: Abdominal and urological ultrasound is highly recommended. Discuss this with his caring doctor. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8513, + "tgt": "I have petechiae rash on my legs and arms with easy bruising. Please help", + "src": "Patient: Hello doctor, I recently experienced a petechiae rash on my legs and arms and easy bruising. My PCP ordered blood work to look at platelet levels. The only abnormality was a slightly prolonged aPTT time (40 seconds and the lab reference range is 25 to 36 seconds). Further blood work was done: Von Willebrand factor activity, factor VIII activity, and factor VIII related antigen, all of which were borderline low but still within the lab reference ranges. My PCP said there was no evidence of Von Willebrand deficiency and that the petechiae were likely caused by straining while weight lifting. However, I have weigh lifted for many years and never experienced petechiae until a couple of months ago. So, I am wondering if there are any other lab tests that I should ask to be done or if there is no need to do further testing. Doctor: Hello. For the petechial rash, you need to investigate with full CBC to check platelet count. Low platelet count is one of the causes of such a rash. I suggest you investigate with SGPT and ultrasonography abdomen to check for liver disease. Your raised APTT is a surprising result and points towards some coagulation deficiency (attachment removed to protect patient identity). So I suggest you investigate with mixing the study of APTT investigation which will guide us further for detailed workup. If mixing study report is suggestive of an antiphospholipid syndrome-like presentation than you can investigate further with anticardiolipin antibody estimation. So, this is something you can discuss with your treating doctor regarding mixing study for APTT. Meanwhile, over the bruise you can apply Vitamin K cream. I suggest you take Vitamin C lozenges for a few days which will help in managing rash. You can revert back once CBC and USG reports are done." + }, + { + "id": 26499, + "tgt": "Inside my mouth, I have a white dot on cheek area. What could this be?", + "src": "Patient: Hello doctor,I am 22 years old. On the right side of my mouth on the cheek, I have a white dot that looks like a pimple on my Stenson's duct. I have had it for at least a month now. It does not cause any pain. Yet, I wake up with a dry mouth every morning. I checked my left side and it looks fine. My wisdom teeth are coming in. What could this be? Doctor: Hello. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 30991, + "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": 21369, + "tgt": "Does Megalis 10 mg cause priapism?", + "src": "Patient: Hi doctor, I am 21 years old. Does tablet Megalis 10 mg give priapism? Will it show any harsh side effects? Doctor: Hi. The drug in that tablet is Tadalafil. It is used in erectile dysfunction (impotence), enlarged prostate gland, sometimes in pulmonary arterial hypertension. Priapism is considered rare during this treatment. Some significant side effects are dizziness, confusion, fainting, vomiting, and ear problems. This tablet is taken only during night time. You should avoid driving or any work at high altitudes after taking this tablet. If the erection occurs up to four hours, and if it is painful, kindly do not retake the tablet. Consult a nearby doctor as soon as possible. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 878, + "tgt": "I am getting excruciating pain on right shoulder due to sports activity. Is it dead arm syndrome?", + "src": "Patient: Hello doctor, My right shoulder is excruciatingly painful. I play quarterback in football and I am 16 years old. Since I participate in a throwing sport, dead arm syndrome is something that I suspect may be the cause of my pain. I have also noticed that my upper right trapezius if lower than my left one. Please help. Doctor: Hello. As mentioned by you that you might be suffering from dead arm syndrome. At present I would suggest you to follow price protocol, that is protection, rest, ice, compression, and elevation. I would suggest you to stop doing any sports activities which aggravate your pain. Once pain subsides you need to strengthen the shoulder muscles as this condition develops due to weak shoulder muscles. I would suggest consulting any physiotherapist to learn how to strengthen your muscles. It is very important before you proceed to play otherwise you might get reinjury. If your condition does not improves within a week consult any physiotherapist. I hope this helps." + }, + { + "id": 18732, + "tgt": "My one year old son has been coughing for 3 days. Bromhexine and kofarest did not work. Please help", + "src": "Patient: Hi, My one year old son has been coughing for 3 days now. I spoke to his paediatrician. She asked me to give him bromhexine and kofarest. I tried both but it did not work. Please help me. Doctor: Hi, Thank you for your query. Therefore I suggest you to consult a paediatrician online for prescription of appropriate medication --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17739, + "tgt": "Should I continue FML more than a week for viral conjunctivitis?", + "src": "Patient: Hi doctor, I had viral conjunctivitis a month ago. I was on FML for one week and after which, my eye got normal. I was asked to taper the dose and stop FML in three weeks by my doctor. I did so, but as soon as I stopped it my eyes started to redden again. My doctor said it was an allergy. I am on an antihistamine now, but the allergy alternates in flaring up and waning rapidly with an\u00a0antihistamine. Is it all because I stopped FML? Should I continue FML? Doctor: Hi. For further information consult an eye care\u00a0ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26610, + "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": 9925, + "tgt": "I was spaced out and forgot the place and names. Why?", + "src": "Patient: Hello doctor, I am a 17-year-old boy, with weight 72 kg and 184 cm long. I experienced a moment where I spaced out and forgot different words and where I was. I was very stressed after that. Kindly help. Doctor: Hello. I completely understand that you feel concerned about this unusual experience of being spaced, forgetting words, and where were you at that time. There are some psychological conditions in which a person experiences dissociative symptoms such as depersonalization or derealization. Depersonalization means when you persistently or repeatedly have the feeling that you are observing yourself from outside your body. Derealization means when you have a sense that things around you are not real. A person may experience one or both of the above conditions. Feelings of depersonalization and derealization can be very disturbing and may feel like you are living in a dream. Many people have a passing experience of depersonalization or derealization at some point. But when these feelings keep occurring or never completely go away. It is considered depersonalization or derealization disorder. Depersonalization or derealization is more common in people who have traumatic experiences in life. Insufficient information to diagnose the disorder. The best treatment for depersonalization or derealization disorder is talk therapy (psychotherapy), although sometimes medications also are used to treat anxiety related to this condition. If you find yourself experiencing a similar kind of experiences, I have elaborated above then you are strongly recommended to seek treatment from a clinical psychologist after your complete psycho-diagnostic assessment. Delay in treatment may worsen your problem." + }, + { + "id": 19268, + "tgt": "From my reports are there any preventive measures I should take for diabetes?", + "src": "Patient: Hello doctor,I am a 40-year-old male. I am a vegetarian. I pursue an active lifestyle. I do not smoke or drink. I am a long distance endurance marathon runner. I also strength train three days a week and run two days a week. I got my sugar test, thyroid profile and vitamin D levels checked yesterday. I am attaching the detailed reports, summary as follows:Blood Glucose (F) 89 mg/dL.Blood Glucose (PP) 102 mg/dL.Urine sugar (both in F and PP) not present.HbA1C 5.8 %.Thyroid profile: T3(CLIA) 57 ng/mL, T4(FPIA) 6.38 ug/dL, TSH(CLIA) 1.81 uIU/mL.Vitamin D (25 hydroxycholecalciferol) 26.97 ng/mL.From the reference ranges, things seem to be fine. I just wanted to check with you for any precautions or preventive measures to be taken. Thanks. Doctor: Hello. Everything is perfect except vitamin D level, which seems to be on the borderline and for which I suggest taking Cholecalciferol granules, once weekly for one or two months. Hope it helps. Regards. For more information consult a general practitioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29313, + "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": 17180, + "tgt": "Urinary incontinence,the well known complications of forceps delivery", + "src": "Patient: Hi doctor, Nine months ago, my wife delivered a baby boy.\u00a0It was a forceps delivery at the eleventh hour after observing for nearly 20 hours for normal delivery. The doctors did not inform us it will be a forceps delivery till last minute. Now, the baby is normal. But, my wife is facing urine inconsistency issues. Before and during pregnancy other than her sinusitis everything was normal.\u00a0Initially as per the advice of urogynaecologist she had medication to check the progress. Later she was referred to an urologist and she was given Urivoid medicine. We have told the doctor that she is not able to take all antibiotics. Still she was insisted to take Urivoid (half in the morning and half at night) and after that she had suffered with all side effects like vomiting, drowsiness and fever. They had done urodynamics, uroflowmetry, abdominal scan, x-ray, etc., but\u00a0unable to figure out the cause of the issue. Later on we went to a well-known hospital for sudden chill and fever. After a week of observation she got discharged.\u00a0Senior general physician had recommended us to check the issue with their doctors (gynaecologist and urologist) and they have suggested to undergo one observation test where in they will pass a liquid by giving anesthesia to her in an operation theater and observe her for an hour how the urine is passing through her body and is there any leak in her urinary system or not. Doctor advised us to come after 1-2 months once she becomes fit and normal. My doubts are can I\u00a0go ahead and perform this test? Will this test will be really beneficial? Will it help to figure out the actual issue? Do we have any other method of evaluation or test to figure out the issue?\u00a0I heard that there will be complication if a baby is born with forceps delivery. Can you please guide and help me on how to identify the future risk and how to overcome this. Doctor: Hi. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of three types. From your history I have not been able to make out exactly which type of problem she has. Does she leak urine continuously? Or not able to hold urine while coughing or laughing? The type of her problem will give me an idea as to the exact cause of her problem. Also, I would like to inform you that decision of forceps delivery is usually made at the very end only. There is no way to predict exactly when and which patient will need it. So, do not think your doctor could have prevented this complication. It is a sorry event but there was no way of knowing that this is going to happen. The medicine Urivoid (Bethanechol chloride) is a good medicine to treat the condition your wife has. Also the tests advised are a good way to detect the site of obstruction or leakage in the urinary system. This test will differentiate if there is any abnormal communication in the urinary system also known as fistula in medical terms. This is what I was referring to as the different types of incontinence. A fistula will show as a continuous and slow leakage of urine. Whereas episodic incontinence like while coughing or lifting heavy weights will show as abnormal uroflow studies which you say are normal. Only in the second type of problem the Urivoid will work. 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": 10838, + "tgt": "Does premature ejaculation occur due to masturbation habit?", + "src": "Patient: Hello doctor, I have a premature ejaculation problem. When I am doing foreplay with my girlfriend, it automatically gets ejaculated after four to five minutes. Is it due to my masturbation habit? Doctor: Hello. I can understand your concern. I have worked through your attached query in detail. Masturbation is not responsible for your symptoms. Masturbation has no evil effects on your sex life. Premature ejaculation will gradually subside in due course of time. In case if symptoms persist, few medications like Dapoxetine will help. Practicing sex regularly will help to overcome premature ejaculation. Anxiety. Performance anxiety. Premature ejaculation. Tablet Dapoxetine. Increasing foreplay." + }, + { + "id": 16152, + "tgt": "Kindly explain about raw water and how is it different from other types of water", + "src": "Patient: Hello doctor, What is raw water and how is it different from the tap, spring, and other types of water? What are the perceived benefits and dangers of drinking raw water? When did this fad start? Have you ever seen a patient getting sick by drinking raw water? Doctor: Hi. Raw water consumption has become quite a thing recently, particularly in certain parts of the united states and among people depending on or advocating alternative or herbal medicine. It is unprocessed and totally natural water so it is high in salt contents and other constituents that prevent or slow down cellular aging, however this is just theoretical with no published results. It differs from filtered water and spring water in its high salt contents and silica and lacking chlorine and fluoride which are usually found in processed water. Also, the main difference is that it contains many pathogenic organisms ranging from bacteria to parasites causing various diseases and serious infections some of which are life-threatening. Namely, typhoid and paratyphoid fever, leptospirosis, shigellosis, schistosomiasis, cholera, amoebiasis, etc. I have heard of many cases of raw water making people sick. Cases of typhoid, amoebiasis, and cholera which are water borne diseases are quite prevalent in some areas." + }, + { + "id": 24891, + "tgt": "I had intercourse for less than a minute. Should I test for HIV?", + "src": "Patient: Hello doctor,I had a one-minute unprotected sex but just after one minute, I took my penis out of the vagina and I myself masturbated. Should I go for HIV testing? Doctor: Hello. If there is a chance of HIV in the partner then certainly get yourself tested, but after at least a period of two to three weeks as it will be negative inthe early period. You can hiv antibody and antigen test (p 24 assay). 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": 3243, + "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": 736, + "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": 18150, + "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": 21748, + "tgt": "My platelet count is 131 and lymphocytes are 47. Why is it so?", + "src": "Patient: Hello doctor,I recently took a CBC. My RBC count is 5.74, hemoglobin is 17.2, hematocrit is 51.5, platelet count is 131, lymphocytes are 47 and other elements are normal. Could you please suggest possible reasons for this? Is there a way I could approach this? Doctor: Hello. Hereby, I am giving you my opinion regarding your case. Your platelet count is slightly low and lymphocytes are high. It can be seen in viral infection. But provide your clinical complaint if present and send full CBC report for giving more comment. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5785, + "tgt": "I have a mole that is more of red color than brown. Should I worry?", + "src": "Patient: Hi doctor, Could you please take a look at this mole?\u00a0I had it for ages and it has not changed, but it always bothers me. It is more of a reddish color than brown and I have a couple of them. I visited a dermatologist and she said it as fine. I was just wondering for the tiny dots in the mole? I think she may have said hair follicles or pores or something. I was just concerned if it was a mole with two colors as in the ABCDE signs. Sorry, I get a bit paranoid about my skin. I have sent you pictures with and without flash for your reference. Doctor: Hello. I appreciate that you are so aware and concerned.\u00a0I went through the pictures (attachment removed to protect patient identity)\u00a0and I find them completely harmless for now. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9055, + "tgt": "Being a PCOD patient I took Kalrachikai for 45 days but did not get my periods. Why?", + "src": "Patient: Hello doctor, I am taking Kalarchikai for 45 days, but I did not get my periods. I have a PCOD problem. Is true that while taking Kalarchikai during PCOD, we would not get our periods? Doctor: Hello. Kalarchikai is good medicine to manage PCOD (polycystic ovarian disease). But you have not mentioned here how much you are taking and what is the size of cysts. Irregular menstruation depends on imbalances in FSH (follicle-stimulating hormone) and LH (Luteinizing hormone). Kalarchikai takes time to get positive results. You should take it continuously for three months if you are taking choornam it 3 gm twice a day after meals. You can take Rajahpravartini Vati 1tablet and Nagkesar churna 1 gm twice a day after meals. Quit Rajahprawartini Vati one week before expected menses date. USG abdomen, FSH, LH, lipid profile and thyroid profile. Avoid spicy and fried junk foods. Do regular kapalbhati and pranayana like anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 28817, + "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": 12070, + "tgt": "Kindly advice treatment for knee stiffness in osteoarthritis patient", + "src": "Patient: Hello doctor, My father is suffering from osteoarthritis. He has stiffness in knees. Please, advice some good medicine for him. Doctor: Hello. I just read your query. Take capsule Shallaki and give two tablets two times a day with water after food for ten days. Along with that visit a nearby Panchkarma center and ask for the procedure Janu Basti. It is also helpful in this problem. Consult a nearby Ayurveda physician after ten days regarding improvement and for further management. I hope you understand my point. For more queries, you can consult me at icliniq. Age-related changes. X-ray knee if needed." + }, + { + "id": 12579, + "tgt": "Will accidental entry of metal shavings into eyes lead to dry eyes and cataract?", + "src": "Patient: Hello doctor, I had an injury to my eyes seven months back. I got metal shavings in both and had to remove and left scars on my retina. Since then everything is blurry and went to the eye doctor last month. My prescription has not changed. They say I have dry eye and starting of cataracts. Can the injury be a result of those things? I did not have a problem before. Doctor: Hi. Blurred vision may be due to a corneal problem, cataract or retinal scars. After trauma, all these complications can occur. Dry eyes will improve with artificial tears and cornea will get normal. But any corneal scar or opacity will remain and can hinder in vision. Cataract may be age-related or due to trauma. So if it is visually significant it is treated by surgical removal and intraocular lens implantation and your doctor will guide you when it needs to remove. The retinal scar can cause decrease vision significantly if they involve a central part of the retina called macula responsible for sharpest vision. But we can do much to treat retinal scars. So things to do are treat dry eyes and cataract (if surgery needed). I would suggest you visit your eye doctor and he will guide you accordingly." + }, + { + "id": 7911, + "tgt": "My daughter has headache,blurred vision,numbness of arm and face. Is it an emergency?", + "src": "Patient: Hello doctor, My 13 year old daughter complained late yesterday afternoon of a really bad headache and blurred vision with numbness in her arm. I gave her Ibuprofen, she then vomited not long after and said she felt better. This morning she woke saying that it was even worse. So, I took her to the local emergency department. Within 5 minutes of arriving, she had a numb arm, and the right side of her face was also numb. She could not talk properly. They administered Panadeine (Paracetamol+Codeine) and sent her to wait for the doctor. The feeling in her face returned, and we were called in. The nurse practitioner asked her questions, and she was not able to answer them properly. She seemed confused and trying really hard to find the words. They diagnosed it as viral sinusitis, and I am concerned that is not right. Please help. Doctor: Hi. I am afraid to say that the clinical history of your daughter appears to be more than just viral sinusitis. Viral sinusitis is probably an incidental finding. Abrupt onset of headache, blurring of vision, difficulty in speaking, and numbness in face and arm is very characteristic of intracranial pathology, likely a vascular etiology. She must be examined by a neurologist and must undergo a brain imaging like MRI of the brain at the earliest. Please take her to a neurologist immediately for a physical examination. This appears to be a neurological emergency. I can confidently say that viral sinusitis is not the cause of the symptoms here. Please be in follow up and keep me updated about the clinical developments. Please write a review, as it would be of help to me." + }, + { + "id": 15397, + "tgt": "If I take Loperamide for diarrhea, will it interact with Tenohep and Entehep?", + "src": "Patient: Hi doctor, I have been diagnosed with acute hepatitis B, and I was taking Tenohep and Entehep medicines for the past two months. Last week, I ate chicken prepared with feni (traditional wine) and got diarrhea. I have loose stools and gastritis for three days now. I used to get this often because of my food habits, and so I took an Eldoper to reduce the problem. Can I use this along with the drugs mentioned above? Please suggest. Doctor: Hi. First of all, both of the above drugs are not used simultaneously for hepatitis. It is wrong, and only one of them is used at a time. Secondly, acute hepatitis B infection goes away by itself by 80 %, and there is no need for treatment. If it is symptomatic, then treatment is required. If it does not gets cured, and if the viral load is high in chronic hepatitis B, then one of these medications can be used. Loperamide can be taken for diarrhea. If you have diarrhea along with an infection, then Loperamide will not be helpful. I would advice taking more water. Do CBC (complete blood count), creatinine, and liver function test if diarrhea does not stop in two days. You might need an antibiotic also." + }, + { + "id": 16857, + "tgt": "What may be the cause of pinching pain in the chest?", + "src": "Patient: Hello doctor, I am writing this query for my father. He is 62 years old. He has BP and sugar but both are very much in control.\u00a0He gets a slight pinching like pain on left chest and rarely on right chest. It stays only for few seconds. In a day, it comes like five to six times for every three to four weeks. We took ECG and I am attaching the file. Our general physician says that it is normal but in the ECG it is mentioned as undefined abnormal ECG. It says flat T and left axis deviation (please refer the file). Our physician says it is nothing to worry about. He says the pain is because of gastric problem. My dad goes for walking every day. He walks for 45 mins and covers four km. Our doctor says if the\u00a0heart has any problem, then one cannot walk that much. Kindly refer the attached ECG and please explain if there is any problem. Kindly explain the reason for flat T and if it is something to worry about. Doctor: Hi. I have studied the attached reports (attachments removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9447, + "tgt": "How to get relief from itchy scrotum?", + "src": "Patient: Hi doctor, I am a 36 year old male. I had severe itching on my scrotum for the last one month or so. This issue first began before three years and has been on and off since then. I have tried several combinations of medicines, including Itraconazole, Terbinafine, Levocetirizine, etc., but only with temporary relief. The issue always comes back. I do not have a sugar problem. Please advise what medicine I should take. Doctor: Hi. You have just explained about your problem of severe itching in the scrotum. Do you have lesion or rashes or swelling of the skin or just itching? The treatment you are taking is for fungal. As you said you have itching on scrotum, fungal mainly involves groin area and typically ring like rashes are present. Itching in scrotum could be something else too. Two common diseases are scrotal dermatitis and scabies. If you have only itching in scrotum with no other skin changes, then it cannot be fungal and you are taking wrong treatment. So, please explain everything like any other skin changes with itching. Is itching more at night? Also, do any of your family member or friends circle have itching problem? First, we should make sure whether you really have fungal or something else. Revert back with the answers to the above questions." + }, + { + "id": 8051, + "tgt": "What is the reason for dry cough during pregnancy?", + "src": "Patient: Hello doctor,I am a 27-year-old female, and I am pregnant. I have a severe dry cough for the past four weeks. At night it gets worst and hard for me to breathe. What can be the cause? Doctor: Hello. Well, there is nothing to worry about dry cough during pregnancy because it is a normal. There are various causes for dry cough during pregnancy like allergies, asthma, bronchospasm, rhinitis of pregnancy, heartburn, or weakened immune system. Well, you can soothe your dry cough symptoms by drinking plenty of lukewarm water. While you go to bed, try to sleep in an elevated position by elevating your head by pillows. Also, you can go for honey. Take orange juice as it will boost your immune system." + }, + { + "id": 20846, + "tgt": "First the right ear was infected, and now the left. Please help", + "src": "Patient: Hello doctor, My daughter is 5 years old. Last month, we noticed that she had pain in her right ear and the thing continued for three to four days. On 5th, we noticed lots of wax in her right ear. It seemed to be pus. So, we took her to an ear specialist. After diagnosis, the doctor told us that her ear is infected. But he could not investigate the ear well as my daughter was scared and she did not let the doctor investigate the ear properly. Then the doctor advised the following medicines for her: Syrup Fimoxyclav 100 ml 1.5 teaspoon (1+1+1) for seven days. Syrup Telfast 1 teaspoon (1+0+1) for seven days. Candibiotic ear drops three to four drops in right ear three times daily for seven days. Rynex nasal drop 0.025 % two to three drops in both nose holes three times for seven days. As per the doctor's prescription, we started the medicine. But we cannot use the Rynex because my daughter did not let us use it in her nose. But her ear condition was improving and after ten days, we went to the doctor again. The doctor investigated her (this time also my doctor did not let the doctor to check properly) ear and told us that she is now fine. After several days, my daughter again told us that she is feeling pain in her ear. But this time, not in the right ear but in the left ear. We took her to her regular pediatric doctor. Actually, she went to visit her grandma on summer vacation and that is why we took her to this doctor. Doctor investigated her and he could check her both ears well. My daughter knows this doctor very well, so she let him check the ear well. As per the doctor, her right ear is fully alright but left ear is infected. So, he suggested the following medicines: Syrup Renova two teaspoons two times daily, if there is any fever more than 100 F. But till now, we did not observe any. Syrup Cefim 3DS one teaspoon every 12 hours for 10 days. Syrup Brodil 1.5 teaspoon every 8 hours for 10 days. Tablet Ritch 60 for 15 days. Rynex nasal drop 0.025 %. Then, the doctor asked us to visit him again after 10 days. In this period, her ear was improving but it seems to us that her ear has not recovered properly and also we noticed that when we give nasal drop both her ears were getting wet. After 10 days, we visited the doctor again. He told us that her punctured right ear has not yet fully recovered. So, he extended the medicine Cefim 3DS for another for four days. And also asked us if again infection occur to do the following tests. Ear swab C/S. Urine R/M/E. However, after that, we did not see any visible infection yet, but her both ear seem wet to us. So, we did his recommended tests. Please find the test report from the attachment. Her test report shows that her ear is infected by Staphylococcus aureus. And I came to know that this bacteria is very much dangerous as this has resistivity for most of the antibiotics. So, I am very scared of now. Could you please let us know her real status? Doctor: Hello. Ear infections in children are very common. Children have a straight and wide eustachian tube that helps throat microbes to reach the ear easily and cause infection. So whenever she has a chest infection or throat pain or cold or flu, there are chances that her ears will also get infected. Once the ears get infected, then subsequently more chances that throat and nose infections will go up to the ear. Once ear gets infected, it is very painful and pus is produced inside. The pus breaks open the eardrum and come outside. Thereafter with medicines and the body's immunity, the ear condition resolves. But the hole in the eardrum does not close very soon. It takes a few weeks. During this time, water should not go into the ear while bathing or swimming, etc. You should take care that your daughter does not insert any cotton or match stick or anything inside the ear. Talking about the medicines given by ENT doctor and the pediatrician, both are almost the same. They both have given a different set of antibiotics and the pediatrician has added Salbutamol, which is mostly because your daughter might have been having chest problem or wheezing while going to him. Talking about staphylococcus, it is a dangerous organism when it becomes resistant to common antibiotics. Many times, it is a commensal in our body, commensal meaning routine organism. In the C/S report that you have attached (attachment removed to protect patient identity), the organism is sensitive to Ciprofloxacin. I suggest you instill two drops of Ciplox (Ciprofloxacin) in either ear thrice daily for a week and continue the medicines that the doctor has asked you to. Continue Antihistaminic medicine (Telfast) for two weeks. Go back to your ENT after that time and ask him to put an otoscope and check both ears. Tell your daughter to be bold and friendly and bribe her with chocolates so that the doctor is able to look into the ear and tell you clearly what it is. If possible ask the doctor to show the findings using an oto-endoscope which can be connected to the TV screen and shown to all including your daughter. Till then the precautions you take are: 1. No water inside the ear. 2. Can apply the drops I suggested. 3. Do not continue nasal drops (ENT drops or pediatrician drops) for more than four days in continuity (it can cause other nasal problems) 4. If she develops throat or nose problem, immediately show her to ENT and take adequate treatment. 5. Avoid cold foods and juices, give homemade juices and home cooked food. 6. Avoid excessive sun, dust, and dehydration. Talking about the reasons for frequent nose and throat infections, she could be having tonsillar enlargement and frequent inflammations. With your next query, please take a picture of your daughter's open mouth showing details of tonsils and back of the throat so that we can assess if there is a tonsillar problem which may need some other treatment. Do revert back to me for further information and any help. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24361, + "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": 151, + "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": 28841, + "tgt": "Do you prefer Glutathione for skin whitening?", + "src": "Patient: Hi doctor, I am 18 years old. Can I prefer Glutathione treatment for skin whitening? If yes, then please response with the duration. Doctor: Hello. For further information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 9865, + "tgt": "Having blood in urine after having intercourse during periods. Please help", + "src": "Patient: Hello doctor,This is for my friend. She is 16, and at the weekend she slept with her fiance three times during her period. She has now been experiencing the need to go for a pee all the time, and her belly hurts, and it hurts when she goes, she also has blood in her urine. So I am a little worried about her. Kindly advice. Doctor: Hello. It is mostly a urinary tract infection. Do not worry, and she needs antibiotic for a week. She should get a urine routine and microscopy test done to confirm the infection. Then she 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. She should drink plenty of water, and have syrup Cital (Disodium Hydrogen Citrate) two teaspoon in half glass of water thrice a day for pain. Also, for the pain, she can have antispasmodic like Dicyclomine or Hyoscyamine whenever needed, especially if the syrup is not helping. Get back if you have any doubts." + }, + { + "id": 21168, + "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": 18655, + "tgt": "What to do next if one is tested positive for dengue?", + "src": "Patient: Hello doctor, A relative of mine is admitted to a local hospital and tested positive for dengue. His platelet count was checked thrice. The first time they checked it was yesterday afternoon, and the count was 83,000. The second time they tested him yesterday evening and the count was 81,000. The third test was done today morning and the result was 79,000. The clinical assistants said they\u00a0are not able to ensure an increase in the platelet count. We are too tensed. Meanwhile, the WBC has steadily increased from 3600 to 5400. Please tell me what we can expect? Is it serious? The patient is active, walking, talking, and eating fine. He only has joint pains and rashes. Doctor: Hello. Fever with body ache is one of the typical symptoms of dengue fever. Do not get worried about the\u00a0present situation. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24959, + "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": 24847, + "tgt": "Why am I having breathing problems accompanied by warmth in the body?", + "src": "Patient: Hello doctor, I am having problem in breathing sometimes and the body gets warm. Kindly help me with it. Doctor: Hello. I have gone through your reports. Do you have any history of chest pain or heaviness on exertion? I have noted a few abnormalities (attachment removed to protect patient identity): Other parameters are fine, and figures in bold are not necessarily abnormal. Slight derangement in liver enzymes is there, that is likely to be due to fatty liver. Get your BP checked once. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12773, + "tgt": "Which eye drop can be used instead of Pred Forte for iritis?", + "src": "Patient: Hello doctor,I have had iritis for the past 20 or so years. I currently have a flare up after not having an episode for the past four years. My question is related to treatment since I currently do not have insurance. Is there an eye drop treatment that is OTC that replicates Pred Forte and whatever the drops that dilate the eye (cannot remember the name)? Doctor: Hello. I understand that you are suffering from iritis, usually, iritis has an underlying cause like immune system disorders. If you are adequately treated for this causative problem, your iritis will subside by itself. Coming to if there are over-the-counter medication for iritis, there are not any treatments at present specifically aimed at uveitis. Although several studies have shown a natural derivative Curcumin to have a beneficial effect on the disease process. These are available as tablets." + }, + { + "id": 2442, + "tgt": "Which nerve disorder will cause weakness and bladder problem?", + "src": "Patient: Hi doctor, I am a 27 year old male.\u00a0I am suffering from a unique neurological disorder for about 5\u00a0years. I have consulted many doctors, but there is no\u00a0improvement. So, I want your suggestion in regard to this. I am\u00a0explaining my problem below. Five\u00a0years ago, one morning when I got up from bed, I felt numbness in my left lower limb. It continues for\u00a0a few days and then my right lower limb also felt the same. Apart from\u00a0that, I also started feeling difficulty in passing urine. I consulted\u00a0neurologist and they performed a number of\u00a0tests, but could not find out the reason. They took the MRI of whole\u00a0spine and brain, but there was nothing. Today, after five years, the condition is that I have very\u00a0difficulty in walking and also I am using a catheter for passing urine. Each time using the process of self intermittent catheterization (SIC).\u00a0My life has become a burden for me. I become a fully dependent person to others. If you can help me anything in this regard and if there is\u00a0any cure of this disease, please let me know. I will\u00a0be always thankful to you. Doctor: Hi. I understand that you have numbness and weakness in legs, difficulty in walking and difficulty in passing urine. Please scan and send all the reports you have with you.\u00a0We will evaluate and get back to you. Revert back with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27774, + "tgt": "Why is my son getting a fever during the recovery phase of dengue?", + "src": "Patient: Hello doctor, I have a 5 year old son, who is 16.5 kg. He is suffering from dengue since one week, and his platelets count dropped to 62,000. The platelet count increased to 83,000, but the next day, he got a fever of 99.9 F. Why is he getting fever during the recovery phase of dengue? Please advice. Doctor: Hi. Revert with more information to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 8447, + "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": 16205, + "tgt": "I have a skin infection in the inner thigh. What is it?", + "src": "Patient: Hi doctor, I have a skin infection in my inner thighs. It burns and itches a lot. Even, the slightest touch triggers the itching. I have been applying Clotrimazole for the past two days. On using it, the itching stops. But again, I have itching after a few hours. I have the infection in my inner thighs near the scrotum. I have attached an image. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have a candida infection in the groin area, called tinea cruris. Use Clotrimazole ointment twice daily for ten days. Take Itraconazole 100 mg orally once daily for ten days. Keep the area dry." + }, + { + "id": 4809, + "tgt": "Will there be variation in spherical powers in a kid even while wearing glasses?", + "src": "Patient: Hello doctor, Please find the eye report of my 4-year-old son. He is not getting much issues in walking, in long-distance reading and in anything, but in the eye test report he got -4 and -2.5 spherical numbers in the eyes. Is it a very serious number? I am very tensed as I thought - 4 is a very big number for a child? Will the number increase if he wears glasses constantly? How this much number came as we did his eye checkup at the time of birth as well as at the age of 2. Please assist as we are very tensed for his glasses and number. Doctor: Hello. I have gone through your attached photo. (attachment removed to protect patient identity). There are both spherical and cylindrical powers in both of his eyes. This power is large for a 4-year-old boy and I understand your concern. Regarding the cause, the given age, I will say that this power, probably has to do with the pattern of his eye growth. It is a bit longer than normal. Usually, the most intelligent people who are bit more mature than the rest have to develop such a thing. Another important cause is seeing things by holding them very close (for example: phone, books, etc.), near work increases myopia. But nobody can exactly predict what the cause could be. Regarding progression, even if he wears the glasses regularly, there could be variations in his power. As I said, this power is due to the lengthening of the eyeball and the eyeballs keep growing as he grows. This is the reason why your doctor would have called you back for a follow up every six months or every year. Wearing glasses constantly helps in preventing complications like cross eyes (squint) and amblyopia (lazy eye). Amblyopia is a condition where, due to weakness of the visual nerve and brain vision centers, the patient can no longer see the smallest letters even with the maximum power, this can hamper his chances of getting into a few jobs like armed forces, etc. So, the best course of action would be: 1. Stop seeing things from close by(avoid mobile phones, computers and read books from as far away as possible). 2. Do not rub the eyes (this can increase the cylinder power). 3. Wear glasses constantly to prevent complications like squint and amblyopia. 4. Do not miss follow-ups and consult your ophthalmologists in case of a sudden dip in vision. I hope this helps." + }, + { + "id": 13703, + "tgt": "Can zirconia crowns on tooth cause a bulge in the jaw with pain?", + "src": "Patient: Hello doctor, My lower molar root canal was done a year back. After that, a metal-ceramic cap was placed. A few months later, my cap was replaced with zirconia supreme because of throbbing below the cap. My dentist advised that because of metal there may be a possibility of some allergic reaction. So, I should replace the cap. Now just two weeks back, I replaced but now I have a bulge in the jaw with pain. Doctor: Hello. Zirconia, no doubt, it is the best in all caps. But, there is no reason to replace a metal cap. Your jaw pain is may be due to forceful removal of cap and trimming of teeth, etc. Visit the dentist for genuine advice. Not all metal crowns create allergies. It is once in a blue moon thing. Do not worry, you will be fine but at least use your cap for at least five years. If you have a zirconia cap, then it will work for at least 5 to 10 years if you take care of it properly." + }, + { + "id": 2421, + "tgt": "After removal of braces for open bite, I failed with removable retainers. Can I get permanent retainer?", + "src": "Patient: Hello doctor, Should I get a permanent retainer months after braces and use of a removable retainer? Part of my overbite has returned since I got my braces off due to tongue thrusting. Partly because I never wore my retainers as much as I should have. Can I get a permanent retainer at this point? Or is it too late? Doctor: Hello. First of all, you should wear your retainer regularly. Ideal position of teeth or occlusion which is obtained with the help of orthodontic treatment is maintained by regular use of orthodontic retainer. Use of orthodontic retainer is equally important and is part of orthodontic treatment. You can read about orthodontic retainer from icliniq articles. As per your description, you have tongue thrust, so it should be corrected otherwise it will be a cause of relapse after successful orthodontic treatment. You can read about tongue thrust from icliniq articles. As you have stated that your bite has relapsed, so if you use permanent retainer then it will retain faulty occlusion. This is what you can see about changes. But as the bite has relapsed, definitely there must have some other changes or movement of teeth happened (you have not uploaded any image of your concern area), that you cannot see but being expert in that field we can see. So for any kind of second opinion one has to check clinically or at least have an image of your concern area. So kindly upload an image of your concern area or teeth for appropriate treatment planning." + }, + { + "id": 22410, + "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": 22950, + "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": 8464, + "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": 2954, + "tgt": "Can brain tumor cause one-sided headache?", + "src": "Patient: Hi doctor, I am getting one-sided headache. I do not get them often. They are behind my right eye and temple area. Now this time I am also fighting with heavy cold and cough. It came on late morning today and it hurts more when I cough or shake my head or bend over. Prior to this, I had the same headache about four months ago. At that time it came on midafternoon and lasted till next morning. Prior to that, I had the same headache exactly on the right side and lasted for a day. I am on CCB and Protonix. I am scared of brain tumor. Please help. Doctor: Hi. Based on what you have told, this is more likely to be due to sinusitis. Sinuses are small air filled cavities in your skull bone. They can get infected and when they are infected, you will get headaches behind eyes. Such headaches will be more common during cold and cough. Brain tumor headache will be on both sides, more in forehead and you will also have vomiting in that case. Based on what you have told, this is more likely due to simple sinus infection instead of brain tumor. CT brain and CT paranasal sinuses. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11760, + "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": 29341, + "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": 31052, + "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": 13212, + "tgt": "What does popping sensation while bending knee after a fall indicate?", + "src": "Patient: Hello doctor, I am an 18-year-old male. I was playing football on Monday and my left foot slipped, naturally I tried to stop myself from falling but my weight went down on my left knee and it bent backward. I did not fall on the ground, I was still standing but it was sore for a few minutes then it went, but when I tried to bend my knee backward, now it feels like something is about to pop. Any advice? Doctor: Hello. As you mentioned the nature of the injury and now the knee bending is difficult and painful, the first thing you did good was to stabilize the injured knee in the bandage. Now immobilizing the injured part is of utmost importance to avoid further damage to the joint and it is internal structures. Since this has happened in past as well where you were not seriously noticing to seek medical help, over a period of time ligament injury might have developed. There might be ACL injury which is common in football players and needs to be conscious about it as the game is full of fun and enjoyment. I advise you to seek an orthopedic, for getting your knee assessed as it might be of importance. He might do a checkup on a clinical basis of your knee and if needed an MRI which is of utmost importance to check the extent of the injury to the tissues within the knee joint. Please do not ignore such injuries as you can be a better player in every game you take upon. Now, there are types of ligament injuries. Some are a sprain, a partial tear or complete tear. Based on what type of injury it is we have to take up the call for the treatment plan. But be assured that all the treatment are designed to get you back in the game and live action. Post analyzing the proper injury a good exercise regimen can help you a lot more than just leaving it unattended. I hope you understand that the knee is one of the major joints for weight bearing and should not be ignored. Sports injury. MRI. ACL, ligament sprain. ACL injury. Based on MRI scan. Avoid moving the knee, avoid weight bearing, avoid knee bending." + }, + { + "id": 21943, + "tgt": "Kindly explain my dad's echocardiography report and further treatment", + "src": "Patient: Hello doctor, My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an\u00a0episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain. Doctor: Hi. I have gone through his reports (attachment removed to protect patient identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right coronary artery and left circumflex artery respectively. Any obstruction in blood supply in these vessels will cause decreased blood supply to a particular area of heart (which is supplied by that artery). As blood supply is compromised the muscles in that part of heart will not get proper nutrition and will start degenerating, which is medically termed as regional wall motion abnormality (RWMA). A coronary angiogram should be done to rule out coronary artery disease (blockage in the coronary artery), which is the main reason for RWMA and decreased ejection fraction. My advice is to get a coronary angiogram to rule out the blockage in the coronary artery. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22034, + "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": 24104, + "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": 21761, + "tgt": "Could the high levels of TSH be a result of withdrawal from Hydrocodone?", + "src": "Patient: Hello doctor, I am currently taking only daily Vitamin with a fish oil omega 3 supplement. I am 5'6, 120 lbs, and 42 years old female. About a year ago I started having problems with my neck. After MRI, it was determined I had a degenerative disc at my C4 to C7. I opted for no surgery and decided to go the pain management route. Being on Hydrocodone and getting steroid injections for about a year, I decided to stop cold turkey. I went through withdrawal symptoms and a month back I went to the emergency room because of heart palpitations and chest pains and shortness of breath. (Earlier that day, I went for a 4-mile walk). The EKG and X-ray which came back normal. But the laboratory work showed an elevation of TSH at 6.455. All other lab work was fine but I was a little low in potassium (3.4). Blood pressure was normal as well. The doctor on call suggested that I might have hypothyroidism. My question is could the high levels of TSH be a result of withdrawal from Hydrocodone and if so how long will it take to clear up on its own or do I have a thyroid issue that needs to be taken care of? Doctor: Hello. I just read your query and from what you have mentioned it appears that you have subclinical hypothyroidism. You do not need any treatment for that currently but you need to repeat your thyroid function tests after six weeks again just to be on the safe side. Yes, you are right. This sub-clinical hypothyroidism could be due to many reasons, such as your neck trauma followed by steroids treatment and sudden discontinuation of that steroid and then suffering from hypoadrenalism which usually happens when you stop steroids suddenly without tapering them off. So, ultimately you just have to give your body time to heal itself. It could take anything from six months to a year to get back to normal, which is usually what has been observed. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 12232, + "tgt": "How can external pile be treated?", + "src": "Patient: Hi doctor, I have an external pile for the past four days. I use Ibuprofen for pain and also use a tube of Scheriproct. There has been no improvement in four days. Should I get worried or does it take time to clear? Doctor: Hi. If you are using Sheriproct (Prednisolone), there should be at least some improvement because it contains a steroid and it helps clear up the piles within seven days. I hope you are using it correctly. I hate to tell you this but if there is no improvement with topical treatment, you may need to go to the doctor for sclerotherapy. They will use a sclerosing agent as an injection which can effectively cause shrinkage of the hemorrhoids. My advice would be to not delay in seeking proper treatment, which in your case would be sclerotherapy. If the topical is not working at all, delaying it further might make it worse and then you might require surgery. I do not mean to scare you, I hope you understand. If there has been at least slight improvement with Sheriproct, then continue it for three more days and see what happens. If no significant improvement, go for sclerotherapy. Eat plenty of fiber rich food like fruits and green leafy vegetables, drink plenty of water, avoid carbonated drinks, avoid constipation and straining." + }, + { + "id": 22474, + "tgt": "Please provide medicine for infection in penis", + "src": "Patient: Hello doctor,I had an infection in my penis like fungal. Please provide the medicine to cure that skin. Doctor: Hi. This looks more like herpes genitalis (attachment removed to protect patient identity). Can you please send details like: These details will help us come to the correct diagnosis and start treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24520, + "tgt": "Is it possible to have another kidney transplant if creatinine is increasing?", + "src": "Patient: Hello doctor, My elder brother, aged 41 years had a kidney transplant 11 years back. The donor was his father whose present age is approximately 68 years, but now after 11 years, his creatinine is increasing (3.3). We are confused about what to do. The doctor has increased his dose of medicine. Currently, he is on Pangraph 1 mg twice daily. Suggest us the best way for his recovery. Is it possible to have another transplant? Doctor: Hello. Creatinine level mentioned 3.3 is suggestive of kidney infection. So, yes renal function deterioration is present. Renal transplantation can lead to rejection and risk to benefit ratio has to be watched before taking any decision regarding transplantation. Secondly, transplantation is not contraindicated after the first one. This means that if needed, it can be done. Consult a urologist for examination and discuss your case. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29151, + "tgt": "What should I do for pulmonary embolism?", + "src": "Patient: Hi doctor,I am a physician doing postgraduation in histopathology. I am a 29 year old female. My history is of 4 years old. I had two episodes of syncope with a period of two months followed by unilateral (right) tinnitus which disappeared on pressing the right carotid, which I totally ignored. A year later, I was diagnosed to have\u00a0pulmonary embolism on the right segmental branch with the symptoms of hemoptysis, chest dyspnea, and an episode of syncope. My initial tests were performed from thrombophilia profile to every other investigation. The homocysteine level was\u00a022 while thrombophilia profile showed protein S and factor 5 decrease. I was put on Rivaroxaban after acute treatment. I took Xeralto for a year, and then I quit.After 1.5 years from the first episode, I again developed symptoms and this time the CT\u00a0angiogram showed decrease in right segmental pulmonary embolism and new left subsegmental multiple thrombi. I got my investigation repeated, and the thrombophilia profile was normal. All other examinations\u00a0were normal as well. I have again put on Rivaroxaban 20 mg od after acute treatment. I had no DVT, and my echo and\u00a0carotid doppler were normal. There is no past history of surgery, and I am\u00a0not married neither sexually active.Last week, I again had chest pain with dyspnea. The CT\u00a0angiogram showed left subsegmental thrombus with basal consolidation and pleural effusion. Now, I am switched off to Warfarin. Kindly help me regarding this to reach the diagnosis. As it is recurrent idiopathic pulmonary embolism, what should I do now? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21287, + "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": 27311, + "tgt": "How to improve my yellow teeth?", + "src": "Patient: Hello doctor, My teeth have become totally yellow. Even whitening toothpaste\u00a0does not work. I tried to clean them myself\u00a0but, failed. What products can I use or how can I clean it myself without visiting a dentist? Doctor: Hello. I have gone through your complaint and seen the picture attached to it (attachment removed to protect patient identity).\u00a0 Hope it helps. In the\u00a0case of any other problem, you can contact us. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20089, + "tgt": "How to stop my fear of getting HIV?", + "src": "Patient: Hi doctor, I have done many tests for HIV. On day 4, I took neem leaves, on day 50, I took Acyclovir tablet, and on day 56, I did a PCR HIV test, which was negative. On day 90, I did an HIV antibody test. It was also negative. After six months, I did a fourth generation ELISA test. It was negative. After eight months, I did a western blot test. It was also negative. After 14 months, again I did the fourth generation ELISA test. It was also negative again. Even after seeing many negative results, still, I am afraid of HIV. Still, few people say, it will take more than one year to respond. Whether the neem leaves or acyclovir will affect my test results? How to stop my fear? Doctor: Hi. There is no role for Acyclovir. There is no need for doing any others tests as a fourth generation test is 99.9 % correct. Though all the tests are negative, still your fear is there. There is no problem except your fear, stress, anxiety, and depression. You can take the tablet Relax 0.25 mg (Alprazolam) at night for seven days. Stop taking it and take again after four days. Consult a psychiatrist soon. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1393, + "tgt": "How to heal my broken ankle?", + "src": "Patient: Hello doctor, My partner, who is 36 years old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together.\u00a0He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinders bone healing and have advised him to stop, even if short term to assist with the healing of the broken bone.\u00a0He had cast for three weeks and then was transferred to a walking boot with vague instructions on how to deal with it. He is being told that he should be walking more on the ankle which is broken. But, he is worried as he will cause more damage as it is not yet aligned. Also, should he be wearing his walking boot at all times?\u00a0He wears while sleeping and he removes it while bathing daily. Please explain to him that how the bone will heal and whether he should be wearing his boot all the time. Doctor: Hi. Revert back with the x-ray report to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27096, + "tgt": "My baby often has loose stools. What medicines should I give him?", + "src": "Patient: Hi doctor, I have a 6 months old son. He often suffers from loose stools. I do not know why it happens. My friend suggested I give Mathulai manappagu. Please share your thoughts. Doctor: Hello. I just read your query. I hope you understand my point. Follow up after two weeks. Revert after two weeks to an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29922, + "tgt": "Are there any issues if I take a shingles vaccination?", + "src": "Patient: Hello doctor, I am a 33 year old female. I have been getting shingles\u00a0since I was 6 years old.\u00a0Until high\u00a0school,\u00a0I would get it once a year around the same time. Then, I began getting it twice a year. As I got older, I started getting multiple outbreaks in a year.\u00a0I have had shingles for 27 years.\u00a0This year, I had four outbreaks that occurred once in every three months.\u00a0In the past, my doctor was against vaccinating me because it was not tested on anyone under the age of 50 or 60.\u00a0With the multiple outbreaks over the past two to three\u00a0years,\u00a0we discussed it again and we decided that it might help. Previously, I had taken Famvir and Hydrocodone. Currently, I am continuing the same medicines for shingles outbreak. I had undergone a wellness checkup a\u00a0few months back and all my laboratory test results were normal.\u00a0In your opinion, do you think that the vaccination would help me? Are there any concerns or issues about a person of my age getting the shingles vaccine? I am not currently pregnant, but could possibly want another child in a couple years from now. Could the vaccination have any effect on future pregnancy or children? I trust my doctor and know he has my best interest in mind; I just wanted a second opinion as this vaccine has not been tested on anyone in my age group. Doctor: Hi. From the history, it is apparent that you are getting frequent recurrences of shingles, which have increased in the recent past. Shingles occur when your body immune system is low. I am not aware if you are on medication as that may lower your immune system (except for steroids that you are taking for acute attacks). As your physician rightly said, varicella vaccine is not recommended below the age of 50. Logically, vaccination at this age may provide relief from frequent recurrences, but I do not have enough literature or evidence to support this. You may go ahead with the vaccination after detailed discussion with your doctor. The point of caution is to make sure that the vaccination is given when an acute attack is not there and when you are not on steroids or any medicines which considerably reduce body's immune system as it is a live vaccine. As far as pregnancy is concerned, you can plan the same. But, you may require frequent visits to your obstetrician for close supervision as the effects on the fetus cannot be ruled out. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14417, + "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": 714, + "tgt": "Am I at a risk for heart attack?", + "src": "Patient: Hi doctor, I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coronary artery about\u00a02 to 3 cm distal to its origin. And 2.8 mm calcification is present within the proximal aspect of the right coronary artery just distal to its origin. Please tell me your opinion. Am I at a risk of heart attack? I do not have any previous history of heart issue, but heart disease runs in my family. Last month, my cholesterol and LDL were 280 and 235 and now 182 and 149 respectively. Doctor: Hi. We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so many patients with critical blockages in coronary CT and found the only minimal disease. So, it is not a gold standard test. Still risk factors like obesity, smoking, high cholesterol are better predictors. Revert back with detailed history to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27653, + "tgt": "Why do I always feel lazy and have muscle pains?", + "src": "Patient: Hi\u00a0doctor,I am 21 years old, who weighs 50 kg, and I am 5.10 feet tall. I feel lazy all the time. I always have a\u00a0headache and pain in the muscles of the shoulder and neck. Sometimes, my joints also pain. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5964, + "tgt": "I lost my retainers and my front teeth got seperated. What should I do to fix my teeth?", + "src": "Patient: Hello doctor, I am a 28-year-old male. Two years ago, I lost my upper retainers. My front teeth got separated, creating a gap. What should I do to fix my teeth, or should I want braces again? Doctor: Hello. To restart the fixed appliance treatment all over again will depend on the gaps present. If the gaps are large, the dentist would recommend you to out braces again. If the gaps are negligible, removable retainers can be worn which can close the gaps. But then again, the dentist will have to thoroughly look into the feasibility of putting the braces again before actually starting the treatment. In some cases, the relapses are so severe that we refrain from putting braces again. At the same time, some cases with retreatment have given beautiful results. Make sure you have a good discussion with your dentist regarding the outcome before starting the treatment." + }, + { + "id": 22083, + "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": 17845, + "tgt": "My daughter is weak and often falls sick. Please help", + "src": "Patient: Hi doctor, My daughter is 6 years old. She is physically weak. She has low immunity and falls ill often. She has a very low appetite. In order to increase her appetite, doctor prescribed us to give her Oxiron syrup. For past few days, she is not active physically and tends to lie down even while watching TV. Most of the time she complains about paresthesia. We got her checked and few of her hemogram values are out of range such as neutrophils, lymphocytes, monocytes, serum creatinine ratio, RBC, BUN test and testosterone. I would like to know, can we give her Calcitas sachet to improve her condition? Kindly help. Doctor: Hi.I went through your daughter's history and reports (attachment removed to protect patient identity). I would like to know few more details in order to give you an accurate treatment plan. 1. Repeat CBC and RFT (renal function test) after six months. 2. Monitor her height every six months. 3. USG (ultrasonography) of abdomen. 1. Vitamin D supplements. 2. Planning and monitoring of the diet. Please revert back with a detailed history to a paediatrician online.--->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7129, + "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": 22287, + "tgt": "I have anal itching, pain and bleeding. I am embarrassed. Please help", + "src": "Patient: Hi,I am approaching you since I am concerned about a situation regarding which I am very embarrassed.\u00a0 I am a 43 year old female.\u00a0I am normally healthy. I am 178cm tall and I weigh 75kg.\u00a0 Around 9-12 months ago, I started to suffer from anal itching. It is rather intense at night, after passing stools and during/after having intercourse or anal masturbation. I also have few lumps on my anal ring that seem to grow outside of my anal opening as an extended piece of flesh. They are very sensitive but they are odd and it really troubles me. I fear that my problem started as a result of anal masturbation and anal sex. I feel very ashamed to say this. I was using anal toys and hand and I am afraid that during these years I\u00a0myself\u00a0\u00a0have\u00a0created problems to my health and I do not know how to fix it. I do not have constipation and my stool is normal. I pass motion once a day and I have no abdominal pain while passing stools. Sometimes when I have anal sex I start bleeding from my rectum for a few seconds and then it stops. It does not bleed when I pass stools or any other time. I have not attained menopause even though my period seems to be every 6-7 weeks these days. I would appreciate if you can help me understand how to treat this issue and what should I do (i.e, special diet, special creams, instructions on how to clean the area etc.) Help me please, I am looking for a very discreet way to handle my situation since I am too concerned about talking with my spouse. Doctor: Hi,\u00a0 Welcome to icliniq.com. I read your entire history and have understood your concern. I also understand your hesitation in discussing your problems with anyone. Lastly, no good doctor will ever judge you for anything you do in your personal life. So do not feel ashamed in consulting one and getting the growths removed. Revert back with the reports to a Dermatologist\u00a0online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14796, + "tgt": "Kindly advise whether the blood report shows blood cancer or not", + "src": "Patient: Hello doctor, I have my wife's blood test report. We fear that she might have blood cancer. For the last four months, she is having joint pain, sudden breath difficulty, hand pain, and chest pain. Kindly help. Doctor: Hello. As per the report, only apparent problem is that she has mild anemia, microcytic hypochromic (attachment removed to protect patient identity). Usually common in young females. Otherwise, platelets and WBC are normal. Does she have any other symptoms like fever or bleeding? Also, why are you thinking of cancer? To be sure you can repeat CBC with a peripheral smear. If needed, serum iron studies can be done to confirm iron deficiency anemia." + }, + { + "id": 29495, + "tgt": "Which cosmetic procedure will make my face more symmetrical?", + "src": "Patient: Hello doctor, I am seeking to make my face more symmetrical. I am already considering a nose job. What other procedures could help? I have attached two photos of mine. One is the real photo of the left side, and the other one is the mirror image of the right side of my face. Doctor: Hi. For further information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 8532, + "tgt": "How to get my burn heal faster?", + "src": "Patient: Hi doctor, I got a\u00a0burn injury on my neck and chest area yesterday morning. A layer of skin is off and in some places it is pink in color. There is no blister and no pain. I have had it covered with gauze. When should I remove the gauze? I have been cleaning the area three times a day. In some days, I am leaving out of the country regarding some work. Will it heal fast? Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16564, + "tgt": "Is there an ayurveda treatment for nonretractable foreskin?", + "src": "Patient: Hi doctor, I am 22 years old. I am unable to retract my foreskin\u00a0in both flaccid and erect state. Please suggest. Doctor: Hi. Revert back after three months to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20299, + "tgt": "Kindly advise a permanent treatment for papillary hypertrophy in eye", + "src": "Patient: Hello doctor, I have papillary hypertrophy in the eye. I get red eye, mild itching, and irritation. I am taking Olopatadine and KT eye drop and lubricating eye drop for five months. The symptoms are subsided but flare up sometime. It means I am fine until I take medication but symptoms come back if stopped. So there is no improvement in my condition. Any advice? Doctor: Hi. Unfortunately, allergies are chronic diseases and do not get well permanently. Once you notice mild symptoms, you can start Olopatadine without KT (Ketorolac) and lubricants. They are safe drugs for long-term use. No need to worry. They should eventually decrease with age. Take care." + }, + { + "id": 890, + "tgt": "I have dark underarms with bad odor due to sweating. Please help to get rid of it", + "src": "Patient: Hello doctor, My problem is both my underarms are black in color and has a bad smell when it sweats. I did not use any medicine for underarm before. My Face is in oily type with acne spots marks. I have consulted you and you suggested me to use Yaclin facewash, Benzoyl peroxide, AC-N, for acne and Exazel-N, for spots marks. I am using these for the past six months but not much results and acne spots are not faded. I am 21 years old. Can I use derma roller for face? Can I shave my underarm hair? Doctor: Hi. It would be great if you could send pictures of your face and axilla to assess the severity. Anyway, start on tablet Azithral 250 twice a day for three days a week for three weeks. Apply Clindoxyl gel to the acne spots once a day for three hours only for two weeks. For the next two weeks apply Deriva CMS (Adapalene) gel to the acne spots for three hours. For black spots please apply Melaglow rich cream at night. For axilla, apply Candid gold powder in the morning, Zole F cream in the night. Take tablet Alaspan (Loratadine) once a day in the night for itching for 10 days. Drink lots of water, remove your hair. Derma roller cannot be advised for self use. Please do not use it." + }, + { + "id": 29651, + "tgt": "My baby is having diarrhea and bad burps. Do you have any idea of what could it be?", + "src": "Patient: Hi doctor, My 16 weeks old baby was sick around six days ago. Ever since he has had watery diarrhea after feeds around six times a day. Today on day 6, he is having awful rotten egg burps and still has the loose stools. Do you any idea of what it could be? He was also diagnosed with silent reflux at 2 weeks old and is on Gaviscon. Thank you. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7811, + "tgt": "Does cocaine abuse cause nasal deviation?", + "src": "Patient: Hi doctor, I recently got a septoplasty and my doctor said that I had a deviated septum. The reason for my blockage and congestion was my septum, which was messed up and misaligned. I did, however abuse cocaine four years ago and felt that I caused some erosion. Ever since then my sinus infections increased. I was also experiencing blockage and breathing issues, which was worsening over time. My doctor said that my septum problem was either congenital or I got hit with something. I am wondering if I actually realigned my septum due to my insufflations of cocaine or my condition was worsening over time. Does cocaine place the nose off center? Will it cause breathing issues? Please explain. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6839, + "tgt": "Do elevated liver readings mean liver damage?", + "src": "Patient: Hello doctor,I am 29 years old with 180 cm tall and 62 kg weight. I was diagnosed with hereditary spherocytosis before five years, and my gallbladder was removed. Recently had an ultrasound to see the liver and spleen. I would have mildly elevated liver readings. Hematologist wanted to check that these organs were fine. He thought they would be. Do elevated liver readings mean liver damage? I do not drink and eat a very healthy diet. Please help. Doctor: Hello. Your spleen is enlarged in size (attachment removed to protect patient identity). The liver appears normal in size, and the echotexture looks normal. I would like to know which liver readings get elevated? Liver enzymes can get elevated when the hemolysis is not entirely compensated for. In severe cases, it can cause jaundice. It looks to me that still the hemolysis is being compensated by your system on most occasions and less frequently. The liver enzymes might be elevated. Please have a discussion with your hematologist regarding details of the compensatory mechanisms." + }, + { + "id": 24002, + "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": 15759, + "tgt": "Kindly tell me whether the symptom-less spot on one side of tongue is normal or not", + "src": "Patient: Hello doctor, I have had this spot on the side of my tongue for some time now. I noticed it six months back. No change in that amount time, although I will post a picture from that time to show. I have been told that it is a frictional thing from adjacent teeth, but I want to get a second opinion to make sure that it is nothing more sinister. There are no symptoms in this spot. When I run my finger over it, I do not feel anything hard, different or even a hole. I want to know if I have a serious problem or if this is something I can safely let go. Doctor: Hi. Yes, it is not even traumatic ulcer. It is simply hyperkeratinized epithelium. That means it is normal tissue which is bearing some sort of stress. I think your upper tooth has a rough surface that may be the issue causing this or even it may be because of food if you are chewing only from that side. You need to take foods with much Vitamin A and B complex, fruits and carrot. Even you can take supplements like that of Vitamin A. No it is not something that can be the cause of concern. It is not a cancerous or ulcerous lesion. So, do not be too apprehensive. It is a normal tissue with little keratinization." + }, + { + "id": 7250, + "tgt": "I want to control watching porn videos and masturbation. Please help", + "src": "Patient: Hello doctor, I am addicted to watching porn, and I masturbate three times a day in the past 10 days. How to control me? And I got rashes on the backside of the body for the last three years. Doctor: Hello. I understand your query very well. I want to say that watching any video, whether it is sex video or non-sex video for a long period, will have a negative impact on your physique and. Negative impacts can be in the form of a decrease in your vision, mood and behavioral changes, difficulty in concentration, academic difficulties, etc. But I would like to mention a fact here that masturbation is a normal response to sex video or even without sex video, especially at your age. Masturbation does not make you weak, and it has no negative impact on your sexual wellbeing. It will not affect your physique or fitness. At your age it is normal to have an attraction towards females and to overcome this attraction, all of us masturbate, it is a normal phenomenon, not a bad habit or disease like addiction and obsession and never affect your physical health. There is no relation between semen and blood. At your age, almost every male watch sex video and masturbate, so there is no harm in masturbating even daily. Watching sex video is not harmful if you are viewing these videos in limits. The second thing you have asked about some rashes of your backside of the body so think you should consult to a good skin specialist for that as early as possible. So, eat healthily and stay healthy." + }, + { + "id": 11149, + "tgt": "I suffer from urine infection and the pain is reducing slowly. What could it be?", + "src": "Patient: Hello doctor,I am 35 years old. I have the symptoms of a urine infection. But five days after the beginning of the symptoms, I got a urine test, and no bacterial infection or STD were detected. I did an HIV test, which was also negative. The pain is reducing slowly, but I am still not back 100 %. I have no sex envy. What could this be? Could this be a chemical infection or allergy from using hydroalcoholic solution wipes or shampoo on the penis? Could this be a prostate issue? Doctor: Hello. By your description, it appears that you are having pain while passing urine. It could be due to infection, stone or simple inflammation. Urine shows bacteria only in case of infection. In the case of stone disease or inflammation, one can find red blood cells or white blood cells respectively. If you are getting relieved gradually with the treatment you have obtained, no need to worry. If you do not have relief even after five days of symptomatic treatment, kindly consider getting an ultrasound abdomen and pelvis with post void residue, which can identify a structural lesion such as stone." + }, + { + "id": 4628, + "tgt": "Will Clindamycin phosphate cause dry and flaky pubis?", + "src": "Patient: Hello doctor, My pubic area is white, flaky and dry. I was prescribed a lotion last month for folliculitis bumps and it went away. Now this problem persists. I got tested for STD two months ago, everything was fine. Doctor: Hi. It is not clear about your age, the exact morphology, duration, symptoms, treatment taken, etc. Can you please send the photos and details so that we can get the real picture of the rash? It is good that you have been tested negative for STDs (sexually transmitted diseases). It is not clear what lotion was prescribed? I consider it may be for scabies or Calamine lotion. Both can cause dryness and flaky. Use gentle soaps or cleansers like Cetaphil to wash the area. If the area is already shaven you can apply moisturizer cream or lotion. Stop applying the lotion given which might be causing you this or maybe due to other conditions. It is unlikely to be any STD, so you can relax and be free of any anxiety. Take antihistamine tablets like Cetirizine if any itching or allergy. Please get back to me with details and photos for a more correct assessment of the situation and management." + }, + { + "id": 18173, + "tgt": "I am having cramps in my lower abdomen after taking I-pill. Why?", + "src": "Patient: Hi doctor, I am a\u00a021 year old\u00a0female. I took an I-pill\u00a012 days back, and since then\u00a0I have a cramp in my lower abdomen. It feels as if I will get my periods, but still, I did not get it. Doctor: Hi. I-pill only makes the hormonal environment unsuitable for the embryo to get attached to the uterus lining. It makes the inner uterine lining thicker, which may not shed immediately. If you have never had a normal delivery before, your cervical opening will be very narrow. So, the thicker inner lining of your uterus is trying to come out of the same narrow cervical canal which is causing the severe cramps and lower abdominal discomfort. The effectiveness of I-pill depends on, after how many hours of unprotected sex you had the pill and in which half of the menstrual cycle you were in. It is most effective if taken within 72 hours, but the earlier, the better. For now, I suggest you wait, but if you do not have periods past your due date, consult a gynecologist and get a pregnancy test done. It is always advisable to have sexual intercourse using protective barriers like a condom, oral contraceptive pills, NuvaRing (vaginal ring), implants, etc. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27807, + "tgt": "My calcium and potassium levels are high. Please help", + "src": "Patient: Hello doctor, I just had a biometric screening. My calcium was 10.3 and potassium was 6.1. The doctor said my calcium and potassium levels were a little over what they should be, and that my MCHC was off. I have tried to ask if I should be concerned, but they refuse to talk to me about it, until I make another payment at their office. Help. Doctor: Hello. Do you have any symptoms like cough, weight loss or an underlying disease? Do you drink a lot of\u00a0milk? Hope this helps you. Get back if you have any doubts. Revert with more information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4133, + "tgt": "Why do I experience burning and itching sensation while urinating and ejaculation?", + "src": "Patient: Hello doctor, I am 43 years old. I have been experiencing a burning and itching sensation while urinating for about three weeks now. I now have the same sensation when I ejaculate after sex, Also, when I squeeze my penis, there is pain along the lower part which feels like the pain is along the tract where urine and semen pass through. Please comment on what can I do about this? I think it must be due to unprotected sexual intercourse that I had a couple of times some weeks ago after which I stopped. Doctor: Hello. Burning sensation in the urinary tract or urethra can most commonly be due to either infection of bladder or urethra, or any stone problem, which has either passed in the bladder kidney system causing infection thus burning. It can also be due to unprotected sexual intercourse which leads to the infection of the urethra. The diagnosis of this condition is important before the treatment is started. Urine microscopy and sonography of abdomen and pelvis are initial urine and scanning modalities which are required for diagnosis. Physical examination by a urologist is also of paramount importance as something it is the best modality to detect the diagnosis. So I would advise you, for now, you take plenty of fluids as repeated urination can wash out the infection. But the above-mentioned test and physical examination are mandatory in your case. As you have pain in passing semen also, it can be a prostate infection which again requires a per rectal examination by a urologist to see for prostate status." + }, + { + "id": 8333, + "tgt": "The tooth nearby the extracted site is hurting and feels like going to fall or crack. What to do?", + "src": "Patient: Hello doctor, I had a tooth removed a while back, and the tooth next to it feels lower down, and I get toothache every so often my dentist said there is nothing wrong, but I feel it is going to fall out or crack and I have pain when I bite down. I cannot eat the rest off my teeth without really biting down, and when I do it hurts and feels like it is pushing my tooth back up, I cannot even bite down gentle without it hurting. Doctor: Hello. There might be following conditions involved in your case, 1. The tooth you got extracted would be a bit higher and functioning before extraction, that would be used in your bite and the second tooth would be malaligned and a bit lower in height. Once it got extracted now the second lower tooth is only there for a bite and chewing function all chewing load is shifted to it, so it started hurting, and it is not easy for you to eat from this side. 2. There could be an infection or a hairline fracture or split in this tooth that needs to be diagnosed through X-ray and some clinical examinations. Addressing your first condition, the treatment could be a prosthesis. You need a bridge that can adjust your bite and level down the chewing forces to all teeth equally and your generalized aching will be resolved. While for your second type of condition, the tooth will be treated according to diagnosis. If the infection is there, then root canal treatment is required along with the cap. If there is a bite fracture, then extraction is recommended. Kindly provide me with X-rays so I can suggest you the appropriate treatment. I hope this helps you. Feel free to ask if you have further queries." + }, + { + "id": 12842, + "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": 2628, + "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": 21525, + "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": 25298, + "tgt": "A healthy dog scratched my leg. Do I have to worry about rabies?", + "src": "Patient: Hello doctor,Yesterday, my dog who is around two months accidentally scratched my leg. The scratch is negligible but I lost half a drop of blood. The dog looks healthy and has not been bitten by other dogs. He has not been given antirabies injection because my vet told us he is too young to get one. Do I have to worry? Doctor: Hello. If a dog scratches or bites you, you need to have a vaccine. As you have a history of exposure (bites or scratches), then it is better to get the vaccine for post-exposure treatment. Post-exposure treatment consists of five injections by intramuscular route on Day 0, 3, 7, 14 and 28. If you were vaccinated within five years then two injections D 0, and 3 only required. If it is more than five years then D 0, 3, 7, 14, and 28 are necessary. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 171, + "tgt": "What could cause immediate sensation of passing stools post meals in a diabetic?", + "src": "Patient: Hello doctor, My mother-in-law is a 55 years old diabetic patient. She is suffering from a problem that whenever she eats anything she has feelings to use the washroom. Please help. Doctor: Hello. Your mother-in-law problem could be because of certain diabetic drugs also. I will be able to help you better if you can upload the list of medications she is on. And since how many days is she having this problem? What is the stool consistency, watery, or semisolid, or solid? Does she have any abdominal pain? Has she lost weight? Awaiting your reply, depending on that I will be able to help you better with appropriate treatment. ? IBS (irritable bowel syndrome). DM (diabetic mellitus)." + }, + { + "id": 16483, + "tgt": "What are the consequences of taking two Postinor pills three times in a cycle?", + "src": "Patient: Hello doctor, I took Postinor two pills 72 hours prevention three times in one cycle. Please tell me what are the consequences? I have been having lower abdominal pain and light drops of blood each time I pee and wipe my vagina. I fear if AV caused more harm to myself because my menstrual period is at hand but no flow yet. Please tell me what can I do in this situation? Doctor: Hi. I can understand your concern. Emergency contraceptive pills prevent pregnancy by interfering with the normal cycle and preventing ovulation, fertilization, implantation, etc., and in return gives withdrawal bleed within 1 to 2 weeks. As soon your reproductive system got ready for bleeding, you took another emergency pill like this three times, the cycle would have got disturbed. That is why you are not getting proper menstrual bleeding. Now no need to have any hormonal treatment. Let the body can have some time to return to normal, regular pace. In between, you might have bleeding irregular, spotting, etc. Have a healthy diet, mild exercise, and walk and nice recreational activities to come back to normal pace." + }, + { + "id": 1736, + "tgt": "HPV is revealed from my abnormal pap test. What should I do as a preventive measure?", + "src": "Patient: Hello doctor, My gynecologist told me that I had an abnormality in my pap test, and I have HPV. Eventually, she will need to look at my cervix to make sure what strain it is. The information she gave me was very bland. All she told me was that if I have sex just use a condom, which I always do. But I wanted to know, what can I do physically and sexually with what I have? Doctor: Hello. May I know what was the abnormality detected on your pap smear? As per your gynecologist, if you have got HPV (human papillomavirus) infection (high-risk HPV strains), that is responsible for the development of cervical cancer, you need to be further evaluated. So your gynecologist would be having a look at your cervix through a magnified camera that can pick up certain changes on the cervix, and can hint on the development of any precancerous changes. If present it can be tackled at an early stage before actual cancer sets it. So cervical cancer screening methods can detect changes almost five years before the actual development of cancer, so it is advisable you get regular pap smears as advised by your gynecologist and be under her follow. It would have been helpful if you could share the reports of pap smear and HPV testing with me so that I could guide you better. The reason your gynecologist asked to use condoms is that HPV infection is usually acquired through sexual contact. So to prevent repeated infection and also to prevent other sexually transmitted infections, which can further aid in acquiring HPV infection can be prevented by using condoms regularly. Regular pap and HPV testing. Avoid smoking and multiple sexual partners." + }, + { + "id": 6615, + "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": 25477, + "tgt": "I get palpitations often. Should I take Disprin for prophylaxis?", + "src": "Patient: Hello doctor,I am a 62 year old female. I get palpitations quite often. My blood pressure remains 130/90 with Telma 20 mg and Nebicard 2.5 mg. Also, some friends told me to take Disprin 2.8 mg for prophylaxis. Please advise if I need to take Dispirin or anything else. Doctor: Hello. Your blood pressure is fairly controlled. Continue both the medicines. Please do an ECG when you are getting palpitations. Take Calcium and Vitamin D3 tablets and Meconeuron OD (Methylcobalamin) once a day for three months. Get serum vitamin D3 and serum vitamin B12 tests if it is not done. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26825, + "tgt": "My wife was advised to take thyroid medicines during pregnancy. Is there a problem?", + "src": "Patient: Hello doctor,My wife is five months pregnant. We had done a TSH level test in the second month. It showed 8.8. Then the\u00a0gynecologist put her on 50 mcg Thyronorm tablets. Yesterday we went for a\u00a0check-up. She ordered a thyroid profile test as well as a TIFFA scan. Is there any problem?\u00a0I\u00a0am uploading today's thyroid profile reports. Doctor: Hello. \u00a0There is no need to panic. For further queries consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 9599, + "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": 10893, + "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": 1831, + "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": 19319, + "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": 4409, + "tgt": "My father has night blindness. How to keep his vision in good state?", + "src": "Patient: Hello doctor, My father has night blindness and his overall vision is very bad. He is taking some medication to keep his vision from degrading. He has been given advise to try Ocuvite lutein and I am not sure whether that is a good product for him. I am not aware of the side effects associated with it. I would like to know what we can do to keep his vision in a good state. Currently, he is taking some blood thinning products such as Aspirin. Please help. Doctor: Hi. I would like to have few details of him for a better diagnosis. Revert back with the pictures to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26310, + "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": 30634, + "tgt": "From my scan report, please assure the status of my baby", + "src": "Patient: Hi doctor, I am\u00a046 days pregnant. I am 29 years old. My weight is 5'8\" and weight is 78 kg. I\u00a0was on Clomid 50 mg and conceived in the first cycle. I am taking MCBM 69, Nutragest 200, Thyronorm 25 as my thyroid is on the border and Ecosprin. I am also taking Infertigin 5000 injections every week.\u00a0I took my first scan on 43rd day. My last period date was 5th of last month. I have attached my scan report. My doctor scared me saying that there is no heartbeat and no pole visible, so keep your fingers crossed. I am extremely tensed and upset. My doctor was not at all positive about the report. She advised for another scan. Should I really be worried? I have attached my scan report for your advice. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13108, + "tgt": "How can stretch marks on belly and legs be treated?", + "src": "Patient: Hello doctor,I am a 20-year-old male. I have skin problem. I have stretch marks on my belly area and on legs. Doctor: Hello. These are striae (stretch marks). There are many reasons for stretch marks to appear on the body. The most common of which is a growth spurt in teenage years and obesity, weight gain. Other can be disease conditions but they are less likely in the absence of other symptoms. For how long you are having this problem? Apart from the abdomen, do other areas of the body have stretch marks? To correct these marks first thing is to correct the reason behind it. I will suggest you to control your weight. Vitamin C preparation can be used for stretch marks but they will not completely fade away. Once they get less red, then a fractional laser can be done over it. Striae. Apply Vitamin C cream over stretch marks over the lesions BD. Take an antihistamine if you have itching. Try to reduce weight." + }, + { + "id": 129, + "tgt": "What causes balancing problems in a baby?", + "src": "Patient: Hello doctor, Age of the child: 20 Months Gender: Male Weight: 12 Kilograms Height: 30 inches Started Walking: 15 Months Started Sitting: 5 months Started Crawling: 12 months Problem: My baby has started walking at the age of 15 months and is very active. He runs, jumps, rolls, and can climb stairs with the help of an adult. And can speak 2 words sentences. The problem we are facing is a balance issue. He is an active child but has an issue in maintaining good posture and is easy to fall. When standing straight and static an observer can feel that he is dizzy and swings slightly left and right to maintain the balance. He also has lazy neck control. At 2 months of age he suffered from \u201cTorticollis\u201d which we have managed to minimize by exercises recommended by other pediatrics. He also has digestion problems since birth and has loose motion after 1 week. He has also slight drooling. My question: Is this balance probelm common in this age group or should we choose to consult an in-person doctor which I am avoiding due to COVID-19 crisis as the hospitals are crowded. Doctor: Hello. First, let me appreciate you for describing whatever your child has appropriately. As you have said that the baby has just started walking about 5 months ago, the problem with balance could be just his learning curve. Kids normally do fall while learning to walk, am sure even you will be aware of that. He is able to walk, rule and climb stairs only means he is growing normally. Now, to say if the balancing issue is normal or not you can make a small video of it and show me. It is difficult to say without seeing the baby. Let us assume that it is a part of normal development, then you do not have to go to a doctor and you do not have to worry about it. Now, if we assume that it could be because of a physical problem, the child will have to be examined. My advise is to wait till he completes 2 years. If the problem still persists, then you have to go to a doctor." + }, + { + "id": 7207, + "tgt": "Gum near my wisdom tooth is sore. Will it lead to gum disease?", + "src": "Patient: Hello doctor, The gum near my wisdom tooth is a little sore when I wake up from sleep. I can also feel pain when I chew food. I have attached a picture of it. I have been having this for a few years now. It is not a massive pain, so it is manageable, and I do not mind it if there are no other complications. My only worry is a fetter. Do I have any ulcers, and will this lead to further gum disease or gum cancer? Doctor: Hello. The problem mainly in your case seems to be food lodgement behind (distal) the wisdom tooth causing prolonged gum infection and discomfort for a few years. In such instances in which patient has been experiencing pain, it is suggested to remove such wisdom tooth to allow proper cleaning at the back and to prevent decay of adjacent teeth and maintain oral hygiene. It can cause abscess or gum infection, but you do not have to worry about cancer. Get an appointment with your dentist to get an X-ray done and find out if the tooth has any cavity and also if there is an abscess." + }, + { + "id": 29195, + "tgt": "How to get rid of extremely pigmented underarms and thinning hair?", + "src": "Patient: Hello doctor, Why do\u00a0I have extremely pigmented underarms? I use lime juice to whiten my underarm. Is it good? How to get rid of it? And, my hair is thinning on top of my head. Please help.\u00a0I have never been to a dermatologist. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27358, + "tgt": "Is my sex drive decreasing because of IUD?", + "src": "Patient: Hi doctor,I have had a low sex drive for a year already, and I do not know why, but I need help. I have had an IUD Mirena for two years now. Can that be the cause? If I were to take it out, would that change anything? Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3740, + "tgt": "Why do I have knee pain after meniscus surgery?", + "src": "Patient: Hi doctor, I had meniscus surgery before two and a half weeks. Still there is a kind of swelling around my knee. I feel little pain outside the knee and also there is still a cracky noise when I bend. Why? Doctor: Hi. For further information consult an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 26797, + "tgt": "Even though I am on birth control injections, am I still ovulating?", + "src": "Patient: Hi doctor, I am on Depo birth control\u00a0injection, and I was prescribed Medroxyprogesterone to induce my\u00a0periods. Does not that mean my body is ovulating even though I am on birth control? Doctor: Hi. How are you doing? No, you are not ovulating. Let me explain. Hope I have clarified your query.\u00a0All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29902, + "tgt": "What are the side effects of Tizanidine?", + "src": "Patient: Hello doctor, I started taking 2 mg of Tizanidine today due to severe spasms. I am directed to take one in the morning and two before bed. I was advised to take a total of 6 mg per day. However, I am having the issues of dizziness and lightheadedness, sweating, agitation and anxiousness, super crazy dreams that wake me up, hallucinations (seeing or hearing things) and dry mouth. I am trying to determine how long these side effects will continue or if I need to seek immediate attention. Kindly suggest your expert opinion. Previously, there was nerve damage due to a traumatic C-section where both the uterus and bladder were injured. Both the injured organs were repaired, but I am dealing with sympathetic nerve pain. Currently, I am also on regular Zoloft 50 mg. Doctor: Hi. For further information consult a pharmacologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 24300, + "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": 28674, + "tgt": "My mother has a lot of mood swings and makes rash decisions. Are my brothers safe with her?", + "src": "Patient: Hello doctor, First of all, let me thank you for this platform. It is just wonderful that you make professional opinion available for people who have nowhere else to turn.\u00a0My mother has been showing weird behavior ever since I can remember. The issue is that anytime someone (from our family or otherwise) brings up the fact that she is acting unusual, she denies it. Everyone is wrong, and she is always right.\u00a0I am wondering if maybe I describe her behavior here, I could get some opinion on whether or not she is indeed in need of help, and whether or not she can care of her children. She has a lot of mood swings, she is incredibly happy some days, and she has a small idea which she believes can turn her life around. And she would not let anyone's opinion deter her. She makes rash decisions and shops a lot, spends all the money she has.\u00a0Other days, you can just see how down she is. She has difficulty getting out of bed and is extremely irritable and generally in a bad mood. She will yell and get overly angry for seemingly small reasons.\u00a0Also, she lies a lot, but it is strange\u00a0because it is like she does not realize she is lying. It is like she changes the facts in her head, she believes that whatever she is saying really happened, even if multiple people who witnessed the same thing say otherwise. And she will get angry if contradicted.\u00a0She is also very manipulative, especially concerning her children and money. She regularly uses her kids to get money from the family\u00a0and brainwashes the kids (through repetition, yelling, and psychological abuse) against any member of the family that they seem to like more than her, or that refuses to cave to her manipulation. She has no friends. Her mood swings alone are enough to drive anyone away.\u00a0Also, she has a surprisingly cold attitude towards her kids. She is not warm or affectionate (I sincerely cannot remember the last time she gave any of us a hug), and she will easily put us aside if bigger interest is at stake, for example, she overlooked the fact that my step-father abused me because he gave her money. Recently, seven years after the fact, she wants to defend me, since he stopped paying up. She was prepared to do it without my consent too. She just casually mentioned it in conversation, in the same way, she would tell me about how it has been raining a lot recently. The fact that I was suffering visibly for years never seemed to bother her.\u00a0Well, I think that may be enough of a description. There are a lot more details, but I believe these are the main factors that always strike me as odd. I am fine now and out of her life, but I am worried about my brothers, and whether or not they are safe with her. Please help, your opinion is greatly appreciated. I would like to have some sort of professional feedback before taking any action concerning the safety and well-being of my brothers. They mean the world to me, and if they are to be removed from the care of my mother, I need to be sure that this is indeed not normal. Because she will never admit it to herself. Doctor: Hello. Thanks for the query. I can understand your concern regarding your mother and your brothers. You have given a beautifully elaborated history, clearly showing your mom is suffering from bipolar affective disorder (BPAD) and needs clinical assistance. She cannot take care of her children with this illness. BPAD is a mental illness, but it is treatable with mood stabilizers and antipsychotic medications. Medicines like Lithium or Valproate with Risperidone will help in early recovery. Without treatment, she cannot take decisions properly. She can even harm your siblings. Presently she is not having any insight of her illness and requires urgent treatment. I suggest you visit a nearby psychiatrist as soon as possible for her treatment. Hope my answer helped you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9888, + "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": 24217, + "tgt": "Will I get my sex drive back if I quit masturbation?", + "src": "Patient: Hello doctor, I am a 27 year old male. I have been masturbating while watching porn for a year now. Now I am experiencing erectile dysfunction. Also, the stiffness of the penis is not the same as before (maybe because I am not getting aroused as easily as before) but after stroking, I feel the stiffness is fine. I have decided to quit porn and masturbation since yesterday. But still, I feel the same. I even tried to observe if the 'morning erection' is fine because of which I could not sleep properly. I was checking whenever I woke up in the middle of the night and I found that I was having no erection. I did have one while getting up and it was not the same as before (not as stiff as before). I am now scared. Do I have any disease? Will this thing get cured on its own? If yes, how long is it going to take? Please help. Edit: I am feeling a bit better now. The stiffness and the erection are back. The only problem I am facing now is a low sex drive. I think I am not getting aroused that easily. I am not having the mood. Is it because of the stress that I am going through or because of watching porn and masturbating all this while? Do I have erectile dysfunction or is it due to stress? I am scared.Please note, I have faced a similar issue before when I was taking anti-depressants. Doctor: Hello. I understand your concern and the confusion in your mind. In the edit, you have mentioned that your erection is back and that is good to know and the current concern as you have mentioned is sex drive. My explanation to you is as follows: Watching porn and masturbation is done by more than 90 percent of the people of your age group and it is not an unhealthy behavior. So, do not worry or force yourself to quit masturbation as it is one way of letting out your inner sexual drive. If you keep watching porn in excess, the arousal for the same stimulus would reduce which is very likely in your case. So, watch porn whenever you are getting sexual thoughts and once you are done with masturbation, divert your mind to something else which is more useful for you. Once you limit yourself from watching porn at the right time and not in excess, it is more likely that you will be able to appreciate a satisfactory sex drive. Mood disorders and medication like antidepressants do affect sex drive in an individual. So, if you are facing any mood problems, then you should get evaluated for the same. Stress does affect sex drive and erection, but you have not elaborated on the stress you are undergoing. Lastly, since you have mentioned erection and stiffness are back and the concern is sex drive mainly, I would suggest you give a break to watching porn for a few days and check yourself for the sex drive in you. If sexual problems continue after following the above, you can revert with more details. Regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3053, + "tgt": "Though I am not pregnant or feeding, I get discharge from nipples. Why?", + "src": "Patient: Hello doctor, I am 29 years old. One year back I had a miscarriage. Now I am not pregnant and not feeding. But when I press my nipples white and some times clear secretions are coming. I do not have any pain and I am having regular periods and sometimes 3 days and sometimes 5 days flow will be there and sudden fatigue is there. Is this breast cancer or any problem? Can you prefer any test? Doctor: Hi. It looks like a clear case of hyperprolactinemia. The hormone prolactin or TSH (thyroid-stimulating hormone) may be raised. Go for serum prolactin and TSH levels and further treatment will be based on the reports. You may go for a breast ultrasound also just to be more careful." + }, + { + "id": 17728, + "tgt": "What shall I do to get relief from cough and heartburn?", + "src": "Patient: Hi doctor, I am a 26 year old female. I am suffering from the following symptoms: Cough, blocked itchy throat, which is slightly red, burps, farts, little gassy and acidity. This has increased in the past 24 hours. Because of sore throat, I cannot have cold substances to resolve acidity. Also, I cannot have hot water due to\u00a0heartburn. I have taken Azithromycin and cough syrup. What should I do for relief? Doctor: Hi. Revert back with the answers to the above questions to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26626, + "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": 26638, + "tgt": "I think I suffer from premature ejaculation. Can you clarify?", + "src": "Patient: Hello doctor, I am a 27 year old married man. I suffer from premature ejaculation and poor erection since many years, but I was not aware of it until after marriage. I have taken lots of medicines in the past three years, including Ayurvedic and Allopathic. But I have not recovered yet. I have tried many doctors, but no one is able to resolve my issue yet. I also masturbate every day since many years and I guess my suffering is due to this. I have stopped it for few months, then started again. Now, I again stopped from the last three months. Now, I am not able to find out what the problem is, premature ejaculation or poor erection. As I am not sure if I developed my premature ejaculation in response to the\u00a0erection problem. I guess this happens because I rush during the act as I fear I will not be able to maintain the erection for a sufficient time. Kindly help me in resolving this. I will share more details also, if needed. Doctor: Hello. Follow up with a\u00a0detailed explanation of your problem relating to the above-mentioned\u00a0points. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18558, + "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": 18122, + "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": 17910, + "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": 21693, + "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": 26485, + "tgt": "I have itching of scrotum from two weeks. Please suggest anti-fungal medicines", + "src": "Patient: Hello doctor, I am experiencing itching of the scrotum, below the scrotum area as well as in the\u00a0tip of the\u00a0foreskin. There is a dry and inflamed area on the right scrotum area. There is inflammation of the tip of fore skin. There is inflammation of the area below the scrotum. I am experiencing itching of the scrotum from the past two weeks. Please recommend an anti-fungal spray. Doctor: Hello. Continue it for 30 days even if there is an improvement. Consult your specialist doctor, discuss with him or her and start using the medicines with their consent. This will help you. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 3640, + "tgt": "My HIV RNA and fourth generation tests are negative. What is the chance of turning positive?", + "src": "Patient: Hi doctor, About a month ago, I had protected sex with a woman and unprotected oral sex with her as well. Then two days after that I had unprotected oral sex and fingered a different woman. Five days later, I got a low fever of about 99 degrees. The following day I got chills, night sweats, joint pain, and a bad fever about 102 degrees that broke that same night. The next day, I got a rash that covered my entire stomach, chest, arms and legs. I went to the hospital and they told me they thought it was a viral rash. The rash went away in about 24 hours. I got an HIV RNA and fourth generation test done ten days after the last incident and then I got another HIV RNA and fourth generation test done again at 17 days from the last incident. Both came back negative. I tested the woman that I had protected sex with using Oraquick and she came back negative, but I did not test the woman that I had unprotected oral sex with. Could this still be HIV? I have never gotten a rash like that before in my life. What are the chances that this could be HIV based on the two negative RNA tests? Doctor: Hi. See, a rash does not confirm the diagnosis of HIV. A rash is a very common finding in viral Infection and you could have got the viral infection from your partners only. Luckily this time the virus was not HIV. The fourth generation PCR tests are highly sensitive and hence you do not require any further evaluation. I would hereby conclude based on the details that you do not have HIV. I would also recommend you to avoid unprotected sexual exposures as well as to indulge with more than one partner. Every time you cannot be lucky like this time. I hope this helps." + }, + { + "id": 10366, + "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": 3888, + "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": 9169, + "tgt": "What could be the reason for pain in all my fingers?", + "src": "Patient: Hello doctor, About a month ago, all of a sudden, I noticed pain in nearly all my fingers. It started primarily with the middle finger on the left hand. There was an immediate major stabbing pain for no reason at various times during the day. Sometimes wakes me at night. All fingers bother me now, not sure if it is the joints or the tendons in-between. I cannot say I notice the pain or discomfort all day, but other times, I notice it all the time. Sometimes pressing around a joint bothers me but not all the time. Flexing the finger does not make it worse. Fingers are not particularly swollen, and my wedding rings come off the same as before. I have had a few bouts of gout in the past in big toes, not fingers. Otherwise, healthy male, no major health issues, take medications for high bp. I am going to see my family doctor today, but I am skeptical he is a finger specialist. I expect X-rays and blood tests, of course, but would like an early opinion what this could be, rather acutely and affecting many fingers. Doctor: Hello. I analyzed the symptoms which you had provided to me. From your lucid description, it looks like a tendinopathy or nerve pain. I am not favoring an arthritis problem as there is no swelling over the joints or anxiety. Do you have fever, neck pain, sausage-shaped finger, or local joint swelling? In any case, please use a gel ball for hand physiotherapy if it is tolerable to you." + }, + { + "id": 10136, + "tgt": "Is it safe to get a filling fixed while running a low-grade fever from a UTI?", + "src": "Patient: Hello doctor, Can I get a filling fixed while running a low-grade fever from a UTI? Doctor: Hello. Theoretically, yes. But, practically I would not suggest you get it done as you will not be comfortable (mainly because of the water spray from the handpiece or drilling machine) and that will make it difficult for the dentist too. If it is an emergency or you do not have accompanying stuffed nose or difficulty in breathing through the nose, then you can go for filling. Depends on your comfort level and severity of your condition. I hope this has helped." + }, + { + "id": 29979, + "tgt": "Please explain the long-term effects of poor posture", + "src": "Patient: Hi doctor,What are the long-term consequences of bad posture? Please explain. Doctor: Hi. Poor posture is likely to cause structural changes or fixed musculoligamentous issues. The outcome and timing is dependent on the starting point. By this I mean, if this starts in early childhood, one will notice the changes by late adulthood. The severity of symptoms and actual clinical effects do not follow a straight line path and many other factors, including genetic, environmental, etc., play important roles in expression of symptoms. Further, the cause of poor posture such as muscle weakness, bony cause, trauma, neurological. etc., have their own natural history. Poor posture is likely to cause backache, stiffness, increased likelihood of sustaining injuries to the hip, knee and shoulder, appearance anomalies, etc., and in extreme cases, breathing problems due to sustained pressure and lack of space for expansion of the lung. For further information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 10746, + "tgt": "Are Decdan and Practin good drugs for weight gain?", + "src": "Patient: Hello doctor, Can I take tablet Decdan and Practin for weight gain? Doctor: Hello. Decdan (Dexamethasone) is a steroid and has a lot of negative side effect as such. It may cause you a disproportionate and inappropriate fat deposition in the abdomen, face, on the upper back, and you would not like your shape. And besides the bad shape, you may start having high blood pressure, a heart condition, can predispose you to diabetes later. It can also lead to adrenal gland suppression by which the corticosteroid hormones will impair the natural hormone produced by your body, leading to adrenal failures. If you want to gain weight, you can increase your meal to mostly carbohydrate and fatty meals, increase the frequency of your meal. You can take Cyproheptadine tablet 4 mg in morning and night. It will increase your appetite and cause you to eat more, sleep more, and you gradually gain weight more proportionately." + }, + { + "id": 12462, + "tgt": "I am weak and slim. Help me gain weight", + "src": "Patient: Hello Doctor, I eat well, but I am very weak and I look slim. Please suggest me treatment for a healthy and muscular body. Doctor: Hi Most of the people will be skinny till the age of 22-24 years and will gain weight after that without any exercise or supplement. So do not worry. Weight gain is a gradual phenomenon. It takes time. Do not expect immediate results." + }, + { + "id": 8284, + "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": 22420, + "tgt": "Kindly advise what can be done for acne in 18 years old", + "src": "Patient: Hello doctor,I have acne and very big and thin pimples. I am a male, 18 years old. Doctor: Hello. I just read your query. Acne at this age are mainly due to hormonal changes. They will settle on their own. But still if you want to take some precautionary measures, follow these: These all things will help you a lot. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28437, + "tgt": "My 18 weeks old baby is becoming irritable, crying, and biting her hands. Could this be teething?", + "src": "Patient: Hello doctor,My 18 weeks old baby appears to have less interest in her bottles. She is only drinking approximately 20 to 24 ounces of milk instead of the recommended 30 to 35. She has become more irritable, crying, biting her hands and tethers. When I give her a bottle, she drinks a few ounces then chews on it and tries to spit it out of her mouth. She does not seem to have much of an appetite. I took her to my GP, who said she appeared to be teething and that her temperature, ear, nose, and throats were fine. She is also making strange noises and crying when anyone other than me picks her up. She normally has one dirty nappy per day and about six wet ones. She is smiling and follows things with her eyes and picks up things with her hands. She also appears to be sleeping more than before. At 15 weeks, her weight was normal, and her growth was fine.\u00a0Could this be teething? Doctor: Hello. I understand your feelings and preoccupations. I might have to ask you a few more questions but here are some attempts to give you a beginning of an answer. Well, I would be dishonest if I would send you the miracle answer. But let us try together. Revert with more information to a paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14685, + "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": 24881, + "tgt": "Why am I having constant lightheadedness and clicking sound in ears?", + "src": "Patient: Hello doctor, My symptoms are constant lightheadedness, feeling like drunk all the time, fatigue after a couple of hours and clicking sound when swallowing in both ears since last eight weeks. Yawning also causes a clicking sound. Ear fullness in both ears, some weird very low buzzing sound in the right ear but also shows up in left ear but goes away. The audio test is normal. Ear pressure test is normal for the left ear but not for the right. MRI, CT scan are also normal. Endoscopy shows normal eustachian opening but some allergic inflammation. There is no fever. I have been prescribed Betahistine 16 mg 3 times, FM 24 1 tablet in the night. I am a type 1 diabetic and have Addison's disease too. I am on Hydrocortisone three times daily for Addison's disease, Insulin three times for diabetes and Thyroxine for hypothyroid. Now, this may be eustachian tube dysfunction, but my doctor has not communicated properly about how much time it takes to resolve. Do other people have similar problems? I have heard stories of people not recovering for 20 to 30 years. What does that mean? Doctor: Hello. We need to have a look at your reports and investigation films for correct diagnosis. Kindly upload all the reports and relevant investigation films and get back to us. Eustachian tube dysfunction does not take that long to heal. Appropriate medicines will help you get relief from the problem. Do revert back for further help. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10915, + "tgt": "I have constant tinnitus and sensorineural hearing loss. Is it Meniere's disease?", + "src": "Patient: Hello doctor, I have constant tinnitus and sensorineural hearing loss for about five months. I am sending you reports of my PTA and otoscopy. Now I have ear fullness, tinnitus, and hearing loss in my left ear. My right ear is normal. Tinnitus is continuous for past four months. I do not have any vertigo or dizziness episodes. Please tell me is my symptoms of Meniere's disease. Please tell me the cure for ear fullness. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity). There is minimal loss in the left ear. The symptoms do not seem to be due to Meniere's disease. The tinnitus is due to the hearing loss. Take tablet Cinnarizine 75 mg once daily for 15 days and tablet Vitamin B12 1500 micrograms once daily for 15 days. You will definitely be benefited. Consult with your doctor before taking them. Avoid any excess mobile usage or earphones use. Take care. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29316, + "tgt": "What are the risks for the baby if my wife delivers at 37 weeks?", + "src": "Patient: Hi doctor,My wife aged 23 years have autoantibodies SSA strong positive 3+, SSB borderline positive and RO 52 strong positive 3+. She lost her first pregnancy before a year because complete congenital heart block (CHB) was found in the\u00a0fetus by TIFFA at19 weeks with a\u00a0condition of fetal hydrops bradycardia.\u00a0She conceived again and now going with 36th week. Her medications are Aspirin 75 mg one daily,\u00a0Wysolone 5 mg once daily, HCQs 200 once daily,\u00a0Folvite 5 mg,\u00a0Sandocal 500 daily two, Livogen and taking protein powder also.\u00a0To suppress antibodies, rheumatologist put her on steroids and anti-inflammatory drugs since 12th week. There is no problem till now except fetus growth restriction. Because of that, our doctor advised to go for delivery at 37 weeks. Fetus weight grew just 200 g in the last two weeks, but my wife increased to 59 kg from 49.5 kg. But, she has lost initially 3 kg in her first trimester. She did not have any complication right now. Is delivery at 37 weeks necessary? What are the risks from fetus side if she gets delivery at 37 weeks? Will the baby growth remain normal after birth? If we extend the term up to 38 weeks, do we need to face any risk? For your reference, I have enclosed latest fetal scan report and doctors prescription. Please understand all my concern and give the valuable advice for us. Thank you. Doctor: Hi. I have gone through your question and understood your concerns.\u00a0I have reviewed the reports (attachment removed to protect patient identity) and the prescription. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 20369, + "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": 27093, + "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": 13733, + "tgt": "What can be done to avoid hearing voices that tell me to do something wrong?", + "src": "Patient: Hi doctor, I am a 21-year-old mother of a 10-month-old. I have been diagnosed with generalized anxiety disorder, borderline personality disorder, and major depression. I have been experiencing what sounds like my voice telling me horrible things about myself and the people around me for quite some time now but in the past year, this voice tells me to do horrible awful things to myself and others. The other night it felt like something completely took over my mind and body and did something terrible that could have effected my whole life. Have I been wrongly diagnosed? Doctor: Hello. If you have symptoms like voices telling you to do something wrong and you have feeling that these voices are real and are not your doubts then this needs re-evaluation. This could be due to some psychotic issues. Hearing voices giving running commentary could be due to auditory hallucination. You should discuss this with your psychiatrist during your next visit. Explain the symptoms in detail. This will help you." + }, + { + "id": 24867, + "tgt": "How can I manage recurring dry cough?", + "src": "Patient: Hello doctor, I am suffering from cough. It is not regular, but in the whole day, I might cough twice or thrice. It is not too harsh but my cough is dry, and there is no mucus in it. No fever, chest pain, fatigue or shortness of breath. I had a very bad cough a few days ago. And today when I consumed rice and curd it kind of triggered my cough or when I am in a dusty place or smoking. I just smoked twice in this month and during the time of my cough. I have quit smoking. I am 25 years old and taking Codistar and Allegro 120. It is working good. Just because I ate curd and rice, it started. Doctor: Hi. It seems you have a chronic dry cough which is triggered by allergens and environmental irritants like smoke. This seems to be a dry cough associated with post-nasal drip. Do you have any sinus issues or allergic rhinitis or family history of asthma? What you can do is inhale steam with Menthol three times a day. Also, drink a mixture of lime and honey mixed with warm water every day. Continue this for a week and see if there is any improvement. Also, you can try medications namely, tablet Cetirizine 10 mg once daily for five to seven days. Do not take Allegro if you take Cetirizine. In fact, Allegro itself causes dry cough. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16125, + "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": 17154, + "tgt": "My sister's beta hCG is 246. Does it confirm pregnancy?", + "src": "Patient: Hello doctor, I have a question related to my sister. She has missed her period, and when we consulted her doctor, he suggested BHCG level. Initially, it was 226 and on repeating it was 246. She is feeling weak and suffering from some bleeding. She had her last period before two months. Doctor: Hi. Revert with the report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3413, + "tgt": "I had unprotected pregnancy four days before medical abortion. Is there any chance of pregnancy?", + "src": "Patient: Hi doctor, I was three months pregnant and recently had a medical abortion. I had unprotected intercourse four days before the abortion. I was given 200 mcg of Mifepristone and two days later Misoprostol which expelled the pregnancy. (the intercourse occurred six days before the Misoprostol). I am worried that this may start a new pregnancy after the abortion was completed as sperm can live up to seven days and if I ovulated immediately after abortion the sperm could be alive to start a new pregnancy. Please can you help me and give me an explanation of the following: Can 200 mcg of Mifepristone be effective at preventing pregnancy, if taken four days (96 hours) after unprotected sex? I have found information on the internet which says in some countries that Mifepristone is used as an effective emergency contraceptive. However, they say small doses of up to 50 mcg. Please tell me whether 200 mcg would be most effective? Doctor: Hi, Welcome to icliniq.com. There seems to be confusion about the dose of Mifepristone which you know about. Usually, three 200 mg tablets (600 mg total) orally administered Mifepristone as a single one time dose and two days later Misoprostol is given. Your idea about 200 mcg Mifepristone is therefore incorrect. Regarding ovulating immediately after medical abortion is not possible. This is because the hormones in your body are still abnormal and ovulation will not occur in this situation. I guess you have been given 200 mg of Mifepristone and there is no risk of pregnancy from sexual intercourse four days after the abortion. The uterus is not ready to have another pregnancy right now so there is no risk to you." + }, + { + "id": 552, + "tgt": "After using Tazret, my hair is even more thin. Why?", + "src": "Patient: Hi doctor, I have asked to apply Tazret 0.05% on the bald area for regrowth. I have applied on hairline too, but it made my hair further thin and loss. Please advise to cure my problem. 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": 27615, + "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": 10195, + "tgt": "Is there a solution for heavy snoring?", + "src": "Patient: Hello doctor,I am suffering from a heavy snoring issue. With this issue, I am not able to enjoy with my friends when going on trips and even when someone visits our apartment. Is there a solution? My snoring is very severe. Doctor: Hi. Sure, there is a solution but firstly you have to detect the cause with the help of investigations and tests. You have to be examined by an otorhinolaryngologist to detect the nature of the soft palate, uvula, nasal septum, nasal turbinates, tongue base and to exclude any nasal polyps. The second step is CT scan for your nose and sinuses. The final step is the airway examination during sleep in a sleep laboratory. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24589, + "tgt": "What can be used instead of Arimidex in patient with breast cancer surgery history?", + "src": "Patient: Hello doctor,My wife underwent breast cancer surgery a year back. She was then prescribed Arimidex 1 mg tablet daily. She developed sciatic neuralgia which made bending and walking extremely painful. The ayurvedic doctor who cured her ascribed it to Arimidex which robs calcium of bones.Can you recommend other medicines which can substitute for Arimidex? Doctor: Hi. Sciatica is usually due to local compression over the nerve supplying legs like the one with disc prolapse. Arimidex (Anastrozole) is a hormone used for the treatment of breast cancer and can cause diffuse bone loss. That is why we give calcium and Vitamin D with these hormones to maintain the bone density. So my suggestion is to continue Arimidex till the response is there. Discuss this issue with your oncologist, and I am sure he will add calcium and Vitamin D. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 14258, + "tgt": "What does very little vaginal bleeding mean?", + "src": "Patient: Hello doctor, Actually, I was about to get my periods near 5th of this month but I got it six days back. The problem is that bleeding is very very little by little, I mean just a few drops without any pain or any blood clots. I am not sure it is my period or vaginal bleeding. As I am sexually active, I just had sex once, a month ago. I do not know what it is. Please guide me. Doctor: Hi. I am pretty sure this will be the beginning of periods. These little bit variations in days and amount of bleeding are common. Ultimately, in a day or two, you will have your normal bleeding periods. Another possibility is lost pregnancy. Sometimes, conception occurs and just get lost before even next menstural day, and misunderstood as normal periods. So just watch for abnormally prolonged bleeding like for more than seven days. But I believe that it would be normal periods." + }, + { + "id": 18965, + "tgt": "My teeth are rough after accidentally swallowing Harpic. How should I treat it?", + "src": "Patient: Hello doctor, I accidentally swallowed Harpic (toilet cleaner) but immediately puked it. It did not go in my stomach. But my teeth are feeling rough even after brushing.What should I do? Will this roughness last for a long time? How should I treat it? Doctor: Hi. I have read through your query and the relevant details. The Harpic cleaner contains various chemicals which are acidic and these when exposed to tooth surfaces would cause enamel roughness. That is the reason you have such a feeling in spite of brushing. I cannot guarantee that this roughness will fade away. But, the best home remedy is to do oil pulling twice daily with coconut or gingelly oil and avoiding any acidic food such as lemon or any citrus fruits or fizzy drinks. Apart from these, you could also visit your nearby dentist to get a professional polishing done. It is a special white powder used to polish teeth with a machine called pumice polishing. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14127, + "tgt": "I have obstructive jaundice with high serum bilirubin and yellowness. Why?", + "src": "Patient: Hello doctor, Obstructive jaundice has been detected. ERCP was done. Serum bilirubin still very high. MRCP report says everything is alright but neither serum bilirubin nor yellowness has got less. Doctor: Hi. I have gone through your case and can well understand your genuine health concerns. In obstructive jaundice, there is an accumulation of conjugated bilirubin in the body due to obstruction at different levels in the hepatobiliary system which causes yellowish discoloration. ERCP helps in clearing the biliary system. Sometimes, only the biliary sludge will be found in ERCP. Bilirubin takes some time to get completely cleared from the body. Repeat your liver function test after a week. If it is still high, other causes should be ruled out. You can try ursodeoxycholic acid (UDCA) which comes with the name tablet Udiliv 300 mg once daily for two weeks as it helps in clearing bilirubin." + }, + { + "id": 6324, + "tgt": "I have sickle cell anemia and my Hb is 7. 7g/dL. What medicines should I take?", + "src": "Patient: Hello doctor, I am 29 years old, and I have sickle cell anemia. My Hb is 7.7 g/dL now. What medicines should I take? Doctor: Hello. Sickle cell anemia has no proper cure. The goal of Management is to: 1) Relieve pain (with pain killers). 2) Preventing infections. 3) Preventing complications. As you know in sickle cell anemia, red blood cells are abnormal in structure and function. So it needs a frequent blood transfusion. However, stem cell therapy, a newly emerging branch have some hope, but it is not frequently available. Through this therapy, it is possible to generate normal red blood cells from bone marrow after stem cell transplantation, this could be a hope for you. If your case is severe then consult your doctor and discuss about Hydroxyurea (Hydroxycarbamide), which is a medicine and help, and you will need a lesser blood transfusion." + }, + { + "id": 20189, + "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": 11251, + "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": 14302, + "tgt": "How can I overcome decreased penis stiffness during sex?", + "src": "Patient: Hi doctor, I am concerned with something. I am a 30-year-old unmarried man whose sex life has not been so great so far. But what bothers me is the realization that my penis does not get really stiff in the act, when I had sexual encounters with a couple of girls recently. However, when I masturbate with hand or use fleshlight masturbator, my penis is really stiff and everything goes fine. I am a bit embarrassed too. What could be the reason? How can I overcome it? Doctor: Hi. I can understand. You are not yet married and therefore you should not worry much about your erection. A hard and stiff erection happens only one or two times before or during intercourse. If you have five minutes sex, the really hard erection will happen only for less than one minute. Otherwise, your penis will be a little bit sluggish. Secondly, hardness does not count in sex or ejaculation or childbirth. Having the ability to penetrate and ejaculate counts. Your present problem could be due to performance anxiety associated with having sex with unknown girls or with anxiety. Do not worry. Take care." + }, + { + "id": 21637, + "tgt": "I have a feeling of lump in the throat but scan shows nothing. Please advise", + "src": "Patient: Hello doctor, I have had a feeling of a lump in my throat for over a month with a feeling of trouble swallowing. There is no pain and I can get food down but it feels like it takes more time to get the food down. I went to a hospital and they did a CAT scan of my throat and said there are no tumors. It feels like I have to throw up but when I try to, it feels like I am going to throw up a ball and cannot. I got this pressure in my nose and throat/chest when I tried to throw up the other day. Also, I saw small blood streaks in the saliva while I was trying to throw up. I have not seen blood any other time besides then. Doctor: Hello. Swallowing is a process which starts at the mouth and ends at the stomach. CT scan for your throat just investigates the pharynx and the upper esophagus. You have to investigate the whole track. A barium swallow is so helpful as it can detect strictures and masses along the swallowing tract. Barium swallow scan is cheap, safe and fast. The second step is pharyngoscopy and it may be needed or not according to the barium swallowing scan. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4773, + "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": 14179, + "tgt": "I am experiencing heavy shoulders and getting anxious that it could be a heart attack. Please help", + "src": "Patient: Hello doctor, I am experiencing heavy shoulders, and then my hands and legs are feeling heavy and tingly. I can feel it go up to my neck and face at times. But the main symptom is heavy shoulders. I do have low vitamin D and B. I forgot to take my supplements for almost a week. When I forget, my legs become tingly and achy. When it happens, I get anxious that it could be a heart attack and it gets worse. The more I think about it, the worse the symptoms. But the symptoms then subside. I am thinking that I am having an anxiety attack. Doctor: Hi. I have gone through your query and can understand your health concern. Vitamin B12 deficiency can cause weakness, body ache and tingling sensation. But you told that after not taking the supplements your symptoms get aggravated. In my opinion, it is psychological only, that is anxiety related. To relieve this, you can do some relaxation exercises, walk, deep breathing exercises and meditation. Do not miss your supplements. Take non vegeterian food rich in vitamin B12. Try natural ways of reducing anxiety. If not controlled with that, then only go for anti-anxiety drugs." + }, + { + "id": 13573, + "tgt": "I took Misoprostol during pregnancy and baby survived. Will it cause any defect in baby?", + "src": "Patient: Hello doctor, I am 12 weeks pregnant now. On the third week of my pregnancy, I took two pills of Misoprostol. Yesterday, I went to ultrasound and my doctor told my baby is very healthy. Is there a high risk for my baby to be born with moebius syndrome or other illnesses? Please inform me, should I end my pregnancy? Doctor: Hi. You already used Misoprostol which is hormonal pills used to induce abortion and acts locally but luckily, it did not work and you got a healthy alive, active baby inside uterus growing. Have strict monitoring and take care of any symptoms you have like pain, bleeding, etc. Your sugar levels, blood pressure, thyroid levels should be in normal range and if you have been treated for any health issue, that also need to be checked and regularly treated. Have Folic acid 5 mg and Iron, Calcium with Vitamin D regularly. Have Micheal translucency scan at 13 weeks, detailed fetal anomaly scan at 20 weeks and scan for cardiac outflow tract at 22 weeks to check any abnormality in the child. I hope there will not be any abnormality if you do not have any family history of congenital anomalies. To be on safe side, you can take double marker tests, hormonal tests at 13 weeks and scan to exclude any congenital anomaly in the fetus. Have a regular antenatal checkup. I hope things would be better. Have the best care of baby and yourself. Misoprostol acts locally and prepares the female body to have a miscarriage. I hope it would not affect fetus with no detailed specific side effects as a congenital anomaly. Regular antenatal follow-ups along with a complete treatment of any health issue you have. Regular antenatal visit, double marker tests. scan at 13 weeks for nuchal translucency, at 20 weeks for detailed anomaly scan, at 22 weeks for cardiac outflow tract. Iron, Calcium with Vitamin D supplements, folic acid. Regular diet, weight, BMI, antenatal visits, multivitamins." + }, + { + "id": 22366, + "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": 14072, + "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": 18362, + "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": 5043, + "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": 3201, + "tgt": "My back is hunched because of poor back posture. How to recover from this?", + "src": "Patient: Hello doctor, I am a 17-year-old male. I have an extremely poor back posture. It came from forever not keeping my back straight and watching tv, reading, and other sedentary activities that leave my back hunched over. Now, despite being skinny, my core is lopsided, there is no tone whatsoever, and I imagine it had done a lot of mental effects as well. I would also like to mention that I cannot push out my belly and breathe deeply without hurting my lower back. When I try to stand up with correct posture, I shake uncontrollably as if I have no stability. I want to know if there is any possible program to help with this to get me back on track physically? Are there ways for me to recover from the mental and respiratory effects too? I have pictures of me to give you an idea of what I am dealing with. What exercises can I do to develop muscles here? Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). Yes, you can get back to normal if you start now. Your back does not look too bad. You need to start an exercise program called 1. McKenzie back stretching exercises. 2. McKenzie back strengthening exercises. 3. Core strengthening exercises. 4. Shoulder deltoid strengthening and trapezius strengthening exercises. These exercises will help you with all your problems. Also, start yoga and breathing exercises slowly and then build up. Do all this under the supervision of a physiotherapist. This will really help you. I hope this helps. Exercises Follow up after one week of starting exercises to tell me about the improvement, so that I can change the level of exercises." + }, + { + "id": 11931, + "tgt": "Does my MRI report show signs of Huntington's disease?", + "src": "Patient: Hello doctor, Looking to get an evaluation of brain MRI. Sensory overstimulation, suspecting temporal lobe epilepsy. Why is gray matter volume so high and white matter volume so low (atrophy reports)? Why are nucleus accumbens and caudate volume so low? Are there any signs of Huntington's disease? Are there any signs of hippocampal sclerosis? Are there any other issues that stand out or seem abnormal? I am currently taking Depakote ER, 2,000 mg per day. Kindly advice. Doctor: Hello. For evaluation of juvenile Huntington's disease, the ratio of frontal horn width or inter caudate distance is 2.52 (normal 2.2 to 2.6). The ratio of inter caudate distance or inner table width is 0.11 (normal 0.09 to 0.12). Therefore you do not have features of Huntington's disease. The asymmetry in nucleus accumbens and the left nucleus accumbens being smaller in size can be due to changes in the dopamine system. And it is related to neurobiochemistry factors. The grey matter percentile is on the higher side for you, and this area is still under research to assess the changes in brain grey-white matter and neurodegenerative changes. There are no apparent features of mesial temporal sclerosis and hippocampus atrophy changes." + }, + { + "id": 6671, + "tgt": "What is the risk of getting an STD from a stained bed linen?", + "src": "Patient: Hello\u00a0doctor, I recently had a pap smear done. The bed on which I lay had a stain, which I am assuming was,\u00a0from the person before me. The doctor had to put a finger inside my vagina to check my ovaries. So, if she mistakenly touched the stain, before inserting her finger into my vagina, am I at a risk of getting an STD, if that stain was from a person with an STD? I do not know if the stain was wet or dry. So, let us assume either. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5805, + "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": 14035, + "tgt": "My mother is an epileptic patient. I want to know if her present treatment is right?", + "src": "Patient: Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it was going on. Now, for the last two years, we consulted another doctor, who diagnosed that her treatment was not in the right way. He said that the seizure was idiopathic generalized epilepsy with absence seizures and she was given Encorate Chrono 500mg BD with Cloba 10mg. After this, she was good for two years. Then she again developed fits, senselessness, and convulsions this year. So, we went to the doctor and this time the diagnosis is combination of multiple seizures with psychogenic non-epileptic seizure and was given Encorate Chrono 500mg BD, Levipil 500mg BD, Cloba 10mg HS, Nexito 10mg HS. But still fits and convulsion is going on after coming back from the hospital. Please advise what has to be done. Is the treatment going in the right way? Is there any need for medicines such as Topiramate or Lacosamide or Tiagabine medicines? Doctor: Hello. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. The valproate plasma levels should also be performed, to know if she is being treated with the right doses of Encorate Chrono. I would recommend performing a brain MRI and a careful EEG to establish any possible cause of these seizures, which could be treated by a possible brain intervention. I would also reconsider the treatment with Escitalopram (Nexito), as it is an SSRI(Selective Serotonin Reuptake Inhibitor) and in rare cases has been shown to aggravate the seizures. Hope it was helpful." + }, + { + "id": 8056, + "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": 6548, + "tgt": "Can you please provide a diet chart for a thalassemia patient?", + "src": "Patient: Hi doctor, My brother is a thalassemia major subject. His age is 18 years and height is 5'4''. His hemoglobin is always maintained between 9 and 10 units. His weight is 38 now and drastically reducing. Nowadays he has been having headache and fever now and then. Sometimes he feels that his heartbeat is fast. He is taking Desirox 500 mg (three tablets per day) for iron chelation process and folic acid (one tablet per day). Kindly suggest if he needs to take any other precaution. Can you please provide a diet chart for a thalassemia patient which can help him to gain his body mass/weight (considering food with less iron amount)? Doctor: Hi. Based on your query regarding thalassemia, my opinion is as follows:1. Looking at a regular hemoglobin level of 9-10%, I would suggest you increase the levels. Maintaining at this level increases further erythropoiesis (production of red blood cells). Close to 12-13 g% maintenance would be much better. Reduced hemoglobin, will reduce oxygen, which will impact overall body (weight loss) and could be the cause of headache at present. Immunity is also reduced, which is resulting in frequent infections. 2. The antibodies may be increased in the blood, which could be more due to multiple transfusions. This could be causing a reduced increase in hemoglobin levels per transfusion leading on to iron overload. You need to look for regular blood donation from a small group (committed donors or donor adaption, 5-6 donors per case) to avoid any further antibodies risk. 3. Iron chelation should be regularly done to maintain iron within normal levels. It should be done regularly. If possible, hepatic iron through liver biopsy estimation can be done. 4. Heartbeats at a faster rate due to reduced hemoglobin and increased oxygen requirement (reduced hemoglobin means reduced oxygen carrying capacity). All the cells in the body have reduced oxygen, which is functioning below the capacity, which will affect weight. Recurrent infections will also impact weight. 5. Tea with meals will reduce the absorption of food. Meat intake should be reduced. Plant-source protein would be better. Avoid any vitamin C rich food in the diet like orange or lime juice. If needed can be taken separately after 2-3 hours of food intake. Adding vitamin E supplements will be helpful. Moderate weight gaining exercises with cycling, swimming, water aerobics will be helpful. 6. Diet rich in fruit and vegetables is better for overall nutrition. Avoid food like oysters, liver, pork, beans, beef, peanut butter, tofu or other nonvegan food. Also avoid iron-fortified cereals, wheat, ragi and among fruits and vegetables, avoid prune juice, prunes, watermelon, spinach, leafy green vegetables, dates, raisins, broccoli, peas, and fava bean. Also, look for iron in snacks, candies, etc. Try to maintain intake of iron from overall diet to less than 18 mg per day. 7. As I told earlier, it is important to take more of foods which decrease iron absorption and reduce foods which increase iron absorption. For your diet, I would recommend cereals, particularly rice, oats or maize along with tea (2 cups). You can vary the diet based on taste. Vitamin C food can be taken 3-4 hours after food intake. Try to improve hemoglobin through effective transfusions, choosing a small group of regular donors is essential. If transfusions are more, particularly in the last year, splenectomy may be necessary. Try to maintain pre-transfusion of 10 - 10.5g% and post-transfusion of 13-14g%, which would help in overall improvement. Iron chelation is very important. Liver biopsy for iron and regular serum iron levels. Hypoxia (oxygen deficiency), reduced hemoglobin levels. Small group donors for transfusion, maintaining hemoglobin at 12-13g%, modified diet with tea, addition of vitamin E supplements, regular exercises. Zinc rich diet would be better. Avoid iron rich foods." + }, + { + "id": 8781, + "tgt": "Please advice the relation between urine drug test and hair follicle test", + "src": "Patient: Hello doctor, I am trying to figure out the conversation between levels on a urine drug test and a hair follicle test. For example,Urine test: 505 ng/ml THCA.Hair test: 5.95 pg/mg THCA . If there were 32.6 ng/ml cocaine metabolite detected in a urine test, how might that show in a hair drug test? There seems to be a correlation between the THCA levels, but I cannot figure out what the connection might be? Doctor: Hello. In the urine, the metabolites are detected as it is directly coming out from the blood. I mean, it gives a day to day excretion of the metabolite, that is directly proportional to the amount of the specific drug or metabolite in the blood. Whereas, the metabolites or drugs in the hair tells the history of any drug or chemical usage. As we know, the growth of hair is very, minimal daily. Certain chemicals or drugs or metabolites can get accumulated in the hair on a long term basis. So, if we could find the THCA (tetrahydrocannabinolic acid) in hair, it is telling the past blood concentration or usage of the THCA. Thus, the hair value may not usually proportional to urine values. I hope I have answered." + }, + { + "id": 20052, + "tgt": "What can cause low WBC count?", + "src": "Patient: Hi doctor, My father-in-law is 58 years old. He had a stroke a year back and has been diagnosed with non-critical CAD. Within a period of two months, his WBC count has reduced from a range of 7.5 to 2.8. But, there is no sign of infection. The overall count of ANC is more than 1000 and platelets are 140. We consulted a doctor and he has advised us to take few multivitamins and keep a weekly check on the count. How should we proceed further? Please guide. Doctor: Hi. Based on your query, my findings are as follows. Vitamin B12 and folic acid deficiency. 1. Reticulocyte count. It has to get repeated after 15 days to check if there is any rise in number. 2. Vitamin B12 and folic acid assay. Megaloblastic anemia. Improve your nutrition by having eggs, chicken, red meat, pulses and green leafy vegetables. Revert back with the investigation reports to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20981, + "tgt": "Is it possible to live a healthy life with delusions?", + "src": "Patient: Hi doctor, I am a 32-year-old woman, autistic and I live with delusions. I am aware of my delusion disorder. I have taken evaluations for schizophrenia before, and the result came back with early schizophrenia. Is it possible to live a healthy life with delusions? I am aware of my delusion disorder which is only visible and audible to me. I am also grounded and level-headed even though I have this. Doctor: Hi. You may have early schizophrenia. If it is not affecting your healthy life, then it is fine. But it will progress with time. You need treatment to have control over your disease. I have seen many persons with delusional disorder doing functional and social life. If you do not have any hallucinations or any other psychotic symptoms, then it is more likely to be a delusional disorder. If you are taking any substance like alcohol or cannabis, it also causes the same symptoms." + }, + { + "id": 9879, + "tgt": "Is it advisable to have Unwanted 72 twice in one cycle?", + "src": "Patient: Hello doctor,Is it ok to take Unwanted 72 twice in one cycle (one on 12 th day and other on 24 th day) if my periods is generally of 35 days or more? I have PCOS. I am not taking regular contraceptive pills. Doctor: Hello. It is not recommended at all. Ideally, a withdrawal bleed should be expected in the next three to five days after taking unwanted 72, but if no bleed occurs, then a serum beta hCG test should be done to rule out pregnancy. The second pill taken would have masked the withdrawal bleed following the first pill, hence if again no bleed in next four to five days after the second pill intake, so please rule out pregnancy with a serum beta hCG test. If the hCG levels are less than 5 mIU, then you are surely not pregnant, and then you can safely wait for your menses to arrive naturally. Practice barrier contraception hence." + }, + { + "id": 18533, + "tgt": "What is the dosage of Albendazole for worm infestation?", + "src": "Patient: Hello doctor, I have worms in my stomach. How to take Albendazole tablet? What is the dosage? Doctor: Hello. So considering you have worm infestation, I suggest you try the following: Hope this helps you and get back if you have any doubts. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2809, + "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": 26624, + "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": 11897, + "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": 5434, + "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": 24125, + "tgt": "What is the rash on my face?", + "src": "Patient: Hello doctor,I have a rash on my face. It has been there for a month and does not itch. It is almost the size of a quarter. Currently, I am on Adderall. Doctor: Hi. I have gone through your case. Right now you are having acneiform eruption (attachment removed to protect patient identity) which is one of several types of acne and sometimes food and stress aggravate such lesions. My advice to you is to apply Clindamycin gel two times daily only on the affected area. Drink plenty of water and juices. Avoid applying of any moisturizers or Dettol. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30384, + "tgt": "Do I need to get a lung biopsy to confirm bronchiectasis?", + "src": "Patient: Hi doctor, I have been referred to a pulmonologist based on the following CT scan report\u00a0for chronic cough and fatigue. Mild cylindrical bronchiectasis to the lower lung fields with evidence of bronchial wall thickening and mild dilatation. Additionally, ill defined airspace opacities of the extreme right lower lobe most likely reflect infective changes. One small nodule is noted at the peripheral aspect of the left lung base. Mild interstitial thickening at the peripheral right lung base with less pronounced changes on the left. Multiple mildly enlarged glands of the middle mediastinum measure up to 11 mm and may be reactive. Slight prominence of the right hilum. Small anterior pericardial effusion of 6.44 mm. The liver appears enlarged, diffuse hypoattenuation and the liver parenchyma is consistent with fatty liver infiltration. I have also had Bell's palsy in the past. What would you say as the cause of these problems? Do I need lung biopsy? Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10021, + "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": 5147, + "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": 27625, + "tgt": "Please suggest natural ways to boost my sex drive", + "src": "Patient: Hi doctor, My age is 30, weight is 82 kg, and height is 5 feet and 8 inches. I am doing exercises regularly. My problem is that I do not have a sex drive. I have tried taking Manforce 100 mg two tablets a month, but it still did not work. Please help me as I do not want to be dependant on tablets for long. Please suggest some ayurvedic or herbal tablets which have no side effects. I am looking for a permanent cure. Doctor: Hello. Revert after two weeks to an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21465, + "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": 19247, + "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": 27321, + "tgt": "What could be causing my muscle cramps and heel pain?", + "src": "Patient: Hello doctor, I have muscle cramps in the\u00a0bottom part of my\u00a0belly or sometimes one one side of the belly since two to three years. I have put on a lot of weight and now have a protruding belly. I am taking Presolar twice a day, Tazloc-H, Modlip 10,\u00a0Neurobion Forte once a day, and Caldikind sachet once a week for vitamin D deficiency. Also, I have pain just above the heel of the right leg when I try to stand or walk. After a while, it goes away. \u00a0What are the possible causes and remedies? I have attached my recent reports for your reference. Doctor: Hello. Take care. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28553, + "tgt": "My sister has focus problem while walking down stairs. Do you think she needs urgent attention?", + "src": "Patient: Hello doctor, My sister is 27 years old. She has normal IOPs, right eye 11 and left eye 13. She has had problems with focusing while going down in the stairs. She went for an eye test, and her fields are attached. Our maternal grandmother has open angle glaucoma. There is no other relevant family history. She suffers from Sjogren's and visits an ophthalmologist regularly. She has large deep symmetrical discs. Do you think she needs urgent attention? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2136, + "tgt": "After cleaning my ears with buds, I experience watery discharge with pain. Is this dangerous?", + "src": "Patient: Hello doctor, I would like to ask about my situation. Last night I decided to clean my ears using cotton buds, after hours I felt like my left ear did not function as how my right ear does. It has the same feeling when you got out of the water from the swimming pool as if there is a stucked water inside. Days pass (two days to be exact) I started to feel pain whenever I touch my ear. And also I observe that there are times wherein there is a liquid (just a bit, but not too much) that comes out of my ear, but it has no odor and color. I feel scared and bothered. I am afraid of losing my hearing since I mostly use my ears for my job. Please help me. Is this dangerous? Will I lose my hearing because of this? What are the medications I can take to ease the pain and cure this problem? Doctor: Hello. I understand your situation. Your symptoms are suggestive of an acute ear infection. Nothing to worry. Since you say your ear is discharging, follow these suggestions. 1. Visit an ENT doctor near you so that your ear can be visualized endoscopically and treated accordingly. 2. If you do not have the chance to visit an ENT consultant start yourself on the following medication. Tablet Amoxicillin 500 mg twice daily for five days, tablet Levocetirizine once daily before sleep for five days. Ciprofloxacin ear drops three drops thrice daily. 3. Try to keep your ear dry at all times. 4. Regarding your hearing, in most cases, it will be back to normal after the underlying infection subsides. But, nothing can be confirmed without examining your ear. 5. Get out of the habit of using earbuds to clean your ear. It is designed to only clean the outer ear lobe not to clean inside your ear. This habit will only worsen things for you. Infection of the external or middle ear. Endoscopic examination of the ear, pure tone audiometry, impudence audiometry. Keep the ear dry at all times. Follow up regarding the symptoms in three days." + }, + { + "id": 20791, + "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": 27386, + "tgt": "I had a severe stabbing pain in my stomach. Is that something I should be worried about?", + "src": "Patient: Hello doctor, This has happened to me twice now. This feeling usually lasts for about five to 10 minutes. It felt like a knife was pushed into my stomach and was being twisted. The pain is at the center of my upper stomach. Other than frequent heart burn, I am or at least I feel, healthy.\u00a0I am not taking any medication. I never had any medical issue in the past. It is just these two episodes hurt so bad, it got me worried. Doctor: Hello. As you mentioned, you have a stabbing pain in the upper abdomen, that lasts for five to 10 minutes. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16024, + "tgt": "Will same blood group of couple cause any complication to the baby?", + "src": "Patient: Hello doctor, My brother is worried about his marriage because of the same blood group. Both are having a B+ blood group. Is there any problem after marriage for getting a healthy baby? Please explain it to me so that I can talk to him. Doctor: Hello. Same blood group people can marry and can produce a normal child. There is two common universal blood group system that is ABO and Rh. If they both are relative then genetic counselling is needed. As far as same blood group is concerned, do not worry about that. If you want to investigate, then I personally advise you that they both should get tested for thalassemia minor by electrophoresis by HPLC method. You can inform me your electrophoresis report for giving further comment. Take care." + }, + { + "id": 20879, + "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": 15008, + "tgt": "How to conceive faster? Why AF Kit is being used?", + "src": "Patient: Hi doctor, How to conceive faster? Is AF Kit advisable to use? Doctor: Hi. AF Kit is used for vaginal discharge and fungal infection. If taken by both partners, it will cure you of such symptoms and also treat PID (pelvic inflammatory disease). It is good to take this treatment as you are trying to conceive. To conceive faster, try having sexual intercourse during your ovulation days, which are roughly from 9th to 22nd day in a 30-day cycle." + }, + { + "id": 22256, + "tgt": "My teeth seem to be yellow. Can I go for teeth whitening?", + "src": "Patient: Hi doctor, My age is 26. My teeth seem to be yellow in color from the past few years. I do not have any other dental issues. So, I want an advice from the doctor that can I go for teeth whitening? Is it safe? Will it create any teeth problems in future? Or it may affect my health in any way? How long will the teeth remain white after treatment? How much does it cost? Any experienced dentist please advice me on this. Doctor: Hello. Tooth discoloration can be caused either due to internal stains or external stains. If the discoloration in your case is due to external factors, then you can simply go for scaling or cleaning of the teeth which is very safe for everyone. Teeth whitening or bleaching can be done in cases of internal staining. It is done using certain chemicals, results are good, but you need to be little cautious while having colored food like tea, coffee, etc. But if you have teeth sensitivity, then bleaching would not be a good idea as it can lead to more sensitivity. Your teeth will remain white as long as you can maintain it with proper oral hygiene. Cost can vary according to the clinic. Otherwise, it will not affect your health in any other way. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15498, + "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": 3870, + "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": 6979, + "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": 24860, + "tgt": "Are pronounced hyperacusis, tinntus and headache the symptoms of Meniere's?", + "src": "Patient: Hello doctor, I would like to share my story quickly, and my question is to those who suffer from Meniere's. Does this sound at all like the syndrome? I have not received a Meniere's diagnosis, but I am scared I might be in the early stages of it because only one ear is involved. About 14 months ago, I had recovered from a long period of an upper respiratory cold. When I started to feel better, I started getting a headache in my left ear. Some people have never heard of a headache in the ear, but if you can imagine what a migraine feels like (throbbing, pounding, etc.) that is exactly what it felt like but directly in my ear. It was happening every two to three days. It would subside with Advil. Usually, when I get a headache or a migraine, I do not think too much of it, but these headaches started to get my attention. Why were they always in the same spot? Was I doing something wrong? I changed my diet, thinking it was the food. I tried to get more sleep as I was also postpartum, and nothing budged. I got massages, etc. Then, around the same time, I got BPPV in my right ear. At this time, I did not have any tinnitus. I was treated with the Epley maneuver for the BPPV which was a terrifying experience. For example, I would be holding my cell phone in between my neck and shoulder and have violent, brief, vertigo episodes, sometimes in public too. Anyways, that was treated. After the actual spinning sensation was gone, I noticed I was still dizzy. It was not as violent as before, but it was still there. If I moved my head suddenly, I would feel a minor sense of disorientation for one to five second. Almost like the feeling you get when you shake your head and then stop. I still have that feeling today. And, at the same time, with more and more ear headaches, my left ear started developing more pronounced hyperacusis and tinnitus. I have had it in both ears, but it is more pronounced in the left. In the left ear, I also have a morris-code type of tinnitus on top of the constant one. I cannot say I get episodes of extreme vertigo. I just get dizzy moving my head from say, looking down at my cell phone, to looking straight or looking down to the left to looking straight. Sometimes, I will just be staring at something and get visual vertigo. It has just been awful. I do not feel like I am living in the same body anymore. And it concerns as to why all of the other symptoms are only in the left ear. I have had a full workup of vestibular testing, and they have been normal. I do not have any hearing loss either. There is nothing I know that causes headaches in the left ear, and I know that the hyperacusis and tinnitus are a result of the headaches I get. Also, the left ear clicks and flutters at times as well. Sometimes, it pops on its own. I know something is going on in there and it is scary that I do not have any answers. VENG, ECOG, MRI head, CT scan head and hearing test, all are normal. Does this sound like Meniere's? Doctor: Hi. If Epley maneuver has improved your dizziness, then it does not seem to be Meniere's disease, and also you used to get vertigo only when you shake your head which is not so in Menier's. Also, you will have hearing loss as well in Meniere's. Ringing in your left ear, is it the only complaint right now? Are you on any regular medications right now or did you take any medicines for a long duration before? Did you have any viral infection recently? Do you have photophobia? For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18008, + "tgt": "What is the possible treatment for back pain followed by lifting heavy weight?", + "src": "Patient: Hi doctor, I was sitting half bent while washing the clothes. There were few buckets full of water one over the other. I got my back hurt when I tried to bring one of the buckets down. My body has tilted a bit towards left. I am unable to move and walk. It is paining a lot. Usually after work I do will have a slight pain in my back. But today it has increased so much that I cannot even move. Please tell me a medicine and what precautions should I take ? Today I have taken Flexon-MR but it did not reduce the pain. Doctor: Hi.Actually, you are very young to have persistent back pain and this episode appears to be an acute exaggeration of this pain. Cause of back pain can be due to a muscle strain or a small herniation of an intervertebral disc followed by lifting heavy weight. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations initially for a period of two weeks. We will observe you for the next two to three weeks to see how you respond to this conservative management protocol. Normally, the pain in the back along with the muscle spasm will subside in next five to seven days if you take your medications and observe precautions as advised. If you are not feeling better, then we might have to get some investigations like dynamic x-ray of lower back and few blood tests for evaluation. Injury while attempting to lift a heavy weight. Nothing as of now. Avoid acute forward bending, lifting of any heavy weight, etc., till the time your pain subsides. Revert back after seven days or if necessary to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27028, + "tgt": "Is surgery a must for my mother's severe shoulder pain?", + "src": "Patient: Hi doctor, My hardworking mother, aged 62 years has a history of diabetes for the past 10 years and occasional shoulder pain for the past eight years. A month ago she lifted my son's heavy school bag and got severe shoulder pain, restricting it's movements. We got the MRI done last week. I have attached the reports. Can this problem be solved by giving adequate rest to the hand or physiotherapy? Or is surgery a must? If yes, what is the success rate of surgery in this case? Doctor: Hi. Based on the MRI report (attachment removed to protect patient identity), it is a full thickness tear of supraspinatus with retraction. For further queries consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17071, + "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": 19266, + "tgt": "Why is genital herpes recurring?", + "src": "Patient: Hi doctor, Why do I get recurrence of genital herpes as soon as I stop antiviral drugs? Doctor: Hello. It may be due to poor immune status, diabetes, drugs, or poor nutrition which may lead to decreased resistance to infection. If the sexual partner has it, then there is a chance of developing it. I suggest applying Acivir (Acyclovir) gel locally and taking capsule Acivir 400 mg five times a day for one week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6568, + "tgt": "I have pain in my left forearm and right leg. What is the treatment?", + "src": "Patient: Hello doctor,I am a 28-year-old male. 1) I have been experiencing pain in my left forearm. It suddenly started, and there was a constant pain in almost the entire forearm. I went to sleep, and it continued to pain, so after a couple of hours, I took Paracetamol. It went away after that. The next day, while doing some work, I put pressure on my forearms, and it started to pain feebly. I saw some swelling after looking at it closely. The portion of the swelling is a bit stiff. If I clench my fists hard enough, the swollen part pains a bit. As far as I remember, I have not had any injury and not doing any stressful work. I am physically inactive. I also had tennis elbow in my right hand about eight months ago due to workouts in the gym. After that I had left the gym too.2) I have pain in my right leg on the lateral side below and towards the knee. The pain has been there for the past two to three months. It appears when I bend my legs and sit for a long duration and when I stand and stretch my leg. Please help. Doctor: Hello. As there is no history of injury and the duration of symptoms is only a few days, then it is not worrying. Apply ice over the area and keep it elevated, and do not massage. Take anti-inflammatory tablets like WillgoCR or Voveran (Diclofenac) once daily after meals. If the pain and swelling increase or does not settle in a week, then you should consult a doctor. The knee pain appears to be from the knee cap and this may affect your climbing stairs and getting up from a sitting position. Though you have not mentioned much about the knee pain, the other possibility is the pes anserine bursitis. Apply a gel like Dynapar (Diclofenac combination) to the affected parts to help. I hope this helps." + }, + { + "id": 9195, + "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": 8069, + "tgt": "Does puffy gums indicate periodontal disease?", + "src": "Patient: Hello doctor,I have always had decent dental health, except for flare-ups with stress. Recently I noticed sensitivity along with bottom front teeth. When I pulled out my bottom lip, I noticed that the gum surrounding one tooth looked puffy. Not red, or sensitive, but it sticks out, it does not lay flat against the tooth like the others. Is this something to be concerned about? I am doing natural treatments with herbs, vitamins, etc. Could it be a periodontal disease? Doctor: Hello. Puffy swollen gums are a sign of periodontal disease. The cause of the periodontal disease is microbial deposits on the teeth (dental plaque). The plaque when mineralized become tartar (calculus). The calculus, in turn, attracts more plaque, and the disease process continues. At later stages, it may lead to bone loss and mobility of the teeth. I would suggest you to please visit your dentist and get your teeth cleaned, your dentist will be able to assess the stage of periodontal disease and if required will refer you to a periodontist. Get your oral health check-up done every six months so that any changes in the oral cavity can be treated in the initial stages. Deposits on teeth. Clinical examination and IOPA. Scaling and root planing, if it has reached the advanced stage then further periodontal treatment. Proper brushing of teeth and regular check-up." + }, + { + "id": 6450, + "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": 29331, + "tgt": "Please suggest a good diet for my 2. 6 years old son to keep his gut healthy", + "src": "Patient: Hi doctor, My son is 2 year 6 months old. He is suffering from gas most of the day. He passes gas in the form of wind. We give him Neopeptine syrup, but it works for 12 hours to one day. This has become a regular phenomenon now. We give him only home made food. Please suggest a good diet to avoid this and make his gut healthy. Doctor: Hi. The diet chart is as follows. For further doubts consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 14086, + "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": 27948, + "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": 25887, + "tgt": "My HIV test came back negative at eight weeks. Am I all clear?", + "src": "Patient: Hello doctor, I would like some advice please regarding HIV testing. 10 days following a sexual encounter, (protected penetrative sex, unprotected oral sex) I was tested at my local GUM clinic. Although the lady from my encounter tested negative, mine came back as weakly reactive (fourth generation test). I retested which was now 21 days from the encounter and the result was exactly the same. The clinic sent some blood away for a viral load test which came back as negative / undetectable. Four and a bit weeks (eight weeks since the initial encounter) later, I returned for the follow-up blood test which, as I was advised, was weakly reactive again. This time the clinic sent some blood to a lab abroad for a confirmatory test which came back negative. What are your thoughts on this? Given that my results from the fourth generation test are the same over an eight-week period and viral load negative and whatever test they did abroad was negative should I be considered all clear? I cannot seem to shake this doubt that I have. Doctor: Hello. I have noted your concern. For more information consult an HIV and AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 5120, + "tgt": "My friend has disc bulge with raised ESR and SGPT. Is this due to autoimmunity?", + "src": "Patient: Hello doctor, My friend has a disc bulge and lipping osteophytes. She is using a belt now to support her back. She is now experiencing continuous pain, though not unbearable. When she had the blood reports, her erythrocyte sedimentation rate is 40 mm/hr and her SGPT is 38 U/L, both above the reference levels. It is suspected that she has disc degeneration because of auto-immunity by some doctors. Can you please look at her reports and let me know the actual scenario of her health and what are her health implications in the future? I am about to marry her and is hesitating because of her health condition. Please let me know about her present health by looking at the MRI scan of the spine and the blood reports. Her CRP is normal. Doctor: Hello. I have studied your case with diligence. I have seen the reports also. (attachment removed to protect patient identity). Raised ESR (erythrocyte sedimentation rate) with raised SGPT (serum glutamic pyruvic transaminase) suggest the possibility of polyarthritis. You may need further investigation like RA (rheumatoid) factor, ACCP (anti-cyclic citrullinated peptide), if required PET (positron emission tomography) scan, ANA (antinuclear antibody), HLA-B27 (human leukocyte antigen). As per your MRI, there is no significant disc bulge or fluid collection. SI (sacroiliac) joint should be ruled out on MRI again. Ankylosing spondylitis typically involves spine and hips with other large joints also. There is reduced chest function in this disease. Stiffness in the spine is increased. Do you have such stiffness in the spine? Clinical examination is also required to diagnose it. You can do a blood test to confirm it. If all tests are normal you may need proper exercises and lifestyle modifications. You can do all these tests as early as possible to plan for the future. I hope this helps." + }, + { + "id": 18596, + "tgt": "I have low levels of vitamin B12. How to manage it?", + "src": "Patient: Hi doctor, I have low levels of vitamin B12. I have to take vitamin B12. Every time, when I take them, I get a terrible spine pain, and I feel very tired. Please help. Doctor: Hi. Your symptoms are related to vitamin B12 adverse effects. I would like to know your vitamin B12 plasma levels. You can take it as an injection once a month." + }, + { + "id": 28474, + "tgt": "From the attached reports, please tell me the reason for frequent urination", + "src": "Patient: Hello doctor, From the past few days, I have frequent urination. I am attaching all the test reports that I have done so far. I also got an x-ray and CT scan of the chest, but as I am out, I cannot upload them now. I will upload them later if you need it. Doctor: Hi. Revert with more information to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 11164, + "tgt": "Can a person travel while on Acyclovir for shingles?", + "src": "Patient: Hello doctor,I am a patient, age 30, with Crohn\u2019s disease. I take Humira and recently had a flare up, thus started a round of Prednisone to get through the flare-up. The combination of Humira and Prednisone has resulted in shingles. I saw a dermatologist who prescribed Acyclovir. I was six days into the shingles before realizing I needed to see a dermatologist. I have been on Acyclovir for two days and have not seen the shingles spread. Can I go for a trip? Doctor: Hello. I went through your post. Shingles involve a single dermatome. So, it is unlikely going to spread and will heal completely in two weeks. Prednisolone is a steroid and can cause reactivation of Shingles. So you need to take Acyclovir at least for one week and continue Prednisolone and Humira (Adalimumab) until your IBD (inflammatory bowel disease) goes in remission. Then you can slowly decrease the dose of Prednisolone and finally take it off. You can go on a trip." + }, + { + "id": 27275, + "tgt": "Can you have a look at my NT report and advise further tests?", + "src": "Patient: Hello doctor,I had the NT scan at 11 weeks and 4 days and the NT was 3.3 mm. After that, I got the double marker test done which came back normal, with a risk of 1:624 for T21 and 1:685 for T13 and T18. I was asked to do the NT scan again and at 12 weeks and 2 days, the NT measured 2.8 mm. Also, the fetal heart rate which was 163 BPM at 11 weeks increased to 180 BPM at 12 weeks. I hope the results are normal. I do not want to do the amnio due to its associated risks. Is there anything to worry about? Doctor: Hello. I have gone through your query. 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": 26185, + "tgt": "Is it true? Tooth Infection may cause redness below the eyes?", + "src": "Patient: Hi doctor, I have about six broken teeth. They are a mess. I am so scared of the dentist, but I need to see one. I am in constant pain all the time. I have had two abscesses in the last six months. I had eye infections as well on the same side. I am sure that it is connected. What to do? Doctor: Hi. Yes, the tooth infection can cause redness below the eyes. Please go to a dentist soon, and there is no need for fear as dentists are very smooth and painless in their treatment methods and you will not even know it. If the tooth is restorable and you can afford it, then root canal treatment is the treatment of choice. Otherwise, you have to extract it soon. You need at least start taking antibiotics like Amoxicillin-CV 625 mg as soon as possible for five days to reduce infection. Send a picture for better treatment plan after diagnosing the exact problems.Thank you. Revert with pictures to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27253, + "tgt": "I have small bumps all over my face. How do I get rid of them?", + "src": "Patient: Hello doctor, I have small bumps all over my face. They are very difficult to pop and they do not hurt. They came out of nowhere, and now it is out of control. I do not understand what I can do. I used Proactive cream in the past when I had something similar. Doctor: Hello. This may help you. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 22566, + "tgt": "Kindly advise treatment for acne and oily skin", + "src": "Patient: Hi doctor,I am 18 years old and I have somewhat mild acne and often oily skin. I have had acne for about two years but this year it got worse. Some topical medications I have used in the past are Trimethoprim, Sulfamethoxazole-F, Adapalene gel, Differin. I have tried almost every drugstore prosecutors out there and nothing seems to work. Products I use at this moment are Cetaphil gentle foaming facial cleanser, Witch hazel, and aloe vera plant on my face every night. I have been doing this for only three days, do not see much of a difference yet. I wrote this because I want a final solution to at least control my acne. As it messes with my self-esteem. Doctor: Hi. I have gone through your case. Well, first of all, be patient. You need to understand acne is common in your age and it is an ongoing process and you may experience frequent exacerbation due to stress and hormonal. It occurs due to hormonal activity at puberty. So you may not get final medicine or final decision. And the problem may last until your twenties. Moreover, you have taken too much of medicine which may be another reason for resistant acne. Just stick to one. Apply Clindamycin gel two times a day on the pimple. Use Cetaphil cleaner. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29754, + "tgt": "What can be the contributing factor for the fluctuations in oxygen saturation levels?", + "src": "Patient: Hello doctor, My mother is 97 years old. She had a minor heart failure with a BNP of 110. Recently, she had a bad UTI and asthma. Up to that point, her O2 saturation levels without supplemental oxygen were 95 to 96. Now that she is recovering from UTI,\u00a0her O2 levels are 97 to 98 with 2 liters of supplemental O2 and her O2 level without supplemental O2 are between 88 and 92. All of these numbers are at rest. She does not do too much activity. What can be the\u00a0contributing factor to this change? She had a chest CT scan and it did not show COPD. Should she stay on the O2? It is somewhat of a hazard. The tubing is difficult for her to handle. We must have someone with her all the time even throughout the night. We are concerned if she gets up to use the bathroom her foot will get caught on the tubing. She had a complete blood workup done. All the results were normal except that she is anemic. Currently, she is using nebulizer given by the primary care physician containing Ipratropium, Levalbuterol, Budesonide and antibiotics for recurrent UTI. Doctor: Hi. I do not understand the correlation between urinary tract infection (UTI) and low oxygen saturation. If the UTI has caused sepsis and multiorgan failure, then only it can affect lungs and saturation would drop. Asthma is a chronic disease and does not occur suddenly. She either had pre-existing asthma that got exacerbated by UTI or she had acute bronchitis or lower respiratory tract infection. I would recommend you go for a re-evaluation of her heart by 2D echocardiogram for her ejection fraction and for any signs of pulmonary embolism. If we do not treat the basic cause of falling saturation, we will not be able to come out of this problem. I would like to know whether you are treating her at home or hospital. Also, mention if you have her latest blood counts and urine test reports. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 18738, + "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": 4613, + "tgt": "How to treat old dark scars in legs?", + "src": "Patient: Hello doctor, I have some scars on my legs from when I was a younger kid. So when I was younger I fell and bruised and got scars. Sometimes, I would scratch my scars and over time the scars become dark and they look ugly. And since then I do not wear shorts or clothes that show my legs. Is there anything I could try to fade the scars or lighten them? Doctor: Hello, Welcome to icliniq.com. First of all, your scratching induced issues over the skin are not scars, rather they are marks that too over a background of another mild skin condition that you seem to have. Scars are aberrations in the skin texture, irrespective of the color change. What you have is: Background of a mild skin condition called macular amyloidosis (MA), you may see light brown colored speckled pigmentation in coalescing patches over your leg shins. These arise spontaneously, mostly without any cause, although friction contributes to it in terms of making it worsen and darker. So, do not scratch any further. Few marks, these are the smaller spot-like darker brown colored discrete and are a few in number, a result of the healing of the skin over your pointed scratched areas. Now MA does not have a permanent treatment and also often does not need it. It may also affect the upper back and upper arms, just have a look. Sometimes, it tends to run in families. Moisturization with Cetaphil dam lotion after bath and before sleeping tends to reduce the associated dryness, itching as well as roughness of those areas. But many times, especially in girls and women, MA is associated with thyroid dysfunction. So, please get your serum TSH (thyroid-stimulating hormone) blood test done. For the brown marks that are bothering you, you will require a depigmenting cream to be applied in the night just over the spots and a broad-spectrum sunscreen with SPF 50+ (sun protection factor) in the day time on the entire legs daily. I believe Cetaphil UVA/UVB sunscreen or Anthelios-XL (SPF-60) or Avene sunscreens may be available to you over the counter. Use them daily over the entire legs and first coat to be applied at least half an hour before going out. Now, I would not be able to tell you which depigmenting (skin lightening creams) are available in your place. But, you can check with your local pharmacist. You could select from a range of combination creams that often contain varying proportions of Hydroquinone, Kojic acid, Glycolic acid, Arbutin, Azelaic acid, mild steroid, Tretinoin, Vitamin C or E, etc. Although it would be ideal that you get a prescription cream from your dermatologist, till then you may (for the short time 15-30 days only) use one of these creams, to be used as spot therapy only over the dark spots, in minuscule quantities, that too strictly at night and discontinue using it if it causes excessive redness, peeling, irritation, etc. Additionally, take some good oral anti-oxidant capsule daily for two to three months. For best management, please revert back with the answers to my following queries: Do you have similar pigmentation over the back? Please send pictures in your response. Does your mother or other family members have a similar problem? Get your serum TSH levels checked and let us know the value. Contact the pharmacist and try to procure and use the sunscreen and night cream. In your response, please tell us the brand that you procured and the contents of the skin whitening cream so that we could further advise you about its use and safety. I hope this helps. Serum TSH levels. Blood test to be given in a fasting state." + }, + { + "id": 8718, + "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": 8405, + "tgt": "Why is one of molars swollen?", + "src": "Patient: Hello doctor, I am 18 years old and my grandfather said I might be teething because one of my molars are swollen. He said once I lose this molar, a new one comes in. Is that true? Doctor: Hello. He is not wrong nor right. If your molar in the age of 8 was not replaced with a permanent one and if there is any chance of having a molar in eruption stage then it may be true. Generally swelling around teeth comes due to gum inflammation or due to some infection in teeth. In both cases, you need to visit a dental clinic. Just get this swelling checked before it becomes some severe infection and know the status of your teeth whether they are temporary or permanent teeth." + }, + { + "id": 8849, + "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": 8711, + "tgt": "Which is a better alternative than Ciprofloxacin for pink eye?", + "src": "Patient: Hello doctor, I am having conjunctivitis (pink eye) for the last two days. Currently, I am using Ciprofloxacin eye drops. Is there any other medicine for fast relief? Doctor: Hi. Revert back with the pictures to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist \u00a0" + }, + { + "id": 21553, + "tgt": "Please suggest a good medicine to increase penis size and stamina", + "src": "Patient: Hello doctor, I am a 27 year old male. Is there any medicine for penis enlargement because my penis is very small. Also, I am feeling sex mood but my penis is not getting hard until I use my hand with some shakes. Then slowly, it gets strong. Due to this, my partner feels I am unfit to have sex. Even she tries to get my penis strong, but it takes so much time to get it strong. So, if there are any good medicines to increase my penis size and penis stamina, please help me. Doctor: Hello. For providing you the proper treatment, I need to know the answers to the following questions: a) Persistent low mood? b) Loss of interest in work? c) Low energy? d) Lack of concentration? e) Disturbed sleep? f) Ideas of hopelessness, helplessness, guilt or suicide? g) Change in appetite? h) Headache, forgetfulness, excessive sweating, shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and provide a proper treatment. Revert with more information to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25770, + "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": 1903, + "tgt": "How can I heal the skin that is damaged due to poor circulation?", + "src": "Patient: Hi doctor, I have dealt with leg swelling fairly constant for the last 10 years. The bottom of my legs including my ankles and feet are swollen every day. They have turned very dark. The discoloration was happening for about the last five years and has gotten worse over time. Basically, it will not respond to any type of moisture so that the area is always dry. I am overweight, but not diabetic. The only medication that I am taking currently is Coumadin, because I recently had a blood clot in my right leg. However, it is my left lower leg that has the most swelling and discoloration.\u00a0How can I heal the skin that is damaged due to poor circulation? Doctor: Hi. I have read your concern. 1. Overweight. 2. Prolonged standing. Color Doppler for venous insufficiency. 1. Stasis dermatitis. 2. Lichen simplex chronicus. Stasis dermatitis. 1. Keep the area clean with soaking in solution of Potassium permanganate in 1:10,000 dilution. 2. Apply good quality moisturizer twice daily and apply Propysalic NF (combination of Clobetasol Propionate and Salicylic Acid) lotion once daily for two weeks. Consult your doctor, discuss with him or her and take the medicine with consent. Put a pillow underneath your feet while sleeping, avoid prolonged standing and try to reduce your weight. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28511, + "tgt": "There is a wooden splinter in my left ankle. Is there any risk of tetanus?", + "src": "Patient: Hi doctor, I have a wooden splinter in my left ankle. While I was trying to get up from a wooden deck, my left ankle scraped on the wooden deck, and a wood splinter got in my ankle. It did not go in vertically, but it went in horizontally across the skin. I have attached a picture of the wound after I managed to take the bigger piece out. It is only bleeding a little after I took the big piece out, and as you can see, there is still a smaller piece left in there. So, I went to a doctor, and the doctor managed to take all the pieces out with a\u00a0local anesthetic. The doctor opened up the wound, and there was some bleeding, the wound is now covered with a gauze. I asked the doctor whether there is any risk of tetanus, as I have not had a tetanus shot in more than ten years. I do not like the idea of having the vaccination and their possible side effects. The doctor said it should be fine without one, as it is not a deep puncture and the wooden deck does not have any rust. But I would like a second opinion, as I am quite worried about tetanus. Doctor: Hi. I have seen the attached picture (attachment removed to protect patient identity). For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8269, + "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": 27812, + "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": 1816, + "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": 25603, + "tgt": "Is there any topical medicine for easy penetration into vagina?", + "src": "Patient: Hi doctor, I am just newly married. I want to know that, is it enough to send the sperm at the entrance of vagina or should I penetrate long deep into vagina and release the sperm to make my wife pregnant? Please guide us which approach is easy as well as to make sure she would be pregnant. I feel very tight insert into the hole. Is there any topical medicine for easy penetration and more erection as well? Thank you. Doctor: Hello. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 29641, + "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": 30890, + "tgt": "What should I do for heavy bleeding following I-pill?", + "src": "Patient: Hi doctor, I took an I-pill on the 27th hour of unprotected sex. I am having severe abdominal pain since I took the pill. I am experiencing a little shortness of breathing. Now, I am on my periods, but it was four days late. It has been 10 days since I have taken I-pill. I am having unendurable pain and bleeding. I tried pregnancy detection kit and it showed negative. What should I do? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4641, + "tgt": "What can be a soft lump on penis that is tender to touch?", + "src": "Patient: Hi doctor, My son has a large, soft lump on the penis, partially covered by pubic hair. It has a blister like appearance, but it is not. He says it is tender to touch. What is this? And should we do anything about it? Also, there does not appear to be any liquid coming from it. Please help. Doctor: Hello. I have gone through your case history and would help you as best as possible to get your son out of the problem that is bothering. I have had several patients with similar complaints during my practice. Our best wishes to you and your son for his early recovery! Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6027, + "tgt": "My mom has pain in the bones and lower back and gets bouts of imbalance. What is the reason?", + "src": "Patient: Hello doctor, I want a consult for my mother. She is 60 years old and complaining of pain in the bones and back specifically lower back and feeling the presence of bone air as if it breaks. She also feels bouts of imbalance, while sitting, standing or even walking. She did an analysis and has a lack of vitamin D. Doctor prescribed vitamin D 50000 units once a week and calcium 300 grams. She also has blood pressure and high cholesterol but has not been prescribed a cure. What is the reason for the imbalance, since it appears at intervals? Do high cholesterol and blood pressure is related to lack of vitamin D? Doctor: Hello. Firstly, regarding her back pain, it is probably a spinal problem. Backache may be simply muscular, but considering her age, I would keep spinal cause as a first possibility. In spinal causes, it is probably related to compression of nerves, which would cause pain and may sometimes lead pain traveling into one or both limbs associated with tingling or numbness. So, Vitamin D supplements should be given, but alone is unlikely to help. She will also need an x-ray of spine and physiotherapy. Regarding imbalance, just make sure whether it is imbalance or vertigo. It may be due to neurological causes, internal ear causes, cervical spine causes. Usually, neurological imbalance occurs on activities and unlikely at rest, so I am considering the possibility of either cervical or internal ear causes. So, if she is having any neck pain or tingling numbness sensation in arms, then cervical may be a likely cause or else it is an internal ear problem. So, in my opinion, you should have a neurologist appointment for this. And low vitamin D and hypertension, cholesterol does not have any significant direct relation. They are different issues but should be under control with medicines as they are risk factors for CAD (coronary artery disease). I hope this helps." + }, + { + "id": 16105, + "tgt": "What are the ways to reduce weight in a breastfeeding mother?", + "src": "Patient: Hello doctor,Recently, I have given birth to a child. She is now 4 months old, due to which I have gained post pregnancy weight. Previously, I was 67 kg, 5.3 feet, but after delivery, my weight is 85. I want to reduce it. My problem is, as I have undergone C-section, I have to limit my exercise and I am breastfeeding too, due to which I feel hungry very much. So, what I should follow to reduce weight? I have joined the gym, but I am restricted to light cardio for a few days (walking and cycling). Can you suggest some good diet to reduce weight while breastfeeding too so that also help in reducing weight and also maintained my milk supply, as I am worried that cutting food can slow down my milk supply? Doctor: Hi. It is good that you are feeding. The best thing about it is that it will help to reduce your weight with right eating pattern. Decide your meals to 6 to 7 meal pattern. Make sure you take good fruits and vegetables. Increase your water content. This will help to increase your metabolism. Early morning take a cup of green tea." + }, + { + "id": 28791, + "tgt": "I was not benefited with the medicines for gas problem. Please help me", + "src": "Patient: Hi doctor, I am facing extreme gas problem almost continuously from the last few months. I feel constant uneasiness, bloated feeling, and slight pain sometimes. I have taken a few symptomatic medicine and a few ayurvedic tablets like Liv-52 and Triphala, but no relief at all.\u00a0Please advice. Doctor: Hello. I can understand your concern for your symptoms. 1. Severe acidity. 2. Abnormal intestinal movements. 3. Constipation. Basic blood test, stool routine test, and upper GI endoscopy. You can take intestinal digestive enzymes supplements, medications for acidity and medications for constipation (if present) with the consent of your specialist doctor. Avoid oily, spicy, uncooked, partially cooked or unhygienic food, gluten-rich diet and high-fat content in the diet. For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 22569, + "tgt": "I have PCOS. Is my blood test report too worrying?", + "src": "Patient: Hello doctor, I am a female and single. I have received a report of my blood test and am worried to consult my family doctor as my parents are worried about my PCOS and I want to be sure that it has no bad news. My query is that in the report it is showing decreased level section that oral contraceptive, ovarian failure what does that mean? Please help me understand what does that mean I am worried. Doctor: Hello. First, calm down. I have seen your reports (attachment removed to protect patient identity). Your antimullerian hormone level is showing high, and that means you have a polycystic ovary. A polycystic ovary is a gynecological hormonal disturbance that can irregularize cycles with other symptoms like abnormal hair growth, weight gain or insulin irregularities. You should have some healthy long-term precautions. It is better to have daily walks, exercise or yoga for having normal BMI (body mass index) and weight. Have a healthy diet with less salt, sugar, oil, and spices to reduce the chance of diabetes as in PCOS, it is there. Have a check on other symmptoms like irregular periods or abnormal hair growth. I suggest you have combined oral contraceptive pills for regulation of cycles for three months cyclically. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7277, + "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": 17653, + "tgt": "How to clear heart block through ayurveda?", + "src": "Patient: Hi doctor, I had a heart attack before 50 days. I consulted a doctor, and he\u00a0said that I have 90% and 75% block in arteries. He suggested getting a stent. Please\u00a0help me if there is an option and treatment to remove artery blockage. Doctor: Hello. In such case of 90% and 75% blockage, the blood supply to heart will not be proper. It may lead to multiple problems, which also includes heart attack. As your doctor advised you, please go for stenting and if you already did that then fine. But if not, then I advice you to go for that first. Because no medicine can open this much of blockage. After stenting, medicine will help in preventing further blockage and will also save your other arteries from blockage. You did not share your blood investigations here like cholesterol level, history of diabetes, BP, or any other disease as it is also very important while prescribing you medicine. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30049, + "tgt": "Can we correct back pain through chiropractic treatment?", + "src": "Patient: Hi doctor, I am a 26 year old male. I have mild back pain for over two years. Also, I feel uncomfortable while walking, a feeling of unbalance and pain in my right leg. I have gone to orthopedician and he recommended for an MRI scan of spine. I have attached the report here. The MRI scan shows mild bulge at L5-S1. Please have a look and feel free to comment. Please reply if it can be corrected through chiropractic treatment. Doctor: Hi. I understand your symptoms and I saw the attachments (attachment removed to protect patient identity). For further information consult a spine surgeon online -->https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 6337, + "tgt": "I get cramps in my right calf muscles after walking half a mile. Why?", + "src": "Patient: Hello doctor, I am a former marathon runner for about 40 years. With age and bad knees, I am restricted to walk now, but I try to walk at least four days a week for 15 minutes. Recently, when I walk for about half a mile, I am getting cramps in my right calf muscles. I am fine on the exercise bike even for an hour, but I prefer to walk outside. Please help. Doctor: Hello. I can understand your concern. I am really proud to talk to a marathon runner. I understand that walking or running is one of the most important part of your life, but with age out joints get weaker, there is a deposition of fluid in between joint spaces, cartilage which gets inflamed leading to arthritis. Normally we associate cramping with dehydration. Make sure you are drinking adequate water both pre and post-workout. However, I will advise you to just rest for a few days. Too much exercise leads to the accumulation of lactic acid in our muscles and it causes severe cramping. This commonly affects sports persons and runners like you." + }, + { + "id": 22375, + "tgt": "I have fear of ED since I turned 50. Is my condition worrisome?", + "src": "Patient: Hi doctor, I am concerned about ED. I am 51. I am fit but have hypertension that is controlled using 5 mg of Bystolic daily. BP generally runs 120/77 but can be higher depending upon stress levels. My most recent physical showed healthy levels of cholesterol and blood sugars. I do however have anxiety issues. Until last Thursday, I generally woke once or twice each night with strong erections. On Wednesday, I had sex with my wife that morning and then masturbated later in the day. I woke up on Thursday with only a weak morning erection. I was not too concerned but I noted it. (I have had a fear of ED since turning 50). Friday, I had weak morning erection and that night, I had no real libido and when I tried to force the issue, I could not get an erection. I woke up Saturday morning with a moderate erection and was able to achieve 80 or 90 percent hardness and ejaculate. I was still concerned about not being doing so the night before. Sunday morning, I awoke with a moderate morning erection and masturbated to 70 or 80 percent without ejaculation. Monday, there was no morning erection, but I was able to get to get myself fairly erect. Tuesday nothing. Wednesday, no morning erection but I could masturbate to about 70 percent. Thursday, no morning erection but I masturbated to about 70 to 80 % and ejaculated. Each of these times the erection deflated fairly quickly once stimulation stopped. Last night, Thursday night, I was able to masturbate to about 80 percent without ejaculation. However, it deflated quickly again. No morning erection today. Throughout all of this, my libido has been subpar and my anxiety has been fairly high. As I mentioned, I have had a fear of ED. This came on so quickly, it has me very concerned. My question for you is, given what I am experiencing, do you think there is a physical cause of this or is it simply my anxiety about erectile dysfunction? Doctor: Hello. I have gone through your description and the likely cause is stress and anxiety. These factors quite commonly affect sexual performance, libido, and erections. Considering your libido was also low during this period, it is likely a stress and anxiety-related issue only and unlikely to be erectile dysfunction (ED). Also, normally in humans, there exists some period during which overall sexual activity is low which is influenced by multiple day to day and hormonal factors. Also, to consider the possibility of erectile dysfunction, one should have a consistent and recurrent inability to sustain or acquire erections and cannot jump to a conclusion of ED over such a short period. So, overall, I do not think this is ED but stress-related and should improve in a week or two. If you are not having libido, then better not force yourself for masturbation and sex, and just wait for few days and then you will certainly come back with stronger desire and erections. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28018, + "tgt": "My 1 year old daughter is not gaining weight. What to do?", + "src": "Patient: Hello doctor, I am the proud father of a baby girl, who is 1 year\u00a0old. The problem is that we have noticed a very slow increase in her weight. She is almost a year old, but her weight is still 7 kg. I just want to know if there is anything we can do to know the cause of why she is having such a problem of gaining weight.\u00a0As of today, she has some white spots all over her body, and her urine frequency is like every 5 to 10 minutes. She passes stools three times a day. Please help us understand the problem. Is the problem genetic or something else? Doctor: Hello. I hope you are satisfied with my answers. All the best. Revert with more information to a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 30007, + "tgt": "When is the right time to conceive, during fertile days or ovulation days?", + "src": "Patient: Hello doctor, I am trying to have a baby but nothing is working out. When is the right time to conceive, either during fertile days or ovulation? I tried during fertile days, but nothing happened. Please explain. My cycle is 31 to 34 days. Doctor: Hi. If your cycle is 31 to 34 days long, then 13th to 24th day of your cycle is fertile period. You should have sex in the above period for at least on alternate days and this will increase the chance of having a pregnancy. Even if everything is normal then also, you do not need treatment for at least a year. There is naturally a minimum of one chance in 12 cycles in a year of having a pregnancy. You have only one chance of pregnancy if ovulation is normal in one cycle. So, there is one chance in 30 days and 12 chances in one year and this is when you have a normal cycle and ovulation. So it is a time-consuming process. Do not get frustrated. Just say that in one cycle, if you did not ovulate at all, then that chance is gone and you have to wait for the next. This is what you should first understand. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6589, + "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": 12263, + "tgt": "How can I manage constipation with hard stools and frequent urination?", + "src": "Patient: Hello doctor, I am 34 years old, female. I am suffering from asthma, rhinitis allergy, IBS, ulcerative colitis and osteoporosis, and anemia. My last blood report was of 7.9 hemoglobin. I feel constantly tired and exhausted plus new problem has started that each and every bone pains all the time mostly at night. If I do not take any bedsheet, then my hands, and legs along with knees hurt and get cold and once I wake up slowly that pain and cold goes away. Currently, from 4 to 5 months, I am suffering from terrific constipation and super dry sticky painful stools. I have to spend 40 minutes approximately in the washroom. One more issue I am having from the past 3 to 4 years is that whenever I go to urinate I have to do it 10 times still I do not feel it is done, it really frustrates me. What test should I do? Is this a sign of a big disease? And what medicines I should take? Currently, I just have Pan 40 and Cibis plus Dunose nasal spray. Doctor: Hi. Get started with Iron and Calcium supplements. Take fiber rich diet and plenty of fluids. Take laxatives and cranberry juice for constipation and bladder symptoms. You can have an active bladder and chronic constipation. Get a urine examination, thyroid profile and pelvic scan done to rule the exact cause. Do get back to me with reports so that I can guide you further. Take care." + }, + { + "id": 12271, + "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": 9454, + "tgt": "Can a freckle reduce in size and disappear?", + "src": "Patient: Hi doctor, Please find the images shared by my optometrist.\u00a0He said I have no freckles. If a freckle develops sometime in one's life, then what would prevent it from growing indefinitely to melanoma? Will it\u00a0develop for some time and stop?\u00a0If you do notice the freckle then please clarify doubts which are as follows.\u00a0Which eye has the freckle?\u00a0What is the size? Is that small or big?\u00a0How could the optometrist say there is no freckle?\u00a0Can a freckle reduce in size eventually and even disappear?\u00a0What are the odds for this to eventually become melanoma? Please answer all these questions individually. Doctor: Hi. From the images (attachment removed to protect patient identity) you have sent I do not see a freckle in either eye. A freckle will show as a pigmented patch in the retina of the eye. If there is a freckle it will not reduce in size on its own. It will increase in size or remain stationary. Lesion and a freckle essentially mean the same, just different terminology. If a freckle progresses, it can become a melanoma. If it progresses, there is no way you can stop it, without treatment. I suggest, you do more tests, like an OCT (optical coherence tomography), FFA (fundus fluorescein angiography) and an MRI, to be sure. Also take an opinion of an ophthalmologist for through physical evaluation." + }, + { + "id": 18009, + "tgt": "How to avoid recurrence of ectopic pregnancy?", + "src": "Patient: Hi doctor, My wife had an ectopic pregnancy\u00a0seven months ago. Through a surgery right side fallopian tube was removed at that time. Now what kind of treatment\u00a0does she need to avoid ectopic pregnancy again?\u00a0Please suggest. Doctor: Hi. I understand your concern. For further information consult an obstetrician and gynaecologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4847, + "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": 17394, + "tgt": "Diagnosed with low lying placenta. Is there any complications during long flight travel?", + "src": "Patient: Hello doctor, My wife was diagnosed with low lying placenta. We need suggestion regarding long flight travel. Doctor: Hi. For further clarifications consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16639, + "tgt": "I am suffering from PCOD. Can I get pregnant naturally?", + "src": "Patient: Hi doctor, My height is 5'4\", and my weight is 61 kilogram. My ovary is bulky with right ovary volume 11.5 cc and left ovary volume 11.2 cc. I am suffering from PCOD. I am under treatment for the past three months. Can I get pregnant naturally? Doctor: Hi. PCOD is a polycystic ovarian disease which causes an increase in testosterone levels in women with androgenic features and multiple small cysts in the ovaries. It is one of the most common reasons for the irregular menses, especially oligomenorrhoea. You have to be placed on low dose OC (oral contraceptive) pills with Myo-Inositol supplementation with a reduction in weight with exercise and diet by increasing your daily water intake. All these are followed for the treatment of PCOD. You can conceive naturally if the ovulation maturity is re-established with the treatment or else you may need assisted techniques. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25014, + "tgt": "I have lower back pain in the mornings. Can you interpret my X-ray?", + "src": "Patient: Hello doctor, I have lower back pain in the morning and from recently, I cannot bend and I have weak legs and pain in the calves, hips, and hamstrings. I did some X-ray. Can you interpret it? Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Your X-rays indicate changes of spondylitis in the form of disc space reduction and osteophytes. For the symptoms you have, I would recommend an MRI of the lumbar spine with whole spine screening and back strengthening exercises. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 7960, + "tgt": "Why do I have chronic cough even after quitting smoking?", + "src": "Patient: Hello doctor, I am 53 years old, and have quit smoking 19 years ago. I still have a chronic cough. Each specialist tells me something different. The pulmonologist told me it was asthma, and another doctor said it was acid reflux disease. Now they are telling me it is COPD. I do not have diminished lung capacity or problem in breathing, no wheezing, out of breath when I run but, I am overweight and out of shape. What do you think? Doctor: Hello. There is not much of difference between asthma and COPD (chronic obstructive pulmonary disease). COPD is usually seen in a person who has smoked a lot while asthma is seen from childhood, which is not in your case. Acid reflux can cause prolonged duration cough, but it shall subside very well once treated for acid reflux. But in your case, it has persisted. So it has to be either COPD or infection of the lung. I would have favored COPD if you were investigated for Infection and found nothing. Hence I recommend specific tests for evaluating infection as the cause. Kindly get the following test done and revert with reports. CT chest, BAL microscopy (bronchoalveolar lavage) and culture, ESR (erythrocyte sedimentation rate), Montoux test. I hope this information was useful for you. Any clarification feel free to ask." + }, + { + "id": 18378, + "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": 30898, + "tgt": "What is the importance of bioavailable testosterone?", + "src": "Patient: Hi doctor, My husband was found to have elevated testosterone (over 1009 - the limit of the test), but normal LH and other hormones. A testicular ultrasound was normal. What are the possible diagnoses? Could Graves' disease cause this? Doctor: Hi. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 16650, + "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": 17453, + "tgt": "Can clove oil cause this whitish-yellowish kind of blister above the tooth?", + "src": "Patient: Hello doctor, One week ago, I got a bad toothache. I had a cavity in my molar, the tooth before my wisdom teeth (far top left). I have been taking Amoxicillin three times a day. So I went to the dentist and he looked In my mouth and said I need a root canal. I thought it was hurting my mind and I used clove oil essentially on my gums to soothe the pain. But the next evening, I noticed whitish yellowish kind of blister above the tooth. I am not sure what caused this. I have sent pictures of the first day and now for comparisons. Doctor: Hello. I have gone through the attachment (attachment removed to protect patient identity). The white ulceration on your gums is because of the use of clove oil. Clove oil basically is used to numb the tooth pain but it can lead to irritation around your gums since it is very strong. You need to stop using the clove oil and start with the root canal treatment. For healing of the ulcer, you can start with Chlorhexidine gluconate based mouthwash at least twice a day for a week which will lead to the healing. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1194, + "tgt": "Based on my blood reports, can you tell me the cause of my symptoms?", + "src": "Patient: Goodevening, I am having headache which got severe nowadays . And so i just checked my blood and saw my platelets are increasing in a series of tests,.in the last test platelets wbc nd rbc are slightly increased . Body has itching problems usually at night .Eyes are blurry nowadays and more than am so much tired .feels like sleeping always . I lost my apetite but hv not lost my weight or gained weight.my face is full of pimple like marks which fades in between nd again comes I have severe periods pain and my peeiods blood are clotted thick . Nowadays my joint are aching and having leg and hand pain. Would like to what it is Doctor: Hi, I see you are worried by many symptoms Your platelet levels are not soo high to worry about.. It is only slightly elevated.. Doesnot cause any significant harm.. Need not worry about that.. Most of your symptoms relate towards hypothyroidism and your TSH level is also high.. But only mildly elevated TSH (Subclinical Hypothyroidism) doesnot satisfy to start on thyroid supplements unless its value is more than 10 (Overt hypothyroidism), though we can start when a person is presenting with the symptoms So I need you to retest with Free T3 & T4 levels instead of Total T3 & T4 and review to see the baseline Free T4 levels and decide better on starting the supplements And I dont see any report showing the cholesterol levels.. Kindly upload the picture of the same.. If you have not checked your sugars, please check that also before next review RBS SubClinical Hypothyroidism" + }, + { + "id": 30764, + "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": 5820, + "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": 19856, + "tgt": "What does diffuse cerebral atrophy mean?", + "src": "Patient: Hi doctor, My mother is 52 years old and suffering from headache since so many years. We started the psychiatric treatment for her before six years. She has to take all medicines every day and whenever she misses them, she suffers from the headache. So, we decided to go for her brain MRI and the result states diffuse cerebral atrophy. What does it mean? Does it mean shrinkage of the brain? How can we treat this? Suggest me some medication for the diffuse cerebral atrophy. Doctor: Hi. I understand your question well. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14526, + "tgt": "What should be done for sensitivity in gums?", + "src": "Patient: Hello doctor, I am suffering from pain in my mouth. It is like sensitivity pain. I cannot say it is pain exactly, it is irritating a lot. No pain in teeth. It is feeling like itching in my gums (middle of the teeth). Please tell me what can I do. Doctor: Hello. According to the characteristics you have mentioned, it seems that you have a mild gum infection. Do not worry it is common and not a big problem. You can follow some instructions given. Brush twice a day. Using floss at least once a day. Gum massage with gum ointment. Use antiseptic mouthwash or lukewarm water with a pinch of salt to rinse your mouth. Avoid too much cold or too hot food. You need a professional dental cleaning so see your dentist (attachment removed to protect patient identity). Poor oral hygiene. Clinical examination. Gingivitis, periodontitis. Generalized gingivitis. Oral prophylaxis. Avoid too hot and cold food." + }, + { + "id": 23410, + "tgt": "The skin over buttocks has become black due to scratching. Please advice", + "src": "Patient: Hello doctor,Buttocks are really itching. The skin over the buttocks has become black due to scratching. I suffer from hemorrhoids. Kindly suggest some quick and effective treatment for this condition or can I do a laser therapy? This has been in the same condition for more than four to five months. I am applying Lactocalamine and Vaseline. Doctor: Hello. This is not due to hemorrhoids. You may have laser treatment and other, but before that, you first need to get yourself examined and suitability for surgery. So visit a nearby surgeon for an examination. Do you frequently get bleeding? If yes then you need surgery for it. The most important thing to prevent bleeding is, you should avoid straining while passing stools. For that, you should eat high fiber diet like fruits apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Lactulose 15 to 30 ml bedtime to maintain your stool soft. For your buttocks, it is a fungal infection. Good hygiene and avoidance of moisture are key for prevention. You should apply Terbinafine ointment two times a day for two weeks. You should get prescribed oral medicine tablet Fluconazole 150 mg once a week and if needed it should be repeated. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2458, + "tgt": "When is the right time to check for pregnancy?", + "src": "Patient: Hi doctor, My LMP was on 27th of last month. Then, I had sex for the first time with my fiance, but it was coitus interruptus. Now, this month I did not get my periods yet and I have some symptoms also. My cycle is always regular. Do I need to check for pregnancy? When is the right time to check? Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24363, + "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": 14497, + "tgt": "I have keratitis and after the treatment I still have a tiny grey spot on my cornea. I am really worried about my eye", + "src": "Patient: Hello doctor, I have keratitis and after the treatment, I still have a tiny grey spot on my cornea. Here is the treatment which I had followed: Visit 1 - (October 2014) Fucithalmic eye drops 1 % - three times daily for two weeks. Visit 2 - (October 2014) Exocine 0.3 % - four times daily for a month. Visit 2 - Artelac eye drops - four times daily for a month. Visit 3 - (December 2014) Artelac eye drops - two times daily for a month. Visit 4 - (24th February 2015) - Zylet Etabonate and Prednol, Tobramycine 0.3 % for two weeks. Visit 4 - Artelac eye drops - two times daily. I have been using till now. I am really worried about my eye. Please help me. Doctor: Hello.I reviewed your history. It seems from the history that you had keratitis and following the treatment, you have a small corneal opacity. Artelac is an artificial tear eye drops and it can be used for a long time without causing side effects. Hence no need to be worried about the use of Artelac eye drops. The next treatment depends on the site and size of the opacity. If the opacity is superficial and peripheral, then no need to be worried becauseit will be replaced by clear corneal layers slowly as the epithelium of the cornea sheds and regrows. However, if the opacity is deeper and bigger then you may need further surgical intervention like keratoplasty. Since you have mentioned that the opacity is tiny, this may resolve and you need not be worried about it. Hope this information is helpful to you. Revert back to an eye care ophthalmologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25851, + "tgt": "How do I tackle my mixed feelings of joy and despondency?", + "src": "Patient: Hello doctor, One minute I am fine and the next minute I just want to disappear. I have had extreme feelings of abandonment for awhile. So I now avoid any new relationships. I am currently not taking any medications for my psychological issues. I have in the past but decided a year ago to try life without them. I am sure I have a borderline personality disorder. I have been diagnosed in the past with clinical depression, but situations and life choices caused that disorder to occur. I no longer consider myself atypical depressive because I cycle between feelings of joy and despondency. I know medication is most likely my only respite, opinions? Doctor: Hello. I feel that you have been already diagnosed with BPD (borderline personality disorder). The moods which you face are very characteristic of this. Depression is a likely disorder with BPD. I would suggest you at least undergo therapy sessions for cognitive behavioral therapy if you do not wish to take medications. Let me know if I can help you more. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30998, + "tgt": "What to do for sudden vision disturbance in lazy eye?", + "src": "Patient: Hi doctor, I have a congenital left lazy eye, which wanders outwards and upwards. This is managed by prism glasses, currently 7 base vertically and 2 horizontally. I am managing my eye strain and daily life well in general. I do however have occasional episodes, which are not manageable. Sometimes, months apart and sometimes every other day, I have a very short (around 1/2 second), but very violent twist in my vision. There is no warning for this. I have experienced it while sitting, driving and standing. Afterwards, I feel very unbalanced for a few minutes and then fine. The only other symptom is my head feels like it has been pulled on the top and I have ringing in my ears afterwards. I have had three MRI scans in the last 18 months, because the diplopia onset was quite sudden and experienced a lot of pain in my head and face. These have all been clear. I do not seem to have any warning when these episodes occur and they are so sporadic at times. It is difficult to tell what exactly it is. I am also unsure, because it is too fast, whether it is just my left eye or both. Any opinions would be greatly appreciated. Apart from eye strain, which does happen occasionally, I do not have any other symptoms. I regularly do convergence disorder exercises to stop straining and it works. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29098, + "tgt": "Could you suggest your views about my medical report?", + "src": "Patient: Hi doctor, I request you to please review my medical reports and share your recommendations. Could you please suggest your views on the ECG report attached? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26971, + "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": 7595, + "tgt": "Viral conjunctivitis spreaded from right to left eye. Should I protect my right eye from reinfection?", + "src": "Patient: Hello doctor,I am a 41-year-old female and have been diagnosed with viral conjunctivitis by a specialist. My eye health is otherwise perfect (had them checked out a week before this came on). After a few days, it spread to the other eye. I expect the first eye will heal first, even though the second eye is not as bad. One question is when the first eye heals, do I need to protect it from re-infection from the one that is still healing?Also, on the typical length of healing, I am not quite at two weeks yet (this is day 11 for the first eye), but the lack of improvement in my condition is becoming frustrating to me. Today the vision in the first eye is smudgy, and the vision in the second eye is better, but not perfect. The specialist was aware of the vision problems, and she said that it was normal (though I think they have worsened).I was told this could take weeks to heal, beyond the normal one or two. How many weeks are weeks generally? I was told I have a mild to moderate case, but all I know is that I have seen no real progress, and I think the virus might have even spread to one of my sinuses. My mental health is suffering from not knowing how long I am going to be cooped up, partially visually impaired and contagious. Am I impatient or should I have them looked at by a specialist again? Doctor: Hello. I reviewed your history. It seems from the history that you are having viral conjunctivitis involving both the eyes. Coming to your first question, viral conjunctivitis remains infective in the initial three to five days hence no need to worry about the reinfection from the one eye that is still healing. Usually, viral conjunctivitis follows a self-limiting course of 7 to 10 days. Since you are having vision problems in the eye, probably it has involved cornea resulting in viral keratoconjunctivitis. If it has involved the cornea, it takes about three to four weeks to heal. However, the involvement of cornea is not because of infection, but because of immunologically mediated reaction, hence it will resolve even without treatment. However, symptomatic relief can be obtained by using artificial tears, and some severe cases may require the use of steroid eye drops under the supervision of your eye doctor. If possible, send a photo of the affected eye so that I can confirm the diagnosis and answer your question more accurately. I hope the information is helpful to you." + }, + { + "id": 15288, + "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": 19384, + "tgt": "Are blood clots an indication of successful termination of pregnancy?", + "src": "Patient: Hello doctor, I recently went through a medical abortion yesterday. I was two weeks into gestation, the cramping and bleeding started four hours later. I did pass out a few blood clots shortly after the cramps started. My concern is that the bleeding was not heavy at all that today the bleeding stopped. Is this normal? And does this mean that the abortion was successful? Are blood clots an indication that the pregnancy has ended? Doctor: Hi. Abortion will definitely cause bleeding more than normal periods. Passage of blood clots may just indicate the start of process of abortion and bleeding may continue for 5 to 7 days. It all depends on the quantity of blood clots you passed. If it was indeed excessive abortion might have been complete (which is rare, as bleeding generally lasts for a week or so). Just wait for a week and then you can decide further course of action depending on further bleeding." + }, + { + "id": 10844, + "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": 3960, + "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": 6698, + "tgt": "After using a cosmetic cream, my daughter developed marks on her face. Help", + "src": "Patient: Hello doctor, This query is for my girl. She is 24 years young. She recently went for an interview and applied a branded cosmetic cream. Her skin tone is fair and extremely sensitive. Overnight, she got ridiculous marks on both sides of the\u00a0face. Please find attached images. Now, those marks are not brightening and she works in the retail industry and faces clients the\u00a0whole day. She desperately wants to get rid of them due to her work profile as well as an upcoming party. Currently, she is using Acne-aid bar twice a day (in the morning and before bed). I was prescribed to use Biluma which I passed on to her. She is applying it twice or thrice a day. However, it has paraben and that is a concern for me. What is the best we could do to clear her\u00a0skin? Doctor: Hello. I have seen the attached images (attachment removed to protect patient identity). Revert with more information to a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 7274, + "tgt": "I am lacking concentration in my studies by day dreaming. How to overcome it?", + "src": "Patient: Hello doctor, I am a 28-year-old male. I am not able to concentrate on my studies regularly. After approximately 20 minutes, my mind starts random thinking. Things like what should I do today evening, what are my friends doing currently and anything baseless. I am not able to study correctly. And this is my daily routine. One thing I have noticed that I day dream more when I am alone. Is this a severe problem? Do I need some medication or any test you recommend to check my if I am suffering form any mental disease? Doctor: Hello. No, it is quite normal. Humans have an attention span of 45 minutes average (adults). Studying requires focused attention which cannot be consecutively 20 to 30 minutes. But you can divide your study time using study strategies as follows, 1. Commit yourself for 20 minutes laps of studies. 2. Take a break after 30 minutes each for 5 to 10 mins. 3. In a break, you must walk around. May check your phone or wander around. 4. Use jotting down your thoughts in five minutes and say to yourself that I will do it later." + }, + { + "id": 1804, + "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": 8292, + "tgt": "Kindly help me to get rid of the fear of rape and paranoia", + "src": "Patient: Hello doctor, I am 18 years old. The problem is that I am afraid of rape. I think about it every day, and I am so scared to be alone in an unfamiliar place. I am short and often believe that if a man wanted to hurt me, he would do it quickly. I am afraid to leave home alone. It is hard for me to think about it, but I cannot control my thoughts. I read a lot of articles with recommendations on how to avoid rape, but it only got worse because now I got paranoia. I am really scared. I am trying to protect myself in every way. I need help. Doctor: Hello. Rape is a serious issue worldwide, and you have to be vigilant, not hypervigilant because if you take care of yourself, you can best protect yourself like do not go alone in late hours, unfamiliar places and with unfamiliar people and you should have a good relationship and support with your family members. Uncertainty and apprehension causes anxiety, stress, and unnecessary fear, overprotectiveness causes the avoidance in behavior and takes you away from your freedom and happy life, be confident in your discuss your concern with your family, have immediate contacts with you during these situations, and if symptoms are affecting your life you should take some counseling sessions." + }, + { + "id": 25342, + "tgt": "I do not feel the desire to have sex and am unable to ejaculate. Is it treatable?", + "src": "Patient: Hello doctor,I want to discuss a sexual problem. I do not feel the desire to have sex. Although I try to have sex and also get an erection, I am unable to ejaculate. After some time, the erection just goes away without any ejaculation. I like to do foreplay but never really interested in sex as long as I can remember. I have never masturbated even. I got my testosterone tested and it was 241. I also have psychiatric issues for some time. Could the sexual and psychiatric problem be linked? What is the problem that I am exactly having? Is it treatable? Doctor: Hello. Your problem is treatable. It is called anejaculation. If you are taking any psychiatric medicine then your problem may be due to that. Psychiatric and sexual problems are mostly related. If you ejaculate in sleep then your problem is likely a psychological one. Your testosterone is low but you also need to do blood tests: For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 26882, + "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": 19822, + "tgt": "I lose the erection when I try to penetrate my wife. Please suggest", + "src": "Patient: Hello doctor,I am a 32 year old male. I got married two years ago. My wife is two years younger than me. Both of us have never been in a relationship ever before. Now after marriage, we are trying to have intercourse, but are unable to. We want to have a baby now but are really worried about the situation. When we are unable to have\u00a0sex, we masturbate.\u00a0I wonder how I will ever penetrate within her small space. Also, I tried penetrating a lot of times, but the moment I come close to it, I lose the erection. We are very frustrated and are yearning to have a baby. Please help us. More importantly, we want to be sexually happy. Please suggest what I can do. Doctor: Hello. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28209, + "tgt": "I am depressed because my family is not supportive of me becoming a musician. What to do?", + "src": "Patient: Hello doctor,I am very passionate to become a musician. But, my family does not support me. Instead, they keep discouraging me a lot. As a result, I am mentally depressed. What should I do? Please help me. I really need your help. Doctor: Hello. Do not lose hope, keep trying. One day you will definitely achieve your goal. All the best. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8, + "tgt": "Loose motion is not controlled with antibiotics and bland diet. What should I do now?", + "src": "Patient: Hello doctor, I am a 39-year-old male. I am 168 cm in height and 68 kg in weight. Since last one month, I have been suffering from intermittent loose motions (yellow colored). There is no vomiting, no fever, or major abdominal pain (except for occasional cramps). Initially, I took a combination of Norfloxacin and Tinidazole for four days, but things did not improve. Thereafter on the prescription of my doctor I took Metronidazole 400 and Dicyclomine 20 mg for a period of 14 days. I also took Lactobacillus tablets for the entire period. During these times I only ate poha, rice, curd, and banana. Also, I took boiled water. It is the fifth day now and I have discontinued the medicines. Despite on such a bland diet (no wheat), I still have at least one to two loose motions in a day. My routine medical tests were done in January this year which was normal. My wife and son also developed loose motion in between for a very brief period. However, they recovered fully within three days. Please advice. Doctor: Hello. I cannot see any red flags in your symptoms. More likely nothing to worry. It is the function of your intestines that is triggered by some infection and you are facing overactive intestine. More likely it is a functional problem unless proven otherwise. I will advise you to keep things simple. Quit all medications. You already took a few antibiotics. Please follow these general guidelines: 1) Add fibers in your diet like vegetables and Ispagol husk two spoons daily. 2) Keep yourself well hydrated. 3) Add yogurt in your diet. 4) Eat less. 5) More important is to keep yourself relaxed. The best way of doing is by doing a walk, exercise. Please start tablet Mebeverin 135 mg before breakfast and dinner for eight days. Tablet Rifaxamine 200 mg after breakfast and dinner. Continue probiotics. Please follow me after one week. I hope you should be fine, otherwise, I will advise you on some tests." + }, + { + "id": 7524, + "tgt": "How to Treat Dermatosis Neglecta?", + "src": "Patient: Hi Doctor, I believe that I have dermatosis neglecta. I have not showered for one month. I usually take shower once in one or two months. I have gained a lot of weight in the past three years. So, doing normal things such as showering becomes a difficult task. My current medication is Accutane and Jolivette for birth control. How to get this treated? Please explain me. Doctor: Hi. I have read your concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14900, + "tgt": "What can be done for loose teeth and bleeding gums?", + "src": "Patient: Hello doctor, A couple of my adult teeth feel loose. My gums are sore and bleed randomly as well as when I brush. Do I have gum disease? Doctor: Hello. As you say about your gum condition and oral health, I think you have a gum infection. But do not worry. It is common and curable. You need a dental appointment as soon as possible. He or she will examine clinically and advice treatment (deep oral prophylaxis, gingival flap surgery). You can follow some instructions like brush twice a day, make sure all surface of teeth is covered properly. Use a soft brush and change it every two months. Use medicated mouthwash containing Chlorhexidine twice a day or you can use lukewarm water with a pinch of salt to rinse your mouth. And make sure to confirm an appointment with the dentist. Poor oral hygiene. Clinical examination and dental X-ray. Gingivitis, periodontitis. Periodontitis. Oral prophylaxis." + }, + { + "id": 30423, + "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": 2591, + "tgt": "My aunt has psychotic disorder and speaks unwantedly. What is the appropriate treatment?", + "src": "Patient: Hello doctor, My aunt seems to have a psychotic episode. She talks nonsense things, a few times a day. Mostly normal. Sleepless nights for five days. While nearing menopause she was prescribed Lithium, Mirtazapine, Olanzapine and Citalopram which she used for three months a year back and stopped them since. She started again yesterday as we asked her to. What is happening to her? Is her treatment appropriate? Doctor: Hello. From your description and prescribed medication, it looks like your aunt may have been experiencing psychotic symptoms with an affective disorder. Additional past history and current assessment, will help to clarify the exact diagnosis. Mood disorders, affective disorders can be influenced by menstrual cycle changes. Usually, the cause will be a combination of biological, psychological and social factors. A complete assessment will help to identify the triggering factros for your aunt's illness and help with her recovery. It is advisable to consult a psychiatrist to clarify her diagnosis and start medication appropriately. Lithium is a mood stabilizer. Olanzapine is an antipsychotic which also acts as a mood stabilizer. Mirtazapine and Citalopram are antidepressants. Depending on her current symptoms, she may need to be started on the most suitable medication at a starting dose and gradually increase it. It is not advisable to start all the medication at the same time. Dose needs to be proper as well. These medications are helpful but are potent, so should be used under medical supervision only. So it is safer to consult the doctor who prescribed these medications for review. Try to be supportive of your aunt. Avoid any conflicts and arguments as they can make her more unstable at present. Sleep is important to help in her recovery. If possible, encourage her to do some exercise at home. She will gradually settle down with appropriate support. She may need to continue medication for a longer term." + }, + { + "id": 8702, + "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": 18665, + "tgt": "Can Loteprednol Etabonate eye drop be used for subconjunctival hemorrhage?", + "src": "Patient: Hi doctor, Can Loteprednol Etabonate eye drop be used for nine days old subconjunctival hemorrhage? I had a sudden\u00a0onset of eye problem, when I consulted an eye specialist he diagnosed it as a subconjunctival hemorrhage. He advised Ofloxacin eye drop for five days and Teardrop. I am 27 years old, female and married. There is no history of direct, indirect or accidental trauma over right eye or the surrounding region and blood disorder. I am a healthy person works in IT sector. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25121, + "tgt": "How many times can a person undergo IVF in total?", + "src": "Patient: Hello doctor,How many IVF can one person undergo in total? We have attempted three ICSI with negative results. Each time, the embryo failed to develop more than four days, once developed only up to morula stage on day five. My wife is 30 years old with AMH 4.5 with type-2 diabetes. Next, what can we plan? Our doctor has advised ICSI with donor eggs. Doctor: Hello. How are you doing today? There is no limit to the number of times you can do ICSI (intracytoplasmic sperm injection). But if I may advise, why not try to correct the underlying cause for the failure of a healthy embryo growth? An AMH of 4 or more means she has plenty of eggs. But diabetes is mostly spoiling her chances. Hopefully, her HbA1c is normal and other complications have been ruled out. Also, semen factor should be alright. Any problem in either of these should be the reason for poor embryo quality. If you feel all these are fine, then maybe have the procedure at a different IVF clinic, with a different embryologist. I know it is a tough call, but do think about it. 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": 17743, + "tgt": "What are the causes of black colored stool after taking ayurvedic medicines?", + "src": "Patient: Hello doctor, I started taking ayurvedic medicines yesterday, and I have noticed that my stool has turned dark or black in color. I am suffering from severe belching and headache. I am taking Somu\u00a0syrup and Shankh Vati. Last month I had the same problem, for which I took allopathic medicines. Doctor: Hello. The problem of black colored stool is called melena. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24183, + "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": 28942, + "tgt": "My BPAD medicines have lowered my sex drive and make me short of breath. Please help", + "src": "Patient: Hi doctor, I am a 34 year old male, who weighs 82 kg. I am suffering from a\u00a0bipolar affective disorder (BPAD), and have been advised to take Magnesium valproate 400 mg twice daily and Amisulpride 100 mg at bedtime. I am also taking Etizolam 0.25 mg in the morning and 0.5 mg at\u00a0night, from two weeks, as advised by my\u00a0psychiatrist. But, recently I feel short of breath while trying to sleep, I cannot sleep properly because of this. My sexual life is also not pleasurable anymore, and it has become just like a routine work. I do not feel joy after ejaculations. My head feels heavy, and I have vertigo problem, I feel as if I will fall while walking. Kindly help me get rid of these problems. Doctor: Hi. The symptoms like shortness of breath, poor sleep and loss of sexual pleasure are all the side effects of the medicines that you take for bipolar disorder. I will not suggest stopping these medications, but it will be better to take few medications with effective doses. Divalproex sodium 500 mg twice daily, will be better molecule than Sodium valproate as a mood stabiliser. If you are having palpitations, Propranolol or mouth dissolving Clonazepam will be a better substitute. Counselling with a good psychologist will help you along with medications. I suggest you visit your psychiatrist for above changes in medications. I am sure you will be completely fine with the instructions as mentioned above. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25786, + "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": 23563, + "tgt": "What treatment is there for tongue tie in an 8 weeks old baby?", + "src": "Patient: Hello doctor, My 8 weeks old baby girl has a lip tie and posterior tongue tie. She is gaining weight adequately as I have a good supply but I have noticed latching problem. Her latch is shallow and makes a clicking sound on breastfeeding. It pulls on and off frequently. As she is nursing frequently, her weight gain is normal. Should I get her treatment? What type of treatment is there and is it painful for her? Doctor: Hello. What do you mean by a lip tie? Is it a cleft? Is it possible that you take a picture and send? If your baby is taking breastfeeds adequately and gaining weight adequately, then do not worry about the tongue tie now. We shall wait. If there is any problem with speech then we can remove the tie using cryoablation. In a kid, we will need general anesthesia for tongue tie correction. It is a safe procedure done in operation theatre. Please tell us if there is any other abnormality. Did you get a neonatal hearing assessment done, OAE (otoacoustic emission) or BERA (brainstem evoked response audiometry)? This is just to rule out any syndromes in her. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4155, + "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": 20854, + "tgt": "I took protein supplements and I passed black stools. Is it because of the protein powder?", + "src": "Patient: Hello doctor, I am 16 years old. I have started taking a protein supplement since yesterday. I passed black stools this morning. Is this black color because of the protein powder? Doctor: Hi. Protein supplements do not cause black stools. Black stools, also known as melena, occur if there is bleeding in the upper gastrointestinal tract. There are chances of black stools if you take medications like Pepto-Bismol or Iron supplements. So, if you are not on Pepto-Bismol or Iron supplements and if there are persistent black stools which is sticky, bulky and offensive, then it requires immediate attention. Get an upper gastrointestinal endoscopy and share your reports." + }, + { + "id": 10937, + "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": 9010, + "tgt": "I accidentally ingested nail polish remover. What are the possible side effects?", + "src": "Patient: Hello doctor, I have a question about the side effects of ingesting a small amount\u00a0of nail polish remover. Here is the scenario. My girlfriend used the nail polish remover on her hands to take off her polish. Immediately after that, we were making out. So, I kind of sucked her fingers and nails. I felt this weird taste on my tongues and lips. A few minutes later, I remembered something about nail polish removers being posionous. I rinsed my mouth, but only about 30 minutes after licking the nail polish remover. I brushed twice, and since then I have had dinner and brushed again, but my mouth still has that weird taste. Do I need to worry about poisoning due to licking the nail polish remover or is there no reason to worry? Doctor: Hello. If you have any further queries please ask me. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6100, + "tgt": "Unfortunately, precaution broke while having sex. What should I do?", + "src": "Patient: Hi doctor, I am 26 years old. Yesterday I had sex with my husband, but unfortunately precaution was broken. I do not want to get pregnant. What should I do? Please guide me. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18143, + "tgt": "What is the significance of minimal fluid in POD?", + "src": "Patient: Hi doctor, We had unprotected sex and after that she took I-pill within one hour. Is there any chance of pregnancy? She had an ultrasound and there is minimal fluid found in POD. Otherwise, everything is fine. Please suggest what to do now. Doctor: Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10634, + "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": 29287, + "tgt": "What treatment would you recommend for my impacted 38?", + "src": "Patient: Hi doctor, I was diagnosed to have mesioangular impacted 38. He recommends removal of that hidden wisdom tooth. He\u00a0did cleaning and\u00a0after that my\u00a0pain has increased. \u00a0Initially, I had gum swelling, and it subsided in a few days. Now, I am having shooting pain. I have attached the scan of my prescription and x-ray. Doctor: Hi. I have seen the x-ray and prescription (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25493, + "tgt": "How can rashes on the intercrural area in a baby be healed?", + "src": "Patient: Hello doctor, My 7-month-old child has rashes on the sacrum and intercrural area for five days. It is persisting on the sacrum, reddening more in the intercrural area. There is a bubbly type appearance. I have been avoiding diapers for five days. He has been prescribed a Fusidic acid cream. I have attached pictures for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). It seems like acute dermatitis perhaps allergic or irritant. I suggest you apply Flutibact ointment (Fluticasone propionate and Mupirocin) twice daily. Avoid diapers for a few days. Also, give syrup Phenergan (Promethazine) 2.5 mL twice daily. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25778, + "tgt": "How can the rashes on the head of my circumcised penis be treated?", + "src": "Patient: Hello doctor, I have rashes on the head of my circumcised penis. Kindly help. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). This is called pearly penile papules. It is not a disease. It is a physiological variant. There is nothing to worry. You can ignore it, it is not going to cause any harm. If you are concerned cosmetically, it can be removed using cryotherapy. No cream or ointment is necessary. Any cream or ointment would cause more harm than help. Kindly do not try any home remedies. You will end up having skin damage. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9424, + "tgt": "Is it normal to have a flip at one point in EKG?", + "src": "Patient: Hello doctor, I wanted to talk to you to see if you thought I had anything to worry about. My BP was good (112/69), cholesterol was 141, I think she said my triglycerides were 76. My kidney, liver functions were great. The EKG came back as within normal limits but there was one mark that had flipped since the last time she saw me. She said it is the lead that goes on the breast so sometimes it reads wrong because of breast tissue. This is on the breast that I had a lumpectomy on. She tried it again and it was a little flatter but still there. So I have to get an echocardiogram and treadmill test. And she is signing me up for a calcium test. She said if I was not moving to another city next week she would wait until my next appointment in 6 months to see if that line is still there but since I am moving next week and do not have a doctor up there yet she will do the tests here. I have a history of high BP, diabetes, breast cancer and PES in both lungs. My cardiologist said that the flip was on one mark not the whole EKG. Should I be concerned about blockage? Doctor: Hi. I have gone through ECG you provided. It is showing nonspecific ST T changes in leads III and V1 to V3 (attachment removed to protect patient identity). Nonspecific means not likely of ischemia. But as you are having high BP, diabetes, I will suggest you to undergo 2D echo and TMT to rule out any ischemic cause." + }, + { + "id": 4693, + "tgt": "Diagnosed heart failure with 25% ejection fraction. Could alcohol and steroids be the reason?", + "src": "Patient: Hi doctor, My husband was just diagnosed with congestive heart failure with 25% ejection fraction. They also found an artery 100% blocked, but his own body made another vein and they discovered it is viable, so no bypass surgery is needed. They also discovered his mitral valve is stiffened, and not working. He has some kidney damage also. We are going to have a scope done, and I guess that will determine how to fix the mitral valve. Will they do another test to determine the cause? He has told them he used some steroids during his bodybuilding days, and he drinks occasionally. But, he drinks every night and has used mild steroids up until this happened. They are going to do a test that would determine how it was caused. Could it be due to a virus or abuse? I am just trying to be educated before we go to the next visit. My husband is not always honest with the doctors. Doctor: Hi. Thanks for the query madam. Good to know you are worried about your husband. Yes, alcohol and steroids do cause harm to the heart. Make sure your husband never uses these suicidal drugs again, as now he has an ejection fraction of only 25%. Coming to the mitral valve, it depends upon how much it has narrowed. If severe narrow, then options are either surgery to change the valve or percutaneous mitral balloon valvotomy (PMBV), in which the mitral valve is widened by inflating balloon in the valve. If not severely narrowed, then only medicines of heart failure are sufficient for your husband. Comply with the doctor's advice and medicines. Have vaccination against influenza done yearly, and also pneumonia five-yearly. If EF is 25% and not improving, then have a device installed in the heart called ICD (implantable cardioverter-defibrillator), to save from sudden cardiac arrest." + }, + { + "id": 15131, + "tgt": "Why do my eyes get red when I stop eye drops after a retinal detachment surgery?", + "src": "Patient: Hello doctor, I have had a retinal detachment surgery 7.5 months back with silicon oil. Four months back silicon oil was removed and at the same time cataract surgery was also done. This was my right eye. The vision in the eye is 6/9 with glasses in the operated eye and 6/6 in the other one. Since the first surgery 7.5 months back I am on Predforte eye drops. When I taper them off to 1, the eye starts getting red. My last eye exam was a month back and the retina specialist suggested to have one drop morning and evening for another 14 days. He said there is a subtle infection in the eye. However, when I stopped taking the drops after 15 days, the eye got red again and I restarted it and the redness was gone. I am worried about when I will be able to stop it. Can you please explain what may be the reason and how harmful it is to continue? The eye doctor (retina specialist) asked me to recheck after three months. Doctor: Hi. You might be suffering from inflammation, not infection. A steroid is usually given to control inflammation. The principle is to continue on the lowest possible dose of steroid which can keep inflammation in control. In the meantime, it is important to keep an eye on side effects of a steroid-like rise in intraocular pressure. You are on a low dose, you can continue but check with your surgeon periodically. Take care." + }, + { + "id": 4036, + "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": 3102, + "tgt": "I have a small bump at the back of the throat with no pain. Does it need immediate attention?", + "src": "Patient: Hello doctor, I am a 21-year-old female, non-smoker. I noticed a bump at the back of my throat the other day, but I am not sure how long it has been there as it does not cause me any pain. I had my last dental visit before two months, so it must have developed sometime since then. I got the three-stage Gardasil vaccine when I was younger so I am not sure if that helps rule out HPV or not. I am out of the country until four months, so I am wondering if this is something that needs immediate attention or can wait until my next dental appointments. What is this red bump at the back of my throat? I am currently taking Ortho tri-cyclen. Doctor: Hi. I have seen the picture you have attached along with the complaint. (attachment removed to protect patient identity). It looks like a pharyngeal ulcer because of the patchy and reddish appearance. Chances of infection of the tonsils are also greater. But you have mentioned that it is totally painless and has been there for a while. So I reckon you visit an ENT specialist not a dentist for this issue. If this is painful while swallowing or drinking cold food please put it to the attention of the doctor. It can be treated with simple antibiotics then. If not this has to be addressed quickly to rule out any other infection with a blood test apart from HPV as you got vaccinated for it. I hope this helps." + }, + { + "id": 21670, + "tgt": "I feel an irritation of the nerve over the left temple. Is it a neurological or dental problem?", + "src": "Patient: Hello doctor, From the past three months, I am having pain like irritation of the nerve on the left side exactly on the temple of the head, and in the left jaw in front of the ear. This pain radiates to the back of the ear, below the left jaw, and then radiates to the left side of the neck. The pain is often constant and irritating, but doing jaw movement gives little relaxation. Then after four\u00a0seconds, there is a recurrence of pain and nerve irritation. I was doubting a TMJ problem, but there are no symptoms like cracking while moving the jaw. This pain does not limit the opening of the mouth. Opening the mouth is not a problem. It is exactly not a pain, but more of an irritation of the nerves in the above areas, and it is worst than the pain. I had a wisdom tooth extracted five days back, as the tooth was fully grown but could not come out from the gums and it was still under the gums. I thought the pain was due to this wisdom tooth, but even after the removal of the tooth, the problem did not subside. Please help. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1942, + "tgt": "What are the ways to lighten a dark skin tone without damaging it?", + "src": "Patient: Hi doctor, I just wanted to find out is it possible to lighten a dark skin tone without damaging it? If so could this be done at home or at a dermatologist? Would you recommend a teenager getting it? When I was younger I had a light skin tone but due to alot of swimming and sun exposure I damaged it and got dark, is it possible to get the same skin tone I had? I am a female, 18. Doctor: Hi. Skin color is genetic. Amount of sun exposure can increase or decrease it, as per your genetic constitution of skin melanocytes the dark pigment producing cells. Dark skin is healthy as it prevents its bearer the side effects of sun exposure thus lesser chances of dreaded skin cancers and delayed skin ageing. Still ignorant people think white skin is better and a false psychological cosmetic superiority is associated with it. This is fostered by fairness cosmetic industry to promote their interests.White skin need additional sunscreen protection to prevent aging and cancers but for those who still need fairer skin can avoid sunlight as much as possible and also sunscreen then the melanocytes in their skin will produce less dark pigment and thus fairer skin. So you can avoid sun exposure and use regular sunscreen that much is best non harmful way to be so called fairer." + }, + { + "id": 27888, + "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": 1802, + "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": 28745, + "tgt": "What are the preventive measures of elephantiasis?", + "src": "Patient: Hi doctor, Two of my neighbors are infected with elephantiasis. I am afraid as mosquitos are frequent in our area. Please suggest me the measures of prevention. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10740, + "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": 26933, + "tgt": "Should I opt for painful or painless vaccination for my daughter?", + "src": "Patient: Hi doctor, My little angel will have her first vaccine after the one given in hospital after birth. My doctor said there are two ways, painful and painless. Which one shall I go with? When I asked the doctor, she asked me to read the latest vaccination guidelines. Is painless good? I heard most people go for painful one as that is quite acceptable even some doctor do not prefer the painless one. Which way should I opt for my baby's well being? Please help. Doctor: Hi. I can understand your concern. I hope this will help you. Wishing your child good health. Take care. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21871, + "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": 20205, + "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": 25363, + "tgt": "I am passing more urine due to anxiety. Is there a risk of developing kidney disease?", + "src": "Patient: Hello doctor,When I drink water after 15 to 20 minutes I feel to pass urine. So, I drink less water from one year. I suffered from OCD psychiatric disorder from five years. The doctor told me that I am passing more urine due to anxiety. My urea creatinine and blood sugar are in the normal range. I want to know why my kidneys are hyperactive. Have I any risk of developing CKD in the future? Doctor: Hello. No, not at all. If your urea and creatinine are good, there are no chances that you will develop any renal failure or CKD just because you pass excessive urine. To alleviate your anxiety, get your urine osmolality test done and if that is normal, the urine you are passing is normal. I hope it helps you. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 873, + "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": 28307, + "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": 9807, + "tgt": "What is the cause for a stiff neck that restricts the rotation of the head in either direction?", + "src": "Patient: Hello doctor,My neck has become very stiff that I cannot rotate my head easily in either direction. Even after two months of exercise (self-selected), there is no improvement. What could be possible causes and possible solutions? Doctor: Hello. Is it just a stiff neck or also do you have electric shooting pain in the arms and numbness or weakness? If it is only the former, then, oddly, the stiffness has not improved over a period is two months. I will advise you to have an X-ray cervical spine AP and lateral. Do you have any other symptoms like fever weight loss, night sweats, etc.? Please upload the X-rays. In the meantime, take Tolperisone 450 mg once a day to help with the stiffness. Also, try hot packs and take an anti-inflammatory tablet like Voveran SR (Diclofenac) 100 mg once a day after meals. If you do not have diabetes and kidney problems take Pan 40 (Pantoprazole) as an antacid before meals." + }, + { + "id": 27722, + "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": 18212, + "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": 28094, + "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": 5755, + "tgt": "My son has pain in his front thigh since childhood and it affects his activities. What to do?", + "src": "Patient: Hello doctor, My 12-year-old son has been complaining about pain on his front thigh (quadriceps) on both legs since he was 3 years old. It happens to him after playing and doing activities like sports and after school. It happens to him at least once a week and it lasts between 12 - 72 hours. Sometimes he feels clicking on front quadriceps and he feels relieved after clicking. Sometimes he says it is burning and stinging. Sometimes he needs rest to get rid of the pain. Sometimes he cannot walk even for a day and need pain killers. I could say it is always with him. This isssue had affected his running, sports and activities. He is always the last person in all sports activities, which means he is too slow. We visited many doctors and took different x-rays and blood tests and gave many physiotherapies. But nothing has been diagnosed. I need help to know what to do and what is his problem. His health and life has been affected because of this issue and he has lost his self-confidence as he is always a loser in all games. Doctor: Hello. The symptoms you are describing are signs of malnutrition. There is probably some deficit in protein intake for this child. I would suggest a high protein diet along with some iron supplements for this child. Another rarest of rare possibility can be myasthenia gravis, which can be diagnosed by doing tests for nerve conduction and velocity and results on electrical stimulation of the muscle and its response to the stimulus. Please visit a pediatric neurologist for going through the above tests. First, give him a high protein diet along with iron supplements and see. If there is no relief, then approach a pediatric neurologist." + }, + { + "id": 7417, + "tgt": "What is the reason for the white and itchy areas on the penis?", + "src": "Patient: Hello doctor, My the testicular area is white and itchy. Similarly, the penis has a slight black color. Itching and rashes on the umbilical side. Hair loss can be overwhelming. Doctor: Hello. The itching and discoloration on your scrotum and penis may be due to fungal infection. But it could also be due to another condition called scrotal dermatitis. The first and most important thing is to wear undergarments that are loose to allow air circulations. Keep the area dry always. Do not use too much soap or other antiseptics. Use Candid solution at night time and let it dry. You can use the Candid solution in the umbilical area also. Take a single dose of Fluconazole 150 mg tablet. If your symptoms show no improvement in two weeks, we can consider other treatment options. I would recommend you to upload photos of rashes in your genital area and umbilical area protecting your privacy, which will help me to get a more clear picture. Regarding hair loss, I would like to know your family history of male pattern baldness. You can use Mintop (Minoxidil 5 %) solution every day. Falli hair tablet is a multivitamin tablet to help you from hair loss. If you have to scale on your scalp, use Triclenz shampoo twice a week. Follow up after two weeks or whenever needed. We can consider necessary lab tests then. Fungal infection. 1. Candid Solution 1 % two to three drops night time. 2. Tablet Flucanzole 150 mg single dose. 3. Folli hair tablet one per day. 4. Triclenz shampoo. 5. Mintop solution 5 %. Wear loose clothes and keep the area dry." + }, + { + "id": 12328, + "tgt": "What is the treatment available for sore throat with bumps?", + "src": "Patient: Hello doctor, I have had a sore throat for about two weeks now and the wall of my throat has some sort of bumps on it. My tongue as well has bumps on them but they are not painful. Doctor: Hello. The pictures show three things (attachment removed to protect patient identity). The bumps on the back of your tongue which are circumvallate papillae. Then, there are slightly enlarged tonsils on either side of the throat. There are granulations on the posterior pharyngeal wall. These may be present in acute pharyngitis." + }, + { + "id": 18893, + "tgt": "Is crossed eye problem a curable one?", + "src": "Patient: Hi doctor,My son is 2 years old. He is having crossed eye problem from the birth. Is it curable? If\u00a0yes, then what is the treatment for this? Also, what is the success rate of the treatment? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20260, + "tgt": "Is it safe to take Bupropion and Nexipride together?", + "src": "Patient: Hi doctor, I was diagnosed with the\u00a0somatic symptom disorder. While in anxious situations, it feels like paralysis or nervous breakdown might happen. Also, my hands become cold and my forehead becomes hot. Since the past 1 year, I am on Etizola Beta (Etizolam 0.5 and Propranolol 20) on a total of five tablets a day in the pattern of 2-2-1. Now, this combination does not seem to be that effective and my doctor who has given me the following medications. Clonazepam 0.5 and Nexipride 50 mg in the night, Clonazepam 0.5, Ciplar LA 40 mg, and Bupropion XL 150 mg in the morning and a 0.5 mg Clonazepam in the afternoon. Is it safe to take this combination? The reason why I am asking is that Levosulpiride decreases the effect of D2 dopamine whereas Bupropion increases it by inhibiting the reuptake of dopamine. Is it dangerous to take this combination? Initially, my doctor wanted to recommend me Mirtazapine, but when he found out that my cholesterol levels are high, he switched to Bupropion XL 150 mg. Is it safe to take Bupropion and Levosulpiride together? Doctor: Hello. 1. SAD (seasonal affective disorder). 2. MDD (Major depressive disorder). 3. GAD (generalized anxiety disorder). GAD. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2194, + "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": 14402, + "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": 20953, + "tgt": "I have teeth gaps. Can they be closed by using braces?", + "src": "Patient: Hi doctor, I have teeth gaps and I want to know whether by using the braces, these gaps can be filled or not. And also I want to know how much time will it take to fill the gaps. Gaps are at: Upper front teeth. Lower front teeth. Doctor: Hi. I had gone through your question I can understand your concern about your spacing. Yes, the gaps or space can be treated with braces (orthodontic appliances). It will take you at least a year. You have upper midline diastema (gap between two upper front teeth), it takes time and may need a retainer after braces are removed for next six months. You need to consult an orthodontist for fixed orthodontic treatment. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30012, + "tgt": "Please give your suggestion regarding treatment of nystagmus", + "src": "Patient: Hi doctor,I am 21 years old. I have a problem of nystagmus from birth. Due to this, I have a problem to see far objects. Please give me some suggestions regarding the treatment of nystagmus. I have attached the prescriptions of my doctor. Doctor: Hi. Congenital. VEP (visual evoked potential). For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21330, + "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": 5171, + "tgt": "I have rash under armpits that feels hot and stings. What is it?", + "src": "Patient: Hello doctor, Seven months back, I developed a small scaly white patch on the left hand side of my scrotum. It did not change but my groin then became damp and very itchy. After a short period both groins were like that.\u00a0Last month, I saw a dermatologist who thought it might be eczema and prescribed Eumovate ointment, but this only seemed to cause flare up.\u00a0When I saw the dermatologist, I had the smallest of light red flecks on my right wrist (inner). However, since then the rash has spread to both arms (elbow) and also to both armpits. The armpits feel hot and stings. The rashes on arms are painless and not itchy as well as not raised. In the past, I have taken Daktacort, Canesten creams, antifungal tablets and Penicillin capsules. I have attached the pictures for your reference. Please help. Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and understood your concern. 1. You can get KOH (potassium hydroxide) examination of skin done to confirm the diagnosis of fungal infection. 2. Do not apply antifungal cream before you give a sample for KOH examination. 3. You may get your blood sugar levels tested, as increased fasting blood sugar (FBS) may cause recurrent fungal infections. 1. You are most probably suffering from a fungal infection. It most commonly affects areas like groins and armpits. Both scaly white and moist itchy lesions can occur. Sometimes, hypersensitivity lesions may also be seen along with fungal infection. 1. If I were your physician, I would recommend you to take tablet Terbinafine. The adult dose of Terbinafine is 250 mg once daily for three weeks. 3. Along with that, apply topical cream containing a combination of Terbinafine and a topical steroid like Mometasone. 4. You can take antihistamines like tablet Levocetirizine 5 mg twice daily or tablet Loratadine 10 mg twice daily. Avoid hot humid climate, keep the affected area dry and avoid synthetic innerwear. Revert back after three weeks with the investigations to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12921, + "tgt": "Is fibroscan recommended for a patient with SGOT 40 and SGPT 55", + "src": "Patient: Hello doctor, Today I checked my liver function test. My SGOT is 40 (5 to 35), SGPT 55 (5 to 40), but when I searched online, the normal range is SGOT (5 to 40), SGPT (7 to 56). What to do? And the doctor asked me to take fibroscan. Actually fibroscan is three stage in fatty liver. Should I take fibroscan? Doctor: Hi. I just went through your symptoms and I also saw your laboratory investigation reports (attachment removed to protect patient identity). Your liver function test enzymes are very normal and you do not have to worry about it. The second thing is your hepatitis B surface antigen is reactive which means you are hepatitis B positive. At this point in time, what you have to do is go for a further evaluation with viral load and you will have to take care of hepatitis B treatment. You do not need to get fibroscan. You do not have to get it done at present. Instead, if you have an ultrasonogram or CT scan of the whole abdomen that might be able to tell you if you have any underlying lesions in the liver." + }, + { + "id": 15490, + "tgt": "My right vision is getting blurred while using new glasses. How to correct it?", + "src": "Patient: Hi doctor, I wear glasses with a minimal prescription of - .25 with slight astigmatism and + 2 reading. Recently, I got a new pair of progressive lenses. I am finding that my right eye cannot focus properly and it is always blurry. First, I thought that the prescription was wrong. But after making many attempts with my new lens, I was able to notice that my old progressive lens had an incorrect pupillary distance by 2 mm on my right eye. I wore that glasses for three years, and I was unaware. I am worried whether wearing glasses with PD by 2 mm so long have caused any adjustments in my right eye? Why is my eye blurry? I was wondering why my new lenses were not focussing correctly as they were present with a correct PD. Is it possible to retrain my eye to focus accurately? Can I start wearing a single vision lens which can help me for a while? Doctor: Hi. By going through your query, I can understand that you are suffering from intolerance to progressive lenses. It can be due to an increase in near vision with age. It is not due to incorrect PD (pupillary distance). If you work on a computer, intermediate vision glasses can provide you more comfort rather than progressive. Intermediate vision glasses gives the support of vision when they are used for indoor work and reading. For distant vision, you may choose to remove your glasses. In case, if both of your eyes are not working together (binocular vision defects), a change in IPD (interpupillary distance) may develop. In that case, few tests for binocular vision can help. Also, some types of cataract or glaucoma in early stage produces glass intolerance, and it leads to a frequent change of glasses in an older age group. A slit lamp examination and dilated fundus examination are advised to rule out the causes of glass intolerance." + }, + { + "id": 27552, + "tgt": "I have pain in the inguinal hernia surgery wound. Is re-surgery necessary?", + "src": "Patient: Hi\u00a0doctor, I had a right inguinal hernia surgery, four years back. But still, I have troubles in the surgery wound, especially when I am involved in harder or longer physical activities. I also get hurt if lying down on the side of the surgery. The doctor advised me to get a CT scan, but as I had in the past took three\u00a0CT scans on other parts of the body, I am not willing to take the risk of radiation. When ultrasound was taken, no abnormalities were detected. So, please advise what should I do or how should I take care of it. I am even thinking to have a re surgery, if necessary. What are the problems or risks I may face if re surgery is done? Thanks. Doctor: Hello. I went through your post. Let me tell you something about hernias. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17164, + "tgt": "I feel a loss of consciousness when I am off of Paxidep. What should be done?", + "src": "Patient: Hello doctor, I am a professor and I teach daily for six to seven hours in standing position. Two years ago suddenly I felt a loss of consciousness and restlessness. This increases when I speak on an elevated platform. I have a high fear to get down and\u00a0there is an appearance of loss of control in the legs but never have I fallen down. When this started, my BP became low and I had severe neck pain and ache. I\u00a0contacted doctors and some said I had anxiety and some depression, B12 deficiency, and some told that it is due to the standing problem. One\u00a0neurologist gave me Panazep 25 mg. When I\u00a0started taking it, the problem disappeared. But after taking it for six months, I\u00a0decided to\u00a0stop it. The problem started again and so I started taking Paxidep 12.5 mg. Whenever I stop the medication, the problem recurs. When I\u00a0do not take Paxidep and take rest, I have no problem. But, when I have to take a class being off of Paxidep, I feel to get the same symptoms again. I feel like falling down and have a loss of control and loss of consciousness. I\u00a0consulted a neurophysician and\u00a0he told me it is due to low supply of blood to the brain due to standing. He did an MRI and a\u00a0carotid doppler of the nerves of the neck and everything was normal. I have also had ANA\u00a0positive but the antiphospholipid and the related tests were negative.\u00a0He told me to take\u00a0Moracetam 800 mg twice daily and Multineuron Forte one\u00a0daily. He told me to stop the Paxidep, but when I\u00a0stop it I\u00a0face the same problem again. I now take one table in a gap of one day. Please tell me what to do? What kind of disease is this? Whom should I contact? A neurologist, a\u00a0psychiatrist or a\u00a0rheumatologist? Doctor: Hello. I went through your post. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30990, + "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": 10332, + "tgt": "How can a person with PTSD, depression and anxiety be treated?", + "src": "Patient: Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety? Doctor: Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed." + }, + { + "id": 8643, + "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": 4566, + "tgt": "How to halt demyelination?", + "src": "Patient: Hi doctor, This query is regarding my dad. He has been limping for a year now. He is a construction worker and about two years ago he accidentally fell down from the first floor. He reassures me that his left leg limping is not due to the fall. He had about 20 sessions of physical therapy. He went to a pain specialist who injected him with steroid injections, but that did not help. The pain specialist also performed an electro test to see the response reaction in both feet. The right one jumped and the left one did not. He said he barely felt any sensation in his left leg. His left leg is not responsive, and he cannot carry it around. We had an MRI and consulted a neurosurgeon. The neurosurgeon said that he is not to be operated on. The result of his MRI is as follows.\u00a047 years old with radiculopathy.\u00a0Correlation is made with prior MRI of the thoracic spine. Findings are, mild spondylotic changes are seen within the cervical spine with disc desiccation multiple levels.\u00a0C2-C3: There is a shallow central disc herniation impression on the thecal sac.\u00a0C3-C4: No focal disc herniation or neurocompressive changes are seen.\u00a0C4-C5: Shallow central disc herniation impresses on the thecal sac.\u00a0C5-C6: There is central disc herniation with effacement of the ventral CSF.\u00a0C6-C7: Shallow central disc herniation impresses on the thecal sac.\u00a0C7-T1: No focal disc herniation or neurocompressive changes are seen.\u00a0Vertebrae: The vertebral bodies demonstrate normal height and marrow signal characteristics.\u00a0Spinal cord: There are multiple foci of abnormal T2 signal within the substance of the spinal cord, one at the C2 level and one at C4. It is unclear whether this reflects myelomalacia versus the possibility of a demyelinating process.\u00a0Clinical correlation as well as evaluation of the intracranial compartment with MRI of the brain is\u00a0recommended.\u00a0Craniovertebral junction: The craniovertebral junction is unremarkable. Mild prominence of the nasopharyngeal soft tissues is incidentally noted. Please correlate with direct clinical examination. Impression is multiple foci of abnormal T2 signal within the substance of the spinal cord as described. These may be on the basis of myelomalacia however given the patient's age the possibility of a demyelinating process is not excluded. Clinical correlation as well as evaluation of the brain with MRI scanning is recommended. Mild spondylotic changes within the cervical spine with shallow central disc herniations at C2/C3, C3/C4, C4/C5 and C6/C7 levels. Slightly larger central disc herniation C5/C6 with effacement of the ventral CSF. Mild prominence of the nasopharyngeal soft tissue. As I want an unbiased opinion, please consider only the results and not the possible diagnosis. My questions are, what are the possible causes of these? What are the outcomes in the future? Can anything be done to regenerate neural tissue and myelin? Finally, how many herniated discs does he actually have? Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22881, + "tgt": "Is it normal to have anxiety symptoms after a wrong diagnosis of cancer?", + "src": "Patient: Hello doctor,Hope you can help me, please. I am a young breast cancer survivor in my twenties who had cancer a few years ago. I am now cancer free. However more recently than this, a doctor gave me a wrong diagnosis and told me he thought cancer had spread to my brain. It took weeks to get the brain scan and the results to find out it was clear. During this time I was panicking a lot and even now this event has passed a few months ago I am left with fatigue, internal shaking, head pressure and I jump out my skin to the slightest noise. I have all these anxiety symptoms, however, I am not worried about cancer anymore as the results were clear, but I seem to be stuck in some kind of stress response. I have tried Prozac and Citalopram (just in case these would help) and had a serious reaction to both of them (face going completely numb, vibrating and too dizzy to walk). I am not sure counseling would really help because as I mentioned the event that made me like this has now passed and I feel fine about it and do not think about it anymore. In fact, I am worried that might make it worse as I am trying to forget about it. I am not anxious anymore. I just seem stuck with these symptoms. I would just like to know if you have heard of this before and is it normal that this can happen? Also, do you have any suggestions what I can do? Should these symptoms go away in time? Doctor: Hello. I can understand your problem. The symptoms you have mentioned suggest anxiety only. When the doctor told you mistakingly that cancer has spread to the brain, that was the trigger for anxiety. Even now when you are clear but the anxiety triggered by that event is resulting in the symptoms you are having. The symptoms like fatigue, internal shaking, head pressure, startle like response even on slightest of noise, etc., are part of persisting anxiety only. Yes, I came across many such patients who developed such symptoms after diagnosing with some serious issue. No need to get worried about that. Such type of anxiety is common. I would advise you to keep yourself busy and distract yourself from any thoughts. Try to follow a healthy lifestyle and take high protein diet rich in complex carbohydrates and low in fats. The symptoms will go away with time, no need to get worried. If you could not tolerate Prozac or Escitalopram then the probable reason was first dose effects of SSRIs. You could have prevented this by starting with a low dose that is 5 mg for Escitalopram or 20 mg for Prozac. I hope your thyroid hormone levels are normal. If these are normal then no need to get worried. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13361, + "tgt": "I have average penis size. Can I please a woman in bed?", + "src": "Patient: Hello doctor, My penis length really frustrates me. I have read that it is the average size. I am still a virgin (19). I want to know if there is anything that I can do to surpass this kind of fear or doubt that I will never please a woman in bed. Doctor: Hi. The dissatisfaction with penis size is one of the commonest issues with men. The roots of this insecurity about self lie within our cultural prejudices and fears. Let me tell you that the length of the penis or shape of the penis has nothing to do with sexual satisfaction and the ability to have good and enjoyable sex. It is the way you handle your partner in and out of bed. You need to show how much you take care of her emotional needs and how much you love getting intimate with her. Women are aroused by the emotional component of sexual intercourse rather than by the size of your penis. A good foreplay followed by gentle yet passionate sex is what makes them happy and content rather than the size, color, and shape of the penis. So, do not worry and be confident about yourself." + }, + { + "id": 20413, + "tgt": "I am suffering from mild cold and severe clogging of ears. Please help", + "src": "Patient: Hi doctor, I am suffering from a mild cold and severe clogging of ears. I am taking Afrin spray for an hour and one pill of Sudafed. I developed a similar condition of cold and sinus infection before six months. I had severe clogging of ears. I was given Amoxicillin for five days and Prednisone 5 mg. My ENT doctor examined my ears and told me that there was no issue with the eardrum. He diagnosed it as eustachian tube issue. Please help. Doctor: Hi. You can take Sudafed (Pseudoephedrine) once daily. Take nasal spray once daily. Avoid cold spicy foods, avoid smoking and alcohol. Avoid dust and pollution. Take some steam inhalation thrice daily." + }, + { + "id": 19260, + "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": 23574, + "tgt": "Is this diagnosis of bipolar disorder accurate?", + "src": "Patient: Hello\u00a0doctor, I have been diagnosed with bipolar disorder two years back. Another doctor changed the diagnosis to light bipolar. The last one told me it is just depression and anxiety. I had mood stabilizers, antidepressants, and Modafinil tablets. Due to an overdose, I gained a lot of weight. So, I gave up on the medications cold turkey\u00a0and started work outs and medications.\u00a0I consulted a homeopathic doctor and started medications for depression and anxiety. I plan to go a nutritious diet for managing the depression, which lasts for three to four days when I am not stressed and longer when I am. Can a person be hypomanic for more than three weeks if he is bipolar-2? I used my willpower to accomplish more as I was moving to another country. I prayed more and started doing all the things systematically with planning.As my faith got increased, I started to become compassionate with people, and very confident about things. I was very optimistic about getting a new job and believed that God would give me everything I needed. I felt most of the favorable things happening in my life as God's actions. I felt very happy and present at the moment. I was not euphoric. I was not talking excessively, not irritable, or low on sleep. I slept for seven hours at night. I was not jumping from one idea to another or jumping from one activity to another but I was finishing tasks systematically in a calm way.\u00a0Suddenly, I felt bored and depressed one day as I was not able to follow up on my exercise, diet, sleep, and prayers. Then, within two days all the systems in my life crashed. I felt depressed and anxious. But, I did not cry. I feel angry and lost in thoughts about my past. I just sit with my phone the whole day and eat a lot for many days. Then my efforts come back to get back into the system. I connect\u00a0the feeling of happiness that was there a few days ago as euphoric and being productive as hypomanic. Is this bipolar 2 or just depression due to unsystematic living? If the praying and systematic part were hypomania, then if I maintain a good nutritious diet plan, do yoga and exercise twice a day and sleep for six to seven hours a day to fight the depression part,\u00a0will the hypomania be controlled? Doctor: Hello. Hence to be clear, if these fluctuations in mood are causing you distress or dysfunction in your daily life and are not remitting on its own, only then you can consider pharmacotherapy. Otherwise, you can continue with non-pharmacological measures as you are doing already. Take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 17118, + "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": 12270, + "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": 30909, + "tgt": "Please help me figure out the reason for my abdominal pain", + "src": "Patient: Hi doctor, I have been having a lot of constipation and diarrhea\u00a0on and off all day long. I have been peeing more frequently and noticed that my stool is very dark yellowish brown. There are a lot of discharge and little spots of blood on the tissue after I wipe. I have also noticed that I am very sensitive lately and my boobs really hurt from time to time. I am very much nauseated every day and my stomach is hard as a rock and my cervix is low. I have checked for pregnancy and my hCG levels were not high enough for a proven pregnancy. I am also having severe abdominal pain that is bad and I nearly pass out or actually do pass out at time throughout the day. I have passed out three times in the past four days due to this pain. I am currently on Abilify, Depo-Provera and Olanzapine. I am very scared and I need some advice. Please help me try and figure out what might be going on. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25567, + "tgt": "I have a low functioning thyroid which my doctor is unable to regulate. Please help", + "src": "Patient: Hello doctor, I have been searching for answers for over three years. The past two years, my quality of life on a scale of 1 to 10, has been a 2. I am grasping at anything to find the answers. My doctors have not helped. I was diagnosed 15 years ago with fibro/CFIDS, and very low thyroid, which they cannot get regulated for some reason. The fatigue and brain fog have been unbearable. Then came the IBS, severe pain and diarrhea after every meal, low magnesium, and vitamin D levels. Then, five months ago, I developed a severe pain in my wrist, throbbing, piercing pain that never leaves and I cannot use my arm at all. I had an MRI of my wrist and it showed 'severe edema and erosion of the bones, most likely due to an\u00a0autoimmune disease as RA.' On some days I cannot get out of bed and those days that I do, I am not able to do anything productive. My orthopedic specialist referred me to a rheumatologist but they cannot see me for six\u00a0months. I have also developed dental infections and have had two abscessed teeth in the past year. From my research, I found that all of these symptoms may be related, but my GP has never mentioned it. He even suggested I may be depressed and prescribed antidepressants. The pain all over, and the severe pain in my arm and wrist, I know are not from being depressed. I need any advice you can give me. I am about to give up and living like this any longer is not an option. I do not want pain meds. I want a diagnosis. Thank you. Doctor: Hello. I went through your post. I will try to address each point one by one. Regards. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 4875, + "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": 20913, + "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": 2491, + "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": 28653, + "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": 3398, + "tgt": "Do I need a drug other than Clonazepam to control non-stop panic attacks?", + "src": "Patient: Hi doctor, I have been on Klonopin that is\u00a0Clonazepam prescribed before 14 years for panic attacks and anxiety. I am currently on the 2 mg dosage and taking it four times a day. This is monitored every few months by my family doctor.\u00a0For the past one week, I have noticed that I have been experiencing non-stop severe panic attacks. I cannot really work and concentrate. My appetite is down and I only get about one hour of sleep. I have heart palpitations, tingling, restlessness, loss of concentration, numbness, shaking of hands and legs, muscle pain in shoulders, shortness of breath, lack of motivation, constant thinking that does not stop, feeling out of place and worried. I am researching whether I am going through drug dependency.\u00a0I just read that Syprol, a beta-blocker, is helpful in the current situation. I am in, so that I do not go into withdrawal from this drug.\u00a0Can you please help me as my doctor is on vacation? I really need something to help me get through this. Thank you. Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11630, + "tgt": "Can chronic fatigue be due to low UIBC and DHEA levels in blood?", + "src": "Patient: Hello doctor, I am a 47-year-old male. I have chronic fatigue being on healthy diet. I am not on any medication. There is also low libido. In the blood test report, the levels of UIBC, DHEA, estradiol, vitamin D, progesterone, phosphorus, and platelets were low from the normal level and high B12 level. In the past, my blood test has shown low RBC. Can you tell me what is going on? Doctor: Hello. Your chronic fatigue can be explained by low levels of vitamin D, low phosphorus, and low DHEA (dehydroepiandrosterone). I will explain why do you have these low levels. There are many causes of vitamin D deficiency, but most common is inadequate exposure to sunlight which I think is the cause in you. Other causes of vitamin D deficiency are malabsorption of vitamin D, kidney disease (not in your case). Vitamin D is essential in the absorption of phosphorus in the intestines. So, a low vitamin D will eventually lead to low phosphorus. And both low vitamin D and low phosphorus can cause chronic fatigue. Remedies are, increase your exposure to sunlight. There is no need for vitamin supplementation at present. Your LDL cholesterol and total cholesterol is on the higher side. I advise you to take tablet Rosuvastatin 5 mg at night after dinner for one year and repeat lipid profile after one year. Also, go on a low-fat diet. Now coming to your low DHEA and low estradiol levels, DHEA levels usually decreases with increasing age so that it could be an age-related issue in your case. It can also be reduced in conditions like adrenal insufficiency, diabetes, kidney disease, but there is nothing in your reports to suggest these diseases. Low DHEA can explain for low libido and chronic fatigue, but low libido can also be due to depression and even abnormalities in prolactin levels (which has been not tested in you). Also, get one serum prolactin level tested. My advice is to increase your physical activity and decrease your calorie intake, this will help in increasing DHEA levels. There is no need for taking DHEA supplements. Low estradiol is also due to low DHEA, but that is not significant. Increased vitamin B12 levels are usually seen in liver diseases or myeloproliferative disease (diseases of the bone marrow ), but one more common cause is if you were on multivitamin tablets it might have caused increased levels. But if you were not on multivitamins, then I advise you get one bone marrow biopsy done for the evaluation or detection of myeloproliferative diseases because even low platelets are seen in these diseases. Kindly revert for any further queries or clarification." + }, + { + "id": 6276, + "tgt": "I feel sedated after taking Effexor XR for seven days. Should I change the medicine?", + "src": "Patient: Hello doctor, I have just started taking Effexor XR 75 mg for panic disorder for seven days. I felt so sedating, I cannot even get out of my bed. I really want to give it a chance, but this is too much for me. Will this go away? Should I change the medicines? What should I do? I do not want to give up. Doctor: Hello. Effexor XR (Venlafaxine) can be quite sedating in few cases in which you have the following options. 1. If you are taking this medicine in the morning time, then it is advisable to use it at bed time. 2. Take the plain preparation of Effexor rather than XR, if the sedation problem continues in the morning after taking your medication at bed time. 3. If these two strategies are not effective, then it is advisable to reduce the dose to 37.5 mg a day and wait for four days before you switch back to 75 mg. I hope this helps." + }, + { + "id": 7349, + "tgt": "Is it advisable to use Manasamitra Vatakam for anxiety disorder?", + "src": "Patient: Hello doctor, I am suffering from anxiety disorder taking Prothiaden 25 mg to feel sleepy could not get up early in the morning. Will Manasamitra Vatakam solve the problem? Doctor: Hello. There are very few studies that support the efficacy of Manasamitra Vatakam for treating anxiety disorder. In one study, it was found to be helpful in anxiety disorders and have some effect in reducing daytime sleepiness. But it is one study, and with only that, I would not advise its use. My opinion is for choosing a less sedating drug, or that does not induce sleep (as prothiaden can induce some sleep). Such a drug can be Serta 50 mg (Sertraline) once daily in the morning. But it can cause some gastritis in some patients initially so, and it can be taken along with Omez 20 mg (Omeprazole) once daily in the morning. It would be better to consult your psychiatrist regarding this." + }, + { + "id": 16788, + "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": 3955, + "tgt": "My penis becomes softer after using penile pump for enlargement. Please help", + "src": "Patient: Hello doctor, I am 28 years old. I tried using a penis pump for around 10-12 days, 15 minutes each to gain size. I used a vacuum to keep the penis enlarged. Maybe I was trying too hard, and vacuum it till it started to ache. I had no pain after thouse procedures though, ever. I was also masturbating around two to three times a day during that period (usually it was once a day). Now, I feel my penis has grown softer instead, flaccid or erect both ways. I cannot feel hard enough to penetrate. Even if I try to masturbate, it still feels squishy, and not hard. My sex drive is also diminished. I have not had a wet dream in 10-12 days, still I do not feel high as I used to earlier without sex or masturbation for a day or two. I do not feel any kind of pain, during penetration, or otherwise. I of course have stopped both pump and masturbation. Please help. Doctor: Hello. I am sorry to know that you are facing a problem with the hardness of penis following the use of penis pump to enlarge the penis size. It is foolish to believe that the penis pump enhances penis size as it is a scam rather than anything. However, we cannot correct the past and need to look for the reasons for the loosening of penile tissue. In my opinion, there is a tear over the blood vessel or sphincter leading to leakage of blood during erection resulting in inadequate tightness. However, I must assure you that the presence of erection (although poor) and stoppage of further damage should be enough to allow the recovery of proper erection in a few weeks. At this stage, it is important to manage your stress as it is unlikely to help you in any regard. At the same time, it is recommended to get penile doppler to assess the damage at the earliest level. I hope this helps." + }, + { + "id": 15500, + "tgt": "I have loose stools with stomach pain and discomfort. What can I take to resolve it?", + "src": "Patient: Hi doctor, I am a 43-year-old female. I ate something unusual yesterday, and I have a loose, watery stool. I also have stomach pain and discomfort. I lack a good appetite. What can I take to resolve this? Doctor: Hi. Have ORS (oral rehydration solution) 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should visit a hospital to assess the hydration status, and you can also have IV fluids if needed. You can take capsule Vizylac (Lactobacillus 120 spores) or Sporlac sachet (Lactic acid Bacillus) three times a day for five days. Take tablet Norflox TZ (Norfloxacin with Tinidazole) two times a day along with an antacid tablet Pantoprazole before breakfast once a day for five days. You should also take Racecadotril 100 mg three times a day to reduce the stool frequency and quantity up to a maximum of seven days. Also, take antispasmodic like Buscopan 20 mg (Hyoscine) half tablet whenever needed up to two to three times a day for the pain." + }, + { + "id": 18634, + "tgt": "Does Abhayarishta medicine cause stool color to be dark brown?", + "src": "Patient: Hello doctor, Recently, I started taking Abhayarishta medicine. I was having pain in the anus. I consulted a doctor and they told that it is an infection. Now daily I take Abhayarishta medicine for better digestion. But the stool color is dark brown. Is it because of Abhayarishta or some other problem? Please suggest. Doctor: Hello. Abhayaristam is a laxative and appetizer. It is good for your concern. It might be causing dark brown stool. But there are other causes too. Some kind of foods, and internal bleeding are also responsible for that. You can check it very easily. Just stop Abhayaristam for two to three days and observe your stool. Also, give attention to your food. Spinach, beetroot, or other iron-rich foods also cause brown or blackish stool. You should avoid them and watch your stool. If stool color persists brown, you should consult an anorectal specialist. If you have any queries regarding this concern, feel free to revert back. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12407, + "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": 16050, + "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": 1863, + "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": 24546, + "tgt": "Why do I have burning sensation on tongue three days after root canal injection?", + "src": "Patient: Hello doctor,On Friday morning, I had a root canal done. I was given an injection that kind of hurt. After that, I realized my tongue was numb. All day Saturday, my tongue was numb but by the end of the day, it got better. I woke up on Sunday and I had a tingling sensation but by the end, it changed from tingling to burning. I can bite my tongue and feel it but I only have some taste. When I touch it, it is a little numb. Can this be a nerve damage or something not so serious since I can feel my tongue? Doctor: Hello. How are you doing? Do not worry. This is the reversal of anesthesia effect. It is just that it is taking a little longer time in you. Tingling sensation means that the nerve anesthesia is going off. Wait for two more days. If you still feel numbness, then get back to the dentist. They will provide you with medicine to manage it. You will be fine. Do not worry at all. Do not bite your tongue. Now maybe you are not feeling much, but once the sensations are back, it will hurt if you had caused ulcers by biting hard. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16027, + "tgt": "Can I smoke cigarette or weed within four days of tonsil removal?", + "src": "Patient: Hello doctor, I got my tonsils removed four days ago. I wanted to know if it is okay to smoke one cigarette and some weed. Doctor: Hi, Welcome to iciniq.com. No, you should not. It is just four days and healing takes at least 15 days. The area where the tonsils were there has to regrow the mucus lining and the lining should start functioning normally after a few days of growing. If you smoke cigarettes or weed the smoke will directly get adsorbed on the raw area making it vulnerable to bleeding, infection, pain, edema, swelling, and impaired healing. Smoke and weed will deposit soot and carbon particles which will delay healing and act as a nidus for infection. I strongly ask you to desist from doing those two and eat and drink healthy foods for a month until you are completely fine. Take abundant fluids. Take all the medicines prescribed by the doctor and follow up with him as per his instructions. Do ping me if you need any support." + }, + { + "id": 21682, + "tgt": "I was asked to increase Cymbalta dose but worried about side effects. Any thoughts?", + "src": "Patient: Hello doctor, I am a 55 year old healthy woman. I have had chronic depression since adolescence. I historically do well with a low dose of antidepressant. When I do not take one, it usually does not work out. I have been on a low dose of Cymbalta for the past five years. 20 mg. Lately, I have been experiencing increased anxiety and sadness. My regular physician suggested going to 30 mg. I know that is still a low dose but I am really having trouble doing it. I fear weight gain, and always worry about longterm effects. Any thoughts or advice? Doctor: Hello. Until now, how many episodes of depression did you have (episodes means at least two months of complete recovery between two episodes)? Or, is it continuous for five years? Any family history of depression? Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22955, + "tgt": "I am 16 years old. How can I reduce gynecomastia without surgery?", + "src": "Patient: Hello doctor, I am a 16 year old male with gynecomastia. I weigh 70 kg and I am about 5' 4\". How can I reduce gynecomastia without surgery? Doctor: Hello. Gynecomastia during puberty of your age is normal. It will subside in one year's time on its own. Do not worry about it. If you are overweight or obese, then you must lose weight. No medicine is required right now and please do not develop any complex because of it. It needs attention and treatment only if you do not have other male secondary sexual characteristics like beard, facial hair, or change in your voice. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17885, + "tgt": "My father is not eating properly after getting stents. Why?", + "src": "Patient: Hi doctor, My father is 76 years old. Around 15 days back, he had an endoscopy and the doctors put stents. For two days, he has had some eating disorder. He is just eating either a half apple or a half pomegranate. I have attached the medicine list prescribed by doctor after putting the stents. Please help. Doctor: Hello. I have gone through all the data posted (attachment remove to protect patient identity). For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21780, + "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": 28805, + "tgt": "Can Levothyroxine be taken along with MAO inhibitor?", + "src": "Patient: Hello doctor, I am wondering if I can take Levothyroxine along with MAO inhibitor? Also, I have taken Etizolam for a sleep disorder, how long do I need to wait before I can take MAO inhibitor? Doctor: Hello. You can take Levothyroxine with MAO (monoamine oxidase) inhibitor. The list of contraindicated drugs is as follows. MAO inhibitor after being stopped, show an increase of neural monoamine levels for 2 to 3 weeks. Concomitant use of MAO inhibitor with Etizolam show side effects like sedation, dizziness, etc., but not fatal side effects are reported. For more information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 12395, + "tgt": "Why am I having sore throat with white coated tongue?", + "src": "Patient: Hi doctor,For the past two months, I am suffering from sore throat. After that, I took many antibiotics and eggs and warm water with honey and lemon daily three times. Now, there is a white furry coating on my tongue from the past 15 days and having loose stool. Do not know what to do. So please help me out of this situation. Doctor: Hi. The loose stools may be due to the antibiotics you took for the sore throat. So you may stop that antibiotic and milk too as it causes loose stools. Instead of that you may take tablet Vizilac twice daily for five days and tablet Metrogyl 400 mg twice daily for five days. Please apply Candid oral thrush ointment on the white part of the tongue. It may have happened due to the medicines. Do not worry you will be fine within a day or two after starting the dose." + }, + { + "id": 22081, + "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": 10372, + "tgt": "I have a BB sized lump where my preauricular node is. What are the possibilities?", + "src": "Patient: Hello doctor, I have a BB sized lump where my preauricular lymph node is, right outside my right ear. My dermatologist, who is treating me for melanoma in situ, is sending me to an ENT this week to check it out, but said melanoma in situ cannot spread. I have no other symptoms. It is not tender and he described it as rubbery and movable. I discovered it a few weeks ago incidentally because my jaw hurt a little one day, so who knows how long it has been there. It has not changed in the two to three weeks I have known about it. What are the possible things it could be (your differential)? Should I have it biopsied, and does it sound like cancer? Doctor: Hello. For swelling in the pre-auricular area, my differentials are: Since it is rubbery and movable, I feel it is more like a node only. Nevertheless, we need to investigate it. A fine needle aspiration cytological (FNAC) study will be required, but since the area is close to the branching of the facial nerve, we need to very careful with this investigation. An ultrasonogram of the swelling will be very useful for this. It demonstrates the likely contents of the swelling and indicates a diagnosis.The likelihood of cancer is there but not more than other possible differentials. Parotid tumors can occur in young individuals like you. They are not uncommon. Please revert back with details and we shall help you. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3499, + "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": 6289, + "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": 29769, + "tgt": "Even after having a kid, my cycle is irregular due to PCOD. What to do?", + "src": "Patient: Hi doctor, I have been suffering from PCOD from my puberty for about 16 years. I am blessed with a 2 year old kid after an IUI. Still, I have irregular cycle and the flow is heavy. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28249, + "tgt": "I have a rash on my back. Is it a sign of meningitis?", + "src": "Patient: Hi doctor, I had a pink rash on my lower back. I had a glass on and put pressure on it, and it fade. Is it a sign of meningitis? I do not have fever or headache. I feel weak at 6 PM, and my neck feel so heavy. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2800, + "tgt": "I have pain in right testis with tunica albuginea cyst. How to fix it?", + "src": "Patient: Hello doctor, I have testicular pain in the right testis. I consulted with a primary care doctor. They gave me an ultrasound which came out negative. But revealed tiny right tunica albuginea cyst. I am covered under VA health care and the urologist consultation has taken months with no follow-up. Meanwhile, I have a dull aching pain there and poor sexual performance from time to time. When I had a climax or orgasm it is very weak, uncomfortable, low volume, and unsatisfying. When at the peak I feel the dull aching and pressure in the right testis (then feel the above results). Can you help me figure out what is going on and how to fix it? I am embarrassed to talk with VA doctors of fear they would know what to do. I also have Kaiser but the doctor is new. Doctor: Hello, Welcome to icliniq.com. I have gone through your queries. You are having two issues. One is testicular pain. Another is PME (premature ejaculation), and ED (erectile dysfunction). Firstly, I come to testicular pain. It may be due to mild epididymo-orchitis. Or it may be due to the cyst. Do not worry. Please use tight underwear or scrotal suspensory bandage. It will help you to alleviate testicular dull aching pain. Now for the problem of ED/PME. Do you have normal morning erection? Do you have diabetes? Or any other comorbidities? Please undergo one USG (ultrasound) Doppler study of penis. It will tell you about the vascularity of penis. We can manage this problem according to the report of Doppler study. Do not worry. Both problems can be solved or rather treated successfully. Meanwhile, you can use Tadalafil 10 mg plus Dapoxetine 30 mg (30 minutes before sex). This drug will act only after you get to involve in foreplay." + }, + { + "id": 6888, + "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": 3431, + "tgt": "Can spinocerebellar ataxia be cured?", + "src": "Patient: Hello doctor, My mother is provisionally diagnosed with SCA (spinocerebellar ataxia). Is this disease treatable or her conditon will worsen? Please help. Doctor: Hi. I have read your question with care and understand that your mother is provisionally diagnosed with Spino Cerebellar Ataxia. For SCA Type 1 to 28 1. Idebenone, a free-radical scavenger, 2. Glutamate antagonist riluzole may offer modest benefit. 3. Acetazolamid, can be used for treatment. For other Ataxias, The most important step in management is to identify treatable disease entities. 1. Mass lesions: Diagnosed by Imaging, Treated by Removal or Decompression. 2. Paraneoplastic disorders: Diagnosed by 1. clinical patterns 2. specific autoantibodies 3. primary cancer. Treated by 1. removal of the tutor 2. immunotherapy. 3. Ataxia with anti-gliadin antibodies and gluten-sensitive enteropathy: Treated by gluten-free diet. 4. Malabsorption syndromes leading to vitamin E deficiency may lead to ataxia. Treated by Vitamin E Supplementation 5. Vitamin E deficiency form of Friedrich\u2019s ataxia: Treated by Vitamin E. 6. Vitamin B1 Deficiency: Treated with Vitamin B1. 7. Vitamin B12 Deficiency: Treated with Vitamin B12. 8. Hypothyroidism: Treated with Thyroxine." + }, + { + "id": 21917, + "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": 5839, + "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": 4178, + "tgt": "Will recurrent prostate infection affect fertility?", + "src": "Patient: Hi doctor, I am a 34-year-old male with recurring prostate infections with inflammation which is really painful with kidney stones happening all the time. I am 6 feet and about 215 lbs weight. I am currently on Trileptal, Ranitidine, and Omeprazole and I have been on them for a long time like 10 years or so. My symptoms are extreme pain in the lower back and painful urination and ejaculation and it hurts bad when I poop and I have 0% energy, I feel totally drained and I have constant hot and cold sweats. My questions are can this lead to permanent damage or cancer? And also what to do? I am waiting to be scheduled with a urologist. I have been battling these symptoms for over three and a half months with a few days of relief and the pain starts again. Any help you can give me will help out a lot. Also, can this lead to me not being able to have kids? Doctor: Hello. The condition you are having could be chronic prostatitis (usually bacterial or any obstructive pathology). Chronic symptoms suggest that you need complete urological evaluation with urine analysis, urine culture, ultrasound of prostate, etc, and treatment accordingly. Avoid caffeine and alcohol. Consume a lot of clear fluids. Empirical treatment with Cotrimoxazole or Ofloxacin for two weeks can be tried if the appointment with urologist is getting late. With proper treatment, there should not be any problems with fertility. You can normally have kids. Development of or transformation to cancer is highly unlikely which may occur late after many years (late after 50-60's). You can try Urispas (Flavoxate) 100 mg tablet twice daily after doctor's prescription to get relief from urinary problems." + }, + { + "id": 17792, + "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": 24708, + "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": 13204, + "tgt": "Is it advisable to do mixed martial arts for osteoarthritis and sciatica?", + "src": "Patient: Hello doctor, I currently suffer from osteoarthritis and sciatica in my lower back. I have been told by a personal trainer that taking up mixed martial arts classes would be good for my conditions. Can you confirm whether this is correct? Doctor: Hello. What I feel is mixed martial arts would damage the tissue more for now until we come up to some level of muscle strength. I would advise you to focus on some exercises which are listed below. This exercise should be gradually increased from week to week and continued for 12 to 15 weeks. First set of exercise to lay on your back and performed for both the lower limbs. 1. Straight leg raise. 2. Pressing the knee down keeping the leg straight. 3. Bridging exercise. 4. Leg raise two inches of floor sideways. 5. Leg raise and circle-clockwise and anticlockwise. 6. Both the legs up and down. The second set of exercise to lay on your stomach and performed for both lower limbs. 1. Knee bend and lifting it up. 2. Knee bend and lifting it up two inches and sideways. 3. Leg straight up and performing circle- clockwise and anticlockwise. 4. Fold the leg and try to lift both the knees up and down. The third set of exercise is to lay on your side and perform for both legs one after another. 1. Straight leg raise. 2. Circle- clockwise and anticlockwise. Please follow this routine as it will help stabilize the core and also will help improve the lower limb muscles to become stronger. Please contact after a week so we can figure out which exercise is difficult and which needs modification. Please do 20 repetitions of each movement. We will reassess and plan the next course of action. Wear and tear. None. Back pain. Disc disease with OA. Exercise. None." + }, + { + "id": 4245, + "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": 29709, + "tgt": "My ejaculation quantity has diminished. How to improve?", + "src": "Patient: Hi doctor, I am a 60 year old male with type 2 diabetes (HbA1c 6.2). Recently, I have lost the ability to ejaculate. Erections are not the problem, just no orgasm or ejaculate. Everything feels right during stimulation but stops short of actually going over the top. I went to a urologist, but he did not seem to be of any help. He could only offer Viagra. He did say my prostate was only slightly enlarged. Over the last couple of years, the ejaculation quantity has diminished. Now, it seems to be dry. Please offer me something here. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22555, + "tgt": "I put scotch tape on penis to regenerate foreskin. Will my babies have birth defects?", + "src": "Patient: Hello doctor, To make a long story short, I used scotch tape and micropore tape respectively on my penis. Two straps of tape were attached to the penis in the form of a cross, so that they met in the tip of the penis' head, while the ends went all the way down to the skin of the shaft. This allowed the tape to pull the skin of the shaft up when the penis became erect. Here, I also attached the tape also to the foreskin that was left after circumcision had been performed on me during infancy. This also allowed the tape to put tugging force directly on the mucous membranes so that force could stimulate a supposed process of mitosis. I thought that direct pulling force on the mucous membranes, or the inner skin of the foreskin, would be ideal in my effort to regenerate the foreskin that I had. More than a decade later, I realized that this sort of behavior could be dangerous since after all, adhesives comprising these tapes are chemicals and mucous membranes are known to absorb chemicals. I am not aware of what specific kinds of chemicals are at work, except that they are pressure-sensitive adhesives that include acrylics. I am also not aware of the processes involved in a mucous membrane absorbing chemicals, or whether that process also applies to artificial chemicals such as pressure-sensitive adhesives. Will I be okay? Will this increase the chances of me having children with birth defects, or will this make me unable to have a baby and what not? Thank you. Doctor: Hello. I could not understand what made you do this practice and what benefit would you expect in this practice? There are no scientific studies available to support using this practice. Let me give my opinion. First of all, the mucous membrane is one of the highly sensitive areas in our body. Better do not let hard substances come in contact with that, that will hurt it. This could lead to inflammation and pain. Due to a rich blood supply in the penis, there is a chance for absorption through it. Definitely, it will not increase the chances of defective children. The child genetic/defect will never be based on this. So, be confident. This will have no role in affecting the baby issues. Basically, this practice has no benefit in any aspect. It may produce local inflammation or irritation on the penile tip (glans penis). I suggest you consult an andrologist or psychiatrist or sexologist for your specific problem. There are few drugs to manage premature ejaculation (early ejaculation), less erection, or other issues. It is not advisable to practice this tape sticking. For more information consult a toxicologist online --> https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 20813, + "tgt": "What is the yellow colored spot in my throat?", + "src": "Patient: Hi doctor, I had a cold and sore throat about four months ago. For some stupid reason, I decided to shine a torch to look at the back of my throat and I saw a yellow colored circular spot or cyst or ulcer. I went to a doctor who could not see it, so then I went to another doctor who said there is nothing to worry about. It is a cyst and it will take a while but it should go. Three months past and it was still there. So, I went back to the doctors who gave me antibiotics. Being so frustrated, I decided to use a cotton bud to mess with it and it kind of just turned red. The doctor thought that it was the antibiotics doing its job (I never told him I had messed with it ) so he said that there is nothing to worry about and sent me on my way, and told me to get more rest, but now it has returned again and it is worrying. My throat does not hurt at all. Doctor: Hi. You have encircled a granule in the posterior pharyngeal wall, the back of your throat (attachment removed to protect patient identity). You do not have to worry about it. The back of the throat has lymphoid follicles in the form of granules. They along with lateral pharyngeal bands, palatine tonsils, lingual tonsils and adenoids form the Waldeyers ring which have protective function against pathogens. When you have a throat infection, these granules swell up, turn yellow. When you have post nasal drip due to cold or sinusitis or allergy then also these granules get stimulated to become big. When there are no symptoms you can forget about those. But if you are symptomatic we address the granules by doing silver nitrate cauterization using a tip of a small probe under a local anesthetic spray in our office and the granule goes away in a few days time." + }, + { + "id": 19040, + "tgt": "I have neck spasm and difficulty in walking. Please help", + "src": "Patient: Hello, I weigh 39 kg and I am 31 years old. I have lost two kilograms in the last two months. I am having\u00a0spasm\u00a0in the\u00a0neck\u00a0since 2 months. It started when I had sudden sneezing and was not able to move the neck soon after that. Neck movements got restricted. I consulted a doctor and took tablet\u00a0Ultracet. I had\u00a0vomiting\u00a0and hence stopped the medication. Then I had tablet\u00a0Pregabalin\u00a0650\u00a0(one dose) and had\u00a0giddiness\u00a0and so, stopped the medication. Neck movement was there to some extent and was not severe. I did\u00a0physiotherapy\u00a0once (pressing the head down by the therapist). Was then not able to swallow the food, and there was tightness and felt like something was stuck in the neck and had heaviness while breathing. I consulted doctor after 2 days and took tablet\u00a0Hifenac\u00a0on the first day and tablet\u00a0Tolperisone\u00a0150mg (one dose). I then had loose motion on the second day and therefore stopped this medication too. I had\u00a0blood test\u00a0done before twenty days. As per the report vitamin D was less than 3, calcium was 8.3, vitamin B12 was 238 and hemoglobin was 11.9. After 10 days I went to the doctor and I had\u00a0Tolperisone twice daily for 3 days. Again I went to the doctor after 2 days and had\u00a0Arachitol injection\u00a0and tablet\u00a0Limcee\u00a0for a day. I had acidity with Limcee and stopped that.\u00a0 I had 2 tablets of\u00a0FLAX-369\u00a0for 2 days, one tablet each day. After 7 days I had one tablet\u00a0Uprise. Two\u00a0hours after taking this tablet, there was tightness in the jaw movement. After 7 days I had one more tablet Uprise. There was slowness in walking and heaviness in the right leg. I had one more injection of Arachitol after 20 days. Still then I have more\u00a0difficulty in climbing stairs and walking. I cannot lift up my right leg. Second blood test\u00a0done 7 days before: ESR :\u00a0End of 1st hour : 35End of 2nd hour : 75Vitamin D : 35.21Intact Parathyroid Hormone (iPTH) : 6.5Calcium : 9.0Vitamin B12 : 544Anti Cyclic Citrullinated Peptide (CCP) antibody: 0.15 Kindly provide a specialist doctor's opinion for me. Doctor: Hi. Consult a\u00a0neurologist online\u00a0with the reports of MRI scan --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6073, + "tgt": "Is it advisable to give L Montus to 6 months old baby for cold?", + "src": "Patient: Hello doctor, My baby is 6 months old (9.50 kg) and is suffring from cold. Doctor has prescribed Wikoryl 1.5 ml three times a day, L Montus suspension 5 ml once at night. Please advise whether the dose of L Montus is fine considering age of the baby. Doctor: Hi, Welocme to icliniq.com. Yes, for 6 months old baby, I will not advice any cough medicine. L Montus contains Montelukast used for treatment of asthma and allergic rhinitis. Safety and efficacy at 6 months of age is not yet established. I consider these medicines are higher for the age group and should be given with due consideration. Your doctor might have strong reason and better experience with these medications. Cold can be just because of nasal secretion block, can be relieved with saline drop (1 to 2 drops in each nostril). Nasoclear or Nasomix drops are available, no role of cough medicine. All medicine to be taken on doctor's consent." + }, + { + "id": 27837, + "tgt": "A pet dog bit me three years back. Can I take anti-rabies vaccine now?", + "src": "Patient: Hi doctor, I am an\u00a018 year old male. Three years ago, a dog slightly bit my hand. The dog died 1.5 years after he bit me. It has been three years now, but I am worried as I heard that rabies appears after years. I did not take any medicine then. I ignored it because it was a pet dog. If I take anti-rabies vaccine or boosters now, will it protect me?\u00a0The dog was my neighbor's pet dog. Doctor: Hello. I understand your worry with this situation as rabies is considered dangerous. I hope this answer helped you. Feel free to ask if you have any further questions. Best wishes. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22397, + "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": 3619, + "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": 19323, + "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": 18939, + "tgt": "Does my wife's MRI show the reason for recurrent dizziness and headaches?", + "src": "Patient: Hi doctor, My wife is 34 years old, and she is having recurrent dizziness and headaches. So, she got an MRI scan of the brain. I have attached the reports for your better understanding.\u00a0Your advice is much appreciated. Doctor: Hello. Best wishes. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 19778, + "tgt": "My mother has CKD with creatinine level 6. 3. What has to be done?", + "src": "Patient: Hello doctor, My mother is 56 years old and she is having CKD with creatinine level 6.3. Her BP is around 130/80 mmHg and blood sugar below 150 mg/dl for the past three months. Kindly guide me. Doctor: Hi. BP and sugar are in normal range. What questions do you have regarding creatinine? For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 2606, + "tgt": "Kindly diagnose my condition based on the biopsy report done for enlarged lymph nodes", + "src": "Patient: Hi! I had enlarged lymph nodes on both sides of the neck. I sought consult and had a neck dissection and biopsy. I believe i'm healthy.I dont feel anything except for the enlarged lymph nodes.It was noted in the result: Histiocytic Necrotizing Lymphadenitis consider: 1.Kikuchi Fujimoto 2.Lupus Adenitis Correlation with serum studies for SLE is suggested. So what to do? I was advised to consult with Rheuma Doctor. I hope you can help me. Thank you so much. Doctor: hello, Have gone through the details submitted Localised painless cervical lymphadenopathy , Kikuchi's Lymphadenitis is a well known , though uncommon Idiopathic Lymphadenitis .Its a self limiting entity and will remit on its own Its close Differential diagnosis is Lupus [SLE] Lymphadenitis , has to be ruled out Any Joint pains ? Any fever ? Any Myalgias , Fatigue ? Other region of lymph nodes like in arm pits , inguinal regions if enlarged , Just slide your fingers in these regions and see for any enlarged nodes ? Any Skin Rash ? any other systemic symptoms ? If you have any of the above symptoms , You need to get Screened for SLE to rule it out ,ANA screening and them ANA profile Else , stay cool , Dont even think about it , maintain good oral hygiene , Do warm water or salt water gargling frequently If any of the above complaints appear positive , Do revert Get Peripheral Smear , ESR ,Seum LDH done along with above in case your symptoms increase Take care Regards Dr Geeta" + }, + { + "id": 22106, + "tgt": "What is thyroglobulin antibody test?", + "src": "Patient: Hi doctor,I just received a test back from my immunologist and I am trying to understand what it means. I am suffering from fatigue and chronic sinusitis. I have CVID and get infusions every three weeks. I have been having adverse reactions to the infusions. So, they ran several tests and this is one that came up. Before seven months, it was completely normal. Just want to understand what this mean. Thyroglobulin antibody measured by Beckman Coulter Methodology. The value is 12.9 IU/mL (0.0-0.9) completed high. I have attached the report for your reference. I have low IgG, IgA and IgM. Doctor: Hi. This is a test to detect whether your body is producing antibodies against your thyroid gland. A high value indicates that your body is producing antibodies against your thyroid gland. In simple words, it means your body is itself destroying its own thyroid gland. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 13145, + "tgt": "Is it necessary to get Down's syndrome test done if there is no fetal movement?", + "src": "Patient: Hello doctor, I am 13 weeks pregnant. I have not felt any movement, this is the second pregnancy. I recently went to the hospital two weeks ago and did a blood test, they informed me that I needed a Down's syndrome test done and I have straight Medicaid and no one in my area covers straight Medicaid. What else can be done? I just want to make sure my baby is fine. Doctor: Hi. During the late first trimester, nuchal translucency test by ultrasound and double marker test (BhCG, PAPP-A) are done to rule out 80 % cases of Down's, Edward, Patau syndrome. These are normal screening methods, generally covered in Medicare. If you are screened positive and been suggested for some confirmatory test, I am afraid, you need to spend out of pocket. Secondly, fetal movements can be felt only as early as 15 weeks, so be patient regarding that part." + }, + { + "id": 21138, + "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": 23910, + "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": 1436, + "tgt": "After getting dental aligners, I found a little white contour around the lower gums. What is that?", + "src": "Patient: Hello doctor, I currently have aligners on and since I started the treatment I noticed a little white contour around my gums lower teeth, they lift a little bit. Is it something to be alarmed about? Doctor: Hello, Welcome to icliniq.com. No, your gums are absolutely fine and nothing to be alarmed for. They are minor issues due to the realignment of the contour of your gums. Do continue to use aligner. When you remove your aligner please apply Rexidine M forte gel (if you feel any discomfort). It is just contouring your gums to the same level. If you carefully look to the image you uploaded you will notice those white lines only on the tooth that placed below. Realignment of the gingiva (contouring it on the same level). Continue using aligners. I do not think there might be any sharp edge, do mention to your dentist if present. Follow up after seven days. Apply the gel when not using your aligner. Use a simple mouthwash like Colgate plux after brushing your teeth to keep your gums healthy. Warm saline gargle occasionally." + }, + { + "id": 30789, + "tgt": "Why does my tongue remain white?", + "src": "Patient: Hi doctor, My tongue remains white for about 1 to 1.5 years. It could be long, but not less than the duration I mentioned. My tongue gets hurt often. Please check the image; it was taken when it got hurt while eating. I am 21 years old. My weight is 55 kg and height is 5'10\". I visited both allopathy and homeopathy doctors. Allopathy doctor told me that it is common and nothing to worry. Nowadays, I have\u00a0stopped eating junk foods and oily foods. I used to have non-vegetarian food only once a week. Please help me. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19240, + "tgt": "How long should I take treatment to dissolve a tuberculosis lump?", + "src": "Patient: Hi doctor, I have a\u00a0small lump on the right side of my neck near the cervical area. I have been having this for the last one month. Although I am on treatment, the lump has not gone. The doctor took out the pus from the infected area, and the laboratory reports confirmed it as tuberculosis. In that regard, I would like to ask how much time it will take to dissolve this lump? What are the remedies? Doctor: Hi. For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 1181, + "tgt": "Is there any dietary precaution for deranged kidney function?", + "src": "Patient: Hi doctor, My brother is suffering from back pain. His doctor recommended some painkiller for one month. Now, he also got pain on the right side of his back. His doctor recommended laboratory test for kidney and liver along with MRI of back. The result showed some kidney related problem. I want to know whether it is a sign of something serious. Can it get cured easily? Doctor: Hi. We are here to help you. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 28856, + "tgt": "I am not able to pull my foreskin back. Will it affect my sexual life?", + "src": "Patient: Hello doctor, I am not able to pull my foreskin back which I believe might affect my sexual life. My age is 28 years. I was told by someone that circumcision is an option. Doctor: Hello. Difficulty to pull the foreskin back over glans (head of penis) is a problematic situation, it does hamper the sexual performance as well. This condition is called phimosis. It can be physiological, which is present since birth and resolves spontaneously by early adolescence. It can also be pathological, resulting from scarring, balanitis, underlying medical risk factors. Phimosis presents with the following features: Treatment involves: If you want to go ahead with circumcision, I would recommend you to seek help from a local surgeon in your vicinity. For further queries, consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5474, + "tgt": "Can excess use of mosquito repellant cause frequent cause and cold in baby?", + "src": "Patient: Hello doctor, I was using a plug-in mosquito repellants for my baby for long, and she often gets cough and cold. Is it because of that? What shall I do? Doctor: Hello. Mosquito repellent liquids can cause allergic cold, and cough in some kids. I cannot say definitely if that is the cause of cold and cough in your kid. But in this season, many kids are suffering from viral respiratory tract infections. So the cause may be a viral infection or allergic cold due to other reasons like cold weather, dust, rain, etc. If you have been using the repellent for a long time and she has not suffered from frequent cold, cough then that may not be the cause. Better take her to the doctor so that cause can be identified. If you have any follow up queries please be clear about the age and weight of your child which are not tallying." + }, + { + "id": 531, + "tgt": "Why am I having neck pain with difficulty in movement?", + "src": "Patient: Hello doctor, I am having pain at my back neck since morning and could not even move my neck. 2 years ago I had same, MRI showed disc bulge at C3-C4 and C6-C7 is causing thecal indentation. Central disc protrusion at C4-C5 and C5-C6 is causing thecal indentation. Doctor: Hello. Looking into your problem you had chronic neck pain I should say and you are struggling with it since long time (2 years). MRI from the past (attachment removed to protect patient identity) is showing that there is problem from C3/4/5/6/7 but major level that is producing pressure symptom in your spinal nerve is C4-5 and 5-6 has central disc protrusion. I would love to see that film that gives us real guide how to produce and plan for surgical treatment. Best option is Endoscopic cervical disscetomy at two level 4/5 and 5/6 and if either go ACDF(a nterior cervical dissectomy and fusion). But today you got again back pain and spasm of neck muscle. Meanwhile I would suggest to take muscle relaxants and neuroleptic drug and cervical traction. You can do cervical traction at home and everyday do cervical traction exercise which will prevent spasm of neck muscles. Drugs for you: 1. Capsules Gabapentin Actavis 300 mg, PO,after food, twice daily for one week. 2. Tablet Chlorzoxazone 500 mg three times a day for one week." + }, + { + "id": 22658, + "tgt": "What are the common side effects of Lupron?", + "src": "Patient: Hello doctor,I will start getting Lupron injections for endometriosis. Will I still get my periods every month? What are the common side effects of Lupron? If I experience side effects like nausea or diarrhea, will the doctor prescribe any medications for that? Doctor: Hi. It is the hormone that stimulates the brain and increases secretion of gonadotropin-releasing hormones that reduces production of estrogen hormone helpful for endometriosis symptoms. It can stop menses but it is not contraceptive so you can have a pregnancy with it. So be alert and have condoms if you do not want to conceive. You can have generalized body symptoms like paresthesia, nervousness, depression, anxiety, decreased libido, epistaxis, pharyngitis, pulmonary edema, arrhythmia, hyper or hypotension, increase appetite or anorexia, acidity, dry mouth, etc. But all these side effects among less than 5 % of user who used the drug for three months. You can give symptomatic treatment for digestive system upset like antiemetic Cyclizine 50 mg as per need can be taken eight hourly. Have plenty of water to hydrate yourself. A healthy nutritious diet with exercise daily. Strict check on symptoms and keep in contact with the treating doctor. Note how much benefit you are getting with medicine to discuss with your doctor. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12342, + "tgt": "hCG level is high in a pregnant patient. What can it be?", + "src": "Patient: Hi doctor, I am 31 years old. I had two miscarriages around 9 and 8 years ago. My last 6-7 periods were heavy and had a lot of pain. A lot of my family members had fibroids. So, I thought the same in my case too. Two months back, I got my last period, and as usual, it lasts 5-7 days, 28-29 days cycle. Last month I missed my period, felt unwell, had very sore breast that got bigger noticeably. Most of the time I had a nauseous feeling and became moody (mostly sad and irritated), certain smells irritated me a lot, urinated a lot, started eating a lot, felt the need of eating sour things, weird taste in my mouth, my tummy felt full or bloated in a very uncomfortable way and I slept a lot. One month back, I had 2 pregnancy tests, and both were positive, but the positive pregnancy test was very dark. I used the double pack of ultra blue. After three days, I went to the doctor for a checkup, they withdrew the blood sample to check the hCG levels. I got a call from the hospital asking me to come to see the doctor because my hCG levels are very high. Next day the doctor examined me and then did a transvaginal ultrasound, the doctor told me that the placenta is empty and it is not a normal pregnancy, but it is in the uterus. The doctor told me that no baby would be a result of this pregnancy and he also told me that my only option was the surgery where they remove the cells or tissues like scrapping the uterus. My hCG before the surgery was 28,671. I had the surgery on the same day. The nurse inserted 4 Cytotec pills into my vagina a couple of hours before the surgery. They said it was successful and they removed all of the tissue. They sent the tissue to the laboratory to test it. They said they suspect a molar pregnancy. What is your opinion? They have not told me if it is a partial or a complete molar. It is 2 days after the surgery, and I am not bleeding a lot just spotting. Today I almost had no bleeding. I thought I am supposed to bleed more, should I be worried? I feel tired; I have this weird taste still. My breasts are less sore, but they are not back to normal. Are those good signs? I read that this condition might develop some sort of cancer. Since my hCG levels were quite high to start with, does that mean I have a higher risk of developing cancer? If there were complications and the levels did not lower down, in this case, how strong is the chemotherapy? Will it have strong side effects like losing hair? Doctor: Hi. I have gone through your history and understand your concerns. I feel sorry about your loss. It is most likely a molar pregnancy (benign tumor developing in the uterus) because hCG levels are quite high (human chorionic gonadotropin) and it is inside the uterus. Most likely a complete mole if the placenta has also involved. No need to worry, bleeding decreases when products come out and they are considered to be good signs. Sometimes, it can turn into cancer called trophoblastic disease. In your case, we have to go for a biopsy of the tissue and checkup of hCG levels after six weeks. If the levels are persistently high, then it is suggestive of cancer. Chemotherapy is quite effective in your case but the side effects of the drug could be there." + }, + { + "id": 4197, + "tgt": "I experience muscle twitches which increases during anxiety. Sholud I worry about ALS?", + "src": "Patient: Hello doctor, I have been experiencing muscle twitches, in several areas of my body, for a period of three weeks. It stared in a small area in my back, then stopped. Returning in my right hip and since then the twitching has appeared at my right shoulder, both thighs, both hamstrings, both calves, forearms, and both arms. It lasts not more than five seconds and stops when I exercise or contract the muscle. The twitching tends to increase when I am anxious, which is often at present. My left forearm and fingers experienced slight pins and needles. I have no obvious signs of muscle wastage and no clinical weakness. I have full use of all limbs, workout daily with no obvious decrease in intensity. Should I be worried about ALS, as it is causing me to have anxiety attacks and to question everything? Doctor: Hello, Welcome to icliniq.com. Twitches are seen in ALS (amyotrophic lateral sclerosis). However, they usually start in the hands and are accompanied by the thinking of muscles or atrophy of muscles. A much more common cause of twitches is anxiety leading to hyperventilation leading to decreased calcium level in the blood. In your case, the most likely cause of twitches is anxiety. However, since I cannot conclusively rule out the possibility of ALS. I suggest you do nerve conduction studies, which can diagnose ALS. Please feel free to followup with the nerve conduction study report and we can discuss in detail." + }, + { + "id": 4136, + "tgt": "The temporary crown is tiny. Is there any chance that my permanent crown will be in normal size?", + "src": "Patient: Hi doctor, The dentist thought my tooth had a fracture, so he put on a temporary crown. That worsened the pain and throbbing exponentially, so he sent me to an endodontist that said my tissue was extremely inflamed and needed a root canal ASAP. After the root canal, the regular dentist put on the permanent crown. I felt the throbbing again after he put the permanent crown on. I got a second opinion and the dentist #2 did an X-ray and noticed the crown did not cover my tooth fully. I went back to Dentist #1 who had to restart. He took the permanent crown off and put a temporary crown on again. But, he had thrown my original imprint away and waited to take a new imprint until after he removed my permanent crown. The temporary crown is on now and is tiny compared to my other teeth. It looks like a kernel of corn. Should he have taken the impression first before taking the permanent crown off? I worry my new permanent crown that comes in will be tiny. Doctor: Hello. Did you have any pain after completion of root canal procedure before permanent crown placement? How is the pain? Is it the same pain which you experienced before root canal? If the pain did not stop after completion of root canal and before crown placement, then it should be from the tooth. You should get back to your endodontist in this case. Generally, a couple of days will be left as healing period before placement of crown. If the crown is placed immediately without allowing a period of healing, it hurts. If the pain started after placement of permanent crown, then you should visit your general dentist to check the status and fit of the crown. In this case, the crown needs some fine adjustments for a perfect fit and bite." + }, + { + "id": 3065, + "tgt": "I have balanitis with mild pain while pushing the foreskin. Please help", + "src": "Patient: Hi doctor, I am a 63-year-old male. I am having balanitis. I am a diabetic taking the following medicines. Novostat CV 10, Optidoz, Glimisave max forte 1 two tablets daily, Fourts B and HCQs 200 for RA factor. I have no bad habits and stopped sex two years back due to health reasons. Upon medical advice online I took Norflox 400 tablets for the past five days and had to take that for two more days. I also took Azithromycin 1 gm single dose. A small amount of pus and blood was coming a few times with irritation and pain. Now after taking these medicines no more pus, blood traces, no swelling, and cuts noticed earlier in the bulb of the penis. I have some pain and irritation while pushing back the foreskin while applying the ointment. Now I want to ascertain through a lab test as to whether the infection has totally gone. Kindly suggest me regarding further course of treatment and prescribe me a lab test. Doctor: Hi. I have gone through your complaints. I would suggest you to carry out complete blood count to rule out infection which will be reflected by increased total leukocyte count or increased neutrophils. Also, carry out urine examination and random blood glucose to rule out urinary tract infection and also see sugar is under control otherwise it may lead to balanitis. Mild pain left on retraction of foreskin is due to residual inflammation that will subside within two to three days. Do gently retract the skin and not forcefully. Keep the area clean and wear loose cotton underwear." + }, + { + "id": 2351, + "tgt": "I have phobia of closed spaces with breathing problem. Please help", + "src": "Patient: Hello doctor, I am 19 years old. I am facing some kind of fear from about six to seven years. I thought it naturally demolish with the time but now it is increasing day by day. Before I have the only fear of suffocation and inclosed space like jet, lift, etc. Now from about two months, I am facing one more new phobia which is I cannot catch my breath then my heartbeat rise rapidly. I cannot focus on my life goals. Due to these problems, I cannot go foreign or everywhere where I want to go. Please help. Doctor: Hi. Yes, you are experiencing panic-related symptoms under anxiety issues. As you have shared of phobia. It requires adequate counseling and brief psychotherapy to deal with anxiety problems. The symptoms you are experiencing are part of panic attack. Feelings and symptoms like palpitations, getting heart attack, difficultly in breathing, digestive concerns, and sleep problems can be a part of heart related problems or anxiety. At first, you must need to get proper assessment identifying the cause of this anxiousness whether it is work related or some personal issue. It can be done by analyzing thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy, thought channelization, and restructuring are quite helpful. In addition, to make yourself relax you can do the following: 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling will be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per the requirement." + }, + { + "id": 28927, + "tgt": "Please see my father's reports and tell me if he has a heart problem", + "src": "Patient: Hello doctor, My father was admitted to the hospital last month, due to pain in the stomach, left hand, and shoulder. He is hypertensive from the last two years. After doing some tests, the doctor said that there might be a problem in the heart. I am attaching his reports and prescription. Please give your opinion. Doctor: Hello. I have carefully gone through your father's reports (attachment removed to protect patient identity). He has got two problems, a heart disease called coronary artery disease and gastritis. His ECG shows abnormalities and his troponin level is also elevated, indicating a heart attack. However, the echocardiogram is grossly normal, meaning there is no significant damage done yet. The medicine that he is taking are fine, and he needs to continue the same. He should undergo angiography and if needed stenting, to prevent heart damage. His creatinine is elevated, which indicates kidney damage, due to high blood pressure. So, blood pressure should be accurately controlled by doing the following. For gastritis, try doing the following. 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": 10546, + "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": 4342, + "tgt": "Is it necessary to stop breast feeding in a lactose intolerant baby?", + "src": "Patient: Hello doctor, My baby who is exclusively breastfed has just started her fifth month. For the past four days, she passes frothy liquid motion with little white like substance for a minimum seven times a day. The consultant doctor examined her stool and said that she has got lactose intolerance. He told me to stop breastfeeding and go with soya-based milk powder for three months from now on. Should I stop breast feeding? She is active and gaining weight. Doctor: Hello. I went through the details you have provided in the query. Lactose intolerance is the absence of lactose enzyme which helps to digest and break down sugars, mainly lactose in the diet. Lactose intolerance is of two types: 1. Primary 2. Secondary. In primary lactose intolerance, there will be deficiency of this enzyme permanently and will have to avoid for life time or needs enzyme replacement for life. In secondary intolerance, deficiency is only transient and will regain the enzyme in a few days, this occurs mostly after episodes of gastroenteritis and needs to avoid lactose diet for a few days or weeks. Your child needs further evaluation to check if it is primary or secondary. The reports you have sent are not clear. (attachment removed to protect patient identity). The second one, culture if positive will need treatment with antibiotics. Though breast milk contains lactose and not easily digested by lactose-intolerant babies, it is not advised to stop breast feeding as advantage of continuing breast feeding outweighs problems due to lactose intolerance. Though giving lactose-free feeds reduces symptoms like loose motions and bloating. My advice at this point is to continue breastfeeding but if loose stools are causing dehydration or weight loss in baby then go for lactose-free formula and repeat stool examination and tests for lactose intolerance again. Since it might be transient only and might improve in about one to two weeks and if repeat testing is normal then, normal breastfeeding can be given without any worry. I hope this helps." + }, + { + "id": 24704, + "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": 22548, + "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": 24159, + "tgt": "Is there something as sexual compatibility with a partner?", + "src": "Patient: Hello doctor, When it comes to physical intimacy, my partner enjoys having sex with me. I am a male. For me, it seems blunt. In spite of the erection, my penis seems less sensitive and there is very little excitement. Is there something like sexual compatibility? That is, is one only compatible with certain women? I also do not enjoy much when it comes to touching her. She is the first person with whom I had sex with. Or, does it take some time for my body to get adjusted to her? Other than this, she is a great person and we have wonderful chemistry. Doctor: Hello. Yes, it sometimes happens this way. You get an erection and can do intercourse because you are (probably) excited at the prospect of having sexual interaction with this woman, who you seem to have good chemistry with. But, you also probably did not realize at that time that she is not the right sexual mate for you, though a great intellectual companion. Although your body responded through erection and other bodily reactions, your mind remained cold and unresponsive because the sex appeal is missing or you just see her as an intellectual companion but not as a soulmate. This happens, and maybe a reason why there was very little sexual excitement during intercourse or upon touching her. That way, your guess that one is compatible with only certain type(s) of women is valid. What does this lead to? At least two possibilities are there. It depends on how you see the situation and how you mend yourself. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19026, + "tgt": "Our 2 months old baby poops all the time. Please suggest some medicine", + "src": "Patient: Hi doctor, Two months ago, my wife delivered a baby boy. 10 days before, we brought the baby home from my wife's place. Since then, he\u00a0poops all the time and it is mostly mucus-like with a little odor and watery. I guess there is some fungal infection around the baby's anus. We went to the doctor and he prescribed a few antidiarrheal syrups. But, there is no recovery at all. The baby is crying most of the times. They also suggested to use a dusting powder, but it seems that it is not helping much. He still has pain. We cannot seem to find where we went wrong or the doctors we went to do not take their jobs seriously. Everyone at home is so tensed for the baby's health. Also, from birth, the baby is making some sound when inhaling. The doctors used nebulizers and the suction machine. But, the sound is still present. The pain issue has been present for two weeks and the infections have worsened after medications. Please help. Doctor: Hi. You seem to be very worried and I think this is your first child, which is why all the worry is taking place. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 5510, + "tgt": "What is my sonography report of kidney showing?", + "src": "Patient: Hello doctor, Please interpret the sonography report. Doctor: Hi. You have a stone in left kidney, lower calyx, 8.9 mm stone (attachment removed to protect patient identity). Go for serum creatinine test and you have to undergo CECT KUB and CT urogram as well to come to a conclusion regarding diagnosis and further planning. Make sure to get a CT urogram done. Accordingly we will plan further management." + }, + { + "id": 8792, + "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": 21815, + "tgt": "Is it possible for someone to get HIV by stepping on a needle lying on the road?", + "src": "Patient: Hello doctor, Is it possible for someone to get HIV by stepping down on a needle thrown on the road? A few days back, I stepped down on something, but I am not sure if that was an injection or something else. When I came home, I saw there was a blood clot in my foot. I am worried. Can I go for a test and which test is conclusive after one month and what is the window period of the fourth generation an/ab test? After taking fourth generation test after one month, is there need of retesting? What is the actual window period, some say one month and others says three months? Doctor: Hello. Theoretically, it is possible, but practically no such cases have been reported. So, no need of testing and retesting too. For further queries consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 18736, + "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": 21191, + "tgt": "Why is there swollen lymph node near ear after getting rid of chlamydia and gonorrhea?", + "src": "Patient: Hello doctor, The last sexual contact was half a year ago. After that day I started to feel pain while urinating. After a month pain got worse. I went for an HIV test, which showed negative. I was suspected to be having chlamydia or gonorrhea and was given antibiotics for 7-day treatment. It did get better after the treatment but after a month, the problem came back. Last month, I went for the chlamydia and gonorrhea check and it showed negative. Now, the right lymph node is swollen with ear canal feeling inflamed and urination pain. Sometimes, experience lower back pain as well. Doctor: Hello. The urine report is normal (attachment removed to protect patient identity). As you mentioned, no chlamydia or gonorrhea is there, after treatment. So, take plenty of liquids like lemon juice, coconut water, buttermilk, etc., totally 3 to 3.5 liters. Add alkalizer Citralka two teaspoon full three times a day after food with half a glass of water. It covers your burning. Lymph node, if small may be due to ear, tooth, dandruff problem. You can take tablet Zerodol SP (Aceclofenac Serratiopeptidase) two times a day after food for three to five days, tablet Zifi 200 (Cefixime) two times after food for three to five days for a lymph node. The test for HIV is negative so seems no HIV." + }, + { + "id": 25518, + "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": 15756, + "tgt": "I am having severe hair loss for the past two months. Please help", + "src": "Patient: Hello doctor, I am 18 years old. I have had beautiful long red hair my whole life. Recently for the past two months, I have had severe hair fall and it is now extremely thin and continuing to fall out. Nobody has answers for me. Doctor: Hello. I just read your query. See it can have many reasons like genetic cause, nutritional deficit, and some underlying disease. You should ask your physician about thyroid function test and perform it after discussing it. Because severe hair fall can be due to thyroid dysfunction sometimes. Besides that add curry leaves, raisins, figs, and almonds in your diet. Take one glass of lukewarm milk in the evening daily. Add half a teaspoon of turmeric powder and a pinch of black pepper in it. Protect your hairs from excessive sunlight, dust, etc. Wash your hairs with mild herbal shampoo. Oil your hairs with Mahabhringraj oil every alternate day. Try all these things regularly and you will feel a positive response." + }, + { + "id": 22196, + "tgt": "Will taking Dilantin mistakenly cause any serious problem?", + "src": "Patient: Hello doctor, I want to know that if someone (who is not suffering from any epilepsy or seizure disorder) has mistakenly taken Dilantin 300 mg daily (sometimes 100 mg) for 15 to 30 days, what will happen? Is he going to suffer from seizure disorder or other health issues? What has to be done to stop taking this medicine safely? Doctor: Hi. Welcome to icliniq.com. Usually, no side effects would happen in such case. It is not that the person would develop seizure disorder on stopping the medicines. However, medicine should not be abruptly withdrawn. It should be slowly tapered and stopped under the guidance of your physician. In case the person is a pregnant female she needs immediate attention. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18553, + "tgt": "I began to eat more to make my body look normal post jaundice. Is it safe?", + "src": "Patient: Hello doctor,I am a jaundice (hepatitis A) patient. My earlier SGOT and SGPT was 81 and 117 now it became 117 and 395 respectively and bilirubin total is 1.19. When the bilirubin count decreased, I started to eat food more to make my body look normal. Will it be dangerous? Doctor: Hello. I understand your concerns, but you should not worry. Hepatitis A is self-limiting in the great majority of patients. Hepatitis A is diagnosed clinically and laboratory (HAV IgM and G) is required for the diagnosis. If you have them, please send a copy of the results in the follow up message. Please answer the following questions: My suggestions: For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 133, + "tgt": "Why do I always have recurring knee pain?", + "src": "Patient: No current medications Female Age: 21 Height: 5'2/159 cm Weight: 115 lbs (last known) Why do I always have recurring knee pain...sometimes alternates from left and right... It hurts so much and it keeps coming back even though im not exerting stress on them such as from running. Doctor: Dear, Sending Love and peace to you ! My dear there are some condition which causes knee pain . I would also suggest to do some test where we can get knee pain on and off these are few condition where there can be like your symptom my dear. I am waiting for your reports to come and i will manage to prescribe drug for you . thank you have a good day" + }, + { + "id": 7013, + "tgt": "I feel something is there in throat after having food. Why?", + "src": "Patient: Hello doctor,After I ate something, I am getting a feeling (maybe real) that something is stuck in my throat. I drank a lot of water, but it is still there. Why? Doctor: Hello. 1) Generally, small pieces of food stuck in the throat will dissolve on their own by being exposed to saliva from mouth. You can wait for this to happen if the symptom is not troublesome. Chewing gums or lozenges increase salivary production. 2) Since the symptom is persisting even after drinking a lot of water, try to initiate the gag reflex. To do this tickle the back of your mouth where the soft palate ends with your finger. This reverses the process of normal swallowing and helps to regurgitate food stuck in esophagus back towards the mouth. 3) If the feeling persists and if it is without any irritation or pain, it may be a false sensation called globus hystericus. This is due to the stretching effect of the muscles of the esophagus while swallowing a large bolus of food. But to confirm whether the feeling is false, you need to visit a hospital and get an endoscopy done. 4) If there is a lot of irritation or pain, you need to go to the hospital and have it removed by an endoscope. An endoscope is a long, thin camera using which doctor can see the piece of food which is stuck and remove it." + }, + { + "id": 10346, + "tgt": "Small warts are spreading on my face and neck. Please help", + "src": "Patient: Hello doctor, Small skin warts are spreading on my face and neck drastically. Can you please suggest the cure for this kind of a virus infection? It started one and a half months back. But, I only recently realized\u00a0that it is multiplying. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 27270, + "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": 20598, + "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": 23507, + "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": 25976, + "tgt": "How to treat dark circles?", + "src": "Patient: Hi doctor,I am a 23 year old female. My BP and sugar are normal. How to treat dark circles? Doctor: Hi. This condition is very much related to lifestyle. In females it is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation and excessive work load. Other condition like fever, typhoid, malaria, thyroid and long-term chronic disease can cause it. It can be due to sun exposure and tanning. Sometime, it is also natural due to depressed eye socket face structure. Treatment are as follows: For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28412, + "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": 13927, + "tgt": "I lost four teeth due to weakness and mobility. How to prevent further loss?", + "src": "Patient: Hi doctor, I am 28 years old, and my teeth are weak. Till date, I have lost three molars and one premolar. I am using caps on that place. Now, I have a slight movement on my central incisor. Please suggest me a treatment or medicine to prevent myself from the early loss of a tooth. Doctor: Hi. I can understand your concern. It looks like a condition called chronic periodontitis, in case if you do not have a decayed tooth. For that, you need to take medication like Ofloxacin 200 mg twice daily for a week, tablet Metronidazole 400 mg three times daily for a week. Use mouthwash Chlorhexidine twice daily, and also, brush your teeth with an ultra-soft brush. If there is bleeding from your gums, you can also have vitamin C supplement. Consult a dentist and do oral prophylaxis for two to three times. If you upload a picture of the tooth, I can be able to provide you a better possible treatment plan." + }, + { + "id": 13831, + "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": 3615, + "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": 30303, + "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": 13604, + "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": 693, + "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": 12047, + "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": 17688, + "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": 22407, + "tgt": "My WBC is low for the past few years. Can this mean multiple myeloma?", + "src": "Patient: Hello doctor, For the past few years during my routine physical my WBC has been low. (2700-3700) Neutrophils have run a little low also. No other issues, completely healthy. My dad was diagnosed with multiple myeloma a few years ago but doing well. I have read about some family history with this disease, any thoughts or concerns? Doctor: Hello. According to the history provided, your main concern is regarding fear of multiple myeloma. In case of a multiple myeloma like malignancy, there is usually the presence of weakness, fatigue and bone pain. In multiple myeloma, osteolytic bone lesions occur and so bone pain is present and serum calcium level is increased because of osteolysis. Blood picture show anemia also and peripheral smear examination report shows rouleaux formation of RBC (attachment removed to protect patient identity). You can check your ESR (erythrocyte sedimentation rate) as well. If you have no clinical complaint then multiple myeloma seems less likely. If you still want to investigate then serum immunofixation electrophoresis and urine Bence Jones protein estimation will be beneficial for doing work up for myeloma. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30576, + "tgt": "What is the minimum duration to get a conclusive HIV result?", + "src": "Patient: Hi doctor, I had protected sex with a hooker and there was no exchange of body fluids. I was a little worried that the condom may not be 100% effective, so I ran a PCR RNA test after 11 days to check if I had contracted the virus. It returned as negative. Can I take the PCR result as a conclusive result and move on with free mind? Doctor: Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25020, + "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": 21722, + "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": 21590, + "tgt": "My fasting sugar is 194 and postprandial is 354. Am I diabetic?", + "src": "Patient: Hello doctor, Fasting blood sugar is 194 and postprandial blood sugar is 354. Please tell me if sugar is confirmed or not. If I am diabetic, what should I do? Doctor: Hello. Looking at your blood sugar level, it is on the higher side. You will need medication to bring it under control. After a few months of treatment, your doctor will decide whether the dose can be reduced depending on your blood sugar control. As of now, it is important for you to start therapy and bring this under control. Remember, diabetes is not a disease by itself if it is under control. If the levels remain high constantly, it could lead to disease. Hence, I recommend that you visit your doctor as soon as possible for further guidance. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 29586, + "tgt": "I have a soft lump behind my ear. Could it be an infection or cancer?", + "src": "Patient: Hi doctor, I have a soft bump behind my left ear and that is about 1.5 cm wide and 2.5 cm long. It has been there for about a year now and in the last four months or so it has become sore. I have photos of it too if that will help. I am wondering what it might be. I thought it would just go away, but it has not. The size has not grown larger, but like I said it has become sore in the last four months. Could it be an infection or some cancer? Doctor: Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: FNAC. Lymph node swelling probably inflammatory cause. Based on investigation. Revert back with the report to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14039, + "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": 7369, + "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": 18187, + "tgt": "I am pregnant and suffering from dry cough. How to get treated?", + "src": "Patient: Hello doctor, I am 12 weeks pregnant. From the last three days, I am suffering from a dry cough. My doctor prescribed me Ambrolite D syrup 10 mL at bedtime and Vozet tablet once in a day. He said that it is an allergic cough. But, after consuming the medicine for two days, my cough does not improve. I am still coughing. I was advised to take the treatment for five days. Can I wait for more? Doctor: Hello. Thanks for writing your query to me. A dry cough for more than three days in the absence of breathing difficulties usually suggests viral pharyngitis. You do not need to take antibiotics unless you have a fever. At the same time, you said you are 12 weeks pregnant, so you should try to avoid taking over-the-counter medicines for a cough. It may affect the growing child in your womb. So, I advise you to do gargles with any good mouthwash three times a day and finish three days of Vozet (Levocetirizine) tablets. If you continue coughing for more than a week, then you should take an expert opinion. For me, it looks just like a sore throat. Thank you. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 10104, + "tgt": "I am 33 weeks pregnant and suffering from dental abscess. Kindly help", + "src": "Patient: Hello doctor,I have a dental abscess, and I am 33 weeks pregnant. It is so painful that I cannot eat, sleep, drink, or do anything. My dentist cannot do anything about it until next month. I was wondering if the emergency room can do something about it. Doctor: Hello. You could ask your dentist or go to the emergency room to prescribe Antibiotics like Augmentin 625 mg thrice a day for five days along with Tylenol (paracetamol). This will help in pain relief and then go to the dentist to get the tooth extracted. Do not delay, as the pain and infection will affect your baby's growth as you would be avoiding normal diet and infection would not allow nutrition to pass onto your baby. It is okay to take during pregnancy if so much infection and pain are there." + }, + { + "id": 6818, + "tgt": "I am 8 weeks pregnant and having pink mucus vaginal discharge. Is it normal?", + "src": "Patient: Hello doctor, I am 8 weeks pregnant and having mucus bright pink vaginal discharge for the past two days. I do not have any pain. No nausea or vomiting. Is it normal? Please help. Doctor: Hello. The evidence of bright pink discharge during early pregnancy is definitely abnormal and is termed as a threatened miscarriage unless proved otherwise. This calls for a visit to the emergency department to meet the gynecologist for a per speculum examination to rule out cervicitis and establish the origin of blood either from the cervix or intrauterine. If intrauterine, then an ultrasound transvaginal is mandatory to rule out any retroplacental bleed." + }, + { + "id": 7388, + "tgt": "What medicines can heal cracks on the foreskin of my penis?", + "src": "Patient: Hello doctor,My foreskin has some cracks and sometimes blood also come. If I stretch foreskin back, it is painful. Also due to this, the cracks become larger. Kindly suggest some medications. Doctor: Hello. I have gone through your problem and understand your concern. Hope this will help you. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26186, + "tgt": "My 72 year old mother has been advised surgery, but she is reluctant. Kindly opine", + "src": "Patient: Hello doctor,My mother had a spine tumor removed one and a half years ago. Now, she still has back and leg pain. Her doctor has advised surgery, but she is 72 years old with diabetes and blood pressure. Also, she is reluctant to undergo a surgery.\u00a0I need a second opinion. 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. Thanks and regards. For further queries consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 21635, + "tgt": "Is TRT the right treatment for low libido and poor quality erections?", + "src": "Patient: Hello doctor, I am 47 today. I went to my primary doctor three years ago with low libido and poor quality erections. Blood work came back as total testosterone 381 and A1c 6.9. Started exercising and lost weight and inches, 198 lbs to 178, 38-inch waist to 32. Symptoms still persisted. The doctor started me on Clomid 50 mg three times per week. Testosterone shot up to 900's but symptoms persisted although Cialis helped with erection quality, still low libido. Will attach a note with test and A1c results during this time. So, I stopped taking the Clomid in March this year and had my physical last week. The doctor says my testosterone is 570, A1c is 6.0 and everything else looks good. He says since I still have symptoms, that I have testosterone resistance. His analogy was; like diabetics, their bodies produce insulin but just does not know what to do with it. So, his treatment recommendation is TRT testosterone replacement therapy along with Clomid. I am hesitant because I feel this therapy is overused nowadays, and I feel pretty good except my libido. Sought a second opinion today from my urologist, he seemed disinterested in me doing that but said if I try a few injections it would not hurt me, then advised me to run this by an endocrinologist. So I guess in summary: Do you believe that testosterone resistance is a valid diagnosis? If I do try the TRT, can I stop after a few weeks or a few injections and get back to the way I am right now with no permanent issues? Should I just start the Clomid again, or just keep using the Cialis and keep working out and trying to clean up my diet more? Any other thoughts and advise would be appreciated. Thanks. Doctor: Hello. I have a couple of questions for you: Testosterone resistance is a phenomenon that occurs due to a genetic defect and would have caused problems with puberty and would not appear now in adulthood. Clomid (Clomifene) gave a very good response. I would not advise TRT. The low libido could be due to a variety of other issues and likely not a result of testosterone levels. If the thought is resistance then there would be resistance to exogenous therapy too. Why do we think a chemical would be better than the body\u2019s natural testosterone. You are thinking right, eat better. I would recommend reducing animal food consumption which have high sex steroids and these can act as endocrine disrupters. A plant-based diet is recommended to reduce these endocrine disrupters and lower inflammation in the body. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 29500, + "tgt": "Why am I getting pain on insertion?", + "src": "Patient: Hello doctor, I am having a problem in my sex life. I am unable to have intercourse with my partner. I feel it is painful on insertion. I have attached the photo for clarification. Although I am having sex for past three months, I am unable to complete the session. After a few minutes of sex,\u00a0it is painful for me. Doctor: Hi. I read your query and viewed the attached picture (attachment removed to protect patient identity). For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1651, + "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": 24661, + "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": 9654, + "tgt": "Why do I catch a cold with fever too often?", + "src": "Patient: Hello doctor, Why do I catch a cold with fever too often? Symptoms include head pain, body pain, coughing, etc. I am a male, age 24 years, height 5'11\", weight 72 kg. Doctor: Hi. You can have repeated upper respiratory tract infection. For that DNS (deviated nasal septum), polyp, etc., like nose pathology should be ruled out by rhinoscopy nose examination. Allergic testing can be done to find causative allergen which can lead to allergic upper respiratory tract infection. Meanwhile, for symptomatic relief, you can be prescribed decongestant like Levocetirizine for five days. Take half teaspoon ginger juice and half teaspoon honey which can be mixed and taken when having cold. You can consult otorhinolaryngologist or physician for examination." + }, + { + "id": 8870, + "tgt": "My wife's progesterone level is 23. 5 on her 10 th day of ovulation. What does it indicate?", + "src": "Patient: Hello doctor, My wife and I are currently trying for a baby. She went to the hospital today to do a check on her progesterone levels as today is her 10 th day after ovulation. Her result showed that her progesterone level is 23.5. What does this result mean? Doctor: Hello, Welcome to the icliniq.com. Your question is regarding the interpretation of the progesterone level in the female. You have to know that after ovulation in female in their menstrual cycle, progesterone level rises. The level goes down once menstrual the bleeding stops. So the normal range of progesterone varies in different phases of the menstrual cycle. Your wife's progesterone level seems to be appropriate in the secretory phase means after the ovulation period. So menstrual-related problem is not causative for your infertility problem. I suggest you have sexual intercourse around the ovulation time that is between 12-18 th days of the menstrual cycle to achieve conception. Your semen analysis also should be done for primary workup. I hope this will help you. Let me know if I can answer any more questions." + }, + { + "id": 13987, + "tgt": "Is getting touched by puppy's teeth without any wound or bleeding infectious?", + "src": "Patient: Hello doctor, A 45-day-old street puppy's teeth touched my finger yesterday but there was no bleeding. Puppy is also fine. What should I do? Please advise me. Doctor: Hi. Just tell me whether the puppy's teeth just touched your finger or you got wound also? In case, you just got a touch, then nothing to do but in case, you got a wound then keep the wound clean. Keep a check on the dog also. Meet nearby doctor in case you have a wound. A person who is exposed and has never been vaccinated against rabies should get four doses of rabies vaccine: one dose right away, and additional doses on the third, seventh, and 14th days. They should also get another shot called rabies immune globulin at the same time as the first dose. Let me know as soon as possible." + }, + { + "id": 18236, + "tgt": "How to treat headaches caused by tuberculous meningitis?", + "src": "Patient: Hello doctor, My father was suffering from fever and right sided headaches, which felt like an electric shock. So, we consulted a doctor, and after several tests, the doctor diagnosed it as tubercular meningitis. All the test including CT scan were normal. So, he prescribed Forcox,\u00a0Benadon, and Urimax D for urine issues. Then after 20\u00a0to 25 days, the fever and headaches came down. But now, he has headaches only in the evenings, that feel like an electrical shock. So, this time the doctor gave him Sibelium 10 mg and Lonazep 0.5 mg. He still has these headaches, but they are not continuous. Please help. Doctor: Hello. I would like to know few more details. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13001, + "tgt": "Will taking Ursodeoxycholic acid, Evion and Metadoxine help in preventing side-effects of drinking?", + "src": "Patient: Hello doctor,I am 32 years old. I have been drinking for the last five years. LFT before six months showed normal and CT scan whole abdomen did 10 months back showed the liver is normal. Pancreas normal no gallstones but I have been drinking heavily these six months due to stress. Now I have stopped. For protection prevention, can I take Ursodeoxycholic acid 300 and Evion 400 and Metadoxine 500 for a month or two? Will it be of help to regenerate or eliminate toxins from the liver? UDCA, vitamin E, Metadoxine, will it help? Please suggest the dose and before after meal. Doctor: Hi. You need to stop drinking as first which will lead to recovery. The body will naturally heal itself since your LFT and CT was normal. Regarding medicines, they have a limited role in such situations. Although there is no harm in the above medication for a couple of months under medical supervision. Please consult a nearby doctor who can examine you also." + }, + { + "id": 17675, + "tgt": "I found bumps on my pubic area, are they molluscum?", + "src": "Patient: Hi doctor, I have had molluscum on my pubic area and my doctor said that was cleared a month ago. Today, I found two small bumps, which are 1 mm or lesser than that. One is yellowish brown in color and another one is pink in color. It might have a hair coming out of the side, but I am not sure. I am attaching the photo. Could either of them be molluscum? Please explain me. Doctor: Hi. One of the lesions looks like milia, obstruction of sweat duct, which is very close differential of molluscum contagiosum (attachment removed to protect patient identity). Another lesion just looks like pseudofolliculitis. Both of them have very less chance of spreading. Do not worry about them. You can get the milia removed at any day. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10939, + "tgt": "Can Celexa cause side effects if discontinued in the middle?", + "src": "Patient: Hello doctor, I recently went off my medicine Celexa, that I was taking on for over 10 years. I went through a lot of trauma in the past 4 years. I was just starting to do better and was using natural supplements. 5 months after going off medicines, I moved to a different town where I had to look for a new job and stress from all that and being triggered by previous events from past put me in a lot of stress. I suffer from PTSD, anxiety and depression. I went back on Celexa few weeks ago and had severe reaction. I even lowered the dosage and still had bad reaction. So, GP switched me to different medicine. I am now on Effexor 75 mg. My doctor does not feel comfortable dealing with my psychiatric medicines herself. Hence, I have been on 5 week wait list to see a psychiatrist and been on 75 mg of Effexor for just over 2 weeks. Anxiety has subsided slightly and I am no longer vomiting due to anxiety or having any chest pains. But, I am scared all the time and have worried anxious thoughts all the time because of which I cry, and my appetite has decreased. I feel very hopeless and lack energy.\u00a0I do not know how I can deal with all this. I am feeling isolated from my friends and supports where I used to live. Hence, having hard time finding a place to live where I was before. I am not having any idea if these medicines are working and no one to properly monitor them. I am feeling very desperate and scared. Please help. Doctor: Hello. I have gone through your query in detail. I can understand what you are going through and you have my sympathies for the same. Though your mental health is quite disturbed right now, you have many reasons to be optimistic as far as your anxiety, depression and post-traumatic stress disorder is concerned. First thing being, that you were doing good on high dose Celexa (Citalopram), which means that your illness responds, once you have attained sufficient dose of a suitable drug. Secondly, currently your anxiety symptoms have reduced to some degree, but there are remaining symptoms which are because of depression (anxiety itself could be a symptom of depression to some extent). You might experience some anxiety initially when increasing the dose. For which you can take tablet Ativan (Lorazepam) when necessary. Once your depression improves, you will find a lot of your problems disappear on their own as they are directly or indirectly related to depression. Take care. Life stressors and changes. Major depressive disorder or PTSD or generalised anxiety disorder (GAD). Optimization of the dose of current medications." + }, + { + "id": 29605, + "tgt": "What might be the possible cause of pain in the lower left side of back and stomach?", + "src": "Patient: Hello doctor, I am a 28 year old female. I have a sharp pain on the lower left side of my back and stomach that developed within the past five to six hours. The pain is at a level six on a scale of one to ten. I have to urinate almost constantly, but there is no pain or burning when I urinate. The urine is mostly clear, not cloudy or foul smelling but I have been drinking a lot of water. My stomach feels crampy and constipated. I have no history of UTIs or bladder infection. Currently, I am taking Ibuprofen. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3468, + "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": 870, + "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": 2990, + "tgt": "MRI showed stage 1 AVN in both hips in different angles. Do I need hip replacement?", + "src": "Patient: Hello doctor, I was diagnosed with minimal change disease before a few months and started on Prednisone. I was into remission within a week but the disease relapsed while on the full dose. Cyclosporine was added and steroids were tapered to 0 within six months. Recently, last month I had an injury during a MMA (mixed martial arts) fight and since I was to run a 5k military obstacle marathon in the coming week I decided to consult a doctor. The consultant was a third year PG who was my sister's senior in medical college. While there was not any signs of injury he noticed changes of avn in left femoral head. I had an MRI the same day that showed stage 1 avn with kerboul angle of 205 in the right hip and stage 2 with angle 170 in the left. I recently underwent core decompression in bilateral hips. What are the chances of the disease reversing its course? And if I do require a hip replacement will I be able to do high impact activities with it? I am really worried since I am only 23 years old. I have uploaded my post core decompression x-ray. What are the chances of prognosis in my condition? Doctor: Hello. AVN (avascular necrosis) of the hip is usually due to a number of causes. Prolonged steroid intake is one of them. The treatment of AVN hips ranges from rest, core decompression and eventually hip replacement. Since you have had stage 1 and 2 in your respective hips, core decompression was a good choice. This procedure involves drilling one larger hole or several smaller holes into the femoral head to relieve pressure in the bone and create channels for new blood vessels to nourish the affected areas of the hip. When osteonecrosis of the hip is diagnosed early, core decompression is sometimes successful in preventing the collapse of the femoral head and the development of arthritis. Core decompression is often combined with bone and cartilage grafting to help regenerate healthy bone and support cartilage at the hip joint. A bone graft is a healthy bone tissue that is transplanted to an area of the body where it is needed. The tissue may be taken from a donor (allograft) or from another bone in your body (autograft). Core decompression prevents osteonecrosis from progressing to severe arthritis and the need for hip replacement in some cases. Your x-ray does not appear too bad and I am hopeful that core decompression could help in reversal. I hope this helps." + }, + { + "id": 20098, + "tgt": "Is it fine to plan for baby while taking Finasteride?", + "src": "Patient: Hi doctor, I have been consuming Finasteride 1 mg for more than a year for androgenic alopecia. I have mild hair fall concentrated at the vertex. My hair started thinning before four years, mostly at the vertex. My age is 36. I am in excellent health and married. Now, I am planning for a baby. Currently, I am taking Finasteride alone. But, in the past, I used Minoxidil. As my scalp was too dry, I stopped using it before six months. Since, Finasteride is contraindicated for women, are there chances of my wife getting affected from my consumption of it? Doctor: Hi. I have read your query in detail and do understand your concern. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4105, + "tgt": "Can hair loss in a particular area be reversed?", + "src": "Patient: Hello doctor, I am a 25-year-old female. I experience hair loss in a particular area. The rest of the hair is fine and fairly thick. I just want to know, what type of hair loss is this considered to be? What stage is it at? If untreated, how bad can it get, what can we expect it to look like or become? Is there an easy fix for this? Is this normal? Please reply. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). This is frontal hair loss. It will be of great help if you can send me a picture taking from above. This kind of hair loss is commonly due to pollution, dust exposure and wrong combing methods. It is also seen if the patient is excessively using cosmetic products on face and hair. Please let me know if any of the above is present or not? Or do you have any medical disease?" + }, + { + "id": 11338, + "tgt": "How to stop ear crackling?", + "src": "Patient: Hi doctor, How to stop ear crackling? I hear it everytime I yawn, swallow or do it intentionally. Why? What is the solution for it? Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6723, + "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": 10156, + "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": 607, + "tgt": "I am taking deep breaths often and it gets worse after eating. Why?", + "src": "Patient: Hello doctor, I am having difficulty in breathing. It is like I always need to take deep breaths. And I think it gets worse after I eat. On top of that, it triggers an anxiety attack most of the time. Another thing is, there is this sensation in my chest, I do not know if is right to call it as tightening or pressure. Usually, when I stand up it somehow alleviates that sensation but the breathing difficulty is still there. Sometimes all of the symptoms go away like for hours but then it comes back. I think I am having these symptoms for three weeks or a month now. I am doing self-diagnosis and I do not really know which of these is it, costochondritis, angina, GERD or COPD. That is why now, I am seeking the help of a professional. I just hope it is nothing serious. Doctor: Hello, Welcome to icliniq.com. Do you have any other symptoms like cough and colds, history of trauma, fever, body aches, diarrhea, or throat pain? When did you feel tightening or pressure in the chest area, any numbness or weakness in the left arm? Do you feel any burning sensation at the epigastric region (just below your sternum, part of the upper abdomen)? Will you do frequent throat clearing? You also mentioned it gets worse after eating, what food usually triggers it? Do you experience bloatedness or frequent flatulation? Does it get better when you burp or flatulate? Have you tried any medication? Do you smoke? Did this happen before? Perhaps the anxiety is due to the uncertainty or fear that it might be related to COVID? But based on what you have described so far, it is highly unlikely. I understand the ECQ does not really help and a lot of people are also having the same issue. When we confine ourselves within the premises of our home for this long it takes a lot of things from us. The quarantine has taken our slight sense of freedom, control, and changed it to what we know now as the new normal. But please understand that it might take sometime before the quarantine is lifted but know all of these things are only temporary. So far, your symptom is pointing to dyspepsia (umbrella for Gerd, hyperacidity, etc). But I need answers to some of the questions mentioned above in order to strengthen the diagnosis." + }, + { + "id": 29620, + "tgt": "My fiance is getting tremors, remains unresponsive and mumbling in sleep. Why?", + "src": "Patient: Hello doctor, This is a question regarding my fiance. I am very worried as he refuses to visit a doctor. The symptoms are the following: Right-hand tremors, seizures sometimes when he is on the couch and relatively minor ones and mumbling nonsense during night-time when he was laid down like he is sleep talking and only hears me after I talk three or four times. Last night after he was napping on the couch, he woke up to take his bath and the water was heating. He stayed still for 5 minutes on the heating system staring blankly at the wall. I tried to communicate, but he was wholly unresponsive. I tried to shook him and he stared at me with glassy eyes. He would not answer anything I said. I started slapping him slightly on the face and shooked him to make him responsive. He raised his hand to hit me back, but he seemed that he had no control over his muscles and the slap was so weak that I barely felt it. Then I turned the lights on. He started being more responsive. He became mad and requested to put out the lights. I refused and he kept repeating the words to turn off the lights. He did not move, but seemed mad about the lights and started raising his voice. So, I turned it off. He became unresponsive again. Then, he began pacing around the house mumbling about the television set that was not working. I tried to calm him down but failed. He became a little more responsive by that time and responded with a few words to a few things I asked, but he seemed that he was completely lost in another world or something. After an hour or so, he had his bath and even started to joke. I asked him what was the last thing he remembered and with a little persistence, it seemed that he remembered what had happened in that hour. He had two glasses of wine before that happened. I do not know if alcohol is significant here.\u00a0I am very scared. I scared that I do not want to lose him. He is the only person I have in this world. Thank you for taking the time to read it. Kindly help me. Doctor: Hi. I understand the issue. It is not because of wine. Revert with the reports to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23914, + "tgt": "I did not bleed after attempting abortion. Am I still pregnant?", + "src": "Patient: Hello doctor, My urine test and blood test came positive. I opted for an abortion around the sixth week. Even after the second dose of four vaginal medicine, I did not bleed at all (very light bleeding which does not justify pad) neither I felt any pain. In my ultrasound, no gestation sac was found but the thickness of endometrial line was 13 mm with traces of fluid and a cyst in right ovary. I took the hCG test again. There it was a huge drop compared to two weeks back (from 18000 to 6000). My doctor took all necessary scan to rule out ectopic pregnancy. So we are sure that this not the case of ectopic. Am I still pregnant? Should I worry about the thick endometrial lining or the cyst in the ovary? When should I expect my next period? Or was this just a case of biochemical pregnancy? Will leftover in the uterus will be shedding down on their own or in next period? I have beta thalassemia minor but perfectly healthy. Doctor: Hello. The normal schedule of medical abortion is Mifepristone 200 mg single dose and after 24 to 48 hours take orally or vaginally four tablets of Misoprostol. The medicines you have taken are not according to the guideline. So I cannot say that there is no chance of pregnancy. Repeat a pregnancy test and repeat ultrasounds pelvis. If there is no pregnancy you will get periods less than four weeks after taking abortion medicines. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28488, + "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": 25413, + "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": 28821, + "tgt": "For spinal TB, should we go for surgery?", + "src": "Patient: Hi doctor, My brother, who is 27 years old, has been suffering from back pain for the last nine months. Nine months ago, in the first MRI, the\u00a0doctor told us it is a slipped disc. We took it lightly. He had painkillers, and due to excessive use of painkiller, he had a stomach ulcer. Now, the ulcer is gone. In the last 15 days, he has severe pain in his back. We consulted a physiotherapist. After two or three sessions, when the\u00a0pain gets worse, the doctor advised us to do MRI again. I am attaching the MRI report so that you can get it better. We consulted an orthopedist and got to know that he has spinal TB. The doctor forced us for surgery, but we ignored. We requested him for chemotherapy. He gave us some medicine and Streptomycin injection. I am not getting which type of TB is it? Is it normal or MDR TB or XDR? Should we go for surgery? Please advise us what to do. The current medicines are Benadon 40 mg, Pyzina 750 mg, Combutol 800+400 mg, Nucoxia, R-Cinex 600 mg and Protera D. Doctor: Hi. I understand the scenario well. For further information\u00a0consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 18785, + "tgt": "I suffer from premature ejaculation and poor erection. I have tried herbal/ayurveda products with no results at all. Please help", + "src": "Patient: Hello doctor, I am a 54 year old male, married and have good general health and good sexual appetite. But I suffer from premature ejaculation and poor erection since 10 years. I have tried herbal/ayurveda products with no results at all. I worked in heavy public schedule over 8 years and took 1 year off last year and stress became part of my life. Can I improve this condition with medications such as viagra? A doctor prescribed tablet Parocen-CR 12.5mg and capsule Nano Leo for one month which I have not yet tried. Please advice. Doctor: Hi. I read your query and understand the concern expressed by you. In regard to the current medication, I would like to inform you that Parocen CR is one option for premature ejaculation but does not have any effect on weak erection. It can be said that in last three years a new molecule is approved for the treatment of premature ejaculation which is equally effective and do not have common side effects encountered with Parocen CR or other drugs which were in use three years back. I am not sure why your doctor prescribed you Nano leo as it has minimal effect on erection. It is used for increasing testosterone level which has more effect on desire rather than erection. As you informed that you do not have any problem with desire, the possibility of using Nano leo is ruled out. Regarding the viagra, it has definite effect on erection and there is no doubt that it can be effective in your case. Having said this I would like to know what was your initial problem, premature ejaculation or weak erection? I commonly observed that people with erection problem try to rush the sexual intercourse because of fear that they will not able to maintain the erection for sufficient time. This kind of rushing develops artificial premature ejaculation. I need to inform you that if you developed your premature ejaculation in response to erection problem then there is need to treat only erection problem. As the cause suggests, with treatment of erection problem the premature ejaculation will be treated automatically. In case you feel that both the problems are independent then there is need to address both issues simultaneously for correction of the problem. Before we move to treatment part of the problem we need to identify the possible cause of the problem. I request you to post following details in the follow up query so that the cause of problem can be determined and so the treatment. 1.What do you mean by weak erections and premature ejaculation? Describe what you think in detail. 2. How did the problem start, whether it was of acute onset or was it on and off initially? 3. Progress of the problem in the last six months. 4. Duration of sexual activity - both maximum and minimum duration in last one year. 3. Frequency of the problem in a week or in a month. 4. What are the factors that increase the problem in bedroom. 5. Factors that relieve the problem - thoughts, situations, partner, place etc. 6. Do you get early morning or night erections? 7. If yes, how frequent? 8. Your marital status and partner details. 9. Effect on your marriage or relationship so far. 10. Details of any other medical illnesses. 11. Medications you are receiving currently. 12. Medications which you tried till date and their results. 13. Any investigations done so far and if yes, details of the same.As you know erectile dysfunction is a complex disorder, it needs thorough evaluation for treatment. Revert back to a sexologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14266, + "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": 2656, + "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": 11240, + "tgt": "Does use of diapers cause redness around perianal area in babies?", + "src": "Patient: Hello doctor,My baby has developed redness around the perianal area. We have been traveling for the last two days, and hence, the usage of the diaper was more. My husband has developed a fungal infection, and he is on antifungal. He avoids touching the baby. Please help. Doctor: Hello. If possible, please avoid diapers. Apply easy nappy or rash free ointment around the anal area in thick layer three to four times a day. Apply candid cream twice a day around the anal and groin area. Diaper rash. Diaper rash." + }, + { + "id": 3892, + "tgt": "Two years after hysterectomy, my mom got lesion in liver. Will this go away on chemotherapy?", + "src": "Patient: Hi doctor, Two years back, my mother underwent uterine hysterectomy operation and she was given six cycles of chemotherapy when her CA125 result is 47. After six cycles she was back to normal. Before four months her CA125 levels are 7 and now her CA125 is 350 and she has lesion found on the liver. I am attaching the complete test results including CT scan. We are writing to you to get a second opinion regarding the treatment. The present doctor suggested four cycles of chemotherapy for four months with four weeks interval. We would like to know the present condition and the pros and cons of the treatment suggested. Is the situation too serious? Does the lesion go away with the chemotherapy or surgery is required? What kind of diet should be followed to get well soon during chemotherapy? Doctor: Hi. I have seen the reports. 9attachment removed to protect patient identity). Ovarian cancer recurrence is classified normally as platinum-sensitive or platinum-resistant. Since it is more than six months from initial treatment would be classed as platinum sensitive. So the treatment options would be: Carboplatin alone three weekly or Carboplatin plus Paclitaxel three weekly (sometimes four weekly). Since CA125 is a good surrogate marker, you can monitor it every two months and scan after four cycles. 1. Yes, it is serious but it all depends on the degree of response to chemotherapy. 2. Treatment is not curative but to keep cancer under control and to give two years disease-free interval, there is a good chance of response. 3. Surgery is not an option. 4. No specific diets have shown to be beneficial." + }, + { + "id": 14429, + "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": 19532, + "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": 12483, + "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": 1749, + "tgt": "My MIL suffers from severe headache and vomiting post appendectomy surgery. Please suggest medication", + "src": "Patient: Hello doctor, My MIL is 60 years old. She just had an appendectomy and is having some complications, including a severe headache and vomiting. The first day she ate some food and was fine. Today, she tried to drink some milk and vomited repeatedly several times. We live in a developing country and the doctors are not knowledgeable about these things. What are the potential complications that could cause such vomiting, and what treatments should be given? Doctor: Hi. It would have been nice if you mentioned how many days over after the surgery. There are many causes for your symptoms but this would depend on the indication for which surgery was done and intraoperative findings. Some common causes and management I will explain. Post spinal headache: avoid using pillows, more liquids, and coffee will help. Some antiemetics can be added on. This is commonly seen in the first week after surgery. If you had a bad infected appendix, post-operative infected collections are common and this can cause your symptoms. But this will also cause fever and abdominal pain. Sometimes postoperative medications can cause small stomach ulcers and can cause these symptoms. You need to see your doctor and ask for antacids. Overall, if you are not having fever, loose stools, severe abdominal pain and vomiting and headache is not continuous, then nothing much to worry about. You can see your doctor if the symptoms are troubling you a lot. Simple Paracetamol should help you with headache. US (ultrasound) abdomen. Peptic ulcer." + }, + { + "id": 19024, + "tgt": "Please give a suggestion about my blood test report", + "src": "Patient: Hello doctor, I recently took a general blood test. I request you to go through my blood test report and give me suggestions. Especially, I would like to mention about alanine transaminase (SGPT) value, which is 56.2 U/L. It is very much higher than the normal range. My previous surgical history includes elbow complication. So, I had two surgeries in the last two years. For weight loss, I am taking Ayur slim capsules from Himalaya Herbals, two capsules twice a day after meals. Doctor: Hi. We are here to help you. Revert back with the investigation reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4840, + "tgt": "Will contralateral orchidopexy for testicular torsion affect fertility?", + "src": "Patient: Hello doctor, I am a 19-year-old medical student. This year, I lost my right testis to testicular torsion, resulting from late diagnosis. As a precautionary measure, a contralateral orchidopexy was also done. This involving a part so intimately connected to me shattered me a lot and I am recovering slowly from that mental trauma. Besides, the fear of a retorsion in the left one and its subsequent loss keeps lingering. I am also concerned about orchidectomy's impacts on my fertility and hormonal levels. Can you please allay my fears? Also, my surgeon's report says, \"The left scrotum was exposed, left testis exposed, very mild hydrocele, eversion of sac done using 4.0 monofilament suture, left lateral wall of testis fixed with 4.0 monofilament suture at two points, skin closed\". Is this fine? Why was the sac everted? And what about the hydrocele? I have heard the 4.0 monofilament used was absorbable. If so, then how can those two sutures on the left testis prevent it from further torsion? Will there be some tissue formation eventually that will hold the testis in place? Or is it because by then the testis will get naturally attached to gubernaculum? As I presume the sutures were made into tunica albuginea. However, I read somewhere that this might have impact on sperm production. Is it true? Lastly, can I by any means, ascertain whether my left buddy is fine at home? By physical examination? Does the presence cremasteric reflex always rule out a possibility of necrosed testis? Doctor: Hello, Welcome to icliniq.com. First of all, relax and do not worry at all. We had done orchidectomy due to torsion in many patients. They are absolutely fine and doing well physically as well as mentally. Having one testis remaining is perfectly fine. You will have no problem regarding sperm production or testosterone levels. Your left testis can produce enough sperms for fertilization (only one sperm is required for fertilization). The surgeon has done a perfectly good job in the right testis. Eversion of the sac was done for hydrocele so that in future you do not develop hydrocele. Also, fixation with 4.0 monocryl is perfect. It just requires fixation at two points so that is cannot twist in the future. If suture are absorbable also no problem as it will cause fibrosis at the suture site so your testis remains fixed in the correct position. So do not worry, everything is fine." + }, + { + "id": 19043, + "tgt": "My sleep gets disturbed by dreams and breathlessness. What to do?", + "src": "Patient: Hi doctor, I have used Sizodon\u00a0LS in the morning and night for a month under doctor's prescription.\u00a0After that for the last four months, I am getting disturbed sleep by breathlessness and dreams. It is tough for me to get a sound sleep. My ECG and MRI scan are normal. Please advise me to get healthy sleep. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16665, + "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": 17921, + "tgt": "I have thalassemia minor. How to increase hemoglobin and decrease ferritin levels?", + "src": "Patient: Hi doctor, I am a 76 year old male, who is 170 cm tall and weigh 68 kg. Presently I have anemia, and my hemoglobin is 9.6 g/dL. I also have high serum ferritin level of 1900 ng/mL. I have this problem for some time. Many years ago, I was diagnosed with thalassemia minor. I was feeling tired, and I had a\u00a0headache in the right temple area more frequently for the past two years. At that time, I had high blood pressure of 160/80 mmHg and low testosterone of 4.6 ng/dL. My blood pressure was controlled by Losartan 50 mg and Hydrochlorothiazide 25 mg. I am also taking Viagra. A year back, I also had platelets clumping. My doctor is considering iron chelating tablets. Will chelating tablets lower hemoglobin? I used to take iron supplements, but due to iron overload, I stopped taking them. What can be done to increase hemoglobin and lower serum ferritin? I am attaching all my blood reports. Doctor: Hi. I have seen all your reports (attachment removed to protect patient identity). Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production. I do not have to explain you much about thalassemia as your doctor might have told you the details and consequences about it. Few symptoms and complications that you need to be aware of due to thalassemia are as follows: Major complications that you need to consider is iron overload, which could either be due to recurrent blood transfusion or due to excess cell break down. Comming to the weakness, it is generally due to low hemoglobin. Symptoms of anemia can result in feeling tired and pale skin. A decrease in the hemoglobin level was mainly due to blood transfusion. The patient can be on iron supplements, and it requires about two months on an average to improve hemoglobin level. Ferritin is a protein that stores iron and releases it when the body needs it. It usually lives in the body\u2019s cells, with very little circulating in the blood. Treatment will be based on patient's response, how the patient responds to the chelating agent, etc. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14265, + "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": 20258, + "tgt": "Why is there pain from breast bone to shoulder and down the arm?", + "src": "Patient: Hello doctor, I am having a pain that goes from my breast bone under my left breast up to my left shoulder and down my arm. It is a dull consistent pain but sometimes becomes sharp. I am a six time MI patient and have had two light strokes. I had a similar pain three years back during a massive heart attack. I am on Aspirin 81 mg, Ranitidine 150 mg, Furosemide 40 mg, Paroxetine 20 mg, Clopidogrel 75 mg, Isosorb 120 mg (two times a day), Meclizine 25 mg, Robaxin 500 mg, Atorvastatin 40 mg, Ropinirole 5 mg, Klor-Con 20 mg. Doctor: Hello. Your symptoms could be related to myocardial ischemia. Musculoskeletal pain cannot be excluded either. Coming to this point, I would recommend going to the ER (emergency room) for a careful physical examination and some tests as follows: A Dobutamine stress echocardiography may be needed. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7354, + "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": 14716, + "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": 22551, + "tgt": "I am suffering from ED and PE. Please advise proper medicines", + "src": "Patient: Hi doctor, I have no sugar and BP. I am living a healthy lifestyle. I am suffering severely from ED and PE since last 10 to 12 years (it lasts for two to three minutes only). Please advise proper medicine which is not harmful to my health. Doctor: Hi. There are many reasons for this condition, so you need to be evaluated and physical examination is required. For managing ED (erectile dysfunction), a drug like Sildenafil or Tadalafil are the first-line treatment. Sildenafil can be started from 50 mg for almost half an hour before the sexual activity. Similarly, Tadalafil 10 mg can be used. The effects of Sildenafil last for one day while Tadalafil lasts for three days. For managing Premature ejaculation, a drug from SSRI (selective serotonin reuptake inhibitor) group such as Fluoxetine or Sertraline or Dapoxetine is used. Fluoxetine 20 mg daily or Sertraline 50 mg daily or Dapoxetine 30 mg can be taken one hour before the sexual activity. There is a combination of Dapoxetine and Sildenafil available in the market that can be used one hour before the sexual activity. Maintain a healthy lifestyle, take healthy food, avoid substance abuse and do regular exercise. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12572, + "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": 2696, + "tgt": "I have chronic cough and cold with chronic idiopathic pancreatitis. Please help", + "src": "Patient: Hello doctor, I am a 32-year-old male. I am having chronic idiopathic pancreatitis. I am regularly on Agna 25000 three times, Cretox CP three times a day. My problem are cold and cough for two years approximately. Almost four to five days a week. Even sleeping under the fan my nose gets blocked in the morning and nowadays I feel uncomfortable when dust is around as well. Did total IgE report is quite high? Please diagnose and suggest medicine. Doctor: Hello. We are happy to help you. I understand that you have these complaints for a few years. It most probably is a manifestation of allergic rhinitis. The total IgE in serum is just an indication of the allergy status at the time of taking the blood sample. It is not very significant in allergy practice. Nevertheless, it shows that you have an allergy. You need some medicines to keep allergy under wraps and prevent the blockage and cold. You also need to find out which allergen is offending and causing the problems. The best way to diagnose is getting a skin prick test done at a good allergy diagnostic lab. Meanwhile, you will be benefitted by an antihistaminic with leukotriene inhibitor combination, steroid nasal spray, and allergen avoidance. You would need to be taking these for about two to three months. Allergen avoidance is the best solution. Could you provide us more details about the complaints so that we can guide you better? Is the problem seasonal or perennial? Does it only occur in the nights when you lie down under the fan or any time of the day? Does it get worse in winters or when you visit any hill station? Where do you live? Do you smoke? What is your diet like? Do you get exposed to vehicular exhaust pollution or smoke and dust of any kind? Have you tried nasal sprays before? Is the cough wet or dry? Is there any breathing difficulty or wheezing? Is there any change of voice?" + }, + { + "id": 2827, + "tgt": "Please explain the presentation of DVT", + "src": "Patient: Hi doctor, I am an 18 year old healthy female. All day today, I have had sharp pain in one tiny spot on my left hand. There is a tiny red mark that looks like a scratch, but it is not. It is not warm, but the pain is also spreading to my arm. I have also had the same type of pain in both my legs and my foot for a couple weeks now, but no veins or redness are there. I have anxiety which makes me always think the worst. I am scared that I have DVT and that any minute now I am going to drop dead. Please give some suggestions as to what this might be. Could it be something with muscles or nerves? Should I go to a hospital? Any information would help. Thank you. Doctor: Hello. 1. Vitamin B12 deficiency, hyperthyroidism, thiamine level and CBC (complete blood count). 2. If the above are negative, then nerve conduction study or electromyography (EMG) of the affected hand. It would depend upon the blood work. It does not appear to be a DVT from the information provided. Revert back with the report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15148, + "tgt": "I pee very often and get horn whenever my bladder is full. Is it normal?", + "src": "Patient: Hi doctor, I pee very often (even though I am young and I do not have diabetes or anything), and I get horn whenever my bladder is full. I do not think it as a healthy habit, and it disturbs me. Please help me. Doctor: Hi. You should rule out the cause for frequent urination. It can be due to urinary tract infection and due to impaired sugar control. If you have a burning sensation or feeling urgency to void the bladder, it indicates an infection. So, get your urine test done along with fasting blood sugar. It is not abnormal to have an erotic feeling while the bladder is full. The sensations produced by stretching of the bladder wall may give some erotic sensation." + }, + { + "id": 24391, + "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": 20914, + "tgt": "Should I stop taking Atenolol at the time of my EKG?", + "src": "Patient: Hi doctor, Could Atenolol mask any abnormality that might be found where I am not taking a beta blocker at the time of my EKG? I am a 47 year old female. I am overweight but not obese. Doctor: Hi. For EKG, there is no need to stop beta blocker. Yes, for Dobutamine stress echocardiogram, beta blocker needs to be stopped three days prior. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9560, + "tgt": "I am suffering from depression and anxiety after a traumatic event. Please help", + "src": "Patient: Hello doctor, Two years ago, I was one of the top students I had unexpected traumatic events with my study at university. After that, I had a tough time struggling with my life. Feeling hopeless and helpless, worthless, and I want to withdraw my self from life, but I do not know how? Please help a month ago, I had been diagnosed with depression and anxiety, and I am taking medication, but it did not work. I have social withdrawal, loss of interest, loss of appetite, sleep distribution, digestive problem, and difficulty in breathing. Doctor: Hello. I completely understand that you feel depressed and anxious due to past experiences in life. Stressors, traumatic, negative experiences, failure or losses in life. Major depressive disorder with anxious distress (DSM-5 for professionals). As you have mentioned about your current state of depression and anxiety, and the use of medicines has not been proven effective for you, it clearly indicates the need for psychotherapy. Research has shown that cognitive behavior therapy (CBT) is the best treatment for long term effects and complete remission of depression and anxiety disorders. You are strongly recommended to take psychotherapy sessions from a psychologist. During the session, you will learn coping strategies to effectively deal with traumatic life experiences, to increase your academic performance, and to enhance daily life functioning. Do consult with a psychologist at your earliest. Research has shown that people who take CBT at the initial stage when symptoms arise, they have more chances of improvement and fewer chances of the depressive episode again in life. Whereas, delay in treatment may worsen the symptoms and there are more chances that depressive episode may occur again." + }, + { + "id": 19719, + "tgt": "My health is deteriorating due to masturbation. What do I do?", + "src": "Patient: Hello, I am a 30 year old male. I do not have any other health issues. My problem is regarding my deteriorating health condition after each masturbation. Usually I have been masturbating since very longtime. But since last few months, I have reduced the frequency to once in a week. After each masturbation my body suffers from huge energy loss and mild anxiety along with hyperexcitability for more than a week. Recently I have been having sex with my girlfriend for a couple of times where I do not feel that much tired. After few research on the internet, I came across serotonin and dopamine imbalance in the body, which I think is the cause for my health condition due to masturbation. I request you to help me for my energy recovery and health maintenance. Doctor: Hi,\u00a0 Welcome to icliniq.com. What you call a deteriorating medical condition is not due to masturbation.\u00a0Masturbation\u00a0is absolutely normal for any human being and science has clearly demonstrated that it does not have any bad effects on the body. You can take it as a\u00a0normal sexual activity\u00a0where other partner is absent and you stimulate yourself to enjoy the good feeling associated with orgasm. In fact it is much safer than real sex as there is\u00a0no risk\u00a0of contacting Sexually Transmitted Diseases (STDs) with masturbation.What you are suffering is nothing other than the victim of all kind of non sense knowledge available in our society and over the internet.Having said this, what you are feeling is the normal reaction of body after any vigorous activity like exercise. It is usual to have such experiences but they are not harmful to your body. There is a possibility that you are also having some anemia which is causing more tiredness.At this moment my advice to you is: For further management, revert back with the hemoglobin reports to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12501, + "tgt": "I would like to know the safety of Adderall for ADHD during pregnancy?", + "src": "Patient: Hi doctor, I found out that I am 4 to 5 weeks pregnant. I am looking for some information about the safety of Adderall during pregnancy. Currently, I am taking Adderall XR 15 mg, Celexa 20 mg, and Lamictal 100 15 mg per day. I have a history associated with depression, anxiety and ADHD (attention deficit hyperactivity disorder). Unfortunately, I am one of those who risk losing my job and going into a bad depression if I try to get off. There is really not much data of risks on therapeutic levels, only abuse. I am seeing my doctor (OB) next week but would really like a pharmacologist opinion. Thank you. Doctor: Hi. Tablet Adderall (combination of Dextroamphetamine and Amphetamine) affects a grown persons heart rate but you are already taking in a very low dose of 15 mg per day and usually it is prescribed in a dosage of 20-28 mg per day. Tablet Celexa (Citalopram) falls under \"category C\" which means these drugs are harmful to animal fetus but there are insufficient studies to prove there harmful effects on the human fetus. I would suggest you continue with your tablet Adderall 15mg per day, tablet Celexa 20 mg a day and tablet Lamotrigine (Lamictal) 100 mg which falls under \"category c\" in normal preparation and in \"category D \" in extended-release preparations. Just try half tablets of each drug for three times in two days in that way you will reduce 1/4 dosage of the drug. Be relaxed and cool in choosing any of the above options because that will affect your fetus more than any of the drug. Congrats on conceiving. Be a confident mother. Take half tablets of each drug twice a day on day one and half tablets of each drug once a day and then repeat until your next appointment." + }, + { + "id": 24421, + "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": 4531, + "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": 2445, + "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": 13428, + "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": 15885, + "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": 11704, + "tgt": "What should I do to manage the fear of death?", + "src": "Patient: Hello doctor, Recently after watching a video of a young person dying of heart attack, I have developed a fear of death. Although I am young and have no heart problems, I tend to think about it all the time. Please help me to get rid of this. Doctor: Hello. Here are two kinds of fears or phobias. 1) Temporary. 2) Permanent. Temporary lasts for few days after you suffer or witness some traumatic thing. Permanent ones would slightly fall under some psychiatric issues worth paying attention. I would recommend you to wait for some time. Keep yourself busy with positive and productive things and try to be in the company of family or friends. Try deep breathing, meditation and running. Everything should be settled by two weeks. If it does not, then consult a psychiatrist for proper evaluation and treatment." + }, + { + "id": 4428, + "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": 16757, + "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": 8127, + "tgt": "Despite using Itch Guard my skin problem has not resolved, why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am having some allergy or skin disease on the upper part of my penis. Because of my shy feeling, I did not consult any doctor. I am having this almost from one year. I have used Itch Guard but I think it is not working. I am attaching the pictures. Can you give me your advice that would be helpful? Doctor: Hello. I have gone through your pictures (attachments removed to protect patient identity) and I would like to summarize it in pointwise manner. Your lesion gives impression of two diseases. One is fungal and second is eczema. In both the cases, itching persists and looks same as your pictures. Now, to get definite diagnosis as you told us that you are using Itch Guard cream since long time but it is not getting cured. This point goes toward fungal infection. Because in eczema, cream helps but not in fungal infection. I would like to diagnose it as fungal infection and will treat it accordingly." + }, + { + "id": 30066, + "tgt": "Please explain my brother's heart problem from the report", + "src": "Patient: Hello doctor,For a few months, my brother is suffering from cough with asthma. When we consulted our doctor, he asked us to get a few tests like echo and CT scan. From the test reports, he was detected with some heart problem. Some doctors said that as thrombus and some said as mass. I have attached the report here. Please give us your feedback. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13233, + "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": 27970, + "tgt": "Am I feeling giddy because of stress?", + "src": "Patient: Hello doctor, I am a 29 year old\u00a0male, and I have been having slight giddiness kind of feeling. I am not able to tell if it is giddiness\u00a0since I did not fall or have any balance issues. This has been there for a week. I had the same symptoms two weeks back. It feels like some kind of pulling sensation in the head, and I do not have a headache. It feels that the\u00a0pulling sensation is towards one side in the area behind the ears and back of the head. I sit for a long time in front of the computer. What would be\u00a0the reason? I have erratic sleep patterns, and I sleep at 1 AM. Though I have adequate sleep, I sleep very late at night, and hence the meal pattern is also altered. I have been very stressed from the past two weeks. Would that too be a reason? I have been working out regularly for three months, and I have stopped exercising from last two weeks due to foot pain. Doctor: Hi. It could be benign positional vertigo, which is more common. I guess you might experience giddiness when you suddenly turn your head. It is mostly because of imbalance in the middle ear fluid, usually following ear infection, which is responsible for maintaining our posture. It is definitely treatable. I suggest taking tablet Cinnarizine 8 mg, twice daily for five days. If not relieved, then consult an ENT specialist for further evaluation. As there is no loss of balance and blood pressure is normal, neurological causes are not looked into at initial stage. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21291, + "tgt": "Due to breakage of condom, I am afraid of HIV. What to do?", + "src": "Patient: Hi doctor, Before two days, I had sex with a sex worker for the first time. I used a condom for the sex. But my condom got broken. I did not see it for a few minutes. Now I am afraid of any sexual problem that can come in the future like HIV. I am totally upset, and I lost my hope. Please advice what should I do? Doctor: Hi. Yes, there is a chance of HIV transmission with unprotected sex. But the risk is just one in 300. In other terms, it is only 0.3 %. The risk could be less if there were no mucosal lesions for you and your sexual partner. Regarding other infections, the risk is there. But most of them are treatable. I will request you to see a Dermatologist for investigation and treatment. For most diseases, it takes time to get confirmed by blood reports. You need to go for tests after three months of a sexual encounter to make sure that you are not infected. It is not a time to get panic. Try to see your doctor without any delay." + }, + { + "id": 9000, + "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": 22253, + "tgt": "Is the treatment given for diabetes correct?", + "src": "Patient: Hi doctor,I am a 34-year-old male. My blood sugar level was 300 fasting and 423 postprandial two months back. But recently my sugar level is 96 fasting and 99 is postprandial and HbA1c is 6.8 at present. I am taking Janumet 50/500 once daily after breakfast and Pioz MF 15 before dinner. My creatinine level is 1.33 at present. So I am worried about my kidneys. Is it the right treatment? Please suggest me. Doctor: Hello. I just read your query and from what you have mentioned it appears that your medications are right. However, regarding your kidney, I would suggest that you check your urinary ACR (albumin-creatinine ratio) and a repeat serum creatinine and get back for review. Also, mention your recent blood pressure readings. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 3405, + "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": 19613, + "tgt": "I have a foul smell in the vagina. Is it possible that I have left a tampon in?", + "src": "Patient: Hello doctor, I am a 33-year-old female. My last period was one and a half weeks ago. I had sex five days ago. I noticed a smell that made me suspicious. The smell went away in a couple hours but that made me think I left a tampon in. I felt for it but couldn't find anything. Yesterday, I tried to feel for one again and felt something that could be similar. I do not remember feeling that before but I am not very familiar with that area. I could not work my finger around it, so my insides it must be smelling. Today, I cannot even fit my finger in. There is no pain when I press my abdomen. When I drink milk or something, there is no pain, maybe a little bit of bloating, similar to having my period. I have a slight soreness in my middle right back and It does appear like I am seeing more when I look down there. I have made a doctor appointment for tomorrow and I am not sure if it is more serious than waiting. Doctor: Hello. I do not see it a reason to worry about. As you mentioned, it could be a forgotten tampon. But chances are low as it would have interfered with your sex. It would have been painful. The other possibility is there may be an infection of vagina and cervix. Cervix can feel as a swelling in the midline and when infected, it can be felt slightly bigger than normal. It may produce a discharge that could be white, yellow, grey, or brownish, which can be foul smelling or fishy smell or with itching, feverish feel, and pain in lower back. In either of these situations, you have to consult a gynecologist who needs to do an internal examination. evaluate and give you a course of antibiotics. Do not keep examining the vagina. You may injure the vaginal wall which can be sore later or infected. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14208, + "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": 29936, + "tgt": "What is wrong in my ultrasound report?", + "src": "Patient: Hello doctor, I am 38 weeks pregnant. According\u00a0to a color Doppler scan, it was mentioned as a single loose loop of umbilical cord noted around the fetal neck. The estimated fetal weight is 3229 g. The EDD is towards the end of this month. I wanted to ask if there are any problems and kindly mention the precautions to be taken. Doctor: Hi. If the other sonography is normal, then you should not worry about it. Wait up to the expected delivery date. If pain starts before that, then let the delivery happen. Just have to monitor fetal heart rate throughout the labor. If at any stage heart rate goes down and up and the doctor thinks that it is because of fetal distress, then do an immediate cesarean section. Otherwise, normal delivery can happen. Do one \"NST\" (nonstress test) nearby at your gynecologist. If the test is good, then the baby is completely fine and there is no stress on the baby due to the loop of cord at present. So, you can wait further. If you are going to try for normal delivery, then just see that the hospital has a good fetal monitoring system. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28224, + "tgt": "Having some allergy on the penis. What to do?", + "src": "Patient: Hi doctor, I am having some allergy on the head part\u00a0and the inner skin of my penis. I have some white bubble like spots. Please help. Doctor: Hello. Allergy over the penis is very uncommon. It would be something else. Please send photos so that I can identify it and give you the proper treatment." + }, + { + "id": 12978, + "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": 27108, + "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": 19797, + "tgt": "I have chest pains and a swollen lymph node under my jaw. What can it be?", + "src": "Patient: Hello doctor, I have\u00a0irregular heartbeats, chest pain, and pain under the ribs on both the sides. It is not exactly like pain, but more of a discomfort. Sometimes, I get a short stabbing pain either on the left or the right side under my ribs, and it also feels something is moving or gets squeezed at some points. I have had swollen lymph node under my jaw for six weeks, and it is now getting smaller. It was around 2 cm, and now it is less than 1 cm. I started coughing just a week ago and have yellowish white mucus, and I feel a drip\u00a0at the back of my throat. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7710, + "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": 23307, + "tgt": "Are confusion and hallucination due to recently started Pacitane?", + "src": "Patient: Hello doctor, My father is 80 years old and had got stroke (right ataxia) twice in the last three years. He has been taking Pacitane 2 mg since yesterday evening and he is having confusion and hallucinations. I am not sure if this behaviour is due to the tablet that he is taking since yesterday. Please help. Doctor: Hello. Pacitane (Trihexyphenidyl) is known to cause hallucinations as an adverse effect. For this reason, it is important to start at a low dose (1 mg) and increase slowly. So, it is necessary to reduce the dose to 1 mg and increase the dose after five days to 2 mg. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24425, + "tgt": "I was suggested surgery for cervical spondylosis. Should I go for it?", + "src": "Patient: Hello doctor, I am a 53 year old female. I am cervical spondylosis patient. After MRI report, the doctor suggested an operation. Should I go with the operation or not? MRI report: Spine with the screening of the whole spine: Cervical spine was studied with 3 mm thin slices in the axial and sagittal plane. Both T1 and T2 weighted and gradient echo images were obtained. STIR corona images were obtained. T2 weighted sagittal whole spine screening was also performed. There is straightening of cervical spine noted. Fusion of C3 and C4 vertebral bodies is seen - postoperative status. Rest of the cervical vertebrae reveals normal marrow signal intensity. Posterior disc osteophyte complex is seen at the C4-C5 level causing left neural foramina stenosis, indentation over cord and compression upon left C5 nerve root. Posterior disc osteophyte complex is seen at the C5-C6 level causing left neural foramina stenosis and compression upon left C6 nerve root. The facet joints are unremarkable. The craniovertebral junction is unremarkable. The cord is of normal signal intensity. There is no fracture, dislocation or erosion. Paravertebral soft tissues are normal. T2 weighted sagittal whole spine screening reveals intervertebral discs are of reduced signal intensity on T2 weighted images at all lumbar levels suggestive of disc desiccation. Disc bulges are seen from D5-D6 and L4-L5 levels. Impression: Cervical spondylosis as described above. Posterior disc osteophyte complex at C4-C5 level causing left neural foramina stenosis, indentation over cord and compression upon left C5 nerve root. Posterior disc osteophyte complex at C5-C6 level causing left neural foramina stenosis and compression on left C6 nerve root. More details about the presenting complaint: Currently feeling numbness in left hand 60 % and in right hand 40 %. Previous history of the same issue: Operation for cervical spondylosis was carried out 10 years back for C3-C4. Doctor: Hello. If there is persistent numbness in the hands in cervical radiculopathy, then surgery is indicated. As you have mentioned that you have significant numbness, and your MRI reports also suggest the same, you should consider getting a surgery done. Till then you can be started on Duloxetine and Pregabalin along with cervical collar. In case your symptoms improve significantly with the mentioned medicine you may defer the surgery. I hope it helps you. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30212, + "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": 7569, + "tgt": "What is the exact issue of my health?", + "src": "Patient: Hi doctor, I am an 18 year old female. I am suffering through a number of physical issues since two years. At first, it all started from sudden loose motion. I often got admitted in hospital for this reason. I visited many reputed doctors, but none of them was able to reach any conclusion. At last I was declared celiac, however, it was not the case. Suddenly, without any medications my loose motion has stopped. It was weird, but I was relieved. Soon after two to three days my right chest started hurting a lot. I could not walk, breathe or sleep. I got an x-ray done and it revealed that I had pleural effusion in my right side of chest. Doctor took out 20 mL of urine colored liquid and sent it for laboratory testing. My ADA was high, but malignant cells were not present. So, the doctor reached the conclusion that I have closed TB. I took the TB medicines for four months. I had very ups and downs in my health in those months and suffered through loose motions often. I changed my doctor for a second opinion. He said that I have major swelling in my lungs and it can get worse if I inhale air pollutants as I was allergic to smoke and dust. He told me to get a good amount of rest and not to climb stairs or walk much. At first, I daily had mild temperatures and had shortness of breath the whole day. I thought I was getting better, but one day suddenly my ankles, upper area of foot, side and back of knees, front of the elbow and my back started aching badly. I suffered through this pain for days as I thought it was normal a body pain, but the pain got worse. I had severe weakness and often had floaters in my vision. I also lost weight and now I am underweight of 42 kg with a height of 5'4\". I could not walk or climb stairs as my feet tremble a lot with tremendous pain. It was as if I am not in my senses. I had an eye infection. I got a small pimple like things all over my shoulder and back. My breathing problems got worse. I visited my doctor and he said my lungs are getting worse day by day and a certain disease will get activated if I push myself hard. He also said that I cannot continue my studies this year. I have to rest properly, however, he said that I can walk until I face any abnormalities in my breathe. But, I cannot walk for five to six minutes without taking rest. It means I can only wander in my house a little. It is just ruining my life. I have attached my current medications list. I cannot understand what is this about. What is the exact issue with my body? Doctor: Hello. I am so sorry to hear all that you have been going through and here is my thought process. CBC - complete blood count, urea and electrolytes, liver function test, ANA (antinuclear antibody) with characterization and anti-SM antibodies and Anti-dsDNA antibodies if not done. CT scan of the chest with contrast, if the kidney function is normal. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25974, + "tgt": "What do my eye reports reveal and what can be the treatment?", + "src": "Patient: Hello doctor,I want to discuss my reports with the ophthalmologist. I have uploaded all the copies. Doctor: Hello. I have seen all the attachments (attachment removed to protect patient identity). The third picture has not been uploaded completely but from the first two pictures all that I can make out are: Keratoconus is a disease in which the cornea becomes weak and starts bulging out. The old protocol dictates one should try Rose K contact lenses though it will improve vision but will not affect the progression of the disease. It also increases scarring. Nowadays one should straight away go for C3-R (Corneal Collagen Crosslinking with Riboflavin), a small procedure that will strengthen the cornea and will prevent progression of the disease and it is not that costly. After that, one can go for contact lenses or glasses and that is the correct protocol. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15773, + "tgt": "I have belly fat, big thighs and hips. How to reduce it?", + "src": "Patient: Hi doctor, I am 28 years old. My height is 5.8 feet, and my weight is 83 kilograms. I have belly fat, big thighs, and hips. Please suggest. Doctor: Hi. With your height and weight, I have calculated your body mass index. You have a BMI of 26.8 which means that you are overweight. The first thing to do in your case is to assess your diet and activity. Please explain about the count of calories taken by you every day. You should be consuming 1600 to 1700 kcal per day. Try to do exercise for 30 minutes for at least five days a week. It can be any activity like walking, jogging, swimming to dancing. If you do these exercise for one to two months, and if there is no loss of weight, then it is necessary to see the thyroid hormone levels. An imbalance in hormones is usually present with other symptoms such as intolerance to cold weather, constipation, skin dryness and a lot of hair loss." + }, + { + "id": 6505, + "tgt": "My eye power was -0. 5 and it has increased to -1. 5. How to get rid of spectacles?", + "src": "Patient: Hello doctor,My eye power is only -0.5, but now it has increased to -1.5. I think it is due to the side effects of Perinorm tablets, which I was taking before six months. I am currently taking homeopathic medicines to remove my glass. Please suggest to me how to get rid of spectacles? Doctor: Hello. As you grow in height and built, similarly, your eye size changes, so as your glass number. Usually myopia (minus number) starts at 7-8 years of age and keep on changing till 20-22 years. Your glasses number is small. Keep using glasses and visit your doctor once in six months or once in a year for any change in glasses. Once the number stops changing and get stable, then you can get rid of glasses with Laser surgery, that is very simple. But for that you number should be stable and should not be changing. So you might need to wait till that age. No need to take any medication. Change in number is just like your change in height and your shoe size. Do not worry. Do not take unnecessary medicines." + }, + { + "id": 8588, + "tgt": "Water comes out of nose while drinking after molar extraction. Kindly advise", + "src": "Patient: Hello doctor, I had a molar extraction and now water I drink comes out of my nose. I consulted an oral surgeon and he did a small surgery and gave stitches three times but no result. Is it very dangerous? Please advice further medication and treatment. Doctor: Hello. Usually, the area should be adequately closed by suture. This happens due to a hole in nasal sinus when the upper molar tooth is extracted. It is dangerous in long term if the hole does not close on its own. The hole should heal in a week or two when the wound caused by the tooth is healed fully. If it does not and you face the same problem, then you need to ask your surgeon to properly close it again." + }, + { + "id": 29409, + "tgt": "I am having constipation problem and a feeling of incomplete evacuation. How to solve it?", + "src": "Patient: Hi doctor,I have chronic constipation, gas problem, pain in lower abdomen and stress for the last two years. I am 30 years old. I have tried many ayurvedic and homoeopathy medicines but got only permanent relief. I also have piles. I had\u00a0a sonography last year, and the results were normal. Doctor: Hi. We are here to help you. I would advise you the following. Consult your specialist doctor, discuss\u00a0with him or her and take treatment with consent. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25548, + "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": 30852, + "tgt": "After tooth removal, is it safe to take extra dose of Panadeine?", + "src": "Patient: Hi doctor, Before 25 years, I had root canal treatment on my lower second molar. As I had a broken canal on the same tooth,\u00a0it was surgically removed\u00a0a few days ago. The stitches have healed, but still I have pain. The medication reduces pain, but I am worried as if I am taking an extra dose of Panadeine (combination of Paracetamol and Codeine) capsules. That is, I am taking two 10 mg tablets four times per day. Is it safe? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28190, + "tgt": "How can I get rid of the corn on my heel naturally?", + "src": "Patient: Hello\u00a0doctor, I am an 18 year old,\u00a0and I have corn on my heel. I used corn caps, but it did not help. Could you suggest some other treatments? Doctor: Hello. Review after three weeks. I hope this helps. Thank you. Revert after three weeks to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10517, + "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": 10980, + "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": 1839, + "tgt": "Post chemotherapy, there is remission of RA with pain in joints. Please help", + "src": "Patient: Hello doctor, RA patient for 13 years and on treatment with Methotrexate, Leflunomide. Then suffered from aplastic anemia and ATG treatment done with partial recovery. Presently on Cyclosporine on the advice of hematologist and HCQS on advice of Rheumatologist. Reti iman chemotherapy was done since then RA was in remission until January 2020. Lab reports show: Creatinine - 1.0 Urea - 39. Uric acid - 4.59. Hemoglobin - 9.7. TLC - 3.26. Platelets -168.0. Now the patient is having typical attacks of RA in various joints like hip, knee, shoulder, and neck, etc., feels lethargic early morning, finger joints are swollen with severe pain. Taking Aceclofenac100 with Paracetamol 325 almost daily, if the pain is less she takes Paracetamol 650. Please advise medication during lockdown. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). It seems her arthritis is flaring up again. Eventually, Cyclosporine and HCQs are both very mild when it comes to arthritis management. She may have had a prolonged suppression due to Rituxan injection. At this stage, my suggestion would be to restart Leflunomide. As the TLC (total leukocyte count) count is still low, Methotrexate may not be the best choice. Secondly, she can take injection Kenacort 80 mg (Triamcinolone) intramuscular once a week for two weeks. It will settle the inflammation fast. Thirdly, use minimum pain killers. As they are not a wise option when aplastic anemia is in the background. I hope this helps." + }, + { + "id": 13166, + "tgt": "How long will it take to get cured of lichen planus?", + "src": "Patient: Hi doctor, I am suffering from acute eruptive lichen planus. I consulted a doctor and had some medicines. But still the marks are there and itching too. I am applying Lobate cream. Even now I can see new eruptions especially in my legs which are red in color and itchy. Please suggest some good medicine Doctor: Hi. Lichen planus is a chronic and self-limiting disease. It has been seen that skin lesions subside within 9-12 months in about 50 percent of the cases. Since you are still developing fresh lesions you will have to take a course of tablet Prednisolone 20 mg daily for 6 weeks which can be reduced gradually. You seem to have severe itching which is not responding much to Levocetirizine. I would recommend you take tablet Hydroxyzine 25 mg twice daily till the itchy subsides. Along with this apply Clobetasol propionate on the itchy areas. But if large surface area is involved, dilute it in a moisturizing lotion in the ratio of 1:4. This will surely help you. 1. Immune dysfunction. 2. Genetic causes. 3. Dental amalgam. 4. Stress. 5. Anxiety. 6. Depression. Lichenoid drug eruption. Lichen planus. Reduce stress and anxiety." + }, + { + "id": 12640, + "tgt": "How to induce lactation to breastfeed my adopted baby?", + "src": "Patient: Hi doctor, My wife is 36 years old and we have two male children. Now, we plan to adopt a baby girl in the next six months. As, I read an article of yours on internet about induced lactation for adoption, could you please help my wife breastfeed? Please note that one doctor prescribed Zandu satavarex, Perinorm 10 mg three a day and pumping every 2 hours. But, my wife had uneasiness due to flatulence and gas. Please note that it has been three years since she last breastfed. Thanks. Doctor: Hi. Thanks for corresponding and connecting through icliniq. Yes, I had a study, and it is lovely that you are adopting a baby girl. Perinorm (Metoclopramide) does cause increased intestinal motility. Well, every drug has some side effects. I recommend tablet Domperidone 10 mg twice daily empty stomach. Your wife can stop pumping as it is hurtful. Instead, tickling of both breast three times a day for three to five times will help in stimulating the nipple. Also, cumin seed water daily will help. Your wife can stop all other medications given by other doctors as it can have side effects. Also, your wife should not have liver and renal impairment. Kindly get KFT (kidney function test) and LFT (liver function test) done. Also, please inform if she is taking any medications for a heart problem or any other disease to reduce side effects. Start this minimum of 6 weeks before adopting the baby. Also, understand that the quality of the milk will not be the same as the milk produced after actual baby birth." + }, + { + "id": 18433, + "tgt": "Uterine fibroid detected during sixth week of pregnancy. What do I do?", + "src": "Patient: Hello doctor, I am 7 weeks pregnant. During the 6th week of pregnancy an ultrasound was done and a fibroid in the right side of the uterus measuring\u00a08.7 * 7.0 cm was detected. Right now I am suffering from severe pain intermittently on the right side of pelvic region and right thigh. I am attaching the test reports and prescription herewith. At present I am taking only folic acid tablets and I have not yet started other tablets in the prescription. Kindly advice. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) and there is definitely a large intramural fibroid in the uterus impinging into the uterine cavity. Ideally this should have been operated upon before your planned conception but nevertheless as you are 7 weeks pregnant, now with a viable fetus and fibroid was an accidental finding during ultrasound so the present management approach would have to be focused on sustaining and preserving the pregnancy further. For info,there are high chances of threatened abortion or placental separation in the early weeks of pregnancy due to such large fibroids, as the pregnancy grows due to inadequate room for growth and fibroid generally not allowing the uterine wall to stretch leading to hemorrhage. Also no operative removal can be attempted now as there can be torrential bleed and chances would be that you may loose your pregnancy.So surgery is out. The management has to be conservative hence with an aim to prevent abnormal uterine contractions with Duvadilan tablet (Isoxsuprine) and progesterone support with Susten SR 400mg daily to allow adequate placentation and trophoblastic growth so that chances of separation are minimized. Immediate aim would be 14 weeks till tablet Duvadilan and Susten would be continued and if the pregnancy grows naturally and crosses 14 weeks, it is a good sign. Also once pregnancy would grow, the fibroid which is estrogen dependent for growth, in the present high progestogenic environment it shall start thinning out by 30 to 40 percent accomodating pregnancy further. Once 14 weeks are crossed then next aim would be 34 weeks as there are high chances of preterm labour and premature rupture of membranes after 24 weeks and before 36 weeks. This is to be watched for and regular obstetric check up would hence be diligently required. So, as of now start tablet Duvadilan and Susten SR without delay and prefer bed rest so as to avoid any bleeding /threatened abortion. Pain is likely to be there .You may use tab Paracetamol only 500mg as and when required for pain relief but in a gap of 8 hours. This is safe in pregnancy . Also hot fomentation for 15 minutes each thrice a day can be helpful. Bed rest is important for the initial 14 weeks. This is a high risk pregnancy due to large fibroid and should be vigilantly dealt under gynaecologist supervision. Any bleeding vaginally should be followed within 6 hours with an ultrasound by your gynaecologist, so be alert on that part. Initial 14 weeks are crucial. Folic acid 5 mg daily, Duvadilan 10 mg thrice a day and tablet Susten SR 400 mg once at night, for 4 weeks. Bed rest ideally till 12 to 14 weeks. For further queries, consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28069, + "tgt": "I took an expired Long drive capsule. Will it cause any side effects?", + "src": "Patient: Hello doctor, I took a Long drive capsule by mistake, which got expired last month. I am worried about the side effects of taking expired pills. Can it cause any serious side effects? And if yes, how long will these side effects last? I took only one capsule. Doctor: Hi. Thanks for your query. If you have any further query, feel free to ask. Thanks. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16873, + "tgt": "My first radiologist found varicocele, but the second one gave it as normal. How?", + "src": "Patient: Hi doctor, I am a 32 year old male. I had a scrotal USG before three months. It said that I am having varicocele of grade1 with a pampiniform vein size 2-3 mm. When I consulted a doctor, he prescribed some medicine, and I had it. But, the dragging pain persists. Yesterday, again I had a USG of the scrotum, and the report showed that I am normal with no varicocele. During the second time of USG, the radiologist insisted me to inhale stomach full several times and said that my pampiniform flex size is 15 and it can go up to 22. And, he stated that I am normal. During the first time of USG, the radiologist insisted me to cough by turning my head to the left side. My dragging pain is present after having a meal and prolonged sitting. I am attaching my ultrasound scan report. Please clarify the report. Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 19215, + "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": 12071, + "tgt": "Will applying Lignocaine help to treat tight foreskin?", + "src": "Patient: Hello doctor, I experienced difficulty in retracting the foreskin and pulling it down over the penis head (mild phimosis). With difficulty, I manage in 10 minutes. Do this fornightly to clean the penis. I wish to avoid circumcision and understand the application of Lignocaine gel will help. Should I apply it on penis gland or head or on top of the foreskin? Doctor: Hi. I can understand your concern about your symptoms. The application is a local anesthetic. Wherever you have pain when you retract foreskin (mostly skin will have pain). You can apply Lignocaine. You cannot apply Lignocaine inside of your foreskin since you have phimosis. So the external application is only possible. Considering your age, kindly rule our other causes of phimosis. Keep blood sugar under control and take antibiotics and apply the local moisturizing gel." + }, + { + "id": 15763, + "tgt": "Is there any simple test available to rule out colon or rectal cancer?", + "src": "Patient: Hi doctor, I have hemorrhoids for a few years. My doctor has suggested me a colonoscopy to rule out cancer. Is there any simple test available to rule out colon or rectal cancer? Please mention an opinion regarding stool occult blood test. Doctor: Hi. First of all, you get an MRI (magnetic resonance imaging) abdomen done. You can have a presence of mass when you have a colon or rectal cancer. If there is a mass seen, then you can do a colonoscopy. You can also do a CEA (carcinoembryonic antigen) as CEA show an increase in range when you have colon cancer. You can also do a stool DNA test. If the stool DNA test is positive, then you can also do a colonoscopy to confirm the diagnosis." + }, + { + "id": 16619, + "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": 22114, + "tgt": "I got sudden itchy skin rash with no pus. What is it?", + "src": "Patient: Hello doctor, I am a 22 year old female. I got a sudden skin allergy and there is lot of itching. Small red rashes have appeared on limbs, back and face. But, there is no puss in the rash. I took Cetirizine. Doctor: Hi. Revert back with the asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 242, + "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": 3583, + "tgt": "What can cause body shivering along with rashes over hands and legs?", + "src": "Patient: Hi doctor, I am a 28 year old male. I have rashes over hands and legs. They are not red rashes, but more like insect bites. I also have swelling especially on the feet. My doctor has prescribed Benadryl anti-allergy tablet. I am also experiencing shivering when body is feeling hot.\u00a0What am I looking at? I am really worried. Please help. Doctor: Hi. 1. Contact dermatitis. 2. Drug induced. 3. Scabies. 4. Viral exanthem. Fever with rash. 1. Tablet Avil (Pheniramine maleate) twice daily. 2. Emollients like Lacto Calamine. 3. Tablet Paracetamol 650 mg twice daily or during febrile illness and cold sponging. Avoid sun exposure and scratching. Revert back with detailed history and pictures to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19709, + "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": 30568, + "tgt": "Are H. pylori infection and stomach cancer interrelated?", + "src": "Patient: Hi doctor, In the past one month, I have been feeling like bloated stomach and uncomfortable as if my stomach was full. Initially, I went to a local doctor. However, that did not help me. Then, I went to a gastroenterologist, who initially gave me medicines and then did an endoscopy. Post the endoscopy, there was slight swelling in the intestine and slight redness. So, the doctor did a RUT test to check for H.pylori bacteria and the result was positive.\u00a0Please let me know more about this bacteria. Is this related to cancer? Is there any complete cure for this bacteria? Also, I would like to know about diet I should follow now. Doctor: Hello. H.pylori infection. Endoscopy. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13473, + "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": 14567, + "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": 25586, + "tgt": "How can my married life be improved?", + "src": "Patient: Hello doctor,I have had two very bad past relationships in my life. I have cried a lot in my life. Those experiences have been so bad that I have become really sensitive. I cry very very often. I think a lot and I worry a lot. Now, I am married. My husband loves me but he does not understand me. We fight a lot. There is always a difference of opinion. I cry, cry, and cry. I am becoming more and more negative. Please help. Doctor: Hello. Do not expect anything from anyone in life and learn to live alone. Your husband loves you and that is enough. You try to understand him and do not argue. Do exercise like going for walking with your husband for 30 to 45 minutes. Do relaxation. You need to eat healthy food and avoid junk food. Take good sleep. Spend some time with yourself. Develop some good hobbies like writing, painting, listening to music, learning something new. Do not complain about life and accept what you have and enjoy. If still, you have depression then you can start antidepressants for a short duration. It will help to decrease your crying episodes. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6417, + "tgt": "My OD eye vision is more blurry after placing lens. Why?", + "src": "Patient: Hello doctor, I have a mild irregular cornea OD eye. I was being fitted with a brand new soft lens Flexlens Arc. nine months back. When the lens was placed in my OD eye, it severely burnt my eye. It was red, swollen, painful and tearing. The technician flushed it out but I could not open the eye. I sat with an ice pack on my OD eye for an hour before I could drive home. Could this have further damaged my OD eye cornea? My OD eye vision is more blurry now. What do I do? Doctor: Hello. Yes, there could be an infection (conjunctivitis or keratitis), get it examined what it is and start treatment. Stop wearing contact lens until it is healed. Your OD damage have to be confirmed by examination. Vision will be regained gradually when it is healed. Consult an Ophthalmologist and take treatment immediately. Take care." + }, + { + "id": 9713, + "tgt": "Why is my mother having periods after menopause?", + "src": "Patient: Hello doctor, My mother had a fibroid in the uterus and now she had her periods after menopause. Doctor: Hi. Near or after menopause heavy bleeding needs investigations. The average age of menopause is 51 years in your country. It would be better if you send me her complete gynecological, obstetrics, medical, and drug history. It should be investigated either she had complete menopause or not. Should have an iron supplement to reduce chances of anemia. A healthy nutritious diet with iron-containing foods like apples, carrots, etc. Should have regular exercise. Have complete blood count, thyroid function test, transvaginal scan, endometrial biopsy, local outpatients hysteroscopic examination to exclude local cause of bleeding like an endometrial or cervical polyp, cervical erosion, etc. Have treatment of any disease if you have any. Have exercise and yoga. Follow all investigations results and discuss with gynecologist here or local. In case of atypical endometrial hyperplasia, she might have the advice of total abdominal hysterectomy and bilateral salpingo-oophorectomy. So better to have a full check-up, investigations and then treatment. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26935, + "tgt": "My fingertips are extremely painful. What to do?", + "src": "Patient: Hi doctor, My fingertips feel like there are\u00a0broken glasses in them, and it is getting worse. When I lay down, it is extremely painful, and if the weather is cold, it becomes unbearable. I work in construction, so this makes it impossible to work. Doctor: Hi. I can understand how worrisome this situation is for you. Hope it helps. Feel free to ask for more details if you need further assistance.\u00a0Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17320, + "tgt": "I was masturbating and noticed soreness under head of penis. What is it?", + "src": "Patient: Hi doctor, Yesterday I was doing my thing (masturbating) and I noticed a little soreness under the head of penis. I have been going at it probably twice a day lately. I am just a little concerned that it may be herpes. But I have not been sexually active for a very long time. Also, I have had two negative herpes blood test 28 weeks post exposure and again 70 weeks post exposure from my last sexual encounter and both negative. I did test positive for HSV1 though. I usually get between one to three outbreaks annually on my top and bottom lip. Anyway, I have noticed irritation in that area in the past when I masturbate so I am not sure if it is just a minor chaffing or friction burn or possibly herpes. I am currently being treated for genital warts that my last girlfriend left me with almost 17 months ago. So I am very conscious of any changes below the belt. I did not happen to notice any blistering but the area looks shiny and a little wet. I am not experiencing any pain either. Doctor: Hi. I have been through your case in detail. Well in short as you know there are two possibilities: 1. Friction erosion. 2. It could be herpes infection. Herpes 2 usually on genitalia and herpes 1 on lips. As now there is no limitation in having herpes 1 on genitalia due to common oral sex. So in my opinion, you may have it as blistering is not the only presentation, superficial erosions also represent herpes. So it is always better to keep pathology of herpes in mind rather rely only on the frictional blister. For management, do the following: All treatment for seven days. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22545, + "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": 22585, + "tgt": "What is your opinion about my symptoms?", + "src": "Patient: Hi doctor, I used to have mild abdominal pain in the lower right part of the stomach. I was diagnosed with PPD six months ago and continued my regular medicine (no ATD). Since then, I occasionally get severe pain at the very same location and it lasts for around 4 to 6 hours. This pain was not regular, but may recur once in 20, 30 or 60 days. After three months, I had my USG, CT scan and colonoscopy with biopsy. The biopsy report shows that I may have either TB or Crohn's disease. Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16351, + "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": 16372, + "tgt": "Why am I getting periods twice in a month?", + "src": "Patient: Hello doctor, Why am I getting periods twice in a month? Doctor: Hi. This condition of getting periods more than once in a month is called polymenorrhea. There are so many causes of polymenorrhea. Most commonly it is caused due to hormonal disorders and due to fibroids. Consult a gynaecologist online to know about the investigations to be done to rule out the cause --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2216, + "tgt": "Patient has early stage of liver cirrhosis with fluid-filled stomach and pain. Please comment on scan report", + "src": "Patient: Hello doctor, The scan for my maid's husband shows early liver cirrhosis. We need a consultation on the scan. He has stomach pain with water-filled abdomen. Is surgery necessary? Doctor: Hello. I have reviewed your given details. (attachment removed to protect patient identity). I agree with you that he is suffering from end stage liver disease and ultrasound is showing fatty liver. We need to look at the cause of this fatty liver, which could be due to excessive alcohol intake or obesity related or it could be because of certain drugs. For treatment of water filled abdomen, I need further information to decide whether it can be treated with drugs or he will require paracentesis. Paracentesis is a procedure in which needle is inserted into the abdominal cavity and inside accumulated fluid is taken out. I need to know about how much discomfort he feels because of this water-filled abdomen? Is there difficulty in breathing? And will need the following test. 1. CBC (complete blood count) 2. BUN (blood urea nitrogen) 3. Creatinine, serum electrolytes 4. LFT (liver function test). 5. Serum albumin 6. Urine analysis. Perfect cure for end stage liver disease is liver transplantation which is a long procedure. Before deciding whether he needs it now. We need above workup so we can calculate scores how early, he will need it. Viral hepatitis, Alcohol, Nash, metabolic cause. CBC, BUN, Creatinine, serum electrolytes, LFTs, serum albumin, Urine DR, PT-INR, AFP, HBsAg, Anti HCV antibodies. Liver cirrhosis. Liver cirrhosis decompensated with ascites. Will decide after investigations. Take low salt diet. Avoid constipation by taking syrup. Lactulose 30 ml at bed time (should pass two to three stools per day), if target does not achieved then take 30 ml twice a day. Follow after reports as soon as possible. Please answer the asked questions. History of alcohol intake? Weight and height of the patient? History of viral hepatitis? History of iv drug abuse? Family history of liver disease or cancer?" + }, + { + "id": 16543, + "tgt": "I am not comfortable with my retainers after getting veneers. What to do?", + "src": "Patient: Hello doctor, I am a 25 year old male who had braces five years back. I had braces for two and a half years for upper teeth only, and I still wear my retainer every night. I recently got veneers on my upper six front teeth, so my dentist had to make a couple of adjustments to my retainer. For about two months the retainer was good, but recently in the morning when\u00a0I take my retainer out, one or two of my veneers seem to move and when I bite they click back into place. I went to my dentist, but he assured me that everything is fine. He also said that if it bothers me so much, then I should see my orthodontist about getting a new retainer. As an experiment, I wore my retainer for about a week (day and night) and throughout that time, I did not have any movement issues. Then when I switched back to only night-time wear, it started happening in the mornings again. I am worried that my teeth are being damaged and that they are going to fall out randomly one morning. Do you think I need a new retainer? I have an appointment with my orthodontist in a month. So, I also wanted to know, do I require wearing my retainer until my appointment? And if yes, then how often? Doctor: Hi. For further queries consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 24265, + "tgt": "Is mitral valve prolapse a reversible condition?", + "src": "Patient: Hello doctor, I was recommended by my cardiologist for a heart valve replacement surgery as my latest echocardiogram results, both transthoracic (TTE) and transesophageal (TEE), revealed that my mitral valve prolapse had worsened. The diagnosis was severe eccentric MR. However, during the latest TTE scan, the radiographer who did the scan said that my regurgitation was only moderate. I find this very confusing and was wondering if MVP is a reversible condition. No current medications. Doctor: Hello. First of all, the severity of MR (mitral regurgitation) will be correctly deciphered by your cardiologist. An eccentric type of MR is actually a grade higher than what it looks. Like your radiologist may think it is moderate but it is severe, but because of its eccentric nature, it looks lesser than what it is. The second thing is, why are you not on any medicine yet? You should be on ACE (angiotensin-converting enzyme) inhibitors and diuretics. If you have symptoms like breathlessness, these medicines will relieve that and prevent heart events too. If you have symptoms and your heart chamber size increases, then you should go for MVR (mitral valve replacement). If a prolapse is worsening, then it will not reverse. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17720, + "tgt": "Which type of vaccination is good, painless or painful?", + "src": "Patient: Hello doctor,My son's tongue comes out while sleeping and most of the time. He is six weeks old. While breastfeeding, he uses his tongue to suck the milk. Is this normal? Please advice. Doctor: Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 15625, + "tgt": "I am taking Kalarchikai for PCOS. Why are there abdominal cramps and thigh pain after taking it?", + "src": "Patient: Hi doctor, I am taking Kalarchikai with pepper and honey after a meal for the past five days for PCOS problem. But I started to have an abdominal cramp and thigh pain (similar to the cramp that occurs during menstrual cramp). What can I do now? Doctor: Hi. Kalarchikai is a well-known medicine to manage PCOD (polycystic ovarian diseases). It does not show any side effects when taken under a prescription of ayurvedic or Siddha physicians. You should take two to three grams twice a day after meals. The pain you have now can be a premenstrual pain. Wait for a few days and stop taking this choornam for a few days. After a week, you can start taking it in a recommended dose." + }, + { + "id": 12838, + "tgt": "What is causing a flash while seeing side to side?", + "src": "Patient: Hello doctor, I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas? Doctor: Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent." + }, + { + "id": 8776, + "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": 9709, + "tgt": "Is there a chance of acquiring HIV through oral sex?", + "src": "Patient: Hello doctor,1. I went to a spa treatment and the lady therapist after the massage gave me a blow job, and I am worried, and I asked management and tested that girl for HIV.2. Both HIV screening and western blot tests were done on the day after the blow job, and she got both negative.3. But in the worst scenario, what if she is recently infected and it does not show up in screening or western blot?4. And what are the chances of transmitting HIV through oral sex (getting a blow job)?5. My main concern is on first, second, and the third day I have a fever with chills and from fourth day loose motions and temperature continuing.6. If a person immune system is a week, do symptoms show from the first day?7. And how much percentage I am safe. I know it is a long question, but please help me out. Doctor: Hello, Welcome to icliniq.com. Do not worry about the percentage of transmission of HIV us very less through oral-genital contact. The rate of transmission in HIV positive patient through oral-genital route is 0.01 to 0.04 %. The risk of transmission is high in case of ulcers on the mucosa is active. Present symptoms may be due to some other viral fever or viral gastroenteritis. Few other viral infections like herpes or hepatitis or bacterial infections also transmitted through oral-genital route. So you may repeat the PCR for the virus after four weeks. Usually, it will be detectable between three days to four weeks. So take simple Paracetamol, drink plenty of liquids, and avoid anxiety. Very less chances to be an HIV. Getting a blow job partner chances to get 0 to 0.01 %. But receptive partner (giving a blow job) chances of getting 0.0 to 0.04 %." + }, + { + "id": 454, + "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": 7795, + "tgt": "How to confirm melanoma?", + "src": "Patient: Hi doctor, I have a mole on the right side of my face. It is uneven, weirdly colored, has no clear lines and bleed easily if scratched.\u00a0I have a lot of moles in my scalp but none like this.\u00a0Could it be melanoma? If it is not then can I just scratch it off?\u00a0I wish to know your opinion. Doctor: Hi. I have gone through your photos (attachment removed to protect patient identity). As per experience only two skin diseases looks like this. The first one is of course melanoma and the second is seborrheic keratosis. The main signs and symptoms of melanoma are as follows: It is true that white people are more prone to get melanoma, but your site of lesion is not common. In this age melanoma or other skin cancer comes over more photo exposed part of the body like face or hand. Now, let me explain the signs and symptoms of seborrheic keratosis. Now, I personally feel your problem goes more towards melanoma or BCC (basal cell carcinoma). You need to go for biopsy. Biopsy would be an ultimate tool to diagnose the disease. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18970, + "tgt": "I have semisolid motion even four months after food poisoning. When will I get normal?", + "src": "Patient: Hello doctor, Four months back, I had food poison and was under antibiotic. After that, there was continuous semisolid motion, loss of appetite, gastric trouble, and loss of weight. Doctors have taken several tests and it came normal. I do not know what happened to me. Then one of my friends told me to check vitamin B12. If it is low, you might face these problems. Then I took the test. Is it true that vitamin B12 will create this problem? It was 300. I am attaching the report here. Please help me in this issue. Doctor: Hi. Your symptoms are unlikely to be vitamin B12 related. Moreover, the report (attachment removed to protect patient identity) looks alright. These symptoms can happen transiently after an infection but usually gets better with time. I need some more information regarding your symptoms like: Please revert with specifics so that I can give complete suggestions. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25760, + "tgt": "What do the presence of pus cells and RBCs in urine indicate?", + "src": "Patient: Hi doctor, Patient is suffering from fever, headache, pain while passing urine and foul smell in urine. He had a\u00a0complete urine test. Pus cells, leukocytes and RBCs are present in urine. He is taking Augmentin 625 mg and Dolo 650 for the past three days. Doctor: Hi. I have seen the reports sent by you (attachment removed to protect patient identity). For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11027, + "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": 7799, + "tgt": "Is the mole on my back seborrheic keratosis?", + "src": "Patient: Hi doctor, I have an ugly mole on my back. I saw a dermatologist about a year ago. I am sure he looked at this and I thought he may be said it was an S.K. but it does appear to have gotten darker than I remember it. It looks different than my other moles. A bit concerned. Doctor: Hi. Clinically, this looks like SK, seborrheic keratosis, it is not a mole (attachment removed to protect patient identity). SK is a benign growth of epidermal cell called keratinocyte. Whereas a mole or benign nevus is the benign growth of melanocyte. In the picture, It has a flaky rough surface, has stuck on appearance which is a very classical feature of SK. Dermoscopic examination gives more details to confirm the diagnosis, I am sure your dermatologist would have seen the lesion with a dermoscopy. Usually, if the lesion appears suspicious on dermoscopic examination, we consider a shave biopsy to rule out any possible malignancy. SK can get bigger in size and turn darker as well. They may increase in number as we get older, they are also called wisdom spots. If the lesion is painful or itchy, then I would suggest you visit your doctor for dermoscopic examination and biopsy if found suspicious. As of now without any symptoms, it looks harmless." + }, + { + "id": 10302, + "tgt": "Can you suggest physiotherapy treatment for plantar fasciitis and knee pain?", + "src": "Patient: Hello doctor, I am a\u00a040 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially\u00a0on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet?\u00a0I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period\u00a0of time. And the knee pain is usually\u00a0while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting. Doctor: Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 26033, + "tgt": "Can I take one teaspoon of honey everyday to treat my allergy symptoms?", + "src": "Patient: Hello doctor, I have two questions. I have for years had mild sinus and allergy symptoms that I can manage but I did find this great idea about raw honey, where it includes bee pollen; which somehow has many benefits also for sinus and allergies. What I want to know is this; is a teaspoon of raw honey healthy to eat each day; and is it safe ? or is one teaspoon too much? Another thing is that my parents bought this small indoor infrared sauna; which also has many benefits for health. But I have always heard that infrared is dangerous for eyes. Does this mean I need protection glasses when I use this sauna? Doctor: Hello. Hope this helps. Please feel free to consult me back anytime for any kind of health issues. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17106, + "tgt": "When I stop anxiety medicine, why do I feel pain in the chest and anxious?", + "src": "Patient: Hi doctor, I am 22 years old. My problem is that I have been suffering from depression and anxiety for the past one year. Without knowing it, I consulted a cardiologist for chest pain and anxiety. They prescribed me Pexep-CR 25, Lonazep 0.25 and Betacap. I took those medicines regularly for 1.5 years and I felt good. When I stopped the medicines, I felt chest pain and anxiety. Again, I am feeling depressed and I think that I will die because of heart attack. Again, I consulted the cardiologist and started taking the medicines regularly. After 3 hours of medicine, I feel a burning sensation, sleepy and body pain. I had a habit of masturbation before depression and I used to masturbate regularly to get rid of nightfall. Is it safe to take Bupropion? Doctor: Hi. It seems that you had a relapse of anxiety symptoms after the first time you stopped your medications. Relapses are more severe. They need a higher dose and a much longer duration for recovery. Hence, in your case, you need to either increase the dose or you can add or replace the current treatment with a longer acting drug for round the clock effect. Keeping in view your sexual habits, it is preferable for you to start with Desvenlafaxine 50 mg, which will help in reducing anxiety symptoms and will not affect your sexual functioning as well. Bupropion is a good drug with minimum sexual side effects; however, it is not as effective as Desvenlafaxine or Pexep (Paroxetine) in controlling anxiety symptoms. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25872, + "tgt": "Can a cardiac MRI show anything in regards to pulmonary hypertension?", + "src": "Patient: Hello doctor, I have a question regarding cardiac MRI. I have one biannually because I have congenital heart disease. My question is whether or not that type of imaging shows pictures of the lungs and, if so can it show anything in regards to pulmonary hypertension? I had a heart cath seven years ago where I technically had high pulmonary pressure, but not exceedingly so. I have an unrepaired ASD with shunting, which is what they told me was causing it. I also have a bicuspid aortic valve, a subaortic membrane, and coarctation of the aorta repaired twice but there is now an aneurysm at the repair site. The aneurysm is the main reason for the MRI. Please help. Doctor: Hello. To know the picture of the lung, MRI (magnetic resonance imaging) of the lung can be obtained. In your case, it is the assessment of pulmonary hypertension evaluation. Cardiac MRI is done for accurate assessment of right ventricle structure and function. It is important in the evaluation and serial follow-up of pulmonary hypertension. You are having unrepaired ASD (atrial septal defect) which is contributory to pulmonary hypertension. In response to pulmonary hypertension, there is right ventricle hypertrophy and progressive contractile dysfunction. The function and size of the right ventricle is an indicator of the severity and chronicity of pulmonary hypertension. Right ventricle function most importantly is the determinant of life expectancy in pulmonary arterial hypertension. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13790, + "tgt": "Is it normal to get presence of endocervical and squamous cells in Pap smear?", + "src": "Patient: Hello doctor, I got a Pap done last week and I got the results back today. It says I am negative for an intraepithelial lesion of malignancy (NIL). And under specimen adequacy, it says satisfactory for evaluation. Endocervical and/or squamous cells (endocervical component) are present. What does this mean and should I be concerned? Doctor: Hi. Pap smear is a cervical cancer screening tool for gynecologists. Firstly, whenever a sample is observed under the microscope, the pathologist has to comment on the adequacy of the sample. Your cervix has ectocervix (containing squamous, flat cells), and an endocervix (containing endocervical- columnar cells) (attachment removed to protect patient identity), so if the smear is collected properly, it should contain both type of cells for assessing any kind of abnormality to detect signs of malignancy. Your report is perfectly all right, no need to worry." + }, + { + "id": 24395, + "tgt": "What is the remedy for dry nose and repeated nose bleeding?", + "src": "Patient: Hello doctor, I am 65 years old and I am having a dry nose and repeated nose bleeding, once in 10 days. Currently, I am on tablet Etamsylate. What is the remedy? Doctor: Hello. You must keep the nasal mucosa moist and hydrated. For that purpose, you may use either 0.5 % menthol paraffin nose drops or plain saline nasal spray like Solspre. Use these as many times as required and keep the mucosa lubricated. Meanwhile, check if you suffer from blood pressure or diabetes. Additionally, avoid dust smoke and pollutants. Wear a mask when you go outside. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20488, + "tgt": "Can I take Kalarchikai choornam during my periods?", + "src": "Patient: Hi doctor, I am having PCOD problem. Can I take Kalarchikai choornam during my periods? I have only spots. Doctor: Hi. You can take Kalarchikai powder. Take it for three continuous cycles as advised by your physician. Do not take them during periods. Start them after the period gets over and then do it in the same way for the next two cycles. In case, if you face any problem, consult your nearby reputed ayurveda physician." + }, + { + "id": 22119, + "tgt": "Do I need a booster for vaccines which I had in childhood?", + "src": "Patient: Hi doctor, I am a photographer and would likely venture into so many remote areas. I will obtain appropriate malaria prophylaxis before traveling to remote areas and have a large supply of DEET and Permethrin mosquito repellent. I want to be sure that I am up-to-date with all of my vaccines and that there is nothing I am missing. I have attached a typed record of my vaccine history. I read that some adults may need a polio booster and typhoid pills or a typhoid vaccine. Do you suggest these? Do I need a booster for any of the vaccines I had as a child? Am I missing any other shots? Doctor: Hi. I have gone through your query and can understand your health concern. It is good that you have taken most of the essential vaccines. I would like to suggest you to take typhoid vaccine and pneumococcal vaccine As you have taken almost all the polio doses, I think there is no need to take any booster dose. Have a nice trip. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13203, + "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": 30605, + "tgt": "I would like to get a second opinion for my prostate operation. Please help", + "src": "Patient: Hi doctor, I am a 74 year old male. 15 days ago, I have had high fever (103 degrees F) with shivering. The actual problem started before 20 days and I was unable to pass urine for three days. I was admitted to hospital due to fever and then discharged after five days of stay. I guess, It was found that I had urine infection and due to enlarged prostate I was unable to pass stool. My discharge report has been attached. I was discharged with Foley catheter. Then, on the follow up visit, they removed the urine bag. But, in the evening, I had abdomen pain. Then, my doctor said that they need to operate, because urine is still not passing normally and it is being collected inside.\u00a0I am on Foley Catheter again. I would like to get a second opinion.\u00a0I am also a diabetic patient.\u00a0Please advise. Doctor: Hi. I have gone through all your reports (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 17261, + "tgt": "My 2. 6 months old baby is having loose motions. What could be the reason?", + "src": "Patient: Hi doctor, My baby is 2.6 months old. He is suffering from loose motions for the past three days. The stools are watery. He is currently on Enzylac syrup, Dexolac dry milk, Racigyl-O syrup and Bacillus clausii spores suspension -Tufpro.\u00a0Please help us. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14278, + "tgt": "My kneecap hurts a lot while jogging. I am just 26 years old. Please advice", + "src": "Patient: Hello doctor, I am 26 years old, and I weigh 96 Kg. My kneecap hurts a lot while jogging or doing any cardio exercises. For one year, I have been having this problem. My knee joint trembles and often I have a problem walking. Please advice. Doctor: Hello. You are very young and only 26 years old. Sometimes you can have such kind of pain in the knee at young age. If there is no history of any injury, swelling, etc., then there is no need to worry. My advice to you will be: If the condition does not improve in 2 to 3 weeks time, you may have to get certain tests done for your evaluation." + }, + { + "id": 23629, + "tgt": "I have developed a smooth patch on tongue. Can this be cancer?", + "src": "Patient: Hello doctor,I had a wisdom tooth pulled four months back. A month later, I developed a smooth patch on the tongue that would heal and come right back in the same spot. I have never drunk, or smoke, and no family history of oral cancer. I am really scared it keeps coming back. There is no pain, just an ugly spot. I am afraid I have cancer. Please help. I cannot sleep. I used to take Nystatin, salt water rinse, and Clindamycin. Currently, I am taking Meclizine. Doctor: Hi. I have seen the picture you have attached along with the complaint (attachment removed to protect patient identity). The smooth patch on your tongue does not seem to be caused by the wisdom tooth extraction. Basically, your tongue is not in a normal appearance. It has the yellowish white patch throughout the top surface with this newly formed smooth patch. This condition is called oral thrush, a fungal infection. You have also mentioned a history of Nystatin which is an antifungal medication used for oral thrush. I am unsure if you are even aware of it. I wonder even after you had the medication applied, this whitish thing has not gone away. But do not worry. This is not any cancerous situation. But the white patches on the tongue or anywhere else in the oral mucosa could be precancerous and that is when you have to go through a swab test to find out which micro-organisms are exactly causing it. Even in your case, if you have not had a swab test before I reckon you get one soon with your dentist. This is just to confirm it is a fungal infection and take medication accordingly. Oral thrush could also be a cause of any underlying disease. So please make sure you get it tested and treated for it. The treatment would include a change in diet, antifungal therapy, multivitamin therapy and oral hygiene procedures. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 925, + "tgt": "I get recurrent cold sores which are not healing completely. Why?", + "src": "Patient: Hi doctor, I get cold sores about every 2 years over the past 15 years and they go through the five stages of healing which take about 10-14 days to heal. Over the past two years, I have got two cold sores that have not completely healed. One was before a year and the most recent one was in February of this year. They are faint but apparent to me and every time I move my lips, eat, have hot food, shower, sweat, or just about do anything I can feel them on my upper lip. I have been to multiple doctors and two dermatologists. I have been prescribed Valtrex, Tacrolimus, and medicines for the pain. I have used many over the counter medicines such as Neosporin, Abreva, Hydrocortisone, Vitamin E oil, face cleansers, tea tree oil, Aquaphor and kept it moisturized and clean throughout. Nothing has worked or even made a slight difference. I get the constant tingling and it is not super painful but I can feel it there as if it has not healed or subdued. My current dermatologist has suggested a biopsy but I am not sure if that is the next step. If it is not a cold sore or cannot be healed with what I have been prescribed I nor my dermatologist have any idea what it could be. How I can be rid of it? Please help. Doctor: Hi. As per your information and photographs (attachment removed to protect patient identity), I can see there is swelling and some small pus-filled rash and small scars. If it is recurrent then there are some possibilities like herpes labialis, cyclic neutropenia, neutrophilic dermatoses (localized), granulomatous cheilitis. Yes, punch skin biopsy will give a more close clue for diagnosis. Along with it, you need to do Tzanck smear from lip area, CBC (complete blood count), absolute neutrophil count, and ANCA (anti-neutrophil cytoplasmic antibody). Do you have diabetes or high blood pressure or on any medicines for the same? Or any other complaint? From your detailed information, recurrent herpes labialis or neutrophil (WBC) related skin disorder are more possible. Tingling, and pain indicate nerve fiber involvement which is more possible in herpes virus infection. For time being you can start tablet Pregaba M (Pregabalin plus Methylcobalamine) 75 mg one tablet in the morning and night after food for 15 days, tablet Prednisolone 10 mg in the morning after food for 10 days, Flutibact cream apply at morning and night for seven days, Vitamin C 500 mg one tablet at night (dissolved in water) for 15 days, and tablet Famcivir 250 mg TDS after food for seven days. Review after investigation reports." + }, + { + "id": 3320, + "tgt": "What causes bad breath even after maintaining good oral hygiene?", + "src": "Patient: Hello doctor, I have an extremely embarrassing issue with bad breath. It is not your typical \"bad breath\". It smells like dog poop, I am so embarrassed to say that, but it is true. It smells terrible even after I brush. It has affected me my whole life. Over the years I have had people consistently make comments about how bad my breath is. I have great dental hygiene; see the dentist twice a year, brush twice a day, floss throughout the day, mouthwash, etc., and nothing helps. Finally now that I am a 38-year-old woman I mustered up the courage to talk to my dentist about it and also to see an ENT doctor about it and they both have stated they do not believe it is a mouth or ear/nose/throat issue. Probably about 15 years ago I was on an antibiotic for something and it amazingly took my bad breath breath away and when I had a bowel movement the smell was not as bad either. That is also an odor issue I have, I am extremely embarrassed about my bathroom smells, I have IBS-D so it is a common thing in my life. I remember when I took this antibiotic noticing that it \"took away\" my bad smells. I had typical \"not so pleasant\" odors but nothing extreme and I could also tell in my mouth I did not have this kind of yucky taste that I commonly have. I was so relieved, but that was short lived once the antibiotics were gone. I cannot remember at all what the antibiotic was (maybe Doxycycline or Metronidazole). I am desperate for advise or help. This has effected me in so many ways in my life. I try not to get close to people when I talk and I avoid my husband like the plague when he tries to get close, I am desperate to find some help with this issue. Doctor: Hi. I have read your query and yes it seems likely that this is a medical issue and not a dental one. Since this is a long standing issue, diabetes or kidney disease seems unlikely as you would definitely have had other symptoms too by now. You already suffer from IBS which could be secondary to \"acidity\". The cause for bad breath and bad taste of mouth. Usually dietary modification and medicine are good enough for management but considering your history of breath getting better with antibiotics, you should get tested for H. pylori, a bacteria causing gastritis. If positive for it, follow up for a proper antibiotic course. Also, not to neglect other causes, do get CBC, HbA1C and B/Urea and S/Creatinine tested also. In the meantime, avoid spicy, oily or rich in proteins foods. Increase carbohydrates and use yoghurt if you cannot tolerate milk. Elevate head end of bed. Walk at least 15 minutes after dinner. Do not lie down til 1 hour post meals. Drink fluids with meals to decrease acidity. Eat dinner 2 hours before bedtime. Eat smaller portions for ease of digestion. Simultaneously, using Omeprazole 40 mg at night will improve things." + }, + { + "id": 14426, + "tgt": "Can Metpure-XL be taken by a sinus bradycardia patient?", + "src": "Patient: Hello doctor, I have been a high BP and sinus bradycardia (heart rate of 52) patient for the last four years. I used to take Metpure-XL 25 mg after breakfast based on my cardiologist's advice. For the last six months, I was having headache and confusion plus slightly increased urination. Last week, I visited another cardiologist who checked my BP. My BP was very high i.e. 175/105. He asked me to start with Telma 40 mg and Metpure-XL 50 mg after breakfast. I did all types of blood tests. My uric acid is slightly elevated at 7.8. Vitamin D is deficient at 10. All the other tests like the lipid profile, renal tests, LFTs, sodium, potassium, and blood sugar are alright. My headache is gone after taking new medicines. However, I am feeling bloated most of the time. My questions are 1. Is bloating a side effect of Telma 40 mg? Can you advise another medicine? 2. Is Metpure-XL 50 mg advisable in sinus bradycardia (a heart rate of 52)? Please assist me with next course of action. Doctor: Hello. Hope this helps you and you can get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15696, + "tgt": "My mouth is always filled with saliva. What can I do now?", + "src": "Patient: Hi doctor, My mouth is always filled with saliva within two minutes. I have this problem for three years. What can I do now? Please suggest. Doctor: Hi. Excessive saliva production or hypersalivation can occur due to two reasons. It occurs due to an increased saliva production and due to reduced swallowing of saliva. Saliva overproduction can occur due to many causes like oral and throat infections, oral ulcers, acid reflux, excess starch consumption, due to a side effect of medication like Clonazepam, Pilocarpine, Ketamine, a toxin exposure, and serotonin syndrome. Decreased swallowing can occur due to throat pain caused by the infection, tonsillitis, and nerve damage. You should consult an oral physician and get evaluated. A thorough checkup will help in confirming the cause and treatment of the cause will solve the problem. As of now, you can use mouthwash frequently and brushing the teeth has a drying effect in the mouth." + }, + { + "id": 16719, + "tgt": "Can breastfeeding cause jaundice?", + "src": "Patient: Hi doctor, Our baby is\u00a016 days old and is suffering from jaundice. Both mom and son have same B positive blood group. TSH level is normal and vitamin D oral drop is given. I have attached the bilirubin test report for your reference. Does breastfeeding affect jaundice in any way? Please advise us. Thank you. Doctor: Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Revert back with the report to a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13759, + "tgt": "What can be done for painful hard lump with pus discharge on labia minora?", + "src": "Patient: Hello doctor, Painful and hard lump, growing larger day by day on labia minora. Trouble walking and sitting due to discomfort. Red and hot to the touch. Due to friction when walking, it started seeping pus with a little blood. Drained a lot and lump became smaller and slightly less painful, but the lump is still there and still hard to touch. Doctor: Hello. This is left sided labial abscess. Get incision and drainage along with that, the pus should be sent for culture and sensitivity. In the meantime broad spectrum antibiotic like Ampicillin with Clavulanic acid 625 mg three times a day for seven days along with anti-inflammatory medicine. Mostly infected. Pus for culture and sensitivity, VDRL, HIV. Labial abscess. Incision and drainage followed by antibiotic and either Diclofenac with serratiopeptidase should be taken 2 to 3 times a day for seven days." + }, + { + "id": 290, + "tgt": "What would be the reason for late periods?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend. I ejaculated on her innerwear. She immediately removed it and washed her vagina with water. Later, after a minute or two, she put on the same. This happened on the third day of her menstrual cycle and now she is over two weeks late on her periods. Can she be pregnant? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11528, + "tgt": "How to get rid of extreme fear, suicidal thoughts, and fear of failure?", + "src": "Patient: Hello doctor, I am a 38-year-old female. I have extreme fear, suicidal thoughts, and fear of failure. I am not able to concentrate on my daily activities. How to overcome all these situations? I had an aortic valve replaced through open heart surgery. I was under Nexito and Rivotril for two years after my open heart surgery. Doctor: Hello. Decrease in concentration, suicidal thought, fear of failure, and sleeplessness are features of a depressive episode. Why did you stop the medicines? Did you take the medications in the proper dose, and is there any episode similar to the illness has occurred previously? I think you should again start Nextio Fort (Escitalopram and Clonazepam) for the adequate duration, and if not improved, some second-generation antipsychotic can be added, or try cognitive behavior therapy. For sleep you can take help of sleep hygiene to wake up on fix time irrespective of sleeping hours. Avoid coffee or other stimulating agents, have a brisk walk, avoid food before three hours of sleep, and you can take a shower with lukewarm water." + }, + { + "id": 26095, + "tgt": "What is the reason for my partner's delayed period?", + "src": "Patient: Hello doctor,My partner has a menstrual cycle of 26 to 28 days. She had her periods on the 5th, two months ago. After that, she had an I-pill on the 14th. Then she again had her periods on the 28th. Accordingly, she had her periods due on the 24th of last month. But, till now she is still waiting for the periods. During the\u00a0intercourse, I did not ejaculate inside. We also did the pregnancy test on the 25th evening with the pregnancy kit, but the result was negative. Could you please tell me what could be the reason for the delayed period? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17557, + "tgt": "My periods are late by 4 to 5 days. Should I take any medicines to get periods?", + "src": "Patient: Hello doctor, I am 24 years old female. I have some issues regarding my menses.\u00a0Last month, I took Unwanted 72 on the 19th, and I got my periods on the 26th. I had sex again on the ninth of this month, but I did not get my\u00a0periods yet. So, I did home pregnancy tests, and the results\u00a0were negative. What could be the cause of this delay? Is it pregnancy or anything else? Doctor: Hi. Best wishes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27169, + "tgt": "Can mood swings delay periods?", + "src": "Patient: Hi doctor, I am a 20 year old female. I had my last period two months back, and since then, I only had little spotting last month. I am facing a bad phase due to horrible mood swings. Please help. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20479, + "tgt": "My teeth are not in order. How to correct them?", + "src": "Patient: Hello doctor, My teeth are not in order. How to correct them? Doctor: Hi. Improperly aligned teeth are said to be in malocclusion. They cause problems like difficulty in breathing, speaking, eating and might cause dental cavities also. So, orthodontic intervention is necessary. Depending upon the severity of the malocclusion, removable or fixed type of orthodontic treatment (braces) might be needed. Removable type can be taken off by yourself while eating alone, whereas fixed one will be attached to the teeth for a minimum of 12 to 18 months." + }, + { + "id": 17697, + "tgt": "Why do I have severe pain in left corner of my eye?", + "src": "Patient: Hello doctor, I have severe pain in the left corner of left eye since three months. I am a 33 year old female. I am using\u00a0Ocurest, Cyclo tear and Systane. Please help. Doctor: Hi. Revert back with the pictures to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12110, + "tgt": "Is it mandatory to wear spectacles for 1. 5 cylindrical eye power in one eye?", + "src": "Patient: Hello doctor, My 7-year-old daughter has 1.5 cylindrical power in the left eye only. She has no problem without glass. If she does not use spectacles will there be any problem in future? Doctor: Hello. I understand your concerns. This power of 1.5 cylinders although relatively small, needs to be adequately corrected. You see, each part of our body is dependent on our users for its development. The part we use the most tends to develop more, and the area we do not use tends to under develop. The same situation is with our eyes, suppose during our developmental stages between 0 to 12 years, if there is a disease which causes us not to see far away objects, our brain, and optic nerves adapt to this and never develop the ability to see far away objects as clearly as ordinary people do. In spite of our best efforts at a later stage, she may never be able to improve. So please make sure that she always keeps her glasses on, apart from of course while sleeping. Also regularly follow up with your ophthalmologist (at least once a year). As she grows up, there are numerous ways she can avoid wearing glasses starting from contact lenses to refractive surgery. But for now, Please instruct her to keep her glasses on continuously. I hope this clarifies your doubts." + }, + { + "id": 923, + "tgt": "I have right-sided head, neck, and shoulder pain. Please suggest treatment", + "src": "Patient: Hello doctor, I am a 27-year-old female. I have pain on the right side of the head, neck, and shoulder. Please suggest. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from right-sided head, neck, and shoulder pain. Most head, neck, and shoulder pain is resulted from sprains and strains by incorrect posture or mechanical injury due to daily works. It may result from soft tissue injury (including muscle, tendons, ligaments, etc). Again nerve injury of these area can produce head, neck, and shoulder pain. Displacement of cervical disc can produce same type of symptoms known as herniated or prolapsed disc. Rotator cuff tendons hold your arm with shoulder and rotator cuff tear which is caused by sports or overuse can produce head, neck, and shoulder pain. Inflammation of tendons (tendonitis) or bursa (bursitis) of these areas also can produce the same type of clinical symptoms. Again heart attack, angina, stroke, cervical artery dissection, etc., can present the same type of clinical symptoms. Treatment depends on causes. So you should undergo some investigations like an x-ray of cervical spine, CT scan or MRI of cervical spine, RBS (random blood sugar), CBC (complete blood sugar), USG (ultrasound) of the hepatobiliary system with blood pressure monitoring, etc., to find out the underlying the causes which are responsible for your suffering and then treat them accordingly. For your head, neck, and shoulder pain you can take Naproxen plus and Esomeprazole combination (twice daily) with Baclofen (twice daily) with calcium plus vitamin D combination (once daily). Please inform me of the results after undergoing the investigations and then I will be able to help you further." + }, + { + "id": 7267, + "tgt": "What could cause foreign body sensation in the eye?", + "src": "Patient: Hi doctor, I am a 43 year old male. I did not have any eye problem until I went to the eye doctor to get a regular eye checkup. I am always on the computer and watching television. Also, I work as a clerk and receiving goods in the computer. I have been doing this for the past 15 years with no eye problem. When I visited the eye doctor, she gave eye drops in my eyes. Then, after some time, she dilated my eyes and looked inside. She said that my vision is perfect and nothing was found. After my eyes started to wear off from the eye drops only my left eye clear up and the right eye was still blurry and one to two days later that right eye started paining like pressure. Then, I started to feel like something in my eyes. I had a\u00a0feeling of a foreign body sensation or object. I went back to the eye doctor. She took a look inside both eyes and also checked the pressures on both eyes. She said everything looks fine. I went to a medical doctor and had a scan of the eyes and no problem found. My eyes feel so dry even in the mornings. My right eye is twitching and that feel worst like it is sticking to my eye when it twitches while blinking as if it is so dry. I am using Systane eye drops, but I do not think it is working for me. Please help. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20764, + "tgt": "I have been detected with a tuberculosis lump. How long it will take to dissolve?", + "src": "Patient: Hi doctor, How long should I take treatment to dissolve a tuberculosis lump? I have been detected this lump two years back. I showed it to the doctor where I was asked to take RHE-FD for two months which got extended to three months and stopped but the lump was not completely dissolved. Then again I got another lump near neck a year back and I again started the medication, which is still continuing. Within which I got the third lump and was operated and after culture test all the reports were normal. I was about to stop the medicines but the first lump now has become little big and now the doctor has asked me to have R-Cinex 450 for three months and stop RHE-FD. The lab tests performed were FNAC, histopathology, culture TB MGIT & identification. I just want to know that is this the symptom of a serious issue? Please suggest me a good suggestion as I am now fed up with it and want to get out of it. Doctor: Hi. Any anti-tuberculosis regimen has to be taken for a minimum of six months for pulmonary tuberculosis and nine months for extrapulmonary tuberculosis. Your tuberculosis appears to be extrapulmonary. There is no indication to stop treatment after three months even if tests are negative. I would advise you to visit a good pulmonologist and get yourself checked for drug resistance and restart anti TB treatment. Tb is completely curable if proper and complete treatment is taken. So, do not worry. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 29095, + "tgt": "Can I take Prednisolone for asthma?", + "src": "Patient: Hi doctor, I have recently been diagnosed with sever adult asthma. I am waiting for my allergy assessment. I am on Singulair, Nebulizer four times a day (helps for an hour or so), three inhalers and nothing works. The only thing that makes me feel normal is Prednisolone. What can I do? I know I cannot take Prednisone forever, but it is the only thing that makes me feel normal. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17032, + "tgt": "Please suggest natural ways to shrink an ovarian cyst", + "src": "Patient: Hello doctor, I have a 6 cm cyst in my left ovary. From the last one week, I am taking\u00a0Kalachi Kai\u00a0as I read that it helps shrink the\u00a0cyst. An 18 cm cyst was removed through a laparoscopic treatment two years ago. Please tell me how to get rid of the cyst as well as prevent new ones. Doctor: Hello. I read your query. For an ovarian cyst along with Kalachi Kai, start taking the following medicines: Try these regularly and you will see positive results very soon. Follow up after two or three weeks regarding improvement. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12976, + "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": 26403, + "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": 2558, + "tgt": "After punching a wall, my knuckles and fingers hurt with swelling. Please help", + "src": "Patient: Hello doctor, A couple of days ago, I punched a brick wall. After the punch, I felt a very sharp pain in my entire hand, like a throbbing pain. About 30 minutes after, my hand was still hurting and when I would try to make a fist, my pinky and ring finger would not go all the way. My pinky also felt very numb. I could not feel it. Now my pinky and ring finger knuckles are badly bruised and swollen. I can make a fist and move my hand but it hurts. Every time I try to make a fist, it feels like a huge amount of pressure is being put on my pinky and ring finger knuckles. It also hurts a lot when I touch them to the point where I cannot touch them. Finally, I have pierced skin around and on the bruise. I am simply not sure if I have bruised the knuckle or if it is something else. So would it be worth going to see a doctor? Doctor: Hello. Sorry to hear about your hand. I think the bruise you mentioned could be because of any bony injury or just soft tissue injury. But it would be worth to get an x-ray of the hand to rule out a fracture. The mechanism of injury you mentioned might cause something called boxers fracture (fifth metacarpal fracture). If x-ray comes out clear then you would just need to ice your hand and keep it elevated when you go to sleep by using a pillow. Also, use regular pain killers. If it is broken then it needs to be looked at by a hand surgeon." + }, + { + "id": 10050, + "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": 9015, + "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": 10591, + "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": 1283, + "tgt": "What can cause bloody diarrhea and vomiting?", + "src": "Patient: Hi doctor, From yesterday, I am suffering from loose motions and vomiting. I do not feel fever, but, whatever I eat, I feel it is in my throat. I feel vomiting sensation. I feel very weak, drowsy and not able to do my normal work. Also, felt left side shoulder and chest discomfort. My age is 31 and I do not have any bad habits. I have high triglycerides around 345 and other lipid levels are normal. For the past two years, my triglycerides are in this range only. I\u00a0have taken Pantop 40 mg, some tablets for stopping motion and Nicip pain killer for left side chest and shoulder pain. I feel tightness also, but doctors confirmed it is not a heart problem, Three days back, I ate sweets and since then I feel very discomfort. Four months back, I have undergone ECG, TMT and other tests which showed all normal. Kindly do the needful. Thank you. Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20989, + "tgt": "Should I need amniocentesis?", + "src": "Patient: Hi doctor, A five month period of pregnancy has been completed for me. I had a screening test for Down's syndrome which came positive with a risk of 1:69. Should we need to do a diagnostic test which is amniocentesis? What will be the percentage after birth if the amniocentesis test is negative (It means that there is no Down's syndrome)? Please see the attached report. Please advice. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Usually, quadruple test is done at 16 to 18 weeks. Sensitivity at 19 weeks is doubtful. Amniocentesis is a good diagnostic test. It will be a confirmatory test, and you can be relieved for the rest of pregnancy. This is the most reliable test. Also, you can do a good anomaly scan by a fetomaternal specialist. They can diagnose any abnormalities if present. Each test has a specific time, and if it is taken at a different date, the result may vary. But amniocentesis is the most diagnostic test. I do not think there are abnormalities." + }, + { + "id": 17020, + "tgt": "My face is looking very uneven after laser treatment. Is it hypopigmentation?", + "src": "Patient: Hello doctor, I had taken 3 peel and 3 lasers (Q-switching) for skin lightening. I have dark skin. After the treatment my cheeks have become very fair and it does not get tanned also. However the rest of the face is still dark. It has developed after the Q-switching session. I want to know is this hypopigmentation? Is it going to be permanent? My face is looking very uneven now. Currently, I am using DesOwen cream. Please help me understand. Doctor: Hi. It is post-inflammatory hypopigmentation. In most cases it is temporary and will automatically revert back to normal in few weeks and sometimes in few months. If possible please do upload the pretreatment photographs for further evaluation. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6064, + "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": 1310, + "tgt": "My persistent heartburn has not healed even after taking medicines for more than 1 month. Why?", + "src": "Patient: Hi doctor, I have persistent heartburn related symptoms for the last four to five months. I visited a gastro and he prescribed me medicines for 14 days. My conditions got better but not fully cured, so I was given another 14 days of medicine (including a proton-pump inhibitor). Soon the lockdown kicked in and I went back to my home. I meanwhile took Ayurvedic medicines for a month here. While it has reduced the duration of heartburn episodes, the problem has not gone yet. For the last month, I have mild heartburn (pain in chest) for 20-60 minutes in a day (spread across three to four intervals). 14/30 days my throat felt different. 7/30 last days had acid refluxes. But heartburn occurs daily. I have tried varying my diet, but have not found any significant changes. Is this a cause of concern that despite having medicines for 42 days, I still have mild heartburns occurring daily? What should I do? How long will it take for a medicine to show the effect? Should I continue the course and if so, for how long? And if yes, does prolonged usage of medicine have side effects? Or if left untreated, do they have side effects? I took Somproz initially for four days, Lesuride-25, and Deltone for 14 days, and for the next 14 days I took Lesuride 25 and Nexpro 40. Doctor: Hello. You have briefly and well described your history, and I understand that you have very genuine concerns. So, the problem you have is called gastroesophageal reflux disease (GERD). This is basically reflux of acid from the stomach to food pipe causing heartburn, sore throat, sometimes cough, and shortness of breath. Our stomach produces approximately 1 liter of acidic juices to help digest food. The acid produced does not usually come into food pipe unless someone has loose sphincter at the lower end of our food pipe which prevents acid refluxing into the food pipe. There are two further classifications of GERD. PPI responsive GERD, and PPI refractory GERD. Your symptoms suggest that you have PPI (proton pump inhibitor) responsive GERD since your symptoms are significantly improved when you are taking PPI. Even in PPI responsive GERD the symptoms may not completely vanish but are declined to a reasonable level and this may be in your case. For this, you just need to increase the dose of PPI. Instead of once daily dose, you can start taking it twice a day before meals. The rest of your symptoms like sore throat will go away once your acid reflux is suppressed well. Diet may or may not affect the GERD. However, there are certain precautions that you can do to prevent heartburn. Avoiding large volume meals, instead, take small but frequent meals. Avoid taking large meals at night or before going to bed. Give at least three to four hours gap after night meals before going to bed for sleeping. Raise the head end of your bed by placing a cement or wooden block down the head side of your bed. Or there are commercially available anti-reflux mattresses that can be used instead. Avoid wearing tight-fitting clothes and belts. So your concern about the presence of symptoms despite 42 days of treatment is valid, but you see the acid is produced daily, and the medicines can decrease the acid production for the duration of time they are in the blood, once the level of the drug declines from a certain point, the acid production takes over back. So taking a daily pill to control your acid production is the only effective way of treating your condition. No long term use and side effects. Well, all PPI are relatively safe and do not cause significant side effects if taken for years and years. However, there are studies that have shown renal damage, bone protein loss, and aspiration pneumonia but in practice, these side effects are not that common as elaborated in studies. The one daily pill to control your acid and prevailing a normal lifestyle is much more important than unforeseen and often unestablished side effects from long term use of PPI. I would recommend if PPI helps you to do well then there is no reason for stopping for the sake of unforeseen complications. But if you still have a concern about the long use of PPI, then I would recommend you to get PH-impedance 24 hours testing to confirm GERD, and if present then PPI again is the therapy, but if the test comes out negative, then PPI can be stopped.I hope this helps. PPI responsive GERD. Ambulatory 24 hours PH-impedance testing. Non-erosive reflux disease. GERD. Tablet Pantoprazole 40 mg before breakfast. You can increase it to 40 mg BID before meals. Follow up if want to discuss more." + }, + { + "id": 5436, + "tgt": "I am having pain due to ruptured ovarian cyst. Does it need an emergency surgery?", + "src": "Patient: Hello doctor, I was seen over the weekend at the ER. They did a CT scan and saw an ovarian cyst that they believed wrapped around the ovary and ruptured. They also saw liquid in the uterus. I have only one ovary as this has happened before years ago. They thought it was an emergency and were prepared to do emergency surgery, but they did an ultrasound both normal and pelvic to be sure. I ended up not needing emergency surgery and was sent home. I called the next day to try to visit a gynecologist for this as I am in all sorts of pain. Since I am not an established patient, they are waiting for a cancellation to get me in, as they are currently booked till two more months. UntiI this I cannot wait. I am in so much pain it is unreal. Medically speaking is this an emergency? Should I go back to the ER? I am currently taking Norco, Tramadol, and prescribed anti-nauseous medicine. Doctor: Hello. The fact that there is a large ovarian cyst which has invariably made the ovary bulky and the presence of acute onset of pain in the lower abdomen which if waxing and waning type may indicate a possible torsion of the ovary which is common in the presence of large cysts and is definitely an emergency. It would be better to rule it out with a doppler study first in which tortious blood flow may be evident. It is always better to consider ovarian torsion and deal with it first as the rest of the concerns can be managed symptomatically but not torsion which can cause acute loss of blood supply to the only ovary now and can cause damage and gangrene later. So it would be best if you would report to the ER asap. Torsion ovary, acute PID (pelvic inflammatory disease), acute cyst rupture. Doppler USG (ultrasound) urgent or laparoscopy. Acute PID (pelvic inflammatory disease), Torsion ovary. Ovarian torsion." + }, + { + "id": 5987, + "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": 30981, + "tgt": "What to do for gas problem?", + "src": "Patient: Hi doctor, I often have gas problems. I work in the night shift. Whenever I eat, gas is formed. Sometimes, the back part of the neck starts aching. Also, I feel dizzy sometimes. What to do? Doctor: Hi. For further doubts consult a an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1104, + "tgt": "Why do I have pain in anus while passing stools and a lot of blood loss?", + "src": "Patient: Having pain in anus as well as difficulty while passing stools. huge anount of blood loss. Doctor: Hello. I welcome you to icliniq. First of all try to reduce your weight. At most times, it is the obesity which has been causing problems. The bleeding while passing stools can be secondary to anal fissure, hemorrhoids, rectal ulcer due to difficult defecation. For better clarification and confirming the diagnosis I need to know more about your symptoms- such as how exactly the amount of blood it is? Does blood form a streak over the sides of poop? How painful it is while passing stools? and does it causes pain or burning even after 1 hour of opening your bowel? and Do you have constipation? No. of stools in a week? If you could answer me for above question, I would be in better position to tell you what it is exactly. Considering a possibility of anal fissure, I recommend you to apply Diltiazem gel 2 % over the bottom with a finger 3 times daily, and start taking ispagol husk 2 table spoon full in glass of water daily irrespective of constipation or not. Take at least 2 to 3 liters of water/fluid daily. Reduce weight by brisk walking 150 min/week and reduce caloric intake. As mentioned above Mentioned above As mentioned above" + }, + { + "id": 21077, + "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": 30908, + "tgt": "Why does it take a long time to get the effect of general anesthesia?", + "src": "Patient: Hi doctor, I have been told many times following surgery that it took a long time for me to get the effect of anesthesia. I even remember some anesthesiologists getting upset with me as it was taking so long and the attending nurses defending me. Last time during my surgery, I spoke with the anesthesiologist before the procedure about this issue. He assured me that he had many ways to make certain that I would get the effect easily and he could monitor it well. After the surgery, he made a point to come to me and said that I was correct. I took a long time to get the effect of anesthesia. I have been told in the past to breathe differently or more deeply when the mask is on, but this does not make a difference. A few years ago, when I was having a procedure, the anesthesiologist asked me if I wanted light anesthesia. I had never been asked this before. I asked her suggestion and she said she would go with the light anesthesia. Unfortunately, I woke up during the procedure and it was very unpleasant. So, what are all the possible reasons for a person taking a long time to go under anesthesia? When I was younger, this was not an issue. This began when I was approximately in my mid 40s. I am a postmenopausal woman. I am not taking any supplements or medications other than a multivitamin. Doctor: Hi. For further doubts consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 7686, + "tgt": "I cannot read anything. How to reduce my eye dryness?", + "src": "Patient: Hello doctor,What must I do to reduce my eye dryness? I cannot read anything for a long time. Please help. Doctor: Hello. Dryness is a prevalent complaint encountered in your place because of climatic variation, dust, and prolonged use of a computer. Sometimes dryness is associated with convergence weakness of eye muscles. If you are a computer user then better take frequent breaks preferably after every 20 minutes for say about two minutes. If you travel a lot then use protective UV goggles. Better to get your tear formation checked by an ophthalmic surgeon on Schirmer strip and check for the wetting of strip. Normal is 25 mm degree of severity of dryness depends upon the maximum limit of wetting of strip in five minutes. Also please get your fusional range checked for muscle weakness so that necessary eye exercises can be advised accordingly. Also, get your refraction done so as to be sure you do not have a refractive correction. A minor cylindrical error can also disturb while reading. Dryness associated with convergence weakness. Use lubricating eye drops. A very good lubricating eye drop is Systane Ultra (Propylene Glycol) which is needed to be used at least four times a day for a month by the meantime get you investigations done and revert anytime. Avoid prolonged computer use, dust. Use good light while reading preferably a table lamp. Use protective UV google while going out." + }, + { + "id": 18341, + "tgt": "How can we manage constipation and anal fissure?", + "src": "Patient: Hi doctor, My mother is 48 years old. She is suffering from constipation with an anterior anal fissure for the past 10 years. Her TSH value is 7.01 mIU/L. She is taking two tablets of Bisacodyl BP 5 mg during night time every day. Now, I would like to know any suggestion from your side. Doctor: Hi. The anal fissure can be painful, and it can lead to constipation. The USG (ultrasonography) abdomen scan should be done to rule out any organic cause if present. A stool softener like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide) can be prescribed. As the fissure is present for a long time, she needs surgical management. For proctoscopy examination and operative management, you have to consult a surgeon. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2948, + "tgt": "Is it necessary to replace my tooth crown after 9 years?", + "src": "Patient: Hi doctor, I am 24 years old. I had my tooth crowned before nine years. I have no problem with it, but a dentist wants me to get a crown replacement. I do not even feel any discomfort. Is it necessary to replace? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7694, + "tgt": "We have failed four IVF cycles due to endometriosis and adenomyosis. Please suggest Siddha medicines", + "src": "Patient: Hello doctor,My wife is suffering from endometriosis and adenomyosis. We had four failed IVF cycles, and the doctor is saying it is due to adenomyosis. Please let me know the Siddha treatment for this. Doctor: Hello. No one understands the difficulties of endometriosis expect the sufferer. I may request you to strictly go for IVF (in-vitro fertilization) as the uterus has adenomyosis and fibroids. Considering your age, IVF protocol with an experienced doctor may give the baby, that is the first goal now. After getting a baby, herbal medications can be taken continuously for many months for gynecological issues. Suppose, if you want to give a gap before the next IVF procedure, then I suggest the following drugs to prepare the uterus and to reduce the inflammations so that the success rate will be relatively more. a) Tablet Turmeric 100 (two in the morning, two in afternoons, and two in the night after food). b) Capsule Nandhi Mezhugu 100 (morning one and night one after food. This capsule should be put on the mouth after which a cup of buttermilk should be taken). c) Tablet M2 Tone 100 (two in the morning, two in afternoons, and two in the night after food). You continue these Ayurvedic and Siddha drugs until the next IVF procedure starts. You stop these drugs once Allopathy injections started for IVF. These drugs will reduce inflammation, fibroid size, and improve the health of the uterus. You may ask nearby Ayurvedic medical shop to get these drugs for you." + }, + { + "id": 30062, + "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": 2846, + "tgt": "What causes dull headache that does not shift?", + "src": "Patient: Hello doctor, Three weeks ago, I had headache in late night. I managed to sleep, but it was still there in the morning. It was unilateral headache\u00a0on the left side of my head. Pain is in my temporal area which sometimes radiates across my cheek and even down my jaw, as well as on the top left of my head. I have occasionally felt discomfort on my chin too, almost like a bruised bone feeling when pressed. The pain subsided with Paracetamol and Ibuprofen, but returned the following evening. Medication no longer had any effect on it. After a week of non-stop pain, I went to my doctor. He could not work out why I was having the pain when I have absolutely no other symptoms. I feel fine other than the pain. He sent me to other hospital for further evaluation. My bloods were taken and came back normal and I passed all of the doctor's strength, reflex and cognitive tests. It was a mystery to him too. He referred me to a specialist who said it was likely a benign tension headache and I was discharged. While the pain is not generally as bad as it was, it is still there every day. I get a few moments of pain every now and then, as well as head pressure. But, some days the pain lasts all day, a dull ache that does not seem to shift. The most annoying part of is that within a minute of my head hitting the pillow at night severe pain suddenly kicks in my left temporal region and back of the head. I could not sleep without taking medication. At home, I have tried three different pillows, yet I still get pain. The only medication I take for it is a combination of Paracetamol and Aspirin. I am currently taking it each night about 30 minutes before bed to ensure the pain will not kick in. If I do not do this I simply cannot sleep. I do not want to be reliant on these pills or take too many, so I am trying to limit myself to just two of each before bed.\u00a0I still have no other symptoms other than the unilateral pain and pressure. I do not suffer with migraines and do not feel anxious or stressed at the moment. The only anxiety I have recently felt was during hospital visits as my pulse rate went a little high, but returned to normal later. Is it really a tension headache or something else? I must stress that despite days where the pain has subsided; the discomfort has been constant throughout. I am always conscious of it. Please help me out of this. Thank you. Doctor: Hello. My main concern here would be trigeminal cephalgia, the most common being trigeminal neuralgia. Trigeminal neuralgia is a sharp shooting unilateral headache that becomes extremely worse with nerve irritation that could be caused by shaving, brushing (hair or teeth) or any one touching the scalp or wearing cap. The other important fact could be medication induced headache (extremely common); it happens if you are using painkillers for 15 to 30 days a week. 1. MRI of the temporomandibular joint (TMJ) to rule out TMJ arthritis. 2. MRI of the brain. 3. NCS (nerve conduction studies) and EMG (electromyogram). Trigeminal neuralgia. Gabapentin 300 mg three times a day. Start from 300 mg at bedtime and increase it to three times a day for one or two weeks as tolerated. Avoid any irritation to the scalp. Revert back after a month with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28339, + "tgt": "My 4 year old daughter's tooth is infected and paining. Is it necessary to get it extracted?", + "src": "Patient: Hello doctor,My 4 year old daughter got a cavity filled a month back. But now, she is complaining that the same tooth is paining, and there is a big swelling around the infected tooth. So, we went to the dentist, who gave her antibiotics for seven days. He wants to extract the infected tooth, and he took many x-rays of the tooth. Is this the common course of action? If antibiotics work well and the infection is healed, is removing the tooth necessary? Thank you. Doctor: Hello. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29006, + "tgt": "I cough up a lot of phlegm and get a stabbing pain in my lower left back. Why?", + "src": "Patient: Hi doctor, I am a male weighing 76 kg and 5.10 feet tall. Since the past month, I have been having issues with my chest. When I wake up in the morning, I cough up a lot of clear and white phlegm and get a stabbing pain in my lower left back. I am suffering from loss of appetite and often fall short of breath. I feel tired most of the time. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17384, + "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": 23927, + "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": 761, + "tgt": "My estradiol level is low. Will taking DHEA help in increasing the same?", + "src": "Patient: Hello doctor, I had a miscarriage two months ago resulting in a Dand C at 10 weeks. I am now pregnant (4 weeks and 3 days) and taking 400 mg Progesterone suppositories once per day due to low progesterone levels both in the last pregnancy and in the weeks leading up to the confirmation of this pregnancy. However, my doctor has told me that my estradiol is very low, and that is concerning me. My results so far: 14 DPO Hcg 69 U/L Progesterone 77 nmol/L Estradiol 220 pmol/L. Two days later: 16DPO (yesterday), Hcg 129 U/L, Progesterone 75 nmol/L, Estradiol 239 pmol/L. Is my pregnancy doomed because of my very low estradiol? I was hoping my doctor would prescribe estrogen medication but he does not seem to think that would be an option. Why would he decide that? Do you think estrogen supplementation would help? Instead he is having me take 25 mg daily of DHEA. Do you think this will help and is it safe to take in pregnancy? Will eating foods high in phytoestrogens e.g. soy help increase my estradiol? Also, do you think my low Hcg levels are a bad sign? At 12DPO they were 15U/L so they increased rapidly to 69U/L on day 14 but then slowed a bit to get to 129U/L on day 16. I am due for another blood test tomorrow. I really do not want to lose this pregnancy, but these low numbers are making me worry. Doctor: Hello, Welcome to iclinq.com. I saw your concern. The normal levels of estradiol in early pregnancy can vary from 188 to 2400 pmol/ l. Similarly, progesterone can vary from 12 to 90 nmol/l. HCG (human chorionic gonadotropin) has doubled, which happens only in a healthy growing fetus with good trophoblastic activity. Do not worry much about estradiol, it has no big significance in treating previous early miscarriages. Everything looks normal. Continue progesterone for luteal support and prenatal vitamins as prescribed. Above all stay positive and confident." + }, + { + "id": 28880, + "tgt": "What herb should I take to prevent heart disease?", + "src": "Patient: Hi doctor, I am a 38 year old male. My weight is 80 kg \u00a0and I am trying to lose some of it. My height is 5'9\". I was hospitalized with sudden and severe onset of diabetes\u00a0in 31. I am taking Insulin to control it. I also take Enalapril for high blood pressure. In most of my life, I have been overweight. Because of all this, I think I am at an increased risk of developing heart disease. I have been thinking of taking Arjuna, but I am not sure whether it will significantly reduce arterial plaque build up. If Arjuna is not the answer, what herb should I take for removing plaque? What about Hridyamrit? Currently, I am taking Chyawanprash and Shilajit. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24164, + "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": 3432, + "tgt": "Why do urinary incontinence more prevalent during pregnancy and menopause?", + "src": "Patient: Hello doctor, I would like to know about urinary incontinence in women. Why is urinary incontinence more prevalent in women? Why do pregnancy and menopause contribute to incontinence? Doctor: Hello. Female, unlike men, have short urethra and less effective urinary continence systems than men as a part of normal anatomy. Female normal continence is dependent on normal sphincter anatomy, normal vaginal anatomy, and pelvis muscle strength. Thus any factor causing changes in the above-mentioned area can lead to incontinence. After vaginal birth delivery, it is a normal process that the pelvic floor muscle becomes lax thus support system of bladder is reduced. This leads to hypermobile urethra and defected continence system. So problem like stress incontinence, urine leak during increase abdominal strainings like cough and sneezing, are increased and are typically common in elderly women with a history of vaginal delivery earlier. After menopause, the loss of estrogens in the body can cause vaginal atrophy which leads to less urethral support and is again one of the causes of incontinence in women. It is important to diagnose the cause of incontinence so that treatment can be individualized. Sling surgery, trans obturator tape, trans vaginal tape, are few surgical modality where support is given to bladder neck and urethra respectively thus improving the continence." + }, + { + "id": 9890, + "tgt": "My friend had a spinal injury and walked after that, but passed away after two days. Why?", + "src": "Patient: Hello doctor, A friend of mine, who was in his 80's, had a fall in his garden and as a consequence fractured his neck and died from transection of the cervical spinal cord. I will explain what happened.He was in his garden, on a cold winters day, standing in a ditch, that was not deep or wide when he tripped over something and fell backward onto his back. The surface he landed on was not hard. He was lying in the ditch and could not get up despite trying. I found him lying in the ditch for one and half an hour after the fall. He was trying to get up out of the ditch, and he could raise his head off the floor and his upper body slightly but not pull himself upright and out of the ditch. He wanted me to pull him up and out of the ditch. First of all, I assessed what injuries he thought he had, he had no pain in his head, neck or back, but thought he had broken his arm after smashing it against the side of the ditch as he landed. I decided not to pull him up in case he had any other injuries, so I phoned for the ambulance. While waiting for the ambulance to arrive, my friend said he had a strange tingling sensation in his legs. A paramedic arrived first before the ambulance, and he assessed my friend for any injuries. The paramedic then decided to get my friend out of the ditch, and as he was trying to get him out of the ditch, my friend said he could not feel his legs despite being to move them. The paramedic eventually got my friend out of the ditch and sat him down on a seat. The ambulance arrived, and instead of escorting my friend into the ambulance on a stretcher, the paramedic walked my friend into the ambulance. My friend walked from his back garden, down some small steps, and a sloping drive into the ambulance, covering a distance of about 40 meters. His arm was in a sling, and he was walking at a steady pace, but from what I saw, the balance was normal. It was when he was taken to the hospital that he was diagnosed with a fractured neck and died a few days later from transection of the cervical spinal cord. There was an inquest into his death, which I could not attend, where there was a verdict of accidental death. There are some questions I would like to ask about his injuries, please. He had no close family, so I can not ask them, and the coroners service can not give me any information because I am not related to him, and it is confidential information.So I would appreciate it if you could answer these questions, and I would particularly I like to know if there was any more I could have done to help him. The questions are, (1.) Did the fall cause the transection of the spinal cord the moment he fell and fractured his neck? (2.) If that was the situation would he have not survived even if I found him straight after his fall, and not 1 to 1 1/2 hours later, and also if he was kept immobilized and not walked after the fall would it be the case he would not have survived. (3.) Or would the fall have not caused the transaction of the spinal cord the moment he fractured his neck, and it was the period after the fall when lying in the ditch and moving around trying to get himself up that may be an unstable, broken bone in his neck struck his spinal cord and severed it? (4.) Or would the fall have only caused a slight spinal cord injury and if I found quicker and he was kept immobilized he could have survived? (5.) While waiting for the ambulance to arrive my friend said he had a strange tingling sensation in his legs and also when the paramedic was trying to get him out of the ditch, my friend said he could not feel his legs despite being able to move them, were the signs he had a spinal cord injury at that time? (6.) If my friend had severe injury his spinal cord when he fell or the time afterward, how could he have managed to walk into the ambulance 2 to 2 1/2 hours after the fall? (7.) Would it have been the walking that caused the most damage to his spinal cord? (8.) Can a person with a severed or partially injured severed spinal cord walk? Doctor: Hello, Welcome to icliniq.com. 1. Yes, the fall seems to be the cause of the fractured neck and the damage to his spinal cord (attachment removed to protect patient identity). 2. Nothing would have changed if you found him one or two hours before. 3. I think that the fall caused the vertebral column fracture. Then, during transport to the hospital, the instability of the vertebral column has to lead to compression of the spinal cord, probably due to a wrong posture. 4. As he had tingling in his legs and could not feel them, these are signs of a spinal cord injury, probably in the posterior part where the sensory columns lay. A person with partial spinal cord damage can walk if the motor pathways in the anterior spinal cord are not damaged. But there is no way to know if he had broken his neck because he had no neck pain. So, it seems that this was a fatal injury. He should not have walked, but even if this did not happen, I am not sure if he could survive. You should know that the most important thing after a spinal cord injury is the swelling of the spinal cord, which increases in size in the next days. That is why his situation worsened the following days. You should know that the respiratory heart nerve pathways and lay on the cervical spinal cord. So, probably as the spinal cord has been swelling in the next days, it has affected this area, causing his death. There is no way to predict that if something changed in the management of the situation, it would make him live. This is because cervical spinal cord injuries have a high mortality rate and poor outcome. I hope you will find this information helpful. If you have any other questions, please do not hesitate to ask me again." + }, + { + "id": 3236, + "tgt": "Why do I have some weird urge to move my legs at night?", + "src": "Patient: Hi doctor, I am 20 years old and struggling with my health right now. I went to doctor and he asked me to get certain tests. I have been vomiting since four months, but most of the time while travelling in the metro. Though I have been traveling through metro since many years, never faced such problem. The fluid that I throw up is clear like water. Two weeks ago, I had mild abdominal pain which roughly lasted for three days. I have lost my appetite and it is resulting in weight loss. I feel weak and tired most of the time. My hand and leg sometimes due to headache or abdominal pain get really cold. What could I probably be suffering from? What am I dealing with? Please help. Doctor: Hello. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19178, + "tgt": "My fiancee had two I-pills within 10 days. Was that necessary?", + "src": "Patient: Hi doctor, My fiancee was undergoing her menstrual cycle between 30th of last month till the third of this month. We had an unprotected intercourse during that time, and she did not take any contraceptives. Two weeks later, on the 16th of this month, we had unprotected sex again. This time she took an I-pill. We again had an unprotected intercourse between 23rd to 24th of this month. Due to fear, she had another I-pill on 24th of this month. I request you to address the following queries: 1. Was it necessary for her to take an I-pill on 24th of this month despite taking it on 17th of the same month? 2. Do you advise that she should have received an I-pill post intercourse on the third of this month when she just finished her menstrual cycle? 3. She experienced light spotting on the 23rd of this month. Could these be the symptoms of the upcoming menstrual cycle (due by 30th of this month)? We will appreciate your answers. Thank you. Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9915, + "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": 1662, + "tgt": "There are mucus and blood in stools. Why?", + "src": "Patient: Hello doctor, There is white mucus layer on stool, actually I am suffering since last month. There were two drops of blood after stool had passed and after 5 days at night I had stool with mucus and the next day I went to washroom four times with mild pain in abdominal and I went to the doctor he prescribed me Ciplox TZ, and Vyzilock and one medicine for acidity and after two days because of mild pain I went to meet a specialist, he also prescribed one pro-biotic capsule of dr. ready, one tablet for acidity and shine 10 and after 15 days, I was again suffering with diarrhea, went to washroom 15 times and recovered myself and again after a few days I was again suffering with severe colon infection. I had recovered from infection but not 100% and now there is white layer mucus on my stool and there is very light blood spot, like lace on 1 inch with, blood dot on stool is there. I have no symptoms of anus infection or itching or pain in rectum. Doctor: Hello. I can understand how frustrating you are regarding your problem. I have reviewed your complete history and understand that you have ongoing infection within the lower part of your large bowel which is called as rectum. Medically it is termed as proctitis i.e. inflammation of rectum. The blood and mucus - which you describe a whitish layer, is common among patients suffering with proctitis. I have seen you have taken some antibiotics however it seems the durarion of antibiotics was not okay and Ciprofloxacin that you have been prescribed is no more effective in.your case. Other acid suppressant medications would not help you much in problem relating to rectum. So, I want you to start a 3 week course of antibiotic which is very safe and does not have significant side effects except in some patient it could cause mild diarrhea. It is very safe. Tablet Rifxamin 200 mg thrice daily for 3 weeks. Avoid any other medications. You come back to me in next 1 to 2 week. I hope that your symptoms by then would go away. In case, if that does not happen, then I would ask you to get some stool and blood tests done and would further modify your treatment." + }, + { + "id": 6608, + "tgt": "My HbA1c has raised to 6. 2 with high cholesterol. Please help", + "src": "Patient: Hello doctor, My age is 38 years and my HbA1c has gone to 6.2 with high cholesterol and lipids. My fasting and post fasting blood sugar is however in range and no health complications yet. I am attaching my report. Please suggest whether I need to take any preventive measures. Based upon the report, I have already started morning walk (earlier I used to only walk after dinner). I have low back pain also. So, instead of any heavy exercise, I only do around 15-20 minutes of yoga to strengthen my back. My father is a diabetic (68 years) and also has blood pressure problem. I feel lethargic sometimes, but I have craving for sweets. Please guide. Doctor: Hi. Revert back with the reports after 15 days to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 1084, + "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": 15032, + "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": 10178, + "tgt": "Will sharing water bottle cause transmission of genital herpes?", + "src": "Patient: Hello doctor, My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle? Doctor: Hello. The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test." + }, + { + "id": 672, + "tgt": "I weigh around 130 kg with liver enlargement. Kindly suggest solution", + "src": "Patient: Hello doctor, I am fat. My weight was 130 kg and I reduced 15 kg in five months. I was having alcohol and smoking for almost 8-10 years. I had an ultrasound where liver is enlarged more than 20 cm and I had a fibroscan as well 353 and 18.1 median, kpa. Kindly suggest. Doctor: Hello. I can imagine how upset you must be about your overweight and liver issues. Well, I assume you now have a thorough idea of how this weight bears an impact on your liver. And with such amount of weight it is not uncommon to have a fatty liver disease with enlargement of liver size. The normal liver size should be no more than 13 cm. Despite the fact you have severe morbid obesity, thankfully you deserve a vote of appreciation for struggling so high to reduce your weight by 15 kg. This is a good sign by the way. I would urge you to continue this in future whatever you were doing for the weight reduction. Since you did not mention whether you still having alcohol and smoking? It is important to know that fatty liver plus alcohol can both damage the liver and the impact is much higher if both risk factors are combined. I should strongly recommend you to reduce the alcohol intake if still taking or completely stop it. Your liver may not be able to tolerate more insult because of alcohol. Now coming to the numbers which you have shared. The Kpa value more than 12 is suggestive of the development of fibrosis which is not a good sign. However, this value is often erratic or falsely high if someone has obesity or fat within the liver as may be in your case. To confirm whether you have that degree of fibrosis, you have to get a liver biopsy which can tell the exact grade of fibrosis and can differentiate whether the insult to your liver is because of alcohol you had in past, or because of fat due to obesity. The CAP value of 353 is suggestive of the amount of fat you have in the liver. This can however, indirectly confirm the damage to your liver is rather secondary to fat and not due to alcohol but again this has to be confirmed on liver biopsy. If you are not inclined to liver biopsy, I suggest you to continue with the weight reduction strategy, completely avoid alcohol intake and keep monitoring your liver function tests and fibroscan every six months. Alcohol-related liver disease plus obesity and fat-induced liver disease. Complete blood count. Liver function test. HbsAg, Anti HCV antibody. Serum ferritin, serum iron, total iron binding capacity, transferrin saturation. TSH, FT3, FT4. Serum carbohydrate deficient transferin (CDT) levels. Serum albumin, total protein and AG ratio. Serum Creatinine, Bun, electrolytes, Alpha fetoprotein (AFP). Weight reduction. Alcohol abstinance. Follow up after investigation to propose plan of action. Follow up to provide more information and after investigations, or earlier if required." + }, + { + "id": 20433, + "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": 21844, + "tgt": "I have a problem facing public and lack confidence. Please help", + "src": "Patient: Hello doctor, I am 21 years old and completed my graduation. I have a problem facing the public like the people who know me and who do not know me. I do not have any confidence in facing the public . As I am a tall person with 6'4\" height I feel very unique with the way others see me. This problem has started from around five years slowly and I think I am in its peak stage. I always have run away from facing people who know me. I feel that others think I am somewhat inappropriate. If there is any function in around my house, I used to skip from those by making excuses so that I do not have to face people. I have some friends from school but they are not in town, so most of the time I sit alone. I wanted to be like other boys of my age, mingling with public and doing all the things they do. I also have the problem of hyperhidrosis which increases the lack of confidence level. Day by day I think this problem is becoming worse. I feel like others are laughing at my appearance and attitude. Please advice me about this situation because I cannot afford to go to psychiatrist personally. Please help me. Doctor: Hi. Your case can contain just pieces of advice and way to do over the internet. Seems you are suffering from a social anxiety disorder. In general, these kinds of disorders are not treated via medications. The only way is taking sessions of CBT (cognitive behavioral therapy) in person in order to discover what your unconscious brain keep and unlock it. It is very important to know about your childhood for better evaluation. Some cases are considered as a genetical trait and need a CBT, meditation, and yoga but no medicines been described for your case and no solid evidence for medications efficiency. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24598, + "tgt": "Please explain the reason for my stiff neck from the MRI", + "src": "Patient: Hello doctor,I woke up two months ago with a very stiff neck that has not fully gone back to normal. Now, I have a weak right arm, shoulder-neck pain, headache, and cracking neck. MRI of the cervical spine has been done. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). You have disc bulges at C5 to C6 and C6 to C7 which are paracentral, not much nerve compression is going to be there. So, the pain you are referring to can be due to muscle spasm, or it can be due to annular tear in these two disc spaces. Muscle weakness can be due to muscle spasm affecting the right side. These symptoms should be transient, and you should recover well with medicines like muscle relaxants and painkillers which can take a week. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 27654, + "tgt": "My dad's CK level is 914. Does he have a heart problem?", + "src": "Patient: Hello doctor, My dad had a bypass eight months ago. Now the creatine kinase\u00a0level is 914. He does not have a chest pain or any other problems. We found this on a routine blood test. Is it because of a heart condition? \u00a0He is currently taking medications for his heart, high blood pressure, and diabetes. I am attaching his latest reports. Doctor: Hello. I saw the files (attachment removed to protect patient identity). For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 570, + "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": 23391, + "tgt": "Why am I feeling nauseous and having body ache?", + "src": "Patient: Hello doctor,I have been nauseous for a week and my body aches really bad and I have been having diarrhea along with some throwing up. I am 20 years old, height is 5 feet 9 inches and weight is 200 lbs. Doctor: Hello. I have read through your question and would like to tell you that you are most likely suffering from stomach flu. Have you eaten anything which may have been contaminated like frozen food? Are you running a fever? If you are only passing watery stools with no foul smell then it is a viral infection and needs symptomatic treatment. You can start taking capsule Bifilac (Lactobacillus) twice daily. Keep yourself hydrated and take tablet Pantop DSR (Domperidone and Pantoprazole) to relieve the vomiting. If you are not able to keep the medicine down then you will have to get admitted and get IV (intravenous) therapy. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28246, + "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": 23199, + "tgt": "How to get relief from chest pain? I'm taking Concor 5 for hypertension", + "src": "Patient: Hi doctor, I am a 39 year old male. My height is 6 feet and weight is 88 kg. My waist is 36 inches. Around 20 years back, I was heavily into sports and a winner of a gold medal at the national level athletics. Nine months before, I was diagnosed with hypertension and occasional mild chest pain or discomfort. I was sleepless, restless and under stress of a prevailing family medical emergency. I was asked to take two trop T tests and they were negative. Then a TMT, which showed some issue at stage 3 and 4. I could not complete the TMT as my legs were paining because of the fatigue. My cardiologist (C1) said it is false positive and prescribed me Ecosprin AV 75, Razo 20 and Nebicard 5 mg. After two months, I felt some mild pain and discomfort. I went to another cardiologist (C2) and he asked for echo, which was normal with mild LVH, 66% EF and grade 1 diastolic dysfunction. But, he said since I smoked for the last 15 odd years, it is better to do an angiogram. A few ECG reports during this time as per the doctor were showing fine. My first cardiologist (C1) said angio is not required and I literally forced him to do the coronary angiogram as I wanted peace of mind. The angio was normal, but it showed a myocardial bridge in mid LAD causing a 30% systolic narrowing. Then, my doctor said it is nothing and it is pretty normal. But, he gave me a whole lot of medicines, including Pinom 40, Ecosprin AV 75, Nebicard 5, Razo 20 and Dilizem CD 90. Since then, the problem actually started. Earlier, I never had pain in the chest. There was only some mild sensation and discomfort. But now, I had pain in the middle and left side, left arm, shoulder and back. I was getting very anxious and my BP would fluctuate. I could not work or do anything properly with concentration. After three months of suffering, I visited my general medicine specialist who stopped all medicines and asked to take only Pinom 40 and Concor 5 for BP and Atorvastatin for lipid though the cholesterol levels were fine. He said that the Ecosprin and Dilizem were causing gastric problems and hence, the chest pain. Also, arranged me to see a well known cardiologist (C3) and he asked me to continue only BP medicines and a Pantocid DSR for a month. He said that it is reflux, which is causing the issue. Since then my pain is down by almost 75%. I saw a gastroenterologist and he also said that I am suffering from GERD. He did an upper GI endoscopy, which was normal. He also did a Helico test, which was positive as in H. plyori. He prescribed Pantocid HP kit for 10 days followed by Pantocid 20 mg twice daily for 60 days. 60 days got over and though things have improved, I still get pain in the chest (left side maximum), left arm and left shoulder. I just do not understand if it is related to the esophagus, then why would there is a pain in left arm and left shoulder pain? Incidence happens mostly after 3 to 4 PM. Someone said that it can be musculoskeletal pain. So, I consulted an orthopedician. The gastroenterologist also said that since I get anxious, it always aggravates the pain and the GERD and gave an opinion that maybe I should see a psychiatrist. I do not know how many more doctors should I see. I am only worried if it is anything to do with cardiac in nature and that is making me nervous and anxious. The cardiologist says that angio is done and it is clear. That is conclusive and a gold standard test. I have started doing exercises and yoga since last six months, diet modification, lost around 5 kg weight (do not know if it is because of lifestyle changes or tension), cut down smoking by 80% (resolve to quit) and very occasional drink maybe once or twice a month. I am on Pinom 40 (morning), Concor 5 mg (evening) and Pantocid 20 mg twice daily. BP is mostly controlled 130-145/80-90 mmHg. But on occasions where I have chest pain, the BP also goes up. Even after seeing all the good doctors with reputed hospitals I do not have a complete cure. Will I ever get rid of this problem completely? Kindly help. Doctor: Hi. It is evident that your solution of one problem led to another. Systolic bridging does cause chest pain and also smoking can cause vasospasm that is, constriction of vessels. Hence, the chest pain will be alleviated only if you totally quit smoking. All the doctors who have treated you have done a good job, although advising you to get an angiogram after a false positive TMT (treadmill test) is odd. Try to keep your blood pressure around 130/80 mmHg. Your drugs are at a minimum and that should also help you as GERD (gastroesophageal reflux disease) can be precipitated by all this and your anxiety. Chest pain has many causes and so you can have a cardiac, neuropathic and orthopedic cause of various types of chest pain in the same person. As a cardiologist I can advise you regarding the systolic bridging and continue Concor (Bisoprolol) perhaps 5 mg twice daily will be good. If this is too troublesome, then meet your cardiologist as a last resort. There are interventional and surgical options, but only as a last resort. All the best. Congenital. 1. Fibromyalgia. 2. Neuropathies. Myocardial bridging. Increase beta blockers, totally quit smoking and do meditation. Quit smoking and optimal blood pressure control. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20395, + "tgt": "I have injured urinary bladder and the left side ureter during hysterectomy . Please help", + "src": "Patient: Hello doctor, I have injured urinary bladder and the left side ureter during hysterectomy surgery by laparoscopy. Then, cystoscopy and nephrostomy were done. A catheter is used. Can surgery be done again? Doctor: Hi. I have gone through your query and the reports of your surgery (attachment removed to protect patient identity). There has been an inadvertent injury to your left ureter and bladder. The details of the bladder injury are not clear in the summary given, but should most likely be repaired. The nephrostomy done will help in maintaining the function of the left kidney, until it is safe to do surgery again. You will need surgery to repair the injury to the ureter, usually done after 3 to 6 weeks. The results of this surgery are usually very good when performed by a trained urologist. Once the surgery is successful, the nephrostomy can be removed." + }, + { + "id": 23340, + "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": 21794, + "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": 27894, + "tgt": "I have pus-filled white spots near my left ankle. Please help", + "src": "Patient: Hi doctor,I have a skin rash near my left ankle area. It is 5 cm long and 3 cm wide. The skin is very rough and dry. The area is very painful, and I am even unable to touch it. I also have a few white spots, which are filled with pus in the area. I am a 43 years old female, and I have no medical history. Doctor: Hello. Do you have any history of trauma or\u00a0diabetes?\u00a0You should try\u00a0antibiotics for this. I suggest you try taking the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. 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": 5416, + "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": 23098, + "tgt": "I am having underarm darkness and blackheads for many years. Please advice", + "src": "Patient: Hello doctor,I am having underarm darkness and blackheads for many years. I did not consult a dermatologist for this but when enquired about electrolysis I was told it will take at least 10 sessions monthly for each. I will be going abroad in three months. So I would like to know what works best as a permanent solution in these three months. I am nursing a two-month-old baby now. So please let me know what works well like chemical peels or the peels that can be done at home or any other alternatives that will work for me. Doctor: Hi. You can consider laser hair reduction treatment with a diode laser. It helps to reduce prominent hair follicle which looks like blackheads to you. For pigmentation, you can start application of Kojiglow gel twice daily. Of course, peel give faster and better results for pigmentation. You can get 3 to 4 sitting done before leaving. That would also help. Do not try peels at home it can lead to side effects should be applied by a trained dermatologist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13744, + "tgt": "Is there any way to permanently cure clicking of TMJ?", + "src": "Patient: Hello doctor, I have problems with my TMJ. When I wake up in the morning, I feel an annoying clicking in my TMJ. I do some exercise by opening and closing my jaw (while giving support to my chin with the thumb). It reduces that clicking to some extent but I want some permanent treatment. I do not feel any pain whatsoever. Please advice as to what should I do. Doctor: Hi. I had gone through your question. I can understand your concern about your TMJ. There may be some cause associated with it, that means for a permanent solution you have to single out the cause and eliminate it. Some major causes are as follows: 1. Missing teeth, grossly decayed teeth on the same side or opposite side, because of that you must be chewing from one side only. If this is the case, get the treatment done. 2. Malocclusion if you have any like crowding, teeth not properly closing, you need orthodontic treatment for it. 3. Bruxism, grinding of teeth during sleep. You need to single out the cause and get it treated. During the meantime, do the TMJ exercise, get the hot packs placed on the side of the face twice daily to reduce any muscle strain. Malocclusion, bruxism, missing or grossly decayed teeth. OPG. Avoid hard foods." + }, + { + "id": 28921, + "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": 9717, + "tgt": "My life is worse with stress and I cry all day. Please help", + "src": "Patient: Hello doctor,My life is getting worse day by day. I used to be a brilliant student, but nowadays I fail in my exams even if I study for the whole night. My father and brother are not getting a salary, so we have to spend money with care. My sister, who is very close to me, is getting married, so she is about to move. Everything is going down, and I cry all day and feel so bad that I cannot even express. Doctor: Hello. Because you are facing so many stressful events like father and brother not getting salaries and sister getting married, this condition is known as an adjustment disorder. If you are feeling persistently depressed for the last two weeks, feeling hopeless, then you might also be having depression. For this condition, you may take an antidepressant such as Escitalopram 10 mg one tablet at night. From Psychotherapy point of view, you have to learn specific coping strategies. 1. Since you are only 21 years old, it might not be possible for you to contribute much financially towards the family. 2. Lower down your expectation level, and do not take all the load on your shoulder. 3. Every problem has a solution, sit with your father and brother, and discuss options with them. Whether they can do some part-time jobs? 4. Great people see opportunities in adversities. Take this as a challenge and motivate yourself to do something in life. But do not try to control the present. Some things will be better with time. 5. Your sister getting married is not a problem, it is part and parcel of life. Accept it." + }, + { + "id": 7385, + "tgt": "I have pain on my penis shaft after vigorous masturbation. Please advice", + "src": "Patient: Hi doctor, My query relates to two protruding veins, on the left side of the penis shaft. The\u00a0area is quite painful. This occurred, I guess, due to vigorous masturbation. I would like to hear your advice. Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22906, + "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": 29408, + "tgt": "Is my blurred vision related to the dose of Metoprolol?", + "src": "Patient: Hi doctor, For the last five days, I am experiencing a kind of blurred vision. Initially, I was on Metoprolol 50 mg as I had a viral infection on the muscles of the heart. This time, when I visited my cardiologist, he said that the viral infection is almost gone and reduced my dose to 25 mg. After taking a week of 25 mg of Metoprolol, I have this fuzzy vision problem. Now, my cardiologist said we would go back to 50 mg. Do you think the blurred vision as the\u00a0side effect of reduced dose of Metoprolol? If yes, will it go away with increasing the dose? Also, I have eye floaters. I have two floaters on the left and two on the right. But, It does not bother me. What is your opinion about this? One more thing is that I am addicted to masturbation. \u00a0Ido it twice a day. Will\u00a0masturbation affect eyesight? Also, because of the position of masturbation, I am getting muscle pain on my back. What to do for this?\u00a0Thank you so much in advance. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16403, + "tgt": "My wife has delivered a premature baby. Is it advisable to stay in the hospital for a long time?", + "src": "Patient: Hello doctor, My wife was 5 months pregnant and yesterday she gave birth to a premature baby. The doctor has advised us to stay in the hospital for a long time. Is it advisable to do so? Shall I get her discharged from the hospital? Doctor: Hi, Welcome to icliniq.com. Do not get your wife discharged from the hospital until the doctor advises to do so. A baby of just 5 months pregnancy is extremely premature. The baby is premature not only with respect to the age but also by the development of the respiratory system and brain. Premature babies need tender care in the hospital. They can suffer from many health issues. These babies require nutritional support and prevention from infection. Apart from this, most of these babies develop apnea (cessation of breathing) due to the immaturity of their brain. Therefore, they need appropriate care in the hospital. So, you cannot take your baby home, till the baby accepts feed and does not need any medical support. At present, your baby definitely needs hospital care. For further details consult a child health specialist online --->https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 16443, + "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": 683, + "tgt": "After getting diagnosed with diabetes, my father feels anxious with breathing difficulty. Why?", + "src": "Patient: Hi doctor, This is for my dad, and we found out that he has diabetes. He became very worried which makes him difficult to breathe and cannot get enough sleep and rest at night. He had stomachache and he used to skip meals, and drink coffee and soft drinks. After a blood test, we found that he has diabetes. I cannot get enough sleep, and worried. He always feels tired and anxious with breathing difficulty especially if alone. He is currently taking Metformin and Omeprazole. Doctor: Hello. Perhaps your father has misperceptions about the disease and that is causing his anxieties and worries. It is unfortunate he developed but it does not mean it is the end for him. As long as he takes his medications, does his routine laboratory workups and checks with his physician then there is nothing much to worry about. He must be informed that as long as he consults with his physician regularly then there will always be an expert making sure he is doing alright and making sure that no complications will develop because of the disease. If the pandemic is causing more worries, it is normal. He might be aware that his condition puts him at a disadvantage compared to a normal healthy individual. But as long as he adheres to social distancing, proper handwashing techniques, precautionary measures such as wearing masks and PPEs (personal protective equipment), if needed, then there is a low risk he might acquire the disease. Remember, diabetes and COVID-19 both are preventable diseases. He needs to take care of himself properly and to do this is by following his doctor's orders and guidelines during the pandemic. However, I am worried about the declared respiratory rate of 86 (normal is at 18-22). Does he smoke? Any cough or colds? Previous hospitalizations? At this rate, it is best to bring him to the ER for further evaluation. When counting for the respiratory rate it is the one cycle of the rise and fall of the chest. So 1 respiratory rate is equivalent to 1 rise and 1 fall of the chest." + }, + { + "id": 6065, + "tgt": "Both my ankles are swollen after a flight travel. Why?", + "src": "Patient: Hello doctor, I just had a flight and have swollen ankles on both legs. I have attached the photos. The swelling is tender and no pain or redness. I just had a check-up one week ago, and all my blood reports are normal. My standard medications are: For HP, Irbesartan 150 mg a day and Metoprolol 50 mg twice a day. Escitalopram 10 mg for anxiety once a day. Pantoprazole 40 mg twice a day for my gastritis. Pancreatin 625 mg three times a day for avoiding pancreatitis attacks. Please advise. Doctor: Hello. I have seen the photos. (attachment removed to protect patient identity). This is a common problem not only after the flight but also after prolonged traveling. It occurs due to prolonged immobilization, and due to increased blood circulation and decreased venous return, it will improve after frequent mobility of the joint and walking. The only problem I am worried about you is your underlying hypertension and on medication. So, it could be CCF (congestive cardiac failure) due to fluid overload or excessive stress. But heart problem will have dyspnea and fatigue and decreased urine out put, that is not in your case. So my advise is to walk frequently, keep your legs slightly elevated above the pillow. It will disappear by the next morning. Advice: 1. Move your limbs, use loose cloths. 2. Take adequate rest. 3. Continue your medication. 4. If any time you have fatigue, difficulty in breathing, or decreased urine output, please visit the nearest emergency room. I hope this helps." + }, + { + "id": 17293, + "tgt": "After open heart surgery, how long will I survive?", + "src": "Patient: Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly.\u00a0My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For how many years will I be able to live after this operation?\u00a0Can yoga or exercise help me in improving my ejection fraction or valve function? Doctor: Hi. I have noted all your details. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8555, + "tgt": "Is it fine to have high prolactin level?", + "src": "Patient: Hi doctor, I would like help in understanding my situation and a second opinion to that of my GP. I had a blood test two months back which showed serum prolactin levels at 618. I was unaware what the test was for so breastfed before and during the blood being taken. I breastfeed a toddler between 3 to 8 times a day. (He is also eating solids so most feeds are comfort suckling). I had the test repeated last week and the serum prolactin level is 480. I did not breastfeed before or during the test. When the GP discussed my first blood results I disclosed I had been experiencing frequent headaches. I was advised to monitor my peripheral vision. I mentioned my vision has become more blurry than usual, since my eye test four months back. (I have prescription glasses for astigmatism). I have had only 5 menstrual cycles since giving birth 19 months ago. My facial skin is more spotty than it was during puberty and I have become more hairy since pregnancy. Two days before the second blood test I experienced black moving patches of static in my peripheral vision in both eyes. I experienced this a second time the day after the test. I have experienced similar visual disturbances during historic migraines on two occasions, however those were in one eye in the centre of my field of vision. I will disclose this to my GP at my next appointment. I take no medication and my current diagnoses are migraines and depression. The migraines are medicated with over-the-counter painkillers. May I receive an opinion on my current situation. My second blood test has resulted in no further action and I worry I may be overlooked due to breastfeeding. Doctor: Hi. To get rid you of your worries, I should let you know the usual level of prolactin in different conditions. The upper limit of normal for many assays of serum prolactin is approximately 500 mIU/L (24 ng/mL). In non-pregnant and non-lactating patients, monomeric prolactin concentrations of 500 to 1000 mIU/L (24 to 47 ng/mL) are likely to be induced by stress or drugs, and a repeat measurement is indicated. Levels between 1000 and 5000 mIU/L (47 to 236 ng/mL) are likely to be due to either drugs, a microprolactinoma (<1cm) or disconnection hyperprolactinemia (pituitary stalk compression blocking dopamine inhibition on prolactin). Levels above 5000 mIU/L (236 ng/mL) are highly suggestive of a macroprolactinoma (> 1 cm) . Your problems may be attributed to migraine, astigmatism you said to have. Persistent and progressive loss of peripheral vision may occur sometimes with headache, morning vomiting, even in that case, which must be further investigated, your levels are not very suggestive of prolactinoma or solely stalk compressing tumour, rather a tuomour in or extending into suprasellar region pressing optic chiasma, may be craniopharyngioma, meningioma, etc. After knowing that you have persistent and progressive loss of peripheral vision your doctor should do fundoscopy usually at bedside, confrontation test, perimetry are also done, and you should be advised MRI of pituitary." + }, + { + "id": 8004, + "tgt": "A vaccinated dog scratched me. Should I be worried?", + "src": "Patient: Hello doctor, My friend's dog scratched me, and the dog has a tumor on her leg. The dog is vaccinated. Is that scratch still harmful? Do I still need to take any injections? Doctor: Hello. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16889, + "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": 3847, + "tgt": "Are fibromyalgia and amplified musculoskeletal pain syndrome the same?", + "src": "Patient: Hi doctor. Are amplified musculoskeletal pain syndrome and fibromyalgia the same thing? If not, what are the differences between them? My current medications include Topamax, Neurontin, Cyproheptadine, Zyrtec, Peppermint oil capsules and vitamin B2. Thank you. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26364, + "tgt": "My infant produces a lot of mucus when he coughs. Is this an emergency?", + "src": "Patient: Hello doctor, I have an 11-month-old baby who weighs 10.7 kg and is 78 cm. He has never had any health issues.\u00a0Today, he started coughing productively, out of the blue. A little in the morning and evening and more in the night. There is a lot of mucus breaking when he coughs, I can hear it. No fever, no other symptoms of a cold. He ate and drank normally and was reasonably active though a bit slower than usual, then I put him to bed. He now wakes up from time to time, coughing productively and crying, then goes back to sleep. I do not see any mucus but I can only hear it.\u00a0He had a cold seven months ago with a\u00a0runny nose and a red throat that went to his chest eventually and had a similar productive cough though less heavy than this one.\u00a0My husband is currently sick with a common cold which started recently. Despite him wearing a mask when around the baby, it is not impossible that the baby was exposed to it. My question is, is this an emergency? Do I need to wake the baby up and take him to an ER? I already have an appointment with his doctor tomorrow morning. Can this be a common cold with just the chest involvement and no other symptoms like a runny nose? Or can it be pneumonia or something really bad, as long as there is no fever, just the rich, wet cough? Basically, can it wait until tomorrow or is the baby in danger? He is now sleeping\u00a0but did wake up twice crying and coughing in the last two hours. Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19897, + "tgt": "My skin is photodamaged and wrinkled. Why?", + "src": "Patient: Hello doctor, Can I use Adapalene, Clindamycin and Acedapsone in combination for acne vulgaris? Currently I am on the latter two and Isotretinoin capsules and also taking an antibiotic known as Azithromycin. My skin is also photodamaged and wrinkled. Kindly guide. Doctor: Hello. Yes, you can use all of that. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4510, + "tgt": "What is the role of genetic predisposition in depression?", + "src": "Patient: Hi doctor, I am a mother of two children. My daughter at the age of 21 started showing signs of depression. She had to drop from university. After six years of struggle and treatment, she is on her way to recovery. But even now she gets panic attacks and feels depressed and is unable to handle stress. My son at exactly the same age (21 years) started showing signs of depression. My kids had a very normal childhood without any issues. We are a normal healthy family. My husband's family has a history of mental health issues. I have heard that at least one member from all our extended family branches had mental health problems. My father-in-law was a patient of chronic depression all his life. Please let me know if depression is genetic and is it possible that my children's problem is because of the genetic predisposition. Doctor: Hello. You have asked a very pertinent question. As a parent, I can understand your quest for answers for your children's illness and treatment. Depression is usually caused by a combination of genetic and environmental factors. If there is a positive family history, a person is more vulnerable to develop depression, especially when faced with environmental stressors (epigenetics). So to answer your question, yes, genetic predisposition could have played a part in your children developing depression, but it may not be the only responsible factor. It is positive that they have a normal childhood. But any factors like academic pressure, or peer relationships, or social interactions or demands of growing up, etc., could have contributed to them feeling stressful which can then trigger depressive episodes. With effective treatment, depression can be very well managed and your children can live productive lives. Treatment involves a combination of medication, psychological therapy like CBT (cognitive behavioral therapy) and lifestyle changes. Regular exercise, yoga, and mindfulness meditation will be helpful. I hope this helps." + }, + { + "id": 12242, + "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": 30306, + "tgt": "What will be your treatment plan for a 3 months old with inguinal hernia?", + "src": "Patient: Hi doctor, My colleague\u2019s son, who is 3 months old, has been diagnosed with an\u00a0inguinal hernia on the right groin. Hence, I would appreciate your feedback and let us know if a surgery is immediately required or not. If the surgery is not required urgently, please advise when this would be required. I have enclosed all the medical and scan reports for your kind reference. Doctor: Hi. I have gone through the child's history and reports (attachment removed to protect patient identity). For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12535, + "tgt": "How can I cure painful white blister around the extraction site?", + "src": "Patient: Hello doctor, I had a tooth extraction done nine days ago top left #14 and my gums are still swollen. It looks like a white blister around the extraction site. My dentist will not listen to me and the pain I am in. Is it something I should worry about? It is causing pain too. Doctor: Hello. Your swollen gum and white blister on extraction site can be a canker sore (small and shallow ulcer) which can be treated with medicine and oral hygiene. This could have happened due to improper oral hygiene and using some pointed object (toothpick, etc.) to the extraction site. Grave disease supports mouth ulcer as well. This can also be a dry socket (open socket in gum) because of major trauma during extraction. Dry socket may lead to swollen gum and pain at the extraction site. In a few of the studies, we have seen that hypothyroidism also reduces the rate of wound healing. You are already taking Motrin 800 for pain management, please share the dosage. Alternatively, you can take Naproxen which is an extended-release tablet can help you to subside pain for a longer duration. You are also suggested to take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water. Requesting to share the picture of the extraction site to differentiate between canker sore and dry socket. Which will help me to suggest the proper treatment and medicines? Also, requesting to share radiograph (if possible) IOPAR of 13, 14, 15 for a better understanding of the case. Disturbing extraction site, infection at the site. IOPAR of 13, 14, 15. Dry socket. Canker sore. Medicine and visiting dentist (can only be confirmed after further information). Take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water." + }, + { + "id": 12357, + "tgt": "How can headache be controlled in a hypertensive patient?", + "src": "Patient: Hi doctor, I am 31 years old, male. Since last 3 to 4 days I am having a headache on my left side of head above temporal randomly on irregular interval for 4 to 5 seconds. The pain feeling like knife pinch and intensity is mild. Apart from this there is no other symptom and not able to find any trigger for this pain. In past, I was treated for hypertension which is now well under control with medication. I am an anxious person and taking medicine for last two years for anxiety control. Also, I am a person who is working on the computer for long time. Medicine taken currently- Telma CT 80 12.5, Embeta XR 50, Es Nax plus (Clonazepam 0.5, Escitalopram 5). Can you suggest what is causing this pain and what is the remedy? Doctor: Hi. As you told, you have hypertension and anxiety disorder, where both the conditions can cause a headache if uncontrolled and in your case pain is on temporal side unilateral, so you have to rule out temporal arteritis. Kindly follow the following instructions. Do CBC, ESR. Start any pain killer analgesic like Ibuprofen or Naproxen tablet. If not controlled with medicine and ESR is normal, go for CT head. Once visit an ophthalmologist to check fundus." + }, + { + "id": 22642, + "tgt": "Did I get in contact with oral and genital HSV 2?", + "src": "Patient: Hi doctor, Six weeks ago, I had oral sex with my partner. We also had sex and condom broke while having sex with her. After a week, I went for a complete STD screening test and it came negative for all, including chlamydia and gonorrhea. After the results, I got stressed and I was struggling with depression because, I had mild burning and tingling sensation in the penis, rectum, lips, mouth, gums. I occasionally have small sores inside my lips and cheeks that last for two days. Again, chlamydia and gonorrhea results were negative. Currently, I am taking Fentanyl 50 mcg patches, Lyrica 200 mg, and Tramadol 50 mg twice a day. I had HSV 1 infection before 18 years. Did I get in contact with oral and genital HSV 2? Doctor: Hello. You have not contacted with HSV 2 (herpes simplex virus 2). In general, HSV present with painful blistering lesions and not with mild burning or tiny lesions. The symptoms usually present in a week. The most likely reason for your symptoms is stress. Stress and anxiety of getting the infection are resulting in the symptoms like burning on lip or tingling. These are not typically seen with HSV 2. If your partner had active lesions of HSV 2, you would have identified during oral sex. So this is also a reason, you are safe. Rest of STD screening is normal so you can be relaxed. You are totally safe. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25371, + "tgt": "Semen volume has drastically reduced after Consistam D. Please suggest a remedy", + "src": "Patient: Hello doctor, I am a 46 year old male. I was diagnosed with prostatomegaly (enlarged prostate, 23.48 gm) with significant post void urine volume (86 ml). The doctor prescribed Consistam D once daily. After taking for 40 days, the urge to urination reduced but semen volume and pleasure in sex drastically reduced. Please suggest any remedial measures. Doctor: Hello. I think 23 g prostate is not very enlarged. These sexual symptoms are due to Dutasteride which is one of the contents of Consistam D. I think you should stop Consistam D and take only Tamsulosin 0.4 mg. (you do not require Dutasteride). Semen volume is low because of Tamsulosin but that is not a problem (it is called retrograde ejaculation which occurs because of Tamsulosin). There is no harm. So stop Consistam D and take only Tamsulosin 0.4 mg. Thanks. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19477, + "tgt": "Recurring vomiting & stomach cramping. What does the barium test result reveal?", + "src": "Patient: Hello doctor,My daughter has had recurring vomiting and stomach cramping intermittently since the last eight months. Barium meal has shown 'gastritis' with a\u00a0possible duodenal band and the small bowel series reflects some matting of the Ileum. I am not sure what all of this means and the tests do not appear to provide a conclusive diagnosis. Doctor: Hello. Gastritis reflects simply a consequence of chronic acidity and for that, I suggest the following : Now, the term matting of ileum creates a doubt about the possibility of Crohn's disease, which is an Inflammatory bowel disease. I suppose she needs a CT (computed tomography) scan as well as a colonoscopy for further evaluation. I hope it helps you. If you have any further queries, please ask me. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14589, + "tgt": "I am suffering from stomach problems. Could you please help me with my situation?", + "src": "Patient: Hello doctor,I am a 28 year old female. I am suffering from stomach problems. The symptoms include gas trouble, acidity, high frequency of passing stools, stools are slightly dark in color and do not float (stools are smelly though). When I have irritating feeling in my stomach, lower abdomen, along with pain, I also experience pain in lower back. Occasionally, I experience pain in left shoulder and armpit. Also, the pain or uneasy feeling is more pronounced in the lower right side of the abdomen. I recently shifted to another country. After shifting, my problem has worsened. My doctor said I could be suffering from giardiasis, and I was put on an antibiotic course including Enteroquinol and some other drug. I was better while taking that medication, but as soon as I stopped the medicines, my problem recurred. I had also taken an ayurvedic medicine called Kutajarishta. Could you please help me with my situation? Doctor: Hi. From what you have described, your clinical history, symptoms, and the test reports (attachment removed to protect patient identity), it seems that you have not been given the complete treatment which is required for your ailment. I guess an accurate and precise diagnosis was not made. Well, it is very clear from your symptoms that you are suffering from three different conditions which are: I suggest you try the following treatment, and I guarantee you that you shall be absolutely fine very soon. Medicines from serial number 3 to 7 are to be taken for 3 weeks. Make sure you do not miss even a single dose. You will start having relief in 2 to 3 days, but make sure you complete the treatment for full 3 weeks. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent." + }, + { + "id": 21597, + "tgt": "I have dry and itchy cough. Can this be due to silicosis?", + "src": "Patient: Hello doctor, I have no familial history of asthma or COPD. I am a 38-year-old male, 30 BMI with prehypertension which I am trying to manage first with diet and exercise. Parents both have hypertension. Two years ago, I became a new home-owner and decided to do some home repairs on my own. I was sanding drywall most times without a mask, and had put some floor patch and leveler and had hammered certain spots and smoothed it out with a sander, most times without a mask. A month ago, I developed a cough and my fiance caught it from me as well, but she is fine now. It had some mucous, no fever, I was still able to attend school without difficulty. However, now I have a dry cough, intermittent. Where at times I feel itchy and cough. No sputum, and now my airway feels a bit dry especially my oropharynx and it has been over a month and I still have an intermittent cough that is not going away. No bloody sputum or anything. And when I am sleeping at night, I do not really have coughs especially since I can sleep throughout the night without waking up from coughs. I feel it more when I drive in a car and have air conditioner towards my face and cold air. I went to the urgent care center yesterday and they prescribed antibiotics Clarithromycin, and Methylprednisone 4 mg week-long schedule and one place did a chest X-ray. He said the lower bases showed some congestion, maybe mucous plug. I am worried about silicosis. How do I rule this out? Today I feel like I am in a swimming pool a bit. Yesterday, other then the intermittent cough I had no issue with breathing. I smoke marijuana occasionally and have stopped since I realized it was really irritating my throat. Please help me. Doctor: Hi. Two or three things are there in your diagnosis. You should go for some investigation like HRCT(high-resolution computed tomography) thorax, X-ray chest PA (posteroanterior), polysomnography. Till then, you take tablet Azee (Azithromycin) 500 once, tablet Zerodol SP (Aceclofenac- Serratiopeptidase) thrice, tablet Aciloc (Ranitidine) twice along with the above medicine. Kindly send me all the film and reports. For silicosis, you need to have exposure of at least 10 years. So, do not worry, it has fewer chances. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 6196, + "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": 29123, + "tgt": "My son has a complex cyst in his kidney. Should I be worried?", + "src": "Patient: Hi doctor, My son is 12 years old. Last week we found out that he has a complex cyst in his kidney. I am so worried and cannot wait until I see a urologist next week. So, I want to show you the ultrasound images and get your opinion on it. The GP said that he has a complex cyst and this scares me even more. Should I be worried about this cyst? Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24195, + "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": 17245, + "tgt": "My 1-year-old daughter has loose motion for past five days. What can be done?", + "src": "Patient: Hello doctor, My 1-year-old daughter is passing loose motion from past five days. Before that, she was vomiting. However, vomiting issue is resolved, but still, she is passing loose stool. She is on Ondem thrice daily 2 ml, half an hour before meal (today the course will end), Zinconia 5 ml once daily for five days, Decolic INF drops three times daily for three days (today Decolic course will end), Enterogermina twice daily for seven days, Arbivit Forte 5 ml daily (this is her regular medicine and not a part of the prescribed medications by the doctor for loose motion) and Peditrol ORS throughout the day (one liter). We are diluting five sachets of Peditrol ORS in one liter of water, consumed by her each day. She is accepting all forms of liquid as well. The doctor has advised for stool RE/CS/OBT and reducing substance. She also has lactose intolerance so we do not give her any milk products, only lactose-free substitutes like Isomil and Nestum and right now the doctor has said not to give breastmilk as well. The doctor gave SOS medicine as Bacigyl-N but looking at her report she is dead against to start the antibiotic. The issue is she is not improving in her stool and already four days have passed. She is average active (normally she is very hyper) and accepting food as well (in smaller proportion). I just weighed her, and she has lost 350 gm of weight. She is our first baby hence we are very tensed. Please advice best possible ways to make her fit. Doctor: Hi. Going through the history, it suggests that the child is in the treatment of acute gastroenteritis (AGE). Medicines are rightly prescribed. I would suggest no need for vomiting medicine now, as vomiting has stopped. Withhold Arbivit Forte (Cholecalciferol) till loose motions subside. The stool report does not warrant to start on antibiotics as it is near normal report except for reducing substance (attachment removed to protect patient identity). As most of the AGE is viral, where there is no role of antibiotics. Secondly, antibiotics can itself aggravate loose motion (antibiotic-associated diarrhea). The best thing is the child is accepting food/meal, which is a good sign.Though in small quantity, which shall improve over a period. Do not be in a hurry to look for quick results as the body takes its own time to recover. Make sure the child is passing adequate urine, and the tongue is moist, keep giving fluids and ORS (oral rehydration solution) as adviced by the doctors. AGE usually takes 7 to 10 days to recover. So, do not get tense. You can continue Zinconia (Zinc acetate) total for 14 days, Enterogermina and ORS medicine. You can add Enuff sachet (Racecadotril 10mg) half sachet twice a day for five days. I believe she will improve as she is on right medications and taking the meal. So relax. Meanwhile, no cold drinks/water, give lots of lukewarm water/homemade soups. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 26968, + "tgt": "Is it safe to use Fibroease to control excessive bleeding due to fibroids?", + "src": "Patient: Hi doctor, My mother has large uterine fibroids, because of which she is experiencing excessive bleeding. She is 50 years old. She has a cardiac problem with an ejection fraction of 20 %. Apart from this, she also has a history of high pressure (for more than 15 years), diabetes (detected recently), and hypothyroid (for more than a decade). Doctors are saying no to surgery because of her medical problems. I have attached the reports. A\u00a0gynecologist\u00a0suggested Fibroease\u00a025 (Mifepristone) but asked us to get a confirmation\u00a0from\u00a0a\u00a0cardiologist.\u00a0Please suggest some medicine or is Fibroease safe to start?\u00a0She needs some medicines urgently to stop the bleeding.\u00a0She is taking the following\u00a0medications for the cardiac problem: Cardivas 12.5\u00a0mg,\u00a0Digoxin 0.25\u00a0mg,\u00a0Tide 10 and\u00a020\u00a0mg,\u00a0Ecosprin AV, and\u00a0Sartel 40 mg. The medications for fibroids and bleeding are Danazol, Orofer XT, Meftal Spas, Gynae CVP, Calcium, etc. Her thyroxin\u00a0and HbA1c levels are 50 and 9.3 % respectively. HIV and HBs(AG) tests are non-reactive. Doctor: Hi. I understand your concern. I have gone through all the reports (attachment removed to protect patient's identity). Fibroease (Mifepristone) will help a lot in reducing the size of the uterine fibroid and to control the bleeding. But in the beginning, she might encounter heavy bleeding when she starts taking Fibroease combined with Ecosprin (Aspirin), as bleeding is a side effect of the drug. I suggest trying Fibroease on a low dosage and monitor the severity of bleeding. If there is massive and continuous bleeding, Fibroease dosage should be reduced further. She has to be under the supervision of her gynecologist. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. I wish her a quick recovery. Best regards. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 29493, + "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": 1951, + "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": 27471, + "tgt": "Why is the pain form an inguinal hernia getting worse?", + "src": "Patient: Hi doctor, I have an inguinal hernia for over a year. The pain is getting worse each passing day from the last week. I do not have any symptoms that suggest it is strangulated. I am 5.10 feet tall, and I weigh 212 lbs. Doctor: Hi. I hope it helps you.\u00a0If you have any further query, please ask me. Revert with more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23552, + "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": 558, + "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": 29384, + "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": 6427, + "tgt": "I have egg allergy and suffering from stomach pain after eating a cake. Please suggest some medicine", + "src": "Patient: Hello doctor, I have got an egg allergy. I mistakenly ate a cake which contains egg in it. I am having severe stomach pain. What can be done in such a situation? Please suggest any medicine. Doctor: Hello, Welcome to icliniq.com. First, let me clear you that in case of any food or skin allergy, avoidance is the best treatment option. But many times, it is not possible to do so when our food contains some hidden allergens, which cause allergy symptoms, as you said. Egg protein is the complete protein, and it is very difficult to avoid it, especially in the bakery items, ice-cream, and fast food like meatballs and meatloaf. Egg allergy can be due to egg white protein or egg yolk proteins. And it is very difficult to separate the yolk from the egg white. So you should strictly avoid both of them. You can use egg substitutes in various recipes. Consult your dietician. The allergy symptoms can be gastrointestinal, respiratory, or pertaining to the skin like itching. For treatment, the most important thing is to avoid eggs. For itching, you can take Levocetirizine 5 mg one at night as required. For stomach pain, nausea, or vomiting, I suggest taking Cyclopam (Dicyclomine and Paracetamol) twice daily for three days and Sompraz-D (Domperidone and Esomeprazole) one in the morning for ten days. I hope this helps. Egg protein allergy. Skin prick allergy test or Blood allergy test. Food allergy. Avoid eggs, bakery items, ice cream, and fast food items." + }, + { + "id": 16858, + "tgt": "My eye power is high. Please guide me with any solution", + "src": "Patient: Dear Doctor, My eye power is very high. re sph 4.25 cycl 4.75 axis 180. le sph 5.25 cycl 3.50 axis is 10. Weight 60 kg, Age 19 years, male, height 6 feet, vegetarian. Guide me with any solution. Doctor: Hi. Hope, I have answered your query. For further queries, revert back to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4989, + "tgt": "I have some sort of allergy on penis head. What is it?", + "src": "Patient: Hello doctor, I am 31 years old. I have two small affected areas on my penis head and it is not going away. They get dry as they regrow and sometimes, I peel off the dry part using a nail cutter. I am really concerned about this. It is not smooth as it used to be. I am going to attach photos for your reference. Doctor: Hi. I have read your question and I have also reviewed the images (attachment removed to protect patient identity). These are most likely warts or condyloma acuminata which is an infection caused by human papilloma virus (HPV). The infection is usually acquired by sexual contact with an infected sexual partner. Are you sexually active? HPV infection (human papilloma virus). Genital warts. Electrocautery or radiofrequency ablation. Revert back with the detailed history to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24596, + "tgt": "What is the diet plan for a 55-year-old diabetic male patient?", + "src": "Patient: Hello doctor, My father is 55 years old and weigh 70 kg. He is suffering from sugar disease. Please inform the precautions to be taken to maintain the correct sugar levels and please inform the complete diet chart including fruits which are to be avoided or preferred. His normal food is tiffin in the morning, rice with dal curry in the afternoon and roti or bread at night. Doctor: Hi. Diet prescription is as follows: Food to be avoided: Banana, custard apple, chiku, sugar and sugar products, jaggery, bakery products, cheese, rice, spicy and oily food, egg yolk, chicken, and mutton. Food to be included: Green leafy vegetables, sprouts , dals and legumes, flax seeds, methi seeds, paneer, toffu, egg white, etc. If non-vegetarian, non-vegetarian food item should be included only lunch time with lots of salads. For more information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 12798, + "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": 21622, + "tgt": "How to deal with pain and face dullness associated with Eagle syndrome?", + "src": "Patient: Hello doctor, I am a 27 year old female. I have been diagnosed with Eagle syndrome last year. I do not know which type it is, whether it is affecting nerves or arteries but I can feel the pain which is so tough to bear and my face is getting dull day by day. Please reply soon. Doctor: Hello. Eagle syndrome is common in females. There are some medications that can help decrease the dullness sensation such as Neuroton ampoule (nerve multivitamins). I suggest taking just one injection every three days. Anti-inflammatory medicine such as Brufen tablets can be taken twice daily. The second option is nonsteroidal anti-inflammatory injection around the stylohyoid ligament. The third choice is a surgical shortening of the elongated styloid process. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1184, + "tgt": "Is it advisable to take Tranlok-E during pregnancy?", + "src": "Patient: Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he\u00a0confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one\u00a0capsule\u00a0per day for 15 days and Folvite 5 mg one tablet per day for 15 days. After a week, I found\u00a0some brown discharge. Then, My doctor did a scan and said that the baby growth is not well for the one month of pregnancy. She said that there is a 50% chance of miscarriage. So, she prescribed Aspirin gastro-resistant tablet IP 50 mg one tablet per day for 15 days and Tranlok-E two tablets per day for three days. As my brown discharge did not stop, again, I went to the doctor. She has done an ultrasonic scan and told me that the baby has started to grow. Now, she prescribed IM HUCOG 5000 one injection, IM Susten 200 one injection, Tranlok-E three tablets per day for 5 days, Duphastone 10 mg three tablets per day for 10 days, Susten 200 one tablet per day for 10 days, Folvite 5 mg one tablet per day for 10 days and Aspirin gastro-resistant IP 50 mg one tablet per day for 10 days. As of now my brown discharge has stopped.\u00a0I tried to approach you this time, because on the internet I found that Tranlok-E is prescribed to stop uncontrolled bleeding in menstrual periods and it is not mentioned for pregnant women.\u00a0Since, I am pregnant, I just want to confirm whether there is any side effect in the above mentioned tablets. Shall I continue those medicines?. Please help me. Doctor: Hello. I understand your query completely here. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5665, + "tgt": "My mother has left ventricular dysfunction. Is surgery the only option?", + "src": "Patient: Hello doctor, My mother is 53 years old. I have to discuss with you about my mother's heart problem. Two years ago, we get to know that she is suffering from heart disease so we consulted a reputed cardiologist. He examined her and said that the only treatment for her problem is bypass surgery and gave her some common medicines like Aspirin, Roseday, etc. She takes the medicines for some time and left them. But three months ago, she got common cold and consulted a local physician, but she did not feel any relief. She rapidly changes four doctors and take their prescribed medicines for sometime and then left them. It resulted in damage to her kidneys. She got swelling on her whole body, my father took her immediately to the cardiologist whom she visited two years ago. He again examined her and perform all tests and tell us that she is suffering from left ventricular dysfunction and his left ventricle is only 20 percent left. After hearing this she is in a great depression and always she is thinking about it and saying to everybody that her heart is working only 20 percent. I want you to tell me some solution to this. She is weak and is also afraid of surgery. Is there any treatment that can be done with medicines alone? Doctor: Hello. As far as I understand your mother is suffering from heart failure. Unfortunately, there is not too much to be done. A definite solution would be a heart transplant. Anyway, an optimization of her therapy can help improve her situation. So, I would recommend adding an ACEI (angiotensin-converting-inhibitor) Lisinopril, and Ramipril or ARB (angiotensin II receptor blocker), a diuretic to help improve the leg swelling Lasix and Hydrochlorothiazide. Aldosterone antagonists Spironolactone, and a beta blocker in case of tachycardia. If these drugs do not help improve her situation, Entresto (Sacubitril / Valsatran) can be added to her therapy. Regarding depression, I would recommend consulting with a psychiatrist. An antidepressant like Sertraline could be helpful." + }, + { + "id": 17343, + "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": 4172, + "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": 4694, + "tgt": "Is there any permanent cure for frequent bouts of respiratory infection in a kid?", + "src": "Patient: Hello doctor, This query is regarding my 4 and a half-year-old son. He was born at 36.1 weeks and progressed normally. At around 2 years of age, he used to get frequent bouts of running nose and cough. He was hospitalized for lower respiratory tract infection at 2.7 years, and had febrile convulsions at 2.9 due to stomach infection. He still continued getting bouts of cold, cough, and fever approximately every month. He began going to school, and his frequency of falling ill increased. Now, he is on a nebulizer, taking Budecort 0.5 mg respule twice a day along with Lazine M dry syrup, as suggested by his pediatrician. He weighs 15 kg. Pls advise if these respules are safe for him. We could not take him out if it is cold or rainy and even the AC does not suit him. He has been advised not to have milk and milk products like cheese, paneer, etc., as a result, he is not putting on weight. What is the permanent solution for his health problem? Will he improve? Is there any other treatment? Is homeopathy safe? How do I increase his immunity as he falls quickly to changing weather conditions? I would be extremely grateful to you as this is causing me a lot of worries. Thank you. Doctor: Hello. Thanks for writing your query to me. I can understand that you are very much concerned about the health of your son. From your history description, it seems that your son has bronchial asthma. Asthma usually occurs from exposure to the allergens in our surrounding environment. The main treatment of asthma is inhaler medicines like Budecort Inhaler 200. Instead of giving him daily twice nebulizer, I will recommend you to start him on Budecort Inhaler via Zerostat-VT Spacer two puffs twice daily followed by gargling with water. And Levolin inhaler two puffs as required in an emergency. On a long term basis, inhaler medicines are not as harmful as they are having fewer side effects than tablets and syrups. Also, as they act at the site of action, a very minimal dose of medicine is required. Try to find out the allergens in his surroundings and avoid them as much as possible. There is no need to deprive him of dairy products such as milk, cheese, or paneer unless he cannot tolerate them. He needs to give it as it is the most important source of calcium and required for weight gain. Nebulization with Budecort is only to be given when he is unable to take inhaler by mouth. Do not forget to rinse the mouth with water after taking inhaler or nebulizer. No other therapy is better for optimal control of asthma as there is no cure for it. Homeotherapy also cannot cure asthma in the long run as there is no scientific evidence for it. I hope everything is clear to you now." + }, + { + "id": 29200, + "tgt": "Is shortness of breath and chest pain associated with anxiety?", + "src": "Patient: Hi doctor, I am a female on Prednisone 40 mg and Vitamin C 2.5 g since the past five days. I have just woken up feeling short of breath and chest pain. I checked my blood pressure, and it was 120/80 mmHg and my heart rate was in 50s. My blood pressure will be usually 110/65 mmHg, and my heart rate is usually pushing the high 90s. I do have anxiety, so I feel like I am just over thinking it and making myself have these symptoms. Every time I go to the ER, they always tell me my vitals look fine and it is just my anxiety. Please help. Doctor: Hello. Revert with more information to a\u00a0cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 14859, + "tgt": "Why is there extreme pain with a bulb like protrusion from anus?", + "src": "Patient: Hello doctor, I am male, 51 years old. I have diabetes (type 2), high blood pressure, medicines are controlling it all. Have two herniated discs, neck and back. The problem is anal issues for the last few weeks. Extreme pain. Worst in life. It feels like a hot knife slicing me down there. Sometimes, rarely, some blood is there. When I apply the cream, a small, bulb-like protrusion is there. Currently, I am taking Metformin, Lisinopril Depakote. Doctor: Hello, Welcome to icliniq.com. It appears you have a fissure. The first thing is your stool should be soft. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Lactulose 15 to 30 ml bedtime to maintain your stool soft. Secondly, you can apply 2 % Lidocaine gel before each stool to relieve pain. Also,topical Nitroglycerin typically applied rectally as a 0.2 or 0.4 percent ointment twice daily for eight weeks will help in healing. Sitz bath will be helpful, during a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contain Potassium permanganate. If it does not help, you need to visit a surgeon for examination and management." + }, + { + "id": 20075, + "tgt": "Why do I have constant itching between the fingers?", + "src": "Patient: Hello doctor, I am suffering from\u00a0itching problem in between fingers of both hands. It is a kind of red rash. I am suffering with this since nine months. Please suggest some remedy. Thank you. Doctor: Hi. Revert back with the details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8467, + "tgt": "I have a white bump on lip. Please advise", + "src": "Patient: Hello doctor, I have a white bump on lip. What has to be done? Doctor: Hello. I understand your concern. Kindly send a clear picture in good lighting." + }, + { + "id": 22827, + "tgt": "Can I take liquid Melatonin during pregnancy?", + "src": "Patient: Hi doctor, I am 7 weeks pregnant. I am suffering from insomnia and it is getting worse now. I used to take liquid Melatonin where each dropper was 1 mg and I never exceeded 5 mg a night, nor would I take 5 mg all together. I used to take 1 mg and wait for an hour then try again. Since I have been pregnant, I have not tried it. I am only getting 2 hours of sleep at night for the last one week. Can I take the liquid Melatonin during pregnancy? What is the recommended dosage? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25736, + "tgt": "What should I do to cure the abnormal scales on my face?", + "src": "Patient: Hello doctor, I have a skin problem on my face. The skin has abnormal scales on the area to the side of my upper lip. When I remove the skin, the area is reddened. It has happened ever since I was on Doxycycline for a prostate infection. I stopped it four months ago. I am also on Daonil for diabetes. I am currently on Atacand, Lipitor, Reaptan, Daonil, Duodart, Aurorix, and a low dose Aspirin. Please help. I have attached photographs for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). It is most likely psoriasis which is an autoimmune condition which affects the skin causing white silver scales. This could be drug-induced, genetic, or an idiopathic infection. Removal of the scales leaves red dots called Koebner phenomena which suggests psoriasis. I advise you to have a dermoscopy by a specialized dermatologist in order to confirm the diagnosis. Dermoscope is an instrument with great magnification power that detects certain features to confirm the diagnosis before starting treatment. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5871, + "tgt": "I had a positive ANA of 320 and my RVV normalized ratio is 1. 28. Should I be concerned?", + "src": "Patient: Hello doctor, I had a positive ANA 320 but no symptoms. I went to a rheumatologist who did further blood tests. The only test that is positive was RVV, normalized ratio at 1.28. What does this mean? Should I be concerned? Please advise. I am currently on Zoloft, Inderal, Valdoxan. Doctor: Hello, Welcome to icliniq.com. I went through your post and investigations simple ANA (antinuclear antibody) positive have a little significance and RVV ratio has no significance because the primary screening test is normal so you can relax, however, a watch every six months urine examination and dsDNA (double-stranded DNA) is important because the development of lupus may occur in 5-10% people with positive ANA in life time just keep a watch and forget about APLA (antiphospholipid antibodies)." + }, + { + "id": 9176, + "tgt": "What treatment can I get for the painless bumps present on my penis?", + "src": "Patient: Hello doctor, I have some painless red bumps (few are very small, and one may be less than 1 mm) on my penis. I have already consulted a dermatologist. He said this is molluscum and homeopathy medicines will be helpful. But there are no recovery signs for a month taking homeopathy medicines. I am afraid as they are spreading on the groin area and I am also in stress and not enjoying my sexual life. What can I do? Also, can a proper diet help in recovering as said by the dermatologist? Doctor: Hello I understand your concern. 1. Yes, this is molluscum contagiosum. On genitals it spreads via sexual contact, so it is an STD (sexually transmitted disease). 2. Try to avoid sexual contact till they get treated. 3. There is no role of diet as such in this condition, just maintain a normal healthy diet. 4. It can be removed by simple needle extirpation, which is not very painful and do not worry it will not leave any mark. And I do not think homeopathy will be of much help in this but can be easily treated with simple needle extirpation in single session." + }, + { + "id": 15099, + "tgt": "I am having bad thoughts and not able to sleep. Why?", + "src": "Patient: Hello doctor, I feel there is an excessive discontinuity since a few days in my sleep. I could not get adequate sleep for the whole night and along with lack of sleep at night, I feel some anxiousness and stress also and these mentally stressed feelings remain throughout the whole day. Till now the anxiety level is not extreme actually but due to this mentally, I feel uneasy. And always I am being surrounded by some kind of bad tension, which tensions actually. I want to remove them out of me but I could not. These bad thoughts or tension do force me to think, to be surrounded by them. I could not be able to get rid of these. Doctor: Hello. I can understand your concern. Some unconscious underlying anxiety resulted in rumination thoughts and worries. These are disturbing the sleep and you are not able to sleep properly. The lack of sleep is further deteriorating the symptoms and ultimately a vicious cycle is getting formed. Insomnia-worries-insomnia cycle should be broken. If these symptoms are resulting in impairment in your day to day functioning then please visit a doctor for evaluation. A psychiatric consultation is needed for an evaluation of anxiety. Drugs like Paroxetine can be utilized for the relief of symptoms of anxiety and will also help in making your sleep sound and peaceful. Apart from these, I would also advise you to improve the sleep hygiene. Fix your time to go to sleep and waking up. Avoid taking tea, coffee, alcohol, carbonated drinks in the evening. Bathing with warm water in the evening also helps in good sleep. Avoid any activity like watching TV, reading books or playing games on the cell phone from bed. Use your bed for sleeping only. If you fail to get sleep with in 10 minutes of going to bed then get up and try to distract yourself. Avoid trying to get sleep. Do not think that you will not be able to sleep. This will increase the rumination. Take care." + }, + { + "id": 17627, + "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": 28392, + "tgt": "Why does my mother-in-law refuse to walk even with help?", + "src": "Patient: Hi doctor, My mother-in-law is 93 years old and had her hip replacement done before five years. She could walk after that, but we have kept a lady to be with her for 24 hours a day and 365 days a year after the operation. She does not have diabetes or has any heart condition. She takes one tablet of Neurogen, Glutamine plus, Seven Seas capsule and 75 mg Ecosprin. Recently, she has started swinging her neck from side to side when seated crouching forward. Also, she is complaining of body pain and refuses to walk even with help. When walking held by the lady, she suddenly tries to sit down. I appreciate any advice to make her life comfortable. Doctor: Hi. I understand your concern. For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 23790, + "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": 30531, + "tgt": "What can be the reason for my mom's repeated pain under breastbone?", + "src": "Patient: Hello doctor, My mom is 63 years of age. She is getting pain under her right breastbone followed by acid reflux and burning in her stomach with a sour taste in her mouth. They did an ultrasound, which showed three gallstones. She had her gallbladder removed three months ago. Now, she is getting the same symptoms again and taking Omeprazole twice a day. But, it does not seem to be helping. Everything she eats turns to acid. She went to the ER last week and did a CBC, chest x-ray and ultrasound, which came back normal. Now, she has an appointment with gastroenterologist. She has a history of GERD and asthma. Please let me know your opinion doctor. Doctor: Hello. I have a few questions; if you would not mind answering them. 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": 20181, + "tgt": "Can rat spread rabies?", + "src": "Patient: Hi doctor, I am a 25 year old male. I went to a party and slept at an unhygienic place. There were a few rats around and now I am scared if any of them had bitten me. I am worried that I may get rabies. I cannot see any bite marks, though but I cannot shake the feeling off. Should I get rabies vaccine?\u00a0Will it even work as it has been more six days now?\u00a0I came to know from the internet that rats cannot cause rabies. I would not want to be the first case. Please help. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7603, + "tgt": "I have terrible gas trouble. Kindly help", + "src": "Patient: Hello doctor, I am 60 years old. I always had stomach issues but now at the end of the day I have terrible gas trouble, and it does not matter what I eat. Beano helps a little. Could this be IBS?Lab tests performed: All lab test are normal. Doctor: Hello. I can understand your concern. Some times it may happen due to intestinal flora. Some food habits also cause such conditions. IBS (irritable bowel syndrome) patients will be suffering from frequent loose motion and constipation. Stress is one of the primary cause of this issue. It can be managed naturally (without medicines) if you know the origin of the problem. Now you can take Hingwastaka Churna 3gm twice a day with the first bolus of food thrice a day and drink plenty of lukewarm water half an hour after food. Avoid spicy and fried junk foods. Do regular kapalbhati and Mandukasana as well as pranayana like Anuloma Vilom Nadi Sodhan and Bhramari. Do these things and provide your valuable feedback after 15 days" + }, + { + "id": 21908, + "tgt": "Can masturbation cause erectile dysfunction?", + "src": "Patient: Hi doctor, I am facing issues of erectile dysfunction. But, I have a bad habit of masturbation since childhood. I am unable to keep my organ hard for a long time. It is big, very flaccid and not very hard. My testis has got shrunked day by day due to masturbation. Please suggest as I am getting married very soon. Doctor: Hi. I would like to mention that masturbation does not cause any weakness or sexual dysfunction. It is associated with guilt and anxiety that causes the problems. Do not get worried. Treatment is possible. Consult a psychiatrist or a sexologist in person for evaluation and treatment. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23322, + "tgt": "Can I take Vitamin B12 with Seroxat?", + "src": "Patient: Hi doctor, Can I take vitamin B12 with Seroxat? Doctor: Hello. Seroxat is Paroxetine and is an SSRI drug. You can take Vitamin B12 with this drug without any worries. Cyanocobalamine or Methylcobalamine either of the form you can take. This will not cause any drug interdictions. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29005, + "tgt": "Kindly help with my constant, mild chest pain", + "src": "Patient: Hi doctor, I am an 18 year old male. I am having a mild constant chest pain. Sometimes I feel shortness in breathing, little bit of headache and heaviness in throat. Please help me. Doctor: Hello. As per the short history, it is difficult to make a diagnosis. But, I will try to explain the symptoms and related causes. It would have been more helpful if you had given your weight and body mass index (BMI). The chest pain can be related to diseases involving the stomach, heart, lungs and the chest wall. The diagnosis depends on the type of chest pain pricking or vague and changes while breathing has to be noted. Shortness of breath has to be rated for the amount of work causing the shortness of breath. A headache may arise due to sinusitis or stress (tension). Heaviness in the throat may be caused by infection, regurgitation, etc. Considering the symptoms put together, I presume that it could be regurgitation. Regurgitation is partially or undigested food felt in the throat from food pipe after swallowing. It may be due to any one of the following: 1. A lax sphincter in the lower end of the esophagus. 2. Tight non-relaxing sphincter not letting food pass through (achalasia). 3. Increased abdominal pressure. 4. Esophageal diverticula. 5. Helicobacter pylori infection. The recurrent regurgitation will disturb the flora in the throats leading to repeated infection, sore throats and hoarseness. If severe may result in upper respiratory tract infections, sinusitis, and headache. Chest pain is described mild and constant seem to be heartburn due to regurgitation. There could be other possibilities which require detailed history and basic examination. To follow preventive measures and if symptoms persist, get an upper GI endoscopy to determine the cause and to arrive at a diagnosis. 1. Do not lie down flat after taking food. Lie down 2 hours after taking food. 2. Make sure to eat half stomach. Split up the meals (six half stomach food is better than three full stomach food). 3. Cut down on spicy food and eat healthy and freshly prepared food. Have a balanced diet and take fruits and vegetables. Maintain a body mass index between 18.5 and 24.9. Try these measures. If symptoms persist, then you may consult a doctor in person to get the necessary medications to reduce the acidity, reflux, and treatment for a throat infection. The history is very minimal to arrive at a diagnosis and start a treatment plan. I advise you to follow the preventive measures and consult a doctor when symptoms prevail or worsen. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1174, + "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": 30446, + "tgt": "Though my wife is pregnant, why are we unable to see anything in the scan?", + "src": "Patient: Hi doctor, My wife is 8 weeks 2 days pregnant.\u00a0But, our doctor is unable to see anything on the day of scanning. I am worried. Please help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24899, + "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": 18002, + "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": 9480, + "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": 20777, + "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": 12188, + "tgt": "My heart rate increases due to anxiety and panic disorder. How to keep myself calm?", + "src": "Patient: Hello doctor, I hope you can help me with my anxiety. I am a 35-year-old female who has severe health anxiety and panic disorder with agoraphobia. I have been doing good until this past month. Then, I got sick and had a fever. My heart rate was high during the time of fever. I became extremely anxious about it and went out to buy pulse oxygen to keep an eye on it. WelI I think that was a bad idea. For example, when I am up around the house cleaning, it can hit 130. When I am walking into someplace I have anxiety it can get up to 140. And I feel it. Then I get more scared. I want to start walking with my mom. But I feel scared because it may increase my heart rate. I need some reassurance as I have stuck in this heart fear. Blood pressure generally runs 107/75 and resting heart rate is around 70. I weight 134 lbs (60 kg), and my height is 5'3. Seven years ago I had an echocardiogram when my anxiety first started, and I wore a 30 days Holter monitor. All was good except some PVCs. I also had a stress test without contrast during that time that was also fine. I have always been scared to exercise because of the fear of my heart rate and thinking it will make me have a heart attack or go into cardiac arrest. Please, can you give me some reassurance? I came to know that I can duplicate any chest pain by pressing on the spot then snap out of thinking I have a heart attack. Doctor: Hello. I passed carefully through your medical history. Considering your clinical symptoms and performed medical test I would explain as follows: Your heart rate increase recently is defined by your condition of high body temperature and systemic inflammation response. Usually, there is some degree of dehydration that may also further contribute to the matter. But the primary cause of the racing heart rate is your excessive anxiety. You need to fix and avoid it. The first step is to get rid of the oximeter. You should relax and go outside in nature. Yoga and aerobics are helpful in this regard. Hope to have been of some help to you." + }, + { + "id": 3863, + "tgt": "What is the exact problem with my right knee?", + "src": "Patient: Hi doctor, One year back, I had problem in my right knee like loose feeling, instability, slight pain, etc. When I consulted a doctor, he suggested Cartigen-Duo, Miol-OD and Acepark gel. In x-ray he found that the pain was due to cartilage damage in knee. I continued full course of medicine and after that there was no problem in knee. I have attached that x-ray report and doctor prescription here for your reference. If I walk long distance then problem starts again and it gets cure as soon as I apply that gel. However, since last week again the problem started. This time I am using kneecap for support while walking.\u00a0What is the exact problem with my right knee?\u00a0Should I start Cartigen-Duo and Miol-OD again? Please suggest any alternative gel as the earlier one is not available.\u00a0What should be done for permanent cure of this knee problem?\u00a0Can I walk long distance? What precautions should be taken for knee pain? I am looking forward for your positive reply. Thank you. Doctor: Hi. I have gone through your history as well as the images attached (attachment removed to protect patient identity) with it. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30926, + "tgt": "Can you explain the changes seen in my routine blood test?", + "src": "Patient: Hello doctor, I have done my routine checkup and blood test. My reports show some variation in the normal range, especially in CBC, hs-CRP, vitamin D and TSH. The night before the blood test, I met with an accident and my upper skin has been ruptured. Somewhere, I read that hs-CRP may significantly increase if tissues rupture. Around eight to nine\u00a0months before, my weight was 85 kg and I reduced it to 83 kg now. Is vitamin D deficiency related to that? Because, I am not taking oily foods now. I have done cardio related test seven months back and my doctor found everything fine. But, I always have anxiety about my health. Doctor: Hello. That was a very impressive and extensive list of investigations (attachment removed to protect patient identity). For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29177, + "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": 19763, + "tgt": "I am pregnant and feeling constipated. What to do?", + "src": "Patient: Hello doctor, I am 11 weeks 2 days pregnant. I did not get motion for the last three days and have lower back pain and gas problem. Please suggest what to do. Doctor: Hi. During pregnancy, progesterone hormone increases. The progesterone hormone has effects on the bowel. The movement of bowel decreases, the secretions from the lining of bowel increases and sphincter becomes tight. So, the net response is that you will have constipation, gastritis, vomiting tendency, heartburn and bloated feeling in the abdomen. If the problem of bowel movement is not resolved, then I suggest syrup Duphalac (Lactulose) or Cremaffin plus (Liquid Paraffin) two tablespoon at night once a week. Consult your treating doctor, discuss with him or her and take treatment with consent. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7483, + "tgt": "What is the cause for constant neck and back pain associated with neck stiffness?", + "src": "Patient: Hello doctor, I have chronic neck and back pain that can cause either severe neck stiffness or sharp pain. Most of the pain seems to originate in the front of the neck (SCM muscle) or the cervical spine area. Pain radiates to mid-back and causes spasms of my shoulder blades. Lots of popping when turning my head. This also flares up every couple or few months to the point of being unbearable and requiring a visit to urgent care. Lots of other symptoms some of which include, profuse night sweats, sweating during the day for no reason (profuse), weakness in shoulders and arms (very hard to play tennis anymore), occasional stiffness in ribs, tightness in chest, jaw pain and weakness, forehead numbness, random movement of limbs during day but usually at night (kind of like little seizures but has not been diagnosed) and general neck swelling (neck looks big). I know it is a lot of symptoms, but it is so frustrating. I have a copy of a cervical MRI with me. Curious to know if these symptoms stand out as anything in particular. Working with doctor's now, but I am mentally and emotionally drained as I have been dealing with this for years with no answer, and it is difficult for the family to understand. Being an athlete could not compete in college anymore due to this. My body could not perform anymore. Doctor: Hello. I have studied your case. Due to compression of this nerve root, there can be a sharp pain in your arm and back with a shoulder. I will advise you to send your MRI cervical spine for better diagnosis. For these symptoms, analgesic and neurotropic medication can be started. Till the time, avoid lifting weights, Sit with support to the back. You can consult a physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise checking your vitamin B12 and vitamin D3 level. Shoulder symptoms can be due to rotator cuff injury or arthropathy. If required MRI shoulder may help in diagnosis. I hope this answers your query. If you have additional questions or follow-up queries, then please do not hesitate in writing to us. I will be happy to answer your queries." + }, + { + "id": 8880, + "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": 21649, + "tgt": "How can I increase my breast milk production?", + "src": "Patient: Hi doctor, I am having a 1-month-old baby. I am giving breast milk and formula milk to my baby due to insufficient breast milk. However, my breast milk was not too low. I used to provide formula feed for one or two feeds. Before three days back, I was sick, and so I could not breastfeed my baby for one day. After recovery, my breast milk has been dropped drastically and hardly. I was able to pump only 10 ml per feeding which was 100 ml before. Is this because I have not breastfed or pumped milk for one day? I want to recover my milk supply. Kindly advise. Can I take fenugreek supplement? Currently, I am giving formula milk to my baby, and I want to do breastfeeding. I am taking Razo D and Histac 180 for acidity and Livogen before breakfast and Shelcal in the afternoon. Doctor: Hi. Breast milk secretion works on a demand-supply basis. The more you breastfeed, the more milk is produced. Here is what you can do to increase your breastmilk supply: For more information consult a lactation counselor online --> https://www.icliniq.com/ask-a-doctor-online/lactation-counselor" + }, + { + "id": 9415, + "tgt": "Why is my online partner not talking to me properly?", + "src": "Patient: Hi doctor, There is a girl I know from online for more than three years. I liked her before, but I was too shy to tell her. Last year she opened up that she likes me too. Last summer we talked a lot, daily had calls, movies online, shared pictures. She told me that she loves me, I told her too. Unfortunately, bad things happened to her before me (abusive ex, lost baby, lost cousin). We could not meet yet. Something happened last month, because she seems different. She says that she does not feel anything, and she does not want help nor does she want me to fix her. It feels like she does not love me anymore. I do not know what to do. Doctor: Hi. Long distance relationship has its own pros and cons. Likewise, in your case, in the beginning it was working but one to one direct interaction is always needed to have strong bonding. Especially, in such scenarios where one partner need much emotional support after experincing much losses in life. Sharing time online can be helpful, but not a long-term solution as discussed above. It might be possible that your friend is suffering much and could not share online things as before and needs physical and emotional support from you. I would suggest that try to meet her once even if she shows that she does not need help (depressed people avoid taking help quite often) and discuss the issue to better understand the core of problem. Hope it helps." + }, + { + "id": 30820, + "tgt": "Can I conceive at the age of 34?", + "src": "Patient: Hi doctor, I am 34 years old and trying to conceive. My report showed AMH 162, TSH 2.03 and prolactin 31.50. Can I get pregnant? I am also taking Clomid tablet in the first 4 days of the cycle. Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 15960, + "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": 20170, + "tgt": "Is my kidney affected because of not taking medicines for diabetes?", + "src": "Patient: Hello doctor, I am a 48-year-old male. My urine microalbumin quat is 199, creatinine 69, and glycosylated hemoglobin 9.6. The doctor told me that now my kidney is affected. I am not taking medicines to control diabetes for seven years. Only by diet and walk, I have been controlling my sugar. Is the damage to my kidneys too bad or can it be cured? Is it in the initial stage or already heavily damaged? I am taking five to six bitter gourd juice every day. Will this harm my kidney? Doctor: Hello. I understand your concern. It is very important not to worry, and to take the correct steps towards achieving better health with diabetes. Since your glycosylated hemoglobin (HbA1c) is 9.6, your sugar level has definitely not been under control for a long time now. So, your methods of exercise and diet did not seem to really help your condition. For an HbA1c level of 9.6, it is practically not possible to control blood sugar levels by diet and exercise alone. I am pretty sure your doctor might have conveyed the same to you. Going by your creatinine level, 69 seems unusually high. We usually do not come across such numbers. Did you mean 0.69? Also, check the unit of measurement. Is it mg/dL? Please check your reports again. There seems to be some error. Looking at microalbumin level (199), it looks like your high sugar levels have just started affecting your kidneys. It is definitely recommended to start taking anti-diabetic medicines at the earliest to avoid further complications. Bitter gourd juice is alright, you could reduce it to two to three per day. Continue your no-sugar diet and exercise. Meet your diabetologist at the earliest and start taking medication. I hope that helps. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 10462, + "tgt": "I am suffering from abdominal pain with cramps. Why?", + "src": "Patient: Hello doctor,As of now, I experience abdominal pain with cramps in the lower right of my abdomen. What could be the problem? Doctor: Hello. This could be as simple as digestive problems with gaseous distention. It requires medications for indigestion or gaseous distention like Charcoal tablets, passing by symptoms of gastroenteritis. If diarrhea and vomiting develop, food poisoning is one of the reasons as well. Also, it can be a kidney or ureter problem (stone or salts). This site can suggest acute appendicitis as well, which should be dealt with as an emergency. In all circumstances, I recommend a visit to your general physician or internal medicine specialist for further history taking, clinical examination, and evaluation. Visit your doctor for further evaluation." + }, + { + "id": 15348, + "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": 5995, + "tgt": "Why a pimple should not be popped?", + "src": "Patient: Hello, Welcome to icliniq.com. Why a pimple should not be popped? When to pop a pimple? What to do after popping a pimple? What should I apply to heal the pimple and to avoid acne scars? Doctor: Hello. Many individuals with acne or other problems have a habit of popping up the pimples. It is never good to pop a pimple because it can lead to scarring. Patients are always advised to never pop up the pimple, as the risk of infection increases. The natural healing process gets disturbed and results in scarring. If someone pops up the pimple, he/she should wash the area, and apply topical antibiotic like Fusidic acid ointment to protect from infection and scarring." + }, + { + "id": 328, + "tgt": "I have pain in my second molar with redness in gingiva and it hurts on eating and drinking. Please help", + "src": "Patient: Hello doctor, I had pain in my second molar. I felt the pain in my wisdom tooth last week then the pain fades away after 3-5 minutes. I thought it will not come back but then it happens recently then the gums in my second right molar teeth have the red lining and it always hurts when I eat or drink and even when I do toothbrush. Please help. Doctor: Hello. I went through your query. I am sorry for your inconvenience with the tooth. As an expert in this field, I know what is exactly wrong. Nothing to worry it is your third molar. What happens during erupting third molars or partially erupted third molars is the gum between the second and the third molars undergo swelling and pain due to infection. It also makes mouth opening difficult in some cases. But not to worry. Kindly upload an image if possible for more help. Follow these instructions: - Do warm saline gargle two to three times a day. - Take tablet Sporidex (Cephalexin) 500 mg one tablet BD for five days, Zerodol SP (Aceclofenac, Serratiopeptidase, and Paracetamol) one tablet BD for five days, capsule Pan D (Pantoprazole) one capsule BD before meals for five days. These medications will help you a lot. You will be fine. Erupting third molar. Pericoronitis. Avoid sticky or sweet or cold items, not even cold water. Follow up after seven days." + }, + { + "id": 25694, + "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": 1375, + "tgt": "I have sinusitis for the past 6 months and no medication helped me. Why?", + "src": "Patient: Hello doctor, I am suffering from sinusitis for the last six months. I have tried lots of medicines but there is no improvement. Because of the current scenario of COVID-19, I cannot visit any ENT specialist. Please help me and prescribe some medicines. Doctor: Hi. Yes, I understand how frustrating your problem can be. Sinusitis is usually secondary to a certain problem such as allergy (which is the most common cause, once other rare causes are ruled out). So considering the treatment of this particular issue, we need to always treat the primary from its root source so that the effect remains for a longer time with the least amount of medications. What can be done? If you are having underlying allergic issues such as sneezing, watery nasal discharge, ear fullness, heaviness in the head, and facial regions, we need to treat the allergy first. You need to wear an n95 mask (and nothing else other than that) to prevent any irritative substance such as dust, fumes from entering your nose, and initiating the allergic cascade mechanism leading to its symptoms. Wearing a mask even at home, avoiding exposure to dust and other substances which instigate sneezing according to me is the single most important factor which you have to take care of as other things mentioned below are all for symptomatic relief and we are not treating the allergy as such, precisely speaking. Take tablet Sinarest (Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day after food for 10 days, Allegra-M (Fexofenadine and Montelukast) one tablet two twice for 10 days, Duonase nasal spray two puffs in both nostrils twice daily for three continuous months (do not inhale while applying the spray), tablet Mucomix 600 mg one tablet twice daily for 10 days. Do steam inhalation two or three times a day for supportive relief. Take Wysolone 10 mg once a day after breakfast for 10 days, tablet Pan D (Pantoprazole) one tablet before breakfast for 10days, Clarithromycin 500 mg twice daily for one month. Saltwater gargles 8 to 10 times a day will keep irritative substances away from the throat. All these medications will be useful only if you strictly follow the precautionary measures. The requirement of medications will automatically reduce once your symptoms come down with a decreased allergic load. Please do get a noncontrast CT (computed tomography) of the nose and paranasal sinuses and show it to me once you get it done in the subsequent follow-ups. I advise you for a follow up after two weeks of treatment, so I can evaluate and let you know about the further requirement of medications. I hope this helps." + }, + { + "id": 3542, + "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": 22539, + "tgt": "I got fever with chills and WBC count is 11900. Is it serious?", + "src": "Patient: Hi doctor, I recently got a fever with chills and feeling cold. I took Dolo 650 and fever is gone but still continue to feel chills in my legs and sometimes feel cold. I went to the doctor. He asked me to get CBC test and routine urine test. In my CBC test, my WBC count is 11900, rest all are in normal. My urine test says 6 to 8/HPF and pH urine as acidic. The doctor said it is UTI. Am worried about WBC 11900 count. Kindly advise. Currently, I am taking Zifi CV 200. Doctor: Hello. Kindly let me know if any other symptoms you have like burning micturition, abdominal pain, dyspnea, etc. Your total WBC count not much raised, it is only slightly increased. In urine, 6 to 8 pus cells are not significant. So, it can be a viral infection and symptomatic management is done for that. Kindly attach your reports to check it. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10909, + "tgt": "How can I manage dysfunctional pancreas?", + "src": "Patient: Hi doctor, I was diagnosed last week with a dysfunctional pancreas but further tests are needed. Yesterday, I had a couple of beers and I woke up today with pain in my pancreas (I am quite sure). In the pain scale, it is about where I should take a Paracetamol, but I am afraid to put something down in my stomach. It is not severe. What should I do? Eat lean food and drink water till it goes away or is another treatment needed? I have been on Nexium, Ranitidine for four years and my pancreas gets worse when I take that medication. I stopped Ranitidine one week ago. I had endoscopy last week and esophagus and stomach looked fine. Could it be gallstones blocking pancreas? Hope you can help me here. Doctor: Hi. I have reviewed your query and can well understand your worries. I would recommend combatting this situation without medications as these medications will also affect your stomach. Try not to take pain medications as much as possible. In severe and unbearable pain you can take though. You already had fundoplication and taking pain medications can cause gastroesophageal reflux disease (GERD) or gastric ulcers along with hyperacidity in the stomach. Without having a look at gallbladder it is difficult to say anything about the origin of issue that may have caused pancreatic insufficiency. For diagnosing gallbladder issues (sludge accumulation inside or gallstones) we need to go for an empty stomach ultrasound study of the abdomen. It can show most of the gallbladder issues along with any correlation between the gallbladder and pancreatic issues like gallstones and pancreatic insufficiency. Alcohol is not good for the pancreas. It is the single most dangerous threat to the pancreatic normal functions. It may also lead to pancreatic cancer along with smoking, age, and infection of the pancreas. It is not severe. Yes, you should deal it like this conservatively, as aforementioned in detail. Hope it helps. Please go ahead for further pancreatic studies as advised by your physician and avoid smoking and alcohol as these are like a poison to the pancreas in this scenario." + }, + { + "id": 15125, + "tgt": "Why is there a red rash spreading over my cheeks and the bridge of my nose?", + "src": "Patient: Hi doctor, I am a 15-year-old female. I weigh 130 pounds and am 5 feet 2 inches tall. I have recently had a red rash that is spread over my cheeks and the bridge of my nose. It has very clean margins and looks a lot like the malar (butterfly) rash that goes along with lupus. However, the blood test that my doctor ordered for lupus came back negative so I am wondering what this could be. I have had two episodes of this rash, the first of which happened about a month ago and lasted for about five days to a week, and a little over a week ago the rash came back. It stings and has gotten dry and somewhat stiff. Though the rash itself is somewhat similar to the ones associated with rosacea and eczema, I do not have any of the symptoms expected with the two conditions. In addition to the rash I have also been having stomach issues which include nausea, vomiting, and a generally upset stomach. On to of these symptoms I am also experiencing fatigue, soreness in my joints, what I believe is Raynaud's phenomenon in my toes. I have also experienced slight dizziness so often upon standing up. Doctor: Hi. It looks like the rash one has from lupus (attachment removed to protect patient identity). But you are tested negative for it. Considering your other symptoms it is auto-immune in origin. Other causes could be drug-induced malar rash, polymyositis, rheumatoid arthritis, and scleroderma. In autoimmune diseases, there is a formation of antibodies against your own body substances and cells. It does not have any specific cause. The cause is multifactorial, genetic, environmental, etc. It affects almost all organs in the body. You have to do the following investigations to find the involvement of the particular systems. Complete blood count, ECG, and echo, urinalysis, X-ray chest, blood urea and creatinine, ESR, CRP, liver function test. If the abnormalities are present in any of the above tests, finally we have to do the antinuclear antibody titers, ENA profile, anti-ds DNA antibody, complement levels C3 and C4. NSAIDS, Hydroquinone, and Methotrexate, etc., are commonly used for the treatment of autoimmune diseases. Nowadays plenty of monoclonal antibody treatments are available. It cannot be cured. You can reduce the severity of the disease and avoid experiencing the symptoms." + }, + { + "id": 16447, + "tgt": "What can be done to cure chronic cough?", + "src": "Patient: Hello doctor, I have had a chronic cough for the past one month after having a bad cold. My doctor believes it to be allergy-related, as I did a chest X-ray and that came back clear, so he has prescribed me two inhalers. One is Salbutamol and the other is a corticosteroid. They both have seemed to have helped but unfortunately, I believe they are the cause of my severe acne, as the acne soon developed after beginning the inhalers. I was wondering if there is an alternative to these prescribed inhalers. Doctor: Hello. Did your doctor prescribe you to undergo a PFT or pulmonary function test accompanied with a reversibility with bronchodilator? If not, then before using inhalers, the diagnosis of bronchial asthma must be established. I suggest you stop the steroid inhaler for three months if your symptoms are not present at present and then you go to a pulmonologist and get your PFT done. For the time being, if the frequency of symptoms is less than one per month, you can take the Salbutamol inhaler on a required basis. For allergy, you can take the combination Monteleukast (10) with Levocetirizine (5) at bedtime for 15 days. Steroid inhalers although have few systemic adverse effects, should not be prescribed in the absence of an established diagnosis of bronchial asthma. If the diagnosis cannot be established even after thorough investigations and if symptoms are distressing, then one can advise a trial of a steroid inhaler. There is also a variant of asthma which is called cough predominant asthma which your doctor had thought you have, I guess. Lastly, gastroesophageal reflux is a very common cause of a chronic cough with a normal X-ray chest. so you can take a combination of Pantoprazole (40) with Domperidone (30) sustained-release before food for one month." + }, + { + "id": 18208, + "tgt": "My mom was treated for trigeminal neuralgia, with no relief. What to do?", + "src": "Patient: Hello doctor, My 58 year old\u00a0mother has a\u00a0history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped.\u00a0Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium valproate were tried in combination with Baclofen, but the pain persisted. Last year we started her on Gabapentin 400 mg per day and then changed to 300 mg twice a day,\u00a0 and she was pain-free for a long time.\u00a0 Then last year, the pain resurfaced. We increased the dose to 800 mg per day but still, there was pain. So, she underwent a radiofrequency\u00a0ablation of Gasserian ganglion early this year. She was fine for two days, and then suddenly from the third day the pain resurfaced. The pain is unbearable. The doctor stopped Gabapentin and gave Lyrica 75 along with Baclofen twice a day.\u00a0A week after the procedure, he increased Lyrica 75 to twice a day, but there was no relief. Three days ago, I stopped Lyrica and started Gabapentin 200 mg twice daily\u00a0and today increased it 200 mg in the\u00a0morning\u00a0and 400 mg in the evening. During the day, I give her a combination of Tramadol and Paracetamol two to three times a day.\u00a0Please advice on how she can get some relief. Doctor: Hello. I hope it helps you. If you have any further queries, please ask me. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25000, + "tgt": "What can be the shiny red blister on the side of my shaft?", + "src": "Patient: Hello doctor, I have a slight shiny red blister or sore on the side of my shaft. I get occasionally some white discharge and a smell from it. There is no pain. What can be the diagnosis? Doctor: Hello. I have viewed the image (attachment removed to protect patient identity). I would keep a possibility of either erosive lichen planus or a Zoon's balanitis or a fixed drug eruption (FDE). Is there any recent history of intake of drug or medicine? Are you sexually active? I request you to kindly upload a few more good quality images of the affected area. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7245, + "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": 8526, + "tgt": "My overactive imagination is making me lose grip on reality. Please help", + "src": "Patient: Hello doctor, From more than a year, I have been facing mental health issues. It started with anxiety about developing schizophrenia and feeling detached from things. Since then, I often get periods of extreme anxiety, involuntary mental images of memories, imagination, dreams, and distorted memories. There are periods of time (1 to 2 weeks) when I feel completely fine. Despite my problems, I was able to take my exams, resume work, and have a social life. I have been seeing a psychologist, who tells me I am on the OCD spectrum. I am always scared that I am losing touch with reality. From the past seven days, my symptoms are, I have very vivid dreams, and when I wake up, I am confused as to whether the dream actually happened or not, and it is only after some time that I convince myself that it did not happen. I have an overactive imagination. As a result, I often act out scenarios in my head. When someone says something, I imagine that they will say this or that next, or this will happen next. It is more like an anticipatory imagination. I try to hold my imagination back, as I am scared I will confuse it with reality. For instance, if a person is sitting in the room next to me, I will think that they are probably doing this or talking to someone or I think that this person will probably do this next. This causes me discomfort and panic, as I think that my overactive imagination is causing me to lose my grip on reality. I do know that this is my imagination, but I feel very scared or anxious as to why I imagine stuff like this in the first place. Usually, in the morning, I feel extremely anxious and feel I have lost my grip on reality, so much so that my teeth chatter from morning to afternoon. I keep on getting mental images of distorted memories of the past, imagination, and dreams. I feel extremely unnerved when I get these mental images, as I feel that I should only be getting mental images of things that actually happened. Why is my imagination or dream bubbling up like this? I feel very anxious when I forget the source of these thoughts or images or cannot determine with 100 % surety as to whether this actually happened. These are mundane things. I\u00a0also get memory problems. This is probably because I am thinking of my mental problems and not paying attention to things. Perhaps this is one of the reasons why I feel like I am losing my touch with reality, as I am not paying attention when people are actually talking to me. I have been getting extreme feelings of deja vu for the past seven days. Sometimes, things or events seem familiar. It is an effort that I tell myself that this is deja vu. Now the positive things are, there is no problem with my work or social life.\u00a0I am instantly able to point out when I get these mental images or deja vu.\u00a0There are periods of time (1 to 2 weeks) when I am completely fine.\u00a0Strangely, these problems are at their maximum in the morning, and by evening I feel completely fine.\u00a0My psychologist has told me that I am on the anxiety spectrum. I wanted to know whether someone with anxiety can have these symptoms. Doctor: Hello. From your description, it appears that you are having OCD(obsessive-compulsive disorder). Yes, all of your symptoms can be seen in it. The main problem is that you do not have control over your thoughts, that is why imagery and other ruminations occur. The extreme anxiety associated with these ruminations and anticipatory anxiety lead to other problems like memory problems. It surely is not a psychotic illness like schizophrenia, and the symptoms and the positive points you told also go against it. You can also do a self-rating test of OCD like Y-BOCS (Yale-Brown obsessive compulsive scale), which you can easily find online. Kindly consult a psychiatrist in-person for detailed evaluation and treatment. The treatments that are available are medications and psychotherapy. Remember, every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27390, + "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": 24255, + "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": 18549, + "tgt": "Please guide me with the reports if I have gynecomastia", + "src": "Patient: Hi doctor, I am 26 years old. My height is 5'10\" and weight is 87 kg. I am having gynecomastia.\u00a0I have attached the biochemical test results, laboratory reports. Please guide the treatment if I have low testosterone. Doctor: Hi. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 11651, + "tgt": "What are the chances of re-tearing of acromioclavicular joint after surgery using cadaver tendon?", + "src": "Patient: Hello doctor, How likely is it to re-tear (or re-separate) the acromioclavicular joint after surgery was performed on it with a cadaver tendon? It has been a year and a half post surgery. He was lifting 50 lbs overhead, wind pushed equipment back, causing loud popping in left shoulder (previously had surgery). Shoulder is now presenting with swelling, no mobility and pain.I want to know the likelihood of acromioclavicular joint getting separated again. Doctor: Hi. There is a high likely chance since you are symptomatic (pain and swelling). Subjecting to vigorous exercise and history of previous surgery adds to the suspicion. It is better you get evaluated and treated earlier. Though cadaver tendons are stronger and it is been 1.5 years. It can never equate your original strength. First get your pain and swelling down with analgesics and get an X-ray. If no bony injury and pain persisting, get an MRI done. X-ray followed by MRI shoulder if needed. Acromino-clavicular joint dislocation. Analgesics and anti-inflammatory followed by evaluation." + }, + { + "id": 21390, + "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": 14248, + "tgt": "Please advise regarding my HSG results and my husband's semen analysis", + "src": "Patient: Hello doctor, My HSG test report is as follows. Impression: Contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side. Clinical correlation is suggested for further management. What does this mean? Doctor: Hi. I have read and understood your problem. (attachment removed to protect patient identity) However, I would like you to answer a few questions so that I can help you better. Did you get a pelvic ultrasound scan done? Your HSG report says tubes visualized and no dilatation seen, this is good. But the second part mentions contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side, this may indicate a block in the tubes at their outer end. If there is block of the tubes at their outer end, then hydrotubation (tubal flushing) can open it. Alternatively, a laparoscopy and fimbriolysis may open it. Blocked tubes are usually caused by Pelvic Inflammatory Disease (PID) due to infection with chlamydia, tuberculosis, and other microbes and also by endometriosis, a condition where there is a collection of menstrual type blood around the uterus, ovaries, and tubes. If you can send me the image, I can comment better." + }, + { + "id": 28485, + "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": 6869, + "tgt": "What causes fever for 12 days?", + "src": "Patient: Hello doctor, I am suffering from fever for the past 11 to 12 days. If I take Crocin it reduces but again comes back. Food tastes bitter. Doctor: Hello. Having cold, sore throat? Better will have some antibiotics for three days, between that do blood test. CBC, smear for MF, MP. Take tablet Azithromycin 500 mg OD, tablet Crocin 650 mg BID for three days and review with report." + }, + { + "id": 7536, + "tgt": "Why do I get a throbbing pain in my anus after masturbation?", + "src": "Patient: Hello doctor, I am a 29 year old unmarried male. I have been masturbating for years, without any trouble. But, since the last one year, I feel a throbbing pain in my anus after masturbation. The pain lasts for 5 to 10 minutes. I usually masturbate once a week. This problem occurs if I do it more often. Is it natural or am I suffering from a serious problem? I have type 1 diabetes and I have\u00a0been taking\u00a0insulin injections for the last 13 years. Could this be related? Please advice. Doctor: Hello. Take care. For more information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13725, + "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": 451, + "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": 5797, + "tgt": "Why do I have burning sensation and itching even after taking antibiotics for urinary infection?", + "src": "Patient: Hello doctor, I am a 33 year old healthy male. Last month, I had an unfortunate sexual exposure (condom's head broke off).\u00a0I quickly pulled out and washed the genital area with a bathing soap.\u00a0After few days, I started having a slight itching sensation in the penis.\u00a0I visited a urologist and he asked me to undergo urine routine and culture tests. The urine culture report did not show any bacterial growth, but the urine routine showed some abnormalities. I have attached those two reports.\u00a0On subsequent visit, the doctor prescribed me a 10 day antibiotic course (Microdox LBX 100 mg) to be taken twice a day.\u00a0In addition to that, he also asked me to wash the penis with Betadine\u00a0Povidone-iodine solution twice a day.\u00a0The antibiotic course got over two days back.\u00a0But since then, I have been noticing a slight burning sensation after passing urine, especially during morning and afternoon hours.\u00a0Today, there is a slight pain in the penis.\u00a0I checked the area, but did not find any abnormality. Please help in resolving this issue. Doctor: Hello.I have gone through your reports and I can understand your concern (attachment removed to protect patient identity). Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 5657, + "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": 29624, + "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": 10624, + "tgt": "I am expecting first child and pregnant of around 6 weeks. Noticed some bleeding while urinating", + "src": "Patient: Hi doctor, I am pregnant of around 6 weeks now. This is my first pregnancy. I have noticed a few drops of\u00a0bleeding while urinating\u00a0twice in a week. I have consulted a doctor and she suggested to do transvaginal ultrasound\u00a0and got the following report.\u00a0Uterus\u00a0is bulky in size.\u00a0Regular well defined gestational sac is seen. Single fetal node is seen.\u00a0CRL - 0.64 cm.\u00a0GA - 6 weeks 3 days.\u00a0Fetal cardiac activities are normally visualized.\u00a0Decidual reaction is good.\u00a0Peridecidual color flow is normal.\u00a0No peridecidual clot or hemorrhage is seen.\u00a0Yolk sac is seen.\u00a0Ovaries - normal in size and echotexture.\u00a0Impression - single live fetus of 6 weeks + maturity.\u00a0Now I am in need of a second opinion. Is there\u00a0anything serious in my case?\u00a0Can I continue my normal work? Can I take Duphaston 10 mg for next 8 weeks as directed my doctor? What kind of precaution do I need to take? Doctor: Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16712, + "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": 21718, + "tgt": "I have uncontrollable watery diarrhea and so cannot visit my GP. Please help", + "src": "Patient: Hello doctor, I am a 52 year old female. I am 5 feet 9 inches tall and weigh 11 stones exactly. For the past five weeks, I have had uncontrollable watery diarrhea, no blood. Not much pain. I am type 2 diabetic. I am beginning to feel very weak and tired now. At night especially, I find I have been fecally incontinent on waking. I cannot visit my GP as the diarrhea is unrelenting and happens unexpectedly. Please help if you can. Many thanks. Doctor: Hello. Most of the times, diarrhea is due to a viral infection. Maintaining hydration is very important and you can take ORS (oral rehydration salts) or coconut water or clear soups. Also, check your blood sugar if you have a home glucose monitor. A visit to your physician is recommended as soon as possible. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2074, + "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": 28899, + "tgt": "My wife's ovarian cyst biopsy was stated as borderline mucinous tumor. Does it mean cancer?", + "src": "Patient: Hello doctor,My wife is 34 years old. She delivered a baby this month. An ovarian cyst was diagnosed during her pregnancy, and the cyst was removed when she underwent C-section. On the biopsy, it was stated as a borderline mucinous tumor. Does it mean cancer? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28317, + "tgt": "Is CNS tuberculosis a communicable disease?", + "src": "Patient: Hi doctor, I am a 34 year old male, and I met my uncle in the ICU today, who is suffering from central nervous system tuberculosis. I met him for ten minutes, and I talked and shook hands. Now, I am worried about getting infected from him. Is CNS tuberculosis a communicable disease? What are the chances of me being infected?\u00a0Please help me. Doctor: Hi. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27530, + "tgt": "Is surgery required for my enlarged prostate?", + "src": "Patient: Hello doctor,My prostate is enlarged, and it used to irritation while urinating. But after the treatment for enlarged prostate, the irritation has come down. I have enclosed my entire medical records for your opinion. Is surgery required now? Will eating fish aggravate my condition? Doctor: Hello, I have seen all your reports (attachment removed to protect patient identity). You had episodes of Urinary tract infection (UTI), which was fairly severe with WBC (white blood cell) count of 28,000. The ultrasound shows prostate to be 57 g. Prostate surgery does not depend on the size of the prostate only. It depends on how much obstruction it causes. So, I need the following information: Depending on all above, I can advise about surgery. You can eat fish, as there is no problem. Thanks. Revert with more information to a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 19080, + "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": 26799, + "tgt": "Which are the best days to conceive?", + "src": "Patient: Hello doctor, I am a 25 year old female, and I am trying to conceive for the last 1.5 years. My husband works for a month in another country and has 15 days of leave. So, when he goes to work, I do not accompany him. We have tried conceiving many times, but we did not have any luck. My menstrual cycle is regular, and it is of 28 days. I also got a Humog injection last month, but it did not help. Can you please explain in which days should we try to conceive? Thank you. Doctor: Hi. How are you doing? Let me start on a positive note that, you are at the right age for pregnancy (19 to 35 years), so never lose hope. Hope I have cleared 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": 20317, + "tgt": "Can arachnoid cyst cause hearing loss in a child?", + "src": "Patient: Hello doctor, 4 years old had an MRI for hearing loss. The report impression: Left mastoid and middle ear effusion. But my question is they listed left frontal region arachnoid cyst with adjacent mass effect. They are getting another MRI ordered and an appointment with a neurologist. I have looked at the symptoms, she has none, except dizziness when going in circles, she does not like it. Unknown from fluid in ear or cyst. Can you please give me some information of what this is? I cannot sleep. Doctor: Hello. I read carefully your question and would explain that the dizziness is not related to the arachnoid cyst. You should know that arachnoid cysts are usually asymptomatic and they are present since birth. Anyway, sometimes if they grow, they may lead to seizures or motor or sensory deficits. For this reason, it is important consulting with a neurosurgeon. Follow up with brain MRI every year may be needed." + }, + { + "id": 7931, + "tgt": "Will dog food cause mad cow disease?", + "src": "Patient: Hi doctor, I am a 23-year-old male, 5.6 feet, 140 pounds. So about two months ago I had to feed some puppies. They did not want to eat from the plate so I fed them by hand, their dog food. I always was an anxious person so I eventually thought about it. Read the ingredients of the dog food and read meat flour. My mind went straight for mad cow disease risk. I thought I am sure these dog food have spinal itssue, brain, bone in the meat flour mix. Did my research and I am correct. Many dog food companies do that. So it is impossible to get rid of every trace of dog food from my clothes, keyboards, pockets, etc. I already did that but you know I was not aware of these for the time I was feeding them. My question is, in the worst case how much time do I have before the symptoms start? First expousure might been two months or a month and a half ago. I am thinking of blowing my savings and traveling before the symtoms start and then after I confirm the disease, do not even know what to do. Doctor: Hello. I understand your concern and would explain that usually cows affected by this disease are isolated and their meat is not used in industry, but it is burnt under specialist supervision. Anyway, the period from the first contact with a mad cow product and the disease symptoms may be as long as 10 to 15 years. So just do not think about it. I am sure that nothing bad is going to happen." + }, + { + "id": 538, + "tgt": "Having left-sided pelvic pain. Is it something serious?", + "src": "Patient: Hi doctor, For the past couple of days, I have been having left side pelvic tenderness. It does not hurt very much When I lay down or stand up, but hurts when touched, especially if pushed down or put any pressure on that area. The pain is right in the area next to my left hip bone. I do not know why this pain is happening and I have never experienced anything like it before. My period was due and I am a few days late this time. I have not tested for pregnancy yet. Today I started spotting some pink discharge and a very small amount red blood. It was not in the underwear and I found it only when I wipe. I am getting concerned and do not know what is going on. Could this just be early pregnancy? Or is it something worse? Doctor: Hi. Well, firstly I would like you to get a blood test done to rule out pregnancy. It is serum beta hCG. You must also get a vaginal ultrasound done urgently. The reason I am asking for these tests is either you could be having these symptoms because of an ectopic pregnancy or an ovarian cyst. The pain may be an indication of the process of either expelling out from one side of the tube or rupturing and thinning of the tube. The more serious of the two situations is the possibility of ectopic pregnancy, which can be ruled out by the tests. If it is a cyst, then it can usually be made out by an ultrasound. I urge you to take these steps and let me know. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15940, + "tgt": "Kindly advise whether HIV rapid tests cover O type antigen or not", + "src": "Patient: Hello doctor, I have a doubt regarding the HIV rapid tests. I want to know whether the tests cover the O type and another rare type of antigen or they only cover M type. I underwent a RNA PCR, two Duo combo and two antibody tests after a risky exposure. All were non-reactive. What is haunting me is are the tests missing out any rare type? Do they even check for O type? Secondly, most testing kits as I saw on the net are using gp41and gp120 for the antigen. Is gp41 also common for O type or is it for M type only? How to rule out O type infection? Please help. Doctor: Hello. I have reviewed your query and here is my advise. As far as HIV infection is concerned, M strain variant of HIV1 is a common type. O subtype is very rare. However, let us move onto your question. Rapid diagnostic test and CMIA usually detect M strain of HIV effectively. However, depending on manufacture, a final comment can be given. But RT PCR usually detects all strain for HIV. Kindly mention after how much time of exposure you have investigated with RT PCR? I am asking this question to rule out window period for HIV." + }, + { + "id": 28054, + "tgt": "How to relieve burning sensation in the anus?", + "src": "Patient: Hi doctor, I have a burning sensation in my anus. How to relieve it? Please suggest some treatment. Doctor: Hi. I appreciate you seeking help. I would recommend the following for relief: Hope this helps you to get better soon. Should the issue persist, then get this clinically examined by a GI (gastrointestinal) specialist for further treatment. Do take care, and all the very best. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 28897, + "tgt": "My daughter hurt her finger and no fracture on x-ray. Should she see an orthopedist?", + "src": "Patient: Hi doctor, My daughter hurt her finger on her brother's kneecap two days ago. She is 11 and a gymnast. The x-ray showed there is no fracture. But still, she has lots of pain, swelling and two discolored joints in fingers. She was not given any treatment. Should she see an orthopedist? Doctor: Hi. Capsular injury to the finger post trauma with negative x-rays. Buddy strapping. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 9436, + "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": 481, + "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": 20640, + "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": 10155, + "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": 21464, + "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": 3223, + "tgt": "Is hepatitis B curable?", + "src": "Patient: Hello doctor, I am hepatitis B patient. My current status is as follows. HBeAg - negative (0.010), HBV E antibody or Ag - positive (0.031) and HBV DNA quantitative (PCR) less than 17.1 IU/mL. Please advise whether this can be cured to become negative as it is affecting my career. Doctor: Hello. Anti-HBc (both IgM and IgG), Liver panel, ultrasound of the liver INR/PT and serum albumin if not part of the liver profile. 1. Chronic hepatitis B. 2. Chronic carrier state. 3. Acute infection in window phase (with less infectivity). Yes, it is treatable, but I would be able to give you a better answer once I have the complete set of blood work and ultrasound results. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27497, + "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": 35, + "tgt": "Holter monitor shows supraventricular ectopics and PAC. Do I need antiarrhythmic drug?", + "src": "Patient: Hello doctor, I am a 60-year-old male who just received the results of a 24-hour Holter monitor. Key findings include: Sinus rhythm with frequent supraventricular ectopy (2559) which included couplets and one seven beat SVE multiplet. No complex forms. No significant pauses or periods of heart block noted. Constant feeling of missed beats coincides with frequent supraventricular ectopy. Very infrequent ventricular ectopy that was isolated and univocal. Cardiologists not concerned with findings and recommended positive affirmation, distraction, and cognitive behavioral strategies. He was very reluctant to recommend anti-arrhythmic treatment seeing this as overkill. Other matters of interest. Recent stress echo (March) indicated above average fitness for age (14 mets) and reached a maximum heart rate of 160 bpm. Moderate aortic regurgitation (grade 3-4), normal ejection fraction (60), LVEDV (138 mls), no demonstrable ischemia or arrhythmia. The recent PACs are very noticeable and I feel every one of them. I would appreciate a second opinion or advice on whether there is anything else I can do to stop them. I am currently on Atenolol 100 mg, Crestor 40 mg, Effexor 74 mg, and Valium 5 mg. Doctor: Hello. Premature atrial contractions or supraventricular ectopics are not harmful per se other than giving you symptoms. So antiarrhythmics are not usually recommended, so I do not disagree with your treating cardiologist. Beta blocker is the safest option available, although not the most effective one and other options are ablation or antiarrhrythmics. So trying behavioral techniques is a good option. But if it troubles you a lot then you may request low dose antiarrhythmics like Amiodarone for a short period of time, but they may again come back after the drug is stopped. Since there is no atrial fibrillation or SVT (supraventricular tachycardia), antiarrhythmics are absolutely necessary, but the benefit would be in you is just symptomatic, which comes with the risk of side effects. However, you should have Holter at regular intervals like yearly (with echo for aortic regurgitation), or if you notice sustained ectopics or irregular rhythm implying development of fibrillation. You may discuss changing Atenolol to others like Metoprolol and see if its help. You should try to identify triggers like sleep or gastric disturbances, alcohol or smoking (if any), any particular medications (which you are on), stress, etc. Also, if not had recently, thyroid should be tested. So in a nutshell, antiarrhythmics may be avoided, but if not tolerable symptomatically then may be tried. I hope this helps." + }, + { + "id": 25488, + "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": 24481, + "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": 15732, + "tgt": "What can be done for swelling and pain in cheek due to decayed tooth?", + "src": "Patient: Hello doctor, I have had pain recently in a tooth that has a hole in it for several months and the pain has been horrible and a couple of days back, I woke up with swollen cheek on the side of my bad tooth and pain is also there. When I touch my cheek, pain shoots down to my tooth and I do not know what this means. Doctor: Hi. I have gone through your question and I can understand your concern. As per your history, it seems to me that you are having acute apical periodontitis with related buccal space infection. You need antibiotics for at least five days, so have non-steroidal anti-inflammatory medication. In case you want me to prescribe proper dosage, upload your picture of the swollen face so that I know the severity, and also your weight and height too. Or, you can visit a dentist physically but do not avoid it as the space infection can be dangerous too." + }, + { + "id": 10603, + "tgt": "I feel my teeth are slanting at the end of ortho treatment. What shall I do?", + "src": "Patient: Hello doctor, I am nearly two years into my orthodontic treatment to correct overcrowding and midline correction. Although I am really concerned as my face seems to look really asymmetrical and my teeth are slanting, I feel really self-conscious about it. I feel it is something my orthodontist not correcting. Please advise what I should do and give me your expert opinion. Doctor: Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 9153, + "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": 12124, + "tgt": "I felt a lump while checking for the string of IUD. what should I do know?", + "src": "Patient: Hello doctor, I have an intrauterine device. I was checking for the strings, and I felt a lump. Not sure if it is normal or not. I got my period today. I had my last period over three months. Doctor: Hello. It is better to have one local examination by Gynecology specialist but better after periods. If vaginal irritation continues, then it is better to have a high vaginal swab, lump examination (may need biopsy or swab), cx (cervical smear)smear; You may have vaginal or pelvic or sexually transmitted infection along with cyst or abscess or infective lesion. Have complete treatment for any health issue you have. Have a balanced diet, weight, and BMI. have a daily walk, exercise, and yoga. Have recreational activities and quit recreational drugs. Follow strict hygiene. Use condoms to avoid sexually transmitted infection. Do sitz warm baths to prevent irritation and olive oil massage. After high vaginal swab, if pain, irritation or smelly or colored discharge persists then, you need proper antibiotics. If lump also continues, then there is a need to evaluate for appropriate management (marsupialization or drainage). Abcess or cyst and infection. HVS, local examination, biopsy, and a swab from vaginal and lump. May need antibiotics after HVS if symptoms persist, may need to remove abscess. As above. As per need." + }, + { + "id": 9950, + "tgt": "Kindly suggest ways to gain weight", + "src": "Patient: Hello doctor, I want to discuss about my loss of weight. My height is 5 ft 6 inches and my weight is 51 kg. Quite low. How can I gain weight? Also, I cannot eat too much food. Please suggest anything good. Doctor: Hi. Vitamins like Zincovit or others are not the way to gain weight, are just to help someone who works excessively or eating a poor diet. I do not know what kind of food you can eat so I will make a free nutrition program for you, also it is important to know your triglyceride level. But anyway eat beans every morning with eggs, this will let you see a change in your condition. And remember that food is by quality, not quantity even you cannot eat much but eating small amounts of good food is helpful." + }, + { + "id": 17527, + "tgt": "I am unable to interact with anybody. I feel restless. Please help", + "src": "Patient: Hi doctor,I am a\u00a023 year old male. I feel stressed and pressurized because of lack of social skills. I am not happy with my life. I attribute it to the death of my dad in a road accident three years back. Previously, my life was full of happiness.Now, I feel\u00a0lonely, tired, uninterested,\u00a0selfish and silent. I tried different breathing techniques which work fo a short period. A month ago I had an appointment with a psychiatrist. He suggested I take Zosert 25 mg for a week. But, I do not see any difference. Help me. Doctor: Hello. I understand what you are going through and you have my full sympathy. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28683, + "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": 29660, + "tgt": "Why does puberphonia occur?", + "src": "Patient: Hi doctor, I am a 23 year old male. My voice sounds like a girl's voice. Whenever someone hears my voice over the phone, then often respond me as if I am a girl. I have heard that this can be corrected through speech therapy and voice therapy. Please guide me about this. Doctor: Hi. For further information consult a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 22181, + "tgt": "How to get sleep at the time I want to?", + "src": "Patient: Hello doctor, I cannot sleep at my usual timings. I took half Bromazepam tablets of 3 mg. Tell me how much time would I sleep now? Doctor: Hello. You are taking an anti-anxiety drug and so stress and anxiety might be the reason for not having timely sleep. As far as sleep hygiene is concerned, stress should be avoided through medication and behavioral counselling so that you can get proper sleep. Yoga, meditation, and exercise are beneficial in reducing stress. To induce timely sleep: Hope this will help you. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1984, + "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": 27868, + "tgt": "Can my symptoms be related to multiple sclerosis?", + "src": "Patient: Hi doctor, I had an MRI with a\u00a0possible indication of MS. I want to know based on the following symptoms, what type of MS it could be? A few weeks back, I had blurry vision in one eye for 20 to 30 seconds. My bladder wall is thick, and I had frequent urination problem. I consulted a\u00a0urologist, and he said that I probably have a\u00a0chronic prostate infection.\u00a0Sexual arousal is bad from the last two months. I am sweating more, and I was diagnosed with hypertension three months back. I do not have walking or running problems. Last year, I felt fatigued for a month. I get small light headaches\u00a0occasionally during the day. There is no particular flare-up that I can indicate directly. I have a tingling sensation on my legs for 10 seconds. Could any of the above be MS related? Doctor: Hi. I read your query and understand your concerns. I hope this helps 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": 6617, + "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": 6681, + "tgt": "I have numbness and tingling in arm after blood was drawn. Do I need EKG?", + "src": "Patient: Hi doctor, I had blood drawn five weeks ago and since then felt numbness and tingling in my right arm and right leg. Although numbness and tingling have gotten better, I still feel slight numbness in right pinky and third finger. I also feel burning/pinching in the crease of my arm where she drew blood/next to elbow. Also, when I am sitting at the computer, the tingling starts again in my entire right arm but mainly forearm. Is this permanent nerve damage? I am doing Bikram yoga but still feel these symptoms. Do I need to get an EKG done? Doctor: Hello. Regarding your concern, I would explain that your symptoms could be related to a pinched nerve, possibly related to the venous puncture. I do not think that the numbness in the leg is related to the procedure. It could be just a little anxiety. Anyway, if the numbness in your arm and fingers persists, I recommend performing nerve conduction study to examine your nerves. Some blood lab tests are necessary too (complete blood count, vitamin B12 plasma levels for possible deficiency, and blood electrolytes for possible imbalances). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29431, + "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": 8337, + "tgt": "How to remove the pigmentation on face?", + "src": "Patient: Hi doctor, The forehead portion above my eyes and the portion of face around eyes became black around four years ago.\u00a0Please find the photo of my face attached here.\u00a0I never took any medicine. For the last four months, I am taking some natural remedies such as turmeric, aloevera, etc. Please suggest any proper medicine for this. Also, please see the pores on my cheek. Are these pores curable? My skin is oily always.\u00a0Please suggest if any type of skin examination to be made for better suggestion. I am using sunscreen lotion now. Could you please suggest any sunscreen lotion from medical ground? Doctor: Hello. I have read your query and have seen your photographs (attachment removed to protect patient identity). Stress in any form. 1. Pigmentary demarcation lines. 2. Lichen planus pigmentosus. Periorbital hypermelanosis. 1. Start with depigmenting creams like Kojic acid (Kojivit) or Hydroquinone (HHlite) over the black areas in the night-time for two weeks along with a sunscreen (Suncross UVA or Suncross Aquagel or Photostable cream). 2. Sunscreen should be applied compulsorily in the morning time within a span of 2-3 hours like 8 AM, 11 AM and 2 PM all over the face. 3. For the scars a procedure called dermaroller or microdermabrasion can be done from any skin doctor in your area because those scars will not come down with oral or topical medications. Revert back after two weeks for review to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29835, + "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": 19713, + "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": 15793, + "tgt": "Is there any established time interval and quantity to feed infants?", + "src": "Patient: Hi doctor, I have twin nephews who are 45 days old. I feed them with NAN of 90 ml for every two hours. Is there any established time interval and quantity to feed infants? Please suggest. Doctor: Hi. Baby's are fed on demand, and it is not given with a fixed time interval. Usually, it takes two to three hours to have gastric emptying in babies. When the baby is fed before two hours, it results in overfeeding. As babies are on formula feed, they may take time to get digested. Do not delay the feed for more than three hours. You can increase the feed after third or fourth feed. It depends on the ability of the baby to digest. Demand feed is safe if babies are in full-term weight." + }, + { + "id": 12787, + "tgt": "Do heel bone fractures require surgery?", + "src": "Patient: Hi doctor, I slipped\u00a0from stairs before five months and got fracture. My orthopedic doctor diagnosed it as heel bone fracture in both legs. I mean intra-articular calcaneal fracture. I have lost subtle movements in heel and ankle area.\u00a0He advised me to walk on toes for 20 minutes twice a day. He did not prescribe any medicine other than a pain killer. But, he told me that the pain killer has to be taken only when there is unbearable pain.\u00a0He told me that it will take at least a year for complete recovery and if not then we will plan for surgery. At present, I can walk very slowly and I cannot walk on toes as doctor prescribed.\u00a0I would like to have a second opinion for this. Do all intra-articular calcaneal fractures require surgery? Why my doctor did not recommend a surgery right now? Please help me in this regard. Doctor: Hi. Revert back with old and current x-ray to an orthopaedician and traumatologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23878, + "tgt": "What are the pregnancy risks when the mother is 40 years old?", + "src": "Patient: Hello doctor, I am a 40 year old\u00a0female. I did nuchal translucency (NT) scan at 12 weeks and 1 day. The result reads NT 1.1 mm. Free beta hCG 25.9 ng/ml. PAPP-A 0.53. My sugar levels and BP are normal. I am taking Aspirin and Enoxaparin every day. Kindly tell me about my risks. Doctor: Hello. How are you doing? I see nothing for you to worry about. Let me explain. Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29927, + "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": 12477, + "tgt": "How do I increase my breast size?", + "src": "Patient: Hello doctor, I am 22 years old. I have very small breast and I am not comfortable about it. Everyone keeps joking about it. Is there any medicine to increase my breast size? Please suggest some solution. Thank you. Doctor: Hi. To be very honest, to make you happy, I can tell you oils which claim to increase the breast size but all are ineffective. Try to understand that the breast is made up of muscles and fatty tissue. So, how can any oil or cream increase the fat over the breast!! Think. To increase the breast size you need to eat healthily and increase protein in the diet. The only thing that can help you out is a protein-rich diet and chest and breast muscle weight training. You can join a gym, learn and practice breast muscle weight training. This is the thing that is going to help you the most. Idiopathic or constitutional." + }, + { + "id": 2697, + "tgt": "I have a small white dot on the cornea after contact lens usage. Why?", + "src": "Patient: Hello doctor, I am a 66-year old male with good health. I wear contact lens, Air Optix day and night only on the left eye (PWE-10.75 BC 8.6 DIA 13.8). I am currently on Vigamox. I am getting pain in my eyes. As a result, I am wearing my glasses mostly and my contact lenses sparingly. The problem is I must have got a grain of sand or cement under my contact and had continued to work. When I pulled my contact, I noticed there was a tiny whitish dot on the cornea in the area of the iris. I can email you an image but I do not see a way to attach a jpg at this time. The tiny white dot has not gone away. It has been a week now. I have no vision problems. I need a consultation. Doctor: Hi. It seems to be a corneal ulcer. Absolutely discontinue wearing contacts (do not throw them, they will be needed for bacterial culture later on). Start Vigamox eye drop 12 times a day i. e every one hour (buy a fresh vial), Amikacin eye drop six times a day i. e every two hours, Homide eye drop at bedtime (will cause blurring of vision but relaxes pain). Use Refresh tears eye drop six times a day. At bedtime Occupol eye ointment inside the eye. Do not touch ur eye if not required. While bathing try to shut your eyes tightly. See an ophthalmologist in person asap." + }, + { + "id": 3063, + "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": 1046, + "tgt": "Please explain the test results of diabetic and renal tubular acidosis patient", + "src": "Patient: Hi doctor, My father was previosuly diagnosed with renal tubular acidosis and diabetes mellitus, was maintained on Potassium citrate and Gliclazide OD. Currently he had an infected insect bite on the left anterior lateral aspect of the leg. He was started on CO-Amoxiclav BID. Currently on its 4th day, I had his labs taken which revealed HbA1c: 8.5, FBS: 7.57, Crea: 2.79 mg/dl, BUN: 3.67 mg/dl, Hgb:195, Hct: .58 wbc:13.2, plt: 157 with normal lipid profile and uric acid. Should I start CKD medicines already? Should I step up with the DM medicines? Thank you. Doctor: Hi. High creatinine suggests a CKD picture for a long term diabetes particularly uncontrolled DM. Your fathers HbA1c is high which shows his diabetic status is not under control. High potassium levels is one of the complications of CKD, in this picture taking Potassium citrate is not advisable as it may increase its levels. And diabetic drugs also need to be modified when a person lands up in CKD, most oral medicines cannot be given. It is safe to shift the treatment with Insulin. You need to visit a Nephrologist for alterations in your medications and appropriate advice for CKD. serum potassium, sodium, phosphorus urine routine USG abdomen DM, CKD" + }, + { + "id": 14374, + "tgt": "What can be done for bleeding and pain 24 hours after taking Mifepristone and Misoprostol?", + "src": "Patient: Hello doctor, My friend underwent a USG and she was detected with 6-week pregnancy and then she took Mifepristone and then next day four Misoprostol (mouth dissolving). Now it has been more than 24 hours. She is bleeding continuously with clots and having severe pain. Kindly suggest what to do now for pain and bleeding? Doctor: Hi. It is the pregnancy products coming out. Heavy bleeding is expected after medical termination of pregnancy. Sometimes, however, if the medical abortion is not complete and some products remain stuck in the uterus, the bleeding may continue or even be excessive to a level where you need to visit an emergency. The medicine should be taken under the strict supervision of your gynecologist." + }, + { + "id": 19504, + "tgt": "How to treat itching present all over my body?", + "src": "Patient: Hi doctor, I am a 22 year old male and weighing 64 kg. My main problem is I have itching all over my body, but there is no rash. Please help. Doctor: Hi. Thank you for choosing this platform. It is very difficult to treat patients with itching all over body. The duration of itching, your occupation, family history, etc., is not clear. Observe for any aggravating or relieving factors, like diet, day or night, temperature, allergies or allergens, etc. Use a gentle soap or any moisturizing soap. Take antihistamine like Cetirizine in morning, Atarax (Hydroxyzine hydrochloride) 25 mg in evening for itching. If any other members in family have travel history at present, then treatment for scabies infestation may be required. Get treatment for any infection like dental caries or worm infestations in the body. If it persists for long-time blood investigations may be required . You can get back for any clarification with details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18436, + "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": 9086, + "tgt": "Apart from surgery what are the treatment options for AVN of hip?", + "src": "Patient: Hi doctor, I have pain in thighs, hip joints and legs for more than a year. Reports indicate avascular necrosis stage 3. Doctor has recommended me hip replacement. I am really scared of this. Because I did a lot of research on internet about this. I got to know a lot of restriction and risk of dislocation after surgery. What if I somehow avoid the surgery? Is there any chance of natural healing in long term of two to three years? Doctor: Hi. Thank you for using this platform. From the information you provided, it seems like you have stage 3 avascular necrosis (AVN). While there are numerous causes for AVN and often there is no identifiable cause, the prognosis is not very favorable once you reach stage 3. This stage is said to have been reached when the femoral head collapses and loses its round spherical shape. Due to the incongruency with the hip socket, there is undue friction during hip movements, and eventually the joint surfaces start getting eroded. Once this happens, it is said to be in stage 4 of osteoarthritis. It may be helpful if you could share your x-ray and MRI (magnetic resonance imaging) images with us. Also, has the cause of your AVN been diagnosed? How does the opposite hip look like? Often, the opposite hip may have early AVN and may be amenable to certain procedures to prevent it from reaching an irreversible state like your painful hip. I understand your worries with hip replacement. You are only 25 years old and any hip prosthesis has a limited life of its own with a high likelihood of needing a revision at some point. It may be best to postpone hip replacement for as many years as you can, so long as your hip pain does not prevent you from doing activities of daily living. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29626, + "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": 26548, + "tgt": "Will my kidney stone escalate my issues of high BP and diabetes?", + "src": "Patient: Hello doctor, I am a 48-year-old male. I have a high blood pressure since five years and type 2 diabetes mellitus since two years. I had a master health checkup last week. My reports\u00a0showed serum albumin at 3.2, total protein at 5.8, and globulin\u00a0at 2.6. The urine analysis report and the X-ray\u00a0and ECG,\u00a0etc., were all normal. I am worried about these lower than normal values. I am enclosing the reports. Kindly advise. Doctor: Hello. For more information consult a\u00a0nephrologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 1615, + "tgt": "I am facing erection problem for the past few months without underlying issues. Why?", + "src": "Patient: Hi doctor, I am a 40-year-old male. I am married with two kids. I have been experiencing erection problems for the past eight months. I am able to get erection most of the time but it doest last until intercourse. My morning erections have disappeared. I have no diabetic history, no blood pressure nor high cholesterol, or other medical conditions. My desire is lower than before. I used to have a very good and active sex life with my partner until last year. Please advice. Doctor: Hi. I have some questions from my side. Do partial erection occurs only during intercourse or during masturbation? Are you able to insert during intercourse or that is also not possible? Do you have any history of diabetes or hypertension? Are you a smoker or alcoholic?" + }, + { + "id": 9011, + "tgt": "What is the reason for right side body swelling?", + "src": "Patient: Hi doctor, Four days back my right side arm, leg and foot got swollen. I am taking Levothyroxine regularly. I do not have any other issue. 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": 12293, + "tgt": "Is it mandatory to get the optional vaccines for a 45 days old infant?", + "src": "Patient: Hello doctor, I have a baby girl (45 days old). There are some vaccinations in this period. Our pediatrician suggests vaccination option for DTwP/DTaP-1, OPV1/OPV1+IVP1, Hib vaccination, hepatitis B vaccination by oral administration or by injection. What is the difference between it and which one is better? Secondly, in optional vaccination like PCV1 and rotavirus vaccination 1, they have different options. Here the difference is of doses they said. So can you explain it what is it? Which one is better? Please let me know as soon as possible as I have to get it within two days. Doctor: Hello. I understand your concern. 1. Optional vaccines are given in special and high-risk kids. Does your child is any one of them? 2. Yes, in the market there are various brands of different vaccines. 3. There is no limit for optional vaccines. 4. If a baby is healthy no high-risk factor I suggest go for routine vaccination." + }, + { + "id": 12825, + "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": 1342, + "tgt": "For the past four weeks, I have heart palpitations, shortness of breath, and fatigue. What to do?", + "src": "Patient: Hi doctor, For the past four weeks, I have had terrible heart palpitations, shortness of breath, and bouts of fatigue. A thing I have started to notice is it seems to get much worse after eating anything with carbohydrates. After I eat, the symptoms ramp up in 30 minutes to one hour. I can exercise without any issues. I am 33 years old and this has never happened to me before. I went to the hospital one week ago who confirmed my heart was racing and temperature slightly up but standard blood tests came back normal and there was nothing on a chest x-ray. Where do I go from here? Will this stop? Many thanks. Doctor: Hi. Fever causes a faster heart rate. Another reason, which is not uncommon in young people, is vagal atrial fibrillation. This is an irregular fast heartbeat that occurs in bouts after eating and during resting and spontaneously revert back. What did your ECG show? Was it only sinus tachycardia or rhythm problem such as atrial fibrillation? Fever usually causes sinus tachycardia, which is a normal response to fever. When fever subsides, the heart rate slows down. Sometimes it occurs due to gastrointestinal problems, in which eating leads to insulin gush, which lowers blood sugar and sensation like blackout, weakness, palpitations, and fatigue develop. Chances of this are very low. Please send me the ECG strip so that I may diagnose your rhythm. Blood tests that might be helpful include CBC (complete blood count), U&E (urea and electrolytes), TSH (thyroid-stimulating hormone) and the ECG. These are also some rare disorders that cause a sudden rise in heart rate, fever, shortness of breath, and very high blood pressure. This condition is called pheochromocytoma, but it is extremely rare. Please tell me the other symptoms you develop along with fast heart rate feelings and fever. This along with the above tests will guide to reach a diagnosis. If the above tests are normal, I will advise you to have Holter monitoring done for 24-48 hours to catch fast heart rhythm, if not caught on ECG. Regards." + }, + { + "id": 7208, + "tgt": "What could be the sound that we hear during silence?", + "src": "Patient: Hello doctor, When we are in silence, we always hear some sound. I know we are not in a vacuum, so some external sound will always be audible house noises, etc.? Hope this is not tinnitus. Even sensory deprivation of ear causes body noises and hallucinations, read in places that are created as 0 dB anechoic chamber. Doctor: Hello. This is not tinnitus. Tinnitus would be heard easily, trouble you, and you would not have to search for it specifically. Tinnitus would be heard even in an environment with some sound not sufficient to mask tinnitus. It may interfere with your daily activities. And yes, in an external 0 dB environment, one may normally hear sounds of his body like of blood flow, heartbeats, respiratory sounds, etc. So, this is quite normal. Hallucinations are different thing. It hears sounds, seeing objects and human which are not there and real, usually to trouble you, harm you. I hope this helps you and get back if you have any doubts." + }, + { + "id": 8571, + "tgt": "I am wearing a retainer and it has a crack in it. What should I do?", + "src": "Patient: Hello doctor, I got braces almost three years ago, and I ended up with a perfect smile. I wore my retainer nearly every night, but on an occasion where I forgot to wear it, it would be painful the night after and felt like the teeth had moved. Fast forward to now, I have still been wearing my retainer, and found that whenever I forgot to wear it for more than two days, the teeth would move (almost noticeably), and when I used the retainer the teeth would go back to normal. Recently, I found a large crack in my retainer and found that even after wearing it for a few nights, two of my teeth are slightly out of place. I understand that I need a new retainer, however, if they were to make impressions of my teeth now, the retainer would keep the two shifted teeth permanently shifted. Is there a way to clone a retainer? So that my teeth would go back to being perfect using the original impression, rather than an impression of my shifted teeth. Doctor: Hello, Welcome back to icliniq.com. The first thing is to go to the clinician and get examined. Ask for the repair of the old retainer to the maximum detailing possible until it could correct the two teeth. Meanwhile, impressions for your new retainer could be taken and fabricated. New retainers could be adjusted to retain the treatment undergone earlier and could bring back minor movements to the original position, which you are worried about. If possible, ask the clinician for permanents fixed palatal or lingual retainers at a later date after satisfactory correction if the minor movement is required for the present situation." + }, + { + "id": 30163, + "tgt": "Can you help with the correct treatment for Staphylococcal infection?", + "src": "Patient: Hi doctor, I am 24 years old. For about three years, I have been suffering from a bacterium called Staphylococcus aureus. This bacterium appears always in urine culture analysis. Symptoms of this bacterium in me are burning and frequent urination. I have done all the analyses of the body and come out fine except that the urine analysis revealed the bacterium. Can you help in determining the exact medicament or a cure that must follow its disappearance? I am currently on Furamag and Cistimed. Doctor: Hi. Please relax and do not worry. You are suffering from repeated UTI (urinary tract infection) due to Staphylococcus aureus. Staph aureus UTI is not common, so there might be contamination of urine sample every time. I think you require ultrasound of abdomen with post-void residual urine. Also, get one fresh culture done. Take a proper and adequate dose of antibiotics and have to repeat the culture after three days of finishing antibiotics to ensure that the infection is gone. Meanwhile, for burning urine I suggest syrup Cital 10 mL (Disodium hydrogen citrate) in the morning and evening with a glass of water. Consult your specialist doctor, discuss with him or her and take the treatment with consent. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9914, + "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": 11821, + "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": 1897, + "tgt": "Would whitening products help in translucent tooth?", + "src": "Patient: Hi doctor, My teeth are very translucent. I do not know the reason. Is there a medical reason for this? I never smoke and rarely drink. Are there supplements that I can take to remineralize them? Would that help? Doctor: Hello. For further doubts consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 788, + "tgt": "Why do I have consistent bleeding during bowel movements?", + "src": "Patient: Having blood with bowel movements, this has been occurring for the last 5 days with a consistent bleed, some bowel movements have a heavier bleed and i have a wipe there is an excessive amount of blood. The bleeding only occurs during my bowel movements. I am not feeling lightheaded/dizzy, nauseous or vomiting. No rectal pain but having lower quadrant tightness. No history hemorrhoids. Doctor: Hello. I welcome you to icliniq. I can understand you might have terrible time because of your condition. The quantity of blood is very important to understand before a list of diagnosis can be made. Since you said it is heavier, and that all started 5 days back, it seem most commonly due to acute large bowel infection. Some parasites and some bacterial can causes inflammation of the large bowel and bleeding. I suggest you some treatment at the moment, and want that you should get following blood and stool tests, and inform me in 3 days about your condition. The investigation will give us clue and we can better narrow down list of differentials. Meanwhile make sure you take only home cooked meals, take plenty of boiled or mineral water. Stomach tightness are rather non specific symptoms, can occur if large bowel is inflamed. I hope this will help GI bleeding Complete blood count Bun creatinine lytes IHA titer for E.histolytica Urine Detail report. for ova and parasitis Stool detail report Stool culture and sensitivity Fecal calprotectin Acute hemorrhagic colitis diverticulitis rectal ulcers Inflammatory bowel disease Acute infectious colitis Tab Flagyl 400 mg 2 tablets three times daily (6 tablets daily) for 5 days. It may cause metallic taste in mouth Tab. Cefspan 400 mg once daily for 7 days Follow up in 3 days with investigations" + }, + { + "id": 16426, + "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": 25068, + "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": 21352, + "tgt": "I have chronic fissure which was bleeding. Do I need surgery?", + "src": "Patient: Hi doctor, I am a 28 year old female suffering from chronic fissure from the past six months. It was bleeding two months back but not now. I am only feeling pain when I have non-vegetarian items. Do I need surgery? Doctor: Hi. The main cause of fissure in ano is constipation and passing hard stool. When hard stool passes through anal canal it hurts the anal soft tissues. Sometimes, it is healed up by medicines and sometimes surgery is needed. First, you should take ayurvedic medicines and follow some precautions. Hope it will be cured. Otherwise, it needs anal sphincter dilatation and surgery. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28268, + "tgt": "How often does HSV infection recur?", + "src": "Patient: Hello doctor, Some months back, I got a sore on my lips. So, I went to see the doctor who diagnosed it as HSV-1 through a swab test. It was the first time I had it, and I did not know about it before. I did not have a recurrence even after three months, but I was told that it is a recurrent condition. How often will I have a recurrence? Is it a serious condition or a common one? What precautions do I need to take? I am very worried because of it. Do I need to worry about it really? Is this condition common in the general population? Doctor: Hi. I have read your query and concerns. Revert after five days to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 16003, + "tgt": "I have body and penile irritation. Is it safe to take Ofloxacin?", + "src": "Patient: Hi doctor, I have body irritation and irritation in the penile area. I have body weakness and pain in the back and waist. I have a mild fever and malaise. Please go through my reports. Suggest me a suitable treatment plan. I want to know an answer. Is it safe to take Ofloxacin 400 mg for a longer time? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Based on the reports, it is probably prostatitis. If there is no improvement with a short course of antibiotics, then it can be chronic prostatitis or recurring prostatitis. In such cases, you can take a course of antibiotics orally for six weeks. You can take Ofloxacin orally for six weeks." + }, + { + "id": 6070, + "tgt": "I am 23 years old and weighs about 36 kg with slim body. Please help to gain weight", + "src": "Patient: Hello doctor, I am a 23-year-old male. My height is 165 cm and weighs about 36 kg. I am weak and my body is very slim and thin. Please help me to gain weight. Doctor: Hello. It would be a good idea to have a complete physical checkup with your family doctor to determine if there are any medical reasons for your slight build and to make sure there are not unknown causes. If you feel that you are weak and want to gain weight and build muscle strength, it is important to eat balanced, healthful meals with extra protein and carbohydrates. You should eat three regular meals daily, increasing your portion size. Sources of Protein: 1. Meat or fish if you are not vegetarian. 2. Legumes, such as chickpeas, beans, and lentils. 3. Dairy products such as whole fat cheese, whole milk, yogurt, and ice cream. 4. Protein powder such as whey or rice protein stirred into a smoothie. Carbohydrates: (whole grains are always healthier). 1. Pasta. 2. Rice. 3. Bread. 4. Potatoes. Some people like to take a high-calorie drink like Ensure every day, but I advise my patients not to take this route. It is much better to gain weight from a healthy diet with whole foods. Make sure you also eat plenty of fruits and vegetables for your general health. It would be advisable to do regular exercises such as strength training to build your muscle mass, in addition to walking every day. When I was younger, I also struggled with being too thin. Becoming healthier and following these guidelines is actually what enabled me to be able to gain strength and muscle. If you follow these suggestions, I am sure you will look stronger, and not nearly so thin. It takes time and persistence to make these changes to your body. But it is worth the benefits in terms of how you will feel and look in a few months. I hope this helps." + }, + { + "id": 26587, + "tgt": "My dad passed away. How to make sure my mom is happy?", + "src": "Patient: Hello\u00a0doctor,My dad expired one year back. My brother is elder and\u00a0not interested to look after my mom. So, she stays with me. I am trying hard to make her happy, but it goes in vain. I need a suggestion on how to behave. Doctor: Hello. Firstly, I would like to congratulate you for your dedication towards your mother. I really appreciate that you are looking after your mother. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2312, + "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": 14242, + "tgt": "My hematocrit, RBC, Hb, and mean cell volume are elevated. Please help", + "src": "Patient: Hello doctor, I have been feeling unwell for a long time. These are my recent blood results. My doctor says that my hematocrit, RBC count, hemoglobin and mean cell volume have been out of the normal range for at least 10 years as that is how far back he can see. I think it should be investigated. What do you think? Haemoglobin concentration 161 g/L [120.0 to 150.0], total white blood count 9.6 10*9/L [4.0 to 10.0], platelet count - observation 327 10*9/L [150.0 to 450.0], hematocrit 0.491 l/l [0.36 to 0.46], mean cell volume 83.8 fL [83.0 to 101.0], mean cell haemoglobin level 27.5 pg [27.0 to 32.0], mean cell haemoglobin concentration 328 g/L [315.0 to 345.0], red blood cell distribution width 12.5 % [11.6 to 14.0], red blood cell count 5.86 10*12/L [3.8 to 4.8], neutrophil count 6.3 10*9/L [2.0 to 7.0], lymphocyte count 2.6 10*9/L [1.1 to 3.5], monocyte count - observation 0.5 10*9/L [0.2 to 1.0], eosinophil count - observation 0.2 10*9/L [0.0 to 0.5], basophil count 0.1 10*9/L [0.0 to 0.1], percentage neutrophil count 66 %, percentage lymphocyte count 27 %, percentage monocyte count 5 %, percentage eosinophil count 2 %, percentage basophil count 1 %. Doctor: Hello. Your hemoglobin and hematocrit values are slightly high. Your RBC count is only marginally elevated since the upper limit of normal is 5.5 million/cu.mm. With these values, there is a suspicion of you having hemochromatosis or an early stage of polycythemia vera. In hemochromatosis, there is iron overload and the two main tests required are serum ferritin and serum transferrin saturation. Genetic testing is confirmatory. For polycythemia vera, the red cell mass needs to be determined and preferably a bone marrow biopsy. Testing for the JAK 2 gene is confirmatory. It is better to get these conditions ruled out since they require treatment." + }, + { + "id": 27217, + "tgt": "I have a few painless bumps on my penis. What could it be?", + "src": "Patient: Hello doctor, I have a few bumps on my penis skin. I do masturbate. I am concerned because I\u00a0do not know what might have caused this or what these bumps are. They do not burn. I\u00a0have not experienced any discharge or burning sensation. I am confused\u00a0what this is. I am attaching a picture. Doctor: Hello. I have gone through your complaints and seen the images (attachment removed to protect patient identity) as well.\u00a0 These measures will help in maintaining genital hygiene as well as prevent any infection in the future. Regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 30899, + "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": 20230, + "tgt": "If I do not wear spectacles for an hour,will it increase my eye power?", + "src": "Patient: Hello Doctor, If I do not wear spectacles for an hour everyday, will it increase my eye power or damage my eyes? Doctor: Hello. I reviewed your history. Revert back to an eye care ophthalmologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12549, + "tgt": "How can pain in the back of chest with poor bowel movements be cured?", + "src": "Patient: Hello doctor, I am 24 years old. I started having a sharp pain in my right arm shoulder which probably originates from the right back of my chest. Also, my bowel movements have not been clear since some time. I took a Pantoprazole with Domperidone, guessing that this might be due to gas. Doctor: Hi. It looks like a simple musculoskeletal pain and then you have been taking this Pantoprazole and Domperidone medicines and that could give some symptomatic relief but this looks like a musculoskeletal pain. Maybe you could have tried taking some muscle relaxant like Myoril (Thiocolchicoside) 8 milligram twice daily for three days. In addition, I want you to get Vitamin D and serum uric acid blood test and the complete blood count. With that, I will be able to have a better idea of your blood investigations. Try not smoking and in regards to drinking alcohol, keep it low." + }, + { + "id": 15531, + "tgt": "Will antifungal treatment cure dandruff and hair loss?", + "src": "Patient: Hello doctor, I have attached a test report for fungal overgrowth. Can you please look at the report and let me know if you suggest an antifungal treatment? I also have a lot of dandruff in my head and hair loss. Doctor: Hi. I have seen your report and have found a fungal growth. Before going to suggest you the treatment, I would like to know some more things. Send me the following details. Your occupation, what specimen you submitted, what is your clinical complaint, how long you are suffering from the present complaint, treatment history, any additional complaint." + }, + { + "id": 28605, + "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": 17123, + "tgt": "What is hypertensive urgency?", + "src": "Patient: Hi doctor, I am a 55 year old male. I am diabetic\u00a0for the past 15 years and I also have high BP. Before 20 to 25 days, while walking I felt like dizziness and I could not climb the staircase. Before my BP was 240/140 mmHg, but now it is 160/100 mmHg. Later on the creatinine and blood urea was also more. Now, my BP is 160/100 mmHg. As the day proceeds by evening I feel unstable and feel uneasy then BP increases to 190/110 mmHg or more. Yesterday night, I felt like a paralytic stroke of my left leg while sleeping, but any how suddenly got up and I was safe. My current medication is tablet Telma 40 mg, tablet Telma 20 mg and tablet Amlong in the morning and at night respectively. For diabetes, my current medication is tablet Glycomet GP2 both in the morning and night. Presently, I am not taking any Insulin due to controlled sugar. I am attaching my blood test report. Please advise some medications if any keeping in view of the above reports. Doctor: Hi. High uncontrolled BP and sugar. Get an NCCT, RFT, HbA1c, fasting and postprandial sugar test, complete urine examination and USG test done. Lifestyle modification as follows: 1. Reduce salt, sugar and fatty food. 2. Do mediation and some breathing exercises. Revert back with the test reports and answers to the above questions to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28020, + "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": 13902, + "tgt": "What can be done for a painful lump along jawbone after wisdom tooth removal?", + "src": "Patient: Hello doctor, I have wisdom tooth extraction pain. I got my wisdom tooth removed a month ago. I feel a lump along my jawbone that hurts on and off. Doctor: Hello. Get an X-ray done to find out if the wound is healing fine or some root is remaining inside. Usually, after a week, the wound should have healed adequately and there should be no swelling or pain unless it is infected. Start taking an antibiotic and painkillers for a week to reduce infection. Use warm salt water gargle twice a day for a week or two." + }, + { + "id": 3594, + "tgt": "What is the reason for frequent nose bleeds and patches of blood spots?", + "src": "Patient: Hello doctor, I have a few things and I am worried about that. I feel it could be connected.\u00a0Firstly, I keep getting patches of blood spots on my body. They are not of huge in size, but still noticeable. I am also getting frequent nose bleeds for no apparent reason. I hardly ever got them before. Also severe night sweats. I have lost lot of weight in a short span of time. I am not exercising more than usual, but always feel tired. I am suffering with these symptoms for more than four to five months now. Please help. Doctor: Hi. Leukemia, lymphoma, mycobacterial infections, myelodysplastic syndrome, chronic viral hepatitis and HIV (human immunodeficiency virus) infection. Little stock from basic laboratories; CBC (complete blood count), BMP (basic metabolic panel test), blood cultures and chest x-ray. It would depend upon the laboratory results and imaging. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10211, + "tgt": "Is it possible to treat hydrosalpinx by natural methods?", + "src": "Patient: Hello doctor,Is hydrosalpinx treatable by natural methods? If possible, what should I do? Doctor: Hello. I think you are talking about hydrosalpinx. It is a temporary or permanent blockage of single or both fallopian tube. It is one of the major cause of infertility. It can be managed naturally through ayurvedic medicines and some specific Panchakarma procedure, Uttar Basti of medicated oil like Yavakshara oil. It helps to resolve blockage and open the fallopian tube. There are several causes to such conditions. Some of them are pelvic inflammatory disease, gonorrhoeal infection, etc. Ultrasonography, and hysterosalpingogram. PCOD (polycystic ovary disease), and hypothyroidism. Uttar basti with medicated oil like Yavakshara oil is the safe and successful treatment of hydrosalpinx. Avoid spicy and fried junk foods. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati Mandukasana and Ardha matsyendrasana as well as pranayana like anuloma viloma nadi shodhan and bhramari." + }, + { + "id": 7468, + "tgt": "Is it fine to take Prednisone and Azathioprine for autoimmune hepatitis?", + "src": "Patient: Hi doctor, I have been itching throughout my body, especially after eating, for about two years. I noticed fatigue and shortness of breath about 18 months ago. I stopped smoking before seven years. I stopped drinking before a year as my upper abdominal area started paining after drinking. Before five months, I had undergone treatment. But, my liver had enlarged and I had antimitochondrial antibody. So, my doctor\u00a0prescribed Ursodiol and referred me to a gastroenterologist. The gastroenterologist ordered a biopsy and he said that it is unremarkable. He suggested me to stop taking Ursodiol and come back for another biopsy in six months. I did not go again to the doctor, because I have severe health issues. My other health issues are as follows: Less muscle strength and stamina during exercise, light-colored stools, gained 30 lbs in the last year with the same diet, trouble in sleeping, reading, concentrating, memory, changes in body temperature, fever, higher pulse of 80-90, acne on back, frequent urination, cellulite on butt and legs. I took Creon or Pancreatin and it reduces tingling or itching in legs. I got AMA, ASMA, ANA, blood panel and liver panel done. I lead to believe that my issues could be an irregular form of autoimmune hepatitis and was prescribed Prednisone and Azathioprine. Please suggest me what should I do now. Also, a primary care physician is willing to give me corticosteroid treatment with this. Please help. Doctor: Hi. There are a few important facts I would want you to consider. For further information consult an internal medicine physician online --> https://www.icliniq.com/search/online-doctors-directory/internal-medicine-physician" + }, + { + "id": 26711, + "tgt": "My left eye was damaged in an accident 17 years ago. Can anything be done now?", + "src": "Patient: Hello doctor, I am a 24 year old male. My left eye was damaged in an accident when I was 7 years old. Can any procedure possibly be done now? I did not go for any check-up previously. Doctor: Hello. I have gone through the picture (attachment removed to protect patient identity). Do follow-up for any queries. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11570, + "tgt": "I have fast heartbeat after angioplasty. Is Hawthorn or Motherwort advisable to control it?", + "src": "Patient: Hello doctor, I have undergone angioplasty (2 stents) before four months. The doctor prescribed Clopitab 75 in the morning and Metoprolol 25 mg in night. I am having a fast heartbeat of 84 to 100. Can I take Hawthorn or Motherwort or Valerian? What should be the dosage and where will this be available in? Doctor: Hello. You have ischemic heart disease so your heart rate should be kept low as much as possible to prevent from further deterioration. For this purpose, you are taking Metoprolol 25 mg one time daily still your heart rate is high. Moreover, you are asking about some herbs or herbal products for heart disease. Regarding these herbs, there are no consistent results in clinical trials for heart conditions. Moreover, these products have not been studied widely as for as there beneficial effects on ischemic heart disease are concerned. Also, their side effects have not been assessed in the long term. So, in such case, these herbs cannot be recommended provided there are many evidence-based medicines available for reducing morbidity and mortality one of which is Metoprolol you are taking. There many trials of Metoprolol in ischemic heart disease and heart failure which shows beneficial effects. Regarding your heart rate, I recommend to increase the dose of Metoprolol. There are two forms of Metoprolol available in the market, short-acting Metoprolol Tartrate and long-acting Metoprolol Succinate. Hope you are taking long-acting Metoprolol Succinate because short-acting Tartrate form is to be taken two to three times per 24 hours to reduce heart rate and reap benefits. I advise you to take long-acting Succinate form 50 mg per 24 hours to reduce heart rate. Apart from these, adopt a healthy lifestyle, take a heart-healthy diet low in salt, low in trans fats, low in saturated fats, high in fiber, fruits, vegetables, poultry, low-fat dairy products, dry fruits, legumes, lentils, etc. Please send me your angioplasty and echo report and all medicines you are taking so that I may advise you proper medicine dosages and guide you further regarding your heart." + }, + { + "id": 2843, + "tgt": "Please suggest medicine for my thyroid problem", + "src": "Patient: Hi doctor, I am 40 year old. Recently I tested my thyroid and the\u00a0report shows\u00a0T3 - 1.1, T4- 8.4 and\u00a0TSH - 6.7. Please advise me which medicine is currently safe for me. My health problem includes fatigue and occasional depression. Also my lips are dry. Please help. Doctor: Hello. Anti-TPO (anti-thyroid peroxidase), free T4 (free thyroxine) and TSH (thyroid stimulating hormone) should be repeated six weeks after the last test was done. 1. Hypothyroidism due to medications 2. Hashimoto's thyroiditis (autoimmune disorder result in hypothyroidism). 3. Subclinical hypothyroidism. Subclinical hypothyroidism. You would be treated with thyroid hormone only if your anti-TPO antibodies are positive. Otherwise, I would not suggest treatment with any medications yet. Thyroid hormone if used inappropriately could be harmful to health. Please share your detailed history such as constipation, excessive sleepiness, weight gain, feeling cold or very lethargic, any medication, etc., if any in the follow up. Revert back with the detailed history and report to an endocrinologist online.---> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28022, + "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": 21081, + "tgt": "I have breathlessness and cough when I do not do cocaine. Am I addicted?", + "src": "Patient: Hello doctor, I have been taking cocaine once a week for 20 years and on the 1st of last month, I started getting a cough and breathless. It was getting worse when the cocaine wore off. Anyway, I had an ECG which was clear and a 24-hour tape also clear. CT scan on lungs clear. Then I had an ultrasound and came back with mild apical anterior hypokinesis RWMA. The cardiologist said he will see me next month and did not seem bothered. Anyway, I still was doing cocaine and drinking weekends because it is the only time I do not feel breathless but on a Wednesday, when everything is out of my system, I get breathless again and heavy chest. Can you please tell me if I do not do cocaine again, will I get better or am I mucked up for life now? Doctor: Hello. Firstly, cocaine has got a wide range of effects on the heart. So, hypokinesia means there is some damage to the heart which may be due to cocaine or may be due to coexistent coronary artery disease. So, you will need coronary angiography preferably, conventional and CT angiography is the alternative. Also, since hypokinesia is observer dependent, sometimes reported milder hypokinesia may not be actually present and false positive findings are possible. But, we should get it confirmed by further investigations. This much hypokinesia should not cause breathlessness in you, rather it appears to be related to cocaine withdrawal only. Also, I guess you do not have gastric/reflux symptoms. Cocaine withdrawal symptoms usually settle in a few weeks without treatment. It is better you reduce consumption gradually over the next few weeks, then stop, rather than abruptly stopping. So, once we rule out heart disease, then you can get back to normal life after quitting its consumption." + }, + { + "id": 14704, + "tgt": "Is it true that home glucose monitor always shows 10% higher value of the actual lab result?", + "src": "Patient: Hi doctor, My doctor says that glucose reading given by home monitor is always 10% higher than the actual glucose reading from the laboratory test result. So, if my reading in the home monitor is 90 mg/dl, then my actual glucose is 81 (90 minus 9, 10% of 90). Is he right? Do you agree with this? Doctor: Hi. It is not like home glucose monitor will be 10% higher. It can be higher or the same or even lower than laboratory results. In fact, in my observations, I have noticed it be slightly lower than the laboratory test result. What I recommend is calibrate your home glucose monitor with the actual laboratory test report. I mean to say do the blood check immediately when the blood sample is being taken for laboratory test." + }, + { + "id": 15351, + "tgt": "Is it possible to restore teeth in an individual with poor oral hygiene?", + "src": "Patient: Hi doctor, I am a concerned individual with a history of poor oral hygiene. It got significantly improved during these few years. I have a broken tooth in the back left bottom. My front tooth appears green, and they are deeply separated. Is there any way available to save my tooth? Doctor: Hi. The permanent solution for you is to put braces to correct the malocclusion of the teeth. So that proper cleaning can be done to have less plaque and calculus. If you cannot start braces presently, at least get your teeth cleaned by a dentist to remove all the calculus that is sticking to your front and back teeth. The decayed teeth present at the back has to be removed or appropriately filled to save it from further decay. Use warm salt water gargle to have healthy gums." + }, + { + "id": 29475, + "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": 20499, + "tgt": "Having abdomen pain after taking Unwanted 72. Is the pain normal?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner during the fourth day of my period. I took Unwanted 72 after the intercourse. After taking it, I have immense body pain, especially in the lower abdomen. My periods bleeding is stopped. Is the pain normal? When can I expect my next periods? Doctor: Hi. From day one to ten of the period, it is a safe period, and there are no chances of pregnancy. As there is no ovulation happening during this period, there are no chances of pregnancy. Also, you have taken the emergency pill within 72 hours of intercourse, so there is no chance of pregnancy. There can be a delay in periods for one or two cycles. The delay occurs due to hormonal changes which happen due to the pill that you have taken." + }, + { + "id": 27415, + "tgt": "Why does not my foreskin retract?", + "src": "Patient: Hello doctor, I have a major problem with my penis regarding the foreskin. I am 18 years old and the foreskin still does not go back. Please suggest some solutions for the above problem. Doctor: Hi. The most common cause of the condition is poor genital hygiene. You see a lot of dead cells and bacteria get collected in the space between the head of the penis and foreskin, making foul smelling grayish white substances, known as smegma, to come out. If you do not clean it daily by retracting your foreskin, it may lead to chronic infection and inflammation. Such chronic inflammation causes the foreskin to get adhered to the head of the penis. This condition is called phimosis. Try to retract the foreskin while under the shower using mild soap as a lubricant. If it does not get retracted and cause severe pain, then you will have to visit a surgeon to cut of the extra foreskin and expose the glans of the penis. It is a minor procedure and will have an extra benefit of having clean genital. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6281, + "tgt": "Can teething cause high temperature fever with diarrhea?", + "src": "Patient: Hi doctor,My 10-months-old daughter got a fever. I have been rotating between Tylenol and Motrin every 3 hours or as I feel necessary based on her temperature. Yesterday I did not give her anything for a couple of hours, and the fever spiked to 103.6. I gave her Motrin, and it went back down to 100.7. But I could not seem to get it to go away completely. She also has been having mild diarrhea (2-3 wet watery diapers a day). She also got her first tooth this last weekend and is getting another one. Could this be due to teething? At what point do I need to take her to the ER? How long can I keep up the Motrin and Tylenol? Doctor: Hi. Many thanks for your query. Very often we put down these symptoms to teething, but this usually is a viral illness - a viral upper respiratory tract infection URTI. Teething by itself does not cause these symptoms, it is just that it is the same age that they start teething that they get the more viral illness as mother's antibody in the child's blood die down and the child has not yet grown her own antibodies. So it is a coincidence, rather than a cause. Viral illnesses as a general rule start getting better 3-5 days after the onset, though on rare occasions it may take up to 7 days. But we advise seeing the child in the ER/GP Surgery if there is no sign of improvement after three days, so if the child is not better by today, I would probably get her examined by a doctor. Diarrhea may have been caused by the same virus that has caused the URTI; viruses like Adenovirus can often affect the gut and the respiratory tract at the same time. You need to make sure that you give her plenty of fluids and watch her urine output. For viral fever, there is very little to do other than using Tylenol (Paracetamol) and Motrin (Ibuprofen). You cannot use Tylenol more frequently than 6 hourly, but it is very usual for viral temperatures to return before the next Tylenol is due, so we advise to use Motrin at that time. Motrin, however, cannot be repeated before 6-8 hours. Making sure that the doses are right is essential. For an 8.62 kg child, Tylenol should be 120 mg per dose, and Motrin should be 50 mg per dose. Virus. FBC (full blood count), U&Es (urea and electrolytes) and CRP (C-reactive protein). Bacterial illness. Viral URTI. 1. Tylenol 120 mg if the temperature is above 100 F (maximum 6 hourly). 2. Motrin 50 mg if the temperature returns before the next dose of Tylenol is due (maximum 6-8 hourly). 3. Plenty of fluid by mouth. 4. Watch urine output. 5. Attend ER/GP Surgery if no signs of improvement." + }, + { + "id": 26534, + "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": 23231, + "tgt": "I am seeing white circles after getting bitten by a stray cat. Is it rabies?", + "src": "Patient: Hello doctor, I think I was bitten by a stray cat eight months back. I do not know if it landed its fangs on my finger but I noticed a very small dot sized wound on my finger. I have received three PEP regimens and the last regimen was six years back. I did not receive the last shot on that year but my two successful shots are complete. I frequently experience muscle twitches in my foot and legs because I love to walk home. I am seeing small white circles in my peripheral vision but when I look into it it is like disappearing. Is this a fruit of my imagination? Am I covered with that vaccine? Do I have rabies? Doctor: Hello. I have read through your question and would like to tell you that the chances of getting rabies from a cat bite are very less. And since you have received a regime of anti-rabies it erases the chances of getting rabies. The muscle twitches you are experiencing may be happening because of some other reason. Most common reason being electrolyte imbalance. Drink lots of water and keep yourself hydrated. If you still experience these twitches get yourself checked by a physician. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14980, + "tgt": "Is it possible to get halitosis because of gastritis?", + "src": "Patient: Hello doctor, I want to ask about halitosis. I already went to the dentist and the dentist said that the problem is not in the mouth and it could be in my stomach so here I am. I hope you can help me because I am at my wit's end right now. How do I know if it is in the stomach? What should I do? I do not think it is acid reflux because I already take PPIs for more than one month and it seems to be still there. Please help me. Doctor: Hi. Halitosis or bad breath usually originates from oral or nasal passages. The cause of it is bacterial decay of residual food and debris. Most common causes of halitosis are periodontal diseases, dental caries, oral cavity infection, and coated or uncleaned tongue or decreased salivation. Other causes which are thought of after ruling out the above are a tonsillar abscess, any esophageal pathology which allows collection of residual food in esophageal like a diverticulum or motility disorder like achalasia. Lung pathology like lung abscess can also be the cause of halitosis. Gastritis due to H.pylori can also cause halitosis. Also, bezoars in the stomach can also be a cause." + }, + { + "id": 13412, + "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": 21065, + "tgt": "My periods got delayed but pregnancy test is negative. Why?", + "src": "Patient: Hi doctor, I have PCOD, and I am planning to conceive. I am under Macfolate and Metformin tablets for the past seven months. I have regular periods for the past six months. This month, on the 11th day, I missed my period. After two days, when I checked for pregnancy, I got a negative result. Again after seven days, I got a negative result after checking for pregnancy. I am getting mucus discharge in small amounts. It does not have any foul odor. Am I pregnant? Why is it showing negative? Doctor: Hi. You may repeat the test in a week to rule out pregnancy, or you can do a serum beta hCG test. If the hCG levels are less than 3 mIU/ml, then you are not pregnant. The reasons are anovulatory cycles seen in PCOD, or you should get a semen analysis done once for your partner." + }, + { + "id": 22233, + "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": 11846, + "tgt": "Why am I having itching and burning penis with a red rash?", + "src": "Patient: Hello doctor,I have itching and burning penis with a red rash which burns sometimes and it has been there for 20 days. It reduces and increases some times. I have used FourDerm and Candid B but what could be the problem? Kindly suggest. Doctor: Hello. 1. It seems you might have a fungal infection and the creams you are using are harmful in that. So stop using them at once. 2. Send me a picture of the area, if possible. 3. Meanwhile, apply the cream I am prescribing below. Tinea cruris. 1. Tablet Sebifin 250 once a day. 2. Tablet Levosiz 5 mg at night. 3. Cr Lulifin apply at night. For 15 days." + }, + { + "id": 1259, + "tgt": "Can I reduce weight by going to gym?", + "src": "Patient: Hi doctor, I am a 25 year old male. My weight is 100 kg and height is 5'5\". My current medications are as follows. Atorvastatin 10 mg on alternate days for hyperlipidemia, Allopurinol 100 mg three times a day for hyperuricemia and LABA plus steroid inhaler for asthma. Today,\u00a0my BP is 139/98\u00a0mmHg on routine measurement.\u00a0I am thinking to join a gym this week. Please suggest me. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22228, + "tgt": "Swelling and irritation continue a month after conjunctivitis. Why?", + "src": "Patient: Hello doctor, I am a 29 year old woman. I have been diagnosed with conjunctivitis a month ago. After initial medication, the pain reduced a little, but swelling still remains. I have a feeling of irritation (like something pricking inside the eye). Hence, I visited a hospital again. My doctor gave Tobramycin fluorometholone for a week. But the swelling and irritation continued. On the next consultation, the doctor referred me to another ophthalmologist who is specialized in eye infections as she doubted whether a biopsy is needed. After investigation, the second doctor said that a conjunctival mass is seen above the eyeball, under the eyelid. She suggested Tobramycin dexamethasone ophthalmic solution for three weeks. I had a ptosis correction done in the same eye four years back. Occasional swelling of the eyelid occurs due to allergy (which was frequent before the surgery also). The eye is again drooping as a result of these issues. Only the left eye has these problems. Right eye has no issue. Can this be a case of melanoma which needs immediate attention? My next hospital visit is three weeks later. Is it okay if I wait till then? Doctor: Hello. First of all, this is not the site of conjunctival melanoma. Most probably, it appears to be a tarsal gland inflammation due to allergy which is known as giant cobblestones. I suggest adding Olopatadine 0.2 percent along with your therapy. Also, add refresh liquigel eyedrops six times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. I would like to advice that please discuss the possibility of intratarsal Triamcinolone injection with your ophthalmologist. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8346, + "tgt": "Why am I getting petechiae after work out?", + "src": "Patient: Hi doctor, I am 21 years old. Recently my GP asked for my blood work and I was tested for iron and vitamin D. My iron was fine. I had way too little vitamin D, however the doctor gave me vitamin D supplements. Right after I started taking the supplement, I got a cold and it lasted for two weeks. Later I got a UTI and then I got cold sores on my lip. Two days ago, I worked out for the first time after a long time. I also did some pushups, pull-ups, etc. Right after the work out, I got petechiae. They did not vary in color when I press them. They did not hurt. This has happened in the past, but only after workouts. They disappear in a day or two and now they were almost gone. I never worried about this, but since I also got sick, I am worried whether I have got leukemia. My mother's half sister had leukemia when she was a little kid. She is fine now. If there is something seriously wrong with me, would that have been visible a couple weeks ago when they took my blood? Is that something they always test for? I realize vitamin D deficiency lowers your immune system. I am a bit hypochondriac. Otherwise, I feel fine. Please help. 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": 24474, + "tgt": "With a single dose of medicine my cough disappeared. Should I discontinue it?", + "src": "Patient: Hello doctor, I had dry cough for literally more than two months. So, I got my chest X-rayed and it was totally normal. I have been a smoker for five years, but gave up smoking from the past three months. In these three months, I must have smoked 15 cigarettes. I went to the chief general physician and he gave me two tablets Unicontin 400 half and Montair FC one tablet, both in the evening with a gap of two hours. With a single dose, my cough disappeared. So, should I continue it or leave it? Are they safe? Doctor: Hello. Continue the medicines for the whole duration that the doctor has advised. If you stop the medicines now, the symptoms will recur. However, after the full course, the chances of recurrence are less. Avoid smoking if it is leading to such problems in you. Smoking leads to cancer as well. Do eat healthy food and exercise well. Nutritional diet and healthy lifestyle will prevent a lot of diseases. Hope to see you back in good health soon. Do write back to me if you need any support. Happy to help you. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 159, + "tgt": "Even after taking medicines, there is no improvement in pain radiating from hip to toe. Why?", + "src": "Patient: Hello doctor, My mother is 43 years old and was diagnosed with rheumatoid arthritis 3 months back. Her lab reports are as follows: Serum uric acid : 4.3 mg/dl RF igM antibody : 132.1 Units/ml Her treatment was initiated with defcort 6mg for a week, methotrexate 15mg weekly for 3 months, HCQS 200 daily post dinner for 3 months, vit b12 shots weekly for a month followed by b12 shots monthly once, even after taking medication for almost 3 months her symptoms of keen pain , ankle pain, pain radiating from hip to toe hasn't seen significant improvement. She also took a painliller named setolacER 300mg which wasn't usefull either. I request you to suggest the needful. Doctor:" + }, + { + "id": 1136, + "tgt": "I have 10 spots on penis for a long duration with no harm. Is it STD?", + "src": "Patient: Hello doctor, I am 24 years old. I have always been very anxious about health, especially my sexual health. But when I was about 9 or 10 a spot came up on my penis where the glans and shaft meet. It was flesh colored, painless, and round. There was no dimple in it. I was never sexually abused or sexually active at this age. I did not even masturbate the first time until I was 12 or 13. My mom took me to the doctor and they said like just come back if it gets bigger. She had likened it to a wart, but it was not very hard or dry. Anyway, it stayed for a couple of years after that it shrinks down. It no longer appears as if it is above the skin but appears as a small pin-sized bump underneath a skin bridge. I am curious if it cannot be an STD and I have never found anything similar online. So what could it be? I would not think a wart would stick around that long. And it really does not look like that at all. That was there over 12 years so I would not think it is anything fatal. To be even more specific, it is on the top side to the right. As I said, it looks like a skin bridge with a little bump underneath. But it really has no sort of texture. And the only problem it really causes is some skin rubbing when that extra skin rubs my underwear. Doctor: Hello. This was likely a wart only. Warts can have very varied morphology and most plausible explanation is for wart only. Because, considering it was a single lesion, was not painful or itchy, flesh colored and it persisted for a long time and resolved on its own. So all these factors favor it. Morphology can be variable. The negative factor was not sexually active. Although most common causes are sexual contacts, but significant number of individuals may have it with non-sexual contacts as well, it can be transmitted vertically during childbirth and remain dormant for a long time activating later in life. It can be transmitted with usual contacts and can be transmitted through clothing like underwear (if came in direct or indirect contact with infected individual clothing), sharing toilets, etc., can also transmit it. So being not sexually active is not a strong factor against it. Rest all causes like skin tags which would persist without treatment or fall off suddenly, PPP (pearly penile papules) would be numerous papules, other infectious causes would be short-lived and multiple lesions and symptomatic like painful tender or red. Malignancies are unlikely at this age and would progress. So the probability is high for wart only. I hope this helps." + }, + { + "id": 20925, + "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": 2973, + "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": 21474, + "tgt": "How can I quit taking ES Nax Plus without having any withdrawal symptoms?", + "src": "Patient: Hi doctor,I am taking ES Nax Plus (Escitalopram 10 mg, Clonazepam 0.5 mg) since last one year for anxiety. Now, I want to cut this medicine but after stopping this for some days, now I am feeling anxious, lightheadedness, increased pulse, etc. Previously, I also tried to cut the medicine and felt the same thing and ended up with taking the medicine again. Please suggest how to get off this medicine without any symptom of this medicine as I do not want to be dependent on this for whole life. I have hypertension which is well controlled with medicine. Medicine taking other than above are Telma-CT (80 12.5) one time per day and Embeta-XR 50 one time per day. Doctor: Hello. Sudden stopping of the above drug may cause withdrawal symptoms. So you can start with slow withdrawal like take above tablet half every day or full tablet alternate day for three months. Then dose may be reduced to weekly 2 to 3 times for two months, then weekly 1 to 2 times next three months then withdraw the drug. Discontinued rapidly (over one to seven days) were more likely to relapse within a few months than those who reduced the dose gradually over two or more weeks. You can use a mild dose of anxiolytics like Alprazolam or long-acting Chlordiazepoxide in between withdrawal if you feel withdrawal symptoms. Best to withdraw under the guidance of your doctor. The antidepressant effect may be continued up to 2 to 3 weeks after discontinuation of the drug. You can use yoga and regular exercise during withdrawal time. Avoid caffeine and caffeinated drinks. Avoid anxiety triggers in your point of view, eat green leafy vegetables and fruits. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30739, + "tgt": "I do not like my job and forced to stay. What to do?", + "src": "Patient: Hi doctor, I have just completed my three months of training in my job, which is far away from my home. Now, I am alone in my hostel as my roommates have already vacated. I personally had frequent mood swings during the office time and the rest of the day. I am just losing my confidence. I chose IT because I\u00a0got selected in it and moreover for prestige. Later, I find myself missing somewhere, losing hope and without interest. By now, I have decided to quit my job and I want to go other job where I could use my own skill and interest. But, a few people, including my mom do not like me quitting. I am mentally frustrated now by my decision and my mom's concern. I even marked as an unstable decision maker by two of my batchmates. To be frank, I want to grow with my effort and I love taking risks. I lost the interest here to observe and implement. There is no time to enjoy my own time, being surrounded by concrete buildings. I was forced to do the assignment just because I have entered that field. I am pretending to be fine all the time. During my first 10 days of training, I expressed myself easily with my skills and I was into active member auditions. But, my interest level gradually got faded when I got into the real technical training. My mom does not like me to quit the job, but she is not revealing it. So, now I am in a critical situation to make wise decision. What to do? Doctor: Hi. I have gone through the provided details and understood your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24535, + "tgt": "Can I have unprotected sex after nonreactive HIV duo test?", + "src": "Patient: Hello doctor, I had unprotected oral sex with a sex-worker as well as rimming and protected vaginal sex. After 28 days, I did HIV duo test and it came nonreactive. Can I have unprotected sex with my wife now? Is duo test at 28 days conclusive? Do I need a further test? Doctor: Hello. Unprotected insertive oral sex carries a negligible risk of transmission of HIV. Rimming too is not a high risk and protected sex is safe as far as risk of HIV is concerned. However, a fourth generation HIV screening test is considered conclusive at six weeks by most HIV specialists. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9940, + "tgt": "Could past history of STD cause infertility?", + "src": "Patient: Hello doctor,I have been very stuck in the past few years. About four years ago, I was in a long term relationship with a boyfriend of mine. And during that time, I became sick and did not know what it was. Came to know that it was an STD (chlamydia). I was cleared after being in the hospital for two days. I have recently been with my current boyfriend for four years now and soon to be engaged.We have tried conceiving, and nothing works. I believe I may be infertile due to what happened to me, but I did not think so at first because I thought the doctors during my hospital visit would have explained that something else was wrong. I have not gone to the gynecologist yet nor have got my concern about this checked because I am terrifyingly nervous of the outcome as I know it is severe. I need some help on any natural remedies if this is the case. Doctor: Hello. Chlamydia is an infection which appears very mild and may be asymptomatic, but the damage it causes is quite extensive. The main risk is of damage to the inner lining of tubes and also the structures surrounding the uterus. It can create a block to the movement of the sperm, egg, and embryos.As you have been treated in the hospital, the infection has been handled thoroughly and adequately. You can find out if there has been any damage to the tubes, the bridge between ovary and uterus, where the egg and sperm meet to form an embryo. Either have an HSG (hysterosalpingography, X-ray with dye) or laparoscopy to clear any adhesions. If this path is clear, then there is nothing to worry, and you will surely get pregnant. Quality and quantity of eggs are affected by these infections. At this age of 20 years, you can get pregnant. There could be many other reasons for no pregnancy. 1. Have your partner's semen, blood sugar tested. 2. Have your blood sugar, and thyroid tested. 3. Has an abdominal and pelvic scan done to rule out any abnormalities? Out of these tubal patencies is most important. Worst scenario if the tube is blocked, it needs to be cleared by hysteroscopic tubal cannulation, or if the damage is not correctable, then IVF (in-vitro fertilization) is the solution. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 20608, + "tgt": "My father has prolonged fever with high WBC count. Could it be TB?", + "src": "Patient: Hi doctor, My father is getting fever\u00a0continuously for the last 10-15 days. There is no infection detected in any test, but he has high TLC (WBC count). What could be the probable cause? Could it be TB? Doctor: Hi. Revert with the answers to the above questions to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19281, + "tgt": "How can we treat meningioma tumor?", + "src": "Patient: Hi doctor, My grandmother is affected with meningioma tumor. Please advise what has to be done. Doctor: Hello. I have gone through your attachment (attachment removed to protect patient identity). The meningioma is a benign tumor, which grows slowly. But, the meningioma present in your grandmother is in the advanced stage, causing compression of the adjacent brain structures. For this reason, I would recommend surgery as soon as possible in order to prevent her from death or cardiac arrest. You should discuss with a neurosurgeon about this problem. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18097, + "tgt": "From the photos, kindly tell me if the fibroma on my soft palate is cancerous", + "src": "Patient: Hi doctor, I am a 49 year old female weighing 135 lb. I am a smoker, I have had a sore in the\u00a0soft palate area from two months. Initially,\u00a0my\u00a0dentist gave treatment for an ulcer. But now it has recurred, and my dentist believes it to be a fibroma. I read fibromas do not usually appear on soft palate area. I have been referred to an\u00a0oral surgeon for evaluation. My\u00a0lesion is approximately 2 mm round and slightly raised, with minimal discomfort. I have attached a picture\u00a0of my sore. Does it look like a fibroma? I am worried\u00a0that it is cancer as I recently\u00a0lost\u00a0my husband to cancer. I am currently under tablet Crestor 10 mg twice a week, Baclofen, Propanol, and Imitrex for migraine. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10912, + "tgt": "What would you advise for clogging of ears and tinnitus after a flu?", + "src": "Patient: Hello doctor,I am a 44 year old female, mother of 2, 165 cm tall and 75 kg weight. Two months ago, I fell ill with a bad flu (may have been also an acute viral infection) with high temp (39 degrees), probable inflammation in the sinuses, nose, and throat and sinuses pain. The first antibiotic (Klacid) did not help much and low temp of 37.3 to 37.5 persisted for weeks. Then a throat swab analysis showed the presence of streptococcal pneumonia. However, X-rays of sinuses and lungs did not show any problems.In the meantime, a month ago, the nose cleared, and the pain in sinuses subsided. However, the right ear got clogged for a week, and as it unclogged, the left one got clogged. In the meantime, local doctors gave the diagnosis of post-viral infection-caused inflammation of the eustachian tubes. A second antibiotic was prescribed and taken two weeks ago - Augmentin. After the second antibiotic, temperature normalized. However, the left ear clogging persisted.Additionally, three weeks ago, shortly after the clogging of the left ear, a high-pitched noise in the left ear appeared (tinnitus ?), which is particularly audible at night and has caused me sleeplessness, stress, and depression. Audio tests performed by local doctors have proved that the hearing and hearing nerves are intact for both ears.I have taken for two weeks now Flixonase spray (corticosteroid like Nasonex), spraying once per nostril every morning. However, as a result, I developed an extreme dryness in my mouth and throat, and after three days, I stopped that. Now, my left ear feels better but is still clogged and ringing. What would you advise us to do? Doctor: Hello. The clogging of ears and ringing sensation (tinnitus) are probably due to accumulation of fluid in your middle ear post eustachian tube blockage, as a result of the upper respiratory tract infection you had had previously, a condition known as serous otitis media. I suggest doing tympanometry (if not already done) to confirm the diagnosis. If tympanometry confirms the diagnosis, then I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6642, + "tgt": "Does mixing alcohol with antibiotics slows down healing in an asthmatic patient?", + "src": "Patient: Hello doctor, I was recently diagnosed with asthma, bronchitis, and pharyngitis. I am currently on some temporary medicines, and antibiotics to treat these sicknesses along with an inhaler. I do not feel that bad, but I need to take the pills. However, being in college, I have a big game this weekend. This question may seem to be a little stupid but, would mixing of alcohol with antibiotics be deadly? Or would it just slow down the process of making me better? I know it is a silly question to ask, but I am half minded on it and would prefer not to end up in the hospital. Doctor: Hello. I guess you are taking medicines for bronchitis and pharyngitis. So most probably it is an antibiotic medicine. Generally, we advise to take medicines after food with water, and within limits taking some medicines with low alcohol does not cause any harm. However, it is best to avoid to do so. The idea of taking medicines with alcohol is not advised as it can be harmful. Alcohol and some medicines cause gastritis, and you may vomit out. Also, it can cause liver toxicity with such combination. So there is no logic of taking medicines with alcohol. Also, alcohol intensifies the effects of certain medicines, and alcohol can not dissolve some medicines. Serious interactions also can occur.So it is a better idea to consult your doctor before doing so." + }, + { + "id": 23493, + "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": 23001, + "tgt": "Can smoking cause swelling in front of ear on parotid gland?", + "src": "Patient: Hello doctor, I have little swelling in front of ear on parotid gland for about 10 days. I feel pain while chewing. Nothing else apart that. I can open my mouth wide. Local doctor gave me some antibiotics and now my pain is gone 90 %. Since I am a smoker. So my question is what is the reason for this swelling and I have quit smoking past two days. Does smoking does this? And what should I do next? Swelling is not visible but can be felt. There is no swelling inside the mouth. Doctor: Hello. Your symptoms of swelling in front of cheek while chewing and increase in pain indicates it is originating in the parotid salivary gland. This typically indicates there is an obstruction to the draining duct of salivary gland leading to increase in size while chewing. This obstruction can be due to calculi within the duct or simple inflammation and obstruction of duct. You have to undergo ultrasound examination and X-ray of the parotid gland to look for presence of any calculi or cysts. Only antibiotics may not relieve your problem. You need to identify the cause of obstruction of salivary gland duct and need appropriate treatment. For more informtion consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8505, + "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": 12552, + "tgt": "How long should I take Meprate for prolonged spotting?", + "src": "Patient: Hi doctor, I had prolonged spotting for one month followed by bleeding for 2 to 3 weeks. I took Meprate twice a day for three days, followed by one tablet each day. Bleeding stopped, but while I was taking Meprate on eighth day I did heavy workout and spotting started again. What shall I do? When should I take next Meprate dose. Doctor: Hello. Meprate is not the treatment for bleeding. It is a Progesterone and the dose is fixed, you cannot reduce it on your own as you would start getting withdrawal bleed once dosage is reduced, which is what has happened in your case. Once you stop Meprate, you shall again get at the bleed in next 3 to 5 days and may be heavy, as it would be a withdrawal bleed post-Progesterone intake." + }, + { + "id": 9369, + "tgt": "Should I undergo surgery for remission of lymphoma?", + "src": "Patient: Hello doctor, I am a 77-year-old woman. I had lymphoma last year, but was declared in remission this month. I have gained all my weight back and am feeling fine. My Oncologist sends me for PET scans every few months to make sure no cancer has returned. During last PET scan, they saw a shadow and recommended a colonoscopy. During this, they found a noncancerous fatty lipoma and three polyps. The biopsy showed one near rectum was 10 mm polyp that was precancerous. Described as high grade glandular dysplasia arising from tubulovillous adenoma. Do you feel surgery is needed, or more frequent colonoscopy screening? What do you recommend our next step is? Thank you very much. Doctor: Hi. As such immediate surgery is not indicated. Yearly colonoscopy and biopsy should be done. If stage of lesions seems to be changing then it should be removed. A few doctors treat this aggressively and remove it surgically at this stage only. This decision is based on your doctors personal experience and opinion. What is your doctor suggesting?" + }, + { + "id": 12217, + "tgt": "Can excess screen viewing lead to flash blindness kind of visual disturbance?", + "src": "Patient: Hello doctor, I am a 30-year-old male. I work with computer eight hours per day, I was wearing contact lenses for 15 years, glasses for eight years prior to that. I go to yearly checkups with my optician and physician. I eat healthy foods and exercise daily. I have healthy BMI, no known diseases, no known allergies, and no medications. Eye diseases in my family: Retinal detachment, glaucoma. And my brother had frequent episodes of ocular migraines in his youth with migraine plus visual pattern. Before five months, I had an episode with my eyes. I was watching TV in the evening, suddenly I could not read the subtitles on the screen. They were blurred. I checked my phone and I could not focus my eyes to read my screen. I felt partially blinded. I also noticed I lacked some part of my viewing field. I looked at my arms while waving them up and down, and I could not see my right hand in my right eye in a certain position at about 3 feet distance. I would summarize it saying I had partial loss of vision in parts of my right eye and I was blinded like by a camera flash in both eyes. This lasted for 20 minutes. I was worried it might be something serious, so after talking to my doctor I ended up at the hospital. They took an MRI scan, had an eye doctor check my eyes and they used ultrasound on my neck. They could not find anything. I told them early that my younger brother had experienced ocular migraines when he was younger, so the doctors gave me the same diagnoses after the tests could not give any other answers. I will also add that prior to this episode I had for a while dry eyes and polyps on my right eyelid. I have never had this before. I have always been health conscious, so after this incident, I read a lot about this and implemented several things. I always sleep a minimum of 8 hours. I do not skip meals, eat foods. I have read that these are beneficial for eyes: Meditation and exercise to reduce stress. For the past two weeks, I have been experiencing almost every evening that my eyes are irritated by all screens. It has not been too bad, so it has just been in the back of my mind. But this weekend it got so bad I was blinded like by the flash of a camera for 24 hours straight. During this time, it was extremely sensitive to any lights, from screens to candles. I went to the general practitioner early today to have his opinion. I woke up with this same blinding flash disturbance and had it while I was at the doctor. He seemed clueless because these symptoms during this past week do not go that well with the diagnosis of ocular migraines that typically last 20 minutes to an hour. Also, I never have migraines. I just have the vision disturbance. My doctor has referred me back to the hospital and the eye doctors there. I wait for them to schedule it. My question is if you know what this could be and what I can do to limit these episodes. I am at a point now that this disturbs my work and I struggle to find the advice. I need to go forward. The eye doctor at the hospital, my general practitioner and my optician all say screen use has nothing to do with this. But none of them can give me advice on what to do. Doctor: Hello. I understand your concern. There are not many conditions which can give rise to the feeling of being blinded by a camera flash for 24 hours. A few of the conditions which can give rise to periodic flashes of light are retinal detachment, posterior vitreous detachment, ocular migraine and aura of migraine. None of these conditions can cause a flash of blinding light for 24 hours. But in case you are referring to episodic blindness, there are several causes like prodromal stages of retinal blood vessel disorder, migraine, Raynaud's disease, intermittent glaucoma and carotid artery stenosis (for which the ultrasound neck is done). I feel that the cause may be neurological and related to the blood supply. In case you need further information, please send me a scanned copy of your doctors records or tests reports. I will do my best to help you." + }, + { + "id": 30363, + "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": 29002, + "tgt": "Why is my 11 year old son losing weight all of a sudden from last year?", + "src": "Patient: Hello doctor, I have an 11 year old son who weighs 25 kg and is 138 cm tall. Everyone feels that something is wrong with him, as he is losing weight from the past three years, and it is severe for the last year. He is a slow eater and eats for 40 minutes to an hour, even small meal. We keep telling him to eat fast, but he chews a lot and keeps the food in his mouth for a long time. He passes hard stool every day. In his\u00a0childhood, he had a\u00a0constipation problem, and he used to go once in three to four days. He is a pure vegetarian but has eggs. We try to give him a balanced diet as much as possible. He drinks milk in the morning by 6 AM. He is academically above average and has a good overall personality. He is having a\u00a0problem in pronouncing \"r,\" instead he pronounces\u00a0it \"l.\" He falls sick very rarely and takes a yearly anti-flu\u00a0dose.\u00a0At birth, he was in an\u00a0incubator for 10 to 15 days with jaundice, as he swallowed amniotic fluid. I am attaching the CBC, thyroid profile, and vitamin D report. I will be glad if you help us in finding any real cause for his low weight. Doctor: Hello. I have gone through the details that you have provided and the blood test report (attachment removed to protect patient identity). For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17646, + "tgt": "I am suffering from back acne. Kindly suggest remedy", + "src": "Patient: Hello doctor, I am suffering from back acne. It is all over my back. It is like red pimple marks and black spots.\u00a0Kindly suggest me ointment and soap or any medication which will help me get rid of acne\u00a0completely. Doctor: Hello. I have read your query. I understand your concern. Acne on the back have mainly two differentials: Treatment depends upon the diagnosis. Kindly upload images so that\u00a0the lesions can be\u00a0visualized.\u00a0And do reply whether the rash is itchy or not. Upload the images and revert back to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2115, + "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": 1185, + "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": 19817, + "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": 19883, + "tgt": "Can I know whether left ventricular hypertrophy is hereditary?", + "src": "Patient: Hi doctor, My mother died four months ago, due to cardiac arrhythmia which was caused by left ventricular hypertrophy. Can I know whether left ventricular hypertrophy is hereditary as I am frightened for me and for my children? Doctor: Hello. Hypertrophy is a general term and it includes multiple individual diseases. Do you have her echo report or any other medical reports of the heart? The first possibility in her case is hypertrophic cardiomyopathy, which is certainly hereditary and all the first degree relatives should be screened for the same. Also, was she hypertensive? As it can also cause hypertrophy and ventricular arrhythmias may also have other causes like blockages. There are also diseases which can cause hypertrophy and ventricular arrhythmias. So, we need some reports either echo report or autopsy report for the definitive diagnosis. If none of these is available, then you need to undergo screening. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2970, + "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": 13859, + "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": 16875, + "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": 27853, + "tgt": "Why does my wife have severe back pain after normal delivery?", + "src": "Patient: Hello\u00a0doctor, My wife delivered a baby boy last month, which was a normal delivery. Whenever she moves, the muscles on the upper right ribs below the breast gets pulled. Also, she has a severe lower back ache, which is unbearable. Can you please suggest some medicines for it? For now, we are putting an ointment for the back pain. She is currently taking Gemcal plus (twice a day), an iron tablet, and Sofinox cream for the stitches to get dry. My wife is 29 years old, weighs 45 kg, and is 5.2 feet tall. Regards. Doctor: Hi. If you have doubt, then get back to me.\u00a0Take care. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19560, + "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": 3074, + "tgt": "How long can antidepressants be used?", + "src": "Patient: Hi doctor, My mother aged around 60 years, had depression. She thinks negatively and fears what will happen next in life. She does not feel hunger and if eats something, then gets vomit like feeling with very less sleep. We went to a doctor, he prescribed some medication and she becomes better in some two months. However, that doctor is suggesting to continue medication even after 10 months. In between when we stopped medication then the nearly same symptoms start appears again. She also had 1 EEG done in the awake state using 10-20 IS of electrode placement and the outcome was like alpha activity 9-10 HZ and 20-35 microvolts in amplitude arising from both the occipital areas and getting by eys opening. Her medications are Pregsal SR 75 mg (Pregabalin SR Tablets), Clomidon 25 mg (Clomipramine HCI), CR-Zoro 25 mg (Paroxetine hydrochloride controlled-release tablet), Zool-DSR (Rabeprazole Sodium and Domperidone Sustained Release Capsule), Alzitier 5 mg and Bloserv 5 mg. Do these medicines really need to take that long or any of these have some addictive phenomenon? I request you to please share your valuable suggestion on current and future medication or course of treatment. Thanks a lot. Doctor: Hello. Thanks for asking. Though more details are needed to make an exact diagnosis but the symptoms you mentioned suggest some underlying anxiety. Negative thoughts, fear that what will happen, lack of appetite, etc., could be occurring due to depression and anxiety mainly of obsessive thoughts type. She is on the right drugs and if she responded with these medicines then the medicines should be continued for long. Once she becomes stable and is symptoms free for around six months then the drugs can be stopped by gradual dose reduction. The medicines are not addictive and no need to get worried about that. Visit your doctor regularly and she will be better in the coming time. Thanks." + }, + { + "id": 25035, + "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": 5085, + "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": 27071, + "tgt": "I experience severe breathlessness when I walk a bit. What could be the cause?", + "src": "Patient: Hello doctor, It started with loose motions 15 days ago and slight fever for few minutes, followed by severe sweating. Loose motions were controlled with some medications. After five days, suddenly I had whole-body flushing where the whole body felt hot from inside. It started from the head, cheeks, and nose. I observed that the nose became very stiff. I have undergone tests for CBC, urine routine, ESR, urine culture, typhoid, vitamin B12 deficiency, chest X-ray and everything looks normal. The physician after a consultation said that it could be due to pressure and suggested to take Lorazepam when the flushing attack happens and suggested to take Nexito plus for a month. I had aerophobia and few other phobias which I have experienced in the last two months, for your information. Also, I have a\u00a0history of sleeplessness and taking anti-depressants from some time. My other complaints are full body weakness, dizziness, breathing shortness, chest discomfort on walking for\u00a0long, eye pain and tremors. There is no significant weight loss. I had allergic rhinitis and experienced a cycle of it in the last two months. Please suggest what is happening. Doctor: Hello. Best wishes. For more information consult an\u00a0internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11619, + "tgt": "I took birth control pills and have spotting when I wipe. Please help", + "src": "Patient: Hello doctor,I have spotting but it is only when I wipe. It seems like it is stuck or something is there. My lower back hurts. Something is seriously wrong. Pease help. Currently, I took birth control pills. Doctor: Hi. I do not know how long you have been on contraceptive pills and which one these are? Either combined oral contraceptive pills or mini-pills have Progesterone only. Combined pills have lots of side effects especially for females with high BMI (body mass index) while Progesterone only pills show irregular bleeding. It depends on every individual females body (that how long and how much you get bleeding). Have some healthy lifestyle. Try to avoid long-term use of same contraceptives to avoid its side effects. Have some investigations and have proper treatment. Try to reduce BMI by having daily exercise and walk as this will help you to prevent side effects of many things. Try to change contraceptives. Have full treatment of any disease, if you have any. A healthy nutritious diet with recreational activities and avoidance of recreational drug if you are using occasionally. Have local examination by gynecologist doctor even hysteroscopy to exclude any local pathology. Get a transvaginal scan, colonoscopy clinic visit to exclude cervical pathology, complete blood count, thyroid function test, and high vaginal swab. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8129, + "tgt": "How can I remove floss stuck underneath permanent retainer?", + "src": "Patient: Hello doctor, I have floss stuck underneath my permanent retainer (had retainer for almost five years now) on my lower jaw. There is no pain, but I would like to find out how to remove the floss. Doctor: Hey. For removal of the floss, you can use a tweezer. Another option is to try the superfine interdental brush, like Stim proxa and if it is not working out, then go to a local dentist. Do not try to mess with it much as this can cause a problem with your retainers. You do not have pain or bleeding of gums, so, it is not much of an emergency. But, still, you can do lukewarm water with salt gargling. If you can send a picture of the stuck floss, I can guide you much better. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30100, + "tgt": "Will amniocentesis lead to brain damage of the baby?", + "src": "Patient: Hello doctor, My baby born with left hemiathetosis dystonia. She has an amniocentesis scar.\u00a0I would like to know if the baby's spine is penetrated by an amniocentesis needle. Can this lead to brain damage? Would it have to be in the head or neck?\u00a0Many thanks. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19308, + "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": 10412, + "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": 23374, + "tgt": "Do I have to fast before I go for GFR test?", + "src": "Patient: Hi doctor, I am a 27 year old\u00a0female. For a year, I am advised to take one Sompraz D20 on an empty stomach in the morning, and one Libotryp tablet at bedtime for TB. As a part of routine check up, I want to get tested for kidney function, that is, GFR blood test. Is fasting required for this test? If so, for how long? Do I need to give my urine sample also along with blood? Please provide me all the details of GFR test. My weight is 82 kg and height is 5.4 feet. What details am I supposed to give to the lab for GFR test? Doctor: Hi. I appreciate your concern regarding GFR (glomerular filtration rate). For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 25238, + "tgt": "Can tooth cavities lead to infection of the bone?", + "src": "Patient: Hello doctor, I have cavities in the front two teeth. I have kept putting off seeing the dentist because of a high profile busy job. I have an upcoming appointment but am worried about a possible infection to the bone? If this is the case would I have severe pain and swelling? Doctor: Hello. Well, not every cavity reaches the bone. For infection, either pain or sensitivity is there. Just consult your dentist and do as he says. Wish you good health and happiness. Keep me updated with the improvements. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16235, + "tgt": "Can a collarbone fracture heal by itself or need surgery?", + "src": "Patient: Hi doctor, I fell from a bike and suffered a right collarbone fracture. It has been three weeks and bone still seems to be moving. My hand is in a sling and I am also wearing the brace. 2 to 3 days back started noticing bone tenting towards the skin. Will the fracture heal by itself or will I need surgery? Doctor: Hello. Treatment for clavicle fracture depends on the fracture configuration and displacements. If it is tenting the skin over it or shortening of more than 2 cm, it is an indication for surgical treatment. Surgery means we open the fracture site and reduce the fragments and fix it with plate and screws. Please send X-ray picture and the clinical photo of your collar region." + }, + { + "id": 7312, + "tgt": "Kindly advice about recommended vaccination for 1-year-old baby", + "src": "Patient: Hello doctor, I need advice regarding my child vaccination. I am moving abroad, and the treatments are pending. My kid has completed one year. Doctor: Hello. 1. By one year of age, a child should have received birth vaccines like BCG (bacilli Calmette-Guerin), polio drops. Then three monthly shots of DPT (diphtheria, pertussis, and tetanus), Hib (Haemophilus influenzae type b), polio injection and hepatitis B. 2. By nine months measles vaccine should be given. 3. Optional vaccines include rotavirus, pnemococcal and influenza vaccines. You have not mentioned which vaccines are pending. Some places have specific recommendations. 1 to 5 years MMR (mumps, measles, and rubella), chickenpox and hepatitis A vaccines along with booster doses of DPT, Hib, polio would be there. It is recommended that you at least complete the vaccines required up to one year of age, if not given already." + }, + { + "id": 30896, + "tgt": "Does my wife's condition require surgery?", + "src": "Patient: Hi doctor, My wife, who is 43 years old, is feeling loss of skin sensation on the lower part of the legs. This feeling has started 4 years ago. But, it did not bother her that time. Two years ago, we consulted a neurologist and he prescribed medicines, which brought her relief. She stopped taking medicine a couple of months back and the loss of skin sensation came back again. We went back to the doctor and took medicine for one day. She started feeling nausea, vomiting and felt like drifting into the vacuum while sleeping due to which she was afraid to go to sleep. Then we consulted another doctor and he advised not to take that medicine. He advised us to take an MRI of the cervical spine. The MRI result is as follows. Central disc herniation at C4-C5 and C5-C6 level with indenting anterior thecal sac. Reduced AP canal at C4-C5 and C5-C6 level. MRI of lumbosacral spine result showed Schmorl's at L3. Mild diffuse disc bulge at L4-L5 vertebra indenting anterior thecal sac and narrowing both neural foramens. My wife has also been suffering from spondylitis of the neck. Her current medication includes Anxi 0.25, Dizitac, Amixid-L, Oslol 20 mg, Pregamin and Nucoxia 120.My doubts are as follows. How serious is the problem? Either orthopedician or neurosurgeon, whom should we need to consult?\u00a0Does the condition require surgery?\u00a0If yes, what will be the complications post surgery? Doctor: Hi. \u00a0I 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": 23524, + "tgt": "What could be the reason for my spotting?", + "src": "Patient: Hi doctor, My LMP was on the 29th of the last month. On 2nd and 3rd this month, I had a mild spotting and on 4th, I got my periods as usual. What can be the reason for the spotting and delay as I have not got this kind of spotting before? Doctor: Hello. Can you provide more information regarding the problem? If it is the first time, do not worry. It might be a hormonal adjustment. It will get normalized on its own. Get fasting TSH (thyroid-stimulating hormone) done if it is not the first time. You can calculate your BMI (body mass index) and work on it, as excessive weight can cause menstrual disturbances. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29497, + "tgt": "What is the treatment for hematoma?", + "src": "Patient: Hi doctor,Before five months, I had surgery for thigh hematoma. Now, the same problem started again. It is increasing in size and painful. Also, there is swelling. Please see the photo attached here. Doctor: Hello. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 4498, + "tgt": "How to get rid of Fordyce spots in penis and corners of mouth?", + "src": "Patient: Hello doctor, I am a 21-year-old male. I have Fordyce spots on my private areas and on the corners of my upper lip. Can you give me a cure? My problem has remained consistent since the last seven to eight years. It does not pain or itches or none of such problems. I just feel upset whenever I look down at them and badly want to cure it. When I touch the spots on the downside of my penis it feels like some kind of tight hard mass inside, but it pains when I try to squeeze them out all in vain. Two-three spots get bigger in size sometimes and remain so for quite a long time and some new spots also arise intermittently. It is very awkward to see them feel the masses inside and these spots are only on the downside of my penis and not on the upper side. And my BP is normal as I last checked up some days ago. I have no problem with sugar level or any cholesterol issue. Thanks. Doctor: Hi. Fordyce spots are sebaceous glands. It is a normal variant, harmless. I totally understand your frustration. Unfortunately, this condition has limited treatment options and cure is difficult to assure. Co2 (carbon dioxide) laser is one option, it removes the spot but there can be potential for scarring. Another option is oral Isotretinoin capsule. Isotretinoin is vitamin A derivative, it is used in acne and it shrinks the sebaceous glands. I am very sorry to say, even with Isotretinoin, cure cannot be guaranteed." + }, + { + "id": 10730, + "tgt": "Please provide some information about factor V Leiden", + "src": "Patient: Hello doctor,My daughter is 17 years old, and she is on Xarelto for four months. Her liver enzymes have gone up. Although it is normal but has increased from the level before drug. Her AST is 43, and the range is up to 31. She is on bcp and has factor V Leiden. This is why her doctor put her on Xarelto. Doctor: Hello, Welcome to the icliniq.com. At this moment I am giving you further information regarding your daughter condition. She has factor V Leiden mutation, which is a congenital cause of thrombosis. So Xarelto (Rivaroxaban) like good anticoagulant drug prescribed to her should be continued. AST (aspartate aminotransferase ) normal range is usually up to 40 in most of the laboratory. Her AST levels are not alarmingly raised. Sometimes the mild viral temporary infection can lead to high AST. If it is raised much than further workup needed otherwise not. Repeat AST after few days. I hope the provided information will help you. Get back with more query whenever required." + }, + { + "id": 1067, + "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": 6576, + "tgt": "I am HIV positive and on Atroiza. How to deal with the side-effects of Atroiza?", + "src": "Patient: Hello doctor, I am an asymptomatic HIV positive male with a CD4 count of 320. I started on Atroiza and Cotrimoxazole two days back. But yesterday I drunk and could not sleep and sat outside at night because I could not breathe properly. My problem is, I am in holiday now. My night shift job starting is starting soon. I do not think I can cope with these new side effects on this job. I really need this job, but I am afraid to stop the treatment after two days and for the duration of the holidays, as it may make the virus resistant. Please help. Doctor: Hello. Atroiza is a combination of three drugs (Efavirenz, Tenofovir DF, Emtricitabine) for the treatment of HIV. Among which, Efavirenz is the drug known to cause such side effects. These side effects of insomnia, vivid thinking, night time issues are temporary and would last for the first two weeks after starting the therapy. It would be advisable not to stop ART (antiretroviral therapy) as there are high chances of developing resistance. You can instead consider replacing Efavirenz with another drug called Nevirapine, which does not have these side effects. Kindly mention your HBsAg, Anti HCV (hepatitis C antibody test), VDRL (venereal disease research laboratory test), and tuberculosis status as they may affect the treatment too. Consider replacing Efavirenz with Nevirapine after discussing it with the physician." + }, + { + "id": 13607, + "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": 17085, + "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": 6507, + "tgt": "Having on and off pain around pelvis and femur junction. What could it be?", + "src": "Patient: Hello doctor, I am a 16 year old female. For a year now, I have been getting regular, on and off pains in my pelvis around where the femurs connect, and the lower spine. Sometimes it can only be fixed when I put pressure on one side, but other times it hurts to put pressure on it. It started off with slight pains in either side, but now it has spread to both the sides, and now to the front of my pelvis, where the femur connects. It hurts when I stand, when I twist my leg, and when I lie down I am not comfortable. Sometimes when I make sudden movements, the pain is excruciating. Sometimes it will feel sightly better if I crack one of those joints somehow. What could it be and how can I fix it? And additional that I have to include is, this pain may persists for two to five days, then stops for about a week. Doctor: Hello, Welcome to icliniq.com. These symptoms that you describe can be due to the following: 1. Bursitis: which your doctor says there is a gland that is inflamed. Bursitis may occur occasionally but, if not taken care of, may last for months. In such a case, complete bed rest for a few days, along with Voltaren (Diclofenac), would help for sure. It is a self-limiting disease. 2. This could be the initial phase of arthritis, as your mother also suffered the same. In either case, anti-inflammatory drugs are the first choice of drugs which is being given to you. However, it is important that you investigate with x-ray hip and blood reports like CBC (complete blood count), CRP (c-reactive protein) to rule out any other issues. If anti-inflammatory drugs do not work then, DMARD (disease modifying antirheumatic drugs) drugs followed by monoclonal antibodies." + }, + { + "id": 28842, + "tgt": "Why am I not benefited with antibiotics for cough and stomach pain?", + "src": "Patient: Hi doctorI have been sick on and off for two months. I have had a cough, stuffed nose, body aches, fever and burning when I urinate. I also have had a sharp pain in the stomach and headache. I have taken antibiotics, but they did nothing to me. I am a 45 year old male. Doctor: Hi. I have gone through your query and symptoms. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9081, + "tgt": "I applied DHT for eight weeks to increase penis size. Can I do so for another cycle?", + "src": "Patient: Hello doctor, I am 18 years old. I did an 8-week cycle that ended 14 days ago. The cycle consisted of applying a topical DHT gel, exactly 100 mg of pure DHT per week (15 mg per day) for eight weeks. I did it because I read that DHT could improve my puberty and increase the size of the penis. Now I am still small and feel that my hormone levels are lower. The question is could it be harmful to make another cycle or should I stop? Now, that I have stopped should I do a PCT? My wish would be to increase the penis dimensions without damaging my HPTA axis. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have tried to apply DHT (dihydrotestosterone) to increase penile size.I would recommend that you know what you are doing before you try to use it again. Use of testosterone can cause serious side effects such as heart disease (including heart attack), stroke, liver disease, mental and mood problems, abnormal drug-seeking behavior, or improper bone growth. When testosterone is used unrequited, you may have withdrawal symptoms such as depression, irritability, and tiredness when you suddenly stop using the drug. These symptoms may last from weeks to months. It is not possible to increase your penile length this way without causing harm to your HPA (hypothalamic pituitary adrenal) axis. You must properly get examined and visit a surgeon for same. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7398, + "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": 26275, + "tgt": "What are the surgical options available for a sprained ankle?", + "src": "Patient: Hello doctor, I am looking for a second opinion for surgical options for a grade 3 sprained ankle. I have attached herewith the MRI results. The results show a ruptured anterior tibiofibular ligament and a partial tear of the\u00a0posterior tibiofibular ligament with disruption of distal tibiofibular syndesmosis with mild adjacent muscles edema, likely distal tibiofibular syndesmotic injury. They also show posterior talofibular, calcaneofibular and deltoid ligaments sprain. Mild marrow edema at the distal fibula. Tibialis posterior, flexor digitorum longus, flexor hallucis longus tenosynovitis. A small amount of fluid in the\u00a0tibiotalar joint. Subcutaneous edema around the ankle. Kindly provide your opinion. Doctor: Hello. I have gone through the images you have provided\u00a0(attachment removed to protect patient identity). 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.\u00a0Regards. For more information consult an\u00a0orthopaedician and traumatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24053, + "tgt": "Does size of perimembranous VSD matter?", + "src": "Patient: Hello doctor, My baby was diagnosed with 4 mm VSD during the 20th week of pregnancy. After delivery, an echocardiogram was done and our pediatric cardiologist told that my baby has large perimembranous VSD shunting bidirectionally. But did not tell us the size. My baby is 3 months old now. I wish to know whether size matters in VSD or not. My baby has poor weight gain. So cardiologist told us to prepare for surgery. Currently, he is on Furosemide 0.2 ml twice a day. Doctor: Hello. Yes, size matters like small VSD (ventricular septal defect) do not require treatment, while large one (usually more than 6 mm of the size of the aorta) needs surgical correction only. So here it is being large and no significant gradient across it so needs surgical correction. So here whether it is 8 mm, 10 mm or 12 mm or some other size, management remains the same. So relatively size is not important here. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27080, + "tgt": "I get a bad fever every time I kiss somebody. Will this condition eventually go away?", + "src": "Patient: Hello doctor, I am a 20 year old woman. Every time I kiss someone, even just a peck or someone I have kissed before, I get a bad fever that sometimes lasts up to a week, nausea, and fatigue that makes me sleep almost all day and night. I have only kissed about three people. Will this go away eventually? I am anemic and have a history of being deficient in pretty much everything including calcium, vitamins, etc., but I have not had a blood test in about a year. So, I am not sure where that is at now. Doctor: Hello. Feel free to follow up anytime. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26467, + "tgt": "Can my front teeth be removed and put back straight without any other procedure?", + "src": "Patient: Hello doctor,Can I get my front teeth removed and then put them back in straight without dentures? Doctor: Hello. Thanks. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 16545, + "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": 26658, + "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": 8794, + "tgt": "Does taking Paxidep for long term cause shock in the head?", + "src": "Patient: Hello doctor,I am taking Paxidep 12.5 daily from last one and half year as prescribed by the doctor. It cures my uncontrolled thought and panic attacks. Now sometime I feel shocks in my head. I also want to know that, is there any side effect of this medicine after long time use? Doctor: Hello. Paxidep-Cr 12.5 mg tablet is a medicine that belongs to the selective serotonin reuptake inhibitors (SSRI) group. It is used for the treatment of depression, obsessive-compulsive disorder (OCD), panic disorder, and other anxiety disorders. There are many side effects for these medicines, including suicidal thoughts, irregular heartbeat, shaking of hands, etc. But shocks inside the head is not a common side effect. You should talk to your psychiatrist regarding this and get the medicine changed if there is a need." + }, + { + "id": 4160, + "tgt": "Can molars be pushed in the site of extracted wisdom tooth to create space for braces?", + "src": "Patient: Hello doctor, I had my wisdom teeth pulled out a couple of times back, now I am putting on braces. My orthodontist said that I have to remove my premolars in order to make room, but I feel like you could just push back my molars somewhat where the wisdom teeth used to be. Is it possible? Very similar to the bottom except he wants to remove one front tooth to make room but I feel like you could just push back the molars a little bit to make room. Doctor: Hi. First of all, you have to understand the fact that not all wisdom teeth are functional. What I mean is most of the wisdom teeth are removed not to create space but it does not serve the purpose to chew well instead of harm the surrounding gums. And in orthodontic treatment, the molars cannot be shifted because that will collapse the whole contacts between the teeth. There is a rule that the molars have to hit each other at certain points only then it helps you in chewing your food efficiently. Hence, there is no harm in pulling out the premolars in order to gain space, because there would not be any gap left behind after the treatment is completed. So, I advise you not to panic because you are losing your premolar tooth but that is definitely going to help the treatment become a success." + }, + { + "id": 14281, + "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": 4241, + "tgt": "Can slight bleeding be a side effect of I-pill after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex with my husband 17 days back. I took I-pill within three to four hours. Two days later\u00a0I again took I-pill. My last period was 23 days ago.\u00a0Now, since two days I am having slight bleeding\u00a0of brownish red color and cramps too. I usually have cramps during my periods.\u00a0Is it implantation bleeding? Or side effect of I-pill? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17448, + "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": 19863, + "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": 13338, + "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": 17325, + "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": 25054, + "tgt": "Would the lubricant that comes before sperm make her pregnant?", + "src": "Patient: Hello doctor,I touched my penis to my fiancee's vagina, and some lubricant came out of it (not sperm). Would it make her pregnant? Or any problems? Doctor: Hello. This is unlikely to cause pregnancy in your fiancee. However, she can use urine pregnancy test if she misses her period on the expected date of her menses. Pregnancy can occur only if that time she was in her fertile period and sperm is ejaculated inside vagina or nearby area. Hope this clarifies your concern. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16803, + "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": 10675, + "tgt": "Is it normal to have foamy urine?", + "src": "Patient: Hello doctor, My urine is foamy.\u00a0I am confused whether everyone will get bubble and foamy urine while urinating. Please explain me. Doctor: Hi. I appreciate your vigilance. Mild frothing of urine is usual, but excess of frothing denotes protein leakage in urine. What is your age? Do you notice any swelling of your feet and face? Do you have any other medical problem? To be sure get a urine routine microscopy report and follow up with that. Revert back with answers to the above questions to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 30027, + "tgt": "Is laser treatment safe for acne scars?", + "src": "Patient: Hi doctor, I am 26 years old. For the last six months, I am facing mild to moderate acne, which has resulted in scarring. Please provide your opinion as to which cosmetic treatment should I opt. Though I have consulted a cosmetologist, I am a bit reluctant to go for these procedures due to its potential side effects. I have a thin face, so I want to go for dermal fillers to get a fuller look. Are these fillers safe? Which filler would be the best for the long-term? Also, I have got mild acne on the back and scars as well. Please provide a solution for this and suggest me the course of action of the cosmetic treatment and fillers. Doctor: Hi. Revert with the answers to the questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29989, + "tgt": "Please suggest me some measures to get an acne free face", + "src": "Patient: Hello doctor, I am 20 years old. I am suffering from acne. I used to get acne when I was in high school, but there was nothing unusual and it was never a problem. Around two years back, I started getting lots of acne and it is continuing till now. Most of the acne develops on the cheeks. The acne appears as white heads and pimples on the cheek. Sometimes, it also occurs on the chin and forehead. I do not have a full beard and I feel that might be a reason. Sometimes, about 80% of the acne disappear and sometimes, it gets too bad. I have used different products before. Now, I am using a cleaner and coconut oil. My face is oily, but it gets dry too. Currently, I am using Zinc pills and coconut oil.\u00a0Please help me. Doctor: Hi. I have examined your photograph (attachments removed to protect patient identity)\u00a0and noted your details. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3769, + "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": 13812, + "tgt": "Are there any common viruses or bacteria that would be viable after 3 years?", + "src": "Patient: Hello doctor, Under normal circumstances are there any common viruses or bacteria (harmful microorganisms in general) that would be viable after three years? Doctor: Hi. It would have been better if your query had been clear about whether you meant the normal circumstances inside the human body or in the environmental condition. Inside the human body, bacteria and viruses can survive for many years without causing any clinical disease in the host and such type of hosts are called as carriers. When favorable conditions develop, these microorganisms leads to development of clinical diseases. Second about environmental condition, viruses multiply only inside living host and they cannot survive outside their host for such a long period of 3 years. The duration for inactivation of viruses in the environment is different for different viruses. About bacteria, many bacterial species can survive in the environment for a long period if they have favourable environment. It includes many non-pathogenic and some pathogenic bacteria and also some opportunistic bacteria." + }, + { + "id": 10749, + "tgt": "I have itching and a pimple-like stuff that is bleeding a little in my scrotum. What could it be?", + "src": "Patient: Hello doctor,I am a 29-year-old male. I recently realized that my scrotum is itching and there is pimple-like stuff that is bleeding a little. There are reddish black spots on my scrotum, but it is not the area that bleeds. The area that bleeds looks like a ring-cut. Doctor: Hello. I understand your concern. The black, reddish papules may be angiokeratoma which bleeds when you scratch that, but that is not the cause of itching as such. I am prescribing you medications for itching and ring-shaped erosions. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Fexofenadine 180 mg twice a day. 2. Tablet Ivermectin 12 mg today and after a week. 3. Cream Flutibact (Fluticasone Propionate, Mupirocin) cream twice a day for a week." + }, + { + "id": 21344, + "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": 14025, + "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": 10919, + "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": 7505, + "tgt": "Why does the butt skin and the area between the thighs in private part becomes dark?", + "src": "Patient: Hello doctor, I have an issue related to my skin, and my skin got dark between my thighs in the private part, and also butt got dark. And I have like dull skin near my private part and in the butt. My upper and down surface is fine. What is the issue and cure? Doctor: Hello. The skin of these parts are naturally darker than rest of body, especially in skin types from three to six. This pigmentation can be reduced by regular application of Vitamin C and Kojic acid-containing combination products to these areas. Add antioxidants to your diet and drink a lot of plenty of water. Apply Eventone c body milk to these areas bd for a month. Drink a lot of fresh and clean water. Follow-up at after a month." + }, + { + "id": 29106, + "tgt": "Will Accutane help in acne breakout?", + "src": "Patient: Hi doctor,I am currently on Accutane for adult acne. I am 30 years old and have been on low dose birth control since I was 16. I need to go off the pill, but I am\u00a0so terrified of the post-pill acne. My skin is finally good after 30 years, and I do not want to go back to dealing with horrible skin. The pill is not necessary for me anymore as I am not having sex. If I stop taking it, will the Accutane help with the breakouts? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7041, + "tgt": "I am having jaw pain after root canal treatment. Why?", + "src": "Patient: Hello doctor, I had a root canal done in one of my lower right teeth. It was done in one sitting with the help of a laser. Everything was fine for a week. Then, one day my right jaw started aching and I was not able to open the jaw more than half an inch. There wa mild pain below the ear and it increased while chewing. My dentist says it is spasm and it has nothing to do with RCT (root canal treatment). I am taking Flexon MR and doing few muscle exercises keeping the jaw in movement. What is the solution? How long will it take to heal? I am worried will it become permanent? Doctor: Hello. Yes, it can be due to muscle spasm but as it started after one week then it can also be due to infection in the root canal treated tooth. So, first of all, the exact cause needs to be ruled out. If Flexon MR (Ibuprofen, Paracetamol, and Chlorzoxazone) and muscle exercises are not resolving the problem then an X-ray of the tooth should be done to check for any infection. It can heal mostly within a week. No, it cannot become permanent and both conditions - infection and muscle spasm are treatable. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30966, + "tgt": "Other than surgery, please suggest the possible treatment for my grandma", + "src": "Patient: Hi doctor, My grandmother, who is 76 years old, was recently diagnosed with cervical spondylotic myelopathic changes in her neck. Her medical doctors have suggested us to go for surgery while others have suggested avoiding surgery considering her age. She is now partially paralyzed with numbness accompanied by a loss of sensation and restricted or little movement, but could get completely paralyzed if left untreated. She can speak, move her head and fold her limbs. But, she cannot sit, walk, lift her hand and change position on her own. She heart operation with stent before six years. Due to dropped sodium levels recently, she was started on sodium tablets. She has currently undergone MRI scan and I have attached the reports for your reference. Please suggest us all possible treatments other than surgery. Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26051, + "tgt": "28 days after a piles surgery, I am bleeding through the stools. What can I do?", + "src": "Patient: Hello\u00a0doctor, I am a patient of piles. 28 days ago, I had a surgery. Now, there is a slight bleeding through the stool. What can I do? Please tell me. Doctor: Hello. Minimal bleeding after recent piles operation is not very uncommon. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 23583, + "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": 31000, + "tgt": "Does Lexapro take a long time to start working?", + "src": "Patient: Hi doctor, I had recently had several hospital stays for spikes in blood pressure due to years of stress with a sick child. Nothing organically was found. Anxiety might be the key. I was put on 5 mg of Lexapro at night, which made me anxious and gave me insomnia. Then, another doctor gave me Buspar. \u00a0But, I did not like it. I feel a lot of head pressure and weakness. I am trying to decide what to do. Please give some suggestion about the best medicine. Which one shall I take? Doctor: Hello. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1677, + "tgt": "How can swelling in the anus area be treated?", + "src": "Patient: Hi doctor, I am facing swelling in anus area which is not getting shrunk even after trying some medicine and cream for piles. Doctor: Hello, Welcome to ilciniq.com. Good day. I have reviewed your history and picture that you have uploaded (attachment removed to protect patient identity). It seems to me a sentinal pile. They are not actually pile (hemorrhoids/ blood sac) but a anal fissure that has been present for so long and leading to bulging appearance resembling a pile. Well having said that, the treatment you are on is majorily ayervedic but there are avaialble allopathic medicines which can be used instead. I would give you some treatment but I want that you should be examined in person by a local general surgeon, if any need of surgical removal of this. Otherwise at moment take following treatment. 1. Ispagol Husk 2 tsp/ daily with water irrespective of if you have soft stools or hard stools. Fibre has to do with many other things in your gut besides just stool softening effect. 2. Tablet Ciprofloaxcin 500 mg twice daily for 5 days. 3. Tablet Flagyl 400 mg thrice daily for 5 days (can cause some gut upset and mettalic taste in mouth but fairly low side effect profile). 4. Sitz bath. Put approximately 5 ml of dettol or any antiseptic and put in bath tub filled almost half with tapid water and at least try it 3 times a day. 5. Keep your area clean near your bottom. 6. Remove hairs. 7. Reduce weight. Increasing weight would impair your defecation (stooling) mechanism and that would abnormally high presure over your bottom. This worsens anal fissure in long term. Let me know in one week time if symptoms improve." + }, + { + "id": 7899, + "tgt": "I suffer from erectile dysfunction. Can I take Trazodone with Fluoxetine and Cialis?", + "src": "Patient: Hello doctor, I suffer from psychogenic erectile dysfunction, and I take Fluoxetine for depression from the past 11 years. Recently, I took Trazodone for this problem, but I had to wean myself off Fluoxetine completely. I took Trazodone for two weeks, and I started getting full erections, but my depression came back with a vengeance. And I started having dangerous side effects of Trazodone, so I stopped taking it and went back to Fluoxetine. I took Cialis for a week or two, and I was able to get full erections. But this week, again I am not getting full erections, and my mood is very distressing. I was fine for a while after taking 5 mg of Cialis. What should I do? Will Trazodone work for erections while I take Fluoxetine and Cialis? Will it give a boost to get hard erections like before? I just do not understand, everything was fine, but it feels like my brain pattern changes often. I feel very aroused for a while, and then I do not. Can you please give me some advice? Doctor: Hello. I have gone through your history. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 23546, + "tgt": "My hair is falling out in clumps due to severe stress. Please advise", + "src": "Patient: Hello doctor, I am a 37 year old female. I have been experiencing hair fall in clumps since the last two weeks, so much so that, I have lost half of my hair. The last one month, I have been under stress because of my father's death. I have consulted a dermatologist and have got some tests done as suggested. My reports were fine except my vitamin D and hemoglobin which were slightly less. I was prescribed meds like Iron tablet and vitamin D sachet. I was also advised to apply Manor and Qilib liquid on my scalp. The hair fall is still continuing. I have started experiencing pain on the scalp, in the roots of the hair. For the last four months, I have been using antihistamine and steroids as suggested by the earlier dermatologist for urticaria skin eruptions. The present doctor has asked me to stop using steroids and continue with an antihistamine. Please advise what to do as both my problem continues. Doctor: Hello. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 19814, + "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": 22866, + "tgt": "In spite of not scolding my kid for lying, she still lies. How can I get her to confide?", + "src": "Patient: Hello doctor, This query is regarding my daughter. She is 7 years old. She used to say things that happened at school openly. At home, I never scold her for telling the truth and even if she lies, if she comes and tells me that, I never scold her. She gets severe punishment and beating if she lies. But still, she lies. I wonder why. She hates hearing no from me. I fear that if I say no to her, she would not confide in me and do things behind my back, as she does now. How can I make her confide in me? Doctor: Hello. Dealing with a 7-year-old could be difficult. Acceptance is the key when dealing with them. Accept what she says without being judgemental. Rather than telling her what is right/wrong, tell her why right is right and let her do the decision making. Rather than scolding her for lying, appreciate and reward her when she speaks the truth. You can reward her more, when she confesses her lie. I suggest you read 'token economy' on the internet. It is an excellent way of weakening the undesirable behavior and strengthening the desirable behavior. In it, children are given tokens everytime they do a desirable behavior and those tokens are exchanged at the weekend for something that they desire like sweets/toys. A regular and dedicated system of token economy works wonders in the long term. Hope this helps. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15731, + "tgt": "There is frequent nose bleeding without any reason. Is it normal?", + "src": "Patient: Hello doctor, I would like to ask if the nose bleeding is normal? I mean the father's family are like this. They just get the nosebleeding out of the blue and so the child too, just a while ago. I am really worried about my nephew. Is this normal? Or something serious is going on? Please help me. Doctor: Hello. The one episode of nose bleed can be neglected. But if repeated nose bleeding occurs than it should be evaluated in detail. For that, his blood pressure should be checked and coagulation profile should be checked. You are giving a positive family history of nose bleed so further work up in form of PT (prothrombin time), APTT (activated partial thromboplastin time) test, CBC (complete blood count) and BT (bleeding time) testing are needed to rule out any coagulation problem, if present. Nose trauma is a common cause for nose bleeding. But excess bleed should be evaluated further. During bleeding episode, the nose should be pinched with index finger and thumb." + }, + { + "id": 22303, + "tgt": "How can I protect my eyes from damage while using computer?", + "src": "Patient: Hello doctor, I need advice regarding my eyes. I use computer up to 18 hours daily. I want to protect my eyes form damage as well. So let me know if any type of glasses is available. If so, then what is the name and characteristics of lenses used for protection from computer screen? Doctor: Hello. The disease that you can have is computer vision syndrome. If you are working for so long. In this, the blinking rate of eyes is reduced due to constantly staring at the screen which can cause dry eyes because in every blink our eyes are hydrated. So, in order to reduce that you have to do 20-20 exercise, that means after every 20 minutes of your work look at a distance and relax. Now for your query about glasses we have antireflective coated glasses in the market to reduce the flickering light energy of computer to affect our retina. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9570, + "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": 15013, + "tgt": "I have scars and spots on face with hair fall and dry hair. Why?", + "src": "Patient: Hello doctor,I have scars and spots on face, hair fall and dry hair. Please help. Doctor: Hi. I request you to kindly upload a few images of the affected area on the face so that I can guide you better. You may use Radant lite cream for dark spots. However, for scars, I suggest either chemical peeling or laser resurfacing. Kindly let me know if you have dandruff? As dandruff is an important cause of hair fall. Get a few basic investigations like thyroid screen, serum ferritin levels, vitamin D3 levels, vitamin B12 levels as deficiency can cause increased hair shedding. You may in the mean time take an oral Biotin supplement like tablet Revilus once a day. Use Renocia hair solution on scalp skin every night. Take care." + }, + { + "id": 14898, + "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": 12309, + "tgt": "How can I treat uneven skin tone?", + "src": "Patient: Hello doctor, I am 18 years old boy. I am having very uneven skin tone on my cheeks somewhere it is dark and somewhere it is white. It started about one year ago. What can I do now any remedies or diet or treatment? Doctor: Hello. Yes, you have pigmentation problem along with mild acne. I will suggest you to start with topical Clindamycin lotion over the pimple area morning and evening and a topical retinoid at night time by mixing it in cold cream. Wash your face with Dove soap. Retinoid at night will improve your skin problems. Apply Acsolve lotion over the lesions BD, apply Arynoin gel plus cold cream at night in small quantity on the whole face. Use skin aqua moisturizing serum 2 to 3 times a day, use Solaris sunblock SPF 60, avoid using Dettol and other irritants." + }, + { + "id": 13809, + "tgt": "I have an ingrown toenail which is infected. What do I do?", + "src": "Patient: Hello doctor, I have an ingrown toenail and it has got infected. I suffer from a lot of pain while wearing shoes. I have this pea-sized bubble like thing which bleeds on the side of my toenail. I have attached a picture of my toenail. It is a swelling, and I wonder what can I do to take it away, other than surgery? Doctor: Hello.I have seen your clinical picture and gone through your query (attachment removed to protect patient identity). I would strongly advise you to undergo a partial nail excision, debridement and daily dressing of the wound until it shows healthy granulation tissue. It is because unless you remove the offending portion of the nail, the wound will not settle down. I would rather call it a procedure rather than a surgery, which can be done with local anesthesia (ring block) and in OPD procedure room. Other than surgery, just the debridement and daily dressings can be tried, but once again I would like to tell you that unless the portion of the nail which is curved inside and impinging the skin is excised, this wound may not settle down. Also, a broad spectrum antibiotic will be required until the wound heals satisfactorily." + }, + { + "id": 3569, + "tgt": "Is my grandfather having Parkinson's?", + "src": "Patient: Hi doctor, MRI says mild cerebral atrophy causing impaired motor coordination for my grandfather aged 64, but diagnosed as Parkinson's. Will there be any relation? But, another doctor who saw the report said that it is not Parkinson's and his condition is getting worse due to the dose of PD drug taken. He is taking Syndopa since diagnosed for PD. Once he had fallen of the bike while driving, from then it has started slowly and progressing now. Only his hands are not properly functional. He can speak with analytical reasoning, so I got a little doubt and seeking out. Any advice on his condition would be helpful. Doctor: Hi. I have gone through the provided details and attached MRI report (attachment removed to protect patient identity). Although it is not enough to refute diagnosis of Parkinson's disease as Parkinson's disease can be diagnosed through clinical examination and there is no test to confirm or rule out. But, there is a possibility of Parkinson-plus disease in which condition deteriorates with use of Parkinson drug (Levodopa). For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5191, + "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": 7526, + "tgt": "Total cholesterol 229, HDL 53 and LDL 150. Do I have heart disease?", + "src": "Patient: Hello doctor, Recently, I have checked my lipid profile and sugar. The results are total cholesterol 229,\u00a0HDL 53,\u00a0LDL 150,\u00a0BP 130/90 mmHg and\u00a0sugar 104. Are these results fine? Let me know whether I have any heart disease. For cholesterol I am taking Triglize. Kindly give few suggestions to lower my cholesterol. Thank you. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6279, + "tgt": "What causes change in voice after oversinging?", + "src": "Patient: Hello doctor,I have been having voice trouble since last seven months. I oversang one night, and for about three months after that, it was extremely fatiguing to speak. I had an ENT look at my cords with the mirror right at the beginning, and he said there was minor irritation, but no nodules. The timbre of my voice did not change, no raspiness. No voice teacher or speech-language pathologist had any idea why it was not getting better. Gradually, after about 12 weeks, things went back to about 90 % of normal. Recently, I was at a party and started noticing my voice feeling swollen as I was talking (not that loudly). It has been four days, and my voice still hurts. It feels swollen, and sometimes there is a little mucus on the cords. Again, talking is extremely uncomfortable, with minimal to no change in timbre. I can still sweep the range smoothly. It just hurts. Any idea what is going on? Could I have permanently damaged something? I would like to get a videostroboscopy, but I do not know where to go for it. Doctor: Hello. 1. The conclusions from your problems can be a vocal cyst which is not seen through a head mirror, so you can get an endoscopy done after which if not conclusive can go for videostroboscopy which is the ultimate tool. 2. You told you were using Levothyroxine. Are you hypothyroid, proven and on medication? Thyroid problems can show effect on your vocal cords. 3. Are you allergic to dust and pollen? Do you have symptoms like sneezing, watering of eyes and watery discharge of nose? 4. Prilosec is a drug to prevent the vocal cords from the damage of acid being produced from our body, which is a good drug to use. 5. There are few medications like oral steroids which are not OTC drugs, hence can be prescribed only by doctors in your place. 6. I need to get your immunity checked which includes vitamin D , thyroid profile and a blood eosinophil count. Hope we can permanently cure your problem with the above history and investigations." + }, + { + "id": 21777, + "tgt": "What treatment can cure well-differentiated squamous cell carcinoma?", + "src": "Patient: Hi doctor,My mother is suffering from well-differentiated squamous cell carcinoma. Her age is between 55 to 60. What treatment can cure her? Doctor: Hi. I can understand your concern, the report of your mother is clearly showing a food pipe cancer (attachment removed to protect patient identity). This cancer has not been staged yet. So she will have to undergo some more investigations including PET/CT scan, transesophageal ultrasound, and some blood tests. Once the staging workup is completed, she will be planned for management. The various modalities of treatment in this cancer include concurrent chemotherapy and radiotherapy, surgical excision of the tumor. She may also be offered food pipe stenting to let her food pass smoothly or external tube connected to the stomach. The prognosis and complete cure will depend on the stage of cancer and overall general condition. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27426, + "tgt": "My tooth is sensitive even after using an anti-sensitivity toothpaste. Please help", + "src": "Patient: Hello doctor, I am experiencing a sensitivity in my tooth, whenever I drink something cold. I have sensitivity on the front tooth, both on the upper and lower jaws. I also notice a crack down the front teeth on the lower jaws. I started using a sensitivity\u00a0relief toothpaste. Initially, it worked quite well. But, after three weeks, I felt a pain in the same area again. Can you please guide me how to deal with this problem? Also, my front tooth is transparent. Doctor: Hello. Hope this helps. For further queries contact a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29085, + "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": 14827, + "tgt": "I forgot to take the morning dose of anti-hypertensive pills. Can I take it now?", + "src": "Patient: Hi doctor, I am hypertensive from the past 2 years. I forgot to take the morning dose of my antihypertensive pill, tablet Teleact. Can I take it now? Doctor: Hi. Take the dose immediately whenever you remember that you forgot to take the morning dose. This approach is better than not taking the dose at all." + }, + { + "id": 29669, + "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": 11822, + "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": 16676, + "tgt": "What is the ayurveda treatment for psoriasis?", + "src": "Patient: Hi doctor, I have joint eczema for the past seven to eight years in both knee,\u00a0the\u00a0lower portion of leg and back of hand joints. My doctor says that it is psoriasis. Please clarify. Doctor: Hello. I just read your query. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18031, + "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": 8357, + "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": 27128, + "tgt": "I have issues controlling my bladder and bowels. What is the reason?", + "src": "Patient: Hello doctor, I underwent a right radical nephrectomy two years back due to RCC but, after that (within three to four days) I started having a problem in controlling urine and motion, that is, I cannot wait. I always\u00a0have an emergency. What is the reason? In which part of my body does the problem exist? Whenever I take DuoFlow tablets I feel better. Otherwise, I have to wake up in the middle of the\u00a0night about three to four times. It is the same with motion. I cannot wait for this also. Please guide me. Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 4265, + "tgt": "In spite of taking Orofer XT my mother's Hb is low. What is the reason?", + "src": "Patient: Hello doctor, My mother's iron levels are low. Four months back too we had done her blood tests and got to know that her iron levels are low. She had Orofer XT for two months, but still they seem to be low. Also, she had a urinary infection a week back and took a course of antibiotics for that. I have attached her recent blood reports. Please advise. She is diabetic and hypertensive and currently on following medication: Glycomet GP 3/850 one in the morning and one at night. Voglibose 0.3 one in the morning, Telmisat AM 5 mg, Orvas 5 mg, Nexito 20 mg and Alzolam 0.5 mg. Please guide. Doctor: Hi. Based on your query, my opinion is as follows: Repeat iron levels after three months. Continue Orofer XT with vitamin C supplements or rich diet. Avoid diet inhibiting iron absorption. Revert back after three months with the investigations to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4689, + "tgt": "I get recurrent pancreatitis attacks. Is there a cure in Ayurveda?", + "src": "Patient: Hi doctor,I am a 22-year-old male. Is there any treatment in ayurveda for pancreatitis? I had six recurrent pancreatic attacks in the last three years. Please help. Doctor: Hi. As you are aware, there are many reasons for repeated pancreatitis - that including alcohol consumption, some viral infections, autoimmune, etc. You can discuss the following drugs with an ayurvedic physician nearby and use with consent. 1. Karisalai karpam tablet or Heptowin tablets, 2 morning - 2 noon - 2 evening after food. This is pure herbal. 2. Kaasukatti tablets, 2 pills morning - 2 noon - 2 evening after food. This tablet is chewable or can swallow with water. This is also pure herbal. 3. Kantha chendooram 100 mg mix with honey and drink twice a day (morning and evening) after food. This is prepared from magnet and herbals. All these drugs should be consumed for six months. You feel the difference within 20 days of the first dose. Continue for six months and can stop it. If your pancreatitis is due to autoimmune cause, then you need to take the following additional two tablets. 1. Rasaganthi Mezhugu capsule - one capsule morning and one evening after food. 2. Poorna chandrodayam tablet - one tablet morning and one at evening after food. These two drugs help reduce the autoimmunity in your body and improve your immunity at high. We follow these drugs in our practice. These drugs also should be continued for three months and then can leave a gap of one month. Again one month therapy. Then one month gap. Once you start, you will get the improvement within a week. While taking these drugs, if you have any doubt, please feel free to contact me. Thank you." + }, + { + "id": 1891, + "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": 18087, + "tgt": "I suddenly developed loss of speech during chemotherapy. Please help", + "src": "Patient: Hello doctor, I am a breast cancer patient. During post-surgery chemotherapy, I suddenly developed loss of speech. I have already consulted a neurologist, please find the attached reports. I want a second opinion. Please help me. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence, and I would like you to know that I am here to help you. Best wishes for a speedy\u00a0recovery.\u00a0Let me know if I can assist you further.\u00a0Take care. Hope you found the answer helpful. If you need any clarification, have doubts, have additional questions or have follow-up questions, then please do not hesitate to ask again. For further queries consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 497, + "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": 21192, + "tgt": "Will taking Montec LC daily for allergic rhinitis cause any side effects?", + "src": "Patient: Hello doctor, I, aged 37 years, male, have to take one Montec LC tablet (Montelukast and Levocetirizine) daily during the winter season due to suffering from allergic rhinitis. I feel really well if I take it regularly in this season. Please let me know whether it has any side effects or not. Now, I want to use nasal spray instead of the medicine I am using. Kindly prescribe me the medicine. Doctor: Hi. I understand your concern. As you said that you are having allergic symptoms in the winter season and you are using Levocetirizine with Montelukast, you are taking good medicine but all the medicines have side effects. As far as this drug is concerned, there is a wide safety margin. But if you are having allergic features in the nose only then steroidal nasal spray will be a better choice with the least side effect." + }, + { + "id": 15912, + "tgt": "I have dull intermittent stinging pain in the lower right side of my stomach. Why?", + "src": "Patient: Hello doctor, I have had a dull intermittent stinging pain in the lower right side of my stomach. I have had it for more than two weeks now. I am worried about appendicitis, kidney or ureter or bladder stone, hernia, abdominal aortic aneurysm. Doctor: Hello. There is no hernia (attachment removed to protect patient identity). However, there is a tiny appendicolith within the lumen of the appendix and the appendix is dilated approximately 10 mm in diameter. This could be due to subtle appendicitis. No evidence or renal or ureteric or vesical calculus disease seen. Rest of the solid organs appear normal." + }, + { + "id": 21139, + "tgt": "Why am I having dry and peeling rashes all over my body?", + "src": "Patient: Hello doctor, I have tiny rashes all over my body. It started with my hands, then my laps, now it seems to be all over. Sometimes, it looks very dry, as though it is peeling and whitish. I went to the hospital and I was told it could be an allergic reaction and to relax but it has been almost a month and the rashes has spread to other places. Please help. What can this be? Doctor: Hi. I have gone through your complaint and reviewed the attached photograph (attachment removed to protect patient identity). It seems to be dermatitis. I would recommend you to apply topical steroid like Clobetasol propionate cream diluted in a moisturizing lotion in the ratio of 1:3 on the affected areas twice daily and take antihistaminic like tablet Cetirizine 10 mg once or twice daily depending on the intensity of itching for 10 to 14 days." + }, + { + "id": 30939, + "tgt": "Is there any medicine available to cure asthma?", + "src": "Patient: Hi doctor, My daughter, who is 3.8 years old, has been suffering from asthma since one year. She suffers weekly once or fortnightly. As per doctor prescription, I am giving her Asthalin (four times a day), Budecort (twice a day) and Montair LC Kid one tablet per day for the last three months. We had allergy and blood tests and the reports are normal. My family members are in deep sad to see her in this condition. Should I continue the medicine? Or shall I reconsult the doctor? Is there any other medicine available either in homeopathy or allopathy or ayurveda that can completely cure her asthma? Doctor: Hello. For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15058, + "tgt": "I have nightfall problem and testicular swelling. How to treat it?", + "src": "Patient: Hi doctor, I am 27 years old. I have a nightfall problem for a week. My right testicle has pain on the back side. I had epididymitis before a year, and I had treatment for it. Now, the pain and swelling are gone. But my nightfall problem is not stopped. My penis head is white, and it does not have sensitivity. My left testicle has swelling. Please suggest me a solution. Doctor: Hi. For the diagnosis and treatment of testicular swelling, you must visit a urologist or surgeon. A course of antibiotics and anti-inflammatory drugs will help you to settle it down. Nightfall is not an illness by itself. The semen is produced continuously, and if it does not have a natural outlet, it comes out in the form of nocturnal emission or nightfall. It has no bearing on your physical energy or vigor. If you feel uncomfortable, you can start taking tablet Clonil 25 (Clomipramine) at bedtime for a month. It will help you." + }, + { + "id": 5388, + "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": 10950, + "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": 4247, + "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": 12539, + "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": 16198, + "tgt": "What causes numbness in my hands and feet?", + "src": "Patient: Hi doctor, I have numbness in my hands and feet for the past two years. It is worsening gradually. The last month, it has got significantly aggravated. The numbness starts with tingling. When I am trying to grab something, I am unable to grab it. I also suffer from worsening cognitive function as I have difficulty in thinking and forming thoughts. I have trouble in organizing my thoughts, and I have difficulty in retrieving my memory. I am confused most of the time. I also have this problem for about two years. But last month, I started to have difficulty to do my job, and I was unable to function normally. I also stagger sometimes, and I have trouble in balancing my feet. So I looked at my symptoms, and I thought that I have vitamin b12 deficiency. So I started taking supplements 1000 mcg a day. But even now also, I have a feeling that my condition is getting worse day by day. Doctor: Hi. You have vitamin B12 deficiency. Your symptoms are related to peripheral neuropathy. It is caused due to vitamin B12 deficiency. It is necessary to perform some tests to know the possible cause. You have to investigate vitamin D levels and vitamin B12 plasma levels for identifying the possible deficiency, thyroid hormone levels for recognizing thyroid dysfunction, complete blood count and iron levels, and nerve conduction studies to investigate possible neuropathy. If vitamin B12 deficiency is confirmed, start to have a high dose of intramuscular injections. In such case, I would also recommend performing a fibrogastroscopy and biopsy to determine the cause for the malabsorption of this vitamin. You should discuss with your doctor for doing these tests." + }, + { + "id": 15424, + "tgt": "Will antipsychotics bring down the levels of T3 and T4?", + "src": "Patient: Hello doctor, A 44 year old male relative of mine takes the following antipsychotics: Sertraline, Lamotrigine, and Quetiapine. He has been feeling anxious for a few weeks. His recent blood tests show low levels of total T4 and T3 (TSH and free T4 within normal range). Is this condition associated with the medication he takes? Should he take Levothyroxine to supplement this deficiency? Doctor: Hi. None of the medications used by your relative is directly related to low levels of total T3 and T4. His current thyroid status is known as a euthyroid sick syndrome. Thyroid supplement should be prescribed only after repeated assessments of thyroid levels. This is because errors are very common even in reputed laboratories. Even after second thyroid assessment, if the reports are similar, it is advisable to supplement with Levothyroxine. Other than correcting the suboptimal thyroid status, Levothyroxine helps in managing residual symptoms of depression and anxiety for which he is taking the current medications. Consult a psychiatrist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24945, + "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": 6725, + "tgt": "I am addicted to heroin and cannot work with out the drug. How to get rid of heroin addiction?", + "src": "Patient: Hello doctor, I am addicted to heroin and have been using a lot of drugs. I have been trying to quit these drugs, but I cannot. Whenever I do not use it, my body is painful and dull, and I cannot do any work neither do anything. My mind is all about the drugs whenever I do not use it. I really want to stop this addiction because it is killing me. I cannot stop it because I am a spinster and presently working, so I have to take my drugs in order to work. I went to the rehabilitation center before and was normal, but I got a relapse again. I want to be a normal human with a healthy life. Can you please help me to get out of this addiction and what medicine I have to take? I took Valium 10 mg, Tramazac and Zolam to help me sleep and forget the pain for five days. Doctor: Hello. Heroin addiction is known to be a chronic relapsing condition. It is positive that you are contemplating to stop using heroin again. You mentioned about being in detox before but relapsed again. You need to consult a psychiatrist in your city and get support from a nearby detox center again to manage the withdrawal symptoms. More important is you also need to have post-detox follow-up and support to minimize the chances of relapse again. You will need support to develop better coping strategies to deal with life's stressors." + }, + { + "id": 17528, + "tgt": "How to cure premature ejaculation?", + "src": "Patient: Hi doctor, I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue? Doctor: Hi. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Revert back with the answers for the above questions to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23815, + "tgt": "Is diabetic retinopathy treatable?", + "src": "Patient: Hello\u00a0doctor, I am a 52 year old woman with diabetes, hypertension, and thyroid problem. I am having a problem with my left eye vision, and the doctors say it is severe NPDR. They say that it is not curable or treatable. Do I have a chance of treating this problem? I do not have my sugar levels under control. What is the course of action? I have attached all my reports for your better understanding. Thanks. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). You seem to have exudative maculopathy along with the said NPDR (non-proliferative diabetic retinopathy). There is no macular edema, but only deposits in the seeing portion of your eye. The prognosis is usually guarded. However, it will be ideal to supplement it with an FFA (fundus fluorescein angiography) to delineate the blood supply or paucity of it. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 517, + "tgt": "My pulse rate is 50 to 58 at rest. Should I be worried?", + "src": "Patient: Hello doctor, I have been having consistently a very low resting pulse, between 50 and 58 and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried? Doctor: Hello. This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s during sleep. So, nothing to worry. The only thing that I would like to ask you is whether you have any symptoms such as dizziness during low pulse rate? Another thing is ECG (electrocardiogram). I want to see your ECG to see whether it is a sinus rhythm or is there any block. As your cardiac workup is done and is normal, I do not think you need any more work up but if there are occasional symptoms associated with low pulse rate as graying of vision, dizziness, etc, I would advise you to have a Holter monitoring done for 24 to 48 hours to see rise and fall of heart rate during daily activities including sleep. If you have no symptoms, just relax and do not worry." + }, + { + "id": 4395, + "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": 15413, + "tgt": "How to maintain erection and overcome anxiety during sexual intercourse?", + "src": "Patient: Hello doctor, I am engaging in vaginal intercourse for the first time. I have tried a couple of times, but I get a bit too anxious and failed. I could not get a completely erect penis. One time I did not get any erection at all. I am sure I do not have an erectile disorder because I get a completely erect penis during masturbation. Any suggestions on how to overcome this anxiety? I am 30 years old and weigh 69 kilograms, and my height is five feet 6 inches. Doctor: Hello. I read your query and understand your concerns. First of all, I like to inform you that one can handle performance anxiety with the use of the right psychotherapeutic approach. In my own experience, around 70-80 % of individuals report dramatic improvement in erections once the psychotherapy is started leading to decrease in performance anxiety. Below here I am delineating few of the strategies which will help you in the problem. Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual inadequacy, self-doubts, guilt, past negative sexual experiences, poor communication/understanding with the partner, etc., can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving the expression of emotions, intimacy, and love. So, just involve yourself in those feelings and stop focusing on your \"performance\" alone. Once you do that, then I assure you that your sexual performance will automatically improve. Most importantly, performance anxiety soon becomes a \"vicious cycle\" that is, anxiety leads to poor performance, and poor performance then leads to further anxiety, and this keeps on increasing. One more problem responsible for performance anxiety is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens, and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you do not have to be constantly anxious if you satisfy your partner or not. Distract yourself stop \"monitoring\" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused. Wish you all the best for your sexual health. I hope this helps you. If you have any further query, I would be glad to help you. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 25574, + "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": 5957, + "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": 14356, + "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": 1050, + "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": 17346, + "tgt": "Will PCOS delay pregnancy?", + "src": "Patient: Hi doctor, I am 28 years old. My height is 5'4\" and weight is 70 kg. We have been\u00a0trying for pregnancy\u00a0for a year. My husband's reports were all normal. I am having PCOS, but my periods are very regular. I am on Oxetol 300 mg for partial seizure since one year. I am also taking Metformin 500 mg thrice daily for five months. I have not used any contraceptive pills still now. My insulin levels are also normal.\u00a0Please help me out. I am getting very much depressed. Doctor: Hello. Having seen your PCOS reports (attachment removed to protect patient identity), it is suggested that you should opt for controlled ovarian stimulation and intrauterine insemination procedure. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 16504, + "tgt": "Can a person with germinal cell aplasia be treated?", + "src": "Patient: Hello doctor, My son is 34 years old. He has low testosterone levels. His semen analysis showed no sperm. No, inhibit B detected. He made a testes biopsy from both sides. The biopsy diagnosis was morphological change compatible with germinal cell aplasia. Microscopic description: Section show seminiferous tubules that are relatively small and lined extensively with Sertoli cells. There is no good evidence of spermatogenesis present. The changes are compatible with germinal cells aplasia. My question is whether there is any hope for my son to be a father? Is there any treatment for his case? He takes Eltroxin daily because of his hypothyroidism and vitamin D weekly. He took Clomid for six weeks. He used to have Hodgkin disease when he was a kid and it was cured. Doctor: Hi. I have gone through your query. From the information you have provided, conception naturally is not possible. Also, there is currently no treatment to correct his abnormalities. The testicular biopsy procedure would have only examined a very small area of the testis. By performing a procedure called microTESE (microsurgical testicular sperm extraction), which examines the entire testis. There is a slim chance of having some areas from which some sperms can be retrieved for artificial reproductive techniques. The chances of successful pregnancy and delivery even if sperms are retrieved is only about 60 to 70 % for these techniques." + }, + { + "id": 24734, + "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": 16379, + "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": 29921, + "tgt": "How to remove the scar on my face?", + "src": "Patient: Hi doctor, I have a scar on my face since my childhood. Due to some infection or may be an insect bite, it grew into a pimple and I scratched it. It left a scar on my face and looks ugly. Doctor: Hi. I have seen your query and concern. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9304, + "tgt": "Is plucking nose hair a dangerous habit?", + "src": "Patient: Hello doctor, Today, I plucked a nose hair. I work in a hospital setting, so I guess; I am around with a lot of germs. I read that plucking a nose hair can lead to a cut and some infection inside the nose. Then, this infection can reach the brain and cause loss of vision, headaches and fevers. Is this true? If so, how easy would it be to get this infection from a plucked nose hair? Doctor: Hello. Your concern is correct. Plucking nasal hair can injure or break the skin or nasal mucosa leading to the root infection that may spread to the brain. The triangular area in and around the nose forms the dangerous triangle or dangerous area of the face. Due to special blood supply, it may lead to the intracranial spread of infection retrogradely through valveless veins that may result in meningitis or brain abscess or cavernous sinus thrombosis. It is not absolutely dangerous, but yes, if you are unlucky it may lead to folliculitis or nasal or facial infection and may spread to brain though rarely. Hence, do not repeat that. Use a clipper or scissors for that purpose. For now, you need not worry if you do not acquire folliculitis or nasal infection. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12804, + "tgt": "Will neurectomy cause any pain or side-effects?", + "src": "Patient: Hello doctor, I am having an inguinal mesh removal and triple neurectomy 20 days later. What type of pain and side effects should I expect from the neurectomy? Doctor: Hello. I understand your concern and would explain that this type of neurectomy is usually used to treat chronic resistant pain in the groin area (inguinal region) due to inguinal herniation. So, it is supposed that your situation will improve, and you will experience only local pain due to the surgery and soft tissues inflammation. This type of pain will usually disappear in a couple of weeks, after healing. Acetaminophen and Ibuprofen can help improve pain. If neurectomy is not successful, persistent pain like heaviness or dull pain may persist. In such a case, Gabapentin or Pregabalin would help against the pain." + }, + { + "id": 8298, + "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": 14355, + "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": 24047, + "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": 1991, + "tgt": "My right eye is red, painful and sensitive to light with irritation. Please help", + "src": "Patient: Hello doctor, I am a 31-year-old female. My right eye is red and very sensitive to light. It is painful while I move the eyeballs. Center of the eye is paining with irritation. Doctor: Hello. A couple of things come to mind when an eye presents like you described red, painful, photophobic. The first one is an eye inflammation, officially called an anterior uveitis. This is usually an isolated incident. It is considered idiopathic, which is just a fancy way of saying we do not know what causes it. If there is a history of this happening before sometimes lab work is ordered to rule out various diseases. Those might include things like Crohn's disease or Sarcoidosis or Spondyloarthritis. For an anterior uveitis there is nothing over the counter (OTC) to treat it. A visit to an eye doctor to confirm this tentative diagnosis is in order. If you are a contact lens wearer this could be a corneal ulcer, those present the same way as an anterior uveitis. Anterior uveitis. Again, there is nothing over the counter for this. If you indeed have an anterior uveitis it would need to be treated with prescription steroid drops. And we need to be careful with steroid drops, if you have an eye infection the steroid will make the eye infection much worse. And steroid drops have other side effects that need to be monitored, they can cause cataracts and they can cause an increase in the eye pressure (putting the patient at risk for glaucoma). Nothing can be done to prevent this. This does not appear to be self-limiting. I am happy to give you all this information but follow up with a doctor is definitely the next step." + }, + { + "id": 30047, + "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": 5507, + "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": 20546, + "tgt": "I had unprotected sex the day before my period. Could I get pregnant?", + "src": "Patient: Hello doctor,I have PCOS and had unprotected sex the day before my period, and my partner ejaculated in me. The next day I was supposed to get my period, but I did not get it. Since then I have had minor pregnancy signs. Last week I took two home test, and both were negative. Now, two weeks and a few days later I noticed brownish pinkish discharge and now I am bleeding lightly. Is this implantation bleeding? Doctor: Hello. PCOS causes irregular cycles. Hence you have had a gap between the periods. Scanty menses with the minimum flow is common in PCOS. Since the urine pregnancy test is negative, there is no chance of pregnancy. You could be having the discharge due to a new cycle. However, consult a gynecologist personally and get an examination done. You may need oral pills for three months or progesterone for withdrawal bleeding for resuming your cycles. Thank you." + }, + { + "id": 8147, + "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": 5882, + "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": 4639, + "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": 8403, + "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": 27783, + "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": 20373, + "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": 9513, + "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": 24737, + "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": 21240, + "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": 20148, + "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": 20115, + "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": 28493, + "tgt": "The skin on my lips are dry and turn dark as if they are dead. What is my condition called?", + "src": "Patient: Hello doctor,My lips have been dry, and the skin is senseless and tight. I cannot smile or move them. Eating has become a problem because the corners are cracked. I am not using any products, as they only seem\u00a0to make it worse. They peel off after many days, but the new skin also drys out and again becomes senseless and tight. The skin turns dark as if they are dead. What is my condition called? I am taking Vitamin B complex too. I have consulted many doctors, but any dermatologist within two hours drive has ten weeks waiting list. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24138, + "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": 15259, + "tgt": "What is the reason for throat pain with jaw and ear pain?", + "src": "Patient: Hello doctor, I have been struggling with a throat pain on my left side of the mouth accompanied with jaw and ear pain on the same side. I had been to the doctors three times and been on antibiotics twice. Still, it does not go away. I was referred to a local ENT. I can feel lymph nodes swollen on the same side as well and now a swollen lump under the jaw on the same side. I am very scared and I need some advice. Doctor: Hello. When you had swollen lymph nodes in your body, what was the diagnosis? Did those heal completely? Is the current issue the palpable node? Is it present only on the left side or both sides? Are the swollen nodes also painful? My initial suspects are temporomandibular joint disorder or arthritis, stupid process enlargement on the left side, tonsillitis and ear problem. Are there any problems with chewing or swallowing or hearing? Any ear discharge or ear fullness or ringing noise in ear or giddiness? Can you upload the jaw X-ray? Have you done any scanning for the sinuses? Any sinus problem like nose block or a headache or a runny nose or thick nasal discharge? Do you take medicines for diabetes or blood pressure or thyroid?" + }, + { + "id": 7564, + "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": 13878, + "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": 17239, + "tgt": "I have pain in the left molar region and bleeding gums. Please help", + "src": "Patient: Hi doctor, I have extreme pain in my left molar region, and I also have swollen gums that bleed\u00a0while brushing. Please help. Doctor: Hi. I had gone through your question. For further queries consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29235, + "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": 17731, + "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": 26819, + "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": 23315, + "tgt": "I have frequent urination and tests showed up 6 to 7 pus cells. Why?", + "src": "Patient: Hello doctor,I am having frequent urination and tests showed up pus cells 6 to 7. I am having this for three days. I am having a feeling of voiding it even if I just urinated like one minute ago only. Doctor: Hi. Sorry to hear about your suffering. From what you mentioned, you have simple urinary tract infection. Symptoms of UTI are frequent urination, painful urination, and change in the color of urine. Treatment: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 681, + "tgt": "I have intense itching on my scrotum and thighs with hard pimples. Please help", + "src": "Patient: Hello doctor, I am having intense itching on my scrotum and penis and along the sides of thighs and also some hard pimples are there on my scrotum. Please help. Doctor: Hi. As per your history, there are two possibilities either you have scabies or fungal infection, and treatment of both are different. Before deciding the treatment I advise you to send me a photograph of the affected area." + }, + { + "id": 26515, + "tgt": "I feel nervous when my father makes loud noises. What should I do?", + "src": "Patient: Hello doctor, My father is suffering from a bipolar disorder. When he gets annoyed, he\u00a0makes a loud noise. I feel nervous about this. Why is this happening to me?\u00a0This past month, I have had so much work to do and due to this, I have lack of sleep too. I am not on any\u00a0supplements or vitamins. Kindly suggest me what should I do. Doctor: Hello. From what I can understand, you seem to be depressed because of two reasons. One reason is your father's behavior and the other is your stress from work. People with bipolar disorder are hard to accept as their moods change a lot. This is because they are not on proper medications. Understanding your father will be very helpful in your situation. You need to exercise a lot. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 10108, + "tgt": "I consume marijuana and I am 22 weeks preganent. How long will it stay in my system?", + "src": "Patient: Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body? Doctor: Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana." + }, + { + "id": 22368, + "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": 16389, + "tgt": "Why am I having double vision even after cataract surgery?", + "src": "Patient: Hello doctor, Over the last few years, I have watched and photographed several lunar eclipses (no solar ever). About a year ago, I noticed I was seeing ghost images when I looked at the moon with either eye or both 9 w/left, 7 w/right. Went to Ophthalmologist and they said I need cataract surgery. I went with premium Lenses. Well, surgery pulled the ghost images a bit closer to source but still see them. They are now clearer, along with floaters I could not see before. Ghosts only happen at night (moon, white letters, lamps. As the sun starts rising the ghosts start fading. ITS been 8 to 10 months since the last eye was done and still ghosts with either eye or both. I have tried several types of anti-glares. No help. Doctor: Hi. The ghost images are a normal retinal phenomenon known as after images. You need not worry about it. You can see them clearer after cataract surgery because they are a normal retinal response to any image. The more the contrast, the more the ghost images or after images. The floaters are formed as a natural course of aging of vitreous jelly which fills up our eye. Also, it is better to get your retina examined six monthly or at least yearly to look for any breaks." + }, + { + "id": 30140, + "tgt": "I am having fever, body pain and headache. What to do?", + "src": "Patient: Hi doctor, For the past four days, I have\u00a0body ache, headache and 102 degrees Fahrenheit fever. I am taking Augmentin 375 thrice a day and Paracetamol every three to four hours. Fever comes down to 100, but again increases to 102 once the effect of Paracetamol gets over. I feel so weak. Please suggest whether I should continue with the medicine or change the course. My weight is 90 kg. I do not have nasal block or sore throat. I only have headache and body ache. Doctor: Hello. If you are having fever for three to four days and not having any improvement, then do one blood test CBC with MP (complete blood count with metabolic panel) and one urine routine test. From history it looks like you have viral fever. If the platelet count is low in the report, then you have to do a test for dengue. Also, look at white blood cell count (WBC). If it is increased, then you have to take a higher dose of antibiotic along with some other antibiotic. If it is low, then it is some other viral fever. In that case continue your medication, take Paracetamol for fever and do sponging if the fever did not subside. If you are more uncomfortable, then get admitted and take proper nursing care. In viral fever, we can give only supportive therapy as there is no definite treatment for it. Antibiotics in viral fever will just help to avoid another infection as your immunity will be low due to fever. Also, Augmentin 325 is pediatric dose (combination of Amoxicillin and Clavulanic acid). You should increase the dose of Augmentin 625. Consult your doctor, discuss with him or her and take the treatment with consent. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7086, + "tgt": "I am getting abdominal pain while coughing, and sneezing. What is the treatment?", + "src": "Patient: Hello doctor, I am having mild pain while coughing, sneezing, or doing some full stretch work below the lower rib in the right side of the abdomen. Kindly suggest treatment. Doctor: Hello. Kindly get an ECG, chest x-ray done. Also, mention what medication are you taking for your sickness. Pain while coughing could be due to inflammation in the intercostal muscles due to excessive coughing. Other reason could be due to pleural effusion. That why at lest chest x-ray and ECG is needed to make the right diagnosis. You can try muscle relaxant for pain relief like Mobizox one tablet two times a day for two days (Chlorzoxazone is a centrally acting muscle relaxant used to treat muscle spasm). Antihistamine for cough and sneezing.like tablet Montair-Lc one tablet daily once a day for five days." + }, + { + "id": 23069, + "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": 7319, + "tgt": "What could be the reason for foreskin swelling after erection?", + "src": "Patient: Hello doctor, I am a 26-year-old male. Since one year, I have experienced that foreskin on my penis is usually swollen, I was initially over cleaning it, but then I read that irritates the skin more so I stopped applying soap. The swelling is visible only when the penis is erect, and I pull down the foreskin, the foreskin forms a ring under the glans neck, and the frenulum also seems tight or swollen. It is difficult to pull back foreskin when erect, it hurts, but if I use lube or oil, it does not hurt at all. I have also observed the head of the penis, around meatus is slightly dark, this darkness is visible only when not erect, when erect, the head seemed uniformly colored. I am concerned more because I experienced oral sex months back, and after a few minutes, the pulling back of foreskin during oral sex was hurting, it was with a known person, the skin felt sensitive for three to four days after that, I applied Beta mil GM cream and it was fine, the sensitivity was gone, however this swelling has always been there, even before the sexual experience. So I am confident this swelling rose after sex for a few days, but it was already there. I am not diabetic, and as per 1-week old general body test, all my vitals seem normal. I have attested pictures, for other details, I do not have an erectile problem, I am not sexually active, in fact after the last oral sex experience I thought not to engage until I have a green pass from the doctor. I am 5.10 tall, and weight 68 kg. Doctor: Hello. It seems on the picture you have mild short frenulum. It usually not possible to retract prepuce in the erect state, so it is normal slight discoloration around meatus is normal. You can continue the use of ointment. Avoid pulling the skin too much back in an erect or flaccid state. In the picture, it does not look like that it will require any surgery. In rare cases where retracted skin cannot be pulled back, a condition called paraphimosis then, doctor help for reduction may be required. The only indication for surgery for the tight prepuce is if, too much discomfort and pain during sexual activity. If you have more query, you can ask." + }, + { + "id": 20049, + "tgt": "Kindly provide a solution for my hair fall and dandruff", + "src": "Patient: Hi doctor, I am 25 years old. I am facing severe hair fall issue. My hair becomes very thin and consist dandruff and white flakes. I have used Candid-B lotion, but need some other solution. Doctor: Hi. Revert back with the photos to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16102, + "tgt": "Why do I have swollen eyelids during pregnancy?", + "src": "Patient: Hi doctor, I suffer from swollen eyelids. I am five weeks pregnant. My eyelids are dry. There is a burning sensation present around the skin of the eyelids. I also have itching over it. I went to a doctor. They gave me a steroid cream. But my gynecologist advised me to use it for a week. I have tried using everything including eyedrops, eyelid cleaner, lotions, and tea tree oil. But nothing has helped me. Is it due to pregnancy? Please suggest. Doctor: Hi. Swollen eyelids occur due to the retention of water during pregnancy. It will get resolved after the delivery. You have itching when the overlying skin is stretched and when it becomes dry from outside. Apply moisturizer regularly. Avoid going out in the sun. Start using Olopatadine eye drops twice daily. Pinch the nasal end of the eye after instilling the drops so that the drops can stay in the eyes and it prevents the drops from going into the nose." + }, + { + "id": 22999, + "tgt": "I am HIV positive. Why are my WBC not affected?", + "src": "Patient: Hello doctor, I am a young woman and I recently discovered that I am HIV positive after I turned 21. When I told my mother about it, she confessed that she had known since I was 16 and that my father died of AIDS whilst she has been on ART for almost a decade now. They realized my status after I got tested since I was having frequent abscess wounds or boils, almost on a monthly basis but they never told me about it. I am a health student and interact with a lot of health professionals hence my hesitation to seek help to start treatment just in case I meet up with someone I know. However, my major concern is that I have recently been having drowsiness spells and frequent, almost consistent headaches though they are very light. An FBC test done a month ago showed that my Hb and HCT, as well as my neutrophil count, were slightly below normal, and I was advised to go on a month of Saferon tablets which I followed religiously. Recent full blood tests showed that my RBC, Hb, HCT, MCV, and MCH values were all now slightly below normal whilst all my WBC were within the normal range. The Hb and HCT went lower than the initial test. Therefore, my questions are, might this be related to my HIV positive status and how so? Also if it is, why is it that my white blood cells are not affected? I am mostly curious about whether such an instance as mine is quite common where a patient is born with HIV and lives an otherwise normal livelihood though with more frequent infections that go away after some time? I really do hope to hear from you. I am now 22 and have accepted my condition and forgiven my parents. I am trying to, however, get as much information and understanding about my condition hence contacting you. I sincerely thank you for your time. Doctor: Hi. This could be related to HIV. WBC (white blood cells) count is not generally affected, it is lymphocyte count which gradually depletes. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2176, + "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": 19770, + "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": 10455, + "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": 3927, + "tgt": "My vagina is sore after intercourse with expired condom. Is this thrush or symptoms of pregnancy?", + "src": "Patient: Hello doctor, Last week I had sex with a guy with expired condoms. I saw the packets only after sex and found that they are expired. Is this a problem? Could I be pregnant? Also, I am not sure if this is linked or not but three days ago, I had a really sore, stinging and itchy vagina. I have had thrush before and do not know if this is what it is? I got Canesten thrush combi internal and external cream packet and have been rubbing some cream on my vagina for the last few days. It does not feel as weird burn as much as the first day but still feels weird. About half an hour ago, I inserted the internal cream. My vagina has been feeling really weird, but it feels like a urine infection in a way but does not burn to urinate. I do not know if this is thrush or an infection like a sexual infection from an expired condom? I have not gone to the doctor. When I did put a finger inside the other day there were some white bits on my finger. My opening to the vagina hurts and is sore when I try to finger myself. Could I be pregnant? Or could I have got a sexual infection due to an expired condoms? The soreness started a few days after the sex with expired condom. I feel uncomfortable and do not know what to do? Is it true that once period comes it clears up? Please suggest. Doctor: Hello. If the condom is expired it means it may break easily if it has not had breach then it is as safe as normal condoms. According to your information, three months have passed after this incident and during these three months did you had normal periods? Normal period means no pregnancy. The symptoms you are mentioning are suggestive of thrush and oral Fluconazole 150 mg one tablet daily will take care. The ideal thing would have been if you had uploaded an image so that one could see what is there. And yes, you have to avoid sex for a few days until soreness settles." + }, + { + "id": 18526, + "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": 16177, + "tgt": "Can I take Sysron-N to delay my periods for a week, without disturbing the overall cycle?", + "src": "Patient: Dear Doctor, I want to delay my periods for a week. Earlier my periods have been very sporadic. Just wanted to know whether, is there any way which can help in delaying the periods by a week without disturbing the overall cycle? Doctor: Hi. From your question, I understand that you want to delay your next menstrual cycle by a week. I need to know answers to a few questions before telling you the name of the drug. Your answers for the above questions will help me treat you better." + }, + { + "id": 10661, + "tgt": "Will taking Effexor increase my anxiety level?", + "src": "Patient: Hello doctor, I am currently on 37.5 mg of Effexor and 7.5 of Mirtazapine. I started Effexor about 10 days ago, my anxiety has increased since starting, and I am taking Klonopin to help with that. Is increased anxiety a normal side effect when starting Effexor? I am also having nausea, dry mouth, and grinding my teeth at night. I do not want to switch to another medication if this is something that could subside in time. Please help. Doctor: Hello. Some people can experience worsening of anxiety when starting Effexor (Venlafaxine) also nausea, and dry mouth can happen as well. They usually settle by two to three weeks. You are only on a low starting dose so hopefully should settle in due course. Discuss with your prescribing doctor during the next review so that dose titration can be done very slowly as needed. If the side effects do not settle, then, other options need to be considered. You can use Klonopin (Clonazepam) as needed up to four weeks to manage excess anxiety during this period. Do not continue Klonopin beyond four weeks. Keep using CBT(cognitive behavioral therapy) or psychological therapy strategies to manage anxiety and OCD (obsessive-compulsive disorder). Also, try deep breathing techniques and progressive muscle relaxation exercises to manage stress and anxiety." + }, + { + "id": 15234, + "tgt": "I have an open sore behind my lower molar and it hurts badly. How to manage it?", + "src": "Patient: Hi doctor, Behind my bottom right molar, there is an open sore, and it feels like something is tearing out. It is swollen over my molar too. There is a white discoloration around the sore, and back of my throat hurts on the same side. It hurts badly. I have difficulty in swallowing and in eating foods. Please help. Doctor: Hi. You have not mentioned the duration of your problem. It can be due to third molar impaction. When a wisdom tooth comes out from the oral cavity, sometimes it makes a problem. But if you have a difficulty with swallowing, then you should go to a local medical emergency. You can have a localized infection. A dental X-ray can help you. It can be a pericoronitis or due to a third molar impaction. You can take antibiotics. You can remove the impacted tooth after seeing the X-ray. The affected area should be clean. Follow proper oral hygiene and do not touch the affected area. Take a soft diet and do not take hot food. Do not apply force or pressure on the affected area." + }, + { + "id": 21509, + "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": 15911, + "tgt": "Bladder biopsy shows eosinophilic cystitis with eosinophil infiltration. Please help", + "src": "Patient: Hello doctor, Bladder biopsy shows eosinophilic cystitis with prominent eosinophil infiltration in the lamina propria with a mild lymphomonocytic cell. Urothelium shows atrophic change. Doctor: Hello. I went through your post well. Eosinophilic cystitis has been mentioned in the case reports because of its rarety. No clinical trials have been conducted on the condition, it is treated with a course of steroids or NSAIDS and occasionally with resection of the lesion by either open or transurethral resection. Before starting any treatment you need to be investigated for any parasites. As a course of steroids for a week settles the symptoms that will help in confirming the diagnosis." + }, + { + "id": 12715, + "tgt": "What causes sudden white haziness?", + "src": "Patient: Hello doctor, Sometimes, when I am doing stuff, my vision makes it seem like there is a white haze, like heaven, I guess. Like everything has a white haze light. It is pure not like fog or a dirty color. Sometimes it lasts a few minutes, other times a few seconds. Sometimes I see it, other times weeks pass without seeing it. Doctor: Hello. There are a number of causes which could lead to such a problem. In the eyes, macular degeneration can cause problems like a distortion of images, also called metamorphopsia and a drop in vision. Retinal detachment can cause flashes of light which come and go in an instant especially on eye movements. It also causes a drop in vision and floaters on your field of vision. The posterior vitreous detachment also causes flashes of light without a drop in vision. So, what I mean to say is eye related problems will have accompanying eye-related symptoms, other than just a white light. Coming to other causes, fortification spectra are seen in some cases of migraine and are usually described as multi-colored lights just before the patient experiences headaches. These are the most common causes which can lead to a feeling of seeing light. In case you feel like you fit into one of the above, there is no need to worry as most of these are treatable. In case you feel you do not have anything in common with the above, please let me know about your condition in further details, example what causes this light to come, is it accompanied by any physical symptoms, does it arise while you are in a certain place or while doing a specific action." + }, + { + "id": 16637, + "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": 23129, + "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": 12471, + "tgt": "What is the reason for losing interest in studies?", + "src": "Patient: Hello doctor, Till school, I was a very bright student but while pursuing graduation, I lost my interest in studies. Now I am not able to concentrate on studies and keep on thinking about other things. I am very tensed. What to do? Doctor: Hello. There are various reasons of lack of interest in studies. Not having the subject of one's choice, parental expectations, the stress of performance, anxiety problem, lack of motivation. I would advise you to make a schedule and follow it strictly. Set some rewards for better performance. Do yoga, meditation to increase concentration." + }, + { + "id": 27216, + "tgt": "I have a rash that is progressively getting worse. Can you help me identify it?", + "src": "Patient: Hello doctor, I have had a rash for the past two weeks. It is getting progressively worse. It does not itch or hurt, but it is spreading. It started on my stomach. Now, it is on both arms, neck, back, and upper legs. The red dots that have been there for two weeks are larger now than they were originally. After a week from the initial\u00a0onset, I got more red bumps.\u00a0I also woke up feeling really ill the other morning. I had gotten adequate sleep but, had a headache in the morning, felt groggy, eyes were irritated, and my nose was running. Can you please help me identify what is wrong and what to do. I am attaching the pictures. Doctor: Hello. I have read your query and seen the pictures (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9910, + "tgt": "36 days old baby is passing stools frequently. Is this normal?", + "src": "Patient: Hello doctor,My baby is 36 days old. He is passing stool very frequently like 15 times with little or more motion but not very heavy in the last 48 hours. The stool was curdy yellowish color, not like runny or watery, no greenish, no blood, no bubbles. He had the same issue when he was 18 days old, and in between, he was healthy but again he kept going motion and redness spotted in anus area with small spots of skin peel.Baby sleeps well, does not cry, passes urine usually in a good number of times, and only mother breastfeeding every two hours. Please request your advice on how to stop this frequent motion and reason for this happening and is this normal? He also makes a noise like sounding from inside especially more during night time, having trouble while breathing due to a chest cold, so am giving Rinoclear saline drops three to six hours once depending on his nose block. Please advise why baby makes such noise, is it normal?I was feeding breast milk via bottle for four to five days when he was two weeks old since he was unable to suck through mother's nipple. I stopped bottle when I encountered this frequent motion and with my doctor's advice. Doctor: Hello. I understand your concern. 1. Passing motion too often is a normal phenomenon in neonates (gastrocolic reflex). Make sure baby is passing adequate urine and playful. 2. Redness over the perianal region may be due to prolonged wetness over the part or due to cleaning the area by rubbing. Wear him a napkin and change immediately once wet, the purpose is to keep dry the perianal region as much as possible. Cleaning not to be done by rubbing, it can peel the skin. 3. Try to keep the perianal region dry, and you can apply Rashfree cream (Benzalkonium chloride, Zinc oxide) over the lesion. 4. Making noisy sound is due to a partial blockage of the nose because of nasal secretions. Yes, the saline drops to put on nostril is safe and use full. Proper burping post feed also helps. Not much to worry. 5. Give exclusive breastfeed." + }, + { + "id": 4534, + "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": 18983, + "tgt": "Please suggest treatment and home remedies for anal burning and bleeding", + "src": "Patient: Hi doctor, My husband is suffering from anal burning and bleeding while going for motion. Whenever he goes motion, he starts having anal burning from morning to evening. If he does not goes motion in the morning, there is no anal burning. The doctor has suggested Smuth cream for anal area. Can you please suggest treatment and home remedies? Doctor: Hi. You did not mention about the diagnosis that your doctor made whether it is piles or fissure or something else. But avoid constipation. Give him high fiber diet like whole grains, salads and plenty of water daily. Also, tell him for sitz bath. Take sitz bath two times daily. In sitz bath take some lukewarm water in a tub and sit in it for 10-15 minutes. Add a pinch of turmeric powder in water. This will help him. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15966, + "tgt": "What are the methods to get rid of gas problem?", + "src": "Patient: Hello doctor, I have a heavy gas problem with heaviness on head and neck. I am a diabetic with 72 age, weight 60 kg, and height 160 cm. Doctor: Hello. You can have a functional indigestion problem and so gas problem. Kindly mention any other clinical complaint if present to guide you further. You can be prescribed Gelusil or Alcid MPS like syrup to solve your gas problem. Meanwhile try to avoid intake of gas-forming foods like turnip, onion, cauliflower, cabbage, etc. Aristozyme like fiber supplement can be given for relief from indigestion. Eat slowly and avoid intake of excess fatty foods. If no improvement, then USG scan done for further work up." + }, + { + "id": 2732, + "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": 17253, + "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": 3508, + "tgt": "Can PCOS cause breast cancer?", + "src": "Patient: Hi doctor, I am 24 years old and I have had PCOS and was on homeopathy for five years. Sonography reports came normal. Now I want to know that if there are any chances of it coming back as sometimes I do feel pain in the left ovary. Also, my grandmother has breast cancer and at times I cough and sneezes a lot. Are there any chances of me getting the same? Doctor: Hi. I understand your concerns, but you should not worry as there is no reported association between PCOS and breast cancer. Also, you should know that PCOS cannot be cured completely, medications and homeopathy can control only the symptoms and increase the chance of fertility if required. Advice: Take oral contraceptive pills (Gynera once daily for 21 days then 7 days off repeat every month), Metformin 500 mg twice after lunch, Spironolactone 50 mg once before sleeping as anti-androgenic. Please send me a copy of your sonography report as well as any performed lab tests e.g. fasting blood sugar, postprandial glucose level, etc. Send me a photo of the acne or facial hair if still there. Follow up after two weeks. Note: If you desire to be pregnant, seek advice some of these medications must be changed." + }, + { + "id": 11448, + "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": 10444, + "tgt": "I am having small black spots on my toenail. Does it indicate melanoma?", + "src": "Patient: Hello doctor,I am 21 years old. Today I noticed a small black spot on my toenail, I did a little research and found out that it might be a melanoma cancer, but also it could be a fungus infection. After a bit more research, I noticed that an unusual cystic pimple between my chest that I have had for two months now might also sign of melanoma. I spend little to no time in the sun. Do I have melanoma? The black spot on my toenail might be because of the tight shoes I have been wearing lately, my toe also hurts a little bit from those shoes. The red pimple between my chest appeared five to six month ago, then disappeared and reappeared multiple times, I squeezed it, and blood and fluid came out of it. Doctor: Hello. I understand your concern. The thing on the chest looks more of a sebaceous cyst, (attachment removed to protect patient identity) which comes and goes even if you pop out the contents as it needs to be excised completely to prevent the recurrence. For the toenail spot, I am not sure that it is melanoma, it can be other things like a subungual traumatic hematoma, or pseudomonas nail infection. Nonetheless, you need to keep observing it for any color or size changes. The two conditions you mentioned do not seem to be related, though. Use the following medication for two weeks, and if it is because of infection it will improve 1. Tablet Ciprofloxacin 500 mg twice a day for two weeks. And avoid tight footwear." + }, + { + "id": 4676, + "tgt": "Is gastroenteritis contagious?", + "src": "Patient: Hello doctor, Last Saturday my partner while temporarily at his mother's home got sick then following day evening he was diagnosed with gastrointestinal bacterial infection most likely from E. Coli bacteria by a home visit doctor service who gave him something for his symptoms. Next day no more vomiting, but still other symptoms are present. And the next day most symptoms eased or gone except gastritis and diarrhea and since yesterday all symptoms are gone. My question is how long number of days after his recovery, it is safe for him to return home, so his body is no longer contagious as we have not seen each other in person since he stayed at his mother's home? I do not want to afford the risk of being exposed to this infection. Doctor: Hello. It is a classical food-related infection. It is gastroenteritis. If those symptoms of stooling and vomiting have subsided then he is free. You are safe with him. If there are no more symptoms he is no longer contagious. If you both keep good personal hygiene if there is not contamination of your food or water and there will not be any infections. Wash your hands with soap and water after using the toilet. Keep the environment clean. These measures will prevent germs from your environment." + }, + { + "id": 3946, + "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": 699, + "tgt": "I have a painful swelling in my perianal area. Could it be an abscess?", + "src": "Patient: Hello doctor, I have a painful lump on my perianal area. I shaved on Friday and at first I thought it was only an ingrown hair but I am not sure anymore. For the last two days, I have been working sitting for many hours and it became very painful and swollen. I do not know if it is an abscess. Please help. Doctor: Hello. Well, I do not know the particulars of your case, it sounds as if you may have what is called a Bartholin\u2019s cyst. This represents inflammation of the glandular structure in the perianal area in women. It is generally benign but can be very painful and uncomfortable. Try sitting in a warm tub with warm water several times a day or applying warm compresses to the area such as a warm cloth for about 15 minutes and as it may bring down the inflammation. If that does not work then you should probably see a local doctor who has other methods of bringing down the inflammation including the use of antibiotics." + }, + { + "id": 27923, + "tgt": "Is it possible that I got pregnant with only foreplay and no intercourse?", + "src": "Patient: Hello doctor, My periods are a 28-day cycle. I was sexually\u00a0intimate\u00a0with a man, 15 days after my menstruation.\u00a0There was no intercourse, but only foreplay,\u00a0causing a lot\u00a0of\u00a0fluid discharge. I have not got my periods yet. Also, by mistake, I took the Regestrone 5 tablet before dinner instead of after. Could that be the reason for the delay? I have attached my urine and blood test reports for your consideration. Doctor: Hello. Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27341, + "tgt": "I feel dizzy when I take my BP medications. Please advise", + "src": "Patient: Hello\u00a0doctor, I am a 35 year old\u00a0male. I was recently diagnosed with high BP. The doctor asked me to get a lipid profile test done and the results were normal. So, he\u00a0prescribed Tazloc 40 but, when I took this medicine I felt very dizzy. I am unable to work and it is affecting my job as well. \u00a0I am waiting for your opinion. My previous medication was Nortipan for leg pain. I want your advice as soon as possible. Doctor: Hello, I went through your post. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14269, + "tgt": "I had IVF failure twice. Please guide me", + "src": "Patient: Hello doctor, I am a 36 year old married female. I got married five years back and we have no child. I started my fertility treatment four years ago. At first, I was treated for ectopic pregnancy and my right fallopian tube was removed. Again, I was diagnosed with tuberculosis and was treated for six months. My first IVF was done last year and it was a failure. Again, the second one was done six months later which was also a failure. My husband was diagnosed with fair to poor sperm DNA integrity and he is getting treated for the same. I am taking Ovacare Forte twice daily and folic acid tablets once a day. I was advised to take these tablets for six months and it is about three months since I started. My periods used to be normal most of the times, but now it has been irregular during the last few cycles (last cycle in a gap of 45 days). Most of the times, my egg development was induced. I would like to take your advice for regular cycles and to improve my ovary and reproductive system. Doctor: Hi. As there is a blockage in the fallopian tube, IVF (invitro fertilization - a manual process of fertilization of the egg and the sperm in a laboratory) is the only option. Ideally, the ovum should be healthy in such cases, unless there is an association of PCOS (polycystic ovary syndrome) or other cofactors. Ovacare Forte and Folic acid are micronutrient supplements and may not alter your cycles. As you are planning for IVF within next three months, you need to prepare your mind, general health and uterus for conception. Considering your age, stress and other mentioned histories, I would suggest the following: For further clarification regarding IVF, consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8556, + "tgt": "I have the problem of imagining more and I talk to myself. Is this normal?", + "src": "Patient: Hello doctor,I talk to myself. I have done it for as long as I can remember, I called on my other worlds, and I play different people I make up their lives in their personalities, friends, and stuff. I run it like a movie, and I play one character make and the rest I react to. And will talk to me out loud and walk around and pick up imagery objects and makeup settings, like a movie.Last year I was in a mental hospital for a suicide attempt and cutting and stuff. And in there you do not get phones and stuff, so I was in my world a lot, but for once I was playing multiple worlds at the same time. When I am not alone, I play in my head. I still can function and get good grades and school, but I do not have friends I play in my world.I guess it started when I was 8 it bullied, and I liked my other worlds better, and other stuff happened to me. They call it trauma or whatever. But anyway you could say I got better. I play myself in my worlds with a different personality and world. The only thing staying the same is my name. But I am worried because I am 13 but do it in secret. But my brother is 9 but acts like 5 and doses it in the open. He is loud and runs around talking to himself, and my family thinks he needs to play a sport. So I am asking if this is normal or something or just another reason I am crazy. Doctor: Hello. It is good that you are insightful about your experiences and seeking out more information to empower yourself. The first thing to remember is you are not crazy. You are experiencing emotional difficulties, and you will get better gradually with support. You appear to be using fantasy as a coping mechanism to deal with problems in real life. Many people have this experience. We tend to use our imagination to visualize better scenarios. Some of us have an overactive imagination and wishful thinking and develop an elaborate fantasy world. It becomes unhealthy if fantasizing starts affecting your real life. With support, you can develop more healthy coping mechanisms. Have you tried writing down your rich imaginative fantasy world? Some find it helpful to write down their experiences into stories. You can try and see whether it is useful for you. I know that you are taking Lexapro (Escitalopram) medication, which can help with emotional problems. Are you also having any therapy? I will advise you to discuss with your parents or family and your treating doctor so that they can support you accordingly. You will get better gradually." + }, + { + "id": 4770, + "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": 29437, + "tgt": "My wife and kid have yellowish eye discharge. How to cure this?", + "src": "Patient: Hi doctor, Today morning, my kid 1.5 years old and wife's eyes got stuck with yellow discharge. The top of the eye become slightly red, and the eye seems heavy and tiny little bit. The eyes were cleaned with saline water, and the yellow deposit got cleared. How to avoid further yellow discharge and cure the symptoms? Kindly suggest an eye drop. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24987, + "tgt": "How accurate is my HIV 1/2 antigen and antibody test?", + "src": "Patient: Hello doctor, Actually, I had casual sex with a CSW a month back. I did my HIV 1/2 antigen and antibody test 15 days back, almost after 26 days. I got symptoms of swollen glands under jaw and stiff neck, as well as, joint and muscle ache. Today I got small ulcers in my tongue. Can you please tell me about my test accuracy and my symptoms? Doctor: Hello. Sensitivity is up to 92 percent in your case. You need to repeat testing after 12 weeks. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 10728, + "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": 28438, + "tgt": "I had a knee injury during a sports competition. Please help me treat it", + "src": "Patient: Hi doctor, I am an 18 year old male. My left shoulder has been having a tingling sensation, which starts when I use the laptop\u00a0for typing or playing games. I have been having this symptom for more than half a year, this tingling sensation starts when I am just sitting down. It does not hurt, but it is very annoying especially when I am doing my assignments. I\u00a0had a knee injury when I fell on my right knee during a sports competition. I have not found the reason and solution to the pain\u00a0but have tried physiotherapy. Currently, my knee aches when the activity is too intense or while doing intense workouts. Doctor: Hi. 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. Take these tablets only if you are not allergic to them. Do not take these tablets if you are a known case of bronchial asthma. Kindly give more history about the knee pain. Regards. 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. Revert with more information to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 11682, + "tgt": "I was on Cipralex for anxiety and stopped now. Can I control my anxiety without medicines?", + "src": "Patient: Hello doctor, I have a problem with unity. And for me, it is a big problem that threatens my future. When talking to my face, my mouth tends to cry like a child when I am afraid of something, and this causes me a significant inconvenience. Please help me to overcome this problem before I lose my job as a manager. I have met a doctor, and he prescribed me Cipralex 20 mg for two years, and the result was almost 60 % excellent, and I stopped because the problem still exists. Kindly help. Doctor: Hello. I understand you took Cipralex or Seroplex (Escitalopram) 20 mg for two years which is a good medication for managing anxiety disorder, depression, and other emotional disorders. Did your doctor prescribe it for anxiety? Did he also diagnosed any other problem? You report that result was 60 % and the problem still exists. Did you stop the medication on your own? Sometimes it is advisable to continue for a more extended period especially if the problem is persistent. Has there been any relapse in your symptoms since the medication was stopped? How long has anxiety been a problem? Is it something present since your early age or start only in recent years? Can you please clarify what you mean by problem of unity? You have described some symptoms suggestive of excessive anxiety in some situations. You need to develop strategies and techniques to manage anxiety. Did you receive any psychological therapy like CBT (cognitive behavior therapy) to manage your symptoms? Kindly explore the availability of CBT at your place. Along with medication, CBT is very helpful in managing excessive anxiety. Please also try these self-help measures at home to help manage stress and lower your anxiety. 1) Practice deep breathing techniques. 2) Do progressive muscle relaxation exercises daily. 3) Avoid too much coffee, tea, and fizzy drinks. Also, avoid alcoholic beverages. 4) Regular walking or exercise will help to improve your mood and lower your anxiety. Go for at least 20 minutes of brisk walking daily. 5) If possible, you can start some martial arts training (like karate, etc.) as it will help to improve your confidence and self-belief. 6) Do not isolate yourself and do not bottle up difficult emotions. Talk to trusted family member or friend regularly. You are welcome to contact again for any further advice." + }, + { + "id": 1022, + "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": 5663, + "tgt": "Is it advisable to remove Histrelin implant after four years in precocious puberty?", + "src": "Patient: Hello doctor, I am a female. I was diagnosed seven years ago for central precocious puberty and was treated with three annual implants of Histrelin. The third implant still has not been removed after about four years. I have looked at procedure guidelines online that say that the implant must be removed after a year is up. Does it have to be removed? What will happen if it is not removed? Also, I am showing no signs of puberty except pubic hair and height. Is it possible that the Histrelin is holding my growth? Doctor: Hi. Yes, Histrelin implant should have been removed after one year. Please speak about this to your doctor. Histrelin implant is a synthetic analogue of gonadotropin-releasing hormone (GnRH) agonist. It works by decreasing the production of certain hormones, which reduces estrogen and testosterone levels in the body initially. Laboratory tests, including luteinizing hormone (LH), follicle stimulating hormone (FSH), estradiol, testosterone levels, or height and bone age may be performed to monitor your progress or to check for side-effects. I would suggest you to carry out all the hormonal profile that is FSH, LH, testosterone levels, thyroid levels, estradiol levels to see that they are in normal range. Periods are related to circulating estrogen levels." + }, + { + "id": 15957, + "tgt": "Is it safe to use Dapoxetine daily after marriage?", + "src": "Patient: Hello doctor, I am a 33 year old unmarried male. I have severe problem of premature ejaculation (less than a minute). Once I tried Dapoxetine 30 mg and it worked well. My marriage is going to be fixed soon.\u00a0Is it safe to use Dapoxetine daily? If yes, for how many years can I continue the tablet?\u00a0Or after some months of use, will I be able to have control over my ejaculation for many years? Please help. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18900, + "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": 3218, + "tgt": "How to treat vestibular papillomatosis?", + "src": "Patient: Hello doctor, Would you please take a look at the attached pictures and diagnose as the felt symptoms are rare itchiness. Is this HPV or vestibular papillomatosis? Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). It is vestibular papillomatosis. But tell me the answers to some questions. Since when it is present? Painful or not? Is it also present in areas other than mentioned in the photo? If it is since childhood, not painful, and not present anywhere else then, it is vestibular papillomatosis. There are many thoughts on the condition and some also believe that it can be caused by HPV (human papillomavirus). It is a debatable issue. So if you are confused with two or three opinions then you can go for biopsy for confirmatory diagnosis. But as I said it is vestibular papillomatosis on the first look, with symmetrical spread only on labia." + }, + { + "id": 27537, + "tgt": "My father has episodes of shortness of breath and increased heart rate. Why?", + "src": "Patient: Hello doctor, My father is 68 years old, and from the last six months, he is suffering from a few health problems. He has a severe gas problem and stomach pain. He keeps complaining about gas getting accumulated in his stomach. \u00a0As a result, he has burping and shortness of breath, and his heart rate increases. He also feels his\u00a0head heavy. We consulted a gastro doctor, who gave him medicines, and we also did CT scan. But the doctor could not find the problem. The medicines relieved his symptoms a little, and the sudden attacks got reduced also. The doctor referred us to a psychiatrist, who gave him Sertraline 50 mg and sleeping pills at night. My dad is taking the tablets from four days, and his BP has shot up to 170/90 mmHg. If he does not take the medicines, he has panic attacks. Is the suggested treatment appropriate? Why is his BP increasing? Doctor: Hi. As per the case history that you narrated, your father might have a somatoform disorder. It is good that the CT abdomen is fine. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 29665, + "tgt": "Please suggest a permanent cure for my abdominal pain", + "src": "Patient: Hi doctor, For the last one month, I have abdominal distention, indigestion and dyspepsia. I feel pain in the\u00a0abdomen, bloating, nausea and burping. The pain in the abdomen recurs after a few hours. It is more frequent during daytime (mostly after taking the meals) and less during the night. I have made the following diet changes. I have dropped tea and citrus fruits (oranges) altogether. I am taking black grapes, ginger with salt and honey before sleeping.\u00a0Please suggest suitable remedies for the early and permanent cure of the ailment from the reports attached. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4221, + "tgt": "Is there any treatment to regain sensory loss following accident?", + "src": "Patient: Hi doctor, The query is regarding my friend. He met with a major accident and his lower limbs power 0/5 after accident. There is no sensation below naval and allopathy doctors have given up hopes. Request your inputs whether such cases can be supported. We have tried a lot of doctors. Now looking forward to your inputs and also looking to get further medications. He is going through two rounds of physiotherapy daily. I have attached the test reports for your reference. Doctor: Hello. For further information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 25948, + "tgt": "Is it normal to feel severe fatigue when recovering from a back surgery?", + "src": "Patient: Hello doctor, My mother is 79 years old. She had a major back surgery five weeks ago. She has been very fatigued. I have ordered blood tests done last week. She is on daily pills. She is on Aspirin 81 mg, Oxybutynin 5 mg, Docusate 200 mg Vitamin D3 at 2000 units, Estradiol 0.5 mg, Folic acid 1 mg, Centrum Silver daily tablet, Gabapentin 1200 mg, Lialda 2.4 g, Senna two tablets, Lorazepam 1.5 mg, and Oxycodone 10 mg three per day. Her albumin is 3.3, AST 46, ALT 90, hemoglobin 10.7, and hematocrit 33.1, iron 19, and saturation percent is 7. Everything else is normal. She is scheduled to go see a doctor in two days. Is it fine for her to wait for two days? She has started on iron supplements. Are there any suggestions? Lab reports have been enclosed. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) and I understand you are worried about your mother's health. She has got a surgery and due to that too there is also some weakness in this phase of convalescence. Her blood tests show a little lower than normal hemoglobin. But this is all that we can expect after a major surgery. Iron supplements will cover up her deficiencies but it will take some time to kick in. This is not something that needs an urgent attention unless there are severe symptoms that warrant a blood transfusion. Some of them can be shortness of breath, extreme and debilitating weakness, unable to move around etc. Her liver enzymes AST (aspartate transaminase) and ALT (alanine transaminase) are on higher sides. This increase in liver enzymes can be due to any reason ranging from surgery, medications or a prior liver disease. Her physician can guide her better in this regard. To me, it is fine to wait for her next appointment and keep taking medications as prescribed. Consult your specialist doctor, discuss with him or her and with their consent, continue the medicines. Hope it helps. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30863, + "tgt": "Had hysterectomy long back and spotting now. Should I be concerned?", + "src": "Patient: Hi doctor, I am\u00a0spotting for the past three days. I had complete hysterectomy about 23 years ago and I am not sexually active. Why am I spotting? Should I be concerned? I am currently on Plavix, Aspirin and Lipitor. Doctor: Hi. Postmenopausal bleeding. 1. Vaginal infection. 2. Vulval growth. Atrophic vaginitis. Use lubricants during sex. Revert back for further doubts to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12527, + "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": 14399, + "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": 19878, + "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": 2567, + "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": 18706, + "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": 21061, + "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": 8782, + "tgt": "What is the cause for excessive sweating and terrible smell in the feet?", + "src": "Patient: Hello doctor,My feet have a problem for about a year with excessive sweating and terrible smell. My feet usually do not stink. There has to be an underlying problem since I never had this before, ever. No one seems to know, but there is a reason for everything. What do you think? Doctor: Hello. Usually, people who have diabetes, hypertension, liver diseases, thyroid issues will have excessive sweating in feet. Please rule out those reasons. According to naturopathy, excess heat in the body is responsible for such an issue. Repeated cough (respiratory disease), sinusitis, neuropathy, etc. are other causes for excess (indirect) heat in the body. It means some toxins need to be excreted from the body, which makes the excessive sweating in feet and stinking. You may dip your feet in warm water + salt for 30 minutes (morning and before bed) which will help to reduce the stinky." + }, + { + "id": 14349, + "tgt": "The tooth has become a bit yellow in a child after taking antibiotic. What is the reason?", + "src": "Patient: Hello doctor, My 16 months old was on a 10 day antibiotic for a bad throat infection. It looks like one of her teeth has gone a bit yellow after it. Is that normal to happen with an antibiotic? Doctor: Hello. I have been through your query and I can understand your concern. You do not need to panic. Generally, the discoloration of the teeth is a reversible process and when the medication is stopped, the discoloration also gets corrected. The tooth discoloration has many reasons and yes one of them is medicine. There are several medications that may cause discoloration of the teeth like Tetracycline antibiotics cause blackish to brownish discoloration. However, sometimes it is not the medication as such that causes the discoloration. The medicines of babies usually contain some sweetening agent in order to make the drug sweet to taste. On regular consumption of the drug, the teeth might show decay or yellow discoloration. I would suggest you visit the same doctor who prescribed the medication for your baby and ask him if the medicine might have any side effects of causing discoloration. You can also send me the name of the antibiotics that the baby is on, so I can see if those drugs could cause any kind of discoloration. Meanwhile, maintain good oral health of your baby. Rinse his or her mouth with water after taking medication and foods (breastfed milk included). Clean his teeth with cotton ball gently and massage his gums gently. This will ensure safety from further damage to the teeth. I would suggest you to keep on continuing these cleaning tips till the baby is 2 years old. After 2 years, the toothbrush can be used to clean the teeth. If you are able to maintain the oral hygiene of your baby till 3 years, the overall oral health of the baby for the coming future will be good and there will be a decrease in the incidence of the dental related problems." + }, + { + "id": 21311, + "tgt": "How to avoid unplanned pregnancy?", + "src": "Patient: Hi doctor, I had nonpenetrative sex with my partner. He did not ejaculate, but a kind of sticky lube came from his penis which he wiped with his hand and then rubbed his hand in the bedsheet. After that, he used his hand in my private areas. I am afraid that I might get pregnant. Please help. Doctor: Hello. There is a possibility that you may get pregnant with pre-ejaculate fluid itself if you were in a fertile period, as precum also contains sperms. It is better advised, that you should opt for an emergency contraceptive pill like an i-pill within next 72 hours to avoid the chances for unplanned pregnancy. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13457, + "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": 18723, + "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": 4731, + "tgt": "Are painful post auricular lymph nodes concerned for cancer?", + "src": "Patient: Hello doctor, I am a 22-year-old male. I do no substance abuse, alcohol, and smoking. I have a painful post auricular lymph node swelling for four days. Yesterday evening one more post auricular lymph node was noticed which is swollen, sudden in onset and painless. I am taking antibiotics Augmentin duo (Amoxicillin and Clavulanic acid) and painkillers for three days. I am worried because one more lymph node started swelling and I even worried about cancer. Please help. Blood test was done lymphocytes - 55% and neutrophils - 30%, rest all values are normal. Doctor: Hi. Your complaint is suggestive of some ear or scalp infection, as it is painful. Please send a picture of the lesion, as it is possible that what you think is the painful lymph node is actually folliculitis and the painless thing is actually the real lymph node. In that case, the antibiotics that you are currently taking are appropriate. The dose should be Augmentin Duo 625 (Amoxicillin 500mg and Clavulanic acid 125 mg) twice a day for five days. Do not stop before five days. Take tablet Combiflam (Ibrufen 400mg and Paracetamol 325mg) twice a day for two to three days. Regarding the risk of cancer, size of the painless lymph node is a very important parameter in deciding further investigation. If the size is more than 1.5 cm then FNAC (fine needle aspiration cytology) of the lymph node is usually recommended. This test needs to be done if after taking the above-mentioned treatment for five days the swellings continue to persist. Gram stain and culture of any discharge. Acute lymphadenitis. Lymphoma. Folliculitis. Continue antibiotics to complete total of five days. Painkillers as required. Hot and cold fomentation. Maintain scalp hygiene. Followup is must if the swelling persists more than a week. Follow up with pictures both before medicines and after a week." + }, + { + "id": 8090, + "tgt": "What is the mass around the pituitary in a pregnant woman?", + "src": "Patient: Hi doctor,I am 36 years old and pregnant. I have been experiencing more headaches in the last several weeks. I had an MRI (non-contrast) yesterday and it stated that I have a mass around the pituitary. I am very scared. The doctor today said I can have no further tests until after I deliver the child (which is four months away). I am concerned if it could be cancer. Is there a way to know more diagnosis without jeopardizing the baby? What are the chances it is cancer? Is there anything I can do holistically? Doctor: Hello. Yes, there is pituitary mass known as a pituitary adenoma (attachment removed to protect patient identity), there are hormonal studies you can go for: S. growth hormone level, S. IGF, S. prolactin, S.TSH, FT3, FT4, S. ACTH, S. cortisol. But the values of these hormones would be altered due to the effect of pregnancy. But I am reassuring you that it is not cancer, it is benign pituitary mass, increased in size during pregnancy and causing headache and visual trouble. Just complete your pregnancy without worrying about it, if your headache is severe and visual symptoms starts then we will think of neurosurgical opinion. Just wait and watch, it is not an emergency except your health worsens." + }, + { + "id": 25511, + "tgt": "Can moisturizer containing hyaluronic acid be used by a teenager?", + "src": "Patient: Hello doctor, I have bought a moisturizer for my 14-year-old daughter. She has dry skin. The cream says it contains hyaluronic acid. I heard it is used for anti-aging. Will this acid have a negative effect on her skin? Doctor: Hello. Hyaluronic acid is good for skin as it has moisturizing properties. The reason it is used as anti-aging is that of its moisturizing property. As we age, we lose moisture from the skin along with the loss of collagen from dermal part of the skin. I would suggest you use this moisturizer which has both ceramide and hyaluronic acid. This is the best combination for the skin. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 448, + "tgt": "What causes dark and foul smelling urine?", + "src": "Patient: Hello doctor, I have had every STD screen known to man and kidney function tests, my urine is foul smelling and dark. This has been an ongoing issue for a year and it has started to affect my life. I have tried everything. Antibiotics, hydration, douche, apple cider vinegar, AZO pills, yeast infection drugs, UTI drugs. Doctor: Hello. Foul smelling and dark urine is indicative of cystitis with highly concentrated urine. If there is no blood or hematuria then renal pathology is unlikely or calculus. You need to take at least 3 to 4 liters of water daily and foul smell is often vaginal and not in urine. You may be suffering from bacterial vaginosis causing a foul smell. Avoid using soaps in the genital region while bathing, use vaginal alkaline washes." + }, + { + "id": 20352, + "tgt": "I have mild collection in POD with period problem. Is it curable by medicine or need surgery?", + "src": "Patient: Hi doctor, I am a 46-year-old woman. I am married, and I have children. Recently, my USG report showed uterus in anteverted position, bulky in size and shape, measuring 9.24 x 3.59 x 4.91, and the echotexture was normal. There was no fibroid or SOL seen. My midline endometrial echo was within a regular line, and my cervix appeared normal. There was a mild collection seen in the POD. I also have a problem in the period with a massive and painful period. My question is whether this condition is curable by medicine or it needs surgery? I want to get cured by medicine. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The USG (ultrasonography) report of the pelvis is normal with POD (pouch of Douglas) fluid. It is seen during ovulation when the scan is taken during mid-cycle. The dysmenorrhoea occurs due to endometriosis or chronic pelvic infection or hormonal imbalances. If there are symptoms of pelvic pain or UTI (urinary tract infections), then PID (pelvic inflammatory disease) is the possibility which can be treated medically. You can get started with medications after seeing the complete blood report, HVS (high vaginal swab) culture, hormonal profile, and gynecological examination." + }, + { + "id": 8945, + "tgt": "Shall I take Calcarea Carbonica to achieve weight loss?", + "src": "Patient: Hi doctor, I want to start using Dr Reckeweg\u2019s Calcarea Carbonica 200 mg and Dr Reckeweg\u2019s Rhus Tox for weight loss and elbow/back pain respectively. Can you please suggest dosage instructions for Calcarea Carbonica and any precautions while taking this medicine? How long will I need to take this medicine to achieve weight loss results? Doctor: Hello. Lack of exercise and diet imbalance. Metabolic disorders. Obesity. Start with diet modifications and regular exercise. Avoid junk food. Follow up after 15 days to a homeopathic physician online.---> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 4116, + "tgt": "Please explain whether changing Formula can cause gas in a baby", + "src": "Patient: Hello doctor, My baby is 4 weeks old. I fed her a combination of breast milk and formula milk. I changed her formula to enfalac from friscolac slowly, and started solely on enfalac yesterday afternoon. I changed the milk (upon consulting with the pediatric clinic) because she was having constipation and gassy stomach. My baby had watery stool once yesterday and today (only after being completely on enfalac). She also is quite gassy (most days than not) and gets upset with it (cries last about 10 minutes). My worry is that if she is okay and, does the enfalac formula milk agree with her or she struggling with something else. I had to add formula milk due to insufficient supply of breast milk. Doctor: Hi. Breast milk is definitely best and first choice but as it is insufficient and you need to supplement with formula feeds, all these formula milk are cow's milk. It is not clear from your query- which Enfalac formula you are giving as there are so many different types and also in the powder form and in ready to feed one. Watch it with the same formula milk for next 24 hours, feed more on breast feeding, and keep a watch on urine output. It may settle down slowly. If not then get, stool test - routine analysis, give Pedialyte - 15- 20 ml after each loose motion (give as small small sips), and better to give a milk formula which is HA (hypoallergic) like Similac or Nan or any other." + }, + { + "id": 23669, + "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": 7101, + "tgt": "Does my blood test report indicate that I am pregnant?", + "src": "Patient: Hello doctor, Could you please check my blood test result? Does it confirm that I am pregnant? Could I know how many weeks? Do all the results look normal? Is there anything should I pay attention to? Do I need to do any additional blood tests or checks, such as for human chorionic gonadotropin and progesterone? Doctor: Hello. 1) From your reports, all blood reports are found to be healthy (but for platelet they have not mentioned the value due to clumped sample, but blood smear looks normal platelet, so that is taken as usual, for the value you can repeat it later). 2) Since your last period date was before five weeks, if you got urine pregnancy test positive, that means you are pregnant for five weeks five days now. 3) None of these tests are confirmative for pregnancy. Usually, pregnancy is confirmed by a urine pregnancy test, or blood test as you told (serum beta hCG), or by scan around six weeks. 4) So at present if you got urine pregnancy test positive means you are pregnant, no need to go for beta hCG now, do a transvaginal scan for viability by six weeks (means three days later from today), otherwise, the scan will be too early to see the pregnancy sac." + }, + { + "id": 5676, + "tgt": "I have myopia and getting floaters in my left eye after YAG laser capsulotomy. Why?", + "src": "Patient: Hello doctor, I am a 38-year-old male. I have a family history of myopia and cataract. I had myopia since early childhood. I developed a cataract in both my eyes at the age of 32 and had them operated upon followed by an IOL in both the eyes. Soon after, in the same year, I developed opacification in my left eye and my doctor conducted a YAG laser capsulotomy to have the problem corrected. In this context, I wish to mention that I see several floaters in my left eye. Six years following my cataract surgery and IOL transplantation, I developed a blurry vision and a bubble in my right eye and my doctor diagnosed opacification in my right eye and conducted a YAG laser capsulotomy. Following the capsulotomy, my vision improved but the bubble is still there and it is causing a scattering of light vision in my right eye, more prominent when I am tilting my head towards the right. My doctor says that the anatomical capsule holding on to the IOL in my right eye has weakened over the years and is causing the IOL to move inside my eye. This movement of the lens, coupled with the formation of the bubble is causing the scattering of light vision in my right eye. The doctor said that the bubble should disappear within or around six weeks of the capsulotomy. He also said that if the IOL gets dislodged or its movement causes too much of discomfort, then the solution would be to have the lens removed and replaced with an IOL with its own capacity to hold on to its position without depending on the anatomical capsule to hold it in its place. My questions are:\tWhat is the reason for the appearance of the bubble in my right eye? As the doctor said, will it disappear within or around six weeks of the capsulotomy? Will I have a better vision if I go for a replacement of the IOL since it is moving? Is there a way to reduce floaters in the eye and to treat macular degeneration of the eye? Doctor: Hello, Welcome to icliniq.com. What is the exact meaning when you use this word \"bubble\"? After capsulotomy, capsular fragments start floating in vitreous leading to floaters. This sensation usually decreases with time and slowly over time the brain starts avoiding these images and the patient become comfortable after six to eight weeks after capsulotomy. The decision of replacing the present lens with the scleral fixated lens is entirely dependent on your ophthalmologist. If the lens is in the pupillary axis, I would not suggest replacing it. If it is dislocated so that the pupil is without lens or lens is tilted a lot, in these conditions I would opt for replacing the present lens. There is no treatment for floaters. Just try to ignore them. You did not give any history regarding macular degeneration, but again there is no treatment for macular degeneration. I need to see your reports. In case, if there is CNVM (choroidal neovascular membrane) at the macula, then you may need an intravitreal injection. Kindly send me your medical reports along with the test reports so that I may guide you better." + }, + { + "id": 17412, + "tgt": "Could my HIV test be false negative as I got tested after six years of exposure?", + "src": "Patient: Hi doctor,I would like to begin with my dropped CD4 count of 350, which I had six years ago. Two weeks later, it raised to 398. The doctor said it could be entirely reasonable for a woman to have a count of CD4 around 400. The reason for dropping maybe due to a previous infection and stress.\u00a0I had no any infection previously, but a low-risk exposure to HIV eight\u00a0months before and no further risks ever since. Last year, I had my first ever HIV test (third generation antibody), which came back negative. I also had two more the same kind of test after that with negative results. Only recently, I am experiencing recurrent colds and blocked, runny nose, vaginal infections, fungi like discoloration on two of my fingers and red dots or spots, rashes on one of my shoulders. Could these symptoms be related anyhow to HIV or AIDS? Could my test be falsely negative due to late testing after my exposure of six plus years?\u00a0Should I have another CD4 count or other tests?\u00a0Thank you for your time and answer. Doctor: Hi. For further information consult a HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19487, + "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": 8080, + "tgt": "What is the white colored substance after hair fall?", + "src": "Patient: Hello doctor,I have severe hair fall. And when the hair falls, I can see a white color substance at the root of the hair. Can I know what is that? Is it dandruff? Doctor: Hello. I have noted your concerns, and this most likely seems to be due to telogen effluvium or hair fall. In this condition, three is loss of scalp hairs in their entire length from all areas of the scalp. The whitish bulb-like substance that you see at the root of the strands is a shrunken hair root which is in good health active and thicker but shrinks when the hairs are falling. There are several ways in which patients of this condition are helped. These are 1. Do not brush the hairs when they are wet. 2. Avoid massaging and use of harsh chemicals. 3. Biotin, a vitamin taken orally helps in the majority of patients. 4. Correct your anemia and dietary habits. Finally, have patience as that this disorder takes several weeks or months to clear up. In general, it responds well to measures." + }, + { + "id": 23817, + "tgt": "Diagnosed with spherical powers in eyes,How to control the progression of myopia?", + "src": "Patient: Hi doctor, My son is 5.5 years old, and he has been diagnosed with spherical powers of -3.5 and -4.0 in both eyes respectively. I am tensed considering his age. The local doctors say\u00a0that the power will increase with age. How much would it increase? And are there any means to control it? Doctor: Hi. Your child has myopia and usually, minus spherical number increases with body growth and age. However, it is very difficult to predict how much it will increase nor are there any means to prevent it. He needs to wear his glasses constantly for maximum visual improvement, and there is a need for regular six monthly eyes check up. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5640, + "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": 7206, + "tgt": "What are the ways to cure visible veins on the face?", + "src": "Patient: Hello doctor, I have a lot of visible veins on my face. There are some on both my eyelids, the outer corners of my eyes, my cheeks, starting from the corner of my lips down to my jawline. What can I do to get rid of them? Doctor: Hi. Pulse dye laser and other lasers are only treatment of it. There is no medication which is going to work." + }, + { + "id": 20868, + "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": 10084, + "tgt": "What causes respiratory problem in a 36-year-old?", + "src": "Patient: Hello doctor, My mother is 36 years old, and she is suffering from the respiratory problem from last two days, her hemoglobin count is 9.6, can you please tell what causes this problem? Doctor: Hello. I have read through your question and would like to tell you that respiratory problems can be due to allergic or due to infection. Her Haemoglobin could be due to dietary deficiency. Give her iron-rich diet like dates, banana, and green leafy vegetables. If the respiratory problem is due to infection, then she may need an antibiotic course. For now, steam inhalation will help to relieve her. Steam inhalation with menthol twice daily. If her condition does not improve in two days, get her checked by a physician. If her Hemoglobin does not improve in one month, get a complete blood profile done to know the cause of anemia. I hope that answers your question. If you have any further questions, please feel free to write." + }, + { + "id": 27340, + "tgt": "My premature baby has high sugar levels. I am worried. Please help", + "src": "Patient: Hello doctor, My wife delivered a baby boy two months prematurely and he was underweight (1.210 kg). The reason was almost nil movement of the\u00a0fetus and very less fluid in the\u00a0fetus (3.5 to 4).After the\u00a0delivery,\u00a0the doctor said that all the other parameters of the\u00a0baby like the\u00a0height of the baby, the\u00a0size of the head and heart, etc. are normal except for the weight, low blood count, and high sugar level. So, he was given blood. Initially, the sugar level was beyond 500. So, the doctor put him on continuous insulin. Due to this, his sugar level came down but, it was never below 150. So the doctor said that he might have diabetes. Since the last two days, he is given insulin injection at intervals instead of continuously. Even though at mornings, the sugar level is in the range of 140 to 180, at evenings, it jumps to 250 to 350. However, today it jumped to 484. All the other tests like USG of stomach and head were conducted but, found to be normal. The doctor also tested a fluid from his spine but, all were normal. There is no infection and no hearing\u00a0problem. He is otherwise normal. \u00a0He is active, cries and moves like normal babies. But, I am worried. What is going on? Doctor: Hello. For now, taking care of sepsis is of prime importance. If it is sepsis-related or prematurity-related, it will improve with time. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 344, + "tgt": "My period has got delayed. Could it be due to unproteced sex before few months?", + "src": "Patient: Hello doctor, I am 20 years old. I had unprotected sex before six months and I got regular periods for two months and then for the next four months I got period four days period and now at the seventh month, I do not get period even after 39 days. Can you please tell me about this? Doctor: Hi, Welcome to icliniq.com. Have you been gaining weight also?" + }, + { + "id": 11561, + "tgt": "Diagnosed with kidney and ureter stones. Can you help me to get rid of my abdominal pain?", + "src": "Patient: Hello doctor, I am a 29-year-old male. I am having severe pain in abdomen and I was diagnosed with stones in the right kidney and ureter. The USG report shows right nephrolithiasis, right lower ureteric calculus with mild to moderate with hydroureteronephrosis. I am currently under Tamsukem Plus for 15 days and Alkaston B6 200 ml syrup. Can you help me? Doctor: Hello. As it has been prescribed in the USG, the kidney stone that has moved within the urinary pathways have caused the pain you experienced. Alkaston B6 (Magnesium Citrate, Potassium Citrate, Pyridoxine) will help dissolve the stones. Increase water intake. Take uva-ursi, cranberry, and fern tea or supplement to help dissolve the stones. Take Mefenamic acid or Ibuprofen for the pain. Keep following up with a urologist." + }, + { + "id": 24633, + "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": 3253, + "tgt": "Which oil is safe to use?", + "src": "Patient: Hello doctor, Which oil is safe to use? There are many theories and so I am confused. Some chocolates and snacks have trans fat content as 0.01 or 0.02 % or OZ, are they safe to eat? Do you have any suggestions for chocolates and snacks brands which are healthy without toxic chemicals?\u00a0Which is the good time to drink tender coconut water without disturbing digestion? Milk sometimes gives me bloated feel and also triggers bowel movement. What is the good alternative to get equivalent calcium? I am trying to drink cumin water daily for good digestion. Is it better to heat it directly in water or powder it and then heat in water? Latter has any better advantage in terms of nutrition? When is it good to drink it? Doctor: Hi. For further doubts consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 25183, + "tgt": "Are my blood test results worrisome?", + "src": "Patient: Hello doctor, I am a 57 year old male. I just had a blood test. Results: Hemocrit 60.0 (h), Blood Urea Nitrogen 24 (h), MCV 96.6 (H), MCHC 31.9 (L), Creatinine 1.36 (H), Basophils 2.1 (H), All other labs were normal. Doctor: Hello. BUN levels represent the balance between urea production (liver), urea breakdown, and urea elimination (kidneys). Therefore, BUN is an indicator of kidney health and/or liver health. A high hematocrit could be due to many reasons and is not an indication of iron overload. Your hematocrit is not that high. Serum iron, TIBC, and serum ferritin levels are better indicators of iron overload in hemochromatosis. Your MCV is only slightly elevated. So, there is no need to worry about that. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 29070, + "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": 8851, + "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": 50, + "tgt": "My period is delayed for a month with negative HPT. What is the chance of me being pregnant?", + "src": "Patient: Hi doctor, My last period was on April 28. It has been almost seven weeks and I still have not had my period yet. I had unprotected sex on May 24 thinking my ovulation day is over but I started getting very paranoid last week. So I took a pregnancy test on June 10th and it was negative. Then I took one more yesterday on June 14th and it was negative, but if I squinted hard enough it could have been positive. I am very paranoid right now because I do not have a supportive family and I do not have health insurance to go to the doctor to get this checked out, and I am not ready to have a child. I am 21 years old living with my very conservative religious immigrant parents and I do not know if I should take the second pregnancy test seriously. I have been stressed out for the past one month which makes me think I am skipping a month but I am still very afraid that there is a chance I may be pregnant. I have no symptoms of pregnancy. Is it likely that I am pregnant? Doctor: Hello, Welcome to iclinq.com. It is unlikely to be a pregnancy. However, get a serum beta HCG (human chorionic gonadotropin) blood test to rule out pregnancy, as PT has some chances of false positivity and false negativity as it is weakly positive. The likely cause of the delay could be hormonal, anemia, weight gain, hypothyroidism, stress, or change in food and exercise pattern can affect the cycle length and pattern. Hormonal. Serum beta HCG. Pregnancy. Delayed cycle (probably hormonal). If beta HCG is negative, then take tablet Medroxy progesterone acetate 10 mg at bedtime for five days. Menses occur one week after the last dose of Progesterone. Weight reduction if BMI >25." + }, + { + "id": 11249, + "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": 19334, + "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": 25237, + "tgt": "What is the right time to exercise?", + "src": "Patient: Hello doctor, I need an advice on what is the right time to exercise during the day? Let me tell you that currently, I can only manage to walk on the treadmill and do the cycling in the gym. So I have two options in terms of time. One, in the morning before the breakfast and the second one is in the evening. If, I exercise in the evening then again two options, one after dinner or before. Please let me know which option to choose. Currently, I am taking diabetes medications. Doctor: Hello. Your body\u2019s core temperature is an important factor in determining the quality of exercise. A cold body causes muscles stiff, inefficient, and susceptible to sprains whereas higher body temperatures leave muscles more flexible, more adjustable for workouts. Body temperature typically increases throughout the day. Typically, more body temperature in the late afternoon. Some hormones have effects on workout which usually secretes more during the day. So will be more by late afternoon. A regular workout will be helpful if u do it during late afternoon or before dinner. It better to have workout to be done on empty stomach. You need to look for diet management along with workout. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8985, + "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": 3745, + "tgt": "I am having restlessness in legs with irritation, and lack of sleep. What could be my problem?", + "src": "Patient: Hello doctor, I am 30 years old. I am having a problem of restlessness in legs, fatigue, tiredness, irritation, confusion, lack of sleep or disturbed sleep. I am currently taknig Calcium tablets. Doctor: Hi, Welcome to icliniq.com. You seem to be suffering from restless leg syndrome (RLS). This, however, needs exclusion of other issues like thyroid disorder, iron and calcium deficiency as well. If all these investigations are normal, my recommendations for your treatment would be Pregabalin along with lifestyle modifications like yoga, meditation. I hope this helps." + }, + { + "id": 3333, + "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": 13958, + "tgt": "I was diagnosed with systemic sclerosis. Could you please give advice on how to treat these symptoms?", + "src": "Patient: Hello doctor, I am a 25 year old male. I was recently diagnosed with an autoimmune disease called systemic sclerosis. I have been experiencing a couple of symptoms along with this disease. Could you please give me some advice on how to treat these symptoms, which I could pass on to my regular doctor. First is the Raynaud's phenomenon, this is not crucial as I do not experience this as much anymore, making sure my hands are always kept warm. But, if you have any other suggestions I would like to hear them. The one symptom that I am most concerned with is the generalized edema. It has started about 4 years ago and has gotten severely worse. Since then, I have been prescribed diuretics from my doctor. But, whenever I take them I will go through a process of losing about 10-15 lbs in water weight, then after a week of no drug or diet change, I used to go back to the same state as I was before taking the diuretics and sometimes much worse. My doctors and I think that this may be due to my capillaries being \"leaky\" and this leaking protein might surround the body tissue area. When I take the diuretics, my body flushes out the water, but at the same time the protein in the area senses a loss of water and sucks in more from my bloodstream by replacing the water I had just lost. However, my doctors are not quite entirely sure that, if this is, in fact, the root problem with water retention. I have kept a very strict diet when it comes to sodium and other things of that nature. Anything of a personal nature that comes to solving this problem that I have tried, have had no successful outcomes. I wanted to know if this is a case you have seen in many other patients with an autoimmune disease, especially the patients with systemic sclerosis. If it is so, is there any effective treatments for the water retention other than diuretics? Is there anything that I can recommend my doctor that will aid me in dropping this water weight and keeping it off? Doctor: Hi. According to my opinion, Raynaud's phenomenon is a part of CREST syndrome of systemic sclerosis. In case that is troubling you, the best treatment that I have found very successful is the use of crushed Sorbitrate tablets in coconut oil and apply them to massage over the extremities. This is a very economic and effective treatment. Now, as far as water retention is considered, this can occur in two cases: So, I would recommend you to get the following tests done: I hope, these investigations will be of great help." + }, + { + "id": 10470, + "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": 23648, + "tgt": "Is there anything of concern in my brother's annual health lab reports?", + "src": "Patient: Hello doctor, My brother has done his annual health checkup and received the lab reports. I am attaching all the reports. Could you please review the reports and let me know whether we should worry about anything, especially creatinine or diabetes? Doctor: Hello. I have seen the reports sent by you (attachment removed to protect patient identity). All his reports are fine except for creatinine. We need to find the reason for it. For more information consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 20201, + "tgt": "Can burning sensation of throat occur from acid reflux?", + "src": "Patient: Hi doctor, I am a 40 year old male. I just like to share a problem with you related to my throat. For the last 10 days or so, I am feeling a scratch or burning like sensation behind the uvula. I do not have any problem with eating. The sensation tends to remain silent at night during sleep, but again started to feel the same throughout the day. I do smoke and drink as well. Further, I have some small multiple round cracks in the middle of my tongue. I am quite worried, especially on the burning sensation part. Thank you. Doctor: Hi. For further information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18628, + "tgt": "I am on Adderall for ADD and I am unable to sleep. Why?", + "src": "Patient: Hi doctor, I have ADD and taking Adderall 20 mg twice daily. Usually, my sleep is good and rarely I may feel difficult to sleep. Also, I only take prescription when I am supposed to. But, for the past one week, I am unable to sleep. I took my sleeping pills and still just could not sleep. As till early morning I am not getting sleep, I started having the worst panic attacks.\u00a0I kept thinking the worst thoughts and somehow ended up passing out. Then, I become normal after two hours and took my Adderall. If the same thing happens again, then what can I do to help myself? 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": 8602, + "tgt": "I am 44 years old and I have erection problems. Kindly advice", + "src": "Patient: Hello doctor, I am a 44-years-male and suffering from erection problem for the past 20 years. Kindly advice. Doctor: Hello. I presume that you have difficulty in having an erection, which is not good enough to penetrate the vagina. I also assume that you have no other comorbidities, other than hepatitis B. With this background, I would like to prescribe tablet Tazzle 20 mg (Tadalafil) three hours before the intercourse, which should give you a proper erection. Other than this, you need to take tab Tazzle 10 mg half every day, other than the days on which you take 20 mg. The only side effect is a headache. If you do not get an adequate erection, you need to get back to me, as I need specific tests for further evaluation." + }, + { + "id": 8665, + "tgt": "There is fish smell in feces after unprotected anal sex. Please advise", + "src": "Patient: Hello doctor, I am a 21 year old male that had unprotected anal sex. Two days after, my feces have a very light fish smell with mucus, Very light abdominal pain and light pain in both testicles (always had very light pain in my testicles but feeling it the second day after anal sex makes me a little concerned). Doctor: Hi. When was this exposure? Unprotected anal exposure carries a high risk of acquisition of HIV and other STIs. The symptoms could have various reasons. I suggest you get tested for HIV and other STIs (sexually transmitted infections). You can get fourth generation HIV rapid test now (to know about your baseline status), then at four weeks of the exposure and if this result is negative get a confirmatory HIV antibody test at three months of last exposure. Please revert if any other information is required. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 26816, + "tgt": "My 12 days old son's bilirubin level keeps increasing. What is going on?", + "src": "Patient: Hi doctor, I am really concerned with the bilirubin levels of my 12 days old son. His bilirubin was 14.2 within 24 hours of his birth, so the doctor decided to start phototherapy, which reduced the bilirubin level to 12 and he got discharged. After a day, he turned pale yellow, so we rushed again to the doctor, who repeated the test, and this time, the level was 26. The doctor started the therapy again, which reduced it again to 13, and he got discharged from the hospital again. But the very next day, the bilirubin level was 18. After phototherapy, the bilirubin level is 8.2 now. I do not know what is going to happen tomorrow. I am worried that the level will rise again. My\u00a0wife's blood group is O+, and my\u00a0son's\u00a0blood group is A+. Whenever he gets admitted to the hospital, they give him formula milk. And when he is home, we breastfeed him. Doctor: Hi. I understand that you are upset with your baby's condition. Thank you and have a nice day. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 30064, + "tgt": "I am suffering from severe stomach pain. Could it be cancer?", + "src": "Patient: Hi doctor, I am a 20 year old female.\u00a08 years ago, I had hemoptysis. The endoscopy report showed peptic ulcer and gastritis. I took drugs for three months. Again, 2 years ago, I had severe stomach pain. I was vomiting as soon as I eat. Again, I had an endoscopy and it showed the same, but there was a bubble-like projection in the wall of the stomach and H.pylori. The doctor said this projection is the heart impression. I took drugs for H.pylori. These days, I always suffer from stomach pain and it gets relieved by antacids. My CT scan was normal. I am afraid that it could be cancer. Doctor: Hello. Repeat endoscopy. H.pylori infection. GERD. Treatment for acidity. Revert back with the report to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1822, + "tgt": "I have small wound in anus with rashes over my body. Could this be syphilis?", + "src": "Patient: Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I believe this is syphilis. I have taken Loratadine for seven days, as prescribed by a doctor here. However, nothing happened. I cannot have it checked due to the quarantine in my area. Does my condition need immediate medical care? Or can I take medicine to treat this while waiting for the ECQ to be lifted? I did not have a fever or flu when this started. I would also like to add that I have been having dandruff on my beard and mustache, and an itchy scalp. There are also dry patches on the area near my chin and they are flakey. They do not flake sometimes, though. I have been applying moisturizer on my face since they started to appear. Another thing, the folded skin on my underarm and area behind my knee can sometimes have a burning sensation. I did not know what is happening. I hope you can help me with this. Doctor: Hello. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscuity? What do you do? Any other diseases? Is this the first time this has happened? Besides Loratadine have you tried taking any other medications? Any allergies? Based on the given health data, it is likely you may have secondary syphilis. Can you send photos of the rashes on your trunk or arms? Where did it start and how did it spread? Any throat pain or gun lesions? If you're having difficulty of breathing, fever, changes in sensorium, numbness or weakness please proceed to the ER. Otherwise, we could start treatment for now but will require laboratory results to confirm the diagnosis. Please do VDRL or RPR (whichever is available) and FTA-ABS or TPPA (whichever is available). I suggest to start Doxycycline 100 mg twice daily for 14 days (Please do lab works before starting your medication. The results may turn out negative if you have taken your dose and if it is negative we will have to stop the treatment). Regarding dandruff, I suggest to shave your beard. Use anti-dandruff shampoos. May continue the application of moisturizer on the affected area. Regarding the burning sensation, it maybe related to syphilis. Are there any rashes present? Is it often damp? Is the area reddish? Continue to take baths and maintain good proper hygiene. Please send your CBC (complete blood count) results. VDRL (venereal disease research laboratory) or RPR (rapid plasma reagin) and FTA-ABS (fluorescent treponemal antibody absorption) or TPPA (treponema palladium particle agglutination assay). Abstain from sex for now. Proper hygiene." + }, + { + "id": 16941, + "tgt": "Why do I have a burning sensation while passing urine?", + "src": "Patient: Hello doctor, In recent test reports, the following test values are out of range: Estimated glomerular filtration rate\u00a0(eGFR) is 83, uric acid is 7.9, serum creatinine is 1.13,\u00a0BUN to serum creatinine ratio is 7.59,\u00a025-hydroxyvitamin D (total) is 8.73, homocysteine is\u00a030, iron\u00a057.8, and red cell distribution width -\u00a0coefficient of variation\u00a0(RDW-CV) of 14.6. As far as symptoms are concerned, I am feeling body pains especially stiffened\u00a0neck and pain in upper shoulders, feeling drowsy in the morning, slight burning sensation near the urinary bladder\u00a0while passing urine, and a burning sensation in my left calf muscle and foot sometimes. There is a feeling of a lot of gastric problems especially while waking up in the morning and sometimes constipation. I am not on any medicine. The lab reports are attached for your review. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 18652, + "tgt": "I had light bleeding after 16 days of I-pill intake. What does this mean?", + "src": "Patient: Hello doctor, I had sexual intercourse on the 14th day of my cycle but took I-pill after three hours of it. I had bleeding on date similar to my period date after 16 days but it was light bleeding which lasted for three to four days. What does this mean? Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be withdrawal bleeding after taking the pill. 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 gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29980, + "tgt": "I have a small strand of skin near the anus. What is that?", + "src": "Patient: Hi doctor,There is about a quarter inch long strand of skin going away from the anus and I think it is a hemorrhoid. Also, that is dark purple in color. I am in need of your help. Doctor: Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. I have seen the attached picture and it looks as hemorrhoid (attachment removed to protect patient identity). I am unsure about the position of the lesion that is, whether 6, 9 or 11 o'clock. It usually is due to portal hypertension. Proctoscopy or colonoscopy by a general surgeon. Hemorrhoids. Avoid constipation. I suggest Lactulose syrup if you have constipation. Consult your doctor, discuss with him or her and take the medicine with consent. Take plenty of water and high fiber diet. Ask your primary care physician to refer you to a general surgeon for proper evaluation and treatment plan. Do not let it go untreated as it may complicate and will have serious consequences. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11515, + "tgt": "My 2. 8 year old cried hard and developed hoarse voice. Is that due to crying or infection?", + "src": "Patient: Hello doctor, My daughter who is 2.8 years old cried hard before two weeks and developed a hoarse voice the next day. It subsided in about three days. Before a week, I remember her throwing tantrums and crying hard for every small thing and again developed a hoarse voice. I gave warm water and honey, and it has subsided a lot. Sometimes her voice sounds normal, and when she screams or cries, I can still feel her voice is a little hoarse. Is this hoarseness due to crying or could be any other infection? I read that hoarseness could occur due to cancer. I am a paranoid mother who gets scared after reading the stuff. She does not have any cold, cough and eats normally. In spite of her hoarse voice, she is taking ice creams and cold stuff. If the hoarseness is due to any serious medical condition, would she have any accompanying symptoms? My main concern is cancer. What would be the symptoms of laryngeal cancer other than hoarseness? She is a very adamant kid and still screams if things do not go her way. Suggest remedies to get rid of hoarseness. Please remove my anxiety towards cancer. Doctor: Hello. Relax do not worry. She does not have laryngeal cancer (vocal cord cancer), it is a vocal cord abuse. It is due to screaming she is having hoarseness of voice, so it is temporary. Give her warm water and if she can gargle then let her do it with salt water gargle. Based on your history I can understand that she has a minor behavior issue, typical of a toddler. When she starts screaming then try to divert her attention, so you can stop her screaming. A positive note is that the child forgets quickly and so you can do it. If you still have some queries, then please visit ENT doctor and get her vocal cord checked." + }, + { + "id": 2332, + "tgt": "I have melasma on my face for the last 16 years. Why does not any cream help?", + "src": "Patient: helo respected dermatologist i have pigmentation dark spot melasma on my face since last 16 year i have taken alot of medication and consulted alot of dermatologist which are well known by every one in our country sir, but is was in vain. Past medications include clripex,clarimax.dermaclean,cybelle bellence,tablets =feefall ,sangobian,evion,glutamax, seapio,colophylum,lycopodium.and much more if i will startt writing i thing this text box is not enough too complete my whole medication i have used too many creams wiyh passage of time i have also used this commercial creams(stillmans,goldenpearl,arina,etc). Doctor:" + }, + { + "id": 29615, + "tgt": "My daughter is 13 and her canine has not come down yet. Why?", + "src": "Patient: Hi doctor, My daughter got her canine tooth pulled when she was around 10 and it has been three years. The tooth has not come down yet, but she can feel it from the front of the gums, but not the bottom. She got braces in before a year and we asked our orthodontist about it. He has been putting on a spring to make room for it, but there is almost room for two teeth. What do I do? When will it come out? Doctor: Hi. For further doubts consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 20407, + "tgt": "Does blood in stool occur due to diverticulitis?", + "src": "Patient: Hi doctor, I am a 21-year-old male, and I was suffering from inflammatory bowel disease (IBD) before a year. After taking medications, my condition got better. So I stopped taking medicines, and I took Pantop-D (Pantoprazole) only for the gas relief. Before a month, I developed a fungal infection in my groin area, and the doctor prescribed me Itraconazole 200 mg. When I started taking medicine, my stools became hard, and I developed constipation. But I have not stopped taking it. Before five days, my problem got worse, and I stopped taking Itraconazole. Now, I have diarrhea with blood in the stool. There is bloating (gas) in the abdomen. Sometimes I have pain on the left side of the lower abdomen. I have a feeling of nausea. I am currently taking Pantop-D (Pantoprazole), Metrogyl (Metronidazole) 400 mg (started taking today only) and high fiber diet. I have a few questions. Does blood in the stool occur due to diverticulitis? Does taking Pantoprazole show any side effects on diverticulitis? Can I take ORS or electoral for rehydration? Please suggest your advice. Doctor: Hi. There are two causes for the blood in the stool. The reason can be due to infection and reactivation of inflammatory bowel disease. In such condition, we should treat the infection first. The common infection seen is bacterial, sometimes viral infection may also occur like CMV (cytomegalovirus). It is diagnosed by colonoscopy guided with biopsy examination. If there is no infection, then we have to take a biopsy for IBD activity, and we can increase the immune suppression. I think you are not taking immune suppression medications. Uncontrolled IBD has a poor prognosis, and the risk of complications is very high. I will suggest a course of IV antibiotics in the form of Ceftriaxone and Metronidazole. You can take ORS (oral rehydration solution) for rehydration. You can take Pantoprazole. Diarrhea occurs due to infection or due to worsening of IBD. So it needs treatment. You need endoscopy for evaluation. You need to do CBC (complete blood count), LFT (liver function tests), CRP (C-reactive protein), fecal calprotectin. You need to do stool routine and culture examination." + }, + { + "id": 18312, + "tgt": "My brother's platelet counts are not going up even after transfusion. What to do?", + "src": "Patient: Hello doctor,My brother has dengue fever. His platelet counts were dropping and once they reached 18,000 he was given one unit of platelet transfusion. But, his counts did not increase when checked after four hours and was at 17,000. So, the\u00a0doctor went for a\u00a0second infusion. There are no other symptoms except for this. Please suggest. Doctor: Hello. Firstly, do not panic. Dengue is a self-recovering condition. His platelet counts will gradually rise. Platelet transfusion is fine. Normally, random donor platelets (RDP) increases the platelet count by 5000 only while single donor platelets (SDP) increases it by around 30,000 to 40,000. So, you need to request your local doctor if he can make arrangements for single donor platelets. The next thing is, to increase the platelets, he can take tablet Caripill 1100 mg three times a day for five days which is papaya leaf extract, and it is hypothesized to increase platelets counts. So, you can request a local physician for the same, as there is no harm in having it. Most importantly, the priority is to avoid bleeding till his platelet count rises. So, he should strictly avoid painkillers except for Paracetamol, outdoor activities, brushing, straining at urination and defecation and any activities which may prone him to injury bleeding. He should drink plenty of water and liquids nearly three to four liters a day. His platelet count and hematocrit need to be monitored at least two times a day. Hope this helps you. Get back if you have any doubts. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3930, + "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": 20224, + "tgt": "I have cheesy vaginal discharge with itching and burning. Please help", + "src": "Patient: Hi doctor, I am suffering from an infection of the vagina. I have cheesy discharges, itching, burning, and it is very uncomfortable. Please suggest some medicines. Doctor: Hi. How are you doing? Vaginal infection, which is transmitted during sex (so partner is the source), so both have to be treated at the same time or else you will get infected again during sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at the beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the inner most vagina (due to inflammation of the structures around the uterus). The pain will be radiating to the back or thighs. Your bowel movement will be affected and also features of gastritis are seen. Bleeding of periods will be thicker, darker, clots or fleshy masses may smell bad, more days with spotting after the periods too. When you have an infection inside the uterus, the blood flow increases as inner lining is inflamed and the blood mixed with the inner lining of the uterus forms a thick, doughy or fleshy mass. As the healing of the lining is not complete, it keeps spotting, or you have blood stained discharge. The pain is throbbing even before periods and lasts after periods are over. Usually, the infection is mixed and not just due to yeast. There will be a family of aerobic and anaerobic bacteria, all of which cannot be detected by culture. When one is treated and cleared, the other will grow. Before treatment, confirm that you are not pregnant. I suggest you and your partner try taking the following: After this, I suggest you try taking the following: Your partner can locally apply any antibiotic and antifungal cream, like Candid B (Clotrimazole and Betamethasone) on the penis twice a day after wash for seven days. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Do not have sex till the infection is fully gone. Do treat it as delay may send the infection inwards and may affect both you and partner's future fertility. Hope I have clarified your query, 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": 21451, + "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": 22108, + "tgt": "Accidentally, I scratched the inner part of the eye. How long will it take to heal?", + "src": "Patient: Hi doctor,Last night, I was trying to pluck an eyelash that was poking into my eye, and accidentally scratched the most inner part of my eye. I believe it is called the lacrimal caruncle. There is a tiny scrape. It almost looks like a red scratch on the skin and so I know I scratched it a little.\u00a0I have included a picture to show you what part of the eye it is. How long will it take to heal? Also, is there anything I can put in my eye to speed the recovery? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11838, + "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": 29742, + "tgt": "Please recommend a cure for the cough that I get only in cold season", + "src": "Patient: Hello doctor, I have been having\u00a0cough only when the weather is cold. I had visited a hospital in my native. They did few tests, but nothing abnormal was found. Please help me. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14005, + "tgt": "Can I take protein powder to gain weight?", + "src": "Patient: Hello doctor, I am 18 years old, weight is 55 kg, height is 5'11\". I have a problem in gaining weight. The checkup shows that all things are normal. I am eating regularly. Kindly explain the problem in detail and tell whether taking protein powder has any side effect or not. Doctor: Hello. I just read your query. See gaining weight depends on metabolism, genes, and activity, etc. Metabolism of every person varies depending on thyroid gland functioning. Genes mean that if your parents are skinny then there are chances that you will be lean. Physical activity also determines weight gain. Without any indication, protein powder intake is not good. It may lead to health issues. Bodybuilders take it but they take it under the supervision and it is required in them. So I advise you to visit a nearby physician and ask for the supplies according to your requirement." + }, + { + "id": 13427, + "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": 17244, + "tgt": "Why am I stressed a lot and unhappy too?", + "src": "Patient: Hello doctor, I am a 26 year old male. My weight is 60 kg and height is 5'8\".\u00a0I grown up with great responsibility of family, but never fulfilled it up to the mark besides living my life in fear from society. I managed good academics and some standard over time. But, I have also developed very poor social skill, dependency to some extent and fear while facing anything new. I do not want to move from a situation where I have fixed myself. Three years before I had a breakup and also was idle without job. This had caused me severe stress and crying episode about which I did not share with any one.\u00a0I got job, but did not feel happy about it. The emptiness and worry followed me.\u00a0I got into another relationship which was lovely. I got involved in alcohol drinking and smoking.\u00a0I faced a time where job stress killed me every day and I detached myself from everyone, felt emotionless even with my family, drowsiness and no sense of reality. I became so casual that only thing I wanted is nothing should worry me. If anything worried me I tried to solve it immediately with a step which might be job threatening. I lived without any pleasure, confidence, goal and routine. I did live my life, but never felt any connection as I have become a robot. Forgetfulness, short term memory loss and no attention or interest at all. Today I have improved myself and do not drink regularly; I do exercises, do talk with family and some friends, watch television and got a better job.\u00a0But still, I am not happy. My\u00a0forgetfulness and excessive worry is with me still. I find that my brain is continuously busy in something, but I am not aware of that.\u00a0I feel very tired and lazy. Socially frightened, poor, and I am not clever enough. However, I am very polite, helpful to others and have good moral value.\u00a0I found that I have not added a strong value and get easily convinced, irritated and people make fool of me. It is like I have got stuck and trapped and I have not moved on. I want to put an end to this. Please help me. Doctor: Hi. I have gone through your query in detail and would like to summarize your current symptoms: Along with medicines, here are few tips for better results: Social anxiety disorder. Major depressive disorder. Antidepressant medicines and lifestyle changes. Avoid alcohol and increase physical activity. Follow up if you have any queries to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3731, + "tgt": "What can be done to postpone period?", + "src": "Patient: Hello doctor, My marriage is ahead in 13 days. We are planning for honeymoon after four days of our marriage. But, my fiance's monthly cycle date is on the fifth day following our marriage. We need help in postponing her period as well as about birth control. Please guide. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30476, + "tgt": "How to identify if my baby is drinking enough breast milk?", + "src": "Patient: Hi doctor, My daughter is 2 weeks old and she is sleeping all day. I have to force her to breastfeed and she will drink less and sleep again. She is awake in the night and having a good amount of milk in the night. She makes on average five to six wet clothes. I am worried as she is sleeping 7 to 8 hours as a stretch during the day without milk. I tried many things to wake her up, but all in vain. Even I tried to feed her while she is sleeping and she will drink less sometimes and most of the time she does not drink. I am not sure if she is getting enough milk and really worried. I need a help to understand how often I should feed her and how to wake her up to breastfeed. Also, how to identify if she is drinking enough milk? I checked with a local pediatrician and he said it is normal and let the baby sleep and drink when it wants. But, another pediatrician said I should feed her every 3 hours and should wake her up forcefully and feed her. I am very confused. I noticed that she is having a lot of gas in the stomach and she is struggling while it comes out and crying due to gas and also before passing urine. Is this normal? Doctor: Hello. I have gone through your query. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7594, + "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": 28422, + "tgt": "I have attached my parents annual health check-up results. Is any medication required?", + "src": "Patient: Hi doctor, Please check the attached annual health check-up results of my parents and advise if any medications are required. They already take cholesterol and blood pressure medicines. Doctor: Hi. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3800, + "tgt": "My brother get tremors in hand and legs after taking antidepressants. Why?", + "src": "Patient: Hi doctor, This is about my brother. Earlier he used to get very angry over small matters. He was not able to concentrate on anything and was not able to sleep. He was confused and used to think that everybody was watching him. He used to harm the family members sometimes. He started his medications three months back. He was on Fluoxetine 40, Aripiprazole 10, Quetiapine 50 and Divalproex 750. He is now calm but has tremors in his hands and legs and feeling numbness in head and is very confused. He is feeling as if he is mad. He is mostly confined in home and hardly goes out. Need your advice on what to do and when he will feel better? Is antidepressant Fluoxetine not working? Doctor: Hello. I read your query and understand your concerns. First of all, I would like to inform you that three months are generally enough for the antidepressants to show effects. Secondly, 60 mg of Fluoxetine is generally a sufficient dose for antidepressant purposes. Considering the fact, that there is some response despite the presence of adequate dose for sufficient time indicates the possibility of partial response. Thirdly, the above observation is not unique as problems are often encountered in patients with long duration of untreated illness. Now regarding the tremors, I think Divalproex is likely to cause tremors as a common side effect. In my opinion, 250 mg of Divalproex has a little role on this day as his aggressive behavior already reduced. Regarding the next course of action, I feel adding another antidepressant is the first option. In case there are reasons for not doing the same adding low dose antipsychotics can be used provided there is aggressive behavior still present. I often prefer low doses of Olanzapine 5 mg to boost up the effect of Fluoxetine. I must assure you that over a period of time he will improve further. I hope this helps." + }, + { + "id": 6918, + "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": 14624, + "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": 7877, + "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": 9989, + "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": 6388, + "tgt": "What is the painful swelling near anus?", + "src": "Patient: Hello doctor, I was suffering a lot with pain, discomfort and not concentrating on my studies, a small pimple like structure raised at my anal section. I think it is haemorrhoid. When I am making bowel movement, I was suffering a lot. Please help in solving this issue. Doctor: Hello. Based on your description, it might be haemorrhoid or perianal abscess. If it is in a lower grade, some medical therapy may be proven to ease the pain and inflammation. But a medical consultation would be neccessary to determine that condition. Anyway, you can try a local cream containing Betamethasone and Lidocaine twice daily. A stool softener such as Lactulose would help for an easier and less painful bowel movement. Keep a watery diet with soups and high fibers foods. Have plenty of liquids. Sitz baths would help a lot. If it is an abscess, an antibiotic can be started. Continue this medication for about two weeks. If no improvement, the surgical solution must be taken into consideration. Take care and best wishes." + }, + { + "id": 10078, + "tgt": "I am 13 weeks pregnant. Kindly explain about subseptate uterus", + "src": "Patient: Hello doctor, I am 13 weeks pregnant. I have been diagnosed with subseptate uterus with the live fetus in the left horn. Baby is good, with heartbeat and growth. My doctor has advised me proper rest and some medicines. I want to know in detail about this subseptate uterus. Doctor: Hello. Let me start with a few basic facts and further clinical correlates and effects. Every lady has two uterine tubes, which fuse at birth, and over time, the wall between the two tubes disappear. Now the uterus is converted into a single cavity uterus. The upper ends of tubes remain separate as two fallopian tubes. Sometimes the fusion is complete, but the partition does not disappear. If the tubes do not touch others or do not fuse at all, then you get bicornuate uterus. But if only the wall is partially removed, it forms subseptate uterus. If the wall does not disappear at all, then the septate uterus is formed. Now in both the last two conditions, the main problem is that the space inside the uterus is compromised. The best option was to have a hysteroscopic resection of septa then get pregnant. Having rest makes no difference. At 14 to 16 the week, she can undergo an elective cervical cerclage. Due to septa, uterus loses its polarity, and she is prone to cervical insufficiency. As space inside the uterus is compromised, she can have preterm pains, preterm labor. Due to septate, the baby presentation may not be head down. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 20196, + "tgt": "Does my sore throat look like strep?", + "src": "Patient: Hi doctor, I am suffering from sore throat. Three days ago, it initially started with pain and the redness appeared shortly after. I have had strep about three times now. It hurts when I yawn and swallow. I feel a little dry even though I have been gargling with water. I woke up this morning with a thick vertical red line going down my throat. Does it look like strep? Doctor: Hello. We are happy to help you. With the details you have provided and the photo you shared (attachment removed to protect patient identity), I have come to the conclusion that you are having an acute tonsillopharyngitis. This is the infection of pharynx (upper part of the throat) and your tonsils on each side. Now, we can conclude it as a streptococcal infection only based on the culture and sensitivity swab of the throat. For further information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13226, + "tgt": "Which medicine can be used to treat ringworm infection?", + "src": "Patient: Hello doctor, I have about 4 inches of patches of ringworms on both of my buttocks and a 3-inch patch on my vaginal area. I am using Covate GM cream for the treatment but it is not showing any results. Please help. Doctor: Hi. If you have ringworm infection, kindly use oral and topical antifungal agents. If it is very red, mild steroid combined with an antifungal agent is to be used. You will get better after treatment. Scraping for fungus. Tinea cruris. Tinea cruris. Tablet Terbinafine 250 mg OD. Apply topical Terbinafine ointment BD. Apply a combination of Hydrocortisone plus Clotrimazole (like Hydrozole) at night. Take antihistamine OD. Maintain hygiene of the area. Wash with soap and water. Avoid using Dettol and other irritants." + }, + { + "id": 11654, + "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": 24096, + "tgt": "My penis is not sensitive to pleasure. Is this a nerve issue?", + "src": "Patient: Hello doctor, I do not get any type of pleasure whatsoever from my penis. My penis is not sensitive to pleasure at all. On the other hand, rubbing glans hurts a lot instead of giving a pleasurable feeling. Also, rubbing causes a nerve to twitch in my groin. Is this a nerve issue or some sort of nerve block of the nerve that is responsible for pleasure in the penis? Doctor: Hello. Glans penis is a too sensitive area. So, touch the area very gently. Otherwise, it hurts. Use lubricant whenever rubbing over glans to minimize the discomfort. It is probably not due to nerve problem but more likely due to a high sensitivity of the area. However, in person evaluation may help more to find any cause. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13441, + "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": 9282, + "tgt": "I am unable to move the left side of my face properly since yesterday. Please help", + "src": "Patient: Hello doctor, I have not been able to move the left side of my face properly since yesterday morning. I went to the doctor yesterday, and he said if it did not improve to come back, but I can not get back into the doctor. I have pain under my jaw and now feeling in my tongue on that side of my face either. Doctor: Hello. I have read your question carefully, and I understand your concern. 1. Do you have difficulties also in closing your left eye or raising your left eyebrow 2. Did your taste change? 3. Did your doctor prescribe any medication? 4. What was your doctor's opinion yesterday, since he surely did a physical exam? Did he also check your ears? 5. Do you have other symptoms or is just the face involved? In general, if the answer for the first two questions is yes (not smiling properly, difficulty closing the left eye and raising the left eyebrow, if you chew food on the left side, you notice the taste is changed) and the symptoms are confined just to your left side of the face, I suspect a peripheral facial nerve palsy. The management plan that you should discuss face to face with your doctor, 1. Corticosteroid treatment within 72 hours of symptoms onset. After 72 hours, I do not recommend (like Prednisolon 50 mg per day for five days, then reducing the dose gradually over five days in total 10 days of corticosteroid therapy). 2. Artificial tears during the day and eye protection during the night. 3. Nerve conduction studies after 10-14 days. 4. Physical therapy (your doctor might give you a leaflet with appropriate exercises, or you could search on youtube for Bell's palsy exercises. I hope my answer was helpful. Feel free to contact me again if you have further questions or concerns." + }, + { + "id": 1818, + "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": 31024, + "tgt": "What is a seizure?", + "src": "Patient: Hi doctor, Before 5 years, I fell down backwards on the ground. My head collided strongly. Now, I am having some ill feeling in head and that is not a headache. Once, while sleeping on the floor, I became unconscious for a while. My EEG result says that I have a seizure. What is it? Shall I do further tests like scanning? I attacked my wife while sleeping without my conscious. Please advise. Doctor: Hi. A seizure is the manifestation of abnormal electrical activity in the brain. Seizure can be caused by many reasons such as tumor, injury and vascular disorders. In the absence of any structural lesion on MRI, it might be epilepsy due to an unknown cause. For further doubts consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17547, + "tgt": "Will using diaper cause urine infection and fever?", + "src": "Patient: Hi\u00a0doctor,My baby is 11 months old. She is having on and off fever for a week. Her doctor prescribed antibiotic along with Paracetamol syrup. But, she does not like to have antibiotics. So, I only gave her Paracetamol. Is it because of that her fever is still not going? She had ear pain last week. But, now the doctor says that everything is fine with her ear. I make her wear a diaper when I put her sleep. Will using diaper cause urinary infection and fever? She drinks only a little water but urinates about 10 to 15 times a day. She is currently on Fepanil 250 mg 2.5 mL during fever, Erox CV 2 mL twice a day for five days and Oxycure P nasal drops. She is 9 kg now. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27594, + "tgt": "Which of my two specialists should I listen to?", + "src": "Patient: Hello doctor, I have ADD and narcolepsy as well. I have not been on any medications for either. I consulted a sleep specialist and psychiatrist in two weeks separately. I have taken Phentermine 37.5 in the past for weight loss which did not work. I would take two pills and still be tired and go to sleep. I was told Phentermine is a stimulant. If this stimulant does not work, will no stimulants work for me with this dual diagnosis? And which of two specialists should I listen to in the\u00a0event they disagree with what I should take? Doctor: Hello. Please discuss with your psychiatrist about my suggestions. Take care. For more information consult a sleep medicine physician online --> https://icliniq.com./ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 346, + "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": 26741, + "tgt": "Barium solution has caused a blockage in my mother's stomach. How serious is it?", + "src": "Patient: Hello doctor, My mother started having internal bleeding two weeks back due to Pradaxa, which she was prescribed three weeks ago. In search of this internal bleed, my mother was asked to drink a gallon of bowel flushing solution. She drank two-thirds of the solution, but was told that she had not had enough to do the colonoscopy, so the test was put off till the next day. She was asked to drink another gallon of this solution. All the barium solution caused a blockage causing her to puff up, which went unnoticed when they performed a colonoscopy. They did not find any damage to her colon, so after determining that the bleed must have been in her small intestine, they attempted to do a barium follow, in which they found a blockage just outside her stomach. The barium has now been in her stomach for three days. How long can she go like this before it becomes a serious life threatening condition? The blockage was originally a dull pain and now has gone to a sharp pain and laboratory\u00a0people are still just waiting for it to pass.\u00a0At present, she is taking an intravenous antacid Norco 10 for pain and an antibiotic Cefalexin, Albuterol and Dulera for her bronchial issues. Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician\u00a0" + }, + { + "id": 14580, + "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": 4528, + "tgt": "Do any ayurvedic medicine give immediate result for premature ejaculation?", + "src": "Patient: Hello doctor, I think I have a problem with premature ejaculation for the past five to six months because of stress. It lasts for only three to four minutes after almost 15 minutes of foreplay. What is an ayurvedic medicine you can suggest for immediate results? Will it cause any side effects? Also, how long I need to take such medicines? Doctor: Hi. For immediate result, PDE5 (phosphodiesterase type 5) inhibitor is the only option, but it has its own side effects. Kindly share more details so we can find the cause of your issue. There are many reasons for premature ejaculation. 1.\tStressful work, night duties, 24-hour jobs. 2.\tDiabetes, hypertension, thyroid issue has an effect on premature ejaculation. Keeping your blood sugar, blood pressure and thyroid hormones under control will help you. 3. Long term antihypertensive and antipsychiatric medications. 4.\tFrequent masturbation. 5.\tExcess porn. 6.\tReceiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation. 7.\tHaving an affair giving you a guilty feeling. 8.\tLack of exercise and obesity. Need to check FBS (fasting blood sugar) and PPBS (post-prandial blood sugar) to rule out diabetes. Check your BP (blood pressure), free T3, T4, TSH (thyroid-stimulating hormone) for ruling out thyroid issues. Kindly share details regarding the above reasons so we can work on understanding the cause and plan treatment accordingly." + }, + { + "id": 6843, + "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": 18214, + "tgt": "Are the HIV tests done by me right?", + "src": "Patient: Hi doctor, I am a 32 year old male. My weight is 95 kg and height is 174 cm. I had protected vaginal and oral sex with CSW. Then, I did the following HIV Screening tests and all of that came back negative. ELISA on 26th day - non reactive, ELISA on 40th day - non reactive, HIV 1 and 2 antibodies on 60th day - non reactive, RPR and VDRL serum through slide flocculation method on 60th day - non reactive, anti HCV - non reactive and HBsAg - non reactive. After 65 days, Chlamydia trachomatis and Neisseria gonorrhea tests were negative. HIV 1 and 2 combo test (CMIA) on 90th day was non reactive. I also had blood test, liver function test, urine analysis and urine culture on 100 day after consultation with my GP for certain symptoms. I have attached the reports for your reference. As there were a few high LFT values, I had a liver scan. It showed grade 1 fatty liver. My kidneys are normal. My urine report showed presence of pus cells, but the urine culture report was normal. My symptoms are slightly yellow urine, sometimes pain while urinating, frequent urination, white saliva, sometimes feeling of fatigue, anal burning after defecation and muscular pain under armpits. My GP said it is muscular, but I am very concerned here. From yesterday, I can see slight swelling under the knee joint. There is no fever so far, but I feel exhausted sometimes and under extreme stress. Based on the above tests, can you please help me. Are all the above tests correct? What is the conclusion on my various STD statuses in terms of the days when I conducted tests? Is HIV combo test confirmatory at 90 days? Are anti HCV and HBsAg done at 60 days confirmatory? Do I need any more tests? My GP has given me tablets for urine related issues. I have not told him about the above encounter. I am on Doxcef, Pyridium and Rabesec. Please help me as I am under extreme stress and getting all weird and extreme thoughts. Doctor: Hi. I have read your query in detail and viewed all the reports (attachment removed to protect patient identity) and do understand your concern. As you indulged in protective sex, your risk of acquiring any STD (sexually transmitted disease) or HIV (human immunodeficiency virus) from someone is already very meager. All your tests are correct and there is no need to get them repeated. For gonorrhea and chlamydia again PCR has been done, which is extremely reliable and can pick up even a few organisms if present in the body. Fourth generation HIV ELISA test has been done, which is very accurate and can pick up infection at very early stage. There is no need to repeat it. Anti-HCV (hepatitis C virus antibody) and HBsAg (hepatitis B surface antigen) done at 60 days is not confirmatory. If your physician suspects any symptoms, then you may get them repeated after three to six months. Viral load test for HCV and HBV are very accurate if done now and confirmatory, but are quite expensive. No other test required. Your symptoms of slightly yellow urine, sometimes pain while urinating, frequent urination are due to urinary infection. For urinary infection, your doctor has put you on suitable antibiotics and these should be taken religiously. Other concerns like burning after defecation, muscular pains, etc., all are non specific symptoms. It can also be seen without any underlying cause. Some symptoms are psychological, which happens very commonly when you are living under the fear of acquiring HIV. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 19472, + "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": 5393, + "tgt": "What are the ways to increase height in an 18-year-old boy?", + "src": "Patient: Hello doctor, I am 18 years old, boy, and I am 5 feet 1 inch tall. I feel like I am not growing after 14 years. What is the cure to increase my height? I am not on any medication. Doctor: Hi, Welcome to icliniq.com. There are many factors that allows to stop the height growth like genetic or family history- If your parents are shorter in height then it is less likely that you grow taller than certain height. Also, if there is some genetic issue with your body then that does not allow to grow as well. However, if there is no such genetic or medical issues then at this age you can surely increase your height if you do proper exercises like swimming, jumping jacks, cycling, pull ups, and yoga exercises like Tadasana and Vriksh asana. These exercises will stretch all muscles of your body. Along with exercises you will need to take proper nutritious food like lots of fruits, vegetables of all kind, milk and dairy products and if you prefer then some meat, eggs or fish. There are lots of homeopathic medicines that can help to grow your height, however, those are prescribed based on your complete make up of your body like physical, mental and emotional health. This history can be achieved only after detail case taking and understanding you as a person. If you wish to use homeopathic treatment for this issue then let me know I can try to help you out. In the mean time try above mentioned methods for a month and let me know if you see any bit of improvement." + }, + { + "id": 9273, + "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": 18922, + "tgt": "How to remove the scar in my face following a skin infection?", + "src": "Patient: Hi doctor, I am a 29 year old male. I developed a skin infection on my face. It is in three places. One on the right corner of forehead, one just near below my right eye and then one just below my right lip. Symptoms started with some itching and redness. Below my lip some kind of small blisters were first seen. Then later I felt more tingling, itching, burning sensation and crawling on the skin. I went to a dermatologist in my locality and he prescribed tablet Teczine and Flucort cream for a week. Then on my second visit, he prescribed Zanclav and Cortimax. And in my recent visit, he prescribed Alaspan and Tendrone cream. I will be visiting him again after a month. Now, all the symptoms have gone and it subsided with the help of the medication being prescribed. But, the thing is that I have big scars remained which making me worried and uneasy. The scars on the forehead and lower lip are like a kind of cut incision being made. The skin got separated. The one below the eye is just a pinkish red scar. I am worried about the scars. Will those scars return to normal skin as those skins are separated each other deep inside? I am sending the picture of my scar. Kindly give a suitable advice and suggestion how to go about it. I want my normal skin back. My immunological investigation, hematology analysis and liver function are normal. Thank you. Doctor: Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 31022, + "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": 25611, + "tgt": "Everything seems to be normal in gastroscopy. But I have stomach pain. Please advice", + "src": "Patient: Hello doctor, I have stomach pain.\u00a0I had done gastroscopy, but everything seems to be normal. I have been taking medicines for 3 months but no relief.\u00a0Please advice. Doctor: Hello. I need to know a few things. are you having pain in the upper stomach, above the belly button? If it is so, you may have ulcer/gastritis. If there is an ulcer, endoscopy findings will be present. If no findings, then it may be acidity (gastritis). Gastritis is due to many causes like: Follow the below mentioned points: But if you have pain in lower abdomen, it may be due to a different issue. Ultrasound scan, if pain is present in lower abdomen. Gastritis Proper diet, avoidance of risk factors, tablets and syrup for one month. Revert back to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 11188, + "tgt": "What causes heart palpitations for a long time?", + "src": "Patient: Hello doctor, I have had heart palpitations for two weeks. 3 to 6 times a day. Feeling of one hard heatbeat. I bought a holter monitor and catched it today. Seeking advice. Doctor: Hello. This is an atrial ectopic or extra beat in other words. These occurs intermittently, so, ECG may be normal in between. These are not worrisome usually and most of the times without much significance. However, we need to rule out the possibility of structural heart disease before calling them benign. So, echo should be obtained to rule out possibility of structural heart disease. Also, thyroid problems can cause these, so thyroid profile should be obtained. Also, too much coffee, sleep deprivation, stress, alcohol and other addictions may cause those, so should be minimized, if any. If too frequent and symptomatic, then one can have beta-blockers medicine like Metoprolol which suppress these. Otherwise these settles with time." + }, + { + "id": 3895, + "tgt": "My period is delayed by one week. Is it due to pregnancy or side effect of emergency pills?", + "src": "Patient: Hello doctor, I am one week late as of today for my menstrual period. Currently, my cycle is 38 days. I have been having protected sexual intercourse the past month, but just recently (Day 35) of my cycle, the condom of my partner leaked at the base. So I immediately took emergency contraceptive which is four birth control pills at 5 PM, then another four birth control pills at 5 AM the following morning. I started feeling the side effects, but I am worried since my period is a week late already and I just woke up at 2 AM on day 38 unable to sleep with a weird feeling in my stomach and I am extremely constipated, with tender breasts, and feel sick overall. I would like to know if my period will come soon? If there is a possibility I am pregnant, or if I am just feeling all these symptoms due to hormone imbalances? What I should do in this whole situation since I am very worried about it? Doctor: Hello. Yes, you are right, your period will come soon and that is most likely possibility. Your symptoms can be due to both pregnancy and/or hormones. Because in pregnancy there is increase in amount of hormones and you just take higher dose of hormones. And symptoms you are experiencing is due to the higher level of hormones in your body which can be due to both reasons. But it is more likely that symptoms are due to the pills you had taken. Because if it is due to pregnancy then pregnancy must be due to earlier intercourse which was protected. So there are very fewer chances of failure in that case. And right now your periods also get extended due to the pills you had taken. Basically, in this situation you should do a urine pregnancy test and see if it comes positive then it is due to the failure of previous precautions. And if it turns to be negative then just wait for seven more days and periods will come. And even after that if your symptoms are increasing in two days then you need to go for a test for confirmation to clear the confusion. Drink more water. And do not take much tension. With your history, it is more likely that it is just delayed menses due to emergency pills and side effects of oral hormones. Your period can be irregular for one or two cycles." + }, + { + "id": 30441, + "tgt": "I am concerned about a lump on the occipital area. Please help", + "src": "Patient: Hi doctor,About one week ago, I felt a tender lump in the occipital area of my head. It is pea sized and movable. It hurt only when I touch. It has not got any worse. In fact, it is better and less tender unless I touch it. When I had an appointment with my doctor, I was asked to give a blood sample.\u00a0I got the reports back and everything was normal except the CBC.\u00a0The polymorphs were 82.4 (normal range is 36 to 78) and\u00a0the lymphocytes were 9.7 (normal range is 12 to 48).\u00a0WBC 9.21,\u00a0HCT 12.3 and\u00a0HGB 36.8.\u00a0I do not have any fever, night sweats, weight loss, chills or fatigue. I work out every day. I am a 50 year old mother of four teenagers. Also, I work part time. I do not have any significant medical or surgical history. My last two CBCs were normal. As I\u00a0was having perimenopausal irregular bleedings, my OB drew blood. Before two years, I had similar results (high polymorphs and low lymphocytes). When it was repeated after three months, they were normal. My scalp is a bit on and off itchy, but there is no rash or open areas. I am just concerned about the blood tests along with the occipital lump. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6071, + "tgt": "Why did my stomach symptoms get worse after taking PPI?", + "src": "Patient: Hello doctor, I have multiple problems with my stomach, it all began two years ago after taking pills which I was allergic to. My stomach became inflamed with a lot of\u00a0acids, chronic antrum gastritis, and acid reflux. My stool was too soft, and I did not take any pill because my doctor did not give me anything. I still have hair loss and brittle nails. Three months ago, I started taking Magnesium effervescent tablets. But after taking\u00a0that, new symptoms like burps, bloated stomach, difficulty in breathing, stomach cramps, indigestion, and nausea began. The doctor said it is dyspepsia. I got an endoscopy again, and the doctor said I do not have much acid or inflammation, but the stomach mucosa is granulated, with an unevenly expanded corpus and antrum. What does this mean? Even if my\u00a0stomach is empty, I feel like it is small and sore from inside. I am still waiting for my biopsy report. And after taking PPI, my symptoms became even worse. I have a burning and pain below the navel, more on the right side, and it is irritating. What is wrong with me? Do I have less acid in my stomach now?\u00a0What to do? Why do I have dyspepsia? A balanced diet is also not helping at all. When I lie down, I always have a dry burning pain in my mouth, but not in the throat. Endoscopy did not show any acid reflux. Will it be seen on a biopsy? I get hungry very fast, and it seems as if my body is not getting enough nutrients. How to\u00a0make my body absorb more nutrients? Doctor: Hi. Revert with more information a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4216, + "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": 10416, + "tgt": "A gurgling occurs while breathing in and out. Why?", + "src": "Patient: Hello doctor,I am gurgling when breathing in and out, especially when laying down. In the beginning, I had a fever with strong cough and wheezing sound when breathing in and out, after a few days, I am back to normal, but this wheezing turned into gurgle till now. Doctor: Hello. Take syrup Bromhexine two tablespoon thrice daily for a week. It will produce a cough. Please excrete it out. Also, do steam inhalation thrice a day for a week." + }, + { + "id": 3049, + "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": 12814, + "tgt": "What is the treatment for chronic belching?", + "src": "Patient: Hello doctor, I am a 38-year old male. 6\u20190\" 230 pounds. I have had chronic belching for about a month. This is from the time I wake up until the time I go to bed. Symptoms decrease when lying flat or sitting still. I belch every time I stand up or sit down. It is almost like a hiccup burp. No other symptoms at all. I have been diagnosed with general anxiety but no other medical issues. I have also been taking Nexium for a few weeks. Doctor: Hello. I have gone through your query in detail. I would like a few more details about your belching. Do you have reflux symptoms (sour after taste, recently consumed food coming back to the throat on belching, or heartburn) or any vomiting? How are you opening your bowels? Have had an endoscopy (EGD)? Is it usually that you have a feeling that you need to belch to ease the discomfort in your tummy? Belching is usually a behavioral issue, and can be controlled by behavioral training. The above-mentioned details would help in guiding you about managing your symptoms." + }, + { + "id": 1360, + "tgt": "How soon will I bleed after taking Regestrone?", + "src": "Patient: Hello doctor, My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage? Until when is it legal to get an abortion for a woman without any complications or failed contraception? Doctor: Hello. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps." + }, + { + "id": 10453, + "tgt": "Why is my penis not getting hard during sexual intercourse?", + "src": "Patient: Hello doctor, I recently got married but when I started having sex with my wife, I started noticing that my penis is not becoming hard enough to have sexual intercourse. Also, sexual arousal is also not happening. I believe I am suffering from erectile dysfunction. Kindly advice what I should do. Doctor: Hi. Erectile dysfunction can occur because of many factors like diabetes, hypertension, thyroid disorder and also due to stress and psychological problems. So, visit a nearby psychiatrist to find the exact cause and then act accordingly. If there is no physical or medical condition then, Sildenafil or Tadalafil will help in erection and these drugs can only be used after discussing with your doctor. Meanwhile, spend enough time on foreplay. You can take few days for only foreplay and proceed to sexual intercourse only when you feel that you are fully erect. Avoid any substance abuse like alcohol or tobacco. Take adequate sleep. Do regular exercise like morning walk for 45 minutes daily. Do exercises of pelvic muscle like kegels exercises." + }, + { + "id": 28646, + "tgt": "Had sex using pull-out method and bled a week before my period. Am I pregnant?", + "src": "Patient: Hi doctor, I am 18, and I had unprotected sex a few times last month using the pull-out method. I thought that I could not get pregnant with that method. I am stressed that I could be pregnant because I had some bleeding a week before my period. The bleeding was less than usual, but I still needed pads for two days. The bleeding was the color of my normal period, but it lasted for only three days and my period usually lasts four days. It happened eight days before my period. But, before the bleeding, I\u00a0used Vitamin C 6000 mg a day for three days to induce my period. Could it have been implantation bleeding or vitamin C induced period? My period should be due tomorrow, and I am stressed that it will not come. Please help. Doctor: Hi. Rightly said, withdrawal is not an effective method. As the precum or pre-seminal fluid (the clear fluid that comes out before the semen) is rich in active with healthy sperms, it can be enough for you to get pregnant. I cannot tell you conclusively if that was an implantation bleeding as it is variable in different people. In some, it may just a few drops of bright blood or dark, thick blood or brown blood or like regular periods like bleeding or nothing at all. Think positively, just wish to get periods tomorrow. If need arises have urine tested and be confident to see only that single line, which means you are not pregnant. This stress itself can delay your periods. So just keep calm as there is a solution for everything. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11014, + "tgt": "What precautions need to be taken for having low lying placenta?", + "src": "Patient: Hello doctor, I am 30 years old. I am in my first trimester of pregnancy. My 10 weeks 4 days ultrasound showed a very healthy baby of 36 mm with movements and strong heart beat. It is great news. It also mentioned that\u00a0anterior placenta extending on the lower end. My gynecologist did not seem concerned at all and even never mentioned it. But, what does it mean? Is too early to judge? Or is there some precaution I must take? Thanks in advance. Doctor: Hi. It is too early to judge about placental position. Secondly with growth of baby, placenta normally moves up. So, there is nothing of concern right now. Regarding precautions, low lying placenta which is also known as placenta previa may sometimes bleed (manifests as vaginal bleeding) with sexual intercourse. You have to keep this fact in mind if you experience bleeding. You can avoid intercourse to avoid bleeding, though it is not a must. Sexual abstinence not compulsory, as the placenta is just extending on the lower end and not of serious type which covers internal opening of the cervix. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5888, + "tgt": "I had a miscarriage and now trying to get pregnant. Can I travel to work during pregnancy?", + "src": "Patient: Hello doctor, I have past history of two miscarriages at 18 weeks. Hysteroscopy and laparoscopy confirmed cervical incompetence and my polypoidal endometrium was removed. I conceived again with follicle test procedure during which CG 10000 was injected into my blood, but unfortunately, I had to undergo DNC at 8 weeks because of no sign of fetal pole (no yolk sac and heartbeat). My TSH value at that time was 7.44. Now I am on medication for PCOD and TSH. After my lupus test I will be going for pregnancy again. My doctor suggested me not to do travelling, stich and complete bed rest this time. Is it necessary for complete bed rest for nine months? My employer would not be convenient with my complete unavailablility. Can you help me to make rest less stringent? Could you advise how could I attend office at least one day a week? How can I make it not necessary to spend entire 24 hours in bed? This allowing me to work from home. Doctor: Hello. The fact that you had two miscarriages at 18th weeks of gestation which were spontaneous and that leech wilkinson canula went inside uterus during hysterosalpingography procedure attempted prior hysteroscopy confirms cervical incompetence here (attachment removed to protect patient identity). The third pregnancy being anembryonic pregnancy does not really qualify you for a lupus test for thrombophilia but nevertheless it is better if we rule that out as well. Regarding your next pregnancy, I would say MacDonald's cervical stitch would definitely be mandatory at 11th week of gestation to avoid another spontaneous miscarriage, but complete bed rest is not required. You may do your daily household work but have to take care of avoiding lifting anything more than 3 kgs or avoiding any form of increased intra-abdominal pressure which can cause inadvertent pressure over uterus. Going to office should be avoided till at least third trimester and you can easily opt for work from home. The aim is to avoid any form of inconvenience or jerks which can cause an unfavourable outcome. As long as the cervical stitch shall remain you would not deliver vaginally, but chances of preterm labor which are common in such cases would have to be countered with tocolytics, ideally in third trimester." + }, + { + "id": 26520, + "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": 27299, + "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": 21285, + "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": 1529, + "tgt": "I have a phobia of vomiting. What can be done to prevent vomiting due to general anesthesia?", + "src": "Patient: Hello, I am a 50 year old female who would like to have a breast reduction. However, I am high risk for vomiting from the anesthesia. I have a phobia of vomiting. I am a non smoker. I've had general anesthesia once before and I vomited several times. I am so scared that I have rescefuled the surger 3 times. Is there anything else that can be used instead of general anesthesia? What can be done to prevent the vomiting? Thank you Doctor: Hi, General anaesthesia has known post aesthesia effects of nausea ,retching, vomiting etc. Also these may be due to direct effect of surgery and pain. You seem to be very sensitive and anxious to it. But usually it is seen that with each subsequent episode of administration of general anaesthesia these effects tend to decrease in severity. So if last time you had vomiting postanaesthesia this time it will be less severe in terms of no. Of episodes etc. This will reduce your discomfort. Also if you may have prexisting GERD or gastroduodenal ulcer , gastritis. These may also cause nausea vomiting postoperative. So I would advice discuss issues with your anaesthesiologist and surgeon. Nausea, vomiting can be taken care of by medicines like proton pump inhibitors, H2antihistaminics, antiemetics which will be give by your physician in recommended doses. Some pre-op anxiolytic medicines on night before surgery will help you reduce anxiety. Take a light non oily meal on day before surgery so that stomach stays relatively acid free." + }, + { + "id": 25981, + "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": 19967, + "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": 23059, + "tgt": "Kindly help me understand the medicines prescribed by my doctor", + "src": "Patient: Hello doctor, I have mild pain in my right lower leg and spondylosis. Kindly help me out with the medicine prescribed by my doctor. I want to understand which medicine is used for what purpose. See the prescription attached. Doctor: Hello. I have gone through the prescriptions (attachment removed to protect patient identity). One of the medicines, the third in the first prescription is not legible. Do you have a strip of the medicines? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17207, + "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": 1904, + "tgt": "Does grainy white cervical mucus during ovulation suggest yeast infection in vagina?", + "src": "Patient: Hello doctor, I am trying to get pregnant for a year now. So far it has not been a success, and the main reason is I have irregular periods and difficulty tracking my fertile window. I have been tracking my ovulation this month, and according to calculations this week I should be ovulating. So this whole week I kept checking my cervical mucus and did some ovulation tests. The last five days my ovulation tests all came back negative until today. I saw only a faint line. But from here I got very confused. The reason is, according to my knowledge, if you reach your ovulation your cervical mucus should also change to a watery, slimy, or egg consistency. When I check my mucus it is grainy and white, which probably refers to yeast infection but I have no other symptoms. No burning feeling, or any itching or bad smells. Just white grainy mucus. Does this mean I do have a yeast infection, even though I have no other symptoms? Can this affect my chance to get pregnant? Doctor: Hello, Welcome to iclinq.com. Yeast infections are usually associated with symptoms like itching or pain. The description of the mucus looks more like an ovulatory discharge. The discharges are not always bookish, it varies with individuals and patterns may have some changes during active sexual life. So do not worry and have regular intercourse during this time as it is the fertile period. Generally, timed intercourse adds stress to both partners, so have casual stress free sex, it actually makes wonders. I hope this helps. Ovulatory discharge. Ovulatory discharge." + }, + { + "id": 26532, + "tgt": "Is it alright to take sleep medicines for eight months at a stretch?", + "src": "Patient: Hello doctor, My father is having sleep issues and is taking Venlafaxine 37.5 75 mg, Arip MT 5 mg, Pacitane 2 mg and Lonazep 0.25 from eight months. Is it alright to take these medicines for so long? Doctor: Hello. For more information consult a psychiatrist online.--->https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 26643, + "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": 3280, + "tgt": "My shins get hurt after Zumba dance session. Should I continue it?", + "src": "Patient: Hi doctor, I have been doing Zumba for six months, three times a week. A month ago, my instructor significantly increased the intensity of choreographies and my shins started hurting after dancing. They hurt all along the tibia, all the time. It is not extremely painful, but quite annoying. I would like to continue exercising, but I am scared of potential long-term consequences. Should I just slow down and avoid some moves (like jumping)? Should I switch to pilates? Doctor: Hello. I have read your query. I would suggest you to reduce the intensity or time duration of Zumba, if possible. Do some warm up exercises before starting with high intensity Zumba dance. You can also do some low intensity Zumba dance before moving into the higher intensity every day. Please have a look below for more informations. Start with warm-up exercises or low intensity Zumba dance before starting with high intensity Zumba dance. Take frequent brakes between the high intensity dance. You may simply stand or sit for two to five minutes in every 10-15 minutes of dance. You may use shin support braces during the dance. This may reduce the pain you get after the dance. Dip your legs in warm water for 10-15 minutes after going home or take hot pack on the shins. Rest in between the high-intensity dance. Shin supports or braces while practicing Zumba. Try the above suggestions and see, if you still feel the pain let me know. You may later opt for pilates instead of Zumba." + }, + { + "id": 14342, + "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": 13504, + "tgt": "What is causing swollen and painful gums after wisdom tooth extraction?", + "src": "Patient: Hi doctor, I am a 19-year-old female. I had my wisdom teeth taken out about four days ago, and now the gum behind where the wisdom tooth used to be is very swollen and causing pain. Doctor: Hello. I have been through your query and I can understand your concern. Pain after the extraction is normal and that too for the wisdom tooth which often requires surgical intervention. However, if the pain is still present after four days (provided the extraction did not require any major surgery), it might be due to the infection of the extraction site which is often called as dry socket. Dry socket is associated with the severe pain in the extraction site and also a fetid odor of the mouth. It is also characterised by the inability to wide open the mouth properly. If you have these symptoms, then it is the case of dry socket. In that case, I would suggest you to have a visit to your dentist who extracted your wisdom tooth and get the wound cleaned up properly along with the medications. Meanwhile continue the post-extraction instructions that your dentist must have given to you like do not suck on the liquids or using a pipe to drink liquid or beverages, slight talking, etc. In case of the pain (if you have severe pain) I would advise you to disperse two tablets of Ketorol DT in the glass of water and then drink it (after visiting your drug history and only if you do not have any drug allergy). Just take Ketorol DT only once as they are very potent and repeated use of them might cause some side effects. However, if you have bearable pain and not the above symptoms then it is the case of regular post extraction pain and swelling. You continue the medication that your dentist has given to you for three more days. For swelling, you can use normal saline mouth rinses but rinse the mouth very gently as rigorous swish might dislocate the clot over the wound and may cause pain. Also, avoid touching the surface with your finger and tongue. Maintain good oral hygiene, brush twice daily and floss regularly with regular mouth rinses." + }, + { + "id": 1812, + "tgt": "My husband's foreskin is stuck after he pulled it back while urinating. What can be done for the pain?", + "src": "Patient: Hi Doctor My husband is having pain in penis head. The foreskin got backwards and now it not coming back to original form and not covering head of penis. Yesterday when my husband was urinating, he tried pulling foreskin and it went backwards, after that it not coming to front. Before also, he was not able to pull it backwards, so while having sex and wearing condom, there was no problem. Once when we had unprotected sex, his foreskin went backwards and he was in pain. The foreskin was coming forward. He is in pain, what can be done? Is it normal or not? We had sex a month ago, with precaution. Doctor: Hello, It looks like your husband is suffering from a condition called phimosis. Phimosis is a condition in which the foreskin is too tight to be pulled back over the head or glans of the penis. Now this can happen due to a number of reasons, and can be diagnosed only after examination. This usually happens when one does not clean under the foreskin, can lead to bacteria, fungus or other germs accumulating there. When this happens for some time, it can lead to balanitis inflammation of the glans, or the head, of the penis). Has this happened before? (Tight, shiny skin on the glans, redness around the glans, itchiness, or irritation of the glans, an unpleasant smell, tight foreskin that cannot be pulled back,etc.). When this happens it can lead to phimosis. After examination only I will be able to diagnose whether it is balanitis or phimosis and whether this is due to bacteria or fungus or some other cause. The treatment varies depending on the findings. Therefore, if the pain is severe, it would be best to take him to a urologist and get it examined. On the other hand, if the penis is red and swollen, you should take him to the emergency room. If you want, I can give you a cream for the pain, but if there is infection, there is a chance it will become worse. I understand there is lockdown, but if the pain is not too severe, you can wait until lockdown is lifted. Let me know what you decide and any other queries you may have." + }, + { + "id": 30237, + "tgt": "Having some yellow, itchy boils on my scrotum and penis. Please help with the treatment", + "src": "Patient: Hello doctor, I am having a small yellow kind of boils on my scrotum and penis, which itches a lot. Sometimes, the itch becomes unbearable and I often happen to scratch the skin. The problem has increased over the last month or so. The boils have spread onto the entire scrotum and penis. Please suggest some medication for this. 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": 14547, + "tgt": "My sister feels irritated, lonely, and emotionally unstable. What may be the reason?", + "src": "Patient: Hello doctor, My cousin sister (age 25 years) is pursuing her studies and resides in a metro city. She lives alone. Often she feels irritated, lonely, and emotionally unstable. She also thinks that there is nothing to look forward to in her life, and she has no future. She is unable to concentrate on her studies. Sometimes she is in a good mood; however, that does not last long. What may be the reason? Please explain and suggest some remedial action. Doctor: Hi. I read your query and understand your concerns. From the available description, it is almost clear that she is suffering from depression. Depression is a common psychiatric disorder which occurs in 10 to 20 % of women and about 8 to 10% of men in their lifetime. Having said this, it is caused by multiple factors and treatment varies according to the cause. The most common is classical or unipolar depression. The second most common is bipolar disorder, which is characterized by both depression and manic episodes. The third possibility for her state is medical conditions induced depression, and it is also possible that she might have had a psychiatric disorder in the past and depression developed as a part of it. Whatever might be the cause, before we start treatment, we need to identify it. We also need to consider family history and support available for her. The third most important thing for treatment is to consider the severity of episodes. To get all these details, you need to give confidence to your cousin sister and consult a psychiatrist." + }, + { + "id": 23022, + "tgt": "I have ear pain when I open my mouth. What might help?", + "src": "Patient: Hello doctor, I am not fat, but my body gets really warm sometimes especially when I sleep, which makes me uncomfortable. So, what might be the reason?Secondly, I get pain near my left ear when I open my mouth. Three weeks ago, the pain went after four days (it started and ended when I woke up after sleep). Again, the same pain came this week, but this time on the right side. Lately, I found my both hand fingers are shivering sometimes but most of the time, I have that feeling even if they do not. Why? Doctor: Hello. Are you suffering from an allergy? If the ear pain is arising during the opening of the mouth at ear area it may be arising from temporomandibular joint. Middle ear infection or eustachian tube block may also give rise to pain in the ear. But in your history, you did not mention clogged ears. Tremors may be due to some decongestant drugs or beta agonists or it may be due to familial tremors. Avoid cool drinks and cold water, avoid allergens. Use water vapor inhalation. I suggest taking tablet Alday-DC (Cetirizine) twice a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If symptoms not improved, please consult your ENT specialist. He will examine and treat you accordingly. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3677, + "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": 23609, + "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": 20577, + "tgt": "I am newly married and suffering from early ejaculation. Please help", + "src": "Patient: Hi doctor,I am newly married, and we both are first timers. We tried penetration a lot of times, but the moment I come close to her, I lose the erection. Also, I am ejaculating within 20 seconds. I do not have any health issue and morning erection is positive. Doctor: Hi. You seem to be reporting of premature ejaculation. It is very common among this age group during the initial part of sex life. I will explain, try to engage more in foreplay during sex like for at least 20 minutes. During intercourse try to go very slow, when you feel that you are about to come, stop and slow down for a minute and then continue. By this way, you can prevent rapid release. You may need medicine temporarily. Use it when required like one hour before sex and maximum once per day. Kindly avoid heavy food before taking a tablet. There are no major side effects except a mild headache rarely. And, you should not be having any cardiac problems. Do a thyroid function test (TSH) to rule out thyroid disorders. I suggest tablet Tadalafil when needed, and the problem will gradually improve." + }, + { + "id": 3776, + "tgt": "After recovery from ischemic stroke, I experience exhaustion, tiredness, ED, etc. Why?", + "src": "Patient: Hello doctor, I am 54 years old. I have been diabetic for long years and under insulin. I also suffer from diabetic retinopathy for two years. I did more Avastin injection and laser sessions. Eight months ago, I had an ischemic stroke just a few months after the injections. My blood pressure was very high. The left gauges are 20%. Better thanks to physiotherapy, I returned as before. Except in the legs the pelvis and purse, erection problem and the rest constipated. For 100 meters of walking, I am exhausted and tired. At the level of the purse, I have burning sensations. At the level of the pelvis, it hurts if I try to sit on the floor or to turn on the bed. The pains are rather nocturnal than at rest. Same also at the level of the left arms when I press or turn in rotation. Drugs: Insulin humalogu mix 25, Insulin lispro mix 25% insulin lispro and 75% insulin lispro protamine suspension. Approvasac 300 mg/ 5mg 1-0-0. Fludex (Indapamide) 0-0-1. Avas-20 (Atorvastatin 20mg) 0-0-1. Ultracet (Paracetamol 325 mg) 1-0-1. Doctor: Hello. I went through your post, you seem to have diabetic neuropathy which is the cause of your erectile dysfunction and easy fatiguability. In addition, there are features of osteoarthritis. Instead of Paracetamol 325 I would suggest sustained-release form like XT Para 1g half tablet twice daily, and neurotropic medicines like a combination of Methylcobalamine with Pregabalin which will improve neuropathic symptoms. Good control of your blood sugar is important to decrease or slow the progression of diabetic complications. Evaluation of cardiac status is important as it may cause easy exhaustion. The x-ray does not show any gross abnormality." + }, + { + "id": 23850, + "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": 22704, + "tgt": "I am having scrotum itching. Kindly advise what has to be done", + "src": "Patient: Hello doctor,I have been suffering from groin fungal infection for a long time. It had healed six months ago by Onabet and some anti-fungal pills, but now it is back. This time it is scrotum itching. Also, on the penis. There are small dots on the penis and the top is red and a bit swelled up, maybe because I itched it. Doctor: Hi. I can understand your concern. From your description and clinical pictures (attachment removed to protect patient identity), it seems that your symptoms are due to a condition called the scrotal dermatitis. The cause is multifactorial. It may be due to irritation from clothing or some products you are using to wash the area. The main stay of management is remove precipitating factors. Loose clothing should be advised to remove the occlusive element. Use some absorbing powder after bath. Keep the area dry always. Use Cortisol cream once daily for seven days. Take Cetirizine 10 mg tablets at night time. Review after one or two weeks. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30358, + "tgt": "Is facial hair growth a side effect of Isotretinoin?", + "src": "Patient: Hi doctor, I am a 24 year old female. My height is 5'3\" and weight 58 kg. I have started to use Isotretinoin 20 mg per day. I have been taking it for the past seven days. But, my facial hair has grown\u00a0more all over my face. They are not dark, but noticeable. What to do? Should I continue the medicine? But, the medicine really cleared my acne. Doctor: Hi. 1. Serum LH and FSH (luteinizing hormone and follicle stimulating hormone). 2. Thyroid profile. 3. Ultrasonography pelvis. 4. Fasting lipid profile. 1) Eflora cream (Eflornithine) twice daily for local application over the unwanted hair. 2) Plan for Nd:YAG or diode laser for hair removal. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29668, + "tgt": "I have cough for more than a week. Am I suffering from heart problem?", + "src": "Patient: Hi doctor,I am having a cough for more than a week. It is like a\u00a0chesty cough, but little dry cough and I have some problem in my\u00a0throat.\u00a0My age is 42 and weight is 95. Doctor: Hi. I appreciate the genuine concerns regarding your health. I have carefully worked through your case and I can realize your health worries. There is nothing to worry about your heart. It is due to infection of the respiratory tract. I suggest the following medicine. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Fexofenadine 120 mg once at night. 2. Ibuprofen oral three times a day. 3. Azithromycin 400 mg once a day for five days only. 4. Dry cough syrup two tablespoons thrice a day. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4267, + "tgt": "Is it normal to have pain and swelling after an arthroscopic surgery?", + "src": "Patient: Hello doctor, I did\u00a0hurt my ankle 2 years ago then went for an MRI 11 months back. The following month I had an arthroscopic surgery (OCD MTD). Now, even after nine months it still swells up, painful and I do not have full range of motion. It hurts a lot when I run or jump. I have been doing physiotherapy and trying to strengthen the ankle, but I still feel pain. I did another MRI three months back. I have attached both MRIs. Please let me know what you think. Doctor: Hello. I have read your query and the MRI reports attached (attachment removed to protect patient identity). For further doubts consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17212, + "tgt": "I have headaches, eye pain and vomiting. Kindly advice", + "src": "Patient: Hello doctor, I am a 36 year\u00a0old female. I have a cluster head ache for the past five years. I feel severe pain behind my eye, which normally ends with vomiting. This happens for three to four days at a stretch. I do not want to undergo any surgery immediately. Hence, kindly advise me medications to reduce the pain. I am a nursing mother. Doctor: Hello. I read your query and understand your concerns. In case you feel it is something else, as you can infer from the above description, or feel that Naxdom 250 is not helping enough, feel free to ask me. I hope this helps you. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 8876, + "tgt": "Please suggest some ways to cure chronic yeast infection", + "src": "Patient: Hello doctor, Please help. I have struggled with a chronic yeast infection for at least the past year. It never really seems to go away, and this time it is so painful. Not much discharge, but the itching and sex is very, very painful, and it hurts to pee. I am so frustrated. I take an estrogen-based birth control (had yeast infections starting before I was on this) and am mostly gluten-free. Please help me. Doctor: Hi. When yeast infection result occurs positive recurrently then, husband and wife both should be treated at the same time, otherwise, it gets infected to one another. You should keep your private parts clean and dry always. You should wash your vaginal area with Triphala Kwatha twice a day and after drying apply Himalaya Vgel properly. You should take Gandhak Rasayana one tablet with Himalaya Purim one tablet thrice a day after meals. Patrangasava 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Avoid cold drinks, soft drinks, ice-cream, fast food, etc. Keep clean and dry, your affected areas." + }, + { + "id": 30850, + "tgt": "Is brownish discharge a sign of infertility?", + "src": "Patient: Hi doctor, I am 22 years old. I am not sexually active. I had my periods on the 15th of last month and on 29th I had spotting with some blood. After that, I am experiencing brown discharge. It has been three days now. Please help me. Doctor: Hi.\u00a0 For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30266, + "tgt": "Please let me know if my father has been treated in a right way", + "src": "Patient: Hi doctor, The patient is a 65 year old, slim and athletic body male. He did not have diabetes or\u00a0any health issues in the past. He was a little unwell for about last one week. He had a slight fever for about three to four days, following which he only had some cough without any fever for two days. He used some OTC cough syrup during the last two days. About 20 hours ago, he started developing some difficulty in breathing and was taken to a local hospital. An EEG suggested to the local doctor that he may have had a heart attack and was given some Heparin along with some antibiotic and moved to a bigger hospital. A few quick tests and a bit more revealed to the neurologist that the heart is not the issue. I just got to know that the newbie general physician prescribed some unwanted medications. I was informed by the nurse that the diagnosis was septic encephalopathy and bronchopneumonia. I managed to get a picture of the patient's current chart. All vitals are holding for the last 10 hours since his admission at the current hospital. The patient has been unconscious for the last 15 hours. The neurologist is unavailable for a few more hours. I have attached all the prescriptions and findings of the hospital visits since the first admission. Please let me know if this coma is deepening and whether I should request that the patient to be moved to an even better hospital. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21072, + "tgt": "How can we manage overactive bladder?", + "src": "Patient: Hi doctor, I do not have a UTI. A test was done to check my kidney function and diabetes. I have the urge to urinate for the past one month. I urinate more in the morning, and it gets decreased during the day and at night time. I have muscle aches on the thighs, arms, and back. I have bloating and constipation for the past two months. I am taking Culturelle and Metamucil. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). If your tests have ruled out urinary infection, you may have an overactive bladder. Take a moderate amount of fluids throughout the day. Do not take a large amount of liquid at a time. Avoid taking tea, coffee, alcohol, and soft drinks if possible. Try holding your urine for five minutes longer than usual, and increase to 10 and then 15 minutes every week. For example, if you go for every 15 minutes, now try holding for 20 minutes. You can start a beta-adrenergic called Mirabegron if your doctor advises. Try to reduce weight. Avoiding constipation will help." + }, + { + "id": 9572, + "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": 29121, + "tgt": "My vulva is popping out. Why?", + "src": "Patient: Hi doctor, I am a 24 year old female. I have been masturbating since last seven years for an average of twice a week or less. I found my vulva is popping out that is,\u00a0labia majora and labia minora. I am not sexually active and have not had sex with any one yet. Why does the organ pop out? Doctor: Hello. I got to know about your concern. I had a look at the attachment (attachment removed to protect patient identity), and I feel that it is just minimal hypertrophy of labia minora. Such excess growth of labia minora is possible. Nothing needs to be done if it is not hurting you regarding pain or irritation while walking. If you are more concerned regarding cosmetic part of it, then it can be corrected surgically. However, these are not going to hamper your sex life in future. You need to keep your weight under control to avoid further discomfort. Ideal weight for you should be 52 kg. Another piece of advice for you would be to avoid wearing tight undergarments, tight pants and leggings to minimize discomfort if it is present. Take care. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13042, + "tgt": "Can allergic reaction cause bumps on face, neck and fingers?", + "src": "Patient: Hi doctor, Yesterday, I woke up with bumps on my face and neck. It started off small and it was really itchy, so I itched the bumps and they started to get bigger. I washed my hands after and got some cream to stop it from itching. Later on, more bumps started to appear after itching my self and it\u2019s on my fingers and the back of my neck, and I have no idea what I have and it\u2019s hard to find treatments without knowing what it is. I do have a feeling it is an allergic reaction, since I ate a whole packet of sweets and it had a weird texture to it. Doctor: Hi. It is urticaria and you are right it is an allergic reaction. Urticaria can be due to drugs, any food material to which your body is allergic. You have to keenly observe and note the things that can flare it up or cause it. Do not worry. You will get better with proper treatment and medication. Urticaria. Urticaria. Apply Betamethasone propionate lotion, mix with Calamine lotion BD over the lesions. Take antihistamine BD like Loratidine 20 mg. Avoid things that flare it up. Do not eat food from outside the home. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 7891, + "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": 21786, + "tgt": "What is causing my tooth pain - cavity, broken tooth or wisdom tooth eruption?", + "src": "Patient: Hello doctor, I am having tooth pain, and I am not sure what the cause is. I do have a cavity on the top row beside my front tooth, but would that affect my bottom teeth too? The pain feels like a dull pressure, so maybe it is the wisdom teeth? I am 18, so I suppose it is possible, but I do not have insurance or the money to figure out any solutions. My teeth have started hurting more since I started brushing them more often. I only brush in the morning and at night, but I brush for about five minutes each time. Could that be bothering my teeth, and the cavities I already have? Also, I have a tooth in the back left where one-fourth of it just broke off while eating, so now it is just a sensitive hole, so maybe that has something to do with it? Doctor: Hi. Your teeth look fine in the picture (attachment removed to protect patient identity), but I suggest you get an appointment with a dentist and get to know what is causing you the pain. Is it the wisdom tooth or the broken tooth or any other tooth having a cavity or is it just a sensitivity. It can be confirmed by a dentist, that too after checking out an X-ray. Rather than worrying, better have a dentist appointment soon. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20548, + "tgt": "Had unprotected sex during ovulation and period is missing. But, HPT is negative. Why?", + "src": "Patient: Hi doctor, I have been married for 10 months. We just started planning a family. My periods used to be irregular before marriage but post marriage they had become regular. I had unprotected sex during ovulation. Now, I miss my period. I am having lower backache, thigh cramps, fatigue, and frequent urination. But, the HPT is negative. Why? I have a history of hypothyroidism, and the reports are normal since last two years. I am on regular Eltroxin 100 mg. Doctor: Hello. The fact that urine pregnancy test is negative after 10 days of missed periods and that you have been experiencing PMS symptoms now, indicate that your menses are likely to start soon. The delay has been close to a month now, and the causes can be many as you mentioned one being hypothyroidism ( which is well controlled), PCOS, hyperandrogenemia, hyperprolactinemia, or even stress-induced delay during the cycle. It is advised that you should get a hormonal profile done with FSH (follicle-stimulating hormone), LH (Luteinising hormone), prolactin, testosterone, and estradiol levels. Also, an ultrasound pelvis to check for endometrial thickness and possible uterine cause or adnexal mass. If menses did not start soon, ultrasound shows endometrium thickness more than 9 mm and pregnancy is again ruled out with a serum beta hCG test (more confirmatory), then you can opt for a withdrawal bleed with progesterone." + }, + { + "id": 30053, + "tgt": "Will kidney infection cause back pain?", + "src": "Patient: Hello\u00a0doctor, I went to the ER two days ago due to excruciating pain in my back, which I thought was caused by herniated disc. I have received a steroid injection and pain medication. This morning I noticed the pain has moved upward towards my kidneys. Could this be a kidney infection? Please note that this pain was the worst I ever experienced. I was in tears for two days. Please help me. Doctor: Hi. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19359, + "tgt": "I have a pancreatic tumour,can the tumour alone be removed or the whole pancreas has to be removed?", + "src": "Patient: Hello Doctor, I have a pancreatic tumour, diagnosed as low grade malignant tumour of the size of 1.2cm in the pancreas. Three months ago it was 1.0 cm in size. It is not a cyst. CT contrast shows a solid mass. The PET scan has been advised when my pancreas is healed, as it is inflamed now. I have a question to the surgery of such a tumour, if necessary. Can the tumour alone be removed or the whole pancreas has to be removed? In general I would like your opinion about such a procedure. Regards. Doctor: Hi. Revert back to a surgical oncologist online for further queries regarding surgical removal of the tumour --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 12676, + "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": 20915, + "tgt": "My sexual desire has gone down after taking Flunil. Should I stop taking this drug?", + "src": "Patient: Dear doctor, I am a 35 year old male. Recently, I consulted a psychiatrist for a health issue and the doctor prescribed tablet Flunil 20, an antidepressant. After about two to three weeks, I noticed that I was becoming more and more asexual. My sexual desire and interest started to diminish. I can masturbate but it is not pleasurable and I end up extremely dissatisfied and tired at the end. My overall sexual desire has gone down and sexual feelings are kind of lost. Are these the side effects of the antidepressant drug? Should I stop taking this drug? Doctor: Hi. Fluoxetine (Flunil 20) belongs to the SSRI (selective serotonin reuptake inhibitors) class of antidepressants. Fluoxetine is one of the notorious antidepressants in relation to sexual side effects. The available data indicate that about 30 to 40 % of those taking Fluoxetine develop some sexual side effects. In regard to the reversal of side effects, it is said that once you stop the drug, the side effects recover almost completely. There is no need to worry if you are recovering from the ailment for which Flunil was prescribed. But, if you do not see any improvement even after four weeks of treatment, then it is advisable to stop Flunil and use a better alternative." + }, + { + "id": 23376, + "tgt": "I had unprotected sex next day after taking I-pill. Should I take another pill?", + "src": "Patient: Hello doctor, I had unprotected sex on 11th of this month, and took an I-pill the next day and again on 13th, the condom leaked, should I take another I-pill? I finished my periods on 10th of this month. Doctor: Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. The pill will be effective for 72 hours of intercourse there is no need to repeat the same. 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": 1260, + "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": 21924, + "tgt": "My blood pressure is erratic. Can you help ?", + "src": "Patient: Hello doctor, I am a 30 year old. Recently, I started having high blood pressure. It goes up and down a lot. At some times, it is 170/90, and at others, it is 130/80. Recently I have done a blood test, where my Hb was 10.52, cholesterol was 152, triglyceride was 165, HDL 28 and LDL was 91. The other creatinine and BUN test is in the normal range. I have done ECG four times. It comes normal but, with 120 heart rate. Doctor: Hello. Your pulse rate is high. Please do a free T4, T3, and TSH (thyroid stimulating hormone) test. For your BP (blood pressure), you can take Met XL (Metoprolol) 50 one tablet, once daily at around 8 AM and tablet Stamlo (Amlodipine) 5 one tablet at around 5 PM. Your Hb (hemoglobin) is slightly low. For that, you can take capsule Cheri (contains Ferrous Fumarate, Folic acid, and others) once daily for two months. Consult your physician for a periodic recording of your BP. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6240, + "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": 3004, + "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": 19563, + "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": 13140, + "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": 8967, + "tgt": "Tests could not find mature sperm. Is there any way to become a biological father?", + "src": "Patient: Hello doctor, Testicular biopsy and micro TESA could not find a mature sperm and FSH is high. Is any more treatment possible such that I could become a biological father? Doctor: Hi. How are you doing today? The results do not look favorable. As per your blood results, testis has atrophied, confirmation done by biopsy (attachment removed to protect patient identity). So, as per reports, there are no sperm-producing cells in testis. No one can make these cells artificially with medicine. So, unfortunately, you cannot be a biological father. The only option is donor sperms." + }, + { + "id": 26692, + "tgt": "Please suggest the best drug for GAD and social phobia. What are its side effects?", + "src": "Patient: Hi doctor, I will first summarize my case, and then I will put my query. I had been diagnosed\u00a0to have GAD and social phobia before 10 years, and I was taking Paxil 20 mg daily in the evening along with CBT. The result was excellent. The anxiety and depression went away, but with a very high level of weight gain, significant fatigue and some sexual dysfunction (low libido). Due to the side effects of the drug, I tried to withdraw it all together around two years back, and there was a relapse. Therefore, I have come back to the medication with some changes. Initially, my doctor replaced Paxil with Prozac and Wellbutrin XL, and then replaced Prozac with Zoloft. Wellbutrin had many side effects\u00a0on me. Hence, I avoided it altogether. He also avoided Effexor. I am currently on Zoloft 50 mg in the evening along with Buspar 10 mg four times daily. The query now is, which of the following strategies will have few side effects like fatigue, weight gain, impotence, decreased libido, and to delay the ejaculation? A combination of 20 mg Prozac during the evening\u00a0time along with Buspar 10 mg every six hours daily. A combination of 10 mg Lexapro in the evening along with Buspar 10 mg every six hours a day. A combination of 50 mg Zoloft\u00a0every evening along with Buspar 10 mg every six\u00a0hours daily. How would you arrange the side effects? I would like you to mention the side effects regarding\u00a0impotence, libido, weight gain, fatigue, drowsiness, negative impact on the system and liver in long-term\u00a0usage, control GAD, SAD and social shyness, delayed ejaculation as a positive side effect, interfere with food, other medicines and supplements etc., in a descending order. Please discuss every question in detail according to your practical experience. Best regards. Doctor: Hi. I read your query. Out of the three options, the third option would be the best possible concerning the balance between the effectiveness and side effects. Zoloft (Sertraline) and Lexapro (Escitalopram), both are almost equal regarding the side effects and efficacy. Based on my experience, Prozac (Fluoxetine) is a weaker drug regarding the effectiveness. With my practical experience, impotence and loss of libido are known side effects of all the three drugs. The probability may vary but, it is about 10 to 20 %. Lexapro is the most drug to cause weight gain when compared to Zoloft and Prozac. Again, fatigue and drowsiness are known to occur with all the three medicines. But, it is more familiar with Lexapro. Delayed ejaculation is not a predictable side effect. Hence, cannot say among the three. Zoloft and Lexapro do not interfere with almost all the medicines, whereas, Prozac may do so. The long-term impact on the body and liver is almost negligible for all the three. They are all safe on a long run. The effectiveness of control on SAD (seasonal affective disorder), GAD (generalized anxiety disorder), and social shyness is better with Zoloft and Lexapro compared to Prozac. Between the two (Zoloft and Lexapro) it is hard to judge. Some patients benefit more on Lexapro and some on Zoloft. To conclude, I reiterate that, based on the information you have provided, the third option is the best among the three. (Zoloft 50 mg with Buspirone 10 mg, every six hours). With best wishes. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15853, + "tgt": "Is unhealed mouth sore the first sign of oral cancer?", + "src": "Patient: Hi doctor, I have pain in some tooth on the right side of the jaw. I went to a dentist, and the doctor did an X-ray. The dentist concluded that it is probably due to clenching or grinding of the tooth. He suggested me a mouthguard. I have given impressions for a mouth guard. But still, I have mild pain. For a few weeks back, I have realized that I am biting the inner part of the cheek and tongue. After a week, I had an ulcer or sore in my mouth. It does not get healed. I saw a doctor again, and he prescribed me Orajel and an antifungal mouth rinse. I have attached the images of the mouth sore which is not healing. Could you please take a look at the picture of the sore on my inner part of the mouth? Please suggest me whether it is the first sign of oral cancer. Do I need to get screened? How long should I have to wait for the mouth ulcer or the sore to get healed? Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). It looks like a well indurated mucosal ulcer. Being oral cancer is unlikely. Please mention about your habits regarding tobacco chewing or any other habit. Generally, oral ulcer takes three to four weeks to get healed. It depends on the cause. There are multiple causes such as vitamin deficiency, iron deficiency, viral and other immunocompromised diseases. Do CBC (complete blood count), VDRL (venereal disease research laboratory test), vitamin B12, and folic acid. Revert me with the reports. Continue using an antifungal mouth rinse, use Orajel (Benzocaine) and take B complex tablets daily for 15 days." + }, + { + "id": 3008, + "tgt": "What is the accuracy of HIV RNA TMA test result being negative?", + "src": "Patient: Hello doctor, I am in 24th-day post possible HIV exposure. It was a broken condom with a sex worker. On day 6 I started experiencing pain in my legs which has continued until this day. I have also gone through a period of intense stomach gurgling, and shoulder and neck pain. I have monitored my temperature and have been normal until yesterday. On day 23, where I woke up to 100 degree temperature that lasted all day. Last night I experienced bed sweats. I did an HIV RNA TMA test by LabCorp at day 8 and 16, both are negative. Can I have comfort in the results of these tests as being negative? I plan to retest, but I am getting conflicting answers on the timing and accuracy of this test. The most recent consultation said these tests were the best out there and I can rely on the results I have. Your professional opinion is much appreciated. Doctor: Hi. The test which you underwent on day 8 and 16 was definitely the best available test for that duration and you can surely rely upon the results. This test is highly sensitive for this duration to catch the infection if there had been any exposure. As far as the timing of this test is concerned it is conclusive as early as 7-14 days post-infection. Unlike the other tests, this will always give a positive result as long as there is HIV in someone's blood. Also, if there had been an HIV infection, HIV antibodies must be present in the person's blood. Studies have shown that the majority of the HIV antibodies develop in two to eight weeks period if there had been any exposure to HIV. Furthermore, I suggest you to undergo an HIV antibody test also and at this time you can undertake fourth generation HIV rapid test. This is again a highly sensitive and specific test and gives accurate result. If the same is negative, then you repeat the rapid HIV antibody test at three months. I hope this helps." + }, + { + "id": 25065, + "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": 5358, + "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": 10399, + "tgt": "Can LSD, DMT, and Ecstasy trigger the borderline personality in seperation anxiety disorder?", + "src": "Patient: Hello doctor, I am 23 years old. I have been diagnosed in the past with (SAD) separation anxiety disorder, autism spectrum as well as ADHD. Lately, I have been harming myself and having trouble controlling my emotions. I sometimes feel as if the whole world hates my guts. Then I feel good again a little while later, sometimes soon, sometimes not even until the next day. As well as some delusions towards those closest to me. Now that I have told you a little about my self. The question is, can separation anxiety develop into borderline personality? Can the fact that I have smoked weed almost daily for the past two to three years and occasionally from age 16 cause borderline. Or can substances like LSD, dmt, and ecstasy trigger the borderline as well? I am having a hard time believing how extreme my emotions are. Kindly advice. Doctor: Hello. Yes, separation anxiety disorder might develop in borderline personality disorder (BPD). But based upon the information you provided I am not sure if you have SAD. Smoking weed might increase anxiety, which could worsen the symptoms in BPD. Smoking weed can lead to precipitation of acute psychosis, which can prove dangerous. LSD (lysergic acid diethylamide) or any hallucinogen can increase psychotic symptoms." + }, + { + "id": 14315, + "tgt": "How can I ensure healing without scarring after a plica removal surgery?", + "src": "Patient: Hello doctor, I had a plica removal surgery six days ago. How do I ensure a good recovery, without scarring inside the knee? How much can I and how much should I exercise in this knee, and how? Doctor: Hello. Plica is a tissue that remains behind when the knee joint is formed (from multiple small pockets). In some, it may be a very tough structure and cause rubbing when the knee bends. Once excised it will not grow back and movements will not make this worse. You are allowed to do everything as soon as the pain and swelling subside." + }, + { + "id": 2847, + "tgt": "In spite of using inhaler often, I have heavy congestion. Why?", + "src": "Patient: Hello doctor, I have been to doctor three times in the last two months and was prescribed many medications. But, I am simply not getting any better. Initially, I went in for respiratory issues. I had a terrible hacking cough and was literally using my Ventolin Inhaler more than I should. As I am asthmatic,\u00a0I was placed on a nebulizer and given several other medications including Prednisone to take. After completing the medication the symptoms returned. I went back to the doctor who changed the antibiotic. It cleared up temporarily and again once the medication was completed, symptoms returned. Today, I am literally just feeling awful because I do not want to go back to a doctor as nothing seems to be getting better. I feel nauseous, I have headaches. I am using my inhaler frequently and\u00a0there is still a very heavy congestion on my chest. I wake up in the middle of the night hacking. I cough until I cannot breathe. I overall feel dizzy, lightheaded and I have no energy. Please help. Doctor: Hi. There are few important points to consider. Follow up in a week to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8798, + "tgt": "Does x-ray show any possibility of further growth?", + "src": "Patient: Hello doctor, My son was told that his growth plates are mostly closed. I would like someone else to view his X-ray. He is pretty much done growing standing five feet tall and four inches and 1/4. I find it so hard to believe and he is devastated. I want to to know if there is a possibility for two more inches of growth? Doctor: Hello. I just read your query and your report attached (attachment removed to protect patient identity), nowhere it has been mentioned that his growth plates are fused indicating a possibility of further growth normally. Secondly, he is not short-statured according to this report. In fact, it states that his bone age is normal. I would advise you to allow him to grow normally till the age of 18 to 19 years by actively participating in sports activities." + }, + { + "id": 15306, + "tgt": "I have constipation since childhood. Please suggest me a good homeopathy medicine", + "src": "Patient: Hi doctor, I am 30 years old female. I have constipation problem from my birth. Sometimes, I have stomach pain, and I have pain in the left half of the head. Please suggest me a good homeopathy medicine for constipation. Doctor: Hi. Your complaint is widespread nowadays. It will become cured nicely with homeopathy along with proper intake of medicines and follow-ups. You can start taking Cascara sagrada mother tincture 10 to 15 drops in a half cup of water at bedtime. You can take Nux vomica 1M five pills at bedtime every day. Take Alumina 30 five pills in the morning, noon, evening and night. Along with these medicines, have a fiber-rich food. Have a banana, raisins, apple, and fig. You can use one to two teaspoons of castor oil when you make dough for roti. You should have a proper intake of water. Less water intake can also cause constipation. Have a proper sleep because sound sleep helps to detoxify the body and it helps in having a regular motion in the morning. Changes in sleeping time affect your body and tummy. Have plenty of fluids. Load your food plate with vegetables as vegetables are rich in fiber. Have a follow up after a week to decide the duration of treatment and further medication." + }, + { + "id": 23701, + "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": 16669, + "tgt": "What treatment will help recurrent stye?", + "src": "Patient: Hi doctor, I am an 18 year old female.\u00a0I am getting a stye in the corner of my left eye, right under the lower eyelid. It is recurrent for the past six months and itchy sometimes. What would you recommend to get rid of it? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16612, + "tgt": "My sister's report shows 46, XY chromosome. What does this mean?", + "src": "Patient: Hi doctor, My sister is 18 years old, and she has never had periods. Recently, we did a test which said, 46, XY (20), 20 cells were counted, all cells showed 46 chromosomes. Small chromosomal anomalies and small clonal population may not be detected using the standard methods employed.\u00a0Could you please explain what does it mean? What can be done for her? Will she be able to have kids? Doctor: Hi. How are you doing? This is a tough condition to explain, but let me try. 46 chromosomes mean the total number of chromosomes is normal. For a normal female, the sex chromosome should be \"XX\". \"XY\" means male. So, your sibling who is looking as or phenotypically female is actually or genotypically a male. This is mostly androgen insensitivity syndrome, where genetically she is male, but her body tissues are not sensitive to the male or androgen hormone so that he will appear as female. All of us are born as females in mother's womb, but which hormones we are exposed to, based on the genes, we get converted to male or stay as female. But in your sibling, the gene is a male, but his body receptors for this male hormones is not effective, so will continue to be female. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1091, + "tgt": "I have bipolar II disorder, anxiety disorder, and agoraphobia. Is Paroxetine a good option?", + "src": "Patient: Hello, I'm looking and would like to discuss my treatment options for my conditions. I've bipolar disorder II, social and generalised anxiety disorders, panic attacks and agoraphobia due to it. In past, I used escitalopram, venlafaxine, fluoxetine, sertraline, lithium, depakote, quetiapine, risperidone, anxiolytics. Venlafaxine was effective but had to discontinue it due to high blood pressure it caused. Other treatments mentioned didn't work for me. Anxiolytics worked, but now i don't have such options to continue this treatment because I'm getting used to Tranxene. Currently I'm taking Lamictal 200 mg and 10 mg olanzapine. I am afraid to go out from my flat, I am constantly alarmed, nervous, anxious, can't eat because of constant lump in my throat. Anxiety is debilitating, I can't work outside my home. At work I get so anxious that I have to take some free days from work, if I don't do that, I vomit from this anxiety. 1) Can duloxetine be effective? Is it common that it can increase pulse and blood pressure as Venlafaxine did? 2) How long does it take for escitalopram to take effect? 3) Can prozac decrease anxiety? 4) Is paroxetine an good option for me? Doctor: thank you for taking help from psychiatrist. you should continue medications on which you are stable at present. 1)duloxetine may be good option for you. it does not increases blood pressure. 2)tablet escitalopram takes around 4 weeks for full effect after starting medications. 3) yup,prozac can decrease anxiety but it belongs to same group as tablet escitalopram. 4) yup,paroxetine is good anti anxiety but tablet escitalopram is better than tablet paroxetine. you should follow below advice which can help your anxiety. hope you get your answer. thank you" + }, + { + "id": 18471, + "tgt": "Had an emergency contraceptive pill after sex. Can I be pregnant?", + "src": "Patient: Hi doctor, I am 21 years old and my menstrual cycle is generally of 30 days. Last month I had sex with my boyfriend on just after 2 days of my periods. Though we used condoms but I felt as if it was leaking so to be double sure I took one Unwanted 72 in 23 hours. Now, I am 13 days late for my periods. I am getting muscle cramps and whenever I rush to the washroom to see I just find white liquid discharge. I have no other specific symptoms. I took two home pregnancy tests and both are negative. I am afraid. Can I be pregnant? If yes then how can I abort? And if no then why am I not getting my periods? Please help. Doctor: Hello. As you had taken one Unwanted 72 within 24 hours after the intercourse, you must have received a withdrawal bleed after 5-7 days. If yes, then the date of the withdrawal bleed would form your fresh LMP (last menstrual period) and you should be starting your count for next menses from that date. As the pregnancy tests are negative, you are not pregnant from that sexual encounter. Hence, considering the possible withdrawal bleed your next menses should start only by now. As you have started experiencing mild cramping and vaginal mucoid discharge which are part of PMS (premenstrual syndrome), it is indicative that you will start your menses soon. Hence, please be patient for another one week and you will get your menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21723, + "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": 1860, + "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": 20117, + "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": 27206, + "tgt": "I did not get relief from my knee pain even after taking medicines. Please help", + "src": "Patient: Hello doctor,I am a 36 year old male who weighs 69 kg. I have a desk job with no physical activity during the day. I am doing exercises regularly though. I have a pain in both knees since one and a half years. It started gradually. Now, there is a cracking sound while squatting or doing yoga. I am unable to maintain the posture for a long time. There is no swelling, heat, redness or pain otherwise. The exact location of pain is at the front side, below the knee cap while climbing the staircase. If I walk on a plain surface, it does not pain much. I am practicing yoga since the last six months. Because of the knee pain, I am avoiding knee-related yoga postures. I massage my knees regularly with a herbal oil before I sleep. It gives me temporary relief. I have consulted a\u00a0doctor\u00a0regarding this. He gave me 30 capsules of Arthocare to be taken for a month. It contains Glucosamine Hydrochloride and Chondroitin Sulfate Sodium. I have taken all the capsules but, no relief. I am now worrying about my knee joints. Please suggest me some remedies. Doctor: Hello. This professional advice provided by me stands subject to the actual examination of the report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. Regards. Revert after two weeks to an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 142, + "tgt": "I have severe weakness in butt and hips muscles with negative rheumatism. What is my problem?", + "src": "Patient: Hello doctor, I have severe weakness in the muscles of the hips and butt. But no real pain. I stopped taking Rosuvastatin, Ezetimibe, and Paroxetine but I still use Enalapril (15 mg daily) to lower my blood pressure. Blood tests for muscle rheumatism are negative. Vitamin D is 95 nmol/l and I use a magnesium supplement to enhance my muscles. What is wrong with me? Doctor: Hello. Since when are you having this problem? Any history of trauma, or lifting heavyweight? Any perianal senory loss or difficulty in holding urine? What symptoms do you have like difficulty in walking, climbing stairs, etc?" + }, + { + "id": 16832, + "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": 10233, + "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": 16436, + "tgt": "What should I do to reduce myopia?", + "src": "Patient: Hello doctor, I have myopia problem, but day by day it is increasing. What should I do to reduce it? Doctor: Hi. Unfortunately, there is no proven treatment available for this condition. People have tried various treatments like intraocular pressure reducing drops, or atropine in children. It is a good practice to get your refraction done six-monthly as using improper glasses is a stimulus for eyes to grow more especially in children." + }, + { + "id": 29247, + "tgt": "Please suggest me some way to improve Hb level", + "src": "Patient: Hi doctor, I am a 26 years old married female. My height is 156 cm and weight is 55 kg. I am neither pregnant nor a mother. Before\u00a020 days, my BP was too low, 90/50 mmHg and I felt weakness and breathlessness. I have gone through blood tests and my hemoglobin was found to be 7.8 g/dL. I have attached the reports for your reference. Around three years back, my Hb was 6 g/dL and I had Iron tablets for a course of three months. Before\u00a0two months, when I checked my Hb, it was again 6 g/dL. It is improving now with iron-rich diet and supplements. But, still, I feel pain in the bottom of my foot and in palm once a day. Please suggest me the way to improve my Hb level. Doctor: Hello. I had gone through all the data posted. Revert with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17200, + "tgt": "When I checked my son's BP it showed irregular heart symbol. What to do?", + "src": "Patient: Hi doctor, A few days back, I\u00a0was measuring BP using electronic BP monitor on my 11 year old kid. I observed irregular heartbeat symbol blinking after measurement, and that got me worried. I measured eight times again in the last two days and got IHB symbol for around 4 out of 8 times. His average BP reading is 120/77 mmHg, and pulse rate is 98. Is this normal for a child of this age? We have had regular visits with our physician in the past, and he did not observe anything during his earlier checkups. Only, he was asked to do more physical exercise as his BP was marginally high at 125/85 mmHg. Doctor: Hello. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2350, + "tgt": "I am getting head twitch for about 7 months and could not control on my own. Why?", + "src": "Patient: Hello doctor, I am concerned about a head twitch. I have gotten in a habit for seven months of twitching my head. If I am consciously thinking about what I am doing, I can stop it. However, it is extremely difficult and I feel an overwhelming impulse to do it, similar to how one would feel when cracking his or her knuckles. It seems like it has become a habit and I do not know how to stop it. I also want to make sure there are no underlying medical conditions, however, as I mentioned, when I pay attention I can control it, even though it is difficult and uncomfortable and I have to put a lot of effort into not doing it. I read online that it may have something to do with stress or anxiety? Doctor: Hello. From your description, it looks like you are experiencing a motor tic. Do you have any other symptoms? How old are you at present? You mentioned this tic started befor seven months. Have you experienced any tics before? Any vocal tic? Tics can be suppressed temporarily but can be uncomfortable as you mentioned. Tics can wax and wane depending on stress, anxiety, tiredness, etc. Usually, tics are common and harmless. It is advisable to consult your doctor to clarify the diagnosis and to exclude any conditions that can mimic tic disorder. Mild tics can be managed by stress management and relaxation exercises. If tics are severe and persistent, it can be managed by specialist therapy cognitive behavioral intervention for tics (CBIT). Sometimes medication can be used as well. I hope this helps." + }, + { + "id": 30555, + "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": 21454, + "tgt": "Why does my tooth hurt on drinking cold milk two days after I got it filled?", + "src": "Patient: Hello doctor, Hope this message finds you well. I had 10 cavities and removed them all. But the last cavity I removed, the tooth was so damaged but my doctor kept on drilling as much as he could and he put the dental filling right next to the tooth nerve saying that the tooth is still alive. I did these two days ago. All was fine until now when the tooth gave me one minute of pure pain when I drank cold milk. Please tell me what to do. Thanks in advance. Doctor: Hello. I think the cavity was very deep and so the filling was placed close to the nerve area. This could have given you severe sensitivity with cold items. My suggestion is to just wait for a few more days. If you experience sudden, severe, shooting pain, you need to visit your dentist and get that tooth either root canal treated or extracted. If the filling is too close to the nerve, it causes irritation and thereby pain. You could avoid very hot and very cold food for a few days to just observe the condition of the tooth. In case there is no pain till around two weeks, you can relax and need not visit the dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9049, + "tgt": "I got a new, flat, round or oval patch on my lip. What is that?", + "src": "Patient: Hello doctor, I am a 40-year-old female, not taking any medications. I have a flat, round to oval new lip patch. I noticed this about two to three months ago, no other symptoms other than the appearance of it and it is about 8 mm. It is light purple or brown in color. Please advice. Doctor: Hello. I have gone through your case. In my opinion, there is two to three differential diagnosis of your lesion. 1. Lichen planus - This could result due to many reasons or sun exposure. Treatment is sunprotection by frequent application of any sunblock. Try to apply sunblock at least 20 minutes before going outside. And use it two to three times a day. 2. Fixed drug eruption (FDE) - Many drugs can cause it. Most common causes are NSAIDS or antibiotics like penicillin. But you have told that you do not take any medicines. Re-evaluate yourself if you have taken any few weeks ago. Treatment is never to retake it and apply Hydrocortisone cream two times a day." + }, + { + "id": 22459, + "tgt": "Why do I have the feelings of being judged?", + "src": "Patient: Hi doctor, I am a 33 year old unmarried male. I have become extremely self-conscious and unproductive during the past one year. I do not feel sad, but I feel that I am not good enough. I have become reclusive and feel stupid. Initially, I was a very shy child. Then I become more confident and could make conversation easily with everybody. But now, I feel that I am being judged and so I avoid conversation with most people. Please help. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8345, + "tgt": "What is the reason for delayed periods after having protected sex?", + "src": "Patient: Hi doctor, We had sexual intercourse using a condom, but my fiance's period has been delayed by five days. We did a pregnancy test, which was negative. What is the reason for delayed periods? Doctor: Hi. How are you doing? Pregnancy need not be the only reason for no periods. If you have used proper protection and the urine test for pregnancy is negative, then you do not have to worry about pregnancy. Any young lady will take about 19 to 21 years of age to have a mature brain-ovary hormone axis, so till then, once in a while, you may miss your periods. Next month it will be fine. As you have ruled out pregnancy, I suggest taking any of the oral birth control pills, contraceptive pills, or 21 pills packet like tablet Novelon, Dear 21, Ovral G, Duoluton L, or Intimacy plus 3. Take one tablet twice a day for ten days and throw away the 21st pill, no matter what the cause is, she will get her periods within 7 to 10 days. Consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19185, + "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": 9136, + "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": 20022, + "tgt": "Are increased WBC count, tongue sores and throat pain symptoms of HIV?", + "src": "Patient: Hi doctor, My routine blood report is as follows. WBC - 13700, neutrophils - 76%, lymphocytes - 19%, eosinophils - 02%, monocytes - 03%, basophil - 0%, RBC-\u00a04.5,\u00a0HCT - 39.8,\u00a0MCV - 84.5,\u00a0MCH - 27,\u00a0MCHC - 32,\u00a0Hb - 12.5, platelets - 410000 and vitamin B12 - 184.\u00a0WBC is above maximum\u00a0for over a period of one year now. Last year when I was ill, I got some rashes in my hands and legs. My periods are irregular and bleeding is too low. Seven months back, I was diagnosed to have hypothyroidism and vitamin B12, D and folic acid deficiency. I had five injections for vitamin B12, but still I am deficient of vitamin B12. Over seven months, I have been experiencing left-sided throat, ear, jaw and teeth pain. I took many antibiotics from different ENT doctors and did endoscopy and sonography as well, but no use at all. Also my tongue sores with increased foliate papillae. Am I infected with HIV? Doctor: Hi. Based on your query, my opinion is as follows: Low nutrition and stress. Neurologist opinion can be taken. 1. Vitamin B12 and Folic acid supplementation along with relaxation exercises. 2. Treatment for hypothyroidism is essential. Improvement of nutrition through diet. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20727, + "tgt": "I have toothache even after applying fluoride varnish? Why does this happen?", + "src": "Patient: Hi doctor, I had gone to a dentist. He applied fluoride varnish paste on my teeth saying that the cavities are very small. But my teeth are still paining. What to do? Doctor: Hello. Dental varnish contains fluoride which is anticarious and hence prevents the progression of tooth decay. Pit caries are very minute and very minimal cavities that are superficially present on the teeth. Pit caries does not require fillings because to do the filling, a little bit of normal tooth structure has to be drilled. So, varnish is preferable in very small cavities like yours. Rarely, small pit caries seen clinically might have progressed deeply (in a triangular pattern with apex seen outside but broad base deep inside the tooth). Yours might be of this type and hence causing pain." + }, + { + "id": 26900, + "tgt": "My dad complains of a pain in his left leg seven years after a stroke. Please guide me", + "src": "Patient: Hello doctor, My father suffered a stroke seven years ago, that got the\u00a0right side of his body numb and non-functioning. But, after all these years, he constantly refers to a pain in his left leg. Can you tell me what would give him relief from this pain? I am attaching his latest reports here. Doctor: Hello. I have gone through your query and attached reports (attachment\u00a0removed to protect patient identity). I hope this answers you. If you have more questions feel free to write back to me. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 15976, + "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": 6528, + "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": 14038, + "tgt": "I have been coughing for over 2 years. Can you please help me with ayurvedic means of getting better?", + "src": "Patient: Hello doctor, I am a 39 year woman. I read about ayurveda on the internet and would like to use it as a means to find a lasting cure for my health problems. I have been coughing for over 2 years now and cough up blood and also have pain on the right upper side of my back. I also experience dizziness most of the times and irregular menstrual cycle and cannot lie on my back because I cough up blood a lot when I do. Can you please help me with ayurvedic means of getting better? Thank you. Doctor: Hi. Good to hear about ayurveda from you. But we cannot neglect chronic cough with blood. So, it is my humble request for you to visit a local physician immediately and get back to me with the reports like x-ray, blood test, etc." + }, + { + "id": 11910, + "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": 23950, + "tgt": "Kindly guide me based on the blood electrophoresis report", + "src": "Patient: Hello doctor,My younger brother's blood electrophoresis report is HbA 61.5, HbS 34.5, and HbF 3.6. So kindly tell me the condition of the patient and precautions to be taken. Doctor: Hello. Your attached report (attachment removed to protect patient identity) is suggestive of sickle cell plus beta thalassemia combination case. It can be sickle cell trait as well. For further confirmation, a molecular study can be done. As it is a homozygous condition, there is no need to worry. Folic acid can be prescribed if needed. No special treatment is needed. To confirm the diagnosis of sickle cell trait and sickle thalassemia combination case molecular study is advisable. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28056, + "tgt": "I got hit in the eye, and now it is inflamed. Please help", + "src": "Patient: Hello doctor, I have an eye inflammation due to an unintended\u00a0punch that I received. My\u00a0eye looks red and swollen. Please let me know some medications for the same. Doctor: Hello. If you feel any problems in vision and restricted mobility on one side, you should rush to the emergency room immediately. For further queries consult an ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13215, + "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": 2571, + "tgt": "After a knee injury, I get knee pain while bending it. Is it a serious problem?", + "src": "Patient: Hello doctor, A week before, I fell from riding a bicycle after going to market and my left knee hit the ground first I was able to stand up although I got wounded. I went home and did first aid on my wound. After a week, my wound was healed but until now I feel the pain on my left leg. There is less pain when standing and walking but when I sit and needed to bend my left leg I still feel the pain like that of rayuma. I took biogesic to ease the pain. I am allergic to Ibuprofen and Arcoxia. Please help me what to do and how this pain will heal? I am anxious because I do not want to go to the hospital to consult this. Doctor: Hello. I am sorry you are having these symptoms. This might still be due to injury resulting in soft tissue contusion. I am not considering fracture at this point because you were still able to stand up. But an x-ray of the left knee APL would be recommended. In the meantime, I would recommend that you take Mefenamic acid 500 mg one tablet three times a day as needed for pain. Apply Indomethacin gel and warm compress as needed for pain. I would also recommend you do a range of motion exercises to decrease pain and improve flexibility. If symptoms persist, worsen or new onset of symptoms occur, follow up consult is advised." + }, + { + "id": 25233, + "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": 4607, + "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": 6625, + "tgt": "I have semen leakage and testicle pain when I am with my fiancee. How to stop it?", + "src": "Patient: Hello doctor, Recently I have noticed that at certain times when I am with my fiancee, I experience excessive semen leakage that leads to my testicles hurting very bad, and I also cannot urinate during this time. I would like to know what can be done to stop this, so anything will be appreciated. Please and thank you. Doctor: Hello. It is natural to have secretions when you are with your fiancee. It is nature's way to make good lubrication to avoid painful intercourse. Testicular heaviness is due to cremaster pulling them up if not excessive is natural. Unable to urinate is due to bladder neck closure with sexual stimulation to help antegrade ejaculation. If really bothered by urinary issue I can suggest medicines for the same. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6799, + "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": 6131, + "tgt": "I bled during ovulation time and proceeded insemination. Could I be pregnant now?", + "src": "Patient: Hello doctor, My periods was two weeks late. Since I have irregular periods I was not shocked. I ended up taking an ovulation test that came back saying I was in my peak and hours later I got my period. However, I still went through with my insemination and the next day my period was gone. Is it possible that I could be pregnant? Doctor: Hello. The bleeding you have experienced may not be due to your period at all. As your ovulation kit suggested that you are at your peak, it means your ovulation was due at any moment. Many a time during the release of the egg there is bleeding. As the egg is released, the holding follicle ruptures. Sometimes the wall of the follicle is vascular enough to cause mild to moderate bleeding, which is picked up by the tubes and present as vaginal bleeding. It may last from two hours to two days. So, in my opinion, you were probably experiencing ovulation bleeding and the good thing that you went ahead with insemination." + }, + { + "id": 27556, + "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": 10682, + "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": 69, + "tgt": "I have a 8 mm renal calculi in the upper ureter. Can it be cured by medication?", + "src": "Patient: Hello doctor, I have 8 mm renal calculi in the right upper ureter. Please help. Doctor: Hi. CT KUB (kidneys, ureter, and bladder) is 95% accurate to diagnose urinary stones. Usually, stones form in the kidney and drop down the ureter causing extreme pain due to stretch of the renal capsule. Since your right kidney is blocked, I need to check on your kidney functions by doing a blood test called creatinine level, especially if you have other medical problems like diabetes or hypertension. I also want to make sure you do not have urinary infections after this if kidney functions are normal and no infection then we can try medical therapy for 4-6 weeks with capsule Tamsulosin (Contiflo) 0.4 mg at night daily for six weeks the possibility of passing the stone is 25%. If you need more urgent treatment with a 70% stone clearance rate will be shock wave lithotripsy. If you got pain again in spite of medication or you got high creatinine level then endoscopic ureteroscopy DJ stent will be the best first-line option. On follow up after treatment you need needs calcium level, phosphate, and uric acid. I hope this helps. Creatinine, urine analysis, and culture. Hydration lemon and orange fresh juices. Needs calcium level, phosphate, and uric acid." + }, + { + "id": 18534, + "tgt": "Can I use C Sora ointment if I have a fungal infection?", + "src": "Patient: Hello doctor,Should I use C Sora ointment (Clobetasol propionate\u00a0and\u00a0Salicylic acid ointment) on my face when having a\u00a0fungal infection? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19435, + "tgt": "There was blood coming out of my nostril after workout. Should I get it checked?", + "src": "Patient: Hello doctor,I am a 23 year old male. I have started to workout recently. Today, after workout and cardio when I was taking a shower I saw blood coming out of my right nostril. The blood stopped immediately but there was bleeding from my right nostril for a few seconds. I have experienced this for the first time in my life. Should I get it checked? Please help. Doctor: Hello. Bleeding from nostrils is one of the common conditions encountered in our daily practice. The most common cause in young population is dryness in the nose and nose crusts from nose picking. The other possible causes include: Please provide me with more details in order to reach the appropriate diagnosis: I suggest: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16144, + "tgt": "Kindly tell the homeopathic medicine to prevent dengue fever", + "src": "Patient: Hello doctor, My son is 6 years old and weighs 24.4 kg. He develops common cold quite often. I am also worried as dengue is spreading around my community and I would like to give him some medication which is preventive in nature. I would like to know what is the best medicine regime for my son to prevent dengue. Doctor: Hello. Eupatorium mother tincture is definitely a good choice of preventive remedy for dengue. You may give him 5 to 7 drops of this remedy mixed in half a cup of water once a day as a preventive medicine. If he has milder symptoms of fever or body ache then it can be taken twice a day. Gelsemium 200cc is another good remedy for dengue if he gets dull and drowsy during the fever. This remedy can be given twice a day for five days or until feels better. Kindly consider a general preventive measure for dengue like immediately consult a doctor for milder symptoms like fever. Take plenty of water, fluids and rest, rest under the bed net while you have a fever. Eat healthy and nutritious food. I am sure if you follow above steps he will less likely contract dengue. Just give him Eupatorium mother tincture as a preventive remedy for a week. Kindly let me know if you have any questions." + }, + { + "id": 2368, + "tgt": "I am experiencing a lot of neurological and other symptoms. What is happening to me?", + "src": "Patient: Gender: Male Age: 21 Height: 5 ft 5 inches Weight: 112lbs Symptoms in chronological order: 1. Extreme fatigue for days. 2. Unbearable pressure in the head, including behind the eyes(along with pain) and in the ears(my head felt like it was going to explode). 3.Neck stiffness(complete inability to move my head in any direction), this lasted for around 40 minutes. 4. Adverse reaction after eating full meals (pressure build up through chest and left side of neck up to head, this was mainly left sided), this would last for hours. The left side of my neck felt like it was gonna burst open. After one adverse reaction i was unable to move my left arm for about a half hour(i could feel what felt like the hindering of my heart beat, it was very slow). 5.Breathing was a struggle before being hospitalized, my lungs felt heavy. 6.Shivers and shaking. 7.Any exercise (even slight) resulted in shortness of breath and chest pain for hours. 8. Gastro-intestinal issues, being extremely gassy. What felt like acid buildup that at times would come up to my back and chest. 9. Remember what felt like an intense heat (felt like my whole head was cooking). 10. Headaches of 4 types; An occasional kind of spacing out like i'm under water, everything just feels so slow. Brain Fog. type 1: A headache or something that i can only describe as an unbearable head pain(every time it happened i accepted my death), my body would go completely limp(i could only slump in the spot i was whenever it occurred. type 2: Confusion and what i'd call light thoughts. Made me very uncomfortable, could not complete a single task in any intended order. type 3: A headache that was like someone torching my head, would last for hours(this headache radiated from the back of my neck and up into the middle of my head). type 4: It felt as though someone had cupped their hands around my brain, an intense pressure(i remember just wishing someone would bore a hole in my head to ease the pressure). Generally feeling like my head was gonna blow up. 11. Nerve issues (coldness and tingling in my hands and feet), noticed blurry vision at this point. 12. Occasional muscle spasms (spasms of my neck muscles got so bad it straightened my cervical spine). 13. Occasional loss of ability to walk properly or walk at all if unaided. 14. Occasional unresponsiveness to questions (i can hear but i can\u2019t answer), full body numbness. 15. Extreme anxiety and depression. 16. Constant headache, ear pain and occasional chest pains (center of chest). 17. Joint pain especially in legs. 18. Everyday i wake now i just feel very unwell (i have been unable to go back to my studies in Actuarial Science). I just don't know what is happening to me :( I'm truly sorry, i know it's allot but i really would just like to know what is happening. Peace of mind would help even if there is no real assistance i can get i just want to know the source of my pain and suffering, it's been 3 months+ now. More details about the presenting complaint: Sudden onset on December 26th after eating then exercise(was breathless for about 2 hours). Previous history of the same issue: None. Current medications: Fourts B Capsules and Panadeine Past medications of the same issue: Augmentin(7 days), Relcer Gel, Otrivina(Had a weird reaction to this), Fexil(Had a weird reaction to this), Calcort, Another Antibiotic(got this on 2 separate occasions), Cetamol Cold and Flu(Had a weird reaction to this), Vitamin C, Avamys, Lanzaparazole and Panto-Denk. Lab tests performed: CBCs, Liver Function Tests, AutoAntibodies, H-Pylori, Cortisol (Urine and Serum), 5-Hydroxyindoleacitic Acid, Creatine Kinase, Bun and Urea, Electrolytes etc. Doctor:" + }, + { + "id": 2563, + "tgt": "I took i-pill after unprotected sex and missed my period. Could this be due to hormonal imbalance?", + "src": "Patient: Hello doctor, I had unprotected sex with my partner on 18th, and 19th of last month, where 18 was the next day after my periods. Took i-pill on 21st morning because he was not sure if he has ejaculated inside. But also he ejaculated sperm outside too. Now I have missed my periods which is supposed to be on 17th of this month. Also, I had five days of spotting a week after the i-pill. I am 22 years and my periods are regular. Is there a chance of pregnancy or will periods have missed this month because of hormonal imbalance? Doctor: Hi. Thanks for the query. I can understand your concern. According to your description, the possibility of pregnancy is less in your case. As usual, ovulation is not possible the next day after periods. But emergency contraceptive pill may not give accurate results after 72 hours of unprotected intercourse. The spotting and delay in periods could be the side effects of the pill. Better to go for a urine pregnancy test once to rule out the possibility of pregnancy. If the test is negative, better to wait for one more week and you may get periods. If not please consult your doctor once and take tablets for withdrawal bleeding. I hope this helps." + }, + { + "id": 22319, + "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": 27775, + "tgt": "My knee is swollen and infected after an ACL surgery. Do I need another surgery?", + "src": "Patient: Hi doctor, I got an ACL reconstruction surgery done two weeks back. There was an infection in the operated site, so they did re-surgery and lavage, three days back. After this, physiotherapy was done for 10 days. So, the pain stopped, but there is still swelling in the knee. Today, the doctor asked me to go for another surgery to wash off the infection again. I have attached all the reports. Doctor: Hi. I have seen the attached reports and photo (attachment removed to protect patient identity). This professional advice provided by me stands subject to the\u00a0actual examination\u00a0of 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": 15606, + "tgt": "Other than specs, is there any option available to correct my cylindrical eye power?", + "src": "Patient: Hi doctor, I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC \u00d7 95, 6/6 and 6/9, -0.25/-0.75 \u00d7 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power? Doctor: Hi. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit." + }, + { + "id": 29762, + "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": 21754, + "tgt": "I have six cavities building up in spite of proper dental care. Are my teeth inherently weak?", + "src": "Patient: Hello doctor, I have done proper dental care as followed by norms since childhood but was diagnosed with two root canals when I was 15, only one root canal had reached the surface. Now I am 18, and my recent visit to a dentist revealed that I have six cavities building up (one of my root canals has still not surfaced). I do not know where I am going wrong. Is it possible that my teeth are inherently weak and need more care? What should I do? Doctor: Hello. Teeth having multiple cavities suggests improper maintenance. It could either be due to improper brushing or too much of sticky food or a hereditary feature. You need to just visit your dentist and get to know the correct way of brushing and also have a meticulously good oral hygiene. Since the cavities have already started, get them filled and have the remaining teeth taken care of well. Follow certain tips like rinsing after each time you eat or drink. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6049, + "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": 20177, + "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": 29462, + "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": 7232, + "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": 24647, + "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": 30679, + "tgt": "What is the effect of toxoplasmosis?", + "src": "Patient: Hi doctor, My daughter is 7 years old. Now, she is normal. Her mother had toxoplasmosis when baby born. After birth, doctors examined baby's blood and she has not got the germs of toxoplasmosis. Now my question is will it cause any problem in the future? Doctor: Hi. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 14684, + "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": 9616, + "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": 13126, + "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": 19309, + "tgt": "What is withdrawal bleeding?", + "src": "Patient: Hello doctor, Emergency contraception is 95% effective means is there some chance of getting pregnant? What more precautions could be taken during sex so that there will be full surety about it?\u00a0After taking it, will the periods be painful? In what way will it alter periods? Will it change the number of days of period? And what is withdrawal bleeding? Will it be there immediately after taking it? Or after a day or two? When it will be 100% effective? Is there any other way to avoid pregnancy completely in unprotected sex? Doctor: Hi. I have read and understood your problem. Yes, there is some chance of pregnancy. You can use condom, but there is no contraception 100% effective even after contraception-operation very small chance of pregnancy remains. You can bleed any day after taking I-pill. There is no fixed rule it may take even 10 days and bleeding usually will be normal not painful. When bleeding occurs after stopping pill, it is called withdrawal bleeding. Withdrawal bleeding rules out pregnancy. However, your next period may come early or late, so take precaution with adequate contraception. Contraceptive pills can change your bleeding amount and cycle for one or two months. It will be effective only after sex pill, not before sex. But, as mentioned above there is no 100% effective method. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29419, + "tgt": "Why am I avoiding every one and feeling alone?", + "src": "Patient: Hi doctor, I used to mingle with people a lot, but since past two years, I am not talking to anyone. I like to be alone. Nowadays, I am always alone, and I have no proper friends too. People think I am immature. The fact is that I do not show the real me. Two years back I had a bad breakup, and since then I have changed a lot being rude and stuff. Sometimes, I hate this life. Doctor: Hi. I understand your issue. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26489, + "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": 29546, + "tgt": "I feel that my urinary bladder leaks for some reason. Please help", + "src": "Patient: Hi doctor, I am a 25 year old female. I am facing an issue with my urinary bladder. Most of the times I find my underwear wet with water or urine and not with white discharge.\u00a0I feel my urine gets leaked. It is not that I tend to hold onto my urine for long. Whenever I feel like urinating, I instantly go to the washroom, but I find my underwear already wet. Even at night when I sleep, I go to the loo once. When I wake up in the morning, I find it very wet and irritating. I am not able to make out the problem. I am facing this issue for a long time of around two to three years. I am not taking medication for this issue. I did try some pelvic exercises to make my pelvic area stronger, but there is no benefit. Kindly help. Doctor: Hello. Revert 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": 9382, + "tgt": "There is a white spot near the penis. Is this something I should be worried about?", + "src": "Patient: Hello doctor,I have a question. Doctor: Hi. I saw the picture (attachment removed to protect patient identity). There is redness. It looks like folliculitis as per the picture. I cannot really comment on what is going on unless you mention symptoms. Please elaborate your skin problem. Do you have itching? How long has it been there? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16398, + "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": 15782, + "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": 11120, + "tgt": "Will pleural thickening worsen with age?", + "src": "Patient: Hi doctor, One year ago, I had massive left-sided pleural effusion with respiratory distress. Pigtail insertion was done and it was indicative of TB. Now, my ATT is stopped. After two months of treatment, my ultrasound report said that pleural thickening is seen along left posterolateral chest wall. Now, I do not have any symptom like chest pain, breathlessness and cough. As I am fit and healthy, I have stopped the treatment. Will pleural thickening get worsen with age? Will the person in question face a higher risk of having lung disease in future?\u00a0Now my age is 21. Is pleural thickening reversible in my case? I would like to go abroad for job. Will\u00a0pleural thickening create any problem in my working visa? If yes, what can I do? Please help. Doctor: Hi. Please relax. You have probably healed your TB (tuberculosis) and there is nothing to worry right now. Pleural thickening has happened as a result of the effusion you had. It is a way of healing which the body does when effusion happens. It will not get worse with age and you will not get TB again. There are no higher chances of cancer also related to that. A large number of people suffer from this and it does not affect life in any way. Thickening usually does not get reversed. It will remain there. The only problem which you might face in visa interview is, if they require your chest x-ray to be done and then thickening will be seen. Now, it is evident that they will get your other tests done to rule out active TB, which should come negative. There are certain countries which bar people who have had TB. But, I do not think such policies are present in working visa. I would recommend you to read the specific country website and also consult some agent about this before you fill the medical declaration. Except for the visa, it will not cause any issue in your life." + }, + { + "id": 5951, + "tgt": "Are 12 weeks post exposure HIV tests conclusive?", + "src": "Patient: Hi doctor, Six months ago, I had a very brief unprotected sex with a community sex worker (CSW). I did a fourth generation Combo test on 48th day and 86th day. It was negative in both the cases and it covers the 12 weeks window period. Should I consider this conclusive? I read in some forums that rare to rare case sometimes six months testing is required.\u00a0Please help. Have you ever heard of anyone getting infected because of too many HIV testing? I got tested from a reputed laboratory which is international.\u00a0My last test was post 22 weeks of exposure. Can anyone develop the virus post five months of exposure even though the tests were negative? Who are included in the rarest case with the need to be tested after six months?\u00a0I am asking these because for the past many days I had needle pricking in my body and also I have a bit of pain here and there in the body. For the past days I am getting fluctuating mild fever.\u00a0Should I call myself 90% conclusive or 100% conclusive?\u00a0Request you to resolve my queries at the earliest. Because of this stress, I feel like killing myself.\u00a0I need to know what is wrong with me. Is it a case of anxiety itself? Doctor: Hi. For further clarification consult a HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 28848, + "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": 3587, + "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": 14117, + "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": 1834, + "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": 8915, + "tgt": "What are the causes for severe abdominal pain with weight loss?", + "src": "Patient: Hello doctor, There had been a pain in the lower abdomen. It usually starts from the back and becomes severe in the lower abdomen. The doctor prescribed antibiotics but the pain still persists. Lost a lot of weight and feeling weak with pain. Colonoscopy report interpreted. Doctor: Hi. I read your post and colonoscopy with biopsy report (attachment removed to protect patient identity). Two issues I find are diverticulitis and colonic polyp. Treatment for recurrent diverticulitis is surgical excision. Treatment for tubulovillous adenoma with high grade dysplasia is complete endoscopic excision followed by endoscopic surveillance." + }, + { + "id": 19371, + "tgt": "Can panic attack occur while taking antidepressants?", + "src": "Patient: Hi doctor, I am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. I have been on Effexor XR 75 mg for six months and have been stable. Last week my tooth was pulled out and I was put on Motrin 800. I had around two tablets for three days and it made me feel fuzzy and my chest heavy. My vitals are all normal. My boyfriend is a surgeon and he monitored me. I was also put on Amoxicillin 875 mg BID. After my follow-up visit with oral surgeon, I was put on Z-Pak. Within a few hours of my first dose of Z-Pak I felt sick. That night, I woke up with chest pain and dizziness and had a panic attack. It subsided after a few minutes, but I have not been feeling good since. I do have a low grade temperature (99.2), chills and hot flashes. When I am sick, my anxiety does kick into high gear. I took Ativan 0.5 mg. I am nervous because this is the most anxiety I have had in a while. Does this mean my Effexor is not working? Doctor: Hi. The heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of Venlafaxine withdrawal. Did you miss a dose of Venlafaxine? Another explanation is that these medicines that you are taking for your tooth issue interacted with Venlafaxine, thereby reducing its effect. Though, there is no reported interaction between these medicines, individual differences in metabolism are common and could be a cause in your case. My advice for you would be not to jump to the conclusion that Venlafaxine has stopped working. Take higher doses of Ativan, even up to 2 mg thrice a day if required for the next few days. Wait till the other drugs are out of your system that is for three to four days and check whether the anxiety disappears on its own or not. The most obvious remedy would be to increase the dose of Venlafaxine by 37.5 mg and watch. Since we are not sure of the interaction yet, you could rather wait for a few days. If you can do a plasma drug level test of Venlafaxine, that would be great. Another thing to do would be an ECG and rule out QT interval prolongation by medicines, unlikely but better to rule out. In the worst scenario, if Venlafaxine has stopped working at 75 mg then you would be increasing the dose of Venlafaxine, but not looking for alternatives. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18417, + "tgt": "What medicines can I take for throat irritation post LASIK surgery?", + "src": "Patient: Hi doctor, I am 32 years now. Last Monday got LASIK\u00a0for my eyes and in recovery phase this week. I had cold before that which has increased and continuing till now. I have throat irritation and slight nose block for which I took Otrivin at night for 2 days but still not much improvement. What tablets shall I take? I also have some mouth ulcer for past 2 days. What tablets shall I take for that?\u00a0LASIK doctor had told no restriction in food or medical practices. After your suggestion will also check with him once if you recommend so. Thank you. Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14190, + "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": 3199, + "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": 1649, + "tgt": "Why do I have higher visual acuity in my right eye than the left?", + "src": "Patient: Hi doctor, I had LASIK at the age of 26 and had 20/15 vision after the procedure. I had -4.5 R and 5.25 L before the surgery. I am now 31 and have developed some slight myopia (R - 0.25 and L - 0.50) and astigmatism. One thing I have always noticed was that both before LASIK and now, my left eye always seems a bit blurry when looking out of them separately (at a distance). At times, I feel that up close with my corrective lens on it is the reverse and my left is slightly clearer. I mean could this just be due to them being two separate organs and maybe my right eye has a higher visual acuity than my left eye at a distance? In addition, even without my glasses I can read things that my wife cannot at a distance.\u00a0We had her vision checked thinking it must be myopia and she tested 20/20 or better. Though I do not really suffer from dryness, I use Similasan drops frequently throughout the day as a protective measure. I work long hours in the computer, probably for 12 or more a day. I have anti-glare coatings on my glasses. I asked my optometrist if I should be worried about the excessive time on a computer and he said as long as I am using the drops and resting my eyes every 20-30 minutes it should have no effect on my vision, as my issues are related to the length of my eyeball. Even though my prescription is weak, I have always been extremely sensitive to the difference in both eyes. I know it sounds absurd.\u00a0Some things I do are lubricate, rest muscles, where my glasses which are anti-glare, etc., and have recently changed to lights in my working areas that mimic daylight. Could you summarize and give me a detailed answer as I am actually OCD (diagnosed) and I obsess about this for some reason. I felt that coming here and getting a detailed answer from an ophthalmologist might be more enlightening. Thank you. Doctor: Hi.\u00a0 For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12256, + "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": 17031, + "tgt": "I get paranoid and scared when I am alone in a dark room. What should I do?", + "src": "Patient: Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark,\u00a0otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a\u00a0ghost. I was almost strangled to death by him, and after that,\u00a0I never felt safe being alone. I am most paranoid while sleeping between 3 to 6 AM. Even the smallest noise scares me. I sleep 5 to 6 hours and on weekends, I\u00a0sleep for 8 to 10 hours. I\u00a0love sleeping, but the problem is I get paranoid and scared if my wife sleeps before me. I\u00a0feel alone and scared. I\u00a0only have half a\u00a0teaspoon of coffee in the morning, so that I do not get too alert or paranoid at night, but some days,\u00a0I\u00a0am not able to sleep at night. I\u00a0do sleep at 6 AM in the morning, and then get up late around 12 PM for my office. Caffeine seems to increase my paranoia. I\u00a0can never sleep alone in a room, day or night. If I\u00a0have to sleep, I need music or the TV on. Whenever I\u00a0am alone in the dark, I\u00a0keep thinking about dead people and ghosts. What should I\u00a0do to turn off my paranoia? Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 659, + "tgt": "I have hard crusty stuff around the ear canal with clear discharge. What could it be?", + "src": "Patient: Hello doctor, I have this hard crusty stuff around the perimeter of my ear canal. It itches and if I scratch it will come off but it sometimes causes clear fluid to drain out of my ear. It also dissolves if I get water in my ear. I am currently on Amoxicillin for a tooth infection. Doctor: Hi. Probably you have a subclinical otitis externa. In this condition there will be a very subtle infection in the ear canal which leads to an intense amount of itching. With the use of earbuds the raw area gets exposed and flares up the irritation even more. Impacted wax can also be a source of the irritation in the ear. This is often associated with fullness and pain. You can follow the advice mentioned below. 1. Please stop using earbuds henceforth. 2. Tablet Levocetirizine 10 mg one tablet at night for the next 10 days. 3. Wax dissolvent ear drops 3 drops three times a day for the next five days. 4. Keep the ear dry, please wear a shower cap while bathing. 5. The scab will dry and fall off on its own, so there is no need to keep touching it. 6. You can continue Amox antibiotic as it has nothing to do with the current problem. If there is anything more you want to know, please do inform me." + }, + { + "id": 25556, + "tgt": "I have been suffering from body acne since 10 years. Please help", + "src": "Patient: Hello doctor, I have been suffering from body acne since 10 years. It is present on my upper arms, shoulders, back and buttocks. I have been using Benzoyl peroxide 5% since 6 months. But there has been no effect at all. Doctor: Hi. Benzoyl peroxide alone is not going to work. Please send the photographs of the affected area to find out the grade of acne and to prescribe you the proper treatment. Revert back with the pictures to a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11011, + "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": 28202, + "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": 30670, + "tgt": "After cleft palate surgery, will my daughter speak properly?", + "src": "Patient: Hi doctor, My daughter is 2 years 10 days old now. She has been detected with a\u00a0soft cleft palate when she was 1.6 years old. The surgeon asked us to wait for a few months as she needed to be more healthier than the current scenario at that time.\u00a0Now, we consulted the surgeon again and he said that my daughter can get a surgery now. But, we also checked with a few other surgeons as a second opinion and they questioned us for delaying the operation. They informed us that it should be done normally by around 6 months of age. Are we really late for this surgery? As of now she speaks a few words, but it seems a few words are coming from her nose. Will she able to speak properly after surgery? Also, we are worried that whether she will speak or not. Is it too late for us to take her for surgery? Another surgeon has diagnosed her with a soft cleft palate and post hard palate. Will they handle both in same surgery? Please help us. Doctor: Hi. CBC (complete blood count). Surgical correction. For further information consult a plastic surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 9374, + "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": 14938, + "tgt": "Getting abdominal pain twice in every month. One during the first day of the period and then on the 9th day of my period", + "src": "Patient: Hi doctor, I am getting abdominal pain twice every month. Once during the first day of my period, and then in the middle lower abdomen (where the uterus is) on the 9th day of my period. Please help. Doctor: Hi. Many individuals experience such pain. The period day pain is dysmenorrhoea (pain due to menses). The mid-cycle pain is ovulation pain called as Mittelschmerz in our term, due to the release of the egg. This usually indicates the ovulatory cycle." + }, + { + "id": 6435, + "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": 666, + "tgt": "How do symptoms like abdominal pain, fullness, nausea, and weight loss related to ovarian cancer?", + "src": "Patient: Hello doctor, I have abdominal pain, fullness, nausea, weight loss, leg edema. I would like a second opinion and another interpretation of my scans, please. In February, I started having bad abdominal fullness, nausea, vomiting, anemia, and weight loss for a few weeks. Then I felt a little better but then I get the same again. I am worried about possible ovarian cancer as three of my aunts had it, my mom and five aunts had breast cancer and my grandma died of peritoneal cancer of ovarian origin. When I looked at the CT scans it seemed of pretty poor quality compared to the images I see online. Please help. Doctor: Hi, Welcome to icliniq.com. Thank you very much for providing detailed history and uploading all the blood tests (attachment removed to protect patient identity). Blood tests give us many clues. You definitely have less red blood cells than expected but also you have low white blood cell count. That definitely makes me think about some problems related to the bone marrow where those cells produced. With the production of less red and white blood cells, it is also expected you have a low level of blood proteins. Let me tell you about your abdomen-pelvis scan. Scan quality is good, they started with noncontrast, then got venous-routine phase with also additional delayed phase. Liver, gallbladder, spleen, pancreas, bilateral adrenal glands, and kidneys look normal. Uterus and bilateral ovaries are normal. Bladder is normal. What is abnormal? Intraabdominal fluid, ascites which explains your fullness. Good news is no evidence of ovarian cancer or any other masses. I highly recommend you to see a hematologist and maybe sample bone marrow. I strongly believe you have bone marrow disease regarding to production of blood cells, if you would like to read about it, it might be some mild form of pancytopenia, although your platelet number still looks low normal. Bone marrow diseases. Bone marrow biopsy. Bone marrow diseases." + }, + { + "id": 28321, + "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": 26080, + "tgt": "I have loss of appetite, leg pain, and gastritis. Please help me", + "src": "Patient: Hello doctor, I have many problems, mainly loss of appetite, leg pain, and gastritis. HIV and hepatitis A, B, and C are negative. Colonoscopy was normal. I am depressed. Please help me. Doctor: Hello. Revert with details for a better help. Revert with more information to a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18238, + "tgt": "What is secondary infection?", + "src": "Patient: Hello doctor, I have\u00a0itchy red bumps on my thighs and labia and some of which have whiteheads. \u00a0I was not sure what it was. It seems to get worse when I am stressed and I am irritated with certain fabrics. Also, I have tested for herpes, but it came negative as it is too early to test. I am attaching my photo. Please explain me. Doctor: Hi. I have read your query and examined your picture (attachment removed to protect patient identity). It seems that you are having molluscum contagiosum and a few of them are secondarily infected. Molluscum contagiosum virus will cause multiple or single raised skin lesion. The papules are umbilicated and contain a caseous plug. This virus may sometimes get inoculated along the small skin injury, such as from shaving which is known as autoinoculation. This virus gets transmitted through direct skin contact, through swimming pool or it could be transmitted sexually (STD). 1. Skin biopsy. 2. HbsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C virus) and HIV to rule out sexually transmitted disease. 1. Molluscum contagiosum 2. Folliculitis. Molluscum contagiosum with secondary infection. 1. Generally, it is self-limited and heals spontaneously after several months. Curettage or enucleation is a more effective treatment. 2. I suggest you to take tablet Azithromycin 500 mg once daily for three days and topical Mupirocin ointment local application twice daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25081, + "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": 21196, + "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": 4973, + "tgt": "Is nutrigain recommended for Crohn's patient?", + "src": "Patient: Hi doctor, I am suffering from\u00a0Crohn's disease\u00a0and would like to try nutrigain.\u00a0Please advice if there are any side effects. Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29809, + "tgt": "How to get rid of the red itching spots on penis?", + "src": "Patient: Hello doctor, I have red spots on my penis and it is very itchy in nature. Now, there is a rash-like thing on my penis. Currently, I am using Candid B cream. Please help me. Doctor: Hi. Please provide the below details to arrive at a definitive diagnosis and to suggest a proper treatment plan. Revert back with the details to a dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4191, + "tgt": "My child is passing mucus stools after taking cold and cough medicine. Why?", + "src": "Patient: Hello doctor, My child is 3 years old. she was suffering from cold and cough and was under medication like Mucolite, Timinic, Septilin, and Asthalin 2.5 mg. For the last two days, she was doing mucus potty, now it is getting better today. We did a test and attached is the interim report. Please advise. The anal side is a bit red and once when trying to clean it she in not allowing it. She has no fever. Doctor: Hi. I have seen her reports. (attachment removed to protect patient identity). Your child has a respiratory infection and nothing to do with her potty. The mucus you say is due to the swallowed phlegm. She needs an antibiotic like Moxclav dry syrup 5 ml - 0 - 5 ml twice a day. Continue Astahlin syrup also and give Calpol syrup if there is a fever and get back." + }, + { + "id": 2991, + "tgt": "Is ELISA test taken after 12 weeks of exposure conclusive?", + "src": "Patient: Hi doctor, I had sex with CSW. I had sex two times, and each time I wore two condoms, which was intact after sex but appeared that it had come a little front from my body side. I also filled water in the condom before throwing and confirmed that it had no breakage as water did not come out. She had bit me near ear and the next day a mosquito bit me at the same place and I had a swelling there for some two days. Due to anxiety, I started having Bromhexine (for mucus) syrup and Ulgel-A (antacid). I also lost weight during this time. I had taken a liver protection injection later. I underwent an HIV Elisa test (12 weeks after sex, 89 days after sex), the result was negative. Would Bromhexine, Ulgel or liver protection injection interfere with the Elisa test? Or can I consider this test as conclusive? Later, I got two swellings one in my hand other in my neck. The swelling in the neck went off in two days. Again I get some sort of swelling in hand and in the leg a small size lump appeared, and it disappeared within few hours. I am noticing this happening frequently from three days, however, two of such lump have turned red. Earlier, I used to get infected very easily by cold and throat infection even before I had sex. Could that be a pre-existing immunodeficiency? Given all this, can I conclude that HIV Elisa test (12 weeks after sex, 89 days after sex) as conclusive? Or should I have another test after six months? Please help. Doctor: Hi. Let me answer your question step by step: 1) Your chances of contracting HIV or for that matter any other STI (sexually transmitted infection) was non-existent with the consistent and corrective use of a condom. 2) You had mentioned that there was a slight slippage of the condom and it is assumed that you had a low risk of contracting HIV or any other STI if the other person will be having it. 3) The ELISA testing kits for HIV used these days are highly sensitive and specific and gives accurate results. 4) Your negative HIV test at three months of exposure is highly conclusive of your negative HIV status. 5) Majority (99.9%) of the people who are infected with HIV after exposure, develop antibodies by three months. So, your negative test result is quite reassuring. 6) There are very rare cases of late seroconversion or positive antibody response at six months has also been reported in the literature. 7) There are recommendations and I also suggest to my patients to repeat the rapid HIV antibody test at six months of last exposure and if that will be negative, you need not to repeat it further. 8) The symptoms which you have mentioned could be due to various other causes or just due to anxiety also. There are no HIV specific symptoms or signs. Relax, as you have crossed three months hurdle. I suggest you to get your routine hemogram, biochemistry, fasting blood sugar, thyroid profile and lipid profile done. I hope this helps." + }, + { + "id": 30928, + "tgt": "My husband has got a scar on chest. What is it?", + "src": "Patient: Hi doctor, My husband has got a scar on his chest following a pimple. Now, I feel that the size of the scar has become bigger than it was before. It is not painful, but he feels itchy sometimes. He has the scar for around three years now. He has a family history of keloid in his maternal grandmother and vitiligo in his maternal great grandmother. He was also treated for initial stage of vitiligo and got cured. I have attached the image. Please have a look. Thank you. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 514, + "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": 24058, + "tgt": "I have nausea, black stools, belly pain and gas. What could it be?", + "src": "Patient: Hello doctor,I am a female, 58, 5'10\", 239lbs. I am having nausea every morning. It comes and goes during the day. I also have black stools, belly pain, and gas. I am on Lexapro 10 mg, Pramipexole 3 mg, Lamotrigine 25 mg twice daily and 200 mg once, Meloxicam 15 mg, Metformin 500 mg, Gabapentin 300 mg, and Atorvastatin 40 mg. Doctor: Hello. Your symptoms are suggestive of upper gastrointestinal intestinal bleed. Please stop Meloxicam 15 mg tablet immediately. I suggest you take proton pump inhibitor medication like Omeprazole 40 mg tablet straightaway and take preferably cold water. Please check with an accident and emergency department for further care for intravenous proton pump inhibitor, antiemetic medications, and further lab investigations such as complete blood count, bleeding and clotting time, prothrombin time with platelets, APTT (activated partial thromboplastin time), INR (international normalized ratio), stool for occult blood, ultrasound abdomen, complete liver function tests to assess the extent of blood loss through stools. In case of evidence of ongoing bleed, you will require packed cells and urgent upper GI endoscopy for diagnosis and stapling of bleeding esophageal varices. Do not take Aspirin tablets or any other painkillers as they can worsen bleeding inside the gut. Stop alcohol, spicy diet, coffee, and tea. After emergency treatment, I suggest the long list of medications be reviewed to see whether it can be simplified. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29759, + "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": 23550, + "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": 14081, + "tgt": "What makes me violent and talk in my sleep with headaches?", + "src": "Patient: Hi doctor,I can get violent in my sleep and attack my wife. I also talk, sing and shout. I also suffer from headaches, migraine, and tremors in my hands. Doctor: Hi. With your limited history, it seems you have REM sleep behavior disorder. This would need further evaluation by a neurologist. Do you have tremor at rest or both during rest and motion? You can try Melatonin 10 mg at bedtime (OTC medicine). This should help you with your sleep behavior. Also, an alternative is Clonazepam (this would need physician prescription). You would need polysomnography for definitive diagnosis of REM sleep disorder. Also, neurological evaluation to make sure you do not have early Parkinson symptoms. REM sleep behavioral disorder." + }, + { + "id": 24173, + "tgt": "Why am I having diarrhea after protected oral sex?", + "src": "Patient: Hi doctor, I met a guy. I decided not to have sex as I do not know him. He gave me protected oral (blow job) with a condom. Also, I fingured his anus two minutes with vaseline by putting nitrile gloves. That is all and he also sucked my nipples. We did not have anal sex. There was little masturbation before oral. But it has been a week and I am having diarrhea. I am very scared. Do you think I got exposed to HIV? Please help. I never did anal sex due to fear of HIV. Please help. Doctor: Hi. It is unlikely to acquire HIV without exchange of body fluids. In your case, masturbation and oral sex have very minimal chance for such. Your diarrhea could be due to other infections. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 25069, + "tgt": "Should I get a tetanus shot for infection caused by rusty earring?", + "src": "Patient: Hi doctor, I accidently wore a rusty earring. My ear is little sore but does not seem to be infected.\u00a0Should I get a tetanus shot? Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30219, + "tgt": "Please help me cure my husband's behavior issues", + "src": "Patient: Hi doctor, I am 28 years old and my husband is 40 years old. We got married before nine months.\u00a0My husband has been suffering from psychosis since two years, but I came to know this only after marriage. He is using Arpit 10 mg and Dyskinil.\u00a0I just wanted to know about his health condition. He left office two years back and rejoined office after confirmation from his physician that he is normal.\u00a0But, I do not feel that he is normal as he screams at night sometimes in a different voice pointing out his finger in someother direction.\u00a0There is misunderstanding between us. He is always suspicious, negative, anxiety, mismatch words while talking, stubborn and very childish. At times, he is acting to show others\u00a0that he is innocent. He is not involving with family members, not thinking about family life, uncleanliness, chain smoker, untruthfulness and not\u00a0bothered about health and loses his temper frequently, which is really affecting our married life. Also,\u00a0these are happening without any intention.\u00a0I would like to know whether this abnormal behaviour is inborn from childhood.\u00a0There is lot of issue in our sexual relationship as he could not fulfil his desire as he takes out his anger in another manner.\u00a0Because of this, I took him to a urologist and he suggested Tazzle 10 mg and Nano leo.\u00a0After using the medicines, I got conceived and now I am 5 months pregnant. He stopped using Tazzle and Nano leo for a month and\u00a0ordered L-Arginine without doctor consultation.\u00a0He seems to be normal, but his behavior differs sometimes. In fact he has mental pressure from his family members as he is taking care of them financially.\u00a0I am desperately looking for a solution. I am afraid about my married life. I will be happy if my husband becomes normal. Please help. Doctor: Hello. Your description of his complaints is suggestive that he suffers from paranoid schizophrenia. It is not congenital. It begins in early adulthood most often and there is no complete cure. But, it is very much treatable with proper doses of antipsychotic medicines. Patients can live almost normal life with family and work, but they need to be on medication life long. I believe that the current dose of Aripiprazole (Arpit) that he recieving is inadequate. It needs to be increased to 20 mg to 30 mg for good response. If the response to Arpit is not satisfactory, then there are other medications that are available. I would suggest that you go along with him for doctor's appointment (or alone if he does not like it) and explain the current severity of symptoms. It will help him better to choose proper doses of proper drugs. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21747, + "tgt": "Is it fine to give Meftal-P for fever in 10 months old baby?", + "src": "Patient: Hi doctor, My 10 months old son got a fever since last night. It has been 24 hours and his fever is between 100 and 102 degrees Fahrenheit. He has no other symptom till now. We are giving him Paracetamol drops. What can we do for him? The doctor suggested Meftal-P. Is it fine to give for 10 months old baby? Doctor: Hi. Paracetamol drops are fine. Meftal-P (Mefenamic acid) is a group of drug NSAID which is not first class drug given to babies under 1-year-old. First priority is Paracetamol or Acetaminophen. The reason is NSAID causes closure of the vessel in hearing in the fetal phase. So until the baby grows up, NSAID is not preferred. As fever is high grade, sponge him with a wet towel. This would decrease temperature and then blood circulation will be normal and Paracetamol will reach tissues and work. Watch for other signs like a cough, flu, crying (abdominal pain), and diarrhea. Follow up after three days. Adequate fluid and breastfeed if given. 1.Viral. 2.Bacterial. 1.Complete blood count. 1.Acute gastroenteritis. 2.Respiratory tract infection. 1.Viral fever. 1.Paracetamol drops. 2.Adequate fluid, and food. 3.Wet sponging. 1.Avoid unhygienic measures. 2.No outside food. For more information consult a general practitioner online.--->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17473, + "tgt": "Can you suggest some medicine for ear blockage?", + "src": "Patient: Hello doctor, I am suffering from a left ear blockage, and it happens to me many times. Blockages get open when I move my jaw. I am suffering from this issue for the past two to three years, but not regularly. Commonly, I used to get it after swimming and due to cold. I am not taking any medicine right now. Can you suggest me any medication? Doctor: Hi. Revert with reports to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 14092, + "tgt": "What can be done to increase the length of the penis?", + "src": "Patient: Hello doctor, My penis size is 4 inches when erect but all my friends have a length of 5.5 to 6. I feel embarrassed in front of my fiancee. Can I increase it to 6 inches because I think that nothing is impossible? Is there any way? I also suffered erectile dysfunction and premature ejaculation. The sex time is only one minute. Doctor: Hi. I have read and understood your problem. There is no medically proven treatment to increase the penis size. It cannot be increased, unless you have hormonal problems like if the serum (blood) testosterone and LH are low. Size of the penis varies from person to person, like other physical features like height, etc. On an average, it ranges from 3.5 inches to 5.5 inches on erection. If your penis is within this range on erection, then do not worry. If your penis is smaller, then you can do hormone tests. In pornographic films, they show big penis by injecting drugs, etc., which is harmful, so most people have wrong ideas about penis size." + }, + { + "id": 24621, + "tgt": "Does nose bleeding occur after a septoplasty?", + "src": "Patient: Hello doctor, Last week, I have done a septoplasty and the dressing was taken out yesterday. Now my nose bleeds a lot the whole day and then it was normal. Today I woke up and there was a lot of blood in my nose and it was dry inside. Is it because I missed out taking the nasal spray while I was asleep or any other reason? Doctor: Hello. It is normal to have some bleeding after septoplasty operation. Subsequently, in the postoperative week, there occurs crusting and dryness due to the dried up blood clots and mucus. In my set up, in addition to giving saline nasal drops or douching, we also give Mupirocin ointment to apply over the wound locally. In septoplasty operation, we cut the mucosa from inside and raise flaps and remove deviated part of the nasal septum. The area thereafter is prone to dryness and crusting which can be prevented by the ointment. I advise that you start on an appropriate antibiotic ointment with nasal douching. Do the saline irrigation or drops first and then follow it up with ointment. If the saline irrigation is painful, you can insert a dab of Lignocaine jelly and wait for 10 minutes before doing the wash. Hope you feel better soon. If there is any problem do not hesitate to contact us. Happy to help you. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18998, + "tgt": "Can holding wet toilet door handles lead to STD?", + "src": "Patient: Hello doctor, Just wanted to ask if you can get an STD from wet toilet door handles. I live in a place with shared toilet and was having a standing up urinating. I received a text message whilst urinating and got out my phone to check whilst I was still urinating and I noticed the back of my phone felt a little damp. I am not sure why it felt damp possibly my hand may have been a little sweaty or I may have got my own pee on my hand a little but I am now really worried in case it was water from the toilet door handle. I am worried as I may have touched my penis with the hand that held the phone.I know I am probably worrying needlessly but wanted to confirm. Doctor: Hello. There has been no STD (sexually transmitted disease) identified which can spread through such modes. So, I do not think you need to worry. STD, as the words define, spread by sexual activities and sometimes from mother to fetus. They do not spread through touching doors or shaking hands. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9356, + "tgt": "What are the ways to control urinary infection in a diabetic?", + "src": "Patient: Hello doctor, I am 45 years old, suffering from diabetes. I have fasting blood sugar avarage 140 to 150 and also I have urine infection showing pus cell in plenty. Kindly suggest me for controlling infection in urine. Doctor: Hello. I have read through your post and I can see that you are on antibiotic. However, the one you are taking is most likely not effective against urinary tract infections you are suffering from. It is important to treat the infection so I would advise you to get a culture and antibiotic sensitivity testing of your urine to see, what kind of organism is causing the infection and what antibiotic will likely to be effective against it. Based on the results, you can be put on the most suitable antibiotic for this. Please go to the hospital, if your symptoms worsen or if you develop fever, shivering or generally start to feel unwell." + }, + { + "id": 3650, + "tgt": "Is it advisable to give Fluvoxamine to a patient with anxiety and OCD?", + "src": "Patient: Hello doctor, For someone suffering from anxiety, ocd intrusive thoughts. This person was on 5 mg of Cipralex for quite a few years, then about 8 months began a change of medicines, about 6-7 in this time. Finally this person was given 25 mg Fluvoxamine. First 4 days everything was fine. Then anxiety attacks started. As of last night dose went up to 50 mg. Result is the person is feeling calmer however they feel very disconnected and cannot do anything, cannot concentrate, cannot think or analyse things. I forgot to say that when they started Fuvloxamine they stopped the 5 drops of Cipralex. We do not know what to do tonight, whether to stop this Fluvoxamine and go back to Cipralex or whether to keep going and maybe these side effects will stop (if so how long aproximately). We are very confused and cannot get hold of the psychiatrist that prescribed this. Please if some doctor there is an expert on these meds and theri side effects that could help us. A lot of these medicines and maybe all give strange and serious side effects that are not listed by the pharma companies. Doctor: Hello. I can understand your concern. As you have mentioned that the patient is feeling better with this medication, I would suggest you to continue 50 mg Fluvoxamine for atleast another 2 to 4 days and see if they feel okay. Fluvoxamine has a sedative effect and that is why the patient is feeling all these symptoms of not being able to concentrate or do anything, etc. I would suggest you to take the medicine before sleeping. 50 mg is actually a low dose so you should not be worried. Continue same dose for a few days and see if body adjusts sometimes if anxiety is under control with Fluvoxamine, some medicine can be added to prevent the side effects. Secondly, you have not mentioned details of the patients age, etc., I would suggest you that if possible, patient should start therapy as well. Medications and therapy when combined give faster results. Take care of yourself." + }, + { + "id": 22679, + "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": 21904, + "tgt": "Why does my sacrum not stay in place?", + "src": "Patient: Hello doctor, I have to pop my sacrum every day for my hips to feel good. I do this by putting a pillow in between my legs and squeezing my glutes as hard as I can. My question is why does the sacrum not stay in place? What can I do to make it stay in place? Doctor: Hello. I read your query. There are many reasons for sacrum not getting in its position. Mainly posture as faulty posture while sitting, standing, even lying can lead to malalignment of sacrifice iliac joint. Again faulty or improper firing of gluteus and piriformis muscles and pelvic floor muscles can lead to this issue. You have to maintain posture and lying on a proper surface (I mean lying on a bed that does not sag and properly supporting the body) and maintaining glute, piriformis, and pelvic floor muscles strength will help you achieve a good stable SI (sacroiliac) joint. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 4134, + "tgt": "What causes neck pain with weakness after anterior discectomy of C3, C4 and C5?", + "src": "Patient: Hello doctor, I am 31 years old, before 16 years underwent anterior discectomy of c3c4&c4c5 with fusion. Even had neck pain and pain got radiated to neck and back while working. Suffering with pain for 16 years but I got used to it. But for past few months neck became very very week am not able to bare my head weight and not able to keep neck in straight position. Now for past 20-25 days having severe neck pain, weakness of full both hands and legs sometimes with numbness. Eye pressure and back head pain. I am not able to keep neck at straight position. Getting breaking sound if I rotate the neck. Neck movement is restricted. I have attached my recent MRI report, can you please tell me what is the actual issue with this. Doctor: Hi. I have gone through your query and medical history along with the attached reports (attachment removed to protect patient identity). The problem does not seem to be due to the fused C3-4 or C4-5 levels. Infact a disc prolapse at C5-C6 with nerve compression is causing the present symptoms. I would suggest you to go for physiotherapy sessions including cervical traction along with neck strengthening passive and active exercises,SWD/IRT. It would always be better to avoid going through another surgery considering the post-operative complications. Hence, in my personal opinion, you should avoid a re-surgery and go for conservative line of management. Analgesics,anti-inflammatory tablets, hot fomentation and use of cervical soft collar will help. If the symptoms do not improve, you can consult an Orthopedist/Neurosurgeon for further management." + }, + { + "id": 2802, + "tgt": "I have chills, breathing problems and cough with white phlegm. Could it be Coronavirus infection?", + "src": "Patient: Hello doctor, Last night I was getting chills, feeling more cold than usual and lightheaded and a lot of burping. Maybe like every 30 minutes or less or so feel more chills running down my body and chest feeling bit weird like I am starting having trouble breathing then goes back to normal and repeats, with weird feeling like chills down my left and right lungs or left and right upper chest. Also, my heart was pumping fast. Also, some minor coughs were there since seven days ago, still here. I have white mucus and have not gotten yellow yet. I took medicines yesterday but today I got severe cold and flu medicine with a pain reliever, the chills did not go away. Then today, I called the doctor on the phone and told him what happen last night and the same thing happened this morning too. I had minor coughs, feeling lightheaded, feel like maybe cannot breathe or something, and a lot of burping. I told him the burping issue was going on for at least two years, but somehow this time I am feeling lightheaded. He just gives Pepcid, a try maybe GERD. I ate that today still feeling chills now and still burping a lot. Right now, still some chills on arms, with breathing issue or something makes my chest feel weird and arm sometimes. So, should I be worried? I do not think I have a fever now but do not feel hot on the forehead? Was it GERD or flu, it is Coronavirus or something else? I hope it is not Coronavirus. I am 21 years old and weigh around 110-115 kg. Doctor: Hello. Please answer the following: Any travel history in the last one month? Any use of airports? Any fever, have you checked the temperature? Any cough? Any mucus or phlegm? How is your sleep? Is there any malaise or body aches or weakness?" + }, + { + "id": 12609, + "tgt": "Can high BP cause constant morning palpitations?", + "src": "Patient: Hello doctor, For the past 8 days I am having mild palpitations both morning and evening. Since, eight years, I am taking tablet Metolar 50 mg for BP. I consulted my doctor, he asked me to get ECG, ECHO and also thyroid tests. I even got lipid profile, kidney and liver function tests done and all the tests came normal. Though, all my tests are normal, I still feel some discomfort. I am very much concerned. When I got a regular check up of my BP it was 130/70, pulse was 65, LDL was 103, HDL was 57 and triglycerides was 65. Now my doctor has asked me to take BP tablet regularly. Kindly advice. Thank you in advance. Doctor: Hi. I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered to be the biggest cause of palpitations. I suggest you to consult a cardiologist and get a complete physical examination done. He will insist you to take an EKG (electrocardiogram) and run few tests accordingly. Some of the causes of tachycardia and palpitations are: There are chances that after all the cardiac investigations, your cardiologist might change the tablet from Metolar 50 mg (Metoprolol) to tablet Atenolol." + }, + { + "id": 21124, + "tgt": "Why is there pain in throat while eating or drinking?", + "src": "Patient: Hello doctor, It pains a lot in my throat on right side whenever I eat or drink something. This happened after I recovered from a cough and fever. Please help. Doctor: Hello. It can be posterior pharyngitis or especially tonsillitis like infection. Your posterior pharynx examination has to be done. If congestion is more, then it is better to investigate with CBC (complete blood count), ASO (anti-streptolysin O titer) like further investigation. Your doctor might put you on antibiotic and decongestant course for five days. Drink lots of water. Avoid excess spicy foods. Vitamin C lozenges can be chewed frequently. Salt water gargle can be done with warm water three times a day. You can consult an otorhinolaryngologist for examination." + }, + { + "id": 11753, + "tgt": "My ECG and lipid profile are normal but still I have chest pain. Why?", + "src": "Patient: Hello doctor, I had chest pain very lightly in different areas of the chest. The pain was not continuous but occurs only sometimes during day or night but not in the sleep. I have taken an ECG and lipid profile test, but both are normal. My doctor advised me to take Ecosprin on daily basis life long. Kindly advise on this. I have a habit of smoking 7 to 8 cigarettes per day. Due to gastric problems, I felt this pain, but after taking gastric medicine, it will disappear. The gastric drug that I used was Atorva for cholesterol, but not now. My cholesterol level is in the normal range. Total cholestrol is 191 and triglycerides are 177. Doctor: Hello. For chest pain, I advise you to have treadmill test and exercise tolerance test (ETT), in which you have to walk and run on a treadmill and simultaneously your ECG and blood pressure recorded. If chest pain is due to heart, it will be confirmed. Keep taking Statin (atorvastatin) but no need of Ecosprin (aspirin) according to new guidelines. For on and off chest pain, take pain killers such as Paracetamol. Have an ETT done and send me the report so that further planning can be done." + }, + { + "id": 14144, + "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": 3081, + "tgt": "What is the possibility of a lump in breast which is present for 10 years to be cancerous?", + "src": "Patient: Hello doctor, I have a lump behind my left nipple for around 10 years. It is a painless and hard lump which is just behind the nipple, and it seems to be round in shape and is about more than 1 cm in size. It is not growing and is of fixed size. I also notice skin discoloration on the breast like slight melanin patches. I also notice a few minor or very small fluid lumps in the right breast area. Please tell me if the lump can be cancerous. Doctor: Hello. It looks all these lesions are benign (non-cancerous). This small lump which is there for 10 years is certainly benign as cancerous lump grows and spreads. Regarding skin discoloration looking like melanin patches and fluid lumps. You have not mentioned the details regarding discoloration and fluid lumps, whether they are new or old, whether they have increased in size as compared to the previous one or whether they have shown any change in appearance, etc. Nothing to worry about, but it is recommended to visit a mammalogist and let them examine all these breast and skin lesions. If needed they will put you on close follow up or investigate further. The major risk factors for developing breast cancer are: 1. Family history of breast cancer. 2. Obesity. 3. Certain genetic syndromes. 4. Any previous breast lump. 5. Hormone replacement therapy, history of estrogen intake. 6. Early menarche or late menopause. In case you have any family history of breast cancer then you must go for genetic counseling also." + }, + { + "id": 0, + "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": 20509, + "tgt": "I have a painful swollen gum near my back tooth. What could it be?", + "src": "Patient: Hi doctor, I have an issue with gum disease. There is a swollen gum present on my back tooth. It hurts when I touch it. It is not seen in front of my tooth. It is present inside my mouth. I have pain in the left jaw. Please help. Doctor: Hi. I have gone through the image (attachment removed to protect patient identity). It looks like a periodontal abscess (infection of the gums and tissues surrounding the teeth). As you have braces (molar band specifically), it can also cause it. Another possibility is gingivitis. Again the reason is the same. The third reason can be due to dental caries (but your image does not show any evidence of caries or cavities). To confirm it, a clinical examination and intra-oral X-ray is needed. You will need a professional cleaning (scaling). For pain, you can take Aceclofenac 100 mg once in the morning and once in the night after food, take Pantoprazole 40 mg once in the night before taking food (only if you have acidity as it can aggravate the acidity). You can take Amoxicillin CV (Clavulanic acid) for five days one tablet in the morning and one at night. Finish this antibiotic course for five days even if the symptoms subside. If you are allergic to any medicine, stop taking them. Let me know so that I can alter the medication. But, I prefer taking antibiotics only after the clinical examination and X-ray. Do not worry. Consult your dentist. You will be fine. Maintain oral hygiene and since you are wearing braces, be more careful with oral health. Follow the instructions given by your dentist. Do lukewarm saltwater gargling. Is there any other swelling below the angle of your jaw or any pus or blood discharge from the swelling? Or are there any other symptoms present?" + }, + { + "id": 19002, + "tgt": "If I stop smoking, can I live long?", + "src": "Patient: Hi doctor, I have had a CT scan on head, neck and chest. My doctor told me that I have chronic sinus. I already knew these things and had sinus surgery. But, in the report it was mentioned as mild emphysema. Can that get fixed if I stop smoking? I am using Advair for years for asthma. I visited pulmonologist before CT scan and he said that my spirometry was good. After seeing my chest x-ray, he said that he could take me off Advair. I am really confused and scared. Please help. Doctor: Hi. We are here to help you. For further information consult a pulmonologist online -->https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20398, + "tgt": "Why is vitamin B12 level high in a diabetic patient?", + "src": "Patient: Hello doctor, I am 60, weight is 44 kg, height is 5.6, diabetes for past 25 years, on low carbohydrate diet for 80 days, taking no medicine for diabetes now. Sugar levels are under control, checking every day. The problem from past 50 days is that there are feet and ankle swelling that disappears in the morning and comes back by night. No pain or weight loss. Kidney function test, liver function test, 2D echo, thyroid test, HbA1C, lipid profile, stool examination, B12 tests were done. Met local doctor, and he said it is nutritional pedal edema or malabsorption. Prescribed below medicine. Oroalbumen powder three times for 30 days. Revidox LB twice a day for five days. Lasilactone 25 mg once in the morning for three days. Along with the above, taking Thyronorm 25 mcg, Vitamin C, multivitamin tablet, Omega 3 fish oil, Ecosprin 75. It has been three days, did not see much improvement. Vitamin B12 was 1271. My questions are why is Vitamin B12 high? Could this be small intestine bacterial overgrowth? Taking lots of proteins and healthy food, but no use. Could you please help to get the food absorbed. Doctor: Hi. High vitamin B12 can result from multiple causes. Since your liver function test, kidney function test, peripheral blood smear, etc., are normal (attachment removed to protect patient identity), we can rule out these as the cause. Other causes like diabetes (which you have as evidenced by HBA1c), nonvegetarian diet (do not know your status) and vitamin supplementation (which you are on) can also cause mild elevations. Small intestinal bacterial overgrowth results in Vitamin B12 deficiency." + }, + { + "id": 280, + "tgt": "How long should one wait to donate blood after tattooing?", + "src": "Patient: Hi doctor, I got a tattoo before five months. A blood donation drive is going to happen by next month. Am I eligible to donate blood? How long should a tattooed person wait to donate blood? 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": 15352, + "tgt": "Should I worry about the swelling seen after 15 days of aneurysmal bone cyst?", + "src": "Patient: Hi doctor, I have a 6-year-old daughter diagnosed with an aneurysmal bone cyst at the medial end of the left clavicle. Histology report confirms the aneurysmal bone cyst. Curettage was done, and it was filled with Chronos granules. Can my child become well? Even after 15 days after surgery, it remains swollen, and there is no pain. The movements are free. Will it stay as a cosmetic defect? I have sent the pictures. Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). She should do well after the surgery. Curettage is done thoroughly and filled with grafts. There are chances of recurrence, which are pretty high. Recurrence usually occurs between six months and two years. So, this time needs close observation. X-ray has to be taken every three months after surgery. The swelling usually reduces in size but, never comes back to normal and there remains a slight bulging. The reduction in the swelling will take for about two to three years and do not expect anything immediately. I had operated one case about two years ago, and the patient is doing fine now. There is no recurrence, and the swelling has got reduced by 50 to 60 %. The upper limb is back to normal with no pain, and the patient is happy. These are difficult and rare cases. A lot depends upon the disease, the surgeon and the type of surgery offered and skill. The cosmetic defect is the last thing that should be worried. You should be concerned about recurrence." + }, + { + "id": 24921, + "tgt": "Is invasive intraductal breast carcinoma curable?", + "src": "Patient: Hello doctor, My mother has been recently diagnosed with invasive intraductal breast carcinoma. I am currently outside the city and have not seen the reports. But, she told me that it is malignant and has spread to two lymph nodes. There is no metastasis. Doctors have told to start chemotherapy for four months followed by surgery. I need to know how bad the condition is and is it curable? Doctor: Hello. I would definitely like to see the reports. But, as per your history if it has already spread to lymph nodes then it has locally advanced. What is usually done in such cases is to give new adjuvant chemotherapy followed by surgery and radiotherapy. Though I have limited information, the stage would be at least II, might be III also. Breast cancer has different subtypes based on its molecular profile and treatment might also differ according to that. What I told you is a general outline. Yes, it can be cured in around 70 to 80 percent in this stage. But, depending on other adverse factors, the figure may come down to 50. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 24049, + "tgt": "I am worried about slight itchiness on penis. Please advise", + "src": "Patient: Hi doctor,I am feeling slightly itchy on penis. I am worried because I have once had unprotected sex. I am fine from a long time, and the itching is very mild but my mind goes there again and again. Doctor: Hi. Kindly send image for better understanding. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7592, + "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": 9726, + "tgt": "I am getting thick cheesy vaginal discharge for the past four months. Kindly advice", + "src": "Patient: Hello doctor,I have experienced a thick chunky white cottage cheese discharge for the past four months. I have been to the doctor five times since. At first, I had itchiness, but now that has subsided, but the discharge is still there. I have had multiple paps and tests done. Including chlamydia, ghonnorea, trichomoniasis, yeast infections, and bacterial vaginosis. But each time they have come back negative. I am not sure what else to do. I have been to multiple doctors but have accomplished nothing. Currently, I am experiencing dryness, loss of libido, and irritation. Doctor: Hello. I would like to have a few more clarifications. 1. Have you checked your blood sugar levels? Do you have any family history of diabetes? If so, then correction of your blood sugar levels should be the first test. The discharge you mentioned seems to be of candida. Even though your trial is ruling out this fungus, the symptoms you specified seems to be of candida albicans. 2. Your ideal body weight is 57 to 62 kg for a height of 157 cm. Are your periods regular or bulky or too less? Any hormone level imbalance controlling periods can release lots of vaginal discharge. This can be resolved only by reducing your body weight and getting regular periods. 3. Are you sexually active? If your partner has any infections or is diabetic, you can have the same disease. Your antibiotics course would have removed infection partly. He too will need medication to resolve problems fully. I hope I have clarified your query, do write back if any more questions and for your feedback." + }, + { + "id": 1378, + "tgt": "What are the recommended measures to control high BP in a stroke patient?", + "src": "Patient: Hello doctor, My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise. Doctor: Hi. If there is any acute stressful condition, tackle it. BP will be fine. Measures to control BP (blood pressure): 1. Avoid smoking and other addictions. 2. Reduce salt intake in diet. 3. Reduce fatty foods, junk foods, and saturated fats. 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, at least eight hours a day including at least six hours in the night (uninterrupted sleep). 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea, coffee 30 minutes before checking BP. Sit on the chair with feet on the ground, back supported, hand supported on a table, cuff at the position of heart. Check the BP and repeat it after five minutes again. Then check the BP in the other arm and repeat it after 5 minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your exact blood pressure. You may take at least two or more readings and the average of readings is your actual BP. If these measures do not help then switch medicines. But before switching, have renal function tests and electrolytes done. If the tests are normal, and you are not allergic to components of the following medicines, then take tablet Amlodipine or Valsartan 10/160 mg in the morning or evening time. Measure BP daily as described above for two to three weeks. If it normalizes, continue the medicine, if not reconsult." + }, + { + "id": 12668, + "tgt": "Is it advisable to take CoAmoxiclav for 14 days to cure tonsillitis?", + "src": "Patient: Hello doctor, Last week the doctor told I had adenoiditis and sub-acute tonsillitis (did not have any symptoms except a smell of catarrh and bending down felt weird). I had suffered from adenovirus and viral conjunctivitis a couple of weeks before the diagnosis. ENT thought it was viral turned bacterial although tonsillitis had no signs of being bacterial. Only thing I had was yellow phlegm in the morning. Was prescribed 14 days of CoAmoxiclav 625 mg TD. The question is do I really have to take them for 14 days? I feel fine. I know they say take the full dose. But could not 10 days be sufficient? I do not know what clinical trials or research have shown but advice from a professional doctor who has knowledge of this would be appreciated. Doctor: Hello. The yellow phlegm itself shows your suffering from a secondary bacterial infection. If sputum is there then it may be originating from lower respiratory or sinuses. So that is why your doctor has adviced two weeks course of antibiotics. So please continue above medications. If no improvement, get it done- a chest X-ray and X-ray PNS, then we come to know where the source of infection is. Take care." + }, + { + "id": 24660, + "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": 26724, + "tgt": "What is the risk of throat cancer if I have quit smoking three months earlier?", + "src": "Patient: Hi doctor, I am a 39 year old female. I used to smoke one pack a day for 19 years, but quit cigarettes three months ago. 10 days ago, I had ear and throat pain on the left side. My lymph node was swollen only on the left side. I went to my GP who prescribed me Amoxicillin 1000 mg two times per day for 10 days, and ear drops because my ear was red. Also, I have a red line on my throat (please see the picture). However, now, 10 days later, I still have the ear and throat\u00a0pain as well as the lymph node pain, and this red line does not go away. I have no bleeding from my throat.\u00a0Can you please tell me what this could be? Since I was a smoker, what is the risk of\u00a0throat cancer?\u00a0Also, I want to mention that my tonsils were removed 30 years ago. Doctor: Hello. Looking at the photo you have sent (attachment removed to protect patient identity), it is very clear that you do not have any lesions in the throat which cause a suspicion of malignancy (cancer) to arise. The reddish line you are looking at is nothing but the dilation of blood vessels which is clinically known as congestion and it is always seen in a throat infection. You seem to have suffered from acute pharyngitis which is a common type of throat infection wherein the symptoms would be throat pain, referred ear pain and sometimes reactive lymph node enlargement in the throat. There is also a chance that you might have developed an ulcer in the area of the tonsils (which is removed already in your case), which also causes persistent unilateral throat pain. You can gargle with an antiseptic mouthwash for a few days and continue taking over-the-counter analgesics till your pain subsides. A ten-day history of throat pain with a lymph node enlargement is usually inflammatory and not a sign or symptom of malignancy. So, you need not worry about throat cancer unless there is an ulcerative (non-healing) lesion lasting for a few months without resolution even after treatment. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1129, + "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": 22082, + "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": 15613, + "tgt": "My fiance is having diabetes type 2. Will she face any problem during pregnancy?", + "src": "Patient: Hello doctor, My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control? Will she face any problem during pregnancy? Doctor: Hi. I read through your query and understood your concern. She can take Progesterone tablets (Medroxyprogesterone 10 mg twice daily) to postpone her period. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her blood sugar level (at least two to three times during the period she is taking tablets) to make sure that sugar control is fine. Contraceptive pills used nowadays are low dose pills and have little or no impact on diabetes. Even if sugar levels increase, it can be treated by increasing the dose of antidiabetic medicines. So, she can use low dose contraceptive pills. Just consult your physician before starting those pills to make sure that the medicines do not interact with each other. During pregnancy, if her sugar control is fine from three months before pregnancy, during pregnancy and till delivery of the baby, there will practically be no problem to the mother and baby. If sugar control is not good, there may be many problems about which there is no need to worry right now. Revert back to a gynaecologist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30201, + "tgt": "Can I take hCG or progesterone injection for spotting in pregnancy?", + "src": "Patient: Hi doctor, I am 7 weeks pregnant. I am passing clots and spotting is there for the last two weeks. USG revealed subchorionic hemorrhage, but the fetal heart rate is good. I am taking Susten 200 twice a day and Duphaston 10 once a day. My hCG is 18000 on the 7th week. Should I take hCG injection or progesterone injection? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9084, + "tgt": "Suffering from balanitis. Using an anti-fungal cream candid-B. The symptoms start again after I stop using the cream", + "src": "Patient: Hi, I am suffering from\u00a0balanitis\u00a0since last month. I am using an antifungal cream (candid B) to avoid it. Till the time I use antifungal cream all rashes/infection disapper, but once I stop applying the cream all symptoms start again.\u00a0 Sympoms are: Red skin around head of penis and itchiness after 1-2 days of red skin. Doctor: Hi. Have you ever been diagnosed by a doctor because balanitis has several other causes as well and fungal infection is one of them. Get a fasting and post prandial blood sugar done\u00a0and please send me a few details: These answers will help me come to a diagnosis and treat you properly." + }, + { + "id": 14112, + "tgt": "How to avoid cold and flu after winter workout?", + "src": "Patient: Hello doctor, I like to go running. I was a very successful marathon runner when younger. Now I still workout, but my goal, apart from general health is mostly emotional fitness for the job. I work on the phone with customers and I have to be in a strong positive mood to be successful. I am currently living in a country where the climate is very cold and dark. When I work out it is not about speed or distance for me it is about sweating. Because, when I breathe deeply and sweat very deeply, I have the feeling that is the point when my cardiovascular system gets activated the most. Now, I found some friends who are really in shape and who do really great workouts with me. The problem is that since I do not have a car, I always have to reach back home by foot. This weekend I am currently with cold and flu. I think that I got it because I went running, sweated, stopped and then walked slowly with wet clothes through the night for about 30 to 40 minutes. In the summer, I never had this problem. Since I train with the friends, I sweat even more and the winter has already started. What do you like to tell me about this? Should I manage to run home, even with wet clothes such that I would at least not get cold? Should I take a taxi to reach home in 15 minutes? Should I later take a warm bath? Doctor: Hello. Yes, it is easy to catch cold, particularly if you are in a cold, wet and windy weather. Also, exposure to extremely cold temperature affects you in many ways and can cause frost nip (first stage of frostbite), trench foot (prolonged exposure of feet to cold) and frostbite (damage to skin due to cold), chilblains (itchy swelling in hands due to blood vessel inflammation) and last but not the least hypothermia (low body temperature). On the top of that, you being a marathon runner and a fit person will be having less amount of subcutaneous fat, which usually insulates you from cold temperatures like a quilt. Moreover, after a workout and sweating a lot, if you do not compensate by drinking water, you may get dehydrated and that further predisposes you to the ill effects of cold exposure. Well, I would advise you to take a cab to return home, particularly when the weather is so cold. Here are few don'ts you need to keep in mind. Also, I suggest few dos post workout. If you have any frost bite or any blisters, then immediately do not pour or immerse in hot water. Take a pair of extra clothes and never run in cold weather in wet clothes. Take a taxi particularly now as you have flu. You may take lukewarm showers. Warm shower definitely helps you to fight cold, but does not compensate for the cold injury. The length of exposure to cold temperatures depends on the variables such as the temperature, warm clothes you wear and your physical condition. Do take care of your health as the degree emotional health that is crucial for your living is directly proportional to your health. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13554, + "tgt": "Will I gain height more than my parents?", + "src": "Patient: Hello doctor, I am a boy and my height is 5.1 feet, my father's height is 5.0 feet and mother's height is under 5 feet. So, can I grow 5.6 feet? Because my head is bigger than my body so I look awkward. Kindly help me, please. Doctor: Hello. Being a teenager, your body is actively growing in length and you will probably grow more until your bone's growth plates fuse. Taking both your mother's and father's height as 5 feet, the expected height is roughly 5'4'' with a little room for changes either way. Vitamin and Mineral supplements could supplement your growth and you may consider that." + }, + { + "id": 20193, + "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": 22006, + "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": 19121, + "tgt": "Immediately after doing Valsalva maneuver, why do I have trigeminal pulse?", + "src": "Patient: Hi doctor, I am a male, who is 5.6 feet tall and weigh 172 lbs. I have head and chest pains for over five years. Currently, I take Metoprolol, Amlodipine, Losartan, and Prednisone.\u00a0My pulse and heart rates\u00a0are normally regular, but immediately after doing Valsalva maneuver, it becomes trigeminal pulse. This is very repeatable. It returns to normal after about 10 to 15 minutes. What could cause this? Doctor: Hi. I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. Hope it helps. Please feel free to contact me back if you need further assistance. I would be happy to help.\u00a0Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 195, + "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": 5840, + "tgt": "The outer skin of my penis is white with no pain and discharge. Is the skin dead or infected?", + "src": "Patient: Hello doctor, The outer skin of my penis is getting white and slowly increasing. I consulted a doctor, and he told me that the skin is dead or may be infected. There is no pain and any other discharge. Kindly suggest. Doctor: Hello. Can you please upload a few pictures if possible, for diagnosis and to advise appropriate treatment. Do you have any history of diabetes mellitus?" + }, + { + "id": 12392, + "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": 17352, + "tgt": "What is the use of quadruple marker test?", + "src": "Patient: Hello doctor, My wife is 18 weeks pregnant with twin gestations. She has conceived through IUI treatment. We want an urgent and detailed feedback regarding her quadruple marker report. How authentic are the report findings, considering there are no other marker tests done before, like double marker?\u00a0What could be our next steps? I have attached the quadruple marker\u00a0report. Thank you. Doctor: Hi. I have gone through your question and understand your concerns. I have reviewed the quadruple marker report (attachment removed to protect patient identity). For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 7031, + "tgt": "There is a yellow bruise on the top of my areola and it is itching. What is the treatment?", + "src": "Patient: Hello doctor, I am a 21-year-old female with 5'7 height and 168 lbs in weight. I have a yellow bruise on the top of my areola. And when I noticed it over two weeks ago, my whole breast started to itch, and it never stopped. There is no discharge or pain. I have not done anything to bruise it. I have no idea where it came from. But the itching is killing me it never stops. Doctor: Hello. A bruise is due to tissue bleeding and is usually bluish or bluish-red. It is never yellow. Moreover, a bruise is never itchy. Therefore the condition that you have is not a bruise, and it is something else. I would keep a possibility of either eczematous dermatitis, tinea, or fungal infection. I require a picture for a confirmatory diagnosis. Both of these conditions are itchy. I would be able to help you better if you can upload a digital Image of the affected area." + }, + { + "id": 18987, + "tgt": "Can tablet Diclomol decrease platelet count?", + "src": "Patient: Hi doctor, Can tablet Diclomol be taken to reduce temperature? Will it decrease platelet count? Doctor: Hi. I read your question and I understand your concern. I hope it helps.\u00a0For further queries, consult a family physician online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1608, + "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": 14601, + "tgt": "Is it fine to get irregular periods after taking Kalarchikai in a PCOD patient?", + "src": "Patient: Hi doctor, I have a small size of a cyst. The doctor told I have PCOD. I am taking Kalarchikkai with pepper and honey making small balls for the past 28 days. The first time I got period after 28 days second time I got after 13 days. Is it normal? Can I continue the medicine for 48 days? Or shall I stop? Please suggest ideas. Doctor: Hi. Nowadays, period anomalies mostly occur due to PCOD. PCOD may lead to menstrual cycle changes, a cyst in the ovary, trouble getting pregnant and other health issues. PCOD is linked to changes in the level of certain female hormones like estrogen and progesterone. USG abdomen, estrogen, LH, FSH, lipid profile, blood sugar. Hypothyroidism, inflammatory pelvic disorder. As per your description, you are already taking Kalachikai powder with honey. Kalachikai helps to manage cyst issues naturally. You should continue this powder 3 gm twice a day with honey after meals for 90 days. Along with this, you can also take Hyponidd charak Pharmacy two tablets twice a day after meals and Ashokaristam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Do regular Kapalbhati and Mandukasana as well as pranayama like anuloma vilom nadi sodhan and bhramari." + }, + { + "id": 16725, + "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": 4461, + "tgt": "Can urethroplasty be done in the distal penile urethra using EPA technique?", + "src": "Patient: Hello doctor, May I know if you have done urethroplasty in the distal penile urethra using the excision and primary anastomosis (EPA) technique? Are you personally familiar with any such case? If so, was the surgery successful? Did the surgery cause penile curvature? If so, how many degrees did it had? What was the stricture length? Thanks. Doctor: Hi. I am a Urologist and I have performed urethroplasties. But, excision and primary anastomosis is the procedure of choice only in short segment urethral strictures and they occur in the majority of traumatic urethral strictures that occur in the proximal urethra. Such a stricture in distal urethra is rare. However, I had to do excision and primary anastomosis in an iatrogenic distal penile urethral injury, wherein the surgeon had badly damaged distal penile urethra during an attempt to dilate the distal urethra. I was called intraoperative. The urethral plate was badly damaged in that case for only 1 cm. I did excise that part and anastomosed end to end and the result was excellent and there was no postoperative chordee (bending). Other than this case, I have not done any EPA in distal urethra." + }, + { + "id": 19316, + "tgt": "Can anti-anxiety medication cause erectile dysfunction and decrease libido?", + "src": "Patient: Hello doctor, I got married last month. I am not able to maintain a strong erection that is needed for penetration. And, my libido is also low nowadays. Doctor: Hello. Revert with more information to sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25791, + "tgt": "I never feel sexually attracted to my wife. Is my problem psychological?", + "src": "Patient: Hello doctor, It has been two years since marriage but I have never felt sexually attracted to my wife, no matter what I do. I have tried Viagra and ayurvedic medicines to increase sexual drive but no results. My parents had compelled me into this marriage. Since I never had sex before marriage, they said that couple gets automatically attracted towards each other no matter what feeling they have towards each other before marriage. I tried sex several times. Erection is maintained for a few minutes that also after thinking about some other girl but ejaculation never happens. Now for the last five months, even erection is not happening. I was diagnosed with hypothyroidism last year but that is under control now. I was also diagnosed with increased prolactin levels recently and I am currently taking medicines for that. I think the problem is more psychological. Please advise me what to do. I am currently on Thyronorm 100 mg per day and Cabgolin 0.25 mg per week. Please help. Doctor: Hello. Hypothyroidism and high prolactin explain a few symptoms that you are suffering from. So before jumping to conclusion that it is psychological, I would suggest you that further investigation is required such as serum testosterone, serum LH (luteinizing hormone) and FSH (follicle-stimulating hormone). You may also need sonography of testes and visualization of the duct to see if they are blocked or not and also prostate if it is enlarged or not. Most often psychological anejaculation is situational and not permanent or complete, while you mentioned that you never had it. So I recommend that you consult a urologist for your symptoms and get investigated properly to find the cause of your problem. It is a treatable condition and can be treated accordingly. If the investigation comes normal then you can think that this is due to psychological in origin. Then counseling and sex therapy will be helpful. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8890, + "tgt": "What is causing racing heartbeat and arrhythmia with swelling of legs?", + "src": "Patient: Hello doctor, Elevated blood pressure first detected at age 18 (runs in family on maternal grandmother's side). Never really treated until age 72 (anesthesiologist requirement prior to cataract surgery). Lisinopril 20 mg and Amlodipine 10 mg. Continued until age 76 with doctor altering dosage and frequency as that medication gradually seemed to lose effectiveness. At that point, intermittent racing heart beat and arrhythmia began to develop, accompanied by total loss of stamina (and sometimes near-fainting and nausea) after about five minutes of any sort of physical exertion. Based on his ECG tape, PCP diagnosed that as a-fib and did a cardiologist referral. Cardiologist looked at that same tape and said it is not a-fib. Might be any one or six or seven other things, but I cannot diagnose it when it is not happening. Next time it happens, go right over to your PCP and have them do an ECG, then come back here with the tape. That did not seem to make much sense. Thinking that might have been caused by the long-term use of Amlodipine, the PCP switched medications to Verapamil 180 mg and Carvedilol 6.2 mg. Those symptoms then seemed to go away for a while. Meanwhile, I experienced a ruptured Achilles tendon, and a minor Lacunar stroke (which permanently disrupted the pressure sensitivity of the skin on my left side from head to toe.) When the racing heartbeat and arrhythmia began to return intermittently about a year ago, I then discontinued all medication. The racing condition is now more or less constant, with the arrhythmia seeming to come and go (I can observe this using a mirror to view the right-side of my neck), the lack of stamina now seemingly permanent, a slight swelling of the lower legs and feet, shortness of breath upon reclining, and chronic insomnia. I am reluctant to get involved with the PCP again, expecting the same routine, rushing in for a quick examination (they give him 11-minutes), scheduling a bunch of laboratory tests at the local hospital and maybe another referral to the cardiologist, all with the same ultimate result, since these providers, well-intentioned as they might be, are not really allowed enough time to evaluate the problem and make a studied diagnosis.. Doctor: Hello. I understand your concern and would recommend checking thyroid hormone levels for possible thyroid gland dysfunction and continue taking antihypertensive medication. Regarding possible arrhythmia, I would recommend performing an ambulatory 24 to 48 hours ECG monitoring in order to investigate for possible arrhythmia. In the meantime, I would recommend continuing taking baby Aspirin and performing a lot of physiotherapies. Sertraline can help improve your situation too, as it helps increase serot onin levels." + }, + { + "id": 14450, + "tgt": "I have PCOD. Why have I missed my periods after taking Meprate?", + "src": "Patient: Hi doctor, I had taken Meprate one month back and still have not got my periods. I have done home pregnancy test five times and beta hCG, all were negative. What can be the reason for my delay in periods? Plus my weight is 96 kg and I have PCOD and am obese. What can be the reason for delayed menstruation? Doctor: Hi. PCOD is a condition where ovary causes multiple cysts which makes menses irregular and obesity itself increases the condition. So, only Meprate will not solve the problem, you should get an LH and FSH test done and please send me your sonography report. Meanwhile, I would suggest you reduce your weight by physical exercise. In this condition, the patient may have acne and abnormal hair over their body like over jaw area, etc., and the delaying menses which will cause amenorrhea is due to your PCOD. Please send me your blood sugar fasting and hemoglobin also. Brisk walking is the best ideal physical exercise." + }, + { + "id": 21950, + "tgt": "How long does it take for hemoglobin to improve after blood transfusion?", + "src": "Patient: Hello doctor,I did my blood test. The hemoglobin is astonishingly low at 4.1. I did ferritin test and B12 test and the results are attached. Blood transfusion was done - one bottle. The hemoglobin increase to 5.5, but again reduced to 5.1. I have a fever on and off. What problem do I have? I am feeling very weak. How long will the treatment go on? Doctor: Hello. Your hemoglobin level is very low. In low hemoglobin state, the oxygen-carrying capacity of blood is affected and so weakness and other symptoms occur. You need to be given blood transfusion or iron injections. But, your ferritin level is high. So hemolytic anemia has to be ruled out first. For low B12 level, cyanocobalamin injections are to be given once a week for eight weeks. You need further investigations with peripheral smear examination report, serum LDH, serum bilirubin estimation, etc. Consult a nearby physician for physical examination and accordingly discuss your treatment plan. Hope this will help you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 24227, + "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": 17328, + "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": 21051, + "tgt": "My partner and I had sex on third day of her periods. Is she pregnant?", + "src": "Patient: Hi doctor, My partner and I had sex on the third day of her periods and she had an I-pill immediately. She took the pill six hours after we had sex. She noticed some bleeding after three days which was not like normal periods. She is not having her periods and it is one month now. Is she pregnant? Help me. I am really worried. Doctor: Hi. The emergency pill, I-pill can be used only once in a cycle. If the I-pill is used more than once in a cycle, it not only does not work, it also upsets the body hormones and can cause irregular bleeding. It is best to consult a doctor and check for pregnancy first. At the same time, you can also get advice to correct her menstrual cycle. It is also advisable to follow a reliable form of birth control to avoid this situation in the future. Taking birth control pills is a safe and easy method both for regularizing menstrual cycles and having protection against pregnancy. For further information consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 27073, + "tgt": "Cow's milk does not seem to suit my 1 year old baby. What can I give her instead?", + "src": "Patient: Hello doctor, Our baby girl is about 1 year and one month old. We just started giving cow milk two days back. A packet of A2 unpasteurized milk was bought, boiled and cooled down. We gave about 300 ml per day once. Her motion looks affected a little. It is not solid. At night, she suddenly started crying as if in pain yesterday and the day before that. Even breast feeding did not help. So, we suspect it could be due to the milk. Her weight was just around 8 kg, which seems to be at the\u00a0lower limit for her age. That was the reason we started giving cow milk. Should we continue to give cow milk? If so, how do we treat A2 milk before giving it to her as it comes raw and unpasteurized? How do we treat her now? We are stopping the cow milk from today fearing any further health issues. Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 12286, + "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": 10930, + "tgt": "When should I opt for 5-HTP after the withdrawal of Pristiq?", + "src": "Patient: Hello doctor, I daily take Pristiq antidepressant tablet 50 mg, which doctor had prescribed since a year. Now I am tapering the tablet gradually as per doctor's instruction. The first week every other day and second week every two days and the third week every three days. And now this is my fourth week, and I am off completely. So my question is, can I use 5-HTP supplement tablet? So that my withdrawal symptoms will be less. And when I can take 5-HTP? Withdrawal symptoms are scary to me, and I want to completely stop this Pristiq because I tried many times to get it off, but unfortunately, I cannot. I had withdrawal symptoms, brain zaps, nausea, and diarrhea. I have some supplements like fish oil, b12, and 5-HTP but still waiting for a doctor advises. Doctor: Hello. As you are tapering your Pristiq (Desvenlafaxine), there will be no withdrawal at all. You need to restart because of anxiety or depression disorder, not because of withdrawal. 5-HTP (Hydroxytryptophan) is not FDA approved and no guideline for it to how to use and when to use. It is a supplement product, but not a medication to treat. You should follow depression and nonpharmacological management. Do exercises daily for 30 to 45 minutes like walking and practice meditation for 20 minutes daily. Eat healthy home cooked foods, avoid junk foods. Spend quality time with friends and family every day. Spend time for creative hobbies like reading good books, writing journals, painting, drawings, and learning new skills or language or musical instruments. Have enough of 7 to 8 hours of sleep daily. Avoid tobacco or alcohol or any substance abuse. Live your life, do not just spend it. Be bold and confident." + }, + { + "id": 27941, + "tgt": "Of late, I have a lot of health issues including weight gain, hair loss, and easy bruising. Why?", + "src": "Patient: Hello doctor, I am a 43 year old female. My height is 5 feet 6 inches, and I weigh 185 lbs. I feel awful. Please tell me what you think may be wrong. Most of my adult life weight was 150 to 155 lbs. A sudden weight gain started five years ago. My weight is now always in the 175 to 185 range. I eat an extremely healthy diet. I do not eat any processed meat, almost no processed food, wheat, sugar or dairy. I eat only whole foods. I cannot control my weight unless I starve. The majority of the weight is concentrated only in the abdomen, breast, neck, and face. I have isolated fat pockets shaped like eggs above the collar bones, and my face is round and red. My upper back has an odd fat hump. My legs and arms are thin, calves too thin, butt too small, and, I look nine months pregnant. I was bulimic from the age of 23 up to 40. I still struggle with eating disorders, but I am not purging as much as I used to. Osteopenia was detected last year. I have lowered energy, generalized fatigue, and muscle weakness from the past two years. My sleep issues have gotten much worse in the past four or five years. I have trouble falling asleep, and sometimes I am awake throughout the night. I have depression, anxiety and get extremely emotional of late. I suffered a nervous breakdown, extreme sensitivity, paranoia, high anxiety, and worry. I rarely, if ever, leave the house. So, I have no friends. Sometimes, I will not even go outside for two or three weeks at a time.\u00a0My cognitive difficulties have become very noticeable in the past three years or so. I often cannot find words, have trouble with spatial intelligence, have no short term memory, have difficulty with long-term memory as well. I feel lost like I am floating. I have had a high blood pressure for at least five years now, but it was never officially diagnosed. My BP still fluctuates and is not controlled with the daily 20 mg Lisinopril.\u00a0My legs and feet have been swollen for the past three or four years. My hands and neck too sometimes look swollen and puffy. My feet feel hot and sweaty often. I have high cholesterol levels from five years, but it is currently untreated. My legs, arms, and hands bruise extremely easily. It takes a very long time to heal. The skin on my hands and arms are thin and shiny, The skin of my upper arms, hands, and face, have lots of broken capillaries. My hair once almost fell out completely, about 60 percent of it, all at once. Now my hair is odd, thin and dry. I also notice some increased facial hair in the past year. I have toenail fungus from the previous five years or so. I had three rounds of anti-fungal treatment, but it would not go away.\u00a0 I have acid reflux from the past three or four years. I always have constipation, which has gotten worse over the past five or six years. I have extreme bloating from the past five or six years. It happens anytime I eat, irrespective of what type of food it is. I first encountered kidney stones five years ago and had to undergo surgery the same year and, one again in the subsequent year. I was informed by my urologist that I have many stones. I have passed one since, but do not know how much more I have. About seven years ago, I had some inflammatory eye problem, which I was told was chalazia. I still have trouble with both the eyes. Sometimes, they are painful, and I spend the morning with a blurred watery vision. I was diagnosed with scoliosis as a teenager, for which I underwent a spine reconstruction surgery last year. \u00a0I am recovering well, but do not know yet if the bone graft was a complete success. I still experience some pain. I had a rectocele repair surgery twenty years ago. I still have some issues, but I think it is due to chronic constipation.\u00a0Also, I have recurring hemorrhoid which I also believe is due to chronic constipation. I have been on some form of opioid for the past two years. And, the six months following my surgery, I was on extremely strong medicines. I took Dilaudid for about three months. I had lab tests done ten days prior, and I am concerned about few values.\u00a0Cortisol - 19.5, ACTH-Mayo - 63 pg/mL , FSH - 6.4 mlU/mL, LH - 2.1 mlU/mL, Progesterone - 0.21 ng/mL, and Estradiol - 21.\u00a0I have stopped all of my supplements for about two months except collagen and biotin. I did not think it would affect any of my results. Then, I read that biotin can cause false high positives. I do not think this would have impacted my results, as they are all relatively low. Also, as I noted, the cortisol and ACTH is supposed to be tested around 8 AM, but I was not tested until noon. Doctor: Hello. I have gone through your history, and commend you for the detailed presentation. You appear to be suffering from Cushing's syndrome. You have probably consumed steroids as a supplement or for pain relief. You have achieved menopause at an early age, but still, we do not characterize this as abnormal. So, do not worry. I suggest the following: As I attribute all your issues to hypothyroidism, everything is manageable. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30517, + "tgt": "What does my knee MRI actually mean?", + "src": "Patient: Hi doctor, Recently, I slipped from the bike and hurt my right knee. Though it is causing less pain during normal walk, it is hurting a lot while walking on stairs. I visited an orthopedic surgeon and he told me to take an MRI. The MRI report is as follows. Impression:\u00a0Grade 3 tear involving the posterior horn and body of lateral meniscus, extending into the inferior and outer surfaces and associated with parameniscal cyst measuring 11 x 5.3 mm. What does it actually mean?\u00a0My surgeon informed that I require arthroscopic partial meniscectomy for treating this issue. Is it compulsory? If I had to undergo surgery, then how many days will it take for me to get back to normal like going to the office, walking?\u00a0Are there any complications associated with surgery in future?\u00a0Do I need surgery immediately or can I extend this to somewhere around a month?\u00a0In case of surgery, will the cyst be removed along with the tear? My surgeon informed that the cysts are very common for everyone. They have least impact on pain and there is no necessity of removing the cyst.\u00a0Please help me out. Doctor: Hello. It would have been ideal if you had posted your MRI films for me to see as without them I can only comment and answer your questions with limited knowledge of your condition. Revert back with the MRI film to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 766, + "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": 5037, + "tgt": "What can be done to manage sensitivity after tooth fracture?", + "src": "Patient: Hello doctor, After I ate some food, I had a piece of chewy candy and felt a hole on one of my bottom right molars. I immediately spit the candy out, to find a piece of my tooth, and when I shone a flashlight into my mouth, I saw that a chunk of my molar was missing, on the area right next to my back molar. I am not sure if the chunk is a filling or an actual piece of my teeth, but the gaping hole looks pretty deep and there was a lot of sensitivity when I rinsed out my mouth with cool water. Should I be worried, and what can I do to minimize the sensitivity before I see my dentist? Doctor: Hello. I have read your query and it seems that the filling portion of the tooth is broken (attachment removed to protect patient identity). No need to worry as the tooth seems to be vital. Sensitivity is normal here because dentin of your tooth has been exposed due to broken piece. I would suggest to get this cavity filled soon as the delay would cause problems like food lodging and over time caries. Atleast have a temporary filling done for time being. Sensitivity can be minimised by brushing with fluoride toothpastes. Take a fluoridated paste on your finger tip and massage it gently over the whole involved tooth, brush after 2 minutes with a regular toothpaste after that." + }, + { + "id": 28709, + "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": 25550, + "tgt": "Dark-colored discharge seen even after having an Implanon. What could it be?", + "src": "Patient: Hello doctor, My partner and I had sex a week ago. She was on the birth control implant, Implanon, and I used a condom. Today is eight days after the intercourse and I fingered her pretty rough today. I noticed dark-colored discharge on my fingers. But she tells me she is fine because she has the Implanon and we used a condom. Please tell me if she is fine or not. Maybe I went to rough and scratched her or is she starting her period. I am really scared. Please help. She is not a virgin. But she has not had sex before me in a year or so. Doctor: Hello. She is fine. Implanon is a very effective method and the failure rate is almost zero. Also, you have used condoms too, so why worry? Usually, the hormone levels of Implanon create thick brownish or maroon secretions from the cervical canal and some do come out of the uterine cavity. Both of these are normal. They cannot be stopped or treated. If the bleeding was because of the direct injury to the vagina as you felt, the blood would have been bright red blood. At this young age, she is not expected to have any grave conditions too. So, just relax. She is fine. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28222, + "tgt": "I am experiencing eye strain from overusing computers. What to do?", + "src": "Patient: Hello doctor, I am a 35 year old woman, and I have tested 20/20 vision all my life. I believe I am experiencing eye strain from overuse of computer, but unfortunately, I cannot cut down on my computer use because it is integral to my profession.\u00a0My symptom is a\u00a0slightly blurry vision, which begins at 6 to 8 feet from my eyes, it feels worse after using computers. However, recently a friend offered to let me try on her very light prescription glasses, which made my vision clear.\u00a0My vision gets tired and blurry when I use a computer, but my vision was clear when I went on a vacation. If I start wearing glasses to correct blurriness, will my eyes adjust to the glasses and get worse?\u00a0Thank you. Doctor: Hello. I hope this helps.\u00a0Contact your optometrist or ophthalmologist to arrive at a solid conclusion. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 6423, + "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": 4852, + "tgt": "What are the side effects of radiation used in lithotripsy?", + "src": "Patient: Hello doctor, I am 24 years old. I had my kidney stone removed a year ago for causing mild hydronephrosis at my right kidney. During the treatment, I was exposed to full of radiation, abdominal CT scan, lithotripsy, fluoroscopy, and another fluoroscopy during stent insertion. I am not sure how the doctor manages the radiation. I did my treatment abroad and it is not really a well-developed country. He might not even care bout it. I studied some about radiation when I was in dental school so I am very scared of the side effects. So if I am to have another case of hydronephrosis, should I just remove the kidney rather than undergoing such radiation which may cause me high risk of future cancer? Because as you can see, I am still so young and I just started my career. What do you suggest? Do the pros outweigh the cons or vice versa? Is there another less risky treatment in terms of radiation? How about invasive treatment? Is the risk higher aside from the slow healing? And I am serious about the removal if indeed it has lower radiation risk, even though I know kidney is very important. Please suggest. Doctor: Hello. There are enough studies and literature which prove that though there is radiation exposure during CT (computed tomography) scan in the removal of kidney stone it is in low dose and chances of cancer do not increase. So do not worry about that. I do not think removing kidney to escape from radiation exposure is a good option. You should not think of that. If there is again stone formation then there is a treatment called ultrasound-guided lithotripsy (ESWL) which can break your stone from outside without any radiation exposure. So you can do ESWL (extracorporeal shock wave lithotripsy) if required later but no need to remove the kidney." + }, + { + "id": 6928, + "tgt": "I am facing erectile dysfunction due to OCD medications. Please help", + "src": "Patient: Hello doctor, Due to OCD medicine Clofranil 50 mg, erectile dysfunction problem has raised, and subsequently, ejaculation is not happening. Is there any Siddha medicine available for this. Please help. Doctor: Hello. You are taking an allopathy drug Clofranil (Clomipramine). Few side effect of this drug is dry mouth, ejaculation failure, and difficulty in urination. Since these are the side effects of the Clofranil, nothing can be done. You can ask the neurologist or psychiatrist (who prescribed the drug) to change the tablet. There are many other drugs for your psychological problem without causing these side effects. Those drugs should be prescribed by neurologist or psychiatrist only. To improve the ejaculation, you can take the following Siddha drugs, 1. Poonaikaali chooranam one gram in morning and one gram evening before food with milk. 2. Rathina Pursh capsule one morning and one in the evening after food. These two drugs will be available in Siddha pharmas." + }, + { + "id": 16935, + "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": 20542, + "tgt": "Please suggest some skin care tips to get a healthy glowing skin", + "src": "Patient: Hi doctor, I am a 27-year-old female. I have dry and sensitive skin. I noticed some changes in my skin. I got dark spots with dull skin. I feel like I have a hard surface. Please suggest some best skin care products for daily use to get a glowing and healthy skin. Doctor: Hi. You follow these steps. Wash your face twice daily. Remove your makeup before going to bed. Apply moisturizer after cleansing. Take warm showers. Drink tons of water. Get eight hours of sleep every day. In the morning, use cleansing gel, antioxidant serum, and toner. In the evening, use cleansing gel, toner, and oil-free moisturizer. Eat a diet rich in vitamin A like carrots and tomatoes. You can use vitamin products for the skin once a day. Do not forget to drink plenty of water. Eat enough vitamin A." + }, + { + "id": 5730, + "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": 23653, + "tgt": "How can clubbed fingers be treated?", + "src": "Patient: Hello doctor, I am a 25-year-old male and I have clubbed fingers. During my college days, I found out that I have clubbed fingers. But, I did not take that much serious. Now I am 25 and I feel shy to be in public to show my fingers. I have checked with a doctor. I do not have any heart or lung problems or anything else. Is it possible to have my problem addressed? Doctor: Hello. I have seen your query and your attachment (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7993, + "tgt": "What causes black spot on the toe?", + "src": "Patient: Hello doctor, I have this black spot (bar shaped) that has been on my toe for a while. It may be nothing but I just wanted to get it checked. Doctor: Hi. I saw the photos (attachment removed to protect patient identity). It is just an old hematoma (blood clot), may be due to some blunt injury to toe like falling of hammer on your toe. Try to remember whether you had any injury there a few months ago. If it was due to injury, it will slowly fade away. If you cannot remember or it is not due to injury, it is better to see a dermatologist. I want to tell one other thing. In that photo, the left corner of nail, the skin is eroded. Do you have itching there and scratching it? Apply some olive oil there everyday at night." + }, + { + "id": 24620, + "tgt": "How can hemorrhoids be treated?", + "src": "Patient: Hello doctor, I am a 47-year-old female. I have hemorrhoids that are really causing me pain these days. Can you suggest me any over-the-counter creams or medications? Do I really need to see a doctor? Doctor: Hello. If it is an external hemorrhoid or if thrombosed or thrombophlebitis, it may cause pain. Eat a high-fiber diet. Avoid spicy food and alcohol. Do regular exercise and drink plenty of water. Use syrup Lactulose 30 ml at night. If symptoms have not improved please consult your physician. He will examine you locally to know whether it is a fissure or internal or external hemorrhoids 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": 837, + "tgt": "How to cure the acne breakouts?", + "src": "Patient: Hi doctor, I have had good skin for all my life. People would even compliment me on it at times. This changed a while ago. I have been involved in bodybuilding for the last year and decided to start taking creatine roughly three months ago. Before that, I did not notice any effect of exercise on my skin, except some small pimples on my chin area. After a month of creatine usage, I realized that my skin was getting worse with some breakouts all over my face, forehead and temples and especially chin and low jawline area. I first removed the protein supplement from my diet thinking it was the cause and only 1-2 weeks later realized upon the research that creatine was the real culprit. I instantly stopped taking it and the only supplement I take now is natural, dairy free protein powder. Along with the skin care regimen, I follow this every day. I am using a cleanser along with moisturizer twice a day and it has helped almost to clear my forehead and temples. I assumed my breakouts were due to dehydration in the period I was taking creatine, but only noticed slight progress in my chin area. Although, the bumps on my skin now do not feel as tough and dry as they did and do not itch anymore unless I forget to moisturize. I drink lots of water and have just bought a 97% pure aloe vera gel tube that I am going to apply twice a day. I am afraid whether this condition could last a long time after quitting creatine. I am really worried as it is seriously damaging my confidence and overall wellbeing. Is there anything I need to know or anything I can do on my own to help the healing process?\u00a0Two weeks ago, I decided to take a break from working out and thought that I noticed some improvement, as in decreased redness but I do not feel too sure about it. But, I would really hate to quit work out. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9187, + "tgt": "My 13 years old son is suffering from bleeding nose. Please help", + "src": "Patient: Hello doctor, My son is 13 years old and he has bleeding nose problem. Kindly advice. Doctor: Hello. Bleeding at this age should be evaluated thoroughly there may be a lot of possibilities like a JNA (juvenile nasopharyngeal angiofibromas), NPC ( nasopharyngeal carcinoma), nasal polyps hematological causes, etc. So an urgent diagnostic nasal endoscopy with a complete blood count should be done if there is persistent on and off bleeding (profuse) from the nostril. Also, take the history of any trauma to the nose." + }, + { + "id": 7964, + "tgt": "Can a leukemia patient have a normal CBC?", + "src": "Patient: Hello doctor,I am 36 years old. Will my CBC be normal if I have leukemia? For the past several months, I have been exhausted, had constant headaches, have bruises appearing without injury sometimes in strange places like my stomach, and have joint and bone pain. My dad has lymphoma, and my maternal grandmother died of blood cancer. Please help. Doctor: Hello. Based on your query, my opinion it is as follows, 1. It is highly unlikely. 2. Bruises, if it is appearing, could be platelet or vascular disorder. As CBC (complete blood count) is normal, platelet disorder is ruled out. Vascular disorder, if present requires study. 3. If a lymphoma is suspected, need to look for any lymph nodes enlargement. If there are any swelling in the neck, or axillary region or in the inguinal region, then it requires biopsy or FNAC (fine needle aspiration cytology). 4. If there is a vascular disorder, injuries should usually start bruises if it is occurring, without any damage. Being a normal CBC, there is no leukemia. Lymphoma requires a search for lymph nodes. I hope it helps." + }, + { + "id": 2226, + "tgt": "I have pain in the left lower back that spreads down the back of the left leg and knee. Please help", + "src": "Patient: What could be the possible diagnosis of injury for someone who suffers from lower back pain, i started my office job approx 3 months ago, it is desk based but does involve some lifting and carrying and a driven commute of an hour each way.I have had an office job role for years. I have onset of pain around 8 weeks ago and is getting worse, pain is intermittent and sharp, 7/10 NPRS at worst. My symptoms get worse through out the way and i find it hard to get out the car. Pain is mostly at the left sided lower back which spreads down the back of the left leg and knee after sitting down for a while I get pins and needles into the left foot I find it particularly hard to perform lumbar flexion and left side flexion as they are painful also I feel tenderness over L4 and L5 towards the left And centre. Thank you Doctor: Hi, just gone through your query, it is nothing but you are suffering with LBA. Due to prolonged sitting, improper posture, bending straight down causes Low Back ache, which radiates from Knee to foot. only using paracetamol tablets wont help you, i advice you to go for X- ray or MRI of Spine to get exact Point of pain starting like L4- L6 or L4-S2. 1. As a precaution wear LS belt ( Lumbo Sacral Belt ) which helps stop pain during pain. 2. always straight sit 3. Do not bend forward if want to pick up something. sit and then pickup. 4. Take Accelofenac Tab. 1. per day after food. 5. Apply Diclofenac Ointment to lower back and cover it with cotton cloth for 10-15mins. following qith hot water fermentation. try this for a week and get back to me with MRI of spine or X-ray of SPINE ( AP/LAT VIEW ). Diclofenac ointment helps reduce pain, use it for twice a day if possible. if pain is severe do not do any excercise relating to back. if you can bear the pain you can do back strengthening excercises. after Xray can get back to me after a week or 5 days. you may further need Physiotherapy treatment, which includes IFT, ULTRASOUND, and TRACTION. hope you will follow the steps to stop i told to prevent more radiate of pain stay safe, take care thank you. Prolonged sitting, improper posture MRI OF SPINE Xray GIVEN REMEDIES TO STOP PAIN. LS belt, Accelofenac tab, diclofenac ointment. After 5 days." + }, + { + "id": 8356, + "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": 13269, + "tgt": "Kindly tell me where and which emergency contraceptive pill is safe", + "src": "Patient: Hello doctor, I just want to ask that where can I buy an EC pill? I had unprotected sex last night at 12 AM and I wanted an emergency contraceptive but I do not know what to buy and where to buy it. Doctor: Hi. You can have Levonorgestrel 1.5 gm emergency contraception orally but if you have epilepsy or any medications that you are using, then dose would be higher 3 gm. This is the original name and many brands are available for it. It should be taken within 48 to 72 hours of unprotected sex, without vomiting and with proper dose as I advised above. I hope you will get it but another contraceptive that you can have is copper-containing intrauterine device but it needs to be inserted and can cover up to 120 hours post-sex. Unprotected sex. Levenogestrel 1.5 gm per oral if no epilepsy (epileptic patient needs to have 3 gm). Copper containing intrauterine e-contraceptive device can be helpful. You can have regular cyclic combined oral contraception cyclically from withdrawal bleed." + }, + { + "id": 19423, + "tgt": "I pee frequently,my stool is green in colour and pubic area is also itching. Please help", + "src": "Patient: Hello doctor, I am an 18 year old girl.\u00a0Sometimes,\u00a0I pee frequently in a day but do not feel any pain or burning sensation. Besides this, my stool is light green in colour. I feel scared when I see the colour of the stool everytime in the toilet bowl. My pubic area is also itching sometimes. Currently, I am taking oxytrol. Other symptoms that I have are dry skin and dry lips. Please help. Doctor: Hello. If you can answer my questions I can help you better: I would advise you to do a Complete Blood Count test (CBC).\u00a0Drink plenty of water and apple\u00a0juice.\u00a0Eat light food. Revert back to me with the said details, I will guide you further." + }, + { + "id": 22527, + "tgt": "Is there any pill taken before sex to prevent pregnancy?", + "src": "Patient: Hi doctor, We are not willing to use a condom. We want a natural sex without a condom. In such conditions, women take pills after sex to prevent pregnancy. But we want a pill taken before sex which can prevent pregnancy guaranteed. Is there any pill taken before sex to prevent pregnancy? Which is the best one? How much should be taken and how much time should be taken before having sex? Doctor: Hi. If the sex is the thing, then she can take I-pill or Unwanted 72 (Levonorgestrel). She can take on the day of sex or soon after the sex, just one pill. But it is needed to be taken within 72 hours of having sex. The I-pill is very high in hormones and it should not be taken more than once a month. It is an emergency pill reserved for emergency situations like sudden unplanned sex or condom breaking. If you are having sex on a regular basis, I would suggest you take the regular 28-day contraceptive pill, monthly. It is safer. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29178, + "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": 12436, + "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": 3582, + "tgt": "Why are my pimples more visible after using new face product?", + "src": "Patient: Hello doctor, I am using new face product. But, it made the tiny pimples and bumps more visible. Am I experiencing purging phase? Doctor: Hi. I have read your concern. Revert back after five days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10979, + "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": 10745, + "tgt": "I am unable to cure my migraine. Please help with the treatment", + "src": "Patient: Hello doctor, I am a 20-year-old female. My height is 163 cm and weight 63 kg. I have a migraine, and I have consulted many doctors, but I am unable to cure it. Please help. Doctor: Hello. Migraine is a chronic illness and can not be cured completely but changing the lifestyle do help a lot to alleviate the problem to a great extent. You can use pain aborting medication like Ponstan 1 gram (Mefenamic acid) at times of severe pain, and if you have nausea preceding it, you can also take Domperidone 10 mg. You can maintain a pain diary and reduce stress as well as a good sleep pattern and avoid excessive usage of electronic gadgets. Long term prophylaxis depends upon the recurrence of symptoms despite the above measures." + }, + { + "id": 22338, + "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": 18376, + "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": 25308, + "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": 21998, + "tgt": "Should I be concerned about minimally productive chest and nose congestion?", + "src": "Patient: Hi doctor,I have been experiencing minimally productive chest, throat, nose congestion since yesterday. Been coughing as well but voluntarily, in attempts to clear my congestion. What gets produced, if anything, is barely anything and does not help the clogged feeling at the back of nose or top of my throat. My ears, mainly my left one, started feeling a bit sore this morning. Also, I am running a bit warmer than usual, 99.5 to 99.8. But before I get too detailed I will just wrap this up. Should I be concerned? Mainly because if whatever I am doing involves a medium to high level of physical activity. I start wheezing due to the congestion. I cannot exhale and begin to feel kinda short of breathe. Other than this I am not too worried and plan to cancel my appointment with my primary if things start to clear up in two days. Doctor: Hello. Have you seen your throat? Is it congested or are there any pus points over tonsils and throat? It is better if you could upload the picture of the throat. It is likely a viral infection involving the respiratory tract with may be superimposed bacterial component as well. You may need antibiotics like Azithromycin. Also, have Betadine gargles four times a day. For a cough, you have syrup Alex (Dextromethorphan) two teaspoons whenever needed up to three times a day and tablet Allegra 120 mg once a day for 3 to 4 days for running nose. Avoid cold food items. May use Xylometazoline nasal drops for congestion and keep Asthalin (Salbutamol) inhalation ready if having wheezing and shortness of breath. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4931, + "tgt": "What causes mood swings from excited to depressed state?", + "src": "Patient: Hello doctor, I have these big changes in my mood and activity levels. I will swing from feelings of euphoria and lots of energy during this time. I am extremely aggitated, my thoughts race and I feel as if I do not need much sleep. But I will then crash to an extremely depressive state where I will binge eat, I loose all my motivation. I cannot think or make decisions. I also am often very anxious and I have bursts of extreme anger. Doctor: Hello. In order to make an accurate diagnosis, some more detailed information is required about your symptoms such as when did it begin, how long do they last, what exactly you feel in depression, have you taken any medicines for it previously, is there any family history of similar symptoms, what situations trigger these episodes." + }, + { + "id": 4765, + "tgt": "I got some white patch with rashes on skin. What could it be?", + "src": "Patient: Hi doctor, I got some white patch with rashes. I feel it sometime itchy. It is the same for last two weeks neither increasing nor decreasing. Applied face cream and cow ghee. I have attached the photos for your reference. Doctor: Hi. I have gone through the information provided. 1. Sun exposure. 2. Friction. 3. Sweat. 1. Sunburn. 2. Eczema. 3. Fungal infection. Sunburn. Sun protection. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2741, + "tgt": "Ultrasound shows uterine fibroid with 3 hemorrhagic cysts. Is this a side effect of Depo shot?", + "src": "Patient: Hi doctor, Last month, I was given a Depo shot to stop intermenstrual bleeding that started before six months after Provera tablets did not work. Unable to do a pap smear because of the bleeding. Transvaginal Ultrasound revealed tiny (1x1.3cm) uterine fibroid, three hemorrhagic cysts, and a heterogeneous endometrial cavity. Earlier, I passed clots that look like blood mixed with chicken meat. I am terrified. Is this a side effect or do I need to go to the ER? Please help. Doctor: Hi. Thanks for the query. I can understand your concern. According to your description, the possibilities are hormonal imbalance leading to thickened endometrium and menstrual irregularities. If there is any possibility of pregnancy, please go for a urine pregnancy test once to rule out missed abortion. If the bleeding with passage of possible endometrial tissue persists better to go for dilatation and curettage once. With this, the possible cause your problem can be identified and sometimes curettage by removing abnormal endometriotic tissue may cure the problem and may regularize next menstrual cycles. Antifibrinolytic drugs like Tranxemic acid can help in controlling abnormal bleeding. I hope this helps." + }, + { + "id": 3167, + "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": 7912, + "tgt": "I have jaw and ear pain after wisdom tooth removal. Is it normal?", + "src": "Patient: Hello doctor, I had a complicated wisdom tooth removal one week ago. My gum was cut and I have stitches (dissolvable). I still have jaw pain, pain in what I believe are the glands in my neck, some ear pain and the extraction site is still sore. Is this normal? Doctor: Hi. I have gone through your query. Mild discomfort and reduced mouth opening along with swelling are normal for 3 to 5 days after extraction. Since you are telling about the glands (lymph nodes), you will need antibiotics too. Follow the instructions given by your dentist. Do lukewarm salt water gargling. If mouth opening is reduced, do the mouth opening exercises taught by your dentist. You may take Mox-CV (Amoxicillin and Clavulanic acid) for five days twice daily after food (if you have not taken any antibiotics prior). If you are allergic to this medicine, do not take it. You can mention it here or to your dentist and the medicine can be changed. If you have severe pain, bad taste or odor or fever too, then better go visit your dentist as it can be a dry socket too." + }, + { + "id": 10361, + "tgt": "I have a burning sensation on the tip of my penis when I pee. Is it due to an infection?", + "src": "Patient: Hello doctor, Recently I have been experiencing a slight burning sensation on the tip of my penis. When I pee, it stings a bit. The stinging sensation is subtle, but there is always a\u00a0slight urge to pee. It feels like something is streaming down, but I can only feel it when it reaches close to the head of my penis. I am uncircumcised and I notice a white substance that seems to be, what I feel is, dripping down. I have not had sex in a while and if I did, it was always protected. I thought it might be due to lack of hydration. So, I have started to drink more water. I was told that cranberry juice works, which I started drinking today. My pee stream is slightly weaker, but the color is normal. Any advice? I thought it might be an infection but I do not want to jump to conclusions yet. Doctor: Hello. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20055, + "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": 25646, + "tgt": "What is the treatment for ringworm?", + "src": "Patient: Hi doctor, I have ringworm on the thighs, arms and chest\u00a0for four months. When I used Fourderm, it was fine for two weeks. But again, it came back. I have not taken any oral medicines yet. I am on BP medicine Stamlo Beta. My age is 59 years. Doctor: Hi. Dermatophytosis or ringworm infection is caused by fungi that invade and grow in dead keratin. Tinea corporis is the fungal infection of body, including trunk and arms. Well, apart from the medical management following preventive measures are to be followed. Good nail hygiene, good skin hygiene, avoid dampness or wetting of the skin. Wear loose-fitting and clean undergarments as well as clothes. Coming to medical management, topical antifungals are effective for treating most cases of tinea corporis. Systemic therapy is given in immunocompromised individuals, extensive skin lesions and those refractory to topical therapy. Now for you ,as you are responsive to topical agents and that your lesions are not extensive, I would advise you to take the following therapy. Revert back with the answers if yes to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1316, + "tgt": "My wife is having heavy menstrual bleeding for 13 days. Please suggest treatment", + "src": "Patient: My wife age 46. Suffering from heavy blooding during menstruation period. She came into same phase after eight months.(almost eight months no periods at all). Periods started on 13 days back, continue till date. Using 5-6 senetary pads during each day. Also passing through senior abdominal pain several days...also having complain of constipation since last three days. Consult local physician and than gynecologist in my city. She is swollowing medicines as per below... Tranexa mf/Trexakind thrice a day. Spasmodart/voveran if abdominal pain persists. Shelcal one per day. From yesterday she is taking injection of aquairon 25mg. (Three prescribed by local gynecologist. One taken) Also feeling weakness. I want second opinion and finest treatment suggestions online.... Please guide on above case and suggest finest treatment Doctor: Hello, Thanks for the query, With the history, it is clear that she is in her peri-menopausal status and experiencing menorrhagia or excessive bleeding since 13 days, which is often seen in peri-menopausal women. She has been given antifibrinolytics in form or tranexa-mf which is fine, but if bleeding is still not getting controlled then she would require an ultrasound pelvis first to check for her present endometrial thickness . If the endometrial thickness is still more than 9 mm then she would have to be started on progesterone pills for 10 days to control bleeding along with diosmin and antifibrinolytics together. Also if she is feeling dizziness and weakness, then she may require hospitalization for intravenous support as well. Regards" + }, + { + "id": 15208, + "tgt": "Though my reports are fine, I have pressure on my head and face. What is the cause?", + "src": "Patient: Hi doctor, I did a complete blood test, and everything was normal. I did a scanning of the lungs, and it was normal. I did EEG, ECG and again everything was perfect. But I have pressure on my head and face. I have a pain on my head. I do not know why I have this problem. I have difficulty during sleeping. Sometimes, I stay without sleeping for three days. Before two months, I got diagnosed with sinus infection. I took medicines for a month, and I was fine. Please advice. Doctor: Hi. Likely, the cause is chronic sinusitis. You have pressure in face, and head due to an accumulation of mucus in the sinuses due to infection or allergies. Please say whether you have frequent rhinitis or nose blocks associated with it. Also, in some patients, this pressure may increase after bending the head down or when changing the head position. Your inadequate sleep can also cause a headache and eye strain or eye ache. So, you need to have adequate sleep for at least six to seven hours daily. When having difficulty in a vision like blurring while seeing near or far objects, eye-straining on reading, also causes similar symptoms. To confirm it, you should get a facial X-ray done for sinus inflammation and consult an ENT specialist. You may need to take medicines for it. Take Solvin cold (Chlorpheniramine maleate with Paracetamol), Duonase nasal spray (Fluticasone with Azelastine hydrochloride) and Xylometazoline nasal spray to control inflammation and drainage. You can do steam inhalation three to four times a day to get relief from congestion." + }, + { + "id": 4966, + "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": 26800, + "tgt": "My wife has a retroverted uterus, adenomyosis, and polycystic ovaries. Can she conceive naturally?", + "src": "Patient: Hi doctor, My 36 year\u00a0old wife was just diagnosed with a\u00a0retroverted uterus, adenomyosis, and polycystic ovaries, which are causing her severe pain. The first gynecologist told her to go on contraceptive pills for two months to rest the uterus and identify the pain, but she said that her ovaries are fine. The second gynecologist yesterday mentioned that her ovary walls are thick and there is no ovulation. During the visit to the first doctor and before that, none of them mentioned that her ovary walls are thick. After about a week of taking contraceptive pills, a different doctor the above three diagnoses. Does contraceptive pills thicken the ovary wall? The second doctor recommended to go for a key hole surgery and then try to conceive naturally or directly go for IVF. I would like to know if there are our only options. Or is there a natural way to solve this by maybe medication to soften the ovary walls and get the cycle to be regular again?\u00a0Please advise.\u00a0Thank you. Doctor: Hi. Revert with more information to an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8082, + "tgt": "I vomited a small tubular gummy object that had black dots. Please help", + "src": "Patient: Hello doctor,I vomited a two-inch tubular gummy object that had black dots when dissected. I recently tested negative for parasites in my stool sample. Please help. Doctor: Hello. In the picture, it looks to be a part of the undigested food particle. However, making a conclusion based on the picture is difficult (attachment removed to protect patient identity). Please keep a close watch on such occurrences and any symptoms involving the airway or food passage. Symptoms like throat irritation, fever, and cough are also essential to look out for. Drink adequate water and have a soft home cooked diet to keep your bowel comfortable. If you have a repeat of vomiting similar substances, then please consult your doctor and get an upper gastrointestinal endoscopy done." + }, + { + "id": 17436, + "tgt": "Despite normal ECG, I have sweating and chest pain. What to do?", + "src": "Patient: Hi doctor, I am a 28 year old male. I am having habit of drinking alcohol and\u00a0using tobacco daily. Since last four months, I feel lightheaded and dizzy. Sometimes, I am having heavy sweating and chest pain. I had done ECG and it was found to be normal. Sometimes, I feel like blood in my saliva. I am feeling uncomfortable with sleep too. Please help me. Doctor: Hi. We are here to help you. Revert back with the investigation reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7407, + "tgt": "How can I manage sleep issues after losing parents?", + "src": "Patient: Hi doctor, I am having sleep issues. I do not get sleep till 3 AM to 4 AM even if I am just lying on the bed. My parents passed away. I am single and I live alone. Those memories and thoughts are affecting me recently for the past 1 year a lot. Sometimes after sleep, I wake up thinking most of the dreams about them are true and they are still alive, only to realize it is not real but a dream. Doctor: Hi. I am truly sorry for your loss. It is really difficult to go through grief time all alone. The symptoms you are experiencing is because you are going through all the pain on your own. And that is why these have become part of you and now disturbing you in your dreams and sleep as well. I suggest you to consult counselor for talk therapy and grief counseling and also continue for your life skills and emotional management. Meanwhile, follwing may help: 1. Talk to a friend. 2. Write down your feelings on regular basis. 3. Do excercise regularly. 4. Decrease smoking. 5. Increase water intake." + }, + { + "id": 20018, + "tgt": "How to confirm a cancerous lesion?", + "src": "Patient: Hi doctor, I have small lesion in my right tonsil. It is in the same color of other tissues in my mouth. It is a kind of slim oval shape. My dermatologist advised me to visit my physician regarding when I went for a mucous cyst removal on my lip. I visited my GP who said it is same like lip cyst, probably from hot liquids or chips due to irritation. I do not remember eating or drinking anything that could cause it? My fear is that my cousin has had tongue cancer twice. He smoked and drank a lot and was in his 50s when diagnosed. But, I\u00a0never smoke, drink only little alcohol, I am free of the HPV virus and I am 65 years old.\u00a0I want to put my mind in rest. I have attached a picture. You can see it on the picture close to the red line on the right side of the tonsil.\u00a0Thank you. Doctor: Hi. For further information consult an ENT otolaryngologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1918, + "tgt": "I have allergy in feet with fluid-filled vesicles and itching. What is my problem?", + "src": "Patient: Hello doctor, I am having an allergic reaction on both of my feet. It will start like fluid-filled vesicle, then it will get hardened and will start peeling off the skin. There is an excess of itching in that affected area. I had consulted a dermatologist and was told that it is contact dermatitis. Doctor prescribed me Momate-F ointment for two weeks and asked me to change the footwear. It did not subside after two weeks and then the doctor prescribed Halovate-F ointment and Levocetirizine for two weeks. Then also it is not subsiding. It has been more than two months and still, eczema is present and new areas on my foot are getting affected. Doctor: Hi. Very itchy rash over the feet with fluid-filled vesicular lesions is tinea pedis vesicular type. No response to steroids also confirms that. Contact dermatitis also mimics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids. I can see some involvement of toe clefts. Please tell me are clefts involved? How much duration since the start? How it started, like which area and which foot? Do you buy any new shoes, or anything new when they started? Do you have wet work of feet often? Any other medical condition you have like DM, BP, etc., renal or liver disease? Start the following treatment. Capsule Itraconazole 200 mg bd after meals for three weeks, Terbinafine cream twice daily for three weeks, Loratadine 10 mg once daily for itching for 10 days, KZ dusting powder. Avoid wetting or sweating of feet. Keep dry. Dry shoes in sun. Change socks daily. Fungus. Contact dermatitis. Antifungals. Keep dry. After three weeks." + }, + { + "id": 2540, + "tgt": "My daughter has not started her period yet. Why?", + "src": "Patient: Hi doctor, My daughter is 14 years old. She is 5'2\" height and her weight is usually between 110 and 115 pounds. She has not started her period yet and I am a little bit worried. She started puberty growth when she was 11, so it is almost three and a half years now. She has all the symptoms of premenstruation now as well. It includes frequent discharge, mood swings, occasional cramps, pubic hair growth, growth of breasts, etc. I did not get my first periods until 16 years of age, but she is much more developed than me. Also, the last time when we went to the doctor, they told us to expect it to come within the next few months, but it has been almost a year now. I am worried that something is wrong and that is why she has not got it. I know that this is a common concern among teen girls, but I would really appreciate your advice. Thank you very much. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12889, + "tgt": "What causes numbness in hand and feet for three weeks?", + "src": "Patient: Hello doctor, I am having numbness in hand and feet for three weeks. Brain and cervical spine MRI came normal. Doctor: Hi. Review of the MRI scan images (attachment removed to protect patient identity). Cervical spine: There is mild straightening of the cervical vertebrae. There is a likely small osteophyte in the anterior superior end plate of C5 vertebra and is not significant. The cervical vertebrae are showing normal heights and signal intensity. The cervical intervertebral discs are showing mild disc desiccation. There is no significant cervical spinal canal stenosis in the given images. The cervical spinal cord is showing normal signal intensity. Thoracic spine: Kyphosis of thoracic vertebrae is normal. The vertebrae are showing normal heights and signal intensity. There is minimal posterior disc bulge in T5 to T6 disc level. There is no significant thoracic spinal canal stenosis in the given images. The thoracic spinal cord is showing normal signal intensity. Lumbar spine: There is mild straightening of the lumbar vertebrae. There is subtle posterior listhesis of L3 over L4 vertebrae. The lumbar vertebrae are showing mild osteophytes and minimal end-plate changes. There is disc desiccation in L3 to L4 and L5 to S1 disc levels. There is mild posterior disc bulge in L3 to L4 disc level and causing mild bilateral neural foraminal compromise. There is a minimal bilateral neural foraminal compromise in L4 to L5 and L5 to S1 disc levels. There is no lumbar spinal canal stenosis. Impression: Cervical and thoracic spine are showing early degenerative changes. No significant nerve root compression or spinal canal stenosis. Lumbar spine is showing mild bilateral nerve root compression in L3 to L4 and minimal bilateral nerve root compression in L4 to L5 and L5 to S1 disc levels and mild lumbar spondylosis. There is no spinal canal stenosis." + }, + { + "id": 17205, + "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": 4011, + "tgt": "Can high estrogen level during menopause cause ovarian cancer?", + "src": "Patient: Hi doctor,I am 64 and in the postmenopausal stage. I had a hormone blood test and my testosterone was very low, less than 5. My vitamin D was low and my Estradiol was 73. I started to take supplements, all-natural like DHEA, vitamin D, HGH and Smilax. I just got tested again and my vitamin D is fine. But, my Estradiol is even higher and my testosterone is 114. Now, two days before, I took the test while on Smilax which I know has its effect on testosterone level. I am mostly worried about estradiol and ovarian cancer. Doctor: Hi. Your estrogen level should be low at the postmenopausal stage. But, your estrogen level is similar to the level of normal reproductive years. Estrogen helps bone but carries the risk of breast cancer, and uterine (endometrial) cancer. Estrogen therapy in the postmenopausal period also carries the potential risk of ovarian cancer. DHEA (Dehydroepiandrosterone sulfate) can help to increase energy and sex drive (libido) but not definite. DHEA is converted in the body to testosterone." + }, + { + "id": 10217, + "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": 24770, + "tgt": "I have a weird rash on my right thigh. What could it be?", + "src": "Patient: Hello doctor, I have a weird rash of some sort on my right thigh. Doctor: Hello. Please provide me more details: Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 7022, + "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": 15463, + "tgt": "What can cause sore nipples in females?", + "src": "Patient: Hello doctor, What can cause sore nipples in females? Doctor: Hi. Soreness of nipples might be due to the following reasons: For further queries, consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2064, + "tgt": "I have been bleeding for two weeks, and I feel the symptoms of anemia. What to do?", + "src": "Patient: Ok so, I'm a 20 yo femal, for 5 years I've had inconsistent periods, I would bleed nonstop for 3 months, then go for 4 or 5 without a single drop, I've had normal cycles (as in a 6 days cycle normal flow) only a couple of times in my life, I went to 3 different obgyns did ultrasounds and everything looks normal, they would just tell me that I'm still young and that my hormones are just all over the place, I'm sure if my anemia wasn't as severe, they would just brush me off, but they give me pills (I really don't remember the names) that would work for the 6 months that I'm on them, and the sec the treatment finishes, everything goes back to usual. I don't get cramps, like ever, and I get blood clots and obviously really really heavy flow (pad change every 30 mins) It seems to be triggered by anxiety attacks or just depression episodes. Now, I've been bleeding for 2 weeks and I already feel the symptoms of anemia, and with covid19, I can't go to a doc, pls help I feel like I'm losing my mind, and blood. Doctor: hi !! welcome to iclinq... what you're going through is just the hormonal imbalance.... for a perfect normal monthly cycle the hypothalamus, pituitary, and your ovaries should work in coordination..... that cordination takes few years and varies with individuals...... as of now correct your anemia with hematinics ...would give a prescription on pills.. continue the pills everyday for all 21 days without fail ,at the exact time without missing it...generally bleeding stops by second or third day once you start the tablet....... that would stop the problem.... anxiety / depression / diet u consume also regulate the quantity of flow. .. no worries hormonal/ stress HB, TSH pcos hormonal ocp, hematinics iron rich diet u need take the pills for two cycles and review" + }, + { + "id": 121, + "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": 29557, + "tgt": "I am scared of dentists, but I need to get fillings. How to proceed?", + "src": "Patient: Hi doctor, I am terrified of dentists and needles. My front tooth is decaying. Please check the photo. There is a hole in the\u00a0back and black marks on the front. Also, I need fillings to other teeth. Kindly advise me. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25853, + "tgt": "Can HIV be completely cured?", + "src": "Patient: Hello doctor, My son in law is HIV positive. His HIV PCR count is 46,938. He has been prescribed Tenvir. I want to know can he be ever cured? My daughter is married to him for only three months now and she is also pregnant. I would like to know if there is any medicine or ayurvedic treatment to get him completely cured. Doctor: Hello. No, there is no treatment available for HIV (human immunodeficiency virus) and your daughter needs to get tested as she might have caught the infection by sexual intercourse. If your daughter is infected then there is a possibility that she passes the infection to her child. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3962, + "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": 6465, + "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": 7925, + "tgt": "I drank povidone-iodine mouthwash by mistake. Is my health at risk?", + "src": "Patient: Hello doctor, I am a 22 year old. I drank Povidone-iodine germicide gargle 10 ml in the morning and 10 ml in the afternoon. Will it affect my health as I am suffering from gastritis?\u00a0I am also taking other medicines for acid reflux and my other question is that I feel a burning sensation in my left leg and sometimes in my left hand. What could be causing it? Doctor: Hello. Follow up with investigations if you had any. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7424, + "tgt": "I experience nausea while thinking about food. How to get rid of it?", + "src": "Patient: Hello doctor,I am 31-year-old with 167 cms in height and weight 51 kg. I want to gain weight. But the problem is I feel nausea in thinking about the food. Suggest me something. Doctor: Hello. I understand your feelings about less weight. First, you need to see that, whether you have hungry, interest in food, proper digestion, proper excretion of stool at mornings, and your hereditary. I think you have hunger, but interest in food, which leads to nausea while thinking about food. Kindly follow the following advice or therapy. a) Bilvadi lehyam 500 gm. Take 5 gm in morning lunchtime, the evening before food. Consume little hot water. This will improve the taste in food. Also, reduce nauseating sensation. b) Daily drink zinger and milk will improve appetite and digestion. c) Try to use pickle is the best way to avoid nausea (lemon and mango are good). If you have a peptic ulcer, do not use zinger milk and pickle. You can try only the first drug. Please continue treatment for at least six months. To improve body weight, the following are useful. a) You can eat one ice cream daily after lunch. b) Shatavari gritham (5 gm morning and 5 gm at evening before food) for six months. I hope this will be helpful to you." + }, + { + "id": 4656, + "tgt": "What is reversed A wave in Doppler?", + "src": "Patient: Hi doctor, I am pregnant with MCMA twins. We have been told that one twin has a reversed A wave. What possible outcomes can this have for the twin? Please explain.\u00a0Thanks. Doctor: Hi. I went through your query and I totally understand your situation. For further doubts consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 27725, + "tgt": "I am unable to sustain an erection. Do I have ED?", + "src": "Patient: Hello doctor, I am a 35 year old male. I think I have ED. I am not able to get erections on thoughts alone. However, I am able to get an erection if I use my hand. Also, I masturbate twice daily in an upside down position. I did not have sex recently but when I had it, I was not able to get an erection unless I use my hands or thrust vigorously in my partner's body. Also, I am not able to maintain an\u00a0erection in her vagina. I am not sexually experienced. Could it be the reason? I would like to know if I have ED. I do not have diabetes or other complications but, have high triglycerides. Also, though I am not obese, I do have belly fat. I have a BMI of 33. Doctor: Hello. I need a little more history to be of any help. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26776, + "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": 24029, + "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": 20705, + "tgt": "I have pain in my gums without any redness or inflammation. Is this infection?", + "src": "Patient: Hi doctor, I have pain, little but noticeable in my gum. It is not inflamed or red. What should I do? Is it infected? I need advice. Please help. Doctor: Hi. I have gone through your question. I can understand your concern. If the lesion is white and painful, it can be the aphthous ulcer or canker sore. If there is no visible lesion as you said, the pain may be because of any dental infection. If the pain will be tooth related, your tooth may be tender if you press on it. As your question is not clear about the area, whether it is swollen or not, how many days you feel it, I am unable to guide you in detail. Please reframe your query so that I may provide you better opinion. If you think the pain has infectious symptoms like swelling, interference with sleep cycle, fever, you need to take antibiotics like Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. Also, do saline gargles." + }, + { + "id": 15436, + "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": 20553, + "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": 13347, + "tgt": "What can be done for dislodged tooth filling with a lump in gums?", + "src": "Patient: Hello doctor, I have a tooth filling that has come out, and woke with a white lump beneath it on gum, swollen lower face too on the other side of the site of lump. I had a dull, drumming pain during the night before. I rinsed with warm salt water this morning. Wondering if Flucloxacillin 500 mg which I was prescribed for a bad reaction to summer insect bites and too worried to take, would they help gum infection or abscess? Are four tablets a day all right? I have a dental phobia and will need to wait to be treated at my local hospital. Doctor: Hi. Your tooth is probably infected which has caused the white lump on your gums. The decay has gone inside the pulp, almost touching your nerve and there is infection beneath the root of your teeth which has caused this swelling. You will have to confirm the status of your teeth by taking an X-ray, to check how much the infection is affecting your tooth. I will not suggest you having Flucloxacillin 500 mg because it is not effective for dental infections. To suggest an antibiotic, I need to know the proper medical history of yours. At present, take an antibiotic and pain killer so the swelling subsides and meet a dentist as soon as possible for further treatment. Can I know if you have any allergies for any medicine, or any systemic diseases present? If so, I can prescribe the medicine for you." + }, + { + "id": 9468, + "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": 8553, + "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": 13443, + "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": 10971, + "tgt": "Is it advisable to walk long distance by a high BP patient?", + "src": "Patient: Hello doctor, I am 34 years old, male and I am suffering from high BP and my creatinine level is 1.57. I am daily walking, my ankles are swelling once I get up from bed. So, now I have stopped. If I have to walk, up to how many kilometers can I walk, what kind of food I should take, whether this disease is curable? Please give me suggestion. Doctor: Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Your weight is also slightly high. So you also need weight reduction. So avoid oily and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take more fruits and salads. Strict salt restriction in diet. Daily walk for 2 km. With proper blood pressure monitoring, weight management, your creatinine can be reduced." + }, + { + "id": 23610, + "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": 15650, + "tgt": "Kindly suggest me a homeopathy medicine for cold and body pain", + "src": "Patient: Hi doctor, I suffer from cold, restlessness and body pain. During every winter season, I will get sick starting with a cold. Currently, I am taking Arsenicum album 30 and Aconite 30. Kindly suggest me a homeopathy medicine. Doctor: Hi. You can start taking Aconite 200 five pills in the morning, noon and evening. If you have Aconite 30, then you can take it at an interval of 15 to 20 minutes until the cold gets reduced. Take it four times a day. Take Rhus tox 200 in the morning, noon and night. Have warm water to drink. Have warm milk with turmeric powder and ginger powder. You can also take one spoonful mixture of honey, crushed ginger, and turmeric powder for three to four times a day. This home remedy helps to give a fast recovery. Follow up after a week to decide the duration of treatment." + }, + { + "id": 11065, + "tgt": "What are the causes of inguinal lymphadenopathy?", + "src": "Patient: Hi doctor, I had a swollen lymph node in my groin and for which I took antibiotics for two weeks. But, there was no improvement. So two days back, I had a biopsy of the whole lymph node. I will get the results in five days from now. I am worried because, now I\u00a0have another swollen lymph node in the groin, just below the one given for biopsy. When I called my doctor, he said that it is not a typical reaction to the operation. I have an appointment\u00a0with him in two days. Can you please tell me why my lymph node is swollen again? Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25239, + "tgt": "I had unprotected oral sex. Am I in a danger of HIV?", + "src": "Patient: Hello doctor, How risky is unprotected oral sex? I received an oral sex from a commercial sex worker for about 10 seconds. I do not have any cut or sore on my penis and I do not know about the HIV status of that girl? Am I in a danger of receiving HIV? I feel slight muscle pain in my forearms. Are there any signs of danger? Doctor: Hello. You are not at risk of HIV (human immunodeficiency virus) from receiving oral sex. Again, muscle pain may be due to some other causes, not a sign of STD (sexually transmitted disease). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15486, + "tgt": "I want to test myself for HGH deficiency. Can you tell me how I should proceed?", + "src": "Patient: Dear doctor, I want to test myself for HGH deficiency. Can you tell me a complete guide on how should I proceed? What tests should I do? After I have done them, can I post it here for a thorough examination from your doctors, so that they can tell me whether I am HGH deficient? I want to test that because I have hypothyroidism and I am taking Levothyroxine and my levels are now normal. They were not normal two years ago and I had severe symptoms of hypothyroidism (severe fatigue, severe muscle cramps, lethargy, brain focus problems, pretty much all of the symptoms of hypothyroidism). Moreover, I made tests back then and I saw that my somatoprin levels were a lot below the normal. My reasons for this testing is that I think that this hypothyroidism really has stunted my growth, and pretty much everything in my development. From 16 to 19 years, I have not treated my hypothyroidism and I just lagged behind in development compared to my peers. Now I just want to see if I can do anything. Maybe if I have HGH deficiency, I still could manage to grow a little with HGH replacement or something. My age is 21, I also have beta thalassemia minor. I do not have any other medical issues. Doctor: Hi. You need to check IGF1 level (insulin-like growth factor 1), liver function and kidney function tests and hemoglobin level. Also please take an x-ray of your left elbow and left knee joint AP view (anteroposterior view) to assess the bone age, and to check whether ends of the bones still have room enough to allow growth or they have fused. Kindly mention your height and your parents' height. You may also send your latest thyroid reports." + }, + { + "id": 30582, + "tgt": "Please help me in improving my body weight", + "src": "Patient: Hi doctor,I am 26 years old. My weight has been ranging between 54 kg and 55 kg for the last four years. My height is 5'8\". I am taking good food, but have lean body. What I should do? Please help me to improve my body weight. I started doing masturbation by the age of 13. I used to ejaculate for at least three times a day. When I was 15 years old, I just stopped doing masturbation for two years. Later, I started doing it for at least two times a day till my 23. I have done such a great mistake to increase my memory power. I am losing my confidence to do any work because of my low weight. Please help. Doctor: Hi. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19744, + "tgt": "How to manage my emotion?", + "src": "Patient: Hi doctor, I do not know what is happening and I do not want to talk about it with anybody. I have a constant feeling of anger, and it feels like it is my baseline emotion. When I am not angry, I am just numb. I can still experience the joy and pleasure when it is out upon me or if I make an active effort to distract myself. I get unusual angry over little situations, and I cannot control it. I have an urge to hit walls or other objects when I am upset, and I have trouble coming down from these outbursts. It has been worsening over a span of four months now. I do not know how to control it or what is going on. Doctor: Hi. Thank you for sharing your problem with me. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25692, + "tgt": "Do I have parasites in my feces?", + "src": "Patient: Hello doctor, Do I have parasites in my feces? Please check the attached report. The small black pieces are cigarette ashes. Many thanks for your opinion and your advice. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) You have quite a heavy parasitic infestation. From the picture, it looks like Ascaris or hookworm. It is difficult to identify since it is not clear. I would advise you to consult a doctor locally and take appropriate medications since the medication differs for different parasites. Please do not delay. Other precautions to take are proper footwear, proper handwashing and eating food and drinking water only from clean, hygienic places. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 7331, + "tgt": "I always get bitten by mosquitoes. Why?", + "src": "Patient: Hi doctor, I am always bitten by mosquitoes. I am the only person who is bitten here in our house. The insect bite remains red for days, then will eventually turn dark. I want to ask is there something in my blood? And what remedies can I use to lighten my scars? Doctor: Hello. To understand why mosquitoes do bite you always, you should know what attracts them to get you bitten: 1. CO2 production as per metabolic rate because mosquitoes are attracted by it. 2. Obese, overweight people with low metabolic rate. 3. Wearing dark clothes. 4. Mosquitoes do tend to bite when it is dawn, when it is high humidity and less windy, so try to use a fan at that time to keep them away. All the best." + }, + { + "id": 28829, + "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": 20016, + "tgt": "The tooth is sharp and cracked. What is the treatment?", + "src": "Patient: Hello doctor,The tooth is sharp and cracked. It is leaving a space in the mouth. What is the treatment? Doctor: Hi. How are you doing? I saw the image, but it is not clear (attachment removed to protect patient identity). But, based on how much ever I could appreciate, it seems you have deep caries in your first molar and to some extent nearby second premolar too. The crack or sharpness is due to the loss of tooth structure because of caries (cavity). Kindly take an IOPA (intraoral periapical radiograph) of both the teeth together (in one X-ray itself) and send it to me, along with a clear image of your teeth to help you with a proper diagnosis and treatment plan. Do you have or had pain, especially during chewing or sleeping? The treatment plan will vary based on the diagnosis. If the cavity has reached the pulp (blood supply of tooth), it will need a root canal treatment followed by a crown. If it is approximating the pulp, then we will give a temporary filling, wait for a month and if there are no symptoms, then we will change it to a permanent filling (restoration). If it is not even approximating pulp and is in dentin or just enamel (hard structures of teeth), then we will straight away go for permanent restoration (tooth filling). All these will eventually treat your cavity and the sharpness and the gap will go away. Kindly send me a clear picture and the radiograph to help you precisely. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7959, + "tgt": "What causes boil on stomach and back?", + "src": "Patient: Hello doctor, Why am I getting bumps or boils on my stomach and now on my back leaving five black marks on my stomach and there are three new boils or bumps on my back that hurt really bad. How can I make them go away? Please help. It hurts when touched. Doctor: Hi. Repeated boils on the body suggest that you may be closer to a source of infection or the treatment has been inadequate. Squeezing of boils may also lead to the spread of infection. If you have not found relief with antibiotics, you may require testing of pus from the boil to see which antibiotic suits you best. Marks that are left behind after the boils are healed will fade eventually. This can be hastened by skin lightening creams. Excess sweating, repeatedly wearing the same clothes and using unwashed towels. Pus culture and sensitivity. Miliaria, folliculitis. Mupirocin cream for the boils. Biluma cream to the marks once healed. Wash clothes in disinfected water and dry in the sunlight. Use a sweat absorbing body talc. Timely treatment of boils." + }, + { + "id": 2932, + "tgt": "My mom feels dizzy and weak with diabetes medicine. What to do?", + "src": "Patient: Hi doctor, My mother is 53 years old. She is a diabetic and under medication. Her list of medications is as follows: For diabetes,\u00a0Glyciphage SR 1 gm (1-0-1) and\u00a0Volibo 0.2 (0-1-0).\u00a0For cholesterol, Stator 10 (0-0-1) and for stamina, Stamina-OD (1-0-0). Under medication, her sugar\u00a0levels before food and after food are\u00a0103 to 160 and\u00a0190 to 200 respectively. While not having the medicine, the level is 210 before food.\u00a0The issue now is with the medicine. Whenever she takes the diabetes medicine, she is getting tired, feeling dizzy with overall mental and physical weakness and literally wants to be on bed. At times, she is frustrated as well.\u00a0Please advice what we should do. Doctor: Hi. For further classification consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 23980, + "tgt": "I am a bi-curious male who had exposure to blood. What are my risks of HIV or HCV?", + "src": "Patient: Hello doctor, Unfortunate is that I am a bicurious male who encountered a possible exposure to blood (environmental exposure). Being my first male to male exposure, I was not very sure to engage in anal sex and I just tried inserting and I am sure even I was not too hard enough to penetrate when I tried to. So, I removed the condom and just ejaculated. Before that, I had unprotected oral sex. Once I was about to leave the place, I found a tinge of blood on the top of the used condom. It happened over three months ago. I tested the partner on the same day for HIV fourth generation Ab/Ag test and he tested negative. From then, I am panicked about being contracted with HCV and HIV. In the due course, I got a small sore on my penis which was examined by a dermatologist and he was very sure that it was not a syphilis sore (I explained all that happened). Eight weeks later, I wanted the person who had all other STD tests including syphilis, HCV, and HIV. He tested positive for syphilis and only now he is on treatment. My VDRL and TPHA results are negative until the last test 90 days after the exposure. Further, I underwent Anti-HIV Combo ab/ag, Anti HCV, VDRL, TPHA, HIV RNA PCR qualitative several times in the last three months and got the results as non-reactive and non-detected. Now it has been 13 weeks and three days since the possible exposure. All the above tests were taken in a reputed lab. Apart from the above, HIV RNA qualitative and Western blot tests were also done in a different lab twice (eight and 10 weeks post exposure) and were negative. My fear is: If there was any exposure by touching the blood while I pulled off my condom and that had contact with my penile gland when I ejaculated (though I did not have any open cut or sore, did not see any bleeding or blood tinge on my penis when I washed my penis after the mishap), will I be at a greater risk of contracting HIV or HCV (though the partner was tested negative for HIV and HCV two months post this mishap)? With the above tests done now after three months, what is the chance that I had contracted HIV or HCV? With articles on the internet talking about HIV and HCV co-infection which delays HIV seroconversion, make me go mad. With the tests done can I allay my fears of HIV at least? As my partner is positive for syphilis, is my three months negative VDRL conclusive on me? Is there any other test I can do to put my mind at peace? It has been three months since I slept and now I feel that my liver is bulged and my ribs are aching. I know I am paranoid but an assurance from you as a doctor would give me more confidence. Please help. Doctor: Hello. Since the blood was on the outside of the condom, therefore, it was almost certainly not in direct contact with your penis. Your screening tests are negative on multiple occasions and they are conclusive. A negative Combo test (Anti HIV antibody test and P24Ag test) is considered conclusive at six weeks by most HIV (human immunodeficiency virus) specialists. Similarly, anti-HCV (hepatitis C) and HBsAg (hepatitis B) are reliable six weeks onwards in those with possible exposure. VDRL (venereal disease research laboratory) usually becomes positive three weeks after infection but because of the variable incubation period of syphilis of nine to 90 days, it is certainly conclusive if it is negative at three months. So a negative at three months in your case is conclusive. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26812, + "tgt": "I am having a marital problem because of my past relationship. Please help", + "src": "Patient: Hi doctor, I am a 27 year old male. I have been married for one and a half years,\u00a0but I cannot forget my ex-girlfriend. I fell in love with a girl, and one day it was all over because\u00a0she cheated me. We were in the relationship for eight years. The first time when I discovered that she was cheating on me, I ignored it because I was truly in love with her. But when she cheated again, I could not ignore\u00a0and decided to call\u00a0off our relationship. But, she told me that she is an immature girl (at the age of 25 years), feeling guilty for it and wants to continue the relationship. However, I could not trust her any longer and decided to quit. A few months after the breakup, I had an arranged marriage with a girl from my own family. She is a nice, average-looking girl. I do try to love her and fulfill all her desires. We have an ideal life for the outside world. But, I do not have any sexual feelings for her. Whenever I foreplay with her, I hardly feel sexually aroused, and I do not get enough erection for penetration. We have sex twice or thrice a month.\u00a0I had a capsule given by my friend before sex to keep my erection hard to penetrate. As the capsule had Viagra, I stopped taking it a few months ago, and I did not have sex with my wife since last two to three months. First, I thought I have ED, but I do get very hard morning erections or if I watch a romantic scene on the TV. I also feel sexually aroused whenever I think about my ex-girlfriend. Even though\u00a0I try to have the same feelings for my wife, I do not have any. I never thought I would be a sad\u00a0and depressed guy at the age of 27. Sometimes, I close my eyes and pray that my life would end, because I do not want to live a life where I could not love my wife and also could not forget my ex-girlfriend. She is in my senses, and it is killing me. I am living a traumatic life and have fake happiness on my face for the sake\u00a0of my family. Please help me. Doctor: Hi. I completely understand that you are concerned about your sexual functioning. For further queries consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15403, + "tgt": "Please advise treatment for high fever, nausea and gas due to food poisoning", + "src": "Patient: Hello doctor, I am traveling and got hit by food poisoning this afternoon. I have high fever, nausea and gas trouble. Kindly help me with the right medication. Doctor: Hi. I have gone through your query and can understand your health concern. There are many causes of high fever and nausea which needs to be ruled out. I suggest you check your complete blood count, liver function test, malarial parasite. If any of the tests come abnormal, please consult a physician. You can take tablet Pantocid DSR (Pantoprazole and Domperidone) twice daily for five days about thirty minutes before meals. You can also take syrup Sucrafil 10 ml thrice daily. Take tablet Dolo (Paracetamol) 650 mg three times daily for three days after food. Consult a physician if no relief or symptoms worsen. Drink a lot of water. Avoid tea and coffee, soft drinks. Avoid oily, spicy food. Food poisoning, viral fever, hepatitis. Complete blood count, liver function test, malarial parasite." + }, + { + "id": 27963, + "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": 3989, + "tgt": "My son's BMI shows that he is obese in 95th percentile. How can I help him?", + "src": "Patient: Hello doctor, My son is 9 years old. He is 4 feet and 11 inches and weighs about 107 lbs. I checked his BMI, it said he was obese in the 95th percentile. He is active. Should I worry about his weight? And if so, how can I help him with it? Doctor: Hi, Welcome to icliniq.com. Your son has good height and for the same reason, his weight is not worrisome. But definitely he is on 95th centile for his height as well as for his age. Also, his BMI (body mass index) is 22.4 which puts him in the category of obese. Let him have a lot of outdoor activity, avoid sitting for a long time in front of the computer or tv, and avoid junk foods. Swimming is the best activity for this age and swimming for at least 30-45 minutes daily or at least five days a week will help him. Let him have a good balanced home food with less fat. Child Obesity at this age has higher chances for him to be obese as an adult with all its other consequences. So it is better to have some precautions but no need for a dieting regime at this age as he is a growing boy and needs more calories from proteins for his overall growth. I hope this helps." + }, + { + "id": 21419, + "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": 23657, + "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": 20056, + "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": 1674, + "tgt": "How to confirm if my 1-year-old baby is addicted to the smell of Gutka taken by a relative?", + "src": "Patient: My baby is one year old, i dought that he is getting addicted to the smell of \"gutka\" intaken by one of my relatives and he takes my baby everyday. He is 70 year's old, whenever my baby sees him my baby gets crazy and after going to him baby never wants to come back easily even to his mother. Plz help wheather it is addiction to intoxicating smell or its normsl over attraction to old person. Plz help me snd my baby. Doctor: Hi, The very first thing , confirm whether your relative is giving 'Gutka' to your baby also ? What kind of Gutka he is taking ? Baby may get addiction if he has got the taste of it and started taking it orally. Addiction with smell is difficult to comment on. Possibility of a normal preference and attraction with the person where your baby is feeling more confortable, more affection or some interesting action which your relative might be having and your baby is enjoying it. I suggest you just keep a close watch. Take care" + }, + { + "id": 14821, + "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": 23371, + "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": 27445, + "tgt": "My father had HIE due to a heart attack, and is now in coma. What to do?", + "src": "Patient: Hi doctor, My father has hypoxic ischemic encephalopathy due to a heart attack. Tracheostomy has been done. He is in a coma. What are the options available now? Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23230, + "tgt": "My right ear is plugged due to sinus cold. How do I unplug it?", + "src": "Patient: Hello doctor,I have a sinus cold for two weeks. I have taken nasal spray. Now my right ear is plugged. How do I unplug it? Currently, I am taking Bupropion , Celexa, and Naproxen. Doctor: Hi. Sinus congestion or attacks of sinusitis can lead to a sensation of blocked ears as the congested sinus passages tend to block out the eustachian tube at one end. You can try steam with menthol inhalation three times a day, along with Budesonide nasal spray one puff in each nostril once daily for a week or two. As this is a steroid medication you may need to talk to your pharmacist about its availability over the counter in your country. These measures can clear up your sinus congestion which will also help your clogged ears to open up. If you have or develop fever, or if your symptoms worsen, you may require prescription antibiotics. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5102, + "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": 30701, + "tgt": "Did not get periods for two months and my Hb is 7. Please help", + "src": "Patient: Hi, I am a 23 year old female. I am not pregnant, but my period has suddenly stopped from the last month. I have found that my hemoglobin is very low at 7. Please give me your valuable advice. Doctor: Hello. 1. Serum beta hCG. 2. Peripheral smear. 3. Serum ferritin. 4. Serum vitamin B12. Withdrawal according to beta hCG levels to induce period followed by hormonal analysis. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4732, + "tgt": "Why do we get forehead wrinkles with age?", + "src": "Patient: Hello doctor, Why do men get wrinkles in their foreheads with age? Is it more lifestyle or genetic? Is it possible to tell if it is more than the other? Are men more or less likely to get forehead wrinkles compared to women? Why or why not? What can men do to prevent forehead wrinkles? Is there anything they can do to reverse them once they show up that does not require surgery? Do facial muscle exercises (i.e. face yoga) work? What surgical options to men have and when might they consider it? Are forehead wrinkles a sign of an underlying health problem or cause for concern? Doctor: Hello. Forehead Wrinkles are signs of aging process. Men get wrinkles due to decrease formation of new collagen and destruction of already existing collagen and elastin proteins in our skin. Wrinkles can be inherited if one gets it early but in majority people, they become prominent with aging and ultraviolet radiation has the major role to play in this. UV (ultraviolet) radiation boosts the process of collagen degradation through the formation of reactive oxygen species. Men get more forehead wrinkles because in females estrogen has a somewhat protective role. Men are more exposed to sunlight and women have more fat layer beneath the skin that gives good contouring to the skin. Prevention of forehead wrinkles is partially possible because they are part of the normal age process. Protection from sunlight is very important in this regard. Treatment of forehead wrinkles can be invasive or noninvasive. In non-invasive procedures HIFU, (high intensity focused ultrasound) is very famous nowadays. In this high intensity focused ultrasound waves are given to wrinkle area and it stimulates collagen formation. Invasive methods are botox injection. Surgical correction requires fillers to be inserted." + }, + { + "id": 14018, + "tgt": "I get cracks or pops while squeezing my shoulder. Is it due to muscle weakness?", + "src": "Patient: Hello doctor, When I squeeze my shoulder blades together, my spine always cracks or pops (like cracking your knuckles). I do this maybe 20 times a day. I think it is becoming a habit. It helps to loosen it up. What causes this? Do I have muscle weakness? It has been an ongoing pain for three years and it is getting worse. It is very easy to pop and it is addicting. Doctor: Hello. The sounds coming from the spine is called as snapping of joints. A synovial joint is a joint where two bony surfaces are enclosed in a capsule with synovial fluid enclosed in it. It is like sound coming from two wet surfaces placed together and now separated. It is a normal physical property. You feel good or relaxed on repeatedly doing it because of your habit. You do not have any muscle weakness. You should avoid doing it repeatedly as repeated forces over a limited area of the spine will predispose it to degenerative changes over the long term. To avoid getting feeling of back stiffness, start to a regular spinal exercise programme." + }, + { + "id": 24840, + "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": 5531, + "tgt": "My wrist and thumb have been hurting more frequently after injury. Kindly help", + "src": "Patient: Hello doctor, Why has my wrist and thumb been hurting more frequently? Two years ago I fell on my thumb hyper-extending it and fracturing it in the process. Doctors that I have gone to said I have tendonitis in it now and that is why it hurts in the first place though no testing has been done to confirm it. It used to only hurt when I overused it in band and percussion and for some odd reason when it was about to storm. Lately though it has been hurt more and more frequently enough to have begun interrupting my everyday life. I take anti-inflammatories prescribed to me regularly and a brace when it acts up. The brace is slightly lower than my wrist and extends up into my thumb so it will support the areas that need supporting. Is it just progressing into a worse form of tendonitis? Am I making it worse by playing the instruments? What do you think? Doctor: Hi. It can very well be tendonitis or some kind of arthritis secondary to damage. I think you should undergo MRI of lower forearm and hand so that we will confirm the diagnosis of tendonitis and rule out other pathology. Regarding management you can better try topical antiinflammatory drugs like Diclofenac gel rather than oral drugs. You should avoid strenuous activity. Exercise program with gradual loading of the joint will be helpful. These exercises can be taught to orthopedician or physiotherapists." + }, + { + "id": 1004, + "tgt": "Please explain the reason for weight gain during pregnancy", + "src": "Patient: Hi doctor, When I had my third ultrasound,\u00a0I was 24 weeks pregnant\u00a0and it appeared like two faces in the ultrasound. I keep asking my obstetrician regarding my weight gain. I am gaining so much weight when I barely eat and my stomach so huge. I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender. I eat like two meals at once a day. I am now 34 weeks and 5 days pregnant. My obstetrician does not check my pelvis and not advised for another ultrasound. Can I send a picture of my third ultrasound to get a second opinion whether I am having twins? Doctor: Hi. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27531, + "tgt": "Why does my 10 months old son get loose motions frequently?", + "src": "Patient: Hi doctor, My 10 months old son gets loose motions very frequently from the last two\u00a0months. He was also admitted one time. Again he is having loose motions. I am giving him Econorm sachet. Please suggest. Doctor: Hi. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 9661, + "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": 26393, + "tgt": "I am afraid a possibly viable pregnancy has been prematurely ended. Please advise", + "src": "Patient: Hello doctor, I was given the hCG trigger shot on the 5th of last month after showing a good follicle in response to Letrozole. I first showed positive for pregnancy on the 19th of last month with an hCG\u00a0result of 17. On the 2nd of this month, I had a\u00a0transvaginal ultrasound with no visible gestational sac and no indication of ectopic pregnancy as well as an hCG of 806. I was told that the pregnancy was abnormal and that a molar pregnancy was suspected. A D and E was suggested and was told that if my HCG levels still increased, then I will be treated for possible ectopic pregnancy. My pathology reports came back to a normal gestational sac and no signs of a molar pregnancy. Genetic results are still pending. Looking at the reports now, they had indicated pregnancy of unknown location as the cause for the procedure. Is that the usual course of treatment based on my clinical presentation? I am afraid that they had prematurely ended what could have been a viable pregnancy. Doctor: Hello. How are you doing? I am extremely sorry for your loss. 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://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 20540, + "tgt": "I have some red itchy rashes in my scrotum. What is it?", + "src": "Patient: Hi doctor, I have a red itchy skin in my scrotum. It is dry, and the skin is peeling off. The rashes exist only in my scrotum. It also burns. I am taking Doxycycline for the past one month. Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like scrotal dermatitis (eczema). Take one tablet Zyrtec (Cetirizine) daily for a month. Use a local antihistamine cream like Chlorphenoxamine twice daily. Use a soothing cream like Bepanthen (Panthenol with Lanolin) twice daily. Do not use soap or shampoo in this area. Keep the area dry. Take Vitamin A tablets once daily for a month. Eat a diet rich in vitamin A like carrots and tomatoes." + }, + { + "id": 21548, + "tgt": "Why is there a headache after basketball work in a 14-year-old?", + "src": "Patient: Hello doctor, I have a 14-year-boy who has been getting a headache after his basketball work for three years. They last for hours and nothing helps them. Last night we were watching TV and suddenly he had a severe headache above his left eye. He said it was the worst he ever had but was the same as the other ones, it was severe pain and it felt like when your hand is going to sleep too. It took hours to go away. Doctor: Hi. The condition of having severe headache could be due to various reasons. But based on the limited information which I could gather from your query, if I have to provide a diagnosis, then I would doubt that this headache which your son is getting, could be due to strain in his eyes. Because constant exposure to the sun during play hours may lead to a headache in some people (assuming that he plays basketball in an open ground under sunlight) and watching television for long hours could aggravate it further. It would be great if you could provide details on past medical history of your son such as, So that I could give or suggest a complete diagnosis and treatment for your son's condition. For time being, for instant relief of his headache, you can give him the following tablet Paracetamol (500 mg) one tablet once in six hours for two days. Advice him to: I strongly recommend coming for a review after two days with the detailed history for a complete diagnosis and treatment. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9586, + "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": 9281, + "tgt": "What are the ways to control thyroid function in a patient taking Thyronorm 50 mcg?", + "src": "Patient: HelIo doctor, I have attached the thyroid profile test reports of my mother who is taking Thyronorm 50 mcg currently. I want to know what is your opinion to control the thyroid functions. Doctor: Hello. I just read your query and from what you have mentioned it appears that she is under-corrected for hypothyroidism. You must increase the dose of Thyronorm to 100 mcg once daily and repeat thyroid function test after four weeks and then we will review again and decide on whether there is any further need for dose titrations or not. Besides I would like to ask whether she takes her medications regularly early in the morning on empty stomach and then has breakfast one hour later? Secondly, is she on any other medication for any other condition? Also, does she have any gastrointestinal problem like problems with digestion, etc.? Also, please do a thyroid antibodies test as well, anti-TPO and anti-thyroglobulin antibodies." + }, + { + "id": 25006, + "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": 13747, + "tgt": "I have a history of recurrent miscarriages. Is my estradiol good enough?", + "src": "Patient: Hello doctor, I am a 29 year old woman with a history of recurrent miscarriages (3 losses, all in 5-6 weeks). I was recently diagnosed with Grave's disease (I had overt hyperthyroidism with my last miscarriage). Now my levels are in check. I had APS, ANA and thrombophilia panels, all perfect except for heterozygous MTHFR A1298C. I have added more folate to my diet (2mg instead of 0.4mg). I am now 4 weeks and 1 day with my 4th pregnancy. I am taking PTU 75mg, Progesterone 400mg (300 orally, 100 vaginally), Prednisone 10mg and Folate 2mg. Yesterday at 4 weeks (2 weeks since conception) I measured my estradiol since I had never measured it with my other pregnancies. It came out at 186 pg/ml. Is my estradiol good enough? I have read studies that say estradiol levels are prognostic for a viable pregnancy but did not specify the numbers. With my last pregnancies, I lost them by bleeding and I have read that estradiol prevents that. Should I supplement with 1-2mg/day? Is there anything else I should be doing? Doctor: Hi. Your estradiol level appears to be fine if pregnancy happened naturally (that is not through treatment like ovarian stimulation). Though studies associate low estradiol levels with viability, the association is indirect (indirectly indicating defective egg formation/folliculogenesis, with resultant defective corpus luteum). Estrogen supplementation to improve viability in natural pregnancy is not studied well. In fact, it is only the health of embryo, which determines viability (and it cannot be altered through medicines), second hypothesized intervention being progesterone support (which you are already taking). As other causes like APA, thrombophilia is already ruled out, you do not need medicines for that. Regarding MTHFR mutation, if your homocysteine levels were high, it is better to take Vitamin B6 and B12 supplements along with Folate. If levels were normal, those supplements are not normally needed. If levels were not checked, you can get it checked or start supplements, as there is no harm in taking water-soluble vitamins. So, in summary, estrogen supplementation is not known to improve viability/prolong pregnancy, and is not needed. Vitamin B6 and B12 supplementation may be helpful if you had elevated homocysteine levels. Wish you good luck." + }, + { + "id": 28414, + "tgt": "My mother was diagnosed with triple personality disorder. How did she get it?", + "src": "Patient: Hello doctor, I am a 21 year old female, and I have seen a lot while growing up. Since I was 6 years old, I started crying every day. Fear grew within me. I started having bad grades since I was 11. I was bullied twice by my friends when I was 7 and second time when I was 13. My parents had no time to love me and indulged in verbal abuse all the time. It made me feel even more depressed till today. I find pleasure in other ways that keep\u00a0me alive. It is just a living and not a life. I am so very tired deep down. I have no one to talk to wholeheartedly. I feel lost and all by myself. I just want some affection and a person who understands me and lives through me. I feel incomplete. I have not consulted any therapist or not under any medication. Thank you. Please provide me with some peace. Doctor: Hello. Thanks for this query. You have mentioned everything about your history in details.\u00a0I can understand your concern regarding your low mood. Hope my answer helped you.\u00a0Regards. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30929, + "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": 25969, + "tgt": "How do I check my pulse rate?", + "src": "Patient: Hello doctor, I notice whenever I am hooked up to a monitor, it reads a pulse on a pulsometer. My pulse is never steady. It bounces around each second and not gradually or one by one. It goes from 75, 82, 86, 92, 84, 101 and then back to 94 and then to 87. Is this normal? All my heart tests say I am healthy. It bounces within a 15 to 30 beat range. What should I do? Doctor: Hello. Pulse rate between 60 to 100 is called a normal range. Pulse rate remains on lower side during rest and sleep and on the upper side during activity, fear, fever etc. During exercise, it may go well beyond 100. Monitors are machines, these are not error-free. For confirmation of your pulse rate, the best way is to count your pulse for one full minute. If it is within range of 60 to 100, it is perfectly normal. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7839, + "tgt": "My fiance rubbed his genitals against mine. Should I take an I-pill?", + "src": "Patient: Hi doctor,I am a 24 year old girl. I am a virgin, but I got close to my fiance the day before yesterday (20th day of my menstrual cycle). We did not have intercourse, but our genitals rubbed against each other multiple times. Is there any chance of me getting pregnant? Should I go for an I-pill? Also, if I avoid taking I-pill, can pregnancy be avoided later without going for a surgical abortion, if I come to know after, say, 15 to 20 days? I was reading online about precum and as I mentioned earlier, his genitals touched my genital lips multiple times. Although, ejaculation did not happen anywhere near my vagina and he wiped his penis with a towel. As soon as he wiped himself, we again got closer and our genitals rubbed and touched although there was no intercourse. I am very much afraid that this can result in a pregnancy. Since he just wiped himself with a\u00a0towel, the microscopic sperm would have been left behind on his tip, which when touched my genital lips could have\u00a0lead to a pregnancy (or not?).Also, my periods are about to come in a few days. I am on day-22\u00a0of my menstrual cycle. Please confirm, If I get my periods on time this time, will it definitely confirm that there is no pregnancy? This episode happened on the\u00a020th day of my menstrual cycle. Is the egg very fertile on this duration? What do you suggest in this situation? Please let me know clearly. Should I go for an I-pill or Unwanted 72? I am afraid of the side effects. Please revert soon as I am very stressed. Doctor: Hello. If your cycles have been regular, then intimacy on day-20 of your cycle would place you in the safe period. The life of the ovum is only 24 hours and ovulation occurs by mid-cycle. Also, there was no intercourse involved. Pre-cum has sperms, but if the ejaculation was outside and only the vaginal lips were touched, it becomes difficult for the sperms to travel all the way to the tubes without a traveling medium. I-pill is not indicated for this exposure. However, to stop your anxiety, you may take it and shall experience withdrawal bleed in the next five to seven days which will indicate that there is no pregnancy. The earliest you can take a pregnancy test is after seven days post exposure with a serum beta hCG test. So, if you do not wish to take I-pill, you can get this test done after seven days, which if negative, will rule out pregnancy conclusively. For more information consult an Ob/Gynac doctor. Thank You." + }, + { + "id": 27121, + "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": 12876, + "tgt": "Does high serum creatinine indicate abnormal kidney function?", + "src": "Patient: Hello doctor, I am 36 years old male. Weight 67 kg, height 5'5\". My serum creatinine is 1.2 mg/dl and urea is 20 mg/dl. My hemoglobin is 14.5 gm/dl. Vitamin D is 20.2 ng/ml. HbA1c is 6 %. I want to know whether my kidney function is normal on the basis of my blood reports. Please suggest. Doctor: Hi. To help you better, I need to know your blood pressure, any ultrasound report, if done. Revert back with the asked details for better help." + }, + { + "id": 20944, + "tgt": "What should I do for raised uncomfortable heartbeat in ECG?", + "src": "Patient: Hello doctor, I am 31 years old. My father died recently. Since then, I am feeling an uncomfortable heartbeat. I am diabetic type 2. I took ECG two times and the heart rate was 88 one time and 108 the second time. ECG I took in a span of two days. Please suggest me what should I do or suggest me the medicine. Doctor: Hello. It does not seem to be anything worrisome. Increase in the heart rate and feeling it does not mean you have anything abnormal. Heart rate may rise with anxiety, stress, walking on the ground or stairs, and this is entirely normal. So at present nothing needs to be done for your pulse rate. Anyways, if you feel too much uncomfortable then you may take tablet Ciplar LA 20 mg (Propranolol) once a day for two weeks. Otherwise, nothing needs to be done. Next thing, it is very important that you keep your sugar levels well controlled as deranged sugar is a high-risk factor for the future cardiovascular disease. Also, focus on a healthy lifestyle, diet, and regular exercises. Also, should get screening lipid profile done if not had recently. From the cardiac perspective, you should get one screening echo and TMT (treadmill test) done to know the current status of the heart, which most probably must be normal only. TMT will identify if any minor abnormalities are going in the heart. So overall, you need to focus on prevention." + }, + { + "id": 3364, + "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": 14677, + "tgt": "I have been feeling tired the whole day. I do not really want to do anything and I do not know why", + "src": "Patient: Hi doctor, I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my heartbeat gets faster sometimes, but when I check my pulse, it feels normal. But today when I ate some chocolate cookies, I laid down because I felt tired and weak. My left arm felt really weak. Then when I got up, I got really dizzy, like more dizzy than I usually get when I wake up, and I had to wait a few seconds so that I can go downstairs without falling. And I always just want to lay down. I always feel so lazy and do not really want to do anything, and I do not know why. Should I be worried? Doctor: Hi. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or diabetes. I advise you to get the following tests done:" + }, + { + "id": 4244, + "tgt": "Can stress cause hair fall?", + "src": "Patient: Hi doctor, My girlfriend is 20 years old. She recently started losing her hair. Now, within two and a half months you can see her scalp near the front of her head and the very back of her head. It happened suddenly. And now she is pulling her hair out in clumps throughout the day. I have also noticed that her eyes are very dark and she complaints of being tired. She does not sleep well at night either. Her job has been stressing her out lately. She is working as a teacher for the past two years and managing kindergarten kids. What I really want to know is, can there be such a rapid hair loss due to\u00a0stress of her job?\u00a0Or is it something worse? I have almost ruled out thyroid. She is perfectly healthy. I have a thyroid problem and her symptoms are not similar to mine. And it does not run in the family too. Please help with her problem. Doctor: Hi. Let me explain everything about hair fall. Straightening and other procedure also cause weakness of root. Other condition like fever, typhoid, malaria, thyroid, etc., can also cause hair fall, but these are less common. Regarding treatment, have good sleep. Eat proper food with green vegetables and fruits. Take Iron and multivitamin like Follihair for at least three months. Check your blood hemoglobin. If it is less, then she should start iron and folic acid supplement. Also, check thyroid and diabetes to rule out other cause. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 289, + "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": 1095, + "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": 17534, + "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": 7302, + "tgt": "What is the swollen hard thick cord along the shaft of my penis?", + "src": "Patient: Hello doctor, I have been masturbating on a daily basis for a long time. For the past two years, I have noticed a swollen hard thick cord along the shaft of my penis. It is more obvious when flaccid. It is nonpainful at all and it is pulsating and changes sizes. Help me, please. Doctor: Hi. Masturbation does not cause any such thickened cord, usually, these cord-like structures are dilated veins. It does not require treatment except in very rare cases when it is painful. Still, I would recommend you to visit a urologist once for physical examination as a condition which you have described can be best diagnosed after a physical examination." + }, + { + "id": 4466, + "tgt": "Will Tadalafil help in maintaining erection for a long time?", + "src": "Patient: Hello doctor, I have been watching porn since my 18 years and now I am 31 and got married. Recently, I am getting an erection but after ejaculation, I am unable to regain my erection and sometimes it goes down without even ejaculation. Please suggest so that I can have two to three times in the night. And also suggest to me on the usage of Tadafil 10 mg and can this be used for a prolonged period as the effect of this medicine stay for 48 hours? Can this be used for a lifetime every alternative day? What are the future problems with this medication? Doctor: Hi. Good and satisfactory sex is never related to the frequency of intercourses in a day or duration of intercourse. Although these factors play an important role in sexual satisfaction but not the only factors. It is the quality of sexual encounters that matter. One can have a wonderful sexual life while having sex once a week. On the other hand, those having sex three times a day may not be happy with their sexual life. So stop worrying about how to have sex two to three times a night. It is not a competition. In the fourth decade of life (30-39 years) the level of testosterone hormone begins to decline progressively while it is most abundant in the late teenage and early adulthood. As you cannot expect to have the libido of a 20-year-old male. If you think your sexual desire is gratified by having sex once a day then it is fine. You need to improve the quality of sexual relationship by having lots of foreplay and imagination. Tadalafil can be used if you feel your erection is not persistent during sex but I think you are fine without it. It is usually not advisable to take Tadalafil more than twice a week." + }, + { + "id": 2320, + "tgt": "I have chronic cough with breathlessness problem. Please suggest treatment", + "src": "Patient: Hello doctor, I have been experiencing a chronic cough and it has clear-bubbly phlegm and I am so bothered about it because it has been a year since I have it. Sometimes, I vomit especially when my cough is severe and it sometimes makes me breathless. I have been taking antihistamine for it but it has no effect. I am so bothered and worried because it is been a year but still I am not well. Please help. Doctor: Hello. According to your statement, you are suffering from chronic cough for almost a year now that makes you breathless. You did not mention here about your family history, working history, living history, allergic history, smoking history, and the factors that make you breathless sometimes. There is no history of nutritional status, night sweating or weight loss. As we know, chronic persistent cough that occurs most of the days for three months for two successive years is called chronic bronchitis. Again, COPD (chronic obstructive pulmonary disease) includes chronic bronchitis along with emphysema. So, my probable diagnosis is COPD. COPD can be confirmed by reversibility test, as it is irreversible so FEV1 will be <15% after Salbutamol or steroid trial. You should undergo lung function test that will reveal FEV1/FVC <0.7%, TLC-increased, RV-increased, CXR, sputum for C/S, blood gas analysis, etc. By using Salbutamol or anticholinergic inhaler, corticosteroid or oral steroid intake, occasionally oxygen inhalation, you may control your chronic cough to some extent. Please inform me about your investigation results as soon as possible." + }, + { + "id": 20708, + "tgt": "Why my lips gets parted when I sleep?", + "src": "Patient: Hi doctor, My lips get parted when I sleep. I use a plastic retainer which keeps my teeth to be moist. I have white dehydration marks on my front teeth when I wake up. It makes my teeth to look more yellow and ugly. It is happening for years. I also grind my teeth which helps to break my foods into pieces. What can I do now? Doctor: Hi. I can understand your concern. If you have an anatomically short lip, either you have to do lip augmentation, or you have to wear a teeth guard throughout the life. The associated clenching cannot be due to the short anatomical lip. Your symptoms may occur due to DNS (deviated nasal septum) or nasal obstruction. Please provide your age, weight, and pictures of your closed teeth bite when having lips in a closed position as well as in open position." + }, + { + "id": 5096, + "tgt": "I feel fatigue and numb with peripheral neuropathy. Does this indicate positive Lyme disease?", + "src": "Patient: Hi doctor, One laboratory report says that I am positive for Lyme disease and another lab report says it is negative. Both used serum and western blot. I was in tick borne Lyme areas overseas but do not recall a bite specifically. I have positive ANA test (speckled pattern 1:80), anti ds-DNA 8 iU/ml. I am negative on all the autoimmune disease antibody tests (Sjorgens, lupus, etc). I have low vitamin D, low B12, low calcium and low albumin. I have mild neutropenia. CRP a bit high at 6.7. Alpha 2 globulin mildly elevated. I am wondering if the ANA tear has any significance? I am quite unwell with extreme fatigue, numbness and heavy leg one side, peripheral neuropathy (numb, tingling, spasms), ankle edema and I have put on 10 kg. I am usually quite thin (59 kg and 178 cm), now I am 71 kg and it is all in my stomach (fluid?). I have had skin nodules and my scalp feels swollen and I have some hair loss/thinning. Finger nails have vertical ridges and no moons. I have tried antibiotics, anti fungal oral and topical. I was a frequent traveller for work and thought maybe got something there. I am so confused as to if I should commence treatment for a Lyme disease as I do not know if I have it or not.I am currently taking Vitamin B12, vitamin D supplements, and Nystatin. Illness has been chronic for past three years. Symptoms already discussed except I forgot to say periods suddenly stopped about 18 months ago. It might be pre menopause but strange thing is they did not slow down or become irregular, just bang stopped. Doctor: Hi. Your ANA (antinuclear antibody) report is not much significant. Lyme disease test IgG positivity reflects its chronic presence. Many of your neurological symptoms could be attributed to it. However, few symptoms need further evaluation by a rheumatologist, because the physical examination is necessary. Your nail ridges and a few skin changes could be due to Psoriasis or Reiter's disease which may also cause fatigue and joint pains. I would suggest you take treatment for Lyme disease because it is not much longer. Also, you should get yourself evaluated by a rheumatologist, for the presence of inflammatory arthritis. I hope this helps." + }, + { + "id": 26286, + "tgt": "My cousin's hCG levels have doubled after IUI. Is a viable pregnancy likely?", + "src": "Patient: Hello doctor,My cousin had her last period on the 10th\u00a0of last month and got IUI done on the 26th. Her hCG levels increased (doubled) in\u00a0the blood test. Now, at six weeks, she got an ultrasound scan and there is no heartbeat till now. Is it too late? What are the chances of the pregnancy to be viable? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29972, + "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": 28834, + "tgt": "I feel sinus abnormality as the reason for my headache. What is your opinion?", + "src": "Patient: Hi doctor, I am a 32 year old female. My weight is 60 kg and height is 1.72 m. For around five years, I have been suffering from light pressure headaches, as if a balloon is in my head. It comes with pulsatile tinnitus on and off, mostly when I bend over, get up from a chair, etc. Also, I suffer from balance problems and slight visual disturbances. The tinnitus and eye problem only affect my right side. The complaints vary in severity. I have weeks in a row with major complaints alternating with weeks with very mild complaints. I visited an ENT and neurologist. A brain MRI and an MRA of the vessels were taken. Due to empty sella, IIH was suspected. When I came for the lumbar puncture, I was in my good weeks with very little complaints. The opening pressure was 22, so IIH was ruled out. Also, no papilledema was found at that time. My blood pressure, in general, is in the normal range, more on the lower side than on the higher side. The MRI scans were taken about three years ago, and when looking back at them by myself, I think my left transverse sinus looks maybe a bit abnormal. I am on regular birth control pill, and occasionally, I take Propranolol for pounding heart. I was wondering what the opinion of a professional is and whether this could explain my complaints. Thanks a lot for your answer. 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": 3646, + "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": 28469, + "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": 19565, + "tgt": "Does my X-ray indicate that I have had tuberculosis in the past?", + "src": "Patient: Hello doctor, Attached herewith is a detailed report of an X-ray with previous pathological indications. Kindly advice. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity) For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 24030, + "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": 23752, + "tgt": "The doctor cannot find the baby's heartbeat. Should I be concerned?", + "src": "Patient: Hello doctor, My wife is 49 days pregnant. Today we met our doctor. He said that the fetal size is 0.63 cm, but still, there is no heartbeat felt. The doctor asked us to wait for one more week. Is it normal? Please clarify my doubt. My wife is worried about this. This is our second\u00a0baby. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24997, + "tgt": "What are the small flesh-colored bumps on my fingers?", + "src": "Patient: Hello doctor, I have had eczema on the inside of my right hand for about ten years now. It seems like it has slowly started to heal. But now I have a new problem popping up. There are small flesh-colored bumps on my fingers that are multiplying in clusters. They look and feel like small clauses. After a shower, they turn white and very unsightly. I had one, just like this, three years ago. I have them about twenty in number on the palm-side of my fingers, mostly on my ring finger. Do you know what they are? Doctor: Hi. I saw your clinical picture (attachment removed to protect patient identity). You have rough raised slots on your fingers. These are palmar warts. Wart is a virus infection caused by human papilloma virus. This is a contagious condition. It will spread to other sites, if not treated. Spreading of wart depends on your immunity as well. You will have to schedule an appointment with a dermatologist to get rid of them. Treatment options include liquid nitrogen cryotherapy, electrodesiccation, topical TCA (Trichloroacetic acid) application, and topical Salicylic acid and Lactic acid combination. Do get treated as soon as possible. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16226, + "tgt": "Kindly explain thyroid FNAC for severe head and neck pain", + "src": "Patient: Hello doctor,I have attached my mother's FNAC of the thyroid. I need your suggestion please. She has severe head and neck pain. Currently, she is taking Thyroxine 100 mcg. Doctor: Hello. I just read your query about your mother and from what you have attached (attachment removed to protect patient identity), it appears that your mother has a benign enlargement of the thyroid gland. There is nothing to worry about. The treatment is Thyroxine which she is already taking and regular monitoring of her thyroid function tests. Also, better to do a radioiodine isotope uptake scan of the thyroid gland. The prognosis is good with treatment. However, if the thyroid gland is enlarged too much and is causing compression symptoms, then it needs to be surgically removed." + }, + { + "id": 18165, + "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": 18317, + "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": 30712, + "tgt": "My wife is pregnant. What all supplements should she take?", + "src": "Patient: Hi doctor, My wife is pregnant. Her home pregnancy test kit showed the result as positive. Her last LMP was 7th of last month. What all supplements should she take now? Her age is 24. Doctor: Hello. My hearty congratulations to you and your wife. Routine investigation of pregnancy as mentioned above and ultrasound early pregnancy to check whether it is intrauterine or ectopic pregnancy. Folvite, Doxinate and pregnancy support if required according to reports. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8157, + "tgt": "Does tooth cleaning procedure remove the enamel away?", + "src": "Patient: Hello doctor,I had a bad habit of chewing pan masala, due to which my teeth turned red and looked bad. I went to the dentist to clean my teeth, what he did is, he took a very fine sharp, toothbrush like driller, and rubbed it over my teeth, that instrument sprinkles some liquid as well. After some time when I licked my teeth with tongue, I can feel the harshness, while at some places it felt like usual, it means he only rubbed those areas which had stains.When I asked him, will the enamel regrow? He said he had not removed my enamel. Why did he say so? Because I can feel roughness in teeth, the first four incisor teeth on my lower jaw are sensitive, while molars and canines are still fine. I wanted to know if what he said is true? I mean, if he cleaned my teeth without removing the enamel? Is it possible, by the kind of tool he used? Also, list me the precautions and side effects and demerits of teeth whitening. Does enamel regrow? Doctor: Hello. First of all, I would like to say you that, is the right machine which all dentists use to clean the teeth. It is called ultrasonic scaler, and it sprays water and not some other liquid. I saw the picture you have attached (attachment removed to protect patient identity), and your teeth seem to be perfectly good after cleaning. This procedure does not remove the enamel, and it cannot regrow as well. Once gone is gone (e.g., during sports fall, accident, etc.). Sensitivity and roughness are felt as your teeth and gums are getting adapted to the new clean oral environment. You should be probably prescribed with an ointment and toothpaste to massage your gums after. If not, use toothpaste Parodontax 75 g (without fluoride) instead of your regular toothpaste for night brushing only. This will help your gums heal quickly. In this case, brushing includes massaging your gums in a circular motion as well. Regarding teeth whitening, the major drawback is that you have to keep repeating the procedure every three months to maintain the shade. It is not a one-shot treatment. You are most welcome to ask if you have any more queries." + }, + { + "id": 14123, + "tgt": "Why did one of my fingers turn blue?", + "src": "Patient: Hello doctor,I am a 27 year old woman. Two years ago, it happened for the first time that one of my fingers turned blue. A few seconds after that, it lost its color like it did not have oxygen and started to hurt. It comes in the winter, but nowadays, I have it on the other fingers on my hand and legs too. Even a slightly low temperature can cause this. I read about cryoglobulin and the symptoms look the same. I went to a doctor, but she told me her laboratories do not have tests to diagnose cryoglobulinemia. So, I would like to ask you, what examinations do you recommend to a patient with these symptoms and why? What else can be the reason for these conditions? Doctor: Hello. Feel free to follow up with any other query anytime on chat or call. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24728, + "tgt": "Is mercury from amalgam fillings poisonous?", + "src": "Patient: Hello doctor, A physician has recommended removal of all amalgam from my mouth because of concerns about mercury poisoning. Using a meter he was able to demonstrate current flows in my mouth which are the equivalent of electrolysis. Have concerns about mercury from amalgam been debunked? Doctor: Hello. Well, amalgam carries mercury which is a key product to make filling for the mouth. Electrolysis happens and mercury is not healthy for oral health and general health too. We use amalgam as it has a good strength and it is one of the oldest material used for filling in dentistry. Nowadays, amalgam is somewhat replaced by composite. Amalgam caries silver and mercury. Silver as it is a metal, it forms electrolysis in the mouth when it comes in contact with saliva. Removing all amalgam restoration is a good choice and it will help you to prevent poisoning. Wish you good health and happiness. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2185, + "tgt": "What are these bumps I have in my nose, upper lip and eyebrow?", + "src": "Patient: Hi doctor, I have bumps around my nose, upper lip area and eyebrow. I have been to two dermatologists and they did not able to provide a treatment to get rid of them. I have had the bumps since I was 16. No topical creams have ever been able to help. The bumps do not cause any pain. One bump along the crease of the nose was extracted by a dermatologist for laboratory testing and the report came back as negative. I would like to know what exactly these bumps are. Doctor: Hi. I have read your concern and examine your pictures (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14304, + "tgt": "I am not able to lower my blood sugar levels. Please guide me", + "src": "Patient: Hello doctor,I am not able to stop my sugar level from increasing. Last three HbA1c results are 7.0 %, 7.1 % and 7.4 % with the latest test. My work routine is sedimentary and as I have tracked the high carbohydrate diet which I am not able to change this much even after trying hard. For the last two years, I am taking 0.5 tablets of Gluconorm VG2 twice a day and one tablet of Telesta 40 once a day. Please suggest. Doctor: Hello. I understand your concern. I always tell my patients that diabetes is not a disease as long as it is under control. When it is not under control, it leads to disease (complications) in the long run. It is extremely important to keep your sugar level under control at all times. How you choose to do it is entirely up to you. Nothing is impossible. Dietary changes are not very difficult if you make up your mind and take control of your life. Regular physical exercise also helps to a great extent. However, if you think you cannot make any changes to diet and lifestyle, the only way to get your sugar level under control would be to increase the dosage of your medication. Gluconorm-VG2 is prescribed for diabetes, but Telesta 40 is for high blood pressure. Please talk to your treating physician about changing the dosage of your medication, it needs to be done under proper supervision, and it seems to be necessary considering your current laboratory parameters. However, I insist that lifestyle modification is something that can help you a great deal to improve your health status." + }, + { + "id": 9737, + "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": 22966, + "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": 5518, + "tgt": "I experience hearing loss in right ear and it does not improve even after medicines. Why?", + "src": "Patient: Hello doctor, For about three weeks now my right ear is not hearing properly, feels blocked some times and pains some times. My hearing has come down probably to only 30% that I can understand only when some one speaks on this ear. My other ear is fine. I consulted a GP who could not locate any infection and said this is because of the eustachian tube is blocked. He had given me hay fever tablet and Beclomethasone nose spray. I am seeing no difference after two weeks also. Doctor says it might take six weeks some time. I cannot consult an ENT specialist now and I am little worried. Does it really take so long? What can I do to expedite? How do I be sure that it is not any other complication? Doctor: Hello, Welcome to icliniq.com. According to the symptoms you have mentioned the condition in your right ear is called SOM (serous otitis media). It is a collection of sterile glue like fluid behind the ear drum. Nothing to worry about, and yes it takes at least four weeks to resolve but is a treatable condition. Treatment of underlying cause i.e. cough, cold if you have one is necessary. Start on antihistaminics Levocetirizine 5 mg or Fexofenadine twice daily. Instead of spray, it is better to use decongestant nasal drops Oxymetazoline two drops in both nostrils three times a day. Take steam inhalation once in the morning and once in the evening. Perform Valsalva maneuver at least thrice daily for three minutes. Blow air in the cheeks, then close your mouth and pinch your nose and try to expel the air through ears. This maneuver is very helpful but has to be performed under the proper guidance of an ENT specialist or you can log in to youtube and look for videos. Do not apply too much pressure on eardrums while performing. I hope this helps." + }, + { + "id": 21080, + "tgt": "My mother got her tooth pulled out. Is it normal to get continuous bleeding after extraction?", + "src": "Patient: Hi doctor, My mother got her tooth pulled out. It has been a few hours now. But still, it is bleeding a lot. She uses a new gauze continuously, but it gets soaked in blood. Is this normal? Doctor: Hi. No, it is not normal if the blood comes out in the same quantity after extraction. Bite down a gauze very hard at the wound for about 45 minutes. If she feels, that the blood is filling her mouth, then she needs to go back to the dentist as soon as possible. Applying ice over the area from outside can also help. Do not touch the wound. Some blood mixed with a lot of salivae is very common for a day or two, so you should be able to differentiate it." + }, + { + "id": 17867, + "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": 4112, + "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": 4162, + "tgt": "Can taking two I-pills within a span of two weeks cause delayed periods?", + "src": "Patient: Hello doctor, I had irregular periods. So, my family doctor suggested to have Femilon. I had Femilon for over a year and stopped it three months back. After that I had two I-pills within a span of two weeks and my periods have started two weeks earlier. Kindly suggest a solution. 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": 18291, + "tgt": "Is it reasonable to look into arcuate uterus for miscarriage?", + "src": "Patient: Hi doctor, I am a 29 year old female. I am\u00a0trying to conceive for almost a year. In this time, I have had three miscarriages at 4 weeks, 6 weeks and 5 weeks respectively. With my last pregnancy, I was also on Baby Aspirin 75 mg and Progesterone 400 mg. But, it did not make any difference. I\u00a0have been recently diagnosed with Grave's disease. During the last pregnancy, I had overt hyperthyroidism. Thyroid antibodies were ATPO 115 (elevated), anti-Tg 33 (mildly elevated) and TRAb 5.8 (elevated). I had a thrombophilia panel done which was clear, with only being heterozygous for MTHFR A1298C which I was told is not an issue. I was advised to have an APS panel and ANA. Shall I take Prednisone 10-15 mg to help with immune issues? In the meantime, I discovered that I have an arcuate uterus from an older MRI. I have read online that an arcuate uterus can be a cause of recurrent miscarriages, as it is a variant of a subseptate uterus. I will attach a photo of that MRI.\u00a0My question is, if the APS panel is clear and I continue to lose pregnancies two to three times despite having my thyroid under control, is it reasonable to look into the arcuate uterus issue? If so, shall I go for hysteroscopic metroplasty to repair it? Is it a safe procedure? Will it help with my fertility? Doctor: Hi. For further information consult an infertility specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 1568, + "tgt": "I have irregular period with severe bleeding and stomach pain. Please help", + "src": "Patient: Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach. Doctor: Hi. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curratage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment." + }, + { + "id": 15205, + "tgt": "I have one pupil dilating more than the other in dim light. What causes it?", + "src": "Patient: Hi doctor, I have one pupil dilating more than the other in dim light. I noticed it before few months. I suffered from some issues last year. I had vertigo, heart arrhythmia, and anxiety. I consulted the GP, and he told that the condition is nothing to worry. He did not consider it. I am concerned about these symptoms. Recently, I have started to take Sertraline for anxiety. Please help. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). I have evaluated your eyes and pupils very patiently, and I agree with the findings of anisocoria. Now, there are many causes to have anisocoria such as some medications, nerve palsies, Horner's syndrome, and Addie's pupil. To confirm the diagnosis or the exact cause of anisocoria, we need to check pupillary reflexes, near reflex, accommodation reflex, eye movements, corneal sensations, and visual acuity. You may also need to do MRI of a brain to rule out any intracranial mass or an aneurysm. There is no single disease which explains all your symptoms of anisocoria, vertigo and heart disease like arrhythmia. I would recommend you to relax and get all the above mentioned clinical tests done such as pupillary reflexes (direct and consensual), near reflex, accommodation reflex, convergence reflex, eye movements, visual acuity, and corneal sensations. These are the clinical tests done routinely by an ophthalmologist, and these tests will give us an idea about the cause of anisocoria. Once when the diagnosis is made, we can plan for the treatment. But there is no single disease which explains all these three symptoms." + }, + { + "id": 12719, + "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": 19146, + "tgt": "Is Patanjali hridaya amrit or Himalaya abana safe in high cholesterol patients?", + "src": "Patient: Hello doctor, I have high cholesterol. Total :250 Ldl:160 Triglyceride: 240 Hdl:41 Bp: 125/78 Local doctor gave me arjuna syrup with patanjali hridya amrit. But, I have query that hridya amrit will affect my heart and lower my bp. I do not have blood pressure and hridya amrit is used for high bp and high cholestrol. Another medicine is there like himlaya abana. Which medicine is safe and effective to use? Himalaya abana or patanjli hirdya amrit. Please advise one of from these two. Doctor: Hello. I just read your query and saw all your reports (attachment has been removed to protect patient identity). See, both these tablets are used for high blood pressure as well as for cardiovascular disease. There is some difference between contents of both. As far as your problem is concerned, your lipid profile have higher values than normal. So your physician has advised you both of these medicines, which are helpful for your problem. You can take Patanjali hridya Amrit vati. It helps in lowering bad cholesterol and also avoid formation of plaque in between arteries. As a result, helps in keeping heart healthy. If you feel any trouble after taking this medicine then you can stop taking it. Otherwise, take it as per your physician's advise. It will not harm you or will not lower your blood pressure. When you perform your investigations again after some time and your cholesterol level will come to normal, then your doctor will taper off these medicines and ultimately stop these. Along with these medicines, improve your diet and lifestyle. Avoid oily and deep-fried food and fast food, etc. Prefer home made food and take more of fresh fruits and vegetables. Do walk daily at least for 30 to 60 minutes a day. It will also help you in controlling your cholesterol level. Try to do some exercise or yoga daily . For more information consult an ayurveda specialist --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18617, + "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": 5716, + "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": 11811, + "tgt": "Can I take PPI to treat gurgling caused due to GERD?", + "src": "Patient: Hello doctor, I have reflux and GERD. Also a hiatal hernia. Sometimes I have gurgling in the stomach and into my throat. It is like a gurgling noise and a ticking noise if I hold my mouth open. I just started medium. Would you be worried or is this normal for reflex and the PPI should help? Doctor: Hi. PPI alone will not work. Need to add some pro motility medicines too. Also dietary modifications and lifestyle changes need to be considered consistently. If symptoms are worsening, then need to think of other measures. Would like to have a look at your endoscopy report before making further specific comments. Please consider a review with your report." + }, + { + "id": 3057, + "tgt": "How do cervix radiation affect sexual life in woman?", + "src": "Patient: Hello doctor, Cervix radiation treatment fears me. How will it affect my sexual life, attracting the opposite sex, pheromones, sex drive, sexual stamina, and my attraction for others? Doctor: Hello. Radiation therapy leads to a lot of sexual adverse effects and poor quality of life. It will lead to loss of ovarian function leading to infertility, loss of sexual drive, decrease stamina, etc. Also, radiation may affect the length or caliber of the vagina and decreased vaginal lubrication and elasticity and can adversely affect sexual function. However, some of the side effects will alleviate with time and hormonal replacement therapy. For fertility preservation, there are options available. So overall, radiation has significantly higher incidence of sexual dysfunction as compared to surgery or chemotherapy. Higher incidence of pelvic pain and pain during sex. Also, there will be higher incidence of bowel dysfunction, higher incidence of urinary incontinence. I hope this helps." + }, + { + "id": 16312, + "tgt": "I have difficulty in concentrating on my work. What is the problem?", + "src": "Patient: Hi doctor, I am 30 years old. I have a habit of smoking. For a few days, I am unable to concentrate on my work, and there is a decrease in my memory. Please help me. Doctor: Hi. There are some reasons to have these symptoms. They are fatigue, and emotional stress, poor sleep, and a poor diet can also make it hard to concentrate. Specific psychological and physical conditions cause difficulty in concentrating on work like attention deficit hyperactivity disorder (ADHD). The surrounding people and places also play a role in creating difficulty in concentrating on work. Try to prioritize your tasks. Eat healthy foods. Always have a touch with nature. Take some breaks during the day. Do one thing at a time. I suggest you visit a psychiatrist in case if there is no improvement." + }, + { + "id": 14210, + "tgt": "My problem is low sexual drive. Please suggest some medicines without side effects", + "src": "Patient: Hello doctor, I am a 30 year old male. I got married a year back. My problem is low sexual drive. Are there any safe medicines to induce sexual desire? Also, my penis is circumcised. So, my penile glans are dry and insensitive. Is there any topical cream available to increase the sensitivity of my penis? Is L arginine cream effective? Please suggest some medicines without side effects. Doctor: Hello. You should answer a few questions so that I can help you better. Circumcision of the penis is a good thing, as you do not get diseases like phimosis (inability to retract the foreskin fully over the glans penis) and penis cancer." + }, + { + "id": 21855, + "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": 4314, + "tgt": "Will quitting thyroid medication cause muscle and bone pain with excess sweating?", + "src": "Patient: Hello doctor, I am 23 years old. I am a hypothyroid patient from my 5 years. I was taking medication till I was 17 years old. Then I could not continue with my medications and I stopped it for 5 years. One day suddenly I began to feel faint always. Even, while I was sleeping sometimes I would feel fainting. It would sweat a lot suddenly. My muscles and bones started to pain a lot. I could not go alone out of my house especially in the day time in the hot sun. If I go, then it would sweat a lot, feel as if I was going to faint in some more time. Only if I come home and sit in the fan it will reduce a bit. Even after drinking a lot of water and eating glucose the feeling will not go. I feel like I have only 10 percent energy in my body. My pain would be more in the day time and after eating it would reduce. So I get little energy in the night after eating all througout the day. I could not continue my life normally. Then I went to my endocrinologist she found that vitamin-D was low. I corrected by eating heavy dose tablets and it came back to normal. But my symptoms continued. Then I did yoga it reduced by 10 percent. Then I tested for vitamin-B12 after five months it was 69 pg/ml. Then I took injections and corrected it. But my symptoms reduced by 20 percent only. Still, I cannot go out in the sun confidently. I do not know what to do. My parents are blaming me that I am simply telling a lie. Am I having any severe deficiency or disease? Please help me out. I have discontinued my course due to this condition. Doctor: Hi. I have read through your query in detail. Please find my observations below. If you have a history of hypothyroidism and have not taken medicine for five years, then it is important to review your thyroid function tests again. It is possible that you have again become hypothyroid and it is essential to know your TSH (thyroid-stimulating hormone), T3 and T4. You should also get clinically examined and if required then do a thyroid ultrasound scan. Vitamin D should be maintained at the normal level. If it has come back to normal then you should continue eating foods rich in calcium like ragi and milk. Vitamin B 12 should also be taken care of. It will help to know what is your present vitamin B 12 level. This should be in the mid-range. Sometimes it can be at the lower limit of normal and this requires supplements. It is important to know if you have any fear or anxiety concerning your health. Please eat well and also drink an adequate amount of water every day. You are in growing age and should take 2200 kcal food every day. Include eggs, fruits, and green vegetables in your diet. Please spend 30 minutes in the morning sun from 9 AM to 9.30 AM every day and this will generate vitamin D from sunlight. Continue doing yoga and stay physically fit and mentally strong. Sometimes even electrolytes and blood sugar can get low and cause such symptoms. It will help to get your serum calcium, phosphorus sodium, potassium and chloride done and also fasting and post prandial blood sugar test done. These are important to know if your low energy problem is due to low electrolytes or sugar. Getting complete blood count, hemoglobin with peripheral blood smear level is also important to know if you are having anemia. Leaving the course is not a good idea. If you have any mental anxiety and stress then please consult a psychiatrist. Hypothyroidism can cause laziness and low mood and this can be treated with medicines. I hope this helps." + }, + { + "id": 11261, + "tgt": "Can physiological rise in total T3 and T4 levels indicate pregnancy?", + "src": "Patient: Hello doctor, I recently had my thyroid test done. I am attaching the reports of the same. The note reads that a physiological rise in total T3 and T4 levels are seen in pregnancy and patients on steroids. Does it mean that I am pregnant? I am worried. Doctor: Hi. Your thyroid level is upto normal level. The preference range given in the reports is for pregnant female (attachment removed to protect patient identity), not for non-pregnant female. And Thyroid levelnever determines pregnancy. If you had unprotected intercourse and delayed menses, then you can go for UPT test for confirmation of pregnancy." + }, + { + "id": 3174, + "tgt": "Is there any cream to treat wrinkles of skin in hands and feet?", + "src": "Patient: Hello doctor, I am 21 years old but my skin is very loose and it looks very old get wrinkled on the upper part of my hands, feet and also in some other parts. Some areas are too stiff. I never get exposed to the sun. For these, I am using Nivea SPF30. I take proper diet with fruits and vegetables but my problem is not solved. I have consulted a lot of dermatologists but there is no improvement. I do not want any wonder results but I need some improvement. I was very depressed by this condition. Please suggest any lotion or cream to solve my problem. Doctor: Hello. This is genetic and you cannot do anything about it with lotions and medicines. There is a temporary procedure called dermal fillers which will give fullness and youth to your hands and legs but that is not cheap and the results last for nine months to one year. If you are interested in these procedures you can meet a cosmetic dermatologist or plastic surgeon who does fillers." + }, + { + "id": 22807, + "tgt": "What causes mood swings and feeling of depression?", + "src": "Patient: Hello doctor,I would appreciate if you can help me out. I am taking Propranolol 120 mg. I restarted after a short period of stopping it without the doctor's advice which was wrong of me could be just the side effects cause I feel low-high, low-high, basically, my mood keeps changing. What causes mood swings, feeling too high with full of confidence, etc. to feelings of low depression? Doctor: Hello. Propranolol is given as cardioprotective drug or in high blood pressure. In ischemic heart disease also it can be prescribed. But it is not related to mood swings. You are having mood elevations as well as depression. So, suggestive of some form of psychiatric disorder. Bipolar mood disorder also has to be ruled out. Your blood lithium level has to be checked. Behavioral counseling and medication will help you. You can consult a psychiatrist for examination and counselling. Do not stop Metoprolol without doctor advise. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24718, + "tgt": "What does my 2D echo report indicate?", + "src": "Patient: Hello doctor, I have thickened tip of mitral valve leaflet with prolapse of the mitral valve leaflet to the left atrium during systole producing moderate mitral regurgitation with an EF of 34% and left atrial enlargement. There are normal coronary artery sizes. There is normal pulmonary artery pressure. Good left ventricular systolic function with an ejection fraction of 66% and a left-sided aortic arch. No pericardial effusion nor coarctation. The conclusion of 2D echo procedure is rheumatic heart disease and mitral regurgitation. I have attached the copies of the report. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Your echo report is showing that you have rheumatic heart disease with involvement of mitral valve. There is a leak in mitral valve termed as mitral regurgitation. Mitral regurgitation is quantified as mild, moderate, severe. It is moderate in your case. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16017, + "tgt": "What could be the reason for fever with joint pain?", + "src": "Patient: Hi doctor, My brother has fever and pain in all the joints. All types of RA TEST showed a negative result, and ANTICCP is negative. He did a Widal test. The Widal test showed a positive result. Please suggest. Doctor: Hi. Your brother has a typhoid infection. He can take Ciplox 500 mg (Ciprofloxacin) twice a day, Rantac 150 mg before a meal and Multivitamin A to Z twice daily for 15 days. Take boiled water and light food which are easily digestible. Avoid eating raw vegetables. After 15 days, redo the Widal test again. If everything is normal, then stop taking antibiotics. But continue taking Multivitamin for three months. Follow the same diet plan for three months." + }, + { + "id": 7525, + "tgt": "I wake up every morning with extreme tiredness, mild headache, feeling very sleepy and have no interest in work. Please give me advice", + "src": "Patient: Hi, I sleep at 10 PM at night and get up at 7 AM. I am getting adequate sleep. But for the last few days, I wake up very tired in the morning and this is causing me to sleep in office. Please give me advice regarding this. Doctor: Hi, Thanks for posting a query at icliniq. The problem you described can be caused by multiple factors. One of them is subclinical viral infection that wisely affects during change of season. This is generally also associated with generalized myalgia, easy fatigability and decreased interest in work.\u00a0If these symptoms are present along with sleep problem, I advise you to wait for two weeks from the first day of your symptoms and\u00a0if you have suffered more than two weeks by the time you raise a query that it is matter of concern. If you are overweight, you may be suffering from Obstructive Sleep Apnea\u00a0(OSA) which causes hypersomnia during the day. OSA is characterized by snoring and cessation of breathing while sleeping. If your family members or room partner complain of snoring while you sleep then, this could be the reason for your symptoms. Another condition that presents with hypersomnia is depression. In this, people have unrefreshing sleep. Depression is also associated with increase or decrease of appetite, feeling sad, loss of self esteem, loss of pleasure in activities that were pleasurable in past to name a few.\u00a0If any of these symptom criteria applies for you, then you need to meet a psychiatrist online or in person for further course of action. If all the above descriptions do not meet your other symptoms then please repost the query with more details such as your age, weight, duration of symptom, gender, any psychosexual stress in the recent past, sleep attacks, any medical history kind of medicines you received or receiving. I will help you with the direction." + }, + { + "id": 9286, + "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": 19171, + "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": 1187, + "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": 22604, + "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": 19626, + "tgt": "My baby became floppy after treatment of jaundice. What is the reason?", + "src": "Patient: Hi doctor,My baby is 1 month and 15 days old. It was detected that he has jaundice after the fourth day of life, bilirubin was at 22 %. An EBT was immediately recommended which was successful. He was discharged after nine days, but two weeks later, he suddenly became floppy. Please tell me what can I do to improve his condition and what drug can be used. He is not adding enough weight, he has catarrh, and the skull at the forehead is not yet closed. He is currently taking Encephabol syrup 1 ml a day. Doctor: Hello. I have thoroughly reviewed your query. Baby being floppy can be due to various causes ranging from cerebral palsy, muscle disorders, infections affecting the brain, brain damage due to low oxygen and even brain damage due to jaundice may also cause floppy baby. Brain damage due to jaundice may even cause the baby to have a decreased appetite. I advise you to immediately take your baby to a pediatrician or a pediatric neurologist and get him evaluated immediately. And regarding the softness of skull at the front region (anterior fontanelle), it may not harden up until between 9 and 18 months. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26999, + "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": 25257, + "tgt": "Is spotting a sign of pregnancy?", + "src": "Patient: Hello doctor, I had unprotected sex on the 13th, which was two days before my periods. I got my periods on the 15th. After that, I had sex on the 31st. As I was in my fertile window, I took an I-pill within five hours. I started bleeding on the 6th and it continued to 11th. Bleeding was light but included blood and clots. From 7th, I stared taking Novelon birth control pills to be on safe side always. But now I could see very very light red color while wiping. Not sure why it is there as I am already on Novelon. Is there any possibility that I could be pregnant because of the sex we had on 13th and 31st? Doctor: Hello. It is unlikely for you to be pregnant. First, you had I-pill which is highly effective and very less failure rate. Secondly, you had bleeding after sex. So, further reducing the chances of pregnancy. The spotting is likely a breakthrough bleeding due to prolongation of the recent period as it could not be completed fully because you consumed Novelon which prevented emptying of entire content during the recent period. So, I think there is no need to worry about it. All the best. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19889, + "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": 4453, + "tgt": "Can Delsym cause sweaty palms, confusion and light sensitivity?", + "src": "Patient: Hi doctor, I have had a terrible cough for weeks due to the flu. I decided to try Delsym 12 hour cough. It helped immensely, but the second day when I had it, I noticed a bit of restlessness and light sensitivity. I waited to take another dose and when I did take another dose, I took half of the recommended dose for adults. That was at 10 pm last night. Now, at almost 2 pm the next day and I am experiencing odd side effects. Sweaty palms, a bit of confusion, loss of attention, and light sensitivity. It feels like my eyes are dilated, but does not appear they are. Every day I take 20 mg of Vyvanse and 300 mg of Wellbutrin. Doctor: Hi. Sorry to hear about what you are going through. Basically from your history, you might be suffering from what is known as serotonin syndrome. It is a rare but possible condition that can occur when Lisdexamfetamine (Vyvanse) is taken together with Dextromethorphan (Delsym). It can also occur with Lisdexamfetamine (Vyvanse) and Bupropion (Wellbutrin) are taken together due to drug interactions but I assume you must have been taking them for a while now so it is not that. The best advise for you is to stop Delsym right away. I would also advice you to consult the doctor who prescribed you the other two drugs to stop or reduce the dosage to rule out serotonin syndrome with them as well. If you have any further questions, please feel free to contact me." + }, + { + "id": 15983, + "tgt": "There is pain and pus leakage from belly button. What can be done?", + "src": "Patient: Hello doctor, I am a 19-year-old female and last night I went to the ER because my belly button was leaking pus. I was then diagnosed with a urachal cyst. Tonight, I am nauseous, dizzy when I am standing up, and my stomach hurts so bad. I am about to start crying. I feel like period cramps but I have never had them remotely this bad. I have been trying to fall asleep for the past two hours but the pain is keeping me awake, also mildly short of breath. Doctor: Hi. Sorry to hear about your suffering. Most probably the pain you feel is due to an infected patent urachal cyst. As long as there are pus and inflammation, there will be a pain. The ultimate solution is surgery. My advice is to use Augmentin (Amoxicillin and Clavulanic acid) 1 gm twice per day for one week. Ibuprofen 600 mg as a painkiller. Consult your physician for surgery. Please provide me with a photo in order to classify your stage plus your CBC laboratory result to see how the infection is serious." + }, + { + "id": 10478, + "tgt": "Is nonalcoholic fatty liver disease life-threatening?", + "src": "Patient: Hello doctor, Hemoglobin: 14.3, platelets: 174000, SGOT: 38.9, SGPT: 65.0 and vitamin D: 23.6. All other reports are normal. Doctor: Hello. You seem to be suffering from non-alcoholic fatty liver disease (NAFLD). This does not require any special treatment. I suggest you avoid painkillers, alcohol, and reduce weight if you are obese. I would also recommend you testing for hepatitis B and C. I hope it helps you. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12764, + "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": 14543, + "tgt": "What could a fever of two days duration and rigors be due to?", + "src": "Patient: Hello doctor, A 58 year old man had a high fever with rigors yesterday. He has given blood for testing. After the completion of the blood test, he had a febrile illness. Can you suggest medications and do's and don'ts? Doctor: Hello. Fever of two days duration with rigors may be non-specific, viral, malaria or a urinary tract infection. Look for rashes on the body because viral fevers are prevalent now. Take Dolo 650 (Paracetamol) as when the fever comes, up to a maximum of four times a day. And, if the fever is more than 101 degrees, do a cold sponging. If he has a cold or cough, he can start antibiotic Augmentin 625 (Amoxicillin and Potassium Clavulanate) twice daily after food for five days. Do a complete blood picture and share the report. If you have any other queries please let me know. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12154, + "tgt": "What is the management for boils near rectal opening?", + "src": "Patient: Hello doctor, I am a 42-year-old man, active in sports. Recently about five days back, while playing football on a concrete floor, I slipped and fell on my lower back (coccyx area) and injured myself. I, however, can carry on my daily activities at slightly slower speed now, and there is slight pain on bending forward. Since two days, a big boil has appeared near my rectal opening. It is dark yellow in color, may be filled with pus, not sure. It is painful whenever I pull in my pelvic or butt muscles. Stools are normal, luckily the boil is above the rectal opening, so no problem in passing stools, but while washing, I can feel the boil and it is painful. I have pain also while walking. I have three questions. 1. Did the fall I had lead to the boil? Or are these two independent problems? 2. What is the reason for the boil? 3. How to treat it quickly? Doctor: Hello. 1. This is most likely a bacterial infection affecting either hair follicle or perianal glands. 2. It does not seem likely that it is related to your lower back injury. 3. The causative agent is mostly the bacterium known as Staphylococcus aureus. 4. The pus has to be drained, for the immediate relief. 5. Most of the patients get better with antibiotics and anti-inflammatory drugs in a few days time. 6. So I will prescribe you the medications for five days and it is likely that it will get better. Bacterial infection Not required right now Furuncle, perianal abscess Furuncle, perianal abscess 1. Capsule Augmentin 625 mg(amoxicillin+potassium clavulanate)thrice a day. 2. Capsule Bifilac 1 once a day. 3. Tablet Flexing twice a day. All after meals for 5 days." + }, + { + "id": 25367, + "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": 18025, + "tgt": "We had anal sex and now my wife has a tear in her anus. Please help", + "src": "Patient: Hi doctor, I got married recently and tried anal sex. Because of it there is a small tear in her anus. This incident happened 3 weeks back. She does not have any pain while motion and also there is no blood or white mucus in the stool. But, she feels a flesh strand (like thread) at her anus opening. And from two days she is having constipation. Please guide us how to proceed. Thank you. Doctor: Hello. From your description, it looks like your wife had an anal fissure, due to the tear. You should have a look at the strand that is hanging from the anus and locate it and then consult me. Depending on that, we should be able to better help her. However, it is most important right now to avoid constipation. There is no pain, blood, mucus means there is no injury actively. Yet she needs to take a tablet Dulcolax or syrup Duphalac (Lactulose) or Isabgol (psyllium husk) with 1 glass of warm water at bedtime daily to avoid constipation strictly. Take care and get well soon. Revert back for follow up after a week of medication or when necessary to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22774, + "tgt": "Why do I have red patches around mouth after dropping Accutane dose?", + "src": "Patient: Hi doctor, I am currently on Accutane and have been on Accutane for a year and a bit, I was taking 20 mg a day and it was going well and my skin was completely clear. Then my dermatologist decided to drop my dosage down to 10 mg, three times a week, to try and ease me off the drug. As soon as the dosage dropped my skin started breaking out again, particularly around my mouth and nose. I was devastated and so I went back and am now on 20 mg a day again and have been for just over a month but nothing has changed, in fact, the breakouts have only gotten worse. Now I have patches of skin around my mouth that are red, irritated and dry with small clusters of fluid-filled bumps which I assume are acne. The skin that is irritated stings, and is so dry it feels almost scaly, especially with the scabbing from the pimples or fluid-filled bumps. I am 18 years old, weigh around 60 kg and am now wondering what my next step should be? And wondering why the original Accutane dosage of 20 mg per day has not helped at all this time around. Doctor: Hi. I have gone through your case in detail. Please do not stop Accutane (Isotretinoin) as it is the normal response of this drug that initially all acne lesions get aggravated during first 4 to 6 weeks of treatment. And dryness and redness are also observed as its result. So if you feel extreme dryness just take a little amount of Vaseline lotion and apply on your palms and gently tap on your face. Do not take too much of any moisturizer because it will again block ur pores and acne will be aggravated. Be patient, acne sometimes takes time to heal, like 3 to 4 months and lesions get aggravated due to stress or hormones. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13047, + "tgt": "What is the treatment available for graying of hair and hair fall?", + "src": "Patient: Hello doctor, I am facing hair fall from the last 4 to 5 months. Also facing graying of hairs from last three years. Doctor: Hi. Does this problem exist in your family? If yes it is androgenetic alopecia that is common in males and related to male hormones. Premature greying of hair is also genetic and as such there is no treatment for reversing of grey hair. However, you can take Biotin supplements to reduce it. Use Minoxidil spray for this patch of hair (attachment removed to protect patient identity). Androgenetic alopecia? Use Minoxidil spray BD over the scalp. Take Biotin supplements." + }, + { + "id": 22997, + "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": 101, + "tgt": "Why has my father's swollen ankle turned dark red?", + "src": "Patient: My father, Male, 77 years old with swollen ankle redness of the swollen area has turn into dark red, not diabetic since last check up last year, he had a stroke before and has undergone liver operation due to cancer 8 years back. He has no fever , chills or dizziness. Just pain in the affected area. He just informed me this morning. I tried getting in touch with his doctor but was not able to talk to him today. I scheduled an appointment tom 10am but i am not sure if it is safe to bring him to a hospital for a check up. Doctor:" + }, + { + "id": 30765, + "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": 20639, + "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": 30076, + "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": 1738, + "tgt": "ECG report shows down spikes with heart palpitations. Please explain my report", + "src": "Patient: Hello doctor, I had heart palpitations every day and ECG has picked up some downward spikes when I feel a palpitation. Please explain my ECG. Doctor: Hello. I have gone through your query that you frequently have palpitations. But I am sorry to tell you that I am unable to see the ECG image you have attached, it is not getting downloaded probably due to some error or a corrupt file. I kindly request you to please attach a new image of your ECG along with a few more details about your present symptoms. Do you have any known cardiac disease? Whenever you get palpitations do you have any other associated cardiac symptoms like chest pain, shortness of breath, giddiness, or sweating? During palpitations do you feel increased heartbeats or a missing/skipped beats or just a bounding pulse? Do you have anxiety or stress? Kindly get back with the above details and a new ECG image for further discussion and management strategy." + }, + { + "id": 19923, + "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": 12628, + "tgt": "I am diagnosed with ruptured eardrum. Is that the reason for my jaw pain and numbness?", + "src": "Patient: Hello doctor, I am currently trying to get over my seasonal sinus infection. However, after taking a nap a couple of days ago, I lost most hearing in my left ear. I went back to the urgent care and was told I had a ruptured eardrum. I was given drops to put in my ear. However, I cannot help but notice that around my ear on the left side is partly numb and the pain goes into my jaw joint. Should I be concerned about this numbness and the pain in my jaw? I told the Urgent Care NP about it, and she just gave me a confused look, saying that it is weird, offering no answers. Doctor: Hi. If you have a ruptured drum, 1. Do not put ear drops. 2. Do not let water enter the ears. 3. Visit an ENT soon. 4. Assess the size of perforation. 5. Ask ENT if it will heal spontaneously. Some perforations are small and heal on their own in healthy individuals, but others do not. Regarding the pain in jaw joint and numbness, the perforation does not explain that. However, it could be that your sinus and nose problem resulted in rising of infection into the particular ear through the eustachian tube and caused a disease of the middle ear resulting in the discharge of pus through that ear eventually. In that case, the condition should heal on its own. But you need a course of antibiotic, nasal and systemic decongestant, antiallergic and painkiller." + }, + { + "id": 23877, + "tgt": "I consume a lot of alcohol and I want to overcome this. What should be done?", + "src": "Patient: Hello doctor, I\u00a0am a 21-year-old married female. I have been suffering from anger and anxiety issues since last one year. I\u00a0also did online counseling which benefitted me a lot. Now my anger and anxiety are under control. But during the time when my problem was at its peak, I\u00a0developed a liking for alcohol which I\u00a0am not able to overcome. I consume about 180 mL of alcohol at once and often two to three times a month. I am scared that it will cause irreparable damage to my mental and physical health. My therapist advised me to divert myself in some other activity when the craving develops. I do this for some days but after that, I\u00a0fall prey to my temptations. I do not know what to do. Please advise me. Doctor: Hello. I went through your query and appreciate you for realizing the problem and being motivated to quit. Regards. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26491, + "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": 15085, + "tgt": "What is the success rate for taking Unwanted 72 within half an hour of unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex with my fiancee two days ago and I gave her Unwanted 72 and we had sex just after the departure of her period. What is the chances of medicine success rate as I gave her within half an hour? Doctor: Hello. The average success rate of an emergency contraceptive pill may range from 75 to 85 % after an unprotected intercourse if taken immediately. So, rest assured and wait till the expected period. But, however, I would suggest to use this pill only as an emergency back up, and go for a consistent contraceptive method like oral contraceptive pills which are more effective and cause fewer side effects. Because this emergency pill is high dose hormonal pill, side effects like delay in periods or irregular bleeding may occur." + }, + { + "id": 28956, + "tgt": "My daughter has a raised pink mole on her scalp. Does it require a consultation?", + "src": "Patient: Hi doctor, My daughter, who is 20, has a raised pink mole on her scalp.\u00a0It has been there for several years. The one in question now has a purplish line running through it. My thought is that it is a visible blood vessel. \u00a0Is it a change that requires\u00a0seeing our dermatologist? Her dad passed away from melanoma. She is fair skinned, blond hair and blue eyed. She has many moles on her body. She does see a dermatologist once a year. It is not her time yet, but I would certainly send her in if warranted. Doctor: Hi. Skin biopsy and dermoscopy. 1. Nevus sebaceous. 2. Viral warts. Revert with the report to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25699, + "tgt": "Why does my 2 year old breathe as if he ran a marathon?", + "src": "Patient: Hello doctor,My 2 year old breathes as if he ran a marathon, coughs a lot and I hear a wheezing sound. Doctor: Hello. If your 2 year old has breathing difficulty with infection, usually it represents pneumonia. I would like to know in detail: Since how long?Any history of fever?Past similar history?What investigations were done?A family history of asthma or allergy? May I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Follow up after two days. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24925, + "tgt": "I have cold, cough and chest pain. What can I do?", + "src": "Patient: Hello doctor,I have been very cold for weeks. I have a runny nose, my body hurts, I have a cough, and a few days ago I had chest pains that lasted some minutes. Doctor: Hello. You have caught a cold alright. Is there any fever? Also, is the cough productive? If there is no productive cough and no fever, then you probably have a post nasal drip associated with the rhinitis, hence a chronic dry cough. It could also be tracheitis, in which case you may need prescription antibiotics if it does not go away or gets worse in a couple of days. The episode of chest pain once was probably just from all the straining of respiratory muscles due to coughing. For now, if you do not have a fever or a purulent cough, just do the following: For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25226, + "tgt": "Why is there delay in periods after physical intimacy with no intercourse?", + "src": "Patient: Hello doctor, My fiance\u00e9 had her last period on the 6th. On the 25th, my fiance\u00e9 and I had physical intimacy but no intercourse. But she did not have her periods until now. She did a urine pregnancy test. It shows negative. We are very fearful after reading that pregnancy can happen even without intercourse. So she met a doctor yesterday and told only about the delayed periods and the doctor prescribed Deviry 10 mg for five days (taking for the last two days). But still she is tensed and so could you help us on the following: What may be the reason for the delay? Could you please tell us how we can 100 % confirm pregnancy? Doctor: Hello. How are you doing? I do not think you need to worry about pregnancy, as the urine test is negative. It detects hormone levels of above 25 miu/ ml. But if you want to have a final confirmation the best method would be to have serum Beta HCG. This will detect the smallest of pregnancy anywhere in the body. Even those less than 25 miu/ ml can be detected. 100 % confirmation test. Pregnancy need not be the only reason for the delay in periods. Other possibilities are: Hope I have clarified your query, do write back if any more queries. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3212, + "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": 1192, + "tgt": "Should I be worried about my heart stopping for 11 seconds during vasovagal syncope?", + "src": "Patient: I'm a 21 year old male and take no medications. 4 years ago I started having Vasovagal Syncope episodes that have increased in frequensy over the years and I have now passed out from it around 10 times. My triggers for it are blood, needles, and damage to the wrists. My clinic reccomended that I wear a heart monitor for 30 days and when I passed out it showed that my heart stopped for 11 seconds and I was told to visit the E.R. I went to the nearest one and the cardiologist there informed me that my heart stopping that long was dangerous so they wanted to put a pacemaker in my the following morning. I redused and went to another hospital and they did a cardio ultrasound, told me my heart was fine, and then their cardiologist said that my heart stopping for that long was normal with Vasovagal Syncope and that I would be fine and let me go home. Those are 2 very different opinions and I wanted another. Should I be worried about my heart stopping for that long and is there any risk in it? Doctor:" + }, + { + "id": 29467, + "tgt": "Does raised kappa level indicate multiple myeloma?", + "src": "Patient: Hi doctor, I have been diagnosed with CKD, and my GFR is 52. My recent blood test results show the following information. Kappa QNT free LT chains 41.60 mg/dL, lambda QNT free LT chains 0.96 mg/dL, KAP/LAM free LT chain ratio 43.33 and hemoglobin 15.8 g/dL. I was also detected with vitamin D deficiency, and the parathyroid test shows 118 pg/mL. Does this mean I have multiple myeloma? What other tests need to be performed to confirm it? Doctor: Hi. We are here to help you. Revert with the details to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 27291, + "tgt": "How to get rid of my kidney stone naturally?", + "src": "Patient: Hello doctor,I have a kidney stone of 4.4 mm at the\u00a0joint of the left side kidney to the\u00a0ureter. I also have a mild swelling in my left kidney, while the kidney function test is normal. My stone was not detected on the ultrasound, but it is visible in the CT Scan. I had blood in the urine 12 days back, but not now. A mild swelling in the left kidney is still there. I also feel a\u00a0mild pain in the left side of the lower abdomen and back. The doctor is advising me to go for a surgical removal of the stone as the swelling of the\u00a0kidney can itself create problems. I am taking allopathic medicines as well as Cystone. What should I do? Doctor: Hello,\u00a0 Welcome to icliniq.com. I just read your query. The urologist's suggestion is right. The kidney swelling can lead to a further damage in the\u00a0kidney. I hope you are satisfied with my answer. Feel free to ask more questions in case of doubts. Revert after four weeks to an\u00a0ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18710, + "tgt": "Why do I get unwanted thoughts and headache?", + "src": "Patient: Hi doctor, I am suffering from headache, especially in the right side. I have struggled more because of unwanted thoughts since long time. Please help me. Doctor: Hello. Revert back with a detailed history to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 17900, + "tgt": "Is there any permanent solution for wheezing and dust allergy?", + "src": "Patient: Hello Doctor, I am 31 years old.\u00a0 I have a history of eosinophilia and dust allergy since the age of 12 years.\u00a0 The onset of eosinophilia and dust allergy has become more frequent since I moved to Bangalore (5-6 years).\u00a0 Sometimes I suffer wheezing, running nose and watery eyes.\u00a0 Since, last two years, I have become prone to sinusitis also.\u00a0 When I was first treated for eosinophilia, I was prescribed Serobid 50mg (1 rotacap) and Beclate (2 rotacaps) 100mg along with Alerid 5mg twice a day for the first one month and there after Serobid 50mg (1 rotacap) and Beclate\u00a0100mg\u00a0(1 rotacap) along with Alerid 5mg twice a day for another two months.\u00a0 After that if I have an occasional onset of allergies, I would take the prescription (Serobid 50mg (1 rotacap) and Beclate\u00a0100mg\u00a0(1 rotacap) along with Alerid 10mg once a day) and allergies would subside in a week or so.\u00a0 However, for the last 5-6 years, I had to take Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) once a day during night for a period of 3-4 months (mostly in winter season) to avoid wheezing and would take Alerid 10 mg if there are any allergy symptoms (occasionally).\u00a0 Since \u00a04 months I have been taking Glemont-F as an alternative for the rotacaps (Serobid 50 mg and Beclate 100mg) and Alerid tablets, as Glemont-F is working fine to keep both wheezing and dust allergies down. Glemont-F was prescribed by an ENT specialist when I consulted him for sinusitis.\u00a0 I had used homeopathy medicines and they worked fine. However, it is very time consuming and have to use them 3 times a day 30 minutes before food. So, I discontinued them and started using Glemont-F as an alternative prescribed by an ENT.\u00a0 My questions are: 1) Is Glemont-F safe as I have been taking it for a period of 4-5 months continuously? 2) Since Serobid 50 mg and Beclate 100mg are very old (since I am using it for the last 18years during winters to avoid wheezing), are there any current generation alternatives for the rotacaps? I also was told that rotacaps cause weight gain and bone density loss? 3) Is there any permanent solution for wheezing and dust allergies? Please help me find the solutions for the above questions. Doctor: Hello. I am sorry to say that bronchial asthma or allergic bronchitis is just controllable and not completely curable. Following are the answers for your questions: 1. You should avoid Glemont-F. Reserve it only for acute exacerbations. Try to control your problem with inhalers only. 2. Yes, new generation inhalers or rotacaps are Formoterol and Budesonide. You can switch to them. Long term use of inhaled steroids can cause weight gain and calcium deficiency. You can take Calcium and Vitamin D supplements along. 3. No, there is no permanent solution. You just need to avoid dust. 4. You can try homeopathy medicines if you are getting relief. But make sure you take them from a proper homeopathic physician. A lot many people add steroids. For further queries, consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 3140, + "tgt": "Kindly advise a diet to lower cholesterol", + "src": "Patient: Hi doctor, I am 26 years old. I just found out that I have high cholesterol. My doctors advised me to change my diet. But, they did not give any suggestions other than to avoid fast food and fatty food. My issue is that my diet option is already limited due to my food allergies (strawberries, melons and shellfish). Also I am suffering from Crohn's disease. Kindly help with my diet. Doctor: Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 22971, + "tgt": "I had unprotected sex and have missed period. Am I pregnant?", + "src": "Patient: Hello doctor,I had an unprotected sex with my fiance a week ago and now I missed my period. I am scared that I will become pregnant and I do not want it now. Please help me to stop pregnancy. Please. Doctor: Hello. Firstly, please get a serum beta hCG test done to conclusively rule out or confirm pregnancy. If the hCG levels are more than 5mIU then you are pregnant else you are not. If positive then you may require to get an ultrasound pelvis done to confirm the location of pregnancy as to if it is intrauterine or an ectopic pregnancy. If intrauterine then you can opt for termination of pregnancy by a medical method under a gynecologist supervision. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8153, + "tgt": "Why is my jaw tingling after a head injury?", + "src": "Patient: Hello doctor,My jaw has been tingling for four days. I got a hit in the back of the head the night before it started not hard did not hurt. But I have been having headaches for months from a previous bang to the head. Doctor: Hello. Regarding your concern, I would explain that this situation could be related to the trauma. For this reason, I recommend having some rest and taking Magnesium supplements. If the tingling persists, I recommend consulting with your attending physician for a physical exam and some tests (blood electrolytes, complete blood count). I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 8572, + "tgt": "Kindly recommend any exercise for my straight neck and migraine headaches", + "src": "Patient: Hello doctor,I am currently having problems with straight neck and migraine headaches. I am spending around half the day in bed and having a good sleep in the evening. My problem is getting worse, so my X-rays show no deterioration since other times. Can you recommend any exercise or physical therapy that I can take? I will include some photographs of my neck that may help. Doctor: Hello. Could you please tell me what you do and how much physical exercise you have in your daily routine?" + }, + { + "id": 21082, + "tgt": "I have a swollen pocket behind molar which releases pus and blood. What to do?", + "src": "Patient: Hi doctor, I have a swollen pocket behind the molar. I have green pus and blood pouring out of it during sleeping. Doctor: Hi. You have an abscess, and the cause could be either a cavity or gum problem or even impacted tooth or some other reason. It would be better if you send me the image to guide you properly. You can take Aceclofenac 100 mg twice daily after food (morning and night) for pain. Take Pantoprazole 40 mg once daily half an hour before food if you have acidity as other medicines can aggravate it. You can take Ornof (Ofloxacin with Ornidazole) twice daily for five days (finish the antibiotic course). Stop taking painkiller once the pain stops. If you are allergic to any medicine, please consult your dentist or here and then take it. Do lukewarm salt water gargling. Consult your dentist as soon as possible." + }, + { + "id": 102, + "tgt": "I have pain in right side of the stomach whenever I move or take deep breathe. Please help", + "src": "Patient: Hello doctor, I am a 34-year-old male. I am experiencing pain in my right side of the stomach, about 7 inches right of my navel (in line with my navel). When I sit or lay down I do not feel pain as long as I do not move. I feel pain whenever I take deep breathe, cough, and move my torso. My stool and urine look normal and I do not have difficulty in passing stool and urine. I started feeling this pain for the past four days. I just noticed that my right stomach looks bigger than my left. It seems that it is inflamed. Please help. Doctor: Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me." + }, + { + "id": 2909, + "tgt": "What are the best skin products to prevent anti-aging and hyperpigmentation?", + "src": "Patient: Hi doctor, I am 38 years old and concerned about anti-aging, hyperpigmentation, and texture. I am an African with dark brown skin. I have some glycolic skincare products that I want to use. I eventually want to start using retinol and Vitamin C. I know these products cannot be mixed and used at the same time. I recently read something about glycolic acid thinning the skin. What is the best order for skin products, and how many days a week is too much for active ingredients? I do not want to harm my skin. I do wear SPF 46 or 50 sunscreen on my face too. I am currently on Carbamazepine, Metformin, Vitamin D, and Folic acid. Doctor: Hi. You can try microdermabrasion, chemical peels, laser skin resurfacing, derma fillers, Botox injection. Anyone suitable for you. Also, sunscreen should be applied 20 minutes before going outdoors. Differin cream thin layer it is a retinoid and can be used if you are ready to wait for good effects. It takes long to show effects for about three months. Also, the above procedures require sessions and sittings to show effect and have minor side effects like skin reddening, rash, irritation, and burning. If you choose chemical peeling 20 percent lactic acid peel is a good choice. Dead skin cells will exfoliate and skin rejuvenation will occur. Also, the diet should be healthy and nutritious. Excercise and skin cleansing should be done. Take tablet Limcee (vitamin C) 500 mg for one month you can take." + }, + { + "id": 30184, + "tgt": "My 9 months old baby had convulsions. Is that due to brain development issue?", + "src": "Patient: Hi doctor, My 9 months old baby had convulsions. We feel that he has crossed eyes, neck moving issues and feeling partial seizures during sleeping alone. I also have a doubt whether there is any brain development problem. Currently, he is on Keppra 100 mg/mL, 1 mL in 12 hours and so to be given twice a day. We had a CT scan and an MRI of the brain. Doctor: Hello. I am very sorry to hear about this condition.\u00a0However, I would like to know some details to help you better. HIE - hypoxic ischemic encephalopathy (brain damage due to less oxygen). EEG brain. 1. Encephalopathy. 2. Meningitis. 1. Continue Keppra as advised. 2. Keep Midazolam spray with the child to control any active convulsion that may occur. Revert back with the reports and detailed history to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23737, + "tgt": "What medicines can be given to a 4-year-old child to treat occult sepsis?", + "src": "Patient: Hello doctor, My 4-year-old daughter who weighs 13.5 kg is having fever ranging from 100 to 102 degrees Fahrenheit since three to four days. Syrup Calpol 250 works only for one to two hours max, after which fever spikes. We gave Meftal syrup too, which works maximum for three hrs. We did a CCB and urine test. WBC count is 22,000 and she has 80% neutrophils. Platelets are normal. Urine is clear. There are no other symptoms other than the fever. Now, she has developed severe nausea and intermittent vomiting. We started Cefixime 100 mg BD, but nothing changed after four doses. In fact, it got worse. So we admitted to a pediatric hospital. They started IV Ceftriaxone and Febrinil. After the first dose, the fever partially subsided but recurred in only one and a half hours. She also has a papular rash which is very indistinct and pale red (not erythematous) over the trunk. I am worried as the food intake is very low and she has begun to appear toxic. The pediatrician has said that she is having occult sepsis. I am worried about the prognosis and considering her to shift to the ICU. What should I expect from the current line of treatment? Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2121, + "tgt": "I have painless cluster of bumps in genital area. Could this be herpes?", + "src": "Patient: Hello doctor, I have had some bumps for about three days. They do not hurt. I am not sure if I have herpes simplex 2. I have not been with a partner for over two months. I currently do not have any other symptoms besides the bumps. They are clusters closed together and I am not sure if it is acne or ingrown hairs or herpes. I am a 19-year-old male and currently on no medications. Doctor: Hello. I can understand your concern. According to your statement and picture (attachment removed to protect patient identity), you have been suffering from bumps around your penile part with pus-filled blisters which are red and white color. According to your picture, it may be genital herpes which is caused by herpes simplex virus (HSV). It is a sexually transmitted disease, but you have mentioned that you have abstained from sexual intercourse for two months. Many people often do not know that they have the virus because many people who are infected with HSV have no symptoms or their symptoms are very mild. First genital herpes outbreak may cause multiple outbreaks later. Again it can spread from oral sex if your partner is infected. Again your symptoms can occur from other skin conditions like pimples or ingrowing hairs and contact dermatitis also can show the same scenario. Contact dermatitis is a skin condition that can cause red, itchy, cracked, dry or scaly skin, blisters or a rash. It usually occurs within minutes to hours after touching an irritant or something you are allergic to. Common causes include reaction to medications, detergents, cosmetics, and jewelry. So we should find out the exact cause for your sufferings and then treat them accordingly. In case of herpes infection, you can take antiviral medications like cream and tablets. For contact dermatitis, you can use antihistamine. Avoid the irritants or allergens that are suspected." + }, + { + "id": 30624, + "tgt": "Why does my mother feel weak?", + "src": "Patient: Hello doctor, My mother is feeling weak. She has pain in her left hip joint, thigh and leg. She also feels cold. We took hemoglobin and\u00a0thyroid profile test. The result is as follows. Hemoglobin 7.4 (reference interval : 12 - 15), total T3 91.4 (reference interval : 70 - 204), total T4 5.8 (reference interval : 5.5 - 11.0) and\u00a0TSH 13.72 (reference interval : 0.35 - 5.5).\u00a0Could you please suggest? Doctor: Hi. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 16371, + "tgt": "My child struggles so hard to pass stools. Is there something she can be given to overcome this?", + "src": "Patient: Hello doctor, I have a 2 year old female child who is struggling to have a bowel movement. She struggles and tenses up so hard to pass stools. Is there something that can be given to overcome this? Doctor: Hi. Your child has constipation. The common causes of constipation are anal fissure and dietary factors. If it has been for less than one month, start lactulose 7 mL twice a day for 15 days and revert with results. Give her high-fiber diet and plenty of fluids. Make your child sit in warm water for about 15 minutes daily, such that her hips and buttocks are inside the water (sitz bath). If constipation has been there for more than a month, get these blood tests done:" + }, + { + "id": 27124, + "tgt": "I have pain and clicking of joints Please help", + "src": "Patient: Hello\u00a0doctor,I have a joint pain with lots of clicking. On a scale of 1 to 10, it is only 1 or 2. But, the clicking is to the point where it is annoying. Also, my ankle hurts a lot for no apparent reason. I do not know if this is relevant, but my foot used to turn in. Doctor: Hello. For more information consult an\u00a0orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19996, + "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": 10617, + "tgt": "Can you suggest any medicine to reduce the bump near anus?", + "src": "Patient: Hi doctor, I have a\u00a0painless peanut size bump near the outer side of my anus. I have attached snaps for your reference. It has been there since last 10 years. But, for the past one year I feel it is growing. Sometimes, it bleeds, but no pain at all. It is just like an extended mass and it feels very uncomfortable. I consulted a local doctor. He found a fissure inside the anus and suggested surgery. But, I never felt any pain or bleeding from inside till date. I used to have a hot water seat daily since last few months as per his advice. Do you suggest any medication to restore or reduce the bump? I tried a few antibiotics, but they did not work. Doctor: Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure and hemorrhoids. Surgery. Medical treatment and diet modification to prevent constipation. For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 6504, + "tgt": "I have chronic cough, blocked ears and popping sound in ears while swallowing. How to treat it?", + "src": "Patient: Hello doctor, I am a 66-year-old male with a weight of 90 kg and a height of 175 cms. For the last four months, I am continuously facing the following problems. Moderate sore throat, feeling like a lump in my deep throat, gastric reflux, poor digestion, a feeling of air blocked in both the ears and popping sound on swallowing. After treatment, these symptoms subside for some time. But now I have deviated septum. Presently I have sticky mucus discharge from the nose in postnasal mode. Sometimes I also feel stress in the jaws. Due to continuous popping in ears (mostly left ear) and lump feeling in the throat, I am unable to sleep properly. This is having an adverse effect on my health. I am on medication for almost three months on and off, including Levocetirizine one tablet twice daily and Fluticasone spray. I also take Rabeprazole DSR for the reflux issue, steam inhalation, and saline gargles. But symptoms sometimes abate and again come up. I regularly take Bisoprolol and Metformin and glimperamide for few years. Due to soreness in the throat, popping in the ears, and continuous cough, I am unable to sleep. The sticky mucus is viscous and salty in taste and discharges in the throat. RTF test showed partial dysfunction of the left eustachian tube. What could be the likely causes and line of treatment to get rid of this? Could it be due to air pollution or some other allergy source? Due to continuous coughing, my abdominal muscles are paining, and there is a split voice in my throat. It appears like there is an overproduction of mucus all over the respiratory tract. I have started taking antibiotic Augmentin eight hours once for the last four days, but no relief. Please advise. Doctor: Hello. Can you take a picture of the back of the throat, showing details of the affected area and send it to us? Which area do you live in? Do you drive a two-wheeler on the roads of Delhi? Did this worsen during the Diwali season? Do you smoke or drink?" + }, + { + "id": 15343, + "tgt": "Can I have a successful IVF even after having multiple fibroids?", + "src": "Patient: Hi doctor, I am 36 years old, and I have a 2-year old daughter. I have been trying for another baby for more than a year. So I was told to go for IVF. I had an ultrasound recently, and there are multiple fibroids present. I am more worried regarding the submucosal fibroid measuring 1.8 \u00d7 1.7 \u00d7 1.0 cm. Is there any chance for me to have successful IVF? Doctor: Hi. Please send me your gynecology and obstetrics report, drug history, and your recent scan report. Women's having small multiple seedling fibroids, which is not distorting the cavity, can bear pregnancy with precautions. Women's having big fibroids distorting the cavity at the cervix needs removal (myomectomy) and then they are advised for conception. The size of fibroid you have mentioned is not significant. Fibroids undergo degeneration during pregnancy. As you have a family history of fibroids, and you have been investigated and advised for IVF, then it is better to go for IVF (in-vitro fertilization) soon after 35 years. Complications gradually increase with age, and so it is better to do it soon. Please send your recent scan report to guide you further. You can have pain during pregnancy due to degeneration of fibroids and plan for cesarean to avoid complications during delivery. Do not disturb fibroids during cesarean as it can lead to severe postpartum hemorrhage. So try to do cesarean under experienced hands." + }, + { + "id": 29964, + "tgt": "Why is it important to boost metabolism naturally?", + "src": "Patient: Hi doctor, Why is it important to boost metabolism naturally?\u00a0Are there any foods that can boost metabolism? If so, how often should they be eaten and how should they be prepared?\u00a0Are there any herbal supplements to boost metabolism?\u00a0What are some of the common misconceptions of boosting metabolism with natural foods or supplements? What can one realistically expect from a boosted metabolism? Doctor: Hi. Everyone needs a boosted metabolism. When we workout or get sick or workload or stress increases, there some chemical heaps up in our body called as free radicals. We need to get rid of them, otherwise there will be some musculoskeletal issues, energy deficiency and early onset of aging by cell death occur. You may take antioxidant foods to get rid of this oxidative stress on the body that builds up in the form of free radicals. Foods for boosting up your metabolism and those working as scavengers to pick up and dispose of the free radicals are the following. 1. Almonds. 2. Blueberries. 3. Whey protein. 4. Salmon. 5. Spinach. 6. Oatmeal. 7. Water, the king of antioxidants. You may take some of them on a daily basis and the amount depends on how active you are in life. Green tea is the best herbal supplement for boosting up your metabolism and free radical eradication. People usually underestimate the power of nature and natural foods and do not know the reality. Talking realistically, you can be in superb shape always in life, can remain healthy for longer, skin glow and age reduction mystery is in these metabolism boosters, natural antioxidant foods. For further information consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4887, + "tgt": "What could be the reason for chronic musclar pain with stiffness and fatigue?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I am suffering from muscle pain for more than four years. It has just become worse and I could not get a diagnosis until now. It started as an ankle and calf pain four years ago and slowly progressed upward. At present I experience severe bilateral pain in the calf muscles and ankle, a bit lesser pain in the posterior thighs, fluctuating back pain, dull aching pain in posterior shoulder muscles. I need a pain killer all the time, as I cannot take the pain for an hour with out pain killers. Currently, I am on Tramadol. For peptic ulcer issues I take NSAIDs. My other symptoms include frequent neck stiffness (especially during mornings), frequents headaches, pulsatile tinnitus, and jaw pain usually accompanies headache. I sleep for 14 hours and still feel tired. I have frequent papitation (like panic attacks), fatigue, concentration issues, lots of floaters, tinnitus, GERD. All my blood workups are normal except Vitamin D3 which is low and my Tg was way high hence my doctor thought I am having diabetes even though my FBS, RBS were normal. He also thought it as diabetic neuropathy. But my HbA1c is normal and it does not explain the symptoms other than the leg pain. All x-rays were normal. MRI of the lower back was normal, bone scan is normal, EMG MCV are normal, Doppler of extremities and heart are normal. My life has become devastating. It has hugely impacted my daily life. I cannot work, take care of my family or be a normal person for one day. I have seen many doctors but all tests, blood workups are normal. What could be wrong with me? How can I get myself diagnosed? Doctor: Hello. I have gone through the complaints with chronic muscular pain, fatigue to be your main symptoms. Do you have any urinary problems like pain during passing urine, frequency, urgency? Do you have any history of weakness in the muscles in the form of difficulty in walking, climbing stairs, and performing daily activity? History of recurring fevers? Presence of lymph nodes, memory problems? Unrefreshing sleep, unexplained muscle pain, and extreme exhaustion associated with all normal investigations go with a functional syndrome by name chronic fatigue syndrome or fibromyalgia." + }, + { + "id": 16838, + "tgt": "Can I take Dexorange to increase my low platelet count?", + "src": "Patient: Hi doctor, My platelet count is 1.38 to 1.51 platelets per microliter of blood. I need to increase my platelet count at least 1.65 to 1.70 platelets per microliter of blood for some medical purpose. I am taking papaya leaf juice. Can I take Dexorange? Doctor: Hi. I need to know for which purpose you have done CBC (complete blood count) investigation. Kindly mention any clinical complaint if present for giving more comment and also want to know how long your platelet count remains low? Or is this only for the first time? Platelet count should be at least 1.5 platelets per microliter of blood, and your platelet count is slightly low that is 1.38 platelets per microliter of blood. If you have no clinical complaint, then I do not think you have to investigate further. Papaya leaf extract syrup and papaya fruits can be taken to improve platelet count. Peripheral smear examination report can be done to check platelet morphology. Your all other parameters are within the range. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 15355, + "tgt": "My plan is to have unprotected sex on every weekend to get pregnant. Is that fine?", + "src": "Patient: Hello doctor, If I try to have unprotected sex every weekend, would this increase the chances of me getting pregnant? I am taking my prenatal Vitamins. I am trying my best to get pregnant. What should I do? My period goes 28 to 40 days. Doctor: Hi. If your periods are regular, then there is more chance of pregnancy when you have sex in the middle of the cycle. But when your periods are irregular then it is very difficult to predict ovulation time. But it is in the middle of the cycle only if ovulation is happening. Because you may have menses without ovulation, so you may have to take treatment for conceiving if you have irregular periods. But as your age is just 19 years, so try for at least a year. And if no pregnancy, then go for treatment. Every weekend is not the proper plan if you are planning for pregnancy. There is less chance of pregnancy than a normal couple. Keep that in mind and do not panic early that pregnancy is not happening." + }, + { + "id": 21906, + "tgt": "There are white wrinkles on the foreskin. Please advise treatment", + "src": "Patient: Hello doctor, There have been white wrinkles on the foreskin of my penis, and then it turned to black patches, consulted a dermatologist and he suggested the cream Emoderm, but after applying it for two days, conditioned turned worst, now there are several wrinkles on the penis foreskin. Please advise what should I apply. Yesterday night, I applied T-Bact with aloevera cream, it looks apparently better. Doctor: Hi. It appears to be due to dryness or irritation. Some more information to provide in follow up: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10731, + "tgt": "I am suffering from pain in lower abdomen, penis and testicles. Kindly advice", + "src": "Patient: Hello doctor, I have pain in lower abdomen, penis, and testicles. Please advice. Doctor: Hello. Pain in lower abdomen and testes can be due to multiple causes ranging from urinary tract infection, infection of testes, varicocele, or some stone problem in ureter and kidney. You will need a few investigations to see for the cause then only treatment can be advised. You will require sonography of abdomen and testes, microscopic urine test, and renal function test. Depending on the report of this test, we can determine the cause and advice further. If pain is too severe, you can visit a urologist for physical examination. Sonography of abdomen, pelvis and scrotum,with colour Doppler testes, urine microscopic test, and renal function test. Epididymo Orchitis, urinary tract infection, varicocele, and intermittent torsion. Follow-up with reports." + }, + { + "id": 9163, + "tgt": "Developing wisdom teeth gives occasional pains. What should I do?", + "src": "Patient: Hello doctor,I am 17, and my wisdom teeth started developing from more than six months, I get sudden occasion pains, it is more like pulsating, the pain feels so bad, and it makes my whole jaw ache, I cannot even eat for one to two days properly. The pains are so sharp, and I can see my wisdom teeth coming out like a halfway through, it is so painful, what should I do? Doctor: Hello,Welcome to icliniq.com. I understand your concern. The wisdom tooth usually has abnormal size, shape, and erupting pattern, which can lead to the inflammation of the surrounding soft tissue or gums. This is known as pericoronitis and often involves difficulty in chewing cheek bites, and ulcers. The most straightforward line of treatment is to go for extraction. Since you have given enough time for eruption, now it's better not to wait. Using topical anesthetic gel (to apply on gums) and lukewarm saline gargle may help you temporarily ease your symptoms. I hope it helps you." + }, + { + "id": 21751, + "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": 21450, + "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": 1833, + "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": 7252, + "tgt": "I have tremors and fatigue which improve with Iron and worsen with periods. Please advise", + "src": "Patient: Hi doctor, I am just wondering if it is possible to have neurological symptoms with low ferritin levels. My hemoglobin is 13, but the\u00a0last check on ferritin said it was 5.3. I am suffering severe internal tremors, fatigue, cold hands and feet and weak shaking legs. My symptoms improve while on a\u00a0short course of iron, but the minute my period arrives, I am a mess again with my symptoms back to square one. Any advice would be appreciated. Doctor: Hello. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 15623, + "tgt": "I want to know about the relapse regarding AIHA", + "src": "Patient: Hi doctor, I am 20 years old. I had a sudden onset of AIHA. At first, I had no response to steroid therapy, and after a week, I came back to normal. I want to know about the relapse with AIHA. Doctor: Hi. Approximately 80 % of patients respond to corticosteroids at a dose equivalent to Prednisolone 60 to 100 mg per day and nearly two-thirds achieve complete remission (CR). The initial response takes several weeks. But an absence of a response for 21 days is considered as a steroid failure. In responding patients, an incremental taper can begin, for example, when the Hb (hemoglobin) is more than 100 g/dL or after a maximum of three weeks, we can reduce the dose to 20 to 30 mg over four to six weeks, and then by 5 mg every month. In a series of 33 primary AIHA (autoimmune hemolytic anemia) cases, relapse was more common if the steroids were tapered to 10 mg in less than two months and when stopped in less than six months. Approximately 20 % of patients remain in remission after steroids are discontinued. Although a further 40 % can maintain an acceptable Hb by keeping Prednisolone at 15 to 20 mg, due to the long-term side effects of steroids, and a second-line therapy is considered." + }, + { + "id": 15858, + "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": 5062, + "tgt": "Is root canal a suggested treatment when the dental filling is near the nerves?", + "src": "Patient: Hi doctor, My tooth has been filled and I went to the dentist and he took an x-ray and the filling was to close to to my nerve. He said he will have to do a root canal which I do not want to do. I was thinking of other ways to go around this because my nerve has nothing wrong in it. I do not think I should get one if my nerve is not infected. I was thinking he could just remove the filling and and replace it with a new one which makes sense. Anyway if we do a root canal he is going to drill in the filling anyway. So let me know if a root canal is the only option because I do not feel like going through that. Doctor: Hello. It all depends on your symptoms. Why did you visit the dentist if the filling was already done? Are you experiencing any pain or discomfort in it? If yes, then unfortunately, there is no option left but root canal treatment for it, because it might have touched the roots almost. Secondly, after the removal of filling, re-filling at the same point will not be possible because if the pulp of root is near as it cannot bear any sort of filling directly on top of it. If it is done in this way it will simply cause huge swelling or throbbing pain will start so the only way to save a tooth is to clean the pulp i.e. nerves of root canal through this treatment and then put a cap on it. You may delay this treatment until you experience any symptoms of a root canal. Can you tell me about your symptoms and provide me with a radiograph? So I can tell you exactly what you can do best." + }, + { + "id": 21228, + "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": 25432, + "tgt": "Will the doctor put me on hormone medications to treat the high TSH?", + "src": "Patient: Hello doctor,I am a 30-year-old male. Recently, I went in for a check-up. I suffer from insomnia and fatigue. Below are the only two abnormalities:TSH 9.86 (mU/L)FT3 4.22 (pg/ml)TT3 1.29 (ng/ml)T4L 1.45 (ng/dl)TT4 6.30 (d/dl) Thyroid ultrasound: slightly inflamed isthmus (3.46 mm thickness). Normal blood supply. High cholesterol, VLDL and triglycerides: Cholesterol 265.00 (mg/dL).HDL 36.40 (mg/dL).LDL 159.60 (mg/dL).VLDL 124.00 (mg/dL).Triglycerides 620.00 (mg/dL).AIP 1.231. Is it possible that the high TSH level is the reason for my chronic fatigue and insomnia? Is it also elevating my cholesterol and triglycerides? I am guessing the doctor is going to want to put me on hormone medications to treat the high TSH? Doctor: Hello. A high TSH (thyroid stimulating hormone) indicates a condition called hypothyroidism. This condition can cause fatigue and high cholesterol levels but insomnia is very unlikely in this condition. Yes, your doctor will initiate a hormonal medication called Thyroxine which you may have to take for a long time. Hope this information was useful to you. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17562, + "tgt": "What are the treatment options available for dilated pupil?", + "src": "Patient: Hi Doctor, I had a serious eye injury before 10 years due to cricket ball hit. At that time, my pupil got enlarged and dilated. Can it get treated now? Doctor: Hi. After blunt trauma, pupil constrictor muscles may be damaged and that causes permanently dilated pupil called traumatic mydriasis. This just causes mild blurring or photophobia in bright light due to large aperture. But, in case of trauma, there are more important things to see that can cause decreased vision like cornea, lens, retina etc. Is everything fine in your case? Can you see normal in that eye? If everything is alright, then we can discuss about treatment options. Treatment Options: I would recommend you to visit your ophthalmologist (eye doctor). He will do a complete eye examination and give the best option accordingly. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13887, + "tgt": "My mother has chest pain and breathlessness. What do we do?", + "src": "Patient: Hello doctor, My mother has the following complaints. She is feeling rotating chest pain. She has breathing difficulties while walking. I have uploaded her ECG for further investigations. Doctor: Hello. I have studied her ECG (attachment removed to protect patient identity) and there is no significant abnormality. I would like to know the following details regarding breathlessness and chest pain that she gets:" + }, + { + "id": 15175, + "tgt": "Swelling and hard bumps on elbow, sore, stiff hands in the morning. Should I go to a rheumatologist?", + "src": "Patient: Dear doctor, I have recently had a baby. I experience sore, stiff hands in the morning, swelling, hard bumps on the elbow. There is a history of rheumatoid arthritis in my family. Blood work is negative. Should I go to a rheumatologist? Doctor: Hi. From your history, it seems that you are suffering fromrheumatoid arthritis. This is more in females, having morning stiffness of the joint and improve during the day and presence of nodules over bony prominences. Yes, you need to go to a rheumatologist for proper evaluation and regular follow up. It is an autoimmune disorder which will affect various organs of the body at various stages. If there is a delay in starting with the treatment, it can cause a restriction of movements of the joints, and involvement of other organs also. Investigations to be done are CBC (complete blood count), LFT (liver function test), RFT (renal function test), X-ray, RF (rheumatoid factor), ANA (antinuclear antibody), HIV (human immunodeficiency virus), HBsAg (hepatitis B surface antigen), Anti HCV (anti-hepatitis C virus), TFT (thyroid function test). Management is with NSAID (nonsteroidal anti-inflammatory drugs) and other DMARD (disease-modifying antirheumatic drugs) that can be decided after proper evaluation. You can follow up with a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 17670, + "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": 30885, + "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": 5845, + "tgt": "My brother-in-law experiences headache, vertigo and partial hearing loss in right ear. What could it be?", + "src": "Patient: Hello doctor, My brother-in-law has been experiencing severe headache, and nausea along with occasional vomiting for the last few days. He visited an MD first and subsequently an ENT specialist who advised that a nerve in his right ear has dried up and there is a partial hearing loss which is causing the headache along with the other symptoms. The doctor further suggested that this condition has no cure and with time my brother in law might experience total hearing loss. I would like to seek your advice on the diagnosis and the next course of treatment. I have attached his blood, CT scan and MRI reports for your reference. Doctor: Hello, Welcome to icliniq.com. I need to ask you some more questions in detail so that we can reach some final diagnosis. Is your brother-in-law having fluctuating type of hearing loss that means sometimes hearing is normal and during attack hearing goes down? Is there any history of vertigo and if it is there is it occasional or on regular basis? Is he on any treatment at present, and if so is there any improvement in his condition?" + }, + { + "id": 11292, + "tgt": "Is follicular lymphoma treatable?", + "src": "Patient: Hello doctor,I had a physical test, and blood works done about six weeks ago. I told my doctor, I had a lump, or mass, under my right armpit. He checked it out, and then sent me for an ultrascan, and a needle biopsy. A week later the doctor, called and said it was follicular lymphoma which is a type of non-Hodgkin's lymphoma and is treatable. I am going, to have a PET, and CT scan in two more days. The oncologist examined me and said there is no swelling, in the neck, and spleen. Please tell whether this kind of lymphoma is treatable because I am scared of death. Doctor: Hello. Do you have lymph nodes only in axilla? If it is only in the axilla, it is treatable. This is stage one. In this stage, either chemotherapy or radiation therapy will be given. Need not worry too much. Did they say what type of Hodgkin's B-cell or T-cell? If possible send the needle biopsy report. They will do all blood test like a blood smear test, and CBC (complete blood count). Usually, a team of doctors like a medical oncologist, hematologist, a doctor who treats lymphoma with chemotherapy, immunotherapist, etc., handle this. Targeted therapy from this one of the treatment method they do. I gave full details reading this and so do not get panic." + }, + { + "id": 11017, + "tgt": "What is the reason for high monocyte and eosinophil?", + "src": "Patient: Hi doctor, My blood reports show high monocytes and eosinophils for over two years of span. I feel there is no energy, muscle spasms, splenomegaly, muscle pain, and malaise. I am seropositive RA. But, my CRP and ESR are normal most of the time. Doctor: Hi. Rheumatoid arthritis is one of the causes for high monocyte count and multisystemic involvement. Hence, treatment for that is nonsteroidal anti-inflammatory drugs and disease modifying drugs like Leflunomide, etc. The high eosinophil count causes include allergy, parasitic infection, skin conditions and pulmonary eosinophilia, etc. According to the cause, the specific treatment can be given. For allergy, antiallergic medication like Fexofenadine is useful. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14811, + "tgt": "Is it normal to urinate often during implantation bleeding?", + "src": "Patient: Hi doctor, Is it normal to poop and urinate often during implantation bleeding? Doctor: Hi. There is no relation of implantation bleeding with frequent urination and defecation. Implantation bleeding usually occurs about 9th day after ovulation, and no bowel symptoms accompany it." + }, + { + "id": 22167, + "tgt": "Can I take an antibiotic to clear the infection in my tooth?", + "src": "Patient: Hi doctor, I have an infection in my tooth and swelling in the gums. Can I take an antibiotic to clear the infection? Doctor: Hi. Yes, you can take antibiotics. Take Augmentin (Amoxicillin and Clavulanic acid) or Penicillin. Take three times a day for a week. Get an early appointment with your dentist for an examination. If you are willing to save the tooth, go for root canal treatment if it is possible or else go for extraction of the infected tooth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27977, + "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": 9154, + "tgt": "Is mole with hair a non-cancerous one?", + "src": "Patient: Hi doctor, About a month ago I vigorously scratched off a mole that was on my back. While lifting weight and lying on my back, it got irritated. I have had the mole for at least seven years. It has always been relatively big and light brown shade. However, when I picked it off it went away at first, then about a month later it has gradually started to come back. Now, it is not even, looks irregular and varied in color a little bit. It has also grown a hair in it. In interner, I searched pictures of melanoma and freaked out. I do not have a history of skin cancer in my family. I am 24 years old and I go to the beach and pool quite often. I have not always worn sunscreen, but most of the time I wear SPF 15. I am not on any medication. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18644, + "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": 27716, + "tgt": "I have muscle weakness and mild pain on the forearm and hip. What could this be?", + "src": "Patient: Hello doctor, I am a 41 year old male. My\u00a0creatine phosphokinase is mildly elevated. The reports came as 220 twice and as normal thrice. And, there was hemoglobin in my urine test. I constantly have muscle weakness and mild pain on my left side, at the forearm and hip. The weakness started suddenly or probably it was so slow that I did not feel any change during these four years. The symptoms started one day morning when I was 37. I feel the weakness much more in the mornings rather than at nights. What disease could this be? Doctor: Hello, I read your query and understand your concerns about muscle weakness and raised muscle enzymes. For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist" + }, + { + "id": 6561, + "tgt": "I am having low testosterone with high SHBG. Why?", + "src": "Patient: Hello doctor,I got bloodwork done for possible low T.My SHBG is higher, out of the normal range, even though the rest of my blood work is very good to excellent. My doctor told me that this is uncommon. I am curious as to how concerned I should be about this? Doctor: Hello, Welcome to icliniq.com. I read your query and seen your lab reports. (attachment removed to protect patient identiy). Your report does suggest some concerning things such as high creatinine and low GFR (glomerular filtration rate), which suggest kidney dysfunction and a high SHBG (sex hormone binding globulin). Increased SHBG levels may be seen in liver disease. I did not find any problem in your reports, but only with the knowledge about your health issues and with a proper medical history, I can find out if there is any underlying cause prevailing. Overactive thyroid: your thyroid test results are good and suggest a normal thyroid function. Eating disorders: I need more history from you to rule it out. Decreased sex hormone production in men: that aspect is good in the test results. So clearly it narrows down to your kidney function test which might be a possible reason here. Do you have any family history of kidney problems? Any Diabetes? Any excessive alcohol consumption or any over the counter medication intake? Answers to these questions could shed some light on the reason for high SHBG. I hope this helps." + }, + { + "id": 23528, + "tgt": "Can unprotected intercourse on sixth day of periods lead to pregnancy?", + "src": "Patient: Hello doctor, I need to know that having unprotected intercourse in the sixth day of the periods lead to pregnancy and also took I-pill within 24 hours. And after a week got bleeding which is persistent for three days now, had cramps the first day of the bleeding and far nothing but little bleeding is still there as it happens during the last days of the regular period. The questions are: Is there a chance of pregnancy? Is this withdrawal bleeding? If yes, then for how many days should I expect it? Which date should I calculate my period date now? Subsequently, when should I take a test for HPT? Doctor: Hello. This is the withdrawal bleeding and it indicates that you have not conceived. You may however get a urine pregnancy test done after seven days now to be doubly sure. The date hence to be calculated from is from day one of your withdrawal bleed. For more information consult an obstetrician ang gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 999, + "tgt": "Can vitamin D3 deficiency cause inflammation and burning sensation in the foot and hands?", + "src": "Patient: Vitamin d3 deficiency (11 units).....consuming tablet D well aq as prescribed by doctor....its been 2 months since I am consuming my tablets....but there is inflammation and burning sensation on my foot and hands...I am 18 years old....weight 43 kg....height 5'3\"....How do i get rid of the inflammation?? Doctor:" + }, + { + "id": 5035, + "tgt": "Why am I having two bumps with red gums after gum cleaning?", + "src": "Patient: Hello doctor, I was at the dentist yesterday and had a gum cleaning and now today there are 2 bumps in the back of my mouth on top and my gums right there also look red and there more looking like balls per say. Doctor: Hello. I have been through your query and I can understand your concern. The feeling of strange, weird and sometimes loose tooth are major complaints that a patient generally comes with, after having the cleaning (scaling and root planing) done. This is because of the removal of the debris. Earlier what would have become normal for the patient is now removed (debris) and the patient interprets it somewhat as loose tooth and strange feeling. The redness you are referring to is the erythmatous tissue that generally occurs post cleaning because the gums while cleaning gets separated from the tooth structure (like an injury). However, the healing capacity of gums is very fast and it would be go in 3-4 days. Referring to the picture (attachment removed to protect patient identity), the bumps you are saying, you do not need to worry about. As also you are saying that there is no pain means they are not infected. They might have occured due to the injury of hard palate during cleaning. I would suggest you to not worry as they are generally seen after cleaning is done. They would be gone after some days (generally 3-4 days). However, if the bumps persists beyond one week, I would advise you to have a visit to your nearest dentist for proper and overall examination. Moreover, I would suggest you to keep maintaining good oral hygiene by brushing twice daily and floss regularly. Also rinse your mouth with oral rinses for 4 days a week and 3 weeks a month. I hope I have satisfied you with my answer." + }, + { + "id": 21561, + "tgt": "Whenever I am on an antibiotic course, I develop balanitis. Why?", + "src": "Patient: Hi doctor, I am 49 years old male. For the past six to seven years, whenever I am on an antibiotic course (Augmentin Duo 625 mg), it results in balanitis and smegma production which troubles me for two to three weeks and then goes away. About two months ago, I was on an antibiotic (Augmentin) for a throat infection, and I got balanitis. Now it is refusing to get cured completely. It gets cured, then it comes back again after a few days. Please advise. Doctor: Hi. I need a few details to help you in a proper manner. For what condition you are taking antibiotics? Is it a self-medication or prescribed by a doctor? Have you got your blood sugar levels checked? Any significant medical history. Are you sexually active? If yes, then is it a single partner? Does your partner have any complaint? Please provide answers. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6934, + "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": 8974, + "tgt": "My son's recent scan says he has many blood clots in his back. Will the clots not go away?", + "src": "Patient: Hello doctor, My 28-year-old son, has JME epilepsy, mostly under control and also 1 part Leiden Factor V. He had an accident last year. Broke a few neck bones (Hangman's bone) and broke a few backbones, high up nearer the neck. Son is doing pretty well, and he is walking. He has a total blockage on one side of his vertebral artery. Recently he had a scan and has several, many blood clots in his back. Do clots ever go away? Other than low dose Aspirin, what to do? Doctor: Hello, Welcome to the icliniq.com. The blood clot will not resolve by Aspirin drug. Aspirin is for prophylaxis to prevent further clots formation. For thrombosis, that is a blood clot, and he needs to be prescribed Rivaroxaban or Apixaban like anticoagulant medication. Factor V Leiden mutation puts you on high risk for the development of thrombosis. It is a common cause of congenital thrombosis. Thrombus can be resolved by anti coagulation medication. So it will go with drugs. After thrombosis treatment, you need to be given life long anti coagulation medication if factor V Leiden mutation positive as per history. I hope I have answered your question." + }, + { + "id": 1852, + "tgt": "I have recurrent epistaxis with bruxism and ETD. Could it be due to sinusitis?", + "src": "Patient: Hi doctor, I currently have recurrent epistaxis. This has started since four years on a yearly basis to a daily basis since six months. I have been seeing an ent consultant but due to COVID-19, I am unable to see him until August. I had recent blood tests and MRI which came back all clear. I had an endoscopic examination that said there was some crusting on the left side and rest all fine believing it is posterior and not anterior epistaxis. This is affecting the quality of my life. I have also developed bruxism and ETD with blocked ears now and then. I have also got gingivitis as well. No hayfever or allergies I am aware of. I have had suspected sinusitis but this was not confirmed. But every day, I have a watery eye, especially on the right eye. Doctor: Hello, Welcome to icliniq.com. You have recurrent epistaxis and you have been cauterized also a number of times. There does not seem to be any obvious pathology on examination by endoscopy. I must point out that epistaxis can be idiopathic in more than 50% patients. This is because certain patients tend to have nasal mucosa far more friable than others and susceptible to even most trivial trauma like nose picking or forceful blowing. Even minor colds can cause epistaxis. However, one has to be careful to rule out other causes. Hypertension is an important cause but that is usually an affliction of elderly. At your age, one would like to rule out bleeding diathesis. Did you ever have bleeding from any other site? Have you done a coagulation profile, though you have mentioned blood tests? What about liver and renal function tests? Are you on any medication other than this? Further deviated nasal septum with spurs can cause epistaxis. Did MRI mention anything like that? In case there is nothing to suggest any underlying cause, it is likely to be idiopathic. And role of precautions become all that necessary. One important thing is to prevent your nose from becoming dry as occurs in dry weather and colds. You can use liquid paraffin nasal drops to prevent mucosa from becoming dry and friable. Further you need to avoid blowing hard or frequent cleaning of nose. You can also use topical decongestants like Xylometazoline 0.02% if you develop a bleed. Avoid using them for more than seven days at stretch. You can go for a CT (computed tomography) nose and PNS (para nasal sinus) for having a better information on sinus details." + }, + { + "id": 21405, + "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": 10015, + "tgt": "What is the main reason for sepsis in a newborn?", + "src": "Patient: Hello doctor, What is the main reason for sepsis to occur in a newborn? Will parents be the reason? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20400, + "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": 20903, + "tgt": "I am hearing sound and voices. Is it auditory hallucinations?", + "src": "Patient: Hello doctor,I am 23 years old. I have been hearing sound and voices for a couple of weeks. I think I am having auditory hallucinations. Experienced this before when I committed suicide eight years back. Then it stopped until now I am hearing them again. No medication. Doctor: Hello. Hearing voices when others are not hearing, hearing running commentaries or as if someone is talking about you could be due to auditory hallucinations. Auditory hallucinations are seen commonly in psychotic disorders. This should be treated on an emergent basis. Please consider consulting psychiatrist as soon as you can for the best treatment. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21348, + "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": 13102, + "tgt": "What has caused fracture of GIC filling within a month?", + "src": "Patient: Hello doctor, I had type 2 cavity filling in one of my molar teeth. It was GIC filling. Just after the filling they did scaling of all the teeth. I asked them should I wait for an hour after the filling, but they did it anyway. Now after a month the filling broke. What do you think the reason might be? But I did not chew any hard foods after the filling. Doctor: Hi. In your case, there might be the following reasons. 1. Uneven biting pressure. It may cause the filling to break in class 2 cavities specially as walls of tooth are involved and sometimes unintentionally person bites with slight uneven pressure and it results in breaking down of filling. 2. Water or saliva contact right after filling. Usually half an hour gap is given after GIC filling for water contact, for eating and even for drinking water. If scaling is done right after filling by putting separating medium on filling still there can be chances of water contact through scaling procedure that causes filling to become porous and it might break. Now you can go back to dentist and ask him to do composite filling instead of GIC as it has more strength. After composite, there is no need to wait, you can have direct water contact too. Take care." + }, + { + "id": 6285, + "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": 29886, + "tgt": "I have a rash on my foot since a year. What is that?", + "src": "Patient: Hi doctor,I have a weird rash on my foot. That has been persistently itchy, peeling and building. It does not burn, but it is unappetizing to look at. I do take Lyderm for it. It seems to stop the itching, but not the spreading of the rash. It has been on my leg for a year now. Please help. Doctor: Hi. This is most probably stasis dermatitis (attachment removed to protect patient identity), which occurs in people with poor circulation and in serious cases may develop into ulcers. Stasis dermatitis is common in people above 50, especially if have heart diseases or overweight or sit for prolonged periods of time. The symptoms include skin discoloration, itching, scaling and ulcers. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19646, + "tgt": "My legs and ankles are swollen from the past three weeks. Please help", + "src": "Patient: Hello doctor, My leg and ankle have been swollen for about three weeks. There are times it becomes normal, but I noticed that every time I\u00a0am exhausted, the leg swelling increases, making it difficult for me to walk.\u00a0I also wake up with difficulty in breathing, and my hands tend to go numb if I sleep in one position for even 30 minutes. I got some test done, and I am attaching the reports. But, I need more advice regarding other tests that need to be done. Doctor: Hello. I just read your query and the detailed reports, which you have attached (attachment removed to protect patient identity). For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14683, + "tgt": "Can bloating and headache be due to stomach problem?", + "src": "Patient: Hello doctor, I am female, age 39, height 5' 3\", weight about 89 kg. I feel bloated most of the time and sometime get headache. If I have burning sensation in feet, I take Mucaine syrup sometimes. I also feel slight pain on left arm. I feel this is due to gas or stomach problem. Help me to cure it. Doctor: Hello. Firstly, I would like to assure you that you are right about the problem being a gastric problem. In medical terms, it is called gastritis. Having said that, since you have mentioned the presence of slight pain along your left arm, I would suggest you take an ECG at any clinic. There is nothing to worry about. It is always good to rule out the possibility of any underlying problems. As of now, you need to follow the below advice. It is very important to make lifestyle changes before succumbing to medications for treating gastritis. Having mentioned your BMI, it seems to be on the more obese scale. You need to keep a check on your weight. The first step is to make diet modifications. You need to consider a more balanced diet in the most practical way possible. Start having three meals a day, each meal should be consumed four hours apart. Each meal should consist of one portion each of a carbohydrate, a protein, and a fat source. For example, breakfast could include a brown bread, boiled or poached egg (not fried), and vegetable fillings. Include a lot of fruits and vegetables in your diet. You can add a fresh orange or mixed fruit juice (made at home), along with the breakfast. You can also end the day with a bowl of fruit salad. Try to start the day with any detox drinks, like warm water with lemon, honey, and ginger. You need to consume at least two glasses of water before moving to breakfast. Make sure to have at least 8 to 9 glasses of water in a day. Cut down on any hot beverages like tea or coffee. Avoid dairy, including milk, cheese, etc. Next step is to maintain a good physical health through physical activity. Start with walking daily for one hour in the morning or evening. You can also choose to practice yoga. It helps with gastritis and helps maintain an energetic lifestyle. Later, include aerobics and cardio and power exercises. It is very important to exercises at least three times a week. It helps in bloating and maintaining good health. Start taking capsule Pantoprazole 40 mg twice daily for two weeks. Make sure you carry out the lifestyle modifications simultaneously. Try to avoid, lentils, dal, and chickpeas for a short period of time. They would cause gastritis. Try including a lot of home-made soups and juices in your diet too. Do not worry, you will completely be alright. You just need to follow the above advice. Stay healthy and positive." + }, + { + "id": 13320, + "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": 24556, + "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": 6637, + "tgt": "I have red, swollen and flaky skin in the lower eyelids. Why?", + "src": "Patient: Hello doctor, For the past two days, I have redness and flaky skin on the lower eyelid, and it looks swollen and irritated. I had this once before and went away with the usage of some sterile drops for around one week. I have no itching, no pain, no vision problems even when looking at the light. I have no issue within my eye, just on the skin surrounding it. I want to know what it could be and why it reappeared again? I have not changed my makeup products or started using something different on my face, either. Doctor: Hello. There are a number of different conditions which could cause such a problem. The red and flaky skin suggests that the problem could be related to inflammation or a reaction of the blood vessels in the eyelids. Since you mentioned that you have no itching or pain, this rules out allergic conditions. As your symptoms resolved when you had applied sterile drops or tear substitutes, the cause could be dry eyes. Dry eyes are quite common in young working professionals, especially those who use computers a lot. In case you have watering from your eye or burning sensation especially when you watch your TV or computer screen or when you go near the air conditioner vents, you could be having dry eyes. I suggest that you continue with the tear substitutes. I hope this helps." + }, + { + "id": 2578, + "tgt": "I have vocal nodules. Please suggest home remedy", + "src": "Patient: Hi doctor, I have vocal nodules. How to treat it faster at home? Doctor: Hi. If vocal nodules are confirmed by a doctor then there are a few things which you should know. Vocal nodules are small thickenings in both vocal cords which usually occur secondary to excessive voice use and very common in singers, teachers, and any professional voice user. More than 99 percent of vocal nodules resolve with simple measures such as voice rest, steam inhalation, drinking warm water frequently to avoid throat dryness and sometimes voice therapy may be required. Only one percent of vocal nodules need surgery especially in people who do not follow the above measures. So you need to continue voice rest, steam inhalation, drink warm water, have two teaspoons of honey three times daily (it prevents excessive dryness)." + }, + { + "id": 30628, + "tgt": "Is low platelet a sign of dengue?", + "src": "Patient: Hi doctor, My father has nagging dry cough\u00a0for about one month. Our physician has doubted it as allergic bronchitis and the x-ray also justifies the same. As per today, his platelet count is 125000. Is there anything to worry? Or is this a sign of dengue? Myself and my brother have just recovered from dengue. However, my father does not have a fever. Currently, he is on Nebicard 2.5 for BP, Daztor for triglyceride, Bro-Zedex and Montair LC. Doctor: Hi. Get platelet count done after two days and four days. For further doubts consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22869, + "tgt": "Why do I still have gastritis problem after a laparoscopic fundoplication?", + "src": "Patient: Hello doctor, I am a 29 year old, who is 1.83 m tall and weigh about 70 kg. My health problems started two years back, when I had a lot of stomach pains, though they went away quickly once I had a filling meal. After an endoscopy, the doctor observed a large axial hernia as well as moderately pronounced gastritis. I was prescribed PPI, and the problems went away for a while. The effects of the PPI seemed to diminish after a while as the pain returned during nights and while exercising. In the mornings, I suffered from severe heartburn and short-term breathing troubles possibly because stomach acid went into my lungs at night. Over time, I have been prescribed different PPIs like Pantoloc, Esomeprazole, and Pariet, and the dosage always increased. As the symptoms did not improve, the doctors recommended a surgery last year. Beginning of this year, I had a laparoscopic fundoplication. I could not swallow anything, not water or even my saliva, during the first five days after the surgery. The doctors suspected this was due to strong swelling, and I was able to start swallowing again after the sixth day. After the suggested diet phase, I was able to eat almost everything and was very happy about that. Since the end of last month, however, I have had strong symptoms again. I celebrated my birthday by drinking some alcohol the day before it started. The stomach pains, bloating, gurgling noises in my stomach, and most uncomfortably, pain in my lungs started again. The chest pains come mainly when I bend my upper body or when I turn in bed. My primary care doctor prescribed me 20 mg Pantoloc to take for a week, as she suspected gastritis. The symptoms were still present after a week, so the doctor who performed the surgery did another endoscopy. He determined it is a moderately pronounced gastritis and suggested three weeks of PPI therapy. As I was still concerned about the pain in my chest, I also went to a lung specialist, who diagnosed an inflammation of the bronchi, probably caused by the yearlong influence of the stomach acid. He prescribed a Cortisone inhaler, which I have been using for two weeks now. Also, I currently take 40 mg Nexium in the morning and try to take a light diet.\u00a0The conditions now have lasted for about six weeks already, and I am starting to worry.\u00a0Can it be anything else? Is it normal that it takes so long? I should have no heartburn after the surgery, right? Doctor: Hello. You are having gastroesophageal reflux disease (GERD). You have undergone Nissen fundoplication, as such hiatus hernia and related diseases take a long time to recover and you need to maintain your lifestyle and food habits for a lifetime. I suggest you try doing the following: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26585, + "tgt": "I feel very tired. Is it because of my low RBC count?", + "src": "Patient: Hello doctor,My RBC count is low. Doctor: Hello. I went through your reports (attachment removed to protect patient identity). So relax, everything is normal. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6314, + "tgt": "How does salt water gargling cure tonsillitis? How Vaporizer and Medicated Inhalant helps?", + "src": "Patient: Hi doctor, Does air humidifier help with tonsillitis? How would salt water gargling cure tonsillitis? Doctor: Hi. Air humidifiers are of various types and not all of them are useful for someone suffering from tonsillitis. And also, tonsillitis requires gargling of warm water mixed with salt. Salt water gargling helps reduce pain, inflammation and infection in the throat by the following ways. Use Vaporizer or Medicated Inhalant When we suffer from rhinitis/ sinusitis/ pharyngitis, and when we perform steam inhalation it soothes the inflammed areas and gives comfort. It helps in healing and cure from the disease. A vaporizer (steam humidifier, warm mist humidifier) heats or boils water, releasing steam and moisture into the air. A medicated inhalant can also be added to the vapor to help reduce coughs. Vaporizers are more healthy than cool mist humidifiers because steam is less likely to convey mineral impurities or microorganisms from the standing water. Steam is more healthy than cool mist when one suffers from above mentioned conditions. Revert back to an ENT otolaryngologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17250, + "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": 16587, + "tgt": "How do I know if I am allergic to a specific thing?", + "src": "Patient: Hi doctor, I am a 19 years old male. My IgE levels in the past two years were 1411 and 869.0 IU/mL respectively. Do I need to check now? Also the absolute eosinophil counts were 800 and 240. My\u00a0TSH was high and it got treated. I feel allergic to dust, eggplant (tongue itch), perfume, fragrance, etc. I cannot apply any face cream. If I do then my\u00a0eyes become watery instantly and do not stop for hours. I also get burning sensation. I have acne prone skin.\u00a0Now, my main complaint is occasional unexplained cough for more than two years. I used to avoid chill water and cold drinks. What should be done further? I have also attached my blood report of TSH and lipid profile for your reference. Doctor: Hi. It seems you do have allergy tendencies in your body which are associated with asthma or allergic bronchitis and high IgE levels. Also you have associated skin issues like urticaria or atopic dermatitis which are all connected together. Well, the first line is usually anti-allergics and that too for a long time. I will not suggest Montelukast. Take Allegra 180 mg (Fexofenadine) and Levocet 10 mg (Levocetirizine) in the morning. If not controlled we can add Atarax (Hydroxyzine). The key is to suppress the allergic cell release. If not controlled you may need a short course of steroids. Steroids work like magic in these diseases, but it is bound to relapse once you stop it. So, we have to control it with all three generations of different antihistamines. These conditions tend to fade off when you reach mid 20's. At times they linger on. We have to just wait and see. But for now, we have to control the allergic storm. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 8159, + "tgt": "My tooth remains sensitive inspite of wearing a crown. Why?", + "src": "Patient: Hello doctor, My dentist went for a crown for my molar because my molar was too sensitive. Now the sensitivity has reduced but not gone completely. My crown was fixed before two years. What can I do? Doctor: Hello. Crowning the tooth could not be a solution for sensitivity, and moreover, you say that you still feel the tooth to be sensitive. There is a high chance that the molar with the crown is not the culprit. Also, the sensitivity could be for two reasons. 1. Enamel wear exposing the next layer of the tooth(dentin). 2. Initial stages of tooth decay. Hence, my advice for you is to get a complete oral check done, and I suspect tooth decay in any teeth opposing the molar you mentioned. On the other hand, treatment options for sensitivity as in reason are, either switching on to an anti-sensitive toothpaste or applying anti-sensitive gels or creams on the tooth surfaces." + }, + { + "id": 10525, + "tgt": "What can be done for stammer in children?", + "src": "Patient: Hello doctor, My daughter has started to stammer. What should I do? Doctor: Hello. Stammering or stuttering is not very uncommon in this age group. Most children do stammer at this age, and with time over a few months, it gets resolved usually. I believe that the delivery of this child was smooth, and she had no history of admissions for any illness. Also, her milestones are normal and not delayed. Now here, the family has to play an important role. Your child has started developing speech, and this is quite normal to happen. So, first of all, you stop worrying. And even if you worry because I know it can be alarming for parents, please do not pass on your anxiety to your kid. Just do not let her feel that it is abnormal. Whenever she speaks, to listen to her and never try to correct her or scold her for this. Pay attention to what she is saying and look at her, and eye contact should be there. When you talk to her, talk slowly so that she can grasp every word. Kids always try to imitate us. She will also start speaking slowly, which will help her say words correctly and with ease. Never criticize or scold, also tell everyone at your home and even school teachers. Encourage her to speak. Do not pass your anxiety to your kid is most important because if a child gets anxious, it will get more pronounced. Slowly and gradually, you will see that your kid has outgrown this. If still, you feel that there is no improvement after one to two months, speech therapy may be done. Speech therapy should be started before four to five years. I hope this advice would be helpful to you. I would be there for any help." + }, + { + "id": 20251, + "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": 1214, + "tgt": "What are the dark red and purple lines in my inner thigh?", + "src": "Patient: Dark Red and Purple lines in inner thigh. No symptoms experienced. Age 28, Weight 58kg Height 4'11\" Doctor: Dear, Please send few more photographs.. Regards" + }, + { + "id": 23939, + "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": 22064, + "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": 7350, + "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": 6596, + "tgt": "I am urinating frequently after ejaculation. Why?", + "src": "Patient: Hello doctor, I am a 35-year-old male, single, with Familial Mediterranean fever, and recently under the supervision of a liver doctor. My symptoms which start after ejaculation are: 1. Frequent urination. 2. Discomfort and pain between the abdomen and thighs. 3. Some times pain in the thighs and redness in the inner side of thighs and the lower abdomen. Red vertical lines appear on the abdomen when there is a need to urinate. 4. Feeling cold with occasional tremble sometimes and diarrhea. 5. Recently, I feel a partial lack of sensation on the penis and also feel it is shrinking and sometimes heavy. 6. Recently within the same period of the known symptoms, I had bloating stomach and in the end of the day I desire to vomit even if there is nothing in my stomach. Ejaculation without rubbing penis will have less symptoms. All these symptoms start before 15 years. When I feel the frequency of urination is more than the usual, I consulted a doctor. He prescribed me antibiotics, and it helped only in controlling my urgent need to urinate but not all my problems. I am on Permixon medication for the past one year. Doctor: Hello. What you describe is a combination of symptoms that may or may not be related to each other. The pain, urination, and ejaculation problems, as well as the sensations you feel at the penis area, points to what we call non-bacterial prostatitis or Prostatodynia syndrome. There is no known explanation as to why it happens, but it involves the urinary system, genital system, and the pelvic floor muscles, which may also explain your bowel problems. If there is no bacterial growth in the prostatic secretions and urine, empirical antibiotics usually have only limited effect. I would suggest you have a testosterone analysis, PSA (prostate-specific antigen) testing, urodynamic evaluation of the bladder and urine, and semen culture. But your bowel problems should further be evaluated by a gastroenterologist. Pelvic floor dysfunction, Prostatitis. 1. PSA, free PSA. 2. Urine and Semen culture Urodynamics. If it is a chronic pelvic pain and prostatitis syndrome most treatments are aimed at the symptomatic causes. However, new treatment modalitites such as magnetic innervation of the pelvic floor muscles, low intensity shockwave therapy along with Pregabalin oral treatment. For bladder functions treatment should be focussed on the result of the urodynamic evaluation." + }, + { + "id": 27676, + "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": 5020, + "tgt": "I am getting severe headache on taking Arava for inflammatory arthritis. Why?", + "src": "Patient: Hello doctor, I have a low-grade inflammatory arthritis. I have awful joint pain but minimal swelling and occasional slight inflammation in blood tests. The RA test is negative. Systemic steroid injection gives massive improvement. My consultant started me on Arava recently. At the same time, I have been weaning myself off Tramadol after being put on this irresponsibly by a pain consultant. Within a couple of days of starting Arava, a background headache began and a few days ago this reached an agonizing peak. The only thing that helped was Aspirin. My BP was raised and my Lisinopril has now been doubled. I stopped the Arava. My current medications are Lisinopril, Simvastatin, Omeprazole, Duloxetine. The headache is better but still in the background. So, I have the double issue of this and stopping Tramadol. My question is - Is the headache caused mostly by the Arava? And how long should I wait before seeing GP again? My BP is much better. I stress I am prone to migraines in any case. Doctor: Hello, Welcome to icliniq.com. The headache is likely to have been caused by a combination of the Arava (Leflunomide) and your raised blood pressure. Although we cannot know how much each of these contributed? Anyway, if your blood pressure rose a lot on Arava it is probably best not to have this again. Perhaps Methotrexate would be better for you. Has this drug been mentioned to you? Alternatives would be Hydroxychloroquine or Sulphasalazine. I suggest trying to see your consultant or specialist nurses again to discuss these drugs. It might be possible to reduce your Lisinopril back to normal dose soon, your GP can help with this, perhaps in a month. I hope this helps." + }, + { + "id": 17807, + "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": 23654, + "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": 9134, + "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": 16007, + "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": 910, + "tgt": "On taking medications, my postnasal drip has become thick. Why?", + "src": "Patient: Hello doctor, I am having postnasal drip for the past one month and had tablet Azee and Montair LC and took steam inhalation, but I think it got aggravated and the drip got thick because of it. I then consulted an ENT and he gave Nasomac AF spray, tablet Alaspan AM and Raciper 40. No improvement since seven days and then he gave Acetylcysteine 600 mg. The mucus comes out by coughing and I have to constantly clear my throat. I looked at the back of the throat and I could see white mucus dripping. I am 34 years old. Doctor: Hello. I understand that you are having constant post nasal drip. Is there any other symptom that is bothering you? Is there any lump sensation in the throat? Any nose block or runny nasal discharge? Any facial fullness? Did you ever have this problem before this month? The treatment given by your ENT appears to be correct and complete considering the symptoms you have told me. But are you using the spray in the right way? Antihistaminic, mucolyte and spray together should decrease the postnasal drip unless there is some pathology inside the sinuses that is producing constant mucus. Please tell us more details of your problem. Continue the same medicines for now. Take a picture of the back of the throat with open mouth showing the details of the mucus drip and send it to us. Please let us know if you are using the spray in the right way. If you are doing everything properly and this is the only symptom you are facing, then probably we need to check the insides of the nose using nasal endoscopy and a CT scan of sinuses. Next, is there any allergy that you suffer from? Do you smoke? Is your workplace ridden with dust smoke or pollution?" + }, + { + "id": 13349, + "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": 24490, + "tgt": "What can be done for loss of vision in the right eye?", + "src": "Patient: Hello doctor, My right eye had lost its vision capacity and now left is losing. I have consulted a doctor and he advised me that I have almost lost my right eye and now I have to take three injections for three months, each injection in each month. Please advise me what can be done further. Doctor: Hi. Yes, according to reports (attachment removed to protect patient identity), your right eye is suffering from a macular scar which according to current treatment modalities is now mostly untreatable. For left, which is also suffering from similar disease but the difference is that in the left eye the disease is still active and if anti-VEGF (vascular endothelial growth factor) injections are used now, we can regain some useful vision back and also we can reduce the chances and size of macular scar in this eye. The protocol says three injections for first three months, then repeat OCT (optical coherence tomography) to check the level of fluids, and then anti-VEGF can be given on required basis. I think you should go for anti-VEGF injections. It is your best chance. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2232, + "tgt": "After a fall, my daughter has got knee injury with difficulty in stretching. Can this be fracture?", + "src": "Patient: Hello doctor, My daughter went ice skating last month and she fell a few times but she was able to stand up and skate again. The next day, saw bruises on her legs especially the knee area but that disappeared after a few days. She mentioned that she still feels some pain but she can walk, move around and jump with it so I thought it is fine. However, recently, I noticed that she cannot stretch it to its maximum. Although she can move around with it, she says there is still a pain when she stretches it too much. What do you think is the problem? It is not broken, right? We cannot have it x-rayed due to lockdown. Doctor: Hello. If she is able to walk putting her full weight, she might not have a major fracture. But I want to ask you a few more questions to come to a conclusion. Is there any swelling around the knee now? Is there any history of massaging it every time she fell? Is she able to straighten out her knee completely now? Probable causes here can be some joint fluid in her knee which is causing an inability to stretch completely. If she is limping now also, if she is complaining of pain with every step, we should think of any ligament injury. Or else if she does not have any pain on walking, do not worry she does not have any fracture." + }, + { + "id": 6557, + "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": 11161, + "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": 7533, + "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": 1856, + "tgt": "I have alopecia in my beard. Will hair grow back in the patchy areas?", + "src": "Patient: Hello doctor, I have noticed some alopecia on my beard. It has been there for the past few months. I have never had any issues like this before and worried that the hair will not grow back. Is there anything I can do? I am currently taking Hydrocortisone for dermatitis in private area. Doctor: Hello. I can understand your concern. According to your statement, you have alopecia on beard. It has been there for the last few months and you are on medication like Hydrocortisone for dermatitis. You may be suffered from alopecia areata which is a peculiar form of hair loss that usually affects the scalp but can occur on any hair-bearing skin like your beard. For most patients the condition resolves without treatment within a year but the hair loss is sometimes permanent. The cause of alopecia areata is probably an autoimmune reaction. This means the body's immune system incorrectly attacks the body's own cells. In case of alopecia areata, the cells under attack are in the hair follicles (structure that grow hair), especially follicles within hair-bearing skin. Alopecia Areata can be resulted from autoimmune disorders such as atopy, allergy, thyroiditis, vitiligo, etc. Even some studies show that stress, family history of alopecia, vitamin deficiency like Biotin, Vitamin A, C, D, E, etc., nutritional deficiency like iron, zinc, protein, etc., can also cause alopecia areata. For the treatment of alopecia areata, you can use Intralesional corticosteroid injections, topical Minoxidil, Anthralin cream or ointment, and topical corticosteroids. By using any of the above-mentioned medication and taking vitamin and nutrition that are mentioned above, you can get rid of alopecia areata within some months." + }, + { + "id": 4868, + "tgt": "Please explain the causes and treatment for dark circles", + "src": "Patient: Hello doctor, I have had very bad dark circles under my eyes since I was around 7 or 8 years old and went to a dermatologist about it once which said they had something to do with a vein, but was not sure how to help. I was wondering if you could shed some light on this. I am 28 years old now and still have the dark circles which makes me look bad and would like to find the best solution to make them go away. Doctor: Hi. This is tear through deformity (attachment removed to protect patient identity). You can try dermal fillers. For this, visit your nearest dermatologist. It will give better result. Do not worry it will go. Do you have any addiction? Reduce your stress. Take proper 8 hour continuous sleep. Eat healthy food. Take care. Send your photos after taking treatment." + }, + { + "id": 25606, + "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": 8441, + "tgt": "I am unable to achieve orgasm because of masturbation. Why?", + "src": "Patient: Hello doctor,The inability to achieve orgasm because of masturbation. I recently got married on before two months. I have been doing masturbation earlier, but now while having sex with my husband, I did not feel orgasm had done or not after he finishes then I had to do masturbation because I had not done. Doctor: Hello. It is a small complication of female masturbation. Since you had the exposure to orgasm, you expect the same or more during sex with your partner. Medical fact vaginal penetration will not give female climax or orgasm, clitoral manipulation can. Talk to your partner, explain your needs directly or indirectly. Teach your partner how to give orgasm to you in an understandable way. Take your time, sex after female orgasm have good fertility rate." + }, + { + "id": 23839, + "tgt": "What can be done for bad throat and ulcers inside throat?", + "src": "Patient: Hello doctor, My mother has a bad throat for a month now. I believe it is because of excessive yelling all the time due to some reasons. She went to an ENT three weeks before and that did not help even a bit and there were other side effects of gas, worsening of piles, and constipation. She has pain in her throat while even drinking water. Earlier she used to have these pain too because of excessive yelling but that got healed itself within a day or maximum two days but this time it has been a month. Also, the ENT we took her to said that it is an infection. And also my mom just told me that she experiences some very tiny ulcer kind of things inside the throat with her tongue which she cannot see in the mirror though. Please guide. Doctor: Hello. With the symptoms and the pictures you have sent (attachment removed to protect patient identity), it appears your mother has some laryngopharyngeal reflux with associated inflammation in the posterior larynx. This along with the yelling would have resulted in edema around the region along with pain. If you were to bring your mother to me I would suggest taking tablet Pan (Pantoprazole) 40 mg one tablet twice daily before meals for 15 days. Next, you should take syrup Gaviscon two tablespoon half an hour after each meal for 15 days. To relieve pain, she may take Dolo (Paracetamol and Hydrocodone) 650 mg one tablet once or twice daily as necessary. If she can pinpoint where she feels ulcer, she can apply Dologel CT gel over the area using clean fingers twice daily. If the ulcer is badly painful she can chew Lidocam (Benzoxonium chloride and Lidocaine) lozenges which relieve pain wonderfully. Initially, to remove inflammation I would also advise on taking Chymoral Forte (Diclofenac) tablet twice daily for five days. Looking at the pictures I do not feel there is an active infection that we should start her on an antibiotic. We shall observe her for three to four days and if the pain does not get relieved we can institute antibiotics for her. Secondly, she must follow some dietary restrictions as follows: If she has symptoms of foreign body feeling in throat or excessive mucus or nose block or post nasal drip we may have to add some more medicines. But for now, these medicines should suffice. Be in touch and write back to us and let us know how she fares. If there is anything more you wish to know from us do write back to us. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16645, + "tgt": "Shaking the whole body during the night sleeps at times. What is it?", + "src": "Patient: Hello doctor, My brother-in-law, aged 15 years was seen to be shaking the whole body during the night sleeps at times during the last six months. But during this problem, he remains unconscious. He does so only when he is in deep sleep. We consulted a doctor locally and he suggested MRI of the brain and EEG. He also prescribed some medicines and said that he will have to take the medicines for at least three years, and then only the problem can be cured and also suggested that he should not sleep for more than six hours at night. So I want to seek your opinion in this regard and what is the disease and could it be cured? Also advice on the medicines prescribed by our local doctor and any other precautions to be taken. Doctor: Hi. The diagnosis seems to be correct (attachment removed to protect patient identity). It indeed looks like epilepsy. Sometimes, the cause is unclear. Sometimes it is due to an underlying genetic problem. However, MRI being normal there is no need for any kind of surgical treatment for this problem. EEG is abnormal and he would definitely require antiepileptic treatment for 2 to 3 years at least. After that, repeat EEG and see for improvement. If no seizure recurrence during these three years, then antiepileptics can be tapered off." + }, + { + "id": 10318, + "tgt": "My mother had TB meningitis and is now suspected to have tubercular spine. Help", + "src": "Patient: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is taking is also attached. The medicines had come down to only one tablet (R-Cinex) in the last 10 months. But, now for the last two\u00a0months, she started having back pain in the\u00a0spine area and is now suspected to have a TB infection in the spine. She has a history of L3-L4 collapse four years ago, but that was due to osteoporosis. Her BMD score was -3.2. The spine has been severely infected from L1 to L5. \u00a0The MRI revealed an\u00a0abscess with a pus collection in it (report attached). The doctor says it could be\u00a0Pott's spine and may be because of a drug resistance (MDR), and they wanted to perform a USG aspiration for Xpert plus SRL, culture and sensitivity of pus. But, the\u00a0test did not happen because the location of the pus was very deep in the muscle and could not be extracted. So, they extracted some tissues near by the infection area and sent for a small biopsy. The report of the histopathology (small biopsy) is also attached. It says mild nonspecific chronic inflammation. Since\u00a0no strong evidence of drug resistance could be found in the small biopsy, the doctor has restarted the medicine of AKT-4 plus STM 0.75, and they want to see whether this reduces the problem or not. They said we cannot start DR/MDR treatment without any strong evidence of drug resistance. The current OPD card is also attached in which the medicine has been restarted. Now please guide us about what should be the\u00a0treatment plan of the disease based on the information submitted. Can anything can be done to get a strong evidence of drug resistance since the ATT medicine is very heavy and the\u00a0doctor has restarted this medicine only on the basis of his opinion? How can we assess the recovery from the disease apart from relying only on the\u00a0reduction of pain? Does she require any further MRI or any test after some time? Doctor: Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6111, + "tgt": "I have a zit or pimple on nose. Should I be concerned about skin cancer?", + "src": "Patient: Hello doctor, I have a zit or pimple on my nose. I had it for a few years. I was never worried about it. It does not look too extreme or anything. But someone mentioned about skin cancer sometimes starting as small red bumps that do not go away. I am not sure if it is possible to have a pimple for years. Or is it something to be concerned about? Doctor: Hello. Please upload the pictures of affected areas for an exact diagnosis." + }, + { + "id": 27930, + "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": 18049, + "tgt": "I am suffering from hypothyroidism and taking eltroxin and thyronorm. But cholesterol is raising. What to do?", + "src": "Patient: Hello, I am suffering from hypothyroidism and taking eltroxin and thyronorm. But cholesterol level is raising.\u00a0What to do? Age - 46 years, female. Height-160cm. Weight - 58kg Doctor: Hi. Will provide more insight if you can come up with the actual lipid profile and thyroid status to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 162, + "tgt": "Please suggest some medicines to get relief from severe toothache", + "src": "Patient: I got a severe toothache which I was already done a root canal treatment I couldn't found any dental care due to corona virus can you please suggest some prescription to get a relief from the pain Doctor:" + }, + { + "id": 15843, + "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": 17495, + "tgt": "Will the food taken in the previous night affect fasting blood sugar?", + "src": "Patient: Hi doctor, I am 48 years old and I have not been diabetic till now. Three months ago, my blood pressure readings were higher than usual and my doctor changed my medicines (Omnitan-H 20 mg and Amlopin-M 20 mg to Olmetrack 40 mg and Lnbloc 10 mg). I took the new medicines for some time, but they did not suit me as I had white coat hypertension and I stopped taking them with the consent of another doctor and returned to the older ones. He gave me some new medicines (Zevit, Clonafit Beta and Antoxid) to treat the anxiety and nervous weakness issues caused by the hypertension medicines. I have read that the side effect of these medicines is high blood sugar. I went for an early morning fasting blood sugar test last week, I had taken a glass of milk before sleeping and I took fenugreek water and garlic in the morning to lower my blood pressure. I had also been eating some sugarcane for a week before the test. My blood sugar was diagnosed to be 126 mg/dL. Is this because of the medicines and above factors? Or am I in the risk of being diabetic now? Doctor: Hi. Revert back with the report to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 8172, + "tgt": "I am suffering from vaginal spotting and swelling of leg after C- section. What is the treatment?", + "src": "Patient: Hello doctor, I am a 32-years-old female. My second baby was delivered by LS/CS method before a week after completing 36.5 weeks. Doctor also removed my uterus as I had been suffering from a complication of central placenta previa with increta/parcreta. And I had even bled a few little clots during 29th week. During the above operation, I lost heavy bleeding about 4.5 liters, for which six units blood and four units plasma were transfused and was admitted to CCU for ventilator support. After a few days, I was discharged from the hospital with a stable condition before four days. After arrival at home, my legs started swelling and also releasing vaginal blood spottings occasionally. Besides, my above C-section was performed with a large cut than my previous cesarean was done before five years, and the doctor has advised visiting for stitches (sutures) removal. Please share your opinion and advise me over the above case, including swelling, blood spottings, large cesarean cut, and future complications on account of above issues. Doctor: Hello. Placenta previa with increta is a severe condition, so uterus has to be removed due to bleeding. Swelling may be due to anemia or blood transfusions. Take tablet Lasix one tablet once a day, it will cause frequent urination. Blood spots will disappear after a few days. Take a rest. What about the baby? The cut was large because surgeon first done lscs (lower segment cesarean section) then because of bleeding decided to do a hysterectomy." + }, + { + "id": 612, + "tgt": "Lump on my right side of anus healed on medication and now it has recurred on the left. What to do?", + "src": "Patient: Hello doctor, Eight months before, I felt a small lump around the right side of my anus area, (before I had itching around the anus for several months). Later that lump became larger and painful in a week. I consulted a homeopathic doctor and he gave me medicines (Paeonia off Q, Acid muraticum, Acidum nitricum), I took that medicines, and the lump wound burst in three days. But that wound skin has not dried yet, and it still watery, it also feels itchy sometimes. Besides this issue, for a week I am feeling another small lump on the left side of my anus area, and I feel like sure it would become big and painful like the previous one. So I need your consultation to cure it forever. And these wounds appear externally around my anus. Doctor: Hello. It seems you have a perianal abscess. Perianal means around anus and abscess means collection of pus. It can be secondary to chronic itching and excoriation of the skin resulting in abscess formation. It can occur secondary to poor hygiene in and around the anal area. Since the one abscess is already burst, this will allow pus to drain and would heal itself. But the other evolving abscess would burst and lead to pain as you may be experiencing. There was the simple explanation of your problem, sometimes there is a problem with the small or large bowel, a condition is called Crohn's disease, which causes inflammation of the small, large bowel as well as perianal area resulting in an abscess, anal fissure, and fistula. I can recommend you some antibiotics but urge you to see a gastroenterologist in nearby and let be examined by him thoroughly. Or you can send me pictures of the area which is painful and discharging pus, as I can guide you further on this. For now take the following regimen for seven days, and come back to me to inform about improvement in your symptoms. We can then adjust medicine or add others if this does not work. Perianal abscess. Crohn's disease Stool for fecal calprotectin. Complete blood count. Crohn's disease. Perianal abscess. Tablet Metronidazole 400 mg thrice daily for seven days, capsule Cefixime 400 once daily for seven days. Half tub of warm water, add 5 ml of Dettol antiseptic, sit in the tub for 5 minutes three times daily for seven days. Maintain hygiene innthat area, regular removal of area, avoid long sitting on hard surfaces like table, chair or floor. Follow up in one week with tests and inform me about the improvement of symptoms." + }, + { + "id": 18877, + "tgt": "Is it possible to get pregnant with dry humping?", + "src": "Patient: Hello doctor, Is it possible to get pregnant with dry humping when he ejaculates directly on my leggings near the vagina? It was on the ninth day of my period and I usually have 28 to 30 day cycle. I have done a lot of research on this on the internet. Some say it is possible, and some it is not possible. Please clarify on this, since I am too worried about that. I already have a baby and it will be too early for the second child. Doctor: Hello. Ejaculation near vagina has a chance but because you were in your safe period there is mostly no chance of pregnancy. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2501, + "tgt": "Will drinking lots of water and honey intake help in reducing nose and throat inflammation?", + "src": "Patient: Hello doctor, I have a few questions regarding inflammation anywhere in the nose or throat whether mild, moderate or severe. Does drinking a lot of water, gargling with salt water, taking tablespoons of honey each day, and getting a lot of sleep remove it fast and also prevent it in the first place? Also, what are the best and quickest natural ways to get rid of inflammation fast and prevent it from happening in the first place from then on? If able you can also share medicines that are for it. I am also curious as to whether dust can cause allergies that can lead to inflammation. I am trying to learn more about health and medical care. This has been only recent and I would say it is rather mild. I realize each time it occurs it is in the spring or if I have not been eating healthy and enough, not getting enough consistent sleep, and areas of my home have dust, especially since I have been inside at home for the past three weeks straight. Checking in if I am doing the right things to properly take care of it. Doctor: Hello. All the habits of water, honey, etc., are helpful. No doubt about it. One more thing if you can do is put almond oil (provided you are not allergic to almonds) 0.5 ml in each nostril for two to three days. It really works well. I personally vouch for it. You will sleep better too. As you said it is seasonal so allergic components will be there. So you will require the following for proper resolution. Take one tablet Montelukast 10 mg, Levocetirizine 5 mg once a day in the evening as it causes little drowsiness. Montelukast is available as Singulair 10 mg. Levocetirizine is available as Xyzal 5 mg. I hope this helps." + }, + { + "id": 5309, + "tgt": "I am 10 years old and my bottom first premolar is loose. Is it normal?", + "src": "Patient: Hello doctor, I am 10 years old. I do not have my second premolar in the upper side, I only have the first premolar. It has been like this for my whole life. My bottom first premolar teeth are getting loose, and my upper first premolar teeth have fallen down. Is this normal for a 10-year-old? What is the difference between a baby tooth an adult tooth? Doctor: Hello, Welcome to icliniq.com. You have got some interesting questions here. Firstly, during our baby dentition stage, we have two incisors, one canine, and two molars (on each side). 10 teeth on each jaw, a total of 20 teeth. Premolars come into play only during the adult dentition stage. And to your second question, yes, this is absolutely normal at the age of 10, to feel some of your teeth getting loose. The stage you are in is called as mixed dentition. You will have both baby and adult teeth in your mouth. Premolars erupt between 10 to 12 years. Baby and adult teeth differ by size and color. Baby teeth look small than the adult teeth. The color of the baby teeth is dull-white whereas the adult teeth are brighter yellowish white. Right now, you will have permanent incisors (top four and bottom four), permanent first molars (top right one and top left one, and bottom right one and left one, totally four) fully erupted and probably bottom permanent canine erupting, one on each side. Baby teeth like baby molars and baby canine (top) are in the process of getting loose. I hope this was informative and useful." + }, + { + "id": 7005, + "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": 17069, + "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": 15653, + "tgt": "What to do if there is no withdrawal bleeding after taking Unwanted 72?", + "src": "Patient: Hi doctor, I had unprotected sex last week, and within three hours, I took Unwanted 72. It was the 11th day of my period. I usually have a 28 to 30 days cycle. Even after five days, I do not have a sign of withdrawal bleeding. What should I have to do if I do not get withdrawal bleeding? Doctor: Hi. If you have taken Unwanted 72 (Levonorgestrel) within 48 to 72 hours of unprotected sex, with a proper dosage without vomiting, then you can have bleeding within one to two weeks. If these requirements are fulfilled, then there is no need to worry, and you can wait for bleeding. If you do not observe bleeding even after three weeks, then it is better to have hormonal induction after doing a pregnancy test (beta hCG). If the pregnancy test comes negative, after two to three weeks, you take tablet Primolut N 10 mg (Norethisterone) twice daily for seven days and then again wait for bleeding for one to two weeks. Menstrual cycle usually gets disturbed due to externally induced hormones and until it gets rid of the body." + }, + { + "id": 19360, + "tgt": "Can a change from allopathy to ayurveda antidepressant cause fatigue?", + "src": "Patient: Hello doctor, I had allopathic antidepressant for the past two years. Now, I replaced that by ayurveda treatment, but I am feeling very much fatigue, tired, lazy and dizzy. What is the reason? Currently, I am having Manasamitra vatakam medicine. Doctor: Hi. Revert back with the asked details to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28232, + "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": 2284, + "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": 2929, + "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": 16158, + "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": 20688, + "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": 3694, + "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": 25891, + "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": 23250, + "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": 21636, + "tgt": "My Klebsiella count is high. Is it of concern?", + "src": "Patient: Hello doctor, I am feeling a discomfort sensation in the urine bladder (I feel like passing urine every time) since the last one and a half months. USG and urine route are all normal but culture seems positive. Please let me know whether blood culture report is also normal. No fever and no issue in passing urine. Currently, taking Alfoo and Bladmir 25 mg but discomfort is not gone. I am not on any antibiotics. Reports are attached. Can you tell me wether urine culture report is normal? The count is over 1,00,000 for Klebsiella pneumoniae. The urologist told it is normal. Doctor: Hello. I have checked the attached files thoroughly (attachment removed to protect patient identity). In my opinion, we should clear the Klebsiella infection first and then watch for improvement. First, I would like to know if you have increased frequency. In order to clear the infection, I suggest Bactrim (Co-trimoxazole) 200 mg tablet every 12 hours for five days. Culture will be repeated after one week. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12416, + "tgt": "Will extraction of nearby tooth cause sensitivity in other teeth?", + "src": "Patient: Hello doctor, Six weeks ago, I had tooth #2 pulled. The healing process has been normal as described by my dentist. I am now experiencing temperature sensitivity on tooth #4, which was previously asymptomatic. Even room-temperature liquid hurts. About eight weeks ago, I had the crown on tooth #4 replaced for cosmetic purposes. There was no pain with this and it did not hurt until this past week. Is there a chance my roots or nerves might be shifting due to the healing process of the extraction and causing the sensitivity? As a side note, tooth #3 in between the extraction and the one that hurts has had a root canal therapy years ago, which (I assume) is why I am not feeling pain in that one. Doctor: Hi. Yes, your tooth might be sensitive due to the extraction process that happened in the surrounding area. Keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day for a week. If sensitivity goes away, well and good. If symptoms remain same, and sensitivity to air and liquid increases, it means your root is now sensitive and you might need removal of the crown, get a root canal done of this tooth and get back the same crown on it. Give me followup after a week. Stay happy and blessed." + }, + { + "id": 8959, + "tgt": "Will second molar shift in empty spot after wisdom tooth extraction?", + "src": "Patient: Hello doctor,If I get my wisdom teeth extracted, do my second molars shift in that empty spot? Doctor: Hi. No, it will not shift to the empty space, but it might tilt and that too very little. Because the third molar is vestigial. If you have any associated problem with the third molar you can extract it. If you do not have any problem, do not remove it. In case you have any caries or repeated pericoronitis, you must remove it. My answer is no shifting but slight tilt only. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24098, + "tgt": "Should one worry about heart attack at the age of 32?", + "src": "Patient: Hello doctor,My wife had an echo, stress test, and several EKGs and a 30-day event monitor done about three and a half years ago. She still gets a slight pain in the chest area from time to time. Her grandparents were the only ones that had any heart trouble. She also has extreme health anxiety about her heart. Should she be worried about SCA or heart attack at age 32? I want to put her fears to rest. She takes Atenolol 25 mg for her fast heart rate because of the anxiety. She is 5\u20191 and weighs 175. Doctor: Hello. Unfortunately, I got no clues on what were the results of those cardiac investigations. If possible, can you please elaborate a little bit on what was the outcome of those hearts tests you mentioned earlier? If I assume there was not much they found abnormal in the cardiac evaluation three and a half years back, then she need not worry about the heart to be arrested suddenly. If there are no major risk factors, she is less likely to have SCA (sudden cardiac arrest). Females are less prone to get SCA compared to men. Getting pain in chest at the same time every time is not so relevant to the heart-associated pain unless there is a specific activity that triggers that pain at the same time every day. She should definitely take her medications on time and I would suggest getting all the heart investigations done afresh. Consult her cardiologist for a follow-up visit in order to get a re-evaluation. Hope it helps. Please add some details regarding her past cardiac test results in order to get a more personalized response. You can add a follow-up query here. I would be happy to assist as soon as possible. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25817, + "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": 29181, + "tgt": "Can I take Kalachikai to treat inguinal hernia?", + "src": "Patient: Hi doctor, I am having direct inguinal hernia on the left side. Can I take Kalachikai\u00a0to treat hernia? Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18342, + "tgt": "Can I use Unwanted 72 to terminate pregnancy?", + "src": "Patient: Hi doctor, Is Unwanted 72 dangerous for health? Can I use Unwanted 72, if pregnancy is not confirmed? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2526, + "tgt": "What should I do for eczema-like lesion on the face?", + "src": "Patient: Hello doctor, I just noticed that in my face near to mouth, I have something like eczema, but colorless. I checked on the net and it is like ringworm. I am very much worried. What should I do? I am currently on beta blockers. Last week when I had a blood test, my doctor advised me to take Iron supplements. Doctor: Hi. Please put up some clear pictures of the affected area for proper evaluation and guidance. Thank you. Revert back with photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18018, + "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": 30041, + "tgt": "Am I under the correct treatment for leg injury?", + "src": "Patient: Hi doctor, 10 days back, I met with an accident and got my right leg injured below the knee level. I have swelling in the right foot since then, which has decreased a bit, but still persists. Even the x-ray report of the leg and foot are normal. My doctor said that it might be due to infection caused by clotting of blood in the leg. I have been advised to keep my foot above my chest level while sleeping. The swelling has decreased, but I have pain near the ankle only when I touch. I am currently on Ciplox and Acenext-P. Doctor: Hi. Revert back with the reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29186, + "tgt": "After a fall, how to make sure that my pacemaker is working properly?", + "src": "Patient: Hi doctor, I have got inserted a pacemaker before three years. Two weeks ago, I had a fall, and the pacemaker hit on the floor.\u00a0A week later, suddenly my pacemaker gave a beep sound, and my heart started beating faster, and I was about to get unconscious. When my brother took me to the\u00a0hospital, the doctors told that the pacemaker would not beep. But, I am sure it beeped, and after that,\u00a0I had uncomfortable heart rhythms and a sharp pain in my chest. It\u00a0happened only once. Can you please tell me what I should do now? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29131, + "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": 25910, + "tgt": "I want to know if pills Mifepristone, Misoprostol are genuine and reliable and how to use it?", + "src": "Patient: HelIo, I want to know if my pills unwanted-kit from mankind (1 Mifepristone, 4 Misoprostol) genuine and reliable\u00a0and how to use it? Doctor: Hi. You can take tablets of misoprostol by mouth, usually within 48 hours of mifepristone. Depending on the dose, this could be as soon as 6 hours after the mifepristone. Mifepristone causes the placenta to separate from the endometrium. It also softens the cervix and increases uterine contractions to allow the uterine contents to pass. Misoprostol causes uterine contractions so that your body passes the uterine contents. In some clinics, you may have asked to stay for 4 hours after misoprostol is given, because if serious side effects occur; they usually occur in this time period and can then be treated. The pregnancy may end in the clinic or later at home. It is reliable to use but has certain side effects. Feel free to ask an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14928, + "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": 13525, + "tgt": "Is it normal to have frequent nightfalls?", + "src": "Patient: Hello doctor, I am 27 years old. I have to face problems of falling of sperm. Nightfall happens four times a week. Some time my penis feels burning. It hurts me. I met so many doctors for some days, I get relief, then again I test all sugar, thyroid, and so on. All are negative. Doctor: Hello. I can understand your concern. You have the problem of nocturnal emissions four times a week and this is happening most probably due to the lack of sex or masturbation. Engaging in masturbation or sex would reduce the frequency and you will feel better. The burning in the penis is probably due to infection. This is happening most likely due to poor hygiene due to repetitive night falls. Clean your penis with neutral water and if needed take proper treatment. Take care." + }, + { + "id": 675, + "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": 9196, + "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": 1387, + "tgt": "I am 23 years old with a habit of urinating in bed still. Please suggest medication", + "src": "Patient: Hello doctor, I am a 23-year-old female. I used to urinate on the bed since childhood. Please suggest me some medicines. Doctor: Hello. Have you tried any medication before also? Do you have a dry period anytime until these 23 years? You still do bed-wetting on a daily basis or it is just when you cough or sneeze? Do you have any history of diabetes or hypertension or any medications? Kindly elaborate on how many times at night you wet and how many times you get up to urinate?" + }, + { + "id": 27070, + "tgt": "My daughter has a vertical dark streak along her finger nail. What do you suggest?", + "src": "Patient: Hello doctor,My daughter has a vertical dark streak along her nail on the middle finger only. It has been there for three months now. There is no known trauma.Could I ask what you suggest we should do? It seems to be darker than before. We went to a dermatologist and they told us not to worry because it appears to be only the nail which is affected and not the skin. However, we are very worried it could be cancer. Doctor: Hello. Hope it helps. Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 21230, + "tgt": "Why do I have acute blurred vision and minor color reduction in my eye?", + "src": "Patient: Hi doctor, I have a minor color reduction for a long term. Recently, I have an acute blurred vision. I have pain and discomfort when I am moving the eye. I have a slight change in color sight with slightly reduced red color vision in left eye. I have attached an MRI Axial T2 Propeller image from a brain scan. The image shows a hyperintensity (white sheath) surrounding the optical nerve. Could you please identify what is the white sheath that indicates on this type of MRI image and the possible cause for the difference of appearance between the two optical nerves? Doctor: Hi. The MRI shows features suggestive of left-sided optic nerve sheath meningioma with possibly both sided Inflammatory orbitopathy (muscle enlargement is quite apparent). But these needs be correlated clinically. Although meningioma is recognized to be a benign tumor, it can cause pressure effects on the optic nerve and can cause compressive optic neuropathy. Inflammatory orbitopathy also shows a similar picture. A drop or alteration in color vision, reducing visual acuity, pain on eye movements especially inwards towards the nose or upwards are the features suggestive of optic neuropathy secondary to compression. Hence this needs immediate treatment by an ophthalmologist and radiation oncologist. There are no home remedies or preventive measures. The best treatment for optic nerve meningioma is fractionated radiation therapy, and for inflammatory orbitopathy, it is immunosuppressives like steroids. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12754, + "tgt": "What does infantile hereditary optic atrophy mean?", + "src": "Patient: Hello doctor, My wife was diagnosed with infantile hereditary optic atrophy when she was young. She is now 52. Can you provide me with some up-to-date information or a webpage that explains the disease, its symptoms, if it goes by any other name or is a symptom of another disease, etc? I can only find some pages so far that are not very clear or shows a copy of an explanation from 45 years back. Has anything changed in the past 35 years or so in regards to the disease that we should be aware of or is it basically still the same issue it was back then? Doctor: Hello. I am very sorry about your wife, optic atrophy is an irreversible process and once the optic nerve has atrophied, there is nothing we can do. It is regarded as the end stage of the inflammatory process of the optic nerve called optic neuritis, optic neuropathy. Regarding the disease, you can read online about optic neuropathy, hereditary optic neuropathy, this should tell more about how the disease progresses, its inheritance patterns if it spreads to your children and how we can diagnose it early and try to prevent the progression to optic atrophy. Regarding newer advances in treatment, these are confined to optic neuropathy and no treatment currently available has been found to reverse optic atrophy. A few noteworthy and well-acclaimed treatment trails are ONTT- optic neuritis treatment trial and CHAMPS- controlled high-risk Avonex in multiple sclerosis study." + }, + { + "id": 8700, + "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": 29841, + "tgt": "My sister got cerebral infarction due to emotion. How to get her treated?", + "src": "Patient: Hi doctor, My 21 year old sister got cerebral infarction because she talked to father after 15 years and big emotions were involved. One of her pupils of the eye became larger and she could not see properly. Doctor has done CT and confirmed it was cerebral infarction. She is already fine for the moment, but I seek help for a second opinion. May this affect her in the future? What should be avoided? I guess contraception definitely. It happened for the first time. She takes medication for asthma and allergy, but not regularly. Doctor: Hello. Still need further evaluation. MRI brain and orbits with contrast, also may need MRI spine with contrast, visual evoked potential, somatosensory evoked potential, ANA (antinuclear antibody), anti-dsDNA (anti-double stranded DNA), C-ANCA (cytoplasmic anti-neutrophil cytoplasmic antibody), P-ANCA (perinuclear anti-neutrophil cytoplasmic antibody). 1. Optic neuritis (cause to be looked for). 2. AION - acute ischemic optic neuropathy. Optic neuritis (optic nerve inflammation). Revert back with the reports to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13756, + "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": 16328, + "tgt": "Kindly let me know some exercises to strengthen abdominal muscles after hernia surgery", + "src": "Patient: Hello doctor, I underwent surgery for umbilical hernia. Kindly let me know some exercises to strengthen the abdominal muscles. Doctor: Hello. You must take complete rest for one week, and no exertion up to one month. After one month, you may get back to normal activities without restriction. It is advisable to start the routine work slowly and gradually. It is not advisable to do abdominal crunches after hernia surgery, even when fully recovered. There is a common misconception by patients that strengthening the abdominal muscles will help prevent a future hernia. But this is not true. The abdominal muscles have nothing to do with hernia. Hernia develops because of the weakness in the abdominal fascia. Fascia is the dense sheet that encases muscle and attaches muscle to bone. Fascia is rich in collagen. Exercise does not strengthen fascia but may weaken it. Consult a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19377, + "tgt": "What could cause anal fissure?", + "src": "Patient: Hi doctor,I have fissure-in-ano. The fissure is posterior that is internal. I have tried Smuth and Sucral Ano cream. But, it did not heal. Can you suggest the\u00a0best treatment? Doctor: Hi. Revert back with the detailed history to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19072, + "tgt": "My friend got vocal cord problem after neck surgery. Which doctor should we follow now?", + "src": "Patient: Hello doctor, My friend is 30 years old. She had a neck schwannoma tumor, and that was completely removed by surgery. Post surgery, my friend could not eat or drink anything. Her voice was hoarse as well. ENT doctor followed up her and noted that her right vocal chord was paralyzed,\u00a0but not the left. For her feeding, they installed a G-tube in the abdomen to give her feed from as she could not tolerate it through her mouth or nose. The ENT did the micro laryngoscopy and gave her a temporary injection to bring her right vocal chord closer, so her voice improves and encourage water intake. After three days of this procedure, she tried in the evening time to drink water and little by little; she finished half a glass. She has too much gagging that gives her a feeling of choking. When she clears her throat, the gagging looks like super sticky clear glue, and she constantly has it. The next morning she tried to drink water little by little, but she was getting aspiration. So, she got discouraged and depressed to a severe level. It is now 48th day since the removal of her tumor, and there does not seem to be any sign of her swallowing. I want to know if this is temporary or permanent. We got a couple of opinions from doctors that we sent her surgery report to and they think she can recover anytime between three to six months. The doctor who did the surgery is a vascular surgeon, and he also believes that she will recover from two to three months and will start eating and drinking slowly. I have asked the doctor about the nerve damage or cut. He said that he was not sure about the exact nerve, but seemed like a branching nerve. When I asked him if it was 10th or 12th nerve, he said it was the 12th branching nerve. The ENT doctor said 10th nerve, and it can be permanent damage. The vascular surgeon did say that they repaired the nerve and did not leave it like that. She is currently on Lorazepam, Sodium bicarbonate, Cotazym, Tylenol, Centrum and Ranitidine. At this point, I do not know what to believe anymore and what to think. I believe nerve specialists are neurologists and hence, I am here. Any of your help would be greatly appreciated. Thank you. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19492, + "tgt": "There is bruising and pain in my hip. What is the remedy?", + "src": "Patient: Hello doctor, I am having pain and light bruising below my left hip since a week.\u00a0It was not caused by banging/slamming into something.\u00a0I was doing stomach crunches and then went for running.\u00a0I felt discomfort initially while running, then got progressively worsened. Movement was matched with intensive pain for 36 hours, then steady, milder pain ever since.\u00a0I cannot tell if it is muscular or a crossed nerve.\u00a0There is no noticeable swelling, there is just bruising and pain with movement. What is the diagnosis and remedy? Doctor: Hello. I can tell you a general protocol for soft tissue management which consists of : Revert back to an orthopaedician and traumatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24128, + "tgt": "How can I remove dark patches due to jock itch?", + "src": "Patient: Hello doctor, I had jock itch six years ago over the groin area and lower abdomen. It was completely cured then but has left dark patches. I have been suggested by a dermatologist to use Glycolic acid 6 % cream, which does not seem to be working. Suggest an effective ointment to clear the dark patches completely. Doctor: Hi. Infections of the skin usually heal with hyperpigmentation. This post-inflammatory hyperpigmentation is tough to resolve and would take years to go completely. However, creams containing Kojic acid do help to quicken the recovery twice daily for three months. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30879, + "tgt": "Shall I go with CT scan to know the reason for my father's problem?", + "src": "Patient: Hi doctor, My father is not able to walk properly. His x-ray is fine. I guess it as some brain issue. Shall I go with CT scan? Kindly suggest. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8952, + "tgt": "My glans appears wrinkled and red. What could the issue be?", + "src": "Patient: Hello doctor, I am a 29 year old male. I have abnormal appearing glans of the penis. The glans started to change several years ago becoming very wrinkled and have a redder appearance than before. The meatus started to change at about the same time. I have not had any sores on the head, but had friction bumps that would come and go after sex. I have previously had multiple partners, but have been with the same partner for four and a half years. I have previously had a full panel STD test and everything came back negative. I am seeking a dermatologist's opinion as to what the issue could be and the possible treatments for it. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). As far as all your investigations regarding sexually transmitted diseases are normal and you are not having any other symptoms (except wrinkling), you need not worry about the appearance. Try to apply proper lubricant like petroleum jelly or vaseline two to three times a day and avoid rubbing or friction. Sometimes, it is a normal variant. Having pimples are folliculitis which appears in these areas and they eventually heal. So your main treatment is reassurance and have to follow-up after six months in order to see any other pathological change. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18992, + "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": 20711, + "tgt": "Can guilt and stress lead to panic attack and fainting?", + "src": "Patient: Hello doctor, I had a thermal shock and I felt like I am dying. They took me to the hospital and she was there and saw me and the whole situation. I was not able to move my body. She was shocked, she was not able to say a single word just watching them taking care of me. She spent all the night crying. She could not stop herself. I called her all the night and tried to calm her down and tell her that I am okay and everything is fine but she could not stop herself from crying and she told me that she feels guilty because she was not able to do a thing while we were in the hospital. Since that day till now every night before going to sleep she starts feeling scared and sometimes she starts crying and when I ask her why are you crying she says I feel scared and I cannot forget the day I saw you in hospital. I thought it is just a matter of days till she forgets the whole thing but yesterday they called me and told me that she has lost consciousness while working. I went to her and she told me she felt like choking and her heart beats rate were so high and she felt cold. The doctor told her that she is fine and she may be so stressed and would have had a panic attack and this could have lead to such behavior. I told her that we need to go to a psychologist but as expected she refused and she told me that she can handle but I need to be around all the time whenever she calls or looks for me. I thought of taking her out to change her mood, going to walk or the gym to release the stress but she keeps refusing and telling me that she wants to stay in her room and she does not want to be around people. She just wants me next to her. That is all. What scares me the most is that she might have physical issues, feeling tired, and panic attacks add to the random high heart beating rate. Please help me. Doctor: Hello. The condition of your electric shock is stress for her and guilt is also present that she did not do anything to save you. These are creating severe stress to her. Maybe she is having flashback episodes of those events in the night time. Internally she has accepted that she is responsible for all those events. The best way of treating her is psychotherapy and medications. Stress. Depression. Psychotherapy with pharmacotherapy." + }, + { + "id": 19683, + "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": 22920, + "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": 12683, + "tgt": "What is causing chest pain while breathing and movement of right arm?", + "src": "Patient: Hi doctor, I have pain in the chest on the right side and when I take a breath sometime, pain during breathing and also during movement of the right arm or other types of movement and feeling like vomit and weakness in my body. Tell me the symptoms of this pain. Doctor: Hi. Pain in right side of chest with breathing movements and nausea shows that you have some chest infection. Please follow this. X-ray chest to rule out infection, take tablet Zanaflex 2 mg three times a day till you get the report of X-ray (minimum three days). If pain improves and X-ray is clear this means its simply due to muscle spasm. If X-ray shows infection or you get fever or pain does not improve on taking Zanaflex please start some antibiotic like Azomax 250 mg after every 12 hours for a week." + }, + { + "id": 22978, + "tgt": "How can I lose weight?", + "src": "Patient: Hello doctor, I am 171 cm tall, 38 years old, and 80 kg weight. Since the last one to five months, I have left wheat 80 % from my diet and following on average 1000 to 1500 calorie diet everyday. Initially, I lost weight from 80 to 78 kg in two weeks, but now I am stuck on 79 kg weight. I do not know what to do. I walk two kilometers three times a week or swim two to three times a week. Kindly suggest what to do. I am really frustrated as no result is coming now. I want to lose weight. Doctor: Hi. I understand your concerns. Many persons on the 1200 calorie diet face a similar issue. Here are the tips to lose weight : You should eat small healthy snacks between main meals. Do more cardio exercise. Avoid eating carbohydrates after 7 PM. Good sleeping hygiene (sleep not less than 6 hours at night). Drink fat burning beverages (like lemon juice). Take one day off per week. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19258, + "tgt": "Can reactive thrombocytosis cause stroke?", + "src": "Patient: Hello doctor, I\u00a0donated plasma through plasmapheresis. When the IV was initially inserted, my blood did not flow through the machine. The technician came by and wiggled the IV, but the blood still did not flow. The technician then switched the IV to my other arm. It began to flow after about five minutes. I completed the process successfully. I was instructed to wait for five minutes before leaving to make sure I felt fine. The following info is an excerpt from my discharge papers. Immediately upon entering her vehicle a 35 year old female presented with nausea, vomiting, weakness, and fatigue. Patient noted that she donated plasma the day before and suffered severe side effects immediately upon entrance to her vehicle. Side effects she noted were severe and prolonged nausea, vomiting and dry heaves. As well as stomach pain, tingling in arm, slurred speech, tunnel vision and cold sweats. She was told by the plasma donation center that possible side effects of plasma donation can include most of issues noted above, and to rest and drink plenty of fluids to counteract. Patient went home, drank fluids and slept the remaining of the day as instructed. The following morning, her symptoms persisted so she called emergency number. Upon workup, patient presented with thrombocytosis, elevated WBC, severely depleted iron levels and MRI and CT scan confirmed acute ischemic stroke.\u00a0Can a person with reactive thrombocytosis suffer an ischemic stroke from donating plasma or undergoing plasmapheresis? I am taking medicines for BP, cholesterol and also taking Aspirin and Iron. Please see the attachment. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11252, + "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": 29156, + "tgt": "Please help me with some parenting doubts for my seven months old baby girl", + "src": "Patient: Hi doctor, I am a mother of a\u00a0seven months old baby girl. I have a few doubts regarding parenting. She is still only crawling and sitting and not yet standing. We are concerned if we are giving her enough time and place. How long and how many times in a day we should keep her on the ground for her to develop further towards standing and walking? Our house floors are dusty, and she tends to take anything she finds and puts it in her mouth. We use floor cleaner liquid, so these chemicals might also be present on the floor. We would want her to try her movements freely but also would like to be cautious on possible infections. In such a case, is it better to use a mat or is it fine to leave her on the floor even if it is dusty and cleaned with chemicals? In the\u00a0event of things given to her to play with, I wanted to give only silicon teether or BPA-free toys and avoid plastic toys, but plastic toys are more appealing to her. She often keeps them in her\u00a0mouth. Should we sterilize the teether or toys every time we give it to her? A doctor advised against pacifier, as we cannot keep cleaning it every time the baby uses it. Which is better? Shall I let her keep fingers in the\u00a0mouth instead or to pacify her with teether or toys? Also, will toys improve her skills? For example, toys manufacturer claims rattling toys would improve her ears, etc. During her birth, we were advised to keep her in the sun early mornings from 6 to 8 AM or evening from around 5 to 6 PM. Due to a\u00a0disturbed sleep pattern, we can keep her out only around 10 AM. I am concerned about UV exposure, but my\u00a0family does not believe me. Should we be concerned about UV? How long and at what time should I take her for sunlight exposure? Doctor: Hi, Welcome to iciniq.com. It seems that you are new to parenting and anxious about the health of your baby girl. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15512, + "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": 2668, + "tgt": "My mouth and throat ulcers do not improve on medication. Why?", + "src": "Patient: Hello doctor, I have mouth and throat ulcers lasting for the past eight to nine days. No fever, cough, or difficulty breathing. I consulted a doctor over the phone and took three days of Azithromycin, Dologel, and some pain relief medicine. After no improvement after three days, the doctor changed the medicine Candid mouth gel, Alusil. I have been taking this for the last three days. Still there is only minimal improvement. Doctor: Hello, Welcome to icliniq.com. Can you kindly share the pictures of the lesions? Are there any blisters? How did the lesions appear in the first place? If it is not responding it might be oral herpes." + }, + { + "id": 19946, + "tgt": "Why do I get prolonged dry cough?", + "src": "Patient: Hi doctor,I have dry cough for the last one and a half years. I could not control it with any type of medicine. It comes back once the course of medicine gets over. I had the same issue before 10 years and it resolved after two years of continuous treatment. But, I have lost all the previous medical records of mine. Now, I am on siddha treatment. My TB test was negative. I have got the blood report done and it says normocytic normochromic with macrocytes and ovalocytes. Please guide me. 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": 12781, + "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": 17582, + "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": 5495, + "tgt": "Is there any remedy for premature ejaculation and low libido in Ayurveda?", + "src": "Patient: Hello doctor, I am a 35-year-old male. I suffer from premature ejaculation and low libido. I am not currently on medication. I am non-diabetic and no other medication. Please prescribe Ayurvedic remedies. Doctor: Hello. It is more important for you to find the cause of this. High blood sugar levels, lack of essential nutrients in the body, lack of sleep, stress and a bad lifestyle are some of the common causes. My suggestions are: 1. Get a blood test done to rule of high blood sugar and deficiency. 2. Bring about changes in your lifestyle. Have food at the right time daily, exercise for 30 minutes every day. Include plenty of fresh fruits, vegetables and healthy natural supplements like almonds, dates, and walnuts in your daily diet. 3. Aswagandha lehyam, an excellent ayurveda medicine to treat the above symptoms. This is available in all leading ayurveda stores and also in online portals. Take one teaspoon of this medicine twice daily before food. Take it for two months and then follow up with me. 4. Almond oil, is a traditional time tested remedy to treat low libido and premature ejaculation. Take eight drops of almond oil mixed with a cup of unsweetened milk every day in an empty stomach first thing in the morning. Above all, stop worrying and stay calm. Worry will only aggravate the problem." + }, + { + "id": 18388, + "tgt": "Will high levels of TSH affect conception?", + "src": "Patient: Hello doctor,The following is the thyroid function report of my fiancee. She is 22 years old. The TSH is 4.42, T4 is 7.53, and T3 is 1.30. Please have a look. Since her\u00a0mother had a thyroid issue, I am worried that she could have it too. Do you think this could create any problem in the future? Will\u00a0she need any medication in the future? Please advise. It is urgent. Doctor: Hello. I just read your query. 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": 7855, + "tgt": "How will difference in PaO2 affect pneumonia patient?", + "src": "Patient: Hello doctor, My father-in-law, 86 years old, has been on O2 for some time, but recently had a third bout with pneumonia. With each event he comes home sustained and comfortable on about 4 LPM, but six months prior to his most recent bout we changed the location and he has come down from 4 LPM O2 to 2 LPM, and often takes it off for half an hour at a time to eat, shower, etc., without discomfort. But after this most recent bout, the pulmonologist is saying he could not tolerate relocation back to native place. As I understand it, I think the difference in partial pressure of O2 at the alveoli would be less than 1 %. Why would that be significant? Doctor: Hello. Your relative is now in long-term oxygen therapy, the reason for that may be an acute exacerbation of COPD with pneumonia. He had around three bouts in six months indicates most probably type D COPD and he may require long term controlled oxygen therapy to further not to deteriorate. Oxyhemoglobin curve is sigmoid in shape and his partial O2 may fall in steep part. The steep portion of the oxyhemoglobin dissociation curve is the range that exists at the systemic capillaries (a small drop in systemic capillary p(O2) can result in the release of large amounts of oxygen for the metabolically active cells and this may result in respiratory failure. So this might be the reason why your relative was advised not to shift to a high altitude." + }, + { + "id": 12244, + "tgt": "Shall I give antibiotics to my baby for cough?", + "src": "Patient: Hi doctor, My 3.5 month old baby is suffering from slight cold and cough for the past 15 days. The doctor suggested antibiotic syrup 3 ml twice daily. Xpect PD cough syrup 2.5 ml twice daily and Sinarest AF 10 drop twice daily. His weight is 7 kg now. When I am trying to give him cough syrup he is vomiting and not taking it. Also the amount of antibiotic prescribed is too high I hope. What shall I do now? Please guide me. Doctor: Hi. For infants with cough and cold, antibiotics are fine to give. As per AAP (American Academy of Pediatrics) guidelines, Sinarest (combination of Chlorpheniramine maleate, Phenylephrine hydrochloride, Sodium citrate, and Menthol) and cough syrup are not indicated in this age, as they may cause more harm than benefit. I am not able to comment without the name of antibiotic. I would appreciate if you could provide me with the generic name of the medicine you are giving her. This would help to provide proper guidance and dosage. If the child has any respiratory distress such as chest retraction, increased respiratory rate or nasal flaring then should get a chest x-ray to make sure there is no pneumonia and get treated appropriately." + }, + { + "id": 24151, + "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": 1197, + "tgt": "I get recurrent pimples on my cheek, which leaves scars on drying. Please help", + "src": "Patient: Hi doctor, I am a 29-year-old female. Lifestyle is healthy with exercise and good food mostly. Since last year, on both sides of my cheeks especially on the right cheek, there are three to four pimples. They produce the white head dries off leaves a red scar and again another erupts. I have slightly oily skin and stops applying all the serums. Please help. Doctor: Hello. Thank you for providing the information. If possible provide me photographs of the affected areas which will help me for a better understanding of your skin problem and proper treatment plan." + }, + { + "id": 24438, + "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": 8007, + "tgt": "What is your opinion about the slightly low WBC count?", + "src": "Patient: Hi doctor, I had a blood test a few weeks ago.\u00a0Everything came back within normal range except my white blood cell count. It was slightly low (3.7) and the normal range at my laboratory is 3.8 to 10.8. The test was done because I had mild hypertension and was put on Amlodipine. I have since gone off the medication. The BP is under control through a vegan diet and exercise. I am a 46 year old female with 150 lbs weight and 5'6\" height. I have no symptoms and feel very well. What is your opinion on the slightly low WBC count?\u00a0If you would look over my blood work, I would appreciate it. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Protein and vitamin B12 rich diet. Repeat your blood test after a month and if the count falls less than 2000, then further evaluation is necessary. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 14559, + "tgt": "Can getting a tattoo transmit HIV infection?", + "src": "Patient: Hi doctor,I have found out that there is possible, though less likely to be infected by HIV through tattooing if done carefully and professionally with the equipment either sterilized or new. What I am anxious about is that my fiance got a tattoo done yesterday, unprofessionally (it was done by a local tattoo artist in our village who gives tattoos at the artist\u2019s own home). My fiance had his parent's consent before he got this tattoo. But, young as we are, we are not yet aware of the risks of this unprofessional method of tattooing. This morning, my mother warned me about the risks of getting HIV through the tattoo.I am concerned because I was an eye-witness of the process, the artist just drafted the design with a pen. I saw the artist pour the ink from the bottle to a cup that has obviously been used before. I just found out today that new needles should be used, and I am troubled because I did not see the artist change the needles before he gave my fiance his tattoo. While tattooing the artist is wiping off the blood and extra ink off of my fiance\u2019s skin with wet cotton (he just used tap water in a basin). Lastly, when the tattoo was done, he wiped Petroleum jelly over the area. Now, I am very anxious because months ago I found out that HIV and AIDS are very common in our area.These are my questions. Is it possible that my fiance might have acquired HIV through the tattoo process because of the unsterilized and reused equipment? How high is the risk of him being infected? Should I advise him to get an HIV test? And if yes, what specific type of test and when should he get the test? What other health issues are more likely acquired by my fiance after the tattoo session? Doctor: Hello. I understand your concern. Firstly, stop worrying. There is a solution to your problem. It is true that unsterile needles used for tattooing can lead to the spread of certain blood-borne infections. HIV virus is quite unstable outside the human body, so it is less likely for the virus to have been active on the needles, but we cannot rule out the chance of him acquiring the infection. HIV virus does not usually show up on blood tests very soon. The best thing to do is to talk to your doctor about the exposure and your fiance can take post-exposure prophylaxis. Some medicines will be given that will help to prevent infection in people who might have been exposed to the virus. There may be a risk of other blood-borne infections like hepatitis B, hepatitis C, tuberculosis or Staphylococcus aureus. These can be prevented by taking appropriate treatment. Please talk to your doctor. I hope that helps." + }, + { + "id": 23269, + "tgt": "How does yoga help senior citizens?", + "src": "Patient: Hi doctor, What are the health benefits and trends for yoga for senior\u00a0citizens? Are there studios that have classes or professionals that cater to this demographic? Why choose yoga over other forms of fitness and stretching? Doctor: Hi. For further information consult a yoga specialist online --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 15137, + "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": 10469, + "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": 1303, + "tgt": "My 1-year-old baby has swelling behind her ear with fever. What is that?", + "src": "Patient: Hi doctor, My baby has a bump behind her ear and head. I searched it online and found it as lymph node. I do not know what exactly it is but she is so irritated and she has a fever, I do not know what to do. Please help. She is only 1 year old and I am giving her Tempra. Doctor: Hi. You are absolutely right, these are lymph nodes. Everyone has it but due to so many different reasons, they become a bit enlarged and can be felt. If they are not increasing in size, and not painful on touch along with a normal skin over it, then not to worry. It does not require any specific medication. In case any of the above-mentioned symptoms and signs are there, then it needs to be taken care of. Presently what have explained regarding fever and skin rash seems a viral infection, but if you can share a picture, I will reconfirm it. Meanwhile, give these medications, syrup Cetrizine 2.5 ml once daily for three days, syrup Tempra (Paracetamol) 5 ml as and when she has a fever you can repeat it every four hours if needed." + }, + { + "id": 3838, + "tgt": "What can cause sudden knee pain?", + "src": "Patient: Hi doctor,My wife is suffering from left knee pain. While walking, she drags her left leg. But, she can fold her knee normally. It started a few months ago without any cause. What is it? Doctor: Hi. Revert back with the knee x-ray to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11784, + "tgt": "I am suffering from sleep disturbances. Kindly help me", + "src": "Patient: Hello doctor, I do not know where I should start. How will I tell you what exactly I feel? As I do not know either I was happy or sad, I cannot express what I think. I do not want to live, and I do not like to talk with my best friends, the family. They, ask me something about which I need to answer. I feel irritated and angry, and that makes me tired to reply to them. When I sleep at night, I sleep correctly on time, but I woke up daily at midnight at least 2 to 3 times at night daily. I fall asleep daily in the afternoon as well if I sleep midnight I woke at 11 am on the next day. And again at 2.30, I fall asleep. And the same problem is I woke up in the middle of my sleep. This becomes a routine, and I do not know why I hate myself? But I hate my face when I see myself in the mirror. Please help. Doctor: Hello. All problem you mentioned are core symptoms of depression are sadness, low mood, lethargy, disturbed sleep, low self-esteem, irritability, suicidal thoughts, decreased concentration. I think you should consult a psychiatrist, personally. Usually, there is insomnia in depression, but some time hypersomnia also possible in atypical depression. You do not need different medicine for all of your problem they will be solved just by antidepressant medication. No need to get panic and getting rid of depression is not so severe nowadays. Various new antidepressants and psychotherapies are present. If any stressors present try to remove it or decrease impact in life, improve your coping. Moderate exercise, yoga, meditation may help you. (rule out the medical cause by an investigation like CBC, TSH calcium B12, D3 level)." + }, + { + "id": 28835, + "tgt": "From the reports, kindly tell me if I need to take any supplements", + "src": "Patient: Hi doctor, I feel very tired in the evenings. So, I got a medical checkup done, and I need to understand if everything is fine. Do I need to take any supplements? If yes, kindly tell me the names of the medicines. I am attaching my reports, and I am currently taking tablet Losar H\u00a0and Stamlo for hypertension. Doctor: Hi. I have gone through your history, general condition, and your investigation reports (attachment removed to protect patient identity). Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4012, + "tgt": "How can I quit smoking?", + "src": "Patient: Hi doctor, I want to quit smoking. What should I do to quit the habit of smoking? Thank you. Doctor: Hi. The decision taken is a great thing in smoking cessation. You may list the situation when you are tempted for smoking. Keep chewing gum with you. Whenever you feel to smoke, use chewing gum. You may also divert your mind by having coffee, tea, fruit juices, etc. In many countries, chewing gum (containing a small amount of nicotine) is available, which gives the same kick what we get by a cigarette. After a few days, gradually, we need to use normal chewing gum. In many countries, the herbal cigarette available, which does not contain nicotine. But, it gives the placebo effect of smoking. You may go for Yoga and meditation which gives the self-control and divert your mind more towards your profession. Body massage (with medicated oil) also helps to remove toxic substances from your body. Panchakarma of Ayurveda is another option to remove toxins from your body. Many Psychiatrists and hospitals run smoking cessation clinics. They prescribe low dose nicotine-containing chewing gum or herbal cigarette. They give counseling and practical to come out of thought of smoking. This is definitely helpful to you. Thank you." + }, + { + "id": 24929, + "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": 27393, + "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": 21671, + "tgt": "Is surgery the only option for phimosis?", + "src": "Patient: Hi doctor, I am suffering from severe phimosis with pinhole meatus. My age is 31 and I am unmarried. My urine stream has become weak since three to four years, but never knew my penis is abnormal. But since six months, urine stream became too thin and then surgeon told me about the disease. Is surgery the only option? Each time it takes two to three minutes to urinate. If surgery is the last option, how dangerous is it? Can it get cured by conservative management? All my urine and blood test reports are normal. Please guide. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19514, + "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": 24242, + "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": 10684, + "tgt": "I am having the symptoms of frequent urination, dizziness, and white thin cervical mucus. Will I be pregnant?", + "src": "Patient: Hello doctor,I am 32 years and trying to conceive since last six months. My last period was a month before, and intercourse was 10 days after that for four days. I have been facing the following symptoms like frequent urination, dizziness, etc. However, there was clear milky white thin cervical mucus until this month.However, it was less or hardly visible in quantity. I am not sure if it was too slippery for me to have noticed as well. But I did not get thick cervical mucus. And today morning I got traces or a very minute or small thick cervical mucus and negligible in quantity. I am waiting for a missed period, which is due next week. I am anxious because of the absence of cervical mucus. Am I pregnant? Please help. Doctor: Hello. I have gone through your query. You have been sexually active during your fertile period till the end of last month. Now, the presence of thickening of cervical mucus is a possible sign of conception but not conclusive. The earliest now, considering your anxiety, you can be tested conclusively for pregnancy is after eight days post last intercourse is with a serum beta hCG test (blood test). If the hCG levels are more than 5mIU/ml, then you are surely pregnant. So please get the test done and follow-up with the report." + }, + { + "id": 17340, + "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": 20935, + "tgt": "Whenever I stay in the sun for a long time, my skin starts itching. What is that?", + "src": "Patient: Hi doctor, I am a 21 year old male. Whenever I stay in the sun for a long time, my skin starts itching. Why is that? Doctor: Hi. You are most probably suffering from photoallergy. Whenever you go out, use a sunscreen with SPF 15 or more. Apply it 20 minutes before going out and then reapply every four hours if you stay in the sun for very long. Start taking oral chewable vitamin C tablets for a month. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25925, + "tgt": "There is a lump little bigger than a pea around my anus. What could it be?", + "src": "Patient: Hello doctor, I had a very painful bowel movement three days ago. Today, I was feeling very sore around my anus and found a lump a little bigger than a pea. This looks like a large pimple. Please help as it hurts. Doctor: Hello. Most probably you have piles which get a lump that protrudes from the anus. It has four grades. The first to the third is medical and the fourth is surgical. From your history, it is second or third but it needs a physical examination. Also, I would like to know if you have hard stools or bloody stools? If yes, you should take a laxative Purgaton (Calcium Sennoside) tablet once or twice before bedtime. You can also take FAKTU suppositories (Policresulen and Cinchocaine hydrochloride) twice per day. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Follow up with the general surgery clinic as required. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23242, + "tgt": "I had micronutrient and thyroid tests for hair breakage and falling. Kindly help", + "src": "Patient: Hello doctor, I have an underactive thyroid and on 100 mg of thyroid and had a micronutrient test as hair has been breaking and falling out. The tests came back with selenium and zinc deficiency but also severe iodine deficiency (12). My nutritionist suggested multivitamins FemForte Multi which contains 150 ug (100 % of daily intake). Nutritionist asked me to check with the general practitioner if it is fine for me to take the supplements with iodine in it and whether it is going to have a negative impact on my thyroid and my well-being or is it absolutely fine to take the supplements. Doctor: Hi. If you have iodine deficiency hypothyroidism, then it should not be a problem but you need to see if you have autoimmune thyroid disease in which case you cannot take iodine supplement. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12179, + "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": 16193, + "tgt": "I have throat pain. What do I do?", + "src": "Patient: Hi, My age is 29 years. Yesterday I drank ice cold water in the afternoon. Since today morning I am feeling pain in the throat, body pain and laziness. Please suggest medicine for the same. Doctor: Hello. Start tablet Azithromycin 500mg once a day for three days after meals. Take tablet Paracetamol 500mg thrice daily for the pain relief. Drink plenty of water.Drink warm liquids. Gargle with warm salt water twice a day.Avoid cold, sour, junk, fried, oily, fatty foods and drinks like alcohol. If there is any chest congestion, blocked nose, fever, etc., consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27287, + "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": 27370, + "tgt": "I took Vicodin. How long will it take to clear from my system?", + "src": "Patient: Hi doctor, I took 60 mg of Vicodin\u00a0over two days down for pain.\u00a0I have a drug test coming up.\u00a0How long will it take to clear in my system? I am 25 years old, 5'9\" height and 165 lbs weight having a pretty fast metabolism. Doctor: Hello. For further information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 20010, + "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": 8521, + "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": 26542, + "tgt": "I have social anxiety and depression. Will I benefit from a therapy dog?", + "src": "Patient: Hello doctor, I am a\u00a016 year old.\u00a0I have social anxiety and depression. I find it hard to talk to people, especially in public. I also have a problem with talking about my feelings face to face, making the idea of a therapist very nerve-wrecking. I am not sure if I would talk. I would probably just be too nervous to talk to him/her. I love animals. I love the company of them and feel safe around them. I am homeschooled, so I do not have any real-life friends. My family does not treat me the best, often blaming me for everything, insulting me and putting me on the spot in uncomfortable situations instead of getting me help. I am very lonely, but my anxiety makes it really hard to interact with people face to face, and very difficult to get a job. I have the idea to get a therapy dog. I believe it would help me in many ways, such as increase my exercise (which is a known depression-reliever), build self-confidence, offering a distraction, making me more courageous in public, enabling me to work, and much more. With that in mind, here are my questions. Do you believe that, for my case, a therapy dog would be a better form of therapy than an in-real-life, face-to-face therapist? Or, at least to begin with, then I could move on to a real therapist. If not better, do you think that a therapy dog is still a good idea? If so, what can I say to my mom to get her to allow me to get help for my mental issues? Thank you for your time. Doctor: Hello. A therapy dog can help in relieving anxiety. But, since your anxiety is related to social situations, I do not think that a therapy dog will relieve your social anxiety. The anxiety will go away with exposure or by systematic desensitization. You have to take the first step for that. Talk to your parents about this and convey to them that you find it hard to interact with people and tell them directly that you have anxiety. This will be the first step towards treatment. Once you see the doctor, with time, your anxiety will go away and your conversation skills will improve. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 9566, + "tgt": "I had quite a high number of pills for stomach cramps in the last two days. How to manage drug overdose?", + "src": "Patient: Hello doctor, I had stomach cramps and I have taken 17 different pills over two days. I think it might be a small over-dose of pills. Please help. Doctor: Hi. Self medications can be dangerous and can risk the lives. I advice you to take plenty of water to flush off absorbed drug from the body. It is better to get liver function tests done to assess the extent of damage to liver, though risk is minimal in your case. Aspirin and Paracetamol are acidic drugs which can cause gastric erosions, symptoms which you are experiencing. I suggest you to take tablet Pantoprazole 40 mg twice daily for 15 days and then once daily for another 15 days. Also, use Mucain gel orally 15 ml thrice daily for 10 days. If experiencing severe symptoms, visit your doctor without delay." + }, + { + "id": 5247, + "tgt": "I am having alcoholic cirrhosis and passing black stools. Does this imply liver failure?", + "src": "Patient: Hello doctor, I am 59 years old. I was diagnosed with hepatitis C alcoholic cirrhosis, acute pancreatitis and that was almost two years. I am currently taking Levothyroxine 50 mg once daily, Labetalol Hydrochloride 100 mg once daily, Lisinopril 20 mg once daily. I was in the hospital at first to stabilize my condition. My hepatitis C cleared but still of course I cannot change the damage to my liver. I was told I would only be given five to ten years if I would quit drinking. I kind of fell off the wagon about six months ago, about three liters a day. I weigh about 120 kg. I went to my family physician, he ordered a liver profile and complete blood work. I am going to get it done tomorrow, but the only concern I have is this day I have been having not much but had some black stools. Does this mean that my liver is failing? I tried calling my specialist but they had already left their office. Should I go to the ER or just wait till I call my specialists? I quit drinking about a week ago. Can you help me with some advice? Doctor: Hello. Black stools are indicative of acute gastrointestinal hemorrhage. Melena or black stools can also turn into a medical emergency if a lot of blood is lost and hence my sincere advice to you would be to go see a doctor as soon as possible. This does not signify liver failure. However, with a history of drinking, the current status of the liver can only be assessed through a liver function test or an ultrasound. But melena does not mean that your liver is failing. I will advise you on the following until you get to the doctor. Take Omeprazole 20 mg one tablet immediately, followed by one tablet every morning in the empty stomach. Sucralfate syrup two teaspoons immediately, followed by two teaspoons after every meal. This will help in coating the ulcer lining and help in healing. I hope this helps." + }, + { + "id": 9694, + "tgt": "I am not peeing well even if I drink good amount of water. Why?", + "src": "Patient: Hi doctor,I drank a good amount of water (five to six bottles), but I only peed like 6 or 7 times. Three of those times barely, almost none, came out. I woke up this morning having the urge to pee, and when I did it, I still feel like I could have peed a lot more. I went out this morning and came home rushing because I needed to pee, but it was the same thing. Since then, I have been peeing very little amount considering I drank a lot of water. Usually, when I drink that much I would pee a lot, but I do not know what is happening. I just recently drank another bottle of water, but I still do not feel like peeing? I am scared. I am not experiencing any pain. The only thing I have been feeling is tightness around my bladder. But, everything else is fine, and I can eat, drink, work out, etc. What could this be? Doctor: Hi. For further information consult a criticalcare physician online --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 14062, + "tgt": "Is it normal to get pus and blood come out while plucking an ingrown hair in pubic area?", + "src": "Patient: Hello doctor, I am a 20-year-old female. About a week ago, I noticed an ingrown hair in my pubic area. I left it for a couple of days and then put a hot compression on the area, exfoliated, and tried to free the hair. I used a pin to pull the end out of the skin so I could tweeze the hair out, but I ended up popping the pump and pus just started oozing out. It was sore the next morning and I let it go until tonight, I tried to free the hair again and just ended up squeezing the lump, this time it was a bit larger, again blood and pus came out, but I pulled a hair out with the tweezers and I believe that it was the ingrown hair. I just noticed that my right lymph node in my neck and my groin area are swollen. I would rather not go to see my doctor. Any advice? And the tweezers and pin were both sterilized both times. Doctor: Hi. After going through your history, I suppose you are having folliculitis. The lesion is filled with pus, then the best way to get rid of it completely is to incise and drain the pus completely. After draining the pus, you may have to apply antibacterial ointments like Mupirocin. This will take not more than three days to completely cure the infection there. Since you have enlarged lymph nodes, you may have to take a course of antibiotics like Azithromycin, Clarithromycin or Zifi 200 minimum for a week after consultation with a physician." + }, + { + "id": 6783, + "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": 6946, + "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": 10531, + "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": 1183, + "tgt": "Can I use ayurveda beauty products for tanned skin?", + "src": "Patient: Hi doctor, I have\u00a0dry skin. I do not have any health problems, but my skin got\u00a0tanned and black as I spent most of my time in the sun. My appearance looks more than my age. I want to make my skin fair and glow with the ayurveda products. I have read a lot of natural beauty products on the internet like turmeric, sandalwood, multani mitti, papaya and milk powder. But, it is confusing as which suits me well to make my skin fair and glow. Please suggest me the best one for my skin, Also, advise when and how to use that. Also, I read on the internet about kumkumadi tailam, eladi oil and kanti vardhaka. Are these good to use? If it is so, then how to use it? Is there any oil and cream in ayurveda to make my skin glow? Please suggest. Doctor: Hello. Yes, what you have heard about ayurveda skin products are very good, but the product will not be suitable for everyone. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24152, + "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": 10612, + "tgt": "My mother's fasting sugar is higher than the post prandial sugar. Why is this happening?", + "src": "Patient: Hello doctor, My mother's\u00a0fasting sugar is higher than the post prandial sugar\u00a0(130 and 115 respectively).\u00a0She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar\u00a0level\u00a0is 260. Why is this happening? Doctor: Hi. Consult a\u00a0diabetologist online\u00a0for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 80, + "tgt": "I get right-sided lower abdominal pain while passing stool. Is it appendicitis?", + "src": "Patient: Hi doctor, I am having abdominal pain on my lower right stomach since yesterday and my parents thought it is just the only bloated stomach. I cannot also urinate well and pass stools. Whenever I pass stools my lower right abdominal get hurt so badly. Is this appendicitis or other stomach disease? Doctor: Hello. I can imagine you must be very upset about your pain. Well the pain of appendicitis should be continues and not intermittent. Pain starts at the center of the abdomen around umbilicus and travel to the right lower part of the abdomen. Pain of appendicitis is often unbearable accompany with vomiting or severe constipation and sometimes diarrhea. Now I think you can better figure out what sort of pain is this. Gas bloating can cause pain but not often severe and usually occur when one have a meal not otherwise. The pain improves with fasting or taking a certain diet which does not produce excessive gases. Pain of gas often worsens after milk and dairy products intake. If you feel a strong suspicion for appendicitis an ultrasound abdomen targeted for appendicitis would be the first best investigation to do. I hope this helps. Abdominal pain. Complete blood count. Serum amylase. Liver function tests. Ultrasound abdomen for liver, gall bladder, and appendix. Functional gas and bloating. Capsule Tramadol 100 mg for pain until definite treatment is given." + }, + { + "id": 6556, + "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": 23313, + "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": 7062, + "tgt": "Can Cotaryl cream be used to cure dry and flaky skin (Ichthyosis)?", + "src": "Patient: Hi Doctor, I am suffering a disease called Ichthyosis. It is genetically causing dry skin problem and fish like scales. Kindly help me with a solution for this. Doctor: Hi, Thanks for writing to us.Ichthyosis\u00a0as you rightly mentioned is a genetic condition leading to excessively dry and flaky skin. There is no cure for this condition, but it can be controlled by using right medications and thus bringing the normal texture\u00a0back. For the same, follow these suggestions: Follow all these above steps regularly and you will be sure notice a positive change. Consult a dermatologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2601, + "tgt": "I experience heart pain after relpacing Azathioprine for HCQ. Why?", + "src": "Patient: Hello doctor, I have been diagnosed with catastrophic antiphospholipid syndrome before three years and had a brain stroke in the same month due to blood clots. Since then I have not encountered any blood clot and have been on Acitrom 5 mg, Ecosprin 75 mg and Azathioprine 100 mg. Three weeks back neurologist had replaced Azathioprine with HCQ 300. My ANA test was done before changing. ANA result was negative. Now for the last two days, I am experiencing pain near the heart line. The pain lasts for around one minute. Pain is such that it starts from deep inside and it pulls the skin/organs inwards. I have experienced such pain three to four times since two days. My query is, is this due to a change in medication? Whether HCQ be stopped and Azathioprine be restarted? What is the use of Azoran in APS and are these both drugs somewhat similar? Kindly guide as I am worried. Should I continue with HCQ and if not is Azoran safe in the long run? I am taking Azoran for more than 2.5 years. Doctor: Hello, Welcome to icliniq.com. What treatment did you get during Catastrophic antiphospholipid syndrome? Was your APLA, LA test was positive? Azoran is an immunomodulatory drug and has some role in APLA syndrome. HCQS is a good drug for APLA as it has an anti-inflammatory plus anticoagulant effect but your symptoms started after three weeks of HCQS. Please try to consult your physician as he has examined you and he knows complete details. So he can guide that Azoran should be restarted or not? According to my opinion in your case, I think you should restart Azoran and stop HCQS." + }, + { + "id": 30516, + "tgt": "What would be the reason for my irregular periods?", + "src": "Patient: Hello doctor, I have been having issues of on and off periods for nearly four years now. When I started my periods, they were completely normal, neither heavy nor light and nothing unusual. But, I started missing my cycle for about six months and then I would come back completely normal. My last episode of missing my periods had lasted for nearly 10 months and I have had no unusual symptoms, discharge or pain. I have been to my doctors twice and I have had an ultrasound, which came back completely normal, many blood tests and hormone tests, which also did not pick up anything unusual. I just want to get to the bottom of this problem. Is there anything else you think I could do? What do you reckon about this? I am not stressed, obese or underweight. I do not smoke or drink. I am a healthy 18 year old. Any of your advice would be very grateful. Thank you. Doctor: Hello. The menstrual pattern you quote sounds like PCOS (polycystic ovarian syndrome). It is a hormonal imbalance characterized by menstrual abnormalities. To diagnose and classify the type of PCOS, following hormonal tests should be done on day 2 of periods. The timing is very important. Once you had all these tests done on day 2 of periods, I request you to upload the reports as it is the ratio of hormonal levels rather than their absolute values that are deranged in PCOS. Since you say certain hormonal tests were done and came out normal, I presume that your thyroid and prolactin levels were normal. Get them done too if the report is more than three months old. Please do tell me if you have already missed a period by a month in this cycle, so that I can suggest medication to induce periods. Please give the exact date of periods in that case. If you have not missed your periods yet, then wait for your periods and get the test repeated on day 2. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist PCOS. Hormonal profile. 1. Hypothyroidism. 2. Hyperprolactinemia. Progesterone withdrawal if required and combined oral contraceptive pills (COC) after reports. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9765, + "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": 30569, + "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": 12508, + "tgt": "How can otosclerosis be treated?", + "src": "Patient: Hello doctor, I was diagnosed with otosclerosis of left ear at age 42. Thirty years later, I am now 72 and wonder if the condition has likely progressed and/or if surgical correction is still possible or advisable. I have good hearing in my right ear. I recently had a wax impaction in the right significantly reducing hearing and it got me thinking perhaps I should have had the surgery. Doctor: Hello. Otosclerosis often causes mixed hearing loss and can cause a maximum hearing loss of 60 to 70 db hearing loss which can be serviced to a good degree by doing stapedotomy. However, aging often causes presbyacusis that is an age-induced hearing loss which is neural and not salvageable by surgery. Since stapedotomy is a procedure done under local anesthesia, it may be still considered. However, it is possible if there is no significant SNHL (sensorineural hearing loss)." + }, + { + "id": 5053, + "tgt": "What causes itching eyes with running nose and sneezing after waking up?", + "src": "Patient: Hello doctor, After waking up in the morning, there is eye area itching upto nostrils, running nose, light sneezing. Thus sleepy feeling and eyes weak feeling are there. I need tablets to not only sooth this condition but to prevent to occur it again. Doctor: Hello. As per your CT report you seem to have minimal thickening of mucosa which seems to be amenable to medical management (attachment removed to protect patint identity). However, we need the actual CT pictures to have an accurate assessment. Meanwhile, the steroid sprays and medicines are never going to act in one week. You need to take those for at least 2 months. Could you describe your symptoms further? Any headache? Any reduced sense of smell? Any endoscopy done? Did they suspect any polyps inside? Do you have nose block as well? Since when are your symptoms worse? Is there any seasonal predilection? Have you tried any antibiotics?" + }, + { + "id": 14212, + "tgt": "What are the chronic spots on scrotum that do not hurt", + "src": "Patient: Hello doctor, There are spots on the scrotum for over a year. They are not painful. I just wanted to know if it was normal. Currently, I am taking Proguanil 100 mg (anti-malarial). Doctor: Hi. It is steatocystoma multiplex which is basically a benign cyst (attachment removed to protect patient identity). The Line of management is surgical incision and extraction of sebaceous contents with destruction of sac to avoid recurrence. Laser, Radio-frequency can be used." + }, + { + "id": 31062, + "tgt": "Tried withdrawal method and took I-pill. Am I safe?", + "src": "Patient: Hi doctor, I had unprotected sex and took I-pill within 8 hrs. I am regular with 28 to 30 day cycle. I do not know about my fertility. What are the chances for my pregnancy? We used only withdrawal method. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3986, + "tgt": "I have a habit of finding pleasure by pricking the gums. Will it affect my oral health?", + "src": "Patient: Hello doctor, Ever since I was little I would stick sharp, pointy things between my teeth and poke and pick at my gums. It would cause pain but the pain was addictive, it is like I enjoy the pain. When I was a child I would use my fingernails to do it until my gums would bleed. I know that sounds nuts but it is true. As I got older, I started using things like toothpicks. Keep in mind what I am feeling is definitely pain but it is a sensation I like for some reason. I tend to do it between my back teeth. I am worried about my teeth. Doctor: Hello. I have gone through your query and understand your concern. Constant tooth picking leads to gaps between teeth, gum bleeding and gum weakness. Weakness of gums and bone creates more gaps which attract food deposits. These deposits irritate the gums constantly leading to gum and bone infection. This condition is called Periodontitis. Pain, swelling, and spaces between the teeth getting wider are the signs of periodontitis. Once those gums and bone get infected, those teeth will start to shake and become loose in no time. Please visit your nearby dentist and get a scaling and polishing procedure done to remove those calculus deposits. This cleaning procedure should be done once in six to eight months if required, for maintaining healthy gums. And please do try and quit the habit because more than the calculus, your teeth picking habit causes major damage to your gums and teeth. It may even cause multiple teeth decays. To start with, you can try discarding toothpicks and sharp objects from your sight to stop this habit. I hope this helps." + }, + { + "id": 25907, + "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": 5359, + "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": 10998, + "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": 20446, + "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": 8397, + "tgt": "I get anxious in front of crowd. Please advise", + "src": "Patient: Hello doctor, I am 28 years old and weigh 90 kg. My problem is anxiety. I feel anxious whenever I have to deal with my boss, attend a meeting, speak in front of a crowd. I feel breathlessness and discomfort. My voice starts to break. I am doing well at my job and recently got a promotion. However, this has made me anxious as my job now requires to constantly deal and talk with people and be more answerable to the management. Doctor: Hi. Your history reflects social anxiety disorder but that needs detailed assessment. You need medication as well as psychotherapy session, medications are required to control the symptoms but medications has some limitations like it would not change your personality, thinking style and behavior, for that you need to have sessions to understand the situations, and to learn to deal with anxiety and stressful situations. It is called systemic desensitization for social anxiety. Do you take any other medications right now? TFT (thyroid function test). Tablet Zoloft 50 mg half at night for three days then one tablet at night, tablet Propranolol 10 mg as per need during social anxiety." + }, + { + "id": 18848, + "tgt": "Why do I have severe breast pain after every ovulation?", + "src": "Patient: Hi doctor, I am a 34 year old female, and my LMP was on 21st of last month. My periods usually last for five days, and I take Triolmezest 40 for hypertension. After every ovulation (10th day), I have severe breast pain till the periods start. I just have sore breasts and no other problems. I took Pyricontin, but no relief. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21170, + "tgt": "Can headache occur as a side effect of BP medicine?", + "src": "Patient: Hi doctor, I am a 50 year old female. I have aches in my limbs and thighs especially at night. It is often characterized by heaviness in limbs. I am getting headache chiefly in left side of the head. I am taking painkiller at least once in a week for the same. I am taking Newtel 40 mg for blood pressure since a year. Kindly help with my condition. Doctor: Hi. First tell me in detail about your headache to help you in better way. Revert back with the answers for the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26959, + "tgt": "My fasting blood glucose is 267 mg/dL. Will it affect my lifespan?", + "src": "Patient: Hello doctor, I am a 28 year old male, and I checked my blood sugar levels yesterday. My fasting blood glucose is 267 mg/dL, HbA1C is 8.8 %, and microalbumin is 24. Is it very critical? I am worried about my lifespan. Is it highly dangerous to the kidney and heart? Can I marry? Please help me. Thank you in advance. Doctor: Hello. Hope my advice is of some benefit to you. Good luck. For further queries consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 29555, + "tgt": "Should I be concerned about my ear infection and perforated eardrum?", + "src": "Patient: Hi doctor, I was recently diagnosed with ear infection and a perforated eardrum. Initially, I was diagnosed with a viral respiratory infection and followed by ear infection in a two days. I have been taking antibiotics for three days now. I have a lot of fluid continuing to seep from my ear. How long does that usually last? Also, I have dull pain and tenderness in my head behind the infected ear. Should I be concerned about that? Thank you. Doctor: Hello. It appears with your history that you are suffering from an upper respiratory tract infection that has complicated into an ear infection. Usually, once the antibiotic course starts, the problem should resolve within three to four days and completely by five to seven days. It is normal to have mild, dull ache behind the ear during the acute course. If you have diabetes, then the healing may get delayed. It is advisable to check your sugar levels and visit your doctor if they are high. Pain and tenderness behind the ear may worsen, resulting in a swelling or bulge behind the ear. It may be accompanied by pushing out of the said ear. This is a case of acute mastoiditis, which means the antibiotic is not working and pus is continuously forming. In such a case you must visit the doctor soon as it may require a surgical drainage. The techniques for tympanoplasty vary and this is what we do in my setup. Till the same I suggest you continue the medicines. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 9098, + "tgt": "What to do for shortness of breath after vaping e-cigarette?", + "src": "Patient: Hi doctor, I am suffering from shortness of breath after vaping e-cigarette. I consulted doctors and they said my lungs are fine. I read on the internet that a lot of people suffering with the same. When I reduce my e-cigarette I feel better. Also, I had FESS surgery and SMR before two weeks. My current medication is nasal spray Propolis. Is my problem related to acid reflux? Please explain me. Doctor: Hi. I have carefully reviewed your case and can well establish the issues you are facing right now. Actually, the chemicals in e-cigarette are very dangerous for the lungs and airways. They cause narrowing of the small airways due to toxic effects caused directly by the vapor and that is why you feel short of breath. Yes, acid reflux is one of the aggravating factors for shortness of breath. In GERD (gastroesophageal reflux disease) the stomach acid regurgitates and irritates the upper respiratory tract mucosa causing the allergic reaction that may cause shortness of breath. I have seen many patients with the same problem. You need to consult your physician locally to see how can you get rid of the e-cigarette and your physician will guide you according to the personal circumstances on how to leave it gradually. Once you quit, your respiratory tract mucosa will start the heal up process and will be better in a few months to a couple of years depending on the duration of your cigarette smoking or vaping. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25394, + "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": 29449, + "tgt": "Kindly explain whether my feeling of foggy brain is panic attack or aura", + "src": "Patient: Hi doctor, I found out that I had an anxiety disorder about six months ago. I have always been worried about my health even when I was a kid, and I think that is the reason why I developed this disorder.\u00a0The thing is that I am really concerned about my health and I always worry about the worst possibilities.\u00a0A few years ago after my flight journey, I had this weird episode. I was hit by deja vu, my abdomen felt strange, and I felt scared and uneasy. It lasted for only about a few seconds, and during that time I did not felt like speaking or paying attention to anyone. After that feeling was over, I felt sleepy, and my brain was all foggy.\u00a0I have these episodes from gaps, and they do not occur at any time intervals. But, they do come. Through my long search, I found these are called as auras. They either occur before a seizure or a migraine. I do not have any of those after that.\u00a0I wanted to know if this is a panic attack or an aura. Please clarify. Doctor: Hi. I read your query and understand your concerns. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9151, + "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": 7553, + "tgt": "What is the dosage of Piracetam to enhance memory?", + "src": "Patient: Hello doctor, My age is 21. I am going to take Piracetam for admission test exam. I am in a problem. Please suggest me a dosage. Doctor: Hello. I can certainly understand your concern. I have worked through your attached query in detail. Many of your symptoms are not related to memory loss. These are symptoms of a mood disorder. Piracetam is not the right medication here. You require antidepressant medicines to improve your cognition since memory disturbances are prevalent in depression too. In case if you like to consider Piracetam, you can take it as 400 mg every 12th hourly after discussing with your physician. Post your further questions if any. Academic stressors. Complete Thyroid profile, and complete hemogram. Mood disorder." + }, + { + "id": 20844, + "tgt": "Can protected oral sex transmit HIV or STD?", + "src": "Patient: Hello doctor, I had a protected oral sex with transgender yesterday. Before we started the oral sex, she showed me her STD and HIV test results and they were negative (I have doubts about the results as it was sent to here by SMS and there was no date on it). At the start of the oral sex, I sucked her cock with a condom (she was wearing a condom) and then she sucked my cock and I was wearing a condom as well. There was no pre-cum, no cums, no transmission of body fluid, nothing, just the scenario above. I have a simple blood clot in the sublingual salivary glands for the past six months and I am still taking medicine for it. Is there any chance to get STDs or HIV based on the scenario above? I need a direct answer to my situation and no general information, please. Doctor: Hi. To be clear, HIV will not transmit through oral sex. No possibility for HIV infection. Coming to STDs, there is no transmission of STDs through a protected act. So, there is no possibility for STDs also (including syphilis, chlamydia, gonorrhoea, herpes). Finally, no chances of transmission of either STDs and HIV." + }, + { + "id": 24008, + "tgt": "Why am I bleeding after one week of consumption of abortion pills?", + "src": "Patient: Hello doctor, I have a 9 months old baby whose birth was by C-section. Now again I think I am pregnant and missed my period for 10 days. I checked with prega news and found 2 light pink lines which I thought to be positive. We do not want to have the second baby now. Then I took abortion pills and my period came. After 1 week I am bleeding again. I do not know if it is period again or what? I want to know whether there is any side effect of that abortion pills or it can cause any harm to me? I do not feel any type of pain but many rashes, pimples and redness on face are there. Please suggest what to do. Doctor: Hi. You have to take abortion pills according to the government law and government approved places. So, follow their procedures. Do consult your nearby gynecologist. Now, if bleeding is continued after pills, then you have to do sonography to find out whether everything is fine or not, pregnancy is there or not or pregnancy was inside the uterus or not. Regarding how much you bleed, you should do hemogram. It could be an incomplete abortion which will be found out after sonography and if it is that, then maybe you might have to undergo dilatation and curettage procedure under local or short general anesthesia. So, do consult nearby gynecologist to see what is the procedure there and accordingly what are the options you are left with. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9967, + "tgt": "Will I have any problem if I have sex with a tight foreskin?", + "src": "Patient: Hello doctor, I am having a tight foreskin, but I am able to masturbate without pain. I would like to know whether it will cause any problem while having sex. Thank you. Doctor: Hi. I have read and understood your problem. For further doubts consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14654, + "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": 17501, + "tgt": "I have severe pain eight years after a scoliosis surgery. Could something be wrong?", + "src": "Patient: Hello\u00a0doctor, I underwent scoliosis surgery eight years ago and have been experiencing a pain around my left shoulder blade. Recently this pain has gotten so bad it has become difficult to even breathe and sleep. Is it possible something is wrong with the rods that were placed during the surgery? Doctor: Hello. For more information consult a spine health specialist online --> https://icliniq.com./ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 24779, + "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": 24742, + "tgt": "ECG shows sinus arrhythmia and T-wave abnormality. Should I see a cardiologist?", + "src": "Patient: Hi doctor,I am 32 years old. I went through a medical fitness test for employment. While going through an ECG, it showed sinus arrhythmia and T wave abnormality (V4, V5, V6) and it has got me worried whether I am unwell. I do not feel anything wrong with me when I walk for 4 km three times a week. I do feel palpitations after running but it subsides after few minutes and I have not done 2D echo. Please suggest. I am worried. Doctor: Hello. I have gone through your ECG. There are nonsignificant changes and it is considered normal. Whatever is mentioned on the ECG is a machine-generated report and is frequently inaccurate. So, there is no need to worry or do an echo. Sinus arrhythmia is also a normal phenomenon. Also, palpitations during walking so long are absolutely fine. So overall, do not worry about the ECG changes. However, in general, maintain a healthy lifestyle like exercises, avoid smoking and alcohol. 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": 13458, + "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": 28453, + "tgt": "Please suggest some medicines for left-sided head, eye, cheek, and nose pain", + "src": "Patient: Hi doctor, I have been suffering from headaches for a week. It was just on the left side of my head, but then the left side of my face\u00a0also started paining. My eyes, cheek, and nose are also affected. Doctor: Hi. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17796, + "tgt": "Is headache a symptom of HIV?", + "src": "Patient: Hi doctor, Before 14 days, I had an encounter with a female escort. We had unprotected oral sex and protected vaginal sex. I am worried about the possibility of HIV as I am experiencing headaches. From day 4 or 5 post exposure, I have had a general malaise feeling in my head, feeling spaced out and slightly dizzy. I have also been having headaches. The headaches come and go and vary in strength. They are always located as a pain between my eyebrows in the procerus muscle. When I massage that part of my head, it goes away for a few seconds and again, last for a couple of hours or so. Most recently, one eye was twitching and was slightly puffy. The headache almost feels like the procerus muscle itself is tight and causing the pain. I have read that the procerus muscle headache is common in sinus infections, but I feel that my sinuses are all fine. I do not have a cold of any sort.\u00a0I have no other typical HIV symptoms, so I am wondering could these types of headache occur through stress or anxiety? I have a fair bit of that just now. Doctor: Hello. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4554, + "tgt": "Do I need a dental assesment for greenish discoloration of upper front teeth?", + "src": "Patient: Hi doctor, I have a crack that runs from my two front top teeth and it has a green color and is noticeable when I smile. It is near the gum line but causes no pain. Do I need a dentist checkup? Doctor: Hello. Yes, you need to visit your dentist as early as possible. Those green lines are basically a form of \"calcified plaque or calculus\" in medical term and the reason behind their green color can be chromogenic bacteria. These plaques are needed to be removed at the earliest otherwise they will become much more heavy in bulk and will degrade the underlying bone which is supporting your tooth and in advanced stages it may lead to tooth mobility, gum recession and in severe cases it can even lead to loss of tooth. But, you do not have to worry about that cause your disease is already diagnosed. What you need is oral prophylaxis and dental scaling from your dentist to get rid of those greenish lines. Post prophylaxis polishing is required. I generally prescribe Chlorhexidine 0.2% oral rinse or mouthwash twice daily for seven days. Nothing per mouth for 15 minutes after your rinse using this solution. Never swallow the solution. In case of an allergic reaction to this drug avoid or stop the medication and visit your nearby dentist. However, allergic reactions to this medication are very rare as per my experience. You also need to brush your tooth daily with a soft toothbrush and toothpaste and you must brush your tooth twice a day after breakfast and after dinner to maintain your oral hygiene. Calculus deposit. Clinical examination is required to asses probing depths around the teeth. Greenish to yellowish streak of calculus deposit over upper front teeth and lower teeth also. Oral prophylaxis and Chlorhexidine 0.2% mouth rinse twice daily for seven days initially. Brush twice daily following meals. Follow up required after three weeks after completion of oral prophylaxis." + }, + { + "id": 3794, + "tgt": "During erection my penis curve back to belly button which causes pain in testicles. Please help", + "src": "Patient: Hi doctor, When flaccid my penis is 2.3 inches and sticks straight. When erect it points straight up to my chin and has a large curve back to my belly button. My erection feels tight. I am circumcised. I also have very tender testicles and after sex, my lower back hurts and so do my testicles. Doctor: Hi. From what you say, it seems to be excessive upward curvature of penis (towards belly button). Though it is abnormal, no active treatment is necessary as long as you are able to have sexual intercourse. Only when it prevents sexual intercourse, treatment may be pursued. A photo taken during good rigid erection can help in better suggestions regarding treatment. Pain after ejaculation is usually due to retrograde ejaculation. If ejaculate is coming out of the penis, then there may be partial retrograde ejaculation. Check your urine after ejaculation for any evidence of semen by testing in a lab. Consult a urologist to examine you and to suggest appropriate drugs for post-ejaculatory pain." + }, + { + "id": 3916, + "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": 29472, + "tgt": "Will Cialis help with my erection problem?", + "src": "Patient: Hello doctor, I am 21 years old. I have been having trouble getting an erection, and it is affecting my relationship. I have gained weight within the past year, and this problem started happening around six months ago. I am getting an erection, but it does not reach its full potential. I got to know that Cialis 5 mg daily supplement can help with my problem. I am embarrassed to see a doctor physically. So, I am here looking for help. I need to fix this before I lose my girlfriend. Please help. Doctor: Hello. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1332, + "tgt": "I have a hard lump on left lower back between hip bone and ribs. Is this a sign of kidney cancer?", + "src": "Patient: Hello doctor, I am a 44-year-old male. I had a hard lump on the left lower back between top of the hip bone and lower ribs. No pain to the touch. It feels about the size of a marble or the end of a pinky finger. What is it most likely? I did have a hard fall on my back about a year ago in that area, but I am not sure if that could be related. I want to know what is the chances of something like kidney cancer as that is what comes up when I use Dr. Google. Can you feel a lump from the kidney that close to the surface? Does it feel like what I described? I included an image of the same. I am currently using Prilosec. Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). Looking at the location you pointed there should be no lump ideally in that area as it is purely muscular. Having said that, in your case since you had a fall at that point last year, possibly a hematoma has formed and not totally dissolved due to lack of movement or physiotherapy. This is quite normal and not worrisome. Chances of kidney cancer if it is painless, are actually one in a million if you have no other symptoms especially urinary symptoms. I would recommend an ultrasound abdomen-pelvis once feasible." + }, + { + "id": 14360, + "tgt": "My ankle got twisted and I am unable to walk. Please help", + "src": "Patient: Hello doctor, I was running, and I fell into a pit. My ankle got twisted, and I could feel some cracking sound. I had a swollen ankle immediately. I have been icing for 2 days and now the swelling has reduced. I am unable to walk. I have pain when I try to move or walk. I had a fracture fibula of the same ankle 5 years back. Please help. Doctor: Hello,Welcome to icliniq.com.As there is a history of twisting injury to your ankle with a kind of cracking sound or sensation which you have felt, I will advise you to undergo an immediate x-ray of the affected part to rule out any bone injury. X-ray ankle (anteroposterior and lateral views). Getting an x-ray is all the more important as you have a prior history of fracture fibula of the same ankle. You need to do the following till the x-rays are done:" + }, + { + "id": 11334, + "tgt": "What is the treatment for fordyce spot type rashes on the penis?", + "src": "Patient: Hello doctor, I am 25 years old. I have fordyce spot type rashes on my penis for many years. Is there any treatment for it? I have oily skin. Doctor: Hello. Extraction and laser could be done." + }, + { + "id": 19174, + "tgt": "I got a water-like vaginal discharge for a week. Will it affect my fertility?", + "src": "Patient: Hi doctor, I am a 25 year old\u00a0woman, who got married three months back. I had my last period, exactly a month back. This month, I got water-like vaginal discharge for a week. I was experiencing lower abdominal pain and pain in the vagina. I usually get my periods every 28 days, but this time my periods got delayed by five days. So, I thought I was pregnant, but then I got my periods. Why did I get this vaginal discharge? Is there any health issue? Please reply. Doctor: Hi. How are you doing? Hope I have clarified your query, do write back.\u00a0All the best. For further queries consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 19540, + "tgt": "HIV test is negative at 12 weeks. Should I repeat the test at six months?", + "src": "Patient: Hi doctor,I had unprotected sex with a sex worker and after exactly 12 weeks of exposure, I did an HIV 1 and 2 antibodies and HIV 1 and 2 P24 combo test. It came negative. But, some guidelines advise repeating the test after six months. Should I consider my test conclusive or test again after six months of exposure? Please solve my problem. I am very anxious. Doctor: Hello. HIV antibodies are formed two to six weeks post exposure. Three months is the latest time given. If the antibodies tests are negative after three months of exposure, then it is conclusive that you are free from HIV, provided there is no further risky exposure. You need not worry about the six months references. You can allay fears of HIV. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 26409, + "tgt": "A 67-year-old osteoporotic female has wrist swelling. Is it tuberculosis?", + "src": "Patient: Hello doctor, My mother who is\u00a067 years old\u00a0is an osteoporosis patient. She has been recently operated for carpal tunnel in the left hand. A few months back, she had developed an ankle effusion which subsided after starting osteoporosis injections. She is on Gemtide and calcium. Recently, she has developed swelling in the right wrist with pain and stiffness. She had an\u00a0ultrasound and an X-ray as advised by her\u00a0doctor. The ultrasound report is attached herewith. The X-ray suggests osteopenia. Does the ultrasound report suggest\u00a0she has tuberculosis?\u00a0Please advise as to what should be done. Doctor: Hello. I went through your attachments (attachment removed to protect patient identity). 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. Regards. For more information consult an\u00a0orthopaedician and traumatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20967, + "tgt": "Is it normal to have a bulge in uterus with a di-di twins?", + "src": "Patient: Hello doctor, An ultrasound at 14 weeks gestation revealed that I am expecting di-di twins. Heart beats were 150 and 145. For the past two weeks I have only felt flutters on the left side of my uterus. I also mostly feel a bulge on the left side of my uterus. Is that normal or is there something wrong? Doctor: Hi. Twin pregnancy is itself more tiring physically as compared to a singleton pregnancy. It is your early second trimester. Have a check on cramps, any vaginal discharge or pain from back to move on to the front, at lower back. If these cramps severe with or without any discharge or bleeding it should be reported to tertiary care hospital. Have you had any cyst, fibroid or any GI disturbance or any other issue? You can have these feelings more frequently as compared to ladies having a singleton pregnancy. It might be possible that developing fetuses move on the left side at present, as still placenta is very small and in the early developmental phase. To be on the safe side, you can have one scan to check any abnormality which is I think less likely. In the scan, it is better to check cervical length as well. You can see the heartbeat, breathing movements in the scan as well. If it is not your first pregnancy, then you can match this feeling with your first pregnancy as well. But as it is a twin, so feeling more early and more in intensity. Have one urinalysis as well to exclude urine infection. Have plenty of water, fruits, and vegetables. Cranberry juice intake for reducing the risk of urinary tract infection. Discuss scan and urine reports here. Observe closely for any unusual symptoms and report if present." + }, + { + "id": 12075, + "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": 8770, + "tgt": "I want to know about the bilirubin and sodium alkaline phosphate levels. Kindly advice", + "src": "Patient: Hello doctor,I wanted to understand the bilirubin and sodium alkaline phosphate ranges. I got LFT done for my mother, in that case, itself I want to understand the range. Please advice. Doctor: Hello. Her indirect bilirubin is slightly high (attachment removed to protect patient identity). And this can happen due to numerous reasons. Most common being anemia, dehydration, mild jaundice, and gilbert syndrome. Further evaluation is required. I would recommend her following blood tests, 1. HbsAg and Anti HCV Antibody for Hepatitis B and C. 2. Complete blood count. Now, as far as Alkaline phosphatase is considered most of the times, it is elevated as a result of calcium and vitamin D deficiency. So I would request for the following tests, 3. 25 hydroxy Vitamin D3 level. 4. Serum calcium. 5. Ultrasound Abdomen. So as such, I do not find anything serious. With little further evaluation, we would come to know the cause and would help in further treatment. I hope it helps you. If you have any further query, please ask me." + }, + { + "id": 7246, + "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": 12772, + "tgt": "What can be done to relieve muscle pain in fibula?", + "src": "Patient: Hello doctor,Last week, I went to play basketball for 3 to 4 days and after playing, there was muscle pain in fibula part of the leg. And if I take one day rest, and again go to play, then again the pain resumes. Please suggest me some cure. Doctor: Hello. As this pain looks to be more of muscle fatigue. As the fatigue is going to set in because of a less muscular part in the leg region. Mostly the anterior portion of the leg pains which is the fascia pain. You can use icing to reduce the pain. For having a good sports fitness you need to do some small warm-up and stretching exercises before the game. Also doing regular jogging for 20 minutes should give a good outcome score. Most sports injury happens due to lack of fitness levels and performing warm-up and stretching before sports can help avoid pains and Injuries." + }, + { + "id": 24028, + "tgt": "I did not have my periods for more than four months. Why?", + "src": "Patient: Hello doctor, I am a 19 year old girl. I was having irregular periods with a maximum delay of 45 to 60 days. But now, I did not have my periods for more than four months. Doctor: Hello. How long have you been observing prolonged cycles or has it been irregular with progressive prolonging? If you have been treated for any disease, better to have full treatment. Do one pelvic scan to rule out pelvic pathology. Have hormonal tests such as: Do you notice any abnormal hair growth and increase in weight recently? If yes, all these are signs of polycystic ovaries. Collect all reports and check with your gynecologist to start treatment. Do have exercise, yoga, walking daily with healthy nutritious balanced diet. Avoid recreational drugs and have recreational activities. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16192, + "tgt": "What is the lump in throat followed by dry cough?", + "src": "Patient: Hello doctor, There is a lump in throat under the chin, lump on left side of the neck and lump on the left shoulder. Followed by headaches, voice hoarseness, and dry irritation cough. I am a female of 32 years. Doctor: Hello. Lumps in the throat under the chin associated with headaches, voice hoarseness, and dry irritation cough are due to acute infection of the throat, most probably laryngotracheitis. I highly recommend consulting with ENT specialist to rule out infectious mononucleosis. At home, you should do gargle with warm water and salt, apply oral antiseptic, take an analgesic." + }, + { + "id": 27748, + "tgt": "Is my albumin level low because of my current medications?", + "src": "Patient: Hello doctor, I had an SPEP test, liver function tests, and kidney tests done. All the reports were normal except my albumin level which was slightly below normal. Is this a concern? It is 34. Can it be caused by my current medications? I take oral contraceptives, spironolactone, Prozac, and antihistamines regularly and Doxycycline for a short while for perioral dermatitis. 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 general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 12448, + "tgt": "I have a lump in breast. Is it something serious?", + "src": "Patient: Hello doctor, I am a 27-year-old female with a lump in the breast and already have ultrasound and mammogram done but the doctor has suggested for biopsy. Doctor: Hi. Do you have any written report?" + }, + { + "id": 23634, + "tgt": "I have burning sensation on the internal walls of vagina. Why is it?", + "src": "Patient: Hi doctor, I have burning sensation and itching on internal walls of vagina after sex and after ovulation. I am facing this problem for the past 6 to 8 months. For past 1 week, I am unable to have sex and while passing urine the nerve pains. We are trying to get pregnant for more than 7 years. Currently I am taking homeopathy medicine. Please help. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18537, + "tgt": "Can vitamin B12 deficiency result in unbalancing while walking?", + "src": "Patient: Hi doctor, Three years back, I had the problem of unbalancing while walking. I never felt any dizziness or spinning of head. I just had a feeling that I will fall down. I consulted a doctor and he told me that it was due to vitamin B12 deficiency and also prescribed me few shots of Vitcofol. Initially, I felt a lot better after taking them and I took them for one year at reducing frequency. Though I was not completely out of the problem, doctor asked me to stop taking those shots. Now, the same problem has got back after a gap of three years. But now along with problem of unbalancing I am having weakness, palpitation and uneasiness in stomach as well as having sore mouth. Four months back, I have consulted a cardiologist. He ran few tests such as ECG, echo and TMT. My heartbeat was\u00a0low at 48 bpm. No problem was detected in angiogram and no blockage was present. Doctor suggested me Orcibest 10 and Tonact ASP for low pulse rate. I was referred to a neurologist. He carried out MRI of brain and spinal cord. No abnormality was detected in either of them. My vitamin B12 was found to be 507 pg/ml. Based on my history three years back; doctor gave me vitamin B12 (Methylcobalamine) shots in spite of the vitamin B12 level being normal. After taking them I am comparatively feeling better and there is improvement in my walking. There is no uneasiness in heart as well in stomach; sore mouth has all improved drastically. After ten weekly shots and doctor reduced the frequency to one per month. But after a couple of weeks again I began to feel weak. A month back, the doctor again put me back on weekly shots of vitamin B12. My present condition is that, my energy level has improved but only slightly. The problem of unbalancing has improved but still far from normal.\u00a0With shoes on, I find it very difficult to walk. With sandals and slippers I feel little easier to walk.\u00a0I am still taking vitamin B12 shots.\u00a0For low pulse rate, I am taking Orcibest 10 and Tonact ASP as prescribed by the cardiologist. For hypertension, I am taking Amlodac 2.5. Along with all these, I am taking vitamin E orally. I would like to have your opinion whether my treatment is on the right line or is there any other issue which is causing this problem. I am attaching my reports for your reference. Please guide. Thank you in advance. Doctor: Hello. I have read your problem in detail and have not found anything abnormal in your test reports (attachment removed to protect patient identity). Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15916, + "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": 27255, + "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": 1101, + "tgt": "Is it safe to continue Ecospirin during delivery time?", + "src": "Patient: Hello doctor, I am 33 weeks pregnant. In my previous pregnancy, I had a c section at 33 weeks as my water broke. Presently, I am taking Aspirin tablets daily. My doctor prescribed it. But I have a doubt that will it cause excessive bleeding in my delivery? As I am near to delivery is it safe to take these tablets? I am currently taking Ecospirin 150 mg, Diamet Metformin 500 mg, Orotate 3D, Folsafe D, Wysolone 5 mg, and Iron tablets. Doctor: Hello. I totally understand your concern, but please do not be stressed. All you need right now is to relax, keep calm, and take some rest. Yes, Ecosporin is totally safe during pregnancy, and mostly your gynecologist will continue it until 36 weeks at least. But I would like to know the reason for starting Ecosporin and also the steroids ( Wysolone) because you have not mentioned it (could be related to previous pregnancy events which need to be known in detail). And also if you go into labor you can stop it then, the effect usually does not last more than a day, and the dose that is given in pregnancy is very low. So definitely there is not much risk of bleeding. I hope this helps." + }, + { + "id": 13692, + "tgt": "I had ulnar nerve relocation surgery. Could that be the reason I am having wrist pain?", + "src": "Patient: Hello doctor, I have been experiencing pain in my left wrist for a month now. I had x-rays and a CT scan showing normal, but the pain continues. A few years back, I had ulnar nerve relocation surgery from a fall on ice in the same arm. Could the nerve be the reason I am having this wrist issue? Doctor: Hello. You have mentioned pain in your wrist region for a month now. Also, you have mentioned previous ulnar nerve transposition surgery. Since your pain is localized to your wrist region, it seems unlikely that your ulnar nerve is involved because neuropathic pain is usually a radiating kind of pain in the distribution of the nerve. Also, there may be symptoms like numbness, paresthesias (abnormal electrical shock-like sensations) and weakness, which you have not mentioned. Also, no abnormalities in x-ray and CT scan means that the bones and joint alignment is all right and not a cause of pain. This also means that there is a soft tissue affection which is leading to your symptoms, so it could be due to ligaments around the wrist region, inflammation of tendons which we call as tendinitis, ganglion, etc., besides many others. Tendinitis or ligament sprain. MRI wrist (If no improvement in 3 weeks time or earlier if any worsening is present). 1) To wear a wrist brace for a period of 2-3 weeks. 2) Ice packs for local application. 3) Gentle anti-inflammatory medication like Ibuprofen or Paracetamol can be taken whichever suits your body. 4) Physical therapy We shall wait for 2-3 weeks to see the effect of this treatment protocol, also if you develop any swelling, or any other inflammation, kindly get back to an orthopedician and traumatologist online." + }, + { + "id": 18414, + "tgt": "I wake up with a soreness in my stomach like I have been punched. Is it gastritis?", + "src": "Patient: Hello\u00a0doctor,I have been having a soreness in my stomach like I have been punched when I wake up in the morning. I do not feel it when I touch, but I do feel it when I breathe in. When I get up and start walking around, it goes away fairly quickly. I was diagnosed with gastritis a year ago and have since gotten rid of my nausea and tenderness in my abdomen. All that I am experiencing now is the morning pain. 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": 20516, + "tgt": "Is it normal to have pain after two weeks of wisdom tooth removal?", + "src": "Patient: Hello doctor, I had my upper left and bottom right wisdom teeth extracted 15 days back and ever since have been experiencing the worst jaw pain. I am barely able to open it most of the time with the exception of a few hours when the pain dulls down. Once it becomes intense again, it starts from my jaw and shoots up my entire face passing behind my ear and ending right behind my left eye. I know some pain is to be expected post op but is it normal to feel this way almost two weeks later? Doctor: Hello. No, it is not common to have pain till now. Go back to your dentist as soon as possible. You may have dry socket condition due to infection of the wound. Use warm salt water gargle twice a day for a week or two. Exercise your jaw to open as much as possible so that dentist can get a look in. You need to start antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for week or two. So get a prescription from your dentist." + }, + { + "id": 14284, + "tgt": "I am a Von Willebrand disease patient. I am currently bleeding through my nostrils. Please help", + "src": "Patient: Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help. Doctor: Hi. Based on your query, my opinion is as follows: Hope it helps." + }, + { + "id": 5368, + "tgt": "I had my braces off before a month. Is it necessary to wear retainer to maintain alignment?", + "src": "Patient: Hi doctor, I am just wondering if retainers can be used to realign teeth? I have had braces off for a month and have worn mine religiously but it feels like my teeth are relapsing a little bit despite this. Is this possible? Namely, my teeth before braces were not aligned properly, had spaces, and my ortho had trouble aligning them, as they are straight but going across diagonally, but we worked on this and got it better. When my braces came off, they felt straight, I was really happy. Now, it seems like my teeth are going diagonally and not aligned anymore and is causing anxiety. I want my teeth to come straight down and not be slanted. Also, can my two front teeth be improved by filing? I have already visited my ortho once to have my essix fixed, and my Hawley's was severely tightened during that time, so I feel like contacting them just a couple of weeks later again. Doctor: Hello. Once the braces are removed, you have to wear the retainers for at least eight months. You have to wear them literally all the time. Else there are high chances for relapse. And yes your front teeth can be filled using tooth colored composite restoration. You just have to visit the dentist every 30- 45 days to lightly activate the retainer. Please be careful regarding this. If the teeth relapse beyond an extent, then you probably will have to restart the treatment all over again. I hope this helps." + }, + { + "id": 19791, + "tgt": "How can one get motivated to study?", + "src": "Patient: Hello doctor, I am 18 years old male. There is not a single day when I sleep happily. And the reason is that I am not able to study. It is not that the syllabus is too tough for me. It is just that I do not sit too long and for that matter, I do not sit to study at all. I know the consequences. This semester is important for me. If I perform badly in this, my parents will kick me and throw me out of the house. I need to study well to get a good branch. Just the thought of not studying is making me lose my life. I am feeling completely frustrated and am with no hope. I also get suicidal thoughts. So, I thought of consulting someone. If I start studying, I will do miracles. But, I get deviated easily. I feel like I love buying troubles by not studying. Please guide me on how to be motivated to study regularly. Just one act of not studying is making me lose my happiness. And, I often get headaches too due to irregular sleeping habits, may be. Please help me. Doctor: Hello. First of all, I would like to mention that studying, though important, is just one of the many parts of life. Do not lose confidence or be so harsh on yourself. Study smart and not more. Study in small shifts of half an hour followed by a rest of five minutes. Set small feasible targets and try to achieve them. Praise yourself if they are achieved and if not, do not worry. Also, keep one hour daily for your hobbies to vent out daily stress.Remember every problem has a solution. You just need to try solving it and help is just a step away. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17073, + "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": 27219, + "tgt": "My son has lower back pain but, only at night. What could be the reason?", + "src": "Patient: Hello doctor,My son has been complaining of a\u00a0lower back pain only at night for the last month. It is not severe enough to awaken him but, as soon as he lays down he starts complaining. Kindly note that this issue occurs only at night time. Doctor: Hello. An interesting query here.\u00a0 I hope I have answered your query. Please revert in case of a problem. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 12896, + "tgt": "What are the ways to cure pain in eye with mild pressure?", + "src": "Patient: Hello doctor, I have eye pain in left side eye, minor or weird feel in the left side or have mild pressure on side of the eye. It is nearly there for the past four days. It is very awkward. Please help. Is it a sign of concern or anything else? Doctor: Hi. There are different causes of mild pain in the eye. It may be due to some foreign body or decrease to increased intraocular pressure in the eye. Some times people with sinusitis feel heaviness in the back of the eye. As your vision is same there is no emergency but if the pain is persistent or worsening you should consult an eye specialist for a complete eye exam to diagnose the exact cause of pain." + }, + { + "id": 1021, + "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": 25106, + "tgt": "Is the heart muscle becoming too weak?", + "src": "Patient: Hello doctor,My 59 year old father has hypertension from the past nine years and acidity problem. He got an acute MI last month. Prior to this, from past 10 days, he was suffering from a low blood pressure and our family doctor asked him to stop the BP tablet for a few days. At morning 5 AM, he got high acidity and chest pain, but we thought it was acidity and gave him Rantac and other home remedies. But, he started sweating and got severe pain in the chest. We took him to a nearby hospital and the doctor immediately did the angiography and found the main coronary artery was 100 % blocked which had to be stented immediately. But, he said it is very risky as you have reached late. The damage has already happened. He processed with the angioplasty. There were a total of three blockages on the left side. Two were done via balloon and the 100 % blockage one was stented. Post the surgery, on the next day, my dad started feeling high acidity, big burps, and heaviness in the chest and his heart rate was very high. From then, we were in the hospital for ten days until his heart rate and BP and other things got normal. He had little breathlessness also. Post returning home, he felt very weak and again a week later, he got readmitted for low blood pressure as my dad fainted at home and we checked the BP was very low and hence we got him to the hospital. The doctors admitted him to the ICCU and started giving fluids to bring up his BP. The doctors said low BP was due to dehydration as my father had gone for motions thrice that particular morning and since the intake of fluids is restricted to 1.5 liters max. Previous medication when we got discharged: Cardivas, Ivabrad, Ecosprin, Brilinta, Restyl for sleep and now since my dad complained of breathlessness, they have changed the medication and now they have discontinued Cardivas completely and increased the dose of Ivabrad and asked to stop Brilinta and take Prax 10 mg. My query is should one discontinue Cardivas abruptly in between? Also, his heart rate is very fluctuating and at times his respiratory rate also reaches 25 to 30 at times. And his LVEF on the day of discharge was 30 to 35 % but on the day when he got readmitted his LVEF was 25 to 30 %. Is the heart muscle becoming too weak? What could be the reason for the same? Please advice. Doctor: Hello. Your father presented to the hospital late after the episode of acute MI (myocardial infarction) with a total occlusion of LAD. So, before intervention itself, a major part of his anterior heart muscle was damaged. Even after angioplasty, his LVEF deteriorated and your father is now suffering from heart failure with reduced ejection fraction. Ideally, according to the recent ESC guidelines, the medicines should be: And fluid intake 1.5L/ day. So beta blocker must be continued at a reduced dose and to be adjusted with Ivabradine. Send a recent ECG of your father to evaluate whether he is a candidate for CRT or ICD implantation. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17053, + "tgt": "I am diagnosed of psychosis NOS. Is there a possibility of withdrawal psychosis when antipsychotics are discontinued?", + "src": "Patient: Hi, I am diagnosed of Psychosis (NOS). The first episode was in 2010 and it lasted for three-four months before I was taken to a psychiatrist. I had been thinking that people are tracking me through email, internet. My mobile phone is tapped and all that. I did not get any auditory or visual hallucinations. I was prescribed Risperidone 2 mg and I took it for about 10 months before I discontinued it following a medical practitioner's advice. But the disease relapsed after 10 months of discontinuing the medication. This time with in one month of the start of the disease I was taken to a psychiatrist and he prescribed me Amisulpride 400 mg and another medication which I do not remember the name. This time also there were only delusions and no hallucinations. I was not able to tolerate the side effects of the medication and I decided to stop the medication after one month of using it. Within one month I was able to come out of the diseased state and stopped the medication by myself not taking advice from doctor. After three months of stopping the medication, the disease relapsed again a bit more severely this time but again only delusions and no hallucinations. My doctor told the relapse is because I stopped the medication abruptly. And presently I am under treatment of the same doctor and am on Aripiprazole 20 mg and Amisulpride 200 mg. His plan is to reduce and stop amisulpride slowly and continue aripiprazole\u00a0for some more time. Totally I should be having the medication for 1 to 1 and half years. I am tolerating this medication better than Risperidone but still would like to find out if there are any alternatives.The Psychosis has responded well to the medication. And I am totally symptom free for the past six or more months. These are the questions I have? I read on internet there is a possibility of withdrawal Psychosis when antipsychotics are discontinued (attributed to increased number and sensitivity of dopamine receptors). Was it that what I got 10 months after discontinuation of the medication? Are there further chances of getting such withdrawal Psychosis, if I continue antipsychotics for a period of one and a half years? How much reliable is homeopathy in treating this? Doctor: Hi. Consult a psychiatrist online for further folow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 10, + "tgt": "Why do I get semen leakage in a very young age?", + "src": "Patient: Hi doctor, I am a 13-year-old male and I have had semen leakage for about three months. I think it is from weak nerves because last year, I would masturbate a lot but then I stopped because it was becoming painful and I was embarrassed. Then about three months ago, I watched something inappropriate and I ejaculated without doing anything. Then a week later, I started to have semen leakage every day about three to four times a day. I am just very worried and I just want this to be cured and go away. Also, could this affect my eyes in any way? Please help. Doctor: Hi. Let me tell you that the symptoms described by you suggest that you have a nightfall problem. The high quality way to deal with dusk is the use of herbal or selfmade remedies. There are no aspect outcomes for such remedy methods. You ought to have yogurt at least two or three bowls a day. Avoid looking at porn as plenty of porn arouses you sexually. So it is recommended now not to watch porn. Sage tea \u2013 having two cups of sage tea a day will limit the probabilities of nocturnal emission. Gooseberry \u2013 popularly recognized as amla acts as an anti-oxidant and helps in lowering the nightfall. Gradually the moist goals trouble will be solved. Bathing \u2013 it is a recommendation to take bathtub earlier than you go to bed. It helps you have a sound sleep. A sound sleep is very vital for averting nightfall. I hope this helps." + }, + { + "id": 30543, + "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": 7508, + "tgt": "My left tonsil is swollen, and I have a severe post-nasal drip from a month. Please help", + "src": "Patient: Hello doctor, I am a 46 year old female, and I am a non-smoker and non-drinker. I received a kidney transplant 16 years ago. I am in a very good health, and I had no bouts of rejection. I eat well and exercise. I just started a new job in another city, so I had to move. Two months back, everyone in the office seemed to be sick, and they had lots of coughing. So, when I noticed a swollen left tonsil approximately a month ago, I was surprised as I had never experienced this in 46 years, but yet with everyone seemingly sick, I was not terribly surprised. I\u00a0did not feel much discomfort the first week, and I felt like I had a cold. So, I went to a walk-in clinic. The doctor swabbed my throat, but I had no strep infection. So, no antibiotics were given. The doctor told me to gargle with salt water. Approximately a week later, I woke up in the middle of the night, and my throat was very sore. I also was starting to feel unwell and believed I was starting to get a bad sinus infection. I have had several since my transplant, but not recently within the past year or two. Post-nasal drip has been excessive along with general malaise and extreme fatigue. This has been the sickest I have been since\u00a0pre-transplant\u00a016 years ago. I went back to the walk-in clinic. The doctor prescribed Clindamycin\u00a0for 10 days at 300 mg. He also sent me for a throat ultrasound due to enlarged submaxillary glands to see if there was an abscess. The medication made me sick at first and a bit of facial swelling, but after 2 to 3 days, my body got used to it, and it seemed to start helping. I was very sick overall for about a week and then started to feel back to normal including energy and no more malaise. The sore throat seemed to dissipate. However, my left tonsil was still swollen.\u00a0I started to experience blood in my phlegm first thing in the morning when I would clear my throat and only in the morning. My ultrasound came back normal. I finished the\u00a010-day\u00a0course of\u00a0antibiotics. My\u00a0throat started to become sore again, only on the left side. It has been over a month, and it is still swollen. So, I went back to the walk-in clinic, and this time the doctor\u00a0prescribed Azithromycin 250. Again, I gargled with warm salt water. And I just started the new antibiotics. But, I still do not feel better. I\u00a0have never had a swollen tonsil in my 46 years nor am I one to deal with a sore throat for\u00a0any more\u00a0than a day or two, and I am now going on at least 2.5 weeks, I feel it every time I swallow and yet eating does not bother me. I have ingested more throat lozenges, popsicles, and gargled to no avail. I am becoming frustrated and concerned at the same time. Please help. Two years ago, I developed vertigo suddenly when on vacation. I had extreme allergy attack with a choking post-nasal drip at night. I never had allergies before. The doctor\u00a0at that time said it was a bad year for non-allergy sufferers and worse for those with allergies already. I was prescribed nasal steroids. Doctor: Hi. Enlargement of tonsil on one side is not usually a good sign. Infectious or inflammatory causes usually cause enlargement on both sides. The constant post-nasal drip points to some cause in the sinuses. Constant post-nasal drip can act as a cause for enlargement of tonsils, like in your case. To know more about the tonsillar swelling, I suggest you get a CT scan of the head and neck. I want to rule out any pathology in the sinuses, as well as clearly delineate the extent of the tonsil swelling. Until then, I suggest using Benzydamine mouth gargle, especially after meals rather than plain warm saline gargles for the throat infection. I suggest you also take an antacid medication, Pantoprazole 40 mg, twice daily before food. This will prevent any acidic irritation of the throat mucosa. Secondly, I would suggest some anti-inflammatory medicines like Trypsin and Chymotrypsin tablets to remove the swelling. But, you must check with your doctor if they can be administered to you since you have had a kidney transplant. Meanwhile, the pain can be kept in check by using Tylenol (Acetaminophen), once or twice a day. I would like to see a picture of your throat. If you can click one with open mouth showing details about the tonsils, posterior pharyngeal wall, and the oropharynx, it will be helpful for us to see the swollen tonsil. In renal transplant patients, we encounter fungal infections more. So, I want to rule that out in you. Do revert with the necessary details. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24068, + "tgt": "What could be the white spot in the eye?", + "src": "Patient: Hello doctor, I had a watery eye and I feel something is there in my eye since last week. It was really bad during the weekend and I found a white spot in the eye. I went to an ophthalmologist and he just had a look through the machine. He said it could be marginal keratitis and gave me drops and cream. Uncomfortable feeling and watery eye have gone, but, the spot is still there. That spot is in the cornea and I can see a white line in the white (cornea) also. What can it be? And if it is keratitis, when will the spot disappear? I am really worried. Doctor: Hi. Can you name the medicines that your doctor prescribed? Marginal keratitis is not a disease to be taken lightly. The white spot will lighten as the healing begins but will not completely vanish. Send me the pictures of the doctor's file and the medications prescribed. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4663, + "tgt": "Is it advisable to get angioplasty done for mitral stenosis?", + "src": "Patient: Hello doctor, My mother, age 59, had an ischemic attack recently (Trop T test positive, CPK-MB elevated). She has had a BMV for her mitral stenosis two years back. She is currently in the ICU, on medicinal therapy (anti-thrombotics). She underwent an angiogram yesterday (report and video attached). Her RCA is 100 percent chronically occluded. LDA and LCX have 70 percent and 90 percent occlusion respectively. I have the following questions: 1. What's the chance that angioplasty can help the total occlusion in her LCX? 2. Will a newer technology like Rotablator/IVUS increase chances of clearing the totally occluded artery? 3. We are in a center that does not have surgical facilities so a bypass surgery will require shifting her to a another hospital. How safe is it to do angioplasty in this situation? And would you consider it risky to shift her to a bigger city? That will involve 2.5 hours of road travel (after which we can wait ) followed by a 1.5 hour long flight? Doctor: Hello. I am sorry to hear about your mother's poor health condition. 1. There is a very good chance that angioplasty can help with the 100 % blockage alongside a stent. She is still young. If she can adhere to lifestyle modifications and medications it will help. 2. Rotablator or IVUS can definitely help with clearing the clogged arteries. Although they also will require stenting because the site of the clogged arteries have become weak and will require stenting as support. 3. In situations like this I advise angiography for my patient. The recovery period is shorter and patients are able to live a quality life with modification of lifestyle and medication. It is not safe for her to undergo the stress of traveling at this time." + }, + { + "id": 11710, + "tgt": "What are the cause for blood in urine", + "src": "Patient: Hello doctor, I am a 40-year-old female. I went to my doctor a year before because I had a little blood in my urine when I wiped. He did a urine analysis, and some blood work and everything came back fine. There were no problems until three days ago. I peed then a few minutes later it felt like it still had to go so I went back to the toilet but I just got only blood. There was a lot this time, and it was fresh blood and small clots. It is hurting while passing the blood but that is all that came out though I had just emptied my bladder a few minutes before that. The only other symptom I seem to be having is all of a sudden there will be an immediate need to pee out of the blue but then when I go it is not a full bladder of pee just like half but it the onset was very sudden, or I am going to pee my pants. These are my only symptoms. I do have a long history of stones, but I am confident this is not due to that, because I have had blood from stones but not this amount of blood. And every time I have ever had a stone, it hurts worse than childbearing, and I am not in that kind of pain. I feel whatever is going on is the same thing I went to the doctor last year, but he found nothing. What is likely to be wrong with me? I am currently on Coumadin, Lanoxin, Coreg, and Propylthiouracil. Laboratory tests performed are urinalysis, hemoglobin a1c, CBC (complete blood count), fasting lipid panel, and fasting glucose. Doctor: Hello. A bladder infection (cystitis), stones and overdose of Coumadin (Warfarin), all three can be the likely reason for your bleeding. In case of any such bleeding, an ultrasound is a must. I prefer to start with a short course of antibiotics (mostly Nitrofurantoin and Cipro or Levofloxacin are given) for five days depending on sensitivity patterns. Blood clotting parameters need to be checked to see if you are on the overdose of Coumadin. Ultrasound is a must to rule out any other serious causes of bleeding like a tumor. Since antibiotics are not available over-the-counter in your place, you need to get back to your general physician. Moreover, even for getting an ultrasound and clotting parameters to check the overdose of Coumadin, you need the help of your general physician. Please do at the earliest." + }, + { + "id": 13006, + "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": 3026, + "tgt": "How to control grand mal seizures in a cerebral palsy patient?", + "src": "Patient: Hi doctor, My sister has cerebral palsy with grand mal seizures. She is 28 years and weighs about 25 kg. Today she had a seizure attack for about 7 times that would last for almost a minute per attack. Our neurologists are out of town so we just needed an opinion on the following interventions we did. In the morning we gave her Lioresal 10 mg, Tegretol 200 mg, and Rivotril 2 mg. In the afternoon Diazepam valium 0.5 ml. Whether we should add more for tonight? She still had two minor seizures for a few seconds. She was not able to sleep overnight last night until today. Doctor: Hello. I would recommend taking Tegretol 200 mg (Carbamazepine) three times daily and Clonazepam 2 mg two times daily. In case of repeated seizures, Diazepam should be administered 0.5 ml during each seizure. If seizures become frequent despite therapy, I would recommend bringing her to the ER, because the situation may become life-threatening. I hope this helps." + }, + { + "id": 15040, + "tgt": "The leg vein swells up when I do sit-ups. Why?", + "src": "Patient: Hello doctor, I am 22 years old male. I am an athlete. One of my legs vein swells when I do sit-ups. Only for a short duration. I am tensed is there a problem. Kindly help me. Doctor: Hello. I read your concern. The swollen up vein could be varicose veins. And if you keep doing some activities that increase the pressure in the lower body or abdomen, it can give rise to immense pressure preventing backflow of the blood to the heart via veins. So, there is swelling in the veins. If you continue to do the same activity then you may lead to damage the valves in the vein. Now, at this stage, you may have a check up with some cardiologist to know the exact cause of the swelling. However, nothing to panic. Until then, I request you not to indulge in those activities that bring the swelling in the vein as a precautionary measure. You may continue with moderate activities that will anyway help you achieve the same result." + }, + { + "id": 25701, + "tgt": "I have chest pain when breathing. Please suggest a medicine", + "src": "Patient: Hello doctor, I am a 22 year old male. For the past two days, I am getting a normal pain on the left side of the heart. Previously, I had the same experience, but since two days I am getting pain continuously while I am breathing. Please suggest a medicine. Doctor: Hello. Your diagnosis is costochondritis that is a localized infection of the intercostal muscle. I suggest the following medicines: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do one chest X-ray PA (posterior-anterior) view and review. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7719, + "tgt": "Can you suggest any temporary measure to relieve pain in the area from where the tooth was removed?", + "src": "Patient: Hello doctor,I took off my first molar teeth due to careless RCT before a week. And for the past two days, I am having severe pain in the whole region from where the tooth has been removed. Especially it pains after evening time. Can you please tell me any treatment that I can perform now for temporary relief? Doctor: Hello. This is possibly due to dry socket or presence of root fragment left behind in the socket. You can take fresh radiograph fresh and send it with a photograph of the socket to confirm whether it is due to dry socket or root tip. Kindly consult your doctor to discuss and take the treatment with consent." + }, + { + "id": 28221, + "tgt": "What does bilateral hydrosalpinx mean?", + "src": "Patient: Hi doctor, My HSG report says bilateral hydrosalpinx\u00a0noted with a free peritoneal spill on the left side. What does this mean? Can I conceive normally? If yes, then how? I have hypothyroidism, which is under control. I take Eltroxin 100 mcg and 75 mcg on alternate days. Please help. Doctor: Hi. How are you doing? I have seen your report (attachment removed to protect patient identity). Hope I have clarified your query, do write back.\u00a0All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 28859, + "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": 29678, + "tgt": "Though the urine tests are negative, do the symptoms suggest pregnancy?", + "src": "Patient: Hello doctor, I have been on Lo Loestrin Fe for four months. I have never missed the pills on any days.\u00a0I\u00a0started to develop pregnancy symptoms\u00a0such as nausea, food aversion, breast tenderness, dizziness,\u00a0crying\u00a0and fatigue.\u00a0I\u00a0stopped taking the pill and took three pregnancy tests\u00a0in the morning using fresh urine. All the pregnancy tests were negative and I have been bleeding bright red blood for a day.\u00a0I have to change the tampon every three to four hours.\u00a0I am still experiencing nausea, food aversion and have chills. I am\u00a0not running a fever. I had experienced similar symptoms before also on a 30 mg combined birth control pill. That time, the symptoms resolved when I stopped using the pills. Though my urine pregnancy tests are negative, will these symptoms suggest that I am pregnant? Doctor: Hi. If three tests are negative and you are bleeding after the stoppage of the tablet, then you are not pregnant for sure. The bleeding may be more because you stopped the tablets in between. The symptoms that you are experiencing do not happen only in pregnancy. It can happen because of tablets, a stomach infection, climate changes and acidity. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 31059, + "tgt": "Brother-in-law got a stent for stomach cancer and still not able to eat. Why?", + "src": "Patient: Hi doctor, My brother-in-law has stomach cancer of a genetic type and the doctors were going to take his entire stomach out. My brother-in-law was constantly vomiting and could not keep food or even liquid down. So, the doctor put a stent in before 8 days and he had intense pain till two days. Now, the pain has subsided but he still cannot keep any liquid or food down, as he vomits after a while. He has not had any nourishment in days and his test showed that he is malnourished and he still cannot keep anything down. The doctors took an x-ray of the stent and said it is in place, but found two round things blocked, which I think is the gelatin from the jelly they gave him. So after this, a few hours later he tried some liquid and a number of hours later he vomited again. The doctor on all thinks it is the bowels and gave him enema and nothing has changed. Tomorrow they are going to take an x-ray of the bowel. What could be doing this? Would he require a stent for the bowel? What else can we do? What questions should we ask or what else can be done? I appreciate any information as the poor guy is being left aside waiting and not really getting much quick help. We do not want him to die malnourished either, since nothing else is being done. He is 49 years old. I appreciate your help. Doctor: Hi. I understand your concern. For further doubts consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 14628, + "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": 19102, + "tgt": "My bowel movement is not satisfactory. Is that a symptom of IBS?", + "src": "Patient: Hi doctor, Around 3 to 4 years ago, I had normal bowel movements. My bowel movement was good enough that I had to wake up to go and felt quite empty, except sometimes I had to go in the evening and also no farts. I then moved to a new place and I think the water changed; still I was quite fine with two times bowel movements. I then moved to another place due to work where the water was not quite good in taste. I stayed in the same place for about 15 months. Here, my BM changed and I did not use to get the feeling of complete emptiness. I had to go in the evening every day. After a bowel movement, I used to get lots of burps and farts in the night. Now, I have moved back to the place where I was 4 years ago, but my current situation is still the same.\u00a0When I wake up, I do not get the normal urge for bowel movement. When I go to the toilet, initially, I will get farts and then stools. Though I go to restroom for three times in a day, I do not get the feel of emptiness.\u00a0Is this IBS? I do not feel constipated and I do not have a complete watery stool or diarrhea. I feel quite normal other than the disgusting farty feeling during the day and the irritation that I have to go to the toilet more than three times a day. I do not what is wrong with my digestion or colon. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2745, + "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": 24503, + "tgt": "ECG shows RBBB and marked left ventricular hypertrophy. What does it mean?", + "src": "Patient: Hi doctor, My son is 12 years old, very active, plays representative basketball and attends a sports high school. Last Sunday, he was knocked over while playing and hurt his arm. After getting up, he fainted. He was fine after that. There were no broken bones, but the medical center did an ECG, and it says on the ECG as non-confirmed diagnosis, incomplete RBBB marked left ventricular hypertrophy. We took this to a pediatrician and he said his ECG can be normal but said maybe seeing a cardiologist would make us feel better. I have booked in to see one but I would like some reassurance because the appoinment is one month away. The pediatricians report says incidental finding of a partial RBBB and slight tall R waves in V4-V6. I have a copy of the ECG if needed. Doctor: Hello. The ECG (electrocardiogram) is showing incomplete RBBB (right bundle branch block) or early RBBB and features of left ventricular hypertrophy, and also heart rate is on lower side nearing 60 beats per minute. But as you mentioned, he is a basketball player. So, athletic person or one doing exercises get these changes. This is called as athletic heart. So, the first possibility is of athletic heart. Due to chronic exercises, there is thickening of heart wall similar to our biceps on workouts. This is seen as hypertrophy on. ECG and may cause RBBB and minor conduction abnormalities. So overall, it does not look worrisome, but we need to rule out hypertrophic cardiomyopathy as he also has fainting. So he will need echocardiography to confirm the findings. Fainting may otherwise occur due to pain or inadequate food intake as well. I guess there is no family history of sudden unexplained cardiac deaths. So, get his echocardiography done and try to restrict his sporty activities till echocardiography. Have plenty of water and oral fluids to avoid fainting and syncope. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6482, + "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": 9944, + "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": 24488, + "tgt": "What is the treatment for rheumatoid arthritis?", + "src": "Patient: Hello doctor, I am diagnosed with rheumatoid arthritis. I have swelling on ankles, elbows and some fingers along with deformity in right wrist. Currently, I am taking ayurvedic medication. I need consultation. Doctor: Hello. If you are diagnosed with rheumatoid arthritis, have completed your family, and do not want to conceive further, then start DMARDS (disease-modifying antirheumatic drugs), Methotrexate 15 mg once a week and Hydroxychloroquine 200 mg morning and evening if you have active arthritis. Start low dose of Methylprednisolone (Sterio 4 mg) once daily and Pantop 40 mg before breakfast. If you want to have kids, then instead of Methotrexate take SAAZ (Sulfasalazine) 500 mg morning and evening. Also, mention your C-reactive protein and ESR (erythrocyte sedimentation rate) For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 6204, + "tgt": "Why am I having anxiety after stopping Gabapentin?", + "src": "Patient: Hello doctor, I am a 34-year-old woman, otherwise in good health. I have a history of anxiety and panic attacks but I had not suffered any of these in a severe form in over 6 years. I was medication free for many years, up until 2 months ago when I went to see a psychiatrist for possible psychosomatic symptoms, I had chronic abdominal pains with no obvious source discovered after several medical tests. The psychiatrist gave me Gabapentin. She said to take 300 mg every night. I started the medication as she prescribed but after 3 to 4 days I found they were making me too groggy so I started taking 300 mg every three days. Then by the end of last month, went down to 300 mg every 6 to 7 days. I had no side effects except for a bit of nausea/dyspepsia, feeling drowsy and my mind was foggy. Around 2 weeks ago I stopped taking them altogether since my abdominal pain was getting better on its own. But around 8 to 9 days after stopping Gabapentin, I started having these weird symptoms that seemed to have come out of nowhere. Anxiety which has increased to dramatic levels over the last few days, panic sensations on every tiny negative or sad thought, a burning feeling in my throat and nose, horrible heartburn, waves of weakness like an adrenaline rush flowing through my chest, arms and legs. I have strange thoughts, bizarre ideas like mind control and telepathy (which is so uncharacteristic of me), confusion - I cannot get my thoughts together well, cannot remember things. Insomnia, cannot sleep for more than 1 to 2 hours at a time. I feel horrible. There is a bit of stress in my life at the moment but nothing that I would not have normally handled decently well. I also checked my thyroid and my TSH and FT4 are completely normal. It all started suddenly five days ago and since then it has been hell. Things have not gotten any better over these days, at the contrary I am worse. Can this be Gabapentin withdrawal symptoms? Because my doctor told me I can quit it cold turkey since it is not addictive but I am starting to believe it must be. No way I went crazy like this for no reason. I feel like I cannot fully control the way my brain is working and I am overreacting to any slight emotion and turning it into panic. Please help. Doctor: Hello. You have clearly described several psychosomatic symptoms. On the core of such symptoms is anxiety. Anxiety can take several forms and can manifest in different ways in different individuals. For some it may be palpitations and breathlessness, for some it might be butterflies in the stomach, frequent micturition, etc. Gabapentin is a good anti-anxiety medication but it can cause day time sedation (which you had). The way you have tapered off Gabapentin suggests that the current symptoms you are experiencing cannot be a withdrawal state. Rather it is anxiety which is manifesting in such a manner. The normal stress you have mentioned may not be normal for you. For a vulnerable individual who has had an anxiety disorder in the past, even mild forms of stress can trigger an anxiety or panic episode. My suggestion would be to take a few medications for at least 6 to 9 months and also practice some breathing exercises and yoga. My suggestion for you would be, tablet Desvenlafaxine 50 mg - 1 tablet at night after food and tablet Clonazepam 1 mg - 1 tablet at night after food. Additionally, you can take tablet Clonazepam 0.25 mg 1 tablet on a SOS basis (that is whenever you have an anxiety attack). The above medications will help with most of your symptoms as well as improve your sleep. The only issue is that Clonazepam should be tapered off in about 4 weeks. It can cause dependence. Take care." + }, + { + "id": 12516, + "tgt": "What does my TMT test for chest pain indicate?", + "src": "Patient: Hello doctor,I was feeling pain in the chest sometimes so I wanted to confirm what it is. My 2D echo said to be fine. Here I am keeping findings from TMT exercise time: 6:04 minutes. Max HR attained: 148 bpm 77 % Of max predictable HR 191, max BP: 140/90, workload attended: 7.2 (fair effort tolerance). Significant ST segment changes noted during excercise or recovery. Angina, arrhythmia, S3, murmur. Final impression: Test is positive for the exercise inducible ischemia. Doctor: Hello. Could you please attach the whole TMT tracings? The final impression of the TMT says it is positive, which means your chest pain is due to blockages in the heart (attachment removed to protect patient identity). Echo shows abnormalities in later stages and severe disease only. But, considering your age and pain only sometimes, the probability of disease is usually low. Patients with cardiac pain get consistent pain on exertion and relieve with rest. So, considering both these factors, I would like to review the tracing and confirm ECG changes. And assuming this final report to be true, you will need angiography to confirm and see the extent of blockages. Another option is you may undergo CT coronary angiography to confirm or rule out TMT findings. So, firstly, TMT should be reviewed once and you should undergo further tests to confirm the findings." + }, + { + "id": 18088, + "tgt": "I have itchy scalp. Is it folliculitis?", + "src": "Patient: Hello doctor, I hope you will read it thoroughly and answer every query. I am a 30 years old male.\u00a0It all started with itchy scalp ten months back this summer. But, I was not concerned much, since it was just itchy and some bumps like mosquito bites (not more than two to three) and some swelling as well. Since it was summer, I was sweating. Sometimes, the whole scalp would itch and sometimes only the bumps. It continued for some months. Later, itching of the scalp subsided and bumps size has decreased. But since three to four months, I can feel pimple like things on my scalp and they ache sometimes. When they started, they would disappear on their own in less than a week. But now, even after so many months, I can feel some more (not more than two at a time) pimples. I doubt whether it could be folliculitis. I have not had a haircut since ten months, just because I thought the itching could be contagious. So, I better not go for a haircut and spread it to others.\u00a0There are two to three bumps on my face as well. One was hurting earlier, but it is all itchy and the other two are only itchy. I would like to state it again that they do not itch all the time and one that aches do not hurt at all the time. Also, I felt a pimple like thing on my butt. It disappeared in a week. It was not very painful. I have had folliculitis till I was 25. So, I know how much it pains and itches. I thought it could be folliculitis. My father had a boil and got better in two weeks and everything was fine. So, I thought maybe the spread of same bacteria.\u00a0Getting pimples on my butt have become regular. They come and go and they appeared on my face only after that. We are a family of four. I have OCD as well and cannot tolerate these skin diseases. I wash my hands and taps touched by him every time he touches them. The only thing that I share is the bathroom tap and latrine tap and also latrine bucket. Apart from them, I do not touch anything from him. When I try to touch the pimple like things on my butt, I cannot feel them. They do not appear to be there. Also, before the pimple like things started to appear, I had some scratchy and cracked elbows (pictures included) and it was painful. I was scared and thought it is somehow related to that boil. It healed in two weeks. This happened four months back. From then on only all pimple like things started appearing in the same month. Unfortunately, I do not have the picture. And the ones on the face and scalp are covered with hair, so there is no way I can click it. Now, my question is whether I can go for a haircut and beard trimming? I have not trimmed my hair since five months, all because of these reasons to not spread it to others and myself. I will use electric shaver to trim my beard. How can I have my haircut without spreading it to others? My hairs are now getting twisted and unmanageable, since I have not covered them either. My social life has suffered a lot because of it.\u00a0And, what is it (disease) that has taken away my freedom, social life and confidence?\u00a0Also, what can I use to disinfect my electric shaver, the blades, nail cutter and other such things? What I do is soak in boiling water for 30 minutes and then wash it with dish gel and dettol. I am waiting for your answers. Thank you. Doctor: Hi. I have checked your photos (attachments removed to protect patient identity). It is better you go for haircut and shave or trim beard. It may be due to folliculitis or fungal infection by the description. You can get it examined by a doctor or dermatologist for physical evaluation and diagnosis. You need not worry about spreading infection to others. You can use separate trimmer for yourself or get it done by a barber with separate trimmer. The disinfection method you are following should be fine. You can use topical antibiotic cream like Mupirocin (T-bact) if pus filled lesions are present. Do not worry about transmission of diseases. You can wash your hands with soap and water after using washroom. The lesion on elbow appears to be due to dryness. You can use moisturizing soap or Cetaphil cleanser. Apply moisturizing cream like Ponds or Cetraben cream. Main ingredients of this cream are (White soft paraffin and Light Liquid paraffin). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11932, + "tgt": "What can be done to cure mental trauma given by colleague?", + "src": "Patient: Hello doctor, I am 41 years old. My office colleague is giving me mental trauma by gossiping about my childhood physical abuse. Sometimes suicidal thoughts come to my mind. How should I tackle it? Doctor: Hello. The first thing that you have to fix in your mind is you have done nothing wrong in that abuse episode, it is a matter of shame for that person who had done it and to those who are making fun of this. Be confident and set in your mind that you will never get disheartened, say to your own mind that you have fought very well with the circumstances and done your best to overcome that. Suicide can never be a solution to anything. Do people stop gossiping after you? They will keep talking, no matter or anyone else .one more thing, rule out other features of depression. If present consultant a psychiatrist. For the current situation try to talk with them and ask them if the same event had happened with someone to their relative or close one, will they keep talking like this? Do regular yoga and meditation. Take a healthy diet, proper sleep. Try to involve yourself in other activities and be happy." + }, + { + "id": 24308, + "tgt": "Is there a specific A1C number I should aim for before trying to get pregnant?", + "src": "Patient: Hello doctor, I am 26 years old and have been a type-1 diabetic for 24 years. I am considering getting pregnant. Is there a specific A1C number I should aim for before trying to get pregnant? Aside from having a great A1C and taking prenatal vitamins, is there anything else I should be doing to prepare for diabetic pregnancy? Also, is there a chance of delivering vaginally? I have heard that diabetics almost always have to have c-sections, but I would like to avoid it if possible. Doctor: Hello. A diabetic patient like you should have preconception counseling regarding your sugar levels, HbA1c as for conception you need to have your HbA1c below 48 mmol/mol or 6.1 %. Even HbA1C level above 86 mmol/mol or 10 % is strongly against pregnancy. So, try to avoid it if you have this level as more chances of miscarriage, fetal congenital anomalies, etc. A diabetic patient having BMI greater than 27 kg/m2 and want to conceive is advised to reduce weight before trying for conception. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22816, + "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": 14067, + "tgt": "Why is there green stool a day after colonoscopy?", + "src": "Patient: Hello doctor, Yesterday, I had a colonoscopy and today I had a bowel movement that was bright green. Should I contact the doctor who performed the procedure or is this normal? I am a 32-year-old female. Doctor: Hi. Bright green color stool could be due to the presence of bile in stool. During a colonoscopy, you were given laxatives that might have disturbed your intestinal flora that is responsible for the yellowcolor of the stool. Also, stool must have passed rapidly through the gut. Other causes could be: 1. Fat rich diet will increase the release of bile pigments and if it moves rapidly, your stool will be green. It occurs during a period of stress or infections. 2. Rarely diet rich in green leafy vegetables can cause green color stools, if malabsorption ensues or due to not chewing properly. 3. If you have any other symptoms like abdominal pain, bloating, nausea, vomiting or green stools, do not stop within the next 12 to 14 hours. Then I would suggest you consult your doctor. You can take probiotics to build up your intestinal flora." + }, + { + "id": 11233, + "tgt": "I have a small tooth cavity. Can it be cured by filling?", + "src": "Patient: Hi doctor, I got my dental checkup done recently. A small cavity was observed on the side of my tooth between 2 teeth. I am attaching a photo of x-ray. Please check second upper tooth from left in the x-ray. Also let me know, if this can be cured by filling? Doctor: Hi. I checked the x-ray (attachment removed to protect patient identity) Yes, this can be cured by restoration." + }, + { + "id": 16045, + "tgt": "Patient has heartburn after waking up at midnight. Why?", + "src": "Patient: Hello doctor, My father's age is 49 years. He feels burning in the chest after waking up at midnight. Waking up is normal as routine. Doctor: Hi. Your father can have a duodenal ulcer with acid reflux. I suggest Rabeprazole 20 mg OD for one to two weeks for that. Meanwhile, avoid gastric irritants like excess spicy foods, excess tea, coffee, stress, smoking, etc. Cooked oatmeal help in the soothing of the stomach. Include curd in your diet. If no improvement, then USG abdomen or endoscopy like investigation can be planned." + }, + { + "id": 19071, + "tgt": "Can I die from a long-standing fecal impaction?", + "src": "Patient: Hello\u00a0doctor, I am a 20 year old male. I have had a fecal impaction for four weeks. My symptoms are, straining while pooping, occasional pain in my rectum, painful bowel movements, right arm tingliness, sore back, and I am not nauseous, but queasy. It does not bother me much, but sometimes it hurts down there. I am on no medication. I have no health insurance. I have no gastrointestinal history. I can still poo, but when I do, it seems like more liquid poo gets stuck. Should I take laxatives? Will I die? And can I still ride a bike or does that make things worse? Doctor: Hello. You will be alright. Please consider a detailed review next week.\u00a0Good luck. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27944, + "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": 30186, + "tgt": "What could be the reason behind my late periods?", + "src": "Patient: Hi doctor,I missed my period and my actual due date was 20 days ago. But, the pregnancy test shows negative and this is happening for the first time. My period is always regular. What could cause this? What will the reason behind this? Doctor: Hi. At the age of 35 years and with the concern of your weight 39.92 and BMI 14.2, you may have early menopause. Do a thyroid test. Sometimes, due to thyroid also your periods can get elongated. Or it is more likely perimenopausal period from which you are passing and your period starts being irregular as 6 months to 2 years before menopause. Try to put on some weight and see. Do one sonography to rule out any ovarian pathology and thyroid test. If tests are normal, then no need to worry. It is just a normal phenomenon. If any other symptom comes along with, then we shall investigate it further. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28659, + "tgt": "What action needs to be taken for silent and non-movable gallstones?", + "src": "Patient: Hi doctor, I am a 54 year old male. I got a bypass heart surgery 12 years ago. During that time, my gallbladder had multiple small stones, which were silent according to the doctor. The location and position of these stones were found static during regular ultrasound tests. Four years back, I consulted a doctor, he also said that as it is silent and non-movable stones, there is no need to operate till there is no pain. I got an ultrasound two months back. Please see the attached report, and let me know what action needs to be taken? I do not have any pain or discomfort. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6863, + "tgt": "Please check the report and reveal the reason for my dry mouth along with left-sided jaw and arm pain", + "src": "Patient: Hello doctor,I had a bad pain in my left arm and jaws. Lightheaded and dry mouth, and hence got the test done. Doctor: Hello. I have gone through your reports, and they are normal. This is unlikely to be related to the heart. A similar kind of pain may occur in reflux disease. Do you get any bloating, burping, soar water feeling in mouth or chest burning intermittently? If yes, then it likely indicates reflux-related pain, and even otherwise it may be related to reflux or esophageal spasms. So, I do not think there is anything to worry about it. You should be on antacids like Pantoprazole, Domperidone combination for a week or two. Also, avoid oily fatty, spicy food, and avoid smoking alcohol if any. Have regular exercise and avoiding resting immediately after the meal instead have some walk. I hope this helps you and get back if you have any doubts." + }, + { + "id": 4131, + "tgt": "Can arachnoid cyst cause mood swings, depression or panic attacks?", + "src": "Patient: Hello doctor, I want to know how bad or serious is type II (Galassi) arachnoid cyst located on the left temporal lobe? Can it be responsible for mood fluctuations, depression and/or panic attacks? There are no clear symptoms, but only mild depression (also had recent changes in life and my father died) and anxiety. No strong pain, only a minor one when my heart pounds fast. But I have to pay attention in order to feel it, it is very subtle. I am currently taking mild anti-stress natural medication and a quarter tablet of Betaloc-ZOK 50 mg in the evening to lower my pulse. I have done my MRI also. Doctor: Hi, Welcome to icliniq.com. There are no clear evidence in the literature favoring arachnoid cyst as a primary cause of any psychiatric disturbances. Having said that its size does affect the lobe functions if it is compressing it. So basically if you have symptoms that are not responding to the medical line of treatment then only you should opt for a surgical option." + }, + { + "id": 17489, + "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": 6754, + "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": 7131, + "tgt": "My mother had a bruise and a bump on her arm after giving blood for the test. Could it be hematoma?", + "src": "Patient: Hello doctor, One week ago, my mother had a CBC done, and the results were all perfectly normal. However, the lab forgot to order a peripheral smear review (which her doctor requested). So a week later, the CBC was repeated with a smear. Oddly, the results of this new CBC were, Low WBC. Low RBC. Low neutrophils. (The smear was normal). At the time of this second lab draw, the lab tech commented this is going to bruise, and it did. A huge dark bruise and bump formed on my mother's arm very soon after the blood was drawn. I assume this is a hematoma. My question is, can a lab draw technique error (as evidenced by the large bruise and hematoma painful) be the cause or reason for the low WBC, low RBC, and low neutrophils? Please keep in mind the Smear result was normal (unremarkable). I should also point out that this CBC was manual (versus automated). I know it is essential to repeat the CBC with smear again to verify, but I like to know if improper drawing or lab techniques could cause the odd results and if so, what the mechanism of action would be. I can show you her actual results, plus a photo of the bruise or hematoma. Doctor: Hello, Welcome to the icliniq.com. I have reviewed your query and attached images as well. You are having superficial thrombophlebitis most likely as per given history and attached image. It can be most likely due to a technical error during collection. However, your low red blood cell count, low ANC, and the low total count could not be due to a technical fault. It can be temporary finding due to some unnoticed infection. I suggest you repeat CBC (complete blood count) after few days approximately after 7 to 10 days and it will come standard mostly. Your peripheral smear examination report is normal, so no need to worry. You can revert with reports once done after a few days. For thrombophlebitis or bruise, I suggest you apply ice wrapped in thin cloth frequently like five to six times a day. Thrombophleb gel also can be beneficial. I hope I have answered your question. Let me know if you have another problem in mind." + }, + { + "id": 10890, + "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": 3541, + "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": 10415, + "tgt": "What should I need to do to get rid of my skin infection on my arm?", + "src": "Patient: Hello doctor, I have a skin infection on my right arm and would like to know what I need to get better. Doctor: Hello. How long has it been there? What are the symptoms in it? And any other family member affected?" + }, + { + "id": 3851, + "tgt": "Kindly give your suggestion based on my blood report", + "src": "Patient: Hi doctor, I am having mild chest pain over the last three days. I also feel lazy and less energetic for few months. I have done routine checkup. Can you please give suggestion based on the report attached? Doctor: Hi. Get ECG (electrocardiogram), 2D echo and TMT test (treadmill test) to rule out any cardiac risk. Your homocysteine levels are little high (attachment removed to protect patient identity), which may be the factor responsible for hypercoagulable state. Repeat homocysteine after a month. Take tablet Folvite 5 mg (Folic acid) once daily. Do regular exercise as it can control your borderline raised cholesterol. Do overlook for any numbness in legs or breathing difficulty. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4576, + "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": 3611, + "tgt": "How to treat lung scarring due to RSV?", + "src": "Patient: Hello doctor, Eight months ago, I had severe RSV lasting for 10 weeks. I am 66 years old, athletic, fit and in perfect health before RSV. I took no prescriptions whatsoever. I got RSV from my friend's infant at church. My husband is a double-boarded physician and recognized the RSV very quickly. I had acute wheezing and coughing. I was on five prescriptions (the usuals) for 10 weeks. I was off all medicines and back on the treadmill daily and also at the gym. The one very noticeable thing that has remained and is very troubling, is that every time I climb stairs in my home (about 18 stairs to the second floor) I am quite out of breath. This does not happen on the treadmill but just on the stairs. I am convinced this is damage from RSV. The two x-rays, six months apart are showing scarring from the RSV. I was recently at a high altitude after many visits to that same location, and I was seriously struck with altitude problems. I was extremely short of breath and had to get a prescription inhaler which helped enormously. When I returned to my place of low altitude, my breathing greatly improved. My questions are: Can I improve my lung scarring in any way? Should I get pulmonary studies? If I am not wheezing, will an inhaler help shortness of breath upon exertion? This is a problem for my fitness program and my very busy personal life. Doctor: Hi. Scarring is an irreversible process so it cannot be cured. Your breathlessness is due to less lung reserve because of scarring. Kindly share your x-ray chest image. Your lungs will not become normal but breathlessness problem will be corrected by medications and respiratory exercises (pulmonary rehabilitation). Medications are simple bronchodilators like tablet Doxophyllin 650 mg OD with inhaler combination of Formeterol and Budesonide. Respiratory exercises can be done in the form of pulmonary rehabilitation. Download pdf form of pulmonary rehabilitation and do it slowly in increasing way. I hope this helps. RSV (respiratory syncytial virus). HRCT CHEST (high-resolution CT scan), ABG (arterial blood gas test). Treatment plan will be changed after investigation. Prevent infection and maitain hygiene. Follow up after one week." + }, + { + "id": 24064, + "tgt": "There is brownish discoloration over right forearm. Please advice on diagnosis and treatment", + "src": "Patient: Hello doctor,My wife is a 33 year old female. She has spots of brownish skin discoloration over her right forearm, about 10x5 cm, not raised, not itchy. She does not have a history of medicine use, no recent investigations, not pregnant or lactating. She has no similar lesion elsewhere, nor does she have any other skin manifestations. Can I have your advice on diagnosis and possible treatment? Thanks in advance. Doctor: Hi. I have seen your query and concern. With your descriptions, it is not clear the discoloration is in which form. Is this hypo? or hyperpigmented? or depigmented? One thing is clear that it is asymptomatic macule. There are N number of macular diseases. I need a detailed history and possibly pictures if you can share. Please get a review with pictures for better evaluation and best possible treatment of your concern. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11488, + "tgt": "I am a HIV negative man married to a HIV positive woman. We would like to have a child. Please advice", + "src": "Patient: Hi, I am a 26 year old HIV negative man married to a HIV positive woman. We would like to have a child. I want to know if there is any medication that can prevent the child from being infected. Is there any risk of me also getting infected? Doctor: Hi. Hope I have answered your query. If you have further questions, revert back to a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 12812, + "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": 24635, + "tgt": "My alcoholic son shows aggressive behavior and vomiting. Please help", + "src": "Patient: Hello doctor, My eldest son is 45 years old. For many years he has drunk heavily, but until seven weeks ago he had come off alcohol for around four years. His mother, who has died, had a history of manic depression. My son appears to have similar symptoms. For the past seven weeks, he has drunk bottles of whiskey, left the bottles around, been sick and will not help or look after himself. My other son and I have visited him frequently, but he is aggressive and appears to be on another planet. In the hope of getting help, we have made an appointment at his surgery (we will be there with him). The surgery has indicated that another route to follow is to call an ambulance. Would you please advise which route we should take and what happens in both routes. We do not want him to return to his flat right away, and he lives alone. We are at our wit's end to know what to do. Doctor: Hi. Thanks for your query. Sorry to hear about the suffering of your son. Your son is alcoholic with signs of alcohol intoxication (confusion, irritability, and aggressiveness). Alcohol in excessive amounts causes depleted thiamine and glucose in the blood which causes severe symptoms. My advice is to call the ambulance and bring him to the emergency room for immediate treatment. Gastritis is a common issue in alcoholics, has he vomited blood? It is my honor to follow up his case and provide the second opinion whenever it requires. Please do not hesitate to contact me for further help. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23052, + "tgt": "I have an infected tooth with pus. What do I do?", + "src": "Patient: Hello doctor,I have severe pain in my lower tooth on the right side. It never stops until I take a painkiller. Also, the effect of the painkillers I take only last a few hours. I guess I have an infected tooth, as there is pus. Now the right side of my jaw and the area under it started hurting. I am taking Ultracet or Tramadol for pain and Augmentin for infection. What is the problem and what do I do? Doctor: Hi. With all the signs and symptoms you experience, it is definitely an infected tooth. It seems like a deep tooth decay. Painkillers and antibiotics do help for a toothache with infection. As you said, it is the nature of the painkillers to last only for few hours and that is why it has to be taken every four or six hours depending on the dosage. These medications will not completely cure the tooth problem unless an active dental treatment is done. Hence I advice you to visit a dentist and get it sorted immediately. Depending on the depth of the tooth decay, it could be treated with a simple root canal treatment. Please do not self-medicate Augmentin. It is not to be taken for long, not more than five days. And with the painkillers, do not take multiple brand tablets. I suggest you continue tablet Ultracet (Tramadol) thrice daily after meal for three days. Gargling with warm salt water after every meal also will give a temporary relief. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26171, + "tgt": "How can dark skin patches in my underarms and groin area be treated?", + "src": "Patient: Hello doctor, My height is 182 cm and my\u00a0weight is 87 kg. I am a fair-skinned person. I have dark skin patches on my elbows,neck,underarms, groin area, and on the buttocks.\u00a0I\u00a0have\u00a0been aware of this condition for the last six years. I was thinking there was nothing serious.\u00a0I also have dark circles under my eyes and some unusual pigmentation on my face\u00a0with acne. Tests for diabetes were negative and the insulin test was normal too. My father also suffers from the same condition. Kindly advise me as to what should I do. Doctor: Hello. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15861, + "tgt": "Can I have a chance to become pregnant even after taking Yasmin?", + "src": "Patient: Hi doctor, I removed IUD recently as I was not sexually active. I had unprotected sex after a week, and I took Yasmin. I read that increased intake of Yasmin can work as an emergency pill. I took five tablets in the afternoon, another five tablets after eight hours and again five tablets after six hours. I got my last period before a month, and it was delayed for two days when I had unprotected sex. Can I have a chance to become pregnant even after taking Yasmin? Doctor: Hi. Please tell the exact time of IUD removal, the precise time of the last period, current period and the last exposure." + }, + { + "id": 26928, + "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": 25784, + "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": 11379, + "tgt": "My tailbone pops in multiple places with pain. Why?", + "src": "Patient: Hi doctor,I was wondering why my tailbone seems to pop in multiple places like my back. It only happens when I stretch in the morning and tense the muscles around the area. Also, I would like to know why my back keeps hurting right where the spine meets the pelvis, i.e., at the bottom of my back but above my butt. I am 18. Will it make any difference? Doctor: Hi. Thank you for providing a brief history. It sounds to me as the SI (sacroiliac) joint dysfunction. Due to which, there will be a kind of biomechanical changes in the bone and the joint compression leading to pressure on the joint receptors. Also, there might be a weakness of the muscles of the hip and lower back which may be leading to this discomfort. I would recommend you to take up an x-ray because it will reveal if there is any structural or anatomical alignment change. Also, having a hot water fomentation and exercises will help strengthen the muscles of the core, lower back, and hip and help reduce the symptoms. Please let me know if you had any history of fall on the hip, any other thing like sitting for long hours for study, etc." + }, + { + "id": 18463, + "tgt": "How do I reduce the dull pain in my hamstring?", + "src": "Patient: Hi doctor, I am doing dance for a year and a half now. After dance class I used to do stretching. Since Monday, I am feeling a dull pain in my right hamstring and quad. It was uncomfortable for me to walk up and down the stairs. So, I applied ice and took Ibuprofen. Then throughout the day the pain was still there but not unbearable. Today when I woke up, the pain was much worse. It hurt so much to go up and down the stairs and it hurt more to walk. Today I had stretched even more. Should I go to the doctor to get it checked? Kindly suggest. Doctor: Hello. The initial goal of treatment is to reduce pain and swelling. To accomplish this, I recommend you to do the following. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15590, + "tgt": "I have improperly aligned teeth. What can be done to correct them?", + "src": "Patient: Hi doctor, I have disordered tooth alignment. What can be done to correct them? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). I had taken a look at your X-ray. You have got all the permanent teeth which are to be present at this age, and this is perfect. The haphazard alignment is something widespread and can be treated easily with braces. I advise you visit an orthodontist who is a specialist in treating such teeth and get an exact treatment plan for yourself." + }, + { + "id": 22265, + "tgt": "I am having pain in spine, upper back and numbness in fingers. Kindly advice", + "src": "Patient: Hello doctor, I am having pain in the spine and upper back, light knee pain and lot of numbness in fingers. I have arthritis condition for nearly two years. Had initial knee injury in ligaments through bed corner hit. Had once the high pain in the knee subsided thereafter. The condition is mainly because of excess driving in the past. I am takin Ayurvedic Dr. Ortho tablets and oil since last four days. Homeopathic treatment has just started. Doctor: Hello. The symptoms you have mentioned are that of neuropathy especially numbness and you also have a mechanical backache. If you can buy use following medicine, but with the consent of your specialist doctor: The medications will help all your problems. If possible take a glass of milk at bedtime. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 10010, + "tgt": "What does the darker pigmentation at the armpits indicate?", + "src": "Patient: Hello doctor, My reverse elbow armpits have developed a darker (my skin color is fair) pigmentation. This pigmentation has also affected the whole of my groin area. Some dots of such pigmentation have also come up under my extreme armpits. What should I do now? What is this condition? Can you diagnose the state conclusively? Doctor: Hello. I understand your concern. The pictures are a bit hazy. But from the given images, it looks like a fungal infection by the name of pityriasis versicolor. I would also need to see your chest, upper back, and shoulders to be sure. Kindly send clear photos of the same to make a conclusive diagnosis. Meanwhile, you can start using the following medicines. 1. Tab Fluconazole 400 mg start and repeat once after a week. 2. 2 % Ketoconazole lotion apply for 5-7 mins and wash off once a day." + }, + { + "id": 4936, + "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": 6129, + "tgt": "My teeth become yellow after 15 days of scaling. Why?", + "src": "Patient: Hello doctor, I am 19 years old. After scaling there is temporary removal of yellowness but after 15 days it becomes yellow again. I want a clean teeth like pearls. I am using Patanjali toothpowder. Doctor: Hello. I believe you are referring to scaling only, and not teeth whitening procedure. The scaling procedure only removes debris and calculus from the surface of the tooth and gums. For getting pearl type white teeth, you need to do teeth whitening procedure or bleaching. But still, after some time, the teeth will become more yellowish. You need to do brushing at least two times a day. A little bit of yellow teeth is normal. For permanent white teeth you can do teeth lamineering procedure which is a costly procedure where the front side of the tooth is slightly cut and a pure white ceramic layer is put over it. I hope this helps." + }, + { + "id": 7135, + "tgt": "I am under depression but diagnosed with bipolar. How to confirm it?", + "src": "Patient: Hello doctor,I have been experiencing mild depression since I was a child. My family problem made me extra depressed. After three years, I fell in love with a girl, but then she left me. This created a check for me, so I wanted to study more to prove myself. The depression kept increasing, but I started to be more talkative.I used to see the light coming outside people faces. Also, the depression stayed there. I also experienced wondering mind. There was an episode of racing thoughts once. I had to take massive, sleeping pills to sleep. In the end, a psychiatrist diagnosed me as bipolar type 2. He put me on Seroquel, but it was not sufficient. Sometimes it took the depression off, but other times the depression was still here.My parents took me to see a psychiatrist overseas, and he also diagnosed me with bipolar. He did put me on Lithium and Abilify 10 mg. I never felt this good before. My question is, do I only have depression? And not bipolar. Lithium can help improve depression symptoms, so maybe that is the case of what is happening. If I only have depression, I should be put on antidepressants. Doctor: Hello. It is good to know that you are feeling better on your current medication of Lithium and Abilify (Aripiprazole). From the information you have given, it is difficult to provide a comprehensive opinion, but it does look like you have experienced some hypomanic symptoms in addition to depressive features. That is why your doctor would have diagnosed you with bipolar 2. Often people get diagnosed with depression, and it is easy to miss bipolar 2 unless a comprehensive assessment is done. So I presume you had a thorough assessment. I will suggest discussing your queries with your doctor during your next review so that he can explain as well. Continue your medication as prescribed. Also, try to get some psychological therapy as well. In due course, when you continue to be stable, your doctor may consider decreasing the medication gradually under close supervision. It may not happen for at least a year. Avoid habits that can destabilize your mood. Avoid alcohol. It helps to exercise regularly." + }, + { + "id": 750, + "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": 25584, + "tgt": "How can roots of my hairs get strong?", + "src": "Patient: Hello doctor,I am a 28-year-old male. I am a fit and healthy man, but I have a hair fall problem. Actually, I can see that my hair is very thin and it is very weak. The root of my hair is not deep penetrated as compared to others as I can see and feel it by comparing with my brothers' and sisters' hairs. My skull is dry in nature although I regularly use hair oil. Because of this, I have a dandruff problem always. I do not smoke nor do I drink. How can my hair get thick and how can I make the roots strong enough? Doctor: Hello. I can make out that you are fit and healthy by looking at your BMI (body mass index) and that is very nice. Kindly keep your BMI within 25 because overweight has an indirect role in hair fall. Now coming to your problem, it is quite difficult to make a diagnosis without seeing your clinical picture because there are many conditions which can cause hair fall. The most common in your age group is androgenetic alopecia. In that case, you need to start Minoxidil after seeing a dermatologist in person. However, I would like to mention few hair care tips here. Kindly attach your clinical picture along with your query so that it is convenient for me to make a precise diagnosis and suggest you proper treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26163, + "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": 9108, + "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": 15840, + "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": 23706, + "tgt": "Is there anything to be worried in pregnancy test reports?", + "src": "Patient: Hi doctor, I am 24 weeks pregnant. I have done the following tests: CBC with PS, ESR (Westergren's method) and routine urine examination. Also, I have tested for a GCT single sample after taking 75 g of glucose and TSH. Recently, I have got Mcdonald stitch. My current medication is Folvite, Pixit, Ecosprin 75, Susten SR 300, Mumfer D3 and Milical-OD3. Please have a look at my reports and let me know if anything to be worried. Also, what should be done to recover from it? Doctor: Hello. Revert back with the test report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25377, + "tgt": "Which HIV test can be done nine days after possible exposure?", + "src": "Patient: Hello doctor,I did deep kissing like nine days ago with a girl that had HIV. Of course, I knew that after. And while it was dark, I was kissing her body too but because I did not have condom we did not have sex. Is it possible to get HIV by kissing her body or contacts with a body rash or something like it? And, is it possible to do an HIV test after nine days? I already did it though. Doctor: Hello. I have noted your concern. Kissing is safe as far as the risk of HIV is concerned unless she had oral sores or bleeding gums which may increase the risk. Kissing on the skin is also not a risk. HIV is only transmitted through unprotected sex - either vaginal, anal or oral sex. Still, if you want to get tested you may take an antigen/ antibody screening test at four weeks for a conclusive result. At nine days it is possible to take an HIV RNA PCR test as it has a short window period of nine to 13 days. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1268, + "tgt": "After a biochemical pregnancy, when can I plan my next pregnancy?", + "src": "Patient: Hi doctor, I had a biochemical pregnancy before two months. Initially, my hCG test showed 11 and after a couple of days it was 9. Then, I had an endometrial lining scan and it showed a simple right ovarian cyst measuring 33 x 27 mm. So, doctor prescribed Meprate and I got my periods on the 27th of last month. When can I expect my periods of this month? Do I need to get any other scan? Please explain. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7308, + "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": 12364, + "tgt": "What is the treatment for subserosal fibroid that is undergoing myxoid necrobiosis?", + "src": "Patient: Hello doctor, I am a 32-year-old woman. My latest pelvic IRM imaging showed that I have a 4 cm subserosal fibroid that is undergoing myxoid necrobiosis. My question is: Does this type of fibroid need to be removed? If yes, does the surgery have any risks for the uterine? Is it fine to get pregnant while having this fibroid? Doctor: Hello. Fibroid in pregnancy may be increased in size and can hamper baby growth by occupying space. Subserosal fibroid does not affect conception but in your case, it is undergoing degeneration. This is a problematic part. Red degeneration is a fibroid degeneration in pregnancy which causes severe abdominal pain throughout pregnancy and surgery cannot be done. So I would suggest getting it removed. Subserosal fibroid removal has generally no effect on the uterus. But if it is deeply situated then uterus wall may become weak." + }, + { + "id": 8499, + "tgt": "Why Levothyroxine and Armour Thyroid are causing side effects?", + "src": "Patient: Hello doctor, Levothyroxine and Armour Thyroid both cause awful side effects for me. What can be done now? I cannot tolerate either of them. Doctor: Hi. If you are taking treatment for hypothyroidism, it is to see that you get the right dose. But whether you are being over replaced or under replaced should be determined by periodic thyroid function test, if a single hormone, then TSH which shows amplified suppression and elevation of both T4 and T3 in hyper and hypothyroidism (here I presume, as you are being replaced, you initially were diagnosed as primary hypothyroidism, which is the most prevalent thyroid disorder). Serum TSH (thyroid-stimulating hormone from the pituitary) should be done four to six weeks to adjust the dose till the appropriate treatment dose has been settled (TSH normal for a few follow ups at a particular dose), and then, every six months to one year. Manufactured proprietary Levothyroxine tablets are more comfortable to change the dose with since they have exact dosage preparations, 25, 50, 100 or 150 micrograms, and they and they have only Levothyroxine (T4), no rapidly acting T3. So, sudden alteration of biology is unlikely. The dose has to be adjusted by 25 to 50 micrograms each time. Carefully, half of that change for adjustment in heart disease and the elderly.Some essential clues (better confirm by TSH):under replacement (hypothyroidism)- Weight gain, coarse and dry skin, slow heart rate, constipation. Over replacement (hyperthyroidism)- Weight loss, sweaty warm skin, palpitations, fast heart rate (tachyarrhythmia AF and sometimes heart failure), hyper defecation (increased number of stools) and sometimes diarrhea. You did tell your age. If you are approaching menopausal age you may experience similar symptoms due to estrogen deficiency but though worth paying attention, it is less likely because your symptoms are related to taking medicine." + }, + { + "id": 20550, + "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": 24928, + "tgt": "When I try to remove the flakes on my scalp, there is bleeding and crusting. Why?", + "src": "Patient: Hello doctor,I am suffering from two major problems from the past three years.Acne and marks.Sticky oily dandruff.Scalp flakes do not get dislodged even after shampooing. I have to dig my comb into the scalp to remove the flakes which lead to bleeding in certain areas and forms crusts. I have opted for light glycolic acid peels but did not make any difference and had few sittings of Nd: YAG laser hair removal. I have been through several treatments which made only things worse. I keep my face and hair very clean. I shampoo hair on alternate days, change pillow covers, wash face twice a day, and apply sunscreen while going out. I workout every day and follow a clean diet barring oily foods. Yet my face is oily, dull, full of blemishes and I get painful pimples. I want to remove my acne blemishes and revive my dull face. Take care of my super oily hair. Please help me. This is taking a toll on my confidence. Doctor: Hello. You have been following all the right advice. Continue the same for the face. As for the scalp, I think since it does not get resolved with antidandruff medication and there is crusting involved, my diagnosis would go in favor of scalp psoriasis. However, I cannot guarantee it before a personal examination. I suggest using Ionax-T solution (Coaltar Topical and Salicylic acid Topical) on your scalp at night one hour before bedtime and sleep. On the next day shampoo with Keraglo-AD shampoo (Ketoconazole, Ichthyol Pale, and D-Panthenol). Repeat this process for 10 days. You will see a difference. Based on your progress we shall change some medicines after two weeks. For the face, I suggest Peroduo gel (Adapalene Topical and Benzoyl Peroxide Topical) twice and Spongy-sal facewash (2 % Salicylic acid). Continue capsule Sotret 20 mg (Isotretinoin) once at night for 10 days and followup positively after 10 days. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 27685, + "tgt": "Why should I see a hematologist for high Hb and Hct?", + "src": "Patient: Hi doctor, I am really worried that my Hgb is 17.6 and Hct is 54.6. I have been recommended to consult a hematologist in cancer care center. I am bothered whether it is a major illness. Can you please help me out? 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": 22444, + "tgt": "Why am I having cystic acne with white heads on my shoulders, chest and back?", + "src": "Patient: Hi doctor, I am having very severe cystic acne mixed with white heads on my shoulders, chest, and back. I have been prescribed Doxycycline, 100 mg twice daily, this is my third week on. My acne got worse for the first week and then better. Much less swollen. But it is still very painful, bleeding and oozing through all my clothes. My doctor advised against non-comedogenic lotion, but I find it is making my skin dry, and that is making the acne split open as well as the scabs. Does it take very long to heal? I believe the acne started because I have been using anabolic steroids, but I believe it got infected (as does my doctor) and that is why she prescribed Doxycycline. My question is, what would you do for someone who developed severe cystic acne due to anabolic steroid use? Stopping steroid usage also is not an option at this point as body and hormones could not recover on their own. Please tell me how this would affect your treatment and how health insurance would be affected? Doctor: Hi. I have gone through your case. If your anabolic steroid is the causative agent then you should really stop it in order to keep it in control. Please remember all acne treatment makes skin dry so do not worry about dryness. If it is troublesome then apply lotion on your palms and gently tap on your face. In my opinion, your treatment is optimum. Sometimes it may take three months for recovery. Or take an opinion about Retinoids intake. They should be given under the strict supervision of your doctor. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14288, + "tgt": "Is there any way to correct the gap between two front teeth?", + "src": "Patient: Hello doctor, I want to know what can be done to get my teeth in proper alignment as there is a gap between two teeth. Doctor: Hello. I have been through your query and I can understand your concern. If you have a gap between the front teeth only, then the condition is called as midline diastema. It can be treated orthodontically as well as with conservative management (operative dentistry). In operative dentistry, the gap will be filled with the tooth-colored material (composite filling) and it will be as if there were no gap in between. However, a slight elongation of the crown does occur but you have a small gap so it will not be that evident. For you, I would recommend you to go for the operative procedure (attachment removed to protect patient identity). It is a non-invasive procedure and results are instant and is also globally approved procedure. Follow up after the procedure is done." + }, + { + "id": 4446, + "tgt": "I am quite anxious and feeling strange to catch my breath sometimes. Is this a heart problem?", + "src": "Patient: Hi doctor,I recently visited the doctors as I was unable to catch my breath and was feeling strange. The doctor performed a breath test which came back fine. I had an ECG and the doctor said that my ECG showed possible left ventricle enlargement. He then asked me to perform different breathing while he checked me with a stethoscope. He said he could hear no blockages or other problems and that my blood pressure was slightly raised, usually, it is normal. He said that I was suffering from anxiety and had a panic attack. I have suffered from anxiety all my life. When I asked about the enlargement he said my ECG was borderline. I am now worrying excessively about this and whether to have another ECG just to be on the safe side. I am fit, eat a healthy diet and have not drunk since I was in my 20s. I work out regularly since the age of 25 and I am now 40. I had this ECG abroad as I was working away so I am wondering whether to have it checked back home. I sometimes feel like I cannot take deep breaths when I am stressed, but I do not feel this while exercising. I have a very tight left shoulder and my left rib is sore near the top of my left breast near the armpit, like a muscle aches that comes and goes. I am quite an anxious person, worrying about health issues particularly after losing my mother to breast cancer. Doctor: Hello. Did you ever have chest pain or symptoms of excessive sweating with pain? If your ECG is fine, then there are very fewer chances of you having a cardiac pathology. Left ventricular hypertrophy develops after prolonged hypertension in individuals, but as you have said you have normal blood pressure so I do not think LVH should be there. To relieve your anxiety you can undergo a stress echo or TMT (treadmill test) to rule out inducible angina. Also, you said you do not develop symptoms during exercise so I do not think stress echo or TMT will come out positive." + }, + { + "id": 12718, + "tgt": "Is glioblastoma curable?", + "src": "Patient: Hello doctor, The patient has glioblastoma cancer, undergone surgery but not operated correctly, taken radiotherapy and chemotherapy, the doctor said chemo tablets are not working, maybe the tumor has formed again so they stopped giving medicine. We are not going anywhere now. Doctor: Hi. As you have considered in history, surgery, radiation, and chemotherapy have been already given. The glioblastoma is a grade IV brain tumor so have overall poor outcomes even after best treatment. So if the disease is unresectable, consider for best supportive care at home. But if the patient's general condition is good, it is time to add a second line of chemotherapy. All these drugs are prescribed only after patient's clinical examination. So my humble request to please consider for local oncologist visit." + }, + { + "id": 20144, + "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": 14071, + "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": 2236, + "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": 24256, + "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": 338, + "tgt": "Can I get pregnant naturally after tubectomy?", + "src": "Patient: Hello doctor, My age is 36 and I had tubectomy done 18 years back after second delivery cesarean like my first delivery. I do not know whether the fallopian tubes were tied, cut, clamped burnt, or banded. 1. Is there any scanning or some other method to identify the process of tubectomy done to me? 2. Is there any chance of getting pregnant naturally after tubectomy done by whichever method mentioned above? 3. To have a child now can we go for IVF, if so at the time of delivery will gynecologist come to know that I underwent IVF process for pregnancy? Because she has to do tubectomy again, she will go through with these tubes at delivery time. Doctor: Hi. The method of tubectecomy can be identified only after opening during caeserian section or through laparocsopy. If tubal ligation is done you cannot conceive naturally, if you try there are chances of ectopic pregnancy. You can go for IVF for another baby. Course of the pregnancy through IVF and natural pregnancy will be same. In case of delivery if normal delivery, you do not have to go through tubes. If going for caesaerean section you can identify it was previous surgery." + }, + { + "id": 3933, + "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": 12793, + "tgt": "I have got acromioclavicular joint separation. Will I be able to do pull ups?", + "src": "Patient: Hello doctor, I just had my acromioclavicular joint separation (grade 2 or 3), AC ligament torn. I am ready to accept the recovery time. My question is can I do pull ups again in my life? Or any permanent disability may occur? Doctor: Hello. Sure the X-ray looks kind of AC joint separation due to the ligament injury. With the image, the injury looks between grade II or III. I will advise you to take the call for the MRI shoulder to focus on the AC joint. This will help us understand the extent of the ligament injury as from outside examining will be a little tough. Once we get the MRI, we will be able to see the internal soft tissues including the ligaments and muscles. Post which your query of doing pull-up can be answered. But for now, do not do any movements of the shoulder and let all the healing to occur. Meantime, please take the MRI so we can judge the trauma to the fibers of the ligament. Once we get hold of the MRI we can plan the exercise prescription if the ligament is not completely torn and in future can prepare you for the pull-ups. In case if found complete tear then can advise for the next course of action. I will wait for your response." + }, + { + "id": 10024, + "tgt": "Suffering from subclinical hyperthyroidism with anxiety and palpitations", + "src": "Patient: Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (causes pain), episodes where breathing becomes especially difficult, a complete lack of energy, continual exhaustion, continual muscle soreness (especially in the calves), cold hands and feet (to the point of turning blue), intolerance to cold and heat especially, episodes of a racing heartbeat, and episodes of anxiety and disorientation. At first our focus was on her was depression but now our focus is shifting toward her problems with physical activity and breathing, especially as she has now come to the point where she can no longer participate in any sports. We have seen a psychiatrist for her depression who discovered the MTHFR Mutation, which has since been addressed with a megadose of methyl folate. After three weeks on the medication there has been no improvement. Her paediatrician tested her for asthma and the results\u00a0were negative. We have put her on various vitamin B supplements and have made sure she is getting proper nutrition and rest. Again, nothing has helped. Other labwork, as well as some of her symptoms, has made us consider her thyroid. The thyroid results are as follows: TSH: 0.059 ulU/ml.\u00a0 AntioTPO-Ab: 84.9 IU/mL. Anti-Thyroglobulin: 134 IU/mL. Total T3: 130 ng/dL. T4: 10.5 ug/dL. Other labs that were out of the normal range are as follows: \u00a0- Ferritin: 31 ng/mL (her other iron results were normal).\u00a0- Differential (Audo Diff) Neutrophils: 66%. In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno\u00a0help but keep coming back to the thyroid and wonder if this is not\u00a0where we should focus our efforts. Any thoughts please? Doctor: Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some? You have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well. Treat her with Propranolol 10mg twice a day to beat the anxiety and palpitations. Get back to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14470, + "tgt": "I feel embarrassed and painful with masturbation. How can I stop it?", + "src": "Patient: Hello doctor, Masturbation is stoppable or not? And if a man has the habit of hand practice once in a month and doctor says it is not a big deal, but he wants to stop this nonsense. Then what should he do? I feel so bad and embarrassing. I feel too much hurt for many weeks whenever I do masturbation. Doctor: Hello. First, please stop worrying or feeling guilty. Masturbation is a completely normal physiological phenomenon (like eating and sleeping). Almost everyone does it, even married people continue to do it. There has been some misconception about the practice. As long as it is not excessive and affecting your other normal activities, there is nothing to worry about. Concentrate on your studies and/or work. Be physically active. Get married in a few years time and live happily." + }, + { + "id": 17477, + "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": 15184, + "tgt": "What is the reason for painful vaginal swab test?", + "src": "Patient: Hello doctor, What does it mean if a swab test (just the Q tip inserted into the vagina) is very painful? More details about the presenting complaint: I have been bleeding nonstop for months, even while on Progesterone. And have heavy discharge with a bad smell. I went to the doctor to test for infection. Current medications include Progesterone and the past medications of the same issue include birth controls. Doctor: Hello. You are likely to have mixed vaginosis infection both bacterial and fungal which can easily cause cervicitis and is the likely reason you are bleeding since then. More so the infection causes vaginal walls to inflame and hence the pain on insertion. You shall require a course or oral antibiotics along with antifungal vaginal pessaries for complete treatment. Please discuss with your gynecologist and take an informed decision." + }, + { + "id": 14828, + "tgt": "Bumps around vagina. It bleeds when I have sex", + "src": "Patient: Hi doctor, I have these bumps around my vagina. They look like skin tags. They do not itch, but when I have sex, they start bleeding. I hurt them while shaving, and they started bleeding. What could I have? Or could it be some sort of STD? Doctor: Hi. With the symptoms you have provided, it is not an STD (sexually transmitted disease). But if you have any doubt, I advise you to take an ELISA test. Most probably, you do not have skin tags, but a collection of vasculatures, as they bleed on any injury. You can get it removed by laser or cauterization. And avoid injury to the area as much as possible." + }, + { + "id": 29727, + "tgt": "What are the possible causes for pain and discomfort in the lower left abdominal area?", + "src": "Patient: Hello doctor, My primary issue was blood in the stool. The stools used to be dark or red in color. It was difficult to\u00a0pass unless I pushed extremely hard due to very\u00a0dense or heavy stool. I had constipation almost daily for a few months leading up to seeing blood in the\u00a0stool.\u00a0Since I was very busy, I stupidly thought it was not a very big deal. I went to my local ER and answered all their questions to the best of my ability.\u00a0I am 27 years old, nearly always tired even after a full night's sleep.\u00a0I have body pain and the pain intensity is about 6 out of 10.\u00a0The pain or discomfort is mostly in my lower left front side abdominal area, between the\u00a0upper pelvis and bottom of the rib cage. It is extremely uncomfortable, but not really to the touch.\u00a0I feel the organs inside are enlarged in the area of pain. The ER checked for anal issues and they did not seem to find anything, but they were very vague.\u00a0They ordered an abdominal CT scan with contrast.\u00a0The ER doctor told me that the CT scan showed nothing and I was frankly astonished.\u00a0The ER doctor seemed reluctant to go into any sort of detail and seemed to be focused on getting me discharged as quickly as she could.\u00a0I work with people almost every day and because of this, I do my absolute best not be a nuisance or a problematic patient. The ER doctor\u00a0told me that I need to see a gastro doctor.\u00a0My BP was 155/101 mmHg at the time of release. I really could not believe what was happening at this stage.\u00a0I had a very kind and friendly nurse who came to remove my IV. I asked her what she thought this could be since the ER doctor did not indicate any possible diagnosi. Based on\u00a0my charts or intake, she thought it could possibly be Crohn's disease. I was given my discharge papers very quickly. I was prescribed no medicine and told that my blood and urine tests were fine. I was not given a copy of the CT scan. I got home around in the night and promptly went to bed. I woke up the following morning feeling about more than two times worse than the prior day and reviewed my discharge papers. They were incredibly vague, included no test results, and a two-sentence note from the ER doctor that said I need to see a gastro doctor to get an endoscopy and a colonoscopy as soon as possible. Considering the vagueness of my discharge papers and how bad my experience in the ER was, I decided to see my GP. After telling my GP about my symptoms and my ER experience he was very concerned. I gave his assistant my release papers from the ER to try and help them figure out what was going on and they agreed that my ER experience was not satisfactory, to say the least. My GP was sent the CT scan copy from the ER. The GP told me that, it showed swollen lymph nodes throughout my intestines although he did not show me or release to me the imaging results. My GP was very reassuring and told me that the lymph nodes can get swollen one by one and it sets of a kind of chain reaction over time. They took blood and ordered a breath test for H. pylori and a test for Epstein-Barr. He asked what they prescribed me in the ER and when I told him nothing he was more shocked than I was and indicated that their conduct was unacceptable. The following day, I was told that the normal Epstein-Barr levels were 0-18 and mine was at 337. As of this moment, I am still waiting for the H. pylori test results. I honestly feel dead. I cannot function, and my left side pain is increasing steadily. My GP told me that the endoscopy and colonoscopy are both basically unnecessary and that I needed to change my diet to five to six small meals per day along with lean proteins and carbohydrates. GP prescribed me a seven day dose of Valtrex 500 mg three times a day for one day. The previous day the GP prescribed a seven day dose of Cipro 500 mg twice a day and a three day dose of Flagyl 500 mg thrice a day. I was told that he would call me as soon as he got the H. pylori test results, but I still have not heard from him. At this point, I feel lost and I am practically on my knees begging for any sort of help. I am trying to stay positive and strong but this is worse than anything I have ever endured. I am hesitant to annoy my GP and am scarred from my last visit to the ER. This is the first time I have ever consulted anyone online, so I apologize if this is either too vague, or too in depth, but I am desperate for answers. I also take Diazepam 5 mg thrice a day for anxiety, 2 mg Suboxone maintenance once a day and Vyvanse 40 mg once a day for adult ADD. Any help will be truly and greatly appreciated. Should I call my GP? Or should I go to another ER? I do not know if I am being paranoid or if I should be as concerned as I am now. Please help me. Doctor: Hi. I am very sorry to hear about your condition and your experience in ER (emergency room). For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19790, + "tgt": "I underwent skin peeling treatment for acne but it was of no help. What to do?", + "src": "Patient: Hello Doctor, I am a 26 year old female (height-5'3'' & weight-57kg). I underwent skin peeling treatment for acne.\u00a0And I am taking tablet Azee 500mg thrice a week. But, acne is still persistent. Kindly help me with this situation. Doctor: Hi. Consult a dermatologist online after 15 days for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2276, + "tgt": "I had a scab fall off from hair transplanted site. Is this due to hair transplant failure?", + "src": "Patient: Hello doctor, I underwent a hair transplant before three months. I might not be sure but I may have roughly massaged my head or while wearing t-shirts a scab fells off, will this result in failed hair transplant? Doctor: Hi. Hair transplant failure or success is evident within four weeks. The follicles which have been implanted into our skin of the scalp would die initially within two weeks or they lead to the growth of the good hair. After that you massage it or do anything it will not have any effect on the hair transplant, because the hair follicle by that time would have established at that place as the original ones. So the effect of rubbing, friction or any disease will be the same whether transplanted or not. So I do not think you need to worry about that. But what you should worry is that there is not any other infection like fungus on this lesion which I can see on your head. If there is anything itch or burning and the lesion is expanding kindly tell me with a clear photograph of the skin of the forehead. Regarding hair transplant, it is successful you need not worry about it. I hope this helps." + }, + { + "id": 13900, + "tgt": "Can I take Flucloxacillin for pain after wisdom tooth removal?", + "src": "Patient: Hi doctor, I have just had a wisdom tooth removed a few days ago and the pain is still present but manageable. The pain has also spread a little around the jaw and up my face slightly which makes me think I have an infection. I am doing saline rinses a few times a day. My question is I have some Flucloxacillin at home. I am wondering if that would help as I think I had Amoxicillin last time. I was allergic to Aspirin when I was very young but have taken Ibuprofen since and been fine. Do you think Flucloxacillin will help and be fine to take? Doctor: Hello. After third molar surgery, the swelling in jaw bone is common, and cure after 3 to 4 days. It is not due to infection but it is due to body defense reaction. So do not worry about this and wait at least four days after extraction. Amoxicillin is a most popular prescribed medicine by the dentist after extraction. So I suggest you take medicine as advised by your dentist. If you want to change any medication you should take permission from your dental surgeon." + }, + { + "id": 21272, + "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": 16905, + "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": 8972, + "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": 12970, + "tgt": "Can frequent urination, thirst, and numbness in feet and hands point towards diabetes?", + "src": "Patient: Hi doctor, I am 18 years old, my height is 166 cm and my weight is 54 kg. I am a female. I have been feeling symptoms of diabetes like thirst, urination more than usual, extreme hunger, numbness in feet and hands, tingling in my back, hands trembling, blurry vision, my wounds are taking so long to heal like ever, I get tired a lot, and my heart beats so fast and breathe so hard whenever I do some basic activities (like doing my bed) and all that started when one way my alarm turned on, it scared me and I woke up feeling weak, heart beats so fast, breathe hard, headache and feeling like fainting. Doctor: Hi. You are very young and have full symptoms, which is typical of type 1 diabetes where the body is insulin dependent and pills do not work. Your doctor should check for particular laboratory tests for that including C-peptide and insulin levels in your system. If your condition gets worse, and not treated in time, you will have significant kidney damage and loss of vision in eyes in no time. I highly suggest to go to local endocrinologist as soon as you get an appointment." + }, + { + "id": 17875, + "tgt": "Do I need to take medicines for elevated bilirubin?", + "src": "Patient: Hi doctor, My bilirubin levels are high. I just took an opinion from my general physician and he asked me to contact a gastroenterologist to know the exact reason for high bilirubin. Can you suggest any other tests or medication for this? I have also attached my laboratory reports for your reference. Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4877, + "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": 18107, + "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": 11808, + "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": 2000, + "tgt": "I have loose motions and stomach cramps despite medications and endoscopy. Please help", + "src": "Patient: I having uneasyness in my lower left side of my belly since a year. I visited several doctors but tge problem persisted despite so many medications and endoscopy. First i was told that its a normal infection of my gut and that i will recover after few months of medication. Nothing such happened. I went to another doctor. But after medicine intake period is over, loose motions and stomach cramps in my lower left side continues. I'm very much disappointed by the way i lost so much money without treating the core of my problem which i Don't know as i don't have such equipments at home nor the medical qualifications to treat myself. Can you help me ? Doctor: Hello, I can totally understand your pain . I have come across several patients with similar pain . Most of whom have undergone upper Gi endoscopy and lower Gi Colonoscopy and some have found to have irritable bowel syndrome. Which is often missed if it is of the mild form . It will be apparent on a colonoscopy only when it gets severe. I see from your treatment history you have been treated for colitis or the infection of the bowel which is usually the most common diagnosis and subsides after the antibiotics . In your case as it is chronic I would suggest a closer look And further investigation so starting with the simplest stool fOb , stool for Ova test. If both of them are inconsistent then we may think of IRRITABLE BOWEL SYNDROME. you will have to modify your diet and find out if you have any food allergies avoid any kind of spicy diet and certainly avoid RED meat for the time being . I will also prescribe a medication which you can take it twice a day for a week and follow up . i would like to know if you had had any previous surgeries. Follow up with the stools tests ." + }, + { + "id": 30437, + "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": 23798, + "tgt": "Why does my period occur only with medicine?", + "src": "Patient: Hello doctor, I am a 25 year old married girl. I am 5 feet tall and weigh 68.7 kg. I am having the problem of irregular periods for the last two years. Medical investigations done several times such as ultrasound and hormone levels. No abnormality was found. Periods occurs with medication. With discontinuation of the medicine, problem reoccurs. Now my periods is normal with medication, but still this time my periods is delayed for 28 days. Please help. Doctor: Hi. You are suffering from a condition called polycystic ovarian syndrome (PCOS). It is normally found in 5-10% of girls and is probably of genetic origin. The treatment is lifestyle modification such as healthy diet and regular exercise (at least 45 minutes of sweat inducing exercise daily). You need to reduce weight to achieve healthy BMI (body mass index). With obesity and PCOS, there is increased risk of diabetes, hypertension and endometrial cancer. Ideal weight for your height should be less than 55 kg. For regularization of menses, you need to take combined oral contraceptive (OCP) like Ovral L (combination of estrogen and progestin) regularly or Progesterone tablets regularly (Medroxyprogesterone acetate 10 mg twice daily for five days, every 30 days) before marriage. After marriage, when you plan for pregnancy, you will need medicines to induce egg formation and ovulation (which is lacking in PCOS women). You need to take these medicines regularly to induce period to avoid endometrial cancer in future. If period does not resume spontaneously after weight reduction, there is no alternative to medicines and you have to take them almost lifelong. For further clarifications consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29974, + "tgt": "Even with medicine, my sugar levels are high. How to regulate?", + "src": "Patient: Hi doctor,I am diabetic since 9 years. I am taking Glisen-PM1 and Vogo 0.2 before and after meal respectively. My fasting remains below 100 and PP is more than 200. Please advise. Thank you. Doctor: Hello. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 21633, + "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": 22802, + "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": 25335, + "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": 23107, + "tgt": "Is immuno-concentration HIV test conclusive after 15 months of sexual exposure?", + "src": "Patient: Hello doctor, I am a 25-year-old boy. I had a partner for past 2 to 3 years. We performed sex 6 to 7 times. Last was before 14 months and then had a break-up. Now I see that she is HIV positive. Now I fear about HIV because there is high risk and I want to marry another girl. My symptoms are a sore throat before one year, dry cough for last two years, and shortness of birth. I have a red pimple on my body no more but 3 to 4 and this hides after 1 to 2 days. Also itchy. I do not have a fever, diarrhea or weight loss. I have a headache only sometimes when I work on the computer late night. So after 15 months of exposure, I went to a doctor to check my problem. The local private hospital doctor advised me for HIV test. And then, a person drew blood from my vein and the test was received next day. It was a rapid immuno-concentration HIV test for both HIV 1 and 2. The result was nonreactive. Kit used was Retroquic-HIV (qualpro). Due to fear of HIV, I was thinking about the possibly failed negative test so I went to another hospital and spoke with the doctor and the doctor recommended for ELISA HIV test but when the results come back it was not an ELISA test. It was an ECI combo test for both Ab and Ag. On the results, method ECI chemiluminescence, kit. Vitros or ortho result. 0.35 nonreactive. I do not know what is the generation of this test. Please help me what I can do or do not. Doctor: Hi. I can understand your concern. Do not worry, I will solve your doubt. After around one year almost any test can rule out HIV conclusively. So rapid test is reliable and no need for further testing. But still, you have investigated with chemilumiscence test that gives result equivalent to ELISA test. It is called CMIA test for HIV and it is reliable. So I think now you do not have to worry about HIV. If any sexual exposure present in last 3 to 6 months then only we will think further otherwise do not worry and be relax. Take care. For more information consult a pathologiost online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 20472, + "tgt": "My mother has been suffering from asthma since 30 years. Is there any possible cure?", + "src": "Patient: Hi, My mother is an asthmatic patient. She has been suffering from this disease since 30 years. Her level of asthma is not like others. She is comfortable to breath in normal conditions easily.But when the weather changes or tends to be at peak, she falls off due to it. What I mean is, she started to feel choking during very cold winters or high summer. She gets some sound while breathing that time. Due to this condition she cannot focus on things, she just stays in bed. Currently the medicines which she is taking are Deriphyllin and inhaler. Is there any possible cure for asthma? Or is there at least some means to lower it down, so that she can actually live the life she want? Thank you. Doctor: Hello. Your mother is suffering from bronchial asthma and it is not well controlled at present. You have not specified which inhaler she takes regularly. Basically there are two types of inhalers. One is reliever for emergency use and the other one is controller which must be taken twice daily even if you feel better. You start her on Foracort inhaler 400 (Budesonide/Formoterol) two puffs twice daily followed by gargling and Duolin Inhaler (Ipratropium Bromide/Levosalbutamol) for quick relief in emergency. Also do spirometry test, PFT (Pulmonary Function Test) to confirm asthma. Other medical diseases like hypertension and diabetes if she has any must be well controlled. Inhaler must be always taken with Zerostat - VT spacer followed by gargling with plain cold water. Hope this answers your query. Consult a pulmonologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 3819, + "tgt": "Will chiropractic service help alleviate muscle pain?", + "src": "Patient: Hi doctor, I met with a car accident three weeks ago. I was injured and had trauma to the chest wall muscles.\u00a0My chest muscles went into spasm periodically, but has subsided somewhat. My right side lower chest is the only area still hurting. After rest for a long period or sleep, when I activate the muscles in that area I have cramps.\u00a0My question is, will chiropractic service help alleviate the pain? Doctor: Hello. 1. Take NSAIDs (nonsteroidal anti-inflammatory drugs) for a couple of weeks. 2. Get myofascial release (MFR) and strengthening. 3. Go with local gel application and ice massage 4. Ultrasound therapy. For further information consult a chiropractor online.---> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 26055, + "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": 14492, + "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": 17430, + "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": 18994, + "tgt": "My 3. 5 years old son is very lean. Please suggest some medicines and a diet chart", + "src": "Patient: Hello\u00a0doctor, My 3.5 years old son, who weighs 14 kg, is very active and he likes to play all day. But, he is not gaining any weight, and he is very lean. He takes his meal properly, but he defecates twice or thrice daily. Do I have to worry? Or is it normal? Any diet chart or medicine recommendations would be really appreciated.\u00a0Thanks. Doctor: Hi. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17312, + "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": 22662, + "tgt": "I have done TESE last year and it causes pain in testicle. Is this normal?", + "src": "Patient: Hi doctor, I have done TESE last year. During my normal movements like rising from a chair, it seems to cause pain in my testicle (just like when you touch a wound). This pain is shooting to the hip like a nagging pain. Is this normal? what can I do for this? Doctor: Hello. This pain and discomfort are common after TESE (testicular sperm extraction). Any straining like rising from the chair will cause pain. I suggest you wear tight underwear so that testes does not hang loose. It will support and reduce pain. Your body will heal on its own. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27859, + "tgt": "Are my ALT and AST elevated due to excessive drinking before getting tested?", + "src": "Patient: Hi doctor, I just had a blood work done. I have been engaging in some excessive drinking bouts, including the night before the\u00a0test. My liver panel numbers are ALT 179, AST 112, ALP 78, total\u00a0bilirubin 78, albumin 45, and total protein 77. My understanding is that ALT and AST are elevated, and the rest is good. Does the high ALT indicate cirrhosis? Or is it just one indicator of many drinks? My cholesterol is normal, and kidneys are good. Thanks. Doctor: Hi. Revert with the asked details for better help. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3171, + "tgt": "Is it advisable to use Minoxidil to manage hairfall?", + "src": "Patient: Hi doctor, I am 35 years old, male with no medical history. Over the past few years, I have started to lose my hair. I am not bald visibly, but have developed thinning of hair, especially in the middle area of my scalp. I have been using ayurvedic hair oils for the past free months, which has reduced hair fall visibly, but did not help to grow new hair. Do you recommend to use Minoxidil? If yes, which brand is effective and how to use it? Can I continue to use hairoil, during Minoxidil treatment? I also have very less facial hair. Is this medicine suitable to be used on face as well, to promote facial hair growth? I do not have any dandruff problems, but the hair is usually very dry. Awaiting your response. Doctor: Hello. I understand your concern but there is no attached photographs in your message. Kindly send a picture of the affected area to help better. I need to see the affected area to assess the condition and to suggest the appropriate treatment. Please send the picture of the affected area. Take care." + }, + { + "id": 12180, + "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": 1236, + "tgt": "My bloating and chest heaviness gets relieved on burping or belching. What is my problem?", + "src": "Patient: Hello doctor, I am feeling bloated (gas in the stomach), heaviness in the chest, feeling that there is phlegm in the throat. When burping or belching, I felt relieved and fine. But after a while, the above symptoms appear again. I am a 60-year-old female with hypertension and I am currently taking Twynsta 40/10, Bisoprolol 5 mg. Doctor: Hello. I guess you are on Twynsta 40/10 which is a combination of Telmisartan and Amlodipine and Bisoprolol 5 mg. So this is likely a gastric and reflux problem, however, sometimes symptoms of gastritis and heart disease overlap in elders with such symptoms. Electrocardiography (ECG) is recommended. Meanwhile, you should have antacids along with your current medications like tablet Pantoprazole DSR 40 mg or Rabeprazole DSR 20 mg before breakfast once daily for a week and later whenever needed. You should also avoid heavy meals. Have less oily, spicy and fatty foods. Have a walk for sometime after meals rather than resting immediately. Have light dinner. If you are having constipation then you should get it treated with laxatives like syrup Cremaffin plus. Regular sleep is also important. I hope this helps." + }, + { + "id": 5304, + "tgt": "I want to change my regular sleep pattern. Please help", + "src": "Patient: Hello doctor, I would like to know how to reset my circadian rhythm from being advanced to a more normal schedule. I have been going to bed around 9 pm and waking up at 5 am. I would like to shift my rhythms to waking up at 7 am and going to bed around 11 pm. I get very sleepy at around 8:30 to 9 pm, but if I push through and stay awake until 10 or 11 pm, I still end up waking up at 5 am without an alarm. It is as if my body does not want to sleep in. It is winter where I live, so sunset happens around 5 pm, so staying outside to get bright light is not an option at the moment. It feels similar to jet lag, is this something I could fix with properly timed Melatonin supplements and staying in the bright light of my house in the evening? Any help would be appreciated. I am physically healthy otherwise and I am not taking any medication. Doctor: Hello. It is nice to see that you are so aware of your sleep rhythms. Advanced sleep phase syndrome (ASPS) is common in the elderly and not so common in your age. However, your symptoms match ASPS and I will suggest some techniques to delay your circadian rhythm. Ensure that your room has the curtains closed at night. Try wearing a cloth eye mask if you are comfortable wearing it. Avoid going outside the early morning. The idea is to delay your exposure to bright light very early in the morning. If circadian rhythm disturbances are common in your family, or there is a long past history of the same in your case, you can consider investing in a bright light lamp. Our indoor lights are of negligible intensity as compared to sunlight (100 lux vs 10000 lux). So exposure to indoor light will not help much. However, there are bright lights that emit bright light of significant intensity. You can buy them online. Exposure to them in the evening can help in delaying your advanced sleep phase schedule. The whole idea is to minimize your bright light exposure early in the day and increasing it in the evenings. Melatonin supplements could help theoretically, but you need to take it late at around 11.30 pm, so the effect will last till early morning. Sleep schedule is called so because it is a habit. It cannot be learned or unlearned in a day. You will not see results in a day or even a week. Regularly practicing sleeping late in the day for two to three weeks should help you. I hope this helps." + }, + { + "id": 28636, + "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": 20867, + "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": 2671, + "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": 16056, + "tgt": "Why do I get fever, cold, and cough during ovulation?", + "src": "Patient: Hello doctor, During the ovulation time every month, I get a fever, cold, cough. What is the remedy? Doctor: Hi. I have reviewed your query and can well understand how worried you are about this issue. And you are not alone in this respect. Most of the females come to their physician with the same complaint. I usually describe it as a naturalization phenomenon and it happens due to hormonal changes that take place just before and after ovulation. It is to prepare the body for ovulation and (if the female conceive) for the oncoming pregnancy. If symptoms are bearable, avoid taking any medications. If moderate, you may take Acetaminophen for symptomatic relief (as needed). If severe, take Ibuprofen 800 mg as needed. Your OBGYN physician may also assist you in this regard and if needed she may go for your physical examination and some investigations." + }, + { + "id": 13937, + "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": 2863, + "tgt": "I have allergy in penile head and inner skin of penis. Please suggest treatment", + "src": "Patient: Hello doctor, I am having some allergy on the head of my penis and inner skin of my penis. My inner skin of penis is always red and I have this problem for a long time. Please help. Doctor: Hi. From your description, it can be balanitis but to rule out herpes genitalis please send a good quality image and revert back. Is it associated with itching or burning sensation or pain? If sexually active does your partner suffer from a similar complaint?" + }, + { + "id": 3457, + "tgt": "My right testicle is more forward than the left in the ultrasound. Is this a normal finding?", + "src": "Patient: Hello doctor, I was diagnosed by urinatory tract infection. My scrotum testicle doppler ultrasound was perfectly alright. But I have visible veins from then my testicle are misaligned, right is forward and left is backward. Do I need to see a doctor? If it is normal. Can anyone tell me why this happens and how to fix it? Doctor: Hello. I can understand your concern, as you have urinary tract infection and problems with testicles let us discuss both the aspects one by one. Urinary tract infection: 1. Urinary tract infection means you have a bacterial infection anywhere in your genitourinary system i.e. anywhere in kidneys, ureters, urinary bladder, prostate or urethra. 2. You should get these three tests done to precisely diagnose the location and the bacterial organism causing that infection. The tests are: a) Ultrasound of prostate and KUB (Kidney, ureter and bladder). b) Urine complete analysis. c) Urine culture and sensitivity. Urine culture and sensitivity will reveal which particular bacteria is causing infection and most importantly it will enable us to know that to which particular antibiotics this bacteria is sensitive to. Once you get this culture and sensitivity report you can either consult your doctor or else you can send me a scanned copy of your report so that I can prescribe you the appropriate antibiotic course along with dose and duration for which antibiotics and other drugs to take. I would strongly advise you not to take any antibiotic blindly on hit and trial basis, it can cause more harm than a benefit so get the culture and sensitivity test and only after that start taking antibiotics. Testicles: As you have mentioned doppler USG (ultrasound) of the testicles was normal, you should not worry about the visible veins. Veins are very superficially located in the scrotal skin and it is perfectly normal to have visible veins especially in the scrotal region. The only point is that in some people they are less prominent and in some more prominent, thats it and it is absolutely normal to have visible veins. Having one testicle forward and one backward is also perfectly normal and everybody has one of either testicles placed forward and another one backward. It is not misalignment it is what the normal alignment is, so shed off all your worries completely out of your thoughts and relax. Both your testicles are absolutely normal and also there is nothing wrong in the veins of your scrotum. I hope this helps." + }, + { + "id": 5095, + "tgt": "Should I start on ATT drugs immediately based on my TB reports?", + "src": "Patient: Hello doctor, This is to request a second opinion on whether I have TB? I have attached the x-ray and other test reports (hematology, AFB, etc.). Kindly suggest. Doctor: Hello. I have seen the reports. (attachment removed to protect patient identity). Report -1 shows SGOT (serum glutamic oxaloacetic transaminase), SGPT (serum glutamic pyruvic transaminase), raised that means your liver function test is not normal and has low potassium levels, so you need to supplement potassium. Report-2 X-ray suggestive of pulmonary Koch's pathology (TB). Report -3 Sputum for AFB (Acid-fast bacilli) is negative. This is a test for TB, but this does not exclude TB as it can be false. Report-4 Hemoglobin is low, ESR (erythrocyte sedimentation rate) is raised, this is suggestive of infection inside the body. Report-5 USG (ultrasound) suggestive of stones inside the gallbladder. Conclusion: In my opinion you have TB and you must start taking ATT (anti-tubercular treatment). If you have further questions, do follow-up." + }, + { + "id": 22423, + "tgt": "My kid has bad odor in the mouth. What is causing it and what is the way out?", + "src": "Patient: Hello doctor,My 3 year old daughter's mouth has an odor and I always thoroughly brush her teeth every day. What is causing it and what is the way out? Doctor: Hello. Brush her teeth twice and clean her tongue and make sure she does not eat excess acidic food before going to bed. Ask her to make a habit of gargling with normal water after each food she takes. Avoid acidic foods, deep-fried foods as well as those with high sugar content. For more information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 3790, + "tgt": "Can I-pill cause delay in periods?", + "src": "Patient: Hello doctor, My age is 28. I had a unprotected sex a month back, but only the top part of penis inserted ingto the vagina. It was not a full sex and the sperm was on the outer part of vagina. Actually I am confused. Later I took an Ipill after one hour. I missed my periods this month. I took a pregnancy test with showed negative result. After 7 days today, I took a test with Prega kit and Cipla kit .Both results are negative. But I am so tensed about my periods. Am I pregnant or is this the side effect of I-pill? Doctor: Hello. As pregnancy test is negative, you can wait for 10 days more for the periods to start. If no periods by that time then repeat pregnancy test. If test is negative even after 10 days then you can take tablet Norethisterone 5 mg twice a day for 5 days to get period. You should be getting periods within 15 days of finishing the tablets. The delay in periods could be a side effect of I-pill. Follow up with me in need. Take care." + }, + { + "id": 29508, + "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": 8312, + "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": 14985, + "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": 11870, + "tgt": "What are the causes for missed periods after sex?", + "src": "Patient: Hello doctor,I am in doubt that I am pregnant. I had safe sex with my husband as we are sure that there is no scope of pregnancy because we were very cautious but still I did not have periods this month. I need to be sure if I am pregnant. Doctor: Hello. Though chances of getting pregnant are really minimal with all types of protection but nothing is 100 percent safe. So if you have missed periods and you seem concerned then there is no harm in doing a pregnancy test for your own peace of mind to rule it out and to avoid further accidents, I would suggest you opt for a regular birth control method according to your preferences." + }, + { + "id": 3969, + "tgt": "I feel a tension and pain in upper back after joining a stressful work. Please help", + "src": "Patient: Hi doctor, I started working 12-hour shifts about a month ago. My upper back has been hurting. It feels like it starts from the middle up to the upper back. It is not a sharp pain, but it is like a tension. We are supposed to wear steel toe shoes. I just recently changed to tennis shoes since I work nights. I want to see if it is the shoes or long hours. Can you advise as to what it could be? I feel stressed out and I am very prone to it. The tension just does not go away at all. Doctor: Hi. I have reviewed your question. I am sorry you are experiencing upper back pain. In your question, you said you recently started working 12 hours shift and since then, your upper back has been hurting. It is not a sharp pain but feels like tension. Most likely, you experience muscle fatigue and at some times, muscle spasms. I would like to know what your job entails. Many police officers have upper and middle back pain and have something call upper cross syndrome. This is were the pectoral muscle are tight and pull the shoulders forward while the muscles of the back are weak. It is a stabilization problem usually attributed to wearing the heavy vest all day. Same thing in your case. Many students who study with their head down all day or text a lot experience similar pain in their upper and middle back. If you were my patient, I would perform a chiropractic examination and recommend several home exercises as well as chiropractic adjustments. Since I am unable to confirm my suspicion, I recommend that you go see a local chiropractor for a proper examination. If they believe you are a candidate for chiropractic care, they will most likely recommend a trial of care as well as a series of home exercises to determine how you will respond to treatment." + }, + { + "id": 16029, + "tgt": "I have ulcers and stiffness in my mouth due to chewing pan. What to do?", + "src": "Patient: Hi doctor, I have got ulcers in my mouth due to chewing pan masala, and I have stopped eating it now. I am unable to eat spicy food and hot foods. I have developed stiffness in my inner mouth. So I am unable to open my mouth. Please suggest. Doctor: Hi. Your symptoms and signs indicate that you have a white lesion. I need to check your cheek area and if you can send a photograph with an open mouth, focus on the cheek region so that I can precisely see and say you the current condition. It can be oral submucous fibrosis, fungal infection, and lichen planus. I have gone through the attachment (attachment removed to protect patient identity). Your inner side of the cheek looks that you have a white lesion and due to that, you have all these symptoms. Please send a photograph with a mouth opening and measure the mouth opening with a scale from the edge of the central tooth to the lower edge of the central tooth. There is a need for having further information to initiate treatment. If it is a case of oral submucous fibrosis, you need to take it seriously. The other two conditions require treatment. But they are minor. Stop smoking." + }, + { + "id": 14571, + "tgt": "Is it fine to have the wires fixed to brackets in the braces treatment?", + "src": "Patient: Hello doctor, My dad is a dentist and he has recently put braces in my upper jaw. But my braces are of the kind I have never seen before. All the braces I have ever seen have movable wires that move as our teeth get straighter but the ones I have are having the wire fixed onto the brackets by material so the wire does not move. Doctor: Hi. Wires are normally ligated or fixed to braces. With inherent potential and shape of wires the teeth move. The movements of teeth are normally at a slow pace that we may not be able to appreciate the changes taking place. You can compare the pictures previously and now to appreciate the changes. You can also send me pictures to understand your braces better." + }, + { + "id": 10823, + "tgt": "Please explain the time taken by a fertilized egg to implant", + "src": "Patient: Hello doctor, I have a few questions regarding ectopic pregnancy. 1) How long does a fertilized egg stuck and implant itself in a tube? 2) I ovulated on day 15 and felt a sharp pain in the right side (for a moment) on day 24 (8 days post ovulation), is it an ectopic symptom? Doctor: Hello. It depends on your period length and regularity that when and how the system will work. If you have regular periods then 14 days before menses you have ovulation, and if fertilization occurs on the ninth day, then you can have implantation at right or wrong place. If one-sided lower abdominal pain occurs after unprotected sex at the end of third or fourth weeks post period with or without bleeding, then it should be reported that you need urgent beta hCG. If positive, then should repeat beta hCG after 48 hours to check its progression to finalize the diagnosis if the pain is not severe. If after a positive pregnancy test for the pain have a transvaginal scan by expertise hands, immediate intervention. Have complete treatment of any health issue you have. Practice daily walk, yoga, and exercise. Have recreational activities and quit recreational drugs. You need to consult for detailed evaluation. Beta hCG twice and transvaginal ultrasound. Mediate detailed evaluation in case of one-sided lower abdominal pain along with positive pregnancy test." + }, + { + "id": 2859, + "tgt": "I have no concentration on my studies during board exams. Please help", + "src": "Patient: Hello doctor, I am having 0% concentration in my studies. My board exams are going on, I have become too irritable. I am also able to make myself happy again but the stress of studying is bothering me as I cannot concentrate. Also, I am motivating myself but still, I cannot. Doctor: Hello. Board exams are indeed stressful for every student and especially with this huge coronavirus scare thats going on, it is even worse I am sure. Although, now that your board exams have been suspended for the next 10 days, you may breathe a sigh of relief. I can still give you some tips on handling exam pressure. 1. Study in small clusters of time, like study for 50 minutes then take a 10 minutes break and then restart. 2. Have a proper three square homecooked meals a day with two small snacks in between. No junk food, aerated drinks, tea or coffee. 3. Spend one hour every day in engaging in your hobby even during exam time. This will recharge your mind and you will feel more concentrated and productive in studies. 4. Keep your phone and other gadgets at bay. Switching them off until exams get over is the best thing to do. 5. Catch up on good sleep at night and keep sleep timings fixed. I hope this helps." + }, + { + "id": 16453, + "tgt": "How to treat an abscessed tooth?", + "src": "Patient: Hi doctor, I have an abscessed tooth. It has started to drain. What can I do now? Doctor: Hi. An abscess is an infection of the tooth due to caries. If the abscess is draining into the tissues, then it creates a problem. If it is draining outside, then there is no issue. If you have a fever or a swelling in the neck then, you need to take drugs. I prescribe a tablet Ofloxacin 200 mg and Ornidazole 500 mg two times a day for five days. Take tablet Ibuprofen 50 mg and Serratiopeptidase 15 mg (Serrapeptase) two times a day for three days." + }, + { + "id": 99, + "tgt": "I have started to get lots of acne on my face, particularly on my forehead. Please help me", + "src": "Patient: Hi doctor! I used to have clear skin but since I moved to a new place, I started to have lots of acne on my face particularly on my forehead. I thought it would disappear once I went back home, but it only got worse. I did some research and assumed that it was caused by drinking too much cow's milk, but it has been since since I stopped and they would still not go away. I also noticed that I get deep acne whenever I'm nearing my period, along with the usual small red bumps. I bought an acne soap and have been using it for a month now but I'm not sure if it works. I hope you can help me because it has been affecting my mental state lately :(((( Doctor: Hi there Acne has multifactorial etiology. Only acne soap does not improve if ypu have grade 2 or more grade acne. You need to have oral and topical medications. This before writing medicines i need to confirm your grade of acne. For mild grade topical clindamycin or retenoic acud derivative would suffice whereas for higher grade acne you need oral medicines aluke doxycycline azithromycin or isotretinoin. Acne vulgaris Cleansing face with antiacne face wash" + }, + { + "id": 814, + "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": 24451, + "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": 738, + "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": 9186, + "tgt": "My 26-month-old child spelled two words until 18 months and no words after that. Kindly advice", + "src": "Patient: Hello doctor,I am a mother of a 26-month-old boy. He usually developed until around 18 months then began falling behind. He had maybe two words by 18 months, and now he has none at all. We strongly suspect he has autism (many red flags present, MCHAT score of 13) and is working towards getting him a diagnosis and treatment but we live in a developing nation where professionals in this field are scarce, and waiting lists are long.My question pertains to receptive language. Up to around 18 months, I felt sure he understood most of what was said to him. At present, I do not think he understands language at all. I have heard of autistic regression where children lose words, but do they lose receptive language too? Is this something you have seen? Doctor: Hello. Many times in autism, the language is not lost the sensory issues, and the attention deficits are so higher that the child fails to pay attention to speech. Language is based mainly on attention and imitation. In many autism cases, the need to express is hampered, and the chance to speak or we can see the need to show is decreased as parent or caretaker tend to provide everything to the child without a demand on his part to express his wants. For therapy purpose, I would suggest you to search if there are not many professionals in your city and start speech therapy. You can contact back if you have any questions." + }, + { + "id": 16864, + "tgt": "I have some skin infection on my penis. What is it?", + "src": "Patient: Hi doctor, In the past one month, I am noticing some skin infection on my penis skin when I pull it down. Should I see a skin specialist or sexual disease specialist? Doctor: Hello. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20297, + "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": 7614, + "tgt": "Do social anxiety needs treatment?", + "src": "Patient: Hello doctor, I think I have social anxiety, but I am not sure if it is affecting my life enough to do anything about it. I do not want to tell my mom, but I am sure therapy would help as I am very insecure, have a negative mindset, and generally I am very paranoid of what others think. I do not know how I will hold a job as I hate others observing me and hate confrontation and I am worried about interacting with customers, etc. Is social anxiety an essential one to get treated? How to tell my mom without making her worry. Doctor: Hello. I understand you are quite worried and frightened about your problems. Social anxiety is common, and it is all about what it does that affects the people more. Your worries about your inability to hold on to a job and avoiding social situations are valid. It is very important to treat social anxiety because if left untreated it will gradually keep increasing and you may end up feeling frustrated and depressed as well. Regarding explaining this to your mother, you can read and find it easy to understand articles regarding social anxiety and ask your mother to go through that. First of all, you need to make her understand that it is an illness like diabetes or hypertension. If it is an illness, it has some symptoms and a proper course and treatment as well. If you had diabetes, would your mother pity you? No, she would ask you to consult a doctor. Similarly, in this case, you will need medicines as well as therapy to overcome your symptoms and gain some control of your life. No one needs to pity you for anything. Once you start viewing this from a rational point of view, you will be able to explain it better to your family. I hope this helps. Take care." + }, + { + "id": 2170, + "tgt": "Does protein powder have any adverse effect on muscle recovery?", + "src": "Patient: Hi doctor, I used to perform cardio exercise for around 30 to 40 minutes and weight exercise (strength training) between 20 to 30 minutes daily. I have been using one natural protein product. My wish is to\u00a0lose fat. I\u00a0am confused whether, I should replace my natural protein product with the second one, which I found on the internet.\u00a0I have a few queries which are as follows. The second protein product\u00a0has a prefix \"L\" over all the amino acid ingredients and also contains glutamine in addition to BCAAs. What does it mean?\u00a0Is glutamine necessary? I take maximum 25 g of supplementation in my dietary intake daily. Is 25 g sufficient or do I need to increase or decrease? Lastly, should I continue with the first protein product or the second one? I am attaching the photos of the protein products here for your reference. Please help. Doctor: Hi. For further information consult a\u00a0nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 3117, + "tgt": "My kid developed red rashes in her face after pneumonia treatment. Is this normal?", + "src": "Patient: Hi doctor, My 3-year-old daughter was diagnosed with pneumonia eight days ago (examination and x-ray). She was put on Amoxicillin (six more days) and Klacid (supply finished today). Although she is tired during the day and breathless trying to climb out stairs, she is lots better. In the last day or two, she has come out with a red rash all over her face and for the past two nights, she has been constantly coughing as soon as she lays down to sleep. I have to hold her upright on my lap to control her cough. Is this a normal stage of recovery? Doctor: Hi. As per your description, the child seems better but since the child has gone through so many problems the recovery may be prolonged. What you are explaining does not exactly fit the picture of a recovery as the child is breathless and a new rash has developed. The rash may be a drug-induced rash but there should be no breathlessness. I would strongly advise nebulizing the child with Duolin every four hourly and Budecort every six hourly. Also, I think a repeat x-ray film should be obtained to find out if the patch of pneumonia is still the same or it has increased? If it remains the same it is fine since the time of two weeks to up to one to two months may be required before a complete radiological clearing. Also, you have not mentioned if the child was given an iv medication or oral. In the current scenario, I would have preferred iv (intravenous) medications. Also, sometimes one of the complications of pneumonia is an effusion which will lead to breathlessness but since your child does not have fever currently that is ruled out. Another important point I want to know is if there is a history of asthma in the family? Because if there is then this phenomenon that you are describing may be completely different from pneumonia and may actually be the start of asthma." + }, + { + "id": 1386, + "tgt": "I have ringworm on left side of my stomach. Will it spread to other parts of the body?", + "src": "Patient: Hello doctor, I think I may have ringworm. It is located on the left side of my stomach (almost hip). I have tried putting Clotrimozol and Daktarin on it. I am afraid that it may spread to other parts of my body. Please help. Doctor: Hello. How long it has been there? What are the symptoms of it? Any other area affected? Any other family members affected? Any history of hypertension, diabetes mellitus, or thyroid disorder? Any known drug reaction? Looking forward to your response in order to help you." + }, + { + "id": 703, + "tgt": "I get muscle twitches in my quad and calf muscles often with no pain. Could this be due to anxiety?", + "src": "Patient: Hello doctor, I am a 41-year-old male who is 5'10\" and in pretty good shape. However, last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles. I ignored it thinking maybe I walked or exercised more than normal. But since then they have not gone away and I notice them in all different parts of my body but mostly the legs (calves, shins, quads) of both legs. I feel them every few minutes or so while sitting or laying down. They are not painful. I have not lost any strength while doing pull-ups, lunges, or dumbell curls. I do not drink coffee nor alcohol and I do not take any medicines. I took a magnesium supplement for the last few days and it did not help my symptoms. I started googling stuff and became very afraid. Could this be caused by anxiety? I did have some restless nights last week. Please help. Doctor: Hello. Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it may be due to anxiety. I suggest to observe it. Get T3, T4, and TSH (thyroid-stimulating hormone) test. If you are anxious, you need to overcome that too. If it persists, then it may need some further investigations." + }, + { + "id": 5841, + "tgt": "A 5-year-old boy has intermittent fever, cough, and blocked nose. What could be the reason?", + "src": "Patient: Hello doctor, A 5-year-old boy has intermittent fever, muscle pain, cough, and blocked nose for the past four days. The temperature is shooting up during nights and is normal during the day time. The blood test results are: CPK 23056 U/L. SGOT 513 U/L. Leptospira IgM and dengue IgM tests in progress. Please advice. Doctor: Hello. The reports and history are suggestive of some viral etiology probably, however, it is advisable to do a blood culture also to rule out bacterial etiology. In the meantime, I would advise starting Ceftriaxone to be on the safer side along with proper iv (intravenous) fluid management. Other symptomatic management like nebulization and antipyretic medications to be given as per the symptoms. To trace blood culture, dengue and leptospira results and act accordingly. If symptoms worsen or do not resolve in the next five to seven days, detailed investigations in favor of Duchenne muscular dystrophy should be carried out." + }, + { + "id": 3312, + "tgt": "I am in braces for bimaxillary protrusion but the space is not getting closed. Why?", + "src": "Patient: Hello doctor, It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation. Doctor: Hello. As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem." + }, + { + "id": 1123, + "tgt": "What can I do about dark underarms?", + "src": "Patient: Please I will like to know what I can do about it dark underarm Doctor:" + }, + { + "id": 12175, + "tgt": "Which test can be used to test HIV after having sex using two condoms?", + "src": "Patient: Hi doctor, I had sex four months back with using two condoms at a time and later I realized that using two condoms at a time is not safe. So, I have taken HIV tridot test two months back and fourth generation test last month and again tridot test this month. All are negative. So should I need to test again or these are enough? What is the window period for HIV fourth generation test? What is the window period for HIV tridot test? Doctor: Hello. I will try to solve your query so that all your doubts are cleared. First, to get infected with HIV first your partner needs to be HIV positive. The chances of your partner being HIV positive depends on the type of partner. If your partner is a commercial sex worker the chances are increased as compared to others. Secondly, the use of any protection. If you are using condom definitely chances are lower. Thirdly, if there is a contact of your blood or fluid with the partners fluid. This means if you have any injuries prior or during sex and your blood get mixed with partners blood, there are higher chances. Lastly, even when all the previous points get fulfilled there my be a chance that you might not get infected. So by your explanation, you are at a lesser risk. Coming to your last queries. Tridot test has a window period of three months, that is, it gives HIV status of three months from present and not recent three months and fourth generation test has a window period of four weeks. So going by the chronology of events you are quite safe. I hope it solves your queries and I hope you become a little relaxed now. If you still have doubt I am always there to help you. I am also enabling a free query in case you need to speak to me again." + }, + { + "id": 24785, + "tgt": "Why is there pain in my lower left abdomen for past three months?", + "src": "Patient: Hello doctor, I have been feeling some pain in my lower left abdomen for past three months. The pain is not intense though, and it does not disrupt my daily activities, though it comes for a few minutes and then goes. I did an utrasound scan, no stone was found, the radiologists said it might be a muscular pain as all the organs examined through the abdominal scan were fine. I did urine analysis (sample was taken after sweating from the heat of the sun), the result says crystals of calcium oxalate (+) was found. I took Buscopan, Amoxicillin and Ciprofloxacin. I need your expert opinion on this. Doctor: Hello. Relax and do not worry. Yes, it is possible that you may have a stone in the urinary system. Sometimes, stones get missed on ultrasound examination. I suggest you get plain CT scan (without contrast) of abdomen and pelvis region. It will 100 percent rule out the stone in the urinary system. If no stone in CT scan is there, then your pain is musculoskeletal origin. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6483, + "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": 25938, + "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": 18506, + "tgt": "I have pain on the left side of the jaw. Is it due to an impacted tooth or a tooth with large filling?", + "src": "Patient: Hi doctor, Approximately six weeks ago, I got niggling wisdom teeth pain. The left top and bottom wisdom teeth were breaking through the gums. I got sudden pain which was severe in intensity around the back of my mouth and the lower left side. It got aggravated especially on chewing and radiating to the next tooth and along the jaw. The dentist suggested a wait and watch for few days. The next day when the wisdom tooth\u00a0started to come out, the pain got severely worse over the jaw and the temporomandibular joint. I was unable to tolerate. I cannot even rest\u00a0my top and bottom teeth together. I got complete numbness on the left side of the chin and lower lip and difficulty in opening my mouth for more than one or two fingers. I could not sleep and felt ill because of the pain. On the X-ray, the wisdom tooth is horizontally impacted, and there were no signs of infection or abscess. The tooth next to the wisdom has a large old filling nearing the\u00a0pulp. But there are no signs of anything wrong with it on an X-ray. The dentists could not find whether it was the pressure of the impacted tooth on the next tooth or problem with the filled tooth. So, I was just given antibiotics. By the end of the antibiotics, it was slightly better, but I still felt ill. Again, the dentist decided to wait and watch. \u00a0As I felt iller\u00a0than the previous time, I was given another course of different antibiotics.\u00a0The pain\u00a0was reduced. But I still have numbness in the chin. However, most of the numbness on the lip has resolved. A constant cramp sensation along the\u00a0bottom\u00a0of my jaw and\u00a0temporomandibular\u00a0joint with the discomfort temporarily ease with rubbing or stretching or massage. I regained most of my mouth opening back, but it is uncomfortable to open and hold in that position. I also think the jaw discomfort and cramping are worse on the days when I have to talk more. The wisdom tooth and the next tooth are still mildly tender. I can eat soft foods comfortably, but I get pain in the two teeth and the gum surrounding the wisdom tooth on eating hard foods\u00a0like a raw carrot. The pain will last up to an hour or more. I have never had any hot or cold sensitivity or nasty taste in my mouth. The dentist I saw thinks that it is because of the nerves from the filled tooth and wants to do root canal treatment or extraction. How would this change any of the nerve or\u00a0temporomandibular\u00a0joint pain? I am worried that if the impacted tooth's pressure is causing the pain, then it will make no difference anyway. Do you know a way to differentiate? Which do you think is the more likely cause? Doctor: Hi. I had gone through your question. I can understand your concern about your tooth pain. Hope my answer will help you. Visit us back if you have any further queries. Regards. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 24837, + "tgt": "Are my retainers making my short roots worse?", + "src": "Patient: Hello doctor,So, I just got back from the dentist today but my dentist did not give me a chance to ask further questions today, she just said I have short roots and left. I suppose she was in a rush? Not to mention she discovered four cavities under sealants I have had in the past. I have been here checking online about short roots and making myself paranoid. I wish I had a picture of my X-rays from today to make this more clear. But my main concerns are just does this have anything to do with root resorption and are my retainers making my short roots worse? I have not had braces since I was 14 and I have always worn my retainers since. I cannot sleep without them. But are my retainers causing my short roots more stress? And can this lead to root resorption? Doctor: Hello. I understand how you feel. But, root resorption occurs in deciduous teeth prior to shedding. In permanent teeth, root resorption occurs during pathology/disease. Regarding the cavities, if it is not near to pulp (blood vessel of the tooth), you can get it filled. There is nothing to worry about short roots. If the cavity is near the pulp, you will have to go for a root canal and again short roots will not create a problem with that but the crown placement might be affected. Yes, orthodontic treatment causes mild tooth resorption for tooth movement but is compensated and retainers will not cause much of root resorption. You may genetically or developmentally have short roots. Nothing to worry much, if there is no pathology, problem or mobility. I would suggest you remove the retainers at night as the tissues need some rest (eight hours). I hope I have answered your doubt. If you want, you can add up further details like which tooth or any other symptoms associated with it, like pain or sensitivity or swelling, etc., in detail. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10474, + "tgt": "What is the treatment for fatty liver when my cholesterol and thyroid levels are high?", + "src": "Patient: Hi doctor, I am 40 years old male. I am suffering from fatty liver. I have high cholesterol, and thyroid level is also high. I am not taking any medication. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have a high cholesterol level which is the cause of the fatty liver rather than weight. A lipid-lowering medication is required. Regarding your thyroid, the hormone levels are within normal. There is no need to worry about them, unless if you have significant symptoms. I suggest a medication take Atorvastatin 10 mg tablet once daily before dinner and repeat the lipid profile after six weeks. Liver enzymes should be done after one month as a precaution. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19743, + "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": 5091, + "tgt": "Lymph node enlargement due to fever does not subside for a long. Could it be cancer?", + "src": "Patient: Hello doctor, I am a 35-years-old female. Four years ago, I got a bad flu and I felt horrible pain around my neck. When I put my hand on my neck I found two small balls one on my right side and one on my left side. My doctor said it is because of the flu and I got one pack antibiotic. After one month I found that two lymph nodes may be smaller but did not disappear. I ordered blood test again,and they came back normal. I went to another doctor he ordered a blood test and he said nothing to worry. I went back to the previous hospital, they kept doing blood tests for me every three months and last year after I fought with them, they did a CT scan and they found the biggest one size is 0.8 cm and they said it is normal and I should not worry. So far I saw five doctors and they said not to worry and the last one I saw was last week, she told me to stop touching it and try to forget it because they will not disappear and they refused my request for biopsy and they said the size is normal. But I am really scared and I cannot stop thinking about it and what about if it is cancer and they do not know. How would they know if they did not do a biopsy? In the last visit she said if it was a cancer and you have it for four years you would have other symptoms. I do not know what to do, especially after they said no need for biopsy and I am really scared when I go to bed at night I touch them and I cannot stop crying. Please let me know what do you think? I am tired of doctors, each time they touch them and I got a smile do not worry you are fine. If I am fine why they did not disappear? Doctor: Hello, Welcome to icliniq.com. Ii understand your concern. After going through your elaborate history, it appears that you have had cervical lymphadenopathy secondary to the flu you had four years back. Lymph nodes are basically the policemen of the human body, they are the first to get inflamed and enlarge when the vicinity which they drain gets infected. It appears from four to seven days after infection. If one takes antibiotics, which as you did the infection so contained in the lymph node gets treated and the swelling reduces in size. But whenever the healing occurs by some amount of fibrosis, so the lymph gland healed but did not reduce to its complete original size. Now again if the gland has not been increasing in size, or painful, or shotty in feeling or have recruited other lymph nodes or there has been a continuous weight loss in these four years, or the natural immunity has gone down and you suffered multiple infections all this while, they all suggest or at least indicate towards a malignant change or cancer. In the absence of these signs, malignancy is unlikely. Secondly, the size of the largest being 8 mm. Malignant lymph nodes are way larger from 4-8 cm (40-80mm) and multiple and aggressive in nature. There is two ways of finding any form of malignancy in lymph nodes. 1. HIDA (hepatobiliary iminodiacetic acid) scan to look for the hot spot. 2. If a hot spot not found in HIDA , then considering the lymph gland benign, further the diagnosis can be then established by FNAC( fine needle aspiration cytology). 3. If costs permit a PET (positron emission tomography) scan can be done to put rest to any further doubt. Depending on the SUV values the malignant and benign nature may be ascertained." + }, + { + "id": 28181, + "tgt": "Involuntary frowning is delaying the healing of my scar revision surgery. Should I get Botox?", + "src": "Patient: Hi doctor, My scar revision surgery is not healing well, and it seems worse than last week. Please see the attached picture. Involuntary frowning causes lines to run through the scar, can this be causing problems? Is it worth taping my forehead, so I cannot make frown lines? Is it worth getting a botox to stop frowning till I am healed? I am using a vitamin C and silicone scar cream to attempt better removal of hyperpigmentation. Is this a problem? I cannot tell if it is this or the creasing making it worse. I am starting to get very depressed about this scar revision. It was bad enough getting mugged and getting this wound. Now it is not healing even after a scar revision surgery.\u00a0Thanks. Doctor: Hi. Thanks for the query. I have seen the attached picture (attachment removed to protect patient identity). For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 8736, + "tgt": "How can bilateral metatarsalgia be treated?", + "src": "Patient: Hello doctor, I have hypertension and bilateral metatarsalgia.\u00a0I am seeking a\u00a0second opinion on my medical reports. I have attached them for your reference. Doctor: Hello. I went through your post and investigations (attachment removed to protect patient identity).\u00a0There are a few things which will need to be addressed. Rest of the investigations are normal and I do not\u00a0see any significant problem. So, you need not worry.\u00a0Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21807, + "tgt": "Will eye power increase with age in a 5 year old?", + "src": "Patient: Hello doctor,My daughter has been diagnosed with a cylindrical power of -2 and -2.5. Can that be cured to normal if she takes healthy diet and eye exercises? Will it increase with age as she is 5 years old? Doctor: Hello. According to what you have mentioned, your daughter has myopia (short sight). It commonly occurs in children due to excessive near work. There is no research that supports diet or eye exercises to improve the condition. However, avoiding excessive near work (such as using mobiles, tablet, computer) helps. A 6 monthly checkup with the ophthalmologist for refraction testing (with and without cycloplegia) and fundus examination is needed to monitor progression. In most cases, with the use of refractive correction, improvement is seen. In some cases, the refractive error may progress (pathological myopia), wherein the retina also gets involved. Hence, fundus examination by an ophthalmologist is necessary. Diet rich in vitamin A (carrot, papaya, etc.) can be given to support the retina. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10490, + "tgt": "How can IBS related to SIBO be managed?", + "src": "Patient: Hi doctor, I realize I have IBS symptoms and they seem to be related to SIBO. I need your advice on how to treat it effectively. Here are some symptoms and test results. Leaky gut or intestinal permeability with multiple food intolerances. Seems to have hydrogen sulfide based SIBO, severe farting with a foul smell of eating foods like cabbage, broccoli, cauliflower, high protein foods. I may have an overgrowth of sulfate-reducing bacteria. Rifaximin seems to help with SIBO but it is temporary. I have to eat rice as I cannot eat gluten or wheat. Some experts on SIBO say that MMC or vagal nerve dysfunction is the root cause of SIBO. I have heard a lot of patients get better when they increase gut motility. So I wanted to ask if taking prokinetic or cholinergic support will help SIBO from reccuring. Doctor: Hi. The best is to avoid eating foods that cause trouble. Secondly, for SIBO (small intestinal bacterial overgrowth), it is better to use a combination of Tetracyclines plus Metronidazole for two weeks. Effective probiotic will also help. Take the following medications: 1. Tablet Tetracycline 500 mg thrice a day two weeks. 2. Tablet Metronidazole 400 mg thrice a day for two weeks. 3. Take a good probiotic for two weeks at the end of the previous two drugs. 4. Take fresh homemade yogurt twice daily in a small bowel." + }, + { + "id": 25814, + "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": 26313, + "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": 25593, + "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": 3789, + "tgt": "Is it advisable to fly with semicircular canal dehiscence and patulous eustachian tube dysfunction?", + "src": "Patient: Hello doctor, I have two inner ear conditions. Both are somewhat rare: Right-semicircular canal dehiscence and Left- patulous eustachian tube dysfunction. What I want to know is whether I can fly- take an airplane without getting ill and sustain further inner damage? Doctor: Hi. 1. Super semicircular canal dehiscence is a rare inner ear condition. In this condition there will be giddiness and imbalance when exposed to loud noise and imbalance, echoing of once own voice, etc. This condition usually does not get worsened by change in environmental pressure. So air travel will not be an issue in this condition. In any case keep anti-vertigo medications such as Stemetil handy when you fly. 2. Patulous eustachian tube is a condition involving middle ear and nose. My guess is because of similarity in symptoms you have been given both the diagnosis. I can say that if there is vertigo then it is superior canal dehiscence if there is no vertigo chances of Patulous eustachian tube are high. In any case people with Patulous eustachian tube will have certain degree of pressure symptoms in ear when they fly but most of the times it will not be very severe. You can use simple saline nasal spray before boarding the flight and every two hours in air to reduce symptoms." + }, + { + "id": 30532, + "tgt": "Shall I take bronchodilator for chest pain?", + "src": "Patient: Hi doctor, My problem is that I have pain in my left lung . Firstly, I will let you know the history. I cannot play any of the sports properly due to the pain. If I work hard such as playing football, running, etc., it will lead to a great pain . And, I cannot even properly cough and it never go away.\u00a0In the last few days, I was just running in the evening and I had pain in my left lung. In lasted for around two or three days.\u00a0I am also allergic to wheat. I have done the chest x-ray, which is normal and other reports are normal.\u00a0I am thinking of bronchodilator.\u00a0Please suggest me. Doctor: Hi. We are here to help you. For further information consult a pulmonologist online,--->https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 18761, + "tgt": "I had vaginal bleeding after unprotected sex. Is this menstrual or miscarriage bleeding?", + "src": "Patient: Hello doctor, I had unprotected sex three months back and got brown discharge followed by bleeding, ten days later. I again had unprotected sex two months back and again had bleeding four days later. Is this menstrual or miscarriage bleeding? I did not take emergency contraceptive pills after the sexual intercourse on both the occasions. And there was also\u00a0little blood clots in the bleeding. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18333, + "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": 1369, + "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": 530, + "tgt": "I have pain in the left buttock and soreness in leg while walking. Please interpret my USG", + "src": "Patient: Hello doctor, I have pain in left buttock, and sore left leg after walking. Please review my ultrasound report. I am currently on cholesterol, Aspirin, and blood pressure. Doctor: Hello. I have seen the report (attachment removed to protect patient identity). It has occluded posterior tibial artery which is the cause of pain in the leg after walking. Also, there is a possible stenosis or block of the stent in common iliac vessels which is the possibile cause of limping. Doppler or duplex report is just a suggestion to confirm the above-mentioned finding CT (computed tomography) angiography of the lower limb is mandatory. Continue the same treatment. I will advise you one more drug to start. Please go through CT angiography so further management decisions can be planned. I hope this helps. CT angiography bilateral lower limb." + }, + { + "id": 18875, + "tgt": "What is the difference between a psychologist and a psychiatrist?", + "src": "Patient: Hello doctor, I am looking into a career in child psychiatry, but cannot really understand the difference between what a child psychologist would be doing and what a child psychiatrist would be doing.\u00a0Any child psychiatrists out here who can give me some information? Doctor: Hello. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 4086, + "tgt": "I am getting distracted during sleep. What should I do?", + "src": "Patient: Hi doctor, When I sleep at night under AC or fan around midnight I feel as if my whole digestive system is moving upwards toward brain and my ears starts ringing. I am feeling that my back side of my brain and my eye nerve are also getting stretched. I am getting such feeling mostly when I am sleeping. For the past six months during daytime I feel some pinches in my body. I think food is also getting digested quickly. If somebody checks my nerve condition, they will come to know about my condition. As this is new to me and my family, I require support quickly. What should I do? I started taking Losar 25 mg four months back and I am taking vitamin B12 supplement. And due to this condition my BP is fluctuating. Please help. 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": 3563, + "tgt": "Why do I feel softening around anal area?", + "src": "Patient: Hello doctor,For the past six days, I feel softening continuously around the anal area when I walk. Now, I am suffering from slight constipation. I have no hemorrhoids and no staining in the undergarment. I have no blood in the stool and no pain in the anal area and also on bowel movement. Then why do I feel so? Please help. Doctor: Hi. Functional constipation. Sigmoidoscopy. 1. Avoid constipation. 2. Avoid non-vegetarian foods and take lots of green vegetables. Revert back after sigmoidoscopy to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 25450, + "tgt": "I am a 17 year old girl. Using estrogen for about 10 months now. I have become more feminine and contented", + "src": "Patient: Hello, I am a 17 year old girl. I am using estrogen for about 10 months now. I became more feminine and contented, it has changed my life, but when I stop using it, in time I become the same as I was before. So I would want to ask you if I could block my testosterone if \u00a0I am under 18? This would be my dream come true. Doctor: Hi, Thank you for choosing icliniq.com. Revert back to a general medicine physician online for further help --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 6202, + "tgt": "My daughter has a throat infection, and cough. Please suggest some medicine", + "src": "Patient: Hello doctor, My 23 years old daughter is having a throat infection, sore throat, and cough from yesterday. No medications taken so far. Doctor: Hello. Did she develop a fever? If she did, then it indicates a bacterial infection mostly and hence antibiotics should be started. If she has only throat pain, without fever, I will advise doing saline water gargling (a pinch of salt in warm water), at least three to four times a day. That will help all the mucus to come out, and help in faster recovery. If she has developed fever with body pain, then it is better to give her Levofloxacin 500 mg once daily for five to seven days, depending on the severity. For fever Paracetamol or Calpol or Dolo 650 can be given after food. For her cough you can give Codeine syrup two teaspoons twice daily based on her severity." + }, + { + "id": 10057, + "tgt": "Is Metmax injection the right one for head spinning?", + "src": "Patient: Hi doctor, My sister is having some neurological problem. She is normal, but at times she feel uneasy and head spinning. We have consulted with a doctor since one year and a few days back for the same issue her doctor prescribed Metmax injection to be taken one per day for the next five days. But, after taking one injection, she is feeling very drowsy and not able to remember things and forgetting the past. I request you to kindly let me know the details of Metmax injection. Is it the right treatment? Doctor: Hi. Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18290, + "tgt": "My son and I have canker sores. Why do we have them at the same time?", + "src": "Patient: Hello doctor, I am a 25 year old female. My weight is 130 lbs and height is 5 feet. My son is 5 years old. \u00a0He has autism. He is a little overweight for age.\u00a0I do not have herpes of the mouth (cold sores) and as far as I know neither should he. However, a week ago I bit the inside of my lip, and the wound turned into a larger canker sore. I also have one on my lower gum line towards the bottom of my teeth; though not as big as the one I made on my lower lip. They are painful and terrible, but I have no sores outside my mouth. They are white sores with red around them. This morning, when I was brushing my son's teeth, I noticed there was almost circle like patches on his tongue. But, they were very faint. I took a flashlight to his mouth and noticed a large canker sore on his upper lip on the inside. It looks the same as my large one on my bottom lip. He has looked tired recently, and I am not sure if that coincides with the cold sores. A flyer from his school was also sent home the other day about a fellow student being sent home with pink eye, but I have not found anything on the internet to link the two yet. I have been doing non-stop research since before he left for school and all I can find is that these are not contagious and the causes are unknown. Why do we both have them at the same time? He never really had any problems like this before. I did give him some Ibuprofen before he left. I am under immense stress in my personal life both self-inflicted (dieting and surgery coming up) and unintentional (many family and financial issues). So, I figured mine were from that. Any insight would be helpful. Thank you. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9244, + "tgt": "I experience heavy flow and cramps during my periods. Please help", + "src": "Patient: Hello doctor, I got my period again five days after the last one finished. Last one was eight days long. It was usual for me as my periods will last 8-10 days. I am 19 and I first started to have my periods eight years ago, and I am not sexually active. I also have painful cramps again (I have cramps in the first couple of days of my period most of the time). This is the second day of bleeding and although it is a heavy flow, it is not as heavy as a regular period. But I am concerned because of the cramps and constant bleeding. Doctor: Hello. It might be hormonal imbalance, drugs effects on it, illness, medications, sudden weight gain or weight loss, contraceptive. If you are sure that you have any sexual activity then it is better to have one local examination by gynecology specialist and have a pelvic scan, thyroid function test, complete blood count, pap smear, sex hormones test on day two of periods. In the case of a history of sex, you need to check pregnancy status by serum beta hCG in case of a positive pregnancy test, and you need urgent detailed evaluation. If there is no sex issue, the examination needs to be done soon. Have tablet Ponstan 500 (Mefenamic acid) mg 8 hours once and tablet Tranexamic acid 500 mg 8 hours once for three days to reduce bleeding. You can have combined oral contraceptive pills for three cycles to regulate periods. Have a balanced diet with more fruits and vegetables. Iron supplements as well. Hormonal, local. Scan, CBC (complete blood count), TFTs (thyroid function test), sex hormones." + }, + { + "id": 21368, + "tgt": "Is it possible to get thinner dorsum after resolution of swelling post rhinoplasty?", + "src": "Patient: Hi doctor, I am a 23-year-old girl. I underwent a rhinoplasty six days ago. Today my surgeon took the cast off, and I saw my nose with a lot of swelling, I have a concern that I will not get the shape as I want a thinner dorsum. I am uploading the pre-surgical and post-surgical pictures. Is it possible for my dorsum to get thinner after the resolution of the swelling? Or will it remain the same? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Many of my patients will have trouble, so I do not assure them before surgery as the actual results take time to show due to swelling. I hope your surgeon must have convinced you and so you are looking for the second opinion. It takes up to three to six months for the swelling to subside completely. But you will be expecting a decrease in swelling after seven to ten days. Do not get worried and enjoy your holidays. Wait, and you will get an excellent result. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 23594, + "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": 12631, + "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": 23989, + "tgt": "My partner fears the dentist would pull out all his teeth. Are his concerns valid?", + "src": "Patient: Hello doctor,My partner has type-2 diabetes and has lost several teeth. I am trying to talk him into a dentist visit, not necessarily to walk out with implants or dentures, but to just get an exam and a cleaning done. He believes that the few teeth he does have left will not survive even something as simple as teeth cleaning. That the dentist would take one look and want to pull them. Are his concerns/fears valid? Thank you. Doctor: Hi. How are you doing? First of all, do not worry. Maybe he is afraid of dental visits because of previous experiences. Uncontrolled diabetes can cause bone loss and hence tooth mobility, in conjunction with improper oral hygiene. Since I do not know the condition of his remaining teeth, I cannot comment on the treatment that will be advised for him. You can maybe send me an image of his teeth and I can advise you more precisely. Secondly, I would advise him to get his missing teeth replaced as this prolonged period of missing teeth might cause aggravated bone loss. The implant will not suit him as he is diabetic, you can go for removable dentures or fixed partial denture (if he has sound teeth left). Tell him to go get a dental visit done. Dentists are there to help you out. Nothing will be done without his consent. Moreover, he can explain his problems and fears and the doctor will accordingly plan the treatment. Feel free to ask further questions. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29039, + "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": 9829, + "tgt": "What is the normal size of lymph nodes in the groin area?", + "src": "Patient: Hello doctor, What measurement in a lymph node is looked at, to determine whether it is normal or not? Doctor: Hello. Lymph nodes are small, bean-shaped glands present throughout the body. The lymph system is an important part of the immune system, the body's defense system against diseases. Groups of lymph nodes can be felt in the neck (cervical), groin (inguinal), and underarms (axillary). Inflamed lymph nodes by themselves are generally not a major concern. They are considered significant in the following scenarios: Generally, a lymph node of 1.5 to 2 cm size in the axillary and inguinal regions is considered normal. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29333, + "tgt": "My daughter has crooked teeth. Does she need braces?", + "src": "Patient: Hello doctor, My daughter is 15 years old. She has crooked bottom teeth and overbite. Also, her molars have overlapped at the back, so that the baby tooth is still on top of the adult tooth. Otherwise, her teeth are fine. But, \u00a0she is not happy with her smile. Does she need braces? Doctor: Hi. I can understand your concern regarding your daughter's dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 361, + "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": 6618, + "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": 20556, + "tgt": "What are the chances of contracting HIV through oral sex?", + "src": "Patient: Hello doctor, It was about six years ago, and I was giving oral sex to a guy. During it, my teeth cut my lips. He did ejaculate in my mouth, but I did clean out my mouth immediately. On two other occasions, he came on my vagina, no penetration and cleaning took place. He was my first sexual partner outside being molested as a child. I do have a history of cold sores. He is straight. What are the chances I contracted HIV? Doctor: Hi. The chances of transmission of HIV by unprotected oral sex is almost nil in the scenario mentioned. The chances are also almost nil if there is no penetration (skin is an effective barrier). It may be better to go for HIV antibodies tests to be totally relieved of anxiety. The chances of HIV tests coming positive is almost nil. Herpes can be transmitted by skin to skin contact or by intercourse or kissing." + }, + { + "id": 7520, + "tgt": "I have lower back pain, and my creatinine level is high. Are my kidneys failing?", + "src": "Patient: Hello doctor, I have pain on the right side of my back, and I have a fever of 100 F. I do not have shortness of breath, and my urine output is fine. I get shoulder pain when I\u00a0breathe deeply, and I feel tired. I got a blood test yesterday, and my neutrophils are 9.68,\u00a0lymphocytes are 13.10,\u00a0total leukocyte count is 12.80, MCH is\u00a032.10, RBC\u00a0count is 4.34,\u00a0chloride is 97,\u00a0creatinine is 1.42,\u00a0albumin is 4.72,\u00a0total protein is 8.70,\u00a0bilirubin total is 0.69,\u00a0bilirubin direct is 0.15,\u00a0bilirubin indirect is 0.54, LDL\u00a0cholesterol is 104, HDL\u00a0is 32.30, and\u00a0non-HDL is 130.70. I currently take Envas\u00a05, Amdepin 10, and Dytor plus 10. Doctor: Hi. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 3058, + "tgt": "Is HIV RNA PCR test conclusive at 12 weeks?", + "src": "Patient: Hi doctor, I went for an HIV test at six weeks after low-risk exposure and get false positive. At eight weeks both fourth generation and HIV RNA PCR are negative. At 9 and 10 weeks rapid test is negative. At 12 weeks HIV RNA PCR is negative. Is it conclusive? My doctor told me no need for further tests. Doctor: Hello, Welcome back to icliniq.com. To answer your query, I want to give reference of published research that, Although the reported sensitivity and specificity of fourth generation tests are more than 99% in numerous studies, there are several instances of discordance between screening and confirmatory techniques (Liu P et al. AIDS Research and Therapy 2016 13:1). False positivity can be due to user error or cross contamination, if there is ongoing some other illness eg. malaria, or if there is a history of blood transfusion, autoimmune diseases. A positive test result always needs to be routinely confirmed using a different type of test or testing kit. Fourth generation tests are more than 95% accurate at six weeks and this needs to be confirmed after three months with a second test. If the test in your case has been performed at three months after the exposure and is giving negative results, and you have not had another risk, you do not have HIV. Your fourth generation test and RNA PCR at 9 and 10 weeks and further 12 weeks negative RNA PCR, suffices to rule out infection. If you still have apprehension, get a repeat HIV antibody test at six months of exposure, no need to repeat it in between. Take precautions in the future (consistent and correct condom usage). I hope this helps." + }, + { + "id": 9703, + "tgt": "I have done my HIV screening test. Please advice on my reports", + "src": "Patient: Hello doctor, I am 35 years male who had low-risk penetrative activity (as used condom properly and no breakage) with a female of unknown status. On the 30th day (four-week mark), I had HIV 1 and two antibodies screening test. Serum equal to HIV 1/2 by flow through immunofiltration (seems rapid test) from the reputed lab for which HIV one and two both came negative. On the 44th day (6th-week mark), I again had HIV 1, and 2 antibodies screening test, serum equal to HIV 1/2 and P24 COMBO TEST (CMIA) from the same lab and resulted non-reactive on the next day. Kindly guide am I safe or is it the end of hope for me as I am searching like crazy every hour and any abnormality like cough, pimple, uneasiness in the throat (no pain while swallowing food), etc. is being looked as a symptom of HIV. I am looking for the ray of hope. Doctor: Hello. Do not worry about it, and you are unlikely to experience infected. Firstly, you had a very low risk of transmission as you used precautions and also the status of the partner is not known. Your combo test at sixth week almost rules out the possibility of HIV. However, it is recommended that you test yourself at three months and six months post exposure to be doubly sure. So, stop thinking about it as you are unlikely to have HIV and get yourself tested again at three and six months to be sure. I hope this helps you and get back if you have any doubts." + }, + { + "id": 4763, + "tgt": "What are the pros and cons in hormonal birth control withdrawal?", + "src": "Patient: Hello doctor, I want to know about going off birth control. What are the five to ten most common physical and emotional changes women can expect when they discontinue hormonal birth control use? Will these changes differ depending on the type of birth control and how long you have been on it? How so? What are some myths people tend to believe about going off birth control? Can you debunk these? Any last words of advice for women nervous about going off birth control? Doctor: Hello, Welcome to icliniq.com. There could be many effects if a woman has been on any specific birth control pills like mood variations, fear of conception if not willing to conceive, anxiety, irregular periods, skin dryness, soft breast, dry hairs, less libido, angry behavior, etc. If the body has been on one particular hormone then it gets used to it and after quitting the body reacts and those could be withdrawal symptoms or gradually the body's original physiology comes out. Those who are habitual for contraceptive pills can have a strong fear of having conception or minor symptoms whatever they feel could report to their treating doctor. Woman who just wants to or already get rid of pills should have better physical and recreational activities and try to avoid withdrawal symptoms by making themselves busy." + }, + { + "id": 25231, + "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": 26849, + "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": 10804, + "tgt": "How long can I take Ibuprofen for pain from broken ribs?", + "src": "Patient: Hi doctor, I am a 65 year old female, and I fell 10 days back and broke one or two ribs. The only thing that brings any relief is Ibuprofen 800 mg. I need to know how often and for how long can I take Ibuprofen? I tried Oxycodone 10 mg, but it does not work that well. Thank you. Doctor: Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17279, + "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": 5440, + "tgt": "I am suffering from genital herpes with burning and itching sensation. Please help", + "src": "Patient: Hello doctor, I am suffering from genital herpes. My HSV IgG range was 1.74. I am having burning and itching in my inner walls of the vagina for about a week. Please help. Doctor: Hello. Let me explain everything. First I will explain about HSV (herpes simplex virus), signs and symptoms. And do you really have HSV or not. First of all HSV IgG (glycoprotein G specific antibody) is not a diagnostic test. IgG shows immunity in the body, not the disease. HSV IgM is the real indicator of acute infection. If it is high it means you have herpes infection. If IgG is high it means you have good immunity against herpes. So there is a basic difference in both. Burning sensation and ulcer are the main sign of herpes but itching never come in herpes. So I am really not sure whether you have herpes or some other infection like fungal. In herpes partner also has herpes problem. Partner also can complain of ulcer, pain, redness, and irritation of penis or area around the penis. Just review your sexual history, which means did you have unprotected sex? How recently you had and did this problem started after sex only? Here I am mentioning the treatment of herpes but I am not sure that you have herpes or not. I suggest taking Acyclovir 800 mg thrice in a day. Apply Acyclovir cream on the vaginal wall and on the ulcer. Both the partners should follow this treatment strictly for 10 days and have protected intercourse mean while. Now let me you how to be sure whether you have herpes or not. Get this test done if this value is high, then you have herpes if not then you do not have. 1. HSV-1 IgM. 2. HSV-2 IgM. These tests are the real indicators of acute herpes infection if one of them or both comes positive then you have herpes and you and your partner should get the above-mentioned treatment." + }, + { + "id": 929, + "tgt": "I want to get braces but I have so many baby teeth. What to do?", + "src": "Patient: im a 14 year old child . My concern is that i only have 24 set of teeth , 1 is growing at the back but i only have 13 baby teeth and 11 are permanent teeth . To be add on , i have doubling rows since three years back, and have gotten it out last year but it is still hasnt come back to its place because of the lack of space . My teeth are a mess , i want to get braces but i have so many baby teeth . I dont know what to do please help me Doctor: Hello, Welcome to ICLINIQ This is your Dentist - First of all you will be needing an OPG, its a full mouth view xray , extraction of the decidious teeths as found in the Xray will be done. Now its turn to see where those impacted permanent tooths are present . Hopefully they will errupt a bit late , but they have no tendenxy to erupts they will be removed. If needed ortho treatment at 16 years of age (minimum) So for now Get to your Dentist get an Opg done and get all those baby tooths extracted. You can also upload the xray to me so I can assist you more. You are a good kid , donot worry ... am here to help you when even you need . Focus on your grades . Avoid too much sweet food or chochlates or sticky foods . Brush twice and donot forget to rinse. Your teeth will be fine dont worry . If possible upload the xray image for me to look at . Have a good day . Thanks alot." + }, + { + "id": 27905, + "tgt": "I cannot remember anything that I study. Is it a psychiatric problem?", + "src": "Patient: Hi doctor, I am a male, who is studying medicine. From childhood, I was an average student. I got good marks in the 10th standard, but in the 11th and 12th standard, I got very bad marks. I do not know what happened, although I study for a long time. Still, I am not getting good marks. I got admission in a medical college, and my parents had to spend a lot for my admission. So, I thought to work hard and score good marks, but again the same thing is happening. I study full day, but I cannot remember anything. Even if I remember what I study, I am not able to recall it during exams. I get tensed when my teacher or friends tell me to explain some topic. Although I study it well, I cannot explain what I read, and I make many mistakes when I explain. Sometimes, when my teacher asks me any question, I get tensed and go blank. I cannot even answer basic questions. I failed in all internal exams, and only a month is left for my final exams. I doubt that I have a physiatric problem or this course is not fit for me. But, I want to be a doctor, but my\u00a0condition is bad. I do not know what to do. I feel that I have a poor IQ. These things happen only in studies. My personal life is super cool. Due to this problem, I am slowly losing interest in my studies. Can you please help me? Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13097, + "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": 16540, + "tgt": "I have bumps on face that makes my skin texture rough. Kindly help", + "src": "Patient: Hello doctor, I am on no medications. I drink a ton of water, eat the right food. I do not eat pork. I still eat candy every now and then but usually milk chocolate. I wash my face every night. I use a toner and an ultra moisturizing face lotion. My face gets dry really fast if I do not. I still have these bumps all over my face. They cannot pop. My skin has the texture of a rugged road instead of baby soft. Even now my face is dry. I do not know what to do. Doctor: Hi. I have gone through your case. First, you need to understand that there are many different types of acne and you are having comedones type of acne. And unfortunately, this type is a little difficult to treat. And you are right, these add roughness to the skin. Please use Cetaphil cleanser. Apply Adapalene gel in very little amount only in very little amount (size of a pea for the whole face) apply only at night. Do not take too much or you will have irritation. Apply for two hours only at night. Surrounding skin lesion will be fine after absorption. Take care." + }, + { + "id": 28977, + "tgt": "My daughter fell and broke her two front teeth. How to manage the situation?", + "src": "Patient: Hi doctor,My 6 year old daughter fell and broke her two front teeth. Please check the photos. I am on my way to a physician, and the blood is almost stopped. But, I want to know your opinion of the situation. Is it dangerous? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3031, + "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": 2607, + "tgt": "I am experiencing throat pain that radiates to my ears. What should I do?", + "src": "Patient: It has been 3 weeks that I am experiencing front neck pain. First 2 weeks it is just the right side that is painful and the pain is just manageable. On the third week (this week). The pain worsen that I have to take pain reliever. The entire front of my neck is painful and I can feel swollen lymp nodes already. The pain radiates to my ears and it is painful to swallow. I also experience dry cough only at night. I took paracetamol (neozep). Then the pain stops but recurs after 6 hours. In the last two days, my body temp increase. The highest is 37.6 celcius. But it will be lowered when I take paracetamol. I take paracetamol (tylenol) every 4 hours and consumed 5 tablets already. The pain subsides but still recurs. I try to compare what I am feeling with covid 19 symptoms. But I only scored 3 based on specified symptoms of DOH. Doctor:" + }, + { + "id": 9688, + "tgt": "I had withdrawal bleeding six days after taking ipill. When can I expect my next period?", + "src": "Patient: Hello doctor,I had my last period on the 30th of last month. I have a 25-day cycle with 5 days of bleeding. I had sex on the 6th of this month. Although we used withdrawal method, I took an ipill within\u00a0six hours, just as a precaution. I started a light bleed on the 12th of this month until the 20th. In the last few days, it was brownish in color. The expected\u00a0period date was 23rd of this month. But, I still have not got it. Was it my period? Any chances 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": 27547, + "tgt": "My father has severe diarrhea after chemotherapy for colon cancer. Please help", + "src": "Patient: Hello doctor, My 43 years old father has colon cancer. He had undergone hemicolectomy laparoscopic surgery, and he is currently undergoing chemotherapy with Xelox (Oxaliplatin and Capecitabine). I am here to ask you about the side effects of chemo that my father is experiencing from the first\u00a0cycle. The first cycle was hard, as he had to deal with some gas problems. Now in this second cycle, he is having extreme diarrhea. My questions are as follow. My father was given Loperamide, Rabeloc 20, Folic acid tablets, and ORS to control diarrhea. But diarrhea is still there, and frequency is 4 to 5 times a day. The stool is complete watery. Also, he is not on Capecitabine tablets. It is a rest week of the second cycle. If the diet is a concern, then we are giving diarrhea strict food like banana, rice, potatoes, etc. Why is diarrhea not getting well? He is also having pain between the two rib cages, which is like the pain in gastritis. Is it possible that he could have gastritis? He is losing weight drastically. Before everything, his weight was 68 kg. But after surgery, it was only 58 kg. And after the first cycle of chemo, it was 55 kg. This decreasing trend is very worrisome, which also affects his mental strength. How to deal with it? Can he pause chemo for a while? He is losing body strength and weight. I think that his body is not well enough to receive the next cycle. The patient is also experiencing pain at the site of surgery. Is it normal? The surgery was done about two and a half months back. Doctor: Hi. For more information consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist" + }, + { + "id": 2482, + "tgt": "I feel soreness in mouth after an episode of fever and flu. Why?", + "src": "Patient: Hi doctor, I got a fever last week. After two days my fever went and I developed flu. Today, I do not have cough no fever no flu but my mouth is sore. Why? Doctor: Hello. According to your statement, you got a fever that subsided after two days and then developed flu and mouth sore. Mouth sore is a common complication of flu. Again mouth sore may develope by a viral infection like herpes simplex virus most commonly fungal infection, nutritional deficiency like iron, zinc, vitamin B12, etc. Some medications like corticosteroid, chemotherapy, sulfa drugs, phenytoin, etc. Autoimmune disorders like lichen planus also. For your flu-like running nose and body ache you can take anti-histamine, Acetamenofen or Paracetamol, topical antiviral cream, vitamins containing B12 with zinc and iron. If any complications occur or your symptoms do not subside within seven to ten days inform me as soon as possible, I will try to help you further." + }, + { + "id": 4013, + "tgt": "Is the NT scan showing signs of Down's syndrome in fetus?", + "src": "Patient: Hello doctor, Sub: Ne for NIPT (Down\u2019s) \u2013 Reg. My wife, aged 30 years, is 17 weeks pregnant with our second child. Prenatal (First Trimester) Screening report indicated a calculated risk for Down\u2019s syndrome as 1:544 (final). NT at 12 weeks 5 days was 1.8 mm. Considering this an intermediate risk, our OBGYN advised Early Anomaly Scan during 17th week. The findings in ultrasound scan for soft markers came negative and the risk for Down\u2019s was improved to 1:2837. Our OBGYN said that there is an option of NIPT available for further confirmation. But she indicated that it is only optional. There is no history of Down\u2019s, Edward\u2019s or Patau\u2019s in both our families. And our first child is normally active. First child (No Down\u2019s) was born at 33 weeks pre-term because of pre-eclampsia through LSCS. Should we get the NIPT done? Please help us because we are confused. Doctor: Hello. Considering the fact that firstly, your NT scan measured 1.8 mm which was below 2.5 mm cut off and hence was normal for gestational age. Secondly, the cut off for trisomy 21 being 1: 250 and age related risk as well were lower with 1:544 and 1: 815, so the screen was negative and there was no intermediate risk as to be considered. The age is 30 and does not qualify for advanced maternal age and also the first baby was not a down's syndrome, hence no increased risk in present pregnancy. Thirdly the anomaly scan as well do not show any evidence of structural cardiac anomalies or endocardial cushion defects, indicating that the chances of the child being down's is way too low. NIPT with these reports is not recommended at all." + }, + { + "id": 29443, + "tgt": "Can I get removable palate expander for crossbite?", + "src": "Patient: Hello doctor, I have a crossbite problem. I would like to cure it. What should I do? I have read about removable palate expander. Can it be the solution for my problem? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1083, + "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": 10134, + "tgt": "How to hide the gap that will occur due to the wearing of braces?", + "src": "Patient: Hello doctor,I am going to get braces soon, and I am going to have a large gap, is there anything a dentist could make to hide my gap? Doctor: Hello. Braces are placed to align your teeth more esthetically and camouflage the malpositioned teeth. From your question what I have understood is either you have a large gap already, and for that, you do not have to worry, braces will close it, or you are saying that during treatment you are going to have a gap because of the teeth removal. In that case, I want you to know that a few teeth are removed during orthodontic braces treatment to get space for the rest of the teeth to move and align themselves, and ultimately the gap will be closed. So, in both cases, the gap will be minimized or closed. You do not have to worry. Maintain proper oral hygiene, be careful with the brackets, do not break them, follow the advice of the orthodontist and do not miss any follow-ups as these minor steps will help the treatment to finish on time or maybe a little earlier too. Now, if you can elaborate on your question, I can answer more precisely. A picture of the gap will be helpful also." + }, + { + "id": 6891, + "tgt": "What could be the cause for fluttering feeling in the chest?", + "src": "Patient: Hello doctor, I have a fluttering feeling in the chest regularly and have had an ECG done showing PVCs. Is the attached ECG a cause for concern? Doctor: Hello, Welcome to icliniq.com. I have gone through the ECG test result, and all seems normal. Nothing significant to be disturbed about. PVCs (premature ventricular contraction) are very common among the healthy population. How long have you this feeling? Have you lost weight lately? Do you feel as if your heart is racing?" + }, + { + "id": 5512, + "tgt": "I am having severe itching in my vagina while passing urine. Why?", + "src": "Patient: Hello doctor, I am having severe itching in my vagina when I pass urine. I am taking medicines for the past seven days, but no results. And with the same, I am having piles problem as well. I have done my urine test. Please help. Doctor: Hello. I just read your query. You did not mention your urine report here. It will help me in prescribing accurate treatment and you did not mention your medicines that you are taking for your infection. Anyways first of all itching can be due to some sort of infection or might be due to negligence of hygiene. First of all, whenever you go to pass urine, wash your vagina with fresh water and clean it with a soft towel. Always keep your vaginal area clean and dry. Change your undergarments daily. Next thing drink eight to ten glasses of water every day. It will help you in excreting waste from your body and it is also beneficial for your piles problem too as it will help to prevent constipation. Take Renalka syrup two teaspoons three times a day with half glass of water for two to four weeks. Take syrup Neeri (AIMIL) two teaspoons three times a day with water for two to four weeks. You can take these medicines with your antibiotics too if you are taking any. Apply V-gel two times a day locally on your vagina. If you have any sexual relationship then take precautions because in infection if you do intercourse it will exaggerate your problem. So do it safely. For your piles you did not mention from how long do you have this problem and does these are bleeding piles or not and some other information that I needed to prescribe you the exact medicine. All I can say that constipation increases the problem of piles so try to avoid the problem of constipation. Take a fibrous diet. Eat salads, fruits and drink plenty of water. Avoid spicy, deep-fried food. You can have Triphala churan two teaspoons at bedtime with lukewarm water to avoid constipation. For detailed treatment about piles you have to send me the details about your problem. I hope this helps. Fungal infection or lack of proper hygiene and constipation. Urine examination and urine culture. After three weeks." + }, + { + "id": 20521, + "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": 28322, + "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": 6405, + "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": 25314, + "tgt": "My TTG IgA is high. Do I have celiac disease?", + "src": "Patient: Hello doctor, My tissue transglutaminase IgA are high but I have not done any biopsy but done only an endoscopy (normal). If my TTG IgA is high then I must be having celiac disease because this level only goes high with celiac disease, am I right? Then why do I need to go for biopsy as it is a painful procedure? Doctor: Hello. It is useful for comparison of severity of bowel involvement in raised antibody status. Raised IgA TTG level grade according to Marsh classification if your antibody level less on Marsh stage you may need a biopsy. If the patient is suffering from hypoglobulinemia present with less IgA level may present even though positive results but severity of bowel involvement is high. So, in that case, we need confirmation. I think I answered your question. 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": 30661, + "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": 21539, + "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": 30294, + "tgt": "My father is hyperactive after a temporal lobe damage. Will he recover?", + "src": "Patient: Hi doctor, Eight months ago, my father met with a bike accident. He had hemorrhage and the temporal lobe was damaged. He was in coma for a month and for the last eight months he has been taking Levenue 2000 mg per day, Lacosam 400 mg per day and Cloba 10 mg per day. Now, he is facing the problem of hyperactiveness. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22011, + "tgt": "Why is my tongue numb and scalloped for past one week?", + "src": "Patient: Hello doctor,I woke up with the tip of my tongue numb a week back and has been since. I do drink alcohol and smoke cigarettes but have stopped since I started feeling the numbness. I can also see the sides of my tongue look scalloped. Doctor: Hi. I have gone through your question and I can understand your concern. This can be because of the transient nerve compression. If you have any grossly decayed tooth on the same side or any missing third molar. Most of the times unerupted or decayed third molar are the cause. In case you do not have any of it the reason may be the viral infection like influenza, which you had experienced recently or herpes. As precautionary measures take Vitamin B complex daily a tablet for three to four weeks. If the numbness continues more than a month and there is no organic cause which I mentioned earlier you may need further diagnostic evidence to rule out the cause. Most of the times it heals without any medical intervention. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1531, + "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": 13957, + "tgt": "I keep thinking about when will I die. I am stressed to the core. Please help", + "src": "Patient: Hello doctor, From the last year, I have been suffering fromheadache, but I neglected it. For the last one month, it has been increasing day by day. Six months back, I consulted a doctor and did an MRI scan and he told that there is nothing to worry. I think the reason is heavy thinking. Because, one night I got a panic attack before which I was a normal person but, then onwards heavy thinking started. I got scared as it is coming again and now I have started comparing with others. I feel I think different and crazy thoughts come to my mind. I cannot stop the thoughts like \"when will I die?\" I want go to work, but due to this stress, I am not able to. Why is my health like this? Please suggest what should I do to come out of that stress. Doctor: Hello. I can understand your situation. For you, this trouble could be heartbreaking. You need to understand what is anxiety and what is a panic attack. Anxiety is the body's natural defence mechanism. Without anxiety and related reflex action, our body cannot function properly. Your panic attack is based on an underlying anxiety disorder. You need to know what is your anxiety disorder. If you provide more details, I will be able to diagnose your proper basic underlying anxiety. You are worried about the panic attack symptoms. You are worried whether the same symptoms will come again. This also is natural. Every one will do so. But, there is nothing to worry. The repeated thinking here actually is expecting the panic attack and that is called obsession. Obsession brings anxiety and apprehension.You need to read a lot of articles about anxiety and panic attacks. Understanding them will ease your doubts. As a treatment measure, I will suggest rigorous exercise, engaging yourself in creative activities, engaging in hobbies, always being with friends or family members, concentrate more on education or career, etc. Take care." + }, + { + "id": 18121, + "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": 11221, + "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": 13098, + "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": 854, + "tgt": "I feel like something is stuck in my throat, and I get a metallic taste. What to do?", + "src": "Patient: Good Afternoon, I have few symptoms for a month like sour or metallic tongue usually when I eat some food. I feel like I have something stack in my throat and I don't feel like eating anything. I feel short of breath however, some relief if I burp, i also have to clear phlegm from my throat all the time. Thank you, Doctor: Hello dear, I welcome you to icliniq. It seems there is problem within your food pipe. Acid reflux, regurgitation of food, choking and freqenut salivation and sometime vomiting are all symotoms related to food pipe (esophagus). Metallic taste of tongue, food stuck and diffculty in swallowing are just part of armentarium of symotoms of any disease affecting food pipe. There are many disorders which could cause such symptoms namely esophageal diverticulum, motility disorders, eosinohilic esophagitis, or some anatomical variations of food pipe. These all disorders can reasonably be excluded on basis of good history and some common investugation; rarely an endoscopy is required to confirm the diagnosis. Since with limited history I am unable to make any diagnosis at momemt. But I tried to provide you the possibilities. I recommend you some testing, just get it done and come back to discuss. I hope this will be helpful. Good day esophageal diverticulum, motility disorders, eosinohilic esophagitis, or some anatomical variations of food pipe complete blood count Serum Ig E Thyroid function tests ANA profile Cpk Timed barium swallow TBS motility disorders follow up after investigation or can discuss now before getting tested" + }, + { + "id": 4750, + "tgt": "What is your opinion regarding long-term antiepileptic medication?", + "src": "Patient: Hello doctor, I have already put my query to a neurologist. Still, I would like to get opinion from you as well. My son is 3.5 years old. He has been diagnosed with benign childhood epilepsy. His MRI and CT were normal.\u00a0There are epileptic form of discharge 8 Hz spikes from right occipital lobe. Usually, he will be conscious and feel involuntary movements in left leg. In severe case, he will lose balance and fall down. This will happen once in a week.\u00a0We consulted a neurologist and epileptologist here in my place. They\u00a0prescribed him Topamac 50 mg twice a day and Lobazam 10 mg for three months. I am concerned about the long-term usage of Lobazam. Will it cause any serious side effect? Now with medication he is fine and attends kindergarten school. Please do reply about my concern. Doctor: Hi. I went through your query. I can understand your concern about long-term effects of antiepileptic medications. So, in reply to your query, I would like to make suggestions for your son as follows: Treatment of many types of childhood epilepsy requires long-term antiepileptic medications, sometimes for years together. Hence, your doctor (a neurologist) always has to judge the minimum dose that is adequate to prevent seizures and also to take care that the dose does not cause side effects. Dose of most of the drugs in children is decided by weight and not by age. At present, I assume that your son's weight is around 14-15 kg. And the second is please make sure that your son is taking plenty of liquids during the day to avoid a remote risk of developing renal stone. Renal stone is not common, but a possible side effect with Topiramate. Please take all possible measures to avoid factors that may precipitate seizures. Such as avoidance of physical or mental strain, avoidance of excessive hunger, control of fever with proper medications and tepid sponging, etc. Please make sure that all the antiepileptic medications have side effects. So, it is usually the best option to choose proper medications that control seizures as well as do not cause side effects. At present, I would agree with your neurologist's opinion. However, a neurologist is usually the best expert to manage childhood epilepsy. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27803, + "tgt": "My daughter throws up every time she eats. Please help", + "src": "Patient: Hello\u00a0doctor, My 10 year\u00a0old daughter has been throwing up immediately after eating or drinking anything. This has been going on since the last five days. She has no fever, headache or diarrhea. All the LT, CBP and urine tests are normal. Presently she is on injection Rantac and tablet Pan. She has been advised USG. I am awaiting the results. I have attached her blood reports. Doctor: Hello. Revert with more information to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24750, + "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": 24871, + "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": 20102, + "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": 9421, + "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": 30728, + "tgt": "Would drinking alcohol interfere with my medicines?", + "src": "Patient: Hi doctor, I am suffering from the following symptoms. Left lower abdomen pain, constant mushy stools (twice had blood), constant watery stools, heart twitches a couple of times a day, abdomen hurts more when I sit or lay down. I am a chronic alcoholic. I have searched in the internet resources and was horrified when I matched with the symptoms of colon cancer. I went to the ER that night. I had barely quit drinking two days prior to that. The doctor said that he does not think it is colon cancer.\u00a0They took my blood, urine, EKG and x-ray. They gave an IV drip or saline and painkiller. The doctor also gave me Lorazepam 1 mg for anxiety and sleepless nights. This is due to my student loans and taxes being so far behind and so I drank way too much for many years. He also prescribed me Labetalol 100 mg for high cholesterol and Ondansetron 4 mg for nausea and vomiting, which they said I will be experiencing during withdrawals. The doctor advised me not to quit alcohol cold turkey. My drink of choice was plain vodka. He said to take the amount I normally drink, cut it in half and add the other half as water. Then gradually decrease the amount of alcohol until I have weaned myself off. Would that interfere with medicines, especially Lorazepam? Doctor: Hello. Your left lower quadrant pain can be due to any of the following: 1. Acute diverticulitis. 2. Ureteric or kidney stones. 3. Inflammatory bowel disease. 4. Irritable bowel syndrome or infectious colitis. 5. Colon cancer is very down on the list. But, if you have a family history of colon cancer, then you should consider colonoscopy depending upon their age at the time of diagnosis. I guess that all your laboratory tests were normal. Please upload them if you can. I will be interested in seeing CT scan with contrast. Get a colonoscopy for sure if diarrhea with bleeding recurs to rule out inflammatory bowel disease. Diverticulitis. If your uncomfortable feeling and mushy stools comes back, then you might need to consult your gastroenterologist for antibiotic treatment and colonoscopy. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10199, + "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": 19084, + "tgt": "I request for a second opinion of my CT scan. I suspect a possible brain hemorrhage", + "src": "Patient: Hello doctor, I am 29 years old. CT scan came up negative for problems associated with infection. I request for second opinion for possible hemorrhage/brain aneurysm or complications due to infection. I have attached the reports. Associated Problems: Tooth abscess.\u00a0 Symptoms: Light headedness, severe migraine, ice pick stabs on top of my head and a feeling of something running on top of my head. Note: \u00a0I went to emergency room and was denied treatment due to the diagnosis of 'routine headache' and then discharged. Doctor: Hi. I have read through your query in detail and have seen the reports. (attachment removed to protect patient identity) The following will confirm it as normal. Report Findings: Impression: It is possible that your headache is due to irritation of the trigeminal nerve that supplies the skin in the head and face region. Hope this answers your question. Revert back to a radiologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 1247, + "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": 13038, + "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": 10659, + "tgt": "What can be done for insomnia?", + "src": "Patient: Hello doctor, I am suffering from insomnia from the past three weeks. Please help. Doctor: Hello. Is this the first time you are experiencing insomnia or there has been a previous history? Sleep problems can happen if you are stressed, anxious or have a mood problem. Is there anything stressful going on in your life ? Do you do shift work? Try to address the root cause and learn relaxation strategies. I see that you are talking Zolfresh 10 mg (attachment removed to protect patient identity). It is fie to take it for a few days but not recommended to continue for a longer period. Try these self-help interventions: 1. Relax atleast an hour before bedtime. You can listen to music, or take a bath. 2. Go to bed at the same time. 3. Have a comfortable bed, keep the room dark. 4. Avoid drinking tea, coffee in the evenings. 5. Avoid watching TV or looking at bright screens in the evenings. It can affect your natural sleep inducing hormone secretion. 6. Avoid day time naps. 7. Do regular exercises. 8. Avoid eating heavy meals before sleeping. Take care." + }, + { + "id": 24042, + "tgt": "Why do I have pain in leg on moving my foot up and down?", + "src": "Patient: Hello doctor, I am a 19-year-old male. I was playing basketball with my friend and his knee went hard into the lower outside of my lower left calf. After that, it began to hurt and now it has been about six hours and I struggle to put weight on it. It sends pain down into my foot and ankle and moving my foot up and down hurts my calf and leg. My leg also does not seem to be bruised but it hurts to touch where his knee hit me. Doctor: Hi. Start applying cold pack in the place where it hurts. Avoid weight bearing on the injured leg. Weight bearing will aggravate the injury to become more. Avoid movements in the left ankle joint. You might have injured several tissues when you got hit by your friend's knee and there are chances of even a hairline crack in the bone during your injury. You may need an X-ray done. Contact an orthopedician or physiotherapist to start getting treated as splinting of the joint is very essential. Delaying it will make things worse rather than any better. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 21563, + "tgt": "I have tartar in my teeth but no gum bleeding. Kindly help", + "src": "Patient: Hello doctor, I have not been the best at my oral hygiene but lately, I feel I have been way better. I am aware of the tartar and that I need a good cleaning. I brush my teeth twice a day, use mouthwash twice a day, from there I use periogen twice a day and top it off with flossing once a day. When I read about gum disease, I see a lot of stories about gum recession and discolored gums. It terrifies me. When I brush my teeth and floss, they do not bleed. I see that is a good thing but I cannot help to just think that something may be wrong. I know I can do better with my teeth and I have been trying but the anxiety haunts me on a daily basis. Can anybody help me by looking at the pictures? Doctor: Hello. When you get a full scaling procedure done, all the calculus seen will go away. Then, the gums will look more healthy and good. You have some recession in lower front gums due to heavy calculus buildup (attachment removed to protect patient identity). Make it a habit to get your teeth cleaned by a dentist every six months. Other than that, you have healthy gums. You can maintain them by occasionally gargling with warm salt water gargle twice a day. It gives excellent results. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26970, + "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": 3782, + "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": 14575, + "tgt": "What is the reason for pain after eating pulse post appendix surgery?", + "src": "Patient: Hello doctor, My appendix was operated (open surgery) five months ago. I ate pulse one week ago and I feel little pain in this area. Can this wound be cured? Doctor: Hello. A pulse or legume, that has a specific kind of sugar called oligosaccharide which cannot be broken down by the human body on its own. For breaking of these oligosaccharides, bacteria in intestines come into action and break these sugars by fermentation and as a result, produce gases in the body owing to flatulence. The pain you are experiencing could be because of that. The other reason could be phantom pain which is a pain in the part of the body which no longer exists. These are sensations origination from the nerves via spinal cord and brain. However, if you have any other symptoms, like warmth over the surgical site or fever, you may need to be evaluated for surgical site infection." + }, + { + "id": 25708, + "tgt": "Why does anesthesia awareness occur?", + "src": "Patient: Hello doctor, Why does anesthesia awareness occur and what is done to monitor it? Doctor: Hello. Anaesthesia awareness is quite common in previous times due to unavailability of short-acting anesthetic drugs. It occurs mainly because of inadequate depth of surgical plane achieved. So in general terms patient is under the effects of anaesthesia but they are still aware about their surroundings. Nowadays monitors called as BIS (bispectral index) monitoring can be helpful to prevent awareness during anaesthesia. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 26708, + "tgt": "I have pain and blisters in the big toe whenever I wear shoes. Please guide me", + "src": "Patient: Hello doctor, I have had this ongoing pain in the toe of my right foot since some time now. If I wear shoes for a long duration, then invariably small blisters develop. Recently, pus had collected after a four-hour journey wearing shoes and as soon as I plucked the skin tip which I generally keep doing, it oozed out. I normally do not wear shoes, except for once in a month or two, but the toe is very sensitive to pain all the time. If I hit it against something even lightly, it pains quite a lot. It feels like the toenail is pushing against the skin at the end. Kindly suggest a remedy. Doctor: Hello. I read your query and went through your images (attachment removed to protect patient identity).\u00a0 I hope I was able to address your concern. Regards. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 9827, + "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": 18038, + "tgt": "My thyroids are enlarged and asymmetrical. Should I visit an endocrinologist?", + "src": "Patient: Hello doctor, I am a 32 year old woman, who in the last six months began to experience thyroid symptoms. I am in the process of looking for a new physician, but I live in a very remote area with a significant shortage of medical professionals, so I am in a lot of ways on my own here. My mother had her thyroid removed at 10, due to a goiter that was large enough to impede breathing and swallowing. My symptoms include extreme fatigue and insomnia. Now I sleep as much as 12 hours at night and still need an afternoon nap to be functional, and have\u00a0cold intolerance,\u00a0brain fog, very emotional, and change in my\u00a0menstrual cycle (get periods every 2 to 3 weeks, with cramps).\u00a0I also lost about 15 pounds within a month without a\u00a0change in the\u00a0diet. The weight loss has slowed since, but I am down around 22 lbs. At the initial visit, my doctor could determine that my thyroid was enlarged and asymmetric, and ordered an ultrasound and TSH. I never saw the values for the initial TSH\u00a0test but was told it was within normal limits.\u00a0The ultrasound showed both lobes to be significantly enlarged, with the left being half as big as the right. Both were full of nodules, but three stood out enough to warrant a\u00a0biopsy, including one of 4.7 cm that contained a calcification. My biopsy is later this week. These results were enough to convince my doctor to run more blood tests. I picked up the reports from the lab today and discovered that she did a TSH, T3, T4, and TPO. I will attach the reports.\u00a0TSH was 1.72 IU/mL, T3 was 118 ng/dL, T4 was 0.87 ng/dL, and TPO was 4 IU/mL. Should I request any other tests? Does being within range mean these values are all normal values? An internet search of ranges for each of these shows a disagreement on good and optimal values. Should I see an endocrinologist for further examination? My doctor\u00a0had to be convinced by me to run these tests, and she is convinced that I am just depressed. I am on waitlists for every doctor in the county. I even tried a naturopath, who would be amenable to running more bloodwork. The nearest endocrinologist is about a four-hour drive, more when the roads are bad.\u00a0So I am lost in the woods here, literally and figuratively. Any insight or direction is welcome. I am so tired of feeling awful. Doctor: Hi. Thanks a lot for such a detailed history, it makes my job easier. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 1464, + "tgt": "Is there a need to consult a doctor for jerks of a 7 months old baby?", + "src": "Patient: Hi doctor, My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue.\u00a0Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example,\u00a0if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist? Doctor: Hi.I have read your question with care and understand that you are concerned about few jerks your kid has.\u00a0First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17193, + "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": 14111, + "tgt": "Pregnancy test is negative, but I have breast secretions. Could I be pregnant?", + "src": "Patient: Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor. Doctor: Hello. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18546, + "tgt": "One of my breasts has become significantly larger after an abortion. Should I be concerned?", + "src": "Patient: Hello doctor,I had an abortion five weeks ago and I noticed that my breasts have been returning to their normal size. But, one of my breasts has become significantly larger than my other breast. Should I be concerned? Should I see a gynecologist? Doctor: Hello. If, like you said, one of your breasts is significantly larger than the other, then definitely you should consult a gynecologist for a clinical examination and if required, get a sonography, mammography and also some blood tests like prolactin level done. Generally, at around 12 weeks of pregnancy, the breasts can start secreting milk. So, if you had an abortion and secretions had started coming, we may need to suppress the secretion with medicines. Remember the following: Though the reasons may be varied, a clinical examination and prolactin level test along with sonography will be enough to arrive at a diagnosis as well as give us clarity on the treatment plan. Let me tell you that a slight difference in size is normal though. And if a lump is suspected, it may need to be surgically removed. Basically, the final management depends on the reports and clinical examination. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13845, + "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": 1062, + "tgt": "What is the chance of spread of hepatitis B through food contaminated with blood?", + "src": "Patient: Hello doctor, Is there any chance of hepatitis B spread through eating food contaminated with infected blood? Doctor: Hello. Well, the whole blood and serum (white fluid within blood) contains large amount of virus, and virus can live on blood spots outside the human body for the duration of one week. So actually it depends upon how much blood, and how much time it has been on the stain that can determine the chances of acquiring infection if contaminated with food. So I guess my answer can be partially answering your query. If you tell me the exact event I may be in a better position to tell you the figures. Otherwise, as a general rule, hepatitis B does not spread via food, having said that, it can still spread if blood contaminated food has been ingested. Since virus invades the human body when comes in close to mucosa (lining of our mouth) and then spread to blood within human. This happens in the same way as one infected person can transmit infection via kissing, hugging, sharing of a towel, spoon, plates, and so on. If you are puzzled with all that information, I want you to simply get a blood test for hepatitis B infection. It is a simple blood test that can give us a clue. I hope this helps. Post-exposure risk stratification. Hepatitis B surface antigen. Hepatitis B core total. Follow up after testing." + }, + { + "id": 5910, + "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": 28590, + "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": 17191, + "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": 10097, + "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": 8808, + "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": 30901, + "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": 3192, + "tgt": "Is it possible to get syphilis through kissing?", + "src": "Patient: Hello doctor, I have a question about syphilis. I am 29 years old, female. I am not sexually active but I got engaged recently and my fianc\u00e9 had previous relationships. He only kisses me sometimes which I am worried that by kissing some disease might be transferred to me from him. I got skin rash on my palms and feet 5 days ago. And when I was searching I came across syphilis. Can syphilis be transmitted through a kiss? I went to a doctor and he told me it is a skin virus HFMV and gave me antibiotic cream. I did not mention the kissing part to him. But he took blood test, crp was normal, also blood count test was normal. I did not mention this to my partner yet. I am really worried that it could be some other disease. Doctor: Hello. Syphilis cannot be transmitted through kissing. It is only transmitted through oral, anal and genital sex. However, syphilis can cause oral ulcers. If you kissed someone with an active oral ulcer, then the risk of getting syphilis through kissing may occur. Is there anything else I can help you with? Or anything that is not clear to you? I would gladly clarify them." + }, + { + "id": 15944, + "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": 11510, + "tgt": "What are the causes of diarrhea and nausea every morning, with terrible sinus headache?", + "src": "Patient: Hello doctor, I have had a sinus infection for over eight weeks now. After trying to get rid of it using Neti pot and Flonase, I started taking antibiotics.\u00a0I had my sinuses scraped about four years ago due to a recurrent sinus infection.\u00a0I went to a dentist because of a broken tooth, that was causing me pain. The dentist put me on two more antibiotics to treat the pain. So, currently I am under Alprazolam 0.5 mg (four times a day), Truvada (once daily), Quetiapine and Buspirone at bedtime. I have horrible diarrhea and nausea every morning\u00a0and\u00a0wake up with a terrible sinus headache still. I am at my wit's end, and cannot see my regular doctor for a month. I am getting the tooth extracted in two days, hope it will help. Any guidance would be so much appreciated. Doctor: Hello. So you have two issues, one is your sinusitis, and the other is diarrhea. Gastritis is probably antibiotic associated, so you need to discuss with your doctor and change the antibiotics that are causing your diarrhea. I would suggest the following for your gastric problems. For sinusitis along with antibiotics I would suggest you try the following. For a headache, you can have Paracetamol or Ibuprofen whenever needed. If it is not helping, then you need to discuss with your local doctor for a short course of oral steroids. Consult your specialist doctor, discuss with him or her and start the medication after their consent. Get back if you have any doubts. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19015, + "tgt": "Tadalafil is no longer effective. What can I try?", + "src": "Patient: Hello doctor,I am 34 years old, hypertensive since 18 months. A few months back, I suffered from erectile dysfunction with different groups like Amlodipine, Ramipril, Natrilix, and even Telmisartan. I am not obese and I practice three days a week. Recently, Tadalafil stopped giving an effect, while before I used to have three days of erection with one pill. Doctor: Hello. Get your blood pressure regularly checked and take your medicines to keep BP under control. Get your blood sugar levels checked in order to rule out diabetes which is one of the main causes of erectile dysfunction. Drugs like Tadalafil can be used on SOS basis for erection but if that is not helping, then you should take 5 mg tablet daily for at least four weeks and take 20 mg on SOS basis. This will help make your erection strong. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17109, + "tgt": "Why do I get attracted to both men and women?", + "src": "Patient: Hello doctor, I am a 29 year old male, who weighs 75 kg and I am 5.7 feet tall.\u00a0I got married two years back, and my wife is three years younger to\u00a0me. She comes from a very simple family, and she has had no relationship before we got married.\u00a0She is also the first woman in my life, and both of us have never had any\u00a0physical relationship before, but I used to sexually intimate with the boys in my class in school. I never had sexual intercourse with them, but we used to masturbate each other. From my childhood, I get attracted to both men and women. After marriage, I am trying to stop those feelings. After getting married, we\u00a0use condoms while having sex, but I never knew whether my penis is inside the vagina or not. We wanted to have a baby after a year, so I stopped using condoms. But, both of us have some discomfort during sex, and ejaculation occurs outside the vagina. Nowadays I ejaculate very fast after getting excited, and my wife does not know much about sex. My wife is very sensitive when I touch her vagina, and her muscles are also very tight, and she is having PCOD problem, and she is under treatment. So, we get intimate only twice or thrice a month. As a result, my masturbation has become even more regular. Also, we tried penetration a lot of times, but the moment I come close to her, I lose my\u00a0erection. We are very frustrated and are dying to have a baby. I am very uncomfortable with my foreskin rolled down. I know for penetration the head of the penis, needs to be inserted, but the head is very sensitive. I consulted a surgeon about my penis, and he told it is normal, and I had done a\u00a0semen analysis, which showed sperm motility is only 40%. So, the\u00a0doctor suggested using Fertisure tablets. Please help us. Doctor: Hello. I have gone through your query and understood your concerns. Hope this helps. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25698, + "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": 28587, + "tgt": "I feel like an unnatural entity is trying to say something to me. Is it due to OCD?", + "src": "Patient: Hi doctor, I have supernatural symptoms, and I see some signs, which seems like an unnatural entity is trying to say something to me. For example, I see something written on roads and also see lights like fireflies of blue, golden, and red color, which coincides with my life. I have an OCD problem, can this be due to OCD? Doctor: Hello. I can understand your concern. I need more details before commenting on the diagnosis. You have mentioned that some unnatural thing is trying to say something to you. Do you have the awareness that these thoughts are in your head only or do these thoughts appear in real? If these thoughts are persistent, repetitive, unwanted, and are resulting in distress, then most likely this is OCD (obsessive compulsive disorder). It could also cause seeing things written on road or colors too. Please provide me more details in the follow-up. Revert with more information to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3885, + "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": 28712, + "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": 12432, + "tgt": "Why is there sore throat, fever, runny nose with black stool?", + "src": "Patient: Hi doctor, I have a sore throat, fever, runny nose, and black stool. Is there anything serious? Doctor: Hello. You are suffering from probably acute viral rhinopharyngitis with black stools. Black stools may be due to GI bleeding or Iron tablets consumption or infection, etc. Until examination is done it is difficult to say what it is. Use water vapor inhalation and salt water gargling thrice a day for five days. Use tablet Paracetamol thrice a day for five days, tablet Pantaprazole before breakfast for one week. If the symptoms are not improved, please consult your physician he will examine and treat you accordingly. Take care." + }, + { + "id": 28534, + "tgt": "Please help me through ayurveda to clear acne", + "src": "Patient: Hi doctor,I am 21 years old. I have bad acne and acne scars. Also, my skin has become dark. Please help me through ayurveda. Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28131, + "tgt": "My creatinine levels are high. Are there any lifestyle changes I must make?", + "src": "Patient: Hello doctor, My creatinine level is 1.7 mg/dL. I am a diabetic, and I was on regular medication for the same. I also take Nefrosave tablets. My blood sugar levels dropped to 59 mg/dL all of a sudden. My physician advised me to stop taking Glycomet 850. After 10 days,\u00a0he checked my creatinine level, which was still at 1.7 mg/dL. Please guide me regarding the precautionary measures and the diet I should follow. Doctor: Hello. You will need to repeat the urea and creatinine tests after two weeks in order to rule out chronic kidney disease. It is important to attribute this to a particular cause to effectively prevent further increase in creatinine levels. The likely cause could be diabetes or hypertension. So, it is important to get your blood pressure checked frequently, about two to three times a day for up to four days, in order to rule out hypertension-induced damage. I suggest you get the following tests done: If the 24-hour urinary protein is increased, then treatment is very different. So, it is important that you get the tests done from a reputable diagnostic center. I suggest you try doing the following: Consult your physician before taking any medications, including ayurvedic. Avoid painkillers like Nimesulide, Diclofenac, Ibuprofen, etc. Ultracet (combination of Tramadol and Acetaminophen) is a safer alternative. Hope this helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2465, + "tgt": "My son is 6 months old and is exclusively breastfed. What food can I give him?", + "src": "Patient: Hello doctor, I have a 5-month-old baby boy. I feed him mother's milk only till now. By next month I need to join my job. So this month I want to start other foods. Which food can I give to him? Doctor: Hi. As your baby reached five months, great that you only gave exclusive breastfeed. Now once he approaches six months you can start giving weaning diet. All homemade stuff along with breastfeeding until 2-year of age. It is always better to introduce baby with rice potato first as they are gluten-free and gradually built-up to multi cereal diet like grilled thick dal, mashed banana, mashed dal, mashed roti, bread, biscuit mixed in sweetened undiluted milk, cheeku, mango, and papaya as snacks. Basically our aim is to give small energy dense feeds at frequent intervals. You can add ghee or oil to make it more energy dense. Until 6-12 months keep frequency three to four times at least per day if breastfed. Always make the baby sit on your lap and then feed and maintain all the hygiene and clean your hands before preparing food and while feeding. Avoid all packed food." + }, + { + "id": 21699, + "tgt": "What can be done for hydrocele other than surgery?", + "src": "Patient: Hello doctor,I have hydrocele for so many years. But as it is not showing any problem so I left it till now. But now I want to go for hydrocele surgery. Also, I want to know any other methods except surgery which can be done to finish hydrocele. Now I am also going to gym and doing some physical exercise there. Is there any problem with it? My age is 27 years, height is 5'10\" and weight is 83 kg. Doctor: Hello. A hydrocele is a benign condition and usually does not lead to any problem. But sometimes, an infection can occur as a complication and I will advise you to get it repaired. Surgery is the only management and it is not much-complicated operation. So do not worry. Mild exercise usually will not affect it. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22197, + "tgt": "My heart rate has increased to 220 beats per minute. What should I do?", + "src": "Patient: Hi doctor, The day before yesterday, my heart rate went up to 220 beats per minute which maintained for about three hours and my BP was quite low. I have not done any physical work on that day. The same problem occurred before eight years which maintained for half an hour. Suddenly, this happened to me the day before yesterday. Even, my entire shoulder was paining a lot. So what should I need to do? But everything is fine now. I am feeling a little bit weak. At present, I am taking medicines from homeopathy. Doctor: Hello. I can understand your concern and your symptoms could be due to anxiety or cardiac arrhythmia. I would recommend consulting your doctor and getting these tests done: For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2723, + "tgt": "Thought of getting rid of masturbation makes me to indulge excessively. Why?", + "src": "Patient: Hello doctor, I think I am so much addicted to masturbation. It has affected me both socially and emotionally. I have problems with my self-esteem and self-confidence. I find difficult to talk to girls every time, I think it is because of my low self-esteem. I do not have a girlfriend but I really want to have one. I really want to quit this habit. I have tried to quit several times but I end up crawling back and wank a lot more. Please help. Doctor: Hi. Doing masturbation three or four days a week is completely normal. Also, it is a myth that masturbation causes weakness and loss of energy. But if you are doing it daily, try to engage your mind with something else which you like. Such as watching tv shows, playing games, eating, listening to music, etc. You can try initially to not masturbate one day in a week. Then two days after two weeks, etc. If they are of milder intensity, please do a Google search for techniques like 'Thought stopping', and use any of the methods described, such as slapping thigh, yelling stop, snapping rubber band, etc. If thoughts are extremely disturbing, I would suggest you please visit a local psychiatrist who can give you some medication for a couple of months which will help prevent excessive thoughts." + }, + { + "id": 8705, + "tgt": "What to do for swollen and painful penis head?", + "src": "Patient: Hi doctor, I am a 26 year old unmarried male. My height is 6'2\" and weight is 73 kg. For the past three\u00a0months, I have pain in the left side of my glans penis. At the same time, I have a continuous pain on the left side of the anus. The pain around the anus is not severe, but it is enough to bother and depress me. Sometimes, the pain increases, but eases if I wake up from sleep. The pain in the glans penis area often increases during erection and more if I masturbate. I am also getting pain in the left side shaft of the penis and in the area between the anus and the scrotum. My glans penis becomes severely red and painful during or immediately after erection and the redness decreases after some time. I have consulted with a urologist. He recommended a semen culture test and the report suggested a heavy growth of K.pneumoniae for which I was given an antibiotic Levofloxacin 500 course of seven days. The pain around my anus did not get eased and so he extended the medicine for 14 more days. But, my pain is still present. For the penis pain, he examined and said that my foreskin is tight, which is causing the pain and recommended circumcision. I agree that the skin is tight and my glans gets swollen during erection and skin is almost impossible to pull down. But, the problem is that during erection the skin is still in its position and I do not attempt to pull it down even then the pain in the glans starts. I remember that around three months back, I masturbated and tried to pull my foreskin down. When I pulled half it got swollen and then I ejaculated. This problem started from that time. So, I am afraid if something went wrong at that time. All other reports are normal such as KUB x-ray, ultrasound and urine routine.\u00a0I do not know what to do and I am really depressed. Please suggest me something and help me out. Doctor: Hi. From your history and findings I am suspicious of chronic prostatitis, which is a longstanding infection of the prostate. It is associated with pain in the perineal region, which is neither mild nor severe. It needs to be confirmed with a per rectal examination in which prostate is painful. It needs to be treated with tablet Septran 960 mg (combination of Sulfamethoxazole and Trimethoprim) twice a day for four to six weeks. Please beware of Sulfa allergy and in which case it has to be avoided. As far as the glans is concerned, you need not worry. It is just balanoposthitis or glans infection with foreskin involvement. If prepuce can be retracted, then it can be left as it is. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1503, + "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": 30813, + "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": 8420, + "tgt": "Does lack of sleep cause fatigue and dizziness?", + "src": "Patient: Hi doctor, I am a college teacher. I feel fatigue and dizzy for past one year. I slept very late one night and the next day while taking class had a dizzy feeling for a second. I felt that my head was reeling and on that afternoon I took off. It did not happen again but I felt myself weak with less energy, as if I am about to fall if I do not sit somewhere. I was unable to stand or walk for a longtime because of fatigue and lack of energy.\u00a0Nerves were twitching sometimes. I saw several doctors but I was unable to convey my symptoms properly. Sometimes, I get a sudden panic too, with increased heartbeat, dizziness, etc., with a frightful feeling that something is going to happen. An MRI scan was done which is alright. Hypertension, thyroid, and sugar tests were done and that too fine. The doctor said it may be a\u00a0stress reaction and he gave a tablet for fatigue. After having that tablet for a while, fatigue was gone, but other symptoms of panic attack, occasional tiredness still continues. Please help. Doctor: Hi. I have read your complaints very carefully. But what are the causes for other symptoms? Well. There is an explanation. Revert back after a month to an internal medicine physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12533, + "tgt": "What does posterior disc bulge at L4 to L5 intending thecal sac in spine scan indicate?", + "src": "Patient: Hello doctor, Posterior disc bulge at L4 to L5 intending thecal sac, narrowing bilateral neural foraminae and mild abutting bilateral exiting nerve root. Doctor: Hi. I just went through your scans and read about your symptoms. I would like to tell you about the problem you are facing. As the age progresses the spine undergoes degeneration leading to narrowing of the canal leading to your problems. I would like to know what are your symptoms like back pain, lower limbs pain, shooting pain, numbness, unable to walk for long, difficult to sleep. The scans which you have sent does not show much of the disease. So, physiotherapy- back strengthening exercises like tablet Zerodol P twice daily, tablet Pan 40 mg twice daily, tablet Pregabalin 75 mg daily night. Have a good day. Degeneration. Lumbar canal stenosis. Lumbar radiculopathy. Physiotherapy." + }, + { + "id": 14264, + "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": 13214, + "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": 7356, + "tgt": "I am facing acne problems even after using many medicines. Kindly help", + "src": "Patient: Hello doctor,I have been suffering from acne issues all of a sudden for five months. I and have consulted several dermatologists. I was put on several topical creams, and very recently on Isotretinoin 10 mg which did not work then I have put on Isotretinoin 20 mg this too has shown no results. I still have nodules, cystic, and resistant acne coming up. This is now affecting my mental health, as I have always had good skin. My reports for PCOD are normal. I am a 29-year-old female going to turn 30 next month. I am very depressed as I am losing hope if it will ever get cured as Isotretinoin being the last hope has also failed. 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 harmonies. The previous history shows you have oily and acne-prone skin, and this time you have a severe breakout. In my opinion, Isotretinoin 20 mg is the required dose, and it will take six weeks to show its response. Moreover during this six weeks sometimes flared up response is seen. In some cases, acne does get exacerbated. Initial ten mg was a little bit under dosage, so do not count that period. Please continue to take it as such as you will have maximum improvement within three months. Try to avoid stress as acne always get aggravated. Regarding cream, application, apply Duac gel only on pimples at night. It is a combination of Benzoyl peroxide and clindamycin. Please stop other creams." + }, + { + "id": 6426, + "tgt": "Why is my one side shoulder blade positioned high with evident tendon popping?", + "src": "Patient: Hello doctor, I am 20 years old. I have been playing rugby league for 13 years now. I have not broken anything, but I dislocated my elbow three years ago, and I recently noticed my shoulder blade is pushed up. I can feel it is positioned high and clearly noticeable by viewing and comparing it to the other side. When I lift my arm, I can feel my tendon popping over the top of my shoulder blade, and there is a tingling sensation. Doctor: Hello. From what I understand, it seems that you may be having a winging scapula. The cause of winging is a weakness in your serratus anterior muscle due to nerve injury. This is quite possible in contact sports with recurrent stretch as you tilt your head the other way, and the shoulder is pushed down when tackling. It can also be due to compression of the nerve from trauma to the side of your chest. This is most often a partial injury to the nerve and is likely to recover with time. It may, however, be a slow recovery taking up to six months. Another possibility may be an old fracture of the scapula (shoulder blade). The fracture may have healed with some bumpiness and may cause the popping sound as it moves. Do you remember any recent trauma to your shoulder blade? It may be prudent to have it evaluated by an orthopedic surgeon. While your description matches that of a winging scapula, it may rarely be something else. I hope this helps. Old scapular fracture. Winging scapula. Consult an orthopedic surgeon, wait and watch if it is truly a winging scapula." + }, + { + "id": 21243, + "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": 6128, + "tgt": "My monthly periods is delayed for 10 days. Is there any medicines to get periods quickly?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I missed my monthly periods for 10 days. Is there any medicine to get periods quickly? Doctor: Hello. From the information you have provided, your periods are delayed by 10 days. You have not mentioned whether you are sexually active and pregnancy is a possibility. If that is the case, please do a urine pregnancy test and consult a gynecologist irrespective of the result. If there is no chance of pregnancy, you can wait for another five days safely. If still no periods, we need to find out the reason apart from taking tablets to bring on periods. The reason could be simple stress, thyroid, prolactin hormone disturbances or PCOS (polycystic ovary syndrome). You will need blood tests and scan along with full physical examination by a gynecologist to treat you properly. I hope this helps." + }, + { + "id": 16711, + "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": 2960, + "tgt": "I have been suffering from back pain. Please help", + "src": "Patient: Hi doctor, I am a software engineer. I am suffering from back pain at the end of ribcage. Since one month I have been facing this issue. Pain starts when I sit for longer time like one to two hours continuously. If I walk frequently then also the pain starts slowly and sometimes the pain is unbearable. After lunch, it is increasing more. If I walk for 20 to 30 minutes then I am able to sit for 20 minutes then again the pain starts. I am unable to concentrate my work due to this pain.\u00a0I thought it as a big issue and I went for a full body health checkup. After checkup, I have consulted cardiologist and general physician. Both told me that there is no problem. General physician suggested a few medicine for gas trouble. Please see the attached doctor's prescription for your reference.\u00a0After completing the course of medicine, I am still feeling pain. So, I have consulted an orthopedician. After taking x-ray, he suggested a few medicines. I have been taking these medicines from last 10 days, but still pain is not going away. I had a gynecomastia surgery one and a half years ago. Now, again I can see the gynecomastia. I have not consulted the doctor in this regard, but the primary problem is related to pain which is making my life hell. Please help me in this regards. Doctor: Hi. We are here to help you. I read your detailed history and studied your reports (attachment removed to protect patient identity). It seems to be muscular in origin. It can be costochondritis pain and that takes at least four to six weeks to settle down. My recommendations in such case would be to do hot fomentation at least three to four times a day. Also to walk after all meals to avoid indigestion. Taking a combination of Gabapentin and Nortriptyline helps greatly. In some cases such pain could be an initial symptom of herpes zoster where initially there is neuropathic pain followed by lesions after few days or weeks. If you develop any write back to me. I would otherwise suggest you to keep patience for a few weeks and the pain would go away. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11553, + "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": 11396, + "tgt": "I have a muscular thing right out of my anus. What it could be?", + "src": "Patient: Hello doctor, What can be the muscular thing right out of my anus? I had a normal delivery a month ago, and it is almost healed. When I pass stools, I feel pain in that place with bleeding. While passing stools, the muscular thing gets torn, and blood comes out. This started a day before yesterday and now happening every day. What is the treatment for it? Doctor: Hello. It is anal hemorrhoids (attachment removed to protect patient identity), and it is very painful. You may be suffering from constipation, or you must have been eating very spicy food. The treatment is sitz bath, and it means you have to sit in a tub full of warm water. It gets relieved, and you have to do this for two to three times a day. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. You may apply ointment Pilex over the area. Stop eating spicy food and take syrup Duphalac (Lactulose) two spoons daily at bedtime to avoid constipation. If it is not relieved, then you have to consult a general surgeon." + }, + { + "id": 6883, + "tgt": "My ECG shows normal sinus rhythm with arrhythmia. Kindly help", + "src": "Patient: Hello doctor, Normal sinus rhythm with sinus arrhythmia shows ECG reports. Please advise is it good, or do I need to take any action? Doctor: Hello. Your query has probably three parts. 1. No sinus arrhythmia in an otherwise asymptomatic individual with no major diseases is not of any concern. Less than 30 % of people below 31 years of age have sinus arrhythmia. Do not worry at all with sinus arrhythmia in your case. 2. No, sinus arrhythmia does not rule out or rule in heart disease in your case. 3. I have chest pain? What to do? Although I do not have details of the characteristics of chest pain like onset and offset, character, duration, and radiation, etc., hence, I will not be able to say definitively what kind of pain is that but I would encourage you to tell more details about the chest pain as I mentioned, also family history, and then appropriate course can be decided. As a blinded measure, I can advise a treadmill test." + }, + { + "id": 23240, + "tgt": "One side of my face became red and swollen after Restylane. What can I do?", + "src": "Patient: Hello doctor, The one side of my face became red and swollen after Restylane. The vial must have had bacteria in it. I was put on several rounds of antibiotics and the doctor had to finally squeeze the filler out. It is a year later and the entire side of my face is swollen where the infection was. The doctor, of course, claims it was not from that because it is a year later but my face never looked like that. He did Sculptra, putting more on the un-swollen side, but it still does not match. What can I do? Doctor: Hello. Restylane fillers rarely produce infection but may cause a viral infection. One possibility is you would have had a hypersensitivity reaction to some proteins in the filler. But it is very unlikely for it to stay for a year. If there are some localized swelling and induration may indicate a foreign body granuloma or reaction. There are very few options available you could try like dilute steroid injection. But as your doctor has done filling the opposite side seems logical. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 15046, + "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": 25353, + "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": 7396, + "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": 427, + "tgt": "Do I need to take medicine for high cholesterol?", + "src": "Patient: Hi doctor, I do not have any health issues. But, my cholesterol level is high at 220. Do I need to take any medicine? Please let me know. I have attached my laboratory reports for your reference. Doctor: Hi. 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": 27402, + "tgt": "I get electric current like sensations on the right side of my body. Why?", + "src": "Patient: Hello\u00a0doctor, I have been dealing with anxiety for almost a year now. I have also been having weird electric current type zapping, which is\u00a0very uncomfortable and painful. They go through the whole right side of my body, sometimes coming and going for minutes. I think it is from my anxiety, and not because of my medication. I take Librium, Gabapentin, and Seroquel. I did experience similar currents a long time ago, but they went away. This time, they will not go away, and I need help. Doctor: Hello. Hence keep these points in mind while you consult a nearby psychiatrist for your examination. Take care. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12621, + "tgt": "Why is there a feeling of something stuck in throat after sinus infection?", + "src": "Patient: Hello doctor, I have got a cold and sinus infection about two months ago. Got all healed up with antibiotics. However, my throat still feels off. It does not necessarily hurt. However, it feels like there is always something stuck in my throat kind of feel. I do not have any problem eating or drinking. I have photos I would like to upload. I think I should go see a doctor. Doctor: Hi. The pictures you have attached is showing your tonsils which are a part of your body (attachment removed to protect patient identity). Tonsils are immune organs of the body which get infected with upper respiratory tract infections and very common with sinus infections. The antibiotics you have received cures the sinus infection temporarily and also the tonsils infection. Now, I would recommend you to get a CT scan of the paranasal sinus to see infection of paranasal sinuses and to cure it completely. Then we will wait and watch whether your tonsils are causing you a problem in spite of treating your sinus infection. If so, well and good or else we will plan of removing them permanently which is the last option for us. Hence, I would like to get a CT PNS and provide me for further help." + }, + { + "id": 16922, + "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": 22277, + "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": 28487, + "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": 858, + "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": 10186, + "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": 1584, + "tgt": "What is the possibility of potential ectopic pregnancy while on contraceptive pills?", + "src": "Patient: Hello doctor, I was wondering if I could ask a few questions about a potential ectopic pregnancy? I recently started new birth control (after not taking any sort of birth control for three months) called Drospirenone and Ethinyl tablets, USP (3mg/0.02mg) and I am now on day 22 of taking the pills. I had unprotected sex within the first week of taking the pill. However, I have always had a really light period and rarely got a period when I was previously taking birth control. The last day, I had unproductive sex was exactly 19 days ago. However, about five days ago, I started to have more intense cramps on the same side and I am also bleeding. This is what it felt like last year before I took a test, just way less severe. I looked online and learned that I can take a pregnancy test at least 19 days after intercourse, so I just took one, and it came back negative. I am not sure if I am having an ectopic pregnancy or it is just too early to tell if this could be a side effect of the new birth control? Or if this is just my regular period (despite it starting in the middle of my pack)? Doctor: Hello. You have to know that contraceptive pills will prevent a future pregnancy if you have taken the pills for seven days. After that, you can have unprotected sexual intercourse. So before that you have to use another form of contraception. Also, if you have had sexual intercourse not in your ovulatory day (that means at first day of your cycle), the possibility of a pregnancy is low. The urinary test has a high acurracy, if you perform that after a week of menstrual delay. I read that you have experienced a rupture ectopic pregnancy last year. The typical symptoms of an ectopic pregnancy are missed period, abdominal pain, cramps, and spotting. I recommend you a b-HCG (human chorionic gonadotropin) blood test. You can repeat that every 48 hours to detect a future pregnancy. It will double its value in an intrauterine pregnancy, meanwhile, the rise of b-HCG value in an ectopic pregnancy has another pattern less than a normal pregnancy. Also, the COC and the medication that you take can affect your cycle. I would recommend b-HCG blood test at first. If you have the bleeding within your expected date without delay, it would be your cycle that has come." + }, + { + "id": 1930, + "tgt": "What is the chance of getting pregnant at the age of 40 after endometriosis surgery?", + "src": "Patient: Hi doctor, I was diagnosed with endometriosis and had surgery last year. Now we are married for four years and I am not getting pregnant. My age is 40 and my husband is 42. Please suggest. Doctor: Hello. I understand it has been a year since your endometriosis surgery. I am not clear if you have taken any treatment following that to enable conception. From the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), I will try to make my suggestions. As age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down. Endometriosis is a disease that not only affects the ovaries but later causes adhesions, which also hamper your chance for pregnancy. It is also notorious to recur. Putting all these together, the chances of a natural pregnancy comes down, though definitely not impossible. But the medical advice here and the ideal thing would be not to lose too much time and go in for ART procedures like IVF (in vitro fertilization). Because once the maternal ovarian reserve becomes too low, the chances of pregnancy in an IVF cycle also becomes less. So it would be ideal not to waste time and think of approaching any of the IVF centers. Also, I would like to add that this COVID time is not the right time to start an IVF treatment though. I hope this helps." + }, + { + "id": 16055, + "tgt": "I have acute pain and inflammation behind the neck and shoulder. Please help", + "src": "Patient: Hello doctor, I have acute pain and inflammation behind the neck and shoulder. Tingling pain in the left-hand finger and pain in the middle back and sometimes lower back. I am male, 27 years old. Doctor: Hi. I think you must be suffering from cervical spondylitis with radiculopathy. This must have arose due to long time sitting posture or carrying a backpack. I suggest hot fomentation by hot water bag for 10 minutes with three sessions per day. Then, apply some local pain relief gel mildly. Approach a physiotherapist if the pain does not subside under three days. No exercises or driving to be undertaken. If needed, MRI." + }, + { + "id": 25524, + "tgt": "Can Dexorange syrup help increase the hemoglobin level?", + "src": "Patient: Hello doctor, My father had 3.5 g of hemoglobin and platelets was 50000. The doctor then transfused two units of blood. After one and a half months, I checked the hemoglobin and still it was 3.5 and platelets was 36000. My father has no sugar problem but has issues with BP. He is drinking juice and milk only. Right now, he is taking papaya juice and milk. There is no bleeding anywhere. What is the reason? Why is the blood not increasing? Can we give Dexorange syrup to him? Kindly advise. Doctor: Hello. From what you have mentioned, your father has pancytopenia which is the failure of the bone marrow to produce new blood cells. There are many reasons for that including vitamin B12 deficiency, leukemia, bone marrow, fibrosis, enlarged spleen, adverse effect of a medication. Please provide me with a copy of his CBC (complete blood count). The following investigations are required in order to identify the cause: I strongly suggest Dexorange Syrup (Ferric Ammonium Citrate, Folic acid, and Cyanocobalamin) to help treat vitamin deficiency. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 14528, + "tgt": "What can be done if a child shows tantrums and speaks bad words?", + "src": "Patient: Hello doctor, My child is 2.7 years old but is very aggressive and does what should not be done. Never listens, shows tantrums a lot but learns things very quickly and speaks bad words where people start to scold him and he does it repeatedly. Doctor: Hi. Nothing to worry here. Have to be very careful during this phase. This happens with most children, mostly males during this age group. Few tips: Never scold him publicly, never reinforce any instructions repeatedly. If any unwanted action is being performed, like badwords, just ignore it. He will stop doing once you are inattentive to those. Attention seeking behaviors need to be just ignored. Those members at home should also do the same. Love him well. Make him attentive to learning, like books, drawing, innovative toys, etc. Keep away from mobile games, television. Keep outing to gardens, parks, etc., and let him play with fellow kids. Parents need to be very careful to avoid rough behavior, rude words, etc., at home as these will be copied ditto by him, though he never understands the meaning of these. Most of the tantrums are transient, will last only a couple of months if you follow these." + }, + { + "id": 7014, + "tgt": "My 3 week old baby is not taking breast milk. Shall I start formula milk?", + "src": "Patient: Hello doctor,I have a newborn of three weeks old. She is not able to get breastfeed because my nipple size is smaller and thus less milk supply. And also because she is not ready to suck correctly. She was born at 37 weeks of gestation. I am feeding her formula milk through the spoon. I want to know is it fine to do spoon feeding and can I start bottle as it will be more convenient. Also, suggest if I can go back to breastfeed. Doctor: Hello. Breastfeeding is the best for your baby until six months completion. Since you are facing problems with it, you can give expressed breast milk with a spoon. Never use a bottle. You need to take extra calories while lactating drink enough fluids so that you secrete more milk. About formula milk use only if you are not secreting enough milk. You try to direct breastfeed as much as possible then give EBM (evidence-based medicine) still not enough you can try formula, but do not use a feeding bottle. If your baby is sleeping for one to two hour after feeds, passing six to eight times urine in 24 hours, has adequate weight gain 30 g per day. Then your milk is sufficient." + }, + { + "id": 4564, + "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": 10925, + "tgt": "What is the reason for chest pain after using CPAP?", + "src": "Patient: Hi doctor, I have obstructive sleep apnea and using CPAP\u00a0for a year. I feel chest pain in the mornings. The same kind of pain is felt whenever I sleep without the mask. My BP, sugar and ECGs were tested before six months back and they were normal. What is the cause and remedy? Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 14876, + "tgt": "Why are there swelling, pain and sensitivity in filled teeth?", + "src": "Patient: Hello doctor, About a week ago, I got four fillings. Two on each side of my top teeth. Previously, I did not have any sensitivity at all. Now, a week later, when I should not be feeling any effects of the fillings, I am sensitive to cold, my teeth ache, the whole roof of my mouth is sensitive and one side near fillings is swollen and has red spots. I also currently have a sore throat with it. Biting hurts and everything is super sensitive. I also within the week before the fillings, had a new sexual partner. So I am questioning if it is related to that. Please help. Doctor: Hi. The tooth with new fillings hurt because of a slight excess in height. This can be easily corrected when you visit back your dentist. Secondly, from the pictures you have attached I find it to be oral ulcers (attachment removed to protect patient identity). It can occur because of any vitamin deficiencies or stress. If oral sex was a reason, the ulcers should appear deep into the soft palate. Hence, I suspect it to be due to other reasons. I advise you to apply Dentogel 15 gm thrice a day with good oral hygiene to get rid of the pain and to heal them. The gel will make the area numb for a while so do not panic. Also, it will give a slightly bitter taste. I also advise eating whole nutritious food rich in vitamins instead opting for fast food. Drink plenty of water. Avoid hot and spicy food. Following all these things will promote the healing of ulcers." + }, + { + "id": 21006, + "tgt": "Is it fine to develop pus in cut wound with stitches on sixth day?", + "src": "Patient: Hello doctor,I got a big deep cut on the leg from a metal and got four stitches on that part. I got dressing of the wound on alternate days. On the sixth day, there formed a little pus around the wound. The stitches are expected to be removed on the eighth day. Although the doctor gave antibiotics now and said not to worry. I am worried. What to do? Please help. Doctor: Hello. I understand your concern. First, calm down. You are being treated adequately. 1. Deep cut from a metal is being correctly treated with antibiotics and wound dressing. 2. Pus is due to infection of stitches and not the wound itself. 3. Keeping good local hygiene, applying Betadine and wound dressing will help ease the pus. 4. I think they have given tetanus shot within 48 hours of getting the deep cut. So, you are protected and correctly treated. Just take a bit more care for wound cleaning and antiseptic measures. Yes, it would be great if you can send a picture of the wound when you change the wound dressings." + }, + { + "id": 9452, + "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": 22584, + "tgt": "Could cocaine use two days before blood draw cause the LFTs to be elevated?", + "src": "Patient: Hello doctor, Could cocaine use two days before blood draw cause the LFTs (ALT=90 and AST=86) to be elevated? If so, how long of an abstinence period (not using cocaine) would be needed to get LFTs back down to normal levels? Doctor: Hi. I have read through your query in detail. Please find my observations below. Revert back to a general medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20624, + "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": 16101, + "tgt": "Will exercise or diet help me in normal delivery?", + "src": "Patient: Hello doctor, I am in the 25th week of pregnancy. I want a normal delivery. Will exercise or diet help me in normal delivery? Doctor: Hi. The following aid in normal delivery: This can be predicted only when you cross 37 weeks. You can have a normal diet and regular antenatal exercises till then. Yoga also helps, but you are too early in pregnancy to predict the same. For further follow up consult a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 296, + "tgt": "I have a stammering problem when I have to speak in front of a crowd. Why?", + "src": "Patient: I m 32 yr old male no co morbids doctor by profession working Nephrologist. Since childhood i have stammering problem. Not always but when speaking infront of mob. Or when giving presentation. Or when history taking from patient. Or reading book chapter infront of whole class. When ever i think of speaking then i start feeling tachycardia, palpitations, chest pain, headache, sweating. I usually have constipation. I used to take bromazepam before giving presentation or speaking infront of mob. Doctor:" + }, + { + "id": 1282, + "tgt": "How to treat acute diarrhea and vomiting?", + "src": "Patient: Hello doctor, My son is 21 months old. He is suffering from very acute diarrhea. That is four to five times in an hour and frequent vomiting, four times a day from the last four days. We consulted a local doctor. He advised the attached prescription and stool test. As per him it is due to severe bacterial infection in the stomach, which is resulting in diarrhea. My son is not suffering with dehydration and his fluid intake is sufficient. He himself is asking for food, but due to frequent motions, he is weak and the rashes makes him irritated. Please give your suggestions. We are worried as it seems that medicines are not healing it in a faster way. He got only 5% relief in three days. Doctor said that it will take three to four days to become normal and stool test is also fine. Doctor: Hello. I understand your concern for your child.\u00a0I have seen the attached documents (attachment removed to protect patient identity). Acute diarrhea. 1. Give him ORS with each loose stool or whatever amount child takes. Prepare by adding a whole sachet in 1 liter water. 2. Syrup Zinc 5 mL for 14 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 5870, + "tgt": "I have throat pain on the left side which hurts on swallowing and is getting worse. Why?", + "src": "Patient: Hello doctor, I am a 14-year-old male. I have throat pain on the left side for three days, escalating each day and getting worse. My symptoms are tired, throat feels swollen, sleeping more than usual, and hurts on swallowing. Doctor: Hello. Causes of throat pain can be infections in tonsils (i.e) tonsillitis or infection in the posterior wall of pharynx (i.e) pharyngitis. In both cases throat pain is severe and it hurts during swallowing. Advice: 1) Start on antibiotics to combat the infection. Combination of capsule containing Amoxycillin and Clavulanic acid 625 mg to be taken twice daily for five days. 2) Analgesic to relieve pain. Aceclofenac tablet twice daily for five days. 3) An antacid half an hour before food twice daily. 4) Antipyretic paracetamol twice daily if having a fever. 5) Salt water gargles and chewing lozenges three to four times a day also helps. 6) Drink plenty of hot fluids like tea, soup, etc. I hope this helps." + }, + { + "id": 22646, + "tgt": "My stomach is consistently growling. What can I do to stop them?", + "src": "Patient: Hi doctor, My stomach is consistently growling while, I am eating and after I am eating, sitting, standing, talking. The good thing is that there is no other symptom. What can I do to stop them? Doctor: Hi. This is normal bowel sound which you tend to notice frequently. The movement of bowel cause sounds in the stomach. There is nothing to worry about this condition. If it is persistent and you experience symptoms like pain or swelling, you need to get evaluated with an Ultrasound scan of the abdomen. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4491, + "tgt": "Will pain in cracked tooth goes away after root canal treatment?", + "src": "Patient: Hi doctor, I have a cracked tooth which I believe needs a root canal and a crown that I think went bad. I am in excruciating pain. I have been to emergency rooms they have given me Clindamycin and Vicodin for pain but it barely touches the pain. I have been on antibiotics for two days. I thought I would see some improvement but the swelling and pain are getting worse. I have had a staphylococcus infection before is it possible that this could be one? The infection was on the right side of my face. I have been waiting for two months to get into my dentist. Doctor: Hi. I read your complaint and relevant details. You have mentioned you got a swelling. I just want to make sure if the swelling is confined close to the tooth or is it spreading? The severe pain along with fever and swelling confirms that the infection has gone bad. Clindamycin is the only antibiotic that you are taking. I recommend you to take Metronidazole 400 mg orally twice daily along with Clindamycin for five days. This will fight against another group of bacteria and reduce the swelling to an extent. Also, continue with your pain killers as well. Tramadol works well for moderate to severe pain. But in your case, it does not sound so. For immediate relief, crush one tablet of Ketorol DT (ketorolac tromethamine) in half a glass of water and drink it straight away. You will feel better in 15 minutes. Otherwise, complete relief will be got only after the necessary dental treatment. Antibiotics are just add ons. Do not totally rely upon them." + }, + { + "id": 18590, + "tgt": "My hearing is muffled after a noise-induced hearing loss incident. Will it ever get better?", + "src": "Patient: Hello\u00a0doctor, I experienced a noise-induced hearing loss incident three days ago by firing a couple of shots from a rifle without using ear plugs. I went to see a doctor. He confirmed that my eardrums were not ruptured and prescribed 20 mg of Prednisone. As of now, my hearing is still muffled, loud noises hurt my ears, and my ears are still ringing. Whenever I plug and unplug my ears, my hearing returns to normal for 5 to 10 seconds. Will this muffled hearing improve or did I ruin my ears permanently? Doctor: Hello. Do revert if you need any further support. I will be happy to help you. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22513, + "tgt": "Can you Please suggest some medicine for my stomach pain?", + "src": "Patient: Hi doctor, I am having stomach pain for the last two days with loose motions. I took medicine to control loose motions. But, I am using bathroom for every four to five hours. I feel some heavy pain in stomach and feels like going bathroom. The motion is not loose and not regular too. It is dark and greasy. When I press the stomach I feel the pain. Please advice some medicine. I am fasting all day due to the festive season and having heavy food late night. I had a heavy diet with chicken before two days and since then it has started. I can feel the pain over the stomach and sometimes in the back too. Please help. Doctor: Hi. It is really a troublesome situation you are facing nowadays. I feel sorry for this health issue. But do not worry. With care and lifestyle changes you will get better soon. Ask your local physician for a prescription of Metronidazole (or) Rifaximin to be taken orally and Imodium (Loperamide) for the loose motion. Mainstay of management is taking a lot of fluids, including Pedialyte to replenish fluid loss. Avoid fried and fast foods, spices and stuffy meals. Remain as light as you can. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13176, + "tgt": "Is it fine to not visualize right internal jugular vein in MRV?", + "src": "Patient: Hello doctor, I had an MRV done. In the report, it said my right internal jugular vein was not visualized at the skull base. What could this possibly mean? It was never followed upon. I get terrible headaches. Doctor: Hi. The internal jugular vein carries blood from the brain and neck area to the heart. There are many reasons for the non-visualization of the internal jugular vein on MRV and the causes can be technical due to slow flow of blood or can be due to a mild compression of the vein due to a secondary cause. Rarely it can be from a thrombus in the lumen of the vein. If the MRV of the brain and rest of the internal jugular vein is normal, then the non-visualization is likely due to technical reasons and is artefactual. If you are having headaches, then it is better to talk to your doctors and get a neck venous Doppler done to rule out any external compression of the vein or any luminal thrombosis of chronic nature." + }, + { + "id": 1309, + "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": 12903, + "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": 4527, + "tgt": "What is the possibility of breast cancer in BRCA1 positive?", + "src": "Patient: Hi doctor, I am 30 years old. I have BRCA1 genetic mutation that is still undergoing more research as they are not sure of the exact risk yet. My mom had breast cancer at the age of 56 and her cousin had the same at the age of 46. They were both positive to hormonal therapy. Another cousin had ovarian cancer at the age of 49. They are all cancer-free now. I have a fibrocystic breast and one fibroadenoma confirmed with a biopsy three years ago. I had an ultrasound scan three months ago and found more cysts and nothing major to worry about. I had another ultrasound a week ago as I felt a new little lump. That lump turned out to be another cyst, but the doctor found another lump she had not seen three months before. It has regular borders and it is moveable but it has some vascularities. She says it cannot be a cyst and could be a fibroadenoma but it has to be confirmed by a biopsy which I will have next week. I know that sometimes triple-negative breast cancer lumps can be mistaken for fibroadenoma but how likely is that chance? I am feeling quite anxious and worried. With a fibrocystic breast is it possible to have a fibroadenoma appear this fast? Or is it possible that an ultrasound would have missed it last time? Doctor: Hi, Welcome to icliniq.com. Since you have BRCA1 (breast cancer type 1) positive with a strong family history of breast cancer, there is always a risk of developing cancer. You need to have a regular followup. Ultrasound sometime may miss early changes. Since you have a high tendency of developing cancer you can undergo a complete mastectomy. It is a tough decision for you, but it is worth." + }, + { + "id": 26153, + "tgt": "My son has a fever since two months. How to get it under control?", + "src": "Patient: Hello doctor,My son, 3 years and 9 months old, is suffering from a fever of 103, cough, and cold since two months. I have given him medications, but the fever is not getting controlled. Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2514, + "tgt": "What shall I do for the abnormal values of my blood report?", + "src": "Patient: Hi doctor,I have attached my blood test reports here. Kindly help me with it, because some of the values are not normal. Thank you. Doctor: Hi. I have reviewed all the attached reports (attachment removed to protect patient identity). For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20346, + "tgt": "Why are there pimples on penis head on consumption of spices?", + "src": "Patient: Hello doctor, My husband is getting pimples on his genital (penis head) whenever he consumes red chilies or spicy food, and it is taking a long time to cure. A similar incident occurred six months back, and he applied Candid lotion. All the blood tests came negative. Currently, he is on Raflu medication. Can I know the reason for the pimples? Doctor: Hi. Kindly send the image. Without images, it is difficult to give a clinical diagnosis and the treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19218, + "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": 18675, + "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": 6480, + "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": 1527, + "tgt": "I get shortness of breath and chest tightness after taking Hydroxychloroquine for fever. Why?", + "src": "Patient: Hello doctor, I have manageable shortness of breath, chest tightness but no cold. My x-rays are clean, and ECG is also normal. My BP looks high 140/90. Mainly, I am unable to breathe normally. I am feeling little shortness always. Currently, I am taking the last doctor's medication. I understand it is a bit tough for the doctors to find the solution immediately. But looking for the best. Right now believing in my daily food rather than medicine. Initially, it started with cold on last month. I took homeopathy tablets. I developed a fever of 99 F and took homeopathy medication. It sustained for three days (fever of 99F). So the doctor asked me to report to the near by government medical college hospital. I reported and took even the COVID test and the result is negative. The hospital provided me Hydroxychloroquine and Rantac tablets. After taking that my fever is gone. I was fine but suddenly got shortness of breath early this month. I am not sure if this was due to any allergy to food. On that day I took two eggs and four jack fruit. The same day I reported to the hospital. They gave two more days of Hydroxychloroquine. From that time I am having shortness of breath but there was no cold or cough. Doctor says all the reports are normal but still unable to find the solution. Doctor: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from shortness of breath, chest tightness without any cough, and cold. Shortness of breath, chest tightness can result from some conditions which are mentioned below. Anxiety is a common condition associated with chest tightness, shortness of breath, rapid heart rate, sweating, nausea, etc. GERD (gastroesophageal reflux disease) occurs when stomach acid travels back up from the stomach to the esophagus and associated with chest tightness, shortness of breath, difficulty swallowing, etc. Muscle strain typically occurs from intense activities like reaching or lifting when twisting related with the same clinical features. Costochondritis is the inflammation of the cartilage in the rib and associated with the same type of features. Even PUD (peptic ulcer disease), valvular heart diseases, pulmonary HTN (hypertension), esophageal rupture, pericarditis, hiatus hernia, etc can cause chest tightness with shortness of breath. Treatment depends on the causes. So you should undergo ETT (exercise tolerance testing), echo, endoscopy of upper GIT (gastrointestinal tract), barium swallow test, CBC (complete blood count), etc for detection of underlying causes which are responsible for your sufferings. You should also undergo FEV1 (forced expiratory volume), ABG (arterial blood gas) analysis, spirometry for pulmonary function test, reversibility test, etc for the diagnosis of bronchial asthma as your pulmonologist has diagnosed earlier according to your prescription. (attachment removed to protect patient identity)." + }, + { + "id": 23167, + "tgt": "Can someone have Cushing's and Addison's disease?", + "src": "Patient: Hello doctor,I am having vertigo, water retention, muscle weakness, muscle pain all over, tired, weight gain (obesity), severe mood swings, depression and swelling face, feet, stomach, etc. Can someone have Cushing and Addison disease? Can they have both? My cortisol levels fluctuate. Can be very low or high? Currently taking Paroxetine, Zyprexa, Metroprolol, Amlodipine, when needed, Lamotrigine. At times when I do not take my medications, I cannot function nor concentrate and I still get retention. Doctor: Hello. I just read your query and from what you have mentioned it is seldom that Cushing\u2019s disease and Addison\u2019s disease occur together. The results that you have provided (attachment removed to protect patient identity) could be attributed to the stress levels endured by your body over time and the various medications that you are prescribed. You can benefit with salt-restricted diet. Regular brisk walk 45 to 60 minutes daily and a healthy diet rich in fruits and vegetables and avoiding junk food. You could do a 24-hour urinary cortisol measurement as well again after a few weeks. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 26822, + "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": 22358, + "tgt": "Will hysterectomy cure adenomyosis?", + "src": "Patient: Hello doctor, My wife usually has a period for six to seven days. On the first two days, she has pain. At times, she has heavy clots also. The doctor had asked us to do the scanning and some test. The scanning report is attached. 'There is anteverted and bulky uterus which measures 11.7 by 10.3 by 5.7 cms in size. The fundal endometrial thickness is 6.6 mm.' The doctor says the reports are fine. He has asked her to take Regestrone tablet (5 mg) twice a day for 15 days. My questions are: Are the scan reports fine? Is her uterus fine? Should she take the Regestrone tablet? Doctor: Hello. The scan (attachment removed to protect patient identity) shows a bulky uterus which can be due to adenomyosis or possible fibroids in situ, but the absence of fibroids is evident. She is likely to experience painful menses and heavy bleeding due to adenomyosis as well. Again the report shows an endometrial polyp which can often be the cause of irregular spotting as well and pain in the abdomen. This can be removed by hysteroscopy. Adenomyosis is a form of endometriosis and can grow with each menses. So, ideally, the perfect treatment is to control menses by GnRH analogs or Progesterone-only pills (medical management) and if still not controlled medically and the patient is symptomatic and in unmanageable pain, then hysterectomy is suggested. The plan for giving cyclical Progesterone for 15 days will not apparently help much in her case, as it has been given seeing the thin endometrial wall thickness if she has irregular shedding during mid-cycle which she does not. Also, she is nearing her perimenopausal period. So, the thinning endometrium can be attributed to that. But in either case, cyclical progesterone will not help as the cause is adenomyosis and endometrial polyp for heavy bleeding in her case and not hormonal. Please discuss it again with your doctor and make an informed decision. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24542, + "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": 23295, + "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": 28122, + "tgt": "I am feeling gassy, and I have not had my periods in a few months. Please help", + "src": "Patient: Hello doctor, From the past few weeks, I have been feeling really gassy, and I have not had my period in a few months. I think\u00a0I come from a family with lots of anxiety and stress, which delays your period. I also have a phobia of throwing up and I get anxiety from that. I looked up some stuff on the internet, and I think it is my period that is causing this. I have not been hungry all day, and I have been burping and farting a lot. My stomach has been making noises for no reason, and I cannot poop. I have pain in the upper and lower part of my stomach and a few headaches here and there. I have milk, egg, and peanut allergy. Doctor: Hello. It is gastritis and acidity problem. Stress and anxiety can cause both these problems and also periods problem. I suggest you try doing the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. 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": 1390, + "tgt": "My 10-month-old baby is having irritation in her ears with persistent itching. Please help", + "src": "Patient: Hello doctor, My 10-month-old baby is facing irritation in her ear with persistent itching. Doctor: Hello. I would like to know is there fever or any other complaints?" + }, + { + "id": 15446, + "tgt": "How to prevent pregnancy if we have sex the day after period gets over?", + "src": "Patient: Hi doctor, My partner's menstrual cycle ends today, and she is willing to do intercourse tomorrow. Does this day come under a fertile period? What can I do to have protected sex? Do condoms provide safe protection? Doctor: Hi. If she has regular periods of 28 days and if she has bled for four days, then it does not come under fertile period. In 28 days cycle, a fertile period comes from day 8 to day 13. She can start taking oral contraceptive pills cyclically, and it gives proper contraception without any stress. On a safer side along with a condom, I-pill (Levonorgestrel) can be used in an appropriate dose within 48 to 72 hours of unprotected penetrative sex without vomiting." + }, + { + "id": 25132, + "tgt": "Is treatment possible for pituitary macroadenoma with Cabergoline alone?", + "src": "Patient: Hello doctor,I am suffering from abnormal growth of pituitary gland. The doctors were saying that my prolactin and growth hormone level is quite high. They suggested me for surgery. I was afraid for surgery. Then they said to take medicine Cabergolin 0.5 mg two tablets twice a week for three months. But I continued this medicine till now (eight months). I want to take a doctor's advice. I tested prolactin and IGF-1 recently.Prolactin 725 ng/ml (ref. for Female 1.9 to 25.0) and IGF-1 was 702 ng/ml (ref. range 87 to 238), HGH was 5.90 ng/ml (ref. range up to 5.0). Again, I checked recently prolactin 6.01 ng/ml, IGF-1 was 343 ng/ml, and HGH 1.44 ng/ml (ref. range 0 to 18.0). I have attached the medical reports. Please suggest me. Should I continue the same medicine? If yes, then please specify dose and time limit. If you have other suggestions, then please recommend me. Thanks for giving your valuable time. Doctor: Hello. I read your detailed query and gone through your reports (attachment removed to protect patient identity) and from what you have mentioned, it appears that you have hyperprolactinemia and raised IGF -1 which are being treated with Cabergoline. I would advise you to continue your Cabergoline treatment till your IGF-1 levels also normalize. Pituitary macroadenoma can be treated with either Cabergoline or surgery. Repeat your tests again every four weeks only Prolactin and IGF-1. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18067, + "tgt": "Can physiotherapy heal diastasis recti?", + "src": "Patient: Hello doctor, I am a 31 year old woman in good health. 11 weeks ago, I gave birth through C-section, after a tough pregnancy with complete bed rest for seven months. Walk to the bathroom were the only exercise I got. After birth, I noticed that I was left with diastasis recti of about 2.5 cm width. It is mainly around the belly button around 5 to 6 cm in length. I also get that ridge-like protrusion when I contract the abdominals.\u00a0I started a kinesiotherapy program to strengthen the core and back muscles, specifically for diastasis. I will go three times a week for a 45 minutes session each time. Can physiotherapy heal (close) my diastasis? And if so, then how long does it usually take to see the results? I am willing to keep with the program for as long as it takes, but I also want to know if I should be optimistic about regaining my pre-pregnancy shape. Thank you. Doctor: Hi. First of all, congratulations for delivering a beautiful baby.\u00a0I have gone through your medical history in detail. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 17, + "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": 29715, + "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": 8206, + "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": 7276, + "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": 21251, + "tgt": "What are the procedures done to reduce the overhanging and sagging skin post weight loss?", + "src": "Patient: Hi doctor, I want to know about body lift surgery procedure. I have lost weight of 50 kilograms. I want to get a full body life. How many surgeries do I need? How are they divided? How much time does it take for recovery? Doctor: Hi. Post weight loss people go for many procedures to reduce the overhanging and sagging skin all around. Basically, the procedures include, circumferential lower body lift, breast lift, upper roll lift, arms and thigh lift, butt lift and facelift. These can be divided into two or three sessions depending upon your requirement and the body status. We recommend three weeks to six weeks of a time period in between two sittings. You will feel relieved when all the skin is gone. You will get a rejuvenated body for yourself. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 22687, + "tgt": "Does rubella quantitative IgG antibodies test impact the pregnancy cycle?", + "src": "Patient: Hello doctor,We are planning for parenthood. My wife is 30 years old and was recently asked by the gynecologist to undergo rubella quantitative IgG antibodies test. The test report shows value as out of range having value as 14.60 IU/mL, and RDW as 15.2 %. What does these report signifies especially the rubella quantitative IgG antibodies, and does it impacts the pregnancy cycle? Doctor: Hi. How are you doing? To understand better let me give you few facts about the test. Rubella is a virus, which can affect anybody and the usual clinical presentation may be just a cold or maybe slightly higher respiratory infections with or without rashes. Everyone is exposed to this throughout life, as it might have been the last common cold you got last time. Also the MMR (measles, mumps, and rubella) vaccine everyone gets in childhood. Rubella infects only once in life. Next, if anyone gets any infection due to any bacteria or virus, etc, they immediately develop IgM (immunoglobulin M), which is body's immediate response. Then after few days, this replaced by IgG, which only means that sometime in past you had the infection. So her result of IgG high means she had rubella sometime in the past 30 years, not recently. If you are still worried about the levels, just postpone pregnancy for next 2 to 3 months. Even if her IgM was high, she is advised to avoid pregnancy for next 2 to 3 months. By then her IgM values come down. So my advice would be to just forget about these unnecessary test, just go ahead and have a great pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 380, + "tgt": "I have a lump in the outer anal area that keeps increasing and decreasing in size. Please help", + "src": "Patient: I am suffering from pain in outer anal area. There is also a lump with white top which keeps on increasing and decreasing . Also a sticky liquid comes and my anus is most of the times wet.Its about 3 months i am suffering from this. I am a 22 year male Doctor: Hello. I welcome you to icliniq. Well the symptom you mention suggest a possibility of peri anal sinus or abscess. This is pus collection around the anus. In your age, with history of problem for 3 months; one of few possible underlying causes are infection with secondary abscess (pus) formation. The other possibility is that you have underlying inflammation of the bowel in the form of inflammatory bowel disease (IBD). If it is simple infection the treatment is straightforward however, in the later, a longer and specialized treatment is provided to control the underlying disease. For now I suggest you to get following stools tests and some blood tests and take a picture of the area and upload it as I can see it and can be in better position to tell what to do now. And I also would like to hear in more detail about your problem like any change in bowel habits, weight loss, bleeding in stools, abdominal pain, history of smoking, or alcohol intake, any family history of similar illness, and personal history of exposure to TB patients. And lastly any travel history? This all above information would help us to diagnose your problem and then implement the treatment accordingly. Good day and take care your self Ischiorectal abscess perianal abscess crohns disease with perianal disease Complete blood count serum CRP stool for fecal calprotectin stool for ova and parasites stool detail report for now apply xylocain 2% gel at the perianal and anal area follow up to provide more information and discuss investigations" + }, + { + "id": 23209, + "tgt": "I have cloudy urine and burning sensation while urinating. Is it UTI or STD?", + "src": "Patient: Hello doctor, I think I might have UTI, since I suffer from burning sensation while urinating, and then cloudy urine at the beginning. I did urine examination routine, in which leukocyte esterase was positive, nitrites negative, and high pus cells in urine 8 to 10. Also did urine culture after that and nothing such came in it. I had unprotected vaginal sex four months ago. Is there any chance, that this is not UTI but some STD? Please help me. Doctor: Hi. I have gone through your query and your reports (attachment removed to protect patient identity). I would like to know a few more details to answer your query better: It is unlikely for an STD to present for four months after sexual contact, also your symptoms are more suggestive of a UTI. It is possible to have a negative urine culture because of sampling errors (the urine specimen given may not have had an adequate bacterial load) or organisms that do not grow in culture or infection of the prostate gland. You would require a detailed clinical examination by a urologist to ascertain the probable cause of UTI and also rule out STD. I would also advise a repeat urine analysis and urine culture and serological tests if you are concerned about the possibility of STD's from the unprotected sexual contact. In the meantime, you can drink plenty of fluids to help flush out any bladder infections. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18755, + "tgt": "My hand and knuckles are paining without any trauma. Why?", + "src": "Patient: Hi doctor, I had an outer ear infection about three to four weeks ago. I scratched the inside of my ear with a Q-tip, and within two days it had swollen completely and shut. I went to Urgent Care and was prescribed with a 10-day course of Augmentin and ear drops. Three days after starting these medicines my other ear too\u00a0was\u00a0swollen\u00a0and blocked. The next, my doctor prescribed steroids and Levofloxacin. Then it got better after eight days. On a ninth day, when I wake up, my right hand is swollen significantly without any trauma, and the pain in my knuckles was pretty severe. It woke me up at about 4 AM. About three days after that, I start getting on and off fever between 99.1 and 102.1 degrees Fahrenheit. The pain moves up into forearm, shoulder, neck, and migraines occurring on the right side. I am feeling fatigue, extremely dizzy and vision going black and almost falling over just from standing up. I have been extremely thirsty but not urinating a lot. Also, I have hep C since three years. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3904, + "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": 13653, + "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": 30731, + "tgt": "Could I have your opinion on my erectile dysfunction and low libido?", + "src": "Patient: Hi doctor, I am currently suffering from a complete lack of libido and erectile dysfunction.\u00a0This began after a bad experience by taking the drug Ecstasy once. I was unwell for about a week afterwards with dizzy feel and nausea.\u00a0I am a 27 year old male. I am trying to\u00a0improve my symptoms. I have been playing squash for 40 minutes twice in a week over the past six months. I am also undertaking weight and resistance training approximately twice a week.\u00a0I have virtually cut out all alcohol from my diet and usually getting 7.5 to 8.5 hours of sleep in the night.\u00a0I have also recently started suffering mild tension headaches. ED is a long standing problem for me. The symptoms have got worse to the point where I have virtually no sexual functioning.\u00a0I believe I may have a problem with my endocrine system, so I could have a second opinion with you.\u00a0I have attached my test results for your reference. Please help. Doctor: Hello. I have a few questions as a follow up. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 9300, + "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": 27762, + "tgt": "I get stomach pain whenever I eat. What could be the reason?", + "src": "Patient: Hello doctor, Last week, I took an Albendazole tablet for worms. This week, I had a burger. From yesterday, my stomach is upset. If I eat any food, my stomach begins to hurt. I am unable to eat anything, and this is causing me to feel bloated. My urine appears dark yellow and my lips are very dry. Please guide me. Doctor: Hello. Hope this helps. Get back if you have any more queries. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5428, + "tgt": "I have a white patch under the tongue. What is your opinion on it?", + "src": "Patient: Hi doctor, Can you please provide me with your opinion on a white patch under my tongue. It does not rub off and just noticed it a few days ago. I am currently on Losartan 100 mg. Doctor: Hello, Welcome to icliniq.com. I understand your concern and saw your clinical pictures. (attachment removed to protect patient identity). These pictures look a little blurred and a clearer picture will make the diagnosis easier. It could be a drug-induced lichenoid reaction or lichen planus probably caused by Losartan. Generally, anti-hypertensive drugs such as this are known to cause lichenoid reactions and lichen planus when medicines are taken for longer periods. Please look for skin lesions also. And visit the dentist, if required the doctors may advise you to go for a biopsy procedure. On clinical examination and with biopsy, it is easier to diagnose and the cause can be determined. If it is drug-induced, the offending drug will be stopped and will be replaced by another one. If the cause is idiopathic (of unknown origin), then it can be managed with a topical corticosteroid cream. I hope this helps." + }, + { + "id": 17120, + "tgt": "Is surgery needed for acute cholecystitis with cholelithiasis?", + "src": "Patient: Hello doctor, I am having right abdominal pain since last five days. I am not getting relief after taking medicines also.\u00a0My ultrasound says that the gallbladder is distended with a 6.8 mm calculus at the gallbladder neck. The gallbladder wall is 5.6 mm\u00a0and appears thickened. The gallbladder is filled with sludge. According to the report, I have acute cholecystitis with cholelithiasis. Do I need a surgery? Or can it be cured by medicines? Doctor: Hi. It is very tempting to treat gallbladder stones with dissolving drugs, but there are some very important limitations, which are as follows. Hope that helps.\u00a0Follow-up if you need more information or leave a feedback if you like. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 14817, + "tgt": "The sphere during eye exam has come to -2 from -3. 25. Kindly help", + "src": "Patient: Hello doctor, During my last eye exam, a couple days ago, my eye doctor stated I needed lab work drawn due to a drastic change in my eyes. The sphere was -3.25 bilateral two years back and now is -2.0 bilateral. What is the concern? Doctor: Hi. I understand that your eye power has changed quite a bit in two years. The change that we normally expect to see in you would be more on the minus side that is to say that your power must naturally progress to more on the minus side than becoming less. We see these changes occurring due to a process called nuclear sclerosis, which is part of the normal aging process of the lens inside your eye. Since the power has become lesser, this change cannot be simply ignored as due to aging and your doctor must be suspecting a cause for which he has asked for laboratory work. There are very few conditions which can cause such a change, to name a few progressive hypermetropia, retinal and choroid diseases." + }, + { + "id": 21870, + "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": 1304, + "tgt": "My cervical pain radiates to right shoulder, neck, arm and fingers. Please help", + "src": "Patient: Hello doctor, I have cervical pain radiating to the right shoulder, neck, and arm until fingers. I have this problem for the past eight months and I am currently on medications for diabetics. Doctor: Hello. The symptoms that you have described point towards cervical disc issues with a small disc and bone (osteophyte) that is irritating to the right-sided nerve at C5-6 level as mentioned in the MRI reports. Usually, such cases heal within 6-8 weeks. On and off pain is common. But persistent pain in the arm and hand is nagging and decreases productivity especially if it is a dominant hand. We need to take MRI films to interpret the severity of the disc problem, know the handedness, know the exact location of the pain and if associated with tingling or numbness, and any weakness in the hand or arm. Until then do warm water fomentation. Apply pain killer gel locally over the neck and arm. Avoid lifting weights or jerks to the neck, and avoid bad roads." + }, + { + "id": 27519, + "tgt": "I have ED and a pain in my penis. Please help", + "src": "Patient: Hello doctor, I am a 24 year old male, suffering from ED since the last one and a half years. I have gone through penile doppler thrice. The test which I took one year ago showed the PSV after 20 minutes as 38 cm/s, the EDV as 0 and the inner caversonal diameter was .15 mm and after the injection it was .70 mm. After the doctor had seen the reports, he advised me to take Tadalafil\u00a010 mg and to masturbate after taking it. While masturbating, on the third day,\u00a0I\u00a0got pain in my penis, and it was in the middle of the shaft of the penis at the thumb point. I visited the doctor again, and he prescribed Polycovit, Mynubin-P, Zanocin 300, Trental\u00a0400 mg and I also masturbated four times a week. But still, the pain continued. So, I went\u00a0through the test again eight months back. The value of PSV was 25 cm/s and EDV was 0, but the inner caversonal diameter changed to .44 mm pre-injection and after. The third time I underwent the test again. The values were normal at 25 cm/s, and EDV at 0, and the inner diameter was .6 mm and after injection at 1.2 mm. I still have the pain in the penis at the same point. It has now been a year since the pain has started. There is no bending during\u00a0erection, but there is a deformation in the penis like an hourglass shape and hard flaccid. Now, I masturbate only once a\u00a0week. Is the 25 cm/s good or does it mean an arterial insufficiency? Does Peyronie's disease obstruct the blood flow in the penile doppler? I have no diabetes, no cholesterol, and\u00a0I am not a smoker. I want to know why the flow is less. Doctor: Hello. I can understand your concern. If we consider the results of the Doppler: So please discuss with your doctor about these drugs. Do not get stressed. Your PSV in the\u00a0last test is normal and is not suggestive of a vascular insufficiency. The values do not remain same always and may come normally in the next test. Take care. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 13026, + "tgt": "Why is there inability to walk or move after a stroke?", + "src": "Patient: Hello doctor, My mother is not able to walk properly and she cannot move properly. She met with ischemic stroke eight years back and she is diabetic and has BP, and seizures (epilepsy) treated with Insulin, and BP suppressants, Atorvastatin, Levetiracetam, Phenytoin (Eptoin) since seven years, but she is not able to walk properly and she is not able to move her hands and legs properly. Her thinking and behavior have also become very mild. Please suggest me the correct medication for her. Doctor: Hi. Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover function following permanent damage is physiotherapy which enables the existing normal part of the brain tore-learn the function that was earlier carried out by the now non-functional brain. In the case of your mother, physiotherapy is the only way to improve the lost function. In addition, we can make things in the house and around in a way that is easy for your mother to navigate such as having a motorized wheelchair, etc." + }, + { + "id": 9499, + "tgt": "There are cracks on my foreskin and I cannot pull it back. What should I do?", + "src": "Patient: Hello doctor, I have a problem with the foreskin. I cannot pull back the skin as it has developed cracks in the tip area. Please advice. Doctor: Hello. A cracked, irritated or fissured foreskin could be due to a number of reasons. If you have diabetes mellitus, both diagnosed or undiagnosed, it could cause a fungal infection of the foreskin leafing to cracking. If you are not a known case of diabetes, you must get your blood glucose level checked and keep it under strict control. You may use topical antifungal like Miconazole to treat it. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Also, you need to keep the area clean and dry. Use lukewarm water to clean and avoid friction until it heals. This should work. It could also be inflammation of the foreskin and the glans which can lead to fissuring and it is common in uncircumcised men. Given your age, diabetes mellitus is a likely cause. Please check your blood glucose level. If all else fails, you may need prescription steroid cream or lastly a circumcision. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6798, + "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": 10249, + "tgt": "What can the painful inflamed ridges on penis be?", + "src": "Patient: Hello doctor, I got my penis\u00a0injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis.\u00a0It hurts all day while walking or lifting too.\u00a0I have a hard flaccid penis since this has happened.\u00a0I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day.\u00a0I do not have peyronie's or a curved erection. Going to a urologist just blows me off.\u00a0Has anyone ever heard of this situation?\u00a0Is there any\u00a0anti-inflammatory\u00a0injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help. Doctor: Hello. I had a look at the photo (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3454, + "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": 30438, + "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": 7509, + "tgt": "Premature ejaculation along with erection after the first orgasm. Is there any remedy?", + "src": "Patient: Hi doctor, I have PE problem and also facing issues with erection after the first orgasm. The second erection just does not happen till the next day or later. I need a remedy for this issue as I recently got married. Is Viagra, Penegra or Cialis the solution? Or should I take a natural remedy like VigRx Plus, Vimax etc? Where can I get the medicine? I also met a doctor and he suggested a 6 month treatment program. Shall I opt that? Doctor: Hi. For further information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 3678, + "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": 1114, + "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": 27915, + "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": 13054, + "tgt": "Can I have IUD along with birth control pill?", + "src": "Patient: Hi doctor, Right now, I am not on any birth control method except for the rhythm method. I have tried multiple birth control methods in the past, such as the implant, the pill, the ring, the patch and had annoying side effects with each of them. I had spotting that would not go away with the ring and implant probably due to low estrogen in the devices, compared to the pill. My doctor ended up removing the implant for this reason. I have used each method for a long enough period for my body to get used to them, so it is not like I have not been giving them a chance. With the implant and ring, it got to be too expensive buying so many pads or tampons and it really puts a damper on my sex life. In addition, when I was on the pill I was not very good about taking it on time. I am looking to try a long-term contraceptive method, that I would not have ongoing spotting with. I have heard that one can get the implant or an IUD and take estrogen or birth control pill that would stop bleeding in between periods. I would really like to receive some advice on this. Thank you. Doctor: Hello. You have described elaborately about your experience about all the contraceptives. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19264, + "tgt": "Can my depression and OCD be cured with just medications?", + "src": "Patient: Hello doctor, I am a 34 year\u00a0old male working as an engineer. Regarding my mental state, I feel lethargic and sleepy all day. I do not have the interest to do anything in life. Even if I start something, I am easily bored. I am always in a hurry. I have rapid mood swings. I cannot concentrate while reading as my mind is restless. I constantly have negative thoughts. Most of the time, I am\u00a0sad. I am\u00a0short tempered and my pulse rate increases rapidly. I often want to smash things or throw things at people. I ponder about doing crazy things and anticipate the outcomes of doing silly things. I have repetitive thoughts like a maniac. I do not feel like doing anything. I have lost interest even in my favorite activities.\u00a0I consulted a psychiatrist and he diagnosed it as major depressive disorder with OCD traits and hypertension. But, I do not want to take medicines unless I know for sure it is really going to cure me. Please help. Doctor: Hello. The kind of thoughts that you describe and the fact that they keep coming repetitively is diagnostic of obsessive compulsive disorder (OCD). Your complaints of weakness, mood swings, anger, and a loss of interest in doing things is typical of depression. So, your doctor's diagnosis is correct. I would suggest tablet Fluvoxamine as the first choice of medicine. For OCD and depression, the best and easiest treatment which will give early results is medication. Other therapies like psychotherapy, etc. are not effective when you suffer from a severe type of OCD and depression. So, I believe that they will prolong your suffering. The earlier you start the treatment, the better it will get. If you have any doubts or negative ideas about medicines, clear them with your doctor or with me. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 108, + "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": 30598, + "tgt": "Kindly advise the requirement of supplements during pregnancy", + "src": "Patient: Hi doctor, I am 38 year old female and I have been confirmed pregnant today, both in urine and blood.\u00a0This is the first time I have got pregnant naturally.\u00a0I have had no gynecological complication so far. We have been attempting since last one year and have had follicular study regularly every month. The last follicle was detected on day 14 with 9 x 19 mm and the endometrium thickness was 11 mm. I have not been on any medication until now. I have been taking supplementation like multivitamin, iron, folic acid, salmon Omega 3, Royal Jelly, Vitex, CoQ10 and all protein protein powder.\u00a0Today is 16 DPO, urine test positive, blood beta hCG 293, hemoglobin\u00a011.8, thyroid T3 130, T4 6.5 and TSH 3.11.\u00a0I have been suggested by a local gynecologist, however, I prefer to take a second opinion regarding recommended medicine and nutrition.\u00a0Would you be able to suggest me the requirement of any medication? I would like to know the actual requirement of folic acid and B12 for my age during pregnancy. I have attached my the detailed list of the products I am using for your reference. Shall I continue to take multivitamin daily? Also, my husband told me that excessive usage of folic acid may create some complications. Also, my doctor has prescribed to take Susten 200 mcg and Ecosprin 23 mg.\u00a0Would you suggest any further recommendation? What are the dos and don'ts for the above. I am looking forward to hear from you. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27927, + "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": 29735, + "tgt": "After 30 years of mitral stenosis surgery, another valve has got defect. What to do?", + "src": "Patient: Hi doctor, The patient suffered from mitral stenosis. Before 30 years, he had surgical operation. Presently, he is suffering from chest pain. After thorough checkup, it reveals that the other valve of the patient got defective. In this regard, we seek your valuable advice. Is it possible to get surgery now? His current medication includes tablet Deplatt 75 mg, Acitrom 1 mg, Aztor 10 mg, tablet Dytor 5 mg, Met XL 25 mg, Metagard CR 60 mg, Ran 500 mg and Rabiplus-D. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7843, + "tgt": "What is the risk of HIV through fingering a vagina with a cut on my finger?", + "src": "Patient: Hello doctor,I have a query related to HIV. I had visited a massage parlor 57 days ago, where at the end I had fingered the masseuse for about one to one and a half minute and she performed a hand job (no other activities). I have a habit of biting my nail and the skin around the nail. The day before this exposure, I had a tiny cut on my index finger (it bled for four to six hours but very less blood 0.02 ml and there was no bleeding during the encounter). So, I got anxious and took an RNA PCR real time test on the 21st day and the result was 'target not detected (20 ml copies)'. Again, on the 28th day, I took HIV 1 and 2 and p24 CMIA method test, where the result was non-reactive and the index value was 0.08 and again took on the 45th day, the same HIV 1 and 2 and p24 CMIA test. The result was nonreactive (index value 0.12). My question is, still do I need to take further tests or move on with my life? Doctor: Hello. The chance of transmission of HIV by the given description is almost nil. The wound in your finger (if at all present) most likely would have partially dried up. The skin is an effective barrier for HIV. The chances of transmission would be almost nil. The HIV RNA PCR test is negative after 12 days is conclusive enough. The antibodies tests are repeatedly negative. The chance of HIV test results coming positive later is nil. But, it may be better to go for HIV antibodies tests after three months to have final conclusive results. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 20454, + "tgt": "Is Kojivit gel good for the dark spot caused by sunburn?", + "src": "Patient: Hello doctor,Due to the use of Skinlite, I have sunburn on my face and now it looks like the dark spot. But I am using Kojivit gel for a dark spot. Is Kojivit gel good for the dark spot? Doctor: Hello. You must use a broad spectrum sunscreen throughout the day. Reapply every 2 to 3 hours. Sun protection is important to treat facial pigmentation. At night you may use a Kojic acid cream rather than Skinlite (Hydroquinone, Mometasone, etc). This cream should never be used without the supervision of a dermatologist as it can cause irritation, redness and other side effects like acne. Use it only if your dermatologist says after looking at the skin condition. I would request you to upload a picture so that I can assess the condition visually and therefore guide you better." + }, + { + "id": 6701, + "tgt": "After intercourse, I have tiny bumps in my vaginal area. Why?", + "src": "Patient: Hello doctor,I have a question about some pain and bumps that I have noticed on my vagina. I had rough sex with my fiance a few days ago, and he is fairly large, and it always hurts, but this time more than the others. I noticed a few bumps on my vaginal area, they are not itchy but pink and have a hole or pink with white interior. The bumps are very tiny, and I have been experiencing more discharge than normal but no odor. What could it be? Doctor: Hello. It may be bacterial vaginosis. Or other vaginal infection or some cyst may be. For that, I have to examine you first. So for that consult nearby. Doctor will see the type and nature of the discharge and bump around the vagina and will send discharge for examination if required and will also give you some antibiotics according to discharge. Other than that, drink more water, keep the vaginal area dry as possible. Do urinate and clean the vaginal area with plain water after sex every time. Ask your partner, whether he has any problem. If any, then he also needs to be treated to avoid recurrence. Use a condom or avoid sex until you get cured." + }, + { + "id": 9607, + "tgt": "I am suffering from stomach pain due to gallbladder stones. What is the management?", + "src": "Patient: Hello doctor,I had stomach pain after which my report was confirmed as gallbladder stones. What is the further procedure? Please let me know all the details, including the cost. Doctor: Hello, Welcome back to icliniq.com. The mere presence of gall stones does not mean that your abdominal pain was from the gall bladder. Many people have gall bladder stones which do not give them any symptoms. When the gall bladder gets inflamed or when a gall bladder stones block the bile duct, you get symptoms like pain, fever, and jaundice. So, we need to ascertain whether the gall bladder stone was responsible for your abdominal pain or not. If it appears that the stone was the cause of your pain, then surgery can be considered. Laparoscopic surgery (keyhole operation) can be done, and many hospitals have doctors trained in this. The cost of the procedure varies from hospital to hospital. You should, however, first make sure that the abdominal pain was directly related to the gall bladder stone. Please upload the copy of the scan report, and also indicate in which part of the abdomen you had pain. The gall bladder is located under the right rib cage margin. I hope this helps." + }, + { + "id": 7999, + "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": 23607, + "tgt": "Why am I getting prolonged foul order vaginal bleeding?", + "src": "Patient: Hi doctor, I am\u00a023 years old and mostly likely anemic. Before two months, my period lasted longer than normal and the bleeding stopped after 8 to 10 days. My last period started on the correct date and I am still bleeding. I thought it was finished after my normal five day streak, but I leaked blood all over my clothes unexpectedly a day or two later. I did not think much of it and just used tampons until I was sure it was done. I had sex with my boyfriend and discovered that I was still very much bleeding. The strangest thing is the odor graduated from that bloody smell to a foul odor and the color changed on my tampon. It ranges from dark brown to yellowish to green with dabs of bright red. It is also only drawn into two particular places on the tampon, the right and just a small spot in the left center.\u00a0The tampon is also never drenched in blood; it is a light flow just in those two areas. I am not experiencing any kind of pain or discomfort at all. I have only had unprotected sex with my boyfriend for two years. I know for a fact that he has not had any other sexual partners. I have always been regular, but this is the first time I have ever experienced this. Doctor: Hi. You can bleed more sometimes due to irregular menses because of hormonal (chemical) levels of your body and its effect. But, you can bleed also due to cervical erosions and infection there. I personally never recommend tampons. Because, your menstrual blood contains some bacteria and pathogens which can infect. And, when you use tampons due to the collected blood, it gives a media to growth of that bacteria. The body can resist infection up to a limit and as the limit crosses you get signs and symptoms of infection for which you may have to take treatment. Now in your case, foul-smelling discharge and discoloration of the discharge are the signs of infection. Now I have to see, actually where the infection is. So best consult your nearby gynecologist. Let him see where the infection is and what type of discharge actually is. And, if required, then send the discharge for examination. By this we will know the type of infection and can give treatment accordingly. Most probably you are having history, which seems to be likely bacterial vaginosis. It is a mixed infection. You will need to take the antibiotic course for 10 to 15 days and follow some precautions to avoid recurrence. Now, as far as antibiotics are concerned, I have to see the first type and nature of discharge and smell. So, better get consulted nearby for that. Kindly keep up the following precautions: These will help to avoid recurrence. And firstly, complete the drug course to completely eradicate the infection. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21939, + "tgt": "What homeopathic medicines should I have to subside my hives problem?", + "src": "Patient: Hello doctor, From December last year, I was sometimes having mosquito-like bites (swelling and itching) over my chest and back at midnight which I thought to be insect bites. I started using anti-allergy pills which would subside the problem. I had Montair LC on and off for 20 days but the problem used to come back. Gradually, I realized these are not insect bites and these pin-like swelling which only goes away by anti-allergy is hives/urticaria. Though my problem is not very severe, but it is gradually increasing. I keep a beard and my bearded area now gets hives too. As soon as I have my breakfast, I start having these eruptions (earlier it only used to happen at night). They are more of a burning nature and a little itchy. I exercise a lot and I am very regular to the gym and sometimes as soon as I am done with my gym, my body is very sweaty and I start having hives. Even after having a bath (over the body) and after washing face (on the face). I follow a strict diet. I do not administer food after 8 in the evening. I try to have anything I like during the daytime for breakfast and lunch. I am very fond of eating dry fruits and sweets like chocolates, biscuits, and ice creams. I crave for sweets and salty things during the day. I would also like to tell you that in the month of January, I was diagnosed with gastritis with small ulcers (irritable bowel syndrome). For that, I every day have one spoon milk of magnesia syrup before sleeping. I still sometimes have gastritis problem where I have a sudden urge to pass a large amount of gas through burping and farting which is generally triggered by raw onion and garlic. But, I started using probiotics which provided a kind of relief for my gastritis. I would like to ask you which foods I should ignore and what homeopathic medicine should I have to subside my hives problem. Please have a look at the picture of hives I have attached. Doctor: Hello. I have seen your photos of your problem (attachment removed to protect patient identity). Commonly, many are sensitive to mosquito bites. The result is a red bump and itching. A male mosquito's bite is harmless. They feed only. Female mosquitoes produce some symptoms. They release some toxins which cause immune system reaction. This syndrome is called as Skeeter syndrome. Check blood for: Regarding homeopathic treatment, having seen your photographs, according to that I suggest: Prevention: For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 27835, + "tgt": "Please give me necessary medical advice after seeing my annual blood reports", + "src": "Patient: Hi doctor, I am a 5.10 feet male, who weighs 65 kg, and I am attaching my annual blood reports. Please give me necessary medical advice. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30771, + "tgt": "How to treat my mother's compulsive superstitions?", + "src": "Patient: Hi doctor, How to treat compulsive superstitions?\u00a0I need some help to treat my mother.\u00a0She is also a depression patient and for which she is taking medication. Doctor: Hi. Revert back with detailed history to a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11025, + "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": 7644, + "tgt": "Can taking birth control pills cause milky thick vaginal discharge?", + "src": "Patient: Hello doctor, I am a 24-year-old female and I was on the birth control pill Aviane for almost two years. I never had any negative symptoms and had an overall good experience but I decided to stop taking it after ending my relationship because I would no longer be sexually active. About four weeks after my withdrawal bleed, I had my first period again and everything seemed to go right back to normal. I have been off the pill for a year now, and my periods are totally regular, but I have noticed some slight differences. Before BC, my cervical mucus seemed to change throughout the month but now it stays the exact same. Thick and milky. Occasionally, it will be a little more watery, but it used to get that egg white consistency around ovulation and such. It does not seem to do that much anymore, if at all. Although I am pretty certain I still have ovulation pain around the middle of my cycle. Should I be worried? Did BC mess up my body? Or is that not cause for concern? Everything else is completely normal. My cycle is a perfect 28 days and my periods are back to how they were before. The only difference is that I used to still have some light spotting on day five, but now it is mostly gone by day four other than a bit of light spotting. I am not trying to conceive, but I was wondering if this was something I should be worried about. Thanks in advance. Doctor: Hello. Firstly, birth control pills do not have this kind of lasting effect which might be over or after a year, so the change in discharge is not because of pills. Secondly, changes in consistency of vaginal discharge over the cycle are totally normal. These changes are due to hormonal changes which are taking place in different phases of the cycle. Thirdly, if the discharge is not smelly, itchy or associated with any abdominal pain or painful voiding then it is nothing to worry about. If any of these problems arise, you have to seek expert advice then only. Another general advice is to use cotton undergarments and wash area frequently with plain water only." + }, + { + "id": 17090, + "tgt": "I feel current sensation in tongue while sleeping. What is the reason?", + "src": "Patient: Hello doctor,Whenever I sleep I fell current type of sensation in my tongue and find a small sore on my tongue. It happens on both sides of my tongue, not in the middle. I am suffering from this for last four years. Please help me. I am very upset and facing problem in sleeping. Doctor: Hello. You should apply Tess (Triamcinolone 0.1 percent) gel two times a day to the affected sites for 7 to 10 days depending upon the response. Also, have Tablet Zevit (Biotin and Calcium Pantothenate) once a day before lunch for 10 days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27937, + "tgt": "Is there any risk from short-term exposure to ethanol?", + "src": "Patient: Hello doctor, I want\u00a0to know if there is a short-term health risk due to the inhalation of 70 % ethanol and isopropyl alcohol. I do not mean the hand wash, but the pure liquid, which I\u00a0use for electronic repairing and cleaning.\u00a0I almost always use an organic vapor mask or gas mask. If I work long hours, I use activated-carbon filter to purify the air. But, I sometimes think I am over cautious, and that makes people around me more scared of working with it.\u00a0If I just want to use the ethanol to clean something for two to five minutes, should I still need to use the mask? I am only talking about inhalation as I always use gloves and eye protection. Doctor: Hello. For more information consult a toxicologist online --> https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 29582, + "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": 10587, + "tgt": "I am a diabetic patient and I suffer from ED and depression. Kindly advice", + "src": "Patient: Hello doctor,I am diabetic suffering from ED and depression. Please advice. Doctor: Hello. By ED do you mean erectile dysfunction or anything else? You are a male, so I pressure you to mean erectile dysfunction. The erectile dysfunction, together with the fact that you have to be on medication for your sugar control that could have been responsible for the depression that is entirely understood. The erectile dysfunction can cause d inability to have a penetrating sex.diabetes cause damages to tiny arteries which supplies the nerves, and when the nerves which carries e erectile sensation are affected, it results to a weak erection. Kindly consult your doctor and take the treatment with consent." + }, + { + "id": 2580, + "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": 22541, + "tgt": "I got echo 2D and TMT done for chest pain. Please advise what is the issue", + "src": "Patient: Hello doctor, I had pain in left side of my chest. I consulted the cardiologists and he advised me for echo 2D and TMT. Here is the report: All cardiac chambers dimension normal in size. No regional wall motion abnormality. Normal LV systolic function. LVEF is 60 %. Grade 2 LV diastolic dysfunction. Trace MR. Trace TR (RVSP 25mmHg+RAP), trace PR. Normal pericardial effusion. No intracardiac mass or thrombus or vegetation. IVC normal in dimension and collapsing 50 % (S/o RAP 5 mmHg). The exercise test is negative for reversible myocardial ischemia. Doctor: Hello. The possibility of cardiac cause for chest pain is less likely as your tests are already negative. Now, there are two possibilities, gastroesophageal reflux disease, and muscular pain. Do you get any nausea, vomiting, bloating, burping, increase in pain on food or lying down, chest burning, if suggest acidity as the cause for pain and should have antacids. If pain increases on pressing then it is likely a musculoskeletal pain. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15159, + "tgt": "What can I do for blood in cough?", + "src": "Patient: Hello doctor, I am getting blood in cough. What should I do? Please suggest some medicine. Doctor: Hi. The question is what and where the blood is coming from (hemoptysis). For people with a prolonged cough, you can sometimes have a small tear in tissues which leads to a very small amount of blood. This is something that would happen after multiple days of severe coughing. This is a scenario in which an investigation in the source of cough is warranted to treat the underlying problem. If it is a large amount of blood or regular bleeding with coughs, this sounds like something that needs to be evaluated by a physician as soon as possible. There are not many normal reasons for there to be persistent bleeding. Possibilities include infection (TB), lung clots, or bleeding vessels of the esophagus, among others. Signs of active and/or large volume blood loss include lightheadedness, dizziness, fatigue." + }, + { + "id": 2683, + "tgt": "Why do I get pain during sex?", + "src": "Patient: Hello doctor, I have not had my period for 44 days. I have taken four tests and all negative and I am currently not taking any contraceptives. My last period was 12th before two months. And since having my daughter I have experienced really bad pain during intercourse to the point I have had to tell my husband we have to stop because I start crying. I get random cramping pains in my pelvis area and back pain both really sharp. I have also got pain in my upper butt area that makes it painful to walk or sit down. Doctor: Hi. How are you doing? Hope you and your dear ones are safe and healthy. From your history, I gather that you have two problems. Delayed period and lower abdominal pain and cramps. For the delayed period, I see your body weight could be a reason. With a height of 152 cm, your expected weight is 52-55 kg. The extra fat, cholesterol can get converted into hormones and cause an imbalance of hormones needed for normal ovulation. Thus due to impaired ovulation, period will be delayed on and off. At present to have period, take any of the birth control pills, packet of 21 pills (ones used for contraception) twice daily for 10 days. No matter what the reason is, you will have periods within 7-10 days after the last pill. Through good dieting, not fasting, and proper work out reduce your weight. Weight loss of just 5 kg is enough to correct hormone imbalance. About pain in the lower abdominal area and during sex, there could be two reasons. a. Pelvic infection in and around the uterus. Infections enter with semen. Symptoms are vaginal dryness during sex, burning sensation in vagina after sex, pain throughout which increases around the time of ejaculation, following day excessive vaginal discharge with or without itching and foul smell. Similar discharge just before period. Period blood is darker, thicker and stickier. Mild feverish feel before period. Cramping pains just before period. If this is the case, avoid sex, meet your doctor at leisure, both you and your partner should have a good course of antibiotics. It will get fully resolved. b. Endometriosis due to blood causing adhesive areas around uterus, increasing over the months and years. But I do not think you could be having this. Both these need medical help. You can solve the issue of period with the pills. I hope this helps." + }, + { + "id": 8473, + "tgt": "I am suffering from small red lump on my gums. Kindly help", + "src": "Patient: Hello doctor,I have a small red lump on my gums. Not sure if it is an abscess or something and wants some advice. It is red and bleeds when I brush, and there is only pain when I brush. Doctor: Hello. Since how long do you have this lump? It could be an abscess, but need a clear picture of it for confirmation. Is there any decayed tooth associated with it nearby? If possible, send pictures or go to a nearby dentist." + }, + { + "id": 7983, + "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": 6940, + "tgt": "I experience mild pain and pressure in my chest associated with hand pain. Please help", + "src": "Patient: Hello doctor, From last two to three days I am feeling some pressure on my left side chest, and my left hand is also paining a bit, and when I eat food, I feel that I am not able to breathe and a bit pain on the left side of the chest, please help. Doctor: Hello. If you are having recurrent chest pressure and chest pain at rest and also after eating food, this may be a very well be a symptom of heart pain and, hence, I would recommend you to visit a hospital to get an ECG and Troponin I blood test is done soon. If both of these are normal, we may be dealing with either non-cardiac condition or mild heart pain or attack. To distinguish these two, there are various types of tests available, the most common being a treadmill test. Your cardiologist can decide appropriate next test based on detailed history and ECG or blood test results. So, for now, I would recommend you to go to a hospital to be checked. I hope this solves your query." + }, + { + "id": 13649, + "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": 25971, + "tgt": "What treatment can be had for fluctuating blood sugars?", + "src": "Patient: Hello doctor, My 47-year-old father's blood sugars are fluctuating. A month ago he was not taking any medication and was not performing any exercise. At that time, his sugars were around 380. Now he is doing some yoga and playing volleyball. Suddenly, his sugars decreased a lot to around 100. Our family doctor suggested that this would have happened because he was not eating on time. The last couple of days he was suffering from low sugar which is causing him vertigo and sweating. Please help. Doctor: Hello. I understand your concern. You have not mentioned if your father is currently taking any medication for blood sugar control. If he is still not taking any medication and has managed to control blood sugar just by diet and exercise, his efforts are really great. For low blood sugar, he might just need some dietary modification. But if he is on medication and his blood sugar is dipping down, his prescription might need to be revised. A blood sugar of 100 is not very low (if in fasting state) and may not cause dizziness. Sometimes dehydration may cause symptoms similar to low blood sugar. So check if his water intake is adequate. Also, it is a good idea to check his blood pressure since variation in blood pressure can lead to similar symptoms. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 13889, + "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": 29371, + "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": 3478, + "tgt": "What is the recommended healthy diet for men?", + "src": "Patient: Hello doctor, What are all the foods men should eat every day? Kindly name them. Why they should eat it? Why men specifically should be eating those foods daily due to unique and common health issues the gender faces. i.e. men tend to be low on fiber and this packs X grams of fiber per serving. An example of how the reader could eat the food every day (add to smoothies, toss in a salad, afternoon snack, etc.). Please comment on why men should eat it. Doctor: Hello. Men can take: berries which are good to heart, steak prepared with lean meat to give full of protein especially for active men, dark leafy greens to get fiber and folic acid for proper functioning of metabolism. Eggs to provide lutein for boosting brain function plus preventing a cardiovascular accident in the future, bananas provide full of minerals especially potassium, broccoli will protect from prostate cancer. Water to keep well hydrated especially active men. Olive oil to prevent cardiovascular events and stabilizing blood lipid levels. For breakfast, whole-grain toast with two boiled eggs with a glass of water. For snack take one banana. For lunch, broccoli, carrot and salt with olive oil, lean meat soup. For an evening snack, berries smoothie. For dinner, yogurt with dark leafy greens and olive oil salad. This is what I recommend to my patients. Normally to change every day, not the same menu." + }, + { + "id": 673, + "tgt": "I am on anti-tubercular drugs for TB lymphadenitis. Do I need surgery?", + "src": "Patient: Hi doctor, I have enlarged lymph node on the neck. FNAC says granulomatous lymphadenitis consistent with Koch's (AFB Stain: negative). In ultrasound it is hypoechoic lesion of approximately 29*34 mm abutting the left submandibular gland but appear separate from it. Simillar lesion of approx. 14*23 mm is seen adjacent to this mass. I have been taking Rifampicin + Isoniazid + Rifampicin + Ethambutol + Pyrazinamide for 22 days and I have also consulted another doctor who says that it needs surgery and asked for digital x-ray of chest. I also gained weight. Please suggest me, should I go for surgery? Currently I am on Forecox 150, Mycobutol 400, Benadon 20 mg, and Neurobion. Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from TB lymphadenitis and taking 4FDC (antitubercular drugs) for the last 22 days. Your query is whether surgery is needed for your lymph node or not. Antitubercular medications are enough for curing TB lymphadenitis. Surgery is needed in rare cases. Surgery can be done for diagnostic purposes or therapeutic purposes. Sometimes Fine needle aspiration or biopsy of the lymph node are needed for proper diagnosis of TB lymphadenitis is known as surgery for diagnostic purposes. If TB regimens for 6months or 7months or 9months are failed to subside the lymph node, then surgery is an option. Again during TB treatment if there is any change in size, shape or presence of discharging sinuses or turn into malignancy, then surgical drainage or removal of lymph node may be needed. Otherwise, antitubercular medications are enough to treat TB lymphadenitis. Your physician has advised you to do a CXR (chest x-ray) for the detection of chest involvement. You should undergo CXR. Again Prednisolone 40 mg/day for six weeks followed by gradual tapering over the next four weeks along with your current TB regimens are enough to cure your TB lymphadenitis without any surgery." + }, + { + "id": 7463, + "tgt": "I have rashes below waistline including penis. Do I need urgent care?", + "src": "Patient: Hi doctor, I have rashes basically everywhere below the waistline. It started two days ago and have somewhat spread from the initial location (bug bite on the upper right thigh). There is some bruising around the initial location. I have been using Lotrimin and Cortizone cream but there is no effect on using them. Hot showers seem to help reduce redness and slight swelling. It does itch and I got pus on when I scratched it harder (trying to stop the habit). I have attached a few images. Please go through them. I have not changed any soaps, detergents, or shampoo recently. I have not changed my diet. I had been walking through some woods (could it be some type of poison ivy or something). I have my house, bed, clothes, and carpet always cleaned and there are no signs of bugs. My dog has not had the habit of scratching anything. I am good and healthy with no medications taken or pre-existing conditions. What does this look like? Do you think this requires an ER (emergency)/urgent care visit and see a dermatologist early in the week? I am pretty concerned since it is on my penis. Doctor: Hi. I have seen your attachment (attachment removed to protect patient identity). The condition looks like poison ivy. There are few blisters evolving, it may go on for one to two weeks without treatment. Poison ivy usually requires oral Prednisone to keep it under control. Another possibility is, herpes zoster - the reactivation of varicella virus presenting with blisters in a group with areas of redness. I am unable to make out with these pictures if the rash is on both your thighs or if it is only on one thigh. If it is only one thigh, with burning sensation and pain, it favors herpes zoster which needs to be treated early with oral antivirals (Valacyclovir). In both cases, I would suggest you visit your doctor as soon as possible. To keep itching under control, topical Calamine lotion with aloe and oral antihistamines like Zyrtec (Cetirizine) will be helpful. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4389, + "tgt": "What causes yellow penile discharge with negative GC swab?", + "src": "Patient: Hello doctor, I had a negative G/C swab. As a treatment, I took two doses of Fluconazole and Metrogyl. What can cause a yellow discharge from the penis? I do excessive masturbation and had sex with two unprotected partners. Doctor: Hello. Yellowish discharge from the penis along with a history of unprotected sexual intercourse points towards having contracted STDs (sexually transmitted disease). The most common infection is that of gonorrhea and chlamydia, which presents with complaints of painful micturition, blood in urine, pus discharge per urethra, itching, inflammation of prostate and testicles, low-grade fever, sore throat, body aches and flu-like symptoms as well. Mode of transmission would be unprotected homosexual, heterosexual contact with an infected partner and very close physical contact. It can spread from hand to hand contact as well, and from infected mother to the child as well in-utero. The treatment includes treating both gonorrhea and chlamydia, as they are usually transmitted together. For gonorrhea, Cipro XR (Ciprofloxacin extended-release) 500 mg single dose, or Levaquin (Levofloxacin) 500 mg single dose, or Tequin (Gatifloxacin) 400 mg single dose. For chlamydia, Doxycycline 100 mg two to three times a day for 10\u201314 days, or Zithromax (Azithromycin) 1.0 g single dose, or Zithromax or Z-pak (Azithromycin) 500mg on day 1, followed by one tablet (250 mg) once a day for four more days. To prevent reinfection, concurrently treat the partner as well. Precautions: Always have protected sex, avoid unprotected and unnatural sexual activities. Once treated successfully, the infection will not come back until contracted the new infection." + }, + { + "id": 20061, + "tgt": "Can Quetiapine make a person drowsy?", + "src": "Patient: Hi doctor, Two years ago, I was diagnosed with anxiety and depression and was treated with Fluoxetine, Zepam and Modafinil. Since one and a half years, I have been taking tablet Quetiapine 25 mg and tablet Lithoril 400 mg twice a day. Also, I am taking tablet Prodep 10 mg once in the morning for depression and border line personality disorder. During that period, I was even administered CBT. But, sometimes I get anxious and also depressed. My profession is teaching at the graduation level and I was clearly admired by my students. I teach with great enthusiasm, never get angry or show any reckless behavior and treat everyone with respect. After knowing my problem my wife left me. In the beginning, I did get a little frightened, but moved on with time and believe in living my life to the fullest. I exercise daily for 1 hour. I have been a scholar since childhood and was very excited. The tablet Quetiapine 25 mg is making me feel very drowsy as a result of which I sleep for about 9 hours a day. Initially, I thought it was because of depression. But, now I do not feel so. I am not sure whether I have borderline personality disorder or not. Am I taking right medication? Should I continue with the same? I do not want to get trapped. It would be of great help. Because, even to this day psychiatric issues are considered a taboo in our society. Thank you in advance. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28706, + "tgt": "My right eye pains, and I see blind spots while doing any activity. Why?", + "src": "Patient: Hello doctor, My right eye pains and I see blind spots while doing any activity. And I feel my brain and my eyes are not coordinating. I have vitamin B12 deficiency, for which I take injections. Doctor: Hello. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1257, + "tgt": "Why is there some discomfort after using Q-tip?", + "src": "Patient: Hi doctor, When I was using Q-tips to clean my ears, I slipped and I may have gone a little too deep with one. I felt a little discomfort in my ear. That was three days ago and I still feel a little weird in that area. Could I have ruptured or punctured my eardrum? Is it important to go to an ear doctor immediately? Doctor: Hi. For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 17939, + "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": 19029, + "tgt": "I have receding hairline after using Rogaine. Can I stop using it?", + "src": "Patient: Hello doctor, I am a 22 year old man who has been using Rogaine for a week. Then I have read a lot of terrifying forums about initial shedding etc. I want to stop it immediately, but have my hair become dependent? If I stop now, will my hair regrow that have been lost because of Rogaine? Doctor: Hello. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10006, + "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": 23037, + "tgt": "I have a red spot on roof of mouth. How can it be reduced?", + "src": "Patient: Dear doctor, I am worried about a red spot on the roof of my mouth. There is no pain. I saw some red dots on the roof of my mouth about two weeks ago and some days later it was less visible, but today I found it more prominent. The previous night I used the fan the whole night and it got cold and in the morning, I felt some nasal congestion and itching on the roof of the mouth. Also, I have some uncommon feeling in the throat and acid reflux was diagnosed by the ENT and was prescribed Pantoprazole, Domperidone, Montelukast and Fexofenadine. I am currently taking these medications. I have attached some image of the site. How can it be reduced and what is the reason for this? Is this serious? Doctor: Hi. There is nothing much to worry about. I have seen the pictures (attachment removed to protect patient identity) and such small red spots could appear due to a number of reasons. The management depends on knowing the cause for it. It could be due to taking some hot food, any hard food hit in the roof of the mouth, reduced hemoglobin levels sometimes, an allergic reaction or due to smoking (if you have the habit). As the ENT doctor suggested, it could be a case of acid reflux. So, there are a wide number of possible reasons. The medication you are using is fine. They should resolve in about 10 days time. Visit your dentist for a clinical observation and treatment plan. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16655, + "tgt": "Is there a permanent cure for pulmonary hypertension?", + "src": "Patient: Hi doctor, I am suffering from rheumatoid arthritis for past 15 years, which has now affected my whole body. Since one and a half year, I am getting shortness of breath and cough. Last year, when I was admitted in the hospital to get this treated, my doctor advised me to use external oxygen for long term. Since then, I am using oxygen concentrator. Over a month, my shortness of breath and cough has increased and I am finding difficulty even in speaking. Please help. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12800, + "tgt": "What can cause radiating stomach pain?", + "src": "Patient: Hello doctor, I have been suffering from sudden attack of pain in stomach for the past four years. The pain crosses backside too for a few seconds, at intervals of days, weeks or months. I have consulted many doctors, taken lots of medication, but nothing has worked. All my tests came normal. Kindly help me find some solution to this. Doctor: Hi. According to my knowledge, abdomen pain that radiates to back needs to be evaluated for gall bladder as well as for problems in regard to pancreatitis. If your ultrasound scan performed previously showed the results are normal then I would suggest you get a CT scan of abdomen done. If your CT scan reports are also normal, then the pain in the abdomen can be a cause of irritable bowel syndrome (IBS). I would recommend you to follow the below treatment plan for IBS." + }, + { + "id": 2619, + "tgt": "My dandruff problem is concerning with its spread over face and eyelids. Please help", + "src": "Patient: Hello doctor, I am a 31-year-old male, suffering from hair dandruff for the past one year heavily. I have a history of dandruff but I only used anti-dandruff shampoo before, only this last year it got so intense, that now it is not only in my scalp but it started to show on my face. It is showing a little bit above my upper mouth lip but a lot more intensive on my eyelids, and I always have a burning sensation above my eyes when I wake up and sometimes it is itchy and looking red but it is burning intensely these days. Doctor: Hi. These are typical symptoms of seborrheic dermatitis. It is a chronic condition due to overactivity and inflammation of the sebaceous gland sometimes aggravated by fungus Malessezia a normal inhabitant of the body. You need to stop all oil application. Keep dry. 1. Use anti-dandruff soap Ketoconazole soap. 2. Capsule Itraconazole 200 mg twice daily for two weeks after meals. 3. Tablet Levocetirizine 10 mg once daily at night. 4. Tablet Deflazacort 30 mg after breakfast once daily for five days. 5. Tablet Pantoprazole 40 mg once daily 30 minutes before breakfast for five days. 6. Ketoconazole shampoo to apply it twice weekly over the scalp and affected area for 10 minutes before bathing. I hope this helps. Depend on the body some are more prone. None. Sebopsoriasis. Less oil. After two weeks." + }, + { + "id": 11287, + "tgt": "Kindly explain the treatment for severe headache in right temple", + "src": "Patient: Hello doctor, My daughter is 9 years old and has a typical headache at right temple. The headache, she says, is more or less constant and not severe in the day but is intense at night. She sleeps at around 10:00 PM and wakes up around 12:15 AM to 12:30 AM. This is when she cries as she is not able to bear the pain. She gets up from the pain itself. We have already done head X-ray and sinuses is ruled out. Even though the medicine is for antibiotics and I am not sure that it is working, as there is no improvement for last four nights (saving the first night when there was no pain and she could sleep the entire night). During her night pains when we give her Crocin, she is better after 10 to 15 minutes and then typically sleeps the rest of the night. We are trying to get appointment for silent MRI and have our fingers crossed. However, as you are very experienced and could identify a pattern or known case or cause, please do share. Again, the pain is only at right temple and nowhere else Doctor: Hello. I understand your concern and would explain that this type of headache could be related to hipnic headache. Anyway, a brain MRI or CT scan is necessary in order to exclude a possible brain lesion, as the headache is always located in the right temple. I would also recommend performing PCR and ESR for inflammation. Temporal arteritis is another possible disorder, which could lead to pain in this region. In such case steroids would be needed. A Doppler ultrasound of the temporal artery is needed too. In case the brain MRI, inflammation tests and transcranial doppler of the temporal artery is normal, I would recommend considering hipnic headache as a possible cause. In such case Flunarizine or Topiramate would help improve her situation." + }, + { + "id": 11872, + "tgt": "What are the ways to regulate periods in an overweight patient?", + "src": "Patient: Hello doctor, How to regulate periods on time? How to manage my overweight? My height is 5 inches, weight is 68 kg. Please help me on how to control my weight and periods problem. Doctor: Hello. It seems that you might have problems with PCOS. It is a complex problem commonly affecting young girls. Once your weight will be reduced to at least 5 kg from the current level, your cycle will regularize itself. For weight reduction, first of all, you can try low-carbohydrate, low-fat and high-fiber diet and some exercise and secondly you can go for Metformin tablets which help in weight reduction and also regularizing hormonal imbalance associated with PCOS. For periods you have to take regular hormonal pills (birth control pills) which will regularize your cycle on a monthly basis by correcting the process of ovulation." + }, + { + "id": 9312, + "tgt": "What does bloody mucus in stool suggest?", + "src": "Patient: Hi doctor, When I am using the restroom, I saw bloody mucus in my stool. What does it mean? Recently, I suffered with diarrhea and black stools. I had treatment for diarrhea and having bloody mucus in stools. Currently, I am taking gastric tablets and medicines to control diarrhea. Doctor: Hello. I can understand your concern and worry about the severity of the situation. Loose stool along with increased frequency of stool (6 to7 times per day), mucus and occasional episodes of bleeding suggest inflammatory bowel disease (ulcerative colitis or Crohn's disease) involving large intestine. In this condition, an inner layer of the large intestine becomes inflamed. There will be redness and swelling. Thus produce mucus and liquid consistency of stool secondary to poor absorption of nutrients. In severe cases, bleeding might occur due to development of ulcer in the inflamed part of the large intestine. Colonoscopy with biopsy, CBC (complete blood count), stool examination routine and culture. Inflammatory bowel disease. Medical treatment for disease. Surgery might require if no response from medical treatment or progression of disease. Revert back with the reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8529, + "tgt": "Can IUD cause constipation and back pain?", + "src": "Patient: Hi doctor, I had my Skyla IUD placed before two and a half years. In the last two months, my period has stopped for about two to three days. Then, again returned after another three days. This month, I had my periods for two times with terrible constipation and lower back pain. Could the progesterone be wearing off? Doctor: Hi. IUD (intrauterine device) does not cause constipation. But, back pain can occur, because of the bleeding patterns after placing IUD. You can take syrup M2 tone (Ashoka and Lodhra) two tablespoons thrice daily for one month. Take Ibuprofen 400 mg thrice a day for three days. Take syrup Cremaffin pink (Milk of magnesia and Liquid Paraffin) two tablespoons at night for constipation. You will get relief. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1059, + "tgt": "After using larger size silicone ring to loose the foreskin, I experience pain. Why?", + "src": "Patient: Hi doctor, I am a 30-year-old male. I am currently using phimocure silicone rings to loosen up my foreskin. Yesterday afternoon I accidentally used a large ring 26 mm by wearing it for 1 hour 30 minutes. After taking off the ring, I have this persistent pain like burning and pressure on the tip of the foreskin (majority on the left side). I still have this pain and wanted to know if it will go away by itself? I am also using Betamethasone cream. Doctor: Hello. I have gone through your queries. The only solution to phimosis is circumcision. However, you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring. You can wait and watch to buy some time for natural regression of the swelling or else you can straightway go for circumcision after consulting your local urologist. By few days to weeks, the swelling will reduce. But the permanent solution of phimosis is circumcision." + }, + { + "id": 4075, + "tgt": "Please explain what is really wrong with my son", + "src": "Patient: Hi doctor, My son is 13 years old. He is on Ritalin LA, Oleanz 5, Nuzak and Lithium. I think the doctors do not know what is really wrong and are experimenting on him? Recently he is telling lies, stealing and defiant. He does get agitated at times and shows aggression and has become very impatient. Also, he struggles to sleep. He was much better before he was put on all these medications. What could be wrong? Doctor: Hi. The medications seem to be for ADHD (attention deficit hyperactivity disorder) and bipolar disorder with psychotic features. He should be managed only by a psychiatrist. Aggression is a part of ADHD. The Ritalin (Methylphenidate hydrochloride) can cause sleep difficulties. And lithium levels should be monitored very closely. I am not sure if all of these steps are being taken. Please refer to our psychiatrist at icliniq for further recommendations. Do not discontinue any of these medications abruptly. ADHD and bipolar disorder with psychotic features. Hyperthyroidism, liver function test and blood counts (CBC) should be done when on lithium. Lithium levels should be monitored for at least every three months. Continue these medicines for now. Do not abruptly discontinue them. For further doubts consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20291, + "tgt": "I gave my dog a flea bath using a shampoo containing toxins. Will it affect my pregnancy?", + "src": "Patient: Hi doctor, Yesterday, I gave my dog a flea bath using a shampoo containing pyrethrins and piperonyl butoxide. I am nervous about the effect this might have on my pregnancy. I washed my hands repeatedly after I realized this. Will it affect the brain development of my baby? Doctor: Hello. These chemicals have more effect when they are used early in pregnancy. Local application, just on the hands alone, will not cause any harm to your baby. Be assured and relax. Your baby is safe. But, do not repeat any more flea baths for your dog during pregnancy. Get the work done by someone else. Take your pregnancy medicines regularly for proper growth of the baby. For further follow up consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 116, + "tgt": "I get bleeding from my left ear with no pain. Why?", + "src": "Patient: Hello doctor, I have blood flowing from my left ear without pain. Please help. Doctor: Hi. Most common reason for bleeding from the ear is due to trauma. There is nothing that you need to worry about as this is extremely common. Make sure you do not use earbuds as they often traumatize the ear canal or eardrum and introduce infections. Please do not use headphones or earphones as well, until it heals. Make sure you keep the ear dry, make sure no water enters the ear at any cost. For now you can apply Ciplox (Ciprofloxacin) ear drops three drops thrice a day and take tablet LCZ (Levocetirizine) 10 mg one tablet at night after meals for the next one week (this will reduce any itching). Make sure that there is no pus like discharge from the ear because in such a situation, the infection of the eardrum is more likely and will require systemic oral antibiotics. I hope this helps." + }, + { + "id": 22504, + "tgt": "Is there any need to give Calcium drops with Vitamin D3 sachet in 4 months old?", + "src": "Patient: Hello doctor, My daughter is 4 months old. The doctor prescribed her Vitamin D3 sachet to be given stat and next after 45 days. So, is there any need of giving calcium drops along with it? Doctor: Hello. Vitamin D3 drops are regularly advised to infants. But Vitamin D3 sachet is only advised in diagnosed cases of vitamin D deficiency. The need for calcium supplement is based on the type of deficiency. Normally, no supplementation of calcium is required. Please share the report and prescription. If no deficiency has been diagnosed. Vitamin D3 drops 400 IU daily. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25395, + "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": 10672, + "tgt": "My fiance ejaculated on my hand. Could I be pregnant?", + "src": "Patient: Hi doctor, I am not sexually active. But my fiance did foreplay and ejaculated on my hand. I washed my hand with soap after that. I do not remember the semen going near my vagina.\u00a0I am still virgin and he did not penetrate me.\u00a0However, the next day I got worried and took an emergency pill. I still have not got my period and it has been a week. I also have PCOD. Have I missed my period because of PCOD? Or could I be pregnant? Please let me know. Doctor: Hello. Please do not be worried. There are no chances of pregnancy at all. Firstly, because you had washed your hand with soap which carried the sperms and sperms do not survive on contact with detergent or soap. Secondly, you have taken an i-pill within 72 hours. Hence, your menses are likely to be delayed due to high progesterone pill you have taken. Now, you should get a withdrawal bleed within next 7-10 days from the day of pill intake. So, you should be patient and wait for the withdrawal. However, if you are anxious then as on today you may get a serum beta hCG test done to rule out any pregnancy conclusively. If the hCG levels are less than 5ng/dL then you are surely pregnancy safe and you can then calmly wait for your menses to arrive naturally." + }, + { + "id": 7627, + "tgt": "I have Turner syndrome and I drink moderately. Am I safe?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I have turners syndrome (xo chromosomes), which means I have thyroid issues (88 Synthroid dose ) but luckily no other major health concerns. I am on Acyclovir for HSV 2 and Buspar for anxiety (10mg 2x/ day) as well as Zoloft 100/ day. My question is about drinking. On or off the mood medicines (which I have been on for nine months) should I abstain completely? I want to know about my mood medicines and drinking, as moderate drinking may have potential health benefits, but I do not know if that is the case for me. He said the milky stuff on the engine cap might indicate a blown head gasket. I was low on coolant, and the hose was no good, so he is going to replace those and go from there. If it does not overheat again, the engine should still be fine. Doctor: Hello. Alcohol intake over the long term has bad effects over the body. At present, there is no problem in moderate consumption, but if you would not make up your mind now to give up alcohol then your alcohol consumption will gradually increase, and it becomes tough to abstain from it a later stage. So I recommend you start giving up alcohol from now only. Regarding mood medications, yes if you are making good progress, having a stable mood for more than three months, then you can think of reducing the mood medications (not stopping). You can start reducing Buspar (Buspirone) first but do this in consultation with your psychiatrist. I hope this information was useful for you. If you any clarification, feel free to ask." + }, + { + "id": 22663, + "tgt": "Can Hashimoto's thyroiditis increase lymphocytes after hysterectomy?", + "src": "Patient: Hi doctor,I have had a total thyroidectomy (TT) two years ago and on my pathology report of the thyroid, I have had mild thyroiditis, and I always have high lymphocytes. For one period of about a year, they were raising every month. My Tg and Abt within normal range. I did anti-TPO and my result is 2.01 and ref range is less than 5.6. My question for you is on my case can Hashimoto thyroiditis decrease neutrophilia and increase lymphocytes even after hysterectomy? Or shall I consider blood cancer and make the test to rule out. I do not have any symptoms. Doctor: Hi. I have reviewed your results (attachment removed to protect patient identity). From what I have seen leukocytes are within normal range as well as hemoglobin, platelets were not reported. From the automatic differential, there is indeed a slight lymphocytosis, but the manual differential (the one reviewed by the doctor under a microscope) report 70 % neutrophils and 30 % lymphocytes. A mere laboratory result does not hold much strength especially like in your case when the total leukocyte count is normal and you report no other complaints such as malaise, night sweats and/or fever. However, if you have a concomitant enlarged lymph node and/or spleen to proceed with more specific tests such as flow cytometry to rule out chronic lymphocytic leukemia. But, anyway, the manual differential would have shown the presence of atypical, abnormal cells. Since it does report no atypia, this means that it is much less likely that there is a blood disorder (provided that no lymph nodes and spleen are enlarged and you have no complaints). I would suggest a regular, monthly blood count and differential tests and an abdominal sonography to check for the spleen. The changes in the blood counts can be just reactive to some condition. This could be autoimmune disorder such as thyroiditis or viral infection. Viral infection Abdominal ultrasound Autoimmune disorder For more information consult a hematologist online.--->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 12043, + "tgt": "A transparent fluid releases from my scalp. Is that due to head lice?", + "src": "Patient: Hello doctor, I do not know what happened to my scalp. A transparent fluid releases from my scalp and because of this, my scalp becomes hard. I am unable to comb my hair. After scratching it feels like burning. Can this problem arise due to lice in the head? Kindly help. Doctor: Hello. Yes, this is happening due to excessive scratching of the scalp that is rupturing the membrane of the scalp, and thus a white discharge is coming out. Please do not scratch so much. Please wash your hair daily with some anti-lice shampoo or neem water. You may also use some anti-dandruff shampoo also that should be mild because scratching can happen due to dandruff also. Apply Aloe Vera gel on the scalp to give you a soothing effect and heal the injury naturally. You have to keep your scalp clean by washing your hair daily for a few days, and lice will diminish." + }, + { + "id": 21524, + "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": 17852, + "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": 3338, + "tgt": "Will weekly chemotherapy cause less side effects than full dose chemotherapy in elderly patient?", + "src": "Patient: Hello doctor, I would like to know about weekly chemotherapy for Peritoneal cancer of 76-year-old lady. Instead of full dose chemotherapy at 21 days interval, weekly chemotherapy is done at a lower dose to have a less side effects. First chemo charged on her caused severe side effects like dysentery/diarrhea. Please confirm this whether this is really fruitful. For elderly patients, whether the weekly scheme is as effective and less toxic. Please help with your answer. I am writing for my writing for my 76-year-old sister suffering primary peritoneal carcinoma. Before four years, one MD (Medicine) while treating her for asthma problem detected by clinical examination a huge lump in abdomen. He ordered for USG of lower abdomen and pelvis. The report says: Kidneys: Both kidneys are normal in size but maintains shape, outline, and position. Cortical echogenicity is increased with maintained corticomedullary differiention. No evidence of any hydronephrosis, renal calculus or mass lesion is seen. Right Kidney=7.4 cm, Left Kidney=7.5 cm. Ureter: Both ureters are not visualized hence not dilated. Urinary bladder: Urinary bladder is seen normal in size, shape and wall thickness. No intraluminal lesion is seen. Uterus and ovary: It is not visualized (removed in 1996). Suprapubic region mesentery is grossly thickened and appears as SOL (10.4X5.4 cm) with displaced bowel loop around it. Impression: 1. ?Mesenteric mass suggest CT scan 2. Bilateral small size kidneys with Grade I renal parenchymal changes. Next seen by an oncosurgeon. He ordered for noncontrast CT of upper abdomen (Noncontast because as her creatinine level was 1.9 compared to a maximum of 1.0 for females. CT scan of upper abdomen done and report shows: The liver is of normal in size and is of normal contour and attenuation. No IHBR dilation. Gallbladder is well distended with normal wall thickness. Pancreas is normal in size and attenuation. Peripancreatic fat planes normal. MPD not dilated. Spleen is of normal size, contour and attenuation. No focal lesions. Sections through the lower abdomen show omental fat stranding and nodularity. The Bilateral kidneys are mildly contracted. The pelvicalyceal system are normal. Adrenals are seen. No evidence of any focal lesions. No evidence of ascites. No retroperitoneal lymphadenopathy is noted. Visualized bowel loops reveal normal in position, caliber, and wall thickness. Scoliosis noted with convexity towards left side. Impression: Omental stranding and nodularity. The surgeon also asked for contrast enhance MRI of pelvis. The report shows: MRI report patient postoperative case of ovarian malignancy (no documents available). Study reveals omental thickening and nodularity (caking). There is a focal protrusion of the omentum through a defect in the umbilicus (? postoperative). Post Contrast study shows enhancement of the omentum. DWI images show restricted diffusion within the omentum. No abnormal lymphadenopathy seen. Bones under review are are within normal limits. Uterus and ovaries are not visualized (postoperative). There are minimal pelvic ascites. On post Contrast study thin smooth peritoneal enhancement is seen with few nodules at places. Enhancement is also noted along the sigmoid and descending colon. Impression: Nodular cake like omental thickening, smooth peritoneal enhancement with nodularity at places in a patient with previous malignancy features suggest possibility of peritoneal carcinomatosis. (advise-omental biopsy) Next core needle biopsy from omental mass was ordered. The report shows: USG guided core biopsy from Omental mass. Microscopic examination section shows deposition of malignant gland formed by cuboidal cells within fibro collagenous tissue with desmoplastic stromal reaction. Impression: Adenocarcinoma Deposit. I have forwarded to you four reports in respect of her for USG, CT scan, MRI, biopsy. Probably she is suffering from extra ovarian primary peritoneal cancer (EOPCC) which happens to candidates whose ovary/uterus already removed. For her Hysterectomy was done some 20 years back when biopsy report was normal. Please also note that her CA 125 is 2948 almost 80 times the normal value. Please intimate me in short whether any first dose of chemotherapy given caused heavy side effects like acute dysentery/diarrhea for her? Whether at this age of 76 chemo with one single drug is advisable? As per discussion with doctors here this peritoneal cancer resembles almost like ovarian cancer (treatment mode also same), although ovary removed some 20 years back. Doctor: Hi. I have read through your query in detail. Please find my observations below. The investigations conclude the presence of peritoneal cancer which has characteristics like that of ovary cancer. Most patients are diagnosed at stage III or IV and chemotherapy is the preferred treatment. I confirm that the treatment is same as ovary cancer. Chemotherapy protocols are being updated every day but what your doctors have suggested is in the right direction. Treatment is usually with medicine like Carboplatin and Paclitaxel with some patients being given Cisplatin. Dysentry and diarrhea are known adverse effects of chemotherapy and occur in some patients. Weekly treatment is good as full-dose chemotherapy with comparable rates of response. Talking about single drug and multi durg options, every cancer is different and the treatment course is closely monitored and changes made appropriately. Every cancer patient is different and changes should be made after carefully studying the patient condition. In conclusion, as a patient relative you can help maintain a good general condition of the patient and give adequate fluids and nutrition. Side effects are uncertain and cannot be predicted. I hope this helps." + }, + { + "id": 13810, + "tgt": "Is it normal to get shortness of breath with burning sensation in chest after a meal?", + "src": "Patient: Hello doctor, I have shortness of breath sometimes, burning sensation in the chest after having a meal. Consult with the doctor and get prescribed Omez DSR in the morning. Also, do some medical test including ECG, so the report is herewith attached. Please confirm the test analysis. The patient is having a brain tumor (astrocytoma, grade 2) and surgery was done a year back. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). The only significant finding is of deranged cholesterol levels. Your LDL cholesterol is mildly elevated, so you should have a healthy lifestyle like avoiding fatty oily food and daily exercises like walking, etc. No need to take any medicines for it at present. You should repeat lipid profile after three months of lifestyle modifications. ECG is having minor changes only and no major and significant abnormalities are there, so nothing to worry about it. The symptoms are likely due to gastritis and reflux disease. So you have Omez DSR before breakfast for a week period and then whenever needed. Also, avoid spicy food, heavy meals and have some walk after meals for sometimes rather than resting immediately after food. However, if received any chemotherapy during treatment then should have one echo to rule out the possibility of heart damage due to chemotherapy." + }, + { + "id": 17462, + "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": 30174, + "tgt": "What type of treatment should I get to become a father?", + "src": "Patient: Hi doctor, I have a sperm count of less than 10 million per mL. The semen analysis reported as follows: Volume 3 mL, abnormal forms 0\u2105, motility - rapidly progressive 20\u2105, sluggishly progressive 20\u2105, non progressive10\u2105 and immotile 50\u2105, pus cells 10-12/HPF and vitality 50\u2105.\u00a0What are the chances of mine able to conceive a child? Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10380, + "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": 18373, + "tgt": "Please suggest a permanent cure for jock itch", + "src": "Patient: Hi doctor, I have jock itch from one and a half years. I consulted a dermatologist, who gave me medicines, which cured the itch. My mother told me to consult a homeopathic doctor. So, the homeopathic doctor gave me some medicines, which made the jock itch larger in the same place. I am taking the homeopathic medicines from nine months, and I have tried apple vinegar, aloe vera gel, and baking powder, but nothing helps. Please, suggest medicines which will cure this jock itch permanently. And please suggest the right diet for me. Thank you. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16738, + "tgt": "I avoid sex as I absolutely do not want to get pregnant again. Please help", + "src": "Patient: Hi\u00a0doctor, I am a 34 year old female. I do not like sex because I am always worried that my partner will ejaculate inside me. He does not like using a\u00a0condom. We always end up\u00a0fighting during sex, as I ask him to use a condom and he does not want to. We have a son aged 9 years and I do not want another child. In the last 9 years, I took Unwanted 72 nearly 12 times. Please give me a remedy, so that we can enjoy sex. We have stopped having sex often because of these arguments. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20225, + "tgt": "I have myocarditis. Is it safe to take a roller coaster ride?", + "src": "Patient: Hi doctor, Do you think it is safe to ride in a roller coaster with myocarditis? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5376, + "tgt": "My father is positive for rheumatoid factor and had ankylosing spondylitis. Will I get the same?", + "src": "Patient: Hello doctor, I have a question relating to my deceased father. I obtained his medical records after his death. While searching through his records to gain a better understanding of what may happen to me, I found he was positive for the rheumatoid factor and had been diagnosed with ankylosing spondylitis. However, the HLA-B27 gene test was negative. I brought this to my rheumatologist and she told me she thought he had something else, but would not elaborate. Does anyone have an idea of what she may thought because she still has not told me? Since then I have switched rheumatologists for that reason. My father passed away from leukemia brought on by myelodysplasia. I would like to know because doctors still have no idea what may be plaguing me. I have seen multiple doctors for my slightly high CK levels. I have been tested for myelodysplasia, rheumatoid arthritis, multiple muscle diseases, sarcoidosis, and many more. I have not received any answers as of yet. Doctor: Hello. Well, I do not think you should be worried about anything. Firstly rheumatoid factor is not transmitted genetically unlike HLA- B27 (human leucocyte antigen). Secondly, it can be positive in a lot of people but does not cause any symptoms. Thirdly, you have been tested so far and it has all been negative. Leukemia does carry a family history but you can get your blood checked every six months. One thing you need to understand is, there are no medications as such which can you take which can prevent autoimmune diseases. If it has to happen, it would or else not. But yes, stress would definitely make things worse. So I would suggest just take it easy since you have had negative tests and enjoy your life. Keep a regular health check. Eat healthily and exercise regularly. You have not got any answers since you are healthy. I hope this helps." + }, + { + "id": 22683, + "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": 10764, + "tgt": "My sciatica is heavy after a minor herniated disc L4 or L5. Why?", + "src": "Patient: Hello, I had a minor herniated disc L4 or L5 last year. (MRI confirmed nerve pinch, but no broken disc or liquid leaks) With heavy pain, I was hospitalized, but recovered within two weeks. With Ibuprofen and muscle relaxants, I was able to walk and function pretty normally. Sciatica (leg nerve pain) came and go during the time now and when I was in the hospital last year. Right now, I am experiencing almost no back pain, but the sciatica is heavy. Mostly on the back of my left upper leg, down till the end of the knee. I am doing stretching exercises, belly position, upper body up, or on the back, leg stretches towards the torso, plank training, etc. But I still have to sit a lot due to my job. I tried a standing desk, which resulted in feet pain and also more sciatia. Though I am sitting straight, the fascinating thing is that heat and cold are influencing sciatica. As long as I apply heat to the leg (not the lower back), the pain disappears instantly to an almost level of no pain. A bit of cold and the pain becomes very heavy immediately as well. Can there be an underlining other issue causing it? Doctor: Hello. As it is a year old injury now I will suggest doing some physical test like McKenzie maneuver to see if the radiating symptoms stops and the pain gets centralize to the lower back. The McKenzie maneuver is simple, and you can read about it and practice it. Now I think there is still a muscle weakness which is leading to nerve root entrapment like the lateral spinal muscles, paraspinal muscles, hip muscles, etc. I advice to not use cold therapy as it is aggravating the pain symptoms. Do proper exercise which will regain the strength in the muscles and avoid nerve root entrapment. In most cases, the pain is caused due to more of the muscle weakness, and it is common in most cases to have received the symptoms back. Doing proper exercise with proper guidance can resolve the matter." + }, + { + "id": 20934, + "tgt": "My son is G6PD deficient. What do you advice to cure his anemia?", + "src": "Patient: Hi doctor, My son is G6PD deficient. He is already 10 months old. We have been having CBC since the first month and the result is somehow close. In his latest result, just taken yesterday, RBC is 4.09 (unit:x10^12/L), hemoglobin is 112 (g/L), hematocrit is 0.33 (L/L) and WBC is 12.0 (x10^9/IL). Differential count: neutrophil is 0.46 (normal range: 0.50-0.70) while monocyte is 0.12 (normal range: 0.01-0.06). He had fever yesterday that triggered us for another CBC test, though he is alright now. He only had fever twice, first was when he had colds. I am worried about his anemia which started in as early as 1 month. We have been taking iron supplements but no significant development, so we decided to stop for one month now worrying about iron overload. We are really careful of his food intake and to avoid triggers since he is deficient of G6PD. What can you advice to cure his anemia? Doctor: Hello. Do not try or stop medication on your own. It is advisable to visit his pediatrician or hematologist for an examination. Your child's hemoglobin level remains persistently low as per history. So, chronic hemolysis or intermittent hemolysis might be there. Clinical severity can be correlated with estimation of serum LDH and serum bilirubin. Iron and Folic acid can be prescribed by his doctor for that. If no improvement and Hb deficiency is more, a blood transfusion might be given. The main treatment for G6PD deficiency is the avoidance of drugs and chemicals that lead to hemolysis and avoid fava beans. Hope this information will be beneficial to you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 8531, + "tgt": "What is the treatment for granular pharyngitis and tonsillitis?", + "src": "Patient: Hello doctor, I have been diagnosed with granular pharyngitis and tonsillitis, but I do not have any post-nasal drip or cold. I have pain while swallowing certain oily and spicy food. What should be the treatment? In the last three months, I have got tonsil infection a couple of times. Doctor: Hi. Granular pharyngitis occurs because of chronic irritation to the pharynx. It is commonly seen in patients with chronic rhinosinusitis, smokers, and nowadays, one of the most common cause for granular pharyngitis is laryngopharyngeal reflux disorder. The usual symptoms of laryngopharyngeal reflux disorder are a mild burning type of throat pain, especially, on swallowing, foreign body sensation in lower part of throat, constant throat clearing, and sometimes early morning voice change. There may not be any symptoms of gastroesophageal reflux disorder, such as heartburn and abdominal pain. It is common to have recurrent attacks of throat pain which mimic bacterial pharyngotonsillitis in patients with laryngopharyngitis reflux disorder. I suggest taking anti-reflux medications, at least for three weeks. You can take tablet Pan D (Pantoprazole and Domperidone) 40 mg twice daily for three weeks. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1631, + "tgt": "I have two bumps in my vaginal area for the past two months. What could those be?", + "src": "Patient: Hello doctor, I have two bumps near my vaginal region. One is on my thigh and the other is near my vagina. They are red outside with a white circle inside. What could this be? I am currently taking Doxycycline for acne. Doctor: Hello. Sorry, the images were not really very clear. (attachment removed to protect patient identity). I would like to know if there are any similar lesions anywhere else on any other parts of the body? Or if these lesions have any pain or itching? Are they the same as they appeared two months ago? Or their texture or locations keep changing? If there was any fever when you have these eruptions, and did these come out after shaving or waxing? But based on one lesion that I could make out, probably which was on the thigh, it appears like a folliculitis (infection in the hair follicle), which has gotten infected. You can apply Clindamycin gel or Doxycycline cream over these bumps if they have this yellow topping which indicates they got infected. If painful you can take some analgesics like Combiflam or Diclofenac. ? Folliculitis. Clindamycin gel or Doxycycline cream local application. Change undergarments frequently. Avoid excessive sweating in the affected area. Keep the area clean and dry. Avoid shaving or waxing in the affected area." + }, + { + "id": 10228, + "tgt": "What are the abortion options during 6 weeks of pregnancy?", + "src": "Patient: Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old. Doctor: Hello. For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: In medical abortion the patient is given a set of medicines namely Mifepristone and Misoprostol in a set protocol. The aim is to disallow further growth of pregnancy by stopping the cytotrophoblastic invasion into the endometrium (through Mifepristone) and then initiating uterine contractions and placental separation (through Misoprostol). The procedure for drug protocol lasts till max 2000 mcg of Misoprostol has been given in a set protocol till the pregnancy has been aborted. The success rates are 93%-96%, but the disadvantage is that it may lead to prolong bleeding for up to two weeks before all the products of conception can be actually aborted. Sometimes, the bleeding just continues for long and one may have to resort to surgical curettage to remove the remaining decidua in utero. Surgical evacuation is a day care procedure where a suction canal is introduced inside the uterus through the cervix, with patient under anesthesia or a paracervical block and the products of conception are suctioned out completely. If the procedure is ultrasound guided, then the success rates are 100 percent and major advantage is, one can leave for work after 6 hours (till the anesthesia effect passes of if general anesthesia or after 2 hours in case of post paracervical block). The remote chances of Asherman syndrome or intrauterine adhesions have been documented in 1% of women who underwent surgical evacuation where adhesions were formed inside the uterus leading to secondary infertility. But, a controlled, ultrasound guided dilation and curettage under an experienced hand is safe. I would suggest her to opt for medical abortion if the pregnancy is unplanned or accidental as this would be a natural way of aborting and moreover pregnancy being less than 7 weeks, can be easily aborted. A repeat ultrasound pelvis to check for completion of abortion shall be necessary after the procedure is undertaken. The mild bleeding and discharge may or may not continue for long, it depends from woman to woman. If this fails, then of course you have a surgical option to look at. Pregnancy should be completely avoided for the next four months of post procedure as that is the time required by uterus and pelvic organs to return back to their pre-pregnant state." + }, + { + "id": 2513, + "tgt": "What to do for swollen and bleeding gums?", + "src": "Patient: Hi doctor, I had a cut in the gum after having some food. Later, I gargled with Listerine and it worsens the condition with swelling. I am having bleeding gums while brushing. I am 35 years old and I am diabetic. Please do the needful. Doctor: Hello. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27858, + "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": 24753, + "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": 25850, + "tgt": "How do I deal with my racing thoughts about death?", + "src": "Patient: Hello doctor, I have been feeling depressed, life is getting hopeless. I am very religious and I have racing thoughts about death and about life thereafter. I have been having decreased social interactions, isolation from others, curiosity, sad, a big sex desire, really wanting to die so that I can see what comes after death, and sometimes a faking sickness. Kindly help me. I am on Focalin. Doctor: Hello. You seem to be suffering from BPD (borderline personality disorder). You can take help from a psychologist to deal with the behavior problem and the psychiatrist can help you deal with the depressive disorder, hypersexual desire and the anger issues. Try to stay away from recreational drugs. This will affect your behavior. You must visit a psychologist to evaluate your personality. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 28508, + "tgt": "Will my asthma medicines and IgE levels interfere with the HIV results?", + "src": "Patient: Hello doctor, I had a possible exposure to HIV, five months back. It was exactly on the 45th day I took an HIV fourth generation test, both HIV-1 and HIV-2 were nonreactive. At the 105th day, I took an ELFA HIV 1 and 2 antibody test, which was also nonreactive. I also did a viral load EDTA plasma HIV RNA-PCR test, which was done on the 123rd day, which stated 'not detected.' My symptoms are allergic rashes with higher IgE levels since a year. I am a known asthmatic. I had an anal fissure, following a day of constipation. I also have small red spots on the glans penis, which my dermatologist claims to be ectopic sebaceous cysts.\u00a0I am taking\u00a0Alaspan, Methycobal, and\u00a0Symbicort for asthma.\u00a0I am recently married and panicked. I have even gone to an extent of killing myself for being restless, out of guilt. Let me know if my medication or my IgE levels would interfere with my HIV results. Can I allay my fears from the above results? Are these tests conclusive? Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5252, + "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": 28721, + "tgt": "Why am I getting pain in the second toe on my right foot?", + "src": "Patient: Hi doctor,I have a pain in my second toe on my right foot. There is no swelling, bruising or discoloration. It does not hurt when walking or anything. It only hurts when being pushed down. For example, when I have to sit down on my knees that toe has a sharp pain when being pushed down on the ground. I do not know what it is. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21412, + "tgt": "Does prolonged use of oral contraceptives increase risk of breast cancer?", + "src": "Patient: Hi doctor, I am 20 years old, and I am a single child. I have been taking oral contraceptive TriNessa for about one and a half years. I have been trying to know whether this pill can cause breast cancer after a more prolonged period of use. The occurrence of breast cancer in my family was with my maternal grandmother. She got it around her 40 years of age. My mother is at the age of 50 and does not have any sign of it. Should I need to change my method of contraception? Or is it safe to keep this one? Currently, I am taking Claritin. Doctor: Hi. You have mentioned two medicines. Claritin (Loratadine and Pseudoephedrine) is used for allergy, and it is safe. Since your maternal grandmother had breast cancer, you are at high risk of getting breast cancer, but your mother is not having it now. You should do breast cancer screening tests BRCA 1 (breast cancer gene) and BRCA 2 to see if you carry the genetic markers. If it is positive, you are at very high risk of getting breast cancer than the average population. Hormonal contraceptives taken orally or by any route are contraindicated in people with a personal history of breast cancer as it can cause breast cancer with prolonged use. We do not advise it if you have a family history of breast cancer also. So you can stop TriNessa (Norgestimate with Ethinyl Estradiol tablets) which is a hormonal contraceptive with some risk. You can use an intrauterine nonhormonal contraceptive device like ParaGard which releases copper, which is safe. You can also use barrier methods like condom or diaphragm with spermicide. I recommend you change your contraceptive. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 62, + "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": 17563, + "tgt": "TMT is positive. Should we take angiography or stress echo test?", + "src": "Patient: Hello doctor,My wife is 47 years old. Suddenly in sleep, she felt palpitations two to three days back and we went to the hospital and found ECG normal. Echo test is normal, Trop I test is normal but TMT is positive. The doctor advised to go for angiography but another doctor says that before angiography we should go for stress echo test. Please advise what has to be done first. Doctor: Hello. Firstly, let me know if she has any risk factors like hypertension, diabetes, deranged lipid profile or family history of heart disease. Usually, what we do, since angiography is an invasive test, we make sure that the patient needs it or not. So initially, subjects the patients to minor tests like TMT (treadmill test) or stress echo or stress thallium. If either of the tests is abnormal then it is better to subject to the patient to angiography. Now, in our case, since her TMT is positive, it is better to subject her for angiography. There is no harm in having stress echo, but suppose it is positive then certainly she will need angiography. But if it is negative then we can again land up in a dilemma of which test to be relied upon. Then she will need some more tests like stress or CT coronary angiography to prove TMT was negative. So it is better to get an angiography done and clear all our doubts. There is sufficient evidence of abnormalities and angiography is a gold standard test. Also, discuss how strongly was TMT positive. If it is strongly positive then nothing to think and go ahead with angiography and if it is mild positive then you may think of stress echo. So overall, it is better to undergo angiography and no harm in stress echo if your doctor insists. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16702, + "tgt": "What is the chance of pregnancy after taking ECP?", + "src": "Patient: Hi doctor, I had sex with my fiance for four times in the last 24 hours. Some of it was unprotected but we did use a condom each time and he ejaculated into it each time as well. But, in between he does not remember there was a high possibility that the pre-ejaculatory fluid contained some active sperm.\u00a0It was during my most fertile window period that I had sex. I have taken a morning-after pill within the 72 hour window and lots of online forums stated that the probability of getting pregnant is really low. My worry is that I have had an accidental pregnancy before wherein even though I had taken the morning-after pill within 6 hours; it completely failed to prevent it. Please help. Doctor: Hi. The success of emergency contraceptive pill (ECP) like an I-pill or unwanted-72 remains 99 percent when the withdrawal bleeding is experienced within next 5-7 days thereby ruling out pregnancy completely due to shedding of endometrium. Another option besides ECP is to use an intrauterine contraceptive device like copper-T within 72 hours of intercourse which can again prevent pregnancy and it is also 98-99 percent successful but not advised for women who have not delivered yet. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9906, + "tgt": "Can IVF be done in a patient with endometriosis?", + "src": "Patient: Hello doctor, Husband is 39 and wife is 38. Married for the past 11 years. Late pregnancy planning. Open myomectomy, right ovarian cystectomy, and adhesiolysis were done three years back. Conceived normally two years back with low AMH 1.34. CS a year back. Congenital heart disease - aortic stenosis, large PDA. Aortic valvotomy and PDA ligation surgery were done. The child died after 71 days. Trying to conceive with Letrozole, CoQ 10, Fol XT, Prastova SR, etc. No result. Severe pelvic pain and cramping for the last four months. No result in Drotin, need to take Jonac Suppository. CA 125 Value 55.6. Husband semen analysis and culture are normal. AMH 1.1, AFC 4 to 5. Small fibroids found in the uterus. A follicular study was done in the last six months. Regular ovulation on day 12 to 13. Consulted fertility doctors and gynecologist. Suspected endometriosis. Advised Lupride injection followed by Laparoscopy, IVF. We need advice. Doctor: Hello. Keeping your history in mind, it is suggested that possible endometriosis or PID which can be the cause of raised CA125 should be ruled out with a diagnostic laparoscopy and peritoneal lavage for culture and possible malignant cells (if any, ovarian). This is mandatory to justify rising CA125 levels which indicate epithelial ovarian cancer. Once that is clear, then you should ideally opt for IVF- ICSI (intracytoplasmic sperm injection) procedure with wife ovum and husband sperm pre-genetic implantation diagnosis (PGD) of the embryo to rule out any age-related congenital anomalies followed by embryo transfer and maintenance of pregnancy on progesterone support and IVF drugs. Considering that fibroids usually do not support IVF pregnancy but they are presently small and once implantation and growth occur, they shall thin out, so still best is IVF. If the cause of raised CA125 levels turns out to be malignant, then pregnancy should not be opted for and treatment for malignancy would take priority." + }, + { + "id": 30187, + "tgt": "For a 20 months old, how often can we give Bandy plus syrup ?", + "src": "Patient: Hi doctor, My daughter is 20 months old and her weight is only 10.5 kg.\u00a0She is not increasing her weight. But,\u00a0she is very active. We had given Bandy syrup for worm problem, but still she keeps her fingers near anus. I would like to know the reason for such behavior. Could you please suggest me why she would do that? Also, can we give Bandy plus syrup 10 mL to resolve the worm issue? How often we need to give this medicine for small kids? Please suggest. Thank you. Doctor: Hi. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Calcimax P 2.5 ml twice daily for three months. 2. Syrup Bevon 2.5 ml twice daily for three months. 3. Syrup Tonoferon (vitamin B12) 2.5 ml in the evening or night (not to be given with Calcimax and to be taken after food). 4. Syrup Bandy Plus 10 mL at night once in every six months. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4615, + "tgt": "Will bruxism lead to occasional dull jaw pain and teeth wear?", + "src": "Patient: Hello doctor, I have been having a little bit of jaw pain from time to time and also a dull pain in different teeth at different times. I suffer from bruxism and have a custom dental night guard. But for the last month, I am feeling pain as if I am grinding at night. The dental guard split in half but it still fits perfectly. The infrequent systems started before this split. What could be happening? I try to be conscious not to clench or grind during the day, but two weeks ago the dull pain in my molars required me to take Advil. What could be happening? I hope it is not wearing my teeth further. I am more concerned with this than the pain. Doctor: Hello. I understand your concern. This could be a temporomandibular joint (TMJ) issue. Temporo Mandibular joint is the jaw joint between the upper jaw and the lower jaw and involves multiple and complex structures like a disc between two jaws, chewing muscles, and the joining bone structure. A complete TMJ and dental evaluation should be done to determine what is causing your jaw pain and bruxism. Bruxism is not a condition, but one of the main symptoms of a TMJ disorder. It could be because of: 1. Tensed chewing muscles 2. Disparity in the disc 3. Changes in jaw bone structure. Other than TMJ issues it could be due to: 4. Psychological stress 5. Misaligned teeth 6. Multiple dental treatments 7. Recent dental injury or infection. Visit a TMJ specialist to identify the cause. Initially, a splint similar to your night guard (called deprogrammer appliance) will be suggested as a diagnostic appliance to identify the cause. Once the cause is determined, the treatment depends on it. I hope this helps." + }, + { + "id": 321, + "tgt": "I get movements in feet and tingling before I fall asleep. Is it Parkinson's disease?", + "src": "Patient: Hi doctor, About 10 months ago after a workout, I had pins and needles on the left side of my body. After months of MRIs and EMGs, I got a skin biopsy that showed you gave small fiber neuropathy. Before I knew this, I got a deep tissue massage and started getting fasciculations. They had calmed down much since October but I will notice them here and there. I always developed movements before I fall asleep. My feet may just move or even my chest, it gives me much anxiety to go to bed. Lately, I have been noticing a little tremor in my right hand and tingling in them when I tried to put in fake eyelashes or hold a pen for a little time. Last week, I have noticed my thumb moved twice. Also, I feel sometimes like my teeth are shaking. A lot or neuros have told me that I am 32 and not to worry about much but they overlooked SFN. I am worried all EMGs are normal. I am concerned now and I have early Parkinson's? Doctor: Hello. I have studied your data. 10 months ago, I have a sudden onset of tingling on the left side after workout but with normal MRI (magnetic resonance imaging) brain and spine which means the stroke is less likely. Later you noted random twisting of muscles (fasciculations) with right-hand action tremor occasional. Movements before sleep (hypnogogic periodic limb movements) work up showed SFN but the cause of it not known until now with normal NCV EMG. We need to find out the cause of SFN like autoimmune disorders etc. It is not Parkinson's syndrome as it is not fitting into it. So do not worry about it. It seems some benign tremor fasciculation syndrome. Please answer some of my questions. Any family history of similar tremors? Any painful or burning sensation in palm and soles? I want to know about your blood sugar status, thyroid profile, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), ANA (antinuclear antibody), APLA (antiphospholipid syndrome), ANCA (anti-neutrophil cytoplasmic antibody)." + }, + { + "id": 29375, + "tgt": "Being premature, am I more susceptible to lung disease?", + "src": "Patient: Hello doctor, I was born premature and required incubation for the first three months of my life. While in an incubator, I received oxygen daily for my lungs. I am now almost 30 years old. I have health anxiety, and worried that I am more susceptible to lung cancer or illness because of my premature birth and lungs. When I was 17, I randomly had a partial pneumothorax. It did not require surgery. I spent one night in the hospital on oxygen and then was discharged the next morning. I am tall and skinny, and they said this just happens to tall and skinny men. So, should I be concerned for now or later in life? Am I more susceptible to cancer and disease of the lungs? Is there any scientific data that points to this? I have not had anything wrong with my immune system or any other organs. I never smoked. Thanks in advance for your help. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15404, + "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": 13340, + "tgt": "Is it fine to breastfeed baby three hours after smoking?", + "src": "Patient: Hello doctor, I am a breast-feeding woman. I used to be a smoker before I got pregnant. I am really stressed out. If I have one and wait three hours before feeding, will it be fine? Doctor: Hi. I would recommend trying to quit entirely. Cigarette exposure in infants increases the risk for several problems, including asthma, SIDS (sudden infant death syndrome), eczema, and many more. There are several options to help quit, including nicotine patches, gum, and even some medications. I would speak to your doctor about quitting. If you must smoke, try doing it before breastfeeding. It takes 90 minutes for half of the nicotine in your body to be eliminated, so it is very difficult to eliminate it entirely. Additionally, never smoke around your baby, always do it outside, wash your hands and change your clothes before returning to your baby. A good rule of thumb is that if you can smell the smoke, your baby is being exposed to it. That being said, the benefits of breastfeeding are immense and are generally thought to outweigh the risk of minor nicotine exposure in breast milk. So in summary, try to quit if you can, but if you cannot, take the above steps to minimize your baby's exposure. Please let me know if you have any more questions and have a nice day." + }, + { + "id": 5700, + "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": 5142, + "tgt": "What is the percentage of living in refractory T-all pulmonary Koch's disease?", + "src": "Patient: Hi doctor, My friend was diagnosed with refractory T-all pulmonary Koch's with organized pericardial collection. He was admitted in a hospital and now they discharged him and advised further treatment. Please give me valuable advice. What is the current condition? And how much is the percentage of living? Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22910, + "tgt": "How is my postprandial sugar level less than fasting sugar?", + "src": "Patient: Hello doctor,I am 21 years old. I am not a diabetic nor my parents are. Recently, I checked my blood sugar levels fasting sugar: 100 and postprandial: 81 and HbA1c: 4.9. On a routine ultrasound scan, two years ago I was diagnosed with bilateral polycystic ovaries and doctor told me not to take any medication but just do regular exercise which I could not do (sedentary lifestyle). Am I diabetic yet? Is it because of PCOS? Also, how is my postprandial sugar levels less than fasting sugar? Doctor: Hello. I understand your concern. Fasting and postprandial blood sugar levels are an indicator of your blood sugar on the day of testing. On the day of testing, if you have eaten less food than usual, or if you have indulged in physical activity after the meal, you could get a lower postprandial blood sugar reading. You could also have high secretion of insulin, which can be regulated by following a healthy lifestyle of a balanced diet and regular exercise (which you already seem to be following). HbA1C is a better indicator of blood sugar control. It shows your blood sugar control over the last couple of months. Since your HbA1C is within a normal range, you do not have anything to worry. PCOS (polycystic ovarian syndrome) is a risk factor for developing diabetes. Since you are following a healthy lifestyle, you are at less risk of developing diabetes. Continue your healthy habits, make conscious positive efforts, but stop worrying. Stress is a risk factor for many chronic diseases, one of which is diabetes. Hence, keep calm and carry on. Keep checking your HbA1C once in six months to keep your mind calm. As long as HbA1C is normal, you do not have to worry about diabetes. As for PCOS, keep it checked with yearly ultrasound scans. Go to reputable laboratories to avoid erroneous reports. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 21247, + "tgt": "What can be done for microcytic hypochromic anemia and anisopoikilocytosis?", + "src": "Patient: Hello doctor,My son has microcytic hypochromic anemia and mild anisopoikilocytosis with ovalocytes seen. No hemoparasites seen. What can I do? Currently, he is taking Cyclosporin 100 mg and previously, he used to take Prednisone 30 mg. Doctor: Hello. I have seen your attached reports (attachment removed to protect patient identity). As per the reports he is having autoimmune hemolytic anemia because of reticulocyte count high, normoblast is seen, DCT (direct Coombs test) positive, ICT (indirect Coombs test) positive. So for that continue prescribed medication that is a steroid that will be beneficial in your case. In autoimmune condition antibody forms against own cells so Prednisone will be helpful that has been prescribed to you. Take care. Consult hematologist regularly for follow up. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30120, + "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": 4002, + "tgt": "Kindly explain about missed periods after MTP", + "src": "Patient: Hello doctor, MTP in 4 weeks, LMP a few months back, checked now, it was negative. What is my problem? When can I expect my period? Doctor: Hi. MTP pills are hormone based so they can change hormonal balance in body leading to irregular menstruation. Also carry out pregnancy test. I would suggest you to wait for 1 week more and if menstruation does not occur till then,then consult a gynecologist and have yourself examined. But do not worry too much about it since it is a very common problem after taking pills and can be treated easily." + }, + { + "id": 8202, + "tgt": "The gums adjacent to my filled teeth appear white and purple. Why?", + "src": "Patient: Hello doctor, Yesterday I had a replacement of a filling in my first lower molar. Today I noticed that from the side closer to the cheek my gum between first and second molar turned white and purple. It seems to be dead. My tooth does not hurt. I had an injection with anesthetic, but it was different from the ones I had before. This time the doctor proceeded to his work right after the injection. It is the first time I notice such worrying changes in my gums. The dead area is spread on the surface of about 12 mm^2, which is quite a lot. I have attached the picture of my gum. Please tell me if I should be worried about that change and what should I do next? Doctor: Hello. Please do not overthink about this. If you have no pain and swelling, you should not be worried about that change. Sometime during the filling procedure, high-speed instrument touches surround gum tissue and make some traumatic ulcers, which gets cured automatically in a few days. Wait for two more days and after then if you have still this problem or any pain or swelling then see your dentist. Tissue injury during tooth restoration. Access filling, tissue injury, and ulceration. Tissue injury. Application of ulcer gel containing Chlorhexidine. Take B complex supplement (once in a day). Make proper oral hygiene. Do not touch the affected area. Use antiseptic mouthwash." + }, + { + "id": 27316, + "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": 5943, + "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": 21309, + "tgt": "How to handle my high fever?", + "src": "Patient: Hi doctor, I have a high fever of 100 degrees. I am overweight. Please suggest. Doctor: Hi. In my opinion, high fever can be due to infection either bacterial, malaria or viral. You can take Paracetamol to reduce the high temperature. Take plenty of fluids, avoid heavy clothing, and dress lightly. Do laboratory tests to rule out the infection for proper treatment. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10538, + "tgt": "Can I opt biologic Etanercept for ankylosing spondylitis?", + "src": "Patient: Hello doctor,I have ankylosing spondylitis (HLA B27 positive) for the past 12 years and with pulmonary tuberculosis the very next year. And took medicine for nine months, and now I am daily taking Saaz, and I am going to plan for Biologics. The doctor suggested Etanercept 50 mg, but I am afraid of side effects as I was already affected by TB before 11 years. Shall I go for biologic Etanercept 50 mg, and what precautions I have to take during biologics? (I have enclosed the report) Doctor: Hello. You need to do Mantoux test and interferon gamma level before starting biologics because they can cause reactivation of tuberculosis if there is doubt you should receive the two drug ATT regimen (anti-tubercular treatment) before starting biologics that is recommended if either Montoux or interferon gamma is positive." + }, + { + "id": 26288, + "tgt": "Is a pink mole normal?", + "src": "Patient: Hi doctor, I have a question regarding a mole. I just had my hair cut and noticed a mole on the back of my neck near my scalp. I might have had it for a while and did not know about it. Most of my moles are brown and auburn. But, this one is pink. I am wondering whether this is normal. My concern is about nodular melanoma, but my understanding is that the nodular melanomas are typically under the skin and then grow out. This one is on the top of the skin, almost like a skin tag that you could pick off. But, I think it is a mole and not a tag. It does not feel like a firm nodule under the skin. It is soft and mobile. Please help. Doctor: Hello. From the picture (attachment removed to protect patient identity), it does not look cancerous. Yes, it has a skin tag type appearance. But, I can give you a confirmatory answer that it is not melanoma because only skin biopsy is the tool which can give you a definite diagnosis. If you notice that it is increasing in size, changing in shape and color, then you have to go to the local dermatologist for further evaluation. Otherwise, at present leave it like this and wait for three to four months for further changes. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8717, + "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": 6614, + "tgt": "I have a twitching on the right side near the diaphragm. What can it be?", + "src": "Patient: Hello doctor, I have a trembling or twitching on my side near the diaphragm, roughly around the sixth and seventh rib. It feels like a bubbling sensation, and I can feel it when I hold my fingers to the side. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28998, + "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": 26045, + "tgt": "Is it safe to use Oflox OZ in an infant for severe loose stools?", + "src": "Patient: Hello doctor, My kid is 11 months old and he had more than 20 loose motions in one day today. He has never had this kind of a severe problem. In his bad days, he might have had 10 motions but they were not as loose and watery as today. He is currently on Taxim O, Sporlac, and Enterogermina. Is it safe to use Oflox OZ for him? Please let me know the dosage as well. Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23293, + "tgt": "I have muscle pain and stiffness in neck. Is it linked to scoliosis?", + "src": "Patient: Hello doctor, I am a 50-year-old woman and have been diagnosed with mild scoliosis many years ago. My left shoulder is slightly higher than my right and right hip slightly higher than my left. Of late I am experiencing muscle pain and stiffness in the left side of my neck and the left shoulder. Is this something linked to scoliosis? What should be the remedy? Currently, I am taking Replace H and Thyronorm. Doctor: Hi. Yes, quite possibly. Because you have a pre-existing imbalance in your upper spine, the muscle and ligaments are not subjected to similar stresses. This should be the first cause to be addressed through local therapies and strengthening of the weaker muscles. In addition, you will need to look at your current posture and aggravating factors if you want to avoid long-term problems and recurrence. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14115, + "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": 3791, + "tgt": "Can perforation in rectum be detected within five hours of anal sex?", + "src": "Patient: Hi doctor, If you perforated your rectum from anal sex, would you know within five hours? I am feeling more gas than usual. Doctor: Hello. I read your query and understand your concerns. In my opinion, any tear involving mucosa can be known to the individual within seconds rather than hours. I mean to say that if there is perforation of rectum you will know it within seconds and five hours are not required. The symptoms often include excruciating pain at the affected part and tearing sensation. I hope this helps." + }, + { + "id": 1235, + "tgt": "I cannot sleep at night, but when I do, I cannot get up for 9 or 10 hours. Is this because of stress?", + "src": "Patient: I am 18 years old my problem is that i cannot sleep at night but when i sleep i cannot get up for like 9 or 10 hours . when i cannot sleep i usually keep using my laptop . i am very overweighted like my weight is almost 94 kgs i dont know may be i think that this is because of stress. Doctor: Dear, Thanks for your query. I understand that you are facing sleeping disturbance due to unavoidable sleep patterns. Actually, everyone these days are going through these problems due to uncertainty around us, revised and changed work schedules and so on. Besides, yes stress plays a key role in this, when thought processes are going on, mind finds difficulty in shutting down. Regarding weight, yes it may disturb physical patterns as well but i think more than this stress plays a key role. I would suggest you to discuss your stress and find solutions to the issue. You are so young, and feeling sad is ok but it is important to talk about issues you are experiencing. Best Regards" + }, + { + "id": 30269, + "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": 4046, + "tgt": "What cause color change of toe in a diabetic patient?", + "src": "Patient: Hello doctor, My father has diabetes, and recently we noticed that his toes turn to purple at night, espcially when he is not walking or standing. It goes back to normal when he walks for a little bit. We run some tests, and I would like a specialist to look at them. We consulted a cardio doctor but I am not sure they know what is wrong. So, I have the lab results and I need a doctor to give me more information on what they mean and what possible directions we could take. I also want to share the list of drugs they gave him so far. Doctor: Hi. Gone through the reports you provided (attachment removed to protect patient identity). He is having diabetes. Reports suggest that he is having blockages in leg arteries and also in heart arteries. Doctors have started on anti-platelet drugs and cholesterol lowering drugs. Prescription looks okay. Further I will suggest be on all these medications. If his toes does not improve within 2 to 4 weeks he may need a procedure to open the limb artery blockages. As he is not having any heart related symptoms like chest pain, breathing difficulty can wait and watch for heart issue with continuation of prescribed medications." + }, + { + "id": 29834, + "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": 3558, + "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": 19937, + "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": 11835, + "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": 5118, + "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": 14520, + "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": 443, + "tgt": "How to know the reason for spotting and painful bleeding?", + "src": "Patient: Hi doctor, Last week, I had bleeding and pain because of the cyst on my ovary. Now, the pain started to ease and I have been spotting and bleeding for one week. I just want to know if this is normal. If so, then how long will it bleed? Doctor: Hi. I hope you are feeling better now with regard to the pain. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27791, + "tgt": "I noticed some soap residue in my nebulizer while using it. Should I be concerned?", + "src": "Patient: Hello doctor,I have been using a Levalbuterol nebulizer for a cough. I accidentally had some soap residue left in the\u00a0nebulizer, and I used it for a minute before realizing this. Should I be very concerned? Doctor: Hello. For further queries consult a pediatric allergic asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 8011, + "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": 11344, + "tgt": "My hip X-ray is 35 mAs. Am I overexposed?", + "src": "Patient: Hello doctor, I had a hip X-ray of 35 mAs. An average hip x-ray is supposed to be 20 mAs/.07 mSv. So if my hip x-ray was 35 mAs, how many more mSv have I received? Was I overexposed? Doctor: Hello. The x-ray power output depends on mAs (milliampere-seconds) and kVp (kilovoltage peak) parameters. The average hip x-ray can be done at about 20 to 30 mAs and 70 to 80 KVp. The general rule is that the percentage increase in mAs causes a similar increase in radiation dose. In your case we can take the average tube current as 25 mAs and dose given to you is 35 mAs. Therefore you might have received 30 to 40 percent over the dose if given a 25 mAs exposure. As x-ray dose for hip x-ray is less when talking about the harmful effects of radiation, so you do not have any significant increase in radiation dose risks." + }, + { + "id": 27668, + "tgt": "Please suggest a treatment for delayed periods", + "src": "Patient: Hello doctor, I am an 18 year old. My period is delayed by three days. This is not normal for me. I took two pregnancy tests and they both came back negative. Doctor: Hello. How are you doing? I do not see any reason for you to worry. Having a cycle of 28 days plus or minus seven is considered alright. You do not need to worry about it. Hope I have clarified your query. 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": 27982, + "tgt": "Can Lithium cause kidney and thyroid problems?", + "src": "Patient: Hello doctor, My health issue started 11 years back when I was diagnosed\u00a0with mania. Since then, I have been taking Olimelt 5 mg. My weight has increased from 65 to 100 kg. Whenever I tried to stop the medicine, the problem worsened. I have had four manic\u00a0episodes in all these years. The last episode was last year when due to the pressure in my job, I could not sleep for three nights. My mood started to remain happy, and I was on the top of the world. I went to a psychiatrist, and he gave me Lithium 900 mg along with Olimelt 5 mg. Everything remained normal for six\u00a0months, but now I am experiencing frequent urination problem. I need to urinate every 30 minutes in small amounts, and the tip of the penis becomes wet after 15 minutes. My creatinine and urea levels are normal. Is it happening due to Lithium? Please suggest some better medication, which does not cause kidney, thyroid, urine, and weight gain problems. The urine problem has become a nuisance. Please help. Doctor: Hello. Remember, every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11966, + "tgt": "Is there a link between stress and health?", + "src": "Patient: Hello doctor, Does economic stress affect a person's health? Is there a link between financial stress, poverty and poor overall health? Do people who worry about their financial status have higher risk levels for certain types of diseases or illnesses? Can lowering stress levels improve overall physical health? Doctor: Hello. Yes, financial stress, poverty, and poor overall health are all linked. Because financial stress and poverty lead to deficient nutritional status hence affect physical health, worry about it lead to impaired mental health. Poverty is seen in researches that poverty leads to poor mental health and poverty again is a significant risk factor for mental illnesses. Yes, physical health and mental health both are interlinked. A healthy mind has a healthy body, and vice versa one cannot achieve complete health without being mentally healthy." + }, + { + "id": 24619, + "tgt": "Why do I not get an erection with my new partner?", + "src": "Patient: Hello doctor, I do not know why, but I do not feel confident and cannot get a boner with this new partner I have. I am depressed and this is nothing new to me. I have dated her before and it was the same thing. She really intimidates me and this does not happen with other partners I have had. Please help me. Doctor: Hi. Probably, you are suffering from erectile dysfunction situational type. It can be managed by two different approaches: It is difficult to explain the non-drug therapy here. So, you can consult a psychiatrist in person to learn how to practice it. Once you learn it, it is quite an effective method. Drug therapy can be used to manage erectile dysfunction but these are prescription-only drugs. So, you need the same to buy. Sometimes, excessive preoccupation with the same thing can also lead to a similar problem. As you have failed with this girl earlier, now you fear that it is going to happen again. In that situation, try to imagine that you are with a different person. This might help you overcome anxiety. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27873, + "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": 25958, + "tgt": "Can I be infected with HIV from only receiving unprotected oral sex?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I wish to know what are the practical chances of me being infected with HIV from only receiving unprotected oral sex. It happened multiple times in the course of a one-hour encounter with a CSW. There was absolutely no vaginal or anal intercourse. Exactly one month after this encounter, I suffered somewhat flu and common cold type condition. It developed as follows: Day 1: It started in the afternoon with continuous sneezing (mostly dry, but not entirely) Day 2: I started feeling a scratchy sensation in the throat. The sneezing lasted but less frequent. Day 3: The throat sensation continued, getting worse. Mild coughing with a runny nose though not severe and little nasal congestion. Mild body aches at times here and there. Slight malaise type feeling. Day 4: Throat discomfort and coughing sensation. Day 5: Constant coughing, throat pain, throat discomfort, breathing problem, getting worse. Deep mouth-inhaling resulting in a cough. There was no rise in body temperature, no noticeable fatigue, no serious or persistent body ache, no trouble doing usual chores, no unusual body rashes, and no unusual gastrointestinal problem. I visited the GP on the fifth day of this encounter. He examined my chest with a stethoscope and said no serious cough in the chest and that my condition may be from some mild viral attack, nothing serious. My queries are : What are the chances based on the encounter described above of me having HIV assuming my partner was HIV-positive? Are the symptoms being experienced by me HIV related? Doctor: Hello. Before clarifying your doubts, I just want to let you know a few basic details about HIV (human immunodeficiency virus) and its transmission. HIV is spread mainly by having an unprotected anal or vaginal sex with someone who has HIV, sharing needles or syringes of an infected person, or from mother to child during pregnancy, birth, or breastfeeding. Transmission from homosexual males is more than transmission from a female to male. HIV can also be affected by receiving blood transfusions and blood products. About your query, every infection does not need to be related to HIV and having unnecessary anxiety as does your general physician states. Without knowing the health status of your partner, we cannot judge the acquaintance of HIV virus. If you are in doubt, you can go for HIV investigation to confirm this. Without any proper evidence of active infection, there will not be any point in making this diagnosis. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18140, + "tgt": "Why is my 19 months old daughter having constipation since we started giving her solid food?", + "src": "Patient: Hi doctor, My 19 months old daughter\u00a0weighs 7 kg and is 2.3 feet tall. She has been suffering from constipation since we started giving her solid food, that is since\u00a0the\u00a0seventh month.\u00a0\u00a0She cries while passing stool, and her anus becomes red after she\u00a0passes stool for around two or three times a day.\u00a0Our doctor suggested to skip milk and milk cereals\u00a0and to continue mother's milk. Also, she drinks less water. He prescribed Anovate cream and Eva Q syrup, which we were giving her from the past three months, but did not see any improvement. Recently, the doctor changed the medicine to\u00a0Muout powder, two times a day. How many months are we supposed to continue this? When will my daughter be fine? What should be her diet? Can we give milk with honey? Please help. Doctor: Hi. For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3231, + "tgt": "Why does my dad keep abusing me?", + "src": "Patient: Hi doctor, I am 18 years old. I have problem with my dad. He is a kind of Hitler. I want to die. I cannot live with him. He hates me. He abuses me every day. Please help. Doctor: Hi. I can understand what you are going through and you have my sympathies for the same. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30515, + "tgt": "How to correct my teeth problem?", + "src": "Patient: Hi doctor, I would like to know the ways to fix my teeth and make them better. Please explain. Doctor: Hello. Kindly ask your question in detail with your exact problem, so that I can answer your doubts to my best. Revert back with more details to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9008, + "tgt": "What ayurvedic medications can be taken along Thyronorm to cure PCOS?", + "src": "Patient: Hello doctor, Three months back, I consulted for severe PCOS. I started with the medicines you prescribed me. I feel a lot better now. My menstrual cycle has started coming every month with the help of the medicines you prescribed. I am more than good that I have ever felt in the last six years. Emotionally very stable. Less pre-menstrual symptoms and blood pressure in control too. Kindly guide me further. My current dose of Thyronorm is 200 mg. Doctor: Hi. It is good to hear you are feeling better now after medications. Now, you should check out your thyroid profile and USG abdomen to know the present status of TSH and ovarian cyst. Further medications would depend on the investigation reports and your symptoms. Now, you should continue the same medicines. There is a possibility to reduce or stop taking Thyronorm. Next you should come back with latest USG lower abdomen report, thyroid profile report, lipid profile, blood pressure reports and blood sugar fasting, and PP reports." + }, + { + "id": 5916, + "tgt": "I have bad breath and yellow teeth. How to solve this problem?", + "src": "Patient: Hello doctor, I have a problem with breath odor and yellowish teeth. How to solve this problem? Can I use Sensodyne toothpaste? Doctor: Hello. Breath odor might be due to tartar deposits on the teeth, gum problems, decayed teeth, improper tongue cleaning, frequent intake of onion and garlic, or any gastrointestinal disorders. Yellow teeth might be due to plaque and calculi on teeth, staining due to smoking or betel nut and paan chewing, or internal staining. These conditions can be treated by: Scaling and polishing (to be done by the dentist), followed by brushing twice daily. Use of an antibacterial mouthwash. Proper tongue cleaning. Avoiding intake of onion and garlic. Quitting the habit of smoking or betel nut and paan chewing (if any). Consult a general physician if breath odor persists even after following the above-mentioned treatments (to rule out gastrointestinal disorders). Use of Sensodyne is not recommended for your dental issue." + }, + { + "id": 21537, + "tgt": "I do not have any emotion towards family or friends. Is it normal?", + "src": "Patient: Hello doctor, I am 19 years old female weighing 53 kg and of height 155 cm. I do not have any emotions except for smiling too much and sometimes feeling anger. I used to be a little violent. I do not feel love or sadness or guilt or jealousy. I do not miss my friends or my family while I stay far away for college. I do not feel anything when doctors say my mother might be suffering from cancer. While I was around 10, my grandfather passed away, and I said there is no need to cry as it is similar to a chicken dying. I do not feel shame or embarrassment. I sleep with my lights on and always with somebody in the room. As time is passing by, I am feeling that my humanity and empathy are disappearing. I feel there is no need for any relationship but I am not antisocial. Is this normal? Doctor: Hi. I have read your query carefully. First of all, I would like to reassure you that you are completely normal. Each individual is having a specific personality and you are having a schizoid personality which is not so uncommon. Features like less emotional, less empathetic about others emotions, less sensitive, less requirement of friends, etc., are few characteristics of schizoid personality and it is completely normal. It will not impact your life in the future. Slowly when you will grow, your personality will become more mature to deal with and understand social emotions. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3886, + "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": 23092, + "tgt": "I had vaginal intercourse and condom broke. Am I at the risk of HIV?", + "src": "Patient: Hello doctor, Two weeks ago I had a scare. I had vaginal intercourse with a girl from the bar and the condom broke and I removed immediately. I asked her about her status and she stated clean. There was some blood on the bed from her after. I started PEP within 24 hours from the clinic, they gave me Tenofovir, Emtricitabine, Lamivudine one pill each daily. Is this a good drug regime? Two weeks later, I started to feel a sore throat or night sweats. What are the odds of being infected? Is this low risk? Doctor: Hello. PEP (post-exposure prophylaxis) is good. A sore throat is very common at this time. You can go to ENT specialist. You can have tablet Zerodol SP (Aceclofenac, Serratiopeptidase, and Paracetamol) two times a day after food for three to five days, tablet TAXIM O (Cefixime) 200 two times a day after food for three to five days. Tantum (Benzydamine) liquid gargle before meals two times. You will be all right, as such you go for a test fourth generation CMIA kit test for HIV on the 28th day. If it comes negative, means no HIV is there. PEP to be taken for 28 days. For more information consult a HIV/AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11936, + "tgt": "Kindly tell me the management of heartburn and gas problem", + "src": "Patient: Hello doctor, I have heartburn and gas problem. I have burning pain in between chest and stomach. I have feeling of something stuck on throat. I am facing difficulty with continuous burping. Doctor: Hello. According to your complaints, you are having GERD- gastroesophageal reflux disease. You can undergo endoscopy examination to rule out any upper GI problems. Try the following medicines and review: 1. Tablet PAN D 1 BID before food. 2. Tablet Libarex 1 BID after food. 3. Tablet Alprax 0.5. 4. Liquid Sucralfate 10 ml BID after food for 10 days." + }, + { + "id": 29433, + "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": 17558, + "tgt": "There is a spot of rust in my orthodontic retainer. Can I continue to use it?", + "src": "Patient: Hello doctor, I have had braces for many years. I am almost finished with the treatment and currently use a retainer about once a week. I have just found rust and corrosion in the weld between the steel wires.\u00a0How serious is this? What should one do? Can the retainer still be used? Doctor: Hello. Hope this helps. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 8325, + "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": 13024, + "tgt": "Is it fine to masturbate a day after laser eye surgery?", + "src": "Patient: Hello doctor, My brother had an eye trauma. So, he had laser surgery for retina after two months of trauma. But he masturbated the next day of laser surgery (after 19 hours). Will that cause any problem to his retina or retinal nerve? Will it increase intraocular pressure? Please give a detailed answer as we are worried. Doctor: Hello. Masturbation will not have any adverse effect on laser treatment of retina or retina. There may be a minimal increase of intraocular pressure with masturbation but that must be non-significant. Kindly share the file to guide you better." + }, + { + "id": 23633, + "tgt": "Is it normal for a child to have bowel movement every time they pass urine?", + "src": "Patient: Hello doctor,My daughter of 10 years passes stool every time she urinates. This is happening the last two days. She is somewhat plumpy, otherwise healthy. Currently, she has a cold and cough but, not taking medication. Last week, she took Metacef for a chest congestion. Doctor: Hello. Bowel and bladder dysfunction are quite common during illness. There is nothing much to fear. Did she have any antibiotic in the recent past? Does she complain of any abdominal pain? Could you specify whether the stool consistency was watery or solid? I suggest tablet Lee biotic (probiotic) once daily for seven days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13699, + "tgt": "I started feeling itches after a bee stung me. What do I do?", + "src": "Patient: Hello doctor, I got stung by a bee yesterday morning on my toe. When I woke up this morning, I started feeling itches here and there in my body. I also got two blisters on the top of my toe where the bee had stung. Doctor: Hello. With the conversation we had, I understand that you were bitten by a bee yesterday (insect bite) on your toe and today you have blisters, itching, and swelling. Based on the information you gave, I have suggested some measures as well as some medications. Please wash the toe with lukewarm water and see carefully if any part of the sting (sharp organ of the bee) is left in the toe where it stung. If so you must contact your local doctor who can do the needful steps to remove the sting. If not, then apply some antibacterial cream (like Mupirocin ointment or Betadine ointment) over the blisters. Apply the cream twice daily and wash off with lukewarm water before the next application. Wear comfortable footwear that does not rub over the affected part. Next, to get relief from itching, take an antihistaminic tablet. Antihistaminics that you may take are Levocetirizine 5 mg once a day (if effects wean off, then take twice a day) or Cetirizine 10 mg once a day. If there is pain take a painkiller (Paracetamol 650 mg) if needed. If there is severe swelling and that is increasing with days you need to consult with your doctor to see if it has caused an infection. Increasing pain, pus from the blisters, change of color of surrounding normal skin, fever are some other symptoms showing worsening of the condition or infection. If you are a diabetic with poor sugar control, you run an increased risk of developing an infection. In such a case depending on the severity of infection, anti-bacterial agents have to be instituted. Take rest and do not move the affected toe a lot. Eat plenty of nutritious food and take 4 liters of water per day (this should be the case normally). Especially so now because when you take medicines, the body needs abundant water to take care of metabolism." + }, + { + "id": 19052, + "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": 28898, + "tgt": "From my Widal report, please explain the reason for my fever", + "src": "Patient: Hi doctor,I have been suffering from fever for the past two days. My Widal report says S. Typhi O antigen 1:40, S. Typhi H antigen 1:40 and S. paratyphoid A. I am only taking tablets to control my temperature. Please explain the report. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27960, + "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": 12878, + "tgt": "What is the treatment for redness and itching after bug bite?", + "src": "Patient: Hello doctor,Last month I was bitten by some bed bugs. After pest control, they have been eradicated from the house. But my skin is very itchy and there are white and red spots on the full body. Can you suggest me some medicine or ointment, so the redness and itchiness fades? Doctor: Hi. This type of rash is seen not because of bed bugs but maybe you are allergic to something coming in contact. It may be so many things like your clothes, bedding or plants or some food items. For now, apply Hydrocortisone cream at day time and calamine lotion at night along with D-Loratin (Desloratadine) 5 mg once daily before sleep (if pregnant or lactating, avoid tablets). I am not sure about your age and sex as this information is not available. Urticaria. Desloratadine 5 mg once at night, Hydrocortisone cream 1 % once in morning and Calamine lotion at night." + }, + { + "id": 21098, + "tgt": "My pressure is 140/70 while on BP medicine. Is it normal or high?", + "src": "Patient: Hi doctor, I am 28 years old, and I am suffering from blood pressure and high cholesterol. I am taking Telvas H 40 and Rozustat daily. I am taking two garlic cloves with warm water. Yesterday, when I checked my BP, it was 140/70 mmHg. Is it normal or high? Doctor: Hi. It is a borderline reading, and you need to check it frequently. Have a low salt diet and monitor your blood pressure regularly thrice a day for one week. Then follow it once or twice a week. If the BP (blood pressure) is persistently more than 140/90 mmHg, then the medicines have to be hiked. Do regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week." + }, + { + "id": 16349, + "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": 19497, + "tgt": "Can hypertension cause dilated cardiomyopathy?", + "src": "Patient: Hello doctor,I have a medical question actually. There is a 30-year-old obese female with no known history who comes to the emergency room. She presents with a 2-month history of shortness of breath and pedal edema. When she comes to the emergency room she is found to be in a hypertensive emergency with pressures of 190/110. She was given Lasix in ER and her pressures responded well. CT angio chest and CXR showed mild pericardial and b/l pleural effusions. Her BNP was elevated at 1000. An echo was done which showed LVEF of 20 to 25 % with severe concentric LVH. The echo showed dilated cardiomyopathy. Given her age group, we did an extensive workup for her HTN and her CHF, including lupus, RA, viral antibodies, (echo adenovirus), b/l renal artery stenosis, fibromuscular dysplasia, pheochromocytoma, etc. Everything was negative. It seems that she may have had severe diastolic dysfunction due to underlying untreated HTN which was undiagnosed. But my question is the systolic heart failure with dilated cardiomyopathy. What explains that in this lady? Can hypertension in itself cause dilated cardiomyopathy? If so, would the echo show both a dilated LV and severe concentric LVH? Or is it that she may have had a viral infection of some sort which slipped her into dilated cardiomyopathy and caused her to go into HF? I know this is a medical question and I am not giving the full information but I would love if you can explain this to me. Thanks. Doctor: Hello. She is having HTN (hypertension) which may cause concentric LVH (left ventricular hypertrophy). EF (ejection fraction) 20 to 25 % with both pericardial and bilateral pleural effusion. You need to evaluate the cause of effusion both cardiac and pleural and need to exclude tuberculosis and underlying hypoproteinemia. You may do TB PCR (tubercular PCR), LFT (liver function test). With control of HTN and treatment of effusion, both cardiac and pleural will improve EF. Dilated cardiomyopathy is less likely. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2130, + "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": 7923, + "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": 30956, + "tgt": "I have not got periods after having intercourse for the first time. Why?", + "src": "Patient: Hi doctor, I had intercourse for the first time on 10th without any ejaculation due to pain. Next day, there was bleeding. My periods were due on 13th and I had some clear blood spotting during urination with back pain. But, I did not have periods. I also had some spotting while urination on the 17th. Please let me know whether it is normal. Doctor: Hi. For further information consult an obstetrician and gynaecologist\u00a0online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15568, + "tgt": "Can vaginal discharge and headaches after sex mean pregnancy?", + "src": "Patient: Hi doctor, I am really worried as I am a 15-year-old girl and have been on the Microgynon 30 pills for a month now. I had unprotected sex a week ago for the first time but my boyfriend did not ejaculate inside of me. For the past two days, I have been really ill. I feel sick but I am not actually sick, I have headaches and I also have discharge (been suffering from this for a while now). I also cannot eat anything as I am not hungry. Is there any chance I could be pregnant or is it just a fever? I am really nervous (I have never missed a pill and have taken it every single day at the same time). Doctor: Hi. How are you doing? If you have been on Microgynon 30 regularly and have a well-protected sex without any tear or spill, then there is no chance of pregnancy. Also when you are very sure that he did not ejaculate into you. Even though he did not ejaculate into you, his seminal secretions may have come in contact with your vagina, so also any infections lodged in his penis. You being so young, your vaginal and cervical cell lining will be very friable. They are very sensitive to tear and any infection. This can cause vaginal infection. Vaginal infection, which is transmitted during sex (so partner is the source), so both have to be treated at a time or else you will get infected next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the innermost vagina (due to inflammation of the structures around the uterus) pain radiating to the back or thighs. Associated to infection bowel movement is affected, also features of gastritis. Bleeding of periods will be thicker, darker, clots or fleshy masses like, may smell bad, more days with spotting after the periods too. When you have an infection inside the uterus, the blood flow increases as inner lining is inflamed and the blood mixed with the inner lining of uterus forms a thick, doughy or fleshy mass. As the healing of the lining is not complete, it keeps spotting or you have blood stained discharge. May have associated gastritis features like belching, constipation or loose stools, pain in lower abdomen, as the muscles and ligaments around uterus, are being irritated by the infection. You may not have all the features, but they may appear over time. Pain is throbbing even before periods and last after periods are over too. Usually, infection is mixed and not just due to yeast fungus, there will be a family of aerobic and anaerobic bacteria, all of which cannot be detected on culture. When one is treated and cleared, other will grow and if not fully treated, it will regrow. Before treatment, confirm that you are not pregnant by having a home urine pregnancy test. You and your partner can have tablet Fluconazole 150 mg stat (only one tablet, no repetition), after lunch, tablet Azithromycin 1 gm stat (only one tablet, no repetition) one hour before food. Tablet Secnidazole forte two tablets stat (no repetition) after dinner. All these on same day by both of you. Later, you have capsule Doxycycline 100 mg twice a day for one week. Vaginal wash with V Wash or similar cleanser twice a day and vaginal pessary. Capsule Clingen forte or Candid-CL or Cansoft CL once at night for five nights. Your partner can have a local application of any antibiotic and antifungal cream. Candid B or Candiderma or Lobate GM on penis twice a day after wash for seven days. Do not have sex till the infection is fully gone. Do treat it as delay may send the infection inwards and may affect both you and partner's future fertility." + }, + { + "id": 29130, + "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": 20847, + "tgt": "Had oral sex alone, now having pain in my testicles and penis. What is the problem?", + "src": "Patient: Hi doctor, I am 30 years old male. I had oral sex before six months, and I am sure I had no sex. After two months, I developed molluscum contagiosum. When I consulted a doctor, he said it has to be removed, and it is STD. As soon as he said it is STD, I got tested myself for STD panel where all the results were negative except HSV 1 and HSV 2. The IgM was equivocal. I consulted a homeopathy doctor, and he said, as it is equivocal, we need to get retested after 12 days and meanwhile, he gave me medicines for 15 days. After 15 days, I got tested for HSV, and the results were negative. But I had a greenish discharge for one day and white discharge for two days from my penis during the medication. After that, I never had any discharge till now. I got tested again after a month for chlamydia and gonorrhea using PCR where chlamydia came positive. When I consulted a urologist, he treated me with Doxycycline 100 mg for ten days, and 15 days after the treatment, again I got tested for chlamydia and gonorrhea using PCR where chlamydia came as negative, and gonorrhea came as positive. When I showed the report, the doctor gave me Azithromycin 1000 mg and Cefixime 400 mg only as a single dose. I waited for 12 days. Again, I tested myself where both the results came negative. After three weeks, I was having pain in the testicles, and I visited the urologist. The doctor did a physical check and asked me to get an ultrasound test of the scrotum where the reports came as right epididymitis and the doctor gave me the following medicines. They are Ceftriaxone 250 mg IM (this injection was given on my right-hand vein), Ofloxacin 300 mg (twice a day for 10 days), Hetrazan 100 mg (thrice a day for 21 days), Trypsin Chymotrypsin tablets (thrice a day for 20 days), Drolgan (morning and night for five days). Before three months, I got married, and still, I have not started any physical relationship with my wife as I am afraid. I request you to help me. I have pain in my testicles. There is a mild pain in the penis. The pain lasts for two to three minutes. Doctor: Hi. I have gone through the report (attachment removed to protect patient identity). You are having epididymitis and post effects of gonococcal infection. You have also got infected by herpes simplex which will occur recurrently. Even though you are treated with allopathic medicines, some residual symptoms will remain in your body. Gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility if left untreated. Take medicines Medorrhinum 200 C 10 pills once in five days, Hydrastis Q daily 10 drops with a cup of water two times, Kali sulph 6X two tablets daily for three times. To prevent getting a sexually transmitted disease, use latex condoms whenever you have sex. Avoid sharing of towels or underclothing. Washing is essential before and after coition. Revert to me after 15 days." + }, + { + "id": 7546, + "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": 14873, + "tgt": "I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur?", + "src": "Patient: Hello doctor, I am an 18 year old boy. I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur? I also have stains on my teeth. I do not smoke or drink alcohol, but my teeth do not look white. How can I improve the colour of my teeth? Also, why do I get the smell of whatever I eat in my breath? Doctor: Hello. You are suffering from halitosis. You must be having sensitive teeth, hence having pain or cold or hot sensation. I suggest using Sensodyne toothpaste. Try using Orahex (Chlorhexidine) gargles twice daily for bad breath. Slight staining is normal, it has to be noted only when you get more stains in your teeth." + }, + { + "id": 21703, + "tgt": "Can topical steroid cream help in healing the red spots on my nose?", + "src": "Patient: Hi doctor, I got red patches on my nose after using chemically made facial products while using Retin-A ointment. I have attached pictures. In that, I have used Cerave ointment for healing the marks. Now, I discontinued using Retin-A 0.025 % ointment. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Retin-A (Tretinoin) makes the skin sensitive and a scrub or facial may cause dermatitis like this. I suggest you use a moderately potent topical steroid cream like Fluticasone propionate 0.05 % cream or Mometasone furoate 0.1 % cream, twice daily for a week. It will get fine. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12980, + "tgt": "Why am I having delayed periods with hot flushes, dizziness and fever?", + "src": "Patient: Hello doctor, I am 18 years old. My period is always regular and exactly on time (every 34 days x 7 days of bleeding each time) but this time it is two weeks late. I am getting hot flushes, fever, I am cold all the time, dizzy, lightheaded, very weak. My abdomen is cramping and hurting, been so for a few days, the discharge has not changed since ovulation. I am very emotional, crying all the time. I cannot be pregnant, I am single and a virgin. I have a healthy weight, do not have any eating disorders, have not been under lots of stress or anything similar lately. I am just so scared. Feels like period cramps but less intense. Been going on for days. I really do not know what to do. I do not want to go to a gynecologist. I am afraid and really not ready for that. I just want all this to go away and to get my period back. Please help. Doctor: Hello. According to your history and symptoms, it seems that nothing is wrong with your body system. Sometimes, periods get disturbed. Your symptoms are pointing towards signs of PMS and I feel that you are panicked by the situation which is making the condition worse. I would suggest that you have not to worry about it and just wait for a few more days. Hopefully, your cycle would resume by itself because unrecognized stress results in delaying of the cycle." + }, + { + "id": 5698, + "tgt": "Should I be worried for the red spots on my chest?", + "src": "Patient: Hi doctor,I have red spots on my chest for the last two weeks. They are not itching, but I am worried about that. Is this some sort of rash or just chest acne? Should I be worried? Please\u00a0help. 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. If you did not have any fever or viral in the recent past, these are quite unlikely to be some associated rash. If these are only on the upper chest and not on other body areas like legs, arms, etc., you need not worry. 1. These could be acne if you have acne on the face, upper arms, shoulders, etc. 2. If they occurred immediately after waxing or shaving of chest hair then it can be folliculitis. In that case there should be little pus points or some discomfort or pain. 3. These could also be due to seborrheic dermatitis or pityriasis especially if you suffer from troublesome dandruff. 4. For acne you will require antibiotics and for seborrheic antifungal combinations. Let me know if there are any associated features, so that appropriate creams can be prescribed to you Revert back with detailed answers to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14404, + "tgt": "Do my symptoms mean cancer?", + "src": "Patient: Hi doctor, I am a 24 year old female. I had an anal fissure a few months back due to constipation and it got healed with medication. For a week, I have constipation due to the change in my diet and lack of water intake. Whenever I had a bowel movement, I would get some prickly sensation in the anal area and itching. Two days back, I saw some blood and very tiny blood clots in stool. I took the same medicine, which was prescribed for anal fissure. My doctor told me to take the same whenever I had a fissure again. I have been taking that medicine for the past days and I did not see any blood or blood clot in the stool. The stool appears normal in texture and color. But still, when I pass motion, I feel a little swelling, slight pricking and itching in the anal area. Today, I read something called colorectal cancer or tumor. It has confused me. Many links say that the blood in the stool is the first symptom, there is a lot of bleeding and sometime bleeding cannot even be seen with the naked eye. Which is the truth? If the bleeding cannot be seen does it mean I still have a tumor or cancer in the rectal area? They also added up a lot of other symptoms like weakness, etc. I do not feel any of that. Apart from this, I am extremely healthy. I do not smoke or drink. My exercise includes yoga and dance. There is no history of cancer in my family as well. I am scared after reading that. I think even my normal appearing stool could have blood in it and there could be a tumor. I feel there is a little swelling or obstruction in the rectal area. I would like to go for colonoscopy. Will they do a colonoscopy to the patient of my age? I want to know whether my doubts are correct. Do my symptoms mean cancer? Doctor: Hi. Your symptoms of constipation associated with pricking pain and itching in the anal area as well as blood in stools lead to a unified diagnosis of anal fissure. An anal fissure is a small tear or crack in the lining of the anus. It may occur when passing large or hard stools or experiencing bouts of diarrhea. It can cause sharp pain and bleeding during and after bowel movements. It may also cause itching and burning in the anal area. It is usually a minor condition that goes away within six weeks. Its symptoms include a visible tear in the skin around the anus, a skin tag or a small lump of skin next to the tear, pain in the anal area during bowel movements, streaks of blood on stools or after wiping and burning or itching in the anal area. Please do not panic and get anxious. Colorectal carcinomas occur in later ages. Do you have any family history of the same or any polyps or any gastrointestinal complaints? In malignancy the symptoms are continuous and not episodic as in your case. Also, it will not subside by their own or respond to the treatment prescribed to you. In carcinomas, it is usually associated with iron deficiency anemia, weight loss, maroon colored and narrow stools. Still, if you have any iota of doubt, then go to your treating doctor and get your anal fissure re-examined. As per my view, you do not need any colonoscopy unless you have any positive family history or the above mentioned symptoms. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3130, + "tgt": "What could result in missing periods?", + "src": "Patient: Hi doctor, I am 37 years old. Five months back I missed my period and then got bleeding for two days in the following month. Now again for the past two months I did not get my periods. Sometimes, I feel tired. Am I pregnant? Doctor: Hello. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3553, + "tgt": "Some bite-like rash has spread around the neck. What is it?", + "src": "Patient: Hello doctor, I am assuming it as an unknown bite\u00a0and it\u00a0has spread almost around the neck. Yesterday, I had taken Amoxicillin prior to dental cleaning. The condition in the attached report emerged last evening. Any idea of what it is? I am traveling this weekend. Please guide. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity) and history. Two possibilities are there if you have history of bite anything then it could be blister beetle dermatitis. If it has unilateral involvement associated with burning pain fever body ache then it could be herpes zoster. Second possibility is more common in your case since old age is there and you are a diabetic. Episodes of herpes zoster are generally self-limited and resolve without intervention. Since diagnosis of herpes zoster is based primarily on the history and physical findings you must visit nearby dermatologist for further physical evaluation. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29982, + "tgt": "How to manage high iron levels?", + "src": "Patient: Hi doctor, My mother has been transfused with at least 11 to 12 units of blood\u00a0during a period of two months. This was done on a false diagnosis of iron deficiency anemia. It was a false diagnosis because transferrin receptor was never used to come to this diagnosis. She has had elevated CRP for a while now because of a proctitis. The doctor monitored her free serum iron and transferrin saturation, which have been low for a while now. Although, her ferritin got elevated after her stay in hospital. The iron and transferrin saturation are still low, but ferritin is swinging between 1300 and 1700 depending on CRP. Every time, CRP falls below 25 and the ferritin gets elevated to 1700. Now, an MRI of the liver and spleen shows increased iron concentration (120 umol/g) and moderate iron overload in the spleen. Her symptoms and findings are severe skin pigmentation, hair loss, elevated amylase and lipase, total loss of appetite, cardiac arrhythmia, pulmonary hypertension, etc. She tested negative for C282Y gene mutation. What do you think of this? 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": 11414, + "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": 1747, + "tgt": "My girlfriend is suffering from headaches, vomiting, and dizziness. How to reduce pain?", + "src": "Patient: Hello I'm 18 year old and I want to help my girlfriend who is also 18 years old. He suffers from headache, vomiting, dizziness and sometimes forgetfulness. In 2018 he checked for his head and also had CT-SCAN and the result was that he was negative for brain tumor but in recent days he experienced signs and symptoms of a brain tumor but was unable to check up due to Enhanced Community Quarantine here. Do you have any tips for reducing the pain she is feeling? Doctor: Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I need to know more about the symptoms. I need to know, how frequently she gets a headache, how long she gets a headache, whether it is continuous or intermittent. Any precipitating factors are present such too much noise or too much light. At this age, the most common headache is migraine headaches. It is intermittent, associated with nausea stomach upset, some times vomiting and dizziness. Aggravated by noisy surroundings and lack of sleep. Some time s there are triggers such as lack of sleep, strong smells, hunger. You also must know about red flags or warning symptoms such as severe unilateral headache, Fever, a new type of headache, blurring of vision or weakness. IIf they are present she may be required evaluation. Again migraine is benign conditions can be managed by avoiding triggers. Have a healthy lifestyle and maintain adequate sleep. For pain, paracetamol 500 mg is useful. Hope this is helpful. regards." + }, + { + "id": 25962, + "tgt": "Can surgery fix tetralogy of Fallot in a 1-year-old?", + "src": "Patient: Hello doctor, My 1-year-old child has been diagnosed with tetralogy of Fallot. She has been experiencing fast breathing, difficulty in feeding, failure to thrive, clubbed fingers but the cardiologist told me they will not be in a rush to fix the problem. I cannot stand what she is going through. What is her survival rate? Can I have the problem solved early? Of note, she is currently on Lasix and Aldactone. Doctor: Hello. Operation in tetralogy of Fallot depends on many factors. Some of the factors are patients pulmonary artery size, oxygen saturation, the \u00ednstitution's experience in doing such operations. So consult your doctor regarding this. Regarding survival, after successful surgery, the survival is good. It is about 90% at 30 years of age. Without the operation, many patients die. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15511, + "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": 8017, + "tgt": "Following a fall, I have a lump on my eyebrow. Please help", + "src": "Patient: Hi doctor,I had a fall before four days and hit my eye. I have a lump on my eyebrow, and\u00a0that is not going down or getting better. It is hard and painful. Doctor: Hello. I have gone through your query and I can understand your concerns. As of now, you can do the following things: Blunt trauma. Hematoma following a blunt injury. Conservative. Revert after two weeks to a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 418, + "tgt": "I am unable to conceive with normal cycle. Please prescribe fertility medication", + "src": "Patient: Hi doctor, I have been trying for the last one year to conceive baby, but no result. I would like to take medication to boost my fertility. Need a doctor's prescription for the fertility medication. There are no other issues regarding the period cycle or health. Doctor: Hello. Fertility medications cannot be prescribed without a thorough evaluation. This involves finding the exact cause of not being able to conceive whether it is female factors or the male factor. Among the female factor, ovulatory dysfunction is the most common cause. Also, tubal factors like tubal block can also cause difficulty in conceiving and thus need evaluation. I see that your previous cycles have been regular but this time you had a delayed cycle which is the first time you observed this. Delayed cycles indicate ovulatory dysfunction, which could be due to hormonal disturbance of thyroid or Prolactin Hormone, or due to a lifestyle condition like PCOS (polycystic ovary syndrome). Also, I see you are overweight for your height. I would like to know many more details about your issues, like if you have any acne issues or any unwanted facial hair growth. Was there any recent weight gain? What is the average coital frequency in a week? Do you have any vaginal discharge and frequent lower abdominal pain? Have you had tuberculosis or any other chronic medical conditions in the past? Have your husband got a semen analysis done, what is his age, and what does he do? As it is the third day of your periods today, you can get the below mentioned medical tests done and consult a fertility expert with reports for further evaluation and management. Treatment would depend on the underlying causes. In 10-20% of cases, there may not be any attributable causes. It is called unexplained infertility. In such cases, also your fertility expert may suggest assisted reproductive techniques to increase the chances of pregnancy. I hope this helps. Hemogram. Lipid profile. LFT (liver function test), RFT (renal function test). 75 g glucose tolerance test (fasting, 1 hour, 2 hour). HbA1c (glycated hemoglobin) levels. Serum calcium, Vitamin D and B12 levels. Serum fasting and Post prandial. Insulin levels. Serum FSH (follicle-stimulating hormone), LH (leutinizing hormone), free testosterone, Estradiol, Prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second and third day of the next menstrual period. Ultrasound abdomen and pelvis, husband semen analysis. Endometrial sampling and tubal evaluation by HSG (hysterosalpingography). Tablet Folic Acid 5 mg daily once until you conceive. Reduce weight. Maintain menstrual cycles diary. Regular excercises at least 1 hour daily. Dietary modifications." + }, + { + "id": 13862, + "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": 19699, + "tgt": "Are hair fall and erectile dysfunction related?", + "src": "Patient: Hello doctor, I am facing hair loss problem, drop in libido, and erectile dysfunction. I am not getting a morning erection for quite some time now. I am getting fat and feel lethargic after a workout.\u00a0My total testosterone is 2.52 ng/mL or 252 ng/dL, and I took the test in the afternoon.\u00a0Is it wise to take Nolvadex (Tamoxifen citrate) or Clomid (Clomifene citrate) to increase testosterone levels? I have heard that people often use this to increase their testosterone levels. Or should I take some testosterone steroids to boost the testosterone levels? If yes, then which compound of testosterone should I use? How long should I take it? Doctor: Hello. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 31035, + "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": 24027, + "tgt": "I have rectal bleeding on and off for a year. Should I ask for colonoscopy?", + "src": "Patient: Hi doctor, I am a 32-year-old female. For almost a year, I have had rectal bleeding on and off. I started to have painful bowel movements and then I began to bleed. The blood is on my stool, in the toilet (at times) and when I wipe, I can see it on the toilet paper. Other symptoms I experience are rectal itching and discomfort after my bowel movement. I went to the ER and they did a CT scan and did not see anything out of the normal. The doctor did a rectal examination and did not see any hemorrhoids at the time. After a month or so, I went to see my primary care physician and he said during my rectal examination, he had seen grade-1 hemorrhoids. The bleeding continues. It only happens every now and then. Being that, it has been so long I am just concerned it could be something else (cancer). Should I ask for a colonoscopy? Doctor: Hi. If the doctor who did the PR examination could not find any significant hemorrhoids, it is better to get a colonoscopy done. Do not worry about cancer as the most likely possibility is a missed internal hemorrhoid. The itching can be due to perianal soiling, fungal infection, or worm infestation. Keep the area dry and clean. I suggest having a single dose of Albendazole 400 mg tablet. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. You can take a picture of the perianal region and look for skin damage. Do review with your reports if you have any further queries. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1888, + "tgt": "What is the treatment for knee swelling?", + "src": "Patient: Hi doctor, My father is 50 years old. He has swelling in left knee and some liquid is coming out of the knee. He consulted an orthopedic doctor and he prescribed some tests and medicine to him. Also, the doctor said his bones are weak. Please explain me what should I do know. Also, let me know whether my father is taking the right medicine or not. What should he do according to you and about doctor comment on weak bones? Also, how to cure that? Should he massage with hot water bag or ice? I am attaching the photos of my father's knee and prescriptions. Please guide me for the next step. Doctor: Hi. Revert back with the x-ray report to an\u00a0orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14008, + "tgt": "How can I manage severe dry cough and sore throat?", + "src": "Patient: Hello doctor, My mother is 56 years old. For last one month or so she is suffering from a sore throat and dry cough. Cough is severe. Throat problem improves and detoriates periodically. She has a history of an asthmatic problem. We have consulted doctors and she has taken three courses of antibiotics. We did a lot of tests without any findings. The cough problem persists and due to prolonged courses of antibiotics she feels week now and has developed mouth ulcers as well. She is exhausted from a persistent cough. What should we do? Doctor: Hi. I have evaluated the history and reports (attachment removed to protect patient identity). It seems she is suffering from chronic allergic bronchitis. Now, her chest X-ray is non-specific. My recommendations would be first of all to get a CECT chest and a pulmonary function test (PFT). This needs to be correlated with the clinical findings. If CT does not reveal any infection or tuberculosis, then we would need to giver her inhalers and anti-allergic for a few months. So, before we start any treatment go for the mentioned tests and write back with the results." + }, + { + "id": 2957, + "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": 26417, + "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": 25684, + "tgt": "Is multigrain cereal a healthier option than the regular ones?", + "src": "Patient: Hi doctor,I was just wondering. I like cereal and I try to go with a healthier option that still tastes good. So I found multigrain Cheerios and I thought they would be a healthier alternative to something like Froot Loops, Lucky Charms, and other sugary cereals. I know there are healthier options like steel-cut oats but I do not want to sacrifice all the taste. Just wondering what your thoughts on multigrain Cheerios are and if they are truly a healthier option. Doctor: Hello. When it comes to the content of sugar or high fructose corn syrup or chemicals, multigrain cheerios has it in the same amount as the normal one. Another good habit to follow is to eat one grain in a meal. For example, You should not be eating rice and wheat together in one meal. So multigrain is never the best option. You can try making steel cut oats more delicious by adding dry or fresh fruits. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 7715, + "tgt": "Is it good to seal the semen and ejaculation pathway to preserve the semen?", + "src": "Patient: Hello doctor,I want to seal my semen and ejaculation pathway to preserve my semen in the body permanently. Please help. Doctor: Hello. I want you to know two things, 1) Semen is not something that can be stored permanently in the body. 2) Storing semen does not give you any benefit, despite what is in popular belief. The semen is continuously produced as per requirement. There are on and off switches within the body to produce and stop producing semen. If you do not release the semen, then the brain will switch off production. No matter how many years you hold the semen, the quantity will not increase. You will not gain anything. On the other hand, the sperm cells inside the semen will lose their functionality. Finally, there are no procedures to stop releasing semen and sealing it off permanently within the body. Even in the vasectomized males, some semen will still be released." + }, + { + "id": 8016, + "tgt": "A painless, hard lump on the outer left side of my clitoral hood. What could it be?", + "src": "Patient: Dear doctor, I have noticed a lump the size of a grape on the outer left side of my clitoral hood; that was not there during the last two or three days. It is painless, hard, no irritation or color change, no strange or closed discharge. But it is huge and getting bigger every day. Any general idea of what it could be? Doctor: Hi. Depending on your description, there could be few possibilities: Since it has been around for only a few days and not sore, I think it is just a retention cyst. Any gland around that place whose duct gets blocked may lead to an increase in the size of that gland resulting in cystic swelling. Sometimes, it resolves on its own. And at times, when it does become infected, it will turn sore and become very painful. I suggest you visit a doctor as an absolute diagnosis is necessary. Your doctor may suggest removal of the lump depending on the symptoms. Consult an obstetrician and gynaecologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2256, + "tgt": "I have a large painful cyst-like bump on the clitoris and it hurts. Please suggest solution", + "src": "Patient: Hello doctor, I have a large, red, painful cyst-like bump on the left side of the clitoris. It hurts to walk, sit or stand. I have been doing a warm compress three a day and a hot shower once. It seems to be getting more painful. I cannot go to the doctor because of COVID-19. Please suggest. Doctor: Hi. From your history and pictures (attachment removed to protect patient identity), I gather that it is vulvitis, which has got localized to a single point. Usually, infection starts in the vagina and later it gets localized. It forms a blister and over time it forms a pustular lesion (pus as in your picture). Steps to solve this: 1. Avoid tight undergarments. No undergarments at night, so the area will be dry. 2. Abstinence until the infection resolves. 3. Have a course of antibiotics which will reduce infections and pain. Take tablet Azithromycin 500 mg two tablets after food, Fluconazole 150 mg after food, capsule Amoxicillin and Clavulanic acid 625 mg twice daily for five days. Use pain killers with Serratiopeptidase. 4. Use vaginal wash, douches, and avoid any vaginal discharge soiling the area. Do not use any local antibiotic ointments, this will form antibioma. To reduce the local edema and pain, you can apply little Glycerine and Magnesium sulfate ointment over the painful area. Then place a small gauze over it. This will immediately reduce the pain. Apply twice daily for three to five days." + }, + { + "id": 9600, + "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": 19562, + "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": 28456, + "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": 4431, + "tgt": "Suffering from cold, chest congestion and sore throat. What is it?", + "src": "Patient: Hello doctor, I am a 60 year old male who is overweight.\u00a0Other than being overweight, I am in relatively good health. \u00a0I am getting regular health checkup for every six months. Currently, I am taking Triamterene and HCTZ and Simvastatin 20 mg.\u00a0Recently, I had cold, some respiratory discomfort, chest congestion, sneezing, sore throat, little if any fever and lots of coughing. Congestion is gone as is sneezing. Sore throat lingers. There is an irritated spot on back of tongue. It could be from sucking on too many cough drops. Tonsils and entire throat area is red and swollen. Ibuprofen relieves pain temporarily. Please give some thoughts or any suggestion. Initial symptoms of chest congestion appeared seven days ago. Please guide. Doctor: Hi. I have read your message. Meanwhile, start with the following: Revert back after the investigations to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30821, + "tgt": "For my mom who is 81 year old, which is the best treatment for fracture?", + "src": "Patient: Hi doctor, My mother is 81 years old. She had undergone one left shoulder surgery due to a fracture in the neck of the humerus four years ago. She also had experienced a cerebral stroke resulting partial paralysis of the left hand and the left leg. Now, due to a\u00a0sudden fall on the ground, she also has\u00a0broken her right humerus. I have attached the x-ray for your reference. Either plaster or sling or surgery, what may be the best treatment? She has been given pain medicine and antibiotic by the treating doctor. I am anxious to know early as the doctor treating her has asked the decision from us. Doctor: Hello. I have gone through your history as well as the images attached to it (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24026, + "tgt": "I am feeling down, sad, and irritable after ejaculation and wet dreams. Please advice", + "src": "Patient: Hello doctor, I have been looking for many years for treatment of symptoms like feeling very down, anxiety, sadness, irritability and loss of interest in everything in life. But, the main point is, it is for one to two days after ejaculation or wet dreams. I have consulted many doctors including sexologists and psychiatrists. Most of them prescribe SSRI. But, SSRI does not work after ejaculation. I want treatment only for one to two days after ejaculation which is like a nightmare for me, and symptoms are like Parkinson's disease after ejaculation. Is there any medicine that can be taken after ejaculation? Please note, I am really sure this is all after regulation. Please find a link between these as I am 100 % sure. Doctor: Hello. Generally, a person may feel low after masturbation and wet dream, and can have anxiety after the episode. What I suggest is to use short-acting anxiolytics such as Clonazepam 0.25 mouth dissolving, both morning and evening during that time for one to two days. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29032, + "tgt": "I had two falls followed by dizziness and heavy sweating. What could be the reason?", + "src": "Patient: Hi doctor, I am a 41 year old female with regular periods. I am 5'4\" and weighs approximately 165 pounds. I have fainted this morning and almost exactly a month ago. The first time was in the middle of the night. When I woke up to use the bathroom, and while I was in the toilet, I broke out in a clammy sweat. I made it to the kitchen and started getting real lightheaded and almost dizzy. I remember a little bit of spotty vision and ear ringing. I know I heard and felt hit the floor, but I do not remember going down. It seemed almost instant that I woke up still sweaty. Besides being in pain from the fall, I felt better. This morning, I woke up and started my routine just fine. After about 15 minutes of being awake and moving around, the same thing happened. I began sweating and getting dizzy. Fearing what happened last time, I consciously slide myself down to sit on the floor, but I still fell forward hitting my head on the\u00a0table in front of me. Again, I was sweaty but felt better. Approximately, three years ago, my PCP diagnosed MS with my MRI, but my neurologist denied that. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25365, + "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": 14590, + "tgt": "Is it true that a child operated for ASD will have problem in the future?", + "src": "Patient: Hello doctor, We, husband and wife, are (A+) same blood group. Also, our son is the same blood group (A+). He also had ASD problem treated and surgery also done completed. Will there be any problem for him in the future? Doctor: Hello. If the surgery was done at an earlier age then the prognosis is good. Prognosis also depends on the size of ASD and whether a pulmonary vascular obstruction is present or not. If no pulmonary vessel obstruction is present then the prognosis is very good. As far as risk is concerned ASD patient sometimes can develop atrial arrhythmia like condition in the future. Take care." + }, + { + "id": 1559, + "tgt": "The left side of TMJ is getting inflamed and is pushing on the inside of my ear. What to do?", + "src": "Patient: I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I've slept and it's relaxed, but it's still bothering me and the crackling/pushing is still there. Doctor: Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards!" + }, + { + "id": 9266, + "tgt": "I do not have any improvement in my depression even after having medications. Please help", + "src": "Patient: Hello doctor,I have depression, I have had this some six to seven years, I have tried various medications, but to no avail, I am currently taking Mirtazapine, but it is not helping, I spend a lot of time in my world, I create scenarios where I am a different person living a life the complete opposite to mine, I have a whole array of family and friends in these scenarios and I revert to this more often than not, is this normal? Doctor: Hello. How long have you been taking Mirtazapine 15 mg? It usually takes about four weeks to see any benefits. If there are no side effects, your doctor can consider increasing the dose further to 30 mg once daily. You need to be closely monitored by your doctor while titrating up the dose. You have already been on two different antidepressants, which are SSRIs (selective serotonin reuptake inhibitor). Mirtazapine is a different class of antidepressant, so hopefully, you should find it helpful. Does your GP see you, or does a psychiatrist treat you? Discuss with them about having psychological therapy along with medication. Therapy will help to identify and correct any cognitive distortions related to depression. It looks like you fantasizing by creating scenarios to escape from a complicated reality. It is a common coping mechanism used by many people, but, if it is taking a lot of your time, it is unhealthy. Talking therapy will help you develop better-coping strategies. I hope this helps. You can contact us again if any further advice is needed." + }, + { + "id": 29072, + "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": 13999, + "tgt": "Will using Percoset cause any side-effects?", + "src": "Patient: Hello doctor, If prescribed Percoset (5/325) and reversion back to regular Acetaminophen, is there even a slight chance that the oxy component of the Percoset could be triggered since Percoset side effects can be permanent even with one use? Doctor: Hi. Acetaminophen is safe compared to Percoset. Single use of Percoset never causes permanent side effects. The side effect caused by a single dose (such as loss of appetite and difficulty in emptying bladder) will be for one day only. Once the amount of drug gets excreted from the body (now drug within the body becomes less gradually), automatically the effect or side effect (mentioned above) must disappear. Only for the usage more than 3 to 5 days, may lead to more side effects. If used for more than 10 days, the permanent side effects may come. Nothing to worry about vocal card swelling. This should appear as early as possible after the drug intake as it is the drug hypersensitivity reaction. If not occurred, it is not going to happen in the future. Do not worry about Percoset side effects." + }, + { + "id": 10175, + "tgt": "Are tonsil stones, sore throat, and swollen gums symptoms of oral or throat cancer?", + "src": "Patient: Hello doctor, I have tonsil stones, sore throat, swollen gums, and dry cough. Is this the symptoms of oral or throat cancer? Doctor: Hello. A recurrent sore throat can occur in a number of pathologies. Most often it is as a result of some local pathology like Rhinosinusitis, nasopharyngitis, tonsillitis, GERD (gastroesophageal reflux disease), LPR (laryngopharyngeal reflux). Rather than relapsing and recurring course malignancies tend to have a progressive course. Further age is a crucial factor. Younger people usually do not have malignancies. Your doctor must have checked your throat, and he would for sure have picked something if there was any such thing. GERD and LPR are mainly known to cause recurrent sore throat. Malignancy is the last thing one would suspect at your age." + }, + { + "id": 22497, + "tgt": "Why am I having a rash on stomach?", + "src": "Patient: Hello doctor,I have a rash on the stomach. Not raised or itchy. I noticed after dehusking a coconut, but I am not allergic to eating coconut or drinking coconut products. Doctor: Hi. This is not an allergic reaction to any food (attachment removed to protect patient identity), looks rather a fungal infection (T.incognito). Use Clotrimazole cream (or newer ones) twice daily for six weeks. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23887, + "tgt": "Exotropia squint in the right eye, Is LASIK and squint surgery Recommended?", + "src": "Patient: Hello doctor,I have\u00a0an exotropia squint in my right eye from the last 10 to 12 years. Presently I have a very low vision in that eye and near and far vision is blurry. I consulted an ophthalmologist and he recommended a\u00a0LASIK surgery and after that a squint correction surgery a month later. Should I go for that? I am attaching my prescription for your reference. Doctor: Hello. I have gone through your images (attachment removed to protect patient identity). You can proceed with the LASIK surgery and the squint correction as advised but please keep the following in mind: Do discuss with your doctor regarding these points. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24659, + "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": 31023, + "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": 30095, + "tgt": "Is there any nerve regeneration treatment for Bell's palsy?", + "src": "Patient: Hi doctor, I have been diagnosed with Bell's palsy before 10 days. Half of my facial muscles are not working. I had swelling of the salivary gland near the ear before this issue. The MRI brain scan did not show stroke. Currently, I am on Prednisone and Valtrex. Is there any nerve regeneration treatment that could make the recovery faster? How soon should I get such treatment? I heard such regeneration can damage the facial nerve. Is it true? Doctor: Hi. I understand your symptoms and your question. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12103, + "tgt": "Is it safe to discontinue Beta-blockers after aortic valve surgery?", + "src": "Patient: Hello doctor, My sister had her aortic valve (tissue) replaced last week. The operations were uneventful, though she has been suffering from nausea and weakness. Each time she is given Beta-blockers to prevent atrial fibrillation. Before the operation, her heart rate was 100 beats per minute, which attributed to the stenosis. After the surgery, her heart rate has remained around 100 without Beta-blockers. The hospital staff has now reduced the Beta-blocker dosage from 10 to 2.5 mg, yet she still feels very weak. With Beta- blockers, her heart rate has descended to 86, but she feels terrible. My question is, If she feels fine without the Beta-blockers, could it be safe for her to discontinue using Beta-blockers to avoid the weakness or nausea? Or would this be a bad decision? Doctor: Hello. I passed carefully through your concern and would like to explain that several components may maintain the patient heart rate at those levels (like pain due to surgery, local inflammation, potential fever, transient respiratory decreased capacity, relative anemia, relative hypovolemia, body immobility, psychological conditions, etc.). The causes mentioned above may at least partially contribute to her weakness and nausea, Beta-blockers may further deteriorate this clinical condition, especially in the case of relative hypotension and decreased overall cardiac performance. I would recommend monitoring her blood pressure values before taking her medications, and if the symptoms persist in withdrawing her Beta-blocker from therapy gradually. It is necessary to taper her daily Beta-blocker dose progressively to avoid the rebound effect of stopping Beta-blocker cold turkey. In such a case, the high heart rate would reappear again. So, discuss with her attending cardiologist to gradually stop the Beta-blocker by reducing the daily dose step by step. I hope to have been helpful to you. In case of any further questions, feel free to ask me again." + }, + { + "id": 17665, + "tgt": "What is the use of PET scan?", + "src": "Patient: Hi doctor, I would like to get an opinion about my\u00a0PET scan. I have attached my PET scan report for your reference. Doctor: Hi. Revert back with the detailed medical history to a radiologist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 12687, + "tgt": "Can antibiotic affect the outcome of HIV test?", + "src": "Patient: Hi doctor, I had HIV test after 40 days of sex and it is negative. I am taking antibiotics from the last 1 month for my symptoms. Would that have affected the outcome of the test? For what symptoms should I consult a doctor? How much percentage does this test stand to be negative until 90 days? Doctor: Hi. As I am not aware of your previous history. Please explain your problem in detail." + }, + { + "id": 7075, + "tgt": "I have attached my ultrasound reports. Please advice on it", + "src": "Patient: Hello doctor, I had an ultrasound last month, and I have attached the reports. I need your precise opinion on this case. Please interpret the report and tell me what I have to do next? Doctor: Hello. There is a small neck lymph node which is seen on the ultrasound scan (attachment removed to protect patient identity). It measures 10 x 4 x 10 mm and is small therefore the wait and watch policy is to be applied. It can be from an infection. Since no other lymph nodes are there hence, I will suggest close observation for the next three months. You have high cholesterols and mildly increased total bilirubin. These need to be discussed with your treating physician and probably a diet with the restriction on fats can help. It is not clear if you had a high bilirubin level earlier." + }, + { + "id": 11384, + "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": 13234, + "tgt": "Kindly tell me about the white areas in the tonsils", + "src": "Patient: Hello doctor, I am concerned about my tonsils. I honestly need them removed but have other health issues and just cannot right now. I had a cyst last year that slowly shrunk away to nothing, I have tonsil stones. The full range of issues. Right now I have these large white areas toward the bottom of my left tonsil. They are not stones and will not move. But I also do not have any pain or discomfort. What is this? It is really worrying me. Doctor: Hi. They are pus or keratotic patches (attachment removed to protect patient identity). If pus, then it should be painful. Most likely keratotic patches over the tonsil. Can you take pictures where both tonsils can be visualized? Do you have such spots on the other tonsil as well? Do you have any difficulty in swallowing? Is one tonsil larger than the other? What chronic illness do you have, if at all you do? Are you on any kind of steroids or immunosuppressant medications?" + }, + { + "id": 30968, + "tgt": "Kindly suggest me a way to restore my tooth", + "src": "Patient: Hi doctor, I have neglected my dental health for a long time. I am a 62 year old married male. I have had several teeth extracted. I lived with a couple teeth whose caps have broken off on my left side and a few molars on the right for chewing. I am suffering from hypertension and is controlled with medicines over 10 years. I am also a known diabetic and it has been controlled with drugs and diet for the last few years. My main problem is moderate neuropathy in hands and feet for more than 12 years. I am on Neurontin and Fentanyl patch. Six months ago, I went to my dentist with the right top rear molar sharp pain. She filled it, but was not sure whether it would need a root canal. About two months later, the pain started and this time as a more typical, throbbing toothache and she decided a root canal was appropriate. I was surprised with the amount of pain in the recovery. The pain was more diffuse than the original, sort of like the pain from a loosened tooth.\u00a0I complained and re-visited the dentist. She did an x-ray and said that she did not miss any roots or went too deep. But, she saw something and she described it as an injury in the spot next to it and that is where a tooth had been extracted years before. She gave me a course of antibiotics, just in case and recommended to consult an oral surgeon. But,\u00a0I decided to wait and see if it resolved. It slowly got a bit better, but in a month or so started to get worse. So, I went to the oral surgeon and he said that he saw nothing wrong and suggested I could be feeling pain from a tooth on the bottom. For a number of reasons, I do not believe this. I am now at a point where the pain is endurable, but annoying. The pain changes over time. Sometimes, it abates almost completely and there is no pain at all. While the tooth is still slightly cold sensitive, there are no other symptoms. This lasts for about a few days to over a week at a time. Most of the time there is an annoying sensitivity, high sensitivity to cold, pushing the tooth to the side with my tongue is mildly painful, sort of like a loosened tooth but chewing down on it does not give me any pain. There is a full time ache and that is most pronounced at night. The symptoms are basically the same as the moderate pain, just more intense with the addition of it feels deeper and more diffuse. It sometimes feels like it goes up into the jaw or sinus.\u00a0But, I really need to keep this tooth in order to have a half-functional mouth. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28168, + "tgt": "My friend is diagnosed with stage 4 leukemia. What should we do?", + "src": "Patient: Hi doctor, Can\u00a0you help me read the attached report of my friend's blood test? Please explain about her condition. I want to check if the patient is diagnosed with leukemia. Doctor: Hi. Take care.\u00a0Hope your concern is solved. Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30709, + "tgt": "Why do I feel disturbed in my life?", + "src": "Patient: Hi doctor, Before two years, I had\u00a0cerebral anoxia related to cardiac arrest. After that, I forgot everything related to my profession. I am giving an exam and not being able to clear since two years. I am unable to concentrate and study. Though, I used to be a very good student. Most important is that I am not able to recall my past properly. I am married and often fighting with my wife. This disturbs my relationship with her. I am not at peace. Above all, I smoke 30 cigarettes a day. My current medication is Epsolin 300 mg. I just want to clear my exams and come back to my profession. Rest everything is fine with me. Please help. Doctor: Hi. I can understand your concern. Revert back with detailed history to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6789, + "tgt": "Why is there pain in scrotum and testis if masturbation or sex is not done?", + "src": "Patient: Hello doctor, My husband is 33 years old with a weight of 95 kg and 5 feet 9 inches height. He has been having pain in his scrotum and testis area for the past 6 to 7 years after every 2 to 3 days whenever he does not masturbate or does not have sexual intercourse. If he masturbates daily or has sex daily, the pain does not come but if he misses it for even two days the pain and heaviness come back which goes away only after ejaculation. We got married almost one and a half years back but he has been having this problem for a long time. He says it all started after a few years back whenever he would get aroused after watching porn and could not masturbate. He has not consulted any doctor yet. What could be the reason for his problem? I am worried. That pain and heaviness sometimes make walking difficult for him. Doctor: Hello. I can understand your concern. He has persistent testicular pain which develops usually when he does not masturbate or have sex. If the pain is persistent and is severe then that should be evaluated. The causes should be ruled out in order to make the diagnosis. Infection in testis should be ruled out first. Though any granuloma, torsion are other rare possibilities. Non-specific testicular pain is seen in a lot of individuals. His urine and semen analysis should be done. Scrotal ultrasound should also be done. This will grossly rule out possible causes. A prophylactic antibiotic course can be given if there is any mild infection or there are pus cells in semen. Doxycycline can be given for at least four weeks. Anti-inflammatory drugs like Ibuprofen should also be given regularly in order to contain the pain. This should solve the problem. If the problem persists and all investigations come normal, then that pain could be due to some psychological reasons. Drugs like Amitriptyline, Nortriptyline or Duloxetine can be used. These drugs can help to alleviate the pain and he will become normal. The drugs should be used regularly for at least 6 to 8 weeks. This will help to treat the chronic pain condition. So please do not get worried, just get his investigations done and rule out possible causes. He will be alright. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29999, + "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": 25016, + "tgt": "Once increased, will the creatinine levels decrease?", + "src": "Patient: Hello doctor,I am a 70 year old male. I am a long-term diabetic patient. My weight is 69 kg. I am suffering from CKD for the past one year. About one year back, my creatinine was 3. Now it has gradually increased to 5.18. It is my doubt. Once increased, will the creatinine level decrease? 10 days back, it was 4.70 now 5.18. I am taking a diet without salt. There are no any symptom that is, leg swelling, breathing problem, etc. I am taking the following medicines: Evion LC 1-0-0, Ketoadd 2-0-2, Nodosis 1-0-1, Nefrosave Forte 1-0-0, Urimax D 0-0-1, Dytor 10 1-1-0 Inj. I want to avoid dialysis. Are the medicines fine? Please advise me. Doctor: Hello. Since your creatinine has gradually increased over a period of a year, it will not decrease. In acute settings, like some infection or diarrhea, creatinine will temporarily rise and then comes down. But, in your case, it is a progression of the disease itself. So, it is unlikely to come down significantly. Next thing, a slight increase in creatinine also occurs on initiation of diuretics (Dytor) medicine which will increase your urine output. If your Dytor is initiated recently then it might have caused a slight recent elevation in creatinine. This elevation does not occur due to damage to the kidney but has a different mechanism and there is no need to stop Dytor for it solely. Probably you are not having any symptoms since you are taking Dytor which will prevent edema or fluid accumulation in lungs. So, no shortness of breath. Your medicines are fine. Keep a check on the BP and it should be strictly under control (less than 130/85). Also, avoid unnecessary medicines like pain-killers, Ayurvedic medicines, etc. And, obviously, sugars should be under control. 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": 3774, + "tgt": "Is it normal to have bleeding 8 days after taking I-pill?", + "src": "Patient: Hi doctor,I had periods on 26th and had protected sex on the 4th of the following month. After that, I took an i-pill within 2 hours. Now, I am bleeding like my periods ie after 8 days of i-pill. Is this my period? If not, can I expect my periods on the coming 26th? Doctor: Hi. It is a withdrawal bleeding after i-pill. As you are bleeding now, your menses going to be irregular mostly. Now your period is going to delay mostly and very little chance that it comes on time. I-pill is a hormonal pill so it can disturb your normal cycle. Withdrawal bleeding can be very small and also can be like normal menses. so do not worry. Please wait for your menses. But keeping in mind that i-pill can not be 100% effective, do a urine pregnancy test after 26th, once or twice. In your case, there is almost no chance of pregnancy because you had protected sex. So do not worry. But, yes periods can be irregular for two to three cycles. So, watch for it. Drink more water. Hopefully, you got your answer. If you still have more query, then you can ask in follow up." + }, + { + "id": 3573, + "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": 7515, + "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": 17890, + "tgt": "What does poor sperm progression mean?", + "src": "Patient: Hello doctor,My semen test came back. The total sperm count is 54 m with motility of 5.5 % and progression of poor. What are my chances on IUI success? Post wash, the total sperm count was 12 m with a\u00a0motility of 25 % and still poor progression. What does poor progression mean? Doctor: Hello. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 11032, + "tgt": "Is there any method to delay periods without any side effects?", + "src": "Patient: Hi doctor, I am 22 year old female, and I am getting married this month, and I am going for my honeymoon. So, I want to delay my periods without any side effect. I am still a virgin, so I do not want to ruin my honeymoon. So, please suggest the best medicine. When to start taking it, in what dose, and when to stop it? Doctor: Hi. Let me start by congratulating you in advance for your wedding. There are many methods, all using hormones, to either prepone or postpone the period. I would like to suggest the simplest and the best method. I would not confuse you with too many dates, as these hormones have to be taken on time without fail, any failure can cause bleeding in between. Try taking oral birth control pills or contraceptive pills, like tablet Duoluton-L or Dear 21 or Novelon or Ovral G or Intimacy plus 3. Have one tablet at night now onwards for 21 days, and without giving a break, start the next packet. Take it until the date you want to postpone the periods, and you will get your period 4 to 7 days after stopping the pill. It is also the best contraceptive method for a newlywed couple. You will have 100 % protection and no trouble with sex. In such a case, you will have to take it cyclically from the first day of bleeding." + }, + { + "id": 15774, + "tgt": "What is the treatment followed for resolving back pain?", + "src": "Patient: Hi doctor, I am 28 years old. My weight is 89 kilograms, and my height is 177 cm. I suffer from severe back pain. When I was at a soccer camp at the age of 14, I used to have a very stiff back. Now, I have severe pain in my back, and I am unable to stand and walk. I did an MRI, and the report showed a bulging disc in L5 to S1, with a slight tear. I proceeded with physiotherapy to solve my back pain. My physiotherapist noted the cause in me. He told me that my core is weak, along with my glutes and hamstrings. I am taking physiotherapy treatment for two years now. Before two days, I started to have a bad episode of back pain. I had back pain preceded by a gym work out. I might have overdone it with hamstring lifts, and I may have tried it too heavy. I did an MRI yesterday, and the report showed that there is no protrusion, but L5 to S1 showed a degeneration. My orthopedic doctor told me that the pain does not emerge from the disc because it does not pinch any nerves. But I have intense pain in my back with stiffness and dullness in my left calf and foot. I am trying to take ozone-laser injection therapy. What can I do now? Doctor: Hi. I agree with your doctor on the fact that the disc protrusion and degeneration does not cause pain in this region. In my opinion, the back pain could be related to a twisted or strained back muscle during the physical activity that you have performed. Ozone laser injection therapy can help against inflammation. It can lead to some benefits for the bulging disc, but I doubt whether it will improve the pain that you are feeling now. I suggest you take a muscle relaxant (Flexeril) and use a topical ointment with painkillers coupled with oral Ibuprofen for the pain. Local warm packs can help. A good back massage can also help to reduce the muscle spasms. Avoid doing physical activity that causes strain. Try to have a rest for a few days." + }, + { + "id": 25199, + "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": 21433, + "tgt": "Why are my TLC and eosinophil count high with fever and mouth ulcer?", + "src": "Patient: Hello doctor, I am 20 years old male. For the last few days, I feel like having fever, loss of appetite, and mouth ulcer. The head feels heavy and a mild headache is there. I have a blood test report. Also, my TLC count is 12500 which is higher than normal. Eosinophil level is also increased but only by one percent. Please help me, what is this? Doctor: Hello. I am here to help you. I would like to know a few more things from your side. Do you have a cough, vomiting, abdominal pain, burning or frequent micturition, or loose motion? Also, let me know if there is a runny or blocked nose, and/or tenderness over the forehead or cheek. Your TLC (total leucocyte count) is slightly elevated. I would suggest you do a full CBC (complete blood count). For the time being, I would suggest you take Paracetamol 650 mg thrice daily for five days, Azithromycin 500 once before food for five days, Esomeprazole with Domperidone once before breakfast for five days, Albendazole 400 mg one tablet, and A to Z-NS (multivitamin) tablet once daily after food for 15 days. Supplement that with two glasses of ORS (oral rehydration solution) three glasses glucose and 10 glasses plain water per day till you feel better. Please do consult with your family doctor before starting these medications. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14082, + "tgt": "Why is there pain above knee after getting hit during go-carting?", + "src": "Patient: Hello doctor, I am 18 years old and went go-carting. I got hit with great force by another cart which caused my inner thigh to hit a pole on the inside of the cart causing great pain. The pain is very sore and at first, I could barely walk. I can gently push the area and feel a lot of pain just above the knee. Doctor: Hi. Thanks for using this platform. It sounds like you had a pretty bad impact on your inner thigh. Luckily, it sounds like you were still able to walk in spite of the pain. This means that there is a very low likelihood that you may have a bony or joint injury. Nevertheless, a blunt impact can cause a bruise (contusion) which may be painful on pressure for quite a few days. You may also have some reddish-blue discoloration in that area. If within 24 to 48 hours, you may use ice to reduce the inflammation. After that, warm compresses (heat packs) may be more helpful in alleviating the pain. If you are not able to bend your knee without extreme pain, you may need to have an X-ray to rule out bony injury. The pain and swelling of a bruise should slowly reduce over the next few days. If the painful area swells and the pain worsens instead of getting better, and if you have a fever, then you should see a doctor immediately to rule out infection. Rarely, there may be a collection of blood inside your muscles, and this collection may get infected. Were you taken to the hospital after this injury? Have there been any X-rays taken since your injury? How many days old is this injury? I will be happy to review your X-rays if you need me to." + }, + { + "id": 10054, + "tgt": "My gums behind the last tooth is swollen and painful. Is it due to food impaction?", + "src": "Patient: Hello doctor, I am an 18 year old, who dislikes visiting the dentist. Therefore, you can imagine my hygiene is very good. I had a brief period of gingivitis as a result of using braces for three years. Having removed my braces over a year ago, and lucky for me, I do not have wisdom teeth, the end of my dental pain seemed over. However, about five days ago all of a sudden, I woke up and the very back of my mouth around the last left molar is swollen. It is sore and irritable. I kept brushing and using salt water. There is no bleeding or pus, but it started to feel more irritable and tender as if it was an infection. It has not gotten worse in swelling or pain, but it has not gotten better either. My mother predicts a piece of food of some sort got wedged in the gum line, near my tongue. We have tried using Orajel to numb it enough so I could use floss or a toothpick to work around the gum, but it still is very painful to touch and it is very hard to reach that\u00a0area. Sadly for me, I am starting my Invisalign treatment and I am going to get the impressions tomorrow. And I also have an appointment for a regular cleaning. I am petrified. Do you think a piece of food is the problem? Is there something I can do to remove the food before my appointment tomorrow? What will the dentist do tomorrow when I ask him to address the situation? What are the chances this is a bigger infection and is not food related, what will the dentist do then? Will I have to have surgery or procedure done or antibiotics will help? Doctor: Hi. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3839, + "tgt": "What is pseudomonas species infection?", + "src": "Patient: Hello doctor, I would like to know about pseudomonas species infection, its treatment and risk factors. Please guide. Doctor: Hi. For further clarifications consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16557, + "tgt": "Can mosquito bite cause leg swelling?", + "src": "Patient: Hello doctor, I am a 35 year old female. For four years, my right leg has swollen once in a year in the summer or when I go for agricultural works in mud fields. Initially it starts with fever, vomiting, body pain, chillness and then my leg will change to light red color and the swelling will start. Now, I am undergoing treatment. I am attaching the medical reports and the photo of my leg. My doctor told me that the swelling is due to mosquito bite. Please tell me the possible reasons for the swelling and the medical tests if any required. Please suggest the specialty doctor whom I should consult. Doctor: Hello. It looks like you had cellulitis. You might have scratched your leg and later on it has developed an infection. I think you are accumulating gas in your foot and in your leg. I think you should be seen by an orthopedic surgeon sooner rather than later. You need a complete examination of that foot with x-ray, CT scan and blood cultures. I am also afraid, if you are bone has been involved with the infection known as osteomyelitis. I do not think it is because of a mosquito bite.Please let me know if you need any further assistance. I will need to know the results of the x-ray and the blood cultures to suggest any antibiotics. 1. Gas gangrene. 2. Osteomyelitis. CBC (complete blood count), kidney and liver function test, electrolytes, CRP (C-reactive protein), x-ray of the foot and lower leg. Consider CT scan of the leg as well. Revert back with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3244, + "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": 23484, + "tgt": "Attaching ultrasound and semen analysis report. Is my report may cause infertility?", + "src": "Patient: Hi doctor, I am suffering from varicocele.\u00a0I am attaching my ultrasound and semen analysis report. Please clarify me if it is infertility.\u00a0Can I join the gym? I love to exercise. I feel no pain and all my body functions are good. I have varicocele for almost five years now. I am not on any medication. My age is 23. My height is 5'7\" and weight is 62 kg. Doctor: Hi. Your reports are not suggestive of infertility (attachment removed to protect patient identity). You have a good sperm count with good progressive motility. Generally, sperm count less than 20 million is an indicative of infertility. You can join a gym and can do exercise. On the contrary, it is better and will benefit to improve your fertility chances. Varicocele does cause infertility as accumulated blood in testes increases temperature in the testes that is detrimental for sperm production. My advice for you is use tight underwear so that testis should not hang down. Also, use loose clothes that will maintain air circulation around the testes and hence will decrease the temperature of the testes. Do not work in hot environments and do regular checkups of sperm count. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7130, + "tgt": "My 6 weeks old baby has ankle clonus. Should I take him to a neurologist?", + "src": "Patient: Hi doctor, I noticed about a week ago that my 6 weeks old baby has ankle clonus. His feet sort of tap or twitch sometimes, especially when he raises them with knees bent like when he is straining to poop or I change his diaper. I am able to reproduce this by pressing on his feet just under his toes. When it is happening by itself, it is only a few beats but when I put his feet in a certain position it sometimes goes on and on.\u00a0Google says this means he may have cerebral palsy. I immediately took him to his pediatrician who said that this was normal and would go away after a couple of months. I was not able to reproduce the twitch at the office though. She said he is developing normally. He raises his head when on tummy and started to smile back. Still the cerebral palsy connection totally scared me. Should I take him to a neurologist? Doctor: Hi. For further clarification consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20326, + "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": 2231, + "tgt": "What is the possible diagnosis of increased perspiration which gets worse with stress?", + "src": "Patient: Hello doctor, Patient V is a 35-year-old woman. Many years ago, she suffered from increased perspiration during night, from the child. When 7-year-old this was continuous making several changes of clothes a day necessary. The situation was worse during physical or emotional stress. In addition, she had polydipsia but urine volumes were normal. She was underweight even though she had polyphagia and was with tiredness and asthenia. The latter was increased in recent years. She tried many treatment types but none successful and improvement in her condition was not seen. By the time the patient was 37 kg, 160 cm and was eating 3,000-3,500 calories per day. Her blood pressure was normal with 100 beats per minute. Her temperature was 36.8\u00b0C - 37.8\u00b0C but sometimes rose to as high as 38.4\u00b0C. No thyroid toxicity or thyroid gland enlargement was present. Normal blood tests, except for an elevated 24-hour urine creatinine but it was noted that her basal metabolic rate varied between 140 and 210 percent above normal. Specimens of muscle tissue were taken under local anesthesia from the patient. The latter showed that respiration could proceed at a nearly maximal rate in the absence of ADP. When ADP was supplied in excess, phosphorylation to produce ATP proceeded as normal. I have to diagnose this patient, but I am in a dilemma because I think that from the details I have for her as mentioned above, the biochemical pathway that is likely to be dysfunctional is glycolysis or glucose. I am more towards the thought that she has a dysfunctional glycolysis pathway. Am I right for this or not what do you think? Also, can you please suggest me what might be the underlying cause for the symptoms of hypermetabolism seen at her and what can be an evolutionary advantage for her? Doctor: Hi. I have gone through your case details. I am with your thought process of diagnosis. Let us try symptom analysis and the clinical syndrome that patient v has. The major symptom is hyperhidrosis that is increase sweating. This can be due to primary hyperhidrosis or secondary hyperhidrosis. This is less likely primary hyperhidrosis. Generalized sweating is mostly due to an underlying systemic illness or as a side effect of medication while focal sweating is generally due to a neurologic disorder or primary hyperhidrosis. In this case, it is generalized sweating, we need to find out are there signs and symptoms of: \u2022 Infection (acute or chronic). \u2022 Neoplasia. \u2022 Metabolic/endocrine disease (diabetes, thyroid, pheochromocytoma, carcinoid). \u2022 High catecholamine state (respiratory failure, heart disease, pain, drug/ETOH withdrawal). \u2022 Drug therapy (Propranolol, antidepressants, Pilocarpine, Physostigmine). \u2022 Neurologic disease (dysautonomia, diencephalic epilepsy, hypothalamic lesion, structural brain abnormality). In your case, it has a high metabolic rate with the childhood-onset disease process. So metabolic, endocrine, and high catabolic state is likely diagnosis. In the metabolic, it is more mitochondrial metabolic disorder likely diagnosis. The mitochondrial damage results in defects in the electron transport chain can affect any tissue. Tissues requiring the highest levels of energy production are the most severely affected. Certain \u201cred flags\u201d which should immediately increase the suspicion of a mitochondrial disorder. These include short stature, neurosensory hearing loss, progressive external ophthalmoplegia, axonal neuropathy, diabetes mellitus, hypertrophic cardiomyopathy, and renal tubular acidosis. Hope this insight will help you. Primary hyperhidrosis. Secondary hyperhidrosis, Metabolic myopathy. Mitochondrial disorder electron chain transfer. Morvan syndrome (autoimmune). Serum lactate. Muscle biopsy for metabolic myopathy. Mitochondrial disorder. Genetic analysis. Mitochondrial disorder. As per diagnosis antioxidants, vitamin E, and Riboflavin. Avoid excessive exercise to keep hydrated." + }, + { + "id": 28972, + "tgt": "What is the chance of survival in stage 4 lung cancer?", + "src": "Patient: Hi doctor, What are the chances of survival in the 4th stage lung tumor? Is there any specific suggestion for the cure? The patient had biopsy and bronchoscopy. The doctors suggest us to wait for biopsy report before any further medication. Doctor: Hi. For further information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 27074, + "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": 21869, + "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": 29004, + "tgt": "Can Chantix alter someone's memory?", + "src": "Patient: Hi doctor, I started taking Chantix to quit smoking for around three months now. The side effects I noticed were vivid dreams and becoming more withdrawn. Two months back, my girlfriend and I got into a domestic dispute. My honest memory of this incident is that she started verbally abusing me from the bedroom while I was in the kitchen. She then came out and started pulling my hair. I tried to leave, but she kept physically blocking me from the door. We argued for hours until she finally got out of the way and let me go. Her story is wildly different and I had heard that she was blaming Chantix for my behavior. I scoffed at that idea, but for days I was sure she was trying to set me up. But today, I started off-handedly doing some online research on the drug, and a lot of the stories hit home. I am so confused and scared right now. What I wanted to know is,\u00a0is it possible that the memories of that night are not real at all? My Chantix ran out a month back, and I did not get more. I have been so stressed out and want to smoke. Please help. Doctor: Hi. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26891, + "tgt": "My son has a small hole on the wall of his mouth that releases stones. What can it be?", + "src": "Patient: Hello\u00a0doctor, My 8 year old son has a small hole in the back wall of his mouth. He has seen a number of GPs and consultants. None of them know what it is or can explain it. They are not going to continue to review it as they say it is not a problem. I would like to know how what it is and if anything should be done. It appeared two years ago. He was not born with it. It occasionally seals over and looks a bit like a clear blister, and releases tonsil stones. Then it becomes a hole again. It is not a crevice. It is a hole in the back wall. I would really appreciate some advice. It is really disturbing when nobody knows what it is and then decide to stop reviewing it. Thank you in advance. Doctor: Hello. Do revert back for any further support. I will be happy to help you. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7521, + "tgt": "How to save my decayed teeth?", + "src": "Patient: Hi doctor,I am dealing with a big problem. Over the years my teeth have been slowly decaying. I was not big on brushing and now my molars are completely messed up. One of them is basically gone with a very dark color hole in it. The other molar is slowly getting to that point and it is about halfway cracked. So, what should I do exactly? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16282, + "tgt": "How can long showers impact health?", + "src": "Patient: Hello doctor, What are some ways long showers might impact your health? Please explain why that happens. Do you recommend people take showers of a certain length or temperature? What is ideal? Doctor: Hello. Research has shown that keeping the temperature below 110-degreeFahrenheit is beneficial to health. Slightly cold water is also good for your health as it boosts the immune system but not too cold. Water that is cold can harbor many pathogens like legionellae and others. Water too hot is bad for the epidermis as it damges the natural oils of the skin and predisposes a person to eczema and other skin conditions. Taking a bath in temperatures around 110-deg Fahrenheit can significantly hydrate the cells of the body and also maintain the natural texture of your skin. As for duration, too much time in the water is not recommended. An average of 20 minutes in temperatures around 110-degree Fahrenheit is good. In the case of children or the elderly, observe caution with high temperatures." + }, + { + "id": 16868, + "tgt": "Apart from anti-inflammatory medicine, what should I do for plantar fasciitis?", + "src": "Patient: Hi doctor, I was diagnosed with plantar fasciitis. I am having swollen feet despite taking anti-inflammatory medications. Please help. Doctor: Hi. I do not know what anti-inflammatory medicines you were taking, but you need to take the correct medicines and the main treatment of plantar fasciitis is stretching exercises. When the pain reduces, you have to do calf stretching exercises to reduce the pain of plantar fasciitis. I suggest you the following medicines to get it cured. Consult your specialist doctor, discuss with him or her and take the medicine with consent. You need to wear silicon heels to reduce the stress over it. You need to go to a physiotherapist and do ultrasound physiotherapy for at least 10 sittings in two weeks to the affected area. Do calf stretching exercises twice daily for 15 minutes. Exercise is the main thing. Also, put your feet in hot water when you get up in the morning from bed. This treatment will surely help you. Follow up with me after 10 days. Medicines, ultrasound physio and exercises. To wear silicon heels. Revert back after 10 days to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5708, + "tgt": "Can you help with my urticarial vasculitis?", + "src": "Patient: Hi doctor, For the past one year, I have been having bouts of urticarial vasculitis with lumps under skin on upper arms which turn to large rusty red areas before bruising yellow and fading away. The rash is transient and moves around the body across thighs, etc. My knees go red and there is a blue swelling. I am having low grade fever and malaise. Now the fingers next to thumbs on both hands are turning in with pronounced bony lumps on the fingers on the joints nearest the nails. Neck gets stiff and elbows have red areas too. I have feeling in the chest though seems to be asthma related apparently. My ESR and CRP are normal, but I have eosinophilia. My liver and kidney functions are fine, but alkaline phosphatase is borderline high. I have confirmed vitamin D deficiency and osteopenia. I have raised anticardiolipins since mid twenties and it never become normal.\u00a0Can you help? My paternal grandmother had Paget's disease and rheumatoid arthritis. Low C3 and C4 have been identified in my son and also with my nephew. Currently, I am taking Venlafaxine for symptoms of menopause. Doctor: Hi. Well, urticaria can be very disabling. I am not sure if they done the biopsy of the lesion yet, but to label it as vasculitis we need a biopsy. The reason is difference in management between urticarial vasculitis and urticaria. Also, could you give me more details on the treatment taken previously for urticarial vasculitis? It needs a long course with steroids along with other immunosuppresion. If urticaria, we need to manage it with antiallergics in high dose. Do let me know these queries as the diagnosis is still in doubt here. Revert back with the answers to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 14774, + "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": 29232, + "tgt": "Besides weight management, what can I do to improve my testosterone level?", + "src": "Patient: Hi doctor, I am a 28 year old\u00a0male. My height is 5\u201910\u201d, and weight is 280 lbs. Yes, I know that I am overweight and I am addressing the issue.\u00a0I recently performed some blood work on myself, so I could have a baseline as I have started a new ketogenic diet. Before 15 days, I ordered a CBC with differential, TSH, lipids panel, CMP, and A1c. The results are as follows (please note that the number in parentheses are the reference range from the laboratory).\u00a0Hemoglobin A1c - 5.3 (4.8-5.6),\u00a0TSH - 2.070 (0.450 - 4.500), serum testosterone - 239 (348 - 1197),\u00a0CBC normal,\u00a0SED rate - 3 (0-15),\u00a0Cholesterol total - 214 (100-199), triglycerides - 126 (0-149), HDL - 36 (>39),\u00a0VLDL - 25 (5-40),\u00a0LDL - 153 (0-99),\u00a0CMP normal and serum glucose - 90 (65-99).\u00a0After I had got these results, I noticed the testosterone was low. I do not have any trouble with erections, though I am not sexually active. I decided to order additional tests, and the results are as follows.\u00a0Free testosterone - 11.8 (9.3 - 26.5), total estrogen - 88 (40 - 115) and SHBG - 14.1 (16.5 - 55.9).\u00a0As you can see, my free testosterone is borderline while my SHBG and serum testosterone are all low.\u00a0My question is besides\u00a0losing weight, what can I do to naturally and more efficiently to increase my testosterone? Also, are these results indicative of anything more severe?Thank you for your help. I look forward to reading your answer. It is also important to note that I am not concerned about the lipids as I have reviewed research showing that those on a ketogenic diet can have an initial spike in cholesterol, though long term results outweigh the short term spike. Doctor: Hi. I have reviewed your reports. Your free testosterone is on the lower side and lipids are not much abnormal. Your problem is excessive fat in the body that converts testosterone to estrogen. You also may have fatty liver causing low SHBG (sex hormone-binding globulin). You may do an ultrasound of liver to see if it is fatty or not. The course of action for you is to lose weight by exercise, not vigorous but moderate. The activities like walking, cycling, and swimming are the best to reduce weight. Please do not take any nutritional supplements to increase testosterone. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13477, + "tgt": "I get allergy during specific months every year. Why?", + "src": "Patient: Hello doctor, I am a boy, 18 years old. From the last three years, I am facing an allergy in which I face difficulty in breathing, coughing, and sound produces while breathing. The problem increases at night and I wake up near 4 to 5 times during my sleep and sit for a while. This is my fourth year when I am again facing this problem. This problem arises usually in March and April and does not disturb in other months. When I faced this problem the first time, I consulted a physician who gave me five tablets of Asthalin (one for each day) and a cough syrup. It gave me relief. But last year, when I took the same Asthalin and cough syrup, it did not work. So my parents took me to another doctor in the city who gave me Leephylline 200 mg tablets for five days. He said that it is just an allergy which will go by itself after 18 years. He told me not to drink cold water, curd, rice, etc., when the season changes. This year I again faced the same problem but I did not drink cold water when the season changed this year. This year that doctor got transferred to another city. And when I went to buy Leephylline tablet, the chemist said that it is not coming. He gave me tablet Allegra M as its substituent. This tablet did not work. Then I went to consult a doctor who prescribed Cefixime dispersible 200 mg tablets. It also did not work. I want to ask that what is the reason behind my allergy? Why it occurs? Can you prescribe me a right tablet for my problem? Please give me advice what to do to get relief permanently from this problem. Doctor: Hello. You seem to be suffering from airway hyperreactivity disorder, the common colloquial term being an allergy. This occurs because your respiratory pathway is more sensitive to some day to day substances which others are able to tolerate without any problem. When such a situation occurs it can present with wheezing, breathing trouble, chest heaviness, sneezing, running nose, itching, sinus headache, disturbed sleep and day time sleepiness. One must be careful regarding seasons. If the allergy is occurring during some particular season then it must be due to some particular pollen. The substitute the pharmacist has given and the one the new doctor has given are all different. You need medicine to dilate your respiratory pathways. You need Asthalin inhaler of strength 100 mg and Seroflo inhaler of strength 250. For details regarding how to use these inhalers and how to avoid allergies in the future, you can revert back to me. But when you revert please give us details as to whether the breathlessness occurs throughout the day or only in the night, when it increases with physical exertion, whether it causes fever, headache, running nose, sneezing, etc. With the right advice, precautions, and allergy management protocol, you will be good soon." + }, + { + "id": 14180, + "tgt": "My skin itches with welts and hives without any kind of food or medicine allergy. Why?", + "src": "Patient: Hi doctor, I have this skin problem that I first noticed before three years. My skin will itch like crazy and break out into welts and hives. The symptoms will last for a few hours then go away. Some days I experience more than two outbreaks. The itching, bumps, and hives most likely appear after I undress and remove all of my clothing. It does not matter whether the weather is hot, cold, windy, rainy or dry I will have an outbreak. I do not have any known food or medicine allergies. I also do not take any medications to ease the itching and swelling. What do you think it could be? Doctor: Hello. I have examined the pictures and taken note of your concerns. I think the underlying cause is a parasitic infestation which is known to give rise to itching in evenings and nights and also results in the formation of wheals as noticed in the pictures. The treatment for this condition is with the help of following measures. GBHC lotion Gamma Benzene Hexachloride to be applied as three applications every week each 12 hours apart. The first application after a bath and to the whole body below neck followed by two similar applications at 12 hours gap but without intervening bath. Repeated every week for five weeks. Tablet Levocetirizine 5 mg a day for the whole duration. A single tablet of Ivermectin 12 mg only at the start of treatment, just once. It takes some weeks for the itching and symptoms to subside. Disinfection of bed linen and garments with boiling water or steam ironing." + }, + { + "id": 6272, + "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": 13216, + "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": 14521, + "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": 26720, + "tgt": "I hurt my left ankle after playing a sport and it is not healing. Why?", + "src": "Patient: Hello doctor, I got a wound on my left ankle two weeks ago, while playing kabaddi and it is not getting cured. I did the basic first aid but still, there is no improvement. Please give me the reason and suggestion. Doctor: Hello. Thanks. For more information consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 6779, + "tgt": "Can cocaine use in men prior to impregnation cause birth defects?", + "src": "Patient: Hello doctor, I am a 37 year old male. I had one wild night where we did several lines of cocaine. I have not done it before. And now my wife is pregnant. I have read studies that cocaine use in men prior to impregnation can cause birth defects, etc. Has this one night seven to eight weeks prior cause any risk to our baby? Or is the drug out of the system by then? Please explain. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17508, + "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": 696, + "tgt": "I get discomfort and bleeding post fingering with an urge to urinate. Is this UTI?", + "src": "Patient: Hello doctor, A few months now, I have been experiencing discomfort and bleeding after being fingered. It does not really happen during sexual intercourse though. I have an urge to urinate even after urinating. And it stings and the urine will sometimes come out at different random times. I have had two UTI\u2019s which I have felt the urine sensation before but the bleeding is what I am most concerned about. Also we always use protection. Why am I experiencing bleeding and discomfort after being fingered? I am currently taking Lamotrigine and Adderall. Doctor: Hello. Have you noticed the bleeding while you urinate also? Or else only after fingering? In view of your past episodes of UTI (urinary tract infection) it seems the same has recurred again as suggested by the pain after urinating. On top of that since women's urethral opening and the vagina are very near fingering might spread the infection there also and some injury during the fingering might have caused the bleeding. Please take the following medications, and refrain from fingering and sexual activity until the pain, bleeding and UTI subsides. Meanwhile, do the following test to confirm urinary infection. Also, please attach the previous prescription where Lamotrigine and Adderall were prescribed. Do you have discharge per vagina and pain during intercourse as well? Urine for routine and microscopic examination and culture sensitivity test. Vaginal swab for culture sensitivity. USG (ultrasound) lower abdomen and pelvis with PVRU (postvoid residual urine). Tablet Nitrofurantoin modified release 100 mg 1 tablet twice daily after breakfast and dinner, Tranexamic acid 500 mg 1 tablet twice a day SOS if there is bleeding . Syrup Urinary alkalinizer (Disodium hydrogen Citrate) two teaspoons with one glass water twice a day. Avoid fingering and sexual intercourse until bleeding and pain subsides. If at all sexual intercourse is done do it with a condom. Drink plenty of water and oral fluids. Avoid holding urine. Before urinating sanitize your toilet seats. Maintain hygiene at private parts. With urine RE, ME, and CS reports." + }, + { + "id": 7249, + "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": 1254, + "tgt": "Do I need to worry about my neutrophil and lymphocyte count?", + "src": "Patient: Hi doctor, I had an annual checkup. Please have a look at the reports and advise if everything seems fine and healthy. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19417, + "tgt": "What is accure laser?", + "src": "Patient: Hi doctor, What is accure laser? I have done cosmelan, but my skin looks dehydrated and dull. Will accure laser help? My skin was fair and now it seems dull and little reddish. Please help. Doctor: Hi. Accure is a diode laser used mainly for inflammatory acne and rejuvenation of skin. It will reduce sebum production to decrease acne. Cosmelan is a peel used for pigmentation over the face. Use sunscreen daily to protect skin from sun exposure and good moisturizer to avoid dryness. I also suggest Epithelial AH cream (Sodium hyaluronate). Consult your specialist doctor, discuss with him or her and take the medicine with consent. Do you have active acne or pigmentation? For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4769, + "tgt": "What can the red spots on back of hands that resemble bruising be?", + "src": "Patient: Hi doctor, There are red spots on the back of my hands, close to the thumbs. I do not feel any itching, pain or any other unusual conditions. It is just redness. It is present under the skin and looks like bruising. I do not know if it is caused by sun exposure or something else. I first noticed it three months back. At present I am taking Vitamin B complex tablet and vitamin C tablet. Please help. Doctor: Hello. I have examined your photographs (attachments removed to protect patient identity) and your history details. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1226, + "tgt": "My last period lasted only for few hours with a history of unprotected sex. Should I worry?", + "src": "Patient: Hi doctor, I had my last period on 15th April which lasted only for 15 hours (the due date was 19th but it came four days early). My partner and I had unprotected sex on 4th but he did not ejaculate inside. Since yesterday I feel tenderness in my breasts, a little fatigue and mild cramps in between. Is there anything to worry about? Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from tenderness in your breast and little bit fatigue. Your last menstrual period was on 15th April which lasted for 15 hours and you had unprotected sexual intercourse on 4th. Usually, woman's menstrual cycle is 28 days (+/-7days) normally. So if period occurs seven days before the estimated date as well as seven days after the estimated date is quite normal. It may happen in every woman in her lifetime. It is nothing to be worried. Again menstrual bleeding can last for 2-7 days normally. So your last menstrual bleeding lasted for 15 hours which may be quite normal. You should not worry about that. You should know about the safe period during a normal menstrual cycle. It is also known as calendar method. In this period no woman becomes pregnant from unprotected sex. If your menstrual cycle is 28 days, then from the 9th day of your last menstrual cycle to the 16 th day of your last day of menstruation will be counted as danger period (from 9th day to 16th day, total 7 days are known as danger period). In this period a woman can bear pregnancy from unprotected sexual intercourse. The rest 21 days are counted as safe period. In this period no woman can become pregnant from unprotected sex. So, luckily 4th April was your safe day. So there is no chance for you to become pregnant. Hormonal fluctuations can cause breast tenderness. Breasts may become painful before three to five days of starting of a menstrual period and stop hurting after your period begins. Menstrual cycle causes hormone fluctuations in estrogen and progesterone which make your breasts swell and can lead to sore and discharge. Those hormonal imbalance may make you fatigue too. I hope this helps." + }, + { + "id": 29314, + "tgt": "Could diet affect microalbumin level?", + "src": "Patient: Hi doctor, I am a 31 year old male. My microalbumin is 10.3, urine creatinine 313, eGFR 113, microalbumin-creatinine ratio is 3.4 and HbA1c is 6.8.\u00a0Should microalbumin be 0? Most sites say 20 and below is normal, but 10 is pretty high to me. I had levels done, which showed a microalbumin of less than 3. I\u00a0worked for 6 hours before the test. I was moving patients around in an operating room, moving beds, etc. Then, I\u00a0had a big lunch with bacon, sausage and eggs and had my testing done 30 minutes\u00a0later. I am so worried for this. Doctor: Hi. We are here to help you.To help you better, I need to understand your case a bit more in detail.\u00a0First of all, you have not mentioned the unit of your urine creatinine. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 11435, + "tgt": "What is the transparent shiny red skin on penis with burning sensation?", + "src": "Patient: Hello doctor, I am 30 years old. I observed something on the penis. It is like it burns and is red in color. I do not have any pain and itching. I started applying Clobesym-OZ cream. Now it seems some transparent shiny skin developing on it and also other parts of skin around it started becoming shiny and scaly. I have uploaded the image. I do not have any pain and itching. My blood sugar is normal. Please tell what it is, seriousness, remedy and how long will it take to improve? Doctor: Hi. I have seen the image (attachment removed to protect patient identity). Clobesym (Miconazole) is a potent steroid based cream and whatever you are noticing now are the side effects of steroid usage. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1014, + "tgt": "What is the life expectancy in cancer?", + "src": "Patient: Hi doctor, My friend has been having left shoulder pain for months. For the last three weeks, he is also having the hoarseness in his voice (can barely speak) and little energy. He is eating well, but not gaining weight. He has no other symptoms. He is a carpenter and 50 years old. He smokes cigarettes, weed and crack cocaine. I think he has been doing this for 30 years. Today, his blood test and blood pressure are fine. His chest x-ray came back with a large mass on his left lung, it looked large to me. He was given a TB shot other than that they suggested a specialist. It was an ER visit so they did not say much other than it could be a cancer. What does this sound like to you? I deeply appreciate any of your help. Thanking you in advance. Doctor: Hi. We are here to help you.\u00a0I am really sorry to hear about his state. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28210, + "tgt": "Which conditions require completely removing the outer and inner ear?", + "src": "Patient: Hello doctor, I just have a general theoretical question. This is not related to my medical history, I was just wondering in general.\u00a0How much of the ear is it possible to completely remove? Both inner and outer ear. What kind of conditions requires this kind of an operation? What after effects can one experience, besides deafness, after a complete ear removal?\u00a0Thank you very much. Doctor: Hello. Hope this answers your query. Do revert if you need any further information, I will be happy to help you. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14151, + "tgt": "My partner is bleeding since eight days post ECP. Why?", + "src": "Patient: Hi doctor, I had unprotected sex with my partner on 24 and 25 last month and she had an ECP on 25th. In few hours, she had drop type bleeding which continued for two days and then she started bleeding. It has been eight days and she is having her periods without cramps or abdominal pain. Her last period of the previous month was on 15th. We are little worried what to do now. Is this normal? She is taking unwanted 72 from three years once in two or three months but earlier she never faced this type of problem. Please suggest us the right path. Doctor: Hi. Thanks for the query. I can understand your concern. The possible causes of your partner's irregular spotting are as follows: 1. As her periods were delayed by last month itself means around one month ten days by the time you had sex. So, the possibility of pregnancy has to be ruled out. 2. Continuous usage of emergency contraceptive pill can lead to hormonal imbalance and menstrual irregularity. 3. Withdrawal effect due to the usage of the contraceptive pill. It is better to consult your gynecologist once, let her get examined and go for urine pregnancy test and ultrasound. With this workup the possibility of pregnancy can be ruled out and also the possible cause of her problem can be identified and treatment can be taken accordingly. Take care." + }, + { + "id": 4784, + "tgt": "PAPP-A screen test result is 1. 9 and hCG level is 65. 6. What does it indicate?", + "src": "Patient: Hi doctor, My wife has done a PAPP-A screen test and results are 1.9 and hCG level 65.6. She is 12 weeks pregnant. Please advise regarding the same. Thank you. Doctor: Hello. Revert back with the complete reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28248, + "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": 22491, + "tgt": "Can breast pain and cramps after sexual contact mean pregnancy?", + "src": "Patient: Hello doctor, I have PCOS. I had my period a month back. My periods are mostly irregular and I usually have cramps in stomach and my breasts hurt before periods not every time though. I had oral sex with my fiance yesterday, he was wearing a condom throughout but he rubbed his genitals on my vagina. I took an I-pill and Regestrone just to be safe after three to four hours. But today my breasts are hurting and I am having cramps. My vagina is also dry. Is there any chance that I am pregnant? Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse, there is no chance of pregnancy. These symptoms could be because of hormonal changes due to the pill you have taken. So relax and do not worry. 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": 10664, + "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": 16638, + "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": 7210, + "tgt": "Kindly help me to know about STD", + "src": "Patient: Hello doctor, I need some education on STD. Please help. Doctor: Hello. Please let me know what you need to know about STD." + }, + { + "id": 3577, + "tgt": "Along with PCOS I am suffering from bad skin. Please help", + "src": "Patient: Hi doctor, Five years ago, I was diagnosed with PCOS. Then three years later, I started suffering with very bad skin. My skin was excessively oily and I always have spots and deep pores. Sometimes my skin has red blotches, but they are not raised and there are no heads. I seem to have controlled the oiliness, but I still have spots and redness. I am desperate to resolve it as I did not suffer as a teenager. I am looking for any advice and recommendations that will help with this. I am currently on contraceptive pills to control hormones. Doctor: Hi. Since you are already a diagnosed case of PCOS (polycystic ovarian syndrome) which is known to be associated with seborrhea, acne, hirsutism and alopecia called as SAHA syndrome. But, with your history it seems that you are having only acne, which is a good prognostic marker in your case. This condition will partially get resolved with your hormone pills. Topically, you can use antibiotics cream like Clindamycin or Nalidixic acid during morning hours and topical retinoids like Adapalene gel during night. For oil control of your skin you have to do certain dietary restrictions like not to take oily and spicy food, junk food, milk products and non-vegetarian. Take lots of water which hydrates your skin. PCOS. Hormone profile. 1. SAHA syndrome. 2. Acne vulgaris. Revert back after a month with photographs to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 31060, + "tgt": "Having osteoporosis and spine fracture. How long will it take to get cured?", + "src": "Patient: Hi doctor, I have osteoporosis and L3 spine fracture from it. I have had it for six weeks and the pain is minimal. But, when I walk or stand my whole back feels very strange and uncomfortable like a chronic ache. I also had two fractures before. I am flying out in two weeks. Do you think it will be safe to go? How long will it take to get the pain subside? Doctor: Hi. I have gone through your message 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": 23219, + "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": 26125, + "tgt": "What are the Ayurveda medicines for cough, cold, fatigue?", + "src": "Patient: Hi doctor,I have a\u00a0problem with a frequent cough, cold, fatigue, etc. I started taking Chyawanprash and Maha Sudarshana churna in the morning and Chyawanprash and Triphala powder at night. After 1 month of usage, I feel quite better. Further, I also have fatigue, insomnia, and stress. So, I am planning to include Ashwagandha and Brahmi also in my daily intake. Can you please suggest if I can take Chyawanprash, Maha Sudarshana churna, Triphala, Ashwagandha and Brahmi every day? Doctor: Hello. I just read your query. Chawyanprash and Maha Sudarshan churan are very good for your problems like cough and cold. You can take Chawyanprash regularly for three to four months. As it is good for increasing immunity, you can continue it. You have already taken Sudarshan churan for one month. Try not to take it for too long, because you cannot depend on medication completely. As you have other problems like insomnia, stress, fatigue, low stamina, etc. you can take Ashwagandha and Brahmi daily. Take the medicines as follows: Try all these things regularly and you will soon feel positive results. I hope you are satisfied with my answer. Follow up after three weeks. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14254, + "tgt": "I am shivering all the time and this increases after smoking. Why?", + "src": "Patient: Hello doctor, My body is always shivering and after smoking, it increases. My age is 25 years and I am a male. Doctor: Hi. As per your complaints, it seems like Vata Dosa has increased. You should quit smoking as soon as possible. Take Ashwagandha and Shatavari powder 3 gm each twice a day with warm water after meals. Aggregate Vata Dosa, weakness, Dhatukshya. Rx, 1. Ashwagandha powder 3 gm with Satavari powder 3 gm twice a day with warm milk after meals. 2. Kaunch pak 3 gm twice a day before meals. 3. Lukewarm Bala oil for external application to whole body. Avoid spicy and fried junk foods, quit smoking and drinking, take adequate sleep." + }, + { + "id": 12988, + "tgt": "What are the ways to treat disc desiccation with pain in leg?", + "src": "Patient: Hello doctor, I have disc desiccation. There is a pain in my right leg while walking. Doctor: Hello, Welcome to iclinq.com. In Ayurvedic Panchakarma therapy, there is a procedure named kati basti, which is helpful in this problem and your treating Ayurvedic physician will also prescribe you oral medications while performing this procedure. It is a noninvasive procedure done with the help of medicated Ayurvedic oils. You can visit a nearby Ayurvedic hospital or Panchakarma center and ask for the details." + }, + { + "id": 18278, + "tgt": "What should I do to reduce the hyperpigmentation and dark circles under my eyes?", + "src": "Patient: Hello doctor, I had undergone a Co2 laser treatment around my eyes about three and half years ago. Now, I am left with dark circles under the eyes along with hyperpigmentation and redness. About one and half weeks back, the doctor prescribed me a cream that has Kojic acid\u00a01%, Glycolic acid 5%, Betamethasone dipropionate 0.1% and Chamomile extract 5%. The doctor asked me to put this cream at night with no lights. However, I do not see any improvement. I think it looks bad. What can I do now? I am uploading my pictures. I am using Bepanthen and sunscreen. Currently, I am taking Synthyroid, Cytomel and Progesterone. Doctor: Hi. I have gone through your query and reviewed the pictures (attachment removed to protect patient identity). For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29321, + "tgt": "Could low platelet count be due to arthritis?", + "src": "Patient: Hi doctor, About a month ago, I woke up with three of my fingers popping in the knuckles and fist. I put them under cool water, and it was better. When I went to my doctor, he said it as rheumatoid arthritis and prescribed some medicine. But, those medications did not work. My blood test came back negative for arthritis. I have been given shots. It started with a swelling. My right elbow is very sore to touch, and I have no idea about it. My blood platelet count was 122 and low I had balanced diet for five days and repeated the test. Now, it is 118. I feel tired, but I do not bruise easily.\u00a0I worked 72 hours a week for the last two months. My diet is not balanced, but my platelet made me to concern. Doctor: Hello. Revert with the details to an internal medicine physician online -->https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20756, + "tgt": "I am having sore throat for past one week. Is it cancer?", + "src": "Patient: Hi doctor, I am having a sore throat condition for past one week and pain is increasing. I met a doctor at my place. She gave me Pan 40 and Vibact to eat. I am so worried about this because I smoke. Please help me. This is not cancer, right? Doctor: Hello. I went through your post and images (attachment removed to protect patient identity). You have pharyngitis, a bit severe but nothing to worry. You need to start Levofloxacin 500 and Telekast L (Levocetirizine and Monteleukast) bedtime. In addition, use Chlorhexidine mouthwash morning and evening. There is nothing to worry. It is just an infection and will settle within 72 hours." + }, + { + "id": 3952, + "tgt": "Is it advisable to take Ipill in person with bulky ovaries with multiple small follicles?", + "src": "Patient: Hello doctor, I have an ultrasonography which states I have bulky ovaries with multiple small follicles. I wanna know what does that mean and can I take Ipill and is it safe? Doctor: Hello. The report to me is normal with normal size uterus and also the ovarian size even though it mentions bulky ovaries (attachment removed to protect patient identity). But an ovary is considered bulky if the volume of each is more than 10 cc. The presence of small multiple subcenterimetric follicles indicate developing follicles and cannot be labelled as polycystic ovaries unless the criteria for clinical hyperandogenism like acne, hirsutism, acanthosis nigerians and oligomenorrhoea is met. The presence of frequent urination points towards possibility of a urinary tract infection which can be ruled out with a urine routine microscopy test. Also if you have been sexually active, then its always better to take an emergency contraceptive pill within 72 hours of intercourse to avoid unplanned pregnancy." + }, + { + "id": 893, + "tgt": "Why do I have a sensation of a lump in the throat with some swallowing problems?", + "src": "Patient: I have a sensation of a lump in the throat, occasional nausea and some challenges swallowing. This has gone on for close to 3 months. Doctor:" + }, + { + "id": 2994, + "tgt": "I have grade 1 fatty liver and aiming for weight loss. Please suggest a diet plan", + "src": "Patient: Hello doctor, I have grade 1 fatty liver. I am 154 cm in height and weigh about 65 kg. I am trying to lose weight. Can you suggest me a diet to cure my fatty liver as well as reduce my weight? Doctor: Hello. Here are some nutritional guidelines that you need to follow. I will tell in detail about the foods that you need to include in your diet. Include nuts in your diet especially almonds, peanuts, hazelnuts. All types of nuts have healthy fats in them which have been proved to be healthy by a bundle of researches done over the years. They do not have cholesterol and the fat in them does not lead to weight gain. Instead, studies are consistently showing that nuts lower the cholesterol levels of an individual. Nuts can prove very beneficial to have satiety (satisfaction) and in improving your blood glucose levels. They can control your hunger prangs while providing you satisfaction. In this way, they can assist in weight loss. You can include nuts in your breakfast or can consume it as a snack in between meals. You can eat a handful of them or you can add them to your cereal, plain cornflakes, weetabix, porridge, sagudana, kheer, gravy or raw/boiled salads. You can also consume them in the form of milkshakes e.g. almond milkshake or you can simply mix almond or walnut powder in milk and consume it as a mid-morning snack or as an evening snack or before bed. Homemade almond or peanut butter is also good. You can use honey or brown sugar 1.5 tablespoons on a daily basis. Include seeds in your diet (basil seeds, chia seeds, pumpkin seeds, sunflower seeds). You can season them on your salads, in your milk, milkshakes, yogurt, porridge. Basil seeds need to be soaked in water before use. Chia seeds are eaten both raw as well as soaked. Pumpkin seeds and sunflower seeds are eaten raw. Use olive oil. Season it on your salads, egg, toast, fish, lean meat. Extra virgin olive oil can be used for cooking as well. You can use edible corn oil, sunflower oil, mustard oil, soy bean oil for cooking. Add more vegetables and fruits in your diet. Use more green leafy vegetables. Add whole grains in your diet (whole wheat, oats, barley). Do not use refined and polished flours. White flour is also a refined flour. Use fish, poultry, red meat (use lean cuts). Use low-fat dairy products and sugar-free as well. Strain milk before use. Make home-made yogurt using strained milk. Do not drink any kind of juice or fizzy drinks. Juice made from juicer is also not allowed. If one wants to drink juice, simply add one recommended fruit in water and grind it in a milk shake jug. Do not add sugar. You can use boiled rice or tarke wala chawal twice a week only (one small plate). Do not consume rice in dinner. I hope this helps. Do not add sugar or artificial sweeteners in your daily foods. Do not use commercially prepared nut spreads. Do not use nuts with sauces, mayonnaise as both of them are fattening. Do not use nuts with added salt in them if you suffer from high blood pressure. Do not use margarine. Do not use flavored cornflakes. Limit the consumption of canned and tinned foods, biscuits, cakes and desserts." + }, + { + "id": 5952, + "tgt": "What can be done when my vagina is too tight for a tampon to get in?", + "src": "Patient: Hello doctor, My tampon will not go in no matter how hard I try and it hurts so bad. I cannot get my finger in either sides. I have planned to have sex soon but my vagina is too tight. What can I do? Is this normal? I really want to get a tampon in, because I am tired of pads and I feel like my vagina is blocked. Currently I am on Fluoxetine. Doctor: Hello. Yes, some girls may have a tight vagina. I would suggest it is better to get yourself examined by a doctor under good light as the actual diagnosis of tightness can only be found out then. Different causes may include vaginal septum or vaginal stenosis, etc. But if it is only a tight vagina, then it can be resolved quickly by the use of dilators. But I would not recommend you to do it your own without having a consultation with an expert. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 24719, + "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": 6530, + "tgt": "Why a swollen lymph node that I have had for two years, has shrunk on taking Prednisone?", + "src": "Patient: Hello doctor, Two years ago, I discovered a small lump in my neck near the back right side. My GP said it did not seem like anything to worry about and to come back if it grows. I noticed no growth, but it did not go away or shrink either.\u00a0A year and a half later, I developed a rash and stomach bloating and cramping, so I went to another doctor and said I was concerned the lump is lymphoma and causing the other symptoms. The doctor ordered an ultrasound. The node measured 1 x 0.9 x 0.4 cm. The results said it has the appearance of a lymph node. The doctor said I could have an ENT look at it if I like, but that he thinks it is nothing to worry about. The rash and stomach pains cleared up soon after, so I did not pursue it further. Now, last month I started to have chest tightness where my air passage felt like it was being restricted. I went to an urgent care and was put on Prednisone for ten days. The chest tightness has cleared up, but there is still a little irritation in my right lung area like I can feel something in my chest. The strangest thing is that after two days on Prednisone, I could no longer feel the lump in my neck. In two years, it had not changed, and after two days of Prednisone, I could not feel it. However, within 3 to 4 days after stopping the Prednisone, I could start to feel it coming back. It is now about two weeks since I have stopped the Prednisone and I can easily feel the lump now. It does not feel as large as before yet and would be hard for someone else to feel, but it has returned after stopping the Prednisone.I did some reading about how Prednisone can mask lymphoma symptoms, such as temporarily shrinking the nodes. Are there any other explanations for why a swollen lymph node that I have had for two years, would shrink while on Prednisone and then start to regrow after stopping it? Doctor: Hello. For further queries consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 21858, + "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": 31061, + "tgt": "How long should I take Humira?", + "src": "Patient: Hi doctor, I am a 55 year old male. I have been suffering from ankylosing spondylitis for at least 15 years. With very limited mobility and severe pain, I was under continuous medication and was taking Remicade (Infliximab) for the last five years. Till recently, Remicade was working well and my pain was under control, however with some limited mobility. But, in the last three months, the stiffness and pain got severe. As per my doctor's advice, I started injecting Humira - Adalimumab once in every two weeks. Four weeks since I had started using Humira now and so far injected two, but my pain and stiffness only got worse and the mobility is almost nil.\u00a0My HLA B27 results are negative.\u00a0My questions are, how many days or weeks I need to wait to see improvement from Humira?\u00a0How long should I continue Humira even if I did not see improvement?\u00a0What option I have if Humira does not work for me? Shall I\u00a0try no starch diet (NSD) or low starch diet (LSD)? Doctor: Hello. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 2415, + "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": 10005, + "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": 29145, + "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": 29498, + "tgt": "I am on a diet and not getting regular monthly period. What to do?", + "src": "Patient: Hello doctor, Over the last several months, I have been dieting to lose weight that I gained last summer. Though my weight has fluctuated over the months, I have lost approximately 10 lbs. I am also an athlete, and thus I exercise daily. After the first two months of dieting, I noticed that I did not have my monthly period. It is not unusual for me, as\u00a0my menstrual cycle has never been regular since I started at age 15. I am worried primarily about the health of my bones, but I do not want to stop dieting or gain weight. Also, I cannot decrease my exercise since it is a part of my schooling. I am also worried about going on birth control because of the numerous side effects associated with it such as breast enlargement and weight gain. Moreover, I feel as though this would only further interrupt my menstrual cycle. I feel that there must be some other treatment I can undergo to either stimulate or approximate my menstrual cycle more naturally. Thank you for your advice. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9052, + "tgt": "I am having shortness of breath with low Hb, HCT, MCHC and RBC. Is this some form of anemia?", + "src": "Patient: Hello doctor, I am having symptoms concurrent with anemia. I recently had a blood test done and my hemoglobin, MCHC, RBC, and HCT are low. RDW is high. Iron saturation is at the lowest end of normal. I am having problems with shortness of breath. Can this all be attributed to some form of anemia? Doctor: Hello. I have read your concern and below is my answer to your question. You are certainly having mild degree anemia in the attached report (attachment removed to protect patient identity). It could probably be an iron deficiency anemia as you have mentioned low iron and saturation. However, such a mild degree anemia cannot cause breathlessness. So, your dyspnea complaint is most probably not related to anemia. For dyspnea, primary workup that you can investigate with is digital chest X-ray PA view and EKG." + }, + { + "id": 9660, + "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": 1278, + "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": 19585, + "tgt": "I have a thick endometrium and no gestational sac. Can I be pregnant?", + "src": "Patient: Hello doctor, I took a home pregnancy test 44 days after my last LMP. I underwent my pelvic scan today and it says I have no gestational sac and have a thick endometrium. I have very mild bleeding for the past two days and slight press on my right lower abdomen. My doctor has suggested me to take hCG at a lab and I was also told my periods will come anytime. My concern is that I have a flight journey of seven hours in another 48 hours. Is it safe to travel? What are the precautions that I need to exercise? Doctor: Hello. You can definitely take a long flight. What you had was a biochemical pregnancy meaning pregnancy hormones only in blood and urine and not on the scan. Urine pregnancy is positive when the blood level of beta hCG (human chorionic gonadotropin) hormone is 25 IU/mL. But only if the baby is healthy and gets a good place to sit in the uterus, will it produce the beta hCG at the expected rate and only when the level is more than 1500 IU/mL, it can be seen on the scan. As pregnancy was not so healthy, urine pregnancy test was weakly positive and I am sure the beta hCG will be negative or very low as it is supposed to be more than 3000 IU/mL at six weeks. You might have taken some hormone pills for pregnancy growth. This along with hormone form failing pregnancy will make endometrium thicker. If you do not want to have the bleeding during the flight, you can continue hormones like Duphaston (Dydrogesterone) twice a day until you reach the destination. After few days of stopping the pills, you will have thick fleshy bleeding with clots. There is nothing to worry about. If you do not mind the bleeding, keep a few extra pads handy. You can also take some antispasmodic medicines like Cyclopam (Dicyclomine and Paracetamol) or Spasmo Proxyvon (Dicyclomine, Paracetamol, and Tramadol) or Hyocimax (Hyoscine butylbromide) or Drotin (Drotaverine) two to three times as a precaution. Some may have slightly painful lower abdominal cramps. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to have a lot of fluids, water, juices, tea, and coffee. Try to relax whenever possible. You may feel the tiredness which is seen during normal periods. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24587, + "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": 16684, + "tgt": "How to reduce excess oxytocin in brain?", + "src": "Patient: Hi doctor, Two months back, I got married. Then, I involved with excessive kissing with my wife. For the past one month, I am facing some kind of headache and heaviness in the head. I checked with the local physician and they said that there are excess of love hormones in the brain. That is excess of oxytocin and my physician informed me to consult a psychiatrist. He also informed me that there the excess oxytocin needs to be reduced to come out of the problem. Earlier, I did not accept that there are\u00a0excess love hormones in my brain. However, I observed and surprisingly I have seen that after kissing my wife, my symptoms got increased. I request you to suggest a medicine to overcome this problem. Doctor: Hi. I can understand your concern, but I differ in opinion regarding the oxytocin and headache. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22298, + "tgt": "I have few painful bumps on my labia. Do I have an STD?", + "src": "Patient: Hello doctor, I am a 20 year old female. I have had two sexual partners. The second one is my current boyfriend. I used to shave my pubic hair all the time but started getting razor bumps from it. I decided to stop and let the hair grow out fully before attempting to shave it again. I noticed the other day that I have a few bumps on my labia, some painful. I am not sure what they are and thought not shaving would stop bumps from forming. I have gotten painful bumps on my pubic area in the past when I shave and do not shave that seem to come out of nowhere. I have also noticed a smell from my vagina during the day and even after I take a shower the smell is still there. Is it because of me not shaving for months? Where do you think the bumps come from? My last question is do you think I have an STD? Doctor: Hello. With your description, I can list a few possibilities for the painful bumps over the pubic region: Do you have any discharge from the vagina?Do you have itching as well?Since when did you notice this? Please mention duration in days. I am afraid I cannot make any diagnosis or rule out STD here without seeing your clinical picture. Kindly 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": 13326, + "tgt": "Is there any way to cure brown stains from teeth permanently?", + "src": "Patient: Hello doctor, I am 54 years old and I have never taken good care of my teeth until a couple of months when I started noticing a very rapid erosion of enamel on my front teeth near the gum line. This area was becoming very thin on a couple of teeth and turning brown and no amount of brushing, cleaning, etc., was making the brown go away. So I went to a dentist for the first time in about 46 years and had a deep cleaning done and a brief consultation. The cleaning got rid of the brown stains but then the brown stains returned within a week on the same thinning areas next to the gum line. I keep brushing and trying different things (a whitener, baking soda, peroxide, a mineralizing toothpaste, avoiding food and drink that causes staining, brushing right after eating) but the staining just continues to get worse and is now happening on all of my front teeth (near the gum line). It has been about three weeks since the deep cleaning and in a couple more weeks I have an appointment with a different dentist who is going to clean them again and hopefully give me some advice on what I can do about this including dental bonding perhaps. My question is, what can I do to get rid of these brown stains and keep them away. Are they just going to keep coming back and getting worse no matter what? Did the deep cleaning somehow cause this to be worse? It seems like it did. Can dental bonding cover these stains and stop them from getting bigger? I have changed my diet also in order to promote healthier teeth. Eating more nutrient foods with more Vitamin D, Magnesium, Vitamin K2, making sure I get enough calcium, using Celtic sea salt instead of regular salt, anything that is known to help promote better teeth and gums. Please, any advice you can give me would be very appreciated. Doctor: Hi. Just checked your given picture and thanks for detailed history (attachment removed to protect patient identity). These brown marks are because of smoking. You have not left me with anything to suggest you as you have already done with home remedies, peroxides, care, etc. Now, if you do not want these brown lines to come back you have to quit smoking for it. Correct your brushing technique. You have to brush your teeth with light hand pressure because I can see at some points you do brushing vigorously that caused enamel to wear off. I would say it is erosion and abrasion at gumlines, where you put a slightly more pressure to get rid of brown lines. You immediately need to stop this. Stop getting angry. Do not be surprised, as your teeth say so. I guess either you are introvert, do not express your feelings or pour out your anger on others and keep grinding your teeth instead or you are a person who takes stress too much. Is it so? Do let me know about it. I can say you are suffering from a condition called bruxism, that is, clenching of jaws or habit of grinding your teeth consciously or unconsciously at night. For it, you definitely need a night guard so your teeth might not get minor fractures or uneven occlusal surfaces can be arrested right away. This is just an additional finding I diagnosed by seeing your ground teeth. Regarding your presenting complaint, yes bonding will definitely work in arresting these gumline abrasions you made yourself by brushing harshly and smoking brown stains will also be limited by it. Rest, for getting permanently rid of it you need to leave your beer and smoke which are definitely injurious to your health. Do give me followup after next visit and after breaking down your habits." + }, + { + "id": 5705, + "tgt": "Why do I have intense pain when my hands swell?", + "src": "Patient: Hello doctor, I can notice some dots in vision when I heat up fast. My hands shake when I go into attack. I have blue fingers\u00a0in cold; red swollen fingers and toes when it is hot outside also. I have intense pain everywhere when my hands are swollen. Please help. Doctor: Hello. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 19415, + "tgt": "I am getting radiating right hip pain. Is this due to psoriatic arthritis?", + "src": "Patient: Hi doctor, I am 26 years old. Since a week, I am getting pain in the right leg hip and sometimes, extending till right knee and calf muscle. I feel that something is trying to project on the left side. Doctor: Hello. Revert with the details to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 11545, + "tgt": "Is there any alternate method other than drugs to treat schizophrenia?", + "src": "Patient: Hello doctor, I have been diagnosed with schizophrenia and have been prescribed anti-psychotic medication Olanzapine. I have been taking it for 2 to 3 years. I was wondering if there is an alternate route to treatment? Or if there is another solution for a possible cure? I do not want to deal with the negative effects. I do not experience any of the positive effects for 2 to 3 years as long as I have taken Olanzapine. Can I come off the medication? Doctor: Hi. Olanzapine is an antipsychotic medicine. Yes, Olanzapine is available in injectable form. If Olanzapine is causing some effects then it can be changed to other antipsychotic like Aripiprazole, Risperidone or Ziprasidone. You need to take medicines or injectables to keep symptoms in check. I want to understand what negative things you are experiencing." + }, + { + "id": 5146, + "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": 28607, + "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": 26474, + "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": 6546, + "tgt": "What are the precautions to take during pregnancy in case of a bicornuate uterus?", + "src": "Patient: Hello doctor, My wife is 30 years old and pregnant. This is our first child. We got married four years ago. She got pregnant soon after. But, since we were not ready, we opted for a termination of the pregnancy using a medicine. Now, my wife had undergone a pelvic\u00a0ultrasound. She has been given three observations: bicornuate uterus, internal os opening\u00a0is 3.7 mm, and the cervical length is 3.5 cm. In addition, a single live intrauterine fetus with FHR 165 bpm and growth 15 weeks was noted.The doctor said that the internal os should be closed until the end of pregnancy. So, he advised her a complete bed rest and prescribed Proluton Depot 500 mg and Hucog injections. Apart from this, she has been asked to take some medicines. Can you please help with following queries? What is the risk and impact of a bicornuate uterus? The internal os is open by 3.7mm. What is the impact of the same? Is the child at a high risk? I am quite worried about the reports. If the internal os has opened, will it keep increasing or can it close again without manual intervention such as cerclage? Are there any additional precautions or measures that need\u00a0to be taken. Any information will help. Doctor: Hello. How are you doing? All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10873, + "tgt": "My mother has a lump in her breast. Kindly guide", + "src": "Patient: Hello doctor, My mother found a lump in her breast, which is movable and mildly painful. Then she was suggested for a mammogram, and it resulted as a mass lesion with an irregular margin of 8*10 cm birads v category. We are waiting for the biopsy result. She does not have any symptoms other than a lump, and she is very worried about the issue. Please help. Doctor: Hello. Mass of 8*10 cm will most likely be cancerous. If I were your treating doctor, I would first evaluate in detail the extent of the disease, with the help of examination, chest X-ray, ultrasound of the abdomen. Once confirmed that the condition is limited to the breast, her treatment options will involve surgery, chemotherapy, and radiation. These days with advanced techniques, we have high cure rates for breast cancer with minimum side effects." + }, + { + "id": 28229, + "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": 1521, + "tgt": "What should I do to prevent DVT or PE after COVID-19 recovery?", + "src": "Patient: Hello doctor, I have been self-isolating for three weeks due to Coronavirus symptoms and spent two nights in the hospital where I was given oxygen and a chest x-ray showed typical COVID-19 changes. I was discharged a week ago and told some COVID-19 patients have been coming back with DVT and or PE. I am on Clexane (Heparin) twice a day for two weeks. My question is, is there anything else I can do to prevent blood clots while recovering? I have been wearing compression stockings the hospital gave me day and night, should I be taking these off at night? I am doing some foot and calf exercises and trying to walk a little in the garden too. Is there anything else I can try? Doctor: Hello. Kindly answer the following questions to guide you further. Do you have any risk factors for thrombosis like family history, smoking history, prolonged bedridden, or excess weight? Does your doctor recommend to take heparin? Have you confirmed your COVID-19 by RT PCR (reverse transcription-polymerase chain reaction) testing by swab? Are there any other symptoms?" + }, + { + "id": 21434, + "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": 19549, + "tgt": "I seek your advice for my father's blood report. Kindly help", + "src": "Patient: Hi doctor, I have enclosed the preventive blood test reports of my father.\u00a0I seek your advice for the test report. Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26740, + "tgt": "How to get the glucose and lipid readings back to normal while doing LCHF diet?", + "src": "Patient: Hello doctor, I am a 54 year old male, and I do not smoke or drink. I am prediabetic and overweight from the past five years.\u00a0I have started LCHF (low carb high fat) and IF (intermediate fasting) diet for seven weeks. This has given very good results, I was 100 kg, and now I weigh 90 kg. And my blood pressure is also back to normal. I feel highly energetic. Today, on getting myself tested for blood glucose and lipid profile, I got very strange results. My fasting glucose is 86 mg/dL, postprandial glucose is 152 mg/dL, total cholesterol is 210, triglycerides is 112, HDL is 34, LDL is 175, VLDL is 22.4, total cholesterol/HDL ratio is 6.2. Though these readings look very strange and abnormal, I am feeling very fit and energetic after changing over to LCHF diet and intermediate fasting. How to get the glucose and lipid readings in the normal range while continuing the new diet? I was feeling lazy from the last four years, which was rectified with the new diet and fasting. Doctor: Hello. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 4952, + "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": 16035, + "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": 26143, + "tgt": "My fiancee has low sex drive. What could be the reason?", + "src": "Patient: Hello doctor,My 29 year old fiancee has very less sex drive. Please suggest a remedy. Doctor: Hello. I went through your query. There are many causes of a low sexual drive. Let me mention few important causes: A proper approach and foreplay may resolve the issue. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6705, + "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": 26122, + "tgt": "I overdosed on medicines two years back. Have I damaged my liver and kidneys?", + "src": "Patient: Hello doctor, I had overdosed on multiple medicines two years back, which included eight iron tablets on two occasions, Avil 16 tablets 25 mg, SSRI twice, all on different occasions. Two years back, my SGPT was 106, a month after my last overdose incident and creatinine was 1.2. Since then, my SGPT has been 12 to 15 and creatinine 0.6. My BUN is 6. Do you think I have damaged my liver and kidney? Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 17188, + "tgt": "My child is suffering from diarrhea. Which syrup is better? Zinc acetate or zinc sulfate?", + "src": "Patient: Dear Doctor, My child is suffering from diarrhea. Which syrup is better? \u00a0Zinc acetate or zinc sulfate? Give me advice. Doctor: Hi, Thank you for your query on icliniq. The treatment of diarrhea comprises of: If the problem persists, consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4885, + "tgt": "Kindly evaluate my daughter's ECG report", + "src": "Patient: Hello doctor, I would like to send you my daughter's ECG for evaluation. This was taken at the ER. I think she had heartburn. We are now concerned about the abnormal report. Doctor: Hi. I have seen the ECG of your daughter. (attachment removed to protect patient identity). She has a condition called right bundle branch block. A right bundle branch block (RBBB) is a heart block in the electrical conduction system. Our heart is divided into four chambers, upper two are called atria and the lower two are called ventricle. Every heartbeat starts from the sino-atrial node in the right atria called pacemaker of the heart and is conducted to ventricles through bundle branches arising from bundle of HIS in the ventricle. The right bundle branch supplies the right ventricle while the left bundle branch supplies the left bundle. During a right bundle branch block, the right ventricle is not directly activated by impulses traveling through the right bundle branch. The left ventricle, however, is still normally activated by the left bundle branch. Though in 85% of adult population RBBB is a normal finding, yet as your daughter is in the pediatric age group it can be because of atrial septal defect also. A detailed history is required before concluding if its atrial septal defect or not. You have not mentioned her symptoms, does she had breathlessness, especially while playing? Does she have chest pain? Any history of recurrent chest infections in her childhood? Why was she taken to ER? Does she have gastritis or acid peptic disorder or heartburn previously? Does she ever had heart palpitation? Is she over fatigued as compared to her friend in doing the same amount of work? I need answers to the above questions before giving a further advice. Right bundle branch block. Atrial septal defect? Follow up with a detailed history." + }, + { + "id": 15374, + "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": 4780, + "tgt": "What can be the reason for low Hb in a 65 year old?", + "src": "Patient: Hi doctor, My mother is 65 years old. She got tested for hemoglobin and fasting blood sugar. The results are 5.20 g/dL and 123 mg/dL respectively. The hemoglobin level is alarming. Three years ago, she had same hemoglobin level. She was admitted for a week and two units of blood were transfused.\u00a0What to do now? Please guide. Doctor: Hi. I can understand your concerns. Follow up with further information to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23545, + "tgt": "Will an HLA-B35/58 person produce antibodies against HIV?", + "src": "Patient: Hello doctor, I have studied that HLA-B35, HLA-B58, and HLA-B7 are responsible for the rapid progression of AIDS and often test false negative when tested. However, with C clade virus it is somewhat protective and does not lead to rapid disease progression which has something to do with the CD8 T cell response to a single gag epitope which is only available in the C clade virus. I want to know will an HLA-B35/58 person be infected with C clade virus and produce antibodies to HIV unlike in B clade virus? Also, what causes a false negative in B clade? Doctor: Hello. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4584, + "tgt": "Can I take a break before starting next pack of ocp?", + "src": "Patient: Hi doctor, I am using ocp for last 4-5 months. In my\u00a0last cycle I took active pills for 22 days. But took two ocps each day from day19 to day 22. Along with this\u00a0took an i-pill on day18 of ocp cycle. On 5th day of pill free break got withdrawal bleeding. I want to know\u00a0when to start the next pack to remain protected without requiring any backup method? Can I start after 7 day of last pill or day3 of withdrawal bleed or day2 of withdrawal bleed? Please let me know if day 2 start and day 3 start are same or not.\u00a0If in any cycle, I take active pills for 22 or 23 days to delay withdrawal bleed a little, then take a break and start next pack on 2nd or 3rd day of withdrawal bleed, is it fine? Thank you in advance. Doctor: Hi. Following are answer to your queries. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26477, + "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": 8425, + "tgt": "My semen is reddish brown in color. Should I be concerned?", + "src": "Patient: Hi doctor, I am a 35 year old male. Two weeks ago, I noticed that my semen was brownish. Again yesterday and today, it is the same reddish-brown, and I think it is more watery than usual. I do not have any other symptoms. I do have a varicocele, but I do not think this condition is related to varicocele. Should I be concerned? Doctor: Hi. The reddish-brown color of the semen indicates a condition called hematospermia. The most common cause for this condition is idiopathic inflammation of the prostate or seminal vesicles. Do you have any feeling of dysuria (difficulty in urination or painful urination) or incomplete voiding? So, a workup for this condition is digital rectal examination to feel your prostate and seminal vesicles and also PSA (Prostate-Specific Antigen) level. We usually treat idiopathic hematospermia with a Quinolone antibiotic for four weeks (to take care of any prostatic infection). We also give a two-month course of Alfuzosin and Dutasteride combination." + }, + { + "id": 28769, + "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": 30827, + "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": 30648, + "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": 25636, + "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": 8988, + "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": 27922, + "tgt": "I have an infection on my lips. Please help", + "src": "Patient: Hi doctor, I have an infection on my\u00a0lips. I honestly do not know what it is. Two weeks ago, I got tests for syphilis and chlamydia, which were negative. Since then, I have had a sore on my lip. But I notice that when I saw this sore with a flashlight, my lip there was yellow. There is no pain. I have been using beeswax chapstick. Keep in mind that I do lick my lips a lot. I have attached two pictures, and the first picture was at the time I visited the doctor. And the second picture if of now. Doctor: Hello. I have seen the attached pictures (attachment removed to protect patient identity). 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": 29831, + "tgt": "Is Miralax safe for a long period?", + "src": "Patient: Hello doctor, I wanted to know whether Polyethylene glycol 3350 (Miralax) is safe on a\u00a0long run? I am having it for the last 25 days. Is it safe enough? I have a\u00a0constipation problem and visited many gastroenterologists and tried many laxatives, but only Polyethylene glycol 3350 gave me relief. But from the past three days, I am having severe stomach pain. Now, I have started the Mebeverine hydrochloride capsules as per the doctor's advice for stomach pain. I want to know the cause of this severe stomach pain. Is it due to the usage of Polyethylene glycol 3350 (Miralax) that I am taking from the last 25 days? Is Mebeverine hydrochloride fine for the stomach pain that I am facing? The other medicines that I am taking include Nexpro RD (Esomeprazole and Domperidone). Recently, I had got all blood tests done. Previously, I have undergone an endoscopy twice about four years back and once in last year. I had got an endoscopy done because of stomach pain problem and gastritis (GERD) was found. Doctor: Hi. I can understand your concern for abdominal symptoms. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1111, + "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": 21977, + "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": 5050, + "tgt": "OCT scan for pseudo-papilledema shows dilution. Is it possible for the dilution to be fake?", + "src": "Patient: Hello doctor, I did an OCT scan for the first time last week, but it appears that the sup / nas is slightly diluted. Well, I was born with an optic nerve abnormality they call it pseudo-papilledema. I was born with high hyperopia en strabismus (high hyperopia may be associated with blurring of the optic disk margin) thats it. My question is, is it possible that this dilution is fake? Or is it possible that the OCT is not working properly in my eyes? Doctor: Hello. I have gone through the OCT (optic coherence tomography) reports of your left eye. (attachment removed to proteect patient identity). I understand that you have been informed that you have pseudo papilloedema of your left eye. Let me explain to you in very simple words what pseudo papilloedema means and what an OCT actually does. The term \"pseudo\" papilloedema, as the name suggests is an appearance of false swelling of the optic disc. Here even though the disc is normal it appears to be swollen and hence named so. An OCT is an imaging modality, it simply can image a structure (in the eye) and tell us exact measurements of its heights, extent, cellular number, etc. It does so by comparing age and race matched set of control data to your eye. (Indicated by the black colored dotted line on the right-hand side of the black & white retina image). Most of this line in your eye falls well within the normal range (green background) so it is reasonably normal. It is however not able to measure function or how well the eye/ that structure is performing. To further simplify, your eyes do not have any true problem with the optic nerve. Secondly, a functional assessment of the nerves cannot be done using an OCT. In case you feel that you would like to have further tests done, I would like to advise you regarding getting a check of your intraocular pressure and visual field tests along with regular eye tests. I personally feel that as long as you do not have any symptoms, do not have anyone in the family with glaucoma and hypermetropia less than three, there is no further need to be worried about this." + }, + { + "id": 10605, + "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": 8089, + "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": 10446, + "tgt": "Kindly advice about the diagnosis of paranoid schizophrenia", + "src": "Patient: Hello doctor, I am concerned about my friends medical diagnosis about paranoid schizophrenia is fabricated by him and resulting in unnecessary medication. Kindly advice. Doctor: Hello. The diagnosis of paranoid schizophrenia is not easy. Proper evaluation by a psychiatrist is needed to make the final diagnosis. The individuals with schizophrenia show symptoms like hearing voices talking or voices are giving commentary, suspiciousness against anyone or even family members, ideas of prosecution, ideas of reference, etc. These should be present persistently, and in usual cases, there is no insight about the symptoms. It is the family and friends who take the patient for evaluation and not the patient he or herself visits the doctor for a diagnosis. Yes, depression or anxiety can be the possibilities, but these too should be evaluated. Symptoms of depression like low mood, anhedonia, reduced energy, fatigue, negative thoughts, bad thoughts, lack of surety about future, feelings of helplessness, worthlessness or hopelessness, etc. are seen.If he has doubts about his symptoms, he should be evaluated by a psychiatrist." + }, + { + "id": 9386, + "tgt": "I have burning sensation and redness in scrotum. Kindly help me", + "src": "Patient: Hello doctor, I am a 21-year-old male. I am having a burning sensation and redness in my scrotum. I consulted two doctors from the same hospital. The doctor diagnosed it as scrotal dermatitis. The first doctor prescribed the following: Motimesh cream (to be applied at night) for 10 days, Abzorb Dusting Powder to be applied morning for 15 days, Atarax tablet to be taken at night for 10 days. After taking this course, after 15 days the itching was gone but still there was considerable burning and redness and irritation. So, I visited the hospital again and the following course was prescribed: Venusia max cream to be applied morning and afternoon, Dazit tablet to be taken at night for 10 days, Desowen cream to be applied at night for 10 days. Now, this course is also done and though there is a considerable improvement I am still having little redness mostly on one side of the scrotum and also some burning sensation. Kindly help me from this irritation. Doctor: Hi. I have gone through your complaints and reviewed the attached photograph (attachment removed to protect patient identity). It seems to be red scrotum syndrome. It is a chronic disease characterized by redness and burning on the scrotum. If I was your treating doctor, I would recommend you to take capsule Doxycycline 100 mg once daily at bedtime, tablet Gabapentin 300 mg in the morning and tablet Levocetirizine at bedtime. Along with this application of Tacrolimus 0.03 percent ointment on the affected areas at night and moisturizing cream during the daytime. Continue this for three weeks and revert. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1737, + "tgt": "How to prevent a gum pain from becoming an abscess?", + "src": "Patient: Hello doctor, I am experiencing gum pain on a back molar. I am trying to catch it before it becomes an abscess. Please help. I am currently on Levothyroxine. Doctor: Hi. I am sorry for the pain you are bearing. Though I needed more details and a photograph, what type of pain is it? Is it only around the gums or in the tooth also? If it is only in the gums means there is some periodontal problem maybe some food has got stuck up there. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides? Under the prevailing situation you cannot go for a scaling even but kindly go for it as soon as possible. For now, I would suggest you to do a salt warm water rinse four to five times a day and gentle finger massage. You can also apply clove oil if you have. If pain is not bearable you can go for a pain killer Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not I cannot prescribe you antibiotics. Do revert back for more queries." + }, + { + "id": 6654, + "tgt": "I am taking Inderal for social anxiety disorder. What is the recommended dose?", + "src": "Patient: Hello doctor, I was affected by a social anxiety disorder. In the past two years, first, I used Inderal for one year and then Paroxetine 20 mg (SSRI) tablets. There was the best improvement in my confidence. Now from the last two weeks, I have not taken any happen. Do I want to use Inderal tablets again when I have to give the presentation or when I am in the classroom discussion? When I used the Inderal tablets, there were no harmful side effects; only a few happen like headaches, hand sweats and constipation. I searched on the internet and it says that it has very harmful side effects such as memory problems, sexual problems and many more. Is it so? Kindly help me. When I used this tablet I feel better and improved confidence. Please tell me the dosage of Inderal. Is it a safe medicine? Doctor: Hello. How long have you been having social anxiety problems? How severe and persistent are the anxiety symptoms? If anxiety is predominantly situational, like before giving public presentations, then you can try Inderal (Propranolol) occasionally as needed. Contra-indications like asthma, low BP (blood pressure), etc., need to be ruled out before trying Inderal. This will avoid any significant side effects. Other side effects like dizziness, cold extremities are usually mild and short. What dose of Inderal where you prescribed before? Usually, it can vary between 10 - 40 mg when needed (maximum two or three times a day only). If anxiety is pervasive across all situations, it will be better to consider going back on SSRI (selective serotonin reuptake inhibitors) like Paroxetine or other alternatives. Discuss it with your doctor. Also, try counseling and CBT (cognitive behavioral therapy) strategies to manage anxiety. It will be helpful." + }, + { + "id": 21733, + "tgt": "How to become a more independent person?", + "src": "Patient: Hi doctor, I am 23 years old female. I am doing my graduation. I am a little moody, and I want to live my life in my way. I do not want my parents to bother me. Their mentality is old. They do not want to accept new generations like us. They think if I wear a short dress, it means I am characterless in front of them. They say I am an adult and I got the age to get married. I want to live, and I want to do a job. I also have some hobbies like playing guitar, acting, singing, traveling. I thought that once I get a job, I will fulfill my wishes. Yes, these are all my wish. For these, my parents will not allow me. They insult me all the time. I have a sister. When I want to talk to her, my mother will take her to another room so that I am unable to spend time with her. Sometimes I feel suffocated inside my home. They took me to a nearby psychiatrist, and my mother wanted to prove me that I am psycho. I felt down and wanted to cry out loud. So in this situation what should I need to do? Doctor: Hi. In the present situation, you should focus more on your studies and get a job as early as possible. A good job will result in independence, and this will help you in making a right decision. The difference in opinions and thinking is due to a generation gap, and this cannot be ignored. A balance between you and your parents is needed. It is achieved when you go to a job and become independent. Stop wasting time on minor issues. There is no need to get married if you do not want it. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 11854, + "tgt": "What does echocardiography report indicate?", + "src": "Patient: Hello doctor, I have done the echocardiography. Can you suggest me what to do? Doctor: Hi. Your echocardiography report is very normal (attachment removed to protect patient identity). One thing you may be thinking is what is diastolic dysfunction grade 1. DD grade 1 denotes that your left ventricle is a bit stiffer than normal. It is usually due to prolonged raised BP. Also, present in obese people without hypertension. So, control your BP if it is raised and lower your weight, reduce salt intake in the diet. Otherwise thumbs up for your echo. It is normal." + }, + { + "id": 18157, + "tgt": "How to overcome my obsessive thoughts?", + "src": "Patient: Hi doctor, I am suffering with some thought problem since many years and my life has been completely distracted due to that. It has completely ruined my life.\u00a0My problem is that I am obsessed with a thought and I am not able to overcome it.\u00a0I researched a lot about that on internet and it seems like I am suffering from white bear syndrome. The more I try to avoid it, the more it distracts me. My problem is whenever I encounter a woman; the first thought that comes to my mind is to look beneath her neck. I am not able to make an eye contact with them. They feel like I am looking at their breast but it is not so. It makes me feel ashamed of that. As I am so conscious, I am not being able to think about other thought whenever I face a woman. Please help me out. Doctor: Hi. I have read your details and understand your concern. For further information consult a psychiatrist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26385, + "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": 26571, + "tgt": "My random blood sugar level is high. Do I have diabetes?", + "src": "Patient: Hello doctor, I am 37 years old. My random blood sugar level is 227 today, but I\u00a0had a sweet tea 15 to 20 minutes before getting the test.\u00a0Should I\u00a0test it again?\u00a0Can I still control my diabetes or does it have no treatment? Doctor: Hello. I went through your post. You have not mentioned whether you are on any treatment for your diabetes. However, I would suggest a few things. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3180, + "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": 18403, + "tgt": "My 29 day old already has two teeth. What should be done?", + "src": "Patient: Hi doctor, My son is 29 days old. He already has two teeth and one more is developing in the left upper jaw. What action do we need to take? Doctor: Hi. It is rare, but babies may be born with teeth. These are called natal teeth. I would like you to just keep a watch on your baby very often. You might have taken too much of calcium during your pregnancy, so it might have come out early for him. Since they do not have a very strong root support, usually these teeth fall off if they are very loose or they might stay until his permanent teeth come later in life. Newborn babies with teeth might injure their gums and tongue. So, just keep watching in case such things happen. If the teeth are very loose, that is hanging from the gums, and are going to fall off anytime, then please see your dentist. Nothing to worry. Some babies grow with teeth without any problems. For further information consult a paediatric dentist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 30959, + "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": 4939, + "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": 27841, + "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": 21834, + "tgt": "Why is there increase in pain on the extraction site?", + "src": "Patient: Hi doctor, I have done a tooth extraction before three days. I am agitated that I may have a dry socket. On the third day, after the extraction, I have an increased pain on the extracted site. Doctor: Hi. If your pain is increased, it might be a dry socket. Use warm salt water gargle twice a day for a week or two to get some relief. Get some antibiotics and painkillers for a week. Do not touch the area with brush or hands or tongue. If the pain is increased, then consult your dentist soon for cleaning and debriding. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21067, + "tgt": "I am unable to see bright lights with frequent headaches. What is the problem?", + "src": "Patient: Hi doctor, I am unable to look at the sunlight for six to seven seconds before three and a half weeks ago. The sun was behind a cloud and was not very bright. It looked like a white golf ball in the sky. I get mild headaches every day caused by bright lights and the lights at night such as street lights. Also, my nearsightedness got a little worse and sometimes takes a long time to focus on things. I do not have any white or black spots viewed on my vision. I went to an optometrist and an ophthalmologist. Both said that there are no signs of damage to my eyes and my eyes are stressed too much. They told me that everything would be fine in due time. What is wrong with me? I am tired of these little headaches every day. I also work outside all the day. Doctor: Hi. Seeing the sun and very bright lighting can cause damage resulting in phototoxicity and can cause macular (the focusing part of the retina) damage. So I would suggest you avoid such things again. I would recommend you use sunglasses while you are outside and use lubricant eye drops Allergan refresh celluvisc (Carboxymethylcellulose Sodium) one drop four times per day, for both the eyes for one week. For a headache (if it develops), use any regular pain medication. If you develop any disturbance in vision or if you see a black spot in your visual field, please report immediately to an Ophthalmologist (not optometrist). Do you have any history of sinusitis or use of glasses for near vision?" + }, + { + "id": 6170, + "tgt": "Facing problems with foreskin. Are these the side effects of steroid cream?", + "src": "Patient: Hi doctor, I suffered from the worst case of Tinea cruris. I was on medication for almost six months and now it has cured completely. But, I am facing problems with my foreskin. Every now and then I have cuts and cracks when I pull the foreskin back. Also, when the foreskin is too dry it is having some stretch. When I wash it or apply any moisturizer the stretch marks disappear. Along with it, I have smegma formation. I tested for diabetes and it is under normal level. I was suggested to use KZ cream and Onabet cream. Please help. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18854, + "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": 20456, + "tgt": "How can I overcome erectile dysfunction?", + "src": "Patient: Hello doctor, I am 38 years old male with hypothyroidism and cholesterol. However, both are under normal range since I am taking Thyronorm 112 mg in the morning and Rozat 10 after dinner in the night as advised by the doctor. I have been experiencing problems with erection since last eight months and hence not able to have sex properly. I have morning erections sometimes. Please assist how to cure this quickly. I have 68 kg weight and 5 feet 9 inches height. I am a vegetarian and eat fruits and vegetables daily. Doctor: Hi. I have gone through your problem and understand your concern. The deranged thyroid and lipid (attachment removed to protect patient identity) itself can cause a problem with erection, as you stated that both these conditions are well controlled, then there is need to get evaluated to find the cause of poor erection. Drugs like Sildenafil or Tadalafil are used to manage erectile dysfunction. The starting dose of Sildenafil is 50 mg. Meanwhile, do regular exercise, take healthy food, avoid any substance (alcohol, smoking, etc.) abuse. Regular exercise, good food, avoid substance abuse." + }, + { + "id": 3305, + "tgt": "I have constant neck pain and stiffness on the left side following headache. What could this be?", + "src": "Patient: Hello doctor, A couple of weeks ago, I woke up with a bad headache and a very stiff neck. It was so painful that I could not make it through a regular day without crying and intense pain. Since this time, I have been to the doctor four times and each time, they gave me more medicines. I have also been to a chiropractor four times because one of the doctors recommended it after he took an x-ray. The headaches have gone away. I suffer from headaches and this pain is so different. Now, I have constant pain in the back of my lower neck and only on the left side. The stiff neck has improved and I can manage a day but I am still in intense pain. The only medicines I am taking at this time are over the counter medicines. What do I need to do? Doctor: Hello. Your symptoms may be related to occipital neuralgia, which is an irritation of the occipital nerve, which lies in the back of your head. I would like to know what were the results of your neck x-ray. This neuralgia can be exacerbated by cervical spondyloarthritis. I recommend starting Indomethacin twice daily if you have no contraindications to it (stomach problems or high blood pressure). I recommend consulting with a neurologist for a careful physical examination. An antiepileptic drug (like Valproate or Lamotrigine) may be necessary to relieve your pain. I hope this helps. Cervical spondyloarthritis or intracranial cause. Neck x-ray, brain CT (computed tomography) scan. Indomethacin. Anti-epileptics (Valproate, Topiramate or Lamotrigine)." + }, + { + "id": 17115, + "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": 23186, + "tgt": "What complications can occur if I continued to have high blood sugar levels?", + "src": "Patient: Hi doctor, I am male, 73 years old, height 179 cm, and weight 120 kg. Has diabetes type 2, high blood pressure, gout, slight renal failure, had a heart attack almost 10 years ago and underwent a procedure of having two stents in his heart. Cholesterol. Takes medication for his illnesses. His blood sugar levels are usually between 20 to 30 mmol takes Lantus Solostar 62 units and NovoRapid 60 units 2 to 3 times a day. What kind of complications can my dad get in the future if he continues to have high blood sugar levels? Doctor: Hello. Such high sugars may cause acute complications like dehydration, diabetic hyperosmolar state or diabetic ketoacidosis, which may be life-threatening. He should drink plenty of water to reduce the risk of dehydration. Also, in long-term, it can lead to heart disease, worsening of kidney disease and neuropathy, blindness, diabetic foot or gangrene. So on priority, his sugar should be brought under control. As I mentioned, the diet should be optimized and insulin dose should be increased. His Lantus and NovaRapid need to be increased. So we need recent sugar levels. So either have a glucometer and measure it at home or get it tested from the nearby laboratory. Initially get before breakfast and post lunch levels done and later we will need some more readings for tight sugar control. So the dose needs to be increased depending upon the recent sugar levels. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26983, + "tgt": "What can be the cause of prolonged macrocytosis?", + "src": "Patient: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness,\u00a0snarkiness, light headedness,\u00a0palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My\u00a0MCV\u00a0is 104.9, MCH 35.6 and last TSH 2.18. I have consulted many doctors but they do not think there is a problem. Can you help? Doctor: Hello. Take care. Hope this information will help you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 18962, + "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": 27194, + "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": 18670, + "tgt": "My friend takes a drug to boost his energy while body building. Is it safe?", + "src": "Patient: Hi doctor, My friend, who is a fitness freak is training to compete at a state level body building competition this year. He is training alongside some local bodybuilder. My concern is, I have seen recently that his physique is really good, but he has some dark spots on his veins on both the arms. His mother was concerned too as she found some injections in his bag. Upon forcing him, I got to know that he takes Termin for boosting his energy during workouts.\u00a0I got some vague and random information on the\u00a0web. Could you please let me know what exactly it does to one's body and how to remove this completely from his body? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14462, + "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": 10179, + "tgt": "I slept for long hours after taking Zyprexa. Is it normal?", + "src": "Patient: Hi doctor, I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it? Doctor: Hello. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic drug like Olanzapine. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The drug is associated with excessive sedation and this is the reason you slept for very long duration after taking this drug. In that case one option is to reduce the dose of the drug to 2.5 mg and give this a try. This should help you without causing unnecessary sedation. But, I am not sure if the drug will help much in anxiety if used in SOS basis. The drug should be used regularly after dinner and Clonazepam dose can be skipped which can be kept for use on SOS basis. You can have a talk with your psychiatrist for this." + }, + { + "id": 11618, + "tgt": "Kindly guide me about the difference between birth control and combined contraceptive pills", + "src": "Patient: Hi doctor,I had a question about birth control for acne. I was initially on Tri-sprintec. However, that did not help my acne. My doctor initially prescribed my YAZ. I was wondering if I should just stop birth control altogether or give Lo-Lo a try. What is the difference between birth controls and how that would help or hurt me? The last thing I want is more breakouts. Doctor: Hi. Birth control contraceptive pills are hormonal pills that help to prevent conception by interfering with the normal menstrual cycle and inhibits ovulation, conception, fertilization, and implantation. These pills are hormonal contraceptive pills that have generalized as well as a specific short and long term effects on the body but it differently affects different individuals. Combined oral contraceptives are composed of two hormones mostly and can give unscheduled bleeding, acne, mood variation, breast engorgement, endometrial hyperplasia, headache, stroke, high BP, stroke, endometrial hyperplasia, breast, and endometrial cancer as long-term. All side-effects cannot be for all patients so side effects differ from person to person. For removal of hairs or reduce their growth or for better skin better to have local treatment mostly natural and herbal remedies along with a reduction in weight, balanced diet (more fruits, vegetables, and water). Have waxing with honey and ginger paste. Have threading for face hairs, plucking for arms and forearms or electrical removal. You can have a mud mask to reduce oil production of face that is the main cause of acne. After some time, acne is supposed to be resolved after teenage actually. Have a balanced diet and try to avoid oil, spice, salt, and sugar. Have daily walk, exercise, yoga and try to have normal BMI. Try to change contraception frequently to reduce their side effects. For now, you can have injection Medroxyprogesterone for three months. Contraceptive with acne. Injection Medroxyprogesterone for 3+3 months, then change contraception mode. A balanced diet, weight, BMI. Waxing, threading, plucking of unwanted hair. Mud mask for face oil." + }, + { + "id": 17824, + "tgt": "What is the reason for recurring white spots on my genital area?", + "src": "Patient: Hello doctor, I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again. Doctor: Hi. This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper evaluation and testing to rule out the real cause. In differential diagnosis, lichen sclerosis can be on top. In this disease, we see patchy white lesions on male genitalia. Skin diseases like lichen planus and psoriasis can be other differentials. The best next step is to consult a dermatologist in-person to get yourself tested thoroughly. The dermatologist would rule out all possible causes including fungal infections and aforementioned possibilities. Once diagnosed properly, it can be managed accordingly. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18443, + "tgt": "Why do I hear clicking sound only when I twist my knee?", + "src": "Patient: Hello doctor, I am a 25 year old and a triathlete. 3 months ago, I suffered from knee pain. Doctor checked McMurray test, and Apley grind test result was negative. Only when I twist (rotate) my knee I hear some\u00a0clicking or popping sound. I took MRI and the result was shown anterior torn of lateral meniscus. It is very small tear. But, my symptoms are matching with patellofemoral compression syndrome. I am really confused. I am having Glucosamine and fish oil at present. I have attached my MRI report for your reference.\u00a0Now I am doing swimming and simple knee strengthening exercise. After 2 months rest, I feel free when running continuously. When I rotate my knee, I here click or popping sound and no pain. I ran for 10 days and feel pain at the top of the knee cap. Would you recommend surgery or it will cure naturally?\u00a0And can I do cycling? Does cycling affect meniscus? Please suggest. Doctor: Hi. Thank you for giving me an opportunity to assist you. It looks like you injured your knee three months ago during an athletic activity, and have been having some mechanical symptoms of clicking and popping since then. Since the knee pain has come down, it is likely that your body is trying to take care of the tear for you. While it is often difficult to know from just an MRI report (attachment removed to protect patient identity) as to where exactly the tear is (which zone, etc), it is advisable to consult an orthopedic sports medicine specialist to see if a diagnostic arthroscopy is right for you. This procedure being minimally invasive can allow you to get back to activity very early in the postoperative period. Also, any minor tears and cysts that are causing mechanical obstacle to the normal frictionless movement of your knee joint can be taken care of during the procedure. If the clicking does not bother you much and does not prevent you from athletic activity, I would recommend only strengthening exercise for now. The location that you point out maybe related to a different source of pain. Anterior knee pain is commonly seen in athletes like you with overuse of the patellofemoral joint. 1. Lateral meniscal tear. 2. cyst. 3. Patellofemoral pain syndrome (PFPS). 1. Diagnostic arthroscopy if affecting activity level 2. Physiotherapy supervised quad strengthening. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27384, + "tgt": "My son has diarrhea after having certain types of meals. Why?", + "src": "Patient: Hello doctor, Hope you are doing fine. May I come back to you with the following query? It relates to my son who consulted with a medical doctor in our place over here with a diarrheal syndrome. He suffers from diarrhea after having certain types of meals, as also when he drinks a glass of wine or beer. Attached to this message, you will find his recent lab test results. His liver values seem to be disturbed. My question is what is the analysis and diagnosis on the grounds of these results? What to do next? Many thanks to you for sharing your valued medical expertise and advice. Best wishes to you. Doctor: Hello. I read your query and can understand you are worried about your son's health. Hope it helps. If you need further assistance, please feel free to ask me. I will be happy to assist. For further information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 11151, + "tgt": "I have an abscessed tooth with swollen face. Is it a matter of concern?", + "src": "Patient: Hello doctor, I have an abscessed tooth and have been on antibiotics for three days. I woke up this morning with an extremely swollen face, should I go to the ER? Doctor: Hi. I have gone through your question and I can understand your concern about your toothache and facial swelling. You need IV (intravenous) route antibiotics like Ceftriaxone one gram after allergic test and for that, you must visit either a dentist or an emergency room. After your infection is over either get your teeth root canaled or extracted as per the condition of the tooth and your choice. Grossly decayed tooth. Cellulitis. Periapical periodontal abscess with related space infection. IV route antibiotics after test dose for allergic reaction. Root canal treatment or extraction." + }, + { + "id": 3688, + "tgt": "I get abdominal pain on the left side while sitting or standing for a long. Why?", + "src": "Patient: Hello doctor, I have a abdominal pain in my left side, it is not acute and continuous, but when I sit or stand for a long the pain arises. My doctor prescribed Banocide and Ultracet tablets. Doctor: Hi. There could be many reasons for the problems you are stating. So to know exactly what is the cause of pain many more questions need to be asked. I would like to know exactly where on the left side does the pain occurs? Is it below the ribs or lower than that? Do you have any change in taste or acidity? Does the pain also go to the back? What is the color of your urine? Any other problems like loose motion or vomit? Do you have a fever? These questions will help me come near to the diagnosis and then with relevant tests, we could come to a confirmed diagnosis. As far as the medication that are prescribed to you I would like to say that both of them are strong pain killer which are given for problems like kidney stones, but they will not cure the problem. So the diagnosis is a must to find out what is the problem with you in order to give you the correct drugs." + }, + { + "id": 24947, + "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": 16850, + "tgt": "Fetal heartbeats are not visualized on ultrasound. Should I be worried?", + "src": "Patient: Hello doctor, I am eight weeks and five days pregnant. My ultrasonography report says fetal heartbeats not visualized even with the help of a color Doppler. Is it normal? I am very scared. Please reply. Doctor: Hello. If you are sure that it is eight weeks then it is not a good sign. Usually, the scan can detect the pregnancy and the heartbeat as early as six weeks.But it is advisable to wait for seven to 10 days and repeat the scan. If there is still no sign of heartbeat then it will mean an unhealthy pregnancy. But if you have ovulated a few days later, your baby is not yet six weeks and you will be able to appreciate fetal heartbeat on the next scan.You will have to keep your fingers crossed until the next scan. If you are very anxious to know about the health of your baby, the other option is to have a serum beta hCG (human chorionic gonadotropin) tomorrow morning and repeat it after 48 hours. In this period, the blood levels will double if the baby is healthy. If the baby is not healthy, the second value of hCG will be lesser than the original value or it will be almost the same. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14328, + "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": 4842, + "tgt": "What to do for dysautonomia and symptoms of RVOT?", + "src": "Patient: Hi doctor, I have Dysautonomia. I wanted to get that out of the way at first. I also have bad anxiety and depression which may affect how I feel. I also had a heart catheterization 3 years ago for RVOT. I wore a monitor for two weeks, a couple of weeks ago and I just got the results and I have no clue how to read them and waiting for the doctor to get back with me. Here's what it said on the site that he wrote out. \"15 days of monitoring analyzed. 13 symptomatic and 34 asymptomatic strips submitted. All symptoms primarily of lightheadedness with one or two chest pain and SOA. All strips show sinus rhythm with rates between 39 bpm and 174 bpm. One c/o skipped beat correlates with RSR with 1 PVC. Symptoms of lightheadedness and dizziness generally occur with sinus tachycardia\". I have always dealt with tachycardia for almost a year. I had almost a normal heart rate than some bradycardia. It was weird. Like he totally reversed it. Now it is back obviously fainting and whatnot again. I think I get some of what he is saying, but not all. Please help. I am currently on Clonazepam, Gabapentin, Prilosec, Adderall, and Paxil. Doctor: Hello. I have read through in detail all your explanations and I understand what you are going through. Dysautonomia is a condition that affects the autonomic nervous system. This is the system that transmits information to organs like bladder, heart, blood vessels, etc. It can be associated with symptoms such as bradycardia, tachycardia, etc. Your test result shows that severe bradycardia was recorded, while tachycardia was recorded which was accompanied with dizziness and lightheadedness. This test gives the possibility of RVOT (right ventricular outflow tract) with premature ventricular complex (PVC). In this kind of situation, I prescribe beta-blockers for my patients. I advise you to avoid anything that contains caffeine. If there is no improvement in due time catheter ablation can be considered. Idiopathic, inherited heart disease." + }, + { + "id": 30112, + "tgt": "I am getting more vaginal discharge while on patch contraception. Why?", + "src": "Patient: Hi doctor,I am on the Evra patch contraception. My problem is I am experiencing irregular and high volume of discharge while using the patch. And, when I stop using the patch the discharge becomes normal. What could be the possible cause for this issue? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6815, + "tgt": "Why are there dizziness, nausea, and vomiting after taking Stamlo 5 mg for BP?", + "src": "Patient: Hello doctor, I have a blood pressure of 130/80 presently. Earlier I had a BP of 160/96 after which I started taking Stamlo 5 once per day on doctors advice. However, in between, I had dizziness, nausea, and vomiting due to which I met another doctor who changed Stamlo 5 to Aquazide 12.5 biweekly (only on Sunday and Thursday). Will I have a severe problem with my BP as the dosage seems too low? He also suggested taking Stamlo 2.5 everyday instead. What should I follow? Doctor: Hi. I can well understand your worries. I have reviewed your query details. If all the side effects are just due to overdosage of Amlodipine (brand name Stamlo 5 mg) then better is to take 2.5 mg (taking a half dose). If the problem resolves, it is fine. If not, then we can go for other medications. My personal opinion is, it looks like you are having problems due to little higher dosage than you need. So keep taking Stamlo but half the dosage (that is 2.5 mg and this is all what your physician also agreed to)." + }, + { + "id": 22395, + "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": 15768, + "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": 21806, + "tgt": "Can I take Vitamin C supplements for anemia?", + "src": "Patient: Hello doctor, Can I take Vitamin C because I am anemia patient and what is the name of Vitamin C supplement? My age is 19 years old and my height is 161 cm. Doctor: Hello. If you are anemic patient, then according to cause the treatment is given. For example, if iron deficiency anemia is present then the iron tablet can be prescribed. If vitamin B12 deficiency is present then B12 injection is needed. No need for Vitamin C intake for anemia case. The Orofer iron tablet contains Ferrous Ascorbate which is having a good absorptive capacity. So, I do not think extra Vitamin C syrup is needed. You can attach your reports to guide you further. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 18599, + "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": 1658, + "tgt": "I notice some tiny brown spots while loosening my foreskin. What could it be?", + "src": "Patient: Hi doctor, I am 30 years old. I am recently doing stretching exercises to loosen up my foreskin. The urologist advised me to use Betamethasone to help with the exercises or get a surgery which I do not want. I finally able to see my glands now and noticed these tiny brown spots. Is this serious or is it normal? I am really worried. Doctor: Hi. I have gone through your case. In my opinion, there are two to three different diagnoses. 1. Plane warts which are vital infection and mostly acquired sexually. The treatment of this is fulguration or cautery. 2. Lentigenes or freckles which usually require no treatment. 3. Normal variant. Moreover, Betamethasone has nothing to do with these brown spots. There is no urgency but see dermatologist physically for one of the above-confirmed diagnosis." + }, + { + "id": 15003, + "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": 783, + "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": 21631, + "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": 30812, + "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": 3153, + "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": 18196, + "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": 28099, + "tgt": "What herb can we add for purification of water in clay pot?", + "src": "Patient: Hello doctor, What herb can we add for purification of water in clay pot? Is there any way\u00a0in Siddha\u00a0to change the taste of water? Because water does not taste good due to its hardness. Doctor: Hi. You can add the following to drinking water for purification: Get back to a siddha medicine specialist online for further queries --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 27453, + "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": 8548, + "tgt": "I am hearing my breathing sound when I exhale hard. Is it normal?", + "src": "Patient: Hi doctor, I have a small question about exhaling breath sounds. I always listen to my body and make sure everything is as it should. I have mild ETD, which makes my nose a little stuffy when in dry environments or the humidity is low. Two weeks ago, I was to hiatal hernia surgery. They did check my lungs and did not say anything. But, I notice that if I listen to my breathing when I forcefully exhale there is a little sound. I am not sure if it is squeezing or whistling. I cannot hear it if I breathe normally in and out. It also depends on my head elevation, either up or down. Should exhale air sound like air coming out? Will it change on the head position? Doctor: Hi. We are here to help you. When you listen silently, you can hear the exhalation sound, and that is absolutely normal. A few people have that sound in excess, and that can happen due to nasal polyps, obesity, and breathing disorders. So, if you have any of the above, then it is a concern. Otherwise, generally while in silence everyone hears their own breathing sound. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 23584, + "tgt": "I am pregnant. My ultrasound report scares me. What precautions should I take?", + "src": "Patient: Hello doctor, I am a 35 year old female.\u00a0I am about 4 months pregnant.\u00a0This is my second baby, my first kid is 6 years old and my first delivery was a normal one.\u00a0Ultrasound report says\u00a0anterior is asymmetrically covering the OS. Is\u00a0there a possibility for normal delivery? Is there a chance for the placenta to change its position? What precautions should I take? Doctor: Hello, Welcome to iciniq.com. You are 16 weeks and 3 days pregnant as of today. Placental position, if it is anterior and covering the OS, then actually it is too early to comment on placenta previa. This can be complete or incomplete. A repeat scan needs to be done at 32 weeks to finalise the position of the placenta as at that gestation, the position of the placenta would be fixed. The placenta climbs up with increase in gestation and growing uterus. A distance of more than 2.5 cm from OS is considered safe and not previa. The precautions to be taken are avoid sexual intercourse, should avoid running, jumping, brisk walking, also avoid bending down for sweeping or mopping the floor. Please attach the USG report for further follow up with an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4337, + "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": 13334, + "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": 22310, + "tgt": "There is severe headache triggered by indigestion. Do we consult a neurologist?", + "src": "Patient: Hello doctor, The patient is a 30 year old male. A severe headache triggered by indigestion or sometimes even too much exhaustion results in vomiting. Occurs at least once a month, sometimes twice. One whole day goes into sleeping and resting in a dark room and vomiting in between, with a severe headache. Last two times it happened after eating meat. Food does not digest and bowel movement does not happen which is followed by a headache and vomiting. He insists on not taking medicines in general. Do we need to get MRI/CT scan or something or consult a neurologist? Doctor: Hello. The first possibility is a vascular headache (migraine). Usually, it is a throbbing-type pain (or pulsating blood vessel-like feel). It is associated with difficulty in hearing sounds or looking at light, followed by vomiting. Sometimes, vomiting reduces pain. If these features are present, CT or MRI is not necessary. I suggest taking painkillers during these episodes of pain along with prophylactic medication like Sibelium (Flunarizine) or Amitriptyline or Propranolol regularly. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. It is triggered by decreased sleep, exposure to sunlight, stress, etc. Gastritis itself can lead to headache. So, take an antacid to prevent gastritis. If these features are absent get a CT brain and consult a neurologist. Avoid exposure to sunlight, large amounts of coffee and chocolates. Take adequate sleep and rest. Avoid stress conditions too. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4021, + "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": 5671, + "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": 18637, + "tgt": "My problem is anxiety and fear. I have sexual problems as well. Please help", + "src": "Patient: Dear Doctor, I am 32 years old and I weigh 80kg. I am married and I am working with a telecom company. I got married six months back and my problem is\u00a0anxiety\u00a0and\u00a0fear. I am not able to drive because of fear. Headache, blurred vision, shortness of breath are my problems. Among them,\u00a0fear is the main problem and I am not able to face situations and people with confidence. This started 5 years back. I consulted a psychiatrist and he gave\u00a0Nexito Forte\u00a0and\u00a0Mirtazapine\u00a0tablets.\u00a0But my problem remains the same. I\u00a0can manage without medications now, but sometimes uncontrollable. I have\u00a0sexual problems\u00a0as well. I experience\u00a0loss of erection\u00a0within minutes. Please help. Doctor: Hi. From the available description it appears to be Generalized Anxiety Disorder (GAD) which is a kind of anxiety disorder that needs long term treatment. I would like to tell you that GAD is a kind of relapsing and remitting disorder and needs both medications as well as counselling. Before moving for counselling try the following methods of anxiety and fear management. I am noting down few of the strategies which are used to reduce stress and anxiety. I hope it will be very useful for you to reduce your symptoms. Diet - Ensure intake of adequate quantity of fibre. Two servings of vegetable salad and two servings of fruits (preferably with one citrus fruit). Proper diet does miracles and rejuvenates. Orange is a good source of antioxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets. Ensure adequate water intake - Follow \"rule of 1\" which I usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water. Recommended intake of water is 2 to 3 litres a day. Early morning exercise - Brisk walk for 30 minutes at a stretch preferably in garden will be very helpful. Avoid tea/coffee/nicotine and alcoholic beverages - If at all you want to drink something, drink fresh lime water. It is very much refreshing. Start your day with a glass of lemon water with 2 teaspoons of honey added to it. Have a good breakfast. Do not work stressfully - We all have the thought to excel in our respective fields and do not spend adequate time with our own self. So, try to understand your own needs and spend time for yourself and your family. When the work pressure is high, call it a day, take a short leave and hit out to some picnic spot which you always wanted to go. While working take frequent regular breaks - Taking regular breaks will not waste the time, but will definitely increase the productivity, concentration and reasoning. Meditation and yoga will help you a lot. Other than this, take the medications regularly. The medicines you are having take lots of time before they reach their maximum potential. In many cases it may take upto 12 weeks.Regarding sexual problems, they may be related to both anxiety or current medication. Revert back after a month to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30280, + "tgt": "Is it true that schizophrenia runs in family?", + "src": "Patient: Hi doctor, My boyfriend's father has schizophrenia. What are the odds that my boyfriend or my future child would get the disorder? Is it risky to marry him? Please help. I am confused. Doctor: Hi. Schizophrenia is a complex psychiatric disorder and sometimes tend to run in families. However, it does not imply it is a monogenic disorder, where the inheritance rate of disease is higher and more easily predictable. Currently, there is no scientific evidence to support your doubt that whether marrying your boyfriend will increase the risk of schizophrenia in your to be child very significant. So, let us not get too worried. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19510, + "tgt": "Would viral infection affect the lymphocyte and neutrophil values?", + "src": "Patient: Hi doctor, I had a viral infection last week. Is it normal to have increased lymphocyte levels of 52 % and decreased neutrophil levels of 35 % after having a viral infection? It got healed within a week. I was fine when I did my blood test. My RBC and WBC are considered to be normal. As I have anemia, my platelet levels are high. I am worried. Also how long should I need to wait for rechecking my blood test? When would these levels of lymphocytes and neutrophils be recovered? Would urinary infections also affect them? Doctor: Hi. After having a viral infection, lymphocytosis can persist for seven to ten days. Your low neutrophils are relative, and it is because of increased lymphocytes. Platelet can be high because of inflammation or by iron deficiency anemia as a reactive thrombocytosis. Urinary infection can also lead to such a presentation. You can repeat CBC (complete blood count) after a week. Attach your reports to guide you further. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 29477, + "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": 15167, + "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": 2003, + "tgt": "I have severe groin pain after sex with tingling in penis and testicles. Why?", + "src": "Patient: Hello doctor, I have severe groin pain days after sexual encounter. I have no lesions or bumps. I have prior HSV 1. I had no other symptoms but bad pain. I had pain in the penis and testicles. Now three months after I have a tingle in upper thighs and pelvis when laying down at night. Lymph nodes in groin never swelled but I can noticeably feel them in the groin and are tender after sex or to touch. I have been painful for years on and off though but not as bad as now. I have tingle weird feeling in testicles when sitting down during the day. No outbreaks ever. I am thinking and scared it is HSV 2. What is going on? IGM and IGG are negative six weeks after sexual encounter. What else could possibly be causing this? Doctor: Hi. Generalized body aches are most probably not due to any STD (sexually transmitted disease). If there is no swollen lymph node again it is not STD. HSV 2 (herpes simplex virus) do not present like that. it has blisters which periodically you should not worry about that. If there is no burning micturation, no discharge from the urethral opening, no itching over the penis, no ulceration on the penis it is probably not STD. But still, you should avoid unprotected sex. For these symptoms you can take Paracetamol tablet SOS, Azithromycin 500 mg once daily for five days and show to the physician as these are medical symptoms." + }, + { + "id": 4924, + "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": 10340, + "tgt": "I have depression and suicidal thoughts. Please help", + "src": "Patient: Hello doctor, I have depression, feeling of failure in life, no more attraction to live life. Sad, anxious, or empty mood. Loss of interest or pleasure in activities. Thoughts of death or suicide, including suicide attempts. Doctor: Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy." + }, + { + "id": 19618, + "tgt": "Why do I feel suicidal and depressed after taking anti-depression medicines?", + "src": "Patient: Hi doctor, Please give your opinion on the attached medicines. I am feeling more depressed while taking these medications instead of them treating me. I think I will die with these pills. My stomach is also upset, and I am unable to think anything.\u00a0I am having suicidal thoughts or feel like killing someone else in my anger. I have a big mood and personality change whenever I feel depressed.\u00a0Please suggest if I need to take these pills or should I change my psychiatrist. Doctor: Hi. After going through your prescription (attachment removed to protect patient identity), this is what I feel. For further queries consult a psychiatrist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 29239, + "tgt": "What could be the cause for persistent swelling in arms and legs?", + "src": "Patient: Hi doctor, The patient is a 30 year old female. \u00a0She has a persistent swelling in both arms and legs since past six months. The reason for this problem is not yet known. It is also not known which line of doctor needs to be consulted in this regard. Earlier, she complains about trembling in hands, fainting for 15 to 60 minutes, which is not repeating now. She also suffered low blood pressure occasionally. I would like to know the right treatment for the problem. Her\u00a0CBC, LFT, KFT and blood sugar tests are normal. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21062, + "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": 18911, + "tgt": "Is it necessary to shave beard before a general anesthesia?", + "src": "Patient: Hello doctor,I am scheduled next week for out-patient surgery to have a malignant tumor removed from my bladder via a catheter inserted into my urethra. Before that, the anesthesiologist will administer a general anesthetic as well as a muscle-relaxant to keep me from kicking when under. The procedure also involves administration of something. I am not clear whether it is anesthetic or just oxygen via face mask. Here is my question. I have invested the past couple of years in growing a full, bushy beard. The RN assigned by my HMO told me I would have to shave, or trim down (way down), my beard in order to get a good seal for the mask. Is this really necessary? Is it possible that the nurse was speaking on the basis of a hygienic or even aesthetic concern about my beard rather than on the basis of a sincere concern about the possibility of a little gas (be it anesthetic or oxygen) escaping out the side of the mask? I mean, if the concern is really a hygienic one, I will be happy to shampoo the beard the night before as I had planned to do anyway. Doctor: Hi. That is worth a concern for both for your anesthesiologist and you too. Let me elaborate it to you. General anesthesia involves making a person unconscious and making him totally relaxed by giving a medication called muscle relaxant. With unconsciousness and muscle relaxation, a person cannot breathe by himself under general anesthesia so he has to be administered oxygen with help of a bag and mask ventilation supplying positive airway pressure so that his lungs expand during controlled inspiration and relax during passive expiration. Hence this procedure requires a good mask fit on your face so that your anesthesiologist is able to ventilate your lungs with life-sustaining oxygen. Also as I read in your history you are weighing 97.52 kg with a BMI of 41.99. You are considerably overweight which means you would require more concentration of oxygen during general anesthesia. So an overweight patient with a bushy beard is always a challenge for an anesthesiologist. To achieve a good mask fit in such a patient is always difficult in order to provide oxygen and other inhalational anesthetic agents effectively. So, it is not that hygiene is a concern but it is a safe administration of general anesthesia a major concern in your case. I would suggest, consult your anesthesiologist for a spinal anesthesia which involves anesthetizing lower half of your body in which bladder tumor surgery can be performed. This would avoid general anesthesia and would also save your beard. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 1465, + "tgt": "Can venous aneurysm cause headache?", + "src": "Patient: Hi doctor,I have a 8 x 12 mm sac type aneurysm on the vein of Galen. I am 50 years old and otherwise in a good health. I have had bad headaches and nausea for about seven months. It led MRV and that found the aneurysm.\u00a0I know the risks of an arterial aneurysm rupturing, but do venous ones rupture? Is it very unusual for them to do that?\u00a0My family tends to have a long lifespan. Could I have another 30 or 40 years of life with this? My BP is normal. My current medications include Meloxicam, Claritin, Nexium and Zofran. Doctor: Hi. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 9667, + "tgt": "Why did I throw up blood after drinking too much alcohol?", + "src": "Patient: Hello doctor,I am a 20 year old male. About three days ago, I vomited bright red blood after consuming excessive alcohol. This is the first time I have consumed more than one beer and I was also unconscious. I have not been having any pains or any other symptoms. After the first vomit of blood, I puked normally (no blood). Also, I was told my nose was red. 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": 18339, + "tgt": "May I know the reason for slurred speech in a paralyzed person?", + "src": "Patient: Hi doctor,My dad has been paralyzed for three years now. He was fine, but suddenly his speech is not clear. We cannot understand what he says. May I know why this has happened? Doctor: Hello. 1. Previous stroke. 2. Modifiable risk factors like hypertension, hypercoagulable status. 3. Infection due to UTI (urinary tract infection) or bed sores. Blood complete profile, CT scan without contrast, renal function test, liver function test and serum electrolytes. 1. CVA (cerebrovascular accident). 2. Sepsis. 3. Hypovolemia. Control modifiable risk factors. The patient is too late for thrombolytic agents. Prevention of re-stroke. Control hypertension and antiplatelet therapy, For further doubts consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1569, + "tgt": "I have severe low back pain while stretching, standing and sitting. Please help", + "src": "Patient: Hello doctor, My lower back pains extremely bad when I stretch backward or forward. It is painful to sit as well as while standing. When I press my back I feel no pain, but the pain starts as soon as my back stretches. Also, my legs shiver due to pain. What is the reason? Doctor: Hi. I would like to know, what do you do and how much physical activity you have in your daily routine?" + }, + { + "id": 12387, + "tgt": "Is it advisable to get Novasure ablation done in a scarred cervix?", + "src": "Patient: Hello doctor, I have a lot of scar tissue on my cervix and I have really heavy periods. Tried birth control, had very serious side effects, stopped the birth control. I have tried Provera. My legs got swollen, stopped taking that. She tried an IUD and due to a lot of scar tissue, she could not insert it all the way. I was wondering since I have a lot of scar tissue, can I get the Novasure ablation done? Doctor: Hello. I have a feeling that your problem is of quite serious in nature as you are bleeding heavily and yes you can try for ablation but there is a chance of its failure as ablation devices may not enter into the scarred cervix and additionally associated with injuries like perforation and damage to other nearby organs. I would like to add into your knowledge that another option to control heavy bleeding is a hysterectomy (removal of womb) which is the definitive treatment and is suitable to those with other failed conservative measures. The latest technique is the use of uterine artery embolization to control heavy bleeding is becoming popular these days for those who do not want to undergo surgeries." + }, + { + "id": 28871, + "tgt": "Can my wife take Unwanted 72 while on TB treatment?", + "src": "Patient: Hi doctor,My wife is under treatment for TB. She is fine with good weight and doing her normal routine. Can she take Unwanted 72? Doctor: Hi. I can understand your concern. For further doubts consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 138, + "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": 18816, + "tgt": "Would LAD lesion cause tachycardia?", + "src": "Patient: Hi doctor, I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiologist? I am currently on Amitriptyline. My CSK level is slightly raised and normal FBC. Doctor: Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26757, + "tgt": "Why has not my height increased in the last five years?", + "src": "Patient: Hi\u00a0doctor, I am\u00a0an 18 year old male. I have a question concerning my height. I grew from 5 feet and 2 inches to 5 feet and 9 inches between 11 to 13 years. I did\u00a0not have any noticeable growth since then. Usually, you would consider me as an early bloomer, but I had not shown signs of puberty until I was 12 to 13 years old, which would make me an average to late bloomer. My legs are very long (34.5 inches\u00a0inseam) and my torso is reasonably shorter. My question is, why\u00a0did not I grow in these last\u00a0five years\u00a0by height? My family members are with the following height: mother 5 feet and 85 inches, father 5 feet and 10 inches, grandfather 6 feet and 1 inch, and my uncle 6 feet and 2 inches. Doctor: Hi. I just read your query. Hope you find my advice beneficial.\u00a0Good luck. For further queries consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 15807, + "tgt": "I am getting migraine headache once in every three days. Please help", + "src": "Patient: Hi doctor, Nowadays, I am getting a migraine for every three days alternatively. Before few days, I usually get a migraine once in 20 days. Often, I have a visual problem and aura symptoms. It relieves after taking Zerodol. Please suggest. Doctor: Hi. A migraine has two types of treatment. When the duration of the attack is more than 24 hours, we need to use both abortive and prophylactic medicine. In your case, you must use both the treatments. You can use Methysergide with Fluoxetine and Gabapentin as a preventive drug along with an abortive one. Make a daily diary to sort out the triggering factors such as lack of sleep, fatigue, stress, certain foods, and vasodilators. Avoid it soon." + }, + { + "id": 12989, + "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": 16070, + "tgt": "What medicine can be used for recurrent tinea infection?", + "src": "Patient: Hello doctor, I suffered from ringworm (tinea corporis) long back. I used Itraconazole 100 mg for two weeks. Now the same has appeared on buttocks. For this, what medicine needs to be used? If I use these tablets, will it cause any other side effects? The problem is like round shaped and it is spreading. This is the problem. Please suggest me medication. Doctor: Hi. I have gone through your complaints and reviewed the attached photographs (attachment removed to protect patient identity). You are having tinea which is a superficial fungal infection of the skin. I would recommend you to take oral and topical antifungal medicines. I would recommend you to take capsule Itraconazole (capsule Onitraz) 100 mg twice daily and apply Luliconazole cream (Lulifin) cream on the affected areas once daily for four weeks. For itching, take tablet Levocetirizine 5 mg once or twice daily depending on the intensity of itching. These medicines will not cause any side effects. These are prescription drugs and should be taken under the supervision of the doctor. Also, keep the area dry and clean, wear loose-fitting cotton clothes, stay in the cool airy environment and avoid sharing of soaps and towel." + }, + { + "id": 17357, + "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": 4933, + "tgt": "Will Glandular fever cause swollen and bloodshot eyes?", + "src": "Patient: Hello doctor, Yesterday, I woke up with a mildly swollen and bloodshot left eye which just got worse through the day (I was fine the previous day). Today, I woke up and my eye has become doubled in size accompanied by temperatures, headache, chills, and mild sore throat. I went to the doctor and explained my symptoms including that at work my colleague had recently been off with glandular fever. He checked my eyes, gave me drops and sent me on my way. My eye is not better despite doing the drops every two hours as instructed. I still have all the other symptoms and none are calming down. My right eye is still absolutely fine, so after two days of swollen and watery eyes I cannot believe this is due to conjunctivitis. I should also add I had glandular fever when I was 16 years old. Please advise. Doctor: Hello, Welcome to icliniq.com. According to the history and the photo you attached. (attachment removed to protect patient identity). There is mild lid edema, conjunctival chemosis and confession seen. There is also a history of glandular fever to your friend. My top of the differential diagnosis would be pharyngoconjunctival fever. It is caused by an adenoviral (commonly type 3) and causes sore throat, fever, conjunctivitis that manifest as watering, photophobia and swelling in some cases there may be rash. It is a self-limited disease. It can take one to three weeks. Only symptomatic treatment is given. For prompt relief: 1. Apply cold compresses two to three times daily. 2. Topical Vasoconstrictor gives rapid improvement. 3. Artificial tear drops give some relief. 4. Prophylactic antibiotic drops are given to avoid any bacterial infection. Sometimes oral anti-allergic or antihistamine is helpful if there is itching. You will get this with your doctor's prescription. So do not worry it will be alright. What you have to do is to protect everyone else. It is a viral disease and a contagious one. So your family, kids and colleagues can get this from you. So take care of the clothing, towels, etc., so that the rest of the people be safe." + }, + { + "id": 15214, + "tgt": "I have severe constipation after undergoing cervical spine surgery. How to treat it?", + "src": "Patient: Hi doctor, I suffer from severe constipation for the past three years. I have undergone cervical spine surgery before two years back. Post surgery constipation problem still got worsened. Presently, I am taking Baclofen 5 mg three times a day for the spasticity in legs. Please help. Doctor: Hi. The first option for treating constipation is starting with Sennosides tablets. Take two tablets every night. If there is no improvement in two days, you can take two tablets for every 12 hours. This medication can be taken for now and on. Sometimes you may need more fiber to make bulks in the stools. Psyllium Plantago is a natural laxative, and it helps for maintaining an adequate amount of fiber. You can take one tablespoon in a glass of water every morning and then drink another glass of water. You should take at least 1.5 liters of pure water every day. You can add milk of magnesia 15 to 25 ml for every eight hours until the stool gets soft. It has to be taken when there is bad constipation once in a while (two to three days for every ten days)." + }, + { + "id": 26043, + "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": 17832, + "tgt": "18-weeks-old baby diagnosed with congenital glaucoma and aniridia. Kindly help", + "src": "Patient: Hi doctor,My 18 weeks old second daughter was diagnosed to have congenital glaucoma with aniridia and corneal opacities bilaterally at birth for which she underwent bilateral trabeculectomy within 15 days of birth. She achieved peripheral clearance of cornea in both the eyes within few days of surgery after which there is not much improvement. Her photophobia has reduced now and she is attracted by lights, reflective surfaces, hanging toys in the baby gym, musical toys, etc. Her other milestones are normal except reaching for toys which she does occasionally. Her eye movements seem to be coordinated, at times shake while trying to fix.At 14 weeks of age, EUA was done after which doctors advised to wait for further corneal clearance as she does not require any surgical intervention for glaucoma right now and procedures like PKP has guarded prognosis till two years of age. Her IOP was variable during EUA but the corneal diameter and axial length of the globe were within normal range. She has a tongue tie, anteriorly placed anus, mild redundant periumbilical skin. Echocardiography and USG abdomen done were normal. We are planning to do a genetic test for her. There is no family history of such illness. We parents are E.N.T specialists practicing in India.I was 37 years old during my delivery and obstetric history was uneventful. Amniocentesis done during pregnancy showed normal FISH report. I would like to know about the prognosis of the disease, availability of advanced treatment options and about any early intervention services required for her. Currently, she is taking Timolol and Dorzolamide eye drops BD, Atropine eye drops and steroid eye drops OD. Doctor: Hi. It is a good sign that glaucoma is under control and cornea has started clearing out. But the main problem here is to stop development of amblyopia which is basically a state where due to prolong blurring of vision brain. Basically starts rejecting images after a certain time if the hindrance in vision is not corrected which in this case is corneal opacity. I am of an opinion that if we wait for two years chances of amblyopia are too high. You can consult a specialist for the management. Let me tell you in advance, chances of corneal transplant in infants is low and that too combined with glaucoma makes. Prognosis is poor. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17310, + "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": 24052, + "tgt": "Scan shows endometrial polyp and post wall intramural fibroid. Please advice", + "src": "Patient: Hi doctor, I am 37 years old female, anxious to conceive, with premature ovarian failure, and had left ovary removed (for torsion). Recently, scan found endometrial polyp and post wall intramural fibroid (4.9 cm) pushing endometrium anteriorly. I request for an opinion about the need for laparoscopic myomectomy before IVF. Doctor: Hi. It would be nice to have a complete menstrual, medical, drug, and gynecology history of yours. In cases of infertility and recurrent miscarriages, myomectomy is considered a last resort treatment, either hysteroscopic resection or myomectomy. In case of endometrium pushing fibroid and polyp better to remove before IVF (in vitro fertilization). Radiologically controlled uterine artery embolization is also an option for symptomatic fibroids in those who do not want to have a pregnancy. Rarely complications are observed in simple myomectomy and polypectomy. As age and multiple factors can be the cause of infertility and favorable planning for IVF, it is better to have myomectomy and polypectomy to increase chances of success of IVF. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4473, + "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": 3767, + "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": 10604, + "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": 13707, + "tgt": "What food can provide essential nutrients to baby after bleeding due to placenta previa?", + "src": "Patient: Hi doctor, I have been diagnosed with placenta previa at 14 weeks. I have had one episode of heavy bleeding. Are there any foods (going above and beyond healthy pregnancy foods) that I should eat to ensure my baby gets the nutrients he needs to make up for the blood loss? Doctor: Hi. You have been diagnosed with placenta previa. Eat high protein diet via vegetarian and non-vegetarian sources, iron-rich diet to make for the losses. You can add Iron tablet daily if Hb is less than 10 gm. Your baby will get good nutrition if you eat a good diet. In your case, you can have the recurrent episode so be careful. Maybe because the placenta is big in case of twins, sometime this placenta migrates to the upper segment at around 28 to 30 weeks. Avoid any heavy weight lifting, exertion, long traveling, intercourse, squatting. Be careful as it is painless and recurrent and even causeless." + }, + { + "id": 2063, + "tgt": "My mom has persistent UTI and E. coli infection for almost a year. Can she take Nitrofurantoin?", + "src": "Patient: Good evening Dr. I require your kind advice regarding my mom's medication. She is 53 years old. You see my mom had persistent UTI & E-coli infection for almost a year throughout 2018-2019. Her health deteriorated due to which she had a fall last year & got fractures in her spine & right shoulder, for which she was operated with screws & rod insertions i.e. dorsal spine fixation & proximal humerus plating. However she had incidents of granulation tissue pouring out on the spine suture area twice after the initial surgery, due to which she had been operated two more times to sort out the problem. The reason for the granulation tissue pouring out was described as the Dr. as being due to high UTI & E-coli infection. She took IV antibiotics for 7 weeks and was also prescribed Nitrofurantoin 100mg for 1year which would completely eliminate her UTI & E-coli. My mom however had for only 5months & quit. It's been 4months now since she quit, & now suddenly she's experiencing frequent urination, overactive bladder and urine incontinence since 3days. Also there is inflammation during urination. Kindly suggest me if there is no harm if she starts Nitrofurantoin 100 again and so for how long i.e. remaining 7months or any other period? Doctor:" + }, + { + "id": 135, + "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": 22793, + "tgt": "I have spinal stenosis and pain in legs. Kindly tell me the solution", + "src": "Patient: Hello doctor,I have spinal stenosis from last five years. I took a lot of medicine but the problem remains same. Pain also includes my legs down, foot, hips and standing more than ten minutes cannot bear. Please tell me the only best solution. Doctor: Hello. For spinal stenosis, a non-steroid anti-inflammatory drug like Ibuprofen or Paracetamol can be prescribed to relieve pain and inflammation. Physiotherapy is also beneficial. For neurological pain, Pregabalin can be prescribed. Reduce weight if obese through exercise and dieting. If all above measures failed then surgical management can be done. Take care. Consult orthopedic surgeons for examination and management. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3906, + "tgt": "My urinal passage is sore and the foreskin of the penis is not moving. Kindly advise", + "src": "Patient: Hello doctor, My urinal passage is sore and the foreskin of the penis is not moving. Continuous irritation is there. I am a diabetic of 63 years, not having any bad habits. My diabetic level is under control. Taking Diabend M tablets, HCQS 200 one tablet, Novostat CV 20 one tablet, Optodoz and Norflox now for infection. Doctor: Hello. It is likely to be an urinary tract infection. It is better if you can provide some more details of your symptoms like any fever, frequency and urgency of urination, any white patches over penis, pus discharge through urethral opening, duration of symptoms. Diabetics are prone for infection and their spread. You should get urine routine examination and urine culture sensitivity testing. Also, if urine is positive for infection then it is recommended that you should also under ultrasound of the kidneys to look for infection there. You should drink plenty of water, continue Norflox 400 mg twice a day for seven days. You should also clean penis with soap and water, try to push foreskin back gradually, gently and repeatedly." + }, + { + "id": 10391, + "tgt": "I have bipolar 2 and panic disorder. Is it normal for me to think that I have psychosis?", + "src": "Patient: Hello doctor,I was diagnosed with bipolar 2 and panic disorder. I currently take Zoloft and Klonopin. My psychologist believes I am functioning normally, but sometimes I worry that I may be in psychosis, or displaying symptoms. My only concern is that recently, I have been having paranoid thoughts. Nothing extremely delusional, but sometimes I feel like my parents think I am crazy or that they are lying to me. I also had a paranoid thought that my boyfriend was lying to me. The thoughts do not happen very often, but is this normal for bipolar type 2? Doctor: Hello. It is common to have some paranoid thoughts, especially when you are feeling stressed, anxious, and feeling low in confidence. From the way you have described your symptoms, psychosis appears very unlikely. You can recognize the paranoid nature of your thinking, and your thoughts do not seem to have delusional thinking. Your report says that you are functioning normally and so I think your psychologist is right. Continue with your psychological therapy to manage your mood and anxiety symptoms and challenge your distorted thinking pattern. I will recommend having regular follow-up with your prescribing doctor to monitor your mental state and seek review if you experience any new symptoms." + }, + { + "id": 23395, + "tgt": "10 month old has VUR grade 2 in both kidneys. What can we do now?", + "src": "Patient: Hello doctor, I have a 10 month old daughter. She had UTI several times. After VCUG, we realized that she has VUR grade 2 in both kidneys. The DMSA scans interpretation was that low lying small sized right kidney with a cortical defect in inferior half. Mild reduced cortical function in inferior pole of the left kidney with prominent PSC. The renal function of the right kidney is 30 % and left kidney is 70 %. What can we do now? Doctor: Hello. Sorry to hear about your daughter. As you rightly infer, she is having vesicoureteric reflux. Right more affected than left. This severity of affection is usually not expected though from grade II reflux. Hence, there is a possibility of independent kidney affection for her, apart from VUR, by birth. However, that does not affect our management. It is just an observation. As per current guidelines, her management involves: Hope the answer helped you. Feel free to revert if you have any more query. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 19803, + "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": 1664, + "tgt": "After switching to insulin injection, my dad gets stomach pain and swollen feet. Why?", + "src": "Patient: Hello doctor, My dad has type 2 diabetes. He is on insulin 14 mg a day and twice on some days. He has been having severe stomach pain for weeks and now he has lost a lot of weight. Since being on insulin his feet have become swollen, and his eyes yellow. Prior to insulin, he was on Metformin but his blood sugar was still high. Now he is suffering more, I really do not know what to do now. Please help. Should he go back to Metformin? Doctor: Hi. From your history, it seems your father is suffering from uncontrolled Diabetes mellitus for seven months or more which was not controlled with Metformin. The present complaints you have mentioned after starting insulin, may not be actually related to insulin rather may be due to uncontrolled diabetes or else a systemic disease most probably involving liver in view of jaundice. Or even a renal problem can cause the same because he is on pain killers (Ibuprofen) which may effects negatively to kidneys in such patients. First, stop Ibuprofen at the earliest. Make sure insulin is injected at proper site, rule out insulin site infections. Rule out kidney and liver involvement by doing RFT (renal function test) and LFT (liver function test) along with blood routine. Why insulin was directly started after Metformin is also a doubt? There are many good oral tablets which are stronger than Metformin that may be tried before insulin if no contraindications. Weight loss may be due to uncontrolled sugars which are signified by blood sugars postmeal. Liver function test. Renal function test. Complete blood count with ESR (erythrocyte sedimentation rate). HBA1c (glycated hemoglobin). Proper diabetic diet. Regular aerobic exercises for 30 minutes per day. Insulin maybe continued-special care on storage, site of injection, methods of injecting. May be shifted to anti-diabetic tablets once the patient is stable." + }, + { + "id": 29578, + "tgt": "Please give me a detailed analysis of the test reports", + "src": "Patient: Hello doctor, I am 37 years old. My weight is 72 kg and height is 5'5\". About a month back, my BP was 120/80 mmHg. I do not have any major complaints except for occasional gas or acidity or indigestion. Sometimes there is a sharp pain in the lower portion of legs, especially in the ankle and heels. I am a non-smoker, and I do not drink alcohol. I have taken some blood tests as preventive health checkup. I want a detailed analysis of the test reports with the prescription for any required medicines, lifestyle changes as well as suggested diet plans. Occasionally, I take Rantac\u00a0150 and Vitazyme syrup. I am not on any medicine on a regular basis. Doctor: Hi. First I would like to appreciate your awareness on the health. 1. TPO (thyroperoxidase) antibodies. 2. Free T4 levels. 3. ECG. 1. I suggest you take Calcium-vitamin D3 tablet once a day in the afternoon. Please consult a specialist doctor, discuss with him or her and take medicine with consent. 2. Regular physical activity. 3. Diet plan as advised. Revert back with the investigations reports to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2837, + "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": 4797, + "tgt": "How does obesity impact body cleanliness?", + "src": "Patient: Hello doctor, I am 28 years old. I have an issue with keeping my body clean. My body is constantly dirty, in the sense that if I use my fingernails to scrub any part of my body after soaking in water for some time, I always get light or dark greyish gunge under them (more so if I soak in a moisturizing bath soak). Having a simple shower and using a loofah, just does not get me clean. I can have showers every day after a bath and scrub, but by day three, I actually feel like I am not clean. Again, if I use my fingernails, gunge comes off of my body again. It is a real pain to have to soak twice a week and use fingernails and then exfoliate. I moisturize using Aveeno lotion after bath. I am very overweight and suffer from hirsutism (maybe that has something to do with it?). Can anything be done about this (where a simple daily shower is enough to get me properly clean)? Doctor: Hello, Welcome to icliniq.com. Yes, overweight and obesity can lead to such problem because our sebaceous glands get bigger and too making more sebum and you feel like being dirty all the time. I will suggest you to first try to decrease your weight within limits. It will be very helpful not only better for your health but also for your skin. That is why in obese person skin infections are very common. Secondly, sweating also increases especially is skin folds where dirt extra gather easily so you see the ultimate solution is weight loss. Apart from that use olive oil massage for the body before washing and use simple mild soap for bathing. I hope this helps." + }, + { + "id": 2167, + "tgt": "What is neurocysticercosis?", + "src": "Patient: Hi doctor, I would like to have an opinion about my brother's recent medical condition. He has been diagnosed with neurocysticercosis. Please explain. Doctor: Hi. I feel sorry for your brother's recent disease. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8492, + "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": 12743, + "tgt": "What causes pain in leg with tingling sensation?", + "src": "Patient: Hello doctor,My uncle 52 years old, complains of pain in the right leg for one month. The pain starts from the lower back and radiates to toes. Sometimes pain occurs from knee to toes only. There is a tingling sensation in sole after the movement for some time. Doctor: Hi. This is typically a radicular pain which could be due to compression in the lumbar spine. There are three ways of treatment. First is medications. I am sure you have not taken the proper dose of Pregabalin. If not responding to medications, then we can give a transforaminal injection. If not responded to both, then the third option is surgery." + }, + { + "id": 2196, + "tgt": "I get recurrent diffuse toxic goiter. Should I go for complete removal of thyroid gland?", + "src": "Patient: Hello doctor, I am a 34-year-old male and have an issue with my thyroid gland. I was diagnosed with diffuse toxic goiter in 2005 (age 19), and ever since I have been on medical compensation (Thyrozol). I have taken 20-30 mg of Thyrozol for couple weeks, then gradually reduce the amount to zero. After a couple of weeks (month) symptoms were back, and I resumed to medication. Last recurrence appeared a month ago and my doctor recommended surgery, complete removal of thyroid gland. Currently, I am taking 30 mg of Thyrozol to prepare for surgery. As surgery leads to hypothyroidism is any other options I have in this situation? Last tests results (before getting medications): TSH - 0.008 T4 - 2.9 TSH receptor autoantibodies - 6.32. Doctor: Hi. There are three ways to treat hyperthyroidism as what you are having. First is with medication and you are already taking that. Usually, it is given for 18 months but 50% of people will have recurrence once they stop medications so the choice is to either continue the medication for life long or go to the other modality which is either thyroid surgery or radioiodine therapy. Now you are advised to have thyroid surgery which has two main complications one is complications during surgery including bleeding, infection, and losing voice due to recurrent laryngeal nerve damage and you will need thyroid hormone for the rest of your life for hypothyroidism. About radioiodine, it is one of the best treatments nowadays available right now. It has a very low chance of malignancy which may be negligible. It can cause hypothyroidism as well but it is over years. If your goiter is causing problem like you do not like its appearance or it makes difficult for you to breath which it can cause once it enlarges and obstructs the air pipe. So if that is the case you can go for surgery." + }, + { + "id": 24567, + "tgt": "What to do if I accidently got Fluticasone spray in the eyes?", + "src": "Patient: Hello doctor, I think my Flonase (Fluticasone) nasal spray bottle was empty which is actually was and I have no idea what suddenly changed. I started pumping it which I usually have to do when it is empty before I reached my nostril, and a puff sprayed into my left eye. As I heard the sound, I immediately closed my eye, and then rushed to the sink and rinsed it. I continued to rinse it and even made an \"eye bath\" out of a shot glass. Though the capillaries in the outer corner of my eye are slightly inflamed, it is not burning though, just a little blurry. That could also be because I was shining my phone flashlight into my eyes to see if both pupils were reacting normally, which they are. Is this emergency and should I be more concerned? Or should I be doing something more? Doctor: Hello. For how long it is blurry? Did it improve at all or not? Give a thorough wash for at least half an hour with clean water. If the vision improved after washing, then there is no need to be the worry, but if it is still blurry, then you must consult for any corneal lesion. For more information consult an ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14552, + "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": 9392, + "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": 10820, + "tgt": "Why do I have pain in the center part of the stomach below the kidney?", + "src": "Patient: Hello doctor,I have regular pain in the upper center part of the stomach just below the kidney. Please tell me the reason and medicine. Pain arises, especially in the early morning. Doctor: Hello. The reason can be gastritis, which is inflammation of the stomach. Please do the mentioned test and use the medicine below until you get the test result. H.Pylori in stools. Gastritis H. Pylori infection. Ranitidine 150 mg one capsule two times per day before food. Avoid chilli food, caffeine, mint, soda drinks, chocolates, and heavy fried food. Until I see the lab results. Give two hours gap before sleep and after eating. Follow-up when you get the lab result and mention whether you are getting improvement on the prescribed medication." + }, + { + "id": 25172, + "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": 29569, + "tgt": "How to correct excess red blood cells in the body?", + "src": "Patient: Hi doctor, I have excess red blood cells in my\u00a0body. Recently, I had blood checkup, and it was 16.9% as per the report. Kindly advice to reduce it.\u00a0I am 27 years old. I have little chest pain too when I squeeze my chest with a pressure through shoulders. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10273, + "tgt": "Kindly mention about the foods to be avoided in an asthma patient", + "src": "Patient: Hello doctor, What are the foods items that should be not given to the asthma patient? Doctor: Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet." + }, + { + "id": 10151, + "tgt": "Is it possible for PCOS patient with regular periods to conceive?", + "src": "Patient: Hello doctor, I was diagnosed with PCOS at 16, but have had successful pregnancies (other things I had zero breast change and less than once a day of milk production). We have never used any form of birth control yet our youngest is now almost 5. We have been actively trying for almost two years now. My periods during the last six months have been on time and consistent. I am 31. Why are we not able to get pregnant after two babies? Doctor: Hello. As I have learned that your last pregnancy was five years back and that your menses have been regular since last six months and you have been trying for last two years without any use of contraceptive practices to conceive. This qualifies for secondary infertility treatment. Now the first thing which needs to be checked is to get your partner's semen analysis done to check for quantity and quality of sperms as of now. There are chances that the count may have gone down or the quality may have depreciated which can be treated accordingly. In middle age men, such male infertility is common and needs to be addressed first before a lady is subjected to tests and examinations for evaluation of secondary infertility. Hence, it is requested that you may please get his semen analysis and culture test done first and review with reports. In the meantime, you may send across any ultrasound pelvis reports or hormonal profile tests (from the last six months) that you may have undertaken for review (if the element of PCOS still persists or not). Semen analysis and culture for the male partner. Male infertility. Secondary infertility. As per reports (awaited)." + }, + { + "id": 17130, + "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": 21461, + "tgt": "Severe stomach pain after taking two I-pills in 48 hours. Will she get pregnant?", + "src": "Patient: Hello doctor, I had sex four days back with my fiancee. Her next period date is two weeks later. During the intercourse, the condom tore and the sperm entered her vagina. Within 24 hours she consumed an I-pill. Her stomach was paining a lot and feeling drowsy the whole day. The next day (after 48 hours) she consumed an I-pill again. Her stomach is paining a lot. Will she get pregnant? In how many days the periods should come? The symptoms of the I-pill and pregnancy are almost the same. So, I am very confused. Should she get a check-up done with a doctor? If yes, should we go to a gynecologist or a sexologist? Doctor: Hello. There was no requirement for a second dose of I-pill. The pain in the abdomen is due to the Progesterone effect and that can be countered by increasing the water intake. The withdrawal bleed starts only after 4 to 5 days of taking an I-pill, so you should have been patient. Presently, if the pain is more, then she can opt for an NSAID for pain relief and hot fomentation. Please ask her to take 3 to 4 liters of water in the day and that shall soothe her symptoms. She is unlikely to get pregnant as she has taken the first pill within 24 hours but should have waited for the bleed to start. Now, she needs to wait and watch and keep herself hydrated. Once the bleed shall start it shall indicate that she is not pregnant. If the pain is not controllable then she should be visiting a gynecologist at the hospital for pain relief. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12021, + "tgt": "What can be done for tonsillitis associated with cough and fever?", + "src": "Patient: Hello doctor, I am a 40-year-old male. I have been suffering from tonsillitis and fever for the last five days. I took antibiotics to treat my painful tonsillitis and fever and the antibiotic showed a very bad reaction. I developed skin rashes on my chest and around my nose. Whenever I have anything that has a cold base like coconut water (or coconut), curd, cardamom or any other fruits I develop tonsillitis. Last week, I ate cardamom by mistake, and all that broke loose for me the next day morning. And since then I am really suffering a lot. Could you please help me with my current situation of tonsillitis and fever? After the onset of tonsillitis, I started to cough also. Doctor: Hello. Yes sure, you will be ok definitely. Take these medications, Sulfur 1m five pills one dose only. Belladonna 30 five pills in the morning, noon, evening and night. Biochemic combination 10 four tablets in the morning, noon, evening and night (in more pain you can repeat tablets at intervals of one to two hours also). Give follow up after one week along with medicines. Gargle with water add salt and turmeric powder five to six times a day. Drink warm water add turmeric powder if you like that taste. One spoon warm mixture of ginger juice, turmeric powder, honey three to four times a day. Warm milk with turmeric powder and ginger powder. Have a good day." + }, + { + "id": 26886, + "tgt": "What are the treatments available to remove scars permanently?", + "src": "Patient: Hello doctor, I met with an accident\u00a0one and a\u00a0half years ago. I was severely\u00a0injured but got cured. The problem now is the scars are raised and there is no hair growth in that area. The scar is just below my nose. What are the treatments available to remove scars completely? I have attached a picture of the area. Doctor: Hello. I have read your\u00a0query and seen your picture (attachment removed to protect patient identity). For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16577, + "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": 27271, + "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": 20949, + "tgt": "I am having small bubbles over my skin that come and go. Please help me", + "src": "Patient: Hi doctor, I am having small bubbles over my skin since the past three to four months. They come and go in an hour but there is severe itching in that period of time. Please help me. Doctor: Hi. From the description provided, it seems that you are having urticaria. Urticaria is characterized by red itchy elevated lesions that disappear in a few hours. Right now you may take an oral antihistamine like Cetirizine to help these lesions resolve and give you respite from itching. I would advise you to visit a dermatologist nearby for proper examination and blood tests to rule out the cause for the same. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26852, + "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": 2322, + "tgt": "I have pain in stomach with bad taste, nausea and loose stools. Please help", + "src": "Patient: Hello doctor, I am having pain in stomach and having loose stools. I also have a bad taste and feel like vomiting. Please tell me the treatment. Doctor: Hello. Kindly tell me how long these symptoms appeared? Do you have past history of any illness? Do you take any medicine on a regular basis? Are you married? Current history of pregnancy/delivery? Do you have regular periods? Any recent lab test or report? If these symptoms appear recently without any history of cough, fever, sore throat, no chronic illness, not taking any medicine on regular basis, no history of pregnancy, delivery, breast feeding, having regular periods, no recent labs then take the following treatment. Tablet Flagyl 400 mg three times a day, Motilium 10 mg three times a day, half an hour before meals. Take the above treatment for five days then followup. If you have any history other than the above issue or if you have positive answer to any of the questions mentioned above then please do not take this treatment and immediately take the opinion from a doctor. I hope this helps." + }, + { + "id": 22732, + "tgt": "Does my mother need angiogram based on the ECG reports?", + "src": "Patient: Hello doctor, My mother is 50 years old and she is suffering from heart diseases. Her ECG show sinus tachycardia 99 biatrial enlargement qrs area, p80 ms0, 15v1 and 0.30v2, LDS l abnormal, r wave progression early transition, qrs area 0 in v2 lvh with secondary repolarization abnormality multi, lvh criteria abnormal st t anterior st elevation probably due to lvh st 0 .20 mv in v1 v4 and lvh baseline wander in lead s v1 v2 v3 v4 rate 110 pr 166 qrsd 69 qt 319 QTC 432 axis p 75 qrs 30 t 186 12, lead standard placement. Cardiologist suggesting angiogram as she needs angiogram she is uncomfortable with an angiogram. She has thyroid problems. She taking BP tablet Met XL and Aspirin EC. Please suggest whether she needs an angiogram. Doctor: Hello. Firstly, you take a pic of ECG and upload. Whatever you have mentioned is machine generated report and frequently inaccurate. This is not suitable for opinion. However, from the mentioned report (attachment removed to protect patient identity), it appears that ECG has changes. However, these changes may be due to hypertension alone. So she should get echo done, which will clarify the need for angiography. Next thing, if echo is abnormal and suggesting blockages then she will need angiography. If it is normal then she should get stress thallium done, which is a noninvasive test for blockages, to rule out the possibility of blockages. So overall, upload the ECG and get an echo done if not done. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29823, + "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": 11693, + "tgt": "What can be done when blood occurs in semen after having unprotected sex?", + "src": "Patient: Hello doctor, What to do when we find blood in our semen? There was a blood clot in my semen when I ejaculated during unprotected sex, but I have had unprotected sex regularly. The next day I masturbated to see if I still have it and this time blood was mixed in the semen. Although, it does not hurt and when I urinate it does not burn. I sometimes forget to drink water, but I still drink enough. Should I take a hepatitis shot or urinalysis? Do I have STD? Should I be concerned or will it go away? This happened to me before two years ago but it subsided. Doctor: Hello. Blood in semen with no other symptoms is very likely idiopathic or no pathology. After a period of abstinence sometimes aggressive frequent sexual activity leads to hematospermia. Majority of times it is self-limiting. Unprotected sexual intercourse will not give rise to this (rather it causes urethritis). Seminal vesicle can occasionally be infected from the blood. Just once examination by surgeon or urologist to feel seminal vesicle per rectum is preferred. For the present episode, wait for some time that it will resolve on its own." + }, + { + "id": 17463, + "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": 8379, + "tgt": "I have sleep disorder and constipation due to working night shifts. Please help", + "src": "Patient: Hello doctor,I am a 26 year old male. I am working in the night shift since last six months due to which I have a sleep disorder and constipation problem. I cannot sleep more than three to four hours in a day and I have lost my weight. Please suggest me to recover. Doctor: Hello. Adequate sleep is essential for proper functioning of the body and as a result of prolonged lack of adequate sleep your body's circadian rhythm has been affected. Hence constipation and even weight loss. I am assuming you may have lost a bit of appetite or cannot eat on time either. Now, it is important to get six to eight hours of sleep every day. Even if you cannot sleep at night, you must ensure at least six hours of sleep by making up during the day. Also, try to get some meditation or yoga which helps immensely in these cases and helps to restore the body's circadian rhythm. Half an hour of meditation if done properly equals to two hours of sleep. Also, drink plenty of fluid and fibers for constipation. And take your meals on time. If you have to do night shifts at a stretch, please ensure that you get to sleep during the day and also do mediation. Hopefully this will help. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6364, + "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": 9554, + "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": 7616, + "tgt": "Are there any harmful effects in practicing rhythmic breathing?", + "src": "Patient: Hi doctor, I have recently started practicing rhythmic breathing for peace of mind. The practice includes proper cycles of fast and slow breathing.\u00a0I have heard that such process might lead to hyperventilation and asthma problems. Further while doing the process I feel some tingling and vibration in my fist and forehead. I also feel mild headache at times after the process.\u00a0However, overall the process gives peace of mind. Should I discontinue the process? Are there any harmful effects of the same? Doctor: Hi. First of all, I congratulate you for adapting breathing exercise. It is scientifically proven exercise to control ventilation and calm down the mind. It is also helpful for the people with breathing problems and asthma. In no way it is harmful to the body. It is not at all causing asthma or any other problems. As you said, because of overventilation, you can experience some tingling, numbness, headache or lightheadedness. But, these effects are temporary and in long run it is very helpful for the control of breathing and meditation. So, I encourage you to continue this and be happy in life by learning the art of living. Till date it is the scientifically proven way of meditation without any side effects." + }, + { + "id": 4248, + "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": 15637, + "tgt": "What are the physical findings and pathophysiology observed in breast cancer?", + "src": "Patient: Hi doctor, What are the physical findings seen in breast cancer? Please explain about the pathophysiology observed in breast cancer. Doctor: Hi. These are the physical findings found in breast cancer. There can be a painless lump or a change in breast size, skin changes, nipple inversion, nipple abnormalities or discharge, and axillary lump. The pathophysiology shows damage to DNA, and genetic changes lead to breast cancer. It is also linked to other factors such as estrogen exposure, smoking, age and family history. Some individuals inherit defects in BRCA1, BRCA2, PTEN (phosphatase and tensin homolog) and P53 (tumor protein). People having a family history of ovarian or breast cancer can have an increased risk of getting breast cancer." + }, + { + "id": 29240, + "tgt": "I scratched a mole with my nail. Should I worry about that?", + "src": "Patient: Hi doctor, I scratched a mole with my nail. It is a tiny scratch, and I do not even know if it is a mole. It appeared a\u00a0few years ago. Now, I am worried. I have also attached the photo of it. Can you please advise me if it is dangerous? Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16410, + "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": 24599, + "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": 30656, + "tgt": "Does HSV IgG positive mean we are infected with that virus?", + "src": "Patient: Hi doctor, As my wife had a failed premature delivery, we both had given for chromosome test. The result showed positive for HSV IgG, rubella IgG and CMV IgG. We are very much bothered. Please tell us the reason for this. Does it mean that we are infected with that virus before? Please clarify. Doctor: Hi. I understand your concern. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28115, + "tgt": "I have mild and irritating left-sided chest pain. What is the cause?", + "src": "Patient: Hi doctor, I am having pain on the\u00a0left side of my chest from the last 2 to 3 days. I am not sure, but it seems a muscular pain\u00a0because whenever I am moving my neck in a particular way or when I press my collar bone, the pain is more. I have a\u00a0clerical job, and I\u00a0have to sit a lot in front of the laptop. Last year, the same thing happened, so I got ECG, blood sugar, cholesterol, and other tests done, which were all normal. And the pain went away after 5 to 6 days. I am around 40 years of age and a non-smoker, non-drinker, and vegetarian. Please guide me how to get rid of this pain. The pain is very mild and not regular, but it is irritating and also causing tension. Should I do all the tests again? Please provide your valuable guidance.\u00a0Thanks. Doctor: Hello. 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": 8523, + "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": 28316, + "tgt": "I feel as if my stool does not come out completely. Please help me", + "src": "Patient: Hi\u00a0doctor,I am a 22 year old\u00a0male, and I have an unusual problem of bowel movements. Every morning, I feel I have incomplete\u00a0motion. I\u00a0cannot say it is constipation, but the stool does not come out completely. Even after defecating, I still have an urge to defecate more. Then after taking breakfast and coffee, I need to hit the bathroom again. And the same problem repeats after evening coffee. Kindly help me with a quick solution. Thank you. Doctor: Hi. Thank you for your question. I would definitely advise you to make an appointment with a local gastroenterologist for workup and possible colonoscopy. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28986, + "tgt": "How to remove the small bump that I have on the private part?", + "src": "Patient: Hi doctor,I have a small bump on the\u00a0lower side of my private part. Earlier, I tried to get rid of it and so, I pressed it hard. A kind of white thing came out, and the bump remains the same for more than a week. I have uploaded the images here for better understanding. Please help. Doctor: Hi. I have read your query and seen the images (attachment removed to protect patient identity). For further information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 4181, + "tgt": "I have itchy skin rashes with abdominal cramps and nausea. Will IUD allergy cause such symptoms?", + "src": "Patient: Hello doctor, I am very itchy. One time my finger itched in the same spot for like two or three days intermittently, then it was my foot. I have also developed skin rashes that come and go. Doctors say it is either eczema or some kind of skin condition or bug bite. These rashes come and go, one doctor even thought I had an STD and so I got tested for every STD out there, everything came back negative. I even got tested for cancers, diabetes, lupus, hepatitis and a whole bunch of other stuff. Again everything was normal. I am also experiencing dizziness where it feels like the room is spinning off and on and tightness of the skull. First, it was on the right and left side then it migrated to the back and now it is back and the front. Sometimes my scalp feels like burning. I have got chills on my hands and feet. I have abdominal cramps, diarrhea, and nausea. What is going on with me? I am on the paragard IUD, but no one wants to say I am having an allergic reaction and they are telling me everything is fine. I am so scared because I think I am being poisoned. Do you think this is a reaction? Or do you think I am a hypochondriac? I am currently on psychiatric pills and mood stabilizers. Doctor: Hi. I have gone through your query and reviewed the attached photograph. (attachment removed to protect patient identity). It seems to be an eczematous rash. Also, the rest of the symptoms could be a side effect of the IUD (intrauterine device). You can consider removing it. For the rash, I would recommend you to apply topical steroid like Clobetasol propionate cream on the affected areas twice daily along with antihistaminic like tablet Cetrizine 10 mg once or twice daily depending on the intensity of itching for two weeks. This should help in resolving your problem. Steroidal preparations are prescription drugs and you need to see the doctor in person to get them." + }, + { + "id": 25880, + "tgt": "Why was anti-D injection given after my second abortion?", + "src": "Patient: Hello doctor, I am a 24-year-old female. I have undergone two medical abortions one at the age of 22 and at 24. I have Rh negative blood group. I was not given an anti-D injection the first time but I was given the second time. The doctor suggested an ICT test and it came positive which means there are antibodies in my body. Could you please tell me how could this impact on my future pregnancy? I am very worried. Doctor: Hello. Rh-negative pregnancy occurs when there is negative blood group in the mother and positive in the unborn child. The attacking agents called antibodies are produced by the mother which crosses the placenta and attacks the child. Usually, the first pregnancy is spared and from the second it becomes active. Anti-D injections prevent this and should be given after every childbirth or abortion. Once you are pregnant, from 16 weeks onwards start checking the ICT (indirect Coombs test) levels every month. When this crosses >1 in four titers you must get an ultrasound of the blood flow to the child's brain. If this condition gets severe, there is a provision for transfusion of the blood inside the womb in big centers. So, do not worry. With good advancements in technology, the prognosis is good. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2744, + "tgt": "Is it safe to use Eustachi for popping of ears?", + "src": "Patient: Hello doctor, Three months before, I got an ear infection in my right ear and I had a ringing sound in my right ear. I went to a doctor and was given ear drops and medicines, the ear infection went away but the right ear still felt blocked. I was told to take a tympanogram and they said that I had fluid behind my ear, I was given a medicine for it. After a few days, my left ear started getting blocked too and it started ringing too. My nose also started getting blocked every morning and I had a popping sound in both my ears when I swallow and sometimes it randomly pops. I was told to use Otrivin and have Alaspan AM tablet for five days. The next week the issue was still there and I also started having a cough, I was told to have Alex SF cough syrup for a week, Avamys nasal spray for two weeks two puffs in each nostril morning and night and Relent tablet. After two weeks the cough went away but I still had the issue with my ears but my ears started feeling less blocked, I did another tympanogram and they said I still had fluid behind my eardrums, I was told to continue the Avamys nasal spray and the Relent tablet and was also given Predmet 8 mg tablet for five days. A month passed and my ears still had the popping sound when I swallow and randomly. I went to the doctor again and took another tympanogram and he said the fluid is almost completely gone and I should continue the Avamys nasal spray and Relent tablet. I also had a pure tone audiometry test which he said was normal. I have been using the Avamys nasal spray and Relent tablet for the past two months throughout and I was told I did not have to take the Relent tablets anymore and the fluid was completely gone. I still had popping/clicking sounds when I swallow and my ears still feel a bit blocked so I was told to keep using the Avamys nasal spray. At the end of last month I could not get the Avamys nasal spray so I was told to use Fluticone-FT instead. I have been using it ever since. And I was also told to do the Valsalva maneuver 10 times every morning and night which I have been doing. My right ear pop with no issues but my left ear usually does not pop and it has only popped three times last month. I found something online called the eustachi that says it helps with popping ears, is it safe to use? I still have popping/crackling in my ear when I swallow. I feel like the ringing sound has reduced but I am not sure. I have not been able to go to the hospital because of the Coronavirus warnings and would like to ask what exactly is wrong with me and how long will it take to heal. It is already been three months, should I keep using the nasal spray? Doctor: Hello. The whole problem is due to malfunction of eustachian tubes. We call it eustachian tube catarrh. Initially, it was an infection that resulted in blocked tubes causing fluid accumulation inside the ear. Otitis media with effusion. Subsequently, the fluid has gradually drained but the tube is still not functioning to its fullest. You seem to have undergone a decent treatment. You have taken decongestant drops, antihistaminics, antibiotics, steroid tablets and sprays. You have also religiously tried Valsalva maneuver. Now what you need to understand is, when the tube gets blocked it takes some time for it to become fully functional. You need to continue the steroid nasal sprays. If you are using Fluticone FT then that is good. It is better than Avamys. Do you know how you should use the spray and what it is meant for? You also should note if you have any nasal allergies, any nose block, sneeze or runny nose. Even if not you are supposed to avoid all allergens. You should wear a mask. Avoid smoke, dust, pollution, pollens, molds, etc. You should be very careful. You may continue Valsalva for another month. You need an antihistamine medicine for another two to three weeks till your problems get resolved completely. Drink plenty of warm water and fluids. Keep yourself well hydrated. Do revert back to me if you need further support." + }, + { + "id": 13654, + "tgt": "What can be done to manage frequent infection of dental implant?", + "src": "Patient: Hello doctor, I had my tooth removed and a dental implant done five months ago. About three months ago it got infected. I went to my dentist, who cleaned out the infection and prescribed antibiotics. The infection did not go away, so I was prescribed antibiotics two more times. Once again, the infection is back. So over the past two months, I have gotten an infection four times and each time had been prescribed antibiotics, which seem to only temporarily fix the situation. I am at a bit of a loss for what to do because my dentist cannot seem to get rid of this infection. Doctor: Hi. That is hard that you got infected several times. If still infection persists, now your dentist must remove the implant and let the area heal. Maybe this foreign body is not accepted well by the immunity of your body so infection had occurred. Antibiotic coverage is enough once in a month, you are already given multiple times this means ultimately we have to remove the cause to get it right. Ask your dentist to do this removal work without much cost because five months is less period and comes under warranty period of time for an implant. Give me followup of your case in a week. Stay happy and blessed. Take care." + }, + { + "id": 26300, + "tgt": "I have anal pain during bowel movement. Please suggest medications", + "src": "Patient: Hello doctor, I am a 31 year old male working as a\u00a0software professional. I have been facing a\u00a0problem with anal pain during bowel movement and also feel the pain after the bowel movement for some time. I have been facing this problem since 10 days. Motion is normal. I have overcleaned the anal area and had\u00a0itching of the anus for sometime before the actual problem started, but not now. Please suggest medication to heal the problem. Doctor: Hello. I went through your post. The treatment is almost the same except for a severe anal fissure that is bleeding. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20536, + "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": 15814, + "tgt": "Following first seizure attack, one should opt immediate treatment or wait for the second one?", + "src": "Patient: Hi doctor, My son is 14 years old. He got a seizure before 15 days during sleep for 10 to 15 minutes. His EEG and MRI are normal. His doctor suggested two options. They are either we can wait for the second attack or go for treatment Val-Cr 300 for three to four years. Kindly give your opinion. Thank you. Doctor: Hi. I have gone through the query. A person can develop two seizures without regaining consciousness in between or one episode of status epilepticus lasting for more than five minutes. Seizures occurring for 15 minutes requires treatment, and it needs evaluation like EEG (electroencephalography), MRI brain (magnetic resonance imaging), serum calcium and electrolytes, and blood glucose." + }, + { + "id": 20382, + "tgt": "My testes hang low when I lie down and they become tight when I wake up. Why?", + "src": "Patient: Hi doctor, I am an 18-year-old male. I believe that I have a testes infection. When I lie down, my testes hang low, and when I do exercise, they become very tight. They also become tight when I wake up in the morning. Sometimes they move from being tight to hang low. I feel uncomfortable. What could this be? Doctor: Hi. Testicles are very sensitive organs. It is recommended to wear inner wears loosely, and it should not be tight. It has to be free to give enough space and enough aeration to these sensitive organs. When you sleep, do not sleep with your underwear. Have a sleep free of clothing. Do you have any pain or visible swelling? Is there any rash or sores present on the testicles? If not, the scrotum may have some small opening where the testis can hang below the normal area." + }, + { + "id": 28342, + "tgt": "My problem includes sore throat, chest tightness and fever. What is wrong with me?", + "src": "Patient: Hello doctor,I have been sick for over a month. It started with a sore throat, chest tightness and followed by bronchitis. Now I have stuffy nose and fever. I have taken bronchitis medications (Methylprednisolone, Amoxicillin and BREO inhaler). I have used a nebulizer with Albuterol. I am taking vitamin D 50,000 units because my vitamin D count was low. What is wrong with me? Doctor: Hi. I have gone through your query and can understand your health concern. For further advice consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17708, + "tgt": "I have fever-like symptoms and body pain. What should I do?", + "src": "Patient: Hi doctor, For the last four to five days, I have a\u00a0fever-like symptoms and body pain. I am a diabetic and Insulin dependent. What should I do? I am currently taking Lantus Insulin 20 units, NovoRapid 10 units, Olmin 40 and Lnbloc 20. Doctor: Hi. I read your query and understand your concerns. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26790, + "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": 14020, + "tgt": "Why is there recurrent cough, cold and wheeze in a child?", + "src": "Patient: Hello doctor, I have a 2.8-year-old son suffering from recurrent attacks of cough, cold, wheeze. He has been prescribed Levolin, Budecort, Montair. Still, episodes continue. What should we do? Doctor: Hello. Your son seems to be suffering from asthma. It is a hypersensitive disorder where the airways are hyper-reactive. The lasting solution is avoidance of triggering factors. The hypersensitiveness cannot be cured by medicines but can be kept to a minimum using steroids and other medications. I suggest you take the medication as told by the doctor. Levolin inhaler is for acute episodes and Budecort is to be used for longer duration. Budecort contains steroid component which reduces airway inflammation, also it has to be tapered before stopping. Tapering means the reduction of dose gradually over days rather than an abrupt stoppage of medication. Montair contains Montelukast which is leukotriene inhibitor which reduces the concentration of pro-inflammatory substances. The drug is helpful during acute episodes. Try to avoid cold winds, dust, house dust, etc. After kid wakes up, remove the bed-spread and take it out of the house and vigorously shake it to remove all dead skin cells, dust, dirt, etc. Also during windy season construction material from construction sites may trigger asthma episodes. Pollen from the garden can also do the same. One must make a note of the triggering factors so that next time he can avoid those factors. Adequate nutrition which stresses building the right immunity for your child is very important. Foods rich in green leafy vegetables, carotenoids, ascorbic acid, and all vitamin B complex and minerals are important to build immunity. Taking a portion of amla everyday can help your kid get adequate vitamin C. Provide him with Iron and Potassium rich meal. A strong immunity can help avoid small offending agents. However, the best method is to avoid triggering factors." + }, + { + "id": 26032, + "tgt": "Should the purple splotches around my eyes worry me?", + "src": "Patient: Hello doctor, The last night I felt sick and it made me threw up really hard and I felt too much pressure in my eyes. When I looked in the mirror, all around my eyes were black as if blood veins were ruptured with purple splotches. Should I be worried? Do I need to visit an ophthalmologist? Does it need special care or will it go away itself? I appreciate if you let me know your opinion about my concern. Doctor: Hello. Stay healthy. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13848, + "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": 9368, + "tgt": "Can taking antiretrovirals cause belly fat?", + "src": "Patient: Hello doctor, I am HIV negative and have been taking Truvada and Tivicay now for exactly one month but have stopped. I am pretty regular at the gym and maintain a consistent weight of about 146 to 149. Over the past month, I have gained about 5 lbs. At times my stomach looks pregnant and it is always relatively flat. Most of the weight is belly fat. Is there some correlation with the Truvada or Tivicay regimen? Is it temporary or permanent? Doctor: Hi. I wanted to ask you whether you had taken Truvada and Tivicay as post-exposure prophylaxis? Belly fat changes which you have developed is one of the side-effect of antiretrovirals which you had taken. The mechanism underlying is not known. As you are not taking medicines now, it is expected to improve. Regular exercise and dietary changes will help you. Also, get your blood pressure, fasting blood sugar and lipid profile done. ARV- Dolutegravir. FBS, lipid profile. ARV toxicity. Continue ARV as prescribed. Regular exercise, diet changes." + }, + { + "id": 3824, + "tgt": "How long will Benzodiazepine be detectable through urinalysis?", + "src": "Patient: Hi doctor, How long will a Benzodiazepine that is Valium and Nitrazepam remain detectable through urinalysis? The drug has not been used so long, may be of seven to eight days. What is the best method of detoxification? Doctor: Hi. 1. Taper off the Valium (Diazepam) and Nitrazepam by 10% every four to seven days. 2. In case of higher dose, reduce the dose by 10% per week. Revert back in a month's time to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24274, + "tgt": "What does 'hypochromic and microcytic RBC' mean?", + "src": "Patient: Hello doctor,I am a 50-year-old female. My reports read 'RBC are hypochromic and microcytic with few ovalocytes seen. WBC and platelets appear quantitatively adequate in the film. No early cells are seen.' No cholesterol, normal blood pressure, not diabetic, a fibroid but gynecologist said there is no need to operate it since I will go into menopause. What does this mean? Any danger? Is it cancerous? Doctor: Hello. The presence of microcytic hypochromic red cells is indicative of iron deficiency anemia. Apart from this finding, the other findings are normal. There is no finding of leukemic cells. I have outlined the treatment plan for you. Iron and Folic acid tablets thrice daily after meals for eight weeks followed by a CBC (complete blood count) and serum ferritin level estimation. If serum ferritin levels are low, to continue with the iron and Folic acid tablets for another two months. Take adequate intake of iron-rich foods. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13182, + "tgt": "What does acute cholecystitis with multiple cysts in MRI indicate?", + "src": "Patient: Hello doctor, I have recently had an MRI and ultrasound scan for acute cholecystitis and they showed multiple cysts and a 16 cm x 12 cm cyst in my liver. Please could you tell me is that large for a cyst as I have been told it needs further surveillance. It is showing two benign looking hepatic cysts. Doctor: Hello. A 16 cm cyst is a bit large cyst. A few more details about your condition would be quite informative. Have you ever had any pain in the abdomen or jaundice in the past? Any contact with sheep, any pet dog? Kindly inform what was the management for acute cholecystitis, was cholecystectomy done or just managed with antibiotics and other medicines? If it is possible to upload the images or reports of the ultrasound and MRI, it would be really helpful to give a comprehensive opinion." + }, + { + "id": 25292, + "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": 27644, + "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": 13794, + "tgt": "What can be done for loss of erection and sex desire?", + "src": "Patient: Hello doctor, I am 27 years, 178 cm height, 79 kg weight. I have totally lost the desire for sex and no erection and sex feeling even on touching a naked girl. After tuberculosis treatment, I lost my libido and unnoticed it. I used to masturbate since 12 years of age and no sex with a girl at all. When first time got on bed with my wife no excitement, no urge for sex and no erection too. Doctor: Hello. This can happen quite commonly during the beginning of sexual encounters, where you find yourself in a situation where you cannot perform well. Hence, you develop a fear that what if you will not be able to perform, subsequently, then what will happen. This worry is called performance anxiety. Also, medications can cause a reduced libido. Hence, you have to overcome this anxiety, give your body time to regain itself from the previous illness. You should talk actively with your spouse, discuss with her your problems, likes, fantasies. Maintain a healthy diet and regular workout. This will help you to perform well." + }, + { + "id": 28710, + "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": 18431, + "tgt": "I have increased ALT, AST and GGT. What does it indicate?", + "src": "Patient: Hi doctor, I am a 28 year old male.\u00a0Recently I went through LFT tests. It was found that I have increased ALT 147, AST 59 and GGT 80. What I have to do now? I am non-alcoholic. Please guide. Doctor: Hi. Thank you for your query on icliniq.com. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26969, + "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": 16946, + "tgt": "I have a swollen lymph node since one year. Is it something to worry about?", + "src": "Patient: Hello doctor, I am a 26 year old female. I went to my GP last year for a swollen lymph node,\u00a0on\u00a0the right side of the jaw. But, my GP was not concerned. Recently, I have noticed this lymph node is still there. It is movable, hard, sausage shaped and attached from under the ear. It is moveable next to the throat. I have also noticed that my tonsil on that side is very visible but the left side looks sunken and I am unable to see it at all. I do not really have any symptoms of illness. I have a headache now and again behind the eyes and temples. I have also got a single red dot on the roof of the mouth that I never had before. Doctor: Hello. You have a unilateral enlargement of the tonsil, namely the right one. Do revert back if you need any further support. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27296, + "tgt": "I am a mouth breather. Will this cause health problems later?", + "src": "Patient: Hello doctor, I am 19. I am partly a mouth breather since childhood. I mean, I breathe through my mouth only while sleeping. Is it harmful? Will I get sleep apnea? I am a thin guy with no snoring issues. Doctor: Hello. I just read your query about mouth breathing. I would like to say that yes, eventually it causes enlarged tonsils as well as adenoids, and causes a nasal obstruction leading to obstructive sleep apnea. It can happen in any body type. If your nose is blocked because of nasal polyps or a hypertrophic nasal mucosa leading you to breathe through your mouth, then you must visit an ENT (ear, nose. and throat) specialist to correct the issue. Hope you find my advice of some benefit. Good luck. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13644, + "tgt": "Am I hearing my heartbeat all the time because of anxiety?", + "src": "Patient: Hello doctor,I am preparing for a competitive exam. For the last one year, I can hear my heartbeat (initially all the time) later mostly when I try to sleep. I have since started yoga, running, which helped me tremendously, but for a couple of months, I have not gotten back to running (with the exam approaching, in fact, I have one on day after tomorrow) and whenever I try to sleep, I cannot because I can hear my heartbeat. I am also worried about not getting enough sleep before the exam. Last year, the doctor prescribed an anti-anxiety tablet but I did not take, took up yoga, meditation instead. I have Melzap .25 (prescribed to my father by a doctor). I do not want to take it without the expert's advice. Doctor: Hello. You are possibly describing palpitation (when you are able to feel your heartbeat). It may be related to excessive anxiety. It is not uncommon for stress and anxiety to increase when you are preparing for a competitive exam. You are already following the right approach- yoga, running, regular exercise helps. You can also try a progressive muscle relaxation exercise. It may take 5 to 10 minutes. You can try it twice a day during the exam period. Avoid too much coffee, tea, and soft drinks. It can make your anxiety worse. Ensure you drink enough water, eat regularly and sleep enough. Melzap .25 (Clonazepam) can be used for a short term used to manage anxiety. It should not be taken for a longer period. It can make you feel drowsy sometimes. So do not take it for the first time just before exam day. Try it earlier and see whether it helps. Do not use Melzap regularly. Also, you mentioned marginally increased thyroid. Is T3, T4 increased or TSH increased? It is better to get it checked since hyperthyroidism itself can cause palpitations." + }, + { + "id": 8981, + "tgt": "I am getting painful periods. Shall I skip periods using birth control pill?", + "src": "Patient: Hello doctor, My questions are regarding my painful period. I used to have extremely painful period every month, similar to contractions. I am unable to drive, work, or do normal activities while on period. Birth control pills were prescribed (to control acne) and lower the pain last year. Medicines I am taking are called TriNessa. After taking them for about 1.5 years, the skin looks better (not perfect), and the pain went down but not entirely disappeared. I am wondering if I can skip the last week on the pills to eliminate the periods and pain. If yes, what harm will it cause to my health? My age is almost 30. A gynecologist regularly checks me and no abnormalities were ever found. I am looking for a second opinion. Doctor: Hello. Painful periods are widespread, and they usually get resolved with pills. But if you still think that your pain is not getting fixed with those, then you might try pain killers like Mefenamic acid during your periods. And yes, that is possible to go without periods for two to three months, and it will not cause any harmful effects on your body. But you can also try to switch to another formulation of birth control pills before proceeding to this getting period absent option. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 20670, + "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": 4062, + "tgt": "Can sleeping on hard side of the bed cause pins and needles sensation?", + "src": "Patient: Hello doctor, I have been sleeping on a bed that has hard side on the upper torso and soft side below. It is giving me\u00a0pins and needles sensation and it has been there for a while now. Please advise. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14585, + "tgt": "I have a swelling in my ankles. Is this because of heart failure?", + "src": "Patient: Hello doctor, Since yesterday, I have been so tired, and I have a swelling in my ankles. It looks like a mild swelling, but I am scared. I have attached pictures of the swelling. Is this starting edema because of heart failure? I had some cardiac enlargement on MRI, but I had normal ejection fractions a year ago. What do I do now? Doctor: Hello. I have seen and reviewed the images which you have attached (attachment removed to protect patient identity). It looks like you have mild edema around your ankle. In the absence of any respiratory symptoms such as difficulty in breathing, or other cardiac symptoms such as chest pain, it is not related to any cardiac issues. It could be due to other factors such as slight renal parameter derangement, or wearing very tight socks. I will advise you to get a CBC (Complete Blood Count), RFT (Renal Function Test) and LFT (Liver Function Test) done. If these tests are normal, you can go ahead and get an ECG done. But as of now, there is no need to worry about heart failure." + }, + { + "id": 15794, + "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": 4937, + "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": 1264, + "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": 22601, + "tgt": "ELISA test is positive for dengue without fever in 6 years old. Please help", + "src": "Patient: Hello doctor,ELISA test positive for dengue but no fever. 6 years old. Fever occurred five days back but spikes have reduced now. Please help. Doctor: Hi. Dengue is positive in this patient as ELISA for dengue is positive. In dengue, fever subsides by 5 to 6 days. In this period, you have to keep a watch on whether any swelling appears in the body, a petechial rash appears on the body, and also to watch for platelet count. If platelet count is falling, or swelling increases then we have to admit the child. Most cases of dengue do not require admission and require monitoring of hydration status and platelet monitoring. So, I suggest you give an adequate amount of liquid diet to the patient and repeat the platelet every alternate day for one week. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17119, + "tgt": "Can rough masturbation cause a lump near the vagina?", + "src": "Patient: Hello\u00a0doctor, I have a lump on my inner thigh near my vagina. The lump is very small, the size of half a pea, and is\u00a0painless. It has been there for weeks. It is a few, maybe 2 to 3 inches from my vagina. I do not notice it unless I touch it. Touching it makes me worried that it is bad. I am young, and I\u00a0masturbate by rubbing the handle of my old (clean) toothbrush up and down against my vagina while my legs are suspended in the air. I think it may be a result of frequent rough masturbation, but I do not know what it is which worries me. Doctor: Hello. How are you doing? Hope I have clarified your query. 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": 372, + "tgt": "Why do I keep going to the toilet and fart so many times a day?", + "src": "Patient: Hey doctor how do you do? To be honest am not fine !! When we come to ma point i have a symptoms like going to toilet many times in a day and also farting much times in a day(over 100 times ). Am from poor family Once I tried in hospital but because of money I Can't continued .It tooks many years and influenced me for isolation of social lifes even if from school.now i am a 2nd year university student and i have many ideas what i want to do but I can't please help me !! Doctor: Hello. I welcome you to icliniq. I am sorry to hear that you have been such distressful times. I really hope with the following advise your problem solve for rest of your life. Well you it is not uncommon to have fart and burping. Since these are the normal.process of body of emitting gases which are produced in the small bowel. However, excessive gases are produced in someone who have problem with two things. 1. carbohydrate maldigestion. The corbohydtates are the major compotent of our diet approx. 70% of diet we take it is corbohydrates. This corbohydrates are fermented by small bowel.bacteria and produces excessive gases..one such example is milk and wheat grains and barley rye etc. You have to cut them to half before excessive production of gases can be prevented. At least you should try avoiding milk and milk based dairy production such as coffee, tea, icecream, and sweets. You can learn more about the foods who are carbohydrated and who freqeuntly cause excessive gas production on the internet. 2. Dysbiosis. Excessive of gas producing bacteria and lack of lactobacillus which help digest corbohydrats. This altered composition of bacteria is due to many factors namely oast use of antibiotic use, enviormental influence, sorts of diet one take and water one take. The one way is to treat this dysbiosis with a 10 day antibiotic course -Tab Rifaximin 500 mg twice daily for 10 days. Followed by use of probiotic which are healthy bacteria reguraly for 6 months at least. With the above explanation and advise you would be in good position to treat your condition.. Lastly only food modification can improve your symptoms by 50%. So I suggest you to start with that. There are formal testing for Dysbiosis by giving stool sample for microbiota spectrum analysis. But this is not currently performed in many countries. you can check at your end. if it being done over there. I hope this will help.you good day corbohydtates malabsoption dysbiosis corbohydrates malabsoption lactose intolerance. follow up if want to discuss in more detail." + }, + { + "id": 7895, + "tgt": "How can portal vein thrombosis be treated?", + "src": "Patient: Hello doctor,I am suffering from portal vein thrombosis from the past 20 days. I am going through the treatment and feel almost no problem now, my all blood tests are normal and KFT is also normal. Only ultrasound report shows this disease, may I know what is the level of this disease and how long I have to take the medicine. Doctor: Hello. I have read your query. As you mentioned, your ultrasound suggested portal vein thrombosis. See, there are several reasons for this condition, but at this age, it may be due to prothrombotic condition in your blood that means due to some reasons like genetic, medication or another disease. Your blood is hypercoagulable and tends to make more clot in internal vessels like the portal vein. Other reasons can be any abdominal infection. As you mentioned blood tests are normal I believe your doctor has done all thrombophilia work up to rule out hypercoagulable state in the blood. You may need to take anticoagulant medication to make the blood thin. If all workup in a blood test is negative you may need to take that medicine for 3 to 6 months till, if any report suggests hypercoagulable state you may need indefinite medication. You also need to follow up ultrasound to see the response of medication. You may also need to do upper GI endoscopy to rule out any dilated veins in the esophagus and stomach secondary to portal vein thrombosis and that dilated vein can bleed, so if it is present, the doctor can give you specific treatment." + }, + { + "id": 13499, + "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": 8670, + "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": 27583, + "tgt": "Do I need to take Duoluton-L pills after abortion?", + "src": "Patient: Hi doctor, I was prescribed to have Duoluton-L pills for 21 days to be taken after 5 days of my D and C. She also advised me that I will get my normal periods after 21 days. Do I need to take all the pills? Or can I stop after taking around 16 or 17 pills? Doctor: Hello. Actually after any abortion, the patient might experience some spotting for a few weeks as well as irregular cycle. This pill will help you to subside this flow and will try to re-establish your regular cycle pattern. Moreover, there is an incidence of ovulation as well as pregnancy just within two to three weeks of abortion and achieving a pregnancy so soon is not recommended also. This pill will help you to maintain contraception. I suggest you to not only complete this course, but also restart a fresh pack after a gap of 7 days and to continue as for the next four months. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14396, + "tgt": "How can I manage depression and anxiety due to my husband's behavior?", + "src": "Patient: Hello doctor, I am suffering from total depression and anxiety. I am 28 years old and married. Also six months pregnant. I have always felt that I and my partner are not compatible, I do not connect with him. Ours is a love marriage, but I never felt the love and care one should feel in such a relationship. He is not a romantic person. He does not understand me and my feelings. And he is never there when I need him. His behaviour has been giving me anxiety and I am always depressed. Also, we are in a beautiful phase of our life but I do not see him cherishing any moments with me. I feel too bad for myself and our baby on the way. I am in desperate need of help. Doctor: Hi. See at this time where you have to think for only yourself and to care for your pregnancy, at this time cannot do much rather than taking maximum care and getting yourself busy in daily work and go out to find some little things for your upcoming baby and have good sleep and a good diet and plenty of water. As far as your relationship is concerned, you both need marital counseling to resolve conflicts advising at one side would not be beneficial, and most importantly, start admiring him for everything, for his dressing, his smile and, whatever he is doing for you, and appreciate him for being husband and reduce your expectation at this point of time and it may work in a way that he may be there for you, which you are expecting." + }, + { + "id": 11475, + "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": 10822, + "tgt": "Is surgery mandatory for breast cancer after chemotherapy?", + "src": "Patient: Hello doctor, I need a second opinion on getting a surgery done for breast cancer after chemotherapy. Doctor: Hello, Welcome to ilciniq.com. There is are multifilament lesion (attachment removed to protect patient identity). I suggest total mastectomy, which is complete removal of the breast. The chances of recurrence will be low in this approach." + }, + { + "id": 9181, + "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": 3914, + "tgt": "How does high sodium levels affect heart patients?", + "src": "Patient: Hello doctor, My mom had a heart attack at my house. They did a stunt and then she had some brain bleed and had mini strokes. She was in a coma and recovered, even had a temporary tracheotomy. She went to a rehab facility and was very dehydrated so bad she had to go to the ER. The doctor said her sodium was the highest he had seen. Well, as they slowly dropped it she began to talk again with her voice. Then as the sodium levels got back to normal she had started whispering again. Do you have any answers for this or anything that can help me? She is currently under Synthroid, depression medicines, and anxiety medicines. Doctor: Hello. I understand your concern and would explain that it is quite normal to have high sodium levels due to dehydration. Anyway, there is no reason to lose voice while rehydration, which causes the normalization of sodium levels. Anyway, the changes in concentration of sodium can lead to temporary brain dysfunction, due to swelling of brain cells or their shrinkage, depending on sodium concentrations. This may be a possible explanation of what has happened, as her brain was accustomed to high sodium levels and then the drop in such levels could have lead to a local brain cell swelling in some region of the brain, which is more susceptible (due to previous damage). I hope this helps." + }, + { + "id": 8858, + "tgt": "Does early-onset of hearing problems involve speech and vocal issues?", + "src": "Patient: Hello doctor, I would like to know if speech and vocal issues can be linked to early-onset hearing loss or hearing problems. I am wondering if our diagnosis of vocal nodules from vocal abuse actually is stemming from overcompensating to hear at a normal volume. Doctor: Hello. Well, the development of speech is definitely related to hearing. Early-onset hearing loss does impair development of speech as it is known that congenitally deaf are also mute. Regarding the other part, vocal abuse is in fact the only cause of vocal nodules. So technically yes those who are hard of hearing may develop vocal nodules because of inability to modulate their voice, the association has not been stated too frequently not that I know of but yes the voice regulation is definitely impaired." + }, + { + "id": 4343, + "tgt": "I experience mild swelling and redness in upper eyelid after wearing contact lens. Why?", + "src": "Patient: \u200bHi doctor, I have sharp pain in the right eye since yesterday evening. Also, I wore a fresh pair contact lens last evening. And I did not wear a contact lens for almost two months. The pain started two hours after wearing contact lens and I went to a marriage function and there were many people with conjunctivitis. There is mild swelling and redness of the right upper eyelid since today morning after I woke up, but no watering and itching. Doctor: Hello. I reviewed your history and the photo attached to the question. (attachment removed to protect patient identity). It seems like inflammatory swelling of the upper eyelid, most commonly in the form of hordeolum. I would like to treat this condition by the use of antibiotic eye drops like Moxifloxacin eye drops and oral anti-inflammatory drugs like Aceclofenac. Warm compression applied over the eyelid will help in symptomatic relief. The cornea appears to be clear. However, if you have symptoms like blurred vision you need to consult your eye doctor for examination and treatment under supervision. The use of contact lenses should be stopped until the symptoms resolve and this generally takes three to five days. Hope this information is helpful for you." + }, + { + "id": 29310, + "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": 10150, + "tgt": "I have gas formation, constipation and gallstone. What can be done?", + "src": "Patient: Hello doctor,I am 27 years old, height is 65 inches. Weight 56 kg now. Three months ago weight was 57.5. kg. Sleep 6 to 7 hours. About two years ago, weight was 58.5 kg. Blood pressure usually normal but sometimes low. I have a gas formation problem for about four years. Maximum time no pain but gas and heavy feeling in the abdomen. 11 months ago I did ultrasonography and got that gallbladder stones (3 to 4 stones larger size 0.6 cm). I am taking homeo medicine. Gallstone and constipation. Truly say in a month 12 days I feel good and 18 days I got gas problem but within last seven months sometimes I feel weak (tiredness). Within the last five months, my weight is not increasing and my hands are getting thin. Sometimes, I need to take Ranitidine tablet when much gas. I had a rheumatic fever at age 8 and took allopathic treatment till 20 years of age. Oracink tablet. Please, suggest me. Do I need to do any blood test? I will do an ultrasound after two months. I am taking Iron Vitamin capsule Zilvit according to the suggestion of relative. About four months ago I took Zilvit for 20 days and feel good. Homeo doctor said that he should not give other medicine for weakness.About 2 to 3 years ago I took Mazpro, Omeprazole tablet sometimes but most of the times it took time to remove the gas problem. Now I am taking homeo medicine for gallstones (eight months running) and took homeo medicine for constipation for four months from the same doctor. The allopathic doctor who did ultrasound suggests that there is no need to hurry to surgery and can wait for about one year. Doctor: Hello. Your three main concern is the weakness, gallstone, and gas problem. For weakness following workup can be done: Investigate with above investigations as you have a weakness for many days. If still no cause for weakness found than EMG (electromyography) done. For gallstone, if no symptoms mean no abdominal pain present than surgery not needed. Ursodeoxycholic acid tablet 300 mg OD (once daily) can be prescribed for that. Avoid high fatty foods and reduce weight. For gas problem following measures can be taken: Take care. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19925, + "tgt": "I have throat pain, skin rashes, and mouth ulcers. Can this be HIV?", + "src": "Patient: Hello doctor,Lately, I am having mild throat pain. The pain seems to be responsive to light medication. For two days, I have skin rashes and as of today mouth ulcerations. It seems these are HIV symptoms. I do not have any other symptoms like fever or fatigue. The last unprotected sexual contact was five years ago. Could it be HIV? I also have fibrocystic mastitis and probably a hormone imbalance. I am thinking maybe the skin rashes are hormonal. But the mouth ulceration really scares me. Doctor: Hello. After five years it may be seasonal, viral. There are least chances of HIV. Consult an ENT specialist or Tantum (Benzydamine) liquid gargle before meals two times, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) two times a day after food for three to five days, tablet Signoflam (Paracetamol and Aceclofenac) two times a day after food for three to five days, Montek LC one at night for seven to ten days for rashes. It does not seem to be HIV infection." + }, + { + "id": 2781, + "tgt": "I experience neuropathy post parathyroid adenoma surgery. Is this due to calcium level adjustment?", + "src": "Patient: Hello doctor, I recently had parathyroid surgery to remove one adenoma, nine weeks ago. The recovery started out pretty well and have been feeling good on and off but in the last two weeks I have been having some neuropathy in random parts of my body. My endocrine surgeon and PCP say that it is just my body leveling out due to the adjustment of normal calcium levels now in my body after abnormal calcium levels I had for three years prior to surgery. However, it makes me nervous and I want to rule out any nerve disorders. All of my blood labs are current and are normal. This includes a full thyroid panel and CBC. I have been recovering from parathyroid surgery and have been having some new symptoms of nerve discomfort the past two weeks, on and off. It ranges from a feeling of a pinched nerve in the right arm and muscle weakness in both legs as well as burning and tingling feeling on random parts of the body, as well as tingling in the bladder and vulva region. It is not there every day, some days I feel great with no symptoms but other days I have it. I have had zero symptoms like this in my life and this only appeared post-surgery. This was my after visit summary with my PCP. General appearance: alert, appears stated age and cooperative. Head: Normocephalic, without obvious abnormality, atraumatic. Lungs: clear to auscultation bilaterally. Heart: regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop. Abdomen: soft, non-tender, bowel sounds normal, no masses, no organomegaly. Extremities: extremities normal, atraumatic, no cyanosis or edema bilat le with s/p 5/5 and DTR 2+ bilat patella and no ankle clonus. Neurologic: Grossly normal. I take 30 mg Paroxetine daily and have been taking Xanax and Klonopin to help with the anxiety. I have been feeling about this. Besides that I take Calcium, Vitamin D, multivitamins, and iron supplements daily. Doctor: Hello, Welcome to icliiq.com. Your physician has rightly said, it seems that nerves are adjusting to the calcium metabolism, in addition to your medication you can take tablet Pregabalin 50 mg along with tablet Mecobalin 1500 microgram for about one month to alleviate your symptoms, by that time it should get relieved." + }, + { + "id": 3600, + "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": 24934, + "tgt": "I feel low. Is it due to thyroid imbalance or hormonal changes after pregnancy?", + "src": "Patient: Hi doctor, I found that I had hypothyroidism 20 years ago. I delivered a baby girl four months ago. During that time, I was having 112.5 mcg of Thyronom daily. I was 79 kg before delivery and I am currently 67 kg. I have severe hair loss and my skin is extremely dry. I feel extremely low some days and I do not know whether it is due to thyroid imbalance or due to hormonal changes after pregnancy. Should I reduce the strength of Thyronorm? I had taken a blood test last month. I am attaching the same along with this query. Thank you for your time. Doctor: Hello. Yes, I suggest you lower your thyroid medication as your labs (attachment removed to protect patient identity) revealyou are now hyperthyroid and this may be contributing to some hair loss (in addition to pregnancy). I would suggest 88 mcg daily and repeat another TSH (thyroid-stimulating hormone) in six weeks. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 1435, + "tgt": "My 4-year-old daughter has redness in eyes which aggravates on rubbing the eyes. Please help", + "src": "Patient: Hello doctor, My 4-year-old daughter is having redness in eyes. We consulted her pediatrician and he advised Moxicip and Mezol eye drops for five days but the redness has not gone away but it is reduced. Doctor: Hello. For how many days you have used these drops? Is she having itching also? Any symptoms like running nose, cough, or fever? Is there problem in only one eye or both eyes?" + }, + { + "id": 11126, + "tgt": "What is the treatment for weak eyebrow hair?", + "src": "Patient: Hello doctor, My eyebrow hair root is very weak. After washing my face with water, and after wiping it with cotton cloth, I find 5 to 10 eyebrows are falling daily. Please suggest me treatment (medicine or capsules or oil) for firm eyebrow root. Doctor: Hello. I understand that your problem could be disconcerting and it can be resolved. Do you have dandruff or any other issues over the scalp or your eyebrows? If so, treatment should be directed at that. Also, please attach a photo of the same taken in bright light and sharp focus. We can decide on the appropriate treatment based on the above." + }, + { + "id": 25630, + "tgt": "Why is my stomach rumbling?", + "src": "Patient: Hello doctor, I am a 13-year-old female and my height is 5 feet. I weigh about 106 pounds. I have been having stomach issues. The main issue is stomach rumbling. It happens when I wake up, after eating almost anything and before I sleep. I have tried skipping one of the meals but to no avail. It still causes the same result the best working being no dinner but having breakfast and lunch. I very rarely have soda, fast food items, or frozen dinners. I have searched up for gassy foods to avoid for example broccoli) but it still does not help. I sometimes do 35 to 45 minutes of crunches, which kind of help. Sometimes it feels uncomfortable and hurts a little but that is not my biggest concern. The rumbling starts at about 10 o' clock onwards. It is so embarrassing to hear it go off every day during my class. Nobody is rude or talks about it, but still, it is distracting and annoying to deal with. I do not want to be dependant on gas pills unless there is literally nothing else to do. I have no food allergies, I am not lactose intolerant, and I am not a vegetarian. I eat raw almonds daily, so I do get a good amount of fiber. Same with graham crackers, is that a bad thing to eat? I am an active swimmer, usually one hour to 45 minutes four days a week. I walk my dog for about 30 minutes. Are there any foods or diets to suggest? Anything to stay away from? Anything to eat more of? Any exercises that would help? Should I be asking a doctor this? Doctor: Hello. If you are not drinking enough fluids, I suggest you increase your water intake to eight large glasses per day. Sometimes gluten intolerance could be causing symptoms similar to what you have described. Gluten intolerance can start at any age even if you have never had it before. I just checked the ingredients in Graham crackers and it contains flour and wheat bran. I suggest you try and avoid foods containing wheat and gluten. You do not have to skip any meal. Go gluten free for two weeks and see if that helps you. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 14196, + "tgt": "How likely is that OS ASD will cure on its own in a baby?", + "src": "Patient: Hello doctor,My son (1-month-old baby) is suffering from breathing problems and lung infection. We went to a pediatrician, he suggested doing 2D echo. In that we found moderate OS ASD. Will it cure on its own? Please give a suggestion. Doctor: Hi. The treatment of atrial septal defect in neonate or infant depends on the size of the defect and clinical condition of the child. If the child is stable, it can be left alone and sometimes it closes by the age of 3 years. If still, the problem persists, the surgical closure is recommended. Small or moderate size, not causing any complication may be left alone. A regular follow up with pediatrician and pediatric cardiologist is recommended. Heart defect may lead to a recurrent chest infection and breathing problem. So the child needs utmost care." + }, + { + "id": 4861, + "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": 29702, + "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": 7074, + "tgt": "What are the side effects of Foracort inhaler?", + "src": "Patient: Hi doctor,I am suffering from bronchitis. Should I use Foracort inhaler before or after the workout? Does Foracort inhaler cleanse the lungs? How does Foracort work on lungs? What are the side effects? Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 29272, + "tgt": "Can you check my semen analysis report and help me out?", + "src": "Patient: Hi doctor, I have a total sperm count of 38.4. I am addicted to alcohol, and I took a drink four days ago. I am trying for a\u00a0baby for two months. I have a history of seizure. I am taking Levera 500 mg, Oxetol 450 mg and\u00a0Cloba 20 mg. Could I take Folic acid?\u00a0Can you check my report and help me out? Doctor: Hello. I have seen the reports (attachment removed to protect patient identity), and it is evident that your sperm count is low along with high abnormal forms as well. This is called oligoasthenozoospermia. You have to avoid alcohol completely if you wish to increase your sperm count levels and have to be on antioxidant supplementation with Carnitine, Lycopene and Ubidecarenone (Coenzyme Q10) to increase your sperm counts in the next two to three months. You should not stop your seizure medications at all. I suggest the following for improving your sperm count. Consult your doctor, discuss with him or her and take treatment with consent. Review semen analysis after a month. Avoid alcohol and smoking completely if you wish to conceive as a couple. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 363, + "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": 22923, + "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": 12164, + "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": 13535, + "tgt": "What is Lyme disease? Will it cause joint pain and depression?", + "src": "Patient: Hi doctor, Recently, I visited my primary doctor's office, but he was on vacation. I was seen by a nurse practitioner. My main complaint is leg swelling, joint pain, and stomach aches. She asked me to do a series of lab tests and to return a week and a half later. When I went back, she told me that everything came back negative. However, a trace of an old case of Lyme disease showed up but it was nothing to worry about. Then she carried on to give lecture on my weight, and that I need to lose weight. I do, but I am 5'7\" and 215 lbs with three children. I have a long history of bipolar depression. Now I began to think that the joint pain and depression may have some correlation with this \"old case\" of untreated Lyme disease. I need some advice on this, please. Doctor: Hi. I assure you not to worry at all as things may get settled with proper care and follow-up. Yes, depression and the joint disease may definitely be associated with the untreated Lyme disease. There are a lot of things that need to be cleared right away in history. I have written just for you to alleviate your concerns, once for all. Do answer where I ask a question, send back in follow up along with all the laboratory results you just went through. There are three main stages of the Lyme disease. Stage 1: This is 1-30 days after the tick bite. It comprises the vague febrile illness with a typical red rash named Erythema migrans (the rash that appears usually in unseen areas like axillae, groin and the back of the knee areas, almost after a week of the tick bite). I wish to know, 1. Did you get this rash sometime? 2. If yes, can you please give me details as when? 3. Any eye redness, tearing, neck stiffness at that time with mild fever, etc? Stage 2: Early disseminated disease which is 3-10 weeks after the tick bite. It includes fever and malaise, eye and vision problems, heart issues, joint pains mostly knees, ankles, wrist involvement. There are also the neurological manifestations like meningitis, facial palsy, headache, neck pain or stiffness, photophobia. Also memory problems, mood changes, sleep and personality changes, depression etc., with some skin rash. STAGE 3; Months to years after the initial infection which is latent or chronic Lyme disease, I have seen my patients get a latency period with no disease and again erupted with stage 3 after sometime. Facial palsy and joint pains are very important and common manifestation of the late disease. Bladder dysfunction, hearing loss, cognitive impairment, other neurological manifestations including depression are common. Treatment plan can be decided on seeing the blood work in follow up along with the details in history." + }, + { + "id": 10259, + "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": 24380, + "tgt": "Does small light brown spot mean pregnancy?", + "src": "Patient: Hello doctor, I have been on the Levlen ED pill (combination pill) for two months, and this month on day 12 of my cycle, I had sex (he put it in, for 10 seconds before I changed my mind and said no ejaculation) and my period is due tomorrow. But today I noticed a small light brown spot on my panties and I heard it was a pregnancy sign. I am really worried. I have been on placebo pills for two days now. Doctor: Hello. If you have been on oral contraceptive pills since last two months, regularly and have continued the same during this present cycle as well, then there are no chances of pregnancy as ovulation would not have occurred during this cycle in view of pill intake. Now that you have been on your placebo pills already, so the blood stain that you noticed is likely start of your withdrawal bleed for this cycle and no sign of pregnancy. However, if you wish to be doubly sure then you may get a serum beta hCG (human chorionic gonadotropin) test done which is a blood test. If the hCG levels are less than 3 mIU then you are surely not pregnant and the blood is your withdrawal bleed. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13666, + "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": 11865, + "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": 30098, + "tgt": "Two of my wisdom teeth are impacted. Is it better to remove?", + "src": "Patient: Hi doctor, I visited a dentist and he completed deep cleaning of all four quadrants. I got composite fillings on one side of the mouth for five cavities (right side). However,\u00a0I still have four cavities on the left side. I\u00a0have two options.\u00a0Wait for three more months and take care of it, as my insurance will be fully funded again next year.\u00a0Make a trip to a neighboring country and have it treated there, as it is much lower cost compared to my country. However, the facilities are not as advanced.\u00a0I have 4 cavities on the left side and some of them are quite visible. Is this a problem that I can wait for treatment or it is better to take care of it now? Also, the dentist noted that still two of my wisdom teeth not erupted yet and he mentioned it as impacted. I am 40 years old. Is it better to remove these teeth next year or monitor and wait till they cause problems? I hear it will be complicated to remove wisdom teeth after 40. So, I would like to get an opinion from you. Thank you. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28794, + "tgt": "I have both positive and negative blood. How?", + "src": "Patient: Hi doctor, When I was 17, I donated blood. They sent me a card with my blood type B positive. When I was pregnant, the first time they tested it twice and told me it was B negative. I thought the donation test had been wrong. After my second child, my doctor upon hearing this story checked my blood again, and it came up B positive. He then told me I had something that allowed me to have both blood types. I cannot remember what he called it. Can you help me? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16433, + "tgt": "What can be done about itchy cracks on scrotum that are spreading?", + "src": "Patient: Hello doctor, I have read your previous enquiry on a patient that had itchy-cracks on his scrotum and I am experiencing the same. I also have some white spots on my penis, also in the head. I did some tests before to see if it was a fungus, but the results were negative. I have been having this issue for the past year and it is scattering around more and more. Please help. Thank you. Doctor: Hello. Please answer the following: Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6553, + "tgt": "I have a feel of food being stuck in my throat. Why?", + "src": "Patient: Hello doctor, More than two months ago, I started getting this constant feeling of food being stuck in the top back of my left tonsil. I looked in the mirror and did not see anything suspicious in my throat. Since I get tonsil stones often (even though I do not feel them), I thought it was the same and would go away. One and half months later, the feeling became stronger, and whenever I swallow, I felt something on my left tonsil. When I looked in the mirror, I could see some redness and a few small veins close to my tonsil on the left side of my throat, and the tonsil itself was a little swollen and red. I made an appointment with an ENT doctor. He examined with the light and did not see anything unusual, so he suggested that it is nothing remarkable. Since I was very nervous about the constant feeling for more than a month, he felt my tonsils with his fingers and said if it was cancer, he could feel it and assured me that it is not anything significant. After two weeks, I still feel the same sensation of food being stuck on the top back of my left tonsil, but stronger and itchy. I looked in the mirror last night and noticed a big white circle on the top of my left tonsil. I have no fever, no pain in my ear or my tonsils, and no flu symptoms. When I swallow, it is harder on my left side, and I feel something on the left tonsil. The right tonsil is completely fine, and I do not feel anything unusual. I am currently on Rosuvastatin and Levothyroxine. I will include pictures and would appreciate any help. Doctor: Hello. Is there such a feeling when you do not swallow anything? Is there any pain or fever or soreness? Is any mucus dripping from the back of the nose to throat? Any nose block or nasal discharge? Any problem of sinusitis? How is your diet? Do you smoke or drink? Have you tried any antacid medicines or gargles? Do you have diabetes or hypertension? Can you take another picture wherein both tonsils are seen and also the back wall of the throat?" + }, + { + "id": 18061, + "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": 14676, + "tgt": "My son vomits or gags at the sight or thought of food. I need to know what is going on. Please help", + "src": "Patient: Hello doctor, I have a 7 year old son who vomits or gags at the sight or thought of food that he does not like. He has been doing it for as long as I can remember. Every time I talk to his pediatrician about it, she says that it is no big deal, but I feel it is. He has to sit alone at lunch while at school. He also vomits every day at school. I need to know what is going on. Please help. Doctor: Hi. Vomiting at the sight of food is psychological, but I would like to know to which kind of foods does he do that like is it for milk products, etc.? This also means he might be allergic to some foods. Those foods can be avoided. Is his weight normal for his age? If he vomits daily, I would suggest some medications like Domperidone or Ranitidine. Sitting alone during lunch might not be good in the long run. Try to talk to him at home. The other way is to expose him to foods which he does not like in a graded manner, that is with a little amount initially and then increase the quantity gradually. Your child needs counseling for boosting confidence so that he does not face social isolation in the future." + }, + { + "id": 4677, + "tgt": "Can high BP with migraine cause stroke?", + "src": "Patient: Hello doctor, I am 42 years old, single parent with two kids aged 15 and 10. The last 19 years, I have had several stress related (in my view) ailments. History: Erratic bowel syndrome 19 years back, corrected now. Polycystic ovaries, corrected now (was on Metformin for one year.). Severe migraines twice a week that lasted 2-3 days. Corrected now. Hyperthyroidism which got over-corrected to hypothyroidism and therefore medication was stopped (was on Eltroxin 0.25 mcg). I was diagnosed with BP issues and chest pain 7 years back. I was on Lonzaep for anxiety and Prothiaden 50 mg a day. ATEN 25 mg for BP. Had a D&C for continuous periods- Biopsy was clear. ATEN was stopped and Nebistar 5 mg once a day was initiated by my cardiologist along with 20 mg Telmisartan. I was also diagnosed with arterial stiffness (Persiscope Cardiovascular Analysis report enclosed). I experienced alopecia and lost almost all my hair. I got it back after treatment. The Cardiologist increased Telma to twice daily (20 mg) along with Nebistar 5 mg, recently. My concerns and questions: 1) The BP continues to fluctuate going as high as 170/110 and then dropping very suddenly to very low. BP rises typically in the evenings, while it is very low at night (I understand that this is the case naturally). While I understand the concept of BP fluctuating all day, and looking at the average, I am worried that when it is very low, I am probably aggravating the situation by taking a medicine to low it further. ABP reports taken all these years are enclosed. 2) When the BP is high (mostly) I have chest discomfort and pain in the chest for 3-4 days and then subsides on its own. I am concerned that my arteries are inflamed. Please see reports on High Sensitivity C Reactive protein. 3) When I had continuous migraine and chest pain I went in for a coronary angio and a brain MRI- reports enclosed (Acute ischemic foci- Is there a correlation)? 4) My cardiologist was concerned about my echo tests and the BP shooting up very quickly during the stress test. Can you explain what the test implies and the connection between the inflammation and these tests results? 5) My stress levels overall are definitely better, I am consulting a Psychotherapist for the last 3 years, practising yoga, however the BP seems to have shot up again the last few weeks. Is it because of the extreme winters? I am undergoing a stressful situation at the moment. 6) On the whole, I would like to know: If I am at risk of a stroke? If yes, what is the probability? Is there inflammation? If so how bad is it? How can I control/reverse it? Why does the chest pain persist? The pain is usually followed along with high BP when I particularly have a heavy session in Psychotherapy or overthink some issues. -What do I do when the BP reaches dangerous levels like 170/110? Are there any drugs that I should avoid? What are the safe supplements that I can have for magnesium? I am taking Omega 3 supplements. Are there any follow on tests and medications that you recommend? I got a full health check done four months back and kidney tumors, etc., have been ruled out. Happy to share additional reports in case needed. Doctor: Hello. I would largely comment from cardiac point of view. So overall, other than BP, your cardiac status is normal. Your heart function is normal and no RWMA, your blood vessels were clean on CT coronary angiography (attachment removed to protect patient identity). So, I do not think there is anything to worry from cardiac perspective. Regarding chest pain, if BP is elevated then it can cause some strain over the heart and cause chest pain. But it would be limited to time during which BP is elevated. Now considering that you did not have any chest pain during stress test and BP was elevated during stress test, pain is probably unrelated to BP or heart. If you are having any ventricular ectopics or extra beats then it can cause some dull ache in chest. Now other aspect is BP. You have tendency for BP elevation due to your genetic make up which is part of PCOS, etc. How much do you weigh? Also, your psychological issues tend to worsen BP. BP may rise during exercising and considering your high BP tendency, it may excessively rise during exercising. Other factors which can worsen BP is stress, high salt intake like pickles, NSAIDS like Brufen or other pain killers, migraine medicines or even any pain can worsen BP. So, avoid pain killers other than Paracetamol or Tramadol, plenty of fruits, have low salt diet, regular exercises, try to keep weight under control. If BP elevates then you may have an additional dose of Telmisartan. Maximum you may up-to 80 mg in a day. Also, while taking BP readings, you should keep your arm relaxed, take 2-3 readings at a time and take BP after rest of 5-10 min. If BP is rising persistently in the evening then additional dose of Telmisartan may be added in the afternoon 2 hours before the expected BP rise. Your average in last abpm was fine and occasional high readings are not worrisome. Regarding inflammation, best way to settle inflammation is healthy lifestyle like avoiding fatty oily and high calorie diet. Having regular exercises like brisk walking or running according to capacity. Also, you should get your lipid profile done and statins like Rosuvastatin prescribed to settle this inflammation. Dinner should be light. Now, regarding your stroke risk, it is better to get a neurologist opinion. The changes may be related to inadequate BP in the past, but you should also obtain carotid artery Doppler for source of emboli. Also, transesophageal echo should be obtained to rule out possibility of patent formanen ovale as a source of emboli." + }, + { + "id": 4726, + "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": 20403, + "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": 26518, + "tgt": "I am stressed and demotivated. Can I continue taking Fluoxetine?", + "src": "Patient: Hello doctor, I am 34 years old and single.\u00a0I am seeing a clinical psychologist once in two months whom I was previously visiting.\u00a0She told me she always prefers face-to-face sessions. She was not happy when I mentioned that I have discontinued the medication, Fludac 40 mg, as advised by one of the doctors I had visited.\u00a0She said that I was not strong still and should take a doctor's opinion on the medication as my exams are nearing and I have not really started any preparation.\u00a0So, the stress level is high. But, she has encouraged me\u00a0and counseled me to clear at least two papers this time. To me, clearing two papers in itself is a Herculean task.\u00a0She says the mood swings and the depression will start again if I discontinue the medication now.\u00a0I am feeling stressed, tired and demotivated though I want to study in peace without any disturbances, and this is not at all happening. I do not like the routine when I start my day. My mother is not around as she is at my sister's place. My other sister who lives next door does not even drop in to see what is going on. So, it is just me and my 75-year-old father at home. He goes to work during the day.\u00a0It is depressing to be around him. Please advice. Doctor: Hello. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist \u00a0" + }, + { + "id": 23639, + "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": 12926, + "tgt": "Diabetes is not under control even after taking medications. Kindly advise", + "src": "Patient: Hello doctor, I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, Tryglynase 2 before breakfast but diabetes is not coming under control. I have attached my report. Doctor: Hi. I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like walking, running, cycling or swimming. So, start anti-diabetic diet and exercise if you are not following. In treatment, you should start long-acting Lantus Insulin 10 units in the night at 10 AM. Take Tryglynase two tablets before breakfast, two before lunch and one before dinner. Also, take Voglibose 0.3 mg tablet one before breakfast, one before lunch and one before dinner. Stop GP3 and Obimate SR 1 gm. Get done repeat FBS, PPBS after seven days and let me know the results. Lack of diet and exercise. FBS and PPBS after seven days. Obesity. Uncontrolled diabetes. Lantus Insulin. Diet and exercise." + }, + { + "id": 15240, + "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": 15543, + "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": 8293, + "tgt": "I have a lymph node swelling below ear after sex. Please help", + "src": "Patient: Hello doctor, I had sex with a friend and have a swelling on my lymph node under my ear when asked he said he has genital herpes. I wanted to be sure if I have any sort of STD. Please tell me what are the tests I have to go through to be sure. Doctor: Hi. Usually, the blood test for herpes becomes positive only after 2 to 3 weeks because antibodies in the body take time to give you positive results otherwise false-negative results can occur (antibodies test for HSV1 and HSV2). Herpes infections can be diagnosed by looking on the lesions on body and blood investigations are often not required. If you have any symptoms then consult a nearby physician or dermatologist for further evala uation. Sometimes, the viral culture of a swab from skin lesions or nuclear amplification test (NAT) can be done without waiting for blood test as this test can be done earlier." + }, + { + "id": 20322, + "tgt": "Why am I having poor erection?", + "src": "Patient: Hi doctor, I am 24 years old. I have loss of erection in my penis for the past four days. Before two months, I had the same problem. But at that time I was taking medicines for my urine related problems. When I stopped taking medications, everything became normal. I have a stone in my right kidney for the past six months. I am not taking medicines this time. I am taking a syrup (stone go) for my stone problem. But, I am facing the same problem now. Please tell me the cause of this problem. Suggest me a solution. Doctor: Hi. I can understand your concern. Your syrup (stone go) can cause loss of erection. The other reason can be renal stones. It can also cause loss of erection. All the medicines have some side effects, and loss of erection can also be a side effect due to the medication." + }, + { + "id": 7488, + "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": 5653, + "tgt": "I have neck pain, stiffness and numbness in my hands. Is it due to syrinx?", + "src": "Patient: Hello doctor, I am having significant neck pain that goes out into my shoulders a bit. Pain is accompanied by severe stiffness. Also, my hands have been falling asleep about seven or eight times a week (roughly) and even ache a bit. I thought I might be dealing with a pinched nerve, but all my symptoms are fairly bilaterally equal. This last week I was put through an MRI for a lipoma in my left shoulder and neck area and they found that I also had a lower cervical syrinx at C6 about 3 mm. Could this be causing the pain and numbness that I have been dealing with? Or is the syrinx something that should be removed? I am awaiting an appointment with a neurosurgeon but I thought I would reach out in the meantime. I appreciate any information that you give me. Doctor: Hello. It may very well be the syrinx. A syrinx can cause pain and temperature sensory deficits to occur early but may not be recognized for years. Syringomyelia typically causes numbness, weakness, atrophy, and often fasciculation, and reduced reflexes of the hands and arms. The pain and/or numbness is felt as a sensation in a cakelike distribution over the shoulders, arms, and back. It may be decompressed surgically a bit for that you would need an MRI (magnetic resonance imaging) of the C-spine to look for a more detailed anatomy. I hope this helps." + }, + { + "id": 25337, + "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": 5667, + "tgt": "I am 13 days pregnant and experiencing pain in lower abdomen and thighs. Why?", + "src": "Patient: Hello doctor, I am a 23-year-old female. I am 13 days pregnant and currently experiencing a pain that feels like I have been exercising for a long time. The pain is in my thighs and the lower side of my abdomen. I currently take Metformin 2000 mg per day and folic acid also. Doctor: Hello. I hope you did not have any extraordinary activities to cause the pain around the thighs and lower abdomen. The pain we are to worry about is intermittent pains, that come for a few seconds, just like the pain in periods and then disappears, and come back again later. This may be associated with discharge from the vagina, with or without bleeding or spotting. If anything of this sort, do meet your doctor immediately and you may need medications to make the uterus quite. It could also be an infection in urinary bladder with a burning sensation while urinating, increased frequency of urination, and feverish feel. This also needs a consultation with the doctor to confirm the infection and using antibiotics. Untreated urinary infections can further lead to pain in the uterus, It could also finally be an infection around the uterus if you had intercourse recently. This also can be cleared with antibiotics. Anyway, nothing to much worry about, as you do not have any bleeding or spotting. Simple course of antibiotic, in case of any infection and hormonal support can relieve you of the pain and more important can make your baby safe. Drink a lot of water, avoid intercourse, any sort of mental, physical stress, and rest well. Kindly do not delay to visit your doctor." + }, + { + "id": 12265, + "tgt": "Took Unwanted 72 and bled after 13 days. Is that implantation bleeding or withdrawal bleeding?", + "src": "Patient: Hello Doctor, We (me and my fiancee) had unprotected sex on the 11th day of the month (mensuration). I am very sure I did not eject that day. But for safety within 24 hours, she had taken Unwanted 72. Now after 13 days of it, before 1 to 3 days of expected periods. She got bleeding for a full day and continued the next day as well. Blood is of red and brown color. 1. Can you please help me? Is it implantation bleeding or withdrawal bleeding? 2. When did she get her periods? 3. When we will surely come to know there is no pregnancy? 4. When to use a pregnancy test? Doctor: Hello. It is likely that she has got her withdrawal bleed which can be seen in next 7 to 10 days to post unwanted 72 intakes, however, implantation bleed occurs in next 2 to 3 days and it is often spotting to scanty bleeding and not in the good flow. This can be confirmed by getting a serum beta hCG test (human chorionic gonadotrophin test) done which can conclusively rule out pregnancy as well, earliest by 10 days post intercourse. If the hCG levels are less than 3mIU then she is surely not pregnant and the bleed is not an implantation bleed(as it is always a retrospective diagnosis). She would get her menses now only after a month counting from the day of the start of the withdrawal bleed as this bleed marks the day one of the starts of a fresh cycle, for sure her dates would be changed now." + }, + { + "id": 14560, + "tgt": "I have dryness and nightfall due to central diabetes insipidus. What to do?", + "src": "Patient: Hello doctor, I am 30 male. I am suffering from central diabetes insipidus for the last three years. My all body, skin, and mucous membranes like penis glans, nose, nostrils and eyes have extreme dryness and frequent nightfall 4 to 5 times in a week. Please advice medicine. currently, I am taking Desmopressin. Doctor: Hi. Central diabetes insipidus is a very rare case of diabetes. In this condition blood sugar doses are normal but due to excessive urination, the body suffers from electrolyte imbalances which lead to excessive thirst, dryness weaknesses, and lethargy. It is due to lack or very less secretion of ADH hormones. ADH, vasopressin. The treatment plan would be to suppress extra urination and need to reduce dryness of skin. 1. Gokshuradi Guggulu two tablets twice a day after meals. 2. Prawal Panchamrita one tablet twice a day after meals. 3. Lakshadi Guggulu one tablet twice a day after meals. 4. Lodhrasava 10 ml twice a day with an equal amount of water after meals. 5. Guggulu tikta grita one spoon twice a day before food." + }, + { + "id": 26980, + "tgt": "What is the best treatment option for baldness?", + "src": "Patient: Hello doctor,I would like to go for hair transplantation. So, kindly advice me about which is the best option. Doctor: Hello. From your photos\u00a0(attachment removed to protect patient identity), I can see that you have grade 7 baldness with limited donor hair. But, you have also got small, thinned-out hair in the hair loss area. So my suggestion is as follows. You should understand that the result you can expect is not a head full of hair, but enough hair to cover your baldness. It is a one-day procedure. You can get a 2000-grafts transplant in one session followed by the second session six months later if you want. You will require a review on the third day after the transplant and it can then be followed up online. For more information consult a plastic surgeon online --> https://icliniq.com./ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 30799, + "tgt": "Would fractional laser help in removing acne scars?", + "src": "Patient: Hi doctor, I have mild to moderate acne. My dermatologist prescribed Isotretinoin 20 mg on alternate days, but I am experiencing hair fall. Also, he prescribed an antibiotic Septra. I took the tablets for only two days. I am reluctant to take these drugs due to its side effect. Please suggest an alternate to control acne. Will Doxycycline help? I\u00a0am not having ice pick scars rather have some depressed scars and the severity of depression is not much. My doctor suggested me fractional laser along with a series of peels. Would fractional laser help removing acne marks? Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7061, + "tgt": "I have a hard, tender and warm lump near my anus. What is it?", + "src": "Patient: Hi doctor, I am in real pain for past 9 months and my doctor is clueless after several visits. After a period of 38.6 weeks in latent labor, I had a vacuum assisted vaginal delivery (first baby). No ultrasound was done the very day of admission. With crowning left medio-lateral episiotomy was given. Extension of 1.5 cm up to anal sphincter was given and sutured. I gave birth to 3.6 kg baby girl. After 2-3 days in hospital I kept complaining about excessive pain and burning in that suture compared to others. I was told that it was normal. After a month I could barely sit and feed my baby. In follow up doctor told me it was normal and healing. After 2 months it worsened again and I could feel a hard lump in left side below my vagina and near anus. It has been 9 months now after my delivery and every 4th day or once in a week I get the lump tender, warm and hardness in between my vagina and anus, along with discharge of pus or light color blood which is immensely painful. It keeps coming back always. I am getting weaker day by day. Mild fever, stiffness in legs, body ache, inability to move and sit when the pus forms until it discharges from a hole that has been there always. The same hole closes each time after discharge. Which doctor should I visit? Please help me urgently. What can this be? Doctor: Hi. I have gone through your complaint. Episiotomy. Fistulogram. Abscess. Fistula. Fistulectomy with antibiotic coverage. Revert back after investigations to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17861, + "tgt": "I have high blood sugar in spite of taking Glycomet. Should the dosage be changed?", + "src": "Patient: Hello doctor, I am 75 year old male. Though I have diabetes since five years, I am still not able to understand the disease. Recently, I have checked my glucose levels with one touch ultra on the same day. They are: Fasting 130. Two hours after breakfast 160. Before lunch 112. Two hours after lunch 160. Two hours thereafter 110. Does this mean that the disease is well-controlled? I take 250 mg Glycomet after breakfast, 500 mg after lunch, and 250 mg after dinner. Is this dosage correct or do I have to change the dosage? My physician is not educating me properly. Kindly advise. I take Thyronorm for my asymptomatic hypothyroidsm. I am attaching my reports for your reference. 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 type 2 diabetes. It appears that your diabetes is slightly uncontrolled as per your HbA1c of 6.7 %. The pre-meal and post-meal blood sugar levels are also slightly high. We do not ask the patient to check the blood sugar every now and then. The best detector of how good your blood sugar is controlled is HbA1c which is to be done every three months. The glucometer is used usually to check fasting, two hours post lunch, and in case of hypoglycemia only. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 16977, + "tgt": "Can dehydration result in dizzy feel and lightheadedness?", + "src": "Patient: Hi doctor, I am 23 years old. For about four weeks, I have been experiencing lightheadedness. It happens a few times each week. I never pass out, but I get very hot and feel like I might pass out. I have also not had an appetite. I have lost about 5 pounds from not being hungry. I went to the doctor and he said that I was very dehydrated. I drink water throughout the day, but began to drink even more now hoping my symptoms would go away. One week later, I am still having the same problem. When I am out for a run, I often have to stop because I feel very dizzy. When I eat, I often have an upset stomach and have loose bowel movement. After eating, I feel very nauseous. Should I try to make another appointment with my doctor or wait to see if my symptoms improve? Doctor: Hello. You are too young to have high blood pressure. There could be many reasons for dizziness. The most important one is being orthostatic hypotension if you are on a blood pressure (BP) medication. Others could be thyroid disorder, anemia, vitamin B12 deficiency and diabetes. If all the work up are negative; it could be problems related to inner ear like benign positional vertigo or Meniere's disease. You should be investigated for secondary causes of hypertension. Remember the BP goal has been changed to more than 140/90 mmHg if you have no other medical conditions other than hypertension. Consult your PCP (primary care physician) or endocrinologist for secondary hypertension. If all investigations and BP are fine then consult an ENT (ear, nose and throat) specialist. CBC (complete blood count), TSH (thyroid stimulating hormone), CMP (comprehensive metabolic panel), angiotensin or renin activity, morning AM cortisol level, VMA (vanillylmandelic acid) in the urine or metanephrines. 1. Consider reducing the dose of antihypertensive medication. 2. Use Meclizine on as needed basis. Please do not drive while taking it. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7757, + "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": 18963, + "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": 10120, + "tgt": "What causes a soft spot in the middle of forehead in a baby?", + "src": "Patient: Hello doctor, My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do? Doctor: Hello. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris drops 1 ml once a day. Zincovit drops one ml once a day. Vitanova drops 0.5 ml once a day. All the above for six months." + }, + { + "id": 15194, + "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": 8677, + "tgt": "I am afraid that a spider went up to my right nostril. What should I do?", + "src": "Patient: Hello doctor, I think a spider went up to my right nostril yesterday morning and I am worried about it and frightened. Since then, my nose has been blocked and sore. Doctor: Hello. Spider or any insect can go inside the nose, mostly come through the mouth. You are telling in the morning that means you aware of it. You might have been sneezing or blow it. The nasal block may be due to allergic mucus secretion. If you are feeling spider struck in your nostril, take clean water and inhale and bring it to mouth and spit it and see. If still worried, go to ENT doctor and check it." + }, + { + "id": 23472, + "tgt": "Can I use Pacroma cream to help with intense itching in my buttocks?", + "src": "Patient: Hello doctor, I have an intense itching in my buttocks. I usually suffer heavy itching problem throughout my day. I apply Pacroma in my buttocks. Also, I apply an antifungal powder which gives me only temporary relief. Doctor: Hello. Please attach two to three clear pictures of the affected area for better evaluation and guidance. Since when are you having these issues? Are you applying Pacroma Cream (Pimecrolimus topical) under the advice of your dermatologist? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11002, + "tgt": "What can be the reason for recurrent boil?", + "src": "Patient: Hi doctor, I have a\u00a0boil on my inner thigh, which keeps recurring.\u00a0I have had a boil in the same spot before. When I popped it went away, but now it has come back. It is also very painful. Please help. Doctor: Hi. I have read your query. It seems that you are having furunculosis. Boils (also called furuncles) are a deep bacterial infection of hair follicles. The cause of recurrence may be Staphylococcus aureus, which is most commonly carried in the nostrils, armpits, between the legs and in the cleft between the buttocks. It may be transferred to other sites from the nostrils through the finger nails. General measures to avoid the recurrence are as follows. Regarding treatment, I suggest oral antibiotics like tablet Augmentin 625 mg (combination of Amoxicillin and Clavulanate potassium) if you are not allergic to penicillin group. Take one tablet thrice daily for five days. Also, my suggestion is to apply Mupirocin twice daily for five days. Consult your 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": 20459, + "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": 17342, + "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": 13357, + "tgt": "There are red patches on the tongue. Why?", + "src": "Patient: Hello doctor, I have my niece with red islands or patches on the tongue surface. Her age is 23 months. This is there for the past one year. Doctor: Hello. These patches are related to vitamin B deficiency and gastric discomfort. Sometimes, they also have superadded infection of bacterial or fungal origin. I would advise you to start a Multivitamin syrup, deworm the child and apply Candid mouth paint for 4 to 5 days. Syrup A to Z 5 ml once daily for 30 days, syrup Zentel 10 ml single Stat dose, Enterogermina suspension 5 ml twice daily for three days. Candid mouth paint local application for 4 to 5 days." + }, + { + "id": 28582, + "tgt": "Why do I have a decreased appetite, abdominal pain, and mucus in stools?", + "src": "Patient: Hi doctor, I am a 26 year old unmarried female. I am having decreased appetite, abdominal fullness, mucus in stools, dull pain in the upper abdomen, and get a headache sometimes. I have asthma and take Formosone\u00a0125 inhaler, Doxofylline, and Montelukast. I also\u00a0keep getting aphthous ulcer every month. I have attached my blood reports. Please suggest some treatment. Doctor: Hi. Thanks for uploading the blood reports (attachment removed to protect patient identity). Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 18926, + "tgt": "Does Ayurvedic massage help to remove toxins from the body?", + "src": "Patient: Hi doctor, Does Ayurvedic massage help to remove toxins from the tissues? Do they help to remove toxins from the body through the skin? Which organs are used to eliminate the toxins from the body? Doctor: Hi. Ayurvedic massage loosens the toxins from the body, and by a steam bath, it will get eliminated from the body in the form of sweat. The therapy used to remove toxins from the body is called panchakarma which includes five procedures. First one is called Vamana karma which is also known as medical emesis. Virechan is one of the panchakarma therapy where the toxins are eliminated in the form of loose motion. Basti is the other form of panchakarma therapy where different types of enema are used. Nasya is a kind of panchakarma treatment where the oil is poured in the nostrils. Raktamokshan is a procedure of bloodletting. These therapies will help to remove toxins from the body through mouth, anus, skin, and nostrils in the form of motion, vomiting, sweating, cough, and bleeding." + }, + { + "id": 15551, + "tgt": "I had a PVS ultrasound for unusual brown vaginal discharge. Please explain the result", + "src": "Patient: Hi doctor, I had undergone pap smear test and PVS ultrasound yesterday due to some vaginal health issues. I have got the results of PVS ultrasound. I want to understand the results and to know whether I am in good health or whether I have any other abnormalities. I had unusual pinkish or pale brown discharge with an odor. It happened before and after my periods. It also happens when I do not have periods. I experienced pain last time when I had sexual contact with my partner. My gynecologist is waiting for my pap smear report. I am waiting for a gynecologist opinion regarding the results. Please suggest. Doctor: Hi. There are more chances for you to have a chronic infection of the cervix which ultimately leads to foul-smelling discharge. But a few possibilities of other things are also there. That's why your gynecologist is waiting for pap smear report, and she will prescribe you medication according to the discharge type, amount and color. You may have to take medication up to 21 days, and you may require to test the discharge. Drink more water and keep the vaginal area dry. Do not have intercourse. These precautions will help you in decreasing the infection and recurrence." + }, + { + "id": 3996, + "tgt": "Kindly explain the horizontal lines on my finger tip", + "src": "Patient: Hello doctor, I want to know what the horizontal lines on my fingertips are. They appeared within a couple months, along with more lines on my hands than ever before. Doctor: Hi. I have seen images attached here (attachment rremoved to protect patient identity). It does not signify towards any health issue. It seems to be normal flexor creases. Finasteride drug that you were taking can lead to hand swelling, headache, weakness, nausea, etc., as side effects. If you want to investigate than check your random blood sugar, serum cholesterol, serum LDL, serum Triglycerides, sgot, sgpt, blood urea and creatinine for routine check up. If any specific complaint present then let me know about that. Take care." + }, + { + "id": 10941, + "tgt": "Is RCC benign or malignant and what is the treatment?", + "src": "Patient: Hello doctor, My father, aged 70 years, lost five kg of weight in two to three months. Usg and CECT confirms a right renal mid-lower polar well defined large 11.3*10.6*12.0 cm soft tissue density homogeneously enhancing mass with internal regions of non-enhancement is observed with no obvious calcification or fat content. The lesion appears to be containing renal fascia with increased peripheral vessels likely mitotic mass lesion of the right kidney (RCC). The right renal vein and IVC is patent. The mass is seen to indent the right psoas muscle, but a flat plane with the adjacent structures is nearly maintained. The urine test and renal functions are normal, and there is no evidence of metastasis. Kindly tell me if it is benign or malignant, and what are the possible line of treatment? Please help. Doctor: Hello. As per the report, it is renal cell carcinoma (RCC) and it requires further evaluation. In the treatment of RCC, first of all, surgery is needed to remove the tumor and if required the kidney too. Then after confirming the diagnosis on histopathology, chemotherapy, or radiation is required. Please consult an oncosurgeon immediately. I hope it helps you. If you have any further queries, please ask me." + }, + { + "id": 16595, + "tgt": "How to treat my upper back pain?", + "src": "Patient: Hi doctor, While sitting on a sofa, I was completely relaxed, and my body was lying unbalanced against it. Suddenly, I felt some pain that started in the upper back area. But it did not disappear even after I got up and did a lot of body straightening and stretching. It was minor. Particularly in the night, I slept with difficulty. In the morning, I did a bit of exercise, jogging and relaxing. But it remained. Next night I felt severe pain in the upper back. I was unable to sleep. When I slept flat, I also had the same pain. Turning to either side, there is a slight comfort. I never had this problem before, especially when I am lying flat. When I am sitting normally, almost in the middle of the back, center area, a minor pain is present. Please suggest. Doctor: Hi. It looks like an acute muscular pain. In such situations, I recommend following these steps: For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3510, + "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": 18668, + "tgt": "Can Enteroquinol be taken for stomach TB?", + "src": "Patient: Hello doctor, I am undergoing treatment for stomach TB for the last one year. I take Sompraz D 20 capsule on empty stomach and Libotryp at night. Due to overeating today, I am having diarrhea and indigestion. Can I take Enteroquinol and Eelectral powder? Or would you like to suggest me any other treatment? Also, now I do not feel like eating anything else. Please help. Doctor: Hello. Yes, you can take these medicines. There is no issue with these medications with your present treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The probable diagnosis is infectious diarrhea. In acute diarrhea cases, the most important is to take water in the form of ORS (oral rehydration solution). If you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. Otherwise not indicated because the most common diarrhea is caused by viruses. If you suspect food poisoning then we should take specific medication according to your food intake. For now, you take ORS 250 mL per loose stool and normal diet You may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. You need to maintain hygiene. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22063, + "tgt": "Will I get HIV through a cut on my hand while washing surgical instruments?", + "src": "Patient: Hello doctor,I was working in a decontamination area in a hospital and I had a small cut on the hand. The water came inside my gloves while washing dirty instruments of operation theatre. Will I get HIV? Doctor: Hi. First, HIV can survive only for 8 to 12 seconds in the outside world. The HIV contaminated instruments and waste material from instruments cannot cause HIV infection as there will be more than 30 minutes before contacting you. Second, never work with open wounds. Taking HIV out of the equation, you have the highest chances of HBV (hepatitis B virus) transmission as it can survive upto 30 days in a harsh environment. Thirdly, as there is open injury, there are chances of bacterial infection. Finally, you are not at risk of getting HIV but at risk of getting HBV. You can take the HBsAg vaccine as a preventive measure. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1128, + "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": 24804, + "tgt": "What is the survival rate of a gallbladder cancer patient?", + "src": "Patient: Hi doctor, My mother is diagnosed with gallbladder cancer. I would like to know the stage, chances of survival and the life expectancy. Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). The imaging is clearly showing a gallbladder tumor. There are different types of gallbladder tumors and the prognosis, outcome, and survival is different from one person to other. Here we do not know yet which type of gallbladder tumor it is. That will be known only after surgical removal of the tumor or after a surgical biopsy from the tumor. The PET/CT (positron emission tomography/computed tomography) is showing tumor is free from distant metastasis (spread). It looks stage-3 radiologically. But actual staging will be known after surgery (pathological staging). The most common type of gallbladder tumor is adenocarcinoma and the prognosis for adenocarcinoma gallbladder is usually poor except in early stages. It is usually a chemoresistant tumor. The only curative treatment in these tumors is radical surgery (removal of the tumor along with gallbladder) if technically feasible. So, it is necessary to have a tissue confirmation of the diagnosis before commenting on survival and prognosis and actual staging. Revert with more information to a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 5097, + "tgt": "My mother is having pus secretion from gallbladder bed after gallstone removal. What is the reason?", + "src": "Patient: Hello doctor, My mother has undergone a gallstone and uterus removal surgery simultaneously. From the day of operation, she is having pus secretion from the gall bladder bed. What may be the possible reasons behind this? Doctor: Hello. Sorry to hear about your mother's complaints. Pus from the surgical site is worrisome. It may just be a surgical site infection, usually superficial and confined to the skin and it usually subsides with appropriate antibiotics. But since you have mentioned that the pus is from gallbladder bed, which means it is from an intraabdominal source, then it is a matter of grave concern and needs further evaluation both clinical and radiological along with biochemical parameters. Is she having a fever? Was the drain placed after the surgery? Did the operating surgeon mention anything like empyema of the gall bladder or a mucocele? These are some more questions which need answering for more accurate knowhow about the cause of your mother's condition. Sit with your operating surgeon and have a clear discussion about it. He or She would be the best person to help you out. Surgical site infection, Intraperitoneal abscess. CBC (complete blood count), LFT (liver function test), RFT (renal function test), pus culture and sensitivity, USG (ultrasound) abdomen or a CECT (computed tomography) abdomen. Surgical site infection, Intraperitoneal abscess. Surgical site infection, Intraperitoneal abscess. Depends on the cause. In case of SSI (surgical site infection) of the skin, a course of antibiotics depending on the culture and sensitivity report should cure it. In case of an intraabdominal abscess, a surgical drainage may even be required. Maintain a sterile environment around the patient. Follow up with your operating surgeon or any nearby surgeon." + }, + { + "id": 12547, + "tgt": "Is it normal to not get periods even after 16 years of age?", + "src": "Patient: Hello doctor, My 16-year-old has not grown in height in 2.5 to 3 years and has not started her period and is delayed in puberty. Seems to be a late bloomer. She is small (short) for her age and underweight but eats normally. Her bloodwork only shows low prolactin. Everything else is normal. Is there a way to increase prolactin? What should we do next? Doctor: Hello. Prolactin deficiency can cause delayed puberty. Few studies have shown that this delayed puberty is due to prolactin deficiency. Also, check for other possibilities, genetic factors, growth hormone deficiency, etc. In a few cases, supplementation of prolactin may be useful. Please consult your endocrinologist. He will examine and treat you accordingly. Take care." + }, + { + "id": 20043, + "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": 5697, + "tgt": "What causes itchy fluid filled lesions and throat pain?", + "src": "Patient: Hi doctor, My son who is 28 years old is 6 feet tall and weighs 84 kg. He had an issue of urticaria last year and was under medication. He had a course of antihistamines for a month. About five hours ago, he noticed lesions this morning that was itchy. After bathing, the lesion on back has become red and looks to be popped out. He has got small vesicles around five in numbers in his arm, thighs and back. He had throat pain yesterday, but it has subsided now. He is on medication for GERD and taking Pantosec DSR since 15 days. Doctor: Hello. I have attached the pictures (attachments removed to protect identity). Well, is it just a five hour history? Are these vesicles increasing in number? It is looking like chicken pox caused by herpes simplex. Since this disease is in initial stage, I can just make a provision diagnosis not confirmatory diagnosis. It will become clear in two to three days as chicken pox takes two to three days to come full blown. The following are the clinical features of chicken pox: Do not hurry as it is totally curable. Just wait for two days. If it is chicken pox more vesicles will come and later you can start treatment. Treatment is Acyclovir 400 mg five times in a day for 10 days. Revert back after ten days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8719, + "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": 4031, + "tgt": "Will Suboxone help me till my cervical fusion surgery without opioids?", + "src": "Patient: Hello doctor, I am having cervical fusion 3 levels 5/17. I am on 8 mg of Suboxone daily. I told the surgeon that I do not want opioids. Can I stay on 8 mg up to the surgery morning? I do not want to stop and have withdrawals or take any opioids before or after the procedure. Doctor: Hi.. Suboxone (Buprenorphine) is given to treat opioid dependence. Prozac is an antidepressant. I think because of your disease process, cervical radiculopathy in your case, you have been taking some pain killers mostly opioids for a long time. Doctor might have prescribed Suboxone to take you off opioid dependence. Suboxone can cause a certain amount of drowsiness and has potential to interact with many drugs to cause side effects some of which may be significant. The decision on continuing Suboxone and Prozac until the day of surgery should be taken in discussion with your surgeon and anesthesiologist. It also depends on what anesthesia they are going to use during surgery. It also depends on ur respiratory system, how well it is functioning. Your fear is that if put on opioid again post surgery, you may get addicted again. Be assured that as long as you are under medical supervision and adhere to instructions addiction potential will be less. As far as my knowledge goes they will definitely consider stopping Suboxone before surgery. Because if this is continued further analgesics prescribed post surgery may not work. Do not be scared. Discuss with your surgeon and anesthesiologist and they will suggest what is best for your health." + }, + { + "id": 19500, + "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": 21275, + "tgt": "My mother-in-law does not miss a chance to taunt me. I feel depressed. Please help", + "src": "Patient: Hello doctor, I am married for almost two years and have a baby. Before my marriage, my mother-in-law who is actually the aunt of my husband (my husband is adopted by her) had to face some problems with my parental family. Now, after my marriage, her behavior with me is really horrible. She never misses a chance to tease me without any reason. She even teases my husband if she sees us smiling together. I feel I have become a mental patient although I am a well-educated lady. If I ask my husband to talk to her, he refuses. I feel helpless. Sometimes, I want to commit suicide. I am totally depressed. Please guide me to overcome my feelings. Doctor: Hello. From your account, it seems that you are having adjustment issues with your mother-in-law. This adjustment issue might have progressed into a depressive episode. That is why you might be having suicidal ideas. Hence, I would suggest you seek a thorough psychiatric opinion as well as psychotherapies in order to develop coping skills so that you can cope up well with such kind of issues in the future as well. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28341, + "tgt": "I have been suffering from chronic amebiasis. Kindly help me to get it cured permanently", + "src": "Patient: Hi doctor,I have been suffering from chronic amebiasis from childhood. I am now 47 years old. Mucous problem is there most of the time. I cannot be able to digest spicy and fried foods. And, I cannot tolerate acidic food items. I am taking medicines like Norfloxacin TZ and digestive enzyme tablet. Earlier, I take lots of antibiotic tablets. Most of the time, I feel\u00a0of going toilet, but it does not happen. So, kindly help me to get it cured permanently. Thank you. Doctor: Hi. Revert with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 29468, + "tgt": "What treatment should I get for nerve root compression?", + "src": "Patient: Hi doctor, I am suffering from L5-S1 nerve root compression issue. I have been given an epidural injection, but it does not work correctly. I am getting substantial pain all over my right leg. The pain is very severe. I am unable to walk or sit at all. I also went through SNRB and epidural steroid injection but that did not work. Now, I am having huge sciatica pain. What treatment should I get for quick recovery? 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": 16254, + "tgt": "Kindly advise to improve sexual relationship between working couples", + "src": "Patient: Hello doctor, I and my husband are both unable to have a proper conjugal relation. Both of us are working professional. I am outside for my work from 9 AM to 7 PM. My husband is outside from 10.30 AM to 9.30 PM for work. My husband mostly prefers sex in the midnight like after 11.30 PM whereas I prefer sex in the morning and cannot stay awake till late in the night due to which we are unable to copulate. Kindly help us find a solution. Doctor: Hello. The solution is plain simple. You both must reach a mutual decision and then work accordingly. You can give it a go between 10 to 11 PM when you both are at home. Or it can be like sometimes at midnight and sometimes in the morning. Best is to make it a random thing whenever both feel like doing it, go for it instead of specifying a particular time for it. Besides weekends and holidays are the times to freshen up the things." + }, + { + "id": 19322, + "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": 18105, + "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": 4969, + "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": 30235, + "tgt": "I am getting watery discharge from eyes. Could this be conjunctivitis?", + "src": "Patient: Hi doctor, I have little white discharge from my eyes when I wake up. Could this be some form of conjunctivitis? If yes, what is the treatment? I have been washing my eyes with warm saline water for three days. After I wash, the eyes are normal and there is no redness during the day. The condition has improved, but still there is some discharge. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18141, + "tgt": "I have vaginal tightening during sex. It is very painful. Please help", + "src": "Patient: Hello doctor, I have vaginal tightening during sex. It is very painful. Please help. Doctor: Hi. Pain and tightening of the vagina during sex are common during the first few times of coitus (sexual intercourse). Make sure that you have sufficient foreplay to stimulate the vaginal secretions which will act as a natural lubricant. This helps in reducing the vaginal contractions and thereby bringing down the pain. I would suggest you use a good lubricant just before the contact which helps in easy penetration." + }, + { + "id": 10817, + "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": 8348, + "tgt": "Hard stools caused damage to my anus. How to heal it?", + "src": "Patient: Hello doctor, I did not feel the urge to pass stool for two days. Yesterday morning (day 3), I had the urge to pass stool, but I was not able to as I guess my stool had become too hard. In a state of panic, instead of taking a stool softener, etc., I pushed way too hard for way too long. As a result of which I was able to pass stool, but unfortunately ended up causing damage to my anus. I was in pain all day long. I had difficulty in sitting and had to spend most of the day lying down. In the evening, I again had the urge to pass stool. This time I was able to pass stool easily without any hard pushing. The same thing happened today morning. As evident, I no longer have difficulty in passing stool, but due to hard pushing yesterday morning, I seem to have caused some damage to my anus. It is a bit better now than it was yesterday morning, but I am still experiencing a lot of pain and also have trouble sitting. Could this be anal fissure or inflammation or something else? What sort of ointment or cream can I apply to heal my anus quickly? What can I do to ease the pain? Doctor: Hello. It is probably not a fissure, but just an erosion. It may lead to fissure if such repeated traumas are occurring. For fast healing, the important thing is that there should not be re-trauma. So, use regular stool softener like Lactulose 15 mL to 30 mL bedtime till wound heals. Secondly, do not apply too much pressure for stool. Thirdly, you use lignocaine jelly to the local site thrice a day. Drink plenty of fluids and eat a high-fiber diet. Avoid junk food. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18656, + "tgt": "I got fever, lots of blisters and hair fall. What can be used at the earliest?", + "src": "Patient: Hi doctor, I am a 34 year old female.\u00a0I had severe fever and body ache before a week. I had a rash before days. Then the next daI got a few more rashes and then a lot\u00a0of blisters all over. I did not scratch them. I just applied Lactocalamine lotion on the dots. I was taking Azithromycin and Acyclovir 400 DT. I was also taking vitamin E and A. The scabs were formed and came off maybe when sleeping on the pillow. The pink layer of skin is reflected under the scab. I had flawless skin before this. Will the marks leave a scar or only spots will be formed with these? I have attached closeup pictures. What should be applied to the skin spots? Can I apply any collagen boosting cream or Mederma? How much time will it take to bring back the flawless skin naturally? What can be used to remove spots at the earliest? I had many on the scalp too. I have moderate hair fall. Follihair is not helping me. Kindly suggest. Doctor: Hi. Chickenpox rash may take a course between 5 to 15 days (attachment removed to protect patient identity). It is advisable not to pick the scabs. You can continue with Lactocalamine. Once the scabs fall off, you could start using sunscreen lotion during the day and a skin lightening cream like Demelan (Glycolic acid and Kojic acid) to the spots. Depressed scars are common after chickenpox, mostly if the blisters were big and deep or if you try to pick with nails. Scars can be treated with chemical peels or lasers later on. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5568, + "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": 13084, + "tgt": "I feel tired due to low vitamin D and B12. Can you refer some medicine?", + "src": "Patient: Hi doctor, I am having vitamin D of 11.45 ng/ml and B12 of 145 pg/ml. While jogging, I am having pain in the lower one-third of the tibial region. I am feeling a little tired. I am currently on Supradyn and Calcirol. Can you please give me some perfect medicine to treat? Thank you. Doctor: Hi. It seems that you have a low vitamin D and low vitamin B12. And, that could be causing tingling, numbness, and tiredness. For treatment, I would suggest tablet Calciquick 60000 units. You take the tablet once a week for eight weeks and after that same tablets once a month for another ten months. Methylcobalamin injection, one ampule 1000 mg should be given as an injection in the buttocks, two injections every week. In total, ten doses for five weeks. I hope this helps. Thank you. Take care." + }, + { + "id": 11791, + "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": 12806, + "tgt": "Will taking medication cure adult ADHD?", + "src": "Patient: Hello doctor, I am just curious here. I fully believe I have adult ADHD, and being that I was diagnosed at 11 with it, would this help my case for medication with a psych? Doctor: Hi. Both adult and childhood ADHD needs to be treated with medicines. Three medicines are the first line drugs used to treat ADHD namely Methamphetamine (Adderal), Methylphenidate (Concerta) and Atomoxetine (Strattera). The former two drugs are more effective in treating hyperactivity symptoms while the third is more effective in impulsivity symptoms of ADHD. Another drug which has been used with great success in the past is an alpha-2 agonist called Clonidine. It is also used in treating hypertension and urinary retention." + }, + { + "id": 8774, + "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": 592, + "tgt": "After a brain infarct, my dad is unable to open his eyelids on his own. Why?", + "src": "Patient: Hello doctor, My dad is 78 years old. Recently, (one month back) he had acute left medullary infarct with hyperacute infarct of the midbrain. After which he is unable to open both of his eyelids on his own but can see when we lift the eyelids, also his voice was very low. After a month now his speech has improved but the eyelids issue is still there. Can you please suggest any treatment for his eyelids to open? Doctor: Hello. As you have described, your father had brain infarct after that he developed all symptoms related to eye right. So let me explain you that in case of stroke or infarct in the brain there will be involvement of cranial nerves also. The cranial nerve which is responsible for elevation of eyelid will also get affected in such situations like stroke. So the same thing has happened here in your father's case. So for treatment of his eyelids, only surgery you can plan but you should consult oculoplastic surgeon for that. He is the one who will measure all the parameters and depending on that he will tell you which surgery he should undergo. So my advice is you should take your father to an oculoplastic surgeon for this problem. I hope this helps." + }, + { + "id": 16754, + "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": 16510, + "tgt": "Is it possible to get pregnant due to breakage of condom?", + "src": "Patient: Hi doctor,I am 18 years old. I had sexual intercourse. We used contraceptives like a condom. But the condom got broked. I do not know whether the sperm has gone inside. I washed my genitals quickly after knowing that the condom has got broken. I took a pregnancy test, and it came negative. Can I put my trust in the pregnancy test or should I have to consult a doctor? Is it possible to get pregnant in two days after having sexual intercourse? Doctor: Hi. If you had intercourse around 10th to 17th day of your cycle, and if you have a regular menstrual cycle, then the possibility of conception increases with each day within that period when the condom has broken. In this situation, you can take an emergency pill within 72 hours of sexual intercourse to avoid pregnancy. Sperms can stay alive in the vaginal tract for up to seven days whereas the egg remains available for fertilization for 24 hours. In conception, you have to wait for at least a week to get a positive pregnancy test with urine dipstick. Serum beta hCG can be detected earlier, but you have to wait for a few days. You do not need to go to a doctor. Just repeat the urine pregnancy test after two weeks or get a blood pregnancy test done." + }, + { + "id": 27170, + "tgt": "Please go through the patient's history, and tell me if she will ever recover fully?", + "src": "Patient: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital.\u00a0Please\u00a0give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving.\u00a0Can she be shifted to another hospital?\u00a0We want to get her to some specialist hospital, which is almost 1000 km far. What is her\u00a0prognosis? Her case study it says\u00a0the patient sustained cervical injury followed by instability to move all four limbs. On investigation, the patient was found to have fracture dislocation at C4-5 and right humerus. Bilateral pupils are equal and reacting. She has got grade 0 quadriplegia, and her breathing was paradoxical and mainly abdominal. Hence, the\u00a0patient was intubated and connected to the ventilatory support. She has persistent hypotension, so\u00a0Inotropes were started. The patient was planned for open reduction with fixation of fracture dislocation at C4-5.\u00a0Given the patient's persistent low BP and feeble pulse, the surgical procedure was canceled. Now, the\u00a0patient is on ventilatory support and Inotropes. Motor power grade is 0 in all four limbs. Solu-Medrol was started on arrival at the hospital.\u00a0She is on the following medications, injection Oframax, injection Pan, injection Emeset, injection Dynapar AQ, and\u00a0Solu-Medrol infusion. She is receiving chest and limbs physiotherapy. Doctor: Hi. I understand the case scenario. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 2283, + "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": 8538, + "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": 20101, + "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": 9497, + "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": 5961, + "tgt": "What makes the cheeks in the mouth look like tear with burning sensation?", + "src": "Patient: Hello doctor, What makes the cheeks inside the mouth look like tear. There is no bleeding and ulcer. There is some burning during the day and it quits overnight. Doctor: Hello. As per your information, it is not a case to worry about. In cases that need attention, the cheeks become reddened painful rigid or ulcerated. Your case seems to have arisen due to cheek bite. Make sure you grind off the sharp edges of the teeth which are in contact with the cheeks. Prolonged cheek bite can cause ulceration and can cause pain. Also, if you have unerupted wisdom teeth on either side, cheek bites on those areas can also cause some sort of a burning sensation. So get in touch with your dentist to get the problem corrected. Avoid having too much spicy food in the meantime." + }, + { + "id": 20954, + "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": 14094, + "tgt": "How can hypercapnia be prevented in a TB patient under oxygenation?", + "src": "Patient: Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. Doctor: Hello. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are CPAP or BIPAP depending on availability. The IPAP and EPAP pressures can be set up according to blood oxygen levels and oxygen saturation to be aimed to keep above 95 %. Minimal sedation will keep the patient calm and also help to reduce further hemoptysis. Supportive measures like good nutrition and good nursing care should help to recover faster. Frequently keep a watch on blood gases. If NIV is not helping to keep oxygen above 95 % or hypercarbia sets in, mechanical ventilation may be needed. Ultimately we have to titrate depending on the blood oxygen levels. Antitubercular treatment must be continued simultaneously. Antibiotics according to infection markers. TB. Arterial blood gas. Pneumonia. NIV and anti TB treatment." + }, + { + "id": 2603, + "tgt": "Can a person have symptoms of anorexia without being anorexic?", + "src": "Patient: Hi doctor, I am a 21-year-old female, 129.14 lbs. Over a year ago, I was diagnosed with anorexia (eating disorder) by my initial counselor and I have been under-recovery for the same for over a year. During the course of my recovery, I had to change my therapist. The new therapist, recently, during one of our session told me that I do not have anorexia but just an eating disorder. However, all my symptoms are that of anorexia, restricting food intake, starving and inducing vomiting. I have lost my weight from 73 kg to 58 kg. I have been confused, immensely, since then regarding what illness do I really have? My query is can a person show symptoms of anorexia but not be anorexic? Can they just have an eating disorder? What is that even supposed to mean? I have also been diagnosed with PTSD, depression (mild), anxiety. I am currently on Flunile 50 mg, T-spenzo 1 mg. Doctor: Hello. Anorexia is a type of eating disorder where the weight is 85 % or below the normal range. In addition to eating disorder symptoms like restricted food intake, self-induced vomiting, menstrual disturbances, etc., the body weight has to be 15% below normal to diagnose anorexia nervosa. Based on your reported weight and height, your body weight and BMI (body mass index) fall within the normal range. Perhaps that is why your counselor may have said it is an eating disorder and not anorexia nervosa. Irrespective of this technicality, it is important to get appropriate treatment to address the eating disorder cognitions and behavior which is important. If you are still having self-induced vomiting discuss with your counselor /doctor about having a blood test and physical examination to ascertain your physical health status. I hope this helps." + }, + { + "id": 11563, + "tgt": "I have acute chest pain inspite of no major blockages in the heart. Why?", + "src": "Patient: Hello doctor, Three months ago I had chest pain with nausea and shortness of breath. Since the BP got controlled, the sob decresed. Though they increased the Nitropatch to 0.6 and started the beta blockers, I am having a fewer episodes. I had an angiogram last week. It showed no major arteries blocked. The cardiologist mentioned thickened heart muscles are due to high blood pressure. I would like to know how to get tested for the micro angina and is there a need to go to emergency when I have severe chest pain? Why am I getting chest pain with no major blockages? I have diabetes, copd, severe arthritis in my spine, and diabetic neuropathy in my feet that could also partially be nerve pain from my spine. I have had two knee replacements and at present have carpal tunnel in both hands but have not delt with that yet. Also with the thickened heart muscle, will that be the cause for acute chest pain? Doctor: Hello. Microvascular angina can be diagnosed on nuclear stress test with perfusion defects if any and also on angiography which shows slow flow in the absence of blockages in major arteries. So, if these tests are showing any abnormalities, then we have to consider the possibility of microvascular angina. Another modality is a treadmill test which can also show changes, but another test is not necessary as two tests are normal and you were not able to complete it. And microvascular angina usually causes pain on exertion rather than severe chest pain at rest. So we have to find other causes for it. If you had been evaluated or examined and had ECG etc., at the time of chest pain, then it also rules out other causes like vasospastic angina or accelerated hypertension as a cause of chest pain, which are relatively rarer causes. So, overall appears to be noncardiac pain. I hope this helps you and get back if you have any doubts." + }, + { + "id": 11675, + "tgt": "I am under Levothyroxine for underactive thyroid. What kind of foods should I avoid?", + "src": "Patient: Hello doctor, I had a sudden weight gain. Are there any foods that should be avoided either at certain times of the day or all together while taking Levothyroxine to treat an underactive thyroid? Doctor: Hello. Avoid raw cabbage, cauliflower, brocolli, soy and soy products like soy sauce, soy milk, tofu, strawberry, walnut, spinach, and brussel sprouts. Do not take any meals or drink except plain water for atleast 45 minutes after taking medication. Avoid taking acidity-causing foods, calcium and iron supplements with the medicine." + }, + { + "id": 10487, + "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": 24393, + "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": 26648, + "tgt": "What is the ideal frequency of intercourse when trying to conceive?", + "src": "Patient: Hello doctor, I am a 24 year old female and having PCOS. I am currently\u00a0trying to conceive. The hormonal profiles for me and my husband are normal. My doctor prescribed me to take Letoval 2.5 mg daily once from day-1 of my period until day-10 along with Nacfil Forte tablets daily twice after a meal. Now USG on day-10 and day-14 shows no ovulation. I am so upset. My queries are: Is there a chance of ovulation in subsequent days? Earlier, I was having irregular periods. Does it mean that I ovulated in earlier months? Whether we should have intercourse daily or after a\u00a0gap of one day? Please help me. Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 3072, + "tgt": "I have hearing loss with lump in neck. Is it due to nasopharyngeal cancer?", + "src": "Patient: Hi doctor, I am a 29-year-old female. I have had ear pressure and fullness since may of last year in my left ear only. I had a hearing test that showed mild hearing loss. About a week ago I noticed a small lump (Maybe 2?) in my neck. It feels hard but hurts when I push on it sometimes. I do not have an ENT appointment for a few weeks and I am worried I might have nasopharyngeal cancer. Doctor: Hello. The chances for it being NPC is minimal. To rule it out we need to do a nasal endoscopy. What hearing loss came out in the test? Conductive or sensorineural? Did you take any antibiotic to remove the neck lump in case it is due to any infection? I suggest you try a course of Amoxicillin clavulanic acid appropriate for your weight so that the lump goes off if it is due to some infection. If you have the report of audiometry please upload the same." + }, + { + "id": 25990, + "tgt": "I have tinea cruris. Will it get cured completely?", + "src": "Patient: Hi doctor, I have tinea cruris, a skin infection which irritates with itch. I got it before eight years. Through some allopathy medication it went away in a month or so. But, the allopathy cream left a permanent black pigmentation on my skin. After that, I used to get once or twice a year. During which I did some brief doctor consultation or ayurveda treatment and it used to go away. Now, the present status is that there is mild itching, no blisters and one patch of the skin is reddish in color. I have consulted a dermatologist and he has prescribed two types of cream and tablets for two weeks which I am currently taking. The prescribed medicines are Desonide cream for reddish skin patch 1-0-1 for 10 days,\u00a0Ebernet cream for itch 1-0-1 for two weeks,\u00a0Sebifin tablets 250 mg 0-0-1 for two weeks and\u00a0L-Cetron tablet 1-0-1 for two weeks.\u00a0With these medicines, will it get completely cured? If I get married, will this infection spread to my partner? Kindly suggest some solution. Doctor: Hi. Tinea cruris is a fungal infection and yes it will get cured by those medications. But, chance for recurrence is always there. It use to occur in people with diabetes, hypertension or on any other medications for immunosuppression. More common chance of recurrence is due to tight clothing, poor ventilation of that area by wearing frenchie. So, wear loose cotton clothes, old style undergarment and keep the area as dry as possible. Dry it with good cloth. Whenever the area is found wet, you can apply Abzorb powder (Clotrimazole). Yes, it can be transferred. But, it is not a dread disease (life-threatening) and almost has nil complication. It can be easily prevented by above mentioned measures. Look fungus always needs humidity and wet area to penetrate. So, just do not give it a chance by keeping it dry. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5548, + "tgt": "I suddenly experienced palpitation and felt dizzy. Is this manifestation of panic attack?", + "src": "Patient: Hello doctor, I am 20 years old. At work, I had an episode of my heart started racing out of the blue. I could feel it pounding in my chest, and it made it feel like I was choking. I got very dizzy and thought I might faint, and started sweating. It only lasted about five minutes. I have issues with panic attacks, but this was an entirely new experience. Could it be another manifestation of panic, or might it be something more serious? Doctor: Hello. There are various reasons for having palpitations along with dizziness. The most important one is an abnormal heart rate or rhythm which starts suddenly and terminates abruptly. This could be detected by different monitors that you can carry with you, these devices can pick up the abnormal heart beats. Second of all is a thyroid disease, excessive thyroid hormones can cause stimulation of the sympathetic nervous system and you will feel hot, flushed with palpitations. Weight loss and diarrhea along with excessive appetite may also occur. Last but not least, is the most common type and is called vasovagal phenomena that happens when you suddenly change position from sitting to standing. Your body does not have enough time to compensate and you may feel having racing heart beats with dizziness. Panic attack is a diagnosis of exclusion and I would not jump to this conclusion as of now. I believe you experienced the last type I mentioned above (vasovagal), having said that if you have another episode, I would suggest seeing a cardiologist. Try cutting down on caffeine intake (including soda and other caffeinated beverages). Request your doctor to check your thyroid function test. I hope this helps." + }, + { + "id": 4350, + "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": 1783, + "tgt": "How to reduce frequent urination?", + "src": "Patient: Hi doctor, I am a 27 year old unmarried male. Approximately six to seven years back, I had a urinary infection. I was told to take an antibiotic course, which I did not complete at that time. The infection was not fully cured and it used to come and go. During urination, I sometimes used to have one or two drops of blood, only during the period of infection. In addition to the above mentioned problems, I have some other issues related to sexual health. They are premature ejaculation, extremely bad timing, sensitivity of the skin (penis area), lower back pain, lack of confidence, etc. When I have to urinate, I cannot hold it at all. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Approximately once a week, after urination suddenly sperm drops are released. I have not discussed this part with the urologist. I feel joint pain as well. During winter, I freeze a lot, especially over thighs, hands, ears, neck and chest.\u00a0I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. A few years ago, I used to masturbate frequently, which is still The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life.\u00a0Thanks in advance. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2154, + "tgt": "I have white spots on my upper gums. Could this be due to my prediabetic stage?", + "src": "Patient: Hello doctor, I was diagnosed with prediabetics (102) two months before. Now I noticed white spots on my upper gums. Are the spots related to diabetes or some serious problem? Please guide. Doctor: Hello. Before commenting anything about diabetes and its relationship with oral problems, I would like to see images of your gums having a white spot so that we can discuss appropriately." + }, + { + "id": 22042, + "tgt": "I have swollen eyelids that developed from itchy eyes. Kindly help", + "src": "Patient: Hello doctor, I have a swollen eye around the eyelids that developed from itchy eyes and later had pain. The itchy eye with a dry dark patch around the outer part of the eyelids condition has been on and off for five months. Sometimes, teary and sometimes itchy and painful. It is mostly the right eye but sometimes the left eye presented the same conditions but more mildly. Just yesterday, the itchiness developed into a swollen eyelid.I was first diagnosed with an allergic reaction to conjunctivitis and given eye cream and eye drops (Omeflox cream with Fluorometholone ophthalmic suspension). Then a month later, symptoms presented again and this time I was diagnosed with allergies of the keratitis and given me a cream to apply around my eyelids Dermofix. Doctor: Hello. Really, I read your query many times to define the problem. There is something. If they already diagnosed an allergic problem, then why did they give you Dermofix which is the treatment of fungal infection? For today, this problem of the eyelid may be an acute fungal infection which needs oral antifungal (Imidazole). Another probability is the swelling due to allergy. In this case, you will use ointment of (antihistamine and antibiotic) on the eyelid three times a day in addition of oral antihistamine (Loratadine 10 mg ) with anti-edema (Ananas forte). There is another probability that you have bacterial infection and in this case you will use Fucithalmic acid eye ointment applied on the eyelid three times a day and inside the eye once a day in addition to oral tablet Augmentin (Amoxicillin and Clavulanic acid) 1 g twice a day for seven days with anti-edema (Daniza or Ananas forte or other as the pharmacy give you- the kind and the dose). Now, the big problem is that whether this swelling is an allergic or fungal infection or bacterial infection. Look, if the swollen lid is soft and not painful on touching it is most probably allergic and I have told you the treatment. If the swelling is hard and painful on touch it is most probably an infection and we cannot give the treatment for bacteria if the infection is fungal. Kindly visit your ophthalmologist for the diagnosis. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 27099, + "tgt": "I have discomfort and difficulty while urinating. What could be causing this?", + "src": "Patient: Hello\u00a0doctor,I have had a difficulty urinating since more than five months. I have had UTI in the past. I know this time it is not an infection as I do not have any pain or stinging. I feel my bladder is full and I feel a discomfort as I cannot empty it. I drink enough water. I have had bladder and kidney scans and another sort of scan where they inserted a camera to check the bladder. I also had a bladder scan to see how full my bladder is and despite having drank a lot of water it was not that full. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 16354, + "tgt": "Can a person with GERD get diarrhea and burps?", + "src": "Patient: Hello doctor, My doctor, a long time ago, said that I have GERD. It is an acid reflux condition. I get really disgusting burps that taste like rotten eggs and I get diarrhea. That will go on for about three hours and then I throw up and I feel fine. I take acid reducers but I still end up getting it. I have also tried eating less and drinking more water instead of tea and coke. Can you tell me anything that I can do? Doctor: Hi. Yes, you are having GERD which is gastric esophageal reflux disease which means acid of your stomach along with food regurgitate into your food pipe known as the esophagus. There are many causes for that like being overweight, excess tea, coffee or cold drinks intake, excess alcohol, chocolate, fatty food, going to bed immediately after eating especially dinner. And certain food as you mentioned. First of all, you should avoid the food which causes these symptoms. Secondly, avoid coffee, cola, alcohol, chocolate, and fatty spicy food like burger, pizza, etc. Reduce your weight as you are over weight with 120 kg. Eat your dinner early with at least a gap of four hours between your dinner and going to bed. Place blocks under the head end of your bed so that your head end is elevated 30 degrees and food does not regurgitate into your food pipe. Along with that use following medications. Esomeprazole 40 mg, one before breakfast at least 30 minutes, syrup Gaviscon two tablespoons after meals three times a day, tablet Maxolon 10 mg, one tablet twice a day before meals 20 minutes. Use these medications for four weeks, then let me know." + }, + { + "id": 1777, + "tgt": "How to correct bedwetting of a 9 year old?", + "src": "Patient: Hi doctor, My child, who is 9 years old, has\u00a0bedwetting problem. Please suggest me. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24107, + "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": 17538, + "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": 12190, + "tgt": "Is it possible to get pregnant without releasing sperm inside vagina during the intercourse?", + "src": "Patient: Hello doctor, Can I get pregnant without having sperm released inside my vagina during the intercourse? How can I confirm if I maybe pregnant? If I am pregnant what should I do for abortion without surgical means? Doctor: Hi. Until there is ejaculation in the vagina or precum, there is no chance of pregnancy. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have crossed 72 hours of intercourse then please do not take any medication without expert advice. If you happen to miss your period then get a urine pregnancy test done with an early morning urine sample to ensure that you are not pregnant. However, if you have a doubt then get back to me." + }, + { + "id": 16877, + "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": 12752, + "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": 18885, + "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": 14479, + "tgt": "I have palpitations and high BP. There is problem in my complete lipid profile. Please help", + "src": "Patient: Hello doctor, I have attached all my reports. Please let me know how Embeta-AM will help me improve my health. Will there be any side effects? The recent medications which I have used are, Maxoza from last four months, one sachet daily and Fluconazole 200 mg, two tablets in the last two weeks. Influvac vaccine, two doses for the prevention of swine flu. Since last month, tablet Atorva 20 mg in the night. Please help. Doctor: Hi. I have gone through all your reports (attachment removed to protect patient identity). There is a problem in the complete lipid profile, which is due to increased weight. So, I will advise you to go for a regular brisk walking for 1 hour every day, at least 6 days a week. Avoid diet with high sugar, carbohydrate, and high-fat diet and consult a dietician online for a well-balanced diet so that your diet contains mostly high fiber, fruits, vegetables, less fat, high proteins. Please let me know why have you been using Fluconazole 200 mg. Attach the latest serum calcium, phosphorous, alkaline phosphatase, and BP charting (BP for three times a day). Have a good sleep, do yoga, meditation regularly. Avoid stress. Last but not least, you will be completely relieved from your ill health if you follow the above accordingly." + }, + { + "id": 7926, + "tgt": "I have lots of dark spots all over my body. Please suggest the best treatment", + "src": "Patient: Hi doctor, I am a 31 year old female with three kids. When I was in my teenage, I developed red bumps which later on turn into acne. Most of the time I scratch them as they are very itchy and same with insect bites. I have a lot of dark spots now all over my face, buttock, back of my thighs and upper arm. It is also present in my inner thighs. I have attached some pictures that you might want to look at and see which is the best dermatological treatment\u00a0that suits me. I wanted to restore my skin and remove these dark spots and scars on my legs as well. This has been the source of my insecurities since I was in high school. And I always envy those girls who wear sleeveless shirts and short shorts. Let me know what treatment is the best to solve my skin problem. I am too shy to go to a derma clinic because I do not know what to say to them so I resorted to an online consultation. I am not on any regular medication except my breastfeeding supplement and some vitamins. I hope you treat my case with utmost confidentiality. Doctor: Hi. Please answer me the following questions to give more accurate treatment. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3643, + "tgt": "How to fix dry and cracked bleeding skin on hands?", + "src": "Patient: Hi doctor, For about two years, I have constant problems with my hand skin. There are spots on my hand, where my skin gets extremely dry to the point where it peels, sometimes even cracks and bleeds. It regenerates quite quickly, even deeper wounds heal in three to five days. I consulted several dermatologists, here is what I was able to confirm so far: It is not a fungal or bacterial infection, it may be a blood vessel problem. Smoking tobacco seems to make symptoms more severe (more peeling and cracking), the problem occurs only in few places on my hands mainly index fingers and right thumb (please see attached photo). Cream with urea content seems to give the best effects. Barrier creams did not help, diet does not seem to have a noticeable impact on my condition. Silica, Q10 and collagen supplementation did not help. Sometimes, when my condition gets a little better and there is no dried, peeled of skin on my hands, small red dots are visible just under the skin. One of the doctors mentioned, they look like burst blood vessels. They are visible in one of the attached photos. Please suggest. Doctor: Hi. From the pictures (attachment removed to protect patient identity) it is looking like hyperkeratotic eczema over palms. It is a kind of dermatitis and not related with any blood vessels. It can aggravate during winter seasons. Treatment includes judicious use of moisturizers and along with mild potent steroid in case of any erythema. Apply Moisturex cream on the whole palms twice to thrice daily. Apply Halovate (Habbetasol Propionate) cream, apply only on the erythematous or fissured areas if any, daily night for one month." + }, + { + "id": 17185, + "tgt": "Why did I get chickenpox for the second time?", + "src": "Patient: Hi doctor, I am 18 years old and I am suffering with chickenpox. I got this in the past too. How to get rid of it? Doctor: Hi. We normally do not get chickenpox on more than one occasion. This is because, we develop a strong immune response to the virus and our body fights it before the infection takes hold. However, of course it is possible. If you did not develop a strong initial immune response or if there is an abnormality with your immune system then it can develop multiple times. The virus can also remain dormant within your nerve cells and trigger again in the form of shingles later in life. Chickenpox needs to run its course. It remains incredibly contagious for the initial 10 to 21 days and whilst the vesicles (lumps and bumps) are weeping and oozing. The vesicles only appear quite some time after initial infection of chickenpox. As a result, by the time the vesicles have scabbed over and are dry, they no longer pose a risk of cross infection to other people. Full blood count. For further information consult a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10639, + "tgt": "Prepuce is not getting retracted during erection. What can I do for it?", + "src": "Patient: Hello doctor,I am a medical student, and I came across phimosis. My prepuce can be retracted easily and normally but when I get erect it does not retracts on own and even if I do it forcibly it gets stuck around corona which is painful. Is this a problem? If yes can I do something on my own and if I need a radical therapy, should I wait till my marriage? Doctor: Hello. Welcome to the icliniq.com. In a flaccid state, the foreskin can be retracted back over the shaft of the penis easily even in phimosis case. However, you have a problem in erection state as well, and hence you have mild degree phimosis. For that topical steroid cream can be used after consultation with your dermatologist. If it does not help, then you can selectively undergo one daycare surgery that is circumcision. But it is an elective operation, which means the procedure can be done anytime as per your convenience. I hope I have solved your query." + }, + { + "id": 12916, + "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": 21104, + "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": 29603, + "tgt": "I feel pain in the epigastrium part of my stomach. Is it an acid reflux?", + "src": "Patient: Hello doctor, I feel pain in the epigastrium part of my stomach mostly when I sleep or lay down. It happens only when I lay down at night or daytime.I have\u00a0heartburn,\u00a0constipation, gas, bloating\u00a0in my stomach\u00a0and I think it may be acid reflux. The\u00a0interesting part is that all of this happens while lying down. I go\u00a0to pee very frequently, and\u00a0this frequent urination becomes worse at sleep time. If I stand up, all of this disappear. Doctor: Hi. Based on your description it looks like GERD (Gastroesophageal reflux disease). Yes, sometimes it becomes chronic, and it is a very unpleasant feeling. In chronic cases, esophageal sphincter may be incompetent too, which leads to acid reflux. Conservative therapy with antacids and diet is the first way of treatment. I suggest you use Pantoprazole at morning and Maalox syrup after meals. Consult a specialist doctor, discuss with him or her and take medicines with consent. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27331, + "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": 20143, + "tgt": "I am 35 weeks pregnant, and I am having contractions every six minutes. What to do?", + "src": "Patient: Hello doctor, I am 35.3 weeks pregnant. When I turned 35 weeks, my mucus plug fell out, and I started having contractions every six\u00a0minutes apart consistently. I went to the hospital and was 1.5 cm dilated. They could not do anything, so they sent me home. I was wondering if it was fine to start trying to have him come out, considering I am still having contractions? It has been consistent for the past two days straight. The doctor at the hospital told me it would be fine. But, I wanted a second opinion. Is it fine if I try to speed up the process? Doctor: Hello. Hope this helps you.\u00a0All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21396, + "tgt": "How can I manage a red rash on the tip of the penis with redness on the foreskin?", + "src": "Patient: Hi doctor, I have a slight red rash on the tip of my penis, and there is redness on my foreskin. The retraction of the foreskin is painful. Erections are also affected. There is no discharge. There is no swelling noticed. There is a slight irritation at times. I had a similar problem once long back and had used Canesten cream. I tried it this time also, and it has reduced the problem. But it has not finished it. Please advise. Doctor: Hi. You have a yeast infection (fungal infection). I suggest you take an oral antifungal tablet Fluconazole 150 mg once daily for three days. Continue with the cream for a week. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19921, + "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": 19285, + "tgt": "Is it a must to avoid Diclofenac during pregnancy?", + "src": "Patient: Hi doctor, My wife is\u00a034 weeks pregnant. Because of severe wrist pain, she had Diclofenac tablets for five days. Now, we are worried after reading on internet that Diclofenac should be avoided during pregnancy. Will it cause any danger to her pregnancy? Please help us doctor. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23916, + "tgt": "Kindly interpret MRI taken for enlarged prostate, urinary retention and hematuria", + "src": "Patient: Hi doctor,I have enlarged prostate, urinary retention, and hematuria for almost a year. I had MRI of prostate done. I would like to have the interpretation of images. Currently, I am on Flowmax and Finasteride. Doctor: Hi. The MRI scan of the prostate (attachment removed to protect patient identity) shows a grossly enlarged prostate which is indenting the lumen of the urinary bladder and which you are probably aware of. Further, the median lobe of the prostate is showing hypertrophy and projecting into the base of the urinary bladder area. The volume of the urinary bladder is significantly decreased and I can see that there is circumferential wall thickening of the urinary bladder. This can mean that the enlarged prostate has been causing bladder outlet obstruction and that is leading to retention of urine and infection. There are no obvious features of prostate cancer on T2 and diffusion images. There is no area of strikingly abnormal enhancement. I would interpret the findings to be due to gross enlargement of the prostate and causing bladder outlet obstruction causing urinary bladder wall infection. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 7619, + "tgt": "How can I overcome getting affected by thoughts of past bitter situations?", + "src": "Patient: Hello doctor, I have repeated thoughts of past bitter situations all the day for the past six months. I get easily upset and I start crying for unnecessary reasons. This is making my life hell and I have no peace at all. I am having a very poor concentration, not able to study. These thoughts are killing me literally in all ways. Kindly help me out in this situation. Doctor: Hello. You seem to be suffering from obsessive thought disorder with depression. You may have compulsion but you have not mentioned in your symptoms so it seems to be only an obsession. For example, having an obsession with contamination and compulsion of washing unnecessarily with frequent hand washing. In obsessive thought disorder, it is difficult to control your thoughts though you know it is unnecessary. You must start taking antidepressants medication which can help you with both obsession and depression. Your obsession will increase with stressful situations. Capsule Fluoxetine 20 mg daily in morning after breakfast can be started. You need to monitor for a long time and increase medication doses to control your obsession. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. It is a very minimal dose. You may need higher doses. You can learn to do relaxation to decrease your anxiety from thoughts. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8244, + "tgt": "What is the quick remedy for back pain due to deadlifts and squats?", + "src": "Patient: Hello doctor, I am a 19-year-old male. Three weeks ago, I did deadlifts and squats on the same day. I have been training for two years, and I never faced any lower back issues. I experienced pain and soreness in my lower back about two days and a week goes I thought it was a little pain, and I did deadlifts again this time the pain was so bad that till date I could not bend my back like I used to do. It was slowly recovering, and I did not go to the gym for four days, and then I started using machines for three days from now. Today I did my leg workout and thought leg press would not aggravate my pain, but it did, so bad. What should I do now should? I quit the gym for a while or avoid some movements? Is there any quick home cure for the pain? Doctor: Hello. It sounds more of the lower back ligament sprain. You may have injured the back. The first thing to do is to look for an MRI, like any soft tissue Injury if not focused, then might become chronic. I will advise you to do some exercises for strengthening the paraspinal muscle's. Once you learn the correct pattern of the exercises I am talking about then before every workout regimen, you need to do that, and then your back pain would not come up. For now, give rest of three weeks, and then I can teach you proper exercises which will help avoid future back pains." + }, + { + "id": 19556, + "tgt": "What is the meaning of non-necrotic lymph node?", + "src": "Patient: Hi doctor, I am a 27 year old male.\u00a0I have a\u00a0painless lump just under the skin in the groin\u00a0area. I have done an\u00a0ultrasound. The impression is given 15 x 5 mm non-necrotic lymph node.\u00a0I am taking Amoxicillin antibiotic 625 mg.\u00a0What is the\u00a0meaning of non-necrotic lymph node? Is it cancerous? Doctor: Hi. For further information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 6050, + "tgt": "How to clean vagina properly after sex?", + "src": "Patient: Hello doctor, How to properly clean the vagina after period sex, to avoid any discomfort? Is it necessary to clean the vagina after engaging in period sex, if so, why? What is the best way to properly clean the vagina after engaging in period sex? Is there anything else hygiene-related you wish more young women to know about period sex? Doctor: Hello. If you are not planning pregnancy, after intercourse you can simply wipe with dry tissue paper or if you feel sticky wash with water and dry with a tissue paper. On a regular basis, frequent washing and the use of soap should be avoided, as it hampers natural bacteria. Once or twice in a day while bathing, cleaning is enough. Just use a tissue paper if you feel damp after urinating. Wear cotton underwear, and try changing them twice a day. Avoid any perfumes or talc over your perineum." + }, + { + "id": 8111, + "tgt": "My wife's hemoglobin is low and we could not find the reason for it. Please explain", + "src": "Patient: Hello doctor,My wife's hemoglobin is 8. The reports of various tests do not seem to show the reason. What could it be? Doctor: Hello. Yes, your wife is in severe anemia. Hb (hemoglobin) level is low at 8.1 g/dl. RBC count is low at 2.86 million/cu.mm. The reticulocyte count is 7.0 increased-that means bone marrow production increased to face the demand. LFT is normal. There is no hemolysis. Now we have to see blood peripheral smear study to determined the morphology of the RBC and cells. That will give the cause of anemia. Any history of heavy bleeding periods or any other blood loss conditions? But now she urgently needs (packed cell) blood transfusion to meet out low Hb,and iron supplement. And find out the cause for blood loss and rectify." + }, + { + "id": 7037, + "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": 17911, + "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": 23176, + "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": 15293, + "tgt": "A cat has scratched my child's toe. Should I get her a vaccination?", + "src": "Patient: Hi doctor, My baby is 22 months old. Yesterday, a cat scratched his toe. But my child does not have a wound or blood there. Do I have to give vaccination to my baby? Doctor: Hi. A cat has scratched your child, and it has not caused any barrier disruption or wound or bleeding. But still, it is advisable to clean the area with running water and soap. Apply some antiseptic in the area. Rabies is generally transmitted by animal saliva when it comes in contact with disrupted skin barrier and wound formed by the bite. In your case, you are safe from rabies, and rabies vaccine is not required. The scratch caused by a cat generally causes cat scratch disease. It causes scratching of the skin barrier and makes a wound. This causes infection with some bacteria like streptococci. You should wash the area properly and apply antiseptic. If there is a wound, you must give antibiotics. A tetanus vaccine is required when your child is not adequately immunized till date." + }, + { + "id": 670, + "tgt": "I have severe headaches, neck pain, and sharp pain around chest. Is it brain meningioma?", + "src": "Patient: Hello doctor, I have severe headaches, neck pain, and sharp pain around the chest. My query is related to brain meningioma and I am on drugs for epilepsy. Please help. Doctor: Hello, Welcome to icliniq.com. The patient has a small frontal base lesion that looks like a benign tumor (meningioma). I would suggest an EEG (electroencephalography) in order to investigate if the epileptic seizures are due to the tumor. In that case, I would suggest tumor removal if epileptic seizures persist. If the epileptic seizures are not related to meningioma. I would suggest only MRI every year. I would also like to send me some images." + }, + { + "id": 21090, + "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": 12177, + "tgt": "I had undergone cryotherapy on my penis. What should I do to improve healing?", + "src": "Patient: Hello doctor, I had cryotherapy done to remove warts on my penis and looks like it is not healing well. My skin appears to be scarring and remains a light pink color after two weeks from treatment. Will this go away? Can I apply cream to help fade the scar? Doctor: Hello. I need some pictures of the affected area to guide you through precisely." + }, + { + "id": 6097, + "tgt": "When I take Cyclopam, I feel chest pain and palpitations. Why?", + "src": "Patient: Hi doctor, I feel chest pain and palpitations when I take tablet Cyclopam? Is tablet Cyclopam dangerous for me? Doctor: Hi. Cyclopam (Dicyclomine) is the drug that blocks muscarinic receptors in the intestine thus relieves the abdominal colic pain. At the same time, it also blocks muscarinic receptors that are presented in the heart, brain, salivary gland, etc., that are considered as side effects. So, a person may get heart palpitations, anxiety, etc., and using the drug in less dose for fewer days are preferred. The high dose can even cause cardiovascular collapse and respiratory depression. If you feel the side effects of this drug, then better to consult the clinician to change the drug or dose. Thank you. For further information consult a toxicologist online --> https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 2132, + "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": 5798, + "tgt": "Can Strattera be taken with Effexor?", + "src": "Patient: Hi doctor, I have been taking Effexor XR 300 mg for depression. It has been working really well. My psychiatrist has now prescribed me Strattera for ADHD. I am about to start 25 mg and work my way upto 80 mg over a few weeks. Strattera and Effexor both seem to inhibit Norepinephrine reuptake. Is it safe to take this combination? I know my psychiatrist knows what he is doing, but I wanted to get a second opinion from others. Doctor: Hello. You may know that Effexor XR is effective against depression and Strattera is used to manage ADHD. Sometimes both are prescribed together when you have ADHD along with depression. Your psychiatrist is following a safe approach of starting on a low dose of Strattera (Atomoxetine) and gradually titrating up the dose depending on your response and tolerability. Continue regular review appointment with your prescribing psychiatrist while the dose of Strattera is being titrated up. If there is any side effect, it can be picked up early and dose adjusted accordingly." + }, + { + "id": 12382, + "tgt": "Is burning sensation common after peeling treatment for acne?", + "src": "Patient: Hi doctor, About 3 weeks ago, I was prescribed Retin-A 0.5% and Acticlate for an unusual breakout on my forehead by my dermatologist. The anaesthetician who also took a look at my face recommended Glytone PA chemical peel to help treat some discoloration that the acne had caused. I went in to see her today and the peel she did initially cause extreme burning. I left the office with a little edema under both my eyes and by the end of the night, now, my skin looks like I have 2nd to 3rd-degree burning. But, it does not hurt. When I reached out to her and sent pictures, she said it was normal. She said there was no need to and that my skin would peel and heal in about 7 days. I look horrible and I am so afraid that I have permanently damaged my skin. I made an appointment with a different doctor tomorrow. Your advice would be greatly appreciated. Doctor: Hi. She is right, and these are common post peel effect. By looking at your photos (attachment removed to protect patient identity), I can tell that in your condition medicines are very unlikely to effect and chemical peeling and lasers are the only options. Glycolic acid is considered a very safe peel. Ask her to use it from very low concentration and gradually increase the concentration so that the tolerance could develop against that peel. It requires three to four sessions at least to get the visible result. Always take post peel precautions like avoid sun exposure, sunscreen, and emollients, in rare cases use Hydrocortisone if there is a frank injury. Exfoliation of skin is a normal event after the procedure; that is why it is known as peeling. So, I would advise you to stick to the same doctor and follow his or her advice." + }, + { + "id": 3135, + "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": 24938, + "tgt": "How can I bring back RFT and LFT levels to normal after a viral fever?", + "src": "Patient: Hello doctor. I am 67 years old man. I had viral fever last week for which I took antibiotic (7-day course). I then had cramps in the abdomen and gastric problem. I also had disturbed sleep. On consulting my family doctor, he advised for complete body checkup and full abdomen ultrasound. All the reports were normal except for RFT and LFT wherein some of the values are exceeding the standard limits. Please advise if medication for the same is required or this can be brought to normal range with some change in diet and lifestyle routine. My height is 174 cm and weight is 75 kg. I am a non-smoker and non-drinker and walk for 3 to 4 km every day, except for last 15 to 20 days when it was very foggy. Doctor: Hi, Welcome back to icliniq.com. I have checked the attached reports thoroughly (attachment removed to protect patient identity). All the results are acceptable except the creatinine (which reflect the function of the kidney to clean up the blood) is slightly elevated. I recommend drinking plenty of fluids as dehydration affect the kidney negatively. No medication is required regarding this aspect. Just to be fully reassured, do you have any bony or back pain recently? Regarding the abdominal cramps you experienced after taking the antibiotic course, it is caused by bacterial (Clostridium difficile) overgrowth in the intestine (antibiotics kill the normal bacterial flora allowing the abnormal difficle to grow). I recommend a five-day course of Flagyl (Metronidazole) 500 mg tablet twice daily. Consult your specialist doctor, discuss with him or her and take medications with their consent. Have you noticed any blood in stools recently? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23259, + "tgt": "I have sharp shooting pains in my rectum. Please help", + "src": "Patient: Hello doctor, I am a 20 year old female and ever since last night, I have been experiencing sharp shooting pains in my lower abdomen and my rectum. It hurts to walk, sit, cough and even lay down. I had the shakes when I first had the pain last night. I tried to poop last night but it hurt too bad. I finally managed to poop this morning. Please help in any way you can. Doctor: Hello. It appears you have a fissure. First thing is, your stool should be soft. For that, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables (like spinach), and raw cucumber. Avoid smoking, refined food, fatty and oily food. You should have plenty of fluids and regular exercises. also syrup like lactulose 15-30 ml bedtime to maintain your stool soft. You need to visit a nearby doctor for examination and confirming the diagnosis. Secondly, you can use 2 % Lidocaine gel before each stool so as relieve pain. Also, apply Nitroglycerin ointment three times a day. Also, sitz bath will be helpful, during a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contains potassium permanganate. 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": 19669, + "tgt": "How to cure throat pain?", + "src": "Patient: Hi doctor, My wife is 23 years old. Since four days, she is suffering from throat pain. When she swallows food or drink it pains. The pain is more on the left side of her throat. She is also having cough with mucus, which is white color. But, there is no rise in temperature. She took Erythromycin for two days and after which the pain reduced. Again from yesterday evening the pain increased. Please help. Doctor: Hi. It seems that your wife is suffering from upper respiratory tract infection (URTI). I would suggest you to take, My advice is to do salt water gargling three to four times a day along with steam inhalation. Ask her to drink plenty of fluids and keep hydrated. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16983, + "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": 4660, + "tgt": "What can cause slipping rib?", + "src": "Patient: Hi doctor, I have one rib out of its place. I think it is third or fourth one next to my sternum. Once a doctor put it back but it has slipped out again. Can you guide me through this? Doctor: Hi. For further information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 3875, + "tgt": "I have intercostal strain and I coughed sputum with blood. Do I need to worry?", + "src": "Patient: Hello doctor, Recently, I was diagnosed with an intercostal strain. The symptoms are pain in the area of strain and swelling. Unfortunately, I have developed a frightening symptom where I am coughing up blood coated mucus. My father who worked as an EMT says that it is not an emergency and that I should be fine. However, I am still concerned.\u00a0The amount of blood in the cough is not exponential, but it is noticeable. It is not frothy or painful to cough outside of the pressure it puts on the muscle strain. I do have allergies and I am a smoker. I also suffer from anxiety and depression. I am 22 years old. I can breathe deeply although with pain to the strained area.\u00a0Should I go to the doctor tomorrow? Or is this just a side effect or something? I also take Zoloft 100 mg, Ibuprofen 800 mg thrice a day for pain and Cyclobenzaprine 10 mg at night. 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": 175, + "tgt": "I have sinusitis. Am I at high risk of getting Coronavirus infection?", + "src": "Patient: Hello doctor, I am a sinusitis patient. But I do not face any breathing problems. And I am just 21 year old. Is Corona dangerous for sinusitis patients? Please tell me I really want to know. Doctor: Hi. Corona is dangerous for each and everyone one of us. However, there are few conditions where the patient's body immunity is on the lower side. One such condition is recurrent allergy associated sinusitis. You may be completely asymptomatic, but in general patients probe for allergy and associated sinusitis do have a slightly higher risk for acquiring any infection for that matter. It is always better to take adequate care and precautionary measures must be followed at all costs failing which you not only expose yourself but expose others as well. Make sure that the sinusitis and related symptoms are treated in an effective manner. I have not gone into the treatment for sinusitis as your question was very specific regarding the lethality of Coronavirus in patients with sinusitis. I hope this helps." + }, + { + "id": 11411, + "tgt": "I have a painful white scab in nostril and green mucus while coughing. Is it serious?", + "src": "Patient: Hello doctor, I have a white scab on the inside of my right nostril. It has been there for over a week now. It is very irritating and it hurts when I touch it. I am coughing up alot of green mucus. I was given Amoxicillin for pharyngitis a week ago and thought that would have killed any bacteria that I had. Doctor: Hello. As per what you say, you have a white scab in your nose. It can be due to viral or allergic rhinitis. You have taken Amoxicillin for pharyngitis. So no need to take any antibiotics now. Just clean your nose with salt water 2 to 3 times a day, the scab will get loosened and will drop off. Do not try to remove it with force. Otherwise, it will bleed. Even after using a saline wash, it is not getting removed, take help of ENT doctor. He will also prescribe you medicines for rhinitis also. Though it not a serious problem you should consult ENT doctor. Allergy, viral infection. Rhinitis. Saline nose wash." + }, + { + "id": 16908, + "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": 20984, + "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": 23406, + "tgt": "My eyes are red, watery, and itchy. Please help me", + "src": "Patient: Hello doctor, My eyes are red, watery, and itchy. I have a feeling I have sand in my eyes. The most irritated area are the tear ducts. Please, help me. I am just using red eye relief but it does not help. Doctor: Hi. Do you by any chance have a feeling that when you blink, you feel a pricking or pressure sensation on the inner side of your right eye? Do you also do a lot of outdoor activities like hiking or do you go out in the sun a lot? From the photos you have sent me (attachment removed to protect patient identity), I feel like you have developed a condition called inflamed pinguecula. This condition will need steroid eyedrops for relief, although they are not available over the counter. Pingueculas are benign nodules that grow in the conjunctiva of active people who are out in the sun a lot, also people who are exposed to a lot of wind and dust. So, preventive measures you can take immediately are as follows. Hope you get well soon. For more information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 19039, + "tgt": "Why do I overthink and feel anxious around people?", + "src": "Patient: Hello doctor, I feel really anxious around the people. If I see people around me talking or laughing, I immediately feel that they are laughing at me. If I have to talk to another person for any event, I feel my chest tighten and a knot in my stomach. I do not know what this feeling is. I also tend to overthink a lot to a point that I cannot sleep. Doctor: Hello. I understand what you must be feeling all this time. You are suffering from social anxiety disorder. That is why you always feel anxious, frightened. I would advise you to try deep breathing exercise, meditation, yoga, etc. If this thing does not work, you can try a medicine. There is some behavioral therapy which is also instituted for same. Thyroid stimulating hormone. Medicines, Therapy." + }, + { + "id": 16146, + "tgt": "I have lost 5 kg in one year. What is the problem behind it?", + "src": "Patient: Hi doctor, I have lost 5 kg in one year. I also have hair loss. I do not know the problem behind it. Please help me. Doctor: Keyword - Unexplained weight loss Hi. You are having a weight loss of five kilograms in one year. It can be due to anxiety, over-exercise, and due to less food intake than a requirement. You can rule out such common cause if it is present. If this is not the issue, then investigate with serum TSH (thyroid stimulating hormone) estimation to rule out hyperthyroid. You can do test for HIV using Elisa, and fourth generation testing if it is suspected. You can do a chest X-ray to rule out any lung problem if it is present. Any chronic infection can also lead to weight loss. So provide your history if it is present. You can consult a physician for a physical examination." + }, + { + "id": 30129, + "tgt": "I often feel very sad. Why?", + "src": "Patient: Hi doctor, Sometimes, I feel very sad inside. But, I do not know the reason for my sadness. During this period of sadness, I do not like to talk. I feel so depressed as I cannot do anything, including my studies? How to come out of this type of sadness? Please suggest. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5695, + "tgt": "For which infection is Zovirax suggested?", + "src": "Patient: Hello doctor, Two years back, I had fever and headache. From then I am having gait and muscle pains. After many tests, doctor suggested EBV test. Results are IgG positive and IgM came negative and then\u00a0gave Zovirax 800. I am shocked as it is a tablet for HIV.\u00a0Does my EBV report say that I have HIV? Or do I have any such life threatening disease? Is it contagious?\u00a0Should I avoid kissing and avoid sex for my entire life?\u00a0Will EBV virus go away or remain in body forever? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17074, + "tgt": "Can migraine and thyroid cause swelling in the arms?", + "src": "Patient: Hi doctor, My mother is 65 years old. All her general physical parameters are normal and she is leading a normal healthy life. But, she suffers from migraine. So whenever she has migraine headache, she takes Analgin (Novalgin) medicine. Few days back, she took the Analgin and noticed swelling in her left forearm (photo attached). This swelling has occurred in past too, but this time it persists for a week along with general body pain, fatigue and mild sweating at times. BP and temperature are normal. Family doctor suggested\u00a0full body check up, chest x-ray, few blood tests and thyroid test specifically. All came normal except thyroid (report attached). She did not take any medicine for the swelling yet. Please suggest what could be the cause? How can we prevent it? Doctor: Hi. From the reports (attachment removed to protect patient identity) her TSH levels are high with normal T3 and T4 which suggests hypothyroidism. Most of the times hypothyroidism has normal T3 and T4. So hypothyroidism cannot be ruled in that case.\u00a0Her complaints like sweating and everything fits under hypothyroidism. I would like to know whether she had any recent injury (including minor trauma)? Revert back to a general medicine physician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26124, + "tgt": "I started having occasional pain in the back of my head. Why?", + "src": "Patient: Hello doctor, Occasionally, I have started to have pain in the back of my head (right side). What could be the possible reasons? Doctor: Hello. I went through your post. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20778, + "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": 30519, + "tgt": "What could be the reason for sudden red patches on my baby's skin?", + "src": "Patient: Hi doctor, There are sudden red patches on the skin of my 5 months old baby. He had mild fever the previous day and loose motions before that. There is no other noticeable symptom. Crocin and Atarax drops have been given. Same thing happened two days ago and the almost entire upper body had turned red. Currently, I am giving regular Bonnisan and Vitamin D3 drops. Doctor: Hello. Welcome to icliniq.com. Viral infection or allergic reaction. Complete blood profile and C-reactive protein. 1. Crocin drops. 2. Atarax drops. Revert back after three days to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 31010, + "tgt": "Could you look at my mole and give your suggestion?", + "src": "Patient: Hi doctor,I have a mole that has grown a lot and has changed its shape and color. It has also developed a lot of different shaped blood vessels inside it. I have taken a few good images showing the mole close and the various blood vessels, which are running though it. I am\u00a0now pretty worried after searching in the online that my images do look very alike to the malignant lesions. Could you look at them and tell me what you think? Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15229, + "tgt": "What are the ways to reduce weight in a thyroid patient?", + "src": "Patient: Hello doctor,I have a thyroid problem. How can I reduce my weight? Doctor: Hi. The best way to reduce weight is vigorous exercise. Go for morning or evening walk (30) minutes. If possible go in the morning and evening also. Do jogging, skipping, swimming if possible as it is a wholesome exercise. You can also do aerobics with music (45 minutes), including warm-up, stretching and cool down phase. Have a balanced diet with no fat content in food. Avoid junk foods, alcohol, and smoking. Have more green vegetables and salads in lunch. Avoid dairy products, avoid sweets and sugars. Increase fibre content like legumes. Take medications if prescribed. Have sugar free with tea or coffee." + }, + { + "id": 14568, + "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": 25929, + "tgt": "What does IgG positive and IgM negative mean in an EBV test?", + "src": "Patient: Hi doctor, I recently got EBV test done. My result was IgG positive and IgM negative.\u00a0What does this mean? Is it life threatening like HIV? Is it contagious? Please guide. Doctor: Hi. IgM (immunoglobulin M) negative and IgG (immunoglobulin G) positive means that you do not have acute infection, but may be a carrier of Epstein-Barr virus (EBV) which is not as dangerous as HIV (human immunodeficiency virus) and can be easily treated. You may develop symptoms of sore throat, swollen glands, fever, rashes, abdominal pain, cough and runny nose. Symptoms generally last for between a week and a month although it can recur when the body is under stress. EBV is contagious and spreads via saliva, often through kissing, sharing of drinks, eating utensils, toys, towels, etc. Treatment in children includes rest, plenty of fluids. Painkillers are usually prescribed to relieve fever and pain. If there is extensive swelling of the throat or glands which compromise breathing then steroids may be given. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20885, + "tgt": "Why is there sensitivity in the teeth where caps were placed?", + "src": "Patient: Hello doctor, My mother aged 62 years actually went to a dentist because she felt that there is rubbing in between upper jaw tooth enamel and lower jaw tooth enamel and something sour in taste gets secreted out of it. The doctor told that there is decayed tooth on both sides. The doctor filled the gap between tooth, did enamel treatment, put a cap on four of her lower jaw tooth. She did not have any problems for 10 days. But now, she is having tooth sensitivity problem in the lower tooth jaw where caps were put for four teeth. Whenever she drinks anything hot or a little cold. Please advise us on the treatment. Doctor: Hi. I had gone through your question. I can understand your concern about your mother. The history started after ten days that means there will be something wrong with the prosthesis (bridge). I think there must be chipping off of the sealant (the material that fixes the crown or bridge with tooth) or the gingival recession because of the altered occlusion. You need to get a desensitizing toothpaste like Sensodyne and use it for two weeks. In case you feel there is a gap between sensitive tooth and bridge you need to visit the dentist again and get it recemented. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7217, + "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": 6409, + "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": 3449, + "tgt": "Can COPD patient fly?", + "src": "Patient: Hello doctor, This is regarding my father, 77 years old, is a patient of COPD. He is an ex-smoker for almost 40 years and has been suffering from a shortening of breath for the last few years but his situation got worse in the last year. He was prescribed with home Oxygen machine for at least 10-12 hours, nebulization on daily basis and few other medicines, he used to have swelling in his body and having difficulty urinating. Doctors prescribed him with diuretic medicine. A few months back, I took him to emergency and spent a night over there, later transferred to ICU (Intensive Care Unit) for almost a week, his situation gotten worse and doctors put him on a ventilator for 72 hours. He came okay and spent a few more days in ICU then transferred to a private room, spent a week in the hospital and discharged. At home, his situation was on and off and not actually improving, now he was on 24/7 Oxygen machine and occasionally on BIPAP too, use to do suctions on suction machines under the supervision of a male nurse provided to him for 24/7, nebulization thrice a day but the situation was not improving much. A week ago, he was found unconscious and rushed to the emergency. Again put him on a ventilator for 48 hours and improving at a slower pace. Being a daughter, I want the very best for my father and want advanced COPD treatment, available only in few countries called \u2019Endoscopic Lung Volume Reduction' treatment by introducing a small valve with minimally invasive surgery (within 20-30 minutes). I need your advice in this matter. I have uploaded the medical history report and the tests we have done here. Doctor: Hello. Thanks for writing your query to me. I can understand your concern about your father. I have seen all the reports attached herewith (attachment removed to protect patient identity). Considering his general condition now, your concern of air travel is very important to analyze before you book tickets with the airlines. Also, it is not as simple as we think but with careful evaluation and guidance he maybe able to fly shorter destination flights. Very important to remember that he is still recovering from bad respiratory failure and cardiac event. Also, still he is oxygen dependent at room temperature. Being hypertensive and recently hospitalized, it is advisable to avoid any travel at least for 6 weeks to prevent further complications. Fitness to fly for COPD patients need to comply a definitive pre-travel eligibility criteria and need necessary documentation from treating Pulmonologist. During air travel in commercial flights, oxygen level falls considerably due to low cabin air pressure and we must supplement oxygen to prevent further hypoxemia and other complications. So it is advisable to keep checking oxygen saturation frequently. If the resting oxygen saturation is less than 92 %, he may require supplemental oxygen in-flight. But commercial flights generally dont allow to carry our oxygen cylinder but you can carry oxygen concentrator with prior confirmation from airline. Airline can provide supplemental oxygen if required during flight but it will be very costly and has to be booked well before in advance while booking tickets. So it is very important to take opinion of his treating Pulmonologist and do pre-flight evaluation if he is fit to fly or not. Necessary medicines, inhalers and tablets need to be refilled before flying. Once he is fit to fly, while booking seats, consider seat neat toilet to avoid walking, frequently check oxygen saturation and avoid tea, coffee or any other drinks during air travel. Please make firm confirmation for all the concerns with the airlines before you book tickets. Do not forget to get fitness certificate and medical prescriptions from your doctor and carry them during air travel. Uncontrolled Moderate to severe COPD Pre-flight Fitness evaluation Hypoxic challenge test if available locally Oxygen supplementation either by cylinder or Oxygen Concentrator" + }, + { + "id": 24848, + "tgt": "Do I need biopsy for genital warts on penile head?", + "src": "Patient: Hello doctor, I was diagnosed with genital warts on the penile head. I was given Imiquimod cream to be applied for 10 to 15 minutes in the morning on alternate days and then wash off. The treatment went on for two months. Warts became lighter but did not go completely. It is definitely better than before. Do I need a biopsy or should I change to Glizigen cream which another doctor prescribed for two months twice daily? Doctor: Hi. Imiquimod is good medicine for genital wart. It has to be applied thrice a week for 16 weeks. If you see results with Imiquimod, I would suggest you stick to Imiquimod and complete the full course. Other options for genital wart are Podowart application (Podophyllotoxin), cryotherapy with liquid nitrogen, topical TCA (Trichloroacetic acid) application. You can discuss these options with your doctor. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24072, + "tgt": "Is my speaking problem related to anarthria disorder?", + "src": "Patient: Hello doctor,I have a problem with speaking. I cannot speak fluently. I struggle with speech. I have doubts about anarthria disorder. Please tell me clarification of that disorder. My age is 22 years. Doctor: Hello. Anarthria means inability to articulate clearly due to neurological conditions. It occurs usually in Parkinson's or stroke. it is unlikely that you might have any of the above at this age. It is very rare. What you might be having is stuttering. For more information consult a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 26001, + "tgt": "I slept with my phone under my testicles. When can I safely try for a baby again?", + "src": "Patient: Hello doctor,Yesterday, unfortunately, I slept with my mobile phone under my testicles. I slept like that for five hours. I have heard of mobile radiations causing harm to the sperm and testicular cells by affecting the DNA. My problem is that my wife and I are both 34 years old and are planning for conception. Now, because of this incident, how long should I wait to plan for conception? How long will it take for spermatogonial stem cells to recover if they are affected? I am asking this as I have an autistic child and I cannot afford to take any risk and also our reproductive age is passing by. Doctor: Hello. I read your query and understand your concerns. First of all, I would like to inform you that spermatogenesis is a long process and the sperm cells produced already may be available for the next two and a half months (72 days). So, considering this fact that you had a radiation exposure, it will be ideal to avoid conception for the next two to three months. However, radiation exposure by phone is very much limited and there is little data to support mutation by phone radiation. I hope this helps you. For more information consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 26862, + "tgt": "How to get relieved from pain in the left side of the body?", + "src": "Patient: Hi doctor, I am currently suffering from\u00a0constant\u00a0numbness in the left side of my body starting from my neck down to my leg. I am experiencing extreme numbness in my arm when I lean to the left side. It is extremely painful. I have a history of a slipped disc in the lower\u00a0spine. Please help me. Doctor: Hi. Follow-up with MRI after two days. Hope this is helpful for you. Revert in case you need any further help in this. Regards. For further queries consult a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 1133, + "tgt": "My schizophrenic mother turns violent on auditory and visual hallucinations. Please suggest medication", + "src": "Patient: Hello doctor, My mother has paranoia schizophrenia for the past 16 years. The delusions have become very absurd and in her story, her immediate family is the culprit. She has very vivid auditory hallucinations and sometimes visual hallucinations. She has refused to see a doctor as she believes they are in on it. Her stage of psychosis is very violent in which she screams and shouts and also turns violent. This has been going on for 16 years, but now the episodes of psychosis are becoming more intense. Please advise on how to talk to her or at the very least medicate her because it is taking a toll on our mental health. My sister suffers from depression and I suffer from anger management. How our father holds it together I have no clue. Please advise. Doctor: Hi. It is quite difficult to manage such issues when patient refuses to take the drug. However, nowadays Depot injections are available and their effect lasts up to four weeks. So talk to your psychiatrist regarding the injection. Once she is put on a monthly injection then it will be easier for you to give her a monthly dose. This will ensure drug compliance and a better outcome. I hope this helps." + }, + { + "id": 26436, + "tgt": "I am 29 and I have a lot of health issues due to diabetes. Please advise", + "src": "Patient: Hello doctor,I am a 29 year old unmarried female. I have a\u00a0lot of issues because of diabetes. Diabetes was detected four months ago when I underwent an underarm surgery for an abscess. It has not recovered yet.\u00a0Also, I have a\u00a0lot of pimples on my face and head. I think this is because of the sugar level.The last time my sugar level was at 185. Please suggest. Doctor: Hello. Take care. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 19953, + "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": 28427, + "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" + } + ] +} \ No newline at end of file